bluuebunny/crossref_metadata_2025 huggingface dataset:
FAKTOR YANG MEMPENGARUHI PERILAKU TERHADAP KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) UNTUK PENCEGAHAN PENYAKIT AKIBAT KERJA
Authors: Sebayang Icha DameYanti Br
Published: November 2020

Kamar operasi merupakan ruangan yang sangat berisiko mengancam terhadap kesehatan petugas khususnya perawat bedah karena banyaknya peralatan yang dipakai untuk keperluan operasi, pemakaian gas anestesi dan stress psikologis tingkat tinggi yang berkepanjangan. Sebuah penelitian di Amerika tentang mekanisme robeknya sarung tangan karet dan terjadinya cedera tertusuk benda tajam pada 2292 operasi selama 3 bulan menemukan 92% robeknya sarung tangan akibat tidak rangkap dua dan 8% karena sebab tidak diketahui, kemudian 70 cedera tertusuk benda tajam, 0,7% akibat jarum, 10% akibat skalpel dan 23% akibat yang lain. Peran perawat sangat penting untuk sebuah pelayanan rumah sakit karena tanpa mereka pelayanan rumah sakit menjadi buruk, terlebih perawat bedah yang tenaga mereka sangat diperlukan sekali karena mereka punyakekhususan sendiri dan untuk menjadi seorang perawat bedah yang terampil perlu waktu mendidik dan melatihnya, perlu pengalaman kerja yang lama masuk tim pembedahan (2).Penularan infeksi yang terjadi pada perawat bedah dapat disebabkan oleh tindakan keperawatan yang dilakukan sering kontak dengan darah, jaringan, dan sekresi cairan yang yang masuk kedalam tubuh baik karena tertusuk jarum atau luka, mukosa yang kepercikan oleh darah, cairan yang mengandung kuman dari pasien berpotensi menimbulkan infeksi. Salah satu penyebabnya karena mereka bekerja tidak pakai alat pelindung diri (APD) sarung tangan, mereka tidak patuh menggunakan APD (2).
Collaborative Research and Innovation in Europe
Authors: Wicaksono Hendro
Published: November 2020

The presentation gives an overview of best practice collaborations of higher education and industry in Germany. It then describes different research organization and their roles in the German research landscape. Finally, the presentation shows some project examples in the area of artificial intelligence and data management which are funded by German and EU research agencies and involve collaboration between universities, research organizations, industrial companies, and municipalities.
PENTINGNYA PENGETAHUAN DAN PENERAPAN KONSEP DASAR KESEHATAN DAN KESELAMATAN KERJA DI RUMAH SAKIT (K3RS)
Authors: Oktaviany Ria
Published: November 2020

Latar Belakang : Setiap pekerjaan pasti memiliki risiko dan bahaya tersendiri. Tidak terkecuali bekerja di rumah sakit juga dapat menimbulkan risiko hazard bagi siapapun yang berada di lingkungan rumah sakit tersebut baik petugas kesehatan, pasien, keluarga pasien, maupun staf rumah sakit. Metode : Metode yang digunakan untuk mengetahui pentingnya pengetahuan dan penerapan konsep dasar K3 di rumah sakit adalah dengan menggunakan kajian pustaka. Hasil : Berdasarkan hasil literatur dapat disimpulkan bahwa pengetahuan dan penerapan konsep dasar K3 di rumah sakit sangat penting. Hal ini dikarenakan konsep dasar K3 dapat menyejahterakan pekerja dan juga orang lain yang berada di sekitarnya. Pembahasan : Keselamatan dan kesehatan kerja adalah adalah suatu ilmu pengetahuan dan penerapannya dalam usaha mencegah kemungkinan terjadinya kecelakaan dan penyakit akibat kerja. Penutup : Konsep dasar keselamatan dan kesehatan kerja selama pemberian asuhan keperawatan meliputi somatik, perilaku, lingkungan, pengorganisasian pekerjaan, budaya kerja dan ergonomik.
UPAYA MENINGKATKAN PENGETAHUAN PERAWAT DALAM MENENTUKAN DIAGNOSA KEPERAWATAN
Authors: Lubis Sharima Chairunnisa
Published: November 2020

Diagnosa keperawatan adalah pernyataan yang menguraikan respon aktual atau potensial klien terhadap masalah kesehatan yang perawata mempunyai izin dan berkompeten untuk mengatasinya.. Tulisan ini dibuat untuk meningkatkan pengetahuan tenaga kesehatan terutama perawat untuk meningkatkan pengetahuan untuk menentukan diagnose keperawatan di RS dengan tepat. Tulisan ini menggunakan metode literature review yang diambil dari beberapa sumber yaitu jurnal dan google scholar . Dengan adanya tulisan ini, diharapkan dapat menjadi acuan bagi perawat dalam melaksanakan tugasnya terutama di Rumah Sakit.
PENILAIAN DAN PENGENDALIAN RESIKO HAZARD FISIK-RADIASI
Authors: Imanda Ihdina
Published: November 2020

Bahaya fisika adalah bahaya yang berkaitan dengan cahaya, suhu, kebisingan, dan lain-lain. Cara untuk mengurangi kemungkinan bahaya yang terjadi adalah dengan penilaian resiko dan pengendalian bahaya berdasarkan jenis bahaya. Dengan cara ini diharapkan angka kejadian kecelakaan kerja dapat menurun. Pendekatan yang dapat dilakukan untuk mencegah dan mengurangi paparan bahaya adalah melalui penilaian risiko (Wigmore, 2009) dan pengendalian berdasarkan jenis bahaya (Government of alberta, 2011a).
Mencegah terjadinya adverse events dengan memberikan pendidikan kesehatan tentang peran pasien dan keluarga untuk mencegah terjadinya bahaya
Authors: Aruan Indri Novita Magdalena
Published: November 2020

