bluuebunny/crossref_metadata_2025 huggingface dataset:
Asuhan Keperawatan pada Pasien Pre-Operasi Hemoroid: Studi Kasus
Authors: Hiko Veronika Fernanda Dua , Zendrato Mey Lona Verawaty
Published: April 2023

This study aims to describe nursing care for a hemorrhoid patient at the X Regional General Hospital (RSUD X) located in DKI Jakarta by describing the patient's management. The method used is a case study with a nursing process approach through interviews (anamnesis), observation, reviewing documents and analysis of problems. The results showed that the suitability of symptom signs between theory and the clinic, dominated by pain, was influenced by work history. Furthermore, two primary diagnoses are enforced according to the signs and symptoms that arise. The focus of the action was to minimize pain, but it was found that at the end of the evaluation, the pain had not been resolved because the prognosis for hemorrhoids had entered an advanced stage, requiring surgery. In conclusion, implementing nursing care has yet to be effectively carried out due to unequal work time and responsibilities. The primary key to treating hemorrhoids is to examine when things are different or uncomfortable in the anal area. 

Keywords: Nursing Care, Hemorrhoids, Pre-Operation
Penggunaan Gadget terhadap Kelainan Refraksi pada Siswa-Siswi
Authors: Nasution Sri Lestari Ramadhani , SR Friska , Girsang Ermi , Silaen Mangatas
Published: April 2023

This study aims to identify the effect of using gadgets on refractive errors. The method used is cross-sectional. The results showed that there was no effect on the duration of using the gadget, the intensity of light, the position of using the gadget on refractive errors, but there was an effect of visibility and genetics on refractive errors. In conclusion, visibility and genetics are factors that affect refraction. 

Keywords: Gadgets, Refractive Disorders, Myopia
Penerapan Manajemen Pasien Safety dalam Rangka Peningkatan Mutu Pelayanan di Rumah Sakit
Authors: Rezeki Sri , Girsang Ermi , Ginting Chrismis Novalinda , Nasution Ali Napiah
Published: April 2023

This study aims to analyze the application of patient safety management to improve service quality. The method used is descriptive-qualitative. The results of the study show that there are several themes found, namely: 1) building a culture of patient safety; 2) facilities, infrastructure and monitoring; 3) risk management; 4) building a reporting system; and 5) involving the patient. In conclusion, the efforts made by the Royal Prima Medan Hospital in terms of leadership and staff support are that the directors are also responsible for management commitment. 

Keywords: Management, Service Quality, Patient Safety
Efek Emotional Freedom Technique dan Deep Breathing Exercise terhadap Penurunan Kecemasan Pasien
Authors: Kurniawati Lailaturohmah , Wahyudi Andri Setiya , Sriyono Sriyono
Published: April 2023

This study aims to determine the effect of Emotional Freedom Technique Therapy (EFT) and deep breathing exercises to reduce patient anxiety. The method used is a literature review of the Scopus, ScienceDirect, Proquest, Sage and Ebsco databases. The results showed that 14 articles proved that EFT therapy and deep breathing exercise reduced patient anxiety and were influential in combination with other relaxation therapies. In conclusion, EFT therapy and deep breathing exercises have a significant effect in reducing patient anxiety. 

Keywords: Anxiety, Deep Breathing Exercise, EFT
Studi Fenomenologi Pengalaman Ibu dalam Merawat Anak Stunting Usia 6 – 24 Bulan Berbasis Health Belief Model
Authors: Soulissa Fathmy Fitriany , Arief Yuni Sufyanti , Probowati Ririn
Published: April 2023

This study aims to analyze the phenomenological description of the experiences of mothers caring for children with stunting at the age of 6-24 months. The method used is qualitative with a phenomenological study design in mothers who care for children with stunting aged 6-24 months, with 15 participants selected by purposive sampling. The results showed that there were four main themes related to the experience of mothers caring for children with stunting aged 6-24 months, namely exclusive breastfeeding, the inappropriateness of MP-ASI giving, lack of mother's knowledge and non-fluent breastfeeding. In conclusion, the mother's experience in caring for stunted children, namely exclusive breastfeeding is incomplete, breastfeeding is replaced by Sufor, early MP-ASI giving, inappropriateness in giving MP-ASI, lack of knowledge of mothers about child growth, child nutrition and the importance of exclusive breastfeeding and non-current breastfeeding caused by heredity and only a little out. 

Keywords: Children, Health Belief Model, Mother, Behavior, Stunting
Analisis Nilai Moral dalam Novel Gadis Kecil di Tepi Gaza Karya Vanny Charisma W.
Authors: Nurlaili Nurlaili , Putri Delia , Arianti Rita
Published: April 2023

