bluuebunny/crossref_metadata_2025 huggingface dataset:
Peyuluhan Kesehatan Gigi dan Mulut di TK mawar
Authors: Sagala Nanda suryani
Published: August 2024

Pendahuluan: Masalah pada gigi dan mulut akan mempengaruhi kualitas hidup seseorang, dimana seseorang akan mengalami rasa sakit, ketidaknyamanan, cacat,gangguan makan dan tidur Tujuan penelitian: untuk meningkatkan penegtahuan siswa-siswa dalam melakukan perawatan gigi dan mulut  Bahan dan Metode: Penyuluhan kesehatan gigi dan mulut ini dilakukan di TK Mawar  metode Demonstrasi, diskusi dan tanya jawab. Hasil Penelitian: Siswa-siswi mampu mendemonstrasikan cara menykiat gigi dengan benar dan mampu menjelaskan cara menjaga kesehatangigi dan mulut. Kesimpulan: meningkatnya kesehatan gigi dan mulut
POSBINDU PTM (PENYAKIT TIDAK MENULAR) KEPADA MASYARAKAT LANSIA DI DESA SIBANGKUA ANGKOLA BARAT TAHUN 2021
Authors: Diningsih Ayus
Published: August 2024

Empowerment of elderly self-health in Sibangkua Village can be started through the role of Posbindu Elderly Students of KKN Group III Aufa Royhan University in Padangsidimpuan City. Posbindu activities encourage the empowerment of the elderly to increase health awareness. The aims of this study were to 1) describe the Posbindu Elderly program; 2) identify the health condition of the elderly in Sibangkua Village; 3) analyze the achievement of the principle of empowerment; 4) and analyze the impact and response of the community regarding the Posbindu Elderly Program. Data collection methods in this study were obtained through observation, interviews, documentation studies, and direct practice of health checks. The results showed that the self-health empowerment program for the elderly at the Elderly Posbindu for KKN Students Group III at Aufa Royhan University in Padangsidimpuan City included health checks, elderly exercise, and health socialization. The program plays a role in improving the health condition of the elderly which can be said to be in good health and there are no complaints of serious diseases, only a few elderly have complaints of non-communicable diseases (PTM). The implementation of the empowerment principle has also been achieved in an effort to empower the health of the elderly. The impact obtained from the Posbindu program for KKN Students Group III at Aufa Royhan University in Padangsidimpuan City is that respondents become more aware of health problems so that they pay more attention to their daily lifestyle. The role of Posbindu Student Community Service Program at Aufa Royhan University in Padangsidimpuan City Group III in empowering the health of the elderly also received a positive response from the community.
EDUKASI DAN KONSELING RAGAM METODE KONTRASEPSI DI DESA SIMANINGGIR KECAMATAN ANGKOLA BARAT
Authors: Munawarah Masrina
Published: August 2024

Good knowledge about the various contraceptives is an important thing that becomes the basis for women to choose contraception. In addition, counseling can also be used as a good method in helping women to decide on a contraceptive method that suits their needs. This education and counseling activity for various contraceptive methods is carried out as a form of community service in the fostered village of Aufa Riyhan University, namely Simaninggir Village, West Angkola District. A total of 40 women of childbearing age participated in this activity. The evaluation of the activity showed that there was an increase in participants' understanding and ability to choose contraception after this activity was carried out. This education and counseling is expected to be a method of counseling that is carried out regularly and continuously to achieve community welfare through increasing the coverage of contraceptive use.
EDUKASI PENCEGAHAN DAN PENGOBATAN PERTAMA DENGAN KEJADIAN DIARE PADA ANAK DI DESA SIGUMURU KABUPATEN TAPANULI SELATAN
Authors: Utaminingtyas Farida , Harahap Yanna Wari
Published: August 2024

Diare merupakan penyebab kematian terbesar kedua pada balita di dunia setelah penyakit pneumonia. Di Indonesia angka kematian balita yang disebabkan karena diare mencapai 1,5 juta per tahun. Insiden terbesarnya terjadi pada 2 tahun pertama kehidupan dan menurun seiring dengan pertumbuhan anak. Di kota Padangsidimpuan jumlah angka kesakitan diare berjumlah 4.556. Tujuan pengabdian masyarakat ini untuk meningkatkan pengetahuan ibu tentang pencegahan dan pengobatan pertama dengan kejadian diare pada anak. Pengabdian kepada masyarakat ini dilakukan dengan cara memberikan informasi tentang tentang pencegahan dan pengobatan pertama dengan kejadian diare pada anak dengan jumlah peserta sebanyak 20 orang. Hasil evaluasi selama proses kegiatan berlangsung diperoleh seluruh peserta memahami materi edukasi dan aktif dalam sesi diskusi. Diharapkan pengetahuan ibu dapat meningkat melalui pengabdian ini sehingga ibu dapat melakukan pencegahan dan pengobatan diar pada anak serta kegiatan ini dapat dilakukan berkelanjutkan oleh kader dan bidan desa.
PENINGKATAN PENGETAHUAN BAHAYA MEROKOK UNTUK MENCEGAH DAN MENGURANGI KEBIASAAN MEROKOK PADA REMAJA DI SMP STELLA MATUTINA SALATIGA
Authors: Azani Elia , Sasanti Serafina Damar , Sanjaya Aria
Published: August 2024

