bluuebunny/crossref_metadata_2025 huggingface dataset:
Đánh giá điều trị viêm xương ức bằng hệ thống áp lực âm (VAC) tại Trung tâm Tim mạch, Bệnh viện E
Authors: Thuy Nguyen Tran , Thao Nguyen Phuong , Thu Nguyen Thi
Published: October 2022

Đặt vấn đề: Nhiễm khuẩn vết mổ xương ức là một nhiễm khuẩn bệnh viện hay gặp làm tăng tỉ lệ tử vong và là áp lực cho hệ thống y tế. Hiện nay, phương pháp điều trị nhiễm khuẩn vết mổ xương ức bằng hệ thống áp lực âm (VAC) đã và đang trở thành xu thế được khuyến khích sử dụng. Chúng tôi tiến hành nghiên cứu nhằm mục tiêu đánh giá kết quả của VAC trong điều trị NKVM xương ức tại TTTM - Bệnh viện E.

Phương pháp: Nghiên cứu mô tả cắt ngang, số liệu được thu thập hồi cứu và tiến cứu

Kết quả: Từ tháng 5 năm 2019 đến tháng 6 năm 2021, chúng tôi nghiên cứu tổng số 9 bệnh nhân bị nhiễm khuẩn vết mổ xương ức được sử dụng hệ thống áp lực âm. Trong đó có 7 nam (77.8 %), 2 nữ (22.2%), độ tuổi trung bình là 53 ±10. Sáu bệnh nhân được điều trị thành công với vết thương lành hoàn toàn (66.7%). Thời gian sử dụng VAC ngắn nhất là 11 ngày, dài nhất là 102 ngày, thời gian trung bình sử dụng VAC là 53.1 ngày.

Kết luận: VAC là lựa chọn an toàn, đáng tin cậy điều trị nhiễm khuẩn vết mổ xương ức trong phẫu thuật tim. Phương pháp điều trị nhiễm khuẩn vết mổ xương ức bằng hệ thống áp lực âm nên được áp dụng trong điều trị vết thương sâu, nhiễm trùng rộng để tránh các yếu tố rủi ro.[1]
Phẫu thuật nội soi điều trị bệnh lý van ba lá tại Trung tâm Tim mạch, Bệnh viện E
Authors: Thuy Nguyen Tran , Trung Hoang Van , Huu Nguyen Cong
Published: October 2022

Background. Tricuspid regurgitation is one of the most common heart valve diseases, affecting 65-85% of the population. Primary tricuspid regurgitation has causes in the tricuspid valve including rheumatic, degenerative, congenital, infectious, etc. Secondary tricuspid regurgitation is more common, associated with right ventricular dysfunction, dilated annulus. valves, often secondary to left-sided valve disease (especially mitral valve disease), atrial fibrillation, and pulmonary hypertension. Traditional sternal open surgery has the advantage of being spacious and convenient for technical manipulations, but the method still has many traumas and risks of sternum inflammation. Endoscopic surgery avoids opening the sternum with the advantages of minimizing trauma, eliminating sternitis, being more aesthetic is becoming a trend and is increasingly applied in cardiovascular surgery.

Aims: Evaluation of early and medium-term results of endoscopic surgery for tricuspid valve disease at cardiovascular center, E Hospital

 Method. Cross-sectional descriptive study, data were collected retrospectively and prospectively

Result. From January 2020 to December 2021, we studied 42 patients undergoing endoscopic surgery for tricuspid valve disease, including 13 men (31%), 29 women (69%). Average age is 53.98±12.51 years. The number of patients with tricuspid valve repair and mitral valve replacement surgery was 34 patients, the number of patients with tricuspid valve repair after mitral valve replacement surgery was 4 patients, there were 2 patients with severe tricuspid regurgitation due to infective endocarditis . There was 1 patient with tricuspid valve repair combined with atrial septal defect patching. Immediately after surgery, the proportion of patients with no regurgitation or mild regurgitation of the tricuspid valve was 35 patients (83.3%), moderate regurgitation had 6 patients (14.3%), severe regurgitation had 1 patient (2.4%) ), 41 patients (97.6%) were discharged from hospital, 1 patient (2.4%) died early after surgery. The longest follow-up time was 17 months, the shortest was 6 months, the results were no longer tricuspid regurgitation or mild regurgitation in 37 patients (90.2%), moderate regurgitation in 4 patients (9.8%), there aren’t patients with severe regurgitation of the tricuspid valve or late death.

Conclusion. Endoscopic surgery for the treatment of tricuspid valve disease has good results, aesthetics, few complications.
Probiotic Beverage from Mangosteen Juice Fermented with Lactobacillus Strains
Authors: Mongkontanawat Naruemon , Boonna Sureeporn , Wasikadilok Narusan
Published: October 2022

In the present work, a non-dairy fermented beverage was produced from mangosteen juice using Lactobacillus strains. Mangosteen juice was fermented with 3 probiotic strains: Lactobacillus casei TISTR 390, L. fermentum TISTR 391 and L. plantarum TISTR 1463 in single and co-cultivations at an incubation temperature of 30°C for 72 h. The changes in chemical and microbiological properties during fermentation at 0, 24, 48 and 72 h were investigated. It was found that the acidity and viable cell count of fermented mangosteen juice increased at 72 h fermentation in all of the treatments, whereas the level of total soluble solid, phenolic compound, and pH decreased. Sensory evaluation showed that mangosteen juice fermented with the combination of L. casei TISTR 390, L. fermentum TISTR 391, and L. plantarum TISTR 1463 had overall the acceptability score in the group of highest score (6.74; moderately like). Furthermore, it showed the highest taste liking score.However, after 4 weeks of cold storage at 4°C, the level of phenolic compound, pH and viable cell count of this fermented juice slightly fell, but the total soluble solid remained the same. Interestingly, the fermented juice had good antioxidant activity compared with the control (without lactic acid bacteria). Moreover, the low concentration of fermented mangosteen juice exhibited to have higher toxicity to colon tumor cell (SW620) than that of the control. This finding suggested that these probiotic mangosteen juice could be served as a healthy alternative functional beverage for general consumers, especially adults and the elderly.

