bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH AKUPRESURE TITIK PERICARDIUM ( PC 6 ) PADA MUAL MUNTAH IBU HAMIL DI PMB BIDAN E KABUPATEN BANDUNG
Authors: Holisoh Sitti , Hernawati Yeti , Kartika Ira
Published: October 2023

Mual dan muntah adalah gejala yang wajar dan sering didapatkan pada kehamilan trimester I. Mual muntah biasanya terjadi pada pagi hari, tetapi dapat pula timbul setiap saat dan malam hari. Gejala ini kurang lebih terjadi setelah 6 minggu setelah hari pertama haid terakhir dan berlangsung selama kurang lebih 10 minggu.Penanganan selama ibu mengalami mual muntah di saat hamil bisa dengan akupresure. Terapi akupresure  merupakan sebuah Teknik pijat berdasarkan ilmu akupuntur berupa terapi dengan melakukan pijatan pada titik median, Akupresure Pericardium (PC6) yaitu sebuah Tindakan untuk mengurangi mual muntah pada ibu hamil. Terapi akupresure untuk mual muntah dilakukan dengan penekanan secara manual pada pericardium (PC6) terletak 2 Cun diatas pergelangan tangan atau sama dengan 3 jari dari pergelangan, dilakukan durasi 30 detik/ sebanyak 1-2 kali.Tujuan Panelitian ini untuk mengetahui pengaruh akupresure PC 6 terhadap mual muntah ibu hamil.

Desain Penelitian menggunakan metode Pre-Eksperimen dengan pendekatan One-Grup Pretest – Posttest Design.

Hasil penelitian didapatkan bahwa hasil menunjukan Asmyp.Sign (2 tailed) bernilai 0,000 <0,05 maka dapat di simpulkan bahwa ada perbedaan antara skor mual muntah sebelum dan skor mual muntah sesudah diberikan akupresure PC6, sehingga dapat di simpulkan keputusan hipotesis diterima yaitu ada pengaruh pengaruh terapi akupresure PC6 terhadap mual muntah ibu hamil.
RESPONSIBILITAS PELAYANAN KEGIATAN PEKAN IMUNISASI NASIONAL DI PUSKESMAS CILENGKRANG DALAM PERSPEKTIF GOOD GOVERNANCE SEBAGAI UPAYA ERADIKASI POLIO
Authors: Dwi Tamara Metha
Published: October 2023

Pekan Imuniasai Nasional (PIN) ini dilakukan dikarenakan kasus Polio yang kembali muncul di Indonesia yaitu di Aceh dan Purwakarta. Berdasarkan laporan cakupan imunisasi rutin, dua provinsi yang sangat berisiko tinggi dilihat dari cakupan vaksinasi Oral dibawah 60% pada tahun 2020. Sementara ada 13 provinsi yang warnanya merah ini adalah yang beresiko tinggi dimana cakupannya hanya berkisar 60-79%. Jika dilihat berdasarkan kabupaten kota, dari 514 kabupaten kota kita masih punya 60 yang sangat beresiko yang cakupannya dibawah 60%, kemudian ada 132 kabupaten kota yang resikonya tinggi antara 60 sampai 79% cakupannya kemudian yang resiko sedang ada 166, dan yang resiko rendah itu ada 154 kabupaten kota. Tentunya pelaksanakaan PIN perlu di dukung oleh peran Tenaga Kesehatan. Responsibiltas disini merupakan respon dan sikap proaktif tenaga kesehatan terhadap kegiatan PIN, sedangkan Perspektif Good Goverment yang dimaksud disini merupakan sikap profesional yang bertanggung jawab terhadap tugasnya. Untuk mengetahui Responsibilitas Pelayanan Kegiatan Pekan Imunisasi Nasional di Puskesmas Cilengkrang dalam Perspektif Good Governance sebagai upaya Eradikasi Polio. Untuk mengetahui Responsibilitas Pelayanan Kegiatan Pekan Imunisasi Nasional di Puskesmas Cilengkrang dalam Perspektif Good Governance sebagai upaya Eradikasi Polio. Penelitian ini merupakan penelitian kualitatif dengan 8 informant. Hasil penelitian menjelaskan bahwa Penanggung jawab imunisasi yang diberikan kepada seorang Bidan yang kompoten,         Memiliki kebijakan pengelolaan SDM (sumber daya manusia) yang baik dan  Memiliki kebijakan pengelolaan sarana dan prasarana sudah memadai.
Permission or Prohibition of Vertical Integration: the Experience of the Russian Freight Rail and Power Industry
Authors: Kolomiets A. R. , Bochkarev A. M.
Published: October 2023

Despite the presence of a positive effect from the development of competition, confirmed both in theory and in practice, in a crisis, priorities can be given to short-term effects of the financial stability of a business. The authors analyzed the state of the industries of electricity generation and freight rail transportation in terms of their vertical integration model and financial results of companies, including an assessment of the cost of the latter's business. The choice of industries is justified by the absence of vertically integrated companies in the first industry and their presence in the second, which allows us to analyze the causes and consequences of allowing vertical integration for companies in backbone industries. The results of the analysis of financial multipliers show that in the case of vertical integration of railway companies with an infrastructure organization, there is no “premium” to the value of the business relative to non-integrated companies. This leads to the conclusion that integrated companies in the industry do not receive unconditional advantages over nonintegrated players. At the same time, vertical integration and competition are not connected by an unambiguous causal relationship, however, the experience of the studied industries demonstrates that vertical integration may not hinder the development of competition in the industry. We assume that a further increase in the level of competition in the electricity market can be ensured by separating assets in the formed wholesale market, even if the ban on vertical integration is lifted.
COVID-19 Pandemi Sürecinde Yoğun Bakım Ünitesinde Yatan Hastaların Uyku Kalitesi ve Etkileyen Faktörlerin Belirlenmesi: Kesitsel Çalışma
Authors: PAMUK Kübra , TURAN Nuray , ÖZDEMİR Gülsün
Published: October 2023

Amaç: Bu araştırma, COVID-19 pandemi sürecinde yoğun bakım ünitesinde yatan hastaların uyku kalitesini ve etkileyen faktörleri saptamak amacı ile gerçekleştirildi.

