bluuebunny/crossref_metadata_2025 huggingface dataset:
Varicella-Zoster Virus Reactivation and Increased Vascular Risk in People Living with HIV: Data from a Retrospective Cohort Study
Authors: Fiordelisi Deborah , Poliseno Mariacristina , De Gennaro Nicolo’ , Milano Eugenio , Santoro Carmen Rita , Segala Francesco Vladimiro , Franco Carlo Felice , Manco Cesari Giorgia , Frallonardo Luisa , Guido Giacomo , Metrangolo Giuliana , Romita Greta , Di Gennaro Francesco , Saracino Annalisa
Published: November 2023

Background: The increased vascular risk associated with varicella–zoster virus (VZV) reactivation is extensively established in the general population. This retrospective cohort study investigates whether this observation holds for People Living with HIV (PLWH), a group already confronting heightened cardiovascular risk. Methods: Among PLWH who initiated antiretroviral therapy (ART) at our center and have been under our care for >24 months since 1st January 2005, individuals with a history of herpes zoster (HZ) were identified, and their features were compared with those of PLWH with no history of HZ. The prevalence of ischemic events (deep venous thrombosis, stroke, and acute myocardial infarction) was calculated and compared using the chi-square test. An odds ratio (O.R.) and a 95% confidence interval (C.I.) for ischemic events following HZ were evaluated through univariate and multivariate logistic regression. Results: Overall, 45/581 PLWH reported HZ. Ischemic events followed HZ significantly more often than not (13% vs. 5%, p = 0.01). Positive serology for both VZV and HZ correlated with increased ischemic risk (O.R. 4.01, 95% C.I. 1.38–11.6, p = 0.01 and O.R. 3.14, 95% C.I. 1.12–7.68, p = 0.02, respectively), though chronic heart disease demonstrated stronger predictive value in multivariate analysis(O.R. 8.68, 95% C.I. 2.49–29.50, p = 0.001). Conclusions: VZV potentially exacerbates vascular risk in PLWH, particularly in the presence of other predisposing factors. Further research is needed to confirm our data.
Viral Subversion of the Chromosome Region Maintenance 1 Export Pathway and Its Consequences for the Cell Host
Authors: Mghezzi-Habellah Makram , Prochasson Léa , Jalinot Pierre , Mocquet Vincent
Published: November 2023

In eukaryotic cells, the spatial distribution between cytoplasm and nucleus is essential for cell homeostasis. This dynamic distribution is selectively regulated by the nuclear pore complex (NPC), which allows the passive or energy-dependent transport of proteins between these two compartments. Viruses possess many strategies to hijack nucleocytoplasmic shuttling for the benefit of their viral replication. Here, we review how viruses interfere with the karyopherin CRM1 that controls the nuclear export of protein cargoes. We analyze the fact that the viral hijacking of CRM1 provokes are-localization of numerous cellular factors in a suitable place for specific steps of viral replication. While CRM1 emerges as a critical partner for viruses, it also takes part in antiviral and inflammatory response regulation. This review also addresses how CRM1 hijacking affects it and the benefits of CRM1 inhibitors as antiviral treatments.
Circular Economy in Wastewater Treatment Plants—Potential Opportunities for Biogenic Elements Recovery
Authors: Dereszewska Alina , Cytawa Stanislaw
Published: November 2023

Technologies used in municipal wastewater treatment plants (WWTPs) allow the recovery of energy and valuable elements (phosphorus, nitrogen, and organic carbon) for the soil. This article presents, in schematic form, the carbon, nitrogen, and phosphorus cycling in a WWTP with a load of 70,000 Population Equivalent and develops a spreadsheet to estimate their recovery. Biogas generation enables the recovery of 1126 Mg of organic carbon per year and the generation of 12.6 GWh of energy. The most rational form of organic waste recycling is the production of compost with fertilizing parameters, but efforts should be made to reduce iron compounds in its composition. It has been estimated that compost production provides the recovery of 30% of carbon, 98% of phosphorus, and 18% of nitrogen from the streams of these elements entering the WWTP. The possibility of partially replacing the iron coagulants used to precipitate phosphorus with waste magnesium salt is presented, leading to the precipitation of struvite, which is well absorbed by plants. The article presents the advantages of combining sewage treatment with organic waste management in WWTPs. The developed spreadsheet allows for the control of energy recovery through the quantitative selection of organic waste for fermentation.
Monitoring Sediment Transport in Certain Harbor Launches in the Southeastern Black Sea
Authors: Karasu Servet , Marangoz Hasan Oğulcan , Kocapir Barbaros Hayrettin , Yilmaz Enver , Özölçer İsmail Hakkı , Akpinar Adem
Published: November 2023

The problem of shoaling on coastal structures is the result of an event that occurs as part of the natural cycle. In cases where shoaling cannot be detected or prevented, various economic and operational problems may arise and may cause disruptions. In this study, the complex coastal dynamic impact of shoaling on three sequential fishery coastal structures located within the borders of Rize province in the Eastern Black Sea region of Türkiye was examined in terms of bathymetric changes and sediment transport under the influence of the incident wave climate. The effects of these structures on each other were also investigated. With this aim, bathymetric measurements were carried out to examine the impact of waves on seabed erosion and deposition. A serious shoaling problem was identified at one of the harbor launches under investigation, where approximately 13,200 m3 of deposition occurs annually in a relatively small harbor launch area. Such physical problems are thought to be the result of shoaling, the selection of sites that are not viable for fishery-related coastal structures, or the wrong positioning of the breakwater.
Dynamic Evolution and Copula-Based Multivariable Frequency Analysis of Meteorological Drought Considering the Spatiotemporal Variability in Northwestern China
Authors: Zhang Weijie , Feng Kai , Wang Fei , Wang Wenjun , Zhang Zezhong , Wang Yingying , Huang Shengzhi
Published: November 2023

