bluuebunny/crossref_metadata_2025 huggingface dataset:
PEMBERDAYAAN WANITA SEBAGAI TIM KELOMPOK PENDUKUNG (KEKEP) IBU NIFAS DALAM MENJAGA KENYAMANAN IBU SELAMA MASA NIFAS
Authors: Harahap Juraida Roito , Helina Siska , Daiyah Isrowiyatun
Published: November 2022

Para ibu postpartum membutuhkan pengalaman yang sesungguhnya, salah satunya yaitu diberikan dukungan dari kelompok pendukung seperti dukungan psikologis dan juga dukungan fisik yang harus juga dipenuhi. Kelompok pendukung ini bisa datang dari masyarakat yang berada dilingkungan masyarakat itu sendiri.Wilayah lingkungan Bidan Praktik Mandiri Siti Juleha A.Md.Keb masih ditemukan kasus luka jahitan perineum yang terbuka kembali pada 1 minggu postpartum pada pasien dengan personal hygiene yang buruk dan tidak diperbolehkan mengkonsumsi protein, 1 pasien belum pernah memberikan ASI nya pada bayinya selama 1 minggu paska persalinan dengan alasan kelelahan dan ingin istirahat. Tujuan kegiatan pengabdian kepada masyarakat (Pengabmas) ini adalah membentuk tim Kelas Kelompok Pendukung (KEKEP) Ibu nifas. Kegiatan Pengabmas dilakukan pada bulan November tahun 2016, bertempat di PMB Siti Juleha. Metode kegiatan dengan ceramah tanya jawab, brain storming, demonstrasi dan redemonstrasi. Bahan yang digunakan adalah leaflet, lembar balik, phantom (alat peraga), matras, modul, buku saku nifas dan buku lembaran informasi. Hasil yang didapatkan adalah terbentuknya tim KEKEP Ibu nifas yang beranggotakan 12 orang Wanita. masalah yang paling banyak didapatkan pada masa nifas adalah tidak pandai menyusui, sumber informasi terbanyak adalah orangtua dan warga sekitar, ada peningkatan pengetahuan tentang masa nifas dan keterampilan Teknik menyusui, perawatan payudara, senam payudara dan pijat bayi. Disarankan untuk adanya monitoring dan evaluasi (monev) peran dari KEKEP Ibu Nifas.
 
Kata kunci: Pemberdayaan, Wanita, Nifas, KEKEP
PEMBINAAN DAN PENDAMPINGAN KELOMPOK PENDUKUNG ASI (KP ASI) “BINTANG BERPASANG SIRIH ADAT” DALAM UPAYA PENCEGAHAN STUNTING
Authors: Alyensi Fatiyani , Laila Ani , Hevrialni Rully
Published: November 2022

World Health Organization (WHO) tahun 2009 dan America Academy of Pediatric (AAP) tahun 2012 merekomendasikan pemberian nutrisi yang optimal bagi bayi baru lahir yakni dengan strategi global pemberian ASI eksklusif selama 6 bulan. Air susu ibu (ASI) adalah cairan kehidupan yang diciptakan Tuhan khusus bagi bayi yang mengandung sel darah putih, zat kekebalan, enzim, hormon dan protein yang cocok untuk bayi (Kemenkes, 2013). ASI merupakan makanan terbaik bayi pada awal usia kehidupannya. ASI terbukti mempunyai keunggulan yang tidak dapat digantikan oleh makanan dan minuman manapun karena ASI mengandung zat gizi yang paling tepat dan lengkap untuk pertumbuhan dan perkembangan bayi (Sugiarti, dkk 2011).Tujuan kegiatan untuk melakukan pendampingan dan pembinaan pada ibu KP ASI. Khalayak sasaran adalah 11 orang ibu-ibu KP ASI di RW 2 dengan metode review materi dan keterampilan, melakukan pendampingan dan pembinaan dan evaluasi. Waktu dan tempat kegiatan dari bulan Februari – Agustus 2021 di Posyandu dan rumah ibu menyusui.Luaran adalah HAKI dan panduan praktis Kelompok Pendukung ASI. Terdapat peningkatan pengetahuan ibu KP ASI pada materi Inisiasi Menyusu Dini (IMD)  dari rata-rata 70 menjadi 90 dan materi menyusui dari rata-rata 80 menjadi 90.Ibu-ibu KP ASI sudah bisa melakukan pendampingan pada ibu hamil dan menyusui dengan baik dan membantu mengatasi permasalahan pada ibu.  Oleh karena itu perlu Perlu adanya koordinasi dari pihak Puskesmas Rejosari terutama bidan koordinator  dalam setiap kegiatan kelompok pendukung ASI agar program tersebut dapat berjalan lancar dan terlaksana dengan maksimal  terutama di RW 2 Kelurahan Sialang Sakti. 
Kata Kunci :Pembinaan, Pendampingan, KP ASI
O Papel dos Instrumentos de Gestão na Conservação Ambiental e na Proteção dos Modos de Vida Tradicionais: Reflexões a partir da Trajetória da Reserva Extrativista Marinha Pirajubaé
Authors: Tebet Guilherme , Casagrande Alana
Published: November 2022

