bluuebunny/crossref_metadata_2025 huggingface dataset:
The Implementation of Multimodal Approach to Teaching English Online in The Covid – 19
Authors: Ika Purnama Sari  , Rizky Khairunnisa Sormin  , Purba Anita , Setiawati  , Siregar Epi Supriyani
Published: July 2023

The advent of COVID-19 and the subsequent national lockdown has catapulted higher education institutions into emergency remote teaching. It is make the students must study from home. Multimodality is an emergent phenomenon that may influence how digital learning is designed. By the Multimodal the teacher and the students can study well, eventhough they are at home. Multimodal employed in highly interactive and immersive learning environments. In this research, the author investigates and analyzes the multimodal theory and proposes an effective way to teach English in higher education under the multimodal vision. This study aims to analyze the multimodal approach theory and proposes an effective way to teach English in higher education under the multimodal vision.  The instrument used by the writer in this research is a questioner and interview.  The interview was made after administering the questionnaires to verify the students’ responses. The questioner is sent by G-form. From the data and analysis that have been completed from the results of the questionnaire regarding the students’ interest in learning English. There are 47 respondents. The respondents or 93.7 % were attracted to learn English by Multimodal Approach. It means that the Multimodal Approach help to improve the quality of English language teaching in higher education institutions. The students can understand through a multimodal approach to teaching English Online in Higher Education during the covid-19.
Keywords: Multimodal Approach, Online Learning, Teaching and Learning
Students’ Learning Style in Speaking Skill
Authors: Jannatul Jannah Wirda , Kasyulita Evi
Published: July 2023

This study was a descriptive qualitative study. Students' Learning Styles in Speaking Skill was the subject of this study. The goal of this study was to find out how students' learning styles affected their speaking skills. In this study, the sample consisted of one English teacher and  23 second-year students from SMPN 3 Rambah Hilir. Questionnaires (15 statements) and interviews (3 questions) were utilized by the researcher to collect data. The data was examined using the Guttman scale to determine which learning styles students preferred. According to the findings of the study, there were 22% visual learners, 69 percent auditory learners, and 9% kinesthetic learners. The major learning type was determined to be auditory. The researcher learns from the interview's results that the students use two different learning styles: visual and auditory.
Keywords: Learning Style, Speaking skill
Myocardial state in overweight individuals after coronary revascularization
Authors: Seytekova A. N. , Molotov-Luchanskiy V. B.
Published: July 2023

Heart and vascular diseases, or cardiovascular diseases (CVDs), have remained relevant for many decades and remain the most serious health problem in many countries around the world, including Kazakhstan. Experts from the World Health Organization (WHO) predict that by 2030 death from CVD may occur in 23.6 million people of working age. The widespread use of reconstructive and interventional methods, ensuring the restoration of blood flow in the myocardium, has made progress in the treatment of cardiovascular diseases. At the same time, serious problems remain during the reperfusion period at various stages of rehabilitation. The purpose of the review was to analyze the results of studies on the state of the myocardium in overweight individuals, especially after undergoing coronary artery surgery. The depth of the sample of literary sources was 20 years.
Associations of polymorphisms of some genes with cardiometabolic risk factors in adolescents from Novosibirsk
Authors: Denisova D. V. , Gurazheva A. A. , Maximov V. N.
Published: July 2023

Aim of the study was to investigate the association of polymorphisms of some genes with overweight and certain anthropometric and biochemical parameters in a population sample of adolescents in Novosibirsk. Material and methods. In 2019, a population-based screening of a representative sample of adolescents (609 people) was carried out in Novosibirsk. All children and their parents signed an informed consent for the examination. The study was approved by the local Ethics Committee of the Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics of SB RAS. During the examination, a questionnaire was filled out, anthropometric measurements were carried out, blood sampling was carried out, followed by a biochemical study. 157 people (75 boys (47.8 %), 82 girls (52.2 %)) were selected for molecular genetic analysis using tables of random numbers. The weight status of adolescents was assessed using the IOTF (International Obesity Task Force) criteria. The subsequent analysis compared 2 groups: 1st group included teenagers with weight deficiency and normal body weight), the 2nd – with overweight, obesity and extreme obesity). Results. In the general group, differences in carriers of different genotypes of the rs9939609 FTO gene were found in the level of low-density lipoprotein cholesterol (LDL-C) (p = 0,024). The girls with the AA rs9939609 genotype had the greatest average thickness of the skin fold in the middle third of the right shoulder. Differences were found in carriers of different genotypes rs7903146 of TCF7L2 gene in the average fasting plasma glucose (FPG) level (p = 0,021). The average thickness of the skin fold in the middle third of the right shoulder was greater in girls carrying the CC genotype compared with carriers of the CT and TT genotypes (p = 0,041). In separate subgroups, in carriers of different genotypes of rs10811661 CDKN2AB gene were found differences in high-density lipoprotein cholesterol, FPN, and waist circumference, in nucleotide sequence variant (NSV) rs2237892 KCNQ1 gene carriers – in triglyceride, FPG, LDL-C and total cholesterol concentration, in rs1111875 HHEX gene carriers – in total cholesterol, LDL-C level, waist and hip circumference, thickness of the skin fold under the scapula, diastolic blood pressure. Conclusions. Associations of the studied NSV (rs9939609, rs7903146, rs10811661, rs2237892, rs1111875) were found in the group as a whole and in separate subgroups (with division by body mass index, gender), with anthropometric and biochemical parameters, such as total cholesterol, triglyceride, LDL-C, FPN content, diastolic blood pressure, waist and hip circumferences, thickness of the skin fold under the scapula and in the middle third of the right shoulder. There were no statistically significant differences in the frequencies of studied NVS genotypes and alleles between the 1st and 2nd groups.
Factors affecting treatment adherence in working-age patients with myocardial infarction
Authors: Sedykh D. Yu. , Barbarash O. L.
Published: July 2023

