bluuebunny/crossref_metadata_2025 huggingface dataset:
Profil Rujukan Ibu Bersalin dengan BPJS dari Fasilitas Kesehatan Tingkat Pertama Di RS Budi Kemuliaan
Authors: Yulianti Nova , Dewi Rindi Komala , Salim Hasan
Published: February 2022

According to the Republik of Indonesia Ministry of Health in 2013, maternal deaths occurs a lot at home. The death in health facilities are happen in reference cases. The deaths occur in tbe referral case because the distance too the hospital is >5km by 30%. One of wisdom Republik of Indonesia Ministry of Health in effort to reduce maternal and infant mortality is Jaminan Persalinan (Jampersal) and effective referral in cases of complication. This study uses descriptive analytical methods and uses secondary data. Determination of samples using random sampling techniques, and based on Slovin formula totaling 82 samples. The most referrals came from Puskesmas with 63% samples, 76 patients with standard referral, reference time >60 minutes is 49 samples, referral flow procedures with direct contact criteria as many 76 samples, complications of Prelabor Rupture of Membrane had a total sample of 26 samples, the most normal delivery assistance measures were carried out with a total of 31 samples, aterm gestational age amounted to 68 samples, 20-35 years old maternal age group is 64 samples, multigravida as many as 48 samples, non-nearmiss mothers numbered 80 samples, Apgar’s Scores of baby with Normally there are 75 samples Abstrak Jumlah kematian yang terjadi pada ibu dirujuk karena jarak tempat tinggal ke rumah sakit >5 km sebanyak 30%. Salah satu kebijakan Kementerian Kesehatan RI dalam upaya menurunkan kematian ibu dan bayi adalah Jaminan Persalinan (Jampersal) dan terlaksananya rujukan yang efektif pada kasus komplikasi. Penelitian ini menggunakan metode deskriptif analitik bivariat, dengan design cross sectional. Pengumpulan data menggunakan data sekunder. Penentuan sampel menggunakan teknik random sampling, didapatkan jumlah sebanyak 82 sampel. Rujukan paling banyak berasal dari puskesmas dengan jumlah 63 sampel (76,8%), pasien dengan kelengkapan standar merujuk sebanyak 76 sampel (92,7%), waktu merujuk >60 menit yakni sebanyak 49 sampel (59,8%), Prosedur alur rujukan dengan kriteria langsung menghubungi sebanyak 76 sampel (92,7%), komplikasi Ketuban Pecah Dini memiliki jumlah sampel sebanyak 26 sampel (31,7%), tindakan pertolongan persalinan normal paling banyak dilakukan dengan jumlah 31 sampel (37,8%), Usia Kehamilan Aterm berjumlah 68 sampel (82,9%), kelompok Usia Ibu 20-35 tahun berjumlah 64 sampel (78%), Multigravida sebanyak 48 sampel (58,5%), keadaan ibu tidak nearmiss berjumlah 80 sampel (97,6%), Apgar Score Bayi dengan kriteria normal berjumlah 75 sampel (91,5%). Rujukan yang dilakukan pada fasilitas primer sudah dilakukan sesuai standar namun masih ada beberapa data yang kurang lengkap, diharapkan dapat lebih meningkatkan kualitas pelayanan system rujukan.
Analisis Kandungan Protein, Zat Besi dan Daya Terima Pempek Ikan Nila (Oreochromis niloticus) dan Bayam (Amaranthus spp)
Authors: Hidayati Sri Hilma , Suryani Nany , Rahmah Siti , Yudistira Sigit
Published: February 2022

Tilapia and spinach are foods high in protein and iron nutrients. Pempek is a food interspersed that is favored by all circles, especially adolescent. This study aims to find out the protein content, iron and acceptability (color, aroma, texture and taste) tilapia and spinach pempek as a food interspersed adolescent girls to prevent anemia.This study is an experimental study with a Complete Randomized Design that is with the proportion of tilapia and spinach consists of 4 treatments namely P0= 100%:0%, P1= 90%:10%, P2= 80%:20% and P3= 70%:30%. The protein content was tested by Kjedahl method and the iron content was tested with visionary spectrometry method. While statistical analysis of protein and iron content using One Way Anova test and acceptability using Friedman analysis. The results of this study are known that the average protein content is P0 which is 7.11% and the highest iron is P3 which is 17.56 mg /100 g.The results of statistical analysis showed there is an influence on the protein content in tilapia and spinach pempek p=0,000, there is an influence on the iron content in tilapia pempek and p=0.000<α, Proportion of tilapia and spinach is shown to have an influence on the acceptability (color, aroma, texture) in tilapia and spinach boiled pempek and acceptability (color, aroma, taste and texture) in tilapia and spinach fried pempek because p<0.05. And proved to have no influence on the acceptability of texture on tilapia and spinach boiled pempek because p>0.05. Pempek in the first treatment (P1) can be an alternative to eating adolescent girls interspersed to prevent anemia by consuming 136 grams.
Beyond Report Cards and Conferences? The Salience of Parent Engagement to Educators
Authors: Mills Kristen J. , Lawlor Jennifer , McAlindon Kathryn , Neal Jennifer Watling , Neal Zachary P.
Published: February 2022

This study examines the salience of six types of parent engagement among 60 Michigan public school educators at the county, district, and school levels, and how salience varies across educators at each level. Directed content analysis of 59 interviews was conducted using Epstein’s (1995) Framework of Six Types of Involvement as a priori codes. Communicating was most salient among educators, but all other types of parent engagement were substantially less salient. County and district educators were more attuned to parent engagement that stretched outside the boundaries of the school building like collaborating with the community, parenting, and learning at home. In contrast, district and school educators were more attuned to volunteering and decision-making which involves direct and extended interaction between parents and schools. Findings highlight opportunities for expanding and improving parent engagement strategies in part by leveraging the functional roles and resources of building, district, and county level educators.
Using Different Methods to Measure the Optical Energy Bandgap of Un-annealed and Annealed Ga2O3 Films
Authors: Lin Ting-Yu , Han Sang-Yuan , Huang Cheng-Yi , Yang Cheng-Fu , Wei Sufen
Published: February 2022

