bluuebunny/crossref_metadata_2025 huggingface dataset:
Gallium Isotope Effect of Ga-Si Complex Solutions in Water: Theoretical Study Based on Density Functional Theory
Authors: Zhang Jixi
Published: June 2024

A Ga isotope is a new proxy for different geochemical processes such as a weathering process, solution process, etc. Si (Si(OH)4) is ubiquitous in natural water bodies. However, studies on the Ga isotope effect about a Ga3+ aqueous solution reacting with Si (Si(OH)4) are lacking. In this study, the Ga isotope effect of this process will be studied using a theoretical calculation method based on first principles. The results show that the heavy Ga (71Ga) isotope enrichment ability of different Ga-Si complex solutions is different. The 1000lnβ (‰) sequence of different Ga-Si complex solutions is (OH)3GaOSi(OH)3.(H2O)30 ≈ (OH)3(H2O)2GaOSi(OH)3.(H2O)30 > (OH)2(H2O)3GaOSi(OH)3.(H2O)30 > (H2O)5GaOSi(OH)3.(H2O)30 > (OH)(H2O)4GaOSi(OH)3.(H2O)30. The results show that there are two different reaction mechanisms when a Ga3+ aqueous solution reacts with Si-bearing (Si(OH)4) water; that is, six-coordination Ga-Si complexes and four-coordination Ga-Si complexes are formed at low pH (acidic) and high pH (alkaline), respectively. Compared with a Ga-Si complex aqueous solution under acidic conditions, Ga-Si aqueous solutions under alkaline conditions preferentially enriched the heavy Ga isotope (71Ga). The Ga isotope fractionation factors (α) between Ga-Si complex solutions and Ga3+-bearing aqueous solutions are all negative, which indicates that light Ga (69Ga) isotopes preferentially enter the structure of Ga-Si complexes during the formation of Ga-Si complex solutions. At 50 °C, the Ga isotope fractionation factors (1000lnα) of five systems ((H2O)5GaOSi(OH)3.(H2O)30 vs. [Ga(H2O)6]3+(aq), (OH)(H2O)4GaOSi(OH)3.(H2O)30 vs. [Ga(H2O)6]3+(aq), (OH)3GaOSi(OH)3.(H2O)30 vs. [Ga(OH)3](aq), (OH)3(H2O)2GaOSi(OH)3.(H2O)30 vs. [Ga(OH)3](aq), and (OH)2(H2O)3GaOSi(OH)3.(H2O)30 vs. [Ga(OH)3](aq)) involved in this study are −0.12, −0.22, −0.07, −0.09, and −0.16 (‰), respectively. Excitedly, Si can affect the enrichment ability of the heavy Ga isotope (71Ga) in Ga-bearing complex aqueous solutions. This means that when Si is present in aqueous solutions, the enrichment capacity of the heavy Ga isotope (71Ga) of aqueous solutions will be effectively reduced. Ga in sediments is mainly derived from soluble Ga in the form of adsorbed (Fe, Mn) oxides/hydroxides, and the Ga isotope composition in sediments is heavier than that in basalt. The formation process of Ga-Si complex aqueous solutions influences the Ga isotope fractionation effect and also contributes to the composition of Ga isotopes in sediments. These key Ga isotope fractionation parameters obtained in this study will provide theoretical support for better explaining the reaction mechanism of Ga3+ complexes and Si-bearing (Si(OH)4) water bodies in solution processes and Ga isotope geochemical cycles.
Enhanced Electricity Generation in Solar-Driven Photo-Bioelectrochemical Cells Equipped with Co3(PO4)2/Mg(OH)2 Photoanode
Authors: Rafieenia Razieh , Mahmoud Mohamed , Abdel-Wahed Mahmoud S. , Gad-Allah Tarek A. , Salvian Anna , Farkas Daniel , El-Gohary Fatma , Avignone Rossa Claudio
Published: June 2024

We developed a solar-driven photo-bioelectrochemical cell (s-PBEC) employing a novel anode photocatalyst material (Co3(PO4)2/Mg(OH)2) intimately coupled with electrochemically active bacteria for synergic electricity generation from wastewater. An s-PBEC was inoculated with a natural microbial community and fed with synthetic wastewater to analyze the performance of the system for electricity generation. Linear sweep voltammetry indicated an increase in power output upon light illumination of the s-PBEC after 1 h, rising from 66.0 to 91.5 mW/m2. The current density in the illuminated s-PBEC exhibited a rapid increase, reaching 0.32 A/m2 within 1 h, which was significantly higher than the current density in dark conditions (0.15 A/m2). Shotgun metagenomic analysis revealed a significant shift in the microbial community composition with a more diverse anodic biofilm upon illumination compared to the microbial communities in dark conditions. Three unclassified genera correlated with the enhanced current generation in illuminated s-PBEC, including Neisseriales (16.31%), Betaproteobacteria (7.37%), and Alphaproteobacteria (5.77%). This study opens avenues for further exploration and optimization of the solar-driven photo-bioelectrochemical cells, paving the way for integrative approaches for sustainable energy generation and wastewater treatment.
Stability Analysis of Breakwater Armor Blocks Based on Deep Learning
Authors: Zhu Pengrui , Bai Xin , Liu Hongbiao , Zhao Yibo
Published: June 2024

This paper aims to use deep learning algorithms to identify and study the stability of breakwater armor blocks. It introduces a posture identification model for fender blocks using a Mask Region-based Convolutional Neural Network (R-CNN), which has been enhanced by considering factors affecting breakwater fender blocks. Furthermore, a wave prediction model for breakwaters is developed by integrating Bidirectional Encoder Representations from Transformers (BERTs) with Bidirectional Long Short-Term Memory (BiLSTM). The performance of these models is evaluated. The results show that the accuracy of the Mask R-CNN and its comparison algorithms initially increases and then decreases with higher Intersection Over Union (IOU) thresholds, peaking at 95.16% accuracy at an IOU threshold of 0.5. The BERT-BiLSTM wave prediction model maintains a loss value around 0.01 and an accuracy of approximately 90.00%. These results suggest that the proposed models offer more accurate stability assessments of breakwater armor blocks. By combining the random forest prediction model with BiLSTM, the wave characteristics and fender posture can be predicted better, offering reliable decision support for breakwater engineering.
Framework Model for Financing Sustainable Water and Sanitation Infrastructure in Zimbabwe
Authors: Mundonde Justice , Makoni Patricia Lindelwa
Published: June 2024