Keselamatan Pasien (Patient Safety) merupakan sesuatu yang jauh lebih penting dari pada sekedar efisiensi pelayanan. Perilaku perawat dengan kemampuan perawat sangat berperan penting dalam pelaksanaan keselamatan pasien. Perilaku yang tidak aman, lupa, kurangnya perhatian/motivasi, kecerobohan, tidak teliti dan kemampuan yang tidak memperdulikan dan menjaga keselamatan pasien berisiko untuk terjadinya kesalahan dan akan mengakibatkan cedera pada pasien, berupa Near Miss (Kejadian Nyaris Cedera/KNC) atau Adverse Event (Kejadian Tidak Diharapkan/KTD) selanjutnya pengurangan kesalahan dapat dicapai dengan memodifikasi perilaku. Perawat harus melibatkan kognitif, afektif dan tindakan yang mengutamakan keselamatan pasien. World Health Organization (WHO), 2014 Keselamatan pasien merupakan masalah keseahatan masyarakat global yang serius.
PROSES PENGAMBILAN KEPUTUSAN DAN TAHAP PENGAMBILAN KEPUTUSAN
Authors: Tambunan Lasdo Sevliyanti
Published: November 2020

Membuat keputusan merupakan bagian dari kehidupan kita sehari-hari baik secara individu ataupun secara kelompok, terutama dalam suatu organisasi.Pengambilan keputusan mempunyai arti penting bagi maju atau mundurnya suatu organisasi. Pengambilan keputusan yang tepat akan menghasilkan suatu perubahan terhadap organisasi ke arah yang lebih baik, namun sebaliknya pengambilan keputusan yang salah akan berdampak buruk pada roda organisasi dan administrasinya.Pembuat keputusan harus mampu melakukan proses pengambilan keputusan, dan bisa melakukan proses delegasi wewenang secara baik. Pengambilan keputusan membutuhkan keterampilan mulai dari proses pengumpulan informasi,pencarian alternatif keputusan, memilih keputusan, hingga mengelola akibat ataupun konsekuensi dari keputusan yang telah diambil.Keputusan dan kebijakan merupakan alat untuk mencapai tujuan yaitu menjadikan madrasah sebagai lembaga yang memiliki standar pendidikan.Pembuatan keputusan juga dilihat sebagai suatu proses dominan seseorang (pembuat keputusan) memilih dari dua atau lebih alternatif tindakan yang memungkinkan. Proses dominan kepala madrasah memilih dua atau lebih alternatif tindakan yang memungkinkan mulai dari dasar, gaya, teknik dan teknik pelibatan stakeholder.Proses pengambilan keputusan terkait dengan ketepatan pendekatan yang dilakukan baik tidaknya suatu hasil keputusan tergantung pada pendekatan yang digunakan. Setiap pendekatan mempunyai kelebihan yang berbeda-beda tergantung pada jenis permasalahan yang dihadapi. Oleh karena itu, penggunaan suatu pendekatan tidak efektif untuk memecahkan semua masalah yang dihadapi.
PENGAMBILAN KEPUTUSAN DALAM KEPERAWATAN
Authors: Baringbing Jesika Olivia
Published: November 2020

Keputusan merupakan hasil pemecahan dalam suatu masalah yang harus dihadapi dengan tegas. Pengambilan keputusan pada hakikatnya merupakan suatu proses pemilihan berbagi alternatif yang tersedia, mengevaluasi alternatif yang telah dipilih untuk kemudian di implementasikan dalam rangka mencapai tujuan organisasi. Pengambilan keputusan juga dapat mempengaruhi kesuksesan ataupun kegagalan seseorang dalam hidupnya, termasuk dalam kesuksesan ataupun kegagalan sebuah organisasi. Perawat merupakan tenaga profesional yang bertanggung jawab dalam memberikan proses keperawatan kepada klien. Berdasarkan hal tersebut perawat harus mampu mengambil keputusan klinis sebagai upaya membantu pasien dalam memecahkan masalah dan menemukan jalan keluar dari setiap masalah keperawatan yang dialami pasien.Kata kunci: pengambilan keputusan,keperawatan
PENTINGNYA DIAGNOSA KEPERAWATAN DALAM ASUHAN KEPERAWATAN
Authors: Barus Clara Vincensia br
Published: November 2020

Sebagai suatu aspek yang terpenting dalam proses keperawatan, perumusan diagnosa keperawatan ini sangatlah vital untuk dilakukan. Pernahkan kita mendengar beberapa diagnosa keperawatan pada pasien. Diagnosis Keperawatan merupakan keputusan klinik tentang respon individu, keluarga dan masyarakat tentang masalah kesehatan aktual atau potensial, dimana berdasarkan pendidikan dan pengalamannya, perawat secara akontabilitas dapat mengidentifikasi dan memberikan intervensi secara pasti untuk menjaga, menurunkan, membatasi, mencegah dan merubah status kesehatan klien. Diagnosis keperawatan ditetapkan berdasarkan analisis dan interpretasi data yang diperoleh dari pengkajian keperawatan klien. Diagnosis keperawatan memberikan gambaran tentang masalah atau status kesehatan klien yang nyata (aktual) dan kemungkinan akan terjadi, dimana pemecahannya dapat dilakukan dalam batas wewenang perawat. Proses keperawatan telah diidentikan sebagai metoda ilmiah keperawatan untuk para penerima tindakan keperawatan. Kebanyakan sekolah-sekolah keperawatan sekarang memasukkan proses keperawatan sebagai sautu komponen dari konsep kerja konsepatual mereka. National Council of State Broads of Nursing menggunakan proses keperawatan sebagai dasar untuk Registered Nurse State Board Test Pool Examination (NCSBN). Pertanyaan –pertanyaan yang berhubungan dengan tindakan keperawatan dalam menangani kedaan pasien yang bervariasi disajikan sesuai dengan lima langkah dari proses keperawatan.
HUBUNGAN PENGETAHUAN PERAWAT DENGAN ISSUE KESELAMATAN PASIEN
Authors: Lubis Sharima Chairunnisa
Published: November 2020

