bluuebunny/crossref_metadata_2025 huggingface dataset:
Peningkatan Pengetahuan Anemia Melalui Penyuluhan dan Pemberian Tablet Tambah Darah di SMP Muhammadiyah 29 Sawangan
Authors: Samodra Galih , Nurrahmawati  , Kaaffah Silma
Published: July 2024

Lack of knowledge and menstruation in female adolescent is one of the factors causing anemia. The aim of community service with anemia education is to increase knowledge and understanding of the importance of iron supplementation. This activity involved 65 adolescent students at SMP Muhammadiyah 29 Sawangan using the lecture method, discussions and providing iron supplements. Pre and post-test questionnaires were given before and after the lecture to assess knowledge. Descriptive data is presented, as many as 90.8% of students (59) felt symptoms of tiredness, tiredness and weakness, the pre-test score of students in the high knowledge category was 69.2% (45) and there were still 12.3% (8) with low knowledge. After being given anemia education, the post-test score in the high knowledge category increased by 80% (52) and there were no more low knowledge students. A total of 84.6% of students have received information about iron supplementation, but as many as 70.8% (19) students still often forget to consume it. Support for iron supplement consumption from family and peers was 32.3% each. This shows that knowledge about anemia and iron supplementation is good, but motivation and support for consuming it regularly still needs to be improved.
Telaah Kajian Buku Sumber dalam Literasi Hukum di Era Digital
Authors: Anggraeniko Litya Surisdani , Sugiarto Laga , Al Hadad Alwi , Ayu Wahyuni Hesti
Published: July 2024

Buku menjadi bagian penting dalam mencari sumber hukum saat kajian literatur, pergeseran zaman dan berkembangnya teknologi tidak menjadikan buku hilang posisi. Saat ini buku telah melakukan penyesuaian, hadir dalam bentuk fisik maupun non-fisik, sehingga dapat memudahkan pembaca saat mencari sumber. Metode yang digunakan dalam penelitian ini adalah Pendidikan Masyarakat kepada Mahasiswa Hukum yang ada di Purwokerto, dengan menggunakan metode penelitian hukum empiris, telaah akan kenyataan yang ada dalam masyarakat. Hasil dari kegiatan ini adalah Mahasiswa melalukan telaah akan sumber hukum buku dalam menyusun karya ilmiah, baik bentuk buku fisik maupun non-fisik (digital), dengan mengenal beberapa jenis buku hukum yang berbentuk digital seperti e-book, majalah dan buku saku yang nantinya dapat digunakan sebagai sumber dalam penelitian hukum.
Peningkatan Literasi Bahasa Inggris Anak-Anak Melalui Kegiatan "English Day Out"
Authors: Pujiani Tri , Sukmawati Ida Dian , Lilia Istifani
Published: July 2024

Literasi Bahasa Inggris merupakan kemampuan yang perlu dikuasai dalam menghadapi kemajuan teknologi dan globalisasi. Akan tetapi, perubahan regulasi yang kerap terjadi menyebabkan ketidakpastian posisi Bahasa Inggris dalam kurikulum nasional. Akibatnya, guru Bahasa Inggris di Tingkat Sekolah Menengah Pertama (SMP) mengalami kesulitan karena banyak siswa yang belum mengenal Bahasa Inggris. Selain itu, kenyataan bahwa pemerataan Pendidikan belum sepenuhnya dirasakan oleh masyarakat di daerah pelosok mendorong mahasiswa Program Studi Pendidikan Bahasa Inggris Universitas Harapan Bangsa untuk mengadakan kegiatan sosial bertajuk “English Day Out”. Kegiatan ini bertujuan meningkatkan literasi Bahasa Inggris anak-anak kurang mampu di area sektor Gandatapa, Sumbang, Banyumas di bawah naungan rumah belajar “Oemah Sinau Bocah”. Sebanyak 15 anak-anak mengikuti kegiatan ini pada hari Minggu, 31 Desember 2023. Kegiatan ini memberikan manfaat, baik bagi peserta maupun bagi pelaksana kegiatan. Bagi peserta, kegiatan ini bermanfaat karena meningkatkan pemahaman Bahasa Inggris dan meningkatkan motivasi belajar. Bagi pelaksana, kegiatan ini mengajarkan pentingnya kepekaan dan kepedulian sosial di sekitar kita serta penerapan azas-azas Pendidikan.
Pertolongan Pertama Anak Kejang Demam
Authors: Handayani Rahmaya Nova
Published: July 2024

Children are unique creatures with different physiological functions. This difference of course also has an impact on the health status of children, such as their susceptibility to fever and seizures, the first aid measures taken will have an impact on the subsequent health status of the child. However, based on some research results for handling first aid in various cases such as fever and seizures, most of them have sufficient knowledge around 50%, good around 15% and 35% are lacking. So, in this case, it is concluded that the handling of first aid in children still needs to be improved. This consultation focuses on the first treatment of children with fever and seizures. Because these 2 cases are the most common that occur in children.   
The purpose of the activity is to improve the knowledge and skills of handling first aid in children with fever and seizures in all parents at PAUD Sinar Mentari Purwokerto. The activity plan was carried out in the form of coordination of activities with puskesmas, coordination with parents, identification of health problems, joint problem solving in the form of counseling, training and preparation of activity reports. The results before being given counseling the majority of knowledge levels were lacking 66.6%, and after counseling with good knowledge 54.2%. There is an increase in parental knowledge and skills towards the first cut in children with febrile seizures.
Workshop Teknologi Finansial Komunitas Bisnis Online Colomadu Karanganyar
Authors: Supriyanti Wiwit
Published: July 2024

