bluuebunny/crossref_metadata_2025 huggingface dataset:
Construyendo paz desde los territorios. Sistematización de experiencias educativas en municipios con espacios de reincorporación
Authors: Bermúdez Matta Lizeth María , Klaus Runge Andrés , León Cadavid Mónica Cristina , Herrera José Dario , Herrera Castelblanco María Jimena , Castaño Moncada Carlos , Jiménez García Leonardo , Agudelo López Alexandra , Hurtado Vélez Valentina
Published: June 2024

En Colombia, miles de maestros y maestras, junto con sus estudiantes, las familias y comunidades, organizan iniciativas que promueven la paz en sus aulas y contextos. Dicen que este no es un asunto meramente político, sino también de educación. Construyendo paz desde los territorios presenta y analiza diez proyectos realizados en municipios – en Caquetá, Cuca, Putumayo, Antioquia, Arauca, Tolima y César - con zonas de reincorporación de excombatientes de las FARC. Estas experiencias fortalecen la construcción del tejido social, la memoria histórica, la formación para la resolución de conflictos y aportan al desarrollo socioemocional y del pensamiento crítico de quienes participan en ellas.
UJI AKTIVITAS ANTIOKSIDAN EKSTRAK N-HEKSAN DAN ETILASETAT DAGING BUAH SIRIH (Piper betle L.) DENGAN MENGGUNAKAN METODE DPPH (1,1-diphenyl-2-picrylhydrazyl)
Authors: Abasa Sustrin , Ishak Pertiwi
Published: June 2024

Penelitian ini bertujuan untuk mengetahui aktivitas dari Ekstrak N-Heksan dan Etil Asetat Daging Buah Sirih (Piper betle L) dengan pembanding Vitamin C. Dan untuk mengetahui nilai IC50 Ekstrak N-Heksan dan Etil Asetat Daging Buah Sirih (Piper betle L). Diekstraksi secara maserasi dengan menggunakan pelarut N- Heksan dan Etil Asetat. Aktivitas antioksidan Ekstrak N-Heksan dan Etil Asetat Daging Buah Sirih (Piper betle L) diuji secara kualitatif dilakukan dengan uji flavonoid, uji fenolik, uji steroid didapatkan sampel mengandung flavonoid dengan menambahkan serbuk Magnesium (Mg) dan diteteskan asam klorida (HCl) pekat sehingga perubahan warna menjadi merah sedangkan fenolik ditambahkan (FeCl3) 1% sehingga mendapatkan perubahan warna menjadi hijau dan uji steroid ditambahkan CH3OOH glasial sebanyak 10 tetes dan 2 tetes H2SO4. Hasil uji Ekstrak N-Heksan Daging Buah Sirih (Piper betle L) diperoleh nilai IC50 75,250 ppm dan Ekstrak Etil Asetat Daging Buah Sirih (Piper betle L) diperoleh nilai IC50 5.661 ppm, pembanding Vitamin C diperoleh nilai IC50 6.6686 ppm. Ekstrak N- Heksan Daging Buah Sirih (Piper betle L) memiliki aktivitas antioksidan kategori kuat berdasarkan tingkat intensitas antioksidan Nilai IC50 50-100 ppm, Ekstrak Etil Asetat Daging Buah Sirih (Piper betle L) memiliki aktivitas antioksidan kategori sangat kuat berdasarkan intensitas antioksidan Nilai IC50 (<50 ppm) dan Vitamin C memiliki aktivitas antioksidan sangat kuat karena memperoleh nilai IC50 (<50 ppm).
Integrating renewable energy with fuel synthesis: Conceptual framework and future directions
Authors: Darlington Eze Ekechukwu  , Gideon Oluseyi Daramola  , Omowonuola Ireoluwapo Kehinde Olanrewaju
Published: June 2024

The integration of renewable energy sources with fuel synthesis represents a transformative approach to addressing the twin challenges of energy sustainability and climate change. This review presents a conceptual framework for coupling renewable energy technologies, such as solar, wind, and biomass, with fuel synthesis processes to produce sustainable, zero-carbon fuels. The framework emphasizes the use of renewable electricity for water splitting and carbon dioxide reduction, key steps in synthesizing hydrogen and other synthetic fuels. The conceptual framework highlights the importance of advanced catalysts in enhancing the efficiency and selectivity of these chemical reactions. Innovations in nanostructured catalysts, hybrid materials, and biomimetic approaches are discussed for their potential to significantly improve the performance and durability of catalytic processes. Additionally, the framework underscores the role of advanced characterization techniques and computational modeling in understanding and optimizing catalyst behavior. This integration necessitates addressing technical challenges associated with scaling up production processes from laboratory to industrial levels. These challenges include ensuring the stability and longevity of catalysts under operational conditions, managing the intermittency of renewable energy sources, and developing robust systems for capturing and utilizing carbon dioxide. Furthermore, the economic viability of these integrated systems is critical, requiring cost-effective solutions that leverage earth-abundant materials and optimize the overall energy efficiency. The environmental benefits of integrating renewable energy with fuel synthesis are substantial, offering a pathway to significantly reduce carbon emissions and reliance on fossil fuels. The production of synthetic fuels using renewable energy can lead to a closed carbon cycle, thereby mitigating the impact on climate change and contributing to a sustainable energy future. Future directions in this field involve interdisciplinary research to further enhance catalyst performance, develop new materials, and refine process integration strategies. A roadmap for future development includes prioritizing areas such as improved catalyst design, efficient CO2 capture technologies, and the integration of electrochemical and photochemical systems. This abstract concludes by underscoring the transformative potential of renewable energy-fuel synthesis integration, envisioning a future where sustainable energy practices become the cornerstone of global energy systems.
Keywords: Integrating, Renewable Energy, Fuel Synthesis, Future Directions, Framework.
Exploring capital market innovations for net zero goals: A data-driven investment approach
Authors: Omowonuola Ireoluwapo Kehinde Olanrewaju  , Portia Oduro  , Olusile Akinyele Babayeju
Published: June 2024

