bluuebunny/crossref_metadata_2025 huggingface dataset:
TREATMENT OF SEVERE AORTIC STENOSIS IN PATIENTS WITH LOW SURGICAL RISK
Authors: Sádaba Rafael , Mescola Valentina
Published: August 2024

Following the first implantation of a percutaneous valve in 2002, two of the leading manufacturers of biological valve prostheses developed percutaneous aortic platforms, which have promoted transcatheter aortic valve implantation (TAVI) as an alternative to surgical aortic valve replacement (SAVR). In the last decade, both companies have funded six randomized studies grouping patients according to surgical risk and comparing the results between the two therapies. None of these studies has demonstrated the superiority of one technique over the other in terms of 5-year mortality. In general, patients who received percutaneous valves suffered a higher incidence of the need for pacemaker implantation, perivalvular leaks, and vascular complications, while surgical patients suffered more bleeding and atrial fibrillation. Following these results, the use of TAVI in young and low-risk patients has exponentially increased.
ANEURISMA DE AORTA ASCENDENTE, EXPERIENCIA EN HOSPITAL PÚBLICO DE LA PROVINCIA DE BUENOS AIRES
Authors: Mendoza Gisele , Salomon Carlos , Arenaza Pablo , Acosta José , Aranibar Miguel , Soto Luis , Soria Carlos , Patriz Nicolás , Basso Gabriel
Published: August 2024

Un aneurisma de aorta ascendente es una dilatación permanente en dicha región de la arteria. La historia natural de los aneurismas de la aorta depende de su tamaño y de la debilidad de la pared arterial. La indicación quirúrgica se define con base en el riesgo de rotura. Se realiza un análisis retrospectivo de los casos abordados quirúrgicamente en nuestro servicio, teniendo en cuenta la técnica quirúrgica empleada y las complicaciones posoperatorias.
Design and Development of Combined Mechanical and Pneumatic Valve Spring Remover
Authors: Geleto Abdisa Berisa
Published: August 2024

A combined mechanical and pneumatic valve spring remover is used to remove or install valve springs from an engine while the cylinder head is mounted on the engine or supported on a workbench (off the head). The designed tool was adjustable and mounted over the cylinder head by a stud. It can operate manually to depress the spring or by using an air compressor for a pneumatic actuator. The model of the tools is done by SOLIDWORK 2021 and we selected the stainless steel AISI grade-304(12) material. Tools were made following the calculations that have been done on valve springs. From the data calculation, the force required to depress the valve spring is 1350 N but the tools were designed to produce 1962.5 N by considering some friction loss. The analysis of the pneumatic system done by ANSYS software shows acceptable results like, Von Mises stress (20.036 MPa), maximum principal stress (26.426 MPa), and the total deformation becomes 1.6029×10-3. The prototype was built, and the test was carried out in time efficiently during the removal or installation of the valve spring on Engine YaMZ-238. The test result shows that to remove 4 springs, the designed tool is very effective to use by optimizing the difference in time savings of an average of 1 minute and 17 seconds when removing the spring valve, and 1 minute and 26 seconds when installing the valve, even when we use it mechanically. The developed valve spring remover has several advantages over the standard C-clamp tools, such as greater precision and accuracy in removing valve springs, reduced labor and time required for the task, and Increased safety with minimal human force.
The Impact of Social Support on the College Enrollment Aspirations of Ethnic Minority Vocational Students: A Case Study of a Modern Industrial College in Xinjiang
Authors:   Infrastructure University Kuala Lumpur, Malaysia, ZhuJingjing ZhuJingjing , Rahim Normaliza Abd. ,   Infrastructure University Kuala Lumpur, Taylor’s University, Malaysia
Published: August 2024

In recent years, China has been striving to enhance the quality of the population in ethnic minority areas, promote local talent cultivation, and accelerate local economic development by increasing investment in basic education resources and expanding enrollment in higher education. This study conducted semi-structured interviews with 27 ethnic minority students from a modern industrial college in Xinjiang to explore the influence of social support on academic aspirations. Employing qualitative research methods and drawing on the interview outline by Wang (2020), supported by Ajzen’s (1991) Theory of Planned Behavior, the study concludes that national policies, schools, teachers, and parents influence the academic aspirations of ethnic minority students. Based on these findings, the study suggests the effective implementation of relevant national policies and calls for schools, teachers, and parents to pay attention to and encourage the academic aspirations of ethnic minority students. This study inspires future scholars to pay more attention to the academic aspirations of ethnic minority students, aiming to provide them with more assistance and improve the overall education level of ethnic minority students.
HYBRID GUILLEMOT - CALLOSCIURUS PREVOSTII ALGORITHM
Authors: Kanagasabai Lenin
Published: August 2024

Hybrid Guillemot - Callosciurus prevostii Algorithm (HGC) is designed in this paper.  Key objectives are active power loss reduction and voltage stability augmentation. In Guillemot algorithm, the passage of Guillemot will be in the direction of other Guillemot rendering to warmth deliberation and space. Callosciurus prevostii energetic foraging ploy and glissade process are imitated scientifically to design the algorithm. In the period of autumn season, Callosciurus prevostii seek for food resources by glissade from one Quercus rubra to another, and they change the locations. Guillemot Algorithm and Callosciurus prevostii Optimization Algorithm are hybridized to enhance the exploration and exploitation capabilities of the algorithm in order to attain better solutions. Hybrid Guillemot - Callosciurus prevostii Algorithm (HGC) validated in IEEE 30 and 354 test systems. Active power loss reduction has been achieved with voltage deviation minimization.
A MODELING OF RF PROPAGATION FOR LOW FREQUENCY IN NATURAL CAVES WITH 3D MODEL SIMULATION
Authors: Juntaupalee Atawit , Wongsan Rangsan , Wannakomol Akkhapun , Khamsalee Peerasan , Tansuwan Kiatsuradech
Published: August 2024

