bluuebunny/crossref_metadata_2025 huggingface dataset:
Gut Bacterial Diversity of Field and Laboratory-Reared Aedes albopictus Populations of Rio de Janeiro, Brazil
Authors: Baltar João M. C. , Pavan Márcio G. , Corrêa-Antônio Jessica , Couto-Lima Dinair , Maciel-de-Freitas Rafael , David Mariana R.
Published: June 2023

Background: The mosquito microbiota impacts different parameters in host biology, such as development, metabolism, immune response and vector competence to pathogens. As the environment is an important source of acquisition of host associate microbes, we described the microbiota and the vector competence to Zika virus (ZIKV) of Aedes albopictus from three areas with distinct landscapes. Methods: Adult females were collected during two different seasons, while eggs were used to rear F1 colonies. Midgut bacterial communities were described in field and F1 mosquitoes as well as in insects from a laboratory colony (>30 generations, LAB) using 16S rRNA gene sequencing. F1 mosquitoes were infected with ZIKV to determine virus infection rates (IRs) and dissemination rates (DRs). Collection season significantly affected the bacterial microbiota diversity and composition, e.g., diversity levels decreased from the wet to the dry season. Field-collected and LAB mosquitoes’ microbiota had similar diversity levels, which were higher compared to F1 mosquitoes. However, the gut microbiota composition of field mosquitoes was distinct from that of laboratory-reared mosquitoes (LAB and F1), regardless of the collection season and location. A possible negative correlation was detected between Acetobacteraceae and Wolbachia, with the former dominating the gut microbiota of F1 Ae. albopictus, while the latter was absent/undetectable. Furthermore, we detected significant differences in infection and dissemination rates (but not in the viral load) between the mosquito populations, but it does not seem to be related to gut microbiota composition, as it was similar between F1 mosquitoes regardless of their population. Conclusions: Our results indicate that the environment and the collection season play a significant role in shaping mosquitoes’ bacterial microbiota.
Congenital SARS-CoV-2 Infection in Two Neonates with Confirmation by Viral Culture of the Placenta in One Case
Authors: Vayalumkal Joseph V. , Soraisham Amuchou S. , Abou Mehrem Ayman , Ghosh Anirban , Dunn Jessica K. E. , Fonseca Kevin , Zhou Hong , Berenger Byron M. , Chan Elaine S. , Brundler Marie-Anne , Lin Yi-Chan , Evans David H. , Rousso Sharon , Kuret Verena , Conly John M.
Published: June 2023

Congenital infections with SARS-CoV-2 are uncommon. We describe two confirmed congenital SARS-CoV-2 infections using descriptive, epidemiologic and standard laboratory methods and in one case, viral culture. Clinical data were obtained from health records. Nasopharyngeal (NP) specimens, cord blood and placentas when available were tested by reverse transcriptase real-time PCR (RT-PCR). Electron microscopy and histopathological examination with immunostaining for SARS-CoV-2 was conducted on the placentas. For Case 1, placenta, umbilical cord, and cord blood were cultured for SARS-CoV-2 on Vero cells. This neonate was born at 30 weeks, 2 days gestation by vaginal delivery. RT-PCR tests were positive for SARS-CoV-2 from NP swabs and cord blood; NP swab from the mother and placental tissue were positive for SARS-CoV-2. Placental tissue yielded viral plaques with typical morphology for SARS-CoV-2 at 2.8 × 102 pfu/mL confirmed by anti-spike protein immunostaining. Placental examination revealed chronic histiocytic intervillositis with trophoblast necrosis and perivillous fibrin deposition in a subchorionic distribution. Case 2 was born at 36 weeks, 4 days gestation. RT-PCR tests from the mother and infant were all positive for SARS-CoV-2, but placental pathology was normal. Case 1 may be the first described congenital case with SARS-CoV-2 cultivated directly from placental tissue.
Moderately Low Effectiveness of the Influenza Quadrivalent Vaccine: Potential Mismatch between Circulating Strains and Vaccine Strains
Authors: Awadalla Maaweya E. , Alkadi Haitham , Alarjani Modhi , Al-Anazi Abdullah E. , Ibrahim Mohanad A. , ALOhali Thamer Ahmad , Enani Mushira , Alturaiki Wael , Alosaimi Bandar
Published: June 2023

The annual seasonal influenza vaccination is the most effective way of preventing influenza illness and hospitalization. However, the effectiveness of influenza vaccines has always been controversial. Therefore, we investigated the ability of the quadrivalent influenza vaccine to induce effective protection. Here we report strain-specific influenza vaccine effectiveness (VE) against laboratory-confirmed influenza cases during the 2019/2020 season, characterized by the co-circulation of four different influenza strains. During 2019–2020, 778 influenza-like illness (ILI) samples were collected from 302 (39%) vaccinated ILI patients and 476 (61%) unvaccinated ILI patients in Riyadh, Saudi Arabia. VE was found to be 28% and 22% for influenza A and B, respectively. VE for preventing A(H3N2) and A(H1N1)pdm09 illness was 37.4% (95% CI: 43.7–54.3) and 39.2% (95% CI: 21.1–28.9), respectively. The VE for preventing influenza B Victoria lineage illness was 71.7% (95% CI: −0.9–3), while the VE for the Yamagata lineage could not be estimated due to the limited number of positive cases. The overall vaccine effectiveness was moderately low at 39.7%. Phylogenetic analysis revealed that most of the Flu A genotypes in our dataset clustered together, indicating their close genetic relatedness. In the post-COVID-19 pandemic, flu B-positive cases have reached three-quarters of the total number of influenza-positive cases, indicating a nationwide flu B surge. The reasons for this phenomenon, if related to the quadrivalent flu VE, need to be explored. Annual monitoring and genetic characterization of circulating influenza viruses are important to support Influenza surveillance systems and to improve influenza vaccine effectiveness.
Automatic Concrete Dam Deformation Prediction Model Based on TPE-STL-LSTM
Authors: Song Sihan , Zhou Qiujing , Zhang Tao , Hu Yintao
Published: June 2023

