bluuebunny/crossref_metadata_2025_split huggingface dataset:
C-Reactive Protein levels in Acute Stroke: Ischemic vs Hemorrhagic in a Tertiary Care Hospital
Authors: Jamal Nighat , Jadoon Iqra , Hamza Ameer , Affan Ali Syed , Rauf Abdur , Mumtaz Hassan , Muhammad Ismail Syed 
Published: July 2022

There is growing evidence of the prognostic importance of C-reactive protein (CRP) in ischemic stroke. However, the independent value of CRP in ischemic vs hemorrhagic stroke has not been established. Objective: To assess the diagnostic value of CRP as biomarker in ischemic stroke in comparison to hemorrhagic stroke Methods: This prospective study was conducted from March 2020 to March 2022 in the Department of Medicine, Ayub Medical College. Sample size of 71 was calculated including patients of both genders having age 22-105 years admitted with first-ever acute stroke within the first 24 hours of onset. Data was analyzed using SPSS latest version. Quantitative variables are shown as frequency and percentages. Paired T Test was applied to see the association of CRP levels with effect on CT- Scan of Brain. p value less than 0.05 was considered significant Results: 69% of the participants were women, far outnumbering the men. 45 patients found to have ischemic stroke (63.38%) whereas 26 (36.62%) reported having Hemorrhagic stroke. Paired t test applied to see the association of CRP Levels with CT Scan Brain was found significant having p value 0.002 Conclusions: CRP levels are important in the diagnosis of stroke based on data. CRP levels must be compared to those of other stroke biomarkers in order to make this determination. The serum CRP level within 24 hours can be used to predict severity in ischemic but not hemorrhagic stroke.
Frequency of Depression Among Chronic Hepatitis C Patients Visiting Haji Abdul Qayyum Hospital Sahiwal
Authors: Iftikhar Hira , Iftikhar Zahra , Qutab Noman , Aamir Diwan Rana , Ayub Tayyaba , Anwar Faridi Tallat 
Published: July 2022

Hepatitis C is prominently a hepatic disease whose infection ranges in severity from a mild illness to serious lifelong complications. Multiple organ systems in the body may get affected. Depression is an important complication in almost 70% of HCV patients. Objectives: To find out the frequency of depression in chronic hepatitis C infected population of District Sahiwal. Methods: Descriptive cross-sectional study was performed at Gastroenterology Clinic, Haji Abdul Qayyum Hospital, Sahiwal during nine months from September 2020 to June 2021.Total 350 patients were selected by non - probability purposive sampling on the basis of preset inclusion and exclusion criteria. Beck’s Depression Inventory Scale was utilized to assess the patients for depression and correlate it with level of education and occupation. Results: Out of 350 patients of CHC, 56.6% were male and 43.4% were female. 4.3% patients were suffering from borderline depression; 42.3% were suffering from moderate depression; 46.3% were suffering from severe depression and 2.3 % were suffering from extreme depression. Association of depression with household income (p = 0.044) and duration of disease (p = 0.00) were significant while association of depression with level of education (p = 0.655) and occupation (p = 0.219) were not significant. Conclusion: Level of depression in patients of CHC is dangerously high. Level of depression in patients of CHC is strongly dependent on household income and duration of disease and independent of level of education and occupation.
Prevalence and Factors Leading to Hallux Valgus in Adults
Authors: Iftikhar Arooj , Aslam Saira , Amjad Faiza , Jabbar Saima , Alam Ayesha 
Published: July 2022

