bluuebunny/crossref_metadata_2025 huggingface dataset:
PERFIL BIOQUÍMICO DAS GÔNADAS DO OURIÇO-DO-MAR PARACENTROTUS LIVIDUS EXPOSTAS A HIDROCARBONETOS NA COSTA PORTUGUESA.
Authors: Sarly Monique S. , Pedro Carmen A. , Bruno Catarina S. , Pombo Ana , Gonçalves Sílvia C.
Published: March 2021

Introdução: As gônadas dos ouriços-do-mar são consideradas uma fonte de proteínas, lipídios e minerais. Esse aparato nutricional está associado ao gênero e aos estágios gametogênicos do organismo, os quais podem ser alterados por condições desfavoráveis, como presença de poluentes e limitação de alimento. Em julho de 2017, ocorreu um derramamento acidental de três toneladas de hidrocaronetos na Praia do Abalo, na costa de Peniche, Portugal, tornando-se um local de investigação científica. Objetivo: Dentro desse panorama, o presente estudo foi desenvolvido com o objetivo de avaliar os efeitos ambientais desse evento, utilizando os teores de lipídios e proteínas das gônadas de Paracentrotus lividus como biomarcadores da presença de contaminantes. Material e métodos: Para tanto, 30 ouriços-do-mar foram recolhidos na Costa Impactada (CI) e numa Costa de Referência (CR) nos meses de julho, agosto e setembro de 2017. Foram realizadas análises para quantificação dos metais traço Cd, Pb, Ni, Fe, Mn, Zn e Cu por Espectrometria de Absorção Atômica, bem como análises para determinação de quantidade de lipídios e proteínas, ambas nas gônadas dos animais. Resultados: Os resultados demonstraram que houve presença de contaminantes nas duas estações de amostragem ao longo dos meses estudados, com exceção do Cd em setembro. Além disso, observou-se que as concentrações médias dos metais Zn e Cd foram significativamente menores nas gônadas masculinas quando comparadas as gônadas femininas. A tendência observada nos teores de lipídios e proteínas ao longo dos meses foi caracterizada por um pico em setembro, durante o crescimento das gônadas. O Zn exibiu uma correlação positiva com os teores de lipídios e proteínas. Por outro lado, observou-se uma correlação negativa entre os níveis de Ni e as proteínas nas gônadas. Conclusão: O presente estudo concluiu que os ouriços-do-mar da espécie P. lividus respondem à exposição direta a contaminantes, em níveis bioquímicos e função reprodutiva.
PRODUÇÃO E ESTUDO FÍSICO-QUÍMICO DE EMULSÃO LÁCTEA ADICIONADA DE EXTRATO SECO DA FOLHA DE CAFEEIRO (Coffeaarabica L.)
Authors: Netto Lívia Lacerda , Cedrola Carine Cassimiro , Mesquita-Junior Gilmar Alves , Vilela Fernanda Maria Pinto , Costa Fabiano Freire
Published: March 2021

Introdução. As macro, micro e nanoemulsões podem ser definidas como a mistura de dois líquidos imiscíveis cujo tamanho médio das partículas que as compõem variam de 100 nm a 1000 μm de diâmetro. As folhas do cafeeiro apresentam uma elevada quantidade de compostos fenólicos, dentre os mais importantes podemos destacar os ácidos clorogênicos. Objetivos. Este estudo objetivou a produção de uma emulsão estabilizada com soro de leite em pó acrescida de extrato das folhas do cafeeiro (Coffeaarabica L.) para o estudo da atividade antioxidante. Materiais e Métodos. As emulsões com e sem adição de extrato foram produzidas utilizando água destilada, soro de leite em pó, açúcar refinado, creme de leite UHT, emulsificante e goma xantana. Os ingredientes foram misturados, pasteurizados (80 °C/25 segundos), homegeneizados, e submetidos ao ultrassom (980 RPM/5 minutos). Realizou-se testes de estabilidade ao longo do tempo, congelamento/descongelamento, variação de cor, microscopia, tamanho de partícula e potencial zeta. A atividade antioxidante das emulsões foi avaliada através do método baseado na eliminação do radical livre estável 1,1-difenil-2picrilhidrazil (DPPH). Resultados. Nos estudos de estabilidade a emulsão se mostrou com boa estabilidade, não ocorrendo separação de fases por um período mínimo de 45 dias. Na análise de cor foi detectada variação nas mesmas, indicando que houve um baixo nível de oxidação; nas análises de imagem por microscopia óptica foi possível a visualização do encapsulamento do extrato pelas proteínas presentes no soro de leite. Os resultados das análises pelo método do radical DPPH mostraram que o que o processo de produção da emulsão não influenciou na atividade antioxidante do extrato. Conclusão. Concluímos que a produção de uma emulsão estável adicionada do extrato de café representa um potencial de desenvolvimento de produto lácteo com propriedades antioxidantes.
COMPOSTAGEM COMO BIOTECNOLOGIA AMBIENTAL NO TRATAMENTO DE RESÍDUOS ORGÂNICOS DE SERVIÇOS ALIMENTARES
Authors: de Souza Karine Fonseca , da Rosa Liciane Oliveira , de Souza Tifany Manoela , Corrêa Luciara Bilhalva , Corrêa Érico Kunde
Published: March 2021