Keselamatan pasien (patient safety) adalah proses dalam suatu rumah sakit yang memberikan pelayanan pasien yang lebih aman. Termasuk di dalamnya asesmen risiko,identifikasi,dan manajemen resiko terhadap pasien. Tujuan dibuatnya tulisan ini, yaitu untuk mengidentifikasi hubungan pengetahuan perawat dengan issue keselamatan pasien, dimana keselamatan pasien merupakan hal yang harus diutamakan oleh seorang perawat professional. Tulisan ini menggunakan metode literature review yang diambil dari beberapa sumber yaitu jurnal dan google scholar . dengan dibuatnya tulisan ini, diharapkan perawat dapat memberikan dampak positif terkait issu keselamatan pasien dengan trend sekarang ini.
Upaya Pencegahan Penyakit Akibat Kerja Pada Perawat di Rumah Sakit
Authors: Nasution Eka Rosliani
Published: November 2020

Tenaga kesehatan berperan dalam meningkatkan derajat kesehatan masyarakat dan berhakmendapatkan jaminan kesehatan dan keselamatan kerja. Penelitian sebelumnya melaporkankecelakaan kerja yang sering terjadi di rumah sakit adalah tertusuk jarum, teriris pisau, terlukadan terpercik cairan tubuh. Kejadian tersebut banyak yang belum terlaporkan karena padatnyajadwal pelayanan kesehatan dan rendahnya persepsi terhadap risiko terpapar infeksi. Rendahnyapersepsi dan tingginya risiko kejadian kecelakaan kerja menjadi tujuan penelitian ini dilakukanuntuk mengetahui hubungan antara persepsi tenaga kesehatan terhadap penggunaan alatpelindung diri dengan kejadian kecelakaan akibat kerja. Pengetahuan dan sikap Perawat dalampenggunaan alat pelindung diri pada saat melaksanakan tindakan keperawatan akan mengurangiresiko terjadinya pemularan infeksi di rumah sakit. Penelitian ini bertujuan untuk melihathubungan pengetahuan dan sikap perawat tentang APD dengan tindakan pencegahan infeksi diruang Intencif Care Unit (ICU). Untuk faktor pemungkin kebijakan pencegahan PAK danketersediaan fasilitas kesehatan yang layak sudah disediakan. Sementara itu dukungan pimpinandan petugas kesehatan sudah berjalan. Semuanya ini membentuk perilaku pencegahan PAKinforman yang terlihat dari berbagai kegiatan pencegahan dan penanganan PAK. Namun demikianpelaksanaan pencegahan PAK tidak berjalan sepenuhnya karena faktor kelalaian, ceroboh, kurangsadar, kurang peduli, niat yang kurang dari individu, dan tidak berperilaku hidup sehat. Selain itukebijakan juga sering tidak update, tidak ada sanksi, serta masih dirasakan kurangnya dukunganperusahaan dan masalah komunikasi bahasa dengan petugas kesehatan.
Pentingnya Memahami Konsep Dasar Keselamatan Dan Kesehatan Kerja Dalam Pemberian Asuhan Keperawatan
Authors: Nabila Maulidya
Published: November 2020

Kesehatan dan Keselamatan Kerja (K3) merupakan salah satu isu penting di dunia kerja saat ini termasuk di lingkungan rumah sakit. Angka kecelakaan kerja di rumah sakit lebih tinggi dibandingkan tempat kerja lainnya dan sebagian besar diakibatkan oleh perilaku yang tidak aman. Kecelakaan kerja menjadi salah satu masalah genting di lingkungan rumah sakit. Hal ini diakibatkan karena rumah sakit merupakan suatu unit pelayanan kesehatan yang memberikan pelayanan pada semua bidang dan jenis penyakit. Oleh sebab itu rumah sakit dituntut untuk dapat menyediakan serta menerapkan sebuah upaya agar semua sumber daya manusia yang bekerja di rumah sakit dapat terlindungi, baik dari penyakit maupun kecelakaan akibat kerja. K3 merupakan aspek yang penting dalam usaha meningkatkan kesejahteraan karyawan. Apabila tingkat keselamatan kerja tinggi, maka kecelakaan yang menyebabkan sakit, cacat, dan kematian dapat ditekan sekecil mungkin. Kesehatan dan keselamatan kerja merupakan upaya untuk memberikan jaminan keselamatan dan meningkatkan derajat kesehatan para pekerja/pemberi layanan kesehatan khususnya perawat dengan cara pencegahan kecelakaan dan penyakit akibat kerja, pengendalian bahaya di tempat kerja, promosi kesehatan, pengobatan dan rehabilitasi. Keselamatan dan Kesehatan Kerja sebagai suatu program didasari pendekatan ilmiah dalam upaya mencegah atau memperkecil terjadinya bahaya (hazard) dan risiko (risk) terjadinya penyakit dan kecelakaan, maupun kerugian-kerugian lainya yang mungkin terjadi. Jadi dapat dikatakan bahwa Keselamatan dan Kesehatan Kerja adalah suatu pendekatan ilmiah dan praktis dalam mengatasi potensi bahaya dan risiko kesehatan dan keselamatan yang mungkin terjadi.( Rijanto, 2010 ). Kesehatan dan Keselamatan Kerja (K3) merupakan sebuah upaya dalam rangka menjamin keutuhan dan kesempurnaan baik jasmani maupun rohani tenaga kerja, hasil karya dan budayanya menuju masyarakat makmur dan sejahtera. Tujuan diberlakukan K3 adalah agar pekerja memperoleh derajat kesehatan yang tinggi, baik dari segi fisik, mental, maupun social dengan berbagai usaha yang dilakukan. Usaha tersebut meliputi preventif dan kuratif terhadap penyakit maupun gangguan kesehatan yang diakibatkan faktor-faktor pekerjaan dan lingkungan kerja, serta terhadap penyakit-penyakit umum sehingga penerapan K3 merupakan salah satu standard pelayanan yang perlu diperhatikan oleh seluruh aspek yang ada di RS. Upaya pencegahan dan pengendalian bahaya kerja yang dapat menyebabkan terjadinya kecelakaan dan penyakit akibat kerja dapat dilakukan dengan penerapan Keselamatan dan Kesehatan Kerja di tempat kerja. Dengan melaksanakan K3 akan terwujud perlindungan terhadap tenaga kerja dari risiko kecelakaan kerja dan penyakit akibat kerja yang dapat terjadi pada waktu melakukan pekerjaan di tempat kerja. Dengan dilaksanakannya perlindungan K3, diharapkan akan tercipta tempat kerja yang aman, nyaman, sehat dan tenaga kerja yang produktif, sehingga akan meningkatkan produktivitas kerja dan produktivitas perusahaan.
Pentingnya Materi Lingkungan dalam Pembelajaran Bahasa Indonesia di Sekolah
Authors: Oktafiyani Ulan
Published: November 2020

