bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge and Attitude of Undergraduate Dental Students Regarding Anaphylactic Reaction in Islamabad
Authors: Mansoor Afsheen , Mansoor Emaan , Hasan Uzma , Saeed Harris , Hussain Khadim , Muhammad Mohsin Javaid
Published: June 2024

Objective: To evaluate the knowledge and attitude of undergrad dental students regarding anaphylactic reaction associated with local anesthesia used in the dental procedures.
Methodology: This cross sectional Questionare based study was conducted in School of Dentistry, Islamabad from June 2023 to September 2023. Questionnaire regarding knowledge and attitude of undergrad dental students toward handling the anaphylactic shock/reaction was distributed among these students. Independent T test was employed for statistical analysis where p. value for significance was <0.05.
Results: 250 undergrad dental students that participated in this study ranged between 20-23 years of age on average. These undergrad dental students worked in clinical wards and used local anesthesia for dental treatments of the patients in routine. Local anesthesia Lignocaine was preferred by 112 (91.8%) male undergrad dental students and 120 (93.8%) female undergrad dental students while other type of local anesthesia used by male and female undergrad dental students was 10 (8.2%) and 8 (6.3%). The overall knowledge of these undergraduate dental students regarding anaphylactic reaction was much better in comparison to their practical attitude that involved the adequate management of this disease (p value=0.001).
Conclusions: The current study concluded that undergrad dental students had enough theoretical knowledge regarding anaphylactic shock but lacked in the practical attitude to manage it adequately without any fear of severe consequences. This practical attitude can be enhanced by pursing the undergrad dental students for undergoing manual hands on courses, workshops and awareness programs.
Review on the Efficacy and Safety of Herbal Chocolate for Pediatric Consumption
Authors: Nitin N. Mali  , Harshada B. Pansare
Published: June 2024

The use of herbal remedies for pediatric consumption has gained attention due to their potential therapeutic benefits and minimal side effects. This review aims to investigate the efficacy and safety of herbal chocolate for pediatric consumption. We explore the importance of herbal remedies in pediatric healthcare, new preparation techniques for herbal chocolate, potential benefits, challenges, and conclude with insights into the future potential of herbal chocolate as a pediatric-friendly herbal remedy
Canada Calling: Unraveling the Youth Obsession with Canadian Education
Authors: Shreya Chauhan
Published: June 2024

Studying abroad has grown in popularity as a result of the globalisation of education, with Canada becoming as a popular choice for students from around the world. The purpose of this research paper is to examine the benefits and drawbacks of studying in Canada. This essay navigates the benefits and drawbacks of studying overseas in Canada, offering prospective students insightful information. This study adds to a greater knowledge of the investigation abroad experience in Canada by thoroughly examining academic quality, cultural variety, employment opportunities, financial considerations, adaption issues, and legal obstacles
Design and Implementation of Energy Harvesting and Pollution Control System using Nano Tree
Authors: Dr. Kalpana A B  , Smruthi B  , Spoorthi M  , Somisetti V Tejaswi
Published: June 2024

In today's globalized society, energy consumption is a fundamental pillar of societal advancement and evolution. Street lighting applications consume a lot of electricity with the benefit of preventing accidents and ensuring the safety of pedestrians at night. The main considerations in the present field of technologies are automation, power consumption, and cost-effectiveness. Alongside, rapid industrialization and urbanization have resulted in an exponential increase in air pollution causing adverse effects on living beings and deterioration of fossil fuels. Hence, the use of regenerative sources of energy is crucial to facilitate the high power demand. The proposed system presents the development of a Nano tree using the Arduino board to collect renewable solar energy from the environment used for street light illumination by using sensors at minimum electrical energy consumption. The Nano tree can be used as an alternative to streetlights with the addition of LED strips along with an accumulation of gaseous pollutants. If the pollutant level exceeds the limit an alert will also be sent to the pollution control authority of the adjacent industry. The Nano Tree is the concept of an autonomous street light with atmospheric monitoring capability.
Development of gerodietary meat products
Authors: Bednyagin D.
Published: June 2024

The relevance of the presented research on the development of gerodietary meat products is due to the fact that the relative preferences shown by older people to various protein sources, including animal protein sources such as red meat and poultry, as well as alternative plant-based protein sources, have not yet been identified. The food choices of older adults have not been studied, nor have their preferences and willingness to pay for different carbon tags depending on the protein source. The purpose of the study is to consider the current state and prospects for the development of gerodietary meat products. This article is an exploratory attempt to describe potential pathways for the development of nutritionally balanced gerodietary meat products aimed at helping older adults maintain an active and healthy aging process. The object of the study is age-related changes in the consumption of meat products. Age undoubtedly affects thresholds for recognizing basic tastes, especially sweet and salty. In particular, higher threshold values for sucrose and sodium chloride were found among older people compared to young people. Higher taste recognition thresholds create a natural need to add sugar and salt to food. The research methodology was a qualitative content analysis of the collected material. At the first stage, the texts of publications devoted to the production of gerodietary meat products were read and re-read in their entirety, that is, the so-called naive reading was carried out. Then thoughts were recorded regarding the integrity and relatively important elements of the publications read, arising on the basis of impressions aroused under the influence of naive reading. Further, all parts of publications related to the purpose of researching gerodietary meat products were divided into approximately identical semantic units. Qualitative content analysis involved grouping gerodiet meat products by identifying common characteristics between them, according to production processes and ingredients. At the next stage, the semantic units were subject to codification, and a number of categories with subcategories arose. Finally, after all the texts of the publications had been read, the texts were compared with the results of the undertaken content analysis, which made it possible to verify the reality of the coverage of the content of the publication texts and codes by the selected categories and subcategories in full.
Development of orthopedic support for patients with foot pathologies
Authors: Abzalbekuly B. , Yeldiyar G. K. , Sabyrkhanova S. Sh.
Published: June 2024