Financing frameworks for Public–Private Partnerships (PPPs) are lacking in developing countries. This study aims to develop a financing framework for adoption for water and sanitation PPP infrastructure projects in Zimbabwe. Using data covering a 25-year period from 1996 to 2021, Tobit econometric models are applied to the secondary data collected from both international and domestic sources. The results of this study confirm that capital market variables, bank market development, and economic affluence drive the financing of water and sanitation Public–Private Partnership infrastructure projects in Zimbabwe. It was also established that both public and private sources of finance are instrumental in financing water and sanitation PPP projects. The results inform our eventual framework model, which integrates the Public–Private Partnership (PPP) models, sources of finance for water and sanitation PPPs, and the drivers of water and sanitation PPP finance. This study recommends the application of the developed framework in the water and sanitation Public–Private Partnership infrastructure financing policy of developing countries so as to capitalise on the strengths, resources, and networks of the respective stakeholders in the PPPs.
Toxoplasmosis cerebral en pacientes con VIH/SIDA de la Fundación S.O.G.A. Portoviejo
Authors: Bracho Mora Angela Maria , Zamora Lema Jefferson , Rivero de Rodríguez Zulbey , Lucas Parrales Elsa , Lino VIllacreses Willian , Bracho Mora Ángela
Published: June 2024

VIH/SIDA es una infección que se caracteriza por la disminución de linfocitos TCD4+ en el sistema sanguíneo, debilitando al ser humano y dejando como consecuencia un sistema inmune débil que puede ser susceptible a varias enfermedades oportunistas, entre ellas las neurológicas causadas principalmente por Toxoplasma gondii. Con la finalidad de determinar la prevalencia de toxoplasmosis cerebral en pacientes con VIH/SIDA de la fundación S.O.G.A. de la ciudad de Portoviejo, durante los años 2017-2021, se realizó la presente investigación de tipo descriptivo, observacional, retrospectivo y transversal, mismo que contó con un número de 38 pacientes que presentaron afectaciones a nivel cerebral, clasificados como pacientes con toxoplasmosis cerebral. Del total de pacientes, se detalla 2:1 en relación de hombres a mujeres respectivamente; así mismo se corrobora que el grupo etario 25 a 31 años de edad fue el más afectado y la prevalencia de toxoplasmosis cerebral representó el 45% (38/84) de los casos en estudio. Las enfermedades oportunistas representan un enorme desafío en los pacientes con un diagnóstico confirmado de VIH+, más aún las de tipo neurológico que se presentan en gran número de pacientes y se establecen como una de las principales causas de morbi-mortalidad en estos pacientes.
Sonographic Assessment of Retrograde Blood Flow for External Nose Reconstruction Using Interpolation Flaps
Authors: Иванов С.А. , Юрковский А.М. , Хоров О.Г. , Лазарева Н.Ф.
Published: June 2024

Цель. Оценить эффективность сонографической оценки ретроградного кровотока в интерполяционных лоскутах при реконструкции наружного носа. Материалы и методы. Сравнены результаты реконструкции наружного носа с использованием клинического метода (37 пациентов, группа 1) и цветного доплеровского картирования (29 пациентов, группа 2) при оценке ретроградного кровотока в интерполяционных лоскутах. Результаты. Частота ишемических осложнений со стороны лоскута была выше при клинической оценке ретроградного кровотока (8 из 37 пациентов, 23,5%) по сравнению с сонографической оценкой (1 из 29 пациентов, 3,4%), различие является статистически значимым, p=0,036. Интервал между формированием лоскута и пересечением ножки в группе 1 составил 34 (29; 38) дня, в группе 2 – 30 (27; 35) дней, различие не имеет статистической значимости, p=0,064. Распределение оценок вида носа не показало статистической значимости по данным опроса как пациентов (р=0,170), так и экспертов (р=0,075). Доля неприемлемых косметических результатов, по оценке экспертов, была выше в группе 1 (24,3%, 9 из 37) по сравнению с группой 2 (3,4%, 1 из 29), различие статистически значимое, р=0,035. Выводы. Использование сонографической оценки ретроградного кровотока в интерполяционных лоскутах при реконструкции наружного носа позволяет снизить частоту осложнений и уменьшить долю неприемлемых косметических результатов по сравнению с клинической оценкой.

Purpose. To evaluate the effectiveness of sonographic assessment of retrograde blood flow in nasal reconstruction using interpolation flaps. Materials and methods. Reconstruction outcomes were compared in two patient groups. Clinical assessment of retrograde blood flow was performed to in 37 patients (group 1) and sonographic method was performed to in 29 patients (group 2). Results. Flap ischemic complication rate after using of sonographic assessment of retrograde blood flow (1 of 29 patients, 3.4%) was lower than after clinical assessment (8 of 37 patients, 23.5%). Difference was statistically significant, p=0.036. The time between the flap elevation and pedicle division was 34 (29; 38) days in group 1 and 30 (27; 35) days in group 2. Difference wasn`t statistically significant, p=0.064. Cosmetic outcome scores by experts` and patients` questioning didn`t show statistically significant difference, р=0.075 and р=0.170, respectively. Rate of unacceptable cosmetic outcomes by experts` scores in group 1 (24.3%, 9 of 37) was statistically significant higher than in group 2 (3.4%, 1 of 29), р=0.035. Conclusions. The use of sonographic assessment of retrograde blood flow in nasal reconstruction with interpolation flaps can reduce the complications rate and reduce the rate of unacceptable cosmetic results compared with clinical assessment.
Implementasi Pijat Bayi sebagai Upaya Pencegahan Stunting pada Anak Balita di Wilayah Kelurahan Candirejo, Kecamatan Ungaran Barat Kabupaten Semarang
Authors: Siti Haryani  , Ana Puji Astuti  , Kartika Sari
Published: June 2024

