bluuebunny/crossref_metadata_2025 huggingface dataset:
37. THỰC TRẠNG KIẾN THỨC, THÁI ĐỘ CỦA NHÂN VIÊN Y TẾ VỀ BÁO CÁO PHẢN ỨNG CÓ HẠI CỦA THUỐC TẠI BỆNH VIỆN ĐA KHOA QUỐC TẾ VINMEC TIMES CITY NĂM 2023
Authors: An Nguyễn Thị Bình , Công Đỗ Hồng
Published: March 2024

Mục tiêu nghiên cứu: Mô tả thực trạng kiến thức và thái độ của nhân viên y tế về báo cáo phản ứng có hại của thuốc và phân tích một số yếu tố liên quan đến kiến thức và thái độ của nhân viên y tế tại bệnh viện Vinmec Times City.

Phương pháp nghiên cứu: Đây là một nghiên cứu mô tả cắt ngang sử dụng số liệu sơ cấp phỏng vấn 375 nhân viên y tế tại bệnh viện

Kết quả nghiên cứu: Kết quả nghiên cứu cho thấy chỉ có 14,1% nhân viên y tế có kiến thức đầy đủ về báo cáo phản ứng có hại của thuốc, tỷ lệ nhân viên y tế có thái độ tích cực với hoạt động báo cáo phản ứng có hại của thuốc là 73,4%. Yếu tố liên quan đến thái độ về phản ứng có hại của thuốc là nơi làm việc của nhân viên y tế

Kết luận: Bệnh viện cần tăng cường hoạt động truyền thông, tuyên truyền về quy định báo cáo cáo phản ứng có hại của thuốc cho nhân viên y tế
The initial results of ankylosing spondylitis treatment by total hip arthroplasty
Authors: Dung Nguyen Quoc
Published: March 2024

Objective: To evaluate the initial results of ankylosing spondylitis treatment by total hip arthroplasty. Subject and method: This is a clinical descriptive study, with vertical follow-up and no control group study. 10 male patients with ankylosing spondylitis including 13 hips were operated with non-cemented total hip arthroplasty at the Joint Surgery Department of 108 Military Central Hospital from May 2018 to May 2022. The age range was 21 to 58 (average 35.6). The mean follow-up period was 33 months (ranged from 6 to 56 months). Result and conclusion: Complications include: 1 case of femoral neck fracture, 8/13 cases of thigh pain 12 months after operation, 3 cases of leg-length discrepancy, 2 cases of heterotopic ossification, 1 case of rapid subsidence. The average score according to the Merle d`Aubigné-Postel scale improved significantly (17.55 ± 0.76 points after 12 months compared with 2.33 ± 1.15 points before surgery, p<0.05).
The Effects of Graphic Organiser-based Reading Instruction on Reading Comprehension among Malaysian ESL Learners
Authors:   Taylor's University Lakeside Campus, Malaysia, Hon Kellie , Mukundan Jayakaran ,   Taylor's University Lakeside Campus, Malaysia
Published: March 2024

This study investigated the impact of two graphic organizer (GO) instruction methods on reading comprehension in Malaysian ESL learners. The experiment involved180 Malaysian ESL students from three international schools, with one group received GO 1 instruction, another group received GO 2 instruction, and a control group received traditional instruction (NGO). Three instruments were used: a reading ability test, five practice sessions with five expository passages, and a reading comprehension test. The results of the 2-way ANOVA analysis indicated a significant interaction between GOinstruction, reading ability, and reading comprehension performance. The study found that GO instructions, specifically the concept mapping(GO 1)and KWL strategies(GO 2), were effective in enhancing reading comprehension, particularly among good readers. The KWL strategy also demonstrated benefits for improving reading comprehension,promoting active participation and critical thinking compared to the concept mapping group.This research contributes to the advancement of knowledge in ESL education by comparing the effects of the Concept Mapping strategy and the KWL strategy on reading comprehension among Malaysian ESL learners, thereby enriching the existing understanding of instructional methodologies in the field. Additionally, it diversifies generative learning strategies research by focusing on specific strategies, namely Concept Mapping and KWL, in a comparative analysis against the traditional NGO method, providing valuable insights for ESL educators to make informed decisions about instructional approaches. The study's findings have important pedagogical implications for ESL instruction.
Investigation of Dual effect of Citric acid on Preparation and Preservation of Guava Jelly via Physicochemical analysis
Authors: Chaudhry Gul-e-Saba , Matin Abdul , Bin Rahim Isfaq Wahid , Rahman Mizanur , Yik Sung Yeong , Tengku Sifzizul Tengku Muhammad
Published: March 2024

This study was conducted to examined the effects of citric acid concentration on the processing and storage of guava jelly. Six different types of jelly were prepared with 0.15%, 0.2% and 0.25% pectin and with 1.1%, 1.15% and 1.2% citric acid. No preservatives were added during the processing of Jelly. The analysis showed Jelly contains a mean moisture content of 26.5%, acidity of 0.28%, total sugar of 39.1%, total soluble solid of 68.5%, reducing sugar 30.13%, and nonreducing sugar 8.63%. The citric acid had no effect on processed product quality. There is no mentionablechanges were found during 90 days of storage at room temperature (25oC to 30oC). However, moisture content, total soluble solid, acidity, and the reducing sugar of the products were slightly increased.
Empirical Review on the Impact of Informal Tourism Sector Engagement in Sri Lanka Tourism Industry
Authors: Ratnayaka Ruwan
Published: March 2024