HIGHLIGHTS

Non-dairy prebiotic beverage was produced from mangosteen juice using Lactobacillus strains

Mangosteen juice fermented with the combination of 3 probiotics of Lactobacillus strains had the highest overall acceptability and taste liking score

The antioxidant activity of probiotic mangosteen juice was higher than those of the control mangosteen juice which showed the lower IC50 values

The low concentration of mangosteen probiotic beverage exhibited to have higher toxicity to colon tumor cell (SW620) than that of the control mangosteen juice         

GRAPHICAL ABSTRACT
Evaluation of the Effect of ACC Deaminase and Exopolysaccharides Producing Bacteria in Maize (Zea mays) under Heat Stress
Authors: Rafi Amara , Chaudhary Hassan Javed , Ali Javed , Kutawa Abdulaziz Bashir , Amna Amna , Khan Misbah , Aslam Nida , Ur Rehman Shafiq
Published: October 2022

Heat stress or global warming is a continuous temperature fluctuation that affects the environment and damage plant tissues because of the hormonal imbalances in plants. Yield losses resulting from heat stress are a major threat to global food security. Plant growth-promoting bacteria (PGPB) may be utilized to lessen this loss in yield. PGPB containing aminocyclopropane-1-carboxylic acid (ACC) deaminase activity can enhance plant growth that various abiotic stresses inhibit. This work was conducted to evaluate the effect of ACC deaminase and exopolysaccharides producing bacteria on maize plants grown under heat stress. The stressed plants were kept at 45 °C, while non-stressed plants were grown at a temperature of 28 - 35 °C. In 45 days of the growing period under heat stress, the plant growth and activities were decreased, however, in the presence of PGPB (isolated from soil and plant tissues in Muzaffagarh, Pakistan) containing ACC deaminase activity, the plant activities and biomass were increased compared to their respective control. The ACC deaminase-producing bacteria played a significant role by enhancing the physiological activities of the plants like chlorophyll a and b, carotenoid pigments, and proline content. Enzymatic activities like superoxide dismutase (81 %), peroxidase (57.8 %), and catalase (50.27 %) were increased. The relative water content of the maize plants was increased in Treatment one (T1) with 300, and 200 % for non-heat and heat, respectively, while the control was having 220, and 200 % for non-heat and heat, respectively. Soluble sugar content was improved with T1 having the highest values (4,000 and 5,700 g/mol) for heat and non-heat, respectively. The control was having 900, and 2300 g/mol for heat and non-heat, respectively. The application of ACC deaminase-producing bacteria on maize can help to overcome the adverse effects of heat stress and help the plant to survive under stress condition.

HIGHLIGHTS

Heat stress is a continuous temperature fluctuation that affects the environment and damage plant tissues because of the hormonal imbalances in plants, and yield losses resulting from heat stress are a major threat to global food security

This research work was carried out to assess the effect of ACC deaminase and exopolysaccharides producing bacteria on maize plants grown under heat stress

The use of ACC deaminase-producing bacteria on maize can help to overcome the adverse effects of heat stress and help the plant to survive under stress condition

GRAPHICAL ABSTRACT
System for automatic detection and classification of cars in traffic
Authors: Bralić Niko , Musić Josip
Published: October 2022

Objective: To develop a system for automatic detection and classification of cars in traffic in the form of a device for autonomic, real-time car detection, license plate recognition, and car color, model, and make identification from video.Methods: Cars were detected using the You Only Look Once (YOLO) v4 detector. The YOLO output was then used for classification in the next step. Colors were classified using the k-Nearest Neighbors (kNN) algorithm, whereas car models and makes were identified with a single-shot detector (SSD). Finally, license plates were detected using the OpenCV library and Tesseract-based optical character recognition. For the sake of simplicity and speed, the subsystems were run on an embedded Raspberry Pi computer.Results: A camera was mounted on the inside of the windshield to monitor cars in front of the camera. The system processed the camera’s video feed and provided information on the color, license plate, make, and model of the observed car. Knowing the license plate number provides access to details about the car owner, roadworthiness, car or license place reports missing, as well as whether the license plate matches the car. Car details were saved to file and displayed on the screen. The system was tested on real-time images and videos. The accuracies of car detection and car model classification (using 8 classes) in images were 88.5% and 78.5%, respectively. The accuracies of color detection and full license plate recognition were 71.5% and 51.5%, respectively. The system operated at 1 frame per second (1 fps).Conclusion: These results show that running standard machine learning algorithms on low-cost hardware may enable the automatic detection and classification of cars in traffic. However, there is significant room for improvement, primarily in license plate recognition. Accordingly, potential improvements in the future development of the system are proposed.
An Approach using Machine Learning Model for Breast Cancer Prediction
Authors: Nafa Fatema , Gonzalez Enoc , Kaur Gurpreet
Published: October 2022

