bluuebunny/crossref_metadata_2025 huggingface dataset:
The Morphological Variation of the Soft Palate in Hospital Visiting Patients
Authors: Dahal Samarika , Gupta Sanjay Prasad , Singh Ashutosh Kumar , Baral Radha , Srikant N  , Giri Abhishek
Published: November 2024

Background: The soft palate anatomy of individuals can have a range of morphologies. Cephalometric analysis is a low-cost approach to analyze the soft palate in patients with or without developmental abnormalities.Methods: The lateral cephalogram of the patients visiting Tribhuvan University Teaching Hospital, Institute of Medicine for various dental treatment purposes was evaluated. The soft palate was delineated on the radiographs by sketching the soft palate's contour along its radiolucent outline using the curve lines and connectors of Microsoft PowerPoint. The soft palate was then categorized according to the study by You M et al.Results: The different types of soft palate morphology observed in the study were rat tail (42.4%), leaf-like (40.8%), butt-like shape (8.9%), straight-line (4.7%), s-shaped (1.9%), and crooked (0.9%). The males had rat-tail (44.4%), leaf-like (41.1%), butt-like shape (8.4%), straight-line (3.9%), s-shaped (1.3%), and crooked (0.6%), whereas the females had rat-tail like (40.6%), leaf-like (40.6%), butt-like shape (9.5%), straight-line (5.6%), s-shaped (2.5%), and crooked (1.2%) types of soft palate. Conclusions: The rat-tail form of the soft palate was the most prevalent, followed by the leaf-like in both sexes. The least common type was the crooked form. This study found no evidence of sexual dimorphism. Keywords: Cephalogram; morphology; Nepalese population; soft palate.
Psychological Distress and Coping among Pregnant Women during the COVID 19 Pandemic
Authors: Rimal Surya Prasad , Thapa Kriti , Shrestha Ramesh
Published: November 2024

Background: Mental health of pregnant individuals has been profoundly affected by the COVID-19 pandemic. Effective coping strategies are found to be associated with better psychological wellbeing during the COVID-19 pandemic. The objective of the present study is to assess psychological distress and coping among pregnant women during the COVID-19 pandemic.Methods: A descriptive cross sectional study was conducted from May 2020 to July 2020 among 115 pregnant women attending obstetric unit of a tertiary care centre using convenience sampling technique. Ethical approval was obtained from the Institutional Review Committee of the Institute. Covid-19 Peritraumatic Distress Index and Brief COPE inventory was used to collect the data. Data entry was done in Microsoft Office Excel 2007 and analysed in SPSS version 16.Results: Psychological distress was found in 2.6% of the participants. Psychological distress was significantly associated with occupation, fear of ANC visit, fear of visit to hospital for other health problems and fear of being alone or without help around delivery. Emotion focused coping was the most commonly used coping strategies among the pregnant women with the mean score of 21.37±3.130. Psychological distress and over all coping strategies had a positive correlation (<0.001).Conclusions: Psychological distress was found to be low among the pregnant women in this study. Fear of being without help and fear of contacting the virus during the visit to the hospital during the Covid-19 pandemic were the likely reasons of the psychological distress in the pregnant women. Keywords: Coping; pregnancy;Psychological distress.
Clinical Characteristics and outcome analysis of SARS-CoV-2 patients admitted to different Critical Care Units in Nepal
Authors: Hamal Pawan Kumar , Poudel Puspa Raj , Yadav Rupesh Kumar , Sigdel Rohini , Chapagai Badri , Bhattarai Ramesh , Bhandari Tirtha Raj , Jha Prabin Kumar , Yadav Sanjay , Neupane Anil Prasad , Ghimire Sailaja , Poudel Kiran , Dhungana Siddhartha , Pokharel Nabin , Dhakal Gaurav Raj , Gyanwali Pradip
Published: November 2024

Background: The clinical presentation, biochemical characteristics, and outcomes of patients infected with SARS-CoV-2 can vary in different populations. The purpose of the study is to assess the clinical presentation and identify predictors of mortality among patients with severe acute respiratory distress syndrome admitted to different critical care units in Nepal.Methods: An observational study was conducted among the confirmed SARS-CoV-2 patients admitted to different critical care units in seven provinces of Nepal. Retrospective data was collected for the period of three months (April 14, 2021 to July 15, 2021) in relation to the peak of the second wave of COVID-19 pandemic in Nepal. Clinical, biochemical and mortality data were collected from the admitted patients of different critical care units. Univariate logistic regression analysis was done among the selected variables at 5% significance. Final predictor variables were identified after multiple regression analysis. Results: Out of total of 646 patients admitted to critical care units of different provinces of Nepal, there was a male predominance 420 (65%). A total of 232(35.91 %) patients were non-survivors with the majority of mortality occurring in patients > 50 years of age. Cough (72.3 %), shortness of breath (70.9%) and fever (56 %) were the most common presenting clinical features. Increasing age, presence of comorbidity, critical COVID-19 cases, respiratory rate, temperature, serum urea and alanine aminotransferase were identified as predictors of mortality after multiple regression analysis.Conclusions: Approximately 36 % of the confirmed SARS-CoV-2 patient admitted to critical care units did not survive. There was a male preponderance with most casualties occurring in patients more than 50 years of age. Cough, shortness of breath and fever were the most common presenting features. After multiple regression analysis of the identified clinical and biochemical factors, age, presence of comorbidity, respiratory rate, temperature, severity grade as per the World Health Organization classification, serum urea and alanine aminotransferase were identified as the predictors of mortality. Keywords: Corona virus disease; critical care; outcome; severe acute respiratory syndrome; mortality.
Tuzluluk stresi koşullarında potasyum nitrat dozlarının sorgumun (Sorghum bicolor L. Moench) fide büyümesi, fizyolojisi ve su kullanımı üzerine iyileştirici etkileri
Authors: Abdulrasaq Shuaib Ajetunmobi , Kiremit Mehmet , Arslan Hakan
Published: November 2024

