bluuebunny/crossref_metadata_2025 huggingface dataset:
Aeshna affinis Vander Linden, 1820 (Odonata: Aeshnidae) in the Iberian Peninsula: A review of past and recent records, and a larval biometric study
Authors: Ferreras-Romero Manuel , Márquez-Rodríguez Joaquín
Published: February 2023

Aeshna affinis, known as “Southern Migrant Hawker, Blue-eyed Hawker” is a native odonate species uncommon in many areas of the Iberian Peninsula. Field observations in Andalusia, the southernmost peninsular region, are notably scarce. Several photographs of one larva of this species, as proof of its reproduction in southern Spain, are provided.
Pengaruh Model Dialogic Reading Berbantuan Media Gambar terhadap Penguasaan Kosakata dan Membaca Pemahaman Siswa Kelas IV SD Segugus 6 Center Kecamatan Polongbangkeng Kabupaten Takalar
Authors: Hasmar Khairul , Aida Azis Sitti , Akib Erwin
Published: February 2023

Peneltian ini bertujuan untuk mengetahui pengaruh model Dialogic Reading berbantuan media gambar terhadap penguasaan kosakata dan membaca pemahaman siswa kelas IV SD segugus 6 center Kabupaten Takalar. Metode penelitian yang digunakan yaitu quasi eksperimental dengan desain penelitian Pretest Posttest Control Group Design. Sampel dalam penelitian ini adalah siswa kelas IV SDN No. 39 Center Palleko yan berjumlah 27 siswa dan SDN No. 167 Inp. Malewang yang berjumlah 24 siswa. Teknik pengumpulan data yang digunakan yaitu tes tertulis. Hasil analisis data menggunakan uji independent sampel t test. Menunjukkan nilai rata-rata siswa pada kelas eksperimen yang menggunakan model Dialogic Reading berbantuan media gambar untuk penguasaan kosakata yaitu 76.85, sedangkan pada kelas control dengan pembelajaran konvensional yaitu 71.04. Sama halnya nilai rata-rata siswa untuk membaca pemahaman, pada kelas eksperimen yaitu 8-.19, sedangkan pada kelas control yaiutu 66.48, dari hasil tersebut dapat dilihat adanya perbedaan yang signifikan antara kelas eksperimen yang menerapkan model Dialogic Reading berbantuan media gambar dengan kelas control yang menggunakan pembelajaran konvensional. Sehingga dapat disimpulkan bahwa terdapat pengaruh model pembelajaran Dialogic Reading berbantuan media gamar terhadap penguasaan kosakata dan membaca pemahaman siswa kelas IV segugus 6 center kabupaten Takalar. Penelitian ini diharapkan model Dialogic Reading dapat menjadi salah satu alternative model pembelajaran di sekolah.
Pengaruh Model Pembelajaran Discovery Learning Berbantuan Media Animasi Kinemaster Terhadap Minat dan Hasil Belajar IPS
Authors: Mirna  , Nursalam  , Nawir Muhammad
Published: February 2023

Penelitian ini bertujuan untuk mengetahui pengaruh penerapan model pembelajaran Discovery Learning berbantuan media animasi Kinemaster terhadap minat dan hasil belajar IPS siswa kelas VI SD Negeri Daya 1 Kota Makassar. Penelitian ini dilaksanakan di SD Negeri Daya 1 dan merupakan penelitian kuantitatif dengan desain penelitian dengan desain penelitian nonequivalent control group design. Teknik sampling menggunakan purpose sampling. Sampel dan penelitian ini adalah kelas VIA yang berjumlah 27 orang sebagai kelas eksperimen dan kelas VIB  yang berjumlah 26 orang sebagai kelas kontrol. Jenis pengumpulan data menggunakan angket minat untuk mengukur minat belajar dan soal pre-test dan post- test untuk mengukur hasil belajar siswa. Teknik analisis data yang digunakan adalah Uji Anova, yang sebelumnya diuji normalitas dan homogenitas. Hasil penelitian ini menunjukkan bahwa hasil Uji Independent Sample Test minat dan posttest hasil belajar diperoleh nilai signifikansi (sig) yaitu 0,000 < 0,05 ( lebih kecil dari 0,05) dengan level kepercayaan 95% maka Ho ditolak dan Ha diterima, sehingga dapat disimpulkan bahwa model Discovery Learning berbantuan media animasi Kinemaster berpengaruh signifikan terhadap minat dan hasil belajar IPS di kelas VI  SD Negeri Daya 1  Kota Makassar
Pengembangan Media Pembelajaran Berbasis Musik untuk Siswa Kelas IV pada Materi IPS Subtema Keberagaman Suku
Authors: Novy Yudiastika  , Romadon  , Hikmawati Agci
Published: February 2023

Penelitian ini dilatarbelakangi oleh proses pembelajaran yang menggunakan metode konvensional; yaitu guru hanya menggunakan gambar sebagai media pembelajaran yang menyebabkan siswa kurang aktif dalam proses pembelajaran. Siswa mengalami kesulitan dalam memahami materi pembelajaran. Oleh karena itu, peneliti tertarik untuk mengembangkan media pembelajaran berbasis musik. Penelitian ini bertujuan untuk menghasilkan produk pembelajaran media pembelajaran berbasis musik bagi siswa kelas IV yang valid dan praktis pada materi IPS subtema keberagaman suku. Jenis penelitian yang digunakan adalah penelitian dan pengembangan (R&D) dengan menggunakan model ADDIE yang terdiri dari tahapan Analisis, Desain, Pengembangan, Implementasi, dan Evaluasi. Sampel yang digunakan adalah siswa kelas IV SD Negeri 25 Pangkalpinang. Subjek uji coba media pembelajaran berbasis musik skala kecil pada penelitian ini berjumlah 10 siswa, sedangkan pada uji coba skala besar berjumlah 20 siswa. Hasil penelitian diperoleh dari ahli materi, media, dan responden siswa. Hasil yang diperoleh dari validator materi pertama adalah 100% (sangat valid) dan validator materi kedua adalah 97,5% (sangat valid). Hasil validator media pertama 97,5% (sangat valid), dan validator media kedua 92,5% (sangat valid). Hasil uji coba produk media pembelajaran berbasis musik diperoleh 95% (sangat praktis). Hasil penelitian terhadap media pembelajaran berbasis musik menunjukkan bahwa media pembelajaran tersebut dikategorikan valid dan praktis untuk digunakan sebagai media pembelajaran.
The Effectiveness of Nesting and Lighting in Physiological Function for Low Birth Weight Babies in Sidoarjo
Authors: Suprihatin Kusmini , Arna Yessy Dessy , Maemonah Siti , Luthfiyah Sari , Maziyah Alfi
Published: February 2023

