bluuebunny/crossref_metadata_2025_split huggingface dataset:
Routine four-quadrant cavity shaving at the time of wide local excision for breast cancer reduces re-excision rate
Authors: Savioli F , Morrow ES , Cheung LK , Stallard S , Doughty J , Romics L 
Published: February 2022

Introduction Breast conservation therapy (BCT) has been shown to have comparable long-term survival outcomes when compared with mastectomy. Clearance of excision margin is one of the mainstays of the surgical treatment, which if not achieved at the first operation of BCT results in the need for subsequent surgery. Methods This study evaluated the impact of routinely taken cavity shavings on re-excision rates. This retrospective two-centre study describes the use of routine four-quadrant cavity shaving in 449 patients with consecutively treated with wide local excision for invasive cancer or ductal carcinoma in situ. Results The overall incomplete excision rate was 10.6%. Routine cavity shaving prevented the need for re-excision in 84 patients (18.7%) and identified the need for further re-excision in 33 patients (7.3%). Median time from surgery to radiotherapy was 50 days (range 13–209) for non-re-excised patients versus 78 days (range 47–260) for re-excised patients (p<0.001). Median time to chemotherapy (n=75) was 44 days (range 14–106) for non-re-excised patients versus 56 days (range 35–116) for re-excised patients (p=0.017). Conclusions This study demonstrates that routine cavity shaving decreases re-excision rate in patients treated with wide local excision and prevents delays to adjuvant treatment due to incomplete excision.
Design and fabrication of lightweight additively manufactured mirrors for aviation
Authors: Tan Songnian , Li Quanchao , Xu Yongsen , Shen Honghai , Cheng Yanping , Jia Ping , Xu Yulei 
Published: February 2022

This paper proposes a design process for additively manufactured mirrors. A central support aspheric mirror and tripod support structure were manufactured via selective laser melting. To achieve substantial weight reduction, an additively manufactured body-centered cubic lattice structure was used in the mirror design. Simulation analysis showed that the mirror had good rigidity. Single-point diamond turning was applied to obtain an optical quality mirror. After assembly, the rms surface shape accuracy of the mirror was

0.069

λ

(

λ
=

632.8

n
m

). The surface roughness (Ra) of the additively manufactured metal mirror was 8.125 nm. These findings provide a strong theoretical basis and technical support for the preparation and application of lightweight metal mirrors.
Dietary diversity, nutritional status and associated factors among lactating mothers visiting government health facilities at Dessie town, Amhara region, Ethiopia
Authors: Seid Awel , Cherie Hirut Assaye 
Published: February 2022

Background
Maternal undernutrition is one of the most common causes of maternal morbidity and mortality in developing countries. Severe undernutrition among mothers leads to reduced lactation performance which further contributes to an increased risk of infant mortality. However, data regarding nutritional status of lactating mothers at Dessie town and its surrounding areas is lacking. This study assessed dietary diversity, nutritional status and associated factors of lactating mothers visiting health facilities at Dessie town, Amhara region, Ethiopia.

Methods
Institutional based cross-sectional study was conducted from March to April, 2017 among 408 lactating mothers. Systematic random sampling technique was employed to select the study participants. Data on socio-demographic and economic characteristics, health related characteristics, dietary diversity and food security status of participants were collected using interviewer administered questionnaire. Data were entered into EPI-INFO and analyzed using SPSS Version 22. Bivariate and multivariate analyses were performed to identify factors associated with dietary diversity and nutritional status of lactating mothers.

Results
More than half (55.6%) of lactating mothers had inadequate dietary diversity (DDS<5.3) and about 21% were undernourished (BMI<18.5 kg/m2). Household monthly income [AOR = 2.0, 95% CI (1.15, 3.65)], type of house [AOR = 1.8, 95% CI (1.15, 2.94)], nutrition information [AOR = 1.6, 95% CI (1.05, 2.61)] and household food insecurity [AOR = 1.8, 95% CI (1.05, 3.06)] were factors associated with dietary diversity of lactating mothers. Being young in age 15–19 years [AOR = 10.3, 95% CI (2.89, 36.39)] & 20–29 years [AOR = 3.4, 95% CI (1.57, 7.36)], being divorced/separated [AOR = 10.1, 95% CI (1.42, 72.06)], inadequate dietary diversity [AOR = 3.8, 95% CI (2.08, 7.03)] and household food insecurity [AOR = 3.1, 95% CI (1.81, 5.32)] were factors associated with maternal undernutrition.

