bluuebunny/crossref_metadata_2025 huggingface dataset:
GAMBARAN KEJADIAN BULLYING DAN TINGKAT KECEMASAN ANAK USIA SEKOLAH DI SEKOLAH DASAR NEGERI 4 JAMBANGAN KELURAHAN DESA JAMBANGAN KECAMATAN GEYER KABUPATEN GROBOGAN
Authors: Kristika Pupung , Lestari Sri
Published: July 2022

Pendahuluan. Bullying merupakan salah satu tindakan perilaku agresif yang disengaja dilakukan   oleh sesorang atau sekelompok orang secara berulang-ulang dari waktu ke waktu  terhadap seseorang korban yang tidak dapat mempertahankan dirinya denga mudah. Salah satu riset yang telah dilakukan oleh LSM Plan International dan International Center for Research on Women (ICRW) yang diunggah pada 5 februari 2016 ini menunjukkan hasil fakta mencengangkan terkait kekerasan anak di sekolah. Ditingkat Asia,kasus bullying yang terjadi pada siswa di sekolah mencapai 84%.

 

Tujuan. Untuk mengetahui gambaran kejadian bullying dan tingkat kecemasan pada    siswa-siswi di Sekolah Dasar Negeri 4 Jambangan.

 

Metode. Penelitian ini merupakan penelitian kuantitatif dengan metode deskriptif, variable penelitian ini adalah kejadian bullying dan tingkat kecemasan dengan poulasi siswa SDN 4 Jambangan Geyer Grobogan

 

Hasil. (1)perilaku bullying yang sering terjadi di sekolah diantaranya bullying fisik yang  banyak terjadi kejadian itu dilakukan oleh anak laki-laki (2) tingkat kecemasan akibat perlakuan bullying dari 44 siswa didapatkan tingkat kecemasan ringan tidak ada, sedang 2,5%, berat 93% dan  panik 4,5%.

 

Kesimpulan. Terdapat hubungan yang signifikan antara bullying dengan kecemasan pada siswa-siswi SD korban bullying di SDN 4 Jambangan.

 

Kata kunci. bullying, kecemasan, siswa SD
PRODUKTVITAS PENJUALAN FURNITURE GLASS DI MASA PANDEMI COVID-19 (Studi Margo Glass Gallery Sukoharjo)
Authors: Haq Adam Munirul , Aristin Checilia Ayuningtias Putri , Aji Nagasa Waka , Safitri Rieke Alisyiya Nur , Santosa Aris Prio Agus , Suyatno Agus
Published: July 2022

Glass Furniture Industry is one of the growing industrial sectors in Indonesia. Providing attractive interior design and artistic value so as to bring comfort to consumers and make it their own value for art connoisseurs. Furniture not only has the function of comfort and neatness but also carries social meanings. Furniture indirectly conveys a person's economic status. This study aims to determine the impact and sales turnover on Margo Glass Gallary during the COVID-19 pandemic. This research method uses a case study approach with primary collection obtained by Margo Glass Gallery Sukoharjo through interviews. The results obtained are analyzed qualitatively. The results showed that sales and orders for furniture glass products at Margo glass Gallery decreased by 60% during the pandemic due to delays in the distribution process, due to restrictions on activities, both shipping from within the country and abroad, especially shipments abroad which were constrained in shipping. custody of goods.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI NILAI PERUSAHAAN (Studi Kasus Pada Perusahaan Manufaktur yang Terdaftar di Bursa Efek Indonesia Periode 2018-2020)
Authors: Tama Fekysan Alya , Adi Suyatmin Waskito
Published: July 2022

Penelitiannya ini dilaksanakan dengan tujuannya yakni mengetahui bagaimana pengaruh keputusan investasi, kebijakan dividen, profitabilitas, likuiditas, struktur modal, dan ukuran perusahaan mempengaruhi nilai perusahaan menggunakan teknik sekunder yang tercatat di BEI tahun 2018-2020. Disini dipergunakan metode penelitian dengan penentuan/pemilihan sampel berdasar kriterianya yang berhubungan dengan sumber data memakai regresi linier berganda.

