bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors determining Outcomes in Hospitalized Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Authors: Bam Niraj , Sapkota Dharmendra , Kuikel Sandip
Published: July 2024

Introduction: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is frequently accompanied by increased local and systemic inflammation brought on by airway infection, pollution, or other airway insults. This study aimed to find the factors determining outcomes in patients hospitalized with acute exacerbation of COPD.
Methods: An analytical study among diagnosed cases of AECOPD was conducted. Bivariate regression model followed by Multinomial logistic regression (MNLR) was used to contrast outcome variables. A p-value less than 0.05 was considered statistically significant in all analyses.
Results: A total of 126 patients with a mean age of 72.04±9.75 years were included in the study. Most of the patients were current smokers or past smokers, cor-pulmonale was present in 34.9% of patients. The most common co-morbidity was hypertension (41.2%). Most (55.6%) patients had early discharge, 31.7% (40) patients had late discharge and 12.7% (16) patients had mortality as the outcome. After bivariate analysis, among all variables of the study qualified to be included in the multivariate MNLR model, Neutrophil Lymphocyte ratio (NLR) was found to be a significant predictor of late discharge in comparison with early discharge while Age and NLR were found to be a significant predictor of Mortality in comparison with late discharge among patients with AECOPD.
Conclusion: Older age and higher NLR predicted mortality in comparison to longer hospital stay (>5days). Since NLR is a common variable in both the outcome (early vs late discharge and late discharge vs mortality), NLR can be used to predict the outcome (early discharge, late discharge, and mortality) of patients with AECOPD.
Surgical Management of Pediatric Urolithiasis: Descriptive Study from a Tertiary Care Center in Nepal
Authors: Guragain Bipin , Phuyal Anjit , Gyawali Milan , Pandit Durga , Parajuli Purushottam , Pradhan Manish M , Poudyal Sujeet , Chapagain Suman , Luitel Bhojraj , Chalise Pawan R , Sharma Uttam K , Gyawali Prem R
Published: July 2024

Introduction: Urolithiasis is common in the pediatric population in low-resource countries but appropriate management is not available in all parts of the country. This study aimed to identify demographic parameters, clinical characteristics, and surgical management of pediatric urolithiasis in a tertiary care center in Nepal.
Methods: This was a retrospective and descriptive study of pediatric patients (≤18 years) who underwent surgical management of urolithiasis in the Department of Urology and Kidney Transplant Surgery, Tribhuvan University Teaching Hospital from January 2021 to December 2022.
Results: Total 64 patients with Male: Female ratio 1.78:1 and mean age of 8.63±5.56 years presented mostly with pain abdomen (93.8%) followed by lower urinary tract symptoms (26.6%), hematuria (20.3%), and fever (14.1%). The mean number of calculi was 2.2±1.47 and the mean size was 13.97±8.30 mm. Most of the calculi (39.1%) were in the right system and 90.62% were in the upper tract. Only 15.62% of patients had calculi in the lower tract. Open surgeries were performed in only 10.93% and the rest were managed by minimally invasive procedures. Percutaneous nephrostomy tube insertion was done in 6 (9.37%) of patients and 1 (1.56%) underwent nephrectomy for nonfunctioning kidney.
Conclusion: Pediatric urolithiasis patients presented with pain abdomen, lower urinary tract symptoms, or hematuria. Surgical management has shifted from open surgeries in the past to minimally invasive surgeries at present.
Prediction of Spontaneous Stone Expulsion by Serum C-Reactive Protein in Patients with Distal Ureteric Calculi
Authors: Raya Akash , Rai Binod K , Yadav Aditya P , Shahi Sanjiv K
Published: July 2024

Introduction: Ureter obstruction caused by a ureteral stone triggers inflammatory change in the proximal submucosal layer and prevents passage of the stone which can increase C-reactive protein level. The present study was designed to see if CRP plays a role in predicting the expulsion of distal ureteric calculi of <10 mm in patients presenting to urology department.
Methods: A cross-sectional study was done at National Medical College, Department of Surgery, Birgunj from January 2022 to June 2022. Total of 60 cases were included in the study who presented with distal ureteric calculi. Level of CRP was recorded and divided into <6 mg/dl and >6 mg/dl. Size of stone and rate of spontaneous expulsion was noted.
Results: Among the 60 cases, 34 (56.7%) were males and 26 (43.3%) were females. Mean age of the study cases was 36.1±11.76 years and mean size of stone 6.72±1.54 mm. among the total cases 28 (47%) had CRP level <6mg/dl and 32 (53%) had CRP level >6mg/dl. Among the total cases 35 (58.3%) did not pass stone spontaneously and the size of stone was 6.9743±1.74598 mm. spontaneous passage of stone was not seen in 21 (60%) male and 14 (40%) female cases. Significant difference (p=<0.001) was seen between expulsion and non-expulsion of stone.
Conclusion: Measurement of CRP at the time of presentation with distal ureteric calculi of small size can help the urologist to predict whether spontaneous expulsion is possible or not.
Relapsing Parvovirus B19 Infection after Intravenous Immunoglobulin in Renal Transplant Recipient: A Case Report
Authors: Nepali Rabin , Chalise Pawan R , Shah Dibya Singh
Published: July 2024

