bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Transport Processes over North China Plain and Yangtze River Delta using MAX-DOAS Observations
Authors: Song Yuhang , Xing Chengzhi , Liu Cheng , Lin Jinan , Wu Hongyu , Liu Ting , Lin Hua , Zhang Chengxin , Tan Wei , Ji Xiangguang , Liu Haoran , Li Qihua
Published: September 2022

Abstract. The transport of pollutants has a substantial impact on the atmospheric environment in megacity clusters. However, owing to the lack of knowledge of the vertical pollutant structure, our quantification of transport processes and understanding of their impacts on the environment remain inadequate. In this study, we retrieved the vertical profiles of aerosol, NO2, and HCHO using multi-axis differential optical absorption spectroscopy (MAX-DOAS) and analyzed three typical transport phenomena. We found as follows: (1) The main transport layer (MTL) of aerosol, NO2 and HCHO along the southwest–northeast transport pathway in the Jing-Jin-Ji region were approximately 400–800 m, 0–400 m and 400–1400 m, respectively. The maximum transport flux of HCHO appeared in Wangdu (WD), oppositely, the minimum transport fluxes of aerosol and NO2 also occurred in this station. (2) The North China Plain (NCP) was usually affected by severe dust transport. The transported dust suppressed dissipation and boosted pollutant accumulation, converting the vertical profiles into an exponential shape. Furthermore, dust can indirectly affect trace gas concentrations by weakening optical intensity. For stations with higher optical intensity, the reduced NO2 levels were closely associated with its heterogeneous reactions on dust and aerosol surfaces. Comparatively, for other stations with low solar radiation, the decreased optical intensity favored NO2 concentration increase by inhibiting NO2 photolysis. The reduced solar radiation favored local HCHO accumulation in Shijiazhuang (SJZ) due to the dominant contribution of primary HCHO. (3) A back-and-forth transboundary transport between the NCP and Yangtze River Delta (YRD) was found. The YRD-to-NCP and NCP-to-YRD transport processes mainly occurred in the 500–1500 m and 0–1000 m layers, respectively. This transport, accompanied by the dome effect of aerosol, produced a large-scale PM2.5 concentration increase, further validating the haze-amplifying mechanism by practical observations.
Characteristics and outcomes of culture-negative prosthetic joint infections from the Prosthetic Joint Infection in Australia and New Zealand Observational (PIANO) cohort study
Authors: Browning Sarah , Manning Laurens , Metcalf Sarah , Paterson David L. , Robinson James O. , Clark Benjamin , Davis Joshua S.
Published: September 2022

Abstract. Introduction:
Culture-negative (CN) prosthetic joint infections (PJIs) account for
approximately 10 % of all PJIs and present significant challenges for
clinicians. We aimed to explore the significance of CN PJIs within a large
prospective cohort study, comparing their characteristics and outcomes with
culture-positive (CP) cases.
Methods:
The Prosthetic joint Infection in Australia and New Zealand Observational
(PIANO) study is a prospective, multicentre observational cohort study
that was conducted at 27 hospitals between 2014 and 2017. We compared baseline
characteristics and outcomes of all patients with CN PJI from the PIANO
cohort with those of CP cases. We report on PJI diagnostic criteria in the CN cohort
and apply internationally recognized PJI diagnostic guidelines to determine
optimal CN PJI detection methods.
Results:
Of the 650 patients with 24-month outcome data available, 55 (8.5 %) were
CN and 595 were CP. Compared with the CP cohort, CN patients were more
likely to be female (32 (58.2 %) vs. 245 (41.2 %); p = 0.016), involve
the shoulder joint (5 (9.1 %) vs. 16 (2.7 %); p = 0.026), and have a
lower mean C-reactive protein (142 mg L−1 vs. 187 mg L−1; p = 0.016). Overall,
outcomes were superior in CN patients, with culture negativity an
independent predictor of treatment success at 24 months (adjusted odds ratio, aOR, of 3.78 and 95 %CI of
1.65–8.67). Suboptimal diagnostic sampling was common in both cohorts,
with CN PJI case detection enhanced using the Infectious Diseases Society of
America PJI diagnostic guidelines.
Conclusions:
Current PJI diagnostic guidelines vary substantially in their ability to
detect CN PJI, with comprehensive diagnostic sampling necessary to achieve
diagnostic certainty. Definitive surgical management strategies should be
determined by careful assessment of infection type, rather than by culture
status alone.
Diversity and Equity in Rehabilitation Counseling Professional Associations: An Evaluation of Current Perspectives and Future Directions
Authors: Levine Allison , Ruiz Derek , Becton Alicia Brown , Barnes Erin , Harley Debra A.
Published: September 2022

Historically, research on professional association consolidation in the rehabilitation counseling profession has not been inclusive of issues related to diversity, equity, and inclusion (DEI). There is a long history of professional associations in rehabilitation counseling struggling to meet the diversity needs of professionals within the field. It is essential for the viability of the profession and its associations that DEI is always present in such conversations. The current study analyzed the data from 613 qualitative responses to a prompt about whether participants would like to see an organization focused on multicultural diversity and equity included in a hypothetical, consolidated professional association in rehabilitation counseling. Implications for professional association leadership, educators, and researchers are discussed.
Diagnosis for global health: Threats of infectious disease and why we continue to ignore them.
Authors: Kassay Andrea , Vinokurtseva Anastasiya
Published: September 2022

