bluuebunny/crossref_metadata_2025 huggingface dataset:
O EFEITO DO ULTRASSOM TERAPÊUTICO NA PRESSÃO INSPIRATÓRIA MÁXIMA E PRESSÃO EXPIRATÓRIA MÁXIMA DE INDIVIDUOS JOVENS SAUDÁVEIS
Authors: Silva Carla Luiza dos Santos , Carvalho Almeida1 Geizikelle , Carrijo Barbosa Gustavo , Santos Gomes Estefanny , Pires Vanessa Chiaparini Martin Coelho , Guerra Silveira Luciana Aparecida
Published: December 2023

O diafragma é o principal músculo da inspiração, sua origem tem início nas vértebras (L2-L4), dos ligamentos arqueados, da caixa torácica e do esterno, sendo inserido nas últimas costelas. As pressões respiratórias são denominadas como pressão inspiratória máxima e pressão expiratória máxima, os valores resultantes destas pressões são importantes para avaliar fraqueza muscular respiratória. Objetivo: Verificar o efeito imediato sobre a expansibilidade torácica e as pressões respiratórias (PImáx e PEmáx) após a aplicação do ultrassom terapêutico no diafragma. Metodologia: Trata-se de um ensaio clínico, em que foi selecionado 30 indivíduos, randomizados entre três grupos: grupo intervenção (GI), em que foi aplicada a técnica do ultrassom, grupo placebo (GP), em que ocorreu a simulação da aplicação do ultrassom. E o grupo controle (GC), que realizou apenas avaliação das pressões respiratórias com o manovacuometro. Realizou-se a cirtometria axilar, xifoide, basal e abdominal nos participantes do GI e GP. Resultado: Mostram que as análises da média e do desvio padrão nos três grupos: GI, GP e GC não apresentaram resultados significativos na PImáx e PEmáx. Observou-se que a expansibilidade xifóide apresentou um aumento depois da intervenção com ultrassom e houve um decréscimo na expansibilidade basal e abdominal, enquanto a axilar manteve-se. Conclusão: Conclui-se que o protocolo com ultrassom terapêutico, no ponto de dor ou tensão muscular do diafragma, não proporciona melhora nas pressões inspiratórias máximas e expiratórias máximas. Em relação a expansibilidade da caixa torácica, a partir dos dados obtidos, não foi possível dizer que houve um aumento significativo
L'approche d’une proposition de critères d’évaluation de la compétence interculturelle pour les futurs enseignants de français langue étrangère
Authors: Machado Yolibeth
Published: December 2023

En las carreras de lenguas extranjeras se forma a los estudiantes para que sepan comprender y producir discursos coherentes y gramaticalmente bien cohesionados, no obstante, es imperioso hacer mayor énfasis para el desarrollo y evaluación de la competencia intercultural. La realidad cotidiana y estudios precedentes demuestran que no hay suficiente formación en el área, materiales adecuados, una evaluación explícita y unos criterios claros para evaluar la competencia intercultural. Para empezar, es indispensable mayor claridad sobre el concepto de competencia intercultural, asumirla como la capacidad de analizar la lengua y la cultura extranjera con una visión desprovista de prejuicios, con una dimensión realista y no idealizada del grupo cultural en estudio, ajustándose al interlocutor extranjero, modificando criterios y referencias propias, reconociendo las diferencias, sin juzgar. Por todas estas razones, es necesario un trabajo de formación complementaria para saber orientar el desarrollo de la competencia intercultural, sobre todo, el estudio de los estereotipos, los parámetros de las convenciones sociales y de la distancia física y verbal. Se concluye que la propuesta de criterios para evaluar la competencia intercultural puede basarse sobre las nociones de saber, saber-ser, saber-hacer y saber-aprender para evaluar la actuación y la actitud de los estudiantes en situaciones comunicativas concretas.
Mindfulness y metacognición: Un paso adelante en la lectura estratégica
Authors: Lobo Nelson
Published: December 2023

La lectura puede ser entendida como un proceso jerárquico y actividad de interacción entre un lector y el texto por el cual se comprende el lenguaje escrito y se verifican las hipótesis que surgen de la decodificación del signo. Además, no solo es una herramienta que permite el acercamiento del lector como ciudadano de la sociedad del conocimiento, sino que también es un importante instrumento de aprendizaje y de descubrimiento personal que se identifica en el reconocimiento de las habilidades propias para conocer sobre el conocer. En este breve ensayo resaltamos algunas de las ideas en torno a temas como el mindfulness, la metacognición y la lectura estratégica como un camino para el aprendizaje y autoconocimiento de nuestra acción lectora.
Social innovations as a repair of social order
Authors: Schubert Cornelius
Published: December 2023

The paper addresses social innovation both as a mode and as a means of social change. It draws on the recent developments in the sociology of repair to offer a critical reading of pro-innovation discourse on the level of EU policy. It is argued that the practices and concepts of social innovation on the level of EU policy can be fruitfully reframed within a repair narrative, whereas the proliferation of the buzzword social innovation warrants a closer look from an innovation studies perspective. Connecting both repair and innovation studies thus offers a more nuanced understanding of current societal transformations and adds to the conceptual discussion of social change and social order.
In-NOvation in protected and touristic territories
Authors: Falardeau Isabelle
Published: December 2023