Latar belakang penelitian ini adalah meneliti nilai moral dalam novel Gadis Kecil di Tepi Gaza karya Vanny Chrisma W. yaitu untuk menanamkan kembali nilai moral pada generasi muda, karena moral merupakan gambaran baik buruknya perilaku seseorang. Penelitian ini bertujuan untuk mendeskripsikan nilai moral dalam novel Gadis Kecil di Tepi Gaza karya Vanny Chrisma W. Jenis penelitian ini adalah penelitian kualitatif dengan Metode deskriptif. Hasil penelitian ini  ditemukan 74 data nilai moral pada novel Gadis Kecil di Tepi Gaza Karya Vanny Chrisma W. Dari 74 data tersebut dikelompokkan menjadi 3 jenis nilai moral.  Secara garis besar terdapat 3 jenis nilai moral pada Novel Gadis Kecil di Tepi Gaza Karya Vanny Chrisma W, yaitu: (1) hubungan manusia dengan tuhannya sebanyak 28 data, yang diklasifikasikan ke dalam 3 jenis yaitu kepercayaan 9 data, bersyukur 6 data dan doa 13 data. (2) hubungan manusia dengan diri sendiri sebanyak 21 data yang diklasifikasikan ke dalam 3 jenis yaitu teguh pendirian 12 data, optimis 7 data, penyesalan 2 data dan (3) hubungan manusia  dengan  manusia lain  sebanyak 25 data yang diklasifikasikan ke dalam 3 jenis yaitu peduli 18 data, berterima kasih 2 data dan menghargai 5 data. Berdasarkan analisis tersebut nilai moral yang paling dominan adalah nilai moral hubungan manusia dengan manusia lainnya terutama nilai peduli 18 data. Hal ini dibuktikan yang paling kuat adalah nilai moral Peduli, sebab orang-orang yang berada di sekeliling Palestine sangat menyayangi Palestine sehingga mereka saling peduli satu sama lain. Disimpulkan bahwa manusia pada dasarnya mahluk sosial yang saling membutuhkan satu sama lain dan sikap peduli hadir kerena rasa terpanggil untuk melibatkan diri dalam persoalan, keadaan atau kondisi yang ada di sekitar kita. Mengingat bahwa manusia pada dasarnya makhluk sosial yang saling membutuhkan satu sama lain termasuk dengan alam sekitar sebagai kelengkapan dalam hidupnya.

Kata kunci; Analisis, moral, nilai, novel
Promoting Healthy Sexual Behaviours through Comprehensive Sexuality Education
Authors: Shah Rosy , Pokhrel Amrit
Published: April 2023

Comprehensive sexuality education is a scientifically accurate global program that encompasses thevariable aspects necessary for achieving healthy sexual and reproductive health in children of schoolgoing age. It provides a holistic approach to developing sound knowledge and a positive attitude in a manner that does not blatantly refute the established sociocultural norms but rather delicately treads around them to bust unhealthy practices through age-appropriate measures. It is deemed necessaryfor health professionals to be appropriately trained to better convey sensitive information regarding sexual and reproductive well-being in a manner that is acceptable and effective, especially in the context of orthodox communities.
Stroke in Pregnancy: A Case Report
Authors: Shah Ravi Kumar , Jaiswal Arushi , Mushtaq Rehana , Ansari Sana , Deep Jagat Prasad
Published: April 2023

Reported here is a rare near-miss case of stroke in pregnancy presented to the Department of Obstetrics and Gynaecology. A 38 years gravida 8 was referred from a private hospital on 18 November 2022 with hemorrhagic stroke, a known case of chronic hypertension at 37 weeks of gestation with previous cesarean section and acute kidney injury. At a private hospital computed tomography head was done it showed intracerebral haemorrhage. On cesarean, intraoperatively it was a livefemale with thick meconium. The patient was kept in intensive care with a mechanical ventilator, antihypertensives, antibiotics, and analgesics. Serum creatinine was increasing daily. Suture was cut on the 7th postoperative and two times dialysis was done on the 8th and 9th postoperative days. Strokein pregnancy is a rare diagnosis and it could have been prevented by regular antenatal visits and early referral antenatally along with a multidisciplinary approach.
Relationship of Carotid Artery Stenosis Ratio and Perioperative Stent Complications
Authors: DENİZ Cigdem , GÜZEL Vildan , HALAC Gulistan , NASİFOV Muharrem , GÖKTEKIN Ömer , ASİL Talip
Published: April 2023

Objective: This study aimed to examine complications that may occur after carotid artery stenting (CAS) and their relationships with carotid artery stenosis rate.

Materials and Methods: Complications, such as cerebral hyperperfusion, stroke, death, stent thrombosis or occlusion and restenosis, were evaluated on the 30th day after CAS and at the end of the first year.

Results: Of the 205 CAS procedures, complications developed in 12 patients. The complication rate for the first 30 days after the procedure was 4,87%, and at the end of the first year, it was 5,85%. Of the 12 patients with complications, 8 had carotid stenosis of ≥90%. Death occurred in 4 of 195 patients with carotid artery stenosis. The mortality rate within the first 30 days and during the 1-year follow-up period was 1,53% and 2,05%, respectively. Ischemic stroke occurred in 6 of 195 patients with carotid artery stenosis. After the first 30 days and one year follow-up, ischemic stroke had occurred in 3,07% of patients. Stent thrombosis and occlusion rate was 4,87% in 205 CAS procedures, and 7 of them occurred in the first 24 hours and another 3 occurred within the first 30 days. Restenosis rates were 0,48% and 0,97% at 6 months and the first year, respectively.

Conclusion: The complications of CAS have been associated with the urgency of treatment (emergency), symptom presence (symptomatic patients) and high degree of stenosis (≥90%); whereas bilateral stenosis is not associated with complications. In addition, stent thrombosis and occlusion were observed as the most common CAS complication.
Hubungan Intensitas Nyeri dengan Strategi Manajemen Nyeri pada Pasien Fraktur Post Operasi ORIF di RSU Setia Budi
Authors: Vitri Vitri Rokhima
Published: April 2023

