bluuebunny/crossref_metadata_2025 huggingface dataset:
Misinterpretation of Section 304A IPC vis-a-vis 304IPC in Medical Negligence Cases – Deliberate or Inadvertent?
Authors: Binay Kumar  , Avinash Kumar  , Vinita Kumari  , Ashok Rastogi  , Nawal Kumar  , Himanshi
Published: April 2021

Negligence is specific tort and in any given circumstances is the failure to exercise that care which thecircumstances demand. What amounts to negligence depends on the facts of each particular case. The degreeof care required in a particular case depends upon the surrounding circumstances, and may vary accordingto the amount of risk to be encountered and to the magnitude of the prospective injury. A basic knowledge ofhow judicial forums deal with the cases relating to medical negligence is of absolute necessity for doctors.The need for such knowledge is more now than before. In light of higher premium being placed by the IndianForums on the value of human life and suffering, but sometimes misinterpretations are done deliberatelyor inadvertently when the doctors are charged for culpable homicide not amounting to murder (304 IPC)instead of medical negligence (304 A IPC). A case of medical negligence is being discussed in which agynaecologist has been charged for 304IPC instead of 304A IPC. The scenario was that, the patient died afterreadmission in private hospital, who had delivered a healthy baby, managed properly and discharged by theGynaecologist and suffered undiagnosed complications after discharge at home. The charge was framed thatthe doctor was absent from the hospital and the case was handled by nurses on telephonic conversation withdoctor. Earlier also the doctors had been prosecuted under 304IPC instead of 304A IPC in lower courts andeven high courts (e.g. Jacob Mathews V. State of Punjab, Dr. Suresh Gupta V. Govt. of NCT Delhi). But inmany cases, finally Supreme Court set aside the judgement of high court and held that the doctors could notbe criminally prosecuted.
Occupational Stress and Its Impact on Work and Work-Life Balance among Nurses in a Large Private Hospital in South India
Authors: Adiba MSW  , Ravichandran Nair
Published: April 2021

The job stress is common among all the professions. The nursing profession is combined with stressfulwork environments and heavy workload that are leading to work life imbalance. Stress has been a routineand accepted as part of the nursing profession and there is lack of research on occupational stress in southIndia. The aim of this study is to find out the factors of occupational stress and its impact on work andwork life balance of nursing professionals in a large private hospital in south India. There are many reasonsthat affect work life balance of the nursing professionals. The study is focused on more on factors thatleads to occupational stress. The universe of the study was nursing professionals in a large private hospitalin South India. For this study purpose the researcher is used quantitative study method and descriptiveresearch design. The hospital is having more than one thousand bed capacity and consists of 600 nursingprofessional including permanent and contractual nature of employment. The study sample consists of 60respondents (permanent nurses) including both male and female nursing professional are selected. Simplerandom sampling method is used and collected primary data. The data is collected by using self-administeredquestionnaire. The questionnaires were distributed among in all the wards/units of the hospital. The dataanalysis was done through Microsoft Excel and the inferences were drawn and presented. The findings of thestudy reveal that the heavy workload, long working hours and insufficient staff are the main factors that leadto occupational stress. The stress really affected on their work life balance and nursing professionals werenot able to concentrate on their work which will also lead to other health related problem.
The Effect of Using an Exercise-Nutrition Program on Some Physiological Variables on Diabetes Patients
Authors: Sherin Hussien  , Dina Farouk Atef Morad  , Naglaa Mohamed Abdelhamid Ibrahim  , Mohammed Nader Shalaby
Published: April 2021

The tremendous and astonishing technological progress in the modern era in all different fields has ledto a lack of human mobility and thus a lack of physical and physiological competence, which made himvulnerable to many diseases called hypokinetic diseases such as cardiovascular disease, obesity, lower backpain, diabetes, and high blood pressure. The Study Problem: Diabetes is one of the most common andwidespread diseases today, and failure to control this disease will lead to many complications, includingcardiovascular disease, high-fat content, in addition to limb muscle atrophy, high blood pressure andperipheral nerve inflammation, which sometimes leads to leg amputation. The cause of death and this is thesource of the problem. The Study Objectives: Knowing the blood sugar level of non-athletic patients aged40-55 years before the program. Designing an athletic program for diabetics aged 40-55 years who are nonathletes for the research group. To know the effect of the program on blood sugar, HDL cholesterol, and PCVblood viscosity for the research group. Identify the effect of the program on the nerve signals received fromthe upper and lower extremities of the research group. The study community the human field: people withdiabetes who are 40-55 years old who are not athletes. from 1/3/2020 to 1/7/2020. Hospitals and specializedcenters for treating this disease and the Physiotherapy Center for Sports Medicine in Egypt. Results: thevalues of the blood sugar test indicate the significance of the differences between the pre-and post-tests andin favor of the post-test, considering that the drop in blood sugar level is a positive case. blood HDL ratiotest indicates the significance of the differences between the pre-and post-tests and in favor of the post-test,considering that the drop in blood sugar level is a positive case. blood HDL ratio test considering the highlevel of HDL cholesterol is a positive case. Conclusions: 1-The diet and exercise program has a positiveeffect on low blood sugar levels. 2-The sports and nutritional program have a positive effect on the levelof high-density lipoprotein (HDL) cholesterol in the blood. 3-The sports and nutritional program have apositive effect on blood viscosity (PCV). 4-The sports and nutritional program have a positive effect on thenerve signals coming from the upper and lower extremities.
Comparison between the PaxView TB/NTM MPCR-ULFA Kit and Xpert MTB/RIF for Mycobacterium Tuberculosis Detection in Indonesian Clinical Isolates
Authors: Ayunda Imaniar  , Ucy Nadjmiyah  , Munawaroh Fitriah  , Soedarsono Soedarsono  , Aryati Aryati
Published: April 2021

