bluuebunny/crossref_metadata_2025 huggingface dataset:
Obesity as an Additional Risk Factor for Thrombogenic Changes in Hemostasis in Hypertensive Patients with Non-Alcoholic Fatty Liver Disease
Authors: Netyazhenko Vasyl , Bazhenova Nataliia
Published: November 2022

Introduction: Obesity due to the high proportion of visceral adipose tissue is often leads to hypertension (HT), non-alcoholic fatty liver disease (NAFLD). The risk of thrombogenic complications increases in the presence of NAFLD and HT. Considering the occurrence of prothrombotic changes in the blood in patients with NAFLD, HT and obesity, the combination of these diseases may be an additional risk of thrombosis. Methods: The research was conducted at the Bogomolets National Medical University, at Department Propaedeutics of Internal Medicine No 1. We examined 152 patients and 15 individuals for control group. Results: Mean platelet count was higher in obese patients by 6.4% (p<0.05). In patients with NAFLD without HT, platelet count was higher in the presence of obesity by 16% (p<0.05), we have seen an increase level of MPV in NAFLD patients with obesity. In the comorbid course of HT and NAFLD, aggregation of platelets stimulated by adrenaline was grown in case of obesity (18%; p<0.001) relatively to non-obese patients. In obese patients suffering from HT, these hemostasis changes were characterized by a tendency to accelerate coagulation. There was a reduction in prothrombin time (PT) time by 8.1%, a growth in fibrinogen by 25.8% (p<0.001) and soluble fibrin monomeric complexes (SFMC) by 4 times (p<0.001) in obesity. Conclusion: Obesity increases the thrombogenic activity of blood in both patients with HT and in patients with HT and NAFLD, both due to platelet and coagulation of hemostasis.
Knowledge and Attitude towards Dental Unit Waterline System Decontamination among Undergraduate and Postgraduate Dental Students in Universiti Sains Malaysia
Authors: Mohd Azhar Liyana , Mohd Adnan Munirah , Abd. Rahman Normastura
Published: November 2022

Introduction: Dental unit waterline system (DUWLS) decontamination is an important infection control in dental practice. This study aimed to determine knowledge and attitude towards DUWLS decontamination and its associated factors among undergraduate and postgraduate dental students in Universiti Sains Malaysia. Methods: A cross-sectional study was conducted using a validated questionnaire administered online using Google Forms to assess the knowledge and attitude of dental students towards DUWLS decontamination. Descriptive and inferential statistics using independent t-test, Pearson, and Spearman correlation were carried out using SPSS version 24.0. Results: A total of 169 dental students participated in the study, and the majority were female (71.6%) and Malay (59.2%). The mean (SD) age was 23.2 (0.93) and 34.4 (2.65), for the undergraduates and postgraduates, respectively. The mean (SD) knowledge scores for the undergraduates and postgraduates were 11.6 (4.23) and 18.0 (2.82), respectively, whereas the mean attitude scores were 51.3 (7.86) and 54.6 (4.74), respectively. The postgraduates had significantly higher mean knowledge and attitude scores than the undergraduates (p<0.001). The significant factors associated with the undergraduates’ knowledge were received information and guidance and their personal experience in managing DUWLS (p<0.05). However, only received information on DUWLS was significantly associated with the postgraduate’s knowledge score (p=0.011). Age factor had a significant association with the attitude score among the postgraduates (p=0.014). Conclusion: The knowledge regarding DUWLS decontamination was relatively moderate in both groups. However, both groups showed a favourable attitude towards DUWLS decontamination. Significantly higher knowledge and attitude scores were presented among the postgraduates than the undergraduates.
Prevention of Shoulder-Surfing Attack Using Shifting Condition with the Digraph Substitution Rules
Authors: Islam Amanul , Othman Fazidah , Sakib Nazmus , Babu Hafiz Md. Hasan
Published: November 2022

Graphical passwords are implemented as an alternative scheme to replace alphanumeric passwords to help users to memorize their password. However, most of the graphical password systems are vulnerable to shoulder-surfing attack due to the usage of the visual interface. In this research, a method that uses shifting condition with digraph substitution rules is proposed to address shoulder-surfing attack problem. The proposed algorithm uses both password images and decoy images throughout the user authentication procedure to confuse adversaries from obtaining the password images via direct observation or watching from a recorded session. The pass-images generated by this suggested algorithm are random and can only be generated if the algorithm is fully understood. As a result, adversaries will have no clue to obtain the right password images to log in. A user study was undertaken to assess the proposed method's effectiveness to avoid shoulder-surfing attacks. The results of the user study indicate that the proposed approach can withstand shoulder-surfing attacks (both direct observation and video recording method).The proposed method was tested and the results showed that it is able to resist shoulder-surfing and frequency of occurrence analysis attacks. Moreover, the experience gained in this research can be pervaded the gap on the realm of knowledge of the graphical password.
 
Received: 29 June 2022 | Revised: 10 November 2022 | Accepted: 14 November 2022 
 
Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.
embajador Devine exhorta a la tolerancia
Authors: I. E.
Published: November 2022

No hay resúmenes disponibles.

ECA Estudios Centroamericanos, Vol. 34, No. 365, 1979: 158-159.
Enero-febrero/79
Authors: C. E. H.
Published: November 2022

No hay resúmenes disponibles.

