bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS FAKTOR KEBIJAKAN DALAM IMPLEMENTASI PROGRAM KESELAMATAN DAN KESEHATAN KERJA RUMAH SAKIT (K3RS) RUMAH SAKIT ‘X’ KOTA CILEGON, BANTEN
Authors: Ferial Linardita , Prianti Astri
Published: February 2022

Rumah Sakit merupakan salah satu tempat kerja, yang wajib melaksanakan Program Keselamatan dan Kesehatan Kerja Rumah Sakit (K3RS) yang bermanfaat baik bagi SDM Rumah Sakit, pasien, pengunjung/pengantar pasien, maupun bagi masyarakat di lingkungan sekitar Rumah Sakit. Di awal pelaksanaannya permasalahan yang dijumpai di IGD RS ‘ X’ Kota Cilegon, Banten diantaranya menunjukkan adanya kejadian yang beresiko penyakit akibat kerja dan kecelakaan akibat kerja seperti, masih ada perawat yang tidak memakai alat pelindung diri berupa sarung tangan dan masker saat melakukan tindakan perawatan di instalasi gawat darurat, pencahayaan yang kurang di ruang administrasi instalasi gawat darurat, ruang tunggu untuk pasien tidak nyaman,ruang triage yang tidak berfungsi dengan baik, dan tidak dibedakannya pintu masuk dengan pintu keluar Intalasi Gawat Darurat sehingga dapat menyebabkan terjadinya benturan antara pasien yang masuk dan keluar. Tujuan dari penelitian ini adalah untuk mendeskripsikan faktor-faktor kebijakan Implementasi Program K3RS di IGD RS ‘X’ Kota Cilegon. Penelitian ini merupakan penelitian kualitatif deskriptif. Pengumpulan data dengan wawancara mendalam dengan informan utama petugas kesehatan di IGD dan informan triangulasi Kepala Instalasi K3, Kepala Ruang IGD, dan Kepala Seksi Pelayanan Medik. Hasil penelitian menunjukkan faktor-faktor implementasi dari segi isi dan tujuan program K3RS, komunikasi, dan komitmen masih kurang penerapannya dikarenakan sosialisasi dan pengawasan yang kurang. Sedangkan untuk sumber daya, lingkungan kerja, dan SOP sudah baik. Disarankan pihak rumah mengadakan sosialisasi secara rutin, dan perlu adanya sanksi atau teguran bagi petugas kesehatan yang tidak menerapkan program K3RS sesuai dengan SOP yang ada.
Contribution of Cardiac Magnetic Resonance to Hematochromatosis
Authors:   IBN Sina University Hospital Cardiology B Department Mohamed V University Medical School, Morocco., Ibenchekroun Meryem
Published: February 2022

Hemochromatosis is a disease characterized by the progressive accumulation of iron in the body. It can be primitive or secondary. It affects several organs including the heart, liver, pancreas and pituitary gland. The preponderant cardiac involvement is myocardial, related to the iron myocyte overload, causing a decrease in left ventricular distensibility. Echocardiography is the first-line examination, showing an abnormality of left ventricular filling and, later, cavitary dilatation with left ventricular systolic dysfunction. Cardiac MRI is the gold standard for measuring excess iron in the myocardium in the context of hemochromatosis using the T2 * technique. It plays a major role for the diagnosis of cardiac involvement and for monitoring the chelation treatment. In this study, we report three cases of patients with hemochromatosis whose cardiac localization was confirmed or eliminated using cardiac MRI. Cardiovascular magnetic resonance has been used to assess myocardial iron deposition using the relaxation parameters T2*. Heart T2* falls with increasing iron loading. One patient had a myocardial T2* below 20 ms indicating myocardial siderosis. The others patients had a T2 *> 20 ms. The late enhancement was absent in all our patients. This study aims at detecting the myocardial iron overload using cardiac MRI. The treatment is based on bleeding in primary hemochromatosis while in secondary hemochromatosis, it is based on excretion of iron by chemical chelation.
The Colonial Archaeology of Taxila: A historiographical analysis
Authors: Shaheen Ifqut
Published: February 2022

Like other major archaeological sites of South Asia, Taxila has now been one and a half century old. Various scholars since the mid-nineteenth century have worked in the area. Amongst them, Sir Alexander Cunningham and Sir John Marshall, both of whom served as Director Generals of the Archaeological Survey of India, stand conspicuous. This paper deals with their work and ideas, with a focus on Taxila, about history and archaeology in South Asian context along with assessing colonial thought in their works. The approach here is historiographical with a focus on socio-cultural and ethnic re/constructions by both these pioneering archaeologists. As we know that writers and researchers cannot be separated from the thought of the age they are living in, the intellectual contexts of the work of Cunningham and Marshall has also been elaborated.
Use of an unmanned aerial vehicle as an alternative to assess the nutritional status of the
cotton crop
Authors: Espinoza Jonathan , Pacheco Henry
Published: February 2022

The use of unmanned aerial vehicles in photogrammetric studies allows obtaining spatial data in short periods of time and with high spatial resolution. In the research, multispectral images were processed for the study of nutritional conditions of the cotton crop (Gossypium hirsutum). An experimental design of the crop was developed, with different doses and nitrogen sources, in a factorial arrangement with 16 treatments and 4 repetitions in plots completely distributed at random. The EBEE SQ agricultural drone, equipped with the Parrot Sequoia camera, was used and a photogrammetric flight was planned, with the Emoticon AG software, which was synchronized with the drone to establish the flight parameters and capture the reflectance information of the visible spectrum, infrared and red border. The captured images were processed with the PIX4D Mapper software to generate the orthophoto and the 4 spectral bands used in the calculation of the chlorophyll index. Using map algebra tools from ArcGIS software on the results obtained, an analysis of variance was performed with the ANOVA model. With the calculated indices it was possible to show differences in the vigor of the crop depending on the treatments. The analysis of the results showed significant differences in the spectral response of the cotton crop fertilized with different sources (urea, pine nut cake, hen manure and bovine manure) and nitrogen doses (50, 100, 150 and 200 N kg.ha-1). Urea treatment at the 150 dose of N kg.ha-1 showed the best spectral response.
APLICAÇÃO DO MÉTODO DE SOLUÇÃO DE PROBLEMAS A3 PARA O AUMENTO DE PRODUTIVIDADE EM UM CALL CENTER
Authors: Donato Jhordana Silva , Gomes Thiara Cezana , Schuster Marcelo Alburquerque , Servare Junior Marcos Wagner Jesus
Published: February 2022

