bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Perawatan Payudara terhadap Kadar Prolaktin dan Volume ASI pada Ibu Postpartum Primipara
Authors: Lestari Siti , Jurnalis Yusri Dianne , Oenzil Fadil
Published: September 2023

Abstract BackgroundExclusive breast milk is breastfeeding for infants from 0-6 months in order to meet the nutritional needs for growth and development. Breastfeeding has unmatched advantages for infants, mothers, families and communities. It is strongly recommended to exclusively breastfeed for 6 months. The production and excretion of breast milk is influenced by the prolactin hormone and the oxytocin hormone.  ObjectiveProlactin affects the amount of milk produced. Breast care is highly important; one of which is maintaining breast hygiene, especially the hygiene of the nipples to avoid infection and to soften it, so that the infant can be breastfed properly, and stimulates the glands.Method an experimental research with post test only control group design in Andalas Community Health Center, Padang. The sample in this study consisted of 15 treatment groups and 15 control groups that met the inclusion criteria taken by simple random sampling technique. Breast care was carried out on the third trimester of pregnant women starting from the age of 34 weeks carried out three times a week. Prolactin level was measured by ELISA and breastmilk volume was measured by measuring tubes. The normality test used the Shapire Wilk test. Statistical test used independent t test.Results and DiscussionThe results of this study indicated that the mean of prolactin level in the breast care group (425,00 ± 41,08) was greater than the control group (372,34 ± 43,59). The results of statistical tests revealed that there was a significant effect of breast care on prolactin level (p = 0,002). Besides, the volume of breast milk in the breast care group was (32,67 ± 4,60) greater than the control group (26,60 ± 4,29). The results of statistical tests showed that there was a significant effect of breast care on breast milk volume (p = 0,001).ConclusionProlactin level and milk volume in postpartum primiparous mothers who did breast care were more in production than mothers who did not do breast care and the difference was significant.
Diagnosis and Treatment in patient with Herlyn-Werner-Wunderlich Syndrome: A case causing pelvic pain
Authors: Triantoro Norman Aji , Pangastuti Nuring
Published: September 2023

Background: Herlyn-Werner-Wunderlich (HWW) syndrome is a rare variant of Mullerian duct anomalies. The characteristic triad of this syndrome includes didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis, recently known as Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) syndrome. The most common presentation is abdominal and pelvic pain, dysmenorrhea, and abdominal mass secondary to hematocolpos, hematosalping or hematometra.Objective: to determine the diagnosis and operative management of HWW syndrome case with pelvic pain as the chief complaint. Method: case examination and tracing medical records at Dr Sardjito Hospital Yogyakarta.Results and Discussion: Fourteen-year-old female, presented with pelvic pain. Physical examination revealed a cystic mass in the abdomen inferior, palpable up to 3 cm inferior to the umbilicus. From the Intravenous Pyelography (IVP) examination, it was found normal anatomy and function of the right kidney, but there was no left kidney. On a contrast-enhanced abdominal CT scan, magnetic resonance imaging (MRI) and laparoscopy showing a complete duplication of the uterus from the horn to the cervix with no connection between the two uterine cavities, both ovaries were normal, the right fallopian tube was normal, the left tube was enlarged, attached to the uterus and the left ovary, no left kidney was found. Operative management of the vaginal septectomy procedure was performed.Conclusion: MRI is most accurate for providing details regarding the altered anatomy and for identifying associated hematocolpos,hematosalping or hematometra for HWW syndrome cases. Surgical intervention by vaginal septectomy is performed to relieve symptoms, provide better reproductive and sexual functions.Keywords: Herlyn-Werner-Wunderlich syndrome; Mullerian disgenesis; pelvic pain.
Pengetahuan dan Minat Penggunaan Menstrual Cup pada Mahasiswi Kesehatan Masyarakat Universitas Airlangga
Authors: Shelby Chalysta Putri , Puspitasari Nunik
Published: September 2023

Background: Menstrual cup is the alternative menstrual products used by women. However, menstrual cup is still taboo in Indonesia because women have concerns about using them.Objective: The study aimed to describe and to see the relationship between knowledge about menstrual cup and interest of using among students of Public Health Universitas Airlangga.Method: The study used analytic observational with students of Public Health year 2018 Universitas Airlangga as the population. The study used simple random sampling with a total of 65 samples. Results and Discussion: A total of 55.4% respondents had good knowledge about menstrual cup and 72,3% were not interested in using menstrual cup. The Chi-Square test showed that p-value 0.301 > 0.05.Conclusion: Knowledge about menstrual cup were good but interest in using menstrual cup was low. There was no relationship between knowledge and interest of using menstrual cup. Keywords: interest of using; knowledge; menstrual cup
Hubungan Onset Preeklamsia dengan Luaran Neonatus di RSUP Dr.Sardjito Yogyakarta
Authors: Surawijaya Harya Bayu , Ganap Eugenius Phyowai , Attamimi Ahsanudin
Published: September 2023

