bluuebunny/crossref_metadata_2025 huggingface dataset:
Sosialisasi Penggunaan Media Jamboard Pada Mata Pelajaran IPA Di Masa Pandemi Di MTSs Al-Huda Medan
Authors: Yanti Aprilda , Aristanya Selvi , Asyari Syahab Muhammad , Purnama Zurrivan
Published: September 2023

Berdasarkan analisis data di atas mengenai metode pembelajaran yang paling efektif dalam menghadapi Covid-19 oleh siswa dalam pembelajaran daring, siswa dan guru mempunyai persepsi yang sama dalam menggunakan aplikasi yang paling efektif dalam pembelajaran daring yaitu Google Jamboard. Paling direkomendasikan. Tujuan dari kegiatan ini adalah untuk mempertimbangkan media pembelajaran yang dapat menunjang keberhasilan proses belajar mengajar sebagai bentuk kegiatan belajar mengajar yang efektif untuk mencapai tujuan. Media pembelajaran diharapkan dapat berperan sebagai mediator sebagai salah satu alat dalam proses belajar mengajar. Hasil yang diharapkan setelah dilaksanakan pengabdian ini adalah meningkatkan pengetahuan dan pemahaman siswa, guru, dan pimpinan sekolah. Sosialisasi ini dilakukan sebagai bentuk rasa kasih sayang dan kepedulian masyarakat untuk mendukung dan memperluas pengetahuan di bidang pendidikan. Topik yang dibahas dalam konteks ini adalah sosialisasi penggunaan Google Jamboard. Setelah selesainya kegiatan ini, guru, siswa, dan pimpinan sekolah akan lebih mudah berbagi materi ilmiah kepada siswa melalui Google Jamboard saat pembelajaran online.
Pembuatan Taman Baca Warga Peduli Sekitar (Wapesek) Di Hutan Kanal Kecamatan Medan Johor
Authors: Gunawan  , Fadlan Siregar Muhammad , Trsina Frianto Herri , Murtopo  , Agustina Ika , Anwar Khairi , Marisa Siti
Published: September 2023

Membaca adalah bagian dari jendala dunia, dengan banyak membaca maka kita semakin banyak tahu, hal ini harus terus diinformasikan kepada masyarakat banyak, khususnya disekitar kita, tujuan dari pelaksanaan pengabdian kepada masyarakat ini, yaitu untuk meningkatkan pentingnya membaca bagi siswa-siswi sekolah, dan tentang pemanfaatan lahan Hutan Kanal dengan membangun taman baca bagi masyarakat. Kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan mitra Perkumpulan Warga Peduli Sekitar yang disingkat dengan WA PESEK yang berbadan Hukum  beralamat Jl. Karya Jaya No 136 Pangkalan Mansyur Kecamatan Medan Johor. pada pelaksanaan kegiatan di lapangan, kegiatan pengabdian ini dilakukan dalam dua tahap yaitu Tahap 1 Pembuatan materi sosialisasi dilakukan pada hari sabtu  22 Juli 2023 dan tahap 2 dilaksanakan pada minggu 23 Juli  2023
Evaluación de un sistema agroecológico minifundista familiar alternativo a las formas de producción de café predominante en Huatusco, Veracruz
Authors: Partida Sedas Salvador , Partida Sedas José Gervasio , Cabal Prieto Adán , González Reséndiz José de Jesús
Published: September 2023

La integración de sistemas de producción bajo principios agroecológicos permite generar nuevos conocimientos para lograr la sustentabilidad, y en un escenario de crecimiento demográfico, cambio climático y degradación de los ecosistemas naturales, la agroecología constituye una alternativa que permite generar más alimentos y hacerlo de manera sustentable. En el contexto de la producción de café en México, la cafeticultura es importante por el número de productores que se dedican a ella, en año 2017 se registró la participación de 500 mil cafeticultores en todo el país, y es aquí donde radica desde el punto de vista social, la importancia del café. En la zona central de las altas montañas del estado de Veracruz, al sureste de México, se produce principalmente café arábigo y este es un cultivo prioritario ya que sostiene económicamente a la gran mayoría de su población; esta dependencia económica hacia un solo cultivo, produce un efecto nocivo en el activo circulante de la región, período con altos ingresos durante la cosecha (noviembre a marzo) y detrimento en sus condiciones financieras en el periodo restante. Se plantea el presente estudio de caso descriptivo cuyo objetivo es enfatizar la importancia de los sistemas agroecológicos minifundistas como una alternativa para el manejo actual de los sistemas de producción de café en la región central de las altas montañas del estado de Veracruz.

            Palabras clave: Minifundios. Sustentabilidad. Café. Agroecología
日本產科腦性麻痺補償制度—提高周產期照護品質及安全並減輕衝突的新制度
Authors: Shin Ushiro Shin Ushiro , Shin Ushiro Hideaki Suzuki , Hideaki Suzuki Shigeru Ueda
Published: September 2023

日本產科腦性麻痺補償制度（Japan Obstetric Compensation System for Cerebral Palsy，以下簡稱JOCS-CP），在2009年正式施行，是由財團法人日本醫療機能評價機構（Japan Council for Quality Health Care，以下簡稱JQ）與醫療專業組織、病人和家屬團體、保險公司和政府等利益相關者密切合作，以解決產科醫生不足和訴訟案件不斷增加的醫療糾紛問題。補償制度透過與JQ簽訂合約的保險公司提供補償保險服務。JOCS-CP制度施行後獲得很大的成就，例如：降低產科訴訟案件數量及提升周產期的照護品質。該制度在腦性麻痺補償已成功擴大涵蓋範圍兩次。本文描述該制度的概要、現況以及挑戰。

 

The Japan Obstetric Compensation System for Cerebral Palsy (JOCS-CP) was launched in 2009 by the Japan Council for Quality Health Care (JQ) in close cooperation with such stakeholders as professional societies, patient and family group, insurance firm and the government to address shortage of obstetricians and rising disputes including lawsuit[1,2]. Private insurance accounts for financial transaction in the system. The JOCS-CP has given rise to enormous achievements such as rapid decrease in the number of lawsuit statistics and quality improvement of perinatal care. The system has successfully expanded twice in terms of coverage of CP. Here, in this article, outline and current status of the system and challenges are described.

