bluuebunny/crossref_metadata_2025_split huggingface dataset:
« L’Accord-cadre pour la paix, la sécurité et la coopération pour la République Démocratique du Congo et la Région » à l’épreuve de la résurgence du Mouvement du 23 mars
Authors:   Institut Facultaire des Sciences de l'Information et de la Communication., ZIAKWAU Lembisa Martin ,   Université Catholique du Congo.
Published: July 2023

La résurgence du Mouvement du 23 mars (M23), à partir de novembre 2021, remet sur le tapis la problématique du bienfondé de l’« Accord-cadre pour la paix, la sécurité et la coopération pour la République Démocratique du Congo et la Région », signé le 24 février 2013 à Addis-Abeba (Ethiopie) par une dizaine de Chefs d’Etats et d’institutions internationales. Ce, en vue de faire échec en particulier à l’activisme de ce groupe armé qui avait réussi à prendre le contrôle de la ville de Goma en novembre 2012, et, en général, de mettre un terme aux cycles récurrents des violences armées dans l’Est de l’Etat congolais. Quand bien même les engagements qu’il comprend ne seraient pas assez mis en œuvre suite à des perceptions à la base des postures des parties prenantes, l’Accord-cadre est toujours considéré par le Conseil de sécurité, qui privilégie une solution politique à la crise du M23, comme un mécanisme essentiel pour parvenir à la paix, la sécurité et la stabilité particulièrement en RDC. Ce qui tend à conforter la pertinence de cet instrument juridique international. Il revient à l’Etat congolais, principal concerné dont l’affadissement le réduit aux efforts de survie, de capitaliser les opportunités inhérentes à l’Accord-cadre, moindres seraient-elles, et de s’employer à susciter une « convergence géopolitique » dans la perspective d’une paix véritablement durable dans l’Est de son territoire. A cet effet, il s’impose au Gouvernement congolais, au sens large du terme, de construire une réponse stratégique consistant en un plan global de gestion et de résolution à long terme du problème sécuritaire dans l’Est, comprenant des thérapeutiques précises (militaires et non militaires) aux causes profondes à élucider dans une mise en évidence de la complexité des relations mouvantes des parties prenantes. Il y va de l’efficacité de la lutte contre le système d’insécurité dans l’Est de la RDC, vieux d’environ trois décennies. Mots clés : Accord-cadre, paix, sécurité, coopération, Mouvement du 23 mars.
Hubungan Antara Pendidikan, Pengetahuan, Sikap Ibu Nifas Dan Sumber Informasi Dengan Inisiasi Menyusu Dini Di PMB Bidan “R” Cisalak Pasar Cimanggis Depok Tahun 2018
Authors: Wijayanti Rina 
Published: July 2023

