bluuebunny/crossref_metadata_2025 huggingface dataset:
A New Model for Maximizing the Bending Stiffness of a Symmetric Three-Ply Paper or Board
Authors: NAVAEE-ARDEH SHAHRAM , NAZHAD MOUSA M.
Published: July 2023

Based on the theoretical bending stiffness model for a symmetrical three-ply structure, researchers developed a model that could predict the maximum bending stiffness of a three-ply symmetric structure as a function of density and elastic modulus. The model was tested with experimental data either generated in the authors’ laboratory or reported in the literature. The model accurately predicted the maximum bending stiffness based on the middle-layer share of basis weight. Model results indicate that it is possible to increase the middle-layer share without loss of bending stiffness, leading to reduced costs and lower virgin fiber requirements. Results show that the model is a useful and rapid tool for papermakers to predict the maximum bending stiffness of either coated papers or three-ply boards for a given furnish. Furthermore, the model has potential to be developed further to predict maximum bending stiffness for boards with more than three plies.
Effects of pulverized coal fly-ash addition as a wet-end filler in papermaking
Authors: SINHA AKHOURI SANJAY KUMAR
Published: July 2023

This experimental study is based on the innovative idea of using pulverized coal fly ash as a wetend filler in papermaking. This is the first evaluation of the possible use of fly ash in the paper industry. Coal-based thermal power plants throughout the world are generating fly ash as a solid waste product. The constituents of fly ash can be used effectively in papermaking. Fly ash has a wide variation in particle size, which ranges from a few micrometers to one hundred micrometers. Fly ash acts as an inert material in acidic, neutral, and alkaline papermaking processes. Its physical properties such as bulk density (800–980 kg/m3), porosity (45%–57%), and surface area (0.138–2.3076 m2/g) make it suitable for use as a paper filler. Fly ash obtained from thermal power plants using pulverized coal was fractionated by a vibratory-sieve stack. The fine fraction with a particle size below 38 micrometers was used to study its effect on the important mechanical-strength and optical properties of paper. The effects of fly ash addition on these properties were compared with those of kaolin clay. Paper opacity was found to be much higher with fly ash as a filler, whereas brightness decreased as the filler percentage increased. Mechanical strength properties of the paper samples with fly ash as filler were superior to those with kaolin clay.
Penentuan Muka Air dan Jenis Lapisan Tanah Menggunakan Metode Geolistrik
Authors: Saily Randhi , Maizir Harnedi , Azhari Ridho
Published: July 2023

Alat-alat yang sering digunakan seperti SPT dan sondir cukup berat dan memerlukan rentang waktu pengukuran yang lama sehingga sulit untuk menentukan kuat geser tanah baik di laboratorium maupun di lapangan. Studi ini menggunakan metode geolistrik resistivitas konfigurasi Wenner Alpha didukung alat Naniura NRD 300 HF. Tujuannya untuk mengetahui perkiraan tinggi muka air tanah dan menentukan nilai resistivitas masing-masing jenis lapisan tanah di bawah permukaan daerah studi. Studi ini melakukan pengukuran 2D untuk menghitung tahanan jenis geolistrik 1-D dan 2-D dengan elektroda di susun memanjang membentuk garis lurus. Hasil pengukuran diolah menggunakan software IP2WIN untuk mendapatkan penampang resistivitas semu 2D yang menggambarkan nilai sebaran lapisan yang permukaan tanahnya ditunjukkan pada citra berwarna. Hasil pengukuran pada lintasan 1 menunjukkan nilai resistivitas antara 3,512 – 1.539 Ω.m dengan Panjang bentang 90 m pada kedalaman sampai 15,05 m. Ketinggian muka air tanah diprediksi terletak 0,656 m di bawah permukaan tanah. Lintasan 2 memiliki panjang bentang 60 m dan nilai resistivitas berkisar antara 29,55 hingga 207,1 m, dengan prediksi muka air tanah pada kedalaman 0,72 m di bawah permukaan. Jenis lapisan tanah berupa lempung bercampur pasir, pasir bercampur kerikil dan batu pasir bercampur kerikil.
Analisis Pengendalian Biaya dan Waktu Dengan Metode Nilai Hasil Pada Pembangunan Jalan Simpang Empat Gedung Baru Universitas Palangka Raya
Authors: Christy Grace Maria , Puspasari Veronika Happy , Nuswantoro Waluyo
Published: July 2023

Pembuatan jalan simpang empat Gedung Pusat Pengembangan IPTEK dan Inovasi Gambut (PPIIG) dan Gedung Merah Putih Yos Sudarso merupakan upaya pengembangan sarana dan prasarana yang difungsikan sebagai gerbang utama Universitas Palangka Raya. Pada pelaksanaannya sampai pada minggu ke – 7 belum diketahui penyimpangan yang terjadi. Penelitian bertujuan menganalisis pengendalian biaya dan waktu untuk mendeteksi jika terjadi kinerja yang tidak efisien dalam penyelesaian proyek. Metode nilai hasil dikembangkan untuk penelitian. Cost Performance Index (CPI) untuk minggu ketujuh adalah 1,11 > 1, dan Schedule Performance Index (SPI) adalah 1,07 > 1. Estimasi sisa pekerjaan adalah Rp 979.624.988, dengan total biaya akhir dihitung Rp 2.228.446.288 . Perkiraan waktu untuk pekerjaan tersisa berdasarkan perhitungan dengan Metode Nilai Hasil sampai minggu ke – 7 adalah 53 hari dan perkiraan waktu total untuk penyelesaian proyek adalah 102 hari. Maka dapat disimpulkan perkiraan waktu selesai proyek adalah 3 hari lebih cepat dibandingkan proses perencanaan.
Analisis Karakteristik FABA Sebagai Material Layering Timbunan Sampah
Authors: Fahriani Ferra , Hambali Roby
Published: July 2023