The study of the RF propagation model within natural caves remains challenging. In the past, the propagation model in the tunnel was compared using waveguide theory because of the electrical conductivity of tunnel walls. However, waveguide models have limitations because a cut-off frequency from the tunnel dimension does not allow frequencies lower than the cut-off frequency to propagate. Although the frequency wave lower than the cut-off frequency cannot theoretically propagate, in practice, it can propagate through the cave. Therefore, this paper presents the modelling of RF propagation at low frequencies in natural caves using empirical methods by measuring the waves propagated within cave passages at the Chiang Dao Cave (limestone) and the Patihan Cave (sandstone). The measurement will focus on analyzing and comparing factors, propagation mechanisms, and behavior, which cover the frequencies at 300, 1000, 1650, 2325, and 3000 kHz, to develop the low-frequency attenuation model within the cave proposed in this paper. The 3D cave models obtained from a LiDAR scanner were used to calculate the physical factors of the cave walls, and then the path losses were calculated using our proposed model and compared to the experimental results. In addition, the path losses calculated using 1) CST simulation software and 2) the waveguide model were also compared with the results from the proposed model. The results obtained from the proposed model provide attenuation values similar to those of the experimental results. Finally, the concept of the low-frequency attenuation model can be used for the prediction and analysis of the propagation performance of low-frequency waves in caves, tunnels, or underground mines and lead to the development of cave communication technology and electromagnetic knowledge in the future.
The Effect of Human Resource Experience on the Quality of SKPD Financial Statements with the Government's Internal Control System as a Moderating Variable
Authors: Rosnawaty Rini , Silviana Silviana
Published: August 2024

The purpose of this study is to test the influence of human resource experience on the quality of SKPD financial statements with the government's internal control system as a moderating variable. This type of research uses explantory with the use of a quantitative approach. The population in this study is 38 Regional Apparatus Work Units (SKPD) that have general functional positions in the preparation of financial statements in the West Java Provincial Government. The method of determining the sample is the census method so that the entire population is used as a research sample. The data in this study are primary data and data collection techniques using questionnaires. Hypothesis testing uses the Moderation Regression Model with the help of the Statistical Product and Service Solution (SPSS) version 25 program. The results of this study prove that human resource experience has a positive and insignificant influence on the quality of SKPD financial statements, and the government's internal control system is unable to increase the influence of human resource experience on the quality of SKPD financial statements. It is hoped that there will be improvements in government apparatus, as well as leaders to always provide support and evaluation of employees and experience in creating a supportive work environment to improve the quality of SKPD financial reports through education and training.
LEGAL LIABILITIES OF ARTIFICIAL INTELLIGENCE: AN OVERVIEW
Authors: Kalagi Sunil , Gubbewad Renuka S. , Gondale Aayush
Published: August 2024

Objective: The main objective of the paper is to study the need for Special Regulatory legislation for Technology especially Artificial intelligence (AI) as well as examine how AI and law work together. The paper evaluates the liability of AI when it violates Human Rights and Data Privacy. The paper evaluates how AI has created new possibilities and had posed challenges by interfering Human Rights and challenging Sustainable Development comparing the developments happening in European Union (EU) with countries like India. The paper also attempts to make the complex debate more comprehensible for those with no expertise in this area.
 
Method: The Comparative research approach was administered by highlighting the EU methods to tackle and address the AI liabilities. Analogy and review of the Product Liability Directive (PLD) which is proposed and published by European Union (EU) for an AI system liability and suggestions of National Institution for Transforming India (NITI) Aayog of India to attain Sustainable National Economic Development. The paper analyses from financial and lucrative perspective, what liability rules would curtail the financial damages and other harms caused by AI systems which affect Sustainable Development.
 
Results: The paper findings suggest that influence factor of AI applications should be included in existing Liability framework and must be consistently updated as AIs are characterised by unpredictability and independence. Both the EU and India NITI Aayog states that regulatory insight must be an ethical reinforcement for AI practice and hence ensure the sustainability of AI technologies.
 
Originality/Value: The recent government initiatives in EU and India are discussed with respect to the AI liability. The study provides positive insights of Artificial Intelligence (AI) technology and its liabilities to achieve Economic Sustainable Development. The key findings of the paper highlight the importance of Salmond’s defined Tortious liability during British Era for AI technologies for protecting Human Rights and also achieve Sustain Development.
Nitrogen-like depth profiles of the selected noble gases and lubricantelements in WC-Co tools used in wood-based material machining
Authors: Barlak Marek
Published: August 2024

Nitrogen-like depth profiles of the selected noble gases and lubricant elements in WC-Co materialthe tools used in wood-based material machining. An attempt of the modelling of nitrogen-like depth profilesof ions for three noble gases and four lubricant elements. Modelling was executed in four stages. The similarprofiles were obtained for the ion energy in the range from 13.7 to 125 keV. The difference in the obtainedprofile parameter values, such as the projected range and the range straggling, was less than 1%.
Saúde na Escola: Uma Continuidade Necessária
Authors: Cantuária Dayse Ferreira Gomes
Published: August 2024

Promover a saúde na escola é uma prática fundamental para garantir o bem-estar dos estudantes e contribuir para o seu desenvolvimento integral. Ações voltadas para a promoção de hábitos saudáveis, prevenção de doenças e acesso a serviços de saúde são essenciais para criar um ambiente escolar favorável ao aprendizado e ao crescimento saudável dos alunos. Além disso, integrar a saúde nas atividades pedagógicas pode fortalecer a conscientização sobre a importância de cuidar do corpo e da mente desde a infância. Educar para a saúde na escola é, portanto, uma continuidade necessária que impacta positivamente não apenas no desempenho acadêmico, mas também na qualidade de vida de toda a comunidade escolar.
Formação Docente e Competência Digital na Educação
Authors: Vieira Eliana Maia
Published: August 2024