Tuz stresi, dünya genelinde tarımsal üretimde verimlilik ve sürdürülebilirliği olumsuz etkileyen en önemli abiyotik stres faktörlerinden biridir. Bu koşullarda, tarımsal verimliliğini arttırmak için etkili ve sürdürülebilir çözümlerin üretilmesi gerekmektedir. Bu çalışmada potasyum nitrat (KNO3) dozları (0, 12.5 25 ve 50 mM) ile ön uygulamaya tabi tutulmuş sorgum tohumlarının 4 farklı toprak tuzluluğu koşullarında (0.63, 5.10, 9.55 ve 14.02 dS m-1) fide büyümesi, stoma iletkenliği, SPAD ve bitki su tüketimi parametreleri incelenmiştir. Toprak tuzluluğu arttıkça fide boyu, toprak üstü yaş ve kuru ağırlık, yaprak alanı, stoma iletkenliği ve SPAD değerleri önemli derecede azalmıştır. Toprak tuzluluğu 14.02 dS m-1'e kıyasla, 0.63 dS m-1 tuzluluk seviyesinde yaprak alanı %123.9, stoma iletkenliği %159.6 ve SPAD değeri %100.4 oranında artmıştır. Potasyum nitrat uygulamalarının sorgum fidelerinin bitki su tüketimi üzerine önemli bir etkilerinin olmadığı tespit edilmiştir. Ancak, potasyum nitrat dozları sorgum fide büyümesini pozitif etkilemiştir. Buna göre, 0 mM potasyum nitrata kıyasla, 50 mM potasyum nitrat uygulaması bitki boyunu %13.1, toprak üstü yaş ağırlığı %29.3, yaprak alanını %26.4 ve SPAD değerini %45.0 oranında artırmıştır. Özellikle, 0, 12.5 ve 25 mM KNO3 kıyasla, sorgum tohumlarının 50 mM KNO3 ile ön uygulamaya tabi tutulması, 5.10 dS m-1 toprak tuzluluğu koşullarında sorgum fide gelişimini arttırmıştır. Elde edilen bulgular, potasyum nitratın sorgum bitkilerinde tuz stresinin toksik etkisini iyileştirmede etkili olduğunu göstermiştir. Sonuç olarak, tuzlu tarımsal üretim alanlarında, sorgum fide gelişimini arttırmak için sorgum tohumlarının ekiminden önce 50 mM KNO3 ile ön uygulamaya tabi tutulması önerilebilir.
A Systematic Investigation into the Generation of Words Using Semantic Priming Experiments
Authors: P C Girija , Narayanan Nayana , Kabeer Labeeba
Published: November 2024

Semantic priming facilitates word generation by improving the ability to produce semantically related words. However, age-related neurobiological changes may diminish this capacity. This study investigates the effect of aging on word generation across different semantic categories in 150 healthy individuals, aged 31 to 80, divided into five age groups. Participants were tasked with generating words in the categories of synonym, antonym, abstract, and concrete, using the DMDX software. The number of words generated and the accuracy of responses were recorded. The findings revealed statistically significant differences (p < 0.05) in the number of words generated across most age groups, with the exception of adjacent age groups (31–40 vs. 41–50, 41–50 vs. 51–60, and 61–70 vs. 71–80), where no significant differences were observed. These results suggest that neurobiological changes between adjacent age groups are subtle. The reduced performance observed in older adults may be attributed to a diminished ability to strategically access and retrieve lexical forms from semantic memory. However, semantic priming appears to mitigate these age-related declines, preventing significant differences between adjacent age groups.
Yargıtay 11. Hukuk Dairesi’nin Tahkim İtirazı ve Dürüstlük Kuralı Hakkında Vermiş Olduğu Bir Kararının İncelemesi: Uluslararası Tahkim Merkezi Olma Hedefinde Bir Adım İleri İki Adım Geri
Authors: Kalafatoğlu Mehmet Polat
Published: November 2024

Çalışmamız, Yargıtay 11. HD’nin tahkim itirazı ve dürüstlük kuralı ilişkisine dair bir kararının eleştirel incelemesini konu almaktadır. Bu kararda, Londra’da tahkim yargılamasını öngören bir tahkim anlaşması kapsamına giren bir uyuşmazlık Türk mahkemeleri önüne gelmiştir. Davalıların yapmış olduğu tahkim itirazı dürüstlük kuralından hareketle ve Türkiye’deki kendi ikametgâh mahkemelerinde kendilerini daha iyi savunabilecek olmaları gerekçesiyle reddedilmiştir. Çalışmamızda, kısaca, Türk hukuku uyarınca tahkim anlaşmasının etkisi ve tahkim itirazından bahsedilecektir ve sonrasında ilgili karar incelenecektir. Aynı zamanda, Türk mahkemelerinin yabancı mahkemeler lehine yapılan yetki anlaşmalarına dayanan yetki itirazlarında dürüstlük kuralının uygulamasına ilişkin benzer kararları değerlendirilmiştir. Sonuç olarak, bu kararın gerekçesinin, hangi sebeplerle hatalı bir varsayıma dayandığı ve bu kararın Türkiye’yi bir uluslararası tahkim merkezi yapma amacı ve çalışmalarına zarar vereceği açıklanmıştır.
Reframing the environment domain of the nursing metaparadigm: Exploring space, place, and technology
Authors: Purisima Epifania Marlene , Arde Jr. Bernardo Oliber , Nero Francis Don , Locsin Rozzano C. , Montayre Jed
Published: November 2024

Metaparadigms differentiate disciplines in terms of how each discipline develops its knowledge and its scholarship. In nursing, four domains comprise the nursing metaparadigm, namely: environment, person, health, and nursing. Of these domains, the environment domain is the least identified. Relating this domain to the broader substantive meaning of geographical-landscape setting of nursing encounters requires further explanation. Through a discursive process the article positions “space and place” referencing the nursing environment. The aim of the article is to clarify and explain the expanding reach of the environment domain, extending its definition while recognizing its range of influence in nursing and healthcare. Distinguishing the nursing environment as a well-established domain of the nursing metaparadigm makes nursing practice more visible, valuable, and relevant. Characterized by its impact on discipline-related knowledge development guiding professional practice, the environment domain assumes an integral “space and place” in human healthcare practice.
Overcoming cultural taboo: A qualitative study of the untold lived experience of older adults’ sexual life in Cebu, Philippines
Authors: Sta. Teresa Marjorie R. , Ragay Alain Kenneth S. , Machacon Alberich F.
Published: November 2024