Considerando que as reservas extrativistas são um tipo especial de unidade de conservação que busca o duplo objetivo de garantir a conservação ambiental e proteger o modo de vida das populações tradicionais; que a Reserva Extrativista Pirajubaé foi a primeira criada em ambiente marinho, inserida em contexto socioambiental diverso dos seringais amazônicos; e que ela passou por mudanças no arranjo institucional de gestão, este artigo tem por objetivo analisar o papel dos instrumentos de gestão na conservação ambiental e na proteção do modo de vida da população tradicional da RESEX Marinha Pirajubaé. Dentre os instrumentos de gestão analisados, estão as normativas de uso de recursos, o cadastro da população tradicional, o conselho deliberativo, entre outros. Foram realizadas pesquisas de campo, bibliográfica e documental. Resultados são discutidos em diálogo com referenciais da cogestão de recursos naturais e da socioantropologia da pesca. Observa-se baixo poder de decisão na escala local, uma vez que os instrumentos de gestão não vêm sendo suficientes para impedir impactos negativos decorrentes do processo de urbanização sobre os ecossistemas locais. Em relação à proteção dos modos de vida tradicionais, existem dificuldades de incorporação das dinâmicas socioculturais e econômicas da pesca artesanal na construção de alguns instrumentos, gerando conflitos que limitam avanços no diálogo entre Estado e comunidade pesqueira. A gestão participativa da RESEX Marinha Pirajubaé pode ser fortalecida mediante maior comprometimento com as demandas socioeconômicas da comunidade pesqueira, aumento do poder de deliberação em escala local e ampliação de articulação com atores e instituições parceiras.
Efektifitas Pemberian Kompres Aloevera Dibandingkan Kompres NaCl 0.9% Terhadap Penurunan Derajat Flebitis di Ruang Anak Rsud Dr. Chasbullah Abdulmadjid Kota Bekasi
Authors: Risnawati Euis , Haryanto Rohadi , Apriliawati Anita
Published: November 2022

Salah satu therapi non farmakologi yang dapat diberikan untuk mengatasi flebitis adalah dengan memberikan kompres dingin menggunakan kompres Aloe vera dan kompres NaCl 0.9%. Penelitian bertujuan untuk mengetahui perbedaan kompres Aloe vera dan kompres NaCl 0.9% terhadap penurunan derajat flebitis pada anak. Jenis penelitian yang dipakai adalah quasi eksperiment dengan pre test and post test design with two comparison treatments. Sampel menggunakan teknik consecutive sampling sebanyak 30 sampel. Hasil penelitian menunjukkan ada perbedaan derajat flebitis sebelum dan sesudah diberikan kompres Aloe vera dengan p value =0.000 (p0.005) dan ada perbedaan derajat flebitis sebelum dan sesudah diberikan kompres NaCl 0.9% p value=0.000 (p0.05). Ada perbedaan antara kedua jenis kompres Aloe vera dan kompres NaCl 0.9% dengan p value =0.000 (p0.005). Kompres NaCl 0.9 % cenderung lebih efektif menurunkan derajat flebitis dibanding kompres Aloe vera. Ada pengaruh jenis cairan terhadap derajat flebitis pada kelompok kompres Aloe vera dengan p value = 0.035 (p0.05). Ada pengaruh jenis cairan dan jenis kelamin terhadap penurunan derajat flebitis pada kelompok kompres NaCl 0.9% dengan masing-masing nilai p value = 0.043 (p0.05). Disarankan peneliti selanjutnya melakukan pengukuran derajat flebitis disetiap intervensi, ada penetapan dosis gel aloe vera, serta memperhatikan kebersihan lingkungan perawatan. Selain Gel Aloe vera upaya menurunkan derajat flebitis dapat menggunakan kompres cairan NaCl 0.9%.Kata Kunci : Flebitis, Kompres Aloe Vera, Kompres Nacl 0.9%, Kenyamanan.
Pengaruh Promosi Kesehatan Terhadap Pengetahuan Remaja Putri Tentang Dismenore
Authors: Noverianti Gadis , Carolin Bunga Tiara , Dinengsih Sri
Published: November 2022

Remaja adalah masa perubahan dari kanak-kanak menuju dewasa. Tanda keremajaan muncul pada peremuan yaitu menstruasi. Menstruasi merupakan perdarahan yang teratur dari uterus sebagai tanda organ kandungan telah berfungsi matang. Saat menstruasi biasanya mengalami nyeri perut, biasa disebut dismenore. Menurut Kemenkes RI tahun 2016 prevalensi remaja putri di Indonesia yang mengalami kejadian nyeri haid 55%. Promkes dibutuhkan untuk memberikan informasi yang menambah pengetahuan remaja putri agar remaja yang mengalami dismenore dapat menanganinya dengan baik. Tujuan Penelitian untuk mengetahui pengaruh promosi kesehatan terhadap pengetahuan remaja putri tentang dismenoreÂ  di SMA Negeri Tanjungsari Sumedang. Desain penelitian yang digunakan quasy esperiment dengan pendekatan one group pre and post test. Teknik pengambilan sampel yang digunakan yaitu total sampling dengan jumlah responden 146 siswi kelas X IPA 1-7. Istrumen penelitian menggunakan kuesioner. Hasil uji normalitas data berdistribusi tidak normal sehingga dianalisis data menggunakan uji wilxocon. Hasil uji statistik diketahui bahwa rata-rata pengetahuan sebelum promosi kesehatan 8,84% dan pengetahuan setelah dilakukan promosi kesehatan 17,64%. Hasil uji bivariat didapatkan Â p value 0,000. Kesimpulannya penyuluhan promkes tentang dismenore mampu menambah pengetahuan pada remaja putri pada saat menstruasi.Kata Kunci: Dismenore, Remaja Putri, Promosi Kesehatan.Â
Hubungan antara Persentase Lemak Tubuh, Lingkar Perut, Lingkar Pinggang dan Kekuatan Otot Punggung pada Mahasiswa Olahraga
Authors: Mighra Bazzar Ari , Djaali Wahyuningsih
Published: November 2022