A ludicidade contribui para o desenvolvimento de habilidades socioemocionais, tão importantes no mundo contemporâneo. Através das interações lúdicas, as crianças e jovens aprendem a lidar com a frustração, a desenvolver a empatia, a resolver conflitos e a trabalhar em equipe. Dessa forma, a formação docente que integra o lúdico como estratégia pedagógica não apenas promove a aprendizagem acadêmica, mas também o desenvolvimento integral dos estudantes. Assim, este estudo pretende analisar o aporte da formação docente no desenvolvimento da competência digital para o exercício de atividades lúdicas na sala de aula. Após as análises bibliográficas, ficou claro que a formação docente e o lúdico na educação são elementos indissociáveis no processo de ensino e aprendizagem. Através da integração de atividades lúdicas no cotidiano escolar, os professores podem contribuir significativamente para o desenvolvimento cognitivo, social e emocional de seus alunos, preparando-os para enfrentar os desafios da sociedade contemporânea. Assim, investir na formação de professores que compreendam e valorizem o potencial educativo do lúdico é essencial para a construção de uma educação mais inclusiva, criativa e humanizada.
Digital Transformation in Nautical Tourism
Authors:   University of Montenegro, Faculty of Tourism and Hotel Management, Manojlović Mileva , Stanovčić Tatjana ,   University of Montenegro, Faculty of Tourism and Hotel Management, Perović Đurđica ,   University of Montenegro, Faculty of Tourism and Hotel Management
Published: August 2024

Digitization in the domain of nautical tourism has stimulated the implementation of innovative applications, serving as integral support mechanisms for service users. This transformation has also given rise to specified smart business ecosystems, ensuring the joint generation of value for all stake-holders. As a result, innovative technologies have not only transformed the overall nautical experience but also led to reduced operating costs and the development of effective business practices, thus becoming a strategic priority for nautical companies. Based on the analysis of a wide body of literature, this paper aims to underscore the significance of information technology and interactive smart systems in nautical tourism. Through the implementation of digital and smart technologies, it becomes feasible to manage multiple segments, including actors, devices and security systems. This operationalization of ship management activities aims to enhance the experience for guests and crew in continuation.
comparative review and novel design possibilities on solar-driven absorption LiBr-H2O refrigeration system
Authors: Gunawan Sonix , Arfianto Widi , Heryadi Budi
Published: August 2024

Solar energy is a promising source of energy because of its potential due to the reduction usage of non-renewable energy. As the demand for cooling increases, solar-powered cooling technologies are becoming increasingly promising. Among the different solar cooling systems, LiBr-H2O absorption chillers are commonly used due to their advantages over NH3-H2O systems. Multiple cycle LiBr-H2O chillers can be powered by easily available flat-plate, evacuated tubular or parabolic solar collectors. This paper reviews Theoretical Principles-Based Analysis and Simulations of solar LiBr-H2O absorption cooling systems, performance comparison of each types and introduces new design options related to auxiliary energy systems and cooling mode cycle. The paper also summarizes other main types of solar absorption cooling systems, including double-effect, half-effect, triple effect and give updates of new technology design of hybrid effect. The choice of water-cooled or air-cooled absorption refrigeration depends on the local climate and water availability. Recent advances have made air-cooled absorption refrigeration a viable option, with comparable COP to water-cooled systems and lower maintenance requirements. Additionally, geothermal heat rejection with low pressure drops can further reduce energy consumption. Solar-powered double-effect absorption cooling systems are recommended for buildings with high cooling loads, while half-effect are suitable for air-cooled solar absorption cooling systems in hot and dry regions with limited water. This paper is specifically intended for those interested in developing solar-driven LiBr-H2O absorption chillers, emphasizing the importance of establishing standardized design guidelines to specific regions and climates in order to promote and expand the usage of solar cooling systems.
Permanent tubular steel pile cofferdam foundations
Authors: Terada Kazumi , Saito Daisuke
Published: August 2024

This paper describes an innovative Japanese technique for constructing bridge foundations underwater.
Project design – turning theory into practice: Profitability and the '12 minute principle'
Authors: Briggs Andrew
Published: August 2024

Andrew Briggs considers the impact that short periods of inefficient working can have on a design company's profit margin.
Interstate 90 Connector Tunnel ceiling collapse
Authors: Brady Sean
Published: August 2024

Sean Brady highlights potential similarities between the recent Sasago road tunnel collapse in Japan and the catastrophic failure of part of Boston's I-90 Connector Tunnel in 2006.
FEVER AS A CLINICAL MANIFESTATION DURING THE ERUPTION OF PRIMARY TEETH
Authors:   State Autonomous Healthcare Institution «City Children's Clinic No. 7», Gilfanova E.A.
Published: August 2024

Abstract. A clinical case of teething is presented, accompanied by a worsening of the general condition, an increase in body temperature, refusal to eat, and dyspeptic symptoms. The drug Viburcol® was prescribed; while taking it, the clinical manifestations during the eruption of baby teeth were stopped.
THE USE OF TRAUMEEL S® OINTMENT IN THE COMPLEX TREATMENT OF POST-TRAUMATIC CONDITIONS IN THE PRACTICE OF AN OTORHINOLARYNGOLOGIST
Authors:   LLC «Medica», Demyanenko E.V.
Published: August 2024

A clinical case describes the treatment of facial and nasal trauma in a child complicated by rhinosinusitis. The choice of optimal treatment tactics allows you to eliminate the adverse cosmetic and pathophysiological consequences of the injury.
THE POSSIBILITY OF APPLYING BIOREGULATORY MEDICINE DRUGS AS PART OF THE COMPLEX THERAPY FOR PRIMARY OSTEOARTHRITIS OF THE SHOULDER JOINT
Authors:   Doctor Popov Medical Center, Popov N.A.
Published: August 2024