The PaxView TB/NTM MPCR-ULFA Kit, which targets the IS6110 and mtp40 genes for Mycobacteriumtuberculosis (MTB) detection, is a novel tool that substitutes gel electrophoresis for universal lateral flowassays. The sensitivity and specificity of this method were compared with those of established methodologiesusing Indonesian clinical isolates. In this study, 317 sputum specimens isolated from tuberculosis (TB)suspects were examined to evaluate the performance of the PaxView TB/NTM MPCR-ULFA Kit comparedto that of smear microscopy and the Xpert MTB/RIF assay. Out of 317 cases, the rate of TB-positivesamples evaluated by different methods was 33.4% (106/317; 95% CI 28.2-38.6) for smear microscopy,37.9% (120/317; 95% CI 32.5-43.2) for the Xpert MTB/RIF, and 40.7% (129/317; 95% CI 35.3-46.1) forthe PaxView TB/NTM MPCR-ULFA Kit. Compared to the Xpert MTB/RIF as a standard reference, thePaxView TB/NTM MPCR-ULFA Kit was found to possess a 92.5% sensitivity (111/120; 95% CI 87.8-97.2), a 90.8% specificity (179/197; 95% CI 86.8-94.8), 86.0% PPV (111/129; 95% CI 80.0-92.0), anda NPV 95.2% (179/188; 95% CI 92.2-98.3). The PaxView TB/NTM MPCR-ULFA Kit could be a usefulmolecular diagnostic tool to identify MTB in clinical samples in resource-limited countries, as this procedureis more cost-effective and sensitive than the Xpert MTB/RIF, and more convenient than conventional PCRgel electrophoresis approaches.
Functional Generating Bite Therapy in Children During Growth and Development Period
Authors: Harun Achmad  , Nurhayani Safitri  , Yana Paromova  , Vitaly V. Goncharov  , Risti Saptarini Primarti  , Eriska Riyanti
Published: April 2021

Introduction: Function generating bite is an individualized functional appliance made from acrylic resincomprised of several components namely: SS bite blocks, buccal shields, expansion coil and palatal button.This appliance enables teeth reposition entirely based on the temoporomandibular joint physiologicalcondition and avoiding cups-to-cusp misalignment. This is due to the fact that the SS bite block allows opencontact in the posterior region to open the mandible and regulate/reposition the mandible in three differentplanes during orthodontic movement. One of the vital mechanisms of bite block is occlusal plane levelingand dental arch parallelism to prevent the occurrence of dental trauma. Method: In this systematic review,article search was performed using Google Search and Pubmed. Articles published from 2000 and 2020were included. Seven articles were found which include: 7 articles from electronic search and 0 articles frommanual search, 7 articles were screened, 1 article was excluded and 6 articles were included for feasibilitytest and 6 complete articles were included. Results: There were 6 articles on functional generating bite thatcan correct malocclusion whilst increasing the masticatory function. Conclusion: Function generating biteis not only able to correct malocclusion but can also have an effect on mastication, hence this appliance canbe used as a therapeutic tool for masticatory function in children during growth and development.
Maternal and Perinatal Outcomes in Uncorrected Tetralogy of Fallot
Authors: Khanisyah Erza Gumilar  , Christina Meilani Susanto  , Erry Gumilar Dachlan
Published: April 2021

Background: Tetralogy of Fallot (TOF) is the most common congenital heart disease in the population.Correction of TOF during infancy or childhood may increase the quality of patient’s life. Uncorrected TOFmay cause further complications later on. Pregnancy with uncorrected TOF may cause complications onboth maternal and fetal sides.Objective: to analyze maternal and perinatal outcomes in patients with uncorrected TOF during pregnancy.Methods: This is a retrospective study. A total of 8 pregnant women diagnosed with TOF registered inthe Obstetric-Cardiac unit in 3 years (2016-2018). Medical records were reviewed for clinical assessment,echocardiography results, and therapy during hospitalization. Patients were contacted by telephone to providean obstetric history, including details of pregnancy and delivery. Five of 7 patients able to be contacted, andhome visits were done to evaluate their conditions.Results: There were 8 pregnant women with uncorrected TOF. Most cases (87,5%) were first diagnosedduring pregnancy and delivery. Intra-Uterine Growth Restriction (IUGR) and abortion (62.5% and 25%,respectively) were the most obstetric complications. Cardiac complications were cardiogenic shock (12.5%),thromboembolic (12.5%), and various degree of heart failure (62.5%). The number of Small for GestationalAge (SGA) was 66.7%. Incidence of congenital heart disease (CHD) in the fetus was 20%. One death caseand 2 abortions from a total of 8 cases were found.Conclusion: TOF may cause many maternal and fetal complications. The most common maternalcomplications are heart failure, cardiogenic shock and thromboembolic, while perinatal complicationsinclude IUGR, SGA and abortion.
The Role of HMGB1and KIM-1 Repair Genes in the Progression of Kidney Failure Disease
Authors: Alyaa Abdulhadi Salih  , Kareem Hamed Ghali
Published: April 2021