One of the goals of the Millennium Development Goals (MDG's) is to lower infant and child mortality rates. In 2006 according to the World Health Organization (WHO) infant mortality rate in the world was 49 per1000 births and the most cause of death was Low Birth Weight Babies. In Sidoarjo Hospital the birth rate of BBLR in the last 3 months is still high ranging from 30-38 babies. This study aims to analyze the effectiveness of nesting and lighting in physiological function for LBW babies in RSUD Sidoarjo. This type of research is a quasy experiment with a nonrandomized pretest and posttest with control group design with purposive sampling in the Infant Room and NICU of Sidoarjo Hospital as many as 61 (40 control groups and 21 intervention groups). Measuring instruments used are luxmeters, heart rate meters, oximeters, thermometers and observation  sheets. The independent variables are the use of light shields and nesting and the dependent variables are pulse frequency and oxygen saturation. The results showed there was a difference in value between pre and post test heart rate and oxygen saturation in the intervention group with a value of p< 0.05 and there was a difference between the control group and the intervention group in the respiration rate counts pre and post intervention, the post heart rate intervention, and the post temperature intervention with a value of p<0.05. The physiological condition of the baby is related to temperature, respiration and relatively stable heart rate and the use of nesting and light protection affects the physiological stability of the heart rate and oxygen saturation
Clinical Impact of Liquid Biopsy in Prostatic Cancer: A Literature Review
Authors: Hussein Mohamed , Ismail Hiba
Published: February 2023

The most prev amost prev abstract alent solid tumor in men worldwide is prostate cancer. The need for biomarkers to guide management choices is critical given the frequency of prostate cancer and its relatively lengthy clinical course. Based on a patient's unique risk stratification, which considers pathologic characteristics from a prostate biopsy, prostate-specific antigen (PSA) level, imaging, and other patient factors, decisions about localized prostate cancer treatment options, such as active surveillance, surgical excision, or targeted radiation, are made. An attractive method for thorough cancer analysis is to use "liquid biopsies" made up of analytes from a peripheral blood draw. These methods can be used as prognostic and predictive biomarkers as well as ready tissue sources for molecular profiling during the course of a disease and are straightforward, safe, and simple to repeat. Researchers conduct an examination of articles that are in accordance with the issue to be studied. Articles used in literature review are obtained through  the  database  of  international  journal  providers  through  PubMed,  we  investigated eleven clinical studies and discussed what happened in these clinical studies and the extent of the effectiveness of liquid biopsy in  prostatic cancer, in one study there was relative impact of common circulating tumor DNA alterations on patient response to the most widely used large, randomize advanced prostate cancer. Other studies reported that ZNF660 methylation analysis can potentially help to stratify low-/intermediate-grade PCs into indolent vs. more aggressive subtypes. Another study found that tumor-derived biomarkers in platelets of CRPC patients enabled prediction of the outcome after abiraterone therapy with higher accuracy than baseline serum PSA or PSA response. One study reported that de novo positive CTC count after androgen deprivation therapy is probably due to a passive mechanism associated with the destruction of the tumor. In this review, we suggest that liquid biopsy could be used as biomarker for prostatic cancer, Further studies are needed to enhance liquid biopsy efficacy.
The Most Common Predictors of Uncontrolled Blood Pressure Among Hypertensive Elders: A Systematic Review
Authors: Dewi Triyana Puspa , Ahmad Aini
Published: February 2023

Aging process implies challenges for the elderly, specifically related to degeneration in the vascular system. The uncontrolled blood pressure has detrimental effects on brain, heart and kidney that cause organ failure. Hypertension is getting harder to control if the patients unaware with the factors that outweigh blood pressure control. Medication nonadherence and unhealthy behavior are known as the essential factors related to uncontrolled blood pressure. The study aims to assess the most common predictors of uncontrolled blood pressure, which involved elders with hypertension. The method used is a systematic review obtained from databases of Scopus, Science Direct, PMC, and SAGE. The total of eight full text articles in English language and randomized controlled trial design determined from 2018 to 2022 included in the assessed articles. The result did not reveal medication adherence as the most common factor, but obesity as modifiable predictor is obesity, whereas unmodifiable are age and comorbid. It is indicated that the require intervention for hypertensive elder is focused on body weight and comorbid management. The implication of this systematic review is beneficial for the elderly to achieve blood pressure control by enhancing the awareness of changeable factors and adopt a healthy lifestyle. Furthermore, the nurse also easier to determine the appropriate intervention for elders.
The Experiences of Patients with Diabetes and Strategies For Their Management During the COVID-19 Pandemic: A Qualitative Study
Authors: Joeliantina Anita , Hamid Irfany Nurul , Sulistyowati Endang
Published: February 2023

Self-care is a key point for patients with Diabetes Mellitus (DM) to maintain normal blood sugar levels. During the COVID-19 Pandemic, patients with DM experienced limitations in carrying out self-care.  The study explores in-depth the experiences of patients with DM in carrying out self-care during the pandemic of COVID-19. This type of research was qualitative research with a phenomenological approach. The number of participants in the phenomenological study was patients with DM at the Keputih Surabaya Health Center with ten people. The determination of participants is determined using the purposive sampling technique. The collecting data through in-depth interview techniques online and offline. Data analysis used the Van Manen method. There are five themes related to the self-care behavior of patients with DM during the COVID-19 pandemic in this study, namely: poor diabetic diet, absence of physical activity, impaired monitoring of blood glucose levels, change of medication pattern, and absence of foot care. DM patient's self-care behavior obtained is a decrease in diet, physical activity, monitoring blood glucose levels, and foot care. This decrease was caused by various conditions that occurred during the pandemic. In treatment behavior, it was found that there was the use of herbs as a companion to medical treatment. Furthermore, researchers need to carry out further research on strategies for implementing appropriate self-care in patients with DM during a pandemic, especially the use of herbs as a complement to treatment.
الآخر في شعر الحطيئة دلالة المكان أنموذجاً
Authors: د. علي حسين جلود  , د. حمادي خلف سعود
Published: February 2023

إن الحديث عن الأخر هو الحديث عن الذات، إذ لا يمكن فصل بعضهما عن البعض، ومها كانت رتبته ، فمنذ خلق الله I ادم u خلق الله معه حواء ، والإنسان مهما كان شانه لا يستطيع العيش بمفرده . إذ يشكل الحديث عند الشاعر الجاهلي جزءا من حديثه ونظرته إلى ذاته . ولا يمكن قيام الأخر بأي عمل ما ، ما لم تقم الذات معه والوقوف إلى جنبه ، فهي سر وجوده واستواء كيانه ومن غير الذات لا يستطيع الأخر الوصول إلى غايته ، وهو أمر في غاية الصعوبة .