In this study, electron beam (E-beam) was used to deposit Ga2O3 films on the sapphire (Al2O3) substratest, then Ga2O3 films were divided three groups, unannealed, annealed at 850 oC, and annealed at 950 oC, respectively. After that, three different methods were investigated to find the optical energy bandgap of un-annealed and annealed Ga2O3 films. First was used n&k analyzer to measure all the optical energy bandgaps of un-annealed and annealed Ga2O3 films directly; Second, all the measured transmittance spectra of un-annealed and annealed Ga2O3 films, then the cut wavelength at the zero transmittance ratio of the extrapolated straight line according the slope of the absorption edge was used to measure optical energy bandgap using the equation of Eg= 12400/cut wavelength. Third, the curve of (αhν)2 against the energy (hν) value was plotted according to Eqs. αhν = C (hν – Eg)1/2 and T = (1 – R)2 exp(-αd), and the extrapolated straight line was used to measure the optical energy bandgap of un-annealed or annealed Ga2O3 films. Finally, the measured results were well compared.
Ultraviolet Light Exposure Effect on the Nanoscale Current-Voltage Characteristics of Bare and Silicate Nanoparticle Incorporated 3-aminopropyltrimethylsiloxane Films Deposited Using a Focus Ion Beam-Milled Atomic Force Microscopy Tip
Authors: Liao Su-Yu , Jhuang Jheng-Jia , Lin Jing-Jenn , Tak-Shing Ching Congo , Wu You-Lin
Published: February 2022

Polysilicon wire (PSW) sensor with a sensing membrane of 3-aminopropyltrimethylsiloxan (γ-APTES) incorporated with polydimethylsiloxane (PDMS)-treated silica nanoparticles (NPs) (γ-APTES+NPs nanocomposite) deposited by a focus ion beam (FIB)-milled capillary atomic force microscopy (AFM) tip have been reported to have excellent biochemical sensing characteristics, and improved performance can be achieved after the sensing films being subjected to ultraviolet (UV) light illumination. While most of the research on γ-APTES is focused on its sensing characteristics and material properties, rarely have been discussed regarding its electrical characteristics. In this work, nanoscale current-voltage (I-V) characteristics of the FIB-milled capillary AFM tip deposited pure γ-APTES film and γ-APTES+NPs nanocomposite films with different γ-APTES/NPs mixed ratios were measured by using an AFM with a conductive tip as the top electrode. The I-V characteristics of the γ-APTES and γ-APTES+NPs films after UV illumination were also investigated. Our experimental results show that the nanoscale I-V curve of the γ-APTES-based films is similar to that of a typical dielectric film, and the nanoscale bulk leakage current decreases with the increase of the UV exposure time and the γ-APTES solution/NPs mixed ratios, while the breakdown voltage increases with increasing UV exposure time but decreases with the increase of γ-APTES solution/NPs mixed ratios.
Accessibility of Pocket Parks in Xuzhou Old City based on Space Syntax Theory
Authors: Han Xueqi , Gu Sihao , Zhuang Zhicheng , Ming Li , Chen Yedong
Published: February 2022

As an important part of the green space system in high-density cities, pocket parks provide the city with natural ecological functions, including microclimate regulation, stormwater management, and so on, and also play an important role in improving the city image, promoting neighborhood communication and other social benefits. However, at present, there has been little research on the accessibility of pocket parks. Based on the theory of space syntax, pocket parks in Xuzhou old city are selected as the research object. From three dimensions of global integration, local integration, and perceived integration, the accessibility of pocket parks in Xuzhou old city was quantitatively evaluated by Depthmap software. The results showed that (1) the global accessibility and local accessibility of pocket parks in the study area were good, but the distribution of some pocket parks was "misaligned" with the road network layout and (2) the perception accessibility of some pocket parks is low, and the whole road network is perceived through the local road network structure. As a result, many people cannot find the park quickly even if they are close to the green space of the park. Because of the existing problems of pocket parks in Xuzhou old city, we put forward optimization suggestions to increase the accessibility measure of pocket parks in Xuzhou from a humanistic perspective and provide a basis for the distribution of urban pocket parks.
Classification of lines, spaces, and edges of resist patterns in scanning electron microscopy images using unsupervised machine learning
Authors: Jin Yuqing , Kozawa Takahiro
Published: February 2022

As key steps of lithography, the development of resist materials and the exploration of new materials are important to meet market demands from the semiconductor industry. During the development, resist materials are usually evaluated by the information extracted from their scanning electron microscopy (SEM) images. The information extracted from SEM images is not always accurate owing to technical limitation. Accurate information extraction is also useful for the prediction of an etched substrate pattern. In this paper, we reported a strategy to classify the image pixels of line-and-space resist patterns into line, space, and edge classes, using unsupervised machine learning. Brightness and coordination information was integrated into the classification method. The high reliability in classification was demonstrated by hierarchical clustering based on its information integrating ability. Among all the methods of hierarchical clustering examined, the centroid method was the most accurate strategy for extracting information from a single SEM image.
Formulasi Dan Evaluasi Kestabilan Fisik Sediaan Gel Topikal Ekstrak Etanol Daun Ciplukan (Physalis angulata L.) Dengan Variasi Konsentrasi Karbopol 940 Serta Pengujian Hedoniknya
Authors: H. Ambo Lau Sulfiyana
Published: February 2022