The level of development and well-being of the population of Kazakhstan is directly dependent on the health of each person. In recent years, a significant increase in patients with diabetes mellitus has been observed all over the world and in Kazakhstan, because of which the number of patients with various foot diseases is growing. The works show that one of the causes of foot disease is uncomfortable shoes, since ordinary shoes do not provide the necessary structural elements, orthopedic products made of elastic, shock-absorbing and antibacterial materials that contribute to the normal functioning of the diabetic foot. The aim of the study is to determine the structural properties of the synthesized silicone composites with the addition of MCC, used in orthopedic products. In this work, studies of MCC and silicone composites were carried out using the DelsaNano particle size analyzer. Also carried out: IR - spectroscopic, electronic and optical-microscopic studies were conducted. The scientific results obtained in this work can be used to further study the problems of providing comfortable shoes for patients with various foot diseases in with DM; in the preparation and study of nanocomposite materials with antibacterial properties. They can be useful for diabetologists, orthopedists, as well as manufacturers of orthopedic products and shoes.
A comprehensive method of soaking sheepskins with sulfurization
Authors: Rakhmetbay D. K. , Dzhunisbekov M. Sh. , Shardarbek M. Sh. , Kodirov T. J.
Published: June 2024

Soaking is the first and one of the most important preparatory operations in fur dressing. Soaking determines the successful completion of subsequent technological processes. The purpose of soaking is to bring the skin into a state close to paired state in terms of the amount and uniformity of moisture distribution in the leather tissue and hair. This makes it important to find the optimal soaking recipe. The classic soaking method leads to damage to the structure of the dermis, due to which the structure of the soaked dermis differs from the structure of the dermis in the paired state. To solve this problem, it is necessary to find an innovative soaking method that both meets soaking standards and preserves the structure of the dermis close to the paired state. This article discusses a comprehensive method for soaking sheepskins with sulfurization. An experiment was conducted with 4 batches preserved using different preservation methods. These batches were soaked using our suggested recipe, using sodium sulfate and sulfuric acid. As a result of the interaction of sodium sulfate with sulfuric acid, sulfur is formed, which interacts with the functional groups of collagen. This interaction is one of the ways to sulfurize the semi-finished product. In addition, the resulting sulfur affects not only the soaking process, but also subsequent processes, causing synergy in the technological process chain. Analysis of the process results allows us to conclude that this soaking method complies with established standards. Since the watering of the raw material in each of the preservation methods is above 65%, as well as the indicators of the structure of the dermis, soaked with sulfur, are close to the indicators of the structure of the dermis in the paired state.
Development of technology for nonwovens with antimicrobial properties
Authors: Dyussenbiyeva K. Zh. , Burkitbay A.
Published: June 2024

The article presents data on the development of nonwovens with antimicrobial properties using anavidin, polyethylene glycol and copper sulfate. The production of nonwovens is booming all over the world. In terms of their properties, nonwovens successfully compete with fabrics and replace them, and in some properties they are superior to traditional textile materials. For the production of non-woven fabrics, more than half is still accounted for by natural fibers: cotton, wool and linen fibers, waste from the processing of natural fibers, regenerated fibers. In this work, the goal is to obtain nonwovens with antimicrobial properties. Technologies have been developed that give nonwovens stable antimicrobial properties. The physicochemical properties and mechanism of interaction of the applied components have been investigated. The optimal technological parameters for the production of antimicrobial nonwovens have been determined. The development of a new technology of nonwovens with improved physical, mechanical and functional properties will help to apply nonwovens in medicine and other areas that require bacteriostatic, bactericidal and fungicidal properties of textile materials. Therefore, in order to obtain nonwovens that would meet all the requirements of domestic and foreign enterprises, it is advisable to modify both fibers and impregnating compositions.
The influence of secondary raw materials of grain processing on the rheological properties of the dough
Authors: Yessembek M. Zh. , Tarabayev B. K. , Omaralieva A. M. , Botbaeva Zh. T. , Kakimov M. M.
Published: June 2024

The development of technologies and new recipes for bakery products with increased nutritional value is a promising direction for the food industry. The expansion of the assortment is due to the introduction of additional raw materials, one of the options of which is rice and buckwheat flour. Rice and buckwheat flour contain a wide range of biologically active substances that, when added to food, have a beneficial effect on the human body. The main objects of research were flour composite mixtures obtained by mixing wheat flour of the first grade, rice, and buckwheat flour in a percentage ratio of 95:2:3, 90:3:7, 85:4:11, 80:5:15, 75:6:19, accordingly. The aim of the study was to study the influence of secondary raw materials of grain processing on the rheological properties of the dough to justify their introduction into the production of bakery products for functional purposes. The study of semifinished product samples was carried out using the following devices: Chopin alveograph (NG with the prefix alveolink) and Mixolab 2 (CHOPIN Technologies, France). The study of the rheological properties of the test samples under study showed that the introduction of secondary raw materials of grain crops – rice and buckwheat flour into the formulation of wheat bread in a dosage of 4% - 11%, respectively, improved the rheological and physico-chemical properties of the dough, which contributed to the development of the formulation and technology of a new type of enriched bread.
Investigation of the effect of bio-ap-irga dietary supplements on the composition and properties of yogurts
Authors: Makangali K. K. , Tultabayeva T. Ch. , Zhakupova G. N. , Sagandyk A. T. , Akhmetzhanova A. T. , Beksultan A. A.
Published: June 2024

