bluuebunny/crossref_metadata_2025 huggingface dataset:
BAHAN AJAR BERBASIS REALISTIC MATHEMATICS EDUCATION PADA MATERI OPERASI HITUNG PECAHAN KELAS V SEKOLAH DASAR
Authors: Sari Rizky Aulia , Kusmaharti Dian , Yustitia Via
Published: February 2024

Pembelajaran matematika di sekolah dasar biasanya siswa hanya belajar untuk menghafalkan konsep atau rumus tanpa melihat langsung masalah yang berhubungan dengan konsep sehingga pemakaman konsep matematika siswa menjadi rendah. Tujuan dari penelitian ini yaitu (1) untuk mendeskripsikan proses pengembangan bahan ajar matematika berbasis Realistic Mathematics Education pada materi operasi hitung pecahan kelas V Sekolah Dasar (2) untuk mengetahui kelayakan bahan ajar berbasis Realistic Mathematics Education untuk kelas V Sekolah Dasar. Jenis penelitian ini adalah Research and Development (R & D) dengan model pengembangan ADDIE tetapi hanya dibatasi sampai tiga tahapan meliputi Analysis (Analisis), Design (Perancangan), dan Develop (Pengembangan). Metode pengumpulan data yang digunakan yaitu angket dan wawancara tidak terstruktur. Teknik analisis data yang digunakan yaitu kualitatif untuk mendeskripsikan pengembangan produk dan kuantitatif deskriptif untuk mengetahui kelayakan produk. Hasil dari penelitian pengembangan ini adalah (1) produk hasil pengembangan berupa bahan ajar berbasis Realistic Mathematics Education pada materi operasi hitung pecahan. (2) Hasil uji kelayakan produk memperoleh kategori sangat valid sehingga bahan ajar layak untuk digunakan dalam pembelajaran.
ANALISIS NUTRISI DAN ASAM AMINO TEPUNG MAGGOT
Authors: Lestari Dewi Putri , Lumbessy Salnida Yuniarti , Setyowati Dewi Nur'aeni
Published: February 2024

Tepung Maggot diketahui sebagai salah satu bahan baku pembuatan pakan yang dapat dimanfaatkan diberbagai indutri perikanan ataupun peternakan. Studi pemanfaatan tepung maggot sebagai bahan pakan karena memiliki kandungan nutrisi tinggi. Pada penelitian ini diketahui nilai uji proksimat tepung maggot memiliki kandungan nutrisi dalam berat kering seperti nilai kandungan Protein berkisar (33.15-48.36%), lemak (19,35-41.92), Abu (0.63-9.19), Serat Kasar (5.98-7.57%) dan BETN (15.51-18.30%). Kandungan Asam Amino yang didapatkan dari hasil uji yaitu kandungan asam amino esensial dan kandungan asam amino non esensial. Kandungan asam amino esensial berkisar 29.53-30.96% dan kandungan asam amino non esensial berkisar 64.44-65.53%.
BACTERIAL CULTURE PROFILE ON THROAT SWAP OF PATIENTS WITH ACUTE RESPIRATORY TRACT INFECTION AT KALUMPANG HEALTH CENTER TERNATE CITY
Authors: Nurdin Erpi , Zuchrullah Mukhtasyam , Umagapi Fifi B
Published: February 2024

Abstrak: Infeksi pada saluran napas merupakan suatu penyakit yang umum terjadi pada masyarakat, dan menjadi salah satu penyebab kematian tertinggi pada anak di bawah usia 5 tahun (22,30%). Infeksi saluran pernapasan akut terbagi atas infeksi saluran pernapasan bawah dan infeksi saluran pernapasan atas. Penyakit infeksi ini dapat di lakukan pemeriksaan bakteriologik dengan menggunakan media selektif untuk bisa melihat spesies bakteri. Tujuan penelitian untuk mengetahui profil kultur bakteri pada usap tenggorok pasien infeksi saluran pernapasan akut di Puskesmas Kalumpang Kota Ternate dengan menggunakan media selektif, uji biokimia dan pewarnaan gram. Penelitian yang dilakukan dengan metode deskriptif. Berdasarkan data karakteristik pasien Infeksi Saluran Pernapasan Akut (ISPA) yang diteliti, laki-laki sebanyak 17 orang (57%) orang dan Perempuan 13 orang (43%), sedangkan usia dengan penderita terbanyak terdapat pada rentang usia 1-10 tahun yaitu sebanyak 9 orang (30%) dan selanjutnya pada rentang usia >50 tahun yaitu sebanyak 8 orang (27%). Sedangkan persentase temuan profil kultur dari spesies bakteri Stapylococcus aureus 50%, Streptococcus pygones 33%, Pseudomonas aeruginosa 7%, Corynebacterium diphtheriae 10%. Di temukan bakteri gram positif 98% dan bakteri gram negatif 2%. Dari hasil penelitian, dapat di simpulkan bahwa profil kultur bakteri terbanyak pada usap tenggorok pasien ISPA yaitu bakteri gram positif yang terdiri dari spesies Stapylococcus aureus, . Streptococcus pygones, dan Corynebacterium diphtheriae. Adapun profil bakteri gram negatif yang diperoleh yakni Pseudomonas aeruginosa.

