bluuebunny/crossref_metadata_2025_split huggingface dataset:
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. K DI KLINIK UTAMA LESTARI TEMBILAHAN
Authors: Yanofiyanti Tri 
Published: August 2023

Comprehensive midwifery care is care that is carried out thoroughly from pregnancy to family planning to reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). At the Utama Lestari Clinic, from January to December 2021, there were 539 pregnant women, pregnant women, BBL, 297 postpartum women and 963 family planning acceptors. Objective: To provide comprehensive care for Mrs. “K” at Klinik Utama Lestari using Varney's line of thought and documented in SOAP form. Methods: Midwifery management plan with Varney's line of thought and documented in SOAP form, implemented at Klinik Utama Lestari on 23 April s/d 05 July 2022. This midwifery care was carried out on Mrs. "K" aged 33 years G3P2A0H2. Results: The ANC had met the 10 T standard, the INC was running smoothly, there was a gap in the delivery of metergin, KN 1 was not given SHK, in postpartum and family planning there are no problems. Suggestion: Main Lestari Clinic can provide health workers such as midwives who are trained to check SHK and facilitate complete equipment.

Asuhan kebidanan komprehensif adalah asuhan yang dilakukan secara menyeluruh dari mulai hamil sampai keluarga berencana untuk menurunkan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Di Klinik Utama Lestari dari Januari sampai Desember tahun 2021 tercatat ibu hamil 539 orang, ibu bersalin, BBL, ibu nifas sebanyak 297 orang dan akseptor KB sebanyak 963 orang. Tujuan dalam asuhan ini Memberikan asuhan secara komprehensif pada Ny “K” di Klinik Utama Lestari dengan menggunakan alur fikir varney dan didokumentasikan dalam bentuk SOAP. Metode asuhan ini adalah Rancangan manajemen kebidanan dengan alur fikir varney dan didokumentasikan dalam bentuk SOAP, dilaksanakan di Klinik Utama Lestari pada tanggal 23 April s/d 05 Juli 2022. Asuhan kebidanan ini dilakukan pada Ny.”K” umur 33 Tahun G3P2A0H2. Dari hasil asuhan didapatkan Pada ANC telah memenuhi standar 10 T, INC berjalan dengan lancar, terdapat kesenjangan pada persalinan pemberian metergin, KN 1 tidak dilakukan pemberian SHK, pada nifas dan KB tidak terdapat masalah. Saran Bagi Klinik Utama Lestari dapat menyediakan tenaga kesehatan seperti bidan yang terlatih untuk pemeriksaan SHK dan memfasilitasi peralatan yang lengkap.
Énonciation, sexualités et genre en musique chez Philémon Cimon, Pierre Lapointe et Ariane Moffatt
Authors: Konaté Khady 
Published: August 2023

Dans ce texte est proposée une « lecture du genre » (Boisclair 2002) des oeuvres de Philémon Cimon (L’été,Les femmes comme des montagnes), Pierre Lapointe (Pierre Lapointe,Sentiments humains) et Ariane Moffatt (Aquanaute,Le coeur dans la tête,Tous les sens). L’étude des chansons contenues sur ces albums prend pour point de départ une interrogation des subjectivités genrées de ces trois artistes, entre personne réelle etpersona, et montre que ces dernières façonnent leurs compositions. La sollicitation du concept de sexe/genre ouvre dès lors la porte à l’exploration des représentations des identités sexuelles et de genre dans ces chansons, où les identités des artistes se trouvent mises en abîme. En s’intéressant à l’énonciation et au discours (en particulier, au discours amoureux) contenu dans le texte des chansons sélectionnées, il est possible de rendre compte de la reproduction des injonctions à l’hétérosexualité et des poncifs qui cloisonnent le genre, ainsi que des glissements et brouillages qui autorisent des resignifications du genre. Ainsi, chez Cimon, on observe la reconduite du point de vue masculin où la valeur du féminin réside dans sa capacité à émerveiller le sujet et à susciter son désir. À l’opposé, les textes de Lapointe et Moffatt dépeignent des personnages et des récits queer, bien que leur identité queer n’ait pas été revendiquée à l’heure de la parution de leurs oeuvres.
Genre, rap et enjeux de visibilité dans l’espace public des rappeuses à Montréal
Authors: Lesacher Claire 
Published: August 2023

