bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN TINGKAT STRES DAN AKTIVITAS FISIK DENGAN SIKLUS MENSTRUASI PADA MAHASISWI KEPERAWATAN SEMESTER VII UNIVERSITAS NASIONAL JAKARTA 2021
Authors: Salmawati Nur , Usman Andi Mayasari , Fajariyah Nur 
Published: June 2023

Latar Belakang: Siklus menstruasi idealnya teratur setiap bulan dengan rentang waktu 21-35 hari setiap periode menstruasi. Banyak faktor yang dapat mempengruhi siklus menstruasi salah satunya stres dan aktivitas fisik. Tujuan: Untuk mengetahui hubungan tingkat stres dan aktivitas fisik dengan siklus menstruasi pada mahasiswi keperawatan semester VII Universitas Nasional Jakarta. Metode: penelitian ini menggunakan deskriptif korelasi dengan pendekatan cross sectional. Sampel dalam penelitian ini berjumlah 99 orang. Sampel diambil dengan teknik purposive sampling. Hasil penelitian diuji dengan uji statistik Pearson dengan signifikansi α = <0,05. Penelitian ini dilakukan di Universitas Nasional Jakarta dengan menggunakan kuesioner Depression Anxiety Stress Scales (DASS 42), International Physical Activity Questionnaire (IPAQ), dan Siklus menstruasi. Hasil: Berdasarkan hasil uji statistik menggunakan chi square maka penelitian menunjukan bahwa ada hubungan antara tingkat stres dan aktivitas fisik dengan siklus menstruasi dengan p-value <0,05. Kesimpulan: Tingkat stres yang semakin tinggi akan meningkatkan stressor fisik dan psikis yang dapat memperberat gangguan siklus menstruasi, demikian juga dengan aktivitas fisik yang semakin berat maka gangguan siklus menstruasi juga meningkat.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN SELF MANAGEMENT DEMAM PADA ANAK USIA TOODLER DIRUANG TERATAI RSAB HARAPAN KITA JAKARTA 2021
Authors: Setiani Shela , Saputri Milla Evelianti , Wowor Tommy J F 
Published: June 2023

Abstrak
Latar Belakang: Demam merupakan suatu kondisi dimana suhu tubuh berada di atas normal, Apabila demam tidak ditangani maka dapat mengakibatkan kerusakan rangkaian khususnya sistem saraf pusat dan otot, sehingga mengakibatkan kejang dan kematian. Orang tua memiliki peran penting dalam menangani anak saat demam. Banyak faktor yang mempengaruhi penanganan demam (Self Management Demam). Tujuan: Untuk mengetahui faktor-faktor yang berhubungan self management demam pada anak usia toodler. Metode: Penelitian ini yaitu korelasional dengan pendekatan cross sectional. Sampel dalam penelitian ini berjumlah 86 orang. Sampel diambil dengan teknik purposive sampling. Pengumpulan data dengan menggunakan lembar kuesioner. Hasil penelitian diuji dengan uji statistik Pearson Chi-Square dengan signifikansi α = <0,05. Penelitian ini dilakukan di Ruang Teratai Rumah Sakit Anak Dan Bunda Harapan Kita. Hasil: Berdasarkan hasil uji statistik menggunakan chi-square maka penelitian menunjukan bahwa keseluruhan variabel yang diangkat memiliki hubungan yang signifikan terhadap penanganan self management demam pada anak, diantaranya pendidikan (p value 0.005), pekerjaan (p value 0.001), pengetahuan (p value 0.000) dan budaya (p value 0.000). Kesimpulan: Penanganan demam pada anak sangat bergantung pada peran orang tua, orang tua yang memiliki pengetahuan tentang demam dan memiliki sikap yang baik maka dalam memberikan perawatan dapat menentukan pengelolaan demam yang terbaik bagi anaknya. Tingkat pengetahuan orang tua tersebut salah satunya di latar belakangi oleh pendidikan, selain itu, status pekerjaan juga dapat mempengaruhi perilaku ibu dalam penanganan demam pada anak, ibu rumah tangga tentunya mempunyai kesempatan lebih banyak dalam menangani anak yang menderita demam di rumah.
“De manament nostre”. Notes textuals sobre les darreres voluntats d’Isabel de Borja (c. 1400-1468), “mare” dels Borja
Authors: Zaragoza Gómez Verònica 
Published: June 2023

Resum

A partir de la lectura atenta i interpretativa del testament d’Isabel de Borja (c. 1400-1468) s’examina com aquesta xicoteta noble va contribuir a projectar una imatge de poder en el llinatge. Aquest estudi de cas centrat en la memòria testamentària d’una Borja permet també projectar llum sobre algunes qüestions de la vida quotidiana de les dones, de les estratègies de mecenatge i pràctiques de religiositat i sociabilitat femenines i del context cultural valencià en el trànsit de l’Edat Mitjana a la Moderna.

