bluuebunny/crossref_metadata_2025 huggingface dataset:
El urbanismo olvidado de la España Vaciada: doce problemas en el planeamiento urbanístico de los pequeños municipios rurales ilustrados mediante ejemplos
Authors: De-Santiago-Rodríguez Eduardo
Published: September 2023

En este artículo se repasan los problemas del urbanismo en los pequeños municipios rurales españoles. Se comienza por un primer análisis general sobre la penosa situación del planeamiento urbanístico en ellos, donde se constata la ausencia de instrumentos en muchos municipios y la obsolescencia de los existentes en otros, así como las deficiencias en la concepción de las figuras en la normativa urbanística autonómica. A continuación, se presentan doce problemas urbanísticos característicos estos municipios, ilustrados a través de distintos ejemplos representativos. Entre ellos cabe destacar el declive de los cascos rurales y la edificación tradicional, la inadecuación de los criterios legales para la clasificación del Suelo Urbano y el tratamiento de los bordes, la falta de mecanismos de intervención y gestión en el mercado de suelo, las deficiencias en las ordenanzas reguladoras de la edificación, el desvalimiento del Suelo No Urbanizable, etc. Finalmente, se concluye con una breve reflexión apuntando algunas claves con el objeto de abrir un debate propositivo que permita mejorar esta situación y superar los problemas presentados.
Local Communities’ Perceptions about the Impacts of Water Hyacinth Infestation in Lake Victoria on Economic Activities in Nyalenda B Ward, Kisumu County, Kenya
Authors: Mbaka John Gichimu
Published: September 2023

Water hyacinth (Eichhornia crassipes) is ranked as one of the most invasive weeds causing negative effects on aquatic ecosystems around the world. In the last decades, there has been increased interest in the impacts of water hyacinth and how it can be utilised in various applications such as animal feeds and fertiliser production, wastewater treatment, biofuel production and as raw material for handicraft products. The objectives of this study are: (i) to determine the impacts of water hyacinth infestation in Lake Victoria on the economic activities of the local community living in Nyalenda B Ward, Kisumu County, Kenya, and (ii) to assess the methods which can be used to control water hyacinth in the lake. The study used a descriptive research design. The study involved the collection of data through observation, questionnaires, and interviews. The study found that water hyacinth infestation in the lake mainly impacted economic activities such as fishing, tourism, weaving and biogas production. Fewer respondents (<20 %) utilised water hyacinths to make animal feeds and to produce fertiliser. The most preferred methods for controlling water hyacinth were manual and mechanical methods. The utilisation of water hyacinth in various industrial applications such as pulp and paper production, wastewater treatment and agriculture needs to be explored and scaled up by the relevant government agencies to contribute towards the economic wellbeing of local communities and environmental conservation of Lake Victoria
Influence of Student Leaders Involvement in Enhancing School Discipline on Academic Performance in Kisii South Sub-County, Kenya
Authors: Mwagi Rael Kemunto , Monda Evans
Published: September 2023

Poor academic performance of student leaders in C could be attributed to bad personal character, their leadership role expectations and the duties and responsibilities that these student leaders have. This study used a mixed method with a concurrent triangulation design. The study targeted principals, all the deputy principals in charge of discipline, and student leaders in public secondary schools in Kisii South Sub-County, Kisii County. A sample size of 179 respondents was determined by the Magnani formula. The researcher collected data by using interview schedules on principals and deputy principals, questionnaires on students and document reviews provided by teachers in charge of academics as data collection tools. Data was analyzed by use of both descriptive and inferential statistics applying SPSS version 22, while qualitative data was analyzed in themes and presented in narrative form. The analysis gave rise to two key findings: school-integrated student leadership was involved in the operations of school management, and the reception of the students was positive
Assessment of Anxiety and Associated Risk Factors among General Public During COVID-19 Pandemic: A Community Based Study
Authors: Amit Singh Pawaiya  , Khushboo Juneja  , Neeti Purwar  , Tuhina Shree  , Neeraj Pal Singh
Published: September 2023

Background: Lockdown represents a remarkably effective strategy of social distancing to break the chain oftransmission of COVID-19. This state of lockdown led to a significant influence on physical and mental wellbeingof people. The present study was conducted to assess the impact of COVID-19 pandemic on anxiety level ofgeneral public and find out the associated factors.Methods: The present web based cross-sectional study was carried out among 450 participants in India in themonth of May 2020. Data collection was done using online Google form. A semi-structured questionnaire wasused. Generalized Anxiety Disorder Scale-7 (GAD-7) Scale was used to assess anxiety symptoms among theparticipants. Descriptive Statistics and Chi-square test were done using SPSS version 21.Results: Age of the participants ranged between 18 to 71 years. Nearly one-third of the participants were health careprofessionals. Symptoms of mild anxiety was reported by 17.1% of participants, while 20.2% reported moderateanxiety. Anxiety was found to be significantly more among female gender, health care professional and among thestudy participants who were going to work daily.Conclusion: Covid-19 pandemic has increased the anxiety level among general public.
Clinico-epidemiological Profile of Paraquat Poisoning in Children at a Tertiary Care Centre: Case Series
Authors: Manu Prakash S K  , Kumar S R  , Srinivasa B S  , Umme Ruman
Published: September 2023

Aims and objectives: This case series is done to know the Clinico-epidemiological profile of paraquat poisoningin children and also the implication of available treatment guidelines in improving outcomes in the paediatricpopulation as there are no standard treatment guidelines available.Materials and Methods: Nine children were selected during the study period of October 2021 to February 2023,demographic data were collected, clinical parameters were assessed with details such as time of presentation,symptoms and first aid received, laboratory parameters such as LFT, RFT, chest radiographs obtained and serialvalues monitored. Treatment as per the available recommendation was initiated with immunosuppressive therapyand haemodialysis on a case-to-case basis.Results: Among the 9 children, there were 6 females (67%) with an average age group of 15–18 years. eight (89%)of the 9 children developed acute renal failure. Seven children underwent haemodialysis. Five (55%) childrendeveloped hepatic dysfunction. Among the 9 children, 3 (67%) survived.Conclusion: The study reveals that the mortality rate can be reduced, if the child presented to the hospital within8 hours of ingestion of the compound, amount ingested is less than 20 ml, and early initiation of Haemodialysiswithin 8 hours and a trail of immunosuppressive therapy.
Clinico-epidemiological Profile of Acute Pancreatitis Secondary to Organophosphate Poisoning in Children at a Tertiary Care Centre: Case Series
Authors: Manu Prakash S K  , Kumar S R  , Harish H N  , Suman S
Published: September 2023

