bluuebunny/crossref_metadata_2025 huggingface dataset:
Application of Theory of Planned Behavior on the Implementation of the Emo Demo Creation of Healthy PMT with Full Nutrition in Posyandu Gedang – Gedang Village Batuputih Sumenep
Authors: Rengganis Asri , Katmini Katmini
Published: December 2021

Efforts to improve nutrition with healthy food consumption patterns require an   derstanding of variations or training in appropriate cooking practices that are liked by the family. The purpose of developing a health promotion model by implementing an emo demo made from local food through the Theory Planned Behavior approach at the posyandu. Analytical research with cross sectional design. The independent variables are intentions, behavior, attitudes, norms and the dependent variable is the implementation of emo demo creations of healthy nutritious PMT. The population of all mothers in posyandu is 150 people, the sampling technique using random sampling is 115 people. The research instrument used a questionnaire with classical assumption test and multiple linear regression data analysis using T test and F sig < 0.05, the result of 0.039 HI was accepted, which means that there is an influence of the theory of planned behavior with the implementation of healthy and complete PMT. The conclusion is that the development of health in the field of nutrition with the emo demo method can increase understanding in the form of stories, interesting with visuals, with observation modalities that are safe for consumption and directly stimulate emotional so that changes in health behavior occur.
Effect of Isometric and Isotonic Exercise Program on Increased Strength of Quardriceps Muscles in Osteoarthritis Patients in Singgasana Rama Physiotherapy Clinic Blitar
Authors: Syahputra Irwan , Nurwijayanti Nurwijayanti
Published: December 2021

Background: Osteoarthritis is a disease of the joints that can cause disability and is progressive in the joints which cause changes in the water content, proteoglycin content, and collagen in the joints. One of the ways to improve functional ability in osteoarthritis cases is to use isotonic and isometric training exercise. Pain is a clinical symptom of knee osteoarthritis, limiting movement due to pain over time will cause rehabilitation problems such as impaired flexibility and stability, reduction of muscle mass (atrophy). Mild and moderate intensity quadriceps strength training is effective at achieving optimal muscle strength and function without causing significant muscle damage.

Destination: The purpose of this study was to analyze the effect of isotonic and isometric exercises on muscle strength.

Research methods: This study uses a pre-experimental research type using "One Group Pre - test and Post - Test". This research has carried out the first observation (pretest) so that researchers can test the changes that occur after the treatment, and the control group.

Result: with the Wilcoxon signed rank test test the isometric and isotonic groups had p = 0.000 while the control group had a significance value of p = 1,000; and the 3 groups test has different values, namely: isotonic exercise has a value of 27.67; isometric; 28.60; and control 12.73. The conclusion that can be concluded that the value of isometric training has the highest value, namely 28.60 which means it is the most effective exercise to increase the value of Manual Muscle Testing.

Conclusion: There is an effect of giving isometric and isotonic exercises in strengthening the quadriceps muscles.
Factors Related to the Incidence of Typhoid Fever in the Work Area Health Office of Jayawijaya Regency
Authors: Ura Rahmad Suryawan , Peristiowati Yuly
Published: December 2021

Typhoid fever is a disease that is prone to occur in Indonesia, because of the characteristics of the climate that is very prone to diseases related to the seasons. The purpose of this study is to analyze factors related to the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office.

The research design used is quantitative analytics method using quantitative data. The type of approach used is case control. The population is 74 patients with typhoid fever. The large sample taken as many as 37 respondents, with a large comparison of samples between the number of respondents in the case group is 37 respondents, and 37 respondents as a control group, so the total number of samples is 74 respondents. Sampling techniques used in this study is a simple random sampling technique.

Based on the results of the study, it is known that there is no relationship between age and the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. Chi-square test result obtained p-Value Sig (0.445) > α (0.05). While it is known that there is a relationship between the level of knowledge, the level of education, hygiene of individual respondents with the incidence of typhoid fever in the Work Area of the Health Office of Jayawijaya Regency. Chi-square test results obtained p- value (0.000) < α (0.05) and environmental sanitation with the incidence of Typhoid Fever in the Work Area of the Jayawijaya District Health Office. Chi-square test result obtained p-value (0.001) < α (0.05).

Based on the results of the study is expected to increase kinship with patients as well as by providing health services visits to the patient's home.
Participation in Socialization, Work Profession, Knowledge of Fire Safety Simulation Capabilities According to MFK 7 Snars Accreditation Standards at Bhayangkara Hospital Nganjuk
Authors: Hari Prasetyo Umar , Indasah Indasah
Published: December 2021

Background: The high number of hospital fire cases demands that all hospitals be able to carry out fire safety. The ability to fire safety must be able to be carried out by all hospital officers, both health and non-health workers (all work professions). The research objective was to analyze the factors that influence the simulation ability of fire safety management according to the MFK 7 SNARS accreditation standard at Bhayangkara Hospital Nganjuk. Subjects and methods: Explanatory survey research design using a cross-sectional approach. The research was conducted from January 16 to February 18, 2021 with a sample of 170 people. Independent variables are participation in socialization, work profession, and knowledge of fire safety. The dependent variable is the ability to simulate fire safety according to the MFK 7 SNARS accreditation standard. The data collection tools used a questionnaire. Data analysis used multiple logistic regression. Results: Participation in socialization (OR = 2.36; 95% CI = 1.04-5.33; p <0.039), knowledge of fire safety (OR = 3.18; 95% CI = 1.45-6.93; p <0.004), significantly increased the ability to simulate fire safety according to MFK 7 SNARS accreditation standards. Work profession (OR = 1.03; 95% CI = 0.54-1.96; p <0.934) does not affect the ability of fire safety management simulation according to MFK 7 SNARS accreditation standards which is statistically significant. Conclusion: Participation in socialization and knowledge about fire safety increases the ability to simulate fire safety according to MFK 7 SNARS Accreditation standards.
Effectiveness of Vitamin C and Vitamin B12 on Hemoglobin Levels in Pregnant Women in the Third Trimester
Authors: Sari Dewi Kartika , Saidah Halimatus
Published: December 2021

