bluuebunny/crossref_metadata_2025 huggingface dataset:
Farklı Zamanlarda Ekilen Maş Fasulyesinin (Vigna radiata (L.) Wilczek) Bazı Tarımsal Özellikleri ve Ot Kalitesi Üzerine Bir Araştırma
Authors: Akbay Fatma , Uslu Ömer Suha , Erol Adem
Published: May 2020

Bu çalışma Kahramanmaraş Sütçü İmam Üniversitesi, Ziraat Fakültesi, Tarla Bitkileri Bölümüne ait araştırma alanında yürütülmüştür. Araştırma Kahramanmaraş ekolojik koşullarında maş fasulyesi (Vigna radiata (L.) Wilczek) bitkisinin en uygun ekim zamanını tespit etmek üzere gerçekleşmiştir. Deneme tesadüf blokları deneme desenine göre üç tekerrürlü olarak kurulmuştur. Beş farklı zamanda (30 Mart, 15 Nisan, 30 Nisan, 15 Mayıs ve 30 Mayıs) ekim yapılmıştır. Araştırma sonuçlarına göre bitki boyu, bakladaki tohum sayısı ve NDF oranı değerleri haricindeki tüm özelliklere ait ortalamalar arasındaki farkın önemli olduğu tespit edilmiştir. Çalışmada; çıkış süresi 6,33-14,67 gün, %50 çiçeklenme dönemi 50,00-67,33 gün, %50 bakla bağlama 57-70 gün, %50 olgunlaşma dönemi 73,67-99,00 gün, bitki boyu 36,43-41,70 cm arasında tespit edilmiştir. Bakla oluşumu ile ilgili değerler incelendiğinde; ilk bakla bağlama yüksekliğinin 11,82-21,70 cm, bakla boyunun 9,06-10,63 cm, bakla sayısının 9,43-23,93 adet/bitki, bakladaki tohum sayısının 9,90-10,27 adet/bakla ve tane veriminin 25,00-74,21 kg/da arasında değiştiği bulunmuştur. Ayrıca yaprak sayısının 47,30-73,77 adet/bitki, yeşil ot veriminin 960,00-1512,38 kg/da, kuru ot veriminin 232,35-316,59 kg/da, ham kül oranının %13,03-16,91, ADF oranının %22,17-29,12 ve NDF oranının %55,06-56,05 değerleri arasında olduğu bulunmuştur.
Determination of Water Surface and Vegetation Change in Akkaya Reservoir Basin Using Remote Sensing Method
Authors: Soydan Orhun
Published: May 2020

In the study, the temporal change analysis of Akkaya Reservoir in Niğde was made. The Reservoir was established in 1964. The change of reservoir between 1999, 2009 and 2019 was analyzed using remote sensing method. Satellite images used in the study belong to August (1999, 2009, 2019). MNDWI (Modified Normalized Difference Water Index) analysis was used. With the results of this analysis; the amount of water surfaces in the reservoir basin was calculated by years. After this analysis, NDVI (Normalized Difference Vegetation Index) analysis was used and land cover types were determined by CORINE. It has been determined that the water surface map of 2009 covers a larger area compared to other years. When only the area where the reservoir is located is evaluated by the polynomial equation (2nd degree), there may be a decrease of approximately 26% in the reservoir water surface area within 15 years. As a result of the study, it has been determined that Landsat satellite data can be used to determine the water surface amounts. If study in smaller areas will be done, use the lower resolution satellite images are suggested. In this study, MNDWI analysis was found more successful than NDVI analysis to find water surface area. Multi-band satellite images provide important qualitative information in evaluating the functions used in ecosystem-based planning studies.
Comparison of Field Crops with Tap and Fibrous Root System at Early and Late Growth Stages
Authors: Akman Hayati
Published: May 2020

Knowledge of root architecture is significant since it influences on pathways from, photosynthesis products, water and nutrient movement. This study purposed to elucidate root mass, root length, root/shoot ratio, root/total mass ratio and above-ground characteristics in Vicia pannonica Crantz., Carthamus tinctorius L. and Pisum sativum ssp. arvense L. with taproot and Triticum aestivum L., Hordeum vulgare L. conv. distichon, X Triticosecale Wittmack, Avena sativa L. and Secale cereale L. with fibrous roots at 200 cm long tubes under field-grown condition. Crop harvesting is based on early and late growth stages of cereal crops. The results indicated that winter field crops had a wide range of differences with regard to root and above-ground traits at both growth stages. The root traits of field crop species varied considerably from 0.3 to 5.9 g and 2.4 to 11.9 g for root mass and 84.7 to 127.7 cm and 84.5 to 166 cm for root length at early and late growth stages respectively, while shoot mass was between 0.3–5.7 g and 5.5–29.8 g. Furthermore, the percentage distribution of root mass accumulated in 0-20 cm root length at early and late growth stages, ranged between 52.3 to 81.4 % and 27.7 to 75.2 %, respectively. The findings showed that crops with taproot had less root and shoot mass and shorter root length than cereals with fibrous roots at both growth stages. This study also significantly advances our understanding of root-shoot competition by comparing the agronomical traits of winter field crops with tap and fibrous roots at different growth stages.
Designing A Zener Diode Using Ag2O(1-X)Zno(X)/Psi Structures Deposited by Laser Induced Plasma Technique
Authors: Jamal Raied K. , Ali Falah Hassen , Hameed Mohammed M. , Aadim Kadhim Abdulwahid
Published: May 2020

In this paper Zener diode was designed by mixing three mixing ratios of Ag2O(1-x)ZnO(x), where x is 0.5, 0.3, and 0.1, that are deposited on a p-type porous silicon using laser induced plasma technique at room temperature (RT). The results of the Zener diode showed a decrease in knee and Zener voltage when the mixing ratio of Ag2O(1-x)ZnO(x) structure was increased. Nanofilms of 200nm thickness were prepared from pure ZnO and Ag2O as well as Ag2O(1-x)ZnO(x) with three maxing ratios and deposited on glass slides at RT to analyze the structure and optical properties. The structures of Ag2O and Ag2O(1-x)ZnO(x) showed high absorbance in the visible region with redshift in spectra when the mixing ratio was increased, while ZnO had a high absorbance  in the ultraviolet region. It is concluded that when the value of x increases the energy gap value for the Ag2O(1-x)ZnO(x) structure decreases.
An Artificial Neural Network for Predicting Rate of Penetration in AL- Khasib Formation â€“ Ahdeb Oil Field
Authors: AL Zirej Zaher JabbarAttwan , Hadi Hassan Abdul
Published: May 2020

The main objective of this study is to develop a rate of penetration (ROP) model for Khasib formation in Ahdab oil field and determine the drilling parameters controlling the prediction of ROP values by using artificial neural network (ANN).