Background: The craving for sexuality and closeness continues into old age, although the means of expressing it may change. Beyond direct sexual encounters, older adults can express their sexuality through gentle affection, warm embraces, holding hands, and other intimate gestures. However, aging can also impact their sexual experiences.
Objective: This study aimed to explore the lived experiences of sexuality among older adults living in the countryside of Cebu, Philippines, during their senior years.
Methods: A qualitative descriptive phenomenological design was employed. Purposive sampling was used to select ten participants. Data were collected from September to December 2023, and Colaizzi’s method of data analysis was applied to ensure thorough interpretation.
Results: Three major themes emerged: 1) Being Centered: An actualized form of sexuality in later years; 2) Being Connected: A strong sense of intimacy in later years; and 3) Being Conveyed: Diversifying expressions of sexuality in later years.
Conclusion: Despite advancing age, older adults can remain active in their intimate relationships and achieve a healthy marital life characterized by life satisfaction. They express their love for their partners by being centered, connected, and attuned to each other’s needs and feelings. These findings highlight the importance for geriatric nurses to recognize and support the sexual health and intimacy needs of older adults, facilitating discussions and providing resources that promote overall well-being and quality of life.
Refining clinical judgment competence in nursing education in the Philippines: A mixed-methods study on the impact of the Philips 66 brainstorming technique in case-based learning
Authors: Madayag Rudena A. , Bautista Evangeline C. , Pineda John Paulo C. , Geanga Aylwin S. , Agustin Rhocette M. Sn , Roque Myron L. , Apostol Angela P. , Ramirez Debbie Q.
Published: November 2024

Background: Clinical judgment is crucial for nurses in complex healthcare settings. In the Philippines, nursing students must develop critical thinking and decision-making skills to handle resource-limited environments and challenging patient care. However, existing educational methods often fail to engage students and fully promote diverse perspectives.
Objective: This study aimed to examine the effect of integrating the Philips 66 technique into Case-Based Learning (CBL) on enhancing clinical judgment competence among Filipino nursing students.
Methods: This study utilized an explanatory sequential mixed methods design. The quantitative phase involved a true experimental pre-test/post-test design with 60 senior nursing students randomly assigned to intervention (n = 30) and control (n = 30) groups. The intervention group participated in the Philips 66 technique with CBL, while the control group followed standard CBL. Clinical judgment competence was assessed using the Lasater Clinical Judgment Rubric (LCJR) and a researcher-designed/validated questionnaire to measure confidence. Focus group discussions (FGDs) with a subset of the intervention group explored their experiences with the Philips 66 technique. Data were analyzed using descriptive statistics and non-parametric tests for the quantitative component, while thematic analysis was applied to qualitative data.
Results: The intervention group significantly outperformed the control group in both self-reported confidence and overall clinical judgment abilities. The Philips 66-CBL group showed significant improvements (p <0.005, r (effect size) = 0.66 - 0.71) in all areas, while the control group demonstrated significant improvements in information seeking, evaluation/self-analysis, and commitment to improvement (p <0.001, Cohen’s d = 0.54 - 0.617). Qualitative data from FGDs highlighted the value of Philips 66 in fostering teamwork, rapid knowledge sharing, and increased efficiency in addressing clinical scenarios, which are essential skills for nursing practice.
Conclusion: The combination of the Philips 66 technique with CBL significantly improves the clinical judgment abilities of Filipino nursing students in a shorter timeframe compared to conventional approaches. Insights from qualitative data highlight its effectiveness in fostering collaborative learning and preparing students for the challenges of dynamic clinical settings. Further research with larger, more diverse samples across different contexts is essential to confirm these findings and explore the long-term influence of Philips 66-CBL on nursing students’ clinical judgment development worldwide.
Trial Registry Number: NCT06646068 [clinicaltrias.gov]
Philippine Health Research Registry: PHRR241010-007605 [registry.healthresearch.ph]
Elements of a nurse-coordinated post-stroke home care rehabilitation in the Philippines: A cross-sectional study
Authors: Blaquera Allan Paulo , Soriano Gil P. , Ito Hirokazu , Yasuhara Yuko , Tanioka Tetsuya
Published: November 2024

Background: Stroke is the leading cause of disability and the second leading cause of death worldwide. In the Philippines, there is a lack of a unified system for the care of community-dwelling patients with stroke. Furthermore, rehabilitation facilities are underutilized, and human resources and financial support policies are lacking. Nurses have become valuable human resources in rehabilitation. Current literature has inconsistent and weak evidence on the effectiveness of home-based post-stroke rehabilitation.
Objective: This study aimed to determine essential elements that constitute a nurse-coordinated post-stroke home care rehabilitation in the Philippines.
Methods: A literature review was conducted to generate items for a tool that would elicit important elements of post-stroke home care rehabilitation in terms of structure, process, and outcome domains. Two rounds of the modified e-Delphi technique were conducted with a panel of 10 experts, and the content validity index (CVI) was calculated. Using the developed tool, a cross-sectional survey was conducted among nurses in the Philippines in March 2024. The responses were subjected to principal component analysis.
Results: The validated tool contains 55 items with an item level CVI range of 0.9-1.0 and a scale level CVI of 0.99. Online survey responses were received from 326 participants. The first principal component for each domain was analyzed. Structure elements involve an interdisciplinary team that integrates policy and funding for home visits and telehealth services, ensuring culturally responsive home environments. Process elements involve collaborative planning and evidence-based treatment processes coordinated by nurses, prioritizing patient and family engagement. Nurses may perform therapies delegated by rehabilitation specialists. Outcomes elements focus on achieving patient- and family-centered goals, enhancing daily activities, and improving overall quality of life.
Conclusion: Given the complexity of community-based rehabilitation, this study determined the essential elements of post-stroke home care rehabilitation. These elements are crucial in providing guidance to policymakers, clinicians, and patients in the delivery of home-based post-stroke care.
RHD-HA-9: A scale for nurses to assess readiness for hospital discharge in older adults following hip arthroplasty—development and psychometric testing
Authors: Changsuphan Supattra , Srisatidnarakul Boonjai , DeVon Holli A.
Published: November 2024

