bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH MODAL USAHA, JAM KERJA DAN LAMA USAHA TERHADAP PENDAPATAN USAHA MIKRO KECIL MENENGAH PEDAGANG PASAR GAMBAR KECAMATAN WONODADI KABUPATEN BLITAR
Authors: Alkumairoh Adinda Fuadilla , Warsitasari Wahyu Dwi
Published: November 2022

Abstrak: Penelitian ini bertujuan mengetahui pengaruh modal usaha, jam kerja, dan lama usaha terhadap pedagang usaha, mikro, kecil, dan menengah (UMKM) di pasar Gambar Wonodadi Blitar baik secara bersamaan maupun sebagian. Teknik penelitian asosiatif dan kuantitatif yang digunakan dalam penelitian ini. Rumus slovin dipakai dengan teknik sampel penelitian, dan total 80 tanggapan responden dianalisis. Uji multikolinearitas, analisis regresi berganda, dan uji asumsi klasik digunakan untuk menganalisis data dalam penelitian ini. Hasil penelitian menunjukkan bahwa variabel modal usaha tidak memiliki dampak positif dan signifikan terhadap pendapatan pedagang mikro, kecil dan menengah (UMKM) pedagang pasar Gambar. Sementara variabel  jam kerja dan lama usaha memiliki dampak menguntungkan yang besar pada pendapatan usaha, mikro, kecil dan menengah (UMKM) pedagang pasar Gambar. Jadi besarnya modal belum tentu berdampak pada meningkatnya pendapatan sementara lamanya waktu yang diberikan pedagan berjualan dan lamanya pedagang menekuni usahanya sangat berpengaruh pada pendapatan. Pendapatan usaha mikro, kecil dan menengah (UMKM) pedagang pasar Gambar secara simultan dipengaruhi positif signifikan oleh modal usaha, jam kerja, dan lama usaha.
Kata Kunci: Pendapatan; modal usaha; jam kerja; lama usaha.
 
Abstract: This study aims to determine the effect of working capital, working hours, and length of business on business traders, micro, small and medium enterprises (MSMEs) in the Gambar Wonodadi Blitar market either simultaneously or partially.  Associative and quantitative research techniques are used in this study.  Slovin's formula was used with the research sample technique, and a total of 80 respondents' responses were analyzed. Multicollinearity test, multiple regression analysis, and classical assumption test were used to analyze the data in this study. The results showed that the variable of venture capital did not have a positive and significant impact on the income of micro, small and medium traders (MSMEs) of market traders.  While the variables of working hours and length of business have a large beneficial impact on the income of business, micro, small and medium enterprises (MSMEs) of market traders. So the amount of capital does not necessarily have an impact on increasing income while the length of time spent by merchants selling and the length of time traders pursue their business greatly affect income.  The income of micro, small and medium enterprises (MSMEs) of market traders is simultaneously significantly influenced by business capital, working hours, and length of business.
Keywords: Income; working capital; working hours; same business.
A Clinical Case of Comorbid Adenocarcinoma of the Upper Lobe of the Left Lung and Chondroma of the Diaphragm
Authors: Bazhenov A. V. , Berdnikov R. B. , Pilkevich D. N. , Motus I. Ya. , Berdnikova A. S. , Badykov I. I.
Published: November 2022

The article describes a clinical case of comorbid peripheral lung cancer and extraskeletal chondroma of the diaphragm detected in the patient during chest computed tomography performed as a part of examination after renal colic. The X-ray signs of the masses were completely different, and those lesions were immediately identified as two different pathologies.
COVID-19. ARE WE PREPARED FOR FUTURE OUTBREAKS? AN ONLINE SURVEY TO ASSESS KNOWLEDGE, ATTITUDE AND AWARENESS OF DENTAL PROFESSIONALS
Authors: Rai Shalu , Misra Deepankar , Misra Akansha , Khatri Mansi , Tomar Himanshi , Mudasir Dar Rehbar
Published: November 2022

Background: COVID-19 continues to impact the dental community worldwide. The authors conducted an electronic study to examine dentists knowledge, attitudes and awareness towards COVID-19 and its future outbreaks and its impact on their dental practice. Methods: A questionnaire was circulated by electronic mail and social media platforms to dentists in different regions of North India. General dentists both BDS and MDS along with postgraduates and Interns represented the study population. On the level of comfortable with the preventive measures and provisions of treatment during the COVID-19 pandemic, knowledge, awareness and attitude were assessed using questionnaire. The questionnaire covered demographic characteristics and questions on COVID-19 outbreak related to dentists level of comfort on preventive and safety measures, provision of treatment, impact on dental practice. Responses were tabulated and analyzed by chi-square or exact Fisher test. A P-value of less than 0.05 was considered significant. Results: A total of 370 dentists responded. Comparisons were made gender wise, age wise, qualification wise and based on years of experience. Statistically Significant and very highly significant results were obtained for different questions in the questionnaire. Majority of the subjects were not aware regarding Personal Protective Equipment (PPE) and its use. (P<0.01). Conclusions: The findings of the present study showed that dental professionals lack preparedness to confront COVID 19, however they are eager to attain knowledge and apply it in their clinical practice for possible future outbreaks. It also emphasized on essence of health education and training programs amongst the health care professionals.
STUDYING THE UNDERLAYING DYNAMICS OF ANIMAL MIGRATION USING MACHINE LEARNING TECHNIQUES
Authors:   Student, Mayo College Ajmer., Sital Aryan
Published: November 2022

