bluuebunny/crossref_metadata_2025 huggingface dataset:
The Strait of Malacca: a Crossroad of Climate Change and Vulnerabilities
Authors: - Siddhima Sivanand
Published: April 2024

The Strait of Malacca, an indispensable artery facilitating global trade, confronts an existential peril exacerbated by climate change. This research comprehensively analyses the intricate interplay between ecological and socioeconomic factors, with a primary focus on India’s vulnerabilities and adaptive strategies. The study scrutinizes the escalating sea levels, intensification of storms, and coastal erosion, elucidating their multifaceted impacts on ecosystems, communities, and economies.
The Malacca Straits are one of the world’s most vulnerable areas because of their high potential for political conflict and ecological disaster. The areas bordering the Straits are of high bio-diversity and ecologically fragile.
The imperative to foster resilience is underscored, necessitating the exploration of adaptive strategies to empower communities, preserve ecosystems, and foster sustainable development amidst climatic challenges. This research transcends conventional threat assessments, offering a holistic roadmap for India and stakeholders to navigate the complexities of climate change and ensure the enduring prosperity of the Strait of Malacca. It also delves specifically into the vulnerabilities faced by countries bordering the Strait, with a particular focus on India’s dependence on the waterway for trade, food security, and energy needs.
The need of the hour is to analyse these vulnerabilities, and to pave the way for the development of robust adaptation strategies that ensure the long-term sustainability and resilience of the Strait of Malacca in the face of a changing climate.
Impact of Digital Marketing Post Covid-19
Authors: - Adithya Ashok Jain , - Rahul Ammanath , - Janvi Kour , - Manshu Agrawal , - Shilpa Sandhu Dutt
Published: April 2024

Digital marketing has grown rapidly since the 1990s. First it was the basic website and email. In the late 2000s, social media platforms emerged that allowed brands to communicate directly with their target audience. The advent of Google AdWords enabled targeted ads based on user searches. In the 2010s,
smartphones created pockets of mobile marketing. Content marketing, which focuses on important information to attract customers, has grown in popularity. The video market has grown with platforms like YouTube. The market of influencers emerged, increasing the popularity of individuals. In mid-2010, he
saw the power of advertising in social networks, which uses user data for the right purpose. Automation and AI have become essential for personalized experiences. Chatbots have revolutionized customer interactions. Native ads are well integrated with content. Regulations like GDPR have become stricter due
to privacy concerns. The 2020s saw the introduction of immersive technologies such as AR and VR for a better customer experience. Refine campaigns with data analytics and AI insights. Today, digital marketing spans a variety of channels, from social media and content to SEO, email, and more. It is a dynamic environment created by changes in technology, consumer behavior and legislation, which will continue to provide important opportunities to connect businesses with their audiences.
Secondary Infertility (Kakvandhya)-A Single Case Study
Authors: - Deepanjali Rajaram Jadhav , - Girish Ashok Kulkarni
Published: April 2024

Vandhyatwa (infertility) is the burning challenge in front of todays fastest and behind the money society. Approximately 8%-10% couples will suffer from infertility worldwide in between that 15-20 million cases are present in India alone. 57.33% are the primary infertility cases and 42.66% are secondary infertility cases observed in 26-30 years age group in India recently. Vandhyatwa is explained by ayurveda scholars in their own way but Aacharya Harita specifically mentioned total 6 types of Vandhyatwa in detail which covers all types of infertility according to modern science. As it is mentioned as lifestyle disorder by medical science, ayurveda plays key role to successful treatment of this. In present article the single case study of Kakvandhya (secondary infertility ) is explained.
Trends in water quality of Waikolu Stream, Kalaupapa National Historical Park, Moloka?i, Hawaii, 2007?2017
Authors: Raikow David , Wasser Mark , McCutcheon Amanda , Farahi Anne
Published: April 2024

Water quality was monitored in Waikolu Stream, Kalaupapa National Historical Park, Moloka?i, Hawa?i from 2007-2017. Water was collected for nutrient analyses and a sonde equipped with multiple probes was used to measure water quality parameters. The sampling regime was based on a split-panel of permanently established or ?fixed? sites sampled during each sampling effort, and ?temporary? sites of randomly assigned locations, for each sampling effort.
Results included:
? NO-3 + NO-2 regularly exceeded state water quality criteria.
? TP exceeded state water quality criteria once out of three quarters evaluated.
? Other nutrient concentrations were consistent with Hawaiian streams.
? Waters were clear and well oxygenated.
? Conditions were consistent with similar pacific island streams.
? Dissolved nutrient fractions dominated base flow conditions.
? Seasonality was detected for TDN, NO-3 + NO-2, chlorophyll, pH, oxygen, and temperature.
? Several trends were detected; however, the magnitude of change was small and did not warrant concern.
? Temporal patterns did not obviously correspond to climate conditions.
? Parameters varied spatially to a limited extent, with nitrogen decreasing and temperature, specific conductance, and oxygen increasing from headwaters to the mouth.
? Temporary site conditions were highly correlated with fixed sites and did not provide additional insights.

