bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysing and Evaluating the Performance of Deep-Learning-Based Arrhythmia Detection Using Electrocardiogram Signals
Authors:   Research Scholar Shri Jagdish Prasad Jhabarmal Tibrewala University, Rajasthan, khanam Shaista
Published: April 2024

Cardiac arrhythmia is a cardiac irregularity that impacts a significant number of individuals globally. Certain arrhythmias may be benign or occur only once, while recurring arrhythmias have the potential to cause organ failure, increase the risk of stroke by a factor of five, and even lead to sudden cardiac death. Thus, in order to identify and treat arrhythmia and prevent potentially fatal cardiac problems, the rapid detection and categorization of Electrocardiogram (ECG) signals is of paramount importance. The non-invasive technique employs electrodes to examine the electrical potentials of the heart, facilitating the detection of structural and functional irregularities that contribute to the diagnosis of cardiovascular illnesses. Nevertheless, the high likelihood of manual interpretation, which is both time-consuming and susceptible to error caused by weariness, poses a significant challenge for cardiologists in identifying and diagnosing cardiac issues. In recent times, there has been a growing utilization of Deep Learning (DL) models in the field of arrhythmia prediction, with the aim of enhancing clinical decision-making and potentially mitigating the likelihood of valetudinarian fatality. These models enhance the diagnostic capabilities of electrocardiography by detecting pathological situations, extracting anatomically meaningful data, evaluating cardio-motion, and assessing the quality of echo images. As a result, they serve as an alternative tool for precise diagnosis and treatment of arrhythmias. In order to forecast and categorize arrhythmias based on ECG signal data, this study provides a comprehensive review of various deep learning approaches. The initial section of the study provides a concise overview of various deep learning-based prediction models that have been developed by multiple researchers for echocardiography systems. Subsequently, a comparative analysis is undertaken to comprehend the limitations of those algorithms and propose a novel approach to improve the accuracy of cardiac view classification in echocardiography systems.
Estratégia do Ministério da Saúde do Brasil para aumento das coberturas vacinais nas fronteiras
Authors: Nascimento Luciana Maiara Diogo , Araújo Ana Catarina de Melo , Souza Priscila Caldeira Alencar de , Matozinhos Fernanda Penido , da Silva Thales Philipe Rodrigues , Fernandes Eder Gatti
Published: April 2024

Objetivo.

Avaliar a implementação de estratégia do “Plano de Ação: Estratégia de Vacinação nas Fronteiras – Agenda 2022” do Ministério da Saúde nas 33 cidades gêmeas e avaliar o incremento das coberturas vacinais (CV) brasileiras.

Métodos.

Ensaio clínico comunitário, do tipo antes e depois. Analisou-se a realização da estratégia, bem como comparadas as CV pré e pós-intervenção em dois tempos: P1 (pré-intervenção) e P2 (pós-intervenção). Análises estatísticas sobre a CV, no P1 e P2, foram calculados os valores de média entres os municípios, desvio padrão e diferença entre as coberturas dos dois períodos.

Resultados.

Observou-se integração entre as equipes de Atenção Primária à Saúde (APS), Vigilância, Imunização e Distrito Sanitário Especial Indígena (DSEI), porém com dificuldades, como aquelas inerentes ao fluxo migratório. Ressalta-se que o fluxo imigratório é um dos desafios no contexto da imunização, APS e DSEI, entretanto, a esta dificuldade soma-se a polarização entre os serviços (imunização, APS e DISEI), ocasionando um desafio para a integração dos setores. Em relação à análise das CV, após a realização das oficinas, foram totalizadas 50 977 doses aplicadas na população geral nas 33 cidades-gêmeas do Brasil. Houve incremento das coberturas vacinais de crianças de até um ano de idade nos locais avaliados após a intervenção, o que pode ser importante para aumentar as CV no Brasil.

Conclusão.

Houve incremento das coberturas vacinais das crianças até um ano de idade nos locais avaliados após a intervenção e isso influenciou no aumento das CV no Brasil.
Heterogeneidade espaço-temporal dos indicadores de imunização da vacina tríplice viral em crianças no Brasil
Authors: Moura Lívia de Lima , Neto Mercedes , Souza-Santos Reinaldo
Published: April 2024

Objetivo.

Avaliar a cobertura vacinal e as taxas de abandono da vacina tríplice viral nas macrorregiões brasileiras.

Métodos.

Este estudo ecológico, com abordagem espaço-temporal, utilizou dados do Programa Nacional de Imunizações e do Sistema de Informação sobre Nascidos Vivos. Estimou-se a variação anual (2014 a 2021) da cobertura vacinal e da taxa de abandono da vacina tríplice viral em crianças de 12 meses e 15 meses de idade nos 5 570 municípios brasileiros. A análise estatística foi realizada para o conjunto de municípios de cada macrorregião brasileira usando a técnica de varredura espaço-temporal, considerando o modelo probabilístico de Poisson e a hipótese de que os municípios com menores coberturas vacinais ou altas taxa de abandono formariam aglomerados (clusters) espaço-temporais.

Resultados.

De 2014 a 2021, 38,3% e 12,9% dos municípios alcançaram cobertura da vacina tríplice viral ≥ 95,0% na primeira e segunda doses, respectivamente; 53,6% dos municípios tiveram alta taxa de abandono (20,0% a 49,9%) e 37,2% tiveram altíssima taxa de abandono. O Nordeste apresentou os clusters primários para baixa cobertura da primeira (2018 a 2021) e da segunda doses (2020 a 2021) da vacina tríplice viral com maiores riscos relativos (RR) em relação aos demais clusters primários. O RR para alta taxa de abandono foi elevado em todas as macrorregiões brasileiras (1,57 a 26,23).

Conclusões.

Em algumas macrorregiões, a taxa de abandono era alta desde 2014, sinalizando risco de ressurgimento do sarampo. Por sua vez, a análise espaço-temporal indicou mais baixas coberturas vacinais em 2020, sugerindo influência da pandemia de covid-19.
FINANCIAL ANALYSIS AND VALUATION OF SELECTED UK LISTED COMPANY: A CASE STUDY
Authors: Obadire Ayodeji Michael , Omotesho Akindele Babatunde
Published: April 2024

Objective: The objective of this study is to investigate the financial analysis and valuation of UK listed companies, with the aim of gaining insight into the financial performance and operational position of Hill and Smith Plc and other key players in the industry.
 
