bluuebunny/crossref_metadata_2025 huggingface dataset:
От христианской антропологии восточнославянских православных культур XV – XVI вв. к «провалу» социальной дисциплинаризации?
Authors: Дмитриев Михаил Владимирович
Published: December 2022

Статья откликается на проблему, поставленную недавно выдающимся славистом В.М. Живовым (1945–2013). В.М. Живов попробовал объяснить «провал» социальной дисциплинаризации в истории России особенностями православного учения о спасении. Статья делает новый шаг в разработке этой гипотезы, обращаясь уже не к сотериологическим, а антропологическим установкам православной церковной проповеди в культуре русских земель (Московское государство). Обосновано утверждение, что в православной культуре Восточной Европы средневековья и XVI в. присутствовали такие конфессионально-специфические черты христианской «оптимистической» антропологии, которые (в отличие от «пессимистической» христианской антропологии латинского Запада) препятствовали развертыванию здесь социальной дисципинаризации.
Paatero’s V(k) space II
Authors: Andreev Valentin V. , Bekker Miron B. , Cima Joseph A.
Published: December 2022

In this article we continue our investigation of the Paatero space. We prove that the intersection of every Paatero class V(k) with every Hardy space Hp
is closed in that Hp and associate singular continuous measures to elements of V(k). There have been no examples in the literature of functions in V(k) with zeros in the unit disk other than the one at the origin. We close this gap in the literature. We derive a representation of the measure associated to a function in V(k) for functions whose derivatives are rational, or algebraic, or transcendental functions in the unit disk.Finally, we consider the notion of regulated domains, introduced by Pommerenke and show that there are regulated domains whose boundary is not of bounded boundary rotation.
Evaluation of different integrated burnable absorber materials in fuel assemblies of Bushehr WWER-1000 nuclear reactor
Authors: Papi Zahra , Khoshahval Farrokh , Pour-Imani Reza
Published: December 2022

Nowadays, reducing fuel consumption, fuel cost, and fuel waste is obtained by increasing the burnup and reactor cycle length as essential goals in nuclear power plants. Due to the scarcity of Iran’s uranium resources and the plan for using new types of fuel in the Water–Water Energetic Reactors (WWER-1000) at Bushehr Nuclear Power Plant (BNPP), utilizing Integral Burnable Absorbers (IBAs) is of great importance. In the present study, a neutronic evaluation has been conducted to investigate the variations of infinite multiplication factor versus burnup, reactivity swing, and power distribution in various IBAs, including Gd2O3-UO2, Er2O3-UO2, and Dy2O3-UO2. The results were compared with the standard burnable absorber in the BNPP reactor core (CrB2Al). It can be concluded that gadolinium IBA, with a concentration of 5%, has the greatest effect on the initial reactivity and reduces the reactivity swing by 19% compared to the CrB2Al BA. In addition, by using coaxial gadolinium-erbium IBA pins, as well as optimizing the neutronic condition, the reactor cycle length increased by 1.01 GWd/MTU compared to the standard Bushehr BA.
Does Stretching Training Influence Muscular Strength? A Systematic Review With Meta-Analysis and Meta-Regression
Authors: Thomas Ewan , Ficarra Salvatore , Nunes João Pedro , Paoli Antonio , Bellafiore Marianna , Palma Antonio , Bianco Antonino
Published: December 2022

Thomas, E, Ficarra, S, Nunes, JP, Paoli, A, Bellafiore, M, Palma, A, and Bianco, A. Does stretching training influence muscular strength? A systematic review with meta-analysis and meta-regression. J Strength Cond Res 37(5): 1145–1156, 2023—The aim of this study was to review articles that performed stretching training and evaluated the effects on muscular strength. Literature search was performed using 3 databases. Studies were included if they compared the effects on strength following stretching training vs. a nontraining control group or stretching training combined with resistance training (RT) vs. an RT-only group, after at least 4 weeks of intervention. The meta-analyses were performed using a random-effect model with Hedges' g effect size (ES). A total of 35 studies (n = 1,179 subjects) were included in this review. The interventions lasted for a mean period of 8 weeks (range, 4–24 weeks), 3–4 days per week, applying approximately 4 sets of stretching of approximately 1-minute duration. The meta-analysis for the stretching vs. nontraining control group showed a significant small effect on improving dynamic (k = 14; ES = 0.33; p = 0.007) but not isometric strength (k = 8; ES = 0.10; p = 0.377), following static stretching programs (k = 17; ES = 0.28; p = 0.006). When stretching was added to RT interventions, the main analysis indicated no significant effect (k = 17; ES = −0.15; p = 0.136); however, moderator analysis indicated that performing stretching before RT sessions has a small but negative effect (k = 7; ES = −0.43; p = 0.014); the meta-regression revealed a significant negative association with study length (β = −0.100; p = 0.004). Chronic static stretching programs increase dynamic muscular strength to a small magnitude. Performing stretching before RT and for a prolonged time (>8 weeks) can blunt the strength gains to a small-to-moderate magnitude. Performing stretching in sessions distant from RT sessions might be a strategy to not hinder strength development.
Loss of Retinogeniculate Synaptic Function in the DBA/2J Mouse Model of Glaucoma
Authors: Smith Jennie C. , Zhang Kevin Yang , Sladek Asia , Thompson Jennifer , Bierlein Elizabeth R. , Bhandari Ashish , Van Hook Matthew J.
Published: December 2022

