bluuebunny/crossref_metadata_2025_split huggingface dataset:
Application of Sanitation and Hygiene In Improving The Quality of Products From Shells In The Collective Business Group (Kub) of Shell Fishers In Banjar Kemuning Village, Sedati District, Sidoarjo Regency
Authors: Nirmala Dwitha , Tjahjaningsih Wahju , Mashitah Endang Dewi 
Published: July 2022

Abstract
The increasingly fierce competition in the sale of food products is currently encouraging people to improve the quality of sales service and food quality. The reality on the ground shows that some of the processing of food products does not use methods and methods that meet good hygiene and sanitation standards. As a result, processed food products will become unhealthy for human consumption. The Joint Business Group (KUB) of Shellfish Fishermen in Banjar Kemuning Village, Sedati District, Sidoarjo Regency seeks to improve the quality of food products from shellfish that will be sold to the community by implementing sanitation and hygiene standards in every process of processing food products from shellfish. Therefore, for the application of sanitation and hygiene standards in improving the quality of food products from shellfish in Banjar Kemuning Village, Sedati District, Sidoarjo Regency. The best approach to ensure the safety of food products from this shellfish, which is primarily in the process where the shellfish live and where the shellfish are obtained. For shellfish caught in the waters, proper handling processes related to sanitation and hygiene should be carried out, because shellfish caught in nature have a risk of bacterial contaminants and some heavy metals that are harmful to human health.
Evaluation of hatching rate and survival rate of giant freshwater prawn (Macrobrachium rosenbergii) in Installation of Brackish Water Culture Mayangan, Probolinggo, East Java, Indonesia
Authors: Wiguno T A A , Dewi N N 
Published: July 2022

Abstract
Giant freshwater prawn (Macrobrachium rosenbergii) is a fisheries commodity that has a high economical value. The purpose of this study is to determine hatching rate and survival rate of giant freshwater prawn in Installation of Brackish Water Culture Mayangan. This research was carried out at Installation of Brackish Water Culture Mayangan from December 2018 until January 2019. The work method used in this research is descriptive method. The giant freshwater prawn hatchery technique is carried out using a natural spawning system. Newly hatched larvae still have egg yolk as food reserves which will run out in 3 days. After that, the larvae will be fed with natural feed, namely Artemia sp. The results showed that the hatching rate and survival rate of giant freshwater prawn were 54.7% and 40.6%, respectively. Water quality parameters of giant freshwater prawn larvae for pH, temperature, dissolved oxygen were 7-8.7, 27-28°C, and 7-8 mg/l, respectively. Ammonia, nitrite, and nitrate for this study were 0.14-0.32 mg/l, 0.006-0.007 mg/l, and 0.2-0.4 mg/l.
The design of turbo jet surface aerator to enhance dissolved oxygen level in shrimp pond
Authors: Nugroho S D , Pratiwi C Z , Holil S 
Published: July 2022

AbstractThe dissolved oxygen (DO) is crucial water quality parameters for shrimp farming. The farmers need aerator to break water into fine drops or creating bubbles that can enhance dissolved oxygen level in the pond. Turbo jet surface aerator is the one type of aerator. This aerator works by rotating propeller which is connected by a hollow shaft to the motor. The angular adjustment that is used from the engine holder is 20°. Therefore, the propeller can rotate in half submerged position which is 4.5 cm immersion depth. This turbo jet surface aerator is designed using 0.5 HP electric motor, 7 blades, and 2 floats. The measurement result shows the turbo jet surface aerator can be used to enhance DO level up to 2.8 mg/L with the average of DO level of 6.8 mg/L. Turbo jet surface aerator can be operated properly for 168 hours nonstop with the electric motor temperature of 69°C.
Microplastic pollution in lower Cimandiri River, Indonesia: early detection on the occurrence, abundance and distribution
Authors: Henny C , Triyanto  , Suryono T , Rohaningsih D , Yoga G P , Waluyo A 
Published: July 2022

