bluuebunny/crossref_metadata_2025 huggingface dataset:
The Acute Effect of Fructose on Cardiac Hemodynamic Responses and Infarcted Area in Isolated Rat Heart During Ischemia-Reperfusion
Authors: Palabıyık Orkide , Aydın Muhammed Ali , Değer Ecem Büşra , Korkmaz Selçuk , Vardar Selma Arzu
Published: February 2024

Introduction: This study aimed to investigate the effects of fructose on cardiac hemodynamics and infarct size and the role of the antioxidant mechanism in these effects in isolated rat hearts undergoing ischemiareperfusion.

Patients and Methods: Isolated hearts obtained from female Wistar rats were perfused with Krebs-Henseleit solution containing 12 mM glucose or solution containing 12 mM fructose or 48 mM fructose and underwent lowflow ischemia followed by reperfusion on the Langendorff apparatus. Left ventricular developed pressure (LVDP), timedependent pressure changes (dp/dt max, dp/dt min) and heart rates were recorded at the 1st, 15th and 120th minutes of reperfusion following ischemia, and the percentage of the infarct area and the size of the risk area were determined. At the end of the reperfusion, total oxidant capacity (TOS), malondialdehyde (MDA) and glutathione (GSH) levels were examined in perfusion fluid samples.

Results: Basal dp/dt max values were lower in the high fructose group compared to the glucose group (p= 0.032). When the hearts were perfused with 12 mM fructose, a significant increase was observed in the percentage of the ischemic area and risk area compared to equivalent glucose and high fructose (p< 0.001 and p< 0.001, respectively). MDA, GSH and TOS values were comparable in all groups.

Conclusion: The present study shows that fructose perfusion plays a role in reduced ventricular contractile function relative to glucose in isolated rat hearts. This reduction triggered by fructose appears to be independent of antioxidant mechanisms. Furthermore, fructose perfusion at glucose-equivalent concentration causes a greater increase in infarct area in ischemic hearts, whereas an increase in fructose concentration appears to prevent this effect.
Triglyceride-Glucose Index Could be Used to Predict Severity of Coronary Artery Ectasia
Authors: Oflar Ersan , Ünğan İsmail , Yıldız Cennet , Bostancı Alp Güngör İlayda , Mavi Büşra , Turhan Çağlar Fatma Nihan , Erciyes Demet , Şahin Alparslan
Published: February 2024

Introduction: Coronary artery ectasia (CAE) refers to a 1.5 fold increase in coronary artery diameter compared to the normal segment. Although the underlying pathophysiological mechanism is not fully elucidated, coronary atherosclerosis is thought to play a role in more than half of the cases. Triglyceride glucose (TyG) index is an indicator of insulin resistance. In the present study, aimed to evaluated TyG index values in CAE cases and find if a predictive value of TyG index existed.

Patients and Methods: Sixty-one patients with CAE (study group) and 64 patients with normal coronary arteries (control group) were included in the study. TyG index was calculated as ln (fasting triglyceride × fasting glucose/2).

Results: There were no differences between the two groups with respect to age, sex, diabetes mellitus prevalence, and biochemical parameters including, white blood cell, platelet, lymphocyte, monocyte counts, hemoglobin, hematocrit, urea, glucose, total cholesterol, high density lipoprotein-cholesterol, triglyceride levels and TyG index value. Twenty-five patients (41.0%) had one-vessel involvement, 24 (39.3%) patients had twovessel involvement and 12 (19.7%) patients had three-vessel involvement. Right coronary artery was the most commonly affected vessel (11, 44%), followed by left anterior descending artery (8, 35%), left main coronary artery (4, 16%) and circumflex artery (1, 4%). TyG index was statistically significantly higher in patients who had two/three vessel involvement (8.80 ± 0.48 vs 9.14 ± 0.62, p= 0.027). TyG index had statistically significant correlation with the number of ectatic vessels (r= 0.275, p= 0.032). ROC curve analysis showed that TyG index was useful for the prediction of ectasia severity (AUC= 0.653, 95% CI= 0.515-0.792, p= 0.043). TyG index value of 9.16 had 41.7% sensitivity and 84% specificity for prediction of CAE severity.

Conclusion: TyG index, which is easily calculated from biochemical parameters, might be used for the assessment of CAE severity.
P PENINGKATAN PRODUKTIVITAS JAGUNG MELALUI PEMBERIAN EKSTRAK BONGGOL PISANG DENGAN BERBAGAI DOSIS PUPUK SP-36.
Authors: Yusuf Andi Cakra , Sudartik Eka , Sulkifli Sulkifli , Suharman Suharman
Published: February 2024

Tujuan dari penelitian ini adalah untuk mengetahui peningkatan produktivitas jagung melalui pemberian ekstrak bonggol pisang dengan berbagai dosis pupuk SP-36. Penelitian dilaksanakan di laboratorium terpadu dan Kebun Percobaan Universitas Muhammadiyah Bone, yang berlangsung pada bulan Juni-Agustus 2022. Penelitian ini menggunakan rancangan petak terbagi (RPT) terdiri dari 2 (dua) faktor Perlakuan dan 3 (tiga) ulangan. Faktor pertama adalah Ekstrak Bonggol Pisang yang terdiri dari 3 taraf, yaitu; dosis 0 ml l-1(B0), 50 ml l-1(B50) dan 100 ml l-1(B100). Faktor kedua adalah pemupukan SP-36 yang terdiri dari 4 Taraf, Yaitu; pemupukan SP-36 0 kg ha-1(F0), 50 kg ha-1(F50), 100 kg ha-1(F100) dan 150 kg ha-1(F150). Parameter yang diukur adalah tinggi tanaman, jumlah daun, luas daun, bobot segar tanaman, bobot kering total tanaman. Pemberian Ekstrak bonggol pisang yang dikombinasikan dengan pupuk fosfat mampu meningkatkan tinggi tanaman, jumlah daun dan luas daun tanaman. Selain itu, tingkat pemupukan fosfat berpengaruh terhadap bobot segar tanaman dan bobot kering total tanaman.
DISTRIBUSI PROBABILITAS RADIAL ELEKTRON SISTEM MOLEKUL DALAM PENGARUH POTENSIAL KRATZER DENGAN METODE PARAMETRIK NIKIFOROV-UVAROV
Authors: Sunarmi Nani
Published: February 2024