Meteorological drought is a continuous spatiotemporal phenomenon that poses a serious threat to water resource security. Dynamic evolution and multivariable frequency analysis of meteorological drought are important for effective drought mitigation and risk management. Therefore, this study aims to analyze meteorological drought events in northwestern China between 1960 and 2018 based on the standardized precipitation evapotranspiration index (SPEI) through a three-dimensional identification method. This study investigates the meteorological drought dynamic evolution on different time and space scales and evaluates the frequency analysis considering the spatiotemporal variability based on Copula. The results show that SPEI presents an upward trend in Northwestern China. A trend towards increased humidity is observed in arid regions, contrasted by a trend towards aridification in semi-arid and semi-humid areas, indicating that the spatial distribution of drought in the study area tends towards homogenization. The possibility of high-intensity drought events occurring in the same area was relatively low, whereas low-intensity drought events were frequent. Additionally, this study analyzes the dynamic migration process of individual drought events from a three-dimensional perspective. Neglecting any one drought variable could significantly underestimate the occurring probability of severe drought events. Therefore, a multivariable frequency analysis considering the spatiotemporal variability plays a crucial role in the formulation of drought prevention and mitigation strategies, as well as drought forecasting.
Impact of Soil Surface Temperature on Changes in the Groundwater Level
Authors: Khamidov Mukhamadkhan , Ishchanov Javlonbek , Hamidov Ahmad , Shermatov Ermat , Gafurov Zafar
Published: November 2023

The relationship between the soil surface temperature and groundwater level is complex and influenced by various factors. As the soil surface temperature increases, water evaporates quickly from the soil, which can lead to a decrease in the groundwater level. In this study, we analyzed the impact of soil surface temperature on changes in the groundwater level in the Bukhara region of Uzbekistan using data from 1991 to 2020. The Bukhara region experiences regular water shortages, increased soil salinization, and inefficient energy in lift-irrigated areas, which is a typical constellation of challenges to the water–energy–food–environment (WEFE) nexus. The soil surface temperature data were collected from the Hydrometeorological Service Agency, whereas groundwater level data were obtained from the database of the Amelioration Expedition under the Amu-Bukhara Basin Irrigation Systems Authority. We used linear regression analysis and Analysis of Variance (ANOVA) tests to establish the significance of the relationship between the soil surface temperature and groundwater level, as well as the impact of the location of the groundwater level measurements. The results indicate that the model was a good fit to the data, and both the intercept and the soil surface temperature were significant factors that affected groundwater level. The results further suggest that the strength of the relationship between solar radiation and soil surface temperature is very high, with a correlation coefficient of 0.840. This means that when solar radiation increases, soil surface temperature also tends to increase. The analysis also showed that 53.5% of the changes in groundwater level were observed by the regression model, indicating a moderately correlated relationship between the groundwater level and soil surface temperature. Finally, higher solar radiation leads to higher soil surface temperature and higher evapotranspiration rates, which can lead to a decrease in groundwater level. As a result, we observe that the soil surface temperature determines changes in the groundwater level in the study region.
Modeling and Analysis of Cutoff Wall Performance Beneath Water Structures by Feed-Forward Neural Network (FFNN)
Authors: Alrowais Raid , Alwushayh Bandar , Bashir Muhammad Tariq , Nasef Basheer M. , Ghazy Ahmed , Elkamhawy Elsayed
Published: November 2023

Cutoff walls are widely used to limit seepage, piping, and the uplift under hydraulic structures. Therefore, this study focused on a numerical investigation of the hydraulic performance of cutoff walls beneath hydraulic structures during both static and dynamic conditions, considering location and inclination angle influences. The results confirmed that placing the cutoff wall at the upstream heel was more effective in reducing uplift pressure compared to other placements during static conditions. The inclination angles for the different placements of the cutoff wall had a significant impact on the total uplift pressure, exit hydraulic gradient, and seepage discharge during both static and dynamic states. The earthquakes had a noticeable effect on uplift pressure, seepage discharge, and exit hydraulic gradient. During static conditions, the inclination angle of 90° was the most effective angle for decreasing seepage discharge, irrespective of the cutoff wall position. During an earthquake, the seepage discharge values were high regardless of the inclination angle. In the case of placing a cutoff wall at the upstream heel, the maximum seepage discharge value occurred at an inclination angle of 45°. This study provided insights into the behavior of cutoff walls under different conditions and can inform the design and construction of such structures for effective seepage control. The experimental feed-forward neural network (FFNN) was also successfully built. According to the following criteria (uplift pressure, seepage, and exit hydraulic gradient), the hydraulic performance of cutoff walls beneath hydraulic structures under static conditions can be examined. The FFNN can make predictions with root mean square errors (RMSE) of 0.0697, 0.0021, and 0.0059, respectively, and R2 values of 1.00, 0.9994, and 0.9997.
Percepción de violencia de género y su repercusión emocional en familias rurales durante la pandemia
Authors: Zela Payi Nelly Olga , Ticona Arapa Haydee Clady , Chambi Condori Nancy
Published: November 2023

