bluuebunny/crossref_metadata_2025 huggingface dataset:
THE IMPACT OF LONG-TERM FOLLOW-UP ON TOTAL HIP ARTHROPLASTY: A SYSTEMATIC REVIEW
Authors:   MBBS, Medical Resident at Saudi Board of Orthopedic Surgery, Jeddah, Saudi Arabia., H. Al Asmri Ali , M. Al Rajhi Basil ,   MBBS, Medical Resident at Saudi Board of Orthopedic Surgery, Jeddah, Saudi Arabia.
Published: July 2022

Total hip arthroplasty (THA) is a highly effective procedure, however national registries show that the average age has decreased and that younger patients are more likely to require revision. Long-term THA follow-up has traditionally been suggested to detect aseptically failing THA and reduce the dangers associated with significant modifications however follow-up services are presently in decline. To assess the influence of long-term follow-up on total hip arthroplasty, a systematic review was done. The study was registered with the PROSPERO International Prospective Register of Systematic Reviews and followed PRISMA principles databases included MEDLINE and Embase, and all studies were evaluated for quality. From 2009 to 2020, original research was conducted on the follow-up of persons with THA. 4,137 papers were reviewed for eligibility 30 studies were included in the final analysis, representing 25 nations throughout the world. The study endpoint, patient details, loss to follow-up, revisions, ratings, and radiographic analyses were all retrieved. Total hip arthroplasty patients had a worse long-term self-reported physical quality of life and hip functioning than untreated patients with advanced hip osteoarthritis, although they nevertheless perform better physically. The amount of post-surgical satisfaction, on the other hand, is very high.
Youth attitude to entrepreneurship in Eastern and Central European countries: Gender aspect
Authors: Wasilczuk Julita , Karyy Oleh
Published: July 2022

Current business conditions pose new challenges to youth entrepreneurship, which is a significant component of countries’ economic growth. In addition, Generation Z differs from previous generations and requires new approaches. In this context, a comprehensive study of the peculiarities and various aspects of youth entrepreneurship development is highly-demanded and relevant. Furthermore, the lower representation of women among entrepreneurs prompts the study to seek answers about the causes of this phenomenon.This study aims to investigate the gender aspect of young people’s attitude (students who just started their university education) from Eastern and Central European countries to entrepreneurship. Notably, their entrepreneurial intentions, attitudes toward entrepreneurship, perceived threats of setting up the business, and determination to start/run a family business compared to working for a big corporation, from a gender perspective, are worth investigating. The study employed the survey with structured printed questionnaires spread in campuses among 3,636 first-year (bachelor) students of technical universities in Ukraine, Poland, Latvia, Lithuania, and Bulgaria. The results show that male students are more determined to set up firms; however, the difference compared to the females is only 3.3%. No gender differences were observed in the vision of the attractiveness of running own business or in the perception of threats in running a business. Students of both genders do not suppose that working in a corporation is more attractive than a family business. Nevertheless, respondents of both genders gave the maximum score for the statement that corporations provide more excellent opportunities to develop competencies.
Novelization of the provisions of the Criminal Code on circumstances that exclude a criminal offense under martial law
Authors: Ponomarenko Yurii Anatoliiovych
Published: July 2022

The article is devoted to the analysis of lawful behavior of civilians, who during and in order to protect Ukraine cause harm to the aggressor state. Relevant amendments to the Criminal Code of Ukraine (Articles 43-1 and 22 of the Final and Transitional Provisions), which were introduced during the large-scale war with Russia, have been studied.
It has been established that both of these legal norms provide for a subjective right, but not a legal obligation, of an individual (not a combatant) to harm the lives of soldiers and government officials of the aggressor state, property interests of the aggressor state, etc. The basis for a person to exercise this subjective right has been determined. The signs that the lawful behavior of a person defending Ukraine from foreign aggression should correspond to are established. In particular, it is established that such conduct must be directed exclusively against the interests of the aggressor state and may not harm anyone else's interests. The lawful infliction of harm is possible at any time from the imposition of martial law to its termination. The purpose of the lawful establishment of the school is solely to protect Ukraine from foreign aggression.
The limits of lawful infliction of harm to the aggressor are separately analyzed and it is concluded that the current criminal legislation of Ukraine allows the possibility of inflicting any kind and amount of harm to the aggressor. On this basis, it was concluded that it is impossible to exceed the limits of lawful harm to the aggressor, and hence – the impossibility of criminal liability for exceeding such limits.
A number of recommendations for courts and pre-trial investigation bodies on the practical application of Art. 43-1 and paragraph 22 of the Final and Transitional Provisions of the Criminal Code. Separately formulated and substantiated proposals for amendments to the Criminal Code of Ukraine aimed at improving the analyzed norms.
Projection of rainfall variability in Egypt by regional climate model simulations
Authors: Gado Tamer A. , El-Hagrsy Rufayda M. , Rashwan Ibrahim M. H.
Published: July 2022

This study analyzed rainfall projections in Egypt throughout the current century in the context of climate change. Three common bias-correction methods were applied to adjust regional climate model (RCM) simulations of precipitation regarding the observed daily rainfall data of 15 locations in Egypt. The results revealed that the empirical quantile mapping was the most appropriate method to correct the projection of rainfall indices. The projected changes in rainfall showed significant increases at most locations for all future scenarios. The western part of the country will be the most affected by climate change, anticipating a significant increase in precipitation, in contrast to the regions of the Nile Valley, Delta, and the Northern Coast, which may witness a decrease in precipitation and an increase in meteorological drought. Under the worst-case scenario, the rate of increase in rainfall indices over the country is expected to decline during the last decade of the century. These findings will provide a better understanding of the future changes in precipitation that may have critical impacts on the development in Egypt.
A study on coupling of the grassland pattern and the flood process in Poyang Lake based on the island biogeography theory
Authors: Luo Shiqi , Chen Wenbo , Xiong Qiongbing , He Lei
Published: July 2022

