bluuebunny/crossref_metadata_2025 huggingface dataset:
Perfil clínico-epidemiológico de pacientes com HIV/Aids no município de Marabá/PA (2017-2021)
Authors: Oliveira do Nascimento Vitória Maria , Reis Medrada Ana Caroline , Rosário De Oliveira Adrya , Mendes Santos Caroline , Soares Leite Daniela
Published: November 2023

Introdução: A Síndrome da Imunodeficiência Adquirida (Aids) é causada pelo vírus da imunodeficiência humana (HIV). O HIV/Aids é um grande problema de saúde pública. Objetivo: Caracterizar o perfil clínico-e­pidemiológico de pessoas vivendo com HIV/Aids, residentes no município de Marabá, entre os anos de 2017 e 2021. Métodos: Trata-se de uma pesquisa de natureza observacional, abordagem quantitativa, retrospectiva, baseado em levantamento dos prontuários de pacientes matriculados no Centro de Testagem e Aconselha­mento (CTA) em Marabá/PA, entre os anos 2017 e 2021. As variáveis analisadas foram: os dados socioeconô­micos, categoria de exposição e agravo. Resultados: Foram analisados 507 prontuários de pacientes residentes do município de Marabá e atendidos pelo CTA/SAE, destes pacientes, 62,8% eram do sexo masculino; no gênero masculino houve maior incidência em jovens de 29 a 38 anos, solteiros, autodeclarados pardos, hete­rossexuais e com ensino médio completo; já no gênero feminino, a infecção foi prevalente entre as idades de 39 a 49 anos, solteiras, autodeclaradas pardas, heterossexuais e com ensino fundamental incompleto. Conclusão: A pesquisa mostra que o perfil clínico epidemiológico de infecção pelo HIV/Aids no município de Marabá/ PA é composto por pacientes homens, heterossexuais, jovens, de raça/cor parda, com ensino médio completo e sem agravos. A falta de preenchimento e preenchimento errôneo de diversos campos dos prontuários dos pacientes foi uma das limitações apresentadas no presente estudo, logo, é necessário uma capacitação e conhe­cimento do profissional da saúde na hora do preenchimento correto dos prontuários.
Avaliação da sedoanalgesia pelo monitoramento do índice bispectral em uma Unidade de Terapia Intensiva Covid: a importância das intervenções farmacêuticas
Authors: Nunes dos Santos Patrícia , Lima Bezerra Jeamile , Janilson César de Oliveira Tairo , Bastos do Nascimento Patricia , Lis Fontinele de Sá Laisa , Karine Beserra Santos Lubna , Ferreira Sousa Silva Ronaby
Published: November 2023

Introdução: O índice bispectral (BIS) é um monitor do nível de conciência com maior sensibilidade e objetividade para a avaliação da atividade cerebral em comparação às escalas subjetivas usuais, principal­mente a RASS (Richmond Agitation-Sedation Scale), durante os estados comatosos. Objetivos: Avaliar a sedoanalgesia e os níveis de consciência dos pacientes em ventilação mecância por meio do monitoramento pelo BIS. Métodos: A pesquisa é exploratória, transversal e retrospectiva, conduzida em pacientes da UTI-Covid do Hospital Universitário da Federal do Piauí (HU-UFPI). Dados foram coletados de junho a dezembro de 2021, utilizando infrormações de prontuários e fichas próprias do BIS, após aprovação do comitê de ética (parecer 5.427.074). Análises foram feitas com estatística descritiva simples no Microsoft Excel. Resultados: Analisaram-se 121 avaliações em 47 pacientes, sendo 67% homens. Fentanil e midazolam foram os analgésicos e sedativos principais. Cerca de 60% dos pacientes estavam profundamente sedados e somente 31% apresen­tavam níveis adequados de sedoanalgesia pelo BIS. Comparando BIS e RASS, 67 análises tiveram BIS 0-39 e RASS -5. Cerca de 80% apresentavam sobredose de midazolam e 29% de fentanil. As intervenções farmacêuti­cas contribuíram para redução do uso de sedoanalgesia. Conclusão: O BIS mostrou ser uma ferramenta eficaz na avaliação da sedoanalgesia e permitiu uma melhor participação do farmacêutico na prática clínica. Seus benefícios incluíram melhor controle medicamentoso e adequação da sedação em pacientes sob ventilação mecânica na UTI-Covid do HU-UFPI.
Research on consumer perceptions of halal food using big data analytics
Authors:   The Foodservice Management Society Of Korea, Jang Jeong-Min
Published: November 2023

This study examines consumer perceptions of halal food through big data analysis. For the study, words related to halal food were collected through domestic portal sites and Textom was used for the analysis process. After data cleaning with 2,854 collected words, a total of 50 top key words related to halal food were derived through morphological analysis. The top key words were classified into four clusters through CONOCR analysis, and the clusters were classified into consumer perceptions of 'halal certification and slaughter-related awareness', 'halal-related religious awareness', 'halal food-related overseas market awareness', and 'domestic consumer awareness of halal food'. The results of this study analysed domestic consumer perceptions of halal food and drew various implications for related industries.
A Study on the Importance, Attitude, and Intention of Use of Korean Food Education Content Based on Virtual Reality
Authors:   The Foodservice Management Society Of Korea, Kim Seong-Ah , Kim Hyeyoung
Published: November 2023