Sistem molekul yang dipengaruhi oleh potensial Kratzer telah diselidiki menggunakan metode parametrik Nikiforov-Uvarov. Penelitian ini bertujuan untuk memperoleh distribusi probabilitas radial elektron dari sistem yang berada dalam pengaruh potensial Kratzer tanpa modifikasi, dan untuk melakukan simulasi distribusi probabilitas radial untuk molekul oksigen, iodin, karbon monoksida, dan nitrogen monoksida. Distribusi probabilitas radial elektron diperoleh melalui pemecahan persamaan Schrodinger pada bagian radial. Persamaan Schrodinger bagian radial ini diperoleh dengan memisahkan persamaan Schrodinger sistem molekul menjadi tiga bagian: radial, zenithal, dan azimuthal. Pemecahan persamaan Schrodinger pada bagian radial menghasilkan persamaan gelombang radial, di mana nilai mutlak kuadratnya memberikan distribusi probabilitas radial posisi elektron terhadap inti atom. Penyelesaian persamaan Schrodinger bagian radial dilakukan dengan menerapkan metode parametrik Nikiforov-Uvarov. Penyelesaian terhadap persamaan Schrodinger pada bagian radial ini melibatkan reduksi persamaan menjadi persamaan diferensial tipe hipergeometri. Komputasi numerik dan simulasi grafik distribusi probabilitas radial dilakukan dengan menggunakan perangkat lunak Matlab. Hasil penelitian menunjukkan bahwa penyelesaian distribusi probabilitas radial elektron bergantung pada parameter spektroskopi seperti energi disosiasi, panjang ikatan kesetimbangan, dan massa molekul, serta bilangan kuantum seperti bilangan kuantum vibrasional (n) dan bilangan kuantum azimuthal (l). Molekul iodin menunjukkan amplitudo plot distribusi probabilitas paling tinggi dibandingkan dengan molekul oksigen, karbon monoksida, dan nitrogen monoksida.
Nilai Religius Dan Sosial Novel Janji Karya Tere Liye Beserta Relevansinya Dengan Kehidupan Siswa MTs
Authors: Febriyana Nuria , Wardiah Dessy , Emawati Emawati
Published: February 2024

Penelitian ini bertujuan mendeskripsikan nilai-nilai religius dan sosial yang terdapat dalam novel Janji karya Tere Liye beserta relevansinya dengan kehidupan siswa madrasah tsanawiyah (MTs). Penelitian ini merupakan penelitian kualitatif menggunakan metode deskriptif analisis dan teknik analisis isi. Teknik pengumpulan data menggunakan teknik pustaka, baca, dan catat dengan objek penelitian novel Janji karya Tere Liye berjumlah 488 halaman. Hasil penelitian menunjukkan adanya nilai religius yaitu (1) kehidupan penuh kemuliaan, (2) perasaan batin berkaitan dengan Tuhan, (3) perasaan berdosa, (4) hubungan manusia dengan diri sendiri, (5) hubungan manusia dengan manusia lain. Kemudian nilai sosial yaitu (1) nilai kasih sayang terdiri dari pengabdian, tolong menolong, kekeluargaan, kesetiaan, kepedulian; (2) nilai tanggung jawab terdiri dari nilai rasa memiliki, disiplin, empati; (3) nilai keserasian hidup terdiri dari keadilan, toleransi, kerja sama, dan demokrasi. Nilai religius dan sosial dalam novel Janji tersebut juga memiliki relevansi dengan kehidupan siswa sehari-hari di Madrsah Tsanawiyah.
Location Accuracy of Terrestrial Radio Sources as a Function of the Increasing Number of Received Signal Strength Indicator (RSSI) Measurements Performed by a Simple Unmanned Aerial Vehicle (UAV)
Authors: Michalak Jaroslaw
Published: February 2024

The widespread use of Unmanned Aerial Vehicles (UAVs) opens up new possibilities for locating radio radiation sources. The moving, simple UAV can quickly collect a significant number of signal measurements taken at different locations ensuring a high economic efficiency and organizational flexibility.
ANÁLISE DE AMBIENTES AQUÁTICOS CONTINENTAIS: INTEGRAÇÃO DA OCEANOGRAFIA FÍSICA ESTUARINA, LIMNOLOGIA E HIDROQUÍMICA PARA A ANÁLISE DE NAUFRÁGIOS METÁLICOS EM AMBIENTES DEPOSICIONAIS FLUVIAIS-ESTUARINOS-OCEANICOS
Authors: Barbosa Jardel Stenio de Araujo
Published: February 2024

Este artigo explora a análise interdisciplinar dos naufrágios históricos em ambientes aquáticos, destacando a contribuição da Limnologia, Hidroquímica e Oceanografia Física de Estuários. Aborda-se o campo de estudo da Limnologia, que se estende desde sistemas aquáticos de água doce até estuários e zonas costeiras, o estudo aprofunda o entendimento dos processos ambientais nos fluxos aquático lênticos e lóticos e seu impacto em sítios de naufrágios de natureza metálica. A Hidroquímica é enfatizada pela sua análise da composição química da água, relevante para compreender os impactos ambientais e os mecanismos de corrosão e biodeterioração em naufrágios. Paralelamente, a Oceanografia Física Estuarina é destacada por seu papel no entendimento das variações hidrológicas e seus efeitos sobre a integridade dos naufrágios em zonas costeiras. O artigo ressalta a relevância destes campos de estudo na análise bidirecional entre naufrágios e seus ambientes aquáticos, abrangendo tanto o impacto dos naufrágios no sistema aquático quanto a influência do ambiente na preservação deles.
تأثير الطحن الزائد والنقع بالماء المحمض على ذائبية نخالة القمح وقدرتها على ربط الماء والزيت
Authors: مختار المهدي محمد  , منى عبد السلام لويفة
Published: February 2024