Organophosphate poisoning is common poisoning seen in developing countries. Accidental poisoning is rare inchildren but adolescents consume it with suicidal intention. Complications following op compound poisonings arewell known but children developing acute pancreatitis is a rare complication.[1-2] Hence we present a case series ofchildren developing acute pancreatitis in op compound poisoning. All five cases were treated conservatively andsuccessfully discharged.
Menstrual Practices among Medical Students in a Tertiary Care Teaching Hospital in Central Kerala
Authors: Krishna Kumar M K  , Ruth Abraham  , Brilly Michael Rose  , Ajo Paul  , Jacob Davies Kalliath  , Babita Susan Kuruvilla  , Anuradha Kizhatil  , Ann Mary Thomas  , Alexander John
Published: September 2023

Introduction: Menstruation is a part of women’s healthy well-being. The objective of this study was to assess themenstrual hygiene practises among female medical students in a tertiary care teaching hospital in Central Kerala.Methods: An institution-based cross-sectional study was conducted in 2021 among 225 female undergraduateMBBS students aged 18–25 years in a tertiary health care facility in Kerala. The data was collected using an expertvalidated semi-structured questionnaire after obtaining informed consent from the participants via Google Forms.The universal sampling technique was used, and the data was analysed with SPSS version 20.0.Results: The mean age of the study participants was 21.65 ± 1.34 years and 91.1% were from the APL socioeconomiccategory. 95.5% of participants were using disposable sanitary pads. The frequency of washing external genitaliaand changing sanitary products were adequate in 69.4% and 33.8% respectively. The common mode of disposal ofmenstrual products were burning(50.2%), incineration(34.7%) and discarded into general waste(8.9%). 66.7% werenot allowed to do religious activities during menstruation.Conclusion: Most of participants used disposable sanitary pads. The frequency of changing sanitary products andtheir disposal was found to be inadequate. Menstruation related myths were common among participants.
Study of Interleukin-10 Gene Expression in Breast carcinoma in Telangana Population
Authors: Rubiya Khatoon  , Sana Fatima  , Md. Abdul Rahman
Published: September 2023

Background: Carcinoma breast is the second most common malignancy next to carcinoma cervix in India andabroad. Hence, the expression of IL-10 m-RNA gene in tumour can be a novel prognostic indicator.Method: 30 mastectomy specimens of carcinoma Breast patients aged between 30 to 70 years were studied. 2to 5 gram of tumour tissue and equivalent sample from normal peri-tumoral breast were taken from resectedbreast immediately after surgery and preserved in RNA-later solution. IL-10 m-RNA expression was detectedand quantified by RT-PCR analysis through TaqMan chemistry, on 30 samples and 30 controls. After fixation withformalin 2 micro sections of 4-5micron thickness were taken from tumor area and corresponding paraffin blockswere prepared, mounted, on albumin coated slide for H & E staining and results were observed and recorded.Results: Histologically, 08 specimens were diagnosed as grade-I (26.5%), 16 were grade-II (53.5%) and 06 weregrade-III (20%). 10 specimens (33.5%) had reactive lymph node, and the remaining 20 (66.5%) had metastaticlymph node. Mean RQ values for IL-10 were calculated by the formula for comparative ct (cycle threshold)method. 26 neoplastic tissue specimens (86.5%) showed strong expression of IL-10 mRNA, while only 2 (6.5%)normal peritumoral surrounding tissue showed IL-10 expression. 4 (13.5%) neoplastic tissue and 28 (93.5%) peritumoraltissue showed weak expression of IL-10. All grade 3 tumours showed strong expression of IL-10.Conclusion: Present pragmatic study had evidence that, IL-10 m-RNA gene expression was significant in neoplasticbreast tissue and may have potential prognostic significance.
Prediction of Fetal Growth Restriction using Transcerebellar Diameter and Abdominal Circumference Ratio
Authors: Shazia Shad  , Upma Saxena  , Shreya S Kushwaha  , Sugandha Arya
Published: September 2023

Objective: To predict fetal growth restriction using transcerebellar diameter and abdominal circumference ratio(TCD/AC) in women with clinically diagnosed FGR.Materials and Methods: A prospective observational cohort study was conducted on women >28 weeks of gestationwith clinically diagnosed fetal growth restriction, at the Tertiary care centre. Total 120 women were enrolled ,overa period of 18 months ,from December 2020 to July 2022 .Biometry was performed using ultrasonography andtranscerebellar diameter and abdominal circumference ratio (TCD/AC) and head circumference and abdominalcircumference ratio (HC/AC) were calculated. All women were followed up till delivery and fetomaternaloutcome was recorded. After birth height, weight and ponderal index of the newborn were also noted. TCD/ACratio was correlated with birth weight and ponderal index, for predicting FGR. TCD/AC ratio was also comparedwith routinely used HC/AC ratio for predicting FGR.Statistical Analysis: The final analysis was done with the use of Statistical Package for Social Sciences (SPSS)software, IBM manufacturer, Chicago, USA, version 21.0®.Results: A cut off value of TCD/AC >0.14 was found to have a sensitivity, specificity, PPV and NPV of 87.36%,75.76%, 90.5% and 69.4% respectively with a diagnostic accuracy of 84.17%, in diagnosing FGR. There was a significantnegative correlation between TCD/AC ratio with birth weight and ponderal index, with a correlation coefficientof 0.463 and 0.501 respectively. (p value < 0.001) TCD/AC was better predictor of fetal growth restriction with adiagnostic accuracy of 84.17% versus 40.83% with HC/AC. Significant positive correlation was observed betweenperiod of gestation (weeks) with transcerebellar diameter (mm),with correlation coefficient of 0.497 (p<0.001).Conclusions: TCD/AC ratio is an effective gestational age independent parameter to predict FGR onultrasonography, with better diagnostic accuracy than routinely used HC/AC. Hence it should be performed forall antenatal women clinically suspected to have FGR.
A Comparative Study of Coronary Stent Utilization Pattern with respect to Coronary Stent Price Regulation: A hospital-based study from Mumbai, India
Authors: Shijin Natarajan Nadar  , Priya Prabhu  , Nandkeshev Aswar  , Irfan Hamid Khan
Published: September 2023

