bluuebunny/crossref_metadata_2025 huggingface dataset:
EFFECTIVENESS OF ISOKINETIC EXERCISE ON PAIN AND FUNCTION IN PATIENTS WITH TOTAL KNEE ARTHROPLASTY
Authors: Dulgeroglu Deniz , Ozen Natalya , Tezel Nihal , Tombak Yasemin , Aykin Zeynep
Published: June 2022

Background: Relief of pain and physical function improvements normally happen in 6 to 12 months following total knee arthroplasty (TKA). Neverthless, pain persists in some patients even after one year. Likewise, functional improvement is insufficient.
We have evaluated the effectiveness of an isokinetic strengthening program on post-operativelly (1-9 years) knee pain, funtional limitation, level walking and stair climbing in patients with TKA at late period.
Methods: Twenty-five women patients with TKA were assigned into isokinetic training (study group) or the control groups. Patients answered WOMAC questionnaire and performed Stair Climbing Test. Quadriceps and hamstring muscle strength were evaluated isokinetically at 60 and 180°/sec angular velocity. All tests were evaluated before & after intervention and at follow-up three months later. Only the study group performed isokinetic training five days a week for two weeks while both groups received home-based exercise program.
Results: Knee pain at rest and during walking statistically decreased in both groups as per the evaluations at before & after intervention and 3-month follow-up. Comparison of WOMAC scores in two groups revealed only a statistically significant decrease in the study group among the after intervention & follow-up values. Although the increase at 60°/sec extension and flexion PT values in the study group was greater than that in the control group, there was no pointed difference between both groups.
Conclusion: Strengthening of the knee muscles with isokinetic exercise reduces pain and improves functionality more than the home-based exercise program does.
Maquet osteotomy for isolated patellofemoral arthritis, a forgotten surgical technique.
Authors: man Murat , lan Muhammet , Demir Tu
Published: June 2022

Abstract: Maquet osteotomy for isolated patellofemoral arthritis, a forgotten surgical technique.
Objective. The aim of our study is in the physiologically younger patinets who had anterior knee pain does not resolve with conservative treatment, report the results of Maquet osteotomy.
Materials and Methods. We performed a retrospective review of 11 consecutive patients (5 [45.5%] males, 6 [54.5%] females; mean age, 51.8 years) who underwent Maquet osteotomy for isolated patellofemoral osteoarthritis between May 2017 and August 2018. Thirteen osteotomies were performed in 11 patients; 2 patients underwent bilateral procedures. All patients were clinically rated before surgery and at the final follow-up using International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC 2000) and the Kujala Anterior Knee Pain Scale. Also complications were reported.
Results. The median follow-up duration was 25 (range=19-33) months. The median preoperative IKDC score was 50 (range = 42-54) points, which had increased to 67 (range=61-72) points at the final follow-up visit (p<.001). The median preoperative Kujala score was 59 (range=48-65) points, which had increased to 77 (range = 67-86) points at the final follow-up (p<.001). We observed 1 major and 1 minor complication in 13 procedures.
Conclusion. Although it looks like an extensile surgery, Maquet osteotomy is applicable, safe, easy and a strong alternative for arthroplasty in patellofemoral arthritis.
Frequent and multiple denture fractures associated with domestic violence
Authors: karir samad
Published: June 2022

Physical punishment of one person to another has existed since human beings socialized with each other. It continues to exist within families, although acceptance by individuals or societies rarely occurs. Cultural heritage and traditional values conceal the occurrence of physical abuse of elderly in many societies including conservative ones. The complete denture prosthesis is a long term aid for elderly to perform multiple functions. Abuse of such individuals can result in damage to the prosthesis which should alarm the dentist of individuals suffering. An elderly male patient had fractured his maxillary and mandibular old dentures at multiple areas which occurs rarely. The patient revealed that the denture was broken after altercation with his sons who tend to abuse him physically at home. The complete denture prosthesis was beyond any sort of repair, therefore, a new complete denture was fabricated with high impact strength denture base heat cure resin. Psychotherapeutic counselling was offered to the patient and his sons but was not accepted by those who were chief perpetrators of imposing physical abuse of the elderly. The complete denture prosthesis was also planned to incorporate the recording of neutral zone placement of the teeth and balanced occlusion. The patient was satisfied with the new prosthesis and the concern that was shown to him regarding his sufferings.
Metal ceramic restorations for full mouth rehabilitation in amelogenesis imperfecta
Authors: Moorthy Navish , Raj Tilak , Pradhan Suzzana , Talat Reema , Garg Ruchika , KHJ Jacob
Published: June 2022

Amelogenesis imperfecta (AI) is a clinical condition of natural teeth in which enamel fails to mature due to which the patient faces sensitivity, attrition and poor aesthetics. The condition is genetically inherited and requires multidisciplinary treatment planning to achieve effective success. Treatment ranges from individual crowns to fixed partial dentures or implant-supported single crowns and is related to multiple factors like age and condition of remaining natural teeth. The use of metal and ceramic restorations in such cases requires knowledge and understanding of basic material science, which helps to improve the efficiency of the treatment. This article presents a case of a young adult male patient who presented with AI with a chief complaint of poor esthetics. Maxillary and mandibular teeth had undergone attrition with concomitant loss of anterior guidance. The occlusion was successfully established after restoring anterior guidance which was determined by the use of temporary crowns. Porcelain fused to metal restorations was given and the patient was put on a long-term follow-up. The patient was highly satisfied with the outcome of the rehabilitation.
Increasing Importance for Green Bonds with an Increase in Global Warming
Authors:   University of People, India, Bhatia Dr. Gunjan
Published: June 2022

