bluuebunny/crossref_metadata_2025_split huggingface dataset:
Markers of systemic endotheliosis in early-onset preeclampsia relapse
Authors: Nikolaeva M. G. , Terekhina V. Yu. , Kudinov A. V. , Shakhmatov I. I. , Momot A. P. 
Published: August 2023

Aim: to assess the blood level of biological endothelial damage markers in women with previous early-onset preeclampsia (еPE) during both the preconception (PC) stage and the first trimester of pregnancy.Materials and Methods. A prospective single-center cohort study was conducted. The control group comprised 40 women with uncomplicated pregnancies. The observation group consisted of 97 patients with a history of ePE, stratified based on pregnancy outcome into the comparison group (n = 59) characterized by a favorable gestational course, and the main group (n = 38) with relapsed еPE (30 patients were excluded from the study). Markers of systemic endotheliosis were determined in women at the PC stage and at 11–13 weeks of gestation: endothelin-1 (ET-1) and endothelial extracellular vesicles (EVs; CD-144).Results. At the PC stage, women in the control group and patients from the comparison group had comparable median (Me) ET-1 levels – 0.39 and 0.40 pmol/ml (p = 0.5935), respectively; at the same time, patients with relapsed еPE vs. control group had it significantly elevated (Me = 0.55 pmol/ml; p = 0.0382). At gestational age of 11–13 weeks, ET-1 level was significantly higher in the group with relapsed еPE (Me = 0.93 pmol/ml) than in control group (Me = 0.29 pmol/ml; p < 0.0001) and comparison group (Me = 0.42 pmol/ml; p = 0.0003). No significant changes in E-EVs (CD-144) level at various PС stages were observed, whereas in the study groups such parameters remained differed.Conclusion. Biological markers evidencing about systemic endothelial dysfunction/destruction – ET-1 and E-EVs (CD-144) in patients with previous ePE can be considered as predictive tests of disease relapse with an accuracy of 63.5 % and 83.0 % at the PС stage and 85.7 % and 94.2 % at gestational age of 11–13 weeks, respectively.
Efficacy of ultrasound guided single level thoracic paravertebral block for post-operative analgesia in patients undergoing percutaneous nephrolithotomy: a randomized controlled study
Authors: S. Bharat Chandra Reddy , Tappa Rabbani , Ravula Rama Krishna 
Published: August 2023

Background: Percutaneous nephrolithotomy (PCNL) is a common surgical method used for the treatment of renal calculi. Post-operative pain is due to dilatation of the renal capsule, the parenchymal tract and peritubal distressing of the nephrostomy tube. Addition of ultrasound guided paravertebral block to the multimodal postoperative analgesic regimen after general anaesthesia can achieve adequate somatic and visceral sensory blockade to provide post op analgesic cover for PCNL.
Methods: It was a randomized controlled study where 60 ASA I and II patients scheduled for elective PCNL surgery were divided into 2 groups of 30 each, group P and group N. Both groups underwent PCNL under general anaesthesia. After the conclusion of surgery, group P were given ultrasound guided single level paravertebral block at T9-T10 level on the operated side using 10 ml 0.25% bupivacaine while group N did not receive paravertebral block after the conclusion of surgery.
Results: VAS score, time for first rescue analgesic, number of rescue analgesics in post-operative period were significant in group P compared to group N.
Conclusions: Addition of thoracic para vertebral block to multimodal analgesic regimen significantly provides effective analgesia, reduces requirements of intravenous opioids, maintains stable postoperative hemodynamics, improves respiratory mechanics and lowers the incidence of chronic postoperative pain.
Modified surgery-first approach for management of severe class III malocclusion with maxillary skeletal midline discrepancy
Authors: Thapa Amrit , Kumar Andrews Navin , Ray Saugat , Jayan B. , Chopra S. S. 
Published: August 2023