Fraktur adalah terputusnya kontiniuitas tulang dan ditentukan sesuai jenis dan luasnya. Sebagian besar fraktur disebabkan oleh kekuatan yang tiba-tiba dan berlebihan, yang dapat berupa pemukulan, penghancuran, penekukan, pemuntiran atau penarikan. Rasa nyeri bisa timbul hampir pada setiap area fraktur. Untuk mengatasi nyeri pada pasien fraktur dibutuhkan manajemen nyeri efektif. Secara garis besar ada dua manajemen untuk mengatasi nyeri yaitu farmalogi dengan non farmaologi, manajemen nyeri dengan tindaan relasasi mencaup latihan pernafasan diafragma, teknik relaksasi progresif, guided imagery, meditasi, beberapa penelitian telah menunjukkan bahwa relaksasi nafas dalam sangat efetif dalam menurunan nyeri pasca operasi. Tujuan dari penelitian ini adalah untuk Mengetahui hubungan  intensitas nyeri dengan strategi manajemen nyeri pada pasien fraktur post operasi orif di RSU Setia Budi. Metode penelitian yang digunakan adalah deskriptif korelasi dengan jumlah sampel sebanyak 30 orang. Alat pengambilan data menggunakan kuisioner. Teknik pengambilan data yang digunakan adalah non-probability sampling yaitu total sampling. Dimana peneliti menyebarkan kuisioner langsung kepada sampel pada penelitian ini. analisa data yang digunakan yaitu distribusi frekuensi. Penelitian ini dilakukan sejak oktober 2017 sampai juli 2018. Hasil penelitian ini menunjukkan bahwa 66,70 % responden memiliki strategi manajemen nyeri yang baik, 33,3 % responden memiliki strategi manajemen nyeri yang cukup. Hal ini disebabkan pemberian manjemen nyeri di RSU Setia Budi Medan sudah baik. Untuk penelitian selanjutnya disarankan mencari referensi terbaru mengenai instrumen strategi manajemen nyeri dikarenakan kurang sesuainya instrument SPMQ (Short Portable Mental Status Questionnaire) dengan karakteristik orang Indonesia.
Peran Keluarga dalam Pencegahan Potensi Jatuh pada Lansia di Lingkungan Tokinjong Kelurahan Balangnipa Kecamatan Sinjai Utara Kabupaten Sinjai
Authors: Pashar Imran
Published: April 2023

Latar Belakang: Dunia mengalami penuaan dengan cepat, proporsi penduduk lanjut usia (lansia) yang berusia 60 tahun ke atas menjadi dua kali lipat dari 11% di tahun 2011 menjadi 22% pada tahun 2050. Indonesia termasuk negara yang memasuki era penduduk berstruktur lansia, karena mempunyai jumlah penduduk dengan usia 60 tahun ke atas sekitar 7,18 %. Merujuk pada data World Health Organization - United Nations, jatuh merupakan penyebab utama kedua kematian akibat kecelakaan di seluruh dunia. Golongan lansia merupakan penyumbang terbesar untuk kasus jatuh yang menyebabkan kematian di seluruh dunia. Diperkirakan sekitar 37,3 juta kasus jatuh terjadi di seluruh dunia setiap tahunnya dan menyebabkan luka yang cukup parah sehingga membutuhkan tindakan medis lanjut Keterlibatan keluarga dalam menjaga anggota keluarga lansia agar mencegah potensi jatuh sangat diperlukan karena anggota keluarga berperan sebagai pemberi informasi, penyedia fasilitas dan pendamping dalam mencegah potensi jatuh 

Tujuan: untuk mengetahui peran keluarga dalam pencegahan potensi jatuh pada lansia di lingkungan Tokinjong kelurahan Balangnipa kecamatan Sinjai Utara kabupaten Sinjai

Metode: Jenis penelitian ini adalah kuantitatif dengan menggunakan metode deskriptif yang dilaksanakan di lingkungan Tokinjong kelurahan Balangnipa kecamatan Sinjai Utara kabupaten Sinjai pada bulan Juli 2022 dengan julmah populasi sebanyak 65 responden.

Hasil: gambaran peran keluarga dalam pencegahan potensi jatuh pada lansia di lingkungan tokinjong kelurahan balangnipa kecamatan sinjai utara kabupaten sinjai  didapatkan hasi berada kategori baik sebesar 100%.

Kesimpulan: Hasil dalam penelitian diharapkan keluarga lansia dapat lebih mencegah potensi jatuh pada lansia sehingga dapat meningkatkan perhatian kepada anggota keluarga lansia
Uji Efektivitas Daya Antibakteri Ekstrak Alga Terhadap Pertumbuhan Bakteri Patogen Streptococcus Mutans
Authors: Nurfadillah Arafah , Lukman Juniati Binti , Irma Ade , Miladiarsi  , Wahdaniar  , Adri Tenri Ayu
Published: April 2023

Background: Steptoccocus mutans is one of flora normal bacteria in the human body which can cause infections in the mouth cavity. Algae are plant-like organisms that may be found in a marine ecosystem. Recents studies have reported that algae contains numerous pharmacological activities compounds, such us: antibiotic, cytotoxic, antifungal, anti virus and antitumor. Purpose: this research aimed to know the  antibacterial activity of algae extract against the growth of pathogen bacteria Streptococcus mutans. Methods: Algae were extracted by using aquades.The inhibition test was performed by agar diffusion method on Glucose Nutrient Agar (GNA) using three types of algae extracts: Eucheuma cottoni, Turbinaria decurrens and Ulva reticulata on the incubation period 1x24 and 2x24 hours at 37◦C. Data collection technique was based on the results of measuring the diameter of the inhibition zone (clear zone) for the growth of Streptococcus mutans bacteria using a caliper. The data obtained were analyzed using quantitative descriptive analysis methods. This data analysis was processed to see if there was a difference in antibacterial power from extract algae samples. Results: U. Reticulate algae extract formed a clear zone 11.2 mm in diameter at 1x24-hour incubation, and 10.3 mm at 2x24-hour incubation. T. deccurens formed clear zones 12.7 mm in diameter at 1x24-hour incubation, and 11.4 mm at 2x24-hour incubation. E. cottonii formed clear zones 10.1 mm in diameter at 1x24-hour incubation, and 9.3 mm at 2x24-hour incubation. Conclusion: Extracts of T. decurrens have the most potential in inhibiting the growth of pathogenic microbes of S. mutants.
The Effect of Slow Deep Breathing on Dyspnea Reduction in Heart Failure Patients
Authors: Nurhaeni Heni
Published: April 2023

