bluuebunny/crossref_metadata_2025 huggingface dataset:
Association Between Erectile Dysfunction and Cardiovascular Disease: A Systematic Review
Authors: Chowdhury Sumon Rahman , Karim Masud , Ullah SM Amanat , Bakar Muhammed Abu
Published: June 2020

Erectile Dysfunction (ED) describes the persistent inability to achieve or maintain a penile erection for adequate sexual performance. ED is thought to be a vascular disease affecting more than 70% of men with (Cardiovascular Disease) CVD and sharing a myriad of risk factors like hypertension, smoking, diabetes, obesity, ageing and the metabolic syndrome. Diabetes increases the risk of both ED and CVD with the latter being the leading cause of death. Endothelial dysfunction and its role in the development of atherosclerosis may be the common link between ED, CVD and diabetes. With the current epidemic of type 2 diabetes, diabetes related CVD will increase in tandem. Early identification of this risk group is therefore paramount. Evidence has shown that ED is an independent marker of increased CVD risk and heralds the onset of coronary artery disease, peripheral arterial disease and stroke thereby providing a window of opportunity for risk factor modification. In our paper we shall explore the correlation of ED and CVD with a view to formulation of intervention strategies.

Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 59-66
Herlyn-Werner-Wunderlich Syndrome: A Case Report
Authors: Islam SM Saiful
Published: June 2020

Herlyn-Werner-Wunderlich Syndrome (HWWS) is a rare developmental disorder of female urogenital tract consisting of paired uterus, obstructed hemivagina and unilateral renal agenesis. Here, authors described a case of a 10 years old girl with HWWS who presented to pediatric emergency with recurrent lower abdominal pain shortly following menstruation and dysmenorrhea. The diagnosis was confirmed by abdominal MRI. Examination under anesthesia revealed two vaginal opening, of which left is widely open and the right is completely closed with bulging hymen. A hymeneal incision was made with evacuation of the cavity. At present, the preferred surgical option is resection of as completely of the obstructing vaginal septum as possible and marsupialization for patients with completely obstructed hemivagina with blind hemivagina and incompletely obstructed hemivagina. The outcome of patients with HWWS is generally good with early detection of illness and prompt management. They can have normal sexual relations with preserved fertility.

Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 70-73
Periodos clave de la evolución de la actividad turística en Mindo, Ecuador. Aproximación desde la percepción de los actores locales
Authors: Lastra-Bravo Xavier , Yánez-Ayabaca Alba , Garzón-Cruzate Alexandra , Salcedo-Tandayamo Katherine
Published: June 2020

La actividad turística ha tenido un constante desarrollo a través del tiempo, provocando cambios significativos en los territorios donde se ha implantado, y por ende en sus actividades productivas, en la sociedad y cultura, y en el estilo de vida de sus residentes. Pero estos cambios generan o han generado impactos tanto positivos como negativos, en función de la planificación de sus actividades. Por ello, en la presente investigación se caracterizaron los períodos claves en la historia de la actividad turística en Mindo, e identificaron los cambios producidos. Se desarrolló una investigación descriptiva, con un enfoque mixto mediante la aplicación de entrevistas a autoridades locales y actores claves del turismo, observación, y sistematización de información y estadísticas de fuentes secundarias. Como resultado, los entrevistados ratificaron al turismo como actividad económica principal, un 49% de la población se dedica a esta actividad, que ha generado diversos cambios en la configuración territorial; principalmente el aumento y expansión de establecimientos turísticos y la mejora de servicios básicos, la que ha sido desigual, debido a una baja cobertura (66%) por el incremento de población (5,09% anual) y de turistas. Los periodos claves identificados fueron 1980-1989 de aumento de la conciencia y conservación ambiental, 1990-2002 de consolidación del Ecoturismo y Aviturismo, 2003-2012 de crecimiento sin control del turismo, 2013-2014 de regulación de las actividades turísticas (solo 40% de los establecimientos cumplen la normativa), y 2015-2018 de renovación del turismo y la imagen del destino, con la implementación de estrategias para la promoción de la parroquia.
Análisis del gasto turístico en los segmentos de mercado Baby Boomers, Generación X y Millennials; que visitan la ciudad de Cuenca, Ecuador.
Authors: Astudillo Silvana , Maldonado Kevin , Maldonado Chris
Published: June 2020

Este artículo tiene como objetivo caracterizar el gasto turístico de manera comparativa en tres segmentos de mercado turístico, basado en la generación a la que pertenecen: Baby Boomers, Generación X y Millennials en la ciudad de Cuenca-Ecuador. Las generaciones están marcadas por periodos de tiempo y grandes cambios en su contexto social: culturales, económicos, tecnológicos, entre otros que provoca diferencias en sus intereses, necesidades y hábitos de consumo. Este estudio tiene un alcance descriptivo de corte transversal y para la comparación de la variable gasto turístico se utilizó el test estadístico ANOVA y la prueba de Tukey. Los resultados obtenidos revelan que existe una diferencia estadística significativa entre los promedios de gasto que generan los turistas y su generación. En este sentido, entender y caracterizar las distintas generaciones de turistas que visitan la ciudad de Cuenca y contrastarlos entre sí permite generar estrategias y productos específicos para estos mercados, así como el punto de partida para futuras investigaciones.
Las Nuevas Tecnologías de Información y Comunicación a la vanguardia del Sector del Turismo
Authors: Ortiz Katherine , Pauta Juan Carlos
Published: June 2020

El valor actual que adquiere la información a nivel mundial y el interés de conseguirla hace posible que podamos interactuar con ella, obtenerla y analizarla según nuestros intereses.

Esta propuesta investigativa tiene como objetivo identificar el impacto de cómo las Nuevas Tecnologías de Información y la Comunicación (NTIC) en el sector del turismo alrededor del mundo. En este artículo, se trata también de conocer las formas de desplazamiento de un lugar a otro con la realidad virtual, las formas de adquisición de conocimiento al estar físicamente en el lugar y el aporte de conocimiento con realidad aumentada. Se considera,además, la concepción del viajero actual y la interacción que tiene con el internet y con los dispositivos inteligentes.

