bluuebunny/crossref_metadata_2025 huggingface dataset:
Successful Management of Impending Skin Necrosis After a Posterolateral Knee Dislocation
Authors: Santos Estevao D. , Schneble Christopher A. , Kim David N. , Medvecky Michael J.
Published: April 2024

Incarcerated medial soft tissue after posterolateral knee dislocations has been described, but limited information pertaining to the etiology and management of cutaneous injuries from incarceration exists. We present the case of a 64-year-old man, where reduction of a posterolateral knee dislocation resulted in incarceration of medial ligamentous structures and impending skin necrosis. The patient avoided full-thickness skin necrosis, which could have complicated treatment options.

Careful consideration of the soft-tissue envelope of the knee for preventing additional skin injury in the perioperative period should be considered to potentially avert additional necrosis in patients with a ‘pucker’ sign after knee dislocations.
#lowbackpain on TikTok: A New Frontier for Orthopaedic Medical Education
Authors: Hasan Sazid , Ahlgren Conner D. , Lipphardt Matthew , Chrumka Alexandria , Zaman Razeen , Khan Ridwana , Waheed Muhammad , Higginbotham Devan O. , Saleh Ehab , McCarty Scott A.
Published: April 2024

Introduction:

Low back pain has become a substantial health problem in all developed countries. Many healthcare professionals and content creators have begun sharing their treatment methods and opinions through social media, especially the video-based platform TikTok. TikTok has been downloaded more than 2.6 billion times with over a billion daily users. Its influence on public health makes it imperative that information be accurate and safe. This study aims to analyze TikTok's most popular content on lower back pain and how orthopaedic surgeons contribute on this growing platform.

Objectives:

To analyze TikTok's most popular content on lower back pain and how orthopaedic surgeons are and can contribute on this growing platform.

Methods:

A TikTok search conducted on April 22, 2023, using the terms ‘#lowerbackpain'and ‘#lowbackpainrelief,’ resulted in numerous videos, 100 of which met inclusion criteria. Videos were included if they were related to the content, had more than 1000 views, were in English, and were not duplicates. Video characteristics were recorded and evaluated for quality by two reviewers using DISCERN. A two-sample t-test was used to assess differences.

Results:

Overall, the top videos on lower back pain had an average of 2,061,396 views, with a mean DISCERN score of 34. The mean total DISCERN score was 36 and 34 for physicians and nonphysicians, respectively, while the video by the orthopaedic surgeon (n = 1) scored 31. The most recommended treatments included at-home exercises (n = 75) and visiting a chiropractor (n = 4).

Conclusion:

We find that the information presented by nonphysicians offered quick, at-home fixes to medical problems without offering any research or proven data to support their claims. We cannot overlook Tiktok's immense influence in the realm of orthopaedic health as it has become a sphere of information dissemination and education. Thus, we suggest that there is not necessarily a need for a greater number of surgeons and/or resident physicians to involve themselves on the platform, but rather the involvement of governing bodies and spine societies to put out position statements for our patients.
Radiographic Fusion Outcomes for Trinity Cellular Based Allograft versus Local Bone in Posterolateral Lumbar Fusion
Authors: Sayeed Aatif , Jawad Ali , Zakko Philip , Lee Maximillian , Park Daniel K.
Published: April 2024

Introduction:

Cellular-based autograft (CBA) is being used in posterolateral lumbar arthrodesis as a fusion supplementation alternative.

Objective:

To assess radiographic fusion in patients undergoing posterolateral lumbar fusion with unilateral Trinity CBA compared with contralateral local bone autograft as an internal control.

Methods:

A single surgeon's practice database was interrogated for consecutive patients undergoing primary posterolateral lumbar fusion with Trinity from 2018 to 2021. Patients had Trinity applied unilaterally, with local bone autograft applied contralaterally. Fusion was assessed postoperatively by using CT after 9 months. Demographics and patient-reported outcome measures were collected preoperatively and up to 12 months postoperatively.

Results:

Thirty-nine patients were included. There were 81 attempted fusion levels. Overall fusion rate, defined as bony bridging on at least one side of a given level for all levels fused, was 85.2% of patients. No statistically significant difference was observed in fusion rates between CBA versus local bone (79.0% versus 76.54% of levels attempted, respectively, P = 0.3527). Oswestry Disability Index improved by 3 months (P = 0.0152) and was maintained. Two patients required revision for symptomatic nonunion.

Conclusions:

Similar radiographic fusion rates were achieved with Trinity and local bone. Trinity is a viable alternative to local bone in posterolateral lumbar fusion.
Association of Vitiligo with ABO/Rh System and its Influence on Thyroid Stimulating Hormone and Vitamin D
Authors: Ashawesh Mahmoud
Published: April 2024

This study was conducted to determine if there is a relationship between vitiligo and ABO blood groups, the Rhesus (Rh) factor, thyroid stimulating hormone (TSH) and vitamin D. For vitiligo analysis, two hundred subjects participated in this study, 100 vitiligo patients and 100 control cases (without vitiligo). ABO blood grouping and Rh typing were tested by a slide method. TSH testing involved 80 vitiligo patients and 80 controls (without vitiligo) and the hormone was analyzed by separating the serum in a centrifuge for two minutes and the results were obtained by Beckman fully automatic analyzer. For vitamin D, 50 vitiligo patients and 50 healthy people (without vitiligo) were included. The data on vitamin D were obtained from private laboratory services. Statistical analysis was performed using IBM SPSS version 26. P<0.05 was considered significant. Most patients with vitiligo had a significantly lower level of serum vitamin D compared with controls (p-value < 0.05), while no statistically significant difference in TSH serum levels between vitiligo cases and controls, was found (p-value > 0.05). Furthermore, despite showing that subjects with blood group O are more susceptible to vitiligo as compared to other groups, there was no significant association of vitiligo with ABO blood groups (p-value > 0.05). Similarly, the incidence of Rh positive and Rh negative was not statistically different between the two groups (p-value > 0.05). This study showed that vitiligo patients are often vitamin D deficient. This study highlights the need to evaluate vitamin D status in vitiligo patients to improve the level of skin pigment loss. It remains unknown whether vitamin D deficiency causes vitiligo. However, a collection of larger sample sizes of different ethnicities should be required to achieve a precise conclusion.
Anxiety among colorectal cancer patient: A concept analysis
Authors: Tran Thi Hong Hanh
Published: April 2024