     An Interactive Petrophysical software was used to convert the raw dataset of transit time (LAS Readings) from parts of meter-to-meter reading with depth. The IBM SPSS statistics software version 22 was used to create an interconnection between the drilling variables and the rate of penetration, detection of outliers of input parameters, and regression modeling. While a JMP Version 11 software from SAS Institute Inc. was used for artificial neural modeling.

     The proposed artificial neural network method depends on obtaining the input data from drilling mud logging data and wireline logging data. The data then analyzes it to create an interconnection between the drilling variables and the rate of penetration.

     The proposed ANN model consists of an input layer, hidden layer and outputs layer, while it applies the tangent function (TanH) as a learning and training algorithm in the hidden layer. Finally, the predicted values of ROP are compared with the measured values. The proposed ANN model is more efficient than the multiple regression analysis in predicting ROP. The obtained coefficient of determination (R2) values using the ANN technique are 0.93 and 0.91 for training and validation sets, respectively. This study presents a new model for predicting ROP values in comparison with other conventional drilling measurements.
Bioremediation of Petroleum Polluted Soils using Consortium Bacteria
Authors: Nafal Dina Hasan , Abdulhay Hind Suhail
Published: May 2020

This study was carried out to isolate opportunistic hydrocarbons oil-degrading bacteria and develop a consortium or a mixture of bacteria with high biodegradation capabilities which can be used in biological treatment units of the contaminated water before release. The biological processes in general are environmentally friendly and cost effective, as they are easy to design and apply; as such they are more appropriate to the public.

    The location of the study was in Al-Dora refinery sludge holes area. The samples were collected for three seasons (winter, spring and summer) each consisted of three months.  The sludge samples were analyzed for various physical and chemical parameters. Temperature values of the sludge were at maximum in summer season, reaching 32ËšC, whereas they were at minimum in winter (24 ËšC). The values of sludge pH were at maximum in summer (9.70) and minimum in winter (9.20). Turbidity levels were 382 NTU in spring and 353 NUT in winter. Biological oxygen demand (BOD5) was at maximum in summer (760) and (690 mg/l) in winter. The maximum dissolved oxygen (DO) value of 5.20 mg/l was recorded in winter, while the minimum was 3.80 mg/l recorded in summer. The maximum electrical conductivity (EC) was 17130 Î¼s/cm recorded in summer, while the minimum was 16150 Î¼s/cm recorded in winter. The maximum total dissolved solids (TDS) values were 10335 mg/l recorded in summer, while the minimum (10015 mg/l) was recorded in winter. The maximum total petroleum hydrocarbon (TPH) value (431 mg/l) was recorded in summer, while the minimum (367 mg/l) was recorded in spring. Finally, the maximum salinity value (9.90%) was recorded in spring, while the minimum (9.30%) was recorded in winter. Also, hydrocarbon compounds in sludge samples were measured using Gas Chromatography - Mass Spectrometry (GC-MS), and the result showed that they were composed of 31 hydrocarbon compounds.In the present work, nineteen sludge degrading bacterial strains were isolated from the soil near Al-Dora refinery hole by primary and secondary screenings using a modified mineral salt medium supplemented with 1% (v/v) sludge as a carbon source. The most efficient two sludge degraded isolates identified by VITIK 2 compact were Kocuria rosea and Bacillus amyloliquefaciens. The tow isolates and there mixture showed best growth at 30Â°C for 12 days, as shown by the measurement of the optical density of the liquid culture and the final oil concentration by spectrophotometer.

     The bacterial isolates in liquid media with 2% (v/v) sludge showed best growth and the maximum biodegradation percentage after 12-day incubation period, as determined by gas chromatographic (GC). The degradation values were 68.9, 93.8 and 95.5% for Bacillus amyloliquefaciens, Kocuria rosea and the mixture of the tow isolates, respectively. In optimum conditions of pH 7, 40Â°C, 12 days incubation, the mixed bacterial consortium showed maximum sludge degradation.
Evaluation of Thyroid Hormones and Some Biochemical Variables in Patients with Chronic Kidney Disease
Authors: Salih Sama S. , Yenzeel Jabbar H. , Alsaady Ali j.
Published: May 2020

Chronic kidney disease (CKD) is a permanent loss of kidney function which is diagnosed when the glomerular filtration rate (GFR) is under 60 ml\min\1.73m2 for more than three months. The present study was conducted at Kidney Transplant and Dialysis Center in the Medical City in Baghdad from October 2018 to April 2019. Sixty CKD patients with an age ranged of 40 to 65 years and 25 healthy subjects were involved in this study. Blood samples were collected to evaluate the levels of kidney function parameters and thyroid hormones. The levels of urea, creatinine and uric acid showed highly significant (p â‰¤ 0.01) increases in CKD patient in comparison with the control group, while the values of GFR and creatinine clearance showed highly significant (p â‰¤ 0.01) decreases. The results of thyroid hormones showed highly significant (p < 0.01) decreases in the levels of T3 and T4 along with a highly significant (p < 0.01) increase in the level of TSH in the patients.
Impact of EBV on Multiple in a Sample of Iraqi Females: Immunological and Molecular Study
Authors: Abd Al Kareem Rusul Mohammed , Abd Wisal Salman
Published: May 2020

