bluuebunny/crossref_metadata_2025 huggingface dataset:
ASSESSMENT OF NUTRITIONAL STATUS TO DETERMINE THE PREVALENCE OF MALNUTRITION IN PATIENTS UNDERGOING SURGERY FOR COLORECTAL CARCINOMA USING INA SCORE
Authors: MUQEET A , HAIDER S , IBRAHIM F , HYDER A , SIRAJ MI , SAJID EU , RAJPUT IA , KHAN NA
Published: December 2024

Colorectal cancer (CRC) is the third most commonly diagnosed malignancy worldwide. Malnutrition is a critical factor influencing postoperative morbidity and mortality in CRC patients. Surgical trauma exacerbates the metabolic response, increasing the risk of malnutrition-related complications such as cancer cachexia and reduced efficacy of postoperative chemotherapy or radiotherapy. This study aimed to assess the prevalence of malnutrition in patients undergoing surgery for colorectal carcinoma using the Instant Nutritional Assessment (INA) score. Objective: To determine the frequency and degree of malnutrition in patients undergoing resection surgery for colorectal carcinoma using the INA score. Methods: This cross-sectional study was conducted in the Department of Surgery at Dr. Ruth K. M. Pfau Civil Hospital Karachi over six months, from October 1, 2022, to March 31, 2023. A total of 93 patients undergoing elective resection for colorectal carcinoma were enrolled. Demographic and clinical data, including histological diagnoses, were recorded using a predesigned proforma. Nutritional status was assessed using the INA score, based on serum albumin levels and blood lymphocyte counts. Malnutrition was classified into four degrees according to operational definitions. Data analysis was performed using SPSS version 19. Results: The mean age of participants was 47.60 ± 12.87 years. Of the 93 patients, 56.99% were male, and 43.01% were female. The frequency of malnutrition was 27.96% (26/93), with malnutrition degrees distributed as follows: 8 patients (30.8%) with first-degree, 5 patients (19.23%) with second-degree, 9 patients (34.62%) with third-degree, and 4 patients (15.38%) with fourth-degree malnutrition. Conclusion: A significant proportion of patients undergoing surgery for colorectal carcinoma were found to be malnourished. These findings underscore the necessity for routine preoperative nutritional assessments and timely interventions to improve surgical outcomes and enhance the effectiveness of postoperative therapies. Incorporating nutritional support as a standard component of colorectal cancer care can mitigate the risk of cancer cachexia and associated complications.
FACTORS INFLUENCING DELAY IN SEEKING MEDICAL CARE AMONG CANCER BREAST PATIENTS IN BALUCHISTAN: EXPLORE REASONS BEHIND DELAYED PRESENTATION AND HOW PATIENT EDUCATION OR COMMUNITY PROGRAMS MIGHT IMPROVE EARLY ACCESS TO CARE
Authors: KHAN A , ARBAB R , MAHMOOD M , KHAN MI , ARSHAD A , ANWAR R
Published: December 2024

Breast cancer is one of the most prevalent and deadly forms of cancer affecting women globally, and Pakistan is no exception. Objective: The main objective of the study is to find the factors influencing delay in seeking medical care among cancer breast patients and explore reasons behind delayed presentation and how patient education or community programs might improve early access to care. Methodology: This cross-sectional study was conducted at Bolan Medical College Quetta Pakistan during January 2024 till June 2024. Data were collected from 125 breast cancer patients who had been diagnosed with the disease at various stages. Results: Data were collected from 125 patients, majority of participants (70%) were aged between 40-60 years, with a mean age of 50.01 ± 7.61 years. Most were married (60%) and had attained high school education (65%). Employment status indicated that 55% of participants were unemployed, while 35% were engaged in low-paying jobs. Regarding healthcare access, 75% of urban participants had timely access to healthcare facilities, compared to only 40% of rural participants, highlighting disparities in healthcare availability. The highest delays were observed in unemployed participants (65%) and those in low-paying jobs (60%), reflecting the impact of economic constraints. Married participants (60%) also reported substantial delays, potentially linked to family dynamics and caregiving responsibilities. Conclusion: It is concluded that delayed presentation of breast cancer in Pakistan is primarily influenced by socio-cultural stigma, financial constraints, limited healthcare access, and psychological barriers.
Gezondheidsovertuigingen over osteoporose bij de oudere populatie: validatie van de Nederlandstalige Osteoporosis Health Belief Scale
Authors: Longueville Lynn , Schellemans Michel , Perkisas Stany , Bastijns Sophie , Ariën Femke , De Cock Anne-Marie
Published: December 2024

Objective
The Osteoporosis Health Belief Scale (OHBS) was developed to assess health beliefs about osteoporosis. This questionnaire consists of 42 items divided into seven subscales including seriousness, susceptibility, health motivation, calcium intake, and exercise. The aim of this study was to validate the OHBS in Dutch.
Methods
Dutch-speaking individuals aged over 65 years, without cognitive problems, were included in the study. Translation of the OHBS into Dutch was conducted based on international guidelines for translating a validated questionnaire into another language. A subgroup of individuals repeated the questionnaire after a period of at least seven days.
Results
During the translation process, no significant issues were encountered. All translation discrepancies were discussed and resolved through consensus. The results demonstrate strong test-retest reliability (Spearman's rho 0.772, p < 0.001) and internal consistency (Cronbach's alpha 0.828). The mean duration to complete the questionnaire ranges between five and ten minutes.
Conclusions
The Dutch version of the OHBS is a reliable and valid instrument for measuring health beliefs regarding osteoporosis. More knowledge about these health beliefs is crucial for improving communication regarding osteoporosis and fracture prevention. Moreover, the instrument can be used to identify individuals who would benefit from educational interventions.
Antibiogram Profiles and Disinfectant Effectiveness on Bacterial Isolates in the Surgical Intensive Care Unit
Authors: Salwa Eltawaty  , Tawfeek Altawaty
Published: December 2024

Although studying bacterial contaminants in intensive care units has become a common topic, it is still being studied because of its importance in preserving the lives of patients and healthcare workers, where there is an increasing rate of the emergence of new bacterial strains that acquire resistance to antibacterial drugs. This is the first study targeting the surgical Intensive Care Unit (ICU) at Al-Wahda Hospital, Derna City, Libya. Standard traditional methods and molecular techniques were used to isolate, identify, and study the antibiogram profiles against bacterial isolates found to contaminate inanimate surfaces inside the ICU. The study results proved that the study area was contaminated with nine different bacterial genera belonging to Gram-positive (54%) and Gram-negative (46%) bacteria. The broadest antibiotic in this study was the highest inhibition percentage in this study was from Imipenem 10µg followed by Levofloxacin 5µg which suppressed the growth of 80% and 70% of all tested isolates, respectively. Among the tested disinfectants, hydrogen peroxide (Oxydol 3%) controlled (50%) of the tested bacteria, whereas glutaraldehyde (Prodex 99%) showed no activity. Povidone Hydro alcohol (Iodine 10%) actively controlled (70%) of the tested isolates. Conclusion: This study concludes that the targeted ICU is contaminated with nine different bacterial genera that show varied resistance to the tested antibiotics and disinfectants, threaten patients' and health workers' lives, and recommend the search for alternative effective antibiotics and disinfectants.
More nitrogen to the crop! : to increase the nitrogen fertiliser value of cattle slurry and reduce its ammonia emissions
Authors: Andersson Karin
Published: December 2024

Nitrogen (N) is an essential nutrient in crop production. However, it is also a serious environmental pollutant. Therefore, maximising crop utilisation of applied fertiliser N, with minimal N losses to the environment, is crucial. The N fertiliser effect from cattle slurry, which accounts for 75 percent of all manure spread in Sweden, is generally low. Its high dry matter (DM) content leads to slow infiltration and this poses a risk of large ammonia losses after slurry application. A high DM content also means a high carbon/nitrogen (C/N) ratio, which reduces the plant availability of nitrogen. The focus of this PhD project was to study measures to increase the nitrogen fertiliser value of cattle slurry, through treatments that reduce the slurry’s C/N ratio and subsequently increase nitrogen availability to crops, combined with measures to reduce ammonia losses after slurry application. Crop utilisation of slurry N, expressed as Mineral Fertiliser Equivalents (MFE), was measured through harvest measurements in field trials and a pot experiment, and ammonia losses were measured in separate field experiments. Nitrogen availability depending on slurry and bedding material properties was investigated in two soil incubation experiments. Both solid-liquid separation and anaerobic digestion of cattle slurry, which reduces the slurry’s C/N ratio, increased slurry MFE. The relationship between slurry C/N ratio and nitrogen availability was also confirmed in the two incubation studies. Acidification of slurry with sulphuric acid effectively reduced ammonia losses from all slurry types. For untreated and digested slurry, this was also reflected in increased MFE values, but not for separated slurry. Slurry application with trailing shoes did in most cases not increase slurry MFE compared to trailing hoses. The study shows that there is potential to increase the N fertiliser value of cattle slurry, however, there are no simple solutions, and to achieve maximum effect, different measures must be combined.
Mineralogy, geochemistry and genesis of low-grade manganese ores of Anujurhi area, Eastern Ghats, India
Authors: Pattnaik Sujata , Majhi Satrughan
Published: December 2024

The Anujurhi manganese ores occur in the high-grade gneisses of the Precambrian Eastern Ghats Supergroup in Odisha, India. They are characterized by conformable lenses containing minerals such as cryptomelane, romanechite, pyrolusite, todorokite, and pyrophanite, along with other opaque minerals like graphite, goethite and ilmenite. The gangue minerals associated with these ores include quartz, feldspar, garnet, kaolinite, apatite, sillimanite, zircon, biotite, alunite, and gorceixite. The primary elements present in the ore, Si, Mn, Fe, and Al, average at 16.20 %, 15.06 %, 11.94 %, and 6.6 % respectively. Additionally, trace amounts of P, K, Ti, Mg, Ca, and Na were detected. The average Fe/Mn ratio of 0.81 and the Si versus Al plot of the Anujurhi manganese ores suggest a hydrogenous-hydrothermal mixed source for the ferromanganese sediments. The characteristics of the manganese ore bands, absence of carbonate facies of ore, and geochemical association of Mn-Ba together with Na/Mg ratios and CaO-Na2O-MgO ternary plot of the manganese ores strongly indicate that the mineralization is a metamorphosed shallow marine-lacustrine deposit. Following deposition and diagenesis, the manganese minerals underwent at least two phases of Ultra High Temperature (UHT) and granulite facies metamorphism along with the host rocks. Tectonic uplift, erosion, extended exposure to atmospheric oxygen and percolation of meteoric water led to the supergene alteration and remobilization of the primary manganese minerals in a colloidal state, followed by epigenetic replacement along the structural weak planes of the granulite facies rocks, resulting in the formation of the current deposits. This is evidenced by the observed secondary replacement and colloidal textures in the Mn oxides.
Educational-creative workshops: integrating creative expression into geological learning content
Authors: Čeru Teja
Published: December 2024

How can we nurture a childlike curiosity even in adulthood, how can we constantly question ourselves about nature and the environment we live in, and last but not least, how to raise public awareness of geology in an understandable and interesting way? All these questions led to the idea and design of a workshop that includes different views of looking at nature from a scientific, practical and artistic perspective. The article presents a workshop on painting with natural pigments through which participants learn about various geological contents. In the first part of the workshop, participants learn about the entire process of making natural pigments, which includes determining a suitable mineral/rock for pigment, the pigment preparation process (crushing, grinding, and sieving), and mixing pigments with a binder into a final colour that can be used and stored. This part of the workshop introduces approaches that are comparable to scientific one. In a very practical way, participants will learn about some of the properties of rocks and minerals (colour, color of the mineral's streak, hardness, etc.) and sample preparation methods. The second part of the workshop is more creative, where participants use colouring books with geological motifs or paint freely. They explore the characteristics of pigments made from various materials, and connect new knowledge on an experiential level. One of the main aims of the workshop is to interweave and combine educational and creative content, focussing on active and experimental learning methods. The paper also shows the adaptations of the workshop to the age of the participants and the type of event (e.g. public events).
EDUCAÇÃO ESPECIAL E ENSINO RELIGIOSO: FORMAÇÃO DOCENTE COMO FERRAMENTA PARA A PROMOÇÃO DO RESPEITO À DIVERSIDADE
Authors: Silva Aline Coelho Pereira da
Published: December 2024

O estudo aborda a interface entre Educação Especial e Ensino Religioso, com foco na formação docente como instrumento para a promoção do respeito à diversidade nas escolas. A pesquisa parte da constatação de que o Ensino Religioso, ao tratar de questões relacionadas à espiritualidade e religiosidade, pode contribuir significativamente para a inclusão e valorização da diversidade, especialmente no contexto da Educação Especial. O objetivo principal é analisar como a formação de professores pode ser direcionada para fomentar práticas pedagógicas que promovam a inclusão e o respeito às diferenças, considerando as necessidades específicas de alunos com deficiência. A metodologia adotada foi de natureza qualitativa, fundamentada em revisão bibliográfica e análise documental de políticas públicas e estudos acadêmicos sobre Educação Especial e Ensino Religioso. Os resultados indicam que a formação docente, quando pautada em valores inclusivos e no respeito à pluralidade cultural e religiosa, contribui para a construção de um ambiente escolar mais acolhedor e equitativo. Conclui-se que investir na qualificação dos professores é essencial para que eles possam atuar como agentes de transformação, promovendo práticas educativas que respeitem e valorizem a diversidade, fortalecendo, assim, a cultura de paz e a inclusão no contexto escolar.
The Forests of Barro Colorado Island and the Neutral Theory of Biodiversity
Authors: A. Chisholm Ryan
Published: December 2024

Neutral theory in ecology came to prominence with the publication of Stephen Hubbell ’s 2001 book, in which applications to the forests of Barro Colorado Island (BCI) were central. But the roots of the theory go back decades earlier. In this review, I chart the history of neutral ecological theory starting from 1948. I describe how from the 1980s onward research on neutral theory and BCI’s forests have been intertwined, and how during the 2010s, neutral theory matured and began to be integrated into general ecological theory. An overarching theme of my review is that the original motivation of Hubbell’s theory was not to test the neutral assumption (which is false), but rather to test the hypothesis that local communities, such as the tree community in BCI’s 50-ha plot, are primarily dispersal assembled rather than niche assembled. The revival of this hypothesis may also turn out to be the theory’s most enduring legacy.
Rhipsalis baccifera: A Graceful Epiphytic Cactus that Has Jumped to the Old World
Authors: Andrade Jose Luis
Published: December 2024

Rhipsalis baccifera (Cactaceae) is a widespread epiphyte that lives high in the canopy of the Barro Colorado Island (BCI) forest, most frequently in deciduous species such as Ceiba pentandra and Handroanthus guayacan. This epiphytic species shows several characteristics to withstand drought in the forest canopy, such as succulence, high relative tissue capacitance, shade tolerance, and crassulacean acid metabolism. Root features allow this species to secure the heavy plant stems and to take advantage of sporadic rains during the dry season. Also, tissue water content recovers rapidly after slight rains.
Myxomycetes of Barro Colorado Island and Panama
Authors: Walker Laura M. , Stephenson Steven L.
Published: December 2024

The myxomycetes (plasmodial slime molds) are common and often abundant protist predators of bacteria and other microbes in terrestrial ecosystems, where they play major yet underappreciated roles in the cycling and storage of nutrients. Their predation of microbes aids in the transfer of nutrients immobilized in microbial biomass back to the soil, and then to plants and higher trophic levels, including animals. Despite the importance of protist predators such as myxomycetes on ecosystem function, they have received little attention, particularly in tropical forest ecosystems. Here, we provide a brief introduction to the myxomycetes, an overview of the state of current knowledge relating to the myxomycetes of Barro Colorado Island, Panama, and suggestions for future research. We hope that this chapter can serve as a starting point for future research efforts that focus on microbial groups such as the myxomycetes and their ecological roles in tropical forests.
The Dangers of Aestheticized Education: A Return to Curiosity in a Curated World
Authors: Campolargo Juan David
Published: December 2024

This paper examines the growing tension between authentic curiosity and aesthetic performance in American higher education. Through personal experiences at the University of Illinois at Urbana-Champaign, this work explores how the pressure to maintain appearances and create Instagram-worthy academic personas increasingly overshadows genuine intellectual curiosity. As social media and digital platforms reshape educational practices, students find themselves caught between the desire for deep learning and the perceived need to aestheticize their academic journey. This reflection argues that while visual appeal and presentation have their place, the prioritization of aesthetics over authentic engagement threatens to undermine the fundamental purpose of higher education.
O Tema 383 do Supremo Tribunal Federal e a desigualdade salarial
Authors: Dias Jean Carlos , Peixoto Karen Dayana Pereira
Published: December 2024

Analisa a decisão do Supremo Tribunal Federal (STF) na fixação da tese do Tema 383, que trata da equiparação de direitos trabalhistas entre terceirizados e empregados de empresa pública tomadora de serviços. O objetivo é verificar se a decisão é íntegra em relação à jurisprudência do Tribunal Superior do Trabalho (TST) e do próprio STF. O texto discute os contornos da tese fixada e examina a teoria do direito como integridade de Ronald Dworkin. A análise realizada é jurídicofilosófica, servindo-se do instrumental teórico próprio da Filosofia e do Direito, bem como utiliza metodologia exploratória e qualitativa, aplicando a técnica de pesquisa bibliográfica e documental. Como principal resultado alcançado observa-se que o julgamento no Recurso Extraordinário 635.546 está alinhado a posicionamentos anteriores do STF, porém, divergindo da jurisprudência do TST.
Violência patrimonial e financeira contra a pessoa idosa
Authors: Rodrigues João Gaspar
Published: December 2024

Este estudo aborda a violência patrimonial e financeira contra a pessoa idosa, definida como a exploração indevida de recursos econômicos e de bens, muitas vezes velada e normalizada na sociedade. Trata-se de uma forma de violência transversal que pode afetar diversas áreas da vida da vítima. Os fatores de risco para essa violência incluem a capacidade diminuída ou fragilidade cognitiva, a dependência de cuidados de um familiar, o medo de um parente, a falta de conhecimento sobre direitos e familiares com dependência em substâncias químicas. Para prevenir e enfrentar essa violência, são propostas algumas estratégias: educação e capacitação permanente, utilização de meios jurídicos, apoio à autonomia financeira dos idosos, campanhas de sensibilização e colaboração interinstitucional. O estudo identifica os principais agressores, geralmente membros da própria família da vítima. Nas considerações finais, é reforçada a necessidade de uma abordagem multidisciplinar e interinstitucional para enfrentar efetivamente a violência patrimonial e financeira contra a pessoa idosa.
Discriminação algorítimica
Authors: Salmoria Camila Henning , Ramos Wanessa Assunção
Published: December 2024

Este artigo tem como tema a discriminação algorítmica das pessoas transgênero. O problema de pesquisa pode ser resumido na seguinte pergunta: Como a inteligência artificial (IA) retrata as pessoas transgênero? O objetivo geral, que visa responder ao problema de pesquisa, é demonstrar as formas de retratação das pessoas transgênero pela inteligência artificial. Para atingir o objetivo geral, tem-se os seguintes objetivos específicos: a) descrever um caso concreto; b) analisar a retratação das pessoas transgênero pela inteligência artificial pela perspectiva de gênero; e c) analisar a retratação das pessoas transgênero pela inteligência artificial pelo prisma algorítmico. A hipótese aventada é que a inteligência artificial é discriminatória. A metodologia utilizada foi de abordagem qualitativa e indutiva, com foco em um estudo de caso detalhado. O resultado é a confirmação da hipótese inicial, de que a construção desses estereótipos é um reflexo de preconceitos presentes nos dados utilizados para treinar os algoritmos.
A fixação do valor mínimo de reparação no estupro de vulnerável contra vítima do gênero feminino
Authors: Corrêa Gina Fonseca
Published: December 2024

O objeto do presente artigo é a análise da jurisprudência do Superior Tribunal de Justiça (STJ) acerca da fixação da reparação no crime de estupro de vulnerável contra vítima do gênero feminino. Tem por objetivo demonstrar que há divergência significativa na Corte, que fragiliza a proteção das mulheres, no intuito de indicar a interpretação e aplicação mais consentânea com a promoção da igualdade de gênero. O método adotado apresenta dados empíricos para demonstrar a violência contra meninas, assim como serão colacionados e confrontados acórdãos proferidos em recurso especial sobre a temática. Proceder-se-á à análise da repercussão dos julgados para manutenção do poder simbólico que subjuga as mulheres à uma condição de inferioridade. Conclui-se que a fixação decorre da mera comprovação da prática delituosa, sendo inexigíveis outros requisitos.
Calor, seca, fogo e fumaça
Authors: Espindola Giovana Mira de
Published: December 2024

Qual o papel do Poder Judiciário no enfrentamento das mudanças climáticas e na proteção de populações vulneráveis no Brasil? Desastres climáticos, como ondas de calor extremo, secas persistentes e incêndios florestais, estão interconectados e são intensificados por crises ambientais globais, como mudanças climáticas, perda de biodiversidade e poluição e degradação de ecossistemas. Este artigo examina o papel do Poder Judiciário na proteção de populações vulneráveis diante dos desastres climáticos de temperatura, como ondas de calor, secas e incêndios florestais. O texto explora como esses eventos, intensificados pelas mudanças climáticas globais, afetam desproporcionalmente grupos marginalizados no Brasil, exacerbando desigualdades socioeconômicase ambientais. Ao longo do artigo, abordaram-se os principais desafios enfrentados pelas políticas públicas de adaptação e contingência climática no país e analisou-se a crescente relevância do Judiciário na implementação de processos estruturais e na exigência de ações governamentais para reduzir os impactos desses desastres.
Optimalisasi Pemberdayaan Kader Kesehatan dan Motivasi Ibu Dalam Penanganan Stunting
Authors: Shafira Kaesa Siska Hapsari  , Sunartono  , Monalisa Dian
Published: December 2024

Latar Belakang: Stunting adalah masalah gizi kronis pada balita, terutama dalam 1000 Hari Pertama Kehidupan (HPK), yang ditandai dengan panjang atau tinggi badan yang tidak sesuai usia. Survei Status Gizi Indonesia (SSGI) 2022 mencatat prevalensi stunting nasional sebesar 21,6%, dengan Provinsi Jawa Tengah 20,8% dan Kabupaten Boyolali 20%. Kecamatan Klego menjadi lokus stunting dengan Desa Banyuurip di wilayah Puskesmas Klego II memiliki kasus tertinggi (21 kasus). Tujuan: Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan ibu dan kader serta motivasi ibu balita stunting dalam penanganan stunting. Metode: yang digunakan meliputi seminar menggunakan booklet, pendampingan, dan pemberian motivasi kepada 25 peserta (21 ibu balita stunting dan kader). Hasil: menunjukkan peningkatan pemahaman penanganan stunting sebesar 35%. Kesimpulan: Media booklet terbukti efektif sebagai alat informasi yang dapat mendukung penanganan stunting, memberikan dampak positif pada pengetahuan dan motivasi peserta.
Implementasi Inovasi LYVER Berbasis Multimedia dalam Upaya Pencegahan Readmisi Pasien Pascaoperasi di Ruang Agung Wilis RSUD Blambangan Banyuwangi
Authors: Aminah Dewi , Wijaya Dodi , Cahyani Nurul Eko , Diafani Riris
Published: December 2024

Latar Belakang: Pasien pascaoperasi sering menghadapi kurangnya pengetahuan tentang perawatan mandiri setelah keluar dari rumah sakit. Inovasi LYVER adalah solusi multimedia berupa video animasi edukatif yang memberikan informasi tentang perawatan pascaoperasi di rumah, mencakup edukasi nutrisi, cara pembuangan cairan, manajemen obat, dan pengingat kontrol. Tujuan: Kegiatan ini adalah meningkatkan kualitas perawatan pascaoperasi di rumah secara komprehensif, mengurangi angka readmisi, mempercepat pemulihan, serta meningkatkan kepuasan pasien dan efisiensi sistem kesehatan. Metode: Terdiri dari tiga tahap sosialisasi kepada perawat, administrasi, dan keluarga pasien, serta uji coba akses video melalui kode barkot di poster dan perangkat seluler. Hasil: Implementasi menghasilkan tanggapan positif dari lima pasien yang merasa terbantu oleh inovasi ini. Kesimpulan: Inovasi multimedia berbasis video ini efektif diterapkan di ruang rawat inap untuk mendukung edukasi pasien, meningkatkan efisiensi waktu, tenaga, dan biaya.
Program Edukasi dan Pendampingan untuk Mengatasi Pengaruh Body Shaming terhadap Kesehatan Mental Remaja di MTsN 1 Banda Aceh
Authors: Ulfa Fitri Nazila , Harahap Nurmahni , Sakdiah Halimatus
Published: December 2024

Latar Belakang: Standar fisik yang berkembang di masyarakat saat ini memicu remaja mengalami gangguan mental akibat body shaming. Tekanan sosial ini seringkali berdampak negatif terhadap kesehatan mental remaja. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh body shaming terhadap kesehatan mental remaja di MTsN 1 Banda Aceh, mengetahui karakter responden remaja, mengidentifikasi perlakuan body shaming yang diterima oleh remaja, mendefinisikan kesehatan mental remaja, dan menganalisis dampak body shaming terhadap kesehatan mental mereka. Metode: Penelitian ini merupakan bagian dari program pengabdian kepada masyarakat yang menggunakan pendekatan penelitian lapangan (field research). Pendekatan ini dilakukan secara sistematik melalui pengkajian data secara langsung di lapangan, dengan tujuan memberikan manfaat nyata bagi komunitas yang terlibat ( sudaryono, 2015 ). Hasil: penelitian menunjukkan bahwa body shaming berpengaruh signifikan terhadap kesehatan mental remaja. Nilai p < 0,05 untuk kedua variabel menunjukkan pengaruh yang signifikan. Tingkat kerusakan data hanya 0,01 persen, yang membuktikan bahwa data tersebut dapat dipercaya dengan tingkat kepercayaan 99,9 persen. Kesimpulan: Body shaming memiliki pengaruh negatif yang signifikan terhadap kesehatan mental remaja di MTsN 1 Banda Aceh. Program edukasi dan pendampingan bagi remaja, guru, dan orang tua sangat diperlukan untuk mengatasi masalah ini.
Studi retropektif: Analisis faktor risiko stunting di wilayah kerja Puskesmas Abeli, Kota Kendari
Authors: Azim La Ode Liaumin , Akifah Akifah , Kalza Lade Albar , Yunawati Irma , Rusliafa Jusniar , Jufri Nurnashriana , Liaran Rastika Dwiyanti , Hartoyo Agnes Mersatika , Saktiansyah La Ode Ahmad , Kohali Rizki Eka Sakti O.
Published: December 2024

Pendahuluan: Pengantar: Stunting merupakan masalah kesehatan di dunia karena dapat meningkatkan risiko morbiditas dan mortalitas pada anak. Indonesia merupakan negara ketiga terbesar di Asia Tenggara dengan jumlah kasus (21,6%), Kota Kendari (19,6%). Metode: Penelitian ini menggunakan desain studi kasus kontrol dengan jumlah sampel 78 responden yang terdiri dari 39 kasus dan 36 kontrol. Sampel diambil dengan menggunakan teknik simple random sampling. Alat ukur yang digunakan untuk mengukur stunting adalah timbangan injak dan microtoise. Data penelitian dianalisis menggunakan uji ods ratio dengan tingkat kepercayaan 95%. Hasil: Hasil penelitian menunjukkan pendidikan (p = 0,04; OR = 2,588; CI = 1,033 - 6,486), pendapatan (p = 0,022; OR = 2,912; CI = 1,150 - 7,372), tinggi badan ibu (p = 0,029; OR = 2,994; CI = 1,099 - 8,158), BBLR (p = 0,044; OR = 3. 438; CI = 0.987 - 11.969), ASI eksklusif (p = 0.012; OR = 3.234; CI = 1.273 - 8.218), imunisasi (p = 0.068; OR = 0.812; CI = 0.331 - 1.989), penyakit menular (p = 0.389; OR = 1.650; CI = 0.525 - 5.186). Kesimpulan: Disimpulkan bahwa faktor risiko stunting di Puskesmas Abeli adalah pendidikan ibu, pendapatan, tinggi badan ibu, BBLR, dan pemberian ASI eksklusif. Sedangkan faktor yang tidak berhubungan adalah imunisasi dan penyakit infeksi.
Didaktické situace v předškolním období
Authors: Semerádová Soňa , Hošpesová Alena
Published: December 2024

Tvorba matematických pojmů v předškolním vzdělávání se v poslední době těší stále většímu zájmu výzkumníků v oblasti matematického vzdělávání. V tomto příspěvku popisujeme propojení dvou témat, která se týkají procesu institucionálního předškolního vzdělávání v matematice, a to : Jaké prostředí mateřských škol dává dětem možnost zkoumat matematické pojmy? Jak (budoucí) učitele na takové aktivity připravit? Teoretickým rámcem této studie je Brousseauova teorie didaktických situací.
False anastomotic femoral aneurysm associated with multi-aneurysmal disease
Authors: Forero Escobedo Sebastián , Muñoz Hoyos Alberto
Published: December 2024

Anastomotic pseudoaneurysms and true femoral aneurysms are two infrequent
arterial entities of low incidence, and together, they are even less common. We
present the case of a 71-year-old patient with a history of arterial hypertension
who has a history of multiple long-standing vascular interventions: abdominal aortic
aneurysm with aortic-iliac anastomosis with subsequent femoral-femoral bypass
crossed by occlusion of the left branch; and femoropopliteal bypass for left popliteal
artery aneurysm. She presents a large pulsatile mass in the left inguinofemoral region
without left popliteal and pedal pulses with the viable limbs. The tomographic study
showed a pseudoaneurysm of the left common femoral artery with partial thrombosis,
dependent on the distal anastomosis of the old femoral-femoral bridge, and a bilateral
true fusiform aneurysm of the common and superficial femoral artery with extensive
mural thrombosis. It was decided to perform surgery to resect the mixed aneurysmal
lesions, perform a right iliac-femoral prosthetic bridge, and replace the crossed
femoral-femoral bypass; both included shunts to the deep femoral arteries. With
suspicion of thrombosis of the old femoropopliteal bypass, thromboembolectomy of
the left leg is performed through the superficial femoral artery, the anastomosis is
permeabilized with recovery of the distal pulses.
Evaluasi pelaksanaan TQM untuk peningkatan kualitas pembelajaran di STAI Darussalam Kunir: Perspektif mahasiswa dan dosen
Authors: Aminuddin Aminuddin , Qothrun Nada Rahmah Alisa , Syihabuddin Syihabuddin , Asep Kuswara Mochammad
Published: December 2024

This study aims to evaluate the implementation of Total Quality Management (TQM) at STAI Darussalam Kunir and its impact on learning quality. Using a descriptive qualitative approach, the study involved in-depth interviews, observations, and documentation collection from students and lecturers. The results show that the implementation of TQM has succeeded in creating a better learning environment, increasing student involvement in decision-making, and strengthening the relationship between higher education and the professional world. The implementation of TQM at STAI Darussalam Kunir focuses on meeting the needs of students and the world of work, with relevant curriculum adjustments and supporting programs such as Community Service (KKN) and Student Activity Units (UKM). Through this approach, educational institutions not only improve academic quality, but also equip students with practical skills needed in the labor market. The findings of this study confirm that TQM is an effective strategy to improve the quality of education at STAI Darussalam Kunir. By involving all elements of the organization in the management process, TQM helps create a culture of continuous evaluation that supports the development of educational quality. Therefore, the institution can be more competitive and responsive to global challenges in biology.
A study on inventory control system for a supply chain using Markov decision processes
Authors: Althaqafi Torky
Published: December 2024

This paper examines the application of Markov Decision Processes (MDPs) for controlling supply chain inventories. MDPs effectively simulate decision-making problems related to uncertainty, facilitating the determination of optimal inventory policies. The MDP framework addresses various inventory management challenges, including demand fluctuations, lead times, and holding costs. The study investigates the modeling of inventory management as a Markov decision process, detailing the states, actions, and transitions within the MDP model, along with their respective advantages and disadvantages. The research employs policy and value iteration techniques to evaluate and optimize inventory management policies. The paper assesses the proposed MDP-based inventory control system through simulations that utilize supply chain data, aiming to identify optimal policies using the MDP model. A comparative analysis of the MDP approach against conventional inventory management methods is conducted to demonstrate its efficacy in reducing costs and enhancing service levels. Additionally, the paper proposes the incorporation of multiple commodities, multi-echelon supply chains, and perishability considerations into the MDP model. The findings indicate that MDPs facilitate improved optimization of inventory policies, cost reductions, and enhanced customer service, thereby emphasizing the significance of computational complexity and the necessity for accurate data. This research provides a comprehensive investigation into the role of MDPs within inventory control systems, contributing valuable insights to the field of supply chain management. Ultimately, this study lays the groundwork for advancements in MDP-based inventory control methodologies.
Optimizing quality of service forecasting in mobile networks through modified walrus optimization and multivariate approaches
Authors: Uppalaiah Bandu , Reddy D. Mallikarjuna , Govindan Vediyappan , Byeon Haewon
Published: December 2024

This paper presents Ensemble-based Service Quality Prediction (EAQP), an automated method for predicting service quality under changing mobile network conditions. EAQP incorporates data preparation methods such as transformation, purification, & imputation, and then performs feature extraction utilizing statistical, geographical, as well as temporal approaches. An improved feature selection method, using a unique weighting approach and optimized by a modified Walrus Optimization Algorithm, improves the accuracy of predictions. EAQP utilizes a variety of prediction models such as support vector regression, recurrent neural network models, bi-directional short-term long-term memory networks, extreme learning machines, along with multi-layer perceptron neural networks to enhance predictive accuracy. EAQP uses complex optimization algorithms and ensemble learning approaches to provide precise and dependable predictions about service quality in real-time. This helps in proactive network management as well as improvement. This comprehensive approach shows potential for boosting network efficiency, optimizing the distribution of resources, and enhancing the end-user experience when using mobile communications systems.
Two self-supervised image denoiser designs with discrete wavelet transform and non-local means-based algorithms
Authors: Gor Ashishkumar , Bhensdadia C.K.
Published: December 2024

Image denoising is crucial in applications like medical imaging and photography, where restoring high-quality images from noisy data is essential. Traditional techniques often struggle with complex noise patterns, while deep learning-based methods typically rely on clean-noisy image pairs for training, limiting their practicality. Additionally, deep learning approaches face challenges such as the lack of ground truth clean images, sensitivity to specific noise types, and the introduction of artifacts during processing. In this work, we propose two novel self-supervised denoising approaches: a Discrete Wavelet Transform (DWT)-based model and a Non-Local Means (NLM)-based model. The DWT-based approach employs wavelet decomposition to separate image details across multiple frequency scales, selectively suppressing high-frequency noise via soft thresholding while preserving low-frequency components. The resulting wavelet coefficients are used to create pseudo-clean targets for training a U-Net architecture, ensuring effective denoising while maintaining structural integrity. The NLM-based approach leverages redundancy in image patches by applying the NLM algorithm to generate pseudo-clean targets through patch similarity-based averaging. These targets train a U-Net model with a custom loss function that balances Mean Squared Error (MSE), Peak Signal-to-Noise Ratio (PSNR), and Structural Similarity Index (SSIM), optimizing perceptual quality. Both models are trained on 5,000 noisy images from the ImageNet validation set without relying on clean references. Validated on synthetic Gaussian and Poisson noise at varying magnitudes, the DWT-based model achieved Mean PSNR and SSIM values of 31.07 and 0.9279, respectively, while the NLM-based model attained 30.17 and 0.9303. These results demonstrate the robustness and effectiveness of the proposed methods, making them suitable for real-world applications such as medical diagnostics and low-light photography.
Substrate specificity analysis of semi-purified fibrinolytic protease of Metabacillus sp. CS-2 to support its potential as a wound debridement agent
Authors: Pardosi Sola Grace Afika , Zilda Dewi Seswita , Rahmani Nanik , Saptaningtyas Ragil , Salleh Mohd Nazil , Ethica Stalis Norma
Published: December 2024

Fibrinolytic proteases play an important role in the fibrin degradation process, which is crucial in the treatment of chronic wounds as a debridement agent. Fibrinolytics work by breaking down fibrin tissue that forms as part of a blood clot leading to cell necrosis. Metabacillus sp. CS-2 is known to be one of the potential sources of fibrinolytic protease production with high activity. This study aims to examine the activity and specificity of fibrinolytic proteases produced by Metabacillus sp. CS-2 before and after the ultrafiltration process by zymography. In this study, crude protease extraction was carried out from Metabacillus sp. CS-2 followed by ultrafiltration to improve the purity and activity of the enzyme. The obtained ultra-filtrate protease was then characterized for its specificity to 4 protein substrates, i.e. casein, gelatine, fibrin, and collagen. The results showed that the activity of the fibrinolytic protease enzyme from Metabacillus sp. CS-2 was improved by ultrafiltration from 0.342  0.011 to 0.768 0.014 U/mL min-1. The obtained zymogram confirmed that the protease of Metabacillus sp. CS-2 can degrade all of the protein substrates tested. Interestingly, the most specific substrate for Metabacillus sp. CS-2 was fibrin evidenced by intense clear zone smeared from high to low enzyme sizes.  In conclusion, ultrafiltration is proven to be effective in increasing the activity of fibrinolytic proteases. The ability to degrade fibrin and collagen substrates likely supports fibrinolytic protease of the strain to function as a debridement agent in wound healing treatment.
Physical activity promotion
Authors: Bahdur Khatija , Martins Miguel , Carson Fraser
Published: December 2024

Purpose: Physical activity (PA) is known to help prevent and minimise the impact of Non-Communicable Diseases (NCDs). This study aimed to explore the attitudes and practices of general practitioners (GPs) and physiotherapists (PTs) in Luxembourg towards promoting PA and the barriers they face.
Material and methods: A total of 174 healthcare professionals (100 GPs and 74 PTs) completed an anonymous electronic questionnaire, which included questions on demographics, attitudes towards PA prescription, the importance of PA as a preventative and treatment modality for NCDs, barriers to exercise prescription, and interest in expanding their knowledge about PA.
Results: The results revealed that 56% of HCPs recommended PA weekly, with 43.7% providing detailed guidelines. Most HCPs (71.6%) acknowledged the importance of PA for managing and preventing chronic conditions. The main barriers to PA counselling were lack of time (23.6%), lack of knowledge (10.9%), and patients preferring medication over exercise (30.5%).
Conclusions: While the study found that healthcare professionals in Luxembourg have positive attitudes towards PA, there are still limitations in prescribing and recommending PA.
Vlerësim teorik i rritjes së aftësisë mbajtëse të trarëve b/a duke përdorur përforcimin me FRP
Authors: Deneko Enio , Bidaj Altin , GJINI Anjeza
Published: December 2024

Gjatë jetës së tyre, aftësia mbajtëse e strukturave të betonit të armuar mund të mos jetë më adekuate për sa u përket funksioneve statike e dinamike të parashikuara në projekt, kjo për arsye të amortizimit të strukturës apo ndryshimit të destinacionit dhe qëllimit të përdorimit të
saj. Për këtë arsye lind nevoja e përforcimit të këtyre strukturave me materiale te ndryshëm, siç janë fi brat e përforcuara polimere (FRP), të cilat kanë gjetur një përdorim të madh këto dekadat e fundit. Fibrat e karbonit përdoren në elemente betonarme të zakonshëm dhe të paranderur që punojnë në përkulje, ku roli i fi brave të karbonit është rritja e aftësisë mbajtëse ndaj momentitMpërkulës dhe forcave prerëse, si dhe për të mënjanuar ulje më të mëdha se ato te lejuara. Fibrat e karbonit përdoren edhe për përforcimin e kolonave betonarme duke rritur si aftësinë mbajtëse, edhe për të realizuar “shtrëngimin” e betonit për të përballuar forca të mëdha prerëse. Në këtë punim është paraqitur një studim mbi efektin e përdorimit të fi brave të përforcuara polimere (FRP), në rritjen e aftësisë mbajtëse të trarëve prej betoni të armuar me shufra çeliku. Janë bërë krahasime të ndryshimeve në aftësinë mbajtëse të një trau betonarme vetëm me
armaturë të poshtme dhe me armaturë dyfi she pa përforcim të jashtëm, pastaj me përforcim me një shtresë CFRP dhe me dy shtresa CFRP. Me rezultatet e dala janë nxjerrë disa konkluzione.
Punimi me lazer i qeramikave
Authors: Jarani Alma , Bidaj Altin , Deneko Enio , Gjini Anjeza
Published: December 2024

Laser-i (Light Amplifi cation by Simulated Emission of Radiation) është dritë me një veti të veçantë. Drita është valë elektromagnetike (EM) në diapazonin e dukshëm. Ishte një histori e gjatë për njerëzit të kuptonin dritën edhe si valë, edhe si grimcë. Në 1704, Njutoni karakterizoi dritën si një rrymë grimcash. Në 1803 zbulimi i polaritetit të dritës i bindi shkencëtarët për atë kohë se drita ishte valë. Teoria elektromagnetike e Makswell-it shpjegon dritën si vibrime të shpejta të fushës elektromagnetike për shkak të oshilacionit të grimcave të ndryshuara. Ainshtajni propozoi konceptin e “fotonit”, sipas të cilit drita ndërtohet prej grimcave individuale të quajtura fotone, të cilat zotërojnë një sasi diskrete të energjisë ose kuante. Lazeri i parë u shpik nga Maiman në 1960. Ishte një lazer rubini i ngurtë. Pastaj u shpikën lazera të tjerë si lazeri i joneve të argonit në 1964, lazeri kimik në 1965, lazeri i avullit të metalit në 1966, e kështu me radhë. Zhvillimi i shpejtë i metodologjisë lazer ka bërë që aplikimi i lazerit në industri të jetë jo vetëm praktik, por edhe efi cient, preciz, ekonomik dhe fl eksibël.
Një vështrim I niveleve të PAH dhe BTEX në mostra uji në zonat e patosit, ballshit dhe kuçovës
Authors: Hoxha Valbona
Published: December 2024

Objektivat: Ky studim prezanton të dhëna për përqendrimet e BTEX (benzen, toluen,
etilbenzen dhe o-, m-, p-ksilen), n-alkanet dhe PAH (Hidrokarbonet aromatike) në mostra
uji të pijshëm të marra në zonat e Patosit, Ballshit dhe Kuçovës. Këto zona janë të njohura
për prodhimin dhe industrinë e naftës në Shqipëri. Pesëmbëdhjetë mostra uji të pijshëm
janë marrë në stacione të ndryshme të këtyre zonave në shkurt 2015 (1; 2; 3).
Metodat: Për gjetjen e BTEX në mostrat e ujit është përdorur teknika (HS-SPME). Për
izolimin e n–alkaneve dhe PAH është përdorur ekstraktimi lëng–lëng me diklormetan si
solvent ekstraktimi. 1 litër mostër uji i pijshëm është marrë nga çdo stacion. Analiza e
BTEX dhe PAH në mostrat e ujit u realizua me teknikën gazkromatografi ke, duke përdorur
detektor me fl akë të jonizuar (GC/FID). Injektimet për BTEX janë bërë në injektor PTV
direkt, duke përdorur mënyrën Head-Space me fi bër polidimetilsiloksan. 1 μl ekstrakt i
diklormetantanit u injektua për analizën e n-alkaneve dhe PAH njëkohësisht. Kolona
kapilare VF-1ms (30 m x 0.33 mm x 0.25 μm) u përdor për ndarjen e BTEX, n-alkaneve
dhe PAH (4; 5).
Konkluzione: Në mostrat e ujit në Patos, Ballsh dhe Kuçovë u gjetën përqendrime të larta
për BTEX dhe për PAH volatile. Prania e ndotësve organike mund të jetë më së shumti
prej transportit automobilistik dhe industrisë së naftës në afërsi të zonave të studiuara,
nga rrymat e ujit dhe shkarkimi i mbeturinave industriale në këto zona. Të gjitha nivelet e
përqendrimeve të gjetura janë më të ulëta sesa limiti i ndotësve organikë në ujin e pijshëm
sipas normave shqiptare dhe normave të BE (6; 7).
Fjalë çelës: BTEX, HS-SPME, PAH, n-alkane, LLE, GC/FID, mostra uji.
Protezimi mbi implante/ prezantim rasti klinik
Authors: Kryeziu Ilmi , Kryeziu Majlinda , Qorri Erda
Published: December 2024

Në këtë punim, ku kemi përshkruar një rast klinik të mbiprotezimit mbi implante, kemi dashur të tregojmë një metodologji të re në protezimin e moshave geriartrike, e cila ka si avantazh jo vetëm anën estetike, por atë funksionale te këta pacientë. Falë atrofi ve të theksuara të kreshtave kockore, protezimi i tyre bëhet i vështirë. Mbiprotezimi mbi implante ndihmon stabilitetin e protezave dhe rrit efi kasitetin e përtypjes.