bluuebunny/crossref_metadata_2025 huggingface dataset:
A POLÍTICA PÚBLICA DE PROTEÇÃO DE SÍTIOS ARQUEOLÓGICOS NO BRASIL: HISTÓRICO E DESAFIOS CONTEMPORÂNEOS
Authors: Linheira Guilherme , De Oliveira Francisco Henrique
Published: June 2023

O artigo buscou perscrutar o processo histórico de institucionalização de políticas públicas visando à proteção de sítios arqueológicos no contexto brasileiro por meio de revisão bibliográfica e análise documental, contando ainda com algumas reflexões sobre a execução da referida política. Como resultado, identificou-se que o primeiro movimento do Estado brasileiro para preservação de sítios arqueológicos remete à Constituição de 1934 que determinou a proteção de bens culturais como dever do poder público, postura reafirmada pela Constituição de 1937. Visando cumprir a determinação constitucional foi publicado em 1937 o Decreto-Lei n° 25 que ficou conhecido como Lei do Tombamento, que criou instrumento para investir bens culturais materiais em regime jurídico protetivo. Posteriormente, em 1961, foi publicada a Lei 3.924/61 que ficou conhecida como Lei da Arqueologia. A norma proporcionou ampla proteção aos sítios arqueológicos conhecidos e aos que viessem a ser conhecidos sem que houvesse necessidade de utilização de instrumento de acautelamento específico como, por exemplo, o tombamento. A Constituição de 1988 consagrou o posicionamento protetivo do Estado brasileiro com relação aos sítios arqueológicos, definindo-os como bens pertencentes à União. Os dados levantados na pesquisa apontam que apesar da existência de políticas públicas protetivas, na prática o Estado brasileiro tem apresentado dificuldades históricas na sua execução. Como consequência, o patrimônio arqueológico vem sendo impactado sistematicamente pelas dinâmicas de transformações espaciais urbanas e rurais, pelo vandalismo e pela exploração comercial ilegal.
A PANDEMIA DE COVID-19 E A VULNERABILIDADE DOS IDOSOS: O UTILITARISMO NA SAÚDE
Authors: Villas Bôas Regina Vera , Soares de Sá Neves Flávia
Published: June 2023

O presente artigo objetiva refletir sobre a influência da teoria utilitarista em decisões éticas tomadas durante a pandemia da COVID-19 e como essas decisões refletiram na efetividade do direito à saúde dos idosos, agravando a vulnerabilidade deste grupo. O objeto central da pesquisa é a teoria utilitarista, os seus impactos nas decisões que se referem ao racionamento de leitos e equipamentos durante a pandemia causada pelo Coronavírus e as violações ao direito à saúde dos idosos, grupo extremamente vulnerável em tempos de pandemia da COVID-19. Os resultados esperados dizem respeito a refletir de que maneira as decisões tomadas na área da saúde, tidas como éticas, possuem um cunho utilitarista, o que deverá ser alcançado por meio de metodologia que se vale de pesquisa bibliográfica e documental, trazendo doutrinas, legislações, documentos e periódicos qualificados, tanto nacionais como estrangeiros. A pesquisa se justifica em razão da relevância dos temas abordados, entre os quais se destacam: a pandemia da COVID-19, o sanitarismo, a vulnerabilidade, o direito social à saúde, a teoria utilitarista e a efetividade do direito fundamental à saúde, este último analisado a partir da proteção ao idoso pelo ordenamento jurídico.
Specific Management of IT-Projects
Authors: Lyandau Y. V. , Butkevich A. S.
Published: June 2023

Projects act as an important tool of corporate governance as it is possible to attain with their help strategic organizational goals. Significance of efficient project management is recognized by companies all over the world, as not always it is possible to comply with the basic plan of the project. As a rule, terms and budgets are exceeded, the quality of the product is changed. Today companies often face problems of project management in the field of information technologies (IT). Usually the detailed project content is not known at its start due to complicated technological task. Thus we can say that IT projects are subject to high uncertainty that is why they need specific approaches to be effectively managed. In the article the authors study different methodologies of project management, however not all of them can be used for projects of software development and introduction. Flexible methodologies of project management (Agile) are the most suitable for IT projects. Agile-methods take into account all specific features of project management for developing and introducing information technologies. Efficiency of flexible methodologies of IT-project management was proved by a number of qualitative and quantitative investigations.
Problems of Food Waste Treatment аnd Ways of Their Resolving
Authors: Epishov A. P. , Zhura S. E. , Voronov A. V.
Published: June 2023

The problem of food waste treatment has attracted serious attention lately, as such wastes are regarded as a source of valuable biological matters. We should consider them as a resource, which can be used in the future to produce forage, fertilizers, etc. The authors carried out investigations aimed at revealing problems of food waste treatment. Analysis of the effective legal acts allows us to draw a conclusion, that the major part of these acts cannot create conditions directed to preferable and priority utilization of food wastes, therefore recommendations aimed at elimination of gaps in the field of waste regulation are advanced. First of all it is necessary to specify available definitions and introduce new ones in the field of food waste management, to ban destruction and burial of food waste, build infrastructure for separate garbage collection with obligatory use of bins for food waste. At the same time it is needed to adopt a law about food-sharing, to insert amendments into the Tax Code of the Russian Federation and to remove from the list of taxation entities food stuffs with expiring BBD in case of their free transfer. These changes could release trade enterprises from taxes and thus motivate companies not to reduce foods to the condition of food waste. Serious attention should be paid to technologies of their utilization and assessment of efficiency of technological solutions on their use in the field of food stuffs management in the Russian Federation in order to decrease amounts of food with expiring BBD and food waste.
Practical Interaction of Corporate Center and Divisions of National Companies in Russia
Authors: Kulikov A. A.
Published: June 2023