This study was designed to highlight the role of Epstein Barr viruses (EBV) as a possible causative effect in multiple sclerosis (MS) through testing the viral load along with both biochemical and immunological parameters in female MS patients. We also aimed at finding the effects of different types of treatment line on the various study aspects. The results of the enzyme-linked immunosorbent assay (ELISA) revealed first an increased level of EBV EBNA1IgG IL-17A (96.13Â±27.60 pg/ml) in sera of female MS patients (0.05Â±0.01 U/ml, n=50) compared with the control group (n=40). We confirmed this result using real-time polymerase chain reaction (RT-PCR) which also showed a significantly higher EBV load in MS patients (22.61Â±12.72 copies/ml) as compared to the control. This was associated with an increased level of  IL-17A (96.13Â±27.60 pg/ml) in the patients, while levels of both melatonin hormone (0.63Â±0.19 pg/ml) and vitamin D3 (29.90Â±12.41 ng/ml) showed a significant decrease as compared to the normal values of the control group. Analysis of the relation between each of the studied parameters with the level of disability in the patients, as reflected by the expanded disability status score (EDSS), revealed no significant differences between the two categories of  EDSS Ë‚3 and â‰¥3 patients in terms of EBV EBNA1IgG levels, whereas they were slightly different in terms of  IL-17A and vitamin D3 (p <0.001). With respect to differences between the treatment lines, the results from the showed analysis of variance (ANOVA) test showed no significant differences in all the tested parameters between patients treated with the first line (Rebif, Avonex, Betaferon) and second-line (Gilenya, Tysabri). However, the only significant difference in comparison to the control group was found in levels of IL-17.

     It could be concluded that EBV has a crucial role in the initiation and targeting MS disease, leading to increasing levels of IL-17A, and decrease serum levels of melatonin hormone for female patients.
Formulasi Biskuit Buah Naga dan Daun Kelor untuk Mencegah Anemia
Authors: Tri Ardianto Efri , Subaktilah Yani , Elisanti Alinea Dwi
Published: May 2020

Angka kejadian anemia pada remaja putri pada tahun 2018 mencapai angka yang sangat fantastis yaitu 48,9%. Tingginya prevalensi anemia adalah karena kehilangan darah kronis, asupan zat besi yang tidak memadai, penyerapan yang tidak memadai, ataupun peningkatan kebutuhan zat besi. Dampak anemia dapat menyebabkan penurunan pada daya tahan tubuh, aktivitas, produktivitas, prestasi belajar, kebugaran dan tidak mencapai tinggi badan yang optimal. Suplementasi tablet tambahan darah (TTD) yang mengandung 60 mg zat besi dan 400 ug asam folat merupakan program yang kurang efektif, TTD tidak dikonsumsi karena rasanya tidak enak dan bau amis. Inovasi yang dapat dilakukan untuk memberikan pengganti produk suplementasi TTD adalah formula biskuit besi tinggi berbasis buah dan sayuran. Tujuan dari penelitian ini adalah membuat formula biskuit menggunakan bahan nabati yaitu buah naga dan daun kelor. Metode yang digunakan adalah action research dengan pendekatan deskriptif. Pembuatan formula biskuit buah naga dan daun kelor pada penelitian ini adalah bubur buah naga 10% dan tepung daun kelor 2.5%, 5%, 7.5% dengan komposisi tambahan tepung terigu, tepung daun kelor, bubur buah naga, gula halus, margarin, tepung maizena, susu bubuk, baking powder garam, kuning telur dan air. Pengeringan menggunakan oven dengan suhu 18 °C selama 20 menit. Penelitian ini masih harus dilakukan pada tahapan selanjutnya yaitu uji organoleptik, uji mutu, uji proksimat, uji daya simpan dan uji SSA (Spektrofotometri Serapan Atom).
Perbedaan Forced Vital Capacity (FVC) pada Wanita Menopause dan Wanita Usia Subur Pekerja Pabrik Tembakau
Authors: Aziz Ayu Munawaroh , Srisurani W. A. Ida , Tursina Madha Qoyyulledy
Published: May 2020

Pekerja pabrik tembakau dikelilingi oleh berbagai bahaya kesehatan kerja. Debu tembakau yang terhirup terus menerus menyebabkan akumulasi di saluran pernapasan yang menyebabkan peradangan dan menghasilkan jaringan fibrotik yang dapat mengurangi ekspansi paru-paru (restriction). Forced Vital Capacity (FVC) dalam hasil spirometri digunakan sebagai parameter untuk pola gangguan restriksi paru-paru. Penelitian ini bertujuan untuk mengetahui perbedaan FVC pada wanita menopause dan wanita pekerja pabrik tembakau usia subur. Jenis penelitian ini adalah observasional analitik dengan rancangan studi cross-sectional. Sampel penelitian ini adalah pekerja wanita menopause dan wanita usia subur yang bekerja di produksi pabrik tembakau. Pengumpulan data dilakukan wawancara dengan kuesioner, dan data FVC diperoleh dari hasil pemeriksaan spirometri. Penelitian ini menggunakan desain penelitian observasional analitik cross-sectional dan Unpaired T-test. Pengumpulan data tentang karakteristik individu dilakukan dengan kuesioner, sedangkan data FVC diperoleh dari spirometri. Hasil penelitian menunjukkan bahwa mayoritas pekerja pabrik tembakau perempuan mengalami penurunan nilai FVC dalam bentuk pembatasan paru-paru dan ada perbedaan nilai FVC yang signifikan antara wanita menopause dan wanita usia subur pada pekerja pabrik tembakau.
Hindus Leadership Teaching In Geguritan Niti Raja Sasana
Authors: Sanjaya Putu , Suarka I Nyoman , Indiani Ni Made
Published: May 2020