Aim of the study was to analyze the factors affecting treatment adherence in working-age patients with myocardial infarction (MI). Material and methods. During hospitalization, data of 150 patients with MI were collected using medical records and questionnaires. Social treatment readiness was assessed using the S.V. Davydov method with the calculation of treatment adherence (TA) score. After 6 months, the vital status, frequency and causes of hospitalizations, intake of the main groups of drugs, achievement of cardiovascular health target, frequency of regular medical check-up and the type of specialist conducting it were analyzed. In conclusion, the factors affecting the TA score were identified, as well as factors related to the achievement of cardiovascular health targets. Results. 6 months after MI, 4 (2.7 %) patients died due to cardiovascular diseases, 24 (16 %) were hospitalized. The inpatient TA score was 5 (4; 8) (median (lower quartile; upper quartile)), in 79 (52.6 %) patients it was low. The adherence of the surviving patients to treatment after six months was high: 142 (97.3 %) were taking disaggregants, 138 (94.5 %) were taking beta-blockers and reninangiotensin-aldosterone system inhibitors, 139 (95.2 %) were taking statins. However, only 56 (69.1 %) patients achieved target levels of low-density lipoproteins (LDL); 118 (80.8 %) patients achieved target levels of blood pressure, 95 (65.1 %) patients achieved target levels of heart rate (HR) at rest. Only about half (56.8 %) of patients with MI had regular medical check-ups, and only 38.5 % visited cardiologist. Patients who did not achieve target levels of LDL and HR had lower baseline TA score (p = 0.038 and p = 0.029, respectively), they showed up to fewer regular medical checkups after MI (p < 0.001). In patients who did not achieve target HR, the indicator of willingness to pay for treatment was low (p = 0.041), and regular medical check-ups were 4.2 more likely to be performed by a paramedic (p = 0.021). High-score TA was associated with the patient`s lack of propensity for social isolation, high social awareness, trust in the therapeutic treatment, willingness to pay for treatment, high sociability, dyslipidemia in history, the absence of passive smoking during the year, undergoing stage 2 of stroke recovery, working at the time of MI or the late age at onset of alcohol consumption. Low TA score was associated with the patient being the resident in the city, Q-wave MI, and a long-term smoking. Conclusions. Among the factors affecting treatment adherence in working-age patients with MI, certain indicators such as medical and social treatment readiness throughout hospitalization, and social, economic and clinical anamnestic characteristics are highlighted. The identification these factors should be implemented in real clinical practice to improve secondary prevention and outpatient follow-up.
Multi-drug-resistant tuberculosis in COVID-19 pandemic period, Dushanbe
Authors: Tilloeva Z. H. , Mirzoev A. S.
Published: July 2023

Aim. To evaluate the shifts in demographic, clinical, and epidemiological characteristics of patients with multidrugresistant tuberculosis (MDR TB) amidst the COVID-19 pandemic.

Materials and Methods. A cross-sectional study was conducted on patients with MDR TB registered in Dushanbe, before (2017-2019) and during the COVID-19 pandemic (2020-2021).

Results. The average age of patients prior to the COVID-19 pandemic was 36.5±16.9 years (1.7-79.4), whereas during the COVID-19 period, it was 34.4±17 years (2.9-80.2). The pandemic era witnessed a statistically significant rise in the proportion of workers among MDR TB patients compared to the unemployed (OR = 1.4; 95% CI 1.02-1.91; p = 0.05). Furthermore, an increase was observed in the proportion of patients with lung destruction in both newly diagnosed (OR 3.4; 95% CI 1.99–5.87; p<0.001) and previously treated patients (OR 4.2; 95% CI 1.38–12.99; p =0.002). There was also an increase in extrapulmonary tuberculosis registration (OR=1.7; 95% CI 1.34-2.22; p<0.001), indicating an unfavorable epidemiological situation in terms of MDR-TB. However, there were no statistically significant changes in the registration of concomitant diseases.

Conclusion. We recommend the improvement of TB infection prevention and control measures at all levels, as well as the enhancement of early detection of TB and MDR TB patients by primary health care workers.
Determination of the criteria for the volume of surgical interventions in juvenile angiofibroma of the skull base, depending on the results of computed and magnetic resonance tomography
Authors: Ikromov M. K.
Published: July 2023

Aim. To explore the potential of computed and magnetic resonance tomography in determining the extent of surgical intervention in juvenile angiofibroma of the skull base.

Material and Methods. The study is based on an analysis of patients diagnosed with juvenile angiofibroma of the skull base, who were hospitalized in the 1-ENT department of the State Institution NMC RT “Shifobakhsh” from 2015 to 2022. Over this period, 68 male patients were under our supervision.

Results. Data analysis from computed and magnetic resonance imaging revealed a sphenoethmoid form of tumor growth in 51.5% of patients. The basilar form was less common (25%), and the pterygomaxillary form of tumor growth occurred in 22% of cases. The tubar form of tumor growth was detected in one case. A significant proportion of patients (61.8%) had angiofibroma stage II, 10.3% had stage I, 19.1% had stage IIIA, and 4.4% of patients had stages IIIB and IV, respectively.

