bluuebunny/crossref_metadata_2025 huggingface dataset:
An Analysis of Directing Protocols for Subaquatic Wireless Sensor Systems
Authors: Vedhapriya M. , Dhilipan J.
Published: September 2023

A submerged sensor network comprises of numeral different sensors and independent submerged vehicles sent to facilitate submerged, associate, and divide data between themselves to complete detecting and observing capacities. The submerged sensor networks have a wide scope of utilizations like contamination observing, catastrophic anticipations, facilitated route, under ocean investigations, an advanced military capacity, mine investigation, and so on. Submerged sensor networks present extraordinary tests to the current advances utilized in earthly sensor organization since submerged climate varies from earthbound radio climate regarding energy expenses and channel engendering peculiarities. Audile remote correspondence is utilized instead of wireless recurrence and optical sign in submerged sensor organization. A portion of the issues where submerged sensor network contrast from earthly are restricted for data transfer capacity, battery power, and disappointment of sensor hubs due to snarling and consumption.
A Study on Anti-Inflammatory Analgesic Effect of Focus Religiosa Compared to Standard Drugs in Wister Rats
Authors: Pritam M. Sakhare , Jadhav S. A.
Published: September 2023

Inflammation is caused by tissue damage, which is caused by pathogenic causes such tissue injury, infection, or cardiac infarction. Inflammation can be caused by either infectious or noninfectious triggers. Inflammation is characterized by redness, heat, swelling, pain, and loss of tissue function, which results from local vascular, immune, and inflammatory cell responses to any infection or injury. When a tissue is damaged, our bodies send out a series of chemical signals to trigger reactions that promote tissue repair. All of these cues stimulate circulating leukocytes to chemotactically migrate to the site of injury. As a result of being activated, leukocytes release cytokines, which set off other inflammatory processes in the body. Inflammatory disorders can be treated with a wide variety of medications nowadays. Nonsteroidal anti-inflammatory medicines (NSAIDs) and steroidal anti-inflammatory drugs (NSAIDs) are two examples that have proven effective. However, due to the potential for major side effects, their usage is limited.
Neonatal Iron Status and Body Composition as Influenced by Mother's Anaemia
Authors: Potdar Danesh B. , Aundhakar C. D.
Published: September 2023

Iron is a micronutrient which is crucial for growth of fetus during pregnancy, and maternal iron is the major source of fetal iron. As the demand of iron increases during pregnancy, it becomes difficult to ensure sufficient maternal iron stores. Literature suggests that maternal iron deficiency anaemia might influence the iron reserves of newborns and also affect growth and development of fetus and newborns after birth. The aim of this chapter is to examine the association between maternal anaemia and newborn anthropometric parameters, namely haemoglobin and iron reserves after birth. This 18-month research was a cross-sectional analysis of data from a large hospital. Blood samples were taken from both the mother and the newborn to analyse haemoglobin and serum ferritin levels during the initial stage of labour. The mean age of enrolled pregnant women was 25.81 ± 4.67 years and most of them belonged to 21-30 years of age (72.32%).
Definitive histology control after Mohs micrographic surgery: pleonastic or not?
Authors: De Piano Ernesto , Cioppa Vittoria , Ongaro Valentina , Russo Filomena , Rubegni Pietro , Miracco Clelia
Published: September 2023

Not available
Dalbergia odorifera Essential oil protects against myocardial ischemia through upregulating nrf2 and inhibiting caspase signaling pathways in isoproterenol-induced rats
Authors: Wang Can-Hong , Gong Bao , Meng Hui , Wu Yu-Lan , Zhao Xiang-Sheng , Wei Jian-He
Published: September 2023

Objective:

Dalbergia odorifera has long been used as a Chinese herbal medicine for the treatment of cardiovascular and cerebrovascular diseases. This study aimed to determine the potential myocardial protective effect and possible mechanism of action of D. odorifera essential oil (DOEO).

Materials and Methods:

The essential oil of D. odorifera was extracted by hydrodistillation. The cardioprotective effects of DOEO were examined by histopathological observation, myocardial enzyme detection, peroxidation, anti-oxidant level detection, and related protein expression. The compounds in the blood were identified by gas chromatography–mass spectrometry.

Results:

These results showed that DOEO had significant myocardial cell protection, with IC50 values ranging from 17.64 to 24.78 μg/mL in vitro. Compared to the myocardial ischemia group, the DOEO pretreatment groups had lower levels of myocardial injury, creatinine kinase, lactate dehydrogenase, alanine transaminase, aspartate transaminase, hydrogen peroxide, and nitric oxide, and higher levels of glutathione and superoxide dismutase. In addition, DOEO pretreatment significantly increased Na+-K+-ATPase and Ca2+-ATPase levels. Moreover, immunohistochemical experiments showed that DOEO remarkably increased the protein levels of NF-E2-related nuclear factor 2 (Nrf2) and heme oxygenase-1 (HO-1) and reduced the expression of apoptotic caspases, including caspase 3 and caspase 9. The main components of the blood were transnerolidol and nerolidol oxide. Overall, the study showed that DOEO displayed myocardial protection by upregulating the NF-E2-related nuclear factor- antioxidant response element (Nrf2-ARE) and caspase pathways. DOEO has a therapeutic effect on MI by inhibiting the oxidant and apoptotic effects.