This case report describes orthosurgical case that used the recently introduced surgery-first approach to correct a severe skeletal class III malocclusion with severe maxillary midline discrepancy. A 23-year-old adult male presented with severe mandibular prognathism and midline discrepancy associated with upper jaw. Firstly partial orthodontic movement were facilitated to decrowd the lower teeth in order to avoid any hindrance while anterior tooth advancement. After which prediction of the postsurgical tooth movement and surgical simulation was done by using Nemoceph software than 2-jaw surgery that included maxillary advancement differentially initiated to correct midline followed by mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 11 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained even after patient was followed for six years.
ACİL SERVİSDEN ANESTEZİ YOĞUN BAKIM ÜNİTESİ’NE KRİTİK HASTA YATIŞLARININ DEĞERLENDİRİLMESİ
Authors: ŞAHİN Osman , KUCUK Murat , KÜÇÜKGÜÇLÜ Semih 
Published: August 2023

Giriş
Acil serviste değerlendirilen kritik hastaların, üçüncü basamak yoğun bakım ünitesine yatış kriterlerini tanımlayarak, alt basamak yoğun bakım ve palyatif bakım kapasite yetersizliğinin son basamak yoğun bakımlara olan etkisini anlatmayı amaçladık.
Gereç ve Yöntemler
Hastanemizde 2016-2019 tarihleri arasında erişkin acil servisten anestezi yoğun bakım ünitesine yatışı yapılan 18 yaş üstü kritik hastalar çalışmaya dahil edilmiştir. Hastaların arşiv dosyalarından ve hastane bilgi sisteminden edinilen demografik özellikleri, yoğun bakım yatışı boyunca verilen destek tedaviler, yoğun bakım ve hastane mortaliteleri kaydedilmiş, yoğun bakım yatış öncelik modelleri ile palyatif bakım endikasyonları belirlenerek uygunsuz yatışlar tespit edilmiştir.
Bulgular
Çalışmaya alınan 300 hastanın 182’si (%60.7) erkek, 118 (%39.3) kadındır. Hastalarda en sık komorbidler sırasıyla KOAH [87/300, (%29)], Alzheimer-Demans [(54/300, (%18)], Koroner Arter Hastalığı [(46/300, (%15.3)] olduğu bulundu. 197(%65) hasta IMV, 66 hasta (%22) NIV, 10 hasta (%3.5) HFNO desteği almaktadır. Hastalar bakanlık yatış modeline göre 110 (%36), öncelik yatış modeline göre 79 (%26), palyatif yatış modeline göre 37 (%12) uygunsuz yatış olduğu bulunmuştur. Bakanlık modeli ve öncelik modelinin ortak olarak tespit ettiği uygunsuz yatış sayısı ise 60 (%20) olduğu saptanmıştır. Her iki modelin ortak tespit ettiği 60 hastada palyatif bakım yatış açısından değerlendirildiğinde, palyatif bakım endikasyonu olan hasta sayısı 18 saptanmıştır. Tüm hastalarda YBÜ mortalitesi %30 hastane mortalitesi %38.7 bulunmuştur. Bu oranlar sağlık bakanlığı kriterlerinin uygunsuz yatış olarak değerlendirdiği grupta YBÜ mortalitesi %24, hastane mortalitesi %30, öncelik modeli kriterlerinin uygunsuz yatış kabul ettiği grupta ise YBÜ mortalitesi %30, hastane mortalitesi %35 bulunmuştur. İki grubun ortak tespit ettiği uygunsuz yatışlarda ise YBÜ mortalitesi %30 hastane mortalitesi %31 tespit edilmiştir. Palyatif bakım endikasyonu olan grupta ise YBÜ mortalitesi %43, hastane mortalitesi %51 bulunmuştur.
Sonuç
Kritik hasta popülasyonun artması ve yatak sayısının sınırlı olması nedeniyle hastane yönetimleri kritik bakım ve palyatif bakım ünitelerinin kapasitelerini artırmaya yönelik önlemleri almalıdır. Ayrıca evde ve sağlık merkezlerinde palyatif bakım ve hospis desteği verebilecek kuruluşların oluşturulması, acil servis başvurularının azalmasına yardımcı olabilir.
Developing critical thinking across the curriculum through embedded personal epistemology: An immersion approach
Authors: Mansouri Fedoua Mansouri , Hamzaoui Hafida 
Published: August 2023