Background: Despite the prevalence of anxiety among individuals with colorectal cancer, there is a lack of clarity regarding the definition of anxiety in this population. Moreover, research on the impact of care interventions on anxiety in colorectal cancer patients is limited.
Objective: This concept analysis aimed to clarify the concept of anxiety among colorectal cancer patients.
Methods: The concept analysis was conducted following the Walker and Avant methodology. The utilization of the concept was investigated across three databases (PubMed, Scopus, and Google Scholar), resulting in the identification of 12 relevant studies for in-depth analysis.
Results: The identified attributes of anxiety in colorectal cancer include distress related to body image changes, uncertainty during social role reintegration, and fear of disease recurrence or mortality. Genetic factors, psychological elements, and stressful life events were recognized as antecedents of this anxiety. Additionally, the consequences of anxiety exhibited both positive and negative impacts on colorectal cancer patients.
Conclusion: The findings of this concept analysis enhance the understanding of the concept of anxiety among colorectal cancer patients. This has the potential to improve the quality of care for colorectal cancer patients.
Simple Measurement of Conductivity of Colored Acrylic Sheets
Authors: Bakrie Muhammad , Fatimura Muhrinsyah , Masriatini Rully
Published: April 2024

In many applications, colored acrylic sheets require information on thermal conductivity values. However, thermal conductivity data has not been found in the literature and research publications, especially colored acrylic sheets. The purpose of this study was to investigate the heat conductivity value of colored acrylic sheets including transparent, cloudy, white, black, green and blue colors found in the market. This research was done with the experimental method of measuring the thermal conductivity of colored acrylic in a closed room four rectangles 80 cm x 40 cm x 40cm of 9 mm plywood coated with black paper and divided into two compartments and test material 40 cm x 40 cm x 0.3cm as patisi room. The heat source used is a 75watt incandescent lamp placed on one side of the room. Acrylic thermal conductivity is calculated based on temperature data at each measurement point reaching a steady state which is obtained at the 30th minute and taking into account the convection heat and air radiation in the test chamber. The results showed that pigment additives greatly affect the thermal conductivity value of acrylic and its value is lower than the conductivity value of acrylic colorless sheet transfaran.
Obstacles of Teaching Language in Large Classes in a Public University of Afghanistan: A Language Instructor’s Perspective
Authors: Qaderi Naveed Ahmad , Bahir Fahim
Published: April 2024

This case study aimed to identify obstacles a language instructor who taught in a large class faced and how he dealt with them. The participant of this study was an English teacher in a public university and the number of students he taught was more than 30, which is considered a large class for language teaching and learning. An in-depth interview and classroom observation were conducted to gain data. Analysis was done in an iterative way. This study revealed seven issues which were encountered by the participant in his class. All of which were associated with the difficulty to 1) evaluation and feedback, 2) management and discipline, 3) achieve learning effectiveness and learning outcomes, 4) engage students to the lesson 5) pay individual attention. Other issues occurring in his class were the use of mother language by the students in class and lack of moti-vation to learn. In order to tackle these issues, the teacher employed two strategies, namely: 1) using a variety of games and 2) communicative and collaborative task to attract students’ attention.
Key durability characteristics of GGBS-cement kiln dust based concretes
Authors: Ioannou Sokrates , Chowdhury Morsaleen , Al-Qarawi Ahmed , Paul Patcy , Alghazo Amal
Published: April 2024

With the advent of global warming, the concrete industry has the potential to drive the future of construction through sustainable cement technologies. These technologies rely on activation of industrial waste materials, such as Cement Kiln Dust (CKD) and Ground Granulated Blast Furnace Slag (GGBS) while Portland cement (PC) content is maintained at a minimum, resulting in concrete products of reduced embodied carbon footprint. This work reports on the durability of mixes made from PC, GGBS and CKD at incremental contents of 40-75% and 0-35% for GGBS and CKSD, respectively, in an attempt to identify durable formulations while maintaining blends at low embodied CO2 emissions in the Sultanate of Oman. Dimensional changes, sulfate and chloride resistance, as well as surface resistivity were determined and compared to those of a PC-based concrete formulation. The results suggest that, when GGBS and CKD were incorporated within the mix at an optimum content of 55% and 20% respectively, the concretes appeared to have exhibited promising durability characteristics which could lead towards the material’s implementation within a greater context.
Обмеження повноважень виконавчого органу товариства з обмеженою відповідальністю
Authors: Сидоров Я. О. , Половинкіна Р. Ю.
Published: April 2024

Зміни у правовому регулюванні діяльності ТОВ торкнулися корпоративного управління в значній кількості юридичних осіб. Одним з  нововведень є обмеження повноважень виконавчого органу ТОВ, що потребує дослідження характеру таких обмежень і правових наслідків їх недотримання. Автор ставить за мету визначити поняття обмеження повноважень виконавчого органу ТОВ, а також класифікацію цих обмежень, з'ясувати правові наслідки недотримання цих обмежень, надати рекомендації як для засновників (учасників) ТОВ, так і для контрагентів ТОВ щодо встановлення, дотримання і перевірки цих обмежень. Встановлено, що обмеження повноважень виконавчого органу ТОВ – це закріплена законом та/або статутом ТОВ заборона виконавчому органу вчиняти від імені ТОВ певні правочини без згоди вищого органу управління ТОВ або його наглядової ради. Визначено, що ці обмеження поділяються на два види: обмеження щодо вчинення значних правочинів і обмеження щодо вчинення правочинів із заінтересованістю. З’ясовано, що правовим наслідком недотримання цих обмежень може бути визнання договору недійсним, але лише за умови, що контрагент знав або не міг не знати про ці обмеження. Саме на позивача покладається обов’язок довести обізнаність (чи презюмовану обізнаність) контрагента про ці обмеження. Рекомендації, надані в цій статті, можуть бути враховані в роботі по складанню проєктів установчих документів ТОВ, а також при перевірці ТОВ як контрагента перед укладенням з ним договорів. Перспективним напрямком подальших досліджень є розробка стандартів належної обачності при перевірці обмеження повноважень, а також з’ясування можливості закріплення на законодавчому рівні права учасників ТОВ за певних умов звертатися в інтересах ТОВ із похідним позовом саме про визнання правочину недійсним. Стаття має емпіричний характер та зорієнтована перш за все на вирішення практичних проблем, пов’язаних із обмеженням повноважень виконавчого органу ТОВ.
The Threat Of Tax Avoidance By Multinational Companies Through Profit Shifting
Authors: Wigiana Lira , Subanidja Steph , Supriyadi Edy
Published: April 2024

Tax is a mandatory contribution that taxpayers must submit to the state in accordance with the provisions of the law. However, in reality, tax avoidance by multinational companies through profit shifting has resulted in Indonesia losing tax revenue every year. Based on this, the discussion in this study is the causes of the threat of tax avoidance by multinational companies through profit shifting. This research also discusses intelligence strategies in facing the threat of tax avoidance. The method used is qualitative with data sourced from interviews and literature studies. The analysis used is Creswell analysis processed through the Nvivo application. This research also uses data source triangulation to examine data validity. Based on the research results, the causes of this threat are the intention and ability to jeopardize tax revenue. Intelligence strategies in facing this threat are a combination of intelligence objectives, intelligence methods, and intelligence resources. Intelligence objectives include state revenue, tax compliance, and Data-Based Organizations. Intelligence methods include Business Intelligence (BI), Compliance Risk Management (CRM), and data analysis. Intelligence resources include cooperation and data and information.
ANALYSIS OF A STEEL STRUCTURE CONSIDERING BRACED AND UNBRACED ECCENTRIC CONDITION USING ETABS: A REVIEW
Authors: Kumar Sujit
Published: April 2024

In modern seismic design, damping devices are used to increase the capacity of structures to dissipate energy. This Project evaluates the efficiency of using a passive friction damper system in a structure compared with typical structures and the influence of the damper’s capacity on the structural response. The analysis concludes that dampers with lower capacity slip more times during earthquake than dampers with bigger capacity but the acceleration result increases. Keywords: Seismic Analysis, Storey Drift, Base Shear, Storey Displacement, ETABS In this paper we are conducting a review on researches base on “Analysis of A Structure.
Cinsiyet, Hak ve Bütünlük Bağlamları Üzerinden Aile Kurumunun Resmini Çekmek
Authors: TAŞCI Faruk
Published: April 2024

Aile kurumunu birçok yönden ele almak mümkündür. Literatür aileyi, tanımları ve türleri üzerinden de ele alabilmektedir işlevleri üzerinden de değerlendirmektedir. Ayrıca aileye yönelik sosyal politikalar bağlamında da aile kurumu analizlere tabi tutulmaktadır. Tüm bunlar yapılırken belli bağlamlar/perspektifler öne çıkmaktadır. Öne çıkanların en belirgin olanları “cinsiyet”, “hak” ve “bütünlük” olguları etrafından tartışılmaktadır. Bu analizler belli bir yoğunluk içinde yapılmaktadır, başka bir ifade ile aile kurumunun cinsiyet, hak ve bütünlük bağlamları ele alınırken derinlemesine analizler ortaya konmaktadır. Bu makale aile kurumunun cinsiyet, hak ve bütünlük bağlamlarının sadece resmi çekilecektir. Bu noktada makale, yanlışlama yöntemi kullanarak, üçlü bir bağlam sunmaktadır: i) Aile ile cinsiyet ilişkisi, ii) aile ile hak ilişkisi ve iii) aile ile bütünlük ilişkisi. Sonuç olarak, makale şunu söylemektedir: i) Aile, cinsiyete dayalı bir yapı değildir, ii) aile, hak odaklı bir yapı değildir ve iii) aile, parçalı bir yapı değildir.
A Reinvention of Consumption.
Authors: Avendaño Miranda Lilliana Lorena
Published: April 2024

This article explores how supporters of what we call the “less is more/ ecological lifestyle” preach the need to reduce consumption. Through the analysis of websites and online shops of the promoters of this lifestyle we find that, while they promote spirituality, minimalism, mindfulness, and environmental care, they paradoxically encourage consumers to buy new products in line with this lifestyle. Consequently, they produce what they supposedly combat. As a result, the less is more/ecological lifestyle, far from diminishing consumerism, encourages it.
Helduak Zabaltzen
Authors: Escudero Nerea , Whitehead Esteban Jaime Octavio , Garrido Flor Xandra
Published: April 2024

La digitalización de los Centros Sociales de Personas Mayores (CSPM) es esencial para adaptarse a las demandas de la sociedad y mejorar la calidad de vida de las personas mayores. Este proyecto tiene como objetivo abordar esta necesidad mediante la implementación de soluciones tecnológicas para aumentar el bienestar de los usuarios. En él, se examina la percepción social de los CSPM, los efectos de la digitalización en su gestión, y propone recomendaciones para una transformación digital exitosa, partiendo de la premisa de que la introducción de herramientas digitales puede transformar la experiencia de las personas mayores. A su vez, se analizan procesos de comunicación, cooperación y cohesión grupal, explorando cómo pueden influir en la digitalización y en el sentimiento de comunidad en los CSPM. La metodología incluye entrevistas, encuestas, experimentos piloto, Service Safari y observación participante. Los resultados revelaron prejuicios arraigados, dificultades en la gestión interna y falta de comunicación entre los centros como desafíos a resolver.
Navegando los desafíos de la salud pública en Casanare: un enfoque conductual con implicaciones para América Latina
Authors: Cuaspud Guzmán Milton Alberto
Published: April 2024

Las tendencias recientes en Casanare, Colombia, han revelado un aumento inquietante de los problemas de salud pública, particularmente en los ámbitos de la violencia de género e intrafamiliar y las tasas de suicidio. Estos problemas han mostrado una desviación notable del promedio nacional, con casos de violencia de género aumentando significativamente en el departamento (178 casos solo en 2023) y con crecimiento de tasas de suicidio en un 35%, comparado con los datos nacionales.

Las intervenciones tradicionales de salud pública, basadas en modelos de racionalidad perfecta, han demostrado ser insuficientes para abordar estos problemas dentro del contexto sociocultural de Casanare. Al integrar la economía del comportamiento y tener en cuenta los prejuicios e irracionalidades humanas, esta investigación tiene como objetivo mejorar significativamente el bienestar de la población vulnerable de Casanare ante estos eventos de salud pública. Se emplea un modelo explicativo de métodos mixtos y herramientas de análisis de política pública.

El impacto esperado de los resultados de este estudio, es el desarrollo de políticas públicas virtuosas, que no sólo sean más efectivas, sino que representen un precedente para la formulación de políticas con aplicaciones prácticas para el resto del país y América Latina.
Autoayuda y economía de la conducta.
Authors: Otazu Ojer Javier
Published: April 2024

El objetivo del artículo es recopilar conceptos de economía de la conducta que sirvan como instrumentos de autoayuda y en consecuencia sirvan para aportarnos bienestar y felicidad personal.Para ello se ha recopilado información sobre la teoría estándar de la economía de la conducta y se han reunido conceptos de ensayos, artículos y referencias en diferentes medios de comunicación que se han considerado de interés.Eso nos ha permitido alcanzar el denominado “mecanismo de anticitera”, que sirve para evaluar nuestro nivel de bienestar personal mediante el afecto de base, nos indica cómo podemos activarnos, cómo decidir lo que queremos, las barreras que tendremos y el paso a la acción. La autoayuda es útil como consuelo y sirve para plantear objetivos. La economía de la conducta nos proporciona los instrumentos para conseguirlos.
La Economía Conductual al servicio de las ONG
Authors: Bernardo Sampedro Emma , Álvarez Sánchez Claudia , Busto Freixa Beatriz
Published: April 2024

La Economía Conductual, al estudiar el comportamiento humano, ofrece una gran oportunidad para comprender mejor cómo se configura la toma de decisiones de los agentes que ofrecen su apoyo y compromiso de cara a mejorar la efectividad y alcance de las acciones de las ONG. Este trabajo recoge los hallazgos encontrados en el transcurso de nuestro proyecto de Ciencias del Comportamiento con la ONG española Plan International, en el que sesgos como el Efecto Anclaje, la Aversión a la Incertidumbre o el Principio de Reciprocidad juegan un papel clave.
Local government innovation towards good governance through public service malls
Authors: Nurilawati Nurilawati , Apriliyanti Rena , Khumayah Siti , Imawan Khaerudin
Published: April 2024

Public Service Mall (MPP) is an initiative to ensure good governance in Indonesia by improving the standard of good governance public services. Cirebon Regency Government continues to make various innovations through the implementation of the public service mall managed by the Investment and One-Stop Integrated Services Office (DPMPTSP) in the form of licensing and non-licensing in one place for various public services from several agencies. The author tries to provide several recommendations as follows: (1) Strengthening human resources to ensure that fresh initiatives in carrying out government duties; (2) Strengthen cooperation partners with related bureaucracy to improve the quality of services; (3) Pay attention to the technical aspects of successful implementation; (4) Increase bureaucratic commitment to the implementation and contributing to the distribution of duties and participation in public services towards good governance.
Scoping Review: Marketing Strategy of In Vitro Fertilization (IVF)
Authors: Prabandani Dyah Ayu , Winarni Sri , Arso Septo Pawelas
Published: April 2024

IVF or In Vitro Fertilization (IVF) is a new service program so to increase consumer or patient interest, a marketing strategy is needed that can increase the number of consumers themselves. This research uses the scoping review method to determine the marketing of test tube babies or IVF by formulating questions using the concepts P (Indonesia and Overseas), C (Marketing Strategy), and C (IVF). The results show that the promotion of In Vitro Fertilization (IVF) services is more efficient by using promotions on social media, distributing brochures, collaborating with ob-gyn doctors, and placing advertisements on websites related to IVF or IVF services. Promotion of IVF or IVF services is carried out to increase the number of users or patients who use these services. Several promotional media are considered capable of attracting customers to use IVF or IVF services, including promoting on social media, distributing brochures, collaborating with ob-gyn doctors, and placing advertisements related to IVF or IVF services on websites.
PEMANFAATAN ALAT PENGUPAS PINANG BAGI MASYARAKAT GAMPONG TUALANG DALAM UPAYA MENINGKATKAN PRODUKTIVITAS BUAH PINANG
Authors: Amin Muhammad , A. Abdullah Nasruddin , Arif Zainal , Amir Fazri , Azuar Rizal Teuku
Published: April 2024