Conclusions:

D. odorifera may be a potential candidate drug for treating myocardial ischemic injury.
An Interesting Case of Sjögren’s Syndrome Presenting with Hypokalemic Quadriparesis and Distal Renal Tubular Acidosis
Authors: Bhanukumar M. , Mohan Prakruthi , Fathima Nimrah , Darshan A. N. Venkatesh
Published: September 2023

Sjögren’s syndrome is well known to masquerade with varied presentations due to its propensity to produce multisystemic and extraglandular disease. We present the case of Sjögren’s syndrome manifesting as new onset, acute quadriparesis. The patient had no articular manifestations suggesting a primary connective tissue disease or obvious sicca symptoms. Laboratory tests revealed severe hypokalemia and metabolic acidosis and antinuclear antibodies profile was positive for anti-Ro/SS-A antibody. Clinical examination revealed long-standing dental caries. A minor salivary gland biopsy showed features of Sjögren’s disease. The patient was started on potassium supplements and immunomodulatory therapy which led to clinical improvement in a week.
Chronic Vitamin D Deficiency and its Effects on Human Health: A Literature Review
Authors: Georgaki Maria Nefeli , Georgakis Charalampos , Charalambous Marianna , Mamisi Katerina , Karachrysafi Sofia
Published: September 2023

Introduction:

Vitamin D plays a vital role as an essential nutrient for human health, but a significant number of people worldwide have a deficiency in this vitamin. Chronic Vitamin D deficiency has been linked to several adverse health outcomes, including musculoskeletal disorders, cardiovascular disease (CVD), cancer, and autoimmune disorders.

Methodology:

We conducted a comprehensive literature search using academic databases, including PubMed, MEDLINE, Scopus, and Google Scholar. The search terms included “Vitamin D deficiency,” “chronic disease,” “musculoskeletal disorders,” “cardiovascular disease,” “cancer,” and “autoimmune disorders.” We focused on articles that examined the link between chronic Vitamin D deficiency and various health outcomes.

Results:

Studies suggest that Vitamin D deficiency may contribute to several chronic diseases, including osteoporosis, osteoarthritis, hypertension, and CVD. Evidence indicates that inadequate levels of Vitamin D can increase the risk of certain types of cancer, such as colorectal and breast cancer. Studies have also found that people with autoimmune disorders, such as type 1 diabetes, multiple sclerosis, and rheumatoid arthritis, have lower levels of Vitamin D compared to healthy individuals.

Conclusions:

The findings of this literature review highlight the importance of identifying and treating chronic Vitamin D deficiency to prevent or manage associated health conditions. Strategies to prevent Vitamin D deficiency include increased sun exposure, dietary changes, and Vitamin D supplementation. Regular screening for Vitamin D deficiency may also be necessary, particularly in high-risk populations. Clinicians should consider Vitamin D status when evaluating patients with chronic diseases and take appropriate steps to address any deficiencies.
An Early-stage Comparison of Functional Outcomes Following Robotic-assisted Versus Conventional Total Knee Arthroplasty: A Systematic Review and Meta-analysis
Authors: Parel Philip M. , Manyak Grigory A. , Carvajal Jaime A. , Abraham Thomas , Al Rashid Mamun
Published: September 2023

Introduction:

Conventional total knee arthroplasty (cTKA) is used to relieve pain and restore knee function and stability. Robotic-assisted TKA (rTKA) was introduced to improve the placement of surgical implants, decrease postoperative complications, and improve implant longevity. To date, studies examining functional outcomes and patient-reported pain between rTKA and cTKA in the short-term postoperative period are limited, and a meta-analysis of such early-stage outcomes has yet to be accomplished. Our study aims to evaluate the differences in function, alignment, and pain between rTKA and cTKA within 6 months postoperatively through meta-analysis.

Materials and Methods:

A literature search of the PubMed and Cochrane electronic databases was performed in December 2021 with Medical Subject Headings and search terms limited to “knee replacement,” “knee arthroplasty,” and “robotic knee surgery.” Subsequent analysis was conducted on all retrieved studies written in English.

Results:

Thirteen clinical studies were considered for systematic review, of which nine were included in meta-analysis. 1,336 cases of TKA were analyzed: RTKA (n = 618) and cTKA (n = 718). There were no significant differences between rTKA and cTKA in range of motion (mean difference,-0.08°; P = 0.55), functional score of the Knee Society Score (mean difference, 0.04; P = 0.78), oxford knee score (mean difference, −0.04; P = 0.81), and Functional score of the western ontario and mcmaster universities osteoarthritis index (WOMAC-F) (mean difference, −0.42; P = 0.41). There were no significant pain differences in Short Form Health Survey Bodily Pain (mean difference, −0.08; P = 0.64) and pain score of the WOMAC (WOMAC-P) (mean difference, −0.25; P = 0.47). However, rTKA subjects achieved more accurate mechanical axis alignment than cTKA subjects (mean difference, −0.50°; P < 0.01).

Conclusion:

Although limb alignment correction is more accurate in rTKA than cTKA, functional and pain metrics are comparable between the two procedures within 6 months’ follow-up, suggesting no added clinical benefits for rTKA versus cTKA.
Large Left Atrial Myxoma Causing Significant Mitral Regurgitation
Authors: Kumar Raj , Jaiswal Amit , Mehrotra Rahul
Published: September 2023

Myxomas are the most common primary cardiac tumors, usually arising in the left atrium. Large myxomas usually produce mitral valve obstruction and stenosis such as manifestations. We present a rare case where a large left atrial myxoma caused a significant mitral regurgitation due to mechanical damage to the leaflets necessitating mitral valve replacement along with tumor resection.
An Interesting Case of Left Ventricular Diverticulum
Authors: Manivelan S. , Kathirvel D. , Gnanavelu G. , Swaminathan N. , Venkatesan S.
Published: September 2023

