bluuebunny/crossref_metadata_2025 huggingface dataset:
Retained foreign needle in the thoracic spinal canal in a child: Case report
Authors: Kawtharani Sarah , Bsat Shadi Abdelatif , El Houshiemy Mohamad , Moussalem Charbel , Halaoui Adham , Omeis Ibrahim
Published: September 2021

Background:

The presence of retained foreign bodies in the spinal canal has been reported in the literature. They are attributed to retained pieces of medical equipment after surgery, or, following trauma, to residual bullets, glass fragments, or knife blades. Although some retained materials do not cause any neurological deficits in the short run, others may become symptomatic months later.

Case Description:

A 2-year-old male presented with a history of intermittent fever and mild lower extremity weakness. Notably, the original infectious workup was negative. However, a noncontrast CT scan later documented a needle-shaped foreign body in the spinal canal at the T10 level. During the T10 laminectomy, a needle (i.e. from a medical syringe) was removed, the patient remained neurologically intact. The foreign body turned out to be a medical syringe needle tip.

Conclusion:

A 2-year-old male presented with fevers and mild lower extremity weakness attributed to an intraspinal needle tip found utilizing CT at the T10 level. T10 laminectomy allowed for removal of a small needle tip. This shows the importance of removing retained spinal foreign bodies to avoid further/future neurological injury, and/or the potential risks/complications of foreign body migration/sequestration.
PENGARUH AGING DAN VARIASI KECEPATAN PUTARAN TERHADAP LAJU KOROSI PROPELLER BERBAHAN ALUMINIUM PADUAN
Authors: KAROKARO HENDRA SETIAWAN
Published: September 2021

Salah satu bahan baling-baling yang banyak digunakan adalah aluminium paduan. Kerusakan propeller yang terjadi di dominasi oleh terjadinya patah pada salah satu atau beberapa daunnya. Kerusakan berupa patahnya propeller tidak hanya disebabkan oleh beban kerja propeller, melainkan sebagai hasil akumulasi antara kerja propeller dan lingkungan kerjanya yang korosif. Salah satu cara meningkatkan sifat mekanis paduan aluminium adalah dengan perlakuan panas penuaan (aging treatment). Penelitian ini bertujuan untuk mendapatkan laju korosi akibat pengaruh kecepatan putaran propeller dan aging. Pada penelitian ini material Al paduan di-aging pada temperatur 170°C selama 180 menit. Material tanpa aging dan hasil aging kemudian diuji korosi dengan metode celup pada variasi putaran propeller 800 rpm, 1000 rpm, 1200, dan 1500 rpm  dengan waktu perendaman 12 jam , 24 jam, 48 jam,dan 168  jam. Hasil penelitian menunjukan bahwa kecepatan putaran propeller mempengaruhi laju korosi material. Spesimen yang diputar pada kecepatan 1500 rpm memiliki laju korosi 1,0084 mm/year untuk material tanpa aging dan 0,9447 mm/year untuk material dengan aging. Laju korosi ini lebih besar dibandingkan spesimen yang diputar pada kecepatan 800 rpm, 1000 rpm dan 1200 rpm. Laju korosi pada putaran 800 rpm adalah 0,6472 mm/year untuk material tanpa aging dan 0,5141 mm/year Utuk material dengan aging. Aging yang dilakukan pada material dapat menurunkan laju korosi dari 0,6472 mm/year  menjadi 0,5141 mm/year pada putaran 800 rpm, 0,7913 mm/year Menjadi 0,6775 mm/year  pada putaran 1000 rpm, 0,8805 mm/year menjadi 7438 mm/year Pada putaran 1200 rpm dan 1,0084 mm/year menjadi 0,9447 mm year pada putaran 1500 rpm. Pengamatan foto mikro menunjukan bahwa jenis korosi yang terjadi adalah korosi kavitasi.
EFFECT OF SPRAYING AND MESH SIZE ON SURFACE ROUGHNESS OF SS400 STEEL SANDBLASTING PROCESS
Authors: Saputra Budi , Aldio Rieza Zulrian , Dedikarni
Published: September 2021

During this time the ship's hull often occurs due to corrosion levels of salt in the Indonesian sea varies. The repair process often done to overcome this problem is by sandblasting which aims to clean the metal from the surface of the rust and provide suitable surface roughness on the metal surface so that the coating material can stick properly. This study aims to determine the size of silica sand and the repetition of the sandblasting process on the value of surface roughness and cleanliness of the material. In this study the SS400 material was sandblasting using 12 mesh, 16 mesh and 20 mesh sand at 7 bar, spraying 1x and 2x. From the test results obtained at a particle size of 20 mesh, 7 bar pressure, repeated spraying 2x which results in a surface roughness of 19.80 µm and cleanliness results achieved according to standard SA 2 1/2 (SSPC-SP10) from these conditions obtained surface roughness values according with the standard surface roughness of sandblasting and the level of cleanliness achieved in accordance with ISO 8503 standards and has been allowed for application.
What Can Ants Teach Us
Authors:   I.D. Papanin Institute for Biology of Inland Waters Russian Academy of Science, Russia, AV Makrushin
Published: September 2021

