bluuebunny/crossref_metadata_2025 huggingface dataset:
Bimbingan Orang Tua Bagi Anak dengan Media Buku Saku Rohani Islam Pasca Perawatan di Rumah Sakit
Authors: Nadia Ainaul Mardhiyah  , Anindita Shafa Aulia
Published: March 2024

A child being sick or undergoing treatment can cause parents to feel sad and unable to bear to see their child in pain. This is evidenced by the general reaction due to parents' helplessness in dealing with problems and the loss of the child's sense of security, which will then lead to an unpleasant mood followed by physical changes such as weakness and psychological changes such as empty thoughts and helplessness. Therefore, spiritual guidance using the book Islamic Spiritual Guidance is given by parents to their children after being treated in the hospital. The research used is qualitative and based on field research. This research examines parents who are accompanying their children after being treated in the hospital by carrying out spiritual home care. The results of the research show that Islamic spiritual guidance using the pocket book Islamic Spiritual Guidance aims to provide spiritual guidance, namely in the form of providing nursing care in the consultant field, with the hope that it can help resolve problems experienced by the patient's family, especially through a religious approach. The media used in patient spiritual guidance is pocket book media. The pocket book contains beliefs, sharia, and morals that can be followed when a disaster strikes.
Anak sedang sakit atau sedang menjalani pengobatan dapat menimbulkan karena perasaan sedih dan tidak tega pada orang tua melihat anaknya kesakitan. Hal tersebut dibuktikan dengan reaksi umum akibat ketidakberdayaan orang tua dalam mengatasi masalah maupun hilangnya rasa aman yang anak miliki yang kemudian akan menimbulkan suasana hati yang kurang menyenangkan diikuti dengan perubahan fisik seperti lemas dan perubahan psikologis seperti pikiran kosong tidak berdaya. Oleh karena itu, bimbingan rohani dengan menggunakan buku saku bimbingan rohani Islam yang diberikan oleh orang tua terhadap anak nya setelah dirawat di rumah sakit. Penelitian yang digunakan yaitu kualitatif dengan berbasis penelitian lapangan. Penelitian ini dengan subyek orangtua yang sedang mendampingi anaknya setelah perawatandi rumah sakit dengan melakukan spiritual home care. Hasil penelitian adalah Bimbingan rohani Islam dengan menggunakan buku saku Bimbingan Rohani Islam bertujuan untuk memberikan bimbingan rohani yaitu berupa pemberian asuhan keperawatan dalam bidang konsultan dengan harapan dapat membantu menyelesaikan masalah yang dialami oleh keluarga pasien khususnya melalui pendekatan keagamaan. Media yang digunakan dalam bimbingan rohani pasien yaitu menggunakan media buku saku. Didalam buku saku berisi tentang akidah, syariah dan akhlak yang dapat dilakukan ketika tertimpa musibah
Terapi Musik untuk Meningkatkan Kesehatan Mental:
Authors: Sinaga Fajry Sub'haan Syah , Winangsit Emah
Published: March 2024

This study discusses the role of music in maintaining mental health through the concepts psychodynamic with id, ego, and super-ego in Sigmund Freud's psychoanalytic theory. The method used is a literature review by searching relevant articles and journals from online databases. The analysis results indicate that music therapy can help individuals express difficult emotions, such as pain, sadness, or anger. In Freud's theory, healthy self-expression and emotional expression are essential for good mental health. Music therapy promises to improve mental health by providing an integrated experience with the emotions that occur when music is played. Previous studies also showed results in line with these findings, but further research is still needed to understand more deeply how music therapy can help improve mental health and how music therapy can be integrated with other therapeutic approaches. These findings indicate novelty in applying Sigmund Freud's psychoanalytic theory in the use of music therapy as a tool for improving mental health.
Optimalisasi Peran Digital Banking Bank Syariah Indonesia Terhadap Perkembangan Industri Halal
Authors: Hidayat Maruf , Asky Humeriatunnisa
Published: March 2024

Bank merupakan lembaga penghubung keuangan untuk mengumpulkan dan menyalurkan dana kepada masyarakat. Salah satu bank syariah yang menggunakan digital banking adalah Bank Syariah Indonesia (BSI). BSI sendiri di tahun pertama sejak merger pada Februari 2021 menorehkan kinerja positif, dengan perolehan laba bersih mencapai Rp3,03 triliun naik 38,42% secara year on year (YoY). Masalah dalam penelitian ini adalah UMKM di Banyumas masih mempunyai berbagai kendala diantaranya akses teknologi informasi, masih lemahnya jaringan usaha, struktur permodalan yang masih menjadi pekerjaan rumah dan dukungan dari lembaga keuangan. Metode penelitian yang digunakan di dalam penelitian ini adalah penelitian lapangan (field resarch), Penelitian ini dengan mengunakan pendekatan kualitatif pada studi kasus, berarti peneliti dengan cermat, teliti dan mendalam mengetahui bagaimana peran digital banking Bank Syariah Indonesia terhadap industri halal khususnya bagi UMKM di Banyumas. Subyek penelitiannya yaitu pegawai BSI KCP Karang Kobar serta pelaku UMKM di Purwokerto. Hasil penelitian menunjukkan bahwa peran digital banking BSI yaitu terus mendorong inklusi keuangan melalui aplikasi BSI Mobile, BSI juga meningkatkan pelayanan melalui QRIS untuk memudahkan para UMKM dengan melakukan sosialisasi ke warung-warung setiap minggu, pembukaan rekening 1000 masjid yang bekerja sama dengan Kemenag untuk memfasilitasi pembukaan rekening di masjid-masjid. Adapun pemahaman para pelaku UMKM terkait dengan digital banking yaitu melalui transaksi melalui QRIS dalam BSI mobile adanya faktor persepsi manfaat yang dirasakan para pelaku UMKM secara umum lebih mudah, simple dan sudah optimal dalam melakukan transaksi pembayaran tetapi masih terdapat kendala yaitu dari sinyal yang tidak stabil.
Morpho-molecular identification of the bark beetle Hylesinus macmahoni (Stebbing, 1909) (Coleoptera: Curculionidae: Scolytinae) infesting Olea europaea subsp. cuspidata (Wall. & G.Don) Cif., along with a brief biological synopsis
Authors: Buhroo Abdul A. , Pandit Radhakrishna S. , Zubair R M
Published: March 2024