Concrete dam deformation prediction is important for assessing the safety of dams. A TPE-STL-LSTM deformation prediction model for concrete dams is established by introducing the TPE algorithm based on the decomposition–prediction model. Taking the Wanjiazhai gravity dam project as an example, a prediction model for the top deformation of 14 dam sections was established and the parameters were determined. The model was used for deformation prediction and compared with the measured deformation and similar methods to predict deformation for verification. The results show that the model has good prediction effect and matches well with the measured data; the accuracy is better than the Autoregressive Integrated Moving Average model and the Support Vector Machine model; and the model achieves the automatic determination of all parameters. The model can be used for dam engineering safety assessment, effectively improving the analysis accuracy and analysis efficiency.
A Study on the Measurement Characteristics of the Spring-Plate Flow Measurement Device
Authors: Li Xiaoniu , Tao Siyuan , Li Yongye , Wan Li
Published: June 2023

In order to improve the effective utilization of agricultural irrigation water and to reasonably allocate water resources in irrigation areas, it is necessary to use open channel flow measurement devices that are accurate and easy to carry. In this study, a spring-plate flow measurement device with different plate widths was designed. Through a combination of theoretical analysis and numerical simulation, the measurement characteristics of the device in specific channels under conditions of 20–105 m3/h flow were studied, the relationship between the flow rate and the force acting on the plate surface was fitted, and the hydraulic characteristics of water flow during its use, such as pressure, velocity distribution, and head loss, were analyzed. The results show that in the process of using the spring-plate flow measurement device, the force on the plate surface increases with the increase in the flow rate, and the force on the plate surface is related to the flow rate in the channel by a power of 5/6. The width of the measurement plate impacts the accuracy of flow measurement, and the smaller the plate width, the larger the error in flow measurement. The distribution of pressure on the measurement plate is similar to that of static pressure, and the pressure increases with the increase in the width of the measurement plate. The upstream flow velocity of the device is small, and the water level increases due to obstruction of the measurement plate. When it connects to the downstream water surface, the water level rapidly decreases, and the flow velocity increases. In using the spring-plate flow measurement device to measure flow, head loss will be produced, and the magnitude of this loss increases with the increase in the width of the measurement plate. The research results provide a theoretical basis for the application of spring plate flow-measuring devices in irrigation areas.
Analysis of Lake Stratification and Mixing and Its Influencing Factors over High Elevation Large and Small Lakes on the Tibetan Plateau
Authors: Wang Binbin , Ma Yaoming , Wang Yan , Lazhu  , Wang Lu , Ma Weiqiang , Su Bob
Published: June 2023

Lake stratification and mixing processes can influence gas and energy transport in the water column and water–atmosphere interactions, thus impacting limnology and local climate. Featuring the largest high-elevation inland lake zone in the world, comprehensive and comparative studies on the evolution of lake stratification and mixing and their driving forces are still quite limited. Here, using valuable temperature chain measurements in four large lakes (Nam Co, Dagze Co, Bangong Co, and Paiku Co) and a “small lake” adjacent to Nam Co, our objectives are to investigate the seasonal and diurnal variations of epilimnion depth (Ep, the most important layer in stratification and mixing process) and to analyze the driving force differences between “small lake” and Nam Co. Results indicate that Ep estimated by the methods of the absolute density difference (<0.1 kg m−3) from the surface and the Lake-Analyzer were quite similar, with the former being more reliable and widely applicable. The stratification and mixing in the four large lakes showed a dimictic pattern, with obvious spring and autumn turnovers. Additionally, the stratification form during heat storage periods, with Ep quickly locating at depths of approximately 10–15 m, and, after that, increasing gradually to the lake bottom. Additionally, the diurnal variation in Ep can be evidenced both in the large and small lakes when temperature measurements above 3 m depth are included. For Nam Co, the dominant influencing factors for the seasonal variation of Ep were the heat budget components (turbulent heat fluxes and radiation components), while wind speed only had a relatively weak positive correlation (r = 0.23). In the “small lake”, radiation components and wind speed show high negative (r = −0.43 to −0.59) and positive (r = 0.46) correlation, with rare correlations for turbulent heat flux. These reported characteristics have significance for lake process modeling and evaluation in these high-elevation lakes.
Development and Feasibility Test of a Theory- and Evidence-Based Multicomponent Intervention to Reduce Student Smoking at Danish Vocational Schools
Authors: Andersen Susan , Holt Ditte H. , Vinther Johan L. , Danielsen Dina , Jakobsen Gitte S. , Holmberg Teresa , Jensen Marie P. , Pisinger Charlotta , Krølner Rikke F.
Published: June 2023

The smoking prevalence among vocational education and training (VET) students is high. This paper describes the development and feasibility test of a multicomponent intervention designed to promote non-smoking behaviour at VET schools. We applied the Behaviour Change Wheel (BCW) stages and the capability, opportunity, and motivation for behaviour (COM-B) model to develop the intervention components based on theory, evidence, and a thorough needs-assessment study. Moreover, we feasibility-tested the preliminary ideas. All in all, our study was based on the literature, survey data, fieldwork, workshops, and expert and stakeholder involvement. The final intervention programme targets VET students’ smoking behaviour at the school, class, and individual levels through (a) a comprehensive tobacco policy to limit the physical and social opportunities to smoke, supplemented with a two-day staff course in conversations about smoking and an edutainment session (a lecture that both educates and entertains) to support a smoke-free environment; (b) classroom curricular with teaching materials to increase knowledge and social support, along with a quit-and-win competition to increase motivation; and (c) the national Quitline adapted to VET students to increase access to cessation support. The BCW model enabled a systematic and comprehensive development of an intervention, which demonstrates relevant techniques and delivery options to have the potential to reduce smoking in VET schools.
Akran Zorbalığı ile Baş Etmede Sınıf Öğretmenlerinin Kullandıkları Stratejiler ve Karşılaştıkları Güçlükler
Authors: BARİK Ebru , YURTAL Filiz
Published: June 2023