Parvovirus B19 has special affinity to erythroid progenitor cells leading to destruction and inhibition of erythropoiesis. One of its presentations is pure red cell aplasia in patients receiving immunosuppressive medications after organ transplantation. Intravenous immunoglobulin (IVIG) and reduction of immunosuppressive medication has been used for treatment but the effects of IVIG may be temporary. Here we present a case of Relapsing infection due to Parvovirus B19 after IVIG in a renal transplant recipient in Nepal. This case shows that in renal transplant patients presenting with anemia and low reticulocyte count, Parvovirus B19 infection should be suspected. Treatment with IVIG has good results but there may be relapse of infection.
Incidence and Outcomes of Re-Exploration in Adult Cardiac Surgery at A Tertiary Care Hospital
Authors: Pradhan Ashok , Pokharel Rojina , Kadel Prashiddha B , Bashyal Krishnaprashad , Khakurel Prabhat , Baral Ravi K , Bhattarai Anil , Koirala Bhagawan
Published: July 2024

Introduction: Postoperative bleeding is a significant complication following cardiac surgery, with a global re-exploration incidence of 2-5%. This study aims to investigate re-exploration rates, risk factors, and outcomes within the unique context of a tertiary care center in Nepal.
Methods: In this retrospective, single-center study, we analyzed all consecutive adult patients (≥18 years) who underwent cardiac surgery with cardiopulmonary bypass (CPB) at the Manmohan Cardiothoracic Vascular and Transplant Centre (Nepal) between 2018-2021. Data on demographics, clinical characteristics, operative details, re-exploration, and outcomes were extracted from medical records. Statistical analysis included descriptive statistics, chi-square tests, independent samples t-tests, and logistic regression.
Results: Of 720 patients, 56 (7.8%) required re-exploration for bleeding. Emergency procedures were strongly associated with higher re-exploration (p<0.05). Non-surgical bleeding was the primary cause in 42.9% of cases. Independent risk factors included preoperative deranged LFTs (OR=2.1, 95% CI: 1.2-3.7), elevated creatinine (>1.5 mg/dL, OR= 3.2, 95% CI: 1.8-5.6), prolonged CPB time (>120 min), and substantial transfusion requirements. Modified Bentall's procedures had the highest re-exploration rate (21.4%). Re-explored patients experienced higher AKI rates (87.5%), longer hospitalizations (13.6 vs. 7.2 days, p<0.001), and increased in-hospital mortality confined to emergency cases (1.94%).
Conclusion: Emergency procedures had higher rate of re-exploration. Preoperative deranged LFTs, elevated creatinine, prolonged CPB time, and substantial transfusion requirements were independent risk factors for re-exploration. Re-explored cases experienced higher complication. In-hospital mortality were confined to emergency cases only.
Hormone Receptors and HER2 Status of Patients with Breast Cancer in a Tertiary Center of Nepal: A Descriptive Cross-Sectional Study
Authors: Shrestha Rakshya , Panthi Bishal , Gyawali Siddinath , Kharel Sanjeev , Paudel Bishal
Published: July 2024

Introduction: The second most prevalent cancer among women in Nepal is breast cancer. The assessment of human epidermal growth factor receptor-2 (HER2), progesterone receptor (PR), and estrogen receptor (ER) status in patients with breast cancer is currently regarded as standard practice because of its prognostic and predictive value. This study aims to find the incidence of Hormone receptor and HER2 status in patients with breast cancer.
Methods: This was a descriptive observational cross-sectional study that assessed the immunohistochemistry markers of different histological types of breast cancer patients who visited a tertiary center in Nepal. Retrospective data from August 1, 2022, to July 30, 2023, were gathered from computer records of all the patients diagnosed with breast cancer who visited the Tribhuvan University Teaching Hospital (TUTH). SPSS version 26.0 was used for statistical analysis.
Results: A total of 102 patients with breast cancer were included. The mean age of the patients was 50.51±12.08 years. Only one patient was male. The analysis showed that 62 (60.78%) of total patients had ER/PR positive breast cancer and 40 (39.2%) were HER2 positive with a higher number among Janajati and the age group 41-60 years. Similarly, the incidence of triple-negative breast cancer was 21 (20.59%) of all patients.
Conclusion: The majority of breast cancer patients in our study were ER/PR positive, followed by HER2-positive and triple-negative cases. A higher prevalence was observed among the Janajati ethnic group and those aged 41-60 years.
Pyogenic Granuloma of External Auditory Canal: A Case Report
Authors: Karki Utsav R , Dongol Kripa , Pradhananga Rabindra B , Shah Bikash K
Published: July 2024

The external auditory canal is an atypical location for pyogenic granuloma (PG) to originate. We report a case of PG in a 15-year-old boy's external auditory canal. He experienced reduced hearing and occasional blood-tinged ear discharge for 8 months. Examination revealed a pinkish-soft mass occluding the canal lumen. Pure tone audiogram showed 42 dB moderate conductive hearing loss in the right ear. High-resolution computed tomography showed a well- defined, homogenously enhancing soft tissue density lesion in the canal. The mass was completely excised, and post-operative histopathology confirmed the diagnosis of PG. No recurrence was observed during the six-month follow-up period. PG should be considered in the differential diagnosis of external auditory canal lesions.
Cerebral palsy: a study in IPGMR, Dhaka
Authors: Gami F.C. , Bin Tabib S.M. Shahnawz , Islam Prof. Md. Nurul
Published: July 2024