Anemia in pregnant women is a condition of hb levels below normal, which is below 11 gr / dl. Cangkupan giving Fe in kediri city has met the target of above 90% but still found pregnant women who have anemia. The goal of this study is to find out the effectiveness of Vitamin C and vitamin b12 against hemoglobin levels in pregnant women in the third trimester. This type of research is a pre-experimental study with two groups of pre post test designs with the population is a trimester III pregnant woman with anemia. The statistical test used is to use the paired T test and the unpaired T test.

Based on the results of the study found that there is an effect of Vitamin C on hemoglobin levels in pregnant women with a p value: 0.000 and there is an effect of vitamin B12 on hemoglobin levels in pregnant women with a p value: 0.002. From the results of the Unpaired T Test there is a significant difference between vitamin C and Vitamin B12 there are hemoglobin levels in pregnant women in the third trimester with a value of p value: 0.038. From the results of the study, it is expected that health workers can provide additional vitamins, especially vitamin C and Vitamin B12 for the absorption of Fe tablets in pregnant women to avoid anemia.
Effect of Prenatal Yoga on Changes in Fetal Position in Pregnancy
Authors: Purnani Weni Tri , Mu’alimah Miftakhul
Published: December 2021

Based on a preliminary study, there were 18.31% who had a breech delivery, it would result in complications in the baby such as asphyxia, bleeding or soft tissue edema, damage to the medulla oblongata, damage to the cervical spine joints, and even death due to severe asphyxia. determine the effect of Prenatal Yoga on Changes in Fetal Position in Pregnant Women. This type of observational research uses a quasi-experimental design with pre-test and post-pest with control group design. The research was conducted in the city of Kediri. The sample in this study was 32, namely third trimester pregnant women with gestational age > 28 weeks who experienced breech, latitude, and obligate fetal positions which were divided into 2 groups of 16 intervention groups (Prenatal Yoga) and 16 people as controls (pregnancy exercise). The sampling technique used is simple random sampling. Bivariate analysis using Mann Whitney Test. The results obtained are Z = -2.626 and -value 0.009 <0.05 so that Ho is rejected and it can be concluded that there is an effect of Prenatal Yoga on Changes in Fetal Position in Pregnant Women in Kediri City. Yoga exercises to help change the position of the fetus are more focused on providing a wide space in the abdomen, flexing the muscles of the uterus and pelvis. Three movements were used in this study, namely cat cow, downward-facing dog and puffy pose. Suggestions for health workers that prenatal yoga can be a solution and can be applied to help change the position of the fetus from malpresentation to head position.
Analysis Adherence of Treatment and Sexual Behavior on Housewives with HIV/AIDS who Visits at Care Support and Treatment Service Cukir Public Health Center
Authors: Takariningsih Takariningsih , Katmini Katmini
Published: December 2021

The use of ARV drugs aims to reduce HIV/AIDS-related deaths and increase life expectancy in addition to clinical improvement of people living with HIV. Antiretroviral apart from being an antiviral is also useful for preventing HIV transmission to sexual partners, as well as HIV transmission from mother to child. In the end, it is hoped that this will reduce the number of cases of people infected with new HIV in various countries. Non-adherence to taking ARVs and unsafe sexual behavior can lead to high transmission rates. This study aims to analyze medication adherence and sexual behavior among housewives with HIV/AIDS who visited the CST service at the Cukir Health Center. This study uses a qualitative method with a case study approach. Data was collected through in-depth interviews with semi-structured interview guidelines, and documentation with 18 PLWHA. Data analysis was carried out descriptively with triangulation methods and data analysis. The results of the analysis illustrate that there is still a lack of perception of vulnerability, perception of pain and perception of benefits for PLWHA, especially unsafe sex behavior of PLWHA.
Dropouts Against Early Marriage in Adolescents in Potil Pololoba Village, Banggai District, Banggai Laut Regency, Central Sulawesi Province
Authors: Ripursari Tety , Fuadi Ida Sukmawati , Kumalasari Eri Puji
Published: December 2021

One of the problems related to the reproductive system in adolescents that really needs special attention is the incidence of marriage at a young age, namely under the age of 19 years on the grounds that by marrying young, mothers will still be healthy and active at work when their children grow up and can Avoid getting pregnant out of wedlock. The purpose of this study was to determine the effect of dropping out of school on early marriage in Potil Pololoba Village, Banggai District, Banggai Laut Regency, Central Sulawesi Province.

            The design of this research is correlational research with cross sectional approach. Respondents were taken by total sampling technique. The number of samples is 30 people. The independent variable is dropping out of school and the dependent variable is Early Marriage. The results were analyzed using the chi square statistical test.

            The results showed that almost all respondents as many as 25 respondents (83%) in the category of dropping out of school and most of the respondents as many as 21 respondents (70%) in the category of occurring early marriage. The results of data analysis show that the significance level is 0.000 < = 0.05 so that H0 is rejected and H1 is accepted, thus there is an effect of dropping out of school on early marriage in Potil Pololoba Village, Banggai District, Banggai Laut Regency, Central Sulawesi Province.