هدفت هذه الدراسة إلى تقييم تأثير معاملة نخالة القمح بالطحن الزائد (التنعيم) والنقع في الماء المحمض على خواصها الوظيفية، تم قياس القدرة على الارتباط بالماء والزيت، كما تم أيضا قياس الذوبانية كمؤشر على الجاهزية الحيوية، أظهرت النتائج أن الطحن الزائد قلل من قدرة النخالة على الارتباط بالماء، بينما الطحن الزائد والمعاملة بالنقع في الماء المحمض اديا الي رفع القدرة على ربط الزيت مقارنة بالعينة القياسية (النخالة الخشنة)، في حين أن المعاملة بالنقع في الماء المحمض أعطت أعلى قيمة للذوبانية (19.10٪) مقارنة بالعينة المرجعية والطحن الزائد (10.30% و9.00% على التوالي)، كما بينت النتائج وجود فروق معنوية بين المعاملات (p≤0.05)، بالتالي، يمكن القول إن المعاملة بالنقع في الماء المحمض كانت أكثر فعالية لتحسين الوفرة الحيوية للعناصر الغذائية في النخالة، تعتبر هذه النتائج مهمة لتدعيم مخبوزات دقيق القمح الأبيض بالنخالة، وبالتالي رفع قيمتها الغذائية والحيوية.
Agritourism in Central Luzon, Philippines: Status, Challenges, and Pathways to Sustainable Growth
Authors: Alar Sherwin S.
Published: February 2024

This study explores the status, challenges, and pathways to sustainable growth in Central Luzon, Philippines agritourism. Data from agritourism trainers, farm owners, trainees, and stakeholders are analyzed using a descriptive research design and statistical tools such as Multivariate Tests, Wilks' Lambda (Exact Statistic), and Spearman's Rank-Order Correlation. The research identifies significant variations in agritourism status across site characteristics and underscores the importance of tailored management approaches. Moreover, it reveals a positive correlation between knowledge acquisition and utilization, emphasizing the role of training in enhancing agritourism practices. Despite challenges like waste management and bureaucratic hurdles, agritourism is recognized as a valuable driver of economic development in Central Luzon, offering opportunities for rural communities and sustainable agriculture. This study's implications inform policymakers, educators, and government officials, providing insights for agritourism program development and policy formulation, ultimately contributing to regional economic growth and community well-being.
An Environmentally Friendly Alternative Method of Producing Religious Images for Philippine Holy Week Tableaus
Authors: Demeterio III Feorillo Petronillo A.
Published: February 2024

This paper presents a proposed process of making Philippine Holy Week sacred images from clay, plaster, and paper fiber instead of the more precious wood from the country's shrinking forests. This paper theoretically established the durability of the product and environmental soundness of this alternative process compared to the traditional wood carving or the more recent resin casting by thoroughly describing this alternative process by understanding the notion of durability based on the traditionally preferred woods among santeros, by understanding the conservation status of these preferred woods, and by undertaking comparative calculations of the environmental impacts of the productions of the three current alternatives. This paper is significant because it proposes a sustainable way of assuring the continued existence of the Filipino cultural tradition of making and presenting Holy Week images.
‘You’re Investing in People … It’s Not a Race. It’s Not a Rush’: Youth Care Worker Emotional Labour in Inner-City Neighbourhoods Across Canada
Authors: Enkhtugs Bilguundari , Walby Kevin
Published: February 2024

Emotional labour (EL) is the practice of managing expressions in a given work setting. Using the concept of EL, we aim to understand how youth care workers supporting marginalized youth manage work-related stress and the emotions experienced by young people. The youth supported by these workers experience the effects of secondary prisonization (i.e., indirect exposure to punishment), requiring them to engage in extensive EL. Drawing from qualitative interviews and participant-generated visual data, we show that EL is a crucial part of support work that is not yet well recognized. With the participant-generated visual data, we reveal how emotions are processed and managed. EL enables workers to continue to advocate for the needs and well-being of young people even at times of distress and austerity, at the expense of being exposed to secondary prisonization. Explaining how secondary prisonization extends beyond immediate family members and affects youth care workers at a tertiary level, we argue that one way of investing in the community (rather than expanding the criminal justice system) is by taking the importance of EL in support work seriously and providing better resources for these workers, who present real opportunities and safety for inner-city youths.
Innovations and transversalities in the federal executive’s development policies - a historical-documentary approach based on the concept of competencies
Authors: O’hara Alves Sobrinho Francisca Scarlet , Oliveira Barbosa Lucyana , Siqueira Silva Maria , De Almeida Bizarria Fabiana Pinto , Sampaio Flávia Lorenne Barbosa
Published: February 2024

The National Personnel Development Policy (PNDP) aims to train and develop the skills of federal public servants to improve the quality of public management in institutions and offer a service of greater excellence to society. Therefore, this research aims to understand the historical and documentary trajectory of the federal executive's personnel development policies based on the concept of competencies. To this end, the method used is classified as descriptive, documentary and with a qualitative approach, presenting a historical-documentary path, understanding the personnel development policies of the federal executive between the years 1986 and 2021, supported by the concept of competencies. As main results, it was noticed that constant training supported by the concept of transversal skills is essential for optimizing staff development. Furthermore, there is a need to build an organizational environment conducive to identifying and promoting internal corporate leadership. In the field of practical application, this study contributes to a better understanding of the trajectory of public servant development policies.
Editorial
Authors: Carrillo Barroso Ernesto , Soto Sainz Óliver
Published: February 2024

Editorial
Effect of Adding Different Levels of Silver -Curcumin Nanoparticles on Some Productive Traits, Blood Parameters and Antioxidant Status of Broiler Chickens
Authors: Al-Zuhairi Saja
Published: February 2024

The objective of the current study was to investigate the impact of adding different levels of silver-curcumin nanoparticles on some productive traits, blood parameters and antioxidant status of broiler chickens. A total of 144 broiler chicks (Ross308),one day old, with an average weight of 40 grams, were used in this study. The chicks were randomly distributed into four experimental treatments (each with 36 chicks), with three replicates for each treatment (12 chicks per replicate), using a completely randomized design for a period of 35 days. The first treatment was a control without addition, while the second, third, and fourth treatments, each added 1, 1.5, and 2 mg of silver-curcumin nanoparticles per liter of drinking water, respectively. The results indicated that the best average body weight, overall weight gain, and feed conversion efficiency were in the fourth treatment. The results indicated a significant increase (p≤0.05) in some blood parameters such as the packed cells volume , red blood cells, and hemoglobin concentration in the third and fourth treatments compared to the other experimental treatments. The results indicated a significant increase (p≤0.05) in the third and fourth treatments for the effectiveness of the GPX enzyme compared to the control and the second treatments. In terms of the CAT enzyme's efficiency, the results showed an improvement all treatments when compared to the control treatment. While the results did not indicate a significant difference in the mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), the activity of the enzyme superoxide dismutase (SOD), and the concentration of malondialdehyde (MDA) among the study treatments. It can be concluded that adding 2 mg/L of silver- curcumin nanoparticles has improved the growth of broilers and their feed conversion efficiency, as well as improving blood parameters and enhancing antioxidant enzymes such as glutathione peroxidase and catalase.
Penerapan Total Productive Maintenance Guna Mengoptimalkan Ketersediaan Mesin di PT. ATMI Solo
Authors: Darsini Darsini , Aditya Prabantara Yonatan
Published: February 2024