In a matter of several weeks, an unknown infectious agent spread over the entire globe; it infected over 2.2 million people and killed at least 150,000 (as of April 2020). This infectious agent has been identified as a novel coronavirus and is now known as COVID-19. In 2007, Cheng et al. warned us of the reemerging ability of coronaviruses and the “ticking time bomb” that awaits. In 2008, Talbot et al. also warned that SARS was only the tip of the iceberg with regards to coronaviruses. There has been an endless amount of information available about how to prevent and minimize the risk of future outbreaks. We knew the importance of implementing these strategies 16 years ago; nonetheless, the number of people infected by COVID-19 are climbing each day. SARS was not the only infectious disease we could have learned from: a more recent example is Ebola. In 2015, Bill Gates discussed the impact of Ebola, warned that “if anything kills over 10 million people in the next few decades, it’s most likely to be a highly infectious virus rather than a war”, and made suggestions to invest in stronger public health systems. We had the time to implement these suggestions made over the years, yet they were not taken seriously and for the current pandemic, it is too late to use preventative measures as we are managing the consequences. Hopefully, in the world post-COVID-19, these important lessons will finally be applied and our global health system will become stronger.
'Radicalism and Patrician Conservatism in Aotearoa New Zealand: The Case of William Downie Stewart Jr.'
Authors: Holmes Martin
Published: September 2022

In this article, I analyse the conservatism of William Downie Stewart Jr. (1878–1949), a prominent Aotearoa New Zealand statesman and historian. The existing historiography is ambiguous: Stewart has been called the last influential patrician politician in Aotearoa New Zealand, and yet his radical tendencies have sparked disagreement about whether he really merits the label ‘conservative’. This disagreement is symptomatic of a larger debate over the existence of other Aotearoa New Zealand patrician conservatives with radical views. I argue that the radicalism of Stewart and his fellows stemmed from their desire to create a Better Britain in the Antipodes. However, I argue that they were still conservatives because they sought to defend their Better Britain from forces that risked undermining it. To help elucidate this point, I briefly draw on the experience of Canadian Red Toryism.
A Pilot Study on Effectiveness of Competence Building Interventional Package on Life Skills and Assertive Behaviour Among Children Residing in Selected Orphanages of Bagalkot District
Authors: Sajjan Santosh , Bharat Dr. M.
Published: September 2022

Children residing in orphanages are going through different challenges in the current scenario. It will affect their socialization and failures in scholastic behavior. A Quasi experimental time series design using Pre-test post-test control group design was used for the present study. Stratified proportional sampling technique, using computer generated random sequence numbers was used to select samples. Out of 20 samples 10 allotted in experimental and 10 in control group. Orphan children aged between 10 to 18 years were selected as samples. The data was analyzed by using descriptive and inferential statistics. The study results depicted mean pre post test score of children in experimental group was 183.4+ 19.66 which increased to 209.5 + 15 in posttest whereas the mean pre-test score of control group was 193.45+ 13.52 which increased to 196.7 + 18.03 in post-test. The calculated t value was 10.207 with P value < 0.000, The mean Assertive behavior post test score (87.70+ 13.08) of children in experimental group is significantly higher than post test (73.5 + 6.55) scores of control group (U=10.500, P<0.01) which shows that the competence building interventional package was effective in improving the Life skills and Assertive behavior among orphan children in experimental group as compared to control group. The study concluded that. Interventional programmes on life skills and assertive training are effective improving the Psychological and mental wellbeing of orphans.

Keywords: Competence Building Interventional Package, Life Skills, Assertive Behaviour, Children, Orphanages of Bagalkot District
Homeostatic Apoptosis and Allostatic Apoptosis
Authors: Rajkumar R. Vinodh
Published: September 2022

Genetics and Epigenetics are the integral parts of homeostasis. But it remains unrealistic to assess the health or disease status of the individuals at the genetic or epigenetic level. Fortunately, numerous variables related to homeostasis and allostasis are measurable genetic expressions (phenotypes), thus we are relying primarily on vital signs, somatotype, exercise performance, quantifiable biomarkers, etc., without investigating the exact favorable and unfavorable epigenetics. In view of the aggravating uncertainties created by asymptomatic and symptomatic transmission of infections, an immunological classification system (preferably based on ‘Exercise Tolerance Diversity’) should be discovered as it becomes necessary to quantitatively measure the immunologic strengths of humans in all the phases of life cycle. In fact, large amounts of literatures reveal apoptosis as one of the crucial cellular mechanisms that can either promote or ruin the health of humans. No organ or specialized cell or physiologic process in the body operates on its own, thus apoptosis also must happen in response to homeostatic fluctuations. Both health and disease operate on a multifactorial background. Though the data is limited, the empirical evidences show recurrent illness history among the individuals who undergo structured exercises associated with significant improvements as compared to their baseline exercise tolerance standards. Meticulous homeostatic apoptosis can be expected if exercises are supported by appropriate healthy lifestyle. In contrary, erroneous allostatic apoptosis is inevitable if exercises are unsupported by appropriate healthy lifestyle, Thus, in combination with ‘health risk habits’, both sedentary and overtraining conditions can elevate the allostatic load and disrupt the optimal apoptotic regulation of the body. Elevation of allostatic load and morbidities can also be caused by psychological issues (exercise addiction, anorexia nervosa/bulimia), and in general, among all those who excessively or solely depend on pharmaceutical interventions associated with reluctance or ignorance to rectify the impediments in lifestyle. At the cellular level, the enjoyability and productivity of human life depends on durable homeostatic stability regulated by faultless apoptosis. This article aims at critically analyzing apoptosis and lifestyle.