O Lean associado às ferramentas da qualidade e às metodologias de solução de problemas tem impulsionado empresas na busca por produtividade como diferencial competitivo de forma estratégica. Não somente investindo em mais recursos, mão de obra e capacitação, mas, também observando os problemas que estão integrados aos processos e como esses podem ser resolvidos de forma reduzir lead time. Através da ferramenta A3 Solução de Problemas e o método PDCA é possível investigar as causas-efeitos e as causas raízes dos problemas, buscando mitigar os desperdícios e aumentando a produtividade. Esse estudo de caso utilizou essa ferramenta, que passa pelas etapas de planejamento, execução, checagem e ação, e teve como objetivo atingir a meta de um dos principais indicadores do processo, o Tempo Médio de Atendimento (TMA), que tem como meta seis minutos e 50 segundos, refletindo diretamente na produtividade da operação. Aplicado em um processo de abertura de atendimento em um call center, situada na cidade de Vila Velha/ES, a empresa possui em média 200 agentes de atendimento. Com a aplicação da metodologia houve ganho médio de dois minutos e 14 segundos na chamada e um custo evitado de R$ 0,27 centavos por chamada, totalizando, em média, 16 mil reais no período de um mês.
Ўзбекистон Республикаси фуқаролигини йўқотишга доир ишларни юритиш бўйича ҳуқуқий амалиёт натижалари таҳлили
Authors: Юлдашев Жахонгир
Published: February 2022

Мақолада Ўзбекистон Республикасининг фуқаролигини йўқотишга доир ишларни юритиш амалиётининг бугунги ҳолати, мавжуд муаммолар ва уларнинг ечимлари таҳлил қилинди. Ўрганишлар асосида амалдаги қонунчиликни такомиллаштиришга қаратилган таклифлар илгари сурилди.
Qirqqiz yodgorligidan topilgan tangalar xazinasi
Authors: SHaydullayev A. , Normuminov M. , Toshaliyev Q. , SHapulatov U.
Published: February 2022

Ushbu maqolada Termiz davlat universiteti olimlari tomonidan o’tkazilgan navbatdagi arxeologik qidiruv ishlari jarayonida yangi yodgorlikdan tasodifan topilgan 10 dona mis tangalar haqida fikr yuritiladi. Ushbu tangalarning o’rganilishi va topilgan joyi tahlil qilinadi.
Jamiyatning demokratlashuvi - fuqarolar siyosiy madaniyatini rivojlantirish omili sifatida
Authors: Mallaeva Etibor
Published: February 2022

Ushbu maqolada jamiyatning ma’naviy yangilanishida siyosiy-huquqiy madaniyatning namoyon bo‘lishini hisobga olishning nazariy – metodologik ahamiyati, ma’naviy qadriyatlarni tiklashning milliy o‘zlikni anglashning o‘sishidan, xalqning sarchashmalariga, uning ildizlariga qaytishdan iborat uzviy, tabiiy jarayon ekanligini anglash kabi masalalar ilmiy asoslab berilgan.
Обстоятельства, смягчающие наказание и исключающие уголовную ответственность по уголовному законодательству Латвийской Республики (сравнительный анализ)
Authors: Исломов Бунёд
Published: February 2022

В данной статье, проведен сравнительный анализ уголовного законодательства Латвийской Республики в плане учета обстоятельств, смягчающих наказание и исключающих возможную преступность деяния.
A LAGOA DO PORTINHO - PIAUÍ, BRASIL E SUAS CONTRBUIÇÕES AO TURISMO E MEIO AMBIENTE
Authors: Mainar de Medeiros Raimundo , Vieira de França Manoel , Morant de Holanda Romildo , Marcelo Falle Saboya Luciano , Cunha Filho Moacyr , Rodolfo de Araújo Wagner
Published: February 2022

Tem-se como objetivo pensar sobre as diretrizes e os artifícios de turismo na Lagoa do Portinho, e seus impactos ambientais, sociais e econômicos gerados sobre nativos da área. As políticas públicas de turismo no Brasil têm se materializado por meio da implantação e execução de programas de ação governamental, tendo como referência a concepção de que o turismo é uma atividade econômica que colabora para a geração de emprego e aumento da arrecadação nas localidades que apresentam potencialidades para atrair um fluxo de turistas. O turismo é um importante fenômeno social, que nos últimos anos tem se mostrado bastante dinâmico no Brasil, ainda que com diferenças muito substanciais entre as diversas regiões brasileiras. Informações de variações de temperatura máxima, mínima e da amplitude térmica, umidade relativa, insolação total e cobertura de nuvens e as ocorrências dos seus extremos mensais, são importantes para a adequação de vestimentas, utensílios e outros aparatos necessários para um melhor aproveitamento da visitação local. O turista tem que seguir o guia turístico nas subidas das dunas, pois deste modo está contribuindo para a preservação ambiental e além do mais não deve sair espalhando lixo em toda região de estudo.
Histological aspects of the penial complex and vagina of taxa of the Biomphalaria tenagophila complex (Mollusca: Planorbidae)
Authors: Da Silva Tavares Tatiane Eni , Pires Ohlweiler Fernanda
Published: February 2022