Okullarda yaygın olarak görülen akran zorbalığı ile mücadele etmede öğretmenler önemli rol oynar. Öğretmenlerin öğrencilerle olan etkileşimleri, zorbalık olaylarını ele alış biçimleri, öğrencilerin okul zorbalığı deneyimleri üzerinde etkili bir faktördür. Bu araştırmada sınıf öğretmenlerinin akran zorbalığı ile baş etmede kullandıkları stratejiler ve bunula ilgili olarak karşılaştıkları güçlükler belirlenmeye çalışılmıştır. Araştırmaya 69’u (%67,6) kadın ve 33’ü (%32,4) erkek olmak üzere toplam 102 dördüncü sınıf öğretmeni katılmıştır. Öğretmenlerin akran zorbalığı ile başetmede kullandıkları stratejileri belirlemek için araştırmacılar tarafından açık uçlu sorulardan oluşan anket geliştirilmiştir. Araştırmada öğretmenlerin zorbalıkla baş edebilmek için öğrencilerle zorbalığın sonucu hakkında konuşmak, empati kurmak, iletişim kurmak, zorbadan özür diletmek, etkinlik uygulamak vb. cezalandırıcı olmayan hem zorba hem de mağdur öğrencilere yönelik doğrudan yapıcı stratejiler; aile işbirliğine gitme, aileyi bilgilendirme, uzman görüşüne başvurma gibi yapıcı dolaylı stratejiler; ceza verme, yer değişikliği yapma, uyarı verme ve zararı karşılatma gibi zorba öğrenciye yönelik olarak uygulanan cezalandırıcı doğrudan stratejiler ve cezalandırıcı dolaylı strateji olarak görmezden gelmeyi kullandıkları tespit edilmiştir. Öğretmenlerin akran zorbalığını önlemede karşılaştıkları güçlüklere ilişkin sonuçlar incelendiğinde; ailenin bu durumu kabullenmemesi ve öğretmene destek vermemesi, çocuğun yaşadığı çevre, öğrencilerin zorbalığı gizlemeleri, öğretmenin zorbayı tespit etmede zorlanması, çocukların şiddet görmeyi normal karşılaması gibi aile, yaşanılan çevre, öğretmen ve öğrenci temelli güçlüklerle karşılaşıldığı tespit edilmiştir.
Educação Ambiental na região de Carajás: trajetória e impactos do Centro de Educação Ambiental de Parauapebas - CEAP
Authors: Silva Elisangela Lucena da , Marinho Aline Carla  Santos Moraes , Gomes Priscila Brandão Nogueira , Santos Neto Teófilo Ferreira , Mourão Eliene Cardoso de Almeida , Pereira Paulo Sérgio , Pontes Altem Nascimento
Published: June 2023

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Este trabalho tem como objetivo apresentar os resultados alcançados pelo Centro de Educação Ambiental de Parauapebas, através de atividades executadas pelos projetos institucionais, na região de Carajás, no período de 2005 a 2020. A metodologia adotada refere-se à pesquisa quali-quantitativa. O trabalho revela que o CEAP põe em prática ações educativas socioambientais tais como: Projeto Escola vai a FLONA, Projeto de Formação dos Professores em Educação Ambiental, Projeto Jovem Ambientalista, Projeto Criança Ambientalista, Projeto Carajás Vai à Escola. O CEAP impacta diretamente a Região de Carajás através de suas ações e contribui para a qualidade de vida e relações com a comunidade.
Um olhar sobre as pesquisas do campo da Educação Ambiental no ensino fundamental (anos iniciais) nos últimos 10 anos
Authors: Santos Jaklane de Abreu , Oliveira Iara Terra de
Published: June 2023

O artigo objetivou construir um panorama de pesquisas sobre Educação Ambiental nos anos iniciais do Ensino Fundamental, durante os últimos 10 anos. Fez-se uma busca na Biblioteca Digital Brasileira de Teses e Dissertações (BDTD) com os descritores: “Educação Ambiental”, “ensino fundamental” e “anos iniciais”, que deveriam aparecer simultaneamente. Após análise dos resumos das publicações localizadas, selecionou-se 22 trabalhos. Mediante abordagem quanti-qualitativa, documental e análise de conteúdo, as publicações foram organizadas nas categorias: formação de professores/práticas pedagógicas e propostas de ensino. Algumas pesquisas destacam carência de formação docente crítica sobre consenso de se analisar reflexivamente as questões ambientais.
O espaço escolar e seu potencial de desenvolvimento da Educação Ambiental marinha e costeira: a visão da supervisão escolar
Authors: Toni Kamila Regina de , Fonseca Alessandra Larissa D' Oliveira , Koeppe Cleise Helen Botelho , Cremer Marta Jussara
Published: June 2023

A Educação Ambiental Marinha e Costeira -EAMC- visa de forma interdisciplinar, desenvolver práticas de ensino para enfrentar os desafios da nossa sociedade, como as mudanças climáticas e a poluição marinha. As escolas são espaços em que temas ambientais podem ser vivenciados para promover os ODS – Objetivos do Desenvolvimento Sustentável. O trabalho teve como objetivo compreender como são desenvolvidas as práticas em EAMC nos anos finais de escolas municipais de Florianópolis, Santa Catarina, Brasil. A metodologia do estudo seguiu a abordagem qualitativa (questionários semiestruturados) a partir da visão de Supervisores Escolares -SE, de onde emergiram categorias para discussão evidenciadas a partir de Análise Textual Discursiva. Os SE indicaram que as práticas necessitam atenção em relação a distintos quesitos estruturais e pedagógicos.
O uso da cartilha como Instrumento de Educação Ambiental para a bacia hidrográfica do rio Itacaiúnas
Authors: Miranda Sarah Brasil de Araujo de , Silva Junior Renato Oliveira da , Costa Carlos Eduardo Aguiar de Souza , Dias Gustavo Francesco de Morais , Santos Jorge Manuel Filipe dos , Bittencourt Veronica Jussara Costa
Published: June 2023

O estudo teve como objetivo desenvolver ferramentas educacionais, como uma cartilha sobre a “Gestão de Bacia Hidrográfica: Por usos mais sustentáveis do Rio Itacaiúnas”, com vistas a transformar valores, nivelar conceitos e comportamentos das diferentes partes interessadas que se utilizam das águas desta bacia. Foi elaborado um questionário eletrônico e físico para avaliação dos principais conteúdos da Cartilha. A análise das questões avaliativas da cartilha impressa e digital, mostraram-se na totalidade favoráveis ao produto desenvolvido, concluindo, portanto, que o material produzido serve de instrumento de grande aceitação e como potencial instrumento didático para o início de uma longa trajetória visando a criação de um Comitê na BHRI.
Dificuldades na realização da Educação Ambiental nas instituições brasileiras de ensino básico
Authors: Tulio Luciano Daniel , Nagalli André
Published: June 2023