The heart is one of the most important organs/vital organs for the human body which has a role in circulating the supply of oxygen and nutrients to all body tissues and organs needed in metabolism. The World Health Organization (2021) reports that an estimated 17.9 million people died from cardiovascular disease in 2019, representing 32% of all global deaths. The prevalence in Indonesia also has a high number of people with heart disease.  Purpose : Knowing whether there is an effect of deep breathing exercise on the level of dyspnea in heart failure. Methods : The protocol and evaluation of the literature review will use the PRISMA checklist to determine the selection of studies that have been found and adapted to the objectives of the literature review (Nursalam, 2020). The literature search was carried out on August 1 – 26, 2022. Results : The data used in this study is secondary data obtained not from direct observation, but obtained from the results of research that has been carried out by previous researchers. The literature search in this literature review uses five databases with high and medium-quality criteria. The effect of deep breathing exercises in reducing dyspnea in heart failure patients. Conclusion : The results of the literature review prove that deep breathing exercises can affect the reduction of dyspnea in heart failure patients.
Cancer evolution as a new target of treatment paradigm
Authors: Chubenko V.A.
Published: April 2023

In clinical practice, the cancer treatment is certainly resulted from the biology of tumor growth, the modern understanding of which is based on the theory of genetic changes. In this regard, the effective strategy is the research and target on trigger mutations in the tumor. Obviously, a malignant neoplasm is the set of the different populations of epithelial, stromal and immune cells as well as intercellular matrix with dynamically changing blood flow, nutrients, acid-base state and oxygen concentration, which is almost not taken into account by clinicians.
Direct photogeneration of singlet oxygen in biological medium for cancer therapy
Authors: Bogdanov A.A. , Bogdanov An.A. , Klimenko V.V. , Verlov N.A. , Moiseyenko V.M.
Published: April 2023

Advances in cancer treatment require continuous improvement and the search for new therapies. Methods for direct photogeneration of singlet oxygen in tissue using IR lasers may be an effective alternative to photodynamic tumor therapy. The physical limitation for the direct photogeneration of singlet oxygen in a biological medium is the low absorption cross section of molecular oxygen. To overcome this limitation, it is necessary to use infrared radiation with a high power density, which in a living system is limited by thermal effects. A promising direction in the development of this approach could be the use of pulsed laser irradiation. By solving the problem of direct photogeneration of cytotoxic concentrations of singlet oxygen in a biological environment, including tumor tissue, without simultaneous heating to biocritical temperatures, it is possible to develop new effective and safe methods for the treatment of malignant neoplasms. Key words: single oxygen, direct photogeneration, reactive oxygen species, cancer therapy, photobiomodulation.
Catcalling – pytanie o potrzebę kryminalizacji „ulicznego molestowania” w Polsce. Społeczna ocena zjawiska
Authors: Janikowski Jarosław
Published: April 2023

Catcalling is a phenomenon occurring in public space. It consists in the perpetrator’s use of comments regarding, for example, the appearance of a person encountered on the street – objectifying this appearance, vulgar provocations, obscene gestures, noises or whistles, honking or strenuous and unwanted attempts to start a conversation by the recipient. The scale and form of the phenomenon, as well as its social assessment, forces us to reflect on the need to criminalize it.
Prawo karne i kryminologia na tle metodologii badań w naukach prawnych
Authors: Wiktorska Paulina
Published: April 2023

Legal sciences, generally speaking, constitute a set of social sciences that contain elements of both humanities and exact sciences dealing with law. There are two approaches to conducting research, one assuming the autonomy and independence of law and the other focused on the external integration of legal sciences, which promotes the use of the methodological achievements of other scientific disciplines in conducting research on law. This article deals with selected problems of methodology in criminal law and criminology, the common feature of which is the analysis and control of crime in society.
Uwagi na marginesie pracy Małgorzaty Żbikowskiej pt. „Ciężar dowodu w polskim procesie karnym”, Wolters Kluwer, Warszawa 2019, s. 1–547
Authors: Janusz-Pohl Barbara
Published: April 2023

The paper is a review of a monograph published by Wolters Kluwer Publishing House by Małgorzata Żbikowska on the burden of proof in the Polish criminal trial. The review positively evaluates the choice of the topic as well as the work’s structure. The integrative character is the work’s strongest attribute. On the one hand, considerations have been set within the framework of methodologically organised assumptions, on the other hand, there has been a comprehensive use of the General Theory of Law findings. The most knowledgeable are the parts of the book that contain discussion on approaches of the burden of proof in Polish criminal law. However, some critical remarks were formulated against the background of the conclusions put forward by the author regarding the use of the concept of constitutive rules. Moreover, the main thesis of the work was criticised, according to which the burden of proof is a constitutive rule, being a rule under which it is determined who bears the consequences of failing to provide or defective performance of evidence. The claim that the burden of proof is a legal rule and not a praxeological one has also been assessed with criticism.
LEAN EDUCATION: STRATEGIES OF ECONOMIC BEHAVIOR UNDER SANCTIONS
Authors:   A. Herzen State Pedagogical University of Russia, Trapitsin S. Yu. , Mamleeva I. V. ,   A. Herzen State Pedagogical University of Russia
Published: April 2023

