bluuebunny/crossref_metadata_2025 huggingface dataset:
Parametric Study of Structural Seismic Response: Correlation Between Lateral Load, Displacement, and Stiffness
Authors: Sidik Hasibuan Samsul Abdul Rahman
Published: July 2024

Indonesia, located near the convergence of major tectonic plates, often experiences significant earthquakes that impact buildings. Many houses damaged by earthquakes are simple structures with red brick masonry. This study analyzes the seismic performance of masonry houses using ETABS software, assuming the houses are in seismic zone 4 and built on soft soil. The analysis focuses on the correlation between lateral loads, displacement, and structural stiffness. The results indicate that the maximum lateral load occurs in the X direction, while the maximum displacement occurs in the Y direction, indicating higher flexibility in the Y direction. Higher structural stiffness reduces displacement but also increases inertia forces. The nonlinear correlation between lateral loads and displacement, as well as the decrease in effective structural stiffness with increasing lateral loads, underscores the importance of balancing stiffness and flexibility in structural design. This study provides valuable insights for earthquake-resistant building design, particularly for masonry houses in earthquake-prone areas of Indonesia. The analysis emphasizes the importance of reinforcing critical areas and ensuring a more uniform distribution of lateral loads to enhance structural resilience to earthquakes.

Keywords:

ETABS, House, Life Safety, Performance, Seismic
Gambaran Jumlah Limfosit Pada Penderita Tuberkulosis Paru Yang Mendapat Terapi Obat Anti Tuberkulosis (OAT) Di Puskesmas Pekauman Kota Banjarmasin
Authors: Aprilia Annisa , Hidriya Hajrah , Risnawati Risnawati
Published: July 2024

Tuberculosis is a disease caused by Mycobacterium tuberculosis. These bacteria are transmitted from human to human through the air. Anti Tuberculosis Drug is the main strategy for controlling TB casses and lessening the chain of transmission. This study aims to determine the lymphocyte count of pulmonary tuberculosis patients who received Anti Tuberculosis Drug. This research used descriptive quantitative method with 23 respondents using venous blood as sample. Based on the results, the amount of respondent with normal lymphocytes were 21 respondents (91.3%), lymphopenia were 2 respondents (8.7%) and none had lymphocytosis (0%). For the results of lymphocytes count based on gender, 1 respondent (4.4%) had lymphopenia and 10 respondents (43.4%) were normal for the male, while for the female, 1 respondent (4.4%) had lymphopenia and 11 respondents (47.8%) were normal. Lymphocyte count results based on age, for productive age, 2 respondents (8.7%) had lymphopenia and 21 respondents (91.7%) were normal. The results of lymphocytes count based on the length of treatment, the intensive phase obtained 2 respondents (8.6%) with lymphopenia and 4 respondents (17.4%) were normal, for the continuation phase 17 respondents (74%) were normal.
Sterilisasi masker N95 dengan uji kualitas masker N95
Authors: Gunawan Heru , ERLITA UPIK ARI
Published: July 2024

Permasalahan yang diakibatkan peningkatan kasus covid-19 di Indonesia menyebabkan  beberapa permasalahan seperti peluapan kebutuhan masker N95 dimasa pandemi covid-19, mahalnya harga masker N95 dimasa pandemi covid-19, kurangnya stok ketersediaan masker N95 di fasilitas kesehatan dan banyak limbah masker N95 dimasa pandemi covid-19. Dari permasalahan diatas dapat diatasi dengan pembuatan alat sterilisasi masker N95 menggunakan komponen lampu UV dan Heater sangat evektif dalam sterilisasi masker N95 karena mampu mempertahankan kualitas masker N95 dan uji kualitas masker N95 mampu membantu dalam mengetahui kelayakan masker N95 melalui pembacaan nilai respirasi masker N95. Alat Sterilisasi masker N95 dilengkapi dengan fitur uji kualitas masker N95 ini digunakan dengan cara memasukkan masker N95 kedalam kotak yang telah disediakan dan disterilisasi selama 60 menit dan untuk uji kualitas masker N95 dengan cara menempelkan masker pada alat pressure dan nilai respirasi masker N95 yang akan dibaca oleh sensor MPX5010dp. Hasil validasi dari ahli materi yang didapat 81% dan ahli media 80%  yang berarti alat ini sangat laik untuk digunakan.
Gambaran Keluhan Muskuloskeletal Pada Siswa-Siswi Kelas XI SMAN 11 Banjarmasin
Authors: Hamzah Arfian , Fauziah Enny , Rahmah Aulia , Putri Maulida Wijaya
Published: July 2024

Kebanyakan siswa-siswi SMA memiliki jadwal yang padat serta banyak ekstrakulikuler yang diikuti dan fase pertumbuhan yang mengalami masa perubahan cenderung lebih merasa cemas dan rentan terhadap rasa stres yang tinggi, sehingga dapat menimbulkan keluhan muskuloskeletal dapat disebabkan  oleh penggunaan tenaga secara repetitif dan pergerakan yang cepat. Tujuan penelitian ini yaitu untuk mengetahui prevalensi regio yang paling banyak mengalami keluhan muskuloskeletal pada siswa-siswi SMAN 11 Banjarmasin dengan metode survei deskriptif menggunakan alat ukur kuesioner Nordic Body Map. Hasil penelitian menunjukkan bahwa sebagian besar responden yang paling banyak mengalami keluhan muskuloskeletal berusia 17 tahun dengan persentase 80,3%, berdasarkan distribusi jenis kelamin yang mengalami keluhan muskuloskeletal paling banyak yaitu perempuan dengan persentase 57,6%, berdasarkan distribusi Indeks Massa Tubuh kategori normal paling banyak mengalami keluhan muskuloskeletal dengan persentase 83,3%, dan prevalensi regio yang paling banyak mengalami keluhan muskuloskeletal yaitu pada pinggang dengan nilai rerata 1,90 dan gluteus dengan nilai rerata 1,57.
Kata Kunci: Pelajar, Keluhan Muskuloskeletal, Nordic Body Map
TINJAUAN PROSES PELAPORAN EKSTERNAL UNIT REKAM MEDIS DI RSU SUAKA INSAN BANJARMASIN TRIWULAN 1 TAHUN 2022
Authors: Hayati Syahida , Ningsih Eka Rahma
Published: July 2024