Como metodología se ha utilizado el análisis de la información con herramientas informáticas que, a más de sus resultados sobre lo planteado, generan gráficas y complementan resultados relacionados al tema. Estos resultados también fueron generados a través de scraping web y comparados, para finalmente luego de revisar la bibliografía utilizar la herramienta que permita predecir el comportamiento de la data histórica obtenida a través del modelo de regresión lineal simple.Consideramos que este acercamiento deja abierta la posibilidad para que se puedan complementar con nuevos estudios que aporten a lo realizado y permitan ofrecer al lector varias alternativas con las que pueda decidir y aplicar a sus intereses.
Pelatihan Penulisan Artikel Ilmiah bagi Mahasiswa Pendidikan Biologi FPMIPA IKIP Mataram
Authors: Utami Septiana Dwi , Primawati Sri Nopita , Fitriani Herdiyana , Harisanti Baiq Muli , Royani Ida
Published: June 2020

The objectives of this service activity are: (1) increasing student knowledge about the ins and outs of writing scientific papers and scientific articles , and (2) improving the ability to write scientific articles among students of Biology Education FSTT Undikma Mataram. Community service activities were carried out for 2 days, with 3 stages of activities, namely: (1) Introduction, (2) core activities, and (3) workshops. The partner in this service activity is the Biology Education Study Program of FSTT UNDIKMA Mataram, especially for students who have taken thesis examinations and will compile articles based on their research findings. From the results of the evaluation of the activities, it can be concluded that the purpose of this service activity has been achieved according to expectations, namely increasing student knowledge about the ins and outs of writing scientific papers and scientific articles, the achievement can be seen from the results of student articles that have been presented through the presentation of the results of the preparation of their articles showing that the results are very good and in line with expectations.
Mendongeng Bersama Anak Sebagai Upaya Pencegahan Covid-19
Authors: Sulastri Ni Made , Maharani Jessica Festy , Sarilah Sarilah
Published: June 2020

Community service activities aim to increase children's knowledge about co-19 in a fun way so that it is easily understood by children, this is done on the grounds of children's activities while at home, studying at home so it is necessary to do interesting activities so that the growth and development of children continues to develop well. Various choices of activities can be done in accordance with the principles of children's learning, namely learning through play, one of the fun activities that can be done by children is through storytelling activities. Storytelling activities can use pictorial story book media, storytelling with hand puppets or finger puppets, and can also use digital-based media in conveying a fairy tale to children, online media is felt to be the most appropriate way to facilitate storytelling activities in children during the pandemic covid 19 this. Storytelling activities are aimed at making children have play activities while learning about Covid-19, children are expected to be able to easily understand how to prevent covid-19, healthy ways of living, so that children can understand and can enjoy learning activities while at home with fun.
Pelatihan Penanganan Perilaku Negatif Remaja Autistik pada Masa Pubertas bagi Orang Tua dan Guru SMPLB di SLB Negeri 1 Lombok Barat
Authors: Sri Utami Wiwiek Zainar , Najwa Lu’luin , Aryani Menik , Garnika Eneng
Published: June 2020

The training in handling autistic adolescent negative behaviour at the puberty stages for SMPLB teachers at SLB Negeri 1 Lombok Barat. It was held on the hall of SMPLB 1 Lombok barat involving their parents and teachers. This training aims to provide a right skills and knowledge in handling autistic adolescent negative behaviour in their puberty stages. The method of this training included the theory explanation, advantages, application, demonstration, and direct practice between the participants to handling negative behaviour. The evaluation of this training found that there was a high enthusiasm from parents that attend the training completely. The assessment of practical assignments illustrates the success of the presented material. It also look closely to participant performance and participation. Furthermore, data meaningfulness was collected by the team from participants at the end of the training. Overall, this training program probably should always be held to enhance parents' and teachers' skills and knowledge in handling autistic adolescent negative behavior.
Çorlu deresi ve yakın çevresi (Çerkezköy-Çorlu hattı) topraklarının ağır metal kirliliğinin değerlendirilmesi
Authors: VAROL Zafer , BOYRAZ ERDEM Duygu
Published: June 2020

Bu araştırmada, Ergene Havzası drenaj ağ sisteminin önemli bir kolu olan Çorlu Deresi hattı boyunca su örnekleri için 15 örnek noktası ve toprak örnekleri için 20 örnek noktası belirlenmiş ve her örnek noktasından 3 örnek alınarak bazı fizikokimyasal ve ağır metal analizleri yapılmıştır. Su örnekleri analiz sonuçlarından Na+ (mg/l) değerine göre sulama suyu kalitesi IV. sınıf olarak belirlenmiştir. Ayrıca, 6 örnek noktasının sulama suyu sınıfı C3-S1 olarak sınıflandırılmıştır. Ağır metal analiz sonuçları açısından değerlendirildiğinde ise; Zn, Cu, Cr, As, Cd, Pb, Ni sonuçları sırası ile 65.7-198.8; 0.6-203.8; 6.5-69.4; 1.2-22.3; 0.1-0.3; 0.3-8.4; 9.3-57 μg/l aralıklarında ölçülmüş olup herhangi bir sorun gözlenmemiştir. Fe ve Mn elementlerinin analiz sonuçlarına ilişkin değerler sırayla; 587-8969.7 ve 120.5-329.7 μg/l aralıklarında belirlenmiş olup, Fe elementinde 2 örnekleme noktalarında sınır değerlerini aştığı gözlenmiştir. Ayrıca, toprak örneklerinin ağır metal analiz sonuçları incelendiğinde Cu, Zn, Pb, Cd, Ni, Cr, Hg, Sn, Co ve As değerleri sırasıyla 3-20; 7-53; 14.8- 24.4; 0-0.1; 4.1-28.8; 9-200.9; 0.1-0.3; 0.3-2.5; 1.8-8.1; 0.7-3 mg/kg arasında değişmiştir. Bu sonuçların, Çevre ve Orman Bakanlığı Toprak Kirliliği Kontrolü Yönetmeliğine göre yapılan değerlendirmede izin verilen sınır değerlerinin altında olduğu tespit edilmiştir. Ba elementi analiz sonuçları ise 135.5- 389.7 mg/kg olarak ölçülmüş ve izin verilen sınır değerlerinin üstünde sonuç verdiği görülmesine karşın, fizikokimyasal analiz sonuçlarına göre ise yapılan değerlendirmede ciddi bir sorun belirlenmemiştir. Araştırma sonuçlarına göre; Ergene havzasının iyi nitelikli ve verimli topraklarının ve bu havzayı besleyen su kaynaklarının çevre kirliliğine maruz kalmaması için Çevre ve Orman Bakanlığı Su Kirliliği Kontrolü Yönetmeliği ve Toprak Kirliliği Kontrolü Yönetmeliği' ne uygun hareket edilmesi gerekmektedir. Ayrıca ıslah çalışmalarının aksamadan devam edilmesi ve gerekli kontrollerin yapılması için özen gösterilmelidir.
Farklı sulama miktarlarında yetiştirilen buğday bitkisinin su kullanma randımanı ile verimlilik parametreleri arasındaki ilişkiler
Authors: GÜLSER Coşkun , KIZILKAYA Rıdvan
Published: June 2020