Hasil penelitian meunjukkan bahwasannya kebijakan dividen menghasilkan signifikansi 0,574, keputusan investasi sebesar 0,000, likuiditas sebesar 0,145, profitabilitas berskor 0,000, struktur modal berskor 0,001, dan ukuran perusahaan sebesar 0,008. Penelitiannya ini memperlihatkan bahwasannya kebijakan dividen dan likuditas tidak memberi pengaruhnya pada nilai perusahaan sementara keputusan investasi, profitabilitas, struktur modal, serta ukuran perusahaan memberi pengaruhnya pada nilai perusahaan.
Environmental Challenges Awareness in Nigeria: A Review
Authors: C.A. Onuoha , N.C. Ngobiri , E.B. Ochekwu , P. Onuoha
Published: July 2022

The environment encompasses all aspects of nature, both living and nonliving. The environment has an impact on the quality of life of plants and animals. Every living organism requires clean air, water, shelter, better living conditions, and a more ideal habitat because these factors influence one's quality of life. It is advantageous to have a safe and quality environment. Anthropogenic and natural activities have deteriorated the environment, resulting in climate change, pollution, and health issues worldwide. This review paper explored environmental issues experienced globally and in Nigeria through reviewing different works of literature. Findings show that man's activities on the environment include urbanization, deforestation, improper waste disposal, unregulated agricultural practices, among others, which have resulted in desertification, pollution, ocean acidification, health issues, global warming, and ecosystem instability. Environmental issues have a cyclical and spiral effect. One environmental problem can exacerbate another, hence the need for humans to be aware of the environmental issues. Man has a greater role to play in tackling environmental issues.
PROGNOSTIC VALUE OF EARLY CLINICAL DIAGNOSIS OF LEPTOSPIROSIS
Authors:   Department of Infectious Diseases, Epidemiology, Parasitology and Tropical Medicine, Faculty of Public Health, Medical University - Pleven, Bulgaria., Gancheva Galya
Published: July 2022

The case-fatality rate of severe leptospirosis is above 50% at delayed intensive treatment. Our purpose was to assess the prognostic value of the early clinical diagnosis of leptospirosis. Material and Methods: One hundred consecutive patients with leptospirosis were treated in the Clinic of Infectious Diseases at University Hospital “Dr Georgi Stranski”-Pleven (1976-2018). They were distributed retrospectively in groups with mild, moderate, and severe course (27, 39, and 34, respectively). The once interesting for prognosis was the risk for severe course. Data were analyzed with statistical software (IВМ SPSS Statistics 19.0). Results: The mild cases were hospitalized meanly three days after clinical onset (range 1-7 days). The early clinical diagnosis was leptospirosis, acute viral hepatitis, and “flu-like” (23/27, 85.19%; 3/27, 11.11%; 1/27, 3.70%, respectively). The moderate cases were hospitalized meanly four days after clinical onset (range 1-10 days). Nineteen moderate cases (48.72%) were misdiagnosed as aseptic meningitis, acute viral hepatitis, viral infection, obstructive jaundice, and nephrolithiasis. Comorbidity was registered in 33.33%. The severe cases were hospitalized meanly five days after clinical onset (range 2-12 days). Misdiagnoses (in 35.29%) were obstructive jaundice, acute pancreatitis, cholecystitis, pneumonia, and sepsis. Comorbidity was registered in 44.12%. The comparative analysis revealed that the patients hospitalized after the fourth day since clinical onset had a significantly more severe course (p<0.05). Conclusion: The time between clinical onset and hospital admission has significant prognostic value and could be assessed with other clinical predictors of leptospirosis. The early clinical diagnosis is of great importance for initiating intensive treatment (including hemodialysis).
Using mobile health to strengthen the communication skills for effective delivery of health information in Nepal: A qualitative study of the perspectives of Female Community Health Volunteers
Authors: Tuitui Roshani Laxmi , Bhatt Anju , Pradhan Shobhana , Hutchinson Genevieve , Gowland Sally , Saha Sanjib , Rajbhandari Binamra
Published: July 2022

Background

Female Community Health Volunteers (FCHVs) play an important role in linking community members-particularly marginalised and vulnerable women and health facilities in Nepal. There has been increased use of mobile phones amongst FCHVs and their support to improve the quality of health services FCHVs provide, with positive results. Under the leadership of Ministry of Health and Population (MoHP), Department of Health Services (DoHS), and investment by the UK Department for International Development (DFID) via Nepal Health Sector Support Programme 3 (NHSSP 3), BBC Media Action designed and tested an innovative mobile phone-based solution that can best support FCHVs in their work as health promoters in local communities. This study aimed to examine the changes in the FCHVs-beneficiary interaction and communication since the introduction of a mobile-based intervention (Mobile Chautari).

