bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Intervensi Terapi Wicara Dengan Kemampuan Bahasa Anak Gangguan Pendengaran Di Boyolali
Authors: Nur Avindi Yusup  , Muryanti
Published: May 2023

Terapi wicara adalah tindakan yang dilakukan oleh terapis wicara untuk membantu seseorang yang mengalami gangguan bahasa bicara dan menelan, tindakan terapi wicara untuk membantu anak dengan gangguan pendengaran disebut dengan intervensi, intervensi adalah upaya untuk meningkatkan kesehatan atau mengubah gangguan tertentu, aspek perkembangan anak prasekolah yang harus tercapai salah satunya adalah perkembangan kemampuan bahasa yang salah satunya bahasa reseptif. Oleh karena itu penting bagi anak gangguan pendengaran untuk memahami bahasa reseptif, bahasa reseptif berguna untuk memahami situasi dan kondisi sekitar. Penelitian ini bertujuan untuk menganalisis dan memberi gambaran tentang “Hubungan Intervensi Terapi Wicara Dengan Kemampuan Bahasa Anak Gangguan Pendengaran di Boyolali”. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain penelitian ini adalah cross sectional. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling dengan menggunakan sampel sebanyak 30 responden anak usia 4 tahun dan 4 tahun 11 bulan di Komunitas Difabel Dengar Boyolali. Pada hasil uji spearman rank diperoleh hasil nilai ρ sebesar 0.000 atau nilai ρ < 0.05, memiliki nilai koefisien korelasi sebesar 0.724 yang berada pada kategori kuat dan memiliki arah korelasi yang searah atau semakin meningkat. Adanya Hubungan antara intervensi terapi wicara dengan kemampuan bahasa reseptif anak gangguan pendengaran usia 4 tahun sampai 4 tahun 11 bulan, sering mendapatkan intervensi terapi wicara maka akan semakin bagus kemampuan  bahasa reseptif anak dengan gangguan pendengaran
Efektivitas Terapi Akupunktur dalam Meningkatkan Nilai IQ (Intelligence Quotient) pada Mahasiswa Jurusan Akupunktur Politeknik Kesehatan Surakarta
Authors: Tri Haryanto Joko , Risna widowati
Published: May 2023

Abstract

 

Intelligence Quotient or commonly referred to as IQ is a term for grouping human intelligence which is believed to be a standard measure of intelligence for many years. One aspect of intellectual intelligence is memory. Some students who study in the Acupuncture Department find it difficult to memorize the lessons in the Acupuncture Department. The lack of research on the effects of acupuncture therapy in increasing a person's IQ score is the reason for the authors to conduct this study. This study aims to determine the effectiveness of acupuncture therapy in increasing the IQ (intelligence quotient) in students of the Acupuncture Department of the Health Polytechnic of Surakarta. This research is a pre-experimental pre-test and post-test design. The research will be conducted at the D-III Acupuncture Study Program in collaboration with the psychotest organizing institution, namely ANAVA Surakarta. The subjects of this study were 30 students of the Department of Acupuncture. The dependent variable is the Intelligence Quotient (IQ) score and the independent variable is acupuncture therapy at points HT 7 (Shenmen), GV 20 (Baihui), PC 6 (Neiguan) and SP 6 (Sanyinjiao). Data analysis using paired t test.

There is a difference in mean IQ scores before and after acupuncture treatment. The mean value after acupuncture increased (mean=108) compared to the mean before acupuncture therapy (mean=101). Based on the analysis of the paired t test, the value of p <0.05 was obtained, which means it can be concluded that acupuncture therapy is effective in increasing the IQ (Intelligence Quotient) value. Acupuncture therapy is effective in increasing the IQ (Intelligence Quotient) in Acupuncture Department students.
Hubungan antara Interaksi Sosial dengan Kemampuan Turn Taking Anak Usia Prasekolah di Pekanbaru
Authors: Meisya Weldiani  , Ari Sarwanto  , Alfiani Vivi Sutanto
Published: May 2023

Latar Belakang: Pada anak usia dini, interaksi sosial sangat dibutuhkan karena anak nantinya akan diajarkan bagaimana hidup bermasyarakat. Kemudian anak diajarkan berbagai peran yang nantinya akan menjadi indentifikasi dirinya. Saat melakukan interaksi sosial, anak akan memperoleh berbagai informasi yang ada disekitarnya. Banyak anak yang belum memahami pentingnya berinteraksi sosial dengan teman sebayanya dilingkungan sekolah. Selain itu, anak-anak harus belajar bagaimana mengintegrasikan turn taking agar menjadi orang yang terampil dalam percakapan meskipun kemampuan turn taking mulai muncul sejak masa bayi. Tujuan: Penelitian ini bertujuan untuk mengetahui apakah ada hubungan antara interaksi sosial dengan kemampuan turn taking anak usia prasekolah di Pekanbaru. Metode: Penelitian ini menggunakan penelitian kuantitatif. Teknik pengambilan sampel dilakukan menggunakan teknik sampling purposive dengan total sampel sebanyak 30 responden. Data yang terkumpul dianalisis secara univariat dan bivariat menggunakan teknik uji statistik spearmank rank dengan skala data nominal dan ordinal. Hasil: Hasil analisis data menunjukkan adanya hubungan antara interaksi sosial dengan kemampuan turn taking anak usia prasekolah di Pekanbaru dengan nilai p adalah 0.007 dan nilai r adalah 0.480. Terdapat hubungan antara interaksi sosial dengan kemampuan turn taking pada anak usia prasekolah di Pekanbaru. Kesimpulan: Setiap peningkatan interaksi sosial akan berdampak positif dengan peningkatan kemampuan turn taking sebesar 0.480 kali.
Hubungan Antara Early Literacy Skills dengan Spelling pada Anak Hearing Impairment Kelas Empat sampai dengan Kelas Enam di SLB Malang
Authors: Frizky Ikhfa Humaira  , Anggi Resina Putri  , Nugroho Setyadi
Published: May 2023

