bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Cupping Therapy on Pain Degree in Athralgia
Authors: Kusworini
Published: November 2021

Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Malang. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.
Potential Combination of Xanthone Compounds from Mangosteen Fruit (Garcinia mangostana) with Eugenol Compounds in Basic Leaf (Ocimum sanctum) as Alternative Therapy in Preeclampsia
Authors: Sutrisno Muhammad Al Farisi
Published: November 2021

Preeclampsia is a hyperdynamic condition that is syndromed by hypertension and proteinuria after 20 weeks of pregnancy. Preeclampsia incident is the first cause of 6-8 % number morbidity/mortality maternity and fetus in the world. Preeclampsia is related to the disability of physiology adaptation that can decrease perfusion of uteroplacental. Xanthone derivatives in mangosteen have been reported to possess a wide range of biological properties, including antioxidant and antihypertensive activities. Eugenol is a primary component of basil oil. It is known for its antioxidant, antiinflammatory, and vasorelaxant actions. These beneficial effects of eugenol make it an excellent therapeutic candidate for the treatment of hypertensive disorders of pregnancy. This study wants to analyze the best available research evidence on the potential combination of xanthone compounds from mangosteen fruit (Garcinia mangostana) with eugenol compounds in basil leaf (Ocimum sanctum) as an alternative therapy in preeclampsia.  A literature review was conducted in the electronic databases PubMed and Google Scholar using the index terms "xanthone" and "eugenol" and "hypertension" and "preeclampsia." All types of studies were included for this study, such as randomized controlled trials, systematic reviews, literature reviews, and pilot studies published between 2010 and 2021. Articles which not written in English were excluded from the study. This search resulted in 10 papers. Antioxidant properties of mangosteen peel extract compounds derived from xanthone, the most significant component is α-mangosteen and γ-mangosteen. Eugenol is vasorelaxant action by increasing the expression of its target genes, Sarco/endoplasmic reticulum Ca²⁺-ATPase and adequate potassium-calcium-activated potassium channels channel, thereby relaxing vascular smooth muscle cells and decreasing blood pressure. With this review, we suggest that eugenol, which is a vasorelaxant combined with xanthone which is an antioxidant by obstructing free radical and oxidative stress, can be a potent therapeutic for preeclampsia and intend to motivate researchers (e.g., chemistry, biology, pharmaceutical, and therapeutic areas) to provide evidence of these compounds for the management of preeclampsia.
Improving the Quality of Freedia Herbal Products SME Hippocrates Medika Palembang with the Application of Capsulation Technology
Authors: Hidayat Rachmat , Lusia Hayati  , Nita Parisa  , Septi Purnamasari  , Rara Inggarsih
Published: November 2021

Spices have been widely developed for herbal products because people believe that the product is safe without any side effects that are harmful to the health of the body. Herbal products are made from natural ingredients of plants or plants without a mixture of chemicals. One of the herbal product businesses in Palembang is SME Hippocrates Medika. SME Hippocrates Medika was established in 2019 as a komanditer snuffoying business. Freedia is the flagship product of this SME which is downstream from the innovation products of Rachmat Hidayat and the team. Freedia is an herb that is processed as a brew drink to overcome diabetes mellitus disorder. In an effort to improve the quality of Freedia products, efforts are made to carry out a capsulation process for the extract so that the discomfort of freedia extract can be minimized to the maximum. The application of capsulation technology greatly helps improve the quality of freedia herbal products. Where consumers feel very comfortable in the consumption of freedia herbs because there is no need to bother boiling herbs and do not need to feel bitter when consuming herbs.
Design and Build Security for Opening and Closing a House Fence using a Microcontroller-Based Remote Control
Authors: Rahman Nashrullah Mujibur , Didik Tristianto  , Slamet Winardi
Published: November 2021

Home security is an inevitable need. The security system on the fence by entering a password on the remote control allows ensuring security. This study aims to design a security system technology that is automated when the homeowner enters a pre-set password/passcode. All of these systems are connected to the ATmega8535 microcontroller which has been programmed using the Code Vision Avr software stored in the ATmega8535 microcontroller memory and supporting memory as a means of storing password data.
Relationship of Education, Knowledge and Behavior of Society and Scabies in Syamtalira Bayu Health Center Northern Aceh Regency
Authors: Zara Noviana
Published: November 2021

Scabies is a skin disease caused by the investment and sensitization of Sarcoptes Scabiei mites variants of hominis and their products to the body. Scabies is often neglected because it is not life- threatening so the priority of treatment is low, but actually chronic and severe scabies can cause dangerous complications. WHO noted that approximately 130 million population in the world experienced scabies in 2018. While in Aceh in 2017, approximately 40.78% of pesantren adolescents suffered from scabies. This study aims to determine the relationship between education, knowledge and behavior related to the incidence of scabies in Syamtalira Bayu District, North Aceh Regency. This type of research is analytic descriptive using a cross sectional survey approach. The subjects of this study were the people of District Syamtalira Bayu. Determination of the study sample was conducted using purposive sampling based on inclusion and exclusion criteria, sample of 100 respondents was obtained at the Syamtalira Bayu Health Center. The results showed that there was a relationship between the behavior of changing clothes or prayer tools (p = 0.008), changing towels (p = 0,000), and sleeping coincide (p = 0,000) with the incidence of scabies in Syamtalira Bayu District and there was no relationship between education (p = 0.770) and knowledge (p = 0.564) in the Syamtalira Bayu District.
Dermatitis Artefacta
Authors: Jatmiko Pandu Haryo
Published: November 2021