Methods

A qualitative study was conducted in three districts of Nepal: Tehrathum, Darchula and Rautahat using in-depth interviews, focus group discussions with FCHVs, pregnant women and mothers with children less than 5 years old, mothers-in-law, and health facility staff. In addition, observation of Health Mothers Group (HMG) meeting was also conducted. Data analysis was conducted using thematic analysis.

Results

The mHealth intervention was acceptable to the FCHVs and the use of Mobile Chautari helped FCHVs recognise the value of communication aids and facilitate effective discussions in HMG meeting. FCHVs felt more confident when talking about health issues and communicated more effectively with diverse beneficiaries. FCHVs felt that Mobile Chautari improved their status in the communities, which also helped enhance trust between FCHVs and communities.

Conclusions

Mobile Chautari has the potential to strengthen the communication skills of FCHVs and bridge the gap between the FCHVs and their beneficiaries. Mobile Chautari appears to be a promising way to communicate health related information and communicate with diverse clients. In the short period the study has been able to show the potential of Mobile Chautari and how it could support positive behaviour change.
降低冠狀動脈介入治療術後拔除橈動脈導管之血腫發生率
Authors: 張倚綾 張倚綾 , I-Ling Chang 陳樺萱 , Hua-Hsuan Chen 蘇俐菁 , Li-Ching Su 熊妙玲
Published: July 2022

背景：在病人接受冠狀動脈介入治療術後，血腫是拔除橈動脈導管後最常見之合併症，一旦發生也對照護品質造成負面之影響，未改善前血腫發生率高達20.09%。

目的：本專案旨在應用臨床照護指引，來降低病人拔除橈動脈導管後的血腫發生率。

解決方案：參考經橈動脈路徑執行冠狀動脈介入治療的臨床照護指引，擬定解決方法有：（1）定期舉辦冠狀動脈介入治療術後之在職教育；（2）舉辦TR band止血照護的課程與案例討論；（3）制定TR band標準作業流程；（4）制定冠狀動脈介入治療術後照護稽核表與監測制度。

結果：經專案介入後，拔除橈動脈導管後的血腫發生率由20.09%下降至9.3%，不僅達到專案目的，對於護理人員拔除橈動脈導管的認知正確率，也由58.66%提升為96.66%；執行止血照護措施的正確率由57.64%提升至99.21%。

結論：經此專案執行後，不僅降低了拔除橈動脈導管後的血腫發生率，進而也增進了病人在止血過程中的舒適滿意度，結果顯示成效良好，未來將維持此成效以推廣至全院，造福更多心臟病患。

 

Background: After receiving percutaneous coronary interventions, hematoma is one of the most common vascular complications due to the removal of radial artery. Once happened, there will have a negative impact on the quality of care. The incidence rate of hematoma is up to 20.09% without proper treatment.

Purposes: Applying evidence-based clinical care guidelines to effectively assist the medical team to reduce the oc­currence rate of hematoma after the removal of radial artery catheter.

Methods and Materials: Designing an evidence-based clinical care guidelines based on empirical literature search­ing and the developed solutions include: regular on-the-job training course, regular TR band hemostasis care course and case study, formulating standard procedures of TR band, formulating a new check list and monitoring system for post-percutaneous coronary intervention.

Results and Discussion: After applying the developed guidelines, the occurrence rate of hematoma decreased from 20.09% to 9.3%. As for after-removal of radial artery catheters knowledge, nurses’ cognitive correctness rate increased from 58.66% to 96.66%. The accuracy rate of hemostasis treatment increased from 57.64% to 99.21%.

