bluuebunny/crossref_metadata_2025_split huggingface dataset:
Indigenously Prepared Intermittent Negative Pressure Wound Dressing: Effective and Economic in Indian Scenario
Authors: Choudhary Aayushi , Joshi Mrinal , Lamoria Nitesh 
Published: August 2022

Introduction:
Intermittent negative pressure wound treatment (INPWT) is a proven way to accelerate wound healing by increasing blood flow, promoting angiogenesis and suction removal of matrix metalloproteinases. The purpose of the study was to evaluate the use of INPWT in pressure sores. In our study, we have used very low-cost locally available material for INPWT in place of commercially available costly vacuum-assisted closure (VAC) machine and dressing.

Materials and Methods:
This was a prospective study conducted in the department of plastic and reconstruction surgery and physical medicine and rehabilitation at a tertiary level facility. Eighty patients of spinal cord injury with 70% of ASIA Grade A and B with pressure ulcer most commonly at sacral and ischial regions with National Pressure Ulcer Advisory Panel Grade 3 and Grade 4 pressure sore were treated. Patients enrolled included 57 males and 23 females. The study employed locally manufactured low-cost materials such as foam, Ioban tape, Room Vac drain and suction machine (easily and locally available at any primary, secondary as well as tertiary healthcare centre) for INPWT in patients with pressure sores. Dressing was changed every 4th day till desired granulation tissue was formed.

Results:
Out of patients who were treated with INPWT, 30% achieved direct closure, 49% required split skin grafting and 21% required reconstruction by local flaps. Commercial available VAC machines available in the market cost around 300,000–500,000 INR, and the cost of single dressing is around 7000–15,000 INR. This may not be economically feasible, especially in patients having large wounds which require multiple applications of these dressings with our indigenous dressing; there is a 95%–98% decrease in pricing of dressing.

Conclusion:
The study concluded that low-cost indigenously prepared INPWT dressing produced effective results at minimum cost that were at par with commercially available costly VAC dressing. This low-cost indigenously prepared INPWT can be groundbreaking in treatment of patients with pressure ulcer in developing country like India in both rural and urban settings.
Case Report: Dystonic Storm Following Japanese Encephalitis Virus Infection
Authors: Ghosh Ritwik , Dubey Souvik , Das Shambaditya , Benito-León Julián 
Published: August 2022

ABSTRACT.
Dystonic storm (also called status dystonicus) is a neurological emergency characterized by sustained/intermittent involuntary generalized muscle contractions resulting in repetitive painful twisting movements and abnormal postures. It is commonly documented in patients with diagnosed primary dystonic syndromes or secondary dystonic states (i.e., patients with inborn errors of metabolism, dystonic cerebral palsy, Wilson’s disease, pantothenate kinase-associated neurodegeneration, and exposure to drugs, among others). However, viral-induced dystonic storm cases have rarely been reported. We describe the case of an 11-year-old girl from rural West Bengal (India) with a dystonic storm after Japanese encephalitis. Generalized dystonic spasms lasted for about 10–20 minutes and occurred 20–30 times/day. They were associated with extreme pain, fever, exhaustion, sweating, tachycardia, tachypnea, pupillary dilatation, arterial hypertension, and mutism and were precipitated by a full bladder and relieved somewhat during sleep. When dystonic spasms abated, she had high-grade generalized rigidity of all four limbs and fixed cervical and truncal dystonia. She was put on invasive ventilation and deep intravenous sedation with continuous midazolam infusion and other supportive measures and had a good clinical recovery. During the 12 months of follow-up, she did not have any other episode of a dystonic storm. However, axial rigidity and intermittent appendicular (upper limb) dystonic posturing were observed. The authors also have briefly discussed the differential diagnoses and treatment plans for such a neurological emergency.
Determinants of COVID-19 Breakthrough Infections and Severity in ChAdOx1 nCoV-19–Vaccinated Priority Groups
Authors: Kaur Upinder , Bala Sapna , Ojha Bisweswar , Pathak Bhairav Kumar , Joshi Aditi , Yadav Ashish Kumar , Singh Anup , Kansal Sangeeta , Chakrabarti Sankha Shubhra 
Published: August 2022

