bluuebunny/crossref_metadata_2025 huggingface dataset:
Software Support for Arbitrary Precision Arithmetic in Programming Languages
Authors:   Professor, School of Computing, SASTRA University, Thanjavur (TamilNadu), India., Balasubramanian Dr. Kannan
Published: November 2023

Arbitrary precision arithmetic, also known as bignum arithmetic, is a computational technique that allows programmers to perform arithmetic operations on numbers with significantly higher precision and magnitude than what is typically supported by the built-in numerical data types in programming languages. This technique is especially useful when working with extremely large or extremely precise numbers, such as in cryptography or scientific computations. Arbitrary precision arithmetic has many applications in the areas of Cryptography, Numerical Computation, Statistical Analysis, and High Precision measurements. For example, the calculation of the modulus in the RSA algorithm involves numbers with 1024-bit numbers and higher. An arithmetic calculation involving Multiplication and exponentiation of such numbers using Modulo arithmetic cannot be easily carried out in the existing programming Languages unless special software is provided. We can calculate the mathematical constant Pi to many thousand decimal places using the support provided in Programming Languages. Many programming languages provide built-in support for libraries for arbitrary precision arithmetic. We discuss the support provided in C/C++, Java and Python Languages with examples. Besides Programming Languages, Toolkits like Matlab and Sagemath also are used for scientific computation and special software support provided in these toolkits can enable arbitrary precision arithmetic. Most Programming Languages have support for floating-point arithmetic. We also discuss how arbitrary precision floating point arithmetic. can be supported in C/C++, Java, and Python. In addition, we discuss support for arbitrary precision integer arithmetic in Ruby, Javascript and Matlab and support for arbitrary precision floating point arithmetic in the Perl Language. Finally, we provide an example of computing the constant Pi to many decimal places using the sagemath tool.
Volatility Analysis of Indian Banking Sector using Bollinger Bands
Authors:   Assistant Professor, Amity University, Kolkata, Major Arterial Road, Action Area II, Kadampukur Village, Rajarhat, Newtown, Kolkata (West Bengal), India., Bhattacharjee Prof. Sandeep , Saha Moumita ,   Customer Relationship Officer, Bandhan Bank, Floor11, Adventz Infinity, BN5, Street no.18, BN Block, Sector5, Bidhannagar, Kolkata (West Bengal), India.
Published: November 2023

This research paper aims to analyze the bank volatility in India by examining various factors that contribute to fluctuations in the Indian banking sector. The study investigates the impact of regulatory reforms, macroeconomic indicators, financial stability, and global factors on bank volatility. The research utilizes a comprehensive dataset covering a period of one year i.e (01-04-2022 to 31-03-2023) to provide an in-depth understanding of the dynamics of bank volatility in India. We have used Bollinger bands to understand the volatility of three premier banks in India namely, HDFC Bank, ICICI Bank and STATE BANK OF INDIA in Indian stock market. The findings of this study will contribute to the existing literature on banking in emerging markets, understand the factor of volatility in present times and will also provide valuable insights for policymakers and stakeholders in the Indian banking sector.
ACORDO DE NÃO PERSECUÇÃO NOS CRIMES ELEITORAIS
Authors: César Osório de Melo Carlos , Roberto Girão de Castro Pinto Emmanuel
Published: November 2023

Este trabalho aborda a aplicabilidade do acordo de não persecução penal (ANPP) aos crimes eleitorais, provocando reflexão sobre sua compatibilidade, à luz da jurisprudência aplicada e doutrina, o que se deu por meio de pesquisa bibliográfica e documental, a partir de consulta, referências teóricas de livros e periódicos conservados em arquivos digitais de instituições públicas e privadas e de dados oficias publicados na internet. Buscou-se conceituar o ANPP e analisar seus aspectos históricos e sua introdução no ordenamento jurídico. Analisou-se a possibilidade de inclusão de cláusula de inelegibilidade no ANPP. Concluiu-se pela possibilidade de aplicação do ANPP no âmbito dos processos eleitorais.
Jardun biko eredua erakunde hezitzailearen ikuspegitik
Authors: Barry-Murphy Deirdre
Published: November 2023

Hizkuntza Eskola Ofizialek beren hezkuntza-eskaintza malgutzeko moduak bilatzen dituzte etengabe ikasleak erakartzen jarraitu ahal izateko. Jardun biko ikastaro batean aritzeko aukerak erantzun egiten dio ikasleek hezkuntza-eskaintza aldatzeko eta IKTek eskaintzen dituzten aukerak erabiltzeko egindako eskaerari. Argiak dira ikasleentzat jardun biko ikastaro baten abantailak; ondorioz, onarpen handia izan du eta asko hedatu da eredua. Baina irakasleentzat eta eskolentzat, gauza bera esan dezakegu? Jardun biko irakaskuntza Hizkuntza Eskola Ofizialetan nola txertatzen/integratzen den aztertuko dugu, erakunde hezitzailearen ikuspegitik.
Optimising Customer Service Delivery and Response Time through AI-Enhanced Chatbots in Facilities Management-A Mixed-Methods Research
Authors: Alhammadi Mai
Published: November 2023

The present study aimed to assess the effect of AI-enhanced chatbots that optimize customer service delivery and response times on facility management. It utilised the Technology Acceptance Model (TAM) and Social Response Theory (SRT) for this purpose. The research adopted a mixed-methods methodology aimed to explore the multiple perspectives of 10 facility managers and facility service providers affiliated with facilities management departments in the UAE, Qatar and Saudi Arabia regarding the benefits and challenges of AI-enhanced chatbots. This research used correlation analysis and regression to examine the relationships between variables. Correlation analysis, using SPSS 24.0, showed strong positive correlations between five AI-enhanced chatbot factors: Perceived Usefulness (PU), Perceived Ease of Use (PEoU), Behavioural Intention to Use (BIoU), Responsiveness (RP), and User Satisfaction (US) (Pearson Correlation Coefficient>0.7). Regression analysis indicated a significant impact of all these variables on facilities management (p<0.05). The study found that AI-enhanced chatbots in facilities management improve communication, responsiveness, and operational efficiency. They automate workflows, handle manual tasks, predict failures, and respond to customer queries. However, challenges include technical issues, limited human-human interaction, system quality and security, and user adoption. Chatbots deliver productivity gains and are used for automated reporting, identifying hazards, conducting briefings, managing meetings, providing training, supporting teamwork, ensuring well-being, and enhancing customer service.
Clinical application of genomics- and phosphoproteomics-based selection of targeted therapy in patients with advanced solid tumors
Authors:   , van der Wijngaart Hanneke
Published: November 2023

Precision oncology has come a long way since the introduction of the first targeted drug (trastuzumab) in 1999. Broad molecular testing of tumor tissue has vastly expanded our knowledge of the biology of cancer, leading to a steep increase in the number of approved targeted drugs and an expansion of the labeled indications of these drugs. Off-label use of these new classes of targeted drugs is nowadays better documented and often performed in clinical trials to maximize the learning potential of these experimental treatments for the medical community. As long as no “cure for cancer” exists, there will be room for improvement of our knowledge and approach to treating patients with cancer.

