bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of connective tissue abnormalities in patients with spontaneous cervical artery dissection in a multiethnic population
Authors: Reges Danyelle Sadala , Ramacciotti Lorenzo , Lopes Rônney Pinto , Adissy Erica Navarro Borba , Silva Gisele Sampaio
Published: July 2023

Objectives: To investigate the prevalence of characteristics phenotypic associated to connective tissue abnormalities in patients with craniocervical artery dissections (CAD). Methods: We assessed phenotypic detectable signs of connective tissue aberration in a series of patients with CAD and patients with ischemic stroke unrelated to CeAD (non-CAD) by a standard protocol including 68 items. Results: The study group included 20 patients with CAD (mean age, 44.5 6 7.8 years; 66.7% men) and 12 patients with non-CAD. Connective tissue abnormalities were detected more frequently in the group of patients with CAD than in the group of those with non-CAD IS (63% in CAD IS and 58% in non-CAD IS; P = 0.001). The mean of detectable sign in the CAD group was 2.86 compared with 1.9 in the group with non-CAD IS (P = 0.005). Conclusion: Connective tissue abnormalities are frequent in patients with CAD IS. This reinforces the hypothesis that systemic aberrations of the connective tissue might be implicated in the pathogenesis of the disease.
Effect and tolerance of acetazolamide in patients with idiopathic intracranial hypertension
Authors: Storarri Ana Carolina Montouro , Lee Annelise Akemi Higa , Domingues Renan Barros
Published: July 2023

Introduction: Acetazolamide is commonly used to treat idiopathic intracranial hypertension (IIH). The Idiopathic Intracranial Hypertension Treatment Trial showed a modest improvement in visual field function in patients using acetazolamide with a low-sodium weight-reduction diet compared with diet alone. There is still insufficient data to establish its use. Objectives: To describe acetazolamide effect in improving headache, visual acuity and papilloedema in patients with HII and assess patient’s tolerance to it Design. Retrospective analysis of 37 patients with IIH taking acetazolamide in a headache clinic of a tertiary medical center in São Paulo, Brazil. Results: The population analyzed was mostly female, with a mean age of 34.32 years, obese with a mean body mass index of 34.16, and were referred to the headache clinic from the emergency department. All 37 patients complained of headache and had increased cerebrospinal fluid opening pressure initially (mean 42.05). Improvement of headache was reported by 25 (67.56%) patients. Fundoscopy was described in the initial and last visit in 24 patients: 15 had papilloedema initially and 9 had a normal exam. At the last visit 9 patients improved (60%), 6 maintained papilloedema and 1 patient developed it. Visual acuity was described in the initial and last visit in 20 patients: 5 had normal visual acuity, 14 had low visual acuity and one patient was amaurotic. Of those with low visual acuity 2 (14.28%) got completely recovered, 5 (35.71%) recovered partially and 7 (50%) got worse. Two patients with the initial normal exam got worse during follow-up. Adverse effects were reported by 5 (13.51%) patients and led to discontinuation of acetazolamide — 3 of 5 reported paresthesias. Conclusion: Acetazolamide reduced headache in 67.56%, improved visual acuity in 50% and papilloedema in 60%, and was well tolerated by 86.48% of patients.
Rezension von: Rudolf, Hans Ulrich (Hrsg.), Weingarten gestern und heute
Authors: Eiden Maximilian , Rudolf Hans Ulrich
Published: July 2023

Hans Ulrich Rudolf (Hg.): Weingarten gestern und heute. Vom Dorf der Alamannen zur Stadt des Heiligen Bluts. Mit einer CD als Beilage „Musik aus der Basilika Weingarten 2015. Basilikachor Weingarten“ (hg. vom Förderverein für Basilikamusik e. V.). Lindenberg: Fink Verlag 2015; XXVI und 613 S. mit 800 großteils farbigen Abb., Karten und Diagrammen, 39,90 EUR
Rezension von: Wille, Wolfgang (Bearb.), Das Bebenhäuser Urbar von 1356
Authors: Scheinhammer-Schmid Ulrich , Wille Wolfgang
Published: July 2023

Wolfgang Wille (Bearb.): Das Bebenhäuser Urbar von 1356. Mit Beiträgen von Gerd Brinkhus/Robert Kretschmar/Sönke Lorenz/Peter Rückert (Veröffentlichungen der Kommission für geschichtliche Landeskunde in Baden-Württemberg, Reihe A: Quellen 47). Stuttgart: Kohlhammer-Verlag 2015; LXXX und 626 S., 8 Abb., 5 farb. Abb., 1 Karte, geb., 65,00 EUR
Rezension von: Landesmuseum Württemberg (Hrsg.): Christoph
Authors: Rieber Christof , Landesmuseum Württemberg
Published: July 2023

Landesmuseum Württemberg (Hg.): 1515-1568. Christoph. Ein Renaissancefürst im Zeitalter der Reformation (Katalog zur Ausstellung im Landesmuseum Württemberg Stuttgart). Stuttgart/Ostfildern: Süddeutsche Verlagsgesellschaft Ulm im Jan Thorbecke Verlag 2015; 208 S., 234 Farbabb., 4 s/w-Abb., geb., 19,80 EUR
Rezension von: Bütterlin, Christine, Köpfchen, Kanzel, Kinder
Authors: Wettengel Michael , Bütterlin Christine
Published: July 2023

Christine Bütterlin: Köpfchen, Kanzel, Kinder. Der Ulmer Münsterpfarrer Jakob Rieber (1858-1926) und seine siebzehnköpfige Familie. Reutlingen: Oertel + Spörer Verlags-GmbH + Co.-KG 2015; 288 S., zahl. s-w Abb., geb., 19,95 EUR
Rezension von: Weber, Edwin Ernst (Hrsg.), Literatur in Oberschwaben seit 1945
Authors: Hoben Franz , Weber Edwin Ernst
Published: July 2023