This study investigated the importance, consumer attitude, and intention to use VR-based Korean food education contents of Koreans in their 20s and 50s with Korean food experience. Through this, we identified differences in perceptions of importance between Koreans and foreigners and identified areas that should be considered first in the development of educational content. As a result of the analysis, five questions about VR-based Korean food education contents recognized that Koreans were more important than foreigners. The average value of each item was high at around 4 points, indicating that Koreans had the highest figure in “fine simulation”, foreigners had the highest figure in “convenience”, and attitudes had a statistically significant positive (+) effect on the intention to use. Based on the results of this study, I would like to suggest the necessity and direction of developing Korean food education contents based on virtual reality.
Pengaruh Proses Rekrutmen dan Seleksi Terhadap Kinerja Karyawan
Authors: Syufa Virgia Naila , Prayudista Eka
Published: November 2023

PT. Whitesky Aviation is one of the companies engaged in the aviation industry in the field of services with a charter system or non-scheduled flights to continue to improve the professionalism of the services it provides through quality human resources because a good recruitment and selection process will produce qualified human resources. quality. such that it has a significant impact on how well Whitesky Aviation staff operate at the Cengkareng Heliport. The purpose of this study is to determine the extent to which the recruitment and selection of personnel at PT. Whitesky Aviation's Cengkareng Heliport had an impact on their performance. This study uses a sequential discovery paradigm of quantitative and qualitative analysis known as mixed methods research (Sequantional Explanatory). 35 respondents became research subjects, and interviews and questionnaires were used to collect data. Quantitative data were processed using SPSS version 22 to test the research instrument hypotheses and multiple linear regression, and qualitative data to support quantitative data. The results of this study indicate that the variables of recruitment and selection have a partial or simultaneous effect on the performance of employees of PT. Whitesky Aviation at Cengkareng Heliport. In addition, the R-Square value of recruitment and selection is 35.0%, while the remaining 65.0% is influenced by other variables not included in this study.
Abstrak: PT. Whitesky Aviation merupakan salah satu perusahaan yang bergerak dalam industri penerbangan dalam bidang pelayanan dengan sistem charter atau penerbangan tidak berjadwal dalam upayanya untuk terus meningkatkan profesionalisme pelayanan yang diberikannya melalui sumber daya manusia yang berkualitas, karena proses rekrutmen dan seleksi yang baik akan menghasilkan sumber daya manusia yang berkualitas. sedemikian rupa sehingga memiliki dampak yang signifikan terhadap seberapa baik staf Whitesky Aviation beroperasi di Heliport Cengkareng. Tujuan dari penelitian ini adalah untuk mengetahui sejauh mana perekrutan dan pemilihan personel di PT. Heliport Cengkareng milik Whitesky Aviation berdampak pada kinerja mereka. Penelitian ini menggunakan paradigma penemuan sekuensial analisis kuantitatif dan kualitatif yang dikenal dengan penelitian metode campuran (Sequantional Explanatory). 35 responden menjadi subjek penelitian, dan wawancara serta kuesioner digunakan untuk mengumpulkan data. Data kuantitatif diolah menggunakan SPSS versi 22, untuk menguji instrumen penelitian hipotesis dan regresi linear berganda, dan data kualitatif sebagai pendukung data kuantitatif. Hasil penelitian ini menunjukkan bahwa variabel rekrutmen dan seleksi berpengaruh secara parsial maupun simultan terhadap kinerja karyawan PT. Whitesky Aviation di Cengkareng Heliport. Selain itu nilai R-Square dari rekrutmen dan seleksi sebesar 35,0% sedangkan sisanya 65,0% dipengaruhi oleh variabel lain yang tidak dimasukkan dalam penelitian ini.
Physicochemical Impacts on Bacterial Communities in Putrajaya Lake, Malaysia
Authors: Mat Lazim Nurul Najwa Farihah , Mohamed Afiqah , Rudin Zana Ruhaizat Zana , Md Yusoff Fatimah , Natrah Ikhsan , Zulkifly Shahrizim
Published: November 2023

This study determines the associations between the bacterial communities and water physicochemical parameters in Putrajaya Lake and Putrajaya Wetlands Park, Malaysia. Bacterial communities were assessed by metagenomics of the 16S rRNA gene from lake water input, central wetlands, and primary lake area. Water samples (n=18) were collected during two different periods: post-high rainfall events (samples collected in May) and dry periods (July). The data revealed that bacterial communities of the three sites were taxonomically distinct and associated with different environmental parameters. However, no significant differences were found between the wet and dry periods. Alpha diversity analyses revealed the highest index in May 2018 in the constructed wetlands (H’= 5.397) than those from water input or primary lake (p<0.05). Overall, 49 phyla, 147 classes, 284 orders, 471 families, 778 genera and 62 species of bacteria were identified. Verrumicrobia and Firmicutes showed a strong positive correlation with ammonia-nitrogen (r = 0.709). Actinobacteria and Cyanobacteria had a moderate positive correlation with nitrate with r value (r = 0.673) and (r = 0.647), respectively. In this study, the metagenomics of the 16S rRNA gene amplicon by Illumina MiSeq has successfully identified the bacterial community assemblage in Putrajaya Lake and wetlands. Bacterial composition was associated with the availability of physicochemical properties of specific sites. The effectiveness of the engineered wetlands of Putrajaya in bioremediation was demonstrated by the marked decrease in certain nutrient concentrations from lake water input to the primary lake area.
Nanoemulgel: For Promising Topical and Systemic Delivery
Authors: Vazir Alina , Joshi Aparna , Kumar Kapil , Rajput Vaishali
Published: November 2023