In Jammu and Kashmir's Govindpora (Ramban) and Salamabad (Baramulla), horticultural nurseries with a majority of Olea europaea subsp. cuspidata (Wall. & G.Don) Cif. plantings were examined for possible bark beetle attacks. These olive tree plantations are infested with a variety of insect pests, but the bark beetle Hylesinus macmahoni (Stebbing, 1909) did significant harm to the olive trees that carry fruit. The beetle attacks and consumes the phloem tissues of the plant during its development, causing the afflicted trees to become weak and eventually die. At both sites, infestations of H. macmahoni were discovered. The cytochrome oxidase subunit I (COI) gene was used to validate the species' diagnosis, and its morphological characteristics were re-described. The species has a polygynous matting system (one male and two females), producing two full and a third partial generation annually in Kashmir.
In vitro regeneration of Arisaema leschenaultii (Blume) using leaf explants
Authors: Vijayakumar K. K. , Vijayan V. , Nigesh S.
Published: March 2024

A standard in vitro regeneration protocol from leaf explants was developed for a potential medicinal plant Arisaema leschenaultii. Maximum callus induction (78%) was achieved on MS medium fortified with BAP (1.5 mg/L) and NAA (0.9 mg/L). The maximum percentage of shoot proliferation (75%) was attained on MS medium supplemented with 2.0 mg/L of BAP and 0.5 mg/L of GA3. The highest root induction (70%) was achieved on MS medium prepared with the combination of NAA (1.5 mg/L) and IBA (0.6 mg/L). The well-rooted plantlets that successfully followed acclimatization in the green house survived. The present efficient and optimized protocol provides mass propagation as well as the possibility of germplasm conservation for this study species.
Design and Evaluation of Aerospike Nozzles for an Upper-Stage Application
Authors: Nasuti Francesco , Fiore Matteo , Messina Vincenzo , Valeriani Alessio , Bianchi Daniele
Published: March 2024

Aerospike nozzles are often studied because of their intrinsic self-adaptation behavior to the atmospheric pressure. Another unique feature of aerospike nozzles is their mass- and volume-efficient integration with the underlying vehicle. This latter aspect, if fully exploited, could be of interest for both lower stages operating in the atmosphere and for upper stages operating in vacuum. In this paper, a numerical analysis is carried out of the possible advantages of using an aerospike engine under specific volume constraints of a reference upper-stage configuration, discussing basic aspects of aerospike and internal expansion design, clustering, and plug truncation length. The results of the present preliminary analysis show the extent of possible performance advantages of aerospikes in terms of the specific impulse delivered for a given available volume for the nozzle with respect to a conventional bell configuration.
Envelhecer e as principais síndromes geriátricas: relação entre fragilidade, incontinência urinária e quedas
Authors: Andrade Caio Leonardo Faria , Moreira Natália Ferreira de Castro , Barcelos Isadora Oliveira de , Rodrigues Jhennyfer Cristiny , Alves Karolainny Rodrigues Souza , Andrade Daniela Faria , Santos José Agamenon Souza , Oliveira Rayanne Herculano de , Paula Júnior Newton Ferreira de
Published: March 2024

Objetivo: Descrever e evidenciar o conhecimento científico disponível acerca do envelhecer e das principais síndromes geriátricas, em busca de compreender a relação entre fragilidade, incontinência urinária e quedas. Revisão bibliográfica: A análise evidenciou associação entre as principais síndromes geriátricas e aumento do nível de fragilidade nos idosos, o que, somado à incontinência urinária, potencializa o risco para a ocorrência de quedas. Desse modo, aspectos próprios do envelhecimento, tal como o seu conceito, situações adversas que permeiam esta fase de desenvolvimento e fatores que favorecem quedas, devem ser considerados para a implementação de medidas capazes de prevenir esses eventos, sobretudo no atual contexto mundial, em que se projeta crescente parcela de pessoas idosas, além de baixo índice de fecundidade. Considerações finais: A população idosa necessita de investimentos e cuidados holísticos condizentes com suas necessidades e importância, de modo que a atuação sempre atualizada e baseada nas melhores evidências científicas das equipes de saúde multiprofissionais se torna imprescindível para assegurar melhorias na qualidade de saúde e prevenir fatores adversos.
Análise da relação entre a ansiedade, estresse e depressão com a qualidade de vida de universitários durante o período pandêmico
Authors: Martins Francisco Iuri da Silva , Sales Ana Lívia Ângelo , Franco Ana Lydia Costa , Silva Antônia Antonieta Alves da , Desiderio Gabriel Alves , Martins José Aurelio de Almeida , Nobre Matheus de Sousa , Oliveira Vitória Kelly de Sousa , Felipe Gilvan Ferreira , Morais Jairo Domingos de
Published: March 2024