Produktivitas yang optimal perlu ditunjang dengan ketersediaan mesin yang selalu siap berpoduksi. Kondisi yang perlu dijaga adalah jangan sampai mesin sering berhenti karena terjadi kerusakan dan menyebabkan kontinuitas produksi terhambat. Tingkat ketersediaan mesin (availability) menurut Japan Institute of Plant Maintenance (JIPM) dikatakan ideal bila sudah melebihi 90%. Di PT. ATMI Solo, sebanyak 23,8% dari 21 mesin CNC masih memiliki persentase availability dibawah 90%, yaitu mesin punching Salvagnini S4 (69%), mesin frais Starrag CF100 (79%), mesin bending Trubend 3180 (82%), mesin frais YCM TV 158B (82%), dan mesin punching Trumatic TC 200 R (89%). Faktor utama rendahnya ketersediaan mesin di PT. ATMI Solo adalah tingginya downtime mesin karena terjadi kerusakan. Karena itu perlu dilakukan penerapan Total Productive Maintenance (TPM) untuk mengoptimalkan ketersediaan mesin tersebut. Penerapan TPM yang dilakukan adalah Training and Education, Autonomous Maintenance, Planned Maintenance, dan TPM in Administration (TPM dalam Administrasi) terutama pada bagian Logistik spare part. Penerapan TPM tersebut berhasil menaikkan persentase availability diatas 90% (berdasarkan data Laporan Harian Umum Maintenance tahun 2022) yaitu mesin punching Salvagnini S4 (94,13%), mesin frais Starrag CF100 (96,36%), mesin bending Trubend 3180 (99,70%), mesin frais YCM TV 158B (99,97%), dan mesin punching Trumatic TC 200 R (99,88%).
Analisis Kerusakan Dump Truck HD785-7 Menggunakan Metode Pareto, FMEA dan SCAT
Authors: Darsini Darsini , Susanto Galih
Published: February 2024

PT Saptaindra Sejati (SIS) merupakan salah satu perusahaan yang saat ini dikenal sebagai perusahaan yang bergerak di bidang jasa pertambangan. Perusahaan dituntut memenuhi target produksi yang telah ditentukan untuk memenuhi target produksi harus didukung dengan perfoma unit produksi yang baik. Penelitian ini membahas tentang kerusakan unit produksi Dump Truck HD785-7 yang menyebabkan penurunan performa sehingga membuat produktivitas perusahaan tidak optimal. Untuk mengurangi atau mencegah kegagalan pada Dump Truck HD785-7 perlu menerapkan suatu perbaikan dalam pengoprasian dan maintenance yang baik. Metode yang digunakan untuk mengatasi performa unit produksi yang kurang baik adalah metode pareto, Failure Mode and Effect Analyis (FMEA) dan Systematic Cause Analysis Technique (SCAT). Dengan metode pareto untuk membuat grafik batang berdasarkan urutan banyaknya jumlah kejadian. Metode FMEA kegagalan yang terjadi dapat diidentifikasiikan untuk dibuat prioritas pengendaliannya. Metode SCAT untuk dapat menganalisa sistem kegagalan dari gabungan beberapa sub-sistem, level yang dibawahnya dan untuk mengetahui kegagalan komponen. Dari hasil pengolahan data diketahui 3 kerusakan yang memiliki pengaruh terbesar terhadap performa unit yaitu kerusakan error 03 low power dengan RPN 360, kerusakan work lamp problem dengan RPN 216 dan kerusakan engine can’t start dengan RPN 189.
Đánh giá kết quả dài hạn điều trị suy tĩnh mạch hiển lớn bằng năng lượng sóng có tần số radio với ống thông CR45i
Authors: Huy Đinh Quang , Giang Phạm Thái , Biên Vũ Điện
Published: February 2024

Mục tiêu: Đánh giá kết quả dài hạn điều trị suy tĩnh mạch hiển lớn bằng năng lượng sóng có tần số radio với ống thông CR45i. Đối tượng và phương pháp: Nghiên cứu tiến cứu, mô tả cắt ngang và theo dõi dọc được thực hiện trên 232 bệnh nhân (BN) với 352 chân bị suy tĩnh mạch chi dưới mạn tính biểu hiện bởi dòng trào ngược > 0,5 giây trên siêu âm Doppler và có phân độ lâm sàng từ C2 đến C6, được điều trị bằng năng lượng sóng có tần số radio tại Bệnh viện Tim Hà Nội từ tháng 9 năm 2017 đến tháng 6 năm 2022. Các BN được hỏi bệnh, khám lâm sàng, siêu âm Doppler tĩnh mạch chi dưới, can thiệp dưới hướng dẫn siêu âm và theo dõi đánh giá đến 18 tháng sau can thiệp. Kết quả: Triệu chứng cơ năng giảm rõ rệt sau 1 tháng và duy trì kéo dài đến 18 tháng sau can thiệp. Phân độ CEAP sau can thiệp cải thiện rõ từ C2-C6 còn chủ yếu C0-C1. Điểm VCSS giảm từ 7,9 ± 1,4 trước can thiệp còn 1,1 ± 0,8 sau 18 tháng (p<0,001); điểm CIVIQ-20 giảm từ 44,5 ± 3,9 trước can thiệp còn 20,6 ± 2 sau 18 tháng (p<0,001). Sau 18 tháng theo dõi có 20 trường hợp (5,7%) tái thông lòng mạch sau can thiệp; tỉ lệ thành công của thủ thuật là 94,3%. Các biến chứng chủ yếu sau can thiệp là đau căng cơ (23,9%), bầm tím (7,1%). Sau 18 tháng theo dõi có 14 trường hợp (3,9%) EHIT xuất hiện. Kết luận: Điều trị suy tĩnh mạch hiển lớn bằng năng lượng sóng có tần số radio là an toàn và hiệu quả khi theo dõi dài hạn đến 18 tháng.
Trầm cảm ở bệnh nhân cao tuổi nội trú có bệnh tim mạch: Tỷ lệ và yếu tố liên quan
Authors: Huân Nguyễn Thanh , Tuyết Hoàng Thị , Hai Nguyễn Văn Bé
Published: February 2024