A Nanoemulgel is a topical gel that contains a nanoemulsion dispersed within a gel matrix. The nanoemulsion is typically prepared using high shear mixing techniques and contains droplets of oil. The droplets size of nanoemulsion was in range of of 28 to 500nm. The sizes were confirmed by dynamic light scattering method. Nano-emulgel is an emerging drug delivery system intended to enhance the therapeutic profile of lipophilic drugs. Lipophilic formulations have a variety of limitations, which includes poor solubility, unpredictable absorption, and low oral bioavailability. Nano-emulgel, an amalgamated preparation of different systems aims to deal with these limitations. The novel system prepared by the incorporation of nano-emulsion into gel improves stability and enables drug delivery for both immediate and controlled release. Nanoemulgel improves the stability of a nanoemulsion formulation by lowering surface and interfacial tension, which increases the aqueous phase viscosity. Because the system has a higher viscosity than the nanoemulsion system, nanoemulgel is also known as hydrogel-thickened nanoemulsions. Hydrophobic medication delivery using nanoemulgel is extremely effective. Nanoemulgel use has increased in recent years as a result of the preparation's improved acceptability among patients due to its non-greasy, convenient Spread ability, easy application, and good therapeutic and safety profile.
Os três mundos de Popper e a consideração habermasiana
Authors: WEINFORTNER ALMIR JOSÉ
Published: November 2023

O estudo aborda a teoria dos três mundos de Popper, com ênfase no terceiro mundo (mundo objetivo) e sua autonomia, que é destacada por Popper. Habermas, ao ler a interpretação de Jarvie sobre a teoria dos três mundos, busca sustentar a tese de que a escolha de um conceito sociológico de ação implica compromissos ontológicos. Inicialmente, o estudo esboça a interpretação de Jarvie sobre os três mundos de Popper e, em seguida, apresenta objeções e revisões necessárias na teoria, enfatizando a importância de ajustá-la para evitar suas fragilidades.
O problema da fundamentação última:
Authors: SAIEVICZ MARIA
Published: November 2023

Nesta comunicação, abordamos o desafio da fundamentação última do conhecimento na filosofia contemporânea, apresentando duas perspectivas distintas. A primeira, defendida por Hans Albert e seu racionalismo crítico, argumenta que é impossível alcançar uma fundamentação última segura. A segunda, proposta por Karl-Otto Apel e sua pragmática-transcendental, sustenta a necessidade e a viabilidade de uma fundamentação última que não recorre à metafísica. Essas visões refletem a diversidade de opiniões sobre a possibilidade de estabelecer uma base sólida para o conhecimento filosófico, contribuindo para um debate complexo e fundamental na filosofia contemporânea.
Restricted diffusion in benign intracranial neoplasms:
a narrative review
Authors: Rani Niranjan Usha , Palasamudram Kumaran Sunitha , Nagappa Sriramanakoppa Nayana , Viswamitra Sanjaya
Published: November 2023

Diffusion-weighted imaging (DWI) is a valuable diagnostic tool, which provides functional information by exploring the free diffusivity of water molecules into intra- and inter-cellular spaces that in tumours mainly depend on cellularity. It provides information regarding the tumour grade and helps with the diagnosis. Often high-grade tumours show restricted diffusion due to a high degree of cellularity, increased nuclear-to-cytoplasmic ratio, and reduced extracellular space. Benign central nervous system (CNS) tumours rarely show restricted diffusion on magnetic resonance imaging (MRI), and most of them have a characteristic imaging appearance. When benign CNS neoplasms reveal restricted diffusion on MRI, the radiologist is compelled to suggest a malignant neoplasm, making their diagnosis challenging. Knowledge of these exceptions helps to avoid possible errors in diagnosis. We present this integrated review with clinical, radiology-pathological correlation.
Cryptocurrency analysis using machine learning and deep learning approaches
Authors: Alamery Farah Muhammad sakran
Published: November 2023

Since cryptocurrencies are becoming more widely used and accepted in the financial system, precise price forecasting is
essential for optimizing bitcoin investments. In this research study, we evaluated various machine learning models, including
linear regression (LR), decision tree regression (DT), random forest regression (RF), support vector regression (SVR), gradient
boosting regression (GB), adaboost regression, extreme gradient boosting regression (XGR), light gradientboosting regression (LGBM), k-nearest neighbors regression (KNN), ridge, andlasso. Additionally, we incorporated two deep learning (DL) models, namely artificial neural networks (ANN) and convolutional neural networks (CNN), to forecast daily bitcoin prices (BP). The initial data was obtained from Kaggle, a well-known platform for data science projects, and we applied the min-max scaler technique for consistent scaling during preprocessing. To assess the predictive capabilities of the models, we utilized regression metrics such as root mean square error (RMSE), mean absolute error (MAE), and correlation coefficient (R). Based on our findings, the CNN model demonstrated the highest effectiveness in predicting BPs among the DL models, with an RMSE of 0.0543, MAE of 0.0324, and an R value of 0.960. In the case of machine learning models, the RF model outperformed others, achieving an RMSE of 0.0246 and MAE of 0.0561. Investors, scholars, and decision-makers may all gain from these findings’ insightful revelations about BP forecasting. Developing these models further, investigating different preprocessing methods, and expanding the analysis to other cryptocurrencies might be the main goals of future research.
PELAKSANAAN RENDAM KAKI DENGAN AIR GARAM UPAYA PENURUNAN SKALA NYERI REUMATIK PADA LANSIA DI PANTI JOMPO BASILAM
Authors: Harahap Mei Adelina , Rangkuti Nur Aliyah , Rangkuti Juni Andriani
Published: November 2023

