bluuebunny/crossref_metadata_2025 huggingface dataset:
OBJECTIVIZATION OF SURGICAL TACTICS IN CASE OF COVERING TISSUE GUNSHOT DEFECTS RESTORATION
Authors: І.А. Lurin , І.P. Khomenko , M.A. Kashtalyan , V.V. Nehoduiko , R.S. Vastyanov , S.V. Tertyshnyi , G.F. Stepanov , O.I. Solodyanikova , N.V. Tanasichuk-Gazhieva
Published: October 2024

The article presents the results of the objectification of surgical tactics in the restoration of defects in the integumentary tissue due to gunshot wounds in 126 soldiers. For this purpose, all the wounded were divided into 2 groups: Group I included 68 wounded, in whom 75 reconstructive operations were performed under dynamic angiographic multimodal control. Group II consisted of 58 wounded patients who underwent 96 surgical operations using conventional tactics. Rapid restoration of damaged anatomical structures and their aesthetic appearance, reduction of scars showed good results of operations in group I of patients. The results of the work show that dynamic monitoring improves the quality of surgical reconstructive operations and can be recommended at all stages of medical care.

В статье представлены результаты объективизации хирургической тактики восстановления дефектов покровной ткани вследствие огнестрельных ранений у 126 военнослужащих. Для этого все раненые были разделены на 2 группы: в I группу вошли 68 раненых, у которых под динамическим ангиографическим мультимодальным контролем было выполнено 75 реконструктивных операций. II группу составили 58 раненых, которым выполнено 96 хирургических операций с использованием общепринятой тактики. Быстрое восстановление поврежденных анатомических структур и ихesthetic изгляда, уменьшение рубцов показали хорошие результаты операций у больных I группы. Результаты работы показывают, что динамический мониторинг повышает качество хирургических реконструктивных операций и может быть рекомендован на всех этапах оказания медицинской помощи.

Məqalədə odlu silahla yaralanmış 126 döyüşçüdə örtük toxuma defektlərinin bərpasında cərrahi taktikanın obyektivləşməsinin nəticələri təqdim edilib. Bu məqsədlə yaralılar 2 qrupa bölünüblər: I qrupa 68 yaralı daxil edilib; dinamik angioqrafik multimodal nəzarət altında 75 rekonstruktiv-bərpaedici əməliyyat yerinə yetirilib; II qrupa daxil edilmiş 58 yaralıda isə adi taktika ilə 96 cərrahi əməliyyat aparılıb. Zədələnmiş anatomik strukturların tez bərpası və onların estetik görünüşü, çapıqların kiçilməsi I qrupdakı xəstələrdə əməliyyatın nəticələrinin yaxşı olduğunu göstərib. Aparılan işin nəticələri göstərir ki, dinamik monitorinq cərrahi rekonstruktiv-bərpa əməliyyatlarının keyfiyyətini yaxşılaşdırır və tibbi yardımın bütün mərhələlərində tətbiq edilə bilər.
METHODOLOGICAL FOUNDATIONS OF PROJECT RISK MANAGEMENT
Authors:   Dagestan state university, Eldarov Eldar Magomedovich , Magomedbekov Gamzat Ukhumaalievich ,   Dagestan state university
Published: October 2024

The article reveals the content of the concept of "project risks", provides the author's classification and a fairly detailed analysis of methods for studying and anticipating risks in project activities. It is noted that a decisive contribution to the development of project risk management standards is made by such international institutions as the Institute of Project Management and the National Institute of Standards and Technologies, according to the patterns of which the work of the relevant risk management standardization institutes in Russia is based. The authors argue that the existing scientific ideas about risk and the actual practice of design serve as a reason for making not only cautious and obviously feasible, but also daring and even adventurous, i.e. in principle questionable design decisions. It is also necessary to take into account that risks can arise at all stages of project development: initiative, planned, executive, control and final. Accordingly, it is advisable to build the overall risk management process within each of the five main phases of project activity. Using graphical models, the system-process and adaptive approaches to the study of external and internal risks of the project are substantiated. At the same time, special attention is paid to the description of risk scenario matrices (probable hazards) with simplified and more complex algorithms for calculating thresholds for the degree of probability of occurrence and severity of the consequences of risks. It is indicated that the level of professionalism in the field of modern project management is largely determined by the quality of development and the efficiency of using registers of project risks. The latter are considered as automated systems for making design decisions using tabular processors that systematize possible risks and their consequences in the implementation of specific projects.
BASIC FINANCIAL INDICATORS AS AN ELEMENT OF THE BUSINESS PLANNING SYSTEM AT THE ENTERPRISE
Authors:   Kazan branch of the Russian state university of justice, Faskhutdinova Milyausha Sagitovna , Leontieva Olga Lvovna ,   Kazan branch of the Russian state university of justice, Udovenko Olga Borisovna ,   Kazan branch of the Russian state university of justice
Published: October 2024

Each business plan is not just a formality or a personal calculation, but is an important document that determines the distribution of income and expenses, and defines a business strategy. The business plan should contain a marketing rationale, all economic calculations and consideration of economic factors. The process of developing and implementing a project business plan is a sequential set of stages, including analysis, planning, preparation, execution and control; It requires careful preparation, analysis and planning to ensure the successful achievement of goals and maximize investment efficiency. The main aspects of the business plan are considered: project description; projected revenues; projected expenses; projected profits; necessary investments; investments in business development, purchase of equipment, expansion of production, advertising, and so on; debt management; risk management; monitoring and control plan; performance indicators. The figures of the financial plan are given, when presenting the results of the study, such indicators as reading profit, profitability, payback, break-even points and others are shown. The main process of development and implementation of the business plan of the project is given. The analysis of the main financial performance indicators is carried out using the example of several enterprises. Based on the financial indicators of the enterprise, the weaknesses and strengths are considered on the example of several enterprises. The analysis showed that in the current conditions, the opening of its own production for the enterprise is expedient and promising. The risk analysis showed that the project is a medium-risk one.
Penyuluhan Hormon Paratiroid, Kalsitonin, dan Obat yang Bekerja pada Tulang di SMAN 1 Karawang
Authors: Mulki Munir Alinu , Putra Rizki Rava Dwi , Saputri Jasmine Rahma , Marisa Siti Rosilfa , Alfiandri Ihsan
Published: October 2024