Yöntem: Kesitsel türdeki araştırmanın evrenini, bir eğitim araştırma hastanesinin yoğun bakım ünitesinde yatan hastalar, örneklemini ise 198 hasta oluşturdu. Araştırma verileri toplanırken Hasta Bilgi Formu ve Richards Campbell Uyku Ölçeği kullanıldı.

Bulgular: Hastaların %55.6’sı erkek, yaş ortalamaları 56.82±17.33 (min.-max.:16-95) yıl, %78.8’i evli, %24.7’si emekli ve %96.4’ü sağlık güvencesine sahipti. Yoğun bakım ünitesinde yatan hastaların Richards Campbell Uyku Ölçeği toplam puan ortalamasının 44.71±14.88 ve %61.1’inin uyku kalitesinin kötü olduğu saptandı. Ev ortamında uykuya rahat geçen, uyku sorunu yaşamayan ve yoğun bakım ünitesi deneyimi olmayan, uykusunun etkilenmediğini ifade eden, uykuya geçiş için ilaç kullanan ve kendilerini huzursuz hissetmeyen hastaların Richards Campbell Uyku Ölçeği puan ortalamaları istatistiksel olarak anlamlı bulundu (p
Dahili Kliniklerde Yatarak Tedavi Gören Hastaların Bakım Bağımlılıkları, Düşme Riskleri ve İlişkili Faktörler
Authors: BURUCU Rukiye , ÇÖMLEKCİ Rumeysa , SAĞLAM Şeyma , PINAR Yasemin
Published: October 2023

Amaç: Dahili kliniklerinde yatan hastaların bakım bağımlılıkları ve düşme risklerinin belirlenmesi, ilişkili faktörlerin saptanması, bakım bağımlılığı ile düşme riski arasındaki ilişkinin ortaya konulmasıdır.

Yöntem: Tanımlayıcı ve ilişki arayıcı bir çalışmadır. Araştırma izinleri ve onamlar alınmıştır. Araştırmada Helsinki Deklerasyonu’na ve STROBE yazım standartlarına uyulmuştur. Veriler, Mayıs-Temmuz 2022 tarihleri arasında yüz yüze toplanmıştır. Örneklem, güç analizi ile belirlenmiştir (n: 148). Verilerin toplanmasında “Bakım Bağımlılığı Ölçeği” ve İtaki Düşme Riski Ölçeği” kullanılmıştır.

Bulgular: Katılımcıların yaş ortalaması 56.41±16.38 hastanede yattığı gün ortalaması 8.44±16.276, beden kütle indeksi ortalaması 27.98±6.759, düşme riski puan ortalaması 9.55±6.138, bakım bağımlılığı puan ortalaması 77.81±12.09’dur. Yaş ile düşme riski puanı arasında pozitif yönde, bakım bağımlılığı puanı arasında negatif yönde bir korelasyon vardır. Düşme riski ve bakım bağımlılığı arasındaki negatif bir ilişki vardır.

Sonuç: Cinsiyet, kronik hastalığın varlığı, bazı fiziksel engellerin varlığı gibi değişkenler ile bakım bağımlılığı ve düşme riski arasında ilişki vardır. Bu çalışmanın en önemli sonucu; bakım bağımlılığı arttıkça düşme riski azalmaktadır. Düşme riskini azaltmaya yönelik girişimlerle bu girişimlerin bakım bağımlılığına etkisinin değerlendirildiği yeni çalışmalar yapılması önerilebilir.
De verdiensten van Ali de Regt (1941-2022)
Authors: Bol Thijs
Published: October 2023

Ali de Regt kon haar eigen verdiensten goed relativeren, maar in dit in memoriam laat Thijs Bol zien waarom zij belangrijk is geweest voor hem en de Nederlandse sociologie.
Rancang Bangun Vertical Axis Wind Turbine (VAWT) Dengan Pendekatan Metode Ergonomic Function Deployment (EFD)
Authors: Setyawan Agung , Riyanto Ong Andre Wahyu , Riyadi Slamet , Suwondo Ampar Jaya , Purnamayudhia Onny
Published: October 2023

VAWT adalah turbin angin sumbu vertikal yang gerakan poros dan rotornya sejajar dengan arah angin. Sehingga VAWT dapat bergerak tanpa bergantung pada arah angin. Selain itu VAWT juga dapat bergerak pada kecepatan angin rendah dan menghasilkan listrik karena VAWT memiliki torsi yang tinggi. Tujuan dari penelitian ini adalah VAWT dirancang dengan menggunakan Metode Ergonomic Function Deployment dengan menggunakan tabel House of Ergonomic. Hasil penelitian didapatkan sebuah rancangan VAWT yang ergonomis dengan menggunakan 6 sudu dengan skala pipa paralon 8 dim setelah melalui screening dan selecting concept pada table morphological chart.
Multiliteracies and multilingualism in adult migrants
Authors: Ávila-López Javier , Rubio-Alcalá Fernando D.
Published: October 2023

The communication paradigm has been restructured by globalisation and digitalisation, affecting the way we learn and adjusting language and literacy education. As adult migrants in urban contexts become socialised in learning environments with higher cultural complexity, a dynamic and flexible multiliterate and multilingual learning environment is needed in host countries to meet different needs. Of particular interest to the implementation of multimodal literacies is the consideration of recent advances in multilingualism proposed by the London Group mandate, which merges multilingualism and literacy. The aim of this study was to empirically investigate the interrelation of multiliteracy and multilingualism by conducting a systematic review that would shed light on how to grant ideological and implementational programmes for multilingual language education policy and practice in multiliteracy contexts. The study followed the PRISMA protocol to answer three research questions:

RQ1: Has previous research incorporated multilingualism / plurilingualism into multiliteracy models for studies with adult migrants?

