bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Kejadian Stunting Dengan Capaian Perkembangan Anak di wilayah Kerja Puskesmas Motolohu Kabupaten Pohuwato
Authors: Siti Nur Annisa Punuh  , Andi Akifa Sudirman  , Dewi Modjo
Published: September 2024

Stunting is a chronic malnutrition problem caused by a lack of nutrition for a long time, resulting in growth disorders in children, namely the child's height is lower or shorter (dwarf) than the standard age. Stunting can cause cognitive or intelligence, motor, and verbal development to not develop optimally, increasing the risk of obesity and other degenerative diseases. The design of research used an analytic survey method with a cross-sectional approach. The population were all stunted children aged 24-60 months with a total of 33 people. The sample consisted of 33 stunted children aged 24-60 months in the working area of the Motolohu Health Center, Pohuwato Regency, using a total sampling technique. The instruments used questionnaires and microtoise measuring devices. Statistical test using chi-square test. The results showed that 6 children (18.2%) were stunted in the short category, with 2 children with appropriate development, 4 children with doubt, 0 children with deviations. Meanwhile, there were 27 children (81.8%) with stunting in the very short category, 0 children showed appropriate development, 20 children doubted, 7 children had deviations. The conclusion, there is a relationship between the incidence of stunting and child growth achievements in the working area of the Motolohu Health Center, Pohuwato Regency, with a value of p = 0.005 with a <0.05.
Kajian Sistematis Efek Anti-oksidan Terapi Akupunktur pada Berbagai Penyakit
Authors: Andry Hartanto  , Dwi Surya Supriyana  , Ario Imandiri  , Willie Japaries  , Suminah Suminah  , Yelini Fan Hardi
Published: September 2024

Background: Homeostasis is a key concept in life survival. Today, researchers are discovering redox homeostasis as the basis of a wide variety of degenerative diseases. Various methods are studied to maintain redox homeostasis, especially by increasing the body's antioxidant defenses, so that they can prevent and treat various modern diseases, one of which is through acupuncture. Methodology: This article is a systematic review of the therapeutic effects of acupuncture on redox homeostasis published in the PubMed database, Researchgate, CNKI, in the last 10 years. Results: The concept of redox homeostasis is identical to that of Yin-Yang homeostasis in TCM (traditional Chinese medicine). It turns out that acupuncture therapy, which has the effect of maintaining and restoring Yin-Yang homeostasis, has also been shown to have an effect on increasing antioxidant power and reducing body oxidants in various pathological conditions. There are no adverse effects from acupuncture therapy. Conclusion: Acupuncture therapy is effective and safe for maintaining and restoring redox homeostasis, especially for its anti-oxidant effect in various redox reward conditions.
Penerapan SIMRS Dengan Knowledge Management System: Solusi Peningkatan Mutu Pelayanan Kesehatan
Authors: Muhammad Anwar  , Asmawati Asmawati  , Ranita Rizky Putri  , Dimas Rifqi Anantyo  , Agus Triyanto  , Vip Paramarta
Published: September 2024

Knowledge Management is a process that helps organizations to identify, choose, organize, share and transfer important information and experience which part from organization. Human Resources are one most important part in hospital. Every business process and services carried out by hospital require quality human service in their division. Knowledge in this information era very important for a company. The more knowledge that company employees have the more advance the company will be and pass on knowledge to the right people to improve company performance. The purpose of this theoretical analysis is to knowing the benefit of knowledge management in implementation and development hospital information management system and to knowing the software and hardware will need in this system. The research method used is a structured  literature review via Google Scholar and Science Direct using keywords “knowledge management system, management hospital system”. Knowledge Management System in effective implementation should be considered supporting and inhibiting factors to maximize the system. It can be concluded that the application of SIMRS with Knowledge Management System can provide health services due to easy access to information, minimize risks in managing medical data and ensure the security of patient data, improve service coordination between medical personnel, provide accurate and timely health information for patients, and increase patient satisfaction. regarding the services provided by the Hospital.
Efektifitas Senam Ergonomi Terhadap Penurunan Tekanan Darah pada Lansia di LKS.LU Beringin Kabupaten Gorontalo
Authors: Indriyani Rusli Madidi  , Rona Febriona  , Haslinda Damansyah
Published: September 2024

Degenerative diseases in the elderly, if not handled properly, will add to the state’s financial burden, which is not small. This study’s general purpose was to determine ergonomic gymnastics’s effectiveness in lowering blood pressure in the elderly. This research method uses a pre-experiment with a group pre-test and post-test design. The sample in this study amounted to 20 people, using the purposive sampling technique. The results of this study indicate that respondents before being given the intervention had blood pressure in the Stage 1 hypertension category, as many as 12 respondents (60%), and in the Stage 2 hypertension category, as many as eight respondents (40%). After being given the intervention, blood pressure in the Stage 1 hypertension category, as many as two respondents (10%), and pre-hypertension, as many as 18 respondents (90%). The chi-square statistical test showed a p-value = 0.018 (p < 0.05). These results indicate that H0 is rejected Ha is accepted, so it can be concluded that ergonomic exercises effectively reduce blood pressure in the elderly. It is recommended that health center officers socialize with the elderly by providing ergonomic exercises to reduce changes in blood pressure in elderly patients.
 