Kalsium merupakan mineral yang paling penting bagi berbagai fungsi di dalam tubuh. Kelenjar paratiroid dan tiroid bertanggung jawab mengatur kadar kalsium dalam tubuh dengan cermat.  Penyusunan jurnal ini ditujukan untuk mengamati pengetahuan siswa SMAN 1 Karawang terkait pengetahuan tentang hormon paratiroid, kalsitonin beserta obat yang bekerja pada tulang, karena berdasarkan survei yang telah dilakukan diketahui bahwa siswa-siswa SMAN 1 Karawang kurang memahami mengenai pengetahuan hormon paratiroid, kalsitonin beserta obatx yang bekerja pada tulang. Metode yang diterapkan adalah metode tes untuk menguji kemampuan responden berupa pemberian Pre-Test dan Post-Test, data tes tersebut diolah menggunakan aplikasi SPSS. Hasil Post-Test menggambarkan bahwa terdapat kenaikan nilai sebanyak 18,4%  setelah dilakukan kegiatan penyampaian materi. Hal ini dapat diketahui dari nilai hasil rata-rata Pre-test 5,58 dan setelah dilakukan penyuluhan terdapat peningkatan nilai rata-rata Post-test menjadi 7,42. Dengan demikian, dapat disimpulkan bahwa penyuluhan kesehatan memiliki dampak signifikan terhadap pengetahuan siswa-siswi di SMAN 1 Karawang mengenai hormon paratiroid, kalsitonin beserta obat yang bekerja pada tulang.
Gebyar Safari KB “Pemasangan dan Pencabutan Alat Kontrasepsi Implan dan IUD di Puskesmas Rengasdengklok Kabupaten Karawang”
Authors: Setiawati Riska , Wariah Uway , Yanti Irma
Published: October 2024

Program KB yang dilaksanakan dengan baik dapat mencegah angka kelahiran yang tinggi. Penggunaan kontrasepsi jangka panjang seperti IUD dan Implan sangat efektif digunakan untuk mencegah kehamilan, akan tetapi penggunaannya masih sanagat rendah. Tujuan pengabdian masyarakat ini diharapkan dapat meningkatkan pengetahuan dan minat Pasangan Usia Subur (PUS) dalam mengambil keputusan dan menentukan pilihan dalam pengunaan alat kontrasepsi khususnya  metode jangka panjang yaitu IUD dan Implat. Metode yang digunakan adalah penyuluhan kepada WUS dan PUS yang berdomisili di wilayah Kecamatan Rengasdengklok tentang IUD dan implant, yang selanjutnya dilakukan safari KB bagi peserta penyuluhan yang memutuskan menggunakan alat kontrasepsi IUD atau implant. Hasil dari kegiatan pengabdian masyarakat ini adalah WUS dapat mengetahui macam-macam alat kontrasepsi serta dapat menambah pengetahuan tentang ketepatan penggunaan alat kontrasepsi sesuai kondisi kesehatanya. Dari hasil penyuluhan, WUS yang bersedia dan hadir pada saat kegiatan pemasangan dan pencabutan alat kontrasepsi IUD dan implant adalah  34 orang dengan 6 orang memilih IUD dan 28 orang memilih implan.
Faktor Perilaku Yang Berhubungan dengan Kejadian Hipertensi di Puskesmas Serpong I, Kota Tangerang Selatan
Authors: Raditya Muhammad Nurul , Alnur Rony Darmawansyah
Published: October 2024

Latar Belakang: Hipertensi sering dikaitkan sebagai masalah serius. Hal tersebut dibuktikan dengan meningkatnya hipertensi setiap tahun. Faktor perilaku seperti merokok, aktivitas fisik, konsumsi makanan bergaram, dan konsumsi makanan berlemak merupakan faktor risiko dari kejadian hipertensi. Tujuan: Penelitian ini bertujuan meneliti faktor perilaku yang berhubungan dengan kejadian hipertensi di Puskesmas Serpong I, Kota Tangerang Selatan tahun 2024. Metode: Penelitian kuantitatif dengan desain studi cross sectional yang bersifat analitik dengan menggunakan uji Chi Square dilakukan untuk melihat hubungan antara variabel independen dengan kejadian hipertensi. Penelitian dilaksanakan pada bulan Februari 2024 sampai Agustus 2024. Populasi dalam penelitian ini yaitu seluruh pengunjung Puskesmas Serpong I, Kota Tangerang Selatan. Sampel pada penelitian ini berjumlah 101 orang dengan menggunakan teknik purposive sampling. Analisis data pada penelitian ini yaitu analisis univariat dan analisis bivariat. Hasil: Distribusi frekuensi menunjukan lebih banyak responden tidak merokok 74 (73,3%), aktivitas fisik kategori cukup 72 (71,3%), konsumsi makanan bergaram kategori berlebih 53 (52,5%), dan konsumsi makanan berlemak kategori cukup 53 (52,5%). Hasil uji Chi Square menunjukan variabel yang berhubungan dengan kejadian hipertensi (Pvalue < 0,05) yaitu konsumsi makanan bergaram (Pvalue <0,001). Sedangkan variabel yang tidak berhubungan (Pvalue > 0,05) antara lain merokok (Pvalue= 0,661), aktivitas fisik (Pvalue= 0,173), dan konsumsi makanan berlemak (Pvalue= 0,079). Kesimpulan: Terdapat hubungan antara konsumsi makanan bergaram secara berlebih dengan kejadian hipertensi di Puskesmas Serpong I, Kota Tangerang Selatan tahun 2024. Diharapkan responden mengurangi makanan yang mengandung tinggi garam.
Kata Kunci: Kejadian Hipertensi; Faktor Risiko; Perilaku
The Influence of the Story DONI AND GIGINYA on Oral Hygiene Behavior in Preschool Children Banyuwangi
Authors: Haswita Haswita , Sholihah Mila Mar’atus , Anggari Roshinta Sony
Published: October 2024