Retinal ganglion cell (RGC) axons comprise the optic nerve and carry information to the dorsolateral geniculate nucleus (dLGN), which is then relayed to the cortex for conscious vision. Glaucoma is a blinding neurodegenerative disease that commonly results from intraocular pressure (IOP)-associated injury leading to RGC axonal pathology, disruption of RGC outputs to the brain, and eventual apoptotic loss of RGC somata. The consequences of elevated IOP and glaucomatous pathology on RGC signaling to the dLGN are largely unknown yet are likely to contribute to vision loss. Here, we used anatomic and physiological approaches to study the structure and function of retinogeniculate (RG) synapses in male and female DBA/2J (D2) mice with inherited glaucoma before and after IOP elevation. D2 mice showed progressive loss of anterograde optic tract transport to the dLGN and vGlut2 labeling of RGC axon terminals while patch-clamp measurements of RG synaptic function showed that synaptic transmission was reduced in 9-month and 12-month D2 mice because of the loss of individual RGC axon inputs. TC neuron dendrites had reduced Sholl complexity at 12 months, suggestive of delayed reorganization following reduced synaptic input. There was no detectable change in RGC density in 11- to 12-month D2 retinas, quantified as the number of ganglion cell layer-residing somata immuno-positive for NeuN and immuno-negative for the amacrine marker choline acetyltransferase (ChAT). Thus, observed synaptic defects appear to precede RGC somatic loss. These findings identify glaucoma-associated and IOP-associated deficits in an important subcortical RGC projection target, shedding light on processes linking IOP to vision loss.
Tutors and Home Teachers – a Transitional Position in the 19th Century
Authors: Pohle Richard
Published: December 2022

This paper is a plea and an invitation not only to locate the tutor as a historical figure in the pre-modern period, but to explore him as an integral part of the private education market of the 19th and still early 20th century. To this end, it begins by considering why historical and pedagogical research has so far paid little attention to the continuing existence of this figure after 1800. It then discusses empirical approaches to this precarious phenomenon and the possibilities offered by accessing it through protestant candidates for pastorates. Finally, using the advice literature, it attempts to show how the discursive processing of the home teacher experience as well as their social position changed in the course of the 19th century. As a transitional figure, both in biographical terms and in terms of pedagogical history, it can serve to open up the flourishing private education market of the 19th century and, what is more, to give contemporary homeschooling experiences a historical depth dimension.
Pseudomogoplistes vicentae Gorochov, 1996 (Orthoptera, Mogoplistidae) nueva especie para el Parque Nacional Marítimo-Terrestre de las Islas Atlánticas de Galicia (NO península ibérica)
Authors: Pino Pérez Rubén
Published: December 2022

Se cita Pseudomogoplistes vicentae Gorochov, 1996 por primera vez para el Parque Nacional Marítimo-Terrestre de las Islas Atlánticas de Galicia, en el archipiélago de Sálvora y se aportan comentarios sobre el estado de las poblaciones, sus amenazas y el estado de conservación local.
Monocyte to Lymphocyte Ratio, A Novel Predictor of Acute Kidney Injury After Cardiac Valve Surgery
Authors: Wang ZhenHua , Li Jialiang , Song Han , Wei Duoliang , Zhao Xin
Published: December 2022

Background: Although inflammation contributes to the development of acute kidney injury (AKI), the role of monocyte to lymphocyte ratio (MLR) in predicting the risk of postoperative AKI in patients underwent cardiac surgery is not completely clear yet. This study aimed to investigate whether elevated MLR predicts postoperative AKI.
Materials and methods: In this retrospective study, a total of 331 adult patients who underwent heart valve replacement were included. These patients are not distinguished between single valve replacement or double valve replacement. AKI was diagnosed, according to the KDIGO classification criteria. The associations between monocyte to lymphocyte ratio (MLR), neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR) and the occurrence of AKI were investigated.
Results: Postoperative AKI was detected in 37 (11.2%) patients. In the early period after surgery, the patients who developed AKI had a significant higher preoperative MLR than those who did not (0.38(0.33-0.44) vs. 0.26(0.20-0.34), = 0.02). The receiver operating characteristics (ROC) curve showed that the area under the curve (AUC) of the MLR for predicting AKI was 0.772 (P = 0.01), and the cut-off value was 0.47. Multivariate logistic regression analysis suggested that the higher preoperative MLR (≥0.47) was independent predictor of AKI (OR: 2.951, 95% CI: 1.412-6.167, P = 0.004). According to the cut-off value group verification, patients in the higher preoperative MLR group are more likely to have low cardiac output syndrome (LCOS), renal replacement therapy, and hospital death after surgery.
Conclusion: These results showed that MLR could be used as a cost-effective predictor of postoperative AKI in patients who undergo heart valve replacement surgery.
Síndrome de burnout y variables sociodemográficas en el personal del hospital departamental de Villavicencio (Colombia)
Authors: Charria-Isaacs Juanita , Giraldo-Jaramillo Javier , Mora-Bustos Christian , Ángel-Jaramillo Jairo , Balaguera-Rojas Mónica del Pilar
Published: December 2022