 Kata Kunci :  Infeksi Saluran Pernapasan Akut, usap tenggorok, kultur, bakteri
Technical note: Multi-year changes in the Brewer–Dobson circulation from Halogen Occultation Experiment (HALOE) methane
Authors: Remsberg Ellis
Published: February 2024

Abstract. This study makes use of Halogen Occultation Experiment (HALOE) methane (CH4) in a search for multi-year changes in the Brewer–Dobson circulation (BDC). Changes in CH4 are determined for three successive 5-year time spans from 1992 to 2005, and there are significant differences between them. There is a clear separation between the changes in the Northern Hemisphere near 30 hPa and at the transition of the shallow and deep branches of the BDC. The CH4 changes are positive and large in the shallow branch following the eruption of Pinatubo, but they then decrease and agree with tropospheric trends in the late 1990s and early 2000s. CH4 decreases in the upper part of the deep branch from 1992 to 1997 or following the eruption of Pinatubo. CH4 continues to decrease in the deep branch in the late 1990s but then increases in the early 2000s, although those changes are small compared with the seasonal and interannual variations of CH4. Multi-year changes are due, in part, to wave forcings during the El Niño–Southern Oscillation (ENSO) of 1997–1998 and beyond and to episodic, sudden stratospheric warming (SSW) events during both time spans. It is concluded that time series of HALOE CH4 provide effective tracer diagnostics for studies of the nature of the BDC from 1992 to 2005.
Insights into ground strike point properties in Europe through the EUCLID Lightning Location System
Authors: Poelman Dieter Roel , Kohlmann Hannes , Schulz Wolfgang
Published: February 2024

Abstract. Evaluating the risk of lightning strikes to a particular structure typically involves adhering to the guidance outlined in IEC 62305-2. Among the multitude of factors influencing the overall risk, flash density emerges as a crucial parameter. According to its definition, each flash is assigned only one contact point to ground. Nevertheless, it is well known that, on average, flashes exhibit multiple ground termination points as shown by high-speed camera observations. In this research, lightning data collected by the European Cooperation for Lightning Detection (EUCLID) network is utilized in combination with a ground strike point (GSP) algorithm that aggregates individual strokes within a flash into ground strike points. This approach enables the examination of spatio-temporal patterns of GSPs across Europe throughout a decade, spanning from 2013 to 2022. Average GSP densities exhibit variations across the European continent, mirroring the observed patterns in flash densities. The highest densities are concentrated along the Adriatic Sea and the western Balkan region, reaching peak values of up to 8.5 GSPs km-2 yr-1. The spatial distribution of the mean number of ground strike points per flash reveals a noticeable increase in the Mediterranean, Adriatic, and Baltic Sea regions compared to inland areas. Moreover, it has been determined that the average number of GSPs per flash reaches its peak between September and November. Additionally, a daily pattern is discernible, with the lowest number of GSPs per flash occurring between 12 and 18 UTC (Universal Time Coordinated). It is found that 95 % of the separation distances between distinct GSPs are less than 6.7 km. Lastly, it is worth noting that the presence of the Alps has an impact on GSP behaviour, resulting in lower GSP counts in comparison to the surrounding areas, along with the shortest average distances between different GSPs.
The utility of simulated ocean chlorophyll observations: a case study with the Chlorophyll Observation Simulator Package (version 1) in CESMv2.2
Authors: Clow Genevieve L. , Lovenduski Nicole S. , Levy Michael N. , Lindsay Keith , Kay Jennifer E.
Published: February 2024

Abstract. For several decades, a suite of satellite sensors has enabled us to study the global spatiotemporal distribution of phytoplankton through remote sensing of chlorophyll. However, the satellite record has extensive missing data, partially due to cloud cover; regions characterized by the highest phytoplankton abundance are also some of the cloudiest. To quantify potential sampling biases due to missing data, we developed a satellite simulator for ocean chlorophyll in the Community Earth System Model (CESM) that mimics what a satellite would detect if it were present in the model-generated world. Our Chlorophyll Observation Simulator Package (ChlOSP) generates synthetic chlorophyll observations at model runtime. ChlOSP accounts for missing data – due to low light, sea ice, and cloud cover – and it can implement swath sampling. Here, we introduce this new tool and present a preliminary study focusing on long timescales. Results from a 50-year pre-industrial control simulation of CESM–ChlOSP suggest that missing data impact the apparent mean state and variability of chlorophyll. The simulated observations exhibit a nearly −20 % difference in global mean chlorophyll compared with the standard model output, which is the same order of magnitude as the projected change in chlorophyll by the end of the century. Additionally, missing data impact the apparent seasonal cycle of chlorophyll in subpolar regions. We highlight four potential future applications of ChlOSP: (1) refined model tuning; (2) evaluating chlorophyll-based net primary productivity (NPP) algorithms; (3) revised time to emergence of anthropogenic chlorophyll trends; and (4) a test bed for the assessment of gap-filling approaches for missing satellite chlorophyll data.
An inter-comparison of approaches and frameworks to quantify irrigation from satellite data
Authors: Kragh Søren Julsgaard , Dari Jacopo , Modanesi Sara , Massari Christian , Brocca Luca , Fensholt Rasmus , Stisen Simon , Koch Julian
Published: February 2024

Abstract. This study provides the first inter-comparison of different state-of-the-art approaches and frameworks that share a commonality in their utilization of satellite remote-sensing data to quantify irrigation at a regional scale. The compared approaches vary in their reliance on either soil moisture or evapotranspiration data or their joint utilization of both. The two compared frameworks either extract irrigation information from residuals between satellite observations and rainfed hydrological models in a baseline framework or use soil water balance modeling in a soil-moisture-based inversion framework. The inter-comparison is conducted over the lower Ebro catchment in Spain where observed irrigation amounts are available for benchmarking. Our results showed that within the baseline framework, the joint approach using both soil moisture and evapotranspiration (ET) remote-sensing data only differed by +37 mm from the irrigation benchmark (922 mm) during the main irrigation season over 2 years and by +47 and −208 mm for approaches relying solely on soil moisture and ET, respectively. A comparison of the different frameworks showed that the main advantage of the more complex baseline framework was the consistency between soil moisture and ET components within the hydrological model, which made it unlikely that either one ended up representing all irrigation water use. However, the simplicity of the soil-moisture-based inversion framework, coupled with its direct conversion of soil moisture changes into actual water volumes, effectively addresses the key challenges inherent in the baseline framework, which are associated with uncertainties related to an unknown remote-sensing observation depth and the static depth of the soil layers in a conceptual model. The performance of the baseline framework came closest to the irrigation benchmark and was able to account for the precipitation input, which resulted in more plausible temporal distributions of irrigation than what was expected from the benchmark observations.
Spring water anomalies before two consecutive earthquakes (Mw 7.7 and Mw 7.6) in Kahramanmaraş (Türkiye) on 6 February 2023
Authors: İnan Sedat , Çetin Hasan , Yakupoğlu Nurettin
Published: February 2024

