bluuebunny/crossref_metadata_2025 huggingface dataset:
Gambaran Pasangan Usia Subur Yang Menggunakan KB IUDDi Puskesmas Jatibening Periode Tahun 2019
Authors: Barkah Asep
Published: April 2022

Masalah yang terdapat di Indonesia adalah laju pertumbuhan penduduk yang relative masih tinggi. Perkiraan penduduk pertengahan (2013) sebesar 248,8 jiwa dengan laju pertumbuhan penduduk sebesar 1,48 %. Laju pertumbuhan di tentukan oleh kelahiran dan kematian dengan adanya perbaikan pelayanan kesehatan menyebabkan tingkat kematian rendah, sedangkan tingkat kelahiran tetap tinggi hal ini penyebab utama ledakan penduduk. Menekan jumlah penduduk dengan menggalakan program keluarga berencana (KB) (BPS,2013)

Untuk pencapaian target penurunan angka kematian ibu melahirkan sesuai tujuan pembangunan millennium pada 2015 Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) akan mendorong kampanye kontrsepsi jangka panjang seperti IUD. Saat ini, pengguna IUD di indonesia masih kalah dengan kontrasepsi jenis lain. Dari 29 juta pemakai alat kontrasepsi di tanah air hanya 8% yang memakai IUD. Tujuan Penelitian ini adalah Untuk mengetahui  Gambaran Pasangan Usia Subur yang menggunakan KB IUD di Puseksmas Jatibening periode tahun 2018. Metode dalam Penelitian ini bersifat deskriptif dengan pedekatan bersifat cross sectional. Sampel dalam penelitian ini adalah total dari populasi yaitu sebanyak 854 orang akseptor Periode tahun 2018. Pengolahan ini menggunakan data sekunder ( register dan rekam medik ) dan mengolah data menggunakan SPSS . Data dianalisis secara univariat dan bivariat.

Hasil Penelitian dari 64 akseptor KB IUD distribusi frekuensi pemilihan alat kontrasepsi terbanyak pada responden yang tidak menggunakan KB IUD sebanyak 48 (75.0%) yang tidak menggunakan KB IUD golongan paling banyak pada golongan umur >35 tahun sebanyak 83.0%,

, pendidikan rendah sebanyak 96.0%, paritas multipara 76.0%, akseptor yang tidak bekerja 96.0% dan Kesimpulannya yaitu Berdasarkan hasil penelitian tentang “ Gambaran pasangan usia subur yang menggunakan KB IUD di puskesmas Jatibening  ” maka diperoleh kesimpulan bahwa rendahnya pasangan usia subur yang menggunakan KB IUD di puskesmas Jatibening periode tahun 2018

Saran : Disarankan kepada petugas pelayanan kesehatan untuk lebih meningkatkan lagi promosi pendidikan tentang KB IUD
Faktor-faktor yang Berhubungan dengan Kejadian Partus Lama Pada Ibu Bersalin di RS Bhakti HUsada Cikarang Tahun 2020
Authors: Prastiwi Ikha , Iskandar Marini , Agustin Dewi , Anggraini Bella Mustika , Anggraini Bella Mustika
Published: April 2022

Pendahuluan: Dinas Kesehatan Provinsi Jawa Barat tahun 2015 tercatat bahwa partus lama sebesar (1,3%) merupakan penyebab kematian ibu, dan lainnya yaitu perdarahan (27,1%), hipertensi (26,3%), infeksi (4,8%), dan penyebab lainnya (40,4%). Tujuan penelitian ini untuk mengetahui apa saja faktor-faktor yang berhubungan dengan kejadian partus lama pada ibu bersalin di RS Bhakti Husada Cikarang tahun 2020.

Metode: Desain penelitian ini menggunakan desain penelitian cross sectional, dengan populasi yang di teliti adalah seluruh ibu bersalin di RS Bhakti Husada Cikarang tahun 2020, berjumlah 865 ibu bersalin. sampel dalam penelitan ini adalah ibu bersalin yang mengalami partus lama maupun tidak berjumlah 273 orang, untuk menentukan sampel pada penelitian ini menggunakan rumus Slovin. Teknik sampling dalam penelitian ini menggunakan nonprobability sampling dengan teknik purposive sampling yaitu cara pengambilan sampel yang berdasarkan tujuan penelitian.

Hasil: Berdasarkan hasil penelitian bahwa terdapat hubungan ketuban pecah dini dengan kejadian partus lama (p value = 0,001), terdapat hubungan umur dengan kejadian partus lama (p value = 0,024), dan terdapat hubungan paritas dengan kejadian partus lama (p value = 0,016).
Pengaruh Edukasi Kesehatan Tentang Tanda dan Gejala Terhadap Peningkatan Pengetahuan Pada Ibu dalam Menghadapi Menopause di Desa Hegarmanah Kecamatan Cikarang Timur Kabupaten Bekasi Tahun 2021
Authors: Novianti Rima , Kartika Iin Ira , Fitrianingrum Anniesa
Published: April 2022