Saat ini  perilaku merokok semakin merata, bukan hanya perilaku orang dewasa tetapi juga merupakan gaya hidup para remaja. Remaja merupakan pemuda generasi penerus bangsa yang perlu diperhatikan kesehatannya. Berdasarkan berbagai survey dan hasil penelitian, perilaku merokok sudah dimulai dan dilakukan sejak dari usia sekolah (10-12 tahun). Untuk itu perlu dilakukan peningkatan pengetahuan dengan cara penyuluhan kesehatan mengenai bahaya merokok pada usia sekolah  yaitu pada siswa sekolah lanjutan khususnya pada siswa SMP Stella Matutina Salatiga yang diikuti oleh 27 peserta. penyuluhan dilakukan dengan menampilkan gambar dan video tentang bahaya merokok. Setelah itu dilakukan diskusi interaktif dengan peserta mengenai cara  menghindari kebiasaan merokok dan dilanjutkan tanya jawab. Hasilnya jika dilihat dari nilai pretest dan postest terjadi peningkatan nilai rata rata dari sebelumnya 5,6 menjadi 8,1. Hasil diskusi tentang mencegah dan mengurangi kebiasaan merokok berasal dari diri sendiri dan lingkungan, sehingga diharapkan siswa dapat menyampaian informasi mengenai bahaya merokok dan hasil pengabdian masyarakat ini kepada lingkungan terdekat mereka yaitu keluarga dan teman temannya.
Kata kunci : Bahaya merokok, remaja, penyuluhan
EDUKASI KESEHATAN TERHADAP PENGETAHUAN DAN TINDAKAN REMAJA PUTRI TENTANG PEMERIKSAAN PAYUDARA SENDIRI
Authors: Utami Siswi , Estiyani Arum , Yulaeka Yulaeka
Published: August 2024

Menurut WHO (2018) di dalam penelitian (Qoyyimah, Rohmawati, & Ropitasari, 2022). Kejadian kanker meningkat dari tahun ke tahun dan terjadi hampir di seluruh dunia. Data jumlah penderita kanker di seluruh dunia mencapai 14 juta kasus dengan angka kematian 8,2 juta setiap tahunnya. Menurut profil kesehatan Indonesia (2019) telah ditemukan 84.1859 IVA positif, 28.910 tumor payudara, 5.015 curiga kanker Rahim dan 2.910 curiga kanker payudara. Tujuan pengabdian masyarakat ini adalah untuk memberikan edukasi kesehatan terhadap pengetahuan dan tindakan remaja putri tentang pemeriksaan SADARI. Metode yang digunakan adalah ceramah, tanya jawab, diskusi. Bahan yang digunakan yaitu materi penyuluhan. Peserta kegiatan adalah ibu remaja. Saat kegiatan berlangsung peserta terlihat antusias terlihat dari sesi diskusi. Peserta mengetahui ntindakan pemeriksaan SADARI.
Penyuluhan Berbasis Leaflet dalam Persiapan Persalinan
Authors: Apriyani Magdalena Tri Putri -
Published: August 2024

Introduction Reducing MMR and IMR is one of the indicators in the third Goal of the SDGs program which is a continuation of the MDGs. One of the SDGs targets is to reduce MMR to 70 per 100,000 live births by 2030 and reduce IMR to 16 per 1000 live births by 2024.
The Purpose is to increase the knowledge of pregnant women about discomfort in pregnancy and how to deal with it.
Methods In this community service the researchers focused on providing information education to pregnant women about discomfort in pregnant women with direct counseling methods and giving pre-tests and post-tests to these pregnant women, for those who could answer and were actively given souvenirs. Implementation on December 19, 2023 in Ciawi Bogor.
 
  Keywords : Leaflet, Labor Preparation
Observability of moisture transport divergence in Arctic atmospheric rivers by dropsondes
Authors: Dorff Henning , Konow Heike , Schemann Vera , Ament Felix
Published: August 2024

Abstract. This study emulates dropsondes to elucidate the extent to which sporadic airborne sondes adequately represent divergence of moisture transport in Arctic atmospheric rivers (ARs). The convergence of vertically integrated moisture transport (IVT) plays a crucial role as it favours precipitation that significantly affects Arctic sea ice properties. Long-range research aircraft can transect ARs and drop sondes to determine their IVT divergence. In order to assess the representativeness of future sonde-based IVT divergence in Arctic ARs, we disentangle the sonde-based deviations from an ideal instantaneous IVT divergence, which result from undersampling by a limited number of sondes and from the flight duration. Our synthetic study uses C3S Arctic Regional Reanalysis (CARRA) reanalyses to set up an idealised scenario for airborne AR observations. For nine Arctic spring ARs, we mimic flights transecting each AR in CARRA and emulate sonde-based IVT representation by picking single vertical profiles. The emulation quantifies IVT divergence observability by two approaches. First, sonde-based IVT and its divergence are compared to the continuous IVT interpolated onto the flight cross-section. The comparison specifies uncertainties of discrete sonde-based IVT variability and divergence. Second, we determine how temporal AR evolution affects IVT divergence values by contrasting time-propagating sonde-based values with the divergence based on instantaneous snapshots. For our Arctic AR cross-sections, we find that coherent wind and moisture variabilities contribute less than 10 % to the total transport. Both quantities are uncorrelated to a great extent. Moisture turns out to be the more variable quantity. We show that sounding spacing greater than 100 km results in errors greater than 10 % of the total IVT along AR cross-sections. For IVT divergence, the Arctic ARs exhibit similar differences in moisture advection and mass convergence across the embedded front as mid-latitude ARs, but we identify moisture advection as being dominant. Overall, we confirm the observability of IVT divergence with an uncertainty of around 25 %–50 % using a sequence of at least seven sondes per cross-section. Rather than sonde undersampling, it is the temporal AR evolution over the flight duration that leads to high deviations in divergence components. In order to realise the estimation of IVT divergence from dropsondes, flight planning should consider not only the sonde positioning, but also the minimisation of the flight duration. Our benchmarks quantify sonde-based uncertainties as essential preparatory work for the upcoming airborne closure of the moisture budget in Arctic ARs.
Glacier damage evolution over ice flow timescales
Authors: Ranganathan Meghana , Robel Alexander A. , Huth Alexander , Duddu Ravindra
Published: August 2024

