bluuebunny/crossref_metadata_2025 huggingface dataset:
Recurrent Tumors of Ameloblastoma
Authors: Nwoga MC
Published: September 2022

Context:

Ameloblastoma is a benign epithelial odontogenic tumor with a tendency for recurrence. Some recurrent tumors could behave unpredictably with atypical microscopic changes.

Aim:

To study the clinicopathologic features and diagnoses of recurrent tumors of ameloblastoma.

Settings and Design:

This is a 5-year (2012–2017) retrospective study of 17 consecutive patients with recurrent tumors of ameloblastoma in a Teaching Hospital in Enugu.

Methods and Material:

The relevant clinicopathologic information, histology slides, and blocks were retrieved and reviewed. Descriptive analysis was used to determine the frequency, tables for categorical variables, and a Chi-square test was used to determine the statistical significance.

Result:

Recurrent tumors constituted 33.3% (17/51) of all confirmed diagnoses of ameloblastoma. The histopathologic diagnosis of the recurrent tumors includes conventional ameloblastoma 58.8% (10/17), unicystic ameloblastoma 5.9% (1/17), and ameloblastic carcinoma 35.3% (6/17). There was bilateral mandibular involvement in 60.0%, pain 58.8%, ulceration 29.4%, and matted lymph nodes 5.9%. Tumors with positive fluid aspirates 82.4% (14/17) yielded dark-brown fluids in 90.0% (9/10) of recurrent ameloblastomas and in 66.7% (2/3) of ameloblastic carcinomas.

Conclusion:

There was a high recurrence rate of recurrent tumors of ameloblastoma demonstrated in the present study, with a malignant presentation in some cases.
The Efficacy of Bismuth Quadruple Therapy, Sequential Therapy, and Hybrid Therapy as a First-Line Regimen for Helicobacter pylori Infection Compared with Standard Triple Therapy
Authors: Koroglu M , Ayvaz MA , Ozturk MA
Published: September 2022

Background and Aim:

To compare the effectiveness of first-line Helicobacter pylori eradication treatments as standard triple therapy (sTT), bismuth-containing quadruple therapy (BQT), sequential therapy (ST), and hybrid therapy (HT).

Patients and Methods:

303 patients treated between July 2018 and June 2021 were studied. In this study, 76 patients in the sTT group, 78 patients in the BQT group, 75 patients in the ST group, and 74 patients in the HT group were randomly allocated. The diagnosis of H. pylori was made endoscopically. H. pylori stool antigen test was performed 4 weeks after finishing the treatment.

Results:

The mean age was 48.53 (13.48) in sTT, 49.04 (13.02) in BQT, 48.47 (14.54) in ST, and 47.45 (13.4) in HT. There was no significant age difference among the groups (P = 0.909). H. pylori eradication rate in intention-to-treat (ITT) analysis was 68.4% in sTT, 79.5% in BQT, 78.7% in ST, and 83.8% in HT. There was no significant difference between sTT, BQT, and ST regarding of eradication rate. The difference between HT and sTT was significant (P = 0.028). In the per-protocol (PP) analysis, the eradication rate was 74.3% in sTT, 88.6% in BQT, 86.8% in ST, and 92.5% in HT. There was a significant difference between sTT and BQT (P = 0.030) and sTT and HT (P = 0.004), whereas there was borderline significant difference between sTT and ST (P = 0.065).

Conclusion:

In terms of eradication, HT had the best rate, whereas the lowest rate was in the sTT treatment group. This study does not recommend using sTT because of the low eradication rates. This study recommends HT for overcoming antibiotic resistance and better results.
Histopathological analysis of juvenile patients with melanocytic lesions of the conjunctiva
Authors: de Barros Guilherme Feltrin , Passos Juliana Portela , Coblentz Jacqueline , Burnier Miguel N
Published: September 2022

Objective:

This study aimed to examine the frequency of atypical features in conjunctival nevi in pediatric patients referred to the McGill University Health Center-McGill University Ocular Pathology and Translational Research Laboratory and to emphasize the importance of histopathological analysis to rule out malignant lesions, such as melanoma.

Methods:

Forty-four pediatric patients younger than 20 years of age previously diagnosed with melanocytic lesions of the conjunctiva were included in this study, and the database was analyzed for a 10-year period (2006–2015). Clinical information such as age, gender, location, type, size, and agreement between clinical and pathological diagnosis was also recorded and presented as means and percentages.

Results:

The mean age was 11.3 years, of which only 9.1% were older than 18 years. Gender predilection was found toward males (52.3%). An agreement was noted between clinical and pathological diagnosis in 77.2% of cases; only 22.72% showed atypia upon histopathological examination. The most common pathological diagnosis was compound nevus with different characteristics. The atypical lesions included conjunctival melanoma, junctional nevi with atypia, compound nevi with atypia, and cystic compound nevi. Moreover, 70% of the patients with atypical lesions were males and 60% of the specimens were from the right eye.

Conclusion:

An impressive number of 30% of all patients had some type of atypia after histopathological analysis. Therefore, based on these results, it is of extreme importance that all melanocytic lesions are sent for histopathological analysis, so an accurate diagnosis can be established.
“Sudden” visual loss caused by a transitional meningioma in a young female
Authors: De Vitto Gabriel Peres , Nogueira Costa Marcio Augusto , Abreu Elvira Barbosa , De Vitto Matheus Peres
Published: September 2022

Intracranial tumors are known to have a broad clinical spectrum. Meningiomas are the second-most common benign tumors, usually affecting women in their sixth or seventh decade of life. The World Health Organization (WHO) classified them into three grades, and Grade 1 meningiomas are considered benign neoplasias. Despite being benign, they are usually located in noble areas of the brain, most frequently in the parasagittal area, followed by the falx, the sinus cavernosus, tuberculum sellae (5%–10%), lamina cribrosa, foramen magnum, and torcular zones, and are important causes of sequelae to the patient. We herein present the case of a young patient who experienced overnight visual loss. Literature shows that several factors are related to visual recovery, which is divided into phases and occurs in approximately 23%–80% of the cases. For the WHO grade 1 tumors, the standard treatment is complete excision of the mass, and it is possible to supplement treatment with stereotactic radiotherapy in atypical, malignant, or recurrent meningioma.
A study comparing either using intravenous propofol or topical lidocaine over the larynx as adjuncts to inhalational induction of anesthesia for facilitating nasotracheal intubation for pediatric patients undergoing tonsillectomy surgery
Authors: Ayoub Sabah Naguib Barsoom
Published: September 2022