ECA Estudios Centroamericanos, Vol. 34, No. 365, 1979: 169-173.
APPLICATION OF STAD-TYPE COOPERATIVE LEARNING THROUGH THE MEDIA CHART GAME COMPETETION TO INCREASE STUDENT ACTIVITY AND LEARNING OUTCOMES IN CLASS VIII A SCIENCE SUBJECTS OF SOCIAL SCIENCES
Authors:   SMP Negeri 1 Jiput, Mulyani Lilik
Published: November 2022

The purpose of this study was to find out the activities and learning outcomes of class VIII students in the Science and Social Sciences subject through cooperative learning type stad. After conducting the research, there was a significant increase from cycle I to cycle II both in student motivation and student learning outcomes. The results of observations on student learning activities in the first cycle were 12 people or 43% of 28 students with an average post-test result of 69.05 students with a completeness score of 57%. In the second cycle of student learning activities, there were 23 students or 82% with an average post-test score of 82.14 with a completeness score of 86%. This indicates that the implementation of Classroom Action Research (CAR) in Class VIII A students of SMP Negeri 1 Jiput, Pandeglang Regency using the STAD Type Cooperative Learning method through the Media Chart Game Competition on the subject of the Arrival of Western Nations to Indonesia Social Studies subjects are very effective and significant.
Effects of Mortgage Interest Rate on Real Estate Investment in Kenya
Authors: Rebecca Kitach , Reuben Dr.Ruto , Ali Dr .Umulkher , Byaruhanga Prof John
Published: November 2022

As an investment and consumer good, real estate is significant. Like many developing countries, Kenya has struggled to give its citizens access to decent housing that is also affordable. More people are in need of housing due to urbanization, fast population growth, and rural-to-urban migration. Housing supply is less than demand as a result of several of macroeconomic and financial issues that affect real estate investment and, consequently, housing. This study looked into the impact of mortgage interest rates on real estate investment. The study, which covered the 11-year period from 2010 to 2020, used a causal research design and regression analytic research methods based on the Vector Error Correction Model. Data on real estate investments in Kenya The Kenya National Bureau of Statistics (KNBS) and Cytonn quarterly investments reports were obtained from the Central Bank of Kenya. The Ministry of Finance's database on national budgets (KNBS) provided information on mortgage interest rates, A pre-estimation test was run to verify the outcomes. The variables were stationary on the first difference. The VIF test result of 1.62 indicated that there was no multi-collinearity. The 1.9122 Durbin test value suggested that there was no serial correlation. Pairwise Correlation analysis showed a moderate correlation between mortgage interest rate on real estate investment (0.578). The report suggests that in order to incentivize real estate investment, the government should offer mortgage loans at reasonable rates, control property tax rates, and promote public-private partnerships in infrastructure development.
Estimating the Demand for Direct Support Professionals in the Intellectual and Developmental Disabilities Field
Authors: Spreat Scott
Published: November 2022

National residential census data from residential programs for individuals with intellectual/developmental disabilities were examined to estimate the demand for Direct Support Professionals. Publicly available data and basic residential staffing formulae were used. While the number of individuals receiving residential supports and services increased about 28% over 11 years, the demand for Direct Support Professionals increased about 33%. Smaller group homes were noted to increase about 47% in demand for Direct Support Professionals. The shortfall in terms of Direct Support Professionals was estimated to be approximately 73,000 in the United States.
Audit Delay of Manufacturing Companies in Indonesia
Authors: Handoyo Sigit , Nathania Nina , Nurfauziya Ahada
Published: November 2022

Audit delay is the time required by the company in publishing the audit results of its financial statements. The higher number of days of the audit delay, the less preferred by investors. This study proved that only company size can reduce audit delay. Meanwhile, auditor switching, audit committee, and independent board of commissioners have no impact on audit delay. The population in this study were all manufacturing companies listed on the Indonesia Stock Exchange for the 2016-2018 period. The sampling technique used was purposive sampling method by setting certain criteria in order to obtain 128 companies that met the criteria. The analytical model used in this study is multiple regression analysis.
Towards Prediction of Radiation Pneumonitis Arising from Lung Cancer Patients Using Machine Learning Approaches
Authors: Oh Jung Hun , Apte Aditya , Al-Lozi Rawan , Bradley Jeffrey , El Naqa Issam M.
Published: November 2022

Radiation pneumonitis (RP) is a potentially fatal side effect arising in lung cancer patients who receive radiotherapy as part of their treatment. For the modeling of RP outcomes data, several predictive models based on traditional statistical methods and machine learning techniques have been reported. However, no guidance to variation in performance has been provided to date. In this study, we explore several machine learning algorithms for classification of RP data. The performance of these classification algorithms is investigated in conjunction with several feature selection strategies and the impact of the feature selection strategy on performance is further evaluated. The extracted features include patients demographic, clinical and pathological variables, treatment techniques, and dose-volume metrics. In conjunction, we have been developing an in-house Matlab-based open source software tool, called DREES, customized for modeling and exploring dose response in radiation oncology. This software has been upgraded with a popular classification algorithm called support vector machine (SVM), which seems to provide improved performance in our exploration analysis and has strong potential to strengthen the ability of radiotherapy modelers in analyzing radiotherapy outcomes data.
A Rational Informatics-enabled approach to Standardised Nomenclature of Contours and Volumes in Radiation Oncology Planning
Authors: Miller Alexis Andrew
Published: November 2022

The standardising of nomenclature in the radiotherapy planning process has deep implications for the abilityof the profession to examine the adequacy of construction of radiotherapy plans in outcomes research, particularly in relation to disease control and toxicity generation. This paper proposes an interim standardisednomenclature which can be used by any institution as a template for a mappable local standard.The nomenclature is systematically constructed using the Foundational Model of Anatomy, ICRU Report 50 and ICRU report 62. The system foreshadows a XML metadata structure to detail the method of constructionof volumes. Treatment Planning System vendors should build their software with the ability to use this systematic construction technique so that contours and volumes in a radiotherapy plan can be annotated. Thismetadata will allow the investigation of how a radiation plan's construction can affect the therapy outcome.
Data-driven shared decision-making: a paradigm shift
Authors: Fijten Rianne , Wee Leonard , Dekker Andre , Roumen Cheryl
Published: November 2022

At first sight, shared decision-making and data science seem like two vastly different fields. Yet, despite their differences, both fields could, if combined, reinforce clinical utility for both. Here we describe a new paradigm called data-driven shared decision-making (dSDM), an extension of the existing shared decision-making paradigm. In dSDM, data’s role and its interaction with the patient and doctor are made explicit. Furthermore, we describe the opportunities and challenges of combining data science and shared decision-making into this new paradigm. We believe that dSDM will bridge the gap between the need for patient empowerment and the need for more personalized medicine.
Valoración de un sistema de enseñanza bimodal por estudiantes de enfermería
Authors: Valencia Rodríguez Carlos , Rodríguez Ortega María , Huerta Cebrián Paloma , Montano Navarro Enrique , Ortega Latorre Yolanda
Published: November 2022

La situación sanitaria mundial provocada por el virus SARS-CoV-2 ha obligado a algunas universidades a alternar docencia presencial y en línea. El objetivo de la investigación es analizar la valoración que los estudiantes universitarios hacen de esta docencia bimodal. Un total de 445 alumnos de los cuatro cursos del grado de Enfermería cumplimentaron una encuesta con variables sociodemográficas y una escala tipo Likert sobre docencia bimodal. Se calcularon valores de tendencia central y de dispersión, así como la correlación entre las distintas variables; 17 de los 24 ítems de la escala se distribuyen en tres agrupamientos: el primero compara la docencia presencial con la en línea (M = 3.70, DS = .94), el segundo la adaptación del centro docente a la bimodalidad (M = 3.58, DS = 2.02) y el tercero el papel de los profesores (M = 3.58, DS = .86). Más de un 76% de los estudiantes manifiestan una preferencia por la enseñanza presencial, casi el 80% hace una valoración positiva sobre la organización del centro y el 67% valora positivamente el papel de los profesores. Conocer la opinión de los alumnos universitarios sobre la docencia bimodal como potencial modelo educativo ayudará a reducir sus debilidades.
Analisis SWOT Sebagai Strategi Pemasaran Dalam Meningkatkan Daya Saing
Authors: Rahajeng Yekti
Published: November 2022

The objectives this research is to know how SWOT analysis as marketing strategies to improve competitiveness in CV Dua Putri Sholehah Probolinggo. This research was tested using SWOT analysis by identifying internal factors (strenghts and weaknesses) and external factors (opportunities and threats). The method used in this research in quantitative descriptive. Data collection techniques in this study were conducted by interview, observation, documentation methods and then analyzed using SWOT. The type of data consists of primary data and secondary data. The results of this research can be seen the value of internal factors of 2.99 and external factors 2,88. CV Dua Putri Sholehah Probolinggo is in quadrant II, despite facing varios threats but still has strength in terms of internal and strategies that must be applied thas is using power to take advantage of long-term opportunities and diversification strategies so that CV Dua Putri Sholehah Probolinggo can improve its competitiveness.

Keyword: SWOT Analysis, marketing strategy, competitiveness
Hubungan Pengetahuan Dengan Kesiapan Dalam Menghadapi Menarche Pada Siswi Kelas V di SD Negeri 82 Kota Bengkulu
Authors: Supriyanto Gatot , Sari Ruri Maiseptya , Rosyladita Indriarny
Published: November 2022

Anak yang tidak mempersiapkan datangnya menarche menanggapi menarche dengan kaget, terkejut, dan takut, maka penelitian ini bertujuan untuk mempelajari hubungan pengetahuan dengan kesiapan dalam menghadapi menarche pada siswi Kelas V di SD Negeri 82 Kota Bengkulu. Penelitian ini menggunakan pendekatan Survey Analitik dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh siswi Kelas V di SD negeri 82 Kota Bengkulu sebanyak 65 responden diambil secara total sampling. Pengumpulan data yaitu menggunakan data sekunder dan primer. Analisis data menggunakan analisis univariat dan analisis bivariate dengan uji Chi-Square (χ2) dan Uji Contingency Coefficient (C). Hasil penelitian didapatkan: Dari 65 responden terdapat 35 responden (53,8%) siap dalam menghadapi menarche; Dari 65 responden terdapat 25 responden (38,5%) pengetahuan cukup; Ada hubungan yang signifikan antara pengetahuan dengan kesiapan dalam menghadapi menarche pada siswi Kelas V  di SD Negeri 82 Kota Bengkulu, dengan kategori hubungan sedang. Diharapkan pada pihak Sekolah dapat bekerja sama dengan Puskesmas promosi kesehatan dalam melakukan penyuluhan dan penjelasan kesiapan siswi dalam menghadapi menarche.
Study Literature Review Tentang Pelaksanaan Prosedur Peminjaman Berkas Rekam Medis Rawat Jalan Di Unit Filing Rumah Sakit
Authors: Putri Wiyati Eka , Wisida Anjati Noila , Restari Afitha
Published: November 2022