RQ2: What research methods have been used for studies with adult migrants?

RQ3: What is the quality of the research methods?

Our results show that multilingualism is embedded in the various models of multiliteracy. However, the epistemological tradition in the field of multilingualism does not seem to have had a significant impact on the implementation of new educational programmes that meet the needs of adult migrants. We also found that quantitative research has rarely been used, and that there is a need to raise quality standards of research in this sub-discipline by reducing bias in the processes of designing, conducting and reporting research.
The way we were
Authors: Lucio-Villegas Emilio
Published: October 2023

One of the most significant accomplishments of the twentieth century – in Western societies – has been the achievement of basic literacy for almost the entire population. The past century also witnessed the development of some immensely powerful literacy methodologies, the well known of them drawn on by Paulo Freire. In this regard, I believe the need exists to reflect on the contributions to literacy development in the past century towards the new twenty-first-century scenario characterised by the great diversity in terms of language, digitalisation, migration, among other variables. What are those contributions? In this article, I wish to expand on the following aspects. Literacy, according to Freire, is about naming the world, not just words. It is also about how individuals organise their relationships and the processes involved in becoming a person, as emphasised by socio-cultural psychologists. Who are illiterate individuals? This question has gained prominence in recent times as the concept of literacy and the notion of being illiterate have undergone significant changes. Concepts such as the “culture of silence” and the ongoing need to live with others are important here. Finally, a further contribution is to consider that the teaching methodology needs to be consistent with people’s environment and should be meaningful to them.
THE INFLUENCE OF PHILOSOPHICAL MENTALITY AND SPIRITUAL INTELLIGENCE ON CREATIVITY OF EMPLOYEES MEDIATED BY ORGANIZATIONAL COMMITMENT
Authors: Khalilzadeh Mohammad , Bahari Arman , Kiaee Mojtaba
Published: October 2023

The root of organizational creativity depends on employee’s creativity and any factor increasing the staff ’s creativity. In recent years, specific features of the mind and the role of emotions in people are considered a competitive advantage that has been at the center of attention by organizations. Therefore, the present study focused on the relationship between spiritual intelligence and philosophical mentality on employee creativity and the mediating role of organizational commitment. To analyze the conceptual model of research, philosophical mentality the Smith’s Wellbeing Questionnaire for Workers, spiritual intelligence King’s Questionnaire, organizational commitment Allen and Meyer’s Organizational Commitment Scale, and organizational creativity Randsip’s Creativity Questionnaire were used for collecting data. Data analysis was performed using Pearson correlation coefficient and analysis of variance. The statistical sample included 278 employees of factories located in industrial towns of Isfahan, Iran. The results indicated the positive relationships between philosophical mentality and creativity, philosophical mentality and organizational commitment, spiritual intelligence and employee creativity, spiritual intelligence and organizational commitment, organizational commitment, and employee creativity. In addition, philosophical mentality and spiritual intelligence can affect the employee’s creativity through organizational commitment as a mediator variable.
A Single Ejection Model of the DART/Dimorphos Debris Trail
Authors: Kim Yoonyoung , Jewitt David
Published: October 2023

The collision of the NASA DART spacecraft with asteroid Dimorphos resulted in the formation of a distinctive and long-lived debris trail, formed by the action of solar radiation pressure on ejected particles. This trail briefly displayed a double appearance, which has been interpreted as the result of a double ejection. We present a model that can produce a transient double trail without the need to assume a double ejection. Our model explains the appearance of the double trail as a projection of the cone walls when viewed from a large angle to the cone axis and avoids the problem of producing dust in two epochs from a single, instantaneous impact. The particles follow a broken power-law size distribution, with differential indices q = 2.7 ± 0.2 (1 μm ≤ a ≤ 2 mm), 3.9 ± 0.1 (2 mm < a ≤ 1 cm), and 4.2 ± 0.2 (1 cm < a ≤ 20 cm). We find that the total trail mass in particles from 1 μm to 20 cm in size (for an assumed density 3500 kg m−3) is ∼1.7 × 107 kg, rising to 2.2 × 107 kg, when extended to boulders up to 3.5 m in radius. This corresponds to 0.4%–0.6% of the mass of Dimorphos.
The Effect of Irradiation on the Spin of Millisecond Pulsars
Authors: Lan Shun-Yi , Meng Xiang-Cun
Published: October 2023

A millisecond pulsar (MSP) is an old neutron star (NS) that has accreted material from its companion star, causing it to spin up, which is known as the recycling scenario. During the mass transfer phase, the system manifests itself as an X-ray binary. PSR J1402+13 is an MSP with a spin period of 5.89 ms and a spin period derivative of

log

P

̇

spin

=
−
16.32

. These properties make it a notable object within the pulsar population, as MSPs typically exhibit low spin period derivatives. In this paper, we aim to explain how an MSP can possess a high spin period derivative by binary evolution. By utilizing the stellar evolution code MESA, we examine the effects of irradiation on the companion star and the propeller effect on the NS during binary evolution. We demonstrate that irradiation can modify the spin period and mass of an MSP, resulting in a higher spin period derivative. These results suggest that the irradiation effect may serve as a key factor in explaining MSPs with high spin period derivatives.
Taxonomic study of the alpine carabid beetle Nebria (Falcinebria) taketoi Habu, 1962 (Coleoptera, Carabidae)
Authors: Sasakawa Kôji
Published: October 2023