Histological studies were carried out with 49 specimens; 18 Biomphalaria tenagophila guaibensis, 19 B. t. tenagophila and 12 B. occidentalis, collected in 10 municipalities in the states of São Paulo and Rio Grande do Sul, Brazil. The study considered histological aspects of the vagina, vaginal pouch and penial complex. In this study, we describe, for the first time, the histological features of the vagina, vaginal pouch and penial complex of B. t. tenagophila, B. t. guaibensis and B. occidentalis. The lining epithelial tissue and muscular tissue of the vagina, vaginal pouch and penial complex show a similar pattern in B. t. tenagophila, B. t. guaibensis and B. occidentalis, except for the intermediate muscular layer of the prepuce, which distinguishes B. t. guaibensis from the other two taxa. Histological studies on the penial complex and vagina region of other Biomphalaria species are necessary to confirm the taxonomic value of these two regions, in order to contribute to the group’s systematics.
Jane Campion
Authors: Polan Dana
Published: February 2022

With the phenomenal success of 'The Piano' (1993), Jane Campion became revered by many as the leading female film director of the 1990s. In this book, Dana Polan examines the phenomenon of 'The Piano' and how it develops from the early shorts and first features which evoke an often surreal and critical distanced style of looking at everyday issues. Looking at all of Campion's work before and since, including 'Holy Smoke' (1999), which returned again to the battleground of gender politics, the author concludes his survey of the director's work by offering some hypotheses about the erotic thriller 'The Cut' (2001) whilst asking what variety of approaches to the study of directors might now be fruitful.
British Film Posters
Authors: Branaghan Sim
Published: February 2022

The first complete history of illustrated film posters in the UK covers every aspect of design, printing and display from the Victorian era to the arrival of DeskTop Publishing in the 1980s. British Film Posters examins the contribution 'vintage' film posters have made to British popular art of the 20th century.
Letter from an Unknown Woman
Authors: Naremore James
Published: February 2022

James Naremore's study of Max Ophuls' classic 1948 melodrama, Letter from an Unknown Woman, not only pays tribute to Ophuls but also discusses the backgrounds and typical styles of the film’s many contributors--among them Viennese author Stephan Zweig, whose 1922 novella was the source of the picture; producer John Houseman, an ally of Ophuls who nevertheless made questionable changes to what Ophuls had shot; screenwriter Howard Koch; music composer Daniéle Amfitheatrof; designers Alexander Golitzen and Travis Banton; and leading actors Joan Fontaine and Louis Jourdan, whose performances were central to the film’s emotional effect.

Naremore also traces the film's reception history, from its middling box office success and mixed early reviews, exploring why it has been a work of exceptional interest to subsequent generations of both aesthetic critics and feminist theorists.

Lastly, Naremore provides an in-depth critical appreciation of the film, offering nuanced appreciation of specific details of mise-en-scene, camera movement, design, sound, and performances, integrating this close analyses into an overarching analysis of Letter’s “recognition plot;” a trope in which the recognition of a character’s identity creates dramatic intensity or crisis. Naremore argues that Letter's use of recognition is one of the most powerful in Hollywood cinema, and contrasts it with what we find in Zweig's novella.
Four eyeopener books and one depressing addiction: Apply The Logic of Self-Destruction to Understand The Logic Of Madness when Chasing The Scream is worsening Lost Connections
Authors: Gupta, MD Deepak
Published: February 2022

-
Early pain, stress, and opioid use following traumatic injury
Authors: Kessler Danielle A. , Webber, PhD Heather E. , Suchting, PhD Robert , Green, PhD Charles E. , Harvin, MD, MS John A. , Heads, PhD Angela M. , Kapoor, MD, PhD Shweta , Yoon, PhD Jin H. , Lane, PhD Scott D. , Schmitz, PhD Joy M. , Stotts, PhD Angela L.
Published: February 2022

Objective: Prescription opioids are an effective pain treatment strategy but can lead to long-term opioid misuse. Identifying at risk patients during hospitalization can inform the development of prevention interventions post-discharge. Using the Opioid Risk Tool (ORT) as a screening measure, this study predicted factors associated with pain and opioid use at 2 weeks post-discharge in trauma patients.Design: A quality improvement prospective study design was used.Setting: Participant recruitment took place at an inpatient Level 1 trauma center in Houston, Texas.Participants: Participants (n = 103) were patients admitted to the adult trauma service. Patients completed the ORT in the hospital and a survey at 2 weeks post-discharge.Main outcome measure: The survey assessed pain intensity and interference, injury-related stress, medication use, and need for additional pain treatment. Wilcoxon–Mann–Whitney U test, the Spearman rank-order correlation, and chi-square test of independence tested the ORT as a predictor of follow-up outcomes. Post hoc analyses relied on logistic and quantile regression.Results: The ORT identified 15.5 percent of patients at high risk for opioid-related aberrant behavior. Survey results indicated high percentages of patients reporting moderate to severe pain (79.6 percent), pain interference (77.9 percent), taking pain pills (59.6 percent), experiencing stress (76.9 percent), and needing pain treatment (52.4 percent). The ORT predicted injury-related stress with the high-risk category having higher stress levels than low risk (Z = 2.518, p = 0.012).Conclusion: Risk of opioid misuse assessed in hospitalized trauma patients was associated with injury-related stress reported post-discharge. This highlights the importance of including stress assessments in follow-up appointments.
Influence of opioid limiting legislation on patient narcotic usage and provider burden in orthopedic trauma
Authors: Young, MD Porter , Michel, MD David , Bell, MD Anthony
Published: February 2022