Based on the results of a preliminary study at RSU Asylum in San Banjarmasin In making hospital external reporting, it was found that there were obstacles, one of which was that the officers mistakenly entered data, so that the reported data still contained some errors. The purpose of this study was to find out the external reporting process of the medical record unit in RSU Asylum insan Banjarmasin, Type of research with descriptive research methods with a qualitative approach. How to collect data using observation and interview methods. The results showed that the types of reports were RL 1 basic hospital data, RL 4 patient morbidity and mortality data, and RL 5 monthly data. Sources of data from the emergency room, ward, census from SIMRS. The external reporting process is done manually by taking data in each unit and computerized data is available at SIRS Online. The conclusions of the results of this study include the types of reports used according to SIRS Online, data sources (RL 1 from basic hospital data, RL 4 from wards and RL 5 from census reports, SIMRS, and medical history), and the reporting process using manual and computerized
Formulation Development and Evaluation of Atorvastatin Calcium Extended-Release Tablets
Authors: Natarajan. R. , Babu. V. Suresh , Revathi S. , Sambathkumar R.
Published: July 2024

Atorvastatin calcium is an antihyperlipidemic agent that acts as HMG- COA reductase inhibitor. The objectives of the current research are to evaluate Atorvastatin calcium release from sustained-release tablets. FTIR analysis reveals that drug and polymer have no interaction. The tablets were created utilizing the wet granulation process by using various concentrations of polymer like HPMC. The prepared extended-release tablets have been assessed for friability, thickness, drug content, hardness, and in-vitro drug release studies. From the release analysis at high concentrations demonstrate better release than HPMC low concentration. The in-vitro release data findings indicate that HPMC polymer exhibits a better release rate at 18 hours showing 97.63.
Administração da Saúde Pública do Brasil sob a perspectiva da Teoria da Burocracia: deficiência de médicos especializados e disparidade regionais na acessibilidade
Authors: Stocco Gisele Romagna , Mundim Deivson Fabio Viana Santana , Furtado Elcimar Neves de Araújo
Published: July 2024

Introdução: A administração pública burocrática veio substituir as formas patrimonialistas de gestão, ganhando importância em função da necessidade de maior previsibilidade e precisão no tratamento das questões organizacionais. Objetivo: Este estudo tem como objetivo destacar a relação entre a disparidade regional no acesso aos serviços de saúde especializados no Brasil e a estrutura burocrática do Sistema Único de Saúde (SUS), examinando a gestão de saúde pública brasileira à luz da teoria da burocracia. Metodologia: Com base em pesquisa empíricas e documentos governamentais, incluindo análises de fontes como Sistema Único de Saúde (SUS), foram abordadas algumas questões relacionadas ao tema, incluindo reflexões sobre a burocracia, administração pública no Brasil, escassez de profissionais de saúde especializados e alocação de recursos, bem como as consequências adversas para a população quando não consegue acessar os serviços públicos de saúde.  Resultados: Identificamos evidências que apontam para duas trajetórias distintas: uma para os cidadãos que residem em áreas urbanas e outra para os residentes de áreas rurais e remotas. Essa disparidade regional é atribuída à gestão precária com distribuição concentrada dos recursos de saúde. Conclusão: A carência de médicos especializados é um problema significativo que afeta ambas as trajetórias, tanto para os cidadãos que residem em áreas urbanas quanto para os residentes de áreas rurais e remotas. Essa carência resulta dos processos burocráticos relacionados à formação e à fixação desses profissionais, incluindo a distribuição desigual de vagas de residência médica e a falta de incentivos para a fixação de profissionais em áreas menos desenvolvidas.
Stereotypy i uprzedzenia we wzajemnych relacjach Polaków i Ukraińców jako bariery integracyjne
Authors: Ostafiński Witold
Published: July 2024

Wybuch wojny i agresja Rosji na Ukrainę spowodowały falę emigracji z Ukrainy, głównie skierowaną na terytorium Polski. Tysiące ludzi przeszło polsko-ukraińską granicę, szukając schronienia przed agresorem. Emigrantami były głównie kobiety i dzieci, większość mężczyzn pozostała w swoim kraju, by bronić ojczyzny. Polska przyjęła sąsiadów z otwartymi ramionami, wielu ludzi bezinteresownie udostępniło emigrantom swoje domy, pomogło w pierwszych tygodniach pobytu w naszym kraju. Organizowano zbiórki żywności, środków higieny, odzieży i innych artykułów. Pomagano załatwiać sprawy urzędowe i zorganizować życie w Polsce. Większość Polaków przychylnie odniosła się do Ukraińców uciekających przed wojną, okazując im życzliwość i wsparcie. Nie można jednak pominąć faktu, że we wzajemnych relacjach Polacy i Ukraińcy z dużą rezerwą, nierzadko wrogo odnosili się do siebie, kierując się stereotypami i uprzedzeniami. Wynikało to z wielu czynników, a jednym z najważniejszych wydają się być zaszłości i uwarunkowania historyczne. Problem ten może stanowić dużą barierę integracyjną. Celem tego artykułu jest omówienie wzajemnych stereotypów i uprzedzeń Polaków i Ukraińców w kontekście wzajemnych relacji i integracji obu narodów.
Analiza porównawcza nauczania matematyki wczesnoszkolnej w Polsce i Ukrainie
Authors: Swoboda Ewa
Published: July 2024