Mục tiêu: Xác định tỉ lệ và các yếu tố liên quan đến trầm cảm ở các bệnh nhân cao tuổi nội trú có bệnh tim mạch. Đối tượng và phương pháp: Nghiên cứu được thực hiện theo phương pháp cắt ngang trên các bệnh nhân cao tuổi có bệnh tim mạch tại Khoa Nội Tim mạch, Bệnh viện Thống Nhất từ tháng 4/2023 đến tháng 8/2023. Kết quả: Có tổng cộng 411 bệnh nhân ≥ 60 tuổi thỏa các tiêu chuẩn chọn bệnh và được đưa vào nghiên cứu. Độ tuổi trung bình dân số nghiên cứu là 73,7  ± 8,8 tuổi. Tỉ lệ trầm cảm theo thang đo trầm cảm lão khoa rút gọn trong nghiên cứu là 40,6% (167 bệnh nhân). Hồi quy logistic đa biến ghi nhận đa thuốc (OR = 2,31; khoảng tin cậy [KTC] 95%: 1,44-3,72; p = 0,001) và phụ thuộc các hoạt động sống hằng ngày (OR = 2,72; KTC 95%: 1,42-5,19; p = 0,002) là hai yếu tố có liên quan đến trầm cảm. Kết luận: Chúng tôi ghi nhận hai phần năm bệnh nhân cao tuổi có bệnh tim mạch tại Khoa Nội Tim mạch, Bệnh viện Thống Nhất có trầm cảm và hai yếu tố lão khoa đa thuốc và giảm các hoạt động sống hằng ngày có liên quan đến trầm cảm.
Nghiên cứu mối tương quan giữa mức độ nhiễm mỡ và xơ hóa gan với đặc điểm lâm sàng, cận lâm sàng bệnh gan nhiễm mỡ không do rượu ở bệnh nhân rối loạn chuyển hóa lipid máu tại Bệnh viện Quân y 175
Authors: Tiến Đào Đức , Dũng Nguyễn Thế
Published: February 2024

Mục tiêu: Khảo sát các yếu tố liên quan đến mức độ nhiễm mỡ và xơ hóa gan ở bệnh nhân rối loạn chuyển hóa lipid máu có bệnh gan nhiễm mỡ không do rượu tại Bệnh viện Quân y 175. Đối tượng và phương pháp: Nghiên cứu hồi cứu trên 201 bệnh nhân rối loạn chuyển hóa lipid máu khám và điều trị tại Bệnh viện Quân y 175 từ tháng 01/2019 đến 7/2020. Khảo sát các yếu tố liên quan đến mức độ nhiễm mỡ và xơ hóa gan ở các bệnh nhân có bệnh gan nhiễm mỡ không do rượu xác định bằng máy fibroscan. Kết quả: Tỷ lệ bệnh nhân rối loạn chuyển hóa lipid máu có bệnh gan nhiễm mỡ không do rượu chiếm 80,6%, trong đó có tới 51,85% bệnh nhân mắc viêm gan nhiễm mỡ. 93,21% bệnh nhân ở giai đoạn xơ hóa gan nhẹ, xơ hóa gan đáng kể chiếm 4,32% và xơ hóa gan tiến triển chiếm 2,47%. Bệnh nhân có xơ hóa gan đáng kể có tuổi, BMI, vòng eo cao hơn, mắc béo phì và enzym gan (AST, ALT, GGT) cao hơn so với bệnh nhân có xơ hóa gan nhẹ nhưng chỉ có nồng độ GGT cao hơn có ý nghĩa (p = 0,04). Triglyceride là yếu tố độc lập dự đoán xơ hóa gan tiến triển trên bệnh nhân rối loạn lipid máu có bệnh gan nhiễm mỡ không do rượu (p = 0,01, OR = 1,32, KTC 95%: 1,05-1,65). Kết luận: Bệnh nhân rối loạn lipid máu có bệnh gan nhiễm mỡ không do rượu chiếm tỷ lệ cao. Nồng độ triglyceride máu là yếu tố độc lập dự đoán xơ hóa gan tiến triển trên nhóm bệnh nhân này.
Hiệu quả điều trị mày đay mạn tính bằng desloratadin kết hợp montelukast
Authors: Trang Nguyễn Thị Quỳnh , Linh Bùi Phương , Yến Nguyễn Thị Hải , Hà Nguyễn Thanh
Published: February 2024

Mục tiêu: Đánh giá hiệu quả điều trị mày đay mạn tính bằng uống desloratadin kết hợp montelukast. Đối tượng và phương pháp: Nghiên cứu thử nghiệm lâm sàng, ngẫu nhiên có đối chứng so sánh trên 92 bệnh nhân được chẩn đoán mày đay mạn tại Khoa Khám bệnh, Trung tâm Da liễu - Dị ứng, Bệnh viện Trung ương Quân Đội 108 từ tháng 10/2021 đến tháng 10/2023. Bệnh nhân được phân ngẫu nhiên theo quy luật chẵn-lẻ vào 2 nhóm điều trị: Nhóm nghiên cứu (desloratadin 10mg/ngày-montelukast 10mg/ngày) và nhóm đối chứng (desloratadin 10mg/ngày). So sánh hiệu quả điều trị về mức độ ngứa, tần suất ngứa, số lượng sẩn, điểm USA7, TSS, Cu-QoL và tác dụng phụ tại các thời điểm 4 tuần, 8 tuần sau khi bắt đầu điều trị. Kết quả: 2 phác đồ đều có hiệu quả tốt về tất cả các tiêu chí đánh giá tại thời điểm 4 tuần và 8 tuần sau khi bắt đầu điều trị. Số lượng sẩn của nhóm nghiên cứu giảm nhiều hơn so với nhóm đối chứng. Tuy nhiên các tiêu chí về mức độ ngứa, kích thước sẩn, tần suất bệnh, điểm TSS, USA7 và Cu-QoL của hai nhóm là tương đương nhau. Không có tác dụng phụ nào đáng kể được ghi nhận ở 2 nhóm điều trị. Kết luận: Montelukast-desloratadin là phác đồ có hiệu quả cao hơn và mức độ dung nạp tương đương với phác đồ desloratadin đơn thuần.
DYNAMICS OF MAHILA KISAN SASHAKTIKARAN PARIYOJANA: A CASE STUDY OF WOMEN FARMERS’ BREAKTHROUGH IN JHARKHAND
Authors: SINHA HIMADRI , TOPNO ANITA KUSUM
Published: February 2024