In situation of unprecedented economic sanctions, complete withdrawal of foreign companies from Russian market or cutting their effective product range, daily presidential and governmental acts aimed at population and business support, as well as potential new wave of COVID-19 the world forms new logistic links, brand new global structure and pays intent attention to potential and possibilities of Russia. By approaches to forms of interaction of corporate center and divisions discussed in works by G. Minzberg, D. Jonson, K. Showls, R. Wittington et al., as well as materials of the consulting companies McKinsey and KPMG, international standards of AA1000 series and analysis of the interview with spokespeople of divisions and corporate center the article identifies certain fields for the development of their interaction. They are formulated in the following way: to improve the system of information exchange, to take into account territorial specific features of each division in strategic planning, to develop the competence level of divisional heads and to search for degree of impact on the part of corporate center on division functioning depending on the level of executives’ training.
Knowledge and space in models of regional development
Authors: Melnikova T. B.
Published: June 2023

New knowledge is recognized as an important resource of positive dynamics of the territory development. As a result knowledge becomes an element of economic models that try to summarize regularities of economic growth and development of regions, cities and countries. The article provides structured analysis of the well known models to research regional development, which combines factors of knowledge and space. It studies ways of including knowledge and space in models, where the object of observation is territorial social and economic system, enterprise or agent possessing knowledge. Models of balanced growth, econometric ones and models with maximization aim are shown. At the same time space autocorrelation analysis and space regressive models can be used that help assess heterogeneity of innovation development in regions and identify influence zones. As a result methods of modeling general (industry) knowledge for territories with different level, global and local external effects, geographic identity of research of different types, maximization of research through alternative costs, monopoly industrial effects, impact of industrial competition and diversity, as well as knowledge ‘filter’ are revealed. Space characteristics of knowledge proliferation can be modeled through functions of activity and resistance, flexibility parameter, function of distance fading, parameter of transaction costs for knowledge transfer.
Researching Dependence of Indicators of Sevastopol Strategic Plan on Restrictive Measures of International Character: Regional Aspect
Authors: Matushevskaya E. A. , Moskaleva V. A.
Published: June 2023

The changing situation in the world and fast arising threats and challenges stimulated investigations concerning the impact of different barriers on regional development and findings ways of their overcoming. The goal of the research is to identify and substantiate the dependence between indicators of social and economic development of the region and restrictive measures of international character. The empiric basis of the research is formed by expert method using binary logics of estimation and content-analysis; correlative-regressive analysis. In order to find a certain interconnection 184 indicators of Sevastopol strategic plan were studied. Results of the research showed that 51% (on average) of indicators of the strategic plan of social and economic development in Sevastopol depended directly or indirectly on restrictive measures of international character. The authors used statistic sampling of economic development indicators, which are affected most of all by restrictive measures of international character and plotted correlative-regressive models of the gross regional product dependence on the amount of investment in fixed capital; the amount of investment into fixed capital dependence on foreign trade turnover in the region. These models can be used to forecast strategic development of the region. The practical importance of the research is connected with elaborated forecast models as independent analytical tool for regional governance. The advanced approach to estimating social and economic development of the region in conditions of restrictive barriers of international character worked out on the basis of identifying factors influencing gross regional product and investment into fixed capital in the region can help accurately and truly estimate the impact of measures and tools of regional policy on social and economic development of the region in conditions of sanctions and restrictions.
Prediction of Toxicity of Nanomaterials Using QSAR Approach
Authors: Singh Dilpreet , Chawla Pooja A.
Published: June 2023

Building mathematical models based on the analysis of physiochemical systems is known as
computational modeling. It may be used to combine different types of data and gain a thorough grasp of
how they are correlated. Computational modeling techniques cannot replace true experimental techniques
or function as a real mechanism. Despite this, they showed to be highly effective at displaying the outcomes
for a suggested technique. Nanotechnology is a developing field of producing cost-effective nanomaterials.
The toxicity of nano-based products may be significantly affected by the presence of metal
impurities and latent waste. The contaminants introduced into the nano-products during manufacturing
toxicate the cells. A limited number of techniques for the precise detection of nanotoxicity in nanomaterials
has created interest in scientists for the development of newer computational techniques like QSAR.
QSAR gives precise results based on ligand descriptors and mathematical algorithms to create functionalized
bandwidth that detects toxicity at nano-levels. Now, widespread literature revealed QSAR workflow
for the precise detection of various toxicants in nano-materials. The current mini-review focused on the
basic principles of QSAR in nanotoxicity predictions along with the applications and future prospects.
High Incidence and Predictors of Loss to Follow-up among Children and Adolescents on Life Long Antiretroviral Therapy in the Conflict-affected Northwest and Southwest Regions of Cameroon: A Retrospective Cohort Study
Authors: Tih Pius Muffih , Ayima Charlotte Wenze , Boeyeo Forsi Nwebim , Atanga Pascal Nji , Eveline Mboh Khan
Published: June 2023

Background:

Retention in care and transition to adulthood are critical for children and adolescents living with HIV on Antiretroviral Therapy (ART) in HIV treatment programs in Sub Sahara, Africa.

Objective:

This study aimed to determine the incidence and predictors of loss-to-follow-up (LTFU) in the context of the ongoing crisis caused by an armed conflict in the Northwest and Southwest Regions of Cameroon, where staff in HIV treatment programs faced unique challenges of retention of children/adolescents.