 
創新資訊科技在牙醫學教育的運用
Authors: 吳詩韻 吳詩韻 , 蔡松庭 蔡松庭 , Sung-Ting Tsai 吳靜宜 , 何怡青 何怡青 , Yi-Ching Ho 李士元
Published: September 2023

牙醫教育的特點是在知識理論的基石上，非常注重技術訓練和臨床實踐。訓練過程強調手腦並用，藉由不斷的演練來熟悉各種臨床技能。本文旨在介紹各種常見的資訊科技，運用於牙醫醫學教育的情境。其中數位學習平台與遠程教學，提供友善的學習環境；互動式軟體讓醫學人文課程變得活潑生動；混合實境技術可進行模擬臨床技能訓練；而採用數位掃描比對技術結合人工智慧，可提供客觀的評分；非侵入性光學技術可取得組織深度資訊，適用於診間教學與診斷；而三維列印技術則可依教學目標來設計客製化教材。展望未來，創新資訊科技整合數位牙醫，可建構數位孿生模型，提供牙醫臨床前訓練優質的環境，藉以培養具有專業技能和素養的優秀牙醫專業人才。

 

The characteristics of dental education lie in a strong foundation of theoretical knowledge, with significant emphasis on technical training and clinical practice. The training process underscores the integration of practical skills and cognitive abilities, achieved through continuous practice to familiarize oneself with various clinical proficiencies. This article aims to introduce various common information technologies applied in the context of dental education. Among these, digital learning platforms and remote teaching provide user-friendly learning environments; interactive software renders medical humanities courses more dynamic and engaging; mixed reality technology enables simulation of clinical skill training; the integration of digital scanning and artificial intelligence offers objective assessment capabilities; non-invasive optical techniques provide in-depth tissue information, applicable to both chair-side teaching and diagnostics; and 3D printing technology allows for the creation of customized educational materials aligned with instructional objectives. Looking towards the future, the innovative integration of information technology into digital dentistry could establish digital twin models, furnishing a high-quality environment for pre-clinical dental training. This approach would cultivate exceptional dental professionals possessing both professional skills and competencies.

 
數位科技與元宇宙在針灸臨床訓練中的創新應用
Authors: 黃維德 黃維德 , Wei-Te Huang 黃升騰
Published: September 2023

中國醫藥大學聯手宏達國際電子、太極影音，推出「虛擬實境針灸系統」，整合元宇宙技術於經絡教學，突破時空限制且開創臨床訓練新方式。傳統針灸教學主要透過模型和師徒制，但現實操作中，經常發現純理論學習不足以臨床應用。引入此VR技術，改變學習方式，既提高臨床能力、安全度，也減少臨床考試成本。該系統具有一對一和多擺位的3D人體模型，展示經絡與身體的解剖結構，且提供多項教學工具如雷射指標和3D錄影。在技能測驗模式中，醫學生能模擬真實病人操作。該系統結合了中醫豐富經驗，實現六大特色：多種擺位、組織經絡透視、3D穴位、互動教學工具、臨床技能測驗和多人遠程連線。此系統結合數位科技與傳統醫學，為培養優秀中醫人才開創新契機。

 

China Medical University, in collaboration with High Tech Computer Corporation and DIGIMAX INC., has launched an innovative “Virtual Reality Acupuncture System” that integrates metaverse technology into efforts at teaching students about meridians in the human body. Traditional acupuncture education primarily relies on models and the oral transmission of knowledge from master to apprentice. However, these modes of education may lead to gaps in proficiency. Thus, the proposed system provides improved learning outcomes, in addition to being safer and more inexpensive than current modes of education. The system features 3D human models with both one-on-one and multiple posture options, which elucidates the body’s anatomical structures and meridians. It encompasses various teaching tools such as laser pointers and 3D videos. The system’s skill assessment modes such as objective structured clinical examination (OSCE) enable medical students to simulate real patient scenarios for training and operations. The system offers a diverse range of postures, a clear view of the meridians, 3D representations of acupoints, interactive instructional aids, assessments of clinical skill, and the ability for multiple users to connect with each other remotely. This system constitutes a leap forward in traditional Chinese medicine (TCM) education.

 
運用跨團隊合作提升門急診PRN藥囑完整率
Authors: 楊璦瑜 楊璦瑜 , 蔡明儒 蔡明儒 , 王雅玲 王雅玲 , Ya-Ling Wang 沈玫秋 , 王詩涵 王詩涵 , Emma Wang 洪麗雯 , 王邦宇 王邦宇 , 陳旭輝 陳旭輝
Published: September 2023

目的：PRN 藥囑為病人「需要時使用」，不需要常規給與的藥品。若缺乏明確適應症、間隔時間、給藥劑量是潛在的病人安全問題。為提升用藥安全，創建門急診PRN藥囑規範勢在必行。方法：運用品管圈活動提升門急診PRN藥囑完整率，選定四大掌握項目：PRN處方開立規範、PRN藥囑輸入介面、人為輸入差異、PRN藥囑完整性檢核，進而挖掘攻堅點，擬訂方策。目標設定為提升門急診PRN藥囑完整率達92.8%。結果：改善前門急診PRN藥囑完整率為63.9%，目標值為92.8%，改善後增加至93.2%，目標達成率101.4%，進步率45.9%。結論：門急診PRN處方的用藥安全議題，除了仰賴資訊界面優化與檢核把關外，也需於新進人員、持續教育中落實宣導提升以內化醫療人員的認知，共同提升醫療品質。

 

Objective: Pro Re Nata (PRN) medication orders are used for drugs that are to be taken “as needed” by the patient and do not require routine administration. They lack clear indications, intervals, and doses, posing potential safety risks. To enhance medication safety, establishing a standardized outpatient PRN medication order is imperative.

Methods: To improve the completeness rate of PRN prescriptions in outpatient settings, quality control circle activities were employed. Four main areas were selected for intervene: regulations governing PRN prescriptions, software interfaces for entering PRN medication orders, discrepancies in human input, and completeness checks for PRN medication orders. Targeted strategies will then be developed to address these concerns, with an aim to improve the incompleteness rate by 80%..

