bluuebunny/crossref_metadata_2025 huggingface dataset:
HARMONISASI KEHIDUPAN ANTARKELOMPOK ETNIS MELALUI COFFEE SHOP DAN IMPLIKASINYA TERHADAP KETAHANAN DAERAH KOTA PONTIANAK
Authors: Widiatmaka Pipit , Nuryadi Muhammad Hendri , Yuliandari Erna
Published: January 2024

Penelitian ini bertujuan untuk mengetahui eksistensi coffee shop sebagai ruang diskusi di Kota Pontianak, peran coffee shop dalam membangun kerukunan antar kelompok etnis di Kota Pontianak, dan implikasinya terhadap ketahanan daerah di Kota Pontianak. Desain penelitian yang digunakan adalah kualitatif dengan metode penelitian grounded theory, sedangkan teknik pengumpulan data menggunakan 1) wawancara (jumlah informan adalah 5 orang) 2) observasi dilakukan di Raza Cafe, Weng Coffee, Upgrade Coffee, Aming Coffee dan Kings Coffee, dan 3) dokumentasi (foto, jurnal, buku, laporan penelitian, berita online, dan lain-lain). Analisis data yang digunakan adalah analisis data induktif. Coffee shop di Kota Pontianak semakin berkembang dan dapat difungsikan sebagai ruang publik yang mengandung nilai keadilan, demokratis dan persatuan sehingga tidak dipungkiri banyak masyarakat dari beragam kelompok etnis untuk beristirahat, berkumpul, diskusi, menyelesaikan tugas kuliah (mahasiswa), bisnis, rapat dan lain-lain. Peran coffee shop sebagai ruang publik dapat membangun keharmonisan antar kelompok etnis di Kota Pontianak. Keharmonisan antar kelompok etnis di coffee shop berimplikasi pada ketahanan daerah di Kota Pontianak, karena eksistensi ideologi Pancasila tetap terjaga, suasana demokrasi tetap terjaga, adanya pertumbuhan perekonomian daerah, kehidupan sosial yang semakin kondusif dan keamanan daerah semakin terjaga.  Perkembangan coffee shop sebagai ruang publik di Kota Pontianak semakin berkembang dan jumlahnya semakin banyak, ruang tersebut dapat dijadikan sebagai wahana interaksi antar kelompok etnis yang dapat membangun keharmonisan kehidupan. Keharmonisan antar kelompok etnis melalui coffee shop dapat membangun ketahanan daerah di Kota Pontianak yang kuat dan tangguh
OPEN DEFECATION BEHAVIOR AND WATER SANITATION AS STUNTING RISK FACTORS
Authors: Jamalludin Muhammad , Trisnawati Elly , Otik Widiyastutik  , Ismael Saleh
Published: January 2024

Stunting is a condition where the growth of children under 5 years is stunted, due to chronic malnutrition which makes them too short for their age. Kubu Raya is the regency with the highest number of stunting cases in 2022 with a prevalence of 27.6%. The priority location in this study is the Sui Ambawang area, with a prevalence of 12.3%. With the aim of knowing the relationship between open defecation behavior and water sanitation as a risk factor for stunting in Kubu Raya Regency in toddlers. This type of research is analytic observational with a case-control research design. The research was carried out from September to December 2022. It consisted of 3 village areas, namely Central Java, East Mega and Sungai Malaya. Sampling in this study was carried out by purposive sampling. The number of samples obtained was 136 respondents (68 cases and 68 controls). The research instrument used was a questionnaire sheet and an observation sheet in the form of the KoboCollect application. Data were analyzed with 2 steps of analysis, namely univariate and bivariate analysis. The results showed that there was a relationship between open defecation behavior and stunting (p=0.027). Water sanitation is also a factor related to stunting (p=0.006). It is suggested to the Kubu Raya District Health Office and the Sui Ambawang Community Health Center to intensify collaborative interventions that put more emphasis on the determinants of stunting, namely open defecation and water sanitation which are still the causes of stunting in Sui Ambawang.
EVALUASI PENGOBATAN ANTIHIPERTENSI PADA PASIEN PRE-EKLAMPSIA DI RUMAH SAKIT ISLAM PKU MUHAMMADIYAH PEKAJANGAN
Authors: Afiryal Nabila  , Ekanita Desiani  , Henry Budiawan Prasetya  , Avina Firliyani Vanesha
Published: January 2024

