bluuebunny/crossref_metadata_2025_split huggingface dataset:
Organ transplantation in Romania: challenges and perspectives
Authors: Bacușcă Alberto Emanuel , Tinică Grigore , Enache Mihai , Țărus Andrei , Hanganu Bianca , Gavriluță Cristina , Ioan Beatrice Gabriela 
Published: March 2023

Introduction. The interest in the field of organ transplantation and the first attempts at making experimental transplant interventions in Romania date from the very beginning of the 20th century. Nevertheless, the evolution of the donating activity and of organ transplantation in Romania has been confronted with a certain inconsistency and a lack of resources necessary to the development of the system.
Method. The aim of this study is to analyze the dynamics of the transplantation activity in Romania between 2000 and 2020. The study was accomplished through the analysis of available data corresponding to the above-mentioned period, which were published in the database of the National Transplant Agency, Eurostat and the Global Observatory on Donation and Transplantation. The data were processed using the MedCalc Statistical Software, version 14.8.1 (MedCalc Software bvba, Ostend, Belgium; http://www.medcalc.org; 2014).
Results. The activity of donation and organ transplantation in Romania has been maintained at a low level, with a rate of 3.44 donators pmp and a transplantation rate of 12.55 pmp, as reported for the year 2020. Romania remains at a transplantation rate of under 6.6 pmp, despite the considerable increase in the number of patients on the waiting lists, a fact which describes the picture of a relatively weak system, incapable of providing surgical interventions to cover the minimum needs that emerge within a calendar year.
Conclusions. Our study points to the fact that the transplantation system in Romania is confronted with a major deadlock. Romania holds the last-but-one place in the ranking of countries in the European Union on transplant activity. The major impediment is the donation rate, which continues to be way below the European average, in a society where the awareness of the necessity to donate is very low, bureaucracy is cumbersome and there is a high degree of mistrust in the medical system, where the equipment is lacking and the infrastructure is incapable of providing services adapted to the modern standards.
A Statewide Assessment of Pediatric Emergency Care Surge Capabilities
Authors: Li Joyce , Baker Arianne L. , D’Ambrosi Gabrielle , Monuteaux Michael C. , Chung Sarita 
Published: March 2023

BACKGROUND
Pediatric surge planning is critical in the setting of decreasing pediatric inpatient capacity. We describe a statewide assessment of pediatric inpatient bed capacity, clinical care therapies, and subspecialty availability during standard and disaster operations in Massachusetts.

METHODS
To assess pediatric (&lt;18 years old) inpatient bed capacity during standard operations, we used Massachusetts Department of Public Health data from May 2021. To assess pediatric disaster capacity, therapies, and subspecialty availability in standard and disaster operations, we performed a state-wide survey of Massachusetts hospital emergency management directors from May to August 2021. From the survey, we calculated additional pediatric inpatient bed capacity during a disaster and clinical therapy and subspecialty availability during standard and disaster operations.

RESULTS
Of 64 Massachusetts acute care hospitals, 58 (91%) completed the survey. Of all licensed inpatient beds in Massachusetts (n = 11 670), 19% (n = 2159) are licensed pediatric beds. During a disaster, 171 pediatric beds could be added. During standard and disaster operations, respiratory therapies were available in 36% (n = 21) and 69% (n = 40) of hospitals, respectively, with high flow nasal cannula being most common. The only surgical subspecialist available in the majority of hospitals (&gt;50%) during standard operations is general surgery (59%, n = 34). In a disaster, only orthopedic surgery could additionally provide services in the majority hospitals (76%; n = 44).