In the present-day information age, it has become more crucial than ever to be equipped with an intellectual compass that can help an individual to navigate the overwhelming deluge of information, messages, and discourses. The efficiency of higher education in teaching students to think critically is debatable as most institutions treat these skills in isolation from the rest of educational goals. This paper explored a holistic approach to enhancing critical thinking across the curriculum. It involves the promotion of learners’ epistemological beliefs. The study explored a potential causal relationship between critical thinking skills and epistemological beliefs among undergraduates at the Department of English at Khenchela University, Algeria. In a quasi-experimental design, sophomores received a two-semester treatment instruction designed to promote their critical thinking skills. These latter were tested in pre-and post-tests to evaluate the effect of the course. T-test results revealed a significant change in the experimental group’s post-test means as compared to their critical thinking pre-tests.

Keywords: Critical thinking; epistemic climate; higher education; immersion; personal epistemology.
Intracerebral Hemorrhage Score as a Prognosis Prediction of Spontaneous Intracerebral Hemorrhage at RSI Surabaya Jemursari
Authors: Yuniati Dyah , Syifak Shobihatus , Putra Prima Ardiansah , Saffanah Vena Saskia Prima 
Published: August 2023

Highlight:

Spontaneous intracerebral hemorrhage, or hemorrhagic stroke, is one of the leading causes of mortality and disability in Indonesia.
The intracerebral hemorrhage (ICH) score is a widely used predictive tool for the prognosis of death 30 days after spontaneous intracerebral hemorrhage, but the intracerebral hemorrhage-grading scale (ICH-GS) score has a more specific interval to assess prognosis prediction after intracerebral.
The higher the total score, the more likely it is to have a poor outcome. The results of this study indicate that patients with a high total score did not always die.

ABSTRACT
Introduction: Spontaneous intracerebral hemorrhage, or hemorrhagic stroke, is one of the leading causes of mortality and disability in Indonesia. Objective: The intracerebral hemorrhage (ICH) score is a widely used predictive tool for the prognosis of death 30 days after spontaneous intracerebral hemorrhage, but the intracerebral hemorrhage-grading scale (ICH-GS) score has a more specific interval to assess prognosis prediction after intracerebral hemorrhage. Methods: The type of research used was observational-retrospective research. The population included all patients with spontaneous intracerebral hemorrhage hospitalized at RSI Jemursari Surabaya in 2017–2019. Results: The results revealed that there were 110 spontaneous intracerebral hemorrhage patients with complete data in medical e-records during 2017–2019; 65.5% (72 patients) were male and 34.5% (38 patients) were female. The data showed that 20% (22 patients) had an ICH-GS score of 8 and 0.9% (1 patient) had an ICH-GS score of 12. Conclusion: The higher the total score, the more likely it is to have a poor outcome. The results of this study indicate that patients with a high total score did not always die.
D-Dimer Levels as a Predictor of Clinical Outcome and Mortality in Acute Ischemic Stroke Patients: A Systematic Review and Meta-Analysis
Authors: Wirasman Pearl Dhodik , Machin Abdulloh , Harumi Jenar 
Published: August 2023

Highlight:

An increase in the D-dimer level indicates activation of the coagulation system through thrombus formation and fibrinolysis.
The meta-analysis found a significant relationship between elevated d-dimer levels and worsening clinical outcomes and increased mortality.
The D-dimer level can be used as a predictor for predicting clinical outcomes and mortality in acute ischemic stroke patients at each duration of follow-up.