O contexto social prevalente em escala global na atualidade, marcado por desigualdades socioeconômicas e pela degradação do meio ambiente, enfatiza a importância da Educação Ambiental como uma estratégia fundamental na busca pela sustentabilidade. Entretanto, apesar dos avanços obtidos quanto à sua realização em meio escolar, este objetivo está longe de ser atingido de modo satisfatório, sobretudo, nas instituições públicas de ensino no Brasil; em especial, nas etapas da educação básica. Portanto, esta pesquisa buscou identificar as principais dificuldades na realização da Educação Ambiental em instituições públicas brasileiras do ensino básico por meio da análise de estudos com focos diversos sobre o tema. A lista de dificuldades encontradas demonstrou um padrão de fatores para a situação; aquelas frequentemente apontadas pelos pesquisadores foram: a ausência de interdisciplinaridade nas abordagens didáticas, a falta de domínio conceitual dos professores, a falta de motivação dos docentes em razão das condições de trabalho, a falta de infraestruturas adequadas e a baixa efetividade das metodologias tradicionais de ensino. Este conjunto de adversidades deve ser levado em consideração nas medidas tomadas pelos agentes públicos para que a Educação Ambiental efetivamente se torne uma prática regular no cotidiano dos estudantes proporcionando uma transformação de valores e atitudes em favor de uma sociedade pautada pela sustentabilidade.
Educação Ambiental multidimensional
Authors: Duarte Alisson José Oliveira , Sivieri-Pereira Helena de Ornellas
Published: June 2023

Sabe-se que a Educação Ambiental tem ganhado relevo nos espaços escolares, no entanto, o ensino frequentemente tem ressaltado apenas o valor da preservação e da sustentabilidade para os alunos de maneira desintegrada das dimensões corpóreas, subjetivas e sociais da espécie humana. Nesse sentido, o presente estudo tem por objetivo discutir a Educação Ambiental a partir de uma visão multidimensional, complexa e transcendente do modelo cartesiano (unidimensional/biologista) ainda vigente na contemporaneidade. Para tanto, utilizou-se do método de revisão bibliográfica e fundamentos epistemológicos da Teoria da Complexidade para alcançar as inferências apresentadas. Os resultados sugerem ações práticas para a promoção de uma Educação Ambiental Multidimensional.
Effect of the different printing variables on the modulus of elasticity for the PLA-CF in 3D printing
Authors: Calderon John Edinson Bermeo , Peña Marco Antonio Velasco
Published: June 2023

Fused filament fabrication is one of the most widely used additive manufacturing methods due to its low cost, easy postprocessing and wide variety of thermoplastic materials that can be used in this technique. The application of this method for functional parts manufacturing requires knowing the mechanical properties of the material depending on the process parameters. This work determines the effect of layer thickness, filling angle, infill density, and position on the table on the mechanical properties under tension of modulus of elasticity and ultimate tensile strength of polylactic acid reinforced with carbon fiber fabricated by this method. Stress tests were performed using ISO 527-1 standards. The modulus of elasticity varies between 3138 MPa and 3095 MPa, while the maximum effort is between 28.62 MPa and 28.56 MPa. Finally, analysis of variance showed that infill density is the parameter that affects the most mechanical properties.
Padrões dosimétricos utilizados na fotobiomodulação para o tratamento da dor pós-operatória de 3° molares: uma revisão integrativa
Authors: Evangelisti Enzo Araujo , De Oliveira Matheus Ribeiro
Published: June 2023

A exodontia de terceiros molares é um dos procedimentos mais frequentes na clínica odontológica. A dor pós-operatória é um sintoma comum e o seu controle é realizado por fármacos analgésicos e/ou anti-inflamatórios. A fotobiomodulação tem sido aplicada para redução da dor com a intenção de diminuir a medicação e seus efeitos. Os efeitos biológicos do laser demonstrados em ensaios laboratoriais e clínicos apresentaram eficácia, no entanto, nem sempre os artigos descrevem de maneira clara os parâmetros dosimétricos utilizados nos protocolos. Este artigo espera destacar e descrever as informações das doses utilizadas e o possível efeito na redução da dor após a exodontia de terceiros molares. Foram utilizados as bases de dados PubMed e Medline para a pesquisa dos artigos. Os resultados demonstraram que o controle da dor pelo laser é promissor apesar da multiplicidade de protocolos e a dificuldade de determinar padrões dosimétricos.
Síndrome de Sweet clássica com apresentação histológica atípica: relato de caso
Authors: Neto Abdias Pereira Diniz , Correia Matheus Ribeiro Barros
Published: June 2023

A síndrome de Sweet é uma doença inflamatória e imunológica, de etiologia não esclarecida, caracterizada por lesões cutâneas do tipo eritematoedematosas, pseudovesiculares e dolorosas. Frequentemente apresenta febre associada e pode acometer outros órgãos além da pele. O histopatológico, via de regra, apresenta infiltrado neutrofílico, e o tratamento com corticoide é o padrão ouro com excelente resposta terapêutica. Descrevemos um caso de uma paciente jovem com diagnóstico clínico e histopatológico de Síndrome de Sweet e resposta completa das lesões após início da corticoterapia.
Análise epidemiológica do perfil clínico de pacientes com Hérnia Encarcerada no Hospital Regional da Ceilândia no Distrito Federal
Authors: Grigorio Matheus Amorim , Duarte Aline de Amorim , Da Silva Johnatan Reis , E Silva Esther Soneghet Baiocco , Bosse Layanne , De Oliveira Vanessa Siqueira Batista , Vieira Ana Beatriz Sales , Resende Maria Jeane Veras , Franco Ana Luiza de Oliveira , De Oliveira Sintia Gontijo , Menezes Brenna Araújo Friderichs , Silva Paula Teixeira
Published: June 2023