Protected areas are tourist destinations where, contrary to popular imaginaries, communities live. In and around those territories, actors implement solutions that meet the needs of their community (Soubirou & Jacob, 2019); they demonstrate social innovation. In doing so, they contribute to new compromises and new forms of regulation or governance (Klein et al., 2014). Sometimes, out of attachment to the territory, they choose alternative paths (Crosetti & Joye, 2021) such as NOvation (Godin & Vinck, 2017). The objective of this study is to analyze how mountain touristic territories articulated around protected areas generate innovation in order to face the challenges they encounter. In the form of a multiple case study, three territories are studied: Mont-Orford (Canada), Banff (Canada) and Aspen (United States). Contemporary issues are discussed in the continuity of their historical roots (see Crosetti & Joye, 2021). The results highlight the specificity of mountain tourism territories where protected areas are found, and the resulting double valuation they are subjected to (by tourism and conservation), that sometimes constrain but also foster (social) in-NOvation (in-NOvation [sociale] in French), a term introduced to name a broadened conception of innovation. It manifests itself in unsuspected spheres: the past, nature, within government institutions, through governance and dynamics of the territories. Touristic and protected mountain territories are not “on the fringes” of innovation, rather, their characteristics (rugged relief, relative eccentricity, exceptional character) make them the breeding ground for a distinction between (social) in-NOvation and the leitmotif of innovation “at any cost” (Everett Rogers, 1963 in Godin & Vinck, 2017). Considering recurring or acute issues, this study contributes to the scientific study of innovation, which is imbued with the prevailing pro-innovation bias (Boutroy et al., 2015; Godin & Vinck, 2017).
Cualidad y realidad en la tesis de la segunda antinomia
Authors: Herszenbaun Miguel Alejandro
Published: December 2023

Nos proponemos abordar la tesis de la segunda antinomia. Primero, intentaremos demostrar que la tesis y su prueba sólo pueden versar sobre partes simples materiales de cuerpos extensos en el espacio, y no sobre sustancias simples inmateriales. En segundo lugar, intentaremos demostrar que en la tesis y su prueba intervienen una síntesis categorial y una síntesis empírica correspondientes a la categoría de cualidad, lo que conduce a afirmar que la prueba no procede por meros conceptos, sino que introduce cierta referencia a la intuición. Dicha referencia será explicada a través de la síntesis empírica de realidad y confirmara que la tesis se refiere a partes simples corpóreas.
St. Vincent and the Grenadines: Safe Education Sector Plan
Authors: Villavicencio Xuzel , Vijil-Morin Alejandra , Moustafa Nariman , Haßler Björn
Published: December 2023

An output of the Open Development & Education, https://opendeved.net/
Fenomena Degradasi Etika Dan Minat Belajar Siswa SMP/SMA Pasca Pembelajaran Jarak Jauh (PJJ) Masa Pandemi Covid-19 di Wilayah Tangerang Tahun 2022
Authors: Susilowati Yuni , Isfahani Rizki
Published: December 2023

Tujuan penelitian ini untuk mengetahui etika dan minat belajar Siswa SMP/SMA Pasca Pembelajaran Jarak Jauh (PJJ) Masa Pandemi Covid-19 di Wilayah Tangerang Tahun 2022. Metode Penelitian yang digunakan adalah deskriptif kualitatif, yaitu penelitian yang bertujuan menganalisis fenomena yang terjadi. Metode analisis kualitatif ini menghasilkan data yang membentuk hasil wawancara, transkrip wawancara, catatan hasil pengamatan, dokumen-dokumen tertulis serta catatan- catatan yang tidak terekam selama pengumpulan data berlangsung. Hasil penelitian menunjukkan bahwa etika dan minat peserta didik dalam kategori cukup. Dapat disimpulkan bahwa pasca pembelajaran Jarak Jauh era pandemic COVID-19 yang terjadi dalam kurun waktu 2 tahun berdampak pada penurunan etika peserta didik yang dapat dilihat dari sikap sosial peserta didik kepada guru dan teman sejawatnya dan cenderung terlihat dari respon sosial. Penurunan etika peserta didik terlihat signifikan pada masa pembelajaran tatap muka terbatas, Minat belajar peserta didik dilihat dari 4 aspek yakni perasaan senang, keterlibatan siswa, ketertarikan, dan perhatian siswa memiliki rata-rata presentase 52,79 % termasuk dalam kategori cukup. Dari keempat aspek tersebut mayoritas ketertarikan belajar menempati urutan tertinggi yaitu 58,68% dan dalam kategori cukup, Dampak yang ditimbulkan dari pembelajaran jarak jauh masa pandemic COVID-19 adalah intensitas penggunaan handphone pada peserta didik cukup tinggi. Respon sosial berkurang ditandai dengan sikap kurang peduli terhadap lingkungan sekitar.
Self Concept Siswa SMA di Kabupaten Lebak
Authors: Rahmah Restu Athifah , Handayani Putri , Hendriyani Mila Ermila , Rifqiawati Ika , Ratnasari Dwi
Published: December 2023

Konsep diri siswa merupakan bentuk penilaian seseorang terhadap dirinya. Konsep diri dikatakan penting karena dapat dijadikan sebagai evaluasi peserta didik terkait kelebihan dan kelemahan dirinya sendiri. Guru dapat mengetahui konsep diri siswa melalui penilaian  afektif yang dilakukan saat pelaksanaan pembelajaran. Metode penelitian menggunakan metode survei. Tujuan dari penelitian untuk mengetahui konsep diri siswa SMA di Lebak untuk inisiasi program peningkatan profil pelajar Pancasila. Konsep diri diukur menggunakan teknik penilaian diri (self-assessment). Instrumen penilaian berupa angket yang terdiri dari indikator dan dimensi konsep diri peserta didik yaitu keadaan psikis siswa pada lingkungan sekitar, peran siswa dalam lingkungan sosial, dan percaya diri . Hasil penelitian menunjukan bahwa konsep diri siswa sudah cukup baik dengan hasil penilaian afektif 67%, sehingga dapat disimpulkan bahwa siswa memiliki konsep diri yang cukup baik dan harus lebih ditingkatkan., dengan cara melatih siswa untuk mengenali diri melalui kegiatan proyek penguatan profil pelajar Pancasila.
Relatório do Workshop: Promoção dos direitos comunitários na conservação baseada em áreas
Authors:   Rights and Resources Initiative,   Campaign for Nature,   Global Alliance of Territorial Communities
Published: December 2023