The carabid beetle Nebria taketoi Habu, 1962 is endemic to the high-altitude mountains of Honshu, Japan; due to its rarity, it is one of the least taxonomically studied species among Japanese Nebria. This study taxonomically revised N. taketoi based on morphological comparisons, mainly of the endophallus in males, and geometric morphometrics of the pronotum, a taxonomically useful external character. Specimens previously identified as N. taketoi were found to belong to at least two species: N. taketoi, with a currently confirmed distribution in the northern Hida Mountains (type locality: Mikurigaike, Mount Tateyama), and N. kobushicolasp. nov. from the Okuchichibu and Yatsugatake mountains (type locality: Mount Kobushigatake). Species identities in populations from other localities could not be determined, as male specimens for endophallus examinations were unavailable. However, some populations may consist of species distinct from N. taketoi and N. kobushicola, based on their distribution and morphometric features. Based on comparative morphology of the endophallus, N. kobushicola shares features more similar to N. niohozana Bates, 1883 and N. dichotoma Sasakawa, 2020 than to N. taketoi.
Floristic inventory and distribution characteristics of algific talus slopes in a specific area of forest biodiversity in South Korea
Authors: Lee Jong-Won , Yun Ho-Geun , Hwang Tae Young , Kim Kyungmin , Jung Se-Hoon , An Jong Bin
Published: October 2023

This study conducted a survey for establishing in-situ and ex-situ conservation measures for northern linage plants that are vulnerable to climate change and for designating Forest Genetic Resource Reserve for 25 algific talus slope sites, which are specific areas of forest biodiversity. The survey was conducted in South Korea within a distance of 50 m to the east, west, north, and south from the core area where wind blows to the algific talus slopes. The study was conducted once or twice per season from April 2016 to November 2021.

Vascular plants of 25 algific talus slope sites in South Korea included a total of 1,052 taxa of 125 families, 486 genera, 947 species, 23 subsp., 75 var., and 7 f. The maximum surveyed area was 0.09 km2, accounting for only 0.00014% of the 62,860 km2 forest area in Korea, but comprise 22.27% of the 4,724 species of vascular plants in Korea. The algific talus slopes are areas rich in forest biodiversity. Six taxa were categorized as endangered, including Paeonia obovata Maxim. Sixty-seven taxa, including Astilboides tabularis (Hemsl.) Engl.; 58 taxa endemic to the Korean Peninsula, including Weigela subsessilis (Nakai) L.H. Bailey; and 317 taxa of floristic target plants were categorized as rare plants in the Red list. Further, 181 taxa were identified as northern linage plants and 32 taxa, including Sillaphyton podagraria (H. Boissieu) Pimenov, were limestone area plants. Regarding alien plants, 75 taxa, including Oenothera biennis L., were identified, and the naturalization and urbanization rates were 7.13% and 12.12%, respectively. Plants specific to the phytogeography of the 25 algific talus slope sites in this study were Vaccinium vitis-idaea L., Rosa koreana Kom., Syringa villosa Vahl subsp. wolfii (C.K. Schneid.) Y. Chen & D.Y. Hong, Lonicera chrysantha Turcz. ex Ledeb., Tephroseris flammea (Turcz. ex DC.) Holub, among others.
Exploiter le potentiel éducatif de l’esprit sportif pour le développement moral des élèves : le cas d’un tournoi de badminton
Authors: Tremblay Benoît , Martel Denis , Côté-Brassard Jonathan
Published: October 2023

L’esprit sportif présente un potentiel certain pour contribuer au développement moral des jeunes sportifs. Rares sont toutefois les études qui renseignent sur les stratégies de formation à préconiser pour amener les intervenants en éducation physique et sportive (EPS) à exploiter, à des fins d’éducation morale, le potentiel éducatif que revêt cette notion. Cet article fait état d’un projet de recherche-action destiné à soutenir des enseignants en éducation physique dans la planification et l’implantation d’activités visant le développement moral d’élèves par l’apprentissage d’un meilleur esprit sportif (Tremblay, 2020). Des quatre enseignants qui furent accompagnés par un formateur-chercheur lors du projet, le cas d’une enseignante ayant implanté un tournoi de badminton voué au développement moral est approfondi. À cet égard, sont explicités : (1) les caractéristiques du tournoi de badminton ; (2) des perceptions d’élèves l’ayant expérimenté ; (3) des constats liés à la démarche d’accompagnement. Principalement issus d’analyses qualitatives, les résultats révèlent une dynamique de transposition d’un savoir populaire – en l’occurrence l’esprit sportif tel que conçu initialement par l’enseignante – en un savoir didactique pouvant être exploité pour concrétiser une éducation morale en ÉPS. Ces résultats contribuent, ce faisant, à l’émergence d’une nouvelle approche d’éducation morale en EPS, soit l’ Approche par l’esprit sportif .
Optical Quality and Higher Order Aberrations of Refractive Extended Depth of Focus Intraocular Lenses
Authors: Baur Isabella D. , Yan Weijia , Auffarth Gerd U. , Khoramnia Ramin , Łabuz Grzegorz
Published: October 2023

Purpose:

To compare the optical quality and higher order aberrations of four different refractive extended depth of focus intraocular lens (EDOF IOL) models (Lentis Comfort [Teleon Surgical BV], MiniWell (SIFI), LuxSmart [Bausch & Lomb], and AcrySof IQ Vivity [Alcon Laboratories, Inc]) and a monofocal IOL (Tecnis ZCB00; Johnson & Johnson Surgical Vision, Inc).

Methods:

An optical metrology instrument (OptiSpheric IOL PRO2; Trioptics GmbH) was used to study image quality metrics of the different IOLs. The modulation transfer function (MTF) was measured at pupil sizes 1 to 5 mm in 1-mm steps. Area under the MTF and simulated visual acuity were calculated for different pupil diameters. Wavefront aberrations were measured with the SHS Ophthalmic device (Optocraft GmbH), which features a Hartmann-Shack sensor.