Water quality in Waikolu Stream was generally good with the exception of NO-3 + NO-2 which exceeded state standards. However, concentrations of NO-3 + NO-2 were generally consistent with many streams in Hawaii and natural causes of observed concentrations may have included older soils, steep slopes, and high precipitation. Exotic species including ungulates, which are known to occur in Waikolu Valley, could have contributed to elevated N through droppings and soil erosion in the riparian zone. Waikolu Stream TDN, TDP, chlorophyll, pH, turbidity, SpC, and oxygen were consistent with streams in other well-protected NPS watersheds on pacific islands on Maui, Guam, and American Samoa.
Due to the watershed?s small size, the stream?s short length, and because variation or unique conditions were not captured by using split-panel, we recommend reducing the sampling effort. For example, our observations indicate that one easily accessible site in the lower reaches of the stream (FKALA03) displays water quality that reflects the entire stream. We also recommend adding nutrient analytes to better characterize biogeochemical cycling in this stream, including TP, TN, NH+4, and PO4. A power analysis is underway to evaluate reduction of sample sites. Such a reduction will result in large cost savings for the PACN water quality monitoring program.
Protective structures as a device of ensuring the safety of victims in a war situation
Authors: SKRABACZ Aleksandra , WOŁOCH Franciszek
Published: April 2024

Interest in protective structures is steadily increasing as the armed conflict in Ukraine unfolds. Experience shows that shelters and hiding places are the most effective form of protection for civilians from conventional and unconventional war threats. Meanwhile, there are no guidelines and rules for the construction of public and private shelters in Poland. The problem is a big one, especially in view of the war that is taking place in the close vicinity of Poland. The purpose of the article is to review Polish and foreign legal and organizational solutions in the field of protective constructions and to indicate the technical requirements necessary to meet in a situation of war danger, with particular emphasis on the use of nuclear weapons. The authors put forward the thesis that in the face of military and non-military threats, the effective way to protect and defend the life and health of the population are properly maintained and managed protective structures, including shelters and hiding places and places of temporary shelter. However, the basic problem remains the question of legal regulation in this regard and the responsibility for their financing and maintenance, which involves the issue of ownership (private and public shelters). In Poland, the experience of other countries that have adopted a variety of solutions should be a guideline for forward-looking activities in the area of protective structures.
Impact of climate change on the safety of the foundation zone of steel tanks
Authors: SZELĄG Romuald A. , PAWŁOWICZ Joanna P. , SKOTNICKA-SIEPSIAK Aldona , OBOLEWICZ Jerzy , BARYŁKA Adam
Published: April 2024

Climate change introduces the need to look at new issues in the safe operation of engineering structures, [1, 2]. Analysis for the past decade has shown the significance of the weather changes taking place and the effects in the form of periodic long heat waves causing heating of external surfaces combined with solar radiation can cause significant structural impacts. Intense rainfall causing increased penetration of water into the ground also proves to be an important issue in terms of the proper condition of foundation zones. Performed studies have shown that in unfavorable conditions can lead to defects in the foundation zones of steel tanks.
Application of Hybrid Radionuclide Imaging Technologies and Radionuclide Therapy in Patients with Osteogenic Sarcoma
Authors: Ryzhkov A. D. , Krylov A. S. , Pronin A. I. , Geliashvili T. M. , Nikolaeva E. A. , Pavlova A. V.
Published: April 2024

Purpose: To demonstrate the capabilities of various hybrid methods for studying the skeletal system in diagnosing the primary focus and metastases of osteosarcoma. To acquaint specialists with the prospects of using radionuclide therapy in the treatment of patients with osteosarcoma.

Material and methods: The material consisted of the most demonstrative cases from the clinical practice of the N.N. Blokhin National Medical Research Center of Oncology.

Results: The given examples showed the need to involve all possible radionuclide modalities for diagnosis and, especially, monitoring of patients with osteosarcoma for earlier detection of relapses and metastases.

Conclusions: The wider use of modern hybrid research methods (SPECT/CT and PET/CT) makes it possible to expand the possibilities for earlier detection of osteosarcoma metastases not only in bones, but also in other organs and tissues.
Metachronous Multiple Primary Inoperable Squamous Cancer of the Esophagus: Case Report
Authors: Gladilina I. A. , Chernykh M. V. , Ishchanov D. G. , Sukhova E. A. , Abu-Haidar O. B. , Tryakin A. A. , Ryabova V. E. , Lebedenko I. M. , Tulin P. E. , Ivanov S. M.
Published: April 2024

The incidence of primary multiple malignant neoplasms (PMMN) in Russia is steadily increasing due to the increasing frequency of detection of metachronous tumors. A similar trend is observed in esophageal cancer (EC). Advances in the diagnosis and treatment of cancer have led to an increase in the life expectancy of patients after a cured primary tumor and, in turn, to an increase in the detection rate of a second tumor. The longer life expectancy of patients with cancer, the higher the likelihood of developing a second tumor. PMMN of the esophagus is one of the least studied problems in modern oncology, which complicates the choice of treatment tactics, since there are no standards for the management of such patients. This article reflects a multidisciplinary and individual approach to the treatment of a patient with primary multiple metachronous inoperable squamous cell carcinoma of the middle and lower thoracic esophagus. The patient underwent chemoradiotherapy (CRT) with full effect, with no post-radiation damage and improved quality of life.
PET/CT with 18F-FDG for TENIS Syndrome in a Patient with Bone Metastasis of Hurthle Cell Thyroid Cancer: a Clinical Case Report
Authors: Li A. A. , Geliashvili T. M. , Sushencov E. A. , Parnas A. V. , Baranova O. D. , Goncharov M. O. , Ilyakov V. S. , Puchnina A. V.
Published: April 2024

A significant role in improving the prognosis of differentiated thyroid cancer (DTC) in the presence of bone metastases is determined by early diagnosis of metastases, timely and correctly selected treatment tactics for the patient. During dynamic follow-up of patients with DTC after combined treatment (thyroidectomy with radioiodine therapy) are determination of the level of oncomarkers (serum thyroglobulin and antibodies to thyroglobulin) and ultrasound diagnostic of the neck, scanning with radioactive iodine (if clinically indicated). In some cases, patients have TENIS-syndrome (Thyroglobulin Elevated Negative Iodine Scintigraphy, hereinafter TENIS-syndrome), characterized by high serum thyroglobulin level in blood and absence of radioactive iodine accumulation on post therapeutic scintigraphy. According to the research studies, PET/CT with 18F-FDG has high sensitivity and specificity (89 % and 72 %, respectively) in visualization of metastatic radioiodine refractory foci in TENIS-syndrome.

