bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of pressure ulcer development and risk factors in COVID-19 patients followed in the ICU
Authors: ÖNER Ozlemoner , GÜRKÖK Mehmet Çağatay , YAKAR Mehmet Nuri , ERGAN Begüm , YAKA Erdem , GÖKMEN Necati 
Published: September 2023

Aims: In this study it was aimed to evaluate the causes of pressure ulcer development in COVID-19 patients followed in the intensive care unit (ICU).
Methods: Demographic data, comorbidities, laboratory parameters, treatment modalities and mortality rates of the patients were reviewed retrospectively from hospital records. In addition, Acute Physiology and Chronic Health Assessment (APACHE II), Sequential Organ Failure Assessment (SOFA), and modified NUTRIC scores were calculated. Braden scale was used for pressure ulcer evaluation.
Results: Eighty COVID-19 patients were included in the study. Pressure ulcers (PU) were detected in 29 (36.25%) of the cases, and no pressure ulcer was detected in 51 (63.75%) cases. 54 (69.7%) of the patients were male, 26 (32.5%) were female, and the mean age was 69 (61-77). The cases were divided into two groups according to the development of pressure ulcers. The APACHE II score was 24 (17-29) in the PU group and 18 (12-23) in the non-PU group (p=0.01), the mNUTRIC score was 4 (3-5) in the PU group and 3 (2-4) in the non-PU group.) (p=0.023), the Braden scale calculated at admission to the ICU was 11(10-13) in the PU group and 14(12-15) (p
Non dipping pattern frequency and metabolic syndrome relationship according to two different metabolic syndrome diagnostic methods in newly diagnosed hypertensive individuals
Authors: GÜNEŞ Elif , GÜNEŞ Mutlu , ÇURGUNLU Aslı 
Published: September 2023

Aim: The literature presents conflicting data regarding whether the non dipping pattern (NDP) in patients with metabolic syndrome (MS) compared to those without. In our study, we aimed to investigate the MS effect of the NDP in individuals with hypertension.
Methods: This prospective study included 117 newly diagnosed hypertensive patients (79 women and 38 men) who were not receiving any anti-hypertensive treatment. MS was evaluated according to the currently used the US National Cholesterol Education Programme Adult Treatment Panel-III definition criteria (MS-ATP-III) and a new diagnostic scoring method (MS-Score). NDP defined, nocturnal blood pressure (BP) fell by
STUDI KASUS IMPLEMENTASI AROMATERAPI LEMON PADA NY.M DENGAN EMESIS GRAVIDARUM TRIMESTER I DI PUSKESMAS KALIMANAH PURBALINGGA
Authors: Dewi Kharisma Lala , Haniyah Siti 
Published: September 2023

Keluhan nausea pada Ibu hamil trimester I dapat dicegah dengan tindakan non-farmakologi, salah satunya dengan memberikan aromaterapi lemon. Tujuan dari penelitian ini adalah untuk menyusun asuhan keperawatan untuk membantu pasien nausea Emesis Gravidarum di Puskesmas Kalimanah Purbalingga. Jenis penelitian ini yaitu studi kasus. Hasil studi kasus yang didapatkan pada pasien setelah dilakukan aroma terapi lemon selama 3 hari pasien menunjukkan penurunan penurunan tanda dan gejala nausea. Studi kasus ini menunjukka bahwa aromaterapi lemon dapat membantu menurunkan nausea pada pasien gravidarum trimester I.
Kata kunci: Aroma terapi lemon, Gravidarum trimester I, Nausea.
Analisis Yuridis Pelaksanaan Kewenangan Bawaslu sebagai Lembaga Pengawas dan Lembaga Pemutus Sengketa Pemilihan Umum
Authors: Juhardin Juhardin , Ismail Ananda Adhe 
Published: September 2023