Latar Belakang: Keterampilan literasi dimulai sebelum pendidikan formal. Spivey (2012) berpendapat bahwa early literacy adalah segala hal yang harus diketahui anak-anak mengenai membaca dan menulis sebelum mereka dapat membaca atau menulis. Salah satu komponen dalam menulis yakni spelling. Spelling yang ditemukan dapat terjadi ketika seseorang berusaha untuk mengarahkan dirinya sendiri untuk menulis kata-kata dalam bentuk tulisan. Seiring meningkatnya bacaan siswa, mereka akan menggunakan pengetahuan fonologi dan ortografi untuk menulis ejaan kata yang semakin akurat. Kemampuan mengeja ini juga dimiliki oleh anak hearing impairment. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara early literacy skills dengan spelling pada anak hearing impairment kelas empat sampai dengan kelas enam di SLB Malang. Metode: Penelitian ini merupakan jenis penelitian kuantitatif dengan rancangan pendekatan studi korelasional. Teknik pengambilan sampel dalam penelitian ini menggunakan tehnik Purposive Sampling dengan total 30 responden. Data yang terkumpul akan dianalisis secara univariat dan bivariat. Uji statistik yang digunakan adalah Uji Spearman Rank dikarenakan data tidak berdistribusi normal atau nilai signifikansinya kurang dari 0.05, yaitu 0.007 dan 0.000. Hasil: Hasil analisis Uji Spearman Rank menunjukkan nilai signifikansi sebesar 0.706, dimana angka signifikansi tersebut lebih dari 0.05 (Sig. 0.706>0.05) yang dapat diartikan bahwa Ha diterima. Kesimpulan: ada hubungan yang signifikansi antara early literacy skills dengan spelling pada anak hearing impairment kelas empat sampai dengan kelas enam di SLB Malang.
Hubungan Antara Fungsi Kognitif Dengan Kemampuan Menamai Pada Lansia Young Old di Puskesmas Arjosari Pacitan
Authors: Syafitri Oktavina Egalita , Purnaningrum Windiarti Dwi
Published: May 2023

Latar Belakang: Pada umumnya setelah orang memasuki lansia, maka ia mengalami penurunan fungsi kognitif. Gangguan fungsi kognitif merupakan gangguan utama pada otak berupa gangguan pada orientasi, perhatian, konsentrasi, memori, dan bahasa. Penurunan fungsi kognitif pada lansia memberikan dampak yang mempengaruhi berbagai aspek, salah satu dari aspek tersebut ialah aspek bahasa yang mempengaruhi kemampuan menamai. Berdasarkan data dari Badan Pusat Statistik (2020)  dari seluruh lansia yang ada di Indonesia lansia young old lebih jauh mendominasi dibanding lansia yang lain.

Tujuan: Mengetahui apakah ada hubungan antara fungsi kognitif dengan kemampuan menamai pada lansia young old di Puskesmas Arjosari Pacitan.

Metode: Jenis penelitian yang digunakan pada penelitian ini adalah  kuantitatif dengan desain penelitian korelasional. Populasi penelitian ini adalah lansia young old di Puskesmas Arjosari Pacitan. Sampel penelitian sebanyak 30 lansia berusia 60-75 tahun. Analisa data menggunakan uji statisik Koefisien Kontingensi.

Hasil Penelitian: Hasil analisis terdapat adanya hubungan antara fungsi kognitif dengan kemampuan menamai (nilai p sebesar 0.001).

Kesimpulan: Ada hubungan antara fungsi kognitif dengan kemampuan menamai pada lansia young old di Puskesmas Arjosari Pacitan.
PENERAPAN PERHITUNGAN AKTIVA TETAP BERDASARKAN PSAK DAN PERPAJAKAN PADA KLINIK PRATAMA RAWAT INAP ROMAULI ZR MEDAN MENGGUNAKAN METODE GARIS LURUS (STRAIGHT LINE METHODE)
Authors: ANNASTASYA ANDIKA AYU
Published: May 2023

Penerapan perhitungan penyusutan aktiva tetap merupakan hal yang penting bagi perusahaan dalam menetapkan beban penyusutan aktiva tetap disetiap tahunnya. Tujuan penelitian ini yaitu menerapkan perhitungan penyusutan aktiva tetap pada Klinik Pratama Rawat Inap Romauli ZR, apakah perhitungan penyusutan aktiva tetap tersebut sudah sesuai dengan Peraturan Standar Akuntansi Keuangan (PSAK) dan sesuai dengan perhitungan menurut Perpajakan. Objek penelitian ini berupa aktiva tetap yang berada di Klinik Pratama Rawat Inap Romauli ZR dari awal tahun pembelian sampai pada tahun 2021.

Klinik belum sama sekali menerapkan salah satu dari metode penyusutan aktiva tetap sehingga perusahaan belum mengetahui berapa nilai penyusutan dari setiap aset tetap. Metode yang digunakan pada perhitungan penyusutan aktiva tetap ini adalah menggunakan metode garis lurus menurut Peraturan Standar Akuntansi Keuangan (PSAK) dan tarif garis lurus menurut peraturan Perpajakan. Penelitian ini menggunakan metode analisis kuantitatif yang bersifat deskriptif dan jenis data yang digunakan adalah data primer dan sekunder.