As a typical type of landscape in Poyang Lake, the largest freshwater lake in China, grassland has been deeply disturbed by the flooding process. However, how the vegetation landscape diversity responds to the flooding process of Poyang Lake remains unclear. In this paper, we randomly selected 10 grasslands in the period of a normal water level from 2010 to 2019 to study the coupling relationship between the vegetation landscape diversity and flooding process, and established the related models based on the island biogeography theory. The results are as follows. (1) There is a positive correlation between the grassland vegetation landscape diversity and grassland area, the best fitting model is the logarithmic function. (2) Using the general dynamic model of island biogeography as a reference, the model of diversity–area–flooding established by using the area of grassland and duration as predictor variables has the highest goodness-of-fit. (3) If grassland was flooded for 120–130 days and the maximum depth of flooding is not more than 2.5 m every year, the vegetation landscape diversity in grasslands will be the highest. The findings have provided an extension to the study of the response of vegetation to flooding processes, and provide a certain theoretical basis for the protection and management of the Poyang Lake ecosystem.
SIMEON: Prediction of Chemical-protein Interaction via Stacked
Bi-GRU-normalization Network and External Biomedical Knowledge
Authors: Ma Xiaolei , Lu Yang , Lu Yinan , Jiang Mingyang
Published: July 2022

Background:

Chemical compounds and proteins/genes are an important class of entities in
biomedical research, and their interactions play a key role in precision medicine, drug discovery, basic
clinical research, and building knowledge bases. Many computational methods have been proposed to
identify chemical–protein interactions. However, the majority of these proposed models cannot model
long-distance dependencies between chemical and protein, and the neural networks used to suffer from
gradient descent, with little taking into account the characteristics of the chemical structure characteristics of the compound.

Methods:

To address the above limitations, we propose a novel model, SIMEON, to identify chemical–
protein interactions. First, an input sequence is represented with pre-trained language model and an attention mechanism is used to uncover contribution degree of different words to entity relations and potential semantic information. Secondly, key features are extracted by a multi-layer stacked Bidirectional Gated Recurrent Units (Bi-GRU)-normalization residual network module to resolve higherorder dependencies while overcoming network degradation. Finally, the representation is introduced to
be enhanced by external knowledge regarding the chemical structure characteristics of the compound
external knowledge

Results:

Excellent experimental results show that our stacked integration model combines the advantages of Bi-GRU, normalization methods, and external knowledge to improve the performance of
the model by complementing each other

Conclusion:

Our proposed model shows good performance in chemical-protein interaction extraction,
and it can be used as a useful complement to biological experiments to identify chemical-protein interactions.
An Analysis of the Relationship Between Premenstrual Syndrome and Aggression Tendencies Among Turkish Adolescent Girls
Authors: Evcili Funda , Guclu Gulsen
Published: July 2022

Background:

Premenstrual syndrome affects women’s physical,
psychological, and social health negatively. Moreover, it causes behavioral
disorders such as anger, crime, and aggression tendencies. However, there is a
limited number of studies in the literature which examined the relationship between
premenstrual syndrome and crime, aggression, or violence.

Objective:

The objective of this study was to identify the relationship between
premenstrual syndrome and aggression tendencies.

Methods:

This is a descriptive study. The 774 voluntary adolescent girls studying at
a state university in Turkey constituted the sample of the research.

Results:

The mean age of adolescent girls was 19.05 ± 1.64. The mean age of first
menstruation for the participants was 13.35 ± 1.23. It was determined that 58.3% of
the participants had a premenstrual syndrome. Premenstrual syndrome intensity
levels were higher among adolescent girls whose menstruation interval was < 28
days, those who had “irregular” menstrual cycles, those who found their
menstruation-related knowledge “inadequate”, those diagnosed with “anemia” and
those who thought their anger/aggression tendencies increased in their
“premenstrual period” (p<0.05). Moreover, aggression tendencies increased among
adolescent girls as the intensity of premenstrual syndrome increased (p<0.05).

Conclusion:

Health professional's premenstural symptoms were carefully evaluated
and individualized care and treatment plans were created.
Dampak Harga Gabah terhadap Nilai Tukar Petani Tanaman Pangan : Aplikasi Autoregressive Distribusi Lag (ARDL)
Authors: Faillah Faillah
Published: July 2022

Produksi padi Jawa Barat adalah terbesar ketiga di Indonesia. Tahun 2020 total produksi sebanyak 9,017 juta ton gabah kering giling (GKG), dengan rata-rata harga GKG sekitar Rp. 5.427,39. Pada saat yang sama, nilai tukar petani tanaman pangan yang didominasi oleh petani padi mengalami trend kenaikan sepanjang periode 2018 sampai dengan 2020. Penelitian ini bertujuan untuk mengetahui pengaruh perubahan harga gabah, baik harga di tinggkat petani maupun di penggilingan terhadap nilai tukar petani tanaman pangan di Jawa Barat. Sebuah model Autoregressive distributed lag (ARDL) diterapkan pada data runtut waktu yang terdiri dari 36 observasi yang mencakup periode 2018 sampai dengan 2020. Hasil estimasi memperlihatkan perubahan harga gabah di tingkat petani berdampak positif dan signifikan terhadap NTP tanaman pangan. Dampak tersebut bekerja secara langsung tanpa jeda waktu (time-lag). Sedangkan dampak harga gabah di penggilingan terhadap NTP tanaman pangan membutuhkan jeda waktu tiga bulan baru bekerja, sementara itu dampak produksi terhadap NTP tanaman pangan akan direspon dengan jeda waktu dua bulan.
Analisis Pendapatan Usahatani Beras Merah Organik Studi Kasus di Kelompok Tani Sarinah Bandung
Authors: Gumanti Catur Parah , Nauly Dahlia
Published: July 2022