Background

Nasotracheal intubation in tonsillectomy surgery is used to facilitate surgical exposure. Intubation without muscle relaxant is commonly practiced for pediatric patients in ambulatory surgeries. Using adjuncts to inhalational induction makes more suitable conditions for intubation with hemodynamic stability and less laryngeal morbidities. In this study, lidocaine, 1% was used topically on vocal cords to facilitate nasotracheal intubation in comparison with intravenous propofol after inhalational induction using muscle relaxant only as a rescue medication in case of failure.

Patients and methods

A randomized controlled study was conducted on 96 patients aged 3–7 years and with American Society of Anesthesiologists physical status I and II scheduled for elective tonsillectomy. Patients were divided randomly into two equal groups, each consisting of 48 patients. Group P patients received inhalational induction using sevoflurane followed by propofol 2 mg/kg. Group L received inhalational induction by sevoflurane followed by topical lidocaine 1% on glottic and supraglottic areas. The intubation conditions, hemodynamic parameters (heart rate, mean blood pressure, and oxygen saturation), respiratory depression, sedation score, and incidence of laryngospasm after recovery were recorded and statistically analyzed.

Results

The intubation score was statistically significant with a high difference between the two groups. The score mean values were less than 10 with more success of the intubation in the lidocaine group. The success rate of intubation without the use of short-time-acting muscle relaxant was higher in the lidocaine group (88.89%) as compared with the propofol group (79.2%). Hemodynamic stability after intubation in the lidocaine group, was statistically significant. The incidence of postoperative laryngospasm was statistically nonsignificant, but the incidence rate was higher in the propofol group.

Conclusion

Using lidocaine 1% topically on the larynx can achieve an acceptable condition of the intubation without muscle relaxant in most of the cases, with hemodynamic stability and decreasing incidence of postoperative laryngospasm.
Comparison of procalcitonin-guidance antibiotic therapy with empirical antibiotic therapy in critically ill patients with systemic inflammation response syndrome
Authors: Ali Rania M. , El Deen Ewis Hasan Bahaa , El Shaer Ahmed N. , Shabaan Sherif E. , El Ghazaly Ahmed E. , El Derh Maha S.
Published: September 2022

Objective

To assess the clinical value of daily serum procalcitonin (PCT) measurements for guiding the initiation of antibiotic treatment in critically ill patients with systemic inflammation response syndrome (SIRS) without evident infection and compare it with empiric antibiotic administration on ICU admission.

Patients and methods

This randomized double-blinded prospective controlled clinical study was conducted on 72 patients with SIRS without evident sepsis admitted to the ICU of the Obstetrics and Gynecology Hospital in Ain Shams University Hospitals from October 2018 to December 2020.

Results

PCT level was elevated above the cutoff value of 2 ng/ml in 15 patients in the PCT-guided antibiotic therapy group and 11 patients in the empiric antibiotic therapy group. PCT elevation above 2 ng/ml in the surgical subset was more significant than in the medical subset in both groups. The Sequential Organ Failure Assessment score and the length of ICU stay were not statistically significant different between the two groups.

Conclusions

Postponing antibiotic therapy in patients admitted to ICU with suspected noninfectious SIRS until PCT is higher than 2 ng/ml is safe, especially in medical ICU.
Analgesic efficacy of etoricoxib versus ibuprofen in unilateral hip or knee arthroplasty
Authors: Mitra Sukanya , Ahuja Vanita , Garg Sudhir
Published: September 2022

Background and objective

The preventive perioperative use of etoricoxib versus ibuprofen in patients undergoing either elective total hip arthroplasty or total knee arthroplasty (THA/TKA) surgeries has not been evaluated.

Patients and methods

This randomized open-label trial was conducted in 60 patients of the American Society of Anesthesiologists physical status I/II, of either sex, 18–70 years, undergoing elective unilateral THA/TKA. Group ibuprofen (n=30) received ibuprofen 400 mg per oral 1 h before surgery and then every 6 h for 48 h postoperatively. Group etoricoxib (n=30) received etoricoxib 120 mg of per oral 1 h before surgery and then at 24 and 48 h postoperatively. Both groups received combined spinal–epidural anesthesia intraoperatively and patient-controlled epidural analgesia postoperatively for 48 h. The primary outcome of the study was pain assessment using visual analog scale (VAS). The number of epidural bolus, rescue tramadol consumption, hemodynamics, postoperative nausea and vomiting, and side effects in 48 h postoperatively were also recorded.

Results

The VAS at rest at 4 h was greater in group ibuprofen versus in group etoricoxib, P value of 0.023. The VAS on movement at 2 and 4 h was greater in group ibuprofen versus group etoricoxib, P value of 0.013, P value of 0.014, respectively. The mean±SD (range) blood loss was reported to be greater in group ibuprofen as compared with group etoricoxib, P value of 0.013. There were no side effects.

Conclusion

Preventive use of oral etoricoxib versus ibuprofen for 48 h postoperatively reported similar pain relief in patients receiving following elective THA/TKA surgeries.

Trial registration

The clinical trial was registered with Clinical Trial Registry India (CTRI/2011/07/001901).
Diabetes mellitus in association with hepatic encephalopathy in patients with hepatitis C virus cirrhosis
Authors: Hossam Hazem , Abd El-Khalik Ashraf , Khaled Hassan
Published: September 2022

Background

There is growing evidence to support the concept that hepatitis C virus (HCV) infection is a risk factor for developing type 2 diabetes mellitus (T2DM) and that diabetes control could affect the prognosis of hepatic encephalopathy.