            There is an effect of dropping out of school on early marriage.
Determinants that Influence the Quality of Outstanding Services on Patient Satisfaction in dr. H. Moh. Anwar General Hospital Sumenep District
Authors: Susiyati Susiyati , Katmini Katmini
Published: December 2021

Quality hospital services are always a hope for every user of health services and along with the development of science and technology, people are increasingly critical in assessing health services. The purpose of this study was to analyze the effect of loyalty and response time on the quality of outpatient services and patient satisfaction in General Hospital dr. H. Moh. Anwar, Sumenep Regency. The design of this research is an observational quantitative study with a cross sectional approach with the focus of the research directed at analyzing the effect of loyalty and response time on the quality of outpatient services and patient satisfaction in General Hospital dr. H. Moh. Anwar, Sumenep Regency. The total population is 271 respondents and a sample of 109 respondents is taken by the Accidental Sampling technique. The findings showed that most of the respondents had sufficient category loyalty as many as 56 respondents (51.4%). Most of the respondents rated the response time in the medium category as many as 56 respondents (51.4%). Most of the respondents have a moderate category of service quality as many as 55 respondents (50.5%). Most respondentssatisfied as many as 65 respondents (59.6%). Based on the results of the Linear Regression analysis of the service quality variable on utilization, it shows that the p-value <0.05 then H0 is rejected and H1 is accepted, so it can be concluded that there is an influence of loyalty and response time on the quality of outpatient services and patient satisfaction in General Hospital dr. H. Moh. Anwar, Sumenep Regency. It is expected that respondents can provide constructive input and criticism so that the services provided can be in accordance with what is expected.
Theory of Planned Behavior Application to ANC behavior for Early Detection of Pregnancy Risk in Public Health Center Saronggi, Sumenep Regency
Authors: Zainurrah Siti , Katmini Katmini
Published: December 2021

Antenatal care services are basic health services for pregnant women that must be carried out according to standards, namely at least 4 times during pregnancy. Each pregnancy can develop into problems or complications, so monitoring is necessary during pregnancy.The purpose of this study was to analyze the effect of attitudes and norms on ANC behavior for early detection of pregnancy risk at the Saronggi Health Center, Sumenep Regency. The design of this study is a quantitative observational study with a cross sectional approach with the focus of the research being directed at analyzing the influence of attitudes and norms on ANC behavior for early detection of pregnancy risk at the Saronggi Health Center, Sumenep Regency. The total population is 134 respondents and a sample of 100 respondents is taken using the Simple Random Sampling technique. Data analysis using Linear Regression test. The results showed thatalmost half of the respondents have attitudes in the moderate category, 46 respondents (46%). Most of the respondents have a norm in the sufficient category of 52 respondents (52%). Almost half of the respondents have behavior in the moderate category, as many as 48 respondents (48%).Based on the results of Multiple Linear Regression analysis shows that with a p-value of 0.000 <0.05 then H1 is accepted so it can be concluded that simultaneously there is the influence of attitudes and norms on ANC behavior for early detection of pregnancy risk at the Saronggi Health Center, Sumenep Regency with a magnitude of 86.9%. It is expected that respondents can carry out Integrated ANC regularly and follow all the treatment agendas that must be carried out during pregnancy in order to avoid the risk of pregnancy.
Analysis of Knowledge About Rapid Tests With Behavior of Undergoing Covid 19 Rapid Tests in Late Third Trimester Pregnant Women at Tumbang Kalang Health Center, East Kotawaringin Regency, Central Kalimantan Province
Authors: Wardani Lingga Kusuma , Fauzianti Reski
Published: December 2021

Introduction : Lack of knowledge of pregnant women about rapid tests so that the behavior of pregnant women sometimes does not take part in the Covid 19 rapid test because they are afraid, worried about the action. The purpose of this study was to determine the relationship between knowledge about rapid tests and the behavior of undergoing rapid tests for Covid 19 in late third trimester pregnant women at the Tumbang Kalang Health Center, East Kotawaringin Regency, Central Kalimantan Province.

Methods : The design of this study is a correlational study with a cross sectional approach. Respondents were taken by simple random sampling technique. The population is 38 pregnant women with a sample of 35 pregnant women. The independent variable is knowledge about rapid tests and the dependent variable is the behavior of undergoing the Covid 19 rapid test. The results are analyzed using the Spearman rank statistical test.

Results : The results showed that almost all of the respondents as many as 29 (83%) respondents had good knowledge of rapid tests. Most of the respondents as many as 26 (74%) respondents behaved well in undergoing the Covid 19 rapid test.

Analysis : The results of data analysis showed that the significance level was 0.000 < = 0.05 so that H0 was rejected and H1 was accepted, thus there is a relationship between knowledge about rapid tests and behavior in undergoing Covid 19 rapid test for pregnant women in the third trimester at the Tumbang Kalang Health Center, East Kotawaringin Regency, Central Kalimantan Province.