This paper examines the role of capital market innovations in advancing net-zero goals through a data-driven investment approach. In the face of escalating climate change concerns, achieving net-zero emissions has become a global imperative. Traditional investment strategies have often overlooked sustainability considerations, but recent innovations in capital markets are enabling a shift towards more responsible investing practices. This paper explores how data-driven investment strategies can be leveraged to channel capital towards sustainable solutions while maximizing financial returns. The abstract begins by outlining the significance of net-zero goals and the pivotal role of finance in driving the transition to a low-carbon economy. It then introduces the concept of capital market innovations, including the emergence of data-driven investment approaches as a powerful tool for achieving sustainability objectives. By analyzing environmental, social, and governance (ESG) factors, investors can identify opportunities that align with net-zero goals while mitigating risk. Through case studies and examples, this paper highlights successful applications of data-driven investment strategies in driving capital towards sustainable initiatives. It also examines the challenges and opportunities associated with these approaches, including regulatory hurdles and the need for robust risk management frameworks. Looking ahead, the paper explores future directions for sustainable finance and capital markets, emphasizing the need for continued innovation and collaboration among stakeholders. It concludes with a call to action for investors, policymakers, and other market participants to embrace data-driven investment strategies as a crucial mechanism for achieving net-zero goals and building a more sustainable future.
Keywords:  Capital, Market, Innovations, Net Zero Goals, Data-Driven, Investment Approach.
Kepemilikan Rumah Hunian Oleh Orang Asing Diatas Hak Milik
Authors: I Nengah Suriata
Published: June 2024

The need for residential housing for foreigners who reside is a basic right that should be considered. Foreigners who have competencies in the field of tourism, managers, and other expertise for the Indonesian state are very realistic because the knowledge of foreigners' work skills for progress is mostly owned by foreigners. Indonesia as a country that will lead to progress is in dire need of knowledge and skills in various fields of technology, management and increasing resources both human and natural resources.
The research method is carried out with the type of normative legal research method, with the source of primary legal material Government Regulation of the Republic of Indonesia Number 103 of 2015 concerning Ownership of Residential Houses or Occupancy by Foreigners Residing in Indonesia, and other laws and regulations related to the issues discussed. While secondary legal materials are library books, journal articles on line journal system, scientific papers, and reviews in the mass media and others.
The results of the study indicate that there is conformity between the Republic of Indonesia Government Regulation Number 103 and the Republic of Indonesia Government Regulation in Article 4 letter a and number 1 of Number 10 of 1996 concerning Cultivation Rights, Building Rights and Land Rights Article 39 letter e and land objects Article 40 letter c, as well as the Republic of Indonesia Government Regulation Number 18 of 2021 concerning Land Management Rights, Land Rights, Flat Housing Units and Land Registration Article 49 paragraph (1).
Pengendalian Persediaan Guna Meningkatkan Efesiensi Biaya Produksi Pada CV. Buala di Idanogawo
Authors: Lombu Yanto , Mendrofa Martha Surya Dinata , Bate’e Maria Magdalena , Waruwu Suka’aro
Published: June 2024

Companies basically have to carry out appropriate inventory management to anticipate situations or challenges in order to achieve the ultimate goal of minimizing expenditure costs. Companies must plan the supply of raw materials to avoid shortages or running out of stock. By having inventory, it is hoped that the company can carry out the production process according to needs so that the costs required are lighter and more effective. Apart from that, having sufficient supplies of materials is also expected to facilitate production activities or services to company consumers and avoid shortages of raw materials. Inventory shortages can be detrimental to the company in this case increased financing. This research uses an exploratory type of quantitative research. The research sample is the entire population, namely 3 people, namely 1 (one) Director, 1 (one) Manager, 1 (one) Manager, so this research is a population research. The research results show that good inventory control can support sustainability initiatives. By reducing excess inventory, companies can reduce the environmental impact of production. The cause of the lack of material supplies at CV. Buala is when there is rainfall for days on end so that no raw materials are transported and processed, so the supply of materials runs out of stock. To anticipate material stock shortages, CV. Buala attempts to control inventory using the lead time method. Lead time is a time lag that occurs between the time an order is placed until the goods enter the warehouse. If the Lead Time is long, the Reorder Point must be placed earlier so that stock does not run out before the new shipment arrives
SEJARAH DAN PENTINGNYA PENERAPAN PENDIDIKAN AGAMA KRISTEN DALAM GEREJA DAN MASYARAKAT
Authors: Janawati Janawati , Christi Areyne , Yanti Gulo Trisna
Published: June 2024

Sejarah dan Pentingnya Penerapan Pendidikan Agama Kristen dalam Gereja dan Masyarakat. Artikel ini adalah suatu pengangkatan judul yang dilatar belakangi oleh, keinginan seorang Penulis untuk mengetahui apa yang menjadi sejarah dan pentingnya penerapan pendidikan agama kristen dalam gereja maupun dalam masyarakat. Berbicara tentang pentingnya penerapan pendidikan agama kristen bukanlah sesuatu hal yang asing lagi, sebab pendidikan bukan sesuatu hal yang baru, tetapi dimulai dari sejak manusia pertama yaitu Adam dan Hawa sedangkan pendidikan agama kristen dimulai dari Perjanjian Baru (PB). Artikel ini bertujuan menjawab 1. Apa defenisi gereja mula-mula dalam Pendidikan agama Kristen? 2. Seperti apakah pengertian pendidikan berdasarkan sejarah kependidikan Kristen? 3. Seperti apakah wadah pedagogis gereja purba yang dipakai untuk mendidik para warga jemaat? 4. Apa yang menjadi dasar pemikiran dalam pemasaran gereja zaman sekarang? Metode penelitian yang digunakan adalah pustaka. Hasilnya adalah: 1. Defenisi gereja mula-mula dalam Pendidikan Agama Kristen (PAK), dimulai dari Perjanjian Baru, sedangkan pengajaran agama dimulai dari Perjanjian Lama (PL). 2. Pengertian pendidikan berdasarkan sejarah kependidikan kristen merupakan jalan keluar terbaik, merupakan kelanjutan dari amanat agung yang telah disampaikan Yesus sebagai rabi kepada murid-murid (rasul-rasul), bahkan kepada semua umat kristen. 3. Tiga wadah pokok yang dipakai gereja purba untuk mendidik para warga jemaat, yakni: Kebaktian umum, Katekese, dan Sekolah katekisasih. 4. Yang menjadi dasar pemikiran dalam pemasaran gereja zaman sekarang yaitu: lingkungan pemasaran yang kita hadapi, membaca Alkitab, berdoa memohon berkat dari Allah, meminta tuntunan Roh kudus, konteks Alkitabia untuk pemasaran gereja.
PERAN GURU SEKOLAH MINGGU DALAM MEMBANGUN FONDASI SPIRITUAL ANAK SEKOLAH MINGGU
Authors: Babawat Heles
Published: June 2024