Results: Prior to the intervention, the completeness rate of PRN medication orders in outpatient emergency cases was 63.9%, with a target rate of 92.8%. After the implementation of improvements, the completeness rate increased to 93.2%, with a target achievement rate of 101.4%, an improvement rate of 45.9%.

Conclusion: In addition to the optimization of the information interface and gatekeeping, the awareness of medical staff, particularly newcomers, should be enhanced, and continuous education should be promoted to enhance the overall quality of medical care.

 
運用課題達成型品管圈提升醫事放射職類實習學生的學習動機
Authors: 林蕙嫻 林蕙嫻 , Huei-Sian Lin 丁詩偉 , Shih-Wei Ding 陳善慈 , Shan-Tzu Chen 陳建成 , 張瓊文 張瓊文 , Chiung-Wen Chang 蔡宜芳 , Yi-Fan Tsai 楊凱雯
Published: September 2023

於2021年放射實習學生在實習歷程中反應枯燥乏味，因此製作學習動機量表，發現學生的學習動機量表分數僅4.5分，進而影響學習成效。為了提升實習學生的學習動機，我們根據文獻從「獎勵制度、同儕激勵、設計遊戲、共創課程、找到亮點」這五個構面去擬定策略：於實習歷程中舉辦集點活動、創建@Line教學平台、設計嚴肅遊戲、製作線上教學課程、導入翻轉教學，由學生主導課題，臨床教師則從旁給予回饋並鼓勵學生持續努力，以達到學習目標。於2022年學習動機量表中，量表分數由4.5分提升至9.2分，目標達成率為113.5%，學生也都給予正向回饋。利用課題達成型之改善手法，可以不拘泥以往的作法，產出新的教學方式，確實提升實習學生的學習動機。

 

In 2021, radiology interns exhibited a notable lack of motivation during their internship. Therefore, a learning motivation scale was designed specifically for interns. In 2021, the average score of interns on the scale was a low 4.5/10. Thus, To enhance the learning motivation of interns, we devised a comprehensive set of strategies: implementing a reward system, facilitating peer coaching, introducing project-based learning, fostering cocreation, and promoting trait identification. Additionally, we held a meet-up for interns, established a teaching platform on Line, designed educational games, developed online courses, and adopted a flipped teaching approach. We empowered students to take the lead in course subjects, whereas clinical teachers provided immediate feedback and encouraged students to achieve their internship goals. The GPA of the learning motivation scale was increased from 4.5 to 9.2 in 2022, a 113.5% improvement. The students also provided positive feedback. By employing the principles of task-oriented improvement, we did away with outdated pedagogies in favor of innovative teaching methods to increase the learning motivation of interns.

 
單次醫材重處理使用之風險評估與感染管制
Authors: 蕭素秋 蕭素秋
Published: September 2023

單次醫材的重處理使用在醫療環境中日益受到關注，雖然國內法規有條件鬆綁，確實存在一定的感染風險，但通過制定標準流程、加強培訓和建立追蹤系統等措施，可有效降低風險，本文旨在評估單次醫材重處理的風險並探討相應的感染管制措施。首先醫療機構應明定重處理流程標準，全面評估確保每個環節皆符合標準程序，包括清潔、滅菌及滅菌後驗證等，再者，建立完善的醫材追蹤系統，追溯每個醫材使用和處理過程，以利發生感染事件時能快速定位源頭。最後，醫材的選擇也是降低感染風險的重要因素，醫療機構應優先選擇適合重處理的醫材，並評估其材質和結構特性是否適合？此外，監管機構應加強對單次醫材重處理的監督，確保醫療機構遵守相關的標準和指南，這將有助於提供更安全的醫療環境，保護病人的健康。

 

The reuse of single-use medical devices has gained increasing attention in the healthcare environment. Although Taiwan has conditionally deregulated the reuse of such devices, which may entail a certain level of infection risk, establishing standardized processes, enhancing training, and establishing tracking systems can effectively mitigate the risk. This study aimed to assess the risk associated with reusing single-use medical devices and explore corresponding infection control measures.

Firstly, healthcare institutions should define clear reprocessing protocols and comprehensively evaluate the adherence to standard procedures at every step, including cleaning, sterilization, and post-sterilization verification. Subsequently, healthcare institutions should establish a robust medical device tracking system to trace the usage and processing of each device, thereby facilitating rapid source identification in the event of infection incidents.

Lastly, device selection plays a crucial role in reducing infection risk. Healthcare institutions should prioritize choosing devices suitable for reprocessing and evaluate their material and structural compatibility with the reprocessing procedures.Moreover, regulatory authorities should strengthen supervision over the reprocessing of single-use medical devices to ensure that healthcare institutions adhere to relevant standards and guidelines. Doing so contributes to creating a safer healthcare environment and safeguarding patients’ health.

 
住宅･房地產：自住與投資的理論及實務(下)
Authors: 張金鶚 張金鶚
Published: September 2023

過去國內外學術與實務界一向將「住房」分成「住宅消費使用」(Housing Consumption)與「房地產投資」(Real Estate Investment)兩部分，個別講授學習。然而，住房明顯包括消費與投資雙重特性，人們不僅希望住得舒適，也希望能賺錢不虧損，兩者不宜偏廢。因此，個人累積長期教學經驗，將「住宅」(Housing)與「房地產」(Real Estate)兩領域整合成「住房」單一課程內容，提供大家一起學習思辨。

本書強調深入淺出、多元教材方式與的學習，與傳統教科書傳遞知識方式明顯不同。每課主題內容包含六大部分的方式學習：一是「問題探討」，這是全課核心學習重點，透過一連串問題思考與對話回應，逐步掌握問題關鍵；二是「論文探討」，透過國內外學術期刊論文連結閱讀，豐富個人的理論學習深度；三是「相關學習」，屬於較為有趣且多元化課外讀物的學習，包含小說、影片、演講、書籍及財務試算等；四是「個案探討」，透過各類型住房產品個案提供較優良示範學習，豐富學習者的實務經驗；五是「相關時事」，透過課程主題的相關時事新聞，讓學習者能夠進一步理解現實社會住房新聞事件，貼近社會脈動；六是「課後作業」，透過前面五部分的學習，能夠簡要回應本課的幾個主要關鍵問題，並整理個人學習心得，完成學習成果。
Rezension von: Köbler, Gerhard, Historisches Lexikon der deutschen Länder
Authors: Bienert Hans-Dieter , Köbler Gerhard
Published: September 2023