Disscusion : Based on the results of the study, it was concluded that the higher the knowledge of pregnant women about the Covid 19 rapid test, the better the attitudes and behavior of pregnant women in undergoing the Covid 19 rapid test. Knowledge of pregnant women about the Covid 19 rapid test obtained from various sources such as electronic media, officers Health is able to increase the knowledge of pregnant women about the benefits and objectives of the Covid-19 rapid test.
Mudanças climáticas atuais e o futuro da vida no planeta
Authors: Santos Caio Matheus Fontinele dos , Lobo Matheus Pereira , de Carvalho Sheyse Martins
Published: December 2021

Este é um artigo de divulgação científica em que discutimos, a partir de [1], a ligação entre a ação humana e as mudanças climáticas, bem como seus impactos na vida terrestre.
Analisis Video Comments to Video Views Ratio Youtube Pada 8 Rekomendasi iPhone Terbaik 2021
Authors: Syukur Rio
Published: December 2021

ABSTRACTThis study focuses on consumer interest in the 8 best iPhone recommendations in 2021. Smartphone products issued by Apple Inc., which include the dimensions of the best iPhone. In this study, the smartphone product is not only seen as a product but also a brand, so that consumer interest becomes important in shaping the smartphone brand image. iPhone is a smartphone product that was first developed by the leader of the Apple Computer company, Steven Paul Jobs. a leader with a name identical to himself. This research uses qualitative research with descriptive research type. This research method is a case study of the best recommended iPhone 8 product in 2021. In collecting data, the researchers conducted an analysis of video comments to video views on youtube. Some of the theories used in this study include the dimensions of the smartphone brand, consumer interest, and several other relevant theories. Based on the results of the analysis, the researchers found that each informant had various perceptions of the dimensions of the smartphone brand as seen from the attributes of Apple products. Differences in perception occur because of differences in experience and background interests, habits, and other things from the informants who play a role in this perception process. Even so, the perception of informants who are iPhone consumers does not necessarily show the image of the iPhone product as a whole, because this study does not aim to generalize consumer perceptions.
Pengaruh Inovasi Terhadap Kinerja Perusahaan
Authors: nanda Sinta Alisa qortrun
Published: December 2021

Studi ini menyelidiki bagaimana pengaruh inovasi terhadap kegiatan perusahaan. Hasil pembahasan kami menunjukkan bahwa inovasi berpengaruh positif terhadap kinerja perusahaan yang didukung dengan banyaknya hasil penelitian dari para analis. Inovasi mendorong sebuah perusahaan untuk meningkatkan kinerjanya agar dapat bersaing dengan kompetitor.
The COVID States Project #71: Childhood COVID-19 vaccine uptake and intentions
Authors: Trujillo Kristin Lunz , Lazer David , Simonson Matthew D , Pippert Caroline H , Perlis Roy H. , Baum Matthew , Ognyanova Katherine , Druckman James , Santillana Mauricio , Quintana Alexi , Uslu Ata , Green Jon , Safarpour Alauna , Lin Jennifer , Qu Hong , Shere Anjuli
Published: December 2021

In early November 2021, children ages 5-11 were authorized by the Centers for Disease Control and Prevention (CDC) to receive the Pfizer-BioNTech COVID-19 vaccine, making an additional 28 million children eligible for the shot. Given this significant advancement in COVID-19 vaccine availability - particularly in light of recent concerns over the Omicron variant - in this report we examine parent-reported COVID-19 vaccination intentions and uptake for children.Below, we examine reported childhood vaccination rates by childhood age and across different parent demographic subgroups. Additionally, we report parents’ expressed likelihood of vaccinating their children against COVID-19 across five survey waves from February, April, June, September, and November 2021.
Information particle
Authors: Nguyen Minh-Hoang , Le Tam-Tri
Published: December 2021

We propose an approach of treating information as an intermediate (or medium). The intermediate can be thought of as an information particle. That particle has three main properties.
FAKTOR INDIVIDU DALAM ORGANISASI
Authors: gunawan sahrul
Published: December 2021

makalah ini dibuat untuk menyelesaikan tugas mata kuliah pengantar manajemen.dan semoga bisa menambah wawasan bagi para pembacanya
Forest degradation
Authors: Le Thanh Huyen  , Linh Bui Phuong , Huyen Than Mai
Published: December 2021

Enviroment Forest area are narrowing
Fresh water resources are threatened
Authors: Linh Hoang Phuong , Linh Truong Khanh , Minh Nguyen Trong , Nam Dang Vinh , Le Hong Thao My
Published: December 2021

Fresh water resources are threatened
Meter without rhythmic pattern repetitions increases pre-attentive processing
Authors: de Sousa Gomes Rui Pedro , Silva Susana , Abreu Regina
Published: December 2021

Processing musical meter – the organization of time into regular cycles of strong and weak beats – requires abstraction from the varying rhythmic surface. Several studies investigated whether meter processing requires attention, or if it can be both pre-attentive and attentive. While findings on temporal expectation (processing meter per se) indicated benefits of attention, studies on meter processing in a more complex, dual-task context (meter used for temporal orientation) consistently reported pre-attentive processing. Also, while surface-based approaches to meter (meter aided by pattern repetition) showed some benefits of attention, structural approaches (meter not aided by pattern repetition, increased complexity) found pre-attentive-only processing. Therefore, in the present study we hypothesized that pre-attentive processing increases with cognitive load, and we compared surface with structural meter processing. Supporting our hypothesis, we saw improved behavioral performance for surface meter, as well as EEG evidence that structural meter elicits pre-attentive processing (pre-attentive P1) while surface meter does not (attentive-only P1). Our findings highlight the need for increased awareness in approaches to meter processing and support the idea that increased cognitive demand may recruit pre-attentive processing of temporal structure.
Justice in the Eye of the Beholder: How Comparison Framing Affects the Perception of Global Inequality Through Social Emotions and Justice Sensitivity
Authors: Schnepf Julia , Reese Gerhard , Bruckmüller Susanne , Braun Maike , Rotzinger Julia , Martiny Sarah E.
Published: December 2021