Abstract. Understanding earthquake phenomena is always challenging. The search for reliable precursors of earthquakes is important but requires systematic and long-time monitoring employing multi-disciplinary techniques. In search of possible precursors, we obtained commercially bottled spring waters dated before and after the earthquakes of 6 February 2023. Hydrogeochemical precursors have been detected in commercially bottled natural spring waters (Ayran Spring and Bahçepınar Spring), which are at a distance of about 100 and 175 km from the epicenters of the Mw 7.7 and Mw 7.6 Kahramanmaraş (Türkiye) earthquakes of 6 February 2023, respectively. The available water samples cover the period from March 2022 to March 2023. The pre-earthquake anomaly is characterized by an increase in electrical conductivity and major ions (Ca2+, Mg2+, K+, Na+, Cl−, and SO42-) compared to the background for Ayran Spring water samples. The pre-earthquake anomaly lasted for at least 6 months. The anomaly in major ions sharply declined and the ion content approached the background values about 2 weeks after the earthquakes. Although only 6.5 km away from the Ayran Spring, the bottled water samples of the Bahçepınar Spring did not show any anomalies in electrical conductivity; therefore, the samples were not analyzed for ion content. Bahçepınar water is collected from shallow boreholes dug into alluvial deposits, which we believe are decoupled from the basement rocks, and this may be the reason for the lack of abnormal water chemistry prior to the earthquakes. This attests to the fact that sampling locations are very important in the detection of possible earthquake precursors. Results of the Ayran spring water samples indicate that spring water chemical anomalies of discrete samples may provide valuable information on pre-earthquake crustal deformation. Monitoring of spring waters, along with other monitoring techniques in a multidisciplinary network, and for a sufficiently long time, could potentially enable obtaining reliable proxy indicators of pre-earthquake crustal deformation.
Soil carbon, nitrogen, and phosphorus storage in juniper–oak savanna: role of vegetation and geology
Authors: Hsiao Che-Jen , Leite Pedro A. M. , Hyodo Ayumi , Boutton Thomas W.
Published: February 2024

Abstract. Woody-plant encroachment into grasslands and savannas has been globally widespread during the past century, likely driven by interactions between grazing, fire suppression, rising atmospheric CO2, and climate change. In the southernmost US Great Plains, Ashe juniper and live oak have increased in abundance. To evaluate potential interactions between this vegetation change and the underlying soil parent material on ecosystem biogeochemistry, we quantified soil organic carbon (SOC), total nitrogen (TN), total phosphorus (TP), and δ13C of SOC in soils obtained from trenches passing through grassland, juniper, and oak patches on soils lying atop the respective Edwards and Buda limestone formations in central Texas. Soils on the Edwards formation are more shallow and have more rock outcropping than those on Buda. The δ13C values of SOC under grasslands was −19 ‰, whereas those under woody patches were −21 ‰ to −24 ‰, indicating that wooded areas were relatively recent components of the landscape. Compared with grasslands, areas now dominated by juniper or oak had elevated SOC, TN, and TP storage in soils lying atop Edwards limestone. In Buda soils, only oak patches had increased SOC, TN, and TP storage compared with grasslands. Woody encroachment effects on soil nutrients were higher in soils on the Edwards formation, perhaps because root and litter inputs were more concentrated in the relatively shallow layer of soil atop the Edwards bedrock. Our findings suggest that geological factors should be considered when predicting nutrient store responses in savannas following vegetation change. Given that woody encroachment is occurring globally, our results have important implications for the management and conservation of these ecosystems. The potential interactive effects between vegetation change and soil parent material on C, N, and P storage warrant attention in future studies aimed at understanding and modeling the global consequences of woody encroachment.
Characterizing the Resilience of Micro, Small, and Medium Enterprises (MSMEs) and Its Causal Determinants Amid the Health Crisis
Authors: Mondragon G-mar D. , Casinillo Leomarich F. , Salabao Analita A.
Published: February 2024

Business resilience is the ability to quickly recover from difficulties and continue operating by applying innovative strategies. The article aims to document the resilience level of micro, small, and medium enterprises (MSMEs) in the Pacific towns of Southern Leyte, Philippines, and capture its causal determinants amid the health crisis using descriptive correlational research design. Using a research-made questionnaire, cross-sectional and primary data were collected from a random sample of MSMEs and were summarized using statistical measures. The significant determinants of the resilience of MSMEs were determined using the Chi-square test for independence via cross-tabulation of categorical data. Results depicted that, on average, MSMEs during the pandemic are "resilient", particularly in their situational awareness, keystone vulnerabilities, and adaptive capacity as they combat the disruption of the health crisis. The Chi-square test reveals that age, civil status, business job position of the MSMEs' personnel, and the estimated monthly income of the enterprise are the highly significant factors that affect the resilience of MSMEs during the health crisis. In particular, younger age, single status, and owner of the enterprise are more active and creative in digital business technology, which increases their resilience in response to challenges brought about by the pandemic. Moreover, enterprises with lower incomes do adopt innovative business strategies that improve economic resilience and profit. Furthermore, the study suggests that enterprises must consider strategic plans and goals to enhance their capability in risk management as they will face future crises.
Francis Bacon and Bullfighting
Authors: Wheeler Duncan
Published: February 2024

This article explains how the physical and philosophical world of the corrida might nuance our understanding of life and work of the Anglo-Irish artist Francis Bacon, and vice-versa. To this end, the analysis is split into three sections. The first offers a biographical sketch of Bacon’s interest in taurine subject-matter. This background context paves the way for an ethical and aesthetic comparison between the working practices of the painter and the matador. The third and last section interprets his final painting, Study of a Bull, as a vision of fear and pity to suggest Bacon blurred distinctions between man and beast as he neared death.
The strategic behaviour of cooperatives: their adaptive cycle
Authors: García Pérez Ana María , Yanes Estévez Vanessa , Román Cervantes Cándido , González Dávila Enrique
Published: February 2024

