bluuebunny/crossref_metadata_2025 huggingface dataset:
The relationship between renal functions and multi-drug resistant organisms in patients with ventilator-associated pneumonia
Authors: ILBAN Omur , ILBAN Aysegul
Published: January 2023

Objective: Despite the increase in the frequency of multi-drug resistant organism (MDRO) colonisation and infection in dialysis

patients, it is not well known whether the risk of multi-drug resistant (MDR) pneumonia increases in mild-to-severe chronic kidney

disease patients not undergoing dialysis. Therefore, we aimed to evaluate the relationship between renal functions and the risk of MDR

ventilator-associated pneumonia (VAP) and the specific microbial pattern.

Patients and Methods: A total of 133 patients who developed VAP were divided according to their renal function into two groups, an

estimated glomerular filtration rate of (eGFR) ≥ 60 mL/ min/1.73 m2 (high eGFR, n=65) and eGFR < 60 mL/min/1.73 m2 (low eGFR,

n=68).

Results: The low eGFR group presented a significantly high MDRO ratio (p
ANÁLISE DE RISCOS ERGONÔMICOS PRESENTES NO CARGO DO VISTORIADOR DE IMÓVEIS: ESTUDO DE CASO
Authors: Litig Sofia Stefane Alves , Arão Isabelle Rocha , Félix Panmella Janaina Barros , Soares Helen Pereira dos Santos , De Lima Karla Kellem
Published: January 2023

O mercado imobiliário sofreu um aquecimento considerável, de acordo com a Associação Brasileira de Incorporadoras Imobiliárias, ocasionado em decorrência da Pandemia da COVID-19. Os lançamentos de imóveis do último trimestre móvel de 2021 (março, abril e maio), tiveram uma alta de mais de 72% em comparação ao mesmo intervalo do ano anterior, 2020 (ABRAINC, 2021). A citada demanda requer atenção no que se refere a saúde ocupacional do profissional que exerce o cargo de vistoriador.
The Attitudes of Doctors Working in the Surgical Clinic of a University Hospital for Patient Blood Management: A Survey-Based Study
Authors: Kucukosman Gamze , Koksal Bengu Gulhan , Aydin Hasan Ali , Yilmaz Alkim Gizem , Ayoglu Hilal
Published: January 2023

Objective: Our aim is to evaluate the attitudes of the doctors working in the surgical clinics of a university hospital on Patient Blood Management (PBM). Methods: This cross-sectional study was conducted in Zonguldak Bülent Ecevit University, Faculty of Medicine between December 2019 and January 2020, after obtaining ethical permission. The survey data were obtained by handing out the survey forms which consist of 33 questions to the doctors working in the hospital’s surgical clinics to fill out. The questions include demographic data, and attitudes on PBM. Results: Fully completed 91 surveys were evaluated. Of the participants, 81% were research assistants and 30% were anesthesiologists. The 61.5% of participants had PBM knowledge, 91% of them knew the relationship between preoperative anemia (POA) and preoperative morbidity, and mortality, and 54% were found to treat POA regularly. The 85% of the participants stated that anemia should be treated before elective surgery, and for this purpose, they transfused erythrocyte suspension (RBC) (67.5%) immediately before surgery. Apart from the hemoglobin (Hb) value, the most commonly used parameter in the RBC transfusion decision was the amount of bleeding >1000 mL. While it was found that the most common practice to reduce intra-operative blood transfusion was the diagnosis and correction of POA (85%), only 27.5% of the participants reported that it is necessary to act restrictively to ensure normothermia and for the Hb threshold value in the decision of transfusion. When participants were asked ‘how should they be treated if they are an anemic patient without cardiopulmonary disease and bleeding’, 69% of them said they ‘want their anemia to be recognized and treated before elective surgery'. Only 22% of the participants were aware that there was no written protocol on PBM in their institution. Conclusion: Study findings suggest that the adoption of PBM guidelines should be encouraged, more momentum should be given to implementing these programs, and other studies in this area are needed. Keywords: Patient blood management, perioperative anemia management, perioperative care
Nociception Monitoring
Authors: Bilgin Hülya , Cansabuncu Seda
Published: January 2023

Tissue damage and inflammation-induced nociception during surgery are the primary reasons for administering general anesthesia to the patient. During general anesthesia, analgesics inhibit autonomic and somatic responses, hypnotic agents prevent awareness, and neuromuscular blocking agents inhibit reflex movements. Careful monitoring of the effects of general anesthesia is necessary to avoid over- or under-dosing of anesthetics and thus to prevent associated complications and adverse effects. In general, hemodynamic parameters have been used to guide the intraoperative administration of analgesics such as opioids, but hemodynamic parameters are not standardized and cannot always provide a clear assessment. There is growing interest in techniques that can objectively monitor the analgesic component of anesthesia to achieve an appropriate balance of nociception and anti-nociception and to guide analgesic administration. The purpose of this review is to provide information about nociception monitoring techniques, which are increasingly used in clinical practice. Keywords: General anesthesia, nociception, anti-nociception, monitoring
A Retrospective Analysis of the Analgesic and Adverse Effects of Interscalene Brachial Plexus Block During Arthroscopic Shoulder Surgery
Authors: Emmez Gokcen , Gungor Irfan , Tezer Tolga , Kanatli Ulunay
Published: January 2023

Objective: Interscalene block (ISB) has become an accepted and effective technique of anesthetic and perioperative analgesia, in arthroscopic shoulder surgery. We aimed to retrospectively evaluate a series of patients who underwent arthroscopic shoulder surgery under combined ISB and general anesthesia. Methods: A retrospective chart review was performed consisting 641 patients who had ISB performed between June 2007 – January 2013 for success rates, side effects and complications. Results: The overall success rate of the blocks was 96.5%, with a mean postoperative analgesia time of 15.5 hours. While no patient suffered permanent nerve injury as a result of ISB, the most common complication noted in this analysis was local anesthetic-related convulsion, which occurred in only one patient. Conclusion: Interscalene block and general anesthesia combination, which provides high patient satisfaction with low side effects and complication profile, can be recommended for patients undergoing arthroscopic shoulder surgery. Keywords: Shoulder, arthroscopy, brachial plexus block, general anesthesia
Prognostic Significance of Platelet and Mean Platelet Volume Kinetics for Ventilator-Associated Pneumonia
Authors: Ilban Omur , Simsek Fatih
Published: January 2023