Edwin Ernst Weber (Hg.): Literatur in Oberschwaben seit 1945 (Oberschwaben – Ansichten und Aussichten 11). Meßkirch: Gmeiner-Verlag 2017; 304 S., 71 Abb. 20,00 EUR
A Context-Aware Workflow Model with Time Management
Authors: KHENNAOUİ Roumeissa
Published: July 2023

In the ambient intelligence field, workflow technology is gaining a lot of consideration. Ambient intelligence systems are composed of heterogeneous distributed devices. They are context-aware, and they can adapt to the context’s changes. Thus, context-aware workflow modeling is the main issue. Context-aware workflow management allows workflows to adapt dynamically to environmental changes; additionally, it depends heavily on time management. Generally, time violations require exception handling, which makes temporal constraint specification at design time a critical step. The method presented in this study for modeling context-aware workflows involves incorporating time-constraint information into the workflow specification. The main contribution is defining a formal spatio-temporal model that considers all feasible workflow executions. First, we specify the workflow using the algebraic language Time-AgLOTOS. Then, based on this specification, we build the corresponding labeled transition systems that illustrate the feasible executions. Finally, we give an example to demonstrate the usefulness of the research.
The Efficacy of SEO as a Strategic Marketing Tool for Brand Promotion and Product Advertising
Authors: Kospay Dana
Published: July 2023

This article is devoted to the study of the role of SEO optimization in the promotion of the company's brand and products on the market. The purpose of the study is to study the effectiveness of using SEO in promoting the company's brand and products on the net. The main directions and ideas of the work consist in the analysis of SEO methods, consideration of examples of successful practice in various business sectors and identification of the main factors affecting the effectiveness of SEO. The scientific and practical significance of the work is to identify the features of using SEO to promote the company's brand and products on the Internet and to establish the effectiveness of various methods of SEO in practice. The research methodology includes an analysis of the literature, consideration of the stages of the implementation of the tool and a comparative analysis of SEO methods. The main results and analysis of the work show that the use of SEO is an effective way to promote the company's brand and products on the Internet, and to achieve maximum efficiency, it is necessary to take into account the specifics of the business and the audience, as well as constantly monitor changes in search engine algorithms. The value of the conducted research lies in the development of theoretical knowledge about the effectiveness of SEO for the promotion of the company's brand and products on the Internet, as well as in the practical application of the research results in the development and implementation of SEO strategies in various business sectors.
PATTERN OF COMPUTED TOMOGRAPHY FINDINGS IN ADULT PATIENTS PRESENTING WITH STROKE IN NNEWI, SOUTHEAST NIGERIA
Authors: Nnamdi Oluchukwu Faith , Ugwuanyi Daniel C. , Eze Joseph C , Ukibe Nkiru R. , Elugwu Chukwuemeka Henry , Obinna Obiedo Kingsley
Published: July 2023

The incidence of stroke in developing countries like Nigeria is expected to rise in the future as the population undergoes a “health transition”, from less of infectious diseases, and diseases related to poverty and malnutrition to more of non-communicable diseases. This study sort to evaluate the pattern of computed tomography findings in adult patients presenting with stroke in Nnewi, Southeast Nigeria in order to provide the baseline data that will enable accurate diagnosis in patients affected by stroke. This was a retrospective cross-sectional review. A convenient sampling technique was used to recruit patients’ data with clinical suspected CVA and retrieve records/cases of CT examination findings from this population at Waves diagnostics Nnewi, Anambra state. Statistical package for social science (SPSS) V.20.0 was used to analyse the data include descriptive statistics such as mean, frequency and percentage was used to summarize the data. Data was categorized according to age group and gender. Majority of the participant where in the age range of 51-60years (25%) followed closely by 61-70years (22%) and then 71-80years (19.0%) making age range 51-80years the most stroke affected population (66%). Majority of the participants where males (51%). Result also showed that majority of the participants were diagnosed with right ischaemic CVA (72%) whereas the least was bilateral haemorrhagic CVA (1.0%). In general, ischaemic CVA had the highest prevalence (74.7%). Ischaemic stroke was prevalent in this population, more men had stroke than women especial bilateral CVA (multiple affectation). CVA was more prevalent in the older age group than in the younger population. While basal ganglia lacunar was common feature in ischaemic CVA, intracerebral/subdural haemorrhage and subarachnoid haemorrhage were common features in haemorrhage CVA.
Calidad de vida en pacientes renales crónicos con tratamiento sustitutivo renal mediante fistula arteriovenosa
Authors: Ortega Paredes Maria Gabriela , Montenegro Villavicencio Medardo
Published: July 2023

Antecedente: La enfermedad renal crónica terminal, es considerada una de las principales causas de morbilidad a nivel mundial, siendo responsable el mal control de presión arterial y glicémico, convirtiéndose en un gasto sanitario elevado con una tasa de mortalidad igual de alta. Sin embargo, dados los tratamientos sustitutivos renales se ha mejorado los índices de morbilidad, pero existen falencias sobre los indicadores de calidad de vida y de atención hospitalaria. Objetivo: El presente proyecto estableció la correlación entre el tipo de acceso vascular empleado en hemodiálisis y la calidad de vida mediante el escore EQ5d-5L. Método: Mediante el uso de un cuestionario y el empleo de la escala EQ5D – 5L de calidad de vida, se realizó un estudio transversal en los pacientes de hemodiálisis del hospital IESS Quito Sur. Resultados: Con un total de 112 pacientes, siendo 66.1% hombres, con edad promedio de 61 años y principal comorbilidad la DM II; el 39.3% utilizaban CAT y el resto FAV/PTEF, siendo independientes el 36.6% de los casos valorados mediante Barthel score. Determinamos que la calidad de vida promedio mediante EQ5D-5L fue de 0.74, el 56.8% de los CAT tenían buena calidad de vida y el 70.6% de las FAV/PTEF. En sus indicadores tenemos que la movilidad estaba comprometida en el 45.5% de los CAT y de las FAV, el autocuidado comprometido en el 50% de los CAT y 26.5% de FAV/PTEF, actividad física diaria comprometida en el 65.9% de los CAT y 58.8% de las FAV/PTEF, dolor presente en el 63.6% de los CAT y 64.7% de FAV/PTEF, ansiedad presente en el 36.6 CAT y 57.4 FAV/PTEF. Conclusión: Demostrando la superioridad en calidad de vida en aquellos accesos vasculares asociados al uso de fistulas o prótesis arterio venosas.
Percepción de Enfermería sobre la carga laboral y el crecimiento profesional
Authors: Arreaga Coello Génesis , Carriel Lucas Yulissa , Muñiz Granoble Gloria , Rebolledo Malpica Dinora
Published: July 2023