Objetivo: Analisar a relação entre ansiedade, depressão e estresse com a qualidade de vida (QV) de acadêmicos de uma universidade de cooperação internacional da Universidade da Integração Internacional da Lusofonia Afro-Brasileira (UNILAB). Métodos: Trata-se de pesquisa com abordagem quantitativa do tipo exploratório-descritivo, com coleta de dados realizada por intermédio de questionários online, disponibilizados por e-mail. Adotou-se como critérios de inclusão: estar regularmente matriculado e apresentar idade superior a 18 anos. Não somente, foram excluídos da pesquisa os estudantes afastados por licença ou atestado médico durante a realização da coleta, assim como os instrumentos não respondidos em até 80%. Resultados: Participaram da pesquisa 169 discentes dos cursos de graduação, dos quais predominam as mulheres (56,8%), solteiras (66,9%), de 20 a 25 anos (64,5%), brasileiras (77,5%). Analisando a Qualidade de Vida, observou-se que os acadêmicos apresentaram um escore médio para Qualidade de Vida sendo os domínios capacidade funcional (72,15) e dor (61,69) com maiores médias, e já limitações por aspectos emocionais (29,38), limitações por aspectos físicos (40,82) e vitalidade (41,65) com as menores médias. Conclusão: Ao verificar a relação da QV com a ansiedade, depressão e estresse, percebeu-se a presença de relação significativamente negativa e estatisticamente significativa. Portanto, os alunos tiveram sua Qualidade de Vida prejudicada pela pandemia.
Recovery of memory decline during aging - role of epigenetics
Authors: Mishra Ela , Thakur Mahendra Kumar
Published: March 2024

Aging is a natural phenomenon associated with the accumulation of multiple alterations, including memory loss. Such deterioration of memory is based on the susceptibility of specific brain regions and the disorders that coincide with aging in those areas. Previous findings suggest that the optimal expression of synaptic plasticity-related genes is essential for memory formation and consolidation. Epigenetic modifications are one of the most crucial factors that cause memory deterioration by inducing the differential expression of synaptic plasticity-related genes. Understanding the fundamental cause of cognitive alterations that arise with aging is very essential for the development of therapeutic and/or preventive approaches. Several strategies have been employed to restore or reverse the memory decline caused by age-associated epigenetic alterations. The present article emphasizes the role of epigenetic alterations caused by histone modifications, DNA methylation, and non-coding ribonucleic acids (RNAs) on memory during aging. Also, we highlight the mechanistic switches of brain aging, including physical exercise, nutraceuticals, epigenetic modifiers, modulators of non-coding RNAs, and associated targets for therapeutic interventions. The emerging field of neuropharmacology and pharmacoepigenomics provides evidence that small drug molecules are currently employed to treat memory loss associated with aging, particularly by targeting epigenetic systems like DNA methylation, chromatin remodeling, histone modifications, and small non-coding RNAs. Therefore, targeting epigenetic modifications could be a potential therapeutic approach for the improvement of synaptic plasticity, neuronal activities, memory, and other brain functions during aging.
Combining platelet rich plasma with ablative laser for post acne scars: A review
Authors: Arora Sandeep , Das Pankaj , Kumar Singh Gautam , Arora Gulhima , Bellad Prashant
Published: March 2024

Background

Acne scars are one of the most common sequelae of inflammatory acne. It commonly affects adolescents and young adults and hence is associated with significant psychological morbidity. It is historically resistant to oral as well as surgical modalities. In the last two decades, ablative lasers (fractional or otherwise) have proven to be effective in management of acne scars. Some studies have proven the efficacy of platelet rich plasma in reducing the adverse effects and improving the efficacy of lasers.

Objective

Review of the studies combining platelet rich plasma with ablative laser for post acne scars.

Methods

A literature review of the MEDLINE database for studies evaluating the combination of ablative lasers with platelet rich plasma was performed. Only studies with higher levels of evidence (randomised controlled trials and comparative studies) were included in this review.

Results

Adding intradermal platelet rich plasma to fractional ablative lasers in the management of post acne scars increases clinical efficacy, reduces downtime as well as frequency and duration of ablative lasers related adverse effects. The efficacy of topical platelet rich plasma is less as compared to intradermal platelet rich plasma.

Limitations

The studies analysed are heterogeneous in nature with varied protocols and duration of follow up.

Conclusions

It is recommended to combine the ablative lasers with intradermal platelet rich plasma for better clinical response and reduce adverse effects as well as downtime.
Bone anatomic variations of the parasellar region and its technical implications in para clinoid and posterior communicating segment aneurysms microsurgical clipping – Technical note
Authors: Serrano-Rubio Alejandro , López-Rodríguez Rodrigo , Riley-Moguel Ambar Elizabeth , Benavides-Burbano Camilo Armando , Nuñez-Lupaca Janeth N. , Becerril-Mejía Alejandro , Villalobos-Diaz Rodolfo , Nathal Edgar
Published: March 2024

Background:

Microsurgical treatment of paraclinoid aneurysms is a complex task that generally requires anterior clinoid process (ACP) removal to obtain adequate surgical exposure. This procedure poses a considerable technical difficulty due to the association of the ACP to critical neurovascular structures. Furthermore, anatomical variations in the parasellar region, such as the caroticoclinoid foramen (CCF) or an interclinoid bridge (ICB), may impose additional challenges and increase surgical complications. The present study aims to briefly review some anatomic variations in the parasellar region and describe a step-by-step surgical technique for a hybrid anterior clinoidectomy based on the senior author’s experience.