Bu çalışmada bitkiye yarayışlı su kapasitesinin %25, %50 ve %100’ündeki sulama koşullarında yetiştirilen buğday bitkisinin su kullanma randımanı (SKR), incelenen büyüme ve verim parametreleri arasındaki ilişkiler araştırılmıştır. Bitkiye uygulanan toplam sulama suyu miktarı 378 mm’den (%100 BYS) 286 mm (%50 BYS) ve 249 mm’ye (%25) düştükçe bitki boyu %14,5 ve %23.0, toplam biyokütle %37,3 ve %56,1, dane verimi %31,5 ve %53,3 oranlarında azalmıştır. Toplam biyokütle ve dane verimi için hesaplanan en yüksek SKR değerleri sırasıyla 1,49 g/L ve 0,67 g/L olarak %100 BYS da bulunurken, aynı parametreler için en düşük SKR değerleri sırasıyla 0,99 g/L ve 0,47 g/L olarak %25 BYS uygulamasında bulunmuştur. Sulama suyu miktarı, SKR ve bitki gelişim parametreleri ile önemli pozitif, transprasyon oranı ve hasat indeksiyle önemli negatif ilişki vermiştir. SKR değerleri bitki boyu, başak boyu, toplam biyokütle, dane verimi ve 1000 dane ağırlığıyla çok önemli pozitif, transprasyon oranı ve hasat indeksi değerleriyle negatif ilişkiler göstermiştir. Sonuç olarak toprak nem düzeyinin bitki gelişimi için önemli bir faktör olduğu ve aynı zamanda toprak nem miktarının azalmasıyla fotosentez oranın düşmesine bağlı olarak SKR, bitki gelişimi ve verim değerlerinin azaldığı belirlenmiştir.
Stakeholder engagement in the governance of marine migratory species: barriers and building blocks
Authors: Miller RL , Marsh H , Benham C , Hamann M
Published: June 2020

Meaningful stakeholder engagement is important to collaborative decision-making and to effective polycentric governance, particularly when managing cross-scale environmental issues like those involving marine migratory species. In this paper, we explore the barriers to, and opportunities for, stakeholder involvement in the governance of threats to marine migratory species in eastern Australia, using semi-structured qualitative interviews and a focus group, as an example of the generic problem of managing migratory species within a large range state with multiple jurisdictions. Respondents identified several barriers to, and opportunities for, improved stakeholder involvement in the governance of marine migratory species, corresponding to 4 main themes: decision-making processes, information sharing, institutional structures, and participation processes. Respondents indicated that the governance system protecting marine turtles, dugongs, humpback whales, and non-threatened migratory shorebirds in eastern Australia would benefit from the introduction of new information pathways, reformed institutional structures (including environmental legislation), and improved participatory pathways for non-government stakeholders. Such changes could help harmonise the process of managing these species, leading to more effective conservation management throughout their range.
PENERAPAN TERAPI MUROTTAL AYAT KURSI UNTUK MENGATASI KETIDAKEFEKTIFAN KOPING PADA PASIEN CA MAMAE
Authors: Hasibuan Affia Fanny , Prihati Dyah Restuning
Published: June 2020

Ca mamae adalah ensitas patologi dimana sel pada duktus dan labulus payudara mengalami pertumbuhan serta perkembangbiakkan secara abnormal. Pasien ca mamae tidak hanya mengalami gangguan kesehatan fisik saja, melainkan gangguan penyesuaian juga dideritanya. Salah satunya yang sering terjadi adalah kehilangan bentuk tubuh yang dapat mengakibatkan stress. Ketidakefektifan koping adalah ketidakmampuan seseorang untuk melakukan penilaian yang valid terhadap stressor. Pasien ca mamae yang mengalami ketidakefektifan koping perlu diatasi, salah satunya dengan pemberian terapi Murottal Ayat Kursi. Murottal Ayat Kursi adalah suatu metode penyembuhan dengan mendengarkan dan merenungan Ayat Kursi yang di dengarkan dalam Murottal Al-Qur’an. Tujuan studi kasus ini adalah untuk mengatasi ketidakefektifan koping pasien ca mamae. Jenis penelitian ini adalah deskriptif dengan menggunakan bentuk rancangan one grup pretest posttest. Subyek dari penelitian ini adalah dua responden dengan kriteria beragama islam yang belum pernah dilakukan Murottal Ayat Kursi, pasien dengan kesadaran composmentis, pasien yang bersedia menjadi responden dengan menandatangani informed consent. Hasil studi menunjukkan bahwa ada perubahan pada tingkat stress yang awalnya stress sedang menjadi normal setelah pemberian terapi Murottal Ayat Kursi selama 5 hari. Rekomendasi perlu konsisten perawat pengawasan dalam melakukan terapi untuk meningkatkan kesehatanpasien.
PENERAPAN SENAM OTAK TERHADAP FUNGSI KOGNITIF PADA LANSIA DENGAN DEMENSIA
Authors: Suryatika Ammy Retno , Pramono Wijarnako Heru
Published: June 2020