Objective

To study the relation between type of DM and HCV cirrhosis and to report any relationship between the outcome of hepatic encephalopathy and the glycemic control in the period before precipitation of encephalopathy.

Patients and methods

A total of 30 selected diabetic, HCV cirrhotic patients with age ranging from 43 and 70 years (mean, 55.87 years), admitted to the ICU for hepatic encephalopathy, were prospectively enrolled in this study. Cirrhosis was evaluated according to Child classification, whereas encephalopathy was evaluated according to West Haven criteria as well as Richmond agitation sedation score. Glycated hemoglobin was used to assess the glycemic control in the period before precipitation of encephalopathy.

Results

T2DM was more prevalent than type 1 in association with HCV (83.3% T2DM and 16.7% T1DM). Diabetes control plays no role in increasing the severity of cirrhosis (nonsignificant, with P & 0.249). The diabetic HCV cirrhotic patients admitted for hepatic encephalopathy had shorter ICU stay when DM was well-controlled medically in the period before precipitation of encephalopathy (P & 0.001). Moreover, the mortality was decreased markedly in association with diabetes control (P & 0.01).

Conclusion

HCV viremia had a higher risk of T2DM than T1DM. Diabetes control has no role in increasing the severity of HCV cirrhosis. In HCV cirrhotic diabetic patients, well- controlled DM could improve the ICU outcome (shorter ICU stay and less mortality) when admitted for hepatic encephalopathy.
Mood swing during menstruation: Confounding factors and drug use
Authors: Ojezele Matthew Obaineh , Eduviere Anthony Taghogho , Adedapo Emmanuel Adesola , Wool Treasure Kurakughan
Published: September 2022

BACKGROUND: Premenstrual syndrome (PMS) is a physiologic process in women where mood swing is one of the symptoms influencing the psycho-emotional, physical, and behavioral reactions exhibited by women during menstruation. This study elucidates the effect of mood swing, confounding factors and healthcare-seeking behaviors of women in an educational environment.METHODS: Exactly 328 women who were within reproductive ages 16 and 35 years participated in this study. A survey method was adopted; validated and standardized questionnaires were administered to confidentially assess the effect of mood swing via PMS. All data were analyzed with SPSS 25.0; descriptive method was adopted and results were expressed in percentages.RESULTS: Mood swing was discovered as a symptom overlapping with psycho-emotional, physical, and behavioral symptoms during menstruation. The overall PMS prevalence was 67.4% while PMDD prevalence was 25.6%. Psycho-emotional symptoms: anger, irritability, depression. Physical symptoms: coldness, paleness, food craving, breast tenderness, digestive changes. Behavioral symptoms: social withdrawal, nocturnal social activity, absenteeism, poor work or academic performance, increased libido. Confounding factors include stress, gynecological conditions such as endometriosis, uterine fibroid, ovarian cyst, pelvic adhesion, and polycystic ovarian syndrome. Also, 22.9% had a family history of bipolar disorder (BD) while 30.2% had previous diagnosis. Severe pain was a major factor for seeking treatment; Paracetamol, and Piroxicam were frequently used drugs.CONCLUSIONS: Severe PMS triggers mood swing and can badly affect academic or work activities; victims either endure the pain due to socio-cultural and financial factors or take unsuitable medications where abuse is inevitable.
Idempotent Rank of Identity Difference Transformation Semigroup
Authors: Jude. A. Omelebele , Otobong. G. Udoaka , Itoro. U Udoakpan
Published: September 2022

The identity difference transformation semigroup was examined for idempotent rank and the combinatorial results for idempotent ranks of IDT_n,IDO_n,IDI_n,and IDPOI_n were obtained.
PENINGKATAN HASIL BELAJAR ELASTISITAS BENDA DAN HUKUM HOOKE MELALUI METODE EKSPERIMEN BERBASIS PEMBELAJARAN KOOPERATIF PADA SISWA KELAS XI IPA.3 SMA NEGERI 1 TEGALLALANG
Authors: Loko I Made
Published: September 2022

Jenis penelitian ini adalah penelitian tindakan kelas yang bertujuan untuk meningkatkan hasil belajar elastisitas benda dan hukum Hooke mata pelajaran fisika pada siswa kelas kelas XI IPA.3 SMA Negeri Negeri 1 Tegallalang, melalui penerapan metode Eksperimen berbasis pembelajaran koopertif. Adapun subjek penelitian ini adalah siswa kelas kelas XI IPA.3 SMA Negeri 1 Tegallalangpada semester ganjil tahun pelajaran 2018 /2019 yang terdiri dari 36 siswa. Penelitian dilaksanakan dua siklus dengan setiap siklus terdiri dari empat kegiatan, yaitu: perencanaan, pelaksanaan tindakan, observasi dan refleksi. Pada siklus I dilaksanakan selama tiga kali pertemuan dan pada siklus dua dilaksanakan selama tiga kali pertemuan. Pengumpulan data hasil belajar dilakukan dengan menggunakan lembar observasi, dengan tes hasil belajar pada akhir siklus I dan akhir siklus II. Data yang terkumpul dianalisis secara kuantitatif dan kualitatif. Hasil analisis kuantitatif data hasil belajar fisika menunjukkan bahwa jumlah siswa yang tergolong tuntas belajarnya pada siklus I hanya 88,98% dan pada siklus II mencapai 91,67% jika dibandingkan dengan hasil belajar siklus awal sebesar 30,55% dapat dikatakan terjadi peningkatan Hasil belajar. Hasil analisis kualitatif menunjukkan terjadinya peningkatan aktivitas siswa selama proses pembelajaran fisika melalui Penerapan metode eksperimen berbasis pembelajaran kooperatif dapat meningkatkan hasil belajar siswa.
PENGEMBANGAN MEDIA INTERAKTIF BERBASIS BUDAYA LOKAL UNTUK MENINGKATKAN KETERAMPILAN BAHASA INGGRIS SISWA SEKOLAH MENENGAH KEJURUAN NEGERI 1 SINGARAJA
Authors: Pharhyuna A.M Kadek Agus Jaya
Published: September 2022