Pre-eklampisa adalah kondisi komplikasi pasien pada kehamilan usia 20 minggu. Berdasarkan data Dinas Kesehatan Kabupaten Pekalongan, jumlah pasien pre-eklampsia mengalami kenaikan setiap tahunnya. Pasien pre-eklampsia perlu diberikan terapi antihipertensi dalam penurunan tekanan darah serta mengurangi risiko tinggi dari pre-eklampsia. Mengevaluasi kesesuaian pengobatan antihipertensi pada pre-eklampsia di RSI PKU Muhammadiyah Pekajangan dengan tepat obat, tepat indikasi, tepat dosis, dan tepat pasien merupakan tujuan penelitian ini. Penelitian ini bersifat penelitian deskriptif. Data dikumpulkan dengan metode retrospektif dari rekam medik di instalasi rawat inap RSI PKU Muhammadiyah Pekajangan periode Juli-Desember tahun 2022 sejumlah 31 pasien. Kriteria pasien adalah kriteria inklusi dimana pasien pre-eklampsia berat tanpa penyakit penyerta dan mendapat pengobatan antihipertensi. Data penelitian dianalisis secara kuantitatif. Hasil penelitian menunjukkan kesesuaian obat berdasarkan tepat pasien sebesar 96,77%, tepat indikasi sebesar 96,77%, tepat obat sebesar 96,77%, dan tepat dosis sebesar 100%. Pasien pre-eklampsia berat lebih banyak menggunakan monoterapi antihipertensi dan hasil kesesuaian obat sebesar 97,57% dengan hasil menunjukkan hampir mencapai 100% dimana hasil tersebut sangat baik. Pemerintah perlu melakukan melakukan edukasi guna peningkatan kesadaran masyarakat tentang pre-eklampsia serta kolaborasi antar stakeholder seperti Dinas Kesehatan, Rumah Sakit, Puskesmas, Bidan, Kecamatan, dan Kelurahan dengan cara pendekatan kepada masyarakat guna dilakukan skrinning pada ibu hamil. Kolaborasi diharapkan dapat mendorong pendataan kesehatan ibu hamil yang lebih komprehensif, mendorong kesadaran masyarakat tentang kesehatan ibu hamil, mengukur efektivitas penanganan pre-eklampsia, pengembangan protokol penanganan pre-eklampsia yang konsisten dan berkualitas, serta pemantauan, pendampingan dan evaluasi terhadap kondisi kesehatan ibu hamil.
Social stress in human-machine teams
Authors:   , Thuillard Simon
Published: January 2024

Social stress at work, which refers to stressful social interactions with colleagues or clients, can substantially affect health and well-being. Due to technological advancements, an increasing number of employees collaborate with machines that might also induce social stress. The present work used an experimental approach by conducting three lab studies to investigate the possible consequences of both human and machine-induced social stress on performance and subjective state. The first study operationalized the stressor illegitimate task assignment for the first time in the lab. The second study compared the effects of human versus machine versions of the stressor negative performance feedback. The third study used a combination of two stressors (negative feedback and ostracism) in a simulation of a complex work environment, once again comparing human versus machine-induced social stress. Overall, the results suggest that social stress does not impair performance regardless of its source. However, some subjective variables, such as affect, anger, or perceived justice, may be affected by both human and machine-induced social stress. In some aspects, machines appear to be as stressful as humans. I discuss the practical implications of these results for work settings using hybrid teams and the theoretical implications for different work or social stress models. Finally, I also consider the limitations of the studies before outlining directions for future research on social stress.
Problematika aktuálně nabízených nemovitostí na realitním trhu
Authors: Malečková Kateřina
Published: January 2024

Realitní trh prožívá v posledních letech velký boom. Ceny nemovitostí narostly o několik procent a vlastní bydlení se tak stává pro střední třídu čím dál méně dosažitelné. Co ale přesto z trhu nemizí, jsou nešvary, které se objevují v bytových jednotkách. Díky přísným normám a vyhláškám se sice výrazně zlepšila kvalita konstrukcí (zejména z hlediska akustiky a tepelných ztrát), využitelnost plochy bytu či velikost obytných místností však mnohdy u novostaveb pokulhává. Ekonomickou situaci a s tím i cenu nemovitostí nemůžeme tak jednoduše ovlivnit. S čím ale pracovat můžeme, je kvalita prodávaných bytů a to, jak se na ni díváme. Máme možnost se zaměřit na vzdělání neodborné veřejnosti a poukázat na aspekty, kterých je třeba si při koupi nemovitosti všímat a rozpoznat základní nedostatky. Dokud na ně totiž nebude poukázáno, jen těžko dojde k jejich změně.

Práce se zabývá průzkumem nabízených bytových jednotek (u novostaveb), odhalování častých nedostatků z hlediska užívání, zdraví a otevírá témata, na která je třeba poukázat za účelem vzdělání neodborné veřejnosti a tím i ke zlepšení situace na realitním trhu.
Progresívne konštrukčno-výrobné systémy stavieb neskorej moderny na Slovensku a ich odkaz pre súčasnosť
Authors: Bisták Andrej , Hulínová Zdenka , Borecká Eva , Ellingerová Helena
Published: January 2024

V súčasnosti čelíme otázkam spojeným s budúcnosťou stavieb, ktoré boli navrhnuté v medzivojnovom a povojnovom období minulého storočia. Architektonický štýl neskorej moderny v socialistickom Československu môžeme situovať približne do rokov 1958 až 1973. Na území dnešného Slovenska sa neskorá moderna prejavila najhodnotnejšie na prelome 60. a 70. rokov v niekoľkých exkluzívnych budovách zo segmentu občianskych stavieb. Mnohé z nich boli zároveň realizované technológiami, ktoré boli v danom období označované ako progresívne, no po roku 1989 sa v podmienkach trhovej ekonomiky (s jednou výnimkou) žiadna z nich výrazne nepresadila. Dnes stojíme pred rozhodnutím, ako obnoviť, modernizovať a v prevádzke zachovať tieto budovy, niekedy realizované z hľadiska súčasných podmienok ojedinelými technológiami. Predložený príspevok predstavuje na príklade najznámejších progresívnych konštrukčno-výrobných systémov hrubej stavby 60. – 80. rokov výber pozoruhodných architektonických realizácií, najmä z oblasti zdravotníckych a školských stavieb. V závere článku sa venujeme vzťahu vtedajšej prefabrikácie, z ktorej progresívne metódy vychádzali, s možnosťami prefabrikácie 21. storočia a jej uplatnenia v súčasnej architektúre a stavebníctve.
Analysis of the coefficient of unpredictable costs in the construction industry in Slovakia
Authors: Ďubek Silvia , Ondrášová Stanislava
Published: January 2024