Methods:

We present two cases with bone variations on the parasellar region in patients with a paraclinoid aneurysm and another with a posterior communicating segment aneurysm treated by microsurgical clipping at our hospital.

Results:

We focused on safely dealing with these variations during surgery, without further complications, and with good postoperative results. Patients were discharged with no significant deficit. Postoperative control, computed tomography angiography showed complete exclusion of aneurysms.

Conclusion:

Although anatomical variations in the parasellar region can complicate surgical clipping of these aneurysms, it is essential to ensure the best possible surgical outcome to conduct thorough preoperative and radiological evaluations.
Построение базисных функции в методе конечных элементов в гильбертовом пространстве
Authors: Hayotov A.R. , Doniyorov N.N.
Published: March 2024

The present work is devoted to construction of the optimal interpolation formula exact for trigonometric functions sin(ωx) and cos(ωx). Here the analytical representations of the coefficients of the optimal interpolation formula in a certain Hilbert space are obtained using the discrete analogue of the differential operator. Taking the coefficients of the optimal interpolation formula as basis functions, in the finite element methods the boundary value problems for ordinary differential equations of the second order are approximately solved. In particular, it is shown that the coefficients of the optimal interpolation formula can serve as a set of effective basis functions. Approximate solutions of the differential equations are compared using the constructed basis functions and known basis functions. In particular, we have obtained numerical results for the cases when the numbers of basis functions are 6 and 11. In both cases, we have got that the accuracy of the approximate solution to the boundary value problems for second-order ordinary differential equations found using our basis functions is higher than the accuracy of the approximate solution found using known basis functions. It is proven that the accuracy of the approximate solution increases with increasing the number of basis functions.

Настоящая работа посвящена построению оптимальной интерполяционной формулы, точной для тригонометрических функций sin(ωx) и cos(ωx). Здесь аналитические представления коэффициентов оптимальной интерполяционной формулы в некотором гильбертовом пространстве получены с использованием дискретного аналога дифференциального оператора. Принимая в качестве базисных функций коэффициенты оптимальной интерполяционной формулы, в методах конечных элементов приближенно решаются краевые задачи для обыкновенных дифференциальных уравнений второго порядка. В частности, показано, что коэффициенты оптимальной интерполяционной формулы могут служить набором эффективных базисных функций. Приближенные решения дифференциальных уравнений сравниваются с использованием построенных базисных функций и известных базисных функций. В частности, мы получили численные результаты для случаев, когда количество базисных функций равно 6 и 11. В обоих случаях мы получили, что точность приближенного решения краевых задач для обыкновенных дифференциальных уравнений второго порядка, найденного с помощью наших базисных функций, выше точности приближенного решения, найденного с использованием известных базисных функций. Доказано, что точность приближенного решения возрастает с увеличением числа базисных функций.
On the New Problems in Stereometry
Authors: Федоров​ Б.П. , Богданова C.Б. , Гладков С.О.
Published: March 2024

Приводятся оригинальные комбинационные задачи с правильными многогранниками, к числу которых относятся как популярные тетраэдры и кубы, так и менее распространенные в силу своей сложности октаэдры, додекаэдры и икосаэдры. Приведено решение задачи о вычислении ребра октаэдра, додекаэдра и икосаэдра через сторону вписанного и описанного куба. Вычислен радиус описанной и полувписанной сфер вокруг додекаэдра и икосаэдра. Приведены интересные факты из геометрии, касающиеся углов, ребер, вершин и граней выпуклых многогранников. Во второй части работы приведены несколько нетривиальных комбинаций тел с общей вершиной, в которых высота одного тела служит боковым ребром другого, и в которых найден объем общей части тел. Скомбинированными оказываются две треугольные и две четырехугольные пирамиды, треугольная пирамида с конусом. Каждая задача сопровождается подробным чертежом, а решение задач с платоновыми телами содержит также и несколько вспомогательных рисунков. Работа может быть полезной преподавателям математики средних школ не только в качестве методического обеспечения, но и в виде наглядной помощи при подготовке к олимпиадным мероприятиям.

It were given original combinative problems with regular polyhedrons, which including well-known tetrahedrons and cubes, and also the lesser-known octahedrons, dodecahedrons and icosahedrons due to its complexity. The solution of the problem of the calculation of the edge of octahedron, dodecahedron and icosahedron by using the the side of inscribed and circumscribed cubes has been given. The radius of the circumsphered circle and midsphere around the dodecahedron and icosahedron has been calculated. Two triangular pyramids and two tetragonal ones, as well as the triangular pyramid with a cone have been arranged. In the second chapter of the paper, it were shown several non-trivial combinations of the bodies with a common vertex, in which the height of one body was a lateral edge of the other one and in which the volume of generalities bodies was found. Two triangular pyramids and two tetragonal ones, as well as the triangular pyramid with a cone have been arranged. Each problem was going with the detailed figure, and the solution to the problems with Platon body was including several supporting ones as well. This paper could be used by high school mathematics teachers not only as methodological support, but also as a clear example in preparation for the Olympiad tasks in math for students.
Application of the Hereditarian Criticality Model to the Study of the Characteristics of the Seismic Process of the Kuril-Kamchatka Island Arc Subduction Zone
Authors: Шереметьева О.В. , Шевцов Б.М.
Published: March 2024