Left ventricular (LV) diverticulum is defined as a protrusion of the free wall of the ventricle, including endocardium, myocardium, and pericardium. It is classified into fibrous and muscular types. Most of the patients are asymptomatic. It is mainly diagnosed by echocardiography, magnetic resonance imaging, and ventriculography. Surgery is the treatment of choice if the patient is symptomatic associated with other cardiac anomalies. In asymptomatic patient with isolated LV diverticulum, the treatment is controversial. Our patient is a 35-year-old male presented with progressive dyspnea on exertion for the past 1 month. Clinical examination was normal. His electrocardiogram revealed sinus tachycardia. There was no evidence of ischemic changes. Echocardiogram revealed aneurysmal outpouching of the posterolateral basal segment of the left ventricle adjacent to the posterior mitral leaflet [Figure 1]. Ejection fraction was 50% with trivial mitral regurgitation. His coronary angiogram showed normal epicardial coronaries. The patient was treated with furosemide, enalapril, metoprolol, and spironolactone. Then, the patient was referred to the cardiothoracic surgery department for further management.
How to Assess Mitral Stenosis by Echo - A Step-by-Step Approach
Authors: Ganesan Gnanavelu
Published: September 2023

Rheumatic mitral stenosis is the commonest valvular heart disease in developing countries. Other causes include congenital abnormalities and degenerative mitral valve disease. Mitral stenosis when it is due to rheumatic process, can be managed by percutaneous transvenous mitral commissurotomy. Echocardiography remains the most important investigation in diagnosing and planning the managemnt of mitral stenosis. This review highlights stepwise approach for comprehensive assessment of mitral stenosis by echocardiography.
Speckle Tracking Strain Echocardiography: What Sonographers Need to Know!
Authors: Davis Ashlee M. , Adams David , Venkateshvaran Ashwin , Alenezi Fawaz
Published: September 2023

Introduction:

Strain is a unitless measurement of dimensional or deformational change; speckle-tracking echocardiography is the most widely used technique to assess strain, with demonstrated clinical utility in a variety of settings.

Objectives:

This paper reviews the diagnostic and prognostic impact of echocardiographic assessment of left ventricle myocardial strain and what sonographers need to know in a daily practice.

Methods:

This paper have the most updated American society of echocardiography recommendations on a speckle tracking strain echocardiography, and included experiences of a large academic center, standardization as well as tips needed to perform a strain in a daily clinical practice.

Conclusion:

With good feasibility, reproducibility and evidence in support, speckle tracking strain echocardiography can be used as a standard echocardiography parameter in clinical practice.
Analysis of Improved Particle Swarm Algorithm in Wireless Sensor Network Localization
Authors: Chen Yafeng
Published: September 2023

WSN localization occupies an important position in the practical application of WSN. To complete WSN localization efficiently and accurately, the article constructs the objective function based on the target node location constraints and maximum likelihood function. It avoids premature convergence through the PSO algorithm based on chaos search and backward learning. Based on linear fitting, the node-flipping fuzzy detection method is proposed to perform the judgment of node flipping fuzzy phenomenon. And the detection method is combined with the localization algorithm, and the final WSN localization algorithm is obtained after multi-threshold processing. After analysis, it is found that compared with other PSO algorithms, the MTLFPSO algorithm used in the paper has better performance with the highest accuracy of 83.1%. Different threshold values will affect the favorable and error detection rates of different WSNs. For type 1 WSNs, the positive detection rate of the 3-node network is the highest under the same threshold value, followed by the 4-node network; when the threshold value is 7.5 (3 ), the positive detection rate of the 3-node network is 97.8%. Different numbers of anchor nodes and communication radius will have specific effects on the number of definable nodes and relative localization error, in which the lowest relative localization error of the MTLFPSO algorithm is 3.4% under different numbers of anchor nodes; the lowest relative localization error of MTLFPSO algorithm is 2.5% under different communication radius. The article adopts the method to achieve accurate and efficient localization of WSNs.
Problems for generalized Monge–Ampère equations
Authors: Enache Cristian , Porru Giovanni
Published: September 2023

This paper deals with some Monge–Ampère type equations involving the gradient that are elliptic in the framework of convex functions. First, we show that such equations may be obtained by minimizing a suitable functional. Moreover, we investigate a P-function associated with the solution to a boundary value problem of our generalized Monge–Ampère equation in a bounded convex domain. It will be shown that this P-function attains its maximum value on the boundary of the underlying domain. Furthermore, we show that such a P-function is actually identically constant when the underlying domain is a ball. Therefore, our result provides a best possible maximum principles in the sense of L. E. Payne. Finally, in case of dimension 2, we prove that this P-function also attains its minimum value on the boundary of the underlying domain. As an application, we will show that the solvability of a Serrin’s type overdetermined problem for our generalized Monge–Ampère type equation forces the underlying domain to be a ball.
Groups of order $p^3$ are mixed Tate
Authors: Pădurariu Tudor
Published: September 2023

Let

G

be a finite group. A natural place to study the Chow ring of the classifying space

BG

is Voevodsky’s triangulated category of motives, inside which Morel–Voevodsky and Totaro have defined motives

M(BG)

and

M^{c}(BG)

, respectively. We show that, for any group

G

of order

p^3

over a field of characteristic not equal to

p

which contains a primitive

p^3

-th root of unity, the motive

M(BG)

is a mixed Tate motive. We also show that, for a finite group

G

over a field of characteristic zero,

M(BG)

is a mixed Tate motive if and only if

M^{c}(BG)

is a mixed Tate motive.
A Novel Nested Multiplex Polymerase Chain Reaction Assay for Malaria Diagnosis Using the Hydroxymethyl Dihydropterin Pyrophosphokinase-Dihydropteroate Synthase (hppk-dhps) Gene
Authors: Chaianantakul Natpasit , Sungkapong Tippawan , Nikhomkham Kanokwan , Sanseewong Kansuda , Kornsang Sawanya
Published: September 2023