The transition of a species in the course of evolution to a social way of life intensifies the use of environmental resources by the population. This destroys the ecosystem. The population faces the problem of adapting to life in a new environment. The ants that entered public life 110-130 million years ago have already solved this problem. They solved it because they evolved by natural selection, the units of which were communities. Mankind, which has passed to social life much later than ants, has yet to solve the problem of adapting to existence in the biosphere it destroys. For it to be solved, it is necessary that humanity evolve through natural selection, the units of which would be societies. Globalization, uniting humanity into one society, will make the natural selection of societies impossible. Therefore, it will be an obstacle to the adaptation of humanity to life in the new biosphere it creates.
Associated Morbidity in Screened and Diagnosed Breast Cancer Patients: A Retrospective Study
Authors:   Department of Obstetrics and Gynecology, Isala Breast Unit and Prevention Centre, University Hospital Saint-Pierre (Université Libre de Bruxelles and Vrije Universiteit Brussel), Brussels, Belgium, I Diane B , C Birgit ,   Department of Obstetrics and Gynecology, Isala Breast Unit and Prevention Centre, University Hospital Saint-Pierre (Université Libre de Bruxelles and Vrije Universiteit Brussel), Brussels, Belgium, R Serge ,   Department of Obstetrics and Gynecology, Isala Breast Unit and Prevention Centre, University Hospital Saint-Pierre (Université Libre de Bruxelles and Vrije Universiteit Brussel), Brussels, Belgium
Published: September 2021

Introduction: Breast Cancer (BC) screening has been associated with reduced mortality and morbidity. This study compares tumor characteristics and treatment morbidity in screened versus diagnosed women. Materials and Methods: This retrospective study, conducted between 2010 and 2013, included 666 BC screened or diagnosed patients. We compared patients and tumors characteristics and received treatments. We also analyzed the results after excluding patients at risk of BC and conducted a multivariate analysis to assess odds ratios (OR). Results: Screened women had smaller tumors (16.5 vs. 22.6 mm, p<0.001), of lower grade (p<0.001) with a lower Proliferation Index (PI) (p<0.001) than diagnosed women. Screened women were more frequently treated using conservative surgery (82.8% vs. 59.7%, p<0.001), needed less often axillary dissection (15.1% vs. 35.4%, p<0.001) and less often chemotherapy (20.8% vs. 48.3% p<0.001) than diagnosed women. In the multivariate analysis after adjustment for age and BC history, diagnosed women had increased (OR: 4.79, 95% IC: 3.19-7.18) risk to be administered chemotherapy and to undergo axillary dissection (OR: 4.18, 95% IC: 1.56-11.17) than screened women. Conclusion: Patients should be informed about the benefits in terms of morbidity that screening confers to them.
Neurological Manifestations of Patients Infected with COVID-19: A Systematic Review
Authors:   Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, N Jafari , N Khoshghamat ,   Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, MS Ghaderi ,   Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran, S Yazdani ,   Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, A Sepehrinezhad ,   Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, E Saburi ,   Medical Genetics and Molecular Medicine Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran, V Hajali ,   Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran, S Sahab Negah ,   Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Published: September 2021

In the light of the recent evidence, neurological manifestations have been reported in patients infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). To shed light on a clear-cut explanation of neurological complications followed by SARS-CoV-2, a systematic analysis was reviewed. To this point, general medical databases, such as PubMed, Scopus, and Google Scholar from January 1, 2020, to September 20, 2020, were systematically searched to find related published articles. Through the search strategy, 93 studies for qualitative synthesis were included. Finally, the available data of 8,753 hospitalized patients with coronavirus disease 2019 (COVID-19) showed that the most prevalent Central Nervous System (CNS) manifestations of COVID-19 were headache (1137 cases, 18%) and dizziness (142 cases, 2%). On the other hand, some peripheral nervous system (PNS) symptoms were muscle pain (3300 cases, 53%), hypogeusia (646 cases, 11%), anosmia (545 cases, 9%), and hyposmia (379 cases, 6%). Furthermore, a small proportion of patients had ageusia (74 cases, 1%), cerebrovascular disorders (66 cases, 0.75%), and impaired consciousness (21 cases, 0.2%). Besides, some neurological features, such as encephalitis, neuralgia, ataxia, Guillain- Barre syndrome, miller fisher syndrome, intracerebral hemorrhage, polyneuritis cranialis, and dystonic posture were reported in the literature as case reports and case series. Conclusion: Taken together, data from our systematic analysis indicated that neurological manifestations in both CNS and PNS were reported in COVID-19 patients. Further observational research in this field with more participants are needed to detect the specific risk concerning neurological complications in COVID-19 infection.
Consonant Repertoire of a Prelinguistically Deaf Child with Late-Mapping Cochlear Implants
Authors:   Department of Rehabilitation Sciences, Cyprus University of Technology, Cyprus, P Binos , A Sfakianaki ,   Speech Signal Processing Laboratory, Computer Science Department, University of Crete, Greece, G Psillas ,   1st Academic ENT Department, Aristotle University of Thessaloniki, AHEPA Hospital, Greece
Published: September 2021