ABSTRACT.
The current analysis is a part of an ongoing observational study that began in February 2021 in the Sir Sunder Lal Hospital (Varanasi, Uttar Pradesh) in northern India and is expected to continue until June 2022. This analysis aimed to delineate the clinical presentation and risk factors of occurrence and severity of COVID-19 in vaccinated individuals. The study enrolled health-care workers and the elderly receiving the COVID-19 vaccine at one of three centers linked to the study hospital. The participants received the ChAdOx1 nCoV-19 (Oxford-AstraZeneca) vaccine based on the chimpanzee adenovirus platform (manufactured in India by the Serum Institute of India). The adenovirus codes for the spike (S) protein of SARS-CoV-2. Participants were contacted by phone at pre-decided intervals and questioned about the occurrence of COVID-19, clinical presentation, severity, and persistence of symptoms. A logistic regression analysis was performed to predict the risk factors of occurrence and severity of COVID-19. Of the 1,500 participants included in the analysis, 418 developed COVID-19 (27.9%). Fever was the most common symptom (72%), followed by cough (34%) and rhinitis (26%). Cardiovascular involvement was seen in more than 2% of individuals, and 11% had post-COVID-19 complaints. Regression analysis showed 1.6 times greater odds of contracting the disease in females and in those younger than 40 years, 1.4 times greater odds in individuals who were overweight, and 2.9 times greater odds in those receiving only one dose, compared with respective comparators. Individuals receiving two doses at a gap of ≤ 30 days had 6.7 times greater odds of infection than those receiving at a > 60-day interval. There was no association between COVID-19 occurrence in the vaccinees and pre-vaccination history of SARS-CoV-2 infection. Males were at a 3.6 times greater risk, and persons with preexisting lung disease—mainly asthma—had a 5.9 times greater risk of experiencing moderate to severe COVID-19 than comparators. While an extended interval between the two vaccine doses seems to be a better strategy, gender differences and an association of asthma phenotypes with COVID-19 need to be explored.
Evaluation of Nursing Interventions Performed By Nursing Students and Their Competency Levels in Clinical Practice
Authors: KURT Yeter , ÖZKAN Çiğdem Gamze , BAYRAM Aysun 
Published: August 2022

Aim: This study aimed to evaluate the nursing interventions performed by nursing students and their competency levels in clinical practice.
Method: This descriptive and comparative study was carried out with 381 nursing students who agreed to participate. The data were collected using the "Personal Information Form" and the "Nursing Interventions Self-Assessment Form". Collected data were evaluated via frequency, percentages, mean tests, and the chi-square test.
Results: The results showed that 50.1% of the students had enough theoretical knowledge in clinical practice, and 28.9% were able to perform clinical skills. The rate of fourth-grade students performing 30 of 41 nursing interventions was statistically significantly higher than the second and third-grade students (p
Isotopic offsets between bulk plant water and its sources are larger in cool and wet environments
Authors: de la Casa Javier , Barbeta Adrià , Rodríguez-Uña Asun , Wingate Lisa , Ogée Jérôme , Gimeno Teresa E. 
Published: August 2022

