bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative Study Between Custodiol® versus Cold Blood Cardioplegia for Myocardial Protection in Double Valve Replacement Surgery
Authors: Rezk Moataz , Wahdan Ashraf , Mubarak Mahmoud , Mohamed Mamdouh , Elgazzar Mohammed
Published: August 2023

Background: Several cardioplegic solutions are available for myocardial preservation. The superiority of intracellular over extracellular cardioplegia is still debated. Our study aimed to compare the results of Custodiol® and blood Cardioplegia for myocardial protection in double valve replacement surgery.

Methods: This is a prospective study that included 301 patients. We grouped the patient into; Group A (n= 135) had Custodiol® cardioplegia, and Group B (n= 166) had cold blood cardioplegia. We included patients who had double valve surgery and excluded redo, emergency procedures, and patients who had concomitant coronary artery bypass grafting.

Results: Patients in Group A were significantly younger (43 ±9 vs. 47 ±10, P<0.001). There were 72 females (53.3%) in Group A and 71 (43.4%) in Group B (P= 0.09). The total bypass time was higher in group B (217± 40 vs. 179± 35 min, P< 0.001). The cross-clamp time was comparable between groups (90± 31 vs. 85± 29 min, P= 0.15). The duration of mechanical ventilation (7 ± 1 vs. 12 ± 2 h, P< 0.001), ICU stay (3± 0.7 vs. 4± 0.9, P< 0.001) and hospital stay (8± 1 vs. 13± 3, P< 0.001) were shorter in Group A. Postoperative wound seroma (5 (26.6%) vs. 60 (36.1%), P< 0.001) and mortality (2 (1.5%) vs. 11 (6.6%), p= 0.042) were lower in Group A.

Conclusion: Custodiol cardioplegia could be safe during double valve surgery. A larger randomized trial is required to confirm our findings.
A Clinical Score to Predict Acute Renal Failure after Cardiac Surgery in Egypt
Authors: Emara Ahmed Sobhy , Shaheen Yosri , Kasab Ibrahim , Ouda Mohamed Abdelrahman , Elshafey Mahmoud
Published: August 2023

Background: Acute Kidney Injury (AKI) after cardiac surgery is a serious complication. AKI could occur in 30% of patients, and 1-5% develop severe kidney injury. The present study aimed to evaluate the use of the Cleveland Clinic Score (CCS) to identify patients at higher risk of AKI after cardiac surgery.

Methods: This study included 100 patients, 83 were males, and the mean age was 52.47±11.3 years. All patients had elective operations; 30% had isolated valve surgery, 64% had isolated coronary artery bypass grafting (CABG), and 6% had combined CABG and valve operation.

Results: Creatinine serum level ranged between 0.5-2 mg/dL with a mean of 0.98±0.32 mg/dL. Seventy-four patients had good renal function postoperatively, and their CCS was 1.45±0.36, while 26 patients had renal impairment, and their CCS was 12.5±0.44 (P= 0.001). Patients who had AKI were older (62.87±8.7 vs. 49.9±13.9; P<0.001) and had higher preoperative creatinine (1.1±0.32 vs. 0.94±0.31; P= 0.03). AKI was more common in diabetics (23 (88.5%) vs. 28 (37.85, P<0.001) and patients with COPD (6 (23.1%) vs. 3 (4.1%); P= 0.004). CCS score was significantly higher among the different degrees of severity of AKI.

Conclusion: Cleveland Clinic Score could be good for predicting acute kidney injury after cardiac surgery.
The Contribution of Soviet Military Scientists to the Development of Industrial Technologies for the Production of the First Domestic Antibiotics (Penicillin and Streptomycin)
Authors: Chigrinov S. N. , Mironin A. V. , Soybanov V. D. , Teterin V. V. , Tumanov A. S.
Published: August 2023

In the domestic literature, the industrial production of penicillin and streptomycin is commonly attributed to the representatives of civil institutions and enterprises. However, the key role of military scientists in solving this problem remains in the background.

   The purpose of this article is to summarize the available facts about the role of Soviet military scientists in creating a technology for obtaining the first antibiotics in the USSR.

   At the beginning of 1942, all the works, related to the penicillin in the Soviet Union, was headed by academician of AMS USSR Z. V. Ermolyeva. At the first stage of the research, the technology for obtaining penicillin was applied, based on the use of a surface method of growing cultures of the antibiotic-producing fungus in mattresses. But this method could not meet the country's needs for the drug. In early 1944, the Soviet government tasked the Research Institute of Epidemiology and Hygiene of the Red Army (NIIEG) in Kirov (now a branch of the Federal State Budgetary Institution «48th Central Research Institute» of the Ministry of Defense of the Russian Federation) to solve the case of mass production of penicillin and streptomycin. In 1944–1945 for the first time in the USSR military specialists from NIIEG developed a technology for the industrial production of penicillin by the deep method with aeration. The deep cultivation was carried out in cultivator devices designed by engineer-Lieutenant Colonel A. V. Krutyakov. During the research, a fungus strain (Penicillium chrysogenum 23248) was selected from a large number of studied strains, the use of which provided the highest yields of penicillin, and the most effective cultivation conditions were selected. The experience, obtained by the Soviet military specialists during the development of the technology for the deep production of penicillin, served in 1946-1947 as the basis for the creation of the method for obtaining domestic streptomycin from the domestic Streptomyces griseus. In 1947, for the first time in the world an employee of the NIIEG Lieutenant Colonel of medical service N. I. Nikolaev and civil doctors D. D. Fedorinov and V. I. Gorokhov used the NIIEG streptomycin successfully for the treatment of patients with pneumonic plague during the plague epidemic in Manchuria. In the late 1940s the technologies for the production of penicillin and streptomycin, as well as the relevant documentation, were transferred to civil healthcare institutions for the industrial development.
Plasmonic dual-band waveguide with independently controllable band-notched characteristics
Authors: Zhu Biao , Hu Mingzhe , Xu Jie , Zhang Lepeng , Niu Lingyun , Zhou Chaobiao , Liu Facheng , Zhang Haochi
Published: August 2023