The teachings of Hindu leadership in the Geguritan niti raja sasana, related to how the obligation as a leader needs to be applied in leading a kingdom, state or institution in order to create peace and prosperity for the people they lead, As a research method, qualitative research views an object or reality not partially or broken down into several variables. Qualitative research sees the object as something dynamic, the result of thought construction and interpretation of the observed phenomena, as well as holistic, because every aspect of the object has a unity that cannot be separated. initiates the teachings in Geguritan Niti Raja Sasana namely Dwidasa Pratingkahing Prabhu which constitutes 12 (twelve) compulsory behaviors carried out by a king (leader), subsequently successive teachings from Geguritan Niti Raja Sasana namely Catur Pariksa, Sad Dasa Brata which are sixteen self-attitudes that must be carried out by a leader. Tri Tataning Kamantrian concerns on the wealth of a king (leader) is to have a wise mantri (minister), Tri Suragapan is a teaching that gives instructions to a king (leader) not to do three prohibited things, Tri Ulahing Budhi related to the attitude of the leader on a noble basis good budhi, and regarding the duty of a king or leader contained in the teachings of Rukma Bhisama. Asta Brata is a symbol of the nature that must be owned by a king (leader) or head of the state. Catur Sopeksa is a teaching of the leader’s behavior procedures. Catur Pariksa Nagara Krama, consists of the leader’s vigilance attitude, and a leader who is able to control his five senses is not excessive in fulfilling the wishes set forth in the Panca Raksa.
Nekara Pejeng as A Learning Resources of Education Hindu Religion
Authors: Subagia I Nyoman
Published: May 2020

Nekara Bronze in Pejeng, has a uniqueness that is still trusted by the surrounding community until now, where the Nekara Bronze is believed to be a drum to call rain. However, not all are aware of, understand the message or meaning of the Nekara Pejeng. The main problem of this research is to review Nekara Pejeng as a source of learning for Hindu religious education. The purpose of writing covers the history of Nekara Pejeng, and Nekara Pejeng as a source of learning for Hindu religious education. Data collection methods used were active participation observation techniques, in-depth interviews and document studies. The data collected is processed with qualitative descriptive techniques to see certain dimensions of the aspects being measured. The results of the analysis show that, students can observe diverse facts up close about the existence of Nekara Pejeng, students can experience new experiences by participating in an activity, students can answer problems or questions by seeing, listening, try, and prove firsthand. In conclusion, Nekara Pejeng as a source of learning has many advantages; learning becomes more meaningful and real. This means that students are required to be able to capture the relationship between learning experiences on campus with real life.

 
Building The Youths Characters Through Strengthening Of Hindu Religious Education
Authors: Winia I Nyoman , Harsananda Hari , Maheswari Prasanthy Devi , Juniartha Made G. , Primayana Kadek Hengki
Published: May 2020

This study aims to find an increase in the role of Hindu religious education in building the humanist and pluralist youth characters. Youth is a transition from childhood to adulthood, wherein the development phase has to undergo various tensions, one of them is emotional tension resulting from relationships. Youth is often not able to overcome the problems associated with emotional control maximally hence they fall into less humanistic and pluralistic relationships or even lead to juvenile delinquency. The low ability of youths in controlling emotions is caused by the lack of religious teachings internalization properly. If religion properly internalized in teenagers, it can foster and shape good emotional control, hence teenage lives will be more directed and all forms of inhumane and pluralist behavior in life between people can be avoided. Hindu religious education has an important role in developing humanist and pluralist youth in multicultural life.
Yoga Asanas And Increased The Mental Attitude Adolescents
Authors: Abioye Anando
Published: May 2020

The study aims to describe yoga asanas and increased the mental attitude of South African adolescents. In this modern era of society life, many studies have been conducted on health such as fitness, aerobics, etc. If further examined, sport is only healthy the body parts or physical exterior, and the exercise has a little effect on human mental and spiritual health. Therefore, one of the ways that can be taken to increase the physical and mental health of humans is by carrying out the teachings of Yoga. Yoga offers a simple and practical solution to balance between physical and mental human, because mental and spiritual in Yoga can help humans interact more effectively, there are various kinds of obstacles that humans face in their daily lives. In this case, yoga is expected to help a person in awakening inner strength, cleanliness and excitement, and teaches physical and mental self-control exercises to achieve the final goal called Samadhi.
Growth responses of oil palm seedling inoculated with Ganoderma boninense under competition with edible herbaceous plants
Authors: Rahmadhani Tiara Putri , Suwandi Suwandi , Suparman Suparman
Published: May 2020

Basal stem rot (BSR) caused by long-term survival fungus Ganoderma boninense is the most important of oil palm disease that difficult to be controlled. Perennial herbaceous species are potentially developed for long-term BSR control and applied as mixed planting with oil palm. This research was aimed to study the competition effects of mixed planting with edible herbaceous perennial plants (edible canna (Canna indica), arrowroot (Maranta arundinacea), cocoyam (Xanthosoma sagittifolium), and water yam (Dioscorea alata) on growth of oil palm seedlings. Two competition trials (non-inoculated and Ganoderma-inoculated trial) were conducted. The herbaceous plants were grown together with oil palm seedling in a polybag filled with 40 L field soil. Mixed planting of Ganoderma-inoculated oil palm and herbaceous plants and grown on a large soil volume resulted in a minor infection with a high variation in severity leading to insignificant effect of herbaceous competition on Ganoderma infection. Herbaceous competition significantly suppressed oil palm seedling growth under both inoculated with Ganoderma and without inoculation. Arrowroot exhibited as the most competitive herbaceous species and followed by canna and cocoyam. Water yam showed a weak competitive against oil palm seedling since only a minor interference in all observed growth characteristics.
Certain ranks of some ideals in symmetric inverse semigroups contains S_n or A_n
Authors: BUGAY Leyla
Published: May 2020