Introdução: Mais de 50% dos resíduos gerados no Brasil são de origem orgânica, tendo como uma das fontes os serviços alimentares (restaurantes), grande parte desses resíduos são enviados diretamente para os aterros sanitários e/ou lixões. Com a biotecnologia ambiental é possível reciclar os resíduos orgânicos de forma adequada através da técnica de compostagem, que transforma o que seria descartado como rejeito em composto orgânico e solucionar problemas rurais e urbanos relacionados a geração desses resíduos de forma eficaz. Objetivo: O objetivo do trabalho foi avaliar o composto orgânico gerado no processo de compostagem de resíduos orgânicos oriundo de serviços alimentares pelos parâmetros físico-químicos. Material e métodos: Foi realizado um experimento com resíduos vegetais e restos de alimentos cozidos em reatores com capacidade para 90 litros que era composto por dois tratamentos com duas repetições. O experimento foi mantido em área coberta nas dependências de uma Instituição de Ensino Superior. O período do processo de compostagem foi de 90 dias, durante esse período foram realizados monitoramento da temperatura e umidade interna e externa, revolvimento manual e coleta de amostra a cada mês até o fim do processo. As análises laboratoriais realizadas foram físico-químicas que incluem pH, condutividade elétrica, umidade, carbono orgânico, nitrogênio e relação carbono/nitrogênio. Resultados: Os dois tratamentos e suas repetições atingiram temperaturas acima de 45°C indicando a fase termofílica que é responsável pela eliminação dos patógenos, os parâmetros físico-químicos ficaram dentro do limite estipulado pela instrução normativa. 25/2009 - SDA/MAPA em seu Anexo III, dispõe limites de tolerância, a partir de parâmetros, na produção de fertilizantes orgânicos mistos e compostos indicando um composto orgânico de valor agronômico e ambiental. Conclusão: A compostagem é um tratamento eficiente na valoração dos resíduos orgânicos gerados em estabelecimentos de serviços alimentares, sendo de fácil implantação devido ao seu alto benefício ambiental.
A Study of Implementation Food Safety Management System ISO 22000 in Local Food Products Company
Authors:   Department Evaluation of Goods & Services, Market Research & Consumer Protection Center, University of Baghdad, Baghdad, Iraq., Jasim Alkhafaji Mahmud Abdullah , Blanca Herrera Rosa Maria ,   Department of Nutrition and Food Science, Faculty of Pharmacy, University of Granada, Spain.
Published: March 2021

Implementation of food safety management systems (FSMS) in Iraqi food companies is recent entrance since a lot of years ago. A few number of medium and big size food companies have been selected to implement FSMS such as ISO 22000 after excessive training to Iraqi stakeholders received from FAO/WHO, beside to the individual efforts taken by the top management of some Iraqi food companies. The study comes to highlight the adoption of local food companies to implement the international standard ISO 22000, determine factors that influence in the implementation and the certification of FSMS through four types of questionnaires A, B, C, and D prepared for this purpose.Seventy (70) food companies participated in the survey divided into fifty (50) food companies from big size and twenty (20) food companies from medium size. Survey results demonstrated that motivations for implementation ISO 22000 in big food companies which implemented and certified ISO 2000 were, improving food safety and quality (5/15), and organizational reasons (5/15) have been 66.6% of the motivation for implementing ISO 22000, followed by reducing food borne diseases 20% (3/15), and promoting international trade 13.3% (2/15) respectively.In medium size companies, which implemented and certified ISO 22000, improving food safety and quality (2/5), and reducing food borne diseases (2/5) have been 80% of the motivation for implementing ISO 22000, followed by organizational reasons 20% (1/5). From total of seventy 70 food companies participated in the survey, the results demonstrated that 38 about 54.2% of food companies not implemented any FSMS from its establishing. Respondents from food companies’ referred that there are different factors hinder the implementation of any FSMS included ISO 22000 in their companies. About half of respondents (44.7%) 17/38 indicated that the costs of the implementation and certification FSMS ISO 22000 hinder to implement it, mentality of top management and its business culture (26.3%) 10/38, deficient experience in FSMS and specialists (13.1) 5/38, standard ISO 22000 not a matter for the consumers and the market (10.5) 4/38, and finally, inadequate infrastructure and facilities (5.2%) 2/38.
Comunidad de macroinvertebrados en el río Hatunmayo
Authors: Cruz- Miranda Luciano J. , Alegre-Palomino Cynthya
Published: March 2021

El presente estudio corresponde a los meses de setiembre a diciembre de la estación de primavera del 2014 en las aguas del río Hatunmayo, Anta – Cusco, desde la cabecera de cuenca hasta su desembocadura en el río Vilcanota. Este recurso hídrico en su recorrido recibe afluentes de los ríos Cachimayo y Pucyura, realizando su recorrido por Izcuchaca y se une con el río Pitumayo en Huarocondo, por lo que sufre variaciones en todo el trayecto en sus características física y químicas, además de recibir agua residuales y de otras actividades, por lo que se estimó evaluar la comunidad de macroinvertebrados como bioindicadores en 20 estaciones pre establecidas para determinar la calidad de agua, aplicando la metodología del paquete de hojas. La composición de macroinvertebrados en el río Hatunmayo, está conformado por 13449 individuos, distribuidos en 13 órdenes y 35 familias, predominando los órdenes Amphipoda y Diptera. La diversidad según el índice de Shannon es mediana y según el indice de Simpson es baja y presenta una alta dominancia. Los Índices Biológico de Familia (IBF) y el índice Ephemeroptera, Plecóptera y Tricoptera (EPT), califican al río Hatunmayo con una calidad de agua de mala a regular desde su naciente hasta su desembocadura.
Transformative Learning Theory – Is It Tıme to Add A Fourth Core Element?
Authors: Schnepfleitner Frances Maureen , Ferreira Marco Paulo
Published: March 2021