Keywords : Hypertension, Elderly, Ergonomic Gymnastics
Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pasien Pre Operasi
Authors: Lidya Lumbantoruan  , Lannasari Lannasari  , Solehudin Solehudin
Published: September 2024

Introduction Anxiety is a common phenomenon in hospital patients, especially those about to undergo surgery. The patient's mental preparation before surgery needs to be considered because anxiety will affect the procedure and the diagnosis made. Family involvement and support will help prepare the patient mentally and create the patient's enthusiasm to continue treatment. The aim is to determine the level of support and anxiety of pre-operative patients before surgery at Tebet Hospital in 2023. The research method used in this research is a quantitative correlation method with a cross-sectional approach and total sampling technique. The sample for this research consisted of 44 respondents. The results of the study showed that there was a relationship between family support and the anxiety level of pre-operative patients at Tebet Hospital. Bivariate analysis using the chi-square test obtained a p value of 0.017. Conclusions and Suggestions Family support is needed to support the patient's mental preparation and be able to provide encouragement to the patient. Suggestions for future researchers are to explore further whether patient anxiety levels occur more frequently during major or minor operations than pre-operative operations.
Pemanfaatan Daun Sendok (Plantago Major L.) Untuk Pengobatan Asam Urat Masyarakat Jalan Tirtasari 1 Kelurahan Margasari Kecamatan Buahbatu
Authors: Fadhila Rahma Irawan  , Tri Cahyanto
Published: September 2024

One of the potential plants that can be utilized as traditional medicine is spoon leaves. broadleaf plantain (Plantago major L.) are included in the category of wild plants or wild medicinal plants. This study aims to examine the use of broadleaf plantain or ki urat leaves as a treatment for gout arthritis in the Tirtasari community, Margasari village, Buahbatu sub-district. The method used in this study is an observation technique, namely interviews with a sampling of 15 selected through pursive sampling techniques and documentation and literature study approaches. The broadleaf plantain in the Tirtasari community this plant is called ki urat leaf can be found in a variety of habitats, including in fields, roadsides, gardens, and other open areas. The results of this research found that the Tirtasari community has two ways of using this broadleaf plantain for alternative treatment of gout arthritis, namely 9 samples using direct rubbing and 6 samples using the results of mashed spoon leaves that are rubbed on the body that feels sore.  These two ways of use have the same treatment effect but differ in texture and absorbency. This broadleaf plantain has many compounds that are beneficial to the health of the body, namely anti-inflammatory, diuretic, and antioxidant compounds.
Analisis Dosis Efektif Pada Pemeriksaan CT-SCAN Kepala Kontras di Instalasi Radiologi Rumah Sakit Surya Husadha Denpasar
Authors: Juniaty Teroci Mamun  , Kadek Yuda Astina  , A. A. Aris Diartama
Published: September 2024

The effective dose is the dose on the CT-Scan that hits the patient's organs. The effective dose received by the patient should not exceed 3 standards that have been set both nationally and internationally. Nationally, the dose received by patients has been regulated in the Head of Bapeten Regulation on Diagnostic Reference Level (DRL). While internationally, the effective dose is regulated in the International Commission on Radiological Protection (IRCP). According to BAPETEN number 1211/K/V/2021 CTDIvol contrast head is 60mGy while DLP is 2500mGy.cm. The purpose of this study was to determine the amount of effective dose received by patients at the CT-Scan examination of the contrast head at the Radiology Installation of Surya Husadha Hospital Denpasar. The method used in this research is the quantitative method. Reference sources used in the preparation of this article include books, as well as articles in English and Indonesian scientific journals.
Hubungan Penggunaan Alat Kontrasepsi Hormonal Dengan Kenaikan Berat Badan
Authors: Etni Dwi Astuti  , Evita Aurilia Nardina
Published: September 2024

The development of the National Family Planning Movement is aimed at improving the quality of human resources. The family, as the smallest group of human resources, has both emotional and physical bonds. Injectable contraception in Indonesia is one of the most popular contraceptive methods. Users of the DMPA (Depo Medroxyprogesterone Acetate) contraceptive, also known as the 3-month injectable contraceptive, on average experience a weight gain of 11 pounds or 5.5 kilograms and an increase in body fat by 3.4% over two to three years of use. Meanwhile, with monthly injectable contraception, the side effects on weight gain are very mild, resulting in only a slight increase in body weight002. Research objective to determine whether there is a relationship between the use of hormonal contraceptive methods, especially the DMPA injectable, and weight gain. The research method used is a quantitative correlation analysis with an observational study and a cross-sectional approach. The population consists of mothers using the DMPA injectable, with 47 respondents. The sampling technique used is non-probability sampling with a purposive method. The test used is the chi-square test. Research Results, there is a relationship between the use of DMPA injectable contraception and weight gain (Chi-square: 7.362 and p-value: 0.025).
Pentingnya SMK3 Pada Sebuah Perusahaan Sebagai Upaya Mencegah Kecelakaan Kerja
Authors: Yughni Aulia Nabila  , Susilawati Susilawati
Published: September 2024

Occupational Safety and Health (K3) is a crucial aspect in the industrial world which aims to protect workers from the risk of accidents and work-related diseases. Implementing an Occupational Safety and Health Management System (SMK3) in a company is very important as an effort to prevent work accidents. This research aims to analyze the importance of SMK3 in preventing work accidents through literature study methods. This literature study collects data from various sources, including scientific journals, books and research reports related to the implementation of SMK3 in companies. The research results show that implementing SMK3 can effectively reduce the number of work accidents, increase productivity and create a safer work environment. In addition, this research found that management commitment, employee training, and routine monitoring and evaluation are key factors in the successful implementation of SMK3. In this way, companies that integrate SMK3 in their operations not only fulfill legal requirements, but also gain long-term benefits in the form of increased safety and work efficiency.
Sexism in textbooks: an analysis of gender bias and stereotypes in the english language textbooks of Cavite State University
Authors: Espeleta Ronlie RJ , Signo Cristina M , Siochi Jocelyn B , Vidallon Shiela L. , Reyes Still John F , Flores Maria Rizalyn C.
Published: September 2024

Considering that gender bias and stereotypes are not only reflected in the behaviors and expectations of parents, teachers, and peers in society, but are also accentuated in language, literature, and fiction, this paper examines the long-standing problem of sexism in English language textbooks used in all educational levels at Cavite State University. The following categories of sexism were examined in this study using the content analysis technique: gender visibility, firstness, occupational-role representations, activities, and character traits. The findings revealed different gendered word counts, with males having a higher quantity. The findings also showed that every frequent category of sexism examined in every textbook is classified as sexist. All categories are dominated by males. Additionally, it was discovered that every textbook that was studied is sexist. The unawareness of writers about sexism and the statistics (such as population, education, employment, and economic relations) of men and women in the Philippines may be the causes of the aforementioned findings.
Interaction, Management and Response of Healthcare Workers Towards Workplace Violence Events
Authors: Ejaz Rahim  , Israr Ahmad  , Shahid Pervez Shaikh  , Maham Sattar  , Sharyar Taj  , Muhammad Jamil  , Hassan Hameed  , Ghazanfar Gul
Published: September 2024