En esta investigación, realizada en el Hospital Departamental de Villavicencio (Colombia), que cuenta con una población de 1087 empleados, se tomó un muestreo no probabilístico de 396 personas (36%) entre personal administrativo y de la salud. Se buscó hallar posibles relaciones entre el síndrome de Burnout, medido con el Maslach Burnout Inventory (MBI), respecto a variables sociodemográficas; se utilizó la prueba de x2 para dependencia estadística de variables categóricas. Se encontró que hay dependencia significativa entre el síndrome de Burnout y las variables género (presentándose con mayor frecuencia en las mujeres) y turno (presentándose con mayor frecuencia en el de la mañana y el rotativo), mientras que no se observa dependencia con las variables edad, estado civil, personas a cargo, nivel de estudios, nivel socioeconómico, tipo de vivienda, antigüedad en el cargo, tipo de contrato, profesión y salario. Se profundizó el análisis con las escalas del MBI, encontrando relaciones entre Despersonalización con edad (en jóvenes y jóvenes adultos), estado civil (solteros y personas en unión libre) y profesión (en médicos y enfermeras); Realización Personal con género (más baja en hombres) y la variable Cansancio Emocional con edad (en jóvenes y jóvenes adultos). Se encontró que el síndrome de Burnout tiene mayor presencia en el personal asistencial, especialmente en las dimensiones Cansancio Emocional y Despersonalización.
Estrategias de afrontamiento en personal de la salud que atienden pacientes COVID y no COVID en dos ciudades de Colombia
Authors: Ángel Rojas Yohana Alexandra , Suarez Puerto Tania Alejandra , Vásquez Matallana Eduar Andrés , Mena Moncada Erika Paola , Organista Restrepo Natalia Andrea , Rodríguez Cano Carlos Camilo , Rozo Sánchez María Margarita , Moreno Méndez Jaime Humberto
Published: December 2022

El propósito de este estudio fue comparar las estrategias de afrontamiento en personal de salud de Villavicencio y Bogotá en Colombia que atienden pacientes Covid-19 y No-Covid-19. El diseño fue no experimental, descriptivo comparativo y de corte transversal. La muestra estuvo conformada por 14 hombres (33.3%) y 46 mujeres (76.7%) con edad promedio (M=35.7; DE= 9.72). Se utilizó la Escala de Estrategias de Coping modificada (EEC-M). Se aplicó la t de Student para muestras no relacionadas, la prueba de U de Mann-Whitney y la ANOVA de un factor para la comparación de grupos. Los resultados revelaron que las estrategias de afrontamiento más utilizadas son solución de problemas (M=31.52; DE= 5.24) y búsqueda de apoyo de social (M=20.35; DE= 5.04).  Se encontraron diferencias estadísticamente significativas entre las variables: atención a pacientes Covid y sexo en comparación con las estrategias de afrontamiento; sin embargo no hubo diferencias entre grupos por edad, ciudad y profesión. Se resalta que las estrategias que los profesionales de la salud utilizan para afrontar la atención de pacientes Covid y no Covid pueden variar dependiendo de los recursos personales, de la percepción del riesgo y de las causas que lo originen.
Diseño y validación de la escala de phubbing para muestras Colombianas
Authors: Bastidas Suarez Douglas M , Orjuela Benítez Dayann C
Published: December 2022

El phubbing es la adicción al smartphone, esta conducta genera la perdida de habilidades sociales e interacción personal (Haigh, 2015), siendo de las más frecuentes en los últimos años, aunque en el contexto colombiano ha sido poco explorado y donde actualmente no se cuenta con un instrumento validado para su medición, debido a esto se planteo como objetivo el diseño de la escala de phubbing que consta de 25 ítems tipo Likert de 5 puntos, se conto con la participación de 443 personas, 282 mujeres (63.7%) y 161 hombres (36.3%), con edades comprendidas entre 17 a 89 años (X= 24.36), como resultados se encontró un alfa de Cronbach general de 0.93, además el Omega de McDonald arrojó un valor de 0.95, para estos análisis se tuvo en cuenta la matriz de tipo Policórica, por otra parte en los índices de bondad de ajuste se encontró: RMSA = 0.09; SRMR = 0.09; CFI = 0.88 y TLI = 0.86, concluyendo la adecuada fiabilidad para la utilización, del instrumento garantizando su replicabilidad.
Significados de la remisión de casos de instituciones educativas al servicio de atención psicológica clínica
Authors: Figueroa Ángel Melba Ximena , Cipagauta Jiménez Edna Margarita
Published: December 2022

El objetivo de la investigación fue comprender los significados de la remisión de casos de instituciones educativas al Servicio de Atención Psicológica Clínica en orientadores(as) escolares y psicólogos(gas) clínicos(cas), a través de la identificación de los niveles textuales y contextuales en documentos legales vigentes; las narrativas de los profesionales (orientadores, psicólogos) de instituciones educativas y de los psicólogos de los Servicios de Atención Psicológica Clínica; y, la reconfiguración de la trama narrativa de los participantes, a partir de la conversación con referentes teóricos y con docentes de un programa de Psicología. Esto, a partir de un proceso de investigación cualitativa soportado en algunos principios del método narrativo. Los datos se obtienen a partir de la revisión de documentos legales; entrevista a profundidad y grupos focales. Como conclusiones, se destacan las implicaciones de los significados sobre las funciones de quienes participan en el proceso de remisión-atención clínica, a partir del estatus percibido de las disciplinas (Psicología- Orientación Escolar), las responsabilidades atribuidas en la comunicación escuela-sistema de salud, el involucramiento de la familia en los procesos de remisión e intervención; y, la dificultad en el acompañamiento del sistema de salud a las funciones atribuidas a la escuela. Se propone profundizar en la movilización hacia la consultoría clínica e intervención en red, y; el apoyo a los procesos desarrollados por la orientación escolar desde la psicología y el sistema de salud.
Los factores de riesgo social en los adolescentes Salvadoreños: ambiente familiar, conocimiento en sexualidad, pertenencia a grupos sociales, rendimiento académico, económico y cultural
Authors: Hernández Monterrosa Antonia Larissa , Manzanares de Erickson Carmen , Sánchez Osmel Alberto
Published: December 2022