Entre otros factores, los resultados y la competitividad de las cooperativas agroalimentarias dependen de su estrategia (Bijman, 2012; Mckee, 2008; Pashkova, et al., 2009). Esta investigación profundiza en el comportamiento estratégico de las cooperativas siguiendo la tipología estratégica de Miles y Snow (1978). Una contribución importante es que el estudio considera el ajuste (el ciclo adaptativo) dentro y entre las características o problemas que definen el comportamiento estratégico de las cooperativas: problema emprendedor, tecnológico y administrativo. Directivos de cooperativas agroalimentarias de Canarias (España) respondieron a un cuestionario que proporcionó la información necesaria para realizar el análisis. Los resultados muestran que las cooperativas agroalimentarias adoptan un comportamiento estratégico analizador o híbrido que busca equilibrar la eficiencia y el control de costes con la innovación. No se encontraron diferencias significativas en ninguno de los problemas estratégicos en función del tamaño de la cooperativa. Sin embargo, sí surgen diferencias en algunos de los ítems cuando se analizan individualmente. Por ejemplo, en las microempresas, los puestos directivos más altos tienden a estar ocupados más por socios que han promocionado desde dentro de la cooperativa que por profesionales externos. Existe un elevado ajuste estratégico dentro del problema emprendedor, pero bastante escaso ajuste entre este problema y los demás. La planificación estratégica de las cooperativas presenta un ajuste inverso con su organización y con su ámbito de actividad. La tecnología no parece estar alineada con los demás problemas estratégicos, especialmente en lo que respecta a varios aspectos relacionados con el problema administrativo. Así pues, la planificación parece ser el principal punto débil de estas organizaciones. En este trabajo se consideran explícitamente los tres problemas de la tipología de Miles y Snow (1978) y las relaciones entre ellos. Esto nos permite aproximarnos al grado de alineamiento o ajuste entre ellos y llenar así el vacío existente en la literatura estratégica con respecto a las cooperativas.
Constitutional Protection of Minorities rights in Sindh: Investigating the role of Members of Provisional Assembly-MPAs
Authors: Charan Faisal , Keerio Tarique Hussain , Rasool Ghulam , Kokeyeva Dariga , Kanyika Martin
Published: February 2024

This research paper highlights the pivotal role played by the (Sindh Assembly Members SAM) in safeguarding the constitutional and basic rights of scheduled caste communities particularly of Sindh. The main goal of the presented study spins around developing a sweeping understanding of the constitutional rights outstretched to minority communities by the Sindh Assembly. The study aims at eliciting nuanced insights into the challenges faced and efforts undertaken by the Sindh Assembly concerning the constitutional rights of minority communities. The study is based on several key objectives. Firstly, it seeks to meticulously analyze the extent of the Sindh Assembly's contribution to upholding and defending the constitutional rights of minority communities. Secondly, it scrutinizes the socioeconomic status of minority groups within Sindh, shedding light on their circumstances and challenges. Additionally, the research examines the underlying reasons for the migration of minority communities from Sindh to India. Moreover, a particular focus lies in comprehending the ramifications of Hindu migration on the demographic landscape of Sindh. Moreover, the study underscores the imperative of implementing these laws and educational initiatives at the grassroots level, extending beyond urban centers to rural areas in Sindh. There is a dearth of awareness among the masses, particularly among Scheduled Castes, underscoring the necessity for widespread dissemination and implementation of these initiatives. Subsequently, the consequences of the research investigation hover to generate a trajectory for subsequent inquiries. They present an avenue to introduce novel avenues for burgeoning scholars, adept researchers, and specialists in global diplomacy.
Nghiên cứu một số yếu tố liên quan đến cai thở máy thất bại ở bệnh nhân hồi sức tích cực
Authors: Ngọc Hà Viết , Cường Mai Văn , Tùng Phùng Quang , Nhâm Lê Văn
Published: February 2024

Mục tiêu: Nhận xét một số đặc điểm lâm sàng, cận lâm sàng, thông số máy thở ở người bệnh chuẩn bị cai thở máy và xác định một số yếu tố liên quan đến cai thở máy thất bại. Đối tượng và phương pháp: 26 bệnh nhân thở máy xâm nhập, tại Khoa Hồi sức tích cực, Bệnh viện Đa khoa Tâm Anh, từ tháng 01/2021 đến tháng 6/2023, được tiến hành 31 lần cai thở máy. Một số đặc điểm lâm sàng, cận lâm sàng và thông số máy thở trước cai thở máy được so sánh giữa hai nhóm cai thở máy thành công và thất bại. Một số yếu tố liên quan đến cai thở máy thất bại được xác định bằng thuật toán hồi quy. Kết quả: Giá trị trung vị của tuổi bệnh nhân là 78,5 (72,5; 84,5) tuổi. Nam giới chiếm 53,8%. Tỉ lệ cai thở máy thất bại là 32,3%. Các yếu tố liên quan đến cai thở máy thất bại: Glasgow < 10 (OR = 6,375), điểm APACHE II (OR = 1,318), tần số thở (OR = 1,756) và chỉ số thở nhanh nông (RSBI) (OR = 1,085). Kết luận: Điểm Glasgow < 10, điểm APACHE II, tần số thở và RSBI là những yếu tố liên quan đến cai thở máy thất bại.
Ảnh hưởng của một số yếu tố liên quan với điểm đánh giá tình trạng khớp trên người bệnh hemophilia ở miền Bắc, Việt Nam
Authors: Hằng Đặng Thị Thúy , Hằng Nguyễn Thị
Published: February 2024