Pendahuluan: Menopause merupakan suatu proses dalam siklus reproduksi alamiah yang dialami oleh setiap wanita dari masa produktif menujumasa non produktif yang disebabkan oleh berkurangnya hormon esterogen dan progesterone menuntut penyesuaian diri terhadap perubahan fisik dan gaya hidup yang dapat menyebabkan terjadinya masalah Kesehatan.Tujuan penelitian ini adalah  bertujuan untuk mengetahui Pengaruh Edukasi Kesehatan Tentang Tanda dan Gejala Menopause Terhadap Peningkatan Pengetahuan Pada Ibu dalam Menghadapi Menopause di Desa Hegarmanah Kecamatan Cikarang Timur Kab. Bekasi Tahun 2021. Metode: Desain penelitian ini denganQuasi Eksperiment dan one group pretest-posttest.Varibel yang diteliti adalahSampel penelitian sebanyak 73 dengan kriteria inklusi ibu yang belum memasuki menopause, ibu yang sehat, bersedia menjadi responden, ibu yang dapat menulis dan membaca, hadir saat penelitian. Tehnik pengambilan sample menggunakanAccidental Sampling dengan menggunakan data primer.Instrument yang digunakan dalam penelitian ini adalah kuesioner dengan menggunakan google formulir. Pengambailan data dengan cara melaulan uji pre test lalu dilakukan intervensi, kemudian dilakukan post test pada saat yang sama. Varibel pada penelitian ini adalah pre test dan post test pengetahuan ibu tentang tanda dan gejala menopause. Analisis statistik memnggunakan T-Test.Hasil: Dari hasil analisa  terdapat perbedaan rata-rata pengetahuan antara sebelum (pre-test) dan sesudah (post-test) dilakukan edukasi kesehatan sebesar 32.534 dan hasil bivariat menggunakan Uji T-Dependentdidapat P value 0,000 (<α 0,05).Kesimpulan: Dari hasil penelitan dapat disimpulkan ada pengaruh edukasi tentang tanda dan gejala menopause  terhadap peningkatan pengetahuan ibu dalam menghadapi menopause.
Analisis Faktor yang Mempengaruhi Perilaku Ibu dengan Pelaksanaan Imunisasi Measles Rubella (MR) di Wilayah Kerja Puskesmas Aur Duri Kota Jambi Tahun 2020
Authors: . Septiwiyarsi , Rahayu Kadek Indah
Published: April 2022

Imunisasi measles rubella merupakan kombinasi vaksin campak/ Measles (M) dan Rubella (R) untuk perlindungan terhadap penyakit campak dan rubella. Data Pusdatin tahun 2017 menyebutkan bahwa pelaksanaan Imunisasi measles rubella (MR) pada tahap pertama (1 Agustus-30 September) di Pulau Jawa adalah 95%. Dalam pelaksanaan imunisasi MR dipengaruhi oleh perilaku kesehatan. Penelitian ini bertujuan untuk mengetahui analisis faktor yang mempengaruhi perilaku ibu dengan pelaksanaan imunisasi Measles Rubella (MR) di Wilayah Kerja Puskesmas Aur Duri Kota Jambi Tahun 2020.Penelitian ini merupakan penelitian analitik menggunakan pendekatancross sectional. Penelitian ini dilakukan di Wilayah Kerja Puskesmas Aur Duri Kota Jambi yang dilakukan pada 04-24 Maret 2020. Populasi penelitian adalah seluruh ibu yang memiliki balita usia 18-36 bulan di Wilayah Kerja Puskesmas Aur Duri tahun 2019 yang berjumlah 341 orang. Sampel dalam penelitian ini sebanyak 75 orang yang diambil dengan teknik simple random sampling. Pengumpulan data dengan menggunakan kuesioner. Analisa data secara univariat, bivariat dan multivariat.Hasil penelitian menunjukkan bahwa dari 75 responden, sebagian besar memiliki persepsi positif sebanyak 43 responden (57,3%), sebagian besar tidak mendapat dukungan suami sebanyak 49 responden (65,3%), sebagian besar menyatakan peran petugas kesehatan baik sebanyak 49 responden (65,3%) dan sebagian besar pelaksanaan imunisasi MR tidak dilakukan sebanyak 39 responden (52%).Ada hubungan persepsi (nilai p=0,000) dan dukungan suami (nilai p=0,000) dengan pelaksanaan imunisasi MR karena nilai p< 0,05. Faktor dominan mempengaruhi pelaksanaan imunisasi MR adalah persepsi dengan nilai p = 0,000.Diharapkan hasil penelitian ini dapat memberikan informasi dan rekomendasi untuk melakukan serangkaian kegiatan penyuluhan dan konseling kepada ibu dan juga suami untuk memperbaiki persepsi negatif menjadi positif serta peran petugas kesehatan yang lebih intensif dalam pelaksanaan imunisasi MR.
Faktor-Faktor Yang Berhubungan Dengan Pelaksanaan Sunat Pada Perempuan Di RB Beta Medika Tahun 2018
Authors: Prastiwi Ikha , Andini Rizky Fitri
Published: April 2022

Latar Belakang: Sunat perempuan adalah praktik pemotongan organ kelamin pada perempuan sehingga hal ini sering diistilahkan dengan Female Genital Mutilation (FGM). Tujuannya Menganalisa faktor-faktor yang berhubungan dengan pelaksanaan sunat pada perempuan di RB Beta Medika tahun 2018.

Metode: Desain penelitian yang digunakan adalah desain analitik dengan pendekatan cross sectional, dengan sampel penelitian adalah 73 orang. Teknik pengambilan sampel adalah accidental sampling. Data yang dikumpulkan dengan melakukan wawancara.

Hasil: Hasil penelitian menunjukkan terdapat 69 (94.5%) responden menyunatkan anak perempuannya, Uji Chi-square menunjukkan bahwa umur orang tua berhubungan dengan pelaksanaan sunat pada perempuan (p-value = 0.036). Terdapat hubungan antara pendidikan orang tua dengan pelaksanaan sunat pada perempuan (p-value = 0.022). Tidak ada hubungan antara kepercayaan dengan pelaksanaan sunat perempuan (p-value = 0.586). Tidak ada hubungan antara motivasi dengan pelaksanaan sunat perempuan (p-value = 0.230). 