Dermatitis artefacta, also known as factitial dermatitis, is a disease in which self-inflicted skin injury is utilized to fulfill a conscious or unconscious urge to playthe sick part. It is more frequent in women and individuals who have anunderlying mental illness or are under external stress. The diagnosis is one ofexclusion, and it is sometimes difficult to establish since patients seldomacknowledge to playing a part in the development of their lesions. Treatment canbe difficult, and treatment should rely on a multidisciplinary team comprised ofdermatology and psychiatrist.
Orthopedic Surgeries: Review of Physicological Effect Pre and Post-Surgical Treatments
Authors: Wicaksana Satria Putra
Published: November 2021

Patient satisfaction with a treatment is an important outcome measure and isassociated with increased adherence to that treatment. The role of psychologicalfactors with regard to successful surgical outcomes has been highlightedpreviously. This is an orthopedic literature for the psychological traits that arerelevant to surgical outcomes as well as an overview of options for psychologicallyoptimizing a patient for surgery and ways to address problems encountered inthe postoperative period in pandemic or non-pandemic before. A literature reviewwas conducted in the electronic database PubMed using keyword “Psychological”,and “Orthopedic Surgeries”. All type of studies were included for this study, suchas controlled trials, systematic reviews, literature reviews, and pilot studiespublished between 2015 and 2021. Articles which not written in English wereexcluded from the study. This search resulted in 6 papers. All of the papersdisscuss about physicological effect on pre and post-surgical treatment.Satisfaction with surgery was closely associated with physical function andanxiety before surgery. Our analysis provides low levels of evidence supportingthe use of psychological interventions, particularly with regard to anxiety andmental components of quality of life. Pre-operative anxiety, depression and lowself-efficacy are consistently associated with worse physiological surgicaloutcomes and quality of life. However, there is currently insufficient evidence tobe sure that pre-operative psychological interventions are of benefit, or whichinterventions are most effective.
The Use of Ketamine as Therapy for Depression
Authors: Lovina Lovina
Published: November 2021

Depressive disorder is still a significant problem in several developed countriesand is morbidity caused by mental disorders. With the development of science,now discovered the unique pharmacodynamic properties of ketamine, which isused as an antidepressant. As we know in clinical practice, ketamine is used foranaesthesia, analgesia, sedation, and chronic pain management. Rapid-onsetantidepressants resulted from increased levels of BDNF in the hippocampus.Extracellular glutamate agents are not new for the treatment of depression.According to the neurobiology view, depression is a monoaminergic phenomenon,so this is the impetus for discovering a new generation of antidepressants.Ketamine can be given intravenously in subanesthetic doses. Still, monitoringmust be carrying in therapy administration because of the possible side effectssuch as hypersalivation, tachycardia, increased systemic arterial pressure, andintracranial pressure.
Postoperative Cognitive Dysfunction
Authors: Saksono Awang Budi
Published: November 2021

The impact of general anesthesia on cognitive impairment is controversial and complex. A large body of evidence supports the association between exposure to surgery under general anesthesia and the development of delayed neurocognitive recovery in a subset of patients. Existing literature continues to debate whether these short-term effects on cognition can be attributed to anesthetic agents themselves or whether other variables are causative of the observed changes in understanding. Furthermore, there are conflicting data on the relationship between anesthesia exposure and the development of long-term neurocognitive disorders or incident dementia in the patient population with normal preoperative cognitive function. Patients with pre-existing cognitive impairment present a unique set of anesthetic considerations, including potential medication interactions, challenges with cooperation during assessment and non-general anesthesia techniques, and the possibility that pre-existing cognitive impairment may impart a susceptibility to further cognitive dysfunction.
Postoperative Delirium: A Literature Review of Management in Intensive Care Unit
Authors: Legowo Cendy
Published: November 2021

Perioperative delirium is a wide-ranging problem that directly affects primary clinical results. The anesthesiologist must understand how to define and diagnose delirium, identify patients at high risk of delirium, identify predisposing factors to adjust the care plan appropriately, and manage delirium in the acute postoperative period. Delirium is an organ dysfunction in critically ill patients, independently associated with improved morbidity. Research on delirium in hospitalized patients (including critically ill patients) has increased exponentially in the last decade. This study emphasizes the need for a mechanistic explanation of delirium to help advance the research that ultimately leads to its prevention and treatment. In this study, multinational and multidisciplinary clinicians, and researchers from the fields of critical care medicine, psychiatry, anesthesiology, neurology, and pharmacy sought to collaborate in the management of delirium in the intensive care unit (ICU).
Delirium-The Effect of Children Anesthesiology after Surgery
Authors: Marantika Yuni Dwi
Published: November 2021

Delirium of anesthesiology is a clinical phenomenon widespread in children. Although the pathophysiology is still uncertain, some factors seem to be involved, such as rapid awakening in an unknown environment, agitation during anesthetic induction, preoperative anxiety, environmental disorders, pre-anesthetic medication, and inhalational anesthetics. There remain unanswered questions and implications related to the emergence of delirium in children. Although we know that there are some predisposing factors to emergence delirium, we still cannot accurately identify those at most significant risk. Emergent delirium should be considered a ‘vital sign,’ which should be followed and documented in every child in the postanaesthesia recovery period. What should adopt standardized screening tools for pediatric emergence delirium (ED)
Depression in Amputation Patients
Authors: Prima Arazy Gifta
Published: November 2021

Amputation alters the quality of life with an undeniable negative somatic and functional impact. The patient’s general mobility is impaired and there is an increase in metabolic needs as well as pain and discomfort. Etiologies are quite diverse: essentially vascular pathologies (74%) for the lower limbs and trauma related (61%) for the upper limbs. Thus, an important number of patients have to face amputation-related consequences. Pain (stump, phantom limb, back pain) is frequently described in 65 to 75% of patients after an amputation as well as the common onset of major depressive disorders for 35% of them. With the incidence of depression after limb amputation increasing in the patients, we sought to summarize the management of depression in amputation patients.
Locking Plates on Femoral Fractures: A Systematic Review
Authors: Wicaksana Satria Putra
Published: November 2021