Demensia adalah kemunduran kognitif yang sedemikian beratnya sehingga mengganggu aktivitas hidup sehari-hari dan aktivitas sosial. Kemunduran kognitif pada demensia biasanya di awali dengan kemunduran memori atau daya ingat (pelupa). Fungsi kognitif merupakan modal utama manusia dalam aktifitas  kehidupannya seharihari.Senam otak adalah senam ringan yang dilakukan dengan gerakan menyilang agar terjadi harmonisasi dan optimalisasi kinerja otak kanan dan kiri sehingga dapat meningkatkan fungsi kognitif. Penelitian ini bertujuan untuk mengetahui hasil penerapan senam otak terhadap fungsi kognitif pada lansia dengan demensia. Desain penelitian ini adalah One Grup Pretest Post Test tanpa control, penelitian ini telah dilakukan di Panti Wredha Harapan Ibu Semarang pada tanggal 5 Desember 2018 sampai 11 Desember 2018. Alat pengumpulan data yang digunakan kuisioner Mini Mental Status Examination (MMSE). Dalam  penelitian ini ditemukan 3 responden yang sesuai dengan kriteria inklusi dan kriteria eksklusi. Hasil penelitian ini prosentase rata-rata peningkatan fungsi kognitif pada seluruh responden adalah 5 dan hasil rata-rata per respondennya adalah 1.7 ini menunjukan bahwa senam otak efektif untuk meningkatkan fungsi kognitif pada lansia dengan demensia. Lansia yang mengalami dimensia diharapkan dapat melakukan latihan senam otak secara efektif dan teratur, dan tidak puas diri, walaupun telah terjadi peningkatan fungsi kognitif agar dapat meningkatkan kualitas hidup dan produktifitas lansia.
PENDIDIKAN KESEHATAN MELALUI MEDIA BOOKLET TERHADAP PENINGKATAN PERAWATAN DIRI PASIEN KANKER DENGAN KEMOTERAPI
Authors: Siwi Rima Mayang , Prasetyorini Heny
Published: June 2020

Kanker (neoplasma ganas) merupakan sel yang tumbuh terus-menerus secara tidak terkendali, tidak terbatas, dan tidak normal (abnormal). Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian pendidikan kesehatan melalui media booklet terhadap peningkatan perawatan diri pada pasien kanker dengan kemoterapi di Yayasan IZI Semarang. Desain penelitian adalah studi kasus dengan metode deskrptif dan rancangan yang diambil oleh One Group PreTest-PostTest. Populasi seluruh penderita 5 pasien dengan kanker pasca kemoterapi selama November-Desember 2018, sampel sejumlah 2 responden. Instrumen yang digunakan melalui kuesioner tentang peningkatan perawatan diri pasien kanker dengan kemoterapi menggunakan Indeks Katz. Penelitian yang dilakukan di Yayasan IZI Semarang pada tanggal 14-26 Desember 2018. Dari pengkajian awal kedua responden memiliki tingkat pengetahuan perawatan diri yang berbeda didapatkan data sebelum  diberikan pendidikan kesehatan melalui media booklet mendapatkan hasil 11 dan 9 yaitu ketergantungan,  setelah diberikan pendidikan kesehatan melalui media booklet mendapatkan hasil 13 dan 15 yaitu mandiri. Melihat hasil penelitian ini disimpulkan bahwa ada pengaruh yang signifikan antara perilaku perawatan diri penderita kanker dengan kemoterapi sebelum dan setelah pemberian booklet.
PENGARUH VOLUME DARAH MENSTRUASI TERHADAP PENURUNAN KADAR HEMOGLOBIN
Authors: Marwaningsih V Ririn
Published: June 2020

Latar Belakang: Anemia pada wanita masih menjadi masalah yang perlu dikaji sehingga bisa dilakukan pencegahan anemia dengan harapan menurunkan prevalensi anemia pada wanita usia subur. Menorhagia merupakan salah satu penyebab anemia yang terjadi pada wanita. Penelitian ini bertujuan untuk  mengetahui hubungan antara banyaknya pengeluaran darah menstruasi dengan perubahan kadar hemoglobin. Metode: Desain penelitian ini deskriptif analitik dengan pendekatan cross sectional. Pengambilan sampel dengan teknik sample random sampling dengan 22 responden. Pengambilan data perubahan haemoglobin dilakukan pemeriksaan pre dan post menstruasi menggunakan metode Hb Sahli. Pengukuran volume darah dengan cara menimbang pembalut yang berisi darah mentruasi selama menstruasi. Data perubahan kadar haemoglobin dan volume darah dilakukan uji normalitas dengan shapiro-wilk. Analisa bivariat antara dua variable dilakukan uji independent T test. Hasil: Rata-rata volume darah selama menstruasi 79,14 cc. Rata-rata perubahan haemoglobin selama proses menstruasi 0,623 g/dL. Tidak ada pengaruh volume darah menstruasi dengan penurunan kadar haemoglobin dengan nilai p value 0,89. Simpulan: Tidak ada pengaruh volume darah menstruasi dengan penurunan kadar haemoglobin
THE EFFECT OF NATURE SOUNDS MUSIC THERAPY ON THE GLASGOW COMA SCALE ON STROKE PATIENTS
Authors: Setyaningrum Niken , Tyas Nila Titis Asrining , Wati Agnes Destika Swacahaya
Published: June 2020