Methods:

We employed a multi-stage mixed method design in which we conducted a retrospective cohort study to determine incidence and risk factors for LTFU through data abstraction from medical records of children and adolescents from five (5) ART treatment centers, followed by seventeen (17) key informant interviews conducted with healthcare workers to gain further insights into the reasons for LTFU among children and adolescents enrolled between January 2018 to December 2021. Kaplan–Meier plots were used to determine the probability of LTFU as a function of time. The Cox regression model was used to measure predictors of LTFU. Endpoint-recorded interviews were transcribed, translated, and analyzed using Atlas-ti Version 9.

Results:

A total of 1,030 children and adolescents (p-y) were enrolled for follow-up. 138 (13.4%) were LTFU, with an overall incidence rate of 33.0 LTFU per 1000 person years. Survival probability decreased for younger children and older adolescents. Receiving care in a rural health facility (AHR:2.14 (1.23-3.76), non-biological caregivers (AHR: 2.44; 95% CI: 1.59-3.74), short duration on ART, being on a sub-optimal regimen (AHR: 17.83; 95% CI: 11.00-29.00) and long distances to health facility (AHR:2.05; 95% CI: 1.10-3.20) were significant predictors of LTFU. Multiple Caregivers (94.1%), long distances/cost of transportation (88.2%), socio-political crises (75.5%), peer pressure, refusal, dating and marriage among adolescents (70.5%), stigma (64.7%), competitive life activities (58.8%), lack of timely disclosure (53%), poverty/lack of partner/family support (48.2%), lack of understanding on the disease process (47.0%), alternative forms of health care (29.4%), and shortage of ARVs (13.8%) were reasons for poor retention from the interviews.

Conclusion:

The overall incidence rate of LTFU was 33.0 per 1000 person years for children and adolescents initiated on lifelong ART over a period of four (4) years in the conflict-affected areas. The study portrays the need for innovative, multifaceted strategies to mitigate the predictors of this high-risk LTFU in displaced populations in the context of a sociopolitical crisis.
Modeling of Risk Factors of Childhood Stunting Cases in Malang Regency using Geographically Weighted Regression (GWR)
Authors: Anismuslim Muhamad , Pramoedyo Henny , Andarini Sri , Sudarto .
Published: June 2023

Background:

Stunting is one of the fundamental problems in Indonesia's human development, with complex risk factors such as inadequate environmental sanitation.

Objective:

This study aims to conduct an analysis and mapping of spatially correlated sanitation risks on the prevalence of stunting among toddlers in Malang Regency, Indonesia.

Methods:

The field observations were conducted in 390 villages of urban and rural areas in Malang Regency. The secondary data of weighing toddlers in 2020 were collected from Malang Regency Health Office. The data included the identity of the residents and the history of the toddlers, while data from monthly program reports were collected from the Central Bureau of Statistics of Malang Regency. Furthermore, the study applied one and eight variables of Y and X. The Y variable was the number of stunting case toddlers, while X included the percentage of access to safe drinking water, percentage of access to permanent hygienic latrines, the topography of the region, percentage of Integrated Healthy Centre access, percentage of Exclusive Breastfeeding, Population density, ODF (Open Defecation Free) village and percentage of Integrated Healthy Centre Empowerment. Modeling the case of childhood stunting with the spatial regression method using Geographically Weighted Regression can be considered a sound approach.

Results:

The result showed that the distribution model of risk factors causing toddler stunting showed a spatial autocorrelation tendency with a clustered pattern in the area. The risk factors that were found to be spatially correlated with the incidence of stunting in children under five years of age in Malang district included access to proper drinking water (X1), access to latrines (X2), access to integrated health services (X3), exclusive breastfeeding coverage (X4), regional topography (X5), population density (X6), and empowerment of integrated health services (X8). However, the ODF (X7) did not show any correlation with stunting cases in the area.

Conclusion:

Spatial diversity and geographic variation affect the distribution pattern of risk factors causing stunting in Malang Regency. Therefore, stunting control with specific and sensitive interventions should be based on regional and local characteristics.
main properties of the catalytic reforming catalyst
Authors: Khurmamatov Abdugaffor M , Mirzayev Navruzbek A , Jurayev Abdulaziz I
Published: June 2023

The article presents the results of adhesion, flowability, hygroscopicity, and wettability of RG-482, 582-1.2 catalyst dust under laboratory conditions. It is determined that the smaller the particle size, the easier they stick to the surface of the apparatus. The stickiness of dust was determined by the size of the solid particles of catalyst dust. In the course of the experiments, it was also proved that this catalyst dust is not sticky, this is because the catalyst dust mainly contains fine solid particles, a two-stage efficient process line for cleaning atmospheric air from fine solid particles was proposed.
Влияние радиационного воздействия на магнитные свойства пленок ферромагнетик/IrMn с обменным сдвигом
Authors: Кривулин Д.О. , Пашенькин И.Ю. , Горев Р.В. , Юнин П.А. , Сапожников M.В. , Грунин А.В. , Захарова С.А. , Леонтьев В.Н.
Published: June 2023

In this work, the effect of the action of gamma quanta and neutrons on the magnetic properties of Ta/feromagnet/IrMn/Ta bilayer films with an exchange bias of the hysteresis loop is studied. The samples were fabricated by magnetron sputtering, and their structure was studied by small-angle X-ray reflectometry and X-ray diffractometry. The measurement of the magnetic hysteresis loops of the irradiated and non-irradiated samples was carried out by the methods of magneto-optical Kerr magnetometry. As a result, the effect of broadening of the magnetic hysteresis loop after irradiation was found. The maximum broadening of the hysteresis loop was observed in the NiFe/IrMn film under neutron irradiation; in this case, the loop width increased by more than 2.5 times. No noticeable change in the field of the exchange bias of the hysteresis loops was observed in the entire range of radiation exposure.
О численном моделировании трековых мембран, используемых в качестве коллиматоров рентгеновского излучения
Authors: Митрофанов А.В. , Фещенко Р.М.
Published: June 2023