Stunting is a problem that needs special attention. The result of stunting can cause growth and development to be inhibited. One of the efforts to reduce the incidence of stunting is baby massage. The purpose of this activity is to provide an overview of the baby massage procedure. The method used is to provide health counselling with a demonstration method of baby massage procedures. The target of this activity is mothers who have toddlers. The stages carried out include providing material about baby massage followed by a demonstration of baby massage. At the evaluation stage, participants demonstrated the baby massage that had been taught. The result of this activity was that 90% of the participants could explain and demonstrate the baby massage procedur
ABSTRAK
                Stunting merupakan masalah yang perlu mendapatkan perhatian khusus. Akibat stunting dapat menyebabkan pertumbuhan dan perkembangan menjadi terhambat. Salah satu upaya untuk menurunkan kejadian stunting adalah dengan pijat bayi. Tujuan dari kegiatan ini adalah untuk memberikan gambaran tenatng prosedur pijat bayi. Metode yang digunakan adalah memberikan penyuluhan kesehatan dengan metode demonstrasi prosedur pijat bayi. Sasaran pada kegiatan ini adalah ibu yang mempunyai balita. Tahapan yang dilakukan meliputi pemberian materi tentang pijat bayi dilanjutkan demonstrasi pijat bayi. Pada tahap evaluasi dilakukan dengan peserta mendemonstrasikan kembali pijat bayi yang telah diajarkan. Hasil dari kegiatan ini adalah peserta 90% dapat menjelaskan dan mendemonstrasikan kembali tentang prosedur pijat bayi
A pilot study on the efficacy of an online mindfulness intervention for Canadian police officers
Authors: Fleischmann Matthew H. , Boudreau Amy , Vincent Michelle , Charman Madison , Collie Emma , Johnston Rich , Khoury Bassam
Published: June 2024

Police officers experience higher levels of mental illness compared to the general population. These traumas are known as operational stress injuries and are the result of operational and organizational stressors. These stressors often result in elevated levels of stress, anxiety, and depression. Mindfulness is widely becoming a mainstream method to help individuals cope with these disorders; however, while rapidly growing, the literature on the efficacy of mindfulness programs for police officers is in its infancy. Given the atypical work schedules officers keep, and the COVID-driven demand for remote service delivery, this pilot study examined the efficacy of a modified version of the online mindfulness program called MindFit Cop. Officers in our study completed a series of surveys before and after the 9-week intervention. We found significant results across timepoints for total mindfulness and self-compassion scores, and a significant interaction for time × group for non-reactivity. No significant results were found for group. This pilot study lends further support for the benefits of mindfulness for police officers in improving overall mindfulness and self-compassion.
Calidad de fuentes de agua para consumo humano en la comunidad El Frutillo, Bambamarca-Cajamarca
Authors: Suárez-Medina Ismael , Guerrero-Padilla Ana
Published: June 2024

Untreated water sources can pose health risks to people and other living beings; due to the congregation of living mass, infectious microbes, suspended solids, heavy metals, etc.; it is essential to investigate their quality ensuring their harmlessness, avoiding agents, and safeguarding the health and comfort of the community. The objective was to determine the quality of water sources for human consumption by analyzing the correlations between parameters in the community of El Frutillo, Bambamarca-Cajamarca. Seven monitoring sessions were conducted at three sites from November 2022 to May 2023; for the analysis of physical, chemical, and coliform indicators, test methods were used following the instructions of the General Directorate of Environmental Health. Comparing the maximum permissible limits of D.S. No. 031-2010-SA-DIGESA with the results, the following were achieved: temperatures between 15.4°C to 17.2°C; turbidity from 0.11 to 1.40 NTU; 163.5 to 305.0 mg/L of total dissolved solids; color < MCL; pH from 7.29 to 8.08; 0.39 to 7.73 mg/L of chlorides; 0.084 to 0.221 mg/L of fluorides; phosphates < MCL; 1.77 to 8.36 mg/L of nitrates; nitrites < MCL; 1.92 to 28.10 mg/L of sulfates; 1.8 to 920.0 MPN/100mL total coliforms and 1.8 to 11.0 MPN/100mL thermotolerant coliforms. The correlation coefficients for pH, temperature, and turbidity versus coliforms were 0.907, -0.291, and 0.975 respectively. Concluding that the physicochemical quality is good; however, the bacteriological quality is poor, not being suitable for human supply; as evidenced by the correlations, since higher contents of pH, turbidity, and temperature lead to higher concentrations of coliforms.
Faktor Determinan Kinerja Keuangan pada Return Saham (Studi Kasus pada Perusahaan Perbankan di Indonesia)
Authors: Pradnyawati Sagung Oka
Published: June 2024

Purpose: The purpose of this research is to test and analyze the determinant factors that can affect stock returns.
Research methodology: Multiple linear regression analysis was used as a data analysis technique and probability method with purposive sampling was used to determine the research sample.
Results: The conclusion of this research is that the operational ratio has a negative effect on stock returns, while the debt to equity ratio and net profit margin do not show a significant effect, while the investment opportunity set and economic value added have a positive effect on banking companies in Indonesia.
Limitations: The research is only limited to the financial performance ratios used and the results given are focused on banking companies in Indonesia only.
Contribution: This research can be used as a literature reference for further research, especially research on stock returns.
Studi Harga Saham Pasca IPO di Bursa Efek Indonesia
Authors: Nima Rosella Virginia Risang
Published: June 2024