Tujuan dari penelitian pengembangan ini adalah untuk: 1) mendeskripsikan pengembangan media interaktif berbasis budaya lokal; 2) mengetahui pengaplikasian media interaktif berbasis budaya lokal dalam pembelajaran Bahasa Inggris; dan 3) mengetahui efektifitas media interaktif berbasis budaya lokal dalam pembelajaran Bahasa Inggris. Penelitian ini dilaksanakan di SMK Negeri 1 Singaraja, Bali dari bulan Juli sampai Desember tahun 2020. Subjek penelitiannya adalah siswa jurusan Usaha Perjalanan Wisata yang terdiri dari 39 siswa. Objek penelitiannya adalah media interaktif berbasis budaya lokal. Data dikumpulkan dengan menggunakan kuesioner. Instrumen yang digunakan dalam mengumpulkan data adalah uji kelayakan ahli media, uji kelayakan ahli materi, uji kelayakan pengguna, dan tes bahasa Inggris. Tehnik analisis data yang digunakan adalah analisis deskriptif kuantitatif dan kualitatif. Hasil penelitian yang diperoleh dari uji kelayakan media rata-ratanya adalah 4,83 (96,6%). Skor yang diperoleh dari uji kelayakan materi rata-ratanya adalah 4,71 (94,20%). Skor yang diperoleh dari uji pengguna rata-ratanya adalah 88,7. Sementara itu, hasil implementasi pada siklus I rata-ratanya adalah 73,03 dan pada siklus II rata-ratanya adalah 82,91. Dengan demikian, dapat disimpulkan bahwa media interaktif berbasis budaya lokal dapat digunakan dalam pembelajaran Bahasa Inggris di kelas XI UPW. Saran yang dapat direkomendasikan untuk kelanjutan penelitian ini adalah media interaktif berbasis budaya lokal ini dapat dikembangkan lagi sehingga bisa digunakan oleh seluruh siswa jurusan pariwisata di Indonesia.
Effect of Organizational Communication, Leadership Communication, and Work Discipline on Occupational Health and Safety at PT Armada Bangun Samudra (PT ABS)
Authors: Handayani Hanifah , Kholil Kholil , Widiowati Dewi
Published: September 2022

Communication is something that is required in everyday life to express thoughts or ideas to invite others to act and produce desired changes, both in terms of individuals and organizations. Within organizations, communication has an impact on organizational performance. This study aims to determine the effective communication model of OHS in PT Armada Bangun Samudra (PTABS), a shipbuilding company. Data were collected from 185 respondents who were selected randomly from a pool of 344. Data analysis used Structural Equation Modeling (SEM). The results reveal that communication can be effective in an organization with multiple sub-organizations/sections if it is carried out in a hierarchical manner one level above or below. This study found that the leader’s communication skills had a significant effect on work discipline.  Employee work discipline has a significant effect on the company’s OHS performance. To improve OHS performance, organizational leaders' communication skills and employee participation at all levels must be improved.
ASSESSMENT OF THE CORROSION RESISTANCE OF THE MAIN ALTERNATIVE MATERIALS FOR LIGHT WATER REACTORS TOLERANT FUEL ROD CLADDING
Authors: Zuyok Valeriy , Rud Roman , Tretyakov Mykhaylo , Rud Nataliya , Kushtym Yana , Dykyy Ivan , Shevchenko Igor , Rostova Hanna , Shtefan Viktoriia
Published: September 2022

Basic materials for nuclear fuel rod claddings (Zr+1%Nb and E110 alloys), as well as alternative materials for tolerant fuel rod claddings (Cr18Ni10Тi steel and 42CrNiМo alloy), that are able to maximally prevent the development of severe accidents at nuclear power plants were tested in the high-temperature water vapor environment. A comparative analysis of the corrosion resistance of these materials is presented, as well as the results of similar tests by the world’s leading scientists. Samples of 42CrNiМo alloy revealed the highest corrosion resistance at high temperatures in a water vapor environment among the alternative materials for the fuel rod cladding considered in the study. The corrosion resistance of this alloy at a temperature of 1200 °C is approximately 40 times higher than that of Cr18Ni10Тi steel and E110 alloy. The high-temperature corrosion rate of the 42CrNiМo alloy is comparable to the corrosion rate of the Fechral alloy. The hydrogen that would be released during the oxidation of the 42CrNiМo alloy claddings would be almost forty times less compared to the zirconium alloy under the conditions of severe design accidents associated with overheating of the core.
Isolated Lacunar Skull Defect in a Newborn
Authors: KAVURT Ayşen Sumru , DEMİREL Nihal , CUNİ Betül , TASCI YILDIZ Yasemin , BAŞ Ahmet Yağmur
Published: September 2022

The lacunar skull is a fetal ossification disorder first defined in the early 19th century, commonly associated with spina bifida and meningocele, and rarely seen as an isolated defect. It is characterized by defects on the inner table of the skull, in the form of shallow depressions or deep cavitations causes the skull to appear fenestrated because of mesenchymal dysplasia during intramembranous ossification. These bone defects may be present in any part of the calvarium but most frequently occur in the parietal and frontal bones. Clinically, lacunar skull may be suspected, but the diagnosis usually depends on the roentgenographic appearance. We report a newborn diagnosed with severe lacunar skull defect without any congenital malformations however accompanying severe vitamin D deficiency of maternal origin.
Osteoporoz ve Mikrobiyota
Authors: AKSOY Münevver , ERTÜRK ÇELİK Gülsemin , USTUN Yaprak
Published: September 2022