Paraules clau: Isabel de Borja; família Borja; testaments; context cultural valencià en el trànsit de l’Edat Mitjana a l’Edat Moderna

Abstract

Based on the close and interpretive reading of the will of Isabel de Borja (c. 1400-1468), these few lines examine how this noble woman contributed to projecting an image of power in her lineage. With this case study focused on the testamentary memory of a woman Borja, it is also intended to shed light on some issues of women’s daily life, of patronage strategies and practices of female religiosity and sociability and of the Valencian cultural context in the transit from the Middle Ages to the Modern.

Keywords: Isabel de Borja; Borja family; will; cultural context in the transition from the Middle Ages to the Modern Age
Comercio justo en artesanías de barro de Santa María Atzompa, Oaxaca, México
Authors: Bautista Leticia Bautista , Hernández Laura Lourdes Gómez , López Arcelia Toledo 
Published: June 2023

El comercio justo es considerado como oportunidad y alternativa de comercio, que permite acceder entre otras cosas a un pago justo. El objetivo de esta investigación fue describir los diez principios de comercio justo que se aplican voluntariamente en talleres artesanales de la comunidad de Santa María Atzompa, Oaxaca, México. Mediante un estudio cualitativo, se hicieron entrevistas a profundidad, observación participante y se aplicaron cuestionarios semiestructurados en tres talleres que aceptaron participar. Uno de los principales resultados muestra que, en la operación de los talleres artesanales, se encuentran presentes al menos seis de los diez principios de comercio justo. A manera de conclusión se pone de manifiesto que los principios de comercio justo están siendo adoptados en contextos locales. Las prácticas de intercambio transparente y equitativo permiten el apego al 60% de los principios. Uno de los principales beneficios es que han podido diversificar sus procesos de comercialización. Por lo que, trabajar bajo los principios de comercio justo, representa una oportunidad para los artesanos en el mercado, con la posibilidad de formar una red de comercio y lograr un mejor precio en el mercado.
Hemoptysis Revealing a Pulmonary Arteriovenous Fistula: A Case Report
Authors: Jaabouti Ghizlane , Cherrat Achraf , Bencchakroun Soumia , Mahraoui Chafiq , Hafidi Naima El 
Published: June 2023

Pulmonary arteriovenous malformations are a rare type of vascular anomaly, which can be congenital or acquired. These malformations can present as single or multiple lesions and are often associated with Rendu-Osler disease. Diagnosis is typically made through thoracic CT scanning, and the standard treatment is percutaneous embolization.
We present a clinical cases that can help raise awareness about rare diseases such as Pulmonary arteriovenous malformations and improve early diagnosis and management. It is important for healthcare providers to be familiar with the clinical and etiological characteristics of these conditions to ensure that patients receive appropriate care and treatment.
In this case report, we describe a 7-year-old girl who presented with hemoptysis in the context of pneumopathy. Despite having no significant medical history, the patient's condition was successfully treated with antibiotic therapy and percutaneous embolization of the pulmonary arteriovenous malformation.
Incidentally Detected Morgagni Diaphragmatic Hernia: A Case Report
Authors: Jaabouti Ghizlane , Bencchakroun Soumia , Mahraoui Chafiq , Hafidi Naima El 
Published: June 2023

Congenital diaphragmatic hernia is a rare condition caused by a congenital defect in the diaphragm, leading to the protrusion of abdominal organs into the thoracic cavity. It can be isolated (in 40% of cases) or associated with other malformations. In 85% of cases, it is located postero-laterally (Bochdalek hernia), and less commonly antero-laterally (Morgagni and Larrey hernias).
We report the case of a patient presenting a Morgagni hernia, which is a rare hernia that accounts for 1 to 6% of diaphragmatic hernias, and is usually asymptomatic and often discovered incidentally.
We present the case of an infant born from a well-monitored pregnancy, delivered vaginally, with a normal birth weight of 3200 grams and a normal Apgar score, and no neonatal respiratory distress. The infant was discharged after 24 hours and remained in good health.
At 6 months of age, the infant presented with acute viral bronchiolitis, and an incidental discovery of an antero-lateral congenital diaphragmatic hernia was made through a chest X-ray. The patient was stabilized and referred to the pediatric surgery department for management after successful treatment of the bronchiolitis.
Myocarditis during SARS-CoV-2 Infection: A Series of 15 Cases
Authors: Benhlima A. , Bouzekraoui I. , Taj A. , Bouchaala A. , Elhamzaoui H. , Alilou M. 
Published: June 2023