La violencia de género consiste en avergonzar, levantar la voz, de forma repetida a una persona, agredirla, privarla de contacto y de consuelo emocional, la que se viene presentando en la actualidad luego del confinamiento. Cuyo objetivo fue determinar la relación entre la percepción de violencia de género y su repercusión emocional en familias rurales, es de tipo descriptivo correlacional, con una población de 122 familias. Se aplicó encuesta e inventario de percepción, contrastando con la hipótesis planteada donde: Las mujeres consideran que sufren violencia de género 66,4% en damas, 42.6% en varones, 54,1% sufre agresión física de sus parejas, 45,9% agresión psicológica de sus parejas, 68,0% proviene de su pareja, el 32,0% es de otro integrante familiar un 77,9% proviene por factor económico, 18.0% a falta de comunicación, el 4,1% del factor social. Se concluye que la violencia de género tiene relación directa con la repercusión emocional.
PENGARUH VARIASI WAKTU PERENDAMAN DENGAN ALKOHOL TERHADAP KUALITAS PREPARAT PERMANEN LARVA Culex sp
Authors: Putri Amanda , Mulia Yuliansyah Sundara , Sulaeman Sulaeman , Wiryanti Wiwin
Published: November 2023

Pembuatan preparat permanen spesimen patologi atau anatomi meliputi perendaman KOH 10%, dehidrasi, clearing, dan terakhir mounting. Dehidrasi bertujuan mengeluarkan cairan dari spesimen menggunakan alkohol bertingkat 30%, 50% dan 96%. Proses dehidrasi yang terlalu cepat dapat menyebabkan preparat menjadi tidak jelas karena cairan belum sepenuhnya dikeluarkan, namun perendaman alkohol yang terlalu lama dapat menyebabkan kerusakan pada sampel. Tujuan penelitian ini untuk mengetahui pengaruh variasi waktu perendaman dengan alkohol terhadap kualitas preparat permanen larva Culex sp dan waktu yang optimum pada perendaman dengan alkohol dalam menghasilkan kualitas preparat permanen yang baik. Penelitian ini merupakan penelitian kuasi eksperimen dengan menggunakan variasi waktu perendaman alkohol masing-masing tingkatan 1x15 menit, 2x15 menit dan 3x15 menit. Hasil penelitian ini menunjukkan variasi waktu 1x15 menit menghasilkan preparat permanen lebih baik dibandingkan variasi waktu 2x15 menit dan 3x15 menit. Hasil dari penelitian ini disimpulkan bahwa terdapat pengaruh variasi waktu perendaman dengan alkohol terhadap kualitas preparat permanen larva Culex sp dan waktu optimum yang menghasilkan kualitas preparat permanen larva Culex sp yang baik yaitu waktu 1x15 menit.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY M DENGAN PENERAPAN PIJAT OKSITOSIN DI WILAYAH PUSKESMAS BAYONGBONG KABUPATEN GARUT
Authors: Handayani Fitri , Sofiyanti Santi
Published: November 2023

Asuhan Kebidanan Komprehensif adalah asuhan yang diberikan secara berkesinambungan kepada ibu selama kehamilan, persalinan, nifas, dan bayi baru lahir (BBL). Asuhan komprehensif memungkinkan bidan untuk memberikan asuhan yang berkualitas pada pasien sesuai dengan kebutuhannya. Kelancaran pengeluaran ASI sangatlah penting untuk memenuhi kebutuhan bayi, namun masih banyak ibu menyusui/ibu nifas yang terkendala karena keterlambatan dan sedikitnya pengeluaran ASI/kolostrum. Pijat Oksitosin merupakan salah satu solusi untuk mengatasi ketidaklancaran pengeluaran ASI. Tujuan Laporan Tugas Akhir ini untuk melakukan asuhan kebidanan komprehensif pada Ny M dengan penerapan pijat oksitosin. Pendekatan yang digunakan dalam penulisan Laporan Tugas Akhir ini adalah studi kasus pada Ny M. Lokasi studi kasus dilakukan di wilayah kerja Puskesmas Bayongbong Garut. Waktu yang digunakan untuk melakukan asuhan kebidanan secara komprehensif dari tanggal 30 Januari 2023 sampai 3 Maret 2023. Subyek dalam studi kasus ini yaitu Ny M G2P1A0. Asuhan kebidanan komprehensif dilakukan mulai dari masa kehamilan trimester 3 usia kehamilan 38-39 minggu, persalinan, bbl/neonatus dan nifas. Pada saat masa nifas yaitu dari kunjungan KF 1 (8 jam postpartum) penulis menerapkan pijat oksitosin untuk mempercepat atau memperlancar pengeluaran ASI pada Ny M. Kesimpulan dari studi kasus ini yaitu asuhan kebidanan komprehensif yang dilakukan pada Ny M terutama penerapan pijat oksitosin pada Ny M di masa nifas berhasil dilakukan, sehingga yang sebelumnya pengeluaran kolostrum/ASI pada Ny M sedikit menjadi keluar lebih cepat dan banyak setelah dilakukan pijat oksitosin.
PENGARUH LAMA SIMPAN DAN TINGKAT HEMOLISIS DARAH K2EDTA RESIPIEN TERHADAP HASIL CROSSMATCH METODE GEL
Authors: Baiti Dewi Nur Azzahra , Noviar Ganjar , Durachim Adang , Marliana Nina
Published: November 2023