Objective: To evaluate the interaction, management and response towards WPV events by HCW’s of emergency department
Methodology: We conducted this cross-sectional study using World Health Organization’s tool to collect quantitative data on workplace violence (WPV) amongst universally sampled 164 health professionals working in an emergency department at Nishtar hospital Multan from June-August 2019 after taking an inform consent. All physically present health professionals who have been working there including paramedics, doctors, & nurses, were part of research.
Results: Out of 164 healthcare employees, males were ninety-seven while females were sixty-seven. All the subjects said that they work in shifts, anytime between 18h00 (6 PM) and 07h00 (7 AM), and interact with patients/clients during work as well. Only 11% reported that they have routinely direct physical contact (washing, turning, lifting) with patients/clients. When talking about response to the incident, approximately one-third of the participants sought help from association, almost half of the HCW’s reported to their senior staff, 13.5% subject sought help from union, merely 3.5% HCW told the person to stop whereas, 4.5% told family/friends
Conclusion: Health professionals working in shifts, and also interacting with patients/clients faced violence and mostly reported to their senior staff, or sought help from their association.
Effects of Al Content on the Mechanical Properties and Corrosion Behavior of Ni-Al Coatings on 310S Heat-Resistant Steel for CSP Plants
Authors: Xu Shipeng , Zheng Yuehong , Zhan Faqi , La Peiqing
Published: September 2024

Material selection is crucial in concentrated solar power technology due to the significant impact of high-temperature corrosion. The Ni-Al coating on the steel is an effective approach to corrosion resistance. The alterations in microstructure, hardness, toughness, adhesion, and corrosion inhibition properties of Ni-Al coatings were examined across varying Al concentrations after oxidation processes. Cracks appeared on the surface of coatings with preoxidation Al content ranging from 9.9 at% to 23.3 at%, and no continuous Al2O3 oxide film was formed. Notably, as the Al content rose to 41.0 at%, and a continuous α-Al2O3 oxide film was successfully formed. It showed the best toughness and elastic modulus (181.6 GPa), and relatively high coating hardness (8.0 GPa). The corrosion results show that when the Al content is 41.0 at%, the corrosion resistance of high-temperature molten chloride salt is the best. The oxidation layer formed by the preoxidation has a blocking effect on the migration of elements from the molten salt into the coatings. The results provide a route to fabricate Ni-Al coatings that possess integrated strength, toughness, and corrosion resistance suitable for protective coating applications in concentrated solar power systems.
Renaming (and Reshaping) The University of Edinburgh’s “Oriental” Manuscript Collection
Authors: Deacon Eleanor Lucy , Brodin Aline
Published: September 2024

The University of Edinburgh holds a substantial collection of manuscripts in Persian, Arabic, Turkish, and South Asian languages, formerly known as the “Oriental Manuscript Collection”. This article reports recent steps taken to make this collection, which consists largely of manuscripts collected by Scottish East India Company officials between the late 18th and mid 19th centuries C.E, relevant to the present day global audience, and to widen access to it. This includes its renaming as "Manuscripts of the Islamicate World and South Asia", and the creation of a digitally searchable catalogue on the ArchivesSpace platform, largely through the use of “legacy data” from a 1925 printed catalogue, yet with a focus on making provenance information readily available. We discuss the challenges involved in renaming, and indeed reinterpreting, a historical collection whilst adhering to the principles of archival and library science. We share the methodology used to create our digitally searchable catalogue, a relatively simple model that may well prove useful for those curating similar collections.
Brookes: On the Sultan’s Service: Halid Ziya Uşaklıgil’s Memoir of the Ottoman’s Palace, 1909-1912
Authors: Coşkuntuna Duygu
Published: September 2024

Brookes: On the Sultan’s Service: Halid Ziya Uşaklıgil’s Memoir of the Ottoman’s Palace, 1909-1912 (Duygu Coşkuntuna)
El-Ghobashy: Bread and Freedom: Egypt’s Revolutionary Situtation
Authors: Kurgan Sarp
Published: September 2024

El-Ghobashy: Bread and Freedom: Egypt’s Revolutionary Situtation (Sarp Kurgan)
Bünting testet Vertriebskonzepte
Authors: Hofmann Janine , Wilhelm Jana
Published: September 2024

Bünting prüft aktuell Partnerschaften im Großhandelsgeschäft. Zudem erweitert die ostfriesische Handelsgruppe ihr Netz um unbemannte Läden und weitere teilautomatisierte Märkte.
Baumärkte reduzieren Standorte in Deutschland
Authors: Hofmann Janine
Published: September 2024

Um produktiver zu werden, stellen sich die Baumarktbetreiber kleiner auf. Der Trend geht wie auch im Lebensmitteleinzelhandel zu weniger aber dafür größeren Flächen. Ein Händler baut den Abstand zur Konkurrenz besonders stark aus.
ESN pumpt den Vertrieb auf
Authors: Fries Tanja , Ingelmann Anja
Published: September 2024

Die Quality Group drängt mit den Marken ESN und More Nutrition stärker in die Handelsregale. Dazu will der neue CEO Heikki Takala den Sportnahrungs-Hersteller professioneller aufstellen: Er verdoppelt den Außendienst und holt erfahrene Brandmanager an Bord.
Danone wächst mit Activia in Deutschland zweistellig
Authors: Lenders Dirk , Nissen Madeleine
Published: September 2024

Für den Wettbewerb im deutschen Kühlregal mit den Konkurrenten Müller oder Ehrmann sei Danone gut gerüstet, sagt Danones D-A-CH-Chef Richard Trechman. Er konzentriere sich aber mehr darauf, Volumen, Marktanteil und Distribution zu gewinnen.
Gen Z der belgischen Fleischunternehmen
Authors: Lenders Dirk
Published: September 2024