The purpose of this manuscript is to conceptualize the prevailing knowledge about the informal sector engagement in Sri Lanka tourism Industry. Though the research on the informal sector has been a growing field in the developing countries, the limited studies conducted about the informal sector engagement in Sri Lanka tourism industry is a significant problem. The empirical evidence brings new knowledge on informal sector engagement in Sri Lanka Tourism Industry to build the extent literature persistently. As the policy makers need the information about the informal sector for effective decision making, the organization and categorization of the information related to the area of the study is significantly important. This review paper is based on the current literature on the informal sector engagement in Sri Lanka Tourism industry and its impact to the formal sector.
Performing Pierogi
Authors: Jaroszyńska-Kirchmann Anna D.
Published: March 2024

Food choices and food preparation rituals are both performative acts and vehicles for the transmission of ethnicity. Among American Polonia, collective pierogi making has become an important symbolic action of claiming one's Polish American identity, which brings together different genders and generations within families, kin, and friend circles.
HEAT STRESS IN CITRUS: A MOLECULAR FUNCTIONAL AND BIOCHEMICAL PERCEPTION
Authors: NAEEM S , SAMI A , HAIDER MZ , ALI MH , KHALIQ A , AKRAM MI , MUDASAR M , ALI Q , JUNAID MD
Published: March 2024

Misfortunes caused by high temperatures compel us to more readily comprehend the physiological, hormonal, and sub-atomic systems of reactions, particularly in humid and subhumid yields such as citrus organic products that are accustomed to specific conditions. Heat stress is accustomed to drought and many other environmental factors affecting Citriculture. We observe the role of Rubisco, antioxidant enzymes, HSPs, physiological changes in plasma membranes, and the role of ABA and SA under heat stress in citrus. Not-with-standing essential exploration, developing and utilizing new and well-developed citrus rootstocks is an essential element for the regulation, according to ecological circumstances. Rootstocks are essential in controlling how plants react to changing environmental factors, such as heat stress. They transfer beneficial features and increase stress tolerance, which helps citrus plants be more resilient overall. The duration of growth, yield, fruit quality, and tolerance to biotic and abiotic challenges are only a few of the characteristics of citrus horticulture that can be significantly improved using the right rootstocks. Enhancing citrus fruits' resistance to unfavorable environmental circumstances is urgently needed due to climate change. We can learn more about how different rootstocks affect the scion's capacity to withstand abiotic pressures by examining the metabolic responses caused by those rootstocks. Because of its increased antioxidant capacity, improved stomatal control, and storage of protective proteins, Carrizo citrange, for instance, demonstrates superior resilience to heat stress when compared to Cleopatra mandarin. The combined impacts of heat and drought on citrus vegetation differ from the effects of each stress alone. Specific metabolic changes are occur, which agree with findings from other plant research looking at the combined impacts of stress on physiology, transcriptome, proteome, and metabolome. When using rootstocks like Sunki Maravilha mandarin under drought stress, important metabolites such as galactinol, raffinose, and SA can be enhanced in scions through grafting. On the other hand, the Cleopatra rootstock alters the metabolism of the scion, resulting in lower quantities of the amino acids galactinol, raffinose, proline, phenylalanine, and tryptophan, which could lead to undesired characteristics. These results highlight the value of continued research to solve the problems brought on by climate change and provide light on the role of rootstocks in citriculture.
Posición social, información y posmaterialismo
Authors: Díez Nicolás Juan
Published: March 2024

El propósito de este trabajo de investigación es examinar si existen o no razones para rechazar la relación entre los siguientes enfoques teóricos: la teoría del postmaterialismo de Inglehart, la teoría sobre la formación y el proceso de cambio de las actitudes y valores sociales de Galtung y la teoría del ecosistema social de Hawley y de Duncan. El autor, a lo largo del artículo, presenta suficiente evidencia como para no rechazar la hipótesis de que la posición social puede explicar el postmaterialismo, en el sentido de que aquellas personas que están más cerca del ?centro social?, al ser los ?iniciadores? de nuevos valores sociales, serán los que antes adopten la orientación postmaterialista. El modelo utilizado ha servido, además, para demostrar la importancia de una variable interviniente como la exposición a la información, en el sentido de que el postmaterialismo será mayor cuanto mayor sea no sólo la posición social, sino también la exposición a la información de los individuos.
Роль та місце літаків дальнього радіолокаційного виявлення і управління в загальній системі виявлення, оповіщення, бойового управління силами (засобами) повітряної компоненти
Authors: Сорокін Дмитро , Яровенко Олександр , Коліко Валентин
Published: March 2024

Проаналізовано особливості роботи активних і пасивних систем радіоелектронного виявлення в єдиній системі виявлення, оповіщення, бойового управління силами та засобами повітряної компоненти.Визначено недоліки системи дальнього радіолокаційного виявлення і управління (ДРЛВУ), створеній на основі тільки наземної розгалуженої системи радіолокаційних постів. Досліджено основні тактико-технічні характеристики і технологічні особливості типових літаків дальнього радіолокаційного виявлення і управління. Обґрунтовано роль і місце літаків дальнього радіолокаційного виявлення і управління в загальній системі управління силами (засобами) повітряної компоненти в оборонній та наступальній операціях.
Сonceptual Foundations оf Applying Innovative 3d Scanning Technologies іn the Context of Maintaining Airworthiness of State Aviation Equipment
Authors: Pashchenko Serhii , Shulhin Artem , Kharchenko Volodymyr
Published: March 2024