El propósito de esta investigación fue profundizar sobre los factores de riesgo social a los que están expuestos los adolescentes salvadoreños; en esta se encontró que entre los que más les afectan son el ambiente familiar, conocimiento en sexualidad, pertenencia a grupos y rendimiento escolar, económico y cultural. El enfoque fue mixto y su alcance de tipo fue descriptivo, para la recolección de información se usó la técnica de la encuesta con su respectivo instrumento el cuestionario, a la muestra para esta investigación fue a conveniencia haciendo un total de 2319 adolescentes de instituciones de educación media del sector público. Entre los principales resultados que se encontraron fue que la mayoría de adolescentes viven en familias nucleares y que ven a esta como la principal fuente de apoyo; respecto al conocimiento de la sexualidad los encuestados conocen lo que implica tener relaciones sexuales a temprana edad y conocen la importancia de usar medidas de protección. Asimismo, en esta etapa de adolescencia, pertenecer a grupos es necesario porque ayuda a formar la personalidad de ellos y respecto al rendimiento académico los sujetos de estudio piensan que es necesario dedicar tiempo para obtener buenos resultados, además ven la economía como un factor que afecta las condiciones de calidad de vida y piensan que la cultura es parte fundamental de la sociedad.
La perspectiva del paciente sobre la irrupción de las tecnologías de la infor-mación y comunicación en psicoterapia
Authors: Paz Brnich Maria , Olivera Ryberg Julieta , Roussos Andrés Jorge
Published: December 2022

Las tecnologías de la información y comunicación (TICs) han ido transformando de maneras diversas el campo de la psicoterapia. Más notoria es la irrupción de las mismas en esta época de COVID-19 donde la herramienta más poderosa que se tiene para vincularse con los otros son las TICs. Mas allá de su gran utilización y de que hoy sea la única vía para poder llevar acabo una psicoterapia, todavía en América Latina no se halla suficiente información sobre el impacto que tienen estas herramientas en el proceso terapéutico y como influyen en los resultados del tratamiento. Por eso mismo, el objetivo de esta investigación fue indagar en la perspectiva de los pacientes sobre la integración de las TICs en sus tratamientos psicoterapéuticos. Método: Se tomaron 12 entrevistas semi-estructuradas a pacientes que hayan utilizado herramientas tecnológicas en psicoterapia, las mismas fueron desgrabadas y analizadas con el método CQR (Consensual Qualitative Research). Resultados: Se ha encontrado 8 dominios que sobresalen en las entrevistas tomadas, los cuales se encuentran en la sección de resultados. Discusión: Los participantes creen que es una buena alternativa a la psicoterapia si es que por distintos motivos no puede concretarse el encuentro físico con el terapeuta, y consideran que es positivo su incorporación en los tratamientos notando algunos cambios vinculados a estas mismas. Sin embargo, ellos prefieren seguir sosteniendo la manera presencial de llevar adelante un proceso terapéutico.
Physical and mechanical properties of woven kenaf/bamboo fiber mat reinforced epoxy hybrid composites
Authors: Ismail Ahmad Safwan , Jawaid Mohammad , Sultan Mohamed T. H. , Hassan Azman
Published: December 2022

Research interest has shifted from synthetic fiber to natural fiber due to environmental concerns and government regulation. This study evaluated the physical and mechanical properties of kenaf(K)/bamboo(B) fiber mat reinforced epoxy hybrid composites. Kenaf, bamboo, and kenaf/bamboo hybrid composites were prepared using the hand lay-up method at 40% wt total fiber loading. Different ratios of kenaf to bamboo fibers, such as 70:30(3B7K), 50:50(BK), and 30:70(7B3K), were used to fabricate the hybrid composites. Kenaf composite and bamboo composite were fabricated as controls. Mechanical (flexural and impact), morphological, and physical properties (thickness swelling, water absorption, and density) were examined. The density, water absorption and thickness swelling of the composites increased as the kenaf weight ratio increased. The flexural properties of kenaf composites were improved by hybridization with bamboo fiber, whereas the impact properties of bamboo were improved by hybridization with a woven kenaf mat. Hybrid composites with a 50:50 ratio showed the highest flexural and impact strength. Scanning electron microscopy (SEM) of flexural fracture showed that 50:50(BK) displayed better interfacial adhesion than the other two ratios. The woven kenaf/bamboo hybrid composite is suitable for use in the fabrication of automotive components.
Sarcoma fibromixoide de baixo grau em região paratesticular
Authors: Souza Vinícius Gonçalves de , Carvalho Aparecida de Lourdes , Miranda Carla Silva Siqueira
Published: December 2022