In this research, we have studied the dynamics of migration of The Lesser Black-Backed Gull. To study and analyse the data we have used machine learning techniques like Hidden Markov Models. The paper provides a detailed analysis of the migratory patterns of the bird. Through this research we aim to provide a detailed study on the bird and predict its location through machine learning models.
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON RENAL DIET IN TERMS OF KNOWLEDGE AND ATTITUDE AMONG PATIENTS UNDERGOING HEMODIALYSIS IN SELECTED HOSPITAL OF GANDHINAGAR
Authors:   Principal, Apollo Institute of Nursing, Gandhinagar., Mohan Singh Hari , Patel Vijesh ,   Assistant Professor Apollo Institute Of Nursing, Gandhinagar., C. Group ,   B.Sc Nursing.
Published: November 2022

A study to assess the effectiveness of structured teaching programme on renal diet in terms of knowledge and attitude among patients undergoing hemodialysis in selected hospital of Gandhinagar A quantitative approach was used in the study to assess the effectiveness of a structured teaching programme on assessing the knowledge and attitude on renal diet among patients undergoing hemodialysis of a selected hospital in Gandhinagar. The investigator used multi-stage simple random sampling technique for selecting 30 samples. In the view of the study structured teaching programme on renal diet in terms of knowledge and likert scale for attitude was prepared. The reliability of the structured knowledge questionnaire was 0.78. Data were analysed by using descriptive and inferential statistics. The mean pre-test knowledge score was 16.20 whereas post-test knowledge score was 23.66. The mean posttest knowledge score is significantly higher than the mean pretest knowledge score with the mean difference of 7.46 and the calculatedt value (t =9.29). The findings of the study reveal that there is no significant association with pre-test knowledge scores and selected demographic variables of the samples except attended seminar or lecture on renal diet. Hence it is concluded that structured teaching programme was effective in improving knowledge of renal diet among patients undergoing hemodialysis.
FUTURISTIC ADVANCES THAT MIGHT CHANGE THE FUTURE OF ORAL MEDICINE AND RADIOLOGY
Authors: Pagare Jaishri , Jain Ankita , Akolawala Rashida
Published: November 2022

Upgrading existing knowledge has been a part of human learning including new skills, technologies, and concepts. These technological advances make learning less user-dependent and increase inter-examiner reliability. The increasing scope of the specialty in the diagnosis of varied lesions, their early diagnosis, and their respective management. Radiological advances have eased the assessment of bone levels, soft tissue, metabolic and elasticity assessment, etc. In this review, we are going to discuss some of the latest technological advances for the diagnosis and imaging of oro-maxillofacial structures.
KNOWLEDGE AND BELIEF OF MALE POPULATION TOWARDS MENSTRUATION
Authors:   Department of Nursing, State College of Nursing, Dehradun, India., Rana Mansi , a Nikesh ,   Department of Nursing, State College of Nursing, Dehradun, India., Saklani Kanika ,   Department of Nursing, State College of Nursing, Dehradun, India., Rawat Sonal ,   Department of Nursing, State College of Nursing, Dehradun, India., Pradhan Manisha ,   Department of Nursing, State College of Nursing, Dehradun, India., Fatima Anas ,   Department of Nursing, State College of Nursing, Dehradun, India., Tyagi Pritika ,   Department of Nursing, State College of Nursing, Dehradun, India., Gusain Vandana ,   Department of Nursing, State College of Nursing, Dehradun, India., Godiyal Pooja ,   Assistant Professor, Department of Mental Health Nursing, State College of Nursing, Dehradun, India.
Published: November 2022

Background: Menstruation is a normal physiological phenomenon that indicates the sign of motherhood and continuation of generation. Knowledge and awareness about menstruation among males is equally important to overcome the negative beliefs and ill menstrual health of females. Objective: To assess the knowledge and beliefs regarding menstruation among males at Chandernagar, Dehradun, Uttarakhand, India. Methodology: Quantitative research approach with descriptive design was used to assess knowledge and beliefs regarding menstruation among males. A total of 500 men above the age of 18 years were included in the study by using consecutive sampling technique. The study was conducted for a period of two months from 1st January 2022 to 28th February 2022. The data was collected for 6 days in a week. The Self structured questionnaires to assess Knowledge and Belief of men towards menstruation were used for data collection. Results: The mean age of study participants was 40.63 Â± 11.58. The result of present study reveals that most of the subjects (approx. 41%) had poor and intermediate level of knowledge and rest of the subjects (17.6%) had good level of knowledge. Most of the subjects (81.2%) had negative belief and the remaining subjects (18.8%) had positive belief towards menstruation. A strong positive correlation (r=0.04) was found between knowledge and belief towards menstruation among males at p value = 0.01. Conclusion: These findings highlight the need to improve knowledge and to erase negative mentalities regarding menstruation among males to improve health of the women and girls over the globe.
A STUDY ON QUANTUM OF BIOMEDICAL WASTE GENERATED IN A TERTIARY CARE TEACHING HOSPITAL OF SOUTH INDIA
Authors:   Junior Resident, Dept. of Hospital Administration, NIMS Hyd., Arun Kumar N. , Irshad Humera ,   Senior Resident, Dept. of Hospital Administration, NIMS Hyd., Satyanarayana N. ,   Professor and HOD, Dept. of Hospital Administration, NIMS Hyd., Reddy K.V.K. ,   Associate Professor, Dept. of Hospital Administration, NIMS Hyd., Rao J.N. ,   Ex Professor and HOD, JSS Medical College, Mysore., Arif Faisal ,   Junior Resident, Dept. of Hospital Administration, NIMS Hyd., Salman Ahmed Syed ,   Senior Resident, Dept. of Hospital Administration, NIMS Hyd.
Published: November 2022