Hasil penelitian ini menunjukkan bahwa penerapan perhitungan beban penyusutan aktiva tetap pada Klinik Pratama Rawat Inap Romauli ZR yang menggunakan metode garis lurus menurut Peraturan Standar Akuntansi Keuangan (PSAK) menggunakan rumus harga perolehan yang dikurangi dengan nilai residu lalu dibagi dengan umur ekonomis dari masing-masing aktiva tetap adalah sebesar Rp. 157.140.625,- dan perhitungan penyusutan aktiva tetap menggunakan metode garis lurus dengan cara harga perolehan dikalikan dengan tarif yang sesuai menurut Undang-Undang Perpajakan mendapatkan hasil beban penyusutan sebesar Rp. 193.125.000,-. Maka dapat dilihat bahwa dari perhitungan hasil beban penyusutan aktiva tetap menurut PSAK dan perpajakan pada Klinik Pratama Rawat Inap Romauli ZR tersebut memiliki perbedaan atau perbandingan hasil penyusutan menurut PSAK lebih rendah dibandingkan hasil dari penyusutan menurut Perpajakan.
Law Enforcement Against The Circulation Of Illegal Firecrackers In The City Of Medan In Welcoming The Holy Month Of Ramadan
Authors: Maswandi Maswandi
Published: May 2023

The purpose of writing this article is to determine the factors of rampant sales and users of firecrackers in the city of Medan, to find out what efforts are faced by law enforcement against sales and users of firecrackers in the city of Medan and to find out what obstacles faced by law enforcement against sales and users of firecrackers in the city of Medan, especially in the holy month of ranadhan. The Data required in this paper are primary and secondary data. Primary Data obtained by conducting field research by interviewing respondents and informants. While secondary data obtained through literature research conducted by studying textbooks, legislation, and opinions parasarjana. Conclusion it is known that the factors undertaken by the police to be important in preventing the circulation of illegal firecrackers in the community, lack of public awareness of the law and the dangers posed by the use of illegal firecrackers, preventive countermeasures are carried out before the violation occurs by preventing the violation does not occur, barriers to the lack of information received, Lack of budget funds received by the National Police in carrying out patrol functions to cope with the circulation of firecrackers. It is recommended to all relevant parties to always provide counseling and socialization of the dangers of firecrackers to the community, so that Banda Aceh is safe from the circulation of firecrackers, because firecrackers are very disturbing to the comfort of the community,as parents it is very important to prohibit playing firecrackers, at least parents supervise children when playing firecrackers in the environment.
Legal Analysis Of Violence By Prisoners In State Detention House Class I Medan In Normative Legal Perspective
Authors: Jamillah Jamillah
Published: May 2023

The purpose of writing this article is to explain the forms and consequences of violence by prisoners in State Prison Class I Medan, the factors that cause violence by prisoners in State Prison Class I Medan, and efforts to overcome cases of violence by prisoners in State Prison Class I Medan . To obtain data in the writing of this article, research is carried out, to obtain secondary data is carried out by reading legislation, scientific papers, opinions of scholars, books, articles and other materials related to this research, and field research is carried out to obtain primary data related to this research through interviews with respondents and informants in this writing. Based on the results of the study, it is known that the form and consequences of violence by prisoners in Class I Detention Center Medan is in the form of misdemeanor and ordinary abuse which resulted in the victim being seriously injured and minor injuries and the perpetrator received a punishment in the form of confinement in isolation. The factors that cause violence by prisoners in Class I Detention Center Medan are individual problems, personal grudges, inadequate room capacity, and the absence of familiarity and harmonious relationships between fellow inmates. Efforts to overcome cases of violence by prisoners in Class I Detention Center Medan is given sanctions in the form of reprimands, put in isolation and not given remission, security units supervise each room of prisoners, this supervision is carried out for 1x24 hours, besides that each block is guarded by a public picket, which is tasked with guarding prisoners and ensuring that there is no disturbance of order in Class IIB Detention Center Banda Aceh. It is recommended to Rutan Klas IIB Banda Aceh to increase the number of detention rooms, so that in one room inmates do not overcapacity, counseling guidance, it is expected that surveillance efforts carried out by the security unit of Rutan Klas I Medan are divided into 3 teams plus 4 teams, this addition is intended that at 6 pm to 7 AM can be divided into 2 teams at 6 pm to 12 pm and 12 pm to 7 am.
Legal Analysis Of Embezzlement Of Rental Four Wheeled Motor Vehicles In Criminal Law Perspective
Authors: Nasir Sitompul MUhammad
Published: May 2023

This study aims to explain the factors that cause the crime of embezzlement of rental four-wheeled motor vehicles, obstacles in overcoming it and the efforts made by law enforcement in combating crime of rental four-wheeled motor vehicles. The Data obtained in the writing of this article was done with literature and Field Research. Literature research was conducted to obtain secondary data by studying laws and books, while Field Research was conducted to obtain primary data by studying, reviewing cases and interviewing respondents and informants. From the results of the study, it is known that the cause of the crime of embezzlement of rental four-wheeled motor vehicles is due to economic factors, factors of Community Legal Awareness, utilization of opportunities, not using a driver or Key Release System, and weak security system factors. Obstacles in overcoming the factor of facilities and infrastructure, people who are apathetic in helping the police, the difficulty of presenting witnesses who know the incident the perpetrator or defendant in getting the goods, and the car that was embezzled has been mortgaged to a third party. The efforts made are to carry out raids or patrols carried out in a directed and regular manner against motor vehicles and their letters to ensure that the vehicle is not a vehicle obtained from the results of criminal acts, especially theft and embezzlement. It is recommended to every car rental service owner to not only supervise, but also to improve the security system so that there is no more embezzlement of rental cars and law enforcement must be more active in making efforts both preventive and repressive efforts in the case of criminal acts of embezzlement of rental four-wheeled motor vehicles.
Vai Trò Của Siêu Âm Phổi Trong Chẩn Đoán Sớm Và Phân Loại Viêm Phổi Do Covid-19
Authors: Võ Thị Tố Uyên , Trần Minh Vương
Published: May 2023