Timbunan  sampah yang berada pada Tempat Pemrosesan Akhir (TPA) seharusnya dilakukan layering (penutupan) dengan tanah secara rutin sesuai dengan ketentuan pengelolaan TPA. Penyedian material (tanah) sebagai material penutup timbunan sampah memerlukan biaya yang tidak sedikit, sehingga kegiatan  penutupan timbunan sampah  di TPA sering mengalami kendala. Pada kajian ini dilakukan suatu penelitian terhadap material pengganti tanah sebagai lapisan penutup timbunan sampah berupa Fly ash dan Bottm Ash (FABA). Sebagian  material  tanah yang biasa digunakan sebagai material layering timbunan sampah digantikan dengan FABA yang dicampur dengan kapur, kapur berfungsi untuk mengikat material tanah timbunan dan FABA. Komposisi campuran yaitu  FABA 75% + 5% kapur + 20% tanah timbunan, FABA 75% + 10% kapur + 15% tanah timbunan serta FABA 90% +5% kapur + 5% tanah timbunan. Tujuan penelitian untuk mengetahui apakah FABA dapat digunakan sebagai material substitusi lapisan penutup (layering)  dalam pengembangan teknologi layering timbunan sampah. Material campuran diuji karakteristik kekuatannya  dilaboratorium berupa uji permeabilitas, berat isi tanah, kuat geser, analisa saringan, Atterberg Limit, dan CBR serta pemadatan. Parameter kekuatan material ini selanjutnya  digunakan dalam  pemodelan layering (timbunan sampah) dengan bantuan software geoteknik. Hasil Penelitian menunjukkan bahwa campuran material FABA tidak memenuhi syarat sebagai material layering sampah dikarenakan nilai permeabilitas yang tidak memenuhi syarat dalam sistem sanitary Landfill, walaupun memiliki nilai daya dukung yang baik berdasarkan nilai kohesi dan sudut geser tanah serta nilai stabilitas Landfill.
Pharmaco-EEG Analysis of Regulatory Neuropeptides with Nootropic Properties in Cats
Authors: Fokin Yu. V. , Kharitonov S. Yu. , Karkischenko N. N.
Published: July 2023

Informative parameters of normalized electrograms of the brain of cats under the action of regulatory neuropeptides with nootropic properties were established using the example of the Semax drug. The results obtained were confirmed by a comparative pharmaco-EEG analysis with various pharmacological agents of  directed  action.  The  pronounced  stable  activating  and  nootropic  effects  of  this  pharmacological group in brain electrograms are distinguished by a unidirectional action that coincides with the data of pharmacodynamics and pharmacokinetics.
Green synthesis of lead oxide nanoparticles for photo-electrocatalytic and antimicrobial applications
Authors: Khan Zia Ul Haq , Gul Noor Shad , Mehmood Faisal , Sabahat Sana , Muhammad Nawshad , Rahim Abdur , Iqbal Jibran , Khasim Syed , Salam Mohamed Abdel , Khan Taj Malook , Wu Jianbo
Published: July 2023

Synthesis of nanoparticles (NPs) for many different uses requires the development of environmentally friendly synthesis protocols. In this article, we present a simple and environmentally friendly method to synthesize lead oxide (PbO) NPs from the plant material of the Mangifera indica. Analytical techniques such as spectroscopy, X-ray diffraction, and microscopy were used to characterize the synthesized PbO NPs, and their photo-electrocatalytic and antifungal properties were also evaluated. H2O2 was used to investigate the efficacy of removing methylene blue dye. At a range of pH values, H2O2 was used to study the role of hydroxyl radicals in the breakdown of methylene blue dye. Methylene blue dyes are more easily eliminated due to increased generation of the *OH radical during removal. Dye degradation was also significantly affected by the aqueous medium’s pH. Additionally, the electrocatalytic properties of the PbO NPs adapted electrode were studied in CH3COONa aqueous solution using cyclic voltammetry. Excellent electrocatalytic properties of the PbO NPs are shown by the unity of the anodic and cathodic peaks of the modified electrode in comparison to the stranded electrode. Aspergillus flavus, Aspergillus niger, and Candida glabrata were some fungi tested with the PbO NPs. Against A. flavus (40%) and A. niger (50%), and C. glabrata (75%), the PbO NPs display an excellent inhibition zone. Finally, PbO NPs were used in antioxidant studies with the powerful antioxidant 2, 2 diphenyl-1-picrylhydrazyl (DPPH). This study presents a simple and environmentally friendly method for synthesizing PbO NPs with multiple uses, including photo-electrocatalytic and antimicrobial activity.
Investigating the lap shear adhesion of coir and glass-fibre reinforced epoxy bonding to mild steel with varying volume fractions
Authors: Alajmi Ayedh Eid , Alsaeed Talal , Alotaibi Jasem Ghanem , Srelam Jayanth Kumar , Yousif Belal F.
Published: July 2023