Abstract. Isotope-based approaches to study plant water sources rely on the
assumption that root water uptake and within-plant water transport are
non-fractionating processes. However, a growing number of studies have
reported offsets between plant and source water stable isotope composition
for a wide range of ecosystems. These isotopic offsets can result in the
erroneous attribution of source water used by plants and potential
overestimations of groundwater uptake by the vegetation. We conducted a
global meta-analysis to quantify the magnitude of these plant source water
isotopic offsets and explored whether their variability could be explained
by either biotic or abiotic factors. Our database compiled 112 studies
spanning arctic to tropical biomes that reported the dual water isotope
composition (δ2H and δ18O) of plant (stem) and
source water, including soil water (sampled following various methodologies
and along a variable range of depths). We calculated plant source 2H
offsets in two ways: a line conditioned excess (LC-excess) that describes
the 2H deviation from the local meteoric water line and a soil water
line conditioned excess (SW-excess) that describes the deviation from the
soil water line, for each sampling campaign within each study. We tested for the effects of climate (air temperature and soil water content), soil class, and plant traits (growth form, leaf habit, wood density, and parenchyma fraction and mycorrhizal habit) on LC-excess and SW-excess. Globally, stem water was more depleted in 2H than in soil water (SW-excess <  0) by 3.02±0.65 ‰ (P < 0.05 according to estimates of our linear mixed model and weighted by sample size within studies). In 95 % of the cases where SW-excess was negative, LC-excess was negative, indicating that the uptake of water that had not undergone evaporative enrichment (such as groundwater) was unlikely to explain the observed soil–plant water isotopic offsets. Soil class and plant traits did not have any significant effect on SW-excess. SW-excess was more negative in cold and wet sites, whereas it was more positive in warm sites. The climatic effects on SW-excess suggest that methodological artefacts are unlikely to be the sole cause of observed isotopic offsets. Our results would imply that plant source water isotopic offsets may lead to inaccuracies when using the isotopic composition of bulk stem water as a proxy to infer plant water
sources.
An innovative device for enlarging the allowable misalignment for screwing tasks
Authors: Ku Hao-Tien , Chen Yu-Hsun 
Published: August 2022

Abstract. To ensure the repeatability in a screwing task, the robot manipulators have to be calibrated regularly. If the allowable position error of the manipulator is increased, then the frequency of stopping a production line and calibrating the manipulators can be lower; therefore, the cost can be also decreased. This paper presents an innovative device for enlarging the allowable misalignment (DEAM) with five mechanisms, namely detecting, trigger, positioning, pin-and-stopper, and screwing mechanisms. By scanning around the target threaded hole, the screw can be precisely positioned at the location where the hole is detected by the probe. The motion and force analysis are carried out and verified through computer-aided simulation, and the sensitivity of the linkage tolerance is analyzed to ensure that the output position error of the mechanism does not affect the function of the device. Finally, the performance of the innovative device is verified by prototype testing, and the allowable misalignment is enlarged by about 6 times for an M6 screw.
Summertime Rossby waves in climate models: substantial biases in surface imprint associated with small biases in upper-level circulation
Authors: Luo Fei , Selten Frank , Wehrli Kathrin , Kornhuber Kai , Le Sager Philippe , May Wilhelm , Reerink Thomas , Seneviratne Sonia I. , Shiogama Hideo , Tokuda Daisuke , Kim Hyungjun , Coumou Dim 
Published: August 2022

Abstract. In boreal summer, circumglobal Rossby waves can promote
stagnating weather systems that favor extreme events like heat waves or
droughts. Recent work showed that amplified Rossby wavenumber 5 and 7 show
phase-locking behavior which can trigger simultaneous warm anomalies in
different breadbasket regions in the Northern Hemisphere. These types of
wave patterns thus pose a potential threat to human health and ecosystems.
The representation of such persistent wave events in summer and their
surface anomalies in general circulation models (GCMs) has not been
systematically analyzed. Here we validate the representation of wavenumbers
1–10 in three state-of-the-art global climate models (EC-Earth, CESM, and
MIROC), quantify their biases, and provide insights into the underlying
physical reasons for the biases. To do so, the ExtremeX experiments output
data were used, consisting of (1) historic simulations with a freely running atmosphere with prescribed ocean and experiments that additionally (2) nudge towards the observed upper-level horizontal winds, (3) prescribe soil moisture conditions, or (4) do both. The experiments are used to trace the sources of the model biases to either the large-scale atmospheric
circulation or surface feedback processes. Focusing on wave 5 and wave 7, we show that while the wave's position and magnitude are generally well
represented during high-amplitude (> 1.5 SD) episodes, the
associated surface anomalies are substantially underestimated. Near-surface
temperature, precipitation and mean sea level pressure are typically
underestimated by a factor of 1.5 in terms of normalized standard
deviations. The correlations and normalized standard deviations for surface
anomalies do not improve if the soil moisture is prescribed. However, the
surface biases are almost entirely removed when the upper-level atmospheric
circulation is nudged. When both prescribing soil moisture and nudging the
upper-level atmosphere, then the surface biases remain quite similar to the
experiment with a nudged atmosphere only. We conclude that the near-surface
biases in temperature and precipitation are in the first place related to
biases in the upper-level circulation. Thus, relatively small biases in the
models' representation of the upper-level waves can strongly affect
associated temperature and precipitation anomalies.
PENGARUH BIMBINGAN BELAJAR ORANGTUA TERHADAP PRESTASI BELAJAR SISWA KELAS IV SD INPRES NO 198 SULI-SULIKABUPATEN MAROS
Authors: M Muh. Akbar , Angreani A. Vivit 
Published: August 2022