This prospective study was carried out on 60 children attending follow-up clinic of Paediatric Neurology and Child Development in the out-patient department of Institute of Post Graduate Medicine and Research (IPGM & R), Dhaka, from May 1995 to April 1996. The present study was conducted to find out various etiological factors responsible for cerebral palsy. Evaluation of 60 cases of cerebral palsy was made by taking detailed history and physical examination. In history, special attention was given to find out antenatal, natal & postnatal factors which predispose to or is directly responsible for the occurence of cerebral palsy. Of these 60 cases, 38 (63.33%) patients were male and 22 (36.36%) female children . 75% of the cases were of spastic type of cerebral palsy. Hypotonic cerebral palsy was observed in 11.66%; ataxic type in 5%; athetoid in 3.33%; mixed spastic and ataxic in 3.33%, and dyskinetic type of cerebral palsy in one case. History of consanguinity of marriage was found in 23.33% cases. Natal and prenatal factors were most common etiological factors. Among the natal factors birth, asphyxia was found in 55%; prematurity in 6.66%, and sepsis in 5%. Antenatal maternal illness was found in 50% cases including toxemia in 10%; intrauterine infection in 10%, prolonged and obstructed labour in 28.32%. Postnatal factors were found in 30% of cases including hyperbilirubinemia.
The results of this study emphasize the need to reinforce the existing antenatal, natal, obstetric and neonatal services for early and proper management of these conditions and to reduce the incidence and severity of cerebral palsy.
PHYSICO-CHEMICAL AND SORPTION PROPERTIES OF NANOCOMPOSITE AEROGELS BASED ON MODIFIED CARBON NANOTUBES AND GRAPHENE
Authors: Kuznetsova Tatyana S. , Burakov Alexander E. , Pasko Tatyana V. , Burakova Irina V. , Dyachkova Tatyana P. , Memetova Anastasia E.
Published: July 2024

The paper presents the technology for obtaining nanocomposite aerogels based on oxidized carbon nanotubes (o-CNTs) and reduced graphene oxide (r-GO) modified with polyaniline and phenoldehyde resin. Aerogel was obtained in high-pressure autoclave among supercritical fluid - isopropanol. The complex diagnostic of synthesized nanocomposite was carried out by the methods of scanning and transmission electron microscopy, infrared spectroscopy, X-ray diffractometry, Raman spectroscopy. The parameters of the porous space were evaluated by adsorption of nitrogen. The resulting electron images indicate that the CNTs was as structural formers, concentrating on their surface graphene sheets. It should also be noted that in the samples, particles of spherical polyaniline were found. It was established that nanocomposite aerogel is a mesoporous material with a specific surface of 289 m2/g. A comparison of infrared and Raman spectra, as well as X-ray diffractograms of the initial materials with aerogel spectra was carried out. According to the results, the nanocomposite contains combined peaks of all source materials. After drying in the supercritical isopropanol media, the ordered structure of the carbon frame is preserved. Electronodononic oxygen and nitrogen-containing groups, which are identified according to the IR spectroscopy as part of the composite, can be active centers for adsorption of heavy metals due to the possibility of the formation of coordination bonds. The nanocomposite sorption activity was evaluated by the example of the heavy metals sorption, namely lead, from model aqueous solutions. To determine the contact time and the absorption mechanism, kinetic studies of adsorption were carried out in a limited volume. It was found that 99% of the pollutant was sorbed in the first 15 min with an achievement of the adsorption capacity of 350 mg/g. Using of pseudo-first and second-order models, the Elovich model and intra-particle diffusion models the adsorption mechanism were offered.
For citation:
Kuznetsova T.S., Burakov A.E., Pasko T.V., Burakova I.V., Dyachkova T.P., Memetova A.E. Physico-chemical and sorption properties of nanocomposite aerogels based on modified carbon nanotubes and graphene. ChemChemTech [Izv. Vyssh. Uchebn. Zaved. Khim. Khim. Tekhnol.]. 2023. V. 66. N 3. P. 66-76. DOI: 10.6060/ivkkt.20236603.6726.
CONDUCTIVE POLYMER COMPOSITE MATERIALS BASED ON FURAN POLYIMINES FOR BIPOLAR FUEL CELL PLATES
Authors: Kataria Yash V. , Klushin Victor A. , Kashparova Vera P. , Tokarev Denis V. , Smirnova Nina V.
Published: July 2024