Pemeriksaan pra transfusi merupakan suatu rangkaian prosedur pemeriksaan mencocokkan darah resipien dan darah donor yang diperlukan sebelum darah diberikan kepada resipien dengan uji silang serasi atau crossmatch. Sampel yang baik untuk pemeriksaan crossmatch yaitu sampel darah yang baru saja diambil, namun kenyataan dilapangan berbeda, dalam keadaan tertentu sampel darah yang tersedia seringkali berada di suhu kamar dan suhu kulkas 1 sampai 3 hari. Salah satu kesalahan pada pengujian crossmatch yaitu pada proses pra analitik, dimana 60% disebabkan oleh darah hemolisis. Tujuan dari penelitian ini untuk mengetahui ada tidaknya pengaruh dari tingkat hemolisis darah K2EDTA resipien dan pengaruh lama simpan terhadap hasil crossmatch metode gel. Jenis penelitian yang digunakan adalah quasi eksperimen. Jumlah sampel yang digunakan adalah 3 sampel dan diambil sebanyak 12 mL. Data dianalisis menggunakan uji statistika Kruskal- Wallis. Hasil uji crossmatch pada darah K2EDTA dengan tingkat hemolisis tidak hemolisis, hemolisis ringan, hemolisis sedang, dan hemolisis berat menunjukkan hasil kompatibel. Dan hasil uji crossmatch pada darah K2EDTA dengan lama simpan selama 0 hari, 3 hari, 5 hari, 7 hari menunjukkan hasil kompatibel. Secara statistik didapatkan nilai signifikan(1.000) > α(0,05), sehingga dapat disimpulkan bahwa hasil menunjukkan tidak terdapat pengaruh lama penyimpanan dan tingkat hemolisis darah K2EDTA terhadap hasil crossmatch metode gel.
Web series “Tiba-Tiba NgeGUIDE” As a Media Promotion for Tourist Destination in Jakarta
Authors: Valentia Tetta Riyani
Published: November 2023

Film-induced tourism refers to the phenomenon of people visiting places because they were featured in popular movies or TV shows. The power of cinema to inspire travel has been recognized by the tourism industry for many years, and it has become a significant source of income for many destinations around the world. The concept of film-induced tourism has gained momentum with the rise of social media and the internet, which have made it easier for travelers to research and plan their trips based on the locations they have seen on screen. The impact of film-induced tourism can be significant for both the destinations and the film industry. For destinations, it can create jobs, boost local businesses, and promote the local culture and heritage. For the film industry, it can generate additional revenue and increase exposure for their productions. The concept of film-induced tourism has gained momentum with the rise of social media and the internet, which makes it easier for travelers to research and plan their trips based on the locations they have seen on screens. This is what the Tourism and Creative Economy Service is trying to take advantage of by launching the web series 'Tiba-Tiba NgeGUIDE'. There are two main factors that are discussed in depth, namely the process of making films including pre- production, production and post-production and also the web series itself which is a medium for promoting Jakarta tourism. Literature study, observation, and documentation try to be optimized to collect the required data. In conclusion, the web series Tiba-Tiba NgeGUIDE has succeeded in becoming a media/tool that promotes Jakarta tourism and increases audience awareness of Jakarta's tourist destinations.
Development of European Educational Policy: Legal Foundations
Authors: Holubnycha Liudmyla , Besarab Tetiana , Moshynska Olena
Published: November 2023

The manuscript is devoted to European educational policy through the prism of legal regulations as their influence is very significant for the development of educational system especially at the tertiary level.
The purpose is to study peculiarities of the shaping and development of European educational policies within the realm of higher education, where legal and pedagogical sciences intersect. The tasks are: to find out what place educational sector takes in Europe and why; to reveal the most significant legal documents in the sphere of education and follow the path of development of European policy development in the higher education domain by drawing insights from these documents; to determine the value of legal documents in the sphere of education for the development of European educational policy, based on their essence.
The research methods used are analysis and syntheses of European legal documents related to the higher education field aimed at collecting the materials for researching the problem both from a legal and pedagogical position and for drawing the conclusion.
The results revealed that the beginning of the European countries’ cooperation in educational sphere (1970s) led to the development of a common educational strategy. Enhanced collaboration in higher education across various tiers evolved significantly following the recognition of the pivotal role played by skilled human resources in driving economic and social progress, a realization that first emerged in 1985. This recognition led to the endorsement of several significant agreements, including the Single European Act in 1987, the Magna Charta Universitatum in 1988, and the Memorandum of Higher Education in the European Community in 1991. The most important EU Treaties concerned the educational sector as well that led to the signing the Bologna Declaration, the establishment of the European Higher Education Area, and the regular meetings of the European Ministers of Education. Education has become the basis for shaping European community and the core for economic stability.
The conclusion is that European statesmen consider the educational sector to be the key one because it is the basis of economic, social and human development; the EU Higher Educational Policy has gone from the auxiliary industry in the context of shaping the internal market (1950s) to one of the priority sectors that is developing in response to the demands of society.
Dual Stratification Effects on Mixed Convective Electro-magnetohydrodynamic Flow over a Stretching Plate with Multiple Slips and Cross Diffusion
Authors: Baako Mike , Etwire Christian John , Aloliga Golbert , Seini Yakubu Ibrahim
Published: November 2023

This paper analyzed the effects of dual stratification on mixed convective electro-magnetohydrodynamic flow over stretching plates with multiple slips. With the aid of the similarity transformation technique were, the governing boundary equations, that were partial differential equations, were changed to a couple of ordinary differential equations and then solved with fourth order Runge Kutta method and Newton’s Raphson shooting techniques. It was observed that the magnetic field, Buoyancy ratio, permeability, momentum slip parameters, Dufour, Soret and Brinkmann numbers made the thermal boundary layer thickness to increase but the solutal stratification, electric field, chemical reaction, solutal slip, suction, thermal slip and thermal stratification parameters, Prandtl, Richardson and Lewis number decreased the thickness of the thermal boundary layer. The Buoyancy ratio, permeability, momentum slip, thermal slip and thermal stratification parameters and Soret number enhanced the solutal boundary layer thickness.
Rejoinder to Block on COVID
Authors: Slenzok Norbert
Published: November 2023