Peran guru Sekolah Minggu dalam pembentukan fondasi spiritual anak-anak merupakan aspek penting dalam konteks pendidikan rohani. Guru-guru ini memegang tanggung jawab signifikan dalam memberikan pengajaran agama Kristen, membimbing karakter, dan memfasilitasi pertumbuhan spiritual anak-anak. Dengan fokus pada pendidikan rohani, mereka bertujuan tidak hanya menyampaikan ajaran agama, tetapi juga membentuk karakter dan mendukung perkembangan spiritual anak-anak. Penelitian ini bertujuan 1). Untuk mengetahui tangggung jawab guru sekolah minggu; 2). Untuk mengetahui peran guru sekolah minggu sebagi pengajar dan pembimbing rohani; 3). Untuk mengetahui pembentukan spiritualitas anak sekolah minggu. Metode yang digunakan kualitatif deskriptif dengan pendekatan pustaka. Hasil yang didapatkan adalah 1). Guru Sekolah Minggu memiliki tanggung jawab besar dalam membimbing dan membentuk dasar iman anak-anak untuk tumbuh sebagai individu yang kuat secara rohani. 2). Guru-guru di Sekolah Minggu menghadapi tantangan untuk memberikan pendidikan berkualitas sambil membimbing anak-anak dalam pemahaman nilai-nilai Kristen. Pentingnya pembimbing rohani terlihat dalam upaya membentuk karakter dan moral anak-anak sesuai dengan ajaran Kristiani. 3). Pentingnya pembentukan spiritualitas anak dalam konteks Sekolah Minggu mencerminkan pemahaman gereja akan urgensi memberikan fondasi iman yang kuat bagi generasi penerus.
Doğal Faktörlerin Şehirsel Büyümeye Etkisi: Denizli Örneği
Authors: Duman Cansu , Belge Rauf
Published: June 2024

Nüfusun büyük çoğunluğunun yaşadığı şehirlerde mekânın maksada en uygun şekilde kullanılması önem arz etmektedir. Bu amaçla yapılan uygunluk analizleri, şehirsel mekân yönetiminde temel bir adımdır. Uygunluk analizleri, belirlenen gerekliliklere, tercihlere veya belirli faaliyetlerin tahminlerine göre gelecekteki arazi kullanımı için en uygun mekânsal modeli belirlemektedir. Bu modellerden biri olan Analitik Hiyerarşi Süreci (AHS), yönteminin sadeliği, kolay kullanılabilirliği ve anlaşılabilir bir metot olmasından dolayı çok kriterli karar verme yöntemleri arasında kullanımı oldukça yaygındır. Bu çalışmada Çok Ölçütlü Karar Analizlerinden (ÇÖKA) biri olan Analitik Hiyerarşi Süreci yöntemi ile Denizli şehri ve yakın çevresinin yerleşime uygunluk durumu incelenmiştir. Bu amaçla bölgenin eğim, bakı, yükselti, arazi kullanımı, akarsulara mesafe, fay hatlarına mesafe, litolojik ve arazi kullanım kabiliyeti özellikleri dikkate alınmış, buna göre şehir ve mücavir alanın yerleşim uygunluk düzeyi ortaya konulmuştur. Yapılan analizler sonucunda yerleşime uygunluk sınıfları belirlenmiş, bu sınıflar Uygun Değil, Çok Az Uygun, Az Uygun, Orta Derecede Uygun ve Uygun olarak tasnif edilmiştir. Söz konusu sınıflar, mekânsal ölçekte gösterilmiş ve oransal olarak dağılışları hesaplanmıştır. Yapılan analizler sonucunda toplamda 384,42 km²’lik alan kaplayan çalışma sahasının %21’i yerleşime uygun olmayan, %23’ü çok az uygun, %19’u az uygun, %19’u orta derecede uygun ve %18’i uygun olduğu tespit edilmiştir. Yerleşime uygun olmayan alanlar, daha ziyade Akdağ’ın eğim derecesi yüksek kuzey yamaçlarında geniş yer kaplamaktadır. Kuzeye doğru hafif eğimli bir plato üzerinde yer alan Denizli şehrinin kurulduğu arazi, yerleşime uygunluk açısından Orta Derecede Uygun ve Uygun olarak belirlenmiştir.
Community Radio Programmes in Solving Defilement Cases: A Case of Nyamira County, Kenya
Authors: Makori Evans , Paul Virginia Mutheu
Published: June 2024