Kesimpulan: Umur dan pendidikan orang tua akan meningkatkan pelaksanaan sunat pada perempuan secara signifikan. Kepercayaan dan motivasi tidak secarasignifikan meningkatkan pelaksanaan sunat pada perempuan.
Elma (Malus domestica) ağaçlarından elde edilen endofitik fungusların elma çoklu sürgün fitoplazma hastalığı (Candidatus Pyhtoplasma mali) üzerine etkinliklerinin belirlenmesi
Authors: Yavuz Şefika , Gazel Mona , Tok Fatih , Çağlayan Kadriye
Published: April 2022

Amaç: Bu çalışmada Elma Çoklu Sürgün Fitoplazma Hastalığı (EÇSF) (Candidatus Pyhtoplasma mali)’nın biyolojik mücadelesinde endofitik fungusların etkinliğinin belirlenmesi amaçlanmıştır. Böylece pratikte kimyasal mücadele olanağı olmayan hastalık etmenine karşı farklı kontrol stratejileri geliştirilebilme olanağının sağlanması hedeflenmiştir. Yöntem ve Bulgular: EÇSF ve endofit fungus izolasyonları için toplam 50 farklı bahçe gezilerek fitoplazma testleri için 360 ağaçtan, endofit funguslar için ise hem sağlıklı hem de fitoplazma ile enfekteli 198 ağaçtan bitki örneği toplanmıştır. Fitoplazma açısından testlenen 360 örnekten 29 tanesi ‘Ca. P. mali’ ile enfekteli bulunmuştur. ‘Ca. P. mali’ ile enfekteli ve sağlıklı elma ağaçlarından endofit fungus türleri izole edilmiş, bu fungusların morfolojik ve moleküler tanısı ile birlikte patojenisite çalışmaları yapılmıştır. Sağlıklı elma ağaçlarından en yaygın olarak izole edilen endofit funguslardan Epicoccum nigrum, Aureobasidium pullulans, Ulocladium consortiale’nin EÇSF hastalığına karşı etkinlikleri incelenmiştir. Her bir fungus izolatının EÇSF hastalık yoğunluğunu farklı düzeylerde etkilediği, en yüksek etkinin A. pullulans’a ait olduğu ve EÇSF hastalık yoğunluğunu uygulama sonrası %34,18 etki değeri ile azalttığı belirlenmiştir. Genel Yorum: EÇSF hastalığının etkili bir kimyasal mücadelesinin bulunmaması ve etmenin karantina listesinde yer alması nedeniyle olası biyolojik mücadele uygulamaları oldukça önemlidir. EÇSF ile enfekteli ağaçlara inokule edilen 3 farklı endofit fungus türünden Aureobasidium pullulans’ın fitoplazma yoğunluğunu diğer 2 etmene göre daha fazla azaltmasından dolayı A. pullulans hastalıkla mücadelede kullanılabilecek biyolojik mücadele ajanı olabilir. Çalışmanın Önemi ve Etkisi: Bu çalışma ile biyolojik mücadele ajanı olan endofit fungusların elmalarda EÇSF hastalığı üzerine etkileri Türkiye’de ilk kez araştırılmış ve hastalığın kontrol stratejilerinin oluşturulmasında önemli ön bulgular elde edilmiştir.
Lamb development traits and phenotypic correlations between different body measurements and fattening performance characteristics in Awassi sheep
Authors: Kutan Pınar , Keskin Mahmut
Published: April 2022

Aims: The aim of this study was to investigate lamb growth from birth to weaning and the relationships between different body measurements with fattening characteristics for Awassi sheep lambs.Methods and Results: This study was carried out with Awassi sheep lambs reared in Kilis province of Türkiye. Lambs are weaned at 60 days of age. Twenty head of male lambs, with similar weaning weights and approximately 3 months of age (between 80-95 days) were selected in order to determine the fattening performance of the lambs born in the flock. The lambs were weighed at 14-day intervals in the fattening period, which continued for 70 days. The lambs consumed the concentrate containing 16% crude protein and 2600 kcal ME and alfalfa hay as ad lib. Birth and weaning weights of the lambs were determined as 4.29±0.061 kg and 12.93±0.209 kg, respectively. The daily weight gain and feed conversion ratio were calculated as 241.0±9.83 g and 5.4, which continued for 70 days of fattening period. Conclusions: Positive and significant phenotypic correlations were determined between the live weights of the dams and the birth weights of the lambs. In addition, a positive and high phenotypic correlation was determined between body length and live weight at the end of the fattening for the lambs.Significance and Impact of the Study: At the end of the study, it was determined that the birth season affects the development of the lambs, there is a positive relationship between body length and final fattening weight for the lambs. For this reason, spring births in Awassi sheep production can be recommended to the breeders. In addition, it may be recommended to consider body length for choosing fattening material.
Isolation and Characterisation of Copper Leaching Microbes from Sanitary Landfill for E-waste Bioleaching
Authors: Muhammad Syafiq Razali  , Hirofumi Hara  , Fatimah Azizah Riyadi  , Fazrena Nadia Md Akhir  , Nor'azizi Othman  , Muhamad Ali Muhammad Yuzir
Published: April 2022

Electronic waste has been the fastest increasing waste generated globally and is predicted to surpass 111 million tons per year by 2050. This trend is concerning, not just due to the growing volume but also due to its high composition of heavy metal elements, leading to potential environmental pollution if not managed properly. However, this issue opens a new prospect in material acquisition through the concept of urban mining via the metal extraction from electronic waste. A conventional method of extraction, i.e., chemical leaching, possesses harmful environmental impact with the production of its residual leachate. Thus, an alternative extraction technique is proposed, known as bioleaching, in which the microbial activity from bacteria mobilized metal into a more soluble form. In this study, bacterial strains were isolated from Malaysia sanitary landfill for bioleaching of copper from waste printed circuit boards (wPCB) with minimal mechanical pre-processing procedure. They were grown in low pH media to utilize their activity for copper bioleaching from the wPCB. Four bacterial strains were successfully isolated. Using 16S rRNA gene sequencing, the isolates were identified as Bacillus sp. strain SE, Bacillus sp. strain SC, Lysinibacillus sp. strain SE2, and Oryzobacter terrae strain S1A. All the isolates showed appropriate bioleaching ability, with strain SC demonstrated the highest copper extraction with up to 23.36 ppm through the two-step bioleaching process. This strain was further evaluated using a copper strip to observe the actual copper extraction and demonstrated a total of 0.80 ±0.02 mg/g copper recovery. These results suggest that copper bioleaching of wPCB is viable as a standalone process.
LITERATUR REVIEW: INTERVENSI NON FARMAKOLOGI TERHADAP PENURUNAN FREKUENSI MUAL DAN MUNTAH PADA IBU EMISIS GRAVIDARUM
Authors: Fatikhah Fatikhah
Published: April 2022