CONCLUSIONS
Massachusetts pediatric inpatient capacity is limited in a disaster scenario. Respiratory therapies could be available in more than half of hospitals in a disaster, but the majority of hospitals lack surgical subspecialists for children under any circumstance.
Transformación del quehacer musical a raíz del confinamiento sanitario dentro del V Festival Internacional de Música Mexicana
Authors: Salcedo Moncada Beania , López Prado José María 
Published: March 2023

El Festival Internacional de Música Mexicana de la Facultad de Música de la Universidad Autónoma de Nuevo León se ha consolidado como una estrategia académica y artística. Por ello, el objetivo de esta investigación fue describir los beneficios que genera la realización de esta actividad en un contexto virtual, motivado por la contingencia sanitaria provocada por el COVID-19. Con este fin, se realizaron encuestas virtuales a un grupo de académicos y expertos en el área musical, y que previamente habían participado en el festival, para conocer su opinión sobre los alcances, limitaciones y proyecciones a futuro. Los resultados arrojaron que la importancia de realizar un festival exclusivamente de música mexicana de concierto estriba en reconocer y afincar nuestras raíces culturales al utilizar herramientas técnicas y conocimientos universales que habilitan al compositor a encauzar su creatividad y al intérprete a proyectar estos valores. Además, se vislumbra que la virtualización del festival enriquece el quehacer musical derivado de la experiencia adquirida al lograr una mayor audiencia nacional e internacional mediante las redes sociales y las plataformas digitales.
PROFESSOR INICIANTE, PROCESSO DE INDUÇÃO E ALFABETIZAÇÃO: O QUE DIZEM OS ESTUDOS
Authors: Trevisan Alexandra Aparecida Liberato , Andrade Maria de Fátima Ramos , Aparicio Ana Silvia Moço 
Published: March 2023

Neste artigo, apresentamos um levantamento bibliográfico feito com o objetivo de analisar dissertações e teses que tratam do processo de indução do professor iniciante alfabetizador, no banco de teses e dissertações da Biblioteca Digital Brasileira de Teses e Dissertações (BDTD). Foram utilizados os seguintes termos: professor iniciante, desenvolvimento profissional docente, processo de indução, acolhimento e alfabetização. A pesquisa bibliográfica foi delimitada ao período de 2009 até 2019, com a intenção de se identificarem estudos mais recentes acerca do tema. Dentre os quinze trabalhos encontrados, apenas dez relacionam-se diretamente com o estudo aqui proposto. Após análise dos dados, verificou-se a necessidade de um programa de indução para o professor iniciante, principalmente no que tange às dificuldades de gestão da sala de aula.
Evaluación del efecto ixodicida de extractos botánicos sobre garrapata Rhipicephalus (Boophilus) microplus
Authors: Rodriguez Molano Carlos Eduardo , Niño Monroy Laura Estefanía , Pulido Suárez Nestor Julián 
Published: March 2023

Las garrapatas han afectado negativamente la producción bovina, provocando grandes pérdidas económicas; debido al uso indiscriminado de productos químicos han desarrollado resistencia, obligando a la búsqueda de alternativas de control, presentándose interés en investigar las propiedades acaricidas de especies vegetales, el objetivo del estudió fue determinar la eficacia del extracto natural Phytolacca bogotensis y Alnus alcuminata en el control in vitro de la garrapata adulta Rhipicephalus (Boophilus) microplus. El método empleado para la elaboración de los extractos de las plantas analizadas fue la extracción en caliente “Soxhlet”, y se evaluaron los metabolitos secundarios mediante pruebas cualitativas. Se expusieron garrapatas adultas mediante la técnica de inmersión a los extractos puros y diluciones. A las 24, 48, 72 y 96h post-exposición, se evaluó la mortalidad tomándose como mínimo eficaz una mortalidad de 60%. El extracto de P. bogotensis, mostró una efectividad con el extracto puro y la dilución 1:2 y el extracto puro de A. alcuminata no supero el mínimo eficaz de mortalidad. Se observó que el extracto P. bogotensis, mostró mayor eficacia en el control de la garrapata adulta Rhipicephalus (Boophilus) microplus, constituyéndose como una fuente de principios activos que contribuyan al descubrimiento de ixodicidas de origen natural.
Snacking Habits, Strict Diet, BMI, and Body Image of Adolescents in Three Sub-Districts in Depok and Bogor
Authors: Agestika Lina , Ratnayani Ratnayani 
Published: March 2023