Conductive polymer composite materials for bipolar fuel cell plates with a polymer electrolyte membrane have been successfully prepared using 2,5-diformylfuran synthesized from plant biomass. The composites were prepared using a conductive filler (natural graphite) and polyimines from 2,5-diformylfuran and aromatic and aliphatic diamines (p-phenylenediamine, meta-toluenediamine, and hexamethylenediamine). The effect of polyimine content and its type on the electrically conductive and strength properties of materials has been studied. It is shown that the electrical conductivity of the composite increases with a decrease in the content of the polymer binder, while its mechanical properties change in the reverse order. The best materials were made using polyimine based on 2,5-diformylfuran and meta-toluenediamine (MTDA). The lowest value of interfacial contact resistance (0.01 Ohm·cm2) was shown by composites with 45% vol. binder content, and the highest mechanical strength (compressive and bending 21.8 and 32 MPa, respectively), containing 85% vol. polyimine. Sample MTDA-75 has demonstrated an optimal combination of electrical conductivity and mechanical properties. The interfacial contact resistance of the composite was 0.04 Ohm·cm2, and the strength was 15 and 22.5 MPa for compression and bending, respectively. Thus, composites based on polyimines from 2,5-diformylfuran and various diamines and natural graphite as an electrically conductive filler demonstrate great potential for the production of bipolar fuel cell plates with a polymer electrolyte membrane, and correspond to the strategic direction for the development of materials with minimal carbon footprint.
For citation:
Kataria Y.V., Klushin V.A., Kashparova V.P., Tokarev D.V., Smirnova N.V. Conductive polymer composite materials based on furan polyimines for bipolar fuel cell plates. ChemChemTech [Izv. Vyssh. Uchebn. Zaved. Khim. Khim. Tekhnol.]. 2023. V. 66. N 3. P. 93-99. DOI: 10.6060/ivkkt.20236603.6766.
SURGIMENTO DO TERMO BULLYING E APONTAMENTOS SOBRE O ORDENAMENTO JURÍDICO BRASILEIRO
Authors: Arce Giovana Buffon , Rodrigues Marlon Leal , Cassola Rosangela Vargas
Published: July 2024

O presente estudo visa analisar o discurso “do surgimento do termo bullying”, suas denominações nos mais diversos países, inclusive no Brasil. Aspectos cronológicos em relação à sua origem e o momento no qual passou a ser objeto de pesquisas e estudos. Ainda, conceituou-se disciplina, indisciplina, violência, agressividade e bullying no ambiente escolar. Quais condutas e parâmetros definem essas práticas, quando deixam de ser meras brincadeiras entre crianças e adolescentes e passam a ter alto teor ofensivo, configurando a prática do bullying. Identificar as personagens que compõem a cena do bullying: vítima, agressor e espectador e quais os seus perfis. Destacar as formas de ocorrência: horizontal e vertical, inclusive a incidência em relação aos sexos feminino e masculino. O olhar e considerações sobre o fenômeno na ótica da psicologia e medicina, relatando os sintomas apresentados pelas vítimas e ainda a interpretação do judiciário para detectar, coibir e punir a prática do bullying.
Avaliação das condições higiênico-sanitárias de feiras-livres de São Luís-MA
Authors: Aguiar dos Anjos Amanda , Belo Paz Pinheiro Débora
Published: July 2024

Introdução: Atualmente, as feiras livres são muito frequentadas, por oferecer vários tipos de produtos, por isso, é preocupante as condições sanitárias e higiênicas desses locais, pois podem promover o aumento de DTA (Doenças Transmitidas por Alimentos) e favorecer o crescimento e proliferação de microrganismos. Objetivo: Avaliar e comparar as condições higiênico-sanitárias dos alimentos comercializados em 2 das feiras-livres de São Luís-MA. Material e Métodos: Estudo descritivo observacional transversal, que avaliou e comparou a qualidade higiênico-sanitária de feiras de acordo com checklist adaptado das normativas da ANVISA, pelas RCD 275 e 216 composto por 21 questões. Foram escolhidas feiras de fácil acesso e alta frequência próxima ao Centro Histórico de São Luís-MA para a pesquisa, enquanto aquelas de difícil acesso, baixo fluxo e localização distante dos centros foram excluídas. Resultados: Foram selecionadas 2 feiras (A e B) que destacaram um quantitativo expressivo de não conformidades, apresentando necessidades de melhoria em hábitos de higiene, armazenamento de alimentos e carência crítica de água. Conclusão: Diante dos problemas higiênicos nas feiras, como descuido na manipulação dos alimentos, armazenamento inadequado, hábitos de higiene precários e falta de água, é benéfico estabelecer fiscalização regular pela vigilância sanitária, medidas corretivas e avaliação das estruturas, contribuindo para melhorar o ambiente de comercialização e elevar o padrão de qualidade.
Tensile and Shear Response of Concrete with Nanomaterials
Authors: van Tonder Pierre ,   Civil Engineering Science, Faculty of Engineering and the Built Environment, University of Johannesburg, Auckland Park, Johannesburg, South Africa.
Published: July 2024