General improvements in the logistics, availability of targeted drugs and access to diagnostics and expertise will likely have the greatest impact on direct benefit for patients. In the future, standardized processing and conservation of tumor tissue/biopsies should be possible in all healthcare facilities, and collaborations and sharing of knowledge and resources with the academic institutes will be viable to delivering precision oncology to all patients. If these conditions are met, more patients may potentially benefit from the knowledge and new treatment options resulting from the precision oncology trials. Also, medical oncologists may learn more about molecular testing and interpreting test results from participation in MTBs. To maximize the impact of precision oncology, international collaborations are of utmost importance and research groups throughout the world are encouraged to share best practices and creative solutions to overcome the hurdles that still hamper new initiatives in the field today.
Future clinical research may focus on prospective therapy selection using molecular information from other –omics fields, such as phosphoproteomics, especially in patients where no clear monogenetic driver mutations is identified and a comprehensive pathway analysis may give more direction for potential therapeutic strategies. More knowledge on the best method of prioritizing targets for treatments will be essential, as well as clinical trials investigating new combinations of targeted agents.
With an increasing understanding of cancer biology and improved strategies for treatment
selection, precision oncology will be accessible for patients with advanced cancer and more patients will benefit from the knowledge that we gain today and tomorrow. In the future, treatments based on histology alone may be considered old-fashioned, and multi-omics diagnostics may result in a comprehensible report that can be easily interpreted, and will directly guide treatment decisions for individual patients.
On the Use of Breath in the Performance of Yangqin Song "Loess Sentiment"
Authors: Wu Lin
Published: November 2023

The dulcimer's timbre is clear, the expressive force is rich, the smooth breath is the perfect work presents the premise. However, whether the breath is unblocked does not directly affect the playing effect, but indirectly through the player's physical coordination and psychological state to the player's playing effect. breath is unblocked does not directly affect the playing effect, but indirectly through the player's physical coordination and psychological state to However, whether the breath is unblocked does not directly affect the playing effect, but indirectly through the player's physical coordination and psychological state to affect the playing effect. the influence of breath in dulcimer performance, the embodiment of breath in dulcimer works, The advantages and disadvantages of breath in dulcimer performance and the ways to avoid the disadvantages performance and the ways to avoid the disadvantages of breath in dulcimer performance are expounded.
Ethical Analysis of Hulga and the Family Relationships in Good Country People
Authors: Guo Jingzhen
Published: November 2023

Good Country People is one of the representative works of Flannery O 'Connor. The heroine in the story, Hulga or Joy, is a distinct image created by the author. The adult-baby’s disability, rebellion, intertextuality, together with her self-conceit contributes to the sharpening of the special grotesque character of Hulga.This paper will explore the characteristics of Hulga, the ethical dilemma of the family relations and the ethical choice of the protagonists in the story from five aspects: the first part is an introduction; the second part briefly introduces the creation background, author background and the plot of the novel; the third part will analyze Hulga's characteristics including advocating nihilism, inferiority and blind arrogance, and then continue to discuss the reasons for the formation of her grotesque characteristics; the fourth part will analyze the ethical dilemma of the family relations; the fifth part will concern the the ethical choice of the protagonists. The conclusion will focus on some effective suggestions for the families who are suffering ethical crisis and point out that this work has a very high research value to the contemporary construction of harmonious society.
The Relationship between Perceived Pressure of Epidemic Information among College Students and Depression: The Moderating Effect of Rumination Thinking and School Belonging
Authors: Xu Youqing
Published: November 2023

The perceived pressure of epidemic information among college students as a social psychological factor can have an impact on depression among college students, and it is necessary to explore the mechanism of action between the two. Rumination, as a negative reaction mode, may be a moderating variable worth considering, and school belonging in social support can positively predict students' mental health and play a partial moderating role. This article explores the internal mechanisms of rumination thinking and school belonging through which college students perceive the impact of stress on depression through epidemic information, providing a new direction for preventing cognitive failure among college students.
Audiences of Social Media Tend to Like Videos/Moments with a High Frequency of Likes
Authors: Shen Yujia
Published: November 2023

Social media is an important means and bridge for connecting people in the virtual space of the Internet. Wechat and Chinese Tiktok, which are the influential social media in China are the main online spaces for Chinese people to socialize. WeChat is mainly a circle of acquaintances and comes with video mini programs, leaning towards social media dominated by relationships; Tiktok is mainly an open circle of strangers, preferring content oriented social media. Like, as a common way of interaction in internet products, is a seemingly simple but complex behavior. This article will analyze and explain the common phenomenon in social media from the perspective of conformity.
Exploration of the Path of High-Quality Development of Green Building Industry under the Dual-carbon Background
Authors: Lu Mengting , Liu Yu , Zhu Tianle , Wu Qianchun , Chen Nan
Published: November 2023