ABSTRACT
Introduction: In ischemic stroke, high D-dimer levels are frequently found, indicating coagulation with ongoing thrombus formation and fibrinolysis. Objective: The purpose of this study was to analyze the role of D-dimer in predicting clinical outcomes and mortality in acute ischemic stroke patients. Methods: A systematic literature search was conducted using the PRISMA method through the PubMed, Science Direct, and Google Scholar databases. The quality of the article was assessed using the Newcastle-Ottawa Scale (NOS) and statistically analyzed using Review Manager software version 5.4.1. Results: Eight articles had good quality according to NOS and matched the criteria for the literature search. Elevated D-dimer levels and worsened clinical outcomes have a significant result when discharged from the hospital: OR 2.37 (95% CI 1.68–3.35); I2 = 45% p < 0.00001; 1-month: OR 1.75 (95% CI 1.38–2.23), I2 = 47% p < 0.00001; 3-months: OR 2.43 (95% CI 2.00–2.95), I2 0% p < 0.00001; 6-months: OR 2.64 (95% CI 1.92–3.63), I2 = 0% p < 0.00001; and 12-months: OR 1.92 (95% CI 1.31–2.82), I2 = 62% p < 0.0008. Elevated D-dimer level and increased mortality have a significant result with OR 2.25 (95% CI 1.78–2.85), I2 = 45% p < 0.00001. Conclusion: D-dimer can be used as a predictor of clinical outcome and mortality in acute ischemic stroke.
Diversifikasi Produk Olahan Sayur Pada UMKM Haifa
Authors: Satriadi Trisnu , Yuniarti Yuniarti , Syamani Syamani , Susilawati Susilawati , Payung Damaris 
Published: August 2023

Usaha mikro, kecil dan menengah (UMKM) merupakan salah satu penggerak roda perekonomian masyarakat Indonesia. Pandemi Covid-19 di Indonesia memukul hampir semua sector, tidak terkecuali UMKM kuliner seperti yang di alami oleh UMKM Haifa yang berada di Kampung Sayur Kelurahan Landasasan Ulin Utara. Produk yang dijual berupa produk olahan seperti sosis, nuget, bakso dan lain-lain. UMKM Haifa terdiri dari petani sayur yang memiliki kebun yang cukup luas. Sayur segar yang mereka miliki belum dimanfaatkan sebagai produk andalan UMKM Haifa. Permasalahan UMKM Haifa adalah penurunan omzet dan belum memiliki keterampilan mendiversifikasi produk olahan sayur. Solusi yang ditawarkan kepada mitra adalah memberikan pelatihan diversifikasi produk olahan sayur keripik sayur. Metode yang diterapkan yaitu penyuluhan, pelatihan produksi dan evaluasi.Hasil kegiatan pengabdian ini berjalan dengan lancer, mitra telah meningkat pengetahuannya dalam melakukan diversifikasi olahan sayur yaitu aneka keripik sayur seperti keripik bayam, keripik sawi, keripik pare dan keripik kemangi. Pelatihan Teknik pengemasan dan pelatihan berjalan lancar dan dapat dikuasi mitra. Mitra juga telah mendapatkan pengetahuan manajemen usaha sederhana.
Inovasi Sosial untuk Pemberdayaan Perpustakaan Taman Pamekar dalam Program Comdev Star Energy Geothermal Salak, Ltd
Authors: Wardhana Aditya Kusuma , Azizah Vina Nur , Mulia Dali Sadli 
Published: August 2023