Background: Designing an instrument to assess discharge readiness post-hip surgery is essential due to trends showing poor patient outcomes, such as pain management issues, mobility challenges, and insufficient home support. A structured assessment tool would help ensure patients are better prepared for recovery, reducing the risk of complications and readmission.
Objective: To develop and test the psychometric properties of the Readiness for Hospital Discharge Scale (RHD-HA-9) for hip arthroplasty.
Methods: Items were generated from a comprehensive literature review and individual, face-to-face interviews with experts and patients. A cross-sectional study was conducted across four tertiary governmental hospitals to evaluate the psychometric properties of the scale. Data were collected from a total of 200 older adults who had undergone hip arthroplasty between June 2020 and February 2021. Exploratory Factor Analysis (EFA) was performed on data from 100 older adults to identify the underlying factor structure, followed by Confirmatory Factor Analysis (CFA) on a separate 100-patient dataset to validate the model. The questionnaire’s internal consistency, corrected item-total correlations, inter-rater reliability, construct, concurrent, and predictive validity were assessed.
Results: The RHD-HA-9 included nine items, categorized into two factors: the physical performance of hip function and barriers to physical activity. EFA and CFA confirmed these factors, explaining 62% of the total variance. Model fit indices were acceptable (CFI = 0.97, TLI = 0.96, SRMR = 0.04), though RMSEA was 0.12. Chi-square was significant (X2 = 0.056, df = 24, p <0.001). The scale showed excellent internal consistency (Cronbach’s α = 0.89) and stability (ICC = 0.94). ROC analysis identified a cutoff of 9.5, with a sensitivity of 90.7%, specificity of 70.6%, and AUC of 0.89.
Conclusion: The RHD-HA-9 demonstrated strong psychometric properties for assessing discharge readiness in older adults following hip arthroplasty. It identifies patients who need additional support during their transition home. Nurses can use this tool to accurately assess patient needs and implement effective post-discharge care, thereby enhancing patient outcomes.
Lower accuracy of estimated delivery date using last menstrual period recall and related factors of adverse events during childbirth: A sub-analysis of a birth cohort study in Makassar, Indonesia
Authors: Wijaya Eri , Ansariadi  , Hadju Veni , Sjahril Rizalinda , Adisasmita Asri C , Mallongi Anwar , Stang
Published: November 2024

Background: Early pregnancy ultrasound provides a more accurate estimate of the estimated delivery date (EDD) than the last menstrual period (LMP). However, LMP-based EDD calculation remains common in resource-limited settings. Inaccurate EDDs can contribute to adverse birth outcomes. However, research examining the accuracy of LMP-based EDDs and their association with delivery-related adverse events is limited.
Objective: This study aimed to evaluate the accuracy of self-reported LMP in predicting EDD and its association with adverse events during delivery.
Methods: Data were analyzed from 171 pregnant women participating in the Indonesian Birth Cohort Study based in Makassar, Indonesia. This study utilized a prospective cohort design, employing descriptive statistics and Poisson regression analysis in Stata. Adverse events were defined as any unexpected negative occurrence during delivery, including issues related to healthcare access, birth attendance, and the medical condition of the mother and newborn.
Results: Mode of delivery and categorized differences between actual delivery date and estimated delivery date (ADD-EDD) were significantly associated with adverse events during delivery. Cesarean delivery was associated with a higher risk of adverse events compared to vaginal birth (Adjusted Risk Ratio [ARR] 1.11, 95% CI: 1.02–1.22, p <0.001). Additionally, ADD-EDD differences of ≤-15 days (ARR 1.49, 95% CI: 1.35–1.65), -14 to -8 days (ARR 1.33, 95% CI: 1.19–1.49), and ≥15 days (ARR 1.37, 95% CI: 1.20–1.58) showed an increased risk (all p <0.001). An ADD-EDD difference of 8 to 14 days was marginally significant (ARR 1.20, 95% CI: 1.00–1.44, p = 0.046). The ADD-EDD distribution showed notable gaps, with ADD deviations occurring as early as 109 days before and as late as 45 days after the EDD. On average, the ADD occurred approximately one week earlier (-7.15 days) than the EDD.
Conclusion: Lower accuracy of LMP-based EDDs and delivery mode is associated with increased adverse events during delivery. Transitioning from LMP-based EDDs to more accurate methods is necessary to improve maternal and neonatal care outcomes. Integrating routine early ultrasound for EDD calculation can better equip healthcare providers and nurses to plan deliveries, reduce risks, and improve patient outcomes in resource-limited settings.
Antik Medeniyetlerden İslam Tasavvuf Geleneğine Dini ve Askeri Mûsikî Enstrümanı ‘Çalpara’
Authors: Yiğit İrfan
Published: November 2024