Latar Belakang: Definisi stroke adalah disfungsi neurologis akut yang disebabkan oleh gangguan aliran darah yang timbul secara tiba-tiba, sehingga suplai darah ke otak terganggu. Di Indonesia 1 dari 7 orang meninggal karena stroke. Insiden stroke adalah 12,1 per 1.000 orang Indonesia. Terapi musik alami adalah salah satu jenis terapi non-farmakologis yang dapat meningkatkan nilai GCS. Tujuan penelitian ini untuk menganalisa efek terapi musik suara alam pada skala koma glascow pada pasien stroke. Metode: Sebuah studi pre eksperimen kuantitatif tanpa kelompok kontrol. Sampel penelitian adalah 35 pasien stroke non hemoragik. Sampel akan mendapatkan terapi musik suara alam selama 3 hari dengan durasi 20 menit dengan volume 50% atau 60dB. Data akan dianalisis menggunakan uji wilcoxon. Hasil: Hasil tes wilcoxon adalah p = 0,000. Artinya, terapi musik suara alam memberi efek pada glascow coma scale pasien stroke. Kesimpulan: Terapi musik suara alam dapat meningkatkan GCS pada pasien stroke.
IDENTIFIKASI LINGKUNGAN UNTUK MENCEGAH RISIKO CEDERA PADA KLIEN DEMENSIA DI PANTI WREDA SEMARANG
Authors: Lestari Asih , Prasetiya Chandra Hadi
Published: June 2020

Demensia adalah suatu sindrom klinik yang meliputi hilangnya fungsi intelektual dan ingatan atau memori sedemikian berat sehingga menyebabkan disfungsi hidup sehari-hari. Demensia jika tidak ditangani akan menyebabkan hilangnya intelektual atau mudah lupa. Tujuan studi kasus ini menyusun resume asuhan keperawatan (pengkajian, diagnosa keperawatan, perencanaan, implementasi dan evaluasi). Dalam pemberian identifikasi lingkungan untuk mencegah risiko trauma atau cedera pada lansia yang mengalami demensia. Subjek dari penelitian ini adalah dua klien dengan kriteria inklusi dalam studi kasus ini adalah pasien Demensia yang berisiko jatuh dimana lansia yang memiliki riwayat jatuh. Lansia yang berusia ± 60 tahun, lansia yang mempunyai riwayat jatuh, lansia yang mengalami demensia. Lansia kooperatif. Hasil studi menunjukkan bahwa ke 2 responden didapatkan hasil klien 1 dan 2 yang telah dilakukan identifikasi lingkungan untuk mencegah risiko trauma atau cedera jatuh pada lansia yang mengalami demensia mengalami penurunan terhadap risiko jatuh. Disimpulkan bahwa identifikasi lingkungan untuk mencegah risiko trauma atau cedera pada lansia yang mengalami demensia dapat mengatasi risiko jatuh pada lansia dengan Demensia.
PENERAPAN SLOW DEEP BREATHING UNTUK MENURUNKAN KELETIHAN PADA PASIEN GAGAL GINJAL KRONIK
Authors: Pertiwi Ria Astarina , Prihati Dyah Restuning
Published: June 2020

Gagal ginjal adalah hilangnya fungsi ginjal. Apabila hanya 10% dari ginjal yang berfungsi, pasien dikatakan sudah sampai pada penyakit ginjal end-stage renal disease (ESRD) atau penyakit ginjal tahap akhir. Tanda gejala dari pasien gagal ginjal sangat beragam, salah satunya yaitu keletihan. Keletihan adalah rasa letih yang luar biasa dan terus-menerus serta penurunan kapasitas kerja fisik serta mental pada tingkat yang biasanya. Pasien gagal ginjal yang mengalami keletihan perlu diatasi, salah satunya dengan pemberian terapi Slow Deep Breathing. Slow Deep Breathing adalah relaksasi yang disadari untuk mengatur pernapasan secara dalam dan lambat. Tujuan studi kasus ini adalah untuk mengatasi keletihan pasien gagal ginjal. Jenis penelitian ini adalah deskriptif dengan menggunakan bentuk rancangan one group pretest posttest. Subyek dari penelitian ini adalah 2 responden dengan kriteria pasien dengan penyakit gagal ginjal yang akan menjalani hemodialisa (prehemodialisa), mengalami keletihan sedang, tidak mempunyai gangguan penglihatan dan pendengaran. Hasil studi menunjukkan bahwa ada perubahan pada tingkat keletihan yang awalnya mengalami keletihan sedang menjadi keletihan ringan setelah diberikan terapi Slow Deep Breathing selama 3 hari. Rekomendasi perlu konsisten perawat pengawasan dalam melakukan terapi untuk meningkatkan kesehatan pasien.
PENERAPAN TEHNIK DISTRAKSI NAFAS RITMIK UNTUK MENURUNKAN NYERI PADA PASIEN POST APENDIKTOMI
Authors: Rahmatun Vivi , Heru Wijanarko
Published: June 2020

Apendisitis merupakan suatu kondisi dimana infeksi terjadi pada umbai cacing dan sering dijumpai di negara maju. Tujuan penelitian ini adalah mengetahui pengaruh tehnik distraksi nafas ritmik terhadap penurunan tingkat nyeri post apendiktomi di ruang Anggrek dan Amarilis. Desain penelitian ini adalah studi kasus dengan metode deskriptif dan rancangan yang diambil adalah  One Group PreTest – PostTest. Instrumen yang digunakan melalui observasi tentang pemeriksaan intensitas nyeri dan penerapan tehnik ditraksi nafas ritmik. Penelitian yang dilakukan di RSUD Dr. Dahyatma, MPH Semarang pada tanggal 28 November – 4 Desember 2018. Dari pengkajian awal kedua responden memiliki tingkat skala nyeri yang berbeda didapatkan data intensitas nyeri skala 4 dan skala 3 (dari 0-10), setelah diberikan terapi distraksi nafas ritmik selama 3 hari berturut-turut dengan kondisi pasien tidak dalam pengaruh obat didapatkan data  pada responden 1 dari awalnya skala nyeri 4 menjadi skala 1 dan pada responden 2 awalnya skala nyeri 3 menjadi skala 1. Melihat hasil penelitian ini maka dianjurkan kepada penderita apendiktomi untuk melakukan tehnik distraksi nafas ritmik sebagai terapi alternatif untuk menurunkan tingkat nyeri post apendiktomi selain terapi farmakologis.
'Hey, I like ur videos. Super relate!' Locating sisterhood in a postcolonial intimate public on YouTube
Authors: Cabalquinto Earvin , Soriano Cheryll Ruth
Published: June 2020