In this work, we present the results of numerical modeling of distribution of the field amplitude inside micron-sized through cylindrical pores in polymer track membranes in the soft X-ray wavelength range 13.5–30.4 nm. The calculations were performed by numerically solving the 3D parabolic equation with a finite-difference method using an exact transparent boundary condition. The dependences of the X-ray transmittivity through a pore on the incidence angle as well as on the pore diameter were computed. For the membranes with some thicknesses and pore diameters, calculated angular dependences of the transmittance are compared with the measurements known from the literature. It is demonstrated that the calculations agree with the measurements if a transition layer on the inner surface of the pores, which accounts for the finite surface roughness, is introduced.
Активный сверхпроводящий терагерцовый детектор
Authors: Шитов С.В.
Published: June 2023

The concept of an active superconducting terahertz detector for array applications is based on the combination of an RFTES bolometer and a microwave preamplifier based on a DC SQUID within the common integrated circuit providing the maximum, theoretically possible, signal transmission from the sensor to the amplifier. The problems associated with the design and positioning of the amplifier, that restrict the functionality and sensitivity of the ultra-low temperature detector, are considered. For the first time, a method for connecting a SQUID amplifier to an RFTES bolometer using the principle of partial loads of a resonator has been proposed and analyzed. The presented electromagnetic model of the active detector is suitable for optimization of RFTES, MKID and other detectors using high-Q superconducting planar resonators.
Визуализация магнитных полей в растровом электронном микроскопе
Authors: Татарский Д.А. , Скороходов Е.В. , Гусев С.А.
Published: June 2023

The fundamental possibility of measuring the stray fields distributions of magnetic objects in a scanning electron microscope is demonstrated. The main idea of the method is to use a sample holder for operation in the mode of a scanning transmission microscope, additionally equipped with a square diffraction grating. This grating, formed on the basis of a metal film, is placed at some distance under the magnetic sample. Reconstruction of the deflections of transmitted electrons by analyzing the geometric phase from visible distortions of the diffraction grating made it possible to reconstruct the distribution of the magnetic field created by the sample under study.
Особенности трансформации микрорельефа структур "кремний на изоляторе" при воздействии фотонных и корпускулярных излучений
Authors: Логинов Б.А. , Блинников Д.Ю. , Второва В.C. , Кириллова В.В. , Ляшко Е.А. , Макеев В.С. , Первых А.Р. , Абросимова Н.Д. , Забавичев И.Ю. , Пузанов А.С. , Волкова Е.В. , Тарасова Е.А. , Оболенский С.В.
Published: June 2023

Приведены результаты исследований параметров микрорельефа и электрофизических характеристик структур "кремний на изоляторе" после воздействия гамма- и гамма-нейтронного излучения. Экспериментальные исследования проведены методами атомно-силовой микроскопии и псевдо-МДП транзистора. На основе полученных данных проведена оценка эффективного радиуса ядер кластеров радиационных дефектов. Ключевые слова: Атомно-силовая микроскопия, кремний на изоляторе, "допороговое" дефектообразование, кластеры радиационных дефектов.
Technical wood wool for composites
Authors: Siegel Carolin , Korn Christian , Siwek Sebastian , Wagenführ André
Published: June 2023

Due to its very good mechanical properties at low density, wood is a high potential and sustainable raw material for composite applications. Wood as small particles are commonly processed with polymers to Wood-Polymer-Composites (WPC). Thereby, the inherent strength of the wood is not used to its full potential. In order to transfer the strength properties of solid wood with good shaping properties to composite, wood wool properties were studied. Wood wool is a well-known raw material in the wood-processing industry and is mainly used for packaging, animal bedding and insulation boards [1, 2]. The use of wood wool as a flexible, formable reinforcement for polymer composites is not known so far. Therefore industrial wood wool and developed experimental wood wool are investigated and evaluated for their suitability as fibre reinforcement for composites. The mechanical properties, in particular the tensile strength, are the relevant factors.
Extending the Privacy Calculus to the mHealth Domain: Survey Study on the Intention to Use mHealth Apps in Germany
Authors: von Kalckreuth Niklas , Feufel Markus A
Published: June 2023

Background

With the increasing digitalization of the health sector, more and more mobile health (mHealth) apps are coming to the market to continuously collect and process sensitive health data for the benefit of patients and providers. These technologies open up new opportunities to make the health care system more efficient and save costs but also pose potential threats such as loss of data or finances.

Objective

This study aims to present an empirical review and adaptation of the extended privacy calculus model to the mHealth domain and to understand what factors influence the intended usage of mHealth technologies.

Methods

A survey study was conducted to empirically validate our model, using a case vignette as cover story. Data were collected from 250 German participants and analyzed using a covariance-based structural equation model.

Results

The model explains R2=79.3% of the variance in intention to use. The 3 main factors (social norms, attitude to privacy, and perceived control over personal data) influenced the intention to use mHealth apps, albeit partially indirectly. The intention to use mHealth apps is driven by the perceived benefits of the technology, trust in the provider, and social norms. Privacy concerns have no bearing on the intention to use. The attitude to privacy has a large inhibiting effect on perceived benefits, as well as on trust in the provider. Perceived control over personal data clearly dispels privacy concerns and supports the relationship of trust between the user and the provider.