Background: Body image is related to adolescent food preferences, which determine their nutritional status. Peri-urban areas might have different adolescents' snacking habits, strict diets, nutritional status, and body image.
Objectives: This study aimed to analyze the association between adolescents' snacking habits, implementation of a strict diet, and nutritional status on their body image.
Methods: This study used a mix-method, a combination of the quantitative and qualitative survey with a cross-sectional design. A total of 39 adolescents aged 15-18 who live in the peri-urban areas of Depok and Bogor were consecutively selected. The study was conducted in January 2022. Quantitative data include respondents' characteristics, body weight and height, snacking habits, and body image. Qualitative data collected were types of snacks, their reasons for buying snacks, and perceptions of ideal weight.
Results: The nutritional status of the respondents was underweighted (5%), normal (92%), and overweight (3%), with snacking frequency 4-7 times/week (59%) with a weekly snacking expenditure of IDR 15,000 – 30,000 (49 %). As many as 23% of respondents performed a strict diet and perceived having a thin (21%) and fat (23%) body image. Adolescents with normal nutritional status were perceived as having fat (20.5%) and thin (15.4%) body image (p: 0,0215). There was also a relationship between diet (p: 0.0084) and weekly snacking expenditure (p: 0.0152) with body image, and there was no relationship between snacking frequency (p: 0.3123) and daily meal frequency (p-value=0.3972) with body image.
Conclusions: A wrong perception of body image from actual nutritional status can affect snacking habits and the implementation of a strict diet among adolescents.
Tinjauan Literatur: Hubungan antara Keragaman Pangan dengan Stunting pada Balita
Authors: Al Uluf Ulfa , Sinatrya Alfadhila Khairil , Nadhiroh Siti Rahayu 
Published: March 2023

Latar Belakang: Stunting menjadi masalah kesehatan dunia pada anak usia dibawah lima tahun. Gagal tumbuh, kembang dan metabolisme akibat stunting dapat mengancam masa depan anak. Keragaman pangan yang dikonsumsi setiap hari dapat menjadi faktor yang berpengaruh pada kejadian stunting.
Tujuan: Literature review ini bertujuan untuk mengetahui hubungan keragaman pangan dengan kejadian stunting pada balita.
Ulasan: Didapatkan 10 artikel yang memenuhi kriteria dengan 6 artikel menyatakan bahwa terdapat hubungan antara keragaman pangan dengan stunting yang menyatakan bahwa Semakin beragam jenis kelompok makanan yang di konsumsi semakin rendah kemungkinan balita mengalami stunting.
Kesimpulan: Kesimpulan dari kajian ini adalah keragaman pangan berhubungan dengan kejadian stunting pada balita. Diharapkan penelitian ini dapat menjadi rujukan dalam memaksimalkan ketersediaan keragaman pangan khususnya daerah lokus stunting.
Faktor-Faktor yang Berhubungan dengan Kejadian Berat Badan Lahir Rendah di Puskesmas Kertek 2 Kabupaten Wonosobo
Authors: Rizkika Anggit , Rahfiludin Mohammad Zen , Asna Alfi Fairuz 
Published: March 2023