Results:

All EDOF lenses yielded a simulated far visual acuity of 0.00 logMAR (20/20 Snellen) or better. At the 0.20 logMAR visual acuity level, the EDOF IOLs showed an increased depth of focus of at least 0.75 diopters compared to the monofocal IOL. Pupil dependency was more pronounced with the MiniWell, LuxSmart, and Vivity, whereas the Lentis showed a more consistent behavior at different apertures. The wavefront measurement revealed increased central aberrations for the MiniWell, LuxSmart, and Vivity IOL compared to the monofocal control.

Conclusions:

All EDOF IOLs demonstrated increased depth of focus while maintaining good simulated visual acuity at the far focus. Pupil dependency differed between the IOL models. The wavefront analysis revealed the complex design of the different EDOF IOLs with several zones with varying aberrations.

[
J Refract Surg
. 2023;39(10):668–674.]
The forbidden set, solvability and stability of a circular system of complex Riccati type difference equations
Authors: Karakostas George L.
Published: October 2023

In this paper, the circular system of Riccati type complex difference equations of the form

   \begin{document}$ u_{n+1}^{(j)} = \frac{a_ju_n^{(j-1)}+b_j}{c_ju_n^{(j-1)}+d_j}, \; n = 0, 1, 2, \cdots, \; j = 1, 2, \cdots, k, $\end{document}

where $ u_n^{(0)}: = u_n^{(k)} $ for all $ n $, is investigated. First, the forbidden set of the equation is given. Then the solvability of the system is examined and the expression of the solutions, given in terms of their initial values. Next, the asymptotic behaviour of the solutions is studied. Finally, in case of negative Riccati real numbers

   \begin{document}$ R_j: = \frac{a_jd_j-b_jc_j}{[a_j+d_j]^2}, \; j\in\overline{1, k}, $\end{document}

it is shown that there exists a unique positive fixed point which attracts all solutions starting from positive states.
À la croisée des chemins de l’histoire, de l’archéologie du bâti et de l’histoire de l’art monumental. Le monastère primitif de Manglieu (Puy-de-Dôme) : VIIe-XIe siècles
Authors: Martinez Damien
Published: October 2023

Le monastère de Manglieu est cité dans les sources textuelles dès le haut Moyen Âge. Celles-ci signalent deux églises dédiées respectivement à la Vierge et aux Apôtres. La première est aujourd’hui en ruine, mais des fouilles réalisées dans les années 1960 ont confirmé son origine alto-médiévale. La seconde (Saint-Sébastien) est actuellement l’église paroissiale du village. Cet édifice assez peu connu se distingue par son chevet dont les élévations datent du haut Moyen Âge. Sa partie la plus ancienne, caractérisée par un fronton triangulaire, est d’ailleurs susceptible de dater de la période mérovingienne. Cet article propose de mettre en lumière, au travers de la confrontation des textes, des données archéologiques et stylistiques, cet exemple exceptionnel illustrant l’architecture des premières églises rurales de Gaule.
Les espaces fortifiés du Velay (Haute-Loire) au Moyen Âge : répartition territoriale, caractères monumentaux et morphologie
Authors: Bizri Mélinda
Published: October 2023

Le Velay médiéval occupe une marge de l’Auvergne médiévale à la jonction entre influences méridionales (Languedoc) et septentrionales. Le territoire demeure ouvert, irrigué par deux vallées fluviales (Loire et Allier) malgré un relief de moyenne montagne et de hauts plateaux (géologie volcanique et roches métamorphiques).Cet article est l’occasion de mettre en avant quelques caractères constitutifs de l’identité singulière de ce territoire aux influences méridionales et de comprendre de quelle manière l’architecture fortifiée traduit cette particularité. Sur une sélection d’exemples de tours et d’agglomérations, les traits formels et morphologiques soit de l’habitat individuel (les résidences seigneuriales), soit collectives (les enceintes des bourgs), sont décryptés à travers le prisme des relations de domination.Cette contribution synthétise un des axes de recherches développé dans ma thèse.
Restaurer les couvents des ordres mendiants en Auvergne au XIXe siècle. Jalons pour une enquête
Authors: Bourguignon Claire
Published: October 2023

Cette contribution à l’examen des restaurations effectuées au XIXe siècle dans les couvents des ordres mendiants, érigés du début du XIIIe siècle à la fin du XVe siècle dans les diocèses de Clermont, du Puy et de Saint-Flour, vise à caractériser le corpus et à dresser un premier bilan de la documentation traitant des restaurations réalisées au lendemain de la Révolution française. En identifiant les modalités de déroulement des chantiers, leurs acteurs et leurs enjeux, il met en exergue les limites de l’analyse dans le cas auvergnat et propose des perspectives de recherches méthodologiques à partir des données disponibles. Il apparaît en effet que cette étude ne peut faire l’économie d’un dépouillement problématisé des sources et d’un examen approfondi du bâti. En procédant ainsi, les choix archéologiques et artistiques opérés par les initiateurs des campagnes de rénovation et les restaurateurs pourront être précisés et replacés dans le temps long du monument, rendant possible l’évaluation de la pérennité des restaurations.
La charte dite de Clovis
Authors: Phalip Bruno
Published: October 2023

L’auteur a eu la chance de retrouver à la bibliothèque de Clermont-Ferrand une version longue de la liste de redevances des biens de l’abbaye Saint-Pierre-le-Vif de Sens, concernant Mauriac et la Haute-Auvergne. Intégrée dans une charte médiévale du monastère bourguignon, cette liste provient d’un polyptyque carolingien, dit « Charte de Clovis ». La copie éditée et étudiée ici, reliée dans un recueil de textes manuscrits d’époque moderne, est plus complète que celles déjà connues. Elle renseigne tant l’origine et la nature du patrimoine de Saint-Pierre-le-Vif en Haute-Auvergne aux VIIIe-IXe s., que le domaine, sa mise en valeur (cultures, élevage…), sa population, son encadrement religieux et laïc. L’interpolation des XIe-XIIe s. documente quant à elle la féodalisation de la société auvergnate au XIe s. ainsi que la première mention écrite de nombre de châteaux et place-fortes de la Haute-Auvergne à cette même période.
Le portail sud de l’église Notre-Dame-du-Port à Clermont-Ferrand (France)
Authors: Phalip Bruno
Published: October 2023