Oral hygiene problems that cause damage to the oral cavity in children in Indonesia are still high, reaching 57.6%. So it is very important to pay attention because this is an important growth stage. Damaged teeth can cause delayed tooth development in later life. The method of oral hygiene that attracts the attention of preschool children is the storytelling method. The aim of this research is to determine the effect of stories on oral hygiene behavior in preschool children.
This method is quantitative research using a quasi-experimental design (one group pre-test and posttest). The population consisted of 50 individuals, and the sampling technique used was total sampling, using an observation checklist sheet to measure how to brush teeth. Statistical tests use the Wilcoxon Test.
The results of the research showed that after the story was given, there was an increase, namely 30 children behaved good, 18 children behaved enough, and 2 children behaved poorly. Wilcoxon Signed Rank Test results with a value of p=000<0.05, the analysis shows that the story "Doni and Giginya" influences the oral hygiene behavior of preschool children.
The story "Doni and Giginya" has been proven to affect increasing children's oral hygiene knowledge and behavior. Therefore, parents or guardians of children can utilize audio-visual media in other forms that have moral messages so that children's knowledge and behavior regarding oral hygiene in particular and health, in general, can increase.
Keywords: Stories, Oral Hygiene Behavior, Preschool
Identifikasi Modal Sosial dan Kekuasaan dalam Underground Economy Pasar Maling, Kota Malang
Authors: Purnami Ni Made Rina , Kusumawardani Alisya Dewi , Kusumawardani Amrita Puteri Wijaya , Yuniar Privo Divanya , Saptarini Ni Putu Ayu Finansya , Prestianawati Silvi Asna
Published: October 2024

Purpose: This study aims to reveal the role of social capital and power structures in the underground economy of Pasar Maling, Malang City.
Methodology: This study used a phenomenological qualitative method. To obtain data, unstructured interviews and observations were conducted with triangulation of sources and Nvivo14 was used to process the data.
Results: The research reveals the role of social capital in strengthening the existence of the underground economy through four main aspects: trust, networks, information, and norms. The power structure that can provide rules or contracts at Pasar Maling Malang City is in the form of informal contracts and is dominated by the non-government community, namely the Madurese ethnic community. This market is similar to a perfect competition market, but in the ongoing economy market, Pasar Maling Malang City has restrictions on entering the market or barriers to entry. Only people of the same ethnicity can participate in and conduct trading activities in Pasar Maling Malang City.
Limitations: This research only focuses on the market's internal perspective, including sellers and the surrounding community in Pasar Maling.
Contribution: This research may provide additional knowledge for readers and serve as a reference for further research on underground economy.
Developmental specialists in Europe: comparison between Healthcare and education systems, and Rehabilitation in child disability
Authors: Cerroni Francesco , Della Corte Giuseppina , Guarino Alison , Bonifacio Andrea , Carotenuto Marco , Martino Federica , Pirozzi Arianna , Albano Paola Alessandra
Published: October 2024

In recent years, European policies for the social inclusion of children and adolescents with disabilities have made significant progress, aimed at ensuring equity and equal opportunities in education and rehabilitative healthcare. However, notable disparities persist among European countries in managing disabilities in the developmental age. In Italy, the *Neuro and Psychomotor Therapist of Developmental Age* (TNPEE) is the healthcare professional specialized in prevention, habilitation, and rehabilitation interventions for children, providing a comprehensive development-focused approach. This study compared professional roles and healthcare and educational systems across Europe, analyzing care contexts to identify similarities and differences relative to the TNPEE’s profile and competencies. Results highlight the advantages, disadvantages, and variability in access to services and in the roles of child rehabilitation professionals, emphasizing the unique value of the TNPEE and opening a discussion on the potential for expanding this role beyond Italian borders.
UPDATE KNOWLEDGE: PERAN GENDER DAN MASA KERJA TERHADAP MOTIVASI KERJA PERAWAT DI RAWAT INAP RUMAH SAKIT
Authors: Rejeki Mirah , Rizky Wahyu , Putri Sely Aprianda Syah , Oktavia Fania , Oktaviani Afifah Nurwidad , Valentina Amara , Putri Tika Kusuma , Ayu Ajeng Karisma , Ferianti Amalia Diah
Published: October 2024

Quantitative workload can be expressed as the amount of work required to fulfil a patient's medical needs. High-quality workload represents a high level of responsibility in patient care. Nurses' workload is the most important predictor of mental health, stress, job dissatisfaction, fatigue, and the presence of burnout. This service activity aims to provide and increase student knowledge about the Effect of Gender and Years of Service on Work Motivation of Nurses in Hospital Inpatients to Students of the Hospital Administration Study Program, Undergraduate Program, Faculty of Health Sciences, Kusuma Husada University, Surakarta by using a pre-experiment design with a research design of one group pretest and post-test design with a total of 35 students and the activity time in May 2024. This service uses quantitative research with multiple linear regression. There is an increase in the knowledge of participants before and after the provision of material marked by the pre-test and post test which shows that the level of knowledge before being given the material is 69% but after being given the material has increased to 89%. There is a significant difference between students' knowledge about gender roles and tenure on nurses' work motivation in hospital inpatient care.Keywords: Workload, Gender, Work motivation, Nurses, Hospitalisation
Costs of Potential Medication Wastage Due to Switching Treatment Among People With Multiple Sclerosis
Authors: Okuda Darin T. , Patel Achal , Schuldt Robert , Abioye Ibraheem , Bonine Nicole G.
Published: October 2024

Background: Unused medications negatively impact healthcare resource utilization and environmental safety, contribute substantially to annual healthcare expenditures, and may ultimately affect patient health outcomes. People with multiple sclerosis (PwMS) commonly switch disease-modifying therapies (DMTs), leading to medication wastage and substantial costs for insurers and patients.