The aim of this paper is to present a research-based analysis on the Mezirow’s theory of transformative learning, by first outlining the foundations of the theory and its status and trends, and then highlighting the role played on adult education by the core elements of transformative learning: critical reflection, dialogue, and individual experience. The concept of this essay is to present the current knowledge including substantive findings as well as theoretical and methodological contributions on Mezirow’s theory of transformative learning. This essay reviews the collective evidence of the theory of transformative learning, looking for similarities and differences on competing theories. The analysis shows that none of the core elements of transformative learning stand-alone, but each supports and enhances the rest, suggesting a more holistic approach to future research. While these elements must be present for transformative learning to occur, a new and lesser researched element - the context – is suggested. By developing awareness and appreciation of personal and sociocultural context, educators can better facilitate transformative learning situations within existing contextual constraints. The need to help learners actively participate and engage with the concepts presented in the context is the key message to be taken from Mezirow’s theory of transformative learning.
Role of Kshara Sootra in complicated cases of Arsha (interno-externo haemorrhoids) -A case series
Authors: Kapadiya Manisha , Dudhamal T.S.
Published: March 2021

Kasharasutra is being practiced in Indian system of medicine since ancient time in various ano-rectal disorders. In this case series, 2 patients of arsha (internal external haemorrhoids) underwent ksharasutra trans fixation at 3,7,11 o’ clock under spinal anaesthesia. Ksharasutra prepared as per the ayurvedic pharmacopeia of India (API). Ligated pile mass sloughed out on 5th post-operative day. Wound healed within 30 days. Panchavalkal kwatha for sitz bath, jatyadi taila for local application, gud haritaki were used as adjuvant drugs. Follow up after 4 weeks, no recurrence was observed, sphincter tone was normal and there was no evidence of anal stricture after complete wound healing.
UBXN1 is a strong candidate gene in regulation of pork water-holding capacity
Authors: He Jiawen , Lin Xiangsheng , Yang Haoxin , Tian Ye , Zhao Yuelei , Zhang Lifan , Wei Wei , Chen Jie
Published: March 2021

Abstract. The UBX domain containing protein 1-like gene (UBXN1) promotes the degradation of
myofibrillar proteins during meat maturation, which affects meat water-holding capacity (WHC). This study aims to identify functional mutations in
UBXN1 promoter region, which affects the transcription activity and therefore the
WHC. Firstly, we confirmed that the UBXN1 expression level was positively
associated with WHC. Individuals with high and low WHC (n=16 per
group) were selected from 168 Duroc × Large White × Yorkshire (D × L × Y) crossbred pigs. The UBXN1 promoter region
was comparatively sequenced using DNA pools from these two groups, and a
mutation ca. −379T > G was revealed that had reverse allele distribution.
The single nucleotide polymorphism (SNP) was then genotyped in the abovementioned population. TT genotype individuals exhibited higher UBXN1 mRNA level
and higher WHC compared with GG genotype ones. Further luciferase assay
confirmed that TT genotype promoter had higher activity. Moreover, the
degradation of cytoskeletal framework proteins of muscle cells like
desmin, synemin, dystrophin, and vinculin was higher in TT genotype individuals than GG ones. In
conclusion, we identified a SNP in the UBXN1 gene promoter that contributes to
WHC improvement and pork quality. And UBXN1 is a strong candidate gene in
regulation of pork WHC.
Ice and Mixed-Phase Cloud Statistics on Antarctic Plateau
Authors: Cossich William , Maestri Tiziano , Magurno Davide , Martinazzo Michele , Di Natale Gianluca , Palchetti Luca , Bianchini Giovanni , Del Guasta Massimo
Published: March 2021

Abstract. Statistics on the occurrence of clear skies, ice and mixed-phase clouds over the Concordia station, in the Antarctic Plateau, are provided for multiple time scales and analysed in relation to simultaneous meteorological parameters measured at the surface. Results are obtained by applying a machine learning cloud identification and classification code (named CIC) to 4 years of measurements between 2012–2105 of down-welling high spectral resolution radiances, measured by the Radiation Explorer in the Far Infrared-Prototype for Applications and Development (REFIR-PAD) spectroradiometer. The CIC algorithm is optimized for Antarctic sky conditions (clear sky, ice clouds, and mixed-phase clouds) and results in a total hit rate of almost 0.98, where 1.0 is a perfect score. Scene truth is provided by LiDAR measurements that are concurrent with REFIR-PAD. The CIC approach demonstrates the key role of far infrared spectral measurements for clear/cloud discrimination and for cloud phase classification. Mean annual occurrences are 72.3 %, 24.9 % and 2.7 % for clear sky, ice and mixed-phase clouds respectively, with an inter-annual variability of a few percent. The seasonal occurrence of clear sky shows a minimum in winter (66.8 %) and maxima (75–76 %) during intermediate seasons. In winter the mean surface temperature is about 9 °C colder in clear conditions than when ice clouds are present. Mixed-phase clouds are observed only in the warm season; in summer they amount to more than one third of total observed clouds. Their occurrence is correlated with warmer surface temperatures. In the austral summer, the mean surface air temperature is about 5 °C warmer when clouds are present than in clear sky conditions. This difference is larger during the night than in daylight hours, likely due to increased solar warming. A comparison of monthly mean results with cloud occurrence/fraction derived from gridded (Level-3) satellite products, from both passive and active sensors, emphasizes the difficulty of adequately inferring cloud/clear-sky properties in the Antarctic region and highlights the ability of the CIC/REFIR-PAD synergy to identify multiple cloud conditions and study their variability at different time scales.
Measurement report: Ice nucleating abilities of biomass burning, African dust, and sea spray aerosol particles over the Yucatán Peninsula
Authors: Córdoba Fernanda , Ramírez-Romero Carolina , Cabrera Diego , Raga Graciela B. , Miranda Javier , Alvarez-Ospina Harry , Rosas Daniel , Figueroa Bernardo , Kim Jong Sung , Yakobi-Hancock Jacqueline , Amador Talib , Gutierrez Wilfrido , García Manuel , Bertram Allan K. , Baumgardner Darrel , Ladino Luis A.
Published: March 2021