Pendahuluan: Komposisi lemak tubuh dipakai sebagai salah satu komponen yang berhubungan dengan kebugaran jasmani yang berhubungan dengan kesehatan. Cukup banyak cara pemeriksaan komposisi tubuh yang dapat dilakukan, antara lain pemeriksaan indeks massa tubuh (IMT), Skinfold Caliper, dan Bioelectrical Impedance Analysis (BIA). Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan persentase lemak tubuh, lingkar perut, lingkar pinggang dan kekuatan otot punggung pada mahasiswa olahraga.Metode: Penelitan dilakukan pada 30 mahasiswa olahraga FIK UNJ, dengan desain penelitian analitik obervasional. Dilakukan pengukuran IMT, persentase lemak tubuh menggunakan BIA, lingkar perut, lingkar pinggang, dan kekuatan otot punggung menggunakan â€œback and leg dynamometerâ€.Hasil: Persentase lemak berkorelasi positif secara signifikan dengan lingkar perut (koefisien korelasi r = 0,598 dan p<0,001), persentase lemak berkorelasi positif secara signifikan dengan lingkar pinggang (koefisien korelasi r = 0,616 dan p<0,001), dan persentase lemak tidak berkorelasi dengan kekuatan otot punggung (koefisien korelasi r = 0,204 dan p=0,279).Kesimpulan: Terdapat hubungan positif antara persentase lemak tubuh dengan lingkar perut, dan antara persentase lemak tubuh dengan lingkar pinggang, namun tidak terdapat hubungan yang signifikan antara persentase lemak tubuh dengan kekuatan otot punggung pada mahasiswa olahraga FIK UNJ.Â Kata kunci: Persentase lemak tubuh, lingkar perut, lingkar pinggang, kekuatan otot punggung.
Gambaran Pengetahuan dan Sikap Ibu Tentang Status Gizi Balita di Desa Mandalamukti Kecamatan Cikalong Wetan
Authors: Winengsih Ecih
Published: November 2022

Gangguan gizi akan memperburuk kemampuan anak dalam mengatasi penyakit infeksi sedangkan penyakit infeksi akan memperburuk status gizi anak. Data laporan tahunan program gizi di Desa Mandalamukti Kecamatan Cikalong Wetan pada tahun 2015 khususnya di daerah Mandalamukti dari 798 sasaran balita, yang beresiko gizi sangat kurus sebanyak 11 orang, kurus sebanyak 77 orang, dan gemuk 9 orang. Tujuan Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan sikap ibu tentang status gizi balita di Desa Mandalamukti Kecamatan Cikalong Wetan bulan Juni tahun 2015. Metode penelitian menggunakan desain deskriptif. Penelitian ini dilakukan di Desa Mandalamukti Kecamatan Cikalong Wetan bulan Juni tahun 2015 dengan melibatkan 98 responden. Pengambilan sampel dilakukan secara Simple Random Sampling. Data diperoleh dari kuesioner pengetahuan dan sikap yang telah diuji validitas dan reliabilitas. Analisis data univariat. Hasil penelitian menunjukkan bahwa pengetahuan ibu tentang status gizi balita ada pada kategori kurang yaitu sebanyak 41 responden (46,1%), kategori cukup 30 responden (33,7%), pada kategori baik yaitu sebanyak 18 responden (20,2%). Sedangkan hasil penelitian sikap menunjukan bahwa yang memiliki sikap negatif 46 responden (51,7%) dan memiliki sikap positif sebanyak 43 reponden (48,3%).Kata Kunci: Balita, Pengetahuan, Sikap, Status gizi
Accommodating (Global–Glocal) Paradoxes Across Event Planning
Authors: Duignan Michael B. , Parent Milena M. , McGillivray David
Published: November 2022

The aim of this research note is threefold: 1) to introduce the concept of paradox and its numerous applications to the study and management challenges associated with the planning and delivery of events, with a specific look at large-scale events like the Olympics to provide an extreme case; 2) to present a new paradox entitled the "Global–Glocal Paradox" that interrogates how inherent global and local stakeholder interests and tensions are managed; and 3) to present a series of conceptual and practical ways events can "accommodate" as opposed to "resolve" this paradox to help balance stakeholder interests instead of pitting one against the other.
Use of Educational Facilities and Quality of Teaching in Selected Primary Schools in Buhweju District
Authors: Tukundane Eugene , Sudi Balimuttajjo , Jean Tutegyereize
Published: November 2022

The study assessed the relationship between the use of educational facilities and the quality of teaching in primary schools in the Buhweju District. It was guided by the following objectives; to establish the availability of educational facilities in primary schools, to find out the level of use of educational facilities, to examine the quality of teaching in primary schools and to assess the relationship between the use of educational facilities and the quality of teaching. The study was carried out using a cross-sectional survey design. The targeted population for this study included head teachers, chairmen, School Management Committee, and teachers. The study involved both qualitative and quantitative approaches. The study findings showed that the level of use of educational facilities was good (agree), with an overall mean score of 3.76. The study findings revealed that the quality of teaching was good (often) with a (mean score of 3.77). The study findings showed that there is a statistically significant relationship between the use of educational facilities and the quality of teaching r = 0.177 at P value = 0.019 < 0.05. It was concluded that the level of use of educational facilities in selected primary schools in the Buhweju District was good. It was also concluded that the quality of teaching in selected primary schools in the Buhweju District was good. It was further concluded that there was a statistically significant relationship between the use of educational facilities and the quality of teaching. Therefore, the effectiveness of the use of educational facilities influences the quality of teaching positively. It was recommended that the school administrators should make sure that there is an adequate good structure in classroom buildings. Headteachers should ensure the effective use of educational facilities to increase the quality of teaching in selected primary schools in the Buhweju District
Strategi Desain Rumah Susun Jalan Tongkol 10 dengan Pendekatan Place Making
Authors: Pandiangan Melania Lidwina
Published: November 2022