Keywords: Apoptosis, Lifestyle medicine, Immunology, Epigenetics, Exercise, Homeostasis, Allostasis
Hidrodinâmica de depuradora de média escala para moluscos bivalves através de ensaios de distribuição do tempo de residência hidráulica
Authors: Garbossa Luis Hamilton Pospissil , Matarazzo Suplicy Felipe , Ismael Cadorin Douglas , Lapa Katt Regina
Published: September 2022

A determinação da função da distribuição do tempo de residência e o ensaio com traçadores podem ser empregados para descrever o comportamento hidrodinâmico de um volume. É possível avaliar se a água está bem distribuída dentro de um tanque, ou se há caminhos preferenciais e zonas mortas. Esta técnica foi aplicada para avaliar se a hidrodinâmica de um tanque de depuração de moluscos, construído fora das especificações recomendadas, proporciona uma boa distribuição e renovação da água dentro do seu volume. A água salgada foi usada como traçador em um ensaio com estímulo em degrau. A concentração de sal foi medida continuamente em pontos distintos do tanque. O resultado para o tempo médio de residência foi de 33 minutos, próximo ao valor teórico e eficiência volumétrica do tanque é, praticamente, igual a 1. Os resultados indicam que todo o volume do tanque está em uso e que a água é bem distribuída com baixa ocorrência de fluxos preferenciais ou zonas mortas. O sistema também apresentou capacidade de manter a concentração de oxigênio dissolvido e temperatura adequadas. A técnica utilizada nesse estudo pode ser empregada para avaliar tanques construídos fora das recomendações internacionais ou que apresentem desempenho ruim.
Impact of Oral Contraceptive Pills on Intraocular Pressure and Central Corneal Thickness in Young Women
Authors: Afzal Saba , Affi Ammara , Siddique Muhammad , Rashid Faisal , Aslam Maria , Jabbar Maryam
Published: September 2022

COVID-19, highly infectious, respiratory illness caused by SARS-CoV2 (Severe Acute Respiratory Syndrome) virus. It has devastating effects with high mortality.Infection become worse in patients with pre-existing medical conditions. Hospitals increased the number of critical care units in order to stabilize the pandemic's crisisand to minimize person to person transmission, installation of telemedicine networks, distant workers and internet-based health visits. Objective: To assess the acceptability, attitude and utilization towards telemedicine among COVID19 pandemic. Materials and Methods: In Sheikh Zayed Hospital, Rahim Yar Khan, a telemedicine network was quickly set during COVID-19 epidemic. A descriptive cross-sectional study comprising 144 study subjects aged between 34-58 year who seek telemedicine problems of surgery, cardiology, ENT, dermatology, gynaecology and obstetrics, pulmonology, medicine and paediatrics. Results: Out of 144 study subjectswith telemedicine consultation percent distribution of ENT and pulmonology was (48) 33.3% followed by medicine, gynaecology and obstetrics, dermatology, pediatrics and surgery.Patient’s satisfaction level was 62.5% in cardiac patients. In department of gynaecology and obstetrics patients satisfaction towards telemedicine was 88.9%, (65%) patients in medicine were satisfied, followed by surgery 41.7%. Gender wise distribution showed 64.1% males were satisfied followed by 61.3% females Conclusion: The COVID-19 pandemic is creating a historic global challenge for health care providers, patients, and societies. Telemedicine is now widely available at low-cost, and broadly acceptable by physicians and patients. Current study highlights the use of telemedicine and effective applications throughout COVID-19 crisis. Telemedicine played an important role for medical practitioners to manage the COVID-19 situation. Keywords: Telemedicine, COVID-19, Pandemics, Crisis, Gynaecology and Obstetrics
Effectiveness of Combined Verbal Screening and Uniform Donor Questionnaire in Blood Donor Deferral; Evaluation at a Regional Blood Bank
Authors: Khan Maria , Bashir Saima , Naeem Muhammad Abdul , Raja Mansoor Ishaq , Rathore Muhammad Ali , Babar Sadia
Published: September 2022

Introduction: Blood transfusion is a potentially life-saving procedure that replaces the blood lost either during surgery or after injury. It also serves as a mean of replacing blood in the patients who cannot replenish enough blood for their own body. Donors come from all walks of life with established lifestyle. A detailed questionnaire along with verbal screening and general physical examination should be performed in all blood donors before labeling them unsuitable for donation. Objective: To evaluate the effectiveness of verbal screening in addition to uniform donor questionnaire as a routine pre-donation protocol for donor selection and deferral. Material and Methods: This cross-sectional study was conducted at a regional blood bank in Northern Pakistan over a period of six months from January 2021 to June 2021. The blood donors who were deferred after assessment by uniform donor questionnaire (UDQ), verbal screening and general physical examination were critically analyzed. The causes of deferral were noted. The data was analyzed by using SPSS Version 23. Results: A total of 400 blood donors were deferred during the study period. Their ages ranged from 25 to 40 years with a median age of 29 years. Majority of them were males (97.5%). Among these, 332 were deferred on uniform donor questionnaire, 48 on verbal screening and 20 on general physical examination. Conclusion: Assessment of blood donors by verbal interview as an adjunct to donor questionnaire is very effective in donor selection and deferral process and should be made a mandatory part of pre-donation blood donor selection protocol. Keywords: Transfusion, uniform donor questionnaire, verbal screening
Association of Estrogen and Progesterone with Ovarian Cancers
Authors: Mudassir Asma Qamar , Zafar Arifa , Zia Uzma , Saboor Rukhsana , Rasheed Tayyaba , Soomro Shabana Bano
Published: September 2022