The presented clinical case examines the possibility of using bioregulatory medicine as part of complex therapy for primary osteoarthritis of the shoulder joint, trabecular edema in the area of the head of the humerus, minor synovitis, and calcifying subacromial bursitis. The use of complex therapy for the treatment of the above pathology of the shoulder joint, including the use of the drugs Zeel T and Traumeel S®, gave a pronounced analgesic, anti-inflammatory effect and a good, clinically significant result.
PAIN SYNDROME WITH PLANTAR FACCIITIS, REACTIVE SYNOVITIS OF THE FOOT JOINTS, ANKLE JOINTS AND LYMPHOSTASIS IN THE LOWER LIMB AREA
Authors:   LLC «Baltzdrav», Finozhenok V.G.
Published: August 2024

An analysis of management tactics in the presence of pain in a patient with plantar fasciitis, reactive synovitis of the joints of the foot, ankle and lymphostasis in the lower limb is provided. Against the background of the therapy, a clear positive dynamics was noted — restoration of the function of the longitudinal arch of the foot, a more even distribution of the load between the right and left foot.
THERAPY OF PAIN IN THE LUMBAR SPINE AFTER SPORTS INJURY
Authors:   Family Medicine Clinic «Eucalyptus», Khelaya D.O.
Published: August 2024

The article discusses the treatment of pain in the lumbar spine in a patient after a sports injury. According to the results of the therapy, the pain syndrome was completely relieved. This therapy showed a lasting therapeutic effect.
THE USE OF EUPHORBIUM COMPOSITUM NASENTROPFEN S® AND ENGYSTOL® AS COMPLEX THERAPY OF ACUTE RHINITIS AND PHARYNGITIS
Authors:   St. Petersburg State Budgetary Institution «Children's City Polyclinic No 50», Vinokurova M.I.
Published: August 2024

In the clinical case under consideration, a positive effect was achieved in the treatment of acute rhinitis and pharyngitis through the use of Euphorbium сompositum Nasentropfen S® and Engystol® as part of complex therapy.
BIOREGULATORY APPROACH TO COMPLEX THERAPY OF ACUTE RESPIRATORY DISEASE
Authors:   St. Petersburg State Budgetary Institution «Children's City Polyclinic No 50», Vinokurova M.I.
Published: August 2024

In the clinical case under consideration, a positive effect was achieved in the treatment of acute nasopharyngitis through the use of complex therapy with the drugs Euphorbium compositum Nasentropfen S® and Engystol®. Therapy using bioregulatory drugs allows you to effectively and quickly help the patient.
Edukasi Tanda Bahaya Kehamilan Pada Kelas Ibu Hamil Puskesmas Cipaku
Authors: Asmarani Sri Utami , Purwati Ayu Endang , Yulianingsih Ade Putri
Published: August 2024

Introduction: The success of maternal health programmes can be assessed through the key indicator of maternal mortality rate (MMR). Maternal mortality is defined as all deaths during the period of pregnancy, labour, and puerperium that are caused by its management but not due to other causes such as accidents or incidentals. Knowledge of danger signs in pregnancy is very helpful in reducing MMR, because by knowing the danger signs in pregnancy a pregnant woman will seek health services more quickly so that risks in pregnancy will be detected and handled earlier.
Objective: This community service was carried out to increase the knowledge of pregnant women in the Cipaku Health Centre pregnant women class about danger signs in pregnancy.
Method: The method of implementing this community service by providing education in the form of lectures, discussions and answering questions from participants.
Result: The results of the pre-test given before the provision of education showed that there were 6 (60%) mothers who were able to answer the pre-test questions correctly. The post test was given after the provision of education, where the results showed that there were 10 (100%) pregnant women who could increase their knowledge about danger signs in pregnancy.
Conclusion: Pregnant women are very enthusiastic in participating in activities that include providing education about pregnancy danger signs. Community service activities also increase the knowledge of pregnant women so that pregnant women can detect danger signs in pregnancy and immediately check with health workers if there are danger signs of pregnancy.
Dukungan Sosial Pada Pasien Skizofrenia
Authors: Hidayat Asep Wahyudin , Riyantina Ade Sity , Hertini Reni , Nurjanah Nurjanah , Rofiah Rofi , Muflihah Muflihah , Lestari Suci Dwi
Published: August 2024

Introduction: Schizophrenia is a psychotic disorder characterized by disturbed thoughts, emotions and behavior. Schizophrenia occurs due to chemical abnormalities in the brain so that nerve impulses and systemic functions are disrupted. This makes sufferers unable to process information from and to the five senses so that inappropriate projections appear
Objective: The samples that were used as research subjects were 96 respondents
Method: This type of research is a type of quantitative analytic research using a cross sectional approach. In this study data collection for the independent variable and the dependent variable was carried out simultaneously based on the status of the situation at that time (data collection), namely the relationship between stress levels and blood pressure in the elderly.
Result: this program was successful in providing knowledge about social support for schizophrenia patients.
Conclusion: In conclusion, this program was successful in providing knowledge about social support for schizophrenia patients.
Image Guided Management of Haemoptysis
Authors: Sharma Sanjiv , Mukund Amar , Khera Pushpinder Singh , Rajagopal Rengarajan , Banode Pankaj , Kumar N Shyam , Kumar Sanjeev , Shaw Manish , Hatimota Pradeep , Pandey Niraj
Published: August 2024

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Hip Osteoarthritis
Authors: Goel S.C. , Arya R K , Agrawal Alok C , Jain Vijay , Pal CP , Sharma Vineet , Gaur Sanjeev , Mittal Samarth , Kumar Sandeep , Kabra Apoorva
Published: August 2024

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Efficacy of Commonly Used Anthelmintics Against Naturally Occurring Gastrointestinal Nematodes in Goats
Authors: Mitra Binita , Jana Partha Sarathi , Kesh Shyam Sundar , Pandit Soumitra , Jas Ruma
Published: August 2024