Global warming has affected the whole world negatively as it is experiencing uncertainty in weather.It is the long-term warming of the Earth’s climate system that has been seen since pre-industrial times (between 1850 and 1900).Human activities and the combustion of fossil fuels contribute to global warming by increasing heat-trapping green house gas levels in the Earth’s atmosphere.Although the phrases are commonly interchanged,the latter refers to both man-made and natural warming, as well as the consequences for our world. It’s generally calculated as the average increase in the Earth’s global surface temperature. To save the mother earth and to save themselves from the negative impacts of global warming, many countries have started taking initiatives of which green ﬁnance is the one. Many countries have started issuing green bonds. The bonds that are issued to raise money to be used in climate and environmental projects. This paper is written to deﬁne the importance of green ﬁnance for the world’s environment. It will describe how the term green ﬁnance emerged and the status of different countries. The paper is based on secondary data only collected by accessing various online sources.
Practicing What We Teach: Adherence to Healthy Meeting Guidelines at Extension Meetings and Events
Authors: Smathers Carol A. , Lobb Jennifer M.
Published: June 2022

Cooperative Extension promotes healthy behaviors, including nutritious eating and physical activity. Research-based healthy meeting guidelines pertaining to foods and beverages served at Extension-sponsored events have been adopted in some states. The extent of adherence to Healthy Eating at Meetings guidelines was assessed by observing foods and beverages served at Extension-sponsored events across one state. Over a four-month period, 69 events involving foods and/or beverages were observed, including 33 events on a state university’s campus and 46 events across 36 counties. Observed events included meetings, workshops and conferences for faculty and staff, agricultural trainings and field days for the public, 4-H camps and special activities for youth and their families, and county and state fair events. Photos and menus of the foods and beverages served were assessed using a seven-item scorecard based on the Healthy Eating at Meetings guidelines. The average score for adherence to the guidelines was 57%, with a range of 10%-93%. Results suggest that adopting healthy meeting guidelines may not be enough to ensure that nutritious foods are served and that healthy eating is modeled at Extension-sponsored events. This study indicates that further research to explore Extension professionals’ knowledge of and attitudes toward healthy meeting guidelines is needed.
A Book Review of The 4-H Harvest: Sexuality and the State in Rural America
Authors: Elliott-Engel Jeremy
Published: June 2022

Gabriel Rosenberg’ book is a critical perspective of Extension and 4-H club work in the United States and the export of 4-H abroad. A retrospective of early 4-H and Extension domestic history, it highlights the social, cultural, political, and economic implications of 4-H implementation in rural America. An examination of 4-H’s role in creating gender, race, and sexuality norms in society today is conducted. Stories and history are told with rich detail providing extensive information to foster critical conversations about where 4-H has come from and where 4-H should be going. Extension professionals should read this book to understand the current domestic and international implementation context.
Lessons Learned from Organizing a Multi-County Marriage Celebration Event
Authors: Brower Naomi , Payne Pamela B.
Published: June 2022

It is well documented that individuals in communities need and value opportunities to engage in marital education and enrichment programs. Often individuals are interested in learning strategies that will enhance their interpersonal relationships. One way in which this can be done is through educational events that focus on specific topics. This paper focuses on specific strategies and lessons learned in hosting a collaborative relationship enrichment event, Marriage Celebration, across multiple counties.
Views of Gifted Secondary School Students on the "Matter and its Nature" Courses Taught through the EPTS (Education Program for Talented Students) Curriculum Model
Authors: ELMAS Osman , BULUNUZ Nermin
Published: June 2022

The study aimed to determine the views of gifted students on the units on "Matter and Its Nature" using the EPTS Curriculum Model. The data was collected from four gifted 6th graders. Semi-structured interviews and diaries were analyzed thematically. Findings showed that students had positive thoughts about the unit. They stated that the lessons were taught with modeling, experimentation, computer-assisted simulation. They enjoyed learning these lessons. The students stated that they did not like the traditional education system in formal education, but they found the lessons taught in this context interesting. The fact that the students found the science courses created using this model effective and enjoyable. It shows that the stakeholders can teach science concepts more effectively and permanently by using this model. teachers should definitely use this model in their lessons, and researchers should also carry out studies where they can adapt the curriculum model to other units.
Poetry in Digital Times: A Didactic Proposal for the Use of Instapoetry in the EFL Context
Authors: Barbosa Tatiana R. , Sales Laurênia S.
Published: June 2022