Today, consumers pay special attention to the quality of their products. They also expect a high level of innovation. Thus, the dairy sector's supply is increasingly focusing on the use of various additives with proven health benefits. The modern market of functional products consists of 65% dairy products. The basis of the technology of functional food products is the modification of traditional products, which ensure an increase in the content of useful ingredients in them to a level correlated with the physiological norms of consumption. Many scientific studies from different regions of the world are engaged in research, and their goal is to identify herbal supplements that have a beneficial effect on the human body. A specific feature of plant raw materials is the ability to synthesize a large number of various chemical compounds of various natures that have physiological activity. This article presents the results of studies on the effect of a biologically active additive obtained by using whey protein concentrate, saskatoon berries and mountain ash. The results of the physico-chemical, organoleptic parameters of yogurt obtained using the developed dietary supplement are presented. It was found that the content of proteins, vitamin C, and polyphenols in the finished yoghurts significantly increased. An increase in antioxidant properties was noted. The data obtained indicate the biological value of the developed yogurt was enriched with BIO-AP-IRGA dietary supplement.
Covered stent placement for the treatment of mycotic extracranial carotid artery aneurysm: a case report and comprehensive review
Authors: Lee Hooin , Kim Il Jung , Kim Sunghan
Published: June 2024

Extracranial carotid artery aneurysms (ECAAs) are rare, and mycotic aneurysms are even rarer. Here, we report a case of a giant extracranial carotid artery mycotic aneurysm treated successfully with a covered stent. A 78-year-old man with no pertinent medical history other than a history of acute cholangitis 2 months previously presented with a huge expansile, pulsatile, and non-tender mass in the right neck. Cerebral angiography revealed a right ECAA measuring 35.3×27.5 mm involving the bifurcation of the right common carotid artery. Endovascular reconstruction of the right carotid artery using a vascular-covered stent was performed. After treatment, the ECAA was occluded, and the patient had no new neurological symptoms. The patient underwent a concurrent 2-week course of antibiotic therapy, and the masses regressed entirely. Endovascular treatment with a covered stent, along with appropriate antibiotics, is a feasible and safe option for treating mycotic aneurysms involving the carotid bifurcation.
Silage Quality of Some Italian Ryegrass Varieties Grown in Sivas Ecological Conditions
Authors: Sarıkaya Meliha Feryal , Tatar Muhammed , Kökten Kağan , Yüce İlker , Çilesiz Yeter , Karaköy Tolga
Published: June 2024

This research was carried out to determine the silage characters of some Italian ryegrass varieties. 21 Italian ryegrass varieties (Master, Quickston, Big Boss, Koga, Venüs, Braulio, Jivet, Medoacus, Excellent, Tornado, İlkadım, Caramba, Kartetra, Efe-82, Trinova, Hellen, Devis, Vallivert, Teanna, Rambo, Zeybek-19) were used as materials. The trial was conducted in the 2022-2023 growing season on land belonging to the Agricultural Ar&Ge Center of Sivas Science and Technology University, Faculty of Agricultural Sciences and Technology. Harvesting for silage making was done when the grains on the ears reached the milking stage, silage samples were placed in 2 kg plastic vacuum bags, and the bags were opened after 60 days for analysis. As a result of the analysis, it was determined that the acid detergent fiber (ADF) rates in silage varied between 31.09-36.74%, neutral detergent fiber (NDF) rates varied between 52.56-61.75%, crude protein rates varied between 9.76-12.34%, crude ash rates varied between 8.23-12.01%, dry matter rates varied between 21.27-29.90%, pH values varied between 4.46-5.90, dry matter digestibility rates varied between 60.28-64.68%, dry matter intake rates varied between 1.95-2.28% and the relative feed value varied between 90.9-113.6, depending on the Italian ryegrass varieties. Among the Italian ryegrass varieties examined in the research, Koga and Vallivert varieties, which have low acid detergent fiber and neutral detergent fiber rates, high dry matter digestibility and dry matter intake rates, and relative feed value, stand out and it is suggested that these varieties can be grown in Sivas and similar ecologies for silage purposes.
Determination of Seasonal Changes of Feed Value of Common Grazable Species Aşağı Gökdere Macquis Shrublands
Authors: Bıçakçı Emre , Türk Mevlüt
Published: June 2024