Efficacy of four commonly used anthelmintics have been evaluated against naturally occurring gastrointestinal nematodes in goats following the method of faecal egg count reduction test (FECRT) in the present study. Fifty goats in the age group of 1 to 2 years old and of either sex, having infection with strongyle group of nematodes were selected in the sheep and goat farm under project ‘Biotech Kisan Hub”, West Bengal University of Animal and Fishery sciences and the goats were equally divided into five groups; group I (infected control), group II (albendazole treated), group III (fenbendazole treated), group IV (ivermectin treated) and group V (levamisole treated). Faecal egg count (FEC) in terms of eggs per gram of faeces (EPG) were estimated in all the experimental goats (n = 50) on 0-day post treatment (0 DPT) and again on 10 DPT. Efficacy of albendazole, fenbendazole, ivermectin and levamisole were 78.15%, 80.24%, 86.38% and 95.46%, respectively. Comparatively less efficacy of albendazole and fenbendazole indicated the emergence of anthelmintic resistance and lower efficacy of ivermectin might be due selection of resistant worms. Efficacy of levamisole was comparatively higher and it can be used strategically to control GI helminth parasites of goats in that farm.
Shorebirds: Threats and Strategies for Conservation
Authors: Mhatre Manda Anil
Published: August 2024

Shorebirds or waders inhabit in the coastal littoral zone and play critical role in the marine ecosystems and environmental monitoring. Ecological services provided by shorebirds include facilitating energy and nutrient transfer; enrich soils to increase biodiversity along with primary and secondary production. Shorebirds are used as indicators of pollution, environmental change, food chain, and climate change. These birds are vulnerable to hunting pressure, habitat changes, disturbance and other threats. Disturbance to roosting or feeding shorebirds is a major concern along coastlines. Shorebirds can adapt to regular disturbances at predictable distances; but some loud, unpredictable disturbances such as shouting, people running, jet skis, helicopters, kite boards, fast and noisy boats, and dogs are the most threatening to them. Anthropogenic stressors such as chemical pollution, fishing, habitat loss, invasive alien species/introduced species, marine debris, oil spills, poaching, and shipping pose threats to the shorebirds. Human activities can affect the shorebirds, either directly or by producing behavioural or physiological impacts. Present review attempts to provide an illustrative and updated account of shorebirds relevant to current status; natural, anthropogenic, and emerging and under-studied threats; and strategies to be adopted for better conservation and restoration of shorebirds. This study suggests that about threats to shorebirds, future research priorities should be given to assess the cumulative effects of anthropogenic stressors on shorebirds and to recommend effective preventive measures.
TEH HERBAL LEMONGRASS CITRONELLA EFEKTIF UNTUK MENURUNKAN KADAR ASAM URAT PADA PENDERITA HIPERURISEMIA
Authors: Andriani Andriani , Fatmawati Istiadah
Published: August 2024

Salah satu penyakit tidak menular yang cukup menimbulkan gangguan pada penderitanya adalah hiperurisemia. Hiperurisemia ditandai dengan peningkatan kadar asam urat serum di atas normal. Hiperurisemia dipengaruhi oleh banyak faktor seperti usia, jenis kelamin, pekerjaan, pola makan dan lain sebagainya. Tatalaksana pengendalian hiperurisemia yang dilakukan seringkali mengalami kegagalan karena kurangnya kepatuhan penderita hiperurisemia dalam melakukan setiap advice yang disarankan oleh tenaga kesehatan. Salah satu upaya yang dikembangkan untuk membantu penderita hiperurisemia dalam melakukan pengendalian kadar asam urat adalah dengan mengkonsumsi teh herbal lemongrass citronella. Penelitian ini menggunakan rancangan penelitian pra-eksperimental dengan pendekatan one group pra-post test design. Teknik sampling yang digunakan adalah nonprobability sampling dengan jenis purposive sampling. Sampel dalam penelitian ini adalah sebagian penderita hiperurisemia di wilayah kerja Puskesmas Purwosari Kabupaten Pasuruan sebanyak 64 responden yang memenuhi kriteria penelitian. Variabel independent dalam penelitian ini adalah pemberian intervensi teh herbal lemongrass citronella, sedangkan variabel dependent dalam penelitian ini adalah kadar asam urat dalam darah. Uji analisa data digunakan uji wilcoxon signed rank test. Berdasarkan output test statistics menggunakan wilcoxon signed rank test didapatkan nilai asymp sig (2-tailed) sebesar 0,000 < α (0,05) maka hipotesis penelitian diterima yang berarti teh herbal lemongrass citronella efektif terhadap perubahan kadar asam urat pada penderita hiperurisemia di wilayah kerja Puskesmas Purwosari Kabupaten Pasuruan. Diversifikasi produk olahan sereh dalam bentuk teh herbal lemongrass citronella menjadikan sereh dapat dimanfaatkan sebagai terapi komplementer untuk mengendalikan kadar asam urat dalam darah pada penderita hiperurisemia dan sekaligus sebagai variasi terapi pengobatan
TERAPI KOMPLEMENTER PENURUN KADAR GULA DALAM DARAH PADA PENDERITA DIABETES MELLITUS
Authors: Pratama Firmansyah Putra , Darsini Darsini
Published: August 2024