Cet article, basé sur une enquête de terrain menée en 2011, à Montréal, porte sur les enjeux qui traversent la question de la présentation physique des rappeuses dans l’espace public. Au cours des entretiens, les rappeuses soulignent que les activités de médiatisation et de représentation sur scène impliquent de devoir composer avec des représentations situées de la féminité dans un contexte où les industries musicales et médiatiques favorisent leur visibilité d’abord en tant que femmes, ce qui a des effets sur leur reconnaissance/légitimité en tant qu’artiste. Cette étude jette un regard sur les processus qui s’organisent dans une activité rap majoritairement masculine, elle-même durablement évincée des espaces dominants de production et de médiatisation de la musique au Québec.
Política pública da educação em tempo integral: o caso de Pernambuco
Authors: Costa Antonio Carlos de Lima , Albuquerque José de Lima , Correia Neto Jorge da Silva , De Souza Eliabe Roberto , De Morais Márcio Aurélio Carvalho , De Oliveira Ana Beliza Diniz Cordeiro , Amaro Elidiane Suane Dias de Melo , Amaro Rodrigo Gayger 
Published: August 2023

A Educação Integral em Pernambuco tornou-se Política Pública de Estado em 2008,por meio da Lei Complementar Estadual nº 125/08. De acordo com o Conselho Nacional de Secretários de Educação (CONSED), o modelo fundamenta-se na concepção da educação interdimensional, como espaço privilegiado do exercício da cidadania e o protagonismo juvenil como estratégia imprescindível para a formação do jovem autônomo, competente, solidário e produtivo. A partir desse contexto, o Estado de Pernambuco, com o objetivo de eliminar algumas dessas deficiências dentro do Estado, criou um programa em educação integral para escolas do Ensino Médio de sua rede. De acordo com o CONSED (2019), o programa atualmente abrange 392 escolas do ensino médio que atuam em tempo integral e semi-integral (EREM) e 45 Escolas Técnicas Estaduais (ETE). O objetivo edsta pesquisa foi investigar a Política de Educação Integral em Pernambuco quanto à formulação, à implantação e às ações de referência de qualidade educacional. Trata-se de uma pesquisa, quanto a abordagem, qualitativa e quanto aos objetivos, descritiva. Quanto aos procedimentos caracteriza-se como uma pesquisa bibliográfica e documental. Como resultados da pesquisa pode concluir que Com a implantação da política pública de educação integral no Estado de Pernambuco, por meio do lançamento de um programa com esta finalidade, a partir do ano de 2008 o IDEB em Pernambuco teve seu melhor desempenho após a criação dessas escolas, pois já em 2015 Pernambuco ficou empatado com o Estado de São Paulo em primeiro lugar no ranking nacional. Com relação à evolução das notas da Prova Brasil em Português e Matemática no Ensino Médio, o percentual de alunos aprovados no estado saltou de 73% em 2005 para 93% em 2017, o segundo maior do país, atrás apenas de Goiás e bem acima da média brasileira. Assim, ao se analisar a experiência de Pernambuco, percebe-se que políticas públicas como o da escola integral contribuem para a melhoria da qualidade do ensino e fortalecem o papel da educação como instrumento de mobilidade social.
Marker-assisted Selection of Bivoltine Silkworm Genetic Resources for Thermotolerance
Authors: Maheswari M. , Naik Tulsi , Chaudhuri Ritwika Sur , Lokesh G. , Sreenivasa B. T. 
Published: August 2023

