bluuebunny/crossref_metadata_2025 huggingface dataset:
Gambaran Karakteristik Pasien Infeksi Saluran Pernafasan Akut Yang Menggunakan Antibiotik Di Puskesmas Pekauman Kota Banjarmasin
Authors: Isnani Nazhipah , Muliyani Muliyani , Sari Ira Maya
Published: February 2022

Infeksi Saluran Pernapasan Akut (ISPA) adalah penyebab utama morbiditas dan mortalitas penyakit menular di dunia yang diawali dengan panas disertai tenggorokan sakit, pilek, batuk. Di Puskesmas Pekauman, tercatat 482 pasien yang mengidap penyakit ISPA pada bulan April 2019. 83 diantaranya dijadikan sampel. Penelitian ini bertujuan untuk mengetahui karakteristik dan tingkat pengetahuan pasien ISPA terhadap antibiotik. Penelitian menggunakan metode deskriptif kualitatif. Jenis data primer dikumpulkan dengan metode wawancara langsung dengan kuesioner terstruktur. Berdasarkan hasil penelitian didapatkan karakteristik pasien sebagian besar perempuan (61,73%), umur 36–45 tahun (31,33%), pendidikan SMP (46,98%) dan pekerjaan ibu rumah tangga (59,03%).

Kata kunci : Infeksi Saluran Pernapasan Akut, antibiotik, karakteristik pasien
Pharmacokinetic and Pharmacodynamic studies of Omeprazole Co-crystals dry suspension
Authors: Gaddam Madhuri , Ravouru Nagaraju
Published: February 2022

A novel omeprazole co-crystals instant dry suspension dosage was formulated by applying co-crystallization which is a particle engineering technique to enhance the physicochemical properties. As omeprazole has major critical draw backs in their solubility and stability (acidic pH degradation, thermal sensitivity, photosensitivity and highly hygroscopic nature) bioavailability of omeprazole was drastically reduced and purpose of administration of drug was not fulfilled. There by this formulation was invented to check maid these problems. In this present study in-vivo evaluation were performed. Pharmacokinetic parameters and pharmacodynamic parameters were determined and statistically analysed. The prepared formulation of omeprazole produced reliable satisfaction in solving the drawback problems of pure omeprazole by enhancing bioavailability. Statistical analysis was done by one way ANOVA test with P value less than 0.0001, Dunnet multiple comparison test was performed between the groups with P value < 0.01 which was considered to be significant.
Frequency of Thrombocytopenia in Patients with Chronic Liver Diseases in Tertiary Care Hospital
Authors: Abbas Muhammad , , Sardar Jahan , Asim Muhammad , Khan Radhia , Khan Samiullah , Jaffar Ghulam
Published: February 2022

Introduction: Chronic liver disease (CLD) is the major cause of morbidity and rate of death across the globe. Chronic liver diseases lead to many complications like cirrhosis, endocrines disorders, cardiac disorders, hepatorenal syndromes and metabolic disorders. Objective: To determine the frequency of thrombocytopenia in patients with chronic liver disease at Tertiary care hospital Peshawar Methodology: This Descriptive Cross sectional Study was carried out at the Medicine Department of Hayatabad Medical Complex, Peshawar for duration of six months from June 2020 to December 2021. A total of 189 patients were observed to determine the frequency of thrombocytopenia in patients with chronic liver disease. All the data was analyzed statistically by using SPSS version 23. Results: Among 189 patients males were 134(70.9%) and females were 55(29.1%). In our study, thrombocytopenia was observed in 116(61.4%) patients while it was not observed in 73(38.6%) patients. Conclusion: Our study concludes that thrombocytopenia is frequently present in chronic liver disease patients. In individuals with chronic liver disease, severe thrombocytopenia raises the risk of bleeding and may often complicate or delay therapeutic management. Keywords: Thrombocytopenia, Chronic liver disease, Morbidity
Assessment of the Holy Mosque Visitors' Knowledge and Practice Toward Viral Respiratory Tract Infections
Authors: Alsafi Radi , Alsorrori Dina , Almuntashri Asma , Alzahrani Sara , Aladeeqi Shahad , Ahmed Omar B , Bamaga Majid A , Al-Hazmi Wajdi M. , Assaggaf Hamza , Alghamdi Saad , Sahibzada Muhammad Umar Khayam
Published: February 2022

Background/Purpose: Hajj and Umrah are one of the most significant and long-standing recurring religious mass gatherings events across the world. The mass gathering in Hajj and Umrah may provide potential environment for transmission of viral respiratory infections. Therefore, rising awareness of the Holy Mosque visitors could be helpful in reducing the risk of infections transmission.
Vulnerabilidad de las mujeres indígenas de la península de Yucatán frente a la pandemia COVID-19
Authors: Arévalo Arévalo Nina Scarlett , López Briceño Izel , Rodríguez Cruz Laura Dinorah , Barrera Rojas Miguel Ángel
Published: February 2022

La vulnerabilidad que viven las mujeres indígenas en la península de Yucatán ha quedado en evidencia a partir de la pandemia por COVID-19, debido a las condiciones de desigualdad y pobreza que vivían previo a la contingencia sanitaria, lo que se ve reflejado en el precario acceso a la salud que tienen. De ahí que se proponga mediante la caracterización de los contagios en mujeres indígenas, analizar las condiciones de vulnerabilidad frente a la pandemia por COVID-19 que debe enfrentar la población objeto de estudio. En el marco conceptual se discute cómo la desigualdad ha generado procesos de vulnerabilidad en cuanto a contagios, letalidad y acceso a salud de mujeres indígenas, en comparación con las no indígenas. En cuanto a la metodología, se trabajó con la base de datos de la Dirección General de Epidemiología de la Secretaría de Salud de México, donde se registran los contagios reportados de COVID-19. Esta base se encuentra desagregada a nivel estatal y municipal, así como por hospitales públicos y privados. Se analizaron los datos desde el primer caso, hasta el 30 de abril de 2021. Los resultados de la investigación fueron concluyentes en el sentido de que, en la mayoría de las variables analizadas como son los antecedentes de salud por hipertensión, diabetes, neumonía y embarazo, el acceso a la salud pública y privada, e incluso el porcentaje de fallecimientos por contagio, las mujeres indígenas se vieron más afectadas que las no indígenas revelándose un escenario de mayor vulnerabilidad para ellas.
การเปรียบเทียบผลสัมฤทธิ์ทักษะการฟังภาษาอังกฤษเพื่อความเข้าใจ ของนักเรียนชั้นมัธยมศึกษาปีที่ 4 โรงเรียนสตรีนนทบุรี ระหว่างกลุ่มที่จัดการเรียนการสอนแบบร่วมมือ และกลุ่มที่จัดการเรียนการสอนแบบปกติ
Authors: เลิศธนะธาดา ณัฐกตา , ประสารทรัพย์ วิภาดา
Published: February 2022