This paper re-examines YouTube as a site of feminine, networked, and intimate sociality among Filipino women online. We unpack this by identifying how commenters on YouTube engage with the performativity of an intimate relationship between a Filipina and her foreign husband on YouTube. Extending Mina Roces’ concept of ‘local sisterhood’ in the digital context, we coin the term ‘online sisterhood’ to articulate the diverse ways through which Filipino women engage with interracial intimacies in the realm online communication. By conducting a thematic analysis of comments on a popular YouTube channel of a Filipina married to a Caucasian man, we uncover the dimensions of an unfolding online sisterhood as aspirational, relatable, regulatory, and defensive modalities. We argue that these frames are informed by gendered, racialized, and even class-based aspirations and contestations tied to Philippine postcolonial history and society. Ultimately, as a site for feminine sociality and intimacy, YouTube also becomes a site for constructing, reinforcing as well as countering the stereotypical representations of Filipino women in a networked and postcolonial space.
Model of determining price of a long-term contract for ongoing maintenance and maintenance of highways
Authors: Makovska Yulia
Published: June 2020

The paper addresses the problem of OPRC. The current state of tools justification prices OPRC: model, based on the concept of discrete state of the road surface, and the model based on the economic theory of agency. This mathematical formulation proposed by the authors simulation model justification prices OPRC based on seasonally expert estimates of probability of defects road surface and the possibility of using a certain probability of different methods of elimination of defects, different resource requirements.
Forecast assumptions about the subject of study – apply a simulation model with simulated random events and values of Monte Carlo and optimization based on evolutionary method.
Keywords: OPRC, long-term contracts, price contract, simulation model
Use of SafeFITS mathematical modeling in a road safety management system
Authors: Ageev Volodymyr , Horpinyuk Andrii , Khabutdinov Arseniy , Koskovetsky Volodymyr
Published: June 2020

The results of the work of the UNECE ITC on the development of the SafeFITS tool were reviewed, the indicators proposed in the framework of this tool for assessing the effectiveness of making management decisions in order to ensure road safety were analyzed and the possibility and relevance of its application in Ukraine were considered.
Keywords: road safety, road traffic incident, road traffic fatalities and injuries, road safety performance indicators (RSPI), road safety management system.
INDUSTRY DICTIONARY: ACTUATOR
Authors: Merzhyievskyi Valentyn , Ponomarova Yuliya
Published: June 2020

In order to improve the national terminology in the industry and simultaneously to coordinate it with international terms, we propose to the Ukrainian motor transport community to take part in compilation of specialized translation dictionary. The magazine «Avtoshliakhovyk Ukrainy», as indicated in the No 1 (253) 2018, opens a new section,«Automotive Industry Dictionary», intended to publish our draft definitions of the most controversial terms in Ukrainian, with comments on their formation and scope and corresponding terms in other languages.
Betaine Hydrochloride Treatment Affects Growth and Phenylpropanoid Accumulation in Tartary Buckwheat (Fagopyrum tataricum) Seedlings under Salt Stress
Authors: Kim Min Cheol , Kim Nam Su , Kim Yeon Bok , Kim Chul Min , Chung Yong Suk , Park Sang Un
Published: June 2020

Betaine is one of the most competitive compounds that accumulate in different cellular compartments to adjust osmotic balance. Among the various stressors, salinity stress often leads to osmotic and ionic stress in plants, either increasing or decreasing certain secondary plant metabolites. In this study, different concentrations of NaCl, betaine, and combined NaCl and betaine were used in time-course experiments to investigate growth pattern variation and accumulation of phenylpropanoid compounds in buckwheat sprouts. A significant increase in growth was observed with the application of 0.1–1.0 mM betaine. Although overall, the total phenylpropanoid compounds were lower compared to the control, the sole application of 50 mM NaCl and 1.0 mM betaine especially enhanced the accumulation of some of these compounds in comparison to others. Betaine application at lower concentrations was found to enhance the growth of buckwheat sprouts slightly. The results of this study show that phenylpropanoid content did not increase significantly in any of the treatments. However, it was proven that the phenylpropanoid biosynthetic pathway is stimulated under abiotic stress, resulting in a higher accumulation of various phenylpropanoid compounds. This suggests that the level of accumulation of phenylpropanoid compounds due to abiotic stress may be species-dependent.
Comparison of Fatty Acid Proportions Determined by Mid-Infrared Spectroscopy and Gas Chromatography in Bulk and Individual Milk Samples
Authors: Samková Eva , Špička Jiří , Hanuš Oto , Roubal Petr , Pecová Lenka , Hasoňová Lucie , Smetana Pavel , Klimešová Marcela , Čítek Jindřich
Published: June 2020