Gerhard Köbler: Historisches Lexikon der deutschen Länder. - 3. Aufl. - München: Beck, 1990. 715 S.
Rezension von: Engels, Odilo, Stauferstudien
Authors: Fritz Gerhard , Engels Odilo
Published: September 2023

Odilo Engels: Stauferstudien. Beiträge zur Geschichte der Staufer im 12. Jahrhundert. Festgabe zu seinem 60. Geburtstag / hrsg. von Erich Meuthen u. Stefan Weinfurter. - Sigmaringen: Thorbecke, 1988. - 255 S.
Rezension von: Hahn, Joachim, Synagogen in Baden-Württemberg
Authors: Königstein Rolf , Hahn Joachim
Published: September 2023

Joachim Hahn: Synagogen in Baden-Württemberg. Stuttgart: Theiß, 1987. 127 S., Abb.
Rezension von: Ehmer, Hermann, Geschichte der Grafschaft Wertheim
Authors: Göpfert Eberhard , Ehmer Hermann
Published: September 2023

Hermann Ehmer: Geschichte der Grafschaft Wertheim. - Wertheim: Buchheim, 1989. - 276 S.: Ill.
Rezension von: Köbler, Gerhard, Bilder aus der deutschen Rechtsgeschichte
Authors: Fritz Gerhard , Köbler Gerhard
Published: September 2023

Gerhard Köbler: Bilder aus der deutschen Rechtsgeschichte. Von den Anfängen bis zur Gegenwart. München: Beck, 1988. - 384 S.
Rezension von: Ellenberg, Heinz, Bauernhaus und Landschaft in ökologischer und historischer Sicht
Authors: Bedal Albert , Ellenberg Heinz
Published: September 2023

Heinz Ellenberg: Bauernhaus und Landschaft in ökologischer und historischer Sicht. - Stuttgart: Ulmer, 1990. - 585 S.: zahlr., teilw. farb. Ill.
Rezension von: Haseloff, Arthur, Hohenstaufische Erinnerungen in Apulien
Authors: Akermann Manfred , Haseloff Arthur
Published: September 2023

Arthur Haseloff: Hohenstaufische Erinnerungen in Apulien. (Schriften zur staufischen Geschichte und Kunst, Bd. 12. Hrsg, von der Gesellschaft für staufische Geschichte e. V.). - Weißenhorn: Konrad, 1991. - 104 S., zahlr., teilw. färb. Abb.
Rezension von: Haag, Gottlob, Tauberherbst ...
Authors: Ulshöfer Kuno , Haag Gottlob
Published: September 2023

Gottlob Haag: Tauberherbst: Ausgewählte Gedichte. - Tauberbischofsheim: Frankonia, 1986. - 1575. Ders.: Bin ich nur Stimme: Ausgewählte Gedichte. - Tauberbischofsheim: Frankonia, 1987. - 190 S.
Rezension von: Hammel, Grudrun, Ob's glaabsch odder net
Authors: Göpfert Eberhard , Hammel Gudrun
Published: September 2023

Gudrun Hammel: Obs glaabsch odder net. Erzählungen in hohenlohisch-fränkischer Mundart auf heimatgeschichtlicher und zum Teil volkskundlicher Grundlage / mit Zeichnungen der Autorin. - Gerabronn u. Crailsheim: Hohenloher Druck- und Verlagshaus, 1990. - 112 S.: Ill.
Rezension von: Schnith, Karl Rudolf (Hrsg.), Mittelalterliche Herrscher in Lebensbildern
Authors: Akermann Manfred , Schnith Karl
Published: September 2023

Mittelalterliche Herrscher in Lebensbildern. Von den Karolingern zu den Staufern. Hrsg. von Karl Rudolf Schnith. Graz; Wien; Köln: Styria, 1990. - 388 S., Abb., Stammtafeln, Karten
Rezension von: Borchardt, Karl, Die geistlichen Institutionen in der Reichsstadt Rothenburg ob der Tauber und dem zugehörigen Landgebiet von den Anfängen bis zur Reformation
Authors: Fritz Gerhard , Borchardt Karl
Published: September 2023

Karl Borchardt: Die geistlichen Institutionen in der Reichsstadt Rothenburg ob der Tauber und dem zugehörigen Landgebiet von den Anfängen bis zur Reformation. Neustadt/Aisch: Degener & Co. 1988. 2 Bde. (fortlaufend paginiert), XII und 1381 S., 11 Karten, 9 Stammtafeln. (Veröffentlichungen der Gesellschaft für fränkische Geschichte, Reihe IX, Darstellungen aus der fränkischen Geschichte, Bd. 37)
Rezension von: Flade, Roland, Die Würzburger Juden
Authors: Königstein Rolf , Flade Roland
Published: September 2023

Roland Flade: Die Würzburger Juden. Ihre Geschichte vom Mittelalter bis zur Gegenwart. Mit einem Beitrag von Ursula Gehring-Münzel. Würzburg: Stürtz, 1987. XIV u. 434 S., Abb.
DIAGNOSTIC MARKERS IN ACUTE APPENDICITIS: A SYSTEMATIC REVIEW
Authors: Hekmatyar Mohamad
Published: September 2023

Introduction: Appendicitis is the most common emergency case of abdominal surgery and requires immediate surgical intervention to avoid serious complications. If appendicitis is treated late, it will increase patient morbidity and mortality. Despite the relatively high incidence of needless appendectomies, ranging from 20% to 30%, such occurrences are deemed tolerable given the substantial reliability of beneficial outcomes.

 

The aim: This article showed diagnostic markers in acute appendicitis.

 

Methods: This study demonstrated compliance with all requirements by comparing itself to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 standards. Therefore, the experts were able to ensure that the study was as current as feasible. For this search strategy, publications published between 2013 and 2023 were considered. Several online reference sources, including Pubmed and SagePub, were utilized for this purpose. It was determined not to consider review pieces, previously published works, or works that were only partially completed.