การวิจัยครั้งนี้ มีวัตถุประสงค์ 1. เพื่อเปรียบเทียบผลสัมฤทธิ์ทักษะการฟังภาษาอังกฤษเพื่อความเข้าใจ ของนักเรียนชั้นมัธยมศึกษาปีที่ 4 โรงเรียนสตรีนนทบุรี ระหว่างกลุ่มที่จัดการเรียนการสอนแบบร่วมมือ และกลุ่มที่จัดการเรียนการสอนแบบปกติ และ 2. เพื่อศึกษาความพึงพอใจของนักเรียนชั้นมัธยมศึกษาปีที่ 4 โรงเรียนสตรีนนทบุรี ที่มีต่อการจัดการเรียนการสอนแบบร่วมมือ กลุ่มตัวอย่างในวิจัย ได้แก่ นักเรียนชั้นมัธยมศึกษาปีที่ 4 ภาคเรียนที่ 2 ปีการศึกษา 2563 ทั้งหมด 2 ห้องเรียน จำนวน 80 คน ซึ่งได้มาโดยการสุ่มแบบกลุ่ม (cluster random sampling) เครื่องมือที่ใช้ในการวิจัยประกอบด้วย แผนการเรียนรู้แบบร่วมมือ และแบบปกติ แบบทดสอบวัดผลสัมฤทธิ์ทักษะการฟังภาษาอังกฤษเพื่อความเข้าใจ และแบบประเมินความพึงพอใจที่มีต่อการเรียนการสอนแบบร่วมมือ สถิติที่ใช้วิเคราะห์ ได้แก่ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และการใช้สถิติทดสอบ t-test independent sample ผลวิจัยพบว่า 1. ผลสัมฤทธิ์ทักษะการฟังภาษาอังกฤษหลังการจัดการเรียนการสอนของนักเรียนที่ได้รับการจัดการเรียนการแบบร่วมมือสูงกว่าการเรียนการสอนแบบปกติ อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 และ 2. ความพึงพอใจของนักเรียนชั้นมัธยมศึกษาปีที่ 4 โรงเรียนสตรีนนทบุรี ที่ได้รับการจัดการเรียนการสอนตามแบบร่วมมือ มีความพึงพอใจ อยู่ในระดับมากที่สุด
Functional capacity, risk of falling and chronic pain in older adults during the COVID-19 pandemic: a telemonitoring study
Authors: Araújo Rute , Matos Neuza , Mariano Thiara , Medved Isabely , Santos Silvana , Pinheiro Hudson
Published: February 2022

OBJECTIVE: To compare active and sedentary older adults regarding functional capacity, risk of falling, and chronic pain in a population assisted by telemonitoring during the pandemic lockdown. METHODS: This analytical, cross-sectional study included 104 older adults who were telemonitored during the COVID-19 lockdown by a team from a Brazilian Unified Health System outpatient clinic specializing in geriatrics and gerontology. A structured interview was used to collect data. Following normality testing with the Shapiro-Wilk test, Student’s t-test was used for group comparisons. Associations were analyzed using the χ2 test, and the odds ratio was calculated in a 2x2 table of sedentarism and falls in the last six months. The data were analyzed using SPSS version 26.0, with p ≤ 0.05 considered significant. RESULTS: The 57 active older adults had a lower rate of continuous medication use (24.84 vs 27.62%), fewer falls (50 vs 32.11%), less pain (12.31 vs 3.83%), and greater independence in basic activities of daily living (44.39 vs 26.46%). CONCLUSIONS: Older adults who were physically active in the midst of social distancing had better functional capacity in basic activities of daily living, fewer falls, and less pain than their sedentary peers. Independence in instrumental activities of daily living did not differ significantly between the groups.
The Green Climate Fund: Accomplishing a Paradigm Shift?
Authors: Perrault Anne , Leonard Stephen
Published: February 2022

The Green Climate Fund (GCF), established in 2010 at the 16th Conference of Parties (COP16) under the United Nations Framework Convention on Climate Change (UNFCCC), is now the world’s largest climate financing institution. It has a current investment portfolio of 43 approved projects totaling around US$2 billion, and has 48 Accredited Entities (AEs) to support implementation, including UN agencies, banks, NGOs, and private companies. Through its investments, the GCF aims to achieve a paradigm shift in developing countries, toward low-emissions development and climate resilience. GCF investments must indicate whether and how they could impact Indigenous Peoples, local communities, and women who are most at risk from the adverse effects of climate change (e.g. via environmental and social management plans). These goals, however, are currently being challenged by inadequacies in the Fund’s policies and frameworks. GCF safeguards fail to recognize the critical contributions of rural peoples to the maintenance of ecosystem services that are essential to international climate and development objectives, and to offer adequate protection for their land and resource rights. Drawing on international standards and GCF policy documents, this report traces the adequacy and implementation effectiveness of the Fund’s current institutional frameworks across a representative sample of approved projects. Noting critical gaps in nearly every aspect of the Fund’s operational modalities and project approval processes, the report calls on the GCF to take progressive steps to make Indigenous Peoples’ and local communities’ rights a key part of its climate actions going forward.
Securing Community Land Rights: Priorities & Opportunities to Advance Climate & Sustainable Development Goals
Authors:   Rights and Resources Initiative
Published: February 2022