The main vision of the article is how the current situation in the construction industry affects the cost of construction equipment in Slovakia, because during the implementation, unforeseen costs enter the costs, which are not foreseen in the planning. Current inflation in Slovakia is one of the highest in Europe. The methods used during the research were initial quantitative questionnaires. The output of these was processed using statistical methods and subsequently evaluated. The current situation requires considerable attention in the calculation of individual construction costs. As it is a very challenging process due to the unpredictable market situation in terms of inflation, the price of energy increases, which also causes the rise in the prices of materials and wages. The data obtained can be used by construction companies to calculate the construction equipment. Construction companies in Slovakia can apply the information obtained in the preparation of a quote for construction work that includes construction equipment.
DESAFIOS ENCONTRADOS PELA ENFERMAGEM EM PACIENTES EM CUIDADOS PALIATIVOS
Authors: Cardoso Ana Tércia Alves da Silva
Published: January 2024

A atuação do enfermeiro frente aos pacientes que exigem cuidados paliativos exige que ele tenha uma postura assertiva, firme e adequada, tendo em vista que esses tipos de cuidados são oferecidos visando o conforto e uma maior qualidade de vida ao paciente em fase terminal. Diante desses fatos, o presente estudo teve como objetivo identificar e analisar os principais desafios encontrados pela equipe de enfermagem em relação a pacientes em cuidados paliativos. Para se obter os dados e informações necessários para a fundamentação da pesquisa em questão, a metodologia utilizada foi a bibliográfica, por meio de livros, artigos científicos, revistas, periódicos, teses, dissertações, monografias e outros materias de caráter científico que se julgaram pertinentes no decorrer do estudo. Ao final deste artigo, o que se percebeu é que a equipe de enfermagem ainda encontra uma série de desafios em relação aos pacientes em cuidados paliativos, sendo que os mais expressivos estão relacionados diretamente à sua postura e a falta de conhecimentos em como agir em uma situação como essa, além da sobrecarga física, emocional e psicológica que o cuidado com pacientes terminais pode trazer ao enfermeiro em uma situação como essa.
ANESTESIA REGIONAL VERSUS GERAL PARA CIRURGIAS ORTOPÉDICAS DE MEMBROS INFERIORES
Authors: Maia Luisa Andriely , Santos Pedro Henrique Evangelista Umbelino dos , Andrade Ana Victoria Tanigaki de , Barbosa Sofia de Lamatta , Viana Caroliny Santana
Published: January 2024

A escolha entre anestesia regional e geral para cirurgias ortopédicas nos membros inferiores é uma decisão crucial, com implicações significativas na segurança e nos resultados pós-operatórios. Essas duas abordagens anestésicas apresentam vantagens e desvantagens distintas, impactando não apenas a eficácia da analgesia intraoperatória, mas também o tempo de recuperação e a satisfação do paciente. A literatura médica tem sido palco de um debate contínuo sobre qual abordagem é mais benéfica em diferentes contextos clínicos. Portanto, uma revisão sistemática da literatura é essencial para consolidar evidências e proporcionar uma visão abrangente dessa dicotomia anestésica. Objetivo: Analisar e sintetizar as evidências disponíveis na literatura científica sobre a escolha entre anestesia regional e geral para cirurgias ortopédicas nos membros inferiores. Pretende-se investigar as implicações dessas abordagens em termos de eficácia anestésica, segurança do paciente, tempo de recuperação e satisfação do mesmo. Metodologia: A revisão foi conduzida seguindo as diretrizes do PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Utilizaram-se as bases de dados PubMed, Scielo e Web of Science para identificar artigos publicados nos últimos 10 anos. Os descritores utilizados foram "anestesia regional", "anestesia geral", "cirurgia ortopédica", "membros inferiores" e "resultados cirúrgicos". Os critérios de inclusão abrangeram estudos que comparavam diretamente anestesia regional e geral em cirurgias ortopédicas de membros inferiores, enquanto os critérios de exclusão consideraram estudos com metodologias inadequadas, amostras não representativas e ausência de dados relevantes. Resultados: A análise dos artigos selecionados revelou uma variedade de resultados relacionados à escolha entre anestesia regional e geral em cirurgias ortopédicas nos membros inferiores. Dentre os principais tópicos discutidos, destacam-se a eficácia da analgesia intraoperatória, o tempo de recuperação pós-anestesia, complicações perioperatórias e a satisfação do paciente. Diferenças significativas foram observadas em diversos estudos, sugerindo que a escolha da abordagem anestésica deve ser personalizada de acordo com as características do paciente e a natureza da intervenção cirúrgica. Conclusão: Esta revisão sistemática destaca a complexidade na escolha entre anestesia regional e geral para cirurgias ortopédicas nos membros inferiores. Embora ambas as abordagens apresentem vantagens específicas, não existe uma abordagem única que atenda a todos os cenários clínicos. A personalização da escolha anestésica com base nas características individuais do paciente e nas peculiaridades da intervenção cirúrgica é crucial. Novas pesquisas e ensaios clínicos são necessários para proporcionar orientações mais específicas e aprimorar a prática clínica nesse contexto.
Observational perspective on SSWs and blocking from EP fluxes
Authors: Yessimbet Kamilya , Steiner Andrea K. , Ladstädter Florian , Ossó Albert C.
Published: January 2024