Conclusions. Computed and magnetic resonance imaging can be considered the gold standard in the study of patients with suspected juvenile angiofibroma of the skull base. These methods allow clinicians to determine the form of the tumor process depending on the initial site and the disease stage, which are critical criteria for selecting the extent of surgical intervention.
Formación, crecimiento y virtud: fines de la educación
Authors: Gómez Veas Germán
Published: July 2023

El propósito de este artículo es revisar y poner en perspectiva ciertos fundamentos antropológicos implicados en el quehacer educativo en torno al fin de la educación, destacando que la práctica docente no puede eludirlos. Para el autor, vale la pena hacer notar que los componentes y alcances antropológicos de los fines de la educación deben constituir el centro de todo quehacer educativo. Así, desde la perspectiva de la filosofía de la educación, este planteamiento va en la línea de retomar conceptos de la filosofía clásica del realismo con base aristotélica, para renovar el empeño formativo que supone la educación en nuestros días. En específico, plantea el autor que, retomando la concepción clásica de la paideia, educar es principalmente formar. Como conclusión, el autor subraya que el trabajo educativo, especialmente aquel que se da en el ámbito escolar, tiene el fin de ayudar, con eficacia, a que los estudiantes alcancen la plenitud de su ser personal, para lo cual especifica cinco propósitos en este proceso: inspirar a los alumnos para que se sorprendan con la realidad y también para que despierten su interés por aprender y formarse a sí mismos; educar el carácter en torno a la verdad, el bien y la belleza; desarrollar virtudes para que los alumnos vivan en coherencia con sus fines existenciales; considerar que la formación supone un proceso de personalización, de crecimiento personal; y, finalmente, hacer que la educación se oriente al crecimiento profundo de la vida interior.
Percepción de la violencia, emociones y consumo televisivo durante la pandemia en la Argentina
Authors: Heram Yamila , Gago María Paula , Dagatti Mariano
Published: July 2023

Este artículo explora a qué se alude cuando se habla sobre violencia y miedo en el consumo de medios en el contexto de la pandemia por COVID-19 y las medidas de Aislamiento Social Preventivo y Obligatorio (ASPO) y Distanciamiento Social Preventivo y Obligatorio (DISPO) decretadas por el gobierno argentino. Se realizaron entrevistas semiestructuradas y focalizadas a personas mayores de 18 años, habitantes del Área Metropolitana de Buenos Aires. Entre los principales resultados advertimos que cuando las personas hablan de violencia y miedo en los medios, se refieren a temas o motivos que exceden el de la inseguridad o el de la pandemia; emergen cuestiones conectadas con los modos de enunciar la actualidad, con los formatos o géneros que tratan sobre ella (habitualmente formatos de no ficción de las instituciones mediáticas clásicas del sistema broadcasting), así como cuestiones ligadas directamente con las lógicas y rutinas de los medios.
Inclusión de ácidos grasos poliinsaturados en la dieta para ovejas de pelo superovuladas
Authors: Delgado Tiburcio Guadalupe Adilia , Cortez-Romero Cesar , Pro-Martínez Arturo , Hernández-Marín José Antonio , Gallegos-Sánchez Jaime
Published: July 2023

En el presente estudio se emplearon 12 ovejas de pelo sanas, en buena condición corporal y ciclando. Se asignaron al azar a uno de dos tratamientos: Tratamiento 1, ovejas suplementadas con aceite de aguacate (5% de la dieta; T1; n=6); y Tratamiento 2, ovejas testigo (sin aceite de aguacate en la dieta; T2; n=6), ambas dietas fueron isoproteicas e isoenergéticas y se ofrecieron durante siete días (2 kg/animal/día). Todas las hembras se sincronizaron con un dispositivo intravaginal liberador de progesterona (CIDR®), considerándose el día 0 la inserción del dispositivo. Para las hembras donadoras, la dieta experimental se comenzó a ofrecer el día 5 y para ambos tratamientos de donadoras se empleó un protocolo con dosis decrecientes de la hormona FSH aplicándose 200 mg totales, iniciando el día 6. Para ambos tratamientos, al día 7 se administró una dosis de PGF2α y de eCG. Al día 9, se retiraron los CIDR® y se inició con la detección de estros cada 4 h con machos equipados con mandil, y se procedió a dar monta natural a la presencia de celo. A los siete días posteriores de la monta, se procedió a la recolección de embriones en las hembras superovuladas mediante una laparotomía, para luego ser transferidos a las receptoras. Al momento del lavado, se encontró que la respuesta ovulatoria no fue muy satisfactoria, se procedió a realizar la recolección de embriones solo en 3 hembras del T1, se recuperaron 9 embriones y fueron transferidos, llegando con éxito todos al parto. El presente estudio mostró una respuesta ovulatoria baja al tratamiento hormonal, la suplementación de aceite de aguacate no mostró efectos por la poca respuesta de las hembras; sin embargo, se observaron buenos resultados en la tasa de gestación, por lo cual consideramos que se requiere mayor investigación.
Effect of essential oils blend inclusion on performance and HSP70 gene expression in broilers chickens under chronic heat stress
Authors: Gasparino Eliane , Guimarães Simone Eliza Facioni , De Araujo Rafael Canonenco , De Léo Rosa Aparecida Reis , Khatlab Angélica de Souza , Del Vesco Ana Paula , De Souza Maria Luiza Rodrigues , Cangianelli Gabriela Hernandes
Published: July 2023

The objective of this study was to evaluate the effects of the inclusion of a blend of essential oils (capsaicin, carvacrol, cinnamaldehyde and eugenol) in broiler submitted to thermal stress. Performance parameters and gene expression of heat shock protein (HSP70) were evaluated in the liver and jejunum. Regarding performance, animals subjected to heat stress had lower feed intake and weight gain and higher feed conversion. The inclusion of 3% of the blend increased the HSP70 gene expression in jejunum and liver of 42 days old broiler chickens.
Efecto de la pulpa de café sobre la calidad de la leche en cabras en pastoreo en el norte de México
Authors: Nava Joachin Fortunato , Ángel García Óscar , Rojas Hernández Saul , Olivares Pérez Jaime , Quiroz Cardoso Fredy , Damián Valdés Miguel Ángel , Robledo Reyes Eduardo Ezequiel
Published: July 2023