Let I_n, S_n and A_n be the symmetric inverse semigroup, the symmetric group and the alternating group on X_n={1,…,n}, for n≥2, respectively. Also let I_(n,r) be the subsemigroup consists of all partial injective maps with height less than or equal to r for 1≤r≤n-1, and let SI_(n,r)=I_(n,r)∪S_n and AI_(n,r)=I_(n,r)∪A_n. A non-idempotent element whose square is an idempotent is called a quasi-idempotent. In this paper we obtain the rank and the quasi-idempotent rank of SI_(n,r) (of AI_(n,r)). Also we obtain the relative rank and the relative quasi-idempotent rank of SI_(n,r) modulo S_n (of AI_(n,r) modulo A_n).
Percepção dos enfermeiros sobre a visita pré-operatória de enfermagem na pediatria
Authors: Albino Filho Marcelo Alexandre , Rodrigues Bianca , Silva Gerson Santos da , Lima Joana Marques de
Published: May 2020

O objetivo deste estudo foi analisar a percepção dos enfermeiros sobre a operacionalização da visita pré-operatória de enfermagem na pediatria. Trata-se de estudo de abordagem qualitativa. Os dados foram coletados por meio de uma entrevista semiestruturada com enfermeiros das clínicas de internação pediátrica e analisados na modalidade análise de conteúdo. Os resultados foram a identificação de dois núcleos de sentido: Importância da visita pré-operatória na pediatria para o cuidado em saúde e Dificuldades encontradas pelos enfermeiros (as) para realização da visita pré-operatória na pediatria. Superar as dificuldades inerentes ao processo de trabalho pressupõe reconhecer e valorizar a prática da enfermagem como essencial para o cuidado em saúde. Desta forma, a realização da visita pré-operatória de enfermagem é prática essencial e importante nos serviços de saúde. Além disso, cabe ao profissional enfermeiro executar sua prática baseada em evidências, incumbindo a si mesmo e a própria instituição de saúde a necessidade de investimentos em educação, a fim de prover, cada vez mais, melhorias nos atendimentos.
Os desafios dos enfermeiros de cuidados paliativos no cenário hospitalar brasileiro: revisão integrativa
Authors: Santo Laryssa Frauches dos Santos do Espirito , Ferreira Jaqueline Inacio Correia , Pacheco Patrícia Quintans Cundines , De Souza Sônia Regina
Published: May 2020

Objetivo: Identificar e analisar os desafios do enfermeiro frente aos pacientes em cuidados paliativos em instituições de saúde no Brasil. Métodos: Trata-se de uma pesquisa qualitativa por meio de uma revisão integrativa de literatura realizada por análise de conteúdo. Esse é um dos métodos de pesquisa utilizados pela Prática Baseada em Evidências (PBE). Ela permite a incorporação das evidências na prática clínica, tendo a finalidade de reunir e sintetizar resultados de pesquisas sobre um delimitado tema/questão, de modo sistemático e ordenado, vindo a contribuir para o aprofundamento do conhecimento do assunto investigado. Resultados: Os estudos foram analisados em sua íntegra de onde emergiu a categoria de análise: A comunicação e o vínculo entre enfermeiros, pacientes e família como elemento essencial no cuidar paliativo. Conclusão: A construção de vínculo na relação enfermeiro paciente mostrou-se uma estratégia para minimizar as dificuldades no cotidiano assistencial. Enfrentar os desafios e buscar a melhoria da qualificação da assistência requer ações institucionais que valorizem a saúde emocional dos enfermeiros que lidam com a dor, o sofrimento e a morte neste cenário.
Atuação do enfermeiro na prevenção da lesão por pressão em pacientes acamados: revisão de literatura
Authors: Pereira Eriolene de Jesus , Nogueira Marcia Silva
Published: May 2020

Objetivo: Descrever a atuação do enfermeiro na prevenção das lesões por pressão em pacientes acamados devido á incidência da mesma, por ser considerada um problema grave decorrente do âmbito hospitalar. Revisão bibliográfica: O presente estudo mostra que o papel do enfermeiro no controle da prevenção da lesão por pressão é primordial, identificando os fatores de risco que causam a lesão, conhecendo os graus da mesma, atuando com os cuidados de enfermagem e prevenindo o agravamento do caso. Pois o enfermeiro, juntamente com a equipe de saúde irão priorizar a prevenção de formação de lesões, agindo de maneira correta para que a pele do cliente acamado permaneça intacta, pois qualquer rompimento da integridade da pele. Considerações finais: Com a análise dos artigos, considerou-se que o enfermeiro com sua autonomia deve realizar abordagens de cuidado mais interativo e humanizados, direcionadas a prevenir e tratar de forma adequada o paciente portador de lesão por pressão.
Facetas cerâmicas: uma análise minimamente invasiva na odontologia
Authors: Neto José Milton de Aquino e Silva , Souza Sysllânia Vitória Porto , Farias Moisés Pereira Casado de , Almeida Barros João Vitor Brasil Alves Rodrigues , Santos Júllian Karen Bezerra dos , Brandão Medeiros Michelle Leão Bittencourt , Cavalcante Tayguara Cerqueira
Published: May 2020

Objetivo: Realizar uma revisão de literatura para analisar as indicações das facetas em cerâmicas de forma minimamente invasiva pelos Cirurgiões Dentistas (CD). Métodos: Como estratégia de busca foi estabelecido pesquisas nas bases de dados PubMed/MedLine, LiLacs e SciELo, no período de 2015-2020, combinando os descritores “facetas”, “facetas em cerâmicas” e “odontologia estética” aos descritores booleanos nas respectivas fontes de pesquisa. Resultados: Nas últimas décadas a utilização da cerâmica pelo CD vem sendo cada vez mais utilizada, quando se compara os preparos feitos em facetas laminadas e a utilização das coroas totais observa-se que a utilização de facetas torna-se o desgaste dental menos invasivo, um dos motivos desse fato deve-se ao nível de escurecimento do dente, desta forma a designação do clareamento dos elementos dentais prévio se faz necessário para um resultado final do tratamento mais positivo e minimamente invasivo. Considerações Finais: A utilização das facetas indiretas tem se apresentado bastante eficiente e é na atualidade apontado como sendo o procedimento de eleição em casos de elementos dentais bastante escurecidos e extensamente restaurados, porém, os profissionais devem classificar e qualificar, de maneiras distintas, as particularidades de cada caso para só assim poder garantir um melhor resultado final do tratamento.
A amamentação como fator de proteção para a alergia à proteína do leite de vaca na infância: o que dizem as evidências científicas?
Authors: Siqueira Samylla Maira Costa , Camargo Climene Laura de , Dos Santos Josely Bruce , Da Silva Junior Waltamy Mota , Dos Santos Claudenice Ferreira , Canavarro Danielle de Andrade
Published: May 2020