Over the years, the internet has evidenced its proper language and influenced contemporary literature. Motivated by this context, this research focused on what has been called Instapoetry: an emerging digital genre characterized by free minimalist verses (Oliveira & Fazano, 2020) sharable on the social network Instagram. The gist of this study was to promote the literary literacy of eighth-grade students in the English classes in a private school in the city of João Pessoa, state of Paraíba, Brazil. At the same time, learners would be motivated to produce literary texts sensitive to themes that affect their daily social issues. Therefore, interventionist action research was done based on contributions from authors like Stringer (2014), Cosson (2021), Daniels and Steineke (2004), Kato (1990) and Leffa (1996), amongst others. The data obtained allowed a qualitative interpretive analysis. The proposal included the reading of the poem Broken English by Rupi Kaur, considered one of the harbingers of the genre. Before carrying out the study, a questionnaire was applied, to trace the students’ profiles as social network users. The answers revealed that most learners use social networks considerably, especially Instagram. However, without contributing with their own written texts. The didactic sequence with instapoems reading and writing, in its turn, ended up in the genre understanding, discussion on different topics, as well as the production of texts that reflected some themes discussed in Kaur’s poem: the use of the English language to express personal and collective feelings from an emancipatory movement, reflections on the pupils’ origins, prejudices, pain, and hope. Results point to the effective contribution of this didactic proposal to the students’ literary literacy and also to the development of reading and writing processes in the English language.
Pemahaman Pengelola Kawasan Wisata Irenggolo Terhadap Potensi Tanaman Sebagai Pakan dan Sarang Kupu-Kupu
Authors: Sulistiyowati Tutut Indah , Sulistiono Sulistiono , Santoso Agus Muji , Primandiri Poppy R , Utami Budhi , Rahmawati Ida , Budiretnani Dwi Ari , Nurmilawati Mumun , Putri Tykha Amanda Riskia , Wati Dewi Rossylia
Published: June 2022

Kawasan wisata air terjun Irenggolo memiliki potensi keragaman hayati yang tinggi. Berdasarkan hasil penelitian terdahulu diketahui terdapat sebanyak 35 jenis kupu-kupu di kawasan ini. Jumlah individu sebanyak 1.622 individu tergolong tinggi. Populasi kupu dipengaruhi oleh ketersediaan pakan dan habitatnya. Pengetahuan pengelola Kawasan wisata menjadi penting karena akan menentukan keberlangsungan jenis kupu yang ada. Metode  pengambilan data dilakukan dengan cara wawancara menggunakan angket yang telah tervalidasi oleh ahli. Berdasarkan hasil yang telah diperoleh, diketahui bahwa sebanyak 8,6% responden dapat dengan benar menyebutkan lebih dari tiga jenis tumbuhan pakannya. 60% responden hanya mampu menjawab sebanyak kurang dari tiga jenis corak warna sayap kupu-kupu. Dengan demikian dapat disimpulkan bahwa edukasi kepada pengelola sangat penting untuk dilakukan.
Research and Practice on the Blended Teaching Mode of Programming Courses Based on the Integration of Dual Theory and Practice
Authors: Long Hui , Ma Zheng-zhong , Tang Juan , Zhang Ya-lu , Chen Hui , Tang Li-ping
Published: June 2022

Blended teaching based on multiple online and offline modes has changed the way people learn in modern society. In view of the huge gap between theoretical teaching and practical programming in university computer programming courses, the content of theoretical and practical teaching has been reconstructed. The "five-in-one" course teaching support platform of teaching, learning, practice, evaluation, and interpretation explores a blended teaching mode that emphasizes both theory and practice, and innovates a multi-assessment system that highlights practical ability evaluation. better practical results.
Pirataria e streaming audiovisual: crescimento e os efeitos jurídicos da distribuição ilegal de vídeos online
Authors: Souza Lucas Luiz de Oliveira , Mota Karine Alves Gonçalves
Published: June 2022

Este artigo tem como objetivo verificar o crescimento da pirataria online em face das plataformas de streaming audiovisual, através de estudos extraídos de periódicos internacionais especializados em tráfego de vídeos online e pirataria global, bem como abordar os efeitos jurídicos da distribuição ilegal de vídeos. Primeiramente serão estudados os conceitos básicos referentes a propriedade intelectual e direitos autorais, discutindo-se a proteção do ramo com base na legislação autoral - Lei nº 9.610 - e em seguida traçando uma relação existente entre o streaming audiovisual e o crescimento da pirataria digital mundialmente. Posteriormente, discorrerá acerca dos efeitos jurídicos da distribuição ilegal de obras intelectuais no ciberespaço e o impacto da pirataria na economia do Brasil. Para tanto, foi realizada uma abordagem dedutiva utilizando-se do método explicativo para descrever os aspectos do estudo em um caráter qualitativo na utilização de material bibliográfico, artigos eletrônicos, jurisprudências, periódicos internacionais e textos jurisdicionais extraídos de legislações vigentes.
TESTS OF THE MECHANICAL STRENGTH OF SELECTED CLIMBING ROPES USED BY THE STATE FIRE SERVICE WITH RESPECT TO DAMAGE OCCURRING DURING RESCUE OPERATIONS
Authors: PIENIAK Daniel , Siwiec Sławomir , WALCZAK Agata , Piątek Piotr , Wąsik Wiktor , Naworol Ireneusz
Published: June 2022