En este trabajo se evaluó el efecto de la suplementación de la PCaf, sobre parámetros productivos, la producción y calidad de la leche en cabras bajo condiciones de pastoreo, con el fin de que los productores tengan otras opciones de suplementación para sus animales contemplando el mejor rendimiento productivo de las cabras. Se utilizaron 20 cabras multirraciales en producción de leche con una producción promedio de 1.5 L de leche, y fueron divididas en 2 grupos (n=10 c/u) homogéneas en cuanto a peso vivo y condición corporal. Un primer grupo (Tratado) fue suplementado con 150 g de PCaf más 150 g de concentrado comercial (17% PC, 1.5 EM) y 2% de melaza del total de la ración, mientras que un segundo grupo (Control) recibió 100 g de concentrado comercial. El periodo de estudio fue de 21 días. La suplementación de los animales fue individual por la mañana (8:00 am) durante todo el periodo experimental. Se evaluaron las siguientes variables: peso vivo (PV), condición corporal (CC), producción y determinación de la calidad de la leche, los datos fueron analizados con prueba de t-Student. Los resultados en cuanto a PV, CC, producción de leche, el contenido de proteína, lactosa, solidos no grasos y sólidos totales no existió diferencia (P>0.05) para ambos grupos, sin embargo, en el contenido de grasa promedio presentó una significativa tendencia donde se encontraron mayores valores  (P<0.05) en la leche de las cabras suplementadas con PCaf (3.2%), con relación a la proveniente de las cabras del grupo control (2.9%). Se concluye que la suplementación alimenticia con PCaf podría ser una alternativa viable para mejorar la calidad de la leche, sin disminuir la producción de la leche en cabras multirraciales bajo condiciones de pastoreo en el norte de México
Evaluación del efecto de Cymbopogon citratus sobre el consumo, digestibilidad, emisión de metano y partición de la energía en bovinos en crecimiento
Authors: Vázquez Carrillo María Fernanda , Zaragoza-Guerrero Reynaldo , Corona-Gochi Luis , González-Ronquillo Manuel , Castillo-Gallegos Epigmenio , Castelán-Ortega Octavio Alonso
Published: July 2023

El metano (CH4) producido por fermentación entérica de los bovinos es de suma relevancia ya que contribuye a las emisiones de gases de efecto invernadero. Este gas es un producto final de la fermentación que sufren los alimentos en el rumen, resultando en una pérdida energética para el animal. Disminuir la producción de CH4 conllevaría a hacer un uso más eficiente de la energía bruta ingerida que podría ser aprovechada para ser transformada en carne o leche, y además se reducirían las emisiones de CH4 hacia el medio ambiente. Existen diversas estrategias de mitigación de CH4, como la adición de plantas con alta concentración de metabolitos secundarios, como Cymbopogon citratus (CC). Es por lo anterior, que el presente estudio tuvo como objetivo evaluar niveles crecientes de CC sobre el consumo de materia seca (CMS), digestibilidad de nutrientes (DIG), producción de CH4 y partición de la energía bruta consumida en ganado bovino en crecimiento alimentado con una dieta alta en forraje (68.6% forraje: 31.4% concentrado). Se utilizaron cuatro becerras (¾ Holstein × ¼ Charoláis) con un peso vivo inicial promedio de 225 ± 64 kg distribuidos en un diseño de cuadrado latino 4×4. Los tratamientos experimentales fueron: 1) dieta control (CO); 2) CO + 30 g CC MS/d; 3) CO + 60 g CC MS/d y 4) CO + 90 g CC MS/d. Se observó una reducción del 22.4 % y 21.2 % en el rendimiento de CH4 (CH4 g/kg CMS) y factor Ym, respectivamente, con el tratamiento 30 CC comparado con CO (P ≤ 0.05). No se observaron diferencias estadísticamente significativas para las medias relacionadas con el CMS, DIG y partición de la energía bruta consumida (P > 0.05). Se concluye que la suplementación con 30 g CC MS/d reduce el rendimiento de CH4 sin afectar el desempeño productivo animal.
Propuesta de rescate de la raza Criollo Limonero de Venezuela
Authors: Araujo-Febres Omar
Published: July 2023

El ganado criollo se originó de los bovinos (Bos taurus) traídos por los conquistadores desde la Península Ibérica y las Islas Canarias a partir del año 1497. En la región occidental de Venezuela, en los municipios Mara y Páez del estado Zulia, se desarrolló una raza conocida hoy como Criollo Limonero (zona del río Limón), y que se caracterizan por su rusticidad, adaptación al ambiente, su resistencia a enfermedades, y excelentes pastoreadores. En la actualidad, no se alcanzan los 400 ejemplares puros, lo que representa una situación de extinción de la raza. Es necesario tomar acciones concretas, utilizar las tecnologías reproductivas y compromisos de las instituciones, privadas y gubernamentales, asociados con la academia y el sector ganadero para que con una acción audaz lograr revertir esta situación.
Crédito de carbono e suas implicações para a área contábil das empresas
Authors: Juarez Everson José , Yonemoto Hiroshi Wilson , Bilotta Patrícia , Silva Carlos Alberto Figueiredo da
Published: July 2023