In concrete members that are subjected to bending, such as beams and slabs, the tensile and shear strength of concrete is an important property. Over the years, a lot of work has been done to try and improve these properties. It has been found that concrete’s biggest shortcoming is its weak tensile and shear strength. To improve the tensile and shear strength, different types of reinforcement, such as round bars or fibres, have been added to the concrete. The interfacial transition zone’s strength and density are improved, due to the small size and tensile strength of the incorporated nano-materials. The tensile and shear strength of concrete is the focus of this investigation with the incorporation of multi-walled carbon nano-tubes (MWCNTs) and graphite nano-fibres (GNFs) into the concrete mix. One of the limitations to the use of nano-materials in concrete mixes is the tendency of the carbon nanotubes to adhere to one another due to the formation of balls and the strong van der Waals interaction forces. Additionally, there is a lack of cohesion between the nanotubes, which can be attributed to the cost of nano-materials. However, cohesion can be increased by using gum arabic and a process called functionalization, which helps to improve the dispersion and purification process of the nano-materials.
PERAN LITERASI KEUANGAN DALAM MENINGKATKAN PEMBANGUNAN EKONOMI MASYARAKAT DESA
Authors: I G.A.N Alit Sumantri  , I Gusti Agung Ayu Pramita Indraswari
Published: July 2024

. Knowledge of literacy is very important because the growth of financial products is very fast and easily accessible to everyone. Financial literacy is knowledge, skills and beliefs that can influence individual attitudes and behavior. People who are aware of financial literacy or are financially intelligent can understand financial planning, so they can make financial decisions to achieve their financial goals. Meanwhile, financial inclusion is an important part of social economics, namely inclusiveness towards high financial access for all levels of society in a country can encourage economic growth, financial system stability, poverty alleviation initiatives, as well as an effort to reduce the community's economic decline. The community in Paksebali Village is expected to understand the importance of financial literacy in the businesses they run. Along with the need for financial literacy experienced by MSME entrepreneurs, financial management is still minimal and often experiences problems in the field. This is due to the lack of basic knowledge of financial management and limited knowledge of financial literacy
Harnessing Microbes for the Benefit of Man
Authors: Sayan Bhattacharyya
Published: July 2024

Microorganisms reside in and around humans and are sometimes pathogenic. However, most of the microbes in the air or in our body, which exist as commensals or symbionts, benefit us in some form or other. We depend heavily on these beneficial microbes for our optimum health. The purpose of this review was to delineate and summarize the various applications of microbes for the benefit of mankind. In many areas, the biochemical properties and metabolic end products of microbes are now being channelized for improving human health and quality of life. The author collated data from various published articles and tried to present a holistic viewpoint of this aspect of the application of microbes for the betterment of human health and public health as well.
Description of the Implementation of Oral Hygiene Measures for Stroke Patients at Bhayangkara Hospital Makassar
Authors: Thalib Abd. Herman Syah
Published: July 2024

This research generally aims to determine the description of the implementation of oral hygiene in stroke patients at Bhayangkara Hospital Makassar. This research uses descriptive research with observational methods. The number of samples in this study was 30 respondents. Sample selection was carried out using Accidental Sampling. Data was collected using a check list observation questionnaire, analyzed using the SPSS 16 program. The results of the analysis showed that most of the nurses' actions in providing oral hygiene had been carried out correctly, supported by data of 60.0%, and the majority of patients had teeth and mouths that were correct. net, this statement is supported by data of 60.0%. It can be concluded that the nurses' actions in providing oral hygiene have been carried out appropriately and the majority of patients have clean teeth and mouths. For further research, more respondents and better measuring tools are needed to increase the accuracy of the research results.
Description of the Characteristics of Patients Who Experience Hallucinations in the Nyiur Room and Reminiscence Room at the Regional Special Hospital of South Sulawesi Province
Authors: Harun Basmalah
Published: July 2024

This study aims to determine the characteristics of patients who experience hallucinations in the Nyiur room and Kenanga room at the Regional Special Hospital of South Sulawesi Province. This research uses a quantitative research design with a survey approach. The total sample was 98 respondents. Sample selection was carried out using Total Sampling. The data collected is secondary data obtained from medical records, using descriptive statistical tests and analyzed using univariate analysis. The results of the analysis showed that the patients who experienced hallucinations in the palm room and ylang ylang room were based on age group, the most common being the 30–57-year-old group, 57 (58.2%), while based on gender, the most common were men, 51 (51). 52.0%), while based on occupation the most numerous were unemployed as many as 51 (52.0%), based on education the most numerous were elementary school level education as many as 37 (37.8%), and based on economics the most numerous were Those with low economic conditions were 68 (69.4%). It can be concluded that patients who experience hallucinations in the palm room and ylang ylang room are mostly > 30 years old, male, do not work, have an elementary school level education, and have a low economic background. For further research, more respondents and better measuring tools are needed to increase accuracy in order to provide more accurate information about the characteristics of hallucination sufferers.
The Relationship of Communication and Children's Age with Readiness for Menarche in Students of SMP Negeri 1 Enrekang
Authors: Kasim Erna
Published: July 2024

The aim of the research was to determine the relationship between mother-child communication and child age with readiness to face first menstruation (menarche) in female students at SMP Negeri 1 Enrekang, Enrekang Regency. The research method used is an analytical approach using a cross sectional design. The population in this study was a total of 132 people. The sample studied consisted of 99 respondents, from March 23 to April 13 2015. Data was collected using a questionnaire and then analyzed using the Chi square statistical test with a significance level of ? < 0.05. The results of research on mother-child communication related to readiness to face the first menstruation (menarche) obtained a value of p = 0.000 < 0.05, and the child's age in relation to readiness to face the first menstruation (menarche) obtained a value of p = 0.004 < 0.05. Based on the research results, it was concluded that there is a relationship between mother-child communication and readiness to face the first menstruation (menarche), and there is a relationship between the child's age and readiness to face the first menstruation (menarche), suggestions for future researchers are to pay attention to several internal factors related to readiness to face the first menstruation (menarche), for example the level of knowledge of teenagers about the first menstruation (menarche), and also other factors so that teenagers are better prepared to face the first menstruation (menarche).
The Relationship of Children's Nutritional Status with the Development of Preschool Age Children
Authors: Sanghati Sanghati
Published: July 2024