Conclusions

Based on the privacy calculus, our domain-specific model explains the intention to use mHealth apps better than previous, more general models. The findings allow health care providers to improve their products and to increase usage by targeting specific user groups.
Novel Software for High-level Virological Testing: Self-Designed Immersive Virtual Reality Training Approach (Preprint)
Authors: Tsai Huey-Pin , Lin Che-Wei , Lin Ying-Jun , Yeh Chun-Sheng , Shan Yan-Shen
Published: June 2023

BACKGROUND

To ensure the timely diagnosis of emerging infectious diseases, high-tech molecular biotechnology is often used to detect pathogens and has gradually become the gold standard for virological testing. However, beginners and students are often unable to practice their skills due to the higher costs associated with high-level virological testing, the increasing complexity of the equipment, and the limited number of specimens from patients. Therefore, a new training program is necessary to increase training and reduce the risk of test failure.

OBJECTIVE

The aim of the study is to (1) develop and implement a virtual reality (VR) software for simulated and interactive high-level virological testing that can be applied in clinical practice and skills building or training settings and (2) evaluate the VR simulation’s effectiveness on reaction, learning, and behavior of the students (trainees).

METHODS

Viral nucleic acid tests on a BD MAX instrument were selected for our VR project because it is a high-tech automatic detection system. There was cooperation between teachers of medical technology and biomedical engineering. Medical technology teachers were responsible for designing the lesson plan, and the biomedical engineering personnel developed the VR software. We designed a novel VR teaching software to simulate cognitive learning via various procedure scenarios and interactive models. The VR software contains 2D VR “cognitive test and learning” lessons and 3D VR “practical skills training” lessons. We evaluated students’ learning effectiveness pre- and posttraining and then recorded their behavior patterns when answering questions, performing repeated exercises, and engaging in clinical practice.

RESULTS

The results showed that the use of the VR software met participants’ needs and enhanced their interest in learning. The average posttraining scores of participants exposed to 2D and 3D VR training were significantly higher than participants who were exposed solely to traditional demonstration teaching (P<.001). Behavioral assessments of students pre- and posttraining showed that students exposed to VR-based training to acquire relevant knowledge of advanced virological testing exhibited significantly improved knowledge of specific items posttraining (P<.01). A higher participant score led to fewer attempts when responding to each item in a matching task. Thus, VR can enhance students’ understanding of difficult topics.

CONCLUSIONS

The VR program designed for this study can reduce the costs associated with virological testing training, thus, increasing their accessibility for students and beginners. It can also reduce the risk of viral infections particularly during disease outbreaks (eg, the COVID-19 pandemic) and also enhance students’ learning motivation to strengthen their practical skills.
Concerns of Quality and reliability of Online Video Resources Concerning Patient Education for Anterior cervical corpectomy decompression and fusion (ACCF): A YouTube-Based Quality-Control Study (Preprint)
Authors: Jiang Yang , Liu Jiangchuan , Gong Gaojin
Published: June 2023

BACKGROUND

Anterior cervical corpectomy decompression and fusion (ACCF) has been widely used in clinical practice for the treatment of multilevel cervical spondylotic myelopathy. YouTube is a widely utilized source of medical information for patients and orthopedic clinicians.

OBJECTIVE

The study aimed to assess the quality and reliability of the information concerning ACCF shared on YouTube.

METHODS

On 1 July 2022, a YouTube search was performed using the keywords “Anterior cervical corpectomy decompression and fusion” and the first 50 videos were included in the study and categorized under four groups based on their source. The overall quality, reliability, educational quality, accuracy, and popularity of the videos were measured using the Journal of American Medical Association (JAMA) score, DISCERN, Global Quality Score (GQS), ACCF Specific Score (ACCFSS), and video power index (VPI). Spearman correlation analysis was applied to assess the correlation between JAMA, GQS, DISCERN, ACCFSS, and VPI. A multiple linear regression analysis was performed to identify video characteristics affecting the JAMA, GQS, DISCERN, and ACCFSS.

RESULTS

The videos had a mean duration of 539 seconds and were viewed 4937 times on average. The videos had a mean JAMA score of 2.78 (SD=0.29), DISCERN of 2.86 (SD=0.33), GQS of 2.62 (SD=0.63), and ACCFPSS of 6.02 (SD=1.58). On the basis of source, physician videos had the greatest share at 40%, and commercial sources accounted for the least, at 12%. There were statistical differences between upload source groups in terms of JAMA, DISCERN, GQS, and ACCFSS. JAMA, DISCERN, GQS, and ACCFSS were significantly correlated with each other. Multiple linear regression analysis showed that a higher GQS score was associated with a higher probability of an academic source, and a higher JAMA, DISCERN or ACCFSS score was associated with a higher probability of an academic or medical source.

CONCLUSIONS

YouTube videos regarding ACCF had low quality and reliability. Our findings suggested that academic groups should provide and promote high-quality video content to YouTube users and patients.
Efek Akupunktur Telinga dengan Press Needle terhadap Kecemasan Pasien yang Menjalani Prosedur Esofagogastroduodenoskopi
Authors: Wahdini Sri , Srilestari Adiningsih , Mihardja Hasan , Abdullah Murdani
Published: June 2023