Block (2022) takes issue with Slenzok’s (2021) argument against universal antipandemic restrictions (UAPR) developed in the context of COVID-19. He purports to have concocted a thought experiment that invalidates Slenzok’s analysis. In this brief reply, it is demonstrated that Block’s scenario is beside the point and that his (qualified) pro-UAPR position is premised on a notion of agnosticism which, if followed consistently, would render libertarianism utterly inapplicable to real-life conditions.
EMPOWERMENT OF MEDICAL RECORD OFFICERS IN INCREASING OUTCOME PATIENT SATISFACTION EFFORTS IN HOSPITALS GRANDMED LUBUK PAKAM
Authors: Kasim Felix
Published: November 2023

Medical record as a form of documentation of health services and a form of patient administrative responsibility and patient reference. The quality of medical records describes an implementation of the quality of health services such as health centers, clinics and hospitals. The purpose of this activity is to socialize and assist medical record officers in increasing outpatient satisfaction at Grandmed Hospital. The implementation of this community service activity began with collecting data on the number of officers in the outpatient medical record unit at Grandmed Lubuk Pakam Hospital. Then the team made direct observations in the RM unit and saw the activities of officers while providing services to patients at the hospital. Furthermore, outpatients were given a questionnaire regarding the satisfaction of medical record services. Furthermore, socialization, education and mentoring training were carried out through lectures and discussions about health services according to standard operating procedures (SOPs). After socialization, outpatients were given a questionnaire again to assess the improvement of medical record services. Based on the results of the socialization activity, the respondent's score before socialization and education was 7 and the lowest value was 4. Meanwhile, the respondent's value after being given socialization and education to the respondent increased by 10, the lowest score was 6 and the average respondent's score was 9.8. . Based on the results of the activity, it was found that 20 outpatients at Grandmed Hospital showed that the level of service satisfaction was 93% while dissatisfied was 3%. Based on this socialization activity, it was concluded that the medical record service unit officers experienced an increase in knowledge and the results of the evaluation of services for outpatients, namely patients were satisfied with medical record services, which was 93%.
EDUCATION OF ADDITIONAL FEEDING (MT) BISCUITS TOWARDS FETAL WEIGHT IN PREGNANT MOTHERS CHRONIC ENERGY LACK AT PUSKESMAS SEI SUKA
Authors: Bintang Siti Sarah
Published: November 2023

Chronic Energy Deficiency (KEK) is a nutritional problem caused by a lack of food consumed for a long time, a matter of years. Lack of energy intake of macronutrients (carbohydrates, protein and fat) and micronutrients, especially vitamin A, vitamin D, folic acid, iron, zinc, calcium and iodine as well as other micronutrients. The implementation of PkM activities for pregnant women is carried out through notifications via social media by filling out a google form with a sample of 20 pregnant women who are in the Work Area of the Sei Suka Health Center. The results showed that the increase in the body mass index of pregnant women who experienced SEZ increased by 65% and did not increase by 35%. There is an increase in understanding related to Education on Supplementary Food Giving (Mt) biscuits to fetal weight in chronic energy deficient pregnant women (KEK) in the Work Area of the Sei Suka Health Center
STAFF EMPOWERMENT REGARDING THE IMPLEMENTATION OF INTERPERSONAL COMMUNICATION IN OUTCOME PATIENTS AT GRANDMED HOSPITAL LUBUK PAKAM
Authors: Girsang Desri Meriahta , Manurung Jelita , Anggriani Salmi
Published: November 2023

In human interactions, communication is a highly special and important activity. It is a complex process that incorporates behavior and enables people to communicate to one another and the environment around them. In this study, the authors sought to understand how the internal personnel of Grandmed Lubuk Pakam Hospital interacted with patients. This study is a qualitative descriptive one, and the methods used for data collecting include in-depth interviews, non-participant observation techniques, and literature review. A purposive sample method was used to choose the informants. Analysis of the data acquired using the Miles and Huberman interaction model, and source triangulation was used to determine the accuracy of the data itself. Based on the data, it can be concluded that applied interpersonal communication is divided into four stages: pre-interaction, action, evaluation, and documentation. The staff employs particular strategies and attitudes when speaking with patients. Interpersonal communication depends on how staff and patients get along. The ability to take meaningful action for patients and helping patients clarify and lessen the weight of their feelings and ideas are two aims that staff and patients collaborate to attain through a strong nurse-patient relationship.
MECHANISM OF INJURY AND AGE WITH GCS (GLASGOW COMA SCALE) VALUE IN HEAD INJURY PATIENTS
Authors: Pitriani Pitriani , Hayati Kardina , Wati Syatria , Lismawati Lismawati , Kasim Felix
Published: November 2023

GCS adalah metode yang paling populer untuk menilai status neurologis dan derajat keparahan disfungsi otak termasuk cedera ketua Ada tiga komponen yg dievaluasi berdasarkan GCS yaitu respon mata, lisan & motorik. Cidera kepala merupakan gangguan traumatik yang disertai atau tanpa disertai perdarahan interstitinal pada substansi otak tanpa diikuti terputusnya kontinuitas otak. Cedera kepala didominasi pada kecelakaan berkedaraan bermotor (50), ini merupakan salah satu penyebabnya, yaitu sepeda motor, mobil, truk, sepeda, dan pejalan kaki yg tertabrak tunggangan. Usia 65 tahun biasanya mengalami cedera kepala berat 2 kali lipat lebih besar terjadi mortalitas daripada usia di bawah 65 tahun, dan biasanya penyebab utamanya bermacam-macam.
SOCIALIZATION ABOUT THE RIMBANG FRUIT ACTIVITY TEST (SOLANUM TORVUM SWARTZ) AS AN IMMUNOSTIMULATOR
Authors: Marbun Romauli Anna Teresia , Br Situmorang Novidawati , Wahyuni Siti
Published: November 2023