Empowerment of women is one of the most pressing elements of inclusive development. They are exploited from the beginning of human civilization. Mahila Kisan Sashaktikaran Pariyojana (MKSP) was launched to empower women farmers across India. It was implemented through the help of the partner NGOs. This study entails the MKSP endeavours of Asian Institute for Sustainable Development (AISD) in bringing pathbreaking economic empowerment among nearly 4000 women farmers through 343 SHGs in Bero block of Ranchi district and Thetaitanger block of Simedega district in Jharkhand. Besides ensuring economically profitable sustainable organic crop cultivation through systems of crop intensifications and enhanced net income at household level, it has also promoted more than thousand women entrepreneurs by initiating marketable organic products which sold like hot cake in local markets. The chapter describes the various initiatives taken under MKSP and how these enabled women farmers to attain breakthrough from traditional ideas and drudgery.
WOMEN VOICES IN INTEGRATED WATER, SANITATION, HEALTH AND EDUCATION PROGRAM IN RAJASTHAN DESERT
Authors: SADHU GOUTAM , ADESH SHACHI
Published: February 2024

In rural areas of developing countries, improved access to clean and regular water supply led to reduced workloads, relief from ongoing stress and drudgery related to collection of water, and sanitation facilities, health, and education status. To sustain these benefits, women need to be active participants rather than passive beneficiaries in community owned drinking water projects. It found that involvement of women did more to galvanize their leadership potential, showcase their capabilities and make them more active participants in managing their respective village water facilities than simply including them on water management committees. One assumption that runs through this project, right from its vision to the operationalization is with respect to bringing women's participation at center stage. It was clear to the designers of the project that the benefits of improved health and living conditions from Aapni Yojna water supply can only be achieved with strong and energetic women’s participation. These eight case studies applaud the tireless efforts of the community especially women who were the unsung heroes and have been instrumental in the success of the Aapni-Yojna project in three districts of Rajasthan that actively promoted women’s involvement in every stage of the project.
GLOBAL PARTNERSHIPS TO LOCAL INNOVATION OF COMMUNITY ENGAGEMENT FOR POLIO ELIMINATION IN INDIA
Authors: MAJUMDAR Dr. PIYUSHA
Published: February 2024

Global Polio Eradication Program (GPEI), a partnership between the World Health Organization, United Nations International Children's Emergency Fund, Centre for Disease Control and Rotary International – was launched to eradicate polio worldwide and simultaneously strengthen the health infrastructure. GPEI was announced by WHO in 1988, while India accepted the GPEI only in 1995. Despite numerous implementation challenges, it took us almost 30 years to become a polio-free nation. Many factors contributed to the successful elimination of polio from India. This paper presents a case that revolves around the story of a Strong Global partnership, local partnership for managing the human resources on immunization days and community engagement that optimises the program functioning and reaches the last mile leading to eradication of polio from the country.
SAFEGUARDING THE CONCEALED DAGGER OF COVID19: A CROSS SECTIONAL STUDY ON CHILD FEEDING PRACTICES
Authors: SADHU GOUTAM , GANDHI HEMANGINI , RANJAN RAGHWESH
Published: February 2024

Age-appropriate diets with the right mix of essential macro and micro-nutrients lay the early foundation of optimal physical and cognitive development among children. The objective of the study is to assess the key IYCF practices, anthropometry based nutritional status, and to examine the impact of the COVID-19 pandemics on the IYCF. The tools used in the study were 24-hour recall administered food frequency questionnaire (FFQ) to obtain dietary data from 2160 children, while arthrometric data were collected by measuring the height, and weight, of the children. The finding of the study stated that wasting, stunting, and underweight were prevalent in 16.9%, 58.1%, and 34.2% respectively of the population. Male children were more likely to be malnourished than female children. 64%, and 66% of women began breast feeding within 30 minutes after giving birth of their babies and began supplemental foods before the six-month respectively. Insufficient consumption of seven nutrients: energy, calcium, iron, zinc, thiamin, riboflavin, and vitamin B6 was found in more than 70% of children. To safeguarding the concealed dagger of COVID-19 pointed towards children (6-23 months), there is a pressing need for high-frequency reconnaissance of vulnerable populations and entomb sectoral intermingling areas across health, agriculture, water, sanitation.
CASE STUDY ON PRAWAH MAHILA KISSAN PRODUCER COMPANY– FPO IN KHANDAR, SAWAI MADHOPUR, RAJASTHAN
Authors: SITLANI KAJAL , AGARWAL VANSHIKA
Published: February 2024

India is an agriculture driven economy and women play a significant role in the agriculture-based activities. Khandar block in Sawai Madhopur district of Rajasthan is well known for agriculture. This case study delves on a transformative approach to bring change and empowerment of women. The study highlights the strategies as well as collaborative effort by Udyogini and Prawah. The study is based on qualitative analysis of data through Focused group discussion and key informant information. The study highlights the key challenges faced by the women in working and how Udyogini helped in reducing these along with Prawah mahila kissan producer company.
HEALTHCARE MANAGEMENT: ISSUES AND OPPORTUNITIES
Authors: SODANI Dr. P.R. , SADHU Dr. GOUTAM
Published: February 2024

This collection of articles explores the complex dynamics of hospital management, public health, rural management, developmental management, and pharmaceutical sciences. It emphasizes the importance of evidence-based practices and strategic healthcare management. The collection covers a wide range of topics, from pharmaceutical innovation to public health policy. The authors thank contributors for their contributions and hope it stimulates further discourse and inspires collaborative efforts to address challenges and opportunities in these areas.
Risk Registry for Clinical Departments at Thumbay Hospital - Ajman, United Arab Emirates
Authors: Seth Shimona , Sodani P.R.
Published: February 2024