FUNDO: O paciente com o quadro de hérnia inguinal encarcerada está em um estágio de urgência, necessitando de um procedimento cirúrgico de emergência. Buscando avaliar esse quadro, para entender o perfil clínico, para fomentar uma análise clínico-epidemiológica, analisando as variáveis importantes nesse tipo de paciente, definir os fatores de risco e quadros mais comumente encontrados. Se faz necessário também abordar os achados intraoperatórios, complicações e tempo pós-operatório. Assim, poderiam ser tomadas mudanças em relação às condições encontradas, que podem mudar o desfecho clínico de muitos pacientes. MÉTODOS: Um estudo observacional qualitativa descritiva, com 40 pacientes com o quadro clínico de hérnia encarcerada, todos os pacientes foram submetidos a hernioplastia. Seguindo a mesma técnica cirúrgica. O desfecho primário foi que apenas os  pacientes com comorbidades/fatores de risco apresentaram complicações e o segundo desfecho foi que os pacientes submetidos ao procedimento cirúrgico não chegaram a óbito. RESULTADOS: Após o acompanhamento de quadros semelhantes por 12 meses. O primeiro desfecho, foi possível observar que os pacientes com comorbidades/fatores de risco anteriores, 35 (87,5%) dos 40 selecionados, possuíam os quadros de:  14 (35%) pacientes com quadro de obesidade, os 7 (17,5%) eram tabagistas crônicos  e 14 (35%) dos pacientes possuíam quadro de tenesmo prévio e 5 pacientes não possuíam fatores de risco. Dentro das comorbidades, 1 paciente possuía síndrome de Down, 3 paciente apresentava cirrose hepática, 8 com hipertensão arterial sistêmica, sendo que 5 eram definidos como de difícil controle, 4 com diabetes mellitus, 6 pacientes com diverticulose anterior e 6 com constipação crônica. O desfecho secundário aconteceu com 40 pacientes, já que todos do grupo foram operados em caráter de urgência, ademais os pacientes que não são submetidos ao procedimento cirúrgico vão a óbito. CONCLUSÕES: Conclui-se que os 5 pacientes que não apresentavam comorbidades/fatores de risco, chegaram ao hospital em um quadro mais leve em comparação aos outros (35) pacientes, tendo eles uma recuperação melhor e menos dias de internação. Podendo ser implementadas medidas preventivas para os pacientes que possuem hérnia, recomenda-se o acompanhamento dos fatores de risco, visando evitar quadros graves e internações longas.
Interdisciplinarity in health education: updating, successes and challenges
Authors: Pereira Breno Álvares de Faria , Ferreira Fábio Castro , Dos Santos Adailton Pereira , Simões Heitor do Amaral
Published: June 2023

The advent of the concept of interdisciplinarity arose from the need to update traditional curricula in view of the complexity of health problems and the search for training professionals with a more global vision and a reflective attitude, less fragmented and biological, resulting in the correlation between the disciplines as an important tool in current healthcare education. The aim of the study is to present an update on the importance of interdisciplinarity in the curricular formation of health education and its applicability in the context of health work. A literature review was carried out in the Scielo, Lilacs and PUBMED/Medline databases, between January 2016 and April 2021 with the keywords interdisciplinarity, education and health. 77 publications related to the keywords were identified. Of these, 23 were considered relevant to the scope of the study. The publications show successful examples of the implementation of interdisciplinarity as a curricular model tool in healthcare courses and between different courses in this area (interprofessionality), cases of educational institutions that have already used it for a long time in their curricula and discuss the challenges to its implementation and its benefits to the professional egress and to the society that receives their service. It is necessary to implement interdisciplinarity in the curricula of health schools so that we can train professionals who have a more global and reflective vision for patients and society.
g-C3N4Photocatalysts: Utilizing Electron–Hole Pairs for Boosted Redox Capability in Water Splitting
Authors: Ling Grayson Zhi Sheng , Oh Valerie Bei-Yuan , Haw Choon Yian , Tan Lling-Lling , Ong Wee-Jun
Published: June 2023

Since the first discovery of solar-driven water splitting catalyzed by TiO2semiconductors, extensive research works have been devoted over the decades. Currently, the design of a photocatalyst with dual redox potential is of prominent interest to fully utilize both photogenerated electrons and holes in the redox reactions. Among all, the coproduction of H2and O2from water using metal-free carbon nitride (g-C3N4) has been viewed as a rising star in this field. However, the hole-mediated oxidation reaction is commonly recognized as the rate-determining step, which drastically leads to poor overall water splitting efficiency. On top of that, rapid recombination and undesirable back reaction appeared as one of the challenging parts in overall water splitting. In this review, the up-to-date advances in modified g-C3N4-based photocatalysts toward efficient overall water splitting are summarized, which are mainly classified into structural and defect engineering, single-atom catalysis, cocatalyst loading, and heterojunction construction. This review also addresses the underlying idea and concept to tackle the aforementioned problem with the use of emerging modification strategies, hence serving as the guiding star for future research. Despite the outstanding breakthrough thus far, critical recommendations related to g-C3N4photocatalytic systems are prospected to pave the way toward the implementation in the practical energy production process.
HUBUNGAN DURASI KERJA, MASA KERJA DAN POSTUR KERJA TERHADAP KELUHAN LOW BACK PAIN PADA BAGIAN STAFF DI KANTOR X, JAKARTA SELATAN
Authors: Agustin Amelia , Puji Lela Kania Rahsa , Andriati Riris
Published: June 2023

Low back pain termasuk kedalam jenis gangguan muskuloskeletal, yang dapat ditimbulkan salah satunya akibat penggunaan komputer mulai dari kelemahan otot, tendon, atau nyeri leher dan punggung sampai dengan trauma yang kumulatif. Kasus low back pain banyak dialami oleh pegawai kantor, dengan prevalensi mulai dari 23% sampai 38% setiap tahunnya. Tujuan penelitian ini adalah untuk mengetahui hubungan durasi kerja, masa kerja dan postur kerja terhadap keluhan low back pain pada bagian staff di kantor X, Jakarta Selatan. Jenis penelitian ini merupakan penelitian kuantitatif yang menggunakan data primer (kuesioner) dengan pendekatan cross sectional, dengan tujuan untuk mengetahui variabel sebab dan variabel akibat. Jumlah sampel sebanyak 133 staff di kantor X, Jakarta Selatan dan teknik pengambilan sampel menggunakan purposive sampling. Keluhan low back pain diukur menggunakan Oswestry Disability Index (ODI) dan postur kerja diukur menggunakan Rapid Office Strain Assessment (ROSA). Hasil penelitian menunjukkan bahwa sebanyak 88% staff mengalami keluhan low back pain dengan kategori disabilitas minimal. Hasil uji statistik menunjukkan bahwa ada hubungan antara durasi kerja (p-value=0,029 <0,05), masa kerja (p-value=0,016 <0,05) dan postur kerja (p-value=0,000 <0,05) dengan keluhan low back pain pada staff kantor X, Jakarta Selatan. Dari hasil penelitian ini diharapkan staff  memanfaatkan waktu untuk melakukan peregangan otot disela-sela waktu bekerja dan juga memperhatikan postur kerja yang sesuai agar terhindar dari keluhan low back pain.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEMATIAN KASUS DEMAM BERDARAH DI KOTA TASIKMALAYA 2022
Authors: Supangat Uus , Badriah Dewi Laelatul , Mamlukah Mamlukah , Suparman Rossi
Published: June 2023