Virus Corona gây hội chứng hô hấp cấp tính nặng 2, viết tắt SARS-CoV-2 là tác nhân
gây ra bệnh viêm đường hô hấp cấp do virus Corona 2019 (COVID-19), xuất hiện lần
đầu tiên vào tháng 12 năm 2019. Sự gia tăng nhanh chóng số lượng ca nhiễm dẫn tới
tình trạng quá tải bệnh nhân tại khoa Cấp cứu đang trở thành vấn đề đáng lo ngại tại
nhiều quốc gia trên thế giới, trong đó có Việt Nam. Trong hoàn cảnh đó, quá trình sàng
lọc đòi hỏi một quy trình tối ưu hóa trong việc xác định, phân loại bệnh nhân nhanh chóng
để phục vụ hoạt động điều hướng và xử trí kịp thời. Chụp cắt lớp vi tính (Computed
Tomography scan - CT scan) ngực thường được coi là phương thức hình ảnh tiêu chuẩn
vàng giúp phát hiện sớm tổn thương phổi ở các bệnh nhân mắc COVID-19. Tuy nhiên,
việc sử dụng CT scan ngực còn hạn chế bởi tính sẵn có, nhu cầu phải di chuyển bệnh
nhân ra khỏi khu cách ly và những nguy cơ liên quan tới nhiễm xạ. Siêu âm phổi tại
giường với ưu điểm không xâm lấn, có thể thực hiện nhanh chóng, được xem như biện
pháp thay thế hữu ích để phân loại bệnh nhân COVID-19 có hay không có tổn thương
phổi với độ nhạy và độ tin cậy cao. Kết quả đánh giá hình thái học phổi qua siêu âm tại
giường giúp lựa chọn chính xác hơn liệu pháp cung cấp oxy và thông khí phù hợp cho
từng bệnh nhân thông qua việc phân biệt các kiểu hình hội chứng nguy kịch hô hấp cấp
(Acute Respiratory Distress Syndrome - ARDS): Kiểu L hay kiểu H, khu trú haylan tỏa.
Trong bài báo này, chúng tôi đề nghị một quy trình tiếp cận viêm phổi COVID-19 sử dụng
siêu âm tại giường để chẩn đoán và phân loại bước đầu bệnh nhân tại khoa cấp cứu.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative
agent of Coronavirus Disease of 2019 (COVID-19), that first identified in December
2019. Hospital flooding of patients with COVID-19 imposes a huge burden on the
medical system. This situation can be somewhat mitigated with optimization of patient
identification, triage and management. Chest Computed Tomography scan (CT) is
often considered the gold - standard imaging modality for early detection of lung
damage in patients with COVID-19. However, the use of chest CT is limited because
of its availability, the need of moving patients out of the isolation area, and the risk of
radiation exposure.Bedside lung ultrasound, a useful alternative to classify COVID-19
patients with or without lung injury with high sensitivity and reliability, is noninvasive and can be performed quickly. The identification of phenotypes based on lung morphology through bedside lung ultrasound can be helpful to better target mechanical ventilation of individual patients with acute respiratory distress syndrome, distinguishing different ARDS phenotypes: Type L and type H, focal or non-focal. In this paper, we propose a COVID-19 pneumonia approach using bedside ultrasound for the initial diagnosis and triage of patients in the emergency department .
Tổng Quan Chỉ Số Đánh Giá Nuôi Dưỡng Trẻ 6 - 36 Tháng Tuổi
Authors: Phạm Minh Châu
Published: May 2023

Tỷ lệ trẻ em Việt Nam dưới 5 tuổi suy dinh dưỡng thấp còi vẫn còn ở mức cao, chiếm tỷ lệ 19,6%, trong đó tỷ lệ suy dinh dưỡng thấp còi cao nhất ở nhóm tuổi 24 - 36 tháng tuổi với gần 25% (năm 2020). Thực hành nuôi dưỡng trẻ em được xác định làyếu tố tác động trực tiếp đến tình trạng dinh dưỡng của trẻ. Năm 2009, Tổ chức Y tế Thế giới (WHO) đã đưa ra bộ chỉ số đánh giá nuôi dưỡng trẻ bú mẹ và thực hành cho trẻ ăn dặm từ 0 - 24 tháng tuổi (Infant and young child feeding indicators - IYCF), bộ chỉ số này đang được sử dụng ở Việt Nam trong các cuộc điều tra dinh dưỡng ở quy mô lớn. Tuy nhiên, bộ chỉ số IYCF vẫn còn điểm hạn chế trong giới hạn độ tuổi đánh giá và tổng hợp các thông tin nuôi dưỡng của từng trẻ. Chỉ số đánh giá nuôi dưỡng trẻ từ 6 - 36 tháng (Infant and young child feeding index - ICFI) được Ruel và Menon đề xuất năm 2002 tính đến nay đã được sử dụng phổ biến trong các nghiên cứu đánh giá nuôi dưỡng trẻ nhỏ ở các nước Mỹ Latin, Châu Phi, Trung Quốc, Thái Lan… trên nhiều quy mô khác nhau. Việc sử dụng chỉ số ICFI có thể mở ra các hướng tiếp cận mới trong thực hành lâm sàng và nghiên cứu điều tra đánh giá thực hành nuôi dưỡng trẻ 6 - 36 tháng tuổi tại Việt Nam để đề ra các giải pháp can thiệp hiệu quả đến quá trình nuôi dưỡng trẻ.