Bonding synthetic fibres to metals to improve strength, durability, and corrosion resistance is a prevalent practise in the automotive, marine, and aerospace industries. Lap shear adhesion, a measurement of the bonding strength between composites and metallic substrates, is essential for structural integrity. The emergence of natural fibre composites as sustainable alternatives to synthetic composites makes it essential to investigate their lap shear behaviour and the effect of fibre volume fraction on composite properties. This research investigates the adhesion behaviour of coir and glass fibre epoxy composites to mild steel. Coir fibres, which are known for their resilience and tenacity, were treated with an alkaline solution to improve their adhesion to the resin. Samples of lap shear adhesion were prepared in accordance with ASTM specifications, and tests were conducted using a tensile machine. Increasing the volume fraction of coir or glass fibres decreased the bond strength, as demonstrated by the results. Due to the fibres’ greater tensile strength and rigidity, glass fibre composites exhibited superior strength. However, under tensile loading conditions, coir fibres exhibited superior adhesion to mild steel surfaces. SEM micrographs confirmed that coir composites exhibit shear failure while glass composites exhibit fibre pull-out behaviour. This study concludes by highlighting the engineering potential of coir fibres, considering their natural properties and cost-effectiveness. It is necessary to further optimise the fiber-matrix interface and comprehend the mechanical behaviour of coir composites in order to maximise their effectiveness. To assure the long-term durability of composite-metal joints, surface preparation, adhesive type, application procedure, and environmental conditions must also be considered. At a content percentage of 10%, glass fibres exhibited 100% higher shear strength compared to coir fibres in epoxy composites. Conversely, coir fibres at 10% content demonstrated approximately 75% greater shear strength than the values obtained with 40% glass fibres. The failure mechanisms observed are delamination or fibre fracture in the bonding area under tensile and shear loading. Increasing the fibre volume fraction reduces bond strength. Factors such as limited space for the matrix, tension concentrations, and the mechanical properties of the fibres contribute to weakened bonds. Glass fibres have better strength and rigidity than coir fibres, affecting load transfer and adhesion. Interfacial bonding is crucial, and maintaining it becomes more difficult with higher fibre volume fractions, resulting in weakened bonds.
Validity of the SARC-F questionnaire in assessing sarcopenia in patients with chronic kidney disease: a cross-sectional study
Authors: Du Wen , Gao Chenni , Wang Xuejie , Ma Xiaobo , Xie Jingyuan , Yu Haijin , Yang Zhenhua , Chen Zijin , Chen Xiaonong
Published: July 2023

Objective

To examine the validity of the 5-component SARC-F questionnaire for screening sarcopenia among patients with chronic kidney disease (CKD).

Methods

Eligible participants were enrolled from the Department of Nephrology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine from March 2019 to November 2019. Evaluations were performed using the self-administered SARC-F questionnaire. Sarcopenia was diagnosed by grip strength, the chair stand test and appendicular skeletal muscle mass. The severity of sarcopenia was evaluated by gait speed. We calculated the sensitivity and specificity of the SARC-F to evaluate construct validity. Moreover, receiver operating characteristic (ROC) curve analysis was performed to identify the cutoff value for nondialysis-dependent (NDD) CKD patients’ and maintenance hemodialysis (MHD) patients’ scores.

Results

A total of 105 NDD-CKD patients and 125 MHD patients were included, and the prevalence of sarcopenia was 5.7 and 31.2%, respectively. Among them, there were 21 (16.8%) MHD patients with severe sarcopenia but no NDD-CKD patients with severe sarcopenia. The sensitivity and specificity of the SARC-F were 16.7 and 98.0% for NDD-CKD patients, and 48.7 and 89.5% for MHD patients, respectively. For NDD-CKD patients, the area under the receiver operating characteristic curve (AUROC) of the total SARC-F score was 0.978 (95% confidence interval (CI): 0.929–0.997, p < 0.001), and the cutoff value of 1 reached the highest Youden index of 0.950 and max ROC curve area of 0.974. For MHD patients, the AUROC of the total SARC-F score was 0.730 (95% CI: 0.644–0.806, p < 0.001), and the cutoff value of 4 reached the highest Youden index of 0.383 and max ROC curve area of 0.691.

Conclusion

CKD patients, especially MHD patients, were at high risk of suffering sarcopenia. The SARC-F had low-to-moderate sensitivity but high specificity for screening sarcopenia among patients with CKD. The best cutoff values of the SARC-F score were different for screening sarcopenia among NDD-CKD and MHD patients.
Development of risk prediction models for depression combining genetic and early life risk factors
Authors: Lu Tianyuan , Silveira Patrícia Pelufo , Greenwood Celia M. T.
Published: July 2023

Background

Both genetic and early life risk factors play important roles in the pathogenesis and progression of adult depression. However, the interplay between these risk factors and their added value to risk prediction models have not been fully elucidated.

Methods

Leveraging a meta-analysis of major depressive disorder genome-wide association studies (N = 45,591 cases and 97,674 controls), we developed and optimized a polygenic risk score for depression using LDpred in a model selection dataset from the UK Biobank (N = 130,092 European ancestry individuals). In a UK Biobank test dataset (N = 278,730 European ancestry individuals), we tested whether the polygenic risk score and early life risk factors were associated with each other and compared their associations with depression phenotypes. Finally, we conducted joint predictive modeling to combine this polygenic risk score with early life risk factors by stepwise regression, and assessed the model performance in identifying individuals at high risk of depression.

Results

In the UK Biobank test dataset, the polygenic risk score for depression was moderately associated with multiple early life risk factors. For instance, a one standard deviation increase in the polygenic risk score was associated with 1.16-fold increased odds of frequent domestic violence (95% CI: 1.14–1.19) and 1.09-fold increased odds of not having access to medical care as a child (95% CI: 1.05–1.14). However, the polygenic risk score was more strongly associated with depression phenotypes than most early life risk factors. A joint predictive model integrating the polygenic risk score, early life risk factors, age and sex achieved an AUROC of 0.6766 for predicting strictly defined major depressive disorder, while a model without the polygenic risk score and a model without any early life risk factors had an AUROC of 0.6593 and 0.6318, respectively.