Introduction: India’s National Pharmaceutical and Pricing Authority (NPPA) fixed a ceiling price for coronarystents on 13th February 2017. In this study we compare the coronary stent usage patterns in a hospital in Indiabefore and after the coronary stent price regulation was implemented.Methodology: A retrospective cohort study at a private-sector tertiary care hospital among patients thatunderwent PCI from 13th February 2015 to 12th February 2019, i.e., two years before and after the priceregulation of coronary stents. Sampling was done by complete enumeration of the study population & thosefulfilling eligibility criteria. Data were collected from the hospital’s electronic health records and Cath-labregistry following the inclusion & exclusion criteria. Data on coronary stent utilization patterns were analyzedunder different subgroups using descriptive statistics. The Chi-square test was applied to assess statisticalsignificance. The results were considered significant when p value <0.05.Results: 1135 patients were included in the study of which 604 of them underwent PCI before the price regulationof coronary stents, and 531 after. 1154 and 1092 stents at an average of 1.91 and 2.05 stents were used per casebefore and after the price regulation respectively.Conclusion: The use of DES has increased after the coronary price regulation. Also, more third-generation DESwhich is the gold standard in coronary revascularization is being used compared to before. The use of superiorimported stents also saw an increase after the coronary price regulation. There was only a marginal increase instents used per case.
An Uncommon Cause of Upper Gastrointestinal Bleeding: A Case Report of Mallory: Weiss Tear
Authors: Sobhan Gupta  , Poorvi Jain  , Prolay Paul  , Luv Kumar  , Anjali Kumari
Published: September 2023

Mallory-Weiss tear refers to a condition in which the lining of the esophagus tears due to excessive strain, resultingin bleeding. This condition is commonly caused by vomiting or retching and can lead to significant complicationsif not promptly treated. Early identification and management of Mallory-Weiss tear are critical for the preventionof further damage and the promotion of optimal patient outcomes. Clinicians should maintain a high index ofsuspicion for this condition in patients with a history of retching or vomiting and prioritize appropriate diagnosticand therapeutic interventions to minimize the risk of adverse outcomes
The modelling of layered rocks using a numerical homogenisation technique and an artificial neural network
Authors:   Cracow University of Technology, Urbański Aleksander , Ligęza Szymon ,   AGH University of Science and Technology,, Przecherski Piotr ,   Cracow University of Technology
Published: September 2023

A method of creating a constitutive model of layered rocks based on an artificialneural network (ANN) is reported in this work. The ANN gives an implicitconstitutive function ∑ ∑n n1 F( E, ), relating the new state of homogenizedstresses n 1 with the old state Σn and with the increment of homogenized strains. The first step is to repeatedly run a strain- controlled homogenisation onan uni-dimensional finite element model of a periodic cell with elastic-plasticmodels (Drucker-Prager) of the components. Paths are created in ( , ) space,from which, a set of patterns is formed to train the ANN. A description of how toprepare this data and a discussion on ANN training issues are presented. Finally,the procedure based on trained ANN is put into a finite-element code (ZSoil.PC)as a user-delivered constitutive function. The approach is verified by comparingthe results of the developed model basing on ANN with a direct (single-scale)analysis, which showed acceptable accuracy.
Poverty Reduction and Sustainable Development Goals in Rural Areas in Nigeria: A Study of Selected Local Government Areas in Enugu State, Nigeria
Authors: Nwambuko Temple Chukwukadibia , Nnaeto Japhet Olusadum , Nwobi Uchechukwu Anthony
Published: September 2023

This study examined poverty reduction and SDGs in rural areas in Nigeria with reference to selected local government areas in Enugu State. The study adopted the descriptive survey research design and made use of both primary and secondary sources of data. The population of the study was 722,664 people of the three local government areas selected to represent Enugu State, while the sample size was 400 derived via Taro Yamani formula size determination. The cluster sampling technique was applied to select the sample from the population of the study, while the data collected were presented and analyzed using frequency percentage and chi-square (X2) analysis. The study revealed a number of factors contributing to increasing rate of poverty in the rural areas in Nigeria -corruption, debt burden, unemployment, overdependence on oil, lack of political will, ethno-religious conflicts among others. The study also revealed the challenges of implementing SDGs to reduce poverty in rural areas in Nigeria -endemic corruption, lack of effective policies, lack of accountability, insecurity, poor infrastructure among others. The study discovered the SDGs based rural poverty reduction strategic framework in place for rural areas in Nigeria to include job creation, adequate budgetary allocation, integrated rural development program, provision of basic needs, creation of awareness, adoption of the basic needs strategy, full integration of the rural poor, targeting among others. Finally, the study also revealed bottom-up approach, capacity acquisition, provision of infrastructure, inter-agency cooperation, objective targeting among others as measures to efficient implementation of SDGs in rural poverty reduction in Nigeria. Based on these findings, the researchers recommended that the Nigerian government should address the issues of poverty reduction programs via effective implementation of poverty reduction related program/policies among others.
Anemia Ferropénica en el Desarrollo Neuropsicológico en Niños de 3 a 5 Años
Authors: Cruz Ayala Max Ronald , Verde Avendaño Yamile Yadira , Cotrina Torres Yesenia Elizabeth , Verde Avendaño Sebastian Samuel , Rondan Zamata Felicitas
Published: September 2023