Ciplukan (Physalis angulata L.) adalah tanaman semusim berupa herba dari famili Solanacea, dimana semua bagian tanaman dapat digunakan dalam pengobatan, tidak terkecuali bagian daunnya. Telah dilakukan penelitian Formulasi dan Evaluasi Kestabilan Fisik Sediaan Gel Topikal Ekstrak Etanol Daun Ciplukan (Physalis angulata L.) dengan Variasi Konsentrasi Karbopol 940 serta Pengujian Hedoniknya. Tujuan dari penelitian ini adalah untuk mengetahui terdapat golongan senyawanya yang dapat digunakan sebagai antijamur, stabilitas fisik saat diformulasikan menjadi sediaan gel, dan tanggapan pengujian hedonik sediaan gelnya. Jenis penelitian ini yaitu penelitian eksperimen laboratorium, yang dilakukan di laboratorium fitokimia dan farmaseutika Akademi Farmasi Sandi Karsa Makassar, pada Oktober-November 2019. Metode penelitiannya yaitu identifikasi senyawa, formulasi sediaan gel dengan perbedaan konsentrasi karbopol 940 pada FI 0,5%, FII 1%, FIII 2% dan pengujian stabilitasnya seperti organoleptis, homogenitas, nilai pH dan sineresisnya, serta pengujian hedonik yaitu iritasi dan kesukaan 20 penalis terhadap sediaan gel tersebut. Hasilnya yaitu golongan senyawa yang terkandung dalam ekstrak etanol daun ciplukan (Physalis angulata L.) diantaranya alkaloid, flavonoid, tanin, dan saponin. Bagian pengujian stabilitas fisik, yang terbaik yaitu FII dimana warnanya hijau kecokelatan, aroma khas daun ciplukan, konsistensinya kental, homogen, nilai pH 6 dan tidak ada sineresis hingga setelah penyimpanan. Uji hedonik sediaan gel FII tidak menimbulkan iritasi seperti kemerahan, gatal dan bengkak, serta sebagian besar penalis menyukai warna, aroma dan konsistensinya. Kesimpulan, formulasi gel FII dengan konsentrasi karbopol 940 1% dimana semua hasil pengujian memenuhi syarat hingga dapat dikatakan merupakan sediaan yang stabil dibandingkan sediaan gel FI dan FIII.
A STUDY OF TEACHERS' LEADERSHIP BEHAVIOR IN RELATION TO TYPE OF INSTITUTE AND TEACHING EXPERIENCE
Authors: Nasrin Nasrin , Biswas Komy
Published: February 2022

Present study taken to investigate teacher's leadership behaviour in context to type of institute and teaching experience.
Null hypotheses were formed to know the signicant differences between variables. Present study is limited to
government and primary school teachers of Aligarh district, Uttar Pradesh. 138 teachers were selected by using simple random sampling
technique. Quantitative research method used to collect data by using “Teacher's Leadership Behaviour Scale” (TLBS) developed by Dr. A.S. Arul
Lawrence. Data were analyses by using mean, SD and independent t-test. Type of institute, teaching experience and particularly govt. teachers
teaching experience were not affecting variable on leadership behaviour of teachers while private teachers teaching experience is affecting
variable on leadership behaviour of teachers.
AUGMENTING CBME CURRICULUM WITH ARTIFICIAL INTELLIGENCE COURSES – A FUTURISTIC APPROACH.
Authors: Bahurupi Yogesh , A Mahadule Ashwini , M Patil Prashant , Saxena Vartika
Published: February 2022

Articial intelligence (AI) incorporated in the curriculum will promise for scientic development of students to keep pace
with other modern elds like precision medicine. In the present scenario of COVID-19 pandemic, which has affected the
healthcare delivery immensely, we rely on the physicians using AI based technology to assist in decision making and ultimately improved patient
care in remote areas of the country. Since AI is technology of future; there are concerns that it may replace human workforce in healthcare industry.
This article is an attempt to put forth perspectives on possibilities of dehumanisation of medical profession with use of AI and blending with
CBME curriculum.
HISTOMORPHOLOGICAL SPECTRUM OF VARIOUS CARDIAC CHANGES IN SUDDEN DEATH: AN AUTOPSYSTUDY
Authors: V Wagh Anushree , Kulkarni Kalpana , R Gadpal Rahul , V Wagh Reena
Published: February 2022