Conclusion

We have developed a polygenic risk score to partly capture the genetic liability to depression. Although genetic and early life risk factors can be correlated, joint predictive models improved risk stratification despite limited improvement in magnitude, and may be explored as tools to better identify individuals at high risk of depression.
Development of a questionnaire on nutritional knowledge for the obese hospitalized patient: the NUTRIKOB questionnaire
Authors: Mambrini Sara Paola , Soranna Davide , Averna Eva , Di Guglielmo Giulia , Lucchetti Elisa , Tinozzi Tiziana , Vinci Calogero , Barbieri Valerio , Zambon Antonella , Bertoli Simona , Scacchi Massimo
Published: July 2023

Introduction

Different approaches, involving different areas and figures, are useful for the rehabilitation of obese subjects through a multidisciplinary hospital path. A focal point of rehabilitation is represented by education on healthy eating by increasing the dietary knowledge patients. Few tools investigating food knowledge are available in Italy: therefore, the need has emerged to develop easy-to-use tools for clinical practice that allow to detect food knowledge to set up a more targeted food re-education. The following work aimed at building and validating a questionnaire capable of investigating the dietary knowledge of the population affected by obesity.

Methods

A pool of experts carried out a review of the literature, gathering all the information necessary to select and construct the best set of questions and the format of the final project of the questionnaire. During statistical analysis the validity, reproducibility and stability of the questionnaire were investigate in a sample of 450 subjects with obesity.

Results

Early analysis disclosed that 5 questions of the original questionnaire had no discriminating power. The successive validation phases were successful, confirming good content validity, stability and reproducibility over time.

Discussion

The questionnaire has all the characteristics to be considered a valid tool for investigating dietary knowledge in the obese population. The psychometric tests confirmed a good internal consistency of the structure, a validity of the content, a good reproducibility and stability over time.
Associations of Migration, Socioeconomic Position and Social Relations With Depressive Symptoms – Analyses of the German National Cohort Baseline Data
Authors: Vonneilich Nico , Becher Heiko , Bohn Barbara , Brandes Berit , Castell Stefanie , Deckert Andreas , Dragano Nico , Franzke Claus-Werner , Führer Amand , Gastell Sylvia , Greiser Halina , Keil Thomas , Klett-Tammen Carolina , Koch-Gallenkamp Lena , Krist Lilian , Leitzmann Michael , Meinke-Franze Claudia , Mikolajczyk Rafael , Moreno Velasquez Ilais , Obi Nadia , Peters Annette , Pischon Tobias , Reuter Marvin , Schikowski Tamara , Schmidt Börge , Schulze Matthias , Sergeev Dmitry , Stang Andreas , Völzke Henry , Wiessner Christian , Zeeb Hajo , Lüdecke Daniel , von dem Knesebeck Olaf
Published: July 2023

Objectives: We analyze whether the prevalence of depressive symptoms differs among various migrant and non-migrant populations in Germany and to what extent these differences can be attributed to socioeconomic position (SEP) and social relations.

Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort study (N = 204,878). Migration background (assessed based on citizenship and country of birth of both participant and parents) was used as independent variable, age, sex, Social Network Index, the availability of emotional support, SEP (relative income position and educational status) and employment status were introduced as covariates and depressive symptoms (PHQ-9) as dependent variable in logistic regression models.

Results: Increased odds ratios of depressive symptoms were found in all migrant subgroups compared to non-migrants and varied regarding regions of origins. Elevated odds ratios decreased when SEP and social relations were included. Attenuations varied across migrant subgroups.

Conclusion: The gap in depressive symptoms can partly be attributed to SEP and social relations, with variations between migrant subgroups. The integration paradox is likely to contribute to the explanation of the results. Future studies need to consider heterogeneity among migrant subgroups whenever possible.
Host Habitat as a Dominant Role in Shaping the Gut Microbiota of Wild Crucian Carp (Carassius auratus)
Authors: Li Xinghao , Huang Xueli , Zhao Liya , Cai Wei , Yu Yuhe , Zhang Jin
Published: July 2023

Current knowledge on the fish gut microbiota has largely been obtained from experiments on laboratory-reared animals. Here, the crucian carp (Carassius auratus) with a mean weight of 159.9 ± 11.4 g (mean ± SD) were collected from their natural habitats (i.e., Wuhu lake and Poyang lake, China), and the gut microbiota were analysed by using the next-generation sequencing of 16S rRNA gene. We obtained more than 430,000 high-quality reads, which constituted more than 1200 operational taxonomy units (OTUs), revealing extremely diverse microbes in the fish gut. Proteobacteria, Fusobacteria, Bacteroidetes and Firmicutes were detected as the prominent phyla (each > 1% of total abundance) within the gut microbiota, regardless of the host habitat or the gut segment (i.e., foregut vs. hindgut). Although the microbes in the hindgut were more diverse (OTU number, Shannon and Chao1; One-way Anova, p > 0.05) than in the foregut, the host habitat had a significant role in shaping the community structures (MRPP, ANOSIM, PERMANOVA, p < 0.01). Interestingly, we also detected a set of common OTUs, whereby genera Aeromonas and Cetobacterium might comprise the core gut microbiota of crucian carp.
Comparison of Drug-Related Problems in COVID-19 and Non-COVID-19 Patients Provided by a German Telepharmacy Service for Rural Intensive Care Units
Authors: Koeck Joachim Andreas , Dohmen Sandra Maria , Marx Gernot , Eisert Albrecht
Published: July 2023

Telepharmacy is used to bridge the persisting shortage of specialist ward-based pharmacists, particularly in intensive care units (ICU). During the coronavirus disease 2019 (COVID-19), pharmacotherapy was rapidly developed, which resulted in multiple changes of guidelines. This potentially led to a differing risk for drug-related problems (DRPs) in ICUs. In this study, DRPs were detected in telepharmacy consultations of a German state-wide telemedicine network for adult patients in rural ICUs. The analysis included ICUs of ten general care hospitals with a total of 514 patients and 1056 consultations. The aim of this retrospective, observational cohort study was to compare and analyze the DRPs resulting from ICU patients with or without COVID-19. Furthermore, known risk groups for severe COVID-19 progression (organ insufficiency [kidney, liver], obesity, sex, and/or older age) were investigated with their non-COVID-19 counterparts. As a result, in both groups patients with acute renal insufficiency and without renal replacement therapy showed a significantly higher risk of being affected by one or more DRPs compared to patients with normal renal function. In COVID-19 patients, the initial recommendation of therapeutic anticoagulation (ATC-code B01AB ‘Heparin group’) resulted in significantly more DRPs compared to non-COVID-19 patients. Therefore, COVID-19 patients with therapeutic anticoagulation and all ICU patients with renal insufficiency should be prioritized for telepharmacy consultations.
Optimization Path of Metro Commercial Passageway Based on Computational Analysis
Authors: Dai Peng , Han Song , Fu Guannan , Fu Hui , Wang Yanjun
Published: July 2023