Conclusion
The dietary diversity of lactating mothers in the study area was sub optimal and the prevalence of undernutrition was relatively high. Public health nutrition interventions such as improving accessibility of affordable and diversified nutrient rich foods are important to improve the nutritional status of mothers and their children in the study area.
Adolescent girls trapped in early marriage social norm in rural Ethiopia: A vignette-based qualitative exploration
Authors: Tewahido Dagmawit , Worku Alemayehu , Tadesse Amare W. , Gulema Hanna , Berhane Yemane 
Published: February 2022

Background
Early marriage is not uncommon in Ethiopia, particularly for adolescent girls in rural settings. Social norms are among the factors believed to perpetuate early marriage practices. This qualitative study explores social norms surrounding adolescent girls’ marriage practices in West Hararghe, Ethiopia.

Methods
This study used the qualitative inquiry method to explore social norms in rural Ethiopia. Focus group discussions were conducted with purposively sampled married and unmarried adolescent girls, adolescent boys, and parents. A total of 158 individuals participated in the study, comprising 95 adolescents and 63 parents. Data were collected using locally developed vignettes. A thematic framework analysis approach using the Social Norms Analysis Plot (SNAP) was employed to diagnose and understand social norms.

Results
Adolescent girls’ marriage was found to be mainly influenced by their peers who conform to prevailing social norms. Marrying one’s first suitor was considered an opportunity not to be missed and a symbol of good luck. Relatives, neighbors, and marriage brokers facilitate adolescent girls’ marriage in accordance with the local social norms. Girls usually accept the first marriage proposal regardless of their age, and they are highly expected to do so by their peers, parents, and influential others. Exceptions from the early marriage social norm include adolescent girls determined to continue their education and those having supportive teachers.

Conclusions
In this study context, social norms strongly encourage early marriage and are mainly perpetuated by peers of adolescent girls and influential adults. A strong determination to continue education on the part of girls, strong school performance, and supportive schoolteachers are important conditions for circumventing social norms on early marriage. As social norms evolve slowly, we recommend periodical assessment in order to develop locally appropriate interventions against early marriage.
Diagnostic and prognostic significance of cell death markers in patients with cirrhosis and acute decompensation
Authors: Stoffers Philipp , Guckenbiehl Sabrina , Welker Martin Walter , Zeuzem Stefan , Lange Christian Markus , Trebicka Jonel , Herrmann Eva , Welsch Christoph 
Published: February 2022

Background
The transition from compensated to decompensated liver cirrhosis is a hallmark of disease progression, however, reliable predictors to assess the risk of decompensation in individual patients from routine diagnostics are lacking. Here, we characterize serum levels of cell death-associated markers and routine biochemistry from patients with chronic liver disease with and without decompensation.

Methods
A post-hoc analysis was based on prospectively collected clinical data from 160 patients with chronic liver disease, stably compensated or decompensated at baseline or during follow-up, over a median period of 721 days. Serum levels of damage-associated molecular patterns (DAMPs) and routine biochemistry are quantified at baseline (for all patients) and during follow-up (for patients with acute decompensation). The panel of DAMPs assessed in this study comprises high-mobility group-box protein 1 (HMGB1), cytochrome C (cyt C), soluble Fas-ligand (sFasL), interleukin 6 (IL-6), soluble cytokeratin-18 (CK18-M65) and its caspase‐cleaved fragment CK18-M30.

Results
In this cohort study, 80 patients (50%) were diagnosed with alcoholic liver cirrhosis, 60 patients (37.5%) with hepatitis C virus- and 20 patients (13.5%) with hepatitis B virus-related liver cirrhosis. At baseline, 17 patients (10.6%) showed decompensated liver disease and another 28 patients (17.5%) developed acute decompensation during follow-up (within 24 months). One hundred fifteen patients showed stable liver disease (71.9%). We found DAMPs significantly elevated in patients with decompensated liver disease versus compensated liver disease. Patients with acute decompensation during follow-up showed higher baseline levels of IL-6, sFasL, CK18-M65 and–M30 (P<0.01) compared to patients with stably compensated liver disease. In multivariate analyses, we found an independent association of baseline serum levels of sFasL (P = 0.02; OR = 2.67) and gamma-glutamyl transferase (GGT) (P<0.001; OR = 2.1) with acute decompensation. Accuracy of the marker combination for predicting acute decompensation was high (AUC = 0.79). Elevated aminotransferase levels did not correlate with decompensated liver disease and acute decompensation.