Various surveys indicate that the literacy rate among the Indonesian population is quite low. According to this issued, the presence of Taman Pamekar Village Library amidst various challenges, there is significant potential for development. Through the Corporate Social Responsibility and Environmental Responsibility program, Star Energy Geothermal Salak, Ltd, located in Kabandungan Village, Sukabumi Regency, empowers Taman Pamekar Library. This program is aimed at enhancing the community's capabilities in literacy, education, social aspects, and even the economy. This empowerment program utilizes the Participatory Rural Appraisal method, which treats the community not only as the object but also as the subject of change. The activities conducted during the mentoring process focus on infrastructure development, improvement of facilities and infrastructure, enhancement of human resources quality, and the provision of various innovations in library services. These innovations are divided into social innovation and digital technology innovation. The results of this program are analyzed descriptively and qualitatively based on three aspects of library empowerment previously conducted: connectivity, content, and human resources.
Peningkatan Kompetensi Peneliti Yayasan Kakikota Banajrmasin Dalam Melakukan Pre-Proccesing Data Hasil Survei, Analisis Data Kategorik, Dan Pembuatan Peta Tematik
Authors: Rahkmawati Yeni , Annisa Selvi , Anggraini Dewi , Susanti Dewi Sri , Salam Nur , Sukmawaty Yuana , Farid Fuad Muhajirin 
Published: August 2023

Banjarmasin KAKIKOTA Foundation is one of the NGOs based in South Kalimantan that works on urban issues in Banjarmasin City. Banjarmasin KAKIKOTA Foundation has conducted several social stuides on phenomena in Banjarmasin City through several surveys. However, due to the lack of knowledge about data processing, the researchers of the Banjarmasin KAKIKOTA Foundation experienced difficulties in analyzing survey results data. Therefore, Program Studi Statistika, FMIPA, Universitas Lambung Mangkurat (ULM) provides assistance in the form of statistical training to researcher of the Banjarmasin KAKIKOTA Foundation in order to improve the researcher’s competency and technical skills in analyzing research data. The method used in this community service was training. The training was divided into three subthemes, namely: 1) Data preprocessing, 2) Categorical data analysis, and 3) Thematic map making. Based on the evaluation results, this training was very useful for the researcher of the Banjarmasin KAKIKOTA Foundation and is expected to carry out further training in 2023. Keywords: Statistical Training; NGO; Banjarmasin KAKIKOTA Foundation; Research
Pendampingan Implementasi Standar Teknis Pemenuhan Baku Mutu Air Limbah Pada Rumah Sakit Islam Banjarmasin Sebagai Upaya Pencegahan Pencemaran Lingkungan di Sekitar Rumah Sakit
Authors: Noor Rijali , Annisa Nova , Alim Muhammad Syahirul , Prasetia Hafizh 
Published: August 2023

Abstract The activities at Banjarmasin Islamic Hospital result in the production of wastewater. Because of the rising volume of wastewater, the hospital has decided to construct a wastewater treatment plant (WWTP), to have the capacity to manage all of the wastewater that was generated. This assistance activity will be carried out in three stages: planning, assistance activity, and evaluation. The assistance activity results can raise knowledge about the Standards of the Construction of Wastewater Treatment Plants for hospital personnel appointed to management positions at WWTPs. This assistance activity also recommends the configuration and technology of wastewater treatment plants to prevent environmental contamination for Banjarmasin Islamic Hospital. Keywords: Wastewater; Implementation; WWTP; Assistance Activity; Hospital. Abstrak Rumah Sakit Islam Banjarmasin menghasilkan limbah cair dari aktivitasnya. Dengan jumlah limbah cair yang semakin meningkat, maka pihak rumah sakit berencana akan melakukan penambahan Instalasi Pengolahan Air Limbah (IPAL), sehingga dapat menampung semua limbah yang dihasilkan. Metode pelaksanaan kegiatan ini berupa pendampingan, yang dilakukan dalam tiga tahapan yaitu: perencanaan, pelaksanaan, dan evaluasi. Hasil dari pendampingan ini dapat meningkatkan pengetahuan bagi pegawai Rumah Sakit yang ditunjuk sebagai pengelola IPAL tentang standar pembangunan IPAL bagi rumah sakit. Kegiatan pendampingan ini juga merekomendasikan tata letak dan teknologi IPAL yang tepat bagi Rumah Sakit Islam Banjarmasin sehingga dapat mencegah pencemaran lingkungan. Kata kunci: Air Limbah; Implementasi; IPAL; Pendampingan; Rumah Sakit.
Pelatihan Pembuatan Kuliner Memanfaatkan Bahan Pangan Lokal Lahan Basah Di Kota Banajrmasin
Authors: Normelani Ellyn , Rusdiansyah Rusdiansyah , Safitri Salma , Mahmudah Mahmudah , Puspitasari Aulia , Hakimah Rizky Nur 
Published: August 2023