Tujuan dari pengabdian masyarakat ini adalah untuk memberdayakan petani pinang dengan tujuan mempercepat proses pengupasan pinang dan meningkatkan kinerja petani. Kegiatan pengabdian ini dilaksanakan di Gampong Tualang Dalam, Kecamatan Serbajadi, Kabupaten Aceh Timur, Provinsi Aceh. Salah satu permasalahan yang dihadapi oleh petani pinang adalah proses pengupasan buah pinang yang belum efisien dan masih menggunakan alat-alat sederhana seperti pisau. Oleh karena itu, tujuan dari kegiatan pengabdian ini adalah merancang dan membuat alat pengupas/pembelah buah pinang dengan menggunakan metode mekanis. Metode kegiatan pengabdian ini terdiri dari tahap persiapan, pelaksanaan, evaluasi, dan pemantauan. Kegiatan pengabdian ini melibatkan mahasiswa dan dosen, serta melibatkan kelompok mitra petani yang tergabung dalam kelompok tani pinang. Proses pembuatan alat mekanis ini dimulai dengan tahap perancangan, diikuti oleh pembuatan alat secara langsung yang melibatkan petani di desa tersebut. Selanjutnya, petani akan diajari cara menggunakan alat pengupas buah pinang ini. Alat ini digunakan dengan cara menekan buah pinang hingga terbelah menjadi dua. Setelah dibelah, buah pinang ditempatkan dalam wadah untuk diambil buah pinangnya. Hasil dari kegiatan pengabdian ini menunjukkan bahwa mitra petani pinang telah memperoleh pengetahuan tentang pembuatan dan penggunaan alat pengupas buah pinang, serta berhasil mengoperasikan alat tersebut. Pengabdian ini juga berhasil meningkatkan produktivitas kerja petani. Hasil pemantauan menunjukkan bahwa masyarakat puas dengan alat pengupas dan pembelah buah pinang ini karena mampu mempercepat kerja petani. Namun, hasil evaluasi menunjukkan perlunya pengembangan ulang untuk membuat mesin otomatis tanpa bantuan tenaga manusia.
PENDAMPINGAN PENERAPAN GOOD MANUFACTURING PRACTICE UNTUK PENINGKATAN KUALITAS DAN KEAMANAN PRODUK
Authors: Indrawan Surya , S Juni , Sirlyana
Published: April 2024

Increasing competition in the industrial world, especially in the food sector. With increasing competition, companies or business actors are facing pressure to continue to provide quality products, where customers demand good quality at an affordable price. For this reason, a strategy or method is needed to answer these challenges, one of which is by implementing Good Manufacturing Practice which aims to carry out good production procedures, implementation procedures, control and supervision of the implementation of the production process. Tempe UKM is one of the industrial players in Dumai City which is engaged in the food sector, currently facing intense competition which not only fulfills customer desires and also competition with fellow SMEs. The steps taken are to observe the object that is the target of the service, after that an initial evaluation of the activity is carried out and the last is the socialization activity of mentoring the implementation of Good Manufacturing Practice (GMP).
PEMBERDAYAAN MASYARAKAT DALAM PENCEGAHAN DAN PENANGGULANGAN PENYAKIT DIBETES MELALUI NUTRASETIKAL BERBASIS KEARIFAN LOKAL DI DESA MEURANDEH, KOTA LANGSA
Authors: Simarmata Putri , Syahputri Aulia , Muhaini Ayuni , Pratiwi Devi , Lubis Parlindungan , Safrida Sari Mulia , Ilman Navia Zidni , Yusnidar  , Achmad Muchsin
Published: April 2024

Peningkatan kadar glukosa darah dan kegagalan sekresi insulin adalah tanda Diabetes Mellitus (DM). Menurut Organisasi Kesehatan Dunia (WHO), setidaknya 171 juta orang mengalami DM, dan insidensinya akan meningkat dua kali lipat pada tahun 2030. Salah satu komplikasi DM yang paling umum adalah lkus kaki. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk membantu penderita diabetes menjaga kesehatan mereka dan mencegah komplikasi melalui nutrasetikal berbasis kearifan lokal. Kegiatan pengabdian kepada masyarakat ini dilaksanakan melalui metode empowerment community yang terdiri dari tiga tahap: sosialisasi, implementasi, dan monitoring evaluasi kepada masyarakat di Desa Meurandeh Kota Langsa. Hasil kegiatan ini menunjukkan bahwa 80% masyarakat dapat memahami tentang produk nutrasetikal Ie Bu Peudah. Kgiatan ini diharapkan dapat terus berlanjut dilakukan oleh Posbindu di Desa Meurandeh.
PENYULUHAN DAN PELATIHAN PEMBUATAN PRODUK NUTRASETIKAL IE BU PEUDAH SEBAGAI ANTIDIABETES DI DESA MEURANDEH, LANGSA, ACEH
Authors: Rahmazani Intan , Junidil Asna Intan , Nabilla Ulya , Ilman Navia Zidni
Published: April 2024

Ie bu peudah adalah makanan tradisional khas Aceh yang diolah dengan 44 jenis daun-daunan dan rempah-rempah. Bubur pedas ini biasanya dikonsumsi pada bulan Ramadhan karna dipercaya dapat meningkatkan daya tahan tubuh setelah berpuasa seharian. Khasiat dari bahan baku produk nutrasetikal tersebut diketahui memiliki potensi sebagai antidiabetes. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meberikan informasi dan pelatihan pembuatan produk nutrasetikal ie bu peudah bagi penderita diabetes dalam menjaga kesehatan dan mencegah komplikasi berkelanjutan. Kegiatan pengabdian kepada masyarakat ini dilaksanakan melalui metode empowerment community yang terdiri dari tiga tahap: penyuluhan, praktek, dan monitoring evaluasi kepada masyarakat di Desa Meurandeh Kota Langsa. Hasil kegiatan ini menunjukkan bahwa 80% masyarakat dapat memahami tentang tata cara pembuatan produk.
PEMANFAATAN LIMBAH CAIR TAHU DALAM PEMBUATAN PUPUK ORGANIK CAIR (POC) UNTUK TANAMAN PERTANIAN, DI DESA PAKKAL DOLOK, KEC.BATANG ONANG, KAB.PADANG LAWAS UTARA
Authors: Handayani Surya , Hardianti Wahyuni Siti , Friska Meiliana , Nasution Jumaria , Harahap Parmanoan
Published: April 2024