Osteoporoz tıbbi, toplumsal ve mali sonuçlarıyla önemli bir sorundur. Osteoporozun önlenmesinde ve tedavisinde yeni yöntemler aranmaktadır. Mevcut çalışmalar bağırsak disbiyozunun osteoporoza neden olduğu yönündedir.
EFFECTIVENESS OF CALISTHENIC EXERCISES IN REDUCING STRESS AMONG NURSING STUDENTS IN A SELECTED COLLEGE OF NURSING
Authors: rajakumari Mrs. Joanna Grace , Pandiammal Dr. P. Pandiammal
Published: September 2022

Calisthenic exercises leads to an improvement in overall strength and energy to the body, in turn promoting overall health. Calisthenics also improves mental health, which in turn helps in treating depression, stress, anxiety and the like. The objectives are to assess the level of stress and find out the effectiveness of calisthenic exercises, associate the post test stress score with their selected demographic variables among nursing students.
ANALISIS KEBIJAKAN PROGRAM BEASISWA KARTU INDONESIA PINTAR-KULIAH (KIP-K) DI UNIVERSITAS DIPONEGORO
Authors: Aidah Naila Ayu
Published: September 2022

Pemerintah meluncurkan sebuah beasiswa bernama KIP-K untuk membantu mendanai pendidikan mahasiswa Indonesia dari golongan yang kurang mampu. Metode penelitian pada penelitian ini menggunakan bentuk penelitian kualitatif dengan jenis penelitian deskriptif. Teknik dalam mengumpulkan data didapatkan melalui dokumen, studi literatur, maupun sumber-sumber data resmi yang dimiliki ormawa Universitas Diponegoro yang telah diuji keabsahannya. Sementara itu, teknik atau cara untuk menganalisis data dilakukan dengan deskriptif analitik yakni dengan mendeskripsikan data dukung suatu permasalahan sehingga dapat diketahui permasalahan dan rekomendasi pemecahan masalah yang sesuai dengan realitas. Kasus pengimplementasian program beasiswa KIP-K di Universitas Diponegoro mengalami beberapa kendala yaitu seperti minimnya transparansi informasi, inkonsistensi pencairan dana, dan alur birokrasi yang bertingkat-tingkat. Maka dari itu, melalui rekomendasi kebijakan yang telah dibuat berdasarkan analisis keberjalanan program beasiswa KIP-K di Universitas Diponegoro, yaitu Peningkatan Transparansi Informasi dan Komunikasi pada Program KIP-K, Penyusunan Regulasi Pencairan Dana Terkait Penerapan Program Beasiswa KIP-K, dan Penyederhanaan Birokrasi Penyelenggara Beasiswa KIP-K dapat menjadi solusi dan membantu mengatasi permasalahan yang tengah dihadapi.
MÖ 2. BİNYILDA DOĞU AKDENİZ İLE EGE ARASINDAKİ KÜLTÜREL İLİŞKİLER: NUZİ SERAMİĞI ÜZERİNE DEĞERLENDİRMELER
Authors: BATARAY Nurettin
Published: September 2022

Doğu Akdeniz ve Yukarı Mezopotamya’da Geç Tunç Çağı boyunca görülen Nuzi seramiği, üzerinde yer alan zengin bezeme içeriği ile Ege dünyasında bilinen Kamares seramiği ile önemli benzerlikler göstermektedir. Özellikle Nuzi seramiğinin batıdaki yayılım coğrafyasında bulunan örneklerde görülen papirüs ve çift ağızlı balta gibi simgesel motiflerin Ege kültürlerinde de sıkılıkla kullanılması dikkat çekicidir. Benzer motiflerin yanı sıra koyu zemin üzerine açık boyama tekniğinin kullanımında da benzerlikler söz konusudur. Her iki seramik grubu, farklı dönem ve coğrafyalarda yayılım göstermelerine karşın, aralarındaki muhtemel bağlantı kültürler arasındaki etkileşim tartışmalarını da beraberinde getirirken, MÖ 2. binyılda Akdeniz Havzasında gerçekleşen denizsel bağlantı faaliyetlerinin kültürler üzerindeki etkilerini anlamamıza olanak sağlamaktadır. Bu çalışmada, Nuzi seramiği üzerinde görülen Ege etkilerinin, iki bölge arasındaki etkileşim sonucu olarak ortaya çıktığı savunulmaktadır.
A sustentabilidade sob a perspectiva jurisdicional "à brasileira”: um estudo de caso da Ação Civil Pública 5118121-39.2020.8.21.0001/RS
Authors: Izolani Francieli Iung , Pedroso Frederico Thaddeu , Tybusch Jerônimo Siqueira , Tybusch Francielle Benini Agne
Published: September 2022

Esta pesquisa objetiva compreender as perspectivas de efetividade da tutela jurisdicional brasileira à sustentabilidade multidimensional na sociedade contemporânea, a partir do estudo da Ação Civil Pública 5118121-39.2020.8.21.0001/RS, em trâmite no 1º Juízo da 10ª Vara da Fazenda Pública do Foro Central da Comarca de Porto Alegre/RS, evidenciando direitos transindividuais frente ao agrotóxico 2,4-D. Para tanto, a metodologia empregada obedece ao quadrinômio Teoria de Base, Abordagem, Procedimento e Técnica. Como Teoria de Base, Juarez Freitas e Jerônimo Tybusch à sustentabilidade multidimensional; Giuseppe Chiovenda e Francesco Carnelutti à jurisdição, a partir da releitura em Cristiano Isaia. Utiliza-se a abordagem sistêmico-complexa, a partir das lições de Fritjof Capra e Edgar Morin. O procedimento calca-se na pesquisa bibliográfica e na documental, a partir das técnicas de fichamentos, resumos estendidos e elaboração de gráficos e tabelas. Conclui-se que, apesar de o estudo de caso possibilitar uma oportunidade de efetivação da sustentabilidade multidimensional, a jurisdição brasileira vem avançando em uma linha diametralmente oposta.
PENGARUH DANA PINJAMAN BANK KELILING TERHADAP KESEJAHTERAAN
Authors: Roisiyatin  , Apriliani Della
Published: September 2022