Pregnancy causes physical, psychological and hormonal changes in the mother's body. One-third of women experiencing nausea and vomiting, this condition occurs because the influence of hormones affecting the increase in stomach acid. Pregnant women experience nausea, vomiting 2% in morning, 80% throughout the day and 18% continues until maternity, 1-2% experience hyperemesis gravidarum which has an impact on weight loss, dehydration, hemoconcentration (blood becomes thick) and ketonemia which has an impact on slowing blood circulation, which is oxygen and tissues. Emesis gravidarum also causes side effects on the fetus such as abortion, low birth weight, premature birth, and malforation in newborns, Intrauterine growth retardation (IUGR). Non-pharmacological interventions that can be used to avoid the risk of hyperemesis gravidarum, use ginger, lemon aroma therapy and acupressure. Exploratory research using literature review and design methods by taking sources from June to December 2021. Several journal portal websites used, Science Direct, Pub Med, proqueat, web of science Group and Google scolar .Based on keywords with the inclusion criteria of the journal year 20-17-2021, full text, related to the intervention of giving Ginger, Lemon Aromatherapy and acupressure. There were 747 articles, which giving ginger 473, aromatherapy lemon 240 and acupressure 34 based on the inclusion and exclusion criteria, there were 9 articles analyzed. The results of the study showed that the three interventions, which is Ginger, Lemon Aromatherapy and Acupressure, were very effective in reducing nausea and vomiting in Emissions gravidarum. the intervention of giving Ginger, Lemon Aromatherapy and Acupressure is very effective in reducing nausea and vomiting in mothers with gravidarum emission
Intersectionaliteiten in actie: articulaties van een reizend concept in de activistische praktijk
Authors: Tio Claire , van Oorschot Irene
Published: April 2022

Intersectionality, arguably the most well-known theoretical and political sensibility to emerge out of US black feminism, has proven a particularly mobile concept, informing and shaping feminist scholarship both in the US and beyond. While academics have traced its various trajectories and its reception in non-US settings, little attention has been paid to how intersectionality is articulated in different nationally situated activist communities. In this exploratory study of the intersectionality concept in Dutch climate activism and Dutch queer activism, we trace how Dutch activists articulate the meaning and relevance of intersectionality to their own practice. Our data demonstrate that intersectionality is problematized differently in these two settings: among climate activists, it functions as a horizon to aspire to and as a risky ‘add-on’ to existing practice, while within queer activism, intersectionality is understood as an already existing reality that requires careful calibration and practices of ‘calling in’. It is also associated with particular risks: in climate activism, its status as a horizon to aspire to raises questions about the community’s understanding of climate activism itself, while the queer activists, ‘always having been intersectional’, struggle with the question: when are we intersectional enough? In examining these different articulations of intersectionality, we develop an understanding of intersectionality as a travelling and situated concept beyond the US academy and practice, and comment especially on its Janus-faced character as a both politicizing and depoliticising tool in activists’ practice.
Construya y opere su sistema séptico para el tratamiento de las aguas residuales de la vivienda de su finca cafetera
Authors: Rodríguez-Valencia Nelson , Quintero-Yepes Laura , Castañeda Samuel Antonio
Published: April 2022

La descarga de las aguas residuales de las viviendas se ha convertido en uno de los problemas ambientales más críticos y creciente, si se considera el incremento poblacional de nuestro país. El aumento de las descargas de aguas residuales de tipo doméstico y productivo deterioran cada vez más el estado de la calidad del recurso. La situación se hace más crítica cuando la corriente sobre la cual se realiza la descarga tiene un uso definido aguas abajo, pues se alteran las condiciones de calidad del agua requeridas para actividades específicas (doméstica, industrial, agrícola y pecuaria, entre otras) y la vida acuática. A través de la presente publicación se detallan las diferentes unidades que componen un sistema para el tratamiento de las aguas residuales de las viviendas rurales, conocido como sistema séptico, y se presentan herramientas para su diseño, instalación, construcción, operación y mantenimiento, presentando los tamaños y configuraciones más comunes de los sistemas sépticos, de forma que puedan ser implementados por los caficultores.
Peculiar features of bone marrow cell proliferation in Djungarian hamsters with genetic disorders under thiotepa effect
Authors: Kuzin Sergey , Bogomolov Denis , Berechikidze Iza , Larina Svetlana , Sakharova Tatyana
Published: April 2022

The paper aims to examine the proliferation of bone marrow cell pool in Djungarian hamsters and the subsequent restoration of their genetic stability after the action of thiotepa (TT). The study involved 36 animals, of which 16 were in the control group (injected with 0.25 ml of physiological solution), and 20 in the experimental group (0.25 ml of thiotepa at a dose of 1.5 mg per 1 kg of body weight). The maximum number of cells with CA amounting to 30.0% was observed 13 hours after TT injection (p≤0.05 between the control and experimental groups) and rapidly declined to 5.7% over subsequent periods by the 37th hour of the experiment (p≤0.05). The results suggest that the restoration of cell pool genetic stability is largely associated with the cell selection mechanisms, which confers an advantage over cell proliferation without chromosome anomalies.
Experimental study of new derivatives of 3-hydroxypyridine as pharmacological agents for the correction of ischemic brain injury after intracerebral hemorrhage
Authors: Shcheblykina Olesya V. , Shcheblykin Dmitry V. , Trunov Konstantin S. , Danilenko Anton P. , Lipatov Vladimir S.
Published: April 2022

Introduction: Limiting the action of secondary injury factors can improve the prognosis in acute cerebral accidents. The aim of the investigation is to study the neuroprotective effects of 3-hydroxypyridine derivatives.