Objective: Platelets play an important role in cases of inflammation and infection, along with in the hemostatic process. The aim of study is to evaluate prognostic efficiency of platelet count (PC), mean platelet volume (MPV) and MPV/PC for mortality prediction in patients with ventilator-associated pneumonia (VAP). Methods: A total of 150 VAP patients were divided into two groups as Survivors (n=98) and Non-survivors (n=52) according to intensive care unit mortality. The PC and MPV on days 1 and 4 of VAP were evaluated. Results: Thirty (31%) patients in the survivors group and 35 (67%) patients in the non-survivor group had thrombocytopenia, respectively (p<0.05). The non-survivor group had higher MPV and a higher MPV/PC on the 1st and 4th days, while the survivor group had higher PC levels, respectively (p<0.05). Platelet count, MPV and MPV/PC had the highest AUC levels at day 4 (0.68, 0.80, 0.73, respectively). The prognostic values of day 4 MPV and MPV/PC measurements were similar (p=0.17). Day 4 PC were found to be negatively correlated with mortality (adjusted hazard ratio (aHR): 0.91, p=0.01). Day 4 MPV and MPV/PC values were the independent mortality predictors (aHR: 2.59, p<0.01 and aHR: 1.63, p=0.01). The survival probability of VAP patients with <9.25 fL of MPV day 4 was significantly higher than those with ≥9.25 fL (p=0.002, log-rank test) Conclusion: In addition to thrombocytopenia, MPV and MPV/PC are useful predictors of poor outcomes. Changes in MPV responses may be a more useful prognostic assessment tool for VAP patients than PC. Keywords: Immune response, mean platelet volume, platelets, prognosis, ventilator-associated pneumonia
Investigation of Apoptotic Effect of Propofol, Dexmedetomidine and Medetomidine on Oocyte Cumulus Granulosa Cells in Rats
Authors: Tas Tuna Ayca , Kocayigit Havva , Demir Gurkan , Budak Ozcan , Bostanci Mehmet Suhha , Cakiroglu Huseyin , Gunaydin Dudu Berrin
Published: January 2023

Objective: We aimed to evaluate the potential apoptotic effects of propofol, dexmedetomidine and medetomidine that were used during oocyte retrieval on cumulus cells in rat ovulation induction model. Methods: After the ovulation induction model was created, rats were received dexmedetomidine in Group D, propofol in Group P, medetomidine in Group M. Oocytes collection was performed 10 minutes after the administration of study drugs. For Caspase-3 immunohistochemical evaluation, the staining level was scored in five randomly selected areas and the areas with the highest score were determined. Immunohistochemical staining scoring for each section was performed using a scoring algorithm called H-score. Results: Caspase-3 expression in cumulus cells was found to be lowest in Group D and highest in Group P. The mean caspase-3 H-score was lower in Group D than that of Group P and M (p<0.001), and in Group M than that of Group P (p<0.001). Conclusion: Our results demonstrate that dexmedetomidine and medetomidine exhibit less apoptotic effects in terms of caspase-3 activity in oocyte cumulus cells than propofol in a rat ovulation induction model. Keywords: Apoptosis, cumulus cells, dexmedetomidine, medetomidine, propofol, oocyte retrieval
Minimizing the Presence of the State in the Sphere of Economy and Entrepreneurship: Opinions «Yes» and «Against»
Authors: Baklan Oleh
Published: January 2023

The chapter is devoted to analysis and reflections on the issues related to today's requirements for establishing modern partnership relations of the state with other subjects of law, in particular, subjects of economic activity and entrepreneurship. The study noted that the relevance of this issue is growing now, despite the war, which is noted by both statesmen and domestic and foreign scientists. The transparency of economic policy, the development of human capital and the social sphere should become important factors in the development and stabilization at the appropriate level of the national economy and domestic entrepreneurship, the joint concentration of the interests of various participants in legal relations in the field of entrepreneurship, which should eventually lead to sustainable economic growth and stable development of entrepreneurship industries.
Optimization of the Reduction of the Cost of Cheap Beef Production in Meat Cattle Breeding in the Carpathian Region of Bukoviny
Authors: Kalinka Andriy , Tomash Leonid , Lesyk Oksana
Published: January 2023

The presented scientific work on the optimization of the reduction of the cost of production of cheap beef in meat cattle breeding in the Carpathian region of Bukovyna. The work is devoted to the economic analysis of the reduction of the cost of production of cheap beef when implementing a new progressive technology of meat cattle breeding in the Carpathian region of Ukraine. Various economic and statistical methods of information collection and processing were used in the research process. Statistical data of the Ministry Agrarian policy and food Ukraine, State Statistics Service of Ukraine, data from annual reports and analytical accounting in the Chernivtsi region were used as analytical material. As a result of the conducted research, what are the proposed recommendations for the progressive branch of meat cattle breeding, which are aimed at improving the breed condition and breeding qualities of the new population of the created Bukovyna zonal type of meat komologo Simmental of ruminants, deepening specialization, achieving the optimal concentration of livestock and mastering intensive technologies of breeding, breeding, feeding, reproduction and maintenance of animals in the Carpathian region of Bukovyna.
An Examination of Effect of Impact on Four Stroke 4 Cylinder Petrol Engine using Different Engine Oil
Authors:   Dept. of Mechanical Engineering, SAGE University, Indore, Pal Aditya , Rathore Santosh
Published: January 2023