Theoretical Framework: In this study, the main concepts and theories that underpin the research include the irrelevance theory, trade off theory, pecking order theory and market timing theory. These theories explain the underlying factors that determine the financing and valuation choices of listed firms.
 
Method: The study adopted the net assets valuation, dividend discount model, free cashflows, earnings model, comparative companies, and comparative transactions valuation methodologies. The study adopted Hill and Smith Plc as a case study, extracting relevant data from its annual financial records.
 
Results and Discussion: The study revealed a +4.17% abnormal return, suggesting an exceptional performance. It compared financial positions with peers like Morgan Advanced Materials and Keller Group, employing multiple valuation methods. The earnings model indicated a share price of £14.1, suggesting a potential overvaluation in the stock market at £10.0 per share.
 
Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field of corporate finance and valuation. These implications impact various stakeholders such as the researched firms, investors, and academia.
 
Originality/Value: This study contributes to the literature by highlighting the valuation methodologies employed in the study, emphasisng the importance of accurate valuation techniques in informing investment decisions.
Estudio de la estructura productiva nacional y determinación de los bloques de sectores equivalentes estructuralmente a partir de la matriz insumo-producto turística de México (MIPTM_2003)
Authors: Romero Octaviano Juárez , Benítez Santiago Marquina
Published: April 2024

El estudio de los rasgos estructurales de una economía es un aspecto esencial para la comprensión de su funcionamiento. El objetivo del trabajo es llevar a cabo la definición de bloques de los sectores productivos enmarcados en la Matriz de Insumo-Producto Turística 2003 de acuerdo con la semejanza de sus interrelaciones sectoriales. La manera de definir los bloques de los sectores de actividad económica es agrupando aquellos sectores o ramas que presenten relaciones semejantes entre sí. Como marco metodológico en el análisis estructural, se emplea el modelo insumo producto complementado con la teoría de redes sociales bajo el concepto de equivalencia estructural. Método: con el propósito de analizar la estructura económica de la red tecnológica mexicana, emplearemos como punto de partida la información contenida en la matriz de insumo-producto turística de México 2003, desagregada a 76 sectores. Para comprender las bases de similitud y diferencias entre actores estructuralmente equivalente es pertinente el enfoque del modelo de bloques y la matriz de imagen que se basa en él. Algunos de ellos son: el CONCOR (Convergente of iterated CORrelations), escalamiento multidimensional, análisis de componentes principales y búsqueda tabú. Resultados y discusión: a partir de la aplicación del método CONCOR, hemos determinado 14 bloques de sectores que presentan interrelaciones similares, es decir, son estructuralmente equivalentes. Destacándose fundamentalmente el bloque sectorial I que de acuerdo a la metodología clásica es considerado como clave y el cual está conformado por 22 sectores o ramas de actividad económica.
EVALUATION OF THE BIOSORPTION OF Mn²⁺ AND Zn²⁺ BY PASSION FRUIT PEEL: STUDY OF DOSAGE AND CONTACT TIME
Authors: Viana Jéssica Hellen Chaves , Oliveira Jorge Diniz de , Sousa Helayne Santos de
Published: April 2024

Objective: The objective of this study is to investigate he effectiveness of Mn2+ and Zn2+ biosorption by passion fruit peel as a sustainable and economically viable alternative to the biosorption process.
 
Method: The methodology adopted for this research comprises the characterization of the biomass and batch tests. Tests were carried out with different masses of biomass in standard solutions of the metals investigated. The biosorption capacity of the biomass and the removal efficiency were calculated based on the differences in concentration of the metal ions.
 
Results and Discussion: The results obtained revealed that the biomass showed high efficiency (close to 100%) for both cations. The contact time of 30 minutes was sufficient to reach equilibrium in the biosorption capacity of the metals, indicating the speed and effectiveness of the process.
 
Research Implications: The practical and theoretical implications of this research provide valuable information on the application of passion fruit peel as a biosorbent in the removal of potentially toxic metals from contaminated wastewater. These results may influence practices in the field of environmental remediation and environmental engineering, as well as in agro-industrial waste management.
 
Originality/Value: This study contributes to the literature by highlighting the originality of using passion fruit peel in natura as a biosorbent, presenting an innovative and sustainable approach to the remediation of contaminated effluents. The high efficiency of ion removal with low biomass dosages and short contact times adds knowledge to the field of biosorption using agro-industrial waste.
Penerapan kompres aloe vera untuk menurunkan suhu tubuh anak dengan demam
Authors: Suprana Okky Wijaya , Mariyam Mariyam
Published: April 2024

Anak membutuhkan penanganan demam dirumah agar diharapkan tidak terjadi infeksi bakteri, virus maupun penyakit serius lainnya. Salah satu upaya adalah tindakan non farmakologis dengan memanfaatkan tumbuhan Aloe vera. Aloe vera mengandung zat bioaktif diantaranya saponin dan lignin yang bekerja dengan sistem konduksi sehingga memberikan sensasi dingin serta dapat menyerap dan menurunkan demam pada anak dengan melakukan penerapan berupa kompres. Studi kasus ini bertujuan untuk mengetahui suhu tubuh anak yang demam setelah dilakukan penerapan kompres Aloe vera. Studi kasus ini menggunakan pendekatan deskriptif melalui asuhan keperawatan. Studi kasus ini memberikan asuhan keperawatan pada anak dengan masalah demam melalui penerapan selama 15 menit kompres Aloe vera. Pengukuran suhu dilakukan dengan thermometer digital pada bagian axila saat sebelum dan sesudah penerapan kompres Aloe vera. Hasil studi kasus menunjukkan subjek studi 1 mengalami penurunan suhu rata-rata 0,85 ̊C, sedangkan subjek studi 2 menunjukkan rata-rata penurunan suhu 0,7 ̊C sesudah diberikan kompres Aloe vera. Kompres Aloe vera dapat menurunkan suhu anak hipertermia.
Penurunan nyeri leher dengan terapi kompres hangat pada pasien penyakit ginjal kronis yang mengalami hipertensi di ruang hemodialisa
Authors: Santie Firda Nur Rahma , Warsono Warsono
Published: April 2024