The goal of this article is to analyze the use of modern 3D scanning technologies and additivemanufacturing in addressing practical needs to maintain airworthiness of state aviation equipment. The unified algorithm for 3D scanning of complex technical objects which is independent of specific methods and equipment types has been developed as well as the detailed description of each step of the algorithm. Innovative optical methods of 3D scanning technologies are explored, and a comprehensive methodology that utilizes these optical 3D scanning methods for determining the potential improvement of identified resource indicators of aviation equipment is proposed.
Удосконалена математична модель управління бойовим застосуванням спільної авіаційної групи пілотованої та безпілотної авіації
Authors: Наусенко Богдан , Ярошенко Ярослав
Published: March 2024

У статті представлена удосконалена математична модель управління бойовим застосуванням пілотованою та безпілотною авіацією під час їх спільних дій, яка враховує показники середнього часу циклу управління спільною авіаційною групою, рівня ситуаційної обізнаності командира групи, рівня ентропії координат цілі, рівня підготовки посадових осіб, що залучаються до управління бойовим польотом спільної авіаційної групи, ймовірності неподавлення системи управління спільної авіаційної групи засобами радіоелектронної боротьби противника. Під математичною моделлю розуміється опис показників ефективності управління бойовим застосуванням спільної авіаційної групи, які потрібні для підвищення ефективності виконання бойового завдання. Удосконалена математична модель дає змогу оцінювати ефективність управління бойовим застосуванням спільної авіаційної групи та може стати основою для методики оцінювання ефективності управління пілотованою та безпілотною авіацією під час їх спільних дій.
Strengthening of Reinforced Concrete Deep Beams with Large Openings Using Metal Plates
Authors: Amin Fayiz , Waqas Hafiz Ahmad , Alam Mehboob , Yousafzai Alina , Naeem Khowllah , Khan Nayab , Gerges Michael , Fawad Muhammad
Published: March 2024

Deep beams with large openings require innovative approaches to maintain strength and performance. To minimize the detrimental impacts of wide holes in reinforced concrete deep beams, effective reinforcing pro-cedures are essential. This paper presents a study on the use of metal plates for strengthening reinforced concrete deep beams with large openings. The Finite element modelling (FEM) software Abaqus is used to study the im-pact of various metal plate orientations on the structural behaviour and load-carrying capacity of the deep beams. The research includes an extensive sensitivity analysis and model calibration of the original model against exper-imental results, as well as four different examples of applying a load of 500 kN after validating the original beam against experimental results. The study found that case 3 exhibits the smallest deflection and have large load carrying capacity, indicating its superior performance in minimizing deflection. However, case 4 is a more affordable choice due to the high cost of the metal plates used in case 3's design. Different grades of concrete were utilized on the same model after case 4 was chosen as the final one to examine the impact of concrete strength and deter-mine which was most cost-effective. Based on cost-effectiveness and performance, the proposed model has the ability to carry more load with less deflection, encouraging the development of practical and secure structural so-lutions
Evaluation of the Circular Economy Potential in Improving Sustainability in the Construction Industry in the UAE
Authors: Kashwani Ghanim , Bell Alex
Published: March 2024

The civil engineering and construction industry is usually highlighted as primary contributing factors for resource consumption and scarcity. Many researchers perceive that as a normal event with the respect to the high demand for construction that comes concerning the growing world population. As a consequence of this demand, a need for resources and energy efficiency becomes extremely critical and vital. The circular economy could be presented as one of the potential factors to regulate the construction industry with a circular business model. The reason that the professionals highly suggest this mechanism is due to its suitability with the vibrant and dynamic nature of the construction industry that usually causes a communication gap between the main stakeholders. The literature shows that this could be a result of a lack of collaboration and creating unnecessary complex steps that affect the productivity and durability of the business. Hence, a need for a holistic and integrated framework is necessary to regulate and manage the flow work of resources and energy efficiency process. In this study, the Sustainability Development Goals (SDGs) will be highlighted as major key performance indicators to ensure the accuracy and feasibility of the circular economy. Through this study, the survey and the interviews showed that three areas could be considered as challenging to be applied to circular economy in construction in The United Arab Emirates (UAE): regulatory factors, economic factors, and technological factors.
CFD Simulation of Wind-Induced Interference Effects on Low-Rise Gable Roof Structure using ANSYS
Authors: Chaurasia Aman Kumar , Anand Animesh Kumar , Meena Anuved , Sharma Deepak , Raj Ritu
Published: March 2024

This study examines the variance of wind impacts on low-rise gable-roofed buildings that do not have any open faces to the wind domain over distinct interference situations. In full blockage arrangements, this is achieved by adjusting the spacing between the buildings. Because there are no specifications in wind standards for building structures of this kind, computational simulations are carried out using the fluid flow simulator of ANSYS CFX software using the Standard k − ε model. These kinds of research necessitate the use of either a real wind tunnel environment to measure the pressure or a virtual computational fluid dynamics (CFD) simulation of the wind environment. In this work, CFD simulations were performed for a total of four distinct spacing circumstances and four varied increasing wind incidence angles of 0°, 30°, 60°, and 90° to get the coefficient of pressure (Cp). The results have been showed with the help of contours on the roofs of structures, pressure coefficient (Cp) and velocity streamlines for different cases. Minimum value of Cp was found in 1.5b spacing configuration with wind incidence angle 60° and maximum value of Cp in 2b spacing configuration with wind incidence angle 60° (here b = width of structure).
Extracorporeal Oxygenation (ECMO) in Patients with Acute Respiratory Failure
Authors: Tadel Kocjančič Špela
Published: March 2024