INTRODUCTION : Cardiovascular disease (including coronary artery disease, stroke and peripheral vascular disease) is no.1 cause of
worldwide mortality, with about 80% of burden occurring in developing countries. Sudden cardiac death is dened as unexpected death from
cardiac causes either without symptoms or within 1-24 hours of onset of symptoms(1). The common cause of sudden cardiac death is ischaemic
heart disease. Non ischaemic sudden cardiac death occurs in hypertrophic obstructive cardiomyopathy and in severe left ventricular
hypertrophy(2). The purpose of this study will be to determine the causes of sudden death and observe the spectrum of morphological and
histopathological changes in heart after sudden death. MATERIALS AND METHODS: This autopsy study was conducted on 121 cases of
sudden death over a period extending from January 2019 to August 2020 in autopsy section of Pathology department of BJGMC, Pune. In this
autopsy study hearts of patients with a history of sudden death were evaluated for histological and morphological changes. Each heart was grossed
adopting the inow outow method and short axis method. Staining solutions used were Solution A: Alum Hematoxylin and Solution B: 1% Eosin
Y. OBSERVATIONS : 50 (41.32%) cases out of 121 cases had coronary artery disease along with myocardial infarction of which 43 cases were
males and 7 cases were females. No cardiac aetiology was found in 23.96% cases. Coronary artery disease was independently seen in 14.87%
cases. Left ventricular concentric hypertrophy was noted in 4.13% cases. Myocardial infarction independently was noted in 3.30%cases,
Myocarditis in 2.47% cases, myocarditis with pericarditis in 1.65% cases, HOCM, lipoma, mitral stenosis, pericarditis, septic infarct, secondaries
of adenocarcinoma, early vegetation and small vessel disease in 0.82% cases. Calcic aortic stenosis was demonstrated in 1 case. Brown atrophy
was demonstrated in 1 case. DISCUSSION : Out of 69 cases of coronary artery disease calcication was commonly seen in 34(49.27%) cases.
47(82.45%) (M-39,l F-8) out of 57 cases of myocardial infarction demonstrated chronic or old infarct. Single vessel involvement was most
common in which left anterior descending coronary artery was signicantly involved in 68.75 % cases. Posterior wall was most commonly
involved by myocardial infarction which included posterior, posteroseptal, and posterolateral infarcts.
LINEAR MORPHEA- A RARE CASE SERIES
Authors: Parmar Glory , James Vernon , Patel Krina , Patel Aanal
Published: February 2022

INTRODUCTION:
Linear morphea is rare localized form of scleroderma. The lesions are characterized by localized hard/smooth ivory-coloured immobile areas of
skin. The appearance is hidebound skin, known as andrew's disease of skin. These linear lesions often develop along the line of blaschko.
METHOD:
A cross-sectional,hospital-based clinical study of patients with linear morphea attending the Outpatient Department of tertiary care centre was
done over a span of 3 months. Detailed history was taken along with clinical examination. After counselling and after recording their consent, skin
biopsy done along with routine investigations and results were evaluated.
RESULTS:
We have come across six cases in 3 months. Age group ranged from 10-20 years with 2 male and 4 female patients. Average age of onset was 14.5
years. Two cases had lesions involving limbs, two had lesions on forehead and one patient had extensive lesions involving entire right half of body
including face. Serum ANA titre was positive in one case,which also showed changes in CT scan and bone scan. EEG changes were seen in two out
of three cases of facial lesions. Skin biopsy in all cases were consistent with morphea.
CONCLUSION:
Though linear morphea is a local disorder without systemic association generally,patients with Serum ANA positivity and EEG changes in facial
lesions need to be observed for permanent CNS damage if not counteracted with immunosuppressives. As it has higher morbidity and predilection
in younger population,cosmetic and functional disability caused by it affects the quality of life.
RELEVANCE OF CHEST X-RAY IN COVID-19 DIAGNOSIS
Authors: Bakshi Vicky , Afroz Zaid Bin , Rawat Yavini , Uniyal Nitin Kumar , Chaudhary Sunny
Published: February 2022

Background: Radiological imaging also plays an important role in diagnosing and severity assessment of the disease. British Society of Thoracic
Imaging released guidance for reporting computed tomography as well as chest radiographs. We conducted this study to assess the sensitivity and
specicity of chest radiograph for COVID-19 patients attending a COVID Hospital in India.
Material And Methods: This was a retrospective study in which suspected COVID-19 patients attending HNB Base Hospital, Srinagar,
Uttarakhand from April 2021 to June 2021 who underwent RTPCR and chest radiographs were taken. Chest X-rays were classied according to the
BSTI chest X-ray report Performa. This Performa was then compared with the RTPCR reports of the patients to calculate the sensitivity and
specicity.
Results: Comparison of the four chest X-ray groups according to the BSTI guidance with RT-PCR status was done. It revealed that almost 85.48%
of the normal chest X-ray group were RT-PCR positive and 30.68% of the chest X-rays that had classic or probable COVID-19 features came out to
be RT-PCR negative. 75% of patients who were grouped in Non-COVID-19 in accordance with their chest x-ray features were RT-PCR positive.
Discussion And Conclusion: The specicity (40.66%) and sensitivity (50.62%) of the BSTI guidance for chest x-ray are low as shown in our
study. The main drawback of this study is that we have kept RT-PCR as the gold standard.
TO STUDY THE ZINC LEVELS IN ACUTE DIARRHOEA IN PAEDIATRIC AGE GROUP
Authors: Singh Khalsa Mandeep , Mahajan Kusum , Katiyar Abhishek
Published: February 2022

INTRODUCTION: Diarrhoea is the major cause of mortality in India for children <5 years of age. Association studies highlight the potential role
of zinc in treatment of acute diarrhoea. Zinc deciency is responsible for 4.4% of childhood deaths in under-developed nations. However, zinc
supplementation has been shown to be effective in decreasing the prevalence and incidence of diarrhoea. In this regard, we aimed to estimate the
serum zinc levels in children suffering from acute diarrhoea
AIMS: To assess the zinc levels in children with acute diarrhoea in paediatric age group.
OBJECTIVES: To assess the severity of diarrhoea in association with zinc levels.
MATERIALS AND METHODS: This Hospital Based Longitudinal Observational Study was done in the Department of Paediatrics at
MMIMSR, Mullana over a period of one and a half year. Serum Zinc along with sodium, potassium and chloride levels were measured in cases of
acute diarrhoea.
RESULTS: In this study, the prevalence of zinc deciency in children with diarrhoea was 62% and was more prevalent in children <5 years of age.
There was a negative correlation (p value 0.009) between serum zinc levels and dehydration. A negative correlation (p value <0.001) was also
observed between zinc levels and sodium and chloride levels whereas levels of K did not show any signicant difference with mean zinc values.
MEDICALAUDIT OF INPATIENT MEDICAL RECORDS IN A TERTIARY CARE HOSPITAL
Authors: Sahran Deepti , Sahu Anupam , Kumar Raveesh
Published: February 2022