Renal Failure(RF) is a leading clinical characteristic of patients in nephrology , it represents significantconcern and the main challenge for healthcare systems. The incidence rate of RF is rising globally , mainlyas a result of increased aging population. The current study , was performed to identify the effect ofHMGB1and KIM-1gene expression in renal failure disease focusing on it is role on the repair processes.This study comprises 100 patients diagnosed clinicaly and seriologicaly with renal failure )52 males and 48females ) their age vary from (17 to 80 years) and 30 healthy individuals as a control group( 18 males and12 females ). RNA extracted from blood samples and converted to cDNA which subjected to real-time PCRfor detection gene expression .HMGB1 and KIM-1 have significantly overexpression (3.51 folds and 5.37folds ) respectively in RF patients compared with healthy control subjects ( p <0.05). However , HMGB1and KIM-1 gene folding elevated gradually with advance the severity of the RF disease.
Identification of Novel Bacteria by Using 16S rRNA from Clinical and Soil Samples
Authors: Enas A. Bady  , Sabaa Ali Mohammed Al-Fadal  , Rafeef Amer Abdul-Jabar  , Dheyaa B. Al-Rubeai
Published: April 2021

The 16S rRNA gene is a useful tool and molecular indication for identifying novel bacterial species fromdifferent sources. It is widespread for members of this field and thanks to the continuous expansion ofinformation sequence databases. We isolated Gram-negative and Gram-positive bacilli from the respiratoryinfections and soil respectively, and phenotypical and molecular identifications were performed. Geneticanalysis indicated that the isolated bacteria were a new species belonging to Bacterium strain and Proteus sp.Bacterium strain JND-RSIb-21A with Accession number MW013547.1 which closely related (99.8%) withBacillus subtilis strain JND-RSIb-21A for its Transversion point mutation (G instead of C) at the position445 bp. Proteus sp. strain AMJ131 with Accession number MW015095.1 the isolate related closely (99.8%)to Proteus mirabilis strain AMJ131for two-point mutations Transition of (G instead of T) and Transversionof (T instead of A) at position 9bp and 10bp respectively
Genotype Frequency of Cytochrome P450 2C9 (CYP2C9) Mutations in Iraqi Ethnic Groups
Authors: Suhad R. AL- Tayie  , Salwa Jaber Al-Awadi  , Iqbal harbi Mohammed Al-Zaidi
Published: April 2021

In Middle East, There is a little knowledge about the cytochrome P450s genotyping and there has not foundany investigation about the CYP2C9 allelic diversity in Iraqi population nowadays .CYP2C9 genotypes wereestablished in a total of 400 subjects of healthy Iraqis volunteers from different areas in Iraq (Arab ,Kurdand Turkmen). After extraction of DNA from blood cells and polymerase chain reaction, SNP genotypingfor CYP2C9 variants (2,3,4 and 5) was performed by using the primer extension KASP® genotyping assay.The agreement with “Hardy-Weinberg equilibrium” for detected the distribution of CYP2C9 genotypewas proved by (X2 – test) .The CYP2C9*2 , CYP2C9*3 and CYP2C9*5 alleles variant were identified inIraqi population , whereas the CYP2C9*4 was absent , The results revealed that there was non- significantassociation observed in all CYP2C9 genotypes among Iraqi ethnic groups .then The CYP2C9 genotypesresults in our study were compared to other populations and The results exhibited that the frequency of Iraqipopulation CYP2C9 variants were comparable with other countries and ethnic groups. This is the first reportof CYP2C9 variants from Iraq; the results are assist as a database on CYP2C9 gene polymorphisms andclinical data baseline for dosing and avoiding adverse reactions of drugs metabolized by CYP2C9 in Iraqispatients.
Role of Serum Malondialdehyde (MDA) and Vitmin- C Level in Non-Smokers and Chronic Smokers with Acute Myocardial Infarction (AMI) in Male
Authors: Ranjit Ambad  , Saurabh Hadke  , Pradip Jain  , Ashish Anjankar
Published: April 2021