Mục tiêu: Khảo sát một số yếu tố liên quan ảnh hưởng đến điểm đánh giá tình trạng khớp - HJHS 2.1 trên người bệnh hemophilia ở miền Bắc Việt Nam. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên người bệnh hemophilia tại 4 tỉnh/thành phố phía Bắc từ tháng 12/2021 đến tháng 4/2022. Kết quả: Tổng số 82 người bệnh đã được lượng giá (tuổi trung bình là 27 ± 11,97), trong đó có 61 hemophilia A (HA) và 21 hemophilia B (HB). Tổng điểm tình trạng khớp trong bệnh hemophilia (Hemophilia Joint Health Score - HJHS) là 24 (9-45). Điểm HJHS khác nhau giữa nhóm tuổi và mức độ bệnh. Trong nghiên cứu của chúng tôi ghi nhận mối tương quan thuận, mạnh mẽ giữa điểm HJHS toàn bộ với tuổi, số lần chảy máu khớp trung bình hàng năm, nhưng không ghi nhận sự khác biệt về điểm HJHS toàn bộ giữa HA và HB. Kết luận: Điểm HJHS toàn bộ tương đối cao, phân bố không đều và chức năng vận động của khớp bị hạn chế nhiều. Do đó, người bệnh hemophilia nên được tham gia các chương trình kiểm tra chức năng khớp định kỳ ở mọi lứa tuổi và kết hợp tập luyện phục hồi chức năng một cách toàn diện, lâu dài. Người bị bệnh hemophilia cần được giáo dục về các phương pháp phòng ngừa, bảo vệ khớp và đảm bảo nguồn thuốc sẽ giúp người bệnh kiểm soát số lần chảy máu khớp hàng năm.
Đánh giá kết quả điều trị bệnh vảy nến thông thường bằng bôi potriolac kết hợp uống methotrexat
Authors: Chính Phạm Công , Mạnh Hoàng Văn
Published: February 2024

Mục tiêu: Đánh giá kết quả điều trị bệnh vảy nến thông thường bằng bôi potriolac kết hợp uống methotrexate. Đối tượng và phương pháp: Nghiên cứu thử nghiệm lâm sàng có đối chứng so sánh trên 35 bệnh nhân vảy nến mức độ vừa và nặng. Kết quả: Trong nhóm nghiên cứu có 80%  bệnh nhân nam và 20% bệnh nhân nữ với độ tuổi trung bình: 56,8 ± 10,5; mức độ bệnh vừa 34%, nặng 66,7%. Tất cả đang ở giai đoạn bệnh hoạt động. Trước điều trị, bệnh nhân mức độ nặng 74,3%, mức độ vừa 25,7%, mức độ nhẹ không có. Sau điều trị bệnh nhân mức độ nhẹ 88,6%, mức độ vừa 11,4%, mức độ nặng không còn. Trước điều trị PASI 24,6 ± 7,3, sau điều trị còn 0,2 ± 0,3 và PASI giảm được 99,01%. Kết quả chung rất tốt 45,7%, tốt 54,3%. Tác dụng khô da gặp 8,6%, rối loạn sắc tố 5,7%, nóng rát/ngứa 8,6%, khác 5,7%. Chi phí điều trị thấp hơn 50% so với thuốc nhập ngoại. Kết luận: Điều trị bệnh vảy nến thể thông thường mức độ vừa và nặng bằng thuốc bôi sản xuất trong nước (potriolac) phối hợp với methotrexat đạt kết quả tương đương thuốc với thuốc nhập ngoại (daivonex). Thuốc ít tác dụng phụ, dễ sử dụng.
Sự thay đổi của một số chỉ số cầm đông máu ở người bệnh ghép gan từ người cho sống tại Bệnh viện Trung ương Quân đội 108
Authors: Anh Nguyễn Thị Vân , Khải Lý Tuấn , Thành Lê Văn , Trường Hồ Xuân
Published: February 2024

Mục tiêu: Khảo sát sự thay đổi và đánh giá mối tương quan của một số chỉ số cầm đông máu trong quá trình ghép ở người bệnh ghép gan từ người cho sống. Đối tượng và phương pháp: Nghiên cứu hồi cứu, mô tả ở 121 người bệnh được ghép gan từ người cho sống, tại Bệnh viện Trung ương Quân đội 108, từ tháng 01/2020 đến tháng 3/2023 về kết quả xét nghiệm số lượng tiểu cầu (SLTC), tỉ lệ prothrombin (PT%), tỉ số thromboplastin từng phần hoạt hóa (rAPTT), Fibrinogen và một số chỉ số của ROTEM ở các thời điểm: Trước ghép, không gan, tái tưới máu và ngay sau ghép của quá trình ghép gan. Kết quả: Xét nghiệm PT%, rAPTT, Fibrinogen thay đổi rõ nhất ở thời điểm tái tưới máu và bắt đầu cải thiện dần ở thời điểm ngay sau ghép. SLTC giảm ở cả bốn thời điểm và giảm nặng nhất ở thời điểm ngay sau ghép. Chỉ số CT INTEM kéo dài ở thời điểm tái tưới máu. Chỉ số CT EXTEM bình thường trong suốt quá trình ghép gan. Các chỉ số A5, A10, MCF của EXTEM, FIBTEM giảm ở thời điểm tái tưới máu và giảm nhất ngay sau ghép. PT% và CT EXTEM tương quan nghịch ở mức độ vừa. CT INTEM và rAPTT, Fibrinogen và A10 EXTEM, A10 FIBTEM tương quan chặt. SLTC tương quan rất chặt với A10, MCF EXTEM. Kết luận: Các xét nghiệm cầm đông máu bắt đầu thay đổi ở thời điểm không gan và rõ nhất ở thời điểm tái tưới máu, cải thiện dần ở thời điểm ngay sau ghép. Có mối tương quan từ mức độ vừa đến chặt giữa các chỉ số ROTEM với SLTC, PT%, rAPTT, Fibrinogen ở các giai đoạn ghép gan.
Một số đặc điểm giải phẫu mạch máu của cánh gà Tam Hoàng tươi ứng dụng trong đào tạo siêu vi phẫu
Authors: Hùng Vũ Mạnh , Cảnh Nguyễn Huy , Xuân Hoàng Thị Thanh , Ngân Đỗ Thị
Published: February 2024