Under the background of the goal of "carbon peak, carbon neutral", green development has become a hot issue in focus, in which the new low-emission infrastructure field, mainly green building, has been vigorously invested in, which is an opportunity for the development of the green building industry, and it is urgent to solve the problem of the high-quality development path of the green building industry, and analyze the factors affecting the development of the green building industry based on the development goals and concepts. construction industry development obstacles, as well as the construction of evaluation indicators for the development of the green construction industry is an urgent problem to be solved. Based on the background of double-carbon target, this topic will select some representative green building enterprises in Anhui Province as the research object; take the development of green building enterprises in Anhui Province and the data obtained from the National Bureau of Statistics on the whole life cycle of green building, energy saving and energy utilization, and the growth rate of green building area as the main research data; refer to the research theories of domestic and foreign research scholars from the development of the green building industry, the industrial foundation, building products, social benefits, and the development of the green building industry as the main research data. The development evaluation index system of green building industry is constructed in accordance with the current development situation in five aspects: industrial foundation, construction products, social benefits, internationalization, and sustainable development; the fuzzy comprehensive evaluation method is used to select the indicators from the constructed development evaluation index system, and the entropy weight method is used to determine the weight of each evaluation factor, so as to study the factors that affect the high-quality development of green building industry. At the same time, the selected indicators are quantified and the future development prospects of the industry are predicted using the Arima prediction model. It aims to provide certain reference and reference for the optimization and improvement of the development policy of green building industry in Anhui Province, and to make up for the problem that the influence factors and the degree of influence are not clear in the process of the development and construction of green building industry.
REABILITAÇÃO FONOAUDIOLÓGICA NA EDUCAÇÃO INFANTIL PARA CRIANÇAS COM IMPLANTE COCLEAR
Authors: Passos Ana Caroline Pinheiro de Souza , Soares Jorciane da Conceição Costa , Amorim Berteson Jorge Leite
Published: November 2023

O implante coclear é uma tecnologia revolucionária que tem transformado a vida de crianças com deficiência auditiva severa a profunda. Este estudo se concentra na análise do impacto do implante coclear em crianças submetidas a essa intervenção na faixa etária de 0 a 6 anos, durante a fase da Educação Infantil. Objetivo: O objetivo deste estudo foi investigar como o implante coclear, combinado com a inclusão em ambientes educacionais inclusivos e a intervenção multidisciplinar, impacta o desenvolvimento da linguagem oral e escrita em crianças com deficiência auditiva severa a profunda na primeira infância. Metodologia: Realizou-se uma pesquisa bibliográfica com enfoque qualitativo, coletando dados de artigos publicados no período de 2013 a 2023. Utilizou-se fontes nacionais, incluindo a plataforma SciELO, a Biblioteca da Universidade Nilton Lins, Repositórios Institucionais, Revistas Científicas e Livros. Selecionou-se trabalhos conduzidos por fonoaudiólogos em colaboração com outros profissionais de diferentes áreas. Resultados: Os resultados desta pesquisa revelam que crianças que receberam implantes cocleares precocemente e foram inseridas em ambientes educacionais inclusivos, com o suporte de equipes multidisciplinares, demonstraram uma notável melhoria na utilização da linguagem oral e no desenvolvimento cognitivo. Essa abordagem positiva estreitou a relação entre saúde e educação, proporcionando oportunidades significativas de aprendizado e crescimento para essas crianças. Conclusão: O implante coclear em conjunto com a inclusão educacional e a colaboração de profissionais multidisciplinares desempenha um papel fundamental no desenvolvimento da linguagem oral e escrita em crianças com deficiência auditiva severa a profunda durante a Educação Infantil. Essa abordagem representa uma via promissora para melhorar a qualidade de vida dessas crianças, destacando a importância de uma educação inclusiva e uma intervenção precoce no contexto da saúde e da educação na primeira infância.
Perancangan Proses Bisnis Sistem PPDB Dengan Fokus User Experience Pada CV Mitra Global Techno (Studi Kasus TK IT AL Qolam)
Authors: Pratama Septiano Anggun , Lamasitudju Chairunnisa Ar , Hendra Syaiful , Putri Fadiah Suryani
Published: November 2023

Penerimaan Peserta Didik Baru (PPDB) merupakan salah satu tahap atau proses krusial dalam dunia Pendidikan, tidak terkecuali pada jenjang Taman Kanak-Kanak. Proses PPDB yang berfokus pada pengalaman pengguna (User Experience) yang efektif sangat penting untuk menjaga reputasi lembaga Pendidikan dan memberikan pengalaman positif kepada orang tua calon peserta didik. Proses PPDB TK IT Al Qolam masih dilakukan secara manual atau konvensional, sehingga dibutuhkan waktu yang cukup lama bagi orang tua untuk proses pengambilan form pendaftaran dan pengembalian form pendaftaran hingga proses pengolahan data oleh operator sekolah. Mempertimbangkan permasalahan tersebut, maka merancang proses bisnis PPDB dengan fokus pada pengalaman pengguna dengan menggunakan BPMN (Business Process Model and Notation), maka diharapkan akan terciptanya pengalaman pendaftaran yang lebih sederhana, nyaman, dan intuitif bagi orang tua calon siswa dan akurasi dalam pengolahan data.
Đặc điểm rối loạn đông máu sớm ở bệnh nhân bỏng nặng
Authors: Ngô Tuấn Hưng , Nguyễn Như Lâm , Nguyễn Hải An , Trần Đình Hùng , Trần Thị Dịu Hiền , Nguyễn Thị Mai Hương
Published: November 2023

Mục tiêu: Đánh giá đặc điểm rối loạn đông máu sớm trên bệnh nhân bỏng nặng.Đối tượng và phương pháp nghiên cứu: Nghiên cứu hồi cứu 93 bệnh nhân bỏng người lớn (16 - 65 tuổi), không có bệnh và chấn thương kết hợp, diện tích bỏng ≥ 30% diện tích cơ thể (DTCT), vào viện trong 24 giờ sau bỏng, điều trị tại Khoa Hồi sức cấp cứu ≥ 3 ngày, có kết quả điều trị xác định (sống hoặc tử vong, xin về tử vong). Rối loạn đông máu sớm ở bệnh nhân bỏng nặng được xác định khi INR > 1,5 hoặc aPTT > 60 giây trong vòng 24 giờ đầu sau bỏng.Kết quả: Tỷ lệ rối loạn đông máu sớm là 46,24%. Xét nghiệm lúc vào viện, giá trị PT chủ yếu giảm (61,29%); INR và Fibrinogen phần lớn tăng (73,12% và 52,69%). Nhóm bệnh nhân có rối loạn đông máu sớm có diện tích bỏng sâu, số lượng bệnh nhân thở máy và nồng độ lactat máu động mạch lúc vào viện lớn hơn đáng kể (p < 0,05) so với nhóm không có rối loạn đông máu sớm; trong khi, nhiệt độ lúc vào viện thấp hơn có ý nghĩa (p < 0,05). Các bệnh nhân có rối loạn đông máu sớm có nguy cơ tổn thương thận cấp sớm gấp 3,5 lần và nguy cơ tử vong gấp 3,2 lần các bệnh nhân không có, sự khác biệt có ý nghĩa thống kê (p < 0,05). Kết luận: Tỷ lệ rối loạn đông máu sớm ở bệnh nhân bỏng nặng còn cao. Diện tích bỏng sâu, tăng lactat máu động mạch và hạ thân nhiệt là yếu tố liên quan đến khởi phát rối loạn đông máu sớm. Rối loạn đông máu sớm có liên quan đến biến chứng tổn thương thận cấp sớm và tử vong trên bệnh nhân bỏng nặng.
Kết quả bước đầu sử dụng vạt tự do đùi trước ngoài nối thông mạch máu điều trị tổn thương vùng cổ tay sau bỏng điện cao thể
Authors: Tống Thanh Hải , Đỗ Trung Quyết , Vũ Quang Vinh
Published: November 2023