Rumah susun merupakan alternatif penyelesaian masalah keterbatasan lahan di kota metropolitan seperti Jakarta dalam pemenuhan kebutuhan hunian masyarakat. Namun, rumah susun seringkali membatasi interaksi penghuni yang memunculkan perilaku anti-sosial. Untuk menjawab permasalahan tersebut, membutuhkan pendekatan yang memusatkan pada pengguna, aktivitas, lingkungan, dan interaksi dalam menyusun strategi desain, yaitu place making. Salah satu program pembangunan rumah susun di DKI Jakarta adalah Rumah Susun Jalan Tongkol 10 yang menjadi kegiatan sayembara desain. Studi ini menggunakan pendekatan place making dalam menyusun strategi desain Rumah Susun Jalan Tongkol 10. Tujuan dari studi ini adalah mengeksplorasi strategi desain Rumah Susun Jalan Tongkol 10 yang mendorong terjadinya interaksi penghuni. Studi ini merupakan studi eksploratif dengan metode kualitatif deskriptif. Hasil dari studi ini mencakup program ruang, konsep penataan fasilitas, konsep interaksi antar hunian, konsep pola sirkulasi kendaraan dan pejalan kaki, dan konsep pemanfaatan ruang terbuka publik.
INFLUENCE OF METACOGNITIVE ENVIRONMENT ON DEVELOPMENT OF THE BOATMASTERS’ META-COGNITIVE SKILLS IN EDUCATIONAL PROCESS
Authors: Матыцин Олег Владимирович
Published: November 2022

В статье дан обзор существующей в настоящее время потребности общества и государства в специалистах, обладающих высокой профессиональной мобильностью, способностью к творческой самореализации, умением быстро пополнять и обновлять свои знания, обрабатывать увеличивающийся поток информации. Автором ставится цель продемонстрировать повышение эффективности образовательного процесса у обучающихся при использовании созданной метакогнитивной среды. В заключении даны выводы.

The article provides an overview of the current needs of society and the state for specialists with high professional mobility, the ability to creative self-realization, the ability to quickly replenish and update their knowledge, and to process an increasing flow of information. The author sets the goal of demonstrating an increase in the efficiency of the educational process in students during the development of metacognitive competence when using the metacognitive environment. Conclusions are given in the conclusion.
MICROPLASTIC TOXICITY AND WATER TREATMENT METHODS
Authors: Орловский Александр Викторович , Звидран Александра Евгеньевна , Багров Александр Андреевич
Published: November 2022

В статье оценено влияние частиц микропластика в настоящее время, пути его попадания в окружающую среду, способы его взаимодействия с живыми организмы. Проанализированы существующие методы частичной или полной очистки воды от него, которые на данный момент считаются достаточно перспективными.

The article assessed the impact of microplastic particles at the present time, the ways it enters the environment, the routs it interacts with living organisms. Existing methods have been analyzed for partial or complete purification of water from it, which at the moment are considered quite promising.
CHANGING THE LEGAL STATUS OF RESIDENTIAL PREMISES TO NON-RESIDENTIAL
Authors: Алеева Светлана Сергеевна
Published: November 2022

В теории перевести жилое помещение из нежилого очень просто и понятно, необходимо лишь соблюсти требования и положения, установленные ст. 22-24 Жилищного Кодекса РФ и Градостроительном Кодексе РФ. перевода если не простая, то очень понятная. Однако, на практике у собственников возникает множество вопросов: в какой компетентный орган необходимо обратиться, с какими документами, в какой срок, какие дополнительные действия нужно сделать. Многим гражданам не хватает сил и терпения закончить процедуру перевода, так как она занимает около года, если не больше.

In theory, it is very simple and understandable to transfer a residential building from a non-residential one, it is only necessary to comply with the requirements and provisions established by Articles 22-24 of the Housing Code of the Russian Federation and the Urban Planning Code of the Russian Federation. the translation, if not simple, is very clear. However, in practice, owners have a lot of questions: which competent authority should be contacted, with what documents, in what time, what additional actions need to be done. Many citizens lack the strength and patience to complete the transfer procedure, as it takes about a year, if not more.
THE LGBTQA INTERCOLLEGIATE ATHLETES’ EXPERIENCES IN HIGHER EDUCATION INSTITUTIONS IN THE PHILIPPINES: BASIS FOR AN INSTITUTIONAL INCLUSIVE SPORTS PLAN
Authors: Pocaan Jordan
Published: November 2022

This study used an explanatory sequential mixed method design to examine discrimination experienced by selected LGBTQA intercollegiate athletes from private and public higher education institutions in the Philippines. The results reveal that participants frequently encountered sexism and verbal harassment at various places and times, that the audience or fans are more likely the perpetrators, and that ignoring the abuse is the most common reaction to harassment. The study proposes an inclusive institutional sports plan to support fair gender treatment that underpins the revisiting or re-examining of institutional policies, strengthens inclusive codes of conduct, provides training on a gender-fair-environment, and recognizes several LGBTQA events and celebrations. The researcher concluded that ignoring inequality does not prevent abuse, but progressively worsen the aggression toward sexual minorities. Additionally, if athletes are freed from discrimination and stress, they will be better able to focus and improve their performance.
Carbon-Free Power: The Role of Small Modular (Nuclear) Reactors
Authors: Rao Vikram , Gould Chris
Published: November 2022

There is a new world order in electrical energy production. Solar and wind power are established as the low-cost leaders. However, these energy sources are highly variable and electrical power is needed 24/7. Alternative sources must fill the gaps but only a few are both economical and carbon-free or -neutral. This book presents one alternatives: small modular nuclear reactors (SMRs). The authors describe the technology, including its safety and economic aspects, and assess its fit with other carbon-free energy sources, storage solutions, and industrial opportunities. They also explain the challenges with SMRs, including public acceptance. The purpose of the book is to help readers consider these relatively new reactors as part of an appropriate energy mix for the future and, ultimately, to make their own judgements on the merits of the arguments for SMRs.
Problems and Reasons for Gender Inequality in China
Authors: Cui Han
Published: November 2022

With the development of society and economy in China, feminist consciousness is raising while the development of feminism still encounters obstacles that are caused by deep-rooted stereotypes and concepts. This article reviews the gender inequality situations in modern China, emphasizes the urgency of resolving gender equality issues, and analyzes the problems caused by gender inequality as well as reasons behind it in modern Chinese society and proposes a few methods to achieve gender equality.
Gobernanza metropolitana en América latina : estudio comparativo en ocho países
Authors: Blanco Junior Cid
Published: November 2022