Global inequality is one of today’s major challenges. How people mentally represent inequality is often determined by the way it is framed. In the present work, we seek to analyze whether putting the comparative focus on the disadvantaged or on the advantaged group affects legitimacy perceptions of, and action intentions against global inequality. Results of two preliminary studies show that global inequality is perceived as less legitimate and action intentions to act against inequality increase when the disadvantaged group is the grammatical subject of the comparison, but only when the size of the economic inequality is perceived to be large (vs. small). In addition, social emotions mediated the relationship between comparative framing and legitimacy perceptions. Building on these findings, we preregistered a large-scale third study in which we experimentally varied the presented size of inequality and additionally tested whether participants’ responses to comparative framing were moderated by different dimensions of justice sensitivity and social dominance orientation. The results of this study indicate that framing did not influence participants’ perceptions of legitimacy, action intentions, and support for redistribution, nor was it influenced by any of the assumed moderating variables. We discuss the results of this study against the background of the contextual and temporal conditionality of framing effects.
Book Review: The Genetic Lottery
Authors: Uchiyama Ryutaro , Spicer Rachel , Muthukrishna Michael
Published: December 2021

Book Review of The Genetic Lottery: Why DNA Matters for Social Equality by K. Paige Harden (2021, Princeton University Press)
Герменевтика как метод социального познания: учебное пособие / Ред. Э.Д. Коркия, И.Н. Чудновская / А.К. Мамедов, Э.Д. Коркия, И.Н. Чудновская, Г.В. Денисова, Р.А. Матасов, А.В. Багаева, Л.О. Терновая. – М.: «КДУ», «Университетская книга», 2021. – 220 с.
Authors: Мамедов А.К. , Коркия Э.Д. , Чудновская И.Н. , Денисова Г.В. , Матасов Р.А. , Багаева А.В. , Терновая Л.О.
Published: December 2021

Учебное пособие системно раскрывает базовые классические и новые актуальные сведения о герменевтике как методе социального познания. Последовательно рассматриваются исторические аспекты становления герменевтических идей в системе научного знания, особенности герменевтического метода исследования социума, социологическая рефлексия современной культуры с позиции герменевтики. Приводится обширный список соответствующей литературы. Особый акцент делается на прикладных методических аспектах и выработке навыков герменевтического анализа. Предлагается большой ряд проблемных вопросов и тем для обсуждения. Пособие адресовано студентам, аспирантам, преподавателям, профессионально связанным с проблемами интерпретации текстов в целях получения социального знания, а также тем, кто заинтересован изучением социальной коммуникации.
BERNARDO ÉLIS E SUAS ANDANÇAS LITERÁRIAS
Authors: Régia Magda
Published: December 2021

Explorar o acervo da Biblioteca Bernardo Élis, pertencente ao Instituto Cultural e Educacional Bernardo Élis Para os Povos do Cerrado (ICEBE), na capital – Goiânia – com intuito de se debruçar encima do acervo bernardiano em busca de livros e documentos ricos em informações sobre a caminhada de Bernardo pelo mundo literário; o “rol” de amigos escritores que ele conquistou, sua ascensão, tudo isso se faz objetivo maior deste artigo. O material analisado e aqui apresentado, em sua maioria, é oriundo de verdadeiras raridades guardadas e preservadas no acervo “Icebiano”. Ao encabeçar cada texto deste artigo com as capas originais dos vários livros dedicados a Bernardo por grandes nomes da literatura nacional e goiana, bem como as dedicatórias que compõem os mesmos, objetivou-se, também, registrar o quanto Élis conquistou a amizade de vários “monstros” consagrados da literatura moderna brasileira que não economizaram palavras ao lhe dedicar/autografar tão raros exemplares de suas obras.  

Palavras-chave. Bernardo Élis. Biblioteca. Acervo. Autógrafos. Amigos.
Postoperative hemorrhage during the acute phase after direct or combined revascularization for moyamoya disease: risk factors, prognosis, and literature review
Authors: Chen Yu , Ma Li , Lu Junlin , Chen Xiaolin , Ye Xun , Zhang Dong , Zhang Yan , Wang Rong , Zhao Yuanli
Published: December 2021

OBJECTIVE

Postoperative hemorrhage during the acute phase is rarely observed after revascularization surgery for moyamoya disease (MMD) but can have severe complications. Its risk factors and outcomes are still unclear. The aim of this study was to investigate the predictors of postoperative hemorrhage during the acute phase in MMD and examine the outcomes of the hemorrhage.

METHODS

The authors reviewed the preoperative clinical characteristics and radiographic features of 465 consecutive MMD cases (518 procedures) that had undergone direct or combined bypass surgery at their institution between 2009 and 2015. Patients with postoperative intracerebral hemorrhage (ICH) or ICH plus intraventricular hemorrhage (IVH) during the acute phase were screened, and then the incidence, location, and risk factors of hemorrhage in these patients were analyzed. Short-term and long-term outcomes (modified Rankin Scale scores) for these patients were also collected. Outcomes were compared between patients with and those without postoperative ICH using propensity score analysis to reduce the between-group differences in baseline characteristics.