Objetivos: relatar um caso raro de sarcoma fibromixoide de baixo grau (SFMBG) em uma localização incomum de modo a reforçar aspectos histopatológicos e imunoistoquímicos relevantes para o reconhecimento desta entidade e o adequado diagnóstico diferencial de massas paratesticulares. Relato de caso: homem de 20 anos, com massa escrotal à direita, cuja análise histopatológica demonstrou a presença de tecido fibroso com áreas mixoides e predominância de células fusiformes. A imunoistoquímica foi positiva para vimentina, com índice de Ki67 de 2%, e negativa para S100, CD-34, beta-catenina, desmina e miogenina. Conclusões: caso raro de SFMBG na região paratesticular que reforça a importância da histopatologia e da imunoistoquímica no diagnóstico desse tumor. Apesar da característica histológica benigna, o SFMBG apresenta altas taxas de recorrência e metástases, sendo essencial o seguimento do paciente.
Co-supplementation of freezing media with trehalose and vitamin C on cell viability and apoptotic gene expression in ovine spermatogonial stem cells
Authors: Asadpour R. , Kalantari S. , Shahbazfar A. A. , Jafari-Jozani R.
Published: December 2022

The purpose of this research was to investigate the trehalose and vitamin C (Vit C) co-supplementation of freezing media to create a successful cryopreservation protocol for conservation of ovine spermatogonial stem cells (SSCs). SSCs were cryopreserved and cultured with an essential freezing medium containing 200 mM trehalose, 40 µg/mL Vit C, and a combination of both for 3 weeks. Cell viability, colony number and diameter and mRNA levels of Bax, and Bcl-2 genes were evaluated before and after cryopreservation with quantitative real-time PCR. The results showed that cells cryopreserved in freezing medium containing 200 mM of trehalose plus 40 µg/mL Vit C had considerably greater cell viability than the control group (P<0.0001). Up to the 3rd week of cell culture, supplementation of freezing medium with 200 mM trehalose resulted in significantly lower colonies diameters than in the control group. No significant differences were observed during the 1st to 2nd weeks in colony diameter and number of colonies between cells cryopreserved in the freezing medium containing either Vit C or trehalose compared with the control groups. Following thawing, the mRNA level of Bax in the Vit C + trehalose group was drastically lower than in those treated with trehalose or Vit C only (P<0.0001). High expression of Bcl-2 in the 40 µg/mL Vit C group was recorded in the thawed cells compared to the control group (P<0.0001). These findings indicate that the concomitant use of antioxidants and sugar in the freezing medium can improve the quality and viabi­lity of SSCs after freezing via different mechanisms. Further studies are needed to clarify apoptosis and cell biomarkers in SSCs during freezing and thawing.
Anti-Salmonella activity of lactobacilli from different habitats
Authors: Dobreva L. , Danova S. , Georgieva V. , Georgieva S. , Koprinarova M.
Published: December 2022

Lactic acid bacteria (LAB) may contribute to the food safety. In the present study, the antagonistic activity of 45 Bulgarian Lactobacillus homo- and heterofermentative strains of human and dairy origin, and 4 multibacterial formulas against Salmonella enterica subsp. enterica serovar Typhimurium (S. Typhimurium) was assessed. In vitro tests were performed in different model systems - milk, soymilk, De Man Rogose Sharp (MRS) medium, to simulate real conditions in the food chain. The highest antagonistic activity was observed with cell-free supernatants of exponential MRS broth cultures of the strains isolated from breast milk, followed by lactobacilli from white brined and green cheese. The detected antimicrobial activity against the pathogen was strain-specific and depended on the culture conditions. Lactobacillus (reclassified as Lactoplantibacillus) plantarum strains, cultivated in skimmed milk and whey protein medium, were able to inhibit S. Typhimurium growth, while a limited inhibitory activity was detected for fermented soymilks. A bacteriocinogenic Ligilactobacillus (the previous Lactobacillus) salivarius strain reduced the number of living pathogenic cells during co-cultivation in whole milk. The inhibition was significant only when L. salivarius was inoculated in predominance. In case of underrepresented LAB number, S. Typhimurium over-growth was observed. Eight lactobacilli in combination as a multibacterial co-culture expressed synergic antagonistic effect against Salmonella and were pre-selected as promising. Further characterisation of their active metabolites, however, is needed before their classification as bio-protective agents.
Factors associated with the incidence of neonatal hyperbilirubinemia in Perinatology Ward of Wangaya General Hospital, Denpasar
Authors: Melinda Fitriana , Suryawan I Wayan Bikin , Sucipta Anak Agung Made
Published: December 2022

Background: Hyperbilirubinemia is a condition defined by an increased total serum bilirubin level exceeding 5 mg/dL and clinically characterized by the presence of jaundice. Jaundice can be observed on the skin and sclera if the bilirubin level increases more than 5 mg/dL. Several risk factors, including birth weight, asphyxia, gestational age, mode of delivery, and breastfeeding practices, have been studied regarding their relationship to the incidence of hyperbilirubinemia, with varying results. Therefore, the purpose of this study was to determine the relationship between these risk factors and the incidence of hyperbilirubinemia.Methods: An analytical observational cross-sectional study was conducted by collecting secondary data from the Perinatology Ward registry and the medical records department. The subjects were neonates treated in the Perinatology Ward of Wangaya Hospital, Denpasar. The data that met the inclusion and exclusion criteria were then analyzed with the SPSS 25.Results: There were 59 neonates with hyperbilirubinemia and 135 neonates without hyperbilirubinemia among the 194 research subjects. The results of the chi-square test were the following: p-value for birth weight = 0.002, p-value for asphyxia = 0.002, p value for breastfeeding practice = 0.003, p value for gestational age = 0.000, and p value for delivery mode = 0.110.Conclusion: There was a significant relationship between birth weight, asphyxia, gestational age, breastfeeding practices, and the incidence of neonatal hyperbilirubinemia in the Perinatology Ward, Wangaya Hospital, Denpasar City. Meanwhile, no relationship was observed between the mode of delivery and newborn hyperbilirubinemia.
Family communication experience among students who are addicted to online games
Authors: Fahrizal Yanuar , Aprilia Friska Dwi
Published: December 2022