Introduction: Management of biomedical waste (BMW) has become a very serious health problem in developing countries. Every day, in the health care hospitals and in various facilities large amount of hazardous and potentially infectious wastes is generated. Inappropriate waste management and chaotic disposal of biomedical waste that occur in hospital cause various types of health effect on society. Objectives: To estimate the quantity of BMW generated by various departments of a hospital and to determine their compliance with BMW norms. Materials and methods: With regards to quantum of BMW generated a retrospective study was conducted for a period of 3 years from January 2019 to December 2021, and with regards to compliance of bio-medical waste management an observational study was conducted for a period of 3 months from July 2021 to September 2021. Selected areas of hospital were included in the study. Area wise waste collected, segregated and disposed off was observed and recorded on checklist designed on existing BMW management rules 2016. Results: The quantum of BMW generated during 3 years is in 20-19-106563 kg/year, 2020-98353 kg/year, and 2021-75951 kg/year. Yellow waste constituted the maximum of all during all 3 years(52%). Overall compliance with BMW rules 2016 was 85%. Conclusions: The quantum of biomedical waste generated is high as per permitted norms by local regulatory body. All the concerned staff should be frequently trained in this regard to avoid excess wastage, in order to bring down biomedical waste generated.
IMPORTANCEOF NIDANPARIVARJANIN AMLAPITTAW.S.RTO HYPERACIDITY: A REVIEW
Authors:   Final Year MD Scholar., Prasad Archana , Kumar Anish ,   Assistant Professor, Department of Rog Nidan Evam Vikriti Vigyan, Government Ayurvedic College, Patna, Bihar, India.
Published: November 2022

All the disease can be prevented and managed through Nidanparivarjan along with proper sevan of PathyaApathya regimens mentioned in Ayurvedic Samhitas.Nidanparivarjan means avoidance of etiological factors of Amlapitta. which helps in prevention of Amlapitta in normal individual and management of Amlapitta taking medicationsin a diseased person.In Ayurveda it is believed that Agnimandya(Indigestion) is the root cause of all the disease Amlapittais one of the commonly occurring disease the major reason behind Amlapitta is faulty dietary habits and lifestyle. Amlapitta disease possess highly prevalence rate in India is 38.1% in our society, due to improper Ahara(dietary habits) and Vihara (lifestyle).Incidences of disease are increasing in day-to-day life. If proper dietary pattern is not followed by the patients nobody can cure this disease. 80% of the top ten killing disease of the world are due to wrong food habits. In the era of 21st century the modernization has changed lifestyle including working timing, sleeping habits, dietary habits, environmental and mental stress and this all are believed to be most important causative for actors for AmlapittaVyadhi.In AyurvedicSamhitas all the Acharyas focused on the Nidanparivarjan of the disease first and give equal importance as that of treatment of disease. Nidanparivarjan is the most important principal of Ayurveda.Nidanparivarjan is vital and emphasized part of whole treatment. According to the treatment point of view it should be implemented at first as Acharya Sushrut states that Sankshepatahkriyayoganidanparivarjanam i.e., it is conclusive factor to aentire treatment.
REVIEW OF MATERNAL MORTALITY AT A TERTIARY CARE HOSPITAL - A ONE YEAR STUDY
Authors:   Associate Professor of OBG, Andhra Medical College., Vidya Rama Redla , Chandana Chinnam Siri ,   2nd Year Post Graduate, Andhra Medical College., Usha Prasad ,   Professor of OBG, Andhra Medical College.
Published: November 2022

Background:Mothers are the nurturing pillar of the family. When a woman dies, the consequences have the potential to affect not only the woman herself, but her family, society and the nation as well.In 2015 globally 303,000 women died of various causes related to maternity. Aim:To determine the Maternal Mortality ratio at the tertiary care hospital for a period of one year and to identify the causes and factors leading to Maternal mortality. Material and Methods:This was a retrospective observational study carried out in the department of Obstetrics and Gynaecology at Andhra MedicalCollege and King George Hospital, Visakhapatnam, which is atertiary care centre of North Andhra.The hospital runs one ICU and Obstetric HDU, one blood bank and emergency operation theatre round the clock to provide emergencyobstetric services and critical care to their patients.The female deaths which met the WHO Criteria for Maternal Death were included in this study.The details of all the maternal deaths from January 2021 toDecember 2021 were collected from the individual case sheets and facility-based maternal death review forms. Results:During the study period January 2021 to December 2021, therewere 18,892 live births and 86 maternal deaths. The MMR in thestudy period was 455.2/100,000 live births.The maximum number of maternal deaths was seen in the age group 20-25 years, 61 cases (70.93%).The number of maternal deaths were maximum in the low socioeconomic status group with 71 cases (82.55%). Type I delay was seen in 49 cases (56.97 %). Direct causes of maternal death in the study was due to abortion in 3 cases (3.4%), hypertension in 37 cases (43.02%), obstetric hemorrhage in 22 cases (25.58%), infection/sepsis in 21 cases (24.41%) and embolism in 3 cases (3.4%) The most common indirect cause of maternal death was anemia seen in 51 cases (59.3%) Conclusion:Hypertension, hemorrhage and sepsis continue to be the leading causes of direct maternal deaths and anemia indirect cause of maternal death. Majority of deaths are preventable and with proper strategies and focusing on the 3 delays, maternal deaths can be reduced.
THE TRANSFER OF NAVETANE PLAYERS: REASONS OF INTERNAL MOBILITY IN A POPULAR FOOTBALL LEAGUE
Authors:   INSEPS de Dakar, Université Cheikh Anta Diop., Fall Ibrahima
Published: November 2022