Femoral fractures are a challenging medical and social problem as they may occur at any age. All the available osteosynthesis types can be used to treat such injuries. However, despite the disadvantages, fixation with plates has been the most common and developed. The PubMed and EMBASE databases were used to perform a systematic review of the English literature to assess the functional results and complications associated with proximal humerus locking plates. All institutional, author, and journal information was concealed to minimize reviewer bias. Fixation of proximal humerus fractures with proximal humerus locking plates is associated with a high rate of complications and reoperation. Further study is needed to determine what technical errors and patient characteristics are risk factors for failure of this now common fixation technique.
Plastic Surgery: Review on Screening of Psychiatric Disorder
Authors: Fenisenda Angeline
Published: November 2021

Recently the popularity of plastic surgical procedure has been increased. Many people surgically alter their physical appearance with the intent of boosting their social and psychological well-being; however, the long-term effectiveness of aesthetic surgery on improving well-being is unconfirmed. To have successful cosmetic plastic surgery result, it is imperative to assess candidates for predictors of poor outcomes. These include the following factor: psychiatric disorder, demographic factors (male and younger age), relationship issues, unrealistic expectations, previous dissatisfied surgery, and minimal deformity. For psychiatric patients, despite having technically satisfactory cosmetic surgery, poor emotional adjustment and social functioning were seen post procedure. Proper screening and evaluation of these patients could save money and resources. In this brief review we discuss about psychiatric disorder screen on plastic surgery to prevent unwanted outcome. A literature review was conducted in the electronic database PubMed using keyword “Psychiatric Disorder”, “Plastic surgery”, “Prevention” and “Screening”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2011 and 2021. Articles which not written in English were excluded from the study. This search resulted in 18 papers. Some patient who undergo cosmetic surgery suffer from underdiagnosed or untreated psychiatric disorder. To avoid unnecessary expense and resource it is advisable that all patient who seek cosmetic procedure undergo psychiatric screen such as PHQ-9, GAD-7, BDDQ and other test to avoid un-necessary expense and resource.
Herbal Medicines as Cancer Treatment
Authors: Rochaniawan Awan
Published: November 2021

Cancer is a disease caused by abnormal growth of cells in body tissues that turn into cancer cells. Today, treatment for cancer can be done with chemotherapy, radiotherapy, and surgery. Some of the most commonly used chemotherapy drugs are antimetabolites, DNA interactive compounds, antitubulin compounds, hormones, and molecular targeting compounds. Currently, many herbal plants are trusted by the public as anticancer drugs, as shown by several studies and the availability of herbal plants is relatively easier to find by the public. In addition, medicine from plants Herbs can also be used for the prevention and treatment of cancer. This review will discuss about herbal plants that can be used as anticancer. The results of the review show that the use of herbal plants or natural ingredients in cancer therapy has an effect by various mechanisms such as suppressing cell proliferation, induction of apoptosis, slowing metastasis, without reducing the quality of life of cancer patients.
Herbal Therapy for Burns and Burn Scars
Authors: Fadilah Yufimar Riza
Published: November 2021

Burns are one of the most common trauma occurrences. Burn wound healing are a complicated and highly susceptible to bacterial infection. In traditional medicine, there are various phytochemicals that are used for wound healing supplying enhanced healing process via anti-inflammatory or antioxidant activity. The purpose of this review is to summarize the current knowledge gained in preclinical and clinical studies on topical herbal products with burn wound healing activity.Electronic databases including PubMed, Scopus, and Google Scholar were searched for articles published from 2014 to the present. Total 480 studies, 199 reports were excluded because of duplication. After examining the full text of the 3 studies against the inclusion criteria. This study found that the topical antimicrobial therapy is one of the most important methods of burn wound care. The ideal antibacterial agent for wound infection prevention and control should directly kill pathogens and reduce local inflammation and tissue destruction by absorbing decay products and improved tissue nutrition. Among various herbal preparations, A. sativum, A. vera, C. asiatica and H. rhamnoides have the best wound healing effects through different mechanisms.
Pharmacogenetic in Anesthesia Drugs
Authors: Ridhuwan Al Ma Ariz
Published: November 2021

Pharmacogenetics seeks to elucidate the variations in individual's genetic sequences in order to better understand the differences seen in pharmacokinetics, drug metabolism, and efficacy between patients. This area of research is rapidly accelerating, aided by the use of novel and more economical molecular technologies. A substantial evidence base is being generated with the hopes that in the future it may be used to generate personalised treatment regimens in order to improve patient comfort and safety and reduce incidences of morbidity and mortality.
Obstetric Management in Maternal with Covid-19
Authors: Giovano Asoly
Published: November 2021

Coronavirus disease-19 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2 (SARS- CoV-2). Covid-19 pandemic began in the end of 2019 and spread all over the world in a short duration of time. Like two other notable beta coronaviruses, severe acute respiratory syndrome coronavirus-1 (SARS-CoV-1) and Middle East respiratory syndrome coronavirus (MERS-CoV), SARS-CoV-2 can lead to severe contagious respiratory disease. Due to impaired cellular immunity and physiological changes, pregnant women are susceptible to respiratory disease and are more likely to develop severe pneumonia.
Postpartum Depression: A Literature Review of Screening and Prevention
Authors: Andrina Hana
Published: November 2021