There are many techniques for malaria diagnosis. Currently, the nested polymerase chain reaction (PCR) method based on a small subunit ribosomal RNA gene (18S rRNA) has been used as a confirmatory method. However, this method is time-consuming, laborious, and costly. Therefore, the objective of this study was to develop nested multiplex PCR for Plasmodium species identification using the dihydropterin pyrophosphokinase-dihydropteroate synthase (hppk-dhps) gene. Genus- and species-specific primers for the hppk-dhps gene were designed. The performance of the novel nested multiplex PCR was compared with 18S rRNA nested PCR. A total of 115 blood samples were used in this study, including 84 infected samples and 31 uninfected samples. Analysis of the blood samples by nested multiplex PCR targeting the hppk-dhps gene identified 81 infected cases. The level of agreement between this novel method and 18S rRNA nested PCR was 97.4%. Further, the novel method successfully detected all human malaria parasites except Plasmodium ovale and detected mixed Plasmodium falciparum/Plasmodium vivax infections. The sensitivity and specificity obtained from this novel method were 96.4% and 100%, respectively. The limit of detection of the hppk-dhps nested multiplex PCR for P. falciparum and P. vivax was 500 parasites/µL and 4 parasites/µL, respectively. The lowest parasite gDNA detected by this method was 0.5 ng/µL for P. falciparum and 0.1 ng/µL for P. vivax. These results corroborate that the hppk-dhps gene is a novel amplification target for the detection of human malaria. This novel target PCR-based method is a beneficial approach for malaria diagnosis, as well as species identification and differentiation.
Understanding Sociodemographic Factors and Reasons Associated with COVID-19 Vaccination Hesitance among Adults in Tanzania: A Mixed-Method Approach
Authors: Msuya Hajirani M. , Mrisho Gumi A. , Mkopi Abdallah , Mrisho Mwifadhi , Lweno Omar N. , Ali Ali M. , Said Ali H. , Mihayo Michael G. , Mswata Sara S. , Tumbo Anneth M. , Mhalu Grace , Jongo Said A. , Kassim Kamaka R. , Nyaulingo Gloria D. , Temu Silas G. , Kazyoba Paul E. , Haruna Hussein , Kishimba Rogath , Kassa Hellen , Mwangoka Grace W. , Abdulla Salim
Published: September 2023

Although studies on COVID-19 vaccine hesitancy are being undertaken widely worldwide, there is limited evidence in Tanzania. This study aims to assess the sociodemographic factors associated with COVID-19 vaccine hesitancy and the reasons given by unvaccinated study participants. We conducted a mixed-method cross-sectional study with two components—health facilities and communities—between March and September 2022. A structured questionnaire and in-depth interviews were used to collect quantitative and qualitative data, respectively. A total of 1,508 individuals agreed to participate in the survey and explained why they had not vaccinated against COVID-19. Of these participants, 62% indicated they would accept the vaccine, whereas 38% expressed skepticism. In a multivariate regression analysis, adult study participants 40 years and older were significantly more likely to report not intending to be vaccinated (adjusted odds ratio [AOR], 1.28; 95% CI, 1.01–1.61; P = 0.04) than youth and middle-aged study participants between 18 and 40 years. Furthermore, female study participants had a greater likelihood of not intending to be vaccinated (AOR, 1.51; 95% CI, 1.19–1.90; P = 0.001) than male study participants. The study identified fear of safety and short-term side effects, and lack of trust of the COVID-19 vaccine; belief in spiritual or religious views; and belief in local remedies and other precautions or preventive measures as the major contributors to COVID-19 vaccine hesitancy in Tanzania. Further empirical studies are needed to confirm these findings and to understand more fully the reasons for vaccine hesitancy in different demographic groups.
Case Report: Nocardia amamiensis Infection Leading to Worsening of Chronic Obstructive Pulmonary Disease Symptoms in an Elderly Man
Authors: Kanakan Ahalya , Kumar Amit , Kaur Upinder , Narwade Prity , Rain Zinnu , Yadav Nidhi , Kumar Ishan , Kumar Deepak , Chakrabarti Sankha Shubhra
Published: September 2023

Nocardiosis is a rare opportunistic infection mostly affecting the lungs, brain, or skin of immunocompromised individuals. Most pulmonary nocardiosis patients present with nonspecific clinical features such as productive cough, exertional dyspnea, and fever. The disease is uncommonly suspected, especially in tuberculosis-endemic regions, and clinical diagnosis is often delayed, resulting in high mortality. Pulmonary nocardiosis in apparently immunocompetent individuals is uncommon. Here, we present the case of an elderly gentleman with a background history of poorly controlled diabetes but no history of systemic steroid use who presented with worsening symptoms of chronic obstructive pulmonary disease in the form of productive cough and dyspnea. The patient had diffuse crepitations in bilateral lung fields and an arterial oxygen saturation of 86% at admission. Sputum microscopy revealed gram-positive filamentous bacteria that could be successfully cultured and identified as Nocardia amamiensis on 16S ribosomal RNA sequencing. Contrast-enhanced computed tomography of the lungs revealed cavitary nodules and consolidation. The patient responded well to treatment with specific antibiotics based on sensitivity patterns. Because of the nonspecific clinical and radiological findings in pulmonary nocardiosis, a high index of suspicion is required, especially in tuberculosis-endemic regions.
Exérese de tórus mandibular bilateral com finalidade protética: relato de caso
Authors: Silva Dayane de Araujo da , Freitas Tiago dos Santos de , Cunha Carlos Eduardo dos Santos , Costa Michele Rosas Couto , Souza Maria Madalena Rodrigues de , Barros Wagner da Silva
Published: September 2023