La collégiale Notre-Dame-du-Port, construite entre 1130 et 1190, est connue pour son architecture, sa sculpture et son portail sud. Cependant, la richesse de son iconographie savante reçoit peu d’écho dans les diocèses du Massif Central. Seule la vallée de l’Allier (Limagne) y est réceptive et se façonne par son terrain fertile et sa position, se définissant comme une épine plantée dans un pays de moyenne montagne. Presque partout ailleurs, en effet, les portails sont presque sans image, sans tympan sculpté et, la plupart du temps, sans chapiteaux figurés. Dans les montagnes de l’est, en revanche, les vantaux de porte sont préférablement sculptés (Le-Puy-en-Velay), tandis que dans les montagnes de l’ouest, on choisit d’équiper les vantaux de ferronnerie et de charnières de porte. Alors que les églises de la grande plaine de l’Allier, épine dorsale du diocèse de Clermont, privilégient une iconographie complexe et une présentation figurative, les églises de montagne sont ornées de figures profanes ou d’un décor végétal. Paradoxalement, Notre-Dame-du-Port, exemple emblématique pour toute une région, repris de la même manière par les manuels universitaires d’histoire de l'art, est un échec. L’exposition figurative grossièrement forgée et la sculpture en bois sculpté semblent avoir vaincu les beaux-arts, qui se sont développés dans l'environnement proche de l’évêque de Clermont. Alors que la vallée semble “figurative”, les montagnes sont essentiellement “aniconiques”.
Effect of Added Acrylate Demulsifier for Increasing Antioxidants Functional in Diesel Fuel Oil
Authors: Wahyuni Cut Reza , Arifin Galank Cikal Nur , Venriza Oksil
Published: October 2023

Biodiesel is produced by an esterification process with hygroscopic chemicals, otherwise the biodiesel is very easy to produce water, and the hydrocarbon compounds were easily oxidized, causing corrosion in the stockpiling process such as in storage tanks and distribution pipes. Antioxidants have been shown to reduce the formation of water in the biodiesel stockpiling process. While the demulsifier plays a role in helping to separate water and oil. In this study, the addition of an acrylate-based demulsifier in the accumulation of biodiesel-containing antioxidants was carried out. The antioxidant used in the form of tertiary butylhydroquinone with a concentration of 0.5 M has been able to play an active role in inhibiting the formation of water in the biodiesel stockpiling process. However, the stability of the water and oil emulsion has not been achieved properly, therefore the addition of an acrylate-based demulsifier with a volume of 2 mL, 5 mL, and 10 mL into 100 mL biodiesel can separate oil and water well. The biodiesel that has been added with a demulsifier is evaluated at storage times of 24 hours, 48 hours, and 72 hours. The result is that the storage for 72 hours is more effective in separating water and oil than storage for 24 hours and 48 hours. To evaluate the water content in the biodiesel stockpiling process out using 831 KF Coulometric and Fourier-Transform Infrared Spectroscopy analysis.
Waste Cooking Oil Purification with Various Adsorbents for Synthesizing Biodiesel
Authors: Mulyani Sri , Sutopo Adi Muhammad Falah , Kusumawardani Ari , Susilowati Endang , Elfi Susanti V.H.
Published: October 2023

This study aims to: (1) activate rice husk ash (ASP), coconut shell ash (ATK), and wood charcoal (AK) to become adsorbents and characterize them; (2) purify waste cooking oil (WCO) using ASP, ATK, and AK adsorbents; (3) making biodiesel from the purified WCO and characterizing their quality. This work uses experimental techniques, starting with preparing adsorbents by activating with KOH and characterizing activated ASP, ATK, and AK adsorbents using SEM and FTIR. The adsorbents were then used to purify WCO. Biodiesel was made from purified WCO by transesterification using an H2SO4 catalyst in ethanol. The process was carried out at 60°C for 12 hours. Then biodiesel layer was heated to 70°C to evaporate the ethanol. The biodiesel products were tested according to Indonesian National Standard (SNI). The results showed that peaks of the activated ASP, ATK, and AK adsorbents have alcohol groups (-OH), and other functional groups. Activated adsorbents have many pores when compared to adsorbents before activation. Biodiesel synthesized using activated ASP adsorbent has a higher flash point than using activated ATK and AK adsorbents and fulfils SNI specifications.
In search of a tranquil “silence of the leaving”: Reflections on the Dying To Know Film Festival’s (D2KFF) opening weekend
Authors: Alvarez Mike F.
Published: October 2023

As a communication scholar and educator with a background in thanatology (death studies) and film, my curiosity was piqued when, several months ago, a friend and colleague brought to my attention an upcoming film festival on death and dying. Films have the power to provoke visceral contemplation on matters of body and mind that we would prefer to avoid or sanitize. Of such matters, the termination of our cellular activities and cessation of our consciousness and self rank among the highest. If films can make us reflect and introspect, it stands to reason that film festivals, by their communal nature, can turn hushed whispers about life’s finitude into audible dialogue, and I was curious to see how that would unfold.. [...]
A Compendium of Late-onset Darier with an Unusual Report
Authors: Oberoi Bhavni , Chand Suhasini , Shelly Divya , Agarwal Reetu
Published: October 2023