Objective: To find an association between estrogen and progesterone with ovarian cancer progression. Study Design: Cross-sectional study Place and Duration of Study: Department of Obstetrics & Gynaecology, Islam Teaching Hospital, Sialkot from 1st January 2021 to 31st December 2021. Methodology: One hundred participants were enrolled. Ovarian cancer women were placed in Group A while healthy woman in Group B. The study was approved from the review board. The age of the patients was between 18-45 years. Demographic details as well as clinical and relevant familial history was documented of each patient. The blood sampling was done on same menstrual day 12 in each patient. Each patient 4 cc blood was withdrawn for analysis if their estrogen and progesterone levels. The blood was collected in serum vials and serum was separated by centrifugation at 3000rpm. The patients who were confirmed for ovarian cancer CA 125 were confirmed through clinical diagnosis in addition to their MRI and CT scan imaging. Results: The mean age of the patients was 33.3±2.1 years of ovarian cancers while 21.5±3.4 years of normal controls. Majority of the females were from low socioeconomic class. The values of progesterone and estrogen were significantly higher in CA 125 cases such as Group A in comparison with group B respectively. The analytes were assessed in the follicular phase and showed higher frequency in 96% and 94% of cases with ovarian cancer. The mean value was 2±0.4ng/ml and 119.1±2.9 pg/ml respectively. Conclusion: In ovarian cancer, level of estrogen was very higher during follicular phase. Keywords: Ovarian cancer, Advanced epithelial cancer, Estrogen, Progesterone, Abnormal secretion
Genital-Herpes Infection: Pregnancy Management
Authors: Pirzada Hina , Parveen Shagufta , Habib Sadia , Mehwish Wajiha , Saboor Rukhsana , Rasheed Tayyaba
Published: September 2022

Background: Genital herpes is the most common genital tract infection that results into high rate of morbidity and mortality of neonates on vertical transfer and also of females. Objective: To evaluate the management policies/techniques for HSV infection during gestation period. Study Design: Retrospective study Place and Duration of Study: Department of Obstetrics & Gynaecology, AJK Medical College Muzaffarabad Azad Kashmir from 1st January 2021 to 30th June 2021. Methodology: Sixty females were enrolled within the age of 21-39 years who were pregnant and having complete clinical symptoms of sore-vesicle clusters and minimal ulceration. 4cc blood was withdrawn with division into 2cc whole blood for PCR testing and 2 cc into serum for viral antigen detection through ELISA based kits against HSV 1 and HSV 2 antigens. Results: The mean age of 31.0± 4.2 years and majority of the women 48.3% were within the age of 34-39 years. The management therapy was found efficient in women suffering from herpes simplex virus 91.6% reduction found on polymerase chain reaction (PCR) reporting. Within the HSV 1 and HSV 2 pregnant women spontaneous delivery was observed in 24 (40%) women while rest 36 (60%) underwent cesarean delivery Conclusion: Genital herpes infection can be managed and treated by using antiviral medications and through cesarean deliveries in majority of the participants. Keywords: Genital herpes, Cesarean, Transmission, Neonates
Vitamin D Level and its Association with Mortality in Children Admitted in Pediatric ICU
Authors: Qureshi Rizwana , Bashir Bela , Soomro Tufail Ahmed , Zaki Muhammad , Bouk, Mansoor Ahmed , Bouk Ghulam Rasool
Published: September 2022

Objective: To study the relationship between the levels of vitamin D of pediatric ICU patients in Pakistan and its effect on the rate of mortality among them which will pave ways to improve the clinical outcomes among Pediatric ICU patients of Pakistan. Study Design: Prospective observational study. Place and Duration of Study: Pediatric Emergency Ward, Ghulam Muhammad Mahar Medical College, Sukkur Sindh Pakistan from 1st June 2018 to 31st December 2019. Methodology: Seven hundred and eighty two children of both genders and aged range 1 to 15 years were enrolled. There Vitamin D levels were taken at the time of admission. Results: The overall mortality rate was 13%. Mortality rate in sufficient group was ~9%. Mortality rate in insufficient group was up to 15% and in deficient group, it was 20.2%. The mortality rate was significantly higher in deficient and in insufficient group. Conclusions: Vitamin D levels are a significant predictor in the outcome of mortality in pediatric ICU. It is essential to monitor Vitamin D levels regularly, and efforts should be made to increase Vitamin D levels if they are deficient. Keywords: Vitamin D, Mortality, Pediatric ICU
Identifikasi Cemaran Mikroplastik pada Jajanan Anak Sekolah di Kota Salatiga
Authors: Dhanang Puspita  , Pulung Nugroho  , Slamet Suprapti
Published: September 2022

Makanan siap saji termasuk pangan jajanan anak sekolah (PJAS ) menjadi salah satu sumber pemenuhan asupan gizi bagi anak sekolah. Berbagai jenis PJAS, sebagain besar menggunakan plastik sebagai pembungkusnya. Salah satu dampak negatif dari penggunakan plastik sebagai pengemas yaitu plastik dapat  berpotensi melepaskan bahan kimia berbahaya yang berasal dari sisa monomer dari polimer seperti mikroplastik yang dapat membahayakan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi keberadaan cemaran mikroplastik pada jajanan anak sekolah di Kota Salatiga. Metode penelitian yang digunakan adalah penelitain kuantitatif deskriptif, dimana sampel di ambil penjaja PJAS di kota Salatiga secara acak kemudian dianalisis kandungan mikroplastiknya dengan teknik pengapungan dan pengamatan dilakukan dengan mikroskop dengan perbesaran 40×. Hasil  penelitian menunjukan, sampel PJAS mengandung mikroplastik. Faktor penyebabnya diperkirakan dari metode pengolahan dan kandungan dalam sampel seperti; panas,  karbon dioksida dan asam. Kesimpulan dari penelitian ini, pangan jajanan anak sekolah ( PJAS) yang ada di kota Salatiga mengandung mikroplastik sehingga disarakan agar anak sekolah dapat mengurangi jajan di luar atau membawa bekal dari rumah dan PJAS menggunakan plastik yang berkualitas baik.
Comparison of the Need Satisfaction, Happiness in Life, Academic Motivation and Life Purpose of University Students With and Without Economic Freedom
Authors: KURT Muhammed Bilal , AYDIN Gökçen
Published: September 2022

The aim of this study is to examine the satisfaction of needs, happiness, academic motivation and life purpose of students who work and do not work in a job that provides financial benefits during the university life. The research is based on correlational research design. The sample of the study consists of 381 (261 women and 120 men) students studying at universities throughout Turkey during the 2021-2022 academic year. The data were collected through The Psychological Needs Scale, Oxford Happiness Scale-Short Form, Academic Motivation Scale, Scale of Life Goals-Short Form and Demographic Information Form. In line with the main purpose of the study, independent groups t-test was used to examine whether the average means of variables differed by gender and financial benefit, and Pearson correlation analysis was used to examine the relationships between satisfaction of needs, happiness, academic motivation and life purpose. The results revealed that there was a significant and positive relationship between the satisfaction of needs, happiness, academic motivation and life purpose. The level of inner purpose, happiness and academic motivation, which is one of the two sub-dimensions of life purpose, differed according to gender. The difference was in favor of women. The level of relationship need, happiness in life, academic motivation and life goals, which was one of the three subdimensions of need satisfaction, differed according to economic freedom. The difference was in favor of students who did not work at a job.
PROGRAMA SAÚDE NA ESCOLA E SUA TRANSVERSALIDADE COMO POLÍTICA PÚBLICA NOS AMBIENTES ESCOLARES
Authors: Gomes Thalyta Corrêa Amaral , Brito Maria Luiza de Araújo , Sousa Lucineide Oliveira de , Reis Emanuela de Oliveira , Gonçalves Maria Fernanda Alves , Sousa Maria Milena Moreira de , Barros Thíria Lauren Silva , Avelino Beatriz Maria Lima , Martins Victor Hugo da Silva
Published: September 2022

Objetivo: Analisar a transversalidade do Programa Saúde nas Escolas como política pública nos ambientes escolares. Método: Trata-se de uma revisão integrativa da literatura, foram incluídos 07 estudos brasileiros entre os anos de 2017 e 2022, para responder a seguinte questão da pesquisa: Como ocorre a transversalidade entre saúde e educação na escola através do Programa Saúde nas Escolas? Resultados e discussão: O programa é uma estratégia intersetorial potente entre saúde e educação, embora diversos profissionais não se apropriem dessa premissa. Foram revelados entraves na execução da política, no que tange a hegemonia do modelo biomédico nas ações de saúde, pouca participação do setor educação, falta de adesão de escolas ao programa, pouca capacitação pedagógica dos envolvidos, avaliação e monitoramento ineficazes. Considerações finais: O Programa Saúde nas Escolas mostra-se como ferramenta estratégica para transpor as barreiras entre a saúde e a educação com vistas a propiciar promoção da saúde e melhorias na qualidade de vida de estudantes.
NEUROTUBERCULOSE EM LACTANTE : RELATO DE CASO
Authors: Damasceno Camargo Gabriel , Jordânia Freire Aquino Rayra , Vinicius Silva Vital Icaro , Marcondes Fernandes Andre Luis , Daleffi Sucupira Julia , Eterno Ferreira Filho Aneudes
Published: September 2022

Objetivo: Esse trabalho tem como objetivo relatar o caso de uma lactante com diagnóstico de Tuberculose com acometimento do Sistema Nervoso Central, próprio da Neurotuberculose. Detalhamento do caso: Lactante com 2 meses começou a apresentar sudorese excessiva, chieira no peito, tosse seca e febre todos os dias (38,5º C). A mãe procurou atendimento médico e a hipótese diagnóstica foi de crise aguda de asma/bronquiolite, iniciando o tratamento com os medicamentos Prednisolona e Loratadina. Durante a gestação, a mãe apresentava sintomas respiratórios, associados a febre diária e perda de peso, porém, só foi diagnosticada com Tuberculose pós-parto, quando iniciou o tratamento na UBSF Jardim Noroeste. Após isso, a lactante foi investigada para a doença, realizando o exame PPD no CEDIP, sendo positivo. O tratamento foi iniciado na UBSF, com medicamentos para adultos diluídos: Pirazinamida, Rifampicina e Isoniazida. Considerações finais: A falta do diagnóstico materno durante o pré-natal evidencia a necessidade de um cuidado mais atento com o binômio mãe-filho, com o desenvolvimento de políticas de rastreio, principalmente em localidades sabidamente conhecidas como epidêmicas de tuberculose.
A memória no processo de (re)construção histórica e identitária dos povos indígenas emergentes
Authors: Alves Pereira Antonio , Sousa Carvalho do Nascimento Franc-Lane , De Oliveira Paula Aurelice Maria , Oliveira Lima Jânio , Gomes de Oliveira Silva Leysiane
Published: September 2022

Neste trabalho analisar-se-á o papel da memória frente ao processo de (re)construção histórica e identitária de povos indígenas emergentes. Delimitou-se como objetivo geral: compreender a relação entre memória e identidade, reconhecendo a relevância desses elementos no processo de autoafirmação de comunidades indígenas, enfatizando a importância da história oral na construção desse processo. A realização desse estudo norteou-se por meio de uma pesquisa bibliográfica de caráter descritivo, de concepção qualitativa, baseada em obras e estudos sobre a temática. Fundamentou-se em autores como: Candau (2012), Souza (2014), Sarmento (2018), entre outros. O estudo possibilitou a compreensão de que é com base na história e nas memórias advindas de narrativas que esses povos vêm se organizando socialmente e que a partilha das memórias os leva a um processo de fortalecimento do resgate histórico e identitário, fator indispensável no processo de autoafirmação dos mesmos, já que se trata de um movimento que parte de busca das próprias origens até se chegar a um processo de ressignificação da própria existência.
DESAIN DAN IMPLEMENTASI SISTEM INFORMASI RAPOR BERBASIS WEB
Authors: Raube Feliks Stefanus , Parinsi Mario , Batmetan Johan Reimon
Published: September 2022