Tingginya kejadian penyakit ginjal kronik di Indonesia menjadi perhatian khusus apabila tidak tertangani dengan baik. PGK dapat menyebabkan hipertensi karena adanya iskemia pada organ ginjal. Apabila penderita telah mengalami gagal ginjal stage 4/5 maka akan memerlukan terapi pengganti ginjal yang tetap berupa dialysis atau transplantasi ginjal. Saat proses hemodialisa pasien PGK yang mengalami hipertensi sering merasakan nyeri leher akibat menyempitnya pembuluh darah di area leher. Salah satu intervensi komplementer yang dapat dilakukan berupa kompres hangat. Tujuan studi kasus ini penulis ingin mengetahui penurunan nyeri leher pada pasien PGK yang mengalami hipertensi di ruang hemodialisa. Studi kasus ini menggunakan metode deskriptif dengan pendekatan proses asuhan keperawatan. Subjek kasus ini yaitu pasien hemodialisa yang berjumlah 2 orang. Dengan kriteria inklusi nyeri leher dan pasien PGK yang mengalami hipertensi saat proses hemodialisa. Kompres hangat dilakukan dengan meletakkan kantung buli-buli berisi air hangat dengan suhu 45-50°C pada leher belakang subjek studi kasus selama 15 menit. Hasil intervensi menunjukkan bahwa subjek studi kasus 1 mengalami penurunan skala nyeri menjadi 3 sesudah diberikan kompres hangat dan pada subjek studi kasus 2 mengalami penurunan skala nyeri menjadi 5 sesudah diberikan kompres hangat . Kompres hangat dapat menurunkan nyeri leher pada subjek studi kasus PGK yang mengalami hipertensi di ruang hemodialisa.
Penerapan edukasi metode audio visual terhadap self management pada lansia penderita hipertensi
Authors: Cabral Gloria , Soesanto Edy , Ernawati Ernawati , Aisah Siti
Published: April 2024

Hipertensi pada lansia jika tidak terkontrol akan menimbulkan komplikasi, maka dari itu lansia perlu memahami terkait hipertensi dan melakukan self management untuk menjaga kestabilan tekanan darah. Studi kasus ini bertujuan untuk mengetahui efektifitas penerapan metode edukasi audiovisual dapat meningkatkan self management pada lansia penderita hipertensi di Wilayah Kelurahan Meteseh RW 21 RT 04. Studi ini menggunakan metode studi kasus deskriptif berfokus pada kasus dan dianalisis dengan menerapkan asuhan keperawatan, sampel pada studi kasus ini dipilih sesuai dengan kriteria inklusi. Instrumen yang digunakan lembar kuesioner dan alat pengukuran tekanan darah digital, prosedur pada studi kasus ini sebelum diberikan edukasi audiovisual durasi 8 menit, tekanan darah diukur dan mengkaji tingkat pengetahuan terkait hipertensi, setelah 7 hari diberikan penerapan dilakukan evaluasi. Lansia yang mengalami hipertensi mampu meningkatkan self management, pengetahuan lansia meningkat, serta penurunan tekanan darah. Studi kasus ini yaitu edukasi audiovisual efektif dalam meningkatkan self management pada lansia penderita hipertensi
Menurunkan intensitas nyeri pemasangan arteriovena fistula pada pasien hemodialisis menggunakanteknik valsava maneuver
Authors: Suramadhan Suramadhan , Khoiriyah Khoiriyah , Sukraeny Nury , Armiyati Yunie
Published: April 2024

Hemodialisis (HD) adalah pilihan utama dalam perawatan pada pasien penyakit ginjal kronis (PGK). Sejak menjalani HD pasien biasanya mengalami dua kanulasi di fistula mereka dua kali per minggu dan mengalami nyeri jarum setidaknya 192 kali setahun. Nyeri pada pemasangan arteriovena fistula (AVF) merupakan sumber ketidaknyamanan yang dirasakan pasa pasien dalam menjalankan perawatan kesehatan. Tujuan penulisan ini adalah untuk mengetahui penurunan intensitas nyeri pemasangan arteriovena fistula pada pasien hemodialisis menggunakan teknik  valsava  meneuver. Jenis studi kasus ini adalah analisis deskriptif dengan metode singlecase . Subyek dalam studi kasus ini sebanyak 1 pasien dengan mengukur intensitas nyeri sebelum dan sesudah dilakukan valsava meneuver pada duakali periode hemodialisis dengan menggunakan instrumen numerical pain rating scale. Nyeri yang dialami subyek studi kasus sebelum tindakan valsava meneuver berada diskala 6 sedangkan nyeri yang dirasakan setelah tindakan valsava meneuver berada diskala 4. Valsava meneuver yang dilakukan dapat menurunkan intensitas nyeri pemasangan AVF pada pasien yang menjalani hemodialisis. Valsava meneuver dapat diterapkan pada pasien yang menjalani hemodialisis sebagai tindakan nonfarmakologis untuk menurunkan intensitas nyeri pemasangan AVF.
Penerapan terapi musik untuk mengurangi halusinasi pendengaran pada pasien dengan skizofrenia
Authors: Erlanti Silvi , Suerni Titik
Published: April 2024