Hallux valgus deformity is an abnormal aberration of the main metatarsal and parallel aberration of the Hallux (Big Toe), which is mistakenly interpreted as an augmentation of bone or tissue surrounding the Big Toe joint. Objective: The goal of this cross-sectional study was to determine the prevalence of hallux valgus in adults and the variables that cause it. Methods: A sample of 160 young adults (both genders aging b/w 18 to 55 years) was evaluated for hallux valgus using the non-probability purposive sampling technique in Lahore Pakistan. The data were collected through a standardized Bunion Questionnaire and Manchester scale. It took six months to complete, whereas, the data was analyzed using SPSS version 21. Results: For data analysis means, standard deviations were used along with chi-square testing. Adults had a 37.5 percent prevalence of hallux valgus, and the current study indicated that the primary risk variables were growing age, with females suffering more than males. The usage of heels on a regular basis was one of the key risk factors for patients with hallux valgus. Conclusion: The outcomes of the research might lead to improved biomechanical therapies to eliminate needless foot posture loads and the usage of non-ergonomic shoes.
IMPACTO DEL REGIMEN DE EXCEPCIÓN DE ESTADO DE EMERGENCIA Y LA SALUD PÚBLICA EN HUANCAVELICA
Authors: Cárdenas Almonacid Jesús Gabriel , Quispe Hilario Saúl , Soto Donaires Analí Giovana 
Published: July 2022

Objetivo: fundamentar el impacto de la declaración de estado de emergencia que se relaciona con la salud pública en el departamento de Huancavelica, ya que en la presente investigación desarrollamos un tema de trascendental importancia para el derecho en el contexto de pandemia que vivimos, y nos sumergiremos en los contenidos del Régimen de Excepción en el país y su relación con la salud pública.
Método: la investigación es de tipo de correlacional causal, cuantitativo, diseño no experimental de tipo longitudinal; para el recojo de datos se utilizó la guía de observación y estilo Likert, un cuestionario de 18 ítems.
Resultados: mediante el estudio estadístico realizado a través del coeficiente de correlación de Pearson (r) se tiene a un 95% de nivel de confianza, r= 0,7890939, que corresponde a una correlación positiva alta, que el impacto de la declaración de estado de emergencia se relaciona significativamente con la salud pública en el Departamento de Huancavelica, que el derecho a la inviolabilidad de domicilio y la reunión pacifica sin armas se relaciona significativamente con la salud pública.
Conclusión: el impacto de la declaración del régimen de excepción de estado de emergencia tiene una alta correlación con la salud pública en el Departamento de Huancavelica.
MUKHOYAM AL-QUR’AN DALAM MENINGKATKAN MOTIVASI MENGHAFAL SANTRI PONDOK PESANTREN
Authors: Farhanudin Sholeh  , Mohammad Sholehuddin  
Published: July 2022

Kegiatan MukhoyamAl-Quran yang dilaksanakan satu tahun sekali, dengan sistem outdoor (ngecamp) memadukan antara kegiatan Al-Quran (menghafal) dan kegiatan fisik yaitu olah raga (olah jiwa) tentunya dengan nuansa pendidikan lebih kental. Dalam kegiatan ini pembentukan motivasi tidak hanya dilakukan dengan memberikan materi saja akan tetapi dalam bentuk outbound kemudian dikaitkan dengan materi yang akan disampaikan, karena akan lebih efektif jika pembentukan motivasi ini dilakukan dengan cara mengaplikasikan langsung kegiatan dari pada terus-menerus menyampaikan sebuah ceramah atau materi.
Dengan fokus penelitian yang akan di teliti dalam penelitian ini adalah: 1).Bagaimana program mukhoyam Al-Qur’an dalam meningkatkan motivasi santri menghafal Al-Qur’an? 2).apa saja faktor penghambat santri dalam menghafalkan Al-Qur’an?.3).bagaimana peran mukhoyam Al-Qur’an dalam memotivasi untuk menghafal Al-Qur’an?
Penelitian ini menggunakan metode deskriptif kualitatif, dengan jenis pendekatan kualitatif. Teknik pengumpulan data menggunakan wawancara dan dokumentasi yang di analisis secara deskriptif. Sedangkan analisis datayang di gunakan adalah reduksi data, penyajian data, penarikan kesimpulan. Data yang terkumpul melalui ketiga teknik tersebut di analisis secara berulang-ulang. Keabsahan data dilakukan pengecekan data untuk memastikan apakah data yang telah diperoleh sudah benar-benar dapat dipercaya atau belum. Ini juga dilakukan untuk memastikan bahwa data yang diperoleh benar-benar dapat menjawab rumusan masalah penelitiannya.
Hasil penelitian ini menunjukan bahwa setiap santri memiliki motivasi masing-masing dan motivasi tersebut di kembangkan oleh pondok pesantren tahfidzul Qur’an dengan mengadakan kegiatan mukhoyam Al-Qur’an, selain membaca dan menghafal santri juga di tanamkan nilai-nilai agama dan mentadaburi isi kandungan Al-Qur’an agar santri menjadi penghafal Al-Qur’an sesuai yang di harapkan.
Evaluasi Response Time Seksio Emergensi Kategori I Terhadap Luaran Maternal dan Neonatal Dengan Tersedianya Alur Pelayanan Seksio Sesarea Emergensi Di RSUDZA Juli-Oktober 2021
Authors: X Cut Meurah Yeni , Hasanuddin Hasanuddin , X Cut Rika Maharani , X Nurul Fadhliati Maulida 
Published: July 2022