Abstract
Increasing in production and use of synthetic plastic materials constantly are responsible for the global increase in plastic debris in freshwater environments especially rivers. River is believed to be one of the important way to transport microplastics from inland to the Ocean. The study was conducted to assess early detection of the occurrence, abundance and distribution of microplastics (MPs) in lower Cimandiri River, West java, Indonesia, in which its water flows to the Indian Ocean. The water and sediment samples were collected in September 2020 from seven sampling sites in the upstream river tributaries, in the downstream segments and in the estuary. The analyses were done using a monocular stereo microscope in the laboratory. Preliminary detection showed that the abundance of microplastics was as high as 96 - 325 particles/m3 in the water and 620 - 950 particel/kg in the sediment of Lower Cimandiri River. Fibers accounted for > 70 % of the MPs types, and the size of < 300 mμ was the dominant MPs found (> 60%). Predominated small size MPs could pose a threat to the eels population sustainability. High MPs detected in Lower Cimandiri River could be a potential source of MPs pollution to the Indian Ocean.
Study of Different Protein Content of Feeding of Local Raw Materials on Gourami Fish (Osphronemus goramy Lac.) Aquaculture Performance
Authors: Santanumurti Muhammad Browijoyo , Nugroho Aditya Kusuma , Santoso Limin , Hudaidah Siti 
Published: July 2022

Abstract
Gourami (Osphronemus goramy Lac.) is one of the freshwater fish commodities that has high economic value because of its delicious meat taste which is very popular with all people. However, the feed commonly used by carp cultivators is factory-made feed, namely commercial feed which usually costs quite a bit because some of the ingredients for commercial feed are imported from abroad. Therefore, it is necessary to find a solution to reduce the cost of aquaculture production by replacing commercial feed with homemade feed made from local raw materials. The purpose of this study was to examine the use of local raw materials formulated to make feed suitable for the growth of gourami and to analyze the cost of producing carp feed made from local raw materials. This study consisted of 4 treatments and 3 replications using a completely randomized design (CRD). The treatments consisted of treatment A (Protein 30%), B (Protein 33%), C (Protein 36%), and D (Commercial). The results of this study showed that the treatment of feed A, B, and C produced the same growth as commercial feed, and treatment of feed A resulted in the lowest cost of feed production compared to other treatments.
Examination Under Anesthesia May Not Be Universally Required Prior to Anti-TNF Therapy in Perianal Crohn’s Disease: A Comparative Cohort Study
Authors: Chan Melissa , Fung Moses , Chin Koon Siw Kevin , Khanna Reena , de Buck van Overstraeten Anthony , Sabri Elham , McCurdy Jeffrey D 
Published: July 2022

Abstract

Background
Multidisciplinary care involving exam under anesthesia (EUA) and tumor necrosis factor (TNF) inhibitors is recommended for perianal Crohn’s disease. However, the impact of this combined approach is not well established.

Methods
We performed a comparative cohort study between 2009 and 2019. Patients with perianal Crohn’s disease treated with EUA before anti-TNF therapy (combined modality therapy) were compared with anti-TNF alone. The primary outcome was fistula closure assessed clinically. Secondary outcomes included subsequent local surgery and fecal diversion. Multivariable analysis adjusted for abscesses, concomitant immunomodulators, and time to anti-TNF initiation was performed.

Results
Anti-TNF treatment was initiated 188 times in 155 distinct patients: 66 (35%) after EUA. Abscesses (50% vs 15%; P &lt; .001) and concomitant immunomodulators (64% vs 50%; P = .07) were more common in the combined modality group, while age, smoking status, disease duration, and intestinal disease location were not significantly different. Combined modality therapy was not associated with higher rates of fistula closure at 3 (adjusted odds ratio [aOR], 0.7; 95% confidence interval [CI], 0.3-1.8), 6 (aOR, 0.8; 95% CI, 0.4-2.0) and 12 (aOR, 1.0; 95% CI, 0.4-2.2) months. After a median follow-up of 4.6 (interquartile range, 5.95; 2.23-8.18) years, combined therapy was associated with subsequent local surgical intervention (adjusted hazard ratio, 2.2; 95% CI, 1.3-3.6) but not with fecal diversion (adjusted hazard ratio, 1.3; 95% CI, 0.45-3.9). Results remained consistent when excluding patients with abscesses and prior biologic failure.