The aim of the study is identification of bivoltine breeds showing thermotolerance to evaluate for regional abiotic stress conditions to achieve successful bivoltine cocoon production.
Study Design: Lepidopteran insect, Bombyx mori silkworm is more prone to crop losses due to hot climatic conditions during summer seasons. In order to produce bivoltine cocoons consistently throughout the year without affecting productivity during hot summer season, high temperature tolerant silkworm breeds are indispensable. The vast silkworm B.mori (L.) germplasm available needs to be screened using reliable molecular markers to select efficient productive breeds with high temperature tolerance.
Marker assisted selection (MAS) has been widely used in selection of desired traits for breeding programs. It is believed that selection based on trait linked to DNA marker would be better option than phenotypic selection which is laborious and time consuming.
Place and Duration of the Study: The study has been taken up for 3 years in collaboration with Seribiotech Research Laboratory, Kodathi
Methodology: The present study has been carried out to screen forty selected bivoltine silkworm B. mori germplasm resources exhibiting higher rate of survival and high productivity using SSR markers (LFL329; LFL1123; S0809; S0813) linked to thermotolerance in silkworm so as to identify thermotolerant breeds.
Results: Based on the PCR product resolved in 2% agarose gel and presence of bands corresponding thermotolerance and thermosusceptible markers observed, 10 bivoltine accessions showed 87-100% thermotolerance were selected viz. BBI-0086 (KPG-A), BBE-0184 (SMGS-2), BBI-0301 (YS-7) and BBI-0339 (DD-2) and the accessions spinning dumbbell cocoons- BBI-0044 (NB4D2), BBI-0334 (APS-4), BBI-0336 (APS-8), BBI-0338 (DD-1), BBI-0343 (NK3) and BBI-0358 (CSR26) for further validation through field trials in selected hotspots viz. Tropical - High temperature and low humidity at RSRS, Jammu and REC Chitradurga; Sub tropical - High temperature and high humidity at RSRS Jammu and Temperate at CSRTI, Berhampore.
Conclusion: The present study elucidate the impact of temperature and humidity associated stress conditions over economic traits performances of selected bivoltine accessions. The findings of the present study provide a suitable platform for future bivoltine crop improvement through breeding program.
Effect of Dural-Puncture Epidural vs Standard Epidural for Epidural Extension on Onset Time of Surgical Anesthesia in Elective Cesarean Delivery
Authors: Sharawi Nadir , Williams Matthew , Athar Waseem , Martinello Caroline , Stoner Kyle , Taylor Cameron , Guo Nan , Sultan Pervez , Mhyre Jill M. 
Published: August 2023

ImportanceDural-puncture epidural (DPE) and standard epidural are common modes of neuraxial labor analgesia. Little is known about conversion of DPE-initiated labor analgesia to surgical anesthesia for cesarean delivery.ObjectiveTo determine whether DPE provides a faster onset and better-quality block compared with the standard epidural technique for cesarean delivery.Design, Setting, and ParticipantsThis double-blind, randomized clinical trial was conducted between April 2019 and October 2022 at a tertiary care university hospital (University of Arkansas for Medical Sciences). Participants included women aged 18 years and older undergoing scheduled cesarean delivery with a singleton pregnancy.InterventionsParticipants were randomized to receive DPE or standard epidural in the labor and delivery room. A T10 sensory block was achieved and maintained using a low concentration of bupivacaine with fentanyl through the epidural catheter until the time of surgery. Epidural extension anesthesia was initiated in the operating room.Main Outcomes and MeasuresThe primary outcome was the time taken from chloroprocaine administration to surgical anesthesia (T6 sensory block). The secondary outcome was the quality of epidural anesthesia, as defined by a composite of the following factors: (1) failure to achieve a T10 bilateral block preoperatively in the delivery room, (2) failure to achieve a surgical block at T6 within 15 minutes of chloroprocaine administration, (3) requirement for intraoperative analgesia, (4) repeat neuraxial procedure, and (5) conversion to general anesthesia.ResultsAmong 140 women (mean [SD] age, 30.1 [5.2] years), 70 were randomized to the DPE group, and 70 were randomized to the standard epidural group. The DPE group had a faster onset time to surgical anesthesia compared with the standard epidural group (median [IQR], 422 [290-546] seconds vs 655 [437-926] seconds; median [IQR] difference, 233 [104-369] seconds). The composite rates of lower quality anesthesia were 15.7% (11 of 70 women) in the DPE group and 36.3% (24 of 66 women) in the standard epidural group (odds ratio, 0.33; 95% CI, 0.14-0.74; P = .007).Conclusions and RelevanceAnesthesia initiated following a DPE technique resulted in faster onset and improved block quality during epidural extension compared with initiation with a standard epidural technique. Further studies are needed to confirm these findings in the setting of intrapartum cesarean delivery.Trial RegistrationClinicalTrials.gov Identifier: NCT03915574
Applying Lessons From Rheumatology to Better Understand Long COVID
Authors: Goldenberg Don L. 
Published: August 2023