Today, insecure tenure rights threaten the livelihoods and wellbeing of a third of the world’s population, and with it, the very future of our planet. As the historical stewards of the world’s lands and forests, Indigenous Peoples, local communities, and rural women play a critical role in the management and sustainable use of globally significant natural resource systems. In effect, protecting their rights protects everyone’s right to live in a more just, prosperous, and verdant world. Governments, however, have so far been slow to recognize and secure the collective land and resource rights of rural communities. As a result, even though Indigenous Peoples and local communities customarily claim and manage over 50 percent of the world’s lands, they legally own just 10 percent. In order to eliminate poverty; prevent the spread of social and political conflicts; and ensure progress toward global climate, conservation, and development goals, urgent actions are needed to redress this fundamental injustice. Fortunately, the world has never been better positioned to close this gap.
Community Rights and Tenure in Country Emission Reduction Programs: Status and Risks for the FCPF Carbon Fund
Authors:   Rights and Resources Initiative
Published: February 2022

New research from RRI reveals that 13 submissions to the World Bank’s Carbon Fund – one of the most advanced REDD+ initiatives - either fail to recognize the importance of land rights or adequately include local peoples in key decision-making processes.
Violências contra as mulheres: consequências de uma sociedade patriarcal e racista?
Authors: Nascimento Myrtiany Miranda
Published: February 2022

Combater as violências contra as mulheres tem sido um grande desafio para a sociedade. No Brasil, os dois institutos legais que regulam a proteção e prevenção da violência doméstica e familiar contra as mulheres são: a Lei Maria da Penha, lei nº 11.340/2006 e a Lei de Feminicídio, lei nº 13.104/2015. Passados 15 anos da promulgação da Lei Maria da Penha, o país ainda se encontra entre os dez primeiros no ranking de países onde os homens mais matam as mulheres. Este artigo tem como escopo tecer considerações sobre as questões de gênero pontuando as consequências advindas dos sistemas patriarcais e racistas relacionadas às violências contra as mulheres. Utiliza o método de pesquisa exploratória de abordagem qualitativa e descritiva com suporte de dados quantitativos com base em aportes teóricos. Ressalta a importância do enfrentamento às práticas patriarcais e racistas como forma de fortalecer a luta feminista no combate às violências impostas às mulheres e o feminicídio. Conclui que o problema da violência doméstica e sexual requer mais que a aplicabilidade de leis e ressalta que o que está por trás dessas violências tem a ver com a manutenção de práticas comportamentais machistas, patriarcais e racistas que ainda estão presentes em nossa sociedade.
Innovation Research on Specialty Practice Teaching Mode of Network and New Media in Application-oriented Universities
Authors: Zhang Wenbo
Published: February 2022

The evolution of new media market has provided a good flow base for new media marketing. The market requires proprietary talents to be aware of communication rules and market rules and have a holistic and comprehensive grasp of the operation of today's Internet and digital media industry. However, professional new media marketing talents are still in short supply. This paper analyzes the training objectives of Network and New Media majors in existing application-oriented universities, and carries out innovation research of specialty practice teaching mode based on current theories of talent cultivation and practice teaching problems.
Awareness level of Women of Abua Central on Cervical Cancer Screening and the Practice
Authors:   Department of Nursing Sciences, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Nigeria., Kue Jane Baridah , Orukwowu Udo ,   Department of Nursing Sciences, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Nigeria., Mgbere Mercy ,   Department of Nursing Sciences, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Nigeria.
Published: February 2022

This study was carried out in Abua Central in Abua/Odual Local Government Area, Rivers State on the awareness and practice of cervical cancer screening among women aged 30 - 60 years. The objective of the study was to determine the awareness level of women of Abua central on cervical cancer screening and the practice, and the objectives were translated into research questions. Literature was reviewed, a purposeful sampling technique was used to select a sample size of (50) fifty from a target population of (200) two hundred women, the instrument used for the study was a self-developed questionnaire. The questionnaire consisted of two sections A and B, section A consisted of personal data’s and section B consisted of questions on the variables used to answer the research questions. The questionnaire a design of four Likert scales of agree, strongly agree, disagree and strongly disagree was used. Fifty (50) questionnaire was administered face to face and the (50) fifty were retrieved. Percentage tables, bar chart, pie chart were used to represent the finding of the study while the chi-square X2 statistical tool was used to test the hypothesis at an alpha level of 0.05 significance, from the research analysis chi-square value of 15.2 degree of freedom at 6 and critical value 12.592 was gotten. After analysis of data, the result showed that women of Abua central are aware of cervical cancer screening but they do not participate in the screening programme. The implication for nursing is that nurses should work with other health teams in stressing the importance of cervical cancer screening. Based on the findings of the study, recommendations were made: women should be health educated on the importance of cervical cancer screening also government should provide cervical cancer screening units in a close-by hospital.
DETERMINATION OF EMOTIONAL QUOTIENT, SPIRITUAL QUOTIENT, ADVERSITY QUOTIENT AND SQ STRIVE AGAINST JASABOGA BUSINESS SUCCESS
Authors: Nurhayati Sri Endah , Hurriyati Ratih , Dirgantari Puspo Dewi
Published: February 2022

Culinary business competition is getting tighter in the era of globalization as it is today requires companies to have good human resources and qualified for business success and achieving corporate goals. The improvement of technological advances in this ever-evolving age makes every employee must have adversity quotient, emotional quotient, spiritual quotient and SQ strive. the purpose of this study is to analyze the emotional determination of quotient, spiritual quotient, adversity quotient and SQ strives towards the success of the food service business. The population in this study is all restaurant owners in Bandung. Purposive sampling techniques as many as 67 people. The results showed both partial and simultaneous emotional quotient, spiritual quotient, adversity quotient and SQ seek to have a significant effect on business success
PENGARUH MOTIVASI DAN KESEJAHTERAAN TERHADAP SEMANGAT KERJA DAN IMPLIKASINYA TERHADAP KINERJA
Authors: Pratiwi Agustin Riyan , Firgiyani Febi
Published: February 2022