Kreativitas dan inovasi di bidang teknologi informasi dan komunikasi (TIK) dewasa ini merambah ke berbagai bidang kehidupan manusia. Dari sisi bisnis inovasi TIK merasuk ke berbagai bidang industri untuk efisiensi dan mengambil ceruk pasar. Financial Technology (FinTech) adalah salah satu bentuk penerapan teknologi informasi di bidang keuangan. Inovasi yang berkembang disini adalah pengadaptasian prinsip jaringan komputer yang diterapkan pada bidang keuangan. Meski pada mulanya konsep finansial P2P ini diperuntukkan bagi para start-up (wirausaha baru) dalam mencari investor untuk membiayai bisnisnya. Tetapi dalam perkembangannya finansial P2P ini memiliki partisipan yang lebih luas tidak hanya para pemodal untuk menginvestasikan uangnya kepada start-up baru. Dengan banyaknya partisipan yang berkontribusi memasukkan uang maka kemudian menjadi crowdfunding, sehingga pemanfaatan finansial P2P tidak terbatas bagi para start-up saja seperti yang dilakukan oleh perusahaan Zopa di Inggris. Saat ini, FinTech lebih banyak dikenal di kalangan wirausaha ketimbang masyarakat pada umumnya. Tetapi yang perlu diperhitungkan adalah ledakan dari pemanfaatan FinTech yang perlu segera diantisipasi melalui instrumen hukum. Semakin berkembangnya UMKM online shop di Indonesia dan khususnya di wilayah Colomadu Kabupaten Karanganyar, sangat penting memberikan pemahaman yang baik mengenai Fintech bagi UMKM Online sehingga dapat mengembangkan usahanya dan mewaspadai akibat yang timbul dari keberadaan Fintech di Indonesia.
Edukasi Psikologis Konsumen Pada Kelompok Wanita Tani (KWT) Gemilang II
Authors: Mahmud  , Setiagraha Dika , Welan  , Andriansyah  , Melisa
Published: July 2024

Pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi memahami psikologis konsumen untuk meningkatkan daya saing usaha Kelompok Wanita Tani Gemilang 2. Peserta pelatihan adalah ibu ibu kelompok wanita tani gemilang 2 yang berjumlah 11 orang. Edukasi dilakukan menggunakan metode diskusi interaktif dan praktik. Kegiatan pengabdian masyarakat ini terdiri dari tiga tahap, yaitu (i) persiapan, (ii) pelaksanaan, (iii) evaluasi dan kesimpulan. Pada tahap pelaksanaan kegiatan edukasi ini dilakukan dalam 2 sesi, pertama edukasi psikologis konsumen, kedua edukasi digital marketing. Kegiatan dilakukan selama 3 jam dengan istirahat selama 15 menit pada setiap sesi. Hasil dari kegiatan ini adalah peserta memiliki peningkata pemahaman psikologis konsumen dan memahami strategi digital marketing untuk meningkatkan engagement konsumen. Berdasarkan hasil tersebut maka kegiatan edukasi ini berjalan dengan lancar dan tujuan kegiatan tercapai dengan baik.
PREVENTION OF AUTONOMOUS DYSREFLEXIA BY INTRADETRUSOR INJECTIONS OF BOTULINUM TOXIN
Authors: Salykov R.V. , Kasatonova E.V. , Frolova M.V. , Sonina M.V. , Martov A.G.
Published: July 2024

Background. To evaluate the possibility of preventing autonomic dysreflexia by intradetrusor injections of botulinum toxin in patients with cervical spinal cord injury. Materials and Methods. The study involved 32 patients with spinal cord injury with damage above the C7 segment of the spinal cord. All the patients included in the study had previously been diagnosed with bladder-associated autonomic dysreflexia. The patients were divided into two groups. The first group included 12 (37.5%) patients who received botulinum toxin type A injections into the detrusor. The second control group included 20 (62.5%) patients who received general recommendations and dynamic follow-up without administration of botulinum toxin and without prescribing drugs affecting the functional parameters of the lower urinary tract. The effectiveness was assessed using the ADFSCI questionnaire, self-observation diary and urodynamic study data during 3 months of follow-up. Results. When comparing the results of treatment (Iu) after 12 weeks of follow-up with the control group, a statistical difference was obtained for the following parameters: reduction in the number of episodes of autonomous dysreflexia according to the daily blood pressure monitoring data relative to the baseline blood pressure from 7 to 2 (p<0.001), an increase in the maximum bladder capacity from 169.5 to 379.5 ml (p<0.001), a decrease in systolic blood pressure at maximum detrusor pressure from 156.5 to 127 mmHg, an increase in bladder compliance from 5.3 to 33.17 ml/sm water art. In the botulinum toxin group, there was also a statistically significant (p<0.001, Friedman's criterion) improvement in the parameters of the NBSS, ADFSCI, and quality of life (QQL) questionnaires. The baseline and end-of-study medians changed from 38.5 to 19.5 for the NBSS, from 57.5 to 19.5 for the AFDSCI, and from 4 to 1 for the QQL. There were no statistically significant changes in the studied parameters in the control group. Conclusions. The use of botulinum toxin type A in the form of intradetrusor injections in the dosage of 200 units in patients with neurogenic detrusor hyperactivity and a high-levelspinal cord injury is effective for the prevention of autonomic dysreflexia, as it significantly reduces the severity of its symptoms, stabilizes blood pressure, reduces the number of episodes of autonomic dysreflexia, improves the quality of life.
SOCIAL GUARANTEES FOR MEDICAL WORKERS OF MOBILE MEDICAL UNITS OF THE DISASTER MEDICINE SERVICE OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
Authors: Maev E.Z. , Kataev A.S. , Nabiullin I.R.
Published: July 2024

The article examines the issues of social guarantees for medical workers assigned to new territories of the Russian Federation. Problematic issues have been identified when sending medical workers to save lives and preserve the health of people in the Donetsk People's Republic, the Luhansk People's Republic and other affected territories. The authors present a retrospective analysis of legislative acts guaranteeing social and other payments to medical and other workers.
CHARACTERISTICS OF DENTAL CARE TO PATIENTS WITH DRUG DEPENDENT STATUS
Authors: Anisimova E.N. , Isaev G.A. , Chernetskaya E.V.
Published: July 2024