In der belgischen Fleischindustrie vollzieht sich ein Generationswechsel. Die Gen Z steigt in die Führung namhafter Familienunternehmen der Branche ein. Am Sortiment wollen sie festhalten, aber partnerschaftlicher in der Kette arbeiten.
Auch Oetker kritisiert Nutri-Score
Authors: Falker Gerrit-Milena
Published: September 2024

Während Danone sich bei einigen Produkten vom Nutri-Score verabschiedet, halten Oetker und Nestlé zunächst an dem Logo fest. Oetker mahnt Verlässlichkeit an.
Mehr als heiße Luft
Authors: Lach Ulrike
Published: September 2024

Bei Herstellern von Tiefkühlkost herrscht Goldgräberstimmung. Die anhaltend steigende Nachfrage nach Heißluftfritteusen scheint auch neue Wachstumsimpulse für TK-Produkte zu bringen. Die Geräte bieten vielfältige Kochfunktionen für die Zubereitung ganzer Mahlzeiten. Ulrike Lach
Douglas sorgt mit Sensormatic vor
Authors: Klug Denise
Published: September 2024

Der Parfümerie-Betreiber Douglas setzt Etiketten und Detektionssysteme des Anbieters Sensormatic Solutions ein. Sie sollen helfen, Bestandsschwankungen einzudämmen.
Tuttofood stellt sich neu auf
Authors: Bender Ralf
Published: September 2024

Die Tuttofood in Mailand wird ab kommendem Jahr erstmals von der Fiere di Parma organisiert. Ihr Ziel ist, die Messe als internationale Plattform aufzubauen.
Italienischer Käse wächst über Export
Authors: Bender Ralf
Published: September 2024

In zweistelliger Höhe ist der Export von italienischem Käse zu Jahresbeginn gestiegen. Damit wird die positive Entwicklung des Vorjahres fortgesetzt.
Dalter erweitert Leistungsangebot
Authors: Bender Ralf
Published: September 2024

Über die Tochtergesellschaft V.I.P. Italia sieht die Dalter Food Group in Deutschland noch erhebliches Wachstumspotenzial.
Loacker wächst zweistellig
Authors: Bender Ralf
Published: September 2024

Das Wachstumstempo im deutschen Markt kann der Waffelhersteller Loacker auch im laufenden Jahr halten. Einen weiteren Schub wird duch die Aktionen zum Jubiläumsjahr erwartet.
Villa Sandi erwartet stabile Entwicklung
Authors: Bender Ralf
Published: September 2024

Das gedämpfte Konsumklima in vielen EU-Ländern hat den Absatz von Prosecco gebremst. Wachstumsöglichkeiten sieht Villa Sandi vor allem in neuen Märkten.
Global Circularity Protocol soll Kreislaufwirtschaft voranbringen
Authors: Wilhelm Jana
Published: September 2024

Die Kreislaufwirtschaft ist das Ziel, doch tatsächlich wird immer mehr weggeworfen. Mit dem Global Circularity Protocol soll die Wirtschaft endlich die Kurve kriegen. Das sollten Unternehmen über das GCP wissen.
COVID-19 Genomic Sequences Analysis using Google Variant Transformation
Authors: Khan Haroon Zeb , Iqbal Muhammad Munwar , Bashir Muhammad Salman
Published: September 2024

Coronavirus genomics has been of various patterns since the pandemic began. The variants appear to differ in terms of both transmission and infection rates consistently. It analyzes genomic variants of coronaviruses to extract insights for research. This work employed the Variant Transform tool to process the Coronavirus variant caller format files with big-query for genomic variant analysis enveloped on the Google Cloud Platform. We opted for Google Cloud Platform (GCP), particularly Google Cloud Life Sciences Suite with Free-tier Track. We downloaded genome sequences of COVID–19 and then transformed them into raw variant caller format files (VCF). Then analyzing COVID–19 VCF files by Google Variant Transforms tool. We have converted 30 coronavirus genomic sequences into Variant Caller format files using bioinformatics tools, then attained a table of coronavirus variant sites as variant residues through a big query and displayed the results with Data studio. Another part is Deep Variant's genetic analysis of non-viral genomic data, and its corresponding supported four model implementation. Our main breakthrough was storing Coronavirus Variant caller format files into big-query for Coronavirus Genomic analysis.
Text-Based Sentiment Analysis Using CNN-GRU Deep Learning Model
Authors: Aslam Naeem , Nadeem Ahsan , Abid Muhammad Kamran , Fuzail Muhammad
Published: September 2024

Sentiment analysis identifies both positive and negative viewpoints from sources like social media, surveys, and reviews by automating text analysis with artificial intelligence (AI). Using data to inform decisions is made easier by this. Deep Learning (DL) has gained a lot of interest in recent years from academia and industry because of its outstanding performance. Convolutional neural networks (CNN) and recurrent neural networks (RNN) are the two deep learning designs that are most frequently utilized. Because they can examine enormous amounts of data, neural networks have the potential to be more accurate in sentiment analysis. Our work utilizes a hybrid model that combines Word2Vec preprocessing with the Gated Recurrent Unit (GRU) from Recurrent Neural Networks (RNN) and Convolutional Neural Networks (CNN) for sentiment analysis on movie and smartphone reviews. Achieving 99.99% precision, 99.84% recall, and 99.92% accuracy for movie reviews, and 99.08% accuracy, 98.93% precision, 99.40% recall, and 98.93% F1-score for Amazon mobile phone assessments. This paper presents a CNN-GRU-based Word2Vec algorithm for sentiment categorization, which addresses the challenge of evaluating vast amounts of user-generated text data with 99.50% accuracy.
KẾT QUẢ KIỂM SOÁT NHIỄM KHUẨN TRONG PHẪU THUẬT TUYẾN GIÁP KHÔNG SỬ DỤNG KHÁNG SINH DỰ PHÒNG TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108
Authors: Ngô Vi Hải , Lê Hải Sơn , Nguyễn Văn Xuân Hà , Bùi Ngọc Huệ , Trần Đức Tuấn , Ngô Thị Bích Thanh , Nguyễn Thị Thu Hiền , Pham Ngọc Sơn , Nguyễn Viết Thanh , Đặng Trung Dũng
Published: September 2024

