bluuebunny/crossref_metadata_2025 huggingface dataset:
DEEPENING THEORETICAL KNOWLEDGE AND EXPLORING THE PROPERTIES OF LOCAL ANESTHETICS
Authors: Martins Victor Balceiro Legname , Destefani Afrânio Côgo
Published: September 2023

Local anesthetics are indispensable agents in medical practice, offering targeted pain relief while maintaining patient consciousness. Their applications span a wide range of medical fields, including anesthesiology, surgery, and dentistry. Despite their widespread use, the complex pharmacology and potential for adverse effects necessitate a comprehensive understanding of these agents. This narrative review aims to provide an in-depth analysis of the physiology, pharmacology, and clinical applications of local anesthetics. A systematic search was conducted on PubMed, focusing on articles published in English between 2018 and 2023. Local anesthetics have evolved significantly since the first use of cocaine in the late 19th century, with newer derivatives like Lidocaine and Bupivacaine offering improved safety and efficacy. These agents are categorized into aminoesters and aminoamides based on their molecular structure, which also influences their pharmacokinetics and pharmacodynamics. The primary mechanism of action involves the modulation of voltage-gated sodium channels, although the complete mechanism remains an area of active research. Various factors, including lipid solubility, plasma pH, and pKa, influence the drug's onset, duration, and potential for toxicity. Adjuvants like adrenaline can enhance the drug's properties. Local anesthetics are a cornerstone in modern medicine, offering targeted anesthesia with a relatively favorable safety profile. Understanding their complex pharmacology is crucial for optimizing their clinical use. Future research should focus on elucidating the complete mechanisms of action and exploring the potential for new adjuvants to improve efficacy and safety.
ESTRATÉGIAS NUTRICIONAIS PROMISSORAS PARA A PERDA DE PESO EM PACIENTES OBESOS
Authors: Heringer Paulina Nunes , Monteiro Maria Alzirene Rodrigues , Cabral Karla Mesquita Porto Correa , Calderari Mônica Regina da Costa Marques , Silva Gracy Kelly Corrêa Costa da , Albuquerque Jemima Meneszes de , Azevedo João Souza de , Viana Valéria Goulart , Damasceno Renatta Pereira Barbosa , Bandeira Macileide da Silva , Cardoso Marcia Regina Silva , Saraiva Arcinio Freitas , Pontes Daiana Ferreira
Published: September 2023

A obesidade é um dos principais problemas de saúde enfrentados pela população mundial atualmente, com uma prevalência cada vez maior. A perda de peso é um objetivo desejado por muitas pessoas obesas, porém alcançá-la de maneira saudável e duradoura nem sempre é fácil. Nesse contexto, estratégias nutricionais promissoras têm sido estudadas e desenvolvidas a fim de auxiliar no processo de emagrecimento. Uma das estratégias mais promissoras é a dieta com restrição calórica. Esse tipo de dieta consiste em reduzir a ingestão de calorias, sem desconsiderar as necessidades nutricionais do indivíduo. Estudos têm demonstrado que essa abordagem é eficaz para a perda de peso, além de contribuir para a melhora de parâmetros metabólicos, como a sensibilidade à insulina. Outra estratégia nutricional promissora é a dieta low carb. Essa abordagem se baseia na redução do consumo de carboidratos, priorizando o consumo de proteínas e gorduras saudáveis. Estudos têm mostrado que a dieta low carb pode levar a uma maior perda de peso, bem como a uma melhora do perfil lipídico e glicêmico. Além disso, estratégias que visam a reeducação alimentar e a adoção de hábitos saudáveis também têm se mostrado eficazes. Nessas abordagens, é enfatizada a importância de uma alimentação balanceada, rica em nutrientes e pobre em alimentos ultraprocessados. Por fim, o suporte nutricional por meio de suplementos e fármacos específicos também pode ser considerado uma estratégia promissora para a perda de peso em pacientes obesos. Suplementos como a fibra alimentar e a proteína do soro do leite têm sido estudados e podem contribuir para a redução da ingestão calórica e controle do apetite.
INSEMINAÇÃO ARTIFICIAL NA SUINOCULTURA
Authors: Lucini Gabriela , Fukumoto Nelson Massaru
Published: September 2023

O Brasil ocupa o quarto lugar no mundo como um dos maiores produtores de carne suína, atividade altamente significativa para a economia nacional e global. Ao longo dos anos, numerosos esforços de pesquisa foram conduzidos para aumentar a eficiência da produção. O desenvolvimento de técnicas e melhorias na reprodução tem sido crucial para atingir esse objetivo. Com a adoção generalizada da inseminação artificial na suinocultura, surgiram diversas iniciativas de investigação e inovações, introduzindo novas tecnologias que visam reduzir os custos de produção, aumentar a produtividade e diminuir a dependência da mão-de-obra, que se tornou cada vez mais escassa ao longo dos anos. Além disso, a tecnificação da suinocultura avançou, levando ao desenvolvimento de novas técnicas essenciais para o crescimento da suinocultura. É também importante reconhecer a evolução da seleção genética, possibilitada pelo avanço das biotecnologias reprodutivas. Portanto, este trabalho tem como objetivo apresentar as técnicas atualmente empregadas na reprodução de suínos, juntamente com suas vantagens e desvantagens.
O USO DE RECURSOS TECNOLÓGICOS NO ENSINO MÉDIO: UM RELATO DE EXPERIÊNCIA NO ESTÁGIO SUPERVISIONADO EM COMPUTAÇÃO II
Authors: Silva William Maia da , Souza Illgner Anderson Moraes de , Antunes Franciano
Published: September 2023