Latar Belakang: Prosedur invasif seperti esofagogastroduodenoskopi (EGD) dapat menimbulkan kekhawatiran dan kecemasan pada pasien. Diperlukan intervensi tambahan seperti pemberian obat sedasi, intervensi perilaku atau akupunktur untuk membuat pasien tenang dan rileks.Tujuan: Mengetahui efektivitas tindakan  press needle di titik akupunktur telinga terhadap kecemasan pasien yang menjalani prosedur EGDMetode: Penelitian randomized controlled trial ini melibatkan 40 pasien yang menjalani EGD tanpa sedasi. Pasien dibagi menjadi dua kelompok, yaitu kelompok perlakuan yang diberikan perangsangan menggunakan press needle di titik  akupunktur telinga dan kelompok kontrol yang diberikan jarum placebo.  Titik telinga yang dipilih adalah shenmen, relaksasi, dan zero point. Penelitian dilakukan di Pusat Endoskopi Saluran Cerna, RS Dr. Cipto Mangunkusumo, Jakarta. Pasien mengisi kuesioner Spielberger State Anxiety Inventory (SAI) sebelum intervensi dan 10 menit setelah endoskopi selesai melalui wawancara langsung. Perbedaan skor SAI sebelum dan sesudah intervensi dianalisis menggunakan uji paired t-test atau mann whitney.Hasil: Skor SAI kelompok perlakuan antara sebelum dan sesudah EGD terdapat penurunan yang bermakna (man whitney p=0,003). Rerata selisih skor SAI  kelompok perlakuan lebih besar bermakna dibandingkan  kelompok kontrol (man whitney p<0,001)Kesimpulan: Aplikasi press needle di titik akupunktur telinga shenmen, relaksasi, dan zero point membantu  menurunkan kecemasan pasien selama prosedur EGD yang diukur mengunakan kuesioner SAI
Terapi Komplementer untuk Mengatasi Fatigue pada Pasien Hemodialisis: Literatur Review
Authors: Utami Swastika Sekar , Arifah Siti , Rahayuningsih Faizah Betty
Published: June 2023

Latar belakang: Masalah fisik yang paling banyak dirasakan oleh pasien hemodialisis di antaranya kelelahan. Fatigue atau kelelahan diartikan sebagai perasaan kelelahan luar biasa, baik saat istirahat ataupun ketika melakukan aktivitas. Kondisi ini akan memengaruhi semua sisi kualitas hidup pada penderita gagal ginjal kronis yang menjalani terapi hemodialisis. Terapi komplementer adalah salah satu terapi yang saat ini berkembang dengan pesat untuk membantu menurunkan fatigue pascahemodialisis melalui pikiran dan tubuh.Tujuan: Mengetahui jenis dan efektivitas terapi komplementer untuk mengatasi kelelahan pada pasien yang menjalani hemodialisis.Metode: Tahap yang digunakan dalam review ini adalah mengidentifikasi berdasarkan kata kunci, mengskrining judul dan abstrak, menyeleksi kelayakan artikel, menyeleksi artikel berdasarkan kriteria inklusi, dan mengekstraksi data. Review ini menggunakan artikel jangka waktu dari 2016‒2021.Hasil: Total keseluruhan artikel yang di-review sebanyak 17 artikel. Terapi komplementer yang dapat dilakukan adalah terapi pijat, aromaterapi, relaksasi, terapi musik, dan terapi footbath.Kesimpulan: Secara keseluruhan, terapi komplementer dapat menurunkan skala fatigue pasien hemodialisis.
Penerapan Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3) di Puskesmas Umbulharjo II Kota Yogyakarta
Authors: Susilawati Susilawati , Budiani Ratna Lestari , Paramita Iswari , Puspitasiwi Prakasita
Published: June 2023

Latar belakang: Pengendalian risiko di fasilitas pelayanan kesehatan (fasyankes) menciptakan lingkungan kerja sehat, nyaman, selamat, dan aman sehingga fasyankes perlu menerapkan Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3). Puskesmas Umbulharjo II sudah mengorganisasikan SMK3 sejak 2019 sehingga  penerapan SMK3 dan kendala yang dihadapi perlu diteliti.Tujuan: Mengetahui penetapan kebijakan, perencanaan, pelaksanaan, pemantauan dan evaluasi, peninjauan dan peningkatan kinerja dan kendala dalam  penerapan SMK3.Metode: Jenis penelitian kualitatif pendekatan studi kasus. Subjek penelitian terdiri dari manajemen beserta tim K3. Objek penelitian adalah pelaksanaan SMK3 dan dokumen terkait. Instrumen penelitian berupa daftar pertanyaan sebagai pedoman wawancara. Data dikumpulkan melalui wawancara, observasi, dan studi dokumentasi.Hasil: Penetapan kebijakan internal dan perencanaan K3 tersedia dan sudah disosialisasikan. Delapan standar K3 di fasyankes sudah dilaksanakan. Tim K3 melaksanakan pemantauan  rutin setiap bulan, dan evaluasi K3 setiap semester. Belum pernah ada kegiatan peninjauan dan peningkatan kinerja oleh pihak eksternal. Kendala internalnya adalah masih banyak yang belum memahami K3 di fasyankes sehingga pelaksanaan K3 belum komprehensif dan kurangnya dukungan sumber dana. Kendala eksternal terdeteksi belum adanya dukungan dari dinas terkait selaku pembina pelaksanaan SMK3 di puskesmas.Kesimpulan: Penetapan kebijakan, perencanaan, pelaksanaan, pemantauan dan evaluasi SMK3 sudah dilaksanakan sesuai regulasi, sedangkan tahap peninjauan dan peningkatan kinerja K3 pihak eksternal belum ada sehingga peran dinas kesehatan sebagai pembina dan pengawasan sangat diperlukan.
Hubungan antara Jumlah Gigi dan Jumlah Oklusi Gigi Posterior dengan Kekuatan Genggaman Tangan pada Populasi Lansia di Yogyakarta
Authors: Vega Christia Aye Waindy , Nur’aini Bekti , Priyono Bambang , Widita Elastria , Hanindriyo Lisdrianto , Agustina Dewi , Naritasari Fimma , Widyaningrum Rini , Rodestawati Budi
Published: June 2023