COVID-19 is a global health problem responsible for significant morbidity and mortality and a major socioeconomic impact. While the major manifestation is respirator with a risk of acute respiratory distress syndrome, several extrapulmonary aspects, particularly cardiovascular, have emerged over time.
The aim of this work is to study the clinical, biological, radiological, therapeutic, and evolutionary characteristics of acute myocarditis associated with SARS-CoV-2 infection in comparison to data from the literature.
This is a prospective cohort study conducted at the Ibn Sina University Hospital in Rabat over a period of 9 months (from January 1, 2021, to September 30, 2021) and included patients hospitalized in different departments managing COVID-19 and diagnosed with acute myocarditis confirmed by cardiac MRI.
Fifteen patients were included during the study period. The average age of patients was 40 years old with a slight male predominance (sex ratio M/F-1.14). The average time between the onset of COVID-19 infection and the appearance of myocarditis symptoms was 17 days. The symptoms were mainly dominated by chest pain (40% of cases), unexplained cardiogenic shock (40% of cases), and palpitations (20% of cases). ECG revealed diffuse repolarization abnormalities in more than half of the cases (53%) and supraventricular tachycardia (27%). The inflammatory markers were significantly disturbed (CRP = 102 +/-47.30 mg/L and ferritin - 510 +/-336.45 ng/mL). Troponin I was elevated with myocarditis kinetics in all patients. Cardiac MRI showed T2 hypersignal corresponding to edema with early and late subepicardial enhancement, mainly located at the level of the left ventricular lateral wall.
The evolution was marked by the occurrence of death in 5 patients (33.33%) in the days following hospitalization for cardiogenic shock and dilated cardiomyopathy in only one case (6.67%). It was favourable for the rest of the patients (60%).
The results of this study have highlighted several characteristics of myocarditis associated with SARS-CoV-2. Firstly, there is a delayed interval between virus infection and the onset of cardiac symptoms. Additionally, the kinetics of myocardial injury markers are distinct, and there is significant disruption of inflammatory markers at the time of diagnosis. Moreover, fulminant forms of myocarditis are associated with a reserved prognosis and high mortality.
Furthermore, the study emphasizes the crucial importance of cardiac MRI availability for confirming the diagnosis in the absence of histological evidence from endomyocardial biopsy.
Post-Traumatic Pulmonary Pneumatoceles: A Case Report
Authors: Jaabouti Ghizlane , Bencchakroun Soumia , Mahraoui Chafiq , Hafidi Naima El 
Published: June 2023

Road accidents are the main cause of serious injuries worldwide, accounting for over 10% of trauma cases resulting in death or significant physical impairment. Thoracic injuries, on the other hand, are responsible for a quarter of all trauma-related deaths. In such cases, pneumothorax is the most common thoracic injury, affecting 30 to 40% of patients with thoracic trauma. This injury occurs twice as often in closed traumas as in penetrating traumas. However, post-traumatic pulmonary pneumatocele is a very rare condition that occurs mostly in children and young adults. It’s often a sequelae of acute pneumonia or barotrauma resulting from alveolar hyperpressure in the context of closed glottis trauma.
Recognizing these injuries quickly can save lives, whether the patient is outside or in a modern intensive care unit.
The reported case is an 8-year-old female child with no medical history, no delayed growth or development, who was involved in a public road accident with a thoracic impact. She presented with hemoptysis and chest pain, and a thoracic CT scan revealed bilateral pulmonary parenchymal contusions predominantly on the right, with post-traumatic pneumatoceles on the right side and a right pneumothorax blade, with good progress under surveillance, oxygen therapy, and prophylactic antibiotic treatment.
Molecular Detection of Enterotoxigenic Staphylococcus aureus in Ready-to-eat Cowhide (‘Ponmo’) Collected from Lagos Metropolis, Nigeria
Authors: David Teniola, Olakunle , Solomon Abisoye, Fiyinfoluwa , Veronica Folounso, Temitayo , Muinah Fowora, Adenike , Felix Ikuesan, Adeleke , Tajudeen A. Bamidele, 
Published: June 2023