Abstract. Most precipitation from deep clouds over the continents and in the intertropical convergence zone is strongly influenced by the presence of ice crystals whose formation requires the presence of ice nucleating particles (INPs). Although there are a large number of INP sources, the ice nucleating abilities of aerosol particles originating from oceans, deserts, and wildfires are poorly described at tropical latitudes. To fill this gap in knowledge, the National Autonomous University of Mexico micro-orifice uniform deposit impactor droplet freezing technique (UNAM-MOUDI-DFT) was constructed to measure the ice nucleating activity of aerosol samples that were collected in Sisal and Mérida, Yucatán (Mexico) under the influence of cold fronts, biomass burning (BB), and African dust (AD) intrusions during five short-term field campaigns between January 2017 and July 2018. The three different aerosol types were distinguished by their physicochemical properties. Marine aerosol (MA), BB, and AD air masses were found to contain INPs; the highest concentrations were in AD (from 0.071 to 36.07 L−1 at temperatures between −18 and −27 ∘C), followed by MA (from 0.068 to 18.90 L−1 at temperatures between −15 and −28 ∘C) and BB (from 0.063 to 10.21 L−1 at temperatures between −20 and −27 ∘C). However, MA had the highest surface active site densities (ns) between −15 and −30 ∘C. Additionally, supermicron particles contributed more than 72 % of the total INP concentration independent of aerosol type.
Temporally resolved sectoral and regional contributions to air pollution in Beijing: informing short-term emission controls
Authors: Ansari Tabish Umar , Wild Oliver , Ryan Edmund , Chen Ying , Li Jie , Wang Zifa
Published: March 2021

Abstract. We investigate the contributions of local and regional emission sources to air pollution in Beijing to inform the design of short-term emission control strategies for mitigating major pollution episodes. We use a well-evaluated version of the WRF-Chem model at 3 km horizontal resolution to determine the daily accumulation of pollution over Beijing from local and regional sources in October 2014 under a range of meteorological conditions. Considering feasible emission reductions across residential, transport, power, and industrial sectors, we find that 1 d controls on local emissions have an immediate effect on PM2.5 (particulate matter with diameter less than 2.5 µm) concentrations on the same day but can have lingering effects as much as 5 d later under stagnant conditions. One-day controls in surrounding provinces have the greatest effect in Beijing on the day following the controls but may have negligible effects under northwesterly winds when local emissions dominate. To explore the contribution of different emission sectors and regions, we perform simulations with each source removed in turn. We find that residential and industrial sectors from neighbouring provinces dominate PM2.5 levels in Beijing during major pollution episodes but that local residential emissions and industrial or residential emissions from more distant provinces can also contribute significantly during some episodes. We then perform a structured set of perturbed emission simulations to allow us to build statistical emulators that represent the relationships between emission sources and air pollution in Beijing over the period. We use these computationally fast emulators to determine the sensitivity of PM2.5 concentrations to different emission sources and the interactions between them, including for secondary PM, and to create pollutant response surfaces for daily average PM2.5 concentrations in Beijing. We use these surfaces to identify the short-term emission controls needed to meet the national air quality target of daily average PM2.5 less than 75 µg m−3 for pollution episodes of different intensities. We find that for heavily polluted days with daily mean PM2.5 higher than 225 µg m−3, even emission reductions of 90 % across all sectors over Beijing and surrounding provinces may be insufficient to meet the national air quality standards. These results highlight the regional nature of PM pollution and the challenges of tackling it during major pollution episodes.
Subalpine grassland productivity increased with warmer and drier conditions, but not with higher N deposition, in an altitudinal transplantation experiment
Authors: Volk Matthias , Suter Matthias , Wahl Anne-Lena , Bassin Seraina
Published: March 2021