In the gas powered motor not practically everything moved to the cylinder from the gases contained inside the chamber the Demonstrated work is accessible at the drive shaft for real work.. The grinding delivered because of PRA(piston ring assembly) has a significant commitment altogether frictional misfortunes of the motor. The piston ring gathering is predominant wellsprings of the motor scouring force. This work endeavors to assess the frictional power at the piston ring liner gathering by utilizing different motor oil. To assess the frictional power a model ready by the YUKIO is thought of. The exploratory work was led on a four stroke 4-chamber SI motor from speed range from 1500 rpm to 3000 rpm. It is seen that the greatest worth of the frictional power is higher for the ointment SAE30W which might reason for higher wear of the rings. The utilization of grease SAE15W in the given arrangement would make less wear of piston rings due diminish frictional powers. Key words:- Piston Ring Assembly, Gas powered cycle, friction, wear, SAE.
When Good Deeds Do Go Unpunished: How to Be Involved in the Distribution of the Local Budget
Authors: Laktyushina I.
Published: January 2023

Lighting a street and paving the road to a house, erecting a monument, organizing a hiking trail or renovating a staircase in a building — these issues, and many others, are ones in which the public itself is entitled to decide on and get the funding to implement these ideas. Projects proposed by local residents are implemented today in most subjects of the Russian Federation in the form of socalled “initiative budgeting.” How it works, what territories need it and on what conditions — that’s what this article is about.
Changing the World with the Planet: Crowdfunding Opportunities for Territorial Development
Authors: Ignatenko N.
Published: January 2023

Crowdfunding represents one of the latest instruments in territorial development. A significant share of the projects on Planeta.ru, Russia’s largest crowdfunding platform, are campaigns by regional activists, who unite people and jointly implement initiatives on the ground — improving parks, opening new comfortable urban spaces, and developing rural areas. How does crowdfunding work and how can it be useful?
Impact Investing: What Problems are Researchers Concerned About? Publications Digest
Authors: Zakharova E.
Published: January 2023

The field of impact investing is the point of convergence between a wide range of academic disciplines, and as the market for social entrepreneurship and reflection on measuring social impact develops, the problems taking place within these processes are being categorized actively. What the researchers in the impact investment market are focusing on is the topic of our digest of publications of the second half of 2022.
Pengaruh Komposisi Media Tanam dan Dosis Pupuk NPK terhadap Pertumbuhan dan Hasil Tanaman Terong Ungu
Authors: Kadafi Muammar , Parwati Wiwin Dyah Ully , Hartati Retni Mardu
Published: January 2023

Penelitian ini dilakukan dengan tujuan untuk mengetahui pertumbuhan dan hasil tanaman terong ungu terhadap pemberian komposisi media tanam dan dosis NPK serta interaksinya. Penelitian telah dilakukan pada bulan Maret sampai dengan bulan Juni 2021 di kelurahan Karya Jaya, Rambutan, Tebing Tinggi, Sumatera Utara. Penelitian ini menggunakan metode percobaan faktorial yang disusun dalam Rancangan Acak Lengkap (RAL) yang terdiri dari dua faktor. Faktor pertama yaitu komposisi media tanam yang terdiri dari 3 aras yaitu tanah : pasir : pupuk kandang kambing (1:1:2), tanah : pasir : pupuk kandang kambing (1:2:1), tanah : pasir : pupuk kandang kambing (2:1:1) dan dosis pupuk NPK yang terdiri dari 3 aras yaitu 7 g/polybag, 13 g/polybag, 19 g/polybag. Dari kedua faktor tersebut diperoleh sebanyak 9 kombinasi perlakuan dengan masing-masing 5 ulangan. Data hasil penelitian dianalisis dengan sidik ragam pada jenjang taraf 5%. Data yang berbeda nyata diuji lanjut dengan DMRT pada taraf uji 5%. Parameter yang diamati antara lain tinggi tanaman (cm), jumlah daun (helai), berat segar tajuk (g), berat kering tajuk (g), berat segar akar (g) dan berat kering akar (g), jumlah buah, dan berat buah (g). Hasil analisis menunjukkan bahwa komposisi media tanam berpengaruh nyata terhadap berat segar akar dan berat kering akar. Komposisi media tanam , tanah : pasir : pupuk kandang kambing (1:2:1), tanah : pasir : pupuk kandang kambing (2:1:1) memberikan pertumbuhan dan hasil yang lebih baik dibandingkan komposisi media tanam  tanah : pasir : pupuk kandang (1:1:2). Perlakuan dosis pupuk NPK memberikan pengaruh nyata terhadap tinggi tanaman, jumlah daun, berat segar tajuk, berat kering tajuk, jumlah buah, dan berat buah. Pemberian pupuk NPK dengan dosis 13g memberikan pertumbuhan dan  hasil yang lebih baik dibandingkan dengan perlakuan lainnya.
Tingkat Pengetahuan dan Sikap Masyarakat Tentang Pencegahan Covid-19 di Desa Duwet Kabupaten Klaten
Authors: Sha-DK Dicky , Endrawati Susi
Published: January 2023

Penyakit menular Coronavirus 2019 (COVID-19) diakibatkan oleh virus corona baru. Pada akhir tahun 2019, ditemukan kasus pneumonia tanpa diketahui penyebabnya yang terdeteksi di Wuhan, China. Studi virologi dan epidemiologi yang dilakukan menunjukkan penularan utama penyakit COVID-19 berasal dari seseorang yang bergejala ke individu lain di sekitarnya lewat droplet. Tujuan penelitian ini ialah mendiskripsikan pengetahuan dan sikap masyarakat di Desa Duwet Kabupaten Klaten mengenai COVID-19. Penelitian ini merupakan penelitian diskriptif dengan metode survei. Sebanyak 75 orang digunakan sebagai sampel pada penelitian ini dan dipilih dengan teknik purposive sampling. Hasil penelitian mempresentasikan data jika kebanyakan responden berjenis kelamin laki-laki 50,67% (38 responden), sebagian besar berusia 17-20 tahun mencapai 36% (27 responden), sebagian besar mengenyam pendidikan hingga SMA sebanyak 60% (45 responden), dan kebanyakan berstatus sebagai mahasiswa mencapai 26,67% (20 responden).  Kesimpulan hasil penelitian tentang pengetahuan dan sikap masyarakat Desa Duwet Kabuaten Klaten berada pada kategori baik untuk indikator pengetahuan (85,33%) dan indikator sikap (87%).
Tingkat Pengetahuan Orang Tua Terhadap Pemakaian Antibiotik pada Anak di Apotek Asia Farma Kabupaten Karanganyar
Authors: Setyo Ayu Rahmawati , Wahyuningsih Sri Saptuti , Endrawati Susi
Published: January 2023