Kesadaran masyarakat akan bahaya bahan anorganik dari penggunaan pupuk kimia dan pestisida kimia sintesis terhadap kesehatan dan lingkungan menyebabkan terjadinya peralihan budidaya ke sistem pertanian organik.  Kelompok Tani Sarinah Desa Bumiwangi Kecamatan Ciparay Kabupaten Bandung Provinsi Jawa Barat melakukan budidaya beras merah organik dari tahun 2004 dan memiliki produktivitas yang cukup tinggi 7.84 ton/ha, akan tetapi petani merasa pendapatannya tidak layak.  Analisa usahatani budidaya beras merah secara organik di Kelompok Tani Sarinah dilakukan untuk mengetahui pendapatan usahatani di Kelompok Tani Sarinah pada sekali musim tanam tahun 2020.  Penelitian ini dilakukan pada bulan Agustus-Desember 2020 dengan metode wawancara, observasi dan studi pustaka.  Hasil penelitian menunjukan biaya yang dikeluarkan petani dalam satu kali musim tanam di Kelompok Tani Sarinah adalah Rp.64.450.642,-/ha dengan total penerimaan petani adalah Rp.86.774.158,-/ha dan nilai pendapatan sebesar Rp.22.323.516,-/ha.  Nilai R/C Rasio yang diperoleh adalah 1.35 dan berdasarkan nilai ini usahatani di Kelompok Tani Sarinah layak untuk diusahakan.
Information and Communication Technologies in Patients With Immune-Mediated Inflammatory Diseases: Cross-sectional Survey
Authors: Chamorro-de-Vega Esther , Romero-Jiménez Rosa , Escudero-Vilaplana Vicente , Ais-Larisgoitia Arantza , Lobato Matilla María Elena , González Carlos M , Menchén Luis , Baniandrés Ofelia , Ibares-Frias Lucía , Lobo-Rodríguez Carmen , Herranz-Alonso Ana , Sanjurjo María
Published: July 2022

Background

Information and communication technologies (ICTs) are changing the traditional health care model and redefining personalized health. ICTs offer effective communication and real-time monitoring of patients and provide additional data to support clinical decision-making, improve the quality of care, and contribute to the empowerment of patients. However, evidence on the use of ICTs and digital preferences of immune-mediated inflammatory disease (IMID) patients is scarce.

Objective

The aim of this study is to describe the degree of use of ICTs in patients with IMIDs (including rheumatic diseases, inflammatory bowel diseases, and psoriasis), identify their needs, and analyze their interest in the use of apps as tools for better management of their disease.

Methods

A questionnaire was created by a multidisciplinary team including pharmacists, rheumatologists, gastroenterologists, dermatologists, and nurses with experience in ICTs applied to the field of IMID. The survey included 27 questions organized into 3 blocks: (1) sociodemographic characteristics, (2) ICT use for health-related information, and (3) patient expectations about mobile health.

Results

A total of 472 questionnaires were analyzed. Overall, 52.9% (250/472) of patients were diagnosed with a rheumatologic disease, 39.4% (186/472) with inflammatory bowel disease, and 12.3% (58/472) with psoriasis. The state of health was considered good by 45.6% (215/472) of patients. Patients were interested in staying informed about health issues in 86.9% (410/427) of cases and sought health-related information mainly from the internet (334/472, 70.8%) and health care professionals (318/472, 67.4%). Overall, 13.6% (64/472) did not trust the health information they found in internet. Of the patients, 42.8% (202/472) had a health app, and 42.2% (199/472) had found it on their own. Patients would like a health app to help mainly to manage appointments (281/472, 59.5%), obtain information about their diseases and treatments (274/472, 58.1%), and get in contact with health professionals (250/472, 53.0%). Overall, 90.0% (425/472) of patients reported they would use an app to manage their IMID if their health professional recommended it, and 58.0% (274/472) would pay or probably be willing to pay for it.

Conclusions

IMID patients were very interested in finding health-related information via ICTs, especially using smartphones and apps recommended by health professionals. Appointment management, advice on disease and treatment management, and personalized communication with health professionals were the most desired app features identified. Health professionals should play an essential role in recommending and validating these tools to ensure they are of high quality.
Explaining the Varying Patterns of COVID-19 Deaths Across the United States: 2-Stage Time Series Clustering Framework (Preprint)
Authors: Megahed Fadel M , Jones-Farmer L Allison , Ma Yinjiao , Rigdon Steven E
Published: July 2022

BACKGROUND

Socially vulnerable communities are at increased risk for adverse health outcomes during a pandemic. Although this association has been established for H1N1, Middle East respiratory syndrome (MERS), and COVID-19 outbreaks, understanding the factors influencing the outbreak pattern for different communities remains limited.