Mục tiêu: Đánh giá kết quả kiểm soát nhiễm khuẩn vết mổ trong phẫu thuật tuyến giáp không sử dụng kháng sinh dự phòng tại Bệnh viện Trung ương Quân đội 108. Đối tượng và phương pháp: Nghiên cứu tiến cứu 396 bệnh  nhân  được phẫu thuật tuyến giáp không sử dụng kháng sinh dự phòng từ 01/2022 – 06/2023 tại khoa Ngoại Lồng ngực – Bệnh viện Trung ương Quân đội 108. Kết quả: Có 396 bệnh nhân phẫu thuật tuyến giáp không sử dụng kháng sinh dự phòng, trong đó 339 nữ và 52 nam, tỷ lệ nữ/nam là 6,6/1. Tuổi trung bình của nhóm nghiên cứu là 44,7 ± 14,3. Bệnh lý ung thư tuyến giáp chiếm tỷ lệ cao nhất 82,3%. Tỷ lệ cắt toàn bộ tuyến giáp ± vét hạch cổ trung tâm là cao nhất (43,9%). Thời gian phẫu thuật trung bình là 87,3 ± 19,4 phút, thời gian hậu phẫu trung bình là 2,3 ± 1,7 ngày. Có 11 bệnh nhân chuyển kháng sinh điều trị sau phẫu thuật. Vết mổ liền kỳ đầu bình thường là 92,9%. Có 2 bệnh nhân nhiễm khuẩn vết mổ phải điều trị kháng sinh (0,51%). Kết luận: Phẫu thuật tuyến giáp không sử dụng kháng sinh dự phòng có kết quả tốt trong việc ngăn ngừa nhiễm trùng vết mổ, giúp giảm chi phí và giảm tỷ lệ kháng kháng sinh trong bệnh viện.
ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT UNG THƯ DẠ DÀY THỦNG VÀ THỦNG Ổ LOÉT DẠ DÀY - TÁ TRÀNG TRÊN BỆNH NHÂN ĐANG ĐIỀU TRỊ BỆNH LÝ UNG THƯ
Authors: Thái Nguyên Hưng , Mai Văn Hạnh
Published: September 2024

Mục tiêu nghiên cứu: 1. Mô tả đặc điểm lâm sàng (LS), cận lâm sàng (CLS) của thủng ung thư dạ dày (UTDD)  và thủng ổ loét dạ dày-tá tràng (DD-TT)/ bệnh nhân đang điều trị bệnh lý ung thư. 2. Đánh giá kết quả phẫu thuật thủng UTDD và thủng ổ loét DD-TT. Đối tượng và phương pháp nghiên cứu (NC): + Phương pháp NC: mô tả hồi cứu. + Đối tương NC: BN không phân biệt tuổi, giới, được chẩn đoán và phẫu thuật thủng UTDD hoặc thủng ổ loét DD-TT/ BN đang điều trị các bệnh lý ung thư (UT) tại BV K. Kết quả NC: 46 BN; Nam 42 BN (91,3%), nữ 4 BN (8,7%). Tuổi TB 59,71T. Nhóm BN thủng UTDD (n = 26)  Tuổi TB  60, 68T;  Nhóm BN thủng ổ loét DD-TT (n = 20) Tuổi TB 58,7 T. Triệu chứng: 35 BN (76%) đau bụng dữ dội, bụng co cứng, 4 BN (8,7%) thủng/ xuất huyết tiêu hóa (XHTH). Chụp bụng đứng: 76% có liềm hơi. CLVT 76% có dịch, khí OB; 1 BN có ổ apxe (dịch, khí) cạnh bờ cong lớn, 22 BN (84,6%) dày thành dạ dày (DD) và hạch  ổ bụng (OB).  Nội soi dạ dày (NSDD) 42,3% phát hiện UTDD. Kết quả phẫu thuật (PT): + 26 BN thủng UTDD: 23 BN cắt gần toàn bộ dạ dày (GTBDD) vét hạch 1 thì, 1 BN cắt toàn bộ dạ dày (TBDD), lách, thân đuôi tụy; 1 BN khâu thủng UTDD, 1BN PT Newmann ++ 88,5% UT phần xa DD. Số hạch nạo vét TB 12,88 hạch / BN; 65,4% UTDD thủng  GĐ III-IV. + 20 BN thủng DD-TT: 6 BN thủng loét DD, 10 BN thủng loét tá tràng, 4 BN thủng loét kising ulcer mặt sau tá tràng vào đầu tụy và động mạch vị tá tràng, đường mật; 6 BN được PTNS khâu thủng (5 BN loét tá tràng,1BN loét thân vị), 1 BN cắt 2/3 DD; 4 BN thủng/ XHTH (Kissing ulcer)  cắt  2/3 DD, DL mỏm tá tràng (1 DL kehr). Tử vong (TV) và biến chứng: + 1 BN tử vong; + Biến chứng: 8,6%; 1BN  apxe tồn dư điều trị nội, 1 BN rò mật điều trị nội, 1 BN tắc ruột do dính (mổ lại), 1 BN chảy máu (< 24 h)  mổ lại. (nhóm UTDD 3/26 BN U↔ 11,5%; nhóm thủng loét DD-TT 1/20 BN ↔ 5%). Kết luận: - UTDD thủng nên  mổ 2 thì để đạt được  diện cắt R0 với  tỷ lệ cao, tăng số hạch nạo vét được, giảm tỷ lệ tử vong và biến chứng, có thể đạt được thời gian sống 5 năm cao (50%). + Thì 1: Khâu lỗ thủng, làm sạch ổ bụng  qua PTNS hay mổ mở. + Thì 2: Mổ cắt DD triệt căn, nạo vét hạch D2. Không nên cắt dạ dày không triệt căn hay palliative trong điều kiện viêm phúc mạc. Mổ khâu lỗ thủng hay cắt DD (diện cắt R1-R2) có thời gian sống thêm ngắn. - Thủng loét DD-TT/ BN đang điều trị ung thư nên  PTNS khâu thủng, hút rửa bụng (có thể cắt TK X, nối vị tràng). Trường hợp ổ loét mặt sau tá tràng (kissing ulcer) thủng vào thủng vào đầu tụy,  ĐM. vị tá tràng  hay đường mật  nên cắt đoạn  DD/ lấy hoặc loại trừ ổ loét thủng ra khỏi  đường tiêu hóa, DL mỏm tá tràng (DL đường mật).
ĐÁNH GIÁ HIỆU QUẢ DỰ PHÒNG BUỒN NÔN, NÔN SAU PHẪU THUẬT CẮT RUỘT THỪA NỘI SOI CỦA ONDANSETRON PHỐI HỢP DEXAMETHASONE
Authors: Nguyễn Tiến Đức , Phan Quốc Thành
Published: September 2024