Visa compreender, comparativamente, os principais aspectos da governança metropolitana na América Latina, abrangendo oito países da região, sendo quatro países federativos (Argentina, Brasil, México e Venezuela) e quatro países unitários (Chile, Colômbia, Equador e Peru). Para cada um dos países estudados, além do levantamento da legislação nacional sobre a questão metropolitana, também foi realizado um estudo de caso para ilustrar a aplicação dos marcos legais. Foram apresentados os estudos de caso das regiões metropolitanas (RMs) de Buenos Aires (Argentina), Rio de Janeiro (Brasil), Guadalajara (México), Caracas (Venezuela), Santiago (Chile), Valle de Aburrá – Medellín (Colômbia), Quito (Equador) e Lima (Peru).
Introducción : áreas metropolitanas en Latino América : condiciones de gobernanza y sus retos
Authors: Costa Marco Aurélio , Lui Lizandro
Published: November 2022

Apresenta o quadro de gestão e governança metropolitanas de oito países da América Latina, divididos entre Estados federativos e unitários. Traz elementos para discutir as condições de governança e os principais desafios associados à governança metropolitana na América Latina e no que diz respeito às condições para a governança, a pesquisa questiona se faz diferença ser um país federativo ou um país unitário quando se trata de lidar com os desafios associados à governança metropolitana.
O Processo de elaboração e os esforços de implementação do Plano de Desenvolvimento Urbano Integrado da região metropolitana da grande Vitória
Authors: Monteiro Latussa Laranja , Louzada Bruno Casotti
Published: November 2022

Este capítulo descreve brevemente as principais decisões relacionadas à elaboração do PDUI da RM da Grande Vitória e enfatiza a descrição do Macrozoneamento Metropolitano, como instrumento necessário tanto à organização das demandas e estudos quanto à compatibilização futura dos planos diretores municipais (PDMs) e, portanto, necessário à continuidade temporal do esforço de planejamento.
A new genus Anamalysia van Achterberg (Hymenoptera, Braconidae, Alysiinae), six new species, and two new combinations from India, Indonesia, Malaysia, Singapore, Thailand, and Vietnam
Authors: Yao Junli , van Achterberg Cornelis , Yaakop Salmah , Long Khuat Dang , Sharkey Michael J. , Chapman Eric G.
Published: November 2022

A new genus of the tribe Alysiini (Hymenoptera, Braconidae, Alysiinae) is described with specimens from India, Indonesia, Malaysia, Singapore, Thailand, and Vietnam, and six new species are described: Anamalysia idiastimorphasp. nov. (type species), A. knekosomasp. nov., A. mellipessp. nov., A. transversatorsp. nov., A. vandervechtisp. nov., and A. vanhengstumisp. nov.. We transfer one species from Coelalysia to Anamalysia: A. urbana (Papp, 1967) comb. nov. from Singapore and one species from Alysiasta to Anamalysia: A. triangulum (Fischer, 2006) comb. nov. from Malaysia, Laos, Indonesia and Vietnam. A key to the genus of Anamalysia is included.
Prevalence and Radiographic Progression of Hip Involvement in Patients With Ankylosing Spondylitis Treated With Tumor Necrosis Factor Inhibitors
Authors: Konsta Maria , Nurmohamed Michael T. , Iliopoulos Alexios , Sfikakis Petros P. , van Denderen J. Christiaan , Visman Ingrid , Sakelariou Grigorios T. , van der Horst-Bruinsma Irene E.
Published: November 2022

Objective

To examine the prevalence of hip involvement between sexes in patients with ankylosing spondylitis (AS) treated with tumor necrosis factor inhibitors (TNFi) and to estimate the effect of TNFi on radiographic progression of hip involvement compared to the spine.

Methods

Two hundred ninety-nine patients with AS treated with TNFi (215 men; median age: 43 yrs [IQR 36-52], median disease duration: 7.6 yrs [IQR 2-15]) were evaluated for hip involvement, defined radiographically as Bath AS Radiological Hip Index (BASRI-hip) score ≥ 2. Those who received TNFi for ≥ 2 years (263/299) were assessed for radiographic progression. Radiographs of the pelvis and spine, obtained at baseline (ie, before TNFi initiation), were compared retrospectively to those obtained after 2.5 (SD 0.7) years and 7.0 (SD 2.3) years of TNFi treatment. Both hips were scored by BASRI-hip score and mean joint space width (MJSW). Spinal radiographs were scored by modified Stoke AS Spinal Score (mSASSS).

Results

The prevalence of hip involvement at baseline was 113/299 (38%) patients, of whom 87/215 (41%) were male and 26/84 (31%) were female (P= 0.10). In both sexes with hip involvement at baseline, BASRI-hip score and MJSW did not change significantly during follow-up. In males and females without baseline hip involvement, the BASRI-hip score remained unchanged after 2.5 (SD 0.7) years but increased significantly after 7.0 (SD 2.3) years, without reaching the cut-off of 2. In contrast, the MJSW slightly decreased at the 2 follow-up timepoints (ie, after 2.5 and 7.0 yrs). The mSASSS increased significantly during the follow-up in both sexes, regardless of hip involvement.

Conclusion

In our study, approximately one-third of patients with AS had hip involvement, which seemed to stabilize with TNFi treatment. No sex differences in the prevalence or progression of this manifestation were found.
Treatment of Psoriasis in Patients With Psoriatic Arthritis: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations
Authors: Duffin Kristina Callis , Mazzuoccolo Luis Daniel , Cura María Julia , Esposito Maria , Fernandez Anthony P. , Gisondi Paolo , Giunta Alessandro , Hillary Tom , Piaserico Stefano , Solomon James A. , Merola Joseph F.
Published: November 2022

Objective

Our aim was to summarize and evaluate the current quality of evidence regarding the efficacy of therapies for cutaneous psoriasis (PsO) in patients with psoriatic arthritis (PsA).