The paper deals with the issue of mechanical strength of climbing ropes. These ropes are exposed
to the influence of exploitation factors both during training and in rescue operations. Among
others, they may sustain mechanical, thermal and chemical damage. The study attempted to provide
an evaluation of the effect this damage has on the mechanical strength and extensibility of
ropes. The tests were carried out in laboratory conditions, and the courses of force in the function
of deformation and impact of force on deformation were recorded. An unfavourable influence of
some types of damage on the strength and extensibility of ropes was demonstrated. Mechanical
and thermal stresses mainly cause damage to the rope sheath. Their effect on endurance is similar.
The remaining strength of the rope is slightly above the minimum allowable tensile strength. On
the other hand, the chemical treatment did not cause a noticeable decrease in the rope’s strength.
INTERNAL AUDIT AND MANAGEMENT CONTROL IN UNITS OF THE PUBLIC FINANCE SECTOR
Authors: Gołębiowska Anna , Prokopowicz Dariusz , Wolańczyk Agnieszka
Published: June 2022

The process of managing institutions of the public finance sector should be subject to improvement
and therefore should also be subject to ongoing control and periodic comprehensive audits.
In units of the public finance sector, given the need of improving the efficiency of public tasks implementation,
a significant role is played by management control, understood as overall measures
taken to ensure the implementation of objectives and tasks in a legitimate, effective, economical
and timely manner. A particularly important element of the management control system is the
internal audit, i.e. an independent advisory and verification activity, the objective of which is to
improve the operational efficiency of the organization and to bring added value to it. Technical
progress, changing legal regulations and organizational forms of business entities and institutions
of the government administration sector enforce constant adjustments of procedures for control
processes and auditing activities. Procedures for conducting internal audit processes should be
subject to permanent improvement, because in this way the quality of service of public sector institutions
towards the society and the effectiveness of the state functions are improved.
ISTOTA KIEROWANIA DZIAŁANIEM RATOWNICZYM W ŚWIETLE OBOWIĄZUJĄCEGO STANU PRAWNEGO
Authors: Berus Przemysław , Ankowski Artur
Published: June 2022

artykule przedstawiono zarys stanu prawnego, który precyzuje kwestie organizacji akcji
i działań ratowniczych, usytuowania prawnego osób wstępujących w funkcję kierującego akcją
ratowniczą (KAR) lub innym działaniem ratowniczym (KDR), ukazując obszary wymagające doprecyzowania
i uszczegółowienia w celu zapewnienia oczekiwanej jakości realizowanych zadań.
Wskazano również sposób precyzowania okresu pełnienia funkcji kierującego działaniem ratowniczym
w danym zdarzeniu, ukazując różnicę stanu prawnego pomiędzy dowódcą danego pododdziału
a kierującym konkretnym działaniem ratowniczym. Autorzy ukazali miejsca potencjalnego
wystąpienia zwiększonego ryzyka decyzyjnego kierujących akcją lub innym działaniem ratowniczym,
wynikające z niedookreślonych obszarów regulacji prawnych w rozpatrywanym zakresie,
ukazując jednocześnie możliwości wdrożenia rozwiązań dla poszczególnych sytuacji.
Effect of dexmedetomidine on emergence delirium and recovery parameters with sevoflurane and desflurane anaesthesia in children : a double randomized study
Authors: Pandey Ravinder K. , Ankur Sharma Jayaram A. , Darlong Vanlal , Sinha Renu , Punj Jyotsna , Khokhar Sudershan K , Chowdhury Apala R , Singh Preet M
Published: June 2022

Background: Emergence delirium in pediatric patients is a significant cause of increased anxiety among parents. The incidence of emergence delirium in children varies mainly according to the anesthetic agents used.

Methods: In this prospective, double-blind, randomized trial, 152 children of age group 1-6 years were randomized into two groups after induction of anesthesia: Group S received Sevoflurane, and Group D received Desflurane. Children in the S group were further randomized into subgroup S- Dex (receiving dexmedetomidine 0.3 mcg/kg in 5 ml saline) and subgroup S-Saline (receiving saline 5 ml). Similarly, Group D was also randomized into two subgroups; D-Dex and D-Saline. We compared perioperative hemodynamic variables, postoperative emergence delirium, recovery profile, pain scoring, the requirement of rescue analgesics, and time to discharge.

Results: At 5, 15, and 30 minutes, the incidence of emergence delirium was significantly higher in S-Saline and D-Saline groups than S-Dex and D-Dex groups. Both PAED and FLACC scores were significantly higher in the S-Saline group than the S-Dex group and the D-Saline group compared to the D-Dex group (P<0.05). Significantly more patients required analgesia in the S-Saline group than in the S-Dex group (P<0.05). No significant difference for analgesia was present between D-Saline and D-Dex groups. (p = 0.153). Discharge time was significantly longer in S-Dex and D-Dex groups as compared to S-Saline and D-saline groups.

Conclusions: Dexmedetomidine effectively reduced the incidence of emergence delirium and postoperative pain in pediatric patients undergoing surgery using Sevoflurane and Desflurane anesthesia.
Garantia dos princípios constitucionais na aplicação do Estatuto da Criança e do Adolescente
Authors: Mello Natane Costa , Silva Alcides Belfort da
Published: June 2022

O presente trabalho visa analisar os princípios constitucionais do nosso ordenamento jurídico, em garantir a proteção das crianças e dos adolescentes, na adequação aos princípios basilares do direito e no âmbito processual, considerando a proteção integral prevista no Estatuto da Criança e do Adolescente, verificando a existência de conflitos aparentes entre as normas, e na hipótese de infringência de princípios constitucionais em detrimento à proteção aos direitos da criança e do adolescente, indicar a norma verdadeiramente aplicada à situação.

Abstract: This paper aims to analyze the constitutional principles of our legal system, in ensuring the protection of children and adolescents, in the adequacy to the basic principles of law and in the procedural sphere, considering the integral protection provided for in the Statute of the Child and Adolescent, verifying the existence of apparent conflicts between the norms, and in the hypothesis of infringing constitutional principles to the detriment of the protection of the rights of children and adolescents , indicate the standard truly applied to the situation. 

Keywords: Constitutional rules. Law. Estatuto da Criança e do Adolescente.
Edukasi kesehatan tentang penyakit anemia dalam keluarga
Authors: Rohimah Risa Lutfiatul , Wiwin m Neng , Ash shafa Nur , Fitriani Rini , Nuraeni putri Riza
Published: June 2022

Introduction : Anemia is a disease where there is a lack of that function red blood cells to distribute the body oxygen throughout, but in practice it cannot be fulfilled properly. Lack of energy intake, iron, protein intake, and vitamin C intake are some of the factors that cause anemia. Usually people who have anemia have low physical endurance, difficulty concentrating, and decrease physical activity caused by insufficient blood binding and air or oxygen transport flowing from the lungs to all members of the lungs. Anemia symptoms in general are weak, signs of a hyperdynamic state (strong and rapid pulse, palpitations, and sound disturbance in the ear). Many factors can cause anemia, namely iron deficiency, namely increased needs, iron deficiency, infectional bleeding and other factors. Women are more susceptible to anemia than men because women experience menstruation every month and adult women, especially those who are married, will experience pregnancy, require three times as much red blood cells as usual.

Objective : Counseling was carried out to families that aimed to provide prevention education against anemia.

Method : This education prevention is carried out by the observation method where materials are presented through brochures and power points.

Result : After delivering the material, then a question and answer session and evaluation were to find out how far the family understanding of the material has been delivered.

Conclusion : In accordance with the evaluation results, health promotion activities with anemia prevention counseling counseling group, namely timeliness, participation, and problem solving.
Upaya Peningkatan Pengetahuan Tentang Hipertensi pada Keluarga
Authors: Oktriani Herni , Sukaesih Iis , Dwi Indah , Putri Julia , Naelani Lidia
Published: June 2022

Introduction: Hypertension is a disease that causes death and is a major risk factor for heart and blood vessel illness for stroke, congestive heart failure, heart attack, and kidney illness. The upgrade of hypertension cases is caused by a deficiency of knowing with the result that person do not understand how to prevent and treat it. Therefore, it is necessary to have health education to increase and increase knowledge about hypertension so that hypertensive patients can change their lifestyles.

Objective: The goal of health education is to upgrade the participant's knowledge about the management and prevention of hypertension.

Method: The method used in this health education is direct health education (offline) and discussion.

Result: The evaluation results show that the activities have been carried out properly following the indicators and results criteria on the observation sheet instrument.  The observation sheet is based on five dimensions, namely timeliness and duration, participation, knowledge, job description, and problem-solving. The evaluation sheet is filled out by independent observers.

Conclusion: By the evaluation results, health education activities to increase knowledge have been successful with individuals with indicators of timeliness and duration, participation, knowledge, job descriptions, and problem-solving. In the discussion session, all participants were enthusiastic to ask questions and listen and understand what the presenters answered from what they asked. In the post-implementation evaluation session, participants answered what was asked without hesitation. Observation results showed an increase in participant's knowledge. The pre-implementation evaluation showed that one out of 3 people gave responses to the questions given, could answer the questions correctly, but after the heath education, all three participants gave the correct feedback. This shows a change in the status of knowledge before and before health education is carried out. suggestions for this activity need time management so that counseling can be carried out according to the time specified in the SAP.
Permainan Ular Tangga Sebagai Media Pemberlajaran Perilaku Hidup Bersih Dan Sehat (PHBS) Pada Siswa SDN 3 Benteng
Authors: Puspa Jayantika Gita , Atista Rahmawati Tia , Pitriani  , Rostantia Beti , Ramdan Karsono Rendi , Zorgi Sultan
Published: June 2022