INTRODUCTION: Medical record enable healthcare professionals to plan, evaluate a patient's treatment and ensures continuity of care. In a
health care setting it is very crucial to maintain proper medical records as these documents are prerequisite for planning patient care and have legal
ramications. Therefore, medical audit plays an important role in continuous quality improvement.
AIM & OBJECTIVE:To carry out the Medical Audit of Inpatient Medical Records in a Tertiary Care Hospital and to identify the deciencies and
to propose recommendations.
MATERIAL & METHODS: It was a retrospective and descriptive study. The quality assessment was performed using a 54 Parameters tool
divided into 9 domains of Protocols & Policies. The sample size of 220 case sheets from all departments was taken.
RESULTS:In our study the time in initial notes was missing in (79%) and time in daily notes was missing in (83%).The diet recommended was not
mentioned in (75%). In daily notes, specialist notes were missing in (59%). In the daily clinical progress charts, patient particulars were
incomplete/ missing in (72%) while weight of the patient was not endorsed in (99%). In discharge slip, the International Classication of Diseases
(ICD) is missing in (44%).
Recommendations: A standard discharge document check list performa has been designed and to be attached with all case sheets of the hospital.
CONCLUSION: Medical records are technically valid health records which provide documentary basis for planning patient care and treatment by
the physician and are vital for legal purposes.
LAPAROSCOPIC LADD'S PROCEDURE IN A 58YR FEMALE WITH TRANSVERSE COLON TUBERCULOSIS MASS WITH MALROTATION - A RARE CASE REPORT
Authors: J Shah Soham , S Gogate Abhijit
Published: February 2022

Intestinal malrotation is partial or complete failure of 270% counterwise rotation of midgut around the superior mesenteric vessels in embryonic
life. Malrotation can present in any age group. Most of the patients present within rst month of life. However late presentation is rare, we present a
case report of 58 yr female with tuberculosis transverse colon mass with malrotation with ladd's band with sub acute intestinal obstruction. She
presented with epigastric pain,mass and vomiting. Patient underwent laaproscopic ladd's procedure and descending colon and ileum bypass with
Ileo Descending anastomosis , She had good postoperative recovery. In this article we describe our experience in creating descending colon and
ileum bypass with Ileo Descending anastomosis.
Peripartum Cerebral Thrombophlebitis: Cases Report
Authors: Haouas oussef , Hafiani Yassine , Moussaid Ihsane , Youssoufi Smael El , Salmi Said
Published: February 2022

Blood hypercoagulability and circular modifications during postpartum are the main reason for possible thromboembolic disorders such as cerebral thrombophlebitis. CVT must be suspected when the patient have neurological symptoms, and we should rapidly and precociously begin the right treatment based on anticoagulants after ruling out other possible diagnoses using different tests and examinations.
Depression, Anxiety, and Stress in Stroke Patients in Lhokseumawe City, Indonesia
Authors: Masdiana Erna , Jannah Syarifah Rauzatul , Hasballah Kartini
Published: February 2022

Strokes or disorders of the neurovascular system continue to increase, leading to increased disability and death rates. This research aims to determine the level of depression, anxiety, and stress of stroke patients at the Lhokseumawe Hospital. A cross-sectional design with a total sample of 113 respondents was used. Furthermore, to measure the level of depression, anxiety, and stress, the Depression Anxiety Stress Scale (DASS-21) questionnaire consisting of 21 questions with a Likert scale of 0-3 was used. The results showed that the majority of respondents experienced mild depression (34.5%), moderate anxiety (55.8%), and normal stress levels (33.6%). Therefore, health services should investigate patients' mental health with chronic diseases such as stroke to avoid persistent complications.
Cuidados de enfermagem a gestantes em tempos de pandemia do SARS-COV-2
Authors: Lopes da Silva Brito Rayane , Maria Gomes da Silva Isabelle , Cristina Siqueira de Andrade Isabela , Laura Ferreira Fernanda , Mayara Dos Santos Silva Isabelly , Eugene Elayse Lourenço Jamilly , Daniella Batista de Oliveira Carmen , Vanessa Soares Araújo Hirla
Published: February 2022

Objetivo: Identificar, na literatura, os cuidados de enfermagem no período gestacional, no contexto pandêmico. E expor aos leitores, a importância dele, visando prevenir a forma grave da doença e seus desfechos, evitando assim, a ocorrência de morbimortalidade. Método: Para obtenção dos dados foi realizada uma revisão integrativa, seguindo a identificação da questão norteadora, com critério de inclusão os artigos selecionados nas bases de dados MEDLINE, LILACS, BDENF, PUBMED e manuais publicados pelo Ministério da Saúde e organização de saúde entre os anos de 2020 e 2021. Resultado: De acordo com os artigos selecionados e revisados, as boas práticas de higiene, bem como a vacinação, o distanciamento social e o rastreio precoce dos casos suspeitos são ações de suma importância a serem adotados pela equipe de enfermagem, diminuindo os desfechos mais graves pós-infecção. Conclusão: A equipe de enfermagem tem em sua importância a promover a conscientização dos benefícios da vacinação e dos cuidados para prevenção de gestantes contra COVID-19 e pós contrair o vírus, promovendo um cuidado humanizado.
A percepção da mulher com relação à consulta do climatério
Authors: Lúcia dos Santos Carmem , Geovana dos Anjos Ferreira Larissa , Gabriel Costa França Vinícius , Gorayeb de Carvalho Maria Valéria , Bezerra dos Santos Raquel , Juvino de Sousa Vanessa
Published: February 2022