Penyimpanan rekam medis merupakan hal yang sangat penting dalam suatu manajemen untukpelayanan kesehatan di rumah sakit. permasalahan yang ditemukan oleh peneliti yaitu padapelaksanaan penyimpanan rekam medis masih ada dokumen yang salah simpan(missfile).Tujuan penelitian ini adalah untuk menganalisa pelaksanaan penyimpanan rekammedis. Penelitian menggunakan metode kajian studi literature dengan analisis deskriptif yangdilakukan dengan cara mendeskripsikan fakta-fakta yang ada kemudian di analisis, diuraikan,mencari kesamaan, pandangan, dan ringkasan terhadap beberapa penelitian. Jenis Penelitianini merupakan penelitian deskriptif dengan menggunakan studi literatur jurnal yaitu denganmembaca dan menganalisa jurnal-jurnal terkait dengan populasi. Sedangkan teknik dalampengambilan sampel menggunakan teknik total sampling. Data yang digunakan dalampenelitian ini data sekunder yang diperoleh dengan cara melihat jurnal. Dari bedah jurnalIlmiah PMIK oleh Suheri Parulian tahun 2015 dan Dyah Ayu Wardani tahun 2012 dapatdisimpulkan bahwa pelaksanaan Standar Operasional Prosedur (SOP) peminjaman berkasrekam medis tidak seuai dengan standar peminjaman berkas rekam medis yaitu pada BRMrawat jalan dipinjam selama 1x24 jam namun sering terjadi keterlambatan dalam prosespengembalian berkas rekam medis sehingga petugas kesulitan dalam melacak keberadaandokumen rekam medis tersebut. Diketahui juga penggunaan sarana dalam peminjaman tidaksesuai dengan standar peminjaman BRM yaitu pada penggunaan buku ekspedisi sebagai bukubukti adanya transaksi terima BRM namun tidak digunakan pada pada proses pelaksanaanpeminjaman BRM dan juga rendahnya angka penggunaann bon peminjaman peminjaman yangmana akan menimbulkan hilangnya data atau berka rekam medis milik pasien dan rendahnyakerahasiaan data pasien.
Efektivitas Penggunaan Media Video Terhadap Hasil Pembelajaran Anatomi Fisiologi Di Stikes Sapta Bakti
Authors: Putri Liza , Daini Sazarni Rafi
Published: November 2022

Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan media video terhadap hasilpembelajaran anatomi fisiologi. Populasi sebanyak 85 mahasiswa dan sampel dalam penelitianini adalah 35 mahasiswa semester 1 Di Stikes Sapta Bakti. Penelitian ini merupakan penelitiankuantitatif dengan metode penelitian quasi experimental design. Data Penelitian diperolehmelalui tes awal (pretest), pemberian pemberlakuan (treatment), dan tes akhir (posttest).Teknikanalisis data yang digunakan adalah teknik analisis data statisitk deskriptif dan analisis datastatistik inferensial Berdasarkan hasil pretest, nilai rata-rata hasil pembelajaran mahasiswa47,02 dengan kategori yakni sangat rendah yaitu 20%, rendah 42,85%, sedang 22,85%, tinggi8,5% dan sangat tingggi berada pada presentase 5,8%, dapat dikatakan bahwa tingkatkemampuan peserta dalam memahami serta penguasaan materi sebelum menggunakan mediapembelajaran berbasis multimedia tergolong rendah. Selanjutnya nilai rata-rata hasil posttestmengalami kenaikan yaitu 71,97 dengan kategori yakni sangat rendah 00,00%, rendah 5,72%,sedang 17,14%, tinggi 57,14%, dan sangat tinggi berada pada presentase 20%. tingkatkemampuan peserta dalam memahami serta penguasaan materi setelah menggunakan mediavideo tergolong tinggi. Hasil analisis statistik deskriptif dan analisis inferensial. Pada analisisdeskriptif nilai yang didapat pada pretest 47,02 dan posttest 71,97, pada analisis inferensialdengan menggunakan uji-t diperoleh t Hitung= 18,61 dan t Tabel = 1,69 maka diperoleh t Hitung > tTabel atau 18,61 > 1,69, begitu juga dengan observasi aktifitas peserta mengalami suatuperubahan
Perancangan Prosedur Kerja Rekam Medis Tebal (Volumenious Bulky) di RSKJ Soeprapto Provinsi Bengkulu
Authors: Heltiani Nofri , Arifin Ismail
Published: November 2022