Abstract. Multiple global change drivers affect plant productivity of grasslands and
thus ecosystem services like forage production and the soil carbon sink.
Subalpine grasslands seem particularly affected and may serve as a proxy for
the cold, continental grasslands of the Northern Hemisphere. Here, we
conducted a 4-year field experiment (AlpGrass) with 216 turf monoliths,
subjected to three global change drivers: warming, moisture, and
N deposition. Monoliths from six different subalpine pastures were
transplanted to a common location with six climate scenario sites (CSs). CSs
were located along an altitudinal gradient from 2360 to 1680 m a.s.l.,
representing an April–October mean temperature change of −1.4 to +3.0 ∘C, compared to CSreference with no temperature
change and with climate conditions comparable to the sites of origin. To
uncouple temperature effects along the altitudinal gradient from soil
moisture and soil fertility effects, an irrigation treatment (+12 %–21 %
of ambient precipitation) and an N-deposition treatment (+3 kg and +15 kg N ha−1 a−1) were applied in a factorial design, the latter
simulating a fertilizing air pollution effect. Moderate warming led to increased productivity. Across the 4-year
experimental period, the mean annual yield peaked at intermediate CSs
(+43 % at +0.7 ∘C and +44 % at +1.8 ∘C),
coinciding with ca. 50 % of days with less than 40 % soil moisture
during the growing season. The yield increase was smaller at the lowest,
warmest CS (+3.0 ∘C) but was still 12 % larger than at
CSreference. These yield differences among CSs were well explained by
differences in soil moisture and received thermal energy. Irrigation had a
significant effect on yield (+16 %–19 %) in dry years, whereas
atmospheric N deposition did not result in a significant yield response. We
conclude that productivity of semi-natural, highly diverse subalpine
grassland will increase in the near future. Despite increasingly limiting
soil water content, plant growth will respond positively to up to
+1.8 ∘C warming during the growing period, corresponding to
+1.3 ∘C annual mean warming.
Eukaryotic community composition in the sea surface microlayer across an east–west transect in the Mediterranean Sea
Authors: Zäncker Birthe , Cunliffe Michael , Engel Anja
Published: March 2021

Abstract. The sea surface microlayer (SML) represents the boundary layer at the air–sea
interface. Microbial eukaryotes in the SML potentially influence air–sea gas
exchange directly by taking up and producing gases and indirectly by
excreting and degrading organic matter, which may modify the viscoelastic
properties of the SML. However, little is known about the distribution of
microbial eukaryotes in the SML. We studied the composition of the microbial
community, transparent exopolymer particles and polysaccharides in the SML
during the PEACETIME cruise along a west–east transect in the Mediterranean
Sea, covering the western basin, Tyrrhenian Sea and Ionian Sea. At the
stations located in the Ionian Sea, fungi – likely of continental origin and
delivered by atmospheric deposition – were found in high relative abundances,
making up a significant proportion of the sequences recovered. Concomitantly,
bacterial and picophytoplankton counts decreased from west to east, while
transparent exopolymer particle (TEP) abundance and total carbohydrate (TCHO)
concentrations remained constant in all basins. Our results suggest that the
presence of substrates for fungi, such as Cladosporium, known to take up phytoplankton-derived polysaccharides, in combination with decreased
substrate competition by bacteria, might favor fungal dominance in the neuston
of the Ionian Sea and other low-nutrient, low-chlorophyll (LNLC) regions.
ANALISIS FAKTOR YANG MEMENGARUHI IBU DALAM MEMILIH PERSALINAN DI RUMAH OLEH BIDAN DI PUSKESMAS PANCUR BATU KABUPATEN DELI SERDANG TAHUN 2016
Authors: Siallagan Ermawaty A
Published: March 2021

The location of childbirth is one of the factors which can psychologically influence mothers who are giving birth to babies. The wrong selection of location and childbirth aide will directly affect mothers’ health. The selection of the location and the aides of childbirth can be influenced by several factors such as the distance of health service facility, transportation, demographic location, and knowledge of searching for the right childbirth aide. Goals : The research is quantitative with cross sectional analytic survey. The method of the analysis was factor analysis in which the variables were reduced to one or two factors which influenced mothers to select the home birth by midwives. Method : The population was all mothers who gave birth to babies, aided by midwives at home, and 110 of them were used as the samples, using purposive sampling technique with inclusive and exclusive criteria. Result : The result of the factor analysis showed that of 12 variables, eight of them could be included in the factor analysis with MSA value > 0.05. Of the eight factors, two of them became internal and external factors. Internal factor contributed 70%, while external factor contributed 77% in influencing mothers to select the location of childbirth at home. From the internal factor, it was found that childbirth environment was the most influencing factor (85.5%), while from the external factor, it was found that childbirth expense was the most influencing factor (84.1%). Conclusion : The conclusion of the research was that internal factor (childbirth environment) and external factor (childbirth expense) influenced mothers to select home birth by midwives in the working area of Batu Pancur Puskesmas. It is recommended that midwife professionalism should be improved in giving childbirth service so that people will be motivated to select health facility in giving birth to babies.
ASUHAN KEBIDANAN PADA Ny. S G2 P1 A0 USIA 36 TAHUN USIA KEHAMILAN 39 MINGGU 1 HARI DENGAN PERSALINAN DISTOSIA BAHU DI KLINIK SALLY TAHUN 2018
Authors: Sihotang Wenni Grecyana , Siallagan Ermawaty
Published: March 2021