Materials and methods: The study was performed in Wistar rats. An intracerebral hemorrhage (ICH) model was used. The animals were once administered intraperitoneally with the test drugs 1 hour before the surgery and on the 1st, 2nd and 3rd days. The registration of behaviors and condition of the animals on days 1, 3, 7 and 14 and the morphological examination of the brain were performed.

Results and discussion: The use of the substances LKhT 4-97 and LKhT 11-02 in the treatment of experimental ICH had a positive effect on the survival rate of the animals and on the resolution rate of pathological signs (p<0.05). Clinical observations were confirmed by the results of analysis of the S100b brain damage marker and morphometry. The efficacy of LKhT 3-15 was largely comparable to that of the reference drug Mexidol. The efficacy of LKhT 01-09 was significantly inferior to that of the reference drug Mexidol. Differences in the neuroprotective effects of the studied substances are related to the metabolism of their various pharmacophores. A hypothetical mechanism for the induction of their neuroprotective effects has been proposed.

Conclusion: Three of the four 3-hydroxypyridine derivatives under study have a neuroprotective effect, which is manifested in a more rapid resolution of pathological symptoms and less pronounced signs of neurodegeneration.
Critical Decision Making at the Point of Care
Authors: Lee Ki Byung , Park Hong Min
Published: April 2022

Optimal decision-making requires an understanding of the principles of evidence-based medicine to judge the quality of the evidence. Numerous pitfalls exist in diagnostic reasoning and decision-making. There are also many considerations with regard to evidence-based prescription. Increasingly, hospitalists have to work in wards organized as Accountable Care Units (ACUs). Practice guidelines and systematic reviews represent the highest quality of evidence available. There is great clinical importance in rapid access to precise answers, especially those based on summary literatures, to various challenging questions. In practice, a culture of education, updates to support hospitalists, and integration of evidence-based medicine into clinical practice, using diverse digital medical resources and cloud storage, are necessary.
« Vous voulez faire de votre radicalisme une position confortable et expéditive ». Les conflits autour de l’héritage de Rosa Luxemburg dans les débuts du KPD
Authors: Bois Marcel
Published: April 2022

Rosa Luxemburg a fondé le Parti communiste d’Allemagne (KPD) dans l’hiver 1918-1919. Peu de temps après, elle était assassinée. Elle fut ensuite largement célébrée au sein du parti. Néanmoins, ses idées touchant la praxis politique du KPD ont donné lieu à de vifs débats – en particulier sa conception de la “realpolitik révolutionnaire”. Dès le congrès de foundation du parti, on a assisté à des affrontements sur les questions de la cooperation avec les sociaux-démocrates, de l’engagement dans les syndicats, et de la participation aux élections legislatives – une aile gauche influente rejetant les trois. Ces conflits perdurèrent tout au long de l’année 1919. Le leader du parti, Paul Lévi, se voyait lui-même comme le gardien de l’héritage politique de Rosa Luxemburg, qu’il ne parvint à préserver qu’au prix d’une scission du parti. Cet article suit le développement du KPD dans la première année qui suivit la mort de Luxemburg, et cherche à éclairer le lien entre les différentes positions présentes au sein du parti et la praxis de l’organisation.
Habermas contre l’École de Francfort
Authors: Rodier Clément
Published: April 2022

Comment se fait-il qu’Habermas soit considéré, en France, comme un membre à part entière de l’École de Francfort, voire comme son incarnation contemporaine ? En dévoilant l’histoire qui se cache derrière cette image spécifiquement française, cet article souhaite détacher Habermas de la « première génération » de l’École de Francfort pour retrouver les impulsions théoriques de cette dernière. Ainsi libérée de la tutelle habermassienne, la Théorie critique originelle retrouve le statut d’une pensée à part entière, dont les intuitions critiques, autant que les apories, offrent des sources fécondes pour son appropriation actuelle.
Quand la nuit vient…
Authors: Puyuelo Rémy
Published: April 2022

Une rencontre entre retraités. Le travail passé est toujours en travail.
L’internat « profitable pour mon épanouissement »
Authors: Tequi Lucien
Published: April 2022

Dans les années 1980, les enfants placés vivaient en internat. Ce témoignage illustre la dimension groupale du travail éducatif et la perception qu’ont les enfants des intentions des éducateur·trice·s. Par-delà la contrainte de cette situation, l’auteur évoque l’épanouissement qu’il en a retiré.
Trace/traces
Authors: Bousquet Magalie
Published: April 2022

Réflexions sur le dispositif de la trace, proposition offerte à tous les adolescents de l’ ucha en fin d’hospitalisation. Ce rituel est au service des patients mais également de l’équipe, pour marquer une fin mais aussi un nouveau début.
La polyphonie de la psychanalyse contemporaine : les multiples langages de l’homme
Authors: Levy Ruggero
Published: April 2022