Objective: Opiate consumption in the United States has reached alarming levels. As a result, the state of Florida enacted House Bill 21 (HB21) in July 2018. Following HB21, we hypothesized total opioids prescribed would decrease, with a resulting increase in phone calls, unscheduled visits for pain control, and refills dispensed.Design: Retrospective cohort study comparing opiate usage 6 months before and after HB21 enactment.Setting: Single Level I academic trauma center.Participants: Patients with isolated lower extremity fractures who were treated with a single surgery.Intervention: Opioid prescription limitations according to Florida's HB21.Main outcome measures: We compared morphine milligram equivalents (MMEs) dispensed at discharge, length of stay (LOS), readmissions, emergency room (ER) visits, calls for pain control, refills, and total MMEs dispensed for 3 months postoperatively.Results: A total of 116 patients met inclusion criteria. Our results demonstrated a decrease in the median MMEs provided at discharge (288 vs. 184, p 0.005) and total MMEs dispensed (375 vs. 225, p 0.0003). There was no significant difference in LOS (2 vs. 2.5 days, p 0.979), unscheduled clinic visits for pain (two per group), ER visits for pain (eight per group), or phone calls for pain (13 vs. 9, p 0.344). There were no readmissions for pain control pre-HB21 and one post-HB21. The percentage of patients obtaining >1 refill decreased from 22.4 to 1.7 percent (p 0.002).Conclusions: Legislation restricting opioid pain medications may be effective in decreasing opiate use in orthopedic trauma patients while decreasing provider burden.
Ketamine infusions as an adjunct for sedation in critically ill children
Authors: Johnson, PharmD, BCPS, BCPPS, FPPA, FCCM Peter N. , Mayes, PharmD Rebecca , Moore, PharmD Eszter , Neely, MPH Stephen , Nguyen, PharmD, BCPPS Amy L. , Miller, PharmD, BCPS, BCPPS, FPPA Jamie L.
Published: February 2022

Objective: Limited reports have described ketamine’s role as an adjunct sedative. The purpose was to describe ketamine’s role as an adjunct to achieve goal sedation in mechanically ventilated children.Design: Retrospective, descriptive study.Setting: Thirteen-bed pediatric intensive care unit (ICU) and 12-bed pediatric cardiovascular ICU.Participants: Seventy-three ketamine courses were included, representing 62 mechanically ventilated children <18 years receiving ketamine for ≥12 hours. Main outcome measure(s): The primary outcome was to determine the median dose and time to achieve goal sedation (80 percent of State Behavioral Scale scores between 0 and –1) based on ketamine’s place in therapy as an adjunct in the sedation regimen. Secondary outcomes included a comparison of sedative dosing pre- and post-ketamine initiation between place in therapy groups and paralyzed/nonparalyzed patients, and identification of ketamine-attributed adverse drug event (ADEs) or iatrogenic withdrawal syndrome (IWS).Results: The median age was 1.0 years (interquartile range: 0.4-4.9). Ketamine was initiated as first-line (n = 7; 9.6 percent), second-line (n = 39; 53.4 percent), third-line (n = 26; 35.6 percent), or fourth-line (n = 1; 1.4 percent) sedation. The median initial and peak doses were 0.6 mg/kg/h (0.3-0.6) and 0.9 mg/kg/h (0.9-1.2), respectively. The median dose and time to achieve goal sedation was 0.8 mg/kg/h (0.6-1.1) and 2 hours (1-7), respectively. ADEs were noted during three courses (4.1 percent) and IWS after discontinuation of one course (1.4 percent).Conclusions: The majority were initiated on ketamine as a second- or third-line adjunct sedative. The median initial dose was 0.6 and dose to achieve goal sedation was 0.8 mg/kg/h. Ketamine-attributed ADEs and IWS episodes were rare.
Cultural Significance of Ganga, The Indian National River
Authors: Dobriyal Kusum
Published: February 2022

Ganga is declared as National River due to its historical and cultural significance. Ganga is
not only a source of agricultural prosperity of India but more than that it is culturally
important and is an integral part of human life and its existence. The research paper is an
analysis of cultural significance of Ganga river and how it is connected to the philosophy of life. It also depicts that how its uninterrupted flow is important for its purity and cleanliness.
Educational elements in the Poems of “Kalidas”
Authors: Nautiyal Rekha
Published: February 2022

The talent of the great poet Kalidas is omnipresent.Kalidasa was the main Sanskrit
language writer and playwright in the Gupta Empire in the third to fourth century. He
composed on the basis of Pauranik tales and philosophy, in which various forms and
basic elements of Indian life and philosophy are contained. He greeted mankind in his
poetry, perhaps there is rarely any some subject which is untouched. It is known from
the study of Kalidas's poetry that he had a lot of knowledge of Vedas, Puranas,
Darshana, Gita, Ramaya, Mahabharata, Dharmashastra, verses etc. In the present
research paper, a vision has been given on the educational, social, and cultural
perspective in the poems of the great poet Kalidas.
TRADITIONAL LEPCHA HATS IN SIKKIM HIMALAYA
Authors: Pradhan D.K. , Lepcha Norden , Lama Reshma
Published: February 2022

The tribe Lepcha is known for the knowledge on bioresources across Sikkim Himalaya. The study is conducted to unravel the integrated knowledge embedded in the traditional hats of Lepcha. The traditional hats, Sumok Thyak Tuk and other one, Papre, are made up of Calamus leptospadix Griff, Schizostachyum capitatum (Munro) R.B Majumdar, Maranta arundinacea L, Rubia cordifolia L., Dendrocalamus hamiltonii Nees & Arn. ex Munro and The Greater Racker tailed Drongo (Dicrurus paradiseus). The detail information of integrated knowledge found in traditional Bamboo Hats of Lepcha, the social indicator of Lepcha tribe, is presented.
Primitive Lepcha Language in Eastern Himalaya
Authors: Pradhan D.K
Published: February 2022

The Lepcha, a tribe of mid forest of Eastern Himalaya having its language characteristic sharing affinity with compound vowels of the Chinese language and Burmese language. The vowels of Lepcha found some affinities with the Chinese phonetics. The mono-syaballe of Lepcha language is expressive along with compound vowels. There are six consonants having similarity with Burmese strokes in Lepcha language.
The writing style, use of monsyallaballe and phonetic resembling Chinese language and Burmese scripts are uniqueness of Lepcha language. The Lepcha script characteristics are sharp, strokes or pointed.This paper attempted to discourse the Lepcha language and its script for the documentation of information of Lepcha community.
The tradition of lyric poetry in the Chhayavadi era
Authors: Upadhyay Rakhi
Published: February 2022