Conclusion: After implementing the project, not only the occurrence of hematoma after removal of radial artery catheter was reduced but also the satisfaction degree about the comfortability was significantly increased. The result indicates that this guideline can be applied in the future to benefit more patients with cardiovascular disease.

 
以胸痛表現之食道弛緩不能症案例報告
Authors: 李宥嫻 李宥嫻 , You-Sian Lee 李宗穎 , Chung-Ying Lee 路子瑩 , Tze-Ying Lu 陳明堯 , Ming-Yao Chen 李佳蓉
Published: July 2022

胸痛為臨床常見主述，在排除心因性問題後，常因病人合併胃灼熱感，診斷為胃食道逆流。然而本案例為一位36歲女性，因反覆進食後胸痛、胃灼熱及逆流等症狀，依醫囑斷續服用氫離子幫浦抑制劑（Proton Pump Inhibitor, PPI）治療胃食道逆流約一年仍未改善，直至夜間逆流咳嗽加劇，轉至本院消化內科求治，問診後發現合併有吞嚥困難及體重減輕情形，安排上消化道內視鏡排除食道腫瘤後，經食道攝影檢查確診為食道弛緩不能症（achalasia）。個案接受經口內視鏡肌層切開術治療、營養重建及心理諮商後，胸痛、逆流及吞嚥困難等症狀大幅改善，體重也從44 kg回復至50 kg，焦慮程度亦漸緩解。針對反覆出現與胃食道逆流相似症狀，或經藥物治療無效者，應進一步評估有無吞嚥困難，與胃食道逆流作鑑別診斷，避免病人因進食困難，造成營養不良併發症，以及長期睡眠困擾導致負向情緒感受，嚴重影響生活品質。

 

Chest pain as a relatively common clinical symptom especially when excluding ischemic heart dis­ease, patients are often diagnosed with gastroesophageal reflux disease due to acid regurgitation and a sensation of heartburn. A 36-year-old woman had had been intermittently treated with an oral proton pump inhibitor (PPI) under the impression of gastroesophageal reflux disease for approximately one year due to recurrent chest pain, heartburn, and a sensation of regurgitation. However, the symptoms deteriorated with exacerbation at night, which was an indication of poor response to the oral medi­cation. Thus, she was transferred to the Department of Gastroenterology for further examination and treatment. After detailed inquiry, the patient also suffered from progressive dysphagia with body weight loss, chest pain and regurgitation sensation. Therefore, an upper gastrointestinal panendoscopy was performed to exclude the presence of esophageal tumors. A diagnosis of esophageal achalasia was confirmed after an upper gastrointestinal examination series was conducted. After informing the patient, per-oral-endoscopic myotomy was performed. Nutritional supplementation and psychological consultation were also provided. The patient’s symptoms (e.g., chest pain, regurgitation, and dyspha­gia) improved significantly. Body weight increased from 44 kg to 50 kg, and her anxiety level was gradually reduced. For those who diagnosed with recurrent gastroesophageal reflux disease along with a poor response to oral medications, a detailed inquiry and a specific examination should be conduct­ed for other differential diagnoses, (e.g., achalasia) that may have long-term negative impact on the patient’s nutritional status, sleep disturbance, negative emotions, and quality of life

 
以活動喘表現之慢性血栓栓塞性肺高壓：病例報告
Authors: 江彥萩 江彥萩 , Yen-Chiu Chiang 李月麗 , Yueh-Lih Li 黃名秀 , Ming-Hsiu Huang 潘慧娟 , Hui-Chuan Pan 沈桂鳳
Published: July 2022

慢性血栓栓塞性肺高壓是一種罕見、嚴重且持續惡化的肺部血管性疾病，隨病程進展，致死率極高，儘早鑑別診斷，方能提供準確治療計劃。本文是一位67歲女性案例，因活動呼吸喘就醫， 初步臆斷為心臟衰竭合併急性惡化，入院後藉由病史詢問、檢驗及理學檢查結果顯示BNP持續上升且心電圖呈現S1Q3T3，初步懷疑可能有肺栓塞併心衰竭，故安排心臟超音波檢查，結果發現有肺動脈高壓（肺動脈壓：62.3 mmHg）與右心衰竭，安排胸部電腦斷層攝影，顯示肺動脈栓塞，隨即召開家庭會議解釋病情後，接受右心導管合併肺動脈血管攝影檢查，最終確診為遠端型慢性血栓栓塞性肺高壓併右心衰竭。經由醫療團隊評估後，治療計劃即以藥物為主，故協助申請標靶藥物Riociguat。針對此類病人，即便臨床表徵不具特異性，仍可依病史詢問、檢驗及理學檢查預測肺栓塞的可能性，之後進入影像學鑑別診斷。換言之，雖然慢性血栓栓塞性肺高壓有其高致命的危險性，倘若能及早做出診斷與治療，便能降低死亡風險。