Background: Preeclampsia is one of the leading causes of death for both mother and fetus. Preeclampsia is divided into two categories of onset, for preeclampsia that begins at gestational age below 34 weeks is called early onset preeclampsia and late onset preeclampsia begins after gestational age above 34 weeks. In early-onset preeclampsia, there is an imperfect remodeling of the maternal spiral arteries, resulting in abnormal uteroplacental perfusion, causing hypoxia and acidosis in neonates which can increase incidence of IUGR, incidence of neonatal sepsis, neonatal mortality, low APGAR scores and longer hospital length of stay.Objectives: To determine the relationship between maternal and neonatal outcomes with early-onset preeclampsia and late-onset preeclampsia.Methods: This study was a retrospective cohort design and the sampling method used consecutive sampling. The research subjects were divided into two groups, the early-onset preeclampsia group and the late-onset preeclampsia group who were treated and gave birth at the RSUP. Dr. Sardjito Yogyakarta in 2019-2020.Results and Discussion: This study had a total sample of 235 subjects consisting of 146 subjects in the EO-PE group and 89 subjects in the LO-PE group. The two groups had a significant difference in the incidence of neonatal death, the incidence of neonatal sepsis and length of stay (p<0.05), but there was no significant difference in the incidence of IUGR (p=0.527) and the incidence of low Apgar score (p=0.771).Conclusion: There was no difference in the incidence of IUGR and low Apgar score between mothers with EO-PE and mothers with LO-PE. The incidence of neonatal sepsis and the incidence of neonatal death in mothers with EO-PE is higher than in mothers with LO-PE which was influenced by gestational age and history of preeclampsia. The length of neonatal hospital stay in mothers with EO-PE is longer than that of mothers with LO-PE, it was influenced by the onset of preeclampsia and gestational age. Keywords: Early onset preeclampsia; late onset preeclampsia; neonatal outcome; neonatal sepsis; IUGR.
Determinants of Neonatal Mortality: A Case Study in Sleman District
Authors: Wahab Abdul , Ratrikaningtyas Prima Dhewi , Kurniasih Esti , Darwis Rizka Aziza , Na’imah Siti
Published: September 2023

Background: Neonatal mortality is a significant global health problem. Most of the cases occur in low and middle-income countries including Indonesia. In Sleman District, Yogyakarta for the last five years, the neonatal mortality rate has not improved and remains high. This research aimed to identify the root causes of newborn deaths in Sleman District.Methods: A case study approach was used with qualitative methods to describe and discuss five infant mortality cases in Sleman District. This study involved in-depth interviews with 3 mothers of neonates as the main informants, three public figures as society representatives, and other health stakeholders represented by local midwives in Sleman District.Results adn Discussion: There were 12 sub-themes identified in this study that reflected 3 main themes associated with neonatal mortality which are: 1) the neonates’ condition: premature birth, pneumonia, low birthweight, and immaturity of vital organs; 2) the maternal factors: psychological stress, hypertension, diabetes, and obesity; and 3) the healthcare system: midwives’ roles, village cadre roles, and health data collection of mothers and children.Conclusion: Generally, the causes of neonatal mortality were due to prematurity and multiple fetuses; therefore, in-depth screening is needed to prevent neonatal mortality.Keywords: Determinant; Neonatal Mortality; Healthcare System; Case Study.
Upaya Pencegahan Disfungsi Dasar Panggul Pasca Persalinan Vaginal oleh Kelompok Bidan Berbasis Aplikasi KIPPas Jogja (Kartu Instrumen Prediktor Pangastuti Jogja) di Desa Pandowoharjo, Kabupaten Sleman, DIY
Authors: Pangastuti Nuring , Panghargiyo Murwantoro , Issabella Chentia Misse , Mandegani Pramudita Putri Dyatmika , Maliki Fauzan Achmad , Jatipradresthya RM Wiskara
Published: September 2023

Latar belakang: disfungsi atau terganggunya fungsi dasar panggul terdiri dari beberapa macam gambaran klinis, antara lain prolaps organ panggul, inkontinensia urin atau fekal, maupun gangguan fungsi seksual. Disfungsi dasar panggul pada perempuan sering dikaitkan dengan kejadian persalinan vaginal yang dialami sebelumnya. Pertolongan persalinan vaginal dapat dilakukan oleh berbagai profesi tenaga kesehatan, termasuk para bidan. Meskipun pertolongan persalinan normal telah dilakukan secara rutin, masih dijumpai beberapa permasalahan terkait pencegahan disfungsi dasar panggul pasca persalinan vaginal. Salah satu cara untuk membantu upaya pencegahan tersebut adalah dengan menggunakan KIPPas Jogja (Kartu Instrumen Prediktor Pangastuti Jogja), suatu instrumen atau alat bantu sebagai prediktor terjadinya disfungsi dasar panggul pasca persalinan vaginal.Tujuan: melakukan sosialisasi penggunaan KIPPas Jogja pada kelompok mitra bidan di wilayah Pandowoharjo Sleman, Daerah Istimewa Yogyakarta dalam rangka upaya pencegahan disfungsi dasar panggul pasca persalinan vaginal. Metode: kegiatan dilakukan dalam bentuk pengabdian masyarakat pada bulan Agustus 2022. Bentuk aktifitas berupa pertemuan kelompok, ceramah, diskusi interaksi, praktikum, penyampaian buklet panduan dan buku pengetahuan tentang faktor risiko disfungsi dasar panggul perempuan, serta video panduan penggunaan KIPPas Jogja, kepada mitra bidan di wilayah Pandowoharjo Sleman, Kabupaten Sleman, DIY.Hasil dan diskusi: terdapat beberapa permasalahan bidan dalam pengelolaan kehamilan dan persalinan yang masih perlu mendapat perhatian. KIPPas Jogja merupakan suatu alat bantu atau instrumen dalam bidang kesehatan yang digunakan untuk membantu melakukan prediksi terjadinya disfungsi dasar panggul khususnya prolaps organ panggul pada perempuan pasca persalinan vaginal. KIPPas Jogja memiliki bentuk kartu, program aplikasi android, serta aplikasi berbasis web, yang dapat berperan pada upaya pencegahan disfungsi dasar panggul perempuan pasca persalinan vaginal. Mitra bidan diharapkan dapat mengenali kasus-kasus disfungsi dasar panggul serta melakukan upaya tindak lanjut pencegahan terjadinya atau memberatnya disfungsi dasar panggul, sehingga akan mengurangi risiko penurunan kualitas hidup perempuan.Kesimpulan: terdapat peningkatan pemahaman mitra bidan tentang disfungsi dasar panggul serta kemampuan melakukan deteksi faktor risiko, tercapai pemahaman baru mengenai instrumen KIPPas Jogja. Selanjutnya dengan pemahaman yang telah ada akan bermanfaat dalam upaya pencegahan disfungsi dasar panggul perempuan, khususnya pasca persalinan vaginal. Kata Kunci: KIPPas Jogja; aplikasi; instrumen; disfungsi; panggul
Hubungan antara Status Gizi Ibu dengan Berat Lahir Bayi pada Kehamilan Remaja
Authors: Hidayat Syafril Fahmi , Pratiwi Rina , Wiyati Putri Sekar
Published: September 2023