Aims: Ready-to-eat [RTE] animal products like ponmo are preferred by consumers due to its palatability and quality. However, foodborne pathogens particularly Staphylococcus aureus are sources of concern due to cross-contamination of raw and cooked cowhide. This study aimed to investigate the incidence of enterotoxigenic S. aureus in ready-to-eat locally processed cowhide.
Methodology: Sixty (60) RTE cowhide samples were collected from different locations in Lagos, Nigeria and analyzed using conventional microbiological and molecular techniques for the detection of toxigenic S. aureus contamination. Suspected S. aureus isolates were confirmed by the presence of thermostable endonuclease [nuc] gene in their genome.
Results: Result showed that 25 (41.67%) and 20 (33.50%) samples harbored coagulase-positive S. aureus and 20 other bacterial species different from S. aureus, respectively while 15 (24.83%) of the tested ponmo samples yielded no bacterial growth. Thirteen of the 15 randomly selected from the 25 suspected isolates were confirmed as S. aureus by the presence of thermostable endonuclease [nuc] gene in their genome. Enterotoxigenic genes were confirmed in all the 13 PCR detected S. aureus. Enterotoxin B gene is most prevalent in ponmo. Multiplex PCR detection of S. aureus enterotoxins [SE] genes revealed the molecular detection of different isolates carrying staphylococcal enterotoxin types A and B, mixed strain carrying both staphylococcal enterotoxins type A and type D. Antibiotic susceptibility of 20 S. aureus isolates revealed varying degrees of susceptibility patterns against the antimicrobial agents. Generally, gentamicin 70% (14/20), azithromycin 75% (15/20), co-trimoxazole 85% (17/20), levofloxacin 95% (19/20) were the most effective antibiotics to S. aureus. A low, ≥50% susceptibility was recorded to chloramphenicol 55% (11/20) and nitrofurantoin 65% (13/20). A higher resistance to streptomycin (90%; 18/20) and ceftazidime (95%; 19/20) was identified, with resistance to ceftazidime being the highest (95%; 19/20).
Conclusion: It can be concluded that RTE ponmo vended in the study sites is of low hygienic quality and may be of health risk to consumers. High level hygiene practice and good manufacturing practices are required during the production, distribution and marketing of ponmo to curb the potential health consequences of eating ponmo.
Evaluation of Some Haematological Metrics among Smokers in Port Harcourt, Rivers State, Nigeria
Authors: Beatrice W. Moore-Igwe, , Goodnews N. Nwika , Priya Chukwu, , Tamunonengiye-Ofori Lenox-Prince, 
Published: June 2023

Introduction: Smoking is extremely toxic and has had a significant negative impact on society. One of the leading contributors to preventable illness and mortality has been found to be cigarette smoking.
Aim: The goal of this study is to evaluate a few haematological metrics among smokers in Port Harcourt, Rivers State, and to verify the idea that smoking cigarettes either has a negative or favorable impact on these variables.
Methodology: In this cross-sectional study, 100 participants between the ages of 20 and 45 were included, 50 of whom were smokers and 50 non-smokers. Venipuncture was used to obtain blood samples from the patients, which was then put into an EDTA vial for a full blood count (FBC) and other haematological analysis. The full blood count and erythrocyte sedimentation rate (ESR) were done using Haemo Auto Analyzer, Model XP-300 KOBE Japan by SYSMEX and the Westergreen method respectively. In order to analyze the data, Graph Prism Pad 6.2 and Microsoft Office Excel 2016 were both used. Using the student's independent t-test, a comparative study of mean and standard deviation values for the various parameters for test and reference ranges was conducted.
Results: According to the findings, the average age of 50 smokers was 43.6200± 9.7250 years and that for the 50 non-smokers was 42.7800± 6.5440 years, which was statistically insignificant with p valve of 0.6130. Smokers’ haemoglobin level was 14.5080 ± 1.5590 (g/dL) and non-smokers was 12.1340 ± 0.70410 (g/dL). According to statistics, the level of Hb was significantly higher in smokers compared to non-smokers (P<0.0001). In comparison to non-smokers, the RBC count dramatically increased in smokers (P<0.0001) greater than in non-smokers at 5.2550 ± 0.6629 (x1012/L) and 4.6340 ± 0.5530 (x1012/L) respectively. While the total leucocyte count (TLC) in smokers is 8.0500 ± 1.8796 (x109/L), compared to 6.8580 ± 1.2454 (x109/L) in non-smokers. Statistics show that smokers have a higher total leucocyte count than non-smokers (P<0.0002). Smokers' platelet count is 255.7600±61.8351 (x109/L) while non-smokers' is 216.5800±35.5752 (x109/L).The study has statistically shown that smokers' platelet counts rose considerably in comparison to non-smokers (P<0.012).
Conclusion: It may be concluded that uninterrupted smoking has an undue negative impact on haematological parameters such that increase occur in values of Hb, RBC, TLC and platelets. Significantly, these changes may increase the risk of serious health issues such as heart related defects, hardening of the arteries, Vaquez-Osler disease. It is recommended that smokers have these metrics regularly monitored.
Intercomparison of Mechanical Transplanted Rice and Direct Seeded Rice in Climate Change Resilient for Improving Crop-Water Productivity and Soil Health in North West IGP: A Review
Authors: Kumar Arun , Singh P. K. , Naresh R. K. , Tiwari Himanshu , Maurya Durgesh , Kumar Rahul , Hota Rojalin , Singh Nand Lal , Kataria S. K. 
Published: June 2023