Abstract. In this study, we examine eight major boreal Sudden Stratospheric Warming (SSW) events between 2007 and 2019 to understand the vertical coupling between the troposphere and stratosphere, as well as the relationship between SSWs and blocking events using Global Navigation Satellite System (GNSS) radio occultation (RO) observations. Our study covers the main aspects of SSW events, including the vertical structure of planetary wave propagation, static stability, geometry of the polar vortex, and the occurrence of blocking events. To analyze wave activity and atmospheric circulation, we compute the quasi-geostrophic Eliassen–Palm (EP) flux and geostrophic winds. The results show that the GNSS RO represent the primary dynamic features in agreement with theory and previous studies and provide a detailed view of their vertical structure. We observe a clear positive peak of upward EP flux in the stratosphere prior to all SSW events. In seven out of eight events, this peak is preceded by a clear peak in the troposphere. Within the observed timeframe, we identify two types of downward dynamic interactions and the emergence of blocking events. During the 2007 and 2008 “reflecting” events, we observe a displacement of the polar vortex, along with a downward propagation of wave activity from the stratosphere to the troposphere during vortex recovery, coinciding with the formation of blocking in the North Pacific region. Conversely, in the other six SSW “absorbing” events from 2009 to 2019, characterized by vortex split, we observe wave absorption and the subsequent formation of blocking in the Euro-Atlantic region. The analysis of the static stability demonstrates an enhancement of the polar tropopause inversion layer as the result of SSWs, which was stronger for the absorbing events. Overall, our study provides a purely observational view of the synoptic and dynamic evolution of the major SSWs, their link to blocking, and the impact on the polar tropopause.
Contrail processed aviation soot aerosol are poor ice nucleating particles at cirrus temperatures
Authors: Testa Baptiste , Durdina Lukas , Edebeli Jacinta , Spirig Curdin , Kanji Zamin A.
Published: January 2024

Abstract. Aviation soot surrogates processed in contrails are believed to become potent ice nuclei at cirrus temperature. This is not verified for real aviation soot, that can have vastly different physico-chemical properties. Here, we sampled soot particles from in-use commercial aircraft engines and quantified the effect of contrail processing on their ice nucleation ability at T < 228 K. We show that aviation soot becomes compacted upon contrail processing but this does not change their ice nucleation ability in contrast to other soot types. The presence of H2SO4 condensed in soot pores, the highly fused nature of the soot primary particles and their arrangement limit the volume of pores generated upon contrail processing, limiting sites for ice nucleation. Furthermore, we hypothesized that contrail processed aviation soot particles emitted from alternative jet fuel would also be poor ice nucleating particles if their emission sizes remain small (< 150 nm).
Variability and long-term changes of tropical cold point temperature and water vapor
Authors: Zolghadrshojaee Mona , Tegtmeier Susann , Davis Sean M. , Pilch Kedzierski Robin
Published: January 2024

Abstract. The tropical tropopause layer (TTL) is the main gateway for air transiting from the troposphere to the stratosphere and therefore impacts the chemical composition of the stratosphere. In particular, the cold point tropopause, where air parcels encounter their final dehydration, effectively controls the water vapor content of the lower stratosphere. Given the important role of stratospheric water vapor for the global energy budget, it is crucial to understand the long-term changes in cold point temperature and their impact on water vapor trends. Our study uses GNSS-RO data to show that, there has been no overall cooling trend of the TTL over the past two decades, in contrast to observations prior to 2000. Instead, the cold point is warming, with the strongest trends of up to 0.7 K/decade during boreal winter and spring. The cold point warming shows longitudinal asymmetries with the smallest warming over the central Pacific and the largest warming over the Atlantic. These asymmetries are anti-correlated with patterns of tropospheric warming, and regions of strongest cold point warming are found to show slight cooling trends in the upper troposphere. Overall, the here identified warming of the cold point is consistent with model prediction under global climate change, which attributes the warming trends to radiative effects. The seasonal signals and zonal asymmetries of the cold point temperature and height trends, on the other hand, seemed to be related to dynamical responses to enhanced upper tropospheric heating, changing convection, or trends of the stratospheric circulation. Water vapor observations in the TTL show mostly positive trends for 2004–2021 consistent with cold point warming. We find a decrease of the amplitude of the cold point temperature seasonal cycle by ~7 % driving a reduction of the seasonal cycle in 100 hPa water vapor by 5–6 %. Our analysis shows that this reduction in the seasonal cycle is transported upwards together with the seasonal anomalies and has reduced the amplitude of the well-known tape recorder over the last two decades.
The daughter-parent plot: a tool for analyzing thermochronological data
Authors: Härtel Birk , Enkelmann Eva
Published: January 2024