Pregnancy is a complex and vulnerable period that presents a number of challenges to women, including the development of postpartum psychiatric disorders. These disorders can include postpartum depression and anxiety, which are relatively common, and the rare but more severe postpartum psychosis. In addition, other postpartum psychiatric disorders can include obsessive-compulsive disorder, post-traumatic stress disorder and eating disorders. The etiology of postpartum psychiatric disorders is a complex interaction of psychological, social and biological factors, in addition to genetic and environmental factors. The goals of treating postpartum mental illness are reducing maternal symptoms and supporting maternal-child and family functioning. Women and their families should receive psychoeducation about the illness, including evidence-based discussions about the risks and benefits of each treatment option. In this article, we would like to focus on postpartum depression (PPD). Identifying and treating this problem can reduce the alarming number of suicides among depressed perinatal women and the possible adverse effects of untreated maternal depression on their child’s cognitive and behavioral development. Developing effective strategies in global settings that allow the delivery of targeted therapies to women with different clinical phenotypes and severities of PPDs is essential. In this review, we discuss the latest developments in screening, treatment, and prevention methods.
A Maternal Postpartum Depression Consequences towards Mother-child interaction Outcomes: A systematic review
Authors: Hanif Muhammad Bardan
Published: November 2021

Postpartum depression is a psychiatric disorder that starts from the second to the sixth week after birth. Postpartum depression has been shown to have an association with infant growth, nutrition, bonding, temperament and ultimately childhood mental wellbeing. This paper reviews overall outcomes of untreated maternal postpartum depression towards the mother-child interactions consequences. Systematic review was conducted in the online databases Google Scholar and PubMed using the index terms “postpartum depression” and “maternal outcomes” or “children outcomes”. Total of 10 studies (out of 112 references retrieved from bibliographic databases) were included in this systematic review. The results of the studies were synthetized into mother–child interactions, including bonding, breastfeeding, and the maternal role. The results suggest that postpartum depression creates an environment that is not conducive to the mother-child interaction thus regressing personal development of mothers or the optimal development of a child. It therefore seems  important to detect and treat depression during the postnatal period as early as possible to avoid harmful consequences.
Sunkaus ūminio inkstų pažeidimo priežastys ir baigtys
Authors: Steponkevičius Mindaugas , Skarupskienė Inga , Žiginskienė Edita , Stankuvienė Asta , Bumblytė Inga Arūnė
Published: November 2021

Tyrimo tikslas. Ištirti sunkaus ūminio inkstų pažeidimo (ŪIP) priežastis ir baigtis, priežasčių ir baigčių sąsają. Metodika. Išanalizuoti 1920 pacientų, kuriems per ketverius metus Lietuvos sveikatos mokslų universiteto ligoninėje Kauno klinikose (toliau – Kauno klinikos) taikyta pakaitinė inkstų terapija (PIT) dėl sunkaus ŪIP, duomenys. Duomenų analizei naudotas statistinis duomenų paketas IBM SPSS 25.0. Rezultatai. Iš 1920 tiriamųjų 59,6 proc. – vyrai, 40,4 proc. – moterys (p<0,001). Vidutinis amžius – 67,28±15,72 metų. Dažniausios ŪIP priežastys – renalinės (30,7 proc.), rečiausios – porenalinės (7,0 proc.). Dažniausia ŪIP priežastis – ūminė kanalėlių nekrozė (ŪKN) (27,9 proc.) – tai sudarė 90,8 proc. visų renalinių priežasčių. Didžiausias mirštamumas – renalinių (60,4 proc.), mažiausias – porenalinių ŪIP priežasčių pacientų grupėje (17,9 proc.) (p<0,001). Išvados. Sunkiu ŪIP su PIT poreikiu dažniau sirgo vyresnio amžiaus pacientai, vyrai. Dažniausia ŪIP priežastis – renalinė. Pusė pacientų mirė, o PIT poreikis liko 6 proc. tiriamųjų.
Degančios burnos sindromas
Authors: Šataitė Monika , Adamonis Kęstutis
Published: November 2021

Pirminis degančios burnos sindromas yra lėtinis burnos gleivinės sutrikimas, kuriam būdingas burnos deginimo pojūtis, be kliniškai akivaizdžios lokalios arba sisteminės priežasties. Ligos dažnis susijęs su vyresniu amžiumi ir moteriškąja lytimi. Šios idiopatinės būklės etiopatogenezė nėra visiškai aiški, tačiau manoma, kad yra susijusi tiek su psichogeniniais veiksniais, tiek su periferinėmis ir centrinėmis neuropatijomis. Diagnozė nustatoma kliniškai, atmetant kitas galimas burnos skausmo patologijas, kurios gali sukelti antrinį degančios burnos sindromą. Burnos deginimo pojūtis, sausa burna ir disgeuzija yra laikomi šio sutrikimo simptomų triada. Tikslių gydymo gairių nėra, tačiau dažniausiai naudojami gydymo būdai, kurie turi ir mokslinius įrodymus, yra klonazepamas, α-lipoinė rūgštis ir kognityvinė elgesio terapija.
Pūslinės diagnostikos ir gydymo gairių apžvalga
Authors: Kučinskienė Vesta , Vaičiūnienė Viktorija , Valiukevičienė Skaidra , Makštienė Jurgita , Macejevska Monika , Grigaitienė Jūratė
Published: November 2021

Pūslinė – tai grupė retų, lėtinių autoimuninių pūslinių ligų, kurioms būdinga atsirandančios pūslės, erozijos gleivinėje ir (arba) odoje. Kol nebuvo gydymo sisteminiais gliukokortikoidais, liga buvo neišgydoma ir mirtingumas siekė 90–100 proc. Kadangi liga yra reta, atlikta tik keletas prospektyviųjų atvejo ir kontrolės klinikinių tyrimų, vertinančių skirtingus diagnostikos ir gydymo metodus. 2020 m. Europos dermatologų forume bendru Europos dermatologų ir venerologų akademijos ir Europos medicinos specialistų sąjungos sutarimu atnaujintos pūslinių ligų diagnostikos ir gydymo rekomendacijos, kurių apžvalga pateikiama straipsnyje.
Klinikinė inercija gydant 2 tipo CD. Priežastys ir pasekmės
Authors: Banišauskaitė Ilona
Published: November 2021