In this present paper, an investigation is conducted on a dual-band waveguide with independently controllable band-notched characteristics. The proposed slot structure, featuring a loaded gap, facilitates the operation of the plasmonic waveguide at two distinct frequency bands. Moreover, the working bandwidth of the waveguide can be flexibly adjusted through the use of varactors loaded across the gap. Notably, the dual band can be adjusted independently and flexibly by regulating the varactors. The measurement results demonstrate that the plasmonic filtering waveguide possesses excellent frequency selectivity and compact physical size, particularly concerning its real-time controllable notched-band response with the varactor voltages.
Can Osteoarthritis be Cured by Mesenchymal stem cells (MSCs)? A Literature Review
Authors: Ziedan Mohamed
Published: August 2023

Osteoarthritis (OA) is a degenerative joint disease that affects millions of people worldwide. The disease frequently results in discomfort, edema, and stiffness, which can impair movement, make everyday tasks challenging, and even render a person disabled. Since osteoarthritis is presently incurable, researchers are working hard to find new treatments. Adult Mesenchymal stem cells (MSCs) are the most common stem cells used in the therapy of OA in clinical trials. They are simple to extract for researchers from bone marrow or adipose. Depending on the kind of tissue that contains them, MSCs can develop into cartilage, bone, muscle, tendon, ligaments, or fat. For this reason, scientists are researching MSCs in OA stem cell therapies. According to research, MSCs produce substances that promote healing and reduce pain. According to some research, they may aid in reducing pain, swelling, and loss of motion when injected into a joint. Researchers conduct an examination of articles that are in accordance with the issue to be studied. Articles used in literature review are  obtained  through  the  database  of  international  journal  providers  through  PubMed,  we  investigated clinical studies and discussed what happened in these clinical studies and the extent of the effectiveness of stem cells in treatment of osteoarthritis. Different patients have responded differently to this therapy. While some people have experienced pain others have not. Research is still required to determine whether stem cell therapies for OA are effective and why some people respond to the therapy more favorably than others.
Effect of Combination of Prenatal Yoga and Self Hypnosis on Anxiety Level of Pregnant Women with Preeclampsia
Authors: Deasy  , Ali Madinah  , S.Keb.Bd., M.Keb Siti Anisak
Published: August 2023

Pregnancy and childbirth are natural processes, but they are not without risks. Health conditions, mental status and lifestyle can lead to complications, one of which is Preeclampsia. Pregnant women with preeclampsia have high anxiety in facing childbirth, due to the great risks that will be faced by themselves and the baby who is born. An effective way to overcome anxiety is by doing physical exercise, such as prenatal yoga and self-hypnosis. The purpose of the study was to explain the effect of the combination of prenatal yoga and self-hypnosis on the anxiety level of pregnant women with Preeclampsia. Method: Quasi-experimental research, pretest-posttest with control group design. The study population was all pregnant women with Preeclampsia who visited Anna Medika Madura Hospital as many as 40 people, the sample size was 20 people each for the treatment group and control group. Sampling with consecutive sampling. Research instruments Anxiety of each group was measured before and after the intervention, using the State-Trait Anxiety Inventory (STAI) questionnaire. Statistical analysis Wilcoxon Signed Rank Test and Mann Whitney U Test. Results: There is an effect of the combination of prenatal yoga and self-hypnosis on anxiety levels before and after treatment, (ρ: 0.000) and there is a significant difference in momentary anxiety levels between the treatment group and the control group (ρ: 0.000). Discussion: It can be concluded that Prenatal Yoga Gymnastics and Self Hypnosis are very useful in reducing anxiety experienced by pregnant women with Preeclampsia. Movement and relaxation in prenatal yoga exercises can increase the activity of the para-sympathetic nervous system and GABA. It is recommended to provide training programmes in ANC services on methods of reducing anxiety with alternative therapies Prenatal Yoga and Self Hypnosis.
The Effectiveness of Gargling Binahong Decoction Solution and Betel Leaf Decoction Solution Againts Plaque Index (Study on Deaf Children at SDLB Karya Mulia Surabaya)
Authors: AJENG NURZILULLAHNINGTIYAS
Published: August 2023

Deaf children are children who have hearing loss. They have limitations in terms of communication and lack of knowledge, which causes bad behavior. Behavior in maintaining poor dental and oral hygiene causes poor plaque index values in deaf children. The problem in this study is that the plaque index value of deaf students at SDLB Karya Mulia Surabaya is poor. Plaque control can be done by mechanical and chemical means. Chemical control of dental plaque can be done by gargling. Gargling using natural ingredients such as binahong leaves and betel leaves can help reduce plaque because they contain good antibacterial and antiseptic properties. The aim of this study was to determine the difference in the effectiveness of gargling a solution of decoction of binahong and betel leaves on the plaque index in deaf children at SDLB Karya Mulia Surabaya. The type of research used was a pre-experimental design with a pretest-posttest design, with 51 students as research subjects. Methods of data collection by way of observation. The data analysis technique uses the Independent Sample T-test. The results showed that the betel leaf decoction solution was more effective in reducing plaque index in deaf children at SDLB Karya Mulia Surabaya than the binahong leaf decoction solution.
Zn, Fe, Se, I, phytochemicals assessed in honey and antibacterial activity of sokoto honey on Staphylococcus aureus, and Escherichia coli isolated from WOUND
Authors: SARKINGOBIR YUSUF
Published: August 2023