La carga laboral en enfermería es una problemática común en esta disciplina, donde muchas veces se ve afectada no solo la parte física sino también la parte profesional, llegando a generar dificultades en el crecimiento profesional, de este colectivo enfermero. El objetivo del estudio fue determinar la percepción de enfermería sobre la carga laboral y el crecimiento profesional. Metodología, fue cuantitativa, de tipo descriptivo-explicativo, la técnica empleada en la recolección de los datos fue una encuesta previamente validada por un juicio de expertos temáticos y metodológicos, con las variables crecimiento profesional y sobre carga laboral aplicada a 100 profesionales en enfermería que laboran en instituciones de salud de la ciudad de Guayaquil, reconociendo el consentimiento ético, los datos fueron trabajados con estadística descriptiva. Resultados, se logra demostrar que un 52% expresaba sentir agotamiento luego de su jornada, y un 68% asegura que a veces han experimentado estrés en su lugar de trabajo, desafortunadamente se demuestra que solo un 13% de los encuestados han podido participar en actualizaciones científicas y un 66% que se encuentra satisfecho o que considera que a veces el pago está acorde a lo que laboran. Conclusión, el crecimiento profesional se determina en gran parte por la percepción sobre la satisfacción de estos en su propio desempeño
Da proteção do know-how nos contratos de franquia
Authors: Leite Márcio Junqueira , De Almeida Marcus Elidius Michelli , Sister Tatiana
Published: July 2023

O presente artigo trata sobre o papel da cláusula de não concorrência e a proteção do know-how nos contratos de franquia, bem como o posicionamento da doutrina e da jurisprudência acerca da sua razoabilidade e validade. Discorre sobre a forma como o know-how configura parte integrante e fundamental do contrato de franquia, e, consequentemente, a necessidade de sua proteção. Estão presentes, ainda, conceitos importantes que auxiliarão na compreensão da análise realizada (como a definição de franquia, know-how e concorrência).
Adaptibilidad de pequeñas unidades de producción campesina, ante efectos del cambio climático En comunidades del corredor seco del municipio de Somoto-Madriz
Authors: Díaz González Efren Díaz , Isaguirre Olivas Br. Jairo Rene , Díaz Hernández Fermín Omar , Rivera Carazo Maryuri Yessel
Published: July 2023

Se realizó el estudio en ocho comunidades: Los Copales, Santa Rosa, Uniles, El Cairo, Motuce, municipio de Somoto y El Porcal-municipio de San Lucas. A través de los  fondos del programa  PAI (Pequeñas Ayudas a la Investigacion) Con la finalidad de describir la adaptabilidad de pequeñas unidades de producción campesina, determinar la implementación de tecnología novedosa en los sistemas de producción de pequeños productores. La Metodología empleada fue diseñada mediante una guía de entrevista de aplicación directa a los productores previamente se realizó la Validación del Instrumento  de recolección de Información, con el  personal técnico del INTA-REGIONAL-Estelí, quienes la sometieron a consideración el instrumento para  que respondan a las Líneas de Investigacion de los GIA (Grupos de Investigacion Agropecuaria) Se construyó una línea base extraída por unidades productivas campesinas de las tecnologías implementadas y adoptadas en el ámbito productivo. Así como la elaboración de una Guía de Tecnologías novedosas Adaptadas al Cambio Climático en Pequeñas Unidades Campesinas Productivas del Corredor Seco. Con el desarrollo de este proyecto de investigacion  se ha logrado, fomentar una alianza  estratégica de  desarrollo de la investigacion  articulando esfuerzo UNAN –León  con el INTA-Madriz para consolidar el proceso educativo de formación académico, generando  aportes al proceso de trasformación de los sistemas productivos campesinos.
Bioequivalencia Farmacéutica in vitro de Amoxicilinas cápsulas de 500 mg
Authors: Medrano López Keyla J. , Valladares Silva Fania V. , Antonio Peralta Cesar , Mendoza Marín Saura L. , Salgado Mercado Yader B. , Díaz Pérez Tania M. , Morán Jarquín Kimberly , Celeste Escoto Laura , Palma Centeno Meyling Arabely
Published: July 2023

Para establecer la intercambiabilidad de los medicamentos, principalmente de los genéricos, es necesario demostrar la equivalencia de estos con respecto al medicamento de referencia (Talevi, Quiroga, & Ruiz, 2016). Entre las principales pruebas que se realizan, están las de biodisponibilidad, bioequivalencia y la comparación de perfiles de disolución. Estas pruebas permiten garantizar la seguridad del intercambio entre medicamentos durante la práctica clínica.La Amoxicilina, antibiótico de amplio espectro muy utilizado en nuestro país para el tratamiento de diversas patologías infecciosas se encuentra en la Clase I dentro del Sistema de Clasificación Biofarmacéutica (SCB) (OPS, 2011), por lo cual, su equivalencia se puede demostrar a través de estudios in vitro. En este estudio se realizó la comparación de los perfiles de disolución de tres medicamentos de Amoxicilina cápsulas 500 mg comercializados en Nicaragua, con el objetivo de demostrar si son intercambiables. La metodología utilizada en el estudio es la descrita en la Guía de la FDA para comparación de perfiles de disolución; se utilizaron tres medios de disolución a pH 1.2, 4.5 y 6.8 y se calculó f2 para determinar la intercambiabilidad. A pH 1.2, todos los productos alcanzaron en el primer tiempo de muestreo, un porcentaje disuelto mayor al 85%, en el medio de disolución pH 4.5, tanto el medicamento C como el de referencia, no lo alcanzaron.En cambio, a pH 6.8, solamente el medicamento B logró más del 85% del principio activo disuelto en los primeros diez minutos de la prueba.
Hubungan Pengetahuan dengan Tingkat Kecemasan Ibu Hamil Trimester III di Puskesmas Ciawi Kabupaten Bogor Tahun 2021
Authors: Putri Anisa Eka Suwarno , Rukiah Nining , Shifa Nurul Ainul
Published: July 2023