Background: Someone who plays online games continuously will experience feelings of extreme pleasure and want to play the games repeatedly, resulting in online game addiction. The high prevalence of online game addiction causes poor relationships between children and parents since children are too busy playing online games. A considerable amount of time spent playing online games also causes university students to lack opportunities for social interactions. This study aims to explore family communication experiences among university students addicted to online games.Methods: This study adopted a qualitative method with a phenomenological approach, involving eight respondents. The data were collected using in-depth interviews, observations, and documentation. The Indonesian Online Game Addiction Questionnaire was distributed to the participants to determine who fitted into the addiction criteria.Result: This study resulted in five themes as follows: students’ awareness of the importance of family communication; the intensity of communication between students and their parents; the changes in students’ contact with family due to online game addiction; the impact of parenting style on students’ online game addiction; and online game addiction as the cause of conflicts between students and their parents.Conclusion:  Parenting style contributes to online game addiction. Online game addiction among students causes changes, especially in the intensity and need for communication with parents despite students’ good awareness of the importance of maintaining contact with their parents.
“Discover the meaning of professionalism”: nursing alumni experience on professional identity: a phenomenology study
Authors: Noviani Wulan , Rosa Elsye Maria
Published: December 2022

Introduction: Professional identity is nursing education institutions' main goal that influences self-perception on the profession's job responsibilities, roles, and characteristics due to professional socialization. However, integrating professional identity to nursing career’s alumni of Bachelor Nursing Program Universitas Muhammadiyah Yogyakarta remains limited to explore. This study aims to explore the Bachelor nursing alumni’s lived experience integrating professional identity into their careers in Indonesia.Methods: A phenomenological approach was used in this study, along with a maximum variation sampling technique. There are seventeen nursing alumni recruited who had been working as professionals in various nursing careers. The data was collected by a semi-structured interview between 60-90 minutes through video calls on WhatsApp. Data analysis was used Colaizzi’s methods and Nvivo 12TM Plus.Results: Three themes emerged from data; 1) Discover the meaning of professionalism, with three sub-themes: fulfill professional qualification, having expertise, and apply theory into practice; 2) Internalization Islamic values & beliefs, with four sub-themes: caring, having Islamic spirituality, giving excellence, and responsibility; 3) Awareness worked as a professional, with four-subthemes passionate, multitasking, independence, and apply soft skills.Conclusion: Nursing alumni integrated nursing professionalism into their identity—incorporation of professional identity impacts personal and professional image and boosted nurses’ careers.
Experience of heart failure patients' in meeting spiritual needs during hospitalization: a Muslim perspective
Authors: Okviasanti Fanni , Yusuf Ah. , Kurniawati Ninuk Dian , Anggraini Dia Ayu , Anif Ahmad Syaiful
Published: December 2022

Introduction: Spirituality plays an essential role in the care of heart failure (HF) patients. However, little is known about whether a patients' spiritual needs have been met during hospitalization. This study aimed to explore the experience of HF patients in meeting spiritual needs during hospitalization.Methods: The study was conducted at a governmental hospital in East Java, Indonesia, using a descriptive exploratory design with a qualitative approach. The population of this study was patients with HF who were obtained through a purposive sampling technique. The data were collected from fifteen participants through interviews and field notes.Results: The thematic analysis resulted in six big themes, which are perception about spirituality, the form of spirituality, the importance of spirituality for patients, obstacles in meeting spiritual needs, patient's perception of the nurse's role, and patients' hope.Conclusion: Muslim HF patients perceived that spirituality and religiosity were an integral part. Nurses should help patients meet spiritual needs by reminding and facilitating worship as a form of HF Muslim spirituality.
Community self-protection on pandemic disaster preparedness corona virus disease (COVID-19)
Authors: Budi Arif Wahyu Setyo , Biantara Irgi , Afik Al-
Published: December 2022

Introduction: Community preparedness is a context that connects individuals and an organization or society. Disaster management does not only focus on emergency response efforts and restoring the situation and post-disaster reconstruction, but is more focused on the pre-disaster stage (pre-disaster) with efforts to increase community capacity and response to disasters or community preparedness. The purpose of this study is to explore in depth how the community's self-protection against the disaster preparedness of the corona virus disease COVID-19 pandemic.Methods: This study uses a qualitative method with a phenomenological approach, using interviews and observations. The 9 participants were determined by the snowball sampling method. The validity of the data used by the method of source triangulation and technical triangulation. Analysis of the data used is thematic analysis with software open code 4.02.Results: The results of this study indicate that preparedness in dealing with COVID-19 in the community is by making self-protection efforts. Then to prevent exposure to the virus by increasing immunity and adapting behavior to individuals and in society.Conclusion: It can be concluded that self-protection is very necessary to overcome the impact on health and as a preventive effort that can be done by the community in the form of consuming drinks based on local culture and vitamin supplements as well as with clean and healthy living behavior.
Intention of nurses to accept covid-19 vaccination
Authors: Septianingrum Yurike , Hatmanti Nety Mawarda , I.P. Evita Muslima , Astarini Made Indra , Africia Fresty , Ninuk Devin Prihar , Rahmawati Ike Nesdia
Published: December 2022