This study was conducted in the years of 2018-2020 to determine the feed value of common shrub species that can be grazed in the maquis area around Aşağı Gökdere village of Isparta. Ten species (Quercus coccifera, Quercus infectoria, Quercus cerris, Phillyrea latifolia, Spartium junceum, Crataegus monogyna, Paliurus spina-christi, Juniperus oxycedrus, Cistus creticus and Arbutus andrachne) were used in the study. Leaf samples were collected from these species in each season. Dry matter content, crude protein content, NDF, ADF, total digestible nutrients, relative feed value and tannin content were determined. According to the analysis of variance, the differences between seasons and shrub species were found to be statistically significant in all traits analyzed.
According to the two-year averages, when the seasons were compared, the highest crude protein content, total digestible nutrients and relative feed value were obtained in spring, decreased as the seasons progressed, and the lowest values were obtained in winter. The lowest dry matter ratios, ADF and NDF values were obtained in spring and they increased in parallel with the progression of the seasons. The lowest condensed tannin ratios were obtained in spring and summer, while the highest values were determined in autumn.
When the species were compared, the lowest dry matter and condensed tannins contents were found in Spartium junceum, while NDF and ADF ratios were found in P. spina-christi. The highest crude protein content was determined in Quercus infectoria, while total digestible nutrients and relative feed value were determined in P. spina-christi species. As a result, it was observed that shrubs, shrub-formed trees and shrubs in the maquis have an important potential as high quality feed for ruminants during the critical period in semi-arid and arid regions.
Toteutuuko digitalisaatiolupaus syrjäisellä maaseudulla asuville nuorille?
Authors: Haverinen Ville-Samuli , Tuuva-Hongisto Sari
Published: June 2024

Digitalisaation on uskottu luovan yhdenvertaisia elämänrakentamisen mahdollisuuksia ”diginatiiveina” pidetyille nuorille. Digitalisaation merkitys korostuu erityisesti laajojen maaseutualueiden ja pitkien etäisyyksien Suomessa. Artikkelissa tarkastellaan, miten digitalisaatio, ja sen lupaukset, materialisoituvat syrjäisellä maaseudulla asuville nuorille – vai tapahtuuko niin? Kuinka saavutettavuus ja tasa-arvo toteutuvat ja liittyykö maaseudun diginuoruuteen edelleen erilaisia ja eritasoisia esteitä? Digitaalisuus nähdään artikkelissa nuorille tarjoutuvana mahdollisuusrakenteena, joka yhtäältä luo uudenlaisia mahdollisuuksia, mutta toisaalta vahvistaa ja uusintaa eriarvoisuutta. Artikkelissa jäsennetään syrjäseudulla asuvien noin 15-vuotiaiden nuorten osallisuutta ”digitaalisten kuilujen” avulla ja pohditaan tasa-arvoisten mahdollisuuksien toteutumisen edellytyksiä vuosina 2021–2022 kerätyn määrällisen ja laadullisen tutkimusaineiston analyysissa
SUGESTÃO DE IMPLEMENTAÇÃO DA FERRAMENTA KANBAN EM PROCESSO DE SEPARAÇÃO
Authors: Tolin Ana Beatriz Ferreira , Santis Sandra Helena da Silva de , Silva Glauco Roberto Pereira da
Published: June 2024

Este projeto tem como objetivo sugerir a ferramenta kanban em processo de separação, com o intuito de melhorar a eficiência diária da produção, e a qualidade do trabalho no âmbito da ergonomia para a líder do setor, que através dessa ferramenta terá um desgaste menor durante a realização de suas atividades. A empresa em questão que foi observada, é uma indústria do ramo têxtil, com o seu foco na importação de produtos para a revenda. O processo de separação tratado nesse estudo é a separação dos pedidos (produto final), ou seja, o pedido é liberado pelo comercial e enviado para o setor de produção, que separa os itens no estoque, confere, embala e leva até a expedição.
JOGOS DIDÁTICOS COMO FERRAMENTAS NO ENSINO DE EMBRIOLOGIA
Authors: Silva Thainara Ferreira da , Vítor Susy Ellen Cardoso , Silva Ellen Marques da , Craveiro Natalia Alves , Lemos Isamayra Thais da Silva , Freitas Gilson de Jesus , Rosa Andula Maria de Sousa , Silva Claucenira Bandeira da , Farias Ruth Raquel Soares de
Published: June 2024

O ensino de Embriologia contém grande quantidade de termos técnicos que podem dificultar a compreensão das fases embrionárias. Em razão disso, a utilização de jogos didáticos e materiais visuais são uma alternativa para melhor compreensão das fases embrionárias. Para que isso aconteça, é preciso investigar e aplicar metodologias ativas de ensino, com ênfase na utilização de jogos didáticos e recursos visuais, com o intuito de aprimorar o processo de ensino-aprendizagem da embriologia. Dessa forma, para a aplicação efetiva, neste trabalho, os conteúdos foram divididos e apresentados em dois momentos distintos. No primeiro momento, optou-se pela elaboração de um quebra cabeça sobre as divisões celulares, enquanto no segundo aconteceu um jogo de tabuleiro com os temas “Espermatogênese” e “Oogênese”. Diante disso, a utilização de estratégias pedagógicas diferenciadas, como a elaboração de um quebra-cabeça e de um tabuleiro, demonstra um esforço estratégico para tornar o processo de ensino-aprendizagem mais dinâmico e envolvente. Essas abordagens buscam não apenas o desenvolvimento cognitivo, mas também uma melhoria concreta na assimilação dos conteúdos propostos. Desse modo, por meio do aproveitamento estudantil, ficou evidente a importância dos jogos didáticos na hora da elaboração de uma atividade que abrange conteúdo e/ou termos mais complexos, com o fito de ser passada de modo simplificado para os alunos sendo, portanto, uma prática vantajosa na hora da fixação do conteúdo.
EFEKTIFITAS NURSING TELEHEALTH DALAM MEMBERIKAN ASUHAN AKEPERAWATAN
Authors: Hasibuan Anisah Khayrani , NURHIDAYAH RIKA ENDAH
Published: June 2024