Pendahuluan: Perilaku Hidup Bersih dan Sehat (PHBS) adalah perilaku yang berkaitan dengan upaya seseorang untuk meningkatkan kesehatannya. PHBS di sekolah merupakan perilaku yang dilakukan oleh siswa, guru, dan masyarakat di lingkungan sekolah, sehingga dapat mencegah penyakit, dan menciptakan lingkungan yang sehat. Salah satu upaya yang dilakukan untuk menyampaikan materi PHBS kepada siswa dengan menarik minat adalah dengan media pembelajaran ular tangga yang dimodifikasi sehingga terdapat informasi terkait PHBS. Permainan ular tangga ini sederhana dan menyenangkan untuk dimainkan siswa, sehingga dapat digunakan sebagai media pembelajaran yang efektif. Tujuan: Penggunaan media pembelajaran ular tangga bertujuan untuk meningkatkan stimulasi panca indera agar siswa memperoleh pemahaman dan membentuk kesadaran untuk melaksanakan PHBS di lingkungan sekolah. Metode: Metode yang digunakan adalah demonstrasi yaitu bermain game dengan media ular tangga. Mengambil responden dari siswa kelas 5 SDN 1 Benteng yang berjumlah 17 orang, dan mengambil 3 sampel untuk bermain ular tangga. Durasi pelaksanaan 30-40 menit, dan diselingi tanya jawab. Hasil: Hasil dari kegiatan pengabdian kepada masyarakat ini adalah terlaksananya pendidikan kesehatan tentang perilaku hidup bersih dan sehat (PHBS) kepada siswa kelas V SDN 1 Benteng yang berjumlah 17 orang, sehingga siswa dapat menjawab soal yang diberikan, dan menerapkan PHBS di sekolah.Kesimpulan:Pendidikan kesehatan tentang PHBS ini dilaksanakan kepada siswa kelas V SDN 1 Benteng, yang bertujuan agar siswa mampu menjaga kebersihan tangan, terhindar dari berbagai penyakit, dan dapat menerapkannya dalam kehidupan sehari-hari dan di sekolah.
Penyuluhan Kesehatan Perilaku Hidup Bersih dan Sehat Melalui Kegiatan Mencuci Tangan Pakai Sabun dengan Media Permainan Tradisional Engklek pada Anak TK ABA Ciamis
Authors: Fajriah Fitriani , Pasca Fitri Amalia , Andriani Dian , Nuraida Noneng , Fadilah Riska , Nurkania Vina
Published: June 2022

Introduction: The spread of disease is generally caused by a lack of knowledge about clean and healthy living behavior (PHBS). Clean and healthy living behavior is a health behavior that can be done consciously so that family members can help themselves in the health sector and can play an active role in health activities in the community. Washing hands with soap is one of the efforts to prevent and protect the body against infectious diseases. The traditional engklek game is one of the games played and favored by children. Objective: Applied in daily activities both within the family and at school to form clean and healthy living behavior in children. Method: The promotion of health research was used in the methods of phbs education and demonstration of Wash your hands using soap and running water and engklek games. This Health Promotion was carried out with 6 students located in ABA Kindergarten, Ciamis District, Ciamis Regency with a total of 43 children as respondents and accompanied by the kindergarten teacher. Health Promotion This is carried out through 4 stages, namely 1) selection of targets and places, 2) preparation of suggestions and infrastructure, 3) implementation of activities, 4) evaluation. Result: implemented of health promotion for children in ABA Ciamis Kindergarten regarding Clean and Healthy Living Behavior about Washing hands with soap and running water produced significant results because previously the children in ABA Ciamis Kindergarten had implemented it so that it became a tradition that was often done and became a habit everyday Conclussion: Through the implementation of the activity "Counseling on How to Wash Hands with Soap at ABA Ciamis Kindergarten" it can be concluded that this activity can increase children's knowledge about the purpose of washing hands, benefits, washing hands, the impact of not washing hands, as well as steps for washing hands. use the right soap. In the implementation in the field, the teachers and children of ABA Ciamis Kindergarten gave a positive response and had high enthusiasm in participating in counseling and simulations of washing hands with soap.
Edukasi Resiko Penularan HIV/AIDS pada Ibu Rumah Tangga dan Lansia
Authors: Bullan Lingga , Widiyawati  , Permatasari Rika , Robiah Adawiah Siti , Novia Herdianti Vina , Adam Zakariya , Yusantari Silvia
Published: June 2022

Introduction: Human immunity can be damaged by HIV (Human Immunodeficiency Virus), usually the virus is found in white blood cells in human body fluids. And AIDS is the presence of signs and symptoms due to the inability of the body's defense system.
Objective: In the final process of counseling about the risk of transmitting HIV/AIDS to the elderly (elderly) and housewives, we hope that the people who are given education or counseling can understand about this disease so that they can expand their knowledge, especially among children/adolescents.
Method: This counseling activity was carried out in collaboration between S1 Nursing students and the community of Margasari village, Limus hamlet, Sukajadi village, Sadananya sub-district which had several strategies, namely planning, implementation and evaluation. One of the planning activities is seen from the analysis of the number of people in the counseling. To housewives, the elderly, and the benchmark for the extent of public knowledge about the risk of disease transmission of HIV/AIDS.
Result: The results of the research in Margasari village, Limus hamlet, Sukajadi village, Sadananya sub-district showed that housewives and the elderly did not understand about HIV/AIDS before counseling, after counseling the community could understand the risk of HIV/AIDS transmission.
Conclussion: A conclusion was drawn based on the results of the counseling that the observators succeeded in providing education about the risk of HIV/AIDS transmission with success indicators in the form of questions and answers and questions from the audience could be answered by the observators. Extension activities are also well planned and implemented with indicators of material presentation, timeliness, and completeness.
Interrelation between Recurrent Pregnancy Loss and Antiphospholipid: A Clinico-Diagnostic Perspective
Authors: Bhasker Nilam
Published: June 2022