Objetivo: Descrever a percepção da consulta de enfermagem no Climatério sob a ótica das mulheres atendidas na Atenção Básica. Método: Estudo descritivo qualitativo com abordagem intencional realizado numa Unidade de Saúde Escola no município de Caruaru-PE, durante o período de abril e maio de 2021. Foram entrevistadas 07 mulheres usuárias do serviço na fase do climatério. Resultados: a partir das entrevistas foram obtidas 3 categorias, sendo duas sobre a vivência do climatério pelas mulheres e uma sobre a percepção da mulher com relação à consulta de enfermagem. Conclusão: Conclui-se que as mulheres se sentem bem ao passarem pela consulta de climatério feita pela enfermagem, pois traz sentimento de alívio e entendimento. A consulta de enfermagem é um elemento chave na assistência à saúde, atingindo a proposta da PNAISM e oferecendo uma melhor qualidade de vida para as mulheres no climatério.
Studies on Application of Spent wash as a Nutrient for Agriculture waste Composting
Authors: Magdum Shubham Shankar , Bhosale Gopal M.
Published: February 2022

Due to high organic loading rates, several chemicals in distillery spent wash have high B.O.D. and C.O.D. values. The cost of treating and disposing of spent wash is expensive. Hence Composting is one of the most effective methods for achieving this. Sugarcane farms agricultural waste is used as a raw material. The goal of this study is to figure out how to compost agricultural waste utilizing aerobic and windrow composting techniques. Pits should be 3m long, 1.5m wide and 1m high for aerobic composting, and 3m long, 1.5m wide, and 1.2m high for windrow composting (Composting, W.H.O Book). Turning should be done on the 5th, 17th, and 30th days of the interval for aerobic composting. For windrow composting, it should be provided after 2-4 weeks. To decompose the agricultural waste cow dung and spent wash were utilized as a media. The study research indicates that it should be cost-effective. The quality of nitrogen, phosphorus, potassium and the mass of carbon to nitrogen ratio (C/N ratio) were analyzed. The parametric values, such as nitrogen 0.8 percent, phosphorous 0.4 percent, potassium 0.4 percent, and C/N ratio = 20 to 30, are all within acceptable ranges, and the results show that the compost is ideal for plant growth.
KETERAMPILAN PROSES SAINS SISWA SMA DALAM PEMBELAJARAN BIOLOGI
Authors: Senisum Maria
Published: February 2022

Keterampilan proses sains (KPS) merupakan bagian dari kompetensi psikomotorik yang mendukung siswa dalam proses mendapatkan pengetahuan. Sehububngan dengan itu, PKS dianggap sangat penting untuk dimiliki siswa. Penelitian ini dimaksudkan untuk memberikan gambaran kemampuan psikomotorik dalam bentuk KPS siswa. Penelitian ini tergolong penelitian  kualitatif deskriptif. Ada dua jenis data yang dikumpulkan dalam penelitian ini. Data pertama berkaitan dengan KPS, dikumpulkan menggunakan teknik tes objektif yang berhubungan dengan delapan jenis keterampilan proses. Data kedua berkaitan dengan pengetahuan guru tentang KPS dan pendekatan pembelajaran dalam mengajar Biologi, dikumpulkan menggunakan teknik wawancara. Sumber data berasal dari 287 orang siswa kelas XI bidang peminatan matematika dan ilmu alam serta empat orang guru yang mengajar biologi dari empat sekolah berbeda. Data KPS dianalisis secara deskriptif. Hasil penelitian memperlihatkan bahwa KPS siswa berada pada level sedang. Dari delapan KPS yang diujikan kepada siswa, keterampilan komunikasi adalah keterampilan yang mendapat skor tertinggi, yakni 73,9%, sedangkan keterampilan menyimpulkan adalah keterampilan yang memiliki skor terendah, yakni 36,4%.  Hasil wawancara bersama guru Biologi memberikan hasil bahwa metode ceramah adalah metode yang sering diterapkan guru saat mengajar Biologi. Praktikum jarang diterapkan guru dalam pembelajaran Biologi dengan beragam alasan. Padahal, pelaksanaan praktikum Biologi begitu penting mengingat melalui praktikum siswa berinteraksi langsung dengan objek pengamatan dan dapat memberdayakan beragam kompetensi agar dapat mengatasi problem dalam Biologi termasuk dapat mengembangkan KPS
Comparison of UGT1A1 Polymorphism as Guidance of Irinotecan Dose Escalation in RAS Wild-Type Metastatic Colorectal Cancer Patients Treated With Cetuximab or Bevacizumab Plus FOLFIRI as the First-Line Therapy
Authors: Tsai Hsiang-Lin , Chen Yen-Cheng , Yin Tzu-Chieh , Su Wei-Chih , Chen Po-Jung , Chang Tsung-Kun , Li Ching-Chun , Huang Ching-Wen , Wang Jaw-Yuan
Published: February 2022