Decreased immune system function can occur when the invasion of foreign substances cannot be balanced by immune cells. So, we need substances or materials that can improve the immune system and increase its regulation. Rimbang fruit (Solanum torvum Swartz) is a native vegetable that has been consumed by local people for a long time. Previous research stated that rimbang fruit is rich in phenolic compounds, namely flavonoid derivatives, namely flavonols (quercetin, kaempferol, and myricetin) and flavones (apigenin and luteolin). These secondary metabolites indicate that rimbang fruit has the potential to regulate the regulation of the immune system supported by its high antioxidant power. The research method used experimental methods, extraction method with 96% ethanol solvent maceration method. Variations in the dose of rimbang fruit extract used were doses of 50%, 100%, 200%, and 400%. The positive control used was Levamisole. The negative control used was CMC-Na 0.5%. The immunomodulator test method uses the antibody titer method using male rats as test animals. Immunogens used sheep red blood cells. Information provided to pharmacy students. From this it was concluded that the rimbang fruit extract had an immunostimulating effect at an optimal dose of 400 mg/kg body weight. These findings are shared with students and the public through Zoom meetings to help them understand the benefits of rimbang as an immunostimulator.
COUNSELING ON FAMILY SUPPORT IN THE CURE OF PULMONARY TB PATIENTS AT LUBUK PAKAM HEALTH CENTER
Authors: Gurusinga Rahmad
Published: November 2023

Tuberculosis (TB) is a life-threatening disease, TB is also an infectious disease that can be transmitted to everyone, both at the age of children, adults and the elderly. Transmission can occur through the air when the sufferer or sufferer is coughing, talking, sneezing or spitting. Once the germs enter the respiratory system, they will attack the lungs and spread to the circulatory system. Factors that cause TB apart from agent (host) factors are also influenced by environmental factors. Treatment of TB patients takes at least 6 months, for 6 months the patient must take medicine regularly every day at the same time, because the length of the treatment process sometimes makes the patient feel bored and bored to take it, besides that this condition is a disease that can transmit it to other people makes them ostracized from their environment, this condition makes sufferers more down and resigned to their illness so that it can be dangerous and can even cause death. therefore the role of the family in providing support is very important, because the family is the closest person to the patient, so the family must know what support needs to be given to the patient. The purpose of community service is to increase knowledge, especially about family support in the healing process of TB patients. This activity was held in November at the Lubuk Pakam Health Center, the counseling participants were 121 patients and their families. Before counseling, the majority of participants said they did not know what kind of support was given to patients, but after counseling, the majority of participants became aware and ready to accompany patients until the doctor declared the patient cured. It is recommended that the patient's family or patient can continue to increase knowledge, especially about TB disease.
SAFETY COMMUNICATION EDUCATION IN IMPLEMENTING SAFE BEHAVIOR OF EMPLOYEES AT PLN OFFICE TANJUNG MORAWA, DELI SERDANG DISTRICT
Authors: Irmayani Irmayani , Ginting Rosita , Bangun Sri Melda , Samura Jul Asdar
Published: November 2023

Safety communication is an interaction activity carried out by one worker with another worker so that the work carried out can run well and does not cause miscommunication which results in work accidents. Implementation of occupational safety and health communication aims to create safe behavior among workers. Prevention efforts that can reduce work accidents are by providing counseling about the application of safety communication. This PKM activity aims to educate employees about safe safety communication to workers. The method used in this activity includes counseling and discussion. This activity was carried out at the Tanjung Morawa PLN Office, Deli Serdang Regency. The targets for this activity were employees at the Tanjung Morawa PLN Office, Deli Serdang Regency, totaling 50 people. This activity was carried out in November 2022. The mechanism for implementing PKM activities is through several procedures which include: conducting a preliminary survey, arranging permits, coordination meetings, preparing facilities and infrastructure, preparing materials, preparing instruments, implementing activities and evaluating activities. From the results of the activities that have been carried out, it shows that the majority of participants have a working period of <5 years as much as 64%, the majority have high school education as much as 50%. There was an increase in knowledge about work safety communication before and after counseling by 38%. All participants in the activity took part in the activity enthusiastically. This PKM activity is expected to provide value to the community, especially workers at PT PLN Tanjung Morawa
EDUCATION RELATED TO THE EFFECT OF TRUNK MUSCLE EXERCISE ON REDUCING THE RISK OF FALLING IN THE ELDERLY
Authors: Bintang Siti Sarah , Siahaan Timbul , Br Tambunan Juni Kristina , Harahap Fitri Ramadhani
Published: November 2023

Decreased physical function and a significant increase in the risk of disability and dependency are typical of older adults. Muscle strength is a strong predictor of severe mobility limitations, slow walking speed, increased risk of falls. Research provides justification for the use of trunk muscle exercise therapy which plays a restorative and accommodative role in minimizing loss of stability in the elderly through improving balance and mobility thereby reducing the risk of falls. This community service activity (PKM) uses a lecture technique by providing education about Education Related to the Effect of Trunk Muscle Exercise on Reducing the Risk of Falling in the Elderly. The media used in the lecture technique. Implementation of PkM activities for the elderly, carried out through notifications via the internet by filling out a Google form with a sample size of 12 elderly. The results obtained are increased knowledge related to education related to the effect of trunk muscle training on reducing the risk of falling in the elderly
FACE ACCUPRESSURE TREATMENT IN REDUCE THE LEVEL OF ANXIETY FOR POSTPARTUM MOTHERS
Authors: Pardede Desika Wali
Published: November 2023