Abstract: Extracorporeal membrane oxygenation (ECMO) is a method for oxygenation and removal of carbon dioxide in patients with respiratory failure in whom we cannot achieve that with standard methods of invasive mechanical ventilation. The method works as an extracorporeal bypass of blood, which we take from one central vein, then the blood goes through an oxigenator and returns oxygenated and free of carbon dioxide to another central vein. The system is run by a pump with steady non-pulsatile flow. We use two standard ECMO types. For respiratory failure alone we use veno-venous ECMO and for heart failure we use veno-arterial ECMO. We can also combine more types of ECMO according to the patient´s needs. We started using ECMO in 2009, with the number of patients is increasing every year. The majority of patients with the need of ECMO has influenza, pneumococcal pneumonia or infection with Legionella species. We also used ECMO a lot during COVID-19 pandemic. With this new method even the patients who would otherwise (even 10 years ago) die of respiratory failure, have a greater possibility to survive. Keywords:ECMO – extracorporeal membrane oxygenation, respiratory failure, cannulas, non-pulsatile blood flow
A Multiplex GC-MS/MS Analysis for the Quantitative Moni-toring of Bilobalide, Ginkgolides and Ginkgotoxin in Ginkgo biloba-Derived Products and Biomaterials
Authors: Árva Zsolt , Barbulova Ani , Fiume Immacolata , Moubarak Maneea , Pocsfalvi Gabriella
Published: March 2024

Abstract: The bioactivity Ginkgo biloba-derived extracts and other preparations is attributed to the presence of secondary metabolites, especially terpene trilactones (ginkgolides and bilobalide), flavonoids but also toxic constituents, like ginkgotoxin. In this study, we set up a multiplex method using a gas chromatography coupled with tandem mass spec-trometry (GC-MS/MS) for the simultaneous quantitative analysis of six of these char-acteristic metabolites, namely ginkgolide A, B, C, J, bilobalide and ginkgotoxin. Param-eters were set up and optimized for multiple reaction monitoring (MRM) to allow the sensitive and selective monitoring of specific collision induced dissociation transitions for each analyte. The method was applied to quantify and compare the above ingredi-ents after derivatization in the methanol extracts of a commercial supplement, ginkgo nuts, ginkgo cells from suspension and callus cultures, and microvesicles (MVs) and nanovesicles (NVs) isolated from ginkgo seeds. As a result of the MRM analysis, the commercial supplement contained 7,77% terpene lactones per tablet. The seed samples contained 50 parts per million (ppm) ginkgolide A and 14 ppm ginkgolide B, but gink-golide C and J were below the limit of quantitation. Ginkgo biloba cells from in vitro cultures, MVs and NVs contained considerably less bilobalide and ginkgolides than the seed and the commercial supplement. Keywords: Ginkgo biloba; extracellular vesicles; GC-MS/MS; derivatization; quantita-tive analysis, multiple reaction monitoring, ginkgolides, bilobalides, ginkgotoxin
Weathering Effects on Cellulose Acetate Microplastics from Discarded Cigarette Butts
Authors: Branka Branka , Sever Škapin Andrijana
Published: March 2024

Abstract: Cellulose acetate, commonly used in cigarette filters, poses environmental concerns due to its questionable (bio)degradability and prevalent presence in nature. This study compares the weathering effects on two types of cigarette filters: traditional and newer filters used in heated tobacco devices (HTP). Microplastics were derived from used cigarette parts and then subjected to artificial aging. Analytical techniques (Thermogravimetry-Differential Scanning Calorimetry TG/DSC, Fourier-Transform Infrared Spectroscopic Analysis (FTIR)) and loose bulk density measurements were employed pre- and post-aging cellulose acetate of both types of samples. Despite in-creasing evidence influencing European Union (EU) directives on tobacco product disposal, there's a lack of systematic analysis on the weathering impact, especially concerning the touted environmental benefits of newer filters. Results indicate de-creased particle size in cellulose acetate filters post-aging. Variances were observed in thermal behavior, yet FTIR spectra remained unchanged. Keywords: Cellulose acetate; Cigarette filters; Microplastics; Artificial weathering; UV radiation impact, Polymer degradation
Digital education in the development of the company’s human capital
Authors: Protasenko Olga
Published: March 2024