Tujuan Pengabdian ini adalah untuk mengetahui pemanfaatan limbah cair tahu dalam pembuatan pupuk organik cair (poc) untuk tanaman pertanian. Pengabdian ini dilaksanakan di desa Pakal Dolok, Kec.Batang Onang, Kab.Padang Lawas Utara. Metode yang dilakukan pada pengabdian ini yaitu dengan mengadakan penyuluhan tentang manfaat pupuk organik cair untuk tanaman pertanian, pelatihan pembuatan pupuk organik cair dalam hal ini adalah pemanfaatan  limbah cair tahu. Mitra ikut berperan aktif dalam penelitian ini, khususnya dalam teknis pelaksanaan dilapangan. Program pengabdian yang dilakukan diterima oleh petani. Petani sangat optimis dapat menerapkan apa yang diperoleh dalam kegiatan pengabdian ini di lapangan. Karena teknologi ini sangat muda untuk diterapkan. Pupuk organik cair limbah cair tahu yang sudah difermentasi langsung dapat di aplikasikan petani tanaman pertanian yang sebelumnya sudah ditanam.
PENDAMPINGAN PEMBUATAN DAN PENGELOLAAN LEARNING MANAGEMENT SYSTEM DI SMA NEGERI 4 KOTA LANGSA
Authors: Akram Rizalul , Munawir  , Novianda  , Cut Banta
Published: April 2024

Learning Management System (LMS) sebagai pendukung penting keberlangsungan proses belajar mengajar secara online dan juga memudahkan siswa untuk mengakses konten pembelajaran dari mana saja dan kapan saja, LMS ini selain untuk memudahkan siswa mengakses materi pembelajaran adalah untuk siswa dapat dengan mudah mengakses tugas-tugas yang diberikan oleh guru. Berdasarkan analisis situasi dari beberapa sekolah yang ada di kota langsa maka dipilih Sekolah SMA Negeri 4 Kota Langsa karena belum memiliki LMS, oleh karena itu tim PKM memilih SMA Negeri 4 sebagai mitra PKM hal ini. Kegiatan ini dilakukan dengan memberikan pelatihan dan pendampingan terhadap operator dan guru sekolah. Diharapkan nantinya LMS ini bisa dimanfaatkan oleh SMA Negeri 4 untuk proses pembelajaran blended learning dan manjadi contoh penerapan penggunaaan bagi sekolah-sekolah lain nantinya.
MENINGKATKAN EFETIFITAS PENGGUNAAN ABSENSI DIGITAL DALAM REKAPITULASI GURU DI SEKOLAH DASAR (SD) DESA TREBUNGAN
Authors: Azizah Nur , Jannah Raudatul , Sudur Miftahus , Rahman Zainur , Muhammad Jagad
Published: April 2024

Salah satu faktor penting untuk menentukan kedisiplinan seorang siswa adalah dengan mencatat kehadiran siswa. Sistem absensi yang selama ini digunakan adalah dengan memanggil nama siswa kemudian mencatat kehadirannya pada kertas, teknik manual ini menimbulkan berbagai masalah, misalnya membutuhkan waktu yang lama untuk mencatat data, arsip absensi rusak karena sobek dan berbagai kondisi lainnya. Selain itu, sistem absensi yang berjalan selama ini belum mampu mencatat kehadiran siswa secara akurat, seperti kedatangan siswa tepat waktu atau tidak. Kini absensi digital berbasisis aplikasi Scan It To Office mengatasi permasalahan selama ini. Dengan sistem absensi digital ini tidak hanya memudahkan proses absensi tetapi juga membantu guru dalam mencatat kehadiran sisiwa. Perangkat sistem bekerja secara akurat dengan menggunakan metode Scan QR-Code dengan tingkat akurasi yang sempurna.
La inclusión educativa en el nivel superior universitario argentino
Authors: Cerezo Leticia
Published: April 2024

Este libro presenta un análisis de los sentidos que adquiere la inclusión educativa en el nivel superior universitario en Argentina, a partir del estudio de caso de la Universidad Nacional Arturo Jauretche (Gran Buenos Aires, Argentina) para el periodo 2011 – 2018. Tomando los debates acerca del concepto de inclusión educativa y sus sentidos políticos y académicos, reconstruimos los soportes sobre los que se construye la singularidad de la Universidad, analizamos las prácticas institucionales que allí se despliegan (de acompañamiento al colectivo estudiantil por fuera de las aulas, acompañamiento al ingreso, las prácticas docentes y el régimen académico universitario), así como también recuperamos de las experiencias de autoridades, nodocentes, docentes y estudiantes.

Esta obra nos permite comprender que la inclusión educativa, en sus distintas connotaciones, organiza la vida cotidiana en la UNAJ y también posibilita la justificación de las prácticas, las tensiones y las resistencias que allí se expresan. Este estudio sobre la UNAJ, institución que se caracteriza por ser masiva y cercana, dinámica y reflexiva, ofrece claves interpretativas muy novedosas para pensar la educación superior en nuestro país.
Factores de riesgo de deterioro clínico en pacientes ingresados por COVID-19: estudio caso-control
Authors: CÉSPEDES SUZUKI ERIKA YASMINE , UROZ MARTINEZ MARIA VICTORIA , ALARCON CAPEL EDUARDO
Published: April 2024

Objetivos del artículo
Identificar los factores de mala evolución de la infección por SARS-CoV-2 en pacientes hospitalizados por COVID-19, definida como la aparición de síndrome de distrés respiratorio agudo (SDRA) del adulto grave durante el ingreso (PaFi ≤100 mmHg), ingreso en la Unidad de Cuidados Intensivos (UCI) o muerte intrahospitalaria.
Doctora, me duelen las rodillas
Authors: FELTRER GARCÍA JESSICA , CARPIO VICENT ESTANISLAO , DEL CARMEN GIMENO ORTI MARIA
Published: April 2024