The song has been considered complete. It was acknowledged that the song's greatest
quality was that it was complete. In the modern era, the word song has taken many
forms, both literally and economically. The word “Geet” has not only evolved in
terms of meaning and impact, but it has evolved equally from the morphological point
of view. Words like Geeti Geet Kavya or Prageeti Kavi, Prageeti Muktak evolved
from the song itself. The words Geet and Geeti have been used since ancient times.
Poetry in its infancy was a song. From the beginning till today, the importance of this
song or geet poetry is kept in its summing up. Generally, the method of giving lyrical
expression to the poet's personal sentiment and feeling is called Gita Kavya.
Update on indications, complications, and outcomes of scleral contact lenses
Authors: Ruiz-Lozano Raul E. , Gomez-Elizondo Daniela E. , Colorado-Zavala Maria F. , Loya-Garcia Denise , Rodriguez-Garcia Alejandro
Published: February 2022

Background: The role of scleral contact lenses (SCLs) has increasingly expanded since the first lens was fitted more than a century ago. While it was initially prescribed for the management of severely compromised corneas, the indications for modern SCL use have expanded to include less severe diseases. In this review, we aimed to provide an up-to-date overview of the current indications, complications, and outcomes for the various types of SCLs.

Methods: In this narrative review, we thoroughly searched the PubMed/MEDLINE database for literature published from January 1980 to November 2021. Only relevant up-to-date English references were included. Furthermore, the figures in this manuscript were derived from our unit’s patient documentation.

Results: Currently, SCLs can successfully be used to manage ocular surface diseases, visually rehabilitate irregular corneas, and correct irregular refractive errors. Although newer materials have yielded the same visual outcomes with fewer complications, these consequences still occur in approximately one-third of contact lens wearers, including difficulties in insertion and/or removal, discomfort or pain, and developing either halos, blurriness, or haze. Even though most of these complications are minor and can be easily treated, a good practice is essential to avoid sight-threatening complications such as microbial keratitis.

Conclusions: SCLs are indispensable in ophthalmic clinics. The development of better-quality SCLs has increased the number of indications and improved the achievable visual rehabilitation. The future of developing improvements in SCL design, materials, and fit, and the expansion of their indication range is promising.
Hypo-angiogenesis: A possible pathological factor in the development of dry age-related macular degeneration and a novel therapeutic target
Authors: Venkatesh Pradeep
Published: February 2022

Background: Angiogenesis causes severe vision loss in patients with exudative or wet forms of age-related macular degeneration (AMD). The pathogenesis involves upregulation of several proangiogenic factors, particularly the vascular endothelial growth factor (VEGF). Contrary to the pathogenesis of exudative AMD, molecular events leading to the development of dry AMD remain unclear. Dry AMD is characterized by loss of the retinal pigment epithelium (RPE). The mechanism that triggers RPE cell loss remains unclear. Choriocapillaris development is absent in mice with RPE-specific deletion of VEGF. Moreover, in later life, background VEGF secretion promotes the survival of the RPE and maintains choriocapillaris integrity.

Hypothesis: We hypothesized that reduced synthesis of VEGF (hypo-angiogenesis) or abnormalities in its receptors, VEGF receptor-1 (VEGFR1) and VEGFR2, may be involved in the pathogenesis of non-exudative AMD or dry AMD. If the concept of hypo-angiogenesis as a driver for dry AMD is proven, treatment with VEGF or induction of angiogenesis could be considered. Similar attempts at therapeutic angiogenesis have been actively investigated in cardiac and limb ischemia.

Conclusions: The reasons for a patient developing exudative AMD or dry AMD remain poorly understood. Nevertheless, targeting increased VEGF production in patients with exudative AMD using anti-VEGF drugs is highly efficacious in preserving vision. Similarly, dry AMD may be a manifestation of reduced VEGF synthesis (hypo-angiogenesis) and subsequent decreased RPE cell survival. Experimental studies exploring the possibility of reduced VEGF secretion and/or increased receptor resistance/abnormality could pave the way for clinical trials of angiogenesis to treat dry AMD.
retos de la Iglesia salvadoreña
Authors: El Editor
Published: February 2022

No hay resúmenes disponibles.

ECA Estudios Centroamericanos, Vol. 50, No. 558, 1995: 307-323.
pena de muerte se olvida de la delincuencia
Authors: A. H. C. S.
Published: February 2022

No hay resúmenes disponibles.

ECA Estudios Centroamericanos, Vol. 50, No. 558, 1995: 381-385.
The effect of bra size correction on selected postural parameter
Authors:   , Mthabela Nosipho Pearl
Published: February 2022

Introduction: Symptoms associated with large breasts result from bra strap chafing, poor body posture, headaches, neck, shoulder, thoracic and lower back pain. There is a paucity of literature quantifying objective data regarding the effect of breast size on posture. Therefore correct bra sizing may improve posture, however this is undetermined. This study aimed to investigate the effect of bra correction on selected postural parameters in order to determine its relevance in a clinical setting. Methodology: Sixty five females who met the inclusion criteria had the following parameters recorded: age, height, weight, body mass index, occupation, and underbust and overbust bra size. An anterior-posterior, right and left lateral digital photographs were taken before and after bra correction. These were then processed using the Posture Pro software. The data was analysed using the latest version of SPSS. The results were presented by means of standard deviations and ranges and differences between pre and post measures were performed with an ANOVA. Results: It was found that there was no correlation between changes in any of the four parameters from pre to post correction, which changed significantly with postural correction (4/43 post correction significant readings) and the demographic variables. Most participants changed to a larger cup sizes after correction which is in line with Greenbaum, (2003) who found that participants tend to buy a smaller bra size. In this study 3% of the study population changed to a bigger cup size and 97% wore bras that were too tight. Similar to the findings of Wood eta/., (2008) who found that 70% of the study population wore bras that are too small and 10% wore bras that were too big. Conclusion: In the study on effect of incorrect bra size on selected postural parameters it was found the there were four parameters that changed significantly with p
An investigation into the roles of registered nurses and psychiatric nurses at in-patient psychiatric facilities and its implications for nursing education in KwaZulu-Natal
Authors:   , Joubert Perrene Dale
Published: February 2022