Defilement is a pervasive problem with devastating consequences for survivors, families, and communities worldwide. Despite efforts by various stakeholders to address the issue, rates of defilement remain high, leading to stigma, fear, and limited access to justice. Community radio has been used in the fight against defilement cases. The study aimed at establishing the effectiveness of community radio programmes in addressing defilement cases in Nyamira County. The specific objectives were to: examine the role of community radio programmes in handling defilement cases among community members in Nyamira County; and identify best practices for enhancing the effectiveness of community radio programmes in addressing defilement cases in Nyamira County. The cultivation theory anchored the study. The descriptive research design and the mixed-methods approach were utilized. The study aimed to encompass 226 participants as the target population; they were comprised of community members (109), local administration (8), victims of defilement (32), family members (52), and radio presenters (25). The sample consisted of 144 respondents, calculated using the Taro and Yamane formula (1967). A combination of purposive and random sampling techniques was employed to select participants for the study. Data were generated using questionnaires, focus group discussions (FGD), and interview schedules. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using statistical tools. Results revealed that 72.7% of the total variations in the dependent variable (Addressing Defilement Cases in Nyamira County) are explained by the independent variables in the model. The F-value (172.960) with a significance level (p- value) of 0.000 suggests that the predictors collectively contribute to the prediction of addressing defilement cases. Further, the findings revealed that any unit change in the impact of community radio programmes influences the addressing of defilement cases in Nyamira County by 0.549 units. Also, any unit increase in best practices increases the chances of addressing defilement cases by 0.233 units. Thus, the result indicated that all the variables are well employed and have a significant influence in addressing the defilement cases within Nyamira County. The research recommended that community radio stations must be built up in terms of capability for them to be effective.
PROLACTINOMA: DO DIAGNÓSTICO AO SEU MANEJO CLÍNICO E CIRÚRGICO
Authors: Siqueira João Pedro de Morais , Machado Philipe Gabel , Bastos Caroline Fazolini de Paula , Ramos Letícia Galaxe de Barros , Aroeira Silvia Cota
Published: June 2024

A hiperprolactinemia pode ocorrer devido a fatores fisiológicos, como gravidez e amamentação, ou a condições patológicas, como o adenoma hipofisário. O prolactinoma é diagnosticado por investigação hormonal em pacientes com sintomáticos, ou também por exames de imagem, que sempre devem ser complementados pelo laboratório. O tratamento geralmente envolve agonistas dopaminérgicos, sendo a cabergolina a mais comum, seguida de bromocriptina e lisurida, ou, em casos em que a medicação não é eficaz ou em situações específicas, como macroprolactinomas que afetam a visão, a cirurgia transesfenoidal pode ser necessária.
UM OLHAR ANTROPOLÓGICO E JURÍDICO NO ÂMBITO DO TRABALHO ANÁLOGO À ESCRAVIDÃO NO SÉCULO XXI
Authors: Silva Elane Tomaz da
Published: June 2024

O trabalho análogo ao de escravidão é uma grave violação dos Direitos Humanos, onde indivíduos são forçados a trabalhar sob condições degradantes, com pouca ou nenhuma remuneração, sem a liberdade de deixar o emprego. Essa prática, além de ser imoral é legalmente condenável, está frequentemente associada a uma série de riscos à saúde e as lesões físicas para os trabalhadores. No âmbito do trabalho análogo a de escravidão no século XXI, a abordagem antropológica pode ser fundamental para entender as circunstâncias em torno de casos desse tipo de trabalho, fornecendo ênfases que vão além dos aspectos da saúde, abordando também as condições sociais e culturais que contribuem para a exploração, podendo ajudar na identificação de vítimas e na definição das responsabilidades legais.O combate ao trabalho escravo é um esforço contínuo que requer a colaboração entre governos, ONGs, empresas e a sociedade civil para proteger os direitos e assegurar condições de trabalho digno para todos. A erradicação dessa prática exige fiscalização rigorosa, legislação forte e campanhas de conscientizações eficazes. As tecnologias de comunicação modernas são ferramentas poderosas para denunciar e combater essa forma contemporânea de escravidão, garantindo que todos os trabalhadores possam viver e trabalhar com dignidade e liberdade.
IMPLEMENTASI METODE HAVERSINE DALAM RESTFUL API DAN APLIKASI MOBILE MALL UKM UNTUK MEMBERIKAN PROMO PEMBELIAN LANGSUNG
Authors: Kusnadi Kusnadi , Subagio Ridho Taufik , Sokibi Petrus , Kartika Viar Dwi , Ilham Wanda , Fakhrurrozi Fakhrurrozi
Published: June 2024

Usaha Mikro Kecil dan Menengah (UMKM) memiliki peran penting dalam mendukung perekonomian Indonesia secara merata. Untuk mendukung perkembangan bisnis UMKM di Kota Cirebon, Pemerintah Kota Cirebon telah mendirikan Mall UKM sebagai sarana pemasaran produk secara online dan offline. Namun, dengan adanya perkembangan teknologi dan tren belanja online, minat konsumen untuk berbelanja langsung di toko fisik Mall UKM mengalami penurunan. Untuk menghadapi tantangan ini, penelitian ini akan mengimplementasikan teknologi berbasis aplikasi mobile Mall UKM Kota Cirebon dengan menggunakan metode Haversine. Metode Haversine akan digunakan sebagai solusi untuk melakukan cek pembeli ketika mereka membeli langsung di toko fisik Mall UKM dengan mempertimbangkan radius tertentu. Haversineformula adalah metode perhitungan jarak antara dua titik di bumi berdasarkan panjang garis lurus antara dua titik tanpa mengabaikan kelengkungan bumi. Dengan mengimplementasikan metode Haversine dalam aplikasi mobile Mall UKM Kota Cirebon, diharapkan pengalaman berbelanja konsumen dapat ditingkatkan, sementara belanja fisik di Mall UKM tetap menjadi keunggulan kompetitif di era e-commerce. Sistem yang dikembangkan akan mampu memberikan informasi promosi pembelian langsung kepada konsumen, sehingga meningkatkan daya tarik Mall UKM sebagai destinasi belanja yang menarik.Kata kunci: Promo, Haversine, Rest Api, Android.
The military medical journal of the Ministry of defense of the Russian Federation is 200 years old!
Authors:   Belarusian State Medical University, O. S. Ishutin
Published: June 2024

January 2023 marked the 200th anniversary of the publication of the first issue of the Military Medical Journal, the oldest Russian periodical devoted to the consecration of medical issues related to both public health in general and military medicine in particular. The author of the idea and the active initiator of the foundation and publication of the «Military Medical Journal» was a military doctor, life surgeon of the Russian Imperial Court, organizer of military medical affairs in the Russian army, President of the Imperial Medical and Surgical Academy, Chief Military Medical Inspector of the Russian Army, acting privy Councilor, Baronet Yakov Vasilyevich Willie.
The effect of traction therapy on the Robospine device on the quality of life of patients with dorsopathy
Authors: V. F. Opletaev
Published: June 2024