Mục tiêu: So sánh hiệu quả dự phòng nôn, buồn nôn sau phẫu thuật cắt ruột thừa nội soi của ondansetron và ondansetron phối hợp dexamethasone, tại Bệnh viện Quân y 175, từ tháng 01/2021 đến tháng 05/2022. Đối tượng và phương pháp nghiên cứu: Nghiên cứu tiến cứu, mô tả, so sánh 2 nhóm. Nhóm O: sử dụng ondansetron 4mg và Nhóm OD: sử dụng ondansetron 4mg phối hợp dexamethasone 4mg. Kết quả: Tỉ lệ buồn nôn sau phẫu thuật nhóm O là 6,1%; nhóm OD là 6,1%; Tỉ lệ  nôn sau phẫu thuật nhóm O là 6,1%; nhóm OD là 4,1%, khác biệt không có ý nghĩa thống kê. Có 2,1% bệnh nhân thuộc nhóm OD phải “giải cứu nôn”, không có bệnh nhân nào thuộc nhóm O phải “giải cứu nôn”, sự khác biệt không có ý nghĩa thống kê. Kết luận: Không có sự khác biệt rõ ràng về hiệu quả dự phòng buồn nôn, nôn của ondansetron phối hợp dexamethasone so với sử dụng ondansetron đơn thuần.
ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH VIÊM DẠ DÀY RUỘT TĂNG BẠCH CẦU ÁI TOAN Ở TRẺ EM
Authors: Nguyễn Thị Thu Hiền , Nguyễn Lợi , Nguyễn Thị Việt Hà
Published: September 2024

Viêm dạ dày ruột tăng bạch cầu ái toan là bệnh viêm mạn tính có thâm nhiễm bạch cầu ái toan ở đường tiêu hóa. Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng bệnh viêm dạ dày ruột tăng bạch cầu ái toan ở trẻ em. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả loạt ca bệnh được tiến hành trên 61 trẻ em mắc viêm dạ dày ruột tăng bạch cầu ái toan tại Bệnh viện Nhi Trung ương  từ 01/07/2023 đến 31/03/2024. Kết quả: Các triệu chứng lâm sàng thường gặp nhất là đau bụng (75,4%), thay đổi tính chất phân (49,2%) và sụt cân (39,3%). Tỷ lệ các biến chứng xuất huyết tiêu hóa và thủng ruột lần lượt là 16,4% và 6,6%. Tổn thương trên nội soi thường gặp là xung huyết, lần sần hạt, đốm đỏ và loét. Tăng bạch cầu ái toan máu ngoại vi được quan sát thấy ở 31 bệnh nhân (50,8%). Tăng IgE máu và calprotectin phân chiếm tỷ lệ lần lượt là 56,8% và 24,1%. 8,6% có hình ảnh nội soi bình thường nhưng thâm nhiễm bạch cầu ái toan trên mô bệnh học. 13% bệnh nhân viêm thâm nhiễm bạch cầu ái toan đồng thời nhiều vị trí trên đường tiêu hóa
ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT CẤY IMPLANT ALL-ON-6 Ở BỆNH NHÂN MẤT RĂNG CÓ NHU CẦU PHỤC HÌNH TOÀN HÀM
Authors: Trần Thị Cẩm Vân , Trương Nhựt Khuê , Trần Ngọc Quảng Phi
Published: September 2024

Đặt vấn đề: Phục hình toàn hàm trên 6 implant (all-on-6) ngày càng chứng tỏ là một giải pháp hiệu quả cả về mặt chức năng lẫn thẩm mỹ cho bệnh nhân mất răng có nhu cầu phục hồi răng toàn hàm. Tuy nhiên, dữ liệu về lĩnh vực này vẫn còn khan hiếm tại Việt Nam. Mục tiêu: Nghiên cứu nhằm đánh giá hiệu quả của phẫu thuật cấy implant all-on-6 nâng đỡ phục hình toàn hàm, chịu lực tức thì. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang bao gồm 24 bệnh nhân bị mất răng (toàn bộ hoặc bán phần) có nhu cầu phục hình toàn hàm được chỉ định và đồng ý phẫu thuật cấy implant all-on-6 tại Bệnh viện Răng Hàm Mặt thành phố Hồ Chí Minh từ tháng 6/2023 đến tháng 4/2024. Kết quả: Tổng cộng 24 người tham gia nghiên cứu với 35 hàm được phục hình (210 implant). Tuổi trung bình của đối tượng nghiên cứu là 67,8 ± 9,3, với tỷ lệ nam/nữ là 2/3. Phần lớn implant sử dụng là loại có chiều dài 9,0-11,5 mm (58,6%) và đường kính 3,5-4,5 mm (91,0%). Sau khi cấy implant và gắn phục hình tạm, toàn bộ implant đều đạt độ ổn định sơ khởi > 30 N/cm2, tất cả bệnh nhân không đau khi nhai và hầu hết hài lòng với điều trị (91,4%). Các biến chứng bao gồm sưng, đau, chảy máu, nhiễm trùng biểu hiện không đáng kể. Sau phẫu thuật 4 tháng, 34/35 bệnh nhân có implant đạt độ ổn định tốt, chỉ 1 trường hợp có implant lung lay, tỷ lệ viêm nướu nhẹ và tiêu xương lần lượt là 31,4% và 5,7%. Không bệnh nhân nào đau khi nhai. Về đánh giá chung, kết quả tốt và khá chiếm 68,6% và 25,7%, tương ứng tỷ lệ thành công 94,3%. Không có bất kỳ tai biến nào xảy ra trong lúc phẫu thuật. Kết luận: Nghiên cứu chứng minh phương pháp phục hình toàn hàm, chịu lực tức thì trên 6 implant có tỷ lệ thành công cao, hiệu quả và an toàn. Đây là lựa chọn thích hợp cho bác sĩ nha khoa và cả bệnh nhân mất răng có nhu cầu phục hình toàn hàm.
ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ XỬ TRÍ TỔN THƯƠNG CỔ TỬ CUNG TẠI BỆNH VIỆN PHỤ SẢN THÀNH PHỐ CẦN THƠ NĂM 2023 - 2024
Authors: Hoàng Thị Tuyết Nhung , Nguyễn Hữu Dự , Bành Dương Yến Nhi , Đoàn Dũng Tiến
Published: September 2024