Abstract. Plots of daughter against parent concentration (D-P plots) are widely used as isotope ratio plots in geochronology. Their main purposes are: (1) to visualize the main ingredient of the radiometric age equation – the daughter-parent ratio – and (2) to inspect the daughter-parent relationship for anomalous behavior indicating influences of geological processes or analytical bias. Despite their benefits, D-P plots are currently not used for analyzing low-temperature thermochronology data. This contribution aims at putting D-P plots on the map as a data analysis tool. We present a simple, decision-tree-based classification for daughter-parent relationships that places a dataset into one of seven classes: linear relationship with zero intercept, cluster, linear relationship with systematic offset, non-linear relationship, several age populations, scattered data, and inverse relationship. Assigning a class to a dataset enables to choose further data analysis steps and the right algorithm to calculate a sample age, e.g. as pooled, central or isochron age, or a range of ages. We discuss how to deal with small sample sizes and the possibility of comparing data across samples and chronometers. Our simple classification scheme uses the information in the D-P plot for facilitating thermochronological data analysis and making it more consistent and traceable.
Հայոց ցեղասպանութեան նուիրուած սուրիական ֆիլմաշարի, թատերգութեան եւ վաւերագրական ժապաւէնի երգ-երաժշտութիւններ
Authors: Katerjian Avo
Published: January 2024

The article refers to clarifying the reality of the Armenian Genocide through Syrian films, series, plays, and documentaries. The author studied in this article music and songs showed by syrians in plays such as Mamduh Adwan’s “Days of hunger”, and series like “Brothers of the land” etc. It is noted that by using song and music, Syrian arabs expressed their emotions and point of view toward the terrible and horrifying act of the Armenian genocide.
Խաչատուր Աբովյանին նվիրված ոչ գրքային հրատարակությունները Հայաստանի ազգային գրադարանի արվեստի բաժնում
Authors: Grigoryan Sose
Published: January 2024

The article presents the non-book publications dedicated to Khachatur Abovyan in the art de-partment of the National Library of Armenia. The first original oil painting of the great enlightener was made around 1831. In autumn by the Dorpat artist Ludwig von Meidel. Later, hundreds and thousands of examples were drawn and printed from that blueprint, which are widely used among Armenians. In addition to a large collection of photographs, the art department of the National Library of Armenia preserves exclusive original paintings, postcards, calendars, guides devoted to Abovyan, which are of great value for study.
Արցախի գրադարանները. փաստագրական ակնարկ
Authors: Arakelyan Irina
Published: January 2024

Thus, in the context of the cultural heritage of Artsakh, the importance of the mission of libraries was emphasized. Artsakh is known for its writing centers, handwritten magazines, printing houses, published books, press, etc. In different historical periods there were many libraries in Artsakh. Libraries were also severely damaged during the wars, as evidenced by statistics and other data.The role of the National Library of Armenia was great in replenishing the literature of various libraries of Artsakh. A group of library staff held discussion seminars in various libraries of Artsakh. It is important to note that at the initiative of the NLA, work has begun on the Dspace platform to create a database called “The Endangered Heritage of Artsakh.” The website of the Artsakh Electronic Library, which is a project of the association of young scientists and specialists of Artsakh (AYSSA), contains scientific and analytical information about Artsakh., educational and artistic materials in Armenian, Russian and English.
The Reception of John Locke’s Writings at Christ Church, Oxford, c. 1690–1800
Authors: Chatterjee Jacob Donald
Published: January 2024

This article presents some overlooked evidence on the reception of John Locke’s writings at Christ Church, Oxford. It is intended to supplement a new article in the History of Universities on the surprisingly positive response to Locke’s Essay Concerning Human Understanding (1689) at that bastion of late seventeenth-century high churchmanship. This evidence sheds new light on: the reception of Epicureanism at that college in the 1650s; Locke’s personal connections at Christ Church; book-holdings of Locke’s writings at the early eighteenth-century college; some unnoticed uses of Locke’s writings by members of Christ Church; the European and North American reception of one Christ Church Lockean; and, the changing trajectory of the later eighteenth-century reception of Locke at that college.
Eğitim Kurumlarında Afet Yönetimi
Authors: Kaya Hakan
Published: January 2024

The rapidly increasing population throughout the world and the unplanned and non-engineered construction that has emerged in parallel with this have increased the impact of disasters on human life over time. Unfortunately, despite the rapid development of technology and the increased use of artificial intelligence, both unplanned construction in old residential areas and the lack of adequate engineering infrastructures of new structures further increase the negative effects of disasters on human life. One of the areas where these negative effects show themselves strongly is the education sector. Mistakes made in the selection of school places, inadequacy of structures in terms of engineering, teachers' and students' approaches to disaster management, socio-psychological processes account for only a few of the negative effects of disasters on education. In this study, in addition to the negative effects of disasters on the education sector, disaster management in educational institutions has been discussed in detail, giving examples of what should be done during and after a disaster, and recommendations have been presented on what should be done to reduce these negative effects. While this was being done, the authors were working in the Beylikdüzü district of Istanbul (Şehit Mehmet Şefik Şefektemlioğlu Kindergarten, Fatma Şensoy Elementary School, Şehit Bilal Elementary School, Dr. Ayla Savaş Secondary School) schools were considered as a sample area. The findings obtained have made important inferences that can guide educational institutions to create a more effective disaster preparedness and response strategy. Key Words: Educational Institutions, Disaster Management, Disaster Plan, Risk Analysis
Eğitim Siyasasının Yapılandırılması Formülasyonunda Karar Verme (Decision-Making) Modelleri
Authors: Ergin Erdoğan
Published: January 2024