Klinikinė inercija, gydant 2 tipo cukrinį diabetą (CD) – ne laiku pradėtas arba netinkamas gydymo intensyvinimas norint pasiekti geresnę glikemijų kontrolę ir gydymo tikslus.
Histamino netoleravimas (II dalis)
Authors: Sondienė Rūta , Šukevičienė Jurgita
Published: November 2021

Pirmoje straipsnio dalyje buvo rašyta apie histamino netoleravimo (HN) sindromą, kurį sukelia su maistu gautas histaminas dėl sutrikusio jo skaidymo arba padidėjusio histamino receptorių jautrumo. Histamino netoleravimas gali būti vadinamas „enterine histaminoze“ arba „jautrumu maisto histaminui“.
Kūdikių, gimusių po cezario pjūvio operacijos, ir kūdikių, gimusių natūraliais gimdymo takais, žarnyno mikrobiotos skirtumai
Authors: Razgūnaitė Rasa
Published: November 2021

Mikroorganizmų arba mikrobiotos, gyvenančios žmogaus kūne ir ant jo, genų rinkinys yra žinomas kaip žmogaus mikrobiomas. Mikrobiomas dinamiškai sąveikauja su šeimininku ir aplinka, todėl jo sudėtis, laikui bėgant ir tarp individų, labai skiriasi. Anksčiau vyravęs ribotas požiūris į žmogaus ir mikrobų sąveiką, kaip infekcines ligas sukeliančius patogenus, per pastaruosius du dešimtmečius sparčiai kinta. Nors dabar vertiname esminį mikrobiotos, kaip komensalų ir simbiontų, neatskiriamų imuninės ir medžiagų apykaitos sveikatos, vaidmenį, mes tik pradedame suprasti, kaip ir kada šie mikroorganizmai susirenka, ir ankstyvojo gyvenimo veiksnius, kurie sutrikdo jų natūralią paveldėjimo ekologiją [1]. Šiame straipsnyje apžvelgsime, kaip skiriasi kūdikių, gimusių po cezario pjūvio operacijos, ir kūdikių, gimusių natūraliais gimdymo takais, žarnyno mikrobiota ir kokią įtaką tai daro ateityje.
Neue Lastansätze bei der Betrachtung fußgängerinduzierter Schwingungen/New load assumptions considering pedestrian-induced vibrations
Authors: Kuhlmann Wolfram , Rösgen Judith Christine , Lange Jörg , Seyfarth André
Published: November 2021

In der VDI-Richtlinie 2038 – Blatt 1 werden Funktionen zur Abbildung von horizontalen und vertikalen Last-Zeit-Verläufen für die Bewegungsarten Gehen und Laufen dargestellt. Die zugehörige Tabelle 3 für die benötigten Beiwerte ist für horizontale Kräfte noch unvollständig und für vertikale Kräfte weisen die Last-Zeit-Verläufe Unterschiede zu Bodenreaktionskräften aus anderen Literaturquellen und Fachrichtungen sowie relativ große Bereichsangaben einzelner Beiwerte auf. Auch der in der Richtlinie genannte Koordinationsfaktor C(n), der für die Berücksichtigung mehrerer Personen genutzt wird, weist Unterschiede zu Messdaten auf.

 

Zur Konkretisierung und Überarbeitung wurden im Rahmen eines Forschungsprojektes Daten erhoben und ausgewertet. Die beim Gehen und Laufen auftretenden Bodenreaktionskräfte und Schwingungen wurden an einer eigens dafür geplanten und errichteten, schwingenden Fußgängerbrücke sowie auf starrem Untergrund mit Kraftmessplatten erfasst. Durch die so ermittelten Daten konnte ein Vorschlag zur Überarbeitung des Lastansatzes in der VDI 2038 erarbeitet werden.

 

Da bei der Umsetzung des Forschungsvorhabens auch Studierende des Bauingenieurwesen (Fachrichtung Konstruktiver Ingenieurbau) in die Bearbeitung eingebunden werden sollten, wurde ein E-Learning-Konzept entwickelt und evaluiert, das den Studierenden einen leichten Einstieg in das Fachgebiet sowie die schon erarbeiteten Zwischenergebnisse ermöglicht.
Finite-Elemente-Analyse zur Standsicherheit einer Bestandskaimauer und zu den Auswirkungen von Ertüchtigungsmaßnahmen/Finite element analysis of the stability of an existing quay wall and the effects of maintenance
Authors: Vogel Paul , Grabe Jürgen , Feindt Frank
Published: November 2021

Zur Untersuchung der Standsicherheit einer Bestandskaimauer werden Finite-Elemente-Berechnungen durchgeführt. In den FE-Berechnungen wird das nichtlineare Stoffverhalten des Baugrunds sowie ein linear-elastisch, ideal-plastisches Stoffverhalten der Bauteile angesetzt. Ziel der Berechnungen ist es, die restliche Standsicherheit der Bestandskaimauer zu bestimmen und die Auswirkungen verschiedener Ertüchtigungsmaßnahmen auf die Beanspruchung der Konstruktion und die Gesamtstandsicherheit zu untersuchen. Zur Ertüchtigung wird eine Vorschüttung aus Wasserbausteinen und eine zusätzliche Öffnung der Spundwand betrachtet.
Abwärme aus dem Speicherkraftwerk
Authors: Steinhart Martin
Published: November 2021