Navetane is a popular football championship that mobilises several thousand players (players, managers, supporters, marabouts, etc.) every year in Senegal. The sportical and cultural association (SCA) that represents the club was considered as a neighbourhood affair. Staying loyal to it is sacred. Consequently, any transfer to another club was seen as a betrayal. This study is therefore interested in the factors that influence the navetane player to change SCA in this championship today. Through the study of this internal mobility, this article intends to contribute to a better understanding of the logic behind this phenomenon. The research is based on a documentary analysis and semi-structured interviews with players and managers of the navetane. The results show that, in addition to economic motivations and the ambitions of a professional sports career, navetane players seek recognition and symbolic retribution from the inhabitants of their neighbourhood.
Social capital, entrepreneurial skills, and business performance among rural micro-enterprises in times of crisis
Authors: Fahazarina Hazudin Siti , Fazli Sabri Mohamad , Aidil Riduan Awang Kader Mohd , Soffiq Saripin Muhammed , Rozaimy Ridzuan Mohd
Published: November 2022

The unprecedented COVID-19 crisis has adversely affected enterprise performance, which has led to inequalities, particularly for rural micro-entrepreneurs. Therefore, ensuring business survival through social capital and entrepreneurial skills as coping strategies for the rural micro-entrepreneurs is important to sustain their livelihoods. Both coping strategies can enhance the survival rate during a crisis, but there is limited knowledge on how enterprise performance of rural micro, Small and Medium-sized Enterprises (SMEs) can be improved. This study examined the linkages between social skills, entrepreneurial skills (knowledge, experience), and enterprise performance during a crisis. The Federal Land Development Authority (FELDA) Triangle Village was selected as a proxy for the rural population, and sampling frame of 543 micro-entrepreneurs was obtained from the Local District Office. A total of 150 questionnaires were distributed in a systematic random order based on a minimum sample size of 85 calculated using the G*Power statistical tool. The final 134 usable samples were analyzed using Structural Equation Modelling (SEM). The results ascertained that the direct positive effect of social capital on enterprise performance was significant (β = 0.521, t = 8.060, p < 0.001) and that social capital had a specific and indirect effect on enterprise performance through entrepreneurial skills (β = 0.520, LCL = 0.378, UCL = 0.651, p < 0.001). The study also reported the full mediating effect of entrepreneurial skills on the social capital-enterprise performance relationship. This study proposes practices to develop adaptive entrepreneurs that can adapt to crisis challenges.
Impact of climate change on spatiotemporal variations in the vegetation cover and hydrology of district Nowshera
Authors: Ali Shah Ishaq , Muhammad Zahir , Khan Haroon
Published: November 2022

This research seeks to validate climate change in the district of Nowshera, as well as its impact on NDVI (vegetation) and hydrological events such as monsoon rains. Modified Mann-Kendall and Sen's statistics were used to examine climate parameters. Using climate factors and MODIS NDVI (Normalized Difference Vegetation Index) data, regression analysis was used to study a 20-year (2001–2020) spatiotemporal climate-vegetation relationship. Landsat 5 and 7 NDWI (Normalized Difference Water Index) data, as well as SRTM DEM (Digital Elevation Model) data, were used to map extreme weather events such as floods caused by climate change. For mapping and data processing, ArcGIS and R tools were used. The findings revealed significant trends in climate parameters, which has led to climate change in the area, affecting NDVI and water cycles. The NDVI showed a generally good trend, however some places were damaged. Monsoon rain patterns and rates have been substantially disrupted, resulting in flash and fluvial floods. The risk of future floods owing to the Kabul and Indus rivers was shown through watershed delineation, which is compounded by climate change and anthropogenic activities. It is advised that government officials and policymakers establish climate change mitigation plans for regional sustainable development and vegetation restoration.
Nível de conhecimento de um grupo de cirurgiões-dentistas sobre abuso, negligência e maus-tratos infantis
Authors: Heloise Kwiatkowski  , Telma Bedran  , Mariana Perotta
Published: November 2022

Avaliar o nível de conhecimento de um grupo de cirurgiões[1]dentistas a respeito de abuso, negligência e maus-tratos infantis. Material e métodos: Estudo transversal, observacional, quantitativo, exploratório, realizado com a aplicação de um questionário a um grupo de cirurgiões-dentistas, por meio de ferramenta online. As perguntas versaram sobre sinais e sintomas mais frequentes, conduta ante o caso e opinião em relação à importância do conhecimento sobre o tema. Resultados: A amostra constou de 144 respondentes e caracterizou-se por ser em sua maioria mulheres, com mais de 5 anos de formação e que exerciam a profissão no setor privado, em consultórios particulares. Apesar de a maioria não haver suspeitado de um caso de abuso ou maus-tratos, eles sabem que o sexo feminino é o mais acometido, que a região de cabeça e pescoço é a mais afetada, que a denúncia em caso de suspeita deve ser feita ao conselho tutelar. Grande parte acha que não recebeu informações suficientes durante a sua formação acadêmica e gostaria de um preparo melhor para saber se portar diante de um caso de abuso ou maus-tratos. Conclusão: A totalidade da amostra considerou o tema importante; grande parte dos participantes, mesmo demonstrando bom conhecimento do assunto, gostaria de ter sido mais bem preparada durante a graduação.
The sella turcica: a brief review of the morphology analysis in dental research
Authors: Jordanna de Melo Teixeira do Brasil  , Erika Calvano Küchler  , PatríciaValéria Manozzo Kunz  , César Penazzo Lepri  , Vinícius Rangel Geraldo Martins  , Isabela Ribeiro Madalena  , Camila Paiva Perin  , Natanael Henrique Ribeiro Mattos  , Juliana Pierdoná de Castro  , Fernando Carlos Hueb de Menezes  , Maria Angélica Hueb de Menezes Oliveira
Published: November 2022