Background: Teenage pregnancy is prone to cause problems on maternal nutritional status. If nutritional status during pregnancy is not monitored properly, the chance for the mother to experience complications in the birth weight of the newborn can be increased.Objective: To find out the relationship between maternal nutritional status and other risk factors with neonatal birth weight in teenage pregnancy.Methods: This research is an observational analytic study with cross-sectional approach. The samples of this study were collected by consecutive sampling from 2019 to December 2021 using secondary data of RSUP Dr. Kariadi Semarang. The data were analyzed by using chi-square, fisher’s exact and mann-whitney test.Result: The results showed that there were significant relationships between maternal nutritional status (p=0.001), gestational age (p<0.001), abortion history (p=0.045), anemia status (p=0.019), and multiple pregnancy (p=0,035) with neonatal birth weight. Meanwhile, the variables of maternal age, education, occupation, gravidity, diabetes melitus, hypertension, preeclampsia, prelabor rupture of the membranes, and antepartum haemorrhage did not have a significant relationship with neonatal birth weight.Conclusion: There is significant relationships between maternal nutritional status, gestational age, abortion history, anemia status, and multiple pregnancy with neonatal birthweight  Keywords:  maternal nutritional status, birth weight, teenage pregnancy
Does Geopolitics Affect the Development of China’s 5G Industry?
Authors: Huang Qingqiao , Meng Liushuang , Wang Bin
Published: September 2023

The field of sci-tech innovation, especially the field of emerging technologies, has become an important battlefield in today’s geopolitics. Given the unprecedented economic benefits and social changes that 5G technology can bring, 5G has become a major focus of great power competition. This paper uses the bootstrap-rolling-window-causality-test method to investigate the dynamic causal relationship between global geopolitical risk (GPR) and China’s 5G industry. The results show that there is a dynamic bidirectional Granger causality between GPR and China’s 5G industry with time-varying characteristics. At different times, GPR has impacted China’s 5G industry differently. In the early days of the United States’ sanctions against China, its sanctions stimulated China’s independent innovation capabilities, and GPR had a significant positive impact on China’s 5G industry. When the United States strengthens its 5G strategic containment of China, GPR significantly negatively impacts China’s 5G industry. During the period of relative stability in the international political situation, China’s 5G industry has a significant negative impact on GPR. It can be seen that the strategic suppression of China by the United States has affected the development of China’s 5G industry and related industries. These results mean that 5G is integrated into political affairs and becomes a force to defend national sovereignty and enhance geopolitical dominance.
Effectiveness of Audio-Lingual Method and Communicative Language Teaching in Enhancing the English Language Grammar Proficiency and Attitude among Intermediate Chinese EFL Learners
Authors: Miao Zhou
Published: September 2023

The current study delved into examining the effectiveness of Audio-lingual Method (ALM) and Communicative Language Teaching (CLT) in developing the English language grammar skills and language learning attitude of EFL intermediate Chinese learners. The study employed a quasi-experimental research design in the two groups of 60 Chinese EFL middle grades. The study uses a quasi-experimental research method for two groups of respondents. Findings showed that the ALM and CLT are effective in enhancing the English language grammar proficiency and language learning attitude among Chinese EFL intermediate learners. The gender gap in language learning favors female respondents to exhibit better performance. Consequently, the EFL learners exposed to the Communicative Language Teaching method showed better language learning grammar performance compared to those in the Audio-lingual Method. Language grammar learning attitude is not affected by gender, implying that both sexes were able to obtain the same level of benefits of the ALM and CLT. Finally, the study further concludes that language proficiency is not associated to attitude towards learning grammar of the two groups of respondents after their exposure to Audio-lingual method and Communicative Language Teaching implying that regardless of the learners’ attitude towards learning grammar they are capable of manifesting better performance in language learning with the use of ALM and CLT. The theoretical and practical implications of the study are presented and discussed.
A Comparative Study on Different Types of Solar Dryers
Authors: Khemariya Swejal
Published: September 2023