Eine aktuelle Studie des Fraunhofer-Instituts sieht im verstärkten Einsatz von Großwärmepumpen einen Schlüssel zur Dekarbonisierung der Fernwärme. Wie dies erfolgreich umgesetzt werden kann, zeigt ein kleines Dorf in den Vorarlberger Alpen, das durch den Einsatz von zwei Großwärmepumpen und mithilfe eines ausgeklügelten Hydraulik-Konzepts seine Einwohner sowie Gäste mit umweltschonender Fernwärme versorgt.
Baustein der Klimaneutralität
Authors: Hachenberg Marius
Published: November 2021

Das Ende der fossilen Energieträger läutet das Zeitalter eines intelligenten, erneuerbaren Energiemixes ein. Bioenergie steht in den Startlöchern, um die Dekarbonisierung der Energiewirtschaft und der Industrie voranzutreiben. So eröffnen etwa Holzpellets neue Möglichkeiten für die Folgenutzung bestehender Kraftwerke. Zudem sind die Produktion von Wasserstoff sowie Biomasse mit Kohlenstoffabscheidung Optionen im Sinne des Klimaschutzes.
Vom Grundstoff zum Energieträger
Authors: Sprenger Tobias , Schlund David , Çam Eren
Published: November 2021

Der Markthochlauf von CO2-arm hergestelltem Wasserstoff beeinflusst viele Unternehmen, Organisationen und Institutionen. Diese Stakeholder haben zugleich wesentlichen Einfluss auf die Ausgestaltung eines zukünftigen Marktes. Wissenschaftler des Energiewirtschaftlichen Instituts an der Universität zu Köln haben die verschiedenen Stakeholder-Kategorien sowie deren jeweilige Perspektive auf den Markthochlauf analysiert.
Welche Chancen Microtargeting bietet
Authors: Gandolf Bernhard
Published: November 2021

Wer als Energieversorger Daten schlau nutzt, erzielt bessere Resultate. Durch das personalisierte, nutzerzentrierte Ansprechen von Kundinnen und Kunden, das Microtargeting, können Energieversorger die Verweildauer der Kundschaft erhöhen und den Absatz bei Bestandskundinnen und -kunden steigern.
Matemática e Ludicidade nos anos iniciais do Ensino Fundamental: um mapeamento nos anais do Encontro Nacional de Educação Matemática (Brasil)
Authors: Ferreira Larissa Fernanda , Faustino Ana Carolina
Published: November 2021

Este artigo apresenta uma pesquisa de estado do conhecimento que tem como objetivo fazer um mapeamento sobre relatos de pesquisas e relatos de experiências realizadas com a temática da ludicidade no ensino de matemática nos anos iniciais do Ensino Fundamental, com foco em analisar o que vem sendo produzido a respeito das pesquisas sobre a ludicidade no ensino de matemática nos anais do Encontro Nacional de Educação Matemática nos anos de 2013, 2016 e 2019, realizado em diferentes Estados do Brasil. Os resultados desse estudo evidenciam um número expressivo de trabalhos que atrelavam o ensino lúdico aos jogos didáticos; jogos digitais; a literatura; a Educação Indígena; Educação Especial e a Educação Quilombola. A ludicidade no ensino e aprendizagem da matemática nos anos iniciais alicerça os trabalhos identificados, ressaltando sua importância tanto no processo de ensino e aprendizagem das crianças, como na formação de professores que atuam nesse nível de ensino.
Creencias sobre el Contexto Social, Auto Concepto y la Educación Matemática en Estudiantes Chilenos de Enseñanza Secundaria
Authors: Díaz Verónica , Castro Luisa , Del Río Pamela , Yañez Miguel
Published: November 2021

Este estudio tiene dos propósitos. El primer propósito es la adaptación y validación de una Escala de Creencias de estudiantes de enseñanza secundaria. Además de proporcionar un instrumento válido y confiable, este estudio proporciona información sobre el proceso de desarrollo y validación del instrumento, que será útil para el desarrollo y validación de instrumentos similares. El segundo propósito es describir y analizar tipos de creencias matemáticas de los estudiantes de dos primeros y dos terceros años de la enseñanza secundaria de la región de Los Ríos en Chile. La Escala de Creencias se compone de 44 ítems distribuidos en tres sub escalas que abarcan creencias sobre el contexto social, el auto concepto y sobre la educación matemática. Entre los cuatro grupos, los resultados de este estudio evidencian creencias altamente positivas en general destacando la creencia sobre el cumplimiento efectivo del rol del profesor de matemática.
ÖĞRETMENLİK UYGULAMASINDA KARŞILAŞILAN SORUNLAR VE ÇÖZÜM ÖNERİLERİNE İLİŞKİN BİR ARAŞTIRMA
Authors: ÜLGER Kani
Published: November 2021