O tórus é uma protuberância óssea benigna, que acomete a maxila e a mandíbula, de etiologia multifatorial, estando associado a fatores genéticos e ambientais. O objetivo deste estudo é relatar um caso clínico com foco no manejo cirúrgico de tórus mandibular bilateral que necessitou de remoção cirúrgica com finalidade protética. Paciente, do sexo masculino, de 64 anos, compareceu à Clínica Odontológica da Faculdade Adventista da Bahia (FADBA), buscando tratamento reabilitador protético. Ao exame físico intraoral, presença de edentulismo parcial em ambas as arcadas dentárias, bem como presença de massa endurecida e assintomática em rebordo alveolar lingual mandibular bilateralmente foram constatadas. Optou-se, assim, por realizar a cirurgia para exérese do tórus mandibular. Foi realizado bloqueio do nervo alveolar inferior e lingual bilateralmente, confecção do retalho tipo envelope, descolamento mucoperiosteal, osteotomia com sulcos de orientação e clivagem dos blocos ósseos, regularização do rebordo com broca maxicut, irrigação copiosa com soro fisiológico, seguida de sutura interpapilar. Por tratar-se de patologia assintomática na maior parte dos casos, dispensa tratamento. Em casos de maior extensão, no entanto, quando ocorrem lesões traumáticas de repetição relacionadas à alimentação, às alterações fonéticas ou algum empecilho para o tratamento protético reabilitador, indica-se remoção cirúrgica. Após a avaliação clínica, foi definido o diagnóstico de tórus mandibular, esclareceu-se o paciente sobre a necessidade de remoção cirúrgica, uma vez que a presença das exostoses impossibilitaria o tratamento protético. Após a cirurgia, o paciente foi encaminhado para dar seguimento ao seu tratamento reabilitador.
Stoma Komplikasyonları ve Hemşirelik Bakımı: Güncel Yaklaşımlar
Authors: AYİK Cahide , ÖZDEN Dilek
Published: September 2023

Bağırsak stomaları, gastrointestinal sistem hastalıklarının cerrahi tedavisinde kullanılan yaygın bir girişimdir. Stoma açılması bireylerin sağ kalım oranlarını artırmakta ancak stoma ile ilgili komplikasyonlar ostomi ile yaşamanın olumsuz sonuçları olarak kabul edilmektedir. Stoma komplikasyonları, parastomal herni, prolapsus, mukokutanoz ayrılma, retraksiyon, nekroz, stenoz, travma ve fistülden oluşmaktadır. Stoma komplikasyonu ile ilgili literatür, stoma cerrahisi sonrası değişen oranlarda en az bir stoma komplikasyonu geliştiğini bildirmektedir. Pek çok komplikasyonun yönetiminde anahtar, komplikasyon gelişmesini önlemektir. Stoma cerrahisinin tekniğinin iyi olması ve stoma ve yara bakım hemşiresi tarafından komplikasyonların akıllıca yönetimi, hastanın iyileşmesinde önemli faktörlerdir. Bu nedenle hemşirelerin temel düzeyde stoma bakımı ve komplikasyon yönetiminde bilgi sahibi olması önemlidir. Bu derlemenin amacı stoma komplikasyonlarının önemli noktalarını vurgulayarak hemşirelere bir bakış açısı sağlamak ve komplikasyonlara yönelik hemşirelik yaklaşımlarını güncel rehberler ve çalışma sonuçları doğrultusunda sunmaktır.
Türkiye’de Hemşirelik Öğrencilerinde COVID-19 Aşı Okuryazarlığı ile Sosyodemografik Özelliklerin Aşı Tutumlarına Etkisi
Authors: YILDIRIM GÖKŞEN Dicle Filiz , ULUDAĞ Elif , ÖZKAN Sevgi
Published: September 2023

Giriş: COVID-19 pandemisi küresel bir sağlık sorunudur. Bu salgının kontrol altına alınabilmesinde aşılama önem taşımaktadır. Ancak toplumda aşı tereddütlerine neden olan pek çok neden vardır. Bu nedenlere COVID-19 aşısıyla ilgili asılsız bilgi ve söylemler örnektir. Toplumun aşıya yönelik doğru bilgi kaynaklarından olan hemşirelerin ve hemşirelik öğrencilerinin aşıya yönelik tutumu da aşılama oranlarını etkileyebilecek güçtedir. Bu nedenle sağlık hizmeti sunacak olan hemşirelik öğrencilerinin aşı okuryazarlığının ve sosyodemografik özelliklerinin aşı tutumlarına etkisi incelemek önemlidir.

Amaç: Hemşirelik öğrencilerinin COVID-19 aşı okuryazarlığının ve sosyodemografik özelliklerinin COVID-19 aşı tutumlarına etkisini incelemektir.

Yöntem: Araştırma tanımlayıcı ve ilişkisel niteliktedir. Veri toplama formu; tanıtıcı bilgi formu, COVID-19 aşı okuryazarlığı ölçeği ve COVID-19 aşısına yönelik tutumlar ölçeğinden oluşmaktadır. Veri toplama formu, hemşirelik öğrencilerinin haberleşme gruplarında çevrimiçi olarak paylaşılmıştır. Araştırmaya 503 hemşirelik öğrencisi dahil edilmiştir. Veriler, SPSS 25 paket programı ile tanımlayıcı istatistikler ve pearson korelasyon kullanılarak analiz edilmiştir.

Bulgular: Öğrencilerin COVID-19 aşı tutumlarını cinsiyet, baba eğitim düzeyi ve olunan aşı türü etkilemektedir. COVID-19 aşı okuryazarlığının ise aşı tutumunu olumlu yönde etkilediği belirlenmiştir.

Sonuç: Hemşirelik öğrencilerinin COVID-19 aşısına karşı olumlu tutum geliştirmesinde doğru bilgiye ulaşma becerilerinin desteklenmesi, COVID-19 aşısına yönelik eğitimlerin güncel tutulması ve ebeveynlerinin de bilgilendirilmesi aşılama oranlarına katkı sağlayacaktır.
Hemşirelik Lisans Öğrencilerinin Afete Müdahale Öz Yeterliliğinin Değerlendirilmesi
Authors: YILDIZ KESKİN Ayşe , ALAN Handan
Published: September 2023

Giriş: Hemşireler afetlerde önemli rollere sahiptir. Hemşirelik öğrencilerinin afete müdahale özyeterlilik durumlarının değerlendirilmesi önemlidir.

Amaç: Bu araştırma, hemşirelik lisans öğrencilerinin afete müdahale öz yeterliliklerini değerlendirmek amacıyla yapılmıştır.