Breast cancer is one of the most common diseases that causes the death of several women around the world. So, early detection is required to help decrease breast cancer mortality rates and save the lives of cancer patients. Hence early detection is a significant process to have a healthy lifestyle. Machine learning provides the greatest support to detect breast cancer in the early stage, since it cannot be cured and brings great complications to our health system. In this paper, novel models are generated for prediction of breast cancer using Gaussian Naive Bayes (GNB), Neighbour’s Classifier, Support Vector Classifier (SVC) and Decision Tree Classifier (CART). This paper presents a comparative machine learning study based to detect breast cancer by employing four different Machine Learning models. In this paper, experiment analysis carried out on a Wisconsin Breast Cancer dataset to evaluate the performance for the models. The computation of the model is simple; hence enabling an efficient process for prediction. The best overall accuracy for breast cancer detection is achieved equal to 94%. using Gaussian Naive Bayes.
Towards Devising a Fund Management System using Blockchain
Authors: Rashid Nibula Bente , Saha Joyeeta , Prova Raonak Islam , Tasfia Nowshin , Shanto Md. Nazrul Huda , Noor Jannatun
Published: October 2022

State government operations comprise a large number of transactions for different processes that must be carried out across the state. This comprises new projects, maintenance and repairs, public employee compensation, and agricultural schemes. Low-level corruption, which is sometimes difficult to trace and hinders state growth, is a big challenge for the top administration. In order to eradicate corruption and bring transparency, technology can be used in an efficient way. An important task to exterminate corruption is to keep track of all the financial transactions of an undergoing project. This research uses blockchain technology to keep track of fund management systems and assure the transparency of any financial statement. This paper proposes to use a gateway where all transaction records are updated in the system and visible to all stakeholders. We find research gaps in the literature and focus on including government funds and local currency usage. The proposed model's motive is to generate a funding model that attains two sub-goals: designing a fund management methodology in which authorized individuals can receive and withdraw allocated funds in crypto currency, and evaluating a smart contract to incorporate the money and identify transparency and tracking. The proposed model executes every feature of our system in just 8.3786ms on average.
An Automatic Sheet Music Generating Algorithm based on Machine Learning and Artificial Intelligence
Authors: Yu Ruize , Sun Yu
Published: October 2022

Due to the ever growing popularity of music as a part of everyday life, and with the continuous advances in AI technology, it is now possible for computers to listen to and recognize music [1]. However, there still exist limitations on machines’ ability to recognize audio. This paper proposes an application to simplify the process of music transcription and reduce its runtime [2]. This application was tested in a different range of settings and evaluated. The results show what can be further improved on this application.
Low-Carbon Innovation Decision Considering Quality Differences and Government Subsidies under the Three-Party Trading Platform
Authors: Wang Xu , Zhou Longzhen , Zhang Zusheng , Wu Yingbo , Li Longxiao
Published: October 2022

In the context of low-carbon innovation, reasonable subsidy, innovation, and pricing strategies are important to achieve resource decarbonization and supply-demand matching, while the quality differentiation of resources has a significant impact on the strategy formulation. In this paper, we study low-carbon innovation and government subsidy in different innovation scenarios with two providers offering differentiated manufacturing resources on a resource trading platform, integrating two variables of resource quality difference and demand-side lowcarbon preference. Using utility theory and the Stackelberg game, a decision model of low carbon innovation and government subsidy is constructed, and the equilibrium solution is obtained with inverse induction. Then, the low-carbon innovation and subsidy strategies under different innovation scenarios are compared and the effects of relative coefficients of quality and innovation cost coefficients on the strategies are analyzed. The findings show that when the difference in resource quality is small, the level of green innovation is higher in the low carbon innovation scenario with high-quality resources compared to the low carbon innovation scenario with low-quality resources, and the rate of government subsidy for innovation investment is also higher. In case of the large difference in resource quality, the relative magnitudes of green innovation level and government subsidy rate for innovation inputs in different scenarios are related to innovation cost coefficients.
Alfabetização no contexto de pandemia covid-19: reflexões sobre a realidade escolar
Authors: Santos Ester Alves dos , Rosário Gabriela Chem de Souza do
Published: October 2022

A pandemia da COVID-19 afetou todas as esferas da sociedade, inclusive a educação. Diante desse cenário, o objetivo geral do estudo foi de analisar o processo de alfabetização na realidade escolar em um contexto de pandemia e delimitou-se como objetivos específicos, investigar o desenvolvimento dos educandos na aprendizagem da leitura e escrita e identificar os desafios enfrentados pelos profissionais da educação no processo de alfabetização e letramento. A pesquisa possui caráter qualitativo, e utiliza-se de questionários para coleta de dados, os quais foram realizados por meio de formulário no Google Forms. O público-alvo da pesquisa foram as professoras do Ensino Fundamental dos 1º e 2º anos de uma escola pública da cidade de Ponta Grossa. O estudo compreendeu que a alfabetização, é um processo contínuo, e que as crianças possuem dificuldades na aprendizagem que precisam ser recuperadas no contexto póspandemia. Sendo um dos desafios identificados pelas alfabetizadoras, adaptar-se ao mundo virtual.
Importância do pedagogo na brinquedoteca hospitalar
Authors: Trindade Marisol Rodrigues Gomes , Margraf Sheila Kalkmann Ribeiro
Published: October 2022

A brinquedoteca hospitalar pode fornecer às crianças e adolescentes que as frequentam um espaço seguro onde irão se divertir e aprender. Para tanto, o profissional de Pedagogia tem um papel importante nesse processo. Assim, este estudo tem como objetivo evidenciar qual a importância do profissional licenciado em Pedagogia na brinquedoteca hospitalar. Uma pesquisa do tipo revisão bibliográfica foi realizada em bases de dados. Quatro estudos foram selecionados. A partir de uma análise de natureza qualitativa, foi possível observar que o pedagogo tem um papel essencial para promover um ensino de qualidade às crianças por meio do uso lúdico no ambiente hospitalar. Considera-se que o pedagogo tem papel importante no processo de ensino aprendizagem, além desse profissional também amparar as crianças fazendo com que compreendam as atividades pedagógicas realizadas por elas, o que faz com que isso mereça uma maior atenção nos cursos de Licenciaturas.
A pandemia COVID-19: Desafios e dificuldades da aprendizagem para alunos de inclusão do ensino fundamental anos iniciais
Authors: Oliveira Luana Lara , Almeida Simone Aparecida Pinheiro de
Published: October 2022