Đặt vấn đề: Bỏng điện cao thế hay gặp ở vùng cổ tay do đây là vị trí điểm ra của dòng điện. Khi tổn thương mạch máu đi kèm tổn thương da và mô mềm vùng cổ tay, có rất nhiều các phương pháp vừa nhằm che phủ, vừa phục hồi lại tuần hoàn vùng cổ tay. Tuy vậy, có rất ít báo cáo về sử dụng vạt đùi trước ngoài có nối thông mạch máu để che phủ và khôi phục lại tuần hoàn vùng cổ tay sau bỏng điện cao thế.Đối tượng và phương pháp nghiên cứu: Nghiên cứu tiến cứu 5 bệnh nhân bỏng điện cao thế vùng cổ tay vào Bệnh viện Bỏng Quốc gia Lê Hữu Trác điều trị từ tháng 8/2020 đến 8/2022. Các bệnh nhân bị bỏng điện cao thế gây tổn thương vùng cổ tay, có tổn thương mạch máu vùng cổ tay (xác định qua chụp mạch máu vùng cổ tay), vùng cho vạt (vùng đùi) còn lành, không bị tổn thương. Phẫu thuật được thực hiện qua 02 giai đoạn: Giai đoạn 1: Được cắt lọc tổ chức hoại tử vùng cổ tay, lấy sạch mô hoại tử: gân, cơ, thần kinh,… Giai đoạn 2: Thiết kế vạt da đùi trước ngoài để che phủ vùng cổ tay, tiến hành rạch da và bóc tách vạt da; đưa vạt đến vị trí cần tạo hình vùng cổ tay, nối thông mạch máu. Theo dõi và đánh giá sau phẫu thuật: Bệnh nhân được đánh giá tình trạng vạt sau phẫu thuật, chụp mạch vùng cổ tay đánh giá tình trạng lưu thông mạch máu sau mổ ở các thời điểm 6 tháng và 12 tháng sau mổ.Kết quả và bàn luận: Nghiên cứu được tiến hành trên 05 bệnh nhân nam, tuổi từ 20 tới 42 tuổi, bị tổn thương bỏng điện cao thế, vào viện từ 20 ngày tới 58 ngày sau bỏng. Tổn thương vùng cổ tay do bỏng điện: 4 trường hợp bên phải và 1 trường hợp bên trái. Có 04 bệnh nhân bị tổn thương gây tắc và hoại tử động mạch quay, 01 trường hợp tổn thương tắc bó mạch trụ, không có bệnh nhân nào bị tắc cả bó mạch quay và bó mạch trụ. Kích thước tổn thương sau cắt lọc từ 12 x 11cm tới 25 x 16cm. Các vạt có kích thước từ 14 x 14cm tới 28 x 18cm, chiều dài đoạn mạch máu cần bắc cầu từ 12 tới 24cm. Theo dõi sau xuất viện từ 6 tháng đến 1 năm sau phẫu thuật, vạt sau mổ đảm bảo che phủ tốt tổn thương, mềm mại, không bị dày mỡ, dòng máu bàn tay được đảm bảo tốt. Vùng đùi cho vạt để lại sẹo phì đại, không ảnh hưởng đến sức cơ của đùi và chức năng khớp gối.Kết luận: Điều trị tổn thương do bỏng điện cao thế vùng cổ tay vẫn còn là thách thức. Sử dụng vạt đùi trước ngoài có nối thông mạch máu vừa đạt mục đích che phủ tổn thương, vừa khôi phục dòng máu vùng cổ tay là lựa chọn thích hợp cho điều trị loại tổn thương này.
Đánh giá kết quả điều trị tổn khuyết cổ tay - bàn tay bằng vạt nhánh xuyên động mạch quay
Authors: Vũ Quốc Khánh , Hoàng Thanh Tuấn , Vũ Quang Vinh , Trần Vân Anh , Đỗ Trung Quyết , Hoàng Tuấn Hoàng
Published: November 2023

Mục tiêu: Che phủ tổn khuyết cổ tay - bàn tay do phỏng bằng vạt nhánh xuyên động mạch quay (NXĐMQ) mà không thể ghép da hay không có điều kiện làm vi phẫu.Đối tượng và phương pháp: Nghiên cứu tiến cứu, mô tả cắt ngang không đối chứng 10 bệnh nhân có tổn khuyết vùng cổ tay - bàn tay do bỏng tại Trung tâm Phẫu thuật Tạo hình, thẩm mỹ và tái tạo (TT PTTHTM&TT), Bệnh viện Bỏng Quốc gia Lê Hữu Trác, từ tháng 01/2021 - 9/2021.Kết quả: Bệnh nhân trung bình 37,3 ± 14,5 tuổi; dao động từ 16 đến 69 tuổi. Tỉ lệ bệnh nhân nam/nữ = 4/1. Vị trí tổn phần mềm ở gan cổ - bàn tay (90%) và mu cổ - bàn tay (10%). Tất cả được sử dụng vạt nhánh xuyên động mạch quay, kết quả điều trị: 8 trường hợp tốt (80%), 2 trường hợp khá (20%), không có thất bại. Kết luận: Nhóm nhánh xuyên động mạch quay chủ yếu xuất phát trong khoảng từ 4 - 6cm tính từ mỏm trâm quay. Vạt có khả năng che phủ tốt với tổn thương sâu, không yêu cầu kĩ thuật và cơ sở vật chất cao.
Điều trị thành công bệnh nhân bỏng acid chromic có biến chứng tổn thương thận cấp
Authors: Hoàng Văn Vụ , Trần Thị Dịu Hiền , Trương Thị Thuý
Published: November 2023