В статье представлены результаты статистической обработки данных каталога землетрясений КФ ФИЦ ЕГС РАН за период 01.01.1962 − 31.12.2002 гг. для зоны субдукции Курило-Камчатской островной дуги в рамках ранее представленной авторами эредитарной модели критичности. В качестве модели рассматривается составной степенной процесс Пуассона в дробном представлении по времени. Использование данной модели предполагает квазиоднородность и квазистационарность сейсмического процесса, усреднённого по времени и пространству при длительном наблюдении. Исследование неустойчивости этого процесса во времени осуществляется с помощью критических индексов, которые определяются числовым характеристикам процесса и зависят от параметра b закона Гутенберга-Рихтера. На основании данных каталога методом линейной и нелинейной регрессий найдены параметры сейсмического процесса: коэффициент b и показатель дробной производной ν, посредством усреднения по тому интервалу магнитуд, в котором выполняется степенное распределение частот повторяемости сейсмических событий. Проведена оценка значимости полученного значения параметра b закона Гутенберга-Рихтера. Вычислены критические индексы, по значениям которых и в сравнении с параметром эредитарности ν определяется состояние сейсмического процесса в рассматриваемый период

The article presents the results of statistical processing of data from the earthquake catalog of the KBGSRAS for the period from 1 January 1962 to 31 December 2002 for the Kuril-Kamchatka island arc subduction zone (area 46◦–62◦ N, 158◦–174◦ E) within the framework of the earlier presented by the authors hereditarian criticality model. The compound power-law Poisson process in fractional time representation is considered as a model. The use of this model assumes quasi-stationary and quasi-homogeneous regime of the seismic process averaged over time and space during long-term observation. The study of the instability of this process over time is carried out using critical indices, which are determined by the numerical characteristics of the process and depend on the parameter b of the Gutenberg-Richter law. Based on the catalog data, the parameters of the seismic process were found by linear and nonlinear regression: the coefficient b and the exponent of the Caputo fractional derivative ν, by averaging over the magnitude interval in which the power law distribution of recurrence frequencies of events is performed. The significance of the obtained value of the Gutenberg-Richter law parameter b is estimated. Critical indices have been calculated, according to the values of which, and in comparison with the hereditarity parameter ν, the state of the seismic process in the period under consideration is determined.
Posztoperatív pitvarfibrilláció előfordulása és hatása a korai kardiológiai rehabilitációra
Authors: Szuromi Lilla , Szegedi Andrea , Csanádi Zoltán , Homoródi Nóra
Published: March 2024

Bevezetés: A posztoperatív pitvarfibrilláció az egyik leggyakoribb ritmuszavar nyitott szívműtéteket követően, megnyújtja a betegek ápolási idejét, valamint növeli a korai és a kései mortalitást. Célunk volt a koronáriabypass és/vagy billentyűműtéten átesett betegeink körében a posztoperatív pitvarfibrilláció előfordulásának, a kardiológia rehabilitációra kifejtett hatásának és a ritmuszavar rekurrenciájának a vizsgálata. Módszerek: A Kardiológiai Rehabilitációs Osztályunkon 2016. január és 2017. december között konszekutívan kezelt betegek adatait elemeztük. Összehasonlítottuk azokat a betegeket, akiknél a posztoperatív szakban novum pitvarfibrilláció alakult ki azokkal, akiknél nem jelentkezett ritmuszavar. A posztoperatív pitvarfibrilláció kialakulására ható tényezők mellett vizsgáltuk, hogy a betegek terhelhetőségében, kifáradásuk mértékében, valamint a klinikai paramétereikben milyen különbségek mutatkoznak a rehabilitáció során. A pitvarfibrilláció-visszatérésnek vizsgálatára transztelefonos EKG-készüléket adtunk ki a betegeknek hazabocsájtáskor. Eredmények: Összesen 289 beteg (103 nő, átlagéletkor: 64,2 [±10,1] év) került bevonásra a vizsgálatba. A pitvarfibrilláló csoportba 117 beteg (40,5%) került, akiknél a műtét előtt szignifikánsan magasabb az életkor, a CHA2DS2-VASc Score, nagyobb a bal pitvari átmérő és alacsonyabb a posztoperatív hemoglobinszint a kontrollcsoporthoz képest. Posztoperatív pitvarfibrilláció esetén a preoperatív vesefunkció szignifikánsan alacsonyabb volt és műtét után a vesefunkció további szignifikáns csökkenését észleltük (73,4 [±16,7] ml/min/1,73 m2 vs. 67,9 [±19,4] ml/min/1,73 m2 ; p<0,0001), valamint ezek a betegek rosszabbul teljesítettek a hatperces járásteszten a rehabilitáció kezdetén (247,7 m [±120] vs. 281,9 m [±111,8]; p=0,030) és a hazabocsájtáskor is (323,8 m [±119,5] vs. 367,5 m [±105,6]; p=0,009). Transztelefonos EKG-készüléket 39 (32%) betegnek adtunk ki, ezek közül 5 (12,8%) betegnél jelentkezett aritmia-rekurrencia. Következtetések: Eredményeink alapján a posztoperatív pitvarfibrilláció szignifikánsan gyakoribb volt magasabb életkor és CHA2DS2-VASc Score, csökkent vesefunkció, nagyobb bal pitvari átmérő, valamint alacsonyabb posztoperatív hemoglobinszint esetén. A korai kardiológia rehabilitáció során a vesefunkció további romlására, illetve ezen betegek csökkent terhelhetőségére számíthatunk. Már három héttel a rehabilitáció után a betegek 12,8%-ában jelentkezett aritmia-rekurrencia.
Machine learning of 27Al NMR quadrupolar tensors for crystalline structures from DFT
Authors: Sun He , Dwaraknath Shyam , West Michael E. , Ling Handong , Persson Kristin , Hayes Sophia
Published: March 2024