إن العلاقة بيت الذات و الأخر هو الخيط الناسخ للخيط الإبداعي وإذا جدليتهما كثيرا ما تبدو مصطنعه في الخطاب الفكري، فان الإبداع يتيح لها من مقومات البناء والصياغة ما يوسع إمكانيات تصورها والتعبير عنها ، وبالمناسبة إن المفكرين غالبا ما يضيعون فرص الشراء عندما يلتفون حول قضاياهم دون أن يشعروا بغياب المبدع والحاجة إلى حسه وحدسه
المدارس المعجمية وأثرها في تطور اللغة
Authors: د. نجيب وهاب حسن  , د.كواكب كريم غفور
Published: February 2023

تمثل المعجمات العربية مصدراً مهماً في الدراسات اللغوية والأدبية، وكان هدفها جمع ألفاظ اللغة وتحديد صيغها ومعانيها وما يَعْرِض لها أحياناً من اختلاف بين لهجات القبائل، أو اختلاف بين آراء أهل اللغة، أو ما أشبه ذلك.‏ وهذا البحث المعنون (المدارس المعجمية وأثرها في تطور اللغة) خطوة على طريق دراسة أثر هذه المعجمات ، وقد جاء في ثلاثة مباحث : المبحث الأول: في مفهوم المعجمات وتعريفها لغة واصطلاحا ، ثم جاء المبحث الثاني: في بيان أثر المعجمات على حسب مدارسها في نماء اللغة وتطورها بتطبيق بعض المفردات التي تناولتها تلك المعجمات، والمبحث الثالث: في نماذج من المعجمات الحديثة، وجاءت الخاتمة لتتضمن مجموعة من النتائج التي توصل إليها البحث تتلوها قائمة المصادر والمراجع التي أفاد منها .
إحالة أسماء الإشارة في النحو العربي
Authors: أ.م. د. بان مهدي صالح الخفاجي  , باسمة عبد العزيز علي
Published: February 2023

المقدمة :

بسم الله الرحمن الرحيم والحمد لله رب العالمين والصلاة والسلام على سيد المرسلين محمد 6  وعلى آله الطيبين الطاهرين وأصحابه المنتجبين .

وبعد : تُعدُّ إحالة أسماء الإشارة  واحدة من وسائل تماسك النص ، إذ تؤدي دوراً بارزاً في ربط أركان القول والجُمل بعضها ببعض مما يجعلها عناصر مهمة من عناصر اتساق النص وانسجامه، إذ يأتي المشار إليه في كلام سابق قبل التلفظ باسم الإشارة ، فتكون الإشارة إلى شيء موجود أو حاصل في الذهن قبل التلفظ بالمشار إليه.وفي مقابل هذا الربط الإحالي الذي يتحقق لأسماء الإشارة داخل النص، يضعها الباحثون فيما سمّوه بالإشاريات والتي تجمع كل العناصر التي تحيل مباشرة على المقام الخارجي ،من حيث وجود الذات المتكلمة أو الزمن أو المكان،حيث ينجز الملفوظ والذي يرتبط به معناه؛ والإشاريات تشمل : ضمائر المتكلم والمخاطب وظروف الزمان والمكان (هنا)، (هناك)، (الآن) ، وأسماء الإشارة مثل (هذا) ، (هذه) وهذه العناصر تلتقي في مفهوم التعيين أو توجيه الانتباه إلى موضوعها بالإشارة إليه. أي عندما تكون أسماء الإشارة تعبر عن  إشارة حسية ، أما أهم ميزة لإحالة أسماء الإشارة وفاعليتها في النص هو قدرتها على الإحالة على جملة بأكملها أو متتالية جمل وبناءً على ذلك أطلق هاليداي ورقية حسن على هذا النوع من إحالة أسماء الإشارة بالإحالة الموسعة ، وهي إحالة تخص اسم الإشارة المفرد ، هذا ، ذلك ،وعدَّ روبرت دي بوجراند هذه الميزة على إنها كفاءة نصية Efficiency ،
الأعجاز الغيبي في القران الكريم ودراسة تطبيقية
Authors: م. م. شهلاء صبيح نصيف
Published: February 2023

بعد الاستعانة والتوكل على الله وبعد أتمام البحث الموسوم (بالإعجاز الغيبي في القران الكريم)  – دراسة تطبيقية – تناولت الباحثة في الفصل الأول معنى الإعجاز في اللغة والاصطلاح ومعنى الغيب في اللغة والاصطلاح وتناولت أهم وأشهر العلماء الذين بحثوا في الإعجاز الغيبي منهم الرماني والخطابي والباقلاني وغيرهم وقد تعرضت الباحثة في الفصل الثاني إلى أنواع الإعجاز الغيبي فكان على نوعين: الأول : ما يتعلق بالأشياء المادية والثاني : يتعلق بالأشياء غير المادية , وتناولت أيضا الألوان الإعجاز الثلاث هي 1. غيب الماضي 2. غيب الحاضر3. غيب المستقبل وكانت الغيبيات الخمسة التي ذكرها الله تعالى في كتابه العزيز هي 1. علم الساعة2. إنزال الغيث3.هو الذي يعلم ما في الارحام4.ما تدري نفسُ ماذا تكسب غدا 5. وما تدري نفس بأي ارضٍ تموت , وقد توصلت الباحثة إلى أن كلمة الإعجاز تعود إلى السبق والفوت عن الشيء في المعنى اللغوي, وكلمة الغيب تعود إلى معنى واحد هو الاستتار أذن فالغيب في القران الكريم ينقسم إلى أقسام كثيرة كما ذكرناه أنفا حيث ذكرها الله تعالى في القران في سورة لقمان ولم يطلع عليها أحدا من خلقه بل اختصها لنفسه عز وجل .
SPECTRUM OF MRI FINDINGS IN PAEDIATRIC PATIENTS WITH EPILEPSY PRESENTING TO GGH, KURNOOL
Authors: Radha Rani K. , Sarada B. , Sowjanya G. , Vamsidhar Reddy M.
Published: February 2023