O Mecanismo de Desenvolvimento Limpo (MDL) é o único instrumento que permite a relação de países desenvolvidos e em desenvolvimento por meio da certificação (Redução Certificada de Emissões – RCEs) de projetos desenvolvidos por empresas, que viabilizem a redução de emissões de Carbono. O objetivo desta pesquisa foi verificar a prática contábil adotada pelas empresas para o registro das RCEs, considerando a não existência de uma sistematização pelo Conselho Federal de Contabilidade. A técnica utilizada foi pesquisa bibliográfica e concluiu-se que o registro contábil de todas as ações realizadas pelas empresas, com finalidades direcionadas ao desenvolvimento sustentável, devem ser descritas no plano de contas da empresa com a identificação ‘Ambiental’. Quando se tratar do desenvolvimento de projeto específico para MDL, todos os gastos realizados no processo devem ser registrados no ‘Ativo Intangível Ambiental’. Quando ocorrer a certificação do título RCEs, esse deve ser apresentado no ‘Ativo Financeiro’, conforme Decreto Federal n°11.075/22.
Um novo Ensino Médio para uma antiga formação humana
Authors: Pereira Maria do Socorro Vasconcelos , Santos Gláucia Amaral dos , Gomes Albiane Oliveira , Araujo Maria Ludetana
Published: July 2023

A proposta do novo ensino médio (NEM) brasileiro aprovada no ano de 2017 durante a gestão do então Presidente Michel Temer (2016-2018) possui algumas finalidades com a alteração do currículo da última etapa da educação básica e em razão disso, o texto tem por objetivo desvelar a perspectiva de formação para os alunos do ensino médio a partir da Lei nº 13.415/2017. Por meio da pesquisa bibliográfica e documental identificou-se que o que há de novo no ensino médio são os discursos falaciosos advindos do setor privado que estimulam os jovens a defenderem os valores do neoliberalismo com uma educação que estimula as pessoas a serem dóceis na lógica de não questionar as situações concretas, aliada a defesa de valorização dos sonhos e projetos de vida como se todos tivessem as mesmas condições, o que não é real dentro de uma sociedade capitalista.
Corneoconjunctival Transposition and Lyophilized porcine intestinal submucosal membrane graft in perforating or partial thickness in deep or perforating corneal lesions: evaluation of final corneal transparency and complications
Authors: Seide Peixoto Cristiane , Pascoli Ana , Friolani Milena , Corrêa Scalon Marcela , Wouk Antônio Felipe
Published: July 2023

To evaluate and compare the functional and cosmetic results of eyes submitted to two types of keratoplasty in dogs with deep or perforating corneal lesions, the medical records of three surgeons were reviewed. Seventy-five eyes were included, treated with corneoconjunctival transposition (CCT) or porcine intestinal submucosal membrane graft (MSIS). Data such as gender, age, breed, affected eye, healing time, complications, vision and corneal transparency were reviewed. Eighty-five percent of eyes remained visual; being 23/25 (92%) with CCT, and 9/50 (82%) with MSIS. The two techniques proved to be efficient, and CCT had a shorter healing time and a lower rate of complications when compared to MSIS. The chance of graft dehiscence was 6 times greater when using the membrane (OR = 18.36 with 95% Confidence Interval CI: 1.043 – 323.1); and postoperative granulation was 18 times greater on the membrane (p = 0.003). The TCC group had a greater number of eyes with grade 1 opacity after 60 days (44%), and 80% of the eyes obtained grades 1 and 2, giving greater final transparency compared to those operated on with membrane.
The impact of the COVID-19 pandemic on the mental health of academics in the health area
Authors: Del Soldato Giovanna , Lima Alba Regina de Abreu , Bizotto Thaís Santana Gastardelo , Brienze Vânia Maria Sabadoto , André Júlio César , Caldas Heloisa Cristina
Published: July 2023

Higher education has been affected by the Covid-19 pandemic with changes to online learning, work policies and social distancing. Assessing quality of life (QoL), minor mental disorders (MMD) and resilience (R) among academics in the health area and comparing the first and second years of the pandemic was the objective. Quantitative, descriptive and cross-sectional study, carried out among students in the health areas, during the period of the COVID-19 pandemic, in 2020 and 2021. Four self-administered instruments: Questionnaire of Sociodemographic and Professional Variables, Quality of Life Assessment Instrument (The World Health Organization Quality of Life – WHOQOL-Bref), Screening Tool for Minor Mental Disorders (Self-Report Questionnaire – SRQ-20) and Wagnild & Young Resilience Scale. The survey was conducted through an online questionnaire (GoogleForms). 355 university students participated in the study (2021, n=159, and 2022, n=196). Increase in the global prevalence of MMD in the year 2021 when compared to the year 2020 (p< 0.05). QoL averages in all domains, except psychological, were higher in the first year of the pandemic. There was no difference in resilience between the years studied. As a result, negative changes were identified in the mental and emotional health and quality of life of most academics in the second year of the pandemic.
City and public space: The Miriti festival in Abaetetuba/PA
Authors: Araújo Ezequiel Fonseca , Pinheiro Isane Caripuna , Pinheiro Matheus Furtado , Costa Rosilândia Rodrigues da , Cruz Fernando Manuel Rocha da
Published: July 2023

The present work reflects the relationship between city and culture regarding the organization of cultural festivals in public spaces and, in particular, the “MiritiFest”, in Abaetetuba. Therefore, it is proposed to reflect on the city of Abaetetuba/PA, especially with regard to the strategies adopted in view of holding the event “MiritiFest”, in the public space “Praça da Bandeira”. Methodologically, we adopted a qualitative approach, considering the degree of depth that we want to pursue in the study. The main research techniques are, therefore, participant observation and the application of semi-structured interviews. The results reveal that this is one of the main cultural events in the municipality, moving the local economy and adding value to local and regional culture, based on handicrafts.
Probiotics and prebiotics in dairy farming
Authors: Gazim Zilda Cristiani , Almada André Felipe Berto De , Machado Mariane De Almeida , Rodrigues Selma Alves , Borges João Pedro Terra Prado , Silva Gabriela Catuzo Canônico , Gonçalves Daniela Dib , Piau Junior Ranulfo
Published: July 2023