Objetivo: Investigar o que dizem as evidências científicas sobre a amamentação como fator de proteção para a alergia à proteína do leite de vaca (APLV) na infância. Métodos: Revisão integrativa da literatura. Foram selecionados 7 artigos, consultados a partir dos Descritores em Ciências da Saúde “fatores de risco, alergia e leite de vaca”, os quais foram combinados pelo uso do operador Booleano AND. Os critérios de inclusão foram publicações dos últimos 5 anos em inglês, português e espanhol. Foram excluídos os trabalhos repetidos e aqueles que não respondiam à pergunta de pesquisa proposta. Resultados: Todos os artigos consultados apontaram para a amamentação como uma forma de prevenção de alergias, caracterizando o leite materno como o alimento adequado na prevenção de APLV. Diante disso, o tempo de manutenção do aleitamento materno exclusivo foi caracterizado como estatisticamente significativo para a ocorrência de APLV e o leite materno como fator de proteção contra alergias, dentre as quais a APLV. Considerações finais: Considerando-se que a APLV é a alergia mais comum na infância, com diversas manifestações que comprometem a saúde e a qualidade de vida da criança, é importante estimular a prática do aleitamento materno como uma forma de promover a saúde da criança.
Migrating Pericardial Cyst Mimicking a Pleural Pseudotumor
Authors: Ha Christine J. , Maldjian Pierre D.
Published: May 2020

We discuss an atypical presentation of a pericardial cyst appearing as a mobile lesion extending into and out of the right pulmonary major fissure. With the patient in the supine position, the cyst mimicked a pleural pseudotumor along the right oblique fissure. In the left lateral decubitus position, the cyst migrated to the right cardiophrenic angle and assumed an appearance more characteristic of a pericardial cyst. At surgery, a stalk was discovered attaching the cyst to the pericardium explaining its migrating nature. We conclude that computed tomography scanning in the decubitus position is useful for differentiating a mobile pericardial cyst from a pleural pseudotumor.
Risk factors of diffuse alveolar hemorrhage after acute ischemic stroke treated with tissue-type plasminogen activator. The effectiveness of activated recombinant factor VII treatment
Authors: Shimizu Yu , Tsuchiya Katsuhiro , Fujisawa Norihiro
Published: May 2020

Background:

Diffuse alveolar hemorrhage (DAH) is a rare and frequently life-threatening complication of a variety of conditions. DAH may result from coagulation disorders, inhaled toxins, or infections. We report a series of patients who developed DAH after receiving a tissue-type plasminogen activator (tPA) for acute cerebral infarction. We aimed to find risk factors of DAH in patients receiving tPA and the effectiveness of activated recombinant factor VII (rFVIIa) treatment for the same.

Case Description:

A total of 1023 acute ischemic stroke (AIS) patients who received tPA in our department from January 2006 to December 2018 were enrolled in this study. Four of the 1023 patients (0.39%) developed DAH. The modified Rankin scale was used to assess clinical severity. Infarction volume was assessed upon follow-up using DWI (diffusion-weighted imaging). Atherothrombotic brain infarction cases were excluded from the study. The age, sex, occlusion site, area of infarction, emphysema, intracranial hemorrhage, and neurological outcomes were analyzed. Patients who developed DAH were more likely to have a history of emphysema. We administered rFVIIa to three DAH patients with good prognosis.

Conclusion:

The inclusion/exclusion criteria of tPA were based on the AHA/ASA Guidelines for the early management of patients with AIS.These patients had no evidence of infections, bronchoscopy, autoimmune diseases, HIV, and transplantations. Our study suggests that systemic administration of rFVIIa for DAH is effective. Emphysema may be a risk factor for the development of DAH following tPA. When we use tPA for emphysema patients, we must be careful about DAH enough.
Barriers of neurophysiology monitoring in spine surgery: Latin America experience
Authors: Guiroy Alfredo , Valacco Marcelo , Gagliardi Martin , Cabrera Juan Pablo , Emmerich Juan , Willhuber Gaston Camino , Falavigna Asdrubal
Published: May 2020

Background:

Intraoperative neurophysiological monitoring (IOM) has become valuable in spine surgery. Unfortunately, it is not always available in many spine centers, especially in developing countries. Our aim was to evaluate the accessibility and barriers to IOM in spine surgery in Latin America.

Methods:

We designed a questionnaire to evaluate the characteristics of surgeons and their opinions on the usefulness of IOM for different spine operations. The survey was sent to 9616 members and registered users of AO Spine Latin America (AOSLA) from August 1, 2019, to August 21, 2019. Major variables studied included nationality, years of experience, specialty (orthopedics or neurosurgery), level of complexity of the hospital, number of spine surgeries performed per year by the spine surgeon, the types of spinal pathologies commonly managed, and how important IOM was to the individual surgeon. General questions to evaluate use included accessibility, limitations of IOM usage, management of IOM changes, and the legal value of IOM. The results were analyzed and compared between neurosurgeon and orthopedics, level of surgeon experience, and country of origin.