Epilepsy is one of the most prevalent neurological disorders, with an incidence of about 50 new cases per 100,000
people annually. The diagnosis, management, and direction of the therapy of pediatric epilepsy are significantly
influenced by recent advancements in neuroimaging. Further aiding in the location of the epileptogenic foci and
directing potential surgical management of intractable/refractory epilepsy where required, functional neuroimaging
provides additional information and may show abnormalities even in cases where MRI was normal.5 Neuroimaging
identifies numerous focal lesions/pathologies that cause epilepsy. Even in low risk groups, neuroimaging yields high
results.This study aims to analyze the spectrum of MRI findings in pediatric patients presenting with epilepsy to tertiary
care hospital,GGH,Kurnool
A RETROSPECTIVE STUDY ON MATERNAL MORTALITY IN A TERTIARY CARE SETUP: 2-YEAR REVIEW DURING COVID PANDEMIC
Authors: Nisha Korimilli , n.v. Keerthana M. , Jayanthi P.
Published: February 2023

Introduction: Epidemiological data related to maternal mortality is valuable in each setup to design interventional
programs to reduce the ratio favorably.This study was done to evaluate the maternal mortality rate in our hospital GGH
GUNTUR from January 2020 to December 2021,to assess the epidemiological aspects and causes of maternal mortality,
and to suggest recommendations for improvement.
Objectives:
1. To estimate the maternal mortality rate in GGH Guntur
2. To identify the causes associated with maternal mortality
3. To identify epidemiological risk factors for maternal mortality
4. To recommend ideas for reducing MMR to prevent maternal deaths.
Methods:
This is a 2-year retrospective study conducted in our hospital, GGH Guntur, Andhra Pradesh. All data presented were
collected from hospital records and the causes were assessed,some of the epidemiological risk factors were identified,
and maternal mortality rates were calculated. Results: A total of 165 maternal deaths occurred. Most maternal deaths
occurred in the age group of 20–24 years, primi women (53.33%), women from rural areas (75.15%), and unbooked
patients (95.15%). Direct causes accounted for 52.27% of maternal deaths, 28.48% of maternal deaths were due to
indirect causes and 17.57% of maternal deaths were due to non-obstetric causes ( 89.65 % were due to covid-19)
Conclusion: Better reporting of maternal deaths and implementation of evidence-based,focused strategies,along with
effective monitoring of maternal health,emphasizes the need for regulation of the private sector and encourages further
public-private partnerships and policies, as well as a robust political will and enhanced management capacity for
improving maternal health,particularly in an unprecedented health crisis such as Covid-19.As a considerable number
of the recorded deaths are preventable,there is substantial room for advancement.
WUNDERLICH'S SYNDROME IN A PATIENT WITH ADVANCED TUBEROUS SCLEROSIS COMPLEX WITH LARGE ANGIOMYOLIPOMA
Authors: Mollah Washim , alam Tahzeeb , Mondal Soumendranath , Dasgupta Gaurab , Kumar Sharma Pramod
Published: February 2023

Wunderlich's syndrome, or spontaneous non-traumatic retroperitoneal hemorrhage, can be a life-threatening event.
Renal angiomyolipoma is a rare benign tumor that can occur sporadically, or in association with tuberous sclerosis. A
case of spontaneous retroperitoneal hemorrhage in a patient with tuberous sclerosis and renal angiomyolipoma is
presented. Tuberous sclerosis complex is a rare symptom complex and may have varied presentations.We present a
case of hypovolemic shock due to spontaneous rupture of large angiomyolipoma in a 24-year-old male patient with
tuberous sclerosis complex (TSC).The hemodynamic instability of our patient leads to an urgent surgery and right
nephrectomy was done for the angiomyolipomas. Spontaneous hemorrhage in renal angiomyolipoma in a case of
tuberous sclerosis and management are discussed.
CHALLENGES OF MICROFINANCE BENEFICIARIES IN AGRICULTURAL AND NONAGRICULTURAL CREDIT
Authors: A T Athira , Joseph Idicula Ebby
Published: February 2023

T
Microfinance programs are a great way for low income people in rural areas to start their own income generating
activities and makes their ends meet. Since, borrowing itself is a big challenge, there will always be a challenge in
everything doing with that money.Borrowing for Agricultural and Non agricultural activities ultimate objective is to
make at least an income which meets the repayment of the borrowed capital without any additional credit. Gestational
period payments , complication in sale of products due to competition of branded products, limitation in area of
marketing due to lack of storage and transportation ,loss due to technical inefficiency and underutilisation of capacity
etc are the main challenges faced by agricultural and non agricultural microfinance borrowers
A RARE CASE OF MULTIPLE INTESTINAL TRICHOBEZOAR CAUSING INTESTINAL OBSTRUCTION IN A YOUNG FEMALE PATIENT
Authors: kumar Dubey Himesh , B Mehta Maulik. , R Modi Pankaj. , Das Abhigyan
Published: February 2023

A trichobezoar is an accumulation of hair inside the gastrointestinal tract. It's usually seen in patients of trichotillomania.
Case Report: A-17 year old girl with features of subacute intestinal obstruction was operated in civil hospital
ahmedabad and was found to have multiple hairballs inside of her small bowel. Enterotomy done and hairballs were
extracted, ileoileal exteriorisation was done. Trichobezoar is a rare disorder which can often pres Conclusion: ent as a
surgical emergency.
EVALUATION OF RURAL SOCIAL CAPITAL IN THE PROTECTION AND RESTORATION OF LAKE URMIA
Authors: Ahangari Ismail
Published: February 2023