 

Result: The PubMed database yielded a total of 87 articles in response to our search query, while the search conducted on SagePub resulted in 69 articles. The search conducted for the last year of 2013 resulted in a total of 29 articles found in PubMed and 31 papers found in SagePub. Ultimately, a comprehensive compilation of 22 papers was achieved, with 15 sourced from PubMed and an additional seven obtained via SagePub. We incorporated seven studies that satisfied the established criteria.

 

Conclusion: Study shows that a shift in pain from the epigastrium to the Mc Barney point and heel drop test is a sign of appendicitis based on physical examination. Examination of white blood cells and CRP can be other reliable markers to confirm acute appendicitis.
Common Mental Disorder in the face of the COVID-19 pandemic: a look at women with children from 0 to 36 months old
Authors: Benincasa Miria , Perestrelo Marisa , Sousa Filho Carlos de , Andrade Cristiano de
Published: September 2023

Faced with the risk of developing common mental disorders during the puerperium amid the coronavirus pandemic, this research aimed to investigate the relationship between sociodemographic factors and the prevalence of these disorders in mothers during this pandemic period. This is a cross-sectional, quantitative study with a sample of 97 mothers of babies aged 0 to 36 months. The participants answered a questionnaire with sociodemographic questions and questions about coping with the pandemic and the Self Reporting Questionnaire of Minor Psychiatric Disorders. The results showed a predominance of white respondents, with a mean age of 32 years, living with partners and with family income ranging from 4 to 10 minimum wages. The prevalence of disorders was identified in 48.6% of the mothers and there was an association between sociodemographic characteristics when the SRQ scores were correlated with the variables: family income; marital status; maternal age; fatigue in the pandemic.
Caracterización ecográfica de los efectos de la hialuronidasa en complicaciones por uso de sustancias de relleno a nivel facial. A propósito de un caso
Authors: Briceño Liliana , Zabala Argenis , Toro Génesis , Calderón Lourdes
Published: September 2023

Introducción: El ácido hialurónico se ha convertido en el tratamiento preferido y mejor aceptado por los pacientes para corregir imperfecciones en el rostro, o armonizar el mismo. Son múltiples efectos adversos descritos en su aplicación como tratamiento de relleno. Con la ecografía como prueba diagnóstica se logra caracterizar el tipo de sustancia empleada. En nuestro caso se llevó a cabo una investigación donde el objetivo principal fue identificar los cambios ecográficos con el uso de hialuronidasa en una paciente con complicaciones tardías post aplicación de ácido hialurónico como material de relleno. Materiales y métodos: El diseño de la investigación es observacional, prospectivo, realizado en base a un caso clínico. Discusión: Si bien es cierto que el ácido hilaurónico es bien tolerado por un gran número de pacientes, aun no se ha determinado el material de relleno ideal. Con el uso de la ecografía se caracterizan los signos sugestivos del material de relleno administrado y su evolución en el tiempo. Las complicaciones van desde el dolor, deformidad hasta la necrosis, por lo que la hialuronidasa ha cobrado un papel preponderante en el tratamiento de dichas complicaciones. Conclusión: La ecografía como método diagnóstico en la caracterización de las sustancias de relleno constituye una herramienta esencial para caracterizar la sustancia aplicada, sus posibles complicaciones, así como el empleo de la hialuronidasa en la corrección de estos efectos no deseados por el uso de ácido hialurónico, apreciando los cambios a nivel de los tejidos tratados.
Symmetry in Quantum Mechanics and Gauge Theory for Gravity
Authors: Jiayi Zhang
Published: September 2023

To unify gravitational interaction with other three kinds of interaction are a work hadn’t been finished by Albert Einstein and a big problem that human must solve to continue living in the universe.
The Rise of ADHD Diagnosis in the UK – A Clinician’s Perspective
Authors: V Rajbhoj
Published: September 2023

Attention-deficit Hyperactive Disorder (ADHD) has a reputation for being overly diagnosed. While the recent BBC panorama documentary exposing the scandals of some private clinics inappropriately diagnosing ADHD was welcomed, it may have perhaps fuelled the fear of a misdiagnosis and reduced trust in private providers. My own conundrum with the documentary included not addressing the real issue with diagnosing adult ADHD in the UK, which is the scarcity in resources within NHS resulting in people suffering from undiagnosed condition longer if they don’t access private healthcare. An article, “ADHD Short Cuts: A National Scandal For UK” by Nancy Doyle, in Forbes, May 2023 raised some of the valid concerns regarding ADHD diagnosis in the UK. I echo Nancy’s reflections in the article and strongly feel myself that we need to understand the issues in ADHD diagnosis (in the UK) which are much more than a ‘misdiagnosis’ or ‘an over diagnosing situation’. Personally, I am not sure if the issue of ‘over diagnosing ADHD’ is as true as it is perceived to be!
Alimentação Funcional
Authors: Mariano Maria Luiza , Taha Nur El Hoda Ayoub
Published: September 2023

O cenário brasileiro tem evidenciado um aumento significativo nos casos de doenças crônicas não transmissíveis, como obesidade, hipertensão, osteoporose, diabete mellitus, câncer e condições que afetam a perda de memória, como a doença de Alzheimer. O objetivo deste estudo é analisar e discutir a relevância da alimentação funcional e de seus componentes nutricionais no contexto da saúde individual e na relação com a doença de Alzheimer. A metodologia adotada incluiu uma pesquisa bibliográfica qualitativa e descritiva, baseada em fontes como livros, sites e artigos científicos, com um recorte temporal que abrange os últimos quinze anos de pesquisas sobre o tema. As discussões decorrentes dos resultados indicam que os alimentos funcionais, que incluem o ômega 3, têm demonstrado contribuir para a manutenção do funcionamento cerebral, promovendo melhorias na memória e nos aspectos cognitivos. É importante ressaltar que a pesquisa nessa área é contínua e necessária, especialmente no que se refere ao estudo do cérebro humano, dado seu caráter complexo.
The Elements of the Deterministic Prediction of Physico-Chemical Phenomena
Authors: D Macdonald Digby
Published: September 2023