Results:

Questionnaires were answered by 200 members of AOSLA from 16 different countries. The most common responses were obtained from orthopedic surgeons (62%), those with more than 10 years of practice (54%); majority of surgeons performed more than 50 spine surgeries per year (69%) and treated mainly spine degenerative diseases (76%). Most surgeons think that IOM has a real importance during surgeries (92%) and not just a legal value. Although surgeons mostly considered IOM essential to scoliosis surgery in adolescents (70%), thoracolumbar kyphosis correction (68%), and intramedullary tumors (68%), access to IOM was limited to 57% for economic reasons. Of interest, in 64% of cases, where IOM was available and significant change occurred, the actual operative procedures were significantly altered.

Conclusion:

Despite the fact that 68% of spine surgeons believe IOM to be indispensable for complex spine surgery, cost remains the main barrier to its use/availability in Latin America.
Reversible cerebral vasoconstriction syndrome concomitant with cerebral venous sinus thrombosis following ovarian tumor resection: A report of two cases
Authors: Shimizu Yu , Tsuchiya Katsuhiro , Fujisawa Hironori
Published: May 2020

Background:

Reversible cerebral vasoconstriction syndrome (RCVS) presents with characteristic clinical, brain imaging, and angiographic findings. The most common clinical feature of RCVS is a severe acute headache, which is often referred to as a thunderclap headache due to the nature of its presentation. It may occur spontaneously or may be provoked by various precipitating factors. We present a rare case of RCVS concomitant with cerebral venous sinus thrombosis (CVST) in a woman who underwent resection of an ovarian tumor.

Case Description:

Case 1 – A 42-year-old woman was admitted to our hospital with severe headache radiating to the neck, with associated vomiting. She revealed a medical history of ovarian cancer and underwent an operation for the resection of the tumor, a month before presentation. After resection, her estradiol (E2) levels were reduced from 288 pg/ml to 31 pg/ml (normal range, 0–49 pg/ml). Initial imaging on admission to our hospital revealed the left posterior convexity subarachnoid hemorrhage. Magnetic resonance angiography (MRA) showed findings consistent with RCVS affecting the left posterior cerebral artery. Magnetic resonance venography (MRV) showed CVST of the left transverse and sigmoid sinuses. Single-photon emission computed tomography (SPECT) showed a left posterior ischemic lesion. These findings improved following treatment with nimodipine and anticoagulant. Case 2 – A 39-year-old woman presented with holocranial headache associated with vomiting. She was diagnosed with an ovarian tumor. She underwent an operation 3 months before presentation. After tumor resection, her E2 level decrease from 193 pg/ml to 19 pg/ml (normal range, 0–49 pg/ml). Magnetic resonance angiography (MRA) confirmed the presence of a vasospasm involving the right anterior cerebral artery. Magnetic resonance venography (MRV) confirmed the presence of thrombosis involving the superior sagittal sinus. She was discharged on postpartum day 31 without neurological deficits after treatment with anticoagulants. At her 3-month follow-up, both MRA and MRV were within the normal limits.

Conclusion:

This is the first report of two women diagnosed with RCVS with concomitant CVST following ovarian tumor resection. Marked reductions in postoperative E2 levels could have contributed to the development of CVST and RCVS.
Kumlamanın Polietereterketon ve Rezin Siman Bağlantı Dayanımına Etkisi
Authors: BAĞKUR Meral , NADIROV Matlab , AKÇABOY Cihan
Published: May 2020

Amaç: Bu çalışmanın amacı, altyapı materyali olarak kullanılması önerilen polietereterketon materyalinin rezin simanla bağlantısında kumlamanın etkisinin araştırılmasıdır.Gereç ve Yöntem: Bu çalışma için 10x8x2 mm boyutlarında 24 adet polietereterketon örnek, 5 eksenli freze cihazında hazır bloklardan kesilerek elde edildi. Örnekler, otopolimerizan akrilik rezine gömüldü. Örneklerin yüzeyleri silisyum karbit su zımparası ile düzeltildikten sonra rastgele 3 deney grubuna ayrıldı (n=8). Grup 1: 50 µm alüminyum oksit partikülleri ile kumlandı; Grup 2: 110 µm alüminyum oksit partikülleri ile kumlandı; Grup 3: Kontrol grubu, herhangi bir yüzey işlemi uygulanmadı. Daha sonra her örnek ultrasonik temizleyicide distile su ile 1 dakika boyunca yıkandı. Tüm gruplara adeziv uygulandıktan sonra 3 mm çapında silindir şeklinde kalıplar kullanılarak polietereterketon örneklerin yüzeyine rezin siman uygulandı. Elde edilen örneklere üniversal test cihazında, 1mm/dakika hız ile bağlantıda başarısızlık oluşana kadar kuvvet uygulandı. Elde edilen kırılma değeri Newton cinsinden kaydedildi ve bağlanma dayanımı değerleri hesaplandı. Elde edilen veriler Tek Yönlü Varyans Analizi kullanılarak değerlendirildi. Gruplar arasındaki farklılıklar Tukey testi ile belirlendi. Sonuçlar α≤0,05 için anlamlı kabul edildi.Bulgular: Uygulanan yüzey işlemleri arasında istatistiksel olarak anlamlı fark görüldü (p<0,05). En düşük bağlanma dayanımı değerleri kontrol grubunda gözlenirken, kumlama grupları arasında istatistik olarak anlamlı bir fark görülmedi (p>0,05).Sonuç: Polietereterketon materyalinin simantasyonunda adeziv uygulamasına ek olarak kumlamanın bağlantıyı güçlendirdiği ve kumlama işleminde kullanılan kumun partikül boyutunun önemli olmadığı sonucuna varılmıştır.
FACTORS CAUSING THE DUPLICATION OF THE NUMBER OF MEDICAL RECORD DOCUMENTS IN BROMO PUBLIC HEALTH CENTER
Authors: Valentina Valentina
Published: May 2020