A Conferência das Partes da Convenção sobre Diversidade Biológica (COP15), realizada no final de 2022, marcou a adoção do Quadro Global de Biodiversidade (GBF, na sigla em inglês) de Kunming-Montreal e sua principal meta de conservação baseada em área, que exige a conservação de pelo menos 30% das áreas terrestres, de águas continentais, costeiras e marinhas até 2030 (comumente chamada de 30×30). O reconhecimento das contribuições significativas dos povos indígenas e das comunidades locais para a conservação da biodiversidade foi fundamental para essa meta e para a Estrutura em geral. A adoção do GBF abriu novas oportunidades e riscos para a implementação de suas metas de área de acordo com as abordagens de conservação baseadas em direitos e lideradas pela comunidade (RBAs, na sigla em inglês). Com as negociações agora concluídas, é essencial voltar a atenção e a ação para a implantação e o monitoramento das RBAs para essas metas de área, especialmente em nível nacional. Isso também requer a construção de um maior entendimento mútuo e colaboração entre os principais grupos constituintes e organizações que possam apoiar a conservação baseada em direitos. Nesse contexto, a Rights and Resources Initiative (RRI), a Campaign for Nature (C4N), o ICCA Consortium e a Global Alliance of Territorial Communities (GATC) organizaram um workshop de um dia durante a Semana do Clima de Nova York, com o objetivo de mobilizar a colaboração e a ação em RBAs para a implantação e o monitoramento das metas 30×30.
The vaccination of the aged in post COVID-19 era
Authors: Choi Jae-Phil
Published: December 2023

As human grow older, immune-senescence, inflammaging, decline in physical and cognitive functions, frailty, various comorbidities and related polypharmacy make us vulnerable to infectious diseases, which in turn accelerates aging vice versa. Immunization for the aged against vaccine-preventable diseases is being emphasized more and more. However, in reality, the effective immune response is hindered for the similar reasons, so strategies to overcome this are being taken. The goal of elderly vaccination is to reduce the severity, mortality, and burden of disease. This review introduces 2023 adult immunization guidelines of the Korean Society of Infectious Diseases including influenza, pneumococcus, varicella zoster and coronavirus disease 2019 (COVID-19), and recently licensed respiratory syncytial virus vaccination. Clinicians are required to play a role in helping client’s decisions by providing and discussing scientific information about the benefits and risks of vaccination based on an understanding of the their medico-social condition in this post-COVID-19 era.
From simulation to reality: development of a small-scale autonomous electric vehicle for educational and research purposes
Authors: Sousa Leandro Henrique Vidigal , Freitas Elias José de Rezende
Published: December 2023

Robotics is a constantly evolving field, making it possible to perform various tasks that help people every day. Among these tasks, robot safe navigation through different environments is one of the challenges of mobile robotics. This work presents the development of a small autonomous vehicle designed for navigation using predefined coordinates. The chosen navigation strategy uses virtual vector fields that exploit an interaction of virtual attractive and repulsive forces. The proposed strategy has been validated through simulations and in real scenarios. Furthermore, this work presents the development of the physical prototype of the robot, emphasizing the practical and educational aspects of using autonomous robots, providing valuable insights and practical learning experiences in robotics and navigation.
Barriers to Entry: Socioeconomic Discrepancies Between Unmatched First-Time Applicants and Reapplicants in the Field of Orthopaedic Surgery
Authors: Murali Sudarsan , Harris Andrew B. , Vankara Ashish , LaPorte Dawn , Aiyer Amiethab
Published: December 2023

Introduction:

Orthopaedic surgery remains a competitive surgical subspecialty with more applicants than spots each year. As a result, numerous students fail to match into these competitive positions each year with a growing number of reapplicants in consecutive application cycles. We sought to understand the socioeconomic factors at play between this growing reapplicant pool compared with first-time applicants to better understand potential discrepancies between these groups. Our hypothesis is that reapplicants would have higher socioeconomic status and have less underrepresented minority representation compared with successful first-time applicants.

Methods:

A retrospective review of deidentified individual orthopaedic surgery applicant data from the American Association of Medical Colleges was reviewed from 2011 to 2021. Individual demographic and application data as well as self-reported socioeconomic and parental data were analyzed using descriptive and advanced statistics.

Results:

Of the 12,112 applicants included in this data set, 77% were first-time applicants (61% versus 17% successfully entered into an orthopaedic surgery residency vs versus unmatched, respectively), whereas 22% were reapplicants. In successful first-time applicants, 12% identified as underrepresented minorities in medicine. The proportion of underrepresented minorities was significantly higher among unmatched first-time applicants (20%) and reapplicants (25%) (P < 0.001). Reapplicants (mean = $83,364) and unmatched first-time applicants (mean = $80,174) had less medical school debt compared with first time applicants (mean = $101,663) (P < 0.001). More than 21% of reapplicants were found to have parents in healthcare fields, whereas only 16% of successful first-time applicants and 15% of unsuccessful first-applicants had parents in health care (P < 0.001).

Conclusions:

Reapplicants to orthopaedic surgery residency have less educational debt and are more likely to have parental figures in a healthcare field compared with first-time applicants. This suggests the discrepancies in socioeconomic status between reapplicants and first-time applicants and the importance of providing resources for reapplicants.
Dual Mobility for Oncological Hip Reconstruction: Significantly Reduced Dislocation Rates at 5 years
Authors: Karczewski Daniel , Gonzalez Marcos R. , Bedi Angad , Newman Erik , Raskin Kevin , Anderson Megan E. , Lozano-Calderon Santiago A.
Published: December 2023

Background:

Although dual mobility total hip arthroplasty has become increasingly common in recent years, limited remains known on dual mobility in surgical oncology. This university-based investigation compared dislocation and revision rates of DMs, conventional total hip arthroplasty (THA), and hemiarthroplasties (HAs) for oncological hip reconstruction.

Methods:

An institutional tumor registry was used to identify 221 patients undergoing 45 DMs, 67 conventional THAs, and 109 HAs, performed for 17 primary hip tumors and 204 hip metastases between 2010 and 2020. The median age at surgery was 65 years, and 52% were female. The mean follow-up was 2.5 years. Kaplan-Meier survivorship curves and log-rank tests were done to compare dislocation and revision rates among all 221 patients, after a one-to-one propensity match, based on age, sex, tumor type (metastasis, primary tumor), and tumor localization (femur, acetabulum).