Indonesia sebagai negara yang memiliki kasus DBD tertinggi di Asia Tenggara (>57%) dengan hampir 70% kasus kematian akibat DBD di Asia Tenggara juga berada di Indonesia. Kematian akibat DBD di Kota Tasikmalaya merupakan kasus tertinggi di Provinsi Jawa Barat dengan angka CFR sebesar 1,56% per-Oktober 2022. Tujuan penelitiaan ini yaitu untuk menganalisis faktor-faktor yang berhubungan dengan kematian kasus demam berdarah di Kota Tasikmalaya 2022. Jenis penelitian ini yaitu analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini yaitu keseluruhan kasus DBD yang dilaporkan di Kota Tasikmalaya. Pengambilan sampel dilakukan secara purposive sampling sebanyak 118 responden. Instrumen yang digunakan dalam penelitian ini adalah rekam medik dan laporan kasus pasien DBD dalam kurun waktu Januari-Oktober 2022. Analisis data dilakukan 3 tahap yaitu analisis univariat, analisis bivariat (uji Chi Square), dan analisis multivariate (uji Regresi Logistik.

Hasil analisis bivariat menunjukan terdapat hubungan antara usia (p value = 0,010), keterlambatan pengobatan (p value = 0,058), dan kejadian DSS dengan kematian pasien DBD (p value = 0,001). Sementara itu tidak terdapat hubungan antara jeis kelamin dengan kematian pasien DBD (p value = 0,619). Usia merupakan faktor dominan yang berhubungan dengan kematian pasien DBD di Kota Tasikmalaya dengan nilai p = 0,016 (p<0,05) dan nilai OR = 1,873.
HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG IMUNISASI DENGAN PERILAKU PEMBERIAN IMUNISASI DASAR DI WILAYAH KERJA PUSKESMAS SUKABUMI
Authors: Utami Tri , Basri Burhanuddin
Published: June 2023

Latar Belakang : Imunisasi merupakan salah satu strategi yang efektif dan efisien dalam meningkatkan derajat kesehatan nasional dengan mencegah enam penyakit mematikan, yaitu : tuberculosis, dipteri, pertusis, campak, tetanus dan polio. Upaya mengurangi tingkat morbiditas dan mortalitas pada anak salah satunya dengan pemberian imunisasi. Beberapa alasan bayi tidak mendapatkan imunisasi lengkap yaitu karena alasan informasi, motivasi dan situasi. Alasan informasi berupa kurangnya pengetahuan ibu tentang kebutuhan, kelengkapan dan jadwal imunisasi, ketakutan akan imunisasi dan adanya persepsi salah yang beredar di masyarakat tentang imunisasi.  Tujuan Penelitian : mengetahui hubungan tingkat pengetahuan ibu tentang imunisasi dengan perilaku pemberian imunisasi dasar bayi di wilayah kerja Puskesmas Sukabumi.Metode Penelitian : Desain penelitian ini adalah penelitian kuantitatif deskriptif dengan jenis pendekatan cross-sectional. Subyek penelitian ini sebanyak 81 responden sesuai degan kriteria inklusi dan criteria ekslusi. Metode pengumpulan data menggunakan kuesioner. Hasil Penelitian :Berdasarkan hasil analisis  yang  telah dilakukan dengan menggunakan uji chi-square terhadap 81 responden diperoleh nilai p value = 0,000 dimana nilai p lebih kecil dari α = 0.05. Kesimpulan : Terdapat hubungan antara  tingkat pengetahuan ibu tentang imunisasi dengan perilaku pemberian imunisasi dasar di wilayah kerja puskesmas sukabumi.
Faktor-Faktor Yang Berhubungan Dengan Penyakit Hipertiroid Pada Pasien Poliklinik Penyakit Dalam Di UPTD RSUD Dr. (HC) Ir. Soekarno Provinsi Bangka Belitung Tahun 2022
Authors: Ferraninda Ferraninda , Kusumajaya Hendra , Ardiansyah Ardiansyah
Published: June 2023

Hipertiroidisme adalah peningkatan produksi dan sekresi hormon tiroid oleh kelenjar tiroid. Hipertiroidisme adalah keadaan dimana terjadi peningkatan hormon tiroid lebih dari yang dibutuhkan tubuh. Di UPTD RSUD Dr. (H.C) Ir. Soekarno 3 tahun terakhir, yaitu pada tahun 2019 jumlah pasien hipertiroid sebanyak 83 orang, lalu pada tahun 2020 ditemukan peningkatan dengan persentase sebesar 56,77%, kemudian di tahun 2021 persentasi kasus hipertiroid meningkat lagi sebesar 37,86%. Sedangkan untuk tahun 2022 hingga bulan September tahun 2022 kasus hipertiroid di temukan peningkatan 6,9 % kasus pasien hipertiroid. Faktor risiko terbesar adalah faktor genetik, yaitu sebesar 80% sedangkan 20% merupakan faktor lingkungan seperti merokok, kehamilan, stress, dan infeksi. Tujuan dari penelitian ini adalah untuk mengetahui faktor faktor yang berhubungan dengan kejadian penyakit hipertiroid. Penelitian ini menggunakan jenis penelitian kuantitatif dengan rancangan cross sectional. Populasi dari penelitian ini adalah semua pasien yang datang berkunjung ke poliklinik penyakit dalam UPTD RSUD Dr. (HC) Ir. Soekarno tahun 2022, dengan jumlah populasi yaitu 309 orang. Sampel penelitian ini menggunakan rumus Slovin, maka diperoleh sample sebanyak 84 responden. Analisis penelitian berdasarkan analisa univariat dan analisa bivariat. Hasil penelitian menunjukkan ada hubungan antara usia (ρ-value 0,003; POR= 3,875), jenis kelamin (ρ-value 0,017; POR= 2,900), paparan asap rokok (ρ-value 0,002; POR = 4,190) dan tingkat stress (ρ-value 0,016; POR = 2,915) dengan kejadian hipertiroid. Saran dari penelitian ini adalah agar diharapkan kepada dinas kesehatan untuk memberikan penyuluhan kepada masyarakat tentang faktor risiko terjadinya hipertiroid dan bagaimana pencegahannya.
Hubungan pengetahuan kesehatan reproduksi dan kesehatan mental terhadap sikap remaja dalam meningkatkan kesadaran hidup bersih dan sehat
Authors: Susanti Rosa , Mujahidah Zakiyah
Published: June 2023