W polskich szkołach uczy się obecnie wiele dzieci z Ukrainy. Warto uświadomić sobie, jakie są różnice w podejściu do nauczania matematyki wczesnoszkolnej w Ukrainie i w Polsce. Niniejszy artykuł próbuje przybliżyć ten problem.
Integracja w edukacji wczesnoszkolnej – rozwiązania praktyczne
Authors: Motak Anna , Krzyszkowska Małgorzata
Published: July 2024

Pomyślność integracji w edukacji wczesnoszkolnej zależy od wielu czynników. Możemy tutaj powiedzieć zarówno o możliwościach, jak i trudnościach. Integracja obejmuje szereg działań dążących do harmonijnego współdziałania wszystkich uczniów w klasie, nie tylko w szkole, ale również w czasie wolnym. Jednym z tych działań było stosowanie metod i technik, mających na celu zniesienie barier edukacyjnych – przede wszystkim językowych, mentalnych i psychologicznych.
Wybrane formy fizjoterapii w integracji dzieci uchodźców z Ukrainy
Authors: Strój Ewa , Gajoch Aneta , Witkoś Joanna , Błażejewski Grzegorz
Published: July 2024

Wojna na terytorium Ukrainy zmusiła około 7 milionów mieszkańców tego państwa do opuszczenia swojej ojczyzny. Znaczna część uchodźców to kobiety i dzieci, które stanowią obecnie część polskiego społeczeństwa. W celu ułatwienia obywatelom Ukrainy procesu integracji społecznej możliwe jest wykorzystanie wybranych form fizjoterapii. Wykorzystanie psychospołecznych i emocjonalnych efektów, jakie niesie ze sobą aktywność fizyczna, wprowadza osobę ćwiczącą w stan relaksu, odprężenia oraz stanowi skuteczną metodę redukowania poziomu stresu. Ruch poprawia nastrój, ułatwia nawiązywanie kontaktów społecznych, dodaje wiary w siebie, zmniejsza objawy depresji oraz zwiększa odporność psychiczną. Dodatkowo istnieje możliwość urozmaicania zajęć, modyfikowania ich do potrzeb dziecka i zwiększania ich atrakcyjności. Fizjoterapia oferuje zróżnicowane formy terapii, m.in. zabawy ruchowe, choreoterapię, terapię Snoezelen, terapię w wodzie, masaż, akupresurę, jogę, ćwiczenia oddechowe oraz animaloterapię. Troska o odpowiednią edukację oraz czas odpoczynku i relaksu dzieci uchodźców są istotne ze względu na prawidłowy rozwój psychiczny i fizyczny młodego człowieka. Dla niektórych dzieci z Ukrainy, Polska jest docelowym krajem azylu, gdzie mają szansę na pomyślną adaptację, integrację społeczną i budowę swojej przyszłości.
Niepełnosprawność ruchowa seniorów a ich uczestnictwo w kulturze fizycznej poprzez turystykę rekreacyjną oraz krajoznawczą
Authors: Błażejewski Wojciech , Błażejewski Grzegorz , Witkoś Joanna
Published: July 2024

Pierwsze dwa dziesięciolecia XXI wieku to okres istotnych zmian w postrzeganiu potrzeb życiowych i możliwości osób z niepełnosprawnościami, w tym szczególnie tych dotkniętych niepełnosprawnością ruchową. Ta marginalizowana od lat i wykluczana z pełni życia społecznego grupa ludzi w różnym wieku stopniowo przestaje być przedmiotem stygmatyzacji i funkcjonujących powszechnie w obiegowych opiniach stereotypów. Jedną z form umożliwiania im pełnego udziału w codziennym nurcie wydarzeń zachodzących w lokalnym i globalnym środowisku jest promowana coraz intensywniej kultura fizyczna w postaci m.in. turystyki krajoznawczej i rekreacyjnej. To co przez wiele lat uważano za trudne lub niemożliwe, dzisiaj znajduje wielu zwolenników w różnych kręgach społecznych. Walory turystyki osób z niepełnosprawnością ruchową sprawiają, że zyskuje ona na popularności i dlatego tak istotnym dla organizatorów, fizjoterapeutów, lekarzy jest szczegółowe poznanie postaw m.in. osób w wieku senioralnym wobec możliwości jej uprawiania.
A Catalog of Edgar Allan Poe Manuscripts Belonging to the Poe Museum, Richmond, Virginia; Part One: Letters
Authors: Bethel Denise , Semtner Expanded By Christopher P.
Published: July 2024

While the Poe Museum’s collection of original Edgar Allan Poe letters and manuscripts is modest in number, it contains some especially significant pieces, including Poe’s early notes on Shakespeare and Milton, his autobiography, and what is quite possibly the last letter Poe wrote before his untimely death in 1849. A few of these documents are well known to scholars, but many, among which are some recent discoveries, are lesser known. This catalog, the first published survey of the museum’s holdings of documents from Poe’s hand, will provide a physical description, text, provenance, publication history, and commentary for each item. In some cases, errors made by previous transcribers will be corrected to provide the definitive text for each document. The authors intend this catalog to serve as both a resource for researchers of Poe manuscript material and a guide to the Poe Museum’s collection.
Effects of Sowing Depths on Nutritional Metabolites of Three Cucurbitaceae Species
Authors: Ajayi Janet Opeyemi , Ojewumi A. W.
Published: July 2024