This article presents a clinical case of a patient, a 52-year-old woman with Gurtle cell thyroid cancer (pT3aN0M0, stage I) with established TENIS syndrome. Thyroidectomy was performed in September 2019 and radioiodine therapy was performed in January 2022 due to suspected disease progression given high thyroglobulin levels. Given the absence of pathologic accumulation of 131I according to post-therapy radioiodine scanning, PET/CT with 18F-FDG was performed, which revealed a solitary metastasis in the left iliac bone (41×35×42 mm with SUVmax 17.25). In November 2022, radical treatment of the solitary bone metastasis was performed in the scope of resection of the left iliac bone with reconstructive-plastic component. According to the data of control examinations in June 2023, the patient has a complete biochemical and radiologic remission of the disease.
Achievement of Goal Orientation and Academic Engagement among Adolescents in Southwestern Uganda
Authors: Ndyareeba Eunice , Biirah Judith , Kibedi Henry Kasawo
Published: April 2024

Enhancing academic engagement is essential for improving the educational experiences of adolescents. Guided by Social Cognitive Theory, this study explored the relationship between achievement goal orientation and academic engagement among 510 secondary school students in Southwestern Uganda. The study focused on two forms of goal orientation—mastery-approach and performance-approach goals—and examined the mediating and moderating role of academic self-efficacy. The results, derived from self-reported data, indicate that approach achievement goals (mastery and performance) positively predict academic engagement, independently. Moreover, academic self-efficacy plays a dual role:  while it mediates the relationship between approach achievement goals (mastery and performance) and academic engagement, self-efficacy also moderates the relationship between performance-approach achievement goals and academic engagement. These findings underscore the importance of academic self-efficacy and achievement goal orientation in enhancing academic engagement among adolescent students, especially in low socioeconomic status communities. This research contributes to the understanding of factors like teacher-student relationship, external support offered by Compassion International program, goal setting skills training and predetermined external rewards can enrich the educational experiences of students in low resource education contexts
Analisa Hubungan Nilai Positivitas Glukosuria Dengan Kejadian Kandiduria Pada Pasien Diabetes Melitus
Authors: Bintari Ni Wayan Desi , Sudarma Nyoman
Published: April 2024

Kandiduria merupakan kondisi ditemukannya jamur Candida pada urine diatas batas normal. Risiko kandiduria dipengaruhi oleh beberapa faktor salah satunya diabetes melitus (DM). Pada pasien DM dapat terjadi glukosuria atau ditemukannya glukosa dalam urine. Keadaan tersebut diduga akan memberikan nutrisi lebih bagi jamur patogen sehingga meningkatkan risiko kolonisasi secara retrograde ascending. Penelitian ini bertujuan untuk melakukan analisis hubungan nilai positivitas glukosuria dengan kejadian kandiduria pada pasien DM. Jenis penelitian adalah observasional analitik dengan desain cross sectional. Penelitian dilakukan di Lab. Parasitologi dan Mikologi STIKES Wira Medika Bali pada Maret – Mei 2023. Populasi penelitian ini adalah pasien DM wanita yang melakukan pemeriksaan di Puskesmas 1 Denpasar Barat pada Maret – Mei 2023. Sampel penelitian sebanyak 62 pasien DM wanita yang diambil dengan teknik purposive sampling. Hasil penelitian menunjukkan sebanyak 22,59% responden menunjukkan hasil positif glukosuria. Hasil pemeriksaan kandiduria diketahui sebanyak 16,13% positif dan 83,87 negatif. Analisa hubungan dengan Fisher’s Exact Test menunjukkan terdapat hubungan nilai positivitas glukosuria dengan kejadian kandiduria (p-value <0,05). Meskipun demikian penelitian lebih lanjut perlu dilakukan dengan menggunakan responden dengan kategori kadar gula darah tidak terkontrol untuk menghindari bias dari hasil uji statistik.
Kata Kunci: Diabetes melitus, glukosuria, kandidiasis
Pemetaan Distribusi Prevalensi Dan Faktor Risiko Kejadian Stunting Berbasis Sistem Informasi Geografis Di Kabupaten Muara Enim Tahun 2022
Authors: Qatrunnada Nabilah , . Najmah , Fahrizal Fery , . Trisnawarman , Irawan Deddy , Oktarina Rini , Zahara Ragna
Published: April 2024