Bỏng hóa chất xuất hiện từ khi con người biết sử dụng hóa chất và bắt đầu phát triển mạnh từ thế kỷ XV - XVI. Cùng với sự phát triển của khoa học công nghệ và công nghiệp, bỏng hóa chất trở nên phổ biến hơn. Tỷ lệ bỏng hóa chất chỉ đứng sau bỏng do nhiệt khô và nhiệt ướt [1]. Hoàn cảnh gây bỏng hóa chất rất đa dạng: do tai nạn sinh hoạt; ở những người tiếp xúc với hóa chất như trong các labo, các ngành công nghiệp hóa chất, xây dựng và sử dụng không chuyên môn các hóa chất; liên quan đến hành động tội ác và tự tử; trong đó, bỏng hóa chất liên quan đến lao động chiếm tỷ lệ cao (1/2 - 2/3 tổng số bệnh nhân bỏng hóa chất) [1], [2].Bỏng hóa chất bao gồm bỏng do acid và bỏng do base. Về mặt cơ chế, bỏng do base thường gây hoại tử hóa lỏng và hiện tượng xà phòng hóa khiến hóa chất tiếp tục ngấm sâu gây trầm trọng thêm tình trạng tổn thương, còn bỏng do acid có xu hướng tạo hoại tử khô và đông vón ngăn cản sự xâm nhập sâu của hóa chất tới các mô dưới da [2], [3]. Tuy nhiên, vẫn có một số acid có khả năng ngấm sâu gây độc cho cơ thể như: acid formic, chromic, muriatic, sulfuric,… Cơ quan dễ bị tổn thương thường là cơ quan có chức năng đào thải như gan, thận [1].Trong báo cáo này, chúng tôi xin giới thiệu một trường hợp bệnh nhân bỏng acid chromic có biến chứng tổn thương thận cấp đã được điều trị thành công.
Pelatihan Dan Pendampingan Penyusunan Laporan Keuangan Usaha Mikro, Kecil, Dan Menengah Di Kota Tangerang Selatan
Authors: Dinarjito Agung , Arfiansyah Zef , Firmansyah Amrie
Published: November 2023

Tim Pengabdian kepada masyarakat (PKM) Politeknik Keuangan Negara STAN dilakukan untuk memenuhi kewajiban tridarma pendidikan sebagai salah satu civitas academica. PKM ini bertujuan untuk memberikan pelatihan dan pendampingan penyusunan laporan keuangan usaha mikro, kecil, dan menengah di Kota Tangerang Selatan. Metode pelaksanaan kegiatan pengabdian kepada masyarakat terdiri dari tahap perencanaan, tahap pelaksanaan dan tahap evaluasi. Tahap perencanaan dilakukan dengan koordinasi antara Tim PKM Politeknik Keuangan Negara STAN dengan Dinas Koperasi, Usaha Kecil dan Menengah Kota Tangerang Selatan terkait dengan pelaksanaan kegiatan. Pada tahap ini juga, Tim PKM mengidentifikasi karakteristik UMKM, mengidentifikasi permasalahan yang dihadapi oleh UMKM dan menyiapkan materi pelatihan. Tahap kedua yaitu pelatihan pelaporan keuangan UMKM yang dilaksanakan di kampus Politeknik Keuangan Negara STAN pada tanggal 14 Maret 2023. Narasumber pelatihan adalah Tim Dosen Politeknik Keuangan Negara STAN. Jumlah peserta yang mengikuti kegiatan ini berjumlah 5 UMKM. Tahap ketiga adalah monitoring dan evaluasi yang dilaksanakan pada tahap-tahap kegiatan. Kegiatan PKM ini memberikan manfaat bagi peserta dalam meningkatkan pemahaman dan pengetahuan terkait dengan penyusunan laporan keuangan dan kegunaan laporan keuangan bagi pelaku UMKM yang menunjang strategi bisnis di masa mendatang
Periodical Cicadas and the Abundance of Time
Authors: Milam Erika Lorraine
Published: November 2023

The life cycle of periodical cicadas, like the scientists who have studied them, is characterized by periods of long waiting punctuated with spectacular bouts of activity. In remarkable synchrony, every thirteen or seventeen years—depending on the species and the locatio —billions of nymphs crawl from the ground and embark on a relatively short adult life span of three to four weeks. This paper traces three pulses in the scientific study of periodical cicadas, as researchers sought to determine the geographical range of the broods, the number and biological identity of the species found in each brood, and the relationship between the individual and the swarm. Together these threads of research highlight the historical significance of mass collaboration in the scientific study of these charismatic animals and the surprisingly entangled affective relations between human and insect.
Afterword
Authors: Butler Shane
Published: November 2023

Afterword to the Journal for the History of Knowledge 2023 special issue "Entangled Temporalities"
THE INFLUENCE OF MOTIVATION AND COMMITMENT OF HEALTH WORKERS ON LACTATION MANAGEMENT SERVICES AT RSIA ASIH BALIKPAPAN
Authors: Yacobi Meriah , Wekadigunawan Cri Sajjana Prajna , Hilmy Muhammad Reza
Published: November 2023

Mothers and children are family members who need to get priority in the implementation of health efforts, because mothers and children are a vulnerable group. This is related to the phase of pregnancy, childbirth and postpartum in the mother and the phase of growth and development in children. The importance of maternal and child health efforts is one of the priorities for health development in Indonesia. Maternal Mortality Rate (MMR), Neonatal Mortality Rate (AKN), Infant Mortality Rate (IMR) and Toddler Mortality Rate (AKABA) are some indicators to see the success of health development in the community.

Objective: To analyze the effect of motivation and commitment of health workers on lactation management services at RSIA Asih Balikpapan

Research method: this research is an associative quantitative research with hypothesis testing to see the effect between variables. The research method used a path analysis research model which was conducted on 80 respondents.