Conclusions
DAMPs are elevated in patients with decompensated liver disease and patients developing acute decompensation. The prognostic value of a marker combination with soluble Fas-ligand and GGT in patients with liver cirrhosis should be further evaluated.
Gait Speed Reference Values for Adults Aged 90 and Older: The 90+ Study
Authors: Colcord Katherine A. , Kawas Claudia H. , Corrada María M. 
Published: February 2022

Background and Purpose:
Slow gait speed has been associated with adverse outcomes in older adults, but little data exist for those 90 years and older, a group often referred to as the “oldest old.” We aimed to establish reference values for gait speed in men and women 90 years and older.

Methods:
The 90+ Study is a population-based longitudinal study of aging. Our analyses of gait speed included participants who were evaluated in person and were ambulatory. Gait speed was assessed using the 4-m walk test. We calculated means, standard deviations, and percentiles stratified by age, sex, and use of assistive device.

Results and Discussion:
The 797 participants had a mean age of 93.5 years. Of these, 73.9% were women, 39.5% had a college education, and 98.6% were White. The overall mean gait speed was 0.58 m/s (women = 0.55 m/s, men = 0.65 m/s). In participants who did not use an assistive device, the overall mean gait speed was 0.66 m/s (women = 0.63 m/s, men = 0.71 m/s). In those who used a device, the overall mean gait speed was 0.38 m/s (women = 0.37 m/s, men = 0.43 m/s). Gait speed decreased with increasing age. Men had consistently higher average gait speeds compared with women across age categories. Men and women who used assistive devices had lower average gait speeds across age categories compared with men and women who ambulated with no device. Average gait speeds in our oldest-old cohort were slower than those of older adults younger than 90 years in previous studies.

Conclusions:
This study is the first to establish gait speed reference values specific to adults 90 years and older. Age-appropriate reference values are crucial to the accurate interpretation of clinical measures for patients in their 90s and above.
STUDI KELAYAKAN LOKASI BARANG MUATAN KAPAL TENGGELAM (BMKT) SEBAGAI WISATA SELAM DI KABUPATEN KARAWANG JAWA BARAT
Authors: Kelana Perdana Putra , Oktavian Sandra Moerti , Fadillah Muhammad Fiqi , Arkham Muhammad Nur 
Published: February 2022

Benda Muatan Kapal Tenggelam (BMKT) dapat dimanfaatkan sebagai wisata selam. Kabupaten Karawang memiliki 3 lokasi BMKT yang akan dimanfaatkan untuk wisata selam. Studi ini dilakukan pada bulan Oktober 2019 dengan mengamati 4 stasiun pengambilan data yaitu Karang Kapalan, Karang Sendulang dan Karang Tamiyang serta Pulau Gede. Metode yang digunakan dalam studi ini adalah metode survey. Adapun parameter yang diamati adalah jarak lokasi dari pantai, kondisi BMKT, dan kecerahan perairan serta kecepatan arus. Pengolahan data dilakukan untuk menghitung nilai Indeks Kelayakan Wisata (IKW) guna mengetahui kategori kelayakan wisata. Berdasarkan hasil studi, BMKT yang berupa fragmen keramik dalam kondisi tidak utuh dan keceraha perairan yang rendah menjadi penyebab nilai IKW rendah. Nilai IKW ke-4 stasiun berada pada kisaran 39-41% dan termasuk kedalam kategori sesuai bersyarat.
ANALISA PEMBAGIAN BEBAN PADA INSTALASI LISTRIK TIGA PHASA KAPAL PENANGKAP IKAN STUDI KASUS PADA KM. SUMBER REZEKI
Authors: Demeianto Bobby , Arkan Muhammad At , Priharanto Yuniar Endri , Siahaan Juniawan Preston 
Published: February 2022

Energi listrik saat ini telah menjelma menjadi kebutuhan pokok bagi para penggunanya. Dalam suatu kapal penangkap ikan, energi listrik selain dibutuhkan dalam kegiatan navigasi juga dibutuhkan sebagai alat bantu dalam proses penangkapan ikan dimana dalam proses penangkapan ikan tersebut menggunakan lampu sorot atau flood light untuk memancing kehadiran ikan tangkapan mendekati kapal. Pada umumnya system instalasi listrik tiga phasa dapat dikatakan baik bila system pembagian beban pada system tersebut seimbang. Penelitian ini memiliki tujuan untuk mencari nilai presentase ketidakseimbangan arus listrik pada instalasi listrik tiga phasa pada kapal penangkap ikan KM. Sumber Rezeki. Selain itu penelitian ini juga memiliki tujuan untuk mencari nilai rata-rata presentase pembebanan arus listrik pada setiap phasa pada generator tersebut dan juga mencari nilai efisiensi generator pada KM. Sumber Rezeki. Dari hasil perhitungan didapatkan bahwa presentase ketidakseimbangan instalasi listrik tiga phasa KM. Sumber Rezeki pada saat generator beroperasi maksimal berada pada angka 6,5%. Dari hasil perhitungan juga didapatkan bahwa rata-rata presentase pembebanan pada generator listrik KM. Maradona adalah senilai 68,6% dengan nilai arus rata-rata sebesar 68 Ampere. Berbanding lurus dengan nilai arus rata-rata, nilai daya semu rata-rata KM. Sumber Rezeki berada pada angka 45,5 kVA dengan rata-rata nilai efisiensi generator sebesar 70,06%.
Dermatological Lesions of Cholesterol Embolization Syndrome and Kaposi Sarcoma Mimic Primary Systemic Vasculitis
Authors: Alqurashi Abdulmohsen S , Aly Mohammed H , Mohammed Abdulghaffar , Ahmed Walaa A , Alhazmi Abdullah M , Ahmed Amal A , Alshehri Abdulrahman A , Almalki Abdulrahman M 
Published: February 2022