OBJECTIVE

Our 3 objectives are to determine how many distinct clusters of time series there are for COVID-19 deaths in 3108 contiguous counties in the United States, how the clusters are geographically distributed, and what factors influence the probability of cluster membership.

METHODS

We proposed a 2-stage data analytic framework that can account for different levels of temporal aggregation for the pandemic outcomes and community-level predictors. Specifically, we used time-series clustering to identify clusters with similar outcome patterns for the 3108 contiguous US counties. Multinomial logistic regression was used to explain the relationship between community-level predictors and cluster assignment. We analyzed county-level confirmed COVID-19 deaths from Sunday, March 1, 2020, to Saturday, February 27, 2021.

RESULTS

Four distinct patterns of deaths were observed across the contiguous US counties. The multinomial regression model correctly classified 1904 (61.25%) of the counties’ outbreak patterns/clusters.

CONCLUSIONS

Our results provide evidence that county-level patterns of COVID-19 deaths are different and can be explained in part by social and political predictors.
Upper Airway Assessment in Cone-Beam Computed Tomography for Screening of Obstructive Sleep Apnea Syndrome: Development of an Evaluation Protocol in Dentistry (Preprint)
Authors: Fonseca Catarina , Cavadas Francisca , Fonseca Patrícia
Published: July 2022

BACKGROUND

The upper airways are formed by the nasal cavities, pharynx, and larynx. There are several radiographic methods that allow evaluation of the craniofacial structure. Upper airway analysis in cone-beam computed tomography (CBCT) may be useful in diagnosing some pathologies such as obstructive sleep apnea syndrome (OSAS). OSAS prevalence has increased significantly in recent decades, justified by increased obesity and average life expectancy. It can be associated with cardiovascular, respiratory, and neurovascular diseases, diabetes, and hypertension. In some individuals with OSAS, the upper airway is compromised and narrowed. Nowadays, CBCT is widely used in dentistry by clinicians. Its use for upper airway assessment would be an advantage for screening some abnormalities related to an increased risk of pathologies such as OSAS. CBCT helps to calculate the total volume of the airways and their area in different anatomical planes (sagittal, coronal, and transverse). It also helps identify regions with the highest anteroposterior and laterolateral constriction of the airways. Despite its undoubted advantages, airway assessment is not routinely performed in dentistry. There is no protocol that allows comparisons between studies, which makes it difficult to obtain scientific evidence in this area. Hence, there is an urgent need to standardize the protocol for upper airway measurement to help clinicians identify at-risk patients.

OBJECTIVE

Our main aim is to develop a standard protocol for upper airway evaluation in CBCT for OSAS screening in dentistry.

METHODS

To measure and evaluate the upper airways, data are obtained using Planmeca ProMax 3D (Planmeca). Patient orientation is performed in accordance with the manufacturer's indications at the time of image acquisition. The exposure corresponds to 90 kV, 8 mA, and 13,713 seconds. The software used for upper airway analysis is Romexis (version 5.1.O.R; Planmeca). The images are exhibited in accordance with the field of view of 20.1×17.4 cm, size of 502×502×436 mm, and voxel size of 400 μm.

RESULTS

The protocol described and illustrated here allows for automatic calculation of the total volume of the pharyngeal airspace, its area of greatest narrowing, its location, and the smallest anteroposterior and laterolateral dimensions of the pharynx. These measurements are carried out automatically by the imaging software whose reliability is proven by the existing literature. Thus, we could reduce the possible bias of manual measurement, aiming at data collection.

CONCLUSIONS

The use of this protocol by dentists will allow for standardization of the measurements and constitutes a valuable screening tool for OSAS. This protocol may also be suitable for other imaging software. The anatomical points used as reference are most relevant for standardizing studies in this field.

INTERNATIONAL REGISTERED REPORT

RR1-10.2196/41049
Economic Evaluations of Digital Health Interventions for the Management of Musculoskeletal Disorders: Systematic Review and Meta-Analysis (Preprint)
Authors: Fatoye Francis , Gebrye Tadesse , Mbada Chidozie , Useh Ushotanefe
Published: July 2022

BACKGROUND

Musculoskeletal disorders (MSDs) are widespread in many countries and their huge burden on the society has necessitated innovative approaches such as digital health interventions. However, no study has evaluated the findings of cost-effectiveness of these interventions.

OBJECTIVE

This study aims to synthesize the cost-effectiveness of digital health interventions for people with MSDs.

METHODS

Electronic databases including MEDLINE, AMED, CIHAHL, PsycINFO, Scopus, Web of Science, and Centre for Review and Dissemination were searched for cost-effectiveness of digital health published between inception and June 2022 following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. References of all retrieved articles were checked for relevant studies. Quality appraisal of the included studies was performed using the Quality of Health Economic Studies (QHES) instrument. Results were presented using a narrative synthesis and random effects meta-analysis.

RESULTS

A total of 10 studies from 6 countries met the inclusion criteria. Using the QHES instrument, we found that the mean score of the overall quality of the included studies was 82.5. Included studies were on nonspecific chronic low back pain (n=4), chronic pain (n=2), knee and hip osteoarthritis (n=3), and fibromyalgia (n=1). The economic perspectives adopted in the included studies were societal (n=4), societal and health care (n=3), and health care (n=3). Of the 10 included studies, 5 (50%) used quality-adjusted life-years as the outcome measures. Except 1 study, all the included studies reported that digital health interventions were cost-effective compared with the control group. In a random effects meta-analysis (n=2), the pooled disability and quality-adjusted life-years were –0.176 (95% CI –0.317 to –0.035; P=.01) and 3.855 (95% CI 2.023 to 5.687; P<.001), respectively. The meta-analysis (n=2) for the costs was in favor of the digital health intervention compared with control: US $417.52 (95% CI –522.01 to –313.03).