Halusinasi merupakan salah satu gejala dari gangguan persepsi sensori yang dapat dialami oleh penderita gangguan jiwa. Perubahan perilaku yang dapat muncul pada penderita halusinasi seperti tidak mampu membedakan keadaan nyata dan tidak nyataketakutan, khawatir, gelisah, bingung, perasaan tidak nyaman, kurang diperhatikan orang dan tidak mampu mengambil keputusan. Gangguan halusinasi dapat di atasi dengan terapi non farmakologi salah astunya yaitu terapi musik karen tidak dapat menimbulkan efek samping seperti obat-obatan, salah satu terapi non farmakologi yang lebih efektif adalah mendengarkan musik, terapi musik ini dilakukan selama 5 hari berturut-turut. Tujuan dari aplikasi ini adalah memberikan rasa tenang, membantu mengendalikan emosi serta menyembuhkan gangguan psikologi. Metode yang digunakan pada study kasus ini adalah dengan pendekatan asuhan keperawatan berupa pengkajian, merumuskan masalah, perencanaan, melakukan tindakan, dan evaluasi. Pendekatan pengukuran yang dipergunakan pre dan post menggunakan AHRS (Audiotory Hallucinations Rating Scale). Proses ini dilakukan selama 5 hari berturut-turut selama pagi dan sore hari selama 10-15 menit yang dilakukan pada 2 responden. Hasil evaluasi terjadi pasien  mengalami penurunan dan gejala setelah dilakukan terapi musik yang diterapkan oleh penulis. Penerapan terapi musik mampu terbukti menurunkan tanda gejala halusinasi pendengaran pasien.
Aplikasi menonton kartun terhadap parameter fisiologis dan tingkat ketakutan selama terapi inhalasi pada anak usia pra sekolah
Authors: Ariska Siti Linda , Alfiyanti Dera , Samiasih Amin , Sulistiyowati Erna
Published: April 2024

Hospitalisasi pada anak dapat menyebabkan ketakutan. Manajemen ketakutan perlu dilakukan agar tidak menimbulkan dampak serius pada anak. Dampak ketakutan antara lain dapat menghambat dan memperlambat proses pengobatan yang berdampak pada kesembuhan anak. Penurunan ketakutan anak dalam prosedur tindakan dapat diberikan dengan terapi distraksi audiovisual (menonton video kartun). Tujuan studi kasus ini adalah untuk mengetahui aplikasi menonton kartun terhadap parameter fisiologis dan tingkat ketakutan selama terapi inhalasi pada anak usia pra sekolah. Desain penelitian ini adalah studi kasus dengan pendekatan asuhan keperawatan. Subjek studi kasus terdiri dari tiga anak usia pra sekolah yang dirawat di rumah sakit. Alat ukur yang digunakan adalah lembar observasi dan tingkat ketakutan Child Fear Scale (CFS). Intervensi yang diberikan adalah menonton video kartun yang diberikan 1x sehari selama 15 menit. Pengaplikasi menonton kartun terhadap parameter fisiologis dan tingkat ketakutan anak selama terapi inhalasi pada usia pra sekoah mengalami penurunan 2- 3. Dapat disimpulkan bahwa terdapat penurunan 5 menit sebelum, saat terapi dan 5 menit sesudah diberikan intervensi, hal ini sesuai dengan hasil penelitian sebelumnya yang menunjukkan terdapat Pengaruh Menonton Kartun dan Kartu Distraksi pada Parameter Fisiologis dan Tingkat Ketakutan Selama Terapi Inhalasi pada Anak.
Efektifitas terapi bermain puzzle dalam menurunkan kecemasan anak usia pra sekolah akibat hospitalisasi
Authors: Ayu Fibiyanti Millenia Siska , Rahayu Desi Ariyana , Hidayati Eni
Published: April 2024

Hospitalisasi dapat menjadi faktor stress yang menimbulkan kecemasan pada anak karena menganggap dirinya kehilangan lingkungan yang aman dan hal tersebut dapat menghambat proses penyembuhan anak. Maka dari itu anak perlu mengalihkan rasa takut dan cemas sebagai koping dalam menghadapi cemas, salah satu terapi bermain yang sesuai dengan anak usia prasekolah adalah bermain Puzzle. Studi kasus ini bertujuan untuk mengetahui efektifitas terapi bermain dalam menurunkan kecemasan anak akibat hospitalisasi. Studi ini menggunakan metode deskriptif dengan pendekatan asuhan keperawatan. Responden dalam studi kasus ini sejumlah 2 anak yang mengalami kecemasan ketika sedang hospitalisasi, dilakukan selama 3 hari durasi waktu 10-15 menit dengan langkah pretest – terapi bermain – posttest disetiap pertemuan. Menggunakan alat ukur Facial Image Scale (FIS). Berdasarkan studi kasus didapatkan bahwa terapi bermain puzzle menunjukkan penurunan kecemasan pada responden 1 dari tingkat kecemasan sedang ke tingkat kecemasan tidak cemas dan pada responden 2 dari tingkat kecemasan berat mengalami penurunan ke tingkat kecemasan ringan. Berdasarkan hasil studi kasus ini menunjukkan bahwa penerapan terapi bermain puzzle efektif dalam mengurangi kecemasan anak akibat hospitalisasi. Diharapkan dapat menjadi referensi terapi non-farmakologi yang diterapkan pada anak yang mengalami kecemasan akibat hospitalisasi.
Intervensi kompres ekstrak daun binahong untuk mengatasi pruritus dan meningkatkan integritas kulit pada lansia dermatitis
Authors: Lewuk Maria Ansila Banun , Nababan Sudarwati
Published: April 2024

Dermatitis atopik adalah peradangan kronik dengan gejala kulit kering, kemerahan dan pruritus yang mendorong seseorang untuk menggaruk, menimbulkan lesi rekuren yang dapat mengganggu kualitas hidup lansia. Penatalaksanaan keperawatan dermatitis dengan intervensi prinsip Observasi, Terapi, Edukasi dan Kolaborasi (OTEK) penerapan terapi kompres dingin ekstrak daun binahong. Studi ini bertujuan untuk mengatasi pruritus dan meningkatkan integritas kulit lansia dermatitis. Studi kasus ini menggunakan desain deskriptif dengan pendekatan proses keperawatan. Subjek studi kasus adalah lansia dermatitis. Subjek sebanyak 2 orang yang diambil dengan kriteria inklusi. Pemberian kompres dingin ekstrak daun binahong dilakukan 2 kali sehari selama 2 minggu. Setiap kali kompres dilakukan selama 20 menit. Instrumen untuk menentukan tingkat keparahan pruritus menggunakan kuesioner baku Pruritus Saverity Scale (PSS). Hasil studi diketahui bahwa ada penurunan poin skala tingakat keparahan pruritus dan peningkatan integritas kulit, setelah penerapan terapi. Kompres dingin ekstra daun binahong sebagai alternatif terapi yang dapat menurunkan tingkat keparahan pruritus dan meningkatkan integritas kulit.
Interdialityc exercise menurunkan interdialityc weight gain pada pasien hemodialisis
Authors: Chasanah Cahyaningrum , Lazuardi Nugroho , Armiyati Yunie , Sarinti Sarinti
Published: April 2024