Abstract The decision-making process in education policy making begins with the raising of an education-related problem, which is often the first step towards the legislative process. In this regard, the decision-making process focuses on how the proposals included in the policy agenda will be implemented and with what strategies they can be implemented. Again, qualified information obtained from the policy analysis department can directly affect decision-making mechanisms. However, it is decided by adding cultural, social, economic and other dynamics of society in order to decide on the policy alternative that will be included in the policy agenda. There are basically several different approaches and models for the realization of the decision-making function. The first of these is the rational model, the other is the Deconstructive model, and finally the mixed models that provide a compromise between these two. As a result of the formulation phase in the education policy process within this framework, a set of laws or rules may not always be formed. In some cases, legislators and decision makers may not consider the formulated considerations appropriate. Any formulated issue can be delayed by spreading over time and can be suspended due to different situations. Therefore, the solutions formulated for the solution of any problem do not mean that the problem has been completely solved. In some cases, the general managerial will may not consider problems that are formulated very effectively appropriate for different and dysfunctional reasons. This is an indication that even if the problem is very important and is very important by different groups, it may fall off the agenda over time. Key Words: Education Policy, Structuring Formulation, Decision-Making Models
Postoperative Opioid Dependence in Patients Undergoing Either Total or Reverse Shoulder Arthroplasty for Proximal Humerus Fracture Fixation
Authors:   Downstate Medical Center (SUNY), Department of Orthopaedic Surgery, Brooklyn, New York, Baksh Nayeem , Dubin Jeremy ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Douglas Scott ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Bains Sandeep S. ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Hameed Daniel ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Moore Mallory C. ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Naziri Qais ,   Downstate Medical Center (SUNY), Department of Orthopaedic Surgery, Brooklyn, New York, Mont Michael A. ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland, Ingari John V. ,   LifeBridge Health, Sinai Hospital of Baltimore, Baltimore, Maryland
Published: January 2024

Introduction: In elderly patients who have proximal humerus fractures, treatment commonly involves total shoulder arthroplasty (TSA) or reverse shoulder arthroplasty (RSA). Following these procedures, patients often require opioids for postoperative analgesia. This common scenario is of clinical and societal importance, as increased postoperative opioid usage has been shown to worsen outcomes and increase the likelihood for dependence. We aimed to compare postoperative opioid use in patients undergoing either TSA or RSA for fixation of their proximal humerus fracture. Specifically, we assessed: (1) postoperative opioid use at two, four, six, eight, and greater than eight weeks postoperatively; (2) aseptic revision rates at 90-days, one year, and two years postoperatively; and (3) periprosthetic joint infection (PJI) rates at 90-days, one year, and two years postoperatively between patients undergoing TSA or RSA for the surgical management of their proximal humerus fractures. Materials and Methods: For this review, we queried a national all-payer database from October 1, 2015 to October 31, 2020 (n=1.5 million) for all patients who had a “proximal humerus fracture” diagnosis who underwent either TSA or RSA. There were two cohorts: patients undergoing TSA (n=731) and patients undergoing RSA (n=731). Bivariate Chi-square analyses. Results: We found no differences (p>0.05) in opioid use postoperatively in patients undergoing RSA for proximal humerus management compared to patients undergoing TSA after two weeks. There was not a significant difference in aseptic revision or PJI rates between the two cohorts (all p>0.05). Conclusion: The evidence comparing opioid use in patients undergoing either TSA or RSA for proximal humerus fracture fixation is lacking. Our study specifically showed no differences in opioid use postoperatively in patients undergoing RSA for proximal humerus management compared to patients undergoing TSA.
The Use of Plant-Based Polysaccharide (PSP) Agents May Improve Early Outcomes Following Total Knee Arthroplasty—A Proof-of-Concept Study
Authors:   Virtua Health System, Cherry Hill, New Jersey, Ast Michael , Kuyl Emile-Victor ,   Department of Orthopedics, Hospital for Special Surgery, New York, New York, Devine Dan ,   Department of Orthopedics, Hospital for Special Surgery, New York, New York, Ford Elizabeth ,   3Department of Orthopedics, Inspira Health Network, Vineland, New Jersey, Albana Mohamed ,   3Department of Orthopedics, Inspira Health Network, Vineland, New Jersey, Mayman David ,   Department of Orthopedics, Hospital for Special Surgery, New York, New York, Blevins Jason ,   Department of Orthopedics, Hospital for Special Surgery, New York, New York, Chalmers Brian ,   Department of Orthopedics, Hospital for Special Surgery, New York, New York, McMillan Sean ,   Virtua Health System, Cherry Hill, New Jersey
Published: January 2024

Our study sought to investigate the effects of a topical plant-based polysaccharide (PSP) as an adjunctive hemostat to minimize blood loss and improve early clinical outcomes in patients undergoing primary TKA. In this multi-center and randomized proof-of-concept study, 61 patients undergoing TKA were randomly assigned to one of two groups: A) intraoperative utilization of PSP (n=31) or B) no intervention (n=30). The primary outcomes were blood loss and change in hemoglobin, measured preoperatively and 24 hours postoperatively. Other endpoints included postoperative complications, Knee Society Score (KSS), knee range of motion (ROM), and thigh circumference. There was no difference in postoperative change of hemoglobin or calculated blood loss between the PSP and control groups. The PSP group achieved elevated flexion at two weeks (100.1° vs. 86.6°, p<0.05) and better change in KSS from preop to 90 days (29.5 vs. 22.4, p<0.05) than the controls. Some early postoperative outcomes were improved, which suggests a potential benefit of using PSP in primary TKA. However, the clinical significance of these differences warrants further investigation in a larger randomized trial.
Systematic Review of Local Anaesthetic Systemic Toxicity in Urology
Authors:   Department of Urology, Flinders Medical Centre, Adelaide, Australia, Oh Claris , Kinnear Stephen ,   Department of Anaesthesia, Flinders Medical Centre, Adelaide, Australia, Hennessey Derek ,   Department of Urology, Mercy University Hospital, Cork, Ireland, Adshead James ,   Department of Urology, Lister Hospital, Stevenage, United Kingdom, Vasdev Nikhil ,   Department of Urology, Lister Hospital, Stevenage, United Kingdom, Kinnear Ned ,   Department of Urology, Flinders Medical Centre, Adelaide, Australia
Published: January 2024