Objectives: To estimate the cost associated with potential medication wastage (PMW) in a subcohort of PwMS receiving oral or self-injectable US Food and Drug Administration–approved DMTs who switched DMTs in a calendar year in the United States.

Methods: This retrospective cohort study included adults with MS and used PharMetrics® Plus claims data from 2017 to 2021. PwMS were required to have 12 months of continuous eligibility for the entire year and a claim for at least 2 unique DMTs during the same calendar year. The PMW cohort was defined as those who had an aggregate overlap in days’ supply across DMT switches within the year; those in the non-PMW cohort did not. The cost of PMW for insurers and PwMS due to overlap was calculated only at the point of switch to the new DMT and defined as the cost of the remaining days’ supply of the prior DMT.

Results: The number of PwMS meeting the inclusion criteria was 1762 in 2017, 1947 in 2018, 1679 in 2019, 1461 in 2020, and 1782 in 2021. Approximately 95% of PwMS switched DMTs once within single calendar years, and 25% (n = 381-464) contributed to PMW. For those who had overlapping DMT supply, it was estimated that 34% to 38% of the DMT being switched from was potentially wasted. The total cost of PMW paid by the insurer and PwMS ranged from $1 200 866 to $1 489 859. While most of the total cost ($1 172 140-$1 450 328) was paid by the insurer, PwMS still owed substantial amounts ($28 726-$74 578). Across all PwMS, the per person per year cost ranged from $716 to $846. The estimated wastage and associated costs were consistent across all study years.

Conclusions: DMT switching is common among PwMS, resulting in PMW and high costs to patients and insurers.
Adherence to First-Line Intravesical Bacillus Calmette-Guérin Therapy in the Context of Guideline Recommendations for US Patients With High-Risk Non-muscle Invasive Bladder Cancer
Authors: Gaylis Franklin , Emond Bruno , Manceur Ameur , Tardif-Samson Anabelle , Morrison Laura , Pilon Dominic , Lefebvre Patrick , Ellis Lorie , Balaji Hiremagalur , Ireland Andrea
Published: October 2024

Background: Bacillus Calmette-Guérin (BCG) can reduce recurrence and delay progression among patients with high-risk non–muscle invasive bladder cancer (NMIBC), but is associated with a substantial emotional, physical, and social burden. Objectives: This study evaluated the adequacy of first-line intravesical BCG treatment among high-risk NMIBC patients in the United States, including the subgroup with carcinoma in situ (CIS) of the bladder. Methods: Adults with high-risk NMIBC treated with BCG were selected from de-identified MarketScan® Commercial, Medicare, and Medicaid Databases (1/1/2010-2/28/2021). Adequacy of BCG induction and maintenance was evaluated from the first BCG claim until the end of the patient’s observation, using a previously published claims-based algorithm (induction: ≥5 instillations within 70 days; induction and maintenance: ≥7 instillations within 274 days of first instillation) and a definition based on the landmark Southwest Oncology Group (SWOG) trial (induction: ≥5 instillations without gaps >7 days; followed by ≥2 instillations at month 3, 6, and every 6 months thereafter). Proportions of patients with adequate BCG induction and maintenance were reported overall and compared between those with and without CIS. Results: Of 5803 high-risk NMIBC patients treated with first-line BCG (mean age, 67.3 years; 20.6% female), 930 (16.0%) had CIS. After first-line BCG, 56.6% received another treatment. Although 86.9% had adequate BCG induction based on the claims-based algorithm (SWOG, 73.6%), only 41.5% had adequate BCG induction and maintenance (SWOG, 1.6%). Similar trends were observed for patients with and without CIS, with higher adherence to guidelines for patients with CIS (adequate induction using claims-based algorithm: 90.3% vs 86.2%; adequate induction and maintenance: 50.8% vs 39.7%, all P < .001). A greater proportion of CIS patients than non-CIS patients had cystectomy (CIS, 14.4%, non-CIS, 8.5%; P < .001) after first-line BCG. Discussion: Among patients with NMIBC treated with first-line intravesical BCG, most received adequate BCG induction but less than half had adequate BCG maintenance. BCG treatment was also inadequate for patients with CIS, with only half of patients receiving adequate BCG maintenance and a higher proportion undergoing cystectomy following first-line BCG. Conclusions: Results emphasize the need for additional treatment options for patients with NMIBC.
CARACTERÍSTICAS SOCIODEMOGRÁFICAS, CLÍNICAS, ASPECTO DE ESTILO E QUALIDADE DE VIDA EM MULHERES QUE VIVEM COM HIV
Authors: Moisés Silva de Amorim  , Cristiane Kelly Aquino dos Santos  , Wanderson Lopes da Paixão  , Izabel Macêdo da Silva Neta  , Camilla Barreto Passos  , Amanda Cota Leite Gomes  , Mídia Maria Nogueira Maia  , Ludiane Matos Garcia Sampaio  , Ana Carolina Magnavita Costa  , Isabela de Avelar Brandão Macedo
Published: October 2024