Angka seksio sesarea (SC) mengalami kenaikan dua kali lipat di seluruh dunia yaitu 12,1% pada tahun 2010 dan 21,1 % pada tahun 2015 di 169 negara. The American College of Obstetricians and Gynecologists (ACOG) dan the National Institute of Clinical Excellence (NICE) membuat ketentuan standar baku emas bahwa response time SC emergensi atau disebut juga decision-to-delivery interval (DDI) pada kelahiran yaitu <30 menit. Tujuan pelitian ini untuk mengetahui gambaran response time SC emergensi kategori 1 di RSUDZA setelah pembuatan alur pelayanan SC emergensi. Rancangan penelitian ini adalah kohort prospektif, dengan melihat data pasien yang memenuhi kriteria inklusi dan ekslusi di RSUDZA dari periode Juli sampai Oktober 2021. Luaran cut of point rerata response time, luaran maternal dan neonatal. Data dianalisis dengan menggunakan software SPSS 23. Didapatkan 19 kasus yang memenuhi kriteria dari total 23 kasus SC emergensi kategori 1. Rerata response time SC emergensi kategori 1 adalah 36,29±8,59 (28-50 menit). Ada tidaknya demam, perlu tidaknya rawatan pasca operasi di ICU, serta kematian ibu memiliki hubungan yang erat dengan response time SC emergensi kategori I (p<0,05). Skor APGAR, perlu tidaknya bantuan pernapasan seperti CPAP dan intubasi, perlu tidaknya rawatan di NICU, serta kematian bayi memiliki hubungan yang erat dengan response time SC emergensi Kategori I (p<0,05). Response time SC <30 menit memiliki pengaruh yang signifikan terhadap luaran maternal dan neonatal dengan tersedianya alur SC emergensi di RSUDZA.
Analisis Dampak Penggunaan Failure Mode and Effects Analysis (FMEA) Dalam Mencegah Potensi Kegagalan Sistem Pelayanan di Unit Gawat Darurat (UGD) Penyakit Infeksi New Emerging dan Re Emerging (PiNERE) RSUDZA Banda Aceh
Authors: X Mikyal Bulqiah , X Fiona Desi Amelia , X Nanda Earlia , X Darul Mufti , X Maretha Meutia 
Published: July 2022