Childbirth was a natural process bestowed by God on a woman. After giving birth, many people think that pregnancy was a woman's nature that must go through, but in reality, a woman who gives birth could be a dramatic and traumatic episode that really determines her life, because a mother who experiences stress, feelings of sadness and fear will affect the mother's emotional and sensitivity during the postpartum period. Anxiety was an emotional condition as a warning sign of a person's physical condition against the occurrence of a problem. Therapy that could overcome anxiety by stimulating the release of endorphins (hormones of happiness). Several therapies were applied to stimulate the release of endorphins, including massage therapy. Face acupressure is one of the complementary therapies for dealing with anxiety because it was a type of acupressure (massage by pressing acupuncture points. Face acupressure was done by applying pressure with the fingertips on acupuncture points on the face which aimed to help expedite the flow of energy in the body, regulate blood flow and movement of lymph, increase immunity, make the body more relaxed and clear the mind as well as soften the skin. The implementation of this activity WAS expected to increase the ability of midwives to reduce the anxiety of postpartum mothers.
BENEFITS OF RADIAL SHOCK WAVE THERAPY AND LASER THERAPY ON MYALGIA LOW BACK PAIN
Authors: Jehaman Isidorus , Ginting Raynald Ignasius , Berampu Sabirin , Tantangan Redi
Published: November 2023

Low Back Pain (LBP) does not cause death, but causes individuals to become unproductive so that it will cause an enormous economic burden for individuals, families, communities and the government. Indonesian BPS data explains that people over 15 years of age have health problems. With increasing age, the anatomical structure and function of tissues will decrease, such as muscles, bones and joints, ligaments and other soft tissues. These changes are relevant to a person's decrease in activity. Pain is a major problem in patients with LBP disorders. Physiotherapy measures to overcome these complaints are extracorporeal shock wave therapy and laser. Physiotherapeutic intervention using shock wave therapy and extracorporeal laser methods can be given to LBP myalgia patients through community service activities carried out at Grandmed Lubuk Pakam Hospital. To evaluate the results of the intervention, the measuring tool used is the Verbal Analog Scale (VAS). This activity was attended by 12 respondents who complained of low back pain. Before and after the intervention the value will be measured using the VAS. Based on the results of the last evaluation, it can be seen that the respondents' pain complaints before and after the intervention experienced withdrawal, namely 5.8 (moderate pain) before the intervention and after the intervention the value became 0.8 (mild pain). The results of these actions prove that physiotherapy interventions such as radial shock wave therapy and laser therapy are useful/effective in dealing with complaints of LBP myalgia.
Study of antimicrobial property of knitted spacer fabric treated with
1-Tetradecanaminium, N,N-dimethyl-N-[3-(trimethoxysilyl)propyl], chloride
Authors: RODRIGUES MICHAEL , THILAGAVATI G.
Published: November 2023

The current study helps to understand the efficacy of antimicrobial treatment done on a weft-knitted spacer fabric. The
antimicrobial agent used in the study is from the class of quaternary ammonium salts. The fabric is evaluated for
antimicrobial efficacy. It is also cross-compared with the drug and some advanced wound dressings available in the
market for its antimicrobial and anti-biofilm activity.
Knitted spacer fabric treated with 1-Tetradecanaminium, N,N-dimethyl-N-[3-(trimethoxysilyl)propyl], chloride (QAS)
shows good antimicrobial properties and is shown to exhibit a broad range of antimicrobial effects against gram-positive
bacteria, gram-negative bacteria and also fungus and yeast. The rapidity of killing and durability of microbial activity
make it a very suitable material for infection control in applications like wound care materials. The spacer fabric can
behave as foam in the management of exudates in wounds.
The efficacy of this material compared with other dressing materials yields substantial evidence of its activity as a wound
dressing material when it comes to management of microbial contaminations including biofilm prevention and disruption.
Such material can find use in the management of chronic wounds and is a subject matter of further studies with clinical
evidence.
PENINGKATAN KEMAMPUAN PESERTA DIDIK DALAM MENJUMLAH BILANGAN PECAHAN DENGAN MENGGUNAKAN MEDIA GAMBAR LUAS DAERAH DI KELAS VII MTs.N 1 ENREKANG
Authors: Hasmawati Hasmawati , Usman Usman , Ahsan
Published: November 2023

Peningkatan Kemampuan Peserta Didik dalam Menjumlah Angka Bagian dengan Memakai Alat lukisan Besar wilayah di MTs.N 1 Enrekang (dibimbing oleh Usman, dan Muhammad Ahsan). Tujuan riset ini merupakan buat mengenali cara penataran penjumlahan bilangan pecahan dan kemampuan peserta didik, serta pengaruhnya dalam menggunakan media gambar luas daerah. Jenis penelitian ini adalah kuantitatif yang melibatkan 1 kelas sebagai kelas experimen .dengan metode pengumpulan informasi di maanfaatkan merupakan pemantauan dan tes ( pretest dan post test) kemudian analisis data dengan cara analisis statistik deskriptif dengan menggunakan aplikasi SPSS dan analisis statistik inferensial. Untuk menentukan adanya efektif kita menggunakan kriteria yaitu (1) terjadinya peningkatan hasil belajar minimal dalam kategori “sedang” (2) Tercapainya nilai KKM minimal 70, (3) aktivitas murid berada pada kategori “cukup”. Instrumen serta metode pengumpulan informasi yang dipakai dalam riset ialah (1) observasi,(2) tes belajar yang di peroleh dengan menggunakan teknik tes. Berdasarkan hasil penelitian menunjukan (1) hasil uji paired sample t- test buat informasi menunjukan pengaruh peningkatan peserta didik dalam menjumlah bilangan pecahan.(2) hasil uji paired sample tes men unjukan bahwa nilai signifikan pada penelitian ini sebesar 0,000 < 0,05, sedangkan nilai t-hitung sebesar 9,622 > t-tabel. Hal ini mengartikan bahwa terdapat pengaruh penggunaan media gambar luas daerah secara signifikan terhadap peningkatan kemampuan peserta didik kelas VII dalam menjumlahkan bilangan pecahand MTs.N 1 Enrekang.
Studi Etnometodologi Islam untuk Mengupas Praktik Akuntansi Hutang
Authors:   Institut Agama Islam Negeri Sultan Amai Gorontalo, Thalib Mohamad Anwar
Published: November 2023