Distosia bahu merupakan kondisi kegawatdaruratan obstetri pada persalinan pervaginam dimana bahu janin gagal lahir secara spontan setelah lahirnya kepala. Kasus distosia bahu memang tidak umum terjadi namun membahayakan bagi ibu dan janin. di Indonesia kematian perinatal dilaporkan terjadi pada 0,4-0,5 % kasus distosia bahu tahun 2010. Tujuan: Mampu melakukan Asuhan Kebidanan pada Ny. S GII PI A0 Umur 36 Tahun Usia Kehamilan 39 Minggu 1 Hari dengan Persalinan Distosia Bahu di Klinik Sally dengan menggunakan pendekatan Manajemen 7 Langkah Varney. Metode: Jenis laporan studi kasus dengan metode deskriptif. Lokasi studi kasus di Klinik Sally pada tanggal 26 Maret -18 April 2018 Hasil: Dari hasil penyusunan laporan tugas akihi ini mendapat gambaran dan pengalaman nyata dalam pembuatan asuhan kebidanan pada ibu bersalin dengan distosia bahu dan bahu serta tubuh bayi seluruhnya dapat dilahirkan dengan melakukan Manuver McRobert Kesimpulan: Distosia bahu merupakan kondisi kegawatdaruratan obstetri pada persalinan per vaginam dimana bahu janin gagal lahir secar spontan setelah lahirnya kepala. Pada Ny. S bahu telah dapat dilahirkan dengan melakukan Manuver McRobert
ASUHAN KEBIDANAN PADA Ny. D USIA 74 TAHUN DENGAN PROLAPSUS UTERI TINGKAT II DI RUANGAN SANTA ELISABETH DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2018
Authors: Tafonao Jayanti , Sitepu Aprilita Br
Published: March 2021

since formerly, In Indonesia, it has been long known the terms prolapsesd uterus and prolapsed upside down. Prolapsed uterus is a very rare condition. The frequency of prolapsed uterus in Indonesia is only 1.5%. Most occur at an older age than a young age. This is caused by weakness of the muscles and fascia structures at a later age. Based on the book of Opname list in Santa Elisabeth room at Santa Elisabeth Hospital Medan period from January 2017 to May 2018 as many as 15 medical records. Based on the list of Opname shows prolapsed uterus at age> 70 years for 5 people and at age> 30-70 years for 9 people and at age <30 years for 1 person.Goals : The writer are expected to be skilled in giving midwifery care to the elderly age of 74 years with prolapsed uterus level II through Varney management approach.Methods: This report was a survey study report with Descriptive method, the location of this case study was at Santa Elisabeth room of Santa Elisabeth Hospital Medan. Subjects of case studies taken by the writer were the Elderly conducted on March 09 to March 14, 2018. Techniques of collecting data were through subjective and objective.data collection.Result: After 5 days of midwifery care for the elderly, by performing vaginal hysterectomy surgery, performing postoperative care well, generally, the condition of mother is good, physical examination results in normal limits, the mother can do the activity as before and the problem is partially resolved .Conclution : Mothers are expected to maintai
PENGARUH PASANGAN MEMILIKI PASANGAN SEKS LAIN TERHADAP KEJADIAN INFEKSI HIV PADA IBU RUMAH TANGGA DI RSUPH. ADAM MALIK MEDAN TAHUN 2017
Authors: Sitepu Aprilita
Published: March 2021

HIV infection and AIDS are the global public health problem. Having another sex partner may increase the risk of HIV infection. Goals : This study aimed to determine the effect of having another sex partner on the incidence of HIV infection in couples in Medan. Method: This was an analytic observational study with a case-control design. The study was conducted at RSUP H Adam Malik Medan, North Sumatera, from November to December 2017. A sample of 80 housewives was selected for this study by fixed disease sampling consisting of 40 HIV infected housewives and 40 HIV uninfected housewives. The dependent variable was HIV infection. The independent variable was having another sex partner. Results: The results of multivariate analysis demonstrated that husband’s occupation (OR = 6.223), having another sexual partner (OR = 6.823) Conclusion: Couples who have another sexual partner have an increased risk of HIV infection.
PENGETAHUAN MAHASISWA TENTANG KERAHASIAAN REKAM MEDIS DI RS SANTA ELISABETH MEDAN
Authors: Hutauruk Adrian Martin
Published: March 2021

Interactions between health care providers and recipients or patients are closely related and can be sustainable. Medical records are very useful to assess the health status of a patient in a hospital, a clear and complete medical record will improve the quality of services and achieve optimal public health. Information about identity, diagnosis, disease history, examination history and medical history of the patient must be kept confidential by doctors, dentists, certain health personnel, management officers and leaders of health care facilities. Goals: The purpose of this study was to determine students' knowledge about the confidentiality of medical records at Santa Elisabeth Hospital, Medan. Method: This study was a descriptive observational study. The study population was students who were served at Santa Elisabeth Medan Hospital. The study sample consisted of 30 students who would in service first time in Santa Elisabeth Hospital in Medan. In this study a questionnaire was used to determine students' knowledge about the confidentiality of medical records. Data is presented descriptively to see frequency distribution. Data obtained through questionnaires filled in by samples. Results: The results showed that 66.67% of students had enough knowledge about the confidentiality of medical records. Medical record data can only be accessed by patients or families of patients responsible for patients. Conclusion: Some students have enough knowledge about the confidentiality of medical records. Students should be reminded of the confidentiality of medical records before they are served in the hospital.
FAKTOR- FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PETUGAS REKAM MEDIS SILOAM SRIWIJAYA HOSPITAL PALEMBANG TAHUN 2016
Authors: Saragih Pestaria
Published: March 2021