Abstract

The rate of stunting malnourished children under five years old in Vietnam is still high, accounting for 19.6%, of which the rate of stunting is highest in the age group of 24 - 36 months with nearly 25 % (in 2020). Child feeding practices are identified as factors that directly affect the nutritional status of children. In 2009, World Health Organization (WHO) released a set of indicators to assess breastfeeding and practice of weaning for children from 0 - 24 months of age (Infant and young child feeding indicators - IYCF), this indicator is being used in Vietnam in large scale nutrition surveys. However, the IYCF set of indicators still has limitations in terms of age limits for assessing and synthesizing nurturing information for each child. The Infant and Young Child Feeding Index (ICFI) was proposed by Ruel and Menon in 2002 and has been widely used in studies assessing infant feeding in Latin American countries, Africa, China, Thailand,... on many different scales. Using the ICFI index can open up new approaches in studies assessing the current situation of children feeding 6 - 36 months old in Vietnam to propose effective interventions to the child feeding process.
Det legemlige promissio: Socialitet som nøgle til Luthers nadverskrifter
Authors: Holm Bo Kristian
Published: May 2023

This article presents a systematic-theological reading of the historical development of Luther’s theology of the Lord’s Supper. It is argued that a focus on the social dimension in Luther’s writing about the Lord’s Supper reveals a thread that goes through all the phases of Luther’s writings on the Lord’s Supper: From a clear focus on the social life in the congregation in 1519, over a focus on the Lord’s Supper as integrating the sinner in the new fellowship with Christ, to a promissional understanding of the real presence of Christ in bread and wine. As a result, the social dimension of the Lord’s Supper is located in the orders of the world, highlighting the sacramental realism in Luther’s theology.
A note on generating primitive Pythagorean triples using matrices
Authors:   Department of Mathematical Sciences, Salisbury University, Austin Jathan
Published: May 2023

We present matrices that generate families of primitive Pythagorean triples that arise from generalized Fibonacci sequences. We then present similar results for generalized Lucas sequences and primitive Pythagorean triples.
Medisinske diagnoser og prosedyrer – det viktigste å lære i praksisstudier?
Authors: Hjerpaasen Kari Jonsbu , Jensen Kari Toverud , Knutstad Unni
Published: May 2023

Hensikten med studien er å belyse skriftlige tilbakemeldinger til sykepleiestudenter relatert til læringsutbytter i praksisstudier. Studien har et kvalitativt deskriptivt design. Datagrunnlaget er 100 vurderingsskjemaer fra praksisstudier i spesialisthelsetjenesten. Det gis en oversikt over hvilke læringsutbytter som kommenteres mest. Det er gjennomført en tematisk analyse av friteksten i vurderingsskjemaene, inspirert av Braun og Clarke. Temaene som presenteres i funnene er pasientkunnskap og sykepleiehandlinger, individualisering av læringsutbytter og studentenes profesjonelle egenskaper. Pasientvurderinger og sykepleiehandlinger vektlegger i hovedsak medisinske diagnoser og sykepleieprosedyrer. Vi finner også at studentene beskrives i positive vendinger som kunnskapsrike, flinke og aktive. Læringsutbyttene konkretiseres og individualiseres gjennom progresjonskrav, det vil si hva studentene skal jobbe videre med etter midtvurdering og eventuelt til neste praksisperiode, noe som tyder på kontinuitet i læring.
Correlation of Magnetic Resonance Imaging findings with Clinical Grading in Lumbar Disc Degeneration: A Cross-sectional Study
Authors: Eswara Sowmya , Kalenahalli Kiran V , Yerram Sravanthi , Itagi Rishikesh M , Jose Joe
Published: May 2023

Introduction: Low Back Pain (LBP) is the most common musculoskeletal symptom encountered on a daily basis in clinical practice and has a significant impact on healthcare resources. Magnetic Resonance Imaging (MRI) is the most sensitive tool for diagnosing spinal degenerative disease and has proven to be a standard imaging modality for its evaluation. Assessment of the correlation between clinical and radiological severity of lumbar disc degeneration will help in better management of the LBP patients. Aim: To determine the correlation between the clinical and radiological severity of lumbar disc degeneration in non surgical LBP patients. Materials and Methods: This observational, cross-sectional study was conducted at the Department of Radiology and Imaging, Sagar Hospitals, Bengaluru, Karnataka, India, from December 2019 to June 2021. A total of 90 patients with LBP who were referred for MRI evaluation were included. Modified Oswestry questionnaire was given to the patients and the clinical severity of the LBP was quantified. Patients with disc degeneration were evaluated on MRI based on six parameters viz., T2-signal intensity, Disc Extension Beyond Interface (DEBIT), annular fissure, modic changes, endplate integrity and osteophytes. Fisher's exact test was used for qualitative data to look into the association between clinical and MRI grades of severity. Correlation was assessed for continuous variables using Pearson correlation analysis. Results: The study included a total of 90 patients with LBP, with a mean age of 57±13.75 years with equal sex preponderance (45 (50%) male and 45 (50%) female). Clinically, 51 (56.7%) of the study population revealed moderate disability. On quantifying the MRI total score of disc degeneration, 65 (72.3%) of the patients were found to show mild degeneration. In terms of involvement of all the evaluated six MRI parameters, the L4-L5 disc was most commonly affected, followed by the L5-S1 disc. Disc desiccation 353 (78.45%) and osteophytes 336 (74.67%) were the most consistently observed variations. Disc bulges 251 (55.78%) were the next most frequently observed parameter in disc degeneration. Conclusion: The correlation between the clinical and radiological severity of disc degenerative disease was found to be weakly positive and statistically insignificant. Disc desiccation, osteophytes and disc bulges were the most commonly observed parameters that contributed to lumbar degenerative disease.
Comparison of the Efficacy of Autologous Platelet-Rich Plasma and Saline Dressing in Healing of Diabetic Foot UlcerA Randomised Control Study
Authors: Gowsick S , Balaji D , . Arul , Unnikrishnan ES , Manish R
Published: May 2023

Introduction: According to research by the World Health Organisation (WHO), there are 347 million diabetics worldwide, and by 2030, it will overtake smoking as the seventh leading cause of death and diabetic people have a lifetime risk of up to 25% for developing a foot ulcer. Many novel techniques are emerging to fasten wound healing, including cellular therapies using PlateletRich Plasma (PRP) and collagen-based dressings. Aim: To compare the efficacy between instillation of autologous PRP and conventional dressing using normal saline/povidone iodine in Diabetic Foot Ulcers (DFU). Materials and Methods: This randomised control clinical study was conducted in the Department of General Surgery at SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India. The duration of the study was 18 months, from April 2021- September 2022. A total of 174 DFU patients were included in the study, meeting inclusion and exclusion criteria’s. Patients were divided into case (n=87) and control group (n=87). For six weeks, the case group got autologous PRP, while the control groups regularly had standard dressings. Wound areas were measured using ruler scale weekly and percentage of healing was monitored for 12 weeks. The data were analysed with International Business Machines (IBM)- Statistical Package for Social Sciences (SPSS) version 21.0. Results: In a group of 87 each, 174 patients with chronic non healing DFUs were randomly assigned to the study group (PRP) or the control group (conventional dressing method) throughout the 9 months study. Age ranged from less than 40 years to more than 61 years in the present study of 174 patients, with the age group between 51 and 60 years having the highest percentage of patients (50.6%), followed by the age group over 61 years (23.6%). About 12 weeks after the treatment, it was discovered that, the case group had a 86% reduction in wound area of 86.51±15.71 mm, whereas, the control group had a 61% reduction in wound area of 65.47±30.18 mm and 65.1% of patients from the case group showed wound healing, while 42.7% of patients from the control group showed wound healing. These findings were found to be statistically significant (p-value <0.001). Conclusion: The use of PRP led to a higher rate of wound healing in less time when compared to traditional wound care in the therapy of chronic DFUs, as shown in the present study. For chronic DFUs, PRP was able to speed up healing, making it a potentially viable and promising treatment
Modifying Drug Release for Intramuscular and Oral Delivery Using Drug-eluting Embolisation Beads
Authors: Ahmad Shamsuddeen A. , Sirajo Muhammad , Garba Abdulrashid A.
Published: May 2023

In recent years, polymer-based embolisation beads have been used to deliver drugs for the treatment of cancer directly to the site of action. Known to be biocompatible implants, these beads have become an ideal drug delivery vehicle for parenteral administration yet have not been considered for the more commonly used drug delivery routes such as oral and intramuscular drug delivery. This work describes the application of a type of polymer beads, formerly used for embolisation, as a formulation option for oral and intramuscular delivery of a model drug, namely imipramine. Following successful incorporation within the beads, dissolution analysis confirmed the potential to provide a modified drug release profile. Thermogravimetric analysis (TGA) permitted determination of the total water content within the beads (96.8%) and differential scanning calorimetry (DSC) indicated that not all of the water within the beads was able to freeze, apportioned as 15.8% non-freezing, 25.1% loosely bound and the remaining 55.9% unbound. In the presence of drug, the size of the beads decreased with a reduced water content (95.4%) comprised of 16.7% non-freezing, 20.5% freezing bound and the remaining 58.2% % unbound.In conclusion, the results presented in this study confirm the ability of TGA and DSC to separate the differing types of water within the beads and furthermore, the potential of such beads for a far wider variety of formulation options than those previously adopted.
Factors Associated with Reading Performance in English
Authors: Costino-Sanoria Cherrylene , Oco Richard M.
Published: May 2023

Aims: Reading, Writing, and Arithmetic are three essential skills a pupil should learn and acquire. The purpose of this study was to identify factors associated with pupils’ reading; the pupils’ level of reading performance and the significant relationship between the level of reading performance and factors associated with reading performance.

Study Design: The study employed Content Analysis with Descriptive Correlation.

Place and Duration of Study: The study was conducted in selected schools in the division of El Salvador City during the school year: 2022.

Methodology: The respondents were all the One hundred-twenty (120) Grade 3 pupils at the selected schools in El Salvador City. This study used a researcher-modified survey questionnaire that underwent validity and reliability testing.

Results: The results showed that pupils’ reading performance was at a Frustration level, while factors associated with reading performance were rated as Unlikely. It was concluded that pupils' reading performance was significantly correlated to reading performance. Thus, it must be given consideration and attention. The researcher recommends that parents, teachers, and stakeholders should unite in providing and supporting reading-related activities and interventions for better performance and outcomes.

Conclusions: As was clearly illustrated in data analysis and results, in conclusion: According to the results of the student's reading performance, the majority of the students are still experiencing frustration. This performance is still regarded as being quite poor. While the reading materials are accessible at home, parents have less time to monitor and support their children. As a result of being alone or receiving less support and attention from their family members at home, students may develop negative attitudes toward reading and poor study habits. There was a strong correlation between the student's reading ability and the elements that affect reading ability. As a result, elements related to reading ability are important for how well they read in English. Based on the findings and conclusion of the study, it is recommended that: Due to the students' alarming reading performance, teachers, parents, and stakeholders must collaborate to establish reading programs and activities for the students. The best solution to whatever pupils' problem is a collaboration between teachers and parents.  Teachers might think about stressing to parents and other stakeholders how important it is to help, mentor, and give time to their kids so they feel supported in their academics and problems. The students will get inspiration and self-assurance in this way as they understand that their families are behind them. To help instructors deliver reading activities and services and to motivate and engage stakeholders in creating a better teaching and learning environment, administrators may consider workshops and training sessions, particularly on various reading methods and interventions.
Increasing the Nutritional Value of FISH Feed with the Addition of Eco Enzyme
Authors: Fitriana Anisa , Fauzana Noor Arida , Fatmawati
Published: May 2023