SDN 1 Tahuna adalah sekolah yang sebagian guru masih melakukan pengelolaan nilai rapor, pengelolaan data siswa, penglolaan data guru dan mencetak rapor masih dilakukan secara manual sehingga prosesnya memerlukan waktu yang lama. Sebagian juga mengelola semua itu dengan menggunakan file excel shingga proses pembuatan terasa lama karna semua pengisian nilai dibebankan ke wali kelas. Sistem Informasi Rapor (SIR) adalah sistem yang dibuat untuk menjawab semua permasalahan pembuatan nilai rapor baik yang masih menggunakan dengan cara manual maupun menggunakan file yang berbentuk excel. Sistem ini membantu guru yang ada di SDN 1 Tahuna untuk mengelolah rapor secara cepat dan akurat yang pengisian nilainya tanpa membebani guru wali kelas. Rapor ini juga memiliki fungsi untuk menampilkan diagram yang memperlihatkan perkembangan nilai siswa selama satu semester di setiap mata pelajaran. Dalam pembuatan aplikasi ini menggunakan metode prototype yang memiliki 5 tahapan. Untuk menguji apakah fungsi dari sistem yang dibuat berjalan dengan baik maka dilakukan pengujian dengan menggunakan pengujian kotak hitam (Black-Box Testing).
MEDIA SIMULASI UNTUK PEMBELAJARAN TEKNOLOGI JARINGAN DI SMK
Authors: Jamil, Arje Cerullo Djamen, Martinus M.Mintjelungan Fauzi
Published: September 2022

Media simulasi adalah metode penyampaian pesan dengan menggambarkan sesuatu dalam bentuk tiruan yang mirip dengan keadaan sesungguhnya. Penelitian ini bertujuan untuk mengetahui pengaruh hasil belajar siswa yang diajarkan menggunakan media simulasi jaringan Cisco Packet Tracer dengan siswa yang diajarkan menggunakan media simulasi jaringan Boson Netsim pada mata pelajaran Teknologi Jaringan Berbasis Luas. Jenis penelitian yang digunakan adalah eksperimen. Populasi dari penelitian ini adalah siswa TKJ di SMK Negeri 1 Bitung dengan jumlah sampel yang digunakan berjumlah 40 orang siswa kelas XI TKJ  yang terdiri dari 2 kelas, masing-masing kelas terdiri dari 20 siswa. Data yang diambil adalah data hasil posttest melalui instrumen yang telah diuji validitas dan reliabilitas. Berdasarkan uji normalitas data menggunakan chi kuadrat, kedua kelas berdistribusi normal. Berdasarkan uji homogenitas data menggunakan uji-F, disimpulkan sampel yang diteliti mempunyai varian yang sama atau homogen. Untuk uji hipotesis menggunakan uji-t Polled Varians dengan taraf signifikansi 5% diperoleh thitung > ttabel, maka H0 ditolak dan H­1 diterima. Hal ini memberikan kesimpulan bahwa terdapat pengaruh dimana hasil belajar kelas eksperimen lebih unggul dibandingkan hasil belajar kelas kontrol. Hasil ini sesuai dengan harapan peneliti yaitu media simulasi Cisco Packet Tracer yang digunakan dalam pembelajaran lebih unggul dibandingkan media simulasi Boson Netsim
MEDIA SIMULASI UNTUK MENINGKATKAN HASIL BELAJAR KOMPUTER DAN JARINGAN DASAR SISWA DI SMK
Authors: Syahril, Mario T. Parinsi, Peggy V. Togas Muhammad
Published: September 2022

Pada penelitian ini, bertujuan untuk mengetahui perbedaaan hasil belajar siswa yang diajarkan dengan Virtualbox dan Vmware Workstation pada mata pelajaran Komputer dan Jaringan Dasar di SMK N 1 Tondano. Metode Penelitian ini adalah Eksperimen dengan populasi dari penelitian ini adalah seluruh siswa kelas X SMK 1 N Tondano berjumlah 320 siswa sedangkan sampel penelitian adalah, Seluruh Kelas Multimedia berjumlah 64 siswa. Terdiri dari dua kelas, masing-masing kelas terdiri 32 siswa. data hasil penelitian diambil dengan menggunakan instrumen penelitan Posttest Berdasarkan nilai rata-rata posttest pada kelas eksperimen memperoleh nilai rata-rata 77.66 dan kelas kontrol memperoleh nilai rata-rata 75.16, yang telah diuji validitas, reliabilitas, normalitas, Pada Uji Homogenitas atau Uji-F diperoleh Ftabel = 4.16. karena Fhitung = 1.2464< Ftabel = 4.16 maka disimpulkan sampel yang diteliti mempunyai varians yang sama atau homogen dan uji hipótesis. Berdasarkan uji-t polled varians diperoleh thitung < ttabel, thitung = 0.5774 dan diperoleh ttabel = 1.9989. karena thitung = 0.5774 < ttabel = 1.9989 maka  diterima dan  ditolak dengan taraf signifikan α : 5%. Sehingga dapat disimpulkan bahwa hasil belajar antara siswa yang menggunakan media simulasi Virtualbox kurang lebih sama dengan hasil belajar kelas kontrol yang menggunakan media pembelajaran simulasi VMware Workstation.namun kedua media simulasi sama baiknya digunakan dalam pembelajaran karena dapat meningkatkan hasil belajar.
MODEL PEMBELAJARAN PROYEK UNTUK MENINGKATKAN HASIL BELAJAR SIMULASI DAN KOMUNIKASI DIGITAL SISWA SMK
Authors: Kojo, Olivia E. S. Liando, Djami Olii Hizkia D
Published: September 2022

