bluuebunny/crossref_metadata_2025 huggingface dataset:
Education With Therapeutic Alliance Did Not Improve Symptoms in Patients With Chronic Low Back Pain and Low Risk of Poor Prognosis Compared to Education Without Therapeutic Alliance: A Randomized Controlled Trial
Authors: Miyamoto Gisela Cristiane , Fagundes Felipe Ribeiro Cabral , de Melo do Espírito Santo Caique , de Luna Teixeira Francine Mendonça , Tonini Thaís Vanelli , Prado Flavio Turina , Cabral Cristina Maria Nunes
Published: May 2021

Objectives

To compare the effectiveness of an education intervention with or without the addition of the therapeutic alliance to no education intervention in patients with nonspecific chronic low back pain (LBP) and low risk of poor prognosis.

Design

Randomized controlled trial. Randomization was performed using randomly generated numbers.

Methods

Two hundred twenty-two patients with nonspecific chronic LBP and low risk of poor prognosis from 2 university physical therapy services in Taubaté, Brazil were randomized into 3 groups: education plus therapeutic alliance, education only, and no education. Primary outcomes were pain (measured with the numeric pain-rating scale) and patient-specific disability (measured with the Patient-Specific Functional Scale), assessed 1 month after randomization. The patients, therapists, and assessors were not blinded due to the nature of the intervention and self-reported outcomes.

Results

Patients were recruited between November 2015 and February 2017. There was a loss of 17 (7.6%) follow-up assessments at 1 month, 28 (12.6%) at 6 months, and 31 (13.9%) at 12 months after randomization, and intention-to-treat analyses were conducted. There were no significant differences in pain between groups. However, there was a significant improvement in patient-specific disability for the education-plus–therapeutic alliance and education-only groups compared to no education after 1 month (mean difference, −1.41; 95% confidence interval: −2.31, −0.51 and −0.95; 95% confidence interval: −1.85, −0.04, respectively).

Conclusion

An education intervention did not provide clinically relevant improvements in patient-specific disability and did not influence pain in patients with nonspecific chronic LBP and low risk of poor prognosis. Additionally, there was no difference between interventions with or without emphasis on the therapeutic alliance. J Orthop Sports Phys Ther 2021;51(8):392–400. Epub 7 May 2021. doi:10.2519/jospt.2021.9636
As vivências de pessoas submetidas à reversão de estomia intestinal: subsídios à enfermagem
Authors: Mota Marina Soares , Da Cunha Pauline Telles , Gomes Giovana Calcagno , Silva Camila Daiane , Castanheira Janaina Sena , De Souza Danuza Ravena Barroso , Ribeiro Juliane Portella , Barros Edaiane Joana Lima
Published: May 2021

Objetivo: Conhecer as vivências de pessoas submetidas à reversão de estomia intestinal. Métodos: Pesquisa qualitativa do tipo exploratória descritiva realizada no segundo semestre de 2018 em um Serviço de Estomaterapia no extremo sul do Brasil. Participaram 18 pessoas submetidas à anastomose/reconstrução do trânsito intestinal. Os dados foram coletados por meio de entrevistas e, posteriormente, submetidos à Análise de Conteúdo. Resultados: Relataram dificuldades como a mudança corporal com cicatrizes, restrições alimentares, alterações da continência fecal. Entre as adaptações do viver modificação da alimentação para melhora do trânsito intestinal, período de urgência evacuatória e a priorização da saúde. Os facilitadores da vivência da reversão da estomia foram a melhora da aparência com perspectivas de usar roupas justas e ir à praia com a roupa que deseja, retomada das atividades de vida diária e resignificando o cotidiano como o banho de chuveiro e movimentar-se sem preocupação, a rede de apoio, a enfermagem, além da fé, da esperança e o labor. Conclusão: As vivências de pessoas submetidas à reversão de estomia intestinal contém dificuldades e necessidades de adaptação. No entanto, elas tiveram qualidade de vida após a reversão.
Complicações relacionadas ao tratamento do hipertireoidismo com radioiodo 131
Authors: Pereira Andreza Alves , Alves Andreza Maria Pereira , Franco Andrezza Mendes , Prado Dâmaris Eduarda de Sousa , Goulart Isadora Medrado , Silva Maria Julia Tribulato , Dambros Robbson Haugusto , Martins Tatiely Rodrigues , Dias Yves Henrique Faria , Azevedo Gustavo Francklin Milward de
Published: May 2021

Objetivo: Evidenciar as possíveis complicações do tratamento do hipertireoidismo com radioiodo 131. Revisão bibliográfica: O hipertireoidismo é uma síndrome clínica resultante da exposição dos tecidos corporais a altas concentrações de hormônios tireoidianos. As etiologias mais comuns são a Doença de Graves, adenomas hiperfuncionantes únicos, bócio multinodular tóxico e tireoidite de Hashimoto. Além disso, acomete cerca de 0,8% da população na Europa e 1,3% nos EUA, sendo mais prevalente entre o sexo feminino e pessoas brancas. O radioiodo 131 é a primeira linha de tratamento para o hipertireoidismo, sendo considerado seguro, de fácil manuseio, baixo custo e eficiente para a terapêutica de patologias benignas e malignas da tireoide. Considerações finais: Embora essa terapia disponha diversos benefícios, foi identificado algumas complicações, como o desenvolvimento de hipotireoidismo, alterações hematológicas, pulmonares, aparecimento de tumores, cardiomiopatias, dano na tireoide de fetos, além de risco aumentado de exacerbação da oftalmopatia. Desse modo, é imprescindível que o profissional tenha atenção redobrada aos pacientes com contraindicações e avalie o risco-benefício individualmente para que o tratamento ideal seja escolhido.
Changes in the Trend of Walking Motor Control in Athletes with Anterior Cruciate Ligament Deficiency in Response to Progressive Perturbation Trainings
Authors:   Department of Motor Behavior, Central Branch of Islamic Azad University, Iran, S Jomhouri , S Talebian ,   Department of Motor Control, Tehran University of Medical Sciences (TUMS), Iran, Mousavi M Vaez ,   Department of Knowledge and Cognitive Intelligence, Imam Hossein University, Iran, B Hatef ,   Neuroscience Research Center, Baqiyatallah University of Medical Science, Tehran, Iran, Hazaveh SH Sadjadi ,   Department of Sport Management, Central Branch of Islamic Azad University, Iran
Published: May 2021