Conclusions
EUA before anti-TNF therapy was not associated with improved clinical outcomes compared with anti-TNF therapy alone, suggesting that EUA may not be universally required. Future prospective studies controlling for fistula severity are warranted.
(3200) Phaethon polarimetry in the negative branch: new evidence for the anhydrous nature of the DESTINY+ target asteroid
Authors: Geem Jooyeon , Ishiguro Masateru , Takahashi Jun , Akitaya Hiroshi , Kawabata Koji S , Nakaoka Tatsuya , Imazawa Ryo , Mori Fumiki , Jin Sunho , Bach Yoonsoo P , Jo Hangbin , Kuroda Daisuke , Hasegawa Sunao , Yoshida Fumi , Ishibashi Ko , Sekiguchi Tomohiko , Beniyama Jin , Arai Tomoko , Ikeda Yuji , Shinnaka Yoshiharu , Granvik Mikael , Siltala Lauri , Djupvik Anlaug A , Kasikov Anni , Pinter Viktoria , Knudstrup Emil 
Published: July 2022

ABSTRACT
We report on the first polarimetric study of (3200) Phaethon, the target of JAXA’s DESTINY+ mission, in the negative branch to ensure its anhydrous nature and to derive an accurate geometric albedo. We conducted observations at low phase angles (Sun-target-observer angle, α = 8.8–32.4°) from 2021 October to 2022 January and found that Phaethon has a minimum polarization degree Pmin = −1.3 ± 0.1  per cent, a polarimetric slope h = 0.22 ± 0.02  per cent deg−1, and an inversion angle α0 = 19.9 ± 0.3°. The derived geometric albedo is pV = 0.11 (in the range of 0.08–0.13). These polarimetric properties are consistent with anhydrous chondrites, contradict hydrous chondrites, and typical cometary nuclei.
Patient Blood Type Is Associated With Response to Immune Checkpoint Blockade in Metastatic Cancer
Authors: Chen Ruifeng , Hakimi Kasim , Zhang Xinlian , Messer Karen , Patel Sandip Pravin 
Published: July 2022

Abstract

Background
Immune checkpoint blockade (ICB) has transformed cancer therapy, with long-term responses and a favorable safety profile; however, only a minority of patients respond. Response to ICB is influenced by immune-related genetic factors such as HLA haplotype, potentially including patient blood type and associated differences in diversity of the T-cell repertoire. A minority of patients experience immune-related adverse events (irAEs), with unclear relation to response or resistance.

Materials and Methods
In this single institution study, we aimed to investigate the relationship of time to treatment failure (TTF) with patient blood type and with occurrence of irAEs, among patients with metastatic cancer receiving ICB.

Results
We found a strong association of improved TTF with presence of irAEs, and also among patients with type O blood, compared with type A/B/AB blood. Among patients with type O blood, TTF was substantially longer among those experiencing an irAE (n = 44; adjusted HR 0.41, 95% CI 0.18,0.96). For patients with type A/B/AB blood, no significant association was present (n = 63; adjusted HR 0.69, 95% CI 0.39,1.21). For type O patients, median TTF of ICB was 13.4 months (95% CI: 3.79 months, NA) vs 2.55 months (95% CI: 1.95 months, 4.95 months) for other patients.

Conclusion
This retrospective study of a cohort of patients receiving ICB suggests a preferential benefit among patients with type O blood and, in particular, among patients with type O blood who developed irAEs. Validation in future independent cohorts and investigation of a potential biologic basis for this finding is warranted.
Navigating Human Rights, Feminism, and History: Egyptian Feminist Activists’ Demands for Constitutional Equality, 2012–2014
Authors: Sundkvist Emma 
Published: July 2022

AbstractThis article analyzes the efforts of Egyptian feminist activists to insert gender equality in the country’s post-revolutionary constitutions in 2012 and 2014. While the literature on women’s political role during this period provides insights into exclusionary gender practices and conditions for bargaining power structures, this study contributes with a conceptual analysis of how feminist activists construed constitutional gender equality. The study is based on interviews with, and written statements by, activists engaged in the constitutional process. The article argues that these activists viewed the constitution as a central instrument in the struggle for gender equality and demanded a gender equality model beyond the sameness/difference paradigm. Instead, they argued for a substantive notion of gender equality that reflected women’s situated experiences while they, at the same time, navigated the legacies of Egypt’s earlier constitutions.
Cluster headache
Authors: Lindemann Christina R. 
Published: July 2022