Abstract: The company’s human capital is its biggest asset, so its development is one of the es-sential areas of the company’s development strategy. The concept of “human capital” has evolved for many years in connection with technological progress. And at each stage, human capital was a crucial element of business development. Today, we live and work in the era of digitalization, which has fundamentally changed all aspects of human life, including the approach to human capital development. An essential element in the development of human capital is the constant training of employees because, in the current conditions, the employee’s knowledge, skills and competencies quickly become outdated, and, therefore, they need to be constantly updated. However, studying in the classical sense (attending classes, communicating with the lecturer, assignments, etc.) takes time and effort. It complicates human capital development under conditions of a high pace of activity. However, the situation has fundamentally changed in recent years due to the digitization of education. Today, digital education allows employees to study and work simultaneously, without prejudice to the quality of the activity results and the knowledge obtained. The article shows options for introducing digital education tools into the company’s activities to expand human capital development opportunities. Attention is paid to the formation with the help of digital education tools of an individual training trajectory, which allows employees to increase the effectiveness of their training. It is considered employee competencies that can be developed and acquired due to digital education. The advantages and disadvantages of using such tools in the company’s work are analysed. Keywords: Human capital; Lifelong learning; Digital education; Competencies; Indi-vidual learning trajectory; Employee
Corporate Governance and Banking Stability in the MENA Region
Authors: BADRAN Jana , CHAMOUN Maria
Published: March 2024

This study investigates the determinants of banking stability through a comprehensive analysis of various financial and governance factors. Employing a panel regression approach, we examine the impact of key accounting variables, including capital adequacy ratio, return on assets, non-performing loans, bank size, and gross domestic product, as well as governance factors, covering board composition, audit quality, women on board, and the presence of risk committees, on the stability of banks operating in the MENA region between 2009 and 2020. Our findings reveal that most of these variables have a positive impact on banking stability. However, non-performing loans and the presence of independent directors on the board exhibit a negative relationship with banking stability. Therefore, it is found that banks under consideration maintain stability in tandem with good corporate governance practices and economic expansion, thereby positively influencing the MENA banking sector. The study recommends researchers to delve deeper into the complex relationships between these variables and banking stability and suggests that future studies explore additional factors that might impact the stability of banks in the MENA region.
NARASI PERJALANAN HIJRAH RASULULLAH DALAM BUKU SKI
Authors: Abdul Gani Jamora Nasution  , Erina Damayanti  , Khairunnisa Khairunnisa , Syahrani Yumna Irfani
Published: March 2024

This study aims to examine and explain the migration journey of the Prophet in the SKI book. This research uses library research methods or library research with a historical approach. Based on the results of the research, it was found that the meaning of hijrah was not merely an attempt to escape from trials and ridicule, but in addition to that meaning, hijrah was also intended as a stepping stone to establish a new society in a safe country, it also had the meaning of affirming the position of Muhammad and his followers. , with the previous era After the Prophet migrated to Medina, Islam developed rapidly. The Prophet made many agreements with non-Muslim groups such as the Prophet's agreement with the Jews of Medina and the agreement with the Quraysh infidels known as the Hudaibiyyah agreement. In addition, there were also many wars that took place between Muslims and infidels, such as the wars of badr, uhud, khandak, hunain, and fathul Mecca.
Faktor-Faktor yang Mempengaruhi Kejadian BBLR di RSKD IA Pertiwi Makassar Tahun 2022
Authors: Rahayu Rahayu  , Rahmaniyah R
Published: March 2024

Low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight of less than 2,500 grams. LBW continues to be a significant public health issue globally and is associated with a range of short-term and long-term consequences. Overall, it is estimated that 15% to 20% of all births worldwide are low birth weight, representing more than 20 million births per year (WHO, 2014). The research aims to identify factors influencing the occurrence of LBW. This study adopts a simple observational design with a cross-sectional approach, a method that seeks to find factors related to independent variables (age, education, occupation, parity, pregnancy interval, gestational age) with the dependent variable of Low Birth Weight (LBW). The research findings at RSKD Mother and Child Pertiwi Makassar from 2022, reveal that, through the Chi-Square test, there are five variables that have no relationship with the occurrence of Low Birth Weight (LBW), namely age, education, occupation, parity, and pregnancy interval. There is only one variable, gestational age, that is associated with LBW. The study also highlights the characteristics of mothers delivering LBW babies at RSKD Mother and Child Pertiwi Makassar. Most of them are under the age of 20, accounting for 26 individuals (63.6%). The majority have basic education, with 26 individuals (50.0%), and the most common occupation is unemployed mothers, comprising 46 individuals (48.4%). Multiparous mothers are the highest in number, with 41 individuals (47.7%), and the majority have a pregnancy interval of less than 3 years, amounting to 28 individuals (54.8%). The gestational age is predominantly less than 37 weeks, with 31 individuals (100.0%). The study suggests the importance of recommending regular prenatal check-ups, a minimum of six times during pregnancy, for all normal or at-risk pregnant mothers.
Gambaran Capaian Imunisasi Dasar dan Lanjutan Sebelum, Selama dan Saat Transisi Pandemi COVID-19 di Wilayah Puskesmas Kecamatan Cempaka Putih
Authors: Stefanus Gardino Setyo D  , Yohanes Firmansyah  , Murni L Naibaho
Published: March 2024