Background and Purpose: The beliefs are that sudden and unpredictable balance disturbance by instruments that cause mechanical perturbations can affect individuals with Anterior Cruciate Ligament Deficiency (ACLD) to reach faster and more effective recovery of knee dynamic stabilization strategies to return successfully pre-injury levels. The aim of this study was to investigate the effect of mechanical perturbation training and standard training in the process of changes in motor control during walking task in coper ACLD individuals. Methods: Thirty athletes with a unilateral rupture of the Anterior Cruciate Ligament (ACL), classified as coper, were randomly assigned to perturbation and standard training groups. Intervention training results based on comparison of scores obtained from functional tests in 4 single-leg jump tests, scores of questioners, and surface Electromyography (sEMG) tests were determined between the two groups as well as between the two healthy and ACLD limbs in each group in the walking task. Results: The perturbation training group showed a significant increase in muscle activity in both healthy and ACLD limbs with an increase in similarity index (SI) (p=0.08, ES=0.81), while in the standard training group the results were not significant (p=0.39, ES=0.39). Conclusion: Individuals in the perturbation training group achieved higher scores on all tests compared to the standard training group. This means that the perturbation training group was more mentally and physically prepared in terms of strength, coordination and symmetry between the two limbs to participate in pre-injury sports levels.
Metaplastic Changes in Odontogenic Cysts of the Jawbone: Their Significance and Relation to MUC Family Expression
Authors:   Department of Diagnostic Pathology, Kishiwada City Hospital, Japan, H Harada , N Iizuka ,   Department of Diagnostic Pathology, Kishiwada City Hospital, Japan, SI Nakatsuka ,   Department of Pathology, Sakai City Medical Center, Japan, M Shima ,   Department of Oral Surgery, Kishiwada City Hospital, Japan, E Date ,   Department of Diagnostic Pathology, Kishiwada City Hospital, Japan, K Honma ,   Department of Diagnostic Pathology and Cytology, Osaka International Cancer Institute Hospital, Japan, A Kurose ,   Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Japan
Published: May 2021

Odontogenic cysts are typical diseases that account for the majority of lesions that occur in the jawbone, among which radicular and dentigerous cysts are the most common. In some cases, metaplastic changes in these cysts result in the development of goblet-like mucous cells admixed with ciliated columnar cells. Odontogenic cysts are of little importance to emergent risk in normal conditions, but such histological alterations could be drastic and even confusing. We examined the expression of MUC family in these cystic lesions and investigated their relationship with histomorphological features. 6 cases of radicular and dentigerous cysts with obvious metaplastic changes were studied. Of these, 4 were male and 2 were female. One case occurred in the maxilla and 5 in the mandible. Immunohistochemically, almost the entire epithelium was positive for MUC1 and MUC4 in all cases, and the decapitation-like protrusions on the surface layer showed stronger expression. MUC5AC was selectively expressed in mucous cells, while MUC2 and MUC6 were negative. The lining epithelium with metaplastic changes closely resembled the bronchial epithelium, and MUC expression indicates a potential role in these morphological changes.
Prevalence and Characterization of Brain and Pituitary Abnormalities in Children with Pituitary Dysfunction
Authors:   Section of Endocrinology and Diabetes, St. Christopher’s Hospital for Children, USA, GF Naji , E Poletto ,   Section of Radiology, St. Christopher’s Hospital for Children, USA, K Brown ,   Motion Analysis Lab, St. Christopher’s Hospital for Children, USA, RA Kubicky ,   Department of Pediatrics, Drexel University College of Medicine, USA
Published: May 2021

Introduction: Imaging studies help identify structural abnormalities associated with pituitary dysfunction, such as Ectopic Posterior Pituitary (EPP). Aim: To detect the prevalence of IGHD or CPHD in children with EPP, the association between the location of EPP and pituitary dysfunction; and, to determine the prevalence of brain and pituitary abnormalities detected by MRI. Methods: A retrospective chart review of MRI reports at St. Christopher’s Hospital for Children (SCHC) from 2006-2018 that were found to have EPP. Pituitary hormone function was evaluated in the majority. Results: 66 patients, age of (8.31±6.26) included. Of those, 26 patients had EPP. The prevalence rate of documented pituitary dysfunction was higher in patients with EPP (95%). Of the 26 patients with EPP, age (5.98±5.18 yrs) 20 patients had an endocrine evaluation. Of the 20 children, 14 had CPHD and 4 had IGHD. Patients with EPP were classified into 3 groups (upper, middle & lower). Of the 21 patients with upper EPP, 17 (100%) were found to have pituitary dysfunction (14 with CPHD, 3 with IGHD). Of the 4 children with middle EPP, 1 had pituitary dysfunction which was IGHD. Diabetes insipidus was not identified in any of the children. Patients with CPHD had higher prevalence of EPP (73.7%) as compared to those with IGHD (21.1%). Conclusion: Our study supports previous reports that CPHD and IGHD are frequent in patients with EPP. No cases of DI have been reported in children with EPP. No CPHD was reported in middle/lower but IGHD was found in the middle EPP group.
Psychotic Symptoms Subsequent to Chronic Untreated Prolactinoma: A Case Report
Authors:   Department of Psychiatry, Mental Health Center of Shantou University, China, H Zhao , L Ding ,   Department of Sleep Medicine, Mental Health Center of Shantou University, China, Q Qiu ,   Department of Psychiatry, Mental Health Center of Shantou University, China, K Chen ,   Department of Psychiatry, Mental Health Center of Shantou University, China, H Xu ,   The Affiliated Kangning Hospital of Wenzhou Medical University, China #Contributed Equally to this Work
Published: May 2021