Peningkatan berat badan antar sesi dialisis atau yang dikenal interdialytic weight gain (IDWG) dapat menyebabkan komplikasi intradialisis. Komplikasi yang terjadi seperti hipotensi dan gangguan pernafasan tentu dapat mengancam nyawa. Latihan fisik/interdialytic exercise dapat menurunkan IDWG dan mengontrol berat badan, sehingga tujuan karya ilmiah ini adalah interdialytic exercise menurunkan interdialytic weight gain pasien Hemodialisis di RSUP Dr. Kariadi Semarang. Desain studi kasus pada karya ilmiah akhir Ners ini adalah studi kasus multiple case dengan  mengaplikasikan intervensi interdialytic exercise pada pasien HD di RSUP Dr. Kariadi Semarang sebanyak 5 subjek. Latihan dilakukan 2 kali dalam setiap sesi dengan durasi latihan 20 menit dan konsisten sampai dengan 4 sesi. Evaluasi dilakukan dengan mengukur kenaikan berat badan dengan indikator batas kenaikan tidak lebih dari 3%. Terdapat penurunan IDWG dari pre sesi 4,79% menjadi 0,15% di akhir sesi. Interdialityc exercise menurunkan IDWG pasien Hemodialisis di RSUP Dr. Kariadi Semarang dan diharapkan kegiatan tersebut dapat dijadikan sebagai SOP untuk menunjang pelayanan keperawatan.
Spi/ritüel: Balçova Cemevi Üzerinden Bir İnceleme
Authors: Nane Pelin , Kanlı Deniz , Duygun Esra
Published: April 2024

Yapılan eylemin, pratiğin veya performansın bireyin kendisini sorgulaması ve anlamlandırmasıyla spiritüel, tinsel ve içsel bir serüvene dönüşmesi bireyin içinde bulunduğu mekanla anlam kazanabilmektedir. Bu durumda spiritüel kavramının bireyle olan ilişkisine benzer olarak mekanla kurduğu/kuracağı ilişki de önemli bir araştırma alanına dönüşür.

Çalışma, mekanın tinselliğini ibadet mekanları bağlamında ele alarak, spiritüellik ve mekanın kesişimini tartışmaya açmaktadır. İbadet mekanları işlevleri ve sembolik anlamları itibariyle spiritüel deneyimlerle özdeşleşir. İşlevi gereği spiritüel olanla özdeşleşen bu mekanların tinselliği mekân ölçeğinde tartışmaya açılırken, ibadet mekanlarının spiritüel deneyimine yapısal/mimari unsurların katkıları konusu ele alınacaktır. Mekânı tinsel bir deneyim olarak ele alan mimar Peter Zumthor’un atmosfer tanımı bu tartışmaya kavramsal çerçeve sunar. Spiritüelliği okuma/keşfetme yöntemi olarak atmosfer kavramı ve onun kurucu öğeleri tartışmaya altlık oluşturur.

Bu kuramsal tartışmanın inceleme nesnesi Alevi ibadet mekanlarından gelenekselin dışında bir örnek olan Nevzat Sayın Mimarlık Hizmetleri tarafından tasarlanan ve 2022 yılında yapımı tamamlanan İzmir Balçova Cemevi projesidir. Çalışmanın kuramsal çerçevesine, projeyle ilişkili metinsel ve mekânsal analizlerin karşılaştırmalı okuması eşlik eder. Balçova Cemevi, ritüel-beden-mekân etkileşimi üzerinden incelendiğinde mekânın tinselliğini inşa eden özgün tasarım kararları ve yaklaşımlarına sahip olduğu görülmüştür. Bu tasarım kararları Zumthor’un mekân atmosferi inşasının kurucusu olarak gördüğü bileşenlerle de ilişkilenmektedir. Yapılan analiz sonucunda; Balçova Cemevi fiziksel özelliklerinin ötesinde içsel bir deneyim ve sembolik anlamlar sunan bir mekân olarak öne çıkarken Alevi inancının ve coğrafyanın özgün bir ifadesi olduğu vurgulanmalıdır. Bu analiz mekânı deneyimleyen kullanıcılar üzerinden ulaşılacak verilerle birlikte farklı eksenlerde de zenginleşmeye açıktır.
CENNET TASVİRİNİN MESNEVİLERDE YER ALAN İŞRET MECLİSLERİNE YANSIMASI: HEVES-NÂME ÖRNEĞİ
Authors: Özbek Arslan Necmiye
Published: April 2024