AbstractThe increasing number of elderly people creates problems, especially in terms of health and welfare of the elderly. The existence of disease affects the condition of a person's physical health which is one aspect that determines a person's quality of life. One of the changes in physical condition due to aging is in the musculoskeletal system, namely joint disorders which are common diseases that are very closely related to the aging process with the main symptom being pain. One of the diseases associated with pain in the joints and bones that the elderly commonly complain about due to pain that is felt to really interfere with activities is rheumatism. Rheumatism is a disease that attacks the joints and bones or the supporting tissues around the joints. Measures to treat pain in rheumatism using non-pharmacological techniques, namely by soaking the feet in salt water. Salt water is known to reduce the inflammatory effect on the joints so that the pain is reduced. The methods used are providing information (lectures) and carrying out foot soaks with salt water in an effort to reduce the rheumatic pain scale. The implementation was carried out at the Basilam Nursing Home in March 2023 which was attended by 12 elderly people suffering from rheumatism. This activity was carried out well and even the participants looked enthusiastic and hoped that the implementation of foot soaks with salt water could reduce the rheumatic pain scale and prevent complications in the elderlyAbstrakMeningkatnya jumlah lansia menimbulkan masalah terutama dari segi kesehatan dan kesejahteraan lansia. Keberadaan penyakit mempengaruhi kondisi kesehatan fisik seseorang yang merupakan salah satu aspek yang menentukan kualitas hidup seseorang. Salah satu perubahan kondisi fisik karena menua adalah pada sistem muskuloskeletal yaitu gangguan pada persendian yang merupakan penyakit yang sering dijumpai yang sangat erat hubungannya dengan proses menua dengan gejala utama nyeri. Salah satu penyakit yang berhubungan dengan nyeri pada persendian dan tulang yang biasa dikeluhkan lansia akibat nyeri yang dirasakan sangat mengganggu aktivitas adalah reumatik. Rematik adalah penyakit yang menyerang sendi dan tulang atau jaringan penunjang sekitar sendi. Tindakan untuk mengatasi nyeri pada Rematik dengan menggunakan teknik non farmakologi yaitu dengan rendam kaki dengan air garam. Air garam diketahui mengurangi efek inflamasi pada sendi sehingga rasa nyerinya berkurang.Metode yang digunakaan adalah  memberikan informasi (ceramah) dan melaksanakan rendam kaki dengan air garam upaya menurunkan skala nyeri reumatik. Pelaksanaan di lakukan di Panti Jompo Basilam pada bulan Maret 2023 yang diikuti oleh 12 lansia yang menderita reumatik. Kegiatan ini terlaksana dengan baik bahkan para peserta terlihat antusias dan mengharapkan pelaksanaan  rendam kaki dengan air garam dapat menurunkan skala nyeri reumatik dan dapat mencegah kompilkasi pada lansia.
pemanfaatan limbah kain perca menjadi produk yang mempunyai nilai jualsd 100105 aek lubuk parsalakan
Authors: Fauzi Ilham , HARAHAP Dewani
Published: November 2023

Kain perca yaitu kain sisa atau limbah dari konveksi, pabrik atau garmen yang memproduksi pakaian, sprei dan lain sebagainya yang menggunakan bahan dasar kain. produksi pakaian yang dilakukan oleh para penjahit atau konveksi sebagai perusahaan pakaian jadi, menghasilkan banyak limbah kain yang bisa disebut kain perca. limbah kain merupakan salah satu jenis anorganik yang sulit diolah karena tidak dapat terurai dan tidak dapat di kompos, dan apabila dibakar akan menimbulkan asap dan gas beracun yang berbahaya bagi lingkungan dan sekitar. Melihat permasalahan tersebut, perlu adanya penanganan untuk meminimalisir adanya pencemaran lingkungan akibat limbah kain perca dengan memanfaatkannya menjadi produk yang memiliki nilai jual dan nilai estetika. Kegiatan pengabdian ini dilakukan bersama Siswa Siwi Kelas 5 SD 100105 Aek Lubuk Parsalakan untuk mendaur ulang limbah kain perca menjadi produk yang memiliki nilai jual dan bermanfaat dalam kehidupan sehari-hari seperti Pin Bross, Tas Serut dan Ikan Rambut  yang saat ini sedang banyak dibutuhkan terkhusus oleh wanita. Metode dalam kegiatan ini yaitu observasi awal mengenai keadaan lingkungan desa Aek :ubuk Parsalakan, penawaran solusi dan sosialisasi kegiatan kewirausahaan, Pelaksanaan kegiatan yang diawali dengan ceramah mengenai pentingnya pemanfaatan limbah kain perca, demonstrasi serta praktek pembuatan konektor masker. Tujuan dari kegiatan ini untuk membekali Siswa Siwi Kelas 5 SD 100105 Aek Lubuk Parsalakan Dalam pengelolaan limbah kain perca menjadi barang yang memiliki daya jual sehingga dapat membantu perekonomian keluarga.
PEMBANGUNAN SANITASI UNTUK PENCEGAHAN STUNTING PADA BALITA DI KABUPATEN TAPANULI UTARA
Authors: MAISYAROH YUSNINA
Published: November 2023