Mục tiêu: Mô tả một số đặc điểm giải phẫu mạch máu của cánh gà Tam Hoàng tươi ứng dụng trong đào tạo siêu vi phẫu. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang, tiến cứu trên 30 cánh gà Tam Hoàng trưởng thành tươi, các mạch máu gồm: Động mạch quay, động mạch cánh tay sâu, động mạch bên quay, động mạch bên trụ, động mạch gan tay, nhánh nông động mạch trụ, tĩnh mạch trụ sâu, tĩnh mạch cánh tay sâu, tĩnh mạch bên quay, tĩnh mạch bên trụ, tĩnh mạch dưới da trong, tĩnh mạch dưới da ngoài. Kết quả: Tổng số 360 mạch máu đều có đặc điểm về nguyên uỷ, đường đi, tận cùng hằng định. Tất cả các mạch máu có trung bình đường kính ngoài nhỏ hơn 0,8mm. Trung bình đường kính ngoài lớn nhất là tĩnh mạch trụ sâu (0,75 ± 0,12mm), nhỏ nhất là nhánh nông động mạch trụ (0,26 ± 0,07mm). Động mạch quay có trung bình chiều dài lớn nhất (64,73 ± 4,05mm), động mạch cánh tay sâu có trung bình chiều dài nhỏ nhất (24,53 ± 2,53mm). Trung bình khoảng cách giữa 2 nhánh bên kế tiếp nhau dài nhất trên tĩnh mạch trụ sâu (14,07 ± 2,23mm), ngắn nhất trên tĩnh mạch dưới da trong (6,69 ± 0,96mm). Kết luận: Mô hình các mạch máu trên cánh gà có đặc điểm giải phẫu phù hợp cho đào tạo siêu vi phẫu.
Potential of Homecare Services in the Indian Healthcare System After the Pandemic
Authors: Raturi Pulkit , Sodani P.R.
Published: February 2024

With growing concern of unexpected events, National Health Policy launched in 2017 recognizes the goal that spending in India is expected to rise from current 1.15% to 2.5 % of GDP by 2025 [1]. These challenges and avenues presented innovators, service providers and demanding seekers to look at services such as tele medicine, home healthcare services, remote monitoring, home delivery of pharmacy/medical supplies/equipment, home lab sample collections and test. However, most part of these services remain surprisingly an unorganized sector and need reform to ensure quality of care can be delivered of which the result is trust and growth in demand. With the elderly population average age growing to 73.4 as per the stats in 2019 [2].
Utilization of Dialysis Department Capacity in a Tertiary Care Hospital Using the Tdabc Model
Authors: Paropkari Dr. Akshata , Sharma Dr. Sandesh Kumar
Published: February 2024

The Indian hospital industry is currently undergoing significant disruption, facing pressure from various stakeholders. The government is advocating for price rationalization and transparency, patients are demanding care that is both accessible and affordable with high quality, and stakeholders and investors are pursuing profitable growth. Due to prevailing price control regulations, hospitals have encountered a decline in their EBIDTA margin, dropping from a previously observed range of 10 percent to 15 percent to as minimal as 6 percent [1].
Understanding Knowledge and Attitudes Regarding COVID-19 Among Rural Population: A Cross-Sectional Survey
Authors: Gupta Vibhor , Sharma Dr. Sandesh Kumar
Published: February 2024

, Dr. Sandesh Kumar Sharma
A Study on Correlation between Hospital-Acquired Infection and Prolonged Average Length of Stay
Authors: Khan Alfa , Kumar Dr. (Col.) Mahender
Published: February 2024

Nosocomial infection recognized as Hospital Acquired Infection (HAI), is a significant challenge in lower- and middle-income countries with restricted healthcare resources. This infection manifests 48 hours after hospital admission [1]. This infection held both the developed and resource poor countries. Various studies show that between 5.9 to 13.5% patients are affected by Nosocomial Infection [1,2]. This proportion is higher among the old age, underlying diseases, chemotherapy patients, immune-compromise patients [8]. According to WHO HAI is an invisible and sawing burden that no country can ascertain yet for solving this. It is a worldwide burden, in an article of national and multi-central studies (1995-2008), shows the general prevalence of HAI in developed countries are 5.9% to 11.6% [3]. Where very little or insufficient data are available for middle to low-income countries, hospital wide prevalence rate vary between 5%-19% but many studies showed its higher than 10% [4,1].
Study on Impact of Nicotine Replacement Therapy for Tobacco Cessation in India
Authors: Shetty Apoorva , Kumar Dr. (Col.) Mahender
Published: February 2024

Nicotine affects the ventral tegmental area of the brain by activating neuronal nicotinic acetylcholine receptors (NAChRs), resulting in the release of dopamine in the nucleus accumbens. This process plays a role in alleviating nicotine withdrawal symptoms in individuals who regularly smoke and subsequently quit. The objective of nicotine replacement therapy (NRT) is to emulate the effects of nicotine-containing products, thereby reducing the allure of cigarette products. Nevertheless, because no nicotine delivery device can completely replicate the swift and elevated levels of arterial nicotine attained through inhaling cigarette smoke, withdrawal symptoms cannot be completely eliminated.
To Analyse the Usage of Web Based Platforms in Indian Hospitals and the Way Forward
Authors: Bhattacharya Narma , Kumar Col (Dr.) Mahender
Published: February 2024

Presently, the development of net astute patients and advanced cell subordinate specialists in India is giving acceleration in the utilization of web based media drives by medical clinic industry. Sites and web based media stages are being continuously utilized as a starter point by the patients/clients for social event data about emergency clinics furthermore, different suppliers since now daily's medical care is additionally dealt with like a client buy just like the case with other supplier businesses, along these lines the data discovered goes about as a structure of their decisions. They have effectively perceived online media in various areas just as medical services. Relating practice rates can be utilized to give an imaginative measurement to medical services in the semi-metropolitan locales of India" [1]. One more examination in 2015 properly advances that a developing aggregate "of emergency clinics and wellbeing frameworks use web-based media to allow clients to convey input and appraisals. The relationship between appraisals via web-based media what's more, more normal clinic quality measurements remain essentially dubious, raising worry that medical care purchasers may settle on choices on mixed up or unsatisfactory proof concerning quality" [2].
STUDY TO UNDERSTAND THE PRESENT FACILITY CONDITIONS FOR THE TREATMENT OF CHILDHOOD PNEUMONIA AND DIARRHEA IN GONDA DISTRICT, UTTAR PRADESH
Authors: Singh Amit Kumar , Sodani Dr. P.R.
Published: February 2024