Results:

The 5-year survivorship free of dislocation was 98% in DMs, 66% in conventional THAs (P = 0.03; all P values compared with DMs), and 97% among HAs (P = 0.48). The 5-year survivorship free of revision was 69% in DMs, 62% in conventional THAs (P = 0.68), and 92% in HAs (P = 0.06). After propensity matching, the 5-year survivorship free of dislocation was 42% in 45 conventional THAs (P = 0.027; compared with all 45 DMs) and 89% in 16 matched HAs (P = 0.19; compared with 16 DMs with femoral involvement only). The 5-year survivorship free of revision was 40% in matched conventional THAs (P = 0.91) and 100% in matched HAs (P = 0.19).

Conclusions:

DMs showed markedly lower rates of dislocation than conventional THAs, with overall revision rates remaining comparable among different designs. DMs should be considered the option of choice for oncological hip reconstruction if compared with conventional THAs. HAs are a feasible alternative when encountering femoral disease involvement only.

Level of evidence:

III
Hubungan Pengetahuan Dan Dukungan Suami Terhadap Minat Ibu Dalam Menggunakan IUD Pada Pasangan Usia Subur Di Puskesmas Cipageran Tahun 2021
Authors: Mufti Iga Retia
Published: December 2023

IUD merupakan alat kontrasepsi yang efektif dan efisien, nyaman, dan terjangkau. Minat terhadap penggunaan IUD masih rendah dibandingkan kontrasepsi suntik dan pil. Hal tersebut dipengaruhi oleh pengetahuan dan dukungan suami. Tujuan dari penelitian ini untuk mengetahui hubungan pengetahuan dan dukungan suami terhadap minat ibu dalam menggunakan kontrasepsi IUD pada PUS di Puskesmas Cipageran tahun 2021. Metode penelitian menggunakan deskriptif analisis dengan pendekatan cross-sectional. Sampel adalah PUS yang menggunakan kontrasepi di Puskesmas Cipageran pada bulan Juli tahun 2021 sebanyak 176 orang, melalui teknik simple random sampling. Instrumen menggunakan kuesioner. Analisis data menggunakan analisis univariat dan bivariat.  Hasil didapatkan sebagian kecil (46%) mempunyai minat rendah, sebagian mempunyai pengetahuan rendah (50,6%), dan sebagian kecil tidak mendapatkan dukungan suami (47,2%). Terdapat hubungan pengetahuan (p=0,048) dan dukungan suami (p=0,000) terhadap minat ibu dalam menggunakan kontrasepsi IUD. Puskesmas diharapkan dapat meningkatkan minat ibu dalam penggunaan IUD melalui program penyuluhan untuk meningkatkan pengetahuan ibu dan dukungan suami.
Pengaruh Pemberian Informasi Prabedah Terhadap Kecemasan Pasien Prabedah Terencana di Ruang Bedah RSUD R. Syamsudin SH Kota Sukabumi
Authors: Istianah Istianah , Lutfianti Lutfianti , Tohri Tonika
Published: December 2023

Penyuluhan perioperatif merupakan salah satu cara untuk mengatasi kecemasan pra operatif. Hal ini sangat penting  dalam  membantu  pasien mengatasi  kecemasannya  sehingga  perlu adanya  pelayanan  keperawatan  yang berkualitas,  ini  akan  membantu mengurangi  rasa  takut  akibat ketidaktahuan  pasien. Penelitian ini untuk mengetahui pengaruh pemberian informasi prabedah terhadap kecemasan pasien prabedah terencana di ruang bedah RSUD R Syamsudin SH Kota Sukabumi. Penelitian ini menggunakan jenis penelitian quasi eksperimen dengan rancangan one group pretest posttest design. Populasi dalam penelitian ini adalah pasien prabedah terencana yang dirawat di ruang bedah RSUD R Syamsudin SH Kota Sukabumi dengan jumlah sampel berdasarkan rumus Issac dan Michael sebanyak 53 orang. Pengumpulan data dilakukan dengan kuesioner untuk data kecemasan dengan menggunakan State Anxiety Inventory yang berjumlah 20 item pertanyaan. Tingkat kecemasan pada pasien prabedah terencana sebelum diberikan informasi prabedah sebagian besar memiliki tingkat cemas berat sebanyak 28 orang (52,8%), tingkat kecemasan pasien prabedah terencana sesudah diberikan informasi prabedah sebagian besar memiliki tingkat cemas ringan sebanyak 26 pasien (49,1%), hasil uji Wilcoxon didapatkan p value 0,00 dimana p values <0,05 maka Ho diterima.artinya ada perbedaan antara tingkat kecemasan pasien pra bedah terencana sebelum dan sesudah diberikan pemberian informasi pra bedah. Maka dapat disimpulkan bahwa terdapat pengaruh pemberian informasi prabedah terhadap kecemasan pasien prabedah terencana di ruang bedah RSUD R. Syamsudin, SH Kota Sukabumi. Saran perawat harus mempunyai teknik yang baik dalam hal pemberian informasi kepada pasien, oleh karena itu update ilmu dan latihan-latihan dalam teknik pemberian informasi.
Hubungan Anemia Dengan Kejadian Perdarahan Postpartum Pada Ibu Bersalin Di Rumah Bersalin Delima Asri Karawang Tahun 2020
Authors: Mufti Iga Retia , Lestari Sindi Ayu
Published: December 2023

Data on the prevalence of causes of maternal death in Indonesia are mostly caused by bleeding. The average prevalence of maternal deaths due to bleeding in Indonesia in 2020 is (28.8%). One of the risk factors for postpartum hemorrhage is anemia. Anemia in pregnant women can cause postpartum hemorrhage because low Hb levels can affect the workings of the uterine muscles and result in impaired contractions during labour. The aim of this study was to determine the relationship between anemia and the incidence of postpartum hemorrhage at the Delima Asri Karawang maternity hospital in 2020. This study used an analytical study with a case control approach. The population in this study was 287 mothers giving birth during 2020. The number of case and control samples was made in a 1:1 ratio by following the number of case samples that met the inclusion and exclusion criteria, namely there were 68 case samples and 68 control samples. Bivariate data analysis using the chi square test assisted with SPSS 26 for window. The results of the study showed that mothers with postpartum hemorrhage experienced anemia (85%), mothers without postpartum hemorrhage were not anemic (88.2%). The Chi square statistical test showed that there was a relationship between anemia and the incidence of postpartum hemorrhage with a value (p = 0.000). The conclusion of this study is that there is a relationship between anemia and the incidence of postpartum hemorrhage at the Delima Asri Karawang Maternity Hospital in 2020.
Pengalaman Fisik Dan Psikologis Bidan Desa Puskesmas Cimareme Dalam Menghadapi Pandemi Covid-19
Authors: Ratna Ratna , Anwar Ruswana
Published: December 2023