Kabupaten Tapanuli Utara salah satu kabupaten yang banyak dikunjungi wisatawan karena berada disekitar Danau Toba atau danau terbesar kedua di dunia dan terluas di Asia Tenggara. Kabupaten Tapanuli Utara masih memiliki angka stunting yang cukup tinggi. Berdasarkan Survey Status Gizi Indonesia (SSGI) Tahun 2021 prevelensi stunting di Kabupaten Tapanuli Utara sebesar 26,7 persen. Angka ini masih jauh dari yang ditargetkan oleh pemerintah di tahun 2024 yaitu prevalensi stunting berada di angka 14 persen.
Pemerintah telah menetapkan  strategi nasional percepatan penurunan stunting yang bertujuan untuk mempercepat penurunan Stunting. Salah satu strategi yang dilakukan adalah melaksanakan aksi konvergensi melalui intervensi gizi spesifik (kegiatan yang langsung mengatasi terjadinya stunting) dan intervensi gizi sensitif  (kegiatan yang tidak langsung mengatasi terjadinya stunting) dengan sasaran keluarga yang memiliki balita stunting dan atau keluarga beresiko stunting.
Salah satu jenis intervensi sensitif yang dapat dilakukan untuk pencegahan stunting adalah pembangunan sanitasi pada keluarga yang memiliki balita stunting atau keluarga beresiko stunting. Sanitasi yang buruk bisa menyebabkan masalah gangguan pencernaan pada anak. Ketika anak sering terkena masalah pencernaan, sistem imunnya dapat menjadi lemah, anak rentan sakit, kekurangan gizi, dan akhirnya meningkatkan risiko stunting pada anak. Lokasi pengabdian dilakukan di Desa Parbubu II Kecamatan Tarutung Kabupaten Tapanuli Utara. Pembangunan sanitasi ini bekerjasama dengan Direktorat Jenderal Prasarana Perumahan dan Permukiman Kementerian PUPR. Sanitasi yang dibangun adalah bilik dan tangka septik individual dimana digunakan oleh satu keluarga saja, tanpa berbagi dengan tetangga. Pembangunan sanitasi sebanyak 37 keluarga, dengan kriteria keluarga yang memiliki balita stunting, keluarga yang merupakan keluarga berisiko stunting, berasal dari keluarga dengan pendapatan rendah dan belum memiliki sanitasi layak sesuai dengan standar Kementerian Kesehatan.
Prenatal Yoga Pada Ibu Hamil di Desa Labuhan Labo.
Authors: Apreliasari Helmy , Wahyuni Iin
Published: November 2023

Selama kehamilan biasanya banyak keluhan atau ketidaknyamanan yang sering terjadi pada ibu hamil. Salah satunya adalah nyeri punggung yang terjadi pada ibu hamil trimester ketiga. Sehingga adapun upaya yang bisa dilakukan untuk mengatasi keluhan nyeri punggung antara lain dengan melakukan prenatal yoga.Kehamilan merupakan peristiwa alamiah yang dialami oleh seorang ibu. Pada masa kehamilan, ibu akan mengalami perubahan fisik maupun mental.  Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan serta keaktifan ibu hamil dalam melakukan prenatal yoga untuk meningkatkan kesehatan dan mengatasi keluhan selama kehamilan. Kegiatan pendidikan kesehatan prenatal yoga ini dilakukan dengan metode ceramah, diskusi dan praktik, serta dilengkapi dengan media audio visual. Hasil yang diperoleh ibu hamil mampu memahami tentang prenatal yoga dan manfaat serta dapat melakukan prenatal yoga secara rutin. Diharapkan pengabdian masyarakat ini dapat meningkatkan pengetahuan ibu dan mengatasi keluhan selama kehamilan.
Edukasi tentang Stroke dan Hipertensi pada Usia Muda di Desa Simasom Dusun 3 (Batu Lanja)
Authors: Pane Mustika Dewi , Rambe Muhammad Arsyad Elfiqah
Published: November 2023

Young age is the age in the 26-45 year category. Age in this category is already at risk for disease if individuals do not maintain their diet and health. Some diseases that can attack individuals in this age category are stroke and hypertension. The purpose of this activity is expected to increase public knowledge about stroke and hypertension. This activity is carried out on adolescents aged 26-45 years. The method used is lectures using power point slides that contain material and also brochures. The material provided is the definition of stroke, signs of stroke symptoms, stroke management, definition of hypertension, signs of symptoms of hypertension, and treatment of hypertension. The results obtained after conducting health education showed that the majority of people understood the definition of stroke, signs of stroke symptoms, stroke management, definition of hypertension, signs of symptoms of hypertension, and treatment of hypertension. which has been given. Suggestions for further activities are conducting health education about drugs, cigarettes, reproductive health, mental health, and family planning. For health workers to pay more attention to problems that often affect the community, and improve health education with the aim of increasing public knowledge and awareness
PENYULUHAN PENTINGNYA VAKSIN COVID 19 DAN MENGENAL EFEK SAMPING VAKSINASI DI KELURAHAN TINGKIR LOR KECAMATAN TINGKIR KOTA SALATIGA
Authors: Sutarmanto Edi
Published: November 2023

Vaksin merupakan produk biologi yang berisi antigen berupa mikroorganisme atau zat yang sudah diolah sedemikian rupa sehingga aman dan jika diberikan kepada seseorang akan membuat kekebalan tubuh secara aktif terhadap suatu penyakit tertentu. Vaksinasi bertujuan untuk memberikan kekebalan spesifik terhadap suatu penyakit tertentu sehingga jika suatu saat terpapar penyakit tersebut maka hanya akan mengalami gejala yang ringan. Tujuan dari penyuluhan ini adalah agar masyarakat terlebih ibu rumah tangga mengenal lebih dekat tentang vaksin covid 19 dan menghindari berita-berita tentang efek samping vaksinasi yang berlebihan. Pelaksanaan penyuluhan pentingnya vaksin covid 19 dan mengenal efek samping vaksinasi dilaksanakan dengan sasaran kelompok ibu-ibu PKK (Pembinaan Kesejahteraan Keluarga) di kelurahan tingkir lor kecamatan tingkir kota salatiga. Peserta penyuluhan berjumlah 46 ibu-ibu PKK. Penyuluhan dilaksanakan dengan metode ceramah dan tanya jawab dalam sebuah kelompok-kelompok kecil, dengan menggunakan media leaflet. Kegiatan penyuluhan pentingnya vaksin covid 19 dan mengenal efek samping vaksinasi dapat diterima dengan baik, ibu-ibu PKK mengetahui tentang vaksin covid 19 dan efeks ampingnya lebih baik.
 
Kata kunci : Vaksin covid 19, efek samping vaksin covid 19
Benefits of net-zero policies for future ozone pollution in China
Authors: Liu Zhenze , Wild Oliver , Doherty Ruth M. , O'Connor Fiona M. , Turnock Steven T.
Published: November 2023

Abstract. Net-zero emission policies principally target climate change but may have a profound influence on surface ozone pollution. To investigate this, we use a chemistry–climate model to simulate surface ozone changes in China under a net-zero pathway and examine the different drivers that govern these changes. We find large monthly mean surface ozone decreases of up to 16 ppb in summer and small ozone decreases of 1 ppb in winter. Local emissions are shown to have the largest influence on future ozone changes, outweighing the effects of changes in emissions outside China, changes in global methane concentrations, and a warmer climate. Impacts of local and external emissions show strong seasonality, with the largest contributions to surface ozone in summer, while changes in global methane concentrations have a more uniform effect throughout the year. We find that while a warmer climate has a minor impact on ozone change compared to the net-zero scenario, it will alter the spatial patterns of ozone in China, leading to ozone increases in the south and ozone decreases in the north. We also apply a deep learning model to correct biases in our ozone simulations and to provide a more robust assessment of ozone changes. We find that emission controls may lead to a surface ozone decrease of 5 ppb in summer. The number of days with high-ozone episodes with daily mean ozone greater than 50 ppb will be reduced by 65 % on average. This is smaller than that simulated with the chemistry–climate model, reflecting overestimated ozone formation under present-day conditions. Nevertheless, this assessment clearly shows that the strict emission policies needed to reach net zero will have a major benefit in reducing surface ozone pollution and the occurrence of high-ozone episodes, particularly in high-emission regions in China.
Air pollution trapping in the Dresden Basin from gray-zone scale urban modeling
Authors: Weger Michael , Heinold Bernd
Published: November 2023

Abstract. The microscale variability of urban air pollution is essentially driven by the interaction between meteorology and urban topography, which remains challenging to represent spatially accurately and computationally efficiently in urban dispersion models. Natural topography can additionally exert a considerable amplifying effect on urban background pollution, depending on atmospheric stability. This requires an equally important representation in models, as even subtle terrain-height variations can enforce characteristic local flow regimes. In this model study, the effects of urban and natural topography on the local winds and air pollution dispersion in the Dresden Basin in the Eastern German Elbe valley are investigated. A new, efficient urban microscale model is used within a multiscale air quality modeling framework. The simulations that consider real meteorological and emission conditions focus on two periods in late winter and early summer, respectively, as well as on black carbon (BC), a key air pollutant mainly emitted from motorized traffic. As a complement to the commonly used mass concentrations, the particle age content (age concentration) is simulated. This concept, which was originally developed to study hydrological reservoir flows in a Eulerian framework, is adapted here for the first time for atmospheric boundary-layer modeling. The approach is used to identify stagnant or recirculating orographic air flows and resulting air pollution trapping. An empirical orthogonal function (EOF) analysis is applied to the simulation results to attribute the air pollution modes to specific weather patterns and quantify their significance. Air quality monitoring data for the region are used for model evaluation. The model results show a strong sensitivity to atmospheric conditions, but generally confirm increased BC levels in Dresden due to the valley location. The horizontal variability of mass concentrations is dominated by the patterns of traffic emissions, which overlay potential orography-driven pollutant accumulations. Therefore, an assessment of the orographic impact on air pollution is usually inconclusive. However, using the age-concentration metric, which filters out direct emission effects, previously undetected spatial patterns are discovered that are largely modulated by the surface orography. The comparison with a dispersion simulation assuming spatially homogeneous emissions also proves the robustness of the orographic flow information contained in the age-concentration distribution and shows it to be a suitable metric for assessing orographic air pollution trapping. The simulation analysis indicates several air quality hotspots on the southwestern slopes of the Dresden Basin and in the southern side valley, the Döhlen Basin, depending on the prevailing wind direction.
The effect of atmospherically relevant aminium salts on water uptake
Authors: Hyttinen Noora
Published: November 2023

Abstract. Atmospheric new particle formation is initiated by clustering of gaseous precursors, such as small acids and bases. The hygroscopic properties of those precursors therefore affect the hygroscopic properties of aerosol particles. In this work, the water uptake of different salts consisting of atmospheric small acids and amines was studied computationally using the conductor-like screening model for real solvents (COSMO-RS). This method allows for the prediction of water activities in atmospherically relevant salts that have not been included in other thermodynamics models. Water activities are reported here for binary aqueous salt solutions, as well as ternary solutions containing proxies for organic aerosol constituents. The order of the studied cation species regarding water activities is similar in sulfate, iodate, and methylsulfonate, as well as in bisulfate and nitrate. Predicted water uptake strengths (in mole fraction) conform to the following orders: tertiary > secondary > primary amines and guanidinos > amino acids. The addition of water-soluble organic to the studied salts generally leads to weaker water uptake compared to pure salts. On the other hand, water-insoluble organic likely phase separates with aqueous salt solutions, leading to minimal effects on water uptake.
Enhanced Southern Ocean CO2 outgassing as a result of stronger and poleward shifted southern hemispheric westerlies
Authors: Menviel Laurie C. , Spence Paul , Kiss Andrew E. , Chamberlain Matthew A. , Hayashida Hakase , England Matthew H. , Waugh Darryn
Published: November 2023