This paper briefly explores the roles of empiricism and determinism in science and engineering. From this analysis, I conclude that the intellectual exercise that we call “science” is best described as the transition from empiricism (i.e., from what we can observe) to determinism, which is the philosophy that the future can be predicted from the past on the basis of the natural laws that are condensations of all previous scientific knowledge. Thus, “science” is enacted by formulating theories to explain the observations and models, based on those theories, are developed to predict new phenomena. Accordingly, models are the computational arms of theories. Importantly, all models must possess a theoretical basis but not all theories need to predict. The structure of a deterministic model is that it must contain an input, a model “engine”, and an output, that are all linked by a feedback loop that permits the continual updating of the model parameters and a means of assessing predictions against new observations. This latter feature, in essence, enables the application of the “scientific method” of cyclical modification/assessment that continues until the model no longer accounts for new observations. At that point, the model (and possibly the theory, as well) must be discarded and a new theory/model developed. Again, importantly, no amount of successful prediction can “prove” a theory/model to be “correct”, because theories and models are merely the figments of our imagination as developed through imperfect senses and imperfect intellect. Accordingly, all theories and models are wrong at some level of detail. Contrariwise, a single failure of a model to predict an observation invalidates the theory/model unequivocally. The principal impediment to model building is complexity and it is the reason why a compromise must always be made between physical reality and mathematical tractability.
PERAN HUMAS PABRIK GULA (PG) SEMBORO JEMBER DALAM MENJAGA LOYALITAS KERJA KARYAWAN DAN CITRA PERUSAHAAN
Authors: Juariyah Juariyah , Rahma Alfina Maisya , Pratama Aditya Dimas
Published: September 2023

In this study, with the title "The Role of Semboro Jember Sugar Factory Public Relations (PG) in Maintaining Employee Work Loyalty and Company Image," the aim is to determine the role of internal PG Semboro public relations in maintaining employee work loyalty and its obstacles, as well as the role of external PG Semboro public relations in maintaining the company's image and its obstacles. The theory used is the Cultip & Center theory. This type of research is included in qualitative descriptive research. Qualitative descriptive research is the activity of interpreting meaning, not using numbers, and managing interview results based on predetermined instruments using appropriate language and explanations according to the results of interviews with reality in the field. The results of this study are about describing the results of interview data on PG Semboro's public relations and public figures based on intellectual, religious, and government perspectives. This can be explained by PG Semboro's internal public relations strategy of maintaining employee loyalty by implementing employee relations programs with programs that will maintain employee loyalty. From this study, there are internal obstacles that hopefully, in the future, can be used as an evaluation to overcome these obstacles. In addition, there is an external public relations strategy that involves implementing programs with the community to maintain the company's image, and the obstacles to external public relations in maintaining the company's image can also be known.
PERAN MANAJEMEN RANTAI PASOKAN PADA KEUNGGULAN KOMPETITIF DAN KINERJA OPERASIONAL UKM DALAM ERA DIGITAL DAN PASCA PANDEMI
Authors: Arie Hetami Adietya , Hwihanus Hwihanus
Published: September 2023

Penelitian ini bertujuan untuk menentukan pengaruh praktik manajemen rantai pasokan terhadap keunggulan kompetitif UKM; menganalisis pengaruh praktik manajemen rantai pasokan terhadap kinerja UKM; menentukan pengaruh keunggulan kompetitif terhadap kinerja UKM. Populasi dalam penelitian ini adalah UKM dan teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling dengan ukuran sampel sebanyak 150 pemilik UKM. Teknik pengumpulan data menggunakan kuesioner daring yang didistribusikan melalui media sosial yang telah diuji validitas dan reliabilitasnya. Alat analisis data yang digunakan untuk menjawab hipotesis penelitian adalah SmartPLS. dengan tahapan pengujian validitas, reliabilitas, koefisien terminasi dan pengujian hipotesis. Hasil dari penelitian ini menunjukkan bahwa manajemen rantai pasokan memiliki pengaruh langsung dan positif terhadap keunggulan kompetitif UKM, manajemen rantai pasokan memiliki dampak langsung dan positif terhadap kinerja UKM, keunggulan kompetitif memiliki pengaruh langsung dan positif terhadap kinerja UKM. UKM perlu terus meningkatkan keunggulan kompetitif dan manajemen rantai pasokan mereka untuk terus mengembangkan bisnis mereka.
Ewes fed high-concentrate diets containing flint corn and increasing levels of exogenous amylolytic enzyme: effects on nutrient intake and digestibility
Authors: Sousa Luciano Fernandes , Sousa Jhone Thallison Lira de , Schultz Erica Beatriz , Feitosa Tays Raniellen Miranda , Gomes Vinicius Carreteiro , Luna Robert Emilio Mora , Macedo Júnior Gilberto de Lima
Published: September 2023

The aim was to evaluate if the inclusion of exogenous amylolytic enzyme affect the nutrient intake and digestibility in ewes fed high-concentrate diets containing flint corn. Five Santa Inês × Dorper crossbred ewes (54.04 ± 4.5 kg and aged 8 months) were used in a 5 x 5 Latin square design. All animals were housed in individual metabolic cages for 60 days. The treatments consisted of a control diet (without amylolytic enzyme) and four inclusion levels of an amylolytic enzyme (3,000, 6,000, 9,000, and 12,000 α-amylase dextrinizing units [DU] kg-1 dry matter [DM]). The enzyme was mixed into the feed at the time of supply to the animals. Data were analyzed by ANOVA, and orthogonal polynomial contrasts were used. Nutrient intake was not influenced by amylolytic enzyme inclusion. The digestibility of DM, organic matter, neutral detergent fiber, total carbohydrates, non-fibrous carbohydrates, and gross energy showed a quadratic increase with enzyme inclusion (P<0.05), with maximum values at levels of 7,600, 7,500, 6,300, 7,500, 7,400, and 7,800 DU kg-1 DM, respectively. Total digestible nutrients of diets also showed a quadratic increase, with a maximum value of 894 g kg-1 at a level of α-amylase activity of 7,786 DU kg-1 DM. The inclusion of the exogenous amylolytic enzyme from 6,300 to 7,800 DU kg-1 DM doesn’t alter nutrient intake and improves the digestibility in ewes fed high-concentrate diets.
Review Gluteus Medius Muscle Function Al Limitation in Chronic Low Back Pain
Authors: Rehman Muheebur , Aslam Khalid , Islam Suad , Zia Huma , Ullah Kashif , Rehman Faiz ur
Published: September 2023