Klasik Türk şiiri şairleri eserlerini vücuda getirirken sembollerden, metaforlardan, remizlerden, mazmunlardan yararlanırlar. Ancak bunların her birinin altında gerçek bir kaynak, tarihi ya da efsanevi bir altyapı bulunmaktadırlar. Divan şairinin sıklıkla kullandığı kaynaklar arasında kutsal kitaplar bulunduğu gibi, dini-tasavvufi hayata yön vermiş kişilerin eserleri ve dahi sözleri de yer almaktadır. Bu bağlamda Kur’an-ı Kerim de şairlerin bolca müracaat ettiği kaynakların başında gelmektedir. Sadece dini-tasavvufi içerikli eserlerde değil farklı türdeki eserlerde ayetlere bazen telmih bazen iktibas bazen de teşbih yoluyla başvurulduğu görülür. Elbette bu durum şairin kullandığı üslupla ilgilidir. Bu çalışma Kur’an-ı Kerim’de yer alan cennet tasvirlerinin klasik Türk şiirindeki işret meclislerine yansımasını konu edinmiştir. Bilindiği üzere işret meclisleri dünyanın kaygı ve gamından uzaklaşmak için eğlenceyi merkeze alan yiyecek ve içeceklerin hizmetçiler eliyle dağıtıldığı, müzik ve raksın eşliğinde sohbetin oluşturulduğu mekanlardır. Burada elem ve gözyaşı meclis dışında bırakılır. Çeşit çeşit mumlar yakılır ve güzel kokular buhurdanlarla mecliste dolaştırılarak orada bulunanların sakinleşmesi ve meclise hazır hale gelmesi sağlanır. Eğlenceyi, hüznü, musahabeyi, muhabbeti anlatan pek çok meclis tasvirinde görülür ki şaşalı bir anlatımla okuyucu o sohbetin içine dahil edilmek istenir. Bunun yöntemlerinden birisi de şairlerin o meclisi anlatırken kullandığı tasvirlerdir. Okuyucunun hayalini canlandıracak renkli tasvirlerin içine tahayyül sınırını zorlayan mübalağalı ifadelere de yer verilir. Bu ifadelerin kullanıldığı metinlerden birisi Tâcîzâde Câfer Çelebi’ye ait olan Heves-nâme isimli mesnevidir. Eser incelendiğinde özellikle Kağıthane’de kurulan dost meclisinin anlatımında şairin Kur’an’dan esinlendiği ve mecliste bulunanlara adeta cennetteymiş izlenimi veren bir hava yarattığı görülmektedir. Bu çalışma mesnevide yer alan işret meclislerinde kullanılan tasvirlerle ayetleri karşılaştırmayı ve benzerliklerini gözler önüne sermeyi hedeflemektedir. Çalışmada cennet ve Heves-nâme hakkında bilgi verildikten sonra Kur’an’da yer alan cennet kavramları ve tasvirleriyle mesnevideki anlatım şekillerine yer verilecektir.
Age- and Sex-Related Reference Intervals of Prothrombin Time and Activated Partial Thromboplastin Time
Authors: Appiah Samuel K. , Nkansah Charles , Mensah Kofi , Osei-Boakye Felix , Serwaa Dorcas , Bani Simon B. , Abbam Gabriel , Daud Samira , Lardi Claudia S. , Oppong-Yeboah Emmanuel , Derigubah Charles A. , Kawuribi Vincent
Published: April 2024

Background: Due to the differences in reference intervals (RIs) for clinical parameters between geographical regions, each laboratory needs to establish its own RIs to aid in effective clinical diagnosis and management. This study developed age- and sex-specific RIs for prothrombin time (PT) and activated partial thromboplastin time (aPTT) among apparently healthy adults in Tamale, Ghana. Methods: This cross-sectional study recruited 206 apparently healthy individuals, aged 18-46 and residing in Tamale, Northern Region of Ghana. The PT and aPTT were determined using the HumaClot Duo Plus semi-automated coagulation analyzer. The data were analyzed using SPSS version 26. The RIs for PT and aPTT were established at 2.5th-97.5th percentiles. Results: The RIs for PT and aPTT were 10.2-13.37 seconds and 20.41–35.28 seconds, respectively. Females had relatively wider PT RI values than their male counterparts [(9.91–13.39) vs. (10.10–13.37) seconds]. Conversely, males showed relatively wider RIs for aPTT as compared to the female population [(19.86–35.47) vs. (21.40–35.20) seconds]. Adults between the ages of 31-46 years had the widest PT RIs (10.10–13.55) seconds, while the 18-20 years age group had the lowest range (10.10–12.85) seconds. For aPTT, individuals aged 18 -20 years had relatively wider RIs of 19.50–35.25 seconds than the rest of the age groups. A weak positive correlation was observed between PT and age (r =0.166, p=0.017), while aPTT showed a weak inverse correlation with age (r= -0.203, p=0.003). Conclusion: Relatively wider RIs for PT (10.02–13.37 seconds) and aPTT (20.41–35.28 seconds) were found among the population in Northern Ghana. PT correlated positively with age, while aPTT inversely correlated with age. Females had relatively wider PT-RI values than their male counterparts. Conversely, males showed relatively wider RIs for aPTT than the female group. Doi: 10.28991/SciMedJ-2023-05-03-01 Full Text: PDF
A Case Study of the Treatment Strategies Employed to Cure a COVID-19 Patient with Multiple Infections Successfully
Authors: Abniki Reza , Pourdad Arezoo , Shirani Kiana , Mansury Davood
Published: April 2024

The COVID-19 pandemic has given rise to new clinical challenges in healthcare settings. One of these challenges includes a heightened risk of secondary invasive bacterial and fungal infections, which have been associated with a notable mortality rate. We report a fatal case of a COVID-19 patient with two bacterial and one fungal infection successfully cured. A woman went to the hospital with fatigue, cough, chest and abdominal pain, nausea, and vomiting symptoms. She tested positive for COVID-19 and had underlying health conditions. She had a bacterial infection called Klebsiella Pneumoniae. The bacteria were resistant to many antibiotics, but colistin was effective. After 20 days in the ICU, she developed a fungal and Enterococcus faecalis(which was a Vancomycin-Resistant Enterococcus (VRE)) infection. The second bacteria were treated with linezolid. After 35 days in the hospital, she was discharged with no signs of infection. It is crucial to include proper bacterial screening and treatment when addressing COVID-19. Doi: 10.28991/SciMedJ-2023-05-03-02 Full Text: PDF
Methicillin Resistant Staphylococcus Aureus Colonization among HIV Patients
Authors: Igwe J. C. , Nkom P. J. , Durowaiye M. T. , Obajuluwa A. F. , Parom S. K.
Published: April 2024

Introduction: Methicillin-resistant S. aureus is known to have a significant negative impact on both immunocompetent and immunocompromised individuals (HIV patients). Aim: This study evaluated the antibiotic susceptibility profile of MRSA staphylococcus aureus isolated from HIV patients attending Barau Dikko Teaching Hospital, Kaduna. Methods: Using sterile wet swabs, within the period of 3 months (January– March 2020), a total of 180 samples were collected from the skin, ear, and nasal cavities of 60 HIV patients who gave their consent to be part of the survey, and S. aureus was isolated. Isolation, bacterial characterization, and antimicrobial susceptibility tests were carried out using the methods described by Chesbrough and Kirby-Bauer, respectively. Results: The bacterial isolation rate was 76.7% (138/180) in the samples collected, with 56.5% (78) been Gram positive. The incidences of S. aureus and MRSA were 12.8% and 8.6%, respectively. From the sample sources, the distribution of S. aureus was more in the nostrils, followed by the skin and ear swabs. Resistance was observed against imipenem (86.9%), vancomycin (65.3%), tetracycline (65.3%), and erythromycin (60.9%), while susceptible to ciprofloxacin (60.9%), streptomycin (43.5%), and gentamycin (52.2%). A high percentage (91.3%) of S. aureus were multidrug-resistant and had MARI > 0.2. Conclusion: This study established that high-resistant S. aureus with a possible MRSA gene could be responsible for frequent staphylococcus-associated infections and resistance to treatment among HIV patients in Kaduna, Nigeria. Doi: 10.28991/SciMedJ-2023-05-03-03 Full Text: PDF
Association of cardiac mechanical dyssynchrony indices with data of dynamic single-photon emission computed tomography of the myocardium: the role of the time interval between the stress test and recording
Authors: Shipulin V. V. , Gonchikova E. V. , Polikarpov S. A. , Mochula A. V.
Published: April 2024

Introduction. According to ECG-synchronized myocardial perfusion imaging (MPI) mechanical dyssynchrony (MD) is a sensitive marker of impaired myocardial perfusion. However, its direct comparison with indicators of myocardial blood flow reserve (MFR) according to single-photon emission computed tomography (SPECT) was not carried out. Traditional MPI protocols imply a long gap between stress test and image acquisition, during which stress-induced changes may pass. It is potentially possible to reduce the time interval down to 5 minutes.

Aim: To investigate the relationship between early and delayed MD indices and the data of MFR by means of SPECT.

Material and Methods. The study included 20 patients with suspected coronary heart disease, preserved left ventricular ejection fraction (> 55%) and without obstructive coronary artery lesions (< 50%) according to multislice computed coronary angiography. All patients underwent dynamic SPECT (dSPECT) according to a two-day rest/stress protocol. Gated MPI was performed 60 minutes after radiopharmaceutical administration. Myocardial blood flow and reserve, as well as phase histogram standard deviation (PSD, degree) and phase histogram bandwidth (HBW, degree) from 5 minutes after radiopharmaceutical administration were obtained from the dSPECT data by postprocessing. Perfusion data as well as MD indices (PSD, HBW) were obtained from delayed images. Based on dSPECT data, patients were divided into 2 groups: with preserved (MFR ≥ 2.0) and reduced (MFR < 2.0) myocardial blood flow reserve.

Results. Correlation analysis showed that MD indices on stress test in early scan had a stronger association with MFR (PSD ρ = –0.68, p < 0.001; HBW ρ = –0.68, p = 0.001) compared to those in delayed scan (PSD ρ = –0.38, p = 0.019; HBW ρ = –0.44, p = 0.005). According to multivariate regression analysis, PSD on stress test at early scan was the only independent predictor of reduced MFR (OR 1.29 (1.1; 1.53)). Stress PSD > 22° obtained at early scanning had a sensitivity of 81% and specificity of 87% (AUC = 0.86, p < 0.001) in predicting of reduced MFR.

Conclusion. Left ventricular mechanical dyssynchrony indices obtained by early post-stress gated MPI have a stronger association with myocardial blood flow reserve indices.
Effectiveness of different photoperiods on gonad maturity and reproductive performance of freshwater crayfish (Cherax quadricarinatus)
Authors: Jamaluddin Jamaluddin , Komariyah Siti , Rosmaiti Rosmaiti
Published: April 2024

This study aimed to determine the effectiveness of different photoperiod on gonad maturity and reproductive performance of freshwater crayfish. The study was conducted on July 22th - August 22th in the Green House Samudra University. Test fish used is seed of cherax quadricarinatus measuring 4-5 inches. The methods used in this study was Completely Randomized Design (CRD)with 4 treatments and 3 replications. The treatments in this study were P1 (8 hours light, 16 hours dark), P2 (10 hours light, 14 hours dark), P3 (12 jam hours light, 12 hours dark), and P4 (14 hours light, 10 hours dark). Seeds of fish was put in a containing 8 liters of water volume with a stocking density of of 1 tails male and female each container. The frequency of feeding is done 3 times a day at 08.00 am, 16.00 pm and 20.00 pm. The results showed that different natural feeding teratments had a very significant effect on the absolute weight, gonad maturity level (TKG), gonad maturity indexs (IKG), fecundity, and egg diameter. The best treatment in this study was P1 treatment (8 hours light, 16 hours dark) because it had a high-performance value compared to other treatments.Keywords: Absolute weight; Cherax quadricarinatus; Fecundity; Gonad; Photoperiod.
Different dosages effectiveness of Ovaprim on the maturation of freshwater lobster (Cherax quadricarinatus)
Authors: Feranosa Cinda , Komariyah Siti , Fadlon Haser Teuku
Published: April 2024

Freshwater lobsters have been developed as a commodity for consumption since 2003. The need for this commodity is increasing but production is still very low, so the price of freshwater lobsters is quite high and expensive. Therefore, it is necessary to carry out reproduction to carry out the seeding process for Freshwater Lobsters (LAT) using an injection technique in the form of the Ovaprim Hormone to accelerate the maturity of the LAT gonads. This study aims to examine the administration of different doses of the ovaprim hormone on the maturation of freshwater lobster broodstock. The research was conducted for 60 days. The method used was a Randomized Block Design (RAK) with 4 treatments and 3 replications. The treatments in this study were P0 (control), P1 (0,3 ml), P2 (0,5 ml) and P3 (0,7 ml). The parameters observed in this study were Gonad Maturity Index (IKG), Egg Diameter and Pleopode Fecundity. The results of the observations showed that giving different doses of ovaprim to the maturation of freshwater crayfish was not significantly different (P<0.05) to the Gonad Maturity Index IKG), Egg Diameter and Pleopode Fecundity but was significantly different to the P0 (control) treatment. The best treatment in this study was treatment P3 (0.5 ,l) because it had the highest performance between the other treatments.Keywords: egg diameter; fecundity; freshwater lobster; maturation; ovaprim
Production performance of Seurukan fish (Osteochilus sp.) with high density in recirculating system
Authors: Diansyah Sufal , Febrina Citra Dina , Islama Dini , Samsuli Said
Published: April 2024