The increase in the prevalence and use of narcotic drugs among the population means that every dentist may encounter a drug addicted patient at an appointment. This article discusses the possibility of using a protocol for providing safe dental care in an outpatient dental appointment for patients with drug addiction status. Based on the scientific literature data, a comparative analysis of the behavioral characteristics and general somatic status of drugaddicted patients was carried out, depending on the drug they were taking. Taking into account our own previous research, effective and safe methods and means of local anesthesia for this group of patients were proposed. The dentist mst be aware of the characteristics of the pharmacodynamics and pharmacokinetics of the narcotic substances used by the patient and be able to provide assistance in case of an emergency.
Biological Factors Associated with Poor Prognosis in Type 2 Diabetic Patients with COVID-19 in Pointe Noire
Authors: Pouki Freddy Saturnin , Boumba Luc Magloire Anicet , Takale Parode Ragive , Dussaud Rebecca Frédérique , Bongo Charley Elenga- , Batchy Aladin Atandi , Nganga Christy Parfait , Iloukou Patrina Joseph
Published: July 2024

Introduction: There has been growing interest in the biological interactions between diabetes and COVID-19, particularly because of the serious implications associated with the coexistence of these two medical conditions. Objective: The aim of this study was to identify poor biological prognostic factors in type 2 diabetic patients with COVID-19 in Pointe-Noire. Methods: We recruited a total of 206 participants for this study. Detailed information on age, gender, and health status of participants was collected from medical records. Biomarkers were quantified from blood samples and sars cov-2 virus was identified using the PCR technique on nasopharyngeal swabs. Results: The mean age was 56.33 ± 12 years with extremes ranging from 30 to 82 years and the majority of patients were male (70%), with a sex ratio of 2.37. Multivariable analysis showed that poor prognosis was significantly influenced by 14 biological parameters NPC: OR 1,09(1.09-1.10) p<0.001, BPNC: OR 1,72(1.70-1.74) p<0.001, Lympho: OR1,09(1.08-1.09) p<0.001, Mono: OR 1,07(1. 07-1.08) p<0.001, VS: OR 1,91(1.84-1.97) p<0.001, GOT: OR 1,10(1.06-1.15) p<0.001, DDI: OR 1,01(1.01-1.01) p<0. 001, Na+ : OR 515(383-694) p<0.001 Creat: OR 19.1(15.5-23.4) p<0.001, AU: OR 1.52(1.41-1.63) p<0.001, APTT: OR2 1.67(1.33-2. 09) p<0.001, TG/hdl: OR2 1.78(1.48-2.13) p<0.001, CK-MB: OR 1.37(1.17-1.59) p<0.001, Ct-Egene: OR 113.2(64.12-221.15) p<0.001. Conclusion: This study showed that poor prognosis was significantly influenced by NPC, BPNC, Lympho, Mono, ESR, GOT, DDI, APTT, Na+ Creat, AU, TCA, TG/hdl, CK-MB, Ct-Egene indicative of multivisceral failure in COVID-19 positive type 2 diabetics.
Cytomegalovirus Meningoencephalitis in an Immunocompromised Patient: Case Report and Review of Literature
Authors: Saad Khairoun , Abdelmajid Elkabbaj , Abdelkader Benhlima , Hamza Elhamzaoui , Mustapha Alilou
Published: July 2024

Cytomegalovirus (CMV), is a common virus that stays dormant after the initial infection but can reactivate in immunocompromised individuals, such as those with AIDS, leading to severe conditions. CMV affects 30% to 100% of people worldwide. CMV encephalitis is seen in at least 6% of untreated advanced HIV cases. This article presents a 42-year-old HIV-positive woman who developed CMV meningoencephalitis, resulting in septic shock. CMV can cause cytomegalia and various diseases including pneumonia, gastrointestinal disease, hepatitis, and, rarely, retinitis and meningitis/meningoencephalitis. Diagnosis typically involves detecting CMV DNA in the cerebrospinal fluid (CSF) through PCR.CMV causes diverse central nervous system lesions, but MRI often fails to detect these infections, as seen in this case. Treatment involves Ganciclovir or Foscarnet, starting with induction doses for at least two weeks, followed by maintenance doses for three to four weeks until symptoms resolve and viral load is negative. In immunosuppressed patients, ongoing maintenance or close monitoring is necessary.
Gastrointestinal Stromal Tumors: From Diagnosis to Adjuvant Therapy
Authors: Boualiten K. , Ouahid S. , Berrag S. , Nejjari F. , Adioui T. , Tamzaourte M.
Published: July 2024

Gastrointestinal stromal tumors (GISTs) represent a very rare form of digestive tract cancer belonging to the sarcoma family. The aim of this study is to establish the epidemiological profile, diagnostic challenges, and therapeutic difficulties of this malignant tumor in a developing country. A retrospective study, spanning 4 years from 2020 to 2023, was conducted in the Gastroenterology Department I at HMIMV in Rabat, identifying 37 cases of stromal tumors. The average age of our patients was 58 years. The average duration of disease progression was 4 months. Biopsy confirmed the diagnosis in 19 cases and surgery in 18 cases. The main histological form was spindle-shaped (67.6%). The GISTs in our series had an average tumor size of 8.4 cm, with C-Kit positivity in 36 cases. The risk of recurrence was established for all patients, with 17 being at high risk. In the staging evaluation, the tumor was localized in 83.8% of cases, locally advanced in 8.1%, and metastatic in 8.1%. Surgery was the primary treatment for the patients in our study. Drug treatment with imatinib was prescribed for 24 out of 37 patients in the series, accounting for 62.2% of cases. With an average follow-up of five years, the mean survival rate was over 70% at five years, with complete remission in 62.2% of cases, partial remission in 6.3%, tumor recurrence in 9.4%, and death in 15.6% of cases.
Is Hypovitaminosis D Associated with Increased Pain in Patients with Knee Osteoarthritis?
Authors: Jnyah MK. , Mezouar I. El , Akasbi N. , Harzy T.
Published: July 2024