Objective: The present case study aims to report on the consonant repertoire during the pre-linguistic and first linguistic stage of a Greek-Cypriot speaking child bilaterally implanted with multichannel Cochlear Implants (CIs). Background: Children with Hearing Loss (HL) produce canonical babble later, and consonantal inventories of HL children are smaller. However, the consonant repertoire of CI Greek-speaking children has not been examined thus far and research on types of consonantal errors during phonological acquisition is scant. Clinical Case: A pre-linguistically deaf child (CY, 7;0 years old) received the first CI at 7 months of age, but the external part of the device was fitted at 2;7 years. An investigation of the child’s speech at 7;0 years was conducted through auditory analysis. The child’s canonical utterances were transcribed in IPA and his consonants were classified into subcategories, depending on articulation place, articulation manner and resonance. Regarding place, alveolar consonants were the main category produced. As regards manner, closed consonants was the first category to appear, while in terms of voicing, voiceless consonants were recorded more often than voiced ones. The analysis also showed that consonants /t/, /s/ and /p/ were dominant in the child’s speech and revealed several phonological processes. Conclusion: The present case holds special interest as the child’s phonological system is still between the pre-linguistic/first linguistic stages due to the delayed CI mapping. The results agree in part with several studies in the literature, while specific phonological error patterns observed, remain to be verified in other CI Greek-speaking children.
Trends and Factors Associated with Neonatal Sepsis at Ruhengeri Referral Hospital, Rwanda
Authors:   Department of Public Health, Mount Kenya University, Rwanda, E Nimukuze , B Mukarwego ,   Department of Public Health, Mount Kenya University, Rwanda, GE Bizimana ,   Department of Public Health, Mount Kenya University, Rwanda, E Rutayisire ,   Department of Public Health, Mount Kenya University, Rwanda
Published: September 2021

Neonatal sepsis is estimated to cause 26% of all neonatal mortality globally including Africa with 17% neonatal deaths. Early diagnosis and management can considerably decrease the risk of neonatal sepsis, and improve the outcome. This study aimed to determine trends and the risk factors associated with neonatal sepsis at Ruhengeri Referral Hospital from 2018 to 2019. A total of 1220 neonates’ medical files were reviewed. Data were recorded and analyzed by using SPSS. Logistic regression analysis was used to estimate factors associated with neonatal sepsis, 5% was considered as significance level. Results showed that the majority of neonates 57.4% were females, 53.9% of neonates had 0-7 days while 46.1% had more than 7 days of birth. The total cases of neonatal sepsis from January to December 2018 were found to be 207 with an average of 17 cases per month whereas there were 165 cases from January to December 2019 with an average of 14 cases per month. Research findings revealed that rupture of membranes (AOR=3.6; 95% CI: (1.34-4.76); p<0.001) and prolonged labour (AOR=1.5; 95% CI: (1.12-2.43); p<0.001) were associated with neonatal sepsis. Vaginal delivery and no history of urinary tract infection were protective factors to neonatal sepsis occurrence. The study also observed that the majority of the neonates had early onset of sepsis (<7 days). Hence, encouraging mothers to use antenatal care services might help identify the risk factors and possible interventions to reduce the risk factors of adverse birth outcomes including neonatal sepsis.
Screw-Retained Implant-Supported Fixed Dental Restorations: A Rational Method to Overcome Esthetic Issues with the Screw-Access Hole
Authors:   Head of Prosthodontics Department, School of Dental Medicine, University of Strasbourg, France, O Etienne , E Waltmann ,   Assistant Professor, Prosthodontics Department, School of Dental Medicine, University of Strasbourg, France, R Serfaty ,   Assistant Professor, Restorative Department, School of Dental Medicine, University of Strasbourg, France
Published: September 2021

Achieving both esthetics and a perfect seal of the screw-access hole in a screw-retained implant-supported fixed dental restoration is a great challenge. From a functional point of view, a perfect seal needs to be obtained to prevent bacterial contamination along the screw access canal and the occlusion shall be addressed. Such a challenging procedure has to be based on a rational analysis of the different materials used. Screw-retained zirconia-based restorations offer a new perspective for esthetic and biocompatible results. The aim of this article is to describe an easy and reproducible clinical procedure to esthetically seal the screw-access hole of screw-retained implant-supported fixed dental restorations.
Una conversación entre la filosofía analítica y el psicoanálisis: sobre The Unconscious, de Alasdair MacIntyre
Authors: De la Puente Arbaiza Carlos
Published: September 2021

En este artículo se analiza la obra de Alasdair MacIntyre, The Unconscious. Se postula que este libro interroga la teoría psicoanalítica desde la perspectiva de la filosofía analítica de la mente y continúa así la conversación entre el psicoanálisis y la filosofía anglosajona. Se discuten las tesis de MacIntyre en el sentido de que el concepto de inconsciente no es necesario para formular leyes científicas que correlacionen experiencias de la infancia con la vida adulta, y se concluye que, al plantear esta tesis, MacIntyre ignoró lo que él mismo considera que es el mayor logro de la teoría psicoanalítica.
Educación en valores
Authors: Polo Santillán Miguel Ángel
Published: September 2021

El artículo presenta diferentes aspectos de la complejidad de la educación en valores. En primer lugar, la distinguimos y relacionamos con la educación moral y la educación ética. Seguidamente, vemos dos modelos de educación en valores, la apuesta por una educación en valores entendida como realización de la vida buena y el rol de los distintos actores sociales para la realización de esta propuesta.
Los principios de autotelia y de no arbitrariedad en el concepto de ideología usado por Francisco Miró Quesada Cantuarias
Authors: Aldama Pinedo Javier Ulises
Published: September 2021

El planteamiento ideológico del filósofo peruano Francisco Miró Quesada Cantuarias es humanista,racionalista, progresista y occidentalista. Estas características se mantienen a lo largo de su obra escrita;sin embargo, se presenta un cambio de perspectiva relacionado con los principios en los que se sostiene supropuesta. En un primer momento, clasifica a su ideología como estimativa, con relación a uno de los principios que postula: el principio de autotelia, el cual simplemente se asume como un acto de fe y de acción; el otro principio que presenta es el principio de no arbitrariedad, que se vincula a la crítica racional. En un segundo momento, el principio de autotelia se replantea como proyecto, y a su vez destaca la importancia del principio de no arbitrariedad como condición necesaria y suficiente en el campo de la praxis. Finalmente, plantea el principio de simetría como complemento del principio de no arbitrariedad.
World Mental Health Day: Steer away from the Detrimental
Authors: Mansimranjit Kaur Uppal
Published: September 2021