Variations in soil nutrients can influence the nutritional attributes of crops. Therefore, this study was conducted to evaluate the effects of varying sowing depths (2-8 cm) at 2 cm intervals on the nutritional contents of Luffa cylindrica (LC), Citrullus lanatus (CL) and Citrullus colocynthis (CC) fruits. Proximate, mineral and vitamin contents of seeds and pulps of fruits of the plants were determined. Protein (31.10±0.17 %), crude fibre (4.48±0.02 %), fat (47.13±0.27 %), ash (2.50±0.01 %) and carbohydrate (99.66±0.03 %) were higher (p<0.05) in seeds produced by CC sown at 6 cm compared with other sowing depths. Sodium (23.17±0.02 mg/100 g), potassium (370.47±0.34 mg/100 g), calcium (18.61±0.01 mg/100 g) and copper (0.25±0.01 mg/100 g) were higher in the pulp produced by seeds of LC sown at 6 cm. Similar significant increases were observed in phosphorus (13.28±0.11 mg/100 g), iron( 8.12±0.01 mg/100 g), zinc(8.60±0.06 mg/100 g), and magnesium (2.28±0.01 mg/100 g) in seeds produced by LC seeds sown at 6 cm. Vitamin A (0.58±0.01 mg/100 g) and Vitamin K(0.19±0.15 mg/100 g) were also higher in seeds produced by CL seeds sown at 2 cm,  Vitamin C  (7.76±0.05 mg/100 g) and vitamin E(0.17±0.00 mg/100 g)in the pulp of CL seeds sown at 4 cm while Vitamin D   (1.40±1.33 mg/100 g) was higher in the pulp produced by CC fruits whose seeds were sown at 6 cm. In conclusion, seeds of CC sown at 6 cm contained higher proximate and mineral compositions and vitamins in pulp than CL and LC. Therefore, cultivation of the plants at 4-6 cm is recommended to ensure a higher nutritional content of the plants.
 Keywords: Luffa cylindrica, Citrullus lanatus, Citrullus colocynthis, proximate, vitamin
Molecular Characterization and Distribution of Malaria Vectors in three Agrarian Communities of Kano State, North West Nigeria
Authors: Darda Florence , Eluma Maryam , Oyeniyi Tolulope , Awolola Samson , Mwansat Georgina , Nanvyat Nannim , Asabe Yohanna Jael
Published: July 2024

Malaria vector abundance has been linked to certain agricultural practices. This work examined the impact of the agricultural practice of irrigation on the composition and seasonal distribution of malaria vectors in agrarian communities of Kano state. Longitudinal data collection was done four times a year, corresponding to different transmission seasons from early rains to late rainy season, early dry season to late dry season. Indoor-biting adult mosquitoes were collected using standard pyrethrum spray collection (PSC) techniques. Female Anopheles mosquitoes collected from houses were morphologically identified to species level. Molecular characterisation of the members of the Anopheles gambiae complex was carried out using PCR technique. Two thousand four hundred fifty-two (2452) adult female Anopheles species were collected throughout the study period. The Large Irrigation (LIC) and Urban Irrigation Communities (UIC) had a higher mean abundance of female Anopheles mosquitoes across seasons. There was a significant difference in the mean adult mosquito catch across the season (F =113.49, p≤0.001) and across the three communities (F = 44.73; p ≤0.001). Anopheles gambiae sl. was the most encountered among the four species, with a mean abundance of 11.94±11.76, 5.39±7.45 and 2.58 ±3.41 for LIC, UIC and NIC, respectively. Molecular characterisation of An. gambiae s.l. by PCR showed the presence of three sibling species, An. coluzzi, An. gambiae ss and An. arabiensis. An. Coluzzi was significantly more abundant across the three communities during the wet and dry seasons. The predominance of this species has implications for malaria control. This study shows that irrigation is likely to influence mosquito breeding, thus exposing community members to a higher risk of being bitten by infected vectors. A review of the ecology of Anopheles species, especially in urban environments, is needed, considering the current abundance of malaria vectors in the urban community.
Keywords: Seasonal, Abundance, Composition, Anopheles species, Irrigation, Urban
Influência das dimensões dos corpos de prova na determinação das propriedades de resistência e rigidez na flexão para madeiras do grupo das folhosas
Authors: Freitas Neto Manoel Brasilino de , Silva Larissa Barbosa Fernandes da , Almeida João Paulo Boff , Branco Luíz Antônio Melgaço Nunes , Chahud Eduardo , Christoforo André Luís , Lahr Francisco Antônio Rocco
Published: July 2024

Nos últimos anos, a madeira tem se tornado um dos três materiais mais utilizados na construção civil, juntamente com o concreto armado e o aço, para obras de grandes estruturas. Todavia, para o correto dimensionamento das estruturas em madeira, e para garantir o uso racional das espécies nativas, é necessário o conhecimento a respeito das propriedades físico-mecânicas do material. Dentre tais propriedades, destaca-se a determinação da resistência (FM) e o módulo (EM) convencional na flexão. No Brasil, o documento normativo ABNT NBR 7190-3 (2022) estabelece os métodos de ensaio para obtenção de tais propriedades a partir de corpos de provas com dimensões de 5 cm × 5 cm × 115 cm, no entanto, para realizar esses procedimentos são necessários laboratórios especializados e de alto custo. Nesse contexto, esse estudo buscou verificar a influência das dimensões amostrais na determinação de FM e EM, empregando quatro espécies do grupo das folhosas e respeitando a relação L/h ≥ 21. Para as quatro espécies estudadas, observou-se equivalência estatística nos valores de FM e EM nos corpos de prova com dimensões distintas. Esses resultados evidenciam que, mantida a relação L/h ≥ 21, as dimensões amostrais não influenciam na determinação destas propriedades.
Legal Regulation of “Skinning” Games
Authors: Zhou Ying
Published: July 2024