Research Results: The results showed that motivation and commitment had a significant effect on lactation management services with a P value = 0.00..
The Role of Oral Dissolution Therapy in Increasing the Efficacy of Extracorporeal Shockwave Lithotripsy in Patients with Less Than 2 Centimeters of Renal Stones: A Systematic Review
Authors: Mahaputra I Komang Bintang Satria , Indradiputra I Made Udiyana , Sanjaya I Dewa Gede Reza
Published: November 2023

The prevalence of renal stones is about 15% of the population. The trend is increasing with a high recurrence rate of up to 50% in 5 years, demanding a more sophisticated treatment for renal stones. ESWL is a treatment for less than 2 cm renal stones with good outcomes. Although ESWL is a technique with many advantages, many factors contribute to the outcome of ESWL with size and stones density as the most important factor. Oral dissolution therapy (ODT) has been used for decades and its effect on renal stones is beneficial to dissolve and prevent renal stones recurrence. The combination of ODT and ESWL is not yet recommended by current guidelines. The purpose of this systematic review is to summarize the latest evidence on the role of ODT in increasing the efficacy of ESWL for renal stones. The database used in this study are PubMed and Cochrane using keywords “urolithiasis”, “renal”, “shock wave”, “citrate”, and “oral dissolution therapy”. The outcome of the article sought is stone fragmentation after ESWL. 4 studies were included, and 3 compared the outcome between ESWL alone and ESWL combined with ODT. The outcome of combined therapy shows superior outcomes compared to ESWL alone with fewer sessions required for stone clearance or a higher chance for stone fragmentation. One study in children showed 100% stone clearance after ESWL with ODT, which was higher than the average success rate of ESWL in children with renal stones. Oral dissolution therapy may have a role in increasing the efficacy of extracorporeal shockwave lithotripsy for patients with less than 2 cm renal stones.
Vocational Music Education Institutions and Music Teacher Training in Turkey in the 21st Century
Authors: ÖZGÜL İlhan
Published: November 2023

In this study, the process of training music teachers working in primary, middle, and high schools affiliated with the Ministry of National Education in Turkey is examined. Within this scope, Higher Education Programs related to Music Education, Pedagogical Formation Education Certificate Program (PFECP) and Student Profile/Quality of Music Education Institutions were investigated to answer three fundamental questions. According to the findings obtained, it has been determined that there is a structure of music education in 16 different faculties with various names, apart from the Music Education program in the Faculty of Education, and students studying in these institutions have the right to be appointed as music teachers by completing the (PFECP). Furthermore, it was determined that the scores of the TYT (Basic Skills Test) determined for admission to 16 different faculties outside the Faculty of Education were very low/insufficient. The education process of the Pedagogical Formation Education Certificate Program does not meet the expected “competencies of the music teaching profession” in training music teachers. In our country, which has a tradition, experience, and accumulation of training music teachers for 100 years, there is a need to re-think and re-imagine the structure and policies of music teacher training in the 21st century. The Ministry of National Education (MONE), the Council of Higher Education (COHE), universities, academicians, civil society organizations, and all stakeholders in music education should take steps to correct the deficiencies, inconsistencies, and contradictions in teacher/music teacher training practices.
Penyuluhan Mengenai Penggunaan Dosis Obat Yang Tepat Kepada Masyarakat Di Desa Kairatu
Authors: Micie Elsye Sariwating
Published: November 2023

Obat merupakan unsur yang sangat penting dalam upaya penyelenggaraan kesehatan. Sebagian besar intervensi medik menggunakan obat, oleh karena itu diperlukan obat tersedia pada saat diperlukan dalam jenis dan jumlah yang cukup, Obat adalah bahan atau zat yang berasal dari tumbuhan, hewan,mineral maupun zat kimia tertentu yang dapat digunakan untuk mengurangi rasa sakit, memperlambat proses penyakit dan atau menyembuhkan penyakit. Obat harus sesuai dosis agar efek terapi atau khasiatnya bisa kita dapatkan. Golongan obat adalah penggolongan yang dimaksud untuk peningkatan keamanan dan ketepatan penggunaan distribusi yang terdiri dari obat bebas, obat keras, psikotropika dan narkotika, obat bebas terbatas. Sebelum kegiatan pengabdian kepada Masyarakat, dilakukan survey awal kepada kepala desa dan wawancara terhadap beberapa masyarakat terkait penggunaan dosis obat yang tepat. Setelah mendapatkan data awal dan kesepakatan waktu kami melakukan kegiatan tersebut.

Tahapan pertama yakni dengan dilakukan penyuluhan terkait Penggunaan Dosis Obat Yang Tepat kepada masyarakat dan dilanjutkan dengan pemberian edukasi serta tanya jawab terhadap pemateri. Kegiatan pengabdian kepada masyarakat ini dilaksanakan pada tanggal 01 Desembar 2021 bertempat di kantor desa kairatu, Kecamatan Kairatu Kabupaten Seram Bagian Barat dari jam 09.00-11.00. Kehadiran peserta saat dilakukan edukasi berjumlah 50 warga.  Peserta sangat antusias dalam mengikuti setiap tahapan yang diberikan, dan saat dinerikan kesempatan untuk menanyakan terkait yang belum dipahami juga begitu interaktif.
Penyuluhan Tentang Kandungan Bahan Kimia Berbahaya Pada Makanan Di Desa Wakal
Authors: Mylene Latumahina
Published: November 2023

Penduduk dunia semakin meningkat, sehingga kebutuhan makanan akan semakin meningkat baik secara kualitas maupun kuantitas. perumbuhan penduduk akan bertambah menurut deret ukur sedangkan pertumbuhan pangan akan meningkat menurut deret hitung. Berbagai cara fisik dan zat kimia telah dikembangkan dan digunakan untuk meningkatkan pasokan makanan. Bahan tambahan makanan adalah bahan kimia yang terdapat dalam makanan yang ditambahkan secara sengaja atau yang secara alami bukan merupakan bagian dari bahan baku, untuk mempengaruhi dan menambah cita rasa, warna, tekstur, dan penampilan dari makanan. Penyuluhan ini merupakan salah satu kegiatan yang bertujuan untuk meningkatkan pengetahuan terkait dengan bahan kimia berbahaya atau zat aditif pada makanan. Sasaran kegiatan ini adalah masyarkat desa wakal. metode penyuluhan yaitu dengan cara presentasi materi menggunakan power point dan LCD yang terdiri dari Zat aditif pewarna, pemanis, penyedap rasa dan pengawet. Materi ini meliputi pengertian, jenis, contoh, dampak dan upaya mengurangi dampak negatif yang ditimbulkan. Setelah pemberian materi dilanjutkan dengan tanya jawab kepada peserta dalam hal ini masyarakat dan pengisian angket untuk melihat pemahaman masyarakat tentang materi yang diberikan. . Hasil kegiatan menunjukkan bahwa pemahaman masyarakat tentang materi yang diberikan terlihat pada hasil pengisian lembar angket. Kesimpulan kegiatan ini adalah terdapat peningkatan pengetahuan tentang Bahaya Bahan Kimia Pada Makanan oleh masyarakat Desa Wakal.
Penyuluhan Tentang Pentingnya Peranan Protein Dan Asam Amino Bagi Tubuh Di Desa Negeri Lima
Authors: Cut Bidara Panita Umar
Published: November 2023