Low Back pain proper diagnosis & approach that includes all muscular modifications responsible for low back pain is one of the main issues in the clinical examination of patients with low back pain symptoms. The gluteal muscles, which are attached to the lumbar pelvic area, play a significant function in transmitting forces from upper-body movements to the limbs of the lower body. Therefore, while evaluating low back pain, doctors and researchers are paying more and more attention to the gluteal muscles. This study emphasizes a randomized controlled comparative effectiveness trial that find a significant correlation between the prevalence of low back pain and gluteal muscle dysfunction. A decrease in the gluteus medius muscles’ strength during abduction is one of the functional changes in the gluteal muscles, along with neuromuscular changes and fatigability in the gluteus maximus muscles.
Hospital microbiome: unspoken role in healthcare-associated infections
Authors: Alwethainani Rawan , Zakariah Siti , Jasn Azmiza , Ibrahim Rosni , Jamaluddin Tengku
Published: September 2023

Infections obtained in a healthcare or hospital setting are known as nosocomial illnesses or hospital-acquired infections (HAIs). Despite their role as healing environments, hospitals are home to a diverse range of bacteria, and it is widely assumed that the hospital microbiome changes as the facilities are used. The increased use of broad-spectrum antibiotics to treat bacterial infections has resulted in the increasing incidence of nosocomial infections. HAI is caused mostly by bacteria such as Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli, Enterococci spp., Methicillin-resistant Staphylococcus aureus (MRSA), and others. Understanding the nature of bacterial communities in hospital environments is essential for tracking the transmission of antibiotic resistance genes. The efforts of medical organizations and hospitals are significant in promoting awareness and providing training. The results of bacterial diversity studies related to patients, staff, and surfaces of the newly established centers are reviewed and presented in this study.
Effectiveness of education program on nurses’ general knowledge about hydatidiform mole pregnancy
Authors: Kadhom Hanan , Ali Rabea
Published: September 2023

Objective: To determine the effectiveness of education program on nurses’ general knowledge about hydatidiform mole pregnancy.
Material: This quasi-experimental study included nurses who worked in maternity units with application of pretest and posttest approach to evaluate the effectiveness of educational program on nurse's knowledge about hydatidiform mole.
Results: Nurses had fair level of general knowledge during pre-test. During post-test 1and 2, they showed good level of knowledge.
Conclusion: Nurse knowledge improved after educational program.
Association of baseline body mass index and other auxological data in short stature children with idiopathic growth hormone deficiency at Al-Rusafa district in Baghdad, Iraq
Authors: Hussein Hussein , Momen Hayder , Alqurishi Ali
Published: September 2023

Objectives: To find the association of baseline body mass index (BMI) with other variables such as age, height, and gender in short stature due to idiopathic growth hormone deficiency (IGHD).
Methodology: This cross-sectional retrospective study included short-stature children due to growth hormone deficiency (GHD) referred to Endocrine Gland and Diabetes Center at Al-Rusafa district, Baghdad from June 2017 to June 2018. The collected data includes weight, height, gender, age, nutritional status and BMI-SDS (body mass index-standard deviation score). The BMI SDS was divided in three categories: underweight, normal weight, and overweight. Height was divided in three categories based on height standard deviation score (HSDS) for age and gender, very low height, low height, and middle height. Age was divided into childhood onset and adolescent onset.
Results: Out of 280 patients with IGHD, the baseline BMI SDS was mainly underweighted (88.9%), then normal (9.6 %) and (1.4%) overweight patients. Childhood-onset were 142 (50.7%), most of them underweight (96.47 %), while 138 (49.3%) patients were in adolescents and most of them was underweight (81%). The relationship between gender and BMI showed high prevalence of being underweight in males (n=142) than in females (n=102).
Conclusion: Association between the baseline BMI and height was significant. There was a high prevalence of underweight (88.9%), in children and adolescents with short stature due to IGHD.
Prevalence of bullying in primary schools of Baghdad, Iraq
Authors: Hamid Ghaidaa
Published: September 2023

Objective: To determine the prevalence of bullying among primary schools’ children with some associated factors, and resultant effects.
Methodology: This cross-sectional study with analytic elements was carried out from February through April 2022. It included a sample of 410 students from six governmental primary schools from both sides of Baghdad city. A self-constructed questionnaire was used. It comprised the following parts: Part (1): socio-demographic data, Part (2): questions that review the students’ exposure to bullying, and Part (3) entails the effects of bullying on those children.
Results: The total sample was composed of 410 students; their mean age was 9.51±1.94 years. The prevalence of bullying was 56.34%. Students who were exposed to bullying had been experiencing symptoms as an abdominal pain, nausea, or vomiting before school, then those who were not exposed to bullying.
Conclusions: Bulling was occurring as a combination of physical, verbal, emotional & social types, with significant health effects for individuals who experienced these acts.
Detection of human papillomavirus genotypes (HPV-16) and (HPV-18) in women with abnormal cervical cytology in Al-Diwaniyah Province, Iraq
Authors: Hussein Khawlah , Saihood Anwar , Sharif Yasamin
Published: September 2023

Objective: To identify the human papillomavirus (HPV) genotypes; HPV-16 and HPV-18 from women with abnormal cervical cytology.
Methodology: In this cross-sectional study, 100 females 17 to 60 years of age (mean: 34 years) with abnormal cervical cytology were included. For each woman, two tissue specimens i.e. one for a pap smear and one for a genetic study were collected. The genetic study was carried out by using conventional polymerase chain reaction (PCR) method for confirmation of diagnosis. A real-time PCR (RT-PCR) was done on positive samples for the detection of the genotypes.
Results: We found that 64 (64%) out of 100 patients had abnormal tissue findings. The RT-PCR demonstrated that 32 (88.88%) samples were positive for the HPV 16 and HPV 18, at 20 cycles (55.55%) and 12 cycles (33.33%), respectively, with four (11.11%) samples showing unknown genotypic identity.
Conclusion: The present investigation provides novel information about the status of the human papillomavirus infection in women from Al-Diwaniyah Province with important reporting of HPV-16 and HPV-18 genotypes. Samples of this Province are mainly positive for the HPV 16 and HPV 18 with high percentages.
Evaluation of instructional program on nurses’ knowledge regarding care bundle guideline in Mosul Hospitals, Iraq
Authors: Ayed Adel , Sultan Mohammed
Published: September 2023