Ce travail rappelle dans un premier temps des considérations générales sur l’univers symbolique de l’homme et ses différents langages. Il montre que l’essence linguistique de l’homme est son langage, qui nomme, différent en cela de tous les autres langages du monde animal. Une illustration clinique permet de mettre en lumière les vicissitudes du langage humain quand il ne parvient pas à nommer certaines expériences. L’analyste contemporain doit écouter les divers langages de l’homme et aider le patient, à partir d’une posture technique particulière, à pouvoir penser ce qui était impensable, à nommer l’innommable, en passant par des moments intermédiaires. Il va de l’écoute du langage du non symbolique à la construction de formes symboliques grâce à l’utilisation d’« échafaudages pour penser », en recourant à sa capacité de rêverie et à sa capacité à métaphoriser la communication du patient. C’est ce qui permet l’historisation, la mise en récit du patient. Dans le cas contraire, il y a une présentification éternelle de l’expérience émotionnelle traumatique, le « meurtre du temps » (Green).
En conversation : Freud, Abraham et Ferenczi à propos de « Deuil et mélancolie » (1915-1918)
Authors: May Ulrike
Published: April 2022

Cet article est consacré au brouillon de « Deuil et mélancolie » rédigé en 1915 et publié en 1996. Après un résumé des principales thèses contenues dans le brouillon de Freud sont discutées les réactions d’Abraham et de Ferenczi à ce texte ainsi que la réponse de Freud à leurs commentaires. En plus d’aborder la question de l’adoption partielle par Freud de la notion d’introjection de Ferenczi et sa réticence à l’égard de « l’érotisme et du sadisme oral » d’Abraham, l’article discute la question de savoir si et dans quelle mesure ces interventions ont laissé des traces dans la version finale de « Deuil et mélancolie » – en particulier l’approche d’Abraham. L’article se termine en intégrant la notion d’identification narcissique qui constitue le cœur de la compréhension de la dépression selon Freud et son étude des « stades primitifs de l’amour », écrite la même année, dans le cadre d’une conception de la relation narcissique entre le sujet et l’objet. Une attention particulière est consacrée à la valeur clinique de la différence entre investissement narcissique et investissement d’objet libidinal introduite par Freud.
Marge de manœuvre et prévention des troubles musculo-squelettiques : quelles perspectives ?
Authors: Coutarel Fabien , Aublet-Cuvelier Agnès , Caroly Sandrine , Vézina Nicole , Roquelaure Yves , Cuny-Guerrier Aude , Norval Maxime , Compan Nathan
Published: April 2022

La prévention des troubles musculo-squelettiques (TMS) liés au travail est une problématique importante en ergonomie et pour les ergonomes. Dans son article de 2019, Y. Lémonie porte une critique vigoureuse envers les différents travaux mobilisant la marge de manœuvre, dont les co-auteurs de cette réponse ont été des acteurs centraux. Cet article répond d’abord aux critiques de l’auteur concernant la marge de manœuvre. Nous montrons d’abord qu’un travail collectif est à l’œuvre pour enrichir et stabiliser l’usage du terme. Nous développons ensuite des arguments réfutant l’interprétation cognitiviste de l’auteur. Dans une seconde partie, nous interrogeons les propositions de l’auteur. Nous convergeons avec l’auteur sur le fait que la diversité motrice reprend des acquis de l’ergonomie. Nous discutons ensuite de la variabilité motrice : si elle constitue une problématique de recherche prometteuse, plusieurs difficultés et questionnements empêchent de préciser à ce jour comment elle pourrait nourrir la prévention et l’intervention des ergonomes. Nous discutons ensuite des perspectives relatives aux futures recherches sur la marge de manœuvre. Nous défendons globalement la pertinence de poursuivre l’élaboration du concept de marge de manœuvre pour rendre compte des possibilités effectives que construit une personne pour faire face aux variabilités des situations de travail. Nous inscrivons ces travaux dans une ontologie relationnelle, où la marge de manœuvre constitue l’espace de l’activité, où s’inscrit et se construit la relation dynamique, asymétrique et conflictuelle du sujet à son monde. Nous distinguons la marge de manœuvre (au singulier) des marges de manœuvre (au pluriel). Ces dernières sont les conditions antécédentes de l’activité : organisationnelles, procédurales, temporelles, spatiales, etc. Nous discutons enfin des conditions de l’interpellation scientifique au sujet de l’efficacité des interventions ergonomiques.
The heterogeneous Aquila optimization algorithm
Authors: ZHAO Juan , GAO Zheng-Ming
Published: April 2022

A new swarm-based optimization algorithm called the Aquila optimizer (AO) was just proposed recently with promising better performance. However, as reported by the proposer, it almost remains unchanged for almost half of the convergence curves at the latter iterations. Considering the better performance and the lazy latter convergence rates of the AO algorithm in optimization, the multiple updating principle is introduced and the heterogeneous AO called HAO is proposed in this paper. Simulation experiments were carried out on both unimodal and multimodal benchmark functions, and comparison with other capable algorithms were also made, most of the results confirmed the better performance with better intensification and diversification capabilities, fast convergence rate, low residual errors, strong scalabilities, and convinced verification results. Further application in optimizing three benchmark real-world engineering problems were also carried out, the overall better performance in optimizing was confirmed without any other equations introduced for improvement.
De Lupin à Darien : entre presse et roman, quelques réflexions sur les voleurs de la Belle Époque
Authors: Moucheron Julie
Published: April 2022

Cette contribution propose une mise en perspective des voleurs, personnages très populaires dans les fictions médiatiques de la fin du XIXe siècle et de la Belle Époque (1890-1914). L’imaginaire culturel anarchisant du vol entre en résonance avec les interrogations des écrivains sur leur place au sein de la culture médiatique. Le roman Le Voleur de Georges Darien, en recapitalisant la notion de vol dans une perspective métalittéraire, propose une représentation critique de ce phénomène d’identification.
Entretien avec Fabrice Rizzoli
Authors: Ducoux Antoine , Rizzoli Fabrice
Published: April 2022

Fabrice Rizzoli est docteur en sciences politiques, enseignant dans différents établissements universitaires dont Sciences Po et l’IRIS. Lauréat 2014 du Prix Falcone des Droits de l’Homme et spécialiste du crime organisé et des mafias, il est l’auteur de La mafia de A à Z et le cofondateur de l’association Crim’HALT. En 2019, il intervenait au séminaire Hors la loi sur le thème suivant : « Géopolitique critique des criminalités : le paradigme légal-illégal au prisme des représentations fictionnelles », à partir d’un enseignement mené auprès des étudiants de deuxième année de Sciences Po Paris. Avec Carole Rouaud, il co-anime le podcast mensuel « Crim’ sous cric » sur Le Monde moderne media. Dans cet entretien, il explique l’adoption récente de la loi sur l’usage social des biens confisqués au crime organisé en France et commente l’usage pédagogique et civique des fictions à thème criminel auprès des élèves et du grand public.
A Study of Cooperation Between Suppliers and E-Commerce Platforms Based on Biform Game
Authors: Wang Xin , Yao Song , Wang Jun , Li Yu , Yu Baoqin
Published: April 2022

This article considers e-commerce platforms with and without promotion, builds biform game models consisting of one and two supplier platforms, and calculates the profit distribution of the three parties using the Shapley value method. The optimal strategies of the three parties are discussed, including which platform the supplier will choose to cooperate with and which logistics service strategy to choose. In addition, how platforms make their commission rates to attract suppliers and which promotion strategy to choose are also studied. The results show that regardless of whether the platform promotes sales or not, in the case of charging consumers for the shipping fee when the standard shipping fee of unit product is low, the supplier will choose to cooperate with the platform without self-built logistics and use the third-party logistics to deliver products. When the standard shipping fee is high, the supplier will choose to cooperate with the platform with self-built logistics. But in the case of free shipping for consumers, the conclusion is just the opposite.
First record of the presence and reproduction of the two-tailed pasha Charaxes jasius (Linnaeus 1767) (Lepidoptera: Nymphalidae) in Northeastern Italy
Authors: Beretta Daniele , Moretto Enzo , Bolognin Luca , Luis Guariento
Published: April 2022

Charaxes jasius (Linnaeus, 1767) is reported for the first time for the Veneto region, in Northeastern Italy. Both adults and caterpillars have been observed in the Euganean Hills (Colli Euganei Regional Park) between August and October 2021. The location is a xerothermic oasis that could provide the suitable environmental conditions for maintaining a population of this species, which is recently expanding its range to northern latitudes.
Varicose ulcer and stasis eczema ayurveda perspective
Authors: Jogad Gautam Subhashchand , Jain Sumeeta G.
Published: April 2022

Varicose ulcers occur due to chronic venous occlusion. This insufficiency leads to ischemia in the vascular supply of the leg, which results in regurgitation of blood through venous valves. When this happens in the cephalous group of veins, it results in varicose ulcers of the leg. The prevalence of chronic venous ulcers in the leg is 70%–80%. If these ulcers are ignored, they can land into cellulitis, gangrene. In Ayurveda perspective, varicose ulcers can be defined as with Vrana developed due to Siragat Vat and also with Vatatrakta. Varicose ulcers can be treated with Ayurveda principles effectively. Its recurrence is common so it also can be prevented by Ayurveda principles. This case was treated on the line of Vatarakta and Dushta Sirajanyavrana. The first target was to correct the Vrana so the drug having property to Vrana Shodhan and Ropan (wound healing and cleaning) was selected. Kleda Nashak and Shothahar (edema), and Raktashodhak and Prasadana (blood purify and circulation). Raktamokshan (bloodletting) helps in the removal of Utkleshit (vitiated) Dosha of site of disease and thus cures the disease faster. By applying these principles, this case shows a marked improvement in all clinical presentations of varicose ulcer and stasis eczema. These are the outcomes of this case. Present case was treated with Ayurveda principle and less period of time, details of case are discussed here. Allopathic medicine can leads to recurrence of diseases as shown in the present case but with the help of Ayurveda treatment chances of recurrences are minimized that is why this is unique case. This case report proposes an innovative treatment protocol to treat varicose ulcers, which needs to study on large scale.
Understanding the pathophysiology of insomnia (Anidra) with special reference to primary insomnia using neurotransmitter sleep theories
Authors: Jhawar Shruti , Krishna G. Gopala , Chikkanna Umesh
Published: April 2022

Sleep is a primordial requirement for human sustenance and its role in health is inevitable. Despite its importance, inadequate sleep is one of the most common complaints across the globe. Ayurveda identifies Nidra (sleep) as one of the three supporting pillars of life and attributes its maintenance not only to health but also to longevity and prosperity; in contrast, Anidra (disturbed sleep) is one of the contributing factors for disease. Ayurveda clearly identifies the factors in Anidra which are vitiation of Pitta or Vata (fundamental humors of the body), Manasantapa (psycho-social stress), Kshaya (debilitating factors), or Abhighata (injury/trauma). Insomnia is characterized by reduced quality or quantity of sleep and has effects on the quality of life of the affected individual. It can be the difficulty of sleep initiation, sleep maintenance, or early morning awakening, which can have a significant impact on the daily activity of the individual. The contemporary science is yet to give a definite theory for the physiology of sleep and the pathophysiology of insomnia. The most widely accepted and researched concept is the role of neurotransmitters such as gamma-aminobutyric acid, serotonin, acetylcholine, dopamine, norepinephrine, melatonin and their effects in the regulation of sleep–wake cycle. These neurotransmitters and their effect on sleep physiology and pathology of insomnia need to be further explored in order to improve its management strategies. Hence, this review aims to determine the possible relation between the concepts of Nidra (sleep) and Anidra (disturbed sleep) mentioned in Ayurveda and these neurotransmitter sleep theories. This will help in improving the understanding of the pathophysiology of insomnia, developing Ayurveda management protocols for insomnia, and also in explaining the pharmacodynamics of Ayurveda drugs better. The method used for review is by sourcing and analyzing the available data from Ayurveda and contemporary literature on the topic in discussion.
Effect of Vaaluka Svedana followed by Katiprishthatrika Basti in management of Katiprishthatrika Graha w.s.r. to Ankylosing Spondylitis
Authors: Bansal Naveen , Bhatted Santoshkumar , Dharmarajan Prasanth
Published: April 2022

Background:

Ankylosing spondylitis is a chronic inflammatory disease involving sacroiliac joints and spine causing severe pain, stiffness, and deformities in patients in later stages of life. Symptomology of ankylosing spondylitis is similar to Katiprishthatrika Graha in Ayurveda.