Latar Belakang: Berat badan lahir rendah memiliki dampak negatif karena menyangkut angka kematian bayi dan dapat menyebabkan masalah gizi lain. Penelitian ini berbeda dengan penelitian sebelumnya karena terdapat variabel khusus yaitu karakteristik daerah pertanian dan sebagai penghasil tembakau.
Tujuan: Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan BBLR di Puskesmas Kertek 2.
Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross sectional. Populasinya seluruh bayi yang lahir di Puskesmas Kertek 2 Kabupaten Wonosobo tahun 2020. Sampel dalam penelitian ini dihitung dengan rumus besar sampel survei dengan nilai N yang sudah diketahui dan diambil dengan teknik simple random sampling. Variabel independen yang diteliti dalam penelitian ini antara lain anemia, usia Ibu, lingkar lengan atas, pertambahan berat badan Ibu, usia kehamilan, paritas, penyakit dan infeksi saat hamil, jarak kehamilan, paparan pestisida, asap rokok, alkohol, status ekonomi, dan pendidikan. Data dianalisis menggunakan uji Chi-square dan Fisher Exact dengan signifikansi p-value <0,05. Analisis data multivariat dilakukan dengan uji regresi logistik biner.
Hasil: Faktor Ibu yang berhubungan dengan BBLR adalah usia Ibu (p=0,003) ,usia kehamilan (p=0,000), paritas (p=0,022) dan jarak kehamilan (p=0,018). Faktor lain seperti anemia, lingkar lengan atas, pertambahan berat badan Ibu, penyakit dan infeksi, faktor lingkungan dan sosial ekonomi tidak menujukkan hubungan yang signifikan.
Kesimpulan: Faktor risiko terjadinya berat badan lahir rendah di Puskesmas Kertek 2 Kabupaten Wonosobo adalah usia Ibu, usia kehamilan, paritas, dan jarak kehamilan.
Pola Konsumsi Makanan Mempengaruhi Kadar Vitamin D dan Kualitas Hidup Anak pada Masa Growth Spurt Kedua
Authors: Hussaana Atina , Zulaikhah Siti Thomas , Ratnawati Ratnawati 
Published: March 2023

Latar Belakang: Masa growth spurt (pacu tumbuh) kedua perlu mendapatkan perhatian terkait kecukupan asupan zat gizi makro dan zat gizi mikro, termasuk vitamin D. Selama ini kecukupan vitamin D kurang mendapatkan perhatian, jika diperburuk dengan pola kegiatan yang cenderung lebih banyak di dalam ruangan serta pola makan dengan gizi yang kurang seimbang, dikhawatirkan akan memicu defisiensi vitamin D dan berimbas pada tumbuh kembang dan kualitas hidup anak.
Tujuan: Untuk mengetahui hubungan antara pola konsumsi anak terhadap kadar vitamin D, berat badan, tinggi badan, dan kualitas hidup anak usia 10-12 tahun.
Metode: Penelitian observasional dengan desain cross sectional dilakukan pada 40 anak usia 10-14 tahun tanpa kecacatan fisik dari Pondok Kun Assalam Sentono dan Madrasah Ibtidaiyah At-Taqwa Semarang. Seluruh subjek diukur pola konsumsi makan menggunakan Food Frequency Questionnaire (FFQ), kadar vitamin D dalam darah, tinggi badan, berat badan, panjang tungkai, serta diukur kualitas hidup menggunakan Pedriatric Quality of Life Inventory (PedsQL).
Hasil: Hasil penelitian menunjukkan bahwa dari 40 subjek, hanya ada 3 (7,5%) anak yang kadar vitamin D masuk kategori cukup (kadar vitamin D ≥30 µg/mL). Terdapat hubungan signifikan antara pola konsumsi makanan dengan kadar vitamin D darah (p<0.01), tinggi badan, berat badan, panjang tungkai serta kualitas hidup (p< 0.05). Nilai koefisien korelasi Spearman berturut-turut antara pola konsumsi makanan dengan kadar vitamin D darah, tinggi badan, berat badan, panjang tungkai serta kualitas hidup adalah 0.404; 0.290; 0.369; 0.380; 0.321.
Kesimpulan: Pola konsumsi makanan anak yang berada pada masa growth spurt kedua perlu diperhatikan karena berhubungan dengan kadar vitamin D, tinggi badan, berat badan, dan kualitas hidup.
Implementation of Premarital Counseling Description in Grobogan District, Central Java, Indonesia
Authors: Nugraheni Sri Achadi , Mawarni Atik , Purnami Cahya Tri , Winarni Sri , Asna Alfi Fairuz , Kartini Apoina , Arso Septo Pawelas , Handayani Novia , Fauziatin Naila 
Published: March 2023