Objective: Osteoarthritis is considered the most frequent joint pathology mostly interesting the knee. Hypovitaminosis D, frequent during postmenopausal period, is usually found during osteoarthritis. The aim of this study was to investigate a possible association between hypovitaminosis D in patients followed for knee osteoartritis and an increase in pain. Material and Methods: This is a retrospective descriptive and analytical study including 228 patients followed up for knee osteoarthritis in rheumatology consultation between January 2021 and February 2023. Patients who received vitamin D supplementation were excluded. Results: Of 385 patients with knee osteoarthritis, 228 had a vitamin D dosage and were subject of our study. The average age was 60.15+/-11.17 years. 205 of these patients were women (91%) and 23 were men (9%). The mean duration of progression of knee osteoarthritis was 5.61+/-3.6 years. Vitamin D deficiency (<30ng/L) was observed in 89.5% and only 10,5% had normal vitamin D levels. 94.3% were on analgesic treatment and 54.2% on non-steroidal anti-inflammatory drugs. In univariate analysis, a low vitamin D level was strongly associated with painful knee osteoarthritis with the use of anti-inflammatory drugs and conventional analgesics with an Odds Ratio and a p respectively at OR=2.774(1.05-7.27) - p=0.03 and OR=3.44 (1.41-8.39) - p=0.004. Conclusion: According to our study, the association of hypovitaminosis D and knee osteoarthritis could be responsible of an increase in pain in our patients explaining an increased use of analgesics and anti-inflammatory drugs (NSAID).
The Impact of Coach Autonomy Support on Athlete Engagement and Burnout
Authors: Li Shijie , Xu Youzhi
Published: July 2024

Athletes’ investment is not only a lasting, positive cognitive and emotional experience in sports, but also an important indicator to measure the positive aspect of athletes, which can effectively avoid psychological fatigue in athletes. Therefore, it is particularly important to explore the influencing factors of the athletes’ investment and to explore the ways to improve the athletes’ investment, and for them to give full play to their sports skills steadily in sports training and competition. Results: Three hypotheses presented in this study are supported. Coach autonomy support significantly positively predicts athlete engagement level; Instructor self-support significantly negatively predicted athlete psychological fatigue. Significantly negative athlete engagement predicted athlete mental fatigue.
Progress and Prospects of Chinese Sports Oral History Research
Authors: Xu Youzhi , Li Shijie
Published: July 2024

Using the literature method and the logical analysis method, we propose the problems in the development of sports oral history research in China, and conclude that the theoretical development of sports oral history research is insufficient, and the practice of oral history is not standardised; we should accelerate the construction of the theory of sports oral history, master the interview techniques of sports oral history, and highlight the industrial significance and dissemination value of sports oral history in order to promote the development of sports oral history research. At present, the development of sports oral history is in the initial stage of development, and there are still some problems and dilemmas. Facing up to these problems and actively seeking solutions can make the rapid development of Chinese sports oral history go up to a new stage.
Perception and Factors Influencing Fast Food and Junk Food Consumption of High School Students of Bogura Town, Bangladesh
Authors: Nabila Dr. Sammak , Yasmin Dr. Farhana , Morshed Dr. Mostofa Mahabub , Bari Dr. Md. Sazzadul
Published: July 2024

Background: Fast food and junk food consumption among adolescents is a growing public health concern due to its association with various health risks. This study aims to investigate the perception and factors influencing fast food and junk food consumption among high school students in Bogura Town. Methods: This study employed a mixed-methods approach, involving a cross-sectional survey and semi-structured interviews. The study sample consisted of 384 high school students aged 11 to 19 years. Data were collected using a semi structured questionnaire and analyzed using descriptive and inferential statistical methods. Qualitative data were analyzed thematically. Results: The majority of participants were aged 14-16 years (58.07%), with a higher proportion of females (66.15%). Most participants resided in urban areas (95.31%) and came from nuclear families (87.24%). Nearly half of the participants were underweight (46.61%), while 45.57% had a healthy weight. Half of the participants consumed less than three major meals daily, and breakfast was the most skipped meal (41.15%). Fast food consumption at school was high (74.48%), with significant instant food consumption at home (78.13%). Factors influencing fast food consumption included taste (83.33%), accessibility (51.82%), and social media influence (61.46%). Awareness of balanced diets was low (27.34%), and most participants recognized the negative health impacts of fast food, such as obesity (94.53%) and heart disease (87.76%). Conclusion: The study highlights significant trends in fast food and junk food consumption among high school students, driven by taste, accessibility, and social influences. The findings underscore the need for targeted nutritional education and interventions to improve dietary habits and reduce health risks among adolescents.
Investigation of the Influence of Drop Panels on Natural Period of Vibration of Flat Slab Building Structures
Authors: Hasibuan Samsul Abdul Rahman Sidik
Published: July 2024

Investigation on the influence of drop panels on the natural period of vibration of flat slab building structures has been conducted in this study. Drop panels are structural elements projected beneath slabs around columns to enhance stiffness and structural capacity. Numerical modeling was performed for flat slab building structures with and without drop panels using ETABS software. Modal analysis was employed to determine the natural vibration periods of the structures in their initial modes. The results indicate that the use of drop panels significantly reduces the natural vibration period of the structure. In structures with drop panels, the natural vibration period values for mode 1 and mode 2 were 0.7493 seconds, whereas in structures without drop panels, the natural vibration period values for mode 1 and mode 2 were 0.8380 seconds. The difference of 0.0887 seconds indicates an overall increase in structural stiffness with the presence of drop panels. A lower natural vibration period implies increased resistance of the structure to lateral forces such as seismic. The effectiveness of drop panels in reducing natural vibration periods depends on factors such as drop panel dimensions, structural materials, and applied structural loads. This study contributes to understanding the influence of drop panels on the dynamic behavior of flat slab building structures and provides guidance in designing optimal structures for lateral force resistance.
Unveiling the Ripple Effects: A Deep Dive into Public Procurement Delays and Stakeholder Impacts in Bangladesh's Upazila Construction Projects
Authors: Husain Taha
Published: July 2024