Introduction. The paper presents the results of a study on the current problems facing educational organizations due to the introduction of Western sanctions, and the ways to solve them productively through the implementation of the concept of lean education. New challenges to educational organizations in the current context are described, possible avenues to modernize the Russian education system are proposed, including a possible solution to the problematic situation. The issues of fostering lean culture and lean thinking in teachers and students are touched upon. Materials and methods. The methodological framework for the research is the concept of lean production. The study substantiates the need and the possibility of implementing this concept in the educational sphere, and demonstrates the potential of Lean technologies to improve the efficiency and quality of educational activity. An attempt is made to raise topical research issues of the implementation of the lean production principles in education, which are insufficiently represented in the scientific literature. Research results. The examination of the initial experience of rational economic behavior of educational organizations under sanctions involves an analysis of examples, methods, and prospects for the development of the concept of lean education. Various aspects of functioning of the educational organizations under sanctions are touched upon, which force them to search and find effective means of solving current and potential problems. The study shows that in today’s context, educational organizations should pay more attention to the issues of economy, rational use of resources, import substitution, and, at the same time, contribute to shaping a lean personality type, which is a strategic direction for ensuring economic independence, sovereignty, and competitiveness of Russia and its education system. Conclusions. It is emphasized that the conceptualization of the lean education model and its practical implementation in the national education can and should be a relevant response to Western sanctions. The practicality of creating a lean culture and lean thinking as one of the key factors of sustainable socio-economic development of the country is argued.
The role of vitamin D, omega acids, antioxidants, berberine, probiotics, lactoferrin and inositol in acne
Authors: Faruga-Lewicka Wioleta , Kardas Marek
Published: April 2023

Introduction and objective
Acne vulgaris is a common, chronic and inflammatory skin disease of the folliculopilosebaceous unit. According to the literature, acne affects 85% adolescents and 50% adulthood, with an increasing tendency. The symptoms of acne are skin lesions such as comedones, pustules, papules as well as nodules and they generally appear on face, shoulders, chest and back. Based on its severity acne can be divided into following categories: mild, moderate and severe. The pathogenesis of acne is multivariate. Significant importance is attributed to hormonal changes, the role of Cutibacterium acnes bacteria and the balance between C. acnes and Staphylococcus epidermidis, keratinization disorders, excessive sebum production, circadian rhythm disorders, a lot of stress in life and improper nutrition as a result of imbalanced diet. Finding the cause of acne is necessary to cure the disease. The study shows that supplementation seems to be a good solution in the case of acne vulgaris.
The aim of the study was to present the most commonly used substances in supplements for acne skin, their properties and possibilities in the treatment of acne vulgaris. The intention of the authors was to draw attention to the possibilities of supplementing dermatological acne treatments with supplements. Pharmacists are often the first point of contact for acne vulgaris patients looking for a way to improve their skin condition.
Review methods
The PubMed database was reviewed for the most commonly used substances in therapy of acne skin. Publications from the period 2010-2022 were analyzed in terms of the following keywords: „vitamin D”, „omega acids”, „antioxidants”, „berberine”, „lactoferrin” and „inositol” in collocation with „acne”. A review of 31 articles on the possibility of acne supplementation were reviewed. Supplementation of vitamin D, omega acids, antioxidants, berberine, probiotics, inositol and lactoferrin is discussed.
Abbreviated description of the state of knowledge
The effectiveness of taking supplements containing antioxidants, omega acids, berberine, probiotics, lactoferrin, inositol and vitamin D was discussed.
Summary
1. Deficiencies of vitamin D3, vitamins A and E are often noted in patients with acne.
2. Supporting dermatological acne treatments with supplementation with omega acids and probiotics alleviates the side effects of treatment.
3. In the analyzed studies, there were no differences in the effectiveness of omega-3 acids compared to omega-6 acids in supplementation in patients with acne.
4. Multi-component preparations seem to be a better solution than supplements containing only one active ingredient.
5. More research is needed to be able to assess the real effectiveness of individual substances and determine their appropriate dosage.
Building Laws and Public Health: An undergraduate elective pedagogy for architecture students sensitising on the role of building practitioners in preventing disease through the built environment.
Authors: Singh Raja
Published: April 2023

This short communication describes an academic, semester-long, choice-based elective program that was offered to students of senior classes of bachelor of architecture at a renowned college in India. The intent of this communication is to document and share the work with practitioners and the academia. This way it can be replicated and students of architecture and planning be made aware especially as the world had a recent memory of the COVID-19 pandemic, when public health came into a renewed focus. The students who opted for the elective were taught the role of building laws which building practitioners can utilise in preventing disease causing conditions that may occur through the built environment. The basis of instruction was evidence derived from peer-reviewed scientific literature. Various class exercises were performed in order to train the students to develop a sensitivity towards the health of inhabitants while designing the built environment. The course was structured into six exercises which were taught over a semester. This was also followed by small scale research projects that students designed and undertook independently. This short communication is a description of the methodology of the elective. Further may involve replicating the elective  and testing the effectiveness of the same with a separate methodology.
"Brainets" Shaping The Embodied Activities
Authors: Sá Pereira Roberto Horácio , de Souza Filho Sérgio Farias , Barcellos Victor Machado
Published: April 2023

This paper explores the crucial connection between the brain and other organs of the body and the concept of embodied sensorimotor contingencies. Our contention is this: enactivism in all its forms reverses the conventional order of things. It is not the embodied sensorimotor actions that shape and configure brain patterns, but rather the "brainets" (synchronizations of neural activities between different brains) that configure or shape a physical and biological body ("Körper") as a living body ("Leib").
Halmozódó válságok
Authors: Háda Béla
Published: April 2023