Sella turcica is an intracranial bone depression located in the sphenoid bone that houses the pituitary gland, which is an important gland in the secretion of various hormones. Literature review: Variations in the morphology of the sella turcica can alter the morphology of the pituitary, which can lead to changes in hormone secretion and dental anomalies. There are studies that evaluate the sella turcica using metric methods and other studies that evaluate them with non-metric methods. Researchers use lateral radiographs and/or computed tomography to visualize the sella turcica. The purpose of this brief review was to revise the methods used to study sella turcica morphology in dental research. The literature search for sella turcica morphology was carried out with the following key words (sella turcica, bridging of sella, size, shape of sella turcica and sella turcica morphology) and using the search engines (Pubmed and Google scholar). According to the research, three methods of analyzing the sella turcica were observed, according to the measurements (length, width, diameter, area, depht, sella height posterior, sella height anterior), degree of calcification (class I / type I / group I, class II / type II / group II, class III / type III / group III) and format (normal sella turcica, sella turcica bridge type A – ribbon-like fusion, sella turcica bridge type B – extension of the clinoid processes, incomplete bridge, hypertrophic posterior clinoid process, hypotrophic posterior clinoid process, irregularity in the posterior part of the sella turcica, pyramidal shape of the dorsum sella, double contour of the floor, oblique anterior wall, oblique contour of the floor) of the sella turcica. Conclusion: It is expected that the three methods exposed in this review will help dental researchers to analyze sella turcica.
Tratamento da classe III de Angle em adultos e a terapia bioprogressiva de Ricketts – relato de caso
Authors: Artênio José Ísper Garbin  , Bruno Wakayama  , Julia Arruda Batista
Published: November 2022

Relatar a eficácia da filosofia bioprogressiva de Ricketts, com uso do arco seccionado de forças paralelas, no tratamento da classe III de Angle limítrofe em adultos. Relato de caso: Paciente do sexo feminino, diagnosticada com maloclusão classe III de Angle, com excesso de crescimento mandibular. No exame clínico verificaram-se erupção tardia do dente 23, arco superior atrésico e mordida topo a topo. Para o diagnóstico utilizaram-se a análise cefalométrica de Ricketts, cálculo do índice VERT e identificação dos sinais de alarme da classe III de Angle. Para a intervenção, baseada na premissa da terapia bioprogressiva, empregaram-se forças leves e controladas, com o uso do arco base superior e os arcos seccionados de forças paralelas associados aos elásticos intermaxilares. Conclusão: A filosofia bioprogressiva de Ricketts, com o uso do arco seccionado de forças paralelas, foi eficaz na correção da maloclusão classe III limítrofe em adultos. Além disso, ressalta-se que a técnica é eletiva para esse tipo de oclusopatia, em razão dos vários recursos diagnósticos, e pelas possibilidades ortodônticas para movimentações dentárias seguras, leves, controladas e estáveis.
Coroas estéticas anteriores em cerâmica metal-free: relato de caso clínico
Authors: Desirée Mory Rossato  , Esther Gomes Saade  , José Roberto Cury Saad  , Sizenando de Toledo Porto-Neto
Published: November 2022

Introdução A procura por tratamentos estéticos tem aumentado graças à conscientização da sociedade sobre a importância da saúde e da estética dental. Nos dias de hoje, tem havido um substancial desenvolvimento dos sistemas cerâmicos, tornando-os confiáveis e com resultados previsíveis. As cerâmicas dentárias, além de quimicamente estáveis, apresentam propriedades ópticas excelentes quando comparadas às estruturas dentárias, o que lhes garante um posto especial no rol dos materiais restauradores estéticos. Objetivo, relato de caso e conclusão: Descrever um caso clínico com sucesso envolvendo a estética de dentes anteriores, restaurados com coroas puras de cerâmica (IPS e.max® Ivoclar Vivadent).
MENINGKATKAN KEAKTIFAN BERKOMUNIKASI MELALUI MODEL ROLE PLAYING
Authors: Sudaryanto Bara Wiraswati
Published: November 2022

Penelitian ini bertujuan untuk meningkatkan keaktifan berkomunikasi siswa kelas 2B SD Negeri Percobaan 3 yang berjumlah 33 siswa pada semester 2 tahun ajaran 2016/2017. Penelitian ini adalah Penelitian Tindakan Kelas (classroom action research) yang berjalan sebanyak 3 siklus. Mmasing-masing siklus dalam penelitian ini terdiri dari tahapan perencanaan, tindakan, observasi, dan refleksi. Teknik pengumpulan data menggunakan observasi, tes, serta dokumentasi. Teknik analisis data yang digunakan adalah deskriptif kualitatif dan kuantitatif dengan persentase. Hasil penelitian menunjukkan adanya peningkatan keaktifan berkomunikasi siswa. Pada pra siklus, keaktifan berkomunikasi siswa 45%. Pada siklus I, terjadi peningkatan menjadi 48%. Pada siklus II meningkat kembali menjadi 63%. Pada siklus III sudah melampaui indikator keberhasilan dengan persentase 79%.
The nutritional evaluation of Ruthana date fruits (Phoenix dactylifera L.) with its role in controlling free radicals and anti-inflammatory activities
Authors:   Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Pulau Pinang, Malaysia, Alsarayrah Nosiba A. , Alsanad Saud M. ,   Imam Mohammad Ibn Saud Islamic University, Riyadh 11564, Saudi Arabia, Arsad Hasni ,   Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Pulau Pinang, Malaysia, Abudahash Mubark M. ,   Research and Laboratories Sector, National Drug and Cosmetic Control Laboratories (NDCCL), Saudi Food and Drug Authority, Riyadh, Saudi Arabia, Alenazi Fouza K. ,   Research and Laboratories Sector, National Drug and Cosmetic Control Laboratories (NDCCL), Saudi Food and Drug Authority, Riyadh, Saudi Arabia, Alenzi Naif D. ,   Research and Laboratories Sector, National Drug and Cosmetic Control Laboratories (NDCCL), Saudi Food and Drug Authority, Riyadh, Saudi Arabia, Omar Eshaifol A. ,   Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13200 Kepala Batas, Pulau Pinang, Malaysia
Published: November 2022