RESULTS

Postoperative hemorrhage occurred in 11 (2.1%; ICH = 9, IVH = 2) of 518 procedures (mean patient age 39.82 ± 8.8 years). Hemorrhage occurred in the first 24 hours after the operation in 8 cases (72.7%). In the ICH group, most of the hemorrhage sites (77.8%) were located beneath the anastomosed area, and the mean hematoma volume was 16.98 ± 22.45 ml (range 3–57 ml). One case from the ICH group required hematoma evacuation. Among the adult patients (463 procedures [89.4%]), preoperative hypertension (p = 0.008), CT perfusion (CTP) stage > III (p = 0.013), and posterior circulation involvement (p = 0.022) were significantly associated with postoperative ICH. No significant differences between the postoperative ICH group and the no-hemorrhage group were detected in terms of postoperative neurofunctional status at discharge (p = 0.569) or at the last follow-up (p = 1.000). Neither was there a significant difference in future stroke risk (p = 0.538) between these two groups.

CONCLUSIONS

Preoperative hypertension, CTP stage > III, and posterior circulation involvement are independent risk factors for postoperative ICH after direct or combined revascularization for MMD. After appropriate perioperative management, postoperative ICH has no significant correlations with the postoperative short-term and long-term neurofunctional status.
Predictors of postoperative seizure outcome in supratentorial meningioma
Authors: Gadot Ron , Khan A. Basit , Patel Rajan , Goethe Eric , Shetty Arya , Hadley Caroline C. , V James C. Bayley , Harmanci Akdes S. , Klisch Tiemo J. , Yoshor Daniel , Sheth Sameer A. , Patel Akash J.
Published: December 2021

OBJECTIVE

Meningiomas are the most common primary intracranial tumor. Seizures are common sequelae of meningioma development. Meningioma patients with seizures can be effectively treated with resection, with reports of seizure freedom of 60%–90%. Still, many patients manifest persistent epilepsy. Determining factors associated with worsened seizure outcomes remains critical in improving the quality of life for these patients. The authors sought to identify clinical, radiological, and histological factors associated with worse seizure outcomes in patients with supratentorial meningioma and preoperative seizures.

METHODS

The authors retrospectively reviewed the charts of 384 patients who underwent meningioma resection from 2008 to 2020. The charts of patients with a documented history of preoperative seizures were further reviewed for clinical, radiological, operative, perioperative, histological, and postoperative factors associated with seizures. Engel class at last follow-up was retrospectively assigned by the authors and further grouped into favorable (class I) and worse (class II–IV) outcomes. Factors were subsequently compared by group using comparative statistics. Univariable and multivariable regression models were utilized to identify independent predictors of worse seizure outcome.

RESULTS

Fifty-nine patients (15.4%) were found to have preoperative seizures, of whom 57 had sufficient postoperative data to determine Engel class outcome. Forty-two patients (74%) had Engel class I outcomes. The median follow-up was 17 months. Distinct margins on preoperative imaging (p = 0.012), Simpson grade I resection (p = 0.004), postresection ischemia (p = 0.019), WHO grade (p = 0.019), and recurrent disease (p = 0.015) were found to be the strongest predictors of Engel class outcome in univariable logistic regression. MIB-1 index (p = 0.001) and residual volume (p = 0.014) at last follow-up were found to be the strongest predictors of Engel class outcome in univariable generalized linear regression. Postresection ischemia (p = 0.012), WHO grade (p = 0.022), recurrent disease (p = 0.038), and MIB-1 index (p = 0.002) were found to be the strongest independent predictors of Engel class outcomes in multivariable analysis.

CONCLUSIONS

Postresection ischemia, higher WHO grade, elevated MIB-1 index, and disease recurrence independently predict postresection seizure persistence in patients with supratentorial meningioma. Further understanding of the etiology of these markers may aid in elucidation of this complex disease process and guide management to prevent worse outcomes.
Utjecaj dodatka antioksidanasa na oksidacijsku stabilnost pileće masti
Authors: Moslavac Tihomir , Mutić Jelena , Cvijetić Stokanović Milica , Primorac Ljiljana , Flanjak Ivana , Jokić Stela
Published: December 2021

Pileća mast podliježe oksidacijskom kvarenju tijekom proizvodnje, skladištenja i toplinske obrade. U ovom radu istraživan je utjecaj dodatka prirodnih i sintetskih antioksidanasa (ekstrakt zelenog čaja, ekstrakt ružmarina, ekstrakt kadulje, ekstrakt rtanjskog čaja, alfa tokoferol, mješavina tokoferola, TBHQ (terc-butilhidrokinon), kofeinska kiselina i ružmarinska kiselina) na promjenu oksidacijske stabilnosti pileće masti. Oksidacijska stabilnost masti, sa i bez dodanog antioksidansa, ispitivana je primjenom Schaal Oven testa. Rezultati testa prikazani su kao vrijednost peroksidnog broja nakon određenog vremena držanja masti pri temperaturi 63 °C. Rezultati istraživanja pokazuju da dodani antioksidansi uspješno stabiliziraju pileću mast, osim α-tokoferola i mješavine tokoferola. Od prirodnih antioksidanasa najveću antioksidacijsku aktivnost u pilećoj masti ima ekstrakt ružmarina. Postigao je najveću efikasnost zaštite od oksidacije, u odnosu na druge ispitivane antioksidanse. Ekstrakti zelenog čaja, rtanjskog čaja i kadulje imaju podjednaku razinu zaštite masti. Sintetski antioksidans TBHQ uspješno je povećao stabilnost pileće masti, a kofeinska kiselina i ružmarinska kiselina su manje efikasane.
Ways to Make Medical Students Competent Professionally: View of Medical Students
Authors: Khadka Manoj , Kunwar Bibash
Published: December 2021