O artigo apresenta uma pesquisa sobre os principais impactos da pandemia do Covid-19 na educação dos alunos de inclusão do Ensino Fundamental anos iniciais de uma escola pública municipal da cidade de Ponta Grossa – Pr. Após problematização e reflexão sobre quais foram as principais dificuldades enfrentadas pela escola, pelos professores (as) e seus alunos nesse período das aulas remotas, iniciou-se a Pesquisa. Buscou-se levantar quais ações a escola estava fazendo para corrigir defasagens de ensino aprendizagem causadas pela Pandemia, bem como identificar quais práticas pedagógicas foram desenvolvidas para auxiliar e recuperar o processo de aprendizagem e desenvolvimento dos alunos. Se as alternativas encontradas e propostas foram eficazes? A pesquisa teve como objetivo principal identificar as consequências e impactos da pandemia no processo de ensino dos docentes e de aprendizagem dos alunos inclusos no ensino fundamental anos iniciais. A metodologia foi qualitativa com Pesquisa Participante, com envolvimento diário de observação in loco de dois alunos do público alvo da Educação Especial, bem como aplicação do método ABACADA para desenvolver a aprendizagem de alunos inclusos.
KONSEP DOA DALAM KEHENINGAN MENURUT ST. EPHREM DARI SURIAH DALAM HYMNS PRESERVED IN ARMENIAN, NO. I: MENYATU DENGAN ALLAH
Authors: Zelinofitasari Daeli
Published: October 2022

Abstract. Prayer in silence is a prayer of the mind that is continuously done without stopping to ask for God`s mercy. But in another view says that prayer is only a human request to God. But for Efpherm, it is emphasized that prayer is not just a request, but prayer in human silence can maintain the purity of the heart and unite with God in the book Hymns Preserved In Armenian, No. I . The method used in writing this article is library research, to describe how important it is to pray in silence. By praying in silence, we can become like Christ through constant repentance and asceticism. So that the power of evil is not easy to attack thoughts because there is power from God.
Abstrak. Doa dalam keheningan merupakan doa batin yang terus-menerus dilakukan tanpa henti untuk meminta belas kasih Allah. Tetapi dalam pandangan lain mengatakan bahwa doa itu hanya sebatas permohonan manusia kepada Allah.  Tapi bagi Efpherm doa itu bukan hanya sebata permohonan, tetapi doa dalam keheningan manusia dapat menjaga kesucian hati dan menyatu dengan Allah dalam buku Hymns Preserved In Armenian, No. I Metode yang digunakan dalam penulisan artikel ini adalah penelitian pustaka, untuk menguraikan betapa pentingnya melakukan doa dalam keheningan.  Dengan ada doa dalam keheningan dapat menjadi serupa dengan Kristus melalui pertobatan dan askesis yang terus dilakukan tanpa henti.  Sehingga kuasa kejahatan tidak mudah menyerang pikiran-pikiran sebab ada kekuatan yang dari Tuhan.
Noninvasive Examination Analysis System for Cardiovascular Surgeon / Phlebologist Decision-Making Support
Authors: Чирко Р. А. , Урманцева Н. Р.
Published: October 2022

в статье рассматривается система анализа результатов неинвазивных исследований пациента для поддержки принятия решений сердечно-сосудистого хирурга-флеболога. Программа будет помогать в принятии решений врачу-флебологу для определения кода классификации CEAP в спорных и сложных случаях путем распознавания загруженного в программу снимка формата DICOM сверточной нейронной сетью.В процессе обучения нейронной сети использовался метод увеличения контрастности черно-белого DICOM-снимка. За счет этого метода нейронная сеть лучше обрабатывает снимок и выводит более точные результаты распознавания. Таким образом, среднее значение процента распознавания варьируется от 86,1 до 97,4 %.

this study discusses a system for analyzing noninvasive examination results to support the decision-making by a cardiovascular surgeon/phlebologist. The software helps the phlebologist in making decisions to determine the CEAP classification code in controversial and complicated cases. The system recognizes uploaded DICOM format images with a convolutional neural network.Contrast enhancement of b/w DICOM images was applied for the neural network training. It improves the image handling and increases the recognition accuracy. The average recognition rate is from 86.1 to 97.4 %.
3D Reinforcement Arrangements for Carbon-Carbon Composite Multilayer Fiber Preforms
Authors: Михеев П. В. , Бухаров С. В. , Лебедев А. К. , Тащилов С. В.
Published: October 2022

для повышения эффективности работы энергетических установок нового поколения требуется совершенствование современных многослойных композиционных материалов с регулируемой схемой, плотностью армирования и межслоевой прочностью, гарантирующих устойчивость конструкций к действию высоких уровней термических и эрозионных нагрузок. Для эффективной разработки таких материалов требуется проводить моделирование их структуры с целью прогнозирования характеристик целевого изделия. В данной статье исследовано влияние параметров структуры материала и технологического процесса односторонней прошивки (тафтинга) многослойного пакета заготовки из углеродной ткани УТ-900 жгутом УКН-М-3К-ЭД на свойства композиционных материалов. В статье проводится моделирование технологии изготовления волокнистых преформ прошивкой тканого пакета углеродных тканей толщиной до 100 мм. Такой пакет является заготовкой для изготовления углерод-углеродного композита с требуемым уровнем теплофизических и конструкционных свойств.Опытным путем проведено моделирование структуры прошивки волокнистой заготовки для получения преформ армированного композиционного материала. Свойства материала «Тафтинг», необходимые для моделирования работоспособности конструкций, определены экспериментально и с учетом анизотропии свойств. Полученные результаты сравниваются с материалами КИМФ, Ипресскон, АРМИР-П и МКУ4М-7.