Introduction: The coronavirus disease 2019 (COVID-19) pandemic caused by Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2) had spread worldwide. Nurses as health care workers (HCWs) are at great risk of contracting the virus, so they are prioritized for accepting the Covid-19 vaccination. This study aimed to determine the intention of nurses to accept the covid-19 vaccination. Method: This online survey was given to all nurses in East Java who are scheduled to get the Covid-19 vaccine and had not been confirmed of Covid-19. This survey was conducted during 20th-27th February 2021 and distributed through social media. Data analysis used using an ordinal logistic regression.Result: A total of 150 nurses in East Java responded to this survey. Most of the participants were female (68.67%), aged 30-39 years (59.33%), married (67,33%), worked less than 10 years (58.33%), graduated from Ners (60%), worked in non-covid rooms (70 %), had good knowledge about vaccines (85,33%), and had no anxiety about receiving the covid-19 vaccine (66%). There were 69.33% of nurses intend to accept vaccination, 14% had no intention to accept vaccination, and 16.67% were still unsure. Intention to accept vaccination was influenced by marital status (p= 0.043) and anxiety level (p=0.041).Conclusion: The intention to accept the COVID-19 vaccination reached 69,33% among nurses. The intention to refuse and hesitate to accept vaccines was caused by doubts about the effectiveness and safety of the vaccine.
Systematic review: family efforts in preventing covid-19 on special needs children
Authors: Samiasih Amin , Alfiyanti Dera , Mariyam Mariyam
Published: December 2022

Introduction: Indonesia has experienced a crisis due to the COVID-19 pandemic. Both adults and children are affected by the crisis. The incidence of COVID-19 in children is not as many as in adults, but prevention efforts need to be done by families. Likewise for children with special needs. The article aims to explain family effort in preventing COVID-19 on children with special needs.Method: A systematic literature review was conducted to identify papers on family efforts to prevent COVID-19 in children with special needs using the PubMed databases between 1st of January and 31st of December 2020. The search identified 15 relevant scientific papers.Results: Indonesia has 80 million children (about 30 percent of the population), and although the health risk from COVID-19 infection is lower in children compared to the older age group, children are most likely to be severely affected by COVID-19 in both the short and long term. Family efforts during the pandemic COVID-19 aim to provide necessities and care, provide nutritional needs, maintain children learning process, protect children from violence, exploitation, and abuse.Conclusion: Family efforts in preventing COVID-19 include providing knowledge, regional authority, mental health services, finance, nutrition and health, education, and child protection. Studies regarding the impact of COVID-19 on children with special needs have been undertaken, although not many.
Modifiable and non-modifiable factors on previous tuberculosis treatment as a predisposition of multi drug resistance tuberculosis (mdr-tb): scoping review
Authors: Puasa Maksi , Chayati Nur
Published: December 2022

Introduction: The increasing number of patients with resistant tuberculosis requires attention and efforts for prevention. Resistance causes more expensive cost of treatment, longer duration of treatment, more severe side effects and decreasing the chance of recovery. The specific purpose of this literature review was to identify modifiable and nonmodifiable factors associated with previous treatment as predisposing factors for MDR-TB.Method: This study applies scoping review method of JBI (Joanna briggs Institute) by using 5 databases: Scopus, Ebscohost, Proquest, Science direct and google scholar publication 2015-2021. keywords for MDR-TB search, predisposing factors, previously treatment and adult.Results: Modifiable factors related to previous tuberculosis treatment include treatment failure or discontinuation, non-adherence, lack of supervision, unclear or inadequate instructions. Meanwhile modifiable factors are side effects and relapse.Conclusion: The cause of MDR-TB which can be modified and cannot be modified is very important to know. The government as a policy maker can use the results of this research to strengthen tuberculosis control programs and prevention of resistant tuberculosis
The effect of self-management interventions on improving the capability of daily living activities (ADL) in stroke patients: a systematic review
Authors: Muqarrobin Aoladul , Chayati Nur
Published: December 2022

Introduction: Physical problems encountered in stroke patients such as a physical disorder, facial paralysis, and speech disorders. The weakness of the patient's limbs causes the patient to become helpless and unable to regulate himself. The problem requires self-management as a form of adaptation to new conditions. A self-management program is very necessary to increase motivation and enthusiasm to face the condition of his physical weakness after a stroke, to increase the spirit of physical activity. Self-management is a provision for stroke patients and their families to prepare themselves in managing themselves and managing post-stroke diseases. Thus this article is aimed to report the effect of self-management interventions on improving the capability of daily living activities (ADL) in stroke patients from several research.Methods: Researchers search for data sources using two databases, namely ProQuest and Ebsco. The keywords used are "Stroke", "Self-Management", "Activities of Daily Living". The article was included in this article if it related to rehabilitation of stroke patients at home with self-management interventions with outcomes seen in activity daily living including the ability to ambulate, eat, dress, bathe and dress, using an observational design (Crosectional, Cohort, Case-Control), quasi-experimental, pre-experimental and RCT, and from 2015 to 2020, and using English. The article selection process was by the guidelines of the PRISMA to measure the quality of systematic reviews.Results: From the database search, 6,749 articles were identified, then 5 articles that met the review requirements were identified. From the results of the review, it was found that self-management intervention by empowering patients through knowledge and skills of self-management, problem-solving, the importance of physical activity can help patients to increase their activity of daily living (ADL).Conclusion: Of the 5 articles reviewed, one article reported an increase in ADL ability in walking activities. Then 4 other articles, reported an increase in ADL ability with assessment instruments using the Barthel index, Functional independent measure (FIM), Stroke impact scale (SIS). The time needed to carry out self-management interventions is 3 weeks to 6 months
The effectivity of single and combined dose of oseltamivir therapy on length of stay of COVID-19 patients in Mataram General Hospital, Indonesia
Authors: Irawan Risky , Wanadiatri Halia , Musyarrafah Musyarrafah , Azmi Fahriana , Rahadianti Dian
Published: December 2022