Introdução: A síndrome da imunodeficiência adquirida (AIDS) é causada pelo Vírus da Imunodeficiência Humana (HIV), provocauma imunossupressão, tornando o indivíduo suscetível a infecções oportunistas que podem levar ao óbito. A presença da doençae do tratamento contínuo influenciam na qualidade de vida, afetando os domínios físicos, emocionais, sociais e psicológicos. Agestão eficaz da AIDS não se limita ao combate à doença, mas também à promoção de uma vida mais saudável e bem-estar paraaqueles que convivem com essa condição. Objetivo: Avaliar a qualidade de vida de mulheres vivendo com HIV. Metodologia:é um estudo observacional, transversal, com amostra de 79 indivíduos do sexo feminino, com sorologia positiva para HIV, emtratamento antirretroviral. Foi utilizado um instrumento próprio para a coleta de informações socioeconômicas (idade, raça,renda, estado civil, nível de escolaridade e ocupação) e estilo de vida (prática de atividade física, consumo de álcool e cigarro). Osresultados de Carga Viral do HIV e de contagem dos linfócitos TCD4 + foram coletados dos prontuários médicos dos pacientes.A Qualidade de vida (QV) foi avaliada através do WHOQOL-HIV-BREF. Foi utilizada a análise descritiva para caracterizaçãoda amostra e qualidade de vida. Para avaliar a confiabilidade de um questionário aplicado em uma pesquisa foi utilizado o alfade chrombach. Resultados: dados demográficos; média de idade - 38 anos, 53,2% - solteiros, 52,6% - pardos e 36,7% - baixaescolaridade. Aproximadamente 62,1% apresentavam ocupação remunerada e 53,1% renda entre 0 a 1 salário mínimo. Condiçõesclínicas e estilo de vida; 50,6% com tempo de diagnóstico >18 anos, 3,7% contagem de linfócitos TCD4 0 ≤ 200, prevalênciade contágio sexual - 88,6%, comorbidades - 65,8%, não faz uso de álcool - 80%, não faz uso de cigarro - 84,8% e praticantesde exercícios - 56,6%. Conclusão: Dimensões WHOQOL HIV-bref; relações sociais e nível de independência foram os maiscomprometidos, já espiritualidade, religiosidade e crenças pessoais foi o domínio menos comprometido.
Pengaruh Foot Reflexology dan Back Massage Terhadap Nilai Skor Fatique pada Pasien Hemodialisa di RSUD Kota Bekasi
Authors: Khamid Abdul , Suradika Agus , Irawati Diana , S Hentu Ardin
Published: October 2024

End  Stage  Renal Disease (ESRD) menjadi salah satu penyebab kematian dinegara maju dan negara berkembang di mana permasalahan ESRD memerlukan terapi pengganti.Hemodialisis merupakan terapi yang dilakukan seumur hidup dengan frekuensi tindakan setiap 2-3 kali/minggu dan durasi yang dibutuhkan yaitu 4-5 jam dalam setiap satu sesi hemodialisis. Proses dialisis yang berkepanjangan akan menyebabkan stres dan dapat menimbulkan berbagai psikologis dan sosial yaang dapat menyebabkan gangguan psikologis. Pasien dengan hemodialisa jangka p5anjang akan menderita tekanan fisik dan mental.Fatique adalah perasaan subyektif yang tidak menyenangkan berupa  keluhan  yang  paling sering  dirasakan  yaitu  sebanyak  60-97% dari  total  pasien  yang  menjalani  HD. Desain penelitian ini menggunakan two grup Pre post-test design dengan analisa data uji T dependen untuk data bivariat, dan distribusi frekuensi untuk data univariat  sebelum dan setelah pemberian  Foot Reflexology dan Back Massage di uji menggunakan instrumen Fatique Assament Scale FAS. Terdapat 48 pasien yang mengalami nilai skala fatique. Setelah diberikan intervensi terjadi penurunan nilai skala fatiqueleep  sebesar 1.32 dengan pvalue < 0,00. Dapat disimpulkan bahwa Foot refleksiologi dan back massage  berpengaruh dalam menurunkan nilai skor fatique.
Hubungan Perilaku Merokok dengan Kejadian Hipertensi pada Laki-Laki Usia 30-50 Tahun
Authors: Rogayah  , Barkah Asep , Laksamana Jati Bayu
Published: October 2024

Pola hidup modern telah mengubah sikap dan perilaku manusia salah satunya adalah perilaku merokok yang dijadikan sebagai gaya hidup. Jumlah perokok di Indonesia semakin meningkat. Beberapa dampak dapat terjadi akibat perilaku merokok. Penyakit tersebut diantaranya adalah Hipertensi. Karya tulis ini bertujuan mengetahui hubungan perilaku merokok dengan kejadian hipertensi pada laki-laki usia 30-50 tahun di wilayah RT.009/RW.001 Kel. Jatibening Tahun 2018. Desain penelitian menggunakan desain penelitian deskripsi asosiatif dan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh laki laki yang berusia 30-50 tahun dan tinggal di wilayah RT.009/RW.001 Kel. Jatibening sebanyak 107 orang dengan sampel 52 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah Purposive sampling. Hasil dalam penelitian ini adalah terdapat hubungan yang signifikan antara perilaku merokok dengan kejadian hipertensi dengan nilai p value =0,000. Diharapkan bagi pelayanan kesehatan dapat menciptakan lingkungan yang dapat membatasi para perokok melakukan kegiatan merokok seperti bekerja sama dengan pemerintah daerah maupun pusat dalam membatasi peredaran rokok.
Hubungan Pola Makan dengan Kejadian Gastritis pada Mahasiswa Tingkat II di Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara Jakarta
Authors: Rohani  , Sri Futriani Elfira , Tridiyawati Feva , Maulana Putri Devia
Published: October 2024