Nursing Telehealth has a very effective impact on nurses in providing nursing services. The use of increasingly sophisticated media can penetrate the barrier between nurses and patients. Referring to Florence Nightingale's nursing paradigm, modern nursing theory was developed to describe the interaction between nursing, patient environment, health, and individual basic needs. The use of information and communication technology has impacted the evolving role of nursing in modern healthcare systems that have embraced the whole setting. Besides the many benefits, Nursing Telehealth must be faced with the readiness of human resources, financing, facilities and infrastructure as well as clear legal aspects. The purpose of this literature review is to describe the use of Telehealth in the nursing profession to provide professional care. Method: research design using Literature Review, based on summaries of several studies related to the Nursing Telehealth research topic. The journal can be accessed by searching the ProQuest database and Google Scholar 2019-2023. Results: Based on the journals collected, the use of Nursing Telehealth in nursing care can increase the effectiveness of nursing care services. Conclusions and Recommendations: Nursing Telehealth is effective in facilitating nurses in carrying out professional and effective nursing care and shortening the time and distance of services. The author recommends that Nursing Telehealth be implemented in Indonesia in stages considering Indonesia's geographical conditions.
ASUHAN KEBIDANAN NIFAS DENGAN PEMBERIAN ASI EKSKLUSIF DI PMB MONA KOTA PADANGSIDIMPUAN TAHUN 2023
Authors: Pasaribu Widya Meryanti , Hasibuan Khoirunnisah , Siregar Mona Durriyah , Siregar Hidayanti Rohimah
Published: June 2024

ABSTRAK
Air susu ibu sebagai sumber nutrisi terbaik yang mampu meningkatkan kesehatan ibu dan anak. Kesehatan  ibu dan anak merupakan prioritas utama dalam pembangunan Kesehatan di Indonesia, hal ini dikarenakan Angka Kematian Ibu yang setiap tahun yang semakin meningkat. Laporan kasus ini bertujuan untuk melaksanakan asuhan kebidanan pada ibu nifas dengan pemberian ASI Eksklusif agar tidak terjadi komplikasi. Studi kasus yang dilakukan di PMB Mona Duryyah  Siregar, SKM, S.Keb di Kota Padangsidimpuan yang dilakukan secara berkala sesuai jadwal kunjungan pasien. Asuhan kebidanan pada Ny.Y dilakukan dari tanggal 11 Maret 2023 sampai dengan tanggal 17 Maret 2023 kunjungan dilakukan selama 2 kali. Metode pendokumentasian dalam bentuk data subjektik, objektif, analisis dan penatalaksanaan (SOAP) berdasarkan manajemen asuhan kebidanan 7 langkah Helen Varney. Hasil laporan yang diperoleh tidak ditemukannya masalah ataupun komplikasi dalam masa nifas Ny.Y semua kondisi dalam keadaan normal. Setelah dilakukan asuhan kebidanan, pasien menerima dan memahami serta melaksanakan anjuran yang telah diberikan. Disarankan kepada penyedia layanan untuk memperbanyak penyedian leaflet ataupun bahan bacaan khusus untuk ibu nifas sebagai bentuk media informasi yang dapat digunakan pasien sebagai sumber infomasinya ketika berada dirumah.
Kata kunci : ASI Eksklusif, Asuhan Kebidanan, Nifas
 
ABSTRACT
Mother's milk is the best source of nutrition that can improve the health of mothers and children. Maternal and child health is a major priority for health development in Indonesia, as the maternal mortality rate rises each year. The purpose of this case report is to provide obstetrical care to mothers after delivery through exclusive breastfeeding to avoid complications. This case study was conducted at the PMB Hj. Mona Duryyah Siregar, SKM, S.Keb in Padangsidimpuan City which is carried out regularly according to the patient's visit schedule. Midwifery care for Mrs. Y was carried out from March 11 to March 17 in 2023, with 2 visits. The method of documentation in the form of subjective, objective, analytical and management data (SOAP) is based on Helen Varney's 7-step midwifery care management. The results of the report did not reveal any issues or complications during Mrs. Y’s puerperium. all conditions were normal. After midwifery care is carried out, the patient agrees and understands the recommendations that have been given. It is suggested to service providers to provide more leaflets or special reading materials for postpartum mothers as a form of information media that can be used as a source of information when they are at home.
Keywords : Exclussive Breastfeeding, Midwifery Care, Post Partum
GAMBARAN TINGKAT PENGETAHUAN KELUARGA TENTANG MODIFIKASI DIET BAGI PENDERITA DIABETES MELLITUS TIPE II DI WILAYAH KERJA PUSKESMAS BATUNADUA KOTA PADANGSIDIMPUAN TAHUN 2022
Authors: Simamora Febrina Angraini , Manurung Dina Mariana , Rangkuti Juni Andriani
Published: June 2024

Faktor resiko utama yang mempengaruhi terjadinya DM adalah pola makan yang tidak sehat dimana mereka cenderung terus mengkomsumsi karbohidrat dan makan dari makanan yang sumber glukosanya secara berlebihan, sehingga menaikan kadar glukosa darah.Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan keluarga tentang modifikasi diet bagi penderita DM Tipe II diwilayah kerja puskesmas batunadua kota padangsidempuan 2022. Jenis penelitian kuantitatif dengan desain penelitian deskriftif korelatif. Populasi adalah seluruh penderita DM tipe 2 dipuskesmas batunadua sebayak 216 orang. Tehnik sampel menggunakan purposive sampling dengan jumlah sampel 140 orang. Analisa univariat untuk mendeskripsikan karakteristik masing-masing variabel penelitian. Hasilnya adalah tingkat pengetahuan keluarga tentang memodifikasi diet pada penderita diabetes mellitus tipe II yaitu kurang, sebanyak 59.3%, pengetahuan baik sebanyak 40.7%. Maka dapat disimpulkan kurangnya pengetahuan keluarga tentang memodifikasi diet bagi penderita DM tipe II yang mengakibatkan gula darah tidak terkontrol stabil atau dipertahankan di angka normal. Disarankan hasil penelitian ini dapat menambah pengetahuan responden dan dapat diterapkan untuk meningkatkan kepercayaan diri serta pengetahuan masyarakat agar mampu melakukan upaya pencegahan komplikasi dari DM dan dapat dijadikan sebagai perawatan mandiri.
Gambaran Pengetahuan tentang Tes HIV pada Calon Pengantin di Wilayah Kerja Puskesmas Sadabuan
Authors: Harahap Yanna wari , Suryati Suryati , Napitupulu Mastiur
Published: June 2024

Berdasarkan World Health Organization (WHO) menyatakan bahwa HIV/AIDS masih menjadi masalah kesehatan global dan tercatat sebagai penyebab kematian 32 juta orang di dunia. Hingga saat ini HIV/ AIDS masih tetap menjadi momok yang menakutkan bagi dunia, HIV /AIDS menjadi salah satu epidemik paling menghancurkan dan menjadi masalah multinasional yang amat sangat serius. Pengetahuan tentang HIV menjadi salah satu faktor penyebab HIV karena ketidaktahuannya. Tujuan penelitian untuk mengetahui pengetahuan calon pengantin dan pelaksanaan Tes HIV di Puskesmas Sadabuan Kota Padangsidimpuan. Jenis penelitian yaitu kuantitatif dengan desain Cross Sectional. Jumlah sampel menggunakan teknik total sampling dengan jumlah 50 responden. Hasil penelitian diketahui pengetahuan calon pengantin tentang HIV/AIDS dan pelaksanaan tes HIV. Hasil penelitian diperoleh pengetahuan mayoritas kategori kurang dan mayoritas tidak melakukan tes HIV. Diharapkan bagi responden yang memiliki pengetahuan kurang, dapat meningkatkan pengetahuan tentang HIV/AIDS dengan berbagai informasi kesehatan melalui media sosial maupun media cetak.
Monitoring and benchmarking Earth system model simulations with ESMValTool v2.12.0
Authors: Lauer Axel , Bock Lisa , Hassler Birgit , Jöckel Patrick , Ruhe Lukas , Schlund Manuel
Published: June 2024

Abstract. Earth system models (ESMs) are important tools to improve our understanding of present-day climate and to project climate change under different plausible future scenarios. For this, ESMs are continuously improved and extended resulting in more complex models. Particularly during the model development phase, it is important to continuously monitor how well the historical climate is reproduced and to systematically analyze, evaluate, understand, and document possible shortcomings. For this, putting model biases relative to observations into the context of deviations shown by other state-of-the-art models greatly helps to assess which biases need to be addressed with higher priority. Here, we introduce the new capability of the open-source community-developed Earth System Model Evaluation Tool (ESMValTool) to monitor running or benchmark existing simulations with observations in the context of results from the Coupled Model Intercomparison Project (CMIP). To benchmark model output, ESMValTool calculates metrics such as the root-mean-square error, the Pearson correlation coefficient, or the Earth mover’s distance relative to reference datasets. This is directly compared to the same metric calculated for an ensemble of models such as the one provided by CMIP6, which provides a statistical measure for the range of values that can be considered typical for state-of-the-art ESMs. Results are displayed in different types of plots such as map plots or time series with different techniques such as stippling (maps) or shading (time series) used to visualize the typical range of values for a given metric from the model ensemble used for comparison. Automatic downloading of CMIP results from the Earth System Grid Federation (ESGF) makes application of ESMValTool for benchmarking of individual model simulations, for example in preparation of CMIP7, easy and very user friendly.
Brief communication: Forecasting extreme precipitation from atmospheric rivers in New Zealand
Authors: Kingston Daniel G. , Cooper Liam , Lavers David A. , Hannah David M.
Published: June 2024