Prolactinomas are prolactin-secreting pituitary tumors originating from the lactotroph cells of the anterior pituitary gland. With hyperprolactinemia, prolactinoma patients may present symptoms of galactorrhea, amenorrhea, sexual dysfunction, and infertility, as well as symptoms due to tumor expansion. Moreover, high level of prolactin effects on mood and behavior thus may lead to depression, anxiety, and hostility through unknown mechanisms. A couple of previous case reports described psychotic disorders in patients with prolactinoma, but none of them came from Chinese population. The case presented here is a 24-year-old unmarried woman presenting psychotic symptoms and amenorrhea following menstrual irregularity. Her psychotic symptoms were intermittent and distressed her for 10 months. Her amenorrhea persisted for several years without a standardized therapy. A suspected prolactinoma was confirmed by a high level of serum prolactin and a brain MRI scanning showing a pituitary macroadenoma. Her psychotic symptoms were treated with olanzapine and psychotherapy during hospitalization. She has been maintained on aripiprazole, bromocriptine, and benzhexol after discharge. Olanzapine is effective and safe in treating psychotic symptoms resulting from hyperprolactinemia. Combination of aripiprazole and bromocriptine are a good option for the maintenance of patients with comorbid psychotic symptoms and prolactinoma.
Incorporation of Dance Practice into the Lifestyle of People with Disabilities and Its Impact on Quality of Life Over Time
Authors:   Department of Physiology, Federal University of Sergipe, Brazil, BM DeJesus
Published: May 2021

Aim: To evaluate how incorporating dance practice into the lifestyle can impact the Quality of Life (QOL) of People with Disabilities (PWD) over four years. Method: This is a prospective study with dance protocol classes specific for PWD, once a week, 60 min per class, over four years. In addition, the participants performed public presentations each year. Participants were assessed twice per year (at the beginning and at the end of each year of dance practice), totalizing 8 assessments, using the Medical Outcomes Study Survey Short Form 36 (SF- 36) questionnaire. Results: Forty-one PWD with different clinical conditions, both sexes, ranging in age from 3 to 39 years, participated in the study over four years (Y1 to Y4). With regard to QOL domains in the SF-36, significant changes were found when comparing the years (two-way ANOVA (F=19.87; p <0.0001)). Values increased in the following QOL domains: Year I: functional capacity, physical aspects, emotional aspects, vitality, pain and mental health. Year II: physical and emotional aspects, pain and mental health. Year III: functional capacity, physical and emotional aspects, vitality, general health, pain and mental health. In Year IV the values increased in all domains. Interpretation: Over the course of four years, dance practice contributed to the QOL of participants; this suggests that it is an activity that promotes inclusion for PWD in the sociocultural arena.
Water vapor induced self-assembly of islands/honeycomb structure by secondary phase separation in polystyrene solution with bimodal molecular weight distribution
Authors: Łojkowski Maciej , Chlanda Adrian , Choińska Emilia , Swieszkowski Wojciech
Published: May 2021

The formation of complex structures in thin films is of interest in many fields. Segregation of polymer chains of different molecular weights is a well-known process. However, here, polystyrene with bimodal molecular weight distribution, but no additional chemical modification was used. It was proven that at certain conditions, the phase separation occurred between two fractions of bimodal polystyrene/methyl ethyl ketone solution. The films were prepared by spin-coating, and the segregation between polystyrene phases was investigated by force spectroscopy. Next, water vapour induced secondary phase separation was investigated. The introduction of moist airflow induced the self-assembly of the lower molecular weight into islands and the heavier fraction into a honeycomb. As a result, an easy, fast, and effective method of obtaining island/honeycomb morphologies was demonstrated. The possible mechanisms of the formation of such structures were discussed.
An Attempt to Boost Molecular Descriptors with Quantum-Derived Features in Prediction of Maximum Emission Wavelengths of Chromophores
Authors: Fliszkiewicz Bartłomiej
Published: May 2021

The following research assesses the capability of machine learning in predicting maximum emission wavelength of organic compounds. The predictions are based on structure descriptors and fingerprints widely applied in cheminformatics. In an attempt to further improve accuracy, developed machine learning models were enriched with quantum mechanics derived features. Multi linear, gradient boosting and random forest regressions were applied. Computers were trained and tested with database of experimental data of optical properties.
Solving the Wigner Equation with Signed Particles Monte Carlo for Chemically Relevant Potentials
Authors: Wang Yu , Simine Lena
Published: May 2021

This paper presents the Signed Particles Monte Carlo algorithm for the solution of the transient Wigner equation for potentials relevant in chemical physics. Benchmarks include the harmonic and the double well potentials.
De Novo Sequencing of Antibody Light Chain Proteoforms from Patients with Multiple Myeloma
Authors: Dupré Mathieu , Duchateau Magalie , Sternke-Hoffmann Rebecca , Boquoi Amelie , Malosse Christian , Fenk Roland , Haas Rainer , Buell Alexander , Rey Martial , Chamot-Rooke Julia
Published: May 2021

In multiple myeloma diseases, monoclonal immunoglobulin light chains (LC) are abundantly produced, with the consequence in some cases to form deposits affecting various organs, such as kidney, while in other cases to remain soluble up to concentrations of several g.L-1 in plasma. The exact factors crucial for the solubility of light chains are poorly understood, but it can be hypothesized that their amino acid sequence plays an important role. Determining the precise sequences of patient-derived light chains is therefore highly desirable. We establish here a novel de novo sequencing workflow for patient-derived LCs, based on the combination of bottom-up and top-down proteomics without database search. This pipeline is then used for the complete de novo sequencing of LCs extracted from the urine of 10 patients with multiple myeloma. We show that for the bottom-up part, digestions with trypsin and Nepenthes fluid extract are sufficient to produce overlapping peptides able to generate the best sequence candidates. For the sequencing of intact LC proteoforms, combining activation methods is key to achieve single amino acid resolution.
Scalable 18F Processing Conditions for Copper-Mediated Radiofluorination Chemistry Facilitate "Design of Experiments" (DoE) Optimization Studies and Afford an Improved Synthesis of [18F]Olaparib.
Authors: Bowden Gregory D. , Chailanggar Nantanat , Pichler Bernd J. , Maurer Andreas
Published: May 2021