Purpose: This study provides empirical evidence that the initial share price tends to be lower than the share price over the periods of 1 d and 6, 12, 18, and 24 months thereafter.
Methodology: This quantitative research used comparative test-type research with secondary data collection. Data were obtained through the Indonesian Stock Exchange (BEI) and processed using SPSS software.
Results/findings: The results obtained in this research show that the initial share price has a positive difference between the post-IPO price for the first day, 6th, 12th and 18th month. However, things are different in the 24th month, when there is no evidence of any price changes occurring.
Limitations: IPOs were conducted on the Indonesian Stock Exchange within a specific timeframe (2018-2019), which may limit the generalizability of the findings to other markets or periods. With a total sample that can be taken of 95 issuers with IPO and post-IPO prices can be taken over a period of two years.
Contribution: To understand IPO underpricing dynamics. By highlighting the role of underwriters and company signals in shaping investor interest and share price performance, the study offers insights that can inform financial market participants, policymakers and researchers.
Implementasi Metode Regresi Linear Berganda untuk Mengatasi Pelanggaran Asumsi Klasik
Authors: Irrawati Mei Dian , Mukaramah Maya
Published: June 2024

Purpose: This study investigates the impact of economic events, such as recessions, on the classical assumptions that form the basis of economic theory. Exploring the applicability of classical economic theory assumptions by considering real-world deviations during economic events.
Methodology/approach: The Research Methodology utilizes successful journal and interval review methods to examine economic events and their impact on classical economic theory. Apply the multiple linear regression test to predict the value of the dependent variable using known independent variables. The confidence interval method was employed to estimate the precision of the statistical parameters.
Results/findings: Results and present findings on the deviation from classical assumptions during economic events. This study provides insights into the predictive power of multiple linear regressions in the context of economic instability. Share the estimated values and precision of the statistical parameters using the confidence interval method.
Limitations: We acknowledge the limitations related to the generalization of the findings during economic events. Recognize the inherent challenges of applying classical economic assumptions to real-world scenarios.
Contribution: Contributes to the development of economic theory by highlighting discrepancies between classical assumptions and the complexities of economic events.
Hubungan antara Kemiskinan dan Pendidikan di Indonesia dengan Pertumbuhan Ekonomi
Authors: Hardana Ali
Published: June 2024

Purpose: The goal of this study is to determine the extent to which poverty and education affect economic growth in Indonesia. This analysis will serve as the foundation for formulating policies that will help Indonesia's economy expand.
Methodology/approach: The type of research used is quantitative research. This study was taken from secondary data sources through the BPS website from 2012 to 2021. Although the multiple linear regression method of analysis was employed in this study. Multiple regression analysis was used to estimate the data, and the results show that while the poverty variable has no significant impact on Indonesia's economic growth and the education and poverty variables taken together have no impact either.
Results/findings: The results of this study show that Education has a positive effect to growth variables economics. Poverty has a positive effect to economic growth. And Education and poverty in together has no effect to economic growth.
TRUMPA METEOROLOGINIŲ VEIKSNIŲ POVEIKIO PSICHOLOGINEI BŪKLEI PO ŠIRDIES OPERACIJŲ APŽVALGA
Authors: Čerkauskaitė Sonata , Venclovienė Jonė
Published: June 2024

Meteorologinių veiksnių pokyčiai turi stipresnį poveikį sergantiems širdies ir kraujagyslių ligomis (ŠKL), ypač tiems, kuriems atliktos širdies operacijos, lyginant su bendrąja populiacija. Šie pokyčiai kai kuriems gali lemti psichologinės būklės pablogėjimą ar net mirtį.

Tikslas – apžvelgti ir įvertinti meteorologinių veiksnių poveikį psichologinei būklei po širdies operacijų.

Medžiaga ir metodai. Apžvelgėme svarbiausią mokslinę literatūrą apie procesus, galinčius paaiškinti meteoro­loginių veiksnių įtaką psichologinei būklei po širdies operacijų.

Rezultatai. Pacientams, turintiems rimtų širdies ir krau­jagyslių sistemų sveikatos problemų, ypač pooperaciniu ir ilgalaikiu sveikimo po širdies operacijų laikotarpiu, psichosomatiniai nusiskundimai susiję su kai kuriais meteorologiniais veiksniais. Meteorologinių veiksnių poveikis pacientams po chirurginio širdies ir krauja­gyslių ligų gydymo gali būti paaiškinamas fiziologi­niais organizmo procesais, tokiais kaip serotonino su­mažėjimas, kraujagyslių išsiplėtimas, kraujospūdžio ir kraujo klampumo padidėjimas, stresas dėl padidėjusio kortizolio kiekio.

Išvada. Meteorologinių veiksnių poveikis pacientų psi­chologinei būklei po širdies operacijų gali būti paaiški­namas fiziologiniais organizmo procesais.
TOTALINIS ŠLAUNIKAULIO ENDOPROTEZAVIMAS: KLINIKINIS ATVEJIS
Authors: Rinkevičius Tomas , Šadauskas Rokas , Stučinskas Justinas
Published: June 2024

Pristatomas 52 metų paciento, kuris kreipėsi į rajono li­goninę dėl hemoraginio pūlingo sekreto iš kairės šlau­nies, klinikinis atvejis. Pacientui prieš 10 metų dėl lū­žio atlikta kairiojo šlaunikaulio osteosintezės operacija. Pooperaciniu laikotarpiu dėl infekcinės komplikacijos buvo pašalintos metalo konstrukcijos. Atliekant šalinimo operaciją, šlaunikaulyje buvo palikti keli nulūžę sraigtų segmentai, dėl kurių infekcinis procesas tęsėsi ir susifor­mavo sekretuojanti fistulė bei šlaunikaulio osteomielitas. Dėl infekcinio proceso pacientas buvo dar keletą kartų operuotas. Skirta antibiotikoterapija epizodiškai suma­žindavo uždegiminius rodiklius. Persistuojant infekcijai, tolesniam gydymui pervežtas į Lietuvos sveikatos mokslų universiteto ligoninės Kauno klinikų Ortopedijos trau­matologijos skyrių. Apžiūros metu pastebėta, jog kairė šlaunis edemiška, viršutiniame trečdalyje susiformavusi odos fistulė, per kurią skiriasi hemoraginis pūlingas sekretas. Dviejų krypčių rentgenogramoje matomas ne­sugijęs šlaunikaulio kūno lūžis – pseudoartrozė. Atliktas likusių svetimkūnių pašalinimas bei kaulo ir minkštųjų audinių debridementas, laikina fiksacija nerakinama in­trameduline vinimi, skirta vietinė ir sisteminė antibioti­koterapija. Po kurio laiko stebint atsinaujinusį infekcijos procesą, fistulę ir KT tyrime išliekančius sekvestrus per beveik visą šlaunikaulio kanalą, nuspręsta atlikti viso šlaunikaulio rezekciją, laikiną endoprotezavimą su ce­mentiniu intarpu, o sugydžius infekciją, atlikti totalinę šlaunikaulio endoprotezavimo operaciją. Šis atvejis pa­rodo, kad totalinis šlaunikaulio endoprotezavimas, gy­dant lėtinį ir išplitusį oseomielitą, gali ženkliai pagerinti pacientų išgyvenamumą ir gyvenimo kokybę, tačiau ši operacija vis dar išlieka diskutuotina tema gydytojo or­topedo traumatologo klinikinėje praktikoje.
AUTIZMO SPEKTRO SUTRIKIMAI ŠEIMOS MEDICINOS PRAKTIKOJE: EPIDEMIOLOGIJA, DIAGNOSTIKA, IŠŠŪKIAI
Authors: Daubarytė Indrė , Kasčiokaitytė Laura
Published: June 2024