 

Chronic thromboembolic pulmonary hypertension is a rare, severe and continuous deterioration of pulmonary vascular disease which has high mortality rate along with disease progression. Earlier di­agnosis could contribute to a more accurate treatment plan. A case of 67-year-old female was admitted to hospital because of exertional dyspnea. She was initially suffering from heart failure with acute deterioration. After admission, the results of medical history inquiry, laboratory data and physical ex­amination revealed that BNP level kept raising and the electrocardiogram showed S1Q3T3, which pul­monary embolism with heart failure was suspected. Therefore, echocardiography revealed pulmonary hypertension (pulmonary artery pressure: 62.3 mmHg) and right heart failure. Pulmonary embolism was noticed on chest computed tomography. Soon after the family meeting of medical condition dis­cussion, the patient received right heart catheterization combined with pulmonary artery angiography, and the final diagnosed is distal chronic thromboembolic pulmonary hypertension with right heart failure. After medical team’s assessment, the treatment plan was based on armaceutical control. Thus, the target therapy of Riociguat was performed. For such type of patients, even with non-specific symptoms, the possibility of pulmonary embolism can still be predicted based on medical history, lab­oratory data, physical examination, and the imaging differential diagnosis. If diagnosis and treatment can be conducted as early as possible, the high mortality rate of chronic hromboembolic pulmonary hypertension can be reduced.

 
一位33歲年輕男性以末期腎衰竭來表現
Authors: 梁郡玲 梁郡玲 , 陳正誼 陳正誼
Published: July 2022

本篇個案是位33歲的年輕男性，因喘及水腫而住院。經抽血檢驗、尿液分析及腎臟超音波檢查， 發現是末期腎臟病患者合併高血壓與嚴重的蛋白尿，須長期接受透析治療。在排除可能的相關鑑別診斷後，經由酵素檢驗、基因分析及腎臟切片檢查，個案確診為法布瑞氏症。本文之目的在強調慢性腎臟病除了常見病因如糖尿病、高血壓及慢性腎絲球腎炎外，若為原因不明的早發性腎臟病變，尤其是發生在年輕男性，須考慮法布瑞氏症的可能性，並及早的接受酵素替代治療，以預防進一步的心臟及腦部病變。此外，也藉由基因篩檢，確診家族中其它法布瑞氏症患者，積極接受早期治療。因此，藉由這篇病例報告，希望醫護人員對法布瑞氏症有進一步的了解，以早期診斷、早期治療，及減少併發症與殘疾的發生。

 

The 33-years-old young male was hospitalized due to dyspnea and edema. The patient was diagnosed with end-stage renal disease, hypertension and heavy proteinuria requiring long term dialysis treat­ment. Other possible differential diagnosis were excluded and eventually Fabry disease was confirmed through enzyme assay, genetic analysis and kidney biopsy. The purpose of this study emphasizes on the need to consider the possibility of Fabry disease on young male with unknown reason younger-on­set kidney disease in addition to other causes of chronic kidney disease, such as DM, hypertension or chronic glomerulonephritis. Enzyme replacement therapy was administered as soon as possible to pre­vent pathological development of heart or brain. Furthermore, we also diagnosed other cases of Fabry disease in his family through Genetic Test and early treatments were provided. Therefore, we expected that Fabry disease will not be considered in clinical practice and early diagnosis with treatment could be provided to decrease the complication and disability rates.