Methods

A literature search of MEDLINE, Embase, Cochrane Library databases, and conference abstracts was conducted to identify interventional randomized controlled trials in patients with PsA between February 2013 and December 2021. Studies were included if PsO outcomes included achieving at least 75% improvement in the Psoriasis Area and Severity Index and the blinded comparison period was ≥ 10 weeks. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology was employed to assess quality of the evidence to inform and update the 2021 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations.

Results

A total of 116 studies and 36 abstracts identified in the initial search were screened. A total of 37 studies (40 treatment arms) met the criteria for final inclusion. Phosphodiesterase 4 inhibitors, Janus kinase inhibitors, and tyrosine kinase 2 inhibitors, interleukin 17 inhibitors (IL-17i), IL-12/23i, IL-23i, and tumor necrosis factor inhibitors (TNFi) had high-quality data broadly supporting the efficacy of each class for plaque PsO over placebo. Head-to-head studies with high-quality data supported both IL-17i and IL-23i over TNFi.

Conclusion

Several pharmacologic therapeutic classes have high-quality evidence demonstrating efficacy for cutaneous PsO in the PsA population. The findings will be integrated into the 2021 GRAPPA treatment recommendations, intended to guide selection of a therapeutic class where efficacy in 1 or more cutaneous or musculoskeletal domains is required.
Enhancing Clinical Judgment in Managing Postpartum Hemorrhage: A Replication Study
Authors: Zehler Alexis , Severi Erica
Published: November 2022

Background

Clinical judgment is one of the crucial skills necessary for nurses to practice safely and support positive patient outcomes. Inpatient nurse educators often seek engaging and meaningful methods of providing important learning to bedside nurses.

Method

A game-based learning (GBL) activity, originally created to enhance clinical judgment in the management of post-partum hemorrhage (PPH) for undergraduate nursing students, was replicated for RNs' continuing education on an obstetric unit.

Results

Although less remarkable than undergraduate students' scores, RNs' scores improved significantly (
p
< .05) for every aspect of the clinical judgment model applied to PPH (recognition, analysis, action, evaluation) from pre- to posttest after using the GBL activity.

Conclusion

GBL is effective for enhancing the clinical judgment ability of RNs for specific topics such as PPH and can be utilized to support education across a continuum of expertise for those in, or preparing for, direct patient care.

[
J Contin Educ Nurs
. 2022;53(11):500–504.]
Dextromethorphan: From Cough Suppressant to Antidepressant
Authors: Kverno Karan
Published: November 2022

Dextromethorphan (DXM) has been re-purposed several times over the past 7 decades: first as a cough suppressant, then as a compounded formulation with quinidine for treatment of pseudobulbar affect, and most recently as a compounded formulation with bupro-pion for treatment of major depressive disorder. The current article describes the history and purported mechanisms of action of DXM for each use and the uniquely rapid action and safety profile of the oral dextromethorphan– bupropion antidepressant formulation. [
Journal of Psychosocial Nursing and Mental Health Services, 60
(11), 9–11.]
Modeling the variable transmission rate and various discharges on the spread of Malaria
Authors: Singh Jitendra , Arora Maninder Singh , Sharma Sunil , Shukla Jang B.
Published: November 2022

Natural and household discharges are the natural breeding grounds of various mosquito species, including female Anopheles mosquitoes, which transmit the Plasmodium parasite, causing the spread of the life-threatening disease malaria. Apart from that, population migrations also have a substantial impact on malaria transmission, claiming about half a million lives every year around the world. To assess the effects of the cumulative density of households and other natural discharges, and emigration-dependent interaction rates on the dissemination of the vector-borne infectious disease malaria, we propose and analyze a non-linear mathematical model. The model comprises five dependent variables, namely, the density of the susceptible human population, the density of the infective human population, the density of the susceptible female Anopheles mosquito population, the density of the infective mosquito population and cumulative density of household and other natural discharges. In the model, the density of the mosquito population is supposed to follow logistic growth, whose intrinsic growth rate is a linear function of the cumulative density of household and other natural discharges. The nonlinear model is analyzed by using the stability theory of differential equations, numerical simulations and sensitivity analysis. The analysis shows that an increase in non-emigrating population causes increased incidence of malaria. It is also found that an increase in household and other natural discharges accelerates the occurrence of malaria. A basic differential sensitivity analysis is carried out to assess the sensitivity of model solutions with respect to key parameters. The model's numerical simulations demonstrate the analytical findings.
Categorification of $ \mathsf{VB} $-Lie algebroids and $ \mathsf{VB} $-Courant algebroids
Authors: Sheng Yunhe
Published: November 2022

In this paper, first we introduce the notion of a $ \mathsf{VB} $-Lie $ 2 $-algebroid, which can be viewed as the categorification of a $ \mathsf{VB} $-Lie algebroid. The tangent prolongation of a Lie $ 2 $-algebroid is a $ \mathsf{VB} $-Lie $ 2 $-algebroid naturally. We show that after choosing a splitting, there is a one-to-one correspondence between $ \mathsf{VB} $-Lie $ 2 $-algebroids and flat superconnections of a Lie 2-algebroid on a 3-term complex of vector bundles. Then we introduce the notion of a $ \mathsf{VB} $-$ \mathsf{CLWX} $ 2-algebroid, which can be viewed as the categorification of a $ \mathsf{VB} $-Courant algebroid. We show that there is a one-to-one correspondence between split Lie 3-algebroids and split $ \mathsf{VB} $-$ \mathsf{CLWX} $ 2-algebroids. Finally, we introduce the notion of an $ E $-$ \mathsf{CLWX} $ 2-algebroid and show that associated to a $ \mathsf{VB} $-$ \mathsf{CLWX} $ 2-algebroid, there is an $ E $-$ \mathsf{CLWX} $ 2-algebroid structure on the graded fat bundle naturally. By this result, we give a construction of a new Lie 3-algebra from a given Lie 3-algebra, which provides interesting examples of Lie 3-algebras including the higher analogue of the string Lie 2-algebra.
Extractive text summarization model based on advantage actor-critic and graph matrix methodology
Authors: Yang Senqi , Duan Xuliang , Wang Xi , Tang Dezhao , Xiao Zeyan , Guo Yan
Published: November 2022