Pain in the lower back is a serious problem for the patient’s quality of life. Scientific studies confirm the importance of this problem and emphasize the need for a timely and comprehensive approach to its treatment. The aim is to conduct a study of hardware spinal traction, also known as spinal traction, on the quality of life of patients with lumbalgia. Methods: SF-36 questionnaires were used to study the quality of life before and after the spinal traction course on the Robospine device. According to the results obtained against the background of therapy, the quality of life of patients with this pathology significantly improves, it is established that the quality of life of patients in all samples improves. In all groups, a significant improvement in the physical component of health according to SF-36 was found, with a predominance of improvement in men than in women. According to the results of the analysis, it can be concluded that the effect on the general health of traction therapy in men is higher than in women. Also, the intensity of pain significantly decreased in men, against the general group and women. And physical functioning significantly improves in the general group after treatment, the advantage in improving the condition in women. It is recommended to use this technique for the treatment of patients with pain in the lower back.
Sarcopenia and sarcopenic obesity
Authors:   Belarusian State Medical University, N. Silivontchik , H. Buhlova , V. Reshetniak
Published: June 2024

Sarcopenia is a progressive generalised skeletal muscle disorder that is associated with increased likelihood of adverse outcomes including falls, fractures, physical disability and mortality. Sarcopenic obesity is a clinical and functional condition characterized by the coexistence of excess fat mass and sarcopenia. In 2018, the European Working Group on Sarcopenia in Older People presented updated data on sarcopenia (EWGSOP2). The European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO) launched an initiative to reach expert consensus on a definition and diagnostic criteria for sarcopenic obesity. This article contains the main provisions of the documents and a review of the literature on the mechanisms, diagnosis and clinical significance of sarcopenia and sarcopenic obesity.
Telemedis Dalam Pelayanan Perawatan Kehamilan
Authors: Ginting Litri Artiani , Pohan Sakinah Yusro , Pohan Anni Mardiah
Published: June 2024

Latar Belakang: Selama beberapa tahun, pelayanan perawatan kehamilan di berbagai tempat melibatkan 12-14 kunjungan tatap muka selama kehamilan. Telemedis mulai diterapkan untuk mengurangi kunjungan tatap muka karena adanya pandemi COVID. Tujuan: artikel ini bertujuan untuk meninjau kemajuan terkini dalam telemedis yang digunakan untuk memberikan pelayanan perawatan kehamilan. Metode: Scooping Metode berdasarkan Arskey & O’Malley. Hasil: Kami melakukan tinjauan naratif yang meneliti dampak telemedis terhadap perawatan kehamilan. Ada dua jenis telemedis yang digunakan dalam perawatan kehamilan. Yang pertama adalah telemedis real-time, dimana konsultasi dilakukan secara virtual, bukan tatap muka. Yang kedua adalah pemantauan jarak jauh, dimana pemeriksaan fisik di klinik digantikan dengan pemeriksaan alternatif di rumah. Ini dapat mencakup pemantauan tekanan darah, pemantauan detak jantung janin, dan teknologi baru seperti tele-ultrasound. Telemedis dalam layanan antenatal tampaknya dapat diterima baik oleh wanita hamil maupun penyedia layanan kesehatan. Kesimpulan: Penerapan teknologi telemedis dapat meningkatkan pengalaman perawatan antenatal bagi perempuan dan mengurangi pengeluaran layanan kesehatan tanpa memberikan dampak buruk pada kesehatan ibu dan bayinya. Diperlukan lebih banyak penelitian untuk memastikan bahwa telemedis tidak mengubah risiko kejadian langka seperti kematian ibu dan bayi.
PENATALAKSANAAN FISIOTERAPI PADA KASUS PLANTAR FASCIITIS DI RSUD BAGAS WARAS KLATEN
Authors: Utami Anisa Pri , Luklukaningsih Zuyina , Yunitasari Rima
Published: June 2024

ABSTRAK
Plantar fasciitis adalah sindrom nyeri tumit di mana area plantar fascia yang menghubungkan ke tulang tumit mengalami peradangan dan menimbulkan robekan kecil yang menimbulkan nyeri, terutama saat kaki pertama kali mendarat. Plantar fasciitis terjadi pada sekitar 10% populasi umum 83% dari pasien ini adalah orang dewasa yang bekerja diantara usia 25 hingga 65 tahun. Insiden tertinggi terjadi pada populasi umum di usia 40 hingga 60 tahun. Prevalensi plantar fasciitis diamati lebih tinggi  pada wanita di usia 45 hingga 64 tahun dibandingkan pria. Tujuan dari penelitian ini adalah menggunakan teknik stimulasi saraf Transcutaneus Electrical Nerve Stimulation, Ultrasound, Massage dan Terapi Latihan untuk mengatasi masalah nyeri, edema, spasme, lingkup gerak sendi dan kekuatan otot pada plantar fasciitis. Metode penelitian yang digunakan dalam penelitian ini adalah studi kasus pada pasien plantar fasciitis di Klinik Rehabilitasi RSUD Bagas Waras Klaten pada bulan Februari sampai Maret 2023. Hasil setelah dilakukan enam kali tindakan fisioterapi yaitu nyeri saat istirahat, nyeri tekan, dan nyeri gerak berkurang, berkurangnya edema, berkurangnya spasme, lingkup gerak sendi meningkat, dan nilai kekuatan otot bertambah.
ANALISIS PERTUMBUHAN DAN PERKEMBANGAN ANAK USIA 4 – 5 TAHUN DI KOTA PEKANBARU
Authors: Febriani Ade
Published: June 2024