Keberhasilan menyusui bukan sesuatu yang datang dengan sendirinya, tetapi merupakan keterampilan yang perlu diajarkan. Menyusui dan bukan menyusui merupakan gambaran bahwa IMD bukan program ibu menyusui bayi tetapi bayi yang harus aktif menemukan sendiri puting susu ibu. Program ini dilakukan dengan cara langsung meletakkan bayi yang baru lahir didada ibunya dan membiarkan bayi ini merayap untuk menemukan puting susu ibu untuk menyusu. IMD harus dilakukan langsung saat lahir, tanpa boleh ditunda dengan kegiatan menimbang atau mengukur bayi, bayi juga tidak boleh dibersihkan, hanya dikeringkan kecuali tangannya. Proses ini harus berlangsung skin to skin antara bayi dan ibu. Pemerintah Indonesia mendukung kebijakan WHO dan UNICEF yang merekomendasikan IMD sebagai tindakan penyelamatan kehidupan, karena IMD dapat menyelamatkan 22% dari bayi yang meninggal sebelum usia satu bulan. Tujuan dari penelitan ini adalah untuk mengetahui hubungan antara pendidikan, pengetahuan, sikap ibu nifas dan sumber informasi dengan inisiasi menyusu dini di PMB Bidan “R” Cisalak Pasar Cimanggis Depok tahun 2018.
Desain penelitian yang digunakan adalah rancangan cross sectional yaitu merupakan rancangan penelitian dengan melakukan pengukuran atau pengamatan pada saat bersamaan (sekali waktu) antara variabel dependen dan variabel independen. Populasi adalah seluruh ibu nifas yang berkunjung di PMB Bidan R tahun 2018 dengan jumlah sampel 65 responden.
Hasil penelitian didapatkan hasil bahwa semua variabel yaitu pendidikan, pengetahuan, sikap ibu nifas dan sumber informasi memiliki hubungan yang signifikan dengan pelaksanaan IMD, dengan p-value pedididkan 0,433 (OR 2,927); pengetahuan p-value 0,014 (OR 9,500); sikap p value 0,001 (OR 21,750) dan sumber informasi memiliki p value 0,00001 (OR 25,833), dari hasil tersebut dapat diartikan salah satu terbesar nilai OR yaitu sumber informasi yang berarti ibu yang kurang dalam akses sumber informasi berpeluang sebanyak 25,833 kali tidak melakukan IMD dibandingkan ibu yang mempunyai cukup akses informasi
Pengaruh Kompres Dingin terhadap Tingkat Nyeri Luka Perineum pada Ibu Nifas di Klinik Mulyajati Cikole Kabupaten Pandeglang Tahun 2020
Authors: Setianingsih Lilis Zuniawati , Octavia Rina 
Published: July 2023

The purpose of this study was to determine the effect of cold compresses on the level of perineal wound pain in postpartum mothers at the Mulyajati Cikole Clinic, Pandeglang Regency. This research is an experimental study with a pre-experiment type. The method used in this research is the One Group Pre Test-Post Test Design. The sampling technique used incidental sampling with inclusion exclusion criteria. The results of this study The level of pain before cold compresses were severe pain as many as 5 respondents (50%) and moderate pain as many as 5 respondents (50%). Result and Discussion: The results of the 1 hour posttest were moderate pain in 6 respondents (60%) and severe pain in 1 respondent (10%). The results of the 24-hour posttest were mild pain in 9 respondents (90%) and moderate pain in 1 respondent (10%). There is an effect of cold compresses on the level of perineal wound pain in postpartum mothers with the results of the hypothesis test H0 being rejected and Ha accepted a significance value of 0.000 <0.05.

Tujuan penelitian ini adalah untuk mengetahui Pengaruh Kompres Dingin Terhadap Tingkat Nyeri Luka Perineum pada Ibu Nifas di Klinik Mulyajati Cikole Kabupaten Pandeglang Penelitian ini merupakan penelitian eksperimen dengan jenis pre eskperimen. Metode yang digunakan dalam penelitian ini adalah rancangan One Group Pre Test- Post Test Design. Teknik pengambilan sampel mengggunakan insidental sampling dengan kriteria inklusi eksklusi. Hasil dari penelitian ini Tingkatan nyeri sebelum dilakukan kompres dingin adalah nyeri berat sebanyak 5 responden (50%) dan nyeri sedang sebanyak 5 responden (50%). Hasil Penelitian berdasarkan hasil posttest 1 jam adalah nyeri sedang sejumlah 6 responden (60%) dan nyeri berat sebanyak 1 responden (10%). Hasil posttest 24 jam adalah nyeri ringan sejumlah 9 responden (90%) dan nyeri sedang sebanyak 1 responden (10%). Ada pengaruh kompres dingin terhadap tingkat nyeri luka perineum pada ibu nifas dengan hasil uji hipotesis H0 ditolak dan Ha diterima nilai signifikansi 0.000 < 0.05.
Pengaruh Pemberian Ekstrak Jahe Merah terhadap Emesis Gravidarum pada Ibu Hamil Trimester 1 di Puskesmas Kecamatan Curug Tahun 2022
Authors: Cahya Skania Pratiwi , Marbun Henny Theresia 
Published: July 2023