Uridine diphosphate glucuronosyltransferase 1A1 (UGT1A1) polymorphism plays a crucial role in the increased susceptibility and toxicity of patients to irinotecan. This retrospective, observational study compared the clinical outcomes and adverse events (AEs) in RAS
wild-type metastatic colorectal cancer (mCRC) patients treated with cetuximab or bevacizumab plus FOLFIRI with UGT1A1 genotyping and irinotecan dose escalation as the first-line therapy. In total, 173 patients with mCRC with RAS wild-type were enrolled. Among them, 98 patients
were treated with cetuximab, whereas 75 patients were treated with bevacizumab. All patients received irinotecan dose escalation based on UGT1A1 genotyping. We compared the progression-free survival (PFS), overall survival (OS), objective response rates (ORRs), disease control rates
(DCRs), metastatectomy, and severe adverse events (SAEs) between the two groups. The clinical effects of primary tumor sidedness and target therapy crossover were further analyzed. Over a median follow-up of 23.0 months [interquartile range (IQR), 15.032.5 months], no significant differences
were observed between the cetuximab and bevacizumab groups in PFS [18.0 months vs. 14.0 months; 95% confidence interval (CI), 0.5171.027; hazard ratio (HR), 0.729; p=0.071], OS (40.0 months vs. 30.0 months; 95% CI, 0.4101.008; HR, 0.643; p=0.054), ORR (65.3% vs. 62.7%; p=0.720),
DCR (92.8% vs. 86.7%; p=0.175), metastatectomy (36.7% vs. 29.3%; p=0.307), and SAEs (p=0.685). Regardless of primary tumor sidedness and target therapy crossover, no significant differences were noted in efficacy and safety between the two groups (all p>0.05).
Our results revealed that patients with wild-type RAS mCRC, regardless of biologics, with UGT1A1 genotyping can tolerate escalated doses of irinotecan and potentially achieve a more favorable clinical outcome without significantly increased toxicity.
Africa Tourism in Change: Past and Present
Authors: Tichaawa Tembi M. , Rogerson Christian M.
Published: February 2022

Globally it is apparent that tourism exists in a state of continual change that impacts destinations and the tourism system. The nexus of "tourism and change" requires research perspectives at different scales of analysis. In addition, it demands the extended application of historical
perspectives in order to inform contemporary debates and practices. Arguably, change in tourism in sub-Saharan Africa is not a new phenomenon. Over recent decades, however, several events and processes have intensified the shifting complexions of African tourism, most recently the COVID-19
pandemic. It is argued that the pandemic poses a host of new challenges for research concerning tourism and change in Africa. Welcome signs exist of an emerging African scholarship that is engaged and addresses several of the challenges caused by the COVID-19 crisis. This emergent strand of
writings includes works on both Africa tourism in change, past and present.
Face Recognition using PCA and LDA Technique for Noisy Faces
Authors: Dubey Meeta , Jain Prashant
Published: February 2022

Face recognition is always a popular area of research. There are various techniques used in the face recognition system. Principal component analysis (PCA) and linear discriminate analysis (LDA) techniques are the two most well-known techniques for the face recognition. In this paper, the PCA and LDA technique based face recognition system are described. The performance of this technique is compare in term of PSNR and RMSE for noisy image. The Euclidean distance between feature templates and database futures are used for identifying the face image. There are basically three types of noises present, but in this paper I am going to compare the salt and pepper noise with the Gaussian noise in the detailed and analytical ways. After finding the features of the different noisy images I am going to compare both the PCA and LDA technique for the noisy pictures.
Leakage current analysis for stack based Nano CMOS Digital Circuits
Authors: Agrawal Pankaj , Saxena Nikhil
Published: February 2022

Due to the growing impact of subthreshold and gate leakage, static leakage is contributing more and more towards the power dissipation in deep submicron Nano CMOS technology. There have been many works on subthreshold leakage and techniques to reduce it, such as controlling the input vector to the circuit in standby mode, forcing stack and body bias control. In this tutorial paper we have reviewed the leakage current with change in drain source, gate and bulk voltages for 4 different submicron technologies using the latest PTM models. Simulation result shows the effect of gate leakage and subthreshold leakage in total leakage current for different input vectors for a stack of 3 Nano technology NMOS transistors, further analyzes also the subthreshold and total leakage variation with input vector in a stack of 4 Nano technology NMOS transistors.
Substrate Height and Dielectric Constant Dependent Performance of Rectangular Micro Strip Patch Antenna
Authors: Garg Anshuman , Goen Anjana
Published: February 2022

In this paper, Rectangular Microstrip patch antenna has been designed for different substrate heights and dielectric constants of substrate. This paper proposes a new generation of antenna that applies Meta material properties at ground Plane. The paper analyzes the performance of Micro strip Patch Antenna with and without using the Meta material structure. Effect of bandwidth due to change of substrate height and dielectric constant have been investigated. Finally, bandwidth for each substrate height and dielectric constant is measured for selecting the optimal patch antenna.
Cyclostationary Detection Using DVB-T Signal in a Cognitive Radio System
Authors: Chauhan Ruchir Kumar
Published: February 2022

Due to fixed available spectrum and increase in wireless applications it is necessary to use a technology which can detect the unused spectrum so that spectrum efficiency can be improved. The device which is used known as cognitive radio (CR). Cognitive radio is an intelligent device which can easily sense the available channel in an available spectrum, for spectrum sensing it basically uses three techniques Energy Detection, Matched Filter Detection and Cyclostationary Detection. In this paper spectrum detection is done by using Cyclostationary detection which provide better results at low SNR in comparison to other techniques, DVB-T signal is used for finding Cyclostationary spectrum and detection of primary signal at different SNR values.
Directional weighted Median filter for salt and pepper noise and its comparison with other filters
Authors: Bhalla Devesh , Goen Anjana
Published: February 2022

Current switching-based median filters are commonly found to be incapable to find exact noise density variations and prone to misclassifying pixel characteristics at high noise density interference. Therefore there is a need of having a sophisticated switching weighted median filter. In this paper, we propose a directional based detection technique called the directional weighted median filter (DWMF), to achieve much improved filtering performance in terms of effectiveness in removing impulse noise while preserving signal details and robustness in combating noise density variations.
Performance Enhancement of Spectral efficiency and throughput with Distributed Dynamic channel allocation using genetic algorithm
Authors: Raman Y.S.V. , Gowri Dr S. Sri , Rao Dr B. Prabhakara
Published: February 2022