Medical students in Nepal learn passively by gaining encyclopedic knowledge, with little focus on the application of that knowledge to clinical scenarios and other soft skills like communication. This raises the question that whether medical students will be competent enough to serve their society in the future or not. The article highlights the domains where medical students should focus apart from medical knowledge to be competent enough to meet the health needs of society.
Successful Outcome of Anterior Cruciate Ligament (ACL) Reconstruction by Hamstring Tendon for Anterior Cruciate Ligament Deficit Knee at a University Hospital: A Descriptive Cross-sectional Study
Authors: Shrestha Rohit , Khadka Sushant Kumar , Thapa Sangharsha , Malla Manasil , Basi Ashkal , Bhandari Prabha , Aryal Laxman , Kandel Binay , Adhikari Umesh
Published: December 2021

Introduction: Anterior cruciate ligament is a commonly injured and reconstructed ligament in the knee. Unlike in urban areas where sports activities and road accidents are common mechanisms of injuries, the semi-urban and rural population has a different mode of injuries, needs, and expectations. This study explores the prevalence of successful outcome of anterior cruciate ligament reconstruction in by hamstring tendon for anterior cruciate ligament deficit knee at a university hospital.
Methods: A descriptive cross-sectional study was conducted at Dhulikhel Hospital, Kathmandu University Hospital from 2018 February to 2020 January among patients having anterior cruciate ligament injuries after ethical approval. Whole sampling technique was used. Functional outcome was assessed with Lysholm scale at the end of at least one year. Data was analysed using Statistical Package for Social Sciences version 11. Point estimate at 95% Confidence Interval was calculated, with frequency and percentage.
Results: Out of 66 anterior cruciate ligament reconstruction, 35 (59%) cases had successful outcomes. Excellent outcomes were seen in 9 (15%) cases and 26 (44%) had good outcomes. The mean Lysholm score was 84.
Conclusions: Anterior cruciate ligament injuries were seen in heterogeneous populations during their activities of daily living or recreational sports activities. Anatomic anterior cruciate ligamentreconstruction with hamstring grafts provided good functional outcomes, especially among the young population. Our findings are similar to current studies on anterior cruciate ligament-reconstruction.
DERİN KARIŞTIRMA YÖNTEMİ (DSM) İLE İYİLEŞTİRİLEN ZEMİNLERDE ELASTİSİTE MODÜLÜ VE SERBEST BASINÇ MUKAVEMETİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ
Authors: KAPTAN Engin Can , ÇINAR Fatma Tuğçe , BOZBEY İlknur
Published: December 2021

Derin karıştırma yöntemi, zayıf zeminlerin özelliklerinin çimentolu bir bağlayıcı ile karıştırılarak mekanik olarak yerinde iyileştirilmesi ve zeminde kolonlar oluşturulması şeklinde tanımlanan bir zemin iyileştirme yöntemidir. Bu yöntemde bağlayıcı malzeme olarak daha çok çimento ve kireç kullanılmaktadır. Bu yöntem ile iyileştirilen zeminlerin özellikleri; tabii zeminin ve bağlayıcıların özelliklerine, katkı miktarına ve kür süresine bağlıdır. Derin karıştırma ile iyileştirme yapılan tasarımlarda kalite kontrol deneylerinde genellikle serbest basınç mukavemet değerleri ölçülmekte ve deformasyonların tayini için gereken modül değerlerine korelasyonlar yardımı ile geçilmektedir. Bu çalışma kapsamında öncelikle dünya genelinde kabul görmüş olan standartlar anlatılmış ve bu yönteme dair ülkemizde oluşturulabilecek bir şartname için bilgiler toplanmış, tavsiyeler verilmiştir. Çalışma kapsamında literatürde mevcut olan çalışmalar incelenmiş ve derin karıştırma ile elde edilen malzemelerin mukavemet-modül değerleri bir veri tabanına işlenmiştir. Bu kapsamda 12 ayrı çalışmadan toplamda 545 adet veri toplanmıştır. Oluşturulan veri tabanı zemin tipi, katkı tipi ve miktarı, kür süresi, serbest basınç mukavemeti, Elasitisite modülü ve karıştırma metodu bilgilerini içermektedir. Veri tabanı kullanılarak yeni korelasyonlar aranmış ve mevcut olanlarla karşılaştırılmıştır. Elde edilen korelasyonların ülkemizde son yıllarda çok yoğun kullanım alanı bulmakta olan derin karıştırma yöntemi için faydalı olacağı düşünülmektedir.
AKTİVE ORANI TESTİ KULLANILARAK KALSİT YÜZEY MODİFİKASYONUNUN BELİRLENMESİNDE KARIŞTIRMA HIZI VE SÜRESİNİN ETKİSİ
Authors: ÇAYIRLI Serkan , GÖKÇEN Hasan Serkan , ÇAKMAK Şeyma
Published: December 2021

Bu çalışmada, laboratuvar ortamında ve endüstriyel ölçekte stearik asit (SA) ile yüzeyi modifiye edilmiş kalsit numunelerine kinetik bir yaklaşımla aktive oranı testleri gerçekleştirilmiştir. Ayrıca ürün özellikleri tane boyutu ve FTIR analizleri ile desteklenmiştir. Elde edilen sonuçlara göre 0,1 kWsa-%1 SA koşulunda en yüksek aktive oranlarına ulaşılmıştır. Tane boyutu sonuçları incelendiğinde en ince tane boyuna sahip ürünler 0,1 kWsa (%1 SA) koşulunda elde edilen testte ve pimli değirmen prosesinden alınan numunede ölçülmüştür. FTIR ölçümleri ile stearik asidin öğütülmüş+yüzeyi modifiye edilmiş tane yüzeylerine adsorbe olduğu gözlemlenmiştir.