Ayinlerde kullanılan mûsikî, antik dönemlerde tanrılarla olan ilişkilerin kurulmasında önemli bir araçtır. Öyle ki toplumların başına gelen felaketlerin sorumluluğu ayinlerde müzisyenlerin yapmış oldukları mûsikînin düzgün olmaması ile ilişkilendirilerek ölüm cezasına çarptırılmışlardır. Bu kadar kutsallık atfedilen bir alanda kullanılan araçlar, eşyalar, çalgılar dini bir kimlik kazanmıştır. Antik dönemlerde kazanılan dini anlam binlerce yıllık bir süreçte değişim geçirebilir. Fakat günümüzdeki dini kültürün uygulanış modellerine bakıldığında değişim geçirmeden günümüze gelen unsurlarda dikkat çekmektedir. Bu unsurlar içerisinde enstrümanlar, mûsikînin yapılabilmesi için olmazsa olmaz araçlar olmuşlardır. Mûsikîde kullanılan enstrümanlardan olan “çalpara” ana başlığımızdır. Çalparanın ilk örneklerine antik medeniyetlerin hiyeroglif buluntularında rastlanmaktadır. Özellikle Anadolu, Yunan, Mezopotamya, Ortadoğu, Mısır medeniyetlerinde izlerine rastlanan çalpara, tasavvuf kültüründe de yer alması nedeniyle beş bin yıllık bir tarihsel süreçle tarihlenmiş olacaktır. Sümer, Hitit, Mısır ve Yunan medeniyetlerine ait kabartma resimlerinde örneklerine rastlanan çalparanın tasavvuf mûsikîsi nazariyat kitaplarında ve Osmanlıca sözlüklerde aynı isimle kullanılması beş bin yıllık kurguyu sağlamamıza yardımcı olmuştur. Bu sayede “çalpara” enstrümanı beş bin yıllık antik geçmişe sahip olan günümüz ismiyle “zil” antik dönem ismiyle “çalpara” olarak adlandırılan antik bir enstrüman çeşidi olmuştur. Makale konumuz olan “çalpara” enstrümanını kavramsal çerçevede inceledikten sonra farklı medeniyetlerdeki yerine dair bilgiler verdik. Antik medeniyetlerden itibaren yapımında kullanılan metal hammaddesi, şekilsel özellikleri ve yapım teknikleri de incelediğimiz konular arasındadır. Faklı mûsikîşinaslar ve tarihçilerin yapmış olduğu kavramsal tanımlamalar, şekilsel tariflerde beş bin yıllık süreci görmemiz bakımından önemlidir. Farklı dönem ve medeniyetlerin dinî ayin kültürü, toplumsal değere sahip farklı etkinlikler içerisindeki konumu günümüzle kıyaslama yapılabilmesi için bilinmesi gereken bilgilerdir. Antik buluntulardan elde ettiğimiz bilgiler, çalpara enstrümanına kullanıldığı dönem gördüğü değeri belgelememizi sağlamaktadır.
Sünnî-Şiî Gelenekte Müs‘tazaf Kavramı ve Humeynî’nin Politikasındaki Yeri
Authors: Yüce Mustafa , Demir Ahmet İshak
Published: November 2024

Bu makale, “müstazʻaf” kavramının Sünnî ve Şiî İslâm geleneklerindeki anlamlarını karşılaştırmalı olarak ele almaktadır. Sünnî âlimler, müstazʻaf terimini genellikle sözlük anlamıyla, yani ekonomik, sosyal ve siyasi açıdan zayıf veya dışlanmış bireyler olarak tanımlamaktadır. Klasik dönemde İmam Mâtürîdî ve Fahreddin Râzî gibi Sünnî âlimler, bu kavrama teolojik bir derinlik kazandırmadan, onu sadece literal anlamında değerlendirmişlerdir. Modern dönemde de Sünnî düşünce, bu klasik yorumu sürdürmekte ve müstazʻafı daha çok toplumsal dezavantajlılıkla ilişkilendirmektedir. Sünnî âlimler için müstazʻaf, ekonomik ve sosyal açıdan geri kalmış toplulukları ifade ederken, Şiî geleneğinde ise müstazʻaf kavramı, daha geniş bir anlam kazanmaktadır. Bu anlamda Şiî İmâmiyye âlimleri, müstazʻafı yalnızca ekonomik ve sosyal zayıflıkla değil, aynı zamanda Ehl-i Beyt’e sadakat gösteren fakat siyasi olarak baskı altında olan Müslümanları tanımlamak için kullanmışlardır. Aynı zamanda Şiî imamlar, kendilerini ve takipçilerini müstazʻaflar olarak görmüşlerdir. Bu bağlamda müstazʻaflar, sadece zayıf bireyler değil, aynı zamanda sosyo-politik baskılara direnen topluluklar olarak değerlendirilmiştir. Şiî gelenekte müstazʻaf, hem toplumsal hem de inançsal bir direnişi temsil eder. Modern dönemde ise müstazʻaf kavramı özellikle İran İslâm Devrimi ile daha geniş bir siyasi anlam kazanmıştır. Âyetullah Humeynî, bu kavramı sadece Şiî topluluklarla sınırlamayarak, dünya genelinde ezilen ve sömürülen tüm halkları kapsayan bir sembol olarak kullanmıştır. Ona göre müstazʻaflar, küresel adaletsizliklere karşı direnen gruplardır ve onların iman gücü, müstekbirlerin (zalim yöneticilerin) zayıflığını ortaya çıkarmaktadır. Bu doğrultuda, müstazʻaf kavramı, İslâm Devrimi’nin savunucuları ve küresel adalet mücadelesinin sembolü haline gelmiştir. Sonuç olarak, bu çalışma müstazʻaf kavramının Sünnî ve Şiî geleneklerindeki tarihsel ve teolojik anlamlarını karşılaştırmakta, iki mezhep arasındaki yorum farklılıklarını detaylı şekilde ele almaktadır.
Ahşap ve ahşap esaslı levhalara uygulanan boyaların yanmada ışık yoğunluğuna etkisi
Authors: Kara Hanife , Özder Cansu , Keskin Hakan , Atar Musa , Karabal Beyza Nur
Published: November 2024