Latar Belakang: Periode yang kritis merupakan perubahan yang terjadi dari masa kanak-kanan ke masa dewasa dan eksplorasi berkaitan dengan seksual dan romantisme dimulai. Indeks pembangunan manusia merupakan salah satu tolak ukur keberhasilan suatu bangsa. Kualitas masyarakat yang sehat dan sejahtera merupakan keberhasilan suatu bangsa. sehingga diperlukannya upaya untuk meningkatkan kesehatan masyarakat yang nantinya akan menentukan derajat keberhasilan pembangunan bangsa Indonesia. Selain mengenai kesehatan reproduksi sektor lain terpenting dalam mewujudkan kesehatan secara menyeluruh adalah kesehatan mental.
Metode: Pada penelitian ini menggunakan metode kuantitatif dengan pendekatan deskriptif yang bertujuan untuk memperoleh hubungan pengetahuan kesehatan reproduksi dan kesehatan mental terhadap sikap remaja  dalam meningkatkan kesadaran hidup bersih dan sehat. Responden pada penelitian ini adalah Mahasiswa Keperawatan dan Kebidanan Universitas MH. Thamrin. Penelitian ini berlangsung selama 1 (satu) bulan. Data Pada penelitian yang digunakan adalah data primer, sedangkan teknik analisis menggunakan analisis univariat dan bivariat (Uji Chi Square).
Hasil: Pada penelitian ini diketahui bahwa terdapat hubungan signifikan antara pengetahuan kesehatan reproduksi dan kesehatan mental terhadap sikap remaja  dalam meningkatkan kesadaran hidup bersih dan sehat.
Saran: Dari penelitian ini diperlukan penyuluhan terkait kesehatan reproduksi dan mental terhadap peningkatan kesadaran hidup bersih dan sehat.
Hubungan Kadar Hemoglobin dengan Siklus Mensruasi pada Remaja Putri
Authors: Herwandar Fera Riswidautami , Heryanto Merissa Laora , Juita Sri Ratna
Published: June 2023

Latar Belakang: Kasus anemia pada remaja putri di Indonesia berjumlah 25,5% dari 462 remaja. Kejadian anemia pada remaja meningkat signifikan dari Riskesdas 2013 sebesar 18,4% menjadi 32% pada Riskesdas 2018 dengan proporsi usia tertinggi dialami pada kelompok usia 15-24 tahun. Hasil studi pendahuluan yang dilakukan peneliti terhadap 10 remaja putri yang sudah menstruasi di Pondok Pesantren Nurul Iman terdapat 3 orang yang kadar Hbnya tidak normal dan mengalami siklus menstruasi lama. Tujuan dari penelitian ini Untuk menganalisis hubungan kadar hemoglobin dengan siklus menstruasi pada remaja putri Madrasah Aliyah Swasta di Pesantren Nurul Iman

Metode: Desain penelitian adalah cross-sectional. Sampel penelitian sebanyak 84 responden yang diambil secara stratified random sampling. Data yang diteliti adalah kadar hemoglobin yang diukur menggunakan alat Hb elektrik dan siklus menstruasi responden yang diminta menggunakan lembar checklist. Analisis statistik yang digunakan adalah chi-square. Instrumen yang digunakan dalam pengumpulan data penelitian menggunakan lembar yang diisi oleh responden.

Hasil: Hasil analisis univariat menunjukkan 11 responden (13,1%) mengalami anemia, dan 11 responden (13,1%) mengalami siklus menstruasi tidak normal, sedangkan hasil analisis bivariat menunjukkan 11 responden mengalami anemia yang semuanya mengalami siklus menstruasi tidak normal. dan dari 73 responden yang tidak mengalami anemia semuanya memiliki siklus menstruasi yang normal, dengan p-value 0,001.

Kesimpulan: Terdapat hubungan yang bermakna antara kadar hemoglobin remaja putri MAS dengan siklus menstruasi remaja putri MAS di Pondok Pesantren Nurul Iman Desa Sukamananh Kecamatan Cigalontang Kabupaten Tasikmalaya Tahun 2022.

Saran: Diharapkan remaja putri selalu meningkatkan pengetahuannya tentang cara hidup bersih dan sehat untuk menjaga keseimbangan kadar hemoglobin setiap bulan dan memiliki siklus menstruasi yang normal.
LAMA PENGGUNAAN GADGET DENGAN PERKEMBANGAN PADA ANAK PRASEKOLAH
Authors: Heryanto Merissa Laora , Saprudin Ade , Yanti Shalsha Dewi , Moonti Mutia Agustiani
Published: June 2023

Proses pertumbuhan dan perkembangan manusia terbagi dalam beberapa tahapan berdasarkan usia. Salah satu fasenya adalah masa prasekolah yaitu anak berusia 3-5 tahun. Di Indonesia prevalensi anak diperkirakan mengalami keterlambatan perkembangan sebesar 11,7%. Hasil studi pendahuluan, sebanyak 60% siswa belum berkembang seperti menulis, menggambar dan mewarnai secara sederhana. Tujuan penelitian ini untuk mengetahui hubungan lama penggunaan gadget dengan perkembanga pada anak prasekolah di Raudathul Athfal (RA) Binaul Ummah Kelurahan Cipari Kecamatan Cigugur Kabupaten Kuningan. Desain penelitian adalah cross sectional. Sampel penelitian ini sebanyak 106 responden yang diambil secara total sampling. Analisis statistik dilakukan secara univariat dan bivariat dengan metode Rank Spearman. Pengumpulan data dengan wawancara menggunakan kuesioner. Hasil penelitian hampir setengahnya memiliki lama penggunaan gadget sedang yaitu sebanyak 51 responden (48,1%), perkembangan anak paling banyak memiliki perkembangan normal yaitu sebanyak 43 responden (40,6%). Hasil analisis bivariat didapatkan dari 51 responden lama penggunaan gadget sedang yaitu memiliki perkembangan kategori 28 responden (54,9) denga p value (0,004). Terdapat hubungan antara penggunaan gadget dengan perkembangan pada anak prasekolah di raudathul athfal (ra) binaul ummah kelurahan cipari kecamatan cigugur kabupaten kuningan. Perlunya pengendalian terhadap anak dalam penggunaan gadget dengan melakukan pengawasan penggunaan gadget.
KORELASI TINGKAT STRES DAN POLA TIDUR DENGAN KEBUGARAN TUBUH MAHASISWA TINGKAT AKHIR DI STIKES KUNINGAN
Authors: Moonti Mutia Agustiani , Heryanto Merissa Laora , Nugraha Moch. Didik
Published: June 2023