Penentuan prioritas masalah penting dilakukan guna percepatan penurunan stunting khususnya di Kabupaten Muara Enim yang menjadi urutan ketiga prevalensi stunting tertinggi di Sumatera Selatan. Sistem informasi geografis dapat menjadi pilihan untuk menentukan wilayah prioritas karena distribusi kejadian dapat divisualisasikan dalam bentuk peta. Penelitian ini bertujuan untuk memetakan distribusi prevalensi dan faktor risiko kejadian stunting di Kabupaten Muara Enim tahun 2022 dengan menggunakan studi deskriptif. Sampel pada penelitian ini yaitu balita stunting, bayi usia 6 bulan dengan ASI eksklusif, ibu hamil dengan riwayat anemia, ibu hamil dengan riwayat Kurang Energi Kronis (KEK), serta bayi baru lahir mendapat Inisiasi Menyusu Dini (IMD) di Kabupaten Muara Enim tahun 2022 yang tercatat di Elektronik Pencatatan dan Pelaporan Gizi Berbasis Masyarakat (E-PPGBM). Data diolah menjadi peta menggunakan aplikasi Qgis. Hasil pemetaan prevalensi kejadian dan faktor risiko stunting di 22 wilayah kerja puskesmas didapatkan 4 puskesmas dengan prevalensi stunting >2,5%, terdapat 5 puskesmas dengan prevalensi ibu hamil anemia >4%, terdapat 14 puskesmas dengan prevalensi ibu hamil KEK >7,3%, terdapat 1 puskesmas dengan prevalensi balita ASI eksklusif <53%, dan terdapat 3 puskesmas dengan prevalensi praktik IMD <79%.
Kata Kunci: stunting, Anemia, KEK, ASI eksklusif, IMD.
Kelas Antenatal: Persepsi Dan Dukungan Suami Terhadap Keikutsertaan Ibu Hamil
Authors: Heryani Putu Trisna , Parwati Ni Wayan Manik , Darmayanti Putu Ayu Ratna
Published: April 2024

Latar belakang: Di Indonesia, penyebab tidak langsung kematian ibu salah satunya adalah ketidaksiapan ibu untuk menjalani persalinan. Program kelas antenatal merupakan upaya untuk membantu ibu dalam untuk mempersiapkan persalinan. Persepsi dan dukungan suami menjadi faktor penting dalam keikutsertaan ibu hamil dalam kelas antenatal. Tujuan penelitian ini adalah untuk mengetahui hubungan antara persepsi dan dukungan suami dengan keikutsertaan ibu hamil dalam kelas antenatal di Puskesmas Tembuku II. Metode: Desain cross-sectional digunakan dalam penelitian ini dengan melibatkan 113 ibu hamil trimester III yang dipilih secara total sampling. Data di kumpulkan menggunakan kuesioner lalu dianalisis dengan uji Spearman Rank.  Hasil: Persepsi ibu hamil sebagian besar kurang yaitu 48 orang (42,5%), dukungan suami sebagian besar rendah 51 orang (45,1%), dan keikutsertaan ibu hamil sebagian besar kurang aktif yaitu 58 orang (51,3%). Ada hubungan positif kuat yang signifikan antara persepsi dengan keikutsertaan dan hubungan dukungan suami dengan keikutsertaan (p=0,001, r persepsi ibu hamil= 0,53, dan r dukungan suami= 0,74). Kesimpulan: Persepsi dan dukungan suami berperan penting dalam keikutsertaan ibu hamil mengikuti kelas antenatal. Peningkatan pendidikan dan dukungan bagi ibu hamil serta peran aktif suami dalam memberikan dukungan emosional dan praktis selama kehamilan diperlukan. Program pendidikan seperti kampanye penyuluhan kesehatan, dan penyediaan layanan yang memadai untuk mendukung peran aktif pasangan dalam perawatan prenatal.
Kata Kunci :  Dukungan Suami, Keikutsertaan Kelas Antenatal, Persepsi
Peningkatan Pengetahuan Perawatan Gigi Dan Mulut Anak Sekolah Secara Ceramah, Demostrasi Dan Leaflet
Authors: Sihombing Enna Rossalina , Octavia Erica
Published: April 2024