Bu çalışma, çeşitli örtücü ahşap boyaların ağaç malzeme ve levhalarda yanmada ışık yoğunluğuna etkilerini belirlemek amacı ile yapılmıştır. Bu maksatla Doğu kayını (Fagus oriantalis L.), sarıçam (Pinus silvestris L.), sapsız meşe (Quercus petraea L.) orta yoğunlukta lif levha (MDF) ve yonga levhadan hazırlanan, örnekler akrilik, sentetik ve selülozik boya (lake boya) ile ASTM-D-3023’e göre boyanmıştır. Örneklerin yanmada ışık yoğunlukları ASTM E 160–50 esaslarına göre belirlenmiştir. Işık yoğunluğu; malzeme çeşidine göre en yüksek Doğu kayınında, en düşük yonga levhada, boya çeşidine göre en yüksek akrilik boyada, en düşük sentetik boyada belirlenmiştir. Işık yoğunluğu; kendi kendine yanmada malzeme çeşidine göre en yüksek yonga levhada (865,3), en düşük sarıçamda (839,5), malzeme türü, boya çeşidi ve kat sayısı etkileşimine göre en yüksek YL+Ab+I’de (tek kat akrilik boya ile boyanmış yonga levha) (888,2), en düşük Sç+Sb+II’de (iki kat selülozik boya ile boyanmış sarıçam) (776,4) belirlenmiştir. Buna göre, araştırması yapılan malzemelerin dekorasyonda uygulanmasının düşünülmesi halinde, yangında dumandan boğulma tehlikesine karşı en uygun ve daha düşük risk içeren dekorasyon elemanının yonga levhadan yapılmış ve akrilik boya ile boyanmış materyaller olacağı tespit edilmiştir. Bu durum, yangın riski bulanan mekânlarda burada bulunan sonuçların dikkate alınarak uygulanması can emniyeti bakımından avantaj sağlayacağı söylenebilir.
Kepuasan Kerja Sebagai Penguat Loyalitas Kerja Pegawai dalam Kerangka Kesehatan Sosial di Sekolah
Authors: Abidin Faris , Kattari Raisah Putri
Published: November 2024

Work loyalty is one of the elements used in employee assessment which includes loyalty to work, position and organization. Job satisfaction is one of the factors that can influence employee loyalty in working. This study aimed to analyze the relationship between job satisfaction and employee work loyalty in Senior High Schools in Mataram City. This study involved 54 employees working in Senior High Schools in Mataram City, who were selected using consecutive sampling techniques. The focus of the study was job satisfaction and loyalty, which were measured by filling out a questionnaire. The data were then analyzed using the Pearson correlation test. The results showed that the correlation coefficient between job satisfaction and work loyalty was 0.573, while the p value was 0.000; so it could be interpreted that there was a positive correlation between job satisfaction and employee work loyalty. Furthermore, it was concluded that job satisfaction is a reinforcement for work loyalty.

Keywords: social health; work loyalty; job satisfaction; employees

 

ABSTRAK

 

Loyalitas kerja merupakan salah satu unsur yang digunakan dalam penilaian karyawan yang mencakup kesetiaan terhadap pekerjaan, jabatan dan organisasi. Kepuasan kerja merupakan salah satu faktor yang dapat mempengaruhi loyalitas karyawan dalam bekerja. Penelitian ini bertujuan untuk menganalisis hubungan antara kepuasan kerja dan loyalitas kerja pegawai di Sekolah Menengah Atas Kota Mataram. Penelitian ini melibatkan 54 pegawai yang bekerja di Sekolah Menengah Atas Kota Mataram, yang dipilih dengan teknik consequtive sampling. Fokus penelitian adalah kepuasan kerja dan loyalitas, yang diukur melalui pengisian kuesioner. Data kemudian dianalisis menggunakan uji korelasi Pearson. Hasil penelitian menunjukkan bahwa koefisien korelasi antara kepuasan kerja dengan loyalitas kerja adalah 0,573, sedangkan nilai p adalah 0,000; sehingga bisa diinterpretasikan bahwa ada korelasi positif antara kepuasan kerja dan loyalitas kerja karyawan. Selanjutnya disimpulkan bahwa kepuasan kerja merupakan penguat bagi loyalitas kerja.
Kata kunci: kesehatan sosial; loyalitas kerja; kepuasan kerja; pegawai
Diabetes Self Management, Usia, HbA1c dan Lama Menderita Terbukti Berdampak pada Fungsi Seksual
Authors: Puspitasari Widya , Irawati Diana , Untari Dyah
Published: November 2024

Diabetes mellitus as a metabolic disease that causes increased blood glucose levels, has an impact on sexual dysfunction in men and women. Sexual dysfunction can be prevented with proper diabetes self-management. The purpose of this study was to analyze the effect of diabetes self-management, age, HbA1c, duration of diabetes mellitus and mental health on sexual function of patients. This study was conducted at the dr. Chasbullah Abdulmadjid Hospital in Bekasi City, by implementing a cross-sectional design. The sample was 148 patients with diabetes mellitus selected using the consecutive sampling method. The specific measuring instruments used in measuring the variables were DSMI, FSFI and IIEF. The results of the analysis showed that the p value for each factor was diabetes self-management = 0.001, age = 0.046, HbA1c = 0.023; duration of diabetes mellitus = 0.038 and mental health = 0.298. Thus it can be concluded that the factors that affect the sexual function of patients with diabetes mellitus are diabetes self-management, age, HbA1c and duration of diabetes mellitus.

Keywords: diabetes mellitus; sexual function; self management; age; HbA1c; duration of diabetes; mental health

 

ABSTRAK

 

Diabetes mellitus sebagai penyakit metabolik yang mengakibatkan peningkatan kadar glukosa darah, berdampak pada gangguan fungsi seksual pada pria dan wanita. Gangguan fungsi seksual dapat dicegah dengan diabetes self management yang tepat. Tujuan dari penelitian ini adalah menganalisis pengaruh diabetes self management, usia, HbA1c, lama menderita diabetes mellitus dan kondisi kejiwaan terhadap fungsi seksual penderita. Studi ini dilaksanakan di RSUD dr Chasbullah Abdulmadjid Kota Bekasi, dengan menerapkan rancangan cross-sectional. Sampel adalah 148 penderita diabetes mellitus yang dipilih menggunakan metode consecutive sampling. Alat ukur khusus yang digunakan dalam pengukuran variabel adalah DSMI, FSFI dan IIEF. Hasil analisis menunjukkan bahwa nilai p untuk masing-masing faktor adalah diabetes self management = 0,001, usia = 0,046, HbA1c = 0,023; lama menderita diabetes mellitus = 0,038 dan kondisi kejiwaan = 0,298. Dengan demikian bisa disimpulkan bahwa faktor yang berdampak pada fungsi seksual penderita diabetes mellitus adalah diabetes self management, usia, HbA1c dan lama menderita diabetes mellitus.