The disease causes 29% of under-five mortality. Unfortunately, India accounts for the highest toll of children's death, specifically 318,000 due to Pneumonia and Diarrhoea, as per the latest Pneumonia and Diarrhoea progress report 2014. In India, the contribution of Pneumonia and Diarrhoea to under-five children's death is even greater than the global ratio, accounting for 24% and 19%, respectively [1]. Addressing child mortality requires a focus on addressing gaps in pneumonia and diarrhoea death prevention and treatment strategies. Practitioners exhibited insufficient performance when faced with vignettes and standardized patients, revealing significant disparities between knowledge and practical application, particularly in the context of childhood diarrhea [1]. Initiatives aimed at enhancing healthcare for prevalent causes of childhood mortality should prioritize strategies that motivate pediatric healthcare practitioners to accurately diagnose and address these conditions. Reaching this objective may entail enhanced monitoring, incentives, and additional training initiatives for practitioners [2].
SOSIALISASI PEMBERDAYAAN MASYARAKAT DALAM UPAYA MENCIPTAKAN LINGKUNGAN BERSIH MELALUI KONSEP 3R
Authors: Nugroho Arif Setyo , Kristiawan Y Yulianto , Suhartoyo  , Rahayu Aris Teguh , Supriyanto Bambang
Published: February 2024

Pelaksanaan kegiatan pengabdian kepada masyarakat berupa sosialisasi penanganan sampah dimasyarakat, penanganan sampah fokus pada permasalahan yang dihadapi setiap daerah. Sosialisasi dilaksanakan di desa Guli Nogosari Boyolali, Desa Kalioso Karanganyar dan kalurahan Ngadirejo Kartasura Sukoharjo. Prinsip utama yaitu mengurangi sampah dari timbunan dengan cara mempercepat. Upaya yang dilakukan dengan pengiriman sampah ke tempat pengumpulan sampah yang tersentral di tempat yang telah ditentukan. Sampah harus dipilih antara sampah organik yang bisa terurai dan sampah non organik yang tidak bisa terurai. Pengelolaan sampah dengan menggunakan konsep 3R (Reuse, Reduce, Recycle). Hasil sosialisasi di kelurahan Ngadirejo, Kartasura, Sukoharjo berupa pemberdayaan masyarakat mengenai pengelolaan limbah plastik menjadi bahan bakar cair. Selanjutnya hasil sosialisasi di desa Guli Nogosari Boyolali berupa pengetahuan tentang pembuatan bahan bakar padat berbahan limbah kayu. Sosialisasi di desa Kalioso Karanganyar menghasilkan pemahaman tentang pengolahan limbah organik menjadi pupuk cair.
REKAYASA MESIN POTONG RUMPUT DC UKM GAPOKTAN DADI MAKMUR DI SAPEN, MOJOLABAN, SUKOHARJO
Authors: Surjadi Eko , Hendarti Yanita , Wahyu Darojat Muhammad , Karminto
Published: February 2024

Tingginya harga hasil perkebunan disebabkan beberapa faktor diantaranya beaya penyiangan gulma tanaman induk. Pada sekitar tanaman induk biasanya akan tumbuh gulma, berupa rumput parasit berbagai macam yang mengakibatkan produktivitas hasil panen kebun akan menurun. Pengendalian gulma menjadi sangat penting, dilakukan baik secara manual atau konvensional. Hal tersebut terjadi pada UKM GAPOKTAN Dadi Makmur di Sapen, Mojolaban, Sukoharjo yang mengeluhkan hal tersebut diatas, karena dirasa kurang efektif dan efisien. Mesin pengendali gulma berpenggerak motor DC. maka perlu direkayasa nyata agar lebih memenuhi harapan petani. Tujuan pengabdian masyarakat ini merekayasa mesin potong rumput yang dapat bekerja dua posisi dengan pengerak motor listrik DC, yang dibutuhkan UKM GAPOKTAN Dadi Makmur. Rekayasa mesin potong rumput dimulai dengan menentukan desain, menghitung gaya-gaya yang terjadi, menghitung dan merancang komponen pendukung, menggambar teknik, pengadaan bahan, penyiapan alat, pemotongan, perakitan, ujicoba dan serahterima mesin ke UKM. Hasil kegiatan menunjukkan bahwa rekayasa mesin potong rumput ini dapat memotong dengan rata rumput termasuk ilalang ilalang di medan basah dan kering (tergantung jenis roda yang dipasang) dengan jangkauan radius 1500 mm, mata pisau (P=250 mm dan L=50 mm), motor listrik DC 775 (tegangan=24 Volt dan putaran=7000 rpm). Dimensi alat potong rumput posisi memotong mendatar (P=450 mm, L=300 mm dan T=800 mm), untuk posisi memotong segala arah (P=1100 mm, L=250 mm dan T=70 mm).
HYPERTENSION: PREVALENCE AND PREVENTIVE KNOWLEDGE
Authors:   Department of Anthropology, PMAS-Arid Agriculture University, Rawalpindi, Ghafoor Chaudhry Abid
Published: February 2024