Penatalaksanaan diabetes mellitus yang terdiri dari pengaturan pola makan, melakukan aktivitas fisik secara teratur, dan menjaga berat badan merupakan cara untuk melakukan pengendalian kadar gula dalam darah pada penderita diabetes mellitus. Namun dalam faktanya, untuk melakukan tatalaksana tersebut, masih sering ditemukan pasien diabetes mellitus yang tidak mampu menerapkan secara teratur. Salah satu terapi komplementer untuk mengendalikan kadar gula dalam darah adalah dengan mengkonsumsi teh herbal daun salam dan jahe merah. Tujuan penelitian ini adalah untuk mengetahui pengaruh konsumsi teh herbal daun salam dan jahe merah terhadap perubahan kadar gula dalam darah pada pasien  diabetes mellitus tipe 2. Jenis penelitian yang digunakan adalah quasy ekperimental. Sampel dalam penelitian ini adalah sebagian penderita diabetes mellitus tipe 2 sebanyak 51 responden. Dalam penelitian ini menggunakan probability sampling dengan jenis simple random sampling. Variabel independen dalam penelitian ini adalah konsumsi teh herbal daun salam dan jahe, sedangkan untuk variabel dependennya adalah kadar gula dalam darah. Terdapat pengaruh yang bermakna pemberian teh herbal daun salam dan jahe merah pada pasien diabetes mellitus tipe 2 terhadap perubahan kadar gula dalam darah dengan nilai Asymp Sig (2-tailed) sebesar 0,001 < α (0,05). Konsumsi teh herbal daun salam dan jahe merah merupakan salah satu jenis terapi komplementer yang dapat diaplikasikan pada penderita diabetes mellitus. Untuk mendapatkan hasil yang optimal dibutuhkan kesabaran serta kepatuhan dari pasien diabetes mellitus tipe 2 untuk mengkonsumsi teh herbal daun salam dan jahe merah setiap harinya. Disamping itu, pasien diabetes mellitus tipe 2 masih harus mematuhi setiap advice dari tenaga kesehatan
STUDI KORELASI POLA MAKAN DENGAN KADAR KOLESTEROL PADA PASIEN STROKE
Authors: Yudha Ardytama Kusuma , Suidah Hartin
Published: August 2024

Hiperkolesterolemia merupakan gangguan kesehatan yang diakibatkan karena terjadinya penumpukan kadar kolesterol dalam darah. Kadar kolesterol yang berlebih dalam darah akan mudah melekat pada dinding sebelah dalam pembuluh darah dan beresiko memicu terjadinya penyempitan saluran pembuluh darah. Proses ini biasanya disebut dengan aterosklerosis. Salah satu faktor yang mempengaruhi kadar kolesterol total adalah pola makan. Tujuan penelitian ini adalah untuk mengetahui hubungan pola makan dengan kadar  kolesterol  pada  pasien stroke di Ruang Sedap Malam Rumah Sakit Islam Nashrul Ummah Lamongan. Penelitian ini mengunakan jenis penelitian analitik dengan pendekatan crosssectional. Sampel dalam penelitian ini adalah sebagian pasien stroke di Ruang Sedap Malam Rumah Sakit Islam Nashrul Ummah Lamongan sebanyak 29 responden yang diambil menggunakan teknik nonprobability sampling dengan jenis consecutive sampling. Variabel independen dalam penelitian ini adalah pola makan. Variabel dependen dalam penelitian ini adalah kadar kolesterol. Untuk mengetahui hubungan pola makan dengan kadar kolesterol pada pasien stroke digunakan uji korelasi rank spearman rho dengan tingkat signifikasi α : 0,05. Ada hubungan pola makan dengan kadar kolesterol pada pasien stroke di Ruang Sedap Malam Rumah Sakit Islam Nashrul Ummah Lamongan dengan signifikasi p value sebesar 0,000. Kepatuhan penderita hiperkolesterolemia dalam penerapan pola makan, merupakan kunci utama keberhasilan dalam pengendalian kadar kolesterol dalam darah agar berada dalam kondisi optimal terkendali. Dibutuhkan peran berbagai pihak (perawat dan keluarga) untuk memberikan dukungan kepada penderita hiperkolesterolemia dalam penerapan pola makan guna menurunkan resiko terjadinya serangan stroke berulang akibat peningkatan kadar kolesterol yang tidak terkendali
PENGARUH MEDIA BERMAIN PLAYDOUGH TERHADAP PENINGKATAN GERAK MOTORIK HALUS PADA JARI-JEMARI TANGAN ANAK USIA 4-6 TAHUN
Authors: Soraya Putri Aulia , Suwanti Iis
Published: August 2024

Perkembangan gerak motorik halus pada anak merupakan salah satu dimensi perkembangan dan pertumbuhan yang harus menjadi perhatian. Hal ini dikarenakan keterlambatan perkembangan gerak motorik halus halus pada anak dapat mengakibatkan penurunan self confident, kurang aktif dan sulit beradaptasi dengan lingkungan. Salah satu cara untuk meningkatkan pencapaian gerak motorik halus adalah menggunakan media bermain playdough. Desain penelitian ini adalah Pre Eksperimental dengan pendekatan One Group Pre Test-Post Test Design. Sampel dalam penelitian ini adalah seluruh anak di TK Darul Akhlaq Toronan Pamekasan sebanyak 26 anak. Teknik sampling yang digunakan adalah Non probability sampling dengan jenis Total sampling. Variabel independent dalam penelitian ini adalah media bermain playdough dan variabel dependent dalam penelitian ini adalah kemampuan gerak motorik halus. Instrumen pengumpulan data dalam penelitian ini menggunakan checklist. Dan uji analisis data menggunakan Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan bahwa ada pengaruh media bermain playdough terhadap peningkatan gerak motorik halus (meniru bentuk dan menggunakan alat tulis) pada jari-jemari tangan anak usia 4-6 tahun di TK Darul Akhlaq Desa Toronan Pamekasan. Media bermain playdough salah satunya bermanfaat untuk meningkatkan gerak motorik halus. Hal ini dikarenakan penggunakan media playdough akan menstimulasi gerakan jari-jemari anak untuk bisa mengeksplor lebih jauh dan untuk pencapaian perkembangan gerak motorik halus pada anak
HUBUNGAN RESILIENSI DENGAN KESEJAHTERAAN PSIKOLOGIS PADA LANJUT USIA
Authors: Pratama Ade Fatika , Murtiyani Ninik
Published: August 2024