The hospital consists of pillars of owners, pillars of health professionals and management pillars. The pillar of health professional staff consists of various important elements, one of which is medical record staff. Hospitals do division of tasks in each department, according to their duties and functions. The results of implementing these functions are called performance. Organizational characteristics that affect individual performance consist of resources, leadership, rewards, organizational structure and work design. Goals: This study aims to analyzed the factors related to the performance of Siloam Sriwijaya Hospital Palembang medical record staff in 2016. Method: This type of research was quantitative, analytical survey method with cross sectional approach. When the study was conducted in August 2016 in the medical record of Siloam Sriwijaya Hospital Palembang. The population was all 33 medical records. The sample was a total population of 33 people. Techniques for collecting data with documentation and questionnaires. Measurements on variables of motivation, age, duration of work, education and leadership on the performance of medical record staff using a Likert scale. Bivariate statistical analyzed with Chi Square and multivariate test with Logistic Regression. Results: The results of the study was of only 2 that were significantly related to performance, namely motivation and leadership. Motivational variables after multivariate analysis and after selection with other independent variables still hav e a statistically significant relationship, where: OR: 5,012 (95% CI: 1,513 -16,601) p = 0,008 gives an interpretation that low motivation has a tendency to 5,012 times for have low performance too. Conclusion: Motivational variables had a significant relationship so that low motivation has a tendency to have low performance too. Director of Siloam Sriwijaya Hospital Palembang is always necessary to motivate officers and be rewarded when achieving achievement in the goals of the organization with staff under the leadership's coordination.
GAMBARAN PENGETAHUAN, UMUR,DUKUNGAN SUAMI, DAN EKONOMI, PADA IBU HAMIL TENTANG KEPATUHAN PEMERIKSAAN KLINIK PRATAMA SANTA ELISABETH MEDAN
Authors: Sumardiani Lilis
Published: March 2021

Introduction :antenatal care is an examination of pregnant women both physically and mentally as well as saving mothers and children in pregnancy, childbirth and the puerperium, so that they post partum healthy and normal not only physically but also mentallyMethod : The study was conducted by distributing questionnaires to pregnant women with emesis gravidarum. Data analysis using univariants for frequency distribution. Result : The results showed an overview of knowledge of pregnant women with good knowledge of 13 people (65%), sufficient knowledge of 5 people (25%) and lack of knowledge of 1 person (5%) while lacking knowledge of pregnant women who did not comply did 1 pregnancy check up (5) %). overall obedient pregnant women undergo pregnancy examinations aged <20 years 7 people (35%), 20-30 years there are 7 people (35%) and there are 4 people> 35 years (20%). while those aged <20 years who are not compliant pregnant women do pregnancy examinations 2 people (10%). pregnant women about compliance with antenatal care namely, support from the husband is very good there are 12 people (60%), good 4 people (20%) and enough 4 people (40%). 20%), the middle economy there are 13 people (65%), and the low economy 4 people (20%), while the economy is lacking in pregnant women who do not comply with one pregnancy checkup (5%). parity, shows that the total number of pregnant women regarding compliance with antenatal care is, that has children who live 1 times 4 people (20%), the number of children who live 2-5 times 11 people (55%), and the number of children who live> 5 times 5 people (25%) while parity, in pregnant women who do not comply with pregnancy examination 1 person (5%) Duscussion:From this study it can be concluded that knowledge, age, husband support, economy and parity in pregnant women regarding compliance with antenatal care in the Klinik Pratama Santa Elisabeth Medan is said to be a minority who are disobedient and more who are obedient do ANC visits
Nuevos escenarios para la conversación política: el uso de WhatsApp por parte de los partidos durante la campaña electoral de abril de 2019 en España
Authors: Zamora Medina Rocio , Losada Díaz José Carlos
Published: March 2021

La democratización de la tecnología ha permitido que los ciudadanos y los partidos políticos encuentren nuevos caminos para el diálogo y la conversación social. De hecho, los líderes políticos “comienzan a gobernar con el móvil”. Dentro de las diferentes opciones para este diálogo se encuentran las aplicaciones de mensajería instantánea, como WhatsApp, que se consolidan como una herramienta habitual en las estrategias de comunicación de partidos y candidatos. Sin embargo, no existe en el ámbito de la investigación académica un desarrollo teórico que ayude a entender este fenómeno. Para afrontar tal vacío, esta investigación incluye como principal objetivo tratar de analizar científicamente el uso que los partidos políticos otorgaron a estas herramientas durante la campaña para las elecciones generales en España en abril de 2019. Tomando como referencia los estudios previos relacionados con el uso de esta herramienta en contextos electorales en Brasil, la India o Nigeria, este trabajo se convierte en un estudio empírico pionero realizado en la primera “Elección de WhatsApp” en España, a partir de su protagonismo como red social con más de 25 millones de usuarios. La parte nuclear de esta investigación descansa en el análisis de contenido cualitativo de todos los contenidos creados en WhatsApp por los cinco principales partidos políticos (Partido Socialista Obrero Español, Partido Popular, Vox, Ciudadanos y Unidas Podemos) que concurrieron a estas elecciones. Esta investigación empírica y comparativa se centró en categorías específicas, como nivel de actividad, tipo de contenido, enlaces a otras redes sociales, propósito principal del contenido, presencia de contenido falso y negativo y nivel de interacción. Los resultados demostraron un diferente uso de esta herramienta por parte de los partidos políticos españoles, siendo los partidos tradicionales los que presentaron un mayor nivel de actividad. Además, si bien los contenidos audiovisuales fueron un recurso frecuente, la campaña española no estuvo marcada por una difusión agresiva de contenido falso.
Decifrare la bassa statura nei bambini
Authors: Chiarelli Francesco , Castorani Valeria , Polidori Nella
Published: March 2021