Abstract: In India, 16 % of the total produce that is being wasted every year is horticultural produce. The underlying cause of post-harvest loss in the country is the lack of infrastructure for short-term storage, particularly at the farm level, concentration of cold storage in some states, lack of trained staff to operate cold storage systems, as well as the lack of intermediate processing in the production catchments. In the country, there is a 90% deficit of cold storage facilities. This shortage is compounded by misallocation. The cold storages are concentrated in a few states while vast expanses of the nation are left underserved. The nation’s 60% cold storages are located in just 4 states – Uttar Pradesh, Gujarat, West Bengal and Punjab. Out of the 30.11 million metric tonnes of cold storage facility provided by the 6,300 cold chain warehouses in the country, Tamil Nadu has access to only 0.0239. In India, milk, meat and poultry are prioritized for cold chain transport because they are highly perishable; meaning a lack of temperature-controlled transit would cause a near absence of these products in the market. Consequently, when horticultural produce is shipped, it is often sent in unrefrigerated, overstocked trucks that either rot the food in transit or damage it severely due to poor packaging. Furthermore, the Indian government estimates that 80-90% of the remaining cold storage in the country is used to house potatoes leaving disproportionate hordes of other perishable foods like fresh fruits unguarded.
The Effect of Dental Caries Incidence Rate (DMF-T), Dental and Oral Hygiene Status (OHI-S) on Adolescent Tooth Brushing Behavior based on the area of residence on the River Coast and Highlands in Tayan Hilir District in 2023
Authors: Rusmali Rusmali , Abadi Miftah Tri , Sartika Mery
Published: September 2023

Concerning oral health in Sanggau District is still quite high, the results of an initial survey in Tayan Hilir District on MTsN3 children used a questionnaire on 42 respondents. The results obtained are as follows, knowledge about dental and oral health is good (54.8%, and moderate (45.2%). This study aims to describe and analyze the influence of the incidence of dental caries (DMF-T), the status of dental and oral hygiene ( OHI-S) on tooth brushing behavior of young men based on their area of residence on the river coast and highlands in Tayan Hilir District, Sanggau Regency.The tools used were a questionnaire with Cross Sectional, Correlate Spearman and Kendall's test and Regression, with Univariate, Bivariate analysis, Multivariate The results showed that the incidence of dental caries (DMF-T) was 32.3%, oral hygiene status (OHI-s) was 48%. river (54.5%), types of food consumed on average non-cariogenic types every day (61.1%), the age of most respondents aged 13 years (40.4%), the incidence of caries (DMF-T) is influenced by status dental and oral hygiene (OHI-s) by (R=15.7%), influenced by tooth brushing behavior by (R=15%), influenced by living area by (R=8.8%), influenced by type of food ( R=6.3%), and influenced by age (R=6.5%). Dental and oral hygiene status (OHI-s) affected the incidence of dental caries (DMF-T) by (R=16.4%), influenced tooth brushing behavior by (R=15%), affected area of residence (R=9, 9%), affecting the type of food consumed every day non cariogenic type (R = 9%), as well as influencing age (R = 21.3%). Overall the incidence of dental caries (DMF-T) is influenced by oral hygiene status (OHI-s), and vice versa, including the type of food consumed daily and age. The significance value is 0.00 <0.05 with the number (r) close to 1, so it can be concluded that the effect is perfect.
Keywords: DMF-T, OHI-S, Toothbrushing Behaviour, Place of Residence
El caso de Giselle W. Marconi
Authors: De Lisio Alejandro
Published: September 2023

Giselle es una mujer de 50 años que se implica y colabora en un proyecto de investigación acerca de la trayectoria de los tratamientos en el ámbito de la salud mental. Específicamente sobre las problemáticas de consumo y su impacto en el ámbito del trabajo, las relaciones sociales, la enfermedad y la producción artística. Partiendo de un recorrido histórico de años atrás hasta inicios de 2022, estudiamos el Grupo Institucional de Alcoholismo como dispositivo de intervención en el Hospital Zonal de Caleta Olivia. De allí al testimonio de una experiencia de vida que incluye el contexto de la pandemia; la vivencia del encierro, el miedo a la muerte y la sensación de soledad. Sumado a esto la perspectiva artística: la creación de un clown. De un taller que inicialmente se realizó de forma virtual y luego fueron espectáculos en vivo, sobre un escenario y con público presente. El diseño metodológico parte de una problematización compleja, amplia y abierta, sustentada desde el psicoanálisis, la filosofía, la política y el arte del clown. Además, un trabajo de campo donde el investigador se implica como parte elemental de lo investigado. El diario de campo, los antecedentes y la entrevista se conciben como una forma de encuentro y acompañamiento, permitiendo el diálogo y el análisis. El resultado es una proximidad hacia la creciente complejidad del tratamiento de las problemáticas del consumo, que solo de manera singular y a través de la palabra y el arte anticipa una novedad en el ámbito de la salud.
Peningkatan Kompetensi Dosen Vokasi Perhotelan dalam Meningkatkan Kurikulum Melalui Program Pemagangan di Industri Perhotelan
Authors: Simanihuruk Maidar , Sukma Braja Eka
Published: September 2023