The most important phase in a child's growth and development is during infancy and toddlerhood, because at that time it will determine the child's future both physically, mentally and behaviorally. One factor that influences development is nutritional status. The aim of this research was to determine the relationship between children's nutritional status and the development of pre-school age children in RT 001 RW 001 Biccoing Village, Tonra District, Bone Regency. The type of research used is analytical research with a cross sectional study approach. The population of this study were pre-school children in RT. 001 RW. 001 Biccoing village, Tonra subdistrict, Bone district in 2014, namely 40 children. The number of samples studied was 40 children using total sampling techniques. Data was collected by filling out a questionnaire and then analyzed using the Chi Square test with a significance level of ? < 0.05. Based on the results of research on nutritional status, it shows that of the 40 respondents, 33 people (82.5%) had good nutritional status, and the majority experienced normal development, namely 31 people (93.9%). However, there are still a small number who experience abnormal development, namely 2 people (6.1%). After carrying out the Chi Square statistical test, the value of p = 0.000 < 0.05 was obtained. Based on the research results, it was concluded that there is a relationship between nutritional status and the development of pre-school age children. It is hoped that health workers will be able to improve services, especially monitoring children's nutritional status and efforts to detect early deviations in children's development on a regular basis, as well as providing health education to the community, especially regarding children's nutritional status.
Assessment of Ornamentation as a Cultural Identity of Mosques in Lagos State, Nigeria
Authors: Alokun Aishat M. , Egwabor Justice E. , Olodeoku Mosopefoluwa E.
Published: July 2024

Nigeria's distinctive indigenous architecture is influenced by many historical traditions. The mosque, as the community's principal place of prayer, stands out as a unique architectural style. This research aims to investigate and evaluate the role of ornamentation in mosques throughout Lagos State as a significant element of cultural identity. By analyzing the intricate decorative elements, this study illustrates the various cultural influences shaping these sacred spaces. Focusing on select mosques in Lagos, this work highlights the architectural evolution and its contribution to defining cultural identity in the region.
Hubungan Lama Pemakaian Alat Kontrasepsi Suntik 3 Bulan Dengan Gangguan Menstruasi Pada Akseptor KB Suntik 3 Bulan di Puskesmas Melak Kalimantan Timur Tahun 2023
Authors: Rika Husniati  , Adelina Sembiring  , Mastaida Tambun
Published: July 2024

Three month injectable birth control is an alternative used to prevent pregnancy by releasing the hormone progestin into the blood vessels which works by stopping the release of egg cells into the uterus, thus preventing the fertilization process from occurring. Menstrual changes experienced by women taking DepoProvera begin in the form of unpredictable irregular bleeding and spotting that lasts for seven days or more or heavy bleeding during the first few months of Depo-Provera use. The aim of this study was to determine the relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023.he type of research carried out was Descriptive Analytical with a cross sectional approach, the sample in the study was 35 people using a Random Sampling System. The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square The results of the tabulation research show a relationship between the duration of using injectable contraceptives for 3 months and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023 with a p-value = 0.049. So Ho is rejected and Ha is accepted, which means there is a relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023. Conclusion: Family planning acceptors can choose the right contraceptive method. Family planning acceptors can tell midwives or health workers about the various types of contraceptives before choosing the contraceptive method. Always monitor changes in side effects so that if there are complaints they can be addressed immediately.
Hubungan Pengetahuan Ibu Dengan Pemakaian Alat Kontrasepsi Suntik 1 Bulan di Puskesmas Lahusa Nias Selatan Tahun 2023
Authors: Kaniawati Hulu  , Adelina Sembiring  , Lisbet Gurning
Published: July 2024

Population growth in Indonesia continues to increase every year. If the rate of population growth in Indonesia is currently stagnant. It is estimated that Indonesia's population will double every 5 years. The increase in population has an impact on issues of food security, meeting energy needs, environmental control, and the low level of Indonesia's Human Development Index (HDI). Meanwhile, in the health sector, the increase in population also has an impact on the high Maternal Mortality Rate (MMR). The aim of the research was to determine the relationship between maternal knowledge and the use of injectable contraceptives for 1 month at the Lahusa South Nias Community Health Center in 2023.The type of research carried out was Descriptive Analytical with a cross sectional approach, the sample in the study was 43 people using a Random Sampling System. The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square The results of the cross-tabulation research showed that the majority of mothers' knowledge was good in using contraceptives as many as 12 people (92.3%) with Chi-Square showing a p value of 0.000. So Ho is rejected and Ha is accepted, which means there is a relationship between the mother's knowledge and the use of injectable contraceptives for 1 month at the Lahusa Health Center, South Nias in 2023. The conclusion is that it is hoped that providing a 1-month injectable contraceptive will make it easier and reduce the costs of carrying out contraception at the Lahusa South Nias Community Health Center in 2023.
The Influence of Leadership Style and Remuneration System on Improving Individual Performance of Central General Hospital Employees Dr. Sitanala Tangerang with Work Culture as an Intervening Variable
Authors: Deny Erfin  , Arrozi Adhikara  , Anastina Tahjoo
Published: July 2024