Hakikatnya manusia merupakan makhluk hidup ciptaan Tuhan dengan segala fungsi dan potensinya yang tunduk pada aturan hukum alam, mengalami kelahiran, pertumbuhan perkembangan, mati, dan seterusnya, serta terikat dengan alam dan lingkungan sosial. Pada dasarnya, manusia bukanlah makhluk satu-satunya yang ada di bumi ini. Selain manusia, juga terdapat makhluk lain yang diciptakan oleh Allah SWT untuk saling melengkapi dan saling mendukung dalam kesatuan global yang utuh. Karena, manusia dan lingkungan merupakan satu kesatuan yang tidak dapat dipisahkan antara yang satu dengan yang lainnya, manusia memerlukan lingkungan sebagai tempat untuk hidup dan berkehidupan sedangkan lingkungan membutuhkan manusia agar kelestarian lingkungan selalu terjaga.
Quantifying the acute responses of shallow-water immersion on walking physiology and biomechanics: a systematic review and meta-analysis
Authors: Ivaniski-Mello André , Casal Marcela Zimmermann , Costa Rochelle Rocha , Martinez Flávia Gomes , Peyré-Tartaruga Leonardo Alexandre
Published: November 2020

Shallow water walking (SWW) generates changes in cardiorespiratory parameters in comparison to terrestrial exercise, and these changes are highly dependent of immersion depth. We reviewed the evidence from observational studies focusing on physiological and biomechanical responses of SWW in comparison to dry land walking. This systematic review and meta-analysis (initial search: 1516 studies; systematic review: 40 studies; meta-analysis: 22 studies) presents evidence that higher energy expenditure, heart rate and rating of perceived exertion are accompanied by depth-dependent reductions in self-selected speed and stride length in SWW compared with dry land. The stride frequency, however, was similar at waist and reduced at xiphoid depth. As expected, the ground reaction forces were reduced according to the buoyance forces acting. SWW appears to increases muscular activity. Importantly, the depth-related increase in energy expenditure of SWW seems to involve a major role of resistive forces compensating the reduced task of support the body weight. Besides the benefits of water immersion as reduced joint impact and safety, biomechanical alterations on force production may produce additional long-term gains in functional mobility. However, the influence of these physiological and biomechanical alterations on functional mobility are largely unknown. Due to these inconclusive points, there is a huge opportunity to determine (1) the alterations on muscle activation in different depths in order to explain the higher energy expenditure at organismal level, and (2) whether these alterations can maximize gains in metabolic economy and gait biomechanics after long-term SWW intervention. PROSPERO registration protocol: CRD42018113040.
Simulations of implicit learning of symmetries: The importance of prior knowledge and the nature of the memory buffer
Authors: Zhang Ruhai , Li Feifei , Jiang Shan , Zhao Kexin , Zhang Chi , Zheng Li , Li Lin , Dienes Zoltan
Published: November 2020

The current research aimed to investigate the role that prior knowledge played in what structures could be implicitly learnt and also the nature of the memory buffer required for learning such structures. It is already established that people can implicitly learn to detect an inversion symmetry (i.e. a cross-serial dependency) based on linguistic tone types. The present study investigated the ability of the Simple Recurrent Network (SRN) to explain implicit learning of such recursive structures. We found that the SRN learnt the symmetry over tone types more effectively when given prior knowledge of the tone types (i.e. of the two categories tones were grouped into). The role of prior knowledge of the tone types in learning the inversion symmetry was tested on people: When an arbitrary classification of tones was used (i.e. in the absence of prior knowledge of categories), participants did not implicitly learn the inversion symmetry (unlike when they did have prior knowledge of the tone types). These results indicate the importance of prior knowledge in implicit learning of symmetrical structures. We further contrasted the learning of inversion symmetry and retrograde symmetry and showed that inversion was learnt more easily than retrograde by the SRN, matching our previous findings with people, thus showing that the type of memory buffer used in the SRN is suitable for modeling the implicit learning of symmetry in people.
The Accidental Checkmate: Understanding the Intent behind sharing Misinformation on Social Media
Authors: Agarwal Ajay
Published: November 2020