The development of video games has formed a complex and diversified huge system. It is precisely because of the variety of modern video games and abundant layers, "skinning" games and other infringement problems are endless. What kind of electronic games are worth protecting, and which part of them need to be protected, is the problem of today's legislation and justice. Judicial practice is basically through the copyright law or anti-unfair competition law to regulate the infringement of electronic games, but both have different degrees of inadequacy. If the development of "skinning" games is allowed to continue, the excellent but small-scale and medium-sized game developers will be driven out of the game market, and the future of electronic games will not go too far. Therefore, it is essential to strengthen intellectual property protection and improve the level of innovation by setting up a special category of protection through the Copyright Law and leading the development of the video game industry by judicial means.
Gender Distribution of Coronary Artery Calcium Score and Degree of Stenosis Assessed by Computed Tomography Angiography in Iraqi Patients with Chest Pain
Authors: Abdulqader Shaymaa , Bakr Ghasaq Ma'an , Ahmed Saja Ali , Hassan Qays Ahmed , Al-Kinani Mortadha
Published: July 2024

Background: Sex variations in coronary artery disease (CAD) are well documented. However, sex differences in coronary artery calcium (CAC) and its role in the detection of coronary artery stenosis remain controversial. Objective: To assess the impact of sex variation on coronary artery calcification and its efficacy in predicting coronary artery stenosis. Methods: This is a cross-sectional observational study including 230 consecutive patients with suspected CAD (120 men and 110 women) referred for coronary computed tomography angiography (CCTA). The study analyzed sex-based differences in the sensitivity and specificity of coronary artery calcification (CAC) for detecting moderate to severe stenosis across various coronary arteries. Results: The calcification scores 1-100 and 101-<400 were slightly more frequent in men (25% and 10%, respectively) than women (20.91% and 7.27%, respectively); however, the differences were not significant. For the left anterior descending artery (LAD), men showed slightly higher sensitivity and specificity (69.23% and 81.48%, respectively) than women (61.9% and 79.78%, respectively). For the left circumflex artery (LCX), men showed relatively higher sensitivity (68.75%) and lower specificity (89.42%) than women (50% and 98.81%, respectively). For the right coronary artery (RCA), women showed relatively higher sensitivity and specificity (75% and 93.4%, respectively) than men (50% and 91.82%, respectively). Conclusions: While the CAC has a relatively high specificity and low sensitivity in the detection of coronary artery disease, there is no difference in the score between men and women. When comparing vessels, women exhibit greater RCA calcification sensitivity and specificity than men, whereas for LAD, the opposite is true.
Совершенствование обучения врачей скорой медицинской помощи при оказании помощи пациентам с сочетанными травмами на догоспитальном этапе
Authors: Хайдаров Ш.Э. , Шарипова В.Х. , Эшбоев А.Т. , Фокин И.В , Хуррамова Д.А.
Published: July 2024

Цель. Выявление недостатков, препятствий и проблем в осуществлении оказания помощи пациентам с сочетанными травмами путем анкетирования врачей с последующим совершенствованием программы обучения врачей скорой медицинской помощи.Материал и методы. Проведено анкетирование 400 врачей скорой медицинской помощи. Анкета состояла из 18 вопросов с вариантами ответов. Средний возраст врачей, прошедших анкетирование, составил 53,5±3,4 года, мужчины-врачей было 275 (67,5%), женщин – 130 (32,5%).Результаты. Анкетирование врачей выявило недостаточность знаний у врачей скорой медицинской помощи о современных аспектах обезболивания, о применении в практике оценочных шкал боли. 80% опрошенных предпочитали произвести обезболивание анальгином, 17% предпочли в качестве обезболивающего препарата наркотический анальгетик. 95% (380 врачей) опрошенных считают, что применение наркотического анальгетика в качестве обезболивающего препарата затруднит дальнейшую диагностику нарушения сознания.Заключение. Имеются проблемы и недостатки в осуществлении обезболивания на догоспитальном этапе у пациентов с сочетанной травмой, которые способствовали усовершенствованию программы обучения, с включением отдельных лекций и практических занятий, посвященных проблеме обезболивания и аспектам оказания помощи пациентам с сочетанной травмой. Разработан алгоритм обезболивания пациентов с сочетанной травмой на догоспитальном этапе оказания помощи.
Применение методики «Scamper» для повышения научно-креативного мышления врачей-курсантов
Authors: А.М. Хаджибаев, А.Г. Махамадаминов, Ф.Б. Алиджанов
Published: July 2024

Цель. Определение возможности методики «SCAMPER» в повышении научно-креативного мышления врачей-курсантов циклов повышения квалификации.Материал и методы. Методика «SCAMPER» представляет собой схему постановки определённых вопросов, которые стимулируют генерaцию новых идей. Методика основывается на мнении о том, что всё новое является модификацией того, что уже есть. «SCAMPER» – это аббревиатура слов Substitute (замещение), Combine (комбинирование), Adapt (адаптация), Modify (модификация, увеличение), Put (предложение другого применения), Eliminate (устранение или сведение действия до минимума), Reverse (обращение, изменение порядка), где каждой буквой обозначается слово, описывающее самостоятельный способ работы с характеристиками изучаемой проблемы. Возможности применения методики «SCAMPER» нами были изучены на примере преподавания на кафедре экстренной медицинской помощи ЦРПКМР курсантам цикла «Экстренной хирургии» темы «Диагностика и лечение гастродуоденальных язвенных кровотечений».Результаты. Методика «SCAMPER» существенно улучшает научно-креативное мышление курсантов и может быть рекомендована для применения на циклах усовершенствования врачей по экстренной медицине, требующей быстрых и творческих решений в экстремальных ситуaциях.Заключение. Методика «SCAMPER» является современной педагогической технологией, позволяющей существенно повысить уровень научно-креативного мышления врачей – курсантов циклов повышения квалификaции
Формирование «узкой» кисти при травматических нереплантабельных ампутациях длинных пальцев
Authors: Минаев Т.Р
Published: July 2024