Kesehatan gigi dan mulut sangat penting dalam setiap kehidupan manusia termasuk pada anak, karena tidak dilakukan perawatan dengan baik dapat menyebabkan kerusakan pada gigi dan mulut yang akan menyebabkan rasa sakit, gangguan pengunyahan, dan dapat mengganggu kesehatan tubuh lainnya seperti gangguan pada saluran pencernaan. Berdasarkan Riset Kesehatan Dasar (RISKESDAS) 2018 menyatakan bahwa 93 %, anak di Indonesia mengalami karies pada gigi dan karies gigi ini menunjukan adanya masalah akan kebersihan gigi dan mulut. Salah satu upaya untuk mencegah terjadinya gangguan pada gigi dan mulut perlu adanya penyuluhan tentang perawatan gigi dan mulut. Metode yang dilakukan untuk anak adalah dengan cara ceramah, demontrasi dan pemberian leaflet, karena dengan ketiga metode pengajaran ini akan menyebabkan siswa akan lebih dapat mengerti akan perawatan gigi dan mulut. Tujuan : Penelitian ini dilakukan untuk mengetahui Peningkatan Pengetahuan Perawatan Gigi Dan Mulut Anak Sekolah Secara Ceramah, Demostrasi Dan Leaflet pada anak sekolah dasar di SD Santo Fransiskus III Jakarta Timur.  Metode : Penelitian ini menggunakan metode quasi eksperimen dengan menggunakan rancangan one group pre and postes design. Sampel sebanyak 80 responden yang berdasarkkan rumus solvin. Penelitian dilakuan di SD Swasta Santo Fransiskus III Jakarta Timur, pada bulan Juli 2022. Uji kuesioner dilakukan uji validitas, menggunakan program SPSS 24 dengan teknik Product Moment Pearson sedangkan pada uji reliabilitas dengan menggunakan teknik Alpha Chronbach dengan hasil Cronbach's Alpha = 0,642; Untuk uji statistic menggunakan distribusi frekuensi untuk uji uni variabel dan Uji Wilcoxon Signed Rank Test untuk lihat ada atau tidaknya peningkatan pengetahuan perawatan gigi dan mulut. Sebelum dilakukan penelitian, dilakukan uji etik dari komisi etik STIK Sint Carolus Hasil : Berdasarkan hasil univariat Mayoritas tingat pretes responden sebelum dilakukannya penyuluhan kurang mengetahui pengetahuan tentang perawatan gigi dan mulut sebanyak 33 responden (41,3%), cukup sebanyak 32 responden (40,0%) dan baik sebanyak 15 responden (18,8%). Namun setelah dilakukannya penyuluhan kesehatan tentang perawatan gigi dan mulut, pengetahuannya meningkat sebanyak 100,0% Uji  statistik menggunakan Uji Wilcoxon Signed Rank Test diperoleh nilai z :  -7,695 (z < 0,05) yang artinya ada pengaruh  pengetahuan perawatan gigi dan mulut antara sebelum dan sesudah dilakukan edukasi secara ceramah, demonstrasi dan pemberian leaflet.Kesimpulan : Ada peningkatan pengetahuan Perawatan Gigi Dan Mulut Secara  Ceramah, Demostrasi Dan Leaflet pada anak Sekolah Dasar Swasta Santo Fransiskus III, Jakarta Timur,
Kata kunci: pre dan postes,perawatan gigi dan mulut, tingkat pengetahuan
Hubungan Pengetahuan Ibu Dengan Perilakufeeding Rules Pada Balita Di Desa Tegal Kertha Wilayah Kerja Uptd Puskesmas I Dinas Kesehatan Kecamatan Denpasar Barat
Authors: Ekarini Putu Ayu , Mastryagung Gusti Ayu Dwina , Dwiyanti Ni Kadek Neza , Dewi Komang Ayu Purnama
Published: April 2024

Latar Belakang : Feeding rules merupakan aturan pemberian makan pada balita yang sudah direkomendasikan oleh Ikatan Dokter Anak Indonesia (IDAI) dalam mengatasi kesulitan makan pada balita. Ibu balita hendaknya menerapkan feeding rules dalam menunjang kebutuhan gizi yang cukup pada balita dan mengenalkan perilaku makan yang baik pada balita. Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan ibu dengan perilaku feeding rules pada balita di Desa Tegal Kertha Wilayah Kerja UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Barat. Metode : Desain penelitian ini menggunakan jenis penelitian analitik korelasional dengan pendekatan cross sectional. Sampel penelitian ini adalah ibu balita sebanyak 218 dengan teknik pengambilan sampel proportionate stratified random sampling. Instrumen penelitian yang digunakan adalah kuisioner. Hasil : Hasil yang didapatkan adalah mayoritas ibu memiliki kategori pengetahuan cukup (42,7 %) dan kategori perilaku feeding rules  sedang (52,3 %). Hasil analisis penelitian menggunakan Uji statistik Spearman Rank (Rho), yaitu p value = 0,001 < 0,05 berarti Ha diterima dan Ho ditolak yang menunjukan terdapat hubungan antara pengetahuan ibu dengan perilaku feeding rules pada balita di Desa Tegal Kertha Wilayah Kerja UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Barat. Kesimpulan : Hasil penelitian menunjukkan terdapat hubungan antara pengetahuan ibu dengan perilaku feeding rules pada balita.
Kata Kunci : Feeding Rules, Pengetahuan, Perilaku, Ibu Balita
Desain Video Tutorial Akupresur Untuk Kenyamanan Pasien Penyakit Tidak Menular Dan Kronis
Authors: . Sutarno , Pangesti Annisa Rahayu , Wulansari Nuni
Published: April 2024

Abstrak
Penyakit Tidak Menular (PTM) merupakan masalah di dunia termasuk di Indonesia. Ada 5 PTM kronis yang perlu perhatian khusus di Indonesia yaitu: Hipertensi, Stroke, Diabetes, Gagal ginjal kronik dan Kanker. PTM kronis sering menimbulkan akibat yang tidak menyenangkan bagi pasien. Salah satu akibat PTM kronis yang dirasakan adalah adanya gangguan rasa nyaman.  Gangguan rasa nyaman dapat diselesaikan dangan akupresur. Akupresur merupakan tindakan nonfarmakologis yang penting untuk diketahui dan dikuasi oleh perawat. Tujuan penelitian ini adalah mendesain video tutorial akupresur untuk kenyamanan dan mengetahui potensi penerapan dalam pembelajaran.  Metode penelitian menggunakan Research and Development (R&D) yang dimulai dari pengumpulan data sampai dengan uji coba terbatas. Instrumen penelitian meliputi: hand phone untuk merekam dan laptop untuk mengedit video. Evaluasi produk dilakukan melalui focus group discussion yang melibatkan 5 partisipan dan wawancara terhaadap 1 orang magister komputer. Hasil video secara umum dinilai baik, materi jelas, alur baik, gambar dan suara jelas. Video bermanfaat untuk pembelajaran dan dapat dilihat kembali jika lupa. Kesimpulan video tutorial akupresur untuk kenyamanan secara umum baik dan dapat digunakan untuk pembelajaran.
Kata Kunci: akupresur, penyakit tidak menular, penyakit kronis, tutorial, video
Small airway disease assessed by parameters of small airway dysfunction in patients with asthma, asthma-chronic obstructive pulmonary disease-overlap, and chronic obstructive pulmonary disease
Authors: Kraemer Richard , Matthys Heinrich
Published: April 2024