Risk Management (RM) is the best way that can help to prevent errors or any adverse event in the hospital. One way to ensure the high performance of the healthcare institution is to have a compilation of the risks thereby focussing on the value-based healthcare to patients. Maintenance of risk register in clinical areas can improve patient safety and efficiency of the hospital. By forecasting the potential risks and developing strategies for them can cut down the cost of extra resources and can create a safety culture. Clinical risks put healthcare institutions under financial burden due to its serious adverse impact and high cost involved [1,2]. The high prevalence of clinical errors, near misses, incorrect procedures, and other clinical incidents has underscored the critical need for hospitals to address these issues. Consequently, it has been determined that the system should provide a safety network, and endeavors should be focused on risk management. One possible strategy to address these challenges is to adopt a clinical risk management (CRM) system [3,4].
Investigation of Turnaround Time in the Department of Biochemistry at Barala Hospital & Research Centre, Chomu, Jaipur
Authors: Barala Bhawna , Sharma Sandesh Kumar
Published: February 2024

Turnaround time (TAT) is one the parameter among several elements which decide the capability of hospital to furnish the services for patient satisfaction and to fulfil their wants, need and expectations which performs a major function in achieving the standard. Turnaround time does now no longer has an authorized definition. In consequence, we?ve the freedom to outline the definition and is as follows: ?The time elapsed among whilst a clinician orders a clinical/diagnostic take a look at, to the time whilst he gets the outcome of the same.?
Reimagining the Healthcare Delivery System – An Approach Based on Value
Authors: Ankaraboyana Aahna , Sharma Dr. Sandesh Kumar
Published: February 2024

Numerous studies have explored "value-based healthcare" and its implementation in various countries, showcasing it as a promising approach for enhancing the healthcare delivery system. Here are some global reviews that provide a different perspective on this study. An example pertains to a longitudinal interview study examining the implementation experiences of value-based healthcare (VBHC) at a University Hospital in Sweden. The adoption of VBHC is becoming increasingly significant in the administration of healthcare institutions in Sweden. This research aims to delve into the experiences of participants in four pilot project teams as they implement VBHC at a prominent Swedish University Hospital throughout a two-year span, commencing in October 2013 [1].
Cross-Sectional Investigation on the Working Population of Delhi Regarding Awareness, Knowledge, Attitude, and Practice of Ambulance and Emergency Response Services
Authors: Gupta Utkarsh , Sharma Dr. Sandesh Kumar
Published: February 2024

In US the economic burden of trauma was estimated at $671 billion every year [5], these costs are far more concerning to a transforming economy and developing nation like India. Some studies conclude that by 2025 Indian road accidents death toll would rise to 2.5 lakh/year. Apart from road accidents, CVD and respiratory diseases are leading cause of death [6] and one reason is unavailability of timely emergency response services.
HEALTHCARE HORIZONS: EXPLORING MANAGEMENT PRACTICES
Authors: SODANI Dr. P.R. , SINGH Dr. J.P.
Published: February 2024

This compilation of articles delves into the intricate interplay of hospital administration, public health strategies, rural development management, and pharmaceutical sciences. Encompassing diverse subjects, from groundbreaking pharmaceutical advancements to the nuances of public health policies, this anthology seeks to underscore the significance of informed practices. The authors extend their gratitude to the esteemed contributors, acknowledging their invaluable input. It is our aspiration that this collection not only sparks insightful conversations but also serves as a catalyst for collaborative endeavours, encouraging a collective response to the myriad challenges and opportunities within these domains.
EVALUATING THE FACTORS AFFECTING THE ENROLLMENT OF RECIPIENTS IN INTEGRATED CHILD DEVELOPMENT SERVICES (ICDS)
Authors: Dutta Tonmoy , Sodani Dr. P.R.
Published: February 2024

Children are our most precious resources and are the citizens of tomorrow, so nurturing our children is an investment. Hence, we should ensure a brilliant future for our children. ICDS in India is worlds unique and largest integrated early childhood program with over 12.4 lakhs centers nationwide. Launched on October 2, 1975, commemorating Mahatma Gandhi's 106th birth anniversary, the Integrated Child Development Services (ICDS) stands as a testament to India's dedication to its children. Serving as a platform for the comprehensive development of children from vulnerable backgrounds, it addresses the significant neonatal mortality issue in India, which constitutes nearly 50% of under-five deaths and ranks among the highest globally. In spite of the commencement of the UIP in 1985, the NFHS 3 revealed that complete immunization for children in India had only achieved a rate of 43.5% by 2005-06. As per the NFHS-3, the utilization of Integrated Child Development Services (ICDS) was reported to be at 28% among children under the age of 6.
IMPLEMENTING CUSTOMER RELATIONSHIP MANAGEMENT FOR OUTREACH TO ENHANCE PATIENT VISITS, RETENTION, AND EVALUATE MARKETING EFFECTIVENESS
Authors: Agrawal s. Abhishree , Singh Dr. Jagajeet Prasad
Published: February 2024

The evolving dynamics within the healthcare industry, marked by increased competition and the integration of new technologies, underscore the necessity for heightened involvement in marketing. The healthcare sector, with its unique services, requires an exclusive approach to philosophy and marketing techniques, blending elements of both social and traditional marketing. Healthcare marketing concepts serve to assist healthcare professionals in the creation, communication, and delivery of value to their target market [2]. This is the reason why the healthcare customer relationship management (CRM) concept has experienced significant growth. CRM systems enhance the efficiency and effectiveness of acquiring, developing, and maintaining relationships with customers, resulting in improved patient services, cost reduction, and increased patient retention [1,3].
INDIA'S READINESS AND APPROACH TO MANAGING COVID-19 IN ACCORDANCE WITH THE WHO HEALTH EMERGENCY AND DISASTER RISK MANAGEMENT FRAMEWORK
Authors: Tauro Dr. Annie , Singh Dr. Jagajeet Prasad
Published: February 2024

Dr. Margaret Chan, Director-General of WHO in 2012 emphasized the vital importance of prioritizing prevention and preparedness in public health, stating that risk management is a fundamental responsibility. The diverse threats to global public health include communicable disease outbreaks, conflicts, exposure to radiation and chemical hazards, natural and technological disasters, and the health impacts of climate change and contamination of food and water. To effectively tackle these challenges, countries must prioritize prevention, preparedness, response, and recovery, enhancing their capabilities for health emergencies and disaster risk management [1].
COMPREHENSION, VIEWS AND UTILIZATION OF MHEALTH TECHNOLOGY AMONG INDIAN STUDENTS AGED 18 AND ABOVE: A CROSS-SECTIONAL STUDY
Authors: Sharma Anubhav , Singh Dr. Jagajeet Prasad
Published: February 2024