Kata kunci: diabetes mellitus; fungsi seksual; self management; usia; HbA1c; lama menderita diabetes; kejiwaan

 
Virgin Coconut Oil (VCO) Terbukti Efektif untuk Menurunkan Derajat Diapers Rash pada Bayi
Authors: Sofyan Evi , Purwati Nyimas Heny , Apriliawati Anita , Pramono Prastowo Sidi
Published: November 2024

 Skin disorders that often occur in infants include atopic dermatitis, seborrhea, boils, miliariasis, allergies, and inflammation in the form of skin rashes known as diaper rash. One nursing intervention that can be done is the use of virgin coconut oil. This study aimed to test the effectiveness of virgin coconut oil to reduce the degree of diaper rash in infants. This study applied a pretest and posttest with control group design. The sample was selected using a purposive sampling technique so that 36 respondents were divided into the treatment group and the control group. Diaper rash was measured through observation using the New DDS, then the data obtained were analyzed using a paired samples t-test. The results of the analysis showed that the p value for the control group and the treatment group were each less than 0.05, but there was a greater decrease in the treatment group. Based on the results of the study, it was concluded that virgin coconut oil is effective in reducing the degree of diaper rash and can be an independent nursing intervention.

Keywords: diapers rash; virgin coconut oil; infants

 

ABSTRAK

 

Gangguan kulit yang sering timbul pada bayi antara lain dermatitis atopik, seborrhea, bisul, miliariasis, alergi, dan peradangan berupa ruam kulit yang dikenal dengan diapers rash. Salah satu intervensi keperawatan yang bisa dilakukan yaitu penggunaan virgin coconut oil. Penelitian ini bertujuan untuk menguji efektivitas virgin coconut oil untuk menurunkan derajat diapers rash pada bayi. Penelitian ini menerapkan rancangan pretest and posttest with control group. Sampel dipilih dengan teknik purposive sampling sehingga didapatkan 36 responden yang di bagi kelompok perlakuan dan kelompok kontrol. Diaper rash diukur melalui observasi menggunakan New DDS, lalu data yang diperoleh dianalisis menggunakan paired samples t-test. Hasil analisis menunjukkan bahwa nilai p untuk kelompok kontrol maupun kelompok perlakuan masing-masing adalah kurang dari 0,05, namun terjadi penurunan lebih banyak pada kelompok perlakuan. Berdasarkan hasil penelitian disimpulkan bahwa virgin coconut oil efektif untuk menurunkan derajat diapers rash dan bisa menjadi intervensi mandiri keperawatan.

Kata kunci: diapers rash; virgin coconut oil; bayi
Cytotoxicity of natural and synthetic cannabinoids and their synergistic antiproliferative effects with cisplatin in human ovarian cancer cells
Authors: Chen Ying , Li Huifang , Liu Jia , Ni Jie , Deng Qicheng , He Haotian , Wu Panpan , Wan Yinsheng , Seeram Navindra P. , Liu Chang , Ma Hang , Zhu Weipei
Published: November 2024

Introduction

Cannabinoids are reported to suppress the growth of ovarian cancer cells, but it is unclear whether structural modifications can improve their cytotoxic effects.

Methods

Herein, an investigation into the antiproliferative effects of natural cannabinoids on human ovarian cancer Caov-3 cells identified cannabidiol (CBD) as the most promising cannabinoid. Furthermore, chemical modifications of CBD yielded a group of derivatives with enhanced cytotoxicity in Caov-3 cells.

Results

Two CBD piperazinyl derivatives (19 and 21) showed augmented antiproliferative effects with an IC50 of 5.5 and 4.1 µM, respectively, compared to CBD’s IC50 of 22.9 µM. Further studies suggest that modulation of apoptosis and ferroptosis may contribute to the cytotoxic effects of CBD and its derivatives. In addition, CBD and its derivatives (19 and 21) were explored for their potential synergistic antiproliferative effects in combination with chemotherapeutic agent cisplatin. Compounds 19 or 21 (5 µM) combined with cisplatin (1 µM) showed a synergistic effect with a combination index of 0.23 and 0.72, respectively. This effect was supported by elevated levels of reactive oxygen species in Caov-3 cells treated with cisplatin combined with 19 or 21.

Discussion

Findings from this study suggest that CBD derivatives with enhanced antiproliferative effects may exert synergistic effects with chemotherapeutic drugs, providing insight into the development of cannabinoid-based adjuvant agents for the management of ovarian cancer.
Analysis of Cognitive Levels and Influencing Factors in Children with Obstructive Sleep Apnea
Authors: Bi Jing , Yu Bo , Zheng Guotong , Yan Yangyan , Zhang Yang , Lin Xiaoyan , Han Yiyuan , Song Chao
Published: November 2024

Background: Obstructive sleep apnea (OSA) in children is prevalent worldwide and affects their physiological, psychological, and cognitive functions. However, the research on OSA’s impact on children’s cognitive function remains inconclusive. This study aims to analyze the cognitive levels and influencing factors in children with OSA in a single-center study in China. Methods: We selected 110 children with OSA who visited the Department of Otorhinolaryngology, Head and Neck Surgery at the Children’s Hospital of Zhejiang University School of Medicine from March 2023 to April 2024. Cognitive function was assessed using the Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV), and data on the OAHI, BMI, lowest blood oxygen saturation, and tonsillar hypertrophy were collected. A correlation analysis was performed using SPSS Statistics 26.0. Results: The mean WISC-IV score of the children with OSA was 102.32, within the normal range. Gender and tonsillar grade had no significant effect on the cognitive levels. The BMI scores were significantly negatively correlated with verbal comprehension. The OAHI was weakly negatively correlated with perceptual reasoning but not with other cognitive dimensions. Conclusions: OSA may negatively affect specific cognitive domains in children, particularly perceptual reasoning and working memory. The BMI is a crucial factor influencing cognitive function in children with OSA. Future research should increase the sample size, include more variables, and conduct long-term follow-ups to comprehensively evaluate the influencing factors of OSA on children’s cognitive function.
Managerial tools used for the prevention of adverse events in Intensive Care Units
Authors: Santo Andreia Faria do Espírito , Souza Guilherme Augusto Cunha de , Passos Keila Simone Vieira Melo dos , Nunes Monica Nascimento Rodrigues , Santos Tatiane da Conceição , Nunes Natália Abou Hala
Published: November 2024