Rekam medis volumenious bulkymerupakan salah satu permasalahan yang sering terjadi dipenyimpanan, dan keadaan dimana rekam medis pasien dengan penyakit tertentu yang rutinberobat jalan atau dirawat cukup lama dan rutin menjadi sangat tebal karena seluruh riwayatkesehatan pasien tersimpan dalam satu map rekam medis. Berdasarkan observasi di RSKJSoeprapto Provinsi Bengkulu ditemukan rekam medis volumenious bulky yang mengalamikenaikan setiap tahunnya ± 10% dengan tingkat ketebalan yang berbeda antara 3,7 s.d 4,5 cmpada masing-masing rekam medis dengan kodisi map rekam medis yang sudah mulai robekkarena tidak mampu menopang isi rekam medis. Hal ini dikarenakanpasien gangguan jiwarawat jalan yang sering kontrol rutin atau lama dirawat yang panjang dengan didukung masasimpan (retensi) aktif berkas rekam medis jiwa rawat jalan 10 tahun dan rawat inap 5 tahunmenyebabkan rekam medis mejadi tebal.RSKJ Soeprapto Provinsi Bengkulubelum memilikiprosedur kerja sebagai pedoman pengelolaan dan penyimpanan dalam rekam medisvolumenious bulky, sehingga berdampak pada kerusakan map rekam medis yang dapatmengakibatkan riwayat penyakit pasien yang bersangkutan bercecer/tidak utuh.Penelitian inibertujuan merancang prosedur kerja rekam medis volumenious bulky di RSKJ SoepraptoProvinsi Bengkulu. Jenis penelitian adalah deskriptif kualitatif dengan teknik pengumpulandata dilakukan secara observasi dan wawancara tentang proses pengelolaan rekam medisvolumenious bulky. Tahapan dalam penelitian ini meliputi tahap analisis, tahap perancangan,tahap testing dan tahap pemeliharaan prosedur kerja.Hasil penelitian adalah rancanganprosedur kerja rekam medis volumenious bulky sesuai dengan kebutuhan rumah sakit yaituprosedur kerja rekam medis volumenious bulky dengan penempatan bagian rekam medisterpisah.
Pola Makan Dengan Kadar Glukosa Darah Pada Penderita Diabetes Melitus Tipe 2
Authors: Kurniasari Septi , Nurwinda Sari Nova , Warmi Hernida
Published: November 2022

Diabetes mellitus menjadi masalah kesehatan utama pada masyarakat karena komplikasi yang ditimbulkan bersifat jangka pendek dan jangka panjang. Diabetes mellitus merupakan kondisi penyakit kronis yang ditandai dengan adanya peningkatan kadar glukosa darah yang disertai dengan muculnya gejala utama yang khas yakni peningkatan jumlah urin dan urine yang berasa manis. Sekitar 80% penderita diabetes mellitus tipe 2 terbukti mengalami obesitas yang dapat meningkatkan resiko komplikasi. Makanan memegang peranan penting dalam peningkatan kadar gula darah, karena makanan yang dimakan akan dicerna didalam saluran pencernaan dan kemudian akan diubah menjadi glukosa. Penyerapan glukosa di dalam tubuh akan menyebabkan peningkatan kadar gula darah dan meningkatkan sekresi insulin. Tujuan penelitian ini adalah untuk mengetahui hubungan pola makan dengan kadar glukosa darah pada pasien diabetes mellitus tipe 2. Penelitian ini merupakan penelitian kuantitatif dengan  desain survey analitik pendekatan cross sectional. Populasi dalam penilitian ini adalah 364 penderita diabetes melitus Di Puskesmas Madukoro. Hasil analisis penelitian menunjukkan bahwa ada hubungan pola makan dengan kadar glukosa darah pada penderita diabetes melitus tipe 2 di puskesmas madukoro kotabumi lampung utara tahun 2019 dengan p-value sebesar 0,02 dan didapatkan nilai PR= 6,0 artinya responden yang mempunyai pola makan tidak baik beresiko terjadi 6 kali dibandingkan dengan responden yang memiliki pola makan baik.
Efektivitas Akupresur dalam Mengurangi Rasa Nyeri Pinggang pada Ibu Hamil Trimester III
Authors: Indaryani Indaryani , Iskandar Siska , Yani Sutri , Merianti Dhena , Asmara Rika
Published: November 2022

Kehamilan merupakan masa yang dimulai dari konsepsi sampai lahirnya janin, pada masa ini seiring dengan membesarnya uterus, pusat gravitasi akan berpindah kearah depan sehingga akan memaksa peregangan otot terutama pada bagian pinggang yang dapat menyebabkan terjadinya nyeri pinggang. Terapi akupresur memiliki banyak fungsi bagi kesehatan tubuh salah satunya adalah menurunkan nyeri akut maupun kronis. Akupresur akan menyeimbangkan aliran energi “qi” tubuh sehingga akan menghilangkan rasa nyeri. Tujuan dari penelitian ini adalah mengetahui efektivitas akupresur dalam mengurangi rasa nyeri pinggang pada ibu hamil trimester III. Metode penelitian ini kuasi eksperimental. Pengambilan sampel dengan teknik accidental sampling. Data dianalisis menggunakan uji wilcoxon. Hasil penelitian menunjukkan akupresur berpengaruh signifikan terhadap penuruanan nyeri pinggang (p=0,0001). Studi ini merekomendasikan agar akupresur dilakukan untuk mengurangi nyeri pinggang terutama pada ibu hamil trimester III.
A MÚSICA E O DESENVOLVIMENTO INFANTIL
Authors: Silva Débora Thais Nascimento da , Gomes Lucimar Dias de Oliveira , Gomes Mayara Almeida , Teixeira Rosana de Souza , Luz Uanaia Aparecida , Mota Viviane Ramos
Published: November 2022

O presente artigo trata-se de uma pesquisa bibliográfica, que tem como foco principal estudar a importância da música para o desenvolvimento da criança no espaço da instituição de educação infantil, e apresentar sugestões de como a mesma pode ser trabalhada no cotidiano da escola, contribuindo para a formação integral das crianças. Aborda a importância da música para o desenvolvimento pleno da criança, suas contribuições nesse processo, e também o professor como mediador do desenvolvimento.
A HORA DO SONO
Authors: Dias Dalzirene Souza , Silva Débora Thais Nascimento da , Sena Jaqueline Miranda de , Teixeira Rosana de Souza
Published: November 2022