Rapid analytical methods can contribute to the expansion of milk fatty acid determination for various important practical purposes. The reliability of data resulting from these routine methods plays a crucial role. Bulk and individual milk samples (60 and 345, respectively) were obtained from Czech Fleckvieh and Holstein dairy cows in the Czech Republic. The correlation between milk fatty acid (FA) proportions determined by the routine method (infrared spectroscopy in the mid-region in connection with Fourier transformation; FT-MIR) and the reference method (gas chromatography; GC) was evaluated. To validate the calibration of the FT-MIR method, a linear regression model was used. For bulk milk samples, the correlation coefficients between these methods were higher for the saturated (SFAs) and unsaturated FAs (UFAs) (r = 0.7169 and 0.9232; p < 0.001) than for the trans isomers of UFAs (TFAs) and polyunsaturated FAs (PUFAs) (r = 0.5706 and 0.6278; p < 0.001). Similar results were found for individual milk samples: r = 0.8592 and 0.8666 (p < 0.001) for SFAs and UFAs, 0.1690 (p < 0.01) for TFAs, and 0.3314 (p < 0.001) for PUFAs. The correlation coefficients for TFAs and PUFAs were statistically significant but too low for practical analytical application. The results indicate that the FT-MIR method can be used for routine determination mainly for SFAs and UFAs.
Development of Track Support Stiffness Measurement and Evaluation System for Slab Tracks
Authors: Choi Jung-Youl , Kim Sun-Hee , Kim Man-Hwa , Chung Jee-Seung
Published: June 2020

The track support stiffness measurement and evaluation system for slab tracks proposed in this study enables the calculation of the load–displacement diagram at the various measurement positions. Therefore, it is possible to evaluate the track support stiffness directly on-site without evaluating the spring stiffness of the elastic material through sampling or in situ testing, also enabling the evaluation of the deterioration of the elastic material. In addition, the performance evaluation data for elastic materials obtained through field tests using measurement equipment and software to track support stiffness are integrated and managed on the administrator′s computer. Therefore, the replacement plan is established, and the maintenance history is managed by identifying the replacement time and location of elastic materials. It is possible to evaluate the performance and condition of the elastic material at various points during track inspection and the track support stiffness and durability of the elastic material (spring stiffness variation rate, replacement periods, among others) at the current operating condition.
A Decision-Making Tool Based on Exploratory Visualization for the Automotive Industry
Authors: Redondo Raquel , Herrero Álvaro , Corchado Emilio , Sedano Javier
Published: June 2020

In recent years, the digital transformation has been advancing in industrial companies, supported by the Key Enabling Technologies (Big Data, IoT, etc.) of Industry 4.0. As a consequence, companies have large volumes of data and information that must be analyzed to give them competitive advantages. This is of the utmost importance in fields such as Failure Detection (FD) and Predictive Maintenance (PdM). Finding patterns in such data is not easy, but cutting-edge technologies, such as Machine Learning (ML), can make great contributions. As a solution, this study extends Hybrid Unsupervised Exploratory Plots (HUEPs), as a visualization technique that combines Exploratory Projection Pursuit (EPP) and Clustering methods. An extended formulation of HUEPs is proposed, adding for the first time the following EPP methods: Classical Multidimensional Scaling, Sammon Mapping and Factor Analysis. Extended HUEPs are validated in a case study associated with a multinational company in the automotive industry sector. Two real-life datasets containing data gathered from a Waterjet Cutting tool are visualized in an intuitive and informative way. The obtained results show that HUEPs is a technique that supports the continuous monitoring of machines in order to anticipate failures. This contribution to visual data analytics can help companies in decision-making, regarding FD and PdM projects.
A Tale of Grass and Trees: Characterizing Vegetation Change in Payne’s Creek National Park, Belize from 1975 to 2019
Authors: Blentlinger Luke , Herrero Hannah V.
Published: June 2020

The lowland savannas of Belize are important areas to conserve for their biodiversity. This study takes place in Payne’s Creek National Park (PCNP) in the southern coastal plain of Belize. PCNP protects diverse terrestrial and coastal ecosystems, unique physical features, and wildlife. A Support Vector Machine (SVM) classification technique was used to classify the heterogeneous landscape of PCNP to characterize woody and non-woody conversion in a time-series of remotely sensed data from 1975, 1993, 2011 and 2019. Results indicate that the SVM classifier performs well in this small savanna landscape (average overall accuracy of 91.9%) with input variables of raw Landsat imagery, the Normalized Difference Vegetation Index (NDVI), elevation, and soil type. Our change trajectory analysis shows that PCNP is a relatively stable landscape, but with certain areas that are prone to multiple conversions in the time-series. Woody vegetation mostly occurs in areas with variable slopes and riparian zones with increased nutrient availability. This study does not show extensive woody conversion in PCNP, contrary to widespread woody encroachment that is occurring in savannas on other continents. These high-performing SVM classification maps and future studies will be an important resource of information on Central American savanna vegetation dynamics for savanna scientists and land managers that use adaptive management for ecosystem preservation.
Utilization of Er:YAG Laser in Retrieving and Reusing of Lithium Disilicate and Zirconia Monolithic Crowns in Natural Teeth: An In Vitro Study
Authors: Grzech-Leśniak Kinga , Bencharit Sompop , Skrjanc Lenart , Kanduti Domen , Matys Jacek , Deeb Janina Golob
Published: June 2020

The study examined the effect of noninvasive crown retrieval/reuse process using an erbium-doped yttrium aluminum garnet laser (Er:YAG). Twenty-six extracted human teeth were prepared for a crown. The crown was milled using lithium disilicate (LD) and zirconia (Z) materials, n = 13 per group, with three for scanning electron microscopy (SEM). The crown was luted using composite resin cement and subjected to a laser retrieval process. After the retrieval process, the crown was cleaned, re-cemented and laser-retrieved two more times, without and with additional tooth reduction mimicking clinical refreshment of dentin. Retrieval time and temperature were analyzed using analysis of variance (ANOVA). Surface changes were observed through SEM. The retrieval times were 267.1 ± 130.43, 220 ± 79.09, 277.1 ± 126.44, 368.4 ± 136.14, 355 ± 159.39, and 419.2 ± 121.36 s for first, second, third LD and Z groups, respectively (p = 0.009). The maximal temperatures were 23.95.1 ± 1.89 °C, 24.86 ± 2.01 °C, 24.17 ± 1.53 °C, 22.88 ± 1.51 °C, 24.03 ± 1.74 °C, and 21.99 ± 1.32 °C for first, second, third LD and Z groups, respectively (p = 0.006). Er:YAG laser crown removal is an effective retrieval tool for all-ceramic crowns. Minimal changes to teeth and crowns were observed following laser irradiation.
Drone-Based Parcel Delivery Using the Rooftops of City Buildings: Model and Solution
Authors: Kim Junsu , Moon Hongbin , Jung Hosang
Published: June 2020