Цель. Оценка целесообразности реплантаций при изолированных травматических ампутациях так называемых «длинных» трехфаланговых пальцев кисти.Пациенты. Представлены результаты 13 случаев формирования так называемой «узкой» кисти при травматических нереплантабельных ампутациях длинных пальцев.Результаты. У всех больных были хорошие как ближайшие, так и отдаленные функциональные и косметические результаты. Через 1–2 месяца после получения травмы все они вернулись к прежней работе.Заключение. В целом ряде случаев при одиночных травматических ампутациях «длинных» пальцев кисти, со сложным механизмом повреждения, целесообразнее изначально отказаться от реплантации, а сразу выполнять формирование «узкой» кисти
Implementacja systemów elektronicznych w szelkach bezpieczeństwa i urządzeniach samohamownych
Authors: Jachowicz Marcin ,   Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy
Published: July 2024

Implementation of electronic systems in safety harnesses and self-braking devices The aim of this publication is to discusses issues related to the use of electronic systems in equipment protecting against falls from height. They are used both in the form of light and sound modules, as well as in the form of sets of sensors, detectors, data transmission blocks, or even entire complex electronic systems. These systems are used to improve work safety, and personal protective equipment equipped in this way is called intelligent. The aim of the article is also to present the prototype of a self-locking device for the dynamic shortening of the fall path. The electronic-mechanical locking system in the self-locking device, developed at the Central Institute for Labour Protection – National Research Institute, allows for its dynamic activation, independent of the external energy generated during the fall of a person. Thanks to this construction, it is possible to reduce the free fall path, and thus the forces acting on a person when stopping him, as well as work the self-locking device in a horizontal or close to a horizontal position and use it as a device preventing the start of a fall. The construction and operation of the designed device were shown, and the possibilities of its use were presented in the article. Keywords: work at height, fall protection equipment, control electronic systems, intelligent personal protective equipment
The Role of Inlay and Inset Glenoid Implants in Anatomic Total Shoulder Arthroplasty
Authors: Smith Mark P. , Dillon Mark T.
Published: July 2024

Anatomic total shoulder arthroplasty is an established treatment for degenerative conditions involving the shoulder. One well-described complication of total shoulder arthroplasty is glenoid loosening, especially in younger and more active patients. As a result, several surgeons recommend against activities that may put patients at risk of implant failure after shoulder arthroplasty. Newer inlay and inset glenoid implants may have a role in treating arthritis in younger patients and may allow them to return to sports and high-impact activities, including weightlifting. These glenoid implants may also play a role in treating patients with notable glenoid deformity. However, more information is needed regarding their long-term outcomes.
Vitamin D Supplementation May Prevent or Treat Deficiency After Total Knee Arthroplasty: A Retrospective Cohort Analysis
Authors: Duggan Jessica L. , Jamison Matthew P. , Fitz Wolfgang , Lange Jeffrey K. , LeBoff Meryl S. , Chen Antonia F.
Published: July 2024

Background:

Vitamin D deficiency is associated with poorer functional outcomes and increased complication rates after total knee arthroplasty (TKA). Yet, there is no longer term study evaluating vitamin D levels and supplementation after TKA. Our study aimed to compare quantitative vitamin D levels and supplementation regimens after TKA stratified by patient sex and race.

Methods:

A retrospective cohort study of primary TKA patients at a single hospital from 2015 to 2022 was conducted. We analyzed vitamin D preoperatively and postoperatively up to 2 years. Vitamin D deficiency was defined as <30 ng/mL. A subgroup analysis was conducted in patients with vitamin D <21 ng/mL. Supplementation categories included none, low (<1,001 IU), medium (1,001 to 5,000 IU), and high (>5,000 IU).

Results:

A total of 400 (66.0% female) patients who underwent 430 primary TKA procedures were included, and 65.3% received supplementation. Patients who were vitamin D sufficient preoperatively demonstrated higher vitamin D levels and ability to maintain sufficiency postoperatively using low-dose supplementation compared with no supplementation (P = 0.004). Those who were vitamin D deficient preoperatively demonstrated higher vitamin D levels postoperatively using medium to high doses (P = 0.02). For patients who became deficient postoperatively, supplementation was associated with achieving repletion at an average of 10.2 months (P < 0.001). Black patients demonstrated 2.8 times higher odds of having a vitamin D level less than 30 ng/mL (P = 0.03).

Conclusion:

Our study demonstrated that low-dose vitamin D supplementation (<1,001 IU) was beneficial for vitamin D–sufficient TKA patients to achieve higher levels and maintain vitamin D sufficiency. Vitamin D–deficient TKA patients benefitted from medium-to-high dose supplementation (1,001 to 5,000+), but only 33.7% achieved vitamin D repletion. This work highlights the need to continue vitamin D surveillance postoperatively and the need to continue vitamin D repletion.
The Effect of Social Drivers of Health on 90-Day Readmission Rates and Costs After Primary Total Hip and Total Knee Arthroplasty
Authors: Kiwinda Lulla V. Mr. , Mahoney Hannah R. , Bethell Mikhail A. , Clark Amy G. , Hammill Bradley G. , Seyler Thorsten M. , Pean Christian A.
Published: July 2024

Introduction:

The effect of social drivers of health (SDOH) on readmissions and costs after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is poorly understood. Policies such as the Hospital Readmissions Reduction Program have targeted overall readmission reduction, using value-based strategies to improve healthcare quality. However, the implications of SDOH on these outcomes are not yet understood. We hypothesized that the area deprivation index (ADI) as a surrogate for SDOH would markedly influence readmission rates and healthcare costs in the 90-day postprocedural period for THA and TKA.