Darier disease is an autosomal dominant inherited skin disorder with complete penetrance and variable expressivity due to mutation in the ATP 2A2 gene. It usually develops from childhood and persists through adolescence. Late onset of this genodermatosis has been infrequently reported and found to have minimal findings compared to the classical cases. Classical disease presents with greasy keratotic yellowish-brown papules over the seborrheic areas with palmar pits and nail changes. We hereby report a case of late onset comedonal darier disease with extensive hypopigmented lesions, involvement of palms and nails which is rarely reported in this setting. A thorough review of literature was done and a compendium prepared of late onset darier and no other case report was found to have such extensive involvement as the case reported. It will be interesting to compare more such late onset cases to see if they have a common pattern which can suggest them to be a separate entity from the classical darier.
Malignant Skin Tumors seen in Nigeria Nnamdi Azikiwe University Teaching Hospital Nnewi: A 10-year Review (January 2008 to December 2017)
Authors: Ozor Nnamdi Sergius , Ezejiofor Ifeoma Florence , Ezejiofor Ogochukwu Ifeanyichukwu , Menkiti Felix Emeka , Madubuike Kingsley C , Ndukwe Chinedu Onwuka , Chiemeka Michael Emeka , Osonwa Emeka
Published: October 2023

Background:

Skin malignancy rank among the most common malignancies involving both sexes. Basal cell carcinoma is reported as the commonest malignancy even though studies have implicated Squamous cell carcinoma as the commonest especially in the tropic regions of the world.

Aims and Objectives:

This study aims at determining the base line data, frequency and trends of malignant skin tumours in Nnewi, Nigeria. It also implores the use of World Health Organization (WHO) in classification of skin malignancy.

Materials and Methods:

This study reviewed all histologically diagnosed skin malignancies at Histopathology department of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria from 2008 to 2017 and classified them using 2021 World Health Organization (WHO) skin tumour book.

Results:

A total of 387 skin biopsies were received in the Histopathology department during the study period. Out of these, 110 cases were malignant skin lesions (28.4%) majority were benign lesions. Keratinocytic or epidermal tumours were the most common (n: 54 cases; 49.1%) with squamous cell carcinoma being the commonest in the group (n: 34; 30.9%) followed by mesenchymal or soft tissue neoplasm (n:31 cases; 28.1%), melanocytic tumours (19.1%), skin adnexal tumour (2.7%) and haematolymphoid tumour (0.9%). The head and neck region (n: 49; 44.5%) was the commonest site of occurence of cutaneous neoplasms followed by lower limb (n: 32; 29.1%), groin (n:10; 9.1%), upper limb and trunk with 6 cases each (5.5%) Four (4) cases of Albinos with skin malignancies were seen in this research with a frequency of 3.6%. Fifty nine cases (53.6%) out of 110 malignant skin tumour were seen in males, while 51 (46.4%) of them were females, therefore the male to female ratio was 1.2:1. The mean age of those with malignant skin tumours was 52.9 years. Patients above 60 years of age constituted 57.3% while those less than 30 years constituted 14.5 % of the total malignant skin tumours.

Conclusion:

The frequencies of different morphologic patterns of malignant skin tumours in our environment were different from those reported in western countries. However, it is similar to most studies done in the Midwestern Nigeria tertiary hospitals with squamous cell carcinoma being the commonest skin malignancy followed by kaposi sarcoma.
The Relationship between Degree of Hearing Loss and Geriatric Depression Scale Scores in Geriatric Patients
Authors: Phoebe Eunike Deborah , Purnami Nyilo , Maramis Margarita Maria , Djuari Lilik
Published: October 2023

Backgrounds:

Hearing loss occurs in a third of the elderly population worldwide but is often overlooked. Studies have shown that hearing loss increases the risk of depression in the elderly population and reduces the quality of life.

Objective:

The objective of this study is to prove the relationship between hearing loss and depression in geriatrics and to assess the effect of physical illness in geriatric patients that may cause depression.

Methods:

This type of research is observational-analytic with a cross-sectional approach. The study was conducted at the geriatrics polyclinic, Dr. Soetomo Hospital.

Results:

There are 47 participants in this study who are outpatients of the geriatrics polyclinic that carried out by consecutive sampling. Data are retrieved from medical records and Geriatric Depression Scale (GDS) questionnaire interviews. The effect of physical illness was assessed as a confounding variable in this study. Data analysis used multiple linear regression, one-sample Kolmogorov–Smirnov test, and Spearman correlation test.

Conclusion:

This research found hearing loss in most geriatric patients, but the prevalence of depression in the study participants was low. The degree of hearing loss was not related to the GDS questionnaire score. Diabetes is a confounding factor in the onset of depression in study participants.
The Virtual Visit: A Telehealth Curriculum for Internal Medicine Residents Featuring a Virtual Physical Examination
Authors: McConnell Megan , Kumar Puneet , Mullur Rashmi
Published: October 2023

Background

During the COVID-19 pandemic, medical professionals were obligated to adapt to virtual care. Most resident physicians had no formal telehealth training. The virtual physical examination remained underutilized.

Objective

We describe a needs assessment leading to the creation of a telehealth curriculum for internal medicine (IM) and internal medicine pediatric (IM/P) residents, and report changes in residents’ confidence level as well as feasibility data. We hypothesized that residents’ confidence in delivering virtual care would significantly improve after implementing a telehealth curriculum.

Methods

A needs-based assessment for all University of California Los Angeles (UCLA) IM and IM/P residents was conducted in July 2020. Specific competencies were identified: (1) telehealth legal guidelines; (2) virtual physical examination; (3) health equity; and (4) telehealth chronic disease management. The curriculum was presented via 3 synchronous interactive online interventions between November 2020 and March 2021. Pre- and post-intervention learner assessments were conducted.