This research explores the causes of delays in public procurement processes in Bangladesh, focusing on construction projects at the upazila level. Employing a qualitative research methodology, the study aims to understand the public procurement landscape comprehensively. Data is meticulously gathered through structured interviews with key stakeholders, including procurement officials, suppliers, and policymakers, who are integral to the system. The findings reveal that delays in public procurement projects are predominantly caused by financial resource deficiencies, which hinder the timely initiation of projects. Bureaucratic entanglements and issues related to the tendering process are significant impediments to project progress, especially in large-scale ventures. Additionally, the study identifies other significant obstacles, such as workforce shortages and land acquisition complications, which further delay project timelines. The recruitment of consultants, particularly for donor-funded projects, adds another layer of complexity to the project initiation phase. These delays have extensive ramifications, affecting various stakeholders. Procuring authorities face fiscal losses, contractors experience economic hardships, and the general public suffers from disruptions in essential services and daily activities.
Factors Affecting Pregnancy and Live Birth Rates in Gonadotropin Treated Intrauterine Insemination Cycles of Unexplained Infertile Patients
Authors: Dar Latife Nevin Pehlivanlar , Günenc Oğuzhan , Korucu Dilay Gök
Published: July 2024

Objective: We studied how basal hormone levels, the type of gonadotropin used for ovarian stimulation, initial gonadotropin dose, total gonadotropin dose, cycle duration, follicle size on the day of (human chorionic gonadotropin) hCG administration, and endometrial thickness affect pregnancy success in unexplained infertile patients undergoing IUI cycles. Materials and Methods: A total of 299 patients aged 20-40 years with unexplained infertility underwent ovulation induction (OI) and IUI treatment with gonadotropins were included in the study. Clinical pregnancy and live birth were primary outcomes. Results: Out of 299 patients, 11% (n=36) achieved clinical pregnancies, 9.9% (n=29) resulted in live births, and 2.3% (n=7) ended in abortions. Comparing age, basal FSH, LH, and E2 values between groups, it was found that E2 levels in the live birth group were significantly lower than those in the no-pregnancy group (39 pg/mL vs. 46.95 pg/mL, p=0.029). However, there were no significant differences in initial gonadotropin doses and total gonadotropin doses between the two groups (p=0.749, p=0.113). Patients in the no-conception group had significantly shorter cycle durations (mean=8.71 days) compared to patients in the live birth group (mean=9.55 days) (p=0.017). Endometrial thickness did not differ significantly between the groups (p=0.542). Follicle size in the no-conception group (mean=17.22 mm) was significantly smaller than in the live birth group (mean=19.11 mm) (p=0.176). There was no statistically significant difference between the rFSH or HMG groups for ovarian stimulation (p=0.487). Conclusion: IUI is an acceptable treatment method with a 9.69% live birth rate. In our study, basal E2 level of 39 pg/mL, cycle duration of 9.5 days, and 17 mm follicle size were found to be associated with live births.
Sero-Detection of Coxiella Burnett (Q fever) Infection Anti-Antibodies Igg and Igm among Spontaneous, Recurrent Miscarriage Women in Gezira State, Sudan -Case-Control Studies 2018
Authors: Abbas Shimaa Sharaf Eldin Mohamed , Ahmed Mogahid Yaguob Abdegadir , Abdamalik Abdamalik Hassab elrsoul , Suliman Ahmed Jdeed Essa , Yousef Ali Ahmed Ali , Abdudafea Ali Omer Mohammed , Osman A. A. , N Mosab
Published: July 2024

Background: Q fever is a zoonosis caused by the bacterium Coxiella burnetii and is associated with epizootic abortion in ungulates. In humans, the role of Q fever during pregnancy has been recently questioned. Objectives: Thus, the goal of this study was to investigate the seroprevalence of C. Burnett infection among pregnant women in Gezira state, Sudan as well as the relationship between spontaneous recurrent abortion and pregnancy. Methods: This study included 90 women, half of whom had recurrent spontaneous abortion (RSA) and the other half had successful pregnancies. Blood samples were taken simply randomly, with ethical considerations, and using open ended closed questionnaire, prepared samples, and kept at -20°C. The seroprevalence of IgG and IgM antibodies against C. burnetti was determined using a commercial enzyme-linked immunosorbent assay test kit. Means of frequencies plus standard error, Chi2, and in depending sample t-test and logistic regression univariate and multivariate tests have been used. Result: The overall prevalence of C. burnetii in the study population sera was (37/90) 41.11 percent, with 5(11.1%) and 11(24.4 %) positive miscarriages in pregnant women for C. Burnetti IgM and IgG, respectively. While in nonmiscarriage were 8 (17.8 %) and 13 (28.9 %) positive for IgM (OR .578, CI-95% .174-1.926, P .372), and IgG (OR .796, CI-95% .312-2.032, P .634), respectively. Other significant risk factors detected in the study were age(OR 5, CI-95% 2-13, P 0.001), biomax index (OR 5, CI-95% 2-12, P 0.001), Diabetic patients (OR 11,1CI-95% 11 -11.38 P 0.000), disorder of thyroid (OR 8,9 CI-95% 8.1 -9 P 0.000), microcytic hypochromic anemia (OR 11, CI-95% 1.1 -110.2 P 0.04), Menstruation Cycle (OR 3.8, CI-95% 1.2 -11.5, P 0.02), vaginal bleeding(OR 6.4 CI-95% 2.1-19.2, P 0.001), pre-eclampsia(OR 16.1, CI-95% 1.9-131.1, P 0.01), and miscarriage family history(OR 2.9, CI-95% 2.8 -9.8, P 0.000), RDWC(OR 4.4, CI-95% 1.8 -10.9, P 0.002), RDWSD (OR 19.2 CI-95% 5.2 -71.1, P 0.000). Conclusion: The study concluded that the seroprevalence of Coxiella burnetii among miscarriage and nonpregnant women in Gezira State was dissociation with miscarriage. While selection risk factors associated with miscarriage include age, biomaxindex, Diabetic patients, a disorder of the thyroid, menstruation Cycle, vaginal bleeding, pre-eclampsia, miscarriage family history, microcytic hypochromic anemia, RDWC, and RDWSD.
Nurses and Diseases of the Heart and Blood Vessels
Authors: Franjić Siniša
Published: July 2024