Penelitian ini bertujuan untuk mengetahui Pengaruh motivasi dan kesejahteraan terhadap semangat kerja dan implikasinya terhadap kinerja. Penelitian ini menggunakan analisis jalur (path analisis) dan pengujiannya menggunakan uji F test dan t test. Hasil Penelitian menunjukkan bahwa motivasi termasuk dalam kategori tinggi, kesejahteraan pegawai termasuk dalam kategori sangat tinggi, Semangat kerja pegawai termasuk dalam kategori tinggi dan kinerja pegawai termasuk dalam kategori tinggi. Secara keseluruhan dapat disimpulkan terdapat pengaruh motivasi terhadap semangat kerja, terdapat pengaruh kesejahteraan terhadap semangat kerja, terdapat pengaruh semangat kerja terhadap Kinerja terdapat pengaruh secara simultan motivasi dan kesejahteraan terhadap semangat kerja, terdapat pengaruh secara simultan motivasi dan kesejahteraan terhadap semangat kerja dan implikasinya terhadap kinerja.
THE INFLUENCE OF ORGANIZATION CULTURE AND INTERNAL AUDIT ON GOOD GOVERNANCE (Survey in Government Office of Banyumas City)
Authors: Maharani Destin Alfianika , Siti Fatimah Ika
Published: February 2022

This study aims to determine the influence of internal audit and organizational culture on the realization of good governance. The type of research methods used by the author is used by the writer is a study that is descriptive and associative. Descriptive analysis method is a research conducted to determine the value of independent variables, either one variable or more (independent) without making comparisons or connecting with other variables while associative analysis is research that aims to determine the relationship of two variables or more. Based on the results of the study note that organizational culture affects the variable good governance of 41.6% with a significance value of 0.009. Furthermore, internal audit affects good governance variable of 54.8% with a significance value of 0.002. Then organizational culture and internal audit able to explain variable good governance equal to 72%. with a significance value of 0.000.
KONTRIBUSI TINGKAT INDUSTRI TERHADAP ANGKATAN KERJA DI KABUPATEN PURBALINGGA
Authors: Priambodo Aji , Hasibuan Reza Rahmadi , Sulaeman Maman , Purnomo Dinnas
Published: February 2022

Purbalingga Regency is a regency in Central Java, which occupies the 5th place with high poverty. The problem of poverty is the main problem faced by the regency of Purbalingga. The question of poverty is also closely related to the limitations in the world of employment. This research aims to analyse industry-level influence on the workforce in Purbalingga district. In this study used research object in Purbalingga district. And is a type of quantitative descriptive research (secondary) and the data used comes from websites and books in numbers in the Central Statistic Agency (BPS) Purbalingga district. In this study the number of samples used is industrial level data and discussion in Purbalingga District and used in 2009-2019. The method of econometrics analysis used is linear regression. The results showed that the industrial level has an impact of 45.2% on the workforce in Purbalingga district
SISTEM INFORMASI PENERIMAAN SISWA BARU DI SMA NEGERI 6 TASIKMALAYA
Authors: Nursyamsi Nursyamsi
Published: February 2022

Tujuan dari pembuatan sistem ini adalah untuk membantu kinerja panitia siswa baru dalam proses pengolahan data penerimaan siswa baru yang lebih efektif dan efisien. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian deskriptif, sedangkan metode pengembangan sistem informasi yang digunakan adalah System Development Life Cycle (SDLC) dengan tahapan; analisa sistem, desain sistem, implementasi sistem, operasi dan pemeliharaan. Hasil penelitian ini menunjukan bahwa sistem yang diusulkan menggunakan Visual Basic .Net 2008 dan Ms. Access yang penulis buat benar-benar telah terbukti dapat membantu mempermudah dan memperlancar sistem informasi penerimaan siswa baru di SMA Negeri 6 Tasikmalaya.
The Eternal Commitment: Scientology’s Billion-Year Contract
Authors: Lord Phil
Published: February 2022

In this paper, I analyse the billion-year contract, a fundamental instrument in the Scientology religion. This contract is signed solely by members of Scientology’s most senior order, the Sea Organisation, after they have proven their unqualified allegiance to the Organisation. I provide an overview of the Sea Organisation and of the onerous process that leads to it. I then undertake an analysis of the billion-year contract and its fundamental role in defining and strengthening the commitment that binds the members to their organisation. I conclude that the billion-year contract is, contrary to what the Church suggests, far more than a “symbolic” commitment—it is, at once, a rebellious, visionary, and constitutive act. Keywords: Law and religion, Scientology, billion-year contract, Sea Organisation
Numerical solutions for a two dimensional mountain wave model
Authors: DE U.  S. , FAROOQUI S. M. T. , DEODHAR A. G.
Published: February 2022

Numerical solutions for a two-dimensional linear mountain wave model for a baroclinic compressible atmosphere have been obtained. The techniques developed for smaller obstacles have been suitably adopted for equation application to extended topographic features with, real air stream characteristics. Computations for different situations when mountain wave observations were available have been made. Important aspects of the results have been diabatic discussed.
The western disturbance of 22 December 1980 - A case study
Authors: SHARMA R. V. , SUBRAMANIAN D. V.
Published: February 2022

Rainfall associated with eastward moving westerly systems (WD or induced low) in winter, is normally confined to north of 20 deg. N and moves eastward as the system moves. In a specific case during December 1980 the rainfall activity was observed to extend southward as far as 15 deg. N. Synoptic situation suggests that this is probably due to linkage of a western disturbance with a low pressure area over Arabian Sea. Some features observed on weather charts, satellite and radar pictures during the passage of this system, are presented in this paper.
Discomfort index over India in different months Of the year
Authors: LAKSHMANAN V.
Published: February 2022

Human comfort and discomfort over the different parts of the country in the morning and evening hours for the different months of the year are studied on the basis of maps showing the isopleths of Thom's discomfort index, computed from the Climatological Tables of Observatories in India (1931-1960). Discomfort over Delhi for the winter months (November to March) has also been evaluated from Siple and Passel's wind chill index and the results compared with those obtained from  the Indian la Thom's discomfort index.
Five Years In: The AAOS Resident Assembly, “Bidirectional Communication,” and Early Career Involvement in Orthopaedic Leadership
Authors: Fourman Mitchell S. , Smith Cory , Jensen Andrew R. , Muzzonigro Thomas , Woiczik Marcella , Hogan MaCalus V.
Published: February 2022