La deficiencia de hierro es una de las causas de la anemia a nivel mundial con más relevancia en países como en Perú los que afectados son los niños, es por ello se plantea el objetivo de investigación determinar el nivel de desarrollo neuropsicológico en niños de 3 a 5 años, que padecen anemia ferropénica en el Puesto de Salud del Distrito de San Juan de Lurigancho-Lima. La Metodología fue cuantitativa, diseño no experimental. La población conformada por 67 niños, atendidos durante el primer semestre del año 2022, de sospecha de anemia; La muestra conformada por 52 niños de 3 a 5 años con diagnóstico definitivo de anemia ferropénica, el instrumento utilizado fue Historia clínica: para identificar el diagnóstico definitivo, con el código C.I.E. 10   D50.9. y el Cuestionario de Madurez Neuropsicológica Infantil-CUMANIN. Los resultados evidenciaron que los niños afectados con anemia ferropénica tienen un bajo nivel desarrollo neuropsicológico de acuerdo a su edad teniendo dificultades en la psicomotricidad, viso percepción, lenguaje no verbal, lenguaje expresivo y lenguaje comprensivo, lo cual repercute en su normal desarrollo y aprendizaje.
Pendidikan Kesehatan Terhadap Peningkatan Pengetahuan Ibu Hamil Tentang Hipertensi Dalam Kehamilan di Puskesmas Perumnas II Pontianak Barat
Authors: Pangestu Jehani Fajar , Fitriani Henny
Published: September 2023

Latar Belakang: Menurut WHO hipertensi adalah persentasi tertinggi kedua penyebab kematian ibu setelah perdarahan. Hipertensi atau tekanan darah tinggi terjadi pada sekitar 8-10% kehamilan. Kalimantan Barat termasuk persentasi hipertensi tertinggi ke 2 setelah Sumatera Selatan. Pemberian pengetahuan melalui media pendidikan kesehatan tentang hipertensi dalam kehamilan sangat penting dilakukan mengingat banyaknya ibu hamil yang belum menyadari bahayanya hipertensi pada kehamilan. Tujuan Penelitian ini menganalisis pengaruh pendidikan kesehatan terhadap peningkatan pengetahuan ibu tentang hipertensi dalam kehamilan di Puskesmas Perumnas II Pontianak Barat. Metode Penelitian ini menggunakan Quasi Eksperimen dengan design one group pre test post test pada 35 ibu hamil dengan Teknik pengambilan sampling menggunakan teknik simple randome sampling. Media pendidikan kesehatan yang digunakan yaitu video dan pengambilan data pengetahuan dilakukan dengan menggunakan kuesioner. Analisis yang dilakukan menggunakan analisis univariat dan bivariat. Hasil penelitian ini Berdasarkan uji Paried T-Test diperoleh nilai p=0.000 terdapat perbedaan peningkatkan pengetahuan yang signifikan. Simpulan: Terdapat perbedaan peningkatan pengetahuan yang signifikan antara sebelum dan sesudah diberikan Pendidikan kesehatan dengan media video.
Identifikasi Kadar Gula Darah pada Penyandang Diabetes Mellitus Tipe 2 di Desa Kopang Lombok Tengah
Authors: Purqoti Dewi Nur Sukma , Amrullah Muhammad , Fatmawati Baiq Rully , Khairani Fuji
Published: September 2023

Diabetes Mellitus dikenal sebagai penyakit seumur hidup dan membutuhkan ketelatenan dalam mengendalikan kadar gula tetap stabil dan normal. Tujuan dalam penelitian ini adalah mengidentifikasi kadar gula darah pada penyandang diabetes mellitus tipe 2 di desa kopang Lombok tengah. Metode Penelitian yang digunakan bersifat Deskriptif kuantitatif menggunakan pendekatan cross sectiona dengan populasi sebanyak 113 responden. Metode pengumpulan data menggunakan kuesioner pada setiap variable. Data yang terkumpul kemudian di analisis secara univariat.  Hasil dari penelitian ini yaitu data karakteristik menunjukkan penyandang Diabetes mellitus terbanyak pada rentan usia 51-60 tahun sejumlah 33 orang (61.1%), Sebagian besar berjenis kelamin perempuan sebanyak 42 orang (77.8%), Pendidikan terbanyak adalah SD sebanyak 24 orang (44.4%), Sebagian besar adalah IRT sebanyak 22 orang (40.7%) dan Kadar gula darah  terbanyak dalam kategori sedang sebanyak 43 responden (79,6%). Kesimpulan: Kadar gula darah penyandang diabetes mellitus tipe 2 di desa Kopang Lombok tengah terbanyak yaitu dalam kategori sedang sejumlah 43 orang (79,6%) di ikuti yang mengalami kadar gula darah dalam kategori rendah sebanyak 3 orang (5,6%) dan dalam kategori tinggi sebanyak 8 orang (14,8%). Sangat dianjurkan pada penyandang diabetes mellitus lebih teratur dalam menghindari faktor-faktor yang menyebabkan meningkatnya kadar gula darah seperti rutin melaksanakan 5 pilar dalam tatalaksana penyakit diabetes mellitus.
Gambaran Komunikasi Terapeutik Perawat di Ruang Rawat Inap Selama Masa Pandemi COVID-19 RSUD Awet Muda Narmada
Authors: Azhari Rian , Matuty Amalia , Suhamdani Haris
Published: September 2023