The bloom of COVID19 has resulted in the explosion of ripple pollens which have severely affected the world community in the terms of their multi-axial impact. These pollens, despite being indistinguishable, have a varied set of characteristics in terms of their origin and contribution towards the overall declining homeostasis of human beings. The most prominent of these pollens are misinformation. Various studies have been conducted, performed, and stochastically replicated to build ML-based models to accurately detect misinformation and its variates on the common modalities of spread. However, the recent independent analysis conducted on the prior studies reveals how the current fact-checking systems fail and fall flat in fulfilling any practical demands that the misinfodemic of COVID19 brought for us. While the scientific community broadly accepts the pandemic-like resemblance of the rampant misinformation spread, we must also make sure that our response to the same is multi-faceted, interdisciplinary, and doesn’t stand restricted. As crucial it is to chart the features of misinformation spread, it is also important to understand why it spreads in the first place? Our paper deals with the latter question through a game-theory based approach. We implement a game with two social media users or players who aim at increasing their outreach on their social media handles whilst spreading misinformation knowingly. We take five independent parameters from 100 Twitter handles that have shared misinformation during the period of COVID19. Twitter was chosen as it is a prominent social media platform accredited to the major modality for misinformation spread. The outreach increment on the user’s Twitter handles were measured using various features provided by Twitter - number of comments, number of retweets, and number of likes. Later, using a computational neuroscientific approach, we map each of these features with the type of neural system they trigger in a person’s brain. This helps in understanding how misinformation whilst being used as an intentional decoy to increase outreach on social media, also, affects the human social cognition system eliciting pseudo-responses that weren’t intended otherwise leading to realizing possible neuroscientific correlation as to how spreading misinformation on social media intentionally/unintentionally becomes a strategic maneuver to increased reach and possibly a false sense of accomplishment.
Teaching Review on Approach of Esophageal Intubation as Complications in Emergency Airway Management
Authors: Elbaih Adel Hamed , Elbaih Adel Hamed , Mousa Mohammad Assef
Published: November 2020

Background: Intubation is daily process in hospitals, it’s insertion of tube to secure an airway, nonemergent intubation is done in well controlled circumstances, while emergent intubation is not. Most
emergency intubated are cardiac or respiratory arrest patients. Intubation helps to secure airway for patient
breathing, also could protect from aspiration. Most common complications are: esophagus intubation and
hypotension. This research will be divided into two main topics, emergency intubation as a whole, and
unrecognized esophagus intubation as a complication. Emergency intubation discuss: knowledge about the
procedure, equipment needed, airway assessment, preoxygenation, difficulties and risks, outcomes. While
Unrecognized esophagus intubation will be discussed as complication in ER settings, point to clear:
Epidemiology, tools of detection, equipment, human and environmental bias and consideration for cardiac
arrest patients. Finishing with a conclusion and recommendation. Therefore, we aim to look into the
common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and
Emergency Airway Management.
Targeted Population: Airway cardiorespiratory arrest patients who are requiring urgent management in
the ED, with emergency physicians for teaching approach protocol.
Aim of the Study: Appropriate for assessment and priorities for Airway cardiorespiratory arrest patients by
training protocol to emergency physicians. Based on patients’ causes of Airway injuries.
Methods: Collection of all possible available data about the Esophageal Intubation as Complications in the
Emergency department. By many research questions to achieve these aims so a midline literature search
was performed with the keywords “critical care”, “emergency medicine”, “principals of airway
management”, “Esophageal Intubation as Complications”. Literature search included an overview of recent
definition, causes and recent therapeutic strategies.
Results: All studies introduced that the initial diagnosis of Esophageal Intubation as Complications is a
lifesaving conditions that face patients of the emergency and critical care departments.
Conclusion: Intubation in emergency settings require a good preparation, available equipment (e.g. ready
cart for all time), and supportive anatomical airway of the patient. Following a checklist will improve
outcomes, prevent malpractice and complications. Preoxygenation and RSI play major roles for successful
intubations with decrease risk of complications. Follow procedure steps, and expect difficult intubation for
any patient, so consider LEMON mnemonic to evaluate risk of difficulty, and after 3 attempts try a different
technique or equipment. More training and education are essential to decrease congenital and equipotential
mistakes/errors.
Role of topical insulin therapy as an adjunct in the management of pressure ulcer
Authors: Chittoria Ravi
Published: November 2020

Pressure ulcer or pressure sore is one of the complications seen in bedridden patients. Management of these ulcers is often challenging. But there is no well-established method that accelerates the wound healing rate. Various adjunctive methods are used for wound bed preparation before definitive reconstruction plan is made. Here we describe our experience in the role of insulin therapy as an adjunct in the management of pressure sores.
Dental management in Oncology patient: osteonecrosis related osteonecrosis of the Jaw (MRONJ)
Authors: Noemi Picardo
Published: November 2020

It is essential that oncological patients treated with antiresorptives or antiangiogenic drugs diagnosed Medication Related Osteonecrosis of the Jaw (MRONJ) must be treated in an interdisciplinary fashion. The patient’s stomatognathic system should be examined preventatively prior to the initiation of antiresorptive drugs in order to avoid pathological buccal manifestations, following the same healthcare clinical protocols used for patients receiving head and neck radiotherapy. Additionally, patients should be informed of the precautions to be taken, including regular dental appointments for oral health assessment. The risk of developing MRONJ should be evaluated according to the type of antiresorptives or antiangiogenic drugs administered and treatment duration. In the case of MRONJ, its fundamental characteristic is positioned in the biochemical particularity of the pharmacokinetic expression of antiresorptive drugs, reversibly (DS) or irreversibly (BPs) inhibiting the functionality of the osteoclast. Therefore, the consideration of invading bone tissue as little as possible and performing resective therapies in cases of systemic infectious spread follows, since its long-term resolution would not be effective because the drug (BPs) has frank accumulation at a distance, a characteristic used by treating doctors and it would not have clinical relevance to suggest its suspension. According to the recommendations of AAOMS; Task Force and AOCMF coincide with the sharing of consensus on minimally invasive manipulations once the necrotic foci have been installed and the preventive attitude prevails of eliminating all septic foci prophylactically before starting therapy with antiresorptive drugs. There are positions with a trend more committed to frank bone manipulation with the aim of evacuating the infectious problem and other more conservative positions in order not to expand drug necrosis volumetrically due to bone accumulation of BPs or DS.
Coronary Artery Disease Risk Assessment in Sedentary and Active Patients: Medical Risk, Behavioral Psychology, and the Standard of Care
Authors: Paterick Timothy
Published: November 2020