A convenient, scalable, and azeotropic drying free method for processing [18F]fluoride as base free

[18F]TBAF is reported and applied to copper-mediated radiofluorination (CMRF) radiosyntheses. A central

feature of this method is that a single production of [18F]TBAF can be divided into small aliquots that can be

used to perform multiple small-scale reactions in DoE optimization studies. The results of these studies can

then be reliably translated to full batch tracer productions using automated synthesizers. This processing

technique was successfully applied to the manual DoE optimization, DoE study validation, and subsequent

full-batch automation of the PARP-1 tracer [18F]olaparib. After DoE optimization, we were able to produce

[18F]olaparib in high radiochemical yields via both manual (%RCY (CMRF step only) = 78 ± 6 %, n = 4) and

automated (up to 80% radiochemical yield (%RCY); 41% activity yield (%AY)) radiosynthesis procedures.

This work further demonstrates the power of the DoE approach for improving the radiochemical yields and

radiosynthesis performance of clinically relevant tracer productions
Pharmacognostical standardization, phytochemical analysis, and antioxidant activity of Musa balbisiana Colla fruits
Authors: Ly Hai Trieu  , Le My Huyen  , Lam Bich Thao  , Le Duc Thanh  , Pham Thanh Huyen  , Nguyen Minh Khoi  , Le Van Minh
Published: May 2021

Musa balbisiana (MB) fruits are widespread as an herbal medicine worldwide.  This study aimed to screen phytochemicals, standardize raw materials and crude extract, and evaluate antioxidant property of MB fruit extracts. Standardization was performed using purity content and chemical characterizations, total polyphenol (TPC) and flavonoid (TFC) contents to assess the quality. The phytochemicals were determined by chemical reactions. DPPH quenching, ABTS cation decolorization, and reducing power assays were selected to investigate antioxidant ability. Results indicated that physicochemical parameters for MB fruits were within prescribed Vietnamese Pharmacopoeia 5th limits.  Phytochemical analysis of MB fruits disclosed the presence of volatile oils, lipids, flavonoids, proanthocyanidins, saponins, and triterpenoid. The TPC was 3.92 ± 0.27 mg GAE/g d. w. (dry weight) and 162.64 ± 3.39 mg GAE/g d. w. for the raw materials and crude extract respectively while the TFC was 0.138 ± 0.002 mg QE/g d. w. and 1.222 ± 0.007 mg QE/g d. w. Furthermore, crude extract and some of its fractions have a high radical scavenging activity. These initial studies play a pivotal role in the procurement of raw materials and evaluation of the quality of the crude extract, and show antioxidant potential of MB fruits.
Investigation on phytochemical composition, anti-oxidant and anticancer properties of methanolic extract of Phyllanthus niruri schumach & thonn. And protein modelling and drug docking
Authors: Sugumar R  , Saravana D  , Pavithra N  , Suresh Raj V  , Sekar Babu M  , Vijey Aanandhi M
Published: May 2021

The study aims to investigate the Phytochemical Composition, Anti-oxidant and Anticancer properties of methanolic extract of Phyllanthus niruri Schumach & Thonn And the Protein Modelling and drug docking. The research deals with the methanolic extraction and phytochemical screening, determination of total phenolic and flavonoids contents and anti-oxidant assay. By performing GC-MS characterisation, various active metabolites are analysed. Thin-layer chromatography profiling of the Phyllanthus niruri methanolic extract was performed. The IC50 of the Phyllanthus niruri methanolic extract against PA-1 Cell lines(Ovarian cancer) was calculated. Docking studies also performed for antitumor activity by using Bioinformatics and Cheminformatics software on corilagin and cisplatin. The results suggested that the methanolic extract of Phyllanthus niruri leaves has the anticancer cancer effect on the ovarian cell line. The docking studies also performed that Corilagin interaction with T.F. receptor shows a high binding score when compared to cisplatin. Our future research can be done in this area to optimise anticancer activity efficacy. Our results can be further tested Clinico-pharmacologically to prove its efficiency in human beings.
VALOAREA ŞI DEMNITATEA PERSOANEI UMANE ÎN LUMINA ÎNVĂŢĂTURII CREŞTINE
Authors: ŞTEFAN Florea
Published: May 2021

Life ruled by law and the legality of our culture have in common the oblivion of the right and the demand of saving yourself through your deeds. Life ruled by law deals only with individual saving, because it does not see the total good; it always balances, for its whole horizon is nothing but a changing, as it is the report between God and human being. Love has every virtue and it is contrary to all sins. This is the source of all forms of good. The one who has love is on his way to perfection. Between love and consciousness there is a real complementariness. Consciousness is the instrument through which law becomes operative in our being. Saint Apostle Pavel underlines the fact that a pure moral consciousness is kept by belief (Tit. 1, 15- 16). Christian love that springs from a pure moral consciousness and heart is what God wanted from his creation, man having the possibility to take the resemblance with God, as his nursing to “God’s image”
Challenges and Measures of Ideological and Political Work in Colleges and Universities in the Network Era
Authors: Xu Na , Liu Miao
Published: May 2021

To explore the challenges faced by the ideological and political work in Colleges and universities in the network era, this paper expounds the problems in the ideological and political work in Colleges and universities in the network era by reading literature and combining with theoretical knowledge, and puts forward solutions according to the problems for the reference of relevant personnel.
PROGRAM PENGUATAN DAN PENDAMPINGAN ASPEK PSIKOLOGIS RELAWAN BENCANA COVID 19
Authors: Agustin Ike Mardiati , Nurlaila Nurlaila , Yulia Yulia
Published: May 2021

Indonesia bahkan Dunia saat ini sedang berada dalam masa berduka akibat adanya Pandemi Covid 19. Pandemi ini merupakan bencana non alam. Dibutuhkan peran serta masyarakat dalam upaya pencegahan dan penanganannya salah satunya dengan menjadi relawan bencana. Kondisi bencana akan memberikan berbagai dampak fisik maupun psikologis bagi setiap individu tidak terkecuali bagi relawan bencana. Berdasarkan fenomena tersebut, dibutuhkan suatu bentuk kegiatan yang mampu menguatkan psikologis relawan bencana. Metode Program ini diberikan kepada 72 relawan bencana covid 19 yang merupakan gabungan dari  relawan bencana BPBD kabupaten kebumen dan relawan bencana STIKES Muhammadiyah Gombong.  Kegiatan yang dilakukan selama 2 bulan yaitu bulan maret-april 2020 , meliputi 2 tahap yaitu tahap persiapan pra penugasan diawali dengan melakukan pengukuran kondisi psikologis relawan bencana menggunakan instrument DASS (Depresion Anxiety Stres Scale), dan melalui pemberian psikoterapi untuk mengatasi masalah psikologis yang muncul. Hasil kegiatan didapatkan gambaran sebelum dan setelah diberikan program penguatan dan pendampingan aspek psikologis relawan bencana covid 19 bahwa kondisi psikologis relawan dari ansietas ringan sebanyak 68 orang (94,44%) menjadi normal sebanyak 69 orang (95,83%), dari depresi ringan sebanyak 69 orang (95,83%) menjadi normal sebanyak 70 orang (97,22%) dan dari stres ringan sebanyak 69 orang (95,83%) menjadi normal sebanyak 70 orang (97,22%).  Kegiatan ini direkomendasikan untuk program berkelanjutan bagi penguatan psikologis relawan bencana.Kata Kunci:Pandemi, Covid 19, Relawan bencana, kondisi Psikologis, Program
SELF-CARE MANAJEMEN GLUKOSA DAN PENGENDALIAN DIET SEBAGAI UPAYA PENGENDALIAN KADAR GLUKOSA DARAH PENYANDANG DIABETES MELLITUS
Authors: Asyrofi Ahmad , Arisdiani Triana , Widiastuti Yuni Puji
Published: May 2021

The phenomenon of the number of people with diabetes mellitus (DM) in theworld today is increasing along with socio-cultural changes, and the largenumber of people with DM who are undiagnosed becomes increasinglypotential to cause further complications. Self-care glucose management anddietary control are part of the pillars in DM care. The aim of the study was todetermine differences in blood glucose management and dietary controlbetween uncontrolled glycemic (HbA1c > 7%) and controlled glycemic(HbA1c ≤ 7%). The study uses a case control design. The sample of this studywas DM patients with adult and elderly age of 104 samples including: 52uncontrolled glycemic groups and 52 controlled glycemic groups, withconvinience techniques. The research tool uses Diabetes Self-ManagementQuestionnaire (DSMQ) subscale glucose management and dietary control.Data analysis using Mann-Whitney U Test. The results showed significantdifferences in glucose management (p = 0.034) and dietary control (p = 0.001)between uncontrolled glycemic groups and controlled glycemic groups.Recommended for people with diabetes mellitus to improve glucosemanagement self-care activities and dietary control to control glycemic(HbA1c ≤ 7). Subsequent research needs to look for factors that predict glucosemanagement and dietary control for people with diabetes.
STUDI DESKRIPTIF : JENIS KELAMIN DAN LETAK LESI PADA PENDERITA STROKE
Authors: Suyanto Suyanto
Published: May 2021

Lesi (cidera) pada otak memberikan gambaran mengenai kelemahan pergerakan yang dialami pasien stroke. Lesi yang didapatkan dari hasil pemeriksaan ct scan antara stroke hemoragi dan stroke iskemik bisa mengenai hemisfer (belahan otak) kanan atau kiri atau kanan dan kiri. Penelitian ini bertujuan untuk mengetahui gambaran mengenai letak lesi dan jenis kelamin pasien yang mengalami stroke. Pendekatan retrospektif dengan desain deskriptif digunakan dalam penelitian ini. Sebanyak 75 responden dilibatkan dengan simple random sampling. Uji distribusi frekuensi digunakan dengan hasil bahwa jenis kelamin laki-laki sebanyak 48 orang (64%) paling tinggi mengalami stroke, lesi pada hemisfer kiri sebanyak 33 orang (44%), dan stroke iskemik sebanyak 55 orang (73.3%). Perlu dilakukan penelitian terkait dampak dari lesi otak terhadap diagnosis keperawatan pada pasien stroke.
GAMBARAN PERILAKU CARING PERAWAT DI RUANG ANGGREK BADAN RUMAH SAKIT UMUM DAERAH KABUPATEN TABANAN
Authors: Apriani Desak Gede Yenny , Putri Desak Made Firsia Sastra , Widiyani Ni Putu Dewi
Published: May 2021

DESCRIPTION CARING BEHAVIOR OF NURSE AT PEDIATRIC CARE UNIT IN TABANAN GENERAL HOSPITAL  Desak Gede Yenny Apriani1,2, Desak Made Firsia Sastra Putri1,2, Dewi Widiyani1,21S1 Keperawatan Ners, 2STIKES Advaita Medika Tabanan,Correspondence: yennyapriani2004@gmail.com ABSTRACT Introduction: nurse is a person who have a skill and allowance to do medical treatment based on prior knoledge and collected from education in term of nursing. Caring is a maintainingrelationships with mutual respect for other accompanied by feeling of belonging and responsibility. Caring behavior is an emotional support in providing nursing care to protect patient, enhance human dignity, and it was the care wich made a diffrence from other profession.  Turpose to know description caring behavior of nurse at Pediatric Care Unit Method: this study was a descriptive analytic with cross sectional approach. The responden was chosen based on total sampling which were 13 samples by using observation sheet. Result: This study showed that caring behaviot of nurse at Pediatric Care Unit 13 nurse (100%) was in good category, with sub variable according to five dimension of Swanson theory that is maintaining belief with mean 57,7%. Sub variable knowing of nurse (100%) was in good category with mean 92,3%, sub variable being with was good category 13 nurse (100%) with mean 96,5%. Doing for behavior so as in good category 16 nurse (100%) with mean 98,5% and enabling behavior in good category 16 nurse (100%) with mean 80%.     Discussion: caring behavior of nurse at Pediatric Care Unit at Tabanan General Hospital is good category.     Keywords: Caring Behavior, Nurse, Pediatric Care Unit
PENERAPAN MODEL ADAPTASI ROY PADA ASUHAN KEPERAWATAN PASIEN DENGAN PENYAKIT GINJAL KRONIS
Authors: Septiwi Cahyu , Setiaji Wahyu Rizal
Published: May 2021

Penggunaan teori model keperawatan sebagai framework dalam penelitian sangat penting untuk meningkatkan pengembangan pengetahuan dan praktik asuhan keperawatan berbasis teori. Model Adaptasi Roy telah digunakan dalam berbagai penelitian keperawatan untuk meningkatkan pemahaman perawat dalam rangka meningkatkan kualitas asuhan yang diberikan kepada pasien. Tujuan dari penelitian ini adalah memberikan gambaran penerapan Model Adaptasi Roy sebagai framework dalam proses asuhan keperawatan pada pasien dengan penyakit ginjal kronis untuk membantu klien beradaptasi dengan masalah yang timbul karena penyakitnya. Metode yang digunakan adalah studi kasus pada klien dengan penyakit ginjal kronis dengan melakukan wawancara, observasi, dan dokumentasi medis dari rumah sakit. Hasil penelitian menunjukkan bahwa model asuhan keperawatan yang dikembangkan berdasarkan Model Adaptasi Roy dapat mengkaji kebutuhan pasien dengan penyakit ginjal kronis dengan pendekatan individual yang holistik, dan memberikan kesempatan kepada klien untuk meningkatkan keterampilan dalam mengatasi masalah dan beradaptasi dengan penyakitnya. Kesimpulan dari penelitian ini adalah Model Adaptasi Roy sangat efektif digunakan sebagai framework dalam asuhan keperawatan pada klien dengan penyakit ginjal kronis.Kata kunci: Asuhan keperawatan, Model Adaptasi Roy, Penyakit ginjal kronis
KUALITAS TIDUR PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI
Authors: Anggraini Dian , Marfuah Dewi , Puspasari Susy
Published: May 2021

Background : In the last five years, the prevalence of breast cancer in Indonesia has increased. The usual treatment for breast cancer is chemotherapy, which can cause physical problems that affect sleep quality. Sleep disorders are often experienced by breast cancer patients, where the impact affects the healing of the cancer and the immune system so that the condition and immune system cannot be maintained optimally in repairing body cells. Purpose: to determine the quality of sleep in breast cancer patients undergoing chemotherapy and to see which components have contributed to disturbing sleep quality. Methods: The study used a quantitative descriptive approach. Sampling technique accidental sampling with 100 respondent. The questionnaire used to measure sleep quality was the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data analysis technique used univariate analysis, there are two interpretations on the PSQI. Sleep quality is good if the score is ≤ 5, sleep quality is bad if the score is> 5. Results: Most of the respondents have poor sleep quality. This research is expected to increase the role of nursing care and educator so that it can improve the quality of life of breast cancer patients undergoing chemotherapy
PENGARUH DISTRAKSI VIRTUAL REALITY TERHADAP PERUBAHAN TEKANAN DARAH ANAK SAAT PROSEDUR ANESTESI MENGGUNAKAN JET INJEKTOR
Authors: Kaswindiarti Septriyani , Sari Wahyuning Asri Pari Purnomo , Khoirudin Ferdian Ilham , Nisa Busyro Hanun
Published: May 2021

Latar Belakang: Kecemasan dapat menyebabkan terjadinya perubahan tekanan darah. Anak-anak sering merasa cemas saat dilakukan perawatan gigi khususnya saat prosedur anestesi. Hal tersebut dikarenakan anestesi identik dengan jarum yang bisa menimbulkan rasa nyeri. Alat anestesi tanpa jarum atau jet injektor telah dikembangkan untuk anestesi lokal. Jet injektor dianggap bisa mengurangi rasa nyeri saat anestesi, namun suara, bentuk, dan tekanan yang ditimbulkan jet injektor bisa meningkatkan kecemasan anak. Salah satu cara yang bisa digunakan untuk mengatasi kecemasan anak saat dilakukan prosedur anestesi adalah dengan distraksi virtual reality. Tujuan Penelitian: Untuk mengetahui pengaruh distraksi virtual reality terhadap perubahan tekanan darah anak saat prosedur anestesi menggunakan jet injektor. Metode Penelitian: Jenis penelitian ini adalah quasi experimental dengan pre and posttest nonequivalent control group design. Subjek penelitian berjumlah 30 anak dibagi menjadi dua kelompok secara acak, 15 anak dilakukan anestesi menggunakan jet injektor dengan distraksi virtual reality dan 15 anak dilakukan anestesi menggunakan jet injektor tanpa distraksi virtual reality. Penelitian dilakukan dengan cara mengukur tekanan darah anak sebelum dan saat prosedur anestesi menggunakan jet injektor. Data dianalisis menggunakan uji Independent T-test. Hasil: Terdapat pengaruh distraksi virtual reality terhadap perubahan tekanan darah anak saat prosedur anestesi menggunakan jet injektor sesuai dengan hasil analisis data Independent T-test yang menunjukkan nilai signifikansi p<0,05. Kesimpulan: Terdapat pengaruh distraksi virtual reality terhadap perubahan tekanan darah anak saat prosedur anestesi menggunakan jet injektor.
Urban Planning Academics and Twitter: Who and what?
Authors: Sanchez Thomas W.
Published: May 2021

Twitter has increasingly become a resource used by academics to share scholarship and opinions within professional networks. This paper presents a descriptive analysis of Twitter use by urban planning faculty, reporting characteristics of users, the topics posted, and indicators of Twitter influence among urban planning faculty as well as those interested in planning from outside academic circles. Approximately one-third of urban planning academics are active Twitter users, and as of yet, there have been no empirical analyses of how and why they use the social media platform. This analysis uses Twitter data from active accounts for urban planning faculty in the U.S. and Canada identified as being used for professional purposes for the period from March 2007 to April 2019. Considering how planning academics use Twitter lends insights on its usefulness for academic discussion and scholarly communications. The conclusion discusses the prospects for planning academics to better utilize Twitter to broaden and deepen their professional activities while noting particular concerns.
DEVELOPING A MODEL FOR PROMOTING ASSET BASED COMMUNITY DEVELOPMENT (ABCD) IN NIGERIA
Authors: Hanachor M.E. , Wordu E. N.
Published: May 2021

Asset based community development (ABCD) is a shift and direct contrast to the conversional need-based community development (NBD). It focuses on community asset as useful tool to stir up the development of a community. It is concerned with what is available in the community that could be used to development as against dependence on outsiders or expert for development. The different types of asset in communities were enumerated. The benefits and criticisms against the approach were also highlighted. A model to guide the application of the approach was designed. The paper is of the view that every development intervention in the nation should have its root on asset-based development approach.
MANAGING TRI PUSAT PENDIDIKAN IN THE COVID -19 PANDEMIC
Authors: Tyas E. Handayani , Naibaho Lamhot
Published: May 2021

This study is about the management of Tri Pusat Pendidikan in the COVID-19 Pandemic. This study aims to find out the management of Tri Pusat Pendidikan strictly in the current situation, namely COVID-19. It was done at Universi-  tas Kristen Indonesia within three months, from January – March 2021. The method of the study used as library research, and the instrument used in this study was a checklist document used to record offline or online documents sourced from books, papers, journals and articles taken from Google Scholar. The documents taken are documents that examine the management of the Tri Pusat Pendidikan, as also discussed in this study. The result of the study is that as the critical success of educating children, Tri Pusat Pendidikan should be well managed by conducting a better collaboration among teachers, parents, the community involved in education program implementation, and the learn- ing process during the COVID-19 Pandemic must remain sustainable.
Siyaset Ve Sanat Bağlamında İran’da Bir Memlüklü Arması Ve Çevgândar Sopası Renki
Authors: YELEN Resul
Published: May 2021

Ortaçağ Ortadoğu için büyük devinimlerin yaşandığı bir zaman dilimidir. İttifakların, askeri ve toplumsal hareketlerin, hükümdarların, devlet adamlarının ve komutanların önemli olduğu bu çağda çok sayıda savaş meydana gelmiştir. Bir Türk devleti olan Memlüklü ve Moğolların kurduğu İlhanlı yönetimleri dönemlerinin büyük güçleridir. Bu devletlerde birçok şahıs önemi bakımından tarih sahnesine çıkmıştır. Bu kişilerden biri Emir Şemseddin Karasungur El Çevgândar’dır. Karasungur, Memlüklü yönetiminde saltanat naibliği, Hama, Halep ve Şam valiliği yapmış önemli bir devlet adamıdır. Karasungur muhteris ve politik yönü ile Memlüklü ve İlhanlı devletlerinin siyasi mücadelelerinde sıklıkla rol oynamış birisidir. Karasungur’un en önemli olayı 1312’de İlhanlılara ilticasıdır. Karasungur 1328’de Meraga’da ölmüş ve bu şehirdeki kümbetine gömülmüştür. Karasungur yöneticilik vasfının yanı sıra inşaî faaliyetlerde bulunmuş bânîlik yönü olan biridir. Memlüklü Devletin’de yönetici olduğu zaman Kahire’de medrese, Halep’te kastel ve Meraga’da kendi adına yaptırdığı Kümbet-i Gaffariye vardır. Kahire’de inşa ettirdiği medresenin pencere lentosunda ve mihrap sütünce başlığında çevgân sopası renki bulunmaktadır. Halep’teki kastelin kitabesinin yanında çift çevgân sopası renki yerleştirilmiştir. Kümbetin cephelerinde de çevgândar renki dikkat çekmektedir. Bu renk/arma uygulamasına Mısır, Suriye ve Kudüs’te karşılaşılmaktadır. Kişinin siyasi statüsünü gösteren renkler farklı sanatlarda uygulama alanı bulmuştur. Sultanlar kendi güçlerini temsil eden aslan ve kartal gibi renkler kullanırken emirler ise onları tanımlayan renkleri tercih etmişlerdir. Sâkî-kadeh, davadar-yazı kutusu, silahdar-kılıç, bundukar-yay, bohçacı-bez, çeşnigir-sofra, teberdar-balta ve alemdar-çift bayrak renkini kullanmıştır. Çevgândar ise çevgân sopası renki ile temsil edilmiştir. Yalnızca Memlüklü toplumunda görülen bu arma/renk artık onlardan ayrılan, daha sonra İlhanlı valisi olan Karasungur tarafından Meraga’da da kullanılması siyaset ve sanat ilişkisi içerisinde ilginç bir yaklaşım sunmaktadır.
Abdominal sacrohysteropexy UV prolapse and preservation of reproduction.
Authors: Ali Robina , Ehsan Riffat , Niaz Ghazala , Abid Fatima
Published: May 2021