In this study, three key factors affecting the planning of metro commercial passageways are selected: the built environment of metro station, travel purposes of passenger flow and gate position of the station hall. The Pearson model, Logistic model and software simulation are combined to analyze passage passenger flow. In the study of metro passageways, most studies focus on the optimization of evacuation and transfer functions, with little research on metro commercial passageways. The purpose of this study is to improve the attractiveness of metro commercial passageways to passenger flow by improving the three key factors mentioned above, thereby improving the current situation of underground commerce. The analysis results show that in the built environment analysis, the four selected construction factors are highly correlated with the passenger flow, and the correlation degree is in the following order (from high to low): length of the passage, operation of the escalators, the distance from the passage exit to the bus stop and the passage width. In the passenger flow travel purpose analysis, based on the structure of passengers and the function of the surrounding land use, it can be divided into shopping, work and living purposes, and the result of model parameter comparison shows that “shopping trips” is the most significant purpose. According to the analysis of the location of the exit gates at the station concourse level, the passageway with a closer distance or linear pattern to the gate location is more attractive to the passenger flow.
Comprehensive Ecological Planning and Evaluation of Towns from the Perspective of Sustainable Development
Authors: Li Yang , Pei Jingjing , Zhang Fang
Published: July 2023

On 22 December 2000, the State Council of China officially released the National Outline for Ecological and Environmental Protection. In order to further implement the concept of the Outline, the State Environmental Protection Administration of China proposed to comprehensively promote the creation of ecological demonstration areas. As the most basic independent administrative unit in China, township administrative regions are a key bridge connecting cities and rural areas. The comprehensive ecological planning of townships is an important means to promote rural urbanization and promote rural environmental protection work. It is also a concrete manifestation of the scientific development concept and sustainable development (SD) concept in rural work. The research focused on Yuntai Town, Changshou District, Chongqing as the research object and analyzed the physical geography information and socio-economic situation of Yuntai Town. Then, based on the reference of previous achievements, a comprehensive ecological environment evaluation index system was constructed, and an analytic hierarchy process (AHP) was used to evaluate the evaluation indicators. In order to improve the objectivity of AHP, a fuzzy analysis method was used in the experiment to improve the process. On the basis of studying the actual situation of Yuntai Town and based on the established evaluation index system, this study offers targeted suggestions for the deficiencies in the comprehensive ecological planning of Yuntai Town. The establishment of a comprehensive ecological planning and evaluation index system in Yuntai Town has theoretical and practical significance for the SD of the town.
HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DENGAN PERILAKU MENGHADAPI DISMENORE PADA REMAJA PUTRI DI SMK DAYA UTAMA BEKASI TAHUN 2021
Authors: Agustin Marini , Purwani Kuni , Aulia Husnul
Published: July 2023

The knowledge possessed by young women about dysmenorrhea is the basis for the formation of behavior to deal with and deal with dysmenorrhea. Good behavior is not only determined by attitudes, beliefs, and traditions, good knowledge will form positive behavior. This study aims to analyze whether there is arelationship between the level of knowledge and attitudes with behavior in dealing with dysmenorrhea in class XI adolescent girls at SMK Daya Utama Bekasi in 2021. The research method used is descriptive correlative. The sampling technique was a saturated sample with a total sample of 50 female students who haddysmenorrhea. The analysis used univariate and bivariate using chi-square with
HUBUNGAN PENGETAHUAN DENGAN PERILAKU PENCEGAHAN COVID-19 PADA MAHASISWA FIKES UIA TAHUN 2021
Authors: Aviantika Dela , Rapingah Siti
Published: July 2023

Covid 19 is an infectious disease that is currently being faced by the world, because in addition to causing death, it also spreads very quickly. Knowledge about Covid-19 is important in Covid-19 prevention behavior. This study aims to identify the relationship between knowledge and Covid-19 prevention behavior in the student environment of FIKes UIA. The research method used descriptive correlative by using a cross sectional design. The population of 369 people with a total sample of 79 people with the sampling technique is purposive sampling. The research instrument used a questionnaire. Bivariate data analysis with chi-square test =5%. The results method that 59 respondents (74.7%) had a good level of knowledge, of which 38 respondents (48.1%) had positive behavior and 21 respondents (26.6%) had negative behavior. And for students who have a sufficient level of knowledge as many as 20 respondents (25.3%), of that number 10 respondents (12.7%) have positive behavior and 10 respondents (12.7%) have negative behavior. The results of the analysis using Chi-Square obtained a p value of 0.001. The conclusion is that there is a relationship between the level of knowledge about Covid-19 and Covid-19 prevention behavior in the FIKes UIA Student environment in 2021. Suggestions for students to provide examples of behavior that comply with health protocols and always update knowledge related to Covid-19, because health students are one of the role models for society.
HUBUNGAN SELF EFFICACY DENGAN KEPATUHAN MINUM OBAT PADA PASIEN TUBERCULOSIS PARU DI PUSKESMAS PEKAYON JAYA KECAMATAN BEKASI SELATAN KOTA BEKASI
Authors: Saputri Tania Anggraini , Istiqomah Istiqomah
Published: July 2023