Short Commentary on World Mental health Day
A influência da atividade física nos índices de positividade e orientação de vida no idoso
Authors: Teixeira Carla M. , Rodrigues Paula , Pinto Mário
Published: September 2021

O objetivo geral deste estudo foi comparar os níveis de atividade física com os níveis de Positividade e de Orientação de Vida nos idosos. A amostra foi constituída por 204 idosos com idades compreendidas entre os 61 e os 98 anos (M = 73.4; DP = 8.42). Para os propósitos do presente estudo utilizamos o Escala de Positividade e Teste de Orientação de vida. Os dados foram recolhidos em diversas instituições e residências. A descrição da amostra foi realizada através das medidas de tendência central e de dispersão. Foi realizado o teste de Kolmogorov Smirnov, os testes não paramétricos de Mann-Whitney e de Kruskal-Wallis, testes de comparações múltiplas e o coeficiente de correlação de Spearman. Os resultados obtidos demonstram uma relação positiva entre atividade física e as variáveis dependentes Positividade e Orientação de Vida. Face aos resultados concluímos que a atividade física promove benefícios para o idoso idoso, nomeadamente ao nível do ganho da saúde física, bem-estar psicológico, positividade e orientação de vida.
Shake Shack IPO Analysis
Authors: Hu Caixia
Published: September 2021

The restaurant industry is one of the largest and fastest growing sectors in the economy in the United States. According to the National Restaurant Association (NRA), the food service industry is the third largest industry accounting for more than 4% of the country’s gross domestic product (GDP). Shake Shack is an American fast food restaurant chain based in New York City. It started out as a food cart at Madison Square Park in 2000, and its popularity grew steadily. Shake Shack is currently one of the best fast-food restaurants in the world. This article discusses the successful business model of Shake Shack through IPO analysis.
Application of Simulation Technology in Military Education
Authors: Chen Yutong
Published: September 2021

Based on the teaching characteristics in military academies, simulation technology has been applied in their teaching methods. The issues faced in the application of virtual simulation technology to relevant professional teaching in armed police academies are analyzed in this article. Secondly, in view of the difficulties encountered in the organization and implementation of practical teaching as well as in the development of the current teaching, this article explores the impact of simulation technology in its application in teaching methods, training practices, and teaching channels.
Study on the Value of the Theory of Protection Motivation in the Nursing of Spinal Fracture to the Quality of Life
Authors: Fan Jianping , Wang Qi
Published: September 2021

Objective: To analyze the effect of protection motivation theory on the quality of life of patients with spinal fracture. Methods: From August 2019 to September 2020, 72 patients with spinal fracture were selected and randomly divided into two groups. The routine nursing group was the routine nursing group, and the combined nursing with the theory of protective motivation was the dynamic nursing group. Results: The hospitalization time, detumescence time, healing time and muscle strength recovery time of group A were shorter than those of group B (P < 0.05). The VAS score and Barthel index score of the dynamic group were better than those of the conventional group (P < 0.05); The score of SF-36 in the group A was higher than that in the group B (P < 0.05). Conclusions: The application of protection motivation theory in the nursing of patients with spinal fracture can shorten the healing time of fracture, promote the recovery of muscle strength, relieve the pain of fracture, and then improve the ability of daily life and quality of life of patients.
Analysis on the Factors Related to the Accidental Pregnancy in 98 Teenage Girls
Authors: Xu Yang , Yang Guixia
Published: September 2021

Objective: To understand the general information of adolescent girls with unplanned pregnancy and the information about abortion and reproductive health knowledge, analyze the influencing factors of unplanned pregnancy and explore the preventive measures. Methods: Using epidemiological investigation method, the adolescent females (age <19 years old) who volunteered requested pain deprivation in our hospital from January 2018 to December 2019 were examined by questionnaire with informed consultation, and the results were analyzed. Results: After screening, 98 valid questionnaires were received. The average age of girls were 16.81 years old, and the youngest was 13 years old. Employed girls accounted for 54.0%, students for 23.5% and unemployed people for 22.5%. Non-earners accounted for 38.8%, and those with monthly income less than 3,000 yuan accounted for 86.8%. 78.6 of those aged 16-18 had sex for the first time. The age of first sexual intercourse ?15 years old accounted for 21.4%. The first abortion patients accounted for 84.7%, repeated abortion accounted for 15.3%. years old accounted for 19.05%. First abortion in the age ?15 There was no statistical difference between the reproductive health knowledge mastery score and the family economic status, parents’ occupation, parents’ marital status, parents’ sex education (P >0.05). The score of reproductive health knowledge was statistically different from that of school sex education and hospital sex education (P <0.05). Conclusions: The primary cause of unintended pregnancy is the lack of knowledge of contraception and reproductive health. Schools and hospitals are effective in sex education for adolescent girls. Relevant government departments, schools, families and hospitals should pay more attention to sex education and strengthen efforts to improve the quality of education, so as to further reduce the harm caused by accidental pregnancy of adolescent girls.
Discussion on Traditional Chinese Medicine Understanding of Renal Cyst
Authors: Li Ningning , Fan Ping
Published: September 2021