Methods:

We used the 100% US fee-for-service Medicare claims data from 2019 to 2021. Patients were identified using diagnosis-related groups. Our primary outcomes included 90-day unplanned readmission after hospital discharge and cost of care, treated as “high cost” if > 1 standard deviation above the mean. The relationships between ADI and primary outcomes were estimated with logistic regression models.

Results:

A total of 628,399 patients were included in this study. The mean age of patients was 75.6, 64% were female, and 7.8% were dually eligible for Medicaid. After full covariate adjustment, readmission was higher for patients in more deprived areas (high Area Deprivation Index (ADI)) (low socioeconomic status (SES) group OR: 1.30 [95% confidence intervals 1.23, 1.38]). ADI was associated with high cost before adjustment (low SES group odds ratio 1.08 [95% confidence intervals 1.04, 1.11], P < 0.001), although, after adjustment, this association was lost.

Discussion:

This analysis highlights the effect of SDOH on readmission rates after THA and TKA. A nuanced understanding of neighborhood-level disparities may facilitate targeted strategies to reduce avoidable readmissions in orthopaedic surgery. Regarding cost, although there is some association between ADI and cost, this study may illustrate that ADI for THA and TKA is not sufficiently granular to identify the contribution of social drivers to elevated costs.
Isolation of Bacteria from Raw Milk Collected at Milk Super Markets in Tripoli City
Authors: Salah Altwanesy
Published: July 2024

Globally, billions of people consume milk and dairy products every day. Milk samples were collected at 15 milk collection centers (milk super market). According to stratified random sampling design. Samples were analyzed for Total Plate Count (TPC). The prevalence of selected pathogens such as Listeria monocytogenes, E. coli and Salmonella was determined. The mean counts per ml for TPC, psychrotrophs and thermophiles were 12×106, 7.5×103 and 9.1×103, respectively. A TPC less than 106 cfu ml−1 was used as a basic standard by MCC in the Price Incentive Programme. From the 150 milk samples tested, approximately 90% were contaminated by coliform bacteria and 65% were E. coli positive, with mean counts ranged from 103 to 104 cfu ml−1. S. aureus was isolated from more than 60% of the samples and the mean count per ml was 12×103. Meanwhile, E. coli was also detected in20 (33.5%) samples. However, Salmonella was only detected in 1.4% of the samples, with the Central region having the highest frequency of isolation. Thirteen Salmonella serotypes were identified, including S. muenchen, S. anatum and S. agona. A total of 47 strains of Listeria were isolated from 4.4% Listeria-positive samples including L. monocytogenes (1.9%), L. innocua (2.1%) and L. welshimeri (0.6%). The presence of pathogenic bacteria such as E. coli, Salmonella and Listeria spp. in raw milk is of public health concern since drinking raw milk is still considered good for health in rural population.
Analisis Pengaruh Pendidikan dan Pelatihan Sumber Daya Manusia Terhadap Kinerja Pegawai dengan Metode Regresi Linear Berganda di BKPSDM Kota Solok
Authors: Rinaldi Denny , Prima Arie , Syafwandi Syafwandi
Published: July 2024

Each employee receives education and training to obtain skills that suit the agency's needs. The aim of the research is to determine the analysis of the influence of the education variable (X1) and training variable (X2) of Human Resources on the employee performance variable (Y). The research location was carried out by researchers at BKPSDM Solok City using the Multiple Linear Regression method. The results of the research show that the HR education and training carried out by researchers has succeeded in finding that by increasing Human Resources training, employee performance will also increase in accordance with agency needs
Pengembangan Multimedia Pembelajaran Interaktif pada Mata Pelajaran Geografi Kelas XI SMA
Authors: Ningsih Fitria , Novrianti Novrianti , Eldarni Eldarni , Hendri Nofri
Published: July 2024

The development of this interactive learning Multimedia was made as an effort to utilize the use of Microsoft Office Power Point media, and can develop every year, and has an impact on students. This research aims to produce a learning multimedia product in Geography class XI of high school that is valid and practical. This type of research is R&D using the Four-D (4D) model consisting of define, design, develop, and disseminate. Product validation consists of media validation and material validation. The practicality test was carried out for students in grade XI of SMAN2 Sutera. Based on the research of the material validator, 4.81 is classified as "very valid", 4.82 media validation results are classified as "very valid". This interactive multimedia is classified as "very practical" with a score of 4.76.
Sejarah Perkembangan dan Kemunduran 3 Kerajaan Islam di Abad Modern (1700-1800an)
Authors: Kartini Kartini , M M. Dahlan , Rahmawati Rahmawati
Published: July 2024

This article aims to find out the history of the development of the three great Islamic kingdoms in the Middle Ages. This article uses a qualitative approach with the literature study method. This method is intended to examine various sources relevant to the focus of this research. The main sources of research data are scientific books and articles published in various scientific journals and indexed on the google scholar database. Data analysis is carried out qualitatively consisting of data reduction, data presentation, and conclusion drawing. Research findings show that three important Islamic empires were created in the late 15th and early 16th centuries: the Ottoman Empire in Turkey, the Mughal Empire in India, and the Safavid Empire in Persia. The three important Kingdoms seem to focus their sights more on the democratic tradition of Islam and build an absolute empire. Almost every aspect of general life was carried out with systematic and bureaucratic precision and various kingdoms developed an elaborate administration. These three great kingdoms seemed to revive the glory of Islam after the collapse of the Abbasids. However, the progress made during the three great kingdoms is different from the progress made during the classical Islamic period
Kajian Kritis Tentang Pemikiran Emanasi dan Hubungannya dengan Sains Modern
Authors: Kartini Kartini , Harun Hamzah , Aderus Andi
Published: July 2024