In general, the demand for delivery cannot be fulfilled efficiently due to the excessive traffic in dense urban areas. Therefore, many innovative concepts for intelligent transportation of freight have recently been developed. One of these concepts relies on drone-based parcel delivery using rooftops of city buildings. To apply drone logistics system in cities, the operation design should be adequately prepared. In this regard, a mixed integer programming model for drone operation planning and a heuristic based on block stacking are newly proposed to provide solutions. Additionally, numerical experiments with three different problem sizes are conducted to check the feasibility of the proposed model and to assess the performance of the proposed heuristic. The experimental results show that the proposed model seems to be viable and that the developed heuristic provides very good operation plans in terms of the optimality gap and the computation time.
Experimental and Numerical Testing of Ambient Temperature Impact on Lifespans of Cuffs of Vehicles’ Steering Systems
Authors: Vujadinović Radoje , Pajković Vladimir , Simović Sreten , Damjanović Milanko , Nikčević Petar
Published: June 2020

The steering system represents one of the most important systems of active safety in vehicles. The process of a steering system failure usually starts with the failure of its protective element (cuff). Numerous factors influence a cuff’s lifespan, but the research subject of this paper is the impact of ambient temperature. The goal of this research is the experimental verification of the finding that vehicles used in northern areas require more frequent interventions in their steering systems than vehicles used in the south. A simulator performing a motion similar to the work of a cuff during a vehicle’s motion was made for the purpose of the research. A refrigerating chamber where cuffs were tested at temperatures from −4 °C to −20 °C was also made. A numerical analysis, with the ANSYS software environment, was also carried out. The numerical analysis shows that the failure of a cuff could be expected at almost the same point at which it was experimentally proven. Therefore, the failure, namely the breaking of a cuff, is not only a consequence of the material’s fatigue due to a big number of oscillations, but it also depends upon the impact of ambient temperature where the vehicle is used.
Modulation Bandwidth Enhancement of Monolithically Integrated Mutually Coupled Distributed Feedback Laser
Authors: Zhao Wu , Mao Yuanfeng , Lu Dan , Huang Yongguang , Zhao Lingjuan , Kan Qiang , Wang Wei
Published: June 2020

Modulation bandwidth enhancement of directly modulated semiconductor lasers (DMLs) has attracted broad interest to accommodate the tremendously growing demand for network traffic. In this paper, a monolithically integrated mutually coupled (IMC) laser for the O-band is demonstrated both numerically and experimentally. The direct modulation bandwidth was enhanced utilizing a photon–photon resonance (PPR) effect based on the mutual injection-locking technique. The IMC laser consisted of two distributed feedback (DFB) laser sections with a semiconductor optical amplifier (SOA) section in between. The relationship between the PPR frequency and SOA length was analyzed numerically to achieve a flat modulation response by optimizing the SOA length. Then, an enhanced 3-dB bandwidth of 38.7 GHz was realized experimentally, a nearly threefold enhancement over the modulation bandwidth of a solitary DFB laser at the same bias. Moreover, clear open eyes up to 40 Gb/s transmission over a 25-km single-mode fiber were achieved. Although the dynamic extinction ratio of the eye diagram was 1.1 dB, it can be further improved by increasing the mutual injection locking range of the IMC laser.
A Highly Efficient Bifunctional Catalyst CoOx/tri-g-C3N4 for One-Pot Aerobic Oxidation–Knoevenagel Condensation Reaction
Authors: Wu Jiequn , Hua Weiming , Yue Yinghong , Gao Zi
Published: June 2020

A highly efficient bifunctional catalyst of an s-triazine-based carbon-nitride-supported cobalt oxide is developed for the aerobic oxidation–Knoevenagel condensation tandem reaction of benzyl alcohol and malononitrile, whereby 96.4% benzyl alcohol conversion with nearly 100% selectivity towards benzylmalononitrile can be obtained in 6 h at 80 °C. The excellent catalytic performance derives from the high basicity of carbon nitride and strong redox ability of Co species induced by carbon nitride. The catalyst is also quite stable and can be reused without any regeneration treatment, whose product yield is only an 11.5% reduction after four runs.
Circular RNAs in Sepsis: Biogenesis, Function, and Clinical Significance
Authors: Beltrán-García Jesús , Osca-Verdegal Rebeca , Nacher-Sendra Elena , Pallardó Federico V. , García-Giménez José Luis
Published: June 2020

Sepsis is a life-threatening condition that occurs when the body responds to an infection that damages it is own tissues. The major problem in sepsis is rapid, vital status deterioration in patients, which can progress to septic shock with multiple organ failure if not properly treated. As there are no specific treatments, early diagnosis is mandatory to reduce high mortality. Despite more than 170 different biomarkers being postulated, early sepsis diagnosis and prognosis remain a challenge for clinicians. Recent findings propose that circular RNAs (circRNAs) may play a prominent role in regulating the patients’ immune system against different pathogens, including bacteria and viruses. Mounting evidence also suggests that the misregulation of circRNAs is an early event in a wide range of diseases, including sepsis. Despite circRNA levels being altered in sepsis, the specific mechanisms controlling the dysregulation of these noncoding RNAs are not completely elucidated, although many factors are known to affect circRNA biogenesis. Therefore, there is a need to explore the molecular pathways that lead to this disorder. This review describes the role of this new class of regulatory RNAs in sepsis and the feasibility of using circRNAs as diagnostic biomarkers for sepsis, opening up new avenues for circRNA-based medicine.