Penelitian ini adalahlPenelitianlTindakan Kelasl(PTK) yang bertujuan untuk meningkatkan hasil belajar siswa kelas X SMK Negeri 1 Suluun pada Mata Pelajaran Simulasi dan Komunikasi Digital. Penelitian ini dilaksanakan dalam dua siklus dan dengan menggunakan model pembelajaran berbasis proyek. Yang menjadi Subjek dalam penelitian ini adalah 20 orang siswa kelas X SMK Negeri 1 Suluun. Dalam penelitian ini peneliti melaksanakan observasi, wawancara, tes dan juga dokumentasi. Dari hasil pre-tes dan post-test pada0siklusipertama, jumlah siswa yang memenuhi KKM adalah 13 orang siswa atau 65% dan yang tidak memenuhi KKM sebanyak 7 orang siswa atau 35% daritjumlahikeseluruhan siswa. Pada siklus kedua jumlah siswa yang memenuhi KKM meningkatkan yaitu 18 orang siswa atau 90% dan tidak memenuhi KKM adalah 2 orang siswa atau 10% dari total keseluruhan siswa. Dengan demikian dapat disimpulkan bahwa penerapan model pembelajaran berbasis tproyek dapat meningkatkan hasil belajar simulasi dan komunikasi digital siswa kelas lX SMK Negeri l Suluun.
INDUSTRIAL WORK PRACTICES AND SKILLS TO GROW ENTREPRENEURSHIP ATTITUDES IN THE FOOD SERVICE SECTOR FOR STUDENTS OF SMK NEGERI I TONDANO
Authors: Tambahani Jenny Christien
Published: September 2022

Entrepreneurship is one of the determinants of the economic progress of a nation. The problem that arises is there is any influence of Industrial Work Practices on entrepreneurship attitudes and the influence of skills on entrepreneurship attitudes. Data was obtained from distributing questionnaires to 28 students of SMK Negeri 1 Tondano, which was obtained using simple saturation, then analyzed using quantitative data analysis. Quantitative analysis includes validity and reliability testing, classical assumption test, coefficient of determination test and multiple analysis, F significance test (F statistic test), individual parameter significance test (t-test). While the data processing using SPSS 19.00 for windows. From the results of research data processing obtained from simple linear regression = 6.382 + 0.408 X1 + 0.222 X2 + e. Simultaneous calculation results obtained partial test results for t count (2.835) > t table (2.059), the significance of the Prakerin variable on the related variable, namely the entrepreneurial attitude of 0.009 or less than the alpha value of 0.05. Industrial Work Practices variables have a significant effect on students' entrepreneurial attitudes or H1 is accepted and H2 is rejected. While the regression coefficient of the skill variable is 0.239 or greater than the alpha value of 0.05. So it can be said that the value of t arithmetic t table and significance 0.239 > 0.05 means that the skill variable has no effect and is not significant on students' entrepreneurial attitudes or H1 is rejected and H0 is accepted
PENGEMBANGAN MEDIA PEMBELAJARAN TUTORIAL DESAIN KOMUNIKASI VISUAL DI SMK NEGERI 3 TONDANO
Authors: Ginoga, M. Ch. Manoppo, Verry Ronny Palilingan Renaldy F L
Published: September 2022

Penelitian ini bertujuan untuk menerapkan model pembelajaran Jiqsaw untuk meningkatkan hasil belajar KKPI Siswa Kelas X TKJ SMK Nusantara Tondano. Metode Penelitian yang digunakan adalah Penelitian Tindakan Kelas, dilakukan dalam dua siklus, masing-masing siklus terdiri dari empat tahapan, yaitu : perencanaan, pelaksanaan, pengamatan dan refleksi. Dari hasil pra survey yang Di lakukan di SMK Nusantara Tondano dapat dilihat bahwa jumlah nilai dari 21 Siswa Kelas X TKJ SMK Nusantara adalah (1260) dan nilai rata-ratanya adalah (60). Sedangkan setelah dilakukan tindakan padan siklus I, jumlah nilai yang di peroleh Siswa Kelas X TKJ SMK Nusantara Tondano adalah (1377) dan nilai rata-ratanya adalah (66), dari 21 Siswa Kelas X TKJ SMK Nusantara, yang tutas 7 Siswa dan yang belum tuntas 14 Siswa. Pada Siklus II jumlah nilai yang diperoleh 21 Siswa Kelas X TKJ Nusantara adalah (1706) dan Rata-ratanya (81), dari 21 Siswa Kelas X TKJ SMK Nusantara, yang tuntas 18 Siswa dan bekum tuntas 3 Siswa. Kesimpulan Penelitian: dari keseluruhan Siklus yang dilakukan dapat disimpulkan bahwa Penerapan Model Pembelajaran JIqsaw dapat meningkatkan hasil belajar Siswa Kelas X TKJ SMK Nusantara.
Various endometrial patterns and abnormalities in women with postmenopausal bleeding
Authors: Krishnani Chandani Naresh , Patel Kuntal Devesh , Desai Payal , Tiwari Nehal
Published: September 2022

Objective: To study the prevalence of various histopathological changes, patterns and lesions   of endometrium in women with postmenopausal bleeding. Methodology:  All the fixed specimens were processed and embedded in paraffin wax. Multiple serial sections of 4-5 microns thickness were obtained from the paraffin block and then stained with H & E. The observations in our study were analyzed using SPSS software version 11.5. The average values are statistically calculated using Microsoft Excel computer software. Results: This was a prospective, non interventional and observational hospital based cross sectional one year study carried out in histopathology department on endometrial biopsies and hysterectomy specimens. Out of 50 cases, postmenopausal bleeding presented at a mean age of 53.38 years and was most common within 5 years of attaining menopause. Among the endometrial causes of postmenopausal bleeding, 16% were due to benign conditions, 10% were due to malignancy and in 74 % of cases were because of non organic causes comprising of proliferative, secretory and atrophic endometrium. Atrophic endometrium was most common among  non organic causes  ,endometrial polyp was most common among the benign causes followed by endometrial endometrioid carcinoma was a major finding among the malignant causes.
existential vacuum of orphans of adolescent students
Authors: Rasheed Faris Haroon , Jasim Narjis Mahdi
Published: September 2022