Tuberkulosis merupakan salah satu penyakit menular yang dapat disembuhkan hanya saja dalam pengobatannya membutuhkan waktu yang cukup lama dan meminum obat secara terus-menerus. Tingginya kasus Tuberkulosis Paru(TB Paru) dan rendahnya angka capaian pengobatan yang salah satunya diakibatkan putus obat menyebabkan pengobatan memakan waktu yang lebih lama. Kepatuhan merupakan ketaatan pada tujuan yang telah ditentukan. Salah satu faktor yang mempengaruhi kepatuhan ialah self efficacy. Self efficacy adalah persepsi diri atau keyakinan diri mengenai kemampuan melakukan tindakan yang dihaarapkan. Tujuan penelitian ini untuk mengetahui hubungan self efficacy dengan kepatuhan minum obat pada pasien TB paru di Puskesmas Pekayon Jaya. Metode penelitian menggunakan deskriptif korelasional dengan pendekatan cross sectional, tempat penelitian di Puskesmas Pekayon Jaya. Jumlah populasi 50 pasien TB Paru dengan sampel yang diambil menggunakan teknik total sampling. Analisa yang digunakan univariat dan bivariat menggunakan uji chi-square dengan α = 5% (0,05).Hasil penelitian analisis univariat didapatkan gambaran self efficacy rendah 54% dan Kepatuhan Minum Obat rendah 42% analisa bivariate diperoleh nilai  p atau Asym. Sig. (2-sided) = 0,002 dengan nilai α = 5% (0,05). Simpulan terdapat hubungan antara self efficacy dengan kepatuhan minum obat pada pasien TB paru di Puskesmas Pekayon Jaya. Saran Agar lebih meningkatkan self efficacy dengan kepatuhan minum obat.
GAMBARAN TINDAKAN ORANG TUA DALAM MENGATASI EFEK SAMPING KEMOTERAPI PADA ANAK KANKER
Authors: Nabilla Hanaa , Utami Agnita , Roza Adila Dian
Published: July 2023

Orang tua merupakan pemberi perawatan dan dukungan pada anak kanker untuk memenuhi seluruh kebutuhan pasien termasuk mengatasi efek samping kemoterapi yang dirasakan pasien. Penelitian bertujuan untuk mengetahui tindakan yang dilakukan orang tua dalam mengatasi efek samping kemoterapi pada anak dengan metode penelitian deskriptif kuantitatif dengan responden 30 orang tua anak kanker. Instrumen penelitian menggunakan kuesioner. Hasil penelitian didapatkan tindakan yang dilakukan orang tua untuk mengatasi mual muntah mayoritas adalah pemberian obat (61.1%). Tindakan mengatasi kerontokan rambut dengan menggunakan minyak kelapa/ kemiri ke kepala pasien (38.8%). Untuk mengatasi sariawan, mulut kering dan sakit tenggorokan banyak diberikan kumur-kumur mulut 3-4 kali sehari (57.1%). Untuk masalah diare orang tua memberikan minum air putih 8-10 gelas perhari (66.6%). Untuk masalah gangguan saraf otot diberikan obat mengatasi nyeri (33,3%). Tindakan mengatasi kelelahan dianjurkan istirahat atau tidur ketika merasa lelah (44.4%). Tindakan mengatasi risiko infeksi (demam, batuk, flu) banyak diberikan minum air putih dan konsumsi makanan sehat (78.5%). Tindakan mengatasi anemia orang tua memberikan makanan yang mengandung zat besi pada anak (77.7%). Masalah kulit banyak diatasi dengan mengoleskan handbody lotion (60.0%). Masalah konstipasi diatasi orang tua dengan memberi anak minum air putih (63.6%). Tindakan mengatasi efek samping penurunan nafsu makan paling banyak dilakukan orang tua menemani anak dalam setiap makannya dan memberikan minuman sehat (70.5%). Diharapkan petugas YKAKI dapat membimbing orang tua terhadap tindakan yang dapat diberikan orang tua terkait efek samping kemoterapi anak agar tidak menimbulkan komplikasi kedepannya.
Programa de entrenamiento de parotidectomia en modelo cadavérico perfundido
Authors: Jara Contreras Rocio , Rappoport W. Daniel , Moraga T. Felipe , Soto V Miguel , Aguilar N William
Published: July 2023

Introducción: La parotidectomía es una cirugía infrecuente y técnicamente compleja determinada por la dificultad de disección del nervio facial, cuya lesión produce alto grado de morbilidad en los pacientes. Los modelos de simulación animales no logran reproducir las características de la anatomía regional, por lo que se hace necesario explorar otras alternativas para el entrenamiento de estas habilidades. Nuestro objetivo es evaluar un programa de entrenamiento de técnicas de parotidectomía en un modelo cadavérico perfundido. Métodos: Se diseñó un programa educacional de Kern de entrenamiento de residentes de Cirugía de Cabeza y Cuello para la realización de parotidectomía total en un modelo cadavérico perfundido. La evaluación se realizó mediante el modelo de Kirkpatrick, en los niveles 1 (reacción), 2A (cambio de actitudes) y 2B (adquisición de conocimientos y habilidades). Resultados: Se elaboró un programa teórico-práctico basado en cátedras y simulación de alta fidelidad. En su mayoría los participantes: recomendarían el curso (Nivel 1); tuvieron mayor motivación para el aprendizaje (Nivel 2) y presentaron mejores indicadores sobre conocimientos, habilidades y percepción de mejoría de sus competencias (Nivel 2B). Conclusion: La utilización de un programa de parotidectomia simulado en un modelo de alta fidelidad basado en modelos cadavéricos humanos perfundidos es una alternativa que mejora la calidad de entrenamiento y es útil y factible para el aprendizaje de técnicas de parotidectomía en residentes de Cirugía de Cabeza y Cuello.
PENERAPAN APLIKASI ANDROID “MENYUSUI ASI-Q” PADA IBU MENYUSUI DI WILAYAH KERJA PUSKESMAS KOTA PALEMBANG
Authors: Virgian Kharisma , Setiawati Desy , Veratiwi Veratiwi , Franciska Yunetra , Hakim Dwi Ratnawaty
Published: July 2023