CONCLUSIONS

Studies indicate that digital health interventions are cost-effective for people with MSDs. Our findings suggest that digital health intervention could help improve access to treatment for patients with MSDs and as a result improve their health outcomes. Clinicians and policy makers should consider the use of these interventions for patients with MSDs.

CLINICALTRIAL

PROSPERO CRD42021253221; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=253221
On the isotopic characterizations of generalized Bol loops
Authors: Adéníran J. O. , Jaiyéọlá T. G. , Ìdòwú K. A.
Published: July 2022

In this study, the notion of isotopy of generalized Bol loop is characterized. A loop isotope of a σ-generalized Bol loop is shown to be a σ’-generalized Bol loop if σ’ fixes its (isotope) identity element where σ’ is some conjugate of σ. A loop isotope of a σ-generalized Bol loop is shown to be a σ’-generalized Bol loop if and only if the image of the isotope’s identity element under σ’ is right nuclear (where σ’ is some conjugate of σ). It is shown that a generalized Bol loop can be constructed using a group and a subgroup of it. A right conjugacy closed σ-generalized Bol loop is shown to be a σ-generalized right central loop.
An up-to-date checklist of Turkish Pentatomidae (Hemiptera: Heteroptera) with additional records
Authors: FENT Meral , DURSUN Ahmet
Published: July 2022

In this study, an up-to-date list of Pentatomidae family, one of the large families of Heteroptera suborder, in Turkey with the latest taxonomic developments is presented. As a result of the literature review, 61 genera and 174 species/subspecies (2 species only in European Turkey, 97 species only in Asian Turkey) belonging to 4 subfamilies and 13 tribes from the Turkish Pentatomidae fauna were determined. Distribution of the species by subfamilies: 14 species of Asopinae (10 in European and 13 in Asian Turkey), 125 species of Pentatominae (57 in European and 125 in Asian Turkey), Phyllocephalinae 1 species (only in Asian Turkey) and 34 species Podopinae (10 in European and 33 in Asian Turkey). The distributions of these species in Turkey (in European and Asian Turkey), Palaearctic distributions and changes in their taxonomic positions are given. In addition, additional records for 53 species, mainly from the Thrace Region, were given from various localities in Thrace and Anatolia. Pentatoma rufipes (Linnaeus, 1758) is first record for the Thrace Region. Four species, which were given in 19. century without a specific locality record, need to be verified. Two species were excluded from the Turkey list.
Pengaruh Tata Ruang Bangsal terhadap Perilaku Pasien Rumah Sakit Jiwa Daerah Surakarta
Authors: Devi Nadia Puspita , Nurjayanti Widyastuti
Published: July 2022

Kesehatan merupakan salah satu asset berharga yang dimiliki setiap manusia. Kesehatan terdiri dari dua macam yaitu kesehatan fisik/jasmani dan kesehatan psikis/rohani. Penyakit psikis lebih sulit terdeteksi dibandingkan penyakit fisik karena biasanya timbul akibat adanya gangguan pada kesehatan jiwa/mental. Gangguan jiwa atau gangguan mental merupakan sindrom atau pola perilaku seseorang berkaitan dengan adanya gejala penderitaan (distress) yang menyerang salah satu fungsi penting pada tubuh manusia. Orang-orang dengan gangguan kesehatan biasanya diwadahi di rumah sakit. Individu dengan gangguan kesehatan jiwa, diwadahi di rumah sakit jiwa. Sebelum menjalankan rehabilitasi, pasien mental yang memerlukan rawat inap terlebih dahulu ditempatkan di bangsal. Bangsal memiliki peran yang besar dalam mempengaruhi kondisi psikologis pasien dan kondisi kesehatan dan keamanan pasien. Tata ruang bangsal baik secara zonasi maupun penataan interior pada bangsal harus diperhatikan mengingat pengguna utama ruang tersebut adalah pasien dengan gangguan jiwa. Penelitian ini bertujuan untuk mengetahui bagaimanakah pola tata ruang bangsal di Rumah Sakit Jiwa Daerah (RSJD) Surakarta dan bagaimana pengaruhnya terhadap perilaku pasien. Penelitian dilakukan dengan metode kualitatif berupa wawancara dan pengamatan langsung terhadap objek penelitian. Data hasil penelitian dianalisa dengan menggunakan metode behavioral mapping dan metode superimposed. Penelitian ini menghasilkan elemen-elemen tertentu seperti jarak antar tempat tidur, elemen jendela dan pintu, dan suasana pada ruang, yang dapat mempengaruhi perilaku tertentu pada pasien.
Karakteristik Pedagang Kaki Lima (PKL) Di Pusat Kota Pekalongan
Authors: Setyaningrum Wahyu , Pandelaki Edward E. , Suprapti Atik
Published: July 2022