Aim: There is an increasing interest in defining the role of small airway disease (SAD) in asthma, chronic obstructive pulmonary disease (COPD), and asthma with coexisting COPD. Based on the specific pathophysiologic components of small airway dysfunction (SAdf) of these diseases, single lung function parameters characterize only fractional aspects of SAdf and that the phenotypic diagnosis of SAD, and therefore, the functional assessment must be based on more than one parameter, reflecting airway dysfunction, pulmonary hyperinflation (PHI), energy costs, trapped gases, and/or gas transfer disturbances. Methods: The present study was undertaken to define the interactive contribution of several spirometric and plethysmographic parameters such as forced expiratory flow between 25% and 75% of vital capacity (FEF25–75), effective specific airway resistance (sReff), plethysmographic functional residual capacity (FRC; FRCpleth), the parameter defining PHI, the aerodynamic resistive work of breathing at rest (sWOB), the volume of trapped gas at FRC (VTGFRC), and the carbon monoxide diffusion capacity (DLCO) as the parameter of the gas transfer. Results: The study clearly demonstrates that the diagnosis of SAD cannot be based on one single lung function parameter, especially not on the spirometric FEF25–75 only. Interestingly, sWOB has a high discriminatory power to define SAD in these diseases. Conclusions: Within a future framework including functional and treatable traits, it is mandatory to define SAdf parameters diagnosing unambiguously SAD, for a successful concept of precision medicine.
Study Effect Alpha Irradiation with Annealing on Chemical - Optical Properties of Poly (methyl methacrylate) Films
Authors: Alrakabi Muhanad , Rasheed Zahraa Sabah , Al-Sahlanee mayyadah Hasan Rhaif , Mohammed Ibraheem Musa
Published: April 2024

Polymers are commonly utilized sophisticated materials that may be found in nearly every item we use daily. Polymers relevance has recently been highlighted due to their applications in several fields of science, technology, and industry, ranging from fundamental usage to biopolymers and medicinal polymers. The research aims to study the effect of annealing with irradiation on the optical properties of PMMA films used in many industrial and medical applications. Where UV-Vis spectroscopy was used to study the absorption and emission spectra in calculating the optical parameters, it was found that the optical energy gap of the indirect transmission type decreases with the increase in the thickness of the thin films. Also, the optical parameters such as the absorption coefficient, refractive index, attenuation coefficient, and dielectric constants increase with increasing thickness. The character of FTIR spectra and the locations of the bands have been demonstrated to change with different time annealing temperatures with irradiation. Irradiation has been demonstrated to change the shape of FTIR Spectra and the placement of the peaks.
Non-Fourier Heat Flux Model for the Magnetohydrodynamic Casson Nanofluid Flow Past a Porous Stretching Sheet using the Akbari-Gangi Method
Authors: El Harfouf Amine , Herbazi Rachid , Mounir Sanaa Hayani , Mes-Αdi Hassane , Wakif Abderrahim
Published: April 2024

The Casson fluid flow with porous material in magnetohydrodynamics is examined in this work. Additional semi-analytical results are investigated using the Silver-Water nanofluid. The Akbari-Ganji Method (AGM) is used to solve the semi-analytical Cattaneo-Christov heat flux model after taking thermal radiation into account. With the use of appropriate parameters, such as the relaxation time parameter, Prandtl number, radiation parameter, magnetic parameter, and so on, the normalized shear stress at the wall, temperature profile, and rate of heat flux may be examined. This issue has numerous industrial applications and technical procedures, such as the extrusion of rubber sheets and the manufacture of glass fiber. The main physical application is the discovery that a rise in the thermal relaxation parameter and Prandtl number maintains a constant fluid temperature.
Multilevel Inverter with Enhanced THD Value used in Grid Connected Applications
Authors: Rao Y. V. Balarama Krishna , Rao N. Venkata Koteswara , Kumar Raja Sathish
Published: April 2024

In this work, the relationships among pulse width modulation (PWM), sinusoidal pulse width modulation (SPWM), and space-vector pulse width modulation (SVPWM) for three-phase inverters will be analyzed to better comprehend their differences. detailed comparison of the three modulation schemes under study’s Total Harmonic Distortion (THD). High-power applications are increasingly concentrating on converter technology. This growing importance may be attributed to its improved output waveforms over the 3- carrier-based sinusoidal pulse width modulation (SPWM). To control and modulate multi-level inverters, many techniques are employed. These methods are categorized based on how frequently they switch. The ripple current rating, capacitance value, and voltage balance in the DC bus capacitors are all impacted by the pulse width modulation techniques. It is crucial to select the modulation method based on the current control requirements, as this determines the output voltage waveform’s harmonic content. SVPWM is gradually becoming more and more popular in industries because of its improved dc bus utilization and ease of digital realization. This work examines PWM, Sinusoidal, and SVPWM feeding a load connected to RL. Three different methodologies’ performances are compared as these methods are investigated through simulation with MATLAB/SIMULINK software.
PI Current Controller Design for DC Drive System using 4- Quadrant DC-DC Converter and 3- Phase Rectifier
Authors: Saad Mustafa , Mustafa Khaled
Published: April 2024