Climate change is a major issue facing humanity, and the most common method for growing rice is manual puddled transplanted rice (PTR). Direct-seeded rice (DSR) is becoming increasingly popular due to its reduced methane emissions and reduced labour costs. However, there are drawbacks to this transition, such as an increase in weeds, herbicide resistance, nitrous oxide emissions, nutritional disorders, and soil-borne diseases. To reduce these issues, appropriate weed, water, and fertilizer management practices should be applied. Chemical and biotechnological methods, such as herbicide-resistant and more competitive allelopathic variants, will be required for sustainable rice production. The development of site- and soil-specific integrated packages will increase the adoption of DSR and decrease the negative effects of PTR on the environment.
Evidence for Anchoring Bias During Physician Decision-Making
Authors: Ly Dan P. , Shekelle Paul G. , Song Zirui 
Published: June 2023

IntroductionCognitive biases are hypothesized to influence physician decision-making, but large-scale evidence consistent with their influence is limited. One such bias is anchoring bias, or the focus on a single—often initial—piece of information when making clinical decisions without sufficiently adjusting to later information.ObjectiveTo examine whether physicians were less likely to test patients with congestive heart failure (CHF) presenting to the emergency department (ED) with shortness of breath (SOB) for pulmonary embolism (PE) when the patient visit reason section, documented in triage before physicians see the patient, mentioned CHF.Design, Setting, and ParticipantsIn this cross-sectional study of 2011 to 2018 national Veterans Affairs data, patients with CHF presenting with SOB in Veterans Affairs EDs were included in the analysis. Analyses were performed from July 2019 to January 2023.ExposureThe patient visit reason section, documented in triage before physicians see the patient, mentions CHF.Main Outcomes and MeasuresThe main outcomes were testing for PE (D-dimer, computed tomography scan of the chest with contrast, ventilation/perfusion scan, lower-extremity ultrasonography), time to PE testing (among those tested for PE), B-type natriuretic peptide (BNP) testing, acute PE diagnosed in the ED, and acute PE ultimately diagnosed (within 30 days of ED visit).ResultsThe present sample included 108 019 patients (mean [SD] age, 71.9 [10.8] years; 2.5% female) with CHF presenting with SOB, 4.1% of whom had mention of CHF in the patient visit reason section of the triage documentation. Overall, 13.2% of patients received PE testing, on average within 76 minutes, 71.4% received BNP testing, 0.23% were diagnosed with acute PE in the ED, and 1.1% were ultimately diagnosed with acute PE. In adjusted analyses, mention of CHF was associated with a 4.6 percentage point (pp) reduction (95% CI, −5.7 to −3.5 pp) in PE testing, 15.5 more minutes (95% CI, 5.7-25.3 minutes) to PE testing, and 6.9 pp (95% CI, 4.3-9.4 pp) more BNP testing. Mention of CHF was associated with a 0.15 pp lower (95% CI, −0.23 to −0.08 pp) likelihood of PE diagnosis in the ED, although no significant association between the mention of CHF and ultimately diagnosed PE was observed (0.06 pp difference; 95% CI, −0.23 to 0.36 pp).Conclusions and RelevanceIn this cross-sectional study among patients with CHF presenting with SOB, physicians were less likely to test for PE when the patient visit reason that was documented before they saw the patient mentioned CHF. Physicians may anchor on such initial information in decision-making, which in this case was associated with delayed workup and diagnosis of PE.