Recurrent pregnancy loss, one of the crucial reproductive health concerns affecting 6% of couples. Clinically recognized pregnancy loss is familiar, occurring in approximately 15–25% cases of pregnancy. The most common cause of recurrent pregnancy loss is cytogenetic anomaly, antiphospholipid antibody, metabolic and hormonal disorders. However, approximately 50% cases of recurrent pregnancy loss remain unexplored. Recurrent pregnancy loss is correlated with specificity of antiphospholipid like anti-β2-glycoprotein-I antibodies, lupus anticoagulant, anti-cardiolipin antibodies, and anti-phosphatidylserine. aPL inhibits the release of human chorionic gonadotropin (HCG) hormone from placenta, trophoblast growth, migration, and cell adhesion while induce the inflammatory response in earlier pregnancy. Some clinical studies reported that occurrence of antiphospholipid during recurrent pregnancy loss is uncommon. In this time line article, we are focusing on the role of antiphospholipid in the recurrent pregnancy loss and clinico-diagnostic against recurrent pregnancy loss.
Determining Glucose Isomerase Activity in Different Wine Environments to Prevent Sluggish or Stuck Fermentations by Using Glucose Isomerase
Authors: Seray Kahraman Nahide , Hamamci Haluk
Published: June 2022

The objective of this study was to determine glucose isomerase activity in different prepared original or synthetic wine media to prevent sluggish or stuck fermentation, which may be caused by sugar uptake deficiency in yeast. The unfermented grape juice contains almost equal amounts of glucose and fructose. After fermentation, the residual sugar is mostly fructose, this is called glucose/fructose discrepancy (GFD) and is caused by the affinity decrease of hexose transporters towards fructose as ethanol accumulates. This results in stuck fermentation and is unwanted as the wine is sweet and risks microbial spoilage. Converting remaining fructose to glucose by glucose isomerase may be a solution so we tested the activity of this enzyme in synthetic and original wine media. Glucose formation, 0.5 % w/v, from 1% w/v fructose took place in synthetic wine medium containing 13 % v/v ethanol, 1% w/v glycerol and at pH 3.3. In original wine medium glucose formation did not take place except when wine was diluted at least five folds and at pH values equal or higher than 6 whether if tartaric acid was present or not. Since neither dilution, nor pH adjustment can be applicable, other ways to employ this enzyme should be tried.
Molecular Pathogenesis of Inflammatory Cytokines in Insulin Resistance Diabetes Mellitus
Authors: Bashir Haamid , Hayat Bhat Mohammad , Majid Sabhiya
Published: June 2022

Diabetes Mellitus Type 2 (T2DM) is a non-communicable and multifactorial disease. It is a leading cause of premature deaths worldwide. Inflammatory cytokines are reported that they have potential to enhance insulin resistance and hence T2DM. The current research was taken to investigate the possible role of inflammatory mediators: Tumor Necrosis Factor (TNF-α) and White blood cells (WBC’s) in mobilizing biological molecules mainly immunological nature. A total of 320 subjects were selected in this study among them 160 were T2DM cases and 160 were healthy controls. Serum concentration of Tumor Necrosis Factor-a (TNF-α) was quantified by ELISA method, WBC count was measured on Sysmax (Germany) hematology analyzer, biochemical and Immunoassay parameters were done on fully automatic analyzers. The expression of candidate pro-inflammatory cytokine (TNF-α), and (WBC’s) were elevated in T2DM. TNF-α shows association (p<0.001) with glycemic profile and insulin sensitivity in T2DM cases in comparison with healthy controls. Induction of inflammation and up regulation of pro-inflammatory cytokines has been purported to play a significant role in pathogenesis of T2DM and study confirms that the positive correlation of TNF-α with T2DM and hence to insulin sensitivity. These can act as early prediction biomarkers in diagnosis and prognosis of human disease i.e Diabetes Mellitus. Further studies are needed to help clinicians manage and treat T2DM effectively.
New Insights about the Influence of Yeasts Autolysis on Sparkling Wines Composition and Quality
Authors: Pons-Mercadé Pere , Giménez Pol , Vilomara Glòria , Conde Marta , Cantos Antoni , Rozès Nicolas , Ferrer Sergi , Miquel Canals Joan , Zamora Fernando
Published: June 2022

Sparkling wines elaborated using the traditional method undergo a second fermentation in the bottle. This process involves an aging time in contact with the lees, which enriches the wine in various substances, especially proteins, mannoproteins and polysaccharides, thanks to the autolysis of the yeasts. As a result of this yeast autolysis, sparkling wines benefit from better integration of carbon dioxide and a clear sensory improvement, especially in the case of long aging. This chapter synthetizes the main results that our research group has obtained about the influence of yeasts autolysis on sparkling wines composition and quality during last years, making special emphasis on the capacity of the lees to release proteins and polysaccharides as well as on their capacity to consume oxygen and thus protect the sparkling wines from oxidation.
Study on Microstructure Evolution and Mechanical Properties of Al5083 Joint Obtained from Friction Stir Spot Welding: Effect of Vibration and Plunge Depth
Authors: Bagheri Behrouz , Abbasi Mahmoud , Sharifi Farzaneh
Published: June 2022

In this investigation, the vibration of the workpiece is accompanied by the rotating movement of the tool during friction stir spot welding. The method is entitled to friction stir spot vibration welding (FSSVW). Al5083 alloy samples are joined by two welding methods, friction stir spot welding (FSSW), and FSSVW under different plunge depths (DP). The microstructures and fracture surface of the welded zones were analyzed by optical microscopy (OM) and scanning electron microscopy (SEM), respectively. Analyzing the microstructures and mechanical properties of welded samples in both methods revealed that weld region grain size reduced and its hardness increased as the mechanical vibration and high plunge depth have been applied. In addition, the strength and ductility values of FSSV welded specimens with high plunge depth were higher than those produced by FSSW under low plunge depth. Furthermore, it was concluded that the effect of vibration on microstructure and mechanical properties of welded specimens increase as vibration frequency is increased.
Joining by Forming of Sheet Metals
Authors: Biradar Akash , Rijesh Malayathodi
Published: June 2022