Latar Belakang: Penurunan jumlah gigi dan oklusi gigi posterior dapat memengaruhi kemampuan mengunyah yang dapat berakibat pada berkurangnya asupan nutrisi. Hal ini dapat berdampak pada aktivitas otot, terutama masa dan kekuatan otot yang tercermin melalui kekuatan genggaman tangan.Tujuan: Mengetahui hubungan antara jumlah gigi dan jumlah oklusi gigi posterior dengan kekuatan genggaman tangan populasi lansia di Yogyakarta.Metode: Penelitian observasional dengan rancangan cross sectional dilakukan pada 75 lansia berusia ≥60 tahun. Pemeriksaan rongga mulut dilakukan oleh empat dokter gigi terlatih. Pemeriksaan Indeks Masa Tubuh dan pemeriksaan fisik dilakukan oleh dua higienis gigi terlatih. Gigi dihitung dengan menjumlahkan gigi asli, jumlah oklusi gigi dihitung menggunakan Index Eichner’s. Indeks Masa Tubuh (IMT) dihitung dengan satuan kg/m2. Kekuatan genggaman tangan diukur menggunakan hand dynamometer dalam satuan kilogram. Tingkat aktivitas fisik dievaluasi menggunakan kuesioner terstandar IPAQ. Uji chi-square dan regresi logistik digunakan untuk mengetahui hubungan antara jumlah gigi, jumlah oklusi gigi dan variabel covariat dengan kekuatan genggaman tangan.Hasil: Uji Chi-square menunjukkan tidak terdapat perbedaan kekuatan genggaman tangan antara subjek yang memiliki jumlah gigi ≥20 dan <20 serta antara subjek dengan ≥2 dan <2 zona oklusi gigi posterior. Faktor risiko penurunan kekuatan genggaman tangan adalah aktivitas fisik (OR= 6,342, p=0,010). Kesimpulan: Mempertahankan jumlah gigi ≥20 dan aktivitas fisik bermanfaat untuk mempertahankan kesehatan oral dan sistemik.
Indikator Input Sistem Elektronik Pencatatan dan Pelaporan Gizi Berbasis Masyarakat di Kota Surabaya
Authors: Rustam Muh Zul Azhri , Riestiyowati Maya Ayu
Published: June 2023

Latar Belakang: Masalah gizi merupakan salah satu tujuan dari ke 17 goals yang ingin dicapai dari Sustainable Development Goals (SDGs) Kesehatan Indonesia. Survailans gizi merupakan kegiatan pengamatan yang sistematis dan terus menerus terhadap masalah gizi masyarakat dan indikator pembinaan gizi.Tujuan: Mengevaluasi sistem elektronik pencatatan dan pelaporan gizi berbasis masyarakat (e-PPGBM) pada indikator input yakni petugas, pembiayaan, Standard Operating Procedure (SOP), formulir dan laporan surveilans, dan komputerMetode: Desain penelitian ini adalah cross-sectional descriptive. Sample dalam penelitian ini adalah petugas surveilans gizi di 22 puskesmas Kota Surabaya.Hasil: Indikator petugas meliputi rata-rata berusia 32 tahun, <60% telah mengikuti beberapa pelatihan, serta >80% memiliki rangkap jabatan sehingga hal-hal ini dapat menghambat pelaporan dan pencatatan permasalahan gizi. Aspek pembiayaan dalam operasional surveilans gizi masih bersumber dari APBD. Beberapa SOP dan pedoman di puskesmas tidak tersedia seperti renstra di bidang Gizi, Formulir SDIDTK, dan KSPS.Kesimpulan: Indikator man ditemukan bahwa petugas seharusnya dibekali dengan pemberian pelatihan surveilans gizi berbasis IT, sedangkan untuk indikator material perlu diputuskan oleh stakeholder dalam membuat regulasi terkait monev khususnya pada kelengkapan laporan di beberapa puskesmas yang masih belum lengkap.
Definitive mandibular guide flange prosthesis pada pasien pasca hemimandibulektomi dekstra
Authors: Ariawan Sigit , Wahyuningtyas Endang , Saleh Suparyono , Indrastuti Murti
Published: June 2023

Tindakan operasi pada daerah maksilofasial dapat mengakibatkan cacat wajah, gangguan fungsi bicara, penelanan, pengunyahan, estetik serta gangguan kejiwaan. Hilangnya kontinuitas mandibula dapat mengganggu keseimbangan fungsi mandibula, menyebabkan gerakan mandibula yang berubah-ubah, sehingga terjadi kecacatan, sulit menelan, gangguan bicara dan artikulasi, serta deviasi dari sisa fragmen menuju sisi yang dioperasi. Saat membuka mulut, deviasi ini meningkat dan mengarah ke pembukaan dan penutupan secara angular. Perangkat korektif bernama guide flange prosthesis ditunjukkan untuk mengatasi manifestasi klinis tersebut. Tujuan laporan kasus ini adalah untuk mengkaji penggunaan mandibular guide flange prosthesis pada pasien pasca hemimandibulektomi dekstra, sebagai rehabilitasi fungsi pengunyahan, penelanan, fonetik dan estetika. Kesimpulan dari laporan kasus ini adalah protesa mandibula dengan guide flange dari bahan resin akrilik dapat merehabilitasi defek pada mandibula pasca hemimandibulektomi sehingga mengembalikan fungsi pengunyahan, fonetik, proses penelanan dan estetika.
Periodontitis kronis pada pasien dengan penyakit diabetes melitus
Authors: Purbowati Bondan , Kurniawan Aris Aji
Published: June 2023