Entendemos que a educação infantil passa por atividades cotidianas que dizem respeito às dimensões do cuidado e da educação das crianças de 0 a 5 anos. Nesse sentido, o objetivo principal deste artigo é compreender  a organização  do tempo de sono na educação infantil por meio da atividade indissociável entre cuidar e educar e tecer um olhar no design voltado para o descanso lúdico  da criança. A metodologia é de natureza bibliográfica, a exemplo de Batista (1998), Coelho (2009) e Oliveira (2014). Por esse motivo, o tempo de sono é necessário para o desenvolvimento da criança, levando em consideração as características das crianças e tratando o tempo de sono como um momento de descanso e relaxamento para a criança, não como uma obrigação de “adormecer”.
The effect of different management systems on milk yield and milk quality in Awassi sheep
Authors: Ceyhan Ayhan , Avcı Mustafa , Tanrıkulu Mehmet Mustafa , Yılmaz Beyza , Ul Hassan Mubeen
Published: November 2022

Abstract. This study aimed to evaluate the effect of concentrate-based
feeding (CF) and artificial pasture-based grazing (APG) management systems
on milk yield, fatty acids, nutritional indices, and milk physicochemical
characteristics of Awassi ewes. The research involved 300 heads of Awassi
ewes, which were divided into two groups. Awassi sheep were managed in a CF
and APG system to test the milk yield characteristics. The results showed a
significant (P<0.01) difference in milk yield and lactation length
between CF and APG management systems of ewes. The average daily milk yield
showed a nonsignificant difference for both management systems, and no significant changes (P>0.05) in the chemical composition of CF and APG management systems were observed. Palmitic (C16:0), myristic
(C14:0), stearic (C18:0) capric (C10:0), and lauric (C12:0) acids were the major saturated fatty acids found in milk from both management systems. The
level of linoleic acid (C18:2 n-6) was significantly different in both
treatments (P<0.05), but the linolenic (C18:3 n-3) acid level was
nonsignificant in milk from the CF and APG management systems. The hypocholesterolemic / hypercholesterolemic (h / H) fatty acid and thrombogenicity (TI) ratios were significantly different (P<0.05); however, the atherogenicity (AI) had no significant difference between
confined and grazing systems. In conclusion, it can be said that the
lactation length and lactation milk yield were prolonged by the APG
management system, though the milk composition and quality were not significantly affected.
Leeuwin Current dynamics over the last 60 kyr – relation to Australian ecosystem and Southern Ocean change
Authors: Nürnberg Dirk , Kayode Akintunde , Meier Karl J. F. , Karas Cyrus
Published: November 2022

Abstract. The Leeuwin Current, flowing southward along the western coast of Australia, is an important
conduit for the poleward heat transport and inter-ocean water exchange
between the tropical and the subantarctic ocean areas. Its past development
and its relationship to Southern Ocean change and Australian ecosystem
response is, however, largely unknown. Here we reconstruct sea surface and
thermocline temperatures and salinities from foraminiferal-based Mg/Ca and
stable oxygen isotopes from areas offshore of southwestern and southeastern Australia,
reflecting the Leeuwin Current dynamics over the last 60 kyr. Their
variability resembles the biomass burning development in Australasia from
∼60–20 ka BP, implying that climate-modulated changes related
to the Leeuwin Current most likely affected Australian vegetational and fire
regimes. Particularly during ∼60–43 ka BP, the warmest
thermocline temperatures point to a strongly developed Leeuwin Current
during Antarctic cool periods when the Antarctic Circumpolar Current (ACC)
weakened. The pronounced centennial-scale variations in Leeuwin Current
strength appear to be in line with the migrations of the Southern Hemisphere
frontal system and are captured by prominent changes in the Australian
megafauna biomass. We argue that the concerted action of a rapidly changing
Leeuwin Current, the ecosystem response in Australia, and human interference
since ∼50 BP enhanced the ecological stress on the Australian
megafauna until its extinction at ∼43 ka BP. While being
weakest during the Last Glacial Maximum (LGM), the deglacial Leeuwin Current
intensified at times of poleward migrations of the Subtropical Front
(STF). During the Holocene, the thermocline off southern Australia was
considerably shallower compared to the short-term glacial and deglacial
periods of Leeuwin Current intensification.
Atlantic circulation changes across a stadial-interstadial transition
Authors: Waelbroeck Claire , Tjiputra Jerry , Guo Chuncheng , Nisancioglu Kerim H. , Jansen Eystein , Vazquez Riveiros Natalia , Toucanne Samuel , Eynaud Frédérique , Rossignol Linda , Dewilde Fabien , Marchès Elodie , Lebreiro Susana , Nave Silvia
Published: November 2022

Abstract. We combine consistently dated benthic carbon isotopic records distributed over the entire Atlantic Ocean with numerical simulations performed by a glacial configuration of the Norwegian Earth System Model with active ocean biogeochemistry, in order to interpret the observed Cibicides δ13C changes at the stadial-interstadial transition corresponding to the end of Heinrich Stadial 4 (HS4) in terms of ocean circulation and remineralization changes. We show that the marked increase in Cibicides δ13C observed at the end of HS4 between ~2000 and 4200 m in the Atlantic can be explained by changes in nutrient concentrations as simulated by the model in response to the halting of freshwater input in the high latitude glacial North Atlantic. Our model results show that this Cibicides δ13C signal is associated with changes in the ratio of southern-sourced (SSW) versus northern-sourced (NSW) water masses at the core sites, whereby SSW is replaced by NSW as a consequence of the resumption of deep water formation in the northern North Atlantic and Nordic Seas after the freshwater input is halted. Our results further suggest that the contribution of ocean circulation changes to this signal increases from ~40 % at 2000 m to ~80 % at 4000 m. Below ~4200 m, the model shows little ocean circulation change but an increase in remineralization across the transition marking the end of HS4. The simulated lower remineralization during stadials than interstadials is particularly pronounced in deep subantarctic sites, in agreement with the decrease in the export production of carbon to the deep Southern Ocean during stadials found in previous studies.
Robust 4D Climate Optimal Flight Planning in Structured Airspace using Parallelized Simulation on GPUs: ROOST V1.0
Authors: Simorgh Abolfazl , Soler Manuel , González-Arribas Daniel , Linke Florian , Lührs Benjamin , Meuser Maximilian M. , Dietmüller Simone , Matthes Sigrun , Yamashita Hiroshi , Yin Feijia , Castino Federica , Grewe Volker , Baumann Sabine
Published: November 2022