To produce employees who have good quality and have a professional attitude, it is necessary to carry out good management, in order to increase the company's economic resources. Previously reported by RSUP Dr. Sitanala has a leader with a leadership style where all provisions are based on the leadership's provisions, optimizing public stigma regarding leprosy-oriented services that have not reached the expected target, a lack of visits which has an impact on the remuneration system being less than optimal, performance indicator values ​​that have not reached the target, lack of Community satisfaction is still relatively high in the community satisfaction index survey. The aim of this research is to analyze the influence of leadership style and remuneration systems on improving employee performance at RSUP Dr. Sitanala Tangerang with work culture as an intervening variable. Research method the research design used was a survey with an explanatory causality approach. The population used is all employees who have the status of Civil Servants (PNS) at RSUP Dr. Sitanala, numbering 340 people. The sample in this study amounted to 183 people, the sampling technique used was accidental sampling. There is a direct and significant influence between leadership style and remuneration on work culture, there is an indirect influence of leadership style on employee performance, there is a direct influence of remuneration on employee performance, work culture directly has a significant influence on improving performance and the remuneration system has a direct influence towards improving performance without going through work culture. For hospitals, hospital leaders should always monitor each work unit both from an objective and subjective performance perspective as well as from the individual employee perspective so that they can find out directly what the obstacles, complaints and needs of individual employees are in carrying out teamwork in each work unit at once. can control the continuity of performance of each individual employee as a work culture within the team in the unit so that it is hoped that organizational goals will be achieved optimally. For other researchers: It is hoped that further research can further analyze other aspects and influences that can achieve organizational goals with a wider range of respondents. There are still many other aspects and influences that could possibly be used as research targets for development at the hospital in question.
How Civil Societies Are Undermined
Authors: Gabor Eugen
Published: July 2024

Several studies highlight the fact that the first decades of the 21st century are characterized by a resurgence of authoritarianism, which contradicts the optimistic visions of  the 1990s regarding the so-called end of history. For instance, Freedom House argues, presenting relevant data, that since 2006, a process of democratic backsliding has been in place worldwide. Not only developing countries or regions are affected but also countries in Europe and Northern America, where democracy once seemed inexpugnable. This illiberal wave thrives on the weaknesses of civil societies and has the effect of further reducing the dimensions of the civic space. Although those who promote open societies are on the defensive, their cause is far from being an obsolete remnant of the second half of the 20th century. However, their endeavors can be ineffective if the causes of the antidemocratic forces’ success are not properly acknowledged. The main goal of this paper is to contribute to a better understanding of the factors that are vital for building or strengthening closed societies. To shape relevant conclusions, we analyze information from projects like People Power under Attack, realized by the CIVICUS global civil society network or V-Dem (The Varieties of Democracy), managed by an institute affiliated with the University of Gothenburg (Sweden). We focus especially on countries that experienced sharp transformations regarding the state of their civil societies in the last 3–5 years. Our findings underline, among others, the importance of the electoral process and foreign policy influencing the evolution of the civic space. Cases like the Czech Republic suggest that the decline of civil society can be stopped at the polls. The Russian Federation is an example of a successful suspension of civic freedoms under the pretext of protecting the population from toxic foreign interference.
Fostering Democratic Values for the Future
Authors: Cărăuşan Mihaela V.
Published: July 2024

delving into the subjects that contribute to the democratic values frame. We will investigate the active role of individuals in shaping cultural norms and emphasize the importance of their participation in manifesting democratic power within the state. Moreover, the study questions whether the education system effectively prepares the future generation to be responsible members of society. The paper starts with the concept of co-creation and assesses whether individuals are ready to understand or know its implications. It reviews the empowerment of individuals as active decision-makers in societal processes and their ability to critically reflect on social movements and evolution. Furthermore, the research explores whether the upcoming generation possesses values that enable them to reject or aspire to different ideologies. In addressing the relationship between individuals and civil society, the paper investigates when and how nongovernmentalorganizations play a role in the education of future generations' values. An essential aspect of the study is an analysis of the education system's contribution to promoting Sustainable Development Goals (SDGs) in Romania. The research evaluates whether citizens have the necessary values to protect and support a sustainable future. The methodological framework for the paper is structured around a combination of qualitative and quantitative research methods, such as literature and document review, content and comparative analysis, and a multidisciplinary approach to gather comprehensive insights. Through this comprehensive examination, the paper aims to contribute valuable insights and recommendations for enhancing Romania's preuniversity education system, strengthening civil society, and promoting a sustainable future.
Micropréstamos, microcréditos y créditos rápidos. Controles judiciales
Authors: Rodríguez Achútegui Edmundo
Published: July 2024