NMR crystallography has emerged as promising technique for the determination and refinement of crystal structures. The crystal structure of compounds containing quadrupolar nuclei, such as 27Al, can be improved by directly comparing solid-state NMR measurements to DFT computations of the electric field gradient (EFG). The high computational cost of these first-principles calculations limits the applicability of this method to all but the most well-defined structures. We developed a fast, low-cost machine learning model to predict EFG parameters based on local structural motifs and elemental parameters. We computed 8081 EFG tensors using DFT and benchmarked them against 105 experimental parameters. Surprisingly, simple local geometric features dominate the predictive performance of the resulting random-forest model, yielding an R2 value of 0.98 and an RMSE of 0.61 MHz. This model accuracy should enable pre-refining future structural assignments before finally validating with first-principles calculations. Such a catalogue of 27Al NMR tensors can serve as a tool for researchers assigning complex quadrupolar spectra.
Public health surveillance and the data, information, knowledge, intelligence and wisdom paradigm
Authors: Choi Bernard C.K. , Barengo Noël C. , Diaz Paula A.
Published: March 2024

This article points out deficiencies in present-day definitions of public health surveillance, which include data collection, analysis, interpretation and dissemination, but not public health action. Controlling a public health problem of concern requires a public health response that goes beyond information dissemination. It is undesirable to have public health divided into data generation processes (public health surveillance) and data use processes (public health response), managed by two separate groups (surveillance experts and policy-makers). It is time to rethink the need to modernize the definition of public health surveillance, inspired by the authors’ enhanced Data, Information, Knowledge, Intelligence and Wisdom model. Our recommendations include expanding the scope of public health surveillance beyond information dissemination to comprise actionable knowledge (intelligence); mandating surveillance experts to assist policy-makers in making evidence-informed decisions; encouraging surveillance experts to become policy-makers; and incorporating public health literacy training – from data to knowledge to wisdom – into the curricula for all public health professionals. Work on modernizing the scope and definition of public health surveillance will be a good starting point.
Diabetic Self-Management and Correlated Factors: A Cross-Sectional Study
Authors: Fatharani Lukman Faishal , Anggraheny Hema Dewi , Putro Wahyu Gito
Published: March 2024

Prevention of diabetes complications has an important role in decreasing mortality and morbidity in diabetes patients. Self-management in diabetic patients (DSM) is a recommended strategy to increase the quality of life in diabetes patients. Several factors are related to self-management in diabetic patients. This study aims to discover factors related to self-management in diabetic patients. This is a cross-sectional study performed on 42 diabetic patients. Respondents were given a Diabetes Knowledge Questionnaire (DKQ-24) and a self-management behaviour questionnaire in Diabetes Mellitus (SMDM). Data was analyzed using SPSS version 26. This study had no significant relation between age and self-management (p = 0.987). There was also no statistically significant relationship between gender, education level, and knowledge level with p-value of 0.651, 0.559, and 0.558, respectively. Moreover, there was no correlation between participation in chronic disease management programs and self-management with p = 0.559. This study concluded no correlation between age, gender, education level, knowledge level, and participation in chronic disease management programs with self-management of diabetic patients.
The Relationship of Perceived Severity and Recurrent Stroke Prevention Behavior at Post-Non-Hemorrhagic Stroke Patients
Authors: Rahmawati Renny Nafia , Lahdji Aisyah , Anggraini Merry Tiyas
Published: March 2024

The lack of individual beliefs about the first stroke can cause an increased risk of recurrent stroke in the future causing individuals to behave less well. The theory that can identify individual beliefs for healthy living behavior is the Health Belief Model (HBM), one of which is perceived severity which is the perception of the seriousness of the severity of an illness. This study aimed to determine the relationship between perceived severity and behavior to prevent recurrent stroke in patients after non-hemorrhagic stroke. The study was quantitative descriptive-analytical research with a cross-sectional approach. The research subjects were 70 non-hemorrhagic post-stroke patients at KRMT Wongsonegoro Hospital, Semarang City, using consecutive sampling techniques. Relationship analysis uses the Spearman rank test. Most respondents had sufficient perceived severity as many as 39 respondents (55.7%) and implemented sufficient recurrent stroke prevention behavior in as many as 42 respondents (60%). The Spearman rank test analysis shows that there is a relationship between perceived severity with Recurrent stroke prevention behavior in non-hemorrhagic post-stroke patients (p=0.000) and (r=0.916). Perceived severity is significantly related to adjusting Recurrent stroke prevention behavior in non-hemorrhagic post-stroke patients.
Projecting COVID-19 intensive care admissions for policy advice, the Netherlands, February 2020 to January 2021
Authors: Klinkenberg Don , Backer Jantien , de Keizer Nicolette , Wallinga Jacco
Published: March 2024

Background

Model projections of coronavirus disease 2019 (COVID-19) incidence help policymakers about decisions to implement or lift control measures. During the pandemic, policymakers in the Netherlands were informed on a weekly basis with short-term projections of COVID-19 intensive care unit (ICU) admissions.

Aim

We aimed at developing a model on ICU admissions and updating a procedure for informing policymakers.