Short stature is the most common cause of referral to paediatricians. Only a minority of children with short stature have an underlying pathology. Although well-established diagnostic and management paradigms do exist, recent advances in molecular technologies have significantly improved our understanding of the genetic causes of short stature. Therefore, after the exclusion of nutritional, hormonal, inflammatory or systemic disorders, or skeletal dysplasias and syndromes, genetic causes should be ever supposed and genetic evaluation considered. An appropriate diagnosis of short stature should be performed as early as possible and personalized treatment should be started in a timely manner. Novel treatment approaches have been also proposed both as diagnostic tools and as therapeutic agents to optimize the approach to short stature. Therefore, detailed characterization of children with poor growth is necessary to perform a tailored diagnostic and therapeutic workup with the aim to decipher the causes of short stature better.
Vaccini Covid-19: disponibilità ed efficacia
Authors: Davanzo Riccardo
Published: March 2021

The Covid-19 vaccination campaign represents a challenge for the health system. Eight Covid-19 vaccines belonging to 4 different categories of technology are currently available. More than the specific type of selected vaccine, major influencing factors for the success of the vaccination campaign are a quick coverage of the population, including the paediatric one, and the surveillance regarding the new viral variants.
Career and Technical Education: Academic Achievement as Measured by National Testing
Authors: Michaels Christopher , Barone Diane
Published: March 2021

Career and Technical Education (CTE) programs at secondary and post-secondary levels are gaining more and more attention from students, parents, and communities. Evaluating the merit of educational programs is a necessary practice. This study examined the academic achievement of CTE
completer high school graduates and non-CTE graduates as measured by nationwide testing. Results indicate (ρ < .01), CTE completers had statistically significantly higher ACT scores on the ACT composite, reading, writing, math, science, and English assessments than those of general
academic student graduates who took one or no CTE courses. Empirical studies have found CTE attracts a diverse audience of students including those who are economically disadvantaged and historically perform at lower academic levels. The difference found in this study of CTE graduates accomplishing
ACT composite scores 4% higher than non-CTE graduates deserves special attention given additional external challenges many CTE students experience.
Occupational Safety and Health Education in Post-Secondary Career and Technical Education Construction Programs
Authors: Rauscher Kimberly , Bush Diane , Chang Charlotte , Myers Douglas
Published: March 2021

Construction is one of the most dangerous industries in the US. Career and Technical Education (CTE) programs are important settings in which new construction workers can learn about Occupational Safety and Health (OSH). CTE programs are sometimes the only place where these workers
will encounter such training. We set out to examine the quality of OSH education received by students in post-secondary CTE construction programs by conducting a surv ey of instructors teaching in these programs across the country . The goal was to learn the extent to which previously identified"
essential elements necessary for providing effective safety and health education" are spread across these programs. Our findings show instructors in these programs prioritize hands-on training, make efforts to stay current in best practices in safety and health, and regularly update
their curricula. We also found that instructors need more training on effectively teaching safety and health to more meaningfully integrate such content into their trade skill courses. Finally, we found that instructors need to better model effective safety and health management systems within
their classrooms to help keep students safe and set students' expectations for safe work when they enter their chosen trade.
Salvage lymph node dissection for prostate-specific membrane antigen (PSMA) positron emission tomography (PET)-identified oligometastatic disease
Authors: Bobrowski Adam , Metser Ur , Finelli Antonio , Fleshner Neil , Berlin Alejandro , Perlis Nathan , Kulkarni Girish S. , Chung Peter , Kuhathaas Kopika , Atenafu Eshetu G. , Hamilton Robert J.
Published: March 2021

Introduction: The availability of prostate-specific membrane antigen (PSMA) positron emission tomography (PET)/computed tomography (CT) imaging, particularly in the setting of rising prostate-specific antigen (PSA) after definitive treatment, has led to oligometastatic prostate cancer being increasingly identified. Despite the enthusiasm surrounding treating oligometastatic disease, it has been relatively understudied. We sought to review our salvage lymphadenectomy experience in the PSMA PET/CT era.

Methods: We retrospectively reviewed patients undergoing lymphadenectomy following curative intent primary therapy with rising PSA who had undergone a PSMA PET/CT identifying oligometastatic disease (defined as 5 PSMA-avid lesions) between January 2016 to April 2020. The primary endpoint was complete response, defined as achieving a PSA <0.2 ng/ml without concomitant androgen deprivation therapy (ADT).

Results: Twenty-two patients were included. Primary curative therapy included radical prostatectomy (86.4%) and brachytherapy (13.6%). Median PSA at salvage surgery was 1.72 ng/ml. Pelvic lymph node dissection was the most performed procedure (72.7%). Median node yield was 10.5, with a median of 1.5 positive nodes on pathology. Eight patients (36.4%) achieved PSA <0.2, with six (27.3%) remaining with PSA <0.2 after a median followup of 23.1 months. Nine (40.9%) had an initial PSA decline, but nadired ≥0.2, and in five (22.7%) the PSA rose immediately after surgery. Overall, ADT was commenced in seven patients (31.8%) at a median of 10.1 months post-salvage surgery.

Conclusions: In our series of salvage dissection for PSMA-PET-detected nodal oligometastases, approximately a third achieved PSA <0.2; yet, it was only durable in 27%. Prospective trials of salvage nodal radiation are ongoing; however, more prospective trials of salvage node dissection are needed.