Secara umum antibiotik dapat diartikan sebagai zat kimia yang dihasilkan dari  fungi maupun bakteri. Kejadian resisten pada sesorang, dapat dipicu oleh cukup tingginya penggunaan obat yang mengandung antibiotik dengan aturan pemakaian yang kurang tepat.  Sikap seseorang dalam hal ini orang tua dalam penggunaan atau pemakaian obat antibiotik, dapat tercermin dari tingkat pengetahuan yang dimilikinya. Upaya untuk mengetahui tingkat pengetahuan dari orang tua tentang pemakaian antibiotik pada anak-anak di Apotek Asia Farma, menjadi tujuan dari penelitian ini. Jenis penelitian ini merupakan penelitian deskriptif kuantitatif, dengan menerapkan desain penelitian cross sectional dalam penentuan sampelnya. Data dikumpulkan dan dianalisa menggunakan Microsoft Excel dan Analisis statistik dengan SPSS versi 25.0. Instrumen sebagai alat ukur pada penelitian ini menggunakan kuesioner yang bersifat tertutup. Semua orang tua pasien atau pengunjung apotek menjadi populasi pada penelitian ini. Jumlah sampel yang di dapatkan yaitu 85 responden. Data yang diperoleh menunjukan bahwa responden terbanyak adalah Ibu dengan jumlah 65 orang (76,47%), usia paling banyak 26-35 tahun yaitu berjumlah 34 orang (40%), pendidikan terakhir paling banyak yaitu lulusan SMA/ MA/SMK yaitu sebanyak 33 orang (38,8%), penghasilan keluarga paling banyak yaitu penghasilan sedang dengan jumlah 60 orang (70,6%). Berdasarkan pengalaman pemberian antibiotik paling banyak memberi antibiotik pada anak yaitu sebanyak 76 orang (89,4). Responden dengan pengetahuan baik sejumlah 52 orang (61,2%). Responden dengan pengetahuan cukup sejumlah 32 orang (37,6%). Responden dengan pengetahuan kurang sejumlah 1 orang (1,2%).
Hubungan Pengetahuan Ibu dengan Perilaku Swamedikasi Batuk pada Balita di Posyandu Matahari Kecamatan Cimanggis Kota Depok
Authors: Ariwati Valentina Dili , Rinawati Siti Mardiastuti , Khalda Qonitah
Published: January 2023

Ibu memiliki peran besar dalam merawat anak. Salah satu peran ibu adalah mengatasi masalah kesehatan pada anak dengan cara melakukan pengobatan sendiri atau bisa disebut dengan swamedikasi. Batuk merupakan penyakit ringan pada balita yang dapat diatasi dengan swamedikasi. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan ibu dengan perilaku swamedikasi batuk pada balita di Posyandu Matahari Kecamatan Cimanggis Kota Depok. Metode penelitian yang digunakan adalah survei analitik dengan pendekatan cross sectional. Jumlah sampel dalam penelitian adalah 110 ibu. Teknik sampling yang digunakan adalah purposive sampling. Hasil penelitian menunjukkan terdapat hubungan antara pengetahuan ibu dengan perilaku swamedikasi batuk pada balita (nilai p = 0,32). Kesimpulan dalam penelitian ini adalah ibu yang memiliki pengetahuan baik akan mempengaruhi perilaku swamedikasi batuk yang baik pada balita.
Trend Mortalitas dengan Indikator Gross Death Rate dan Net Death Rate Per Tahun di Rumah Sakit PKU Muhammadiyah Surakarta Tahun 2017-2021
Authors: Pratama Bangkit Ary
Published: January 2023

Nilai GDR dan nilai NDR di RS PKU Muhammadiyah Surakarta tahun 2017-2021 tercatat fluktuatif. Perhitungan trend sangat diperlukan untuk mengetahui prediksi peningkatan atau penurunan nilai GDR dan NDR guna membantu manajemen rumah sakit mengambil keputusan. Penelitian ini bertujuan mengetahui trend GDR dan NDR tahun 2017-2021 di Rumah Sakit PKU Muhammadiyah Surakarta. Penelitian ini merupakan penelitian deskriptif dengan pendekatan restrospektif. Subjek penelitian adalah data rekapitulasi sensus harian rawat inap per tahun 2017-2021, pengumpulan data dengan metode observasi. Berdasarkan hasil penelitian didapatkan nilai GDR masih dibawah batas standar nasional yang ditetapkan yaitu <4,5% serta mengalami fluktuatif setiap tahunnya pada tahun 2017-2021 secara berturut-turut adalah 2,06%, 2,28%, 2,16%, 3,63%, 3,51%. Sedangkan nilai NDR mengalami kenaikan setiap tahunnya, tetapi berada di bawah standar nasional yang ditetapkan yaitu < 2,5%, nilai NDR pada tahun 2017-2021 secara berturut-turut adalah 1,22%, 1,53%, 1,54%, 2,03%, 1,97%. Kesimpulan penelitian trend untuk GDR dan NDR di RS PKU Muhammadiyah Surakarta pada tahun 2017-2021 cenderung meningkat. GDR pada tahun 2017 angka trend 1,87 meningkat menjadi 3,59% untuk perkiraan tahun 2022-2024 angkanya adalah 4,02, 4,45, dan 4,88, sedangkan nilai NDR angka trend 1,26 meningkat menjadi 2,06 dan perkiraannya adalah 2,26, 2,46, dan 2,66.
Formulasi Sediaan Gel Totol Jerawat Ekstrak Bunga Melati (Jasminum sambac L)
Authors: Agustin Vina , Ismiyati Nur , Sulistyawati Rini
Published: January 2023