Akibat dari kebijakan merdeka belajar, maka kebutuhan sumber daya manusia perguruan tinggi semakin meningkat karena harus lebih inovatif dalam mengembangkan kurikulum yang lebih sesuai dengan kebutuhan dunia usaha dan dunia industri serta mampu menjalin jaringan yang lebih luas dengan dunia usaha dan industri serta organisasi lainnya. Namun fakta di lapangan menunjukkan bahwa beberapa kualitas dosen masih terpaku pada teori-teori sesuai peminatan dengan konsep lama yang belum disesuaikan dengan perkembangan teknologi, sehingga mahasiswa tidak siap bekerja pada bidang tertentu pada saat melaksanakan praktek lapangan karena apa yang diajarkan sangat berbeda dengan apa yang terjadi di lapangan. Oleh karena itu, diperlukan upaya yang sungguh-sungguh, salah satunya adalah dibuatnya program yang menghubungkan langsung dosen dengan dunia industri, sehingga mereka dapat langsung mengetahui perubahan di lapangan saat ini. Penelitian pengabdian ini menggunakan metode penelitian kualitatif dengan menggunakan pendekatan pembelajaran dengan metode observasi, wawancara, self-directed learning dan metode problem-based learning/inquiry. Berdasarkan hasil magang dapat disimpulkan pelaksanaan program magang dosen di industri perhotelan dapat memberikan peluang pengayaan ilmu sekaligus sebagai masukan untuk penyempurnaan bahan ajar mata kuliah yang diampu oleh dosen peserta magang industri yang dilengkapi dengan contoh aplikasi kuliah di industri.
 
The independent learning policy has increased the demand for human resources in higher education because these professionals must be more creative when creating curricula that are more in line with the needs of business and industry and are able to establish a wider network with these sectors and other organizations. However, the reality is that some lecturers are still fixated on theories that suit their interests and use antiquated concepts that haven't been updated for technological advancements. As a result, students aren't prepared to work in specific fields when engaging in field practice because what is taught differs greatly from what is occurring there. As a result, significant efforts are required, one of which is the development of a program that connects lecturers directly with the industrial world, allowing them to learn about changes in the current field as soon as they occur. This community service research employs qualitative research methods such as observation, interviews, self-directed learning, and problem-based learning/inquiry methods, as well as a learning approach. Based on the internship results, it is possible to conclude that implementing the lecturer internship program in the hospitality industry can provide opportunities for knowledge enrichment as well as input for improving teaching materials for courses taught by lecturers participating in industrial internships that are equipped with examples of lecture applications in the industry.
Pemberdayaan Kelompok Wanita dalam Pembuatan Inovasi Makanan Berbahan Dasar Komoditi Lokal Masyarakat Desa Kenderan
Authors: Dewi I Dewa Ayu Vikha Purnama , Arianty Anak Agung Ayu Arun Suwi , Antara Ida Bagus Ketut Soma
Published: September 2023

Didalam keluarga, yang memiliki kewajiban untuk mengolah makanan sehari-hari biasanya adalah wanita. Wanita memiliki peran penting juga dalam kesejahteraan keluarga. Dalam kegiatan pengabdian ini kami memberdayakan kelompok wanita di Desa Kenderan atau sering disebut PKK sebagai peserta pelatihan pembuatan saur atau serundeng dan inovasi makanan berbahan dasar komoditi lokal masyarakat. Pelatihan ini bertujuan agar ibu-ibu PKK dapat membuat sendiri saur atau serundeng yang sehari-harinya pasti selalu digunakan untuk pelengkap upakara keagamaan dan mengembangkan lebih banyak variasi inovasi makanan yang berbahan hasil dari kebun atau pertanian mereka sendiri untuk makanan keluarga ataupun ide berjualan. Metode yang digunakan dalam kegiatan pengabdian ini adalah demonstrasi. Kegiatan pengabdian pada masyarakat ini meliputi pelatihan pembuatan saur atau serundeng dan pembuatan inovasi makanan. Dengan begitu ibu-ibu PKK dapat melihat secara langsung proses pembuatan saur atau serundeng dan makanan inovasi serta dapat bertanya secara langsung kepada instrukturnya. Dan hasil dari pengabdian ini adalah produk saur dan bola-bola ubi dari bahan komoditi lokal yang bisa memberikan peluang ekonomi bagi ibu-ibu PKK Desa Kenderan.
 
Within the family, it is usually women who have the obligation to process daily food. Women also have an important role in family welfare. In this service activity we empower women's groups in Kenderan Village or often called PKK or Family Welfare Movementas as training participants in making saur or serundeng and food innovations made from local community commodities. This training aims to enable PKK woman to be able to make their own saur or serundeng which are always used daily to complement religious ceremonies and to develop a wider variety of food innovations made from products from their own garden or farm for family food or selling ideas. The method used in this service activity is demonstration. This community service activity includes training in making saur or serundeng and making food innovations. That way PKK woman can see firsthand the process of making saur or serundeng and innovative food and can ask questions directly to the instructor. And the results of this service are saur products and sweet potato balls made from local commodity materials which can provide economic opportunities for PKK woman.
Antioxidants and Cognitive-Behavioral Therapy in Patients with Functional Dyspepsia
Authors: Sapozhnikova T. V. , Parfenov S. A. , Yesina T. E. , Sapozhnikov K. V. , Smirnov A. N. , Paulov A. A. , Rizakhanov D. M. , Rizakhanova O. A.
Published: September 2023

Аim: development of an algorithm for the use of antioxidant cognitive-behavioral therapy in adult patients with functional dyspepsia.

Material and methods. The study included 112 adult patients with functional dyspepsia receiving the antioxidant drug Cytoflavin containing succinic acid, inosine, nicotinamide and riboflavin, and cognitive behavioral therapy according to the method of Beck and Jacobson in addition to the main therapy (prokinetics, proton pump inhibitors, psychotropic drugs).