Objective: A practical approach to determining risk in sedentary and active patients for coronary artery disease. Identify how personal/family history, atherogenic risk factors, and coronary calcium are essential to determining and predicting risk potential. Materials/Methods: Review of the medical, behavioral psychology, and standard of care literature to identify how human psychology, statistical risk of coronary disease, and coronary calcium shape risk prediction. Results: A comprehensive personal/family history, risk factor assessment and comprehensive physical examination are the foundation of risk assessment. Understanding the cognitive process of risk potential is critical to management strategies. Stress testing and coronary calcium scoring are useful adjuncts when initial screening is suggestive of intermediate atherogenic risk. Conclusion: Comprehensive personal/family history, risk factor assessment, comprehensive physical examination, cognitive processing of risk potential, stress testing and calcium scoring all have a role in risk assessment of sedentary and active patients.
Spontaneous Hemomediastinum due to thyroid artery aneurysm A rare case report
Authors: Gradica Fadil
Published: November 2020

Spontaneous Hemomediastinum is a rare pathological disorder. Multiple underlying causes and contributory factors can be identified, such as trauma, malignancy, iatrogenic, bleeding disorder or mediastinal organ hemorrhage. Using contrast enhanced computed tomography (CT) of the chest, hemomediastinum can be adequately diagnosed. Spontaneous hemomediastinum may occur due to muliple and cotributory causes such as: secondary to haemorragic disorders, mediastinal tumors or after sudden increase in intrathoracic pressure, (e.g. during coughing, sneezing or vomiting, or sudden sustained hypertension) [1, 2]. In this case report, a 76-year-old male is presented with of thyroid artery aneurysm resulting in hemomediastinum causing thoracic pain.
Congenital luxation of the knee: with regard to a case
Authors: Santana Elvis
Published: November 2020

The congenital luxation of the knee is an unfrequent affection, existing many theories about it's appearance. In some cases, it is considered an isolated deformation although it is relativly frequent to associate it to other congenital malformations, such as the dysplasia on the development of the hip, feet deformities or dislocation of the elbow. The treatment of this kind of affection depends on the seriousness and flexibility of the fondness, having like therapeutic lines the placing of serial casts, by using Pavlik's armor or plastia of the four headed muscle on severe cases. We present a case of congenital luxation of the knee treated by the use of serial casts, with a favorable evolution.
Results of the application of neurovascular homodigital flaps on the cutaneous defects of the digital fingertip
Authors: Santana Elvis
Published: November 2020

Introduction: the traumatic injuries of the hand are in the top of the list of industrial working accidents. The treatment of these injuries has as goal to restore the function of the fingertip, improving the life quality of the patients. Objective: to evaluate results of the application of neurovascular homodigital flaps on the cutaneous defects of the digital fingertip of the large fingers of the hand. Method: it was perform an observational and descriptive type investigation, in a case chain of 33 patients on the Hermanos Ameijeiras Hospital in the period of October 2013 up to January 2015, were it was apply neurovascular homodigital flaps with direct circulation (17 patients) or indirect circulation (16 patients). Results: male sex was more affected, with a higher frequency between 36 and 41 years old and also over 41 years old. There was confirmed 4 complications representing the 12%. It was obtained a 72.7% of good and excellent results with the application of these surgical techniques getting an appropriate protector sensibility and a satisfactory cutaneous covering. The patients were satisfied in a 93.9% of the cases with the application of these procedures. Conclusions: it was demonstrated the efficiency of the application of neurovascular homodigital flaps on the cutaneous defects of the digital fingertip of the large fingers of the hand.
DETERMINING THE IMPORTANCE LEVELS OF FACTORS AFFECTING PEOPLE’S CHOICE OF REST AREA BY ANALYTICAL HIERARCHY PROCESS
Authors:   Kırşehir Ahi Evran Üniversitesi, ALTUNTAŞ Başar
Published: November 2020

Throughout history, humankind has been constantly traveling for various reasons. Highway transportation is often preferred for these trips. However, traveling by highway is a tiring and time-consuming form of transportation and it is relatively more difficult and complicated compared to other transportation alternatives (seaway and airline transportations). Because people who travel should rest at regular intervals to meet their physical or physiological needs. Rest areas are critical places to meet such needs while traveling. However, people encounter many different resting places along the travel itinerary. The fact that there are many places that can be used to meet their needs, confronts consumers with the decision problem. In this study, it was aimed to determine the factors affecting the preferences of consumers among the many resting places encountered and the importance levels of these factors on the resting place preference. The data were evaluated by using the widely used Analytical Hierarchy Process (AHP) method of decision theory and it was determined that the most important factor affecting consumer choice was the “services” provided at the resting area.
TEBRİZ’DE İLHANLILARDAN KALMA YIKIK BİR MESCİT
Authors:   Atatürk Üniversitesi, ZORLU İzzet
Published: November 2020

Moğolların İran kolu olan İlhanlılar Tebriz başkentli bir devlet kurmuşlardır. Moğol ve Tebriz tarihinde ilklerin yaşandığı bu dönemde, Moğollar yeni yeni yerleşik hayata geçerken Tebriz ise kendi mimarlık tarihinde en devasa yapılara ev sahipliği yapmıştır. Moğollar adına bir diğer önemli gelişme olan devletin resmi dininin İslam oluşu da Gazan Han devrinde Tebriz’de vuku bulmuştur. İlhanlı vezirlerinden Vezir Taceddin Ali Şah tarafından inşa edilen Tebriz Alişah Mescidi, aşkın ölçülere sahip İlhanlı eserlerinden biridir. Günümüze bir bütün olarak güney cephesi yani kıble duvarı ve doğu-batı cephe duvarlarının bir kısmı ile gelebilen bu yapı, geriye bıraktığı yıkıntılarından yola çıkılsa bile ihtişamını hissettirmektedir. Yapı hem mescit olarak tanımlanarak dini mimari kapsamında incelenebilir hem de daha sonradan kaleye dönüştürülmesi ile savunma amaçlı kullanılarak askeri mimarlık kapsamına da girmektedir. Sanat tarihçiler, planlardan, restitüsyonlardan ve bazı varsayımlardan yola çıkarak oluşturdukları modellemeler ile yapının ilk vaziyetini anlamaya yardımcı olmaktadırlar. Tebriz Alişah Mescidi tuğla mimarisi, sade süslemeleri ve tam olarak çözümlenemeyen örtü elemanı problemi ile araştırmacıların ilgisini çekmektedir.
THOMAS HOBBES’UN DEVLET VE EGEMENLİK DÜŞÜNCESİNDE DİNİN YERİ: LEVİATHAN ÖRNEĞİ
Authors:   Tokat Gaziosmanpaşa Üniversitesi, DARICI Mehmet
Published: November 2020