Pendahuluan: Corona virus disease (Covid-19) yang muncul di Indonesia sejak awal Maret 2020 telah menjadi ancaman serius pada semua kalangan usia, tidak terkecuali ibu hamil. Kehamilan dapat merupakan sumber stresor kecemasan, terutama pada seorang ibu yang labil jiwanya. Covid-19 dapat mempengaruhi perkembangan psikologis ibu hamil tersebut, sehingga menimbulkan kecemasan yang tidak dapat dikontrol. Salah satu faktor yang mempengaruhi kecemasan ialah pengetahuan.
Tujuan: Untuk menguji hubungan pengetahuan dengan tingkat kecemasan ibu hamil trimester III pada masa pandemi Covid-19 di Puskesmas Ciawi Kecamatan Ciawi Kabupaten Bogor tahun 2021.
Metode: Jenis penelitian ini menggunakan penelitian kuantitatif, desain penelitian ini adalah cross-sectional. Pengambilan sampel dilakukan secara consecutive sampling. Jumlah sampel yang digunakan 50 orang ibu hamil. Instrumen pengumpulan data dalam penelitian ini adalah kuesioner dengan lembar kertas kuesioner. Analisa bivariat yang digunakan Uji Rank Spearman.
Hasil: Dari hasil penelitian data univariat didapatkan mayoritas responden berusia antara 26 sampai 35 tahun yaitu sebanyak 26 responden (52%), dan responden paling banyak memiliki pengetahuan baik dengan tingkat kecemasan normal sebanyak 19 responden (65,5%). Dari hasil uji bivariat didapatkan hasil adanya hubungan pengetahuan dengan tingkat kecemasan ibu hamil trimester III pada masa pandemi Covid-19 di Puskesmas Ciawi Kabupaten Bogor dengan p = 0,001.
Kesimpulan: Dari hasil penelitian yang telah dilakukan maka dapat disimpulkan adanya hubungan pengetahuan dengan tingkat kecemasan ibu hamil trimester III pada masa pandemi covid-19.
Hubungan Pendidikan Pranikah, Status Gizi dan Peran Suami terhadap Kesiapan Ibu dalam Merencanakan Kehamilan Selama Pandemi di Pmb Bidan Milna Corviana Tahun 2022
Authors: Corviana Milna
Published: July 2023

Pendahuluan: Merencanakan kehamilan merupakan perencanaan kehamilan untuk mempersiapkan kehamilan guna mendukung terciptanya kehamilan yang sehat dan menghasilkan keturunan yang berkualitas yang diinginkan oleh keluarga.  
Tujuan: Untuk mengetahui hubungan pendidikan pranikah, status gizi dan peran suami terhadap kesiapan ibu dalam merencanakan kehamilan selama pandemi di PMB Bidan Milna Corviana di Bogor Tahun 2022.
Metode: Metodologi penelitian  ini menggunakan metode Kuantitatif dengan pendekatan cross-sectional. Sampel berjumlah 56 orang, pengumpulan data menggunakan instrumen kuesioner. Setelah data terkumpul kemudian di analisis dengan Analisa univariat dan Analisa bivariat. Analisa bivariat menggunakan uji statistik rank spearman.
Hasil: Mayoritas ibu memiliki kesiapan dalam merecanakan kehamilan dengan baik sebanyak 39 responden, dengan pendidikan pranikah berpengaruh 46 responden dan status gizi normal 51 responden dan peran suami yang mendukung  48 responden. Hubungan Pendidikan pranikah dengan kesiapan ibu dalam merencanakan kehamilan dengan nilai p-value 0,018 < 0,05. Hubungan Status Gizi terhadap  kesiapan ibu dalam merencanakan kehamilan dengan nilai p-value 0,007 < 0,05. Hubungan Peran suami terhadap  kesiapan ibu dalam merencanakan kehamilan dengan nilai p-value 0,000 < 0,05
Kesimpulan: Terdapat hubungan antara pendidikan pranikah, status gizi dan peran suami terhadap kesiapan  ibu dalam merencanakan kehamilan selama pandemi di PMB Bidan Milna Corviana di Bogor tahun 2022.
Kompres Hangat Untuk Mengatasi Masalah Hipertermia Pada Penderita Kejang Demam
Authors: Kusuma Rohmah Dini Nur , Suryani Roro Lintang , Cahyaningrum Etika Dewi
Published: July 2023

Background: A child is someone who is less than 18 years old in a period of growth and development, with special needs, namely physical, psychological, social and spiritual needs. Children are more susceptible to infections that often cause a high fever. Fever is not a disease but a symptom. Fever often occurs at the age of five, when the increase in body temperature reaches the highest number scale, it will cause seizures in children which are called febrile seizures. One of the nursing problems in patients with febrile seizures that need special treatment is hyperthermia. Management of hyperthermia in febrile seizures can be done non-pharmacologically, namely by giving warm compresses.
Purpose: To reduce body temperature in An. S with a diagnosis of febrile seizures in the Ar Rahman Room, RSI Purwokerto.
Method: Descriptive research design in the form of a case study with a nursing process approach consisting of assessment, formulating diagnoses, interventions, implementation and evaluation. Data collection techniques using observation, interviews, physical examination and documentation. This case study was conducted on An. S for 3x24 hours.
Result: Nursing care is carried out to An. S is 9 months old and has hyperthermia problems carried out in 3x24 hours, the procedures used for the assessment are observation, interviews, physical examination and documentation. Evaluation on the third day of red skin, seizures, and body temperature has resolved.
Conclusion: Warm compresses have been shown to be effective in overcoming the problem of hyperthermia in patients with febrile seizures
Asuhan Keperawatan Gangguan Eliminasi Urin pada Ny. K dengan Infeksi Saluran Kemih di Ruang Ar-Rahman RSI Purwokerto
Authors: Rahmawati Oktaviani Nur , Tri Y Danang , Suandika Made
Published: July 2023