Penelitian ini bertujuan untuk menganalisis pelaksanaan kewenangan bawaslu sebagai lembaga pengawas pemilu dan penyelesaian sengketa proses pemilu. Penelitian ini merupakan penelitian hukum normatif denganmenelaah semua undang-undang dan regulasi yang berkaitan dengan isu hukum yang sedang diteliti. Pendekatan penelitian menggunakan pendekatan perundang-undangan dan pendekatan konseptual. Sumber bahan hukum yang digunakan adalah bahan hukum primer yakni bahan hukum yang bersifat otoritas, yang terdiri dari peraturan perundang-undangan, catatan resmi, atau risalah dalam pembuatan peraturanperundang-undangan serta bahan hukum sekunder (bahan yang memberikan penjelasan mengenai bahan hukum primer, meliputi, dokumen, buku, majalah, jurnal-jurnal hukum dan laporan penelitian yang terkait dengan penelitian ini). Kesimpulan penelitian ini telah diperoleh hasil bahwa Pertama, Bawaslu sebagai lembaga pengawasan pemilu melakukan fungsi pencegahan pelanggaran. Kedua, Kewenangan Menyelesaikan Sengketa Proses Pemilu Bawaslu merupakan kewenangan atributif berdasarkan Undang-Undang No. 7 Tahun 2017 tentang Pemilihan Umum pada Pasal 94 ayat (3) poin d dan Anggota Bawaslu telah memenuhi kriteria sebagai hakim pada sidang Adjudikasi Bawaslu karena telah melewati jalur seleksi yang begitu ketat sesuai dengan tahapan-tahapan yang telah mereka laksanakan dan Tim Seleksi telah melakukanpenilaian berdasarkan kriteria yang telah termuat dalam pasal 117 UU Pemilu. Ketiga, Pasal 469 yang menyatakan bahwa Putusan Bawaslu adalah final dan mengikat merupakan kalimat yang memberikan kedudukan atau kekuatan kepada putusan adjudikasi Bawaslu bersifat final. Tetapi, kekuatan tersebut langsung di hapus pada frase selanjutnya yang memberikan pengecualian kepada perihal-perihal tertentu.
RELATO DE CASO: SÍNDROME DE GUILLAIN-BARRÉ APÓS INFECÇÃO POR DENGUE
Authors: Costa Ana Beatriz Nascimento , Costa Gabriela Thamirys Soares , Pereira Jéssica Souza , Bobst Pedro Gadbem , Costa Júnior Renato Pereira da 
Published: September 2023

Esse relato busca expor uma das complicações neurológicas da dengue, que é a arbovirose urbana mais comum em nosso país. O quadro clínico da dengue pode variar de cefaleia, erupções cutâneas, mialgia, diarreia a manifestações neurológicas graves, cuja prevalência varia de 0,5 a 21%² e dentre elas, destaca-se a Síndrome de Guillain-Barré (SGB), uma polirradiculoneuropatia inflamatória desmielinizante aguda de caráter autoimune. Os mecanismos relacionados à SGB e à dengue ainda são pouco conhecidos. No entanto, evidências sugerem que a dengue possui características de doença neurológica imunomediada, uma vez que as mesmas substâncias pró-inflamatórias que participam da resposta imune ao vírus da dengue também possuem papel importante na patogênese da SGB, o que pode, de fato, estabelecer a relação entre estas duas doenças.4 Neste relato de caso, os diagnósticos de dengue e de Síndrome de Guillain Barré foram baseados em achados clínicos, exame do líquido cefalorraquidiano, achados eletrofisiológicos associados a títulos específicos de IgM para dengue.
Stratospheric aerosol size reduction after volcanic eruptions
Authors: Wrana Felix , Niemeier Ulrike , Thomason Larry W. , Wallis Sandra , von Savigny Christian 
Published: September 2023

Abstract. The stratospheric aerosol layer plays an important role in the radiative balance of Earth primarily through scattering of solar radiation. The magnitude of this effect depends critically on the size distribution of the aerosol. The aerosol layer is in large part fed by volcanic eruptions strong enough to inject gaseous sulfur species into the stratosphere. The evolution of the stratospheric aerosol size after volcanic eruptions is currently one of the biggest uncertainties in stratospheric aerosol science. We retrieved aerosol particle size information from satellite solar occultation measurements from the Stratospheric Aerosol and Gas Experiment III mounted on the International Space Station (SAGE III/ISS) using a robust spectral method. We show that, surprisingly, some volcanic eruptions can lead to a decrease in average aerosol size, like the 2018 Ambae and the 2021 La Soufrière eruptions. In 2019 an intriguing contrast is observed, where the Raikoke eruption (48∘ N, 153∘ E) in 2019 led to the more expected stratospheric aerosol size increase, while the Ulawun eruptions (5∘ S, 151∘ E), which followed shortly after, again resulted in a reduction in the values of the median radius and absolute distribution width in the lowermost stratosphere. In addition, the Raikoke and Ulawun eruptions were simulated with the aerosol climate model MAECHAM5-HAM. In these model runs, the evolution of the extinction coefficient as well as of the effective radius could be reproduced well for the first 3 months of volcanic activity. However, the long lifetime of the very small aerosol sizes of many months observed in the satellite retrieval data could not be reproduced.
Quantifying exchangeable base cations in permafrost: a reserve of nutrients about to thaw
Authors: Mauclet Elisabeth , Villani Maëlle , Monhonval Arthur , Hirst Catherine , Schuur Edward A. G. , Opfergelt Sophie 
Published: September 2023