Penelitian ini bertujuan untuk mengetahui pengaruh dana pinjaman bank keliling terhadap kesejahteraan study kasus ibu-ibu nasabah bank keliling sampel pada penelitian ini menggunakan teknik purposif yang berjumlah 97 orang. Metodelogi penelitian ini adalah penelitian kausalitas (kuantitatif) dengan menggunakan teknik analisis data berupa, uji keabsahan data menggunakan uji validitas dan uji reliabilitas, uji hipotesis adalah uji parsial menggunakan statistik uji t dan analisis regresi linear sederhana. Dalam hasil pengujiaan hipotesis berdasarkan nilai signifikan (Sig) diketahui nilai signifikansi (Sig) variabel dana pinjaman bank keliling (X) adalah sebesar 0,836 karena nilai sig. 0,836 > probabilitas 0,05, maka dapat di simpulkan bahwa Ha ditolak. Artinya tidak ada pengaruh dana pinjaman bank keliling terhadap kesejahteraan
Prognostic marker for mortality of COVID-19 patients in the intensive care unit: the delta neutrophil index
Authors: KÜÇÜK Berkay , KOCABEYOĞLU Gül Meral , BALTACI ÖZEN Sevil , KOSOVALI Behiye Deniz , MUTLU Nevzat Mehmet , YAKIŞIK ÇAKIR Esra , ÖZKOÇAK TURAN Işıl , BAĞ Yusuf Murat , BULĞURCU Abdullah
Published: September 2022

Aim: The Delta Neutrophil Index (DNI) shows the ratio of immature granulocytes in the circulation and increases in conditions of infection and inflammation. The aim of this study was to investigate the suitability of using DNI as a prognostic marker of mortality in COVID-19 patients in the Intensive Care Unit (ICU).
Material and Method: This retrospective study included 316 patients followed up in the ICU with a diagnosis of COVID-19. A record was made for each patient of demographic data, laboratory values, clinical results and mortality status. All the data of the patients were evaluated and compared between the two groups of surviving and non-surviving patients.
Results: Mortality developed in 181 (57.27%) patients. The Glasgow Coma Scale score was lower and the APACHE II and SOFA scores were higher in the mortality group than in the surviving group (p<0.001 for all). The creatinine, procalcitonin, white blood cell, neutrophil count, neutrophil-lymphocyte ratio, lactate, interleukin -6 and C-reactive protein values were statistically significantly higher in the mortality group. In the comparison of DNI between the groups, a statistically significant difference was only determined on day 3 (p=0.026). For the DNI examined on day 3, the AUC value was 0.574 and the cutoff value was 1.35% for the prediction of mortality.
Conclusion: DNI, which is low cost and simple to use, can be considered safe for use in the prediction of mortality of ICU patients diagnosed with COVID-19. The monitoring of increasing or decreasing trends by keeping regular records can be considered important for the clinical course.
The effect of hyperthyroidism in the first trimester of pregnancy on low birth weight
Authors: ŞAHİN TEKİN Melisa , KALKAN Ahmet Toygar , KALKAN Hande Ece , YORULMAZ Göknur
Published: September 2022

Aim: The diagnosis of thyrotoxicosis in the first trimester of pregnancy is peculiar due to the physiological changes that occur due to pregnancy. There are maternal and fetal adverse effects of hyperthyroidism on pregnancy. In this study, we aimed to evaluate the effect of thyrotoxicosis on newborn weight in pregnant women with gestational transient thyrotoxicosis or Graves' disease who were referred for thyrotoxicosis in the first trimester.
Material and Method: Ninety-four pregnant women in the first trimester with subclinical or overt hyperthyroidism caused by gestational transient thyrotoxicosis or Graves’ disease and 30 healthy pregnant women in the same trimester were included in the study. The birth weights of their babies were compared.
Results: Ninety of the patients reached delivery, and four with gestational transient thyrotoxicosis had abortus due to obstetric reasons. No statistical difference was found in terms of the birth weights of the babies in the comparison between the gestational transient thyrotoxicosis, Graves’ disease, and the control groups (p>0.05).
Conclusion: In our study, neither gestational transient thyrotoxicosis nor Graves' disease was found to be associated with low birth weight. But since it is known that overt hyperthyroidism may be associated with low birth weight, pregnant women with hyperthyroidism should be followed carefully.
Narrating “Their War” and “Our War”
Authors: Springer Nina , Nygren Gunnar , Widholm Andreas , Orlova Dariya , Taradai Daria
Published: September 2022

“Patriotic journalism,” a deviation from objectivity, has become an important paradigm and well-documented phenomenon in the analysis of conflict coverage. However, studies rarely focus on the link between journalists’ perceptions and narratives. We investigated how journalists from two countries, one involved in a conflict (Ukraine) and the other observing it from a distance (Sweden) relate to the objectivity norm in sourcing and narrating seven conflictive news cases in Ukraine (2017 to 2018). We found pragmatic commitment to objectivity in both countries, which was not always reflected in the content produced. For Swedish journalists, our results hint toward a value-based ally loyalty, which seems less stable than a tribe-based bond. In Ukraine, official Ukrainian perspectives were undisputedly disseminated; however, we did not find that they were generally positively laden, as one would expect for patriotic journalists. Trust in public institutions might be a deciding factor over the extent of patriotism.
The ion–ion recombination coefficient α: comparison of temperature- and pressure-dependent parameterisations for the troposphere and stratosphere
Authors: Zauner-Wieczorek Marcel , Curtius Joachim , Kürten Andreas
Published: September 2022