Objectives: The purpose of this study was to assess the safety of sacrohystcopxy by determining intraoperative and post-operative complications and its effectiveness by pelvic organ prolapse recurrence on follow up. Study Design: Prospective study. Setting: Department of Gynecology and Obstetrics Unit-II DHQ Hospital PMC, Faisalabad. Period: Jan-2014 to Jan-2017. Material & Methods: Patients with uterovaginal prolapse, admitted through OPD were selected for abdominal sacrohysteropexy. Variables of study including duration of surgery, any intra-operative and post operative complications, need of intra operative blood transfusion, post operative hospital stay; recurrence of POP, number of pregnancies in 06 moths follow up were recorded. Results: During this study period, 319 patients were admitted with uterovaginal prolapse. 32 (10.03%) cases were selected for abdominal sacrohysteropexy. In these 32 patients, 03 (9.37%) were <30years of age, 21(65.62%) were between 30-35 years and 8 (25%) were between 35-40 years of age. About 2(6.25%) were unmarried, while 30(93.7%) were married. In these married women 14(43.75%) were multiparas, another 14(43.75%) were para 1 or 2, while 4(12.5%) were para 3 or more. Duration of surgery was 40-45 minutes in 31(96.87%) patients. In 28(87.5%) cases per operative blood loss was <150ml while in 4(12.5%) it was estimated to be >150ml but less than 300ml. Post operatively only 1(3.12%) case developed wound sepsis and it was the only one (3.12%) who was discharged on 7th post operative day, while rest 31(96.87%) were discharged on 3rd post operative day. No recurrence was noticed in 06 moths follow up, while 2(6.25%) patients became pregnant. Conclusion: Abdominal sacrohysteropexy is a safe and an effective treatment in terms of overall anatomical and functional outcome, complications, post operative recovery, length of hospital stay and sexual functioning, in women who desire uterine and hence fertility preservation.
Bacteriology and antibiotic sensitivity pattern of ear discharge in patients with chronic otitis media; A cross sectional study conducted in tertiary care hospital of Peshawar.
Authors: Ullah Mubassir , Faisal Muhammad Saleh , Zaki Ali , Khan Azam , Khan Mamoor , Khan Mohibullah
Published: May 2021

Objective: To determine the frequency of common bacteria and antibiotic sensitivity pattern of ear discharge in patients with chronic otitis media. Study Design: Descriptive Cross Sectional study. Setting: Department of ENT, Northwest General Hospital & Research Centre, Peshawar. Period: February to September 2019. Material & Methods: A total of 196 patients of both gender and age between 13 to 60 years with clinical diagnosis of active chronic otitis media were recruited through consecutive sampling technique. After detailed history and relevant examination, demographic data was recorded and pus specimens were collected from the infected ear on cotton swabs. They were sent to pathology laboratory of hospital for culture of common bacteria (E.coli, Pseudomonas aueroginosa, Proteus mirabilis, Staphylococcus aureus and Klebsiella spp) and their respective antibiotic sensitivity (Co-trimoxazole, Co-Amoxiclav, Ciprofloxacin, Ampicillin, Imipenem, Ceftriaxone and Cefixime). Results: Bacterial isolates were analyzed as 48% Staph aureus, 28% Pseudomonas, 12% Proteus mirabilis, 8% E. coli and 4% Klebsiella spp. Imipenem was sensitive to 94%, ceftriaxone 84%, ciprofloxacin 80%, co-trimoxazole 66%, ampicillin 63%, cefixime 45% and co-amoxiclav against 43% of total bacterial isolates. Conclusion: The common causative organism for active chronic otitis media was Staph aureus followed by Pseudomonas. Imipenem was the most sensitive antibiotic against majority of bacterial isolates followed by ceftriaxone and ciprofloxacin.
Venomics and antivenomics data: Current and future perspective
Authors: Soodeh Omidi , Masoumeh Mehrpouya , Morteza Oladnabi , Abbas Azadmehr , Fatemeh Kazemi-Lomedasht , Najmeh Yardehnavi
Published: May 2021

Venom has a very complex and exclusive nature which has been introduced by recent advances in omics technologists. These methods have revealed a new insight into venom studies as venomics. Envenoming by venomous animals is a global concern due to the distribution of important medical species around the world. Treatment of envenomed victims is dependent on accurate and fast identification of animal species with different detection methods. In recent years, new methods have been introduced based on molecular and immunological techniques. Precise diagnosis of species of venomous animals is an essential factor for treatment with specific antivenoms. Venomics and antivenomics data sets help in the selection of specific antivenoms or production of novel antivenoms with greater efficacies.
A case report: Electrochemical impedance spectroscopy as an Al-ternative for cell counting chambers of yeast (Saccharomyces cerevisiae) for brewery applications
Authors: Georg Christoph Brunauer , Alina Meindl , Bernhard Rotter , Alfred Gruber , Christoph Slouka
Published: May 2021

Advanced technologies, such as electrochemical impedance spectroscopy (EIS), are a valuable tool which can enhance and simplify the industrial process monitoring if used correctly. State-of-the-art approaches for screening the cell growth of for example yeast during the brewing process still heavily rely on offline methods such as methylene blue or florescence dye-based staining, and/or the usage of flow cytometric measurements. These methods, while being accurate, are very time consuming and require heavy manual effort. Furthermore, the time span needed to obtain the counting result can lead to a time-delayed response signal and can impact the quality of the final product. In recent studies, applications of low-frequency EIS in the α-regime were used for the determination of cell counts and the metabolic state in Saccharomyces cerevisiae. This method has proven to be a reliable tool which has also shown high potential in industrial scale applications. The online biomass monitoring, as well as viable cell count, for feasibility study was performed in-house at Stiegl Brewery in Salzburg/Austria founded in 1492.