Karakteristik Pedagang Kaki Lima (PKL) di Pusat Kota Pekalongan dipengaruhi oleh kegiatan pada sektor formal dan informal yang berdampingan satu dengan yang lainnya yang menjadikan Alun-alun salah satu lokasi yang paling diminati untuk berjualan para Pedagang Kaki Lima. Tujuan dari penelitian ini adalah mengidentifikasi karakteristik PKL. Karakteristik dari PKL ini meliputi : aktivitas dari PKL baik berupa lokasi, waktu berdagang, sarana fisik perdagangan dan jenis dagangannya, pola penyebaran PKL dan pola pelayanan PKL. Teknik pengumpulan data yang digunakan yaitu pengamatan langsung di lapangan, dengan didukung studi pustaka dan wawancara. Penelitian ini menunjukkan bahwa karakteristik Pedagang Kaki Lima di Pusat Kota Pekalongan dipengaruhi oleh lokasinya yang strategis, waktu berdagang yang menyesuaikan keramaian lokasi baik pagi, siang hingga malam hari, sarana fisik perdagangan dan jenis dagangannya (tidak permanen dan dapat dipindah-pindah dengan menggunakan gerobak, dengan meja dan kursi yang setelah selesai berjualan bisa dibawa pulang kembali), serta pola penyebaran PKL mengelompok dan linear. Sehingga diharapkan akan didapatkan keselarasan adanya PKL ini, tidak mengganggu pejalan kaki dan menimbulkan pengaruh pada lingkungan sekitar tempat berjualannya.
Pola Ruang Gerak dan Sirkulasi Ruang Tunggu Klinik Gigi Gentan Sukoharjo pada Masa Pandemi Covid-19
Authors: Muhammad Johan Maulana , Mutiari Dhani
Published: July 2022

Wabah Covid-19 telah menyebar dengan cepat ke Indonesia dengan melalui droplet dan permukaan benda yang terkena droplet. Upaya pencegahan penyebaran virus telah diterapkan melalui peraturan protokol kesehatan dengan adaptasi kebiasaan baru (new normal) diberlakukan di berbagai fasilitas kesehatan. khususnya dalam klinik gigi. Klinik gigi merupakan pelayanan kesehatan gigi dan mulut dimana pasien diharuskan melepas masker saat melakukan pemeriksaan, sehingga pelayanan klinik gigi rentan terjadi kontaminasi virus. Tujuan dilakukannya penelitian adalah untuk mengetahui pola gerak (aktivitas) pasien dan sirkulasi terhadap tata ruang tunggu klinik gigi di tengah masa pandemi. Penelitian ini mengambil studi kasus di klinik Gentan Dental Care yang memiliki jumlah pasien cukup banyak terutama pada hari Rabu, Jumat dan Minggu sehingga terjadi penumpukan pasien di ruang tunggu.  Metode penelitian ini adalah deskriptif kualitatif yang dilakukan dengan pengamatan observasi, survei lapangan dan wawancara. Hasil penelitian menunjukkan bahwasannya pola gerak dan sirkulasi pasien tidak terjadi crossing antar pasien karena pasien datang secara berurutan. Akan tetapi terdapat hambatan sirkulasi pada perawat saat sedang melakukan pelayanan pasien di area pintu masuk dekat ruang praktik, dan pada area jalur sirkulasi di bagian ruang skrining. Hal ini dapat memberikan masukan pada perancangan layout ruang tunggu pada sebuah poliklinik
Estratégias práticas para o cuidado de enfermagem aos idosos residentes em Instituições de Longa Permanência para idosos (ILPI’s)
Authors: Sartori Ana Carolina , Costa Paula Cristina Pereira da , Mendes Felismina Rosa Parreira , Nunes Vilani Medeiros de Araújo , Adjzen Claudia , Okuno Meiry Fernanda Pinto
Published: July 2022

O objetivo é propor recomendações de medidas de prevenção, a fim de evitar a transmissão da Covid-19 em Instituições de Longa Permanência para Idosos (ILPI’s), além de estratégias para assegurar a conectividade dos idosos residentes com familiares e amigos no contexto da Covid-19. O Método prevê um estudo reflexivo, produzido com base em leituras correlacionadas com a área temática. Os Resultados evidenciam que foram construídas recomendações segundo evidências científicas atuais de medidas preventivas para o novo coronavírus, e estratégias para minimizar os impactos do isolamento social em idosos de Instituições de Longa Permanência. As reflexões realizadas contribuem para nortear estratégias para o cuidado de enfermagem aos idosos institucionalizados.
E, porque falar da velhice é falar da vida, vamos conversar sobre a sua defesa:
Authors: Alcântara Adriana de Oliveira
Published: July 2022

Nesta entrevista, o Promotor de Justiça, Dr. Eneas Romero de Vasconcelos responde a questões voltadas às condições da ILPIs do Estado do Ceará, Brasil, durante a pandemia da Covid-19, bem como das atribuições da Promotoria do Idoso, frente a este sobressalto, de modo a enfocar as primeiras medidas de controle, as dificuldades enfrentadas, mas também a efetividade de um trabalho coletivo, baseado, consideravelmente, em planejamento, haja vista a sinistra experiência nas ILPIs da Itália.
Increasing Levels of Physical Disturbance Affect Soil Nematode Community Composition in a Previously Undisturbed Ecosystem
Authors: Pothula Satyendra Kumar , Phillips Gary , Bernard Ernest C.
Published: July 2022