DC Motors is considered one of the important machines in control systems such as industrial robots, vehicles, and process control. Current control of a DC drive is very desirable because by controlling the current, the torque is controlled. Moreover, current control can be used to prevent large damaging armature currents during start-up. A good current loop is very important when setting up a DC drive. When the control of the current loop is good, the steady state motor current should respond exactly with the reference current, and the transient response to the step change in the reference current should be fast and well-damped. This paper presents two different types of current controller converters that are commonly used in DC motor drives. The first converter is a 4-quadratic switch-mode DC-DC converter, while the second controller is a 3-phase controller rectifier. Both current converters were simulated using Matlab Simulink, where a PI current controller for the inner loop current control DC motor controls these converters. The PI controller was designed based on the Bode plot frequency response method. In this research, the design procedure was based on the small signal model and then, verified using a large signal model. The simulation result showed that the performance using a 4-quadrant DC-DC converter gave better performance than a 3-phase rectifier.
Information Support System for Forensic Activities: Current State and Directions of Development
Authors:   Russian State University of Justice, Moscow, Russia, Ustinov Vadim V. , Zalivokhina Ol’ga S. ,   Moscow City Duma, Moscow, Russia
Published: April 2024

The topic of informatization has long penetrated into a number of scientific fields, and information and new communication technologies are present in all spheres of society and structures of everyday life. Therefore, information processes are currently being studied at both the macro and micro levels. On the one hand, the global processes of informatization of economics, politics, and culture are studied, on the other – informatization and information processes in narrow fields of activity. Information began to be considered as the basis for changes taking place in society, rebuilding both its entire structure as a whole and the structure of individual types of human activities. In this regard, it should be noted that forensic expertise is particularly susceptible to various kinds of changes related to the processes of informatization of society. This is due to the fact that the process of expert research is, first of all, the process of transcoding information. Forensic expertise is inextricably linked with the concepts of information, information process, and informatization and cannot be considered in isolation from them.
Dual Index Evaluation Model for Grading Distribution Centers
Authors:   Korea Real Estate Society, Kwon Su Jin , Rim Suk Chul
Published: April 2024

This study proposes a new grading model for distribution center(DC)s. For a particular DC, the proposed model considers input variables such as (1) three key factors including site, building, and facility; (2) individual declared land value; and (3) demand-supply balance of the region. Unlike most existing models, we do not consider the rental fee of DC because it is usually accompanied by extra benefits that are hardly open to the public. Since grading of a DC using single value is difficult due to the diverse nature of these variables. we propose a dual index model. The first index represents the relative quality grade (A, B, or C) of a DC. It is quantitatively determined by the values of the ten key variables that affect the value of a DC, multiplied by the weight factors obtained using AHP method, divided by the individual declared land value of the DC. The second index indicates the relative level of the floor area ratio of the region. For the investors, sites with higher floor area ratio are typically regarded as more attractive ones. This dual index model will help both lessors and lessees assess the real estate value of a DC intuitively. It can also be used as a tool for investors to determine the location and other characteristics of the DC to build. This model aims to contribute to the long term demand-supply balance of DCs in Seoul capital area, fostering stable growth of the logistics industry.
A Study on the Effect of Historical Characteristics on the Sales of Commercial Areas in the Station Area: Focused on Hair Salons, Coffee/Beverage stores, and Convenience Stores in Seoul Station Area
Authors:   Korea Real Estate Society, Kim Jin A , Kim Ji Na , Ro Seung Han
Published: April 2024

The purpose of this study was to analyze the determinants of commercial sales of these industries located in the station influence area and to clearly identify the difference. The subjects of this study are beauty salons for service businesses, coffee/drinks for restaurants, and convenience stores for retail businesses, and these industries are characterized by the fact that the number of businesses in the top 100 living sectors selected by the National Tax Service is within the 15th place and are mainly concentrated in the station influence area. As a result of the analysis, it was found that hair salons, coffee/drink stores, and convenience stores were affected by sales differently depending on the characteristics of subway stations, regional characteristics, and location characteristics, respectively. This study aimed to serve as an objective and practical basis for decision-making by prospective entrepreneurs or related policy makers, targeting beauty salons, coffee/drink stores, and convenience stores that are close to people's lives and have a high influence in the station area. However, due to the limitations of available data, the characteristics of individual stores cannot be examined, and the study is limited to specific industries.
A Study on the impact of reconstruction levy on project duration in reconstruction projects
Authors:   Korea Real Estate Society, Kim Jeong Kyu , Hwang Jae Hong , Lee Myeong Hun
Published: April 2024

The purpose of this study is to examine how the reconstruction levy system for housing reconstruction and maintenance projects affects the project period, review major procedures and contents that affect the project period by stage, analyze problems, and improve the system. We are trying to find a solution. Due to the influence of the reconstruction levy system, which has been reimposed since 2018, the total project period and the project period for each major stage of the reconstruction project are changing, making decision-making difficult, resulting in unreasonable results. This shows that changes in government systems and policies bring uncertainty to the overall project period, lowering predictability. Accordingly, in this study, we collected and reviewed empirical data related to the reconstruction charge for each business complex for reconstruction projects in Seoul, analyzed the impact of the reconstruction levy on the project period through statistical analysis such as t-test, and analyzed the impact of the reconstruction levy on the project period. We looked at the causes of unreasonable problems, such as delays in the project period for each major stage and difficulty in predicting. As a solution, it was proposed to revise, supplement, and improve the procedure for calculating the estimated contribution under the Urban Development Act. Forecasting the project duration in a reconstruction project is an important feasibility analysis indicator and decision-making tool. As the reconstruction burden affects the project period, in order to smoothly promote the reconstruction project, a system that can reasonably estimate and predict the project cost share and reconstruction burden is established, and the goal of the urban development project is to provide high-quality urban areas in the city center. We hope that by supplying housing, we will be able to achieve great results in improving the residential environment and stabilizing the housing market.
Disease clearance in ulcerative colitis: A new therapeutic target for the future
Authors: Hassan Syed Adeel , Kapur Neeraj , Sheikh Fahad , Fahad Anam , Jamal Somia
Published: April 2024

Advancements in murine modeling systems for ulcerative colitis have diversified our understanding of the pathophysiological factors involved in disease onset and progression. This has fueled the identification of molecular targets, resulting in a rapidly expanding therapeutic armamentarium. Subsequently, management strategies have evolved from symptomatic resolution to well-defined objective endpoints, including clinical remission, endoscopic remission and mucosal healing. While the incorporation of these assessment modalities has permitted targeted intervention in the context of a natural disease history and the prevention of complications, studies have consistently depicted discrepancies associated with ascertaining disease status through clinical and endoscopic measures. Current recommendations lack consideration of histological healing. The simultaneous achievement of clinical, endoscopic, and histologic remission has not been fully investigated. This has laid the groundwork for a novel therapeutic outcome termed disease clearance (DC). This article summarizes the concept of DC and its current evidence.
Hepatic perivascular epithelioid cell tumors: The importance of preoperative diagnosis
Authors: Yan Shuai , Lu Jia-Jie , Chen Lin , Cai Wei-Hua , Wu Jin-Zhu
Published: April 2024

Accurate preoperative diagnosis is highly important for the treatment of perivascular epithelioid cell tumors (PEComas) because PEComas are mainly benign tumors and may not require surgical intervention. By analyzing the causes, properties and clinical manifestations of PEComas, we summarize the challenges and solutions in the diagnosis of PEComas.
Hyperleucocytosis and Leucostasis in Acute Myeloid Leukaemia: A Challenging Clinical Situation
Authors: Rahman Mujahida , Ahmed Munim , Hasan Md. Kamrul
Published: April 2024

Hyperleucocytosis is  defined as a white cell count (WBC) >50 x 109/L or commonly  100 x 109/L in a patient with leukaemia. Hyperleucocytosis with leucostasis is most often seen in patients with Acute Myeloid leukaemia (AML). AML with hyperleucocytosis is thought to have a poor prognosis because of a higher risk of early death due to complications such as disseminated intravascular coagulation (DIC), tumour lysis syndrome (TLS), and leucostasis, as well as a higher likelihood of long-term relapse. Leucostasis is considered a medical emergency since it has the potential to cause ischemia in vital organs with high mortality requiring immediate intervention. The molecular mechanisms that cause hyperleucocytosis are not well known.  The molecular mechanisms behind hyperleucocytosis remain poorly understood.
New variochelins from soil-isolated Variovorax sp. H002
Authors: Haedar Jabal Rahmat , Yoshimura Aya , Wakimoto Toshiyuki
Published: April 2024

The soil bacterial genus Variovorax produce distinct photoreactive siderophores that may play a crucial role in the iron cycle within the rhizosphere. This study focused on exploring the natural products of the soil-isolated Variovorax sp. H002, leading to the isolation of variochelins A–E (1–5), a series of lipohexapeptide siderophores. NMR and MS/MS analyses revealed that these siderophores share a common core structure – a linear hexapeptide with β-hydroxyaspartate and hydroxamate functional groups, serving in iron-binding coordination. Three new variochelins C–E (3–5) were characterized by varied fatty acyl groups at their N-termini; notably, 4 and 5 represent the first variochelins with N-terminal unsaturated fatty acyl groups. Furthermore, the variochelin biosynthetic gene cluster was identified through draft genome sequencing and gene knockout experiments. Compounds 1–5 exhibited antimicrobial activities against Gram-negative bacteria, including several soil-isolated plant pathogens.
Various Character Education Research on Baduy Indigenous People
Authors: Sutiapermana Aden , Malihah Elly , Somad Momod Abdul , Komariah Siti
Published: April 2024

This study aims to 1) analyze these studies from the point of view of the scientific paradigm, 2) determine the paradigm of science that has been done by previous research, and 3) Find untouched research gaps based on the paradigm of science. These three findings are useful as theoretical foundations for conducting subsequent research. Based on this objective, this research uses the method of literature study by utilizing an understanding of the philosophy of science to see the nature of the paradigm of science that underlies each research. The research process was carried out in three steps: the first began with conducting a literature review of several articles of character education research reports on the Baduy indigenous people; second, interpret by categorizing each research report based on the basic paradigm of the social sciences; and third, find a scientific paradigm that has not been done in previous studies. As a result, character education research that has been carried out has used various paradigms of social science, ranging from philosophy and psychology to sociology. However, if examined more deeply based on the perspective of the sociological paradigm, character education studies in the Baduy indigenous community are still within the scope of micro-sociology in the form of the role of the family in shaping character, no one has used the macro-sociological paradigm that considers the roles of social structures and systems in shaping community adherence to pikukuh (customary rules).