Komunikasi terapeutik adalah komunikasi antara perawat dan klien agar perawat mendapatkan informasi yang digunakan untuk meningkatkan kesehatan klien. Komunikasi terapeutik adalah komunikasi yang dilakukan untuk tujuan terapi atau pengobatan, seorang terapis dapat membantu klien mengatasi masalah yang dihadapinya melalui komunikasi. Tujuan dari penelitian ini yaitu mengidentifikasi gambaran komunikasi terapeutik perawat diruang rawat inap selama pandemic covid-19 RSUD awet muda narmada. Jenis penelitian yang digunakan adalah kuantitatif deskriptif. Populasi dalam penelitian ini adalah semua perawat ruang rawat inap sebanyak 94 orang dengan total sampel diambil yaitu 48 orang. Hasil penelitian pelaksanaan komunikasi terapeutik perawat diruang rawat inap Rumah Sakit Umu Daerah Awet Muda Narmada dengan 48 responden menunjukkan mayoritas dalam kategori baik (77.1%). Fase pra-interaksi dalam kategori baik sebanyak 37 orang (77.1%), fase orientasi dalam kategori baik sebanyak 36 orang (75%), fase kerja dalam kategori baik sebanyak 38 orang (79.2%), dan fase terminasi dalam kategori baik sebanyak 39 orang (81.2%). Kesimpulan pelaksanaan komunikasi terapeutik perawat dalam kategori baik.
Pengetahuan, Sikap, dan Perilaku Ibu Hamil tentang Pemanfaatan Buku Kesehatan Ibu Dan Anak (KIA) di Puskesmas Pengadang
Authors: Yulastini Fitria , Apriani Lia Arian , Hidayah Nurul
Published: September 2023

Buku kesehatan ibu dan anak (KIA) merupakan alat yang sederhana namun efektif digunakan sebagai alat informasi, edukasi, dan komunikasi. Pengetahuan ibu hamil tentang penggunaan KIA masih kurang dan menjadi kendala dalam pembentukan perilaku kesehatan ibu hamil. Buku KIA berisi informasi kesehatan sebagai upaya pemerintah untuk meningkatkan pengetahuan dan perilaku sehat ibu dan anak jika dimanfaatkan dengan baik oleh tenaga kesehatan dan ibu hamil. Tujuan Penelitian dilakukan untuk mengetahui gambaran tingkat pengetahuan ibu hami tentang pemanfaatan buku Kesehatan Ibu dan Anak (KIA) di Puskesmas Pengadang. Metode penelitian yang digunakan adalah metode deskriptif. Populasi dalam penelitian ibu hamil yang datang ke Puskesmas Pengadang untuk pemeriksaan ANC. Teknik pengambilan sampel menggunakan purposive sampling dan analisa data yang digunakan adalah analisa univariat. Hasil penelitian mengenai pengetahuan dan sikap ibu hamil tentang pemanfaatan buku kesehatan ibu dan anak (KIA) menunjukkan bahwa sebagian besar responden memiliki tingkat pengetahuan kurang yaitu sebanyak 18 responden (40%) dan sebagian besar memiliki sikap positif yaitu sebanyak 26 responden (57.8%).
Kajian Interaksi Obat Diabetes Mellitus Tipe II Dengan Penyakit Penyerta Hipertensi Di UPTD Puskesmas Cilacap “X”
Authors: Setia Permana Denih Agus
Published: September 2023

Pada tahun 2015, Indonesia menempati peringkat 7 sebagai negara dengan penyandang DM terbanyak di dunia, pada tahun 2018 terjadi peningkatan yang cukup signifikan yaitu dari 6,9% di tahun 2013 menjadi 8,5% di tahun 2018. Tujuan dari penelitian ini yaitu mengetahui interaksi obat dan pola pengobatan penyakit Diabetes Mellitus tipe 2 dengan penyakit penyerta Hipertensi di UPTD Puskesmas Cilacap  X  tahun 2022. Penelitian ini merupakan penelitian observasional dengan design penelitian retrospektif. Adapun sampel yang digunakan sebanyak 43 pasien dengan mengambil data dari rekam medis pasien Diabetes mellitus tipe 2 yang memiliki penyakit penyerta Hipertensi. Hasil dari penelitian ini diperoleh golongan obat antidiabetes yang diberikan yaitu Metformin (62%), Glimepirid (32%) dan Acarbose (6%), obat antihipertensi yang diberikan yaitu Amlodipin (70%), Candesartan (10%), Captopril (4%), Ramipril (4%), Valsartan (6%), Furosemid (2%), Bisoprolol (2%) dan Spironolakton (2%). Dari total 43 sampel, diperoleh  36 pasien (84%)  potensi interaksi obat dan tanpa interaksi obat sebanyak 7 pasien (16%). Interaksi obat berdasarkan waktu minum obat yaitu 26 responden (60%) memiliki potensi mengalami interaksi obat dan yang tidak terjadi interaksi obat sebanyak 17 responden (40%).
Passively Q-Switched Thulium-Holmium Doped Fibre Laser with Electrochemical Exfoliation Graphene in Chitin Based Passive Saturable Absorber
Authors: Nur Nadhirah Mohamad Rashid  , Harith Ahmad  , Mohammad Faizal Ismail  , Siti Nur Fatin Zuikafly  , Nur Azmah Nordin  , Tsuyoshi Koga  , Wira Jazair Yahya  , Hafizal Yahaya  , Fauzan Ahmad
Published: September 2023

Recent years saw low-dimensional carbon nanostructures like graphene as excellent saturable absorber (SA) for its unique electric and optical properties. Graphene exhibits ultrafast recovery times and high damage thresholds and can be manufactured by relatively simple methods. In this work, Graphene was synthesized using the electrochemical exfoliation (ECE) method. Chitin biopolymer was used to develop graphene-based SA as a more environmentally friendly alternative to conventional synthetic polymers. The fabricated passive SA was then integrated into Thulium-Holmium-doped fibre laser (THDFL) in ring cavity for pulsed laser generation via Q-switching. The optical and physical properties of the graphene-based SA were characterized using Raman spectroscopy, field emission scanning electron microscopy (FESEM) and energy-dispersive x-ray spectroscopy (EDS). Q-switched pulse was successfully demonstrated using the fabricated graphene SAs. ECE graphene-chitin SA generated a Q-switched pulse region at 2 micro-metre with the repetition rate and shortest pulse width of 67.78 kHZ and 10.03 micro-second, respectively. The signal-to-noise ratio (SNR) values obtained was 40 dB indicating high stability of the pulse laser-generated. This study demonstrated the potential of graphene embedded in chitin biopolymer as a sustainable and environmentally friendly SA for a wide range of applications, particularly for pulsed fibre lasers.
Technology trends in deep learning networks for real-time object detection in drone environment
Authors: Mun Jonghyeon , Sohn Chaebong
Published: September 2023