Soil is essential for the sustenance of life. Diverse soil organisms support several biological processes such as organic matter decomposition, mineralization, nutrient cycling, and controlling pests and diseases. Among multicellular soil organisms, nematodes are ubiquitous, functionally diverse, and abundant. Notably, agricultural practices have diverse impacts on plants, soils, and soil organisms. Tillage affects nematodes directly by altering pore size and disrupting the continuity of water films and indirectly by affecting the lower trophic groups such as bacteria and fungi. The primary goal of this study was to examine the effect of increasing levels of physical disturbance on nematode communities in an undisturbed forest ecosystem. The experiment included four treatments: control with no disturbance, surface litter removed with no litter and no vegetation, tilling the soil with a rototiller every 2 mon, and every 2 wk. Tillage significantly reduced the overall abundance and overall richness of nematode communities over time. Among nematode trophic groups, tillage significantly reduced the abundance and richness of bacterial feeders, predators, and omnivores over time. The abundance and richness of c-p 2, c-p 4, and c-p 5 class nematodes were significantly decreased by tillage. Unlike tillage, minimal disturbance such as removal of surface litter resulted in a significant decrease in the abundance of only three genera: Acrobeles, Aporcelaimellus, and Boleodorus. Nonmetric multidimensional scaling analysis revealed that nematodes of higher c-p classes such as Dorylaimida, Aporcelaimellus, Alaimus, Clarkus, and Tripyla were sensitive to physical disturbances. Bacterial feeders belonging to the c-p 2 class such as Tylocephalus, Acrobeles, Ceratoplectus, Plectus, and Pseudacrobeles were significantly reduced by tillage. Moreover, tillage significantly reduced the functional metabolic footprint of nematodes, which indicates decreased metabolic activity, reduced C inflow, and poorly structured soil food webs. Previous studies conducted in agricultural ecosystems determined that Clarkus, Filenchus, and Plectus were tolerant to tillage; however, they were found sensitive to tillage in our study. Overall, our study suggests that increasing levels of physical disturbance are detrimental to nematode community abundance and diversity that could affect soil ecosystem stability and sustainability.
Acute right heart failure in Waldenström macroglobulinemia: A case report
Authors: Memis Hayat , Balinisteanu Anca Elena , Gaman Mihaela , Mihalcea Diana , Vinereanu Dragos
Published: July 2022

Waldenström macroglobulinemia (WM) is a low-grade B-cell clonal disorder with lymphoplasmacytic bone marrow involvement and monoclonal immunoglobulin M (IgM) with poor prognosis. Clinical features include anemia, thrombocytopenia, hepatosplenomegaly, lymphadenopathy and hyperviscosity. We report the case of a 42-year-old male who presented with unexplained weight loss. The diagnosis of WM was established after morphological and immunohistochemical examination of the patient's bone marrow along with an elevated serum IgM level. He started chemotherapy with cyclophosphamide, bortezomib, dexamethasone and, four months later, rituximab was added. Five months later the patient presented with relapse of the hematological disease, hyperviscosity syndrome and acute right heart failure. Echocardiography showed a dilated right ventricle with decreased global systolic function and severe systolic pulmonary artery pressure, with normal left cardiac function and volumes. Despite maximal medical therapy, the patient died in day six of hospitalization. This case is distinguished by the rapidly evolving rare haematological cancer despite optimal chemotherapy and a multidisciplinary approach associated with chemotherapy-related late right heart dysfunction in a young man, without any cardiovascular risk factors or previous myocardial disease.
Sometimes Late Is Better Than Never: Implantation of a Cardioverter Defibrillator Years after an Acute Myocardial Infarction —Case Report
Authors: Zamfirescu Maria , Ștefan Miruna Florina , Vintila Vlad Damian , Magda Stefania Lucia
Published: July 2022

Sustained ventricular arrhythmias that occur early post-myocardial infarction (MI) are generally considered epiphenomena of the MI and are not consistently associated with long-term prognosis. The lack of association with long-term prognosis is more clearly established for early ventricular fibrillation (VF) and polymorphic ventricular tachycardia (PVT). Sustained monomorphic ventricular tachycardia (SMVT), even when it occurs early, however, may reflect a permanent arrhythmic substrate1. Patients with COVID-19 have a high risk of thromboembolic events, and the virus has also been shown to have extensive effects on the cardiovascular system2,3,4. A 62-year-old woman, recently hospitalized for COVID-19 pneumonia, was brought to the emergency department with pulseless SMVT having been successfully resuscitated in the prehospital setting. The patient has a history of an old MI treated with thrombolysis and percutaneous coronary intervention (PCI) that was complicated with early SMVT, but with preserved left ventricular function and without heart failure. The patient underwent implantation of a cardioverter defibrillator (ICD). During the hospitalization, she developed dyspnea and was diagnosed with minor pulmonary embolism. It may be appropriate to consider early SMVT as a predictor of adverse late outcomes that would necessitate rigorous follow-up and maybe an early invasive primary prevention strategy. This case also reflects the possibility of long-term cardiac involvement and increased thromboembolic risk in patients recovering from COVID-19.
FORMAS DE DETECÇÃO BREVE DA DEPENDÊNIA QUÍMICA NO SUS
Authors: Batista de Oliveira Bruno , Lazzari Linzmeier Luiza , Aparecida dos Santos Saar4 Juliana , Da Silva Botelho Mendes5 Poliana , Andrade dos Santos Teixeira Tatiane , Christoff Adriana de Oliveira
Published: July 2022