to improve the efficiency of advanced powerplants, we need new multilayer composite materials with adjustable layup patterns, reinforcement density, and interlayer strength. They will ensure structural stability under high thermal loads and erosion. The structure of such materials should be modeled to forecast the properties of the final product. This paper studies the effects of composite structure and tufting (inserting a thread through a layered dry fabric with a needle that, after insertion, moves back along the same trajectory) of a multilayer UT-900 carbon fabric composite with the UKN-M-3K-ED thread on the properties of the composite. We simulated the tufting of layered carbon fabrics preforms up to 100 mm thick. These preforms are workpieces for making carbon-carbon composites with the required thermal, physical, and structural properties.We experimentally modeled the tufting of a layered reinforced composite preform structure. The anisotropic tufting process variables required to assess the structural properties were estimated experimentally. The results were compared with the properties of KIMF, Ipresscon, ARMIR-P, and MKU4M-7 composites.
HUBUNGAN ANTARA AKTIVITAS FISIK DENGAN NYERI PUNGGUNG BAWAH PADA PRAMUGARI MASKAPAI X AIR
Authors: Bachtiar Farahdina
Published: October 2022

Pendahuluan: Nyeri Punggung Bawah (NPB) ataupun yang biasa disebut Low Back Pain adalah gejala yang dirasakan sebagian besar masyarakat dunia dan dapat menyebabkan kecacatan di seluruh dunia. Dalam menjalankan pekerjaan sebagai pramugari, tidak jarang selalu membawa beban yang berat sebelum, selama, dan setelah penerbangan. Penelitian ini dilakukan untuk mengetahui hubungan antara aktivitas fisik dengan nyeri punggung bawah pada pramugari Maskapai X Air. Metode: Desain penelitian yang digunakan yakni korelasi melalui pendekatan cross-sectional serta dilakukan dalam satu kali tanpa tindak lanjut atau follow up. Adapun populasi penelitian ini adalah pramugari Maskapai X Air di daerah Jawa – Bali berjumlah 92 orang. Pengambilan data dilakukan melalui pengisian kuesioner secara online (google form) pada pada  Mei – April 2022. Hasil: Berdasarkan hasil uji hipotesis dengan Spearman rho didapatkan bahwa nilai p < 0,05 sehingga dapat dikatakan terdapat hubungan yang signifikan antara aktivitas fisik dengan nyeri punggung bawah pada pramugari Maskapai X Air.
PERBANDINGAN KUALITAS HIDUP PASIEN YANG MENJALANI TERAPI HEMODIALISA BERDASARKAN AKSES VASKULAR
Authors: Ladesvita Fiora , Syifa Nanda
Published: October 2022

In patients CKD undergoing hemodialysis, it will have an impact on the psychological and physical conditions which will result in a decrease in the patient's quality of life. Hemodialysis requires long-lasting vascular access with minimal complications. Because vascular access has a risk of complications that will worsen the patient's life situation. So it is necessary to choose vascular access for hemodialysis so that it can improve the patient's quality of life. This study aims to compare the quality of life of patients undergoing hemodialysis based on vascular access. This study used a quantitative research design and a cross sectional research method with the Mann Whitney test to determine the differences in the specified variables. The sample collection technique used is probability sampling as many as 101 respondents. The instrument used in this study was Kidney Disease Quality of Life (KDQOL-SF36). The results showed that there were differences in 3 domains of quality of life between AVF and CDL, namely the symptom and problem domains, burden due to kidney disease, SF-12 physical health (p-value: 0.040; 0.050; 0.008 which means P<0.05). In addition, the mean quality of life in AVF is greater than in CDL. This research is expected to add and increase knowledge about the quality of life of patients undergoing hemodialysis therapy based on vascular access.

Keywords: Vascular access, Quality of life, Hemodialysis.
PENGARUH GAYA KEPEMIMPINAN, LINGKUNGAN KERJA DAN KEPUASAN KERJA TERHADAP PERILAKU INOVATIF PEGAWAI SMK NASIONAL BERBAH
Authors: Endarwati Wahyu Dea , Subiyanto E. Didik , Septyarini Epsilandri
Published: October 2022

The motivation behind this review is to decide whether there is an impact of leadership style on innovative behavior, decide whether there is an impact of the work environment on innovative behavior, decide whether there is an impact of job satisfaction on innovative behavior and decide whether there is an impact of leadership style, work environment and job satisfaction on innovative behavior simultaneously on employees. Berbah National Vocational School, Sleman, Special Region of Yogyakarta. With a population of 50 employees of the Berbah National Vocational School with a saturated sampling method. The method of data collection is done by distributing questionnaires, this research is descriptive quantitative. The analytical methods in this study are instrument test (validity and reliability), classical assumption test, multiple linear regression analysis and t test and F test. The results of this study indicate (1) leadership style has a negative and significant impact on innovative behavior, (2) The work environment has a negative and significant impact on innovative behavior, (3) Job satisfaction has a positive and significant impact on innovative behavior, and (4) Leadership style, work environment and job satisfaction have a simultaneous impact on innovative behavior.
MEDENÎ USÛL HUKUKUNDA DELİL TESPİTİNDE GÖREVLİ VE YETKİLİ MAHKEME
Authors: TAHİROĞLU Fatih
Published: October 2022