Pada mahasiswa tingkat akhir yang sedang mengerjakan skripsi gangguan tidur paling sering terjadi karena tingkat stres yang tinggi bisa memicu menurunnya kesehatan. selain stres, pola tidur yang buruk  juga dapat mempengaruhi kebugaran tubuh seseorang. Laporan Riskesdas (2018) angka kejadian gangguan emosional (stres) pada kelompok usia ≥ 15 tahun sekitar 8,9%. Penelitian ini bertujuan untuk menganalisis hubungan antara stres dan pola tidur dengan kebugaran tubuh mahasiswa tingkat akhir program studi S1 Keperawatan kampus 1 di STIKes Kuningan. Jenis penelitian ini merupakan penelitian deskriptif kuantitatif dengan rancangan cros sectional. Populasi sebanyak 178 mahasiswa, dengan teknik simple random sampling, sampel berjumlah 123 responden. Analisa data univariat dengan distribusi frekuensi dan bivariat dengan uji chi square. Hasil analisis univariat menunjukan hampir sebagian besar responden (46,3) mengalami kategori stres sedang, sebagian besar responden (75,6%) mengalami pola tidur yang buruk dan sebagian responden (74,0%) memiliki kebugaran tubuh yang tidak bugar. Hasil uji statistik didapatkan nilai p-value 0,000. Terdapat hubungan antara stres dan pola tidur dengan kebugaran tubuh mahasiswa tingkat akhir program studi S1 Keperawatan kampus 1 di STIKes Kuningan. Diharapkan mahasiswa dapat mengontrol stres dan pola tidur, sehingga mahasiswa dapat memiliki kebugaran tubuh yang bugar.
Efektivitas senam Aerobik Low Impact terhadap penurunan kecemasan pada wanita menopause di Puskesmas Soropia Kota Kendari
Authors: Harira Harira , Irmawati Yuli , Muriana Eviyati Aini
Published: June 2023

Kecemasan adalah salah satu dari gejala suasana hati yang dialami oleh wanita menopause. Sebanyak 48,6% wanita menunjukkan gejala kecemasan saat menopause. Pendekatan alternatif non farmakologis menunjukkan adanya manfaat untuk terapi gangguan suasana hati selama menopause di antaranya adalah yoga dan olahraga atau latihan fisik dengan intensitas sedang seperti senam aerobik low impact.
Tujuan penelitian adalah untuk mengetahui efektivitas senam aerobik low impact terhadap penurunan kecemasan pada wanita menopause di Puskesmas Soropia Kota Kendari.
Jenis penelitian adalah praeksperimen dengan rancangan one group pretest-posttest. Populasi penelitian ini adalah wanita menopause berumur 45-55 tahun yang berada di wilayah kerja puskesmas Soropia Kota Kendari tahun 2022 berjumlah 80 orang. Sampel sebanyak 20 responden. Penelitian ini menggunakan purposive sampling.
Hasil penelitian menunjukkan pada pretest, sebanyak 19 responden (95%) mengalami kecemasan berat dengan rata-rata kecemasan berada pada tingkat kecemasan berat (31,5). Pada posttest  sebanyak 12 responden (60%) tidak mengalami kecemasan dengan rata-rata kecemasan berada pada tingkat tidak ada kecemasan (12,2). Hasil analisis bivariat menunjukkan bahwa senam aerobik low impact efektif dalam menurunkan kecemasan ibu menopause (p-value<0,000<0,05).
Faktor-faktor yang mempengaruhi ibu post partum terhadap pemberian kolostrum
Authors: Munir Rindasari , Zakiah Lela , Ramadani Fikria Nur , Fauziah Nurul Azmi , Handayani Prima
Published: June 2023

Latar Belakang : Hari pertama sampai hari ketiga setelah bayi lahir, maka kolostrum akan keluar melalui ASI (Air Susu Ibu). Warna kolostrum yang keluar agak kekuningan dari ASI biasa, bentuknya agak kasar karena mengandung butiran lemak. Berdasarkan hasil survey studi pendahuluan kepada 10 orang ibu nifas di BPM Sumaya Agustina, didapatkan data 7 ibu (70%) yang tidak mengetahui tentang kolostrum dan 3 (30%) lainnya yang mengetahui tentang kolostrum. Penelitian ini bertujuan untuk mengetahui faktor apa saja yang mempengaruhi ibu post partum terhadap pemberian kolostrum.
Metode: Penelitian ini menggunakan penelitian survey analitik dengan pendekatan cross sectional, dikumpulkan dengan satu waktu menggunakan kuesioner. Sampel yang digunakan yaitu accidental sampling dengan jumlah 42 responden.
Hasil : Dari penelitian ini yang diperoleh  bahwa responden dengan pendidikan pendidikan rendah 22 orang (52.4%), responden dengan pengetahuan kurang 29 orang (69.0%), responden dengan usia tidak beresiko 20-35 tahun 24 orang (57.2%), dan responden pada kelompok paritas primipara 23 orang (54.8%).
Kesimpulan : Dari hasil uji statistik chi-square dapat diketahui bahwa pendidikan, pengetahuan, dan usia tidak terdapat hubungan, sedangkan ada hubungan yang signifikan antara paritas dengan praktik pemberian kolostrum pada bayi
Saran: Diharapkan bagi tempat penelitian agar dapat meningkatkan kegiatan penyuluhan dan konseling dalam memberikan informasi lebih detail untuk meningkatkan pengetahuan mengenai pemberian kolostrum pada bayi baru lahir.