Abstract. Many different atmospheric, physical, and chemical
processes are affected by ions. An important sink for atmospheric ions is
the reaction and mutual neutralisation of a positive and negative ion, also
called ion–ion recombination. While the value for the ion–ion recombination coefficient α is well-known for standard conditions (namely 1.7 × 10−6 cm3 s−1), it needs to be calculated for deviating temperature and pressure conditions, especially for applications at higher altitudes of the atmosphere. In this work, we review the history of theories and parameterisations of the ion–ion recombination coefficient, focussing on the temperature and pressure dependencies as well as the altitude range between 0 and 50 km. Commencing with theories based on J. J. Thomson's work, we describe important semi-empirical adjustments as well as
field, model, and laboratory data sets, followed by short reviews of binary
recombination theories, model simulations, and the application of
ion–aerosol theories to ion–ion recombination. We present a comparison
between theories, parameterisations, and field, model, and laboratory data sets to conclude favourable parameterisations. While many theories agree well with field data above an altitude of approximately 10 km, the nature of the recombination coefficient is still widely unknown between Earth's surface and an altitude of 10 km. According to the current state of knowledge, it appears reasonable to assume an almost constant value for the recombination coefficient for this region, while it is necessary to use values that are adjusted for pressure and temperature for altitudes above 10 km. Suitable parameterisations for different altitude ranges are presented and the need for future research, be it in the laboratory or by means of modelling, is identified.
MultilayerPy (v1.0): a Python-based framework for building, running and optimising kinetic multi-layer models of aerosols and films
Authors: Milsom Adam , Lees Amy , Squires Adam M. , Pfrang Christian
Published: September 2022

Abstract. Kinetic multi-layer models of aerosols and films have become the state-of-the-art method of describing complex aerosol processes at the particle and
film level. We present MultilayerPy: an open-source framework for building, running and optimising kinetic multi-layer models – namely the kinetic
multi-layer model of aerosol surface and bulk chemistry (KM-SUB) and the kinetic multi-layer model of gas–particle interactions in aerosols and
clouds (KM-GAP). The modular nature of this package allows the user to iterate through various reaction schemes, diffusion regimes and experimental
conditions in a systematic way. In this way, models can be customised and the raw model code itself, produced in a readable way by MultilayerPy, is
fully customisable. Optimisation to experimental data using local or global optimisation algorithms is included in the package along with the option
to carry out statistical sampling and Bayesian inference of model parameters with a Markov chain Monte Carlo (MCMC) sampler (via the emcee
Python package). MultilayerPy abstracts the model building process into separate building blocks, increasing the reproducibility of results and
minimising human error. This paper describes the general functionality of MultilayerPy and demonstrates this with use cases based on the oleic- acid–ozone heterogeneous reaction system. The tutorials in the source code (written as Jupyter notebooks) and the documentation aim to
encourage users to take advantage of this tool, which is intended to be developed in conjunction with the user base.
Future snow changes and their impact on the upstream runoff in Salween
Authors: Chai Chenhao , Wang Lei , Chen Deliang , Zhou Jing , Liu Hu , Zhang Jingtian , Wang Yuanwei , Chen Tao , Liu Ruishun
Published: September 2022

Abstract. Understanding the hydrological processes related to snow
in global mountainous regions under climate change is necessary for
achieving regional water and food security (e.g., the United Nation's
Sustainable Development Goals 2 and 6). However, the impacts of
future snow changes on the hydrological processes in the high mountains of
the “Third Pole” are still largely unclear. In this study, we aimed to project
future snow changes and their impacts on hydrology in the upstream
region of the Salween River (USR) under two shared socioeconomic pathway (SSP) scenarios
(SSP126 and SSP585) using a physically based cryosphere–hydrology model. We
found that the climate would become warmer (0.2 ∘C per decade under SSP126 and 0.7 ∘C per decade under SSP585) and
wetter (5 mm per decade under SPP126 and 27.8 mm per decade under SSP585) in the
USR in the future under these two SSPs. In this
context, the snowfall, snow cover, snow water equivalent, and snowmelt
runoff are projected to exhibit significant decreasing trends during
1995–2100, and the decreases are projected to be most prominent in summer
and autumn. The future (2021–2100) snowmelt runoff is projected to
significantly increase in spring compared with the reference period
(1995–2014), which would benefit the availability of water resources in the
growing season. The annual total runoff would significantly increase in all of
the future periods due to increased rainfall, which would increase the
availability of water resources within the basin, but the high peak flow
that occurs in summer may cause rain flooding with short duration and high
intensity. Compared with the reference period (the contribution of snowmelt
runoff to the total runoff was determined to be 17.5 %), the
rain- and snow-dominated pattern of runoff would shift to a rain-dominated
pattern after the near term (2021–2040) under SSP585, whereas it would remain
largely unchanged under SSP126. Climate change would mainly change the
pattern of the snowmelt runoff, but it would not change the annual
hydrograph pattern (dominated by increased rainfall). These findings improve
our understanding of the responses of cryosphere–hydrological processes
under climate change, providing valuable information for integrated water
resource management, natural disaster prevention, and ecological
environmental protection at the Third Pole.
Disastrous flooding in July 2021 in Germany – Event analysis and consequences for risk assessment approaches
Authors: Merz Bruno , Apel Heiko , Kreibich Heidi , Vorogushyn Sergiy
Published: September 2022

In July 2021 Germany has experienced devastating flooding with unprecedented impacts of around 180 fatalities and 30 billion € economic losses. To understand the main causes of this flood disaster, we analyze this event along the flood process chain, from the triggering atmospheric processes through catchment and river system processes to its impacts on people and the built environment. We discuss to which extent current approaches for flood mapping and risk assessment are able to provide sound information for preparing citizens, disaster management and administration against such events. We argue that risk assessments should be based on broader approaches that attempt to include a larger breadth of possible events, failure scenarios and impacts. Approaches, such as worst-case scenarios, downward counterfactuals, or historical storylines, and more comprehensive and refined impact modeling can substantially contribute to a better understanding of the potential for disasters.
Import of Atlantic Water and sea ice controls the ocean environment in the northern Barents Sea
Authors: Lundesgaard Øyvind , Sundfjord Arild , Lind Sigrid , Nilsen Frank , Renner Angelika H. H.
Published: September 2022