Objective: To systematically evaluate cases of local anaesthetic systemic toxicity (LAST) in adult urological patients. Methods: A search of the Cochrane, Embase, and Medline databases as well as grey literature from 1 January 1974 to 1 February 2023 was performed using reported methods. Reporting followed the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. Eligible studies were published in English, described LAST secondary to local anaesthetic administration by urological medical staff to an adult patient, and reported >1 symptom of LAST. Results: One hundred fifty-seven publications were screened, and six eligible studies (all case reports) were identified, representing six cases of LAST in adult urological patients. Patients were aged 29-54 years and one was female. Cases occurred secondary to penile dorsal nerve block (two cases), scrotal self-injection (two), circumcision (one) or trans-vaginal tape insertion (one). Causative drugs were lidocaine (three patients; median dose 600mg) and bupivacaine (three; 200mg). While one patient was found deceased at home and received no treatment, five experienced LAST as inpatients and were discharged with no deficit. Three patients (50%) experienced a state of reduced consciousness or seizures, one experienced psychosis and one had asymptomatic tachyarrhythmia. Management consisted of supportive management (five patients), intravenous lipid emulsion (three) or intravenous thiopental and diazepam (one). Recommended tools suggested that two of these studies were at moderate or high risk of bias. Conclusion: LAST is seen only rarely in adult urology. Most iatrogenic cases occur due to penile dorsal nerve block and most patients have no long-term sequelae. Urologists should be familiar with its presentation and management, and minimise risk by adhering to local anaesthetic maximum safe dose ranges.
Use of Topical Gaseous Nitric Oxide/Plasma Energy in the Treatment of Recalcitrant Wounds
Authors:   Wound Care Solutions, LLC Montgomery, AL, Treadwell Terry
Published: January 2024

Nitric oxide (NO) is involved in many biological functions and has been demonstrated to be important in wound healing. When delivered to a wound in its gaseous state, NO stimulates vasodilatation and angiogenesis, inhibits platelet and erythrocyte aggregation, reduces leukocyte adhesion, and is an important anti-inflammatory and antimicrobial agent. Many patients with chronic and hard-to-heal wounds have a deficiency of NO in their tissues ,which may contribute to slow and even arrested healing. However, it has been difficult to use NO for treatment because of its short half-life, which is measured in seconds. A recently developed device provides a way to generate NO and combine it with a stream of plasma energy, which extends its half-life to the point that it can provide a clinical effect. This device creates NO from the ambient air, and no other gases are needed. The combination of atmospheric oxygen and nitrogen at a high temperature generated by an electric arc results in NO and plasma energy (N2 + O2 = 2NO + 181 KJ energy). After generation, the NO/plasma energy-containing gas flow is cooled to 18–20°C, and NO is delivered to the tissues in a “dose” between 800 and 1000 ppm. When NO gas was combined with the plasma energy stream, the NO was found to penetrate intact skin or tissue up to 3cm to treat an underlying problem. Studies have shown that NO/plasma energy therapy promotes healing. This report summarizes current applications of this unique approach in the treatment of chronic, hard-to-heal and infected wounds.
Pengembangan Usaha Produk Brownies Ubi Jalar untuk Meningkatkan Ekonomi Masyarakat Sekitar Pondok Pesantren Cepokolimo Mojokerto
Authors: Puspitasari Diana , Rahayuningsih Tri , Iriantini Dwi Bhakti , Rejeki Fungki Sri , Wedowati Endang Retno
Published: January 2024

Pengembangan usaha produk ubi jalar pada masyarakat sekitar Pondok Pesantren Cepokolimo bertujuan menjadikan mitra masyarakat non produktif mampu menghasilkan produk olahan ubi jalar yang bernilai ekonomi, sehingga dapat meningkatkan penghasilan keluarga, serta mendukung pengembangan Desa Cepokolimo sebagai kawasan wisata. Kegiatan dilakukan dengan metode: penyuluhan dan praktik pembuatan produk olahan ubi jalar berupa brownies ubi jalar, penyuluhan manajemen keuangan khususnya perhitungan harga pokok produksi, laba, dan harga jual, penyuluhan promosi dan pemasaran produk secara offline dan secara online, desain kemasan produk brownies ubi jalar. Manfaat kegiatan ini adalah: 1) Meningkatnya pengetahuan dan kemampuan mitra terhadap pengembangan diversifikasi produk olahan ubi jalar, adanya desain kemasan yang memiliki nilai jual lebih dan pelabelan produk yang memenuhi syarat label produk pangan; 2) Meningkatnya pengetahuan dan pemahaman mitra terkait manajemen keuangan sederhana; 3) Meningkatnya pengetahuan dan pemahaman mitra terkait pemasaran baik secara offline maupun secara online dengan digital marketing, sehingga dapat mengelola pemasaran produknya dengan lebih baik. Dari kegiatan ini pengetahuan dan keterampilan masyarakat dalam pembuatan produk olahan brownies ubi jalar meningkat, masyarakat paham bagaimana menghitung harga pokok produksi, laba, dan harga jual, serta memahami promosi dan pemasaran secara offline dan secara online.
The Relationship between Learning Motivation and Interest in Learning Local Content Subjects in Class X Students at SMA Negeri 2 Makassar
Authors: Mahyiyuddin Abiyyu Arib , Alwi M Ahkam
Published: January 2024