Patient safety in Intensive Care Units (ICUs) is a critical priority due to the complexity of care and the high risk of adverse events (AEs). Objective: This study aimed to identify the managerial tools used for the prevention of AEs in ICUs through an integrative literature review. Method: Searches were conducted in the Scielo, Virtual Health Library (VHL), and PubMed databases using descriptors such as "Patient Safety," "Intensive Care Unit," "Near Miss," "Adverse Events," "Reporting," "Nursing," and "Safety Culture." Inclusion criteria considered full-text articles available in English and Portuguese, while duplicate articles and those that did not directly address the prevention of AEs and patient safety in ICUs were excluded. Data analysis was performed using narrative synthesis, assisted by the Rayyan software. Managerial tools identified included the Hospital Survey on Patient Safety Culture (HSOPSC), the Global Trigger Tool (GTT), the Neonatal Trigger Tool, the U.S. Paediatric Trigger Tool, the Nursing Activities Score (NAS), and the Brazilian Nursing Work Index-Revised (B-NWI-R), all adapted for use in Brazil. These tools aim to prevent AEs and promote patient safety in ICUs. Results:The results highlight the need to strengthen the safety culture and invest in the continuous training of healthcare professionals. Conclusion:The implementation of a broad and continuous safety culture with investments in permanent education can reduce the occurrence of AEs and improve the quality of care in ICUs.
Lack of theoretical and practical knowledge, work overload, and inadequate institutional resources for the use of the Nursing Process
Authors: Pereira Gabriele de Oliveira Custódio , Reis Isabella de Castro Correa , Fagundes Mariana Oliveira , Correia Thabata Ferraz , Nunes Natália Abou Hala
Published: November 2024

The Nursing Process (NP) and the Systematization of Nursing Care (SNC) are essential to ensure high-quality, personalized, and evidence-based nursing care, especially in high-complexity settings such as Intensive Care Units (ICUs). Objetive: to analyze the main challenges and strategies in the implementation of the Nursing Process in ICUs. Method: To achieve this, an integrative literature review was conducted, following the PRISMA checklist, with articles published between 2014 and 2024, available in the databases Virtual Health Library, SciELO, and CAPES. The descriptors used were: "nursing process," "nursing care," and "intensive care units." Original and review articles addressing the topic in ICUs were included, excluding duplicate articles or those unrelated to the ICU setting. Results: The results indicated that the main challenges include a lack of theoretical and practical knowledge among nurses, work overload, and inadequate institutional resources, compromising the quality of care and patient safety. On the other hand, promising strategies, such as continuous training, the use of information technology, and the introduction of NP in academic training, were shown to be effective in improving adherence to the process. Conclusion: It is concluded that the implementation of NP and SNC in ICUs faces significant challenges, but these can be overcome with appropriate strategies, such as revising nursing curricula and developing institutional policies that encourage the consistent application of these practices, contributing to improved clinical outcomes and patient safety.
Bioética e biossegurança no atendimento à pessoa vivendo com HIV: uma revisão de literatura
Authors: Silva Ewerton Gabriel Amorim da , Teixeira Reinaldo de Matos , Lira Ricardo Martins , Fonseca Tiago Silva da
Published: November 2024

Introdução: O HIV é um vírus que ataca células do sistema imunológico e causa a AIDS, ainda marcado por estigmas sociais. No contexto odontológico, as normas de biossegurança são aplicadas a todos, independentemente do status sorológico. O presente estudo visa explorar as práticas éticas e de biossegurança na odontologia para Pessoas que vivem com HIV/AIDS. Objetivo: reunir e sintetizar conteúdos sobre ética, biossegurança e PVHA, dentro do cenário da odontologia. Métodos: Revisão de literatura, realizada através da busca de informações nas bases de dados PubMed, Scientific Electronic Library Online (SciELO), Scopus e Google Acadêmico. Foram considerados os seguintes descritores: “odontologia”, “legislação odontológica”, “ética odontológica” e “hiv”. Utilizados os seguintes critérios de inclusão: período de 2018 a 2023; estudos em inglês, português e espanhol. O processo de análise e avaliação dos artigos foi realizado por três pesquisadores, de forma independente, com posterior consenso para obtenção dos textos selecionados. Resultados: O total de referências obtidos através dessa busca foi de 3.526, após uso dos critérios de inclusão, resultou em 27 estudos. Conclusão: Observou-se o desconhecimento dos profissionais de odontologia frente ao atendimento às PVHA no que diz respeito à ética e medidas de biossegurança para este atendimento, ocasionando atraso ou recusa no atendimento a essa população.
Leishmaniose tegumentar tratada com sucesso por injeção intralesional de antimoniato de meglumina
Authors: Oliveira Leonardo Medeiro , Pessoa Carla Patricia Rios , Bianchini João Gabriel , Miguel Daniel Cremon Raduan , Abreu Marilda Aparecida Milanez Morgado de
Published: November 2024

A leishmaniose tegumentar (LT) é uma infecção crônica que representa um sério problema de saúde pública no Brasil, com cerca de 21.000 casos registrados anualmente. Considerando a eficácia e os efeitos colaterais dos tratamentos padrão, objetivou-se relatar um caso de sucesso no tratamento da LT com injeção intralesional de glucantime. Para tanto, foi descrita a abordagem em um paciente masculino de 64 anos, que apresentava uma lesão recidivante após tratamento sistêmico. Após três sessões de tratamento intralesional, a lesão cicatrizou completamente. Desse modo, observa-se que a abordagem intralesional pode ser eficaz, com menor incidência de efeitos adversos e resistência medicamentosa, permitindo uma recuperação mais rápida e segura para os pacientes. Isso conclui que o uso do glucantime de forma intralesional representa uma alternativa viável e eficaz para o tratamento da LT, ressaltando a importância de estratégias terapêuticas adaptadas às condições dos indivíduos.