Abstract. Permafrost ecosystems are limited in nutrients for
vegetation development and constrain the biological activity to the active
layer. Upon Arctic warming, permafrost thaw exposes large amounts of soil
organic carbon (SOC) to decomposition and minerals to weathering but also
releases organic and mineral soil material that may directly influence the
soil exchange properties (cation exchange capacity, CEC, and base saturation,
BS). The soil exchange properties are key for nutrient base cation supply
(Ca2+, K+, Mg2+, and Na+) for vegetation growth and
development. In this study, we investigate the distributions of soil exchange
properties within Arctic tundra permafrost soils at Eight Mile Lake
(Interior Alaska, USA) because they will dictate the potential reservoir of
newly thawed nutrients and thereby influence soil biological activity and
vegetation nutrient sources. Our results highlight much lower CEC density in
surface horizons (∼9400 cmolc m−3) than in the mineral
horizons of the active layer (∼16 000 cmolc m−3)
or in permafrost soil horizons (∼12 000 cmolc m−3). Together, with the overall increase in CEC density with depth and
the overall increase in BS (percentage of CEC occupied by exchangeable base
cations Ca2+, K+, Mg2+, and Na+) with depth (from
∼19 % in organic surface horizons to 62 % in permafrost soil
horizons), the total exchangeable base cation density (Ca2+, K+,
Mg2+, and Na+ in g m−3) is up to 5 times higher in the
permafrost than in the active layer. More specifically, the exchangeable
base cation density in the 20 cm upper part of permafrost about to thaw is
∼850 g m−3 for Caexch, 45 g m−3 for
Kexch, 200 g m−3 for Mgexch, and 150 g m−3 for
Naexch. This estimate is needed for future ecosystem prediction models
to provide constraints on the size of the reservoir in exchangeable
nutrients (Ca, K, Mg, and Na) about to thaw. All data described in this paper are stored in Dataverse, the online repository of Université catholique de Louvain, and are accessible through the following DOI: https://doi.org/10.14428/DVN/FQVMEP (Mauclet et al., 2022b).
A new 2010 permafrost distribution map over the Qinghai–Tibet Plateau based on subregion survey maps: a benchmark for regional permafrost modeling
Authors: Cao Zetao , Nan Zhuotong , Hu Jianan , Chen Yuhong , Zhang Yaonan 
Published: September 2023

Abstract. Permafrost over the Qinghai–Tibet Plateau (QTP) has
received increasing attention due to its high sensitivity to climate change.
Numerous spatial modeling studies have been conducted on the QTP to assess
the status of permafrost, project future changes in permafrost, and diagnose
contributors to permafrost degradation. Due to the scarcity of ground
stations on the QTP, these modeling studies are often hampered by the lack
of validation references, calibration targets, and model constraints; however,
a high-quality permafrost distribution map would be a good option as a
benchmark for spatial simulations. Existing permafrost distribution maps for
the QTP can poorly serve this purpose. An ideal benchmark map for spatial
modeling should be methodologically sound, of sufficient accuracy, and based
on observations from mapping years rather than all historical data spanning
several decades. Therefore, in this study, we created a new permafrost
distribution map for the QTP in 2010 using a novel permafrost mapping
approach with satellite-derived ground surface thawing and freezing indices as
inputs and survey-based subregion permafrost maps as constraints. This
approach accounted for the effects of local factors by incorporating (into
the model) an empirical soil parameter whose values were optimally estimated
through spatial clustering and parameter optimization constrained by
survey-based subregion permafrost maps, and the approach was also improved to reduce parametric equifinality. This new map showed a total permafrost area
of about 1.086×106 km2 (41.2 % of the QTP area) and
seasonally frozen ground of about 1.447×106 km2
(54.9 %) in 2010, excluding glaciers and lakes. Validations using
survey-based subregion permafrost maps (κ=0.74) and borehole records
(overall accuracy =0.85 and κ=0.43) showed a higher accuracy of
this map compared with two other recent maps. Inspection of regions with obvious
distinctions between the maps affirms that the permafrost distribution on
this map is more realistic than that on the Zou et al. (2017) map. Given the
demonstrated excellent accuracy, this map can serve as a benchmark map for
constraining/validating land surface simulations on the QTP and as a
historical reference for projecting future permafrost changes on the QTP in
the context of global warming. The dataset is available from the repository hosted on Figshare (Cao et al., 2022): https://doi.org/10.6084/m9.figshare.19642362.
The Future and Changing Roles of Academic Libraries in the Digital Age
Authors: Kaur Gurjeet 
Published: September 2023