Mục tiêu: Tìm hiểu đặc điểm lâm sàng, cận lâm sàng, kết quả điều trị tổn thương cổ tử cung (CTC) tại Bệnh viện Phụ sản Thành phố Cần Thơ. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 124 phụ nữ đến khám và điều trị tổn thương CTC bằng phương pháp áp lạnh tại Bệnh viện Phụ Sản Thành phố Cần Thơ từ 4/2023 đến 5/2024, bệnh nhân được theo dõi kết cục lâm sàng sau khi điều trị 12 tuần. Kết quả: Bệnh nhân từ 20-35 tuổi chiếm đa số với tỷ lệ 58,9%, phần lớn ở nông thôn với tỷ lệ 64,5%. Lí do đến khám phổ biến nhất là tiết dịch âm đạo lượng nhiều 79,8%; lộ tuyến CTC chiếm tỷ lệ cao nhất 98,4%; VIA dương tính là 16,1%. Biến chứng xảy ra phổ biến nhất là đau với tỷ lệ 12,1%. Tỷ lệ hài lòng đạt 99,1%. Kết luận: Áp lạnh CTC là phương pháp điều trị tổn thương CTC đơn giản, hiệu quả, ít biến chứng và có tỷ lệ hài lòng cao.
An investigation into the effectiveness of industrialising Software Quality Assurance (SQA) in small software businesses
Authors:   , Patel Meena
Published: September 2024

Poor software quality has far-reaching consequences, including financial losses and potential risks to life. A significant proportion (92%) of software development is undertaken by very small to medium-sized software businesses. However, resource constraints often limit their ability to implement quality standards and methods that could enhance their product quality. Industrialization, a management concept for cost-effective production, offers potential solutions. While prior research has explored the industrialization of software development and quality assurance in large companies, a gap exists regarding its application in small software businesses. This study aims to investigate the effectiveness of industrializing the software quality assurance (SQA) process within small software businesses. Adopting a qualitative approach with an interpretivist philosophy, inductive methodology, and exploratory strategy, this study employed semi-structured interviews to collect data. Participants included software developers and quality assurance representatives from five small software development businesses located in KwaZulu Natal and Western Cape provinces, South Africa. The theoretical foundation of this study draws upon Total Quality Management (TQM) principles and dimensions of industrialization (modularization, standardization, specialization, automation, and continuous improvement), as developed by experts during the early and mid-20th century. The data collected was analysed using thematic analysis with support from Nvivo software. Results revealed that despite lacking established quality assurance strategies and process evaluation mechanisms, small software businesses effectively meet customer needs. Moreover, these businesses exhibit potential for successful industrialization, particularly focusing on the testing processes. Implications of these findings include the positive impact on the capacity of small businesses to sustain themselves within local economies.
The Sino-Ukrainian economic cooperation (2014–2019): a critical examination of the bilateral economic relationship during the presidency of Petro Poroshenko
Authors: Filatov Maksym
Published: September 2024

The period between 2014 and 2019 represented a pivotal era in the evolution of Sino-Ukrainian economic collaboration under the tenure of Petro Poroshenko. This paper examines the intensification of bilateral ties, with a particular focus on key sectors such as the chemical, metallurgy, and IT industries; automotive and furniture trade; and agricultural exports. Furthermore, the study examines the rising Chinese exports of electronics to Ukraine and the overall expansion of bilateral trade. The roles of Ukrainian leaders, including President Petro Poroshenko, Prime Ministers Arseniy Yatseniuk and Volodymyr Groysman, and Chinese President Xi Jinping, are discussed in the context of fostering economic relations between the two countries. Furthermore, the paper highlights the shifting priorities of Chinese businesses toward Russia during this period, influenced by the strengthening of Sino-Russian relations. The paper also delves into specific infrastructure projects in Ukraine that received significant Chinese investments, outlining their economic impact and strategic importance.
The issue of severity of liability in case of repeated administrative offenses in the utility sector according to legislation of Georgia
Authors: Salkhinashvili Maka
Published: September 2024

Administrative offenses in the utility sector include various law violation types related to crimes committed in the electricity, natural gas, and water supply sectors. Such violations are primarily regulated by special legislation adopted by the Parliament of Georgia and the regulatory body. After the legislative body adopted the new law "On Energy and Water Supply" on December 27, 2019, a legal framework was created in Georgian legislation to consider and implement the requirements of various legal acts of the European Union. The Code of Administrative Offenses of Georgia was adopted in 1984 and no longer meets modern requirements. Therefore, it is frequently amended, and various articles have been discussed by the Constitutional Court more than once. The article will talk about such inappropriate articles and the decision made by the Constitutional Court, which has been the subject of consideration by the Constitutional Court since 2018. The final decision was made on June 14, 2024, based on which the Parliament of Georgia will have to develop the content of a new legal norm in the spring of 2025.
Сучасні підходи до вивчення нарисної геометрії для підготовки архітекторів та інженерів
Authors: Іванова Лариса , Ботвіновська Світлана , Золотов Алла , Мостовенко Олександр
Published: September 2024