Rasa terbuang, tersisih, merasa tidak dibutuhkan lagi, ketidakikhlasan menerima kenyataan baru, dan kecewa terhadap anak-anaknya karena tidak ada yang merawat masa tuanya adalah permasalahan yang muncul pada lansia yang tidak bisa menerima dirinya ditinggalkan di panti jompo oleh keluarganya. Penelitian ini bertujuan untuk mengetahui hubungan resiliensi dengan kesejahteraan psikologis lansia di UPT. Pesanggrahan PMKS Mojopahit Kecamatan Sooko Kabupaten Mojokerto. Desain penelitian ini adalah non-eksperimental korelasional dengan metode cross sectional. Jumlah sampel sebanyak 25 responden menggunakan teknik simple-random sampling. Teknik pengambilan data menggunakan lembar kuesioner pada kedua variabel. Analisis data yang digunakan adalah uji korelasi Spearman rho dengan tingkat signifikansi 0,05. Hasil penelitian menyatakan bahwa sebagian besar lansia memiliki tingkat resiliensi dan kesejahteraan psikologis sedang. Hasil uji Spearman rho menunjukkan nilai sig. 0.002 (< 0,05) dimana adanya hubungan yang signifikan antara tingkat resiliensi dengan kesejahteraan psikologis lansia. Penelitian ini menunjukkan bahwa resiliensi memiliki korelasi positif dengan kesejahteraan psikologis lansia, dan tingkat hubungan yang sedang dengan nilai koefisien korelasi sebesar 0,584. Dalam membantu lansia, petugas panti sebaiknya mengajak lansia dalam kegiatan seperti olahraga, penyuluhan kesehatan, kegiatan rohani, serta hiburan/rekreasi
STUDI KORELASI LINGKAR PERUT DENGAN KADAR GULA DALAM DARAH
Authors: Darsini Darsini , Purwanto Fajar
Published: August 2024

Diabetes mellitus tipe 2 merupakan penyakit hiperglikemi akibat insensivitas sel terhadap insulin. Kadar insulin mungkin sedikit menurun atau berada dalam rentang normal. Karena insulin tetap dihasilkan oleh sel-sel beta pankreas, maka diabetes mellitus tipe 2 dianggap sebagai non insulin dependent diabetes. Salah satu faktor yang diidentifikasi sebagai pencetus diabetes mellitus tipe 2 adalah obesitas. Obesitas itu sendiri ditandai dengan peningkatan lingkar perut diatas batas normal. Tujuan penelitian ini adalah untuk mengetahui hubungan antara lingkar perut dengan kadar gula dalam darah. Penelitian ini termasuk penelitian observasional analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah sebagian masyarakat usia produktif di Dusun Gayaman Desa Gayaman Kecamatan Mojoanyar Kabupaten Mojokerto yang memenuhi kriteria penelitian sebanyak 158 responden yang dipilih menggunakan teknik simple random sampling. Instrument penelitian menggunakan kuesioner dan lembar observasi. Variabel independen dalam penelitian ini adalah lingkar perut dan variable dependen dalam penelitian ini adalah kadar gula dalam darah. Analisa data dilakukan menggunakan uji korelasi rank spearman rho. Dari hasil uji korelasi ranks spearman rho didapatkan nilai koefisien korelasi sebesar 0,405 dan nilai Sig (2-tailed) sebesar 0,000 < signifikansi α (0,05) maka dapat disimpulkan bahwa ada hubungan lingkar perut dengan kadar gula dalam darah pada masyarakat Dusun Gayaman Desa Gayaman Kecamatan Mojoanyar Kabupaten Mojokerto dengan kekuatan hubungan sebesar 0,045 (tingkat korelasi cukup). Pengendalian berat badan pada penderita diabetes mellitus akan membantu penderita diabetes mellitus dalam mengendalikan kadar gula dalam darah yang dimiliki serta menurunkan risiko kekambuhan akibat peningkatan kadar gula dalam darah yang tidak terkendali
PENGARUH PEMBERIAN JAMU GEPYOKAN TERHADAP KELANCARAN PRODUKSI ASI PADA IBU NIFAS
Authors: Juraidah Juraidah , Farida Siti Nur
Published: August 2024

Salah satu faktor yang mempengaruhi praktik pemberian ASI Eksklusif adalah kelancaran produksi ASI pada ibu bayi. Fakta dilapangan seringkali ditemukan bayi yang tidak mendapatkan ASI sesuai dengan kebutuhan karena jumlah ASI yang keluarkan oleh ibu tidak sesuai kebutuhan bayi. Tujuan penelitian ini adalah untuk mengetahui pengaruh jamu gepyokan terhadap produksi ASI pada ibu nifas di PMB Khoirul Bahriyah Kabupaten Pasuruan. Jenis penelitian ini adalah quasi eksperimen dengan pendekatan pre post control group design. Sampel dalam penelitian ini adalah seluruh ibu bayi usia 0-6 bulan di PMB Khoirul Bahriyah Kabupaten Pasuruan sebanyak 40 ibu yang diambil menggunakan teknik total sampling. Variabel independent dalam penelitian ini adalah pemberian jamu gepyokan. Variabel dependent dalam penelitian ini adalah produksi ASI. Instrumen dalam penelitian ini adalah lembar observasi. Untuk mengetahui pengaruh jamu gepyokan terhadap produksi ASI pada ibu nifas di PMB Khoirul Bahriyah Kabupaten Pasuruan digunakan uji wilcoxon dengan signifikasi α : 0,05. Dari hasil uji wilcoxon dengan signifikasi α (0,05) didapatkan nilai asymp sig (2-tailed) pada kelompok perlakuan (diberikan jamu gepyokan) sebesar 0,001 < α (0,05) sehingga hipotesis penelitian H1 diterima yang berarti ada pengaruh jamu gepyokan terhadap produksi ASI pada ibu nifas dari kelompok perlakuan (diberikan jamu gepyokan) di PMB Khoirul Bahriyah Kabupaten Pasuruan. Penggunaan jamu gepyokan selain aman juga sebagai salah satu upaya untuk mulai mengenalkan terapi komplementer pada ranah pelayanan asuhan kebidanan. Dibutuhkan pemahaman dari bidan untuk bisa mengaplikasikan terapi komplementer berupa ajamu gepyokan kepada ibu menyusui terutama untuk memperlancar produksi ASI dan meningkatkan cakupan ASI Eksklusif
HUBUNGAN PENGETAHUAN, SIKAP DAN PERAN KADER DENGAN KELENGKAPAN IMUNISASI DI DESA SUMBER SECANG
Authors: Rahayu Puji , Ermawati Iit , Ekasari Tutik
Published: August 2024