Objective: To assess the nurse’s knowledge regarding care bundle guidelines in pediatric wards.
Methodology: This quasi-experimental study was carried out from 1st of November 2022 to 1st May 2023. It included 30 nurses working in pediatric departments chosen using non-random selecting purposively in Mosul Hospitals. We used structured questionnaire to evaluate the effectiveness of bundle care guidelines for nurses’ knowledge at pre-test and post-test 1 and post-test 2.
Results: All parts of the nurses’ knowledge in pre-test were at an unacceptable level while in Post-test 1 at excellent level, but in post-test 2 at good level.
Conclusions: Nurses working at the pediatric department in Mosul Hospital do not have appropriate and adequate nurses’ knowledge regarding care bundle guidelines.
Knowledge of new nursing college alumni concerning complications of COVID-19
Authors: Sameen Faisal , Abed Qassim
Published: September 2023

Objective: To measure knowledge of new nursing college alumni concerning complications of COVID-19 and to determine the relationship between demographic characteristics and their knowledge.
Methodology: In this purposive survey, we included 35 new nursing alumina and collected demographic data and knowledge regarding complications of COVID-19. The study was carried out from July 1 to October 1, 2022 and included all sections units of General Kirkuk Hospital, Kirkuk City. We used a questionnaire with 20 items. The data were analyzed using both descriptive and inferential statistical approaches.
Results: The recent nursing college graduates had little understanding about COVID-19 problems.
Conclusions: The current investigation showed that the graduates of new nursing colleges had little understanding of COVID-19 complications.
An exploratory journey into probiotic interactions : Bioactive properties of Limosilactobacillus reuteri and Bifidobacterium longum
Authors: Lundberg Ludwig
Published: September 2023

Probiotics are defined as live microorganisms that, when administered in adequate amounts, confer a health benefit on the host. The mechanisms by which probiotics affect the host are based on one of two principles: i) directly, by interacting with specific targets, or ii) indirectly, by contributing to the ecological niche constructions of the microbiota. This thesis examined how probiotic bacteria interact with each other and with the host, and how production of probiotics can be manipulated to increase biological functionality, ultimately benefiting the host. Limosilactobacillus reuteri DSM 17938 is a well-documented probiotic strain, but the mechanisms by which it alleviates infantile colic, combats inflammation, and interacts with the immune system are not well understood. However, several features related to the bioactive properties of DSM 17938 may partly explain these interactions. The features in question are extracellular membrane vesicles (MV), exopolysaccharides (EPS), enzymes, and other metabolites. MV and EPS were evaluated in different models of host interactions, aimed at reflecting possible mechanisms of action in infantile colic. Multifunctionality among the MV was demonstrated and it was also shown that the amount and activity of bioactive components can be altered by optimizing production parameters. Further, a novel strain of Bifidobacterium longum subsp. longum was described and shown to be a potent fiber degrader, able to stimulate growth and bioactivity of DSM 17938 and its MV in vitro. Bifidobacteria and lactobacilli are important in ecological niches of the human gut and the interactions between these bacteria may be key to understanding how to fight inflammatory diseases and disorders using probiotics.
The Role of the Inspectorate in Supervising Surface Water Tax: Case Study of the Inspectorate of West Papua Province
Authors: Matasik Roy , Adi Priyo Hari
Published: September 2023

This study aims to analyze the role of the provincial inspectorate in supervising local taxes, especially the surface water tax. The method used in this research is descriptive qualitative method. to find out and analyze the role of the provincial regional inspectorate and its capabilities in conducting guidance and supervision on local taxes. Data The type of data used is primary data and secondary data. The technique used to analyze the data is to focus the data on the role of the provincial regional inspectorate and its capability in conducting guidance and supervision of regional tax supervision, especially the Surface Water Tax. Based on the results of research by the Inspectorate of West Papua Province, they have carried out their main tasks properly and are in accordance with applicable regulations. However, it has not been effective in carrying out regional tax supervision. This is because there is no SOP related to tax oversight and a lack of human resource competency. Even though the SOP for supervising regional taxes does not yet exist, the implementation of supervising local taxes, specifically the surface water tax, is still carried out by following the procedures for general supervision and inspection.
O ENSINO DE GESTÃO DE CONFLITOS E A GAMIFICAÇÃO NA GRADUAÇÃO DE ENFERMAGEM NO CONTEXTO DA COVID-19
Authors: Marcuzzo Rhuan , Gonçalves Geisa Colebrusco de Souza , Draganov Patricia Bover
Published: September 2023

A pandemia de COVID-19 modificou repentinamente o ensino da enfermagempela adoção do ensino remoto e estímulo ao uso de metodologias deaprendizagem ativas nesse contexto. Os jogos online podem ser consideradoscomo metodologias ativas ao estimularem maior envolvimento do estudante,aprendizagem significativa visto que associa temáticas e conteúdos por meiode desafios e competições. Considera que o (a) enfermeiro (a) deve desenvolvercompetências para a gestão de conflitos e seu manejo adequado contribui paraum ambiente saudável para profissionais e pacientes, cuja finalidade primordialé o alcance da qualidade e segurança no cuidado prestado. Nesse artigorelatou-se a experiência de gamificação do tema gestão de conflitos no ensino eaprendizagem da graduação em enfermagem a partir de cinco jogos, elaboradose implementados remotamente. Os estudantes foram apresentados aos jogos,estimulados a competir e obter pontuações individualmente. Ao final, puderamrefletir e discutir coletivamente sobre a gestão de conflitos. Na percepção dosproponentes, os objetivos de aprendizagem foram atingidos. A metodologiade jogos foi identificada como abordagem válida, com maior engajamento dosestudantes. A gamificação e o uso de jogos interativos como estratégia de ensinoe de aprendizagem foi eficiente por estimular a apropriação do conteúdo e asreflexões sobre a temática de forma remota.