Results

Out of all 180 residents, 146 UCLA IM and IM/P residents completed pre- and post-Virtual Physical Examination curriculum surveys, which were not uniquely linked to individuals. Residents reported statistically significant increased confidence levels in performing a targeted virtual physical examination (P<.001; 95% CI 0.97-1.35), engaging patients or caregivers to assist in virtual examinations (P<.001; 95% CI 0.76-1.21), and using remote monitoring devices (P<.001; 95% CI 0.58-1.03).

Conclusions

Our results demonstrate that, within our IM and IM/P residency programs, a formalized telehealth curriculum significantly improved residents’ confidence in delivering virtual care.
Evaluation of an Individualized Learning Plan Template for the Transition to Residency
Authors: Pincavage Amber T. , Gandhi Ashish , Falk Eli , DiMarino Lauren , Carbajal Douglas Ruiz , Ayyala Uma , Chandrasekar Jayaram , Dentino Andrew N. , Ferris Allison H. , Forster Richard M. , Hemmer Paul A. , Masucci Nancy , Surkis William D. , O Valerie , Choe John H.
Published: October 2023

Background Specialty-specific individualized learning plans (ILPs) have been promoted to improve the undergraduate to graduate medical education transition, yet few pilots have been described.

Objective To create and report on the feasibility and acceptability of a pilot internal medicine (IM) ILP template.

Methods The ILP was created by a group of diverse IM expert stakeholders and contained questions to stimulate self-reflection and collect self-reported readiness data from incoming interns. US IM residency programs were invited to pilot the ILP with interns in spring 2022. Data was used at the programs’ discretion. The pilot was evaluated by a post-pilot survey of programs to elicit perceptions of the impact and value of the ILP and analyze anonymous ILP data from 3 institutions.

Results Fifty-two IM residency programs agreed to participate with a survey response rate of 87% (45 of 52). Of responding programs, 89% (40 of 45) collected ILPs, thus we report on data from these 40 programs. A total of 995 interns enrolled with 782 completing ILPs (79%). One hundred eleven ILPs were analyzed (14%). Most programs found the ILP valuable to understand incoming interns’ competencies (26 of 40, 65%) and areas for improvement (24 of 40, 60%) and thought it should continue (29 of 40, 73%). Programs estimated the ILP took interns 29.2±14.9 minutes and 21.6±10.3 minutes for faculty mentors to complete. The most common barrier was faculty mentor participation.

Conclusions An ILP based on interns’ self-reported data was feasible and valuable to IM residency programs in understanding interns’ competencies and areas for improvement.
Value of dynamic contrast-enhanced magnetic resonance imaging in combination with mammography for screening early-stage breast cancer
Authors: Su Weiwei , Hou Xiaoming , Yu Bo
Published: October 2023

Objective: To study the value of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) in combination with mammography for screening early-stage breast cancer.

Methods: Ninety-three female patients visiting Zhejiang Zhuji Hospital of Traditional Chinese Medicine from January 2020 to March 2022 were enrolled to receive DCE-MRI and mammography. The diagnostic efficiencies of different methods were assessed with pathological diagnosis as the golden standard. The factors affecting diagnostic sensitivity were investigated based on clinicopathological characteristics.

Results: Forty-one patients were diagnosed as malignant pathological changes by DCE-MRI, and the signs were unclear boundary with surrounding tissues and irregular or unsmooth edges. The maximum linear slope and ratio of the maximum linear SlopeR of malignant pathological changes were significantly larger than those of benign pathological changes (P<0.05). Forty-five patients were diagnosed as malignant pathological changes by mammography combined with DCE-MRI. Compared to single diagnosis method, the combined diagnosis had significantly increased sensitivity, specificity, accuracy, positive predictive value and negative predictive value, and decreased rates of missed diagnosis and misdiagnosis (P<0.05). Lesion diameter was an independent risk factor affecting the diagnostic sensitivity (P<0.05).

Conclusion: Mammography and DCE-MRI play key roles in the early diagnosis of breast cancer, and their combination can increase the diagnostic efficiency.

Keywords: Breast cancer; diagnosis; magnetic resonance imaging; mammography.
Alisma Shugan Decoction attenuates hepatic fibrosis and endoplasmic reticulum stress in mice with carbon tetrachloride-induced fibrosis
Authors: Sun Yun-Feng , Pan Hong-Hua , Xia Zhong-Ni , Yu Zhong-Min , Li Cheng-Le , Wang Xiao-Dong , Shen Sheng-Hui
Published: October 2023

Background: Over the years, Alisma Shugan Decoction (ASD), because of its potent anti-inflammation activity, has been used in traditional Chinese medicine (TCM) for treatment of many inflammation-associated disorders including those of the heart, blood vessel and brain.

Methods: Herein, we examined the probable therapeutic effect of ASD in carbon tetrachloride (CCl4)-induced liver injury and fibrosis mice models.

Results: Our results demonstrate that ASD dose-dependently reduced the fibrosis-related increased collagen deposition secondary to liver tissue exposure to CCl4. Data from our biochemical analyses showed significantly less liver damage biomarkers including ALT, AST and hydroxyproline in the ASD-treated samples, suggesting hepato-protective effect of ASD. Furthermore, we demonstrated that treatment with ASD significantly reversed CCl4-induced elevation of TNF-α, IL-6, IL-1β and MP-1. Interestingly, NF-κB signalling, a principal regulator of inflammation was markedly suppressed by ASD treatment. In addition, treatment with ASD deregulated stress signalling pathways by suppressing the expression of markers of unfolded protein response, such as ATF6, IRE and GRP78.

Conclusion: In conclusion, the present study provides preclinical evidence for the use of ASD as an efficacious therapeutic option in cases of chemical-induced liver damage and/or fibrosis. Further large-cohort validation of these findings is warranted.

Keywords: Alisma Shugan Decoction; liver injury; fibrosis; anti-inflammation; unfolded protein response signalling.