A dependência química, doença caracterizada pelo uso descontrolado de uma ou mais substâncias psicoativas, é um tema que merece destaque não apenas pela sua atualidade, mas também por sua tamanha complexidade. É uma condição que está fortemente inserida em um contexto social, mas sofre constantes mutações de acordo com os âmbitos econômicos, políticos e culturais da nação. Nesse sentido, esta pesquisa teve como propósito principal identificar de que forma é realizada o atendimento do paciente dependente quimico dentro do Sistema Único de Saúde (SUS), desde o primeiro contato do usuário com a equipe de saúde, até sua chegada no serviço especializado, o acolhimento juntamente com a orientação à família e o papel da equipe multidisciplinar durante o tratamento. Sendo assim, uma entrevista foi elaborada com uma enfermeira do Centro de Atenção Psicossocial (CAPS) do bairro Boa Vista, em Curitiba- Paraná, de forma presencial. Por fim, entende-se que a reabilitação psicossocial é realizada através de práticas que visem a promoção do protagonismo para o exercício dos direitos humanos de cidadania dos usuários e família.
Metformin in the management of gestational diabetes
Authors: Rotar Ioana Cristina , Stănică Bianca , Petca Aida , Mureşan Daniel
Published: July 2022

Gestational diabetes mellitus (GDM) is a common pregnancy complication detected especially in the second or third trimester of gestation, with an increasing prevalence over recent decades. Pathophysiologically, GDM develops as a consequence of adative metabolic changes, overlapping a previously unknown pancreatic β-cell dysfunction. The major risk factors for GDM include obesity/overweight, advanced maternal age, family history of insulin resistance and/or diabetes, previous history of gestational diabetes and macrosomia, and the presence of polycystic ovary syndrome (PCOS). Many European countries, including Romania, use selective screening (based on risk factors) as a tool for the detection of GDM. As hyperglycemia is associated with a number of severe maternal and fetal complications, the management of patients with GDM involves a multidisciplinary team consisting of obstetricians, maternal-fetal medicine specialists and diabetes specialists with experience in treating pregnant women. Insulin is the first-choice treatment if lifestyle optimization methods fail. In recent years, attention has focused on oral antidiabetics, specifically on the efficacy and safety of their use as an alternative to insulin treatment. Metformin is an oral antidiabetic of the biguanide class, the first-line treatment for type 2 diabetes outside pregnancy. Due to reduced maternal complications, low cost and increased compliance, the use of metformin in the treatment of GDM is increasing. Most trials have not reported an increased rate of maternal complications in patients treated with metformin. Short-term fetal effects are favorable, but for long-term effects, the results are still unclear. Most medical societies consider metformin safe and effective, but due to a lack of data on the long-term safety profile, it is only recommended for use in cases where insulin therapy is not an option.
Pengaruh Model Pembelajaran Problem Based Learning (PBL) Terhadap Kemampuan Berpikir Kritis dan Hasil Belajar Peserta Didik Pada Mata Pelajaran Kearsipan Kelas X OTKP Di SMK Negeri 1 Sooko Mojokerto
Authors: Pebriyani Elsa Putri , Pahlevi Triesninda
Published: July 2022

The purpose of this research to determine that the effect of the Problem Based Learning (PBL) learning model on critical thinking skills of class X SMKN 1 Sooko Mojokerto, to determine that the effect of Problem Based Learning (PBL) learning model on learning outcomes of class X SMKN 1 Sooko Mojokerto, to determine the implementing of Problem Based Learning (PBL) learning model to the basic competence in implementing maintance procedures archive at SMKN 1 Sooko Mojokerto in academic year 2019/2020. This the research design that used was quasi experimental with method non-equivalent control group design. The research were all students of class X OTKP 2 and X OTP 3 and class X OTKP 3 as the control class and X OTKP 2 as the experimental class. The instrument that used was a critical thinking skill test and multiples choice test to measure student learning outcomes and the technique pf anlizing, data used homogeneity test, normality test, gain score analysis, and t test (hypotesis). The result indicate that the Problem Based Learning (PBL) learning model had a significant effect on critical thinking skills as evidence by the acquisition of t-test with a significant level of 0.000 (0,00) < 0,05. The result also showed that the Problem Based Learning (PBL) learning model has a significant effect on student learning outcome as evidence by the acquisition with a significance level of 0.000 (0,00) < 0,05. In addition, the experimental class has an average of critical thinking skilss higher than the control class with the conventional learning model with an average of 83 experimental classes and 72 control classes. On the average of posttest learning outcome the experimental class has an average higher than control with an experimental average of 85,29 and control class of 74,85. So it was concluded that Problem Based Learning (PBL) learning model had an influence the crtical thinking skill an learning outcomes of students of class X OTKP SMKN 1 Sooko Mojokerto.
Keefektifan Penggunaan Media Pembelajaran Berbasis Game Edukasi Quizizz Terhadap Hasil Belajar Teknologi Perkantoran Siswa Kelas X SMK Ketintang Surabaya
Authors: Citra Cahyani Amildah , Rosy Brillian
Published: July 2022

This research aims to determine the effectiveness of the effectiveness of learning media based educational game quizizz on student outcomes office technology grade X SMK Ketintang Surabaya. This type of research is using quasi experimental design. The circuit was conducted on all class X OTKP 2 students as a control class and X OTKP 3 as an experimental class. Analytical techniques use homogeneity test, normality test, hypothesis test and gain score test. The results of the study expressed the Posttest value obtained by t-test of 2.154 with a signification of 0.036 and a value of 2.002 with a level of significance 0.005 which means signification (0.036) < 0.05 and t-test (2.154) > ttable (2.002).The result of Gain Score the Pretest and Posttest value is 3,212 with a signication 0,002 and the value ttable is 2,002 with signification 0,05.  So it can be concluded that the use of learning media based on Quizizz educational Game effectively improve student learning outcomes on the subject of office technology class X OTKP in SMK Ketintang Surabaya.