Method

The projections were produced using an age-structured transmission model. A consistent, incremental update procedure integrating all new surveillance and hospital data was conducted weekly. First, up-to-date estimates for most parameter values were obtained through re-analysis of all data sources. Then, estimates were made for changes in the age-specific contact rates in response to policy changes. Finally, a piecewise constant transmission rate was estimated by fitting the model to reported daily ICU admissions, with a changepoint analysis guided by Akaike's Information Criterion.

Results

The model and update procedure allowed us to make weekly projections. Most 3-week prediction intervals were accurate in covering the later observed numbers of ICU admissions. When projections were too high in March and August 2020 or too low in November 2020, the estimated effectiveness of the policy changes was adequately adapted in the changepoint analysis based on the natural accumulation of incoming data.

Conclusion

The model incorporates basic epidemiological principles and most model parameters were estimated per data source. Therefore, it had potential to be adapted to a more complex epidemiological situation with the rise of new variants and the start of vaccination.
Accuracy and precision of cementless and cemented stem placement using CT-based navigation.
Authors: Hiraiwa Toshihito , Tokunaga Kunihiko
Published: March 2024

Few surgeons use computer assisted surgery for stem placement in THA because its accuracy is not

sufficient rather than that for acetabular cup placement. Recently, cemented stem can be available in CT- based navigation, however, accuracy and precision of cemented stem alignment has not been reported. We compared accuracy and precision between cementless and cemented stems using the same CT-based navigation (Stryker hip navigation). We analyzed 43 cases (10 men, 33 women; average age 69.3 years) using cementless and cemented stem (Accolade II stem and Exeter stem [Stryker]) after CT-based navigation assisted THA. The differences (average ± standard deviation of absolute values) between the pre- and post-operative angles of stem anteversion were 3.8 ± 3.0° in the cementless group, and 2.4±1.8° in cemented group, respectively. There was a significant difference in precision in stem anteversion between the two groups. The accuracy and the precision of stem anteversion using the taper-wedge stem in this study was comparable to the previous reports using CT-based navigation. However, the precision of stem alignment with cemented stems was more accurate. When we used cemented stem, stem alignment consisted of 4 factors (stem flexion, varus, anteversion, and depth) could be completely controlled by checking the numbers on the navigation screens until bone cement hardened. Therefore, precision of cemented stem alignment using CT-based navigation are more accurate than that of cementless stems.
SimPS-Net: Simultaneous Pose & Segmentation Network of Surgical Tools
Authors: Souipas Spyridon , Nguyen Anh , Laws Stephen , Davies Brian , Rodriguez Y Baena Ferdinando
Published: March 2024

The ability to detect and localise surgical tools using RGB cameras during robotic assisted surgery can allow for the development of various implementations, such as vision- based active constraints and refinements in robot path planning, which can ultimately lead in improved patient safety during operation. For this purpose, the proposed network, SimPS-Net capable of both detection and 3D pose estimation of standard surgical tools using a single RGB camera, is introduced. In addition to the network, a novel dataset generated for training and testing is presented. The proposed network achieved a mean DICE coefficient of 85.0%, while also exhibiting a low average error of 5.5mm and 3.3◦ for 3D position and orientation respectively, thus outperforming the competing networks.
nnU-Net for the Automatic Knee Segmentation from CT Images: A Comparative Study with a Conventional U-Net Model
Authors: Maintier Ludivine , Clavé Arnaud , Maguet Ehouarn , Stindel Eric , Burdin Valérie , Dardenne Guillaume
Published: March 2024

This study aims at comparing the nnU-Net, an open-source deep learning framework, with a previous customized U-Net model that we developed for the automatic segmentation of tibial and femoral bones from CT scans. The main purpose of our work is to develop a segmentation module that could be integrated into a surgical planning software for the design of customized Total Knee Prosthesis. The nnU-Net framework was chosen for its user-friendly design and features developed for medical imaging.

The same dataset of 112 CT scans of lower limbs from 63 patients was used to train and test both our customized U-Net model and the nnU-Net model. All these data were manually annotated. The evaluation was done by computing the Average Symetric Surface Distance, the Dice Coefficient, the Hausdorff Distance, the precision, the recall and the Jaccard Index. Both models yielded similar results on these metrics, but the nnU-Net model is easier to setup.

The performances of both models are also consistent with the literature, however, further tests on pathological data will be needed.
DOENÇA PULMONAR OBSTRUTIVA CRÔNICA (DPOC): OXIGENOTERAPIA E SEUS BENEFÍCIOS
Authors: Ribeiro Bruna Emanuely Sousa , Oliveira Guilherme Augusto Brito Bucar , Maciel Mayara Gueiros , Nacif Marcela caldeira , Ornelas Ana Caroline Oliveira , Rocha Hugo Gomes , Campelo Eloina Hadigyna Leite Sousa , Souto Erick Jeppesen , Antunes Renato Martins , Abdenur Ana Luiza Gazineu
Published: March 2024