Libraries are at a turning point. As technology rapidly transforms the way we access information, and resources are increasingly available online and in digital formats, the established role of the library as a physical space housing racks of books is looking increasingly out of step with the needs of students and researchers. Allied with technology, library users’ needs and preferences are helping to drive the change in libraries. Students, researchers and teachers now expect to be able to access information around the clock, from almost anywhere in the world and via a growing number of devices, from laptops to phones. As the information technologies are changing day-today and growing at a tremendous speed, the knowledge society is becoming more complex, competitive and dependent on technological changes and information explosion. The need for e-information services to the users are also growing and becoming very essential. The impact of web based e-learning and teaching environment has influenced every facet of library and information services in academic libraries and providing new opportunities and challenges to the library professional for involvement in the knowledge based society including electronic and multimedia publishing, Internet based-information services, global networking, web based digital resources etc.
Exploring the centrality of nonviolent communication for resolution of conflicts for a culture of peace
Authors: Kundu Vedabhyas 
Published: September 2023

At a time when humanity finds itself enveloped by conflicts of different kinds, violence, greed and crimes at various levels, the world hungers for peace and nonviolence. The United Nations talks about how conflict and violence ‘are currently on the rise’. It talks of the rising involvement of non-state actors like political militias, criminal and international terrorist groups. Amongst the dominant forces behind conflicts according to the United Nations are unresolved regional tensions, breakdown in the rule of law, absent or co-opted state institutions, illicit economic gain and the scarcity of resources. (https://www.un.org/en/un75/new-era-conflict-and-violence) The aim is to constantly work to find frameworks and practical models to end these conflicts. The challenge is not just to find solutions for cessation of these conflicts but also to address the root cause of these violence. In most of these conflicts, there are attempts to encourage sanitization of language and distort reality; in many occasions there is use of language to demonize groups and normalize violence. Communication hence can be said to fuel all forms of violence – direct, structural and cultural. Using case studies of integrating Mahatma Gandhi’s nonviolent communication in different settings and social institutions, the paper will look at how this approach of nonviolent communication can help in bringing change in attitude and behavior of the conflicting parties and aid in the resolution of the conflict.
PENINGKATAN KETERAMPILAN MENULIS PUISI SISWA KELAS X IPS 2 SMA N 1 KALASAN DENGAN MEDIA AUDIOVISUAL MUSIKALISASI PUISI
Authors: Arda Sedyoko  , Wirawati Denik , Anggraini Pipit Ristiana 
Published: September 2023

Abstrak
Terdapat empat keterampilan berbahasa yang harus dikuasai oleh peserta didik, yakni (1) menyimak, (2) membaca dan memirsa, (3) berbicara dan mempresentasikan, serta (4) menulis. Salah satu permasalahan yang timbul di kelas X IPS 2 SMA N 1 Kalasan adalah peserta didik tidak memiliki kecakapan yang baik dalam hal keterampilan menulis puisi. Maka, tujuan penelitian tindakan kelas ini adalah untuk meningkatkan keterampilan menulis puisi siswa kelas X IPS 2 SMA N 1 Kalasan dengan media audiovisual musikalisasi puisi. Penelitian tindakan kelas ini memiliki empat tahapan tiap siklus, yakni (1) penyusunan rencana, (2) tindakan, (3) observasi, dan (4) refleksi. Kesemua tahapan tersebut dijabarkan dalam 3 siklus pembelajaran, yakni prasiklus, serta siklus 1 dan siklus 2 dengan perlakuan atau tindakan. Berdasarkan data hasil penelitian yang telah dilakukan, dapat disimpulkan bahwa penerapan media pembelajaran audiovisual musikalisasi puisi dapat meningkatkan keterampilan menulis puisi siswa. Hal tersebut dibuktikan dengan sebelum tindakan, persentase siswa yang tuntas pada pembelajaran menulis puisi hanya 21,9 %. Namun, setelah adanya tindakan, pada siklus 1 sebanyak 56,1% siswa tuntas. Terlebih lagi pada siklus 2 sebanyak 84,4 % siswa tuntas dalam pembelajaran menulis puisi.