Abstract. With mountainous topography and exposure to mid-latitude westerly storms causing frequent atmospheric river landfall and associated hydro-hazards, medium-range forecasting of extreme precipitation is a critical imperative for New Zealand. Here, the European Centre for Medium-Range Weather Forecasts Extreme Forecast Index (EFI) is applied to two variables in forecast week 2, total precipitation (TP-EFI) and vertically integrated water vapour transport (IVT-EFI). Results reveal the TP-EFI sometimes outperforms the IVT-EFI in capturing extreme precipitation events – in contrast to past Europe-based research and indicating a need to develop further our conceptual understanding of the predictability of extreme precipitation in different geographical contexts.
Classification of North Atlantic and European extratropical cyclones using multiple measures of intensity
Authors: Cornér Joona Samuel , Bouvier Clément Gael Francis , Doiteau Benjamin , Pantillon Florian , Sinclair Victoria Anne
Published: June 2024

Abstract. The question of how to quantify the intensity of extratropical cyclones does not have a simple answer. To offer some perspective on this issue, multiple measures of intensity are analyzed in this study for North Atlantic and European extratropical cyclones for the extended winter season between 1979 and 2022 using ERA5 reanalysis data. The most relevant intensity measures are identified by investigating relationships between them and by performing sparse principal component analysis on the set of measures. We show that dynamical intensity measures correlate strongly with each other, while correlations are weaker for impact-relevant measures. Based on the correlations and the sparse principal component analysis, we find that five intensity measures, namely 850 hPa relative vorticity, 850 hPa wind speed, wind footprint, precipitation, and a storm severity index, describe cyclone intensity comprehensively and non-redundantly. Using these five measures as input, we objectively classify the extratropical cyclones with a cluster analysis based on a Gaussian mixture model. The cluster analysis is able to produce four clusters between which cyclones differ in terms of their intensity, life cycle characteristics such as deepening rate and lifetime, and geographical location. A clear majority (81 %) of investigated impactful storms belong to the most intense cluster, which demonstrates the ability of the method to identify potentially damaging extratropical cyclones.
Internal tides off the Amazon shelf in the western tropical Atlantic: Analysis of SWOT Cal/Val Mission Data
Authors: Tchilibou Michel , Carrere Loren , Lyard Florent , Ubelmann Clément , Dibarboure Gérald , Zaron Edward D. , Arbic Brian K.
Published: June 2024

Abstract. The Surface Water and Ocean Topography (SWOT) altimetry mission launched at the end of 2022 is an opportunity to access ocean variability at scales down to 15–30 km and to better understand high-frequency dynamic processes such as the internal tide (IT).  This study characterizes the internal tides off the Amazonian shelf in the tropical Atlantic; it is based on 2 km horizontally gridded observations along the swaths of SWOT track 20 during the calibration/validation phase (Cal/Val, 1-day orbit) from late March to early July 2023. Internal tide models for M2, S2 and N2 were first derived by harmonic analysis of the sea level anomaly (SLA), then improved by performing a principal component analysis (PCA) prior to harmonic analysis. The results compare very well with the high-resolution empirical tide (HRET) internal tide model, the reference product for internal tide corrections in altimetry observations. The coherent mode 1 and mode 2 can be distinguished in the internal tide model derived from SWOT, while the higher modes with their strong SLA signature seem mostly in the incoherent part. The PCA also gives an overview of the daily variability of the internal tide.
Kabile Pazarlaması: Bir Marka Üzerine Pilot Araştırma
Authors: Acar Betül
Published: June 2024

Bu çalışma, kabile pazarlaması stratejisinin teorik temellerini ve uygulamalarını incelemektedir. Kabile pazarlaması, tüketicileri klasik pazar segmentasyonu dışında tutarak benzer ilgi alanlarına ve değerlere sahip gruplar olarak ele alarak, bu gruplar içinde güçlü ve kalıcı ilişkiler kurmayı hedefleyen bir stratejidir. Bu araştırma, pazarlamanın tarihsel gelişimi, temel prensipleri ve modern pazarlama stratejileri ile birlikte post-modern pazarlama stratejilerini de kapsamlı bir şekilde ele almıştır. İstanbul'da yaşayan 21 kadın katılımcı ile yüz yüze görüşme yöntemi kullanılarak gerçekleştirilen araştırmada, farklı demografik özelliklere sahip katılımcıların benzer yanıtlar verdikleri gözlemlenmiştir. Araştırma sonucunda, kabile pazarlaması stratejilerinin marka sadakati ve müşteri bağlılığını artırmada etkili olduğu görülmüş ve marka kabileleri belirlenmiştir. Tezin bulguları, pazarlama stratejilerinin geliştirilmesinde ve marka yönetiminde yenilikçi yaklaşımlar benimsemek isteyen işletmeler için değerli bilgiler sunmaktadır. Ayrıca, hem nitel hem de nicel araştırma yöntemleri kullanılarak kabile pazarlamasının etkinliği ve uygulama alanları üzerine derinlemesine analizler yapılmıştır. Bu tez, kabile pazarlaması konusundaki bilgi birikimine önemli katkılar sağlamakta ve işletmelerin bu stratejiyi daha etkin bir şekilde kullanmalarına yardımcı olmaktadır.
INVESTIGATION OF THE INFLUENCE OF ACTING LOADS ON MICROSTRUCTURAL CHANGES IN THE ALLOY INCONEL 738LC
Authors:   Moscow State Technical University of Civil Aviation, Ratenko Oleg A. , Samojlenko Elizaveta V. ,   Moscow State Technical University of Civil Aviation, Petrov Yurij V. ,   Moscow State Technical University of Civil Aviation
Published: June 2024