Lake Urmia is the largest lake in the Middle East and the sixth-largest saltwater lake on Earth, with a surface area of
approximately 5,200 km2.This lake is experiencing severe drought from 2000 onward due to persistent general drought
in Iran,but also the damming of the local rivers that flow into it, and the pumping of groundwater from the surrounding
area.This study investigates the social capital of the Urmia basin's rural community in the protection and restoration of
this water body.The method of the study was descriptive statistics in which a total number of 415 questionnaires were
distributed among the rural residents. The main focus of this survey was evaluating the people's perception of the
relationship between economic growth and environmental protection and assessing their sense of belonging to the
lakes.For this purpose,measures of central tendency including the mean,median,and mode,and measures of variability
including standard deviation, variance, minimum and maximum variables, kurtosis, and skewness were analyzed.The
results of this study show that the people's perception of the significance of conservational measures at lake Urmia is at
the medium level, which means more environmental promotional programs need to be undertaken. In addition, The
resident's sense of belonging to lake Urmia is at the medium level, which proves the people are not fully aware of the
various ecosystem services provided by the lake
GREEN NANOTECHNOLOGY- AN INNOVATIVE PATHWAY FOR SUSTAINABILITY
Authors: Md Ashif Ikbal Abu , Dutta Choudhury Paromita
Published: February 2023

Technology that uses engineering and green chemistry means using plant products. It minimizes energy and fuel use by
using less material and renewable inputs, so-called green technology as an innovative pathway for sustainability. Green
nanotechnology refers to the utilization of nanotechnology to enhance the environmental sustainability of processes
producing negative externalities. By integrating the principles of green chemistry and engineering, green
nanotechnology can produce safe and eco-friendly metal nanoparticles that do not use toxic chemicals in their
synthesis. Green nanotechnology takes a broad systems view of nanomaterials and products, ensuring that unforeseen
consequences are minimized and that impacts are anticipated throughout the full life cycle. This mini-review is a
comprehensive study of green nanotechnology and its utilization towards sustainability.
SPUTUM NEUTROPHILIA IN ACUTE EXACERBATION OF BRONCHIAL ASTHMA
Authors: Viney Kuma Ishita , B Archana , Majeed Pash MD , Akhila Chitteddi
Published: February 2023

Background : Asthma is a common respiratory condition that affects an estimated 358 million people worldwide.
Neutrophilic asthma is an asthma inflammatory phenotype associated with exacerbation,airflow limitation,and steroid
resistance. Objective : The aim of the study was to observe the severity of Bronchial asthma in patients with Sputum
Neutrophilia .Methods:This is a prospective cross sectional study by Department of Pulmonary Medicine including 50
patients with Acute Exacerbation of Bronchial Asthma as determined by ACQ. Results: Patients with sputum
neutrophilia were seen to have higher ACQ scores,poor bronchodilator reversibility ,low expiratory volumes and poor
response to inhaled corticosteroids with a higher risk of exacerbation.The correlation between sputum Neutrophilia
and Bronchodilator reversibility using spirometry is statistically significant(p value = 0.0001) with a greater incidence of
hospitalization for asthma.Conclusion:Neutrophilic asthma is associated with less atopy and these patients have lower
levels of exhaled nitric oxide (FeNO), greater incidence of hospitalization for asthma and higher incidence of steroid
resistance.Sputum neutrophilia has a positive correlation with smoking and is more often seen in older males
Hubungan kadar testosteron serum dengan kekuatan genggaman pada lanjut usia laki-laki
Authors: Purnami Ni Ketut Rai , Kuswardani RA Tuty , Aryana I Gusti Putu Suka , Astika I Nyoman , Putrawan I B Putu , Wande I Nyoman , Tersinanda Ni Nyoman Trisna Yuliharti
Published: February 2023

Background: Many elder peoples in the community suffering from frailty syndrome and sarcopenia. One of the important components in the occurrence of frailty and sarcopenia is the decrease in muscle strength that can withstand grip strength. Various factors influence, one of which is the level of testosterone hormone. There are still some controversial results regarding the relationship between testosterone levels and hand grip strength.
Objective: This study aimed to prove that testosterone levels are associated with grip strength in elderly men.
Methods: This study is an analytic cross-sectional study in an urban area in Bali. The study was started by giving informed consent to the research subjects, then examination using a handgrip dynamometer, and taking blood samples to check testosterone levels. The relationship between testosterone levels and grip strength was analyzed using the Spearman test using SPSS edition 24 software.
Results: A total of 62 elderly men in urban areas in Bali were involved in this study. The mean age was 69,26 years old. The subjects' comorbid diseases were assessed by a CACI score with a mean score of 2,87. The mean value of testosterone levels was 421,79 ng / mL with a minimum value of serum testosterone levels of 0,05 ng / ml, a maximum value of 12,63 ng / ml. It was proven that there was a significant relationship between testosterone levels and grip strength in elderly men (p = 0.031, r = 0,274).
Conclusion:  Testosterone levels associated with hand grip strength in elderly man.
Hubungan antara penggunaan obat antiretroviral berbasis evafirenz dengan prevalensi gangguan depresi pada penderita HIV di klinik penyakit tropik dan infeksi terpadu RSUP Sanglah
Authors: Pande I Putu Oka Yudaswara , Utama I Made Susila , Gayatri Anak Agung Ayu Yuli , Sukmawati Made Dewi Dian , Somia Ketut Agus , Merati Ketut Tuti Parwati
Published: February 2023

Background: Efavirenz as the first-line ARV most frequently used worldwide has a neuropsychiatric side effect that is still debated. Early identification of depressive symptoms determines adherence to treatment.
Objective: To determine the prevalence of depressive disorders in a population of HIV patients using efavirenz-based ARVs.
Methods: This study used a cross-sectional observational research design with a consecutive sampling method that was conducted at the Sanglah Hospital's Integrated Tropical Disease and Infectious Disease Clinic during May to June 2019. Measurement of depression used the Beck Depression Inventory-II questionnaire. Data analysis used SPSS version 21 with chi square test.
Result: The sample size was 90 people, the majority were men (58.9%) with a mean age of 36 ± 7.23 years and a long period of suffering from HIV 5 ± 3.82 years. The population of respondents who received efavirenz-based ARVs was 65.6% with a depression prevalence of 37.3%. The results of the chi-square test analysis showed that there was no significant relationship between the use of Efavirenz-based ARVs and the prevalence of depressive disorders (p = 0.86).
Conclusion: More than a third of the sample population had a depressive disorder and was not associated with the use of EFV-based ARVs.
The characteristics of heart failure in patients with diabetes mellitus in Sanglah Hospital Denpasar
Authors: Anak Agung Ketut Yunita Paramita  , Made Ratna Saraswati  , Nyoman Wiryawan
Published: February 2023