Yöntem: Tanımlayıcı tipte olan bu araştırmanın evrenini, iki hemşirelik fakültesinde öğrenim gören 3. ve 4. sınıf hemşirelik öğrencileri oluşturmaktadır (N=972). Araştırmanın örneklemine ise araştırmaya katılmayı kabul eden 387 öğrenci alındı. Veriler, “Kişisel Bilgi Formu” ve “Afete Müdahale Öz Yeterlilik Ölçeği” ile toplandı.

Bulgular: Çalışmamızda Afete Müdahale Öz-Yeterlilik Ölçeği toplam puan ortalaması 3.23 ± 0.79 olarak bulundu. Çalışmaya katılan öğrencilerden afetle ilgili ders alan, aldıkları dersin 3 saat ve üzeri olduğunu ve okulda afet planı olduğunu bildirenlerin ölçek puanları istatistiksel olarak anlamlı şekilde yüksek bulundu.

Sonuç: Bu çalışmada, hemşirelik öğrencilerinin afete müdahale öz yeterliliklerinin orta seviyede olduğu ve afete müdahale öz yeterlilikleri ile bazı kişisel özellikleri ve afete yönelik eğitim durumları arasında ilişki olduğu belirlendi. Jeolojik koşullar göz önüne alındığında afetle karşılaşma riski yüksek bir ülke olan Türkiye’de üniversite düzeyindeki hemşirelik eğitiminde afet durumlarına yönelik teorik veya uygulamalı eğitimlerin zorunlu olması önemlidir.
Formação continuada online de professores sobre ensino e aprendizagem de Estatística
Authors: Guimarães Gilda Lisbôa , Cavalcanti Milka Rossana Guerra Cavalcanti de Albuquerque , Silva Izabela Cristina Bezerra da
Published: September 2023

Este estudo tem como objetivo analisar um processo de formação continuada online de professores dos Anos Iniciais do Ensino Fundamental sobre o ensino e a aprendizagem de Estatística. Durante quatro encontros refletimos sobre a importância de se desenvolver pesquisas envolvendo as fases do ciclo investigativo e sua viabilidade por meio de práticas docentes no ambiente escolar, considerando os diferentes tipos de conhecimento do professor. Realizamos uma pesquisa junto com os professores sobre o uso da internet para o ensino de Estatística e eles realizaram com seus alunos uma pesquisa sobre pets e relataram para o grupo. Todo processo formativo ocorreu de maneira online favorecendo, dessa maneira, a participação de professores em diferentes estados do Brasil. O processo formativo promoveu reflexões para o ensino de Estatística a partir das vivências com pesquisa, ampliando o que pode e deve ser ensinado pelos professores nos Anos Iniciais sobre Estatística.
CASE STUDY ON KAPHAJA ADHIMANTHA (POAG)
Authors: Mamgain Harshmani , Gupta Jyoti
Published: September 2023

Introduction: Glaucoma is a chronic progressive optic neuropathy caused by a group of ocular conditions which
lead to damage of the optic nerve with loss of visual function. Case Presentation: A 58-year-old male patient of
POAG with no history of diabetes and hypertension was taken from the OPD of Patanjali Ayurveda hospital is
presented here. Intervention: Patient underwent the ayurvedic management consisting of specific Kriyakalpa
procedures i.e., Tarpana, Marsha Nasyam and Jalaukavacharana . Result: The combined effect of Tarpana,
Nasyam, Jalaukavacharana provides proper treatment for POAG.
Conclusion: This case study shows that ayurvedic treatment Tarpana, Marsha Nasyam and Jalaukavacharana
are helpful for reducing the symptoms of Kaphaja Adhimantha (POAG).
Desentrañando el estado del conocimiento de la Gestión y Administración Pública (GyAP): aportaciones y vigencia de las escuelas de pensamiento
Authors: Sosa González José Luis Sergio
Published: September 2023

El objetivo de este trabajo es describir y entender cómo ha evolucionado la Gestión y Administración Pública (GyAP) como disciplina de estudio a partir de las escuelas de pensamiento que la conforman. Con base en una investigación documental exhaustiva y el uso de los métodos genético y sistémico, se identifican dieciocho escuelas de pensamiento que componen la disciplina y que pueden clasificarse en tres grandes etapas de evolución. Se describen las aportaciones originales, autores precursores, retroalimentación y dimensión del objeto de estudio de cada escuela, así como su inclusión en cada etapa. Se concluye que las escuelas y etapas son complementarias, vigentes y necesarias de conocer para lograr la comunicación efectiva entre estudiosos de la materia, entender en plenitud el objeto de estudio y formular intervenciones efectivas para mejorar la acción de gobierno.
Assessment of an Oxidation Ditch's Performance via COD and Nitrogen Fractionation Analysis
Authors: Males Álvarez Jumara del Carmen , Guerrero Aguirre Jorge Eduardo , Sánchez Proaño Renato Gabriel
Published: September 2023

The rapid population growth in the southern part of Quito, driven by the pursuit of material prosperity, has increased the production of wastewater, leading to discharges into water bodies and impacting water quality. In this context, characterizing wastewater is crucial for reliable operational decisions. This research evaluates the Quitumbe Wastewater Treatment Plant's bioreactor in relation to the fractionation of COD and nitrogen, considering the sludge age as a controlled variable. Wastewater samples were collected in March at the inlet and outlet points of the bioreactor, and a physicochemical method was used for COD fractionation. The results indicate a predominance of slowly biodegradable COD (XS) and removal rates of 95% for biodegradable COD and 93% for ammonia nitrogen, demonstrating biodegradation capacity. Incomplete nitrification was confirmed, along with a cellular retention time of 20 days. This study provides a solid foundation for improving the operational management of the Quitumbe Wastewater Treatment Plant.
Сторінка історичного досвіду мирних переговорів під час війни: дипломатична місія УНР до Москви на початку 1919 р.
Authors: Солдатенко В.Ф.
Published: September 2023