The increase in COVID-19 cases is a major challenge for health facilities and health workers. Previous research has reported that health workers treating COVID-19 patients experience physical and psychological stress. Village midwives during the pandemic received additional duties in handling and monitoring COVID-19 patients in their working areas. This study aims to explore village midwives' physical and psychological experiences in dealing with their duties and responsibilities during the COVID-19 pandemic. This research uses a qualitative phenomenological approach design. Subject selection technique using a homogenous sampling technique. The subjects in this research consisted of key informants, namely the Village Midwife and triangulation informants, namely the Head of the Community Health Center and the Coordinating Midwife. The determination of research subjects and the number of subjects in this research applies the principles of suitability and adequacy. The results of the research show that the village midwives at the Cimareme Health Center experienced the impact of physical and psychological pressure in dealing with their duties and responsibilities during the COVID-19 pandemic. The physical experiences experienced by the Village Midwife at the Cimareme Health Center are fatigue, lack of sleep, disturbed eating patterns, decreased body weight, decreased immune system, illness and contracting COVID-19. The psychological experiences felt by the village midwives at the Cimareme Health Center are worrying about their own and their family's health, fear of contracting COVID-19, worrying about problems that arise, sad to face death cases, depressed to face cases, and pressured to face the community.
Deteksi Kandiduria Pada Wanita Penderita Diabetes Melitus Di Puskesmas I Denpasar Barat
Authors: Liana Brigita Elsza , Bintari Ni Wayan Desi , Idayani Sri
Published: December 2023

Diabetes mellitus is a disease associated with metabolic disorders in the body with the characteristics of an increase in the body's blood sugar levels. In people with diabetes mellitus, candiduria infection can occur due to excessive growth of Candida fungi in the urinary tract. Patients are declared candiduria if Candida is found in the urine >103 CFU/mL. The study ao aimed to determine whether candiduria occurred in women with diabetes mellitus who were examined at the West Denpasar Health Center I. The sampling technique used purposive sampling. The sample used was 53 urine using the patient's medical record data for December 2022. Sample analysis was carried out at the Parasitology and Mycology Laboratory STIKES Wira Medika Bali. Candiduria was detected by examining the number of colonies per ml of urine on Sabouraud Dextrose Agar. Identification of causative species was carried out by Gram microscopy and germ tube test. Based on the examination results, 2 samples (3.8%) were positive for candiduria and 51 samples (96.3%) were negative. Identification of Candida species known to cause candiduria in both samples was caused by C. albicans. With the characteristics of an oval, gram-positive blastospore, and a germ tube test, the formation of blastospores is like germinating cells. Based on the results of the study, it is expected that respondents maintain body immunity, blood sugar levels, and cleanliness of the genital area so as to reduce the risk of candiduria.
Optimasi Variasi Konsentrasi, Waktu Sentrifugasi Polyethylene Glycol (PEG), dan Modified Egg Yolk Lipemic Serum pada Enzim Serum Glutamic Pyruvic Transaminase (SGPT)
Authors: Susilawati Anissa , Riyani Ani
Published: December 2023

Examination of Serum Glutamic Pyruvic Transaminase (SGPT) enzymes can be disrupted due to the presence of fatty serum. The addition of Polyethylene Glycol (PEG) to fatty serum will lower the surface tension of the serum so that the fat will precipitate and eliminate error readings on the photometer. This study aims to determine the concentration and centrifugation time of the addition of Polyethylene Glycol (PEG) under optimal conditions. Serum modification was made to resemble fatty serum using egg yolks with three variations of triglyceride levels in ±500 mg/dL, ±600 mg/dL, ±700 mg/dL. Fatty serum is made using three concentrations of Polyethylene Glycol (PEG), namely 0.05%, 0.10%, 0.15%. Then incubated for 30 minutes at 40C and precipitation was carried out using centrifugation at 3000 rpm with three variations of centrifugation time, namely at 5, 10 and 15 minutes. Then the resulting supernatant was separated and measured to determine the Serum Glutamic Pyruvic Transaminase (SGPT) enzyme using a photometer. Then the data were analyzed using a two way ANOVA test followed by a Post Hoc test with a 95% confidence level. The conclusion of this study is that at 500 mg/dL fatty serum, the optimal concentration was obtained, namely 0.10% with a 10-minute centrifugation time, at 600 mg/dL fatty serum, the optimal concentration was obtained, namely 0.10% with a 10-minute centrifugation time, on fatty serum 700 mg/dL obtained the optimal PEG concentration and centrifugation time of 0.15% with a centrifugation time of 15 minutes.
The characteristics of bio-digester owners and effects of biogas utilization on woodfuel and emission reduction in Gambella, Oromia, southern nations and Somalia regions of Ethiopia
Authors: Fekadu Miftah
Published: December 2023