This study aims to determine the effect of red ginger extract on emesis gravidarum in first trimester pregnant women at the Curug District Health Center in 2022. This research was a quasi-experimental research design with pretest posttest with control group. The number of samples in this study was 30 respondents who were divided into an experimental group of 15 pregnant women and a control group of 15 pregnant women. All study subjects were assessed for the frequency of emesis gravidarum using the Rhodes Index score sheet. Data were analyzed by Paired t-test and Independent t-test. There was a decrease in the frequency of emesis gravidarum with an average value of 9.53 in the experimental group and a decrease in the frequency of emesis gravidarum with an average value of 5.27 in the control group. There is a difference in the decrease in the frequency of emesis gravidarum in the calculation of the difference in the experimental and control groups (p value = 0.026 < 0.05). The result Shows that there is an effect of giving red ginger extract on emesis gravidarum in pregnant women in the 1st trimester. Ginger can be recommended as an intervention in midwifery care for pregnant women with emesis gravidarum.

Penelitian ini bertujuan mengetahui pengaruh pemberian ekstrak jahe jahe merah terhadap emesis gravidarum pada ibu hamil trimester 1 di Puskesmas Kecamatan Curug Tahun 2022. Penelitian ini adalah Quasi eksperimen dengan desain penelitian pretest posttest dengan kelompok kontrol. Jumlah sampel dalam penelitian ini sebesar 30 responden yang dibagi menjadi kelompok eksperimen sebanyak 15 ibu hamil dan kelompok control sebanyak 15 ibu hamil. Seluruh subjek penelitian dinilai frekuensi emesis gravidarum menggunakan lembar score Indeks Rhodes. Data dianalisis dengan Paired t-test dan Independent t-test. Didapatkan penurunan frekuensi emesis gravidarum dengan nilai nilai rata-rata 9,53 pada kelompok eksperimen dan penurunan frekuensi emesis gravidarum dengan nilai rata rata 5,27 pada kelompok kontrol. Hasil penelitian menunjukkan bahwa ada perbedaan penurunan frekuensi emesis gravidarum pada perhitungan nilai selisih pada kelompok eksperimen dan kontrol (p value =0,026 < 0,05). Ada pengaruh pemberian ekstrak jahe merah terhadap emesis gravidarum pada ibu hamil trimester 1. Jahe dapat direkomendasikan sebagai intervensi dalam asuhan kebidanan terhadap ibu hamil dengan emesis gravidarum.
Uji Antibakteri Ekstrak Etanol Daun Beluntas (Pluchea Indica) dan Daun Kecombrang (Etlingera Elatior) terhadap Pertumbuhan Pseudomonas Aeruginosa dan Propionibacterium Acnes
Authors: Nur Shobah Afifah , Noviyanto Fajrin 
Published: July 2023

The purpose of this study was to determine the extracts of beluntas leaves (P. indica) and kecombrang leaves (E. elatior) that could be useful as antibacteria for Pseudomonas aeruginosa and Propionibacterium acnes and to determine the inhibition zone produced from extracts of beluntas leaves (P. indica) and kecombrang leaves (E. elatior) which is used as an antibacterial for P. aeruginosa and P. acnes. The results of this study indicate that the combined extract concentration has significantly different results in the combination treatment of beluntas and kecombrang leaves extracts which were tested on the test bacteria P. acnes producing an inhibition zone of 0 mm (negative control); 7.13 mm (combination of 5% extract concentration); 8.2 mm (combination of 10% extract concentration); 11.18 mm (combination of 50% extract concentration) and positive control clindamycin is 26.3 mm. The results of the test combination of the extract with the test bacteria P. aeruginosa there was no inhibition zone, except for the positive control of 12.1 mm chloramphenicol.