Cardiology is a branch of medicine that deals with disorders of the heart as well as some parts of the circulatory system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Nurses play an extremely important role in the treatment and health care of cardiac patients. This paper is dedicated to them.
The Role of Nurses in Educating and Empowering Asthma Patients for Self- Management: A Prospective Study in Bangladesh
Authors: Azad Md. Abul Kalam , Rahim Md. Abdur , Devnath Hemanta Kumar , Begum Most Mukta , Nisha Zarin Sanzida Ahmed
Published: July 2024

Background: Asthma is a prevalent chronic respiratory condition globally, posing significant challenges to patients and healthcare systems. In Bangladesh, the burden of asthma is increasing, necessitating effective management strategies. Nurse-led interventions focusing on patient education and empowerment have shown promise in improving asthma outcomes. Objective: This prospective study aimed to evaluate the impact of nurse-led interventions on asthma patients' knowledge, self-management skills, and symptom monitoring in Bangladesh. Method: Data were collected using a researcher-developed questionnaire, Role of Nurses in Educating and Empowering Asthma Patients for Self-Management, at Rangpur Medical College Hospital from January 2022 to December 2023. A total of n=122 nurses, across different age groups, participated in the study. Results: Pre- and post-intervention assessments revealed significant improvements in asthma patients' knowledge levels, with an average increase from 60% to 85%. Self-management skills also showed enhancement, with inhaler utilization proficiency rising from 45% to 80%. Additionally, there was a notable increase in symptom monitoring, with 75% of patients regularly tracking their symptoms post-intervention compared to 30% pre-intervention. Emergency preparedness improved, with the percentage of patients having an asthma action plan increasing from 25% to 70%. Conclusions: Nurse-led interventions effectively enhance asthma patients' knowledge, self-management skills, symptom monitoring, and emergency preparedness. These findings underscore the importance of integrating nurse-led strategies into asthma care protocols in Bangladesh, contributing to improved patient outcomes and healthcare delivery.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUTUSAN PEMBELIAN DI PT MATAHARI (STUDI KASUS HYPERMART SKA)
Authors: Putri Asri Neli , Daulay Hendry Yanto , Suparmi Suparmi , Gustina Putri
Published: July 2024

The aim of this research is to analyze the factors that influence consumer purchasing decisions at PT Matahari Putra Prima (Hypermart SKA). The type of research carried out is descriptive research with a quantitative approach. Research variables consist of product quality, price and promotion. The population in this study were customers at Hypermart SKA Pekanbaru and the sampling technique used the accidental sampling method. The sample obtained was 96 people. The data analysis used is multiple linear regression analysis. Based on the results of the table above, it is known that the product quality variable has a t table value of 2.365 and a calculated t of 5.529 with a significance value of 0.000. The calculation results show that the calculated t is greater than the t table or 5.529 > 2.365 and the significance level is 0.000 < 0.050. The significance level is smaller than 0.05, which means that the hypothesis in this study is significant. Thus, the product quality hypothesis has a positive and significant effect on purchasing decisions.
IMPACT KARAKTERISTIK PRODUK, KETIDAKPUASAN PELANGGAN TERHADAP KEBUTUHAN VARIASI PRODUK DAN PERPINDAHAN MEREK
Authors: Wibowo Agung edy , Rais Syafruddin , Wicaksono Bambang Wahyudi , Cahayani Kartika
Published: July 2024

Persaingan yang ketat antar merek produk menjadi sebuah tantangan yang pelik untuk dihadapi sebuah produk. Produk yang menawarkan sebuah value akan selalu dibandingkan dengan merek produk lain yang menjaidi competitor di kelasnya, atau bahkan merek produk yang dapat memberikan sebuah value pengganti dari sebuah merek produk di pasaran. Tentu saja hal ini menjadi sebuah peluang sekaligus tantangan bagi sebuah merek produk, karena dapat berakibat pada perpindahan selera pelanggan ke merek lain.  Fenomena ini terjadi pada 3 buah merek store kafe yang berbeda, yang ada di kawasan bisnis di Provinsi Kepulauan Riau. Penelitian ini bertujuan untuk menganalsisi impact dari karakteristik produk, ketidakpuasan pelanggan terhadap kebutuhan variasi dan perpindahan merek. Dari hasill kajian 3 merek store yang diteliti dengan melibatkan 111 responden yang diambil dengan metode purposive sampling, dan pengujian menggunakan SMART–PLS, didapatkan beberapa hasil: karakteristik produk berpengaruh terhadap kebutuhan variasi produk, ketidakpuasan pelanggan berpengaruh terhadap kebutuhan variasi produk, karakteristik produk berpengaruh terhadap perpindahan merek, ketidakpuasan pelanggan berpengaruh terhadap perpindahan merek, kebutuhan variasi produk berpengaruh terhadap keputusan perpindahan merek, kebutuhan variasi produk memediasi karakteristik produk terhadap perpindahan merek, dan kebutuhan variasi produk memediasi ketidakpuasan pelanggan terhadap perpindahan merek.
PENGARUH ARUS KAS OPERASI, ARUS KAS PENDANAAN,ARUS KAS INVESTASI, PROFITABILITAS, UKURAN PERUSAHAAN DAN RETURN ON ASSET PADA PERUSAHAAN MAKANAN DAN MINUMAN YANG TERDAFTAR DI BURSA EFEK INDONESIA PADA TAHUN 2018-2022.
Authors: Bungadira Widya , Malahayati Rina , Nathanael Yunita Althin
Published: July 2024