Biogas is an environmentally friendly energy source produced from the anaerobic digestion of biodegradable biomass. In response to Sustainable Development Goal 7 (SDG7), biogas programme and a biogas scale-up project were implemented in Ethiopia. In this study, a multi-stage sampling procedure was employed to select well-functioning bio-digesters that supply cooking energy and bio-slurry from bio-digesters constructed in April 2017 to April 2020 in the National Biogas Scale-Up Project (NBPE+) of Ethiopia. Then qualitative and quantitative data were collected through interviews with 59 households, 10 focus groups, and 20 key informants in 22 woredas in Gambella, Oromia, SNNP, and Somalia regions. The type of digester was fixed a dome type constructed underground. Qualitative data were narrated and summarized and quantitative data were analysed for means of variance. Utilization of biogas energy reduced the wood fuel collection and consumption time by 38% in Gambella, by 50% in Oromia, and in SNNP and 55% in Somalia region. The use of biogas reduced the amount of carbon emissions from woodfuel combustion by 7.28 tCO2e in Oromia to 2.78 tCO2e in Gambella. Although the households were highly interested in biogas technology, the cost for bio-digester construction became unaffordable and only 15% of the households requested credit. About 69.49% of the households constructed 6 m3 bio-digester. Overall, 16.95% of the households had four cattle and 10.17% of them had nine cattle. In Gambella, the available feedstock was sufficient to feed only 3.7 m3 bio-digester size, while the mean size of the installed bio-digester was 6 m3 and as a result, only 61.7% of the size of the bio-digesters was filled by the available feedstock. The dung’s total solids and volatile solids were different among the regions that affected the amount of biogas production. The biogas production ranged from 0.01 to 1.75 m3, which was sufficient for cooking for 0.03 to 4.38 h. The highest mean amount of biogas and corresponding cooking hours were obtained in Somalia, about 0.51 ± 0.11 m3 and 1.27 ± 0.27 h based on the number of available cattle; however, there was a lack of water. Therefore, zero grazing, home feeding, and watering of cattle should be practiced for the sustainability of biogas production.
РОЛЬ ЧЕЛОВЕЧЕСКОГО КАПИТАЛА В СТИМУЛИРОВАНИИ ИННОВАЦИОННОГО РАЗВИТИЯ В УЗБЕКИСТАНЕ
Authors: Джульматова Светлана Рахматовна
Published: December 2023

В данной статье исследуется роль человеческого капитала как основного драйвера инновационного развития Узбекистана. Анализируя данные о национальном богатстве, демографических факторах, структуре занятости и возрастном составе населения, исследование подчеркивает важность инвестиций в образование, развитие навыков и предпринимательство для стимулирования инноваций. Выводы подчеркивают необходимость политики, которая способствует исследованиям и разработкам, облегчает передачу знаний и создает благоприятную среду для инноваций. Используя свой человеческий капитал, Узбекистан может раскрыть свой потенциал устойчивого экономического роста и стать центром инноваций
MAMLAKATIMIZDA OZIQ-OVQAT XAVFSIZLIGINI TA’MINLASH VA UNING DOLZARB MASALALARI
Authors: Nabiyeva Nilufar Mutorovna
Published: December 2023

Maqolada oziq-ovqat sanoati faoliyatida oziq-ovqat xavfsizligini ta’minlash hamda ushbu tizimni yanada takomillashtirishni muhokama qilishga bag‘ishlangan. Oziq-ovqat sanoati korxonalarining mavjud xavfsizlikni ta’minlash mexanizmini yanada optimallashtirish bo‘yicha qisqacha ma’lumotlar berilgan. Oziq-ovqat sanoat tarmoqlarini modernizatsiya qilish va oziq-ovqat ishlab chiqaruvchi korxonalarnini qo‘llab-quvvatlash respublikada amalga oshirilayotgan asosiy vazifalardan biridir.
OʻZBEKISTONDA IQTISODIYOTNI TRANFORMATSIYALASHUVI SHAROITIDA SANOAT TARMOQLARI VA KORXONALARI KOOPERATSIYASINI RIVOJLANTIRISHNING AHAMIYATI
Authors: Xomidov Mirodiljon Xasanboy oʻgʻli
Published: December 2023

Ushbu maqolada Oʻzbekiston Respublikasining sanoatida tarmoqlararo va korxonalar kooperatsiyasiyasini joriy etishning ahamiyati hamda uni iqtisodiyotni rivojlanishidagi oʻrni, bugungi kunda jamiyat farovonligi yoʻli yoritilgan. Undan tashqari amaliy yondashuvlar innovatsion jarayonlarni yangi bosqichga olib chiqish darajasi koʻrib chiqilgan. Sanoatlashuvda iqtisodiyotning xalqaro va milliy miqyosda turli yondashuvlari amaliyotda qay tarzda namoyon boʻlishi hamda mamlakatimizda ushbu yoʻnalishda amalga oshirilishi lozim boʻlgan chora tadbirlari oʻrganilgan. Shuningdek, yurtimizda iqtisodiyotning sanoat sektorini rivojlantirishda sanoat korxonalari kooperatsiyasining dolzarbligi, va xorijiy tajribalar asosida kooperatsiya faoliyatini olib borish usulining afzalligi yoritilgan.
MAKTABGACHA YOSHDAGI BOLALARDA MONOLOGIK NUTQNI RIVOJLANTIRISH USULLARI
Authors: Tashmuhamedova Feruza
Published: December 2023

Ushbu maqolada maktabgacha ta’lim tashkilotlarining ta’lim-tarbiya jarayonida tarbiyachi tomonidan monologik nutqni rivojlantirish maqsadida foydalanishi mumkin boʻlgan usullar ochib berilgan. Jumladan, suhbat, muammoli vaziyatlar, oʻyin va mnemotexnikadan foydalanish monologik nutqni rivojlantirish boʻyicha olib borilgan tadqiqot ishlari natijalari haqida ma’lumot berilgan. Maqola maktabgacha ta’lim yoʻnalishi talabalari va pedagoglar uchun moʻljallangan.
Non-GPS UAV positioning algorithm based on two ground reference point
Authors: Truong Tat Thuan , Pham Thi Phuong Anh
Published: December 2023