Abstract. The rate of mass loss from the Antarctic and Greenland ice sheets is controlled in large part by the processes of ice flow and ice fracture. Studies have shown these processes to be coupled: the development of fractured zones weakens the structural integrity of the ice, reducing ice viscosity and enabling more rapid flow. This coupling may have significant implications for the stability of ice shelves and the rate of flow from grounded ice. However, there are challenges with modeling this process, in large part due to the discrepancy in timescales of fracture and flow processes as well as uncertainty in the construction of the damage evolution model. This leads to uncertainty in how fracture processes can affect ice viscosity and, therefore, projections of future ice mass loss. Here, we develop a damage evolution model that represents fracture initiation and propagation over ice flow timescales, with the goal of representing solely the effect of damage on flow behavior. We then apply this model to quantify the effect of damage on projections of glacier response to climate forcing. We use the MISMIP+ benchmark glacier configuration with Experiment Ice1r, which represents grounding line retreat due to basal melt forcing. In this model configuration, we find that damage can enhance mass loss from grounded and floating ice by ~ 13–29 % in 100 years. The enhancement of mass loss due to damage is approximately of the same order as increasing the basal melt rate by 50 %. We further show the dependence of these results on uncertain model parameters. These results emphasize the importance of further studying the multiscale processes of damage initiation and growth from an experimental and observational standpoint and of incorporating this coupling into large-scale ice sheet models.
Century Long Reconstruction of Gridded Phosphorus Surplus Across Europe (1850–2019)
Authors: Batool Masooma , Sarrazin Fanny J. , Kumar Rohini
Published: August 2024

Abstract. Phosphorus (P) surplus in soils significantly contributes to the eutrophication and degradation of water quality in surface waters worldwide. Despite extensive European regulations, elevated P levels persist in many water bodies across the continent. Long-term annual data on soil P surplus are essential to understand these levels and guide future management strategies. This study reconstructs and analyzes the annual long-term P surplus for both agricultural and non-agricultural soils across Europe at a 5 arcmin (≈ 10 km at the equator)  spatial resolution from 1850 to 2019. The dataset includes 48 P surplus estimates that account for uncertainties arising from different methodological choices and coefficients in major components of the P surplus. Our results indicate substantial changes in P surplus magnitude over the past 100 years, underscoring the importance of understanding a long-term P surplus. Specifically, the total P surplus across the EU-27 has tripled over 170 years, from 1.19 (±0.28) kg ha−1 yr−1 in 1850 to around 2.48 (±0.97) kg ha−1 yr−1 in recent years. We evaluated the plausibility and consistency of our P surplus estimates by comparing them with existing studies and identified potential areas for further improvement. Notably, our dataset supports aggregation at various spatial scales, aiding in the development of targeted strategies to address soil and water quality issues related to P. The P surplus reconstructed dataset is available at: https://doi.org/10.5281/zenodo.11351028.
Temporal clustering of precipitation for detection of potential landslides
Authors: Banfi Fabiola , Bevacqua Emanuele , Rivoire Pauline , Oliveira Sérgio C. , Pinto Joaquim G. , Ramos Alexandre M. , De Michele Carlo
Published: August 2024

Abstract. Landslides are complex phenomena that cause important impacts in vulnerable areas, including the destruction of infrastructure, environmental damage, and loss of life. The occurrence of landslide events is often triggered by rainfall episodes, single and intense ones or multiple ones occurring in sequence, i.e., clustered in time. Landslide prediction is typically obtained via process-based or empirical thresholds. Here, we develop a new approach that uses information on the temporal clustering of rainfall to detect landslide events and compare it with the use of classical empirical rainfall thresholds. In addition, we evaluate the performance of the two approaches combined together as a case study in the region of Lisbon in Portugal. We consider a dataset that categorizes landslides into shallow and deep events and a review of empirical rainfall thresholds that makes a good benchmark for testing our novel method. We show that the new approach based on temporal clustering overall has a good power of detecting landslide events but has a skill comparable with the classic rainfall threshold method. While there is no clear outperformance of one method, the novel clustering-based method has a higher sensitivity despite a lower precision than the threshold-based method. For all approaches, the potential detection is better for deep landslides than for shallow ones. The results of this study could help to improve the prediction of rainfall-triggered landslides.
Pemanfaatan Media Sosial Sebagai Inovasi dalam Pembelajaran di Era Globalisasi
Authors: Putri Isyara Larissa , Karoma  , Fajri Ismail
Published: August 2024

Penelitian ini bertujuan untuk mengeksplorasi pemanfaatan media sosial sebagai inovasi dalam pembelajaran di era globalisasi. Dengan menggunakan metode kajian literatur yang sistematis, penelitian ini menganalisis berbagai sumber terpercaya untuk mengidentifikasi manfaat, tantangan, dan strategi penerapan penggunaan media sosial dalam konteks pendidikan. Hasil penelitian menunjukkan bahwa media sosial menawarkan berbagai manfaat penting, termasuk akses informasi yang luas dan cepat, peningkatan interaksi dan kolaborasi, pengembangan keterampilan digital, serta pembelajaran yang fleksibel dan personalisasi. Namun, terdapat beberapa tantangan yang harus diatasi, seperti masalah keamanan dan privasi, gangguan, kesenjangan akses teknologi, dan kurangnya pedoman serta pelatihan untuk guru. Untuk memaksimalkan manfaat dan mengatasi tantangan tersebut, direkomendasikan beberapa implementasi strategi, termasuk pengembangan kebijakan keamanan dan privasi yang kuat, integrasi media sosial dalam kurikulum, pelatihan berkelanjutan untuk guru, dan fasilitasi akses teknologi bagi semua siswa. Penelitian ini menyimpulkan bahwa dengan kebijakan yang tepat dan pelatihan yang memadai, media sosial dapat menjadi alat yang sangat berguna dalam meningkatkan kualitas pembelajaran dan mempersiapkan siswa menghadapi tantangan di era globalisasi. Temuan ini diharapkan dapat memberikan wawasan berharga bagi pendidik, pembuat kebijakan, dan peneliti dalam mengembangkan penggunaan media sosial dalam pendidikan.
Considerações pragmáticas sobre o enquadramento da sociedade uniprofissional no ISS Fixo
Authors: Gonçalves e Arruda Pablo , Bichara Mendonça Saulo
Published: August 2024