Sheet metal is the frequently used component geometry in industries, and the joining of sheets is inevitable. There exist numerous conventional processes for joining sheet metals, but the diverse needs of today’s industries necessitate further research into alternative joining technologies. Joining by forming methods to join similar and dissimilar sheet metals has a great potential to reach current industrial requirements. The process involves plastic deformation of at least one constituent part. Among several techniques that evolved in recent times, friction-based welding, impact welding, and roll bonding are the three solid-state welding methods, often known as joining by forming. The present chapter starts with a brief overview of the various aspects of joining sheet metals by forming methods. The working principle, procedure, and the consequences of the impact-based methods such as vapor foil actuator welding, electromagnetic welding, and laser impact welding, along with the roll bonding process are discussed.
Physiological and Biochemical Basis of Stress Tolerance in Soybean
Authors: Mannan Md. , Rima Ismot , Karim Abdul
Published: June 2022

Soybean is considered as a species sensitive to several abiotic stresses, such as drought, salinity, and waterlogging, when compared with other legumes, and these abiotic stresses have a negative effect on soybean plants’ growth and crop productivity. Clearing the conception on the physiological and biochemical responses to drought is essential for an overall understanding of the mechanism of plant resistance to water-restricted conditions and for developing drought resistance screening techniques that can be used for plant breeding. Plants can adapt in response to water scarcity situations by altering cell metabolism and activating various defense mechanisms. Higher salt tolerance in resistant soybean genotypes was associated with better water relation, salt dilution by juiciness, and better osmotic adaptation with an accumulation of more amino acids, sugars, and proline. In addition, less damaging chlorophylls, higher photosynthetic efficiency and cell membrane stability, and higher calcium content contributed to the higher salt tolerance of soybean genotypes. Plants adapted to flooded conditions have mechanisms to cope with this stress. Aerenchyma formation increased availability of soluble carbohydrates, greater activity of glycolytic pathways and fermenting enzymes, and involvement of antioxidant defense mechanisms to cope with post-hypoxic/post-anoxic oxidative stress. Ethylene, a gaseous plant hormone, plays an important role in altering a plant’s response to oxygen deficiency.
Resistance Spot Welding: Principles and Its Applications
Authors: Tanmoy Das
Published: June 2022

Resistance spot welding is one of the primary welding techniques extensively utilized in the automotive and aviation industries. Some 2000–3000 spots are made in a single body of automobiles, which are numerically controlled nowadays. Resistance spot welding works on the principle of Joule’s law of heating, where the heat generated is directly proportional to the square of the welding current. This welding technique is generally used to join thin sheets of steel, titanium, aluminum, magnesium, etc. The welding of non-ferrous metals like aluminum and magnesium is quite tedious owing to their high thermal conductivities and the oxide formation on their surfaces. Thus extensive surface preparation is required before welding. Numerous limitations are also there in this welding technique which includes low strength of the joints and thickness limitation.
STARZ-DRP: An Advance Nursing Approach for Palliative Home Care Services
Authors: Nordin Nazri
Published: June 2022

Nurses perform a significant role as professional practitioners in the healthcare system, particularly providing the Palliative Home Care Services (PHCS). PHCS is a continuum of medical and social services which support the needs of patients living with chronic medical conditions or severe disabilities. Most of the time, they shall engage with patients and their family members in the absence of physicians or pharmacists. They shall assist them to go through their daily routines with physical help and support. Foremost, they shall help their patients to consume medications as being prescribed. For that reason, they need an advanced approach to assist them to provide a quality and excellent PHCS. Therefore, this article shall highlight a tool is known as STARZ-DRP as a potential modus operandi to maneuver them to make an accurate and quick triaging-decision as well as identify the actual or potential drug-related problems. It is to be hoped that the tool shall enhance the image of nurses as healthcare providers.
Mushroom; Chemistry, Bioactive Components, and Application
Authors: M. Saad Ahmed , Z. Sitohy Mahmoud , A. Omar Belal , T. El-Saadony Mohamed , Sitohy Basel
Published: June 2022

Apposite energy is required for body activity. Energy is derived from the oxidation of various biomolecules like carbohydrates, lipids, and proteins. These bio-molecules in the proper amount are essential for the structural and functional activities of any living being. Certain vitamins and enzymes are also needed for the maintenance of biochemical processes. Our daily food is the major source of these biomolecules. From the last few decades, researchers have placed giant effort into searching for a food material that can provide nearly all the essential components required to maintain the energy need and consequently, balancing the body’s homeostasis. Mushrooms have the potential to address the above-raised issues. Besides their pleasant flavor and culinary value, mushrooms are an important source of biomolecules that include large macromolecules (protein, carbohydrate, lipid, and nucleic acid) as well as small molecules (primary metabolites, secondary metabolites, and natural products). This chapter discusses the bioactive compounds in edible mushroom and their activities.