Introduction: Cigarette smoking is recognized as a serious health hazard as each cigarette tears away 7-11minutes of human life. The present study aimed to investigate the serum MDA and vitamin c levels in nonsmoker and chronic smoker with AMI patient and its association with cigarette consumption. Cigarettesmoke contains many oxidants capable of generating reactive oxygen species and reactive nitrogen species.These species play a key role in oxidative stress, leading to the development and progression of manydisorders, including hypertension, cancer, diabetes mellitus and cardiovascular diseases.Methods: This study was conducted in the Medicine Department at DMMC & SMHRC, Nagpur incollaboration with ABVRH, Sawangi (Meghe) during September 2020 to January 2021. Informed consentwas obtained from all the subjects. 40 controls who were apparently healthy non-smokers were includedafter appropriate matching (for age and sex) and 40 apparently healthy chronic smokers were selected 40chronic smokers with diagnosed acute myocardial infarction were selected from SMHRC. All of them weremale subjectsResult: The MDA and vitamin C were compared between Group A and Group B and also between Group Band Group C. There was a significant rise in MDA (p<0.0001) and significant decrease in vitamin C (p<0.01)in Group B compared to Group A. There was a significant rise in MDA (p<0.0001) and significant decreasein vitamin C (p<0.001) in Group C compared to Group B.Conclusions: The increase in serum MDA level and decrease in vitamin C was found in chronic smokerscompared to non-smokers. It was also found that there is increase in serum MDA and decrease in vitamin Cin smokers with AMI compared with smokers without AMI, and the reason for this inter-subject variabilityof MDA and vitamin C levels may be due to gene-environmental factors.
Physical and Psychological Health of Nursing Staff During the Pandemic: Effect of Stress
Authors: Rohini Panchbhai  , Rucha Lohi  , Shaini Suraj  , Vijay Babar
Published: April 2021

Stress is part of life and it affects the people in different ways. If stress is not managed properly it can lead toanger, frustration or depression. High stress levels can cause physical or psychological issues. It might causeheadache, weight loss or weight gain, dizziness, teeth grinding, lack of sleep, laziness, body pain, anger,irritation, anxiety or depression. The nursing staff being part of a sector which falls under essential serviceswas at work in hospitals during the pandemic COVID 19. They had to report to services in spite of the factthat they were equally exposed to the risk of getting the infection. In such situation the nursing staff wasworking under stress. This study aims to investigate the relationship between the stress and health of nursingstaff employed in the COVID 19 ward.
A Study to Assess Awareness Levels and Status of Lipid Parameters in the Subjects with Coronary Artery Disease in Tertiary Care Setup in a Rural Area
Authors: DVSS Ramavataram  , Prasad Snehita  , Tejas Shah  , Sheetal Chhaya  , Mishra Mritunjay
Published: April 2021

Background:-. Among the various cardiovascular diseases, Coronary artery disease is one of the majoretiology of mortality and morbidity in the world wide population. It is a prevalence in mainly older adultsand exists in the entire health context. The CAD prevalence was strongly associated with various lipidparameters such as cholesterol and different lipoprotein fraction, which contributed as a major factor for theprogression of CAD. In spite of various therapeutic advances, so for safe and effective management of CAD,there are requirements for consideration of risk/benefits and goals of care.Objective: To determine the current level of knowledge of the symptoms and duration of diseases and alsocomparison of lipid parameters in cases and control.Material and Methods:-The study was a case control observational study conducted in the department ofbiochemistry, SBKSMI& RC. A total of 200 subjects of 100 Coronary artery disease (CAD) and 100 healthycontrol were enrolled to assess lipid parameter and duration of diseases.Result: - There were 82% male and 18% female in case group and CAD caused majorly by the anginawhich was 65% and in the symptom of duration, majority of people aware with their symptoms in less than1 months. In the measurement of dyslipidemia there was significantly higher in atherogenic component i.e.LDL-C and anti atherogenic component i.e. HDL-C was also higher and found significant.Conclusion: - The majority of subjects who were suffering from CAD were males compared to females.Most of the patients from a rural areas so they had a chest pain comparison to heart attack and found highlysignificant with lipid parameters.
Study of LDH Isoenzymes in Myocardial Infraction at Vidharbha Region (Central India)
Authors: Rakesh Kumar Jha  , Pradip Jain  , Ankita Khandolkar  , Archana Dhok
Published: April 2021

Introduction: A significant cause of morbidity and mortality worldwide is myocardial infarction (MI).Within the first few hours of the beginning of MI, the greatest risk of death occurs. Thus, for the effectivetreatment of patients with MI, early detection of cardiac ischemia is essential. Inappropriate diagnosis ofpatients with chest pain sometimes leads to improper admission, and vice versa, of patients without MI.Physical examination, precise ECG results and evaluation of cardiac biomarkers play an important rolein the early diagnosis of acute ischemia, in addition to clinical history. In the present analysis, the cardiacbiomarker lactate dehydrogenase released during a MI event is discussed in depth.Aim: We conducted a cross sectional study to examine the different levels of LDH isoenzymes in myocardialinfarction patients those admitted in cardiac care unit in SMHRC Nagpur.Material and Methods: The present study included 100 subjects of age group 30-80 years. Patients admittedto the coronary care unit at SMHRC & AVBRH between January 2020 and June 2020 was consideredeligible for the study. These guidelines ensured that sufficient blood samples were available and the criteriafor diagnosis were consistent. Lactate dehydrogenase isoenzyme was fractionated by agarose gel electrophoresis as described by Cawley and Eberhard. The stained slides were scanned on Chromoscan at 520 mixand the percentages of the fractions were quantitated.Results: The results obtained in the present study indicate that serum lactate dehydrogenase enzyme activityincreases 4-5 folds in the first 24-72 hours after the onset of clinical infarction with a peak on the second day.It then declines gradually towards the normal within two weeks. Thus, determination of total serum LDHis valuable if patients present themselves for clinical check up even after a week from the day of infarct.Although the contribution of myocardium to total serum lactate dehydrogenase is large, its interpretationbecomes difficult if the diseases of other organs such as liver, kidney, etc.Conclusion: In conclusion, the present data strongly support the use of Lactate dehydrogenase for thediagnosis of MI. Such a strategy should boost both the precision and sensitivity for myocardial infarctiondiagnosis.
Adolescents Health and Using Information Communication Technologies (ICT)
Authors: Nehad Kadhim Hashim  , Alaa Issa Hamzah  , Mohammed Mahdi Kadhum
Published: April 2021