In this study, the polyphenol content was measured and the potential therapeutic value of the methanolic extract of Ruthana dates grown in Saudi Arabia was analyzed. The results showed that the Ruthana dates contain a high percentage of phenols and flavonoids, reaching 119.2 %, and 55.6 %, respectively. The antioxidant activity was also measured by several methods. The methanol extract of Ruthana showed significant effectiveness in inhibiting free radicals in the DPPH test. The highest inhibition rate was (79%) with an IC50 value of (3.97±0.21 mg Trolox/g plant), and (3.9035±0.380 μg/ml) on nitric oxide radical. The FRAP and ABTS tests showed higher sensitivity to antioxidants with IC50 values (4.08±0.26 mg of Trolox/ g of plant extract, and 4.18±0.26 mg of TEAC/ g of plant extract), respectively. The antioxidant activity was significantly correlated with the anti-inflammatory activity, the methanolic extract showed activity in preventing heat-catalyzed protein denaturation with a ratio of (74%), and IC50 (3.835±0.380 µg/ml), and at RBC'S membrane stabilization the effectiveness of the extract reached (68%) with IC5 value (6.215±0.238 µg/ml). The results showed a concordance between the phenolic content and the antioxidant and anti-inflammatory activity. Accordingly, the fruits of Ruthana dates constitute a promising possibility for isolating the active compounds and introducing them into the pharmaceutical industries in the future.
A Transfer Learning Approach to Correct the Temporal Performance Drift of Clinical Prediction Models: Retrospective Cohort Study
Authors: Zhang Xiangzhou , Xue Yunfei , Su Xinyu , Chen Shaoyong , Liu Kang , Chen Weiqi , Liu Mei , Hu Yong
Published: November 2022

Background

Clinical prediction models suffer from performance drift as the patient population shifts over time. There is a great need for model updating approaches or modeling frameworks that can effectively use the old and new data.

Objective

Based on the paradigm of transfer learning, we aimed to develop a novel modeling framework that transfers old knowledge to the new environment for prediction tasks, and contributes to performance drift correction.

Methods

The proposed predictive modeling framework maintains a logistic regression–based stacking ensemble of 2 gradient boosting machine (GBM) models representing old and new knowledge learned from old and new data, respectively (referred to as transfer learning gradient boosting machine [TransferGBM]). The ensemble learning procedure can dynamically balance the old and new knowledge. Using 2010-2017 electronic health record data on a retrospective cohort of 141,696 patients, we validated TransferGBM for hospital-acquired acute kidney injury prediction.

Results

The baseline models (ie, transported models) that were trained on 2010 and 2011 data showed significant performance drift in the temporal validation with 2012-2017 data. Refitting these models using updated samples resulted in performance gains in nearly all cases. The proposed TransferGBM model succeeded in achieving uniformly better performance than the refitted models.

Conclusions

Under the scenario of population shift, incorporating new knowledge while preserving old knowledge is essential for maintaining stable performance. Transfer learning combined with stacking ensemble learning can help achieve a balance of old and new knowledge in a flexible and adaptive way, even in the case of insufficient new data.
Determination of Markers of Successful Implementation of Mental Health Apps for Young People: Systematic Review
Authors: Bear Holly Alice , Ayala Nunes Lara , DeJesus John , Liverpool Shaun , Moltrecht Bettina , Neelakantan Lakshmi , Harriss Elinor , Watkins Edward , Fazel Mina
Published: November 2022

Background

Smartphone apps have the potential to address some of the current issues facing service provision for young people’s mental health by improving the scalability of evidence-based mental health interventions. However, very few apps have been successfully implemented, and consensus on implementation measurement is lacking.

Objective

This review aims to determine the proportion of evidence-based mental health and well-being apps that have been successfully adopted and sustained in real-world settings. A secondary aim is to establish if key implementation determinants such as coproduction, acceptability, feasibility, appropriateness, and engagement contribute toward successful implementation and longevity.

Methods

Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, an electronic search of 5 databases in 2021 yielded 18,660 results. After full-text screening, 34 articles met the full eligibility criteria, providing data on 29 smartphone apps studied with individuals aged 15 to 25 years.

Results

Of 34 studies, only 10 (29%) studies were identified that were evaluating the effectiveness of 8 existing, commercially available mental health apps, and the remaining 24 (71%) studies reported the development and evaluation of 21 newly developed apps, of which 43% (9/21) were available, commercially or otherwise (eg, in mental health services), at the time of enquiry. Most studies addressed some implementation components including adoption, acceptability, appropriateness, feasibility, and engagement. Factors including high cost, funding constraints, and lengthy research processes impeded implementation.

Conclusions

Without addressing common implementation drivers, there is considerable redundancy in the translation of mobile mental health research findings into practice. Studies should embed implementation strategies from the outset of the planned research, build collaborations with partners already working in the field (academic and commercial) to capitalize on existing interventions and platforms, and modify and evaluate them for local contexts or target problems and populations.