Penelitian ini bertujuan untuk menganalisis pengaruh Arus Kas Operasi, Arus Kas Pendanaan, Arus Kas Investasi, Profitabilitas, Ukuran Perusahaan, dan Return On Asset terhadap Return Saham pada perusahaan makanan dan minuman yang terdaftar di bursa efek indonesia. populasi adalah Bursa Efek Indonesia (BEI) pada tahun 2018-2023. Penelitian ini menggunakan data kuantitatif dengan teknik regresi linear berganda. Hasil penelitian ini adalah Arus Kas Operasi tidak memiliki pengaruh yang signifikan terhadap return saham, Arus Kas Pendanaan berpengaruh positif tetapi tidak signifikan terhadap return saham, Arus Kas Investasi berpengaruh positif tetapi tidak signifikan terhadap return saham, Profitabilitas berpengaruh positif yang signifikan terhadap return saham, Ukuran Perusahaan tidak memiliki pengaruh yang signifikan terhadap return saham, Return on asset tidak memiliki pengaruh yang signifikan terhadap return saham.
PENGARUH KERJA FISIK DAN NON FISIK TERHADAP KINERJA KARYAWAN PT. BAHAGIA KITA BERSAMA
Authors: Mahfuz Darul , Apriansyah Donny , Siregar Rehan Paduko , Yani Andi Ahmad , Anwar Zulvian , Adang Rio Wahyuda , Mulyadi Mulyadi
Published: July 2024

Tujuan dari penelitian ini adalah untuk mengkarakterisasi dan menjelaskan bagaimana lingkungan kerja suatu organisasi mempengaruhi kinerja karyawan. Metodologi penelitian yang digunakan dalam tesis ini adalah penelitian kuantitatif eksplanatori. Penelitian ini dilakukan di BATAM Petroleum. Dengan jumlah keseluruhan 310 pegawai dan jumlah sampel 75, populasi penelitian ini terdiri dari pekerja pada bagian pemasaran, keuangan, dan administrasi pada PT. BAHAGIA KITA BERSAMA di kota Batam, Kepulauan Riau. Metode analisis data yang digunakan meliputi analisis deskriptif dan statistik. Penelitian ini menggunakan analisis regresi linier berganda, suatu teknik statistik inferensial. Kinerja pegawai dipengaruhi secara positif oleh variabel lingkungan kerja fisik dan non fisik pada PT. BAHAGIA KITA BERASAMA BATAM. Sampel penelitian terdiri dari 96 peserta yang dipilih secara acak. Penelitian ini menggunakan strategi penelitian kuantitatif berdasarkan pengumpulan data kuesioner dan analisis regresi linier dasar untuk mengetahui hasilnya. Temuan analisis data yang dilakukan dengan menggunakan regresi linier sederhana menunjukkan bahwa lingkungan kerja non fisik pegawai PT. BAHAGIA KITA BERSAMA BATAM berpengaruh signifikan terhadap kinerjanya. PT. BAHAGIA KITA BERASMA BATAM diharapkan menjaga kinerja karyawan dengan membina hubungan kerja yang kooperatif dan suportif di antara mereka. Hal ini akan membuat mereka merasa nyaman di tempat kerja dan terus bekerja pada tingkat yang tinggi, sehingga memastikan bahwa agensi tersebut tetap kompetitif.
Pengaruh Likuiditas, Leverage dan Perputaran Modal Kerja terhadap Profitabilitas dengan Moderasi Ukuran Perusahaan: Studi Kasus pada Perusahaan Properti dan Perumahan di BEI Periode 2019-2023
Authors: Adevia Juli , Rosalina Desi , Suryani Nova
Published: July 2024

Penelitian ini bertujuan untuk mengetahui pengaruh variabel penyesuaian seperti utang, likuiditas, dan  modal kerja aset lancar terhadap profitabilitas. Penelitian ini meneliti perusahaan Perumahan dan Perumahan yang terdata di Bursa Efek Indonesia pada tahun 2019 hingga 2023. Sampel penelitian ini diambil dari perusahaan properti dan Perumahan yang terdaftar di Bursa Efek Indonesia dengan menggunakan metode purposive sampling. 31 perusahaan untuk masa studi 5 tahun dari tahun 2019 sampai dengan tahun 2023. Laporan keuangan perusahaan adalah sumber data sekunder yang digunakan. Digunakan metode pengumpulan data seperti penelitian internet, dokumentasi, dan kepustakaan. Studi ini menunjukkan bahwa perputaran modal kerja memengaruhi profitabilitas; kedua leverage dan likuiditas memengaruhi profitabilitas. Besar perusahaan memiliki kendali atas hubungan antara likuiditas, leverage, profitabilitas, dan perputaran modal kerja satu sama lain.
Faktor Penentu Profitabilitas Perusahaan di Sektor Basic Material Bei
Authors: Hendra Hendra
Published: July 2024

This article is arranged to describe the impact of several predictor/independent variables to profitability. The predictors variable which use in this investigation are: Working Capital Turnover (WCTO), corporation size, growth of sales (GROWTH), leverage (DER) and liquidity (CR) to profitability proxied by ROA. The basic material company that listed in Indonesian Stock Exchange for period 2012-2022 is the population of this study. The purposive sampling method carried out consisted of ten basic material corporations with a total data of 110. This research test uses regression panel analysis in hypothesis examination. The firm size is only variable that affects profitability. While other predictor variables named working capital turnover, sales growth, leverage, and liquidity has no impact to profitability.
Keywords: Firm Size, Liquidity, Leverage, Profitability, Sales Growth, Working Capital Turnover
DIABETES MELLITUS E RISCO CARDIOVASCULAR: UMA REVISÃO BIBLIOGRÁFICA
Authors: Costa Ramon Neto Fleitas , Sales Elvis Bezerra de Souza , Baião Marcelo Augusto Pereira , Alves Danillo Henrique Braz
Published: July 2024