Primary systemic vasculitis can present with a wide spectrum of manifestations ranging from systemic non-specific features such as fever, malaise, arthralgia, and myalgia to specific organ damage. We describe two cases of cholesterol embolization syndrome and Kaposi sarcoma mimicking primary systemic vasculitis, both of which were characterized by features such as livedo reticularis, blue toe syndrome, a brown, purpuric skin rash, and positive p-ANCA associated with Kaposi sarcoma. Establishing the right diagnosis was challenging, and thus we aim in this study to highlight the possible ways to distinguish them from primary systemic vasculitis.
Keywords: Dermatological lesions, Cholesterol embolization syndrome, Kaposi sarcoma, vasculitis mimic.
METAPHORICAL DEATH ACCEPTANCE (MDA) TECHNIQUE IN COUNSELING RELIGIOUS
Authors: Diniaty Amirah , Putri Anggi Farasagita 
Published: February 2022

The Metaphorical Death Acceptance (MDA) technique contains a symbolic thought, the experience, a game of someone about accepting the death process they will experience. It prepares the client in a relaxed condition and then brought to the spiritual experience he meets the angel of revocation to face his God. Conditions imagine this process of death to be the starting point of change in the client because the client is invited to think about whatever hopes, desires, and final judgments of himself and others when he will die. The researcher compiles this module from using action research. The researcher used the MDA technique when carrying out the group and individual counseling. The samples in this study were 50 students and 30 housewives. The results of these techniques helped clients perceive the problems they experience, instill their Islamic faith and become missionary missions for counselors. This is one of counseling religious for the client to get the meaning of life.
Kegiatan Penyuluhan Iman Dan Imunitas Pada Masa New Normal Di Desa Bukit Rata, Kabupaten Aceh Tamiang
Authors: Firdaus Muhammad , Hanifah Intan , Astuti Leni 
Published: February 2022

Efforts to increase faith and immunity during the new normal covid-19 are very important for society. Some strategies that can be implemented are education about the prevention of covid-19, namely trough making educational posters about covid -19, making videos on how to make mask, getting used to washing hands properly, planting rhizome plants to increase immunity and providing, explanations for avoiding disease from a religiouse perspective. The purpose of this activity is to increase awareness and knowledge so that they can be protected from the dangers of the covid-19 pandemic in Bukit Rata Village, Kejuruan Muda district, Aceh Tamiang. In this activity the community is directly involved so that people can understand more quickly and realize the importance of preventing and protecting themselves from the dangers of covid-19. The method used is in the form of counseling. The results of this service show differences that lead to better things than before regarding public awareness of the dangers of covid-19 and a perspective of faith in dealing with covid-19.
System of Leukocytes Respiratory Burst Activity (RBA) in Grouper (Epinephelus coioides)
Authors: Purwandari Anggraini Ratih , Sari Dwi Nur Rikhma 
Published: February 2022

Probiotics are live microbes that can help protect and maintain the health of the host by modifying the microbial community or associating with the host, increasing the response to disease, improving nutrition, and utilizing feed. Probiotics have properties to increase feed efficiency and increase non-specific immunity in fish. Probiotic administration allows fish to achieve optimal growth and increase immunity to disease. Therefore, in this study used probiotics containing bacteria Bacillus subtilis. The purpose of this study was to determine the effect of probiotic Bacillus subtilis endoprore administration on the respiratory burst activity (RBA) immune system in grouper (Epinephelus coioides). The results of the research showed that the administration of probiotics in the grouper (Epinehelus coioides) feed with the probiotic dose of Bacillus subtilis in Feed B (0.1% Bacillus subtilis) and Feed C (1 % Bacillus subtilis) had a significantly effect on Respiratory Burst Activity (RBA) compared to Feed A (0% Bacillus subtilis). In addition, the administration of probiotic Bacillus subtilis in the grouper feed was also able to increase the total number of bacteria in the rearing media, whereas an increasing in the number of bacteria in the B and C feed treatments indicated a better rearing media for the growth of grouper. The RBA values ​​in Feed B (0.1% Bacillus subtilis) and Feed C (1 % Bacillus subtilis) were significantly different start from 10 days of rearing time. While the best dose for the RBA value is Feed C with an elapsed time 30 days.
Tabarruj dalam Persepektif Hadis: Studi Pemahaman Mahasiswi UIN Raden Fatah Palembang
Authors: Sulastri Wiwin , Muhajirin Muhajirin , Nadhiran Hedhri 
Published: February 2022