Proses tumbuh kembang anak merupakan hal penting yang harus diperhatikan sejak dini. Masa emas (golden age) merupakan masa kritis yang terjadi satu kali dalam kehidupan seorang anak, dimulai pada usia 0 sampai dengan 5 tahun. Terganggunya pertumbuhan dan pembangunan merupakan masalah serius bagi negara-negara maju dan berkembang di dunia. Pertumbuhan dilihat dari berat badan, tinggi badan dan lingkar kepala, sedangkan perkembangan dilihat dari kemampuan motorik, sosial dan emosional, kemampuan bahasa dan kemampuan kognitif. Program Stimulasi Deteksi Intervensi Tumbuh Kembang Dini (SDIDTK) merupakan program pengembangan tumbuh kembang anak yang komprehensif dan berkualitas melalui kegiatan stimulasi, deteksi, dan intervensi. Tujuan penelitian adalah untuk mengetahui status tumbuh kembang anak usia 4-5 tahun di Kecamatan Senapelan . Populasi dalam penelitian ini adalah anak usia 4-5 tahun yang terdaftar di PAUD, dan sampel penelitian ini berjumlah 80 orang. Instrumen penelitian yang digunakan menggunakan mikrotoa . Hasil analisis tumbuh kembang anak dikomunikasikan kepada orang tua agar orang tua dapat terlibat dalam mengoptimalkan tumbuh kembang anak serta memahami sejauh mana pertumbuhan dan perkembangan yang dialami anak. Penilaian tumbuh kembang anak yang dilakukan dalam bentuk penilaian harian, mingguan, bulanan, dan semester juga merupakan bagian dari pendeteksian perkembangan anak terhadap enam aspek perkembangan anak (aspek nilai agama dan moral, kognitif, sosial emosional, bahasa, fisik motorik dan seni), sehingga diharapkan penilaian perkembangan yang disusun oleh guru PAUD sesuai dengan perkembangan yang dicapai anak. Terima kasih kepada Yayasan dan Universitas Abdurrab yang telah memberikan dana hibah untuk penelitian ini
Pengaruh Terapi Thought Stopping Terhadap Kecemasan Pecandu Narkoba Pada Warga Binaan Lapas Kelas IIb Kota Padangsidimpuan
Authors: Simamora Asnil Adli , Sagala Nanda Suryani , Napitupulu Fitri natar
Published: June 2024

Narkoba masih menjadi masalah utama didunia, dimana angka penyalahgunaan terus meningkat di setiap tahunnya, Kecemasan merupakan dampak yang tertinggi yang dialami oleh pengguna narkoba. Salah satu teknik yang dapat dilakukan dalam mengatasi kecemasan dengan menggunakan teknik thought stopping yang merupakan bentuk latihan atau terapi dengan melihat hubungan antara pikiran yang disadari dan yang tidak disadari. Tujuan dari penelitian ini untuk mengetahui pengaruh teknik thought stopping terhadap kecemasan pecandu narkoba pada warga binaan Lapas Kelas IIB Kota Padangsidimpuan. Metode Desain penelitian adalah quasi eksperimen menggunakan rancangan one group pretest - posttest. Sampel sebanyak 57 orang yang merupakan warga binaan lapas kelas IIB Kota Padangsidimpuan menggunakan teknik purposive sampling, dengan analisis menggunakan uji Wilcoxon. Hasil ada pengaruh yang signifikan antara pretest dan posttest dilakukan terapi thought stopping terhadap kecemasan pecandu narkoba pada warga binaan Lembaga Pemasyarakatan Kelas IIB Kota Padangsidimpuan dengan nilai p = .000. Kesimpulan Penelitian ini menyimpulkan bahwa Ada pengaruh terapi thought stopping terhadap kecemasan kecemasan pecandu narkoba pada warga binaan Lembaga Pemasyarakatan Kelas IIB Kota Padangsidimpuan. Dimana thought stopping dalam mengubah proses berpikir yang dapat mengatasi kecemasan warga binaan Lapas Kelas IIB Kota Padangsidimpuan.
PENGETAHUAN TENTANG ANEMIA DAN MANFAAT ZAT BESI, SERTA DUKUNGAN KELUARGA TERHADAP KADAR HAEMOGLOBIN IBU HAMIL DI WILAYAH PESISIR
Authors: Situmorang Teresia Suminta Rotua , Johan Reza Bintangdari
Published: June 2024

Anemia adalah salah satu masalah kesehatan yang paling umum terjadi di seluruh dunia dan mempengaruhi hampir dua pertiga kesehatan ibu hamil di negara berkembang, termasuk di Indonesia. Anemia mempengaruhi 32,4 juta (38,2%) wanita hamil secara global, dengan prevalensi tertinggi di Asia Tenggara 49% dan Afrika 46,3%. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan tentang anemia dan manfaat zat besi serta dukungan keluarga terhadap kadar haemoglobin ibu hamil di wilayah pesisir. Desain penelitian yang digunakan pada penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Responden dalam penelitian ini berjumlah 63 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah simple random sampling. Teknik pengumpulan data menggunakan kuesioner dan Haemometer Digital. Analisis data yang digunakan oleh peneliti adalah chi square. Hasil dari penelitian ini didapatkan terdapat hubungan Pengetahuan Tentang Anemia dengan kadar Hb (P-value <0,001), terdapat hubungan pengetahuan tentang Manfaat Zat Besi dengan kadar Hb (P-value <0,001) dan terdapat hubungan Dukungan Keluarga terhadap Kadar Hb (P-value <0,001). Hasil penelitian ini nantinya diharapakan dapat menjadi pertimbangan tenaga kesehatan terkait dalam memberikan konseling maupun penyuluhan kepada ibu hamil agar lebih terfokus dalam memberikan edukasi tentang anemia dan dampaknya, serta pentingnya pendampingan keluarga selama ibu mengkonsumsi tablet tambah darah.
HUBUNGAN TINGKAT PENDAPATAN DENGAN TINGKAT STRES PADA LANSIA
Authors: . Nurlaila , Nurdin Hidayanti Rohimah , Handayani Fitri Rahma , Harahap Yanna Wari
Published: June 2024