This study aims to analyze the application of Decree-Law No. 406/68, to uniprofessional societies, examining whether the municipality has the competence to regulate tax collection at a higher limit than that determined by the federal norm and whether the jurisprudence put by the Superior Court of Justice , which removes uniprofessional companies from the fixed ISS regime, considering the legal nature of corporate institutions defined based on the terms verified in the Civil Code. The negative hypotheses to be presented are built from the jurisprudential revision based on the theoretical doctrinal studies that enable an equitable and pragmatic interpretation of the proposed rule.
The biodiversity of fish in transboundary rivers from north-eastern Bangladesh
Authors: HASAN MAHMUDUL , ANIK ZAHID HASAN , TUSAR IFTHEKAR ISLAM
Published: August 2024

The biodiversity of freshwater fish is disappearing at an alarming rate around the globe, with transboundary rivers in Bangladesh being especially vulnerable. From October to December 2023, we surveyed the fish biodiversity of 11 transboundary rivers in north-eastern Bangladesh using the available literature and online FishBase data for species identification. We also added a small number of specimens from our previously examined samples that comprised of 74 fish species belonging to eight orders and twenty-four families. Our survey results indicate that the order Cypriniformes had the biggest number of species (38%), followed by the orders Siluriformes (30%), Perciformes (24%), Clupeiformes (3%),  Synbranchiformes (1%), Beloniformes (1%), and Tetraodontiformes (1%). Less than 30% of the entire studied area had 26 fish, indicating that the fish population was confined to a relatively limited region. The total number of species was lower than that we had anticipated, which explains the declining trend of the fish biodiversity in the transboundary rivers of north-eastern Bangladesh. Our survey data have allowed us to gain some early understanding of the hidden biodiversity of fish in these rivers, which may prove useful to other researchers conducting follow-up studies. Since there is currently no published description of the ichthyofaunal diversity in transboundary rivers, the current data on 74 species of ichthyofauna will be useful to future researchers, planners, and policymakers. In order to safeguard the faunal composition of a riverine ecosystem, more efforts incorporating genetic data will be helpful in detecting the biodiversity of fish as well as the cryptic species of other transboundary riverine systems. These efforts will also reinforce the need to re-evaluate the checklist and promote sustainable conservation directions.
The exercise of duties in the public sector in a conflict-of-interests situation: the material (immaterial) object and the output of the offense
Authors: Zaporojan Iancu
Published: August 2024

The offenses of exercising duties in the public sector in a conflict-of-interest situation, provided by the art. 3261 of the Criminal Code of the Republic of Moldova, possesses both a material object (immaterial) and output. Damage to the special juridical object of these offenses is done through the material (immaterial) object of the offenses provided by the art. 3261 of the Criminal Code of the Republic of Moldova. As for the output appear as a result of the commission of these offenses, due to the impact brought to the special juridical object of the offenses provided by the art. 3261 of the Criminal Code of the Republic of Moldova.
ВПЛИВ BANI-СВІТУ НА ДЕРЖАВНЕ РЕГУЛЮВАННЯ РИНКУ ПРАЦІ ТА ДЕРЖАВНУ МОЛОДІЖНУ ПОЛІТИКУ
Authors: Помаза-Пономаренко А.Л. , Батир Ю.Г. , Лопатченко І.М.
Published: August 2024

Проаналізовано проблеми реалізації державного регулювання ринку праці молоді в умовах BANI-світу. Визначено шляхи вирішення цих проблем, зокрема, оновлення Стратегії людського розвитку фізичної в Україні із урахуванням закордонного досвіду забезпечення розвитку ринку праці молоді. Дана рекомендація здійснена на підставі досліджених світових трендів розвитку ринку праці та реалізації державної молодіжної політики, частина яких притаманна також й Україні. Серед них виокремлено цифровізацію й інформатизацію молодіжної роботи, важливість ведення здорового способу життя серед молоді, забезпечення її гармонійного розвитку, підтримання місцевих молодіжних ініціатив та ін.
Resistance Training in Pregnancy -
A Comprehensive Narrative Review
Authors: Sonaiya Nikita
Published: August 2024

Pregnancy is a transformative period characterized by significant physiological and psychological changes. Engaging in consistent exercise during pregnancy offers numerous health advantages for both the expectant mother and the child, as recommended by the American Congress of Obstetricians and Gynecologists (ACOG). Resistance training, a form of strength training, is increasingly recognized for its benefits during pregnancy due to its ability to improve muscle strength with potentially lower cardiovascular stress compared to aerobic exercise. This comprehensive narrative review evaluates the safety and efficacy of resistance training during pregnancy, its effects on diastasis recti, blood pressure, gestational diabetes mellitus (GDM), incontinence, low back pain, fetal responses, and postpartum depression.