The article, from perspective of traditional Chinese medicine (TCM), summarizes etiology as well as pathogenesis, dialectical classification, and treatment method of renal cyst, and concludes that when treating the disease, the first thing to do is to supplement the kidney, then give treatment to the pathogen and tonify qi while attack the pathogen. Additionally, the key of the treatment is to have dynamic observation and timely treatment. In a word, TCM integrated treatment has unique advantage of treating the disease.
Professor Ruixia Pei’s Clinical Experience in Treating Globus Hystericus with “Harmonizing Method”
Authors: Sun Di , Pei Ruixia , Chen Xingyu , Zhang Fen
Published: September 2021

To summarize professor Pei’s experience in treating globus hystericus. Methods: Learn from your teacher. Results: Professor Pei had been suffering from the disease for more than 30 years and had her unique views on the treatment of globus hystericus, which are mostly for emotional dysfunction, liver Qi is not comfortable, functioning of Qi is not adjusted, Yin and Yang imbalance. The basic principle of treatment is to grasp the core pathogenesis, take harmony as the method and balance as the duration, harmonize Qi, regulate Yin and Yang, use drugs to disperse the liver and rectify Qi, as well as auxiliary treatment with products to promote blood circulation, remove blood stasis, dryness and dampness, and clear heat.
Effect Observation of Process Diabetes Group Nursing on Patients with Diabetes Mellitus
Authors: Zhang Menghu
Published: September 2021

Objective: Discuss the clinical effect of the process diabetes nurse group in the treatment of diabetes patients. Methods: A total of 58 patients with diabetes who received treatment in our hospital from January 2021 to June 2021 were selected, and the 58 patients were divided into two groups by random number table. In one group, 29 patients were treated with process diabetes group nursing, which was recorded as the observation group; in the other group, 29 patients were treated with conventional care, which was recorded as the control group. Nursing satisfaction, compliance behavior of patients, and adverse incidence were analyzed. Results: After nursing, the data of the two groups were summarized. The score of compliance behavior in the observation group was 91.23 ± 4.56, which was significantly better than that in the control group (75.13 ± 5.23). The t values of the score of compliance behavior were 12.4952, P < 0.05. The qualified rate of fasting blood glucose in the observation group was 100 %, which was significantly higher than that in the control group (62.07 %), P < 0.05. According to the questionnaire analysis, there were 18 patients in the observation group who were very satisfied, 8 patients who were satisfied and 3 patients who were not satisfied, with a total satisfaction rate of 89.66%, and in the control group, there were 4 patients who were very satisfied, 15 patients who were satisfied and 10 patients who were not satisfied, with a total satisfaction rate of 65.52%. The control group was significantly inferior to the observation group, and P< 0.05 was regarded as statistically significant. Conclusion: Adopting the process of diabetes group nursing can effectively enhance the compliance behavior of patients, and effectively control the blood sugar index of patients, and improve the satisfaction degree of patients.
China Elderly Care: A Confucian Legacy
Authors: Song Yutao
Published: September 2021

This paper explores the Confucian roots of elderly care expectations and how these expectations may influence the current state of the elderly and elderly care in modern China. This paper posits that the outdated expectations combined with recent urbanization trends has put unrealistic pressures on society to adequately care for a rapidly aging population. Until expectations are adjusted to reflect modern day families and realities, the elderly will continue to struggle with a sense of inadequate care, which can lead to mental health issues and feelings of isolation. Once the shackles of Confucian expectations are removed, families, governments and private institutions will have the freedom to be more creative in the way they imagine solutions for elderly care.
Clinical Analysis of Targeted Navel Drops in the Treatment of Diabetes Mellitus
Authors: Zhu Yueping
Published: September 2021

Objective: To analyze and evaluate the clinical efficacy of targeted navel drops in the treatment of diabetes mellitus. Methods: The time span of the study was from September 2020 to April 2021, and 288 diabetic patients were selected from our hospital. The patients were divided into research group (n = 96) group, control group 1 (n = 96) and control group 2 (n = 96) by random number table. Control group 1 was managed with diet and exercise alone, control group 2 was treated with metformin on the basis of control group 1, and based on the treatment plan of the two control groups, the research group was treated with targeted navel drops. The relevant indexes of the three groups were compared and analyzed. Results: There was no significant difference in the fasting blood glucose and 2-hour postprandial blood glucose among the three groups (p > 0.05) before the treatment. After treatment, the fasting blood glucose and 2-hour postprandial blood glucose of the research group were significantly lower than those of control group 1 and control group 2 (p < 0.05). The total effective rate of the research group was 95.8%, that of control group 1 was 85.4%, and that of control group 2 was 79.2%. The total effective rate of the research group was significantly higher than that of control group 1 and control group 2 (p < 0.05). Conclusion: There is a significant effect of targeted navel drops on diabetic patients in reducing their blood sugar levels, and its curative effect is better than using a single hypoglycemic therapy belonging to western medicine. It can be widely promoted at all levels in medical institutions.
Improved Epicanthus Correction Combined with Double Eyelid Surgery
Authors: Li Zhisheng
Published: September 2021