Introducion Mental health nurses face challenging positions in practice. They are required to support and care for people hospitalised for treatment of mental illnesses on their recovery journeys but are also expected to manage ward administrative tasks, admit patients, attend meetings, dispense medication and communicate with patients (Gunasekara, Pentland, Rodgers and Patterson 2014: 101; Fourie, Mc Donald, Connor and Bartlett 2005: 135). It has been suggested that mental health nurses spend more time managing the ward environment and staff matters resulting in little time to develop and maintain therapeutic patient relationships (Fourie et al. 2005: 135). Problem Statement Research conducted in other countries identified the roles of the psychiatric nurse and mental health care nurses as attending to patients’ basic needs, assistance with self-care activities, monitoring and administering medication, ensuring safe environments in the health care setting and health education (Rungapadiachy, Madill and Gough 2004; Bowers 2005; Seed, Torkelson and Alnatour 2010). Although there is evidence of studies in psychiatric and mental health nursing locally, little is known about the roles of registered nurses and psychiatric nurses at in-patient facilities. OBJECTIVES • To explore which mental health problems are most commonly seen amongst psychiatric patients at these facilities. • To investigate the challenges faced by psychiatric nurses when caring for psychiatric patients. • To investigate what specialized knowledge and skills are required when nursing such patients. • To investigate whether their education and training prepared them adequately to deal with psychiatric patients and suggest guidelines to strengthen nursing education. METHODOLOGY The study utilized a quantitative non-experimental descriptive design to survey registered nurses and psychiatric nurses at in-patient psychiatric facilities in KwaZulu-Natal. A census was utilized in this study as the entire population was sampled. Data were collected using survey questionnaires. Phase two of the study, qualitative content analysis of Psychiatric nursing curricula strengthened the survey findings. FINDINGS Findings of this study showed that 98.4% of respondents believe psychiatric nursing care is an important aspect of holistic nursing practice. Respondents agree that challenges are commonly encountered in psychiatric nursing practice and that they are prepared to deal with these patients. However the aspects most frequently identified as needing greater attention in the Psychiatric nursing curricula were The Mental Health Care Act no 17 of 2002 and practical management of aggression, violence and de-escalation
Experiences of community care givers caring for clients suffering from tuberculosis in eThekwini district, KwaZulu-Natal
Authors:   , Mazibuko Ntombifuthi Norah
Published: February 2022

Introduction Tuberculosis is still a leading cause of deaths in low and middle income countries especially those of Sub-Saharan Africa. The successful implementation of strategies to improve TB outcomes remains critical for South Africa as the country is faced with the burden of many TB related deaths. South Africa has included TB management as a priority programme for the country in its strategies to the achieve millennium development goals. The National Department of Health introduced the CCG programme to assist professional health workers in the control and management of various health conditions including TB. The competent management of the CCGs is central to meeting service delivery objectives. Aim of the study The aim of the study was to explore and describe the experiences of community care givers caring for TB clients. Methodology A qualitative, exploratory, descriptive design was used to conduct the study. Purposive sampling was used to recruit 24 community care givers that were employed by Department of Health receiving a stipend and had been working as community care givers for at least two years. Data was collected using semi structured interviews and was subsequently analysed using Tesch’s method of data analysis Results The themes that emerged from the interviews included: accessibility of kits and protective clothing to the CCGs, their safety and security, training and development, ii including financing of the CCG programme. The following sub-themes emerged as part of the themes: Insufficient supply of kits, alternative means of making kits available to the CCG’s, promotion and supply of uniforms for the CCGs, procurement and supply of protective clothing, alternative ways of getting protective clothes, vaccination against communicable diseases, safety allowance, transparency on criteria for further training and development, age limits regarding the selection of the CCGs, lack of career pathing, stipend received by the CCGs and employment benefits for the CCGs. Recommendations Recommendations were made with regards to institutional management and practice, policy development and implementation, and further research. These included establishing processes for: supply of kits, protective clothes and vaccines, pre and periodical medicals, criteria for further training and development, and issuing of stipend. A broader study involving all the CCGs affiliated to all PHC clinics in eThekwini district on the required support and supervision was also recommended.
Pengaruh Pemanfaatan Biourine terhadap Tanaman Sayuran Sawi di Desa Parungseah Kecamatan Sukabumi Kabupaten Sukabumi
Authors: Shelvia Ayu , Suryanti Reni , Purwanti Maya
Published: February 2022

The amount of sheep urine waste and the need for environmentally friendly vegetables are increasing, however most farmers do not know the benefits of urine waste due to the lack of knowledge. This study aimed to determine the recommended dose of bio urine on the growth of mustard plants. The research was conducted in Parungseah Village, Sukabumi District, Sukabumi Regency. The research design consisted of 3 treatments, namely 1) P0 dose without bio urine, 2) P2 dose with 200 ml of bio urine and 3) 300 ml of bio urine. Data analysis using Anova test and followed by Duncan test if there is an effect. The results of the analysis stated that P2 or treatment with a dose of 300 ml of bio urine was the highest average which had a significant effect on plant height, number of leaves, leaf width, and harvest weight (P<0.05) of mustard greens. Research shows that the use of sheep urine waste as liquid organic fertilizer with the dose 200 ml can increase the productivity of mustard plants.
Kegiatan Pabrikasi Mesin Pengupas Bawang Merah Merek BEJE Tipe PB 01 di PT Bahagia Jaya Sejahtera
Authors: Apriliani Widiya , Liswanti Linda , Purboningtyas Titis Pury
Published: February 2022

Pengupasan bawang merah pada usaha industri kecil masih dilakukan secara manual sehingga memerlukan banyakwaktu dan tenaga. Oleh karena itu, diperlukan mesin pengupas bawang merah yang kebutuhan listriknya rendah dan mudah digunakan. Penelitian ini bertujuan untuk melakukan kegiatan pabrikasi mesin pengupas bawang di PT Bahagia Jaya Sejahtera dengan menggunakan konsep desain dan pabrikasi mesin. Alat yang digunakan merupakan peralatan perbengkelan yang menunjang pembuatan mesin pengupas bawang. Adapun bahan yang digunakan adalah pelat baja tahan karat dan besi siku. Proses produksi berlangsung setelah proses desain selesai dan rancangan mesin telah disetujui. Proses produksi meliputi kegiatan pembuatan rumah pencacah, unit pengumpan (inlet), unit pengeluaran (outlet), dan rangka mesin. Setelah itu, semua bagian mesin disusun dan dilakukan kegiatan finishing. Sebelum mesin tersebut didistribusikan, dilakukan uji fungsional alat untuk mengetahui performa mesin tersebut. Hasil uji fungsional dilakukan tanpa beban dan dengan beban. Hasil uji tanpa beban menunjukkan bahwa setiap bagian mesin bekerja dengan baik. Hasil uji fungsional dengan beban menunjukkan bahwa perlu beberapa perbaikan komponen untuk meningkatkan kemampuan mesin pengupas bawang.
ШЫҒЫС РИМ ИМПЕРИЯСЫНДАҒЫ ӘЛЕУМЕТТІК-САЯСИ КҮРЕС ЖӘНЕ СЫРТҚЫ ЖАҒДАЙЫ (IV-VII ҒҒ)
Authors: АКЫНОВА АЙГЕРИМ ПЕРНЕБЕКОВНА
Published: February 2022

Әлем тарихында IV-VII ғасырларда Еуразия даласындағы Халықтардың Ұлы қоныс аудару процесі мен осы кезеңде Еуропада өмір сүрген мемлекеттердің саяси тарихы ерекше орынға ие. Бұл процесс дүние жүзі тарихында көптеген мемлекеттер мен халықтардың, ұлттар мен ұлыстардың тарихына үлкен өзгерістер әкелді. Халықтардың Ұлы қоныс аудару кезеңінде шығыстан батысқа қарай жылжыған халықтар мен жергілікті тайпалар Шығыс Рим (Византия) империясының территориясына қоныстанып, осында өз тіршілігін жалғастырды. Сырттан көшіп келген варвар тайпалары Византия территориясына жорықтар ұйымдастырып, онда империя жерінен өздеріне орын талап етті. Көптеген соғыстар ұйымдастырылды. Империяның басты сыртқы жаулары саналып, оған түрлі саяси және әлеуметтік-экономикалық талаптар қойған тайпалар ғұндар, готтар, славяндар, аварлар және сыртқы саясатта басты қарсылас болған парсылар империяның ішкі саяси өміріне ерекше әсер етті. Мақалада, адамзат тарихында аса ірі тарихи процестердің бірі болып табылатын IV-VII ғасырлардағы Халықтардың Ұлы қоныс аудару кезеңіндегі Византия империясының әлеуметтік саяси жағдайы жан-жақты қарастырылады. Сонымен қатар, Шығыс Рим империясының Батыс Рим империясымен, Халықтардың Ұлы қоныс аударуына негіз қалаған Еуразияның далалық тайпаларымен, тайпалық одақтармен жәнеосы кезеңде өмір сүрген Шығыс мемлекеттерімен саяси байланыстары ғылыми талдауға түседі.
TECHNOLOGY OF OPERATIONAL LAWMAKING (BY THE EXAMPLE OF THE REPUBLIC OF TAJIKISTAN)
Authors: Umedov Kadriddin Minhodzhidinovich
Published: February 2022

This article deals with the technology of operational lawmaking on the example of the Republic of Tajikistan.
Pengetahuan Perilaku Hidup Bersih Dan Sehat Serta Pencegahan Covid-19 Oleh Pemuda Di Kelurahan Benteng Kota Ambon
Authors: Tupamahu Yonette Maya , Hehanussa Salomi Jacomina
Published: February 2022

Virus SARS-Cov-2 atau virus Corona menyerang sistem pernapasan manusia dan menimbulkan gangguan ringan sampai berat, bahkan kematian. Penularannya antar manusia melalui cipratan liur (droplet) yang dikeluarkan seseorang dari mulut atau hidung ketika bersin, batuk, bahkan saat berbicara. Perilaku Hidup Bersih dan Sehat (PHBS) dapat diterapkan oleh masyarakat untuk memutus rantai penyebaran virus Corona, termasuk di Kelurahan Benteng Kota Ambon. Permasalahan yang dihadapi saat ini adalah kurangnya pemahaman Covid-19, dimana masih ada warga yang beranggapan bahwa Covid-19 itu tidak ada. Berdasarkan masalah dan solusi yang ditawarkan kepada mitra, maka kegiatan yang telah dilakukan adalah: (1) Ceramah Perilaku Hidup Bersih dan Sehat, (2) Ceramah Pencegahan Covid-19. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan pemuda sebelum dan sesudah mendapatkan ceramah. Luaran kegiatan ini juga telah dipublikasikan pada media cetak dan elektronik http://beritakotaambon.com/mahasiswa-kkn-ukim-berkontribusi-putuskan-covid-19/, dan video kegiatan telah diupload di saluran Youtube https://www.youtube.com/watch?v=Buq6nISpXYk.
Pendugaan Parameter Populasi Ikan Kembung yang Didaratkan di PPN Ternate dan Pasar Higienis Kota Ternate
Authors: M. Nur Mariam Hi. , Tangke Umar , Namsa Djabaluddin
Published: February 2022