The search for natural products that favor productive performance in animal feed has been gaining strength with probiotics, prebiotics and symbiotics that constitute an alternative for mastitis control. The action of these products is in the competition with unwanted microorganisms, stimulating the beneficial microbiota, in addition to favoring a greater development in the intestinal villi, which can provide a better absorption of nutrients. These compounds are an alternative to treatment with antibiotics that have caused the emergence of resistant microorganisms, in addition to causing sensory changes in milk and its derivatives. Through this study, it was possible to verify the importance of this class of substance for dairy farming and for unique health in general.
Outcome and mortality rate of COVID-19 infection among health workers and general population
Authors: Ahmed Yasir , Ashraf Saadia , Zia Shahid , Ishfaq Anzal , Naeem Omer Muhammad , Sarwar Afia
Published: July 2023

Objective: To determine the outcomes and mortality rate of Covid-19 infection among health workers and general population. Material and methods: An observation study was conducted in Department of Pulmonology Pak Red Crescent Medical College & Teaching Hospital,Dina Nath, Kasur, Punjab. Total 210 Covid-19 patients which were divided in two groups equally, group A healthcare workers and group B general population. Outcomes and mortality rate were assessed between both groups using Chi Square and Independent Samples T-test. Results: Mean age in group A was was 41.29±11.37 years while 42.61±16.15 years in group B. ICU admissions was significantly lower in group A 7 (6.7%) while 22 (21.0%) in group B. Mechanical ventilation need was significantly lower 6 (5.7%) in group A than group B 19 (18.1%). Mortality rate was significantly lower in group A than group B 4 (3.8%) vs 15 (14.3%). The mean hospital stay in group A was significantly shorter 9.41±3.333 days than in group B 13.18±3.956 days. Conclusion: From our study we conclude that the mortality rate was higher in the general population as well as the admission to ICU and need for mechanical ventilation as compared to the healthcare workers.
The Effect of Classical Music Therapy and Deep Breathing Relaxation Therapy on Lowering Blood Pressure in Hypertension Sufferers in RW 001 Samba Danum Village, Katingan Tengah District, Central Kalimantan Year 2022
Authors: Genisa Gresia , Yuliza Emi , Gunardi Saiful
Published: July 2023

Background: Hypertension is an abnormal increase in arterial blood pressure. Non-pharmacological therapeutic interventions can be performed such as classical music therapy and deep breathing relaxation therapy. Classical music therapy is to improve physical and mental quality with sound stimulation, melody, harmony, rhythm and slow style forms. The deep breathing relaxation technique is a therapy to regulate breathing in the abdomen with a slow and slow frequency, rhythmic and comfortable by closing your eyes when inhaling.
Objective: To determine the effect of classical music therapy and deep breathing relaxation therapy on reducing blood pressure in hypertensive patients.
Methods: The research design was a quasi-experimental (quasi-experimental) design with one group pretest-posttest design. The sample used was 15 respondents who met the inclusion and exclusion criteria. The data collection for this study used observation sheets and standard operating procedures for classical music therapy and deep breathing relaxation therapy (SOP).
Results: The results of the study using the Wilcoxon Sign Rank Test with the results of systolic and diastolic blood pressure before and after being given classical music therapy and deep breathing relaxation therapy showed a p-value = 0.000 < ɑ = 0.05.
Conclusion: The results showed that there was an effect of classical music therapy and deep breathing relaxation therapy on reducing blood pressure in hypertension sufferers in RW 001 Samba Danum Village, Katingan Tengah District, Central Kalimantan.
Peningkatan Literasi Kebijakan Kesehatan pada Remaja untuk Mencapai Ketahanan Kesehatan di Jabodetabek
Authors: Novita Haryanto Astrid , Nina Nina , Ramadhani Nur Rizky
Published: July 2023

Latar Belakang: Masalah perilaku kesehatan remaja meliputi konsumsi alkohol dan obat-obatan terlarang, pola makan sehat, sanitasi atau kebersihan pribadi atau sekolah atau kesehatan reproduksi, kesehatan mental remaja, kesehatan reproduksi, aktivitas fisik, dan merokok. Survei literasi pertama di Indonesia tahun 2013-2014 menunjukkan bahwa 64% dari 1.029 responden memiliki tingkat literasi kesehatan yang rendah (tidak memadai dan bermasalah), dan proposisi mayoritas berusia 15-18 tahun (72%).
Tujuan: Kegiatan ini bertujuan untuk memberikan pengetahuan dan kompetensi kepada remaja/siswa dan guru agar secara mandiri mampu melakukan perilaku preventif dan juga penanganan masalah kesehatan dasar yang berkaitan dengan remaja sehingga status kesehatan remaja di wilayah Jabodetabek.
Metode: Metode yang digunakan dalam kegiatan ini meliputi kegiatan sosialisasi, FGD, pre and post-test dan deklarasi komitmen. Mitra kegiatan pengabdian masyarakat ini adalah 3 SMA dan SMK di wilayah Jabodetabek.
Hasil: Kegiatan peningkatan literasi dan advokasi kesehatan masyarakat pada remaja di 3 (tiga) sekolah telah terlaksana dengan baik dan mendapat respon positif dan baik dari pihak sekolah, dan peserta (siswa) yang mengikuti kegiatan tersebut. Sebagian besar dari mereka menunjukkan bahwa para peserta dapat berpartisipasi selama kegiatan berlangsung. Hal ini dibuktikan dengan adanya perubahan pengetahuan peserta sebelum dan sesudah diberikan pendidikan. Sebagai hasil dari kegiatan ini, beberapa komitmen diajukan dan disepakati oleh kedua belah pihak.
Kesimpulan: Terjadinya perubahan pengetahuan dari para peserta pada saat sebelum dan sesudah diberikan edukasi. Tindak lanjut dari keberlanjutan program pengabdian masyarakat ini adalah dengan penguatan sistem monitoring dan evaluasi komitmen sekolah.
Hubungan Dukungan Keluarga, Peran Bidan dan Motivasi Ibu dengan Perilaku Mobilisasi Dini Pasca SC di RSIA Brawijaya Duren Tiga Jakarta Tahun 2022
Authors: Nadziroh Yetti Dianca A’Yun , Kusumastuti Istiana , Novita Astrid
Published: July 2023