COVID-19 merupakan penyakit yang disebabkan oleh virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Sejak ditemukan pertama sekali di Wuhan, China, penyakit ini dalam waktu singkat menjadi pandemi di seluruh dunia termasuk di Aceh. Untuk menanggulangi penyakit tersebut, Pemerintah Aceh membuka layana baru yaitu layanan Penyakit Infeksi New Emerging dan Re Emerging (PINERE), dan UGD PINERE merupakan salah satu dari layanan tersebut. Pada pelaksanaannya, terdapat permasalahan yang kerap muncul pada sistem layanan UGD PINERE seperti pasien COVID-19 yang masih berapa di area IGD Existing terutama pasien asimtomatis, bercampurya pasien COVId-19 dan non COVID-19, waktu tunggu pemeriksaan penunjang yang lama dan lainnya. Sampai saat ini belum ada langkah yang dilakukan untuk menghindari potensi masalah/kegagalan yang mungkin terjadi sehingga Failure Mode and Effects Analysis (FMEA) sangat diperlukan. Tujuan dari penelitian ini adalah untuk mengetahui keefektifan penggunaan FMEA dalam mencegah potensi kegagalan dalam sistem pelayanan di UGD PINERE di RSUDZA Banda Aceh dengan harapan setelah mengetahui apa saja yang menjadi potensi kegagalan, kita dapat mencegah kegagalan tersebut terjadi serta mengurangi dampak dari kegagalan tersebut. Penelitian ini merupakan penelitian eksperimen semu quasi experimental) dengan desain penelitian one group pre test-post test design. Tim peneliti akan membentuk tim khusus yang terdiri dari multidisiplin ilmu dan akan melakukan brianstorming terkait modus kegagalan, menghitung Risk Priority Number (RPN), melakukan redesain proses, uji coba proses baru kemudian menghitung kembali nilai RPN. Total 10 failure mode, 34 cause failure dan 10 effect failure berhasil diidentifikasikan. Failure mode dengan RPN terbesar adalah pasien COVID-19 yang berada di UGD non PINERE (IGD Existing) dengan total nilai 441. Dari hasil analisis data menggunakan uji T tidak berpasangan didapatkan FMEA efektif dalam mencegah potensi kegagalan sistem pelayanan di UGD PINERE dalam hal ini menurunkan risiko penularan COVID-19 di lingkungan UGD PINERE dilihat dari penurunan Risk Priority Number (RPN) sebelum dan sesudah intervensi (p<0.05).
La autoficción entre los géneros literarios y periodísticos: representación de la violencia en Chicas muertas de Selva Almada
Authors: Osuna Osuna Gabriel , Castro Vázquez Ana Laura 
Published: July 2022

El objetivo del presente artículo es analizar las formas discursivas que atraviesan las fronteras de los géneros literarios y periodísticos para forjar nuevas narrativas sobre la violencia machista y sus efectos. En Chicas muertas de Selva Almada el cruce entre géneros surge como un recurso eficiente que contribuye en la humanización de las víctimas de feminicidio. Mediante una narradora que vive de cerca el sufrimiento de quienes padecen la violencia contra las mujeres y buscan dar voz y visibilidad a los casos, sus descripciones se empeñan en la configuración de personajes con un rostro, un nombre y una historia.
The bio components in the vitrimers reprocessability: A meta- analysis study
Authors: Yeissel Becerra Lovera Angela , Gomes de Souza Junior Fernando 
Published: July 2022

Vitrimers consist of polymeric networks capable of reorganizing their topology without harming the integrity of the material. These types of polymers have highly desirable properties, combining malleability, recyclability, cure, and repair at hightemperatures with insolubility and low shape changes, which implies that vitrimers can be designed to obtain re-processable materials that can replace traditional thermosets, which is a crucial step to face the problem of the disposal of plastic materialsafter use. Thanks to these advantages, and intending to make sustainable the production of this kind of materials, various authors have explored the use of raw materials from renewable resources for partial or total replacement of synthetic vitrimerscomponents, thus increasing the environmentally friendly profile of the vitrimers, thanks to the reduction in both, the oil consumption and carbon dioxide emissions. To analyze the possibilities in this field, in this work, we perform a systematic collection of data present in the literature and investigate interactions between reprocessability, the stability of the mechanical properties, and the use of materials of biological origin for the synthesis of vitrimeric polymers. The results obtained show that some of the biomaterials that have been studied to date can improve the reprocessability properties of vitrimers, which indicates that the bio-based vitrimeric polymers can become an attractive option for the development of environmentally friendly materials with good mechanical and reprocessability properties.
Effect of cassava starch biofilm with diffusion of silver nanoparticles on the conservation of banana 'prata'
Authors: Thode Filho Sérgio , Gomes de Souza Junior Fernando , Jorge Emanuele Nunes de Lima Figueiredo , De Oliveira Pinto Elaine , Silva da Costa Gisela , Dias Campos Larissa 
Published: July 2022