Penelitian ini bertujuan untuk mengetahui adanya pengaruh yang ditimbulkan dari pelaksanaan bimbingan belajar orangtua terhadap prestasi belajar siswa. Untuk mencapai tujuan tersebut, peneliti menggunakan metode kuantitatif dengan kuesioner (angket) utama dalam pengumpulan data. Sedangkan responden yang menjadi sampel dalam penelitian ini berjumlah 21 orang berasal dari para siswa kelas IV SD Inpres No 198 Suli-suli. Pada proses analisis data, penelitian ini menggunakan analisis regresi sederhana dengan bimbingan belajar orangtua sebagai variabel independen dan prestasi belajar sebagai variabel dependen. Hasil dari penelitian ini adalah bimbingan belajar memiliki pengaruh terhadap peningkatan prestasi belajar siswa. Hal tersebut terbukti dengan adanya hasil pengujian dari analisis Uji T, dimana pada analisis tersebut nilai t hitung > t tabel yaitu sebesar 3,56209> 2,09302. Hal ini menjelaskan bahwa dalam hipotesis yang diterima pada uji T adalah H1. Dimana arti dari H1 adalah bimbingan belajar memiliki pengaruh yang signifikan terhadap prestasi belajar siswa kelas IV SD Inpres No 198 Suli-suli
MENINGKATKAN HASIL BELAJAR MATEMATIKA MATERI OPERASI HITUNG BILANGAN BULAT MELALUI ALAT PERAGA KARTU GESER PADA SISWA KELAS I SD INPRES BANGKEN BONTO KECAMATAN ULUERE KABUPATEN BANTAENG
Authors: Rahayu Rahayu , Muhammadiah Mas’ud 
Published: August 2022