Objective: To explore the clinical effect of improved epicanthus correction combined with double eyelid surgery. Methods: From February 2019 to February 2020, 70 patients with epicanthus who underwent surgical treatment were treated as study participants. The computer 1:1 grouping method was adopted. Thirty-five patients in the reference group were treated with epicanthus correction, and 35 patients in the experimental group were treated with improved epicanthus correction combined with double eyelid surgery. The operation effect was compared. Results: The satisfaction scores of morphological aesthetics and prognosis recovery in the experimental group were higher than those in the reference group (P < 0.05). The recurrence rate of scar hyperplasia and epicanthus in the experimental group was lower than that in the control group (P < 0.05). Conclusion: The improved epicanthus correction combined with double eyelid surgery can engender ideal correction effect and reduce postoperative adverse outcomes. Therefore, the combined operation scheme is feasible.
Logistic Regression Analysis of the Influencing Factors of Cryptogenic Stroke with Positive c-TCD
Authors: Wu Jing , Ma Guoping , Wang Jing , Li Hongjuan , Zhang Lili , Zhou Lizhu
Published: September 2021

Objective: To explore the influencing factors and logistic regression characteristics of cryptogenic stroke in patients with positive transcranial doppler bubble test (c-TCD). Methods: A total of 134 cases of cryptogenic stroke that were diagnosed by Tianshui First People’s Hospital from November 2018 to April 2020 were selected according to the TOAST (Trial of ORG 10172 in Acute Stroke Treatment) classification criteria. According to c-TCD results, there were 70 cases of right to left shunt that were included in the positive group and 64 cases without right to left shunt in the negative group. Gender, age, smoking, diabetes, hypertension, and factors affecting the positive rate of foam were analyzed. According to the abnormal embolism scale scores, logistic regression equation was used to analyze the independent influencing factors. Results: The influencing factors of cryptogenic stroke in patients with positive c-TCD were correlated with age, gender, and abnormal embolism scale scores (p < 0.05). For each grade increase in age, the proportion of positive foam test was calculated to be 3.21 times, and the proportion of female to male was calculated to be 2.25 times. For each grade increase in the scores, the proportion of positive foam test was calculated to be 2.55 times. Conclusion: Female, older age, and higher scores in the abnormal embolism scale are the influencing factors for cryptogenic stroke in patients with positive c-TCD.
LAYANAN BIMBINGAN KLASIKAL MENGGUNAKAN MEDIA BERBASIS APLIKASI GOOGLE CLASSROOM PADA SISWA SMA NEGERI 1 NGUTER
Authors: Edmawati Mahmuddah Dewi
Published: September 2021

Abstract.Research objectives are to find out (1) Classical guidance service media, (2) Classical guidance service model through Google classroom application, (3) Classical service implementation efforts. The research method used in this research is literature study. The results of this study are: (1) Classical guidance service media in schools is still conventional based, (2) Classical guidance model using google classroom is done by providing material before the service is carried out, giving assignments, assignments will be stored and assessed on a series of google productivity applications, there is collaboration between teachers and students and students with other students; Grading process which is useful for measuring or assessing the work given to students; Communication process is useful for communication between teachers and students without having to be in the same room but through posts and comments in the application; Time-Cost aims at setting time; there is an Archive Course which is useful for archiving data and documents of learning materials during classical service classes; easy access to the Mobile Application because it is available in the form of an application on the mobile phone or playstore or based on android. With the application of classical services through Google classroom, it is easier for students to receive independent guidance and counseling services.Keywords: Counseling Media; Google classroom application; Classical Guidance Abstrak.Tujuan Penelitian untuk mengetahui (1) Media layanan bimbingan klasikal, (2) Model layanan Bimbingan klasikal melalui Aplikasi Google classroom, (3) Upaya pelaksanaan Layanan Klasikal. Metode penelitian yang digunakan dalam penelitian ini adalah studi kepustakaan. Hasil penelitian ini adalah: (1) Media layanan bimbingan klasikal di sekolah masih berbasis konvesional, (2) Model bimbingan klasikal menggunakan google classroom dilakukan dengan cara memberikan materi sebelum layanan dilakukan, memberikan penugasan, penugasan akan disimpan dan dinilai pada rangkaian aplikasi produktivitas google, terjadi kolaborasi antara guru dan siswa dan siswa dengan siswa yang lain; proses Grading yang bermanfaat untuk melakukan pengukuran atau penilaian terhadap pekerjaan yang diberikan kepada siswa; proses Communication bermanfaat untuk komunikasi antara guru dan siswa tanpa harus berada diruangan yang sama tetapi melalui postingan dan komentar di aplikasi; Time-Cost bertujuan untuk pengaturan waktu; ada Archive Course yang bermanfaat untuk pengarsipan data dan dokumen bahan pembelajaran selama kelas layanan klasikal berjalan; kemudahan akses di Mobile Aplication karena telah tersedia dalam bentuk aplikasi di handphone atau playstore atau berbasis android. Dengan penerapan layanan klasikal melalui Google classroom maka siswa lebih mudah dalam menerima layanan bimbingan dan konseling yang memandirikan.Kata Kunci: Media Konseling; Aplikasi Google classroom; Layanan Klasikal
HUBUNGAN ANTARA SELF EFFICACY DAN DUKUNGAN SOSIAL DENGAN RESILIENSI SISWA SMK NEGERI 1 WONOSEGORO KABUPATEN BOYOLALI TAHUN PELAJARAN 2020/2021
Authors: Maharani Putri Cecylia Dewi
Published: September 2021