Immunization is an action that provides immunity to individuals so that when exposed to a disease they will only experience mild illness or no pain. Immunizations are carried out mainly in children. Immunizations carried out on children are basic immunization and advanced immunization. Due to the COVID-19 pandemic, immunization cannot run properly. This study aims to find out about the achievements of basic and follow-up immunizations between before, during, and the transition period of the COVID-19 pandemic in the Cempaka Putih sub-district. Research Methods: This research is an observational descriptive study in the work area of the Cempaka Putih District Health Center. The research sample in this study was a history of basic and follow-up immunizations from children living in the working area of the Cempaka Putih District Health Center. The results showed that the achievement of basic immunization and children under two in 2019 (before the COVID-19 pandemic) reached the target, then in 2020 (pandemic COVID-19) the achievement of basic immunization and children under two did not meet the target. In 2021 (COVID-19 pandemic) the achievement of basic and under-five immunizations reached the target, then in 2022 (COVID-19 transition period) the achievement of basic and under-five immunizations was achieved.
Prosedur Pemeriksaan CT-Scan Angiography (CTA) Upper Ekstremity Pada Kasus Pseudoaneurisma Arteri Subclavia Kanan Di Rumah Sakit Primaya Tangerang
Authors: Muhammad Faisal  , I Putu Eka Juliantara  , Edwien Setiwan Saputra
Published: March 2024

Upper Extremity CT-Scan Angiography (CTA) Examination Procedure in Right Subclavian Artery Pseudoaneurysm Cases at Primaya Hospital Tangerang. Upper Extremity CT-Scan Angiography (CTA) is described as a technique for non-invasively evaluating vascular structures via peripheral contrast injection. Upper Extremity CTA is carried out starting from patient preparation, tools and materials used, examination protocols, and image reconstruction techniques. In addition, the contrast infusion technique must also be appropriate to provide an informative image. The purpose of this study was to determine the procedure for examining the Upper Extremity CTA in cases of subclavian artery pseudoaneurysm with excess of the Upper Extremity CTA. This research is a qualitative research with a case study method using 1 patient. Data were collected using observation, documentation and radiographer interview methods. The results of the data collected can be concluded with the Upper Extremity CTA procedure using Scanning Scannogram, pre-contrast, & post-contrast arterial phase, and venous phase, then image reconstruction from the MPR image and 3D VR image. The advantages of the CTA procedure using the smart prep technique image resolution quality could be higher.
Analisis Faktor Yang Berhubungan Dengan Tingkat Kadar Asam Urat
Authors: Dian Faqih  , Ainul Yaqin Salam  , Grido Handoko Sriyono
Published: March 2024

There are a number of factors that can impact the value of uric acid levels, which can result in increased blood uric acid levels.This study aims to determine variables influencing uric acid levels. This research method used correlational analytic with cross sectional approach. The sampling technique used  total sampling of gout respondents with a total sample of 51 responents. The results of this study found that there was a relationship between all the  factors stuied, both from diet, age, physical activity  and BMI with p value ≥ 0.05, while the dominant factor releted to the level of uric acid levels is the dietary factor with p value = 0.000, a ≥ 0.05 and OR value = 30.664. It can be concluded that diet, age, physical activity  and BMI can affect uric acid levels but the most dominan factor in creasing uric acid levels is diet, so that future researchers are expected to provide can examine dietary variables in gout patients and increase the number of samples so that the results of the study are maximized

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Analisis Faktor Yang Mempengaruhi Perilaku Santri Dalam Menjaga Kebersihan Lingkungan
Authors: Yulia Putri Fatmilarini  , Shinta Wahyusari  , Ainul Yaqin Salam
Published: March 2024

Clean and Healthy Living Behavior (PHBS) is a behavior that is practiced by every individual with their own awareness to improve their health and play an active role in creating a healthy environment. The purpose of this study is to identify the variabels that influence environmental cleanliness behavior.. This research method uses correlational analytic with cross sectional approach. The sampling technique used is stratified random sampling on the respondents with a total sample of 178 respondents. According to the study’s findings all the components werwrelated with a p value of 0,05, including knowledge, attitudes, facilities, and the role administrators, while the dominant factor related to the behavior of students in maintaining a clean environment with a p value of 0.001 0.05 and OR value = 5.269.  can be concluded that knowledge, attitudes, facilities, the role of the board can influence behavior but the most dominant factor in behavior is the role of the board, so that future researchers are expected to provide intervention to administrators and students regarding the importance of keeping the environment clean.
Asuhan Keperawatan Kritis Pada Pasien Chronic Kidney Disease CKD Dengan Intervensi Inovasi Memberikan Nutrisi Enteral Menggunakan Metode Intermiten Feeding Untuk Mengurangi Produksi Residu Lambung di Ruang ICU RSU Kabupaten Tengerang
Authors: Aef Eka Saputra  , Zahrah Mauilidia Septimar  , Andi Setiyawan
Published: March 2024

Background: Critical care developed starting from a need for patients experiencing life-threatening illnesses that could be better met if the patient was cared for in a different room. Chronic Kidney Disease (CKD) is defined as a decrease in kidney function characterized by a glomerular filtration rate (GFR) < 60 ml/min/1.73 m2 that occurs for more than 3 months (Mahesvara, 2020). Nutrition is an important part of the management of critical patients such as those suffering from advanced Chronic Kidney Disease (CKD). Providing nutrition to critical patients is to encourage the healing process. Inaccuracy in administering enteral nutrition can cause complications such as high gastric residual volume, gastric retention, diarrhea, nausea and vomiting. High gastric residues during enteral nutrition increase the risk of pulmonary aspiration which is the most severe complication of enteral nutrition. Intermittent feeding is one method of providing enteral nutrition to prevent these complications. The aim of this research is to provide comprehensive nursing care for patients with Chronic Kidney Disease (CKD). This writing method uses patient intervention and observation carried out for three days, to determine the patient's condition and provide appropriate nursing care which is then documented. Results: Based on the results of the intervention and monitoring carried out, it can be concluded that there are differences in the conditions of gastric residue production before and after the enteral feeding intervention using the intermittent feeding method. With the result criteria of maintaining nutritious food intake increases. Conclusion: In critical patients there is a slowdown in gastric emptying and intestinal motility so that if enteral nutrition is given quickly into the stomach there will be an increase in gastric residue. Nursing action as an evidence base that can be given is in the form of providing enteral nutrition using the intermittent feeding method so that the stomach can be better prepared to receive nutrition because it is given gradually, a stomach that is not completely filled will be able to digest food better and the stomach will empty more quickly, thereby reducing the risk of aspiration.
O uso da TIDieR para a descrição e replicação da intervenção de Programa Estratégias de Coping em bombeiros militares
Authors: Coimbra Marli Aparecida Reis , Ikegami Érica Midori , Souza Lara Andrade , Haas Vanderlei José , Ferreira Lúcia Aparecida
Published: March 2024

O objetivo do estudo foi descrever o Programa Estratégias de Coping em bombeiros militares usando o Template for Intervention Description and Replication (TIDieR). Trata-se da descrição do Programa Estratégias de Coping, aplicado em 100 bombeiros militares randomizados, de novembro de 2021 a março de 2022, segundo os 12 itens da TIDieR. A intervenção foi aprovada no Comitê de Ética em Pesquisa com Seres Humanos e registrada no The Brazilian Registry of Clinical Trials (ReBEC). O checklist do TIDieR possibilitou a descrição sistemática do Programa Estratégias de Coping, quanto aos aspectos de identificação, justificativa, descrição e procedimentos detalhados da intervenção. O TIDieR permitiu a descrição sistematizada e padronizada do Programa Estratégias de Coping em bombeiros militares, o que pode contribuir para a reprodução da intervenção por outros profissionais na prática clínica.
Futuristic Ordering: Unearthing the Method of Ordering Food through QR Code in Restaurants with Sophisticated Insight
Authors: T. G Mrs. Ramabarathi , C. A Lakshitha. , Nandhana. S  , Devi. M Poorna , Shree. G. A Latchiya
Published: March 2024

A Smart Ordering Menu powered by QR codes in restaurants revolutionizes the traditional dining experience. Patrons simply scan the QR code on their tables, gaining instant access to a digital menu on their smartphones. This interactive menu allows customers to browse dishes, view images, and get detailed descriptions. Ordering becomes efficient as diners can customize their selections and submit orders directly from their devices. Moreover, the smart ordering system can accommodate special requests or dietary preferences. It enhances communication between customers and kitchen staff, ensuring a personalized dining experience. Additionally, the QR-based system can display real-time updates on item availability and promotions. The convenience extends to payment, as customers can settle their bills digitally, reducing the need for physical cash or card transactions. This not only enhances speed but also minimizes contact points, promoting a safer dining environment. For restaurant owners, the smart ordering menu provides valuable insights into customer preferences and ordering patterns. This data can be used to optimize the menu, refine marketing strategies, and improve overall operational efficiency. In summary, a Smart Ordering Menu using QR codes transforms the dining landscape, offering convenience, safety, and valuable data insights for both customers and restaurant establishmen
Malnutrition as an unfavorable prognostic factor after surgical treatment for metastatic colorectal cancer
Authors: Skroński Michał , Olszewska Natalia , Nyckowski Paweł , Ukleja Anna , Lisowska Joanna , Słodkowski Maciej , Szczygieł Bruno
Published: March 2024

Introduction: Colorectal cancer (CRC) is the second-leading cause of cancer-related deaths worldwide. Distant metastases are usually located in the liver and are present in 50% of patients.

Aim: The aim of this study is to evaluate changes in body composition and phase angle before and after surgical treatment of CRC liver metastases, as well as survival time and treatment costs.

Material and methods: The study included 134 patients who received 174 surgeries for CRC liver metastases. Bioelectrical impedance analysis (BIA) was performed using an AKERN BIA 101 analyzer.

Results: BIA was performed before and after surgery. The results of tests (total body water content [TBW], body cell mass [BCM], and phase angle) showed a reduction in BCM by 2.21 kg and a statistically significant decrease in phase angle values after surgery (from 5.06 to 4.25 in women and from 5.34 to 4.76 in men). These values are below the reference range for both sexes. There was a correlation between phase angle values and muscle mass, both before (R = 0.528, p<0001) and after surgery (R = 0.634, p<000.1). Preoperative levels of the tumor marker CEA were elevated in more than half of the patients. The median survival time after resection of liver metastases was 37.6 months.

Discussion: A significant factor that increases complications, mortality, and treatment costs of cancer patients is malnutrition, which could be the earliest symptom of malignant disease.