Materials and Methods:

A prospective open-label study was carried out in the All India Institute of Ayurveda on 31 diagnosed cases of ankylosing spondylitis. Vaaluka Svedana followed by Katiprishthatrika Basti with Dhanvantara Taila was administered for 7 days each. Participants were assessed based on pain score, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and Bath Ankylosing Spondylitis Patient Global Score (BAS-G score) scores on the 1st day and 14th day of study. Paired sample t tests were used for statistical analysis.

Results:

Statistically significant results were obtained at the end of trial (P < 0.001) in pain scores as well in quality of life scores (BASDAI, BASFI, and BAS-G scores). There was a 2.20, 1.37, 1.30, and 1.13 point's reduction in BASDAI, BASFI, and BAS-G scores, respectively.

Conclusion:

Vaaluka Svedana followed by Katiprishthatrika Basti is effective in the successful management of pain and improving quality of life in patients with Katiprishthatrika Graha.
RailActivation project: the adoption of Workplace Innovation in the Rail Sector
Authors: CARRANZA GARAZI , Petrini Giacomo , Sanchez Begoña , De la Rua Oihane
Published: April 2022

The rail sector has a significant impact on European industry, hence it is important that it follows current innovative trends if it wants to stay competitive. To this end, the railway sector has to adapt to the new digital revolution that is sweeping the sector, but especially the small and medium-sized companies that are part of it, and Workplace Innovation will play a key role in this process. During the RailActivation project it has been seen that SMEs have difficulties when it comes to developing and applying innovation, but due to their size SMEs can gain the advantage of implementing innovation more quickly.

The RailActivation project aimed to help SMEs from the railway sector and provide solutions to the problems faced by companies when adapting to this new revolution, by creating an organisational mechanism that would help companies in the process of adopting Workplace Innovation. To address the aforementioned challenges, this paper develops the research model for the railway industry, based on the concept of Workplace Innovation and the needs of SMEs. In addition, a general overview of the Innovation Way methodology applied during the workshops of the RailActivation project is presented, as well as the general and specific results obtained in the companies where the Pilot Scheme was applied.
Structured incremental measurement of directed and objective simulation experiences-pilot (SIM DOSE-P)
Authors: Thomas Michael C. , Adunlin Georges , Roberts Megan Z. , Beall Jennifer W. , Covington Elizabeth W. , Worthington Mary A. , Kyle Jeffrey A.
Published: April 2022

Objective: To describe performance, anxiety, confidence, and time effects across multiple individual simulation experiences in an acute care environment among volunteer Pharm.D. students.

Methods: This pilot study used five different cases spanning five weeks. Participants were not aware of case content until each simulation began but topics had been taught in the curriculum. Performance on a SOAP note, self-reported anxiety and confidence, and time to complete each activity were measured. A focus group provided qualitative feedback.

Results: Fifteen participants completed the study. Mean performance scores across all cases were variable without a predictable pattern. Global measures of anxiety and confidence numerically improved. The average time to complete simulation activities was similar across the first three cases but decreased for the remaining two cases. Participant comments supported the overall design as meaningful and encouraged self-directed learning.

Conclusion: The design of repeated individual simulation experiences improves anxiety and confidence scores and promotes self-directed learning.
Framework for Designing Questionnaire Using Machine Learning
Authors: Singh Saumya , Chauhan Shivani , Kumar Er.Mahendra
Published: April 2022

For a long time, people have been trying to find a way to retrieve information from a large text database. Convert data into information we need. In current search engines, when we search about something rather than giving the precise answer it takes out keywords from our search and gives us documents or web pages related to those words but what we want is the exact answer, why does the user have to search for it. That is, search engines deal more with whole document retrieval. However, a user often wants an exact or specific answer to the question. For instance, given the question "When is Holi festival this year?", what he wants is the answer "March 9, 2022", rather than to read through lots of web pages that contain the words "Holi", "festival", "year", etc. to find the date of the festival. That is, what a user needs is information retrieval, rather than current document retrieval. We handle the task of answering questions, where the answers are in documents in an extensive text database. We take on a machine learning technique to answer questions. In particular, answer candidates are classified and ranked by a classifier trainee donaset of question-answerpairs.
El mobile marketing como estrategia de comercialización de emprendimientos peruanos
Authors: Reyes Flor Angélica Lavanda , Mejia Mario Gustavo Reyes , Reyes Rosa Elvira Ruiz , Samanamud Luis Alberto Castillo , Acevedo Jesus Enrique Reyes
Published: April 2022

El Smartphone es considerado actualmente una extensión de los individuos, por la cantidad de funciones que se realizan  para lo personal, familiar y laboral; es tener en un solo aparato, teléfono, cámara fotográfica, reloj, etc. elementos que nos facilitan la vida. Las empresas aprovechando esta  oportunidad del mercado han diseñado estrategias destinadas a su público objetivo que puedan ser recibidas a través de este dispositivo. Por lo expuesto el grupo investigador planteó el siguiente problema: ¿En qué medida el mobile marketing contribuye con la comercialización de los emprendimientos peruanos?. Se denomina Mobile Marketing a la aplicación de estrategias a través de un dispositivo móvil, donde el cliente mediante un mensaje de texto, whatsapp, etc. puede recibir información de cualquier empresa; muchas han diseñado sus propias aplicaciones app o código QR de tal manera que la información llegue de manera más segura.