Until now, the people in the locations under review have never received training in the skills of making, presenting, and packaging culinary products made from local wetlands. This community service activity aims to provide knowledge and skills for making local culinary dishes from plants in their yard. The method used is assistance and demonstrations for members of the PKK of the Purnasakti in Basirih Village, Banjarmasin City. After participating in this activity, the community have the skills to process culinary dishes made from home gardening. According to the results of the mentoring, the participants also mastered culinary creation, as seen from the demonstration results of each member's culinary creation.
Optimalisasi Pemanfaatan Buku KIA Pada Ibu Hamil Resiko Tinggi di Daerah Lahan Basah
Authors: Aditya Renny , Tobing Samuel L , Ariyani Noor Aida 
Published: August 2023

AbstractMaternal mortality (MMR) and infant mortality (IMR) are critical health indicators. An essential part of the MCH service is using the MCH Handbook. The Maternal and Child Health Book is a tool or media midwives use to provide health information to pregnant women, women in childbirth, mothers and children. The results of RiskesDas showed that 80.8% had an MCH handbook, but only 40.4% could show an MCH handbook at the time of the survey, and 19.2% of mothers did not have an MCH handbook at all. The Obstetrics and Gynecology Outpatient at Ulin Hospital is a referral centre for high-risk mothers in the Banjarmasin Wetlands. This activity aims to optimize the use of MCH guidelines and carry out health education to increase the knowledge of high-risk pregnant women. This activity was conducted specifically for high-risk pregnant women who underwent routine ANC at the Ulin Hospital Obstetrics Outpatient in June-July 2023. The pre and post-questionnaires were filled in to assess the results of the counselling activitiesfor 60 pregnant women. Most pregnant women over 35 years (50%) multipara as much as 41.67%, anaemia 83.33%, K4 less than 50%. The cumulative high pre-test score was only 16.67%, and the high post-test score increased to 33.33% after this activity is hoped to be continued and developed by optimizing the MCH Handbook use. Keywords: MCH Handbook; pregnant mother; Activity
O USO DE BLOGS COMO RECURSO EDUCACIONAL NO PIBID DE LÍNGUA PORTUGUESA
Authors: De  Miranda e Silva Ana Laura , Batista Galvão Gabriel , Capuchinho Adriana Carvalho 
Published: August 2023

Neste relato, objetivamos descrever nossa experiência quanto ao uso do blog como recurso educacional em atividades remotas realizadas no Pibid de Língua Portuguesa da UFT. A ação desenvolvida em oficinas remotas apoiou-se na BNCC (BRASIL, 2018), na pedagogia dos multiletramentos (ROJO, 2012; KALANTIZIS, COPE, PINHEIRO, 2020) e na proposta de sequências didáticas para produção textual (DOLZ, NOVERRAZ, SCHNEWLY, 2004). O blog manifesta-se como recurso eficaz no apoio educacional, pois propicia uma gama de possibilidades ao docente como agente pedagógico, além de permitir agência aos estudantes que podem produzir conteúdo a partir de suas pesquisas e das orientações do professor. Assim, o blog cooperou para o conhecimento e desenvolvimento cognitivo dos discentes. Através da pesquisa, criação e aplicação de sequência didática em videoconferências para execução de notícias e postagens multimodais por estudantes de uma escola de Porto Nacional, foi possível constatar que o blog é um recurso potencial, pois introduziu o uso da tecnologia em práticas multiletradas tornando o ambiente educacional mais colaborativo e atrativo, além de impulsionar a troca de saberes entre docentes e discentes, o que também viabiliza o apoio interdisciplinar.
Palavras-chave: Blog, Ensino de Língua Portuguesa, Multiletramentos