Asam amino adalah protein yang sudah dipecah melalui proses metabolism menjadi molekul-molekul kecil sebagai bahan dasar untuk proses biosintesis. Secara umum ada lebih dari 20 jenis asam amino dalam biosintesis.Tujuan pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan dan perubahan perilaku di Desa Negeri Lima tentang “Pentingnya Peranan Protein da Asam Amino”. Sasaran kegiatan ini adalah masyarakat Desa Negeri Lima Kecamatan Leihitu Kabupaten Maluku Tengah. Pelaksanaan kegiatan ini meliputi tahapan ceramah, demonstrasi dan praktik, tanya jawab serta diakhiri dengan pembagian leaflet. Hasil kegiatan menunjukkan bahwa pengetahuan awal peserta yang rendah terlihat dari pre test yang dilakukan dan terjadi peningkatan pengetahuan yang signifikan setelah dilakukan edukasi. Kesimpulan kegiatan ini adalah terdapat peningkatan pengetauan tentang “Pentingnya Peranan Protein dan Asam Amino Bagi Tubuh” pada Masyarakat Desa Negeri Lima Kecamatan Leihitu Kabupaten Maluku Tengah.
PENYULUHAN TENTANG OBAT SEDIAAN SALEP KEPADA MASYARAKAT DI DESA HILA
Authors: Jayanti Djarami
Published: November 2023

Salep merupakan sediaan yang ditujukan untuk pemakian luar. Salep juga terdiri oleh bahan aktif terlarut atau terdispersi pada dasar salep atau basa sebagai pembawa bahan aktif, Dasar salep serap dapat dibagi menjadi dua kelompok. Kelompok pertama terdiri atas dasar salep yang dapat bercampur dengan air membentuk emulsi air dalam minyak (Parrafin hidrofilik dan Lanolin anhidrat), dan kelompok kedua terdiri atas emulsi air dalam minyak yang dapat bercampur dengan sejumlah larutan air tambahan (Lanolin). Tingkat pengetahuan masyarakat Desa Hila yang rendah terkaik obat salep membuat peneliti melakukan penyuluhan pada Desa tersebut guna menambah wawasan masyarakat desa dan menambah pengetahuan terkait obat salep. Pengabdian masyarakat ini dilakukan dengan penyuluhan dengan memberikan edukasi mengenai obat sediaan salep kemudian dilanjutkan dengan tanya jawab oleh pemateri. Pada kegiatan ini pemateri menjelaskan mengenai salep. Dimana salep sendiri merupakan sediaan semi padat yang ditujukan untuk pemakaian luar tubuh, pemateri juga menjelaskan mengenai penggolongan salep diantara ungueta, krim, pasta, cerata, dan gel. Dengan adanya penyuluhan ini masyarakat Desa Hila mulai memahami bagaimana Obat Salep dapat digunakan dan apa saja jenis obat salep yang beredar.
PENYULUHAN MENGENAI ZAT BERBAHAYA BORAKS PADA MAKANAN DI DESA WAIMITAL
Authors: Cut Bidara Panita Umar
Published: November 2023

Boraks terhadap kesehatan berdampak negatif karena memiliki efek racun yang dapat membahayakan sistem metabolisme kesehatan manusia seperti iritasi saluran pernafasan, kulit, mata, serta organ sasaran seperti darah, ginjal, jantung, sistem pernafasan, sistem saraf pusat, hati, limfa, sistem pencernaan, mata, sistem reproduksi dan kulit. Paparan jangka pendek terjadinya iritasi saluran pernafasan, mual, diare, kram perut. Paparan jangka panjang menyebabkan gangguan sistemik seperti kerusakan gangguan saluran pencernaan, hati, lemak, dan menimbulkan depresi, kerusakan ginjal, dan gangguan membrane mukosa (Saparinto dan Hidayati, 2006). Tujuan pengabdian kepada masyarakat adalah melakukan pengenalan boraks, bahaya penggunaan, dan cara mendeteksi kandungan boraks. Metode yang digunakan saat penyuluhan metode ceramah dan diskusi kemudian dilanjutkan dengan workshop atau pelatihan dimana peserta bergantian maju kedepan untuk melakukan pengujian boraks dengan melihat bentuk, warna dan bau serta melakukan pengujian makanan secara langsung terhadap makanan yang mengandung boraks kemudian dilakukan evaluasi dan bimbingan berkelanjutan. Hasil capaian dari pengabdian masyarakat ini meliputi evaluasi mengenai boraks, karakter makanan mengandung boraks sebelum penyuluhan dan setelah penyuluhan
Uji Farmakologi Antiinflamasi Ekstrak Etanol Daun Waru Laut (Thespesia Populnea (L.) Soland) Pada Tikus Putih (Rattus Norvegicus)
Authors: Pia Batmomolin  , Aulia Debby Pelu  , Astin Buton
Published: November 2023