Öte yandan, bu çalıma kapsamında aktive oranı test prosedürünün zamana ve karıştırma hızına bağlı olarak uygulanması test güvenilirliğini arttırırken, tanelerin zamana bağlı olarak hidrofobikliklerindeki değişimleri hakkında da fikir vermiştir.
A TIGHTLY COUPLED HEADING AND POSITIONING SYSTEM FOR INDOOR NAVIGATION OF MOBILE ROBOTS
Authors: YÜCEL Hikmet , EDİZKAN Rifat , YAZİCİ Ahmet
Published: December 2021

This study shows the effectiveness of data fusion techniques to achieve robust heading and position information in localization systems. The proposed system that has tightly coupled structure calculates heading and position of the mobile robot using the absolute and relative positioning subsystems. The relative positioning subsystem obtains heading and position information by using the odometry information and kinematic model of the robot. Absolute positioning subsystem, calculates position and rough heading information using ultrasonic signals. In this study, firstly the robust heading information is calculated by combining absolute and relative heading with conventional Kalman Filter. And then the correction on the relative position measurement has been made by using this robust heading information. Finally, in order to better positional information, an adaptive Kalman filter is applied for fusing the the absolute position and the corrected relative position. In the experimental study, the positional accuracy and precision of the system is obtained as 63 mm and 86% (for positional error
BİYOKÜTLEDEN ÜRETİLEN KARBON ALTLIK ÜZERİNDE ZNO NANO-PARÇACIKLARIN BİRİKTİRİLMESİ VE KARAKTERİZASYONU
Authors: AŞMA Aynur , YAMAN Elif , TEMEL Sinan
Published: December 2021

Yapılan bu çalışmada, ısıl ve kimyasal kararlılığı yüksek, biyo-uyumlu, ucuz ve toksik olmayan özellikleri ile pek çok uygulama alanında kullanılan çinko oksit (ZnO) nano-çiçekler; gözenekli karbon altlık olarak sürdürülebilir bir kaynak olan biyokütleden üretilen biyo-char üzerinde biriktirilmiştir. Biyokütle kaynağı olarak pirinç kabuğu seçilmiştir. Karbonizasyon süreci öncesinde ve sonrasında yapılan karakterizasyon çalışmalarının sonuçları çalışma içerisinde sunulmuştur. Pirinç kabuğunun sahip olduğu düşük nem miktarı (kütlece %2,01) ve yüksek uçucu madde miktarı (kütlece %63,48), bu hammaddenin karbonizasyon metodu ile gözenekli karbon malzeme üretimi için uygun olduğunu göstermektedir. Sentezlenen karbonlu malzemenin yüzey alanının 79,627 g/m2 ve gözenek boyutunun ise 5,07 nm olduğu görülmüştür. ZnO ince filmler, karbon altlık üzerine kimyasal banyo depolama tekniği kullanılarak biriktirilmiştir. Taramalı elektron mikroskobu (SEM) ve X-ışını difraktometresi (XRD) ile karakterize edilen ZnO nano-çiçeklerin kristal yapıya sahip olduğu belirlenmiştir ve tüm ince filmlerin yüzey morfolojileri ise homojen ve kompakttır.
K.V. Agamirov. Legal forecasting as a factor in improving the Russian legal system
Authors: Rybakov Oleg Yu.
Published: December 2021

A review of the monograph by Doctor of Law K.V. Agamirov “Legal forecasting as a factor in improving the Russian legal system”. The theoretical and methodological foundations of legal forecasting are established; its role in the development strategy of the legal system is revealed; the prognostic directions of improving sectoral legislation are investigated; the mechanism of forecasting legal behavior is disclosed; the organizational and institutional aspect of legal forecasting is analyzed. The monograph is intended for employees of research institutions, teaching staff, graduate students and students of law schools and faculties. It can attract the attention of representatives of state authorities, the public and everyone who is interested in the problems of legal science, law-making, law enforcement practice and sociology of law.
Down Syndrome Survey in South Indian Population- Understanding Inheritance, Perceptions, Interventions and Diagnosis
Authors: Sawhney Disha
Published: December 2021

ABSTRACT Down syndrome (DS) has been prevalent worldwide, for centuries now. Despite the fact that tremendous research has been done on DS ever since the early 1950s, most results obtained, are on the basis of etiological and demographic factors and predominantly of the western data. Every year in India, >30,000 children are born with DS. This survey has been done keeping the Indian population in mind and to analyze the outlook of parents having children with DS, understand the comorbidities and their management. The study was conceptualized to create an exhaustive and comprehensive questionnaire to study the pattern of inheritance of Trisomy 21, analyze influence and correlation of advanced maternal age, sex ratio, order of birth, hypothyroidism, common comorbidities, abortions, Attention deficit hyperactivity disorder (ADHD) and sleeping difficulties in individuals diagnosed with DS. 50 family triads were interviewed. The results showed that incidence of DS was more in males compared to females. The analysis revealed that mean maternal age of 25-28 years showed increased incidence of DS. 2.5 percent showed severe ID and 27.5 percent had severe ADHD symptoms, while 10-13 percent showed mild to moderate ADHD. The most and least prevalent comorbidity seen was the presence of heart disease (45%) and hearing impairment (10 percent) respectively. It was found that about 40 percent of parents strongly agreed to the idea that Genetic Counseling (GC) is helpful and wanted to reinforce it to others who find it difficult to cope up with their DS child.