Tujuan dari penelitian ini yaitu untuk mengetahui ekstrak daun beluntas (P. indica) dan daun kecombrang (E. elatior) dapat bermanfaat sebagai antibakteri Pseudomonas aeruginosa dan Propionibacterium acnes dan untuk mengetahui zona hambat yang dihasilkan dari ekstrak daun beluntas (P. indica) dan daun kecombrang (E. elatior) yang digunakan sebagai antibakteri P. aeruginosa dan P. acnes. Hasil dari penelitian ini menunjukkan bahwa pada konsentrasi kombinasi ekstrak memiliki hasil yang berbeda secara signifikan pada perlakuan kombinasi ekstrak daun beluntas dan kecombrang yang dilakukan uji pada bakteri uji P. acnes yang menghasilkan daya hambat berturut-turut sebesar 0 mm (kontrol negatif); 7,13 mm (kombinasi konsentrsai ekstrak 5%); 8,2 mm (kombinasi konsentrasi ekstrak 10%); 11,18 mm (kombinasi konsentrasi ekstrak 50%.) dan kontrol positif klindamisin 26,3 mm. Hasil dari pengujian kombinasi konsentrasi ekstrak dengan bakteri uji P. aeruginosa tidak terdapat zona hambat, kecuali pada kontrol positifnya yaitu kloramfenikol sebesar 12,1 mm.
The Impact of Biological Gender Exploring on L1 Negative Transfer in English Preposition Learning
Authors: Nghi Tran Tin 
Published: July 2023

This study investigates the influence of biological gender on L1 negative transfer in learning English prepositions. Interviews were conducted with 12 English language learners, revealing that males performed better in spatial prepositions but struggled with other types. A mixed-methods approach was used, combining qualitative and quantitative research. Female participants demonstrated higher performance, and the study was conducted in Luxembourg, a multilingual country. Ethical considerations were addressed, achieving a 91.08% response rate. Results indicated females generally outperformed males in prepositional accuracy. Language transfer from L1 impacted preposition acquisition, with replacement errors being common. Females showed greater syntactic maturity, while males exhibited advanced linguistic skills. Stylistic differences in writing styles were observed. The study highlights the influence of gender in language acquisition and contributes to understanding gender disparities in second language learning.
Pregled in ocena kazalcev bolezni otrok in mladostnikov s cistično fibrozo v Sloveniji
Authors: Drnovšek Ana , Praprotnik Marina , Krivec Uroš , Aldeco Malena , Lepej Dušanka , Šetina Šmid Saša , Zver Aleksandra , Oštir Majda , Seme Katja , Brecelj Jernej , Orel Anija , Šmigoc Schweiger Darja , Rodman Berlot Jasna 
Published: July 2023

Izhodišča: Cistična fibroza (CF) je najpogostejša kronična avtosomno recesivno dedna bolezen belcev. Kaže se s prizadetostjo številnih organov, zato se bolniki spremljajo v centrih CF s specializiranim multidisciplinarnim timom strokovnjakov. Eden takih je center CF Pediatrične klinike Ljubljana, kjer se vodijo vsi otroci in mladostniki s CF v Sloveniji. Od ustanovitve centra dalje vodimo zbirko podatkov o bolnikih, ki nam je v pomoč pri analizi razmer in pri primerjavi kakovosti obravnave naših bolnikov z drugimi evropskimi centri CF.
Metode: Izvedli smo retrospektivno raziskavo z namenom pregledati in oceniti kazalce bolezni otrok in mladostnikov s CF, vodenih na Pediatrični kliniki Ljubljana v letu 2020. Pri 78 vključenih bolnikih smo analizirali podatke o demografskih značilnostih, genetskih mutacijah, pljučni funkciji, prehranjenosti, kroničnih okužbah in zdravljenju s CFTR modulatornimi zdravili (angl. cystic fibrosis transmembrane conductance regulator, CFTR – regulator transmembranske prevodnosti pri cistični fibrozi). Za primerjavo z drugimi evropskimi centri smo uporabili podatke iz letnega poročila Evropskega registra CF za leto 2020.
Rezultati: Leta 2020 smo v našem centru obravnavali 78 bolnikov, izmed katerih je bilo 56 % (44/78) bolnikov moškega spola. Povprečna starost bolnikov je znašala 13,2 leta (SD 6,4 let), z razponom od 1,2 leta do 25,5 leta. Mutacija F508del je bila najpogosteje zastopana, saj je bilo kar 88,5 % nosilcev vsaj ene, pri 64,1 % obolelih pa je bila mutacija prisotna na obeh alelih. Povprečni forsirani izdihani volumen v 1 sekundi (FEV1) naših bolnikov je bil nad evropskim povprečjem, prevalenca kronične okužbe s povzročiteljem Pseudomonas aeruginosa pa nižja od evropskega povprečja. V letu 2020 smo 21 bolnikom uvedli CFTR modulatorno zdravilo, od tega 5 bolnikom lumakaftor/ivakaftor in 16 bolnikom eleksakaftor/tezakaftor/ivakaftor.
Zaključek: Kazalci kakovosti obravnave otrok in mladostnikov s CF v Sloveniji dosegajo in pogosto presegajo evropsko povprečje. Med prvimi državami v Evropi smo pričeli uvajati CFTR modulatorna zdravila, ki obetajo pomembno izboljšanje kliničnega stanja in kakovosti življenja bolnikov s CF.
Spatio-temporal dengue risk modelling in the south of Thailand: a Bayesian approach to dengue vulnerability
Authors: Abdulsalam Fatima Ibrahim , Antúnez Pablo , Jawjit Warit 
Published: July 2023