Tarihsel süreçler içerisinde değerlendirildiğinde hükümdarların ve devletlerin otoritelerini sağlamlaştırmak ve halk üzerinde egemenliklerini sağlamak amacıyla ilahi söylemlerde bulunduğunu görmek mümkündür. Dahası yönetici pozisyonundaki kişi ve kişilerin gökteki Tanrı’nın yeryüzündeki temsilcileri konumuna sahip olduğu inancı bile bu süreçler içerisinde var olmuştur. Bu kapsamda ilk olarak Thomas Hobbes’un yaşadığı dönem ve kişiliği ile ilgili bilgiler verilmiş ve Thomas Hobbes’un en önemli eserlerinden biri olan Leviathan’ı ele alınarak Hobbes’un egemenlik ve devlet anlayışı incelenmiştir. Bu doğrultuda Hobbes’un devlet ve egemenlik anlayışında dinin yeri belirlenmeye çalışılmıştır. Çalışmada savaş halindeki insanların kendi haklarından vazgeçerek sözleşme ile oluşturdukları egemenin din dâhil tüm kurumların üzerinde bir konuma yerleştirildiği ve dinin egemenin otoritesinde ve kontrolünde olması gerektiği sonucuna varılmıştır. Bu durumun altında yatan neden ise Hobbes’un mutlak monarşi anlayışı olduğu ve bu anlayışa göre bir ülkede hem dinin egemenliğinin hem de sözleşme ile yaratılan Leviathan’ın egemenliğinin varlığı söz konusu olduğunda devletin zayıflayacağı ve hatta çökeceği öngörüsü olduğu belirtilebilir.
COVID-19 PANDEMİSİ ÖNCESİ VE SONRASINDA SAĞLIK ÇALIŞANLARININ TOPLULUKÇU YETERLİLİK ALGILARININ İNCELENMESİ
Authors:   Emsey Hospital, GÖKÇE Hakan , ORHAN Sibel , DEMİR Halil , AYDIN Okan Anıl , GÜMÜŞ Muhammet , KIZILKAYA Emine
Published: November 2020

Kişilerin öz-yeterlilik inançları; nasıl düşündüklerini, hissettiklerini, davrandıklarını ve kendilerini nasıl motive ettiklerini belirlemektedir. Öz-yeterlilik bireyin kendisinin, toplumsal yeterlilik ise kişinin üyesi olduğu grubun belli bir işi yapabilme kapasitesine ilişkin algısı olarak ifade edilmektedir. Bu araştırmada Covid-19 pandemisinin toplulukçu yeterlilik algıları üzerindeki etkileri incelenmiştir. Araştırmada veri toplama aracı olarak "Toplulukçu Yeterlilik Ölçeği" ve araştırmacı tarafından hazırlanan 7 soruluk demografik form kullanılmıştır. Bu bağlamda bu araştırmada sağlık çalışanlarının Covid-19 öncesi ve sonrası toplulukçu yeterlilik algılarının değişimleri incelenmiştir. Çalışmanın örneklemi özel bir hastanede çalışan 209 sağlık çalışanıdır. Elde edilen veriler analiz edilirken, betimsel istatistiklere, korelasyon ve fark analizlerine bakılmıştır. Verilerin analizi SPSS 23 programıyla yapılmıştır. Elde edilen sonuçlara Toplulukçu Yeterlilik Ölçeği Toplam puanının ön test ve son test puanları arasında istatistiksel olarak anlamlı ve orta kuvvette bir ilişki bulunmuştur. Toplulukçu Yeterlilik Ölçeğinin ve "Kararlılık ve Yılmama", "Birlik ve Dayanışma" ve " Ortak Bilinç" alt boyutlarının son test puanları, ön test puanlarına göre daha düşük olduğu belirlenmiştir. Buradan yola çıkarak Covid-19'un sağlık çalışanlarını olumsuz olarak etkilediği sonucuna erişebilmekteyiz.
THE EFFECT OF CORONAVIRUS (COVID19) PANDEMIC ON INDIVIDUALS’ VACATION PLANS
Authors:   Sakarya University of Applied Sciences, ÖZKAN Nihan , ULEMA Şevki
Published: November 2020

Coronavirus that arouse in the state of Hubey, Wuhan province in China in January 2019 has spread all around the globe and caused millions of people to be contracted with this disease and thousands of people to die of it. To prevent Covid-19 pandemic to spread, taking measures such as social distancing measures, isolation, travel restrictions and lockdowns have led to critical changes in economy and environmental and human activities. The pandemic disease that has affected several industries adversely has brought tourism industry to a halt. The effect of Covid-19 pandemic on individuals’ vacation plans is investigated in this study. The questionnaire generated in accordance with the objectives of the study was rearranged on Google Forms and conveyed to the participants through link address, social media and e-mail. 512 questionnaire forms convenient for data validation were attained after the conduction of the questionnaire. According to the results of the analysis, measures factor was identified as the most influential statement whereas procrastination as the least one. On the other hand, the effect of Covid-19 pandemic on participants’ vacations plans varied across demographic factors.
Reaktualisasi pendidikan aqil baligh di sekolah
Authors: Wahidah Wahidah
Published: November 2020