Trial Registration

PROSPERO CRD42021224365; https://tinyurl.com/4umpn85f
Information and Communications Technologies Enabling Integrated Primary Care for Patients With Complex Care Needs: Scoping Review (Preprint)
Authors: Tahsin Farah , Armas Alana , Kirakalaprathapan Apery , Kadu Mudathira , Sritharan Jasvinei , Steele Gray Carolyn
Published: November 2022

BACKGROUND

Information and communications technologies (ICTs) are recognized as critical enablers of integrated primary care to support patients with multiple chronic conditions. Although ICT-enabled integrated primary care holds promise in supporting patients with complex care needs through team-based and continued care, critical implementation factors regarding what ICTs are available and how they enable this model are yet to be mapped in the literature.

OBJECTIVE

This scoping review addressed the current knowledge gap by answering the following research question: What ICTs are used in delivering integrated primary care to patients with complex care needs?

METHODS

The Arksey and O’Malley method enhanced by the work by Levac et al was used to guide this scoping review. In total, 4 electronic medical databases were accessed—MEDLINE, Embase, CINAHL, and PsycINFO—collecting studies published between January 2000 and December 2021. Identified peer-reviewed articles were screened. Relevant studies were charted, collated, and analyzed using the Rainbow Model of Integrated Care and the eHealth Enhanced Chronic Care Model.

RESULTS

A total of 52,216 articles were identified, of which 31 (0.06%) met the review’s eligibility criteria. In the current literature, ICTs are used to serve the following functions in the integrated primary care setting: information sharing, self-management support, clinical decision-making, and remote service delivery. Integration efforts are supported by ICTs by promoting teamwork and coordinating clinical services across teams and organizations. Patient, provider, organizational, and technological implementation factors are considered important for ICT-based interventions in the integrated primary care setting.

CONCLUSIONS

ICTs play a critical role in enabling clinical and professional integration in the primary care setting to meet the health system–related needs of patients with complex care needs. Future research is needed to explore how to integrate technologies at an organizational and system level to create a health system that is well prepared to optimize technologies to support patients with complex care needs.
Параметри міцності лавсанової лігатури для реконструкції кілеподібної деформації грудної клітки
Authors: Kaminska M.O. , Dihtiar V.A. , Karpinsky M.Yu. , Shulga D.I.
Published: November 2022

Актуальність. Оптимальним методом лікування вродженої кілеподібної деформації грудної клітки є торакопластика за H. Abramson, що є мініінвазивною, не вимагає протяжних розрізів, формування шкірних та м’язових клаптів, резекції ребер, остеотомії грудини та різних видів реконструкції. Ефективність та результати цієї торакопластики залежать від міцності та надійності фіксації пластини до ребер. Мета: розрахувати необхідні параметри лавсанової лігатури для стабільного з’єднання коригуючої пластини з ребрами при реконструкції кілеподібної деформації грудини. Матеріали та методи. Проведені розрахунки параметрів серкляжного кріплення для стабільного з’єднання коригуючої пластини з ребрами при корекції деформації грудини. За вхідні дані миобрали коригуючі навантаження величиною від 150 до 600 Н із кроком 50 Н. Межу міцності лавсанової нитки на розтягнення обрали 172,0 МПа, нитки Ethibond — 346,0МПа. Розрахунки проводили для нитки діаметром від 0,3 до 1,2 мм. Результати. При використанні лавсанової нитки діаметром 1,0 мм достатньо застосовувати петлі у дві нитки, нитку діаметром 0,7 мм треба складати вчетверо. Нитку Ethibond у вигляді петлі достатньо обрати діаметром 1,1 мм, для петлі з 4 ниток діаметр нитки має становити 0,5 мм. Починаючи з навантаження 450 Н, нитка будь-якого діаметра викликає в кістковій тканині ребер напруження, що перевищує максимально можливу межу міцності кісткової тканини ребер. Альтернативним варіантом може бути використання кріпильної стрічки. При мінімальних значеннях товщини (0,3мм) та ширини (6 мм) кріпильна стрічка з Ethibond витримує весь діапазон можливих навантажень. Менш міцний лавсан витримує максимальні навантаження величиною 600 Н при товщині стрічки 0,3 мм і ширині не менше ніж 11мм. Висновки. Петля з однієї лавсанової нитки діаметром 1,2 мм не витримує максимальне навантаження величиною 600 Н. При використанні нитки діаметром 1,0 мм достатньо застосовувати петлі у дві нитки, нитку діаметром 0,7 мм треба складати вчетверо. Лавсанові нитки меншого діаметра використовувати недоцільно. Нитка Ethibond діаметром 1,2 мм не витримує максимально необхідного навантаження (600 Н), але для петлі в одну нитку достатньо обрати нитку діаметром 1,1 мм, із 4 ниток — 0,5 мм. Для забезпечення стабільної фіксації коригуючої пластини і запобігання ушкодженню ребер при максимальному коригуючому навантаженні 600 Н і допустимому напруженні ребер 9,81 МПа необхідно накладати джгут із ниток Ethibond мінімальною шириною 6 мм. У той же час як альтернативу можна використовувати кріпильну стрічку з шириною і товщиною 6 та 0,3 мм відповідно. При застосуванні стрічки з лавсану треба обирати оптимальні комбінації її ширини та товщини, які дозволяють витримати максимальне навантаження (600 Н).
Рентгенденситометричні показники щільності кісткової тканини головки плечової кістки у хворих із контрактурою плечового суглоба та розривом сухожилка надостьового м’яза
Authors: Lazarev I.A. , Bohdan S.V. , Yuriychuk L.M.
Published: November 2022