This article aims to find out the thought of emanation and its relationship to modern science. This article uses a qualitative approach with the literature study method. This method is intended to examine various sources relevant to the focus of this research. The main sources of research data are scientific books and articles published in various scientific journals and indexed on the google scholar database. Data analysis is carried out qualitatively consisting of data reduction, data presentation, and conclusion drawing. The results of the analysis show that the philosophical basis of the concept of emanation is the desire to avoid God from the pluralist nature in order to purify the oneness of God from all material things. The creation of the cosmos with the theory of emanation will confirm the opinion that this realm is qadim in the sense that it experiences continuous creation with different faces and shapes. It is not qadim in the sense that it is equal to God the creator who is qadim in nature. The theory of emanation in the world of modern science finds its relevance in the Big Bang theory which says that nature is created from a big bang process that begins with a heating process so that it develops until it emits a loud sound
Pengaruh Penerapan Model Pembelajaran Problem Based Learning (PBL) Terhadap Hasil Belajar Siswa pada Mata Pelajaran Informatika
Authors: Januamita Meri , Zuliarni Zuliarni , Anugrah Septriyan , Rahmayanti Elsa
Published: July 2024

This research aims to determine the effect of the implementation of the Problem Based Learning (PBL) model on student learning outcomes in the Informatics subject for grade X Phase E at SMAN 1 Hiliran Gumanti. This type of research is a quasi-experimental study. The sample in this study consisted of 60 students from grade X Phase E. The data collection technique used was a test method. The test instrument was used to collect data on student learning outcomes after applying the Problem Based Learning (PBL) model. Data were analyzed using a t-test statistic with a significance level of 0.05. The results showed that the average score of the experimental class was 83.5, and the average score of the control class was 75.6. The t-test calculation resulted in t_calculated = 3.024, which is greater than the t_table value at the 0.05 significance level, which is 1.671. It can be concluded that the implementation of the Problem Based Learning (PBL) model has a significant effect on student learning outcomes in the Informatics subject for grade X Phase E at SMAN 1 Hiliran Gumanti
Analisis Cara Berpikir Siswa dalam Menyelesaikan Soal High Order Thinking Skills (HOTS) Kelas VIII MTs Pertiwi Kuningan
Authors: Juwita Ii , Ricki Yuliardi Ricki
Published: July 2024

Abstract. The results of the 2022 International Student Assessment (PISA) for Indonesia show a decrease of 12-13 points, but Indonesia's ranking has increased by 5-6 compared to 2018. So, Indonesia is ranked 69th, this shows that the competence of Indonesian children is still low in critical skills and solving abilities. problem with HOTS. The aim of this research is to determine students' thinking abilities in solving HOTS type questions. This research is descriptive qualitative research. The subjects in this research were students of class VIII MTs Pertiwi Kuningan. Data collection techniques in this research used interviews, observation and documentation and were analyzed using triangulation analysis techniques which consisted of three stages, namely: data reduction, data presentation and conclusion drawing. The research results show that students' cognitive abilities in solving HOTS questions at MTs Pertiwi Kuningan vary, with the majority of students being at a good to high level of ability. However, there are challenges that need to be overcome, such as a lack of practice on similar questions and accuracy in answering questions. With the right strategies, such as practicing practice and increasing accuracy, as well as intensive support from teachers, students' abilities in applying, analyzing and evaluating HOTS questions can be improved
Advancing Fault Detection Efficiency in Wireless Power Transmission with Light GBM for Real-Time Detection Enhancement
Authors: D Rajalakshmi , K Rajesh Kambattan , K Sudharson , A Suresh Kumar , R Vanitha
Published: July 2024

This study introduces WirelessGridBoost, an innovative framework designed to revolutionize real-time fault detection in wireless electrical grids by harnessing the power of the LightGBM machine learning algorithm. Traditional fault detection systems in electrical grids often face challenges such as latency and scalability due to the intricate nature of grid operations and limitations in communication infrastructure. To overcome these challenges, WirelessGridBoost integrates LightGBM, a highly efficient gradient boosting decision tree algorithm, with wireless technology to facilitate advanced fault detection capabilities. Trained on historical sensor data, the LightGBM model demonstrates exceptional proficiency in discerning complex fault patterns inherent in electrical grid operations. Deployed across strategically positioned wireless nodes within the grid, WirelessGridBoost enables prompt identification of anomalies in real-time. Extensive simulations and experiments conducted on a real-world grid testbed validate the effectiveness of WirelessGridBoost, achieving a fault detection accuracy of 96.80% and reducing latency by 38% compared to conventional methods. This research presents a promising avenue for enhancing fault detection efficiency in wireless electrical grids through the innovative WirelessGridBoost framework.
Research on Personal Information Protection in the Context of Generative Artificial Intelligence
Authors: Yan Tingting
Published: July 2024

Personal information is the foundation of generative AI, and ChatGPT-like generative AI needs to process a large amount of personal information at various stages such as model training, model generation, and model optimization, which also has a certain impact on traditional personal information protection rules. During the information collection phase, generative AI may fugitive the informed consent rules and infringe on the privacy rights of information subjects. In the information utilization stage, generative AI may impact basic personal information processing rules such as the principle of purpose limitation and the principle of openness and transparency, increasing the risk of personal information leakage. At the information generation stage, generative AI can generate false and discriminatory information. Therefore, in the context of generative AI, personal information protection is faced with the problems of the notification and consent rules being hollowed out, the principle of minimum necessity being voided, and the frequent leakage of personal information. Based on this, it is necessary to promote the transformation of the "personal control center to the risk control center" of the notification and consent rules, promote the risk-based interpretation of the principle of least necessary, and improve the risk-based personal information protection compliance system to solve the problem of personal information protection in the context of generative AI.