The social support networks become important to guide the feelings and conduct adopted by relatives. Socialmedia provide an additional informal source of data that can be used to identify health information notreported to medical office or health departments and to reveal viewpoints on health-related topics, especiallyof a sensitive nature. Babylon secondary schools were hunted to be the setting of the study in order toachieve the objectives of the study. This was a correlation study of Babylon adolescents aged 12–15 years.A total sample of 125 participants was achieved via convenience and snowball sampling. Instruments weredeveloped and used in order to collect data. Data were collected through self-administration of questionnaireregarding the study. The Statistical Package for Social Sciences (SPSS) version 23 was used for data analysis.Conclusion: Internet health resources have the potential to be extremely valuable in reducing peer isolationfor adolescents with chronic conditions and facilitating their transition to adult health care. A variety ofInternet resources are available. The study recommended providing guidelines for engagement in dailymoderate to vigorous physical activity which may have had a protective effect on the intensity of IT-relateddiscomfort reported.
Parents’ Knowledge toward Pediatric Immunization and its Relation with their Compliance at Primary Health Care Centers in Karbala City
Authors: Eitidal Nassir Hussain  , Zahid Jasim Mohammed
Published: April 2021

Parents are their children’s primary health decision makers, their knowledge towards immunization ingeneral have a significant effect on the immunization status of their children. A descriptive (cross-sectionalstudy) was conducted to assess parents’ knowledge toward immunization and its relation with pediatricimmunization compliance at primary health care centers in Karbala city, IraqA non-probability (convenience) sample of 292 parents selected from (5) primary health care centers.These centers distributed throughout (2) primary health care sectors selected randomly as (20%) from eachsectors. The results of the present study indicated that the majority of studied parents had moderate levelof knowledge, which was a significant associated with their age of fathers, level of education of fatherand mothers, occupational status of mothers, family type, , more than sixty present of studied parentshave children partially immunized. In addition, the present study revealed that parents’ knowledge nothad a significant influence on child’s immunization status. So, this study recommendedit is necessary toraise parents awareness of the importance of immunization by implementing educational programs and bytraditional and social media with emphasis on time, side effects, contraindication, and disease preventableby immunization and promote periodically assessment for immunization coverage.
Penggunaan Media Wayang untuk Mengenalkan Keteladanan Wali Sanga dalam Pelajaran Pendidikan Agama Islam dan Budi Pekerti
Authors: Farkhatun Umi
Published: April 2021

This research is motivated by a sense of concern about the rise of phenomena that indicate a moral crisis and exemplary behavior among students, especially elementary school students. To overcome this, it is necessary to know effective learning media in learning in schools, especially in the subjects of Islamic Religious Education and Characteristics about the role models. This study aims to determine the effectiveness of the use of puppet media in learning the story of the examplary of Wali Sanga. The subjects were 23students from grade IV MI Dharwata Sikampuh Kroya. The method uses descriptive qualitative. The results showed that puppet media was effectively used in the learning of Islamic Religious Education and Characteristics for the theme of exemplary Wali Sanga characters as evidenced by the creation of a conducive learning climate and student assessment results that reached KKM by 78% and the achievement of basic competencies in Islamic Religious and Characteristics classes IV SD and MI.
Pengembangan Alat Permainan Edukatif Busy Book dalam Meningkatkan Aspek Perkembangan Anak
Authors: Suyadi Suyadi , Zuniarsih Zuniarsih
Published: April 2021

Technological advances today require parents and teachers to be more creative and innovative in learning with children, in this case for early childhood. One of them can be attempted by learning media or playing children. Many varieties of learning tools or media can be used by teachers to help the development of children, one of which is busy book. The Busy book in this study was named "My Little World". The type of research used is qualitative. The methods used are observation, interviews, and documentation. The results of this research are done using tools or medium of early childhood learning, which is made of patchwork and some sewing equipment that is no longer used. This Busy book contains a variety of simple play activities, including: puzzles, maze, finger puppets, attaching ropes, attaching buttons, matching colors and shapes, sorting patterns and so on. Busy book is a result of teacher creativity that can not be found in other institutions. Busy book was created to provide a more learning experience to the children who are already finished in playing activities with the teacher. The opportunity to play using busy book is designed with striking colors, giving its own appeal for the child. Another thing that characterizes the media is that, in one media play, the child can play and learn to develop various aspects of its development.
Tri Pusat Pendidikan (Keluarga, Sekolah, dan Masyarakat) Dalam Membentuk Akhlak Melalui Pembinaan Agama
Authors: Hastuti Lili
Published: April 2021