У статті ставиться завдання привернути увагу до однієї з мало досліджуваних сторінок вітчизняного дипломатичного досвіду – спроб Української Народної Республіки досягти миру у відносинах з Російською Соціалістичною Федеративною Радянською Республікою, загасити полум’я Громадянської війни на початку 1919 р. Доводиться констатувати, що в наявній історіографії з різних причин історія здійснення спеціальної дипломатичної місії УНР до Москви у січні – лютому 1919 р. не аналізувалася достатньо предметно і всебічно, хоча фактичний матеріал дає доволі значні можливості для конкретних висновків щодо можливостей використання уроків минулої практики для успішного здійснення завдань нинішнього надзвичайно відповідального етапу історичного поступу. Проблема видається тим значущою, що з неминучістю породжує умоглядні паралелі між нинішнім днем і подіями більш як сторічної давнини.
Fetal congenital heart diseases: Diagnosis by anatomical scans, echocardiography and genetic tests
Authors: Kanneganti Abhiram , Gosavi Arundhati Tushar , Lim Mei Xian Karen , Li Wei Ling Sarah , Chia Dawn AK , Choolani Mahesh Arjandas , Chen Ching Kit , Biswas Arijit
Published: September 2023

Objective: To determine the distribution of major fetal congenital heart diseases (CHDs) diagnosed antenatally during routine second-trimester obstetric anatomical scans in an unselected population at a single tertiary centre and to characterise and stratify risk factors, genetic diagnosis and long-term health at 4 years old.

Method: A single-centre cohort study of all major fetal CHDs detected on routine obstetric fetal anatomical ultrasound scans between January 2014 and December 2017 was performed in an unselected population. Demographic details, fetal echocardiogram reports, genetic test results, delivery outcomes and postnatal progress were stratified by CHD subtype.

Results: Of 20,031 screened pregnancies, 109 pregnancies (0.53%) had major fetal CHDs. The most common subtypes were coarctation of aorta (17.4%), transposition of great arteries (16.5%), and tetralogy of Fallot and univentricular hearts (13.8% each). Of the 60.5% that underwent confirmatory genetic testing—mostly conventional karyotyping and testing for 22q11 microdeletion—about a quarter had abnormalities, of which 22q microdeletion was the most common. We had complete obstetric data in 85 pregnancies (78%), of which 76.5% progressed to live birth. Among these, 92.1% of postnatal echocardiograms concurred with antenatal ones. At 4 years old, 43.2% of offspring had no medical or developmental issues, 20.0% had mild medical or developmental issues, 21.5% had major medical or developmental issues, and 12.3% had deceased.

Conclusion: Fetal echocardiograms accurately diagnose CHDs. Future studies should evaluate the roles of chromosomal microarray and next-generation sequencing in diagnosing CHD.
Model Pemberdayaan BUMDES Dalam Rangka Meminimalisir SDGs Desa Pasca Undang-Undang Cipta Kerja
Authors: Suryo Kencono Pramukhtiko , Ridho ‘Ubbadurrohman Muhamad Syah , Farhan Adijaya Mohammad
Published: September 2023

Setiap orang mendambakan pekerjaan yang layak, maka berimpact terhadap peningkatan kesejahteraan ekonomi masyarakat. dalam prespektif undang-undang No. 13 tahun 2003 tentang Ketenagakerjaan diacu dalam pasal 96 mengatur terkait daluarsanya suatu kewajiban pemberi kerja untuk memberikan gaji/upah yang mana daluarsanya yaitu 2 tahun bila lebih dari 2 tahun maka kewajiban si perberi kerja untuk memberi gaji/upah akan hilang karena sudah lewat dari masa daluarsa tersebut. Yang mana telah dihapuskan dalam UU Cipta Kerja yang berdampak positif kepada para buruh/pekerja agar hak-haknya dipenuhi oleh pihak pemberi kerja.. Berbeda pengaturan di dalam UU Cipta Kerja, lebih menguntungkan para pekerja atau buruh. Tujuan penelitian ini untuk menganalisa inovasi UU Cipta Kerja terhadap para pekerja/buruh para buruh terkait SDGs Desa untuk mendapatkan Pekerjaan yang layak dan lebih sejahtera, selain itu pemberdayaan melalui BUMDES. Metode yang digunakan dalam penelitian ini dilakukan menggunakan metode yuridis normative yang mengkaji tentang permasalahan hukum dengan pendekatan  konsep dan pendekatan peraturan perundang- undangan yaitu Undang- Undang No. 13 tahun 2003, Undang Undang No .6 Tahun 2023 tentang Cipta Kerja. Hasil Penelitian menunjukkan bahwa peningkatan SDGs Desa terkait pengurangan pengangguran, kemiskinan melalui pem-berdayaan masyarakat Desa (keberadaan BUMDES) sehingga menjadikan masyarakat menjadi mandiri dan sejahtera, adanya UU Cipta kerja buruh diberlakukan lebih manusiawi terhadap hak- hak yang akan diterima oleh para pekerja/ buruh. Rekomendasi dari penelitian ini segera membentuk Perdes terkait dengan pemberdayaan ekonomi bagi Masyarakat Desa.
Pengaruh Kualitas Pelayanan Publik, Sarana Prasarana Publik Dan Kinerja Pegawai Terhadap Kepuasan Masyarakat Pada Pelayanan E-KTP Di Kantor Camat Ampek Angkek Kabupaten Agam
Authors: Febri Suci Arfita , Ajidin Asep
Published: September 2023