Stres yaitu suatu keadaan yang dialami oleh manusia ketika ada suatu ketidak sesuaian antara tuntutan yang diterima dan kemampuan untuk mengatasinya. Stres sering terjadi kepada lansia. Tingkat stres pada lansia merupakan tinggi rendahnya psikologi yang dialami terhadap perubahan yang terjadi dalam diri ataupun hidupnya. Sebagai manusia yang sudah memiliki usia lanjut kebanyakan memiliki pendapatan yang rendah ini disebkan tida produktivitas lagi dalam bekerja. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat pendapatan dengan tingkat stres pada lansia. Metode yang digunakan observasi dengan desain cross sectional. Data yang digunakan dalam penelitian ini menggunakan data primer berupa wawancara menggunakan kuisioner. Uji pennelitian menggunakan analisis bivariat untuk melihat hubungan antara tingkat pendapatan dengan tingkat stres, uji statistik. Dikatakan variabel ini berhubungan jika nilai signifikan (p-value < 0,05). Sampel dalam penelitian ini sebanyak 70 orang lansia yang berada di Desa Maga Lombang Kecamatan Lembah Sorik Marapi Kabupaten Mandailing Natal. Hasil dari penelitian ini adalah terdapat hubungan antara tingkat pendapatan dengan tingkat stres pada lansia. dimana hasil yang diperoleh responden dengan stres sebanyak 45 orang lansia (64,3 %), sedangkan responden tidak mengalami stres sebanyak 25 orang lansia (35,7%). Responden yang memiliki tingkat pendapatan tinggi sebanyak 26 orang lansia (37,1%) sedangkan responden yang memilki pendapatan rendah sebanyak 44 orang lansia (62,9%).
Evaluation of the hyperspectral radiometer (HSR1) at the Atmospheric Radiation Measurement (ARM) Southern Great Plains (SGP) site
Authors: Balmes Kelly A. , Riihimaki Laura D. , Wood John , Flynn Connor , Theisen Adam , Ritsche Michael , Ma Lynn , Hodges Gary B. , Herrera Christian
Published: June 2024

Abstract. The Peak Design Ltd hyperspectral radiometer (HSR1) was tested at the Atmospheric Radiation Measurement (ARM) user facility Southern Great Plains (SGP) site in Lamont, Oklahoma, for 2 months from May to July 2022. The HSR1 is a prototype instrument that measures total (Ftotal) and diffuse (Fdiffuse) spectral irradiance from 360 to 1100 nm with a spectral resolution of 3 nm. The HSR1 spectral irradiance measurements are compared to nearby collocated spectral radiometers, including two multifilter rotating shadowband radiometers (MFRSRs) and the Shortwave Array Spectroradiometer–Hemispheric (SASHe) radiometer. The Ftotal at 500 nm for the HSR1 compared to the MFRSRs has a mean (relative) difference of 0.01 W m−2 nm−1 (1 %–2 %). The HSR1 mean Fdiffuse at 500 nm is smaller than the MFRSRs' by 0.03–0.04 (10 %) W m−2 nm−1. The HSR1 clear-sky aerosol optical depth (AOD) is also retrieved by considering Langley regressions and compared to collocated instruments such as the Cimel sunphotometer (CSPHOT), MFRSRs, and SASHe. The mean HSR1 AOD at 500 nm is larger than the CSPHOT's by 0.010 (8 %) and larger than the MFRSRs' by 0.007–0.017 (6 %–18 %). In general, good agreement between the HSR1 and other instruments is found in terms of the Ftotal, Fdiffuse, and AODs at 500 nm. The HSR1 quantities are also compared at other wavelengths to the collocated instruments. The comparisons are within ∼ 10 % for the Ftotal and Fdiffuse, except for 940 nm, where there is relatively larger disagreement. The AOD comparisons are within ∼ 10 % at 415 and 440 nm; however, a relatively larger disagreement in the AOD comparison is found for higher wavelengths.
Drought disrupts atmospheric carbon uptake in a Mediterranean saline lake
Authors: Alfadhel Ihab , Peralta-Maraver Ignacio , Reche Isabel , Sánchez-Cañete Enrique P. , Aranda-Barranco Sergio , Rodríguez-Velasco Eva , Kowalski Andrew S. , Serrano-Ortiz Penélope
Published: June 2024

Abstract. Saline and intermittent inland lakes play a key role in the global carbon cycle, acting as dynamic zones for atmospheric carbon exchange. Given the global decline of saline lakes and the expected increase of periods of drought in a climate change scenario, changes are expected in their potential capacity to uptake or emit atmospheric carbon. In this study, we conducted continuous measurements of CO2 and CH4 fluxes at the ecosystem scale within a saline endorheic lake of the Mediterranean region over nearly 2 years. Our focus was on determining net CO2 and CH4 exchanges with the atmosphere under both dry and flooded conditions, using the eddy covariance (EC) method. We coupled greenhouse gas flux measurements with water availability and analyzed meteorological variables like air temperature and radiation, known to influence carbon fluxes in saline lakes. This extensive data integration enabled the projection of the net carbon flux over time, accounting for both dry and wet periods on an interannual scale. We found that the system acts as a significant carbon sink by atmospheric CO2 uptake in wet conditions, with uptake ceasing in periods of drought. Moreover, increased air temperatures during wet phases slightly decrease the CO2 uptake efficiency. Regarding CH4, we measured uptake rates that exceeded those of well-aerated soils such as forest soils or grasslands. Additionally, we observed that CH4 uptake during dry periods was nearly double that of wet periods. However, the absence of continuous data prevented us from correlating CH4 uptake processes with potential environmental predictors. Our study challenges the widespread notion that wetlands are universally greenhouse gas emitters, highlighting the significant role that endorheic saline lakes can play as natural sink of atmospheric carbon. However, our work also underscores the vulnerability of these ecosystem services in the current climate change scenario, where drought episodes are expected to become more frequent and intense in the coming years.
Sea Surface Temperature over the Bay of Bengal: A key driver for South Asian Summer Monsoon rainfall during past 31 kiloyears
Authors: Sakthivel Thamizharasan , Ghosh Prosenjit , Bhushan Ravi , Raj Harsh , Dabhi Ankur J. , Shivam Ajay , D Senthilnathan
Published: June 2024