Bunga melati memiliki kandungan eugenol, linalool, metil salisilat, benzil alkohol dan indol. Ekstrak bunga melati konsentrasi 30%  mampu mencegah pertumbuhan bakteri Propionibacterium acne penyebab jerawat dengan diameter zona hambat 5,58 mm. Penelitian ini bertujuan untuk mengetahui formulasi gel totol jerawat ekstrak bunga melati (Jaminum sambac L) dan evaluasi sifat fisik. Ekstrak etanol bunga melati diperoleh dengan metode maserasi menggunakan pelarut etanol 96%. Formulasi gel dibuat dengan ekstrak etanol bunga melati  konsentrasi 30% dan 35%, basis carbomer 940, trietanolamin (TEA), metilparaben, propilenglikol dan aquadest. Evaluasi sifat fisik meliputi uji organoleptis, homogenitas, uji pH, daya sebar dan waktu simpan. Hasil penelitian menunjukkan formulasi sediaan gel totol jerawat  ekstrak bunga melati  dengan konsentrasi ekstrak 35% menghasilkan sifat fisik yang baik dibandingkan gel dengan konsentrasi  30%. Gel ekstrak bunga melati yang dibuat dengan basis carbomer 940 memiliki  aroma khas ekstrak bunga melati, sifat fisik homogen, nilai rata-rata pH 5, kekentalan yang cukup tinggi.  Gel ekstrak bunga melati dengan konsentrasi 30% dan 35% memiliki daya sebar berturut-turut 3,37 cm dan 3,39 cm.
The Relationship between Mother-in-Law Characteristics and Postpartum Bleeding Events at Afisya Clinic, Dusun III, Melur Sambirejo East, Deli Serdang Regency, 2018-2022
Authors: Supriati  , Rina Marlina Hutasuhut
Published: January 2023

According to a report from the World Health Organization, maternal deaths generally occur due to complications during and after pregnancy and childbirth. Globally 80% of maternal deaths are classified as direct deaths. The pattern of direct cause was the same everywhere, namely bleeding (25%). It is said that every woman dies every minute during childbirth, where 24% is caused by heavy bleeding. 40% of deaths due to postpartum hemorrhage occur in the first 24 hours and 66% occur during the first week. The aim is to determine the relationship between the characteristics of mothers in labor and the incidence of postpartum hemorrhage at the Afisya Clinic. This type of research is Analytical Survey with a cross-sectional design. Population 118 and sample 118, Data processing: editing, coding, tabulating, and data entry. The results of the study showed that the majority of primary postpartum hemorrhage was 78 people and a minority of secondary postpartum hemorrhage was 40 people. The age majority is at risk of 79 people and the minority is not at risk of 39 people. The parity majority is at risk of 74 people and the parity minority is not at risk of 44 people. The majority of birth spacing has a risk of 79 people and the minority delivery spacing is not at risk of 39 people. From the results of statistical tests, the Oods Ratio (OR) = 0.321% CI = 0.126-0.817 and the value is 0.0250.005, which means that there is no relationship between education and postpartum hemorrhage. From the statistical test results, the Oods Ratio (OR) value = 0.308% CI = 0.126-0.754 and P Value 0.014 which means there is a relationship between postpartum hemorrhage parity.
Effect of the Inspiratory Method and Timing of Voluntary Cough on Peak Cough Flow
Authors: Kotajima Fumiya , Yatomi Masakiyo , Hisada Takeshi
Published: January 2023

Objective To define the effect of the inspiratory method and cough timing on peak cough flow (PCF).Methods We investigated the effect of measurement conditions on PCF in healthy subjects (n=10). We then compared obstructive and restrictive pulmonary diseases (n=20) to assess for similar results in respiratory diseases. The PCF was measured under four conditions: before coughing, without maneuver 1 or with maneuver 2 a temporary respiratory pause (4–6 seconds) after rapid inspiration, and without maneuver 3 or with maneuver 4 a temporary respiratory pause after slow inspiration. After the measurements were completed, the PCF between the four conditions was compared for each subject group, and the effect size was calculated.Results PCF of maneuvers 1 and 3 were significantly higher than maneuver 4 in healthy subjects (476.34±102.05 L/min and 463.44±107.14 L/min vs. 429.54±116.83 L/min, p<0.01 and p<0.05, respectively) and patients with restrictive pulmonary disease (381.96±145.31 L/min, 354.60±157.36 L/min vs. 296.94±137.49 L/min, p<0.01 and p<0.05, respectively). In obstructive pulmonary disease, maneuver 1 was significantly higher than maneuver 4 (327.42±154.73 L/min vs. 279.48±141.10 L/min, p<0.05). The largest effect sizes were shown by maneuvers 4 and 1.Conclusion PCF depends on changes in inspiratory speed before coughing and on temporary respiratory pauses after maximal inspiration. It will become necessary to unify the measurement methods for coughing strength and present appropriate coughing methods.
Reviewer Acknowledgements for Journal of Sustainable Development, Vol. 16, No. 1
Authors: Sun Sherry
Published: January 2023

Reviewer Acknowledgements for Journal of Sustainable Development, Vol. 16, No. 1, 2023
Achieving Sustainability Goals in Central Asia: The Importance of “the Middle”
Authors: Grossman Gary M. , Masrour Tiago , Smith Lindsay
Published: January 2023

As the world passes the midpoint of the 2030 United Nations Sustainable Development Goals (SDGs), clarity about the implementation of this agenda becomes increasingly critical. Equally important is the extent to which the SDG framework is succeeding or failing in different contexts. This study explores the role and importance of the “implementers”, mid-level actors that bridge policymaking between national leaderships who set policy and grassroots efforts. Focusing on three SDGs (#2, 6 and 15), thirty (30) such implementers were selected through purposive sampling combined with subsequent reputational strategies. The knowledge and attitudes of these actors toward the goals and progress of their respective nations were evaluated through structured interviews. While the general outlook on their countries’ capacity to reach the proposed goals was positive, the detailed review of SDG targets showed signs that those in “the middle” were highly uncertain as to whether these goals could be reached. Considering the critical role of these implementers in translating policy to action, this creates serious concern about the path forward in sustainable development moving toward 2030 and beyond. Moreover, critical reconsideration of the process of implementing the SDGs needs to be undertaken to capitalize on the expertise and strategic capacity of “the middle” of sustainable development.
ASSESSMENT OF PATIENTS SATISFACTION ATTENDING OUTPATIENT DEPARTMENTS OF TEACHING HOSPITALS OF PESHAWAR
Authors: Khan Liza , Hidayat Hamna , Hussain Irum , Khan Javeria , Ali Huma , Sethi Mifrah Rauf , Irfan Muhammad
Published: January 2023