Puntos clave
La osteopetrosis es una enfermedad genética poco frecuente que se produce por un fallo en la función o diferenciación osteoclástica.
La osteopetrosis del adulto se hereda con carácter autosómico dominante y en la mayoría de los casos cursa de forma asintomática, por lo que el diagnóstico suele ser casual.
Nitrato de Ouro em Nanoescala: Um estudo de Suas Propriedades
Authors: Botelho Iury Thiago Dias , Almeida Maria Leticia da Cruz , Silva João Vítor Melonio , Ferreira Suelen Rocha Botão , Ferreira Welberth Santos
Published: April 2024

A transição da mecânica clássica para a teoria quântica marcou um ponto de inflexão na história da física, impulsionando avanços notáveis e abrindo caminho para a nanociência e nanotecnologia. Com esses materiais podemos encontrar propriedades exclusivas de acordo com o tamanho dos nanomateriais. Este estudo visa encontrar as propriedades ópticas e estruturais das nanopartículas de nitrato de ouro, utilizando modelagem computacional avançada com o módulo CASTEP e baseando-se na teoria funcional da densidade (DFT). Pretendemos contribuir para a compreensão dessas nanopartículas, com implicações em tecnologias inovadoras e no avanço da ciência dos materiais. Espera-se que este estudo enriqueça o conhecimento existente e promova inovações em diversos campos científicos.
Complicações no puerpério de pessoas com útero diagnosticadas com síndrome de HELLP internadas na UTI materna
Authors: Santos Wieclesio Suelber Silva dos , Silva Liniker Scolfild Rodrigues da , Santana Genir Isidorio da Silva , Amaral Laura Elizabeth Gomes , Mendes Nathalia Napoli , Mendes Gustavo Napoli , Abreu Rafaela Cavalcante de , Dantas Daniela Cintia de Azevedo , Coelho Maria Eduarda Gomes , Santos Lucas Oliveira Wanderley dos , Miranda Rayanne Cristina Peixoto de , Silva Anna Carollyne de Almeida Vasconcelos
Published: April 2024

A Síndrome de HELLP é específica do período gravídico-puerperal e pode estar, ou não, associada à pré-eclâmpsia e eclâmpsia. Ela pode ocorrer entre 24 a 48 horas após o parto, por meio de sintomas inespecíficos que podem dificultar o seu diagnóstico e a promoção de um tratamento eficaz. Averiguar na literatura as complicações no puerpério de pessoas com útero diagnosticadas com síndrome de HELLP internadas na UTI materna. Trata-se de uma revisão integrativa. Realizou-se a busca por artigos com delimitação dentro do período de 2000 a 2023, nos idiomas português, inglês e/ou espanhol, disponíveis na íntegra e nas seguintes plataformas de dados e bibliotecas virtuais: MEDLINE/Pubmed, LILACS, SCOPUS, SciELO e BVS. Os dados foram organizados e apresentados em figuras e quadros. No caminhar da pesquisa, foi encontrado o total de 30.200 estudos e destes, foram selecionados 7 artigos.  Para tal análise, averiguou-se a temática em questão fragmentando-a de forma organizacional em 3 categorias distintas: Quadro clínico e complicações da síndrome de HELLP em puérperas; Síndrome de HELLP e mortalidade materna; e Implicações do diagnóstico e tratamento. Evidenciou-se as implicações da Síndrome de Hellp na saúde das puérperas, estas que vivenciam uma situação considerada crítica durante parte das 48 horas do pós-parto, a qual impede, ainda, o incentivo à interação entre mãe e filho.  Logo, ressalta-se a indispensabilidade dos profissionais de saúde para entender a síndrome e suas manifestações clínicas, a fim de manejar as necessidades da paciente e contribuir para a diminuição da mortalidade materno infantil.
Desmame ventilatório em pacientes traqueostomizados: revisão sistemática
Authors: Krasnhak Franciele Cristina Ferreira , Meneghetti Luciana Claudia Koseki , Prevital Gabriel Henrique de Oliveira , Agnolo Cátia Millene Dell
Published: April 2024

Estudos apresentam a ventilação mecânica invasiva (VMI) como uma intervenção que pode salvar vidas. No entanto, o prolongamento desse processo pode trazer diversos danos ao paciente e estar associado a morbimortalidade elevadas Estratégias que possibilitem a retirada desse paciente de forma precoce da UTI tornam-se necessárias. No entanto pesquisas com a temática específica de retirada do suporte ventilatório em pacientes traqueostomizados são escassas. Sendo assim, esta revisão sistemática (RS) objetivou analisar protocolos para desmame ventilatório de pacientes traqueostomizados. Procedimentos Metodológicos: A questão de pesquisa foi utilizada segundo a estratégia PICOS. Após a realização da questão de pesquisa e definição da pergunta, apresentamos 3 fases de pesquisa, selecionando dois grupos de pesquisadores (grupo 1 e grupo 2), os quais fizeram a seleção dos estudos após a leitura completa. Resultados: As buscas eletrônicas efetuadas no período de Maio a Agosto de 2022 resultaram na recuperação de um total de 15.682 citações, provenientes das bases de dados PubMed, Embase e Web of Science (WOS) e Scopus um total de nove artigos foram incluídos na revisão final. Posteriormente a análise dos artigos selecionados buscou-se caracterizar de acordo com as principais fases do desmame ventilatório os dados que poderiam auxiliar na construção de um protocolo. Conclusão: Esta revisão aborda um tópico de extrema importância no processo de desmame ventilatório e m pacientes submetidos à TQT. Existe uma escassez de investigação científica relacionada a esse assunto, com uma notável ausência de uma metodologia rigorosa. Portanto, torna-se imperativo promover novos esforços de pesquisa abrangendo metodologias mais robustas.
Comparative study of the effectiveness of time series and arima modeling x RNA approach in a Multi Layer Perceptron (MLP) model in predicting fouled in petroleum pre-processing heat exchangers
Authors: Soares Adroaldo Santos , Pinheiro Raul Nery , Santos Ana Laise do Nascimento dos , Pinheiro Oberdan Rocha , Gonçalves Marcelo Albano Moret Simões , Pessoa Fernando Luiz Pellegrini
Published: April 2024