Established in 2014, the American Academy of Orthopaedic Surgeons (AAOS) Resident Assembly (RA) has served as a mode of “bidirectional communication” between AAOS and a combined resident body. Training and education initiatives relevant to the current issues facing residency training can be passed up to and directly addressed by the leadership of AAOS, whereas AAOS recruitment and membership initiatives can be disseminated to the full resident body through the RA. Since its inception in 2014, the RA has grown markedly, with representation from most MD and DO residency programs in the United States and Canada. It also has included an increasing number of medical students from Orthopaedic Surgery Interest Groups to directly take part in RA activities. For the past half decade, the RA has served as a partner for the AAOS in addition to a valuable recruitment tool to engage the broadest diversity of potential orthopaedic leaders at their earliest stages of training. This work is a review of the development of the RA over its first half decade, as well as a discussion of its future goals in line with AAOS priorities.
Linking the KOOS-PS to PROMIS Physical Function in Knee Patients Evaluated for Surgery
Authors: Tang Xiaodan , Schalet Benjamin D. , Heng Marilyn , Lange Jeffrey K. , Bedair Hany S. , O'Brien Todd M. , Sisodia Rachel C. , Franklin Patricia D. , Cella David
Published: February 2022

Introduction:

The Knee Injury and Osteoarthritis Outcome Score–Physical Function Short-form and the Patient-Reported Outcomes Measurement Information System Physical Function are widely used patient-reported outcome measures in orthopaedic practice and research. It would be helpful for clinicians and researchers to compare scores obtained on one instrument with those collected on another. To achieve this goal, this study conducted a linking analysis and computed a crosswalk table between these two scales.

Data:

The data of this study were collected as part of the clinical care of total knee arthroplasty patients in a large urban and suburban health system. The sample was a mix of responses from nonsurgical (no surgery performed), preoperative (before surgical intervention), and postoperative (after surgical intervention) groups.

Methods:

This study applied five linking methods: the item response theory (IRT)-based linking methods including fixed-parameter calibration, separate-parameter calibration with Stocking-Lord constants, and calibrated projection; and the equipercentile methods with log-linear smoothing and nonsmoothing approaches. Before conducting the linking analysis, we checked the linking assumptions including the similar content of the two scales, the unidimensionality of the combined scales, and the population invariance. The results of the five linking methods were evaluated by mean difference, SD, root-mean-squared deviation, intraclass correlation coefficient of the observed T scores and the crosswalk-derived T scores.

Results:

The linking assumptions were all met. T scores generated from the Stocking-Lord crosswalk had the smallest mean difference (= −0.03) and relatively small SD (= 4.91) and root-mean-squared deviation (= 4.91) among the five linking methods. We validated this crosswalk in a larger sample with the nonsurgical, preoperative, and postoperative groups and in an external sample.

Discussion:

This study provides clinicians and researchers a practical tool (ie, a crosswalk table) to link scores from two popular physical function measures. Given the diversity of patient-reported outcome measures in use for knee conditions, these crosswalk tables would accelerate clinical and research interpretation of aggregating functional outcomes among the patients evaluated for knee surgery each year.
The Association of Cannabis Use Disorder and Perioperative Complications After Primary Total Knee Arthroplasty
Authors: Weisberg Miriam D. , Ng Mitchell K. , Magruder Matthew L. , Vakharia Rushabh M. , Roche Martin W. , Erez Orry
Published: February 2022

Introduction:

Although studies have shown the implications of substance use on total joint arthroplasty, studies investigating the association of patients exclusively who have cannabis use disorder (CUD) after primary total knee arthroplasty (TKA) are sparse. As such, this study analyzed a private payor database to assess the relationship of CUD after primary TKA.

Methods:

Data from the Mariner data set were used to identify patients who have CUD undergoing primary TKA. Patients with CUD were ratio matched 1:5 to a comparison population by age, sex, and comorbidities, yielding 55,553 patients in the study (n = 9,260) and case-matched (n = 46,293) population. Variables compared included in-hospital length of stay, complications, and costs. A P value of less than 0.003 was considered statistically significant.

Results:

Patients with CUD were found to have longer in-hospital length of stay (3.61 versus 2.07 days, P < 0.0001), in addition to higher frequency and odds ratio (OR) of medical (28.08 versus 12.5; OR, 1.50, P < 0.0001) and prostheses-related complications (9.63 versus 5.16%; OR, 1.56, P < 0.0001). Patients with CUD also incurred significantly higher episode of care costs ($29,025.34 versus $24,258.17, P < 0.0001).

Conclusion:

With the continued legalization of cannabis use across the United States, studies investigating the association of cannabis on outcomes after primary TKA are limited. The current study helps to expand the current literature on outcomes of substance abuse after total joint arthroplasty and can serve to help educate patients of potential complications after their TKA.
Patterns of social interaction in families of children with Expressive Language Delay
Authors: Ansar Sidra , Arshad Faiza , Iftikhar Nayab , Khalid Rabia , Khan Sikander , Yaqoob Saba
Published: February 2022

There are two types of languages one is receptive and the other one is expressive. The lack in sufficient social interaction of parents with their children although normal in all developmental milestones causes a delay in their expressive language.Objective: The objective of the present study was to determine the different  patterns of soial interaction used by families that are responsible for the development  of Expressive Language Delay in children. Methods: Comparitive Cross sectional survey was used for this study. The parents of 100 children from Lahore, of which 50 were parents of normally speaking children and 50 were parents of children with expressive language delay was taken as sample. These parents were asked to fill the questionairre accordingly that consists of  different statements regarding their social patterns used by them to interact with their children. Results: Results indicated that there were significant differences with a p-value of 0.01 between the patterns used by  parents of normally speaking children than those of expressive language delayed children. The mean values of excessive screen time of children with expressive language delay and normally speaking were 1.9600 and 4.0200 with standard deviations of 1.22824 and 0.84491 respectively. There were also insignificant differences with the p-value <0.01 in habits including reading picture books, using simple sentences and abrupt response to new things happen of parents with normally speaking children than with the parents of expressive language delayed children. Conclusion: It is concluded that there is a difference between interactional patterns of parents of children with expressive language delay than those with normally speaking children that are the main causes of developemnt of expressive language delay in these children.
Conversion, Polymerization Shrinkage, Heat Generation, and Depth of Cure of Novel Dental Composites
Authors: Liaqat Saad , Jabeen Humaira
Published: February 2022