Este artigo tem por objetivo revisar a literatura existente sobre a relação entre diabetes mellitus e o risco cardiovascular. A pesquisa foi realizada utilizando os indexadores Google Scholar, Scopus e Web of Science para seleção dos artigos, através dos unitermos "Diabetes mellitus, Risco cardiovascular, Complicações vasculares, Terapias antidiabéticas". A análise revelou uma forte conexão entre diabetes e complicações cardiovasculares, destacando a importância de uma abordagem de manejo clínico abrangente. As novas terapias antidiabéticas que oferecem benefícios cardiovasculares mostram avanços significativos, mas a prevenção e o controle rigoroso dos fatores de risco permanecem essenciais. A otimização do tratamento pode reduzir a mortalidade cardiovascular e melhorar a qualidade de vida dos pacientes diabéticos.
Eletrocardiograma: um estudo acerca da sua utilização na triagem de atletas para práticas esportivas
Authors: Luna Pedroso Santos Bruna Raquel , Soares Brito Lucas , Silva de Sousa Rafael , Leal Melo Ana Carolina , Da Costa Wallace William , Mendonça Claudino Mariana , Tito dos Reis Soares Eduardo , Miranda Bezerra Lucas Frederico , Gama de Moraes Luís Phelipe , Medeiros Santana Vinicius , Ribeiro Nunes da Silva Elias , De Sousa Nascimento José Vitor , Nogueira Motta Gabriela , Fischer Bertoldo Costa Caio Filipe
Published: July 2024

Estudos mostraram que a inclusão do ECG na triagem de pré-participação para atletas jovens foi efetiva no diagnóstico de condições cardiovasculares, como displasias arritmogênicas e cardiomiopatias hipertróficas. No entanto, existem diversas limitações acerca da utilização do ECG. O objetivo desta revisão é buscar atualizações acerca da utilização do ECG na triagem e avaliação dos atletas, de forma a elucidar a importância, os impactos, os benefícios e as limitações da realização do exame neste grupo de pessoas. Com os resultados deste trabalho, pretende-se contribuir com a Medicina do Esporte, bem como com a especialidade da Cardiologia. Com o objetivo de investigar aspectos acerca da utilização do eletrocardiograma para a triagem dos atletas, realizou-se uma revisão sistemática da literatura, utilizando a base de dados eletrônica PubMed, uma fonte de informação confiável. Pode-se observar, com a análise dos resultados deste estudo, que o ECG é um importante exame para a detecção de alterações cardíacas em atletas, além do seu fácil acesso e considerável custo-benefício. No entanto, a falta de padronização para a interpretação, a escassez de base de dados de alguns países e populações e a deficiência do ensino médico acerca da interpretação dos eletrocardiogramas são fortes fatores que limitam a utilização do exame.
Correção de Sorriso Gengival associado ao uso do concentrados plaquetários
Authors: Goncalves de Oliveira Amanda , Figueiredo do Carmo Hicso Augusto , Vasconcelos da Graça Rhaisa , Silva e Silva Emilly , Santiago Almeida Lima Manoella , Araujo Marvão Rodrigo , Vieira da Silva Gomes Carlos Eduardo , Rosário Vallinoto Antônio Carlos , Almeida Machado Luiz Fernando , Roberto de Souza Fonseca Ricardo
Published: July 2024

Introdução: A cirurgia de gengivectomia e gengivoplastia associada osteotomia, geralmente, poderá causar um aumento da morbidade pós-operatória, a partir disso, possivelmente, o uso de concentrados plaquetários como a Fibrina Rica em Plaquetas e Leucócitos (L-PRF) pode ajudar a diminuir essa morbidade. Objetivo: O presente relato tem como objetivo relatar um caso de gengivectomia e gengivoplastia associada osteotomia e osteoplastia e utilizando L-PRF. Relato de Caso: Paciente sexo feminino, 20 anos, melanoderma, não fumante, sem comprometimento sistêmico e sem quadros prévios de alergia veio encaminhada para o curso de especialização em periodontia do norte do Brasil com a queixa principal de “dentes pequenos” e durante a anamnese e exames clínicos observou-se que estava em fase de finalização do tratamento ortodôntico, a cerca de 1 ano e 6 meses, com alinhadores na arcada superior e aparelho fixo no arco inferior, além de coroas clínicas curtas, exposição excessiva gengival caracterizando um sorriso gengival e tórus vestibular. Após exames clínicos e adequação do meio paciente teve sangue coletado via punção venosa, sendo removido 5 tubos com EDTA de sangue e levados para centrifugar por 15 minutos à 12.000rpm. Posteriormente, recebeu anestesia local bilateral no nervo infraorbitário e com analgesia confirmada foi realizada a sondagem e demarcações com sonda milimetrada tipo Williams dos dentes 15 ao 25, em seguida foram realizadas 3 incisões (Bisel interno; intrasulcular e 90º graus) para remoção do colarinho, em seguida com descolador de molt 2-4 foi feito o levantamento do retalho para osteotomia e osteoplastia com alta rotação, ao final as 5 membranas de L-PRF formadas após a centrifugação foram colocadas na área para observar sua ajuda no pós-operatório da paciente. Conclusão: Conclui-se deste relato que a L-PRF pode ajudar na melhoria da cicatrização de feridas cirúrgicas periodontais como a gengivectomia e gengivoplastia, porém não afetam o resultado estético.