Öğretmenlik Uygulaması, eğitim fakülteleri ve uygulama okullarının işbirliğiyle gerçekleştirilen bir derstir. Bu ders ile öğretmen adayı öğrencilerin öğretmenlik mesleğiyle ilgili yeterliliklerini geliştirmeleri amaçlanmaktadır. Öğretmen adayı öğrencilerin süreçteki başarısı uygulama öğretmeni ve öğretim elemanı tarafından değerlendirilmektedir. Bununla birlikte, uygulamada karşılaşılan sorunlar ilgili alan yazında sıklıkla vurgulanmaktadır. Bu araştırma, öğretmenlik Uygulaması ders süreci ile ilgili sorunlar ve bu sorunlara getirilen çözüm önerileri açısından alan yazında yapılan çalışmaların incelenmesine dayanmaktadır. Araştırmanın problem cümlesi; Öğretmenlik uygulamasında sıkça yinelenen sorunlar ve bu sorunlara getirilen çözüm önerileri nelerdir biçiminde düzenlenmiştir. Nicel tarama yönteminde betimleyici türde yapılan araştırmanın ulaştığı sonuca göre, öğretmenlik uygulaması ders sürecinin en sık yinelenen sorun başlığı; uygulama öğretmeni yetersizliğidir. Bu sorun başlığına çözüm önerisi olarak, öğretmenin mesleki kıdem ve deneyimi dikkate alınarak, gönüllülük esasına dayalı görevlendirme yapılmasının ön plana çıktığı gözlemlenmiştir. Buna göre, öğretmenlik uygulaması ders sürecinde karşılaşılan sorunlara çözüm için uzun vadede, öğretmen yetiştirme ile ilgili süreç, kısa vadede ise, uygulama öğretmeni görevlendirilmesinde mesleki kıdem, deneyim ve gönüllülük esasına dayalı görevlendirme önerilebilir. Ayrıca, süreç paydaşlarının verimli bir işbirliği içinde olmalarının da sorunların çözümünde önemli bir kavram olarak öne çıktığı söylenebilir.
TUTUMLULUK DEĞERİNİN KAZANDIRILMASI BAĞLAMINDA YAPILAN UYGULAMAYA İLİŞKİN VELİ VE ÖĞRENCİ GÖRÜŞLERİ
Authors: ŞENEL Taha , ÇALIŞKAN Hüseyin , YILDIRIM Yusuf
Published: November 2021

Bu çalışmada velilerin değer eğitimi etkinlikleri hakkındaki düşüncelerinin ve tutumluluk değerinin kazandırılması amacıyla yapılan “benim param benim kumbaram” etkinliği hakkındaki görüşlerinin incelenmesi amaçlanmaktadır. Etkinlik beşinci sınıfta öğrenim gören 30 öğrenci ile yürütülmüştür. Çalışma grubu 7 erkek ve 14 kadın veliden ve 16 öğrenciden oluşmaktadır. Veriler yarı yapılandırılmış görüşme formu kullanılarak toplanmıştır. Görüşmeler esnasında ansal sondalar kullanılarak veriler zenginleştirilmesi hedeflenmiştir. Araştırmada nitel araştırma modellerinden olan olgu bilim (fenomenoloji) kullanılmıştır. Katılımcıları izniyle yapılan ses kayıtları görüşmelerin ardından yazıya aktarılmıştır. Görüşme dökümleri betimsel analiz yöntemi kullanılarak araştırmacılar tarafından çözümlenmiştir. Çözümlenen verilerin iki alan uzmanı tarafından incelenmesinin ardından uzmanlardan gelen dönütler ışığında kodlamalarda düzeltmeler yapılmıştır. Araştırma sonuçlarına göre veliler değerler eğitiminin gerekli olduğunu düşünmektedir. Araştırma sonuçları velilerin kendilerinin de değer eğitimi yapmaya çalıştıklarını ancak kendilerini bu alanda yeterli bulmadıklarına işaret etmektedir. Veliler okullardaki değerler eğitimi çalışmalarından öncelikle; öğrencilerin değerleri hayata aktarabilmeleri, öğrencilerin değerler hakkında bilinç kazanmasının sağlanması,öğrencilerin iyi yetişmesini beklemektedirler. Çalışma sonuçları; velilerin “benim param benim kumbaram” etkinliğini beğendiklerini, çocukları için faydalı olduğuna kanaat getirdikleri ve bu etkinlikle öğrencilerin birçok kazanım elde ettiklerine inandıklarını göstermektedir. Veliler etkinlik neticesinde çocuklarının; bir hedefe ulaşmak amacıyla istek ve ihtiyaçlarını öteleyebildiklerini, gereksiz para harcamaktan kaçındıklarını, hedeflerine ulaşmak için daha fazla güdülendiklerini ve savurganlık davranışlarının azaldığını belirtmişlerdir.
DİN KÜLTÜRÜ VE AHLAK BİLGİSİ EĞİTİMİ, DİNDARLIK, AHLAKİ OLGUNLUK VE SALDIRGANLIK ARASINDAKİ İLİŞKİLER
Authors: AY Mustafa Fatih
Published: November 2021

Bu çalışmanın temel amacı, lise öğrencilerinde Din Kültürü ve Ahlak Bilgisi [DKAB] eğitimi ile saldırganlık arasında dindarlık ve ahlaki olgunluğun aracılık rolünün olup olmadığının belirlenmesidir. Çalışma nicel araştırma yöntemlerinden ilişkisel tarama modelindedir. Çalışmanın evrenini Erzurum ili merkez Yakutiye, Palandöken ve Aziziye ilçelerindeki imam-hatip lisesi haricindeki lise türlerinde okuyan son sınıf (12. Sınıf) öğrencileri oluşturmaktadır. Araştırmanın örneklemini, %42,6’sı erkek (n=335), %57,4’ü (n=452) kız olmak üzere 787 öğrenci oluşturmaktadır. Araştırmada veri toplama aracı olarak kişisel bilgi formu, ortaöğretim DKAB genel amaçlarına erişim düzeyi ölçeği, saldırganlık ölçeği, dindarlık ölçeği ve ahlaki olgunluk ölçeği kullanılmıştır. Verilerin analizinde ise, korelasyon, regresyon analizi ve aracılık testleri kullanılmıştır. Yapılan analizler sonucunda, DKAB dersi genel amaçlarına erişim düzeyinin, dindarlık, ahlaki olgunluk ve saldırganlığı yordadığı belirlenmiştir. Dindarlık ve ahlaki olgunluğun ise, saldırganlığı yordadığı belirlenmiştir. Lise öğrencilerinin DKAB dersi genel amaçlarına erişim düzeyi ile saldırganlık arasında dindarlık ve ahlaki olgunluğun tam aracı rolünün olduğu belirlenmiştir. DKAB dersi öğrencilerin dindarlık ve ahlaki olgunluk düzeylerini pozitif yönde etkilemektedir. Bu etki ile de öğrencilerin saldırganlık düzeylerini düşürdüğü söylenebilir.
EĞİTİMDE ETKİLEŞİMLİ TAHTALARIN KULLANIMI HAKKINDA ÖĞRETMEN GÖRÜŞLERİ
Authors: ÖZAY KÖSE Esra , KESKİN Bülent
Published: November 2021