Background: The doctor-patient relationship is a central feature of the healthcare system. The recent developments in the delivery of health care have tended to focus on patient satisfaction. Therefore, this study was planned to find out the satisfaction of patients attending the outpatient department of teaching hospitals in Peshawar. Methods: A cross-sectional study on Patients Satisfaction was conducted in outpatient departments of five different private and public teaching hospitals in Peshawar, Pakistan from March 2019 to March 2020. The questionnaire was translated into Pashto. All the patients consenting to participate were asked questions from Patient Satisfaction Questionnaire-18 (PSQ-18) by the principal investigator. The data was analyzed using SPSS Version 25. Results: The mean age of the sample (n=1025) was 37.58±15.60 years. There were 725 (70.1%) females and the majority were attending public sector hospitals (n=596, 58.1%). More than half of the sample (n=589, 57.5%) reported higher than mean scores on the Patient Satisfaction Questionnaire (PSQ). The insignificant gender difference was observed in terms of PSQ, whereas patients of public sector hospitals were more satisfied than patients of private sector hospitals (p=0.000). The inter-scale correlation using Pearson Coefficient between patient satisfaction and its subtypes showed a significant moderate positive correlation with a p-value of p=0.000. Conclusion: More than half of the patients showed satisfaction with the healthcare services. Patients attending public sector hospitals were more satisfied than the patients attending private sector hospitals.
Profitabilitas, Capital Intensity, Dan Tax Advoidance: Komite Audit Sebagai Pemediasi (Study Empiris Perusahaan Manufaktur Periode 2018-2021)
Authors: Sangadji Sapurang
Published: January 2023

Tujuan : penelitian ini bertujuan untuk memperoleh bukti empiris pengaruh profitabilitas, capital intencity dan tax avoidance komite audit sebagai pemediasi.
Metode: Data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari perusahaan manufaktur terdaftar  di Bursa Efek Indonesia (BEI) selama periode 2018 – 2021. Penelitian ini menggunakan pengujian analisis regresi linear berganda dan metode uji sobel.
Temuan: Dari hasil penelitian ini menujukan bahwa profitabilitas berpengaruh positif terhadap komite audit, capital intencity berpengaruh positif terhadap komite audit, kimte audit tidak berpengaruh positif terhadap tax avoidance, profitabilitas berpengaruh negatif  terhadap tax avoidance, capital intencity berpengaruh positif terhadap tax avoidance, profitabilitas berpengaruh positif terhadap tax avoidance melalui komite audit, capital intencity tidak berpengaruh positif terhadap tax avoidance melalui komite audit.     
Kebaruan:  Kebaruan penelitian ini dengan menggunakan metode penelitian yang berbeda dengam menjadikan komite audit sebagai pemediasi.
kata kunci: profitabilitas, capital intencity, komite audit, tax avoidance
Pengaruh Profitabilitas Terhadap Nilai Perusahaan dengan Manajemen Laba sebagai Variabel Moderating
Authors: Huriquduq Moses Oliver Dore
Published: January 2023

This study aims to test whether profitability affects firm value with earnings management as a moderating variable. This study took a sample of manufacturing companies listed on the Indonesia Stock Exchange. The type of data used in this research is secondary data in the form of company financial reports. During the 2019-2021 period, there were 15 manufacturing companies. The sampling method used in this study was purposive, namely the sampling method determined by the researcher based on certain criteria. Manufacturing companies taken based on the research criteria are 15 sample companies. The results of the study include (1) Profitability has a positive and significant effect on earnings management, (2) Earnings management has a positive and significant effect on firm value, (3) profitability has a positive and significant effect on firm value, and (4) profitability has a positive effect on firm value moderated by earnings management.
Pengaruh Financial Stability dan External Pressure Terhadap Financial Statement Fraud
Authors: Novita Elen
Published: January 2023

Tujuan: Penelitian ini bertujuan untuk mendapatkan bukti empiris tentang pengaruh stabilitas keuangan dan tekanan eksternal terhadap kecurangan laporan keuangan.
Metode : Metode dalam penelitian ini menggunakan metode purposive sampling dan diperoleh 17 perusahaan
dengan data olahan 85 laporan keuangan tahunan. Teknik pengambilan sampel yang digunakan adalah menggunakan teknik purposive sampling. Metode analisis data yang digunakan adalah analisis regresi linier berganda dengan menggunakan program SPSS versi 20.
Temuan: Hasil penelitian menunjukkan bahwa stabilitas keuangan dan tekanan eksternal berpengaruh signifikan terhadap kecurangan laporan keuangan secara parsial dan simultan.
Kebaruan: Perbedaan penelitian ini dengan penelitian sebelumnya terletak pada cara pengukurannya yaitu stabilitas keuangan diukur dengan menggunakan rasio perubahan aset per tahun (ACHANGE) dan tekanan eksternal diukur dengan menggunakan rasio leverage (LEV).
KI in der Schmutzwäsche-Sortierung
Authors:   Universität Bielefeld, Rabethge Nico , Ciesinger Kurt-Georg ,   Deutsche Angestellten-Akademie DAA
Published: January 2023