Delil tespiti, ileride açılacak veya açılmış olan bir dava ile ilgili delillerin belirli şartlar altında vaktinden önce toplanıp güvence altına alınmasını sağlayan bir geçici hukukî korumadır. Delil tespitinde görevli ve yetkili mahkeme Hukuk Muhakemeleri Kanunu’nun 401. maddesinde düzenlenmiştir. Bu hükme göre, henüz dava açılmamış olan durumlarda delil tespiti, esas hakkındaki davaya bakacak olan mahkemeden veya üzerinde keşif yahut bilirkişi incelemesi yapılacak olan şeyin bulunduğu veya tanık olarak dinlenilecek kişinin oturduğu yer sulh mahkemesinden istenir. Dava açıldıktan sonra ise, her türlü delil tespiti yalnızca davanın görülmekte olduğu mahkemeden talep edilir. Çalışmada, delil tespitinde görevli ve yetkili mahkeme konusu ele alınmıştır.
Incidence of post-surgical complications in patients undergoing total knee arthroplasty: a prospective study with 122 patients
Authors: Pavão Douglas Mello , Titonelli Victor Elias , Barroso Murilo , Rocha Faria José Leonardo , Mozella Alan de Paula , Cobra Hugo , Pires e Albuquerque Rodrigo Satamine
Published: October 2022

Total knee arthroplasty (TKA) represents an effective therapeutic option for the treatment of advanced cases of knee osteoarthritis. Although considered safe, monitoring in the intensive care unit (ICU) reduces the chance of early fatal complications, and for this reason, many specialized treatment centers refer their patients to the ICU in the immediate postoperative period. We prospectively evaluated 122 patients monitored in the ICU for 24 hours after TKA to assess the profile of patients who had complications and to determine incidence of post-surgical complications. The most common complications were hypotension (6 cases; 28.57%), delirium (3 cases; 14.29%), hypovolemia (2 cases; 9.52%), hypoxemia (2 cases; 9.52%) and anemia (2 cases; 9.52%) The factor that showed a statistically significant positive correlation with complications was age over 70 years (p=0.015). We concluded that here was an association between the patient's age and the presence of post-surgical complication, and it was identified that the most common postoperative complication in the first 24 hours in the ICU was hypotension. Factors such as sex, diabetes, SAH, obesity and smoking are still conflicting and need more investigation.
Batik Cap Sebagai Upaya Meningkatkan Kemampuan Motorik Halus Anak di TK Pertiwi Bendosari
Authors: Hida Amaliya Asyraful , Prastiwi Leni , Salsabila Wiratna Nila , Lestari Vanda Kusuma
Published: October 2022

Kemampuan anak usia dini pada progress teknis membuat gambar masih mengalami kendala perkembangan belajar, sehingga hasil cipta dari proses belajar siswa dini Taman Kanak-kanak Pertiwi Bendosari kurang maksimal. Pelatihan batik cap ini diharapkan dapat mengatasi berbagai masalah spesifik subjek uji komptensi. Melalui pelatihan yang diberikan, diharapkan meningkatkan system motorik peserta didik. Teknis pelaksanaan pelatihan menerapkan bimbingan teknis, dengan langkah mensosialisasikan pelatihan secara daring. Hasil yang telah dicapai selama program antara lain sosialisasi dan pelatihan mengenai pelatihan batik cap yang dilaksanakan pada tanggal 30 Agustus 2020, 07 September 2020 dan 14 September 2020, masuknya program membatik kedalam Rencana Pelaksanaan Pembelajaran setiap tahunnya sebagai pendukung keberlanjutan program, meningkatnya kemampuan motorik halus pada peserta didik, serta terbentuknya karakter yang positif pada peserta didik.Kata kunci: Batik Cap, Motorik Halus, Kreativitas.
Pendampingan Manajemen Laktasi dan MP ASI Online Pada Masa Pandemi Covid-19
Authors: Widaryanti Rahayu , Maydianasari Lenna
Published: October 2022

Salah satu upaya pencegahan penyebaran virus corona maka WHO menghimbau untuk melakukan physical distancing, sedangkan di Indonesia himbauan ini di implementasikan dalam kebijakan pembatasan sosial berskala besar. Dampak dari kebijakan ini salah satunya yaitu terganggunya pelayanan kesehatan terutama kesehatan ibu dan anak serta kegiatan posyandu di masyarakat. Inovasi untuk tetap memberikan pelayanan terhadap ibu yang mengalami masalah menyusui dan pemberian MP ASI adalah dengan pelayanan konsultasi secara online. Kegiatan pengabdian kepada masyarakat dengan tema pendampingan manajemen laktasi dan MP ASI dilaksanakan secara online melalui aplikasi WhatsApp pada bulan Juni-Agustus 2020 dengan jumlah peserta sebanyak 60 ibu. Kegiatan dimulai dengan menyusun rencana kegiatan, membuat flyer serta formulir online dengan google form, sosialisasi program dilaksanakan melalui media sosial, kegiatan pendampingan dan konsultasi online dilakukan melalui aplikasi whatsApp dan kegiatan monitoring dan evaluasi dilakukan pada akhir kegiatan. Hasil dari kegiatan ini yaitu terdapat peningkatan pengetahuan ibu mengenai manajemen laktasi dan MP ASI online sebanyak 23 point. Kata kunci: Pendampingan; Manajemen Laktasi; MP-ASI; Covid-19
Lansia Sehat Aktif dan Produktif Melalui Germas dan Pelatihan Industri Kreatif
Authors: Nelson Sonya , Sari Dessi Novita , Wellis Wilda
Published: October 2022