Abstract

This research is motivated to find out how to understanding of female students towards tabarruj in line with this phenomenon, the reality of a very modern era, it is very difficult not to pay attention to and be influenced by trends, styles, which always appear every day in social media, the environment and so on. As if this is commonplace for adolescents or adults. Tabarruj is defined as a woman who is exaggeratedly decorated, by showing beauty and displaying the beauty of the body and beauty and face, the actions of a woman who reveal her beauty to others. Students' understanding of tabarruj is a behavior that they like and often do, namely, tabarruj decorated with eyebrows, connecting eyelashes, make-up, overdressing, and wearing eye soft lenses. The main factor influencing female students to do tabarruj is their friends around where they hang out, following the times, and the environment in which they lived.

Keyword: Tabarruj, hadith, factor.

Abstrak

Penelitian ini dilatarbelakangi untuk mengetahui bagaimana pemahaman Mahasiswi terhadap tabarruj, sejalan dengan fenomena ini, realita di zaman yang sangat moderen, sangat sulit untuk tidak memperhatikan dan terpengaruh oleh tren, gaya, yang selalu muncul setiap harinya di sosial media, lingkungan dan sebagainya. Seolah hal tersebut adalah hal yang lumrah bagi kalangan remaja ataupun dewasa, Tabarruj diartikan dengan seorang wanita yang berhias secara berlebih-lebihan, dengan memperlihatkan kecantikan dan menampakan keindahan tubuh dan kecantikan dan wajah, tindakan seorang wanita yang menampakan kecantikannya kepada orang lain. Pemahaman Mahasiswi terhadap tabarruj merupakan perilaku yang domina disenangi dan sering mereka kerjakan yaitu, tabarruj bentuk berhias dengan cara sulam alis, sambung bulu mata, ber-make up, berpakaian yang berlebihan, dan memakai softlens mata. Faktor utama yang mempengaruhi Mahasiswi melakukan tabarruj yaitu teman-teman sekitar di mana tempat ia bergaul, mengikuti zaman dan lingkungan tempat ia tinggal.

Kata Kunci: Tabarruj, hadis, faktor.
Hadis Tentang Kokok Ayam Jantan: Studi Ma’anil Hadis
Authors: Pemilia Dika , Supriyanto John , Nur Sulaiman M 
Published: February 2022

Artikel ini membahas tentang kualitas hadis dan pemahamanya serta pandangan Ulama terhadap hadis kokok ayam jantan. Jenis penelitian yang digunakanyaitu penelitian kepustakaan (Library research) dengan penelitian bersifat kualitatif dan menggunakan teori Hermeneutik Hassan Hanafi. Sumber data yang digunakan dalam penelitian ini terdiri dari kitab Sunan Abu Daud dan Sunan Tirmidzi sebagai sumber data primer. Lalu kitab Syarah hadis, kitab Ulumul hadis, serta buku-buku Ma’anil hadis sebagai sumber data sekunder. Teknik pengumpulan data yaitu dengan menggunakan metode dokumentasi sementara analisis data dalam bentuk deksripsi analisis. Hasil penelitian ini menunjukan bahwa hadis tentang kokok ayam jantan berkualitas Shahih karena telah memenuhi kriteria keshahihan hadis. Adapun makna kokok ayam jantan dalam hadis yaitu seseorang tidak boleh merasa terganggu oleh kokok ayam di malam hari karena ayam tersebut melihat malaikat. Selain itu, kokok ayam di malam hari menyeru untuk melakukan sholat subuh atau sholat malam karena pada waktu itu banyak manusia terganggu. Bahkan menurut jumhur Ulama mengatakan seseorang tidak boleh merasa terganggu dan tidak seharusnya dicaci dari hal-hal yang dapat membantu seseorang untuk taat kepada Allah Swt, karena di balik itu ada kenikmatan yang bisa diambil.