Waru laut (Thespesia populnea (L.) Soland) merupakan tanaman tepi pantai yang digunakan secara tradisional sebagai penurun bengkak. Tujuan dari penelitian ini adalah untuk mengetahui senyawa metabolit sekunder daun waru laut (Thespesia populnea (L.) Soland), untuk mengetahui potensi antiinflamasi ekstrak daun waru laut (Thespesia populnea (L.) Soland), dan efek dosis ekstrak daun waru laut (Thespesia populnea (L.) Soland) yang paling baik. Metode yang digunakan adalah eksperimental laboratorium dengan jenis postest control group design. Pada penelitian ini terdapat 5 kelompok hewan uji tikus putih diantaranya kelompok kontrol negatif (aquades), kontrol positif (Methylprednisolone), pelakuan 1 (ekstrak dosis 500 mg/kgBB), perlakuan 2 (ekstrak dosis 750 mg/kgBB), dan perlakuan 3 (ekstrak dosis 1000 mg/kgBB). Hasil dari penelitian ini adalah daun waru laut mengandung senyawa flavonoid, saponin, tanin. Kelompok Perlakuan 1 dan perlakuan 2 terjadi penurunan edema pada menit ke-120 yaitu 2,8 mm dari besar edema setelah 30 menit injeksi karagenin adalah pada kelompok perlakuan 1 sebesar 3,9 mm dan perlakuan 2 sebesar 3,7 mm. Sedangkan pada perlakuan 3 terjadi penurunan edema pada menit ke-120 yaitu 2,3 mm dari 3,95 mm edema setelah 30 menit injeksi karagenin. Pada dosis ekstrak daun waru laut memiliki potensi sebagai antiinflamasi dengan dosis yang paling baik adalah dosis 1000 mg/kgBB.
Uji Aktivitas Antibakteri Ekstrak Etanol Daun Binahong (Anredera Cordifolia (Ten.) Steenis) Terhadap Bakteri Staphylococcus Epidermidis
Authors: Cut Bidara Panita Umar  , Amelia Niwelle  , Syntia Clarce Ririmasse
Published: November 2023

. Daun binahong (Anredera cordifolia Ten. Stennis) merupakan salah satu tanaman yang dapat mengobati berbagai jenis penyakit. Hal ini dikarenakan tanaman ini memiliki kandungan sebagai antibakteri dan antivirus, daun binahong (Anredera cordifolia Ten. Stennis) memiliki khasiat obat tradisional sebagai antibakteri.Tujuan dari penelitian ini adalah untuk mengetahui kandungan senyawa serta mengetahui besarnya aktivitas zona hambat pada ekstrak daun binahong (Anredera cordifolia Ten. Stennis). Metode yang digunakan pada penelitian ini yaitu eksperimental laboratorium dengan menggunakan metode maserasi pada ekstrak daun binahong dan metode difusi agar sumuran dengan tiga konsentrasi yang berbeda yaitu 60%, 80%, 100%. Berdasarkan hasil penelitian menunjukan bahwa ekstrak daun binahong (Anredera cordifolia Ten. Stennis) memiliki komponen senyawa alkaloid, flavonoid, tanin dan saponin. Ekstrak etanol daun binahong (Anredera cordifolia Ten. Stennis) mampu menghambat bakteri Staphylococcus Epidermidis dengan diameter zona hambat konsentrasi 60%;17mm, konsentrasi 80%;26, dan konsentrasi 100%;30mm. Kesimpulan dari penelitian ini yaitu ekstrak daun binahong terkandung senyawa alakaloid, flavanoid, tanin dan saponin dengan memiliki konsentrasi ekstrak yang paling efektif menghambat bakteri staphylococcus epidermidis pada konsentrasi 100% diameter zona sebesar 30mm.
Aplikasi "Senam Religious" Untuk Mengurangi Kram pada wanita premenopause di RT 34 RW 14 Dusun Gadungan Kecamatan Poncokusumo
Authors: Patemah Patemah , Ervin Rufaindah
Published: November 2023

Salah satu keluhan ibu premenopause adalah kram pada anggota gerak bagian atas yaitu tangan dan belum ada kegiatan pola aktifitas yang membantu mengurangi keluhan tersebut. Sampai saat ini belum ada kegiatan yang membantu mengurangi keluhan kram tangan pada wanita premenopause dalam bentuk kegiatan senam untuk wanita premenopause dengan alasan tidak ada yang mengantar ke posyandu lansia kalau periksa saja, bisa ke dokter atau memanggil perawat puskesmas. Senam religious yang di aplikasikan dengan menggunakan ayat yang ada dalam Alqur’an dan asmaul husna dalam setiap gerakan senam dapat mengurangi keluhan kram pada ibu premenopause. Pengabdian masyarakat dilakukan dengan memberikan penyuluhan kemudian melakukan senam bersama-sama dengan kader dan ibu premenopause. Harapannya senam ini bisa dijadwalkan secara rutin dan teratur di posyandu, balai RT/RW dan lain sebagainya. Para kader dan bidan juga bisa memberikan motivasi kepada ibu premenopause dan menopause agar ikut aktif mengikuti kegiatan senam sehingga keluhan – keluhan saat premenopause atau saat menopause bisa berkurang atau bahkan hilang.
EDUKASI PEMANFAATAN MANGROVE SEBAGAI OBAT TRADISIONAL PADA MASYARAKAT PESISIR KOTA BATAM
Authors: Susanti Susanti , Silvia Mona  , Prasida Yunita  , Ika Novita Sari  , Etty Sri Wahyuni
Published: November 2023

Indonesia merupakan negara yang kaya akan sumber daya alam hayati yang melimpah, salah satunya yaitu mangrove yang banyak digunakan sebagai oabat tradisional yang memiliki potensi besar yang memiliki kandungan bioktifitas yang tinggi yang dapat berperan sebagai antioksidan yang merupakan senyawa yang mempunyai manfaat salah satunya mampu mengatasi penyakit degeneratif seperti diabetes mellitus. Hal tersebut dibuktikan dengan meningkatnya antioksidan seperti enzim katalase yang dapat menanhkal radikal bebas dan menurunkan glukosa darah. Penelitian ini dilakukan dengan tujuan untuk untuk mengedukasi masyarakat mengenai pemanfaatan tumbuhan mangrove yang ada disekitar pemukiman pesisir sebagai obat kesehatan tradisional yang dapat digunakan masyarakat sebagai pengobatan alternative, sehingga dapat mendayakan tumbuhan sekitar masyarakat khususnya tumbuhan mangrove. Hasil penelitian didapatkan Pemanfaatan tanaman mangrove yang ada di kota Batam sampai saat ini masih belum optimal dengan baik serta belum dikelola dengan baik, dan belum optimalnya sosialisasi dalam memberikan edukasi kepada masyarakat dalam pemanfaatan tanaman mangrove yang berkhasiat dalam pengobatan alternative. Dalam aspek kesehatan wilayah pesisir peranan masyarakat sangatlah penting, dalam meningkatkan pengetahuan pemanfaatan mangrove untuk pengobatan.