Education as a process that certainly cannot be separated from social life. Social life in the sphere of education is the Tri Education Center which includes families, schools, and communities. The family as the starting place for education, the school as the second place after the family, and finally students are able to adjust to the community environment according to the directions obtained from the family and school environment which is supported by fostering religious activities. The three of them must work together in order to achieve educational goals. The core of the purpose of education, especially Islamic education is in order to form good morals to students by integrating affective, cognitive, and psychomotor aspects. The three central points of education must be integrated even though the most important is from the family. Good collaboration between the three will be able to create students according to the digital age while still promoting moral or moral. In essence, if the three work well together and are supported by high motivation from students, students will create morals according to the digital era without releasing the nature of morals.
Urgensi Pendidikan Multikultural Indonesia dalam Menjaga NKRI
Authors: Hidayati Isnani
Published: April 2021

In some countries, multicultural education is always closely linked to important phases of democracy in people's lives. Democracy is based on the recognition of human rights not to implicitly discriminate against one's skin color, gender or culture. Everyone certainly has the same right to be treated as a right with responsibilities in accordance with their capabilities. In Indonesia itself, various multicultural education studies are a step that is being attempted to introduce special meaning in studying a plurality of people in Indonesia. So in this case, every part of society needs to respect each other's identity and be willing not to impose their own point of view about something that thinks is good, and is also forced upon others based on the standards that apply to it. If this can be realized, then multicultural education which is a learning process can lead the knowledge and value in society will be better implemented. Multricultural awareness in traveling is the spearhead of the future success of the Indonesian nation. Likewise with national identity, national integration, and placing religion as the foundation of the unity of a national principle is another part that is certainly inseparable from a state consciousness in a country of multiculturalism.
Analisis Nilai-Nilai Pendidikan Karakter dalam Petuah Bijak dan Kisah Inspiratif Ulama Salaf dan Nusantara
Authors: Supriyanto Agus
Published: April 2021

Character education is a term that is increasingly gaining recognition from Indonesian society today. Character education is an attempt to educate children to be able to make wise decisions and practice them in their daily lives, so that they can make a positive contribution to their environment. Another definition is that character education is a process of transforming the values of life to be developed in the person's life behavior. Wise Advice and Inspirational Stories of Salaf and Archipelago Ulemas are those that contain a fragment of a story or behavior on how to educate students or in the daily life of Salaf and Nusantara scholars. Salaf and Nusantara scholars here which is one of the great scholars in the archipelago.
Penggunaan Diaroma Ekosistem pada Pembelajaran IPA
Authors: Muslikhun Muslikhun
Published: April 2021

Among the forms of problems in the thematic learning activities of the 2013 curriculum are students having difficulty understanding learning materials and the use of media used by teachers are not appropriate with the material being taught, so students are not interested in learning and difficult to understand the concept of the material being taught, so that learning outcomes are obtained did not reach the expected value. So to overcome these problems requires the use of appropriate media in order to improve student learning outcomes. This study aims to determine the acquisition of student learning outcomes by using a diaroma media on the theme of the ecosystem. The method used is in this study is a quasi-experimental study with a non equivalent control group design. The data that has been collected is then analyzed using quantitative analysis techniques. From the results of research on the use of diaroma media shows that the use of diorama media on ecosystem themes in grade 5 Madrasah Ibtidaiyah increases learning interest and can improve student learning outcomes. Thus the diaroma media can be used for ecosystem material.
Penerapan Model Belajar Cooperative Snowball Throwing dalam Pembelajaran Tematik Kelas 1
Authors: Laely Nur
Published: April 2021

Thepurpose of this study was to determine the Application of Cooperative Snowball Throwing Learning Model in Thematic Learning Class 1 at MIN 3 Banyumas Academic Year 2019-2020. The type of research data used in this study is a quantitative-qualitative approach (mexing method). The subjects of this study were class I MIN 3 Banyumas Lessons in 2019-2020 totaling 33 students. The techniques used in data collection are interview, documentation, observation and test techniques. The results showed that the application of the Cooperative Snowball Throwing Learning Model could improve the thematic learning outcomes at MIN 3 Banyumas in 2019-2020. This can be proven by the learning outcomes for each cycle. In cycle I, the average score of student learning test results was 67.73, the lowest score was 45.00 and the highest score was 90.00. This is known by comparing the pre-cycle value with the value of Cycle I, the test results where the value of Cycle I is greater than the pre-cycle of the average value, namely: 67.73> 55.30. Whereas in the second cycle, the average test score was 75.91, while the lowest score was 55.00 and the highest score was 95.00. this can be known by comparing the value of the first cycle with the second cycle, the test results in which the value of the second cycle test is greater than the first cycle with an average value of 75.91> 67.73. And in the third cycle it can be seen that the average value of the test results is 83.79, while the lowest value is 65.00 and the highest value is 100.00.Keywords: Snowball
Penerapan Metode Pembelajaran Modeling dalam Meningkatkan Kemampuan Menulis Karangan Siswa V Sekolah Dasar
Authors: MULIAH SRI
Published: April 2021