The automatic text summarization task faces great challenges. The main issue in the area is to identify the most informative segments in the input text. Establishing an effective evaluation mechanism has also been identified as a major challenge in the area. Currently, the mainstream solution is to use deep learning for training. However, a serious exposure bias in training prevents them from achieving better results. Therefore, this paper introduces an extractive text summarization model based on a graph matrix and advantage actor-critic (GA2C) method. The articles were pre-processed to generate a graph matrix. Based on the states provided by the graph matrix, the decision-making network made decisions and sent the results to the evaluation network for scoring. The evaluation network got the decision results of the decision-making network and then scored them. The decision-making network modified the probability of the action based on the scores of the evaluation network. Specifically, compared with the baseline reinforcement learning-based extractive summarization (Refresh) model, experimental results on the CNN/Daily Mail dataset showed that the GA2C model led on Rouge-1, Rouge-2 and Rouge-A by 0.70, 9.01 and 2.73, respectively. Moreover, we conducted multiple ablation experiments to verify the GA2C model from different perspectives. Different activation functions and evaluation networks were used in the GA2C model to obtain the best activation function and evaluation network. Two different reward functions (Set fixed reward value for accumulation (ADD), Rouge) and two different similarity matrices (cosine, Jaccard) were combined for the experiments.
Interprofessional Team Collaboration and Work Environment Health in 68 US Intensive Care Units
Authors: Pun Brenda T. , Jun Jin , Tan Alai , Byrum Diane , Mion Lorraine , Vasilevskis Eduard E. , Ely E. Wesley , Balas Michele
Published: November 2022

Background

Safe, reliable, high-quality critical care delivery depends upon interprofessional teamwork.

Objective

To describe perceptions of intensive care unit (ICU) teamwork and healthy work environments and evaluate whether perceptions vary by profession.

Methods

In August 2015, Assessment of Interprofessional Team Collaboration Scale (AITCS) and the American Association of Critical-Care Nurses Healthy Work Environment Assessment Tool (HWEAT) surveys were distributed to all interprofessional members at the 68 ICUs participating in the ICU Liberation Collaborative. Overall scores range from 1 (needs improvement) to 5 (excellent).

Results

Most of the 3586 surveys completed were from registered nurses (51.2%), followed by respiratory therapists (17.8%), attending physicians (10.5%), rehabilitation therapists (8.3%), pharmacists (4.9%), nursing assistants (3.1%), and physician trainees (4.1%). Overall, respondents rated teamwork and work environment health favorably (mean [SD] scores: AITCS, 3.92 [0.64]; HWEAT, 3.45 [0.79]). The highest-rated AITCS domain was “partnership/shared decision-making” (mean [SD], 4.00 [0.63); lowest, “coordination” (3.67 [0.80]). The highest-scoring HWEAT standard was “effective decision-making” (mean [SD], 3.60 [0.79]); lowest, “meaningful recognition” (3.30 [0.92]). Compared with attending physicians (mean [SD] scores: AITCS, 3.99 [0.54]; HWEAT, 3.48 [0.70]), AITCS scores were lower for registered nurses (3.91 [0.62]), respiratory therapists (3.86 [0.76]), rehabilitation therapists (3.84 [0.65]), and pharmacists (3.83 [0.55]), and HWEAT scores were lower for respiratory therapists (3.38 [0.86]) (all P ≤ .05).

Conclusions

Teamwork and work environment health were rated by ICU team members as good but not excellent. Care coordination and meaningful recognition can be improved.
How Patients and Families Describe Major Medical Treatments: “They are No Longer Living, Just Existing”
Authors: Pecanac Kristen E. , Massey Shereen M. , Repins Lindsey R.
Published: November 2022

Background

As more life-sustaining treatments become available, the need to provide patients and families clarity about what these treatments are and what they do is increasing. Little is known about how patients and families conceptualize life support.

Objective

To explore the discourse that patients and families used to describe major medical treatments in their accounts of treatment decision-making.

Methods

This study is a secondary data analysis of a survey sent to random addresses in Wisconsin regarding experiences with major medical treatment decision-making. This analysis includes the subsample of 366 respondents who specified the type of decision made in the survey’s open-ended questions. Inductive content analysis was used to qualitatively analyze the responses to the open-ended questions, with particular attention to how respondents described the treatment in their responses.

Results

Respondents’ descriptions showed a conceptualization of engaging in major medical treatments as keeping patients alive, whereas discontinuing or choosing not to engage in such treatments would bring about the patient’s death. However, respondents recognized the potential adverse consequences of engaging in major medical treatments, such as their capacity to cause pain or result in an undesirable neurologic state. Additionally, respondents described the limitations of such treatment regarding the uncertainty of the treatments providing the desired outcome or their uselessness in situations in which the patient’s death would be inevitable.