In this paper, a method to determine the coordinates of a UAV without using GPS and an altimeter is built. Different from conventional methods, which use GPS or/and IMU to determine UAV coordinates, as well as, the method of determining UAV coordinates from a ground reference point, it is necessary to use devices that have cumulative errors (INS) or are susceptible to jamming (GPS), or are affected by weather conditions (barometric altimeter measuring device). The proposed method only uses tilt sensors and magnetometers, which are not affected by external noise, along with a pan-tilt camera system with an integrated image processing system to determine UAV coordinates, according to the coordinates of two ground reference points. The proposed algorithm has been rigorously mathematically proven and illustrated and verified through simulation.
PERCEPÇÕES DA EXPERIÊNCIA PRÁTICA EM ENFERMAGEM NO CUIDADO INTEGRAL À SAÚDE DA CRIANÇA: UM RELATO DE ACADÊMICOS EM UM HOSPITAL INFANTIL
Authors: Conceição Kassia Marlene , Aguiar Simirene Conde , Maciel Thaynná Silva Corrêa Gama , Andrade Júlia Nare de Oliveira , Cunha Letícia Gomes Melo , Fernandes Luana Caroline Nunes , Avelino Karen Fernanda Andrade , Da Silva Gabriella Mendonça , Verçosa Ádria Beatriz barbosa da Silva , Correia Jennifer Martins
Published: December 2023

O presente estudo teve como objetivo relatar a experiência de acadêmicos de enfermagem locados em um hospital infantil público da cidade de Manaus (AM) e discutir como estes percebem as contribuições da prática curricular referente a disciplina de Enfermagem no cuidado integral à saúde da criança, dada sua importância na formação acadêmica e profissional do estudante durante tal processo pedagógico. Trata-se de um relato de experiência, desenvolvido durante a primeira quinzena do mês de novembro, no turno matutino, das 7h às 12h da manhã de segunda a sexta, com atividades desenvolvidas nas alas ambulatoriais, enfermarias, centro cirúrgico e sala de imunização. Foi possível perceber que esse tipo de experiência tem um papel fundamental na formação de competências profissionais dos estudantes. Percebe-se a necessidades de mais ações de ensino e aprendizagem prática, em que se utilizem melhor o espaço de estágio, incentivando no discente a tomada de decisão, raciocínio clinico e atuação eficaz em campo, além de maior acesso dos mesmos a laboratórios para que possam praticar antecipadamente os procedimentos e assim se sentirem mais confiante frente as diferentes demandas assistenciais.
BIOMARCADORES NO DIAGNÓSTICO DE DOENÇAS
Authors: Da Fonseca Evelyn Caroline , Floriano Karine Bonifácio , Tibúrcio Natanael Fraga , Rosa Pablo Garcia Silva , Machado Vitória Fernandes Bender , De Assis João Bosco Parreiras , Sá André Luís Braghini
Published: December 2023

O objetivo deste trabalho é descrever, por meio de um levantamento bibliográfico, alguns dos biomarcadores utilizados em diagnósticos de diferentes doenças. Procurou-se por artigos nas bases de dados SciELO, PubMed e em repositórios de universidades que apresentassem informações importantes a respeito do assunto. As palavras-chaves foram biomarcadores, diagnóstico e doenças. Entende-se por biomarcadores modificações celulares, bioquímicas e/ou moleculares verificáveis em matrizes biológicas, sejam elas células, fluidos ou tecidos humanos, sendo que as proteínas ou seus fragmentos são os principais biomarcadores de doenças que se encontra atualmente, embora também possam ser utilizados antígenos de superfície celular, enzimas e hormônios. Os biomarcadores tornaram-se ferramentas importantíssimas para no diagnóstico e prognóstico de doenças agudas e crônicas. Na prática clínica, os biomarcadores são amplamente utilizados em diversas áreas da medicina, incluindo oncologia, cardiologia, neurologia, entre outras. No entanto, é importante ressaltar que a utilização de biomarcadores no diagnóstico de doenças exige amplo conhecimento sobre o papel desses componentes na fisiopatologia da doença em questão e sobre as características dos testes utilizados para avaliá-los.
PENGARUH EDUKASI PENERAPAN BUNDLE CLABSI TERHADAP PENGETAHUAN DAN KEPATUHAN PERAWAT DALAM PENCEGAHAN CLABSI PADA NEONATUS DENGAN VENA SENTRAL
Authors: Handayani Handayani , Novikasari Ade Ima , Roselyn Intan Parulian Tiurma
Published: December 2023

Neonates have a high risk of infection due to central venous catheter placement. One of the complications is Central Line Associated Blood Stream Infection (CLABSI). CLABSI can be prevented by applying evidence-based guidelines during installation, maintenance and removal known as the CLABSI Bundle. Evidence-based policies and training help nurses improve their knowledge and practice of central vein care. The purpose of this study was to determine the educational effect of implementing the CLABSI Bundle on the knowledge and adherence of nurses in preventing CLABSI in neonates with central veins. This type of quantitative research with a Quasi Experiment approach. The research design used a pre and posttest design without a control group. The sample of this study were 56 nurses, using  the Kertjie and Morgan tables, collecting data using questionnaires and direct observation. Nurses' knowledge before being given education on the application of the CLABSI Bundle, namely having sufficient knowledge (75.0%) and after being given education had good knowledge (71.4%). Nurse compliance before being given education on the application of the CLABSI Bundle, namely the majority were obedient (76.8%) and after being given education obedience increased (91.1%). There is an effect of education on the application of the CLABSI Bundle on knowledge and nurse compliance before and after being given nursing education with the Wilcoxons test obtained pvalue: 0,000 (α:<0,05) and pvalue: 0.005 (α: <0.05). It is hoped that hospital management can facilitate regular training, carry out routine and scheduled supervision and audits so that nurses are encouraged to understand the importance of specific policies and documents used in neonates with central veins.
HIPERTENSI, AKTIVITAS FISIK, INDEKS MASSA TUBUH (IMT) DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELITUS DI BULELENG
Authors: Mahaguna Putra Made , Sudiharto Sudiharto , Marleni Devy , Suarjana I Ketut
Published: December 2023