One of the local fish (native species) that is popular with the public and has quite good market prospects in Aceh is the seurukan fish (Osteochilus sp.). Seurukan fish cultivation technology with a recirculation system needs to be developed so that its potential can be utilized optimally. This research aims to evaluate production performance and determine the optimal stocking density for rearing seurukan fish (Osteochilus sp.) in a recirculation system. This research was conducted by experimental method. The experimental design used was a completely randomized design (CRD) with three treatments of stocking density and each treatment was repeated four times. The treatments are P1 (5 fish/m2), P2 (10 fish/m2), and P3 (15 fish/m2). The rearing period for Seurukan fish lasts for 50 days. The parameters tested during the research included biological parameters consisting of survival, absolute growth rate, feed conversion ratio, weight diversity coefficient, and water quality parameters including temperature, pH and dissolved oxygen. The results showed that the seurukan fish reared at different stocking densities using a recirculation system had a significant effect on the absolute growth rate and the coefficient of variation in weight. The best treatment in this study was 5 fish/m2, with a survival rate of 100%, an absolute growth rate of 0.04 g/head/day, a feed conversion ratio of 1.63, and a coefficient of variation of weight of 17.99%.Key words: production performance; seurukan fish; recirculation system; stocking density
BIOLOGICAL AGENTS AS AN ALTERNATIVE TO CHEMICAL PRESERVATIVES IN THE SEAFOOD PROCESSING INDUSTRY, A REVIEW
Authors: Seifzadeh Mina
Published: April 2024

The present research investigated the possibility of replacing probiotic bacteria instead of chemical preservatives in the seafood processing industry. The data were used from articles published in the databases including Science Direct, Pub Med, Scopus Springer Link, and Scopus. The search was carried out using the keywords fish fillet, beneficial non-dairy foods, increasing shelf life, biological protection, probiotic food, microbial treatment, and Lactobacillus bacteria. A biological preservation technique was used to maintain the quality of hake, spanish mackerel, mackerel, sea bass, tilapia, swordfish, rainbow trout, and ribbon fillets. Swordfish coated with L. paracasei IMPC 2.1 was acceptable for 3 months. Followed by spanish mackerel and rainbow trout fillets coated with L. casei and L. plantarum subsp. plantarum ranked second and third for 30 and 21 days, respectively. The minimum shelf life of fillets was 48 hours (Tilapia coated with L. plantarum 1.19). In freezing, L. brevis could maintain the quality of rainbow trout fillet for 6 months. The present study suggests Lactobacillus strains, especially L. paracasei IMPC 2.1, as a preservative to preserve the quality of fish fillets. However, the use of this species in the seafood processing industry requires wider research to investigate its effect on other aquatic species.
Usos de Juniperus gracilior var. gracilior Pilg. en comunidades rurales de la Cordillera Central en República Dominicana
Authors: Delgado Aybar Aridio , Bobadilla Peñaló Elí Misael , Rodríguez De Francisco Luis Enrique
Published: April 2024

Las especies del género Juniperus ha sido ampliamente utilizadas por los seres humanos como fuente de fitoquímicos, en medicina tradicional y para su aprovechamiento maderable, sin embargo, poco se ha sabido hasta ahora de los usos etnobotánicos de las especies caribeñas y en particular los taxones de La Española, actualmente clasificados bajo diferentes categorías de amenaza. Este trabajo tuvo como objetivo reconstruir el espectro de las aplicaciones etnobotánicas dados al Juniperus gracilior var. gracilior por moradores de 14 comunidades rurales en la vertiente sur de la Cordillera Central. Estos asentamientos humanos se ubican próximos a 5 relictos poblacionales de la variedad gracilior en los que se alberga aproximadamente el 80% de los individuos del taxón en condiciones naturales. Mediante exploraciones de campo, visita y entrevistas estructuradas a lugareños se recolectaron informaciones que señalan que el aprovechamiento de la variedad se orienta en un 74.1% con fines maderables para diferentes aplicaciones, un 25 % en medicina tradicional con importante eficiencia en el tratamiento de enfermedades respiratorias, digestivas y del ciclo menstrual; y 0.9% a usos ornamentales y artesanales. Las informaciones generadas en esta investigación servirán como conocimiento de línea base para la elaboración de planes de conservación, manejo y potencial aprovechamiento de los beneficios fitoquímicos, farmacológicos y medicinales de la variedad endémica.
Estructura y caracterización de rodales de Pinus hartwegii Lindl. en el Parque Nacional Pico de Orizaba
Authors: Colohua-Citláhua Bernabé , Gómez-Guerrero Armando , Correa-Díaz Arián , Vargas-Hernández J.  Jesús
Published: April 2024

El Pico de Orizaba, es un área natural protegida cubierta por bosques de Pinus hartwegii Lindl., sometidos a presiones naturales y antropogénicas. El objetivo del presente estudio fue comparar los parámetros dasométricos de ocho rodales con cuatro exposiciones (N, S, E y O) y dos elevaciones (3700 y 3900 m). Se ubicaron áreas con cobertura representativa y se establecieron tres sitios de dimensiones fijas de 1000 m2 por cada combinación de Exposición-Elevación. La toma de información se complementó con imágenes de un vehículo aéreo no tripulado (VANT). Se encontró mayor densidad de arbolado (593 árboles ha-1) en la combinación E-3700 y la mínima en la zona O-3900 (113 árboles ha-1). La mayor área basal (35.2 m2 ha-1) y mínima (11.9 m2 ha-1) se encontraron en las combinaciones E-3700 y S-3900, respectivamente. El área basal y volumen disminuyeron con la elevación. La estructura horizontal mostró mayor número de individuos en categorías diamétricas bajas (10 – 40 cm) y para la estructura vertical un mayor número en las categorías de 25 a 30 m de altura. La prueba de Kruskal-Wallis mostró diferencias estadísticamente significativas entre las ocho combinaciones para las variables diámetro (DN), altura total (AT) y volumen (VOL). La disminución más notoria de parámetros dasométricos, ocurrió en elevaciones de 3900 m con exposición Sur, lo que indica que, son áreas menos favorables para el crecimiento del arbolado. Las exposiciones con más mayores parámetro dasométricos y mayor potencial de crecimiento fueron al Este y Norte.