The efficiency associated with mobile systems will depend on a good channel allocation method. Some sort of genetic algorithm (GA) dependent on distributed dynamic channel allocation model is offered. Mobile service stations (MSS) help to make every one of the channel allocation decision intended for mobile hosts in that cell based on the local information. Proposed model which reuses available channels more efficiently. A reserved pool associated with channels in each and every cell to make the model fault tolerant which allows any mobile or portable to continue communication with its mobile hosts within the absence of adequate channel within the cell. Therefore, the offered GA intended for distributed dynamic channel allocation to reinforce the spectral efficiency along with throughput of the cell network. Simulation results evaluate the performance of the distributed dynamic channel allocation based on genetic algorithm.
Pattern Recognition of Individual and Combined Fingers Movements Based Prosthesis Control Using Surface EMG Signals
Authors: Goen Anjana , Tiwari D. C.
Published: February 2022

Prosthesis control system is the need for the amputees or disable person for performing their daily household work and interaction with the outside world. It is the fundamental component of modern prostheses, which uses the myoelectric signals from an individual’s muscles to control the prosthesis movements. The surface electromyogram signals (SEMG) being noninvasive has been used as a control source for multifunction powered prostheses controllers. In spite of the fact there is wide research on the myoelectric control of movements of forearm and hand movements but a little research has been carried out for control of more dexterous individual and combined fingers. With the current demands of such prostheses a challenge that exists is the ability to precisely control a large number of individual and combined finger movements and that too in a computationally efficient manner. This paper investigates accurate and correct discrimination between individual and combined fingers movements using surface myoelectric signals, in order to control the different finger postures of a prosthetic hand. We have SEMG datasets with eight electrodes located on the human forearm and fifteen classes. Various feature sets are extracted and projected in a manner to ensure that maximum separation exists between the finger movements and then fed to the four different classifiers. Practical results along with the statistical significance tests proved the feasibility of the proposed approach with mean classification accuracy greater than 95% in finger movement classification.
Fuzzy Soft Groups Based on Fuzzy Space
Authors: Al-Husban Abdallah
Published: February 2022

In this paper, a new theory of fuzzy soft groups (FSG) based on fuzzy spaces (FS) from Dib’s point of view is found. The concept of FSG and fuzzy soft subgroup (FSSG) based on FS was elaborated. The relationship between FSG and FSG is also investigated.
Factors Influence Green Product Consumption Intention in Malaysia: A Structural Approach
Authors: Shanmugam Arunagiri , Saththsivam Geevaneswary , Chyi Yeoh Shwu , Sin Tan Suang , Musa Rusnifaezah
Published: February 2022

The issue of optimal size of the general government sector is analyzed by researchers using various methods, most often through the prism of a specific goal. The article is an attempt to determine the optimal size of the general government sector from the perspective of EU economies. To achieve this goal, the innovative decision tree technique - the c5.0 method was used. The study covered data describing 28 EU member states in the years 2000-2017 and 16,632 input data were analyzed. The results of the conducted research showed that despite the fact that there is no single optimal and universal solution, a series of dependencies can be observed. Knowing the impact of individual actions on the economy, you can choose such instruments, as well as such a configuration that will help in a given area without harming others. Thus, the technique used, combined with specific priorities in terms of impact on the economy, may show which values of specific variables in the general government sector level should be pursued in order to model the desired effect.
Studi Fenomenologi Mekanisme Koping Penyitas Covid 19 Saat Didiagnosis Positif Covid 19
Authors: Pradikatama Yafet , Ariesti Ellia , Sodikin M. Ali
Published: February 2022

ABSTRACT

In 2020 the world experienced a Covid-19 pandemic, and this affected all aspects of life, especially health. The impact in the world of health is the number of people infected with the Corona virus. This pandemic makes some people experience fear, where the mass media reports a lot about deaths due to being infected with Covid. The existence of this phenomenon shows that it is necessary to conduct a study on how this Covid-19 survivor responds to his illness and survives until he is declared cured by the doctor. Research design: Qualitative, Research participants: Covid-19 survivors who have been declared cured. Results: 4 sub themes were found which resulted in 2 themes, namely: positive thinking and adapting to current circumstances. Conclusion: Participants were able to get through a critical period because they have adaptive internal and external coping mechanisms, so they can survive in a balanced state, both physically and psychologically. In the end, the participants were able to return to health, and were able to do the same activities as before the illness.

Keywords: Individual Coping Mechanisms, Survivors of Covid 19, Experience
„Merre van a magyar hazám?”
Authors: Hegedüs Katalin
Published: February 2022

Hegedüs Katalin a kisvárdai színházfesztivál egyik előadását, a Bocsárdi László által rendezett, s a sepsiszentgyörgyi társulat által színre vitt Bánk bán előadását elemezve színház és identitás összetett kapcsolatára, nemzeti kánon és klasszikus szöveg határaira és újraértelmezhetőségére kérdez rá. A tanulmány vállalt feladata kifejezetten bátor, hiszen arra kíván rámutatni, hogy a rendezés miként célozza meg a Trianon után létrejövő nemzeti kisebbségek identitásának elbeszélhetőségét, kulturális és nyelvi alaphelyzetét, ami ebben az elemzésben is világossá teszi a színház teljesítőképességét az aktuális társadalmi jelenségek vonatkozásában.
Rockzenész, filmcsillag és cowboy: Sam Shepard, a „legamerikaibb” drámaíró
Authors: Németh Lenke Mária
Published: February 2022

Varró Gabriella, Mesterek árnyékában: Sam Shepard drámái és a hagyomány, Debrecen, Debreceni Egyetemi Kiadó, 2013.