Abstract. While the Southern Ocean (SO) provides the largest oceanic sink of carbon, some observational studies have suggested that the SO total CO2 (tCO2) uptake exhibited large (∼ 0.3 GtC yr−1) decadal-scale variability over the last 30 years, with a similar SO tCO2 uptake in 2016 as in the early 1990s. Here, using an eddy-rich ocean, sea-ice, carbon cycle model, with a nominal resolution of 0.1∘, we explore the changes in total, natural and anthropogenic SO CO2 fluxes over the period 1980–2021 and the processes leading to the CO2 flux variability. The simulated tCO2 flux exhibits decadal-scale variability with an amplitude of ∼ 0.1 GtC yr−1 globally in phase with observations. Notably, two stagnations in tCO2 uptake are simulated: between 1982 and 2000, and between 2003 and 2011, while re-invigorations are simulated between 2000 and 2003, as well as since 2012. This decadal-scale variability is primarily due to changes in natural CO2 (nCO2) fluxes south of the polar front associated with variability in the Southern Annular Mode (SAM). Positive phases of the SAM, i.e. stronger and poleward shifted southern hemispheric (SH) westerlies, lead to enhanced SO nCO2 outgassing due to higher surface natural dissolved inorganic carbon (DIC) brought about by a combination of Ekman-driven vertical advection and DIC diffusion at the base of the mixed layer. The pattern of the CO2 flux anomalies indicate a dominant control of the interaction between the mean flow south of the polar front and the main topographic features. While positive phases of the SAM also lead to enhanced anthropogenic CO2 (aCO2) uptake south of the polar front, the amplitude of the changes in aCO2 fluxes is only 25 % of the changes in nCO2 fluxes. Due to the larger nCO2 outgassing compared to aCO2 uptake as the SH westerlies strengthen and shift poleward, the SO tCO2 uptake capability thus reduced since 1980 in response to the shift towards positive phases of the SAM. Our results indicate that, even in an eddy-rich ocean model, a strengthening and/or poleward shift of the SH westerlies enhance CO2 outgassing. The projected poleward strengthening of the SH westerlies over the coming century will, thus, reduce the capability of the SO to mitigate the increase in atmospheric CO2.
Simple process-led algorithms for simulating habitats (SPLASH v.2.0): calibration-free calculations of water and energy fluxes
Authors: Sandoval David , Prentice Iain Colin , Nóbrega Rodolfo L. B.
Published: November 2023

Abstract. The current representation of key processes in Land Surface Models for estimating water and energy balances still relies heavily on empirical equations that require site-specific calibration. When multiple parameters are used, different combinations of parameter values can produce equally acceptable results leading to a risk of obtaining “right answers for wrong reasons”, compromising the reproducibility of the simulations and limiting the ecological interpretability of the results. To reduce the need for free parameters, here we present novel formulations based on first-principles to calculate key components of water and energy balances, extending the already parsimonious SPLASH v.1.0 model (Davis et al. 2017, GMD). We found analytical solutions for many processes, enabling us to increase spatial resolution and include the terrain effects directly in the calculations without unreasonably inflating computational demands. This calibration-free model estimates quantities such as net radiation, evapotranspiration, condensation, soil water content, surface runoff, subsurface lateral flow and snow-water equivalent. These quantities are derived from readily meteorological data such as near-surface air temperature, precipitation and solar radiation, and soil physical properties. Whenever empirical formulations were required, we selected and optimized the best-performing equations through a combination of remote sensing and globally distributed terrestrial observational datasets. Simulations at global scales at different resolutions were run to evaluate spatial patterns, while simulations with point-based observations were run to evaluate seasonal patterns using data from hundreds of stations and comparisons with the VIC-3L model, demonstrating improved performance based on statistical tests and observational comparisons. In summary, our model offers a more robust, reproducible, and ecologically interpretable solution compared to more complex LSMs.
Bias characterization of OMI HCHO columns based on FTIR and aircraft measurements and impact on top-down emission estimates
Authors: Müller Jean-François , Stavrakou Trissevgeni , Oomen Glenn-Michael , Opacka Beata , De Smedt Isabelle , Guenther Alex , Vigouroux Corinne , Langerock Bavo , Aquino Carlos Augusto Bauer , Grutter Michel , Hannigan James , Hase Frank , Kivi Rigel , Lutsch Erik , Mahieu Emmanuel , Makarova Maria , Metzger Jean-Marc , Morino Isamu , Murata Isao , Nagahama Tomoo , Notholt Justus , Ortega Ivan , Palm Mathias , Röhling Amelie , Stremme Wolfgang , Strong Kimberly , Sussmann Ralf , Té Yao , Fried Alan
Published: November 2023