Introduction: Urinary tract infection (UTI) or Urinarius Tractus Infection is a  condition where there is a bacterial infection of microorganisms that occurs in the urinary tract.  The occurrence of UTI is due to the presence of pathogenic microorganisms in the urinary tract. These microorganisms enter through direct contact from the nearest source of infection, hematogenous or lymphomatous.  Symptoms of UTI are the desire to urinate that continues to be felt, pain or sensation of heat when urinating (this set of conditions is called anyang-anyang), turbid and sharp-smelling urine, frequent urination, bloody or purulent urine, in women generally the patient will feel pelvic pain, especially in the pelvic center and the bone area around the genitals
Objectives: To describe nursing care in urinary tract infection patients who have impaired urinary elimination.
Method: This research uses qualitative descriptive methods in the form of case studies. Nursing care was given to Mrs. K for 3 days. Data collection techniques obtained from the results of interviews, observations, and physical examinations
Result: The problem of urinary elimination disorders that occur in patients with urinary tract infections can be overcome by conducting deep breath relaxation therapy to reduce the pain experienced by the patient, training the patient not to hold urination, and advising the patient to increase the frequency of drinking.  The results obtained after the nursing action is the patient's pain gradually decreases, the frequency of urination is smooth even though it still feels pain when urinating
Conclusion: After nursing treatment for 3x24 hours, the problem of urinary elimination disorders gradually improved characterized by an improved elimination pattern of decreased patient pain complaints.
Teman Sebaya dan Pengaruhnya terhadap Penggunaan Narkoba pada Remaja Kelas 12 di SMK Taruna Bhakti Cianjur
Authors: Yulianti Yulianti , Kamilah Siti
Published: July 2023

Introduction: The development of today's era has affected a person's behavior, especially the effect of peers. Peers can affect behavior, the effect is in the form of positive effect and negative effect. The effect of peers plays an important role in drug use, this is because it is a condition of convenience to be accepted by members of their peer group.
Objectives: This study aims to determine the relationship between peers’ effect on drug use in adolescent class 12 at Taruna Bhakti Cianjur Vocational School, 2021.
Method: This study used quantitative research with correlation research and used a cross-sectional design where the population in this study was 12th-grade students at SMK Taruna Bhakti Cianjur with a total sample of 82 students. The sampling technique used is random sampling. The instrument consisted of 2 questionnaires, namely the peer influence questionnaire and the drug use questionnaire which the researcher made himself. Data analysis used in this study was univariate and bivariate analysis using the chi-square test.
Result: Found the results of the analysis relationship between peers’ effect on drug use it is found that there are as many as 38 (46,3%) respondents to peers effect positive effect on drug use make use of. while the respondent to peers effects a negative effect on drug use, there 26 (53,7%). The statistical test results obtained the value of pvalue= 0,002 smaller than 0,05.
Conclusion: there is a relationship between peers’ effect on drug use in adolescents. According to the doctor's advice, it is wiser to use drugs.
Analisis Pelaksanaan Program Tanggap Darurat Kebakaran di Suku Dinas Penanggulangan Kebakaran dan Penyelamatan Kotamadya Jakarta Timur Tahun 2021
Authors: Camelia Camelia
Published: July 2023

Introduction: Fire is a fire that cannot be controlled, meaning that it is beyond human ability and desire. Fire hazard is a hazard caused by a potential threat and degree of exposure to flames starting from the start of the fire to the spread of the fire, smoke and gas produced.
Objective: To understand and also know the management of fire emergency response management at the East Jakarta City Fire and Rescue Service.
Method: This research uses qualitative research with an observational approach. Primary data sources were collected through interviews and direct field observations. Secondary data was obtained from the fire emergency system literature as well as supporting data on the general description of the fire emergency program for the East Jakarta City Fire Department.
Results: The East Jakarta City Fire and Rescue Service has a fire protection system, emergency response procedures in the event of a fire, technical guidelines for emergency action plans in the event of a fire and an organization/emergency response team. For fires, the East Jakarta City Fire and Rescue Service already have an active fire protection system in the form of a fire detection system and a fire extinguishing system.
Conclusion: The East Jakarta City Fire and Rescue Service have fulfilled almost all the criteria for a passive fire protection system, namely the availability of hydrants around the building and canals for fire barriers with the following conditions: Active Protection System for fire detectors that function properly, fire alarms that function properly well, sprinklers that work properly, several fire extinguishers don’t work and are outside the cabinet and hydrants that don't work. Passive emergency door protection system that is not functioning properly, there is no emergency lighting system, the fire ladder is not functioning, there are no directional signs and there are means of self-evacuation.
Hubungan Status Gizi Ibu Saat Hamil, Berat Badan Lahir Bayi dengan Kejadian Stunting pada Balita Usia 6- 24 Bulan di Puskesmas Suradita Tahun 2021
Authors: Setiawati Tatty , Yuliana Tri Agung
Published: July 2023