Timbulnya suatu penyakit berpengaruh terhadap perubahan gaya hidup dan pola konsumsi makanan yang merangsang peningkatan asam lambung seperti : asinan, cuka, sambal,serta kebiasaan merokok dan minum alkohol, sehingga banyak timbul masalah kesehatan, salah satunya gangguan pada lambung seperti gastritis. Gastritis adalah suatu peradangan mukosa lambung yang bersifat akut, kronik, difus atau local, dengan karakteristik anoreksia, perasaan penuh diperut (tengah), tidak nyaman pada epigastrium, mual, dan muntah (Adriansyah, 2013). Untuk mengetahui hubungan pola makan dengan kejadian gastritis pada mahasiswa tingkat 2 Sekolah Tinggi Ilmu Kesehatan Abdi Nusantara Jakarta tahun 2018. Metode penelitian yang digunakan dalam penelitian ini adalah analitik yang bertujuan untuk melihat adanya hubungan dngan menggunakan metode “cross-sectional’” yaitu jenis variabel sebab (independent) maupun variabel akibat (dependent) diukur dalam waktu bersamaan. Dari hasil cross tabulasi antara variabel pola makan dengan kejadian gastritis menunjukan hasil statistic Continuity Correction diperoleh nilai P= 0.073 (P.Value>0.05) artinya HA ditolak dan HO diterima, yang berarti ada hubungan antara variabel pola makan dengan kejadian gastritis. Diketahui dari 65 responden kejadian terbanyak terdapat pada kategori mahasiswa yang mengalami gastritis yaitu sebanyak 36 orang (55.4%) responden. Sedangkan responden yang tidak mengalami gastritis terdapat 29 orang (44.6%) responden. diharapkan penelitian ini dapat digunakan sebagai acuan atau referensi bagi peneliti lain yang akan melakukan penelitian serupa.
METHODOLOGICAL PRINCIPLES OF USING LAND CADASTRAL INDICATORS IN WATER FUND MANAGEMENT
Authors:   Ph.D., Ministry of Water Resources, Uzbekistan, Mavlanberdievich Yunusov Begench
Published: October 2024

Keeping the land accounting in the correct modern methods and carrying out a complete survey of the land areas and rational use of land resources, the accuracy of the cadastral data, determining the amount of the water fund lands by transferring them to the disposal of the relevant organizations is of great importance in ensuring economic stability in the regions. From this point of view, the article provides information on increasing the economic efficiency of cadastral indicators, the use of water fund lands in the regions and their control.
Real-world estimation taps into basic numeric abilities
Authors: Kreis Barbara K. , Groß Julia , Pachur Thorsten
Published: October 2024

Accurately estimating and assessing real-world quantities (e.g., how long it will take to get to the train station; the calorie content of a meal) is a central skill for adaptive cognition. To date, theoretical and empirical work on the mental resources recruited by real-world estimation has focused primarily on the role of domain knowledge (e.g., knowledge of the metric and distributional properties of objects in a domain). Here we examined the role of basic numeric abilities – specifically, symbolic-number mapping – in real-world estimation. In Experiment 1 ($$N=286$$

N
=
286

) and Experiment 2 ($$N=592$$

N
=
592

), participants first completed a country-population estimation task (a task domain commonly used to study real-world estimation) and then completed a number-line task (an approach commonly used to measure symbolic-number mapping). In both experiments, participants with better performance in the number-line task made more accurate estimates in the estimation task. Moreover, Experiment 2 showed that performance in the number-line task predicts estimation accuracy independently of domain knowledge. Further, in Experiment 2 the association between estimation accuracy and symbolic-number mapping did not depend on whether the number-line task involved small numbers (up to 1000) or large numbers that matched the range of the numbers in the estimation task (up to 100,000,000). Our results show for the first time that basic numeric abilities contribute to the estimation of real-world quantities. We discuss implications for theories of real-world estimation and for interventions aiming to improve people’s ability to estimate real-world quantities.
Manejo Quirúrgico Mínimamente Invasivo en Pólipo Juvenil no Susceptible a Resección Endoscópica, en el Hospital Pediátrico Baca Ortiz, Quito – Ecuador, Reporte de Caso
Authors: Crisrtina Sola Naranjo Md. Diana , Rodrigo Zambrano Cárdenas Dr. Esp. Eduardo , Jiménez Morejón Dr. Esp. Vinicio Xavier , María Ugazzi Betancourt Dr. Esp. Michele José
Published: October 2024

El pólipo intestinal es un tumor que protruye desde la pared hacia la luz intestinal, pueden ser único (aislado) o múltiple. Pese a que se reporta su mayor frecuencia en varones en su primera infancia, la incidencia oscila del 1 al 2%. Se ha reportado que el 70 al 80% son de presentación única y de localización distal (colon, recto sigmoides). Clínicamente varían desde asintomáticos a cuadros de constipación o diarreas y enteropatía perdedora de proteínas, desnutrición, anemia y hemorragia gastrointestinal, entre otras. El diagnóstico se establece en la colonoscopía, endoscopia digestiva alta o cápsulas endoscópicas para establecer su localización real.  El tratamiento de elección en pólipos pediculados es la exéresis de la lesión durante la endoscopia o colonoscopia, sin embargo, las lesiones de mayor tamaño y de acuerdo a sus características se prefiere la resección quirúrgica mediante abordaje abierto o por laparoscopía. En base a lo mencionado se reporta el caso de un niño de 9 años, con cuadro de rectorragias y dolor abdominal esporádico, en estudios de imagen se evidenció una lesión compatible con pólipo localizado en intestino delgado, por su tamaño y localización se le realizó resección de la lesión mediante laparoscopía, con excelentes resultados. Con lo que concluimos que las lesiones intestinales asiladas, sintomáticas deben ser estudiadas en el paciente pediátrico, para un diagnóstico y manejo oportuno, en las lesiones de mayor tamaño que de difícil resección mediante endoscopia, la laparoscopía es una adecuada opción terapéutica por las ventajas que presenta y menor riesgo de complicaciones.
Upaya Meningkatkan Hasil Belajar IPS Terpadu Materi Pokok Perubahan Sosial Budaya dan Globalisasi Melalui Penerapan Metode Reciprocal Teaching Siswa Kelas IX.2 MTsN 10 Bireuen
Authors: A. Bakar Zahiati
Published: October 2024

This study aims to see whether learning with reciprocal teaching methods can improve learning outcomes and increase student activity in participating in teaching and learning activities in Integrated Social Studies subjects in grade IX.2 MTsN 10 Bireuen Odd Semester Academic Year 2019/2020. The subjects in this study were 32 students of grade IX.2 MTsN 10 Bireuen. The data in this study was processed by tabulating data and analyzed and processed manually. From the results of the initial data to cycle III, the average learning outcome was 74.91 with completeness reaching 62.50% in cycle I, an average of 83.31 with completeness of 81.25% in cycle II, and an average of 87.78 with completeness reaching 100% in cycle III. The result of this study is that the reciprocal teaching method can improve the learning outcomes of Integrated Social Studies, and increase the competence of the preparation of the Integrated Social Studies cycle in grade IX.2 students, and can increase student activity in participating in teaching and learning activities.
Schaufenster der Christian-Albrechts-Universität
Authors: Petersen Susanne , Ober Dietrich
Published: October 2024

Als eine der ältesten Einrichtungen der Christian-Albrechts-Universität zu Kiel ist der Botanische Garten Kiel mit seinen über 355 Jahren ein Ort der Wissenschaft, der universitären Bildung und der Erholung für die
Bürgerinnen und Bürger der Stadt Kiel und des Landes Schleswig-Holstein. Im Verbund mit den Botanischen Gärten der Welt stellt sich der Botanische Garten Kiel mit seinen umfangreichen und wertvollen Pflanzensammlungen
dem immer schneller fortschreitenden Verlust der natürlichen Vielfalt entgegen und engagiert sich nicht nur für die Sensibilisierung der Öffentlichkeit für die Herausforderungen der Zukunft, sondern auch für die Aus- und
Weiterbildung der Verantwortlichen von morgen.
Evolution of Algerian’s given names referring to Arabic plant names
Authors: Benaissa Keltoum
Published: October 2024

The Arabic personal names meaning can be classified in several categories, those related with nature, plant or agricuiture are common in the Algerian anthroponymy. The naming of the new born is the dutty of the parents who must choose a good, a blessful, shining name, specific to the gender of the newborn. The aim of this paper is to evaluate how much the names related to floriculture is commonly used and constant in genrations.
In this paper we examined the evolution of given names of Algerian people. The analyzed sample was the lists of names of person (male and female) of three generations: old people, youth and kids . To estimate the frequency of those given names we exanime about 1000 names of lecturers, students and pupils.
The obtained results show that the given names referring to floriculture are about 45 plants in Algerian anthroponymy , females are named more than male names referring to Arabic plant names. There are common names found in the 3 generations (the case of Zahra(Citrus sp)an aromatic plant, Nesrine (Rosa canina) an ornamental plant), other classic names (case of Khoukha (Prunus persicae) a fruit tree) and modern (case of Bailassan (Sambiscus nigra) a medicinal plant.
According to Algerian beliefs, the floriculture species that arround a person make it inspirational, that the people use one plant name, or a combination of names as given names for a newborn,
Seronegative Neonatal Lupus: Case Report
Authors: Aoussar C. , Nahi C. , Ichane M. A , Mouadine K. , Chkirate B.
Published: October 2024

Neonatal lupus erythematosus (NEL) is a rare autoimmune disease characterized by transplacental transmission of maternal antibodies, primarily directed against SSA/Ro or SSB/La proteins. Clinical manifestations include cutaneous, hematologic, hepatic, and cardiac symptoms, including congenital atrioventricular block (cAVB). Although cutaneous symptoms are often reversible and treated with topical steroids, cardiac complications, such as cAVB, are considered irreversible and can be fatal. Pregnant women with specific antibodies should be screened, and fetal echocardiography is recommended for prenatal screening. Traditional treatments include corticosteroids, although hydroxychloroquine and intravenous immunoglobulin (IVIG) may be effective alternatives to reduce the risk of cardiac complications in newborns.
A case for idle graffiti
Authors: Herskind Lasse Lukas Platz
Published: October 2024

This article engages critically with the interpretative approaches to prehistoric art, demonstrating a marked resurgence of semiotic hypotheses in recent years. This ‘semiotic resurgence’ is challenged through a case study of the portable art of Mesolithic South Scandinavia. Through a quantification of this early to middle Holocene corpus, this article proposes that passive cultural drift has likely governed the bulk of the ornamentation practice within this otherwise socially complexifying period. This implies that a primarily decorative, ‘art for art’s sake’ interpretation is deemed the most likely for this particular corpus – a salute to the near-forgotten notion of ‘somebody’s idle moments’, tentatively suggested by JGD Clark in
The Mesolithic settlement of Northern Europe
(1936). To contextualise this argument, the various interpretative approaches to prehistoric art are outlined and discussed.
3D Morphology and Motions of the Canis Major Region from Gaia DR3
Authors: Dong Yiwei , Xu Ye , Hao Chaojie , Li Yingjie , Liu Dejian , Sun Yan , Lin Zehao
Published: October 2024

The Canis Major (CMa) region is known for its prominent arc-shaped morphology, visible at multiple wavelengths. This study integrates molecular gas data with high-precision astrometric parameters of young stellar objects (YSOs) from Gaia DR3 to provide the first three-dimensional (3D) insights into the dynamical evolution and star formation history of the CMa region. By utilizing the average distances and proper motions of the YSOs as proxies for those of the molecular clouds (MCs), we confirm the presence of a slowly expanding shell-like morphology in the CMa region, with an estimated radius of 47 ± 11 pc and expansion velocity of 1.6 ± 0.7 km s−1. Further, the dynamical evolution of the shell supports its expansion, with an expansion timescale of ∼4.4 Myr obtained by the traceback analysis assuming constant velocities. Finally, a momentum estimate suggests that at least two supernova explosions are needed to power the observed expanding shell, reinforcing the previous hypothesis of multiple supernova events. This study effectively combines CO data with the astrometric data of YSOs from Gaia, offering significant support for future studies of the 3D morphology and kinematics of MCs.
On the Corotation of Milky Way Satellites: LMC-mass Satellites Induce Apparent Motions in Outer Halo Tracers
Authors: Garavito-Camargo Nicolás , Price-Whelan Adrian M. , Samuel Jenna , Cunningham Emily C. , Patel Ekta , Wetzel Andrew , Johnston Kathryn V. , Arora Arpit , Sanderson Robyn E. , Garrison Lehman , Horta Danny
Published: October 2024

Understanding the physical mechanism behind the formation of a corotating thin plane of satellite galaxies, like the one observed around the Milky Way (MW), has been challenging. The perturbations induced by a massive satellite galaxy, like the Large Magellanic Cloud (LMC), provide valuable insight into this problem. The LMC induces an apparent corotating motion in the outer halo by displacing the inner regions of the halo with respect to the outer halo. Using the Latte suite of Feedback In Realistic Environments cosmological simulations of MW-mass galaxies, we confirm that the apparent motion of the outer halo induced by the infall of a massive satellite changes the observed distribution of orbital poles of outer-halo tracers, including satellites. We quantify the changes in the distribution of orbital poles using the two-point angular correlation function and find that all satellites induce changes. However, the most massive satellites with pericentric passages between ≈30 and 100 kpc induce the largest changes. The best LMC-like satellite analog shows the largest change in orbital pole distribution. The dispersion of orbital poles decreases by 20° during the first two pericentric passages. Even when excluding the satellites brought in with the LMC-like satellite, there is clustering of orbital poles. These results suggest that in the MW, the recent pericentric passage of the LMC should have changed the observed distribution of orbital poles of all other satellites. Therefore, studies of kinematically coherent planes of satellites that seek to place the MW in a cosmological context should account for the existence of a massive satellite like the LMC.
Origin of Line Broadening in Fading Granules: Influence of Small-scale Turbulence
Authors: Ishikawa Ryohtaroh T. , Katsukawa Yukio
Published: October 2024

In the quiet region of the solar photosphere, turbulent convective motions of the granular flows naturally drive the subgranular-scale flows. However, evaluating such small-scale velocities is challenging because of the limited instrumental resolution. Our previous study, R. T. Ishikawa et al., found line-broadening events during the fading process of granules; however, their physical mechanism has remained unclear. In the present study, we observed the fading granules with the Hinode-SOT/SP and performed spectral line inversions. Moreover, we investigated the broadening events of synthesized spectra in fading granules reproduced by the MURaM simulation. Our results demonstrated that the small-scale turbulent motions are excited in the fading process, and such turbulent flows contribute to line broadening. The spectral line widths can be potential tracers of the photospheric turbulent flows.
Mass-transfer Outbursts Reborn: Modeling the Light Curve of the Dwarf Nova EX Draconis
Authors: Schlindwein Wagner , Baptista Raymundo
Published: October 2024

EX Draconis is an eclipsing dwarf nova that shows outbursts with moderate amplitude (≃2 mag) and a recurrence timescale of ≃20–30 days. Dwarf novae outbursts are explained in terms of either a thermal-viscous instability in the disc or an instability in the mass-transfer rate of the donor star (MTIM). We developed simulations of the response of accretion discs to events of enhanced mass transfer, in the context of the MTIM, and applied them to model the light curve and variations in the radius of the EX Dra disc throughout the outburst. We obtain the first modeling of a dwarf nova outburst by using χ
2 to select, from a grid of simulations, the best-fit parameters to the observed EX Dra outbursts. The observed time evolution of the system brightness and the changes in the radius of the outer disc along the outburst cycle are satisfactorily reproduced by a model of the response of an accretion disc with a viscosity parameter α = 4.0 and a quiescent mass-transfer rate

M

̇

2

(
quiescence
)
=
4.0
×

10

16

g s−1 to an event of width Δt = 6.0 × 105 s (∼7 days) where the mass-transfer rate increases to

M

̇

2

(
outburst
)
=
1.5
×

10

18

g s−1.
Systematically Measuring Ultradiffuse Galaxies. VII. The H i Survey Overview
Authors: Karunakaran Ananthan , Motiwala Khadeejah , Spekkens Kristine , Zaritsky Dennis , Donnerstein Richard L. , Dey Arjun
Published: October 2024

We present the results from the neutral hydrogen (H i) follow-up survey of 378 optically detected ultradiffuse galaxy (UDG) candidates from the Systematically Measuring Ultra-Diffuse Galaxies survey using the Robert C. Byrd Green Bank Telescope. We detect H i in 110 targets and determine 37 to be UDGs and 73 to be low-surface-brightness (LSB) dwarfs based on their effective radii and central surface brightnesses. In line with previous studies, we find that: (i) our H i detections have on average bluer g − r colors and more irregular morphologies than our H i nondetections, (ii) our H i detections populate the tail end of the star-forming main sequence from the ALFALFA catalog with marginally lower specific star formation rates, and (iii) H i detections are mostly in relatively isolated (i.e., field) environments, while most nondetections have at least one nearby neighbor in projection. We find that the H i mass to stellar mass ratios (i.e., gas richnesses) scale with the physical sizes for UDGs and LSB dwarfs alike, suggesting that mechanisms other than bursty star formation feedback may be at play for UDGs. However, we find a stronger trend between gas richnesses and physical sizes if we define UDGs using their effective surface brightness instead of their central surface brightness. We are in the process of using this unprecedented sample of UDG candidates to carry out detailed follow-up studies (i.e., star formation and environmental analysis, comparisons to simulations) and are obtaining resolved H i observations for several of them.