Results. Of the total group, 74 patients had an optimal response to the inclusion of an antioxidant and psychotherapy in the treatment regimen (increased quality of life and reduced anxiety) and 38 patients had the insignificant response. It has been established that the main predictors of the successful use of an extended treatment regimen are the patient's disadaptation in relation to the disease, a recent stress factor, the duration of functional dyspepsia, the presence of an overlap syndrome (combination with other functional gastrointestinal disorders).

Conclusions. Based on the collection of a small amount of anamnestic information (the duration of functional dyspepsia, the presence of an acute stress factor in the anamnesis), the assessment of the presence of an overlap syndrome and disadaptation in relation to the patient to his illness, the value of the discriminant function is calculated. After comparing it with a threshold, the probability of a positive response to a combination of antioxidant and cognitive-behavioral therapy is estimated. The developed prediction algorithm is valid (sensitivity — 91 %, specificity — 73 %, accuracy — 84.8 %) and allows to optimize the definition of treatment tactics for a patient with functional dyspepsia.
A 19-year-old Patient with Recurrent Pruritus and Jaundice
Authors: Nezhdanov K. S. , Shirokova E. N. , Shulpekova Yu. O. , Ostrovskaya A. S. , Zharkova M. S. , Ivashkin V. T.
Published: September 2023

Аim: to highlight the importance of broad differential diagnosis and possibility of conversion of benign recurrent intrahepatic cholestasis type 2 into more aggressive clinical phenotype.

Key points. A 19-year-old female patient was admitted to the Clinic with skin pruritus, jaundice, dark urine, clay-colored stool, and general fatigue. Past medical history was significant for recurrent aforementioned symptoms since 3 years old, that relapsed every 1–2 years and were usually ameliorated with conservative therapy. During recent years, frequency of relapses and recovery period increased, at the same time effectiveness of medical therapy decreased. Blood chemistry results revealed an elevation of total bilirubin (up to 634 μmol/L), direct bilirubin (up to 354 μmol/L), bile acids (up to 510 μmol/L) and normal gamma glutamyl transferase level. Workup was negative for viral hepatitis, autoimmune liver diseases, obstructive choledochal lesions, storage diseases, although mutation in gene ABCB11 was found. Benign recurrent intrahepatic cholestasis type 2 was diagnosed. Following conservative therapy and plasmapheresis, jaundice and skin pruritus significantly diminished, levels of bilirubin and bile acids normalized. Regular follow up, liver biopsy and measures for relapse prevention given clinical features of aggressive phenotype were recommended.

Conclusion. Identification of etiology of cholestatic liver diseases requires broad differential diagnosis. Clinical course of patients with benign recurrent intrahepatic cholestasis may transform into aggressive phenotype, reminiscent of progressive familial intrahepatic cholestasis.
Surgical Strategy in Patients with Complete Transposition of Internal Organs in Cancer of the Biliopancreatoduodenal Zone
Authors: Ischenko R. V. , Ivanov Yu. V. , Smirnov A. V. , Antipov V. N.
Published: September 2023

Аim: to present two clinical cases of successful surgical treatment of patients with a combination of complete transposition of internal organs and cancer of the biliopancreatoduodenal zone.

Key points. A 65-year-old man underwent gastropancreatoduodenal resection for cancer of the large duodenal papilla. In addition to the situs vicserum inversus, this patient revealed a special variant of vascular anatomy, namely: separate separation of the left and right hepatic arteries from the ventral trunk. A 70-year-old man, in addition to complete transposition of internal organs, had a combination of cancer of the terminal part of the common bile duct and heterotaxy syndrome in the form of polysplenia, aplasia of the hepatic segment of the inferior vena cava, agenesis of the dorsal pancreatic rudiment (“short” pancreas), intrapancreatic course of the right hepatic artery extending from the superior mesenteric arteries, rotational abnormalities of intestinal development. This patient underwent a total pancreatectomy. In both cases, the main difficulties in mobilizing the pancreatoduodenal complex arose due to anatomical disorientation and the absence of standard (familiar) topographic and anatomical landmarks for the surgeon.

Conclusion. In all patients with tumors of the biliopancreatoduodenal zone, a detailed assessment of the vascular anatomy of this area is required before surgery, with the study of the course of the main visceral vessels and their large branches using multispiral computed tomography in vascular mode. If heterotaxy syndrome is suspected, additional examination is necessary to identify hidden developmental anomalies, which allows surgeons to be prepared for an unusual situation. Gastropancreatoduodenal resection or total pancreatectomy in situs viscerum inversus is a technically complex intervention and should be performed in large multidisciplinary medical institutions, and the operating team should have extensive experience in operations on the organs of the biliopancreatoduodenal zone.
A Study on the Strategy for Responding to Large-Scale Complex Disasters
Authors: Lee Dongkwan ,   J-INSTITUTE
Published: September 2023

Purpose: A large-scale complex disaster refers to a disaster that develops on a huge scale outside the predictable range as natural disasters and social disasters occur serially or simultaneously. The local community must take into account the diversity of residents' situations and organize an evacuation cooperation system in advance in order to respond to such large-scale, complex disasters. The purpose of this paper is to present a direction for improving community response to disasters through a review of large-scale complex disasters.

Method: This study examines the large-scale flood damage evacuation plan in the 5th district of Koto, Tokyo, Japan, which established an evacuation plan led by the local community after the Great East Japan Earthquake. Evacuation was divided into vertical evacuation, evacuating within the community, and wide area evacuation, evacuating outside the community.

Results: The main features of these evacuation plans were that they encouraged local residents to make independent judgements, to implement the plans, and to proactively request and prepare for administrative support for the parts that were insufficient.