Brazil is now the world's fourth-largest banana producer in the world with an annual production of 6.953,747 tons per year. In Brazil, the banana (Musa spp.) stands out, not only because it is the most widespread, but also because it is the most consumed by all social classes. Cassava is a renewable, almost unlimited resource and one of the most abundant substances in nature. It is one of the most important starchy root crops of the tropics used for food and industrial purposes. The present study aimed to evaluate the use of biofilms based on cassava starch with the diffusion of silver nanoparticles (AgNP) on the conservation of banana 'Prata'. Initially, filmogenic solutions were produced using the casting technique for five treatments. Additionally, transparency, thickness, grammage, and, subsequently, the biofilms were applied in the film-forming solution for 1 min and suspended for further drying at room temperature. After this process, were evaluated the fresh mass loss and total soluble solids. This study revealed the efficiency of cassava starch biofilm with gelatin addition to reduce the enzymatic browning rate and increase the shelf life of bananas (Musa Subgroup Prata). However, no significant results were observed with the addition of commercial silver nanoparticles .
Removal of nickel from Ni(II)-NH3-SO2-CO2-H2O system by electrocoagulation, sedimentation, and filtration processes
Authors: Vargas Armando Rojas , Haynes María Elena Magaña , Guillen Crispin Sánchez , Yasir AlJaberi Forat 
Published: July 2022

The nickel removing by electrocoagulation of Ni(II)-NH3-CO2-SO2-H2O system was studied in a batch reactor of 50 L useful volume, with stirring, and two pairs of aluminum electrodes. The operating parameters were nickel concentration between 255 and 342 mg L-1, current density of 11.0 and 16.6 mA cm-2, pH 8.34±0.06, mean temperature 58.4±3.9 oC and retention time of 50 min. The maximum nickel removal was 99.7 % at 11.0 mA cm-2, specific energy consumption 16.86 kWh kg-1 of Al3+, 2.438 kWh kg-1 of Ni and the adsorption capacity 5819 mg Ni g-1 of Al3+. The precipitate contained a nickel concentration of 37.2 % and true density 2720 kg m-3, hydro­talcite-like structure layered double hydroxides. The unit area of sedimentation was between 0.25 and 1.96 m2 t-1 day, at a density from 971 to 1019 kg m-1 and 53±4 oC. A model for pre­dicting the specific cake resistance was estimated as a function of pressure drop and sus­pension concentration at 44.45 kPa and 59.52 kg m-3, resulting in the value of 6.47±107 m kg-1. The average cake humidity was 88 % base humid.
Kelengkapan Dokumentasi Keperawatan Sebelum dan Sesudah Pelatihan Praktik Keperawatan Profesional di Rumah Sakit X Baturaja Kabupaten Oku
Authors: Suyanti Irmina , Purwarini Justina , Supardi Sudibyo 
Published: July 2022

Kelengkapan dokumentasi keperawatan merupakan indikator kinerja perawat dan menjadi cermin kualitas pelayanan keperawatan di rumah sakit. Tujuan penelitian untuk mengetahui kelengkapan dokumentasi keperawatan sebelum dan sesudah pelatihan metode praktek keperawatan profesional di ruang rawat inap rumah sakit. Desain penelitian menggunakan pra-eksperimen dengan rancangan one group pretest-postest/design. Penelitian dilakukan di RS X Baturaja Kabupaten OKU bulan April - Juli 2020 dengan jumlah sampel 47 perawat yang dilatih MPKP. Pengukuran kelengkapan dokumentasi dengan mengobservasi 47 dokumentasi keperawatan mengacu pada instrumen A Depkes. Analisis data menggunakan uji statistik non parametrik Wilcoxon dan Chi-square. Hasil penelitian; terdapat perbedaan kelengkapan dokumentasi (pengkajian, implementasi, evaluasi) keperawatan yang signifikan antara sebelum dan sesudah penerapan MPKP (P<0.05), terdapat perbedaan kelengkapan dokumentasi (diagnosa, perencanaan) keperawatan yang tidak signifikan sebelum dan sesudah penerapan MPKP (P>0.05), ada hubungan yang bermakna antara pendidikan D3 keperawatan dengan peningkatan pengkajian keperawatan dan antara pendidikan Ners sarjana keperawatan dengan peningkatan implementasi keperawatan (P<0.05). Pelatihan MPKP meningkatkan Kelengkapan; dokumentasi (pengkajian) keperawatan pada perawat dengan pendidikan D3 keperawatan lebih besar, dokumentasi (implementasi) keperawatan pada perawat dengan pendidikan Ners. Karakteristik responden (umur 27,6%; pendidikan 26,2%; masa kerja 24,0%; PO-Fit 20,5%) dalam meningkatkan kelengkapan dokumentasi pengkajian. Penelitian ini merekomendasikan perlunya penelitian lebih lanjut dan Bidang Keperawatan membuat keseragaman dalam implementasi MPKP, mengadakan pelatihan proses keperawatan.
Preparation and Characterization of Vanillin Cross-linked Chitosan Microspheres Modified by Silver Nanoparticles
Authors: XU Xiangxiang , HU Lulu , ZHAO Haibing , ZHANG Zongrui , GAO Jiangang 
Published: July 2022