The success of exclusive breastfeeding is determined by many factors, namely from the family, environment, health workers and the mother herself. Internal factors of the mother are the lack of knowledge about exclusive breastfeeding and the lack of awareness of the mother to provide exclusive breastfeeding. This community service activity is the result of research activities that have been carried out before. The results of the research were applied in the Implementation of the ASI-Q Breastfeeding Android Application for breastfeeding mothers in the work area of the Talang Ratu Palembang Health Center. This activity aims to apply the android application "Breastfeeding ASI-Q" to breastfeeding mothers so that it can increase maternal knowledge, facilitate the breastfeeding process and reduce anxiety in breastfeeding mothers. This activity is carried out by conducting counseling activities for breastfeeding mothers at the Anggraini Posyandu. Before counseling, a pre-test was carried out to determine the level of knowledge of mothers about breastfeeding. After counseling, mothers can access applications at home and combine them in one Whattsaap group as a medium of communication and media for questions and answers. After one month of using the app, breastfeeding mothers filled out the post test link. With the ASI-Q breastfeeding application, mothers can breastfeed happily, the milk will come out smoothly so that the baby will always be healthy and cheerful. From the results of the evaluation obtained in this activity, breastfeeding mothers said that this application is very useful, educative and informative so that it can increase the insight of breastfeeding mothers how the ins and outs of breastfeeding.
EDUKASI DAN DEMONSTRASI PEMBUATAN SABUN PENCUCI TANGAN ANTISEPTIK BERBAHAN KERTAS PADA KELOMPOK WANITA TANI DI KOTA PALEMBANG
Authors: Marlina Dewi , Fadly Fadly
Published: July 2023

Mencuci tangan dengan sabun dikenal juga sebagai salah satu upaya pencegahan penyakit. Hal ini dilakukan karena tangan sering kali menjadi agen yang membawa kuman dan menyebabkan patogen berpindah dari satu orang ke orang lain. Salah satu bagian tubuh yang rentan terkena bakteri dan virus adalah tangan. Bentuk sabun yang belum banyak beredar dipasaran adalah sabun dalam bentuk lembaran atau dalam bentuk kertas. Bentuk lembaran akan memberikan keuntungan, yaitu mudah disimpan dan dapat dibawa kemana-mana, serta pemakaian satu lembar satu kali pakai dapat menjaga kwalitas sabun. Maka telah dilakukan kegiatan Pengabdian kepada Masyarakat berupa edukasi tentang perilaku hidup bersih dan sehat, serta demo pembuatan sabun cuci tangan Antiseptik dari kertas  pada Kelompok Wanita Tani BPP Talang Betutu Palembang.. Target capaian adalah adanya peningkatan pengetahuan dan keterampilan, yang diukur dengan menggunakan kuesioner melalui pretest dan postest, dan evaluasi terhadap hasil demostrasi. Target capaian adalah adanya peningkatan pengetahuan dan keterampilan, yang diukur dengan menggunakan kuesioner melalui pretest dan postest, dan evaluasi terhadap hasil demostrasi. Dari kegiatan ini didapatkan peningkatan pengetahuan masyarakat yang bermakna dan peningkatan keterampilan tentang pembuatan Sabun Pencuci Tangan Antiseptik Berbahan Kertas. Peserta puas terhadap pelaksanaan Edukasi dan Demostrasi  dan menyatakan bahwa Edukasi dan Demostrasi ini memberikan manfaat.
CAN IMMATURE PLATELET FRACTION BE USED AS A PROXY OUTPATIENT MARKER FOR PRESENCE OF OESOPHAGEAL VARICES IN PATIENTS OF HEPATIC CIRRHOSIS? - A CROSS-SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL
Authors: Rawtani Deepika , Mehta Sudhir , Arora Aikansh , Pathak Keshav , Kumari Anita , Kesarwani Shuchismita , Kumar Rakesh
Published: July 2023

Background: Cirrhosis is a condition that is dened1 histopathologically by loss of the normal lobular architecture of the liver and replacement bybrosis and formation of regenerative nodules. It is the eleventh leading cause of mortality worldwide1, causing 1.16 million deaths annually. Variceal haemorrhage is one of the most dreaded complications which is associated with 20% mortality2 and the survivors have 70% risk of rebleeding within the next one year. This calls for non-invasive measures for detection of oesophageal varices so as to form better guidelines for management of the patients. Objective : Our study was aimed at correlating the immature platelet fraction with presence of oesophageal varices. Materials and Methods :We conducted a cross-sectional, observational, single-center study in 60 OPD cirrhotic patients in SMS Hospital, Jaipur between May 2022-September 2022. USG abdomen, upper GI endoscopy and blood investigation including complete blood count and Immature platelet fraction (IPF) were done. Data was analysed to nd a correlation between IPF and presence of oesophageal varices. Results : Out of the total 60 subjects, 16.7% did not have any oesophageal varices, 83.3% had oesophageal varices out of which 40% had Grade 1 varices, 36.6% Grade 2 varices, and 6.7% Grade 3 varices. Mean IPF (%) was correlated with presence as well as grade of oesophageal varices. Mean IPF in subjects without oesophageal varices was 6.13 ± 0.67, mean IPF in subjects with oesophageal varices was 9.85 ± 1.03 (mean IPF in group with Grade 1 varices was 8.99 ± 0.16, Grade 2 varices was 10.4 ± 0.54 , and Grade 3 varices was 12.1 ± 0.87 (p-value <0.001) ). Conclusion :It was see that IPF values were higher in the group with oesophageal varices as compared to those without varices, and mean IPF increased with increasing grades of oesophageal varices - suggesting that IPF could be used as a non invasive proxy marker for presence and severity of oesophageal varices. Acutoff of IPF of 9.8 was taken based on the ndings in our study and was highly suggestive of presence of oesophageal varices.
CLINICORADIOLOGICAL PROFILE OF CARCINOMA LUNG AT TERTIARY CARE CENTRE
Authors: Nikhra Ankur , Kumar Mishra Mahesh , Sharma Lokesh , Maan Lokesh , Jalthuria Jitendra , Agarwal Mohit , Shringi Sameeksha , Barsaiyan Sakshi
Published: July 2023