Latar Belakang: Stunting adalah kekurangan gizi kronis yang disebabkan oleh tidak cukupnya makan sehingga menyebabkan gangguan tumbuh kembang pada anak. Puskesmas Suradita merupakan salah satu dari 44 Puskesmas di Kabupaten Tangerang, Kecamatan Cisauk Kabupaten Sisak dengan 244 (8,9%) anak di bawah umur pada tahun 2020. Faktor yang mempengaruhi bayi stunting adalah status gizi ibu selama hamil dan berat badan lahir rendah.
Tujuan: Untuk mengetahui Hubungan Status Gizi Ibu Saat Hamil, Berat Badan Lahir Bayi dengan Kejadian Stunting Pada Balita Usia 6- 24 Bulan di Puskesmas Suradita Tahun 2021
Metode: Penelitian observasional dengan desain penelitian cross-sectional untuk mempelajari hubungan antara variabel terikat dan variabel bebas. Penelitian ini dilaksanakan pada bulan September-Oktober 2021 di tempat kerja Puskesmas Suradita Kabupaten Tanggang. Seluruh balita yang termasuk dalam penelitian ini adalah 1080 balita usia 6-24 bulan di wilayah kerja Puskesmas Suradita, Tangerang. Jumlah sampel dalam penelitian ini adalah 280 sampel yang dipilih dengan teknik purposive sampling. Analisis univariat digunakan untuk melihat distribusi frekuensi dari variabel-variabel yang diteliti. Analisis bivariat untuk melihat hubungan status gizi, status anemia dan stunting pada balita menggunakan uji chi-square pada p-value 0,05.
Hasil: Hasil analisis menunjukkan 26,4% anak usia 6-24 bulan mengalami stunting, 10,4% anak dengan berat lahir <2.500g dan 13,2% ibu mengalami KEK.
Kesimpulan: Status gizi ibu hamil berhubungan dengan Stunting (P-value = 0,037), BBLR berhubungan dengan Stunting (Pv = 0,005) dan status gizi ibu hamil tidak berhubungan dengan BBLR (P-value = 0,209).
Hubungan Mobilisasi Dini, Nutrisi dan Peran Bidan terhadap Penyembuhan Luka Operasi Sectio Caesarea di RSUD Malingping Tahun 2022
Authors: Mulyanah Siti , Rini Ageng Septa
Published: July 2023

Latar Belakang: Kematian ibu di Indonesia masih didominasi oleh tiga faktor penyebab utama kematian yaitu perdarahan, hipertensi dalam kehamilan (HDK), dan infeksi. Salah satu tingginya AKI dapat disebabkan oleh adanya komplikasi-komplikasi dalam persalinan, termasuk SC. Persalinan dengan operasi sectio caesarea memiliki resiko lima kali lebih besar terjadi komplikasi dibandingkan dengan persalinan normal. Komplikasi yang dapat terjadi setelah operasi sectio caesarea adalah infeksi dengan angka kejadian 25 kali lebih tinggi dibandingkan dengan kejadian infeksi pada persalinan pervaginam.
Tujuan: Untuk mengetahui hubungan mobilisasi dini, nutrisi dan peran bidan terhadap penyembuhan luka operasi sectio caesarea di RSUD Malingping Tahun 2022.
Metode: Jenis penelitian ini adalah penelitian survei analitik dengan pendekatan cross-sectional. Dengan jumlah sampel sebanyak 55 orang, teknik pengambilan sampel dilakukan dengan simpel random sampling. Teknik pengumpulan data menggunakan media kuesioner. Analisa data dilakukan dengan cara analisa univariat dan bivariat menggunakan uji Chi-square.
Hasil: Dari hasil penelitian menunjukkan bahwa dari hasil uji statistik Chi-square pada tingkat kepercayaan 95% dengan α = 0,05, diperoleh Asymp. Sig mobilisasi dini (0,001), nutrisi (0,004), dan peran Bidan (0,003) < α (0,05).
Kesimpulan: Ada hubungan antara mobilisasi dini, nutrisi dan peran Bidan dengan Penyembuhan Luka Operasi Sectio Caesarea di RSUD Malingping Tahun 2022.
The Interplay between Human Resource Strategies and Strategic Alignment: A Comprehensive Review of Conceptual and Empirical Literature in the United States
Authors: Aiko Asahi Hiroto
Published: July 2023

Strategic formulation involves senior managers evaluating the interaction between strategic factors and making strategic choices that guide managers to meet the organization’s goals. Some strategies are formulated at the corporate, business and specific functional levels. The term ‘strategic choice’ raises the question of who makes decisions and why they are made. The notion of strategic choice also draws attention to strategic management as a ‘political process’ whereby decisions and actions on issues are taken by a ‘power-dominant’ group of managers within the organization. Strategy implementation is an area of activity that focuses on the techniques used by managers to implement their strategies. Strategic human resource management involves a future-oriented process of developing and implementing HR programs that address and solve business problems and directly contribute to major long-term business objectives. HR management was once largely an administrative function focused on day-to-day responsibilities such as employee recruiting and selection and managing employee benefits. Changes in United States’ overall alignment policy – both the recalibration of its US-alliance relationship and its diversified strategic partnerships – cannot be separated from the larger question of foreign and security policy adaptation which has occurred since the end of the Cold War Keywords: Human, Resource, Strategic, Strategies, Realization, Fit
Penyuluhan Pupuk Organik Cari Batang Pisang untuk Tanaman Kacang Panjang di Kelompok PKK Pasir Putih Kota Jambi
Authors: Nasution Hasriati , Emanauli  , Yusfaneti
Published: July 2023