A 21. század harmadik évtizedének elejére Pakisztán és Srí Lanka mély válságok sorozatával néz szembe. A két ország évek óta halmozódó gazdasági problémáit és belpolitikai feszültségeit tovább súlyosbították a 2020. évi koronavírus-világjárvány és a 2022. évi orosz–ukrán háború következményei. E negatív hatások 2022 tavaszára alapvető változásokat kényszerítettek ki az érintett dél-ázsiai államokban. Pakisztánban a gazdasági nehézségek miatt megbukott a kormány, Srí Lankán pedig ennél is sokkal súlyosabb, társadalmi válságot eredményező összeomlás következett be. Ez a tanulmány bemutatja a két állam válságának legfontosabb összetevőit, különös tekintettel azokra, amelyeket az orosz–ukrán háború idézett elő.
A magyar biztonságpercepció jellegzetességei
Authors: Deák András György , Etl Alex , Felméry Zoltán
Published: April 2023

Intézetünk 2021 decemberében, 1000 fő bevonásával közvélemény-kutatást végzett a magyar biztonságpercepcióról. Elemzésünk e felmérés legfontosabb, elsődleges eredményeit mutatja be. Írásunkban kitérünk a magyar társadalom védelmi kiadásokkal, katonai képességekkel, szövetségi rendszerekkel, valamint társadalmi félelmekkel összefüggő informáltságának és várakozásainak vizsgálatára, illetve rövid értékelésére.
A fegyveresen és felfegyverkezve elkövetett embercsempészés bűncselekménye napjainkban
Authors: Minkó-Miskovics Mariann
Published: April 2023

Napjainkban a migráció, különösen annak illegális formája rendkívüli mértékben megnövekedett, egyre többen hagyják el különböző indokokkal otthonukat és keresnek egy másik, biztonságos országot, ahol letelepedhetnek. Magyarországot az illegális migráció tranzitországként nagyobb mértékben érinti, és 2015 óta fokozottan terheli. Az illegális migráció során az embercsempészek mindig kiemelt szerepet töltöttek be, és jelenleg egyre gyakrabban jelennek meg Magyarország határain is, sokszor fegyvereket vagy más veszélyes eszközöket használva. Jelen tanulmány keretében a fegyveresen és felfegyverkezve elkövetett embercsempészés bűncselekményének vizsgálatára kerül sor, figyelemmel annak illegális migrációban betöltött szerepére, így elemezve a jogszabályi hátteret, a releváns joggyakorlatot, az elérhető kriminálstatisztikát, a tanulmány végén megjelenítve, de lege ferenda javaslatok formájában a szabályozás módosításának esetleges lehetőségeit.
A korrekciós kuruzslás jelenléte a büntetés-végrehajtásban
Authors: Fekete Márta , Hegedűs Judit
Published: April 2023

Edward J. Latessa korrekciós kuruzslásnak nevezi azt a jelenséget, amikor a „hétköznapi ember” szakértőként nyilvánul meg a bűnelkövetés kezelésének gyakorlatával kapcsolatban. Annak ellenére, hogy a laikus meglátások is tartalmazhatnak értékes szempontokat, a szakértők szerint ha ezeknek teret engedünk, az befolyásolja a korrekciós gyakorlatot és jelentős szerepe lehet akár a büntetés-végrehajtási intézetek hatékonyságának, akár az intézetekben dolgozó szakemberek munkájának megítélésében.3 Tanulmányunkban azokat a jelenségeket és narratívákat foglaljuk egy csokorba, amelyek a korrekciós kuruzsláshoz kapcsolódóan gyakran előfordulnak a laikus narratívákban, elsősorban a nemzetközi szakirodalom áttekintésével.
A technológiai innováció szerepe a modern biztonság megteremtésében
Authors: Christián László , Erdős Ákos
Published: April 2023

A biztonság a társadalom produktív működésének és az egyén létezésének legalapvetőbb szükséglete. Napjainkban a közösség biztonsága azonban nem szavatolható kizárólag állami beavatkozások útján. A biztonság megteremtéséhez az állami, önkormányzati, piaci szereplők, valamint a polgári önvédelmi szerveződések együttműködésére van szükség. Az elmúlt évtizedekben a biztonsági szolgáltatás szereplőivel szemben markáns társadalmi elvárások fogalmazódtak meg (adaptivitás, hatékonyság, gyorsaság, egyszerűség, kooperativitás, modernizáció), de ezzel együtt újszerű szakmai kihívásokkal is kénytelenek voltak szembesülni. A tanulmány ezen elvárások és kihívások rendszerét vizsgálja, amelyek nyomán 2020-ban egy kivételes laborprojekt indult a Nemzeti Közszolgálati Egyetemen, Biztonsági Technológiák Nemzeti Laboratórium elnevezéssel. Szomorú apropó, hogy külső körülmények miatt a rendkívül értékes munkát az elkötelezett szakmai team két év után kénytelen befejezni, félbehagyni.
Fejlesztések és fejlesztési víziók az önkormányzati rendészet területén
Authors: Bacsárdi József , Christián László , Hermann Gábor , Lippai Zsolt , Veres Zoltán
Published: April 2023

Az elmúlt években önkormányzati rendészeti kutatássorozat keretében feltártuk az önkormányzati rendészet területén jelen lévő anomáliákat, problémákat. A feltárt problémák egy része megfelelő szakmai támogatással, jogalkalmazói szinten kezelhető, amihez a Biztonsági Technológiák Nemzeti Laboratórium alprojektjeként a „Biztonságos Települések” alprojekt keretében létrejött részeredmények megfelelő alapot szolgáltatnak. Ahhoz, hogy e részeredmények hasznosulni tudjanak, egyfajta jövőbeli vízió felvázolása elengedhetetlen.
Attitudes Towards Patient Safety in Pre-Hospital Emergency Medical Staff in Mashhad, Iran
Authors:   Nursing & Midwifery Research Center, Iran University of Medical Science, Tehran, Iran., Najafi Ghezeljeh Tahereh , Balouchi Majid ,   Department of Nursing & Midwifery, Iran University of Medical Science, Tehran, Iran., Haghani Shima ,   Nursing & Midwifery Research Center, Iran University of Medical Science, Tehran, Iran.
Published: April 2023