Abstract. The northern Barents Sea is a cold, seasonally ice-covered Arctic shelf sea region that has experienced major warming and sea ice loss in recent decades. Here, a 2-year observational record from two ocean moorings provides new knowledge about the seasonal hydrographic variability in the region
and about the ocean exchange across its northern margin. The combined records of temperature, salinity, and currents show the advection of warmer and
saltier waters of Atlantic origin into the Barents Sea from the north. The source of these warmer water masses is the Atlantic Water boundary current that flows along the continental slope
north of Svalbard. Time-varying southward inflow through cross-shelf troughs was the main driver of the
seasonal cycle in ocean temperature at the moorings. Inflows were intensified in autumn and early winter, in
some cases occurring below the sea ice cover and halocline water. On shorter timescales, subtidal current variability was correlated with the large-scale meridional atmospheric pressure gradient, suggesting wind-driven
modulation of the inflow. The mooring records also show that import of sea ice into the Barents Sea has a lasting
impact on the upper ocean, where salinity and stratification are strongly affected by the amount of
sea ice that has melted in the area. A fresh layer separated the ocean surface from the warm mid-depth waters following large sea ice imports in 2019, whereas diluted Atlantic Water was found close to the surface during episodes in autumn 2018 following a long ice-free period. Thus, the advective imports of
ocean water and sea ice from surrounding areas are both key drivers of ocean variability in the region.
PENGARUH BUDAYA KERJA DAN PEMBAGIAN KERJA TERHADAP KINERJA APARAT DI KANTOR DESA KELATEN KECAMATAN PENENGAHAN KABUPATEN LAMPUNG SELATAN
Authors: Suyadi  , Umar Sanusi  , Fajar
Published: September 2022

Penelitian ini memiliki tujuan untuk menganalisis Budaya Kerja Dan Pembagian Kerja baik   secara parsial maupun  secara   simultan   Terhadap Kinerja Aparat Di Kantor Desa Kelaten Kecamatan Penengahan Kabupaten Lampung Selatan. Jenis penelitian yang digunakan dalam penelitian ini adalah studi kasus. Populasi dalam penelitian ini adalah semua Aparat Di Kantor Desa Kelaten Kecamatan Penengahan Kabupaten Lampung Selatan. Sampel dalam penelitian ini adalah 30 orang. Pengumpulan datanya dilakukan dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Teknik analisis data yang digunakan untuk menjawab hipotesis penelitian ini adalah uji regresi berganda. Hasil Penelitian membuktikan bahwa semua variabel indpenden (Budaya Kerja Dan Pembagian Kerja) mempunyai pengaruh yang positif dan signifikan terhadap variabel dependen yaitu Kinerja Aparat Di Kantor Desa Kelaten Kecamatan Penengahan Kabupaten Lampung Selatan. Artinya menurut pegawai kedua variabel independen (Budaya Kerja Dan Pembagian Kerja) dianggap penting ketika ingin meningkatkan Kinerja Aparat Di Kantor Desa Kelaten Kecamatan Penengahan Kabupaten Lampung Selatan.
COVID-19 PANDEMİ SÜRECİNDE ADÖLESANLARIN YEME TUTUMLARININ VE YEME TUTUMLARI İLE İLİŞKİLİ FAKTÖRLERİN DEĞERLENDİRİLMESİ
Authors: YURTDAŞ Gamze , KANER Gülşah
Published: September 2022

Amaç: Bu çalışmada, korona virüs hastalığı-19 pandemi sürecinde adölesanların yeme tutumlarının ve yeme tutumları ile ilişkili faktörlerinin belirlenmesi amaçlandı.

Yöntem: Çalışma, 10-18 yaşlarında kolejde öğrenim gören 796 öğrencinin katılımı ile gerçekleştirildi. Çalışma verileri yüz yüze görüşme tekniği uygulanarak bir anket formu aracılığı ile elde edildi. Anket formunda, adölesanların sosyodemografik özelliklerini, pandemi öncesi ve sürecindeki beslenme alışkanlıklarını, iştah durumlarını, uyku sürelerini, fiziksel aktivite yapma durumlarını belirlemeye yönelik sorular mevcuttu. Adölesanların yeme tutum ve davranışlarının belirlemek için Yeme Tutum Testi-26 (YYT-26) ölçeği kullanıldı.

Bulgular: Adölesanların yaş ortalaması 13.0±1.99 yıl idi. YTT-26 sonuçlarına göre adolesanların %23.0’ının olumsuz yeme tutumuna sahip olduğu belirlendi. Kızların ortalama oral kontrol davranış skoru erkeklerden daha yüksek bulundu (p
Tinjauan dan Pelaksanaan Penyusutan Rekam Medis Di RSU Madani Medan
Authors: Tanjung Lisa Anggriani , Karo-Karo Siddik , Hartanti Indah Fitri
Published: September 2022

Depreciation of medical record documents is an activity to separate documents that are declared active and inactive. If the implementation of depreciation is delayed, there will be a buildup of medical record documents that fill the medical record document storage rack. The accumulation of medical record documents makes storage shelves untidy and prone to misplacement of medical record documents (missfile). In Permenkes No. 269/MENKES/PERIII/2008 concerning medical records, medical records are files containing notes and documents regarding patient identity, examination, treatment, actions and other services provided to patients. The purpose of this study was to determine the implementation of shrinking medical record files at Madani Hospital Medan. This type of research is descriptive qualitative. This method is used to describe the cause of the non-implementation of shrinkage of medical record files at RSU Madani Medan. Collecting data in this study conducted interviews with medical record officers. Based on the results of research at Madani General Hospital in Medan, there were 6 medical record officers and only 4 people with RMIK D-III educational background. The implementation of sorting medical record files at RSU Madani Medan is not in accordance with standard operating procedures because the sorting process is more than 5 years old. Hospitals should provide training for filing officers. For non-medical record officers, medical record education and health information to better understand the implementation of depreciation. Hospitals also need to immediately make a retention schedule so that there is a regular schedule for retention.