Conclusions: Successful treatment of CRC requires the patients to participate in follow-up examinations and to be aware of early signs associated with recurrence (e.g., blood in the stool or weight loss). The patients’ nutritional status should be monitored and recorded in a DILO card.
PREVIDÊNCIA COMPLEMENTAR: TAMANHO IMPORTA? ANÁLISE DOS FUNDOS PGBL E VGBL NO BRASIL ENTRE 2012 E 2022
Authors: Schionato Vanessa Andrade de Castro , Forte Denis
Published: March 2024

Este trabalho teve como objetivo analisar o desempenho dos fundos previdenciários abertos disponíveis no mercado brasileiro, oferecidos por gestoras vinculadas a grandes bancos e gestoras independentes, entre janeiro de 2010 a dezembro de 2022. A avaliação do desempenho dos fundos foi realizada por meio da aplicação de modelos quantitativos clássicos: Alpha de Jensen, Beta CAPM, Índice de Sharpe, Sortino e Treynor, considerando sua respectiva classificação de investimento. Também discutimos os impactos da taxa de administração e tamanho do fundo sobre seu desempenho. A pesquisa justifica-se pelos poucos estudos publicados sobre o tema, pelo aumento da longevidade da população brasileira, predominantemente com baixa literacia financeira e pelo crescimento da indústria financeira, impulsionada pelo open-banking e open-finance. Os resultados obtidos demonstram que as gestoras independentes geram Aplha médio superior aos fundos vinculados aos fundos de gestoras vinculadas a grandes bancos. Índice Beta e CAPM são similares entre os dois grupos analisados, assim como o Índice Sharpe, que em média mostrou-se negativo no período analisado. Os Índices de Sortino e Treynor são similares entre os grupos.
Exploring Graduate Students’ Experiences in a College of Agriculture
Authors: Shayne White  , Meyers Courtney , Bratcher Christy
Published: March 2024

The past two decades have seen an overall increase in the number of students pursuing a graduate degree in the United States. Gaining a more nuanced understanding of how graduate students navigate the academic, personal, and professional challenges of post baccalaureate education will help programs better support them and ensure student success. With validation theory serving as the theoretical framework, the purpose of this study was to explore the graduate student experience within a college of agriculture at a southwestern university. This study focused on three aspects: resources students use, challenges they have experienced, and additional needs for support. Data for this phenomenological study were collected using focus groups with 24 students. Analysis of the data found students utilized a variety of resources including online content and peers. Another emergent theme recognized the significant role communication plays between faculty members and students. The final theme focused on solutions to support better communication and collaboration efforts. Several specific recommendations are provided to improve how validated graduate students feel in their academic pursuits. Future research should gather faculty perspectives to help shape professional development opportunities that would create enhanced graduate student mentoring.
Comparison of the Mechanical Properties and Approach to Numerical Modeling of Fiber-reinforced Composite, High-Strength Steel and Aluminum
Authors: Abdulqadir Samer Fakhri , Alaseel Bassam Hamid , Sameer Jamal Oudah
Published: March 2024

The performance of carbon fiber reinforced polymer (CFRP) composite materials under quasi-static and high strain rate loading can be predicted with a high level of accuracy using the non-linear finite element analysis (FEA) method. Experimental validation tests under uniaxial tensile loading have shown a good correlation with FEA predictions for thermoset polymer composites, using commercially available epoxy resin MTM710 with carbon fiber reinforcement and for comparative tests on DP600 steel and aluminum alloys (AC170 and 5754 series). The physical and numerical results comparison of composite, aluminum, and high-strength steel indicates that the composite may be used as an alternative to aluminum and high-strength steel since the composite was shown to have almost the same strength as steel and higher strength than aluminum with the advantage of being lightweight and possessing similar mechanical behavior under quasi-static conditions. The results demonstrated that the strain rate range used did not significantly affect the strength of the composite materials. The selection of materials can be optimized reliably by FEA based on mechanical properties, cost, and weight. This will significantly reduce the new product introduction timescale, which is essential for the wider use of polymer composites for structural applications, especially in the automotive industry.
Fragmente de vase si obiecte de sticla provenite din zona bailor castrului roman de la Hoghiz (jud. Brasov)
Authors: Gridan Silviu , Boţan Sever Petru
Published: March 2024

The auxiliary Roman castrum of Hoghiz (Braşov county) has stirred the interest of researchers and antiquities enthusiasts since the mid–18th century, being represented in cartographic sources of the period as Alte Schloʃs Rudera or Pons Vetus. Over time, based on the analysis of tegular material, it is believed that Ala I Asturum, Cohors III Gallorum, Numerus Illyricorum and troops from Legio XIII Gemina were stationed here, making it the most important auxiliary castrum in Eastern Dacia. During surface investigations in 2023, 12 fragments of glass vessels were recovered from the area of the Roman baths adjacent to the castrum. They belong mainly to beakers and cups, prismatic bottles or window panes, as well as a dark‑red facetted bead. By analogy, the identified fragments can be dated to the 2nd century AD while the bead is specific to the 4th century AD with good similarities in the area of the Sântana de Mureş – Cerneahov culture.
Cercetari arheologice de suprafata in hotarul administrativ al municipiului Timisoara si in zona periurbana (II). Repertoriul arheologic al comunei Sanmihaiu Roman (loc. Sanmihaiu Roman, loc. Utvin)
Authors: Craiovan Bogdan Alin , Rogozea Octavian-Cristian
Published: March 2024

The archaeological surveys started in 2014 in the administrative boundary of the commune of Sânmihaiu Român, more precisely in the vicinity of Sânmihaiu Român and Utvin, revealed the existence of numerous human settlements. From the point of view of chronological classification, the first settlements can be dated to the Neolithic period. These are followed by Eneolithic, Bronze Age and Early Iron Age sites. The Second Iron Age is also well represented with settlements from the 2nd century BC to the 2nd century AD. Medieval finds are also well represented, especially those dating to the middle and later Middle Ages.