Puskesmas merupakan fasilitas kesehatan tingkat pertama yang membutuhkan diperlukan pengelolaan rekam medis yang baik guna tercapainya tertib administrasi. Tujuan penelitian ini adalah bagaimana faktor-faktor yang menyebabkan terjadinya duplikasi nomor rekam medis di Puskesmas Bromo Medan. Jenis penelitian ini adalah penelitian desktiptif. Populasi adalah seluruh rekam medis pasien rawat jalan di Puskesmas Bromo yaitu sebanyak 4262 rekam medis. Sedangkan sampel adalah 366 berkas rekam medis dan jumlah petugas 6 orang. Teknik pengambilan sampel menggunakan accidental sampling. Pengumpulan data dilakukan dengan metode observasi menggunakan lembar observasi dan metode wawancara dengan kuesioner. Data dianalisis secara deskriptif untuk melihat penyebab terjadinya duplikasi penomoran dokuemen rekam medis berdasarkan faktor pasien, faktor petugas dan faktor sistem pengelolaan rekam medis. Hasil penelitian menunjukan bahwa angka kejadian duplikasi dokumen rekam medis di Puskesmas Bromo Medan sebesar 8,74%. Faktor-faktor penyebab duplikasi adalah pasien tidak membawa kartu identitas berobat, kualifikasi petugas rekam medis yang tidak sesuai,  tidak ada tracer, buku ekspedisi dan SPO di bagian penyimpanan, sistem penomoran dan penggunaan map family folder yang tidak sesuai standar. Diharapkan puskesmas untuk melakukan pencarian dan penataan ulang dokumen rekam medis yang hilang dan tercecer, melakukan perekrutman petugas rekam medis sesuai dengan kompetensi dan kualifikasi dari pendidikan formal Rekam Medis, dan berikan pelatihan rekam medis sesuai kebutuhan, membuat Standar Prosedur Operasional (SPO), mengubah penomoran dan penjajaran rekam medis, menggunakan tracer dan buku ekspedisi dan sosialisasi kepada pasien tentang penggunaan Kartu Identitas Berobat (KIB).
Hubungan Faktor Penyebab Tingkat Kelelahan pada Pekerja Tambang Pengolahan Mineral Tembaga dan Emas
Authors: Lestari Khaerani , Muhamad Aditya Fadila , Susanto Arif , Putro Edi Karyono , Yuliasari Fanny Sarah
Published: May 2020

Fatigue has a significant impact on the economy of a region. This is because it leads to absenteeism, decreased productivity, health costs, and accidents. It is something complex primarily caused by 2 factors, including work and non-work fatigue. The purpose of this study therefore is to determine the factors associated with the fatigue level in copper and gold ore processing workers. It uses a cross-sectional design with the Industrial Fatigue Research Committee (IFRC) questionnaire to measure the fatigue level and The Pittsburgh Sleep Quality Index (PSQI) of 260 respondents working in the copper and gold ore processing firm. The results showed that 1 worker (0.4%) experienced severe fatigue, and 12 workers (4.6%) moderate, 243 (93.5%) mild fatigue, while only 4 (1.5%) were not affected. Additionally, there is a significant relationship between fatigue levels with sleep quality. In conclusion, poor sleep has the potential to increase fatigue. Companies therefore need to provide training related to the management of fatigue and sleep quality for workers.
ANALISIS POTENSI PARIWISATA OLAHRAGA BERBASIS SUMBER DAYA ALAM DI KAB. KARIMUN PROVINSI KEP. RIAU
Authors: Sanusi Rahmat
Published: May 2020

AbstrakPenelitian ini bertujuan menganalisa potensi pariwisata olahraga berbasis sumber daya alam di kabupaten Karimun Provinsi Kep. Riau untuk meningatkan nilai ekonomi. Metode penelitian ini adalah deskriptif dengan teknik pengumpulan data tinjuan lapangan, survei dan wawancara dengan melibatkan 89 responden. Teknik analisa yang digunakan dalam penelitian ini adalah statistik deskriptif kualitatif – kuantitatif dan analisa SWOT. Hasil penelitian diperoleh kesimpulan bahwa olahraga Voli Pantai, Dayung dan Perahu Naga merupakan cabang olaharaga yang memiliki potensi paling besar sebagai pariwisata olahraga.
Production of N-acetylglucosamine from shrimp shells’ chitin using intracellular chitinase from Mucor circinelloides
Authors: Halim Yuniwaty , Fransiska  , Hardoko  , Handayani R.
Published: May 2020

Chitin is a natural biopolymer found in shrimp shells and can be processed into Nacetylglucosamine which is extensively used as a dietary supplement to treat
osteoarthritis, back pain and knee pain. This research was conducted to determine the
optimum pH, temperature, substrate concentration and incubation period to produce Nacetylglucosamine using crude and semi pure intracellular chitinase extracted from Mucor
circinelloides. Chitinase activity was measured to determine optimum pH and temperature
by using various pHs (3, 4, 5, 6, 7, 8 and 9) and temperatures (30oC, 40oC, 50oC, 60oC,
70oC and 80oC). Different substrate concentrations (0.5%, 1.0%, 1.5% and 2.0%) and
incubation periods (2, 4, 6 and 24 hrs) were used to determine the optimum condition to
produce N-acetylglucosamine. Results showed that crude intracellular chitinase had an
optimum pH of 5 with chitinase activity of 4.16±0.07 U/mL and optimum temperature of
60oC with chitinase activity of 4.22±0.07 U/mL. The optimum substrate concentration
obtained was 0.5% and the optimum incubation period obtained was 6 hrs with about
961.67±9.13 ppm N-acetylglucosamine produced. Semi pure intracellular chitinase had an
optimum pH of 4 with chitinase activity of 4.75±0.09 U/mL and optimum temperature of
50oC with chitinase activity of 5.03±0.08 U/mL. The optimum substrate concentration
obtained was 1.5% and the optimum incubation period obtained was 4 hrs with about
1150.56±12.55 ppm N-acetylglucosamine produced.