Penelitian ini adalah penelitian tindakan kelas (Clasroom Action Research) yang bertujuan untuk meningkatkan hasil belajar matematika materi operasi hitung bilangan bulat melalui alat peraga kartu geser pada siswa kelas I SD Inpres Bangken Bonto. Subjek penelitian ini adalah seluruh siswa kelas I sebanyak 14 orang, yang terdiri dari 7 laki-laki dan 7 perempuan Teknik pengumpulan data yang digunakan adalah tes, observasi dan tanggapan siswa pada dua siklus yang masing-masing dilaksanakan 4 kali pertemuan. Observasi dilakukan setiap proses pembelajaran berlangsung dan tanggapan siswa tentang penggunaan alat peraga kartu geser yaitu diambil pada akhir siklus II. Data yang terkumpul dianalisis dengan menggunakan analisis deskriftif kualitatif. Hasil yang dicapai setelah penggunaan alat peraga kartu geser mengalami peningkatan, baik dari segi perubahan sikap siswa, keaktifan dan kesungghan serta motivasi siswa belajar matematika. Peningkatan hasil belajar dapat dilihat dari rata-rata hasil belajar siswa pada siklus I adalah 71,78 dengan standar deviasi 11,37 yang berada pada kategori cukup, kemudian pada siklus II menjadi 78,92 dengan standar deviasi 12,89 yang berada pada kategori baik. Selain itu, ketuntasan klasikal juga meningkat dari 50% menjadi 85,71%. Untuk observasi mengalami peningkatan dari siklus I ke siklus II yaitu kehadiran 80,35% menjadi 92,85%, memperhatikan materi 83,92% menjadi 91,07%, mendemostrasikan alat peraga kartu geser 37,05% menjadi 46,42%, mengajukan pertanyaan 33,92% menjadi 50%, menyelesaikan soal dipapan tulis 41,07% menjadi 57,14%, mengerjakan soal atau tes 60,71% menjadi 82,14%, aktif dalam kelompok 69,64% menjadi 89,28%, dan mengalami penurunan bimbingan guru dalam menyelesaikan soal-soal atau LKS 69,64% menjadi 32,14%. Keaktifan dan rasa percaya diri siswa mengikuti kegiatan belajar mengajar juga menunjukkan adanya kemauan dan kesungguhan yang nampak dari hasil observasi pada saat proses pembelajaran berlangsung. Hal tersebut di atas mengindikasikan bahwa hasil belajar matematika siswa kelas I SD Inpres Bangken Bonto dapat ditingkatkan melalui penggunaan alat peraga kartu geser.
REVIEW PENGARUH KOFORMER ARGININ DALAM PEMBUATAN KO-AMORF DENGAN METODE BALL MILLING
Authors: Alfina Sinta , Najihudin Aji , Auliasari Nurul 
Published: August 2022

Kelarutan zat aktif yang rendah di dalam air masih menjadi masalah yang banyak dihadapi dalam pengembangan formulasi di dunia farmasi. Ko-amorf merupakanÂ salah satu cara yang dapat digunakan untuk meningkatkan kelarutan suatu zat di dalam air. Peningkatan kelarutan ini terjadi karena campuran antara zat aktif yang tidak larut air dengan koformer. Terdapat beberapa zat aktif yang dikembangkan dalam formulasi ko-amorf diantaranya; indometasin, naproxen dan karbamazepin dengan penambahanÂ koformer arginin menggunakan metode ball milling. Arginin merupakan asam amino yang bersifat basa dan mempunyai kelarutan yang baik di dalam air. Review artikel ini dilakukan dengan studi literatur dimulai dari pencarian jurnal naisonal maupun internasional berdasarkan kata kunci â€œCo-amorphousâ€ â€koformer arginineâ€ dan â€Methode Ball Millingâ€ di situs google, sciencedirect, google scholar, dan situs lainnya yang mengakses jurnal penelitian, terbitan 2012-2022 yang terakreditasi atau memiliki ISSN dan E-ISSN. Berdasarkan hasil review diperoleh data bahwa arginin mampu meningkatkan stabiltas dan kelarutan indometasin sebesar 200 kali lipat dari bentuk amorfnya, naproxen sebesar 11 kali lipat dari bentuk kristalnya dan mampu meningkatkan sedikit kelarutan karbamazepin dari bentuk amorfnya. Sehingga dapat disimpulkan bahwa arginin sangat berpengaruh dalam pembuatan ko-amorf yaitu mampu meningkatkan kelarutan, besar atau kecilnya peningkatan kelarutan tergantung dari reaksi yang terjadi antara arginin dengan zat aktif yang digunakan.
Üniversite Öğrencilerinde Dans Faaliyetlerine Katılımın İletişim Becerileri Üzerine Etkisinin İncelenmesi
Authors: TOPRAK Necat , SELVİ Hüseyin 
Published: August 2022

1.	Akgül, P., K. (2006). Kişilerarası iletişimde dans ve beden dili işlevini etkileyen
etmenler ve bir alan araştırması. (Yayınlanmamış Doktora Tezi). Konya T.C. Selçuk
Üniversitesi Sosyal Bilimler Enstitüsü, Halkla İlişkiler ve Tanıtım Anabilim Dalı, Halkla İlişkiler Bilim Dalı: Konya.