Usia 60 tahun ke atas merupakan usia memasuki lanjut usia. Berbagai macam permasalahan yang di hadapi lansia baik dari psikis, fisik, ekonomi ataupun sosial. Daerah binaan PKM ini adalah Kenagarian Lubuk Jantan Kabupaten Tanah Datar. Permasalahan yang dihadapi mitra adalah 1) terbatasnya kegiatan atau aktifitas yang dilakukan oleh lansia. Kegiatan lansia tergambar pada kegiatan posyandu lansia dan kegiatan seputar RT. Kegiatan yang di lakukan pada posyandu tergolong monoton, sehingga kurangnya minat lansia untuk datang ke posyandu. 2) kurangnya kesadaran masyarakat untuk menerapkan pola yang hidup yang sehat, melakukan aktivitas fisik, serta menjaga lingkungan yang bersih. Khalayak sasaran dari kegiatan ini adalah lansia dan kader di Posyandu lansia di Kenagarian lubuk jantan. Solusi yang ditawarkan  melalui penyuluhan kesehatan khususnya kebugaran jasmani, pelatihan senam lansia dan pelatihan industri kreatif dengan pendekatan terapi okupasi yaitu membuat kerajinan tangan dengan pemanfaatan sampah anorganik. Rencana kegiatan yang ditawarkan melalui penyuluhan, pelatihan, workshop dan lokakarya serta pendampingan dengan mengutamakan protokol kesehatan covid 19. Capaian yang di targetkan adalah Meningkatkan derajat kesehatan dan meningkatnya pengetahuan serta menambah keterampilan dan berpeluang untuk dikembangkan menjadi sebuah usaha yang mampu memberikan nilai tambah bagi keluarga dengan modal yang tidak cukup besar. Kata kunci:  Germas, Industi Kreatif, lansia
Peningkatan Potensi Pariwisata Olahraga Berbasis Ekowisata Melalui Pelatihan Kepemanduan Diving dan Kepemanduan Snorkeling Bagi Pemuda Pada Masa Pandemi Covid19
Authors: Gemaini Andri , Yulifri Yulifri , Hidayat Hendra
Published: October 2022

Kawasan mandeh memiliki pokdarwis dimana sdm masih banyak yang belum memiliki pengetahuan mengenai olahraga diving, dan olahraga snorkeling,. Program Kemitraan Masyarakat ini adalah Kenagarian Sungai Pinang Kabupaten Pesisir Selatan. Permasalahan yang dihadapi mitra adalah 1) Keterbatasan pengetahuan masyarakat dalam menjadi pemandu olahraga diving 2) Keterbatasan pengetahuan masyarakat dalam menjadi pemandu olahraga snorkeling. 3) keterbatasan pengetahuan pemuda dalam pemahaman dan penanganan P3k serta pencegahan berkembangnya virus covid-19. Solusi yang ditawarkan  yaitu dengan memberikan pelatihan pemandu diving, kemudian memberikan pelatihan pemandu snorkeling, selanjutnya memberikan seminar untuk meningkatkan pengetahuan para pemuda dalam penanganan pertolongan pada kecelakaan. Capaian yang di targetkan yaitu meningkatnya pengetahuan dan keterampilan masyarakat kenagarian sungai pinang khusus nya para pemuda dalam memandu olahraga diving, Meningkatnya pengetahuan dan keterampilan masyarakat khususnya pemuda di kenagarian sungai pinang dalam memandu olahraga snorkeling, Meningkatnya pengetahuan dan keterampilan masyarakat dalam penanganan pertolongan pertama pada kecelakaan,Pemahaman akan pentingnya menjaga kebersihan pantai dan melestarikan hutan mangrove akan berdampak pada kesehatan lingkungan dan juga dengan lingkungan yang bersih akan dapat menambah minat wisatawan untuk berkunjung ke nagari sungai pinang. Kata kunci:  Pelatihan Kepemanduan,Diving, Snorkeling, Pariwisata Olahraga, Covid-19
An ordered precedence constrained flow shop scheduling problem with machine specific preventive maintenance
Authors: Kumar T. Jayanth , Thangaraj M.
Published: October 2022

In reality, the machines may interrupt because of the nature of deterioration of the machines. Thus, it is inevitable to perform maintenance alongside production planning. The preventive maintenance is a schedule of strategic operations that are performed prior to the failure occurring, to retain the system operating at the preferred level of consistency. Thus, preventive maintenance plays a significant role in flow shop scheduling models. With its practical significance, this study addresses a practical three-machine n jobs flow shop-scheduling problem (FSSP) in which machine specific preventive maintenance, where each machine is given with a maintenance schedule is considered. In addition, a practical ordered precedence constraint in which some set of jobs has to process in the specified order irrespective of their processing times is also considered. The problem’s goal is to establish the optimal job sequence and preventive maintenance such that the overall cost of tardiness and preventive maintenance is as minimum as possible. An efficient heuristic approach is designed to tackle the present model, resulting in total cost savings. A comparative analysis is not conducted due to absence of studies on the current problem in the literature. However, Computational experiments are carried out on some test instances and results are reported. The reported results may be useful for future studies.
Investigation and ranking the causes of delay in EPC projects of nonindustrial buildings of 9, 10, 19, 20 and 21 phases of South Pars of Iran
Authors: Zadeh Mohammad Reza Motallebi , Qayoumi Amir
Published: October 2022

Delay is one of the most common causes of construction projects failure in Iran. The larger sizes of the projects, the more risks and costs of delays. In this paper, the causes of delays in EPC contracts of nonindustrial buildings were excavated from the related previous research and several interviews with experts of this subject, and adjusted by the brainstorming technique, Delphi and reconciling the nature of these projects. Then, a questionnaire was distributed among 52 experts working in the South Pars project, and the data were analyzed by descriptive and factor analysis methods. Descriptive analysis revealed that “Inflation and escalation of material prices and human resources salaries”, “Unrealistic contract duration and requirements imposed” and “Political situation” were the most significant delay factors. Meanwhile, factor analysis indicates that “Improper construction methods”, “Shortage of experienced and skilled labor” and “Long acceptance process (shop drawings, permits, tests and samples)” were the most important causes of delay.
A risk management model for large projects in the construction phase in Egypt
Authors: Habib Mohamed Mostafa , Eldawla Marwa Ahmed Kamer , Zaki Mahmoud Ahmed
Published: October 2022