Long COVID can sometimes be attributed to organ damage and well‐characterized pathophysiology, but more often there is no evidence of organ damage or abnormal biomarkers. This is most evident in patients with mild to moderate initial SARS‐CoV‐2 infection who were not hospitalized. Their persistent symptoms are strikingly similar to those of fibromyalgia and myalgic encephalomyelitis/chronic fatigue syndrome, including fatigue, post‐exertional malaise, myalgias/arthralgias, and sleep and cognitive disturbances in 50% to 100% of cases.Analogous pathophysiologic pathways in fibromyalgia (FM), myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and long COVID include host–microbial interactions in the absence of direct tissue invasion and absence of systemic autoimmunity, with evidence for immune dysregulation as well as autonomic, peripheral, and central nervous system dysfunction. Current treatment of long COVID has been based on multidisciplinary management recommended for FM and ME/CFS and has been formalized and made widely available by funding for nationwide long COVID clinics. Long COVID and its treatment should be distinguished by the presence or absence of organ damage. The acknowledged role of patient engagement in research and open dialogue regarding work and disability noted in long COVID may have meaningful impact on patients with FM and ME/CFS. Hopefully, advances in basic long COVID research will aid in understanding FM and ME/CFS, and rheumatologists should thus be involved in such research and patient care.
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Predictors of Placebo Response to Local (Intra‐Articular) Therapy In Osteoarthritis: An Individual Participant Data Meta‐Analysis
Authors: Yu Shirley P. , van Middelkoop Marienke , Deveza Leticia A. , Ferreira Manuela L. , Bierma‐Zeinstra Sita , Zhang Weiya , Atchia Ismaël , Birrell Fraser , Bhagavath Venkatsha , Hunter David J. 
Published: August 2023

ObjectiveWe undertook this study to evaluate potential predictors of placebo response with intra‐articular (IA) injections for knee/hip osteoarthritis (OA) using individual participant data (IPD) from existing trials.MethodsRandomized placebo‐controlled trials evaluating IA glucocorticoid or hyaluronic acid published to September 2018 were selected. IPD for disease characteristics and outcome measures were acquired. Potential predictors of placebo response included participant characteristics, pain severity, intervention, and trial design. Placebo response was defined as at least a 20% reduction in baseline pain. Logistic regression models and odds ratios were computed as effect measures to evaluate patient and pain mechanisms and then pooled using a random effects model. Generalized mixed‐effect models were applied to intervention and trial characteristics.ResultsOf 56 eligible trials, 6 shared data, and these were combined with the existing 4 OA Trial Bank studies, yielding 10 studies with IPD of 621 placebo participants for analysis. In the total placebo population, at short‐term follow‐up, the use of local anesthetic and ultrasound guidance were associated with reduced odds of placebo response. At midterm follow‐up, mid‐ to long‐term trial duration was associated with increased odds of placebo response, and worse baseline function scores were associated with reduced odds of a placebo response.ConclusionThe administration of local anesthetics or ultrasound guidance may reduce IA placebo response at short‐term follow‐up. At midterm follow‐up, participants with worse baseline function scores may be less likely to respond to IA placebo, and mid‐ to long‐term trial duration may enhance the placebo response. Further studies are required to corroborate these potential predictors of IA placebo response.
Solvent‐Free Synthesis of Inorganic Rubidium Copper Halides for Efficient Wireless Light Communication and X‐Ray Imaging
Authors: Zhao Shuangyi , Jia Zhenglin , Huang Yian , Qian Qingkai , Lin Qianqian , Zang Zhigang 
Published: August 2023

AbstractLead‐free metal halides have recently received sustained attention because of their nontoxicity, low‐cost, as well as excellent stability and optoelectronic properties. However, most of the reported lead‐free metal halides are synthesized via slow solution‐processing at high temperature in toxic solvents, which may impede their commercial applications. Here, a solvent‐free strategy is proposed to synthesize inorganic rubidium copper halides (Rb2CuX3, X = Cl, Br) at room temperature, which exhibit efficient violet emission dominated by a self‐trapped excitons (STEs) mechanism and attractive stabilities against ultraviolet illumination and heating. Thus, Rb2CuX3 powders are employed as emitters and scintillators applied in wireless light communication and X‐ray imaging technologies. Under orthogonal frequency division multiplexing modulation, emitters demonstrate a broad −3 dB bandwidth of 26.3 MHz and a high received data rate of 205.1 Mbps. Additionally, flexible scintillation films based on as‐prepared powders are fabricated and show outstanding X‐ray scintillation properties, including a high spatial resolution of 18.1 lp mm−1 and a low detection limit of 104 nGyair s−1, as well as promising imaging performance for irregular objects. These results suggest large‐scale production of nontoxic Rb2CuX3 and their potential commercialization in fields of high‐speed light communication and X‐ray radiography.
Contact electrification polarity of polyethylene particles: A morphology‐derived anomalous size dependence
Authors: Ge Shiyi , Fan Zixiong , Fang Chao , Huang Zhengliang , Sun Jingyuan , Wang Jingdai , Yang Yongrong , Yang Yao 
Published: August 2023