Penelitian ini dilatarbelakangi oleh fenomena data awal yang terjadi di SMK Negeri 1 Wonosegoro yang menunjukkan bahwa siswa memiliki tingkat resiliensi dalam kategori sedang. Resiliensi dipengaruhi oleh faktor protektif yang berasal dari dalam maupun luar diri individu, faktor tersebut diantaranya adalah self efficacy dan dukungan sosial. Tujuan dari penelitian ini adalah untuk (1) mengetahui tingkat resiliensi, (2) mengetahui tingkat self efficacy, (3) mengetahui tingkat dukungan sosial, (4) mengetahui hubungan antara self efficacy dan resiliensi, (5) mengetahui hubungan antara dukungan sosial dan resiliensi, (6) mengetahui hubungan antara self efficacy dan dukungan sosial dengan resiliensi siswa SMK Negeri 1 Wonosegoro Kabupaten Boyolali Tahun Pelajaran 2020/2021.Penelitian ini merupakan jenis penelitian ex post facto dengan desain penelitian kuantitatif korelasional. Sampel yang digunakan berjumlah 265 siswa dari 1.151 siswa dengan teknik pengambilan sampel propotionate stratified random sampling. Alat pengumpul data yang digunakan dalam penelitian ini antara lain skala resiliensi, skala self efficacy, dan skala dukungan sosial. Validitas instrumen penelitian menggunakan validitas konstruk dan diuji dengan rumus product moment. Sedangkan reliabilitas instrumen diuji dengan rumus cronbach alpha. Teknik analisis data yang digunakan adalah analisis deskriptif kuantitatif dan analisis statistik inferensial dengan teknik analisis regresi ganda.Hasil analisis deskriptif kuantitatif menunjukkan bahwa tingkat resiliensi, self efficacy, dan dukungan sosial termasuk dalam kategori sedang. Hasil analisis statistik inferensial menunjukkan bahwa terdapat hubungan yang signifikan antara self efficacy dan resiliensi (R=0,819, p=<0,05) dan t=21,010>1,969. Kemudian antara dukungan sosial dan resiliensi juga menunjukkan adanya hubungan yang signifikan (R=0,435, p=<0,05) dan t=4,788>1,969. Begitu pula hubungan antara self efficacy dan dukungan sosial dengan resiliensi juga memiliki hubungan yang signifikan (R2=0,698,  p=<0,05) dan F=302,598.Berdasarkan hasil tersebut, dapat disimpulkan bahwa semakin tinggi self efficacy dan dukungan sosial, semakin tinggi pula resiliensi siswa. Oleh karena itu, guru BK diharapkan dapat memberikan pelayanan bimbingan dan konseling terkait resiliensi, self efficacy dan dukungan sosial untuk membantu siswa dalam meningkatkan kemampuan resiliensi. Dengan kemampuan tersebut, membantu siswa untuk beradaptasi secara positif dan bertahan dalam kesulitan, serta bangkit dari keterpurukan sehingga ia mampu menyelesaikan tugas perkembangan dan tugas akademiknya.
PERILAKU ASERTIF DALAM MENOLAK AJAKAN PENYALAHGUNAAN NARKOBA DITINJAU DARI GENDER
Authors: Astuti Dwi
Published: September 2021

This study aims to describe the assertive behavior of male and female students' assertive behavior to reject the invitation to drugs abuse. The population used was the tenth and eleventh graders of Vocational School Student of Bandar Pacitan in the academic year of 2020/2021 with a population of 212 students and samples were taken using saturated sampling techniques. The data collection method used an assertive behavior questionnaire. The validity of the instrument used the product moment formula and its reliability used the Alpha formula. Data analysis used percentage descriptive and quantitative analysis using statistical formula t-test or independent samples t-test. The validity, reliability, and data analysis were assisted by the SPSS 21 for Windows program. The results of the analysis showed that assertive behavior to refuse the invitation to drug abuse by female students was higher with an average of 80.17% compared to male students who obtained an average of 72.68%. The conclusion of this study was that there was a significant difference in the assertive behavior of male and female students to reject the invitation to drugs abuse. Keywords: Assertive behavior; Drugs and Youth.
HUBUNGAN ANTARA DUKUNGAN SOSIAL DAN MANAJEMEN WAKTU DENGAN KEMANDIRIAN BELAJAR MAHASISWA
Authors: Meilyana Hanindita
Published: September 2021

The purpose of the study was to find out the relationship between social support, time management and self directed learning in students of the Faculty of Education. Data obtained from students of the class of 2017-2020 majoring in Counseling Guidance, Education Technology, Out-of-School Education, Elementary Teacher Education, PAUD Teacher education, and Psychology with a sample of 320.This research includes quantitative. Sampling using cluster random sampling .Data collection tools social support scale, time management scale, self directed learning scale. His research data analysis techniques are descriptive analysis and multiple correlation analysis. This research shows a positive and significant relationship between social support and time management with self directed learning. These results show that the higher the social support and time management, the higher the independence of learning.Keywords: social support; self directed learning; time management
Influence of tillage systems and herbicides on weed control and yield of cotton in wheat-cotton system
Authors: Khan Niamat Ullah , Khan Aftab Ahmad , Ullah Sami , Ullah Imran , Khan Shitab
Published: September 2021