Background & Aims: Patient safety is an important component and one of the main elements of quality in health care systems. The patient safety status among the pre-hospital Emergency Medical Staff (EMS) in Iran is unclear and there is almost no information about adverse complications. Assessing the current patient safety culture can be a starting point for improving safety attitudes among health care workers, including pre-hospital EMS who are at the forefront of managing patients in critical conditions. This study aims to survey the attitude towards patient safety among pre-hospital EMS in Mashhad, Iran. Materials & Methods: This descriptive cross-sectional study was conducted on 438 full-time pre-hospital EMS with at least 6 months of operational work experience in Mashhad city in 2019, who were selected by a census method. The assessment tool was the Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ). The collected data were analyzed in SPSS v. 16 using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t test, analysis of variance, and Pearson correlation test). The significance level was set at 0.05. Results: It was reported that 13.75% had a positive attitude towards patient safety. The mean total score of EMS-SAQ was 53.55±10.60. The most positive attitude was related to stress recognition (34.2%) and the lowest positive attitude was related to safety climate and perception of management (5.7%). There was no statistically significant relationship between any demographic characteristics and overall attitude towards patient safety (P>0.05). Conclusion: The patient safety culture of the pre-hospital EMS in Mashhad is not positive. This requires further research and also taking measures such as holding briefing sessions for managers and staff, increasing the number of staff, setting up an error reporting system, and including topics related to patient safety in the in-service training courses for the staff.
Relationship Between Job Burnout and Organizational Climate in Nurses Working in Teaching Hospitals Affiliated to Iran University of Medical Sciences
Authors:   Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran. Iran., Masror Roudsary Daryadokht , Salehi Zahra ,   Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran. Iran., Haghani Hamid ,   Department of Biostatistics, School Of Management And Medical Information, Iran University of Medical Sciences, Tehran, Iran.
Published: April 2023

Background & Aims: Job burnout can leads absenteeism, leaving the job or having the intention to leave, reduced quality of life, reduced performance, and reduced quality of patient care and commitment to the organization. Organizational climate has always been important in the nursing profession and in the hospital environment where the nurse’ performance is known as an important component in improving the quality of treatment. This study aims to determine the relationship of job burnout with organizational climate in nurses. Materials & Methods: This descriptive correlational study with cross-sectional design was performed in 2020 in the internal surgical wards of four teaching hospitals affiliated to Iran University of Medical Sciences. The sampling was done by a cluster sampling method. The sample size was determined 200 at a 95% confidence level and considering a 80% test power. To collect data, a demographic form, the Maslach burnout inventory, and Halpin and Croft’s organizational climate description questionnaire were used. Data analysis was performed in SPSS v. 24 software using descriptive and inferential statistics. Results: Emotional exhaustion domain of job burnout had a statistically significant correlation with all dimensions of organizational climate except for group spirit and disengagement; it had a negative significant correlation with the hindrance dimension and a positive significant correlation with other dimensions. With the increase of organizational climate, emotional exhaustion increases, resulting in more job burnout. Conclusion: Health workers, especially nurses and managers, should take measures to reduce job burnout and improve organizational climate and patient satisfaction according to the existing conditions and resources. It is recommended that the educational supervisors of the hospitals develop and implement in-service training focusing on the components of job burnout and organizational climate.
Relationship Between Spiritual Wellbeing with Anxiety Sensitivity in Older Women Referred to Health Centers in Ashtian, Iran
Authors:   Department of Community Heath Nursing,Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran., Mojiri Fahime , Mardani-Hamooleh Marjan ,   Department of Psychiatric Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran., Farahani Nia Marhamat ,   Department of Community Heath Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran., Haghani Shima ,   Department of Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran., Haghani Shima ,   Department of Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran., Abbasi Nahid Hossein ,   Department of Nursing and Midwifery, Ahvaz Branch, Islamic Azad University, Ahvaz,Iran.
Published: April 2023

Background & Aims: Due to the increasing number of older women with anxiety sensitivity, attention to this condition in this vulnerable group is of particular importance. Spiritual wellbeing can promote the mental health of the elderly, especially older women. this study aims to determine the relationship between spiritual wellbeing and anxiety sensitivity of older women in Ashtian, Iran. Materials & Methods: This is a descriptive-correlational study. The study population includs all older women referred to urban and rural health centers in Ashtian city. Of these, 160 were selected by a continuous sampling method. A demographic form, the Spiritual Wellbeing Scale and the Anxiety Sensitivity Index-Revised were used to collect information. The collected data were analyzed using descriptive and inferential statistics in SPSS software, version 16. Results: The mean±sd total scores of spiritual wellbeing and anxiety sensitivity were 96.1±19.86 and 48.25±31.93, respectively. Spiritual wellbeing had a significant association with anxiety sensitivity in older women (r=-0.734, P<0.001). Conclusion: There is a negative and significant relationship between spiritual wellbeing and anxiety sensitivity in older women in Iran, such that their anxiety sensitivity decreases with the increase of their spiritual wellbeing Attention to the spiritual wellbeing of older women in Iran is necessary to reduce their anxiety sensitivity.
Long-term Disability and Poor Outcome Predictors of Guillain-Barre Syndrome in Children: A Systematic Review
Authors:   Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Science, Tabriz, Iran., Toopchizadeh Vahideh , Barzegar Mohammad ,   Pediatric Health Research Center, Tabriz University of Medical Science, Tabriz, Iran., Taleschian-Tabrizi Negar ,   Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Science, Tabriz, Iran., Pashazadeh Fariba ,   Evidence Based Medicine Research Center, Tabriz University of Medical Science, Tabriz, Iran., Rashedi Nasim ,   Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Science, Tabriz, Iran.
Published: April 2023