Kata Kunci: menulis puisi, media audiovisual, musikalisasi puisi, keterampilan berbahasa
PEMBELAJARAN SECARA DARING SELAMA PANDEMI COVID-19 (STUDI KASUS DI KELAS VI SDN BARENGLOR 02 KLATEN UTARA, KLATEN)
Authors: Yuliantoro Agus , BUDIYONO SRI , Putut Setiyadi Dwi Bambang , Hersulastuti Hersulastuti , Herawati Nanik 
Published: September 2023

Abstrak
Pembelajaran online adalah sesuatu yang baru bagi pendidik dan siswa, serta orang tua. Kebaruan ini menimbulkan permasalahan sekaligus tujuan dari penelitian ini, yaitu 1) untuk mengetahui bagaimana pelaksanaan pembelajaran daring; 2) untuk mengetahui kendala apa saja yang dihadapi oleh peserta pembelajaran. Penelitian ini merupakan penelitian studi kasus, dengan sumber data berupa dokumen/arsip, observasi, dan wawancara. Teknik analisis data berupa analisis interaktif yaitu analisis secara terus menerus, dimulai dari penemuan data, pengumpulan data, reduksi data sampai pada kesimpulan dan verifikasi secara deskriptif. Hasil penelitian menunjukkan bahwa 1) pembelajaran daring melibatkan banyak pihak (beberapa komponen), seperti guru, siswa, orang tua, jaringan internet, perangkat, teknik penyampaian, dan media elektronik yang tersedia; 2) Penyebab belum sempurnanya pembelajaran daring karena a) guru sudah terbiasa dengan pembelajaran luring dan gagap dalam menghadapi pembelajaran daring; b) siswa menggunakan kebebasan belajar yang negatif dan sangat bergantung pada peran orang tua; c) orang tua juga gagap dalam menghadapi teknologi pembelajaran daring dan sangat bergantung pada ekonomi keluarga; d) gangguan listrik dan kekurangan kuota/pulsa menjadi alasan utama tidak dapat mengikuti pembelajaran daring; e) perangkat standar menjadi alasan siswa/orang tua tidak dapat mengikuti pembelajaran daring; f) penerapan metode kuliah luring tidak sesuai untuk pembelajaran daring karena guru tidak dapat mengontrol aktivitas siswa; g) guru belum memiliki kemampuan dalam menggunakan media elektronik dalam pembelajaran menggunakan Google Meet.
Kata kunci: daring, google meet, tautan
Characteristics of people brought in dead at the Ndola Teaching Hospital in Zambia between 2012 and 2016
Authors: Hachizovu S , Chaponda M , Manyando C , Mubikayi D , Mulenga M , Makupe A 
Published: September 2023

Background: Death is the end spectrum of everyone's life. From a policy maker's point of view, the cause of death and the place of death are important variables as they have a bearing on the diagnostic capacity of a health system and the level of health services utilization by a population respectively. A study done in Zambia showed that 51 per cent of the adult deaths occurred in a health facility, 41.5% occurred at home and 7.7% happened elsewhere. This finding contrasted those of a systematic review of statistics on cause of deaths in hospitals: strengthening the evidence for policy makers by the WHO which reported that more than 50% of deaths in most developing countries occur outside hospitals. It is common to see people brought in dead (BID) in hospitals in Zambia. A literature review showed that no study has been done to characterize the people who are brought into health facilities already dead in Zambia. Our study proposes to collect the age and sex distribution of the people brought in dead, as well as their area of residence and cause of death as is captured in the registers.
Objectives1. To describe the sex and age distribution of the people brought in dead in Ndola Teaching Hospital
2. To determine the areas of residence of these cases
3. To establish the causes of death for these cases of BID
4. To assess the completeness of the information recorded in the register
Methods: This study was done at the Ndola Teaching Hospital in the Copper-belt province of Zambia. It was a cross sectional, retrospective record review of the mortuary registers where all people brought in dead or dying within 24 hours of admission to Ndola Teaching Hospital are recorded. All cases of BIDs recorded in the Mortuary registers of Ndola Teaching Hospital between 2012 and 2016 were eligible. The age, sex, area of residence and the recorded cause of death were entered on a standardized form designed for the study. The data was entered on an excel sheet and double checked for completeness. It was then analyzed using excel
Results: There were 6931 cases of brought in dead at the Ndola Teaching Hospital between 2012 and 2016 with the average number of 1386 cases per year. The age group affected most was 24-55 years (60.34%), mainly comprised of males (61.81%) and coming from densely populated areas (81.50%). 96.75% of cases had undetermined mode of death while 2.35% of cases died of road traffic accidents
Conclusion: A big number of people are still dying outside health facilities or within 24 hours of admission to hospitals in Zambia today. The most affected group is males in their most productive period of their lives and mainly residing in densely populated areas. Additionally, our data capturing tools are not adequate and need revision.