Conclusion

Understanding how patients and families make sense of major medical treatments can help clinicians during decision-making conversations.
Aeroelastic Loads and Stability of Swept-Tip Hingeless Tiltrotors toward High-Speed Instability-Free Cruise
Authors: Gul Seyhan , Datta Anubhav
Published: November 2022

A hingeless hub tiltrotor with swept-tip blades was examined comprehensively with a new rotorcraft aeromechanics solver developed at the University of Maryland. The solver was verified with hypothetical U. S. Army results and validated with Boeing Model 222 test data from 1972. A 20°
sweep back from 80% R increased instability speed to 405 kt, an improvement of more than 75 kt. The key mechanism is the aerodynamic center shift. The trade-off is the increase in control system and blade loads. Fundamental understanding of physics is provided. Proprotor air resonance
emerged as the critical phenomenon, not whirl flutter. Predictions in powered mode are necessary. At least the first rotor flap, lag, and torsion modes need to be included. Rotor aerodynamics should use airfoil tables; wing aerodynamics is not important for air resonance. Analysis shows high-speed
flight is achievable with 13.5% thick wings but systematic wind tunnel tests with modern equipment are necessary for further validation.
COP27 Climate change conference: Urgent action needed for Africa and the world
Authors: Okonofua Friday , Zielinski Chris , Zakhama Lilia , Yonga Paul , Yassien Mohammad Sahar , Tumwine James , Snouber Abdelmadjid , Sidibé Siaka , El-Adawy Maha , Rashidian Arash , Erhabor Gregory E. , Ofori- Adjei David , Mulaudzi Fhumulani Mavis , Muhia Joy , Mash Bob , Laybourn-Langton Laurie , Kigera James , Ntumba Jean-Marie Kayembe , Haileamlak Abraham , Gbakima Aiah A.
Published: November 2022

No abstract.
Surgical management of unilateral lower limb lymphedema in combination of debulking and physiologic procedures: a case report
Authors: Gathariki Mukami , Khainga Stanley , Aluora Kenneth , Malungo Nang’andu , Ocholla Laura , Amuti Thomas
Published: November 2022

Lymphedema has a high incidence and various causes including filariasis in developing countries and as complications following oncological surgery in developed countries. It reduces patients’ quality of life, productivity and currently lacks a cure. Current management involves debulking or physiological methods, with debridement being the preferred debulking method and lymph node transfer, the preferred physiological option. Most reports on the management of lymphedema or its associated outcomes have reported the use of either of these modalities with favourable outcomes, albeit some complications. There is however paucity of documented cases where a patient underwent both debulking and physiological treatment in management of chronic lymphedema and our case study reports on the same, with favourable outcome and minimal complications. Our patient, a 30 year old female presented with an 8 year history of slowly progressive right lower limb oedema. Physical examination revealed marked right lower limb swelling that was non- pitting, non-tender, erythematous, with marked thickening of skin, yellowing of the nails and a positive stemmer sign. Lymphoscintigraphy revealed hypoplastic lymphatic channels and faulty valves. Debulking using modified Charles procedure and vascularised lymph node transfer were done within a one month interval. Ten months later, she is doing well with no relapse.
Maize farmers’ knowledge and management of fall armyworm (Spodoptera frupigerda) in southwest Nigeria
Authors: Ojumoola Olusegun Adebayo , Omoloye Adebayo Amos , Thomas Kehinde Adesina
Published: November 2022

This study investigated maize farmers’ knowledge, control methods, and perception of the invasive and highly destructive insect pest, fall armyworm (Spodoptera frugiperda) in southwest Nigeria. A four-stage sampling procedure was employed in selecting 195 maize farmers in the study area. Data were obtained with the aid of structured questionnaire and analysed using percentages, means, standard deviations, and chi-square test. The majority (88.7%) of respondents observed fall armyworm attack within two months after sowing, only 30.8% of them reported total damage to maize plants by fall armyworm. Most (75.9%) of the respondents could describe the destructive larval stage of fall armyworm, 58.5% of respondents exclusively applied synthetic insecticides for fall armyworm management. The most common insecticides used by respondents were organophosphates (37.2%), pyrethroids (29.0%) and avermectins (18.2%). Perception of fall armyworm damage as a serious and worrisome problem was very high (4.82) amongst maize farmers. Strong and significant association (χ2 = 41.3) was found between farmers’ agroecological zones and the severity of fall armyworm damage reported. Integrated pest management approach is a sustainable alternative to the sole use of insecticides and should be promoted. Information provided in the study will enhance decision-making for fall armyworm management interventions in southwest Nigeria.
Management of community acquired pneumonia (CAP) in children: Clinical practice guidelines by the Paediatric Association of Nigeria (PAN)
Authors: Osarogiagbon O.W. , Ayuk A.C. , Meremikwu M. , Oguonu T. , Umar L.W. , Garba I.B. , Nwaneri D. , Tabansi P.N. , Esezobor C.I. , Ogunrinde G.O. , Ekure E.N. , Alikor E.A.D.
Published: November 2022

No Abstract.
Impact of the use of surfactant and Nasal CPAP in the reduction of mortality among very low birth weight preterm babies in Ile-Ife, south western Nigeria
Authors: Adejuyigbe Ebunoluwa Aderonke , Ugowe OOsaqie Joseph , Anyabolu Chineme Henry , Babalola Toluwani Ebun
Published: November 2022

No Abstract
Congenital tuberculosis in an infant of a mother with relapsed multi-drug resistant tuberculosis: A Case report
Authors: Adetutu Ogunlesi Tinuade , Modupe Adenuga Adebunkola , Temilola Kuopniyi Opeyemi , Adedoyinsola Ogunlesi Kehinde , Olufemi Akodu Samuel
Published: November 2022

Although congenital tuberculosis (TB) is rare, it is associated with a high mortality rate. The infection is mainly acquired transplacentally and less  frequently from infective lesions on the maternal genital tract. Many cases are missed in clinical practice due to the non-specific presentation of the  disease hence the tendency to either miss the diagnosis or make the diagnosis late. We report an infant of a 32-year-old mother who was treated  for multi-drug resistant TB before the index pregnancy and probably had a relapse during pregnancy. The infant presented with features of sepsis at the age of ten days, but tuberculosis was only suspected when there was no clinical response to routine antibiotic therapy, and the medical  history of the mother was reviewed. This report is to create awareness about the non-specific manifestations of the disease and highlight some  helpful diagnostic methods in a resourcepoor setting.