Background: Pre-marital period is the best time to prepare for the quality of family health; however, In Indonesia, examinations and promotion of reproductive health and pre-marital counseling have yet to be carried out in all districts.
Objectives: This study aimed to identify the description of reproductive health services and marriage counseling in Grobogan Regency, Central Java.
Methods: This study used an assessment method of the implementation of the Reproductive Health Service Program for the bride, which includes IEC (Communication, Information, and Education) and medical examination of the bride and groom by health workers conducted in community health centers (Puskesmas) and other health care facilities, and office of religious affair (KUA), with the In-depth Interview Method. The subject was the KUA Officer under the Department of Religious Islamic Education in the Marriage Guidance program.
Results: The interviews with KUA officers obtained results in 2017. There were still underage marriages, and the number increased in 2018. Prospective brides have submitted forms (N1, N2, N3, and N4) to KUA. Most of the brides were not physically examined (pulse, breathing frequency, blood pressure, body temperature) by health workers (63.7%), and blood groups were not examined (91.4%). Half of the respondents examined blood sugar, HIV, IMS, Hepatitis, and TORCH (56.8%). The bridegrooms were not examined for mid-upper arm circumferences (MUAC) (17.2%) and for signs of anemia (8.6%). The brides were not immunized against Hepatitis B (72.4%). Almost all brides get TT immunization at the Puskesmas (94.8%). Health workers stated that only some brides had been getting counseling about the bride's mental health (29,3%). Only 17.2% of the officers stated that the bride still needs to get a certificate of following the reproductive health IEC.
Conclusions: KUA has conducted pre-marriage courses for couples according to the rules of the Ministry of Religion. Some PUSKESMAS had carried out activities for the bride and groom on a scheduled basis (for example, every Tuesday/Wednesday) but have not been carried out routinely, even stopped due to budgetary problems. The certificate is given after the bride and groom take the marriage guidance course, but it has yet to be required for marriage registration.
Analisis Kecenderungan Cakupan Pemberian Tablet Fe-3 dan Cakupan ANC K4 terhadap Kejadian Komplikasi Kehamilan di Surabaya Tahun 2019
Authors: Taji Sukma Arum Sekar , Hendrati Lucia Yovita 
Published: March 2023

Latar Belakang: Komplikasi kehamilan dapat terjadi pada ibu dan janin semasa kehamilan yang dapat menyebabkan kesakitan bahkan kematian. Salah satu faktor risikonya ialah tidak patuh mengkonsumsi tablet besi (Fe) dan pelayanan Antenatal Care (ANC) yang tidak teratur. Upaya untuk mengurangi komplikasi yaitu dengan memberikan informasi tentang faktor risiko kehamilan dan lokasi penderita untuk memudahkan pelaksanaan intervensi kepada kelompok sasaran.
Tujuan: Penelitiaan ini bertujuan untuk memetakan dan menganalisis komplikasi kehamilan berdasarkan cakupan pemberian tablet besi (Fe-3) dan ANC K4 pada tahun 2019 di Surabaya.
Metode: Penelitian ini merupakan deskriptif observasional dengan desain studi populasi dari 31 Kecamatan di Kota Surabaya. Penelitian menggunakan data sekunder Profil Kesehatan Kota Surabaya tahun 2019. Metode analisis yang digunakan ialah uji korelasi spearman. Pembuatan peta persebaran menggunakan Health Mapper 4.3.
Hasil: Peta persebaran dari cakupan pemberian tablet Fe-3 dan kegiatan ANC K4 di Surabaya sama-sama menunjukkan 6 kecamatan yang memiliki cakupan rendah dan 7 kecamatan memiliki cakupan tinggi. Hasil analisis menyebutkan hubungan antara cakupan pemberian tablet Fe-3 dengan komplikasi kehamilan sangat kuat (p=0,001; r=0,985) dan arah yang positif. Selain itu, cakupan antara kegiatan ANC K4 dan komplikasi kehamilan berhubungan dengan korelasi sangat kuat (p=0,001; r=0,982) serta arah yang positif. Kasus komplikasi terjadi di seluruh wilayah Surabaya.
Kesimpulan: Cakupan pemberian tablet Fe-3 dan kegiatan ANC K4 tahun 2019 memiliki hubungan dengan kejadian komplikasi kehamilan di Surabaya. Kasus komplikasi kehamilan terbanyak berada pada wilayah dengan cakupan pemberian tablet besi (Fe-3) dan kegiatan ANC K4 yang tinggi.
Nuevas Metodologías Educativas aplicadas al Diseño de Packaging
Authors: Cerrolaza Calvo Silvia 
Published: March 2023