Background: Guillain-Barre syndrome (GBS) is an immune-mediated polyneuropathy and a common cause of acute ascending weakness in children. Objectives: This study aims to report long-term disability and poor outcome predictors of GBS in children. Medline (via Pubmed), Embase, Cochrane Library, Web of Science, and Scopus database was searched for relevant studies until April 2022, with a designated search strategy, using MeSH terms and free keywords. Methods: Studies evaluating functional outcomes of GBS in children with at least one year of follow-up were included. All studies achieved acceptable quality for inclusion. After selecting studies based on inclusion criteria, data were extracted based on a modified standardized Joanna Briggs Institute (JBI) data extraction tool, and the methodological quality of studies were reviewed using the Joanna Briggs Institute (JBI) critical appraisal tool. Results: Fourteen studies were included in this systematic review consisting of 1141 patients (647 males, 466 females, and 28 unclassified). Follow-up duration varied from one year to 11 years. The prevalence of the GBS subtype was as follows, acute inflammatory demyelinating polyneuropathies (AIDP) 46.6%, acute motor axonal neuropathy (AMAN) 30.2%, acute motor and sensory axonal neuropathy (AMSAN) 6.8% and Miller fisher 6.1%. The most commonly reported poor outcome after at least one year of follow-up was walking disabilities and gait disorders. Motor deficits and weakness, sensory complaints, including pain or paresthesia and fatigue were other prevalent residual symptoms. Axonal form of GBS was the most reported poor outcome predictor, followed by Hughes disability score >3, a delay in independent walking, artificial ventilation, and rapid progression of symptoms. Conclusions: Despite the good prognosis of GBS in children, they could suffer long-term sequels, especially in walking abilities and gait. The axonal form is considered a crucial poor predictive factor.
Pengaruh Profitabilitas,Leverage Dan Capital Intensity, Terhadap Tax Avoidance Pada Perusahaan Pertambangan Batu Bara Yang Terdaftar Di Bursa Efek Indonesia Tahun 2018-2021
Authors: Lin yan Yesis miranda putri
Published: April 2023

Penghindaran pajak merupakan suatu hambatan yang dapat mempengaruhi penerimaan kas negara yang diakibatkan oleh wajib pajak badan yang tidak bertanggung jawab dalam membayarkan pajaknya. Riset ini bertujuan untuk  menguji seberapa besar dampak dari pengaruh profitabilitas , leverage, dan Capital Intensity terhadap penghindaran pajak pada perusahaan pertambangan batu bara yang terdaftar di Bursa Efek Indonesia tahun 2018 – 2021. Metode yang digunakan dalam pengambilan ilustrasi merupakan purposive sampling dengan sampel yang berjumlah 10 industri dari 34 perusahaan pertambangan batu bara di Bursa Efek Indonesia pada tahun 2018 – 2021.  Metode analisis data yang digunakan merupakan analisis regresi linear berganda menggunakan SPPS versi 26. Berdasarkan hasil analisis yang dilakukan, penulis dapat mengambil kesimpulan bahwa Profitabilitas tidak berpengaruh terhadap penghindaran pajak, Leverage tidak berpengaruh terhadap penghindaran pajak, Capital Intensity berpengaruh terhadap penghindaran pajak. Profitabilitas, Leverage, Capital Intensity berpengaruh secara simultan terhadap Penghindaran Pajak
Analisis Pengaruh Kurs, Suku Bunga dan Return Saham Terhadap Aktivitas Volume Perdagangan
Authors: Maxenchio Teja Calista , Lia Dama Yanti
Published: April 2023

Studi ini dimaksudkan guna menguji Kurs, Suku bunga, dan Return Saham terhadap Aktivitas Volume Perdagangan. Populasi yang digunakan yakni perusahaan sektor perbankan yang terdaftar di Bursa Efek Indonesia tahun 2019-2021, dimana metode Purposive Sampling dipergunakan didalam pemilihan diperoleh sampel sebanyak 37 perusahaan sampel. Teknik analisa dengan metode Regresi Linear Berganda mempergunakan program SPSS 25. Hasil analisis statistik mengungkapkan bahwa pertama, variabel Kurs tidak berpengaruh terhadap Aktivitas Volume Perdagangan, hal ini di tunjukkan dengan nilai signifikansi 0,371 > 0,05 dan nilai t hitung c. Kedua, variabel Suku Bunga berpengaruh tarhadap Aktivitas Volume Perdagangan, hal ini ditunjukkan dengan nilai signifikansi 0,025 < 0,05 dan nilai t hitung -2,273> t tabel 1,98238. Ketiga, variabel Return Saham tidak berpengaruh terhadap Aktivitas Volume Perdagangan, hal ini ditunjukkan dengan nilai signifikansi 0,571 > 0,05 dan nilai t hitung 0,880 < t tabel 1,98238. Secara simultan variable Kurs, Suku Bunga, dan Return Saham berpengaruh terhadap Aktivitas Volume Perdagangan, hal ini dapat ditunjukkan dengan nilai F hitung 3,777 > F tabel 3,08 dengan tingkat signifikansi 0,013 < 0,05.