Autizmo spektro sutrikimai (ASS) yra daugelio etiolo­ginių veiksnių skatinama neurologinių raidos sutrikimų grupė. Tai platus terminas, kuris aprėpia ne vieną neuro­loginį raidos sutrikimą. Pasaulyje 1 iš 100 vaikų diagno­zuojamas ASS. Skaičiuojama, jog sutrikimo paplitimas didėja ir varijuoja priklausomai nuo įvairių veiksnių [6]. Dėl didelio komorbidiškumo su įvairias psichikos sutri­kimais, skirtingo sunkumo simptomų ir jų raiškos ASS vertinimas ir diagnostika kelia iššūkių ne tik nervų ligų gydytojams, bet ir pirminei sveikatos priežiūros gran­džiai, šeimos gydytojams, kurie dažniausiai yra pirmieji, susiduriantys su ASS turinčiais pacientais [5]. Pagrindi­niai du kriterijai, reikalingi diagnozuojant ASS, yra soci­alinių įgūdžių, komunikacijos stoka ir vienodi, pasikar­tojantys veiksmai, ribotas interesų ratas [19]. Vystymosi sutrikimai dažniausiai pasireiškia ankstyvoje vaikystėje ir išlieka visą gyvenimą. Pirmuosius sutrikimų požymius galima pastebėti jau nuo 3 metų, tačiau dažniausiai ASS diagnozuojamas apie 7 gyvenimo metus. Ankstyvoji di­agnostika prognozuoja geresnę ligos eigą ir gerina paci­entų gyvenimo kokybę [1]. Nors duomenų ir studijų apie ASS netrūksta, tačiau atlikti tyrimai rodo, jog šeimos gy­dytojai stokoja žinių apie ASS vertinimo ypatumus, todėl diagnostika tampa vėlesnė, kartais ir netiksli. Pagrindiniai iššūkiai, su kuriais susiduria šeimos gydytojai, yra didelis darbo krūvis ir laiko stoka, žinių bei įgūdžių trūkumas, ASS komorbidiškumas su kitais sveikatos sutrikimais. Šiuo metu tikslinami ASS diagnostikos kriterijai ir ieš­koma naujų diagnostikos priemonių vertinti ASS, todėl svarbu atpažinti kliūtis, sunkinančias ASS diagnostiką ir valdymą, bei plėsti žinias apie šiuos sutrikimus [21,25].
SU ENDOSKOPINE RETROGRADINE CHOLANGIOPANKREATOGRAFIJA SUSIJUSI PERFORACIJA: DIAGNOSTIKA IR GYDYMAS
Authors: Pliuskutė Kamilė
Published: June 2024

Endoskopinė retrogradinė cholangiopankreatografija – tai kombinuota intervencinė procedūra, naudojama ke­penų, tulžies latakų ir kasos latakų ligų diagnostikai bei gydymui. Ši intervencinė procedūra yra plačiai taikoma, todėl pasitaiko ir komplikacijų. Perforacija endoskopinės retrogradinės cholangiopankreatografijos metu yra reta, tačiau gyvybei pavojinga komplikacija. Neretu atveju perforacija nustatoma iškart procedūros metu ir prade­damas atitinkamas gydymas. Pasitaiko atvejų, kai per­foracija nustatoma vėliau, atlikus vaizdo tyrimus, tačiau uždelsta diagnostika yra susijusi su prastesne gydymo baigtimi. Atitinkamas gydymas (konservatyvus ar chi­rurginis) parenkamas pagal pacientų klinikinę būklę bei vaizdo tyrimų rezultatus.
GAMBARAN KADAR CHOLINESTERASE DAN JUMLAH LEUKOSIT DALAM DARAH PADA LAKI-LAKI PETANI PADI PENGGUNA PESTISIDA
Authors: Dermawan Irwan , Purwati Purwati
Published: June 2024