Una nueva forma de litigiosidad se avecina con los llamados microcréditos, micropréstamos o créditos rápidos. Se trata de una forma de contratación en masa de crédito al consumo, con perfiles y características propias. Aunque no tengan regulación específica, quedan sometidos a las previsiones generales del ordenamiento jurídico. Es particularmente relevante la aplicación de las previsiones de la Ley de Usura, que obliga a atender a criterios de comparación homogénea respecto a lo que debe considerarse el "interés normal del dinero".
Acuerdos transaccionales de revisión de cláusulas abusivas en la contratación con consumidores
Authors: Sanjuán Muñoz Enrique
Published: July 2024

El Tribunal Supremo ha venido construyendo en los últimos años un conjunto jurisprudencial importante que nos permite distinguir entre requisitos necesarios para que una novación o una transacción puedan considerarse válidas (o no) cuando se trata de contratos entre consumidores y profesionales. La transacción, como cualquier otro negocio jurídico, conlleva que lo convenido por las partes tenga eficacia vinculante entre ellas en tanto no se justifique su nulidad. Como elementos esenciales de la transacción, el Alto Tribunal considerará dos en concreto: el acuerdo para eliminar la controversia y la reciprocidad de concesiones. Ambas partes transigen, realizan concesiones recíprocas y evitan el pleito, y convierten así la incertidumbre inicial en una situación cierta. Al aplicar dicha doctrina a las condiciones generales de la contratación, el Alto Tribunal juega con supuestos temporales, negociación, carga probatoria y la doctrina europea. Desde ahí, por lo tanto, un régimen que debemos tener en cuenta a la hora de resolver estas cuestiones.
La responsabilidad profesional de periodistas y medios de comunicación y su aseguramiento
Authors: Arroyo Aparicio Alicia
Published: July 2024

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Impact of planting techniques and cutting sizes on cassava (Manihot esculenta Crantz) sprouting and subsequent vegetative growth in various nursery environments
Authors: Mbise Victor Elisante , Sibuga Kallunde Pilly , Mtui Hosea Dunstan
Published: July 2024

Cassava (Manihot esculenta Crantz) is a perennial woody shrub, mainly propagated via stem cuttings. Propagation methods and growth environment have been reported to affect sprouting and vegetative growth significantly. This study aimed to examine the effect of planting methods and cutting sizes on cassava's sprouting and subsequent vegetative growth. The experiment was conducted at the Agricultural Research Institute-Tumbi Centre Tanzania. The cassava varieties used were TARICASS2, TARICASS3, TARICASS4, TARICASS5, Kiroba, Kizimbani, Mkumba, and Mwasunga. They differed significantly on the days they first sprouted. Days to 50% first sprouting was observed three days after transplanting in the low tunnel from Mkumba, Kizimbani, Mwasunga, and TARICAS5, compared to six days in the open field nursery. The early sprouting from the low tunnel may be attributed to its high relative humidity (86.5%) and soil temperature (37.4 OC). Cuttings with four nodes had the highest number of sprouts compared to cuttings with two nodes for horizontal planting. Therefore, horizontal planting should be adopted in low tunnels to ensure a massive multiplication of planting materials.
Peningkatan Pengetahuan Kader Kesehatan Dan Masyarakat Desa Menggunakan Portal Web
Authors: Hidayat Ahmad , Hakim Ali Rakhman , Saputri Rina , Mustaqimah Mustaqimah
Published: July 2024

Akses terhadap informasi kesehatan telah meningkat pesat berkat teknologi informasi, namun masih sedikit informasi berbasis bukti tersedia bagi masyarakat awam. Selain itu, masyarakat kesulitan memahami dan menilai informasi kesehatan secara kritis, tidak memeriksa keakuratan informasi kesehatan yang mereka temukan secara efektif, dan menilai terlalu tinggi kredibilitas informasi tersebut. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk menyediakan portal web yang memuat informasi kesehatan yang dapat dipercaya oleh masyarakat. Metode yang digunakan yaitu dengan membuat portal web yang dikelola oleh tim pengabdian kepada masyarakat. Informasi yang disediakan pada halaman web memuat tentang kesehatan ibu dan anak, serta tentang penyakit. Sasaran dari kegiatan ini adalah kader kesehatan. Hasil dari kegiatan ini kader kesehatan mampu mengakses web dan mengerti cara untuk mengakses menu informasi pada web. Kegiatan ini menjadi bentuk pengabdian kepada masyarakat berkelanjutan melalui pengelolaan web dengan selalu memperbarui informasi kesehatan.
Práxis de educação ambiental, na escola estadual, em Santarém, Pará, Brasil
Authors: Sousa Dionelma da Conceição Silva , Santos Maria Mirtes Cortinhas dos
Published: July 2024

A educação ambiental (EA) desperta nas pessoas cuidados com o meio ambiente. O objetivo do estudo foi investigar práticas de educação ambiental em uma Escola, em Santarém, PA. Para os discentes o meio ambiente, associa-se a fatores naturais e 75% dos docentes a EA, são ações promovidas tanto por organizações particulares como pelas organizações governamentais, etc. A (EA) na escola é necessária para despertar a sensibilidade e a conscientização de todos (as), em prol do meio ambiente de qualidade.