In this work, the vanillin cross-linked chitosan microspheres were firstly prepared by emulsion chemical cross-linking method with vanillin as a cross-linker. Subsequently, with polyvinylpyrrolidone as a nanoparticle stabilizer and dispersant, silver nanoparticles were modified onto the surface of vanillin cross-linked chitosan microspheres by in situ reduction with ascorbic acid to obtain silver nanoparticles modified microspheres. The chitosan and two kinds of microspheres were characterized by SEM, FTIR and XRD. The SEM images showed that the two kinds of microspheres had clear and well-defined spherical shapes with an average particle size of 4.2 μm and the silver nanoparticles were then evenly dispersed on the surface. The FTIR spectra revealed that chitosan was successfully cross-linked by vanillin through Schiff base reaction and hydrogen bond interactions. The X-ray diffraction pattern of vanillin cross-linked chitosan microspheres modified with silver nanoparticles indicated that the silver nanoparticles had a face-centred cubic structure with an average particle size of 44.4 nm confirmed by SEM, which proved the successful synthesis of target composite microspheres.
Rock-Climbing Shoes: A Survey of Attitudes and Practices
Authors: Jenkins David W. , Page Jeffrey C. , Stein Amy , Wissman Lance , Rowe Bryn A. , Rowe Fallon E. 
Published: July 2022

Background: There is a paucity of literature regarding rock climbing footwear. Rock climbers anecdotally voice numerous complaints regarding their current footwear. In an effort to improve existing rock-climbing footwear, implementation of a survey tool assessing the attitudes and practices of rock climbers was undertaken.
Methods: A Web-based survey was developed to assess the demographics, attitudes, and practices of individuals active in rock climbing, with a focus on footwear.
Results: Forty-five of the 417 respondents were male and 55% were female. The average years climbing was 7, with a majority of respondents in the 18- to 34-year-old category. The majority climbed 5 to 10 hours/week. Eighty percent identified as intermediate or advanced climbers. Climbing shoes were an average of 0.83 size smaller than the climber’s street shoes. The more elite the climber, the greater the mismatch. Overall satisfaction with current rock-climbing shoes was 88%; however, as the age of climber and number of years of participation increased, the level of satisfaction decreased. The most frequently reported problems with shoes included inconsistent sizing between brands and poor heel fit. The most commonly reported locations of pain were the toes and heel.
Conclusions: The authors concluded the following: 1) a surprisingly high satisfaction with current rock-climbing shoes was reported; 2) the difference in size between climbing shoes and street shoes was less than expected; 3) more shoe fitting problems were experienced by those with the most experience in climbing and those who spend the most time climbing; 4) the most common locations for experiencing pain were the toes and the posterior heel or Achilles tendon; 5) higher than expected satisfaction levels with climbing shoes contrasted with the very high number of specific complaints and recommendations for improvement; and 6) because of the increasing popularity of rock climbing, foot care providers should learn about the various types of climbing and the shoe gear needs that result therefrom.