Muatan lokal  is a lesson that aims to provide students with knowledge, skills, and behavior so that students have a good insight into the state of the environment and the needs of the community based on the values and rules that apply in the region, supporting the sustainability of regional development and national development. In fact, SMA Negeri 2 Makassar students lack interest in learning in local content subjects. The purpose of this study was to determine the relationship between learning motivation and interest in learning Muatan Lokal in class X students at SMA Negeri 2 Makassar. The research method used in this research is quantitative research The respondents of this study amounted to 296 class X students of SMA Negeri 2 Makassar. The sampling technique in this study used Accidental Sampling. The measuring instruments used are learning motivation scale and learning interest scale. This study used a correlation test analysis technique which obtained the results that there was a relationship between learning motivation and interest in learning local content subjects in class X students at SMA Negeri 2 Makassar. The results of this study indicate that there is a significant relationship between learning motivation and interest in learning in students. The correlation value between learning motivation and interest in learning is 0.914. The value is positive with a correlation that is categorized as strong. The conclusion of the study is that there is a positive relationship between learning motivation and interest in learning local content subjects in class X students at SMA Negeri 2 Makassar.
The Relationship between Psychological Well Being and Quarter Life Crisis
Authors: Fauzia Hilda , Siswanti Dian Novita , Jafar Eka Sufartianinsih
Published: January 2024

Early adulthood is a phase where individuals will experience various demands and challenges from the environment. An individual's inability to overcome demands and challenges gives rise to feelings of anxiety, confusion, anxiety and an emotional crisis or quarter life crisis. The onset of a quarter life crisis is influenced by the individual's level of psychological well-being. This research aims to determine the relationship between psychological well being and quarter life crisis. The sampling technique uses non-probability sampling with the incidental sampling method. The sample in this study consisted of 450 people aged 20-29 years. Data collection was carried out using two research instruments, namely the psychological well being scale and the quarter life crisis scale. Hypothesis testing using product moment correlation analysis. The research results show that there is a significant negative relationship between psychological well being and quarter life crisis, r = -0.764 (p = 0.000). This means that the higher the psychological well-being, the lower the quarter life crisis, and vice versa. The research results also show that women have a higher quarter life crisis compared to men. Meanwhile, men's scores on psychological well-being are higher than women's. The conclusion is that early adult individuals can optimize their psychological conditions so they are able to face the quarter life crisis phase well.
The Effect of Social Support on Stress Coping in People with HIV
Authors: Irfan Muh , Nurdin Muh Nur Hidayat , Ansar Wilda
Published: January 2024

The high stress experienced by ODHIV requires adaptive coping. Negative stigma in society exacerbates the situation so that ODHIV do not get social support which is very important in dealing with stress or problems. This study aims to determine the impact of social support on stress coping among ODHIV in Makassar. This study involved 56 respondents respondents aged around 15-50 years taken from the Gaya Celebes Foundation (YGC), social support group care foundations (YPKDS), and hospitals. The research method employs a quantitative survey approach. The measuring instruments used in this study were The Brief Cope (Carver, 1997) and the Multidimensional Social Support (MSPSS) (Zimet, Dahlem, Zimet, & Farley 1988 The results showed that the value of the Wald test sig. value of 0.001 (p < 0.05) means that the null hypothesis (H0) is rejected and the alternative hypothesis is accepted. Thus, it can be concluded that there is a significant influence of social support on stress coping in people with HIV with a Negelkerke R Square value of 42,3% where the greater the social support received by ODHIV, the greater the possibility of coping with stress adaptively.
Description of Adjustment in Mothers Who Experience Empty Nest Syndrome
Authors: Putri Hasri Apriliany , Siswanti Dian Novita , Jafar Eka Sufartianinsih
Published: January 2024

Middle adulthood will experience a phase when children have entered the adult age stage and leave home to get married, work, or continue their education. This phase makes parents, especially mothers, sad and feel lonely because they have not been able to accept the departure of their children, so they experience empty nest syndrome. This study aims to determine the description of adjustment in housewives who experience empty nest syndrome. The method in this research uses qualitative research methods with a case study approach. The subjects of this research were three middle adults who played the role of housewives with an age range of 50-58 years. Data collection was carried out through a process of interviews, observation and documentation. The results of the research showed that the three subjects experienced the characteristics of empty nest syndrome and a picture of adjustment according to the conditions that affected each subject. The three subjects carried out household activities as usual and added new hobbies as a way to control themselves with the empty nest situation they faced. All three subjects had people closest to them who provided support so that they were able to adjust to the departure of their children from home. The conclusion from the research results is that there were 3 research subjects, namely Mrs. S, Mrs. R and Mrs. N who experienced the characteristics of empty nest syndrome and a description of their adjustment according to the conditions that affected each subject. The three subjects carried out household activities as usual and added new hobbies as a way to control themselves with the empty nest situation they faced. All three subjects had people closest to them who provided support so that they were able to adjust to the departure of their children from home.