Background
More than half of the global population is predicted to be living in areas susceptible to dengue transmission with the vast majority in Asia. Dengue fever is of public health concern, particularly in the southern region of Thailand due to favourable environmental factors for its spread. The risk of dengue infection at the population level varies in time and space among sub-populations thus, it is important to study the risk of infection considering spatio-temporal variation.

Methods
This study presents a joint spatio-temporal epidemiological model in a Bayesian setting using Markov chain Monte Carlo (MCMC) simulation with the CARBayesST package of R software. For this purpose, monthly dengue records by district from 2002 to 2018 from the southern region of Thailand provided by the Ministry of Public Health of Thailand and eight environmental variables were used.

Results
Results show that an increasing level of temperature, number of rainy days and sea level pressure are associated with a higher occurrence of dengue fever and consequently higher incidence risk, while an increasing level of wind speed seems to suggest a protective factor. Likewise, we found that the elevated risks of dengue in the immediate future are in the districts of Phipun, Phrom Kili, Lan Saka, Phra Phrom and Chaloem Phakiat. The resulting estimates provide insights into the effects of covariate risk factors, spatio-temporal trends and dengue-related health inequalities at the district level in southern Thailand.

Conclusion
Possible implications are discussed considering some anthropogenic factors that could inhibit or enhance dengue occurrence. Risk maps indicated which districts are above and below baseline risk, allowing for the identification of local anomalies and high-risk boundaries. In the event of near future, the threat of elevated disease risk needs to be prevented and controlled considering the factors underlying the spread of mosquitoes in the Southeast Asian region.
Changes in US Hospital Financial Performance During the COVID-19 Public Health Emergency
Authors: Gidwani Risha , Damberg Cheryl L. 
Published: July 2023