Antibacterial activity of honey obtained from Specialist Hospital, Sokoto on Staphylococcus aureus and Escherichia coli isolated from wound was studied. the results depicting the levels of iron, selenium, zinc, and iodine micronutrients assessed in honey samples collected from three different zones of Sokoto state, Nigeria. Atomic absorption spectroscopy was used to determine Fe, Zn, se, and I as follows: 7.3± 0.5 to 10.11± 0.15 ppm, 0.50 ± 0.01 to 0.60± 0.01 ppm, 2.6± 0.1 to 11.0 ± 0.05 ppm, 0.05±0.001 to 1.30±0.01 ppm are concentration ranges of Fe, Se, Zn, and I respectively assessed from samples of honey obtained from 3 zones of Sokoto. Agar well diffusion method was used to determine the antibacterial activity of the honey on the test microorganisms. The result revealed that the honey samples have heavy antibacterial activities against the test organisms and zones of inhibition were obtained showing high antibacterial activity. The antibacterial activity increased with increase in the concentrations and the honey produced a high antibacterial activity (clearer zone) on Staphylococcus aureus and Escherichia coli at all concentration. The use of honey as a therapeutic substance has been rediscovered by the medical profession on more recent times, and it is gaining acceptance as an antibacterial agent for the treatment of ulcers and bed sores, and other infections resulting from burns and wounds. Likewise, the honey contains phytochemicals and Zn, Se, Fe, and I micronutrients.
Reducing Stunting Through Specific Nutrition Interventions in Action to Prevent Stunting Program (ACS) and Supplementary Feeding Program (PMT)
Authors: Saadah Nurlailis , Cahyaningsari Dwi Indah , Usnawati Nana
Published: August 2023

Stunting is one of the nutritional problems that is a priority and must be addressed. Specific nutrition interventions in the ACS and PMT programs both have an effect on reducing stunting. Objective: To find out the differences in the effect of specific nutrition interventions in the ACS and PMT programs on reducing stunting. This research is a comparative research, cross-sectional research design. Sample: This study consisted of 60 stunted toddlers, consisting of 30 stunted toddlers in Jabung Village ad 30 stunted toddlers in Ngiliran Village. Analysis of differential effects: Independent Sample t-test. Results showed that specific nutrition interventions in the ACS program showed that 15% of toddlers passed stunting and 35% of toddlers did not pass stunting, while during the PMT implementation, 10% of toddlers passed stunting and 40% of toddlers did not pass stunting. The Independent Sample t-test concluded that there were differences in the effect of specific nutrition interventions on the ACS and PMT programs on stunting reduction. Concluded tha there were differences in the effect of specific nutrition interventions in the ACS and PMT programs had an effect on reducing stunting. So it is suggested that the handling of stunting in the ACS program can be disseminated and replicated on other places to reduce the incidence of stunting.
Edukasi Siaga Bencana Kebakaran pada Siswa Sekolah Dasar
Authors: Indriani  , Basri K Sarinah , S. Lalu Nur Ayini , Nakoe Moh. Rivai
Published: August 2023

Peningkatan jumlah hunian menyebabkan aktivitas warga juga semakin meningkat namun tidak selalu disertai dengan kekhawatiran akan pentingnya keselamatan dan perlindungan dari ancaman bencana, termasuk kebakaran. Kota Gorontalo dapat dikategorikan sebagai wilayah dengan tingkat kepadatan penduduk yang tinggi sehingga tidak terbebas dari potensi kebakaran. Peningkatan pemahaman terhadap keselamatan dari bahaya kebakaran perlu ditanamkan sejak dini terutama pada siswa sekolah dasar. Kegiatan pengabdian kepada masyarakat dilaksanakan di Sekolah Dasar Negeri 29 Kecamatan Kota Selatan, Kota Gorontalo dimana sekolah tersebut merupakan salah satu sekolah yang terletak di pemukiman padat penduduk. Kegiatan ini bertujuan untuk memberi edukasi kepada siswa-siswi mengenai manajemen kebakaran agar dapat bersiapsiaga dan melakukan penyelamatan bilamana terjadi kebakaran tidak terduga. Kegiatan pengabdian yang diikuti sebanyak 30 siswa ini dilaksanakan dengan menggunakan media power point dan video animasi dengan sasaran kegiatan pada siswa-siswi kelas IV, V, dan VI. Berdasarkan hasil evaluasi setelah diberikan materi edukasi pemahaman siswa cukup baik terlihat dari sebagian besar siswa menjawab dengan benar soal yang diberikan. Dapat disimpulkan siswa memahami materi edukasi kesiapsiagaan bencana kebakaran yang telah diberikan.
Edukasi Dampak Penggunaan Smartphone pada Remaja
Authors: Caesar David Laksamana , Wachid Abdul , Dewi Ervi Rachma , Mubaroq Muhammad Husni , Prasetyo Eko
Published: August 2023

Prosentase penggunaan smartphone pada kalangan remaja dan anak usia sekolah sangat tinggi. Menurut hasil survey yang dilakukan oleh Kementerian  Komunikasi dan Informatika tahun 2017 menunjukan > 43% remaja telah menggunakan smartphone dalam kehidupan sehari-hari. Penggunaan smartphone  yang berlebihan dapat memberikan dampak yang negative pada remaja. Kegiatan pengabdian masyarakat ini dilaksanakan di tiga sekolah menengah di Jawa Tengah. Jumlah responden kegiatan sebanyak 450 siswa. Metode pelaksanaan kegiatan pengabdian masyarakat adalah ceramah dan diskusi, dengan menggunakan instrument slide presentasi dan video edukasi. Hasil kegiatan menunjukan siswa sangat tertarik dengan informasi yang diberikan oleh penyaji. Terdapat umpan balik dari siswa berupa pertanyaan-pertanyaan yang berkaitan dengan dampak penggunaan smartphone, serta berbagai macam mitos dan faktanya. Harapanya kegiatan pengabdian masyarakat ini dapat menjadikan siswa lebih bijaksana dalam menggunakan smartphone.
Edukasi Pijat Endorphin dalam Menurunkan Kecemasan Masa Pandemi Covid-19 pada Ibu Post Partum di Banjar Pagutan Kelurahan Padangsambian Barat
Authors: Sugiartini Ni Ketut Ayu , Pratiwi Desak Kade Ayu
Published: August 2023

Kecemasan yang terjadi pada ibu post partum terjadi karena adanya perubahan peran ibu. Keadaan psikologi akan berpengaruh pada keadaan fisik oleh karena adanya pelepasan dari adrenalin yang menyebabkan vasokontriksi dari pembuluh darah alveoli sehingga oksitosin sedikit harapannya untuk dapat mencapai target organ mioepitelium. Masase merupakan salah satu cara untuk reileksasi pada ibu. Endorphin massage merupakan pijatan merangang tubuh untuk melepaskan senyawa endorphin yang dapat menormalkan denyut jantung dan tekanan darah, mengurangi sakit, mengendalikan perasaan nyaman serta meningkatkan rileks dalam tubuh. Penelitian yang dilakukan oleh (Ayu Sugiartini et al., 2022) di Wilayah Kerja Puskesmas III Denpasar Barat menunjukkan bahwa terdapat perbedaan rata-rata skor sebelum dan setelah diberikan pijat endorphin terhadap tingkat kecemasan masa pandemic covid-19 pada ibu post partum. Peran serta petugas kesehatan dengan meningkatkan pengetahuan dan memberikan pijat endorphin sebagai salah satu cara untuk mengatasi kecemasan. Kegiatan yang dilakukan adalah edukasi Pijat Endorphin dalam Menurunkan Kecemasan Masa Pandemi Covid-19 pada Ibu Post Partum dengan menggunakan media Poster. Sasarannya adalah ibu post partum dan suami yang berkunjung ke Posyandu yang dilaksanakan di Banjar Pagutan Kelurahan Padangsambian, Denpasar Barat. Setelah dilakukan edukasi Pijat Endorphin dalam Menurunkan Kecemasan Masa Pandemi Covid-19 pada Ibu Post Partum berkomitmen untuk menerapkan pijat endorphin untuk mengurangi kecemasan yang bisa dilaksanakan oleh suami.
Pelaksanaan Hypnobreasfeeding Upaya Meningkatkan Produksi ASI bagi Ibu Menyusui
Authors: Witari Ni Nyoman Deni , Dewianti Ni Made , Widiantari Kadek
Published: August 2023

Pada masa post partum ibu banyak mengalami kejadian yang penting dimulai dari perubahan fisik, masa laktasi maupun perubahan psikologis menghadapi keluarga baru . Menyusui merupakan suatu proses alamiah. Beberapa masalah menyusui yang sering terjadi pada awal kelahiran adalah produksi ASI yang tidak adekuat. Hal ini sering menyebabkan ibu menyusui merasa cemas sehingga  ibu tidak berhasil meyusui secara eksklusif. Oleh karena itu pada kegiatan pengabdian ini dilakukan pemberian edukasi dan pelaksanaan hynobreastfeeding yang ditujukan kepada ibu menyusui didalam mengurangi kecemasan. Hal ini dilakukan karena masih tingginya kecemasan ibu menyusui dan produksi ASI tidak lancar berdasarkan hasil assessment lapangan dan tinjauan penelitian sebelumnya. Pengabdian ini bertujuan untuk menambah pengetahuan ibu menyusui, mengurangi kecemasan dan lebih rileks sehingga dapat meningkatkan produksi ASI. Metode yang digunakan adalah pemberian edukasi dengan media poster dan pelaksanaan hypnobreasfeeding dengan panduan video. Hasil dari pemberian edukasi dan pelaksanaan hypnobreasfeeding  adalah meningkatkan kepercayaan diri ibu dalam memberikan ASI, ibu lebih rileks dan produksi ASI meningkat.
Edukasi Penyakit Diabetes Melitus dengan Metode Pemberian Modul pada Penderita DM dimasa Pandemi COVID-19 di Kelurahan Bontokadatto Kab. Takalar
Authors: Suardi  , Patmawati  , Ernawati  , Wirda Wirda , Kamriana  , Dewiyanti  , Oktaviana Dina , Alwi
Published: August 2023

Diabetes Melitus (DM) adalah suatu kelainan yang dapat ditandai dengan meningkatnya kadar gula darah dan hambatan metabolisme protein, lemak, serta karbohidrat yang dikaitkan dengan kurangnya secara mutlak maupun relative dari kerja ataupun pengeluaran insulin. Tujuan pengabdian ini adalah meningkatkan pengetahuan penderita DM melalui pemberian Edukasi Penyakit Diabetes Melitus Dengan Metode Pemberian Modul Pada Penderita DM dimasa Pandemi Covid-19 di Kelurahan Bontokadatto Kab. Takalar. Metode pelaksanaan kegiatan dengan cara pemberian penyuluhan secara langsung dengan menggunakan media Modul yang termuat di dalamnya Konsep DM, Diet DM, Aktivitas Fisik, Perawatan Kaki, Monitoring Gula Darah dan Pengobatan. Peserta maupun pemateri dalam kegiatan ini tetap memperhatikan protokol kesehatan selama kegiatan berlangsung, sebelum penyuluhan dilakukan di ukur pengetahuan pre dan setelah dilakukan penyuluhan di ukur kembali pengetahuan post. Peserta yang terlibat adalah penderita DM. Hasil kegiatan terjadi peningkatan pengetahuan setelah diberikan edukasi Penyakit Diabetes Melitus Dengan Metode Pemberian Modul Pada Penderita DM dimasa Pandemi Covid-19 di Kelurahan Bontokadatto Kab. Takalar, yaitu dari 1 responden (7%) yang pengetahuan baik meningkat menjadi 12 responden (80%)setelah dilakukan edukasi. Pada kegiatan ini terjadi peningkatan pengetahuan setelah diberikan edukasi pada penderita DM, sehingga masyarakat perlu terus diberikan edukasi dalam meningkatkan pengetahuan dan keterampilan, sehingga komplikasi bisa diminimalisir, dan kualitas hidup tetap baik.
HUBUNGAN PENGETAHUAN DAN SIKAP PASIEN TB DENGAN KEJADIAN TB KATEGORI 2 DI RUMAH SAKIT PARU Dr. H. A. ROTINSULU BANDUNG
Authors: Meiningtyas Diana Ayu , Hotmaida Linda , Ardayani Tri
Published: August 2023

Pengetahuan adalah suatu hasil dari rasa keingintahuan melalui proses sensoris, terhadap objek tertentu dan terbentuknya perilaku terbuka. Sikap adalah respon tertutup seseorang terhadap stimulus/objek tertentu yang sudah melibatkan  faktor pendapat dan emosi yang bersangkutan. TB kategori 2 adalah penderita TB paru yang sebelumnya pernah menjalani pengobatan karena penyebab yang berbeda harus melakukan pengobatan ulang. Penelitian ini bertujuan untuk menganalisis hubungan pengetahuan dan sikap pasien TB dengan kejadian TB kategori 2. Jenis penelitian yang digunakan adalah penelitian survei analitik dengan pendekatan cross sectional. Sampel pada penelitian ini berjumlah 77 responden. Teknik pengambilan sampel yang digunakan adalah accidental sampling. Hasil uji chi-square dari hubungan pengetahuan dengan kejadian TB kategori 2 memperoleh angka 0,000 yang artinya adanya hubungan diantara keduanya. Sedangkan hasil dari hubungan sikap dengan kejadian TB kategori 2 memperoleh angka 0,164 yang artinya tidak ada hubungan diantara keduanya. Dapat disimpulkan bahwa adanya hubungan pengetahuan dan sikap pasien TB dengan kejadian TB kategori 2. Disarakan untuk membuat jadwal pemberian edukasi untuk para pasien TB kategori 2.
EFEKTIVITAS INSTALASI PENGOLAHAN AIR LIMBAH SECARA BIOLOGIS AEROBIK TERHADAP PENURUNAN KADAR COD, BOD, PH, TSS DAN MPN COLIFORM DI RUMAH SAKIT PARU DR. H. A. ROTINSULU
Authors: Wibowo Arief , Hotmaida Linda , Yogisutanti Gurdani
Published: August 2023

Rumah sakit sebagai tempat pelayanan kesehatan yang dirancang, dioperasikan, serta dipelihara dengan memperhatikan aspek kesehatan manusia dan lingkungan yang mencakup kebersihan fisik, limbah padat, limbah cair, air bersih, dan serangga atau binatang pengganggu. Diperlukan sistem pengolahan air limbah rumah sakit sehingga ketika di keluarkan ke lingkungan tidak memiliki dampak bagi lingkungan. Tujuan penelitian ini adalah menganalisis efektivitas pengolahan air limbah secara biologis aerobik di RS Paru Dr. H. A. Rotinsulu dengan parameter COD, BOD, ph, TSS dan MPN Coliform tahun 2021. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian quasi experiment. Berdasarkan penelitian yang telah dilakukan didapatkan pengolahan air limbah rumah sakit dengan sistem biologis aerobic di RS Paru Dr. H. A. Rotinsulu efektif dalam menurunkan kadar parameter yaitu COD sebesar 58,03%, TSS sebesar 55,24%, MPN Coliform sebesar 99,89%. Sistem pengolahan air limbah masih belum efektif dalam menurunkan parameter pH yaitu mengalami kenaikan dari 7,36 menjadi 7,56 tetapi masih memenuhi baku mutu. sementara untuk BOD meskipun terdapat penurunan sebesar 58,53%,  namun hasil penurunan tersebut tidak memenuhi baku mutu dan dapat dikatakan tidak efektif. Untuk dapat hasil outlet yang baik dan memenuhi standar baku mutu diharapkan  tenaga  sanitarian  agar  melakukan  pemantauan  atau  pengecekan  berkala  sehingga mencegah terganggunya proses pengolahan air limbah
OUTCOME OF ONE-STAGED PROCEDURE VERSUS THREE-STAGE PROCEDURE IN ANORECTAL MALFORMATION AT TERTIARY CENTRES OF NORTH INDIA
Authors: Kumar Jha Ashutosh , Singh Chhavindar , Kumar D. , Pratap Prakhar
Published: August 2023

Background: anorectal malformation are among the most frequent congenital anomalies with incidence of 1 in 4000 to 5000 live births and
treatment requires surgical interventions. Selecting one-staged or three-staged procedure is a subject of debate. The study aims to compare
outcome of the two procedure. Material and methods: 70 patients of ARM with 38 males and 32 female included in the study. 32 patient
underwent one staged procedure (perineal anorectoplasty -PSARP/ASARP) and 38 patients underwent three staged procedure (colostomy,
PSARP/ASARP and closure of colostomy). The complications during and after the surgery were recorded in both group and the result was
compared. Results: 8 case (25%) in one- staged group and 2 case (6%) in three-staged group had anorectoplasty site infection and dehiscence and
in three-staged group 6 (18%) patients had colostomy site complications. Overall infection rate were similar in two groups but other complications
like prolapse, stula and stenosis were not seen in three-staged groups. Conclusions: The considerable benets mentioned for the one-stage
surgical method and considering that most of the one-stage repair complications were minor and resolved with conservative management, it seems
that one-stage repair is a preferred and reliable method for anorectal malformations. It provides alternative method to rectify ARMs without colostomy
A STUDY OF CYTOCHEMICALAND HAEMATOLOGICAL PARAMETERS IN ACUTE LEUKEMIA PATIENTS IN A TERTIARY CARE HOSPITAL
Authors: Kumawat Neha , Kumawat Suresh , Shah Smita
Published: August 2023

Introduction: Leukemias are a heterogenous group of hematopoietic cells disorders, having varied clinical, morphological, molecular cytogenetic
characteristics, and has prognostic and therapeutic implications on identifying them correctly. In limited resource centers, where the genetic and
immunophenotyping are not available, the use of cytochemical stains is still have a value in the diagnosis of leukemia. Aim: To evaluate the role of
cytochemistry in classifying the various types of Leukemia and its subtypes as well as correlate with the clinical and hematological ndings of the
cases. Results: In this study we analyzed 60 cases of acute leukemia and found predominance of lymphoid neoplasms over myeloid leukemia
among acute leukemia case, seen more commonly in the childhood category. The gender distribution in both AML and ALL was M:F ratio 1.6:1.
Acute leukemias were well studied, with the stains, SBB and PAS, and accurately classied as per FAB classication. Flow cytometry was done in
only four doubtful cases to give denitive diagnosis. SBB stain shows 96.2% sensitivity and 100% specicity which helps to correctly differentiate
myeloid series from lymphoid series. Conclusion: Cytochemical stains, being cheap, simple and require no special instruments or highly trained
personnel are particularly important in developing countries for the diagnosis and treatment of acute leukemia and can be used in places that do not
yet have the most advanced diagnostic resources and / or immunophenotyping, cytogenetics and molecular biology
RETRO AORTIC LEFT RENAL VEIN WITH ADVANCED RCC: A CASE REPORT WITH LITERATURE REVIEW
Authors: Dhandhalya Chetankumar , Chudasama Shilpa , Patel Rutvik
Published: August 2023

Acquiring insight into variations in anatomical course of renal veins is of importance for operative procedure in this region. These variations are
consequent on developmental aberrations. A normal preaortic course of LRV can vary and be like retroaortic, circumaortic or additional LRV & left
inferior vena cava with retroaortic right renal vein. Estimated prevalence of RLRV is ~2%. We aimed at its recognition on cross sectional imaging
and clinical implications. Middle aged male presenting with complain of hematuria, left ank pain, anorexia, weight loss and past history of right
nephrectomy for renal stone 30 years back found to have a large left renal mass lesion with few liver lesions on ultrasound, subsequently subjected
to triple phase CT abdomen. On CT a retroaortic left renal vein with markedly dilated tributaries and a large left renal mass lesion with hepatic,
pulmonary and left adrenal metastases were detected. A thorough review of relevant literature was done post imaging. RLRV can be an incidental
nding easy to detect on CT. Sound knowledge of renal vein variations is useful prior to interventional procedure in this region in symptomatic patients
BREAST ULTRASOUND IN PREGNANT AND LACTATING FOR ASSESSMENT OF PHYSIOLOGICAL CHANGES AND PATHOLOGICAL LESIONS- A PICTORIAL REVIEW.
Authors: Dhandhalya Chetankumar , Chudasama Shilpa , Patel Rutvik
Published: August 2023

The breast undergoes distinct changes during pregnancy and
breastfeeding, which emerge as a variety of clinical and imaging
ndings. Recognizing the optimum imaging modalities for a given
clinical situation by understanding the expected physiologic changes
as well as common pathological lesions of the breast are of imminent
importance.
POST OPERATIVE QUALITY OF LIFE AND MORBIDITY IN COMPLICATED COLONIC DIVERTICULITIS
Authors: KS Swasthik , Ananthakrishna Ananthakrishna , Das Roby , Rajan Ramesh , Ahmed Rizwan
Published: August 2023

Aim: To determine the postoperative morbidity and Quality of life (QOL) among patients who underwent surgery with complicated colonic
diverticulitis. Methodology: This is an observational single-Institutional study Data collected prospectively from patients who underwent surgical
procedures for complicated diverticulitis in our Institution from January 2017 to June 2021 was taken for analysis. Patients who have an associated
malignancy and who were lost to follow-up were excluded. Basic information, including BMI, diagnosis, and surgical procedures performed, was
recorded. Clavien-Dindo (CD) grading was used as a measure for post-operative morbidity. QOLwas assessed with a questionnaires, which were 3
types [Cleveland Global Quality of Life (CGQL), Short Form 36 (SF-36), and Gastrointestinal Quality of Life Index (GIQLI)], taken before the
surgery and then after 1 year. Results: During the study period, among 372 colonic surgeries, 21 (5.6%) complicated diverticulitis patients were
operated upon. After satisfying the exclusion and inclusion criteria, 15 (n) patients were taken for analysis. CD grade proportionally increased with
BMI. The CD grade was acceptable, with 10 patients having a grade 1. The mean follow-up time was 32 ± 5 months. There is a statistically
signicant (p 0.0001) improvement in long-term QOL. The mean QOL scores of CGQL, GIQLI, and SF-36 before surgery were 4.4 ± 1.2, 78.9 ±
10.1, and 52.1 ± 8.2, and after surgery, 7.8 ± 1.2, 123.6 ± 11.8, and 84.3 ± 5.8, respectively. Conclusion: Despite the complex clinical course there
was no mortality with acceptable morbidity. Surgical intervention achieved satisfactory QOL.
PERCEPTION REGARDING FACTORS RELATED TO PERIODONTAL THERAPY AMONG GENERAL DENTAL PRACTITIONERS OF GUJARAT STATE- A QUESTIONNAIRE SURVEY
Authors: Trivedi Rishabh , Dabhi Kinjal , Patel Nayana , Changela Radha , Verlianey Nisha , H Desai Nehal , Sharma Mansi
Published: August 2023

Purpose: To assess the perception regarding periodontists and periodontal therapy among general dental practitioners (GDPs) of Gujarat state.
Materials and Methods: A questionnaire study was conducted among GDPs of Gujarat state comprising 11 closed-ended questions. The
questions addressed the following variables: demographics of the dentist, service as GDP, periodontal services provided by the GDP and
periodontal services referred to the periodontists. Total 214 GDPs responded to the Results: survey. 96.7% had specialists visit their practice or
were sending their patients to specialists; out of which, Oral Surgery (82.6%) and Orthodontics (83.6%) were the most demanding specialties by
GDPs, followed by Periodontics (55.1%). The procedures performed by the GDPs were as follows: scaling (97.7%), scaling and root planing
(83.2%), gingivectomy (45.3%), ap surgery (17.3%), frenectomy (29%), vestibuloplasty (15%), crown lengthening (55.6%), root coverage
procedures (4.2%), bone grafts (12.6%) and implants (39.7%). The procedures for which most GDPs preferred the service of periodontists include
bone grafts (84.6%), ap surgery (86.9%), root coverage procedures (82.7%) and others. Gingival recession (57.9%) is the most encountered
difcult-to-treat pathology even after using a periodontist's service. 80.4% provided implant care in their clinic, out of which only 49.2% felt the
role of periodontists was suitable for the implant care. A variety of periodontal Conclusion: services were offered by GDPs. The most common
services were non-surgical in nature. GDPs refer most commonly for surgical procedures such as ap surgery, bone grafts, root coverage
procedures and others.
Contrastive Learning approach for blind Hyperspectral Unmixing (CLHU)
Authors: Hernandez-Guedes Abian , Fukushima Ryodai , Takamatsu Toshihiro , Fabelo Himar , ortega samuel , Takeshita Nobuyoshi , Hasegawa Hiro , Ruiz-Alzola Juan , Takemura Hiroshi , Callico Gustavo M.
Published: August 2023

The Contrastive Learning for blind Hyperspectral Unmixing (CLHU) is a self-supervised deep learning approach for blind hyperspectral unmixing. Unlike existing deep learning methods that rely on reconstruction capabilities, CLHU leverages the input-endmembers relationship for abundance estimation. The endmembers are dynamically updated during training, controlled by two regularization factors. Extensive experiments demonstrate CLHU's effectiveness, achieving state-of-the-art performance in hyperspectral unmixing. This novel approach offers a promising perspective for the field and holds potential for further enhancements in hyperspectral unmixing tasks.
Mass Configuration of Heterogeneous IIoT Nodes: A Proposal and Experimental Evaluation
Authors: Saif Darius , Matrawy Ashraf
Published: August 2023

Pre-Print of a paper entitled 'A Proposal and Experimental Evaluation Towards Mass Configuration of Heterogeneous IIoT Nodes' by Darius Saif and Dr. Ashraf Matrawy.
Data-Driven Phase-Based Control of a Powered Knee-Ankle Prosthesis for Variable-Incline Stair Ascent and Descent
Authors: Cortino Ross , Best T. Kevin , Gregg Robert
Published: August 2023

Powered knee-ankle prostheses can offer benefits over conventional passive devices during stair locomotion by providing biomimetic net-positive work and active control of joint angles. However, many modern control approaches for stair ascent and descent are often limited by time-consuming hand-tuning of user/task-specific parameters, predefined trajectories that remove user volition, or heuristic approaches that cannot be applied to both stair ascent and descent. This work presents a phase-based hybrid kinematic and impedance controller (HKIC) that allows for semi-volitional, biomimetic stair ascent and descent at a variety of step heights. We define a unified phase variable for both stair ascent and descent that utilizes lower-limb geometry to adjust to different users and step heights. We extend our prior data-driven impedance model for variable-incline walking, modifying the cost function and constraints to create a continuously-varying impedance parameter model for stair ascent and descent over a continuum of step heights. Experiments with above-knee amputee participants (N=2) validate that our HKIC controller produces biomimetic ascent and descent joint kinematics, kinetics, and work across four step height configurations. We also show improved kinematic performance with our HKIC controller in comparison to a passive microprocessor-controlled device during stair locomotion.
Size, Efficiency, and Reliability Analysis of a Multiport Traction Inverter with Downsized DC-DC Converter for a Catenary/Battery Tram
Authors: Fedele Emanuele , Iannuzzi Diego , Spina Ivan
Published: August 2023

The use of a NPC-type multilevel converter as multiport inverter (MPI)
has recently been considered a promising solution for the compact
integration of multisource systems in various applications. This paper
presents a broad analysis of a quasisingle stage propulsion system (QSS)
that employs an NPC-type MPI and a downsized boost dc-dc converter for
an urban tram vehicle with overhead line connection and onboard
batteries. The control and dynamic performance are detailed and
validated experimentally. Furthermore, the power losses, VA rating,
weight, volume, and reliability of the QSS system are evaluated and
benchmarked against a conventional architecture for a case-study
catenary/battery tram model. The analysis reveals that the QSS system
can achieve significant savings in volume, weight, and round-trip energy
efficiency, higher reliability due to intrinsic redundancy, but with
increased VA rating, part count, and complexity.
Recurrent Dissipativity-Based Inequalities for Controller Design
Authors: Madeira Diego de S. , Machado Gabriel
Published: August 2023

Using a new set of semidefinite constraints called recurrent dissipativity-based inequalities, this letter presents an iterative procedure to design polynomial feedback control laws for polynomial nonlinear systems, let it be a static state feedback or a linear static output feedback (SOF) controller one needs to determine. In addition to that, the problem of linear SOF design for linear time-invariant (LTI) systems is solved as well. In the case of polynomial systems, we use sum-of-squares (SOS) programming for controller design and to provide an estimate of the closed-loop domain of attraction. In the case of LTI models, a set of linear matrix inequalities (LMIs) is employed in an iterative strategy to determine a stabilizing gain. Numerical simulations on a few examples borrowed from literature are provided in order to emphasize the advantages of our new dissipativity-based control (DBC) method.
Identifiability in Functional Connectivity May Unintentionally Inflate Prediction Results
Authors: Orlichenko Anton , Qu Gang , Su Kuan-Jui , Liu Anqi , Shen Hui , Deng Hong-Wen , Wang Yu-Ping
Published: August 2023

fMRI and phenotype data for the PNC dataset came from the Neurodevelopmental Genomics: Trajectories of Complex Phenotypes database of genotypes and phenotypes repository, dbGaP Study Accession ID phs000607.v3.p2. The authors would also like to thank the UK Biobank (UKB application ID 61915), the BSNIP study organizers, and OpenNeuro as well as the Fibromyalgia dataset curators for making data publicly available or available to authorized researchers.
Ultralow-power standoff acoustic leak detection
Authors: Hasselbeck Michael
Published: August 2023