Imunisasi merupakan suatu upaya untuk menimbulkan/ meningkatkan kekebalan seseorang secara aktif terhadap suatu penyakit sehingga bila suatu saat terpajan dengan penyakit tersebut tidak akan sakit atau hanya mengalami sakit ringan. Imunisasi Dasar adalah Imunisasi yang diberikan kepada bayi  sebelum berusia satu tahun. Tujuan penelitian ini adalah mengidentifikasi dan menganalisis hubungan pengetahuan terhadap kelengkapan imunisasi dasar, hubungan sikap terhadap kelengkapan imunisasi dasar dan hubungan peran kader dengan kelengkapan imunisasi dasar di Desa Sumber Secang. Penelitian ini merupakan penelitian kuantitatif dengan 97 responden dengan total sampling menggunakan kuisioner tertutup.Pengolahan data melaluitahap editing, coding, scoring dan tabulating. Kemudian dianalisa menggunakan Uji Chi-square melaluiaplikasi SPSS versi 26.0. Hasil penelitian menunjukkan bahwa sebagian besar responden dengan pengetahuan baik 52 responden (53,6%), sebagian besar responden yang memiliki sikap mendukung imunisasi dasar lengkap berjumlah 55 responden (56,7%), dan sebagian besar responden menjawab kader berperan baik terhadap kelengkapan imunisasi dasar berjumlah 63 responden (65%). Ada hubungan yang signifikan antara pengetahuan ibu dengan kelengkapan imunisasi dasar (p-value = 0,031), adahubungan yang signifikan antara sikap ibu dengan kelengkapan imunisasi dasar (p-value = 0,000), tidak da hubungan yang signifikan antara peran kader dengan kelengkapan imunisasi dasar (p-value = 0,237). Diharapkan kepada masyarakat khususnya ibu yang memiliki bayi agar lebih aktif dalam mencari informasi terkait imunisasi dasar yang seharusnya diberikan kepada anak sehingga tidak ada lagi anak yang mempunyai status imunisasi tidak lengkap
Online Extremism, Cognitive Dissonance and Students’ Agitation Rallies: Analyzing perception of Facebook users in Pakistan
Authors: Khalid Niba , Zahid Khan Dr. Maham , Ishaq Dr. Nasim
Published: August 2024

With the emergence of social media hot trends, deliberate acts of getting masses involved in agitation movements got popular from political or ideological groups in Pakistan. Youth, as the primary receiver of social media inciting emotionalism campaigns has been the major stakeholder in this regard. An emerging concern has been observed in the form of student unions’ demonstrations staged in the favor of restoration of student unions banned by President Zia-ul-Haq in 80s. These unions under the banner of Student Action Committee have taken to the street to pressurize the government to fulfill their charter of demands including restoration of students unions, freezing fee hikes, polices on sexual harassment and representation of students’ decision making in campuses. Thus the demonstrations resulted in the heavily bombardment of extremist narratives on social media regarding student solidarity march. Due to the series of events, the student solidarity march has gathered different opinions aiming at creating conflict among people of different school of thoughts. The diversity of opinion among various segments of society may create a perception of this march as political, ethnic or educational movement or involving the participants in a constant state of dissonance as participating in demonstrations without having clarity about the purpose, objectives and agenda of such processions. Drawing upon the theoretical perspective of Cognitive Dissonance, the study tends to investigate the FB users' reaction towards the students solidarity march. For this purpose, 150 Facebook respondents are selected by using purposive sampling and surveyed. The findings suggested that all the hypotheses are proven on finding P value 0.000 using Spearman correlation as more exposure to the student agitation movement is negatively correlated with more dissonance in the minds of audience and exaggerated coverage of student movement is also positively correlated with the conflict of thoughts among the audience. Moreover, it is also found that student agitation movement is catering political agenda under the name of education.
Immediacy and Journalistic Authority For Reporting Environmental Disasters: Case Study Of 2022 Floods Of Pakistan
Authors: Akram Ghias , Naseer Dr.Moazam , Raza Syed Muhammad Hasnain
Published: August 2024

Real-time journalism is informing the public about the pace of the event that is happening. The story changes as time passes. It is playing with the nerves of the people as at that time the media is the only source of information and people are compelled to believe it. In the case of flood reporting and the reporting of the flood-affected areas makes the people of that area attentive and ready to take action upon the instructions of the media. In such a situation, as and when any single news channel tries to break the news of any emergency. Panic has been created in the target area and the people of that particular area try to escape from that area because they don’t know the volume of water coming in in such a situation many lives have expired due to the panic situation. The more dangerous is that the other news channels also follow the first line and start exaggerating the activity of that area and this becomes more dangerous because the people of target areas get frightened, and this makes their lives miserable. For this research, we have selected five Pakistani news channels during the 2022 flood in Pakistan. We will analyze the one-month highly flood season news reporting of these channels i.e. July 16 to August 15, 2022, how much news they break, and whether there was a need to flash that news as breaking news.