Pestisida dapat masuk dalam tubuh melalui inhalasi sehingga untuk mengatahui keracunan atau paparan pestisida dalam tubuh di perlukan pemeriksaan kadar cholinesterase pada darah petani. cholinesterase merupakan enzim yang menghidrolisis neurotransmitter asetilkolin menjadi kolin menjadi kolin serta asam asetat. Pestisida yang terabsorbsi ke dalam tubuh dalam jangka panjang akan terakumulasi dan bermuara di organ hati, dikarenakan organ ini berfungsi sebagai pusat metabolisme dan detoksifikasi. masuknya pestisida kedalam tubuh juga membuat leukosit sebagai sistem pertahanan tubuh memberikan reaksi kepada tubuh   para petani  pengguna organofosfat. Tujuan penelitian ini untuk mengetahui gambaran kadar Cholinesterase dan jumlah leukosit pada petani padi pengguna pestisida organofosfat. Jenis penelitian ini merupakan penelitian deskriptif. Jumlah sampel 20 orang dipilih dengan kuota sampling. Hasil penelitian menunjukkan rata-rata Kadar cholinesterase 10.570 U/L. Kadar cholinesterase  terendah yaitu 6.983 U/L dan tertinggi 12.764 U/L. rata-rata jumlah leukosit dalam darah 5,37 103/uL. Jumlah leukosit terendah yaitu 2,7 103/uL dan  tertinggi 7,8 103/uL. Berdasarkan hasil menunjukkan bahwa 16 responden (80%) memiliki jumlah leukosit dalam batas normal, sedangkan kadar cholinesterase pada 20 responden (100%) memiliki kadar dalam batas normal. Berdasarkan hasil tersebut dapat disimpulkan bahwa pemantauan kadar Cholinesterase dalam darah petani tetap penting untuk meningkatkan kesadaran terhadap bahaya pestisida, selalu menggunakan alat pelindung diri, dan melakukan pengelolaan pestisida yang baik.
HUBUNGAN PENGETAHUAN DENGAN SIKAP KADER DALAM DETEKSI DINI KEHAMILAN RESIKO TINGGI DI DESA DUKUHWARU
Authors: Rejeki Sri Tanjung , Fitriani Yuni , Masturoh Masturoh
Published: June 2024

Kehamilan risiko tinggi adalah kehamilan patologi yang dapat mempengaruhi keadaan ibu dan janin yang dapat menyebabkan kematian ibu dan bayi. Upaya yang dapat dilakukan untuk menurunkan Angka Kematian Ibu (AKI) salah satunya melalui deteksi dini faktor risiko kehamilan oleh kader. Tujuan penelitian untuk mengetahui adanya hubungan pengetahuan dengan sikap kader dalam deteksi dini kehamilan resiko tinggi di desa dukuhwaru tahun 2022. Jenis penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Subjek dalam penelitian ini 27 kader di Desa Dukuhwaru Kabupaten Tegal tahun 2022, Teknik pengambilan sampel menggunakan total sampling. Analisis data menggunakan uji chi- square  menunjukkan nilai p-value sebesar 0,000 < α (0,05). Hasil penelitian menunjukkan adanya hubungan pengetahuan dengan sikap kader dalam deteksi dini kehamilan resiko tinggi di Desa Dukuhwaru tahun 2022. Pengetahuan merupakan faktor yang penting dalam membentuk tindakan seseorang. Semakin baik pengetahuan yang dimiliki oleh kader maka akan semakin baik pula dalam melakukan deteksi dini risiko tinggi kehamilan.
APLIKASI METODE BRAINSTORMING TENTANG KESEHATAN REPRODUKSI DI DESA BENGLE KABUPATEN TEGAL
Authors: Masturoh Masturoh , Setyatama Ike Putri , Siswati Siswati
Published: June 2024

Remaja merupakan masa peralihan dari anak-anak menuju masa dewasa. Pada masa ini begitu banyak perubahan yang terjadi terutama pada kesehatan reproduksinya, dan remaja perlu mendapatkan informasi yang tepat. KIE pada remaja mengenai kesehatan reproduksi ada berbagai metode, diantaranya diskusi, ceramah, tanya jawab, konselor sebaya, curah pendapat (brainstorming) dan lain-lain. Brainstorming merupakan salah satu metode yang digunakan untuk memecahkan masalah yang kreatif dengan mengumpulkan gagasan-gagasan dalam kelompok yang dilaksanakan dalam waktu yang singkat. Tujuan penelitian ini yaitu menganalisis keefektifan metode brainstorming dalam pemberian KIE pada remaja di Desa Bengle Kecamatan Talang Kabupaten Tegal. Penelitian ini dilaksanakan pada bulan November 2023. Populasi adalah remaja desa bengle yang bersedia mengikuti kegiatan KIE yang berjumlah 53 orang. Teknink sampling yang digunakan adalah total sampling. Hasil dari penelitian ini menunjukan nilai p untuk uji paired independent t-test 0,001 yang berarti bahwa H0 ditolak dan Ha diterima, yaitu ada perbedaan tingkat pengetahuan antara sebelum dan sesudah metode brainstorming. Sedangkan berdasarkan nilai rata-rata terjadi peningkatan -9,41 yang menunjukan adanya peningkatan pengetahuan sesudah metode brainstorming. Nilai minus -9,41 terjadi karena nilai rata-rata pre test lebih rendah dibandingkan post test atau 69,47-78,89= 9,14 dan selisih perbedaan tersebut adalah -12,81 sampai -6,01 (95% Confidence interval of the difference lower upper).
AKTIVITAS ANTIBAKTERI EKSTRAK DAUN KERSEN KOMBINASI DAUN TEH HIJAU TERHADAP BAKTERI Streptococcus mutans
Authors: Fitria Nisa Sifa , Istriningsih Endang , Pramiastuti Oktariani
Published: June 2024

Daun kersen (Muntigia calabura L.) dan daun teh hijau (Camellia sinensis L.) mempunyai senyawa metabolit sekunder yang berperan sebagai antibakteri. Senyawa yang berperan sebagai antibakteri pada daun teh adalah flavonoid, tanin, saponin dan alkaloid. Sedangkan senyawa yang berperan sebagai zat antibakteri pada daun kersen adalah flavonoid, saponin, triterpenoid, steroid dan tanin. Tujuan dari penelitian ini untuk mengetahui apakah kombinasi ekstrak daun teh hijau dan ekstrak daun kersen mempunyai efek antibakteri terhadap bakteri Streptococcus mutans dan pada konsentrasi berapa kombinasi ekstrak lebih besar mampu menghambat pertumbuhan bakteri Streptococcus mutans. Metode yang digunakan dalam penelitian ini adalah eksperimen laboratorium. Uji aktivitas antibakteri kombinasi ekstrak dilakukan dengan metode sumuran. Hasil penelitian yaitu pengujian aktivitas antibakteri kombinasi ekstrak daun teh hijau dan daun kersen terhadap bakteri Streptococcus mutans menunjukkan bahwa konsentrasi kombinasi 3 (2:1) dengan perbandingan 25% daun teh hijau dan 12,5% daun kersen dinyatakan paling besar dengan diameter daya hambat 15,50 mm. Berdasarkan hasil uji homogenitas (>0,05), hasil uji zona hambat bakteri menghasilkan nilai signifikansi sebesar 0,348, data dinyatakan homogen, kemudian dilanjutkan dengan uji ANOVA (>0,05), hasilnya adalah nilai signifikansi sebesar 0,024. Hal ini menunjukkan terdapat perbedaan nyata menurut data uji aktivitas antibakteri.
Patterns of Clinical Presentation and In-Hospital Outcome of Adult Patient with Guillain-Barre Syndrome
Authors: Ahmed Dr. Imtiaz , Chakraborty Dr. Shishir Ranjan , Hussain Dr. Mostofa , Khandaker Dr. Md. Alahi , Rony Dr. Md. Kashruzzaman
Published: June 2024