Introduction: Lung cancer is one of the most common malignancies and a major factor in cancer- related deaths worldwide. Lung cancer seems to be becoming more common in India than in the western population. Material And Methods: This is Prospective and observational study of 100 Patients with diagnosed Carcinoma of Lung. This study was conducted as out patient and inpatient in Department of Respiratory Medicine Mahatma Gandhi Medical College & Hospital, Jaipur over period from March 2021 to June 2022.The clinical history of the patients was recorded in detail along with the radiological analysis. Ethical clearance certicate was obtained from the ethical committee. Objective: To study the Clinico-Radiological prole and Demographical prole of Carcinoma of lung. Result: 100 patients of carcinoma lung were included in the study; among them 48% were in > 60 year of age group. 75% of our study subjects were males while 25% were females. 69 % of cases in our cohort had a history of smoking. Commonest symptom of carcinoma lung was cough (89%), followed by shortness of breath(75%). Most common sign were pallor(51%) and clubbing (40%). Most common comorbidity was COPD (28%) & Diabetes (28%), followed by Hypertension (27%). Right lung 58%) was more commonly involved being right upper lobe (30%) frequently involved followed by left upper lobe (25%). Radiological presentation prole of Ca lung the most common nding was mass (83%) Followed by Hilar prominence (65%). Conclusion: This study showed that lung cancer should be suspected in an elderly male presenting with cough, shortness of breath, chest pain and hemoptysis; and are found to have pallor, clubbing & lymphadenopathy on presentation. The radiologically mass lesion is the most common presentation.
NEONATAL SEPSIS IN NICU OF A TERTIARY HOSPITAL – A CHANGING TREND IN CULTURE ISOLATES AND ANTIMICROBIAL SENSITIVITY PATTERN IN BALLARI
Authors: Nazneen Afshan , K Srikanth B. , D Rajesh
Published: July 2023

Introduction: Neonatal sepsis is a worldwide problem that presents a dynamic challenge to Pediatricians. Globally, it is estimated that 2.4 million neonatal deaths were reported in 2020.Aims and Objectives:To determine the bacteriological prole and antibiotic sensitivity pattern of neonatal sepsis done in tertiary care NICU in Govt Medical College Hospital. Materials and Methods: It is a retrospective observational study done in NICU, VIMS Hospital, Ballari. Patient records pertaining to blood culture conrmed sepsis cases admitted to the NICU unit from January 2022 to April 2022 were examined. The cases were further categorized into inborn/outborn, EOS/LOS and Multidrug resistance. Results: Out of 853 samples, 606 cases were inborn of which only 161 cases are culture positive (26.6%) whereas 247 cases were outborn of which 110 cases are culture positive (44.5%). Atotal of 271 samples were culture positive (31.77). Overall, most common organisms isolated were CONS and Klebsiella. Out of 127 cases of Gram Positive Isolates, 87 cases (68.5%) were Multidrug Resistant whereas 48 out of 112 gram negative cases (42.86%) were multi drug resistant. Conclusion: Our study revealed that CONS and Klebsiella are predominant pathogens. Resistance to commonly used Cephalosporins and Penicillins is rampant in all isolates. Both Gram Positive and Negative bacteria are more sensitive to Amikacin and Ciprooxacin. However, a word of caution while using Ciprooxacin in neonates
FINDING A BALANCE-CLINICAL PROFILE, STEREOPSIS AND AMBLYOPIA IN ANISOMETROPIA
Authors: Parande Madhuri , S Vernekar Shwetha
Published: July 2023

Introduction:- To investigate anisometropia and its association with amblyopia, stereopsis and strabismus in children from age 4 years to 20 years. Materials And Method:- This is a prospective study, wherein 55 cases of anisometropia who presented to outpatient department of ophthalmology in our tertiary eye care government hospital during 12 months period were studied. Patterns of anisometropia and association between anisometropia with stereopsis, amblyopia and strabismus were analyzed. Among Results:- 55 patients, males were (55%) and females were (45%). 28(51%) were <10 years and 27(49 %) were >10 years of age. Prevalence of high myopia-2 (3.63%), high hyperopia-5(9.09%), myopic astigmatism-31 (56.3%), hyperopic astigmatism-8 (14.5%), mixed astigmatism-2(3.63%) were noted. Difference of power between two eyes were divided into 3 groups i.e ., <3D , 3-6D and >6D. Among 55 patients; majority were in rst group i,e., 34 (61.8%). In rst group around 70% patients had high to very high refractive errors but with difference of <3D in both the eyes with low stereopsis. Patients having refractive power in only one eye were 7(12.72%), presented after 10 years of age, had low stereopsis and strabismus. 15 eyes out of the 110(13%) had amblyopia. Most among them had high myopic astigmatism. Myopic astigmatism and anisometropia a Conclusion:- re the major causes for low vision. Uncorrected anisometropia can lead to amblyopia and strabismus. Early detection and adequate treatment becomes imperative. Patient education, simple spectacle prescription and usage can reduce the burden of low vision and blindness in the community.