Wheat–cotton system is a major production system in Pakistan, however, cotton yield is declining in the system most likely due to weeds infestation and intensive tillage practices. Conservation tillage such as reduced and zero tillage in combination with appropriate herbicide may have the potential to enhance cotton yield on sustainable basis. The objective of this study was to determine the effect of herbicides under different tillage systems on weed control and cotton yield in wheat-cotton system. A field experiment was conducted at Cotton Research Station, Ratta Kulachi, Dera Ismail Khan, Pakistan, during 2017 and 2018. In the experiment, post-emergence herbicides, i.e. floxyfop-R-methyl 10.8 EC (108 g a.i. ha-1), lactofen 24 EC (168 g a.i. ha-1), floxyfop 10.8 EC + lactofen 24 EC, hand weeding, weedy check and three tillage systems (zero tillage, reduced tillage and conventional tillage) were evaluated in randomized compete block design (RCBD), with split plot arrangements, replicated 4 times. Tillage was allotted to main plots while herbicides were applied to subplots. The results revealed that hand weeding and floxyfop as post emergence alone or in combination with lactofen reduced weed density to the minimum irrespective of the tillage systems. Maximum dry weed biomass was recorded in control. Interaction effects revealed that reduced tillage in combination with broad spectrum herbicides had maximum weed population reduction percentage. Reduced tillage with broad spectrum herbicides had seed cotton yield compared to zero and conventional tillage. In conclusion, broad-spectrum herbicides under reduced tillage were more productive in wheat based cropping system on silty clay soil of D.I.Khan.
Evaluation of The Use R450A as an Alternative to R134a in Low and Medium Temperature Heat Pump Systems: 4-E (Energy, Exergy, Environmental and Enviro-Economic) Analysis
Authors: Yıldırım Ragıp
Published: September 2021

This investigation presents a theoretical evaluation of the use R450A replace to R134a in the low and medium temperature heat pump systems. The energy, exergy, environmental and enviro-economic analyzes of heat pumps have been performed for two refrigerants (R134a and its alternative R450A). The thermodynamic and environmental analyses have been made for two heat source temperatures (10 oC and 20 oC) and six heat sink temperatures (from 30 oC to 55 oC). It has been observed that R450A's mass flow rate is lower than R134a. Because the density of R450A in the heat pump suction line is lower than R134a. Although the heating capacity of R134a is more than R450A, the reason why R134a has a similar COP value with R450A is that R450A's compressor energy consumption is lower than R134a. Exergy destruction occurred mostly in the compressor under all operating conditions for both refrigerants. At low heat sink temperatures, minimum exergy destruction occurs in the expansion valve, as the minimum exergy destruction occurs in the evaporator at high heat sink temperatures. The exergy results show that R450A behaves similarly to R134a. In conclusion, as alternative refrigerant R450A can be used in heat pumps replace to R134a according to energy, exergy, environmental and environmental-economic analysis results.
Cuidados de enfermería en la prevención de infecciones asociadas a la atención de salud (IAAS) en pacientes críticos
Authors:   Universidad de Guayaquil, Oviedo Rodríguez Ruth Jakeline , Ávila Peña Youdesley ,   Universidad de Guayaquil, Mariño Cano Héctor ,   Universidad de Guayaquil, Lozano Domínguez Milka María ,   Universidad de Guayaquil
Published: September 2021

n la actualidad, la comercialización bananera es altamente competitiva al responder a las reglas de oro del marketing que fundamentalmente señalan que el producto se venderá solo si responde a la necesidad de los mercados, satisfaciendo las exigencias del consumidor, por lo tanto exige una permanente investigación y estudio de los mercados a fin de detectar las brechas mercadológicas; así mismo por la existencia de movimientos de defensa del consumidor y del medio ambiente que buscan satisfacer sus necesidades sin afectar la ecología, por ello la atención del marketing a más de la promoción nos conduce a una acción metódica planificada que en todo momento buscará salvar los imprevistos y contingencias que puedan suscitarse en el mundo de la comercialización de un producto determinado.
Gestión administrativa de la carrera de contabilidad y auditoría de la Universidad Estatal de Bolívar: Planes vinculados al aseguramiento de la calidad de la educación superior 2020-2025
Authors:   Universidad Estatal de Bolívar, Chávez García Elsita Margoth
Published: September 2021

La planificación es el proceso sistemático y metodológico basado en la situación actual, para establecer actividades, políticas, metas y objetivos, que permitan alcanzar una situación deseada, en el plazo propuesto, garantizando el respeto a los derechos individuales y colectivos, de sus beneficiarios. El Plan de Gestión académica en el ámbito de la Educación Superior, es un programa concreto de acción a corto plazo, en cual se identifican los objetivos estratégicos y tácticos a lograr, metas, indicadores de resultados, programas, proyectos, estrategias, actividades a desarrollarse, cronogramas y responsables de la ejecución, quienes deberán garantizar el cumplimiento de lo planteado.
UPAYA PENINGKATAN KETRAMPILAN MENYUSUN LAPORAN KEUANGAN BAGI PENGURUS KOPERASI WANITA (KOPWAN) DESA BAMBANG KECAMATAN TURI LAMONGAN
Authors: Anshori Zakaria , Suniah Leni Faizatus
Published: September 2021

This community service activity is carried out at the Lintang Jaya Women's Cooperative Management (Kopwan), which is one of the places for economic activity in Bambang Village, Turi District. This community service aims to provide training and assistance in the preparation of cooperative financial reporting. The methods used to realize this community service program are (1) the preparation stage, (2) the implementation stage, (3) the evaluation stage. Broadly speaking, this training activity can be declared successful, seen from the enthusiasm of the cooperative management during the training process and assistance in preparing financial reports. In addition, this service activity can contribute to increasing the knowledge and skills of cooperative managers in preparing cooperative financial reports in accordance with applicable accounting standards.