Abstract. The climate impact of the non-CO2 emissions, being responsible for two-thirds of aviation radiative forcing, highly depends on the atmospheric chemistry and weather conditions. Hence, by planning aircraft trajectories to reroute areas where the non-CO2 climate impacts are strongly enhanced, called climate-sensitive regions, there is a potential to reduce aviation induced non-CO2 climate effects. Weather forecast is inevitably uncertain, which can lead to unreliable determination of climate-sensitive regions and aircraft dynamical behavior and, consequently, inefficient trajectories. In this study, we propose robust climate optimal aircraft trajectory planning within the currently structured airspace considering uncertainties in the standard weather forecasts. The ensemble prediction system is employed to characterize uncertainty in the weather forecast, and climate-sensitive regions are quantified using the prototype algorithmic climate change functions. As the optimization problem is constrained by the structure of airspace, it is associated with hybrid decision spaces. To account for discrete and continuous decision variables in an integrated and more efficient manner, the optimization is conducted on the space of probability distributions defined over flight plans instead of directly searching for the optimal profile. A heuristic algorithm based on the augmented random search is employed and implemented on graphics processing units to solve the proposed stochastic opti- mization computationally fast. The effectiveness of our proposed strategy to plan robust climate optimal trajectories within the structured airspace is analyzed through two scenarios: a scenario with large contrails’ climate impact and a scenario with no formation of persistent contrails. It is shown that, for a night-time flight from Frankfurt to Kyiv, a 55 % reduction in climate impact can be achieved at the expense of a 4 % increase in cost.
Effects of Ozone Levels on Climate Through Earth History
Authors: Deitrick Russell , Goldblatt Colin
Published: November 2022

Abstract. Molecular oxygen in our atmosphere has increased from less than a part per million in the Archean Eon, to a fraction of a percent in the Proterozoic, and finally to modern levels during the Phanerozoic. While oxygen itself has only minor radiative and climatic effects, the accompanying ozone has important consequences for Earth climate. Using the Community Earth System Model (CESM), a 3-D general circulation model, we test the effects of various levels of ozone on Earth's climate. When CO2 is held constant, the global mean surface temperature decreases with decreasing ozone, with a maximum drop of ~3.5 K at near total ozone removal. By supplementing our GCM results with 1-D radiative flux calculations, we are able to test which changes to the atmosphere are responsible for this temperature change. We find that the surface temperature change is caused mostly by the stratosphere being much colder when ozone is absent; this makes it drier, substantially weakening the greenhouse effect. We also examine the effect of the structure of the upper troposphere and lower stratosphere on the formation of clouds, and on the global circulation. At low ozone, both high and low clouds become more abundant, due to changes in the tropospheric stability. These generate opposing short-wave and long-wave radiative forcings that are nearly equal. The Hadley circulation and tropospheric jet streams are strengthened, while the stratospheric polar jets are weakened, the latter being a direct consequence of the change in stratospheric temperatures. This work identifies the major climatic impacts of ozone, an important piece of the evolution of Earth's atmosphere.
Climatology of the Mount Brown South ice core site in East Antarctica: implications for the interpretation of a water isotope record
Authors: Jackson Sarah Louise , Vance Tessa R. , Crockart Camilla , Moy Andrew , Plummer Christopher , Abram Nerilie J.
Published: November 2022

Abstract. Water stable isotope records from ice cores (δ18O and δD) are a critical tool for constraining long-term temperature variability in the high-latitudes. However, precipitation in Antarctica consists of semi-continuous small events and intermittent extreme events. In regions of high-accumulation, this can bias ice core records towards recording the synoptic climate conditions present during extreme precipitation events. In this study we utilise a combination of ice core data, re-analysis products and models to understand how precipitation intermittency impacts the temperature records preserved in an ice core from Mount Brown South in East Antarctica. Extreme precipitation events represent only the largest 10 % of all precipitation events, but they account for 44 % of the total annual snowfall at this site leading to an over-representation of these events in the ice core record. Extreme precipitation events are associated with high-pressure systems in the mid-latitudes which cause increased transport of warm and moist air from the southern Indian Ocean to the ice core site. Warm temperatures associated with these events result in a +2.8 °C warm bias in the mean annual temperature when weighted by daily precipitation, and water isotopes in the Mount Brown South ice core are shown to be significantly correlated with local temperature when this precipitation-induced temperature bias is included. The Mount Brown South water isotope record spans more than 1000 years and will provide a valuable regional reconstruction of long-term temperature and hydroclimate variability in the data-sparse southern Indian Ocean region.
Brief Communication – ALARM: an innovative protocol of educating on seismic risk perception, and its assessment
Authors: Gargiulo Maria Vittoria , Napolitano Ferdinando , Amoroso Ortensia , Russo Raffaella , Capuano Paolo
Published: November 2022