The implementation of major projects is complicated by the multiplicity of beneficiaries, owners, and all participants in the project as well as the technical overlap between the various engineering, financial and administrative works, while the specific features of the construction activity have a clear influence in shaping the nature of construction projects because the implementation processes were associated with a deep and long-term intervention in the natural environment, where construction is a burden on the environment, both in the construction phase and during the maintenance and liquidation phases: it requires depreciation of a large number of material resources. Through that, this study focused on clarifying the most important concepts of risk management and modern strategies in risk analysis and how to respond to them and monitor projects. The study then presented a questionnaire for the risks facing major projects in Egypt. Through analyzing the results of the questionnaire, a qualitative risk analysis was conducted that can be used to prioritize response to risks, in addition to conducting a Monte Carlo simulation based on theoretical foundations and providing a new process for prioritizing project risks related to sustainability, where the (Primavera Risk Analysis) program was used to clarify the impact of risks on project time and cost. All analyses are based on the theoretical background regarding risk, risk management process, and project life cycle approach in the sustainable construction sector. with the help of this study, it is possible to address ways of mitigating the harmful effects on the environment through the implementation of sustainable management in the planning of future projects and better management of current projects.
INVESTIGATION OF NURSES’ATTITUDES TOWARDS OLDER ADULTS AND AGEISM DURING THE COVID-19 PANDEMIC PERIOD
Authors: ÖZYER Yasemin , YANMIŞ Safiye , AKSUOĞLU Ayfer
Published: October 2022

Objective: The present study was carried out to determine nurses’ attitudes towards older adults and ageism during the COVID-19 pandemic period.

Method: This cross-sectional, descriptive and correlational study conducted between July 15, 2020 and August 15, 2020. Data were collected with the Personal Information Form, Age Discrimination Attitude Scale (ADAS), and Kogan Attitudes towards Old People (KAOP) Scale. To collect the study data, online (e-mail, whatsapp) questionnaires sent to the nurses. Of the nurses, 211 who responded to the questionnaires and met the inclusion criteria included in the study.

Results: In the study, the mean score the participating nurses obtained from the Age Discrimination Attitude Scale (ADAS) was moderate (71.96±3.88) and its sub-dimensions limiting the life of older adults was high (30.19±2.24). The mean score the participating nurses obtained from the Kogan Attitudes towards Old People (KAOP) Scale was also moderate (104.90±13.23) and its sub-dimensions negative attitudes was high (53.84±9.21). In the study, it was determined that the participating nurses’ displaying positive attitudes towards older adults increased the positive discrimination (p
COVID-19 SÜRECİNDE SAĞLIK ÇALIŞANLARINDAKİ İŞ AİLE ÇATIŞMASI, İŞ STRESİ, İŞ TATMİNSİZLİĞİ VE İŞTEN AYRILMA NİYETİ ARASINDAKİ İLİŞKİLER
Authors: AKYÜZ Selahattin
Published: October 2022

Amaç: Bu çalışmada iş aile çatışmaları, bu çatışmalardan kaynaklanabilecek iş stresi ile iş tatminsizliği ve çalışanlardaki işten ayrılma niyeti arasındaki ilişkiler incelenmiştir.

Yöntem: Araştırma COVID-19 sürecinde bir kamu hastanesinde görev yapan sağlık çalışanları ile gerçekleştirildi. Nicel araştırma yöntemi ile yürütülen araştırmada nedensel tarama deseni kullanıldı. Anket tekniği ile veriler toplandı. Araştırmada iş aile çatışması ölçeği, iş stresi ölçeği, iş tatminsizliği ölçeği ve işten ayrılma niyeti ölçeği kullanıldı. Ölçeklerin yapı geçerliliği doğrulayıcı faktör analizi ile değerlendirildi. Ayrıca ölçeklerin birleşim ve ayrışım geçerliliği incelendi. Ölçeklerin güvenilirliği Cronbach alfa ve birleşik güvenilirlik katsayıları ile değerlendirildi. Yol analizi ile test edilen araştırma modelinde doğrudan, dolaylı ve toplam etkiler incelendi.

Bulgular: Analiz sonucunda, araştırmada kullanılan ölçeklerin yapı geçerliliğinin olduğu, ölçeklerin birleşim ve ayrışım geçerliliğine sahip olduğu belirlendi. Ölçeklerin güvenilir olduğu görüldü. Yol analizinde iş aile çatışması ile iş stresinin işten ayrılma niyeti üzerinde anlamlı doğrudan etkilerinin olmadığı fakat anlamlı dolaylı etkilerinin olduğu belirlendi. Bu dolaylı etkilerde iş tatminsizliğinin aracılık rolünün olduğu görüldü.

Sonuç: Araştırma bulgularının politika yapıcılar ve sağlık yöneticileri için faydalı olabileceği düşünülmektedir. Çalışanların işten ayrılma niyetlerini daha düşük bir seviyeye getirmek için iş aile çatışması, iş stresi ve iş tatmini konularında uygun politikalar geliştirilmelidir. Bu politikaların belirlenmesinde iş tatmini konusuna özellikle önem verilmelidir.
Water legislation 50 years after the Clean Water Act
Authors: Sjöstrand Karin , Burchi Stefano , Rijswick Marleen van , Hall Noah
Published: October 2022

October 18, 2022, marks the 50th anniversary of the passage of the federal Clean Water Act (CWA) in the United States. To commemorate this anniversary we will explore challenges and impacts of water laws in our age and discuss how these laws affect us and the water resources they protect together with Stefano Burchi (International Association of Water Law), Marleen van Rijswick (Utrecht University) and Noah Hall (Wayne State University).