AbstractThe size dependence of contact electrification (CE) for the same material particles is a common but poorly understood phenomenon. Generally, smaller particles acquire negative charges and larger particles positive charges. However, we discover that polyethylene particles can exhibit the opposite polarity under certain conditions. We demonstrate that the particle morphology, such as sphericity and surface roughness, plays a crucial role in determining the polarity, with more spherical and smoother particles being positively charged. This morphology effect can even alter the relative positions of materials in the triboelectric series. We propose a model that incorporates both the morphology and size effects to explain CE of the same material particles. The model successfully reproduces all our experimental results and predicts a nontrivial cyclic triboelectric sequence that we further confirm experimentally. This article reveals new insights into the nonequilibrium charge transfer mechanisms in CE.
Life‐Limiting Peripheral Organ Dysfunction in Feline Sandhoff Disease Emerges after Effective CNS Gene Therapy
Authors: Johnson Aime K. , McCurdy Victoria J. , Gray‐Edwards Heather L. , Maguire Anne S. , Cochran J. Nicholas , Gross Amanda L. , Skinner Haleigh E. , Randle Ashley N. , Shirley Jamie L. , Brunson Brandon L. , Bradbury Allison M. , Leroy Stanley G. , Hwang Misako , Rockwell Hannah E. , Cox Nancy R. , Baker Henry J. , Seyfried Thomas N. , Sena‐Esteves Miguel , Martin Douglas R. 
Published: August 2023

ObjectiveGM2 gangliosidosis is usually fatal by 5 years of age in its 2 major subtypes, Tay‐Sachs and Sandhoff disease. First reported in 1881, GM2 gangliosidosis has no effective treatment today, and children succumb to the disease after a protracted neurodegenerative course and semi‐vegetative state. This study seeks to further develop adeno‐associated virus (AAV) gene therapy for human translation.MethodsCats with Sandhoff disease were treated by intracranial injection of vectors expressing feline β‐N‐acetylhexosaminidase, the enzyme deficient in GM2 gangliosidosis.ResultsHexosaminidase activity throughout the brain and spinal cord was above normal after treatment, with highest activities at the injection sites (thalamus and deep cerebellar nuclei). Ganglioside storage was reduced throughout the brain and spinal cord, with near complete clearance in many regions. While untreated cats with Sandhoff disease lived for 4.4 ± 0.6 months, AAV‐treated cats lived to 19.1 ± 8.6 months, and 3 of 9 cats lived >21 months. Correction of the central nervous system was so effective that significant increases in lifespan led to the emergence of otherwise subclinical peripheral disease, including megacolon, enlarged stomach and urinary bladder, soft tissue spinal cord compression, and patellar luxation. Throughout the gastrointestinal tract, neurons of the myenteric and submucosal plexuses developed profound pathology, demonstrating that the enteric nervous system was inadequately treated.InterpretationThe vector formulation in the current study effectively treats neuropathology in feline Sandhoff disease, but whole‐body targeting will be an important consideration in next‐generation approaches. ANN NEUROL 2023;94:969–986
Semiconductor Emitters in Entropy Sources for Quantum Random Number Generation
Authors: Alkhazragi Omar , Lu Hang , Yan Wenbo , Almaymoni Nawal , Park Tae‐Yong , Wang Yue , Ng Tien Khee , Ooi Boon S. 
Published: August 2023

AbstractRandom number generation (RNG) is needed for a myriad of applications ranging from secure communication encryption to numerical simulations to sports and games. However, generating truly random numbers can be elusive. Pseudorandom bit generation using computer algorithms provides a high random bit generation rate. Nevertheless, the reliance on predefined algorithms makes it deterministic and predictable once initial conditions are known. Relying on physical phenomena (such as measuring electrical noise or even rolling dice) can achieve a less predictable sequence of bits. Furthermore, if the physical phenomena originate from quantum effects, they can be truly random and completely unpredictable due to quantum indeterminacy. Traditionally, physical RNG is significantly slower than pseudorandom techniques. To meet the demand for high‐speed RNG with perfect unpredictability, semiconductor light sources are adopted as parts of the sources of randomness, i.e., entropy sources, in quantum RNG (QRNG) systems. The high speed of their noise, the high efficiency, and the small scale of these devices make them ideal for chip‐scale QRNG. Here, the applications and recent advances of QRNG are reviewed using semiconductor emitters. Finally, the performance of these emitters is compared and discuss their potential in future technologies.