Peridontitis kronis merupakan penyakit peradangan pada jaringan periodontal yang disebabkan oleh bakteri pada subgingiva. Periodontitis diawali dengan adanya inflamasi pada gingiva, berlajut ke struktur jaringan penyangga gigi seperti sementum, ligamen periodontal dan tulang alveolar. Selain peranan bakteri dalam menyebabkan periodontitis, terdapat pula peranan penyakit sistemik pada periodontitis seperti diabetes melitus (DM). Laporan kasus ini bertujuan untuk memaparkan kondisi periodontitis kronis pada pasien dengan diabetes melitus. Pasien wanita berusia 64 tahun mengeluhkan gigi geliginya goyang sejak beberapa tahun terakhir. Pasien diketahui memiliki riwayat penyakit diabetes melitus dan sedang menjalani pengobatan rutin. Pemeriksaan klinis pada rongga mulut menunjukkan adanya resesi pada gigi anterior baik maksila maupun mandibula, disertai kegoyahan gigi geligi, dan xerostomia. Komplikasi DM adalah perubahan integritas mikrovaskular, yang sering menyebabkan kerusakan organ. Kondisi hiperglikemia mengakibatkan protein serta molekul matriks mengalami non-enzymatic glycosylation yang menghasilkan advanced glycation end products (AGE) pada jaringan termasuk periodonsium. AGE turut berinteraksi dengan kolagen dan membuat kolagen lebih sulit diperbaiki bila mengalami kerusakan. Diabetes melitus dapat menimbulkan berbagai manifestasi di rongga mulut, salah satunya adalah terjadinya periodontitis.
Infeksi virus herpes simplex tipe 1 yang tereaktivasi oleh paparan sinar matahari
Authors: Fitriasari Nuri , Setiadhi Riani
Published: June 2023

Virus herpes simplex tipe 1 termasuk ke dalam famili Herpesviridae dan subfamili Alphaherpesvirus dengan manusia sebagai reservoir alami virus herpes. Virus herpes simplex tipe 1 bermanifestasi pada oral dan perioral. Setelah terjadi infeksi primer, subkeluarga alphaherpesvirinae akan laten pada saraf ganglia dan dapat reaktivasi. Terjadinya reaktivasi alpha herpesvirinae salah satunya dikarenakan paparan sinar matahari. Laporan kasus ini memaparkan tentang infeksi virus herpes simplex tipe 1 yang tereaktivasi oleh paparan sinar matahari. Pasien laki-laki berusia 37 tahun berobat ke Poliklinik Ilmu Penyakit Mulut RSUP dr. Hasan Sadikin Bandung didiagnosa intraoral herpes rekuren dan kandidiasis pseudomembran akut. Pasien mengeluhkan sudah 1 bulan ini terdapat banyak sariawan pada lidah, gusi dan tenggorokan terasa nyeri sehingga sulit untuk makan dan minum dan lama kelamaan timbul warna putih pada lidah. Ada riwayat demam pada awal terjadi sariawan, riwayat alergi disangkal, pernah sariawan sebelumnya tetapi tidak separah seperti saat ini serta bekerja di kebun dalam satu bulan terakhir. Sudah berobat ke beberapa dokter gigi tetapi tidak ada perbaikan. Penanganan yang dilakukan meliputi, anamnesis, pemeriksaan ekstra oral danintral oral, pemeriksaan laboratorium imunoserologi dan mikrobiologi, tatalaksana farmakologi dan non farmakologi. Pasien menunjukkan perbaikan yang signifikan dalam pengobatan 3 minggu. Artikel ini memaparkan paparan sinarmatahari dapat menyebabkan reaktivasi infeksi virus herpes simplex tipe 1.
Restorasi fiber-reinforced composite bridge pada gigi posterior rahang atas pasca perawatan saluran akar satu kali kunjungan
Authors: Simanjuntak Beactris Lamria , Aripin Dudi
Published: June 2023

Kesehatan rongga mulut dapat mempengaruhi kualitas hidup individu, seperti karies dan kehilangan gigi. Hal tersebut dapat mempengaruhi fungsi mengunyah dan berbicara, penampilan, hubungan interpersonal, bahkan peluang karierseseorang. Oleh sebab itu, penting untuk dilakukan perawatan pada gigi karies dan penggantian gigi yang hilang. Ada beberapa pilihan perawatan yang dapat dilakukan untuk mengganti gigi yang hilang, salah satu teknik terbaru yaitu fiber reinforced composite bridge. Fiber reinforced composite bridge memungkinkan untuk dibuat sendiri oleh operator, memiliki estetik yang baik, dan dapat mengganti gigi posterior tanpa penggunaan bahan metal. Pasien laki-laki berusia 38 tahun datang ke Klinik Konservasi Gigi RSGMP Unpad dengan keluhan sering terjadinya sangkutan makanan pada gigi kanan atas. Gigi tersebut terasa sakit berdenyut satu tahun yang lalu, namun saat ini sudah tidak pernah terasa sakit. Gigi tersebut bersebelahan dengan gigi yang hilang sehingga pasien sulit mengunyah pada sisi kanan dan sering mengunyah satu sisi. Gambaran radiografis mahkota terlihat adanya gambaran radiolusen mendekati pulpa. Saluran akar dua dan lurus lurus, laminadura utuh, tidak terdapat pelebaran membran periodontal,dan tidak terdapat kelainan di periapikal. Tujuan laporan kasus ini adalah untuk melakukan perawatan saluran akar satu kali kunjungan pada gigi 14, melakukan follow up dengan pasak fiber dan fiber reinforced composite bridge sebagai restorasi akhir gigi 14, penggantian gigi 15 yang hilang dan restorasi gigi 16 dengan karies. Simpulan dari laporan kasus, Fiber reinforced composite bridge dapat menjadi alternatif perawatan bagi gigi pasca perawatan endodontik dengan daerah edentulous di sebelahnya.