Abstract. The effectiveness of risk mitigation also depends on how well-prepared and informed society is about the risk itself. The younger generation plays a key role in the scientific awareness of society, representing both the future of society and a conduit to reach and educate their families. We developed a didactic experience, based on Serious Games, dedicated to seismic risk that was tested and, then, implemented during the whole COVID-19 pandemic. Before the start and at the end of any of these activities, an evaluation phase was carried out to assess the learning experience and the effectiveness of the science communication technique.
4DVarNet-SSH: end-to-end learning of variational interpolation schemes for nadir and wide-swath satellite altimetry
Authors: Beauchamp Maxime , Febvre Quentin , Georgenthum Hugo , Fablet Ronan
Published: November 2022

Abstract. The reconstruction of sea surface currents from satellite altimeter data is a key challenge in spatial oceanography, especially with the upcoming wide-swath SWOT (Surface Ocean and Water Topography) altimeter mission. Operational systems however generally fail to retrieve mesoscale dynamics for horizontal scales below 100 km and time-scale below 10 days. Here, we address this challenge through the 4DVarnet framework, an end-to-end neural scheme backed on a variational data assimilation formulation. We introduce a parametrization of the 4DVarNet scheme dedicated to the space-time interpolation of satellite altimeter data. Within an observing system simulation experiment (NATL60), we demonstrate the relevance of the proposed approach both for nadir and nadir+swot altimeter configurations for two contrasted case-study regions in terms of upper ocean dynamics. We report relative improvement with respect to the operational optimal interpolation between 30 % and 60 % in terms of reconstruction error. Interestingly, for the nadir+swot altimeter configuration, we reach resolved space-time scales below 70 km and 7 days. The code is open-source to enable reproductibility and future collaborative developments. Beyond its applicability to large-scale domains, we also address uncertainty quantification issues and generalization properties of the proposed learning setting. We discuss further future research avenues and extensions to other ocean data assimilation and space oceanography challenges.
Impact of electrode conductivity on mass sensitivity of piezoelectric resonators at high temperatures
Authors: Schlack Sebastian , Wulfmeier Hendrik , Fritze Holger
Published: November 2022

Abstract. High-temperature stable piezoelectric Ca3TaGa3Si2O14 and La3Ga5SiO14 resonators with keyhole-shaped Pt electrodes are coated with metal oxide films such as TiO2−δ and SnO2 that overlap the Pt electrodes. The resonators are exposed to reducing atmospheres in order to increase the electrical conductivity of the oxide film and then act as extended oxide electrodes. The resulting increase in the effective electrode radius causes an increase in the mass sensitivity of the resonators and, thereby, resonance frequency shifts. In other words, the effective mass of the Pt electrode becomes higher. An electrical circuit model is presented to describe the increase in the effective electrode radius of the resonator, which is used to calculate the related resonance frequency shift. Additionally, an electromechanical model is presented, which subdivides the resonator into two coupled oscillators. One is representing the resonator volume underneath the Pt electrode and the other underneath the oxide electrode at increased electrical conductivity. The model reflects how the oxide electrodes affect the resonance frequency. Furthermore, the impact of increasing oxide electrode conductivity on the resonance frequency is discussed with respect to the application of oxide electrodes and for gas sensing.
DEEP Picker1D and Voigt Fitter1D: A versatile tool set for the automated quantitative spectral deconvolution of complex 1D NMR spectra
Authors: Li Da-Wei , Bruschweiler-Li Lei , Hansen Alexandar L. , Brüschweiler Rafael
Published: November 2022

Abstract. The quantitative deconvolution of 1D NMR spectra into individual resonances or peaks is a key step in many modern NMR workflows as it critically affects downstream analysis and interpretation. Depending on the complexity of the NMR spectrum, spectral deconvolution can be a notable challenging. Based on the recent deep neural network DEEP Picker and Voigt Fitter for 2D NMR spectral deconvolution, we present here an accurate, fully automated solution for 1D NMR spectral analysis, including peak picking, fitting, and reconstruction. The method is demonstrated for complex 1D solution NMR spectra showing excellent performance also for spectral regions with multiple strong overlaps and a large dynamic range whose analysis is challenging for current computational methods. The new tool will help streamline 1D NMR spectral analysis for a wide range of applications and expand their reach toward ever more complex molecular systems and their mixtures.
Sosialisasi New Normal Masa Covid-19 di Stasi Santo Fransiskus Assisi Lingga
Authors: Kurniason Hugo Theo , Martinus Martinus , Simbolon Subandri , Palupi Handayani Exnasia Retno , Brata Role Metoddyus Tri , Erika Teresia Giofani , Erismato Erismato , Cendana Sari Theresia Yovita
Published: November 2022

The Covid-19 pandemic has brought its own challenges to some aspects of people’s religious life, especially in carrying out worship. People have difficulty understanding the pandemic in relation to the implementation of worship. At St. Francis of Assisi Lingga Station, Catholics have to follow directions from the government and the Church to worship from home. Their problem is the problem of this Community Service, how to deal with covid-19 in the Catholic faith? how to do worship from home? The method used is community service and socialization. The result of this service is that the station community gains a better understanding of the pandemic and gains insight into how to arrange pastoral and catechism activity in the midst of the Covid-19 Pandemic. With this understanding, the people are expected not to become Catholics who confused but to become more alive in the midst of pandemic.