 
一位18個月男童以反覆性喘鳴聲表現
Authors: 陳千琪 陳千琪 , Chian-Chi Chen 吳淑鈞 , Shu-Chun Wu 黃麗華 , Li-Hua Huang 周怡伶
Published: July 2022

喘鳴聲是兒童呼吸道的常見症狀，若無正確診斷可能造成呼吸衰竭，甚至生命危險。本案例是一位18個月男童，曾在2次因呼吸衰竭留置氣管內管之插管史，經支氣管擴張劑及類固醇治療後， 仍再次引發喘鳴聲，甚至出現胸骨凹陷，行胸腔電腦斷層發現聲門下狹窄，案童經手術治療後喘鳴聲明顯改善，且出院後3個月內無再發作。因此，當我們遇到氣管內管插管史的兒童，出現喘鳴聲持續72小時以上合併胸骨凹陷，加上對支氣管擴張劑或類固醇等藥物效果不佳時，聲門下狹窄就必須列入考慮。

 

Stridor is a common symptom of the respiratory system in children that might cause respiratory fail­ure and precipitate life-threatening if not properly diagnosed. An 18-month-old child had 2 times of the endotracheal tube intubation history. After treatment with bronchodilators and steroids, recurrent stridor and sternal depression were discovered. Thoracic computed tomography was performed and re­vealed subglottic stenosis. After surgical intervention of cricotracheal resection, the child’s stridor was significantly improved and no recurrence within 3 months after discharge. Therefore, children with a history of endotracheal tube intubation, who had stridor more than 72 hours with sternal depression or poor response for bronchodilators and steroids, the possibility of subglottic stenosis should be consid­ered in the differential diagnosis

 
New local inflammatory markers in the diagnosis of urinary tract infections among infants
Authors: Przekora Jędrzej , Mateja Aleksandra , Jobs Katarzyna
Published: July 2022

Zakażenia układu moczowego są jedną z najczęstszych infekcji wieku dziecięcego. Prawidłowe pobranie moczu w grupie dzieci najmłodszych stwarza trudności techniczne, a w konsekwencji prowadzi do uzyskiwania, po kilkudniowym czasie oczekiwania, fałszywie dodatnich wyników badań bakteriologicznych. W przypadku niejednoznacznego wyniku badania ogólnego moczu włączenie antybiotyku bywa opóźnione do czasu otrzymania wyniku badania bakteriologicznego, co może przyczynić się do nasilenia zakażenia oraz zwiększenia ryzyka powikłań. Jednocześnie często dochodzi do sytuacji włączenia antybiotykoterapii w przypadkach, gdy leukocyturia wynika z niepoprawnego pobrania próbki moczu, a wyhodowane w badaniu bakteriologicznym patogeny są wynikiem zanieczyszczenia. Naraża to dzieci na niepotrzebne wyjaławianie naturalnej flory jelitowej oraz stopniowe narastanie oporności bakterii na stosowane antybiotyki. Z tego względu poszukuje się nowych biomarkerów stanu zapalnego różnicujących zakażenia układu moczowego od zakażeń gorączkowych o innej przyczynie. W artykule przedstawiono badane nowe lokalne markery stanu zapalnego, które mogą być pomocne w diagnostyce ZUM. Są to: białko YKL40, lipokalina zwią-zana z żelatynazą neutrofili, interleukina 8 i 6, Kidney Injury Molecule-1 oraz kalprotektyna.
The model of work organization on the example of COVID-19 Unit according to protocol BPMN 2.0
Authors: Stańczyk Adam , Rosiak Oskar , Lipiński Cezary , Józefowicz - Korczyńska Magdalena
Published: July 2022

Wprowadzenie

Ogłoszenie ogólnoświatowej pandemii COVID-19 postawiło współczesne systemy ochrony zdrowia w zupełnie nowej sytuacji, niespotykanej w ostatnim stuleciu. Wymagało to adaptacji systemów opieki zdrowotnej i wypracowania nowych rozwiązań na szeroką skalę. Masowe występowanie zakażeń przebiegających z niewydolnością oddechową wiązało się z koniecznością utworzenia oddziałów tymczasowych i szpitali polowych w miejscach, które często nie były przygotowane do tego typu działalności leczniczej. Opracowanie schematów postępowania zgodnego z procedurami biznesowymi (protokół BPNM 2.0), z jasnym określeniem zakresu odpowiedzