bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative evaluation of submerged versus nonsubmerged dental implants - A prospective, clinico-radiographic, split-mouth study
Authors: Taneja Punya , Singh Gaurav , Mishra Madan , Mondal Shubhamoy
Published: November 2024

Background:

To minimize the risk of impaired osseointegration historically, it has been recommended to insert the implant into the bone (submerged implants) and to allow for submerged healing of 3-6 months in the lower and upper jaw, this conventional technique is advocated. The concept of nonsubmerged healing was introduced in 1988 in which gingival former was placed at the time of implant placement instead of cover screw. The treatment concept of nonsubmerged implant placement enables early implant loading, one surgical procedure only, and a reduced treatment period for the patients.

Aim:

The aim of this study was to compare clinical and radiographic outcomes of submerged and nonsubmerged implants.

Materials and Method:

A prospective split-mouth study of a minimum of 20 bilateral edentulous patients (total of 40 sites) was selected and randomly distributed in two groups: submerged and nonsubmerged implants. Patients were evaluated clinically and radiographically by assessing the patients on clinical parameters which included peri-implant probing depth, mucosal thickness, and width of keratinizing gingiva. Radiographic parameters were crestal bone height-distance between implant shoulder and alveolar crest compared from the bone level, on intraoral periapical.

Results:

Our results revealed that the marginal bone loss is statistically significant and has higher values in nonsubmerged implant protocol. All the other clinical parameters were statistically insignificant.

Conclusion:

The nonsubmerged implants have reduced the chairside time of the patient, but have a comparatively higher crestal bone loss. Our study concludes that whether it is submerged or nonsubmerged implant placement protocol, under an appropriate oral environment, proper implant selection and methodology both the treatment modalities provide an overall similar success rate.
Template for positioning miniplates (PUNPLAPOT-M) on mandibular symphysis: Novel innovation
Authors: Punde Prashant A.
Published: November 2024

Purpose:

This study was conducted to check the efficacy of PUNPLAPOT-innovative Template for positioning of the bone miniplate for fracture fixation.

Material and Methods:

Twenty dried mandible specimens were used in this study. The specimens were then divided into two groups using random sampling. Each group consisted of ten mandibles each. The mandibles were fractured in mandibular symphysis region. Study group mandibles were subjected to fixation using 2.5 mm titanium miniplate using PUNPLAPOT plate positioning template. Control group specimens were subjected to fracture fixation without the use of template. All the 20 specimens were then subjected to dial gauge test of parallelism. Plate orientation with respect to lower border of mandible was checked for both the groups. PUNPLAPOT 2.0 is developed to be used in extremely oblique fractures.

Results:

Significant difference was noted in review parameters -plate parallelism and distance of screws from fracture line within study and control group. Results obtained with this template were statistically significant.

Conclusion:

PUNPLAPOT definitely provides the maxillofacial surgeons a reliable template to position the miniplate at an optimum position. The template has few limitations like comminuted lower border fractures and severely oblique fractures. Further device development is aimed towards overcoming these.
Microinvasive oral squamous cell carcinoma: A management protocol
Authors: Pal Uma Shanker , Devi Seema , Sowmya Meleti Venkata , Maurya Harshita , Kumar Sandeep , Singh Ranjeet
Published: November 2024

Microinvasive oral squamous cell carcinoma (MISCC) is the early stage of oral cancer that shows a breach in the basement membrane, and the depth of invasion of the tumour is limited to 0.5-2mm into the papillary stroma. A review of the available data on MISCC was conducted to formulate a management protocol for MISCC and to assess the association of MISCC with oral potentially malignant disorders. An electronic and manual search of the articles was conducted following the inclusion and exclusion criteria. A total of 14 articles were selected, evaluated, and details were tabulated. Before finalizing the treatment plan, potential diagnostic errors on both the surgeon and pathologist's part and prognostic outcomes should be taken into consideration. An association between oral potentially malignant disorders and MISCC was observed in 12 out of 14 articles. According to the NCCN guidelines, elective neck dissection is only indicated in highly selective cases for a depth of invasion of less than 2mm. However, three out of 14 MISCC cases showed metastasis to lymph nodes during the follow-up period. Multiple recurrences and second primaries in the case of MISCC are also a matter of concern. Management protocol was formulated for MISCC considering the histopathological, clinical, and radiological presentation. Precise management of oral potentially malignant disorders with rigorous follow-up for at least 3 years is advisable to prevent their carcinomatous transformation. A follow-up period of 4-8 years in the case of MISCC is recommended as part of the management protocol.
Magnesium Alloy and Silicon Nitrides Composite Study: Synthesis and
Abrasive Water Jet Machining Behavior and Optimization
Authors: Venkatesh R.
Published: November 2024

Related to traditional engineering materials, magnesium alloy-based composites
have the potential for automobile applications and exhibit superior specific
mechanical behavior. This study aims to synthesize the magnesium alloy (AZ61)
composite configured with 0 wt%, 4 wt%, 8 wt%, and 12 wt% of silicon nitride
micron particles, developed through a two-step stir-casting process under an
argon environment. The synthesized cast AZ61 alloy matrix and its alloy embedded
with 4 wt%, 8 wt%, and 12 wt% of Si3N4 are subjected to an
abrasive water jet drilling/machining (AJWM) process under varied input sources
such as the diameter of the drill (D), transverse speed rate (v), and
composition of AZ61 composite sample. Influences of AJWM input sources on metal
removal rate (MRR) and surface roughness (Ra) are calculated for identifying the
optimum input source factors to attain the best output responses like maximum
MRR and minimum Ra via analysis of variant (ANOVA) Taguchi route with L16 design
approach. The ANOVA analysis revealed that D, v and the composition of AZ61
alloy composite contribute 26.45%, 16.28%, and 20.84%, respectively, to the
output response conditions for higher MRR. Additionally, design 7 exhibits a
high MRR of 0.017 g/s and a surface roughness (Ra) of 0.84 μm. The optimum AWJM
input source of design 7 is proposed for industries to mass production
applications.
Hubungan Antara Faktor Usia dan Budaya Suku Tolaki dengan Mobilisasi Dini terhadap Proses Penyembuhan Luka Post Op Sectio Caesaria
Authors: Widianti Riski , Narmawan Narmawan , Tahiruddin Tahiruddin
Published: November 2024

Sectio caesarea is an operation to delivere the baby. Post-op mothers have to do early mobilization to maintain independence as early as possible. The wound healing is influenced by age and culture. This study aims to determine the relationship between age and culture of the Tolaki tribe with early mobilization of post op sectio caesaria wound healing. The design of this study was descriptive analytic with cross sectional study approach. The study was conducted on October 16 to November 5, 2019 at the Kendari City Hospital. The sample was 54 postoperative caesarean patients which were taken by purposive sampling technique. The independent variables studied were age and culture and the dependent variable was early mobilization. Statistical analysis using the chi square test. The results of this study showed that there was a relationship of age with early mobilization to the process of healing post-operative caesarean injuries in hospitals in Kendari City with p = 0.005 < 0.05 and a relationship between the Tolaki tribe culture with early mobilization to the process of healing of post-op injuries in caesarean hospitals Kendari City with p = 0.027 <0.05. The conclusion of the research is the relationship between age and culture with early mobilization of the process of healing post op cesarean wound in Kendari City Hospital. Suggestions to the hospital to improve the implementation of education about the importance of the implementation of early mobilization in the effort to cure post op sectio caearea wounds so that conflicting patient and family cultures can be adjusted for patient healing.
Hubungan Respon Time Perawat dengan Kepercayaan Keluarga Pasien Triase Kuning di Ruang Instalasi Gawat Darurat
Authors: Pratama Iskandar Harun , Romantika I Wayan , Abadi Elyani
Published: November 2024

Response time is the speed in handling patients, calculated from the time the patient arrives until the nurse responds. In conducting emergency services, triage is carried out to determine patient priority needs. This study aims to determine the relationship between nurse response time and family trust of yellow triage patients. This research was conducted with a cross sectional study approach. The population in this study were all patient families who came to visit the Emergency Unit with a total population of 30 families of yellow triage patients with a total sample of 30 people who were taken using the total sampling technique. The research variables were Response Time and Family Trust. The results showed most of the response time in the fast category was 18 people (60.0%), most of the respondents believed in nurses in providing services, namely 17 people (56.7%) and there was a strong enough relationship between the response time of nurses and the level of family trust of the triage patient. yellow with p value = 0.004. The suggestion in this research is that the hospital formulates policies in order to increase patient and family trust in hospital services.
Pengaruh Terapi Jalan Kaki Dengan Posisi Ergonomik Terhadap Tekanan Darah Pada Penderita Hipertensi
Authors: Puspita Dila , Tahiruddin Tahiruddin , Narmawan Narmawan
Published: November 2024

The increasing prevalence of hypertension hasianiimpact onithe economy and productivity of the nation, thereby increasing morbidity and mortality rates. This is a big challenge in health services. Oneiofithe Ifactorsithatiinfluence the incidenceiofihypertensioniisiphysical activityisuchiasiwalkingiand igymnastics. The purpose of this istudy was to determine the ieffect iof walking therapy with an ergonomic position onireducingbloodipressure in hypertension sufferers in Padalaa Village, Menui Islands District, Morowali Regency. This research uses a pre-experimental design with a pre test and post test design approach involving 27 people as a sample. The sample withdrawal technique uses purposive sampling techniques. The instruments used are observational sheets using iprimary and secondary data. iData analysis consists of iunivariateiand ibivariate, namely the Wilcoxon test test. Theiresultsiof thisistudy indicate that the medium value (min-max) of systolic blood pressure before is 157 (147-208) mmHg and after 138 (119-189) mmHg iwith a value of 0.000 (<0.05) while the medium value (min -max) diastolic blood ipressure before is 93 (82-100) mmHg and after 86 (69-98) mmHg with a ivalue of 0.000 (<0.05) iwhich means that ithere is an effect iof walking therapyi in an ergonomic position to decrease blood pressure in hypertension sufferers in Padaal Village, Menui Islands District, Morowali Regency based on the value of (<0.05).
Hubungan Dukungan Instrumental dan Dukungan Emosional Keluarga dengan Kemampuan Pasien Mengontrol Halusinasi
Authors: Indariani Siti , Romantika I Wayan , Sari Riska Mayang
Published: November 2024

Gejala sering muncul pada skizofrenia adalah halusinasi selama rawat jalan maupun rawat inap dan dukungan keluarga sangat diperlukan. Apabila dukungan keluarga sangat kurang atau tidak ada, akan berdampak pada kurangnya keberhasilan penyembuhan atau pemulihan (rehabilitasi) klien dengan halusinasi. Penelitian ini bertujuan untuk mengetahui hubungan dukungan instrumental dan dukungan emosional keluarga dengan kemampuan pasien mengontrol halusinasi. Penelitian kategori  kuantitatif menggunakan pendekatan cross sectional yang dilaksanakan di Ruang RawatiJalaniRumah Sakit JiwaiProvinsiiSulawesi Tenggara. Populasi penelitian yakni rata-rata kunjungan pasien halusinasi dalam sebulan dari Januari sampai Mei 2021 di Ruang Rawat Jalan Rumah Sakit Jiwa Provinsi Sulawesi Tenggara yakni 42 orang dan sampel diambil secara sampling jenuh dan berjumlah 42 orang. Uji korelasi dalam penelitian menggunakan uji spearman rank. Hasil penelitian didapatkan nilai median dukungan instrumental adalah 4,00, nilai median dukungan emosional adalah 3,00, nilai median kemampuan mengontrol halusinasi adalah 4,00. Hasil analisis Spearman rank diperoleh ada korelasi antara dukungan instrumental keluarga dengan kemampuan pasien mengontrol halusinasi (p value = 0.,009 < ɑ = 0,05 dan r = 0,398) dan ada korelasi antara dukungan emosional keluarga dengan kemampuan pasien mengontrol halusinasi (p value 0,026 < ɑ = 0,05 dan r = 0,343). Saran kepada keluarga klien serta masyarakat untuk meningkatkan pemahaman, pengetahuan dan dukungan kepada klien halusinasi agar mampu mengontrol halusinasi secara mandiri
Hubungan Penggunaan Kontrasepsi Dan Kelelahan Kerja Dengan Siklus Menstruasi Pasangan Usia Subur Di Wilayah Kerja Puskesmas Tinanggea
Authors: WARDANA WISMOYO WISNU , Syahwal Muhammad , , Tahiruddin
Published: November 2024

Abstrak. Pasangan Usia Subur (Pus) adalah suami dan istri yang menikah secara sah, yang istrinya berusia antara 15 dan 49 tahun. Otoritas publik saat ini mempermudah pasangan usia subur untuk memutuskan strategi pencegahan yang sesuai dengan kebutuhan mereka. Status pekerjaan dapat mempengaruhi partisipasi penggunaan kontrasepsi karena terdapat faktor lingkungan kerja yang mendorong seseorang untuk berpartisipasi dalam pengaturan keluarga, sehingga secara tidak langsung akan mempengaruhi keadaan dengan penggunaan preventif. Adakah hubungan penggunaan kontrasepsi dan kelelahan kerja dengan siklus menstruasi pasangan usia subur di wilayah kerja Puskesmas Tinanggea. Konfigurasi eksplorasi yang digunakan dalam penelitian ini adalah laporan kuantitatif dengan menggunakan teknik Cross Sectional Review. Hasil pemeriksaan yang dilakukan di Kecamatan Ngapaaha, Kawasan Tinanggea pada 21-23 Juli 2022 dengan melibatkan 79 responden lansia. Konsekuensi dari eksplorasi yang diarahkan oleh uji Chi-Square diperoleh nilai p sebesar 0,000 < 0,05 yang berarti ada hubungan yang sangat besar antara jenis kontrasepsi dalam siklus siklus. Konsekuensi dari review yang dilakukan dengan uji Chi-Square, didapatkan nilai p sebesar 0,005 < 0,05, terdapat korelasi sangat besar antara_kelelahan kerja dengan_siklus. Dipercaya bahwa kerangka tersebut akan lebih mengingatkan mereka tentang skrining perencanaan keluarga dan hasil positif dan negatif dari penggunaan kontrasepsi.
 
Abstract. Couples of Reproductive Age (Pus) are husband and wife who are legally married, whose wife is between 15 and 49 years old. Public authorities are now making it easier for couples of childbearing age to decide on prevention strategies that suit their needs. Employment status can affect participation in contraceptive use because there are work environment factors that encourage a person to participate in family settings, so that it will indirectly affect the situation with preventive use. Is there a relationship between contraceptive use and work fatigue with the menstrual cycle of couples of childbearing age in the working area of ​​the Tinanggea Health Center. The exploratory configuration used in this study is a quantitative report using the Cross Sectional Review technique. The results of an examination conducted in Ngapaaha District, Tinanggea Region on 21-23 July 2022 involving 79 elderly respondents. As a consequence of the exploration directed by the Chi-Square test, a p-value of 0.000 <0.05 was obtained, which means that there is a very large relationship between types of contraceptives in cycles. The consequence of the review was carried out using the Chi-Square test, a p-value of 0.005 <0.05 was obtained, there was a very large correlation between work fatigue and cycles. It is believed that the framework will better remind them of family planning screening and the positive and negative outcomes of contraceptive use.
Hubungan Waktu Tunggu pelayanan Dengan Kepuasan pada Pasien
Authors: Novrianti Putri , Narmi Narmi , Risnawati Risnawati
Published: November 2024

Pendahuluan: Karena kesehatan merupakan salah satu hal yang sangat penting dan selalu menjadi perhatian masyarakat, maka kepuasan jangka pendek Metode: juga dikenal sebagai penelitian yang menggunakan pendekatan, observasi, atau pengumpulan data secara simultan untuk menguji dinamika korelasi antara faktor risiko dan efek. Hasil: Tinjauan tersebut mengungkapkan korelasi yang kuat antara waktu tunggu administrasi dan kepatuhan pasien jangka pendek. Hal ini berdasarkan hasil uji chi square yang menunjukkan nilai 0,000 (0,05). Kesimpulan: Kepuasan rawat jalan berhubungan signifikan dengan waktu tunggu pelayanan..
Introduction: Because has always been a concern for the community, the quality of services provided. Service and health have a strong connection because health is one of the most important things. Purpose: This study's objective at the Poasia Wellbeing Center is to determine the relationship between holding time and short-term patient compliance. Method design is a study that uses observation or simultaneous data collection to examine the dynamics of the correlation between risk factors and effects. Results: Outpatient satisfaction was strongly correlated with service waiting time, according to the findings. The chi square test result, which gives a value of 0.000 (0.05), serves as the foundation for this. Conclusion: In conclusion, service waiting teams have a significant impact on outpatient satisfaction.
Pengaruh Perawatan Payudara Terhadap Pengeluaran ASI ibu Post Partum
Authors: Usman Selfri L , Mien Mien , Qlifianti Jenny
Published: November 2024

Perawatan payudara juga bertujuan untuk memelihara hygiene pada payudara sehingga memperkecil kemungkinan infeksi, melenturkan atau menguatkan putting susu sehingga bayi bisa menyusui dengan baik, mengeluarkan putting susu yang terbenam (inverted) serta merangsang sekresi hormone prolactin dan oksitosin. Tujuan penelitian ini adalah untuk mengetahui pengaruh perawatan payudara terhadap pengeluaran ASI ibu post partum di RSU Benyamin Guluh Kolaka. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan metode the one group pretes-posttes design yang dilakukan di Rumah Sakit Umum Bahteramas pada bulan Juni-Juli tahun 2022 dengan melibatkan sampel sebanyak 27 orang. Penarikan sampel menggunakan teknik purposive sampling. Data dianalisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan bahwa sebelum melakukan perawatan payudara, pengeluaran ASI yang lancar sebanyak 6 orang (22,2%) dan yang tidak lancar sebanyak 21 orang (77,8%) sedangkan setelah melakukan perawatan payudara, pengeluaran ASI yang lancar sebanyak 24 orang (88,9%) dan yang tidak lancar sebanyak 3 orang (11,1%). Disamping itu, terdapat pengaruh perawatan payudara terhadap pengeluaran ASI ibu post partum di RSU Benyamin Guluh Kolaka berdasarkan nilai ρ sebesar 0,000. Disarankan agar ibu menyusui sering melakukan perawatan payudara secara mandiri.
Kata kunci : perawatan payudara, pengeluaran ASI, post partum.
 
Absctract. Gastritis, known as ulcers among people, attacks young people or teenagers. One of the Breast care also aims to maintain hygiene in the breasts so as to minimize the possibility of infection, to flex or strengthen the nipples so that the baby can breastfeed properly, to remove the inverted nipples and to stimulate the secretion of the hormone prolactin and oxytocin. The purpose of this study was to determine the effect of breast care on the production of breast milk for post partum mothers at Benyamin Guluh Kolaka General Hospital. The type of research used is quantitative research with the one group pretest-posttest design method which was carried out at the Bahteramas General Hospital in June-July 2022 involving a sample of 27 people. Sampling using purposive sampling technique. Data were analyzed using Wilcoxon's test. The results showed that before doing breast care, 6 people (22.2%) smooth milk production and 21 people (77.8%) non-smooth milk production, while after doing breast care, 24 people smooth breast milk expenditure (88 people). ,9%) and 3 people are not fluent (11,1%). In addition, there is an effect of breast care on the release of breast milk for post partum mothers at Benyamin Guluh Kolaka General Hospital based on the value of 0.000. It is recommended that breastfeeding mothers often do breast care independently.
Pengaruh Pemberian Air Kelapa Muda (Cocos Nucifera L.) terhadap Penurunan Tekanan Darah Pada Lansia dengan Hipertensi
Authors: Parmiyati Parmiyati , Narmawan Narmawan , Narmi Narmi , Djafar Ida
Published: November 2024

Sampai saat ini penderita hipertensi khususnya pada lansia semakin meningkat baik secara global maupun secara nasional. Air kelapa muda (Cocos Nucifera L.) sebagai minuman alami yang berasal dari rongga buah kelapa dapat bermanfaat bagi penderita hipertensi. Oleh karena itu, tujuan penelitian ini adalah mengetahui pengaruh air kelapa muda pada lansia dengan hipertensi. Desain penelitian menggunakan pre-experimental  pre test and post test tanpa kelompok pembanding. Intervesi dilakukan pada 6 orang lansia dengan hipertensi yang diambil secara purposive sampling. Pengumpulan data menggunakan lembar observasi yang berisi tentang data TD sistole dan diastole pre dan post intervensi. Analias data menggunakan uji paired t-test. Hasil penelitian menunjukkan bahwa untuk TD sistole terjadi penurunan dari 160 mmHg menjadi 145 mmHg, sedangkan untuk TD diastole dari 92.5 mmHg menjadi 91.67 mmHg. Dan secara statistik menjukan bahwa terdapat pengaruh air kelapa muda terhadap TD sistole pada lansia dengan hipertensi dengan nilai p=0.001 sedangkan TD diastole tidak terdapat pengaruh dengan nilai p=0.6. Kesimpulan bahwa terdapat pengaruh pemberian air kelapa muda pada lansia dengan hipertensi. Diharapkan agar terapi air kelapa ini bisa dijadikan sebagai bagian dari intervensi keperawatan dalam bentuk terapi komplementer pada penderita hipertensi.
Gambaran Konsumsi Jajanan Beresiko Tinggi Gula pada Anak
Authors: Wahyuni Sri , Indriastuti Diah , Hasrima Hasrima
Published: November 2024

Makanan jajanan memegang peranan yang cukup penting dalam memberikan asupan energi dan zat gizi lain bagi anak-anak usia sekolah. Konsumsi makanan jajanan anak sekolah perlu diperhatikan karena aktivitas anak yang tinggi. Kebiasaan jajan ini dipengaruhi oleh faktor jenis makanan, karakteristik personal (pengetahuan tentang jajanan, kecerdasan, persepsi, dan emosi), dan faktor lingkungan. Penelitian ini bertujuan untuk mengetahui gambaran konsumsi jajanan beresiko tinggi gula pada anak. Desain penelitian yang digunakan adalah penelitain deskriptif. Populasi dalam penelitian ini adalah anak SD kelas 4, 5 dan 6 dan sampel dalam penelitian berjumlah 46 responden, kuisioner yang digunakan dalam penelitian ini adalah kuisioner FFQ (Food Frequency Questionnary). Hasil penelitian bahwa terdapat 14 anak (30,4%) yang mengkonsumsi makanan kemasan/jajanan beresiko tinggi gula dengan kategori sangat sering, dan terdapat 24 anak (52,2%) yang mengkonsumsi minuman kemasan/jajanan beresiko tinggi gula dengan kategori sering. Kesimpulan bahwa terdapat jajanan beresiko tinggi gula pada anak. Saran diharapkan kepada masyarakat menerapkan dan mengembangkan pegetahuan mengenai bahaya konsumsi jajanan pada anak
Hubungan Durasi Penggunaan Gadget Dengan Gangguan Tajam Penglihatan Pada Anak Di SDN 93 Kendari
Authors: Israwati Nur , Rosjidi Cholik Harun , Indriastuti Diah
Published: November 2024

Pada masa modern ini penggunaan gadget sudah sangat dibutuhkan dalam kehidupan sehari-hari. Penggunaan gadget pada anak atau usia muda mampu meningkatkan resiko terjadinya gangguan ketajaman penglihatan akibat paparan yang dihasilkan dari layar monitor dalam jangka waktu yang lama. Sehingga membutuhkan pemahaman yang benar tentang penggunaan gadget. Jenis penelitian ini adalah kuantitatif deskriptif dengan menggunakan rancangan cross sectional study. Populasi pada penelitian ini adalah siswa kelas 4,5 dan 6 di SDN 93 Kendari dengan melibatkan sampel sebnayak 50 anak dengan menggunakan teknik penarikan simple random sampling. Data dianalisis secara univariat dan bivariat yang diuji menggunakan uji statistik chi square. Hasil penelitian menujukkan sebagian responden menggunakan gadget dengan durasi kategori buruk sebanyak 27 anak (54%) dan hasil pemeriksaan dengan snellen chart menunjukkan sebagian besar responden dalam kondisi ketajaman penglihatan kategori normal sebanyak 28 anak (56%). Hasil analisa data menunjukkan tidak ada hubungan durasi penggunaan gadget dengan gangguan ketajaman penglihatan dengan nilai (ρ = 0,264). Namun pada pola data menunjukkan ada kecenderungan hubungan dimana pada responden yang menggunakan gadget dalam ketegori  buruk cenderung mengalami gangguan ketajaman penglihatan meskipun secara statistik tidak bermakna. Disarankan pada orang tua untuk selalu mendampingi penggunaan gadget pada anak untuk mencegah gangguan ketajaman mata pada anak
Efektivitas Senam Ergonomik terhadap Tekanan Darah Lansia dengan Hipertensi
Authors: Supriyanto Sigit , Mien Mien , Romantika I Wayan
Published: November 2024

Movement in ergonomic exercise contains tremendous benefits in disease prevention and health care, including hypertension. The purpose of this study was to determine the effectiveness of ergonomic exercise on blood pressure in the elderly in the work area of the Tandebura Health Center, Kolaka Regency. The type of research used is quantitative research with the one group pretest-posttest design method which was carried out at the Bahteramas General Hospital in June-July 2022 involving a sample of 27 people. Sampling using simple random sampling technique. Data were analyzed using the Wilcoxon test. The results showed that before treatment (pre test) showed that the min-max value of systolic blood pressure was 120-150 mmHg with a mean±SD value of 138.52±6.767 while the min-max value of diastolic blood pressure was 80-90 mmHg. with a mean±SD value of 82.59±4.466. After being given treatment (post test), the min-max value of systolic blood pressure is 120-145 mmHg with a mean±SD value of 133.15±6.672 while the min-max value of diastolic blood pressure is 70-90 mmHg with a mean value of ± SD is 80±2.774 and there is an effect of ergonomic exercise on reducing blood pressure in the elderly with hypertension in the work area of the Tandebura Health Center, Kolaka Regency. It is recommended that the elderly often do ergonomic exercises independently.
ГОЛОВНОЙ МОЗГ – ОРГАН-МИШЕНЬ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ
Authors: Т.М. Остроумова
Published: November 2024

Артериальная гипертензия (АГ) – одно из самых распространенных сердечно-сосудистых заболеваний в мире и основной модифицируемый фактор риска развития когнитивных нарушений (КН), причем как сосудистой деменции, так и деменции при болезни Альцгеймера. В обзоре представлено актуальное состояние проблемы поражения головного мозга у пациентов с АГ, включая взаимосвязь между возрастом, уровнями и вариабельностью артериального давления и КН, а также современные данные о механизмах развития КН при АГ. Описывается влияние АГ на крупные экстра- и интракраниальные сосуды, а также подробно рассматриваются нарушения микроциркуляции и дисфункция нейроваскулярных единиц, приводящие к КН при АГ. Приведены клинические признаки и особенности диагностики поражения головного мозга как органа-мишени АГ. Обсуждается тактика ведения пациентов с АГ и КН, включая модификацию образа жизни, антигипертензивную терапию и применение нейропротективных препаратов с твердой доказательной базой, среди которых преимущество имеет этилметилгидроксипиридина сукцинат (Мексидол).

Arterial hypertension (AH) is one of the most common cardiovascular diseases in the world and the main modifiable risk factor for cognitive impairment (CI), both vascular dementia and Alzheimer’s disease dementia. The review presents current data upon hypertension-mediated brain damage, including the relationship between age, levels and variability of blood pressure and AH, as well as mechanisms of CI development in AH. The effect of AH on large extra- and intracranial vessels is described, as well as microcirculation disorders and dysfunction of neurovascular units leading to CI in AH are considered in detail. The clinical signs and features of the diagnosis of hypertension-mediated brain damage are presented. The tactics of managing patients with AH and CI, including lifestyle modification, antihypertensive therapy and the use of neuroprotective therapy with a robust evidence base, among which ethylmethylhydroxypyridine succinate (Mexidol) has an advantage, are discussed.
ЛЕЧЕНИЕ НЕВРОЛОГИЧЕСКИХ ОСЛОЖНЕНИЙ САХАРНОГО ДИАБЕТА
Authors: В.В. Захаров , Д.А. Гришина , Я.И. Червякова
Published: November 2024

Сахарный диабет является одним из наиболее распространенных неинфекционных заболеваний. Приведены данные о распространенности, патогенезе, клинических особенностях наиболее частых осложнений сахарного диабета 2-го типа – диабетической энцефалопатии и диабетической полиневропатии. В отсутствие адекватного лечения этих осложнений снижаются качество и продолжительность жизни пациентов. Представлено клиническое наблюдение пациента с умеренными когнитивными нарушениями и дистальной симметричной сенсорно-моторной полиневропатией. Обсуждаются возможности патогенетического лечения этих осложнений с использованием препарата Цитофлавин®.

Diabetes mellitus is one of the most common non-communicable diseases. The data on the prevalence, pathogenesis, and clinical features of the most common complications of type 2 diabetes mellitus – diabetic encephalopathy and diabetic polyneuropathy are presented. In the absence of adequate treatment for these complications, the quality and life expectancy of patients decreases. A clinical case of a patient with mild cognitive impairment and distal symmetric sensorymotor polyneuropathy is presented. The possibilities of pathogenetic treatment of these complications using Cytoflavin are discussed.
Eating Food that Flushes the Lymph System is Essential for Preventing Cancer, Alzheimer and Autoimmune Diseases
Authors: Kuman Maria
Published: November 2024

In my article, I underlined that to be healthy we need to periodically: 1) Flush the lymph system (which fills the space between the cells) with a combination of turmeric, ginger and garlic; and 2) Flush also the parasites out of the body because their exhaust is dumped into the lymph system. Periodic flushing of the lymph system (and the parasites) will prevent [1].
How Stress Causes Cancer and Alzheimer Disease: The Extracellular Space and the Role of the Lymph System
Authors: Kuman Maria
Published: November 2024

The article claims based on Russian studies that cancer is caused by crystallin formations in the spaces between the cells, which disconnect the cells. In a cut wound, the disconnected cells start to multiply fast to heal the wound fast and the healing regrowth is ruled by the current of regrow, which starts at the cut. In a cancerous tissue, the cells (disconnected by the crystallin formations) multiply senselessly because there is no current of regrowth to tell them where to go. Alzheimer disease is inability to memorize. It is caused by crystal-like formations in the space between the cells, called amyloid plaques, which make the communication of the neurons impossible. Since both diseases are caused by crystal formations in the space between the cells ruled by the lymph system, their cure or prevention would require flushing the lymph system. We all know that stress causes cancer, but we don’t know how. This article explains for the first time how stress causes cancer and Alzheimer disease.
Assessment of Sex Hormones (FSH, LH, Prolactin, Estrogen, Progesterone and Testosterone) of Pulmonary Tuberculosis Patients
Authors: Oshiokhayamhe Iyevhobu Kenneth
Published: November 2024

Background: Tuberculosis (TB) is a one of the major global health problems ranking as the eighth leading cause of death in low- and middle-income countries. This study was carried out to evaluate the Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Prolactin, Estrogen, Progesterone and Testosterone of pulmonary tuberculosis patients in Edo State. Objectives: The objectives of the study are to assess the FSH, LH, Prolactin, Estrogen, Progesterone and Testosterone levels of Pulmonary Tuberculosis (PTB) patients compared with control, hormonal levels of PTB patients of new case, 2 months and 6 months therapy compared with control, hormonal levels of PTB patients in relation to gender and hormonal levels of PTB patients in relation to age.

Material and methods: A total of 120 samples were used in this study comprising PTB new cases (30), PTB 2 months therapy (30), PTB 6 months therapy (30) and Control (30) respectively. FSH, LH, Prolactin, Estrogen, Progesterone and Testosterone were measured by Enzyme-Linked Immunoassay Test (ELISA). The results were presented using tables as mean ± standard deviation. Statistical analysis was done using one-way Analysis of Variance (ANOVA) and the student’s t-test. Significant difference was accepted at p<0.05.

Results: The results obtained showed that the FSH (mIU/ml) of new case subjects, 2 months on therapy, 6 months on therapy and control were 13.42±3.58, 11.38±3.04, 6.52±2.57 and 8.71±3.15; LH (mIU/ml) was 10.43±2.95, 8.32±2.44, 5.21±2.23 and 6.05±2.44; prolactin (µg/L) was 10.17±4.04, 9.47±2.56, 10.11±6.74 and 12.96±7.09; estrogen (pg/ml) was 35.97±9.27, 41.50±12.65, 57.60±17.46 and 64.97±29.24, progesterone (ng/ml) was 0.18±0.05, 0.25±0.06, 0.40±0.10 and 0.37±0.08; and testosterone (ng/ml) was 2.49±0.95, 2.48±1.46, 4.00±2.92 and 4.32±3.84 respectively.

Conclusion: In conclusion, there was significant difference (p<0.05) in the FSH, LH, Prolactin, Estrogen, Progesterone and Testosterone of the subjects in the different groups compared with control. FSH, LH, Prolactin, Estrogen and Progesterone were significantly higher (p<0.05) in female subjects compared with male subjects, while Testosterone was non-significantly (p>0.05) higher in male subjects compared with female subjects.
A Five-Point Score Grading System for Predicting Early Hematoma Expansion in Patients with Spontaneous Intracerebral Hemorrhage
Authors: Fatim Syeed Aalishan
Published: November 2024

Background: Stroke is the second leading cause of mortality and morbidity worldwide, with spontaneous Intracranial Hemorrhage (ICH) accounting for 9%-27% of all strokes. The study evaluates clinical and NCCT markers to predict early Hematoma Expansion (HE) in patients with Intracranial Hemorrhage (ICH), focusing on directing management objectives.

Methods: We prospectively evaluated 96 patients with spontaneous ICH who underwent a baseline NCCT within four hours of admission, followed by a follow-up scan within six hours or at the time of clinical deterioration, whichever was earlier. Hematoma volumes were determined using baseline and follow-up CT images and imaging characteristics that predicted HE were evaluated. A grading system score was created to predict HE.

Results: Of the ninety-six patients studied, 29 displayed black hole signs, 31 had island signs and 22 had swirl signs on baseline NCCT. On follow-up scans, the total incidence of HE in ICH patients was 53 out of 96 (55.2%). The average baseline hematoma volume in HE patients was 44.1 ml, compared to 12.2 ml in non-hematoma expansion patients. Of the 53 patients with HE, 29 had black hole sign, 16 had swirl sign and 28 had island sign. A higher grading system score (P < 0.001) was associated with a higher likelihood of HE.
Forecasting High-Order Multifactor Cross Relations Using Fuzzy Time Series and Frequency Density
Authors:   Mathematics, Faculty of Science and Mathematics, Diponegoro University, Anwar Khairul , Surarso Bayu ,   Mathematics, Faculty of Science and Mathematics, Diponegoro University, Farikhin Farikhin ,   Mathematics, Faculty of Science and Mathematics, Diponegoro University
Published: November 2024

The forecasting technique frequently employed for decision-making, initially presented by Song and Cissom utilizing fuzzy logic principles, is Fuzzy Time Series (FTS). The FTS forecasting approach comprises fundamental steps: identifying the conversation universe, segmenting the conversation universe, fuzzification, constructing the fuzzy logic relationship (FLR), and defuzzification. This study involved the modification of the existing methodology to ascertain and categorize the conversational universe, fuzzy logic relationships (FLR), and historical data variations, each utilizing distinct frequency density partitions and cross-relationships, specifically with Indonesian rubber production data. Altering the frequency density partition algorithm to achieve partition universality, followed by fuzzification, cross-relationship analysis, and concluding with the defuzzification procedure. The degree of forecast precision uses the Average Forecasting Error Rate (AFER) to evaluate the revised outcomes against the traditional method. Simulations utilize Indonesian rubber production data from 2000 to 2023, exhibiting an AFER of 3.901%, below 10%, indicating robust forecasting criteria. The forecasting technique frequently employed for decision-making, initially presented by Song and Cissom through the principle of fuzzy logic, is Fuzzy Time Series (FTS). The FTS forecasting approach comprises fundamental steps: identifying the conversation universe, segmenting the conversation universe, fuzzification, constructing the fuzzy logic relationship (FLR), and defuzzification. This study involved the modification of the existing methodology to ascertain and categorize the conversational universe, fuzzy logic relationships, and historical data variations, each employing distinct frequency density partitions and cross-relationships, utilizing Indonesian rubber production data. Altering the frequency density partition algorithm to achieve partition universality, followed by fuzzification, cross-relationship analysis, and concluding with the defuzzification procedure. The degree of forecast precision uses the Average Forecasting Error Rate (AFER) to juxtapose the revised outcomes with the traditional methodology. Simulations utilize Indonesian rubber production data from 2000 to 2023, exhibiting an AFER of 3.901%, below 10%, indicating robust forecasting criteria.
Xenophon on Risks
Authors: Günther Sven
Published: November 2024

Xenophon’s model of order had to face realities. The pressing military, political, social, and economic questions of the 4th century BC, a period of various transformations, brought about many uncertainties, risks, and dangers. Indeed, Xenophon’s oeuvre abounds with vocabulary related to fear and danger as well as with the respective antonyms from the word field of security & safety. Based on the discussion of modern heuristic distinctions between uncertainty, risk, and danger I argue that to some degree Xenophon was very aware of the differences between human-based calculation of risks and external, incalculable dangers that both became integrated into his model of comprehensive leadership. Keywords: Xenophon, risk management, danger, uncertainty, management, leadership.
A Scientometric Review regarding FDI in SouthEast Europe (2005–2024)
Authors: Bitzenis Aristidis , Koutsoupias Nikos
Published: November 2024

The domain of Foreign Direct Investments in Southeast Europe (FDISE) has experienced significant expansion, thus offering opportunities for systematic and bibliometric assessments. Nevertheless, there remains a notable gap as no bibliometric investigation has been conducted in this area to date. To address this gap, we used bibliometric analysis to analyze published literature and assess its effect within the academic community quantitatively and qualitatively. Our examination concerns 954 articles indexed in Scopus within the FDISE domain, composed by 1794 researchers over the period spanning from 2005 to 2024(Q1). Utilizing the R data analysis package, bibliometrix, we conducted a thorough qualitative and quantitative analysis. Our findings revealed the most active authors and journals, theoretical frameworks, subject emphasis, and current research orientations in the FDISE topic, as well as their impact on business matters. Additionally, we examined the evolution of research paradigms and emergent trends within FDISE areas, identifying numerous prospective avenues for forthcoming inquiry. Keywords: FDI, Eastern Europe, Southeast Europe, Literature Review.
One Ocean – a New Regulatory Solution to Climate Change
Authors: Currie Carolyn V.
Published: November 2024

Global heating is pushing ocean temperatures to new heights, fuelling more frequent and intense storms, rising sea levels, and the salinization of coastal lands and aquifers. Untreated sewerage and wastewater containing toxic chemicals and millions of tons of plastic waste are flooding into coastal ecosystems, killing, or injuring fish, sea turtles, seabirds, and marine mammals, and making their way into the food chain and ultimately being consumed by humans. More than 17 million metric tons of plastic entered the world’s ocean in 2021, making up 85 per cent of marine litter, and projections are expected to double or triple each year by 2040, according to the latest Sustainable Development Goals (SDG) report. According to UN estimates, by 2050, there could be more plastic in the sea than fish unless action is taken.2 An innovative governance approach to ocean management is needed that builds ecosystem resilience to tackle the adverse effects of climate change and ocean acidification, and maintains and restores ecosystem integrity, including carbon cycling services. This paper discusses such an approach. Keywords Climate change, pollution, carbon capture, oceanic biosphere, continental linkages, regulatory models, governance.
Does Business Performance Make a Difference in Financial Reporting Quality? Evidence from Croatian Listed Companies
Authors: Aljinovic Barac Zeljana , Bilic Mario
Published: November 2024

High-profile corporate scandals worldwide emphasized the importance of credible and high-quality financial reporting systems. According to signaling theory, the management of companies with poor financial performance intends to offer broad disclosure and high financial reporting quality to generate stakeholder and shareholder trust in the company and protect it from lawsuits. However, financial reporting and information disclosure practices of countries with underdeveloped capital markets, such as Croatia, differ from capital market oriented economies. The research is conducted on companies listed on the Prime market and the Official market of the Zagreb Stock Exchange to capture the association between business performance and financial reporting quality. Paper offers a two-fold contribution: the insights on the level of business performance and financial reporting of the highest-rated listed Croatian companies; and findings whether the business performance plays a significant role in financial reporting quality on the capital market in the post-transition economy. Keywords: financial reporting quality, business excellence, listed companies, Croatia.
Exploring Aviation Accidents and Related Costs: A Critical Literature Review across Global and Greek Skies
Authors: Kioulepoglou Panagiotis , Makris Ilias
Published: November 2024

Safety has a direct impact on the economic policy of an organization, especially when it concerns critical sectors such as military, commercial, and general aviation. It is apparent that such organizations prioritize aviation safety with great attention since even a single accident can cost not only human lives but also the financial survival of the respective company (Chance & Ferris, 1987). According to data from the National Transportation Safety Board (NTSB), the rate of accidents per 100,000 flight hours for U.S. air carriers has significantly declined over time, dropping from 1.77 in 1965 to 0.20 in 1990, and further decreasing to 0.13 in 2020 (NTSB, 2021). Also, the Massachusetts Institute of Technology (MIT) revealed a significant decline in airline passenger fatalities by considering the total number of passengers boardings. Specifically, this rate stood at one fatality for every 7.9 million passenger boardings in 2020, which is a notable improvement from one fatality per 2.7 million boardings between 1998 and 2007. Looking further back in history, the risk of fatality for commercial airline passengers was one death per 750,000 boardings during the period of 1978-1987 and one death per 350,000 boardings between 1968 and 1977 (Barnett, 2020). Nevertheless, despite aviation is currently safer than ever, accidents still occur globally. In this context, and by drawing on the literature, a critical review is conducted so as to analyze the financial consequences of aviation accidents and explore accident rates globally. Also, a special focus on Greece is attempted to facilitate comparison between worldwide and national accident rates. The aforementioned goals were pursued by discriminating between military, commercial and general aviation in order to pinpoint differences between these sectors. It is envisaged that through this process, additional knowledge will be built regarding the accident cost in aviation. By acknowledging that diagnosis is the initial response to overcoming challenges, it is envisioned that analyzing the current accident rates and costs will aid in the development of more advanced mitigation strategies aimed at safety optimization. Keywords: Transportation Safety, Aviation Industry, Cost Analysis, Regulation.
Numerical Data Processing by The Implementation of Trees and Graphs
Authors: Dhanashri Korpad  , Nisha Satpute  , Nayana Joshi  , Snehal Kulkarni  , Komal Walgude  , Neha Dhadiwal
Published: November 2024

Trees and Graphs play a vital role in transport and logistics. In tree, decision tree is one of the important, not only implemented for data processing, but also considered for Numerical data analysis. The decision tree is a flow chart-like structure, in which each internal node represents a ‘test’ on an attribute, which has a node known as root being at the top, which further divides the given data into branches depending upon the conditions. Every branch consists of a rule, and each leaf node is its outcome. A support tool with a tree-like structure that models probable outcomes, cost of resources, utilities, and possible consequences. Decision trees are also used in operations research along with planning logistics. They can help in determining appropriate plans that will help a company achieve its target. In Graph, Dijkstra's algorithm is an admired algorithm used to find the shortest paths between nodes in a graph, which may represent road networks for example. Dijkstra's algorithm finds the shortest path from a given source node to every other node. It can also be used to find the shortest path to a specific destination node, by concluding the algorithm once the shortest path to the destination node is found. It is also commonly used on graphs where the edge weights are in real numbers.  A common application of shortest path algorithms is network routing protocols and also support in route optimization for delivery services, ensuring timely and cost-effective deliveries by finding the best paths for transportation.