Produksi ikan kembung di Kota Ternate dengan menggunakan alat tangkap hand line terus meningkat seiring dengan bertambahnya jumlah trip maupun unit alat tangkap karena ikan kembung mempunyai nilai ekonomis tinggi serta peluang pasar yang besar, tetapi dalam produksinya nelayan hanya mengandalkan hasil tangkapan yang berasal dari alam dan dilakukan secara terus menerus, sehingga dikhawatirkan akan menimbulkan dampak negatif terhadap distribusi dan kondisi populasinya. Pengumpulan data panjang ikan kembung selama bulan November sampai desember 2020 di PPN Ternate, Pasar Higiensi dilakukan untuk pendugaan prameter populasi ikan kembung dan tingkat eksploitasi di perairan Pulau Ternate meliputi kelompok umur, pertumbuhan, mortalitas, dan yield per recruitment di Perairan Pulau Ternate dan dapat dijadikan sebagai bahan informasi bagi Pemerintah Daerah dan nelayan sebagai acuan dalam pengelolaan sumberdaya ikan kembung secara optimal. Hasil penelitian didapat bahwa pendugaan parameter pertumbuhan ikan kembung yang didaratkan di Kota Ternate memiliki panjang maksimum, dengan mortalitas alami dari ikan kembung, M = 0.02 per tahun dan mortalitas penangkapan F= 13.5 per tahun maka diperoleh nilai tingkat eksploitasi E = 0.46. laju eksploitasi tersebut mengindikasikan bahwa tingkat eksploitasi ikan kembung sudah mendekati nilai maksimum (E= 0,50). sedangkan nilai B/R didapatkan sebesar 0.5 dimana nilai tersebut menunjukan bahwa biomas yang tersisa dari ikan yang masuk ke perairan sebesar 50 % hal ini menunjukan bahwa tingkat eksploitasi sudah mengalami overfishing atau lebih dari 0.46 (46%) karena tingkat eksploitasi saat ini sudah mencapai 0.68.
Penyuluhan Pengetahuan Gizi Remaja Pada Siswa SMU Katolik Bintang Laut Kota Ternate Tahun 2021
Authors: Andiani Andiani , Lestari Tutik , Rahayu Agustin , Surasno Diah Merdekawati , Supriyatni Nani , A. Hi. Djafar Monsia , Musiana Musiana
Published: February 2022

Masalah gizi pada remaja muncul dikarenakan asupan gizi yang belum baik, yaitu ketidakseimbangan antara asupan gizi dengan kecukupan gizi yang dianjurkan. Masalah gizi yang dapat terjadi pada remaja adalah gizi kurang (under weight ), obesitas (over weight ) dan anemia. Tujuan : Meningkatkan Pengetahuan Gizi Remaja pada Siswa SMU Katolik Bintang Laut Kota Ternate Tahun 2021 Metode: Desain Pengabdian masyarakat ini menggunakan desain pre eksperimental dengan menggunakan pendekatan one group pre-post test design. Tempat di SMA Katolik Bintang Laut Kota Ternate Tahun 2021, jumlah responden penyuluhan sebanyak 49 Responden. Teknik pengambilan sampel pada penelitian ini Purposive sampling. Pengumpulan data dilakukan dengan menggunakan kuesioner. Dari hasil Penyuluhan mengenai Pengetahuan Gizi Remaja pada siswa SMU, setelah dilakukan penyuluhan tingkat Pengetahuan Gizi Remaja ada peningkatan pada responden peserta penyuluhan tertinggi yaitu dengan tingkat pengetahuan baik sebanyak 34 siswa (69,4%), sisanya sebanyak 15 siswa (4%) dengan tingkat pengetahuan kurang. Peningkatan pengetahuan gizi remaja pada peserta penyuluhan yaitu tertinggi pada pertanyaan tentang jenis-jenis sayuran hijau (98%), Yang temasuk makanan pokok (95,9%), masalah gizi pada remaja putri (95,9%), Sumber karbohidrat yang dikonsumsi remaja (93,9%), Yang termasuk dalam lauk hewani (93,9%), Tujuan penyususnan menu seimbang bagi remaja (91,8%). Ada peningkatan pengetahuan siswa dan siswi SMU Katolik Bintang Laut mengenai pengetahuan gizi remaja sehingga diharapkan kegiatan edukasi pada siswa dan siswi (remaja) dan kerjasama antar lembaga perlu ditingkatkan untuk mencegah permasalahan yang sering dikalangan remaja yaitu kurang gizi, obesitas, pola makan yang salah dan anemia.
Perubahan Perilaku Hidup Sehat, Masyarakat Bebas Karies Gigi di Negeri Lesluru, Kecamatan Teon Nila Sarua Maluku Tengah
Authors: Ivakdalam Lidya Maria
Published: February 2022

Kebersihan mulut dan gigi mempunyai arti yang penting karena, apabila tidak dibersihkan secara sempurna maka sisa makanan yang terselip bersama bakteri akan melekat pada gigi dan dapat memproduksi asam. Organ tubuh gigi perlu dijaga dengan baik mengingat fungsinya sebagai alat untuk mengunyah makanan, berbicara dan tampilan kecantikan. Gangguan kesakitan dapat menghambat aktifitas dan kenyamanan dalam bekerja dan atau belajar. Lokasi sosialisasi kebersihan mulut dan gigi di SD Inpres Lesluru. Permasalahan yang ditemui adalah adanya karies gigi dan kerusakan pada gigi, hal ini diakibatkan ketidaktahuan anak-anak tentang cara menggosok gigi yang benar. Solusi yang ditawarkan adalah memberikan sosialisasi tentang kesehatan gigi dan mulut. Hasil kegiatan menunjukkan bahwa 90% siswa senang makan jajanan yang manis-manis, 20% siswa sudah melakukan kegiatan menggosok gigi dua kali sehari (pagi sebelum kesekolah dan malam sebelum tidur), 40% siswa menggosok gigi hanya di pagi hari sebelum berangkat ke sekolah dan sisanya belum rutin menggosok gigi, 35% siswa sudah paham cara menggosok gigi dengan benar, 100% siswa sudah menggosok gigi mengunakan pasta gigi, rata-rata siswa pernah mengalami sakit gigi antara 3-4 kali per tahun, dan 90% siswa sudah bisa melakukan proses menggosok gigi secara baik dan benar.
Etiology and possibilities of slowing down skin aging processes
Authors:   Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego, Grządziel Patrycja , Goździalska Anna ,   Wydział Lekarski i Nauk o Zdrowiu, Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
Published: February 2022

Aging affects every organism. Innovative technologies, cosmetic and dermatological treatments, an appropriate diet, supplementation and physical activity alleviate the signs of aging. The aim of the work was to show the skin aging process based on physical, genetic and biological factors. Some of the aspects of aging are presented as well as methods and treatments that delay this proces.