Традиційно нарисна геометрія займала важливе місце у навчальних програмах підготовки архітекторів та інженерів, розвиваючи просторове мислення та навички візуалізації на основі завдань геометричного моделювання. Проте сучасні вимоги інженерної та архітектурної освіти вимагають еволюції підходів до викладання цієї дисципліни, переходячи від класичних методів до сучасних технологій. Автори аналізують еволюцію завдань нарисної геометрії, підкреслюючи її актуальність у контексті цифрової трансформації освіти. Вони акцентують увагу на інтеграції програмного забезпечення для тривимірного моделювання та комп'ютерної графіки до навчальних програм, що дозволяє студентам розвивати навички, необхідні у професійній діяльності. Однак теоретичні основи геометричного моделювання в курсі нарисної геометрії продовжують відігравати фундаментальну роль у розвитку компетенцій архітекторів і інженерів. Запропоновано основні компоненти навчальних програм, які включають теоретичні аспекти нарисної геометрії та елементи цифрових технологій, засновані на використанні сучасних підходів геометричного моделювання в САПР. Автори наголошують на необхідності подальшого розвитку та адаптації дисципліни до нових методів проектування та будівництва об'єктів, включаючи розширення використання цифрових інструментів, розвиток міждисциплінарного підходу та вдосконалення методів викладання з урахуванням інноваційних технологій. Таким чином, стаття демонструє, як нарисна геометрія продовжує відігравати ключову роль в освіті архітекторів та інженерів, еволюціонуючи відповідно до вимог часу та технологічних досягнень.
On the appropriateness of physical education models
Authors: Pichurin Valerii , Umerenko Viktor
Published: September 2024

Currently, there is an intensification of discussions regarding the appropriateness of using such physical education models as health-adaptive, socially-oriented, personality-oriented, and sports-recreational, which, as is well known, differ in their goals and means of achieving them. The purpose of the study is to justify the necessity of using the principle of constructive alternativism in physical education. The initial premise of the study is the notion that approaches to analyzing physical education models should be conducted in both practical and theoretical planes. From a practical point of view, it is important to understand to what extent a particular model meets the current societal demand, the complexity of organizational measures necessary for its implementation, the material base, etc. From a theoretical standpoint, only the extent to which our understanding of physical education as a phenomenon has been deepened and expanded is important.
DIET IN ISLAMIC PERSPECTIVE
Authors: Nahar Muhammad Hasnan , Hidayatulloh Miftah Khilmi
Published: September 2024

Obesity can affect anyone, arising from genetic factors or lifestyle factors. For those who experience it can cause serious problems for their health. One way to overcome this is by doing a diet, reducing excessive food consumption. In Islam the concept of diet has similarities with the prohibition of doing israf (excessive) listed in the QS. Al-A'raf verse 31 and al-bithnah, eat and drink more than what is needed. The conducting of this study is using thematic interpretation of verses about diet in Islam, the result of this study explains the concept of diet: not eating and drinking excessively, eating halal and good food, balancing types of food, avoiding haram food, eating and drinking choices. The concept of this diet can be applied by using several ways: dividing meal times, paying attention to the composition of food and staying active after eating.
The Impact of Shifting the Medium of Instruction on Academic Performance in Lower Primary Schools in Rubavu District, Rwanda
Authors: Mahoro Clement , Ngabonziza Jean de Dieu Amini
Published: September 2024

The aim of this research was to examine the academic performance results of lower primary school pupils in Rubavu District before and after the introduction of English as a medium of instruction (MOI). The study focused on school head teachers and teachers of English and Science Elementary Technology (SET) in five selected schools. The theoretical foundation of the study was the behaviorist theory of second language acquisition. The correlational research design and the mixed methods approach were applied. Data was collected through questionnaires and documentary reviews as research tools. The target population was 150 people, from which a sample of 69 participants, including school leaders and upper primary and lower primary teachers, was selected through purposive random sampling from five randomly selected schools. Excel and SPSS were used to aid in data analysis. The data was analyzed descriptively using frequencies and percentages and inferentially using the t-test. The key finding showed that learners’ performance improved, with 71% of respondents believing that learners performed better when the method of instruction was shifted to English. This was also reflected in the quantitative data of t-test results, showing that learners performed better in English and SET after the MOI was shifted to English than before when it was in Kinyarwanda. In lower primary English, scores increased from 58.36 before the shift to 62.53 after the shift, while in SET, scores increased from 28.51 before the shift to 34.64 after the shift. In upper primary, scores increased from 46.27 before the shift to 49.51 after the shift, while in SET, scores increased from 40.56 before the shift to 45.73 after the shift. Respondents said that initially, EMI learners struggled due to different challenges, but when these issues were resolved, there was an improvement in learners' performance. The researcher recommends that the government and policymakers avoid instability in the MOI and consider early transitions, as they help pupils develop their target language from a young age.
PARALISIA PERIÓDICA HIPOCALEMICA: UMA REVISÃO DE LITERATURA
Authors: Lima Antonio de Jesus , Machado Lilian Caiafa Ferreira , Chaves Bárbara Carvalho , Nunes Fabrício de Pádua Duarte  , Luz Eduardo Feres
Published: September 2024

Este artigo buscou realizar uma análise abrangente da paralisia periódica hipocalêmica (PPH), abordando sua etiologia genética, manifestações clínicas, diagnóstico diferencial e estratégias de tratamento atuais. A revisão narrativa foi baseada em artigos disponíveis na U.S. National Library of Medicine (PubMed), utilizando os descritores “Hypokalemic Periodic Paralysis”, “Clinical Diagnosis” e “Therapeutics”. Foram incluídos 8 artigos que forneceram dados relevantes sobre as principais mutações genéticas associadas à PPH, como CACNA1S e SCN4A, além de descrever fatores desencadeantes, como a ingestão de carboidratos e repouso pós-exercício. Os estudos revisados também discutiram as formas de diagnóstico, incluindo eletromiografia e testes genéticos, e o uso de potássio e acetazolamida como principais intervenções terapêuticas. A revisão conclui que, apesar dos avanços no tratamento, há uma necessidade de padronização dos critérios diagnósticos e de investigação de novas mutações genéticas para melhorar o manejo da PPH. Futuros estudos devem focar na personalização do tratamento, considerando a variabilidade genética e as características individuais dos pacientes.