El packaging juega un papel esencial en el marketing de los productos y tiene un gran impacto a nivel económico y medioambiental. Cada vez son más las empresas comprometidas con el cuidado del planeta, así como los consumidores que se interesan por productos sostenibles, aspectos que debemos tener presentes en el ámbito académico.

En la Escuela Superior de Diseño de La Rioja impartimos un máster en Diseño Integral de Packaging para la Industria Alimentaria y Vitivinícola en el que se trabajan procesos de diseño de packaging sostenible, reciclable y respetuoso con el medio ambiente, potenciando el ahorro energético en todos sus procesos y reduciendo al máximo la huella ecológica.

En nuestro texto desarrollaremos con detalle la metodología de trabajo aplicada, donde trabajamos por proyectos y con colaboradores externos. Explicaremos la integración de todas las materias que se imparten en nuestro máster a través de proyectos de ecodiseño que ilustrarán nuestro ritmo investigador y creativo, nuestra experiencia colaborativa y nuestro compromiso con el medio ambiente.
Mostraremos ejemplos de los resultados obtenidos por nuestro alumnado cuando llevan a cabo proyectos de diseño de packaging eco-sostenible, envases donde priman la reutilización y las estrategias de reciclaje, tanto en los materiales como en los procesos.
New Seal Technology Improves Well Safety for Surface Systems
Authors: Ferrell Kent 
Published: March 2023

Abstract
Environmental protection and safety considerations have always been a concern for the operators, manufacturers, and service companies who are involved in the exploration and production of hydrocarbons. Unfortunately however, while the regulatory standards have become more stringent, the general economic climate has declined, causing a difficult struggle for operators when attempting to maintain economic feasibility between supporting safety and environmental concerns and operational efficiency. This struggle is complicated by aging fields which, though still producing, are beyond their peak producing years. This paper will discuss a method that was used by a major Asian Operator and a producer of oilfield equipment to develop a new direct-acting fail-safe safety system for existing equipment that could support current operational safety requirements as well as provide a cost-effective alternative to replacing the entire system. This joint effort resulted in development of a low-pressure, pneumatic-override, spring-closed, direct-acting actuator with two fail-closed systems that was able to provide a low-cost solution to the problem.
Also covered will be the interaction between the operator and manufacturer that was needed to tailor the system to meet the specific requirements for ease of installation, ease of maintenance, and protection of personnel and the environment within the designated cost constraints. Additionally, the pros and cons of such a system and the cost considerations when comparing these double fail-safe direct-acting systems to revamping an existing field with conventional reverse acting safety systems will be provided.
An Enhanced Animator System for Simulating Robot Movement in Wireless Sensor Networks
Authors: Shehab Adulaziz , Naguib Abdelhady 
Published: March 2023

Abstract

Optimizing robots’ path have recently gained a great attention and considered an open research challenge due to their potential to work in dynamic and complex environments. Most researchers working in the field of single anchor-assisted localization in wireless Sensor Networks (WSNs), often run their simulations based on NS-2 simulator which needs a movement scenario file that stores the coordinates of mobile robot trajectory. To address such issues, this paper proposes an object-oriented graphical user interface (GUI) system that can be used as an animator and also as a scenario generator tool for the movement of mobile robot. Our animator system enables researchers to generate their own scenario files regards to different static path planning mechanisms. Besides, this paper proposes a genetic algorithm based path planning method with the assistance of Bézier curve technique to work in a dynamic environment. Our proposal improves the robot performance, compared to others, in terms of the path length, the smoothness of the path, processing time.