With the recent announcement of the Defense Innovation 4.0 Basic Plan by the Ministry of National Defense, the role and operational scope of drones are expanding as a key force in AI-based, unmanned, and autonomous systems. Consequently, the significance of real-time object detection technology is emphasized as drones take on diverse missions, including delivering, analyzing, and assessing real-time, target-related information. The emergence of recent deep learning has led to substantial advancements in the field of computer vision, particularly in object detection. Deep learning-based object detection is actively being researched, with a focus on algorithms suited for embedded and mobile environments such as drones. This research predominantly aims to develop deep learning-based object detection models that ensure real-time performance and accurately identify objects’ various forms and sizes. Recent object-detection models have been categorized into backbone networks, neck networks, and head networks. By utilizing these three network components, design considerations can be tailored to fulfill the requirements of drone operations. In this paper, we investigate the technology trends of deep learning network models that can be loaded into drones for real-time object detection. Thus we contribute to strengthening effective drone operation in military operations and supporting research and decision-making processes.
Special Issue on Monitoring and Diagnostics of Renewable Energy Systems
Authors: Albarbar Alhussein , Feng Zhipeng
Published: September 2023

Concerns about global warming and recent advances in the integration of renewable energy sources into power systems have necessitated the timely need for more powerful control and monitoring methods. The detection and diagnosis of potential to failures, at their onsets, in such power systems would improve their availability thus, increases the generation of clean energy and reduces the carbon footprint. This special issue is devoted to collection of state-of-the-art on modelling, data processing, condition monitoring, and preventive maintenance methods for renewable energy systems, including wind turbines, electric vehicle batteries and solar panels, to enhance their performance and overall effectiveness. The guest editorial would like to thank all the contributing authors for making their research outputs publicly available via this special issue. Thanks also extended to reviewers for their valuable comments for improving the quality of the submitted articles. We also would like to thank the journal’s production teams and editorial board for their assistance with the special issue.
Kronik Hastalığı Olan Bireylerde Sağlık Okuryazarlığı Düzeyinin Kronik Hastalığa Uyum ile İlişkisinin İncelenmesi: Kesitsel Bir Çalışma
Authors: ERDOĞAN YÜCE Gülyeter , MUZ Gamze
Published: September 2023

Bu çalışmada kronik hastalığa sahip bireylerin sağlık okuryazarlığı düzeyi ile ilişkili faktörlerin ve bunların kronik hastalığa uyum üzerindeki etkisinin incelenmesi amaçlanmıştır. Kesitsel-ilişki arayıcı tipteki bu araştırma kronik hastalığı olan tüm bireylere açık olarak yapılmıştır. Veriler; Google Formlar aracılığıyla oluşturulan çevrimiçi anketler yolu ile 3 Şubat- 4 Nisan 2021 tarihleri arasında toplanmıştır. Katılımcılar araştırmaya sosyal medya platformlarından davet edilmiştir. Araştırmaya Türkçe okuyup yazabilen, 18 yaş ve üstü, en az bir kronik hastalığı olan ve araştırmaya katılmaya gönüllü 171 kişi dahil edilmiştir. Veriler hasta bilgi formu, sağlık okuryazarlığı ölçeği ve kronik hastalıklara uyum ölçeği kullanılarak toplanmıştır. Katılımcıların kronik hastalığa uyum puan ortalamalarının eğitim, meslek ve gelir durumu değişkenlerine, sağlık okuryazarlığı düzeylerinin ise yaş, medeni durum, eğitim, meslek ve gelir durumu değişkenlerine göre farklılıklar gösterdiği belirlenmiştir. Hastaların yaş, gelir durumu ve sağlık okuryazarlığı düzeyinin kronik hastalığa uyumdaki varyansın %37,8’ini açıklamıştır. Çalışmada, sağlık okuryazarlığı düzeyinin yaş, medeni durum, meslek, eğitim ve gelir durumu gibi faktörle ilişkili olduğunu ve sağlık okuryazarlığının hastaların kronik hastalığa uyumunda önemli düzeyde etkili olduğu belirlenmiştir.
Fiziksel Aktivite ve İyi Oluş İlişkisi
Authors: ÇAKIR Gökhan , ERGİN Rıdvan
Published: September 2023

Araştırmanın amacı, üniversite öğrencilerinde (n=313; erkek 130 ve kadın 183; yaş 20,73±2,51 yıl) fiziksel aktivite ile iyi oluş (psikolojik iyi oluş ve yaşam doyumu) ilişkisinin incelenmesidir. Araştırmada, nicel araştırma yöntemi kullanılmıştır. Bu yöntem için tarama modelinden yararlanılmış olup veriler kolayda örnekleme yöntemiyle toplanmıştır. Araştırmanın çalışma grubunu belirlemek için G*Power programı kullanılmış olup; %95 test güç ile orta etki büyüklüğünde 138 kişinin çalışmanın yürütülebilmesi için gerekli olduğu hesaplanmıştır. Demografik özelliklerin belirlenmesi için “Kişisel Bilgi Formu” kullanılmıştır. Ölçek olarak; “Psikolojik İyi Oluş Ölçeği (PİOÖ)”1-2, “Yaşam Doyumu Ölçeği (YDÖ)”3 ve “Uluslararası Fiziksel Aktivite Anketi (Kısa) (UFAA)”4 kullanılmıştır. Veriler, istatistiksel veri analizi programıyla değerlendirilmiştir. Veri analizi öncesinde tanımlayıcı istatistikler belirlenmiştir. Ek olarak, veri dağılımı (parametrik-nonparametrik) incelenmiştir. İlişkisel analizde, Pearson Korelasyon Testi ve fiziksel aktivitenin etkisini inceleyebilmek için MANOVA Testi uygulanmıştır. Anlamlılık, p=0,05’tir. Bulgular incelendiğinde, öğrencilerin fiziksel aktivite düzeyleri yükseldikçe hem psikolojik iyi oluş hem de yaşam doyumu düzeylerinde artış görülmektedir. Aynı zamanda fiziksel aktivite, psikolojik iyi oluş ve yaşam doyumu ile pozitif yönde ilişkilidir. Ek olarak, psikolojik iyi oluş ile yaşam doyumu da pozitif yönde orta düzeyde ilişkilidir. Araştırmacılara fiziksel aktivite yapan grup ile yapmayan grup karşılaştırmalarını içeren deneysel çalışmaların yapılması önerilmektedir. Elde edilen bulgulara paralel olarak üniversite öğrencilerinin fiziksel aktivite düzeylerinin arttırıcı etkinliklerin yapılması önerilmektedir.
Evaluation of Forensic Cases Admitted to the Emergency Department: A Retrospective Analysis
Authors: AYDIN Merve , UZUN ŞAHİN Ceyda
Published: September 2023

This study was conducted retrospectively to determine the profile of forensic cases admitted to the emergency department of a university hospital. 127242 patients admitted to the emergency department of a university hospital within one year were retrospectively reviewed in terms of age, gender, type of event, the season of occurrence, age, and gender distribution of the type of event. The data were analyzed using the SPSS 23.0 package program. Out of all the forensic cases analyzed, 35.8% (n: 525) were in the 0-14 age group, and 64.7% (n: 949) were males. Admissions were most frequently made in the summer months. The most common forensic diagnoses were exposure to assault/violence, accounting for 29.2% of cases, followed by drug poisoning at 19.1%, and burns at 17.1%. Most cases (66.5%) were discharged after receiving outpatient treatment. It is evident that a substantial number of forensic cases admitted to the emergency department were preventable. To reduce the occurrence of preventable cases, it is essential to implement protective measures both outdoors and at home, creating a safe environment. It is crucial to support and promote education and awareness-raising activities that actively involve families with the support of social institutions. Support and dissemination of education and awareness-raising activities in which families will actively participate by social institutions, raising awareness of society through public service announcements, establishing an understanding that “does not tolerate violence” in preventing and reducing violence at home and in society, and enactment of effective and deterrent laws will be significant steps towards solving the problem of reducing assault/violence. Nurses, as healthcare professionals who have close interactions with individuals in various societal domains, play a crucial role in mitigating violence by assisting individuals in recognizing and managing anger, expressing it appropriately, and developing effective stress-coping strategies.
Investigation of The Effect of Combined Exercises on Glycemic Control in Individuals with Type 1 Diabetes
Authors: CİVİL Tamer , GÜNDÜZ Nevin , KOZ Mitat , DEMİRBİLEK Hüseyin
Published: September 2023

The aim of the present study was to investigate the effect of the combined physical exercise protocols on the blood glucose (BG) of children with T1D. The study was conducted over four weeks using self-controlled clinical trials. The first two weeks were control period and the last two weeks were the experimental period. A total of 6 exercise sessions were performed 3 days a week during the experimental period. The exercise program consisted of aerobic, stretching, and resistance exercises. Each exercise session was performed for 40 minutes. A total of 15 children with T1D, whose mean age was 13.3±SD, were included in the study. The blood glucose and insulin dose data of the participants were recorded in both periods through the continuous glucose measurement system and the registry. It was determined that aerobic exercises provided a significant decrease in blood glucose (p < .05). There was no statistically significant difference between the mean BG values in the control (211.7±37.3) and experimental (208.7±40.4) periods (p >0.05). On the other hand, a statistically significant decrease was found in the total daily insulin doses used by participants during the experimental (31.6±20.8 Unit) period (p < 0.001). Physical exercises had an acute positive effect on blood glucose in children with T1D. However, the effect of exercise alone is not sufficient for chronic glycemic control in T1D. For chronic glycemic control, first of all, the injected insulin doses should be carefully regulated according to carbohydrates and exercise.
Gençlik ve Spor İl Müdürlüğü Personelinin Örgütsel Bağlılıklarının İş Doyumuna Etkisi
Authors: GÜLŞEN Doğukan Batur Alp , BAYRAKDAROĞLU Yeşim , ÖNTÜRK Yavuz , AYHAN Mustafa , KAPLAN Mahir
Published: September 2023

Bu araştırmanın amacı Gençlik ve Spor İl Müdürlüğü personelinin örgütsel bağlılıklarının iş doyumuna etkisinin incelenmesidir. Çalışma grubunu Gümüşhane Gençlik ve Spor İl Müdürlüğünde görev yapan personeller arasından gönüllü katılım sağlayan 118 erkek, 109 kadın olmak üzere toplam 227 kişi oluşturmaktadır. Araştırmada verilerin toplanması betimsel tarama modelinde hazırlanan anket formu aracılığı ile yapılmıştır. Bu anket formunda Gençlik ve Spor İl Müdürlüğü personelinin demografik değişkenleri için kişisel bilgi formu, örgütsel bağlılıklarının belirlemesi için Allen ve Meyer (1990) tarafından geliştirilen, Türkçeye uyarlaması Baysal ve Paksoy (1999) tarafından yapılan “Örgütsel Bağlılık Ölçeği”(ÖBÖ); iş doyumunun belirlenmesi için Bayfield ve Rothe (1951) tarafından geliştirilen, Yoon ve Thye (2002) tarafından güncellenip 5 madde olarak kısaltılan ve Kuşluvan (2005) tarafından Türkçeye uyarlanan “İş Doyumu Ölçeği”(İDÖ) yer almıştır. Verilerin analizinde Independent Sample T testi, One Way ANOVA testi Pearson Korelasyon analizi, Çoklu Doğrusal Regresyon analizi kullanılmıştır. Araştırma sonucunda duygusal bağlılık ile iş doyum düzeyleri arasında pozitif yönde orta düzeyin üzerinde anlamlı ilişki olduğu belirlenmiştir. Normatif bağlılık ile iş doyum düzeyleri arasında (r=,497; p
The Generalized Cluster Complex: Refined Enumeration of Faces and Related Parking Spaces
Authors:   University of Massachusetts at Amherst, USA, Douvropoulos Theo , Josuat-Vergès Matthieu ,   Université Paris-Cité, France
Published: September 2023