Introduction: Early mobilization can maintain a person's independence to guide the patient out of bed such as walking, and moving limbs in a left and right tilt. Family support, the role of the midwife and the mother's motivation are one of the success factors in early mobilization behavior after surgery.
Objectives: This study aims to determine the relationship between family support, the role of midwives and mother's motivation with early post-SC early mobilization behavior at RSIA Brawijaya Duren Tiga Jakarta in 2022.
Method: This study used an analytic method with a cross-sectional approach with a total sample of 58 patients. In this study, the instrument used was a questionnaire with data analysis using the Chi-Square test.
Result: The results of this study indicate that there is a relationship between family support and early mobilization behavior, obtained a P-Value of 0.002 and OR = 1.029 (0.294-3.604), the relationship between the midwife's role and early mobilization behavior with a P-Value of 0.029 and OR = 0.900 (0.267-3.029), and the relationship between maternal motivation and early mobilization behavior obtained P-Value 0.022 and OR = 1.095 (0.329-3.648).
Conclusion: There is a relationship between family support, the role of midwives and the mother's motivation with early post-SC mobilization behavior at RSIA Brawijaya Duren Tiga Jakarta in 2022.
Hubungan Pengetahuan Ibu, Pendamping Persalinan, dan Massage Effleurage terhadap Penurunan Nyeri Persalinan Kala I di PMB Ruswanti, S.ST Cibeureum Bogor Tahun 2022
Authors: Rokhilah Siti
Published: July 2023

Introduction: Childbirth is a condition experienced by pregnant women throughout the world. Normal delivery (physiology) is the process in which the delivery of the fetus at term (37-42 weeks) and the placenta through the fetus is born spontaneously without any problems or complications. Labor is divided into 4 stages, namely stage I, stage II, stage III, and stage IV. The first stage is divided into 2 phases, namely the latent opening (1-3) and the active opening phase (4-10 complete).
Objectives: This study aims to determine the relationship between knowledge of mothers, birth attendants, and massage effleurage on reducing pain in the first stage of labor at PMB Ruswanti., S.ST Bogor in 2022.
Method: The type of research used in this research is descriptive-analytic with a cross-sectional approach. The data collection technique in this study is quantitative. The population used in this study were all mothers who gave birth at PMB Ruswanti, S.ST. The number of research samples is 44 respondents using the non-probability sampling method by accidental sampling. The research instrument used in this research was using a guttman scale questionnaire, bivariate analysis using Chi-Square.
Result: The results of this study were 18 or (40.9%) respondents with a mild and moderate reduction in first-stage labor pain, 31 or (70.5%) respondents who had poor knowledge, 24 or (54.5%) respondents with birth attendants who well, 23 or (52.3%) had ever had an effleurage massage. the relationship between mother's knowledge and pain reduction, with a chi-square, p-value of 0.046, the relationship between childbirth assistance with a p-value of 0.001, and the relationship between massage effleurage with a p-value of 0.001 (p-value <0.05).
Conclusion: In this study, there was a relationship between maternal knowledge and pain reduction, with a chi-square p-value of 0.046, there was a relationship between delivery assistance with a p-value of 0.001, and there was a relationship between massage effleurage with a p-value of 0.001 (p-value <0.05).
Sikap Ibu, Sumber Informasi, Promosi Kesehatan dan Hubungannya terhadap Perilaku Pencegahan Penularan Covid-19 pada Ibu Hamil di Puskesmas Babakan Madang Kecamatan Babakan Madang Kabupaten Bogor Tahun 2022
Authors: Kurniawati Suci
Published: July 2023

Pendahuluan: Pada bulan Maret 2020 jumlah penderita 90.308 terinfeksi Covid-19. Sedangkan di dunia, wanita hamil ditemukan 71% hasil tes PCR menunjukkan positif. Di Indonesia didapatkan 55 wanita hamil terkonfirmasi terinfeksi covid. Data Internasional 39,1% wanita diklasifikasikan memiliki pengetahuan yang tidak memadai tentang tindakan pencegahan terhadap infeksi virus corona Menurut didapatkan 10,2% wanita hamil menunjukan sikap khawatir tertular Covid-19. Sedangkan di Indonesia, menurut 63,1% memiliki pengetahuan yang kurang baik dan 65,5% memiliki perilaku pencegahan penularan Covid-19 dalam kategori kurang baik.
Tujuan: Untuk mengetahui hubungan sikap ibu, sumber informasi dan promosi kesehatan terhadap perilaku pencegahan penularan covid-19 pada ibu hamil di Puskesmas Babakan Madang Kecamatan Babakan Madang Kabupaten Bogor tahun 2022
Metode: Desain penelitian cross-sectional, analitik metode penelitian kuantitatif. Sampel berjumlah 66 orang menggunakan teknik sampel acak sederhana. Data yang digunakan adalah data sekunder yang berasal dari data posyandu dan data primer yang diperoleh melalui penyebaran kuesioner. Analisis data dilakukan secara univariat dan bivariat dengan uji chi-square
Hasil: Hasil penelitian menunjukan hubungan sikap dengan perilaku pencegahan covid-19 p-value sebesar 0,001 (p<0.05), hubungan sumber informasi dengan perilaku pencegahan covid-19 p-value sebesar 0,743 (p<0.05), hubungan promosi kesehatan dengan perilaku pencegahan covid-19 p-value sebesar 0,676 (p<0.05).
Kesimpulan: Hasil uji statistik menunjukkan adanya hubungan sikap, sumber informasi dan promosi kesehatan terhadap perilaku pencegahan covid-19 pada ibu hamil.
HUBUNGAN PERSONAL HIGIENE DAN SANITASI LINGKUNGAN DENGAN KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS PEKAUMAN KOTA BANJARMASIN
Authors: Noorhidayah Noorhidayah , Elsi Setiandari Lely Octaviana  , Norfai Norfai
Published: July 2023