Introdução: A Doença Pulmonar Obstrutiva Crônica (DPOC) é uma condição complexa
caracterizada pela obstrução persistente do fluxo de ar nos pulmões, afetando principalmente
os brônquios e/ou os alvéolos, e está relacionada a uma resposta inflamatória crônica.
Objetivo: o objetivo do artigo é explorar a eficácia e os benefícios da oxigenoterapia no
tratamento da DPOC. Metodologia: Este estudo apresenta uma revisão integrativa da literatura
focalizada no tratamento da tuberculose pulmonar em casos de bacilos multirresistentes. O
objetivo principal é conduzir uma análise abrangente dos textos relevantes, buscando sintetizar
os resultados de estudos relacionados a essa temática específica. Resultados e Discussão:
Além disso, a oxigenoterapia também demonstrou contribuir para a redução da dispneia, tanto
durante atividades físicas quanto em repouso. Foi possível observar uma redução de 30% na
escala de dispneia do Medical Research Council em pacientes que utilizaram oxigenoterapia
domiciliária por 6 meses. Esse benefício está relacionado à redução da hipoxemia e da acidose
respiratória, proporcionando maior conforto respiratório. Conclusão: Em suma, os benefícios da
oxigenoterapia no tratamento da doença pulmonar obstrutiva crônica (DPOC) são vastos e
significativos. Desde a melhora na capacidade de exercício até a redução das exacerbações da
doença, a oxigenoterapia desempenha um papel essencial na gestão e na qualidade de vida
dos pacientes.
Estratégias de Prevenção e Controle de Epidemias Emergentes: Lições Aprendidas e Futuras Direções na Área Médica
Authors: Leão Júlia Carneiro , PINHEIRO NICOLAS FRAGA , martins Berthone colins , Romeiro Edenilze Teles
Published: March 2024

Este estudo analisa as estratégias de prevenção e controle de epidemias emergentes, com foco nas lições aprendidas e nas futuras direções na área médica. Por meio de uma revisão abrangente da literatura existente, foram identificados os principais desafios enfrentados durante epidemias anteriores, bem como os sucessos alcançados com intervenções específicas. A análise dos resultados destacou a importância da eficácia das medidas de controle de transmissão, como isolamento de casos, quarentena e distanciamento social, na redução da propagação do vírus. Além disso, foram identificadas lições importantes sobre a necessidade de investimentos contínuos em pesquisa e desenvolvimento de novas tecnologias e terapias médicas, bem como a importância da colaboração internacional e da equidade no acesso a intervenções médicas. Com base nessas conclusões, são sugeridas futuras direções na área médica, incluindo o fortalecimento dos sistemas de saúde pública, aprimoramento da capacidade de resposta a emergências de saúde e investimentos em educação pública e conscientização sobre medidas preventivas. Este estudo ressalta a importância de uma abordagem global e multidisciplinar para enfrentar os desafios das epidemias emergentes e proteger a saúde pública mundial.
Effect of Telenursing Training on Job Burnout in Nurses with a History of COVID-19
Authors: Azarian Nejad Fatemeh , Naderifar Mahin , Asadi-Bidmeshki Elaheh , Firouzkohi Mohammadreza , Abdollahimohammad Abdolghani
Published: March 2024

Introduction: The Corona epidemic has aggravated the stressful factors on health care systems; in this case, health care workers suffer from job burnout. It is better to use remote psychotherapy methods and appropriate treatment protocols. n this study, the researchers aimed to investigate the impact of telenursing training on job burnout in nurses who had previously contracted COVID-19.Material and Methods: This research employed a quasi-experimental design with a pre and post-test group comparison. It involved two groups, each consisting of 20 nurses who had experienced COVID-19 and exhibited high levels of job burnout. The data collection tool was the Maslach Burnout questionnaire along with demographic information. Both groups completed these questionnaires before the intervention. The experiment group underwent a telenursing training intervention conducted through WhatsApp, consisting of five sessions at five-day intervals. The training encompassed various teaching methods, such as explanatory text, PowerPoint presentations, and audio files. The control group did not receive any intervention. After 20 days from the completion of the training sessions, both groups retook the job burnout questionnaire.Results: The independent t-tests showed no significant difference in burnout level and severity between experiment and control groups before the intervention (p>0.05). However, after telenursing training in the experiment group, the average scores for burnout level and severity were significantly different between experiment and control groups (p<0.001), which indicates a positive effect of telenursing training on all dimensions of job burnout, including emotional exhaustion, dysfunction, depersonalization, and job conflict.Conclusion: Telenursing-based training appears to be an effective method for reducing the intensity and levels of burnout among nurses with a history of COVID-19 infection. This suggests that telenursing training can be a valuable tool to mitigate job burnout in this specific group of healthcare professionals.
Developing the Minimum Data Set for a Disaster Mental Health Registry System
Authors: Salehinejad Simin , Mehrolhassani Mohammad Hossein , Nekouei-Moghadam Mahmood , Bahaadinbeigy Kambiz
Published: March 2024

Introduction: There is a close relationship between mental health and psychosocial problems in disaster settings, as well as overlap in the support provided for these problems. Therefore, public health officials need to understand the burden of behavioral health conditions among survivors and the needs of the affected community. This study aimed to develop a mental health minimum data set for an electronic disaster registry system to provide timely, essential, and accurate information to personnel on the ground and policymakers to design a disaster response and develop an action plan rapidly.Material and Methods: The present study is a mixed‑method (sequential exploratory) study. In the qualitative phase, a literature review and semi‑structured interviews with experts were conducted to generate an item pool for the mental health response in disasters. In the quantitative phase the quantitative content validity, content validity ratio and content validity index were used.Results: proposed data elements, 85 data elements were confirmed according to the opinion of experts and categorized into two main parts, pre-disaster part with three sections; including region profile, mental health local background, regional mental health committee affairs, and post-disaster parts with five sections including disaster information, information of mental health teams, mental health status, mental health interventions, and mental health need assessment.Conclusion: Collecting this minimum data set is critical for helping policymakers and healthcare providers prevent, control, and manage the mental health impacts of disasters during the response phase. Besides facilitating and promoting disaster prevention and response programs and measures.