ImportanceThe COVID-19 public health emergency (PHE) caused substantial changes in hospital operations. The net effect of these changes on hospital financial performance is unclear.ObjectiveTo evaluate changes in hospital financial performance before and during the COVID-19 PHE.Design, Setting, and ParticipantsThis longitudinal within-hospital cohort analysis from 2017 to 2021 used national RAND hospital data merged with American Community Survey data. A total of 4223 short-term acute care or critical access hospitals in the US with financial data spanning 2017 to 2021 were evaluated.ExposureFinancial performance during the first 2 years of the PHE.Main Outcomes and MeasuresThe main outcome was PHE financial distress calculated based on net operating income (operating revenue minus operating expenses). Within-hospital changes in net operating income over time were evaluated with and without COVID-19 relief funding. From henceforth, 2020/2021 means the weighted average financial performance for both calendar year 2020 and 2021. Hospitals were characterized as having new financial distress if (1) their average 2020/2021 net operating income was negative and (2) the average 2020/2021 net operating income was less than that hospital’s pre-2020 net operating income. Predictors of new financial distress were evaluated using logistic regression and predictors of COVID-19 relief using 2-part models.ResultsIn this sample of 4423 hospitals, 3529 (80.0%) received PHE funds during 2020/2021. A total of 846 (19.1%) were located in a census tract with more than 20% Hispanic residents. Of the total number of hospitals, 720 (16.3%) of hospitals had PHE financial distress, whereas 2047 (46.3%) had PHE financial distress after excluding COVID-19 relief funding from net operating income. The majority of hospitals (n = 3337; 74.8%) had a positive net operating income across 2020/2021, with 785 (17.8%) hospitals moving from a negative pre-2020 to a positive 2020/2021 net operating income. In adjusted analyses, hospitals treating a higher proportion of Hispanic populations were more likely to have PHE distress (adjusted odds ratio, 1.3; 95% CI, 1.1-1.6; P = .02). Median (IQR) operating margins from 2020/2021 were at an all-time high of 6.5% (0.2%-13.3%) compared with pre-2020 operating margins of 2.8% (−2.8% to 9.3%).Conclusions and RelevanceIn this cohort study of US hospitals, the large majority had positive financial performance during 2020/2021, partly due to COVID-19 relief funds. However, hospitals serving Hispanic populations had substantially worsened financial performance during 2020/2021, even after accounting for COVID-19 relief. That COVID-19 relief funding aided in operating margins reaching all-time highs indicates funding amounts may have been larger than was necessary for many hospitals. With COVID-19 relief funding ending yet COVID-19 related continuing to affect hospital expenses, ongoing monitoring of hospital financial performance is vital to ensure patients retain access to care.
Lifestyle Enrichment in Later Life and Its Association With Dementia Risk
Authors: Wu Zimu , Pandigama Danushika H. , Wrigglesworth Jo , Owen Alice , Woods Robyn L. , Chong Trevor T.-J. , Orchard Suzanne G. , Shah Raj C. , Sheets Kerry M. , McNeil John J. , Murray Anne M. , Ryan Joanne 
Published: July 2023

ImportanceLifestyles enriched with socially and mentally stimulating activities in older age may help build cognitive reserve and reduce dementia risk.ObjectiveTo investigate the association of leisure activities and social networks with dementia risk among older individuals.Design, Setting, and ParticipantsThis longitudinal prospective cohort study used population-based data from the ASPREE Longitudinal Study of Older Persons (ALSOP) for March 1, 2010, to November 30, 2020. Community-dwelling individuals in Australia aged 70 years or older who were generally healthy and without major cognitive impairment at enrollment were recruited to the ALSOP study between March 1, 2010, and December 31, 2014. Data were analyzed from December 1, 2022, to March 31, 2023.ExposuresA total of 19 measures of leisure activities and social networks assessed at baseline were classified using exploratory factor analysis.Main Outcomes and MeasuresDementia was adjudicated by an international expert panel according to Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria. Cox proportional hazards regression examined dementia risk over 10 years, adjusting for education, socioeconomic status, and a range of health-related factors.ResultsThis study included 10 318 participants. Their median age was 73.8 (IQR, 71.6-77.2) years at baseline, more than half (52.6%) were women, and most self-identified as White (98.0%). In adusted analyses, more frequent engagement in adult literacy activities (eg, writing letters or journaling, using a computer, and taking education classes) and in active mental activities (eg, playing games, cards, or chess and doing crosswords or puzzles) was associated with an 11.0% (adjusted hazard ratio [AHR], 0.89 [95% CI, 0.85-0.93]) and a 9.0% (AHR, 0.91 [95% CI, 0.87-0.95]) lower risk of dementia, respectively. To a lesser extent, engagement in creative artistic activities (craftwork, woodwork, or metalwork and painting or drawing) (AHR, 0.93 [95% CI, 0.88-0.99]) and in passive mental activities (reading books, newspapers, or magazines; watching television; and listening to music or the radio) (AHR, 0.93 [95% CI, 0.86-0.99]) was also associated with reduced dementia risk. In contrast, interpersonal networks, social activities, and external outings were not associated with dementia risk in this sample.Conclusions and RelevanceThese results suggest that engagement in adult literacy, creative art, and active and passive mental activities may help reduce dementia risk in late life. In addition, these findings may guide policies for geriatric care and interventions targeting dementia prevention for older adults.