Purpose: This study explores debt accounting practices conditional on non-material values. Method: This study uses an Islamic paradigm, qualitative method, and Islamic ethnomethodological approach. There were five data analysis stages: charity, knowledge, faith, revelation information, and ihsan. Result: The study results show that there is a practice of debt accounting in the form of sources of debt funds obtained from friends and relatives. Debt funds are intended only to finance urgent needs. Debt repayment is performed through salary deductions and repayments assisted by the husband. The debt was recorded. This debt accounting practice requires non-material value in the form of responsibility. This value is reflected in the informants' actions, who only make loans when there is an urgent need, and the informants record the debts made and the date of payment of the debt. Limitation: A limitation of this research is that no documentation was found on the method of recording debt accounting by honorary teachers. Contribution: This study contributes to the literature by presenting the concept of debt accounting by honorary teachers, based on non-material values in the form of responsibility. Novelty: The novelty of this research lies in the results of this study, presenting the concept of debt accounting not limited to techniques and calculations, but conditions with non-material values.
O papel da tecnologia na sala de aula explorando os benefícios e desafios da integração tecnológica no ambiente educacional
Authors: Fonseca Erisson Jordan Ferreira , Ling Bianca Patrícia Gandini , Guimarães Junior José Carlos
Published: November 2023

Este artigo acadêmico investiga o papel da tecnologia na sala de aula e analisa os benefícios e desafios associados à sua integração no ambiente educacional. A pesquisa se baseou em uma revisão da literatura existente, explorando estudos e experiências de diversos contextos educacionais. A metodologia adotada neste estudo consistiu em uma revisão sistemática da literatura relacionada à integração da tecnologia na sala de aula, assim foram selecionados artigos acadêmicos, estudos de caso e relatórios governamentais que abordavam os benefícios e desafios dessa integração. Os resultados revelaram uma série de benefícios associados à integração da tecnologia na sala de aula. Em primeiro lugar, a tecnologia amplia o acesso a informações e recursos educacionais, proporcionando uma aprendizagem mais abrangente e diversificada. Os alunos têm a possibilidade de explorar conteúdo online, acessar bibliotecas digitais e participar de fóruns de discussão, ampliando sua compreensão e participação ativa no processo educacional. Além disso, a integração da tecnologia promove a aprendizagem colaborativa e a troca de ideias entre os alunos. Através de projetos virtuais e ferramentas interativas, os estudantes podem trabalhar em equipe, compartilhar conhecimentos e desenvolver habilidades de comunicação e colaboração.
PARALISIA CEREBRAL E DISFAGIA INFANTIL COM ÊNFASE NA ATUAÇÃO FONOAUDIOLÓGICA: revisão sistemática
Authors: Vasconcelos Bruna Stefanny Sampaio , Sales Alessandra Mendes de
Published: November 2023

Introdução: A Paralisia Cerebral engloba grandes distúrbios, dentre eles a disfagia, que se faz presente em praticamente todas a classificações, podendo apresentar-se em diferentes graus e resultar em vários outros problemas como aspirações, desnutrição, desidratação e pneumonias. Objetivo: Assim, nesta pesquisa aborda-se as dificuldades da criança com PC em relação a disfagia e enfatiza o trabalho do fonoaudiólogo neste ambiente. Métodos: Trata-se de uma revisão sistemática da literatura, cuja pergunta norteadora é: “Quais as repercussões sobre a disfagia em crianças com Paralisia Cerebral e atuação fonoaudiológica neste contexto?”. O período estimado para completa realização do estudo de revisão bibliográfica abrangeu os meses de dezembro de 2022 a agosto de 2023. Foram incluídos artigos relacionados à Disfagia Infantil e Paralisia Cerebral, disponíveis nas bases de dados: Google acadêmico, Scientific Eletronic Library Online (SciELO) e Biblioteca Virtual em Saúde (BVS) de forma integral e gratuita, publicados no idioma português no ano de 2017 a 2022. Resultados: A amostra final resultou em 6 artigos, sendo 3 encontrados na base de dados Google Acadêmico, 2 na base Scielo e 1 na BVS, apresentando resultados sobre as repercussões causadas pela disfagia na criança com Paralisia Cerebral e pontuando a importância do fonoaudiólogo neste contexto. Conclusão: No presente estudo concluiu-se que, as dificuldades referentes a disfagia infantil na Paralisia Cerebral impactam negativamente em diversos contextos, além disto, pontuou-se também o papel ímpar do fonoaudiólogo neste assunto, sendo o profissional capacitado e habilitado para atuar no que concerne as complicações decorrentes da disfagia.