Diare merupakan 10 penyakit terbesar di Puskesmas Pekauman yang salah satu penyebabnya yaitu ibu balita yang belum menerapkan personal hyegine dan menjaga sanitasi lingkungan yang baik. Penelitian ini bertujuan untuk mengetahui sanitasi lingkungan dan personal hygine dengan kejadian diare pada balita di Wilayah Kerja Puskesmas Pekauman Kota Banjarmasin. Metode dalam penelitian ini menggunakan survei analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini yaitu 82 responden. Teknik yang digunakan adalah purposive sampling. Instrumen adalah kuesioner dengan analisis uji statistik chi square, dengan p < α 0,05. Uji chi square dengan tingkat signifikansi p-value < 0,005. Hasil : Hasil analisis menunjukkan ada hubungan personal hyegine; 0,000, dan sanitasi lingkungan; 0,000. Saran : Diharapkan kepada petugas kesehatan meningkatkan kegiatan penyuluhan bagi masyarakat tentang diare, dan bagi ibu yang mempunyai balita dapat memperhatikan sanitasi lingkungan dan personal hyegine yang baik dalam melakukan pencegahan terhadap kejadian diare pada balita.
Kritik Sastra Feminisme: Subordinasi dalam Novel Kembang Jepun Karya Remy Sylado
Authors: Baso Besse Syukroni
Published: July 2023

Perbedaan yang jelas antara konsep tentang jenis kelamin melahirkan ketidakadilan, baik kaum laki-laki dan terutama bagi kaum perempuan. Hal inilah yang mendorong lahirnya gerakan feminis yang salah satu tujuannya ialah memperoleh kesastraan antara laki-laki dan perempuan. Berdasarkan karakteristik masalah yang dikaji, maka penelitian ini menggunakan pendekatan kualitatif. Fokus pengamatan penelitian ini adalah ketidakadilan gender yang terdapat dalam novel Kembang Jepun Karya Remy Sylado. Sesuai dengan karakteristik data penelitian yaitu melekat pada dokumen yang berbentuk novel, maka kegiatan dan langkah–langkah dalam mengumpulkan data dilakukan dengan beberapa teknik, seperti membaca, mencatat, dan mengestimasi. Hasil Analisis Ketidakadilan Gender Khusus Subordinasi dalam Novel Kembang Jepun Karya Remy Sylado berupa sikap yang memandang rendah terhadap kaum perempuan, menganggap perempuan sebagai manusia kelas dua serta tidak diprioritaskan dalam pengambilan keputusan, baik dalam lingkungan keluarga maupun dalam lingkungan politik. Salah satu bentuk ketidakadilan tersebut, yakni adanya kecenderungan merendahkan, serta meremehkan peran perempuan dalam segala segi kehidupan.
EFFECTS OF MEGA DOSE VITAMIN C IN CRITICALLY ILL COVID-19 PATIENTS: A RANDOMIZED CONTROL TRIAL
Authors: RANA MA , IQBAL J , CHAUDHRY KA , HAFEEZ MM , JAVED M , IQBAL W , HASHMI MS , PERVAIZ R , SIDDIQUI MH , AWAD AHA
Published: July 2023

Severe acute respiratory coronavirus 2 (SARS-CoV-2), COVID-19, caused a pandemic that took millions of lives worldwide. The main reason is a lack of preparedness and knowledge about the treatment options. With the advancement in the understanding of the SARS-CoV-2 virus, many treatment options have been analyzed that helped effectively to decrease the mortality caused by this virus. Vitamin C is known to boost immunity and slow down the progression of viral infection. The current study was designed to assess the effectiveness of a high dose of intravenous (IV) vitamin C in COVID-19 infection.  The clinical trial registered on 23/12/2020 at ClinicalTrials.gov (NCT04682574) was conducted in Bahria Town International Hospital, Lahore (BTIHL), Fatima Memorial Hospital, Lahore (FMH), and Evercare Hospital Lahore from 28/12/2020 to 10/4/2022. Two hundred seventy-eight critically ill patients with COVID-19 were categorized into two groups. One hundred thirty-nine patients were randomized in group VC (vitamin C), which was given a high dose (30 grams) of intravenous (IV) vitamin C for four days, whereas distilled water as a placebo was given to the control group (n=139) along with standard treatment protocols. All the patients were analyzed for primary outcomes in partial pressure of arterial oxygen (PaO2) to Fraction inspired oxygen (P/F) ratio and survival analysis. At the same time, levels of inflammatory and biochemical markers needed for intubation and length of hospital stay in both groups were compared as the study's secondary endpoint. Among the two groups, we did not find any differences in 28-day mortality (Log Rank P= 0.11). Similarly, no difference in the P/F ratio on the fourth day after the start of IV vitamin C treatment was noted (p=0.24). The median values of biochemical and inflammatory variables improved significantly in group VC on day 4. However, only hemoglobin levels remained non-significant between the groups. Mean days of hospital stay were slightly longer in group C. However, no statistical significance (p=0.941) was found. Although Group VC needed fewer intubations than Group C, results remained statistically insignificant (p= 0.273). This trial did not find any mortality benefit or improvement of the P/F ratio in critically ill patients. However, the VC group showed improvement in biochemical variables of prognostic importance, which seems to lower the chance of intubation and LOS in group VC. A further clinical trial with a large sample size is needed to reach the final conclusion.