In modern economic conditions, one of the important tasks is to transfer as many structural elements of aircraft engines as possible to condition-based operation while maintaining a balance between the economic effect and the flight safety level. Such measures will significantly allow aircraft operators to reduce operating costs. One of the candidates for the transition to condition-based operation are turbine blades of gas turbine engines, made from heat-resistant nickel alloys. The microstructure of the heat-resistant nickel alloys is a γ-matrix with dispersed particles of the γ'-phase included into it, which are the elements that provide the high strength properties of nickel alloys. The microstructural changes that occur during the operation of gas turbine engines in turbine blades associated with an increase in the size and shape of the γ'-phase particles, as well as their volume fraction, lead to degradation of the mechanical properties of products. Taking into account these changes can be a tool that will allow one to carry out calculations aimed at assessing the technical condition of the blades of gas turbine engines during their operation.
Development of “MICAYU”: Media Microsite for Free Energy Solar Panel Prototype Project in Project Based Physiscs Learning
Authors: Hidayah Ifa , Asyhary Fathya Zahra , Ilhamit Tamam Ahmad Kevin
Published: June 2024

Digital-based learning media is currently very popular with education practitioners. Apart from being a trend in the world of education, digital media is able to raise the enthusiasm of students to continue to be creative and innovate in presenting learning outcomes. In the independent curriculum, learning is expected to implement student-centered active learning models, one of which is project-based learning. The aim of this research is to describe the creation of project-based physics learning media with "MICAYU" media on alternative energy material and to determine the level of effectiveness of "MICAYU" as a media for showcasing physics learning projects. This research uses the ADDIE method (analysis, design, development, implementation and evaluation). This research produces a mini website that can be accessed anytime and anywhere. This mini web combines the Canva and YouTube applications to create a microsite that is packaged in a simple, interactive and attractive way. The research results show that the feasibility test from media experts and material experts is in the very high category with a percentage of 93.34%. From the results of the questionnaire analysis of student responses, it was found that 74% were in the practical category. Thus, MICAYU media is effectively used in project-based learning.
Application of Cooperative Learning Model Integrated Reading and Composition (CIRC) Assisted By Flashcardmediato Improve Reading Comprehension Ability of Dyslexic Students In Elementary Schools Providing Inclusion Education
Authors: Agustin Ina , Wardhono Agus
Published: June 2024

This study intends to describe the Cooperative Integrated Reading Composition (CIRC) learning model's deployment with the use of Flashcard media and the improvement in dyslexic students' reading comprehension skills following the use of the CIRC model with Flashcard media. Research of this kind is referred to as classroom action research. This study's focus was on one student with special needs, namely dyslexia in class VI. The research site is at SDN Banjarworo II, Bangilan District, Tuban Regency. This study was conducted in two cycles, with each cycle consisting of one meeting. This research is class action research using a qualitative and qualified approach. The stages or steps carried out are (1) the planning stage, (2) the implementation stage, (3) the observation stage, and (4) the reflection stage. Data collection techniques use interview techniques, observations, tests, and documentation. Research instruments are interview sheets, observation sheets, and test sheets. Research results: At the stage of implementing the application of the CIRC model assisted by flashcard media, students pay attention to text and reading and make initial predictions. With the assistance of teachers, dyslexic students work in groups and practice doing presentations and class discussions, then do the reading comprehension ability test questions. In cycle 1, the assessment of teacher activities in implementing the CIRC learning model assisted by flashcard media was 80% with the criteria "good" and experienced an increase in cycle II of 95% with the criteria "excellent". The assessment of the activities of class VI dyslexic students in following the learning process using the CIRC learning model assisted by flashcard media was 70% with the criteria "good" and experienced an increase in cycle II by 85% with the criteria of "excellent". For the assessment of the reading comprehension ability of dyslexic students in the first cycle, which is 65, this score is still insufficient because it is below the school's KKM score. In the second phase, the assessment of reading comprehension ability increased to 80. This shows that the application of the Cooperative Integrated Reading and Composition (CIRC) learning model assisted by flashcard media can improve the reading comprehension ability of grade VI dyslexic students at SDN Banjarworo II, Bangilan District, Tuban Regency.
Reformas, conflictos y procesos electorales en los plebiscitos de la Junta Auxiliar Ignacio Zaragoza, Puebla (2014-2022)
Authors: Hernández Cid Emiliano , Miquel Hernández Montserrat , Limón Gutiérrez Juan Jesús
Published: June 2024

El objetivo de este artículo es describir los procesos electorales 2014, 2019 y 2022 de la Junta Auxiliar Ignacio Zaragoza para determinar las principales problemáticas y conocer cómo estos procesos contribuyen a la participación local; la metodología utilizada es mixta se efectúa una revisión estadística y documental de los plebiscitos y se realizan entrevistas a personas involucradas en los plebiscitos con el fin de conocer la percepción de la comunidad. Las limitaciones encontradas son la falta de información por parte de las instituciones encargadas y los pocos estudios en esta materia. El proceso plebiscitario es un ejercicio que requiere una revisión jurídica y política de la forma de ejecutarlo debido a los problemas que presenta y también a la baja participación de la población, ya que las autoridades auxiliares son las más cercanas a la comunidad y representan un eslabón más de la participación local.