Feed is one of the determinants of the success of cultivation activities. The nutritional and protein content of commercial feed has been determined, however, the protein content in the feed can still be increased. Eco enzyme is the result of fermentation from a mixture of sugar, organic fruit or vegetable residue, and water by utilizing probiotic activity which produces enzymes from organic waste. The purpose of this study was to analyze the increase in the nutritional value of fish feed with the addition of eco enzyme. Analysis of feed samples was carried out at the Laboratory of Nutrition and Animal Feed Science, Faculty of Agriculture, Lambung Mangkurat University, South Kalimantan. The treatment given was the addition of eco enzyme at different doses with the treatment of feed A (20 mL/kg feed), B feed (40 mL/kg feed), and C feed (60 mL/kg feed). The organic ingredients used to make Eco Enzyme are fruit peels sourced from mini markets and salad traders in the area around Banjarbaru City. The results of the chemical feed analysis test (proximate) which include: water content, ash content, protein content, fat content and fiber content. ased on the results of the analysis of feed samples with the addition of 60 mL/kg of feed eco enzyme, the value of the protein content can increase by 117.4% from 15% protein content to 32.71%. It contains a fat content value of 3.33% which is close to the SNI requirements for fish feed quality and reduces 69.6% of the fiber content of feed from 10% to 3.04%.%.
Influence of Two Cover Crops (Arachis repens L. and Desmodium adscendens Sw.) on Root Infestation of the “Great Dwarf” Dessert Banana Cultivar (Musa sp.) by Plant-parasitic Nematodes in Southeast Côte d’Ivoire
Authors: Gilchrist Kouadio Edouard Yves , Didier Kouamé Konan , Brahima Camara , Gnénakan Yeo , Mamadou Chérif , Jean-Martial Kassi Koffi Fernand , Seydou Tuo , Junior Kakou Didier , Sandrine Yao Akissi , Kouabenan Abo , Emmanuel d Dick Acka
Published: May 2023

Context: In Côte d’Ivoire, industrial banana plantations are faced with the problem of weediness. However, the use of herbicides as a means of control presents significant risks for human health and the environment. The abandonment of these products for more ecological alternatives such as cover crops is imminent.

Aims: This study aimed to compare the relative abundance and the density of the main plant-parasitic nematodes in the roots of banana and cover crops according to three weed management treatments.

Study Design and Methodology: The experimental design was a three-repeat Fisher block of three treatments consisting of implementation of A. repens and D. adscendens as cover crops and spraying of two synthetic herbicides (glufosinate and glyphosate) for weed management. The relative abundance and density of nematodes in the roots of banana and cover crops were assessed quarterly after extraction by the rapid double centrifugation-flotation method and enumeration under an optical microscope.

Results: Both cover crops and banana plants had their roots infested by the major parasitic nematodes evaluated (Radopholus similis, Pratylenchus spp., Helicotylenchus spp., Meloidogyne spp., Rotylenchulus reniformis and Hoplolaimus pararobustus). These infestations were not a function of weed management treatments. Compared to the use of herbicides, A. repens and D. adscendens used as ground cover did not significantly increase or decrease nematode dynamics in the plots. Individuals extracted from the roots of the cover crops, and particularly from D. adscendens, were more numerous than from the roots of the banana plants. In terms of proportions, Pratylenchus spp., R. similis, Helicotylenchus spp. and Meloidogyne spp. were most abundant. R. reniformis and H. pararobustus as well as various nematodes (plant parasites: Hirschmanniella spp., Xiphinema spp., ..., and non-plant parasites: fungivorous, carnivorous, bacterivorous, ...) were in the minority.

Conclusion: The results, particularly those of A. repens, could be useful in the biological, ecological and sustainable management of weed in banana plantations without important risks of pest pressure.
The Lake City of Ganvié in the Face of Environmental Development Challenges: A Review of the Literature
Authors: Christian Behanzin Précieux , Lucien Agbandji , Patricia Hekpazo , Jadix Sainou , Edouard Hounkponou
Published: May 2023

Ganvié is a lake city in Benin, West Africa, known for its unique architecture and culture. However, the city is facing numerous environmental challenges that threaten the livelihoods and culture of its inhabitants. This article presents a comprehensive literature review of the environmental challenges facing Ganvié, their drivers, consequences, existing interventions and policies, and potential solutions. The state of the environment around the city of Ganvié is highly contaminated, due to the various pollutions caused by waste and wastewater, the decomposition of acadjas, petroleum products that spill into the lake during transportation, etc. However, the impacts of climate change, combined with increasing demographic pressure, are threatening the way of life of the inhabitants.

Solving these problems will require a combination of community engagement, policy interventions and technological innovations.
Effects of Two-Dried Castor Leaf Formulations on the Population Dynamics and Pathological Activities of Root-Lesion and Root-Knot Nematodes on Water Yam
Authors: Kouakou Yadom Y. F. R. , Kra Kouamé D. , Diallo Hortense Atta
Published: May 2023