This work presents a comparison between two approaches based on Artificial Intelligence techniques to predict critical deposition in the battery of shell and tube heat exchangers, used in petroleum pre-processing. Deposition or incrustation, which occurs on the thermal exchange surfaces of heat exchangers, during operation, can reduce the efficiency of this equipment and generate an increase in the cost of refining for the petrochemical plant due to the modification of ideal operating parameters and changes. process variables, such as flow, pressure and temperature, input and output of heat exchangers, as well as thermodynamic parameters, such as fouling resistance coefficient and global heat transfer coefficient. The proposed methods for comparing results used the analysis and prediction of time series based mainly on integrated autoregressive moving average (ARIMA) and Deep Learning models and, on the other hand, an artificial neural network (ANN) model based on the Multi Layer architecture. Perceptron (MLP) with the Backpropagation error backpropagation algorithm. The data was collected in exchangers of a petroleum preheating battery in the years 2014 to 2021. The general objective of this work is to present the results of both approaches and compare, since they aim to predict the deposition in the heat exchanger of the shell and tube type, thus helping to minimize maintenance costs and increase the energy efficiency of the petrochemical plant, making operations safer and more efficient, bringing significant benefits to the petroleum industry.
Intervenções fisioterapêuticas atuais aplicadas em idosos com doenças reumáticas: revisão integrativa da literatura
Authors: Medeiros Robson Antão de , Feitosa Hânycka Thayara Wanderley
Published: April 2024

O envelhecimento populacional associado a alta prevalência das doenças reumáticas em idosos é um dos maiores desafios da saúde pública enfrentados nos últimos anos. Em vista disso, são necessárias estratégias mais efetivas no manejo do tratamento fisioterapêutico para essa população. O presente estudo teve como objetivo detalhar as intervenções fisioterapêuticas atuais e seus impactos em idosos com doenças reumáticas. Trata-se de uma revisão integrativa da literatura, em que foi realizada uma busca nas bases de dados: PubMed, Scopus, Lilacs, e Web Of Science, no período de dezembro de 2023, através dos descritores: Elderly/Idosos, Rheumatic diseases/Doenças reumáticas, Physiotherapy/Fisioterapia. Foram incluídos estudos do tipo ensaios clínicos randomizados, publicados nos últimos 5 anos, em conformidade com os critérios de inclusão. Conclui-se que as intervenções fisioterapêuticas através dos exercícios resistidos, de moderada a alta intensidade, de forma individual e/ou coletiva, associada ao autogerenciamento através do uso das tecnologias digitais podem ser efetivas no manejo dos idosos com doenças reumáticas.
Pandemia da COVID-19: panorama do atendimento a crianças com deficiência nas turmas de alfabetização em escolas municipais do estado de Minas Gerais
Authors: Bomfim Duanne Antunes , Santos Flávia Emily Viegas dos , Franco Marco Antônio de Melo
Published: April 2024

Durante a pandemia da covid-19 o processo educacional precisou ser repensando nas diferentes modalidades de ensino. E no que diz respeito ao processo de alfabetização, principalmente associado ao atendimento dos alunos com deficiência, desafios e possibilidades podem ser encontrados. Considerando o cenário posto, este estudo objetivou apresentar um panorama do processo de escolarização das crianças público da educação especial em turmas de alfabetização das escolas de ensino comum em 21 municípios do estado de Minas Gerais. Trata-se de uma pesquisa quanti-quali realizada a partir da aplicação de questionário com questões fechadas e abertas correlacionadas ao processo de alfabetização e inclusão da criança com deficiência. Os dados foram tratados por meio de programa de estatística e a análise se deu a partir de figuras, gráficos e tabelas gerados, realizando correlações e verificações de frequência das respostas, estabelecendo um panorama geral da pesquisa. Os resultados evidenciaram a ampla demanda de processos de ensino e de aprendizagem de alunos da educação especial nas turmas comuns, a emergência da oferta de diferentes recursos e serviços à este público, bem como as fragilidades no Atendimento Educacional Especializado. É possível considerar que a pandemia reforçou as desigualdades no processo educacional, bem como sinalizou a necessidade de se construir estratégias para um caminho educacional mais inclusivo.
Intervenção em prematuros na Unidade de Terapia Intensiva Neonatal (UTIN): uma abordagem da musicoterapia e a visão da enfermagem
Authors: Sampaio Michele Pires Barbosa
Published: April 2024

O estudo aborda o papel significativo da música ao longo da vida humana, destacando sua capacidade de estimular circuitos neurais no cérebro e promover bem-estar emocional e cognitivo. A pesquisa concentra-se na investigação do impacto da musicoterapia nas respostas fisiológicas de recém-nascidos prematuros, visando reduzir estresse, desconforto e melhorar índices vitais como oxigenação, frequência cardíaca e respiratória, temperatura e ganho de peso. A abordagem não apenas traz benefícios para os bebês prematuros, mas também para os pais e profissionais de saúde. O estudo busca compreender e evidenciar os efeitos da musicoterapia, fundamentando-se na prática dos profissionais de enfermagem, que utilizam estratégias baseadas em modelos educativos para promover o cuidado materno e a educação em saúde. Essa pesquisa tem o propósito de contribuir para o desenvolvimento de melhores práticas de cuidado materno, visando à promoção da autonomia e emancipação das mães no cuidado de seus filhos, tanto durante a hospitalização quanto após a alta hospitalar.