Background: The prevalence of heart failure (HF) is 4 times higher in patients with diabetes mellitus (DM) than general population. Coronary heart disease (CHD), hypertension, DM, obesity, smoking and atrial fibrillation are risk factors for HF. However, many observational studies have shown that DM is an independent risk factor for HF through the mechanism of diabetic cardiomyopathy.
Objective: This study aimed to determine the characteristic heart failure in patients with DM.
Methods: This study used a cross sectional descriptive design and the secondary data originating from medical records of patient in the intermediate ward and intensive care coronary care unit, Sanglah Hospital on March 2020 - March 2021. The inclusion criteria were DM patients with acute or chronic HF, while the exclusions criteria were DM patients with anemia, pregnancy and incomplete medical record data.
Result: A total of 65 subjects were male (43%), aged > 60 years (52.3%), had a history of smoking (50.8%), experienced obesity grade I (35.4), with duration of DM > 5 years (67.7%) and had poor glycemic control (55.4%). The majority of DM complications were CHD (86.2%). Based on echocardiography results, the subjects had heart failure with reduced ejection fraction (43.1%), left atrial dilatation (58.5%), left ventricular hypertrophy (80%), heart valve abnormalities (66.2%) and left ventricular diastolic dysfunction (73.8%).
Conclusion: There were no subjects who only suffered from DM type 2 without other comorbid diseases such as CHD, hypertension or heart valve disease.
Hubungan kekuatan otot dengan kualitas hidup pasien lanjut usia di Panti Wredha Natar, Kabupaten Lampung Selatan
Authors: Darwis Iswandi , Fiana Dewi Nur , Wisnu Gusti Ngurah P Pradnya , Prameswari Neema Putri , Putri Agustina Rajendra , Panuluh Panggih Daru , Jiofansyah Muhamad , Wikayanti Rizky Aprilia , Ramadhan Muhammad Abiyoso , Ananta Gusti Agung Putu Yogy Vena
Published: February 2023

Latar Belakang: Populasi lanjut usia (lansia) dunia meningkat sangat cepat. Di Indonesia, Badan Pusat Statistik (2013) memproyeksikan jumlahnya mencapai 24.754.500 jiwa pada tahun 2018. Lansia merupakan tahap fisiologis lanjut dari suatu proses kehidupan yang ditandai dengan penurunan kemampuan tubuh beradaptasi terhadap stres lingkungan. Penurunan fungsi yang nyata pada lansia adalah penurunan masa otot atau atropi yang dapat mengakibatkan kesulitan dalam melakukan aktivitas sehari-hari. Hal ini dapat memengaruhi kualitas hidup lansia.
Tujuan: Penelitian ini dilakukan untuk mengetahui hubungan kekuatan otot dengan kualitas hidup pasien lanjut usia.
Metode: Penelitian ini merupakan observasional dengan pendekatan cross-sectional yang berlangsung pada bulan November-Desember 2019. Terdapat 40 responden lansia di Panti Wredha Natar Kabupaten Lampung Selatan yang tergabung dalam penelitian ini. Responden dilakukan pemeriksaan kekuatan otot menggunakan pemeriksaan hand grip strength dan penilaian kualitas hidup secara bersamaan.
Hasil: Subyek dengan kekuatan otot baik sebanyak 15 responden (65,22%) berkualitas hidup baik, sedangkan subyek dengan kekuatan otot lemah sebanyak 7 responden (41,17%) memiliki kualitas hidup baik. Subyek dengan kekuatan otot baik 1,5 kali memiliki kualitas hidup baik dibandingkan dengan kekuatan otot yang lemah secara bermakna (p = 0,034; IK 95% 1,34–10,45).
Simpulan: Kekuatan otot berhubungan dengan kualitas hidup lansia signifikan secara statistik.
Hubungan antara kadar interleukin 1 serum dan laju filtrasi glomerulus pada lupus eritematosus sistemik
Authors: Janardhana Gus De , Kurniari Pande Ketut , Kambayana Gede
Published: February 2023

Latar Belakang: Gejala klinis lupus eritematosus sistemik (LES) menunjukkan variabilitas yang besar, dengan proses autoimun yang mendasarinya. Interleukin-1 (IL-1) adalah sitokin pleiotropik yang telah dikaitkan dengan imunopatogenesis SLE dan tingkat keparahan penyakitnya. Selain itu, telah ditunjukkan bahwa IL-1 memainkan peran penting dalam nefritis lupus.
Tujuan: Untuk mengetahui hubungan antara laju filtrasi glomerulus (LFG) dan interleukin 1 (IL-1) serum pada pasien SLE.
Metode :  Dari Januari hingga Maret 2018, sebuah studi potong lintang analitik observasional dilakukan di poliklinik penyakit dalam dan bangsal rawat inap di Rumah Sakit Sanglah Denpasar di Bali, Indonesia. Pasien SLE perempuan yang berusia di atas 18 tahun, tidak dalam masa menopause, dan bersedia berpartisipasi dilibatkan dalam penelitian ini. Tes imunosorben terkait-enzim (ELISA) dengan sensitivitas tinggi digunakan untuk mengukur kadar IL-1 darah. Usia, Indeks Massa Tubuh (BMI), skor MEX-SLEDAI, kreatinin serum, dan Glomerular Filtration Rate (GFR) data diperoleh dari wawancara dan tinjauan catatan medis.
Hasil: Studi ini melibatkan 54 peserta, dengan usia rata-rata 28,43+6,58. Kadar IL-1 serum ditentukan rata-rata 0,16 (0,06-0,95) pg/ml. IL-1 dan GFR terbukti berkorelasi secara signifikan (r=0,338; P=0,012).
Simpulan: Penelitian ini menunjukkan hubungan antara IL-1 serum dan laju filtrasi glomerulus pada LSE yang tidak aktif.
Aspek diagnosis dan tatalaksana pasien koinfeksi human immunodeficiency virus (HIV) dengan tuberkulosis (TB): Tantangan bagi klinisi di daerah perifer
Authors: Purnamasari Dewi , Budi Didit Tri Setyo , Palebangan Cely Norma
Published: February 2023