Conclusion: First of all, for efficient evacuation from large-scale-complex disasters, various stakeholders need to be recognized and systematically organize, and cooperation with relevant and upper-level administrative agencies is needed to solve problems that are beyond the capacity of local governments. It is also necessary for residents to recognize their own role in disaster response along with the proper implementation of disaster prevention administration, and for the administration to support factors that residents cannot do as much as possible, as the basic structure of the crisis.
Competition for time: evidence for an overlooked, diversity-maintaining competitive mechanism
Authors: Levine Jacob , Pacala Stephen , Levine Jonathan
Published: September 2023

Understanding how diversity is maintained in plant communities requires
that we first understand the mechanisms of competition for limiting
resources. In ecology, there is an underappreciated, but fundamental
distinction between systems in which the depletion of limiting resources
reduces the growth rates of competitors versus systems in which resource
depletion reduces the time available for competitors to grow, a
mechanism we call “competition for time.” Importantly, modern
community ecology, and our framing of the coexistence problem are built
on the implicit assumption that competition reduces the growth rate.
However, recent theoretical work suggests competition for time may be
the predominant competitive mechanism in a broad array of natural
communities, a significant advance given coexistence follows naturally
when species compete for time. In this study we first introduce
competition for time conceptually using a simple model of interacting
species. Then, we perform an experiment in a Mediterranean annual
grassland to determine whether competition for time is an important
competitive mechanism in a field system. Indeed, we find that species
respond to increased competition through reductions in their lifespan
rather than their rate of growth. In total, our study suggests
competition for time may be overlooked as a mechanism of biodiversity
maintenance.
Analysis of Water Quality and Trophic Status of Reservoirs in Chuzhou City, China
Authors: Zhang Lei , Zheng Zijun , Xu Feng , Zou Ying , Zeng Tao , Li Shuo , Fang Shuqi
Published: September 2023

Reservoir is a vital tool for human utilization of water resources, and
the deterioration of its water quality can seriously threaten the water
cycle and sustainable urban development. However, there are relatively
few studies in academia that analyze and evaluate the water quality of
multiple reservoirs at the same time. To address this knowledge deficit,
we collected 108 water samples from three different reservoirs in
Chuzhou City for 36 months (from 2019 to 2021), explored the drivers of
changes in water quality parameters over time and the extent of
eutrophication. Our results indicated that the water quality of the
reservoirs was deteriorating during the study period, among which
Huanglishu Reservoir and Shahe Reservoir reached mild eutrophic status,
and both had higher eutrophication levels than Chengxi Reservoir. Secchi
Depth (SD), Total Nitrogen (TN), and Total Phosphorus (TP) were the
principal factors inducing eutrophication. The biased utilization of
reservoir functions was the major contributor to the discrepancy in the
degree of eutrophication. Furthermore, Pearson Correlation Analysis
revealed that there are significant correlations between many water
quality parameters. Cluster Analysis (CA) grouped the 12 months of each
year into three clusters (stable water level period, rainy season high
flow period, and winter low flow period). Based on this, Analysis of
Variance (ANOVA) showed that most water quality parameters varied
considerably between the clusters. Collectively, this study identified
the actual water quality conditions of three reservoirs in Chuzhou City
and provided guidance for local water quality management and
environmental protection.
Setting Up A State-Of-The-Art Laboratory In Resource Limited Settings: A Case Study Of The Biomedical Science Research And Training Centre In Northeast Nigeria
Authors: Isah Murtala , Muhammad Zaid , Lawan Mohammed , Alkhamis Abdulrahman , Goni Baba , Oakley Sebastian , Marshall Karen , Hartig Renee , Issa Abdul-Raouf , Yoshimatsu Takeshi , Chagas André , Maina Mahmoud
Published: September 2023

African science has substantial potential, yet it grapples with
significant challenges. Here we describe the establishment of the
Biomedical Science Research Centre (BioRTC) in Yobe State, Northeast
Nigeria, as a case study of a hub fostering on-continent research and
describe strategies to surmount some of these barriers. We detail the
steps taken to establish BioRTC, emphasising the critical importance of
stakeholder engagement, community involvement, resource optimisation,
and collaborations. Although we are in the early stages of our journey,
our experience can nonetheless serve as a guide to others embarking on
similar endeavours in resource-limited settings. We invite the support
and collaboration of those who share our vision and believe in our
potential.
Oral lesion and microbiome diversity in COVID-19 hospitalized patients.
Authors: Costa Silvia , Fonseca Joyce Vanessa Da Silva , Scaccia Nazareno , Jales Sumatra Melo Da Costa Pereira , Torres Pablo Andres Munoz , Franco Lucas Augusto Moyses , Migliorati Cesar Augusto , Stewart Bernal , Lunis Alessandra , Zerbinati Rodrigo Melim , Pilleggii Roberta , Braz-Silva Paulo Henrique , Sabino Ester C.
Published: September 2023