Indonesian language, has three aspects that need to be considered, namely aspects of knowledge (competence), skills and attitudes. Those three aspects are in succession concerning the four skills, namely listening, speaking, reading, and writing. The research method used in this study is a descriptive quality research method. With the study subject of students and teachers of class V MI Diponegoro 03 Karangklesem District South Purwokerto. The analysis of the data used is a thematic technique of analysis by analyzing the data in the form of field records, recordings, documents and interviews results in depth. The result of this study is that the presence of models in learning essay writing material will help students to think critically. Students will be assisted by observing the model provided, so that students better understand the material being taught. Students not only receive information from teachers, but students can also dig into the information of the model provided
Pembelajaran Kreatif Menulis Puisi dengan Media Gambar di Mi Ma’arif NU I Kaliwangi
Authors: Muslimah Muslimah
Published: April 2021

Writing activities are essentially not only to give birth to a thought and a feeling, but also a disclosure of knowledge ideas and the life experience of a person in writing language. The study used a qualitative approach with case study techniques. With the research subject grade V students MI ma'arif NU 1 Kaliwangi. Data collection techniques with interviews, observations, and documentation. Analytics Data uses the Miles and Huberman model. Results showed (a) mature planning before the process of dissection (b) the implementation of creative learning with the image media assisted by the LCD, and Worksheet (c) Self-reliance assessment techniques with direct observation, and system point, (d) The lack of introductory media such as dictionaries changed basic barriers.
Penanaman Karakter Dalam Pembelajaran Jarak Jauh
Authors: Sistriani Dani
Published: April 2021

During a pandemic, which has an impact on the world of education, which requires distance learning, resulting in the emergence of various problems, including the cultivation of character for students. Therefore it is necessary to have innovation in distance learning that is good and effective, so that it can instill character in students. This paper will provide descriptions related to some of the methods that are carried out, and can be used as a reference for educators in instilling character in students in distance learning during the Corona pandemic that is hitting Indonesia. This research is a descriptive qualitative research. Researchers obtained data from interviews, observations and documentation on 12 teachers at SD NU Master Sokaraja. There are four ways that can be practiced by school educators at the current PJJ period, namely: Integrating character planting in the curriculum, character planting through class management, character building through the choice of methods and the use of learning methods, character building through the literacy movement.
Kreativitas Guru Bahasa Inggris dalam Mengajar Daring
Authors: Tobroni Imam
Published: April 2021

This study aims to determine the description of the creativity of teaching some English teachers in Yunior High School in Banyumas regency during pandemic covid-19, particularly in using online learning media. The method used in the research is descriptive qualitative. One of online learning challenge is boredom, less motivation, uninteresting learning, many homeworks, and also the students don’t go to school for a long time and they will disturb the learning effectivity. In this case, teachers creativity is primarly needed so teachers can manage online learning to be an interesting class and it will motivate students to study and in turn it will also improve students ’achievement. The results show that from 8 English Yunior High School teachers in Banyumas regency researched, found many various way of teaching online using online media. The creativity that has done is the planning, implementing, dan evaluation in teaching online. There are 3 online media used in planning & implementing, they are Whatsapp group, Google Classroom, and Video Converence (Zoom/Google meet). In addition there are 5 online media used in evaluation, they are Ms. Word, Google Forms, Quizizz, Ms. Forms. And Online Crossword. From this study concluded that English teachers creativity is very good in which each teacher has his/her own creativity adapted with the students’ situation & condition and it becomes the other choice of teaching online model for readers.
Narconovela y sociedad. Narrar el crimen en una realidad postpolítica
Authors: Jastrzębska Adriana Sara
Published: April 2021

En cada fase de su desarrollo, el género negro, al describir la transgresión de las normas, paradójicamente suele confirmar y reforzar su vigencia. La narconovela igualmente demuestra ser fruto de una realidad social muy concreta y un momento histórico determinado. El objetivo del artículo es caracterizar esta modalidad dentro de la producción negra y criminal, echando mano a ejemplos de la narrativa colombiana y mexicana. Dicho subgénero, nacido en una realidad postpolítica, globalizada y de capitalismo gore, manejando la profunda anomia combinada con discursos revolucionarios y utopistas, niega al mismo tiempo tres fundamentos en que basan (o declaran basar) las sociedades contemporáneas: el Estado y la ley como garante de seguridad, un sistema de valores compartido que sirva de fuente de la legislación vigente y la visión de un desarrollo equilibrado dentro del sistema legal establecido.
Schneidmodul für die adaptive Schnittwinkeleinstellung
Authors: Weykenat Jannik , Groß Lukas , Schmidt Carsten , Denkena Berend
Published: April 2021

Faserverbund-Metall-Mischbauweisen bieten große Chancen für die individuelle und lastpfadgerechte Ausgestaltung von tragenden Bauteilstrukturen. Aufgrund fehlender Automatisierungsmöglichkeiten sind die Kosten aber bisher noch hoch. Ein neuartiges Schneidmodul bietet die automatisierte Integration von Metalleinsätzen zur Lasteinleitung in Faserverbundstrukturen mittels „Automated Fiber Placement“.
The key factors controlling reservoir quality of the Middle CambrianDeimena Group sandstone in West Lithuania
Authors: Kilda Linas , Friis Henrik
Published: April 2021