Актуальність. Розриви сухожилків ротаторної манжети плеча часто супроводжуються обмеженням як активних, так і пасивних рухів у плечовому суглобі — контрактурою плечового суглоба (вторинним адгезивним капсулітом, або secondary stiff shoulder). Мета дослідження: визначити вплив вторинного адгезивного капсуліту у хворих із розривом сухожилка надостьового м’яза на стан мінеральної щільності кісткової тканини головки плечової кістки. Матеріали та методи. Обстеження хворих здійснено на рентгеностеоденситометрі Lunar iDXA ME+200082 фірми GE Healthcare, Сінгапур. Проведено рентгенденситометричне обстеження 126 плечових суглобів (63 — із розривом сухожилка надостьового м’яза та 63 — контра-латеральних— неушкоджених). Вік пацієнтів становив від 35 до 50 років (середній вік — 41,2 ± 15,1 року), чоловіків було 34 (54 %), жінок — 29 (46 %). Середній термін від травми до початку лікування — 64,9 ± 27,8 доби. Зони вимірювання BMD розміщували так: № 1 — великий горбок плечової кістки, № 2 — середина головки плечової кістки. Кожна зона мала квадратну форму і відповідала 0,90 ± 0,15 см2 площі стандартної рентгенограми. Результати. Ми виявили слабкий, проте вірогідний вплив кута відведення в плечовому суглобі у хворих із розривом сухожилка надостьового м’яза та вторинним адгезивним капсулітом на зміни мінеральної щільності кісткової тканини в ділянці головки плечової кістки (r = 0,44; р < 0,01). У ділянці великого горбка плечової кістки даний вплив був сильним (r = 0,68; р < 0,01). Висновки. Контрактура плечового суглоба (вторинний адгезивний капсуліт), що виникла в результаті розриву сухожилка надостьового м’яза, призводить до зменшення щільності кісткової тканини великого горбка плечової кістки (р = 0,034) та головки плечової кістки (р=0,021) навіть у хворих із нормальними загальними показниками мінеральної щільності. Зі зменшенням кута пасивного відведення в плечовому суглобі знижується щільність кісткової тканини в ділянці великого горбка та головки плечової кістки у хворих із розривом сухожилка надостьового м’яза та вторинним адгезивним капсулітом.
Аналіз та строки виникнення ускладнень після операцій ендопротезування колінного суглоба у хворих на пухлини кісток
Authors: Obada Bishtawi , Protsenko V.V. , Solonitsyn Ye.O.
Published: November 2022

У статті проводиться аналіз та наводяться строки виникнення ускладнень після операцій ендопротезування колінного суглоба в 72 хворих на пухлини кісток. У результаті ендопротезування колінного суглоба післяопераційні ускладнення виявлені в 33 (45,8 %) пацієнтів. Інфекційні ускладнення спостерігалися в 13 (18,0 %) хворих, із них у 7 — у ранньому післяопераційному періоді та в 6 — у пізньому. Асептичне розхитування ніжки ендопротеза спостерігалося у 12 (16,7 %) хворих у пізньому післяопераційному періоді. Перелом кістки в місці імплантації ніжки ендопротеза відмічався у 5 (6,9 %) хворих у пізньому післяопераційному періоді. Руйнування конструкції ендопротеза спостерігалося в 3 (4,2 %) хворих у пізньому післяопераційному періоді. У статті описані причини ускладнень та методики їх корекції. Інфекційні ускладнення, як правило, обумовлені асептикою та антисептикою під час хірургічного втручання. У разі інфекційних ускладнень застосовано реендопротезування суглоба. Асептичне розхитування ніжки ендопротеза пояснюється технічними похибками при ендопротезуванні, біомеханічним навантаженням на кістку та кістковий цемент, що призводить до мікротріщин у кістковому цементі, зціплення кісткового цементу з кісткою зменшується, і як наслідок — відбувається розхитування ніжки ендопротеза. У разі асептичного розхитування ніжки ендопротеза застосовано реендопротезування суглоба. Переломи кістки в місці імплантації ніжки ендопротеза можна пояснити неадекватним навантаженням на кістку та остеопорозом кістки, що розвинувся за наявності кісткового цементу. У разі перелому кістки застосовано металоостеосинтез накістковими пластинами та проволочними серкляжами. Руйнування конструкції ендопротеза пояснюється технічними помилками при його виготовленні та дефектами конструкції ендопротеза. У даних випадках застосовано реендопротезування з частковою або повною заміною конструкції ендопротеза.
Variasi Leksikon Ranah Ngaji di Pondok Pesantren Al- Munawwir Krapyak Yogyakarta: Kajian Linguistik Antropologis
Authors: Solichah Badi'atus
Published: November 2022

Penelitian ini bertujuan untuk menemukan dan mendeskripsikan variasi leksikon yang ada di pondok pesantren yang mana Pondok pesantren Al-Munawwir Krapyak Yogyakarta menjadi lokasi objek penelitian ini. Pondok pesantren Al-Munawwir Krapyak merupakan salah satu pondok pesantren yang memiliki beragam fokus program sehingga ditemukannya variasi leksikon yang menunjukkan ranah ngaji. Metode yang digunakan dalam penelitian ini adalah metode gabungan antara teori metode penelitian dan pengembangan (research and development) dalam bidang sosial oleh Sugiyono (2022) yang kemudian dilengkapi dengan metode etnografi oleh James P. Spradley (2006) dan metode penelitian bahasa oleh Sudaryanto (2015). Ada tiga tahapan penelitian yang dilakukan dalam penelitian, yaitu tahapan pengumpulan data yang dilaksanakan dengan observasi partisipasi aktif dan wawancara terbuka, kemudian tahapan analisis data, dan yang terakhir adalah tahapan penyajian hasil analisis data yang dilakukan secara informal. Hasil dari penelitian ini menunjukkan bahwa ranah ngaji itu tidak selalu mendalami Al-Qur’an, namun juga segala kitab yang mana menghasilkan ilmu pengetahuan keagamaan.