The pathological activities of plant-parasitic nematodes affect the marketable value of yam tubers. This study intends to evaluate the nematicidal effects of dried castor leaf powder and dried castor leaf extract on root-lesion and root-knot nematodes under field conditions. Trials were conducted in the Autonomous District of Yamoussoukro in Côte d’Ivoire during the 2015 and 2016 growing seasons. Before yam seed planting, dried castor leaf powder, dried castor leaf extract (suburbs of Abidjan), and carbofuran (Callivoire S.A., Abidjan) were applied at the top of mounds in a randomized complete block design with three replicates. Symptom prevalence, symptom severity index, nematode numbers, and yam yield were determined depending on the treatments. The gall (28.1%) and dry rot (48.9%) prevalences on yam tubers from untreated soils were higher than those from product-incorporated soils (1.11–12.1%) (P < 0.05). The dry rot prevalence (2.78%) was only lower on yam tubers from soil incorporated with dried castor leaf powder compared to that (10.1%) obtained with dried castor leaf extract (P = 0.000). The nematode numbers were lower in the product-incorporated soils and treated yam plants (3–105 individuals) than in the untreated soils and untreated yam plants (37–423 individuals) (P = 0.000). The nematode numbers in the soil, root, and tuber samples were statistically similar regardless of the dried castor leaf formulations. The highest yields (10.1 to 10.48 t/ha) were obtained from yam plants on soils that were incorporated with dried castor leaf powder and carbofuran (P = 0.000). Dried castor leaf powder is an excellent tool to manage water yam nematodes.
Detecting ALK, ROS1, and RET fusions and the METΔex14 splicing variant in liquid biopsies of non‐small‐cell lung cancer patients using RNA‐based techniques
Authors: Giménez‐Capitán Ana , Sánchez‐Herrero Estela , Robado de Lope Lucía , Aguilar‐Hernández Andrés , Sullivan Ivana , Calvo Virginia , Moya‐Horno Irene , Viteri Santiago , Cabrera Carlos , Aguado Cristina , Armiger Noelia , Valarezo Joselyn , Mayo‐de‐las‐Casas Clara , Reguart Noemí , Rosell Rafael , Provencio Mariano , Romero Atocha , Molina‐Vila Miguel A.
Published: May 2023

ALK, ROS1, and RET fusions and MET∆ex14 variant associate with response to targeted therapies in non‐small‐cell lung cancer (NSCLC). Technologies for fusion testing in tissue must be adapted to liquid biopsies, which are often the only material available. In this study, circulating‐free RNA (cfRNA) and extracellular vesicle RNA (EV‐RNA) were purified from liquid biopsies. Fusion and MET∆ex14 transcripts were analyzed by nCounter (Nanostring) and digital PCR (dPCR) using the QuantStudio® System (Applied Biosystems). We found that nCounter detected ALK, ROS1, RET, or MET∆ex14 aberrant transcripts in 28/40 cfRNA samples from positive patients and 0/16 of control individuals (70% sensitivity). Regarding dPCR, aberrant transcripts were detected in the cfRNA of 25/40 positive patients. Concordance between the two techniques was 58%. Inferior results were obtained when analyzing EV‐RNA, where nCounter often failed due to a low amount of input RNA. Finally, results of dPCR testing in serial liquid biopsies of five patients correlated with response to targeted therapy. We conclude that nCounter can be used for multiplex detection of fusion and MET∆ex14 transcripts in liquid biopsies, showing a performance comparable with next‐generation sequencing platforms. dPCR could be employed for disease follow‐up in patients with a known alteration. cfRNA should be preferred over EV‐RNA for these analyses.
TheEGF/EGFRaxis and its downstream signaling pathways regulate the motility and proliferation of cultured oral keratinocytes
Authors: Kobayashi Ryota , Hoshikawa Emi , Saito Taisuke , Suebsamarn Orakarn , Naito Eriko , Suzuki Ayako , Ishihara Seiichiro , Haga Hisashi , Tomihara Kei , Izumi Kenji
Published: May 2023

We previously reported that the cell and colony motion of oral keratinocytes are correlated with proliferative capacity, and speculated that this may be a specific index for monitoring cell quality. However, how cell motility and proliferation are regulated by signaling pathways remains unelucidated. Here, we found that the regulation of cell motility and proliferative capacity of oral keratinocytes can be attributed to the epidermal growth factor/epidermal growth factor receptor (EGF/EGFR) axis. The EGFR downstream cascade involving the Src/PI3K/Akt/mTOR signaling pathway showed a major effect on cell motility and proliferative capacity in oral keratinocytes. Furthermore, both EGFR and Src attenuated E‐cadherin expression. Taken together, these findings provide a potential basis for future quality control of cells for therapeutic use.
BASP1 expression is associated with poor prognosis and is correlated with immune infiltration in gastric cancer
Authors: Wang Tao , Liu Xiaojing , Wang Tong , Zhan Lei , Zhang Mingjun
Published: May 2023

BASP1 is a membrane‐bound protein that plays a promotional or inhibitory role in a variety of tumors; however, its role in gastric cancer (GC) and in the immune microenvironment has not been reported. The objectives of this study were to determine whether BASP1 is a valuable prognostic marker for GC and to explore its role in the immune microenvironment of GC. The expression level of BASP1 in GC was analyzed based on the TCGA dataset and further verified using GSE54129 and GSE161533 datasets, immunohistochemistry, and western blotting. The association between BASP1 and clinicopathological characteristics, as well as its predictive value, were examined using the STAD dataset. Cox regression analysis was performed to determine whether BASP1 can be used as an independent prognostic indicator for GC, and a nomogram was constructed to predict OS. The association between BASP1 and immune cell infiltration, immune checkpoints, and immune cell markers was confirmed by enrichment analysis, as well as analysis based on the TIMER and GEPIA databases. BASP1 was observed to be highly expressed in GC and was associated with a poor prognosis. The expression of BASP1 was positively correlated with the expression of immune checkpoints and immune cell markers, as well as immune cell infiltration. Thus, BASP1 may serve as a standalone prognostic indicator for GC. BASP1 is highly correlated with immune processes, and its expression is positively correlated with the degree of immune cell infiltration, immune checkpoints, and immune cell markers.