Im Leuchtturmprojekt KI in der Schmutzwäschesortierung beschäftigen wir uns mit der Entwicklung eines humanzentrierten KI-gesteuerten Identifikationsmoduls zur Sortie-rung von Wäschestücken nach Waschkategorien. Diese Entwicklung soll in der Praxis dazu beitragen, dass die hochbelastende und potenziell gesundheitsgefährdende manuelle Sortierung von Schmutzwäsche nicht mehr wie im bisherigen Umfang von Menschen geleistet werden muss. Eine KI-gestützte Identifikation, verbunden mit einem Handhabungsgerät könnte die Sortierung in weiten Teilen autonom übernehmen. Neben der optimalen Unterstützung von Mitarbeitenden sind die Erklärung und Transferierbarkeit der KI, sowie die Entwicklung eines Schulungsprogramms, um Akzeptanz sowie Verständnis bei den Nutzer:innen zu verstärken, Forschungsschwerpunkte des Projekts. Es soll eine Mensch-Maschine-Interaktion entwickelt werden, die es Mitarbeitenden ermöglicht die KI selbst nachzutrainieren und zu überwachen. Hierdurch ergeben sich neue, zukunftsfähige Arbeitsfelder für die Beschäftigten in Industriewäschereien. Zuerst wurde anhand des Versuchsstandes ein initialer Datensatz aus 9405 Bildern erstellt. Zu jedem der Bilder existieren Informationen über die Farbe, den Typ und zumeist auch über die Kontaminierung, die Schäden und das Material. Anschließend wurden neuronale Netze sowohl zur Extraktion der Region des Wäschestücks als auch zu der Klassifikation der Waschkategorien trainiert, d.h. die Netze lernten zu erkennen, was zum Wäschestück gehört und was nicht und Wäschestücke, Farben und Ver-schmutzungen zu erkennen. Durch einen am aktiven Lernen orientierten Prozess konnten dabei 2091 Segmentierungen automatisch erstellt werden, d.h. ohne menschliche Eingabe der Annotationen. Für die Optimierung dieser neuronalen Netze wurden zusätzlich auch noch vortrainierte Netze nachtrainiert, welches allgemein als Transfer Learning (transferiertes Lernen) bezeichnet wird. Hinsichtlich des Aktiven Lernens wurde der CEAL-Algorithmus erläutert und damit die Sicherheit der Netze bei der Klassifikation bestimmt. Für visuelle Erklärungen wurde Layerwise Relevance Propagation umgesetzt. Wir haben erste Erkenntnisse bzgl. der Sortierung erlangen können und für einige Kate-gorien bereits sehr zufriedenstellende Ergebnisse erlangt. Durch die beiden neuronalen Netze konnten gute Erkennungsgenauigkeiten für alle Kategorien, insbesondere der Farbe, erzielt werden. Hierbei muss jedoch beachtet werden, dass die Datensätze und dementsprechend vor allem die Validierungsdatensätze klein sind. Es ist unbedingt notwendig, den Datensatz zu vergrößern. Dabei sollte höchste Priorität sein, die Aufnahme und Annotation in einer Wäscherei zu verlagern, um möglichst automatisiert und möglichst schnell Daten aufnehmen und annotieren zu können.
Double Object Constructions in Afro-Brazilian Portuguese
Authors: FIGUEIREDO DE BARROS Isis JULIANA , Vaz Calindro Ana Regina
Published: January 2023

During the colonial period (16th - 19th centuries), Brazil was a multilingual country, home to Portuguese, Indigenous peoples, and Africans. Portuguese was learned as a second language by the Africans brought to Brazil by the slave trade, mainly under the influence of the Bantu languages the slaves spoke. From this language contact, an Afro-Brazilian Portuguese variety has emerged (ABP) which displays a ditransitive construction with an unmarked Goal dative, and V-Goal-Theme order, similar to Double Object Constructions (DOC) in English. We propose that the so-called DOC in ABP can be understood in terms of the Maximizing Minimal Means model (Biberauer 2018, 2019). In this model, Feature Economy and Feature/Input Generalization (Biberauer & Roberts 2017) constitute a major factor in L2 learning in contact scenarios. For the innovative ABP structure, the [+animate] and low applicative features of the Bantu substrate grammars are shown to have been key in the first generation’s L2 acquisition of a marked Classical Portuguese V-Goal-Theme structure. The structure becomes established in subsequent L1 acquisition of ABP, with expansion beyond the original core structures.
Justiça trabalhista e Jurisdição Penal: Reflexões à luz da EC 45/04
Authors: Aguiar Anderson Moreira
Published: January 2023

A competência jurisdicional para processar e julgar os crimes de trabalho análogo ao de escravo tem se tornado assunto polêmico na órbita jurídica brasileira. O Supremo Tribunal Federal entendeu que a Justiça do Trabalho não detém competência penal. A atual competência para julgar os crimes de trabalho escravo é da Justiça Federal, por interpretação realizada pela corte suprema. A Emenda Constitucional nº 45/04 ampliou significativamente a competência da justiça do trabalho, alterou o art. 114, I, concedendo à justiça obreira a competência para processar e julgar as ações oriundas da relação de trabalho. O crime de reduzir alguém a condições análogas ao trabalho escravo detém aspectos correlacionados à relação de trabalho, por essa razão deveria ser da Justiça do Trabalho a competência para processar e julgar esse ilícito penal. Palavras chave: Trabalho Escravo. Competência. Crime. Justiça Federal. Emenda Constitucional nº 45/04. Justiça do Trabalho.
RISK MANAGEMENT BY PAIR TRADE: AN EMPIRICAL EXAMINATION OF MCXINDIA
Authors: Shaikh Abdulsaeed , Parikh Margie
Published: January 2023

Commodity market is the easiest yet most controversial instrument in the whole world to create wealth for the investors. It is tempting as well as good instrument to invest yet most risky in its segments. However, this instrument is the most unpredictable instrument of the world. People are having different opinions, some says it is just speculation while some says- in long term, profit is sure shot if invested in proper commodity instruments. To make aware time-by-time exchanges are shredding strategies where investor can protect their investment. In this sense Hedging – pair trade- arbitrage may help investor to either protect their capital of gain small but sure shot profit. This paper will focus on how investor can earn through pair trade strategy in which loss is minimum as well as profit is also minimum. Pair trade require little research before entering in to particle position. To check the effectiveness of pair trade. Out of most liquid commodity instrument of MCXINDIA will be considered. There will be pair from same segment. On the day of expiry, one commodity will be bought and one will be shorted. In addition, on that month’s expiry, bought will be sold and sold will be bought. Which one will be bought or sold from the pair will be decided through the 100-day moving average of the commodity. The research may help investor to gain through pair trade strategy with minimum risk
SENSORY BRANDING IN GUJARAT- CONSUMER PERSPECTIVES POST COVID-19
Authors: Gediya Hemisha , Rami Ashish
Published: January 2023