Hypertension, commonly known as high blood pressure, is often referred to as a silent killer due to its typically asymptomatic nature. It is a prevalent health issue in Pakistan. The high incidence of hypertension underscores the importance of spreading knowledge about its causes, symptoms, and available treatment options, especially among individuals pursuing higher education. The demands and stress associated with higher education can increase the susceptibility of students to hypertension. In this context, the present study aims to investigate two key aspects related to hypertension among students at Arid Agricultural University, Rawalpindi: 1) its prevalence and 2) the awareness of preventive measures. A sample of 100 students currently diagnosed with hypertension was selected following initial screening. Data was collected through structured interviews and subsequently analyzed using SPSS. Among the students interviewed, 51% fell within the age group of 24 to 27, while the remaining students were aged above 27. The study revealed that out of all respondents diagnosed with hypertension, 82 students were familiar with the disease and its health implications. Out of these 82, 65 students were actively receiving treatment. Notably, 75% (N=16) of the students were aware of the available treatments, and 56.25% (N=16) were currently undergoing treatment. In terms of educational attainment, MPhil and PhD students exhibited higher levels of awareness and engagement with hypertension, with sensitization and treatment rates of 93.33% for MPhil and 100.00% for PhD students, as opposed to 73.33% for MPhil and 75.00% for PhD students who had sought treatment. The study's findings also point to the need to explore the root causes of hypertension and its potential impact on students' academic performance, particularly in terms of their academic results. Additionally, the study suggests investigating the approaches students commonly employ to manage high blood pressure. Notably, students pursuing Master's and Doctoral degrees tend to have a better understanding of hypertension and are more likely to receive regular treatment for the condition. Keywords: Hypertension, High Blood Pressure, Hypertension and students, Disability and Hypertension
IMMUNOHISTOCHEMICAL EXPRESSION OF NGF/TrkA AND BDNF/TrkB IN TUMOR PARIENCHYMA AND PERIPROSTATIC ADIPOSE TISSUE, DEPENDING ON THE PATHOANATOMIC STAGE OF PROSTATE CANCER
Authors:   Department of Urology, Faculty of Medicine, Medical University Varna, Bulgaria., Evtimov Nikolay
Published: February 2024

Introduction: For more than 30 years, the idea of inhibiting growth factors has taken over the minds of different generations of scientists since the progression of the neoplastic process is determined by uncontrolled proliferation differentiation and apotosis and the metastasis of the neoangiogenesis process. The aim: of this work is to show the density of immunohistochemical expression of NGF/TrkA and BDNF/TrkB A Trk B in tumor parienchyma and periprostatic adipose tissue. The study ability is to use it as a prognostic indicator for metastasis of prostate cancer. Material and methods: During the period 2018-2022, 184 patients were diagnosed with radical prostateectomy on the occasion of localized prostate cancer with PSA < or > 20 nmoll/ml, Gleason< or >7, G< or >II. study of the density of expression besch determined by a semi-quantitative method and was established by counting epithelial cells associated with a monocronal antibody, calculated on 20 fields. Results: The study showed expression of Trk receptors in epithelial cells in all tissue samples. NGF/TrkA has poor expression in adipose tissue in areas perirectally and ventrally in the pathoanatomical stage G1, and it becomes moderately positive as the process of undifferentiation progresses. The same tendency is observed in the expression of neurotrophin in prostate-epithelial cells. Conclusions: The increased density of NGF, as well as the preoperative determination of the expression of BDNF and TrK a,b receptors in the pathoantomic preparation, can be used as a negative prognostic indicator of the aggressiveness of the CaP tumor, as well as its possible metastasis.
АДАМДЫН ЖАН ДҮЙНӨСҮН КАЛЫПТООДОГУ ИСКУССТВОНУН РОЛУ
Authors: Полотова Гүлзат
Published: February 2024

Бул макалада негизинен искусствонун адам баласынын жан дүйнөсүнө тийгизген таасири, ролу тууралуу баяндалат. Искусствону жөнөкөй сөз менен айтып түшүндүрүүгө болбойт. Ал инсандын ички рухий байлыгын, ой жүгүртүүсүн, дүйнөгө болгон көз карашын өстүрүүдө, анын адамгерчилик сапаттарын калыптоодо, ошондой эле психофизиологиялык процессине таасир этүүдө искусство эң маанилүү орунду ээлейт.
The Role of Implications of Ind AS towards the Profitability of Pharmaceutical Companies through E-Pharmacy: A Study of Post Implications of Ind AS in India
Authors: Dr. Tina Shivnani Mohammed Zeeshan Qadri,
Published: February 2024

In the view of the present scenario, the implications of Ind AS in India has opened numerous gates to reach to the market. The online pharma industries have emerged as new platform of e-commerce. Pharma industries has given so many facilities like, online consultation by reputed doctors across India and door to door delivery of medicines. Due to this facility, pharmaceutical industries have made huge profits. The paper reveals the recent upward shifts in the profitability of this industry due to the change in the standards. The data reflects that Pharma has earned double the profit in past few years.

There are around 20 companies those are providing E- Pharmacy services in India, but a few companies are popular in market. In the same contest, it analyses the performance of these companies in Indian market. The data presented will show a significant change in the preferences of customers for buying medicines online along with . The customer has changed their perception towards the online trading of medicines due to huge margins, convenience for purchasing through online mode and receiving the medicines at doorstep.
A study on the Driving factors of Foreign Institutional Investment in Indian Stock Market (BSE)
Authors: Arpita Tripathi Dr. Arun Gautam, Prof. Renu Pareek,
Published: February 2024

India's stock market is essential to the country's economic progress. The market for stocks is an assembly point where investors, including residents and non-residents, may invest or withdraw money in the hope of seeing a capital increase. The stock market is an essential actor in the financial industry because it gives users and suppliers of financial resources a place to invest in company stocks. Examine the FII’s link with the stock market of India’s average monthly return. Monthly statistics were gathered for six years, from the beginning of 2016 to the end of 2021, to assess the impact of FII on the comeback of stock market of India. The relationship between the return of stocks and these variables was investigated using economic analysis.

Every factor, such as the Sensex (BSE), and FII (both dependent and independent) are included in the analysis to check the stationary before being employed in the econometric analysis. The ADF test was used to assess the validity of the unit root test. The preceding study demonstrates that there is a causal link between the FII and the Sensex has been studied using correlation and the Granger causality test.