Key words: Resistance Training, Pregnancy, Fetal Outcome
FACTORES QUE INFLUYEN EN EL ESTADO DE SALUD DE LAS EMPRESAS CREATIVAS Y CULTURALES DEL SECTOR DE ARTESANÍA EN BORDADOS DE TRAJES FOLCLÓRICOS EN LA CIUDAD DE EL ALTO, BOLIVIA.
Authors: ZURITA HERRERA JOSE ANTONIO , QUISPE PORTILLO PAOLA RUTH
Published: August 2024

El presente estudio tuvo como objetivo medir el Estado de Salud de los Emprendimientos Creativos y Culturales de la economía naranja del sector de artesanía en bordados de trajes folclóricos de la ciudad de El Alto, Bolivia. Para lograr este objetivo se aplicó la metodología del Banco Interamericano de Desarrollo (BID) y el Instituto del Fracaso que desarrollaron el Índice de Salud de los Emprendimientos Creativos (algoritmo ISAEC en una escala de 1 al 10). Los resultados obtenidos demuestran que el estado de salud del sector bordador es regular, con un índice de 5.04 sobre 10 puntos; determinándose que los componentes con incidencia positiva son la solvencia (calificación 1.7 sobre 2.0) y la felicidad/satisfacción del emprendedor (calificación 2.0 sobre 3.0), mientras que el componente de productividad del tiempo empleado en el negocio tiene una influencia media (calificación 1.0 sobre 2.0), y el componente de crecimiento y sostenibilidad del negocio una incidencia negativa (calificación 0.3 sobre 3.0).
FOMENTO A LA INVERSIÓN PRIVADA PARA COMBATIR LA DESACELERACIÓN ECONÓMICA EN BOLIVIA
Authors: GONZALES TICONA YOSHIDA
Published: August 2024

La inversión pública dinamiza la económica boliviana, y es loable el gran trabajo que realiza el gobierno para mantener una economía estable a pesar de las obstáculos y amenazas como ser el COVID-19, guerra entre Ucrania y Rusia, bajos precios de los hidrocarburos, entre otros. Sin embargo, debe existir un fomento a la inversión privada nacional y/o extranjera. La combinación entre inversión pública y privada representa un motor para el crecimiento económico según varios estudios. El fomento a un solo tipo de inversión puede representar una carga muy grande para el estado especialmente cuando los recursos provenientes del comercio de los productos tradicionales son volátiles. Si bien hay inversión de capital por parte del gobierno mediante la inversión pública también se debe fomentar el emprendimiento nacional para que pase a la etapa de crecimiento y madurez. Adicionalmente, se tiene que generar condiciones para atraer inversión extranjera que genere un impacto en la  economía y en la sociedad.
Sclerocarya Birrea (Marula) and Strychnos Spinosa (Massala) Mixed Jam: Physico-Chemical and Microbiological Characterization
Authors: Q. M. Guilamba, , E. L. Cavele, , J. S. Manguele, , S. S. Chemane, , E. O. Simbine-Ribisse,
Published: August 2024

Sclerocarya birrea (marula) and Strychnos spinosa (massala) are fruits with high nutritional value but which are underutilized. Processing jam is an alternative for diversifying consumption and preserving these fruits. This study aimed to produce and characterize the mixed jam (marula and massala pulp). Three mixed jam formulations were defined, and the best one was selected. Physicochemical and microbiological analyses were conducted. The microbial stability of the jam was assessed over 84 days of storage at room temperature. Results of physicochemical analyses of jam were pH: 3.44, acidity: 2.86%, vitamin C: 45.57 mg/100g, soluble solids: 67.71 ºBrix, ash: 0.89%, fibers: 0.32%, lipids: 0.39%, moisture: 21%, protein: 0.92% and carbohydrates: 76.48%. Microbial growth in the jam was only observed on the 84th day, with low counts of aerobic bacteria (3×102 CFU/g), molds, and yeasts (10 CFU/g). The raw material was of good quality and the mixed jam is a safe product.
Determining factors of neonatal kernicterus among neonates treated in NICU in health care centres of West Guji Zone, Suthern, Ethiopia
Authors: Degavi Girish , Panari Hazaratali
Published: August 2024

Background: Kernicterus in infants is a medical challenge that is linked to infant death throughout the world. Extreme jaundice with or without Kernicterus affects roughly one million newborns internationally every year, with overall majority of instances happening in south Asia and Sub-Saharan Africa. There are far more techniques and understanding about the etiology of infant ictrus in Sub-Saharan Africa. It is indeed vital to look into the causes that induce infant kernicterus in order to decrease infant morbidity and mortality rates. Methodlogy: A hospital-based unmatched case control study was carried out by evaluating systematically chosen charts of 544 neonates in the neonatal critical care unit of public general hospitals in the West, Guji Zone, Ethiopia. The information was gathered using an extraction format. For analysis, data were entered into epidata management version 4.4.2.1 and exported to SPSS version 20. The binary logistic regression model was employed to assess the relationship between independent and dependent variables. Results; A total of 272 neonatal cards were included. Obstetric complication [AOR: 5.77 at 95%CI: 1.85-17.98], low birth weight [AOR: 4.27at 95%CI: 1.579-11.555], birth asphyxia [AOR: 4.83 at 95%CI: 1.617-14.395], RH-incompatibility [AOR: 5.45 at 95%CI: 1.583-18.737], breast feeding [AOR: 6.11at 95%CI: 1.707-21.886], policytemia [AOR: 7.32 at 95%CI: 2.512-21.311], were the determinants of neonatal kernicterus. Conclusion: Obstetric difficulties, birth hypoxia, breastfeeding, RH-incompatibility, low birth weight, and policytemia are all causes of Neonatal kernicterus. As more than just a consequence, this one was determined that detecting and treating infant kernicterus early on is crucial because it can cause life-threatening complications in newborns.
Mental Health among Adolescent - A Literature Review
Authors: Suvitha S. , Kamali S. , Kanimozhi S. , Kathiyayani M. , Madhuri Kokkiligedda
Published: August 2024

Mental health is the state of balance between individuals and the surrounding world, a harmonious relationship between oneself and others. Adolescence is a period of physical growth and intellectual attainment at its peak, coupled with the setting of personality traits, decisions regarding future professions, and extreme emotional instability. The prevalence of mental illness is higher in adolescents. There are a number of studies regarding assessment of the mental health status of adolescents. A few example studies revealed that adolescents (69.2%) had a moderate level of mental health status. The prevalence of mental abnormalities is higher in young boys than girls. The mental health of an individual can be positively/negatively influenced by several factors like genetics, emotional skills, substance use, family distress, socioeconomic status, favor of the environment, and health issue (tianshu chu, yasser H). Knowledge of promotion of mental health is average in the adolescents. Youth suicide is a major public mental health problem. There are many risk factors inducing suicidal thoughts in adolescents. Promotion of both preventive and interventional measures, psycho education, campaign on awareness through media and prevention strategy plans and policies for adolescence at risk. The home and school environment are important for the mental health status of adolescents. The parents and teachers should be aware of their mental health status and know the influencing factors that contribute to poor mental health status.
Open Electrode Thermal Poling Setup for Treating Lithium-Aluminosilicate Glass-Ceramics Using Gas Discharge
Authors: Hildebrand Jonas , Roos Christian
Published: August 2024

A setup for thermal poling treatment of glass and glass-ceramic via gas discharge using an open electrode configuration was built and tested successfully. In the setup a thin Pt-wire is used as a top electrode with adjustable distance to the glass sample. The glass rests on a Pt-sheet acting as bottom electrode which again rests on transporting rolls made of alumina. The setup is implemented in a specially built furnace in which the sample is moved underneath the static wire electrode. With this setup, lithium-aluminosilicate (LAS) glass samples were thermally poled at 200 °C for 20 min, 60 min and 180 min with discharge currents ranging from 25 µA to 300 µA. Over time the process gets more unstable but without any major breakdowns. The measured crystallinity at the anode side surface of the post-poling ceramised samples shows a decrease with both treatment time and poling current (i.e. electrical field strength). This is explained with the depletion of Li from the anode side surface layer which becomes stronger with higher electrical fields and continues over time. In scanning electron microscopy (SEM) images of cross sections of the anode sides a mostly glassy layer is observed which adds to the point aforementioned. As a key result this work proved that with an open electrode setup for thermal poling treatments of LAS glasses similar results can be achieved as with a blocking setup. This opens the door to the modification of glasses and corresponding glass-ceramics in an inline and continuous process that can be used industrially.
A case report of fibromatosis resulting in small bowel obstruction
Authors: Humphries Danielle , Fritzke Teo , Pacheco1 Felipe , Sripathi Shravani , Marcano Daniela , Alashari Akram
Published: August 2024

Introduction: Fibromatosis, also known as desmoid tumors, is a benign tumor that is found in patients with a history of familial adenomatous polyposis (FAP) syndrome. Although, sporadic fibromatosis is more common than this classic association.

Case Report: This case report describes a 75-year-old woman who was healthy and had no history of familial adenomatous polyposis (FAP). She presented with acute abdominal pain caused by a small bowel obstruction. Computed tomography (CT) imaging demonstrated a solid mass measuring 5 × 5 cm in the left mid-abdomen or the pelvis causing a proximal small bowel obstruction. The patient then underwent an exploratory laparotomy, during which a 45-cm segment of the jejunum, along with associated mesentery and lymph nodes, was resected due to a large mass and extensive adhesions. A primary small bowel anastomosis was performed subsequently. Macroscopic and microscopic pathology evaluations revealed a homogenous mass consistent with fibromatosis, indicating a benign tumor originating from the mesentery. This is an uncommon presentation of small bowel obstruction in an otherwise healthy female patient without a history of FAP.

Conclusion: As this case shows, spontaneous fibromatosis can present aggressively and require emergency surgical intervention.
Analisis Nilai Tambah Pengelolahan Buah Jeruk Menjadi Sirup Limau Kunci Di Kecamatan Buay Bahuga Kabupaten Way Kanan
Authors: Paisol Burlian  , Tiyas Murtingsih  , Solehan
Published: August 2024

Tujuan dari penelitian ini adalah untuk: 1) mengetahui pendapatan dari hasil usaha buah jeruk menjadi sirup limau kunci Kabupaten Way Kanan. 2) menggetahui besarnya nilai tambah pengolahan buah jeruk menjadi sirup limau kunci Kabupaten Way Kanan. 3) mengetahui kelayakan usaha buah jeruk menjadi sirup limau kunci di Kabupaten Way Kanan. Hasil penelitian menunjukkan bahwa biaya produksi yang dikeluarkan oleh responden adalah sebesar Rp.126.974 proses produksi/hari dan penerimaannya adalah sebesar Rp.600.000 proses produksi/hari, sehingga memperoleh pendapatan sebesar Rp.473.026/proses produksi. Nilai tambah yang dihasilkan dari sirup limau kunci di Kabupaten Way Kanan pada responden yaitu sebesar Rp. 473.026/proses produksi. Pengolahan sirup limau kunci di Kabupaten Way Kanan layak (feasible) untuk dikembangkan dengan nilai NPV adalah sebesar Rp.2,315,217 nilai IRR sebesar 11.82 %, dan nilai Net B/C sebesar 1,29.
The Effect of Average Chip Thickness on the Potentially Respirable Dust from CNC Finish Milling of Wood-Based Materials
Authors: Pędzik Marta , Júda Martin , Kminiak Richard , Czerniejewska-Wolska Hanna , Rogoziński Tomasz
Published: August 2024