Abstract. Warmer Sea Surface Temperature (SST) in the Bay of Bengal (BoB) is crucial for driving deep atmospheric convection, facilitating low-level south-westerly winds, and enhancing moisture transport, thereby intensifying South Asian Summer Monsoon (SASM) rainfall over South Asia. However, the specific impact of BoB SST on SASM rainfall during the Glacial-Interglacial periods remains poorly understood. In this study, we reconstructed SST and evaporation versus rainfall variability over the past 31 kiloyears by simultaneously analyzing the carbonate clumped isotopes and stable oxygen isotopic composition of surface-dwelling planktic foraminifera Globigerinoides ruber from the Central West BoB (CWBoB), a key moisture source region. Additionally, cloud cover index was inferred from the abundance ratio of planktic foraminifera Globigerina bulloides to Neogloboquadrina dutertrei. Our SST reconstruction reveals an 8 °C variability over the past 31 kyr, coinciding with shifts in the G. bulloides to N. dutertrei ratio during the Last Glacial period and deglaciation, suggesting SST regulation by variable cloud cover. The increase in SST from the Early Holocene is attributed to CO2 radiative forcing. The stable oxygen isotope of seawater δ18Osw strongly aligns with a proxy record of SASM wind intensity, indicating that changes in wind patterns drive the variable evaporation versus rainfall dynamics over CWBoB. Furthermore, we examined the temporal variation in SASM continental runoff and rainfall to the Northern BoB (NBoB) by assessing changes in δ18Osw (∆18Osw), a proxy for Sea Surface Salinity (ΔSSS), between the NBoB and CWBoB. Our analysis revealed a significant relationship between SASM rainfall and SST in the CWBoB, indicating a sensitivity of 0.9±0.1 psu drop in ΔSSS across the NBoB per 1 °C rise in SST. These findings enhance our understanding of the relationship between CWBoB SST and SASM rainfall, highlighting the intricate dynamics of monsoon variability and paving the way for improved predictability of SASM rainfall patterns.
Architectural Insights and Training Methodology Optimization of Pangu-Weather
Authors: To Deifilia Aurora , Quinting Julian , Hoshyaripour Gholam Ali , Götz Markus , Streit Achim , Debus Charlotte
Published: June 2024

Abstract. Data-driven medium-range weather forecasts have recently outperformed classical numerical weather prediction models, with Pangu-Weather (PGW) being the first breakthrough model to achieve this. The Transformer-based PGW introduced novel architectural components including the three-dimensional attention mechanism (3D-Transformer) in the Transformer blocks and an Earth-specific positional bias term which accounts for weather states being related to the absolute position on Earth. However, the effectiveness of different architectural components is not yet well understood. Here, we reproduce the 24-hour forecast model of PGW based on subsampled 6-hourly data. We then present an ablation study of PGW to better understand the sensitivity to the model architecture and training procedure. We find that using a two-dimensional attention mechanism (2D-Transformer) yields a model that is more robust to training, converges faster, and produces better forecasts than with the 3D-Transformer. The 2D-Transformer reduces the overall computational requirements by 20–30 %. Further, the Earth-specific positional bias term can be replaced with a relative bias, reducing the model size by nearly 40 %. A sensitivity study comparing the convergence of the PGW model and the 2D-Transformer model shows large batch effects: however, the 2D-Transformer model is more robust to such effects. Lastly, we propose a new training procedure that increases the speed of convergence for the 2D-Transformer model model by 30 % without any further hyperparameter tuning.
Technical note: „U-Th Analysis” – an open-source software dedicated to MCICPMS U-series-data treatment and evaluation
Authors: Kerber Inga Kristina , Kontor Fabian , Warken Sophie , Frank Norbert
Published: June 2024

Abstract. We present our standalone data analysis application for 230Th/U dating on multi-collector inductively coupled plasma mass spectrometers (MC-ICP-MS). The Python-based algorithm is equipped with a graphical user interface (GUI) and comprises raw data treatment, corrections, age calculation, and error estimation. Our underlying measurement protocol employs a combination of Faraday cups (FC) and secondary electron multipliers (SEM), and the software allows for different detector layouts for the measurement of the least abundant isotopes 234U, 230Th and 229Th. We especially focus on features that ensure reproducibility and enable user-friendly reanalysis of measurements such as customized calculation constants with templates. Result files are saved automatically and contain all relevant settings used. Eventually, we demonstrate the relevance of adequate data outlier treatment and generally recommend using the median instead of the mean of calculated ratios. The performance of our evaluation software is demonstrated by a case study from a Puerto Rican stalagmite with growth phases from modern to 40 ka old. The majority of the obtained ages reaches uncertainties in the range of 0.3–0.6 %, underlining the capability of our measurement protocol.
Modulating surface heat flux through sea ice leads improves Arctic sea ice simulation in the coupled EC-Earth3
Authors: Tian Tian , Davy Richard , Ponsoni Leandro , Yang Shuting
Published: June 2024

Abstract. In this study, we address a persistent positive bias in Arctic sea ice (concentration and thickness) in the global climate model EC-Earth3 (ECE3) by including a modulating factor to the surface sensible heat flux over regions with sea ice concentrations above 70 %, so-called ECE3L. We performed two pairs of 50-year simulations with repeated seasonal cycles: one pair replicating a cold climate and the other a warmer climate, with the latter characterised by thinner ice and weaker atmospheric boundary layer stability during winter. We show that modified heat flux can significantly alter surface air temperatures in the Arctic, with no substantial impact on lower latitudes. The changes are more pronounced in the cold climate, particularly during Arctic winter. We extended our comparison to two CMIP6 historical ensembles in a transient climate (1980–2014). We found that the mean sea ice states in the changing climate for the ECE3 (ECE3L) ensemble mean closely resembled the mean states in the cold-climate experiment. However, the reduction in sea ice area and volume achieved by ECE3L was nearly four times greater in the cold climate experiment than in the transient climate, reflecting the diminishing role of sea ice leads in a changing climate with decreasing occurrences of stable stratification in winter. Finally, our comparisons with satellite observations and reanalysis datasets demonstrated that ECEL3 significantly improves the local amplification ratio in the marginal ice zone of the Arctic, underscoring the importance of atmospheric stability shaped by central Arctic pack ice and its impact on Arctic amplification.