2.	Aktaş, G. (1999). Temel Dans Eğitimi. Ege Üniversitesi Basımevi.

3.	Baltaş, Z. (2007). Bedenin Dili (40. baskı). Remzi Kitabevi.

4.	Bakır, M. A. & Aydın, C. (2015). İstatistik. Nobel Akademi Yayıncılık

5.	Çalışkan, D. D. H. , Batmaz, Ö. G. B. , Taşcı, P. D. D. , Şenbayram, Ö. G. F. , Tuncer, O. M. B., Akalın, Ö. G. D. Erkoçak, Ö. G. A. Ş, Feratan, Ö. G. M., & Uluyol, A. G. M. (2016). Tarihi ve kültürel değerlerin dans yoluyla topluma aktarımına ilişkin görüşlerin belirlenmesi: Eskişehir’in tarihi ve kültürel değerlerinin anlatımında “Tymbri’in dansı”. Anadolu Üniversitesi Sosyal Bilimler Dergisi. 16. (319-340). https://doi.org/10.18037/ausbd.417483
Reforma agrară din 1921 şi procesul coloniştilor
Authors: Sărac Ioana , Olah Roland 
Published: August 2022

AbstractA raiz de los movimentos sociales de finales del siglo XIX st y del siglo XX un implemertacion de reforma agraria se hizo obligatorio para la sociedad rumana. Procesul legislativo se inicio en 1914, pero se pospuso debido a la guerra hasta en 1912, cuando el Parlamento aprobo real las 4 leyes para la reforma agraria. La reforma agraria se llevo a cabo en el Reino Antiguo, por razones de utilidad nacional en Transilvania, pero para el publico, lo que garantiza que las minorias no se habilita en contra de ellos, es necesario para la especificacion de las tierras de Transilvania aproximadamente 3.800, y mas de 2.200 pertencia a los hungaros. Por ley, las tierras estatales adjudicados en colonias rumanas, que toma todas las obligaciones del Estado en Transilvania. En colonos hungaros de expropiacion Istvan Sulyok representando la problema en la Sociedad de los Naciones Unidas para abordar esta problema.
The language in the Romanian political thought of 1850–1890. The grand debates and their outcomes/Limba în gândirea politicǎ româneascǎ între anii 1850–1890. Marile dezbateri şi rezultatele lor
Authors: Kurkina Ana-Teodora 
Published: August 2022

AbstractThe article focuses on the Romanian linguistic debates of the second half of the 19th century and their influence on the processes of state- and nation-building. The essay concentrates on the attempts of using the ties of the common language as a defensive element that can not only mark the local nation-building strategies, but oppose similar competing foreign schemes. The current paper can be considered an effort to see and analyze the place of language in the Romanian political thought between 1850 and 1890 when Romanian national state emerged on the world arena and its manifestation sharpened the disputes regarding its linguistic and ethnic homogeneity. Furthermore, the article regards the language as a primary strategic instrument in the process of state-building, used by the participants of the debates, whose views and ideas were strictly tied to linguistic unity. The ideas of languages being parts of the “bodies of nations” expressed by Romanian thinkers are put into the General European context, which is briefly investigated as well.
Barbarian envoys at Byzantium in the 6th Century
Authors: Lung Ecaterina 
Published: August 2022

Abstract
The byzantine diplomacy has been for long time an object for the historical research, its efficiency being considered one of the explanations for the so long survival of the Empire. The barbarian embassies sent to Constantinople were studied mainly in the context of general discussions on byzantine diplomacy.
We intend to focus on the possibility of deciphering a barbaric point of view regarding the relations with the Byzantine Empire, at the beginning of the Middle Ages, when the narrative sources that are available to us have a Byzantine origin, or, when referring to barbarian kingdoms in the West, they are profoundly influenced by Roman and Roman-Byzantine traditions.