Milling wood-based materials on CNC devices causes the creation of chips in small sizes that may escape the chip extraction zone to the surrounding environment and pollute the air. The article studied the effect of the feed rate (vf) and the width of cut (ae), transformed into kinematic average chip thickness, on the amounts of chips in respirable sizes <10.0μm created in the cutting zone from particleboards (PB) and medium-density fibreboards (MDF). The amounts of dust-sized chips are discussed and were determined by the sieving analysis. The sizes of potentially respirable chips were estimated by weighting with the laser diffraction method. The highest amounts of chips from PB were of 0.250-0.500 mm (38-41%w), but in MDF, amounts varied depending on cutting conditions. With (ae) 1 mm were in the size range of 0.125-0.250 mm (35-54%w), for (ae) 2 mm (33-35%w), and (ae) 3 mm (36-40%w) with combinations of (vf) 6-8 m·min-1. With a combination of (vf) 10 and 12 m·min-1 distribution moved to a higher size range. Chips in sizes 10.0-4.0 μm were estimated by <1%, for 4.0-2.5 μm <0.5%, in 2.5-0.1 μm <0.3%, and <0.1 μm by <0.05%. Statistically was proven (p<0.05) only in PB, with adjusted (ae) by 1 mm, increasing the value of (vf) from 6 to 12 m·min-1 and also with (vf) at 6 m·min-1, between values of (ae) 1 and 2 mm (hm of 0.025-0.035 mm), will significantly (p<0.05) lower the percentual amounts of chips in sizes 10.0-4.0 and 4.0-2.5 μm.
Psikoedukasi Emosi dalam Meningkatkan Social Awareness Pemuda Remaja Gereja di Era VUCA
Authors: Mengga Ruth Caroline , Ria Natal , Mengga Maria Josephine , Hermanto Yanto Paulus
Published: August 2024

Life in the Vuca era demands sensitivity to rapid changes, including sensitivity in social relations because friction and harsh competition in life make social problems increase. This kind of thing is very likely to be experienced also by church youth. Due to biological factors, at the age of youth, teenagers are very vulnerable to emotional outbursts that can result in the disruption of their relationships with others. Understanding the Word of God about self-control needs to be accompanied by proper education so that the results are maximized it is very important to have emotional education to improve social awareness skills obtained by managing emotions correctly, to minimize conflict in the face of instability in the Vuca era. No emotion is useless, but emotions need to be managed so as not to damage. Therefore, emotional psychoeducation is needed to help recognize emotions and manage them properly. Emotional psychoeducation using quizzes and real-life illustrations and techniques for managing emotions will be very useful in responding to spontaneous emotions to avoid destructive emotional outbursts, including damaging social relationships. Keywords: emotion psychoeducation; social awareness; vuca; church youthAbstrakKehidupan di era Vuca menuntut kepekaan terhadap perubahan yang cepat, termasuk juga kepekaan dalam relasi sosial karena gesekan dan persaingan hidup yang keras membuat masalah sosial meningkat. Hal seperti ini sangat mungkin dapat dialami juga oleh pemuda remaja gereja. Karena faktor biologis, di usia pemuda remaja sangat rentan meledak secara emosi yang dapat mengakibatkan terganggunya relasi dirinya dengan orang lain. Pemahaman Firman Tuhan tentang penguasaan diri, perlu dibarengi dengan pendidikan yang tepat, agar hasilnya maksimal sehingga penting sekali pendidikan emosi untuk meningkatkan kemampuan social awareness yang didapat dengan pengelolaan emosi yang benar, sehingga dapat meminimalkan konflik dalam menghadapi ketidastabilan di era Vuca. Tidak ada emosi yang tidak berguna, tetapi emosi perlu dikelola agar tidak merusak. Sebab itu diperlukan psikoedukasi emosi yang bermanfaat membantu mengenali emosi serta dapat mengelolanya dengan baik. Psikoedukasi emosi dengan menggunakan kuis serta ilustrasi nyata dan teknik mengelola emosi akan sangat berguna dalam respon emosi spontan sehingga dapat menghidarkan diri dari ledakan emosi yang merusak, termasuk merusak relasi sosial.Kata Kunci: Psikoedukasi Emosi; Kepekaan Sosial; Vuca; Pemuda Remaja Gereja
ENRAIZAMENTO DE MINIESTACAS DE HÍBRIDOS DE CORYMBIA
Authors: Pereira Rodrigo Araújo de Assis , Santos Gleison Augusto dos , Canal Guilherme Bravim , Hauers Cecília Poti Dias , Santos Guilherme Soares dos , Ramos Nathália Silveira
Published: August 2024

O potencial do gênero Corymbia se expressa quando tratamos de inovação e desenvolvimento do setor de árvores plantadas. No entanto, a dificuldade de enraizamento para o gênero é ainda um desafio crucial a ser superado, sendo uma etapa que exerce influência direta na produção de mudas, aspecto de suma importância devido à demanda crescente para uso comercial das espécies do gênero. Neste sentido, o presente estudo analisou cinco diferentes clones de Corymbia quanto ao enraizamento de miniestacas no viveiro de pesquisas florestais da Universidade Federal de Viçosa (UFV). As práticas de manejo adotadas no presente trabalho mostraram-se adequadas para o processo de estaqueamento das miniestacas, sendo fundamentais para os bons índices de enraizamento, superiores a 60%, revelando o potencial dos híbridos do gênero Corymbia. A forma de preparo das estacas, as abordagens de estaqueamento (como espaçamento entre mudas) e as fases de estaqueamento (30 dias na casa de vegetação e 10 dias na casa de sombra) se mostraram essenciais para uma boa produtividade e para a adaptação das plantas ao ambiente externo. A pesquisa ressalta a relevância da clonagem e do enraizamento eficiente para o desenvolvimento e uso de Corymbia na indústria florestal, com potencial para melhorias genéticas e aumento da produtividade.
Metodología para implementar el aprendizaje basado en problemas en el modelo por competencias
Authors: Segovia Aguirre Álvaro Noel , Molina Saavedra Karla Esperanza , Urroz Talavera Humberto Javier , Fariña Bermúdez Edwin
Published: August 2024

Este trabajo busca compartir las experiencias que como docente se ha tenido en el aula de clases a partir de la implementación de la metodología del Aprendizaje Basado en Problemas (ABP), de acuerdo al nuevo currículo por competencias implementado por la Universidad Nacional Autónoma de Nicaragua (UNAN-Managua). Dicha metodología permite que los estudiantes identifiquen las causas del problema y las posibles consecuencias en caso de no resolverlo.
En el Aprendizaje Basado en Problemas, el docente se convierte en un facilitador y los estudiantes construyen su propio conocimiento, debido a que no se les facilita ningún contenido en los componentes curriculares del semestre, sino que ellos identifican sus conocimientos previos y buscan los nuevos para resolver el problema planteado, proponiendo la manera para conseguirlo. Por su parte, el docente guía la manera de identificar esos conocimientos y cómo obtenerlos.
En este sentido, el docente debe supervisar y retroalimentar a los estudiantes en su propuesta de solución, la que puede ser un diseño, una simulación, un escrito, un plan de mejora, entre otros y una vez comprobado que el problema es resuelto, los discentes defienden la solución propuesta.
COMPARISON OF EFFICACY AND SAFETY OF PERIPHERAL IV-LINE MANNITOL VS HYPERTONIC SALINE FOR MANAGEMENT OF INTRACRANIAL PRESSURE
Authors: ASHRAF H , ASHRAF F , MALIK S
Published: August 2024

Management of elevated intracranial pressure (ICP) in emergency settings often involves the administration of hyperosmolar agents such as mannitol and hypertonic saline (HTS). The choice between these agents and their safety profile, mainly when administered via peripheral intravenous (IV) lines, remains a clinical concern. Objective: To compare the safety and effectiveness of peripheral IV administration of mannitol and hypertonic saline in managing elevated intracranial pressure in the emergency department. Methods: A retrospective cohort study was conducted in the Emergency Department of Shifa International Hospital from June 2023 to June 2024. The study included 200 adult and pediatric patients who received hyperosmolar agents, specifically 110 patients administered with a 1 g/kg bolus dose of 20% or 25% mannitol and 90 patients with a 5 mL/kg bolus dose of 3% hypertonic saline. The administration was followed by repeated doses or continuous infusion at the attending physician's discretion. The primary endpoint was the incidence of extravasation. In contrast, secondary endpoints included hypokalemia, acute kidney injury (AKI) within two days of admittance, hypernatremia, hyperchloremia, ICP at admission and 24 hours post-administration, length of hospital and ICU stay, need for ventilator support, mortality rate, Glasgow Coma Scale (GCS) score at discharge, and severity of infusion-related adverse effects. Results: The mannitol group consisted of older patients (52.8 ± 21.3 years vs. 28.6 ± 23.1 years), who were also heavier (75.2 ± 21.8 kg vs. 57.5 ± 33 kilograms), had a higher prevalence of end-stage renal disease (ESRD) (7.3%), and were less likely to present with altered mental status (89.1% vs. 97.8%). There were no incidents of extravasation in either group (p > 1). No significant differences were observed between the groups concerning secondary outcomes. However, the mannitol group exhibited higher ICP after 24 hours (4.240 ± 7.9 vs. 2.111 ± 6), a lower GCS score at discharge (3 [3-14] vs. 13 [3-15]), a higher mortality rate (55.5% vs. 33.4%), and a longer duration of ventilator support (2 days vs. one day). Conclusion: Peripheral IV administration of hypertonic saline appears safer and more effective in reducing intracranial pressure than mannitol in emergency department settings. HTS demonstrated a more favorable safety profile with lower mortality and shorter ventilator support duration.
Anatomic Parameters for Diagnosing Congenital Lumbar Stenosis Based on Computed Tomography of 1,000 Patients
Authors: Shin David , Brandt Zachary , Oliinik Mark , Im Daniel , Marciniak Mary , Vyhmeister Ethan , Razzouk Jacob , Kagabo Whitney , Ramos Omar , Oyoyo Udochukwu , Wycliffe Nathaniel , Lipa Shaina A. , Bono Christopher M. , Cheng Wayne , Danisa Olumide
Published: August 2024

Introduction:

Quantitative parameters for diagnosis of congenital lumbar stenosis (CLS) have yet to be universally accepted. This study establishes parameters for CLS using CT, assessing the influences of patient sex, race, ethnicity, and anthropometric characteristics.

Methods:

Interpedicular distance (IPD), pedicle length, canal diameter, and canal area were measured using 1,000 patients between 18 and 35 years of age who were without spinal pathology.

Results:

Irrespective of disk level, threshold values for CLS were 16.1 mm for IPD, 3.9 mm for pedicle length, 11.5 mm for canal diameter, and 142.5 mm2 for canal area. Notable differences based on patient sex were observed, with men demonstrating larger CLS threshold values with respect to IPD and canal area across all vertebral levels from L1 to L5. Based on patient anthropometric factors, no strong or moderate associations were observed between any spinal measurement and patient height, weight, or body mass index across all levels from L1 to L5. However, notable differences were observed based on patient race and ethnicity from L1 to L5. Asian patients demonstrated the largest pedicle lengths, followed by White, Hispanic, and Black patients in descending order. White patients demonstrated the largest IPD, canal AP diameter, and canal area, followed by Asian, Hispanic, and Black patients in descending order. Black patients demonstrated the smallest values across all anatomic measurements relative to Asian, White, and Hispanic patients.

Conclusion:

This study reports 25,000 measurements of lumbar central canal dimensions to establish quantitative thresholds for the diagnosis of CLS. Although not influenced by patient height, weight, or body mass index as one might intuit, canal dimensions were influenced by patient sex, race, and ethnicity. These findings may help explain differences in predisposition or prevalence of lumbar nerve root compression among patients of different races, which can be important when considering rates of surgery and access to care.