Abstract. Spaceborne formaldehyde (HCHO) measurements constitute an excellent proxy for the sources of non-methane volatile organic compounds (NMVOCs). Past studies suggested substantial overestimation of NMVOC emissions in state-of-the-art inventories over major source regions. Here, the QA4ECV (Quality Assurance for Essential Climate Variables) retrieval of HCHO columns from OMI (Ozone Monitoring Instrument) are evaluated against (1) FTIR (Fourier-transform infrared) column observations at 26 stations worldwide, and (2) aircraft in situ HCHO measurements from campaigns conducted over the U.S. in 2012–2013. Both validation exercises show that OMI underestimates high columns and overestimates low columns. The linear regression of OMI and aircraft-based columns gives ΩOMI = 0.651 Ωairc + 2.95×1015 molec.cm-2, with ΩOMI and Ωairc the OMI and aircraft-derived vertical columns, whereas the regression of OMI and FTIR data givesΩOMI = 0.659 ΩFTIR + 2.02×1015 molec.cm-2. Inverse modelling of NMVOC emissions with a global model based on OMI columns corrected for biases based on those relationships leads to much-improved agreement against FTIR data and HCHO concentrations from 11 aircraft campaigns. The optimized global isoprene emissions (~445 Tg yr-1) are 25 % higher than those obtained without bias correction. The optimized isoprene emissions bear both striking similarities and differences with recently published emissions based on spaceborne isoprene columns from the CrIS (Cross-track Infrared Sounder) sensor. Although the interannual variability of OMI HCHO columns is well understood over regions where biogenic emissions are dominant, and the HCHO trends over China and India clearly reflect anthropogenic emission changes, the observed HCHO decline over Southeastern U.S. remains imperfectly elucidated.
Early Point of Care Ultrasound Training in Medical Education, Making the Case with a Case Report
Authors: Wilcox James , Lawson Bret , Gauger Andrew
Published: November 2023

Background: Point of Care Ultrasound (PoCUS) emerged in the early 1990’s as a promising clinical and educational tool that allows for quicker diagnosis at the bedside.  Our PoCUS program at Indiana University School of Medicine uniquely exposes students to training during their first weeks of medical school, with  training continuing through all 4 years.  Our paper demonstrates the portability and efficiency of PoCUS devices to benefit student run clinics, where vulnerable patients come to seek free medical care.
Case: We report the case of a 48-year-old man presenting to our student run clinic with shortness of breath and cough.  He recently immigrated from Nigeria, had no prior interaction with United States healthcare, and faced a significant language barrier.  Physical examination conducted by the medical students revealed mild bibasilar crackles and 1+ pitting edema in the lower extremities.  This prompted the students to suspect heart failure, and the first-year medical student used bedside ultrasound to reveal a reduced ejection fraction of approximately 15%, which resulted in expedited and escalated medical care.
Conclusion: This case report demonstrates how incorporating PoCUS early into the undergraduate medical curriculum might improve patient care by expediting the diagnosis, while also enhancing student education.  The use of bedside ultrasound rapidly updated the team to the severity and type of heart failure present.  Therefore, the care team quickly escalated the appropriate treatment, and impressed the importance of follow up care to the patient.
Walking the Walk: A Review of Medical Students’ Perspective of a Surgical Theatre as the New Classroom
Authors: Mallia Tamara A. , Cuschieri Sarah
Published: November 2023

Medical school trains eligible students for a medical degree (MD). As part of the clinical years in the MD program, students attend surgical theatre sessions to learn medical concepts from hands-on experience in the theatre. This review aims to provide a comprehensive overview of the role surgical theatre plays in the learning process and clinical experience of medical students. Google Scholar, PubMed and NCBI databases were searched for articles from 1990 to March 2022 using the search terms ‘Operating Room’ or ‘Operating Theatre’ or ‘Surgical Theatre’ and ‘Learning’, ‘Medical Students’ and ‘Surgeons’. Only articles on medical students’ perceptions on their learning experience in the surgical theatre were included. Thirty-four articles were eligible for inclusion. Unpreparedness, anxiety, lack of clear learning outcomes, fear and intimidation were the most common reported experiences by students. These demotivate medical students from attending theatre, along with poor surgical field visibility, resulting in a negative learning experience. Positive experiences during theatre time were more likely to attract students to choose a future surgical career. Limitations include the inclusion of surgical residents’ perspectives and the exclusion of other surgical team members’ perspectives. Studies included students across different clinical years, and results were primarily based on subjective perceptions. Evidently, the surgical theatre is a great learning opportunity for medical students. However, for this learning environment to be beneficial, students need to be included during surgical discussions and procedures. Additionally, clear learning outcomes need to be present whilst adequately training students prior to their first surgical attendance.
From Student to Physician: Determining Which Lifestyle Behaviors May Be Risk Factors for Burnout at a South Florida Medical School
Authors: Lin Rachel , Woolery-Lloyd Heather , Young BreAnne , Kenya Sonjia
Published: November 2023

Background: Compared to other professions, physicians have significantly higher rates of burnout and poor lifestyle behaviors, including inadequate sleep, poor diet, limited exercise, and lack of supportive social relationships. Among physicians in training, burnout and increasingly poor lifestyle behaviors can begin as early as the preclinical years of medical school.
Methods: A cross-sectional survey composed of questions from standardized surveys measuring diet (Yaroch’s FVS), exercise (NPAQ-S), sleep (NHANES), stress management (HRQOL), social support (BRFSS), substance use (AUDIT-QF, WHO), and burnout (Mini-Z) was conducted on a South Florida medical school in May 2021. One hundred forty-four students fully completed the survey for a response rate of 16%. Descriptive analysis was performed via SPSS to determine the effects of these lifestyle factors on the likelihood of student burnout.
Results: In this sample of medical students, over half (61%) experienced burnout per the Single Item Burnout Measure. Independently, lack of sleep (p<0.02) and decreased social support (p<0.001) were lifestyle factors positively associated with increased risk of burnout. Furthermore, students who experienced burnout reported more poor mental health days and decreased life satisfaction (p<0.001).
Conclusion: Over half of the medical students experienced burnout. Lack of sleep and lack of social support were significantly associated with increased risk of burnout. In addition, burned-out students showed significantly increased levels of poor mental health and decreased life satisfaction. These findings help us identify specific lifestyle factors that institutions could use to further combat medical student burnout.