Koinfeksi pasien human immunodeficiency virus (HIV) dengan tuberkulosis (TB) akan mempercepat perburukan kondisi klinis penderita. Infeksi HIV menurunkan kekebalan tubuh penderita, sehingga mempermudah terjadinya infeksi TB. Pasien HIV dengan TB juga akan lebih mudah jatuh pada kondisi yang berat. Seorang pasien laki-laki usia 45 tahun datang ke Instalasi Gawat Darurat (IGD) dengan keluhan lemas seluruh tubuh, disertai dengan riwayat demam naik turun selama kurang lebih tiga bulan serta batuk. Pasien juga disertai dengan penurunan berat badan drastis dan diare selama dua minggu yang hilang timbul. Konjungtiva tampak anemis, mukosa mata kering dan mata cowong. Pemeriksaan fisik dada didapatkan ronki basah kasar pada kedua lapang paru. Hasil laboratorium didapatkan leukositosis dengan rapid test antibody HIV positif. Pemeriksaan rontgen thoraks didapatkan perselubungan bentuk bulat, batas relative tegas pada parakardial paru kanan. Tes cepat molekular sputum didapatkan MTB positif, Sensitif RIF. Pasien didiagnosis dengan HIV stadium 4, TBC paru aktif, gastroenteritis dengan dehidrasi sedang berat, oroesofageal kandidiasis, dan anemia ringan. Pasien diberikan obat anti TB (OAT) kategori 1 sebanyak 4 tablet tiap 24 jam oral. Pasien juga direncakan mendapat obat antiretroviral (ARV) dua minggu setelah pemberian OAT. Pasien dipulangkan dalam kondisi membaik dan delapan bulan setelah masuk rumah sakit, pasien mengalami perbaikan dengan peningkatan berat badan dan tidak ditemukan infeksi oportunistik. Koinfeksi HIV dengan TB perlu menjadi perhatian dalam penanganan yang menyeluruh sehingga efek merugikan dari pemberian obat dan penyakit dapat ditangani dengan baik.
Hubungan antara red cell distribution width (RDW) dengan HbA1c pada pasien diabetes melitus tipe 2 dengan gagal jantung di RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar
Authors: Susatyo Jeffry Adijaya , Saraswati Made Ratna
Published: February 2023

Latar Belakang: Penyakit kardiovaskular merupakan salah satu penyebab kematian tertinggi pada pasien-pasien dengan diabetes dan pasien-pasien dengan diabetes melitus memiliki risiko dua kali lebih tinggi mengalami gagal jantung. Dalam beberapa tahun terakhir, red cell distribution width (RDW) telah diteliti sebagai alternatif hemoglobin terglikasi (HbA1c) untuk mengukur kontrol glikemik pada diabetes melitus dan sebagai prediktor keparahan penyakit kardiovaskular.
Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui korelasi RDW dengan HbA1c pada pasien diabetes melitus dengan gagal jantung.
Metode: Penelitian ini merupakan studi potong lintang menggunakan data rekam medis pasien dengan DM dan gagal jantung yang dirawat di RSUP Prof. Dr. I.G.N.G. Ngoerah, Denpasar, Bali antara Agustus 2020 hingga Agustus 2021. Data yang dikumpulkan meliputi umur, indeks massa tubuh (BMI), durasi penyakit, HbA1c, dan RDW. Uji korelasi Spearman digunakan untuk menentukan hubungan bivariat dan uji korelasi parsial digunakan untuk mengontrol variabel pengganggu (usia, IMT, dan lama sakit).
Hasil: Sebanyak 68 subjek didapatkan, terdiri dari 57,6% laki-laki dan 42,4% perempuan. Dalam analisis bivariat RDW didapatkan memiliki korelasi negatif yang signifikan dengan HbA1c (r=-0,301, p=0,013) tetapi menjadi tidak signifikan setelah uji korelasi parsial untuk variabel pengganggu korelasi (r=-0,223, p=0,074).
Simpulan: RDW memiliki korelasi negatif dengan HbA1c pada pasien diabetes melitus dengan gagal jantung. Kami menduga korelasi negatif terjadi karena penurunan efek umur eritrosit pada HbA1c dari gagal jantung dan kondisi terkait usia. Studi lebih lanjut diperlukan untuk lebih menjelaskan temuan ini.
Development of Energy Communities in Europe
Authors: Morch Andrei , Sæle Hanne , Buonanno Amedeo , Caliano Martina , Di Somma Marialaura , Papadimitriou Christina
Published: February 2023

This paper presents a review study of energy communities (ECs) in Europe, and discusses the future development of such communities in Europe – both related to energy technologies, energy carriers, regional conditions (North, Central and South of Europe), emerging regulatory development etc. From the analysis, it emerged that the future ECs in Europe will focus on utilizing local renewable energy sources (sun, wind, run of river, biogas, biomass), for covering all or part of the energy consumption for end-use customers. The ECs can be a sustainable alternative to large power plants based on fossil fuels. This is also linked to the emerging regulatory developments started when European Commission introduced such concepts in the "Clean Energy for all Europeans" package. The main goal of eNeuron H2020 project is to develop innovative tools for the optimal design and operation of ECs, integrating distributed energy resources and multiple energy carriers at different scales. Paper accepted at  EEM2022 Conference
PEMAKNAAN KONTEN YOUTUBE FADIL JAIDI TENTANG ADAB KEPADA ORANG TUA (STUDI RESEPSI PADA SUBSCRIBER MILLENNIAL)
Authors: Wahdiyati Dini , Ovita Violina Kiki
Published: February 2023

Youtube memang menjadi subtitusi sarana menonton konten yang dapat melampaui televisi. Keunggulan Youtube sebagai media menonton adalah menyajikan tayangan tematik yang bisa bertalian sangat erat dengan penontonnya sesuai minat masing-masing. Dengan demikian media era ini sangat intim dengan para penggunanya begitu pula dengan pengaruhnya yang akan lebih berganda. Penelitian ini mengkaji pemaknaan penonton Millennial subscriber kanal Youtube Fadil Jaidi yang menyajikan konten berupa aktivitas dan interaksinya yang jenaka dengan melibatkan Ayahnya sebagai daya tarik konten. Subscriber Millennial sebagai objek amatan dipilih karena merupakan penonton yang native terhadap media Youtube. Fokus penelitian ini melihat pemaknaan khalayak penonton konten  episode “Ceritanya Jadi Anak Gaul” diarahkan pada bagaimana pemaknaan isi konten  tentang adab terhadap orangtua dalam konten tersebut yang dikaji melalui teori resepsi Stuart Hall dan metode analisis resepsi. Penelitian ini menemukan penonton Millennial Dominant hegemonic menerima konten ini sebagai alternatif hiburan, Penonton Negotiated position melihat lebih selektif pada kedua sisi yakni positif dan negatif dari konten tersebut sedangkan penonton Opposition memaknai dengan menolak perilaku dalam konten karena dianggap kurang beradab pada orangtua. Adapun faktor penerimaan Dominant hegemonic, Negotiated position dan Opposition dipengaruhi oleh faktor identitas budaya, lingkungan dan pengalaman serta latarbelakang pengasuhan masing-masing reseptor.
Cartilla pedagógica de primera infancia y recreación
Authors: Quintero Reina Maximiliano , Romero Cuestas Carlos Alberto
Published: February 2023

La Cartilla Pedagógica de Primera Infancia y Recreación Tomo 1, surge como producto del proyecto de investigación “Valoración Motriz de la Primera Infancia en el municipio de Fusagasugá y el aporte de la recreación para disminuir el sedentarismo” el cual está diseñado a partir de la realidad observada en la atención de los niños y niñas de los Hogares Comunitarios de Bienestar Tradicionales que operan en Fusagasugá. Lo anterior es posible desde la interacción con las madres comunitarias del municipio, el aporte de los estudiantes de la licenciatura en educación básica con énfasis en educación física, recreación y deportes de la universidad de Cundinamarca y la observación realizada por los investigadores en el contexto real donde los niños y niñas son atendidos. Más que una solución a las necesidades de la población, pretenda ser un complemento pedagógico que permita reconocer los aportes de la recreación para estimular la actividad física y así lograr la disminución del sedentarismo.
Race-ing Antitrust
Authors: Capers Bennett , Day Gregory
Published: February 2023

Antitrust law has a race problem. To spot an antitrust violation, courts inquire into whether an act has degraded consumer welfare. Since anticompetitive practices are often assumed to enhance consumer welfare, antitrust offenses are rarely found. Key to this framework is that antitrust treats all consumers monolithically; that consumers are differently situated, especially along lines of race, simply is ignored.

We argue that antitrust law must disaggregate the term “consumer” to include those who disproportionately suffer from anticompetitive practices via a community welfare standard. As a starting point, we demonstrate that anticompetitive conduct has specifically been used as a tool of oppression while, at other times, minorities are the unintended victims of anticompetitive practices. In turn, this Article leans on Critical Race Theory (CRT) to explore ways that antitrust’s “colorblind” stance has failed communities of color. We also explain why antitrust law is an ideal regime to address systemic racism. Consider that antitrust law is concerned with structures; just as enforcement scrutinizes whether conduct has made a market more or less likely to promote consumer welfare, antitrust should scrutinize whether anticompetitive conduct has made a market more or less likely to benefit all consumers. To put it another way, antitrust’s claimed purpose is to enhance consumer welfare by maximizing allocative efficiency, but it ignores how discrimination is similarly inefficient if resources are misallocated along race lines rather than their most productive uses. Finally, by embracing the intellectual backbone of antitrust law as well as CRT’s lessons about power structures, we make the case that antitrust’s goal should be reimagined to benefit not only the welfare of all consumers but the welfare of communities as well.
La transparencia y el Sistema Nacional de Transparencia: los retos en materia municipal. Una visión desde las relaciones intergubernamentales
Authors: Ramírez González Karina Rebeca , Aguilar Miranda Alejandro Alejo Pompilio
Published: February 2023

El presente artículo tiene como objetivo analizar la transparencia en el marco del snt para entender cuáles son los retos en materia municipal, desde el ángulo de las Relaciones intergubernamentales (rig). Los insumos para la información empírica provienen de la recopilación de documentos relativos a las esferas jurídica, organizacional y programática. Se entiende que en materia de transparencia existe cierto avance en los ámbitos federal y estatal, sin embargo, es notorio un mayor déficit en el municipal, acaso por soslayos estructurales que serán referidos en el desarrollo del texto. Particularmente, el esfuerzo invertido en el snt y la pnt no ha logrado establecer rig sanas, pues prevalece el predominio del gobierno federal y, eventualmente, de los gobiernos estatales, en detrimento de los municipios.
Los intersticios de lo político en las redes sociales
Authors: Torres Nabel Luis César
Published: February 2023

El objetivo de este trabajo es proporcionar conceptos básicos que ayuden a explicar el impacto político de las redes sociales. En los conceptos ofrecidos operan viejas y nuevas premisas teóricas sobre el comportamiento y el impacto de la tecnología en la vida de los usuarios y de la sociedad misma. En el presente texto se expone un análisis del alcance y el sentido de estos conceptos para la explicación de estos fenómenos.
Ética pública y corrupción en México: El caso de Emilio Lozoya Austin
Authors: Elizalde Castañeda Rodolfo Rafael , Izquierdo Muciño Martha , Wong Meraz Víctor Alejandro , Hernández Hernández Cinthia Lizeth
Published: February 2023

El objetivo de este trabajo es reflexionar con base en la dogmática constitucional y legal, desde los enfoques administrativo, penal y ético, sobre el caso de Emilio Lozoya Austin, en el tiempo que estuvo como Director de la empresa paraestatal Petróleos Mexicanos (Pemex), cargo que desempeño de diciembre de 2012 a febrero de 2016, durante el gobierno federal que encabezó el presidente Enrique Peña Nieto (2012-2018), en relación con los sobornos que presumiblemente aceptó de la empresa brasileña Odebrecht, frente a la ética de los Servidores Públicos Federales, los programas nacionales contra la corrupción y el Sistema Nacional Anticorrupción (sna), creado con la reforma constitucional publicada en el Diario Oficial de la Federación (DOF ) el 27 de mayo de 2015, para prevenir, investigar y sancionar esas conductas,