Kacang Panjang (Vigna sinensis L) merupakan komoditi sayuran yang banyak diusahakan di daerah dataran rendah. Kandungan gizi yang tinggi membuatnya populer di kalangan masyarakat sebagai sayuran dan lalapan. Penelitian ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kelompok PKK dalam menanam kacang panjang dengan menggunakan pupuk organik cair dari batang pisang. Berdasarkan survei, kacang panjang dikonsumsi oleh rumah tangga sebanyak 2-3 kali per minggu dengan preferensi tertentu terkait karakteristiknya. Penanaman kacang panjang dilakukan di tanah ultisol yang memerlukan pemberian pupuk untuk meningkatkan kesuburan. Oleh karena itu, penyuluhan dan demo pembuatan pupuk organik cair dilaksanakan selama 3 bulan di kelompok PKK RT 23 Kelurahan Pasir Putih Kota Jambi. Pengabdian ini bertujuan untuk memberikan pengetahuan tentang penggunaan kompos sebagai pupuk organik dan cara pembuatan pupuk organik cair dari batang pisang. Tim Pengabdian Kepada Masyarakat akan menyediakan bahan dan alat yang diperlukan untuk penyuluhan dan demo. Penggunaan pupuk organik cair diharapkan dapat meningkatkan hasil panen kacang panjang dan secara keseluruhan meningkatkan pendapatan kelompok PKK ini.
Gambling Addiction, Gambling Intention and Financial Wellbeing in Bosnia and Herzegovina
Authors: Sučić Ivan , Mekić Ensar , Duerod Malcolm
Published: July 2023

The goal of this study is to raise awareness about the various risks associated with gambling. It will focus on the effects of gambling addiction on gambling intention and its implications for financial wellbeing. It is known from previous research that gambling influences the family’s functioning, as well as the work-related aspects of the individual’s life. The negative effects gambling has on the workplace are more severe, such as decreased work efficiency and theft. We were curious about these effects in Bosnia and Herzegovina as a country with many customers of gambling services. The rise of Internet and social media platforms has led to an increase in the number of people gambling. Our findings indicated that gambling addiction has statistically significant positive effects on gambling intention which consequentially has statistically significant, but negative effects on financial wellbeing of individuals. Considering this empirical evidence, we can recommend to related governmental and non-governmental institutions of Bosnia and Herzegovina to put this issue on their agenda and raise the awareness of society on negative effects of gambling addiction and gambling intention. On the other hand, we recommend future researchers to focus more on this important research problem and in that way provide foundations for solving the related social problem.
On Splitting the Atom
Authors: Ablondi Fred
Published: July 2023

Among the French Cartesians of the second half of the seventeenth century, Géraud de Cordemoy stands out as the most radical. He was one of the first to argue that Cartesian metaphysics imply occasionalism, and he was alone in arguing that those same metaphysical commitments lead to atomism. This paper addresses the second of these positions. Following a discussion of what is taken to be the strongest version of his argument for atomism, consideration will turn to an objection against Cordemoy, one that was raised in his own day by Gottfried Leibniz and more recently by Steven Nadler. The paper concludes with a response offered on Cordemoy's behalf.
Constitution, Causation, and the Final Opinion
Authors: Klemick Griffin
Published: July 2023

In “The Fixation of Belief,” Peirce apparently accepts the causal claim that real physical objects cause us to reach an indefeasible “final opinion” concerning them. In “How to Make Our Ideas Clear,” he apparently accepts the constitutive claim that for physical objects to be real just is for them to be represented in that opinion. These claims initially seem inconsistent, since causal claims are explanatory and since equivalent claims cannot explain one another. Contrary to prominent suggestions that Peirce rejected the constitutive claim, however, he actually accepted both, reconciling them via a Humean denial that causal claims are genuinely explanatory.
Mauri tui tuia: Dance movement therapist, music therapist, and early childhood teachers’ collaborative bi-cultural response to community trauma
Authors: Mcconnell Jan , Rickson Daphne , Pureti Katie
Published: July 2023

Mauri Tui Tuia is a professional development programme established by the first and second authors who are a Registered Arts and Dance Movement Therapist and a Registered Music Therapist respectively. Mauri Tui Tuia seeks to empower educators to develop a kete of tools to support children in building resilience and maintaining wellbeing, through the medium of trauma-informed music and dance movement therapies. In this paper we discuss the theories that underpin the mahi (work) and give a broad overview of some of the ways our unique collaborative practices can potentially provide sustainable support for our communities in the wake of traumatic events, including the Covid-19 pandemic.
El retrato publicitario como ejercicio documental en la conectividad digital. Kito Muñoz y la intermedialidad en Instagram
Authors: García-Ergüin Maza Marcos
Published: July 2023

La democratización tecnológica, los nuevos dispositivos y el paradigma digital han desbancado los medios de comunicación tradicionales para adaptarse a unas redes sociales donde todo individuo y su imagen se convierten en retratos de un «yo» publicitario. El presente estudio pretende arrojar luz sobre el proceso del retrato condicionado por este panorama en aquellos medios digitales que se apoderan de la imagen, como es el caso de Instagram, teniendo en cuenta la creación de uno de los fotógrafos con más proyección en el panorama actual. De este modo, se analizarán los retratos de Kito Muñoz, de su método y el de sus coetáneos, para cuestionar su proceso creativo, en tanto que su naturaleza puede ser más documental que publicitaria.
Realidad Virtual, nuevas formas de contar historias: aproximaciones de la narrativa cinematográfica inmersiva 360º
Authors: Huamán Huillca Melissa Stefanny , García-Montero Pinilla Rosario
Published: July 2023

La creación de películas 360° en realidad virtual (RV) ha aumentado durante los últimos años, exhibiéndose principalmente en festivales de cine y plataformas web. No obstante, actualmente, las reglas narrativas de cine inmersivo no son claras. Ante ello, nuestro objetivo es comprender cómo se narra una película en 360° RV, identificando qué elementos del cine no inmersivo aún prevalecen y qué elementos nuevos entran a considerarse. Se utilizó una metodología cualitativa en base a revisión de literatura, el análisis de tres cortometrajes y la conducción y análisis de entrevistas semiestructuradas a seis creadores de cine inmersivo. La investigación concluye con sugerencias narrativas en relación con la importancia del usuario/personaje, las atmósferas y la dirección de la mirada para la creación de historias 360° RV.
Acción y sentimiento: la obra fotoperiodística de Anna Turbau durante la Transición en Galicia
Authors: Rios-Rodríguez Raul , Blanco Prada Raquel , Mouriño Cabaleiro Cristina
Published: July 2023