Background: Oseltamivir is an antivirus for the corona virus which is currently used as part of the therapy regiment for COVID-19 patients. This is because the definite antivirus of choice for COVID-19 is yet to be found. The combined administration of oseltamivir and antibiotics compared with oseltamivir alone is known to shorten the hospitalization length of patients with severe respiratory infections in the ICU. However, there is no solid data explaining the effectiveness of oseltamivir, both alone or as part of a combination therapy, in the prevention and treatment of COVID-19 patients. The success of treating confirmed COVID-19 patients who are hospitalized can be seen from the length of patient hospitalization. This study aimed compare the length of hospitalization between patients with confirmed COVID-19 cases receiving oseltamivir alone or in combination with antibiotics.Methods: This study was conducted using an analytical observational design with a cross sectional approach. The samples were 238 people hospitalized at the Mataram General Hospital who were sampled using a total sampling technique according to the inclusion and exclusion criteria.Results: Amongst the 238 confirmed COVID-19 patients hospitalized at the Mataram General Hospital, 52.5 % received oseltamivir alone, while 47.5% received a combination of oseltamivir and azithromycin. Analysis showed that there was a significant difference in the length of hospitalization between both groups (p<0.001).Conclusion: The hospitalization period of patients given oseltamivir-azithromycin combination therapy was relatively shorter than that of patients given oseltamivir alone.
Impact of Opioid-Free Anesthesia on Nausea, Vomiting and pain Treatment in Perioperative Period: A Review
Authors: Suandika Made , Muti Refa Teja , Tang Woung-Ru , Haniyah Siti , Astuti Dwi
Published: December 2022

The use of opioids as anti-pain medications in the perioperative period is influenced by intraoperative anaesthesia. There is no conclusive evidence that intraoperative opioids decrease postoperative pain. Opioid-free anaesthesia, which combines several opioid-sparing approaches, has lowered the need for postoperative pain control by reducing the need for restricted pain relief. As a result, the goal of this study is to determine the scope of the benefits of going opioid-free throughout the perioperative period. The electronic databases Google Scholar, Science Direct, and PubMed were searched till May 2021. Analytical reviews, randomized controlled trials, and prospective studies comparing all types of intra-operative opioid general anaesthesia against opioid-free general anaesthesia were included in the study. The first measurement of the pain score at rest and one day after surgery were the key goals. Analgesia was defined as the consumption of comparable intravenous morphine after surgery, as well as rates of postoperative nausea and vomiting in the post-anaesthesia care unit one day after surgery. The opioid-free anaesthesia group had lower mean pain scores at rest at the first measurement and postoperatively than the opioid-free anaesthesia group. In the opioid group, postoperative analgesia intake of iv morphine was lower. There was a statistically significant decrease in nausea and antiemetic medicine use among patients who did not get opioids. The opioid-free group had a longer hospital stay. Opioid-free use did not demonstrate significant results in lowering pain in the postoperative period when compared to those who used opioids. It's also linked to less nausea and vomiting after surgery.
Kefir Gel Increased The Epithelial Thickness in First-Degree Sunburn
Authors: Kusumawinakhyu Titik , Dharmana Edi , Nasihun Taufiqurrachman , Chodidjah Chodidjah , Pudjonarko Dwi
Published: December 2022

Background: UVB radiation may cause skin to experience acute symptoms such as erythema and pain. The acute symptoms are categorized as first-degree sunburn. Prevention can be done through kefir gel administration.Purpose: This study aimed to determine differences between effect kefir oral, topical gel, and combination (oral and topical gel) effects and the negative control group on epithelial thickness in first-degree sunburn. Method: An experimental study with post-test only control group design was conducted on BALB/c mice, and the negative control group exposed only with UVB without kefir and oral, topical, and combination (oral and gel) group administration with dose of 0.25 mL/KgBB/day. The epithelial thickness was determined by histopathological preparations of back skin tissue through HE painting. Distribution analysis of data normality was through Shapiro-Wilk test. Homogeneity test of both groups was done through Levene test. One-way Anova test was continued with Post Hoc TukeyHSD test for epithelial thickness.Result: The analysis of Post Hoc TukeyHSD test showed p score <0.05 which meant that there was a significantly higher difference in epithelial thickness of topical group (12.59 ± 2.067) than the negative control (5.30 ± 0.353). Kefir gel dose of 0.25mL/kgBW/day escalates thickness of epithelialization compared to negative control group.Conclusion: There is a significant difference in epithelial thickness between the negative control group and the topical kefir gel treatment groups and the combination of both (oral and topical).