Preprint of an article submitted to IEEE Sensors Journal.
Integrating Academic Learning: Promoting Civic Engagement, Responsibility, and Social Justice through Service-Learning
Authors: Albanesi Cinzia , Compare Christian
Published: August 2023

Service-learning (SL) enables educational institutions to offer students meaningful community-based learning experiences, fostering the acquisition of civic and citizenship competencies. While the potential impact of SL on students’ learning is acknowledged, previous studies frequently adopted qualitative methodologies and lacked systematic approaches. This study aimed to investigate the impact of SL on students' civic and citizenship competencies using a longitudinal mixed-method approach. 33 participants completed pre- and post-course questionnaires assessing sense of community responsibility, civic engagement, and social justice orientation. Students also provided qualitative reflections on their learnings concerning these constructs. Although measured constructs did not exhibit significant variations, students recognised an increased awareness of their ability to contribute to the community and promote social justice. This finding emphasises the role of SL in fostering civic engagement and active citizenship.
 
Integrare gli Apprendimenti Accademici: Promuovere Impegno Civico, Responsabilità e Giustizia Sociale Attraverso il Service-Learning.
Il service-learning (SL) offre agli studenti esperienze di apprendimento significative in contesti comunitari, promuovendo l'acquisizione di competenze civiche e di cittadinanza. Sebbene sia stato riconosciuto l'impatto potenziale del SL sull'apprendimento degli studenti, gli studi precedenti hanno spesso utilizzato metodologie qualitative e approcci poco sistematici. Questo studio ha indagato l'impatto del SL sulle competenze civiche e di cittadinanza degli studenti utilizzando un approccio longitudinale a metodo misto. 33 partecipanti hanno completato questionari pre e post-corso valutando il senso di responsabilità verso la comunità, l'impegno civico e l'orientamento alla giustizia sociale, e fornendo riflessioni qualitative sulle loro esperienze di apprendimento legate a questi costrutti. Sebbene i costrutti misurati non abbiano mostrato variazioni significative, gli studenti hanno riconosciuto una maggiore consapevolezza della propria capacità di contribuire alla comunità per promuovere la giustizia sociale. Questo risultato sottolinea il ruolo del SL nel promuovere l'impegno civico e la cittadinanza attiva.
Writing Man and Nature (1864) in Italy: George and Caroline Marsh on Human-Environmental Relations
Authors: Madden Etta
Published: August 2023

George Perkins Marsh (1801-1882), first US Minister to the Kingdom of Italy, is also known as a father of environmentalism, due to his book, Man and Nature; or, Physical Geography as Modified by Human Action (1864). The book includes environmental changes George witnessed during his New England years and as he and his wife Caroline lived and traveled abroad. Caroline’s diaries written in Italy attest to her partnership in the book’s composition and to its role among their ambassadorial duties.
“I am not a Post-Marxist: I am a Neo-Marxist”: Interview with Nancy Fraser
Authors: Fazio Giorgio , Taraborrelli Angela
Published: August 2023

Fraser is one of the most important American philosophers and one of the leading figures of contemporary critical theory. From the 1980s to the present, Fraser has published on political philosophy and social theory, reflected upon feminism, justice, and capitalism, and has participated in public debates on current issues. The interview aims at retracing the main themes of her thought, underlining the persisting link which joins her understanding of political philosophy with social critique and public engagement. The interview also emphasizes the developments of her thought, starting from her formation in the American New Left, the encounter with feminism and the neo-Marxist cultural critique of capitalism, and the discussion of Habermas’s thought. Also discussed is Fraser’s complex feministic theory and her post-Westphalian and three-dimensional model of global justice. Another crucial topic is the recent elaboration of an enlarged view of capitalism, based on a combination of Karl Marx and Karl Polanyi, aimed at highlighting its structural crisis tendencies: not only economic, but also ecological, political, and social. The recent debate on the crisis of liberal democracy, the emergence of populism, the Covid-19 pandemic, as well as the Ukrainian war, become an opportunity to test how a renewed critical theory of society can develop a social diagnosis of the time, without abandoning the task of a reconstruction of the emancipatory potential present in the existing social reality. Finally, Fraser recalls her link with the Italian philosophical tradition, stressing in particular her debt to Antonio Gramsci.
Factores influyentes en la supervivencia en pacientes adultos “in extremis” sometidos a toracotomía de emergencia
Authors: Yus Sosa Ana María
Published: August 2023

OBJETIVO: describir los factores influyentes en la supervivencia de pacientes adultos “in extremis” a quienes se les realizó toracotomía de emergencia. MÉTODO: se recopiló información en libros, Pubmeed, revistas científicas, metaanálisis, artículos y guías sobre factores influyentes en la supervivencia en pacientes adultos “in extremis” sometidos a toracotomía de emergencia. RESULTADOS: la supervivencia reportada a nivel internacional varía desde 0 % hasta 55.6 %, en Guatemala ha sido entre el 10% o el 9.09%. Esto varía según el objetivo del estudio, los recursos, país y población incluida. La supervivencia de los pacientes en quienes se realiza la toracotomía de emergencia es multifactorial. Se reportó una supervivencia más alta en pacientes con heridas punzocortantes, lesiones de cavidad única, ausencia de defectos intracardiacos significativos, estabilidad hemodinámica. Los pacientes que sufrieron heridas por arma blanca presentaban una supervivencia hasta del 20%, mientras que por herida de bala era menor a 8%. La supervivencia es baja o nula cuando está relacionada a toracotomía de emergencia por traumatismo contundente, traumatismos múltiples o ausencia de signos vitales. CONCLUSIÓN: los factores más influyentes son el tiempo desde la reanimación en la atención prehospitalaria hasta el manejo inicial en el servicio, la fisiología del paciente en el primer contacto o en el momento quirúrgico, el mecanismo y tipo de lesión.