ABSTRACT
Cluster headache is a primary headache disorder that leads to attacks of excruciating unilateral head pain with ipsilateral cranial autonomic features. These attacks can cluster, with frequent occurrences for weeks or months at a time followed by a period of complete remission. The excruciating pain of these attacks often is accompanied by increased suicidality, delays in diagnosis, and unnecessary invasive interventions. This article reviews the clinical presentation, differential diagnosis, evaluation, and treatment of cluster headache.
Understanding Etiologic Pathways Through Multiple Sequential Mediators: An Application in Perinatal Epidemiology
Authors: Ananth Cande V. , Loh Wen Wei 
Published: July 2022

Background:
Causal mediation analysis facilitates decomposing the total effect into a direct effect and an indirect effect that operates through an intermediate variable. Recent developments in causal mediation analysis have clarified the process of evaluating how—and to what extent—different pathways via multiple causally ordered mediators link the exposure to the outcome.

Methods:
Through an application of natural effect models for multiple mediators, we show how placental abruption might affect perinatal mortality using small for gestational age (SGA) birth and preterm delivery as two sequential mediators. We describe methods to disentangle the total effect into the proportions mediated via each of the sequential mediators, when evaluating natural direct and natural indirect effects.

Results:
Under the assumption that SGA births causally precedes preterm delivery, an analysis of 16.7 million singleton pregnancies is consistent with the hypothesis that abruption exerts powerful effects on perinatal mortality (adjusted risk ratio = 11.9; 95% confidence interval = 11.6, 12.1). The proportions of the estimated total effect mediated through SGA birth and preterm delivery were 2% and 58%, respectively. The proportion unmediated via either SGA or preterm delivery was 41%.

Conclusions:
Through an application of causal mediation analysis with sequential mediators, we uncovered new insights into the pathways along which abruption impacts perinatal mortality.
Patient Self-reported Breast Cup Size and Resultant Mastectomy Specimen Weight: Implications for Reconstructive Breast Surgery
Authors: Perez Kevin , Teotia Sumeet S. , Haddock Nicholas T. 
Published: July 2022

Background:
Breast cup sizing irregularities exist due to discrepancy between garment manufacturers and patient reported measurements making it difficult to assess true preoperative and definitive postoperative breast cup size. This study aims to evaluate the association between patient self-reported breast cup size and mastectomy specimen weight as a way to determine postreconstruction breast cup size.

Methods:
This is a retrospective study that evaluated patients who underwent bilateral mastectomy at an academic center between 2019–2021. Cup size and mastectomy weight were our only independent and dependent variables, respectively. Covariates that were assessed included chest circumference, surgical oncologist, BMI, race, and age.

Results:
243 patients were evaluated as a part of this study who underwent either total-simple (TS; 29), skin-sparing (SS; 146), or nipple-sparing (NS; 68) bilateral mastectomy. There were positively weak correlations using nonparametric correlation analysis for breast cup size to mastectomy weight in patients who underwent TS (r = 0.375; p = 0.004), SS (r = 0.353; p <0.001), and NS (r = 0.246; p = 0.004) mastectomy. The multivariate linear regression for TS (R2=0.520; p < 0.001), SS (R2=0.573; p < 0.001) and NS (R2=0.396; p < 0.001) mastectomy were significant. Covariates assessed in the regression showed BMI significant for all types, age for TS type, and SS type for breast surgeon and chest circumference.

Conclusions:
There is a positively weak correlation between preoperative breast cup size and mastectomy weight, providing evidence for the difficulty of estimating postoperative breast cup size. Thus, the conversation with the patient should focus on breast appearance and quality of life rather than postreconstruction breast size.
“They're My Go-To People”: A Qualitative Study of Support Networks for People Recently Diagnosed With HIV in Queensland, Australia
Authors: Hollingdrake Olivia , Lui Chi-Wai , Dean Judith A. , Mutch Allyson , Howard Chris , Fitzgerald Lisa 
Published: July 2022