La Transición a la democracia supuso una profunda renovación para la fotografía en España, en una época marcada por el auge del documentalismo contemporáneo a nivel internacional. Anna Turbau contribuyó decisivamente con esa renovación durante su etapa en Galicia (1975-1979), abordando nuevas temáticas y desarrollando un estilo singular que combinaría la fotografía directa con la representación de los sentimientos. Este trabajo analiza la obra de Turbau durante este periodo clave, cubriendo el vacío académico existente sobre la autora.
A INVISIBILIDADE DAS POPULAÇÃO LGBTQIA+ E O ATENDIMENTO POR ESTUDANTES E PROFISSIONAIS DA SAÚDE
Authors: Amaral Ana Luiza Bernardes Henriques , Domingues Dandara Camélia da Silva , Lourenço Giovanna Alves , Longo Priscila Larcher
Published: July 2023

A invisibilidade social é o atributo de não ser visível perante o outro. No caso das pessoas LGBTQIA+ consiste, principalmente, no fato desses indivíduos não obterem reconhecimento social e, consequentemente, serem colocados/as/es em situações de marginalização social. Em razão disso, o citado grupo se depara com percalços de desafios ao longo de sua jornada, como em fragilidades e precariedades na qualidade de atendimento e tratamento no setor da saúde. Dito isto, esse projeto teve como objetivo analisar se a invisibilidade social da população LGBTQIA+ atinge a capacitação e qualidade de atendimento dos profissionais e futuros profissionais do campo da saúde. Tratou-se de um estudo transversal observacional quantitativo composto por um questionário enviado por aplicativo de mensagens (WhatsApp) a profissionais e estudantes da área da saúde. Foram incluídos, no estudo, 292 participantes, onde cerca de 90% afirmaram que acreditam que os profissionais da saúde estão preparados para atender adequadamente essa população. Porém, cerca de 32% já presenciaram atos de preconceito ou tratamento diferenciado devido à identidade de gênero e/ou orientação sexual de um paciente. Além disso, 92,9% entendem que as pessoas LGBTQIA+ enfrentam dificuldades no acesso a atendimentos em saúde. No mais, a partir dos dados obtidos, notou-se a necessidade da criação e implantação das políticas públicas de saúde LGBTQIA+ e da capacitação dos estudantes e profissionais da área da saúde.
A prospective evaluation of patient perspectives and financial considerations during prostate cancer treatment decision-making
Authors: Rai Karnvir , Mann Uday , Harasemiw Oksana , Tangri Navdeep , Eng Amanda , Patel Premal , Nayak Jasmir G.
Published: July 2023

Introduction: In universal healthcare systems, patients may still encounter financial obstacles from cancer treatments, potentially influencing treatment decision-making. We investigated the relationship between socioeconomic status and treatment decision-making as it pertains to patient values, preferences, and perceived barriers to care for localized prostate cancer.
Methods: We conducted a prospective study of patients undergoing a prostate biopsy for the initial detection of prostate cancer. Sociodemographic variables were collected, with validated instruments used to determine health literacy levels. Patients were divided into two groups using self-reported income; those with a positive identification of prostate cancer underwent additional surveys to ascertain their knowledge of their diagnosis, treatment-related preferences, and socioeconomic barriers to care. Descriptive statistics were used.
Results: Of 160 patients, approximately one-third were classified as having low health literacy. Within the low-income group, education levels were lower (34.6% had less than high school education vs. 10.2% in the high-income group) and unemployment rates higher (75.0% unemployed vs. 38.9% in the high-income group). Low-income patients with prostate cancer placed greater importance on indirect out-of-pocket expenses related to treatment (78.3% vs. 33.3%, p=0.001), higher emphasis on treatment-related travel time (50% vs. 15.1%, p=0.004), and more often had difficulty paying for healthcare services in the past (30.9% vs. 9.1%, p=0.02).
Conclusions: Patients with lower household incomes have unique treatment values and decision-making preferences. They may experience additional challenges and barriers to obtaining cancer care, at least partly related to indirect costs. These findings should be considered when framing prostate cancer treatment discussions and designing patient-facing health information.
Minimizing the learning curve for robotic-assisted radical cystectomy
Authors: Cassim Raees , Millan Braden , Guo Yanbo , Hoogenes Jennifer , Shayegan Bobby
Published: July 2023

Introduction: Studies published to date have suggested non-inferiority of robotic-assisted radical cystectomy (RARC) compared to open radical cystectomy (ORC), while few centers in Canada have adopted this approach. Though multifactorial, the learning curve and operative time are often discussed barriers. Herein, we present outcomes from the largest Canadian cohort of RARC performed to date.
Methods: We conducted a retrospective chart review of all patients undergoing RARC by a single surgeon with greater than 1500 robot-assisted radical prostatectomy (RARP) experience at our institution from May 2020 to December 2021. Clinicopathological, intraoperative, and postoperative data, as well as complications in the first 90 days were collected. Regression analysis was used to determine the relationship between case volume and operative time/lymph node yield.
Results: A total of 31 patients underwent RARC during the study period, 26 of which were male. The median length of stay was six days (Q1–Q3 5–10), while days alive and out of hospital at 90 days were 83 days (Q1–Q3 80–85). Soft tissue margins were positive in 9.6% (3/31) of patients. Median lymph node yield was 17.0 lymph nodes (Q1–Q3 11–23). Median operative time was 241 minutes (Q1–Q3 228–252) in the ileal conduit group and 320 minutes (Q1–Q3 302–337) in the neobladder group. We observed four Clavien-Dindo grade >3 complications. The 90-day readmission rate and mortality rate were 17.2% (5) and 0% (0), respectively. There was no correlation between case volume and any outcome variables.
Conclusions: Previous high-volume experience performing RARP reduces the learning curve for preforming RARC, with similar short-term outcomes to high-volume centers.