This study aims to determine and analyze the effect of the quality of public services, public infrastructure and employee performance on community satisfaction in the E-KTP service at the Ampek Angkek Sub-District Office, Agam Regency. This type of research is associative descriptive analysis. The population in this study is all people who manage E-KTP who have not recorded their E-KTP. The sample used was 100 people who took care of the E-KTP and used a proportional random sampling technique. Primary data is the type of data used in this study. Data processing using SPSS 24. Data collection techniques using a questionnaire. The collected data was examined using descriptive analysis. Multiple regression analysis in research. Based on the research findings, it is known that the quality of public services (X1) is 0.017 <0.05. The significance of facilities and infrastructure (X2) is 0.024 <0.05 and employee performance (X3) is 0.000 <0.05 (Ho is rejected Ha is accepted). This illustrates that employee performance has a significant influence on community satisfaction managing e-KTP services at the Ampek Angkek Sub-District Office.
Pengaruh Aspek Fundamental Dan Teknikal Terhadap Harga Saham Perusahaan Perbankan 2019-2021
Authors: Fadillah Alia Nur
Published: September 2023

In investing in shares is not just about including capital into a company, but it is necessary to conduct an analysis to find out the performance of the company, especially in fundamental and technical analysis.  The fundamental factors used are variables Earnings Per Share while the technical factors used vary Trading volume, market capitalization, and book value to the market.This study was conducted with the aim of determining the influence of variables Earning Per Share, Trading Volume, Market Capitalization and Book to Market Value on the Stock Price of the Banking Sector listed on the Indonesia Stock Exchange in 2019-2021. This study used a quantitative approach with purposive sampling method. The data used are secondary data and the analysis methods used are panel data regression and multiple linear regression. The results of this study show that partially the variables Earning Per Share, and Market Capitalization have a significant positive effect on stock prices while the variables Trading Volume and Book to Market Value do not have a significant effect on stock prices. And simultaneously the variables Earnings Per Share, Trading Volume, Market Capitalization and Book to Market Value have a significant effect on stock prices.
SWOT Analysis of Organic Waste Crushing Mechines Using Grounded Theory
Authors: Dwi Ramadona Dasatry , Fitria Yossa , Nazmi Fittria , Heikal Jerry
Published: September 2023

Garbage is the residue of human daily activities and/or natural processes in solid form. Waste can come from various activities such as household waste, agricultural waste, building waste, trade and office waste, and industrial waste. The amount of waste stockpiles in Payakumbuh City until June 2023 is 100,386 tons per day. With details (1) Waste transported to the Final Processing Site (TPA) every day is 83,862 tons without segregation, (2) Waste processed at TPS3R is 0.252 tons with 6 units of equipmen, (3) Management at the unit waste bank 0.041 tons, (4) management at the main waste bank 7 tons, (5) Informal sector/ lapak as much as 7.4 tons, (6) Magot as much as 0.31 tons, (7) A total of 1.52 tons of waste has not been managed properly. Of the total amount of waste disposed of at the Temporary Final Processing Site (TPAS), 60 percent is organic waste. This study uses a qualitative technique with a grounded theory approach. The author conducted direct interviews with internal parties (Bappeda Payakumbuh City) and external parties (Tool Manufacturers, Equipment Users and the Environment Agency) to determine the impact of using a mobile organic waste counter machine in reducing the amount of organic waste in Payakumbuh City. Based on the research results, it was found that the coding scheme consisted of 41 codes that formed 9 categories and gave rise to 4 themes with a total score of 41. The highest score in coding was 23 on the theme of technology use. So it can be concluded that the use of technology greatly affects the reduction of organic waste in Payakumbuh City.
SWOT analysis of the transfer from structural positions to functional positions in the Regional Development Planning Agency (BAPPEDA) of Payakumbuh City using the Grounded Theory method
Authors: Daswirman Daswirman , Syafer Erdimen , Arda Edvidel , Heikal Jerry
Published: September 2023

The policy of bureaucracy simplification through the transfer of structural positions (level IV) to specific functional positions designated by the Central Government, which is applied comprehensively to both the Central and Regional Governments, has significant impacts on Civil Servants (PNS) who undergo such position transfers. The Regional Development Agency (Bappeda) of Kota Payakumbuh is one of the Local Government Institutions that has implemented the transfer of positions from structural to functional. This study uses SWOT analysis with the grounded theory method to understand the impacts of this transfer on the career, position, income, quality, and competence of individuals, as well as the work motivation of Civil Servants in Bappeda Kota Payakumbuh after the implementation of this policy. The research findings show that the positive impact of transferring positions from structural to functional includes the opportunity for faster career advancement, which is supported by several factors such as professional recognition, a strong organizational structure, clear job evaluations, and a well-defined job map
Pengaruh Kecepatan Akses Dan Brand Ambassador Terhadap Impulse Buying Aplikasi Shopee Pada Mahasiswa UINSU
Authors: Angin Silvia Amelia Perangin , Birahmani Nur Ahmadi , Jannah Nurul
Published: September 2023

The following developments in new technology, especially e-commerce, have reached all areas of the general public and businesses in Indonesia where these developments affect existing market conditions resulting in customers having high impulse buying. Impulse buying is the decision to buy an item that is carried out quickly or spontaneously. The following study aims to know and analyze the Effect of Access Speed and Brand Ambassador on Impulse Buying of the Shopee Application to North Sumatra State Islamic University Students. The following research is quantitative research through the population, namely all students of the State Islamic University of North Sumatra. The sample in the following study amounted to 100 respondents through sample assessment techniques using the formula presented by Umar. The techniques used in the following study are descriptive statistical analysis and multiple linear regression. The results of research show that Speed of Access and Brand Ambassadors simultaneously have a positive and significant effect on the Impulse Buying of the Shopee application to students of the State Islamic University of North Sumatra. While partially, Access Speed has a positive and significant effect on the Impulse Buying of the Shopee application to students of the State Islamic University of North Sumatra, the Brand Ambassador has a positive and significant effect on the Impulse Buying of the Shopee application to students of the State Islamic University of North Sumatra.