Abstract
Support networks promote care engagement and prevent social isolation for people living with HIV (PLWH). This study examined the personal support networks of recently diagnosed PLWH and explored how these networks change over time. We developed qualitative social network maps with 10 recently diagnosed PLWH in Queensland and identified unique and dynamic support networks. Network changes over time were influenced by changing support needs and experiences of stigma. Some support networks grew, whereas others remained small and close-knit or became sparse. The pivotal role of peers for information and emotional support was revealed. Socially isolated PLWH also described substantial reliance on long-term professional support. Others described reasons why health professionals were excluded from support networks, revealing the importance of nonjudgmental attitudes and HIV literacy among health professionals. Facilitating ongoing links with peers and professionals are crucial strategies to help PLWH foster effective and sustainable networks for comprehensive long-term support.
Attitudes and Beliefs of Pediatric Residents and Physician Assistant Students Toward Screening Adolescents for Suicide in Primary Care
Authors: Gillette Chris , Garvick Sarah J. , Aldrich Rosalie S. , Halvorson Elizabeth E. , Flesher Susan L. , Waddell Erin , Maupin Elizabeth J. , Daniel Stephanie 
Published: July 2022

Introduction:
The objectives of this study were to: (1) describe attitudes of health professional trainees for conducting routine screening for suicidal ideation with adolescents; (2) identify the relationship between intention to conduct suicide risk assessments and behavioral attitudes, norm referents, and behavioral control; and (3) investigate the relationship between intention to conduct these assessments and self-reported clinic behavior.

Methods:
Second-year physician assistant (PA) students and pediatric residents (MD) at 3 universities voluntarily completed an anonymous cross-sectional questionnaire. The questionnaire was guided by the Theory of Planned Behavior and included items about previous experience with suicide. Pearson correlation and multivariable linear regression were used to analyze the data.

Results:
There were usable and complete data for 105 respondents (n = 105). The sample included PA students (89.52%, n = 94) and pediatric residents (10.48%, n = 11). Trainees were significantly more likely to have higher intention to conduct suicide risk assessments when they reported greater behavioral control (Std. β = 0.34, p <0.001) and reported suicide being discussed during previous clinic visits as a student/resident (Std. β = 0.21, p = 0.03), controlling for profession, race, behavioral attitudes, and norm referents. Trainees were significantly more likely to report conducting suicide risk assessments when they had greater behavioral control (Std. β = 0.27, p = 0.01) and greater intention to conduct these assessments (Std. β = 0.21, p = 0.03), controlling for profession, race, behavioral attitudes, and norm referents.

Discussion:
Second-year PA students and pediatric residents support screening adolescents for suicide risk. Training on methods to increase behavioral control may increase rates of screenings.
Transitioning from Nurse-Patient Ratios to Workload Intensity Staffing
Authors: Bacon Cynthia Thornton , Gontarz JoAnna , Jenkins Marjorie 
Published: July 2022

OBJECTIVE
The aim of this study was to explore the facilitators and barriers in implementing a workload intensity (WI) tool.

BACKGROUND
A WI tool was developed to quantify patient needs and more evenly disperse workload among nurses.

METHODS
A descriptive phenomenological design was used. Semistructured interviews were conducted with 16 nurses on 5 inpatient units. Questions focused on the factors that helped or hindered the change transition to workload intensity staffing (WIS).

RESULTS
WI was perceived as a positive change. Five themes were uncovered as facilitators and barriers to the change: resistance to change, intense workloads, supportive organizational culture, resources/training, and evaluation.

CONCLUSIONS
Understanding barriers and facilitators to change is important for successful implementation of WIS. To promote success, leaders should provide support to staff and ensure availability of adequate resources.
Comprehensive Onboarding and Orientation to Support Newly Hired Faculty in a Nursing Program
Authors: Young-Brice Amber , Farrar-Stern Kylateia , Malin Michele 
Published: July 2022

Background:
Nursing programs are challenged with retaining nurse faculty due to many complex factors, one being the problem of suboptimal transition to the role.

Purpose:
The purpose of this project was to assess the impact of an onboarding and orientation program, the Teaching Excellence Program (TEP), on the transition of newly hired nurse faculty.

Methods:
Program assessment data, including quantitative and qualitative measures of 14 participants' needs and experiences, were collected over one academic year.

Results:
A Wilcoxon signed-rank test found no discernible difference between the preprogram and postprogram survey responses. Qualitatively, participants reported positive experiences with the TEP, highlighting the value of being in a cohort that created a sense of belonging within the college and university.

Conclusion:
The inclusion of programming such as the TEP can be used as a recruitment and retention tool, especially as we navigate faculty shortages and develop clinicians as faculty members.