Sandstones of the Middle Cambrian Deimena Group are commercially important as they make up the largest part of the hydrocarbon-bearing reservoir in 15 oil fields discovered in West Lithuania. However, the sandstones are characterised by a very complicated spatial distribution of reservoir quality. In order to better understand the distribution of reservoir properties and their controlling parameters, eighty-two sandstone samples from twenty-one boreholes were studied by means of thin section description, scanning electron microscopy, using backscattered and cathodoluminescence modes and clay fraction analyses. Generally, the sandstones are strongly cemented by quartz, resulting in almost total destruction of porosity but porous domains with preserved early stage quartz cement occur in a complex pattern. The close location of the early and late stage overgrowth types indicates that some sandstone parts were preserved from intense authigenic quartz precipitation. We believe that early carbonate cement was such an inhibitor. Detrital quartz grains in carbonate cemented domains are mostly free of authigenic quartz and as a rule show weakly compacted fabric as compared to the quartz cemented parts. Moreover, large secondary pores are located close to the carbonate cemented domains and indicate that some carbonate cement eventually dissolved. Apparently, the best reservoir properties within the generally strongly quartz cemented Deimena Groupsandstones are found in domains where dissolution of the early carbonate cement took place.
Differential vertical movements in the eastern North Sea area from 3-D thermo-mechanical finite elemental modelling
Authors: Gemmer Lykke , Nielsen Søren B. , Andersen Holger Lykke
Published: April 2021

The response of a heterogeneous lithosphere to a compressional stress field is studied using a three-dimensional thermo-mechanical finite element model. Weak zones in the lithosphere thicken and act as loads that pull down the lithosphere in regions around the weak zones. Strong zones are subjected to less lithospheric thickening than the surroundings and produce surface depressions and uplift in the surrounding areas. The model is used to study the Late Cretaceous and Paleocene differential vertical movements in the eastern North Sea area. The Sorgenfrei-Tornquist Zone is assumed to be a pre-existing weak crustal zone, which inverts during compression and produces marginal basins by loading the lithosphere. The area of the Silkeborg Gravity High is an example of a pre-existing strong crustal zone which subsides during compression. Moho topography in the area gives rise to lateral strength variations, which result in surface uplift where Moho is deep and subsidence where Moho is shallow. These effects, together with the lateral variations of the thermal structure and the stress field, determine the overall Late Cretaceous-Paleocene distribution of vertical movements of the area. This has implications for the pattern of erosion, sediment transport and the distribution of sediment facies.
Russian epidemiological study EVKALIPT: protocol and basic characteristics of participants
Authors: Vorobyeva N. M. , Tkacheva O. N. , Kotovskaya Yu. V. , Ovcharova L. N. , Selezneva E. V.
Published: April 2021

On behalf of EVKALIPT study.

Objective: to evaluate prevalence of age-related and chronic non-infectious diseases, senile asthenia and other geriatric syndromes in subjects aged ≥65 years old and to analyze their influence on general health and functional status.

Methods: 4308 subjects (30% males) aged from 65 to 107 years (mean age 78±8 years), who live in 11 Russian regions, were examined. They were divided in 3 groups by age: 65–74, 75–84 and ≥85 years. All subjects passed comprehensive geriatric assessment in 2 stages: 1) questioning based on a specially designed questionnaire; 2) physical examination.

Results: age increase is associated with decrease of anthropometric parameters (height, weight, body mass index), decrease of diastolic blood pressure, increase of pulse blood pressure and deterioration of social-economic status of elderlies (increase of those who out lived their partners, living alone and in institution/ nursing home, single (no partners) and disabled subjects; decrease in proportion of married and still working ones, subjects with university degree and higher income).

Conclusion: Russian EVKALIPT study protocol and basic characteristics of participants are summarized in the article.
Elderly with chronic kidney disease in outpatient treatment: risk factors and prevention pathways
Authors: Kudina E. V. , Skvortsov R. A. , Larina V. N. , Zhuk V. A. , Ivanova M. Z.
Published: April 2021

Introduction. At present, doctors in all disciplines are facing an increasing problem of chronic kidney disease (CKD) management. It is particulary relevant for screening and treatment of aged patients, because they suffer from CKD most frequently. This is due both to physiological age characteristics and kidney disease risk factors of these patient’s category.

Aim. To provide an analysis of the main causes and risk factors of CKD in elderly patients.

Materials and methods. Analysis of outpatient charts of patients aged 55–90 with multiple chronic diseases observed in the local health service in Moscow, which is the base of the Department of Outpatient Therapy, RNRMU.

Results. We analyzed the most significant risk factors of CKD and their frequency, the indications of this syndrome in the formulation of diagnosis, the prescription of drugs, providing nephroprotective strategy.

Conclusion. CKD is one of the most frequent pathologies in the elderly. An analysis of the outpatient charts showed that the main causes of CKD among patients in this age group were not kidney diseases but comorbide pathology, primarily arterial hypertension. These patients also had high frequency of diabetes mellitus, hyperlipidemia, obesity. Not all patients have been identified with CKD in the structure of diagnosis, which could influence the correct tactics for treating related diseases. Nephroprotective therapy was also not fully available to patients. Current recommendations can be used by primary health-care doctors in practice.54