Etkileşimli tahta kullanımı; eğitim ve öğretimde konuları daha iyi anlamak ve kavramak, öğrencilerin dikkatini çekerek öğrenme isteklerini teşvik etme, öğretmeni destekleyici ve öğretimin daha nitelikli olması açısından büyük önem taşımaktadır. Bu anlamda FATİH projesi kapsamında sınıflara yerleştirilen etkileşimli tahtaların, ders işleyişini olumlu etkileyerek farklı kazanımlar ortaya koyduğu ve öğrenmeyi olumlu etkilediği aşikârdır. Bunun yanında etkileşimli

tahtanın eğitim ortamında kullanımı sırasında ortaya çıkabilecek çeşitli durumların bilinmesinin ve önlemlerin alınmasının etkili bir kullanım için önemli olduğu düşünülmektedir. Araştırmada, ortaöğretim kurumlarında görev yapan öğretmenlerin etkileşimli tahta kullanımı esnasındaki tecrübelerinin belirlenmesi amacıyla, nitel araştırma deseni kullanılmıştır. Yarı yapılandırılmış görüşme tekniği ile 32 öğretmene etkileşimli tahtaları kullanırken karşılaştıkları durumlar sorulmuştur. Yapılan analizler sonucunda etkileşimli tahta kullanımının etkinliğinin artırılması kapsamında öğretmenlerin etkileşimli tahtaları kullanırken karşılaştıkları durumlar 8 tema altında toplanmıştır. Yazılımsal durumlar, e-içerik durumları ve ders işleme sürecinde karşılaşılan durumlar öğretmenlerin yüz yüze geldiği durumların en başında gelmektedir. Öğretmenlerin en sık karşılaştıkları durumlardan olan görüntü bozukluklarının veya güneş ışığının yeterince engellenememesinin etkileşimli tahtanın görülmesini olumsuz etkilemesi, sınıf ortamına yönelik ekranı net görememe, tahtanın konumu, aydınlatma gibi çevresel durumların giderilmesi en öncelikli yapılması gerekenlerdendir
Sustainability of global and international business operations during the adversity and hardship
Authors: Palalic Ramo , Hisrich Robert D. , Dana Leo Paul , Ramadani Veland
Published: November 2021

The COVID-19 pandemic has altered the way business is conducted. The widespread closure of commercial organizations presents opportunities to reset the way business activities are conducted. Regardless of the organization’s size or its status as a domestic or international firm, due diligence is required to find solutions that will allow firms to sustain their business activities in uncertain times. This study addresses this issue and attempts to identify issues that require urgent attention so that organizations can be effective and efficient in their global operations. In this context, the study proposes three imperatives for global/international businesses to sustain their operations in the long term. These imperatives include having a strong reserve fund, access to a local mutual fund, and networking to form alliances in host countries. Other implications are discussed, and we identify areas for future research.
Towards a Language-Based Typology of Church Names in Ghana
Authors: Akoto Osei Yaw , Oppong-Asare Ansah Juliet
Published: November 2021

Over the years, scholars have sought to provide language-based typologies of names, but while attempts have been made for some sub-branches of onomastics such as anthroponymy and toponymy, there is arguably none for ecclesionymy (the study of church names). Consequently, this paper sought to provide a language based typology of the hitherto underexplored area of church names. Data of names of churches in Ghana was built for the present study. Adopting content analysis as the analytical approach, the study realized that church names in Ghana are generally homogenous and heterogeneous linguistically. It was also realized that homogenous/unilingual church names involved English only, Akan only and Ewe only. On the other hand, the heterogeneous church names comprised two types: bilingual and trilingual church names, which contained varied language permutations from the three spheres in Osei Yaw Akoto’s classification of languages in Ghana. The paper concludes by making some recommendations for language-in-religion policy in Ghana. Keywords: Church names, Ecclesionymy, Glocal language, Unilingual
A Revised Description of the Cosmic Ray Induced Desorption of Interstellar Ices
Authors: Sipilä Olli , Silsbee Kedron , Caselli Paola
Published: November 2021

Nonthermal desorption of ices on interstellar grains is required to explain observations of molecules that are not synthesized efficiently in the gas phase in cold dense clouds. Perhaps the most important nonthermal desorption mechanism is one induced by cosmic rays (CRs), which, when passing through a grain, heat it transiently to a high temperature—the grain cools back to its original equilibrium temperature via the (partial) sublimation of the ice. Current cosmic ray induced desorption (CRD) models assume a fixed grain cooling time. In this work, we present a revised description of CRD in which the desorption efficiency depends dynamically on the ice content. We apply the revised desorption scheme to two-phase and three-phase chemical models in physical conditions corresponding to starless and prestellar cores, and to molecular cloud envelopes. We find that, inside starless and prestellar cores, introducing dynamic CRD can decrease gas-phase abundances by up to an order of magnitude in two-phase chemical models. In three-phase chemical models, our model produces results very similar to those of the static cooling scheme—when only one monolayer of ice is considered active. Ice abundances are generally insensitive to variations in the grain cooling time. Further improved CRD models need to take into account additional effects in the transient heating of the grains—introduced, for example, by the adoption of a spectrum of CR energies.