COVID-19, a once in the century event, has changed the way we look at the world around us. In a span of a week, we went from preparing for our exams in college to being locked in our homes for three months. The country went into a sudden lockdown on 24th March 2020. The word ?National Lockdown? was something which most probably none of us had ever heard or had witnessed in real life. The news came as a vacation for some and as a challenge for some. But as the saying goes ?This too shall pass?. Eventually the time passed, and it has now been more than a year since the first lockdown, and things are now looking better. We now have 2 vaccines i.e., COVISHIELD and COVAXIN (an indigenously developed vaccine) currently being administered in India, and 4 indigenous vaccines i.e., CORBEVAX, ZyCOV-D, GENNOVA and BBVI154 Intranasal vaccine currently in development phase [1].
UNDERSTANDING NUTRITIONAL KNOWLEDGE, ATTITUDES, AND PRACTICES AMONG ACCREDITED SOCIAL HEALTH ACTIVISTS (ASHAs) AT TATA POWER DELHI DISTRIBUTION LIMITED (TPDDL), DELHI
Authors: Krishna L. Nandini , Singh Dr. Jagajeet Prasad
Published: February 2024

Nutrition is an integral part of life and aids in the development and growth of all living beings. Maintaining good health is closely tied to improved nutrition. Nutrition plays a crucial role in various life stages, including infant health, children's well-being, and maternal health. Additionally, adopting enhanced and suitable nutritional practices contributes to a decreased risk of lifestyle diseases or non-communicable diseases. [1]. It is basically the intake of the required amounts of solids and liquids as per the dietary recommendations so that essential nutrients and energy are absorbed and obtained respectively to the body. From the early stages of life, a proper diet is essential to remain active along with appropriate growth and development [2].
PELATIHAN POUNDING ECOPRINT PADA ANGGOTA PKK DI KOTA SURAKARTA
Authors: Prihatin Joko Yunianto , Pambudi Slamet , Murtini Sri
Published: February 2024

Ecoprint merupakan teknik bidang tekstil yang ramah lingkungan, karena menggunakan bahan alami dari daun dan bunga tanaman sebagai media pencapannya. Selain itu potensi pengelolaannya cukup rederhana dan mampu menambah keterampilan, sehingga dapat melengkapi nilai ekonomi kemasyarakatan. Pelatihan pounding ecoprint dilaksanakan di wilayah kratonan surakarta dengan peserta dari ibu – ibu warga anggota pkk selama 1 hari. Tujuan utamanya adalah untuk alternatif penambah penghasilan masyarakat dengan keterampilan membatik pounding ecoprint pada kain tote bag. Metode yang diterapkan terdiri dari teori 30% dan praktek 70% yang terdiri dari persiapan, pelaksanaan dan fiksasi dengan dilengkapi evaluasi dan pembinaan berkala. Hasil yang dicapai berupa antusias peserta mengerjakan kegiatan cukup tinggi dan bersemangat bergembira bekerja sama dengan menikmati 3 tahapan yang cukup ringkas waktu, sehingga dapat menghasilkan cetakan kain yang memuaskan. Disatu sisi peserta hanya mendapatkan keterampilan teknis saja dan belum mencapai pendampingan pengelolaan hasil karya dan juga pemasaran, sehingga hasil karya masih sebatas souvenir dan belum bisa dijual ke lingkungan luas.
Features of detection of latent tuberculosis infection in patients with inflammatory intestinal diseases
Authors: Babaeva Gylystan , Kerimova Keniul , Ahmedzade Gamar
Published: February 2024

A quarter of the world’s population has latent tuberculosis infection (LTBI). Systemic immunosuppression is a risk factor for the reactivation of LTBI and the development of active tuberculosis, and such reactivation is associated with a substantial risk of morbidity and mortality. Despite the growing global prevalence of inflammatory bowel diseases (IBD) and the use of immunosuppressive therapies, current recommendations for LTBI testing and treatment in IBD patients lack a systematic approach due to a lack of evidence. Currently, the main challenge in accurately diagnosing inflammatory bowel diseases (IBD) is the high prevalence of conditions that lead to intestinal lesions mimicking IBD.
TB/COVID-19 co-infection: What we have?
Authors: Alieva Gylzar , Ahundova Irada , Mustafaeva Sevda , Osmanova Romella , Murguzova Nazilea
Published: February 2024

Evaluarea impactului COVID-19 asupra evoluției clinice a tuberculozei la pacienții internați la Institutul de Cercetare a Bolilor Pulmonare din Baku.Au fost examinați 103 pacienți cu coinfecție TB/COVİD-19 cu vârsta cuprinsă între 21-74 de ani. La pacienții cu coinfecție TB/COVİD-19, durata bolii TB până la 1 lună a fost la 13,8%, de la 1 la 6 luni la 4,6% și mai mult de 6 luni la 81,6% dintre pacienți. Durata bolii COVID-19 până la 1 săptămână a fost la 35,6%, mai mult de 1 săptămână la 64,4% dintre pacienți. Infecția cu două infecții diferite care afectează țesutul pulmonar a contribuit la inexactități frecvente în examinarea radiologică a pacienților cu coinfecție TB/COVID-19. Majoritatea pacienților (79,6%) au fost diagnosticați cu TB pulmonară, 54,2% dintre aceștia având un proces bilateral. TB extrapulmonară a fost diagnosticată la 7,8% dintre pacienți. Pneumonia virală din cauza COVID-19 a fost observată la 78,6% dintre pacienți. Simptomele clinice ale paci-enților cu coinfecție TB/COVİD-19 sunt caracterizate de o abundență de plângeri de la același pacient. Cazurile cu forme rezistente de tuberculoză în rândul acestor pacienți a constituit 16,5%, ceea ce este mai mare decât rata tuberculozei rezistente din țară. Dintre acestea, 9 au fost caz nou cu rezistență la medicamentele antituberculoase. Flora respiratorie secundară a fost identificată la 42,7% dintre pacienții cu coinfecție TB/COVİD-19. În rândul pacienților cu coinfecție TB/COVİD-19 decesul a fost observat în 9,7% din cazuri, ceea ce este mult mai mare decât ratele mortalității prin TB și COVID-19 din țară.