Sensory branding is contemporary marketing that is connected with the senses with reference to brand. It is connected with customers on emotional and behavioral aspects. Many researchers have used sensory elements in their research such as vision, touch, sound, smell, and taste. (Lindstrom, 2005; Wansink, 2003). Considering strong research gap, current study investigates the consumer perception towards sensory branding. Current study has adopted single cross sectional research design based on primary research in Gujarat. Data analysis is done using SPSS. Study provides strong implications to marketers and society as a whole.
Covid-19 Pandemi Dönemi ve Sonrasında Tüketicilerin E-Ticaret Eğilimleri Üzerine Bir Araştırma
Authors: SARPKAYA Gül , SAĞLAM Mehmet
Published: January 2023

Bu çalışmada, tüketicilerin Covid-19 pandemi dönemi ve sonrasında, e-ticaret alışveriş eğilimleri araştırılmıştır. Çalışmada nitel veri toplama yöntemlerinden yarı yapılandırılmış derinlemesine mülakat yöntemi kullanılmıştır. Araştırma, İstanbul ilinde yaşayan 18-65 yaş arasındaki 26 katılımcı ile gerçekleştirilmiştir. Çalışma sonucunda, katılımcıların pandemi sürecinde elektronik ticaret üzerinden daha fazla alışveriş yapmayı tercih ettiği ve çeşitli avantajlar sebebi ile pandemi sonrası dönemde de tercih edileceği belirlenmiştir. Katılımcıların çoğunun e-ticaret alışverişleri sonrasında memnuniyetsizlikler yaşadıkları fakat sorunlara ilişkin çözüm bulunduğunu ifade ettikleri görülmüştür. Katılımcıların yarısından fazlasının e-ticaret sitelerine güven duyduğu, karşılaşılabilecek risklerin farkında olduğu ve büyük çoğunluğunun pandemi sonrası dönemde de e-ticaret alışverişlerine aynı sıklıkla devam edeceğini belirtikleri sonucuna ulaşılmıştır.
DİJİTAL DÖNÜŞÜM OLGUNLUK SEVİYESİNİN ÖLÇÜLMESİNE YÖNELİK MODELLERİN İNCELENMESİ
Authors: AYYILDIZ Mehmet Ekim , DEMİR Ahmet Oguz
Published: January 2023

Pandemi sonrası dijital dönüşüm sürecinde bulunan kurum ve işletmelerin dijital olgunluk seviyesinin ölçümlenmesi maksadıyla geliştirilecek bir ölçeğe esas teşkil etmek üzere, dijital olgunluk, dijital hazırlık ve endüstri 4.0 olgunluk seviyesini ölçmeyi amaçlayan ölçekler, literatür taraması yöntemiyle araştırılmış, seçilen ölçeklerin güçlü ve zayıf yanları analiz edilerek karşılaştırma yapılmış ve KOBİ’ler tarafından uygulanabilirlikleri incelenmiştir. İncelenen ölçeklerde ülke veya kurum hedeflendiği, ankete dayalı ölçeklerin kişisel algılara dayandığı, KOBİ’ler tarafından uygulanabilecek, esnek, iş fonksiyonlarının somut olarak ölçümlendiği ve kısa zamanda uygulanabilecek bir ölçek geliştirilmesine ihtiyaç duyulduğu tespit edilmiştir.
Endoscopic Variceal Therapy (EVT) may Increase the Risk of Portal Vein Thrombosis in Cirrhosis: A Clinical Case Report and Literature Review
Authors:   Department of Gastroenterology, General Hospital of Western Theater Command, Chengdu 610083, Sichuan Province, China, Qin Jian-Ping
Published: January 2023

Oesophagogastric varices (EGV) are a common complication occurring secondary to cirrhotic portal hypertension. Endoscopic methods are often used for primary prevention and treatment in such patients. However, it has been found in clinical practice that patients undergoing repeated endoscopic variceal therapy (EVT) may develop portal vein thrombosis (PVT). Herein, we reported the case of a patient with cirrhosis who developed PVT after repeated EVT and further progressed to cavernous transformation of the portal vein (CTPV) after anticoagulant therapy to learn from the clinical treatment of this patient. Written informed consent was obtained from the patient to publish this case report, including the attached imaging data.
Giant left atrium and Giant Eustachian valve in a patient with stenosis of mitral valve prosthesis
Authors:   Department of Cardiac Surgery, Ss. Cyril and Methodius University in Skopje, North Macedonia., Angjushev Marija Kotevska
Published: January 2023

Giant left atrium (LA) is a extremely rare condition due to decline in rheumatic heart disease incidence. Giant Eustachian valve (EV) is an exceptionally rare finding, visualized on echocardiography in only 0.20% in adults. Typically is functionless in adults. We report a giant LA due to prosthetic mitral valve (MV) stenosis, seen on echocardiography, with late stage presentation in a 73-year-old woman. She had a history of MV replacement due to rheumatic MV disease 20-years ago. Echocardiography was suggestive for severe stenosis of MV prosthesis and giant LA with a size of 12.6x13.1cm, while computed tomography scan revealed a LA size of 17 × 11 cm. Giant EV was accidental finding on echocardiogram, that extended from the orifice of the inferior vena cava to the interatrial septum, without clinical significance. The patient was offered to undergo cardiac surgery on many occasions, but she kept refusing surgery. At last she accepted,unfortunately she died before proceeding to surgical intervention. A rheumatic giant LA due to stenosis of MV prosthesis is rarely reported entity in the literature and may be associated with significant morbidity and mortality. Optimal timing for surgery is crucial. Giant EV is rare accidental finding on echocardiography. Pre-operative identification of this structure is important, as it could be mistaken for pathology, ending with unnecessary treatment. This is a first echocardiographic report of coexistence of giant LA and giant EV.