Introduction: The oral cavity is an important site for the
entry and multiplication of respiratory viruses, and the immune system
and oral microbiome act as antiviral barriers. Data regarding oral
microbiome and COVID-19 is scarce. Therefore, a prospective cohort was
conducted at the Hospital das Clínicas of FMUSP to evaluate the
frequency of oral lesions associated with COVID-19 and the diversity of
the oral microbiome on disease severity. Methods: Oral samples
from SARS-CoV-2 positive patients were collected. After DNA extraction
from the whole saliva samples, sequencing of the 16S rRNA gene using the
Ion Torrent PGM platform was performed. Alpha and beta diversity
analyses were conducted using the R program. Clinical data from
electronic medical records were collected and multiple logistic
regression model was constructed to assess the association between oral
microbiome diversity and COVID-19 severity (oxygen therapy, mechanical
ventilation). Results: The study included a total of 115
samples from 125 patients, 14 had oral lesions, the majority were female
(54.8%), with a mean age of 55.4 years old. Around 59.1% of patients
were in intensive care units(ICUs), 87.2% were using antibiotics, and
18.3% died. The most frequently antibiotics used were third-generation
cephalosporins(35.7%), piperacillin/tazobactam(27%), and
glycopeptides(21.7%). In general, the most abundant phyla were
Firmicutes, Proteobacteria, and Bacteroidetes,
representing 86.3% of the oral microbiome. Oral microbiome diversity
analysis revealed statistical differences in COVID-19 severity (Shannon
p=0.05), presence of oral lesions Shannon p=0.05), antibiotic
use(Shannon p=0.04), and oxygen therapy Observed p=0.04). Differential
abundance analysis identified specific taxa related to each variable,
such as Prevotella in severe patients and Staphylococcus
in individuals with oral lesions. Multivariable logistic regression
pointed out that the SARS-CoV-2 PCR positive on the oral cavity and the
age (above 60 years) were risk factors for disease severity.
Conclusion: Despite the small number of participants with oral
cavity lesions, we found significant differences in the microbial
communities, particularly in the genus Staphylococcusd associated
with oral lesions. Although the abundance of Prevotella was
associated with severity of COVID-19 on the microbiome analysis, the
multivariate model showed that only age and RT-PCR positive for
SARS-CoV-2 on the oral cavity were independent risk factors for
severity.
Very high-power short-duration ablation for treatment of cardiac arrythmias by the QDOT MICRO Catheter: The Fast and Furious study series
Authors: Heeger Christian , Kuck Karl-Heinz , Tilz Roland
Published: September 2023

The QDOT MICROTM Catheter is a novel open-irrigated contact
force-sensing single-tip radiofrequency ablation catheter. It
incorporates six thermocouples at its tip and offers
temperature-controlled and very high-power short-duration (vHPSD)
ablation with 90 Watts for 4 seconds to improve safety and efficacy of
catheter ablation procedures. The QDOT MICROTM Catheter was recently
evaluated for pulmonary vein isolation and safety, efficacy and
long-term follow-up found promising results. Although the QDOT MICROTM
Catheter was mainly designed for pulmonary vein isolation its
versatility to treat atrial fibrillation as well as other types of
arrythmias was recently evaluated by the FAST and FURIOUS study series
and other studies and will be presented in this article.
Spatial organisation affects the pathway to precipitation in simulated trade-wind convection
Authors: Radtke Jule , Vogel Raphaela , Ament Felix , Naumann Ann Kristin
Published: September 2023

We investigate whether and how spatial organisation affects the pathway
to precipitation in large-domain hectometer simulations of the North
Atlantic trades. We decompose the development of surface precipitation
(P) in warm shallow trade cumulus into a formation phase, where cloud
condensate is converted into rain, and a sedimentation phase, where rain
falls towards the ground while some of it evaporates. With strengthened
organisation, rain forms in weaker updrafts from smaller cloud droplets
so that cloud condensate is less efficiently converted into rain. At the
same time, organisation creates a locally moister environment and
modulates the microphysical conversion processes that determine the
raindrops’ size. This reduces evaporation and more of the formed rain
reaches the ground. Organisation thus affects how the two phases
contribute to P, but only weakly affects the total precipitation
efficiency. We conclude that the pathway to precipitation differs with
organisation and suggest that organisation buffers rain development.
Międzynarodowe uwarunkowania wykorzystania ziemi rolniczej
Authors: Wilkin Jerzy
Published: September 2023

Ziemia rolnicza jest podstawowym i ograniczonym zasobem. Jej dostępność, dystrybucja i sposób wykorzystania są składnikami kwestii agrarnej, która przybiera wymiar krajowy, regionalny i globalny. Wykorzystanie ziemi rolniczej podlega coraz mocniej oddziaływaniom międzynarodowym. Tendencja ta będzie się pogłębiać, niosąc ze sobą negatywne konsekwencje, dlatego kwestia agrarna powinna być przedmiotem dalszych badań naukowych.
Ocena kosztów migracji ludności wiejskiej Karpat w kontekście zarządzania problemowymi obszarami migracyjnymi
Authors: Cymanow Piotr , Florek-Paszkowska Anna
Published: September 2023

W artykule przedstawiono wyniki badań przeprowadzonych na obszarze gmin górskich Karpat Polski i Ukrainy z udziałem przedstawicieli organów samorządów. Analiza dotyczyła następstw procesów migracji ludności w odniesieniu do czynników generujących koszty dla społeczności lokalnej. Wskazano na istotność poszczególnych determinantów z wykorzystaniem wielokryterialnej metody Analitycznego Procesu Hierarchicznego (AHP) w ramach zbudowanego na jej podstawie modelu odnoszącego się do trzech kryteriów głównych – ekonomicznego, rolno-środowiskowego oraz społecznego. W artykule podkreślono konieczność podjęcia działań systemowych w zakresie zarządzania obszarami migracyjnymi ze strony władz lokalnych i centralnych, wskazując na ryzyko nasilenia procesów depopulacyjnych i degradacji ekonomiczno-społecznej terenów górskich.