O uso de recursos tecnológicos na educação básica é um tema cada vez mais presente na atualidade. Com a evolução da tecnologia e o contexto social contemporâneo é fundamental que as escolas incorporem esses recursos em suas práticas pedagógicas, visando à melhoria da qualidade de ensino e à formação de alunos críticos e preparados para a sociedade da informação. Durante o estágio supervisionado em computação II abstraímos as habilidades aprendidas na universidade a fim de desenvolver na prática como futuro docente, ensinando conhecimento através das ferramentas tecnológicas tanto para os professores, quanto para os alunos de uma escola pública Estadual de Ensino Médio. O objetivo principal é utilizar recursos tecnológicos para aprimorar metodologia e processo de ensino de modo a aumentar o engajamento dos alunos nas atividades propostas. Para isso, utilizou-se de diversos recursos, tais como computadores, aplicativos educativos, jogos digitais, vídeos e apresentações multimídias, que serão descritos ao longo deste trabalho. Nesse sentido, colocamos em prática tal metodologia de modo que, professores e alunos conseguiram abstrair o máximo de conhecimento na área de cultura digital, de forma transdisciplinar, junto às disciplinas de Língua Portuguesa e Matemática. Deve-se levar em conta que a área de Cultura Digital abrange todas as áreas de ensino, sendo que, utilizamos a matéria para demonstrar o uso das ferramentas digitais, apresentadas ao longo deste trabalho, na concepção de conteúdos de Língua Portuguesa e Matemática, com finalidade de tornar as aulas mais atrativas. Dessa forma, ao final da regência, conseguimos atender a demanda tanto dos professores, quanto dos alunos, na qual, relataram a satisfação com aulas diferenciadas, no estímulo em aprender conteúdo das disciplinas de forma diversificada e práticas contextualizadas de forma aplicada em seu dia-a-dia. Ao longo do texto é perceptível que as escolas e os educadores estejam preparados para lidar com novas dinâmicas docentes de forma a contribuir para o processo de ensino-aprendizagem.
ANALISIS GC-MS (GASS CROMATOGRAPHY-MASS SPECTROMETRY) TERHADAP BATANG KELAPA SAWIT (Elaeis guineesis Jaq.)
Authors: Indriani Susi , Isdaryanti Isdaryanti , Agustia Monika , Poleuleng Andi Besse , Syahra Nur Jihad , Prastiyo Yulius Budi
Published: September 2023

Indonesia yang merupakan salah satu negara yang menjadikan kelapa sawit sebagai salah satu tanaman komoditas perkebunan utama yang penting. Diantara seluruh tanaman penghasil minyak yang ada, kelapa sawit menghasilkan produksi minyak paling tinggi dibandingkan dengan tanaman penghasil minyak yang lain contohnya minyak kacang kedelai. Keunggulan lain adalah kadar senyawa kolesterol yang terkandung dalam minyak sawit relatif lebih rendah dibandingkan dengan minyak nabati lainnya. Oleh karena itu, perlu dianalisis lebih lanjut terkait kandungan senyawa-senyawa yang terdapat dalam tanaman sawit. Penelitian ini dilakukan dengan menganalisis kandungan senyawa hasil ekstraksi bagian batang tanaman sawit dengan menggunakan instrumen GC-MS. Hasil analisis GC-MS pada sampel yang dilakukan menunjukan 14 puncak (peak) terdeteksi yang mewakilkan 11 komponen senyawa. Berdasarkan analisis 11 komponen senyawa, didapatkan tiga senyawa yang memiliki nilai persen area yang paling signifikan, yaitu senyawa 2-Propenoic acid, 1,7,7-trimethylbicyclo[2.2.1]hept-2-yl ester, exo- sebesar 39.06%;  senyawa Isobornyl propionate sebesar 16.21% dan senyawa yang terakhir adalah Cyclopentanecarboxylic acid, 3-methylene-,1,7,7-trimethylbicyclo[2.2.1]hept-2-yl ester (CAS) CYCLOPENTANIC dengan nilai persen area sebesar 12.99%.
PENGARUH KOMBINASI NUTRISI TERHADAP PERTUMBUHAN DAN HASIL TANAMAN SELADA MERAH (Lactuca sativa var. Lollorosa) PADA HIDROPONIK SISTEM WICK
Authors: Wardhana Ridwan Kusuma , Sugiono Darso , Rahayu Yayu Sri
Published: September 2023

Selada merupakan tanaman yang diambil daunnya untuk digunakan sebagai lalapan maupun salad.  Permintaan tanaman selada tergolong cukup tinggi dipasar dunia.  Upaya masyarakat untuk meningkatkan produksi sayuran di Indonesia mengalami kendala, antara lain alih fungsi lahan pertanian menjadi lahan non pertanian dan menyusutnya lahan pertanian subur di daerah lain, mengakibatkan dalam produksi salad belum memenuhi kebutuhan konsumen.  Upaya peningkatan hasil selada dapat dilakukan dengan hidroponik.  Larutan nutrisi merupakan sumber nutrisi bagi tanaman dalam sistem hidroponik.  Adapun tujuan dari penelitian ini adalah untuk mendapatkan kombinasi nutrisi yang dapat meningkatkan pertumbuhan dan hasil terbaik tanaman selada merah (Lactuca sativa var.  Lollorosa) dengan hidroponik sistem wick.  Percobaan ini dilaksanakan di Greenhouse Telagadesa, Puseurjaya, Telukjambe Timur, Karawang,  Jawa Barat.  Pelaksanaan percobaan ini berlangsung selama 2 bulan yaitu dimulai pada tanggal 20 Februari 2023 sampai dengan 3 April 2023.  Metode penelitian yang digunakan dalam penelitian ini adalah Rancangan Acak Kelompok (RAK) faktor tunggal yang terdiri dari 7 perlakuan yang diulang sebanyak 4 kali ulangan.  Perlakuan yang diterapkan, yaitu A (AB Mix 3,2 EC), B (AB Mix 1,5 EC  + Bayfolan 6 ml), C (AB Mix 1,8 EC + Bayfolan 3 ml), D (AB Mix 1,2 EC + Bayfolan 9 ml), E (AB Mix 1,5 EC + POC 6 ml), F (AB Mix 1,8 EC + POC 3 ml), dan G (AB Mix 1,2 EC + POC 9 ml).  Pemberian kombinasi nutrisi memberikan pengaruh nyata terhadap pertumbuhan dan hasil tanaman selada merah (Lactuca sativa var.  Lollorosa) pada tinggi tanaman umur 2 MST, 3 MST, 4 MST, 5 MST.  Jumlah daun pada umur tanaman 3 MST dan 5 MST.  Luas daun, panjang akar, bobot segar tanaman dengan akar, bobot segar tanaman tanpa akar.  Perlakuan E yaitu AB Mix 1,5 EC + POC 6 ml memberikan hasil tertinggi terhadap tinggi tanaman yaitu sebesar 20,96 cm, panjang akar sebesar 26,94 cm, luas daun sebesar 100 cm2, bobot segar dengan akar sebesar 13,3 g, dan bobot segar tanpa akar sebesar 11,49 g. 

Kata Kunci : Kombinasi Nutrisi, Selada Merah, Hidroponik Sistem wick
Redefinisi Kepemimpinan dalam MSDM: Studi Bibliometrik Mendalam tentang Kepemimpinan Transformasional, Kecerdasan Emosional, dan Efektivitas Organisasi
Authors: Haetami Haetami , Purnomo Yudiyanto Joko , Jasiyah Rabiyatul , Soegiarto Ita , Suharmono Soni
Published: September 2023

HRM leadership has evolved significantly in an era of rapid and complex organizational change. This research uses bibliometrics, focusing on transformational leadership, emotional intelligence, and organizational effectiveness. We found key trends, influential authors, research clusters, and emerging themes. This analysis reaffirms the importance of transformational leadership and emotional intelligence. Works from leading scholars such as Bass, Avolio, Goleman, and Guest remain influential. We also identify emerging leadership paradigms, including agile and inclusive models adapted to modern challenges. Interdisciplinary links with psychology, organizational behavior, and technology management highlight the cross-disciplinary nature of HRM leadership research. Collaborative networks and new scholars enrich perspectives and methodologies. Practical implications emphasize the importance of transformational leadership and emotional intelligence for HRM practitioners, advocating for agile and inclusive models. Future research directions include examining the impact of digital transformation on leadership and the critical role of leadership in promoting diversity and inclusion.
Operasi Bisnis Transnasional dan Pembangunan Berkelanjutan: Eksplorasi Bibliometrik tentang Tanggung Jawab Sosial Perusahaan, Praktik Etis, dan Dampak Lingkungan
Authors: Na’afi Septiana , Purwanti Ari
Published: September 2023

Achieving sustainable development in an era of transnational business operations requires a multidimensional understanding of the interactions between corporate practices, ethical considerations, and environmental impacts. This bibliometric analysis investigates the scholarly landscape of this multifaceted field, offering insights into key themes, influential works, and emerging trends. This study reveals a complex tapestry of research at the intersection of corporate social responsibility, ethical practices, and environmental sustainability by examining co-authorship networks, co-citation patterns, co-occurrence of keywords, and temporal shifts. Key publications, such as Elkington's triple bottom line framework and Mowforth and Munt's exploration of sustainable tourism, emerge as foundational pillars in the discourse. The analysis further highlights the importance of concepts such as sustainable growth, innovation, and the role of the private sector in driving sustainable development. As transnational corporations continue to shape the global economic landscape, this research provides essential foundations for informed decision-making and ongoing scientific inquiry for a sustainable future.
Pengaruh Brand Activism, Persepsi Konsumen Terhadap Loyalitas Merek: Analisis dalam Konteks Industri Fast Fashion di Jawa Barat
Authors: Budi Utomo Sulistyo , Utami Eva Yuniarti , Ardhiyansyah Andri
Published: September 2023

This study investigates the dynamics between brand activism, consumer perceptions, and brand loyalty in the fast fashion industry in West Java. A diverse sample of 250 consumers provided insights into their perceptions and preferences. The study revealed that most respondents had positive perceptions of brand activism initiatives by fast fashion brands, highlighting its resonance with West Java consumers. Regression analysis confirmed a significant positive relationship between consumer perceptions of brand activism and brand loyalty. This research contributes to understanding the impact of brand activism and underscores its potential to drive brand loyalty in culturally diverse markets.
Pendekatan Strategi Pemasaran NFT untuk Meningkatkan Kesadaran Konsumen dan Mendorong Tindakan dalam Lingkungan Kripto di Indonesia
Authors: Sudirjo Frans , Enzovani Senna , Desembrianita Eva
Published: September 2023

This research investigates the impact of NFT marketing strategies on consumer awareness and action in the Indonesian crypto environment. A mixed methods approach was used, combining quantitative surveys and qualitative interviews. Quantitative results revealed that marketing strategies, including celebrity endorsements and digital art exhibitions, played an important role in raising awareness of NFTs, with approximately 45% of participants citing influential marketing campaigns. Qualitative findings underscored the importance of cultural factors, such as respecting cultural symbols and traditions, in shaping perceptions of NFTs. Challenges include the need for clearer regulations and addressing environmental concerns, while opportunities lie in fostering local NFT communities and supporting emerging artists. This study contributes valuable insights for industry stakeholders looking to navigate the Indonesian NFT landscape.
Analisis Audit Energi di Gedung Teknik Elektro Universitas Diponegoro
Authors: Diah Larasati Pangestuningtyas , Fitrianti Sugiono Friska Ayu , Arvin Karuniawan Eriko , Karnoto
Published: September 2023

An energy audit is a work that aims to identify energy consumption in buildings that have been built so that they can find opportunities for energy savings in these buildings and buildings and improve energy efficiency and conservation in these buildings. The Electrical Engineering Building is one of the buildings at Diponegoro University that has been built for a long time, and to find out the savings opportunities in the building, an energy audit is needed. The energy audit was carried out during the pandemic era where lectures were still being held online and hybrid. Based on the results of the energy audit that has been carried out, it was found that the Energy Consumption Intensity (IKE) in the Electrical Engineering Building in 2021 was 8.59 while in 2022 it was 12.61. This is still in the efficient category according to Regulation of the Minister of energy and mineral resources No. 13/2012. Opportunities for savings can be implemented starting from no cost, low cost, to high cost to increase the efficiency of energy use in the Diponegoro University Electrical Engineering Building, so that energy use can be very efficient.
ANALISIS ASUHAN KEPERAWATAN PADA PASIEN POST OPERASI SECTIO CAESAREA DENGAN MASALAH KEPERAWATAN NYERI AKUT DENGAN INTERVENSI TERAPI RELAKSASI BENSON DI RUANG BELIMBING RSUD KABUPATEN KLUNGKUNG
Authors: Indra Wahyuni Ni Kadek , Putra G Nur Widya Putra
Published: September 2023

Pendahuluan: Proses kelahiran caesar atau Sectio Caesarea (SC) adalah prosedur operasi dimana janin dilahirkan melalui sayatan di dinding perut dan rahim sedangkan Post sectio caesarea adalah suatu keadaan sesudah dilakukan tindakan pembedahan yang meninggalkan luka sayatan pada dinding perut dan rahim ibu guna mengeluarkan janin. Masalah yang dihadapi oleh ibu post SC adalah nyeri akut. Nyeri merupakan pengalaman sensorik dan emosional yang tidak menyenangkan akibat kerusakan jaringan, baik aktual maupun potensial atau yang digambarkan dalam bentuk kerusakan dan merupakan kondisi tidak nyaman yang bersifat subjektif. Tujuan: Penulisan Karya Ilmiah Akhir-Ners (KIA-N) ini bertujuan untuk mengenganalisis pengaruh pemberian terapi relaksasi benson terhadap tingkat nyeri pada pasien yang telah post operasi section caesaria di ruang Belimbing RSUD Kabupaten Klungkung. Gambaran Kasus: Karya Ilmiah ini menggunakan 1 Pasien dimana pasien tersebut merupakan pasien Post sectio caesarea yang telah dilakukan proses pembedahan atau insisi pada Rahim, akibat proses tersebut pasien akan mengalami kerusakan jaringan yang mengakibatkan rasa nyeri timbul sehingga didapatkan masalah nyeri akut. Hasil Asuhan Keperawatan: Pada Karya Ilmiah ini menggunakan intervensi nonfarmakologi berupa relaksasi benson yang di implementasikan pada pasien post sectio caesarea dengan nyeri akut, di implementaskan selama 3x24 jam sehingga evaluasi yang didapatkan yaitu nyeri dapat menurun. Rekomendasi: Relaksasi Benson dapat membuat pikiran dan tubuh menjadi rileks melalui sebuah proses yang secara progresif akan melepaskan ketegangan otot tubuh menjad I tenang dan nyaman sehingga mengakibatkan rasa nyeri akan menurun.

 

Kata Kunci: Post sectio caesarea, Nyeri akut, Relaksasi benson
Gambaran Perilaku Ibu Hamil Dalam Pencegahan Stunting Di Wilayah Kerja Puskesmas Polokarto Sukoharjo
Authors: Rahmawati Annisa' Nur , Nurrohmah Anjar
Published: September 2023

Latar Belakang : Pencegahan terjadinya stunting pada masa kehamilan dengan memperhatikan perilaku ibu hamil. Stunting dianggap sebagai hasil kumulatif dari proses yang dimulai sejak kehamilan sehingga gizi ibu hamil menjadi penyebab tidak langsung terhambatnya pertumbuhan janin menjadi faktor resiko stunting. Pencegahan stunting saat kehamilan adalah mengonsumsi tablet penambah darah untuk ibu hamil, meningkatkan konsultasi selama kehamilan, memantau perkembangan janin selama kehamilan. Tujuan : Untuk mengetahui karakteristik dan mengidentifikasi perilaku ibu hamil dalam pencegahan stunting di wilayah kerja Puskesmas Polokarto. Metode Penelitian : Penelitian menggunakan metode deskriptif kuantitatif dengan pendekatan rancangan survei. Pengambilan sampel menggunakan sampel purposive sampling, dengan jumlah sampel 89 responden yang berada di wilayah kerja Puskesmas Polokarto. Hasil : sebanyak responden berusia 20-35 tahun (85%), responden pekerjaan mayoritas IRT sebanyak (75,3%), responden pendidikan mayoritas SMA sebanyak (67,4%). Dan perilaku ibu hamil berkategori baik sebanyak 81 (91,0%) . Kesimpulan : ibu hamil di wilayah kerja Puskesmas Polokarto mayoritas berumur 20-35 tahun, pekerjaan IRT dan pendidikan SMA. Serta perilaku ibu hamil dalam kategori baik.Kata Kunci : perilaku, stunting
MENGIDENTIFIKASI FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN RUPTUR PERINEUM PADA IBU BERSALIN DI WILAYAH KERJA PUSKESMAS KUBUTAMBAHAN 1
Authors: Dianiati Luh Ayu , Purnami Luh Ayu , Ningrum Kadek Agustina Puspa
Published: September 2023

Pendahuluan: Di Indonesia laserasi perineum dialami oleh 75% ibu melahirkan pervaginam, dari total dari total 1951 kelahiran spontan pervaginam, 57% ibu mendapat jahitan perineum.  Metode: Jenis penelitian ini adalah penelitian observasional analtik dengan pendekatan retropespektif. Populasi pada penelitian ini seluruh ibu bersalin normal periode tahun Januari 2020-Maret 2023. Sampel pada penelitian ini menggunakan 105 sampel dengan tehnik pengambilan sampel purposive sampling. Instrumen pengumpulan data pada penelitian ini tertuang dalam master tabel. Analisa yang digunakan yaitu analisa univariat yang tertuang dalam tabel distribusi frekuensi, analisa bivariat yang digunakan adalah uji chi-square, analisa multivariat dengan metode analisis regresi linier berganda. Hasil: didapatkan variabel yang paling berpengaruh terhadap kejadian ruptur adalah berat badan janin dengan nilai sig. untuk hubungan berat badan janin terhadap kejadian ruptur sebesar 0,028 < 0,05 dan nilai t hitung 2,831 > t tabel 1.97. Simpulan: Ada hubungan usia, paritas, jarak kehamilan, lingkar kepala, distosia bahu, berat badan janin dengan kejadian ruptur perineum dan berat badan janin adalah variabel yang peling berpengaruh dengan kejadian ruptur perineum.
Literature and collaboration in the English language classroom in pandemic times
Authors: Araújo Evandro Rosa de , Figueiredo Francisco José Quaresma de , Lago Neuda Alves do
Published: September 2023

This paper analyzes four collaborative English classes conducted by a teacher from a public school who used fairy tales to teach remotely while exploring WhatsApp and social networks to keep students interested in the subject. To generate the data, we transcribed one of the ninth-grade students’ interactions: an interview in which they expressed their impressions about the lessons and classroom observation notes. The results of the data analysis show that the students became highly motivated by having worked collaboratively because they could exchange opinions and points of view on the literary texts and better understand them by interacting with their peers.
Overview of Student Skills in Performing a Combination of Effleurage Massage Techniques and Slow Deep Breathing to Reduce Menstrual Pain
Authors: Ariani Dini , Septiani Hani , Solama Wita
Published: September 2023

Introduction: In general the treatment of menstrual pain is divided into two categories, pharmacology and non-pharmacology. Non pharmacological pain management is safer to use because it does not cause side effects like drugs because non pharmacological therapy uses physiological processes. One of the non pharmacological pain management is a combination of effleurage massage technique and slow deep breathing. Massage effleurage is a movement using the entire surface of the hand that is rubbed lightly and soothingly. This technique aims to improve blood circulation, reduce pain, and stretch muscles as well as promote physical and mental relaxation. Dysmenorrhea that never goes away makes medical personnel, one of which is physiotherapy, very capable of playing an important role in handling it. The role of physiotherapy in cases of menstrual pain itself or dysmenorrhea is to help provide exercise therapy in the form of deep breathing exercises which are deep breathing techniques with the aim of increasing the amount of oxygen in the body and providing a relaxing effect on the body and education in the form of healthy lifestyle and healthy activities to reduce the consumption of analgesic drugs that have long-term dependency effects. Objective: This study was to describe the combination of effleurage massage technique and slow deep breathing of female students in reducing menstrual pain. to know the description of the combination of effleurage massage technique and slow deep breathing of female students in reducing menstrual pain.  Method: This study uses a descriptive research design. The sample in this study was determined using a quota sampling technique, namely as many as 32 respondents who fit the inclusion criteria. Conclusion: most of the respondents were able to do a combination of effleurage massage and slow deep breathing techniques.
Tomato Juice to Increase Haemoglobin Levels in Pregnant Women
Authors: Lestari Lusi , Furriha Khoerussabila Tasya
Published: September 2023

Introduction: Anemia in pregnancy is a condition of a mother with a hemoglobin level below 11 gr/dl in the first and third trimesters, or a hemoglobin level of less than 10.5 gr/dl in the second trimester. In Indonesia, anemia is generally caused by iron deficiency. Iron deficiency anemia is anemia caused by a deficiency of iron, folic acid, and vitamin B12 due to inadequate intake or low availability of iron. Efforts that can be made to overcome the lack of iron intake in pregnant women are to regularly consume Fe tablets. The presence of side effects from Fe tablets and physiological changes during pregnancy may increase pregnant women's non-compliance in consuming Fe tablets. Non-compliance between pregnant women consuming Fe tablets can cause anemia in pregnant women. The source of iron is not only obtained from consuming iron (Fe) tablets. Pregnant women can get iron from various foods that contain iron, including tomatoes. Objective: This literature review aims  to examine further about giving tomato juice to increase hemoglobin levels in pregnant women. Method: The method used in writing this article is a review of research results related to giving tomato juice to increase hemoglobin levels in pregnant women. Result: Based on the articles that have been analyzed, it can be seen that giving tomato juice can increase hemoglobin levels in pregnant women with anemia.  Conclusion: Tomato juice can accelerate the absorption of iron and increase the production of red blood cells so that hemoglobin levels increase. Referring to these conclusions, pregnant women should consume tomato juice regularly.
Một số peptide đánh dấu phóng xạ sử dụng ghi hình PET/CT u thần kinh nội tiết và ung thư tuyến tiền liệt
Authors: Thắng Nguyễn Quốc , Tùng Phạm Đăng , Sơn Mai Hồng , Dung Nguyễn Thị Kim
Published: September 2023

Hiện nay, các thuốc có cấu trúc peptide đang ngày càng được phát triển mạnh và mang lại hiệu quả rõ rệt bên cạnh các hợp chất phân tử nhỏ, trong Y học hạt nhân các peptide đánh dấu đồng vị phóng xạ sử dụng trong chẩn đoán và điều trị cũng đã được nghiên cứu và ứng dụng từ nhiều năm nay. Cùng với sự phát triển của kỹ thuật PET (positron emission tomography) và sự ra đời của các đồng vị phát tia positron, các peptide đánh dấu phóng xạ trong ghi hình PET đã có những bước tiến đáng kể với một số dược chất phóng xạ đã được FDA (U.S. Food and Drug Administration) phê duyệt như DOTATATE (DOTA-Octreotate) hay PSMA (prostate-specific-membrane antigen) đánh đấu với đồng vị gallium-68 trên các khối u thần kinh nội tiết và ung thư tuyến tiền liệt, hay gần đây nhất là các peptid FAPI hứa hẹn khả năng phát hiện các khối u không hề thua kém so với 18F-FDG. Trong bài tổng quan này, chúng tôi xin trình bày khái quát về các peptide đánh dấu phóng xạ này trong ghi hình PET hiện nay.
Kết quả xạ trị điều biến liều ở bệnh nhân ung thư tuyến giáp thể biệt hóa kháng I-131 tái phát, di căn vùng cổ ngực
Authors: Duy Tô Quang , Chinh Hoàng Đào , Tuấn Nguyễn Anh , Biểu Bùi Quang
Published: September 2023

Mục tiêu: Đánh giá kết quả xạ trị điều biến liều ở bệnh nhân bệnh nhân ung thư tuyến giáp (UTTG) thể biệt hóa kháng I-131 tái phát, di căn vùng cổ-ngực. Đối tượng và phương pháp: Nghiên cứu hồi cứu 32 bệnh nhân UTTG thể biệt hóa kháng I-131 được xạ trị điều trị biến liều (IMRT) các tổn thương tái phát, di căn vùng cổ-ngực tại Bệnh viện Trung ương Quân đội 108. Sử dụng đường cong Kaplan-Meier để ước lượng tỷ lệ kiểm soát tại chỗ tại vùng và thời gian sống còn toàn bộ. Đánh giá độc tính cấp và độc tính muộn của xạ trị theo tiêu chuẩn độc tính của RTOG. Kết quả: Với trung vị thời gian theo dõi là 45,8 tháng, tỉ lệ kiểm soát tại chỗ, tại vùng ở thời điểm 1 năm, 3 năm và 5 năm lần lượt là 93,4%, 82,8% và 82,8%;  thời gian sống còn toàn bộ sau 1 năm, 3 năm và 5 năm lần lượt là 96,8%, 82% và 82%. Độc tính cấp tính của xạ trị hay gặp nhất là khô miệng, viêm niêm mạc độ 1-2; độc tính muộn hay gặp nhất là khô miệng, viêm da độ 1. Kết luận: Xạ trị điều biến liều ở nhóm bệnh nhân UTTG thể biệt hóa kháng I-131 cho tỷ lệ kiểm soát tại chỗ tại vùng và thời gian sống còn toàn bộ khả quan với độc tính chấp nhận được
Vai trò của interim PET/CT sau 2 chu kỳ điều trị hoá chất ABVD ở bệnh nhân u lympho Hodgkin
Authors: Toàn Nguyễn Quang , Sơn Phạm Lâm , Nga Đỗ Huyền , Thái Phạm Văn , Dũng Lê Thanh
Published: September 2023

Mục tiêu: Đánh giá vai trò của interim PET/CT sau 2 chu kỳ điều trị hoá chất ABVD ở bệnh nhân u lympho Hodgkin. Đối tượng và phương pháp: Nghiên cứu mô tả hồi cứu và tiến cứu trên 79 bệnh nhân (BN) u lympho Hodgkin (ULH) tại Bệnh viện K cơ sở Tân Triều từ tháng 03/2020 đến tháng 06/2023. BN được khám lâm sàng, cận lâm sàng, chụp phim CT hoặc PET/CT đánh giá giai đoạn trước điều trị. Tiếp theo BN được điều trị hoá chất phác đồ ABVD theo hướng dẫn NCCN 2023, sau 2 chu kỳ được chụp và đánh giá Interim PET/CT (iPET/CT2) đánh giá đáp ứng sớm theo thang điểm Deauville score (DS), dựa vào kết quả này lựa chọn phác đồ điều trị hoá chất tiếp theo ở người bệnh, theo dõi dọc quá trình điều trị và sau điều trị. Kết quả: Trong tổng 79 BN, nam/nữ: 1/1,3, tuổi trung bình 32 ± 13,8 tuổi (nhỏ nhất 8 tuổi, lớn nhất 69 tuổi). 54/79 (68,4%) BN được chụp CT và 25/79 BN (31,6%) được chụp PET/CT đánh giá giai đoạn trước khi điều trị. 60,8% có dưới 2 vị trí hạch và 25,4% BN có trên 3 vị trí hạch trên cơ thể, hạch trên cơ hoành 62% và hạch cả trên và dưới cơ hoành 20,3%. 49 BN có hạch kích thước TB trục ngắn hạch lớn nhất 27,10 ± 8,3mm. Tổn thương trung thất có 19 BN (24,1%), lách có 9 BN (11,4%). BN giai đoạn sớm I-II chiếm 82,1%, giai đoạn tiến triển III-IV chiếm 17,9%. Sau điều trị 2 chu kỳ hoá chất ABVD tỷ lệ đáp ứng trên PET/CT là iPET/CT2 (-) 63/79 BN (79,7%, trong đó DS 1 điểm (90,5%) và iPET/CT2 (+) ở 16/79 BN (20,3% trong đó DS 4 điểm 87,5%). Chỉ số tiên lượng IPS nhóm nguy cơ thấp (0-2) đáp ứng hoàn toàn (CMR) 88,1%. Ở nhóm nguy cơ cao IPS (3-7) đáp ứng 1 phần (PMR) và ổn định (NMR) là 53,8% theo phân loại đáp ứng Lugano. Thời gian sống thêm không bệnh (PFS) của nhóm iPET/CT2 (-) sau 12 và 24 tháng là 96,8% và 95,2%; PFS của nhóm iPET/CT2 (+) sau 12 và 24 tháng là 87,5% và 81,25%. Kết luận: Interim PET/CT có vai trò quan trọng trong cung cấp thông tin tiên lượng và đánh giá đáp ứng sớm trong điều trị hoá chất ABVD ở bệnh nhân ULH, góp phần làm giảm độc tính của hoá chất và lựa chọn phác đồ hoá chất cho điều trị tiếp theo.
Vai trò của 18F-FDG PET/CT trong phát hiện khối u nguyên phát ở bệnh nhân ung thư di căn chưa rõ nguồn gốc
Authors: Trang Lê Thị Thuỳ , Cảnh Nguyễn Xuân
Published: September 2023

Mục tiêu: Khảo sát tỉ lệ phát hiện tổn thương nguyên phát, trị số tiên đoán dương, vị trí tổn thương nguyên phát và hình ảnh dương tính giả trên PET/CT. Đối tượng và phương pháp: Nghiên cứu mô tả trên 67 bệnh nhân chẩn đoán là ung thư di căn chưa rõ nguồn gốc, được chụp 18F-FDG PET/CT tại Khoa Y học hạt nhân - Bệnh viện Ung Bướu TP. Hồ Chí Minh trong thời gian từ tháng 01/2020 đến tháng 12/2021. Kết quả: 67 bệnh nhân (54 nam và 13 nữ), tuổi trung bình 56,5. PET/CT tìm thấy vị trí u nguyên phát nghi ngờ ở 46/67 (68,7%) bệnh nhân với tỷ lệ phát hiện (DR) 52,2% và giá trị tiên đoán dương tính (PPV) 0,76. Tỷ lệ phát hiện u nguyên phát ở nhóm di căn hạch cổ cao hơn nhóm di căn ngoài hạch cổ (52,7% so với 50%). Vị trí u nguyên phát được tìm thấy trên PET/CT thường nhất là phổi (chiếm 25,7%), đứng thứ hai là vòm hầu (chiếm 22,9%). Vị trí thường dương tính giả nhất là amiđan (chiếm 36,4%). Kết luận: 18F-FDG PET/CT là một kỹ thuật có khả năng phát hiện tốt các khối u nguyên phát chưa biết.
Kết quả điều trị và theo dõi ung thư tuyến giáp thể nhú di căn não: Nhân một số trường hợp lâm sàng tại Bệnh viện Trung ương Quân đội 108
Authors: Khánh Lê Quốc , Sơn Mai Hồng , Hà Lê Ngọc
Published: September 2023

Di căn não ít gặp trong ung thư tuyến giáp, đặc biệt là ung thư tuyến giáp biệt hoá. Ung thư tuyến giáp thể nhú (papillary thyroid carcinoma) hiếm khi di căn não chiếm tỷ lệ 0,15%-1,3%. Di căn não từ ung thư tuyến giáp thể nhú thường kết hợp di căn ở nhiều vị trí khác như phổi, xương… và có tiên lượng rất xấu. Điều trị tổn thương di căn não của ung thư tuyến giáp thể nhú cho đến nay vẫn chưa được thống nhất mà chủ yếu dựa vào kinh nghiệm điều trị ung thư tuyến giáp, di căn não và khả năng của mỗi cơ sở điều trị. Chúng tôi giới thiệu các trường hợp ung thư tuyến giáp thể nhú di căn não được phát hiện trong quá trình điều trị và quản lý bệnh nhân ung thư tuyến giáp tại Khoa Y học hạt nhân, Bệnh viện Trung ương Quân đội 108 trong giai đoạn 5 năm gần đây và chia sẻ một số kinh nghiệm và bàn luận về cách tiếp cận điều trị bệnh lý hiếm gặp này
Impression Management Pada Karyawan Ramen Jangar 69 Garut
Authors: Purwandi Wandi , Yudiardi Dodi , Sari Intan Tenisia Prawita
Published: September 2023

Penelitian ini dilakukan untuk melihat gambarnya dan mengetahui Pengaruh Impression Management pada karyawan dan objek dari penelitian ini adalah kesan yang ditampilkan dari karyawan kedai Ramen Jangar 69 Garut kepada pelanggan atau konsumen. Metode kuantitatif dan analisis deskriptif digunakan untuk mengetahui pengaruhnya dilihat dari kuesioner yang disebarkan terhadap 96 Responden Pelanggan Ramen Jangar 69 Garut, dimana nanti hasilnya diolah dan dianalisis dengan cara menggambarkannya. Dari hasil penelitian menunjukkan bahwa tanggapan responden tentang pelaksanaan Impression Management yang dilakukan oleh Ramen Jangar 69 Garut sangat baik, artinya konsumen dapat menerima dan memahami Impression Management tersebut khususnya yang diciptakan karyawan terhadap konsumen, serta menunjukkan hasil yang baik bagi citra perusahaan sendiri. Untuk itu disarankan pelaksanaan Impression Management untuk lebih ditingkatkan agar tetap bisa mempertahankan eksistensi perusahaan, mengingat pelaksanaan Impression Management dapat memberikan pandangan bagi perusahaan agar mampu mempertahankannya mengingat informasi dari media sosial lebih luas, cepat, dan tepat kepada masyarakat.
Pengaruh Electronic Word Of Mouth Terhadap Citra Destinasi Serta Dampaknya Terhadap Keputusan Berkunjung
Authors: Maryam Siti Rahmi , Susilawati Wati , Saepuloh Asep
Published: September 2023

Penelitian ini bertujuan untuk menganalisis pengaruh Electronic Word Of Mouth terhadap citra destinasi dan pengaruhnya terhadap keputusan berkunjung (studi pada akun Instagram @wisata_garut). Populasi pada penelitian ini yaitu followers dan orang yang melihat postingan di akun Instagram @wisata_garut. Sebanyak 96 responden dipilih untuk menjadi sampel dalam penelitian ini. Dalam tinjauan ini, metode purposive sampling dengan cara penyebaran kuesioner. Penyelidikan informasi dilakukan dengan menggunakan analisis deskriptif dan path analisis. Penelitian ini mengindikasikan bahwa Electronic Word Of Mouth berpengaruh positif terhadap citra destinasi, Electronic Word Of Mouth secara positif mempengaruhi keputusan berkunjung, citra destinasi secara positif mempengaruhi keputusan berkunjung dan Electronic Word Of Mouth secara positif mempengaruhi keputusan berkunjung melalui citra destinasi sebagai variabel intervening.
Pengaruh Pemberian Reward dan Punishment terhadap Kinerja Karyawan di Kantor Koperasi Syariah BMT ITQAN Kabupaten Garut
Authors: Selamet Cecep , Nurhasan Rohimat , Prawitasari Intan Tenisia
Published: September 2023

Penelitian ini bertujuan untuk menguji pengaruh variabel reward dan punishment terhadap kinerja karyawan menggunakan analisis Regresi Linier Berganda dengan bantuan SPSS Release 25.0 for Windows. Metode yang digunakan dalam penelitian ini yaitu metode deskriptif dan verifikatif dengan pendekatan kuantitatif. Teknik pengumpulan data menggunakan angket (kuesioner), survey, wawancara dan dokumentasi. Berdasarkan hasil penelitian reward dan punishment berpengaruh terhadap kinerja karyawan di Koperasi Syariah BMT ItQan Kabupaten Garut dengan tingkat pengaruh yang tinggi/kuat. Ditunjukkan berdasarkan nilai R Square sebesar 0,626 atau 62,6%. Hal ini menunjukan bahwa persentase sumbangan pengaruh reward dan punishment terhadap kinerja karyawan sebesar 62,6% dengan kategori tinggi atau kuat (Sugiyono, 2020) sedangkan sisanya sebesar 37,4% dijelaskan atau dipengaruhi oleh variabel lain yang tidak diteliti.
Analysis of the Importance of Enhancing the Qualifications of Biology Teachers as Professional Educators in the 21st Century Digital Era
Authors: Julita Wuri , Zulyusri Zulyusri
Published: September 2023

In the ever-evolving digital era of the 21st century, the realm of education stands at the precipice of transformation. This comprehensive review synthesizes a series of scholarly articles that delve into the pivotal role of enhancing teacher qualifications in shaping a dynamic and effective pedagogical landscape. The synthesis encompasses multifaceted dimensions, each contributing to the symphony of educational excellence. Academic qualifications, pedagogical strategies, and nurturing relationships emerge as foundational pillars, while the fusion of technology, pedagogy, and content knowledge (TPACK) underpins innovative teaching approaches. The review further illuminates the significance of Industry 4.0 expertise, emphasizing the necessity of special qualifications to navigate the evolving digital milieu. Training emerges as a crucible for forging comprehensive competencies, including pedagogical, professional, personal, and social dimensions, while positive work behavior enriches the educational tapestry with values and ethics. Adequate welfare and lifelong learning converge to empower educators, catalyzing optimal performance and nurturing a culture of continuous growth. This synthesis underscores the transformative potential of educator qualifications and competencies, offering insights that resonate with the trajectory of modern education and shape the future of learning.
Nanopartikel Sebagai Sistem Penghantaran Obat Tertarget Melalui Injeksi
Authors: Barkah Dikdik Caesar , Ahmad Farid , Susilo Putri Dyanita Irene , Ratna Ningsih Siti Ningrum , Yuniarsih Nia
Published: September 2023

The pharmaceutical nanoparticles are in some way made with nanometers called nanometers or pharmaceutical substances encased in a nanometric system called nanocarrie. Targeted delivery systems are to increase drug dosage control at specific places such as in cells, tissues, or organs, and thus reduce unwanted side effects on non-target organs. So the riview journal is based on eight pharmacological activities of nanoparticles as a targeting drug delivery system of anti-cancer, antibacterial, immunomodulator, antiovarian, antifungal, antifungal, antibacterial, and antidiabetes

Keywords: Nanoparticels, Drug Delivery System (DDS), Targeted delivery system, injection
Pengetahuan Peran Penanggung Jawab Linen Terhadap Standar Pelayanan Minimal Kejadian Linen Hilang
Authors: Herawati Yanti , Handayani Sarah
Published: September 2023

Indikator dalam Standar Pelayanan Minimal di Instalasi Laundry  yaitu tidak adanya linen yang hilang dan pengiriman linen perawatan rumah sakit yang tepat waktu, dengan masing-masing standar 100%. hasil perhitungan Standard Pelayanan Minimum RS X  capaian SPM untuk indikator kejadian linen hilang tahun 2021, 99,70%, Tahun 2022  99,48% .Penilitian ini merupakan penelitian  kualitatif dengan tekhnik observasi serta menggali informasi dengan melakukan wawancara mendalam, sedangkan data sekunder berasal dari data laporan tahunan instalasi laundry. Informan utama berjumlah 5 orang penanggung jawab  linen , informan kunci 3 orang kepala ruangan, informan pendukung petugas administrasi instalasi laundry, analysa data menggunakan content analisis ( analisis isi). Hasil penelitian bahwa pengetahuan peran penanggung jawab linen sudah  semua mengetahui peran nya , akan tetapi pelaksanaan peran penanggung jawab linen belum berjalan dengan baik, belum adanya spo yang sama disemua unit, belum berjalan monitoring evaluasi yang berdampak pada tidak tercapainya SPM tidak ada kejadian linen hilang .Kata kunci :Penanggung jawab linen, linen hilang. SPM
Pengaruh Senam Prenatal Yoga terhadap Pencegahan Preeklampsia pada Ibu Hamil di Puskesmas Jatimekar Kota Bekasi
Authors: Indriayani Iis , Octavia Lia , Fadhilah Ghassani Dirayati
Published: September 2023

Latar Belakang : Preeklampsia dapat dicegah dengan melakukan senam prenatal yoga. Latihan dalam intensitas yang rendah seperti senam prenatal yoga dapat memberikan efek positif bagi ibu hamil. Ibu hamil dituntut untuk menjaga kesehatan agar persalinan berjalan lancar, berat bayilahir normal atau terhindar dari masalah kesehatan seperti Preeklampsia. Tujuan penelitian ini untuk mengetahui pengaruh senam prenatal yoga terhadap pencegahan preeklampsia pada ibuhamil di Puskesmas Kelurahan Jatimekar Kota Bekasi.Metode : Metode penelitian ini menggunakan desain praeksperimen dengan pendekatan menggunakan one group pre and post tanpa kelompok pembanding. Populasi pada penelitian ini berjumlah 42 ibu hamil dengan Sampel sebanyak 23 ibu hamil. Teknik pengambilan sampel yaitu purposive sampling. Analisa data menggunakan uji T-test.Hasil : Hasil penelitian ini terdapat pengaruh yang signifikan terhadap perubahan tekanan darahpada pengukuran sistole dari hasil pelatihan senam yoga prenatal dengan nilai p-value 0.00 ( P <0.05).Kesimpulan : Hal ini menunjukkan bahwa senam prenatal yoga dapat membantu dalam pencegahan preeklampsia pada ibu hamilKata Kunci : Senam Prenatal Yoga, Preeklampsia, Ibu Hamil
“Fuck Capitalism”: Mutual Aid Participants’ Experiences of Burnout During the Early Months of the COVID-19 Pandemic
Authors: Morris Karaya , Holloway Brendon , Littman Danielle , Cummings Colleen , Dixon Deanna , Bender Kimberly , Sarantakos Sophia
Published: September 2023

Amidst the intentional failures of the U.S. government and social service systems to respond to the care and survival needs created by the COVID-19 pandemic, mutual aid—collective survival work which both aims to meet individual and community needs and demand structural change—has proliferated. Along with an increase in mutual aid efforts has come a proliferation of burnout among those engaged in mutual aid work. Our paper shares findings from interviews (N = 25) with individuals engaged in mutual aid in the early months of the COVID-19 pandemic in Colorado. Drawing upon Gorski et al.’s (2019) model of burnout, which includes emotional exhaustion, physical exhaustion, and cynicism/hopelessness, we use critical phenomenological analysis to explore participants’ experiences of burnout while engaging in mutual aid work. While participants’ experiences largely align with Gorski’s burnout framework, the pressures of capitalism dominate and pervade participants’ experiences. These findings suggest a need for (a) greater understanding of burnout that connects to the structural harms of capitalism, and (b) futures of mutual aid and collective care that displace capitalism entirely. We end by exploring the question: how could mutual aid practices replace capitalist “care” structures in the future?
Image Retrieval Performance Tuning Using Optimization Algorithms
Authors: Kazmi Syed Qamrul , Singh Munindra Kumar , Pal Saurabh
Published: September 2023

NThe relentlessness of modern life's pace has pushed many people to look for ways to save time so they may continue living the way they choose. The management of traffic presents a considerable obstacle due to the fact that a large proportion of persons have difficulties associated with transportation. As a result, fixing traffic problems becomes an absolute need. Machine learning stands out as a useful resource in this setting, providing deeper understanding and better analytical tools for sifting through complicated statistical data. The feasibility of travel for both large and light vehicles may be quickly assessed by experts, allowing for more timely and well-informed decisions. These evaluations serve as the basis for developing separate roadways, laws and sets of rules for various classes of vehicles. This study examines six characteristics of vehicular traffic and travel situations over 38,114 occurrences. Our goal is to improve traffic management through prediction and optimization using six different optimizers from the deep learning area. Based on observed patterns of truck traffic over a certain time period, these methods help determine optimal distribution paths for sent commodities. Six different deep learning optimizer models are compared and contrasted in this study. The objective is to use these examples to determine which optimizer is best. It's not easy to pick the best optimizer for use in deep learning. To this goal, we conducted an in-depth analysis of six industry-leading optimizers to identify the best tool for predicting traffic accidents. We ran extensive tests using a dataset that had 30,492 training examples (80%) and 7,622 testing instances (20%). Different seed values, ranging from 20 to 100, were used in each iteration of the experiment. We tested and compared the following optimizers: the Adaptive Gradient (AG) Algorithm, the Adaptive Learning Rate (ALR) Method, the Root Mean Squared (RMS) Propagation, the Adaptive Moment (AM) Estimation, the Nesterov-accelerated Adaptive Moment (NAM) Estimation, and the Stochastic Gradient (SG) Descent, taking into account processing times, prediction accuracy, and error analysis. The results of the experiment showed that the NAM Estimation Optimizer was much superior. Time spent processing data was cut down, and errors were kept to a minimum (0.03%). Prediction accuracy was also exceptionally high at 99.85%. This result reaffirms NAM Estimation's promise as a leading method for improving traffic management and making accurate trip predictions.