The generalized cluster complex was introduced by Fomin and Reading, as a natural extension of the Fomin-Zelevinsky cluster complex coming from finite type cluster algebras. In this work, to each face of this complex we associate a parabolic conjugacy class of the underlying finite Coxeter group. We show that the refined enumeration of faces (respectively, positive faces) according to this data gives an explicit formula in terms of the corresponding characteristic polynomial (equivalently, in terms of Orlik-Solomon exponents). This characteristic polynomial originally comes from the theory of hyperplane arrangements, but it is conveniently defined via the parabolic Burnside ring. This makes a connection with the theory of parking spaces: our results eventually rely on some enumeration of chains of noncrossing partitions that were obtained in this context. The precise relations between the formulas counting faces and the one counting chains of noncrossing partitions are combinatorial reciprocities, generalizing the one between Narayana and Kirkman numbers.
The IR Compactness of Dusty Galaxies Sets Star Formation and Dust Properties at z ∼ 0–2
Authors: McKinney Jed , Pope Alexandra , Kirkpatrick Allison , Armus Lee , Díaz-Santos Tanio , Gómez-Guijarro Carlos , Franco Maximilien , Elbaz David , Hayward Christopher C. , Inami Hanae , Popping Gergö , Xiao Mengyuan
Published: September 2023

The surface densities of gas, dust, and stars provide a window into the physics of star formation that, until the advent of high-resolution far-IR/submillimeter observations, has been historically difficult to assess among dusty galaxies. To study the link between IR surface densities and dust properties, we leverage the Atacama Large Millimetre/Submillimetre Array archive to measure the extent of cold dust emission in 15 z ∼ 2 IR-selected galaxies selected on the basis of having available mid-IR spectroscopy from Spitzer. We use the mid-IR spectra to constrain the relative balance between dust heating from star formation and active galactic nuclei (AGNs), and to measure emission from polycylic aromatic hydrocarbons (PAHs), small dust grains that play a key role in the photoelectric heating of gas. In general, we find that dust-obscured star formation at high IR surface densities exhibits similar properties at low and high redshift, namely, local luminous IR galaxies (LIRGs) have comparable PAH luminosity to total dust mass ratios as high-z galaxies, and star formation at z ∼ 0–2 is more efficient at high IR surface densities despite the fact that our sample of high-z galaxies is closer to the main sequence than local LIRGs. High star formation efficiencies are coincident with a decline in the PAH-to-IR luminosity ratio reminiscent of the deficit observed in far-IR fine-structure lines. Changes in the gas and dust conditions arising from high star formation surface densities might help drive the star formation efficiency up. This could help explain the high efficiencies needed to reconcile star formation and gas volume densities in dusty galaxies at cosmic noon.
A new species of torrent catfish, Liobagrus geumgangensis (Teleostei, Siluriformes, Amblycipitidae), from Korea
Authors: Kim Su-hwan , Yun Seung-woon , Park Jong-young
Published: September 2023

In a recent survey of populations of the Korean torrent catfish Liobagrus, a distinctive species was discovered from the Geum River and its tributaries flowing into the western coast of Korea, and here described as a new species, L. geumgangensissp. nov. It is distinguishable from other congeners by a combination of the following characters: I, 8 pectoral fin-rays; 52–56 caudal-fin rays; a relatively short occiput to dorsal-fin origin distance (6.9–9.8% SL); a short pelvic-fin insertion to anal-fin origin distance (11.9–17.3% SL); a long dorsal-fin base (10.6–13.5% SL); 8–9 gill rakers; 5–8 serrations on the pectoral fin; the body and fins are dark yellow, the margins of the dorsal, anal, and caudal fins are dark brown, but the outermost rim is faintly yellow. Analysis of the cytb gene also confirmed that L. geumgangensis is a monophyletic lineage distinct from other congeners.
Two new species of terrestrial frogs of the Pristimantis gladiator complex (Anura, Strabomantidae) from the Ecuadorian Andes, with insights on their biogeography and skull morphology
Authors: Reyes-Puig Juan Pablo , Urgilés-Merchán Miguel , Franco-Mena Daniela , Guayasamin Juan M. , Batallas Diego , Reyes-Puig Carolina
Published: September 2023

The explosive diversity of rainfrogs (Pristimantis spp) reaches its highest levels in the mountains of the Tropical Andes, with remarkable cryptic species mainly in unexplored areas of Ecuador. Based on phylogenetics, morphometric traits, skull osteology and bioacoustics, we describe two new species of Pristimantis, previously confused with Pristimantis gladiator, that belong to the subgenus Trachyphrynus traditionally known as the Pristimantis myersi species group. The two new taxa are closely related, but have allopatric distributions. We discuss the importance of the Quijos and Pastaza River valleys in the diversification along Amazonian slopes of the Ecuadorian Andes.
États-Unis. La mobilisation d’une catégorie de travailleurs et travailleuses précaires des universités : le cas des gradworkers
Authors: Ménard Marie A.
Published: September 2023

Résumé Cet article explore la résurgence des mouvements de grève parmi les gradworkers aux États-Unis. Après plusieurs vagues de syndicalisation, ces personnels précaires des universités américaines se saisissent aujourd’hui de la grève pour revendiquer le statut de travailleurs et travailleuses et de meilleures conditions d’emploi. Si certaines grèves aboutissent avec succès, d’autres obtiennent des résultats plus mitigés, rendant compte de la difficulté à maintenir des coalitions efficaces entre titulaires et non-titulaires, et de la persistance de zones grises d’emploi à l’université.