The article discusses how aqil baligh education in schools can be implanted by teachers so that between baligh and aqil parallels hand in hand, there is no gap between the two. Data collection using review literature methods analyzes various information from various writing sources of both books, modules, journal articles and other research results. To implement aqil baligh education in schools can be done by taking three steps. The first step is to make the educational targets that of designing the proper curriculum in order. Which functions are that it parallels biological maturity, psychological and social maturity as well as financial. Second, implementing a project-based learning process that is, a learning model that develops an understanding of concepts through meaningful problem investigation and can produce a real product or real experience such as an internship. Third, learning by creating learning communities through the learning cooperative learning model. The method of cooperative learning is shown to improve learner learning independence.
Systematic literatur review: Adversity quotient dan self-efficacy dalam pembelajaran matematika
Authors: Putra Aan , Roza Muthia
Published: November 2020

Innovation in learning is needed. One of the innovations that can be done is innovation from within students, namely adversity quotient and self-efficacy which can generate interest in learning and improve student learning outcomes. This study aims to conduct a literature review on adversity quotient and self-efficacy and their relation to mathematics learning. The research method chosen in this study is the SLR (Systematic Literature Review) method. Data collection was carried out by documenting and reviewing all articles regarding adversity quotient and self-efficacy published in the 2011-2020 period. The articles used in this study were 30accredited national journal articles obtained from the Google Scholar database using the Publish or Perish application. Based on this research, it was found that adversity quotient and self-efficacy can improve mathematics learning, learning outcomes and learning effectiveness of students.
ASSESSMENT OF PRESURGICAL NASOALVEOLAR MOULDING (PNAM) IN UNILATERAL CLEFT LIP AND PALATE
Authors: Kumar Santosh
Published: November 2020

Background: Midface symmetry is an important indicator of success of complete unilateral cleft lip and palate (CUCLP) treatment. There is little literature on the long-term effects of Presurgical Nasoalveolar Molding (PNAM) on Midface symmetry in children treated for CUCLP.

Material and Methods: This case-control study was carried out in the Department of Burn and Plastic Surgery at Government Medical College and Hospital, Bettiah, Bihar, India from may 2018 to Dec 2019. Complete unilateral CL+P patients had basilar and frontal photographs at two time points: (1) initial (2) postsurgical. 30 nasal molding patients and 20 control patients were included. Presurgical nasal molding was performed prior to primary lip repair in intervention group. No nasal molding was performed in control group.

Results: A statistically significant difference was found for postsurgical nostril height-width ratio (P< .05). No other statistically significant differences were found.

Conclusion: Nasal molding and surgery resulted in more symmetrical nostril height-width ratios than surgery alone. Alar groove ratios were not statistically significantly different between groups perhaps because application of nasal molding was not early enough; postsurgical nasal splints were not utilized; overcorrection was not performed for nasal molding
Design and Implementation of Smart Security System for Farm Protection From Intruders
Authors: Hossain Riyad , Biswas Haimanti , Al Banna Muhammad Hasan , Degadwala Sheshang
Published: November 2020

Automation or IoT is the new technology which is used to making security of different type of firm planning all over the world. The device inaugurated of designing such kind of help for farm owner or farmers and as well as different type of farmhouse holder can get benefited with this device. Structure of device which has arduino based operational function that can make security of farming area from various type of intruders that may reach harm or destruction for farm related goods such as crops, paddy, barley etc, by their activities or nature. As clear words animal can destroy all crops by eating or doing incoherent activities. As same not only animal every kind of intruder can be detected by this device and can be able to notify owner of farms. It is an unconventional approach for giving security to farm for relieving destruction of crops. That will be less costly and as well as more production will be secured by using this device. The farm security method which is right now going that is more unplanned typical way adopted time consuming and as well as laborious. Actually it has been followed from earlier era to till right now as in analog way. This device operation is indication of digitalization, in analog way of security of firm by using arduino, GSM module and ultrasonic sensor etc. There is a fundamental need to develop such environmental friendly device which can give ensure of safety of farm that will be make advantage for farmers as well as farm owners. This device will able to give less physical effort and pollution free output of farm security. Design style device is more simple as with workable capability. the methodology of work of this device is where intruders is recorded by using camera attached with sensors that is capturing images of animals and other intruder and sends the notification to mobile.
Case Study of Cloud Computing Security and Emerging Security Research Challenges
Authors: Patel Shvetkumar , Pavasiya Apeksha , Gomathi S.
Published: November 2020

In this technological era, cloud computing is bombarded with immense benefits that includes availability, flexibility, ubiquitary access, and cost effectiveness. Cloud Computing offers its services to different kinds of users with the help of the World Wide Web on the virtual platform regardless of devices. Hence, all the resources kept on the same-shared storage device, which will lead to a considerable rise in various cloud security concerns for both; user and their private information. Data privacy can be compromised with a broad usage of cloud as smaller companies to bigger ones are adapting this versatile system. This paper examines several recent security attacks and proposed solutions of secure cloud computing from the perspective of organizations. Threat action varieties, other attacks with date, information exposed and number of record breach is presented with IT attack at risk. Finally, we have presented research challenges that can be worth noticing.
Comparative Study of Datasets used in Cyber Security Intrusion Detection
Authors: Yadav Rahul , Pathak Phalguni , Saraswat Saumya
Published: November 2020

In recent years, deep learning frameworks are applied in various domains and achieved shows potential performance that includes malware detection software, self-driving cars, identity recognition cameras, adversarial attacks became one crucial security threat to several deep learning applications in today’s world Deep learning techniques became the core part for several cyber security applications like intrusion detection, android malware detection, spam, malware classification, binary analysis and phishing detection. . One of the major research challenges in this field is the insufficiency of a comprehensive data set which reflects contemporary network traffic scenarios, broad range of low footprint intrusions and in depth structured information about the network traffic. For Evaluation of network intrusion detection systems, many benchmark data sets were developed a decade ago. In this paper, we provides a focused literature survey of data sets used for network based intrusion detection and characterize the underlying packet and flow-based network data in detail used for intrusion detection in cyber security. The datasets plays incredibly vital role in intrusion detection; as a result we illustrate cyber datasets and provide a categorization of those datasets.