Diabetes Mellitus and Hypertension is a common condition that often arises together, both diseases are considered as the risk of cardiovascular disease and microvascular complications of many factors that influence it like bad lifestyle changes. This study aims to determine the relationship between hypertension, physical activity, and body mass index with blood sugar levels in Diabetes Mellitus patients at Public Health Center in Buleleng. This research uses a quantitative research design cross-sectional method with a simple random sampling technique with 150 samples, taken by observation, and observation is guided by the Baecke questionnaire. Data analysis with Spearman Rank correlation test shows no relationship between hypertension with blood sugar levels with value ρ = (0.938)> α (0.05), no relationship between physical activity with blood sugar level body mass index with blood sugar level with value ρ = (0.914)> α (0.05). There is no relationship between hypertension, physical activity, and body mass index with blood sugar levels in Diabetes Mellitus patients
Use of Audience Response Systems to Enhance Student Engagement in Online Synchronous Environments: An Exploratory Study
Authors: Nesbit Trevor
Published: December 2023

Many higher education institutions adapted to the Covid-19 pandemic by switching their teaching into online mode making use of online synchronous sessions using technologies such as Zoom. It was common for lecturers to find it disconcerting that many students were not turning on their cameras and microphones and how this made it difficult to ascertain whether their students were engaged in the sessions at all. This paper examines the experiences of teaching staff in eight courses relating to the use of audience response systems (ARS) to improve the experiences of students and teaching staff when conducting synchronous online teaching sessions or hybrid sessions when they had some face-face students and some online students joining sessions synchronously. Literature is examined that shows the benefits relating to the use of ARS in synchronous online teaching sessions to include anonymity of student responses; enhancement of feedback between teaching staff and students; and teaching staff getting a better sense of student engagement during a session. An analysis of the eight cases presented confirms these benefits in the literature from the perspective of the teaching staff. The findings apply irrespective of the ARS being used and will be of relevance and interest to any teaching staff seeking to improve the experiences of students and teaching staff involved in synchronous online teaching sessions.
الحوار في روايات تحسين كرمياني الحزن الوسيم، أولاد اليهودية، زقنموت نموذجا
Authors: İBRAHİM Sabır Sabır , ÇINAR Mehmet Şirin
Published: December 2023

جاءت هذه الدراسة بعنوان: (الحوار في روايات تحسين كرمياني الحزن الوسيم و أولاد اليهودية و زقنموت نموذجا) للقاص والروائي المبدع تحسين كرمياني، وذلك بأتخاذ الحوار كتقانة أساسية في البناء الفني للرواية، وكيفية توظيفه كوسيلة فنية لتحقيق التواصل والتفاهم وابتكار المواقف وبناء الأحداث. تتجلى أهمية هذا البحث فی بيان روايات تحسين كرمياني في موكب الرواية العراقية على وجه الخصوص والعربية عموما، إذ تمثّل امتدادا فنيا وفكريا، بما تحويه من رؤية الأمر الذي أدى إلى قبولها لدى المتلقي في العالم العربي، حيث تملأ حيزا في المكتبة العربية الروائية. ويسعى هذا البحث إلى الوقوف على الحوار من خلال تجلياته عند عَلَم من أعلام الرواية (تحسين كرمياني) وذلك من خلال رصد هذه التقنية (الحوار) في هذه الروايات، وعلاقتها بعناصر البناء الروائي من شخصية وزمان ومكان وحدث ، وذلك بالكشف عن تلك العلاقات في بناء روايات تحسين كرمياني. تُمثل سبع روايات حصيلة تحسين كرمياني الأبداعية في مجال الرواية. وجاء هذا البحث للوقوف على ثلاث من تلك روايات (الحزن الوسيم و أولاد اليهودية و زقنموت ) وذلك بالكشف عن تقنية الحوار في بناء هذه الروايات لما له من حضور فاعل. اتخذ كرمياني الحوار وسيلة هامة لإيصال أفكاره وتعميق انفعالاته ورؤيته تجاه الظواهر الاجتماعية داخل المجتمع العراقي، وتأثير الغرب على حياة أفراد المجتمع، قاصدا من ذلك معالجة بعض الظواهر والأمراض الإجتماعية التي أصيب بها المجتمع العراقي جرّاء السياسات غير الحكيمة، التي سمحت للفكر الغربي أن يؤثّر في الثقافة والتراث الوطنيين. أدّى الحوار- في هذه الروايات- وظائفه الفنية، من تصوير الشخصيات بإلقاء الضوء على الملامح الخارجية والداخلية لكل من الشخصية الرئيسة والثانوية، الأمر الذي دفع بالأحداث إلى الأمام من خلال الصراع بين شخصيات الروائية، وتحديد الزمان والمكان، بحيث انعكست البيئة الزمكانية على الشخصيات . اتخذ الكاتب تقانة السينما في تصوير ملامح الشخصيات الخارجية والداخلية، الأمر الذي أضفى الحركة والحيوية من خلال الحوارات، التي عملت على جذب القارئ إلى متابعة السرد لأحداث الرواية وكأنه يعيش مع الشخصيات، بحيث يقرأ رؤياتهم وأفكارهم وهواجسهم الداخلية
Optimizing MRI Data Processing by exploiting GPU Acceleration for Efficient Image Analysis and Reconstruction
Authors: Khattak Irfanullah , Omer Hammad
Published: December 2023

Magnetic Resonance Imaging (MRI) is a non-invasive medical imaging modality, offering detailed anatomical insights without ionizing radiation The advent of Graphics Processing Units (GPUs) has stimulated a paradigm shift, propelling MRI techniques to new frontiers. Through parallel processing capabilities, GPUs have expedited real-time imaging, complex image reconstruction, noise reduction, and intricate data analysis. This paper provides an extensive survey on the GPUs based MRI techniques and its synergistic impact on core methodologies such as Diffusion Tensor Imaging (DTI) and Functional MRI (fMRI). Through parallel processing and frameworks like CUDA and OpenCL, GPUs have overcome computational hurdles in MRI data processing. Challenges like memory constraints and data transfer bottlenecks are addressed through hybrid CPU-GPU strategies and algorithmic enhancements. The integration of GPUs yields faster scans, enhanced image quality, and real-time insights, benefiting patient care and accelerating medical research. Considering the ethical issues regarding patient data privacy and algorithmic fairness, GPUs' potential in MRI research and development is evident. This paper concludes by looking ahead about the future of GPU based MRI, urging further exploration to uncover new possibilities and shape a transformative path for the future of medical imaging.