This study aims to determine the conversion, polymerization shrinkage, heat generation, and depth of cure of novel dental composites, and compare with current commercial composites. Methods: A total of 24 different formulations were tested for their conversion, shrinkage, heat generation, and depth of cure. Conversion was determined by using FTIR. Polymerization shrinkage and heat generation were determined theoretically using conversion, monomer volume fraction, average molecular weight of monomers present in each formulation, and number of methacrylate groups present in each monomer. Depth of cure was determined using the ISO 4049 scraping test.Results: The values obtained in this study for shrinkage, and heat generation were comparable to commercial bulk filled composites Z250, and Gradia. The factors that reduced the shrinkage and heat generation to a greater extent were sample thickness, and CaP addition. The higher shrinkage and heat generation in thin samples can be explained by large number of photons on the top surface. The heat generation is affected by the same variables as that of conversion and shrinkage. The heat generation values for samples using conversions at a thickness of 4 mm were ~ 0.06 kJ/cc, while using 1 mm thickness values gave ~ 0.08 kJ/cc. The reduction in depth of cure with the addition of CaP was ~ 5 %.Conclusion: The relatively higher, or comparable degree of conversion for experimental composites than commercial materials, could indicate their greater suitability for clinical applications. Polymerisation shrinkage, and heat generation are directly related to conversion, and conversion is affected by depth (thickness) of composites More detailed analysis is needed to confirm the ultimate depth of cure of these materials.
TÜRKİYE’DE İLK VE ACİL YARDIM TEKNİKERLİĞİ MESLEĞİNİN GELİŞİM SÜRECİNİN ULUSAL MEVZUAT ÇERÇEVESİNDE DEĞERLENDİRİLMESİ
Authors: GÜNEŞER Ramazan
Published: February 2022

Amaç: Hastane öncesi acil sağlık hizmetleri, yaşam kurtarma ve durumun daha kötüye gitmesini önleme hedefleri bakımından hayati öneme sahiptir. İlk ve Acil Yardım Teknikeri, bu hedeflere yönelik hastane öncesi acil bakım veren sağlık profesyonelidir. Türkiye’de İlk ve Acil Yardım Teknikerliği (İAYT) eğitimi 1993 yılında, Sağlık Bakanlığında istihdamı ise 2004 yılında başlamıştır. Bu çalışmanın amacı, ulusal mevzuat bağlamında Türkiye’de İAYT mesleğinin gelişim sürecini ortaya koymaktır.Gereç ve Yöntem: Bu amaçla Cumhurbaşkanlığı Mevzuat Bilgi Sisteminde (erişim adresi: https://www.mevzuat.gov.tr/) bulunan mevzuat, İAYT ve eşdeğer programları içeren anahtar kelimeler kullanılarak taranmıştır. Çalışma kapsamına alınan yasal düzenlemeler incelenerek İAYT mesleği özelinde tartışılmıştır.Bulgular: Yapılan tarama sonucunda, ulusal mevzuatta İAYT mesleğine doğrudan atıf yapan 1 kanun 6 yönetmelik ve 1 tebliğin olduğu tespit edilmiştir. İAYT mesleğine ilişkin düzenlemeler, genel olarak ulusal mevzuatta bulunan kanun ve yönetmeliklerde yapılan değişikler yoluyla yer almıştır. İAYT mesleğine özgü yeni bir tebliğ çıkarılmıştır. Ulusal mevzuatta İAYT mesleğine ilişkin değinilen konular ana hatlarıyla şunlardır: İş ve görev tanımları, görev-yetki ve sorumlulukları, tedavi protokol kılavuzları ve eğitim sertifikasyonu, çalışma esas ve usulleri, sorumluluk paylaşımları, özellikli birimlerde çalışma durumları ve eğitimci rolleri.Sonuç: Sonuç olarak, ulusal mevzuatta yapılan değişikliklerle Türkiye’de İAYT mesleğinin yasal sınırları çizilmiştir. Yapılan bu düzenlemeler; İAYT mesleğinin tanımlanmasına, mesleki bir kimlik edinmesini ve rollerinin belirlenmesini önemli katkılar sağlamıştır.
Sakin Şehir (Cittaslow) Restoranlarının Yöresel Yemek Sunumu Üzerine İşletmeci Görüşlerinin Belirlenmesi
Authors: GENÇ Koray
Published: February 2022

Turizm yazını incelendiği takdirde turist beklenti ve tercihlerinin değiştiği yönünde yaygın bir kanı bulunmaktadır. Günümüz turizm hareketliliği içerisinde kültürel değerlere ve bu değerleri sunabilen destinasyonlara ilgi artmış durumdadır. Sakin şehir destinasyonlarını ve bu destinasyonların kültürel arzı olarak yöresel yemekleri de bu kapsamda değerlendirmek mümkündür. Bu bağlamda bu araştırma ile Mudurnu, Göynük ve Taraklı destinasyonlarında faaliyet gösteren restoranların menülerinde yöresel yemeklerin yer alış düzeyinin ve konuya dair işletmeci görüşlerinin açığa çıkarılması amaçlanmıştır. Bu amaç doğrultusunda on iki restoran işletmecisi ile yarı yapılandırılmış görüşmeler gerçekleştirilmiştir. Görüşmeler doğrultusunda işletmecilerin yöresel yemek sunumu konusunda sorumluluklarını bilmelerine, istekli davranmalarına rağmen düşük ve istikrarsız talep nedeniyle maliyet kaygıları yaşadıkları ve bu nedenle idealist bakış açılarını gerçekleştiremedikleri sonucuna ulaşılmıştır. Diğerlerine kıyasla Göynük restoranlarının daha zengin yöresel yemek menüleri sunmakta olduğu da bir başka sonuçtur. Nihai olarak işletmecilerin şikâyet ve kaygılarından yola çıkarak yöresel yemek arzını daha iyi bir konuma taşımak adına sakin şehir destinasyonlarına yönelik öneriler geliştirilmiştir
Sử dụng FRP để phục hồi khả năng chịu tải của sàn bê tông cốt thép bị cháy
Authors: Huy Võ Bá , Đẹt Đoàn Văn , Học Cao Văn
Published: February 2022

Bài báo này trình bày kết quả nghiên cứu thực nghiệm khả năng chịu tải của sàn bê tông cốt thép sau khi cháy có và không có gia cường bằng Fiber Reinforced Polymer (FRP). Thí nghiệm được thực hiện trên 9 mẫu sàn bê tông cốt thép. Một mẫu không bị cháy dùng làm mẫu đối chứng. Tám mẫu còn lại được chia thành 2 nhóm có thời gian cháy của mỗi nhóm lần lượt là 45 và 75 phút. Sau khi cháy, hai mẫu của mỗi nhóm được gia cường bằng FRP. Kết quả thí nghiệm cho thấy màu sắc các mẫu này chuyển từ màu xám của bê tông trước khi cháy sang màu vàng nhạt, hồng nhạt và xám đen sau khi cháy. Sự suy giảm khả năng chịu tải cực hạn của các sàn bị cháy nhỏ hơn 10,5 % do cốt thép đã phục hồi cường độ. Gia cường 1/2 và 1 lớp FRP cho các sàn bị cháy lần lượt làm tăng 46,6 % và 65,4 % khả năng chịu tải cực hạn so với sàn đối chứng.
Xây dựng chỉ dẫn kỹ thuật sử dụng xỉ hạt lò cao nghiền mịn (GGBFS) cho sản xuất bê tông
Authors: Hùng Lê Việt
Published: February 2022

Xỉ hạt lò cao nghiền mịn (GGBFS) là sản phẩm được nghiền mịn từ xỉ hạt lò cao – phụ phẩm của quá trình luyện gang trong lò cao. Với các đặc tính khoáng hóa của mình, GGBFS có hoạt tính thủy lực cao khi kết hợp với xi măng poóclăng cho chế tạo bê tông, vữa. Trên thế giới hiện nay, GGBFS là một trong những loại phụ gia khoáng được sử dụng nhiều nhất trong sản xuất xi măng và bê tông. Tại Việt nam, GGBFS đã bước đầu được sản xuất trên qui mô công nghiệp và được nhiều nhà sản xuất xi măng và bê tông quan tâm sử dụng cho chế tạo các sản phẩm xi măng và bê tông.  Để có sở sở cung cấp cho các kỹ sư các chỉ dẫn cần thiết đảm bảo sử dụng đúng cách GGBFS trong chế tạo bê tông, sử dụng trong công trình xây dựng, đảm bảo chất lượng của công trình và đạt được lợi ích do việc sử dụng GGBFS mang lại (hiệu quả kỹ thuật, kinh tế, môi trường), Bộ Xây dựng đã giao cho Viện Vật liệu xây dựng xây dựng Chỉ dẫn kỹ thuật sử dụng GGBFS cho sản xuất bê tông. Nội dung của chỉ dẫn bao gồm giới thiệu về các tính chất của GGBFS, ảnh hưởng của nó đến tính chất của hỗn hợp bê tông, bê tông đóng rắn và hướng dẫn cho thiết kế cấp phối, kiểm tra và nghiệm thu bê tông sử dụng GGBFS. Các chỉ dẫn trong tài liệu được tổng hợp từ kết quả nghiên cứu trong và ngoài nước. Bài báo này trình bày tóm tắt các nội dung của Chỉ dẫn kỹ thuật này với mục đích giới thiệu để người đọc hiểu rõ nội dung và căn cứ xây dựng của tài liệu này.
Doanh nghiệp sản xuất xi măng ở Việt Nam – thực trạng hoạt động và năng suất trong bối cảnh cách mạng công nghiệp 4.0
Authors: Huyền Phạm Thị , Trang Vũ Thu
Published: February 2022

Sản xuất xi măng là một lĩnh vực công nghiệp cơ bản, quan trọng đối với ngành kinh tế Việt Nam, thúc đẩy phát triển kinh tế nói chung; đáp ứng nhu cầu xây dựng, phát triển hạ tầng kinh tế kỹ thuật và cuộc sống dân sinh nói riêng. Bài viết phân tích thực trạng hoạt động và năng suất của các doanh nghiệp sản xuất xi măng trên cơ sở dữ liệu tổng hợp từ kết quả thống kê 141 doanh nghiệp sản xuất xi măng ở Việt Nam của Tổng cục Thống kê (2019). Bài viết cũng đưa ra một số vấn đề về năng suất và phân tích khả năng nâng cao năng suất cho doanh nghiệp sản xuất xi măng dưới tác động của CMCN 4.0.
Nghiên cứu tính hiệu quả của việc kết hợp công nghệ BIM và VR trong đào tạo sinh viên chuyên ngành xây dựng
Authors: Bản Nguyễn Thanh , Bình Trần Anh , Trang Trần Thu
Published: February 2022

Bài báo tập chung nghiên cứu tính hiệu quả của việc kết hợp công nghệ mô hình thông tin công trình (BIM – Building Information Modelling) và công nghệ thực tế ảo (VR-Virtual Reality) trong đào tạo sinh viên chuyên ngành xây dựng. Cách tiếp cận này giúp cho sinh viên hiểu thiết kế và dữ liệu của mô hình BIM một cách trực quan nhờ sự hỗ trợ của công nghệ VR. Để minh chứng cho sự kết hợp này nhóm tác giả sử dụng phần mềm Autodesk Revit thiết kế mô hình thông tin công trình BIM, Unity 3D Engine xây dựng một ứng dụng thực tế ảo có thể chạy trên thiết bị di động, từ đó lấy ý kiến phản hồi của những sinh viên trực tiếp trải nghiệm.
Bê tông Geopolymer sử dụng cốt liệu tái chế: nghiên cứu một số phương pháp xử lý cốt liệu
Authors: Hoàng Nguyễn Ngọc , Hồng Lưu Thị , Bảo Bùi Quốc
Published: February 2022

Trong bối cảnh phế thải xây dựng phát sinh ngày càngnhiều, cùng với đó lượng tro bay, xỉ thải ra từ các nhà máy nhiệt điện còn ít được tái sử dụng, đặt ra yêu cầu cấp thiết đối với ngành xây dựng phải có giải pháp xử lý đồng bộ, tái chế các loại vật liệu để sản xuất vật liệu xây dựng, góp phần bảo vệ môi trường,tiết kiệm nguồn tài nguyên. Bài báo này trình bày nghiên cứu sử dụng cốt liệu bê tông tái chế(CLTC) thay thế hoàn toàn đá tự nhiên, và các biện pháp xử lý CLTC. Tro bay và các dung dịch hoạt hoá (NaOH và Na2SiO3) đã được sử dụng để tạo ra chất kết dính geopolymer thay thế xi măng truyền thống. Các thànhphần bê tông geopolymer với các trạng thái CLTC khác nhau đã được nghiên cứu: CLTC khô, CLTC bão hoà nước và CLTC bão hoà nước vôi. Bê tông xi măng đá tự nhiên cũng đã được sản xuất để đối chứng. Cấu trúc vi mô của vật liệu được quan sát bằng phương pháp SEM (Scanning Electron Microscope). Kết quả cho thấy việc xử lý CLTC bằng cách ngâm trong nước vôi cải thiện đáng kể tính chất cơ học của bê tông Geopolymer sử dụng hoàn toàn CLTC: cường độ chịu nén tăng gấp 2 đến 3 lần so với mẫu bê tông sử dụng CLTC ở trạng thái khô và trạng thái bão hòa nước, đồng thời đạt khoảng 80 % so với mẫu bê tông xi măng truyền thống. Các kết quảnày mở ra tiềm năng ứng dụng của bê tông geopolymer CLTC.
Nghiên cứu sử dụng bùn đỏ làm nguyên liệu thay thế đất sét trong sản xuất gạch lát nền và ngói lợp
Authors: Tài Nguyễn Hữu , Trung Nguyễn Văn , Cường Ngô Hùng , Quyên Nguyễn Thị Lệ
Published: February 2022

Trong công nghiệp sản xuất nhôm, hoạt động chính bao gồm sản xuất oxit Al2O3 (alumina) từquặngboxit. Trên thực tế, quy trình Bayer là quy trình được sử dụng để sản xuất alumin đã tạo ra một lượnglớn chất thải nguy hại được gọi là bùn đỏ. Trong số các giải pháp thay thế được đề xuất coi bùn đỏ là sản phẩm phụ hữu ích, việc kết hợp bùn đỏ vào sản xuất gạch lát nền và ngói nung cho phép một lượng lớn được sử dụng làm sản phẩm vật liệu xây dựng. Một số công trình đã nghiên cứu phương án thay thế nhưng chỉ giới hạn ở việc phối trộn đất sét với bùn đỏ để sản xuất gạch xây nung. Trong nghiên cứu này đã đưa ra phương án gia công sử dụng bùn đỏ và đất sét để sản xuất gạch lát nền và ngói nung bằng phương pháp đùn dẻo. Phối liệu bùn đỏ và đất sét đều được gia công trước khi tạo hình sản phẩm mộc và được nung ở 850 oC, 950 oC và 1050 oC.Kết quả chỉ ra rằng bùn đỏ, đất sét sau khi gia công chế biến, tạo hình và nung ở nhiệt độ 1050 oC đạt các chỉ tiêu theo TCVN 7483:2005.
Nghiên cứu sử dụng tro, xỉ của lò đốt chất thải rắn sinh hoạt làm nguyên liệu sản xuất vật liệu xây dựng
Authors: Phú Cao Tiến , Tiệp Trương Đức
Published: February 2022

Bài báo trình bày kết quả đánh giá tính chất cơ lý, hóa học của tro đáy và tro bay thuộc nhà máy đốt chất thải rắn sinh hoạt và đề xuất phương pháp xử lý tro xỉ này bằng phụ gia chelate, phương pháp nhiệt nhận được tro xỉ sau xử lý đảm bảo không là chất thải rắn nguy hại và có thể sử dụng làm nguyên liệu sản xuất gạch bê tông. Kết quả của đề tài cho thấy có thể thay thế đến 30% cốt liệu tự nhiên trong sản xuất gạch bê tông tương đương với mẫu đối chứng.
USE OF INDUSTRIAL WASTE ON SUSTAINABLE DEVELOPMENT: A REVIEW
Authors: Girhale Laxmikant D.
Published: February 2022

In the present day, Indian Economy is developing very fast paralleled to other countries in the world. Construction segment is the major contributor for this growth. It is one of the largest employers in India, employs 18 and 14 million people directly and indirectly respectively. In addition, migration from rural to urban areas in developing countries has increased significantly due to employment and other opportunities. Due to increasing urban population, the demand for housing has also increased exponentially. Building components such as foundation, floor, slab, columns, beams and masonry require a large amount of construction materials such as concrete, steel, bricks, mortar, etc. which directly or indirectly affects the environment and economy. This sector not only contributed in employment but also more than 250 industries such as cement, steel, wood and bricks and building materials are dependent on this sector. In construction sector, the use of cement is very extensive and it affects directly or indirectly on environment and economy. For every ton of cement production, about 900 kg of CO2 emits, which contributes to 5-7 % of total CO2 emission over the globe. Due to which, as an alternative solution, geo-polymer made from alkali activation of alumina silicates with lesser environmental impact and desired performance were investigated by researchers. These source materials are obtained from industrial wastes generated by agro industries, mine waste, construction and demolition waste, etc. Use of geo-polymer based construction materials has been increased significantly due to its high strength, eco-friendly and durable nature. Masonry is one of the important parts of building that consists of masonry unit, which is joined and finished by mortar. Application of geo-polymer mortar in masonry construction enhances the performance of the building as well it makes the masonry construction eco-friendly. Utilization of waste materials for partial or full replacement of cement in masonry mortar gives the sustainable solution. Use of sustainable materials derived from solid waste has been suggested through many studies. Human and industrial activities generate vast variety of solid waste. It becomes necessary to identify and characterize these waste which will create nuisance in environment, if left unattended. Keywords: construction materials, cement production, geo-polymer, sustainable materials, Co-firing