The current research aims to identify the existential vacuum in orphans of adolescent students, and to define the significance of differences in the existential vacuum in orphans of adolescent students according to the variable of gender (male, female), and the school stage (intermediate, and preparatory), and to achieve this, the researchers built a measure of existential vacuum, which consisted in its final form of (29) paragraphs. The study sample included adolescent orphaned students, distributed by (200) males and (200) females, and distributed by (200) middle schools and (200) middle schools in Diwaniya governorate. The sample was selected by a random method with equal distribution, and the results of the research reached a set of results, including that adolescent orphaned students do not suffer from existential emptiness, and that females suffer from existential vacuum more than males when we compare the calculated mortal value with the tabular value at the level of significance of 0.05, and the researchers also found that there are no statistically significant differences in the school stage,  There are statistically significant differences in the existential space according to the bilateral interaction between sex (male, female) and school stage (intermediate, junior).
Surgery for chronic pancreatitis and different methods of surgeries
Authors: Mopuri Sreenivasulu , Uma A.
Published: September 2022

Objectives: Chronic pancreatitis, a benign inflammatory process of the pancreas resulting in exocrine and endocrine in sufficiency. Pain is the most devastating symptom, for which patient seeks medical advice. Even though these problems are addressed medically, surgery is indicated in many cases of intractable pain. Methods: Thirty- patients who are managed surgically during November 2018 to October 2020 at our institute. Data is collected and analyzed. Various surgical procedures for chronic pancreatitis and their indications are noted. Pain relief, improvement of exocrine and endocrine in sufficiency and improvement of quality of life are studied. Results: Various operative procedures are done including intra operative Celiac plexus block in some. Puestow’s, Frey’s and Whipples PD are done in these patients, which are selected according to the pathological anatomy. We observed long lasting pain relief is observed in 90% of our patients. In two of the patient’s surgery was done in acute condition with edematous pancreas. In these cases, intra operative celiac plexus block was added. Conclusions: Surgery is effective in Chronic Pancreatitis with intractable pain and better results can be obtained with selection of procedure tailor made to the patient. Exocrine and endocrine functions may become better in some patients.
role of lexical repetition in English written texts
Authors: Sigar Ahmed Hayder , Saeed Baydaa Muhammed
Published: September 2022

Repetition is the process of repeating a word stated earlier in the text either in the same form or with some modifications. It is one of the key signaling devices available for setting up relations and, thereby, for the patterning of discourse or text. This study is a textual analysis of the role that repetition plays in English texts. It aims at investigating the different roles of repetition in these texts. Moreover, it aims at finding out if repetition contributes to making explicit the logical and prominent relationship between ideas, and thus creating a hierarchical text structure. To achieve the aims of the research, the following hypotheses are made:1. English uses repetition heavily. 2. Repetition is multifunctional in English. 3. English avoids exact repetition by using other types of repetition. The data for analysis consist of five texts chosen randomly. These texts represent the five major text types recognized by Werlich (1976). They are: descriptive, narrative, expository, argumentative and instructive. The analysis of the data which has been based on Hoey’s (1983 and 1991) models of repetition has verified the validity of the first and second hypotheses, whereas it has refuted the third hypothesis.
Multidrug resistance Enterococcus Faecalis isolated from patients with urinary tract infections
Authors: Al-turfi Nazar Adnan A. , Hussein Ahmed A.
Published: September 2022

Background: Globally, urinary tract infections (UTIs) constitute the most prevalent health issue. UTIs are challenging to cure due to the emergence of antibiotics resistant bacterial strains. This research aimed to determine the incidence of UTIs, identify the causative bacteria, and evaluate antibiotic resistance profile and genes in Enterococcus faecalis. Materials and methods: In this study, twenty E. faecalis isolates from patients with urinary tract infection were identified; phenotypic and genotypic characteristics were investigated in Al-Najaf City, Iraq. Results: The data revealed different rates of resistance starting with high rate (65%) of isolates which were resistant to Nalidixic acid and (60%) of isolates resistant to Ciprofloxacin and Tetracycline. then ends with lower resistance which were (20%) of isolates have resistance to Imipenem and Fosfomycine. At the same respect, all isolates of E. faecalis displayed multi drug resistance (MDR). Antibiotics resistance genes bla-tem, emeA and gyrA were found in 100%, 95% and 55% of isolates, respectively. However, this research explained that none antibiotic was entirely working against all isolates. Conclusion: All E. faecalis isolates exhibited multi drug resistance (MDR), and the most potent antibiotics were imipenem and fosfomycin.
Macronutrient intake pattern among type 2 diabetic adults visiting a tertiary care hospital of rural Vadodara
Authors: Chhaya S , Soni N , Patel M
Published: September 2022

The management of Type 2 Diabetes Mellitus requires a combination of medications and lifestyle changes. The present study was undertaken to correlate the dietary practices, anthropometric and biochemical parameters with the RDA of macronutrients. A cross sectional study consisting diabetic patients (n=50) visiting OPD at a tertiary care hospital were selected. Their anthropometry, food habits and dietary recall were analyzed. Out of 50 subjects, 58% were having normal BMI, 14% were hypertensive. A positive correlation (r=0.23) was observed between Blood pressure and BMI. The mean nutrient intake were Energy 1444 (±470) Kcal, Protein 40.26(±14.15) gm, Fats 28.60(±15.23) gm and Carbohydrate 193.28(±108.9) gm. About half of the subjects were achieving 50% of the calorie requirement, 60% of them were fulfilling 75% RDA for protein. Conclusion: MNT Goals should include maintenance of Ideal body weight along with lifestyle modifications besides maintaining the desired blood sugar levels. This will help in better compliance in management of diabetes.