Background: Guillain Barre Syndrome (GBS) is an acute, inflammatory, immune-mediated disorder of the peripheral nervous system triggered usually by a bacterial or viral infection or other antecedent events. GBS has become the leading cause of acute flaccid paralysis with a worldwide distribution. The incidence of GBS is variable across the world with overall incidence of 0.81-1.89/100000/year and incidence increases with age. Aim of the Study: This observational study was carried out to observe the pattern of clinical presentation, electrophysiological profile, and in-hospital outcome of Guillain-Barre Syndrome (GBS). Methods: A total number of 40 GBS patients at the department of Internal medicine, Neurology and Intensive care unit (ICU) of Sylhet M.A.G Osmani Medical College Hospital, Sylhet were enrolled during the period of February 2020 to March 2021. All patients were studied in detail including history, clinical examination and investigation. Results: The age of the patients ranged from 16 to 46 years with the mean age of 30.10 ± 13.44 years. Most of the cases occurred in autumn (60.0%) and antecedent event was present in 27.5% cases. In 40% patient’s initial symptom was bipedal edema who eventually went on to develop limb weakness/paralysis after various interval. Limb weakness was initial symptoms in 50% patients where Ascending paralysis was noted in the most of the cases (90%) and rest all 4 limbs. About 30% of the cases had objective sensory disturbance in the form distortion of pain (12%) and light touch (20%). Out of 40 patients 3 were treated with IVIg and 4 patients were managed in ICU. At discharge good or favorable outcome (GBS score < 3) was in 72.5% of the study population and poor or unfavorable outcome (GBS score ≥ 3) was in 27.5%. In hospital mortality was 10% in our study. A high GBS disability score at admission, ICU admission and mechanical ventilation were the factors that significantly associated with poor in-hospital outcome in GBS (p value <0.001 and <0.004 respectively). Conclusion: A good number of patients had pedal edema as initial symptom and all in-hospital outcome was favorable.
The Impact of Zakat on Financial Performance
Authors: Askandar Noor Shodiq , Chandrarin Grahita , Zuhroh Diana
Published: June 2024

Sharia Banks in Indonesia since 1992, or around 26 years ago, are related to performance, which is still fluctuating, as well as a poor reputation and reputation related to customer trust in partnering with Sharia Banks, which is still minimal, as evidenced by the still low market share. If examined more deeply, Sharia banking has good growth potential in Indonesia. The majority of Indonesia's population is Muslim, around 87.18% of the total population of Indonesia. However, only around 5.86%, or around 17 million people from the total population of Indonesia, have Sharia Bank accounts (Financial Services Authority, 2022). The conditions above show several challenges that Sharia Banks must face. Sharia banks must continue to strive to carry out appropriate business strategies when facing the current conditions of Sharia banking. Sharia banks must try to improve their performance and reputation to compete with conventional banks. One of the predictor factors that can improve performance and reputation is the implementation of Good Corporate Governance (Syurmita & Fircarina, 2020). In carrying out business strategies that the company has planned to improve performance, the company needs to have good governance. Good Corporate Governance or corporate governance is a system that regulates and controls companies in running their business to increase success and accountability based on statutory regulations and ethical values (Safii, 2020). Implementing Good Corporate Governance in companies will minimize detrimental actions carried out by managers for personal interests. Therefore, the risks that a manager might pose can be reduced. Such actions are usually carried out by management, namely earnings management, which can be detrimental to many parties, even the company itself. Good corporate governance is the principle that directs and controls the company to achieve a balance between the power and authority of the company in providing accountability to stakeholders ....
Respiratory Distress in Children Aged 6 to 59 Months at the Pediatric Department of the Csref of Commune V of Bamako: Clinical and Therapeutic Aspects
Authors: M Kanté , Y Traoré , H Beydari B , M Traoré , I Koné , D Sacko , M Haïdara , K Bamba , C Kanté , A Kassogué , F Diakité , O Diamouténé , F Sylla , A Doumbia , AA Diakité , FD Traoré
Published: June 2024

Introduction: Respiratory distress in children is a frequent emergency in daily practice. The aim was to describe the clinical and therapeutic characteristics of respiratory distress in young children aged 6 to 59 months admitted to the paediatric emergency department of CSREF CV. Methods: This was a prospective cross-sectional study conducted over a 12-month period from 01 August 2022 to 31 July 2023. Data were collected using an individual survey form. S0PSS 23.0 software was used for data entry and analysis. Results: During the study period, 881 hospital admissions were recorded, including 82 cases of respiratory distress, i.e. a frequency of 9.31%. Females were more prevalent (57.3%). The most common age group was 6-12 months (46.34%). The month with the highest number of admissions was September (15.85%). Dyspnoea was the most common reason for consultation (31.06%) and hospitalisation (68.29%). Intercostal indrawing was the most common sign of respiratory difficulty (49.02%). Pneumonia was the most common pulmonary cause (54.88%). The majority of patients were hospitalised for 1 to 5 days (47.56%). Almost a third of patients received antibiotic treatment (27.80%). Conclusion : Early management of respiratory distress can reduce the length of hospital stay and improve vital prognosis.
Bacteremias in Intensive Care Unit: A Two-Year Retrospective Study
Authors: Mamoune M. El , Boudriiya T. , Souly K. , Zouhdi M.
Published: June 2024

Nosocomial infections, particularly bacteremias, are a significant concern in intensive care units (ICUs) due to their invasive nature and the severity of patient’s conditions. This retrospective study aimed to investigate the epidemiological and resistance profile of bacteria isolated from blood cultures in patients admitted to the intensive care units of Ibn Sina University Hospital in Rabat. The study spanned over 24 months, from January 2021 to December 2022. Data from 725 positive blood cultures were analyzed, and 423 cases met the criteria for bacteremia. Gram-negative bacilli were more frequently isolated than gram-positive cocci, with Klebsiella pneumoniae and Acinetobacter baumannii being the most prevalent species. The resistance profile of the isolated bacteria was assessed using various techniques, including automated systems and disk diffusion. The findings underscore the importance of identifying the responsible bacterial species and their resistance patterns in ICU settings to guide appropriate treatment strategies and improve patient outcomes. Further research and interventions are needed to address the challenges posed by nosocomial infections in ICUs and reduce their associated morbidity and mortality rates.
Promise of In vitro Embryo Production Technology for Improvement of Cattle Reproductive Potential
Authors: Yusuf Ayda Mohammed
Published: June 2024

In vitro embryo production is a process of creating a live animal through a combination of different procedures by oocyte collection from the female donor animal, maturation of oocytes in vitro, fertilization of oocytes in vitro and culturing embryos under a controlled laboratory environment. Production of embryos in vitro plays a role for improvement of cattle reproductive potential along with other technologies such as Ovum pick-up, Embryo transfer, Artificial insemination, gamete sexing, cryo preservation and genetic selection. Major advantages of in vitro production of embryos is that oocytes can be retrieved from slaughtered, juvenile, pregnant and old cattle. This helps to utilize a female cattle reproductive potential fully and produce greater number of embryos in a less amount of time unlike Multiple Ovulation and Embryo Transfer program which takes a long day. Another advantage of production of embryos in vitro is utilization of less semen. It takes only one straw of semen to fertilize more than two hundred oocytes. In vitro Production of embryos can be used to genetically select high potential female and male animal to produce genetically proved animal with a good performance for improving dairy and beef production. In vitro production of embryos will only be successful if factors such as breed of donor animal, age, body condition and nutritional management for the donor and recipient animals, laboratory equipments, bull effect, cryopreservation and semen preparation method can be controlled and managed. In vitro production of embryos along with ovum pick up technology can be taken as one of conservation strategy to increase the number of endangered animals. In general In vitro Production of embryos can be regarded as the economic gain of the country if employed in a large scale program.
Phenomenological Study of Teachers Role in Shaping the Moral Character of Elementary School Students: Systematic Literature Analysis
Authors: Andayani Andayani
Published: June 2024

Character education in primary schools is becoming increasingly important in the Industrial era. This article emphasizes the urgency of character education in preparing students to face the challenges of a rapidly changing future. Some types of research raised in the article include the contribution of social science to character education, the application of scouting methods in character education, the integration of character education for children with special needs, and the role of Islamic education in shaping student character in the Industrial era. In addition, the articles also present a review of academic literature on character education. Although the specific type of research contained in the journal is not mentioned, the research in this journal covers a range of approaches, including qualitative research, literature reviews and implementation research. This shows the diversity of approaches used to understand and implement character education in primary schools amid the dynamics of the Industrial era.
The Relationship Between Emotional Stability and Family Motivation on Vocational Competence of Students with Intellectual Disabilities
Authors: Lilis Andreani  , Luqman Hidayat
Published: June 2024

This research aims to determine the relationship between emotional stability and family motivation on the independence of vocational competence of mentally disabled students in State Special Schools in Yogyakarta City. This research uses a quantitative approach with data analysis using parametric statistical methods, which are analyzed descriptively to test the hypothesis using the Product Moment Correlation test at a significance level of α = 0.05. Correlation research is a non-experimental research that measures three variables and calculates the statistical relationship between the three variables using a questionnaire. Decision-making thesis testing in this research shows that the value of r_count>r_table means a relationship exists between the variables. The Pearson Correlation value between the Vocational Independence and Emotional Stability variables is -0.059, which is smaller than r_table, na3. Pearson Correlation value between the Vocational Independence variable and the family motivation variable is 0.519, which is than r_table, namely 0.316. So, there is no significant relationship between the emotional stability and Vocational Independence variables. However, there is still a relationship between the family motivation and Independence variables.
Planifikimi Urban. Volumi 2 - Planifikimi Rregullues
Authors:   POLIS University, Aliaj Besnik
Published: June 2024

Planifikimi urban apo rajonal mund të përcaktohet si një përpjekje e bashkërenduar e autoriteteve publike për të orientuar zhvillimin e tokës në interes të mirëqënies së përbashkët dhe eficencës ekonomike. Tashmë ai përdoret pothuajse në të gjitha vendet e botës duke u konsideruar si një mjet efikas si në vendet e zhvilluara ashtu dhe ato në zhvillim, si nga shoqëritë kapitaliste ashtu edhe nga ato socialiste. Është e rëndësishme që në fillim të theksojmë se objekti i kësaj analize mbi evolucionin e planeve urbanistike, së pari përbëhet nga struktura që ka dominuar instrumentat urbanistike në periudha të ndryshme. Në mënyrë të qëllimshme janë përjashtuar rastet e veçanta, edhe pse mund të jenë tepër sinjifikative, me qëllim që të hidhet dritë mbi karakteristikat e përgjithshme të çdo lloj plani. Ndërkohë, referimi qoftë edhe pjesor ndaj rasteve të veçanta, të cilat janë mjaft të larmishme, nuk do të krijonte mundësi që të ekspozoheshin idetë kryesore të planifikimit brenda hapësirës që lejon ky libër. Kjo ka sjellë në mënyrë të pashmangshme përgjithësimin në mënyrë skematike të ideve.
Two Graph Games
Authors: Chodounský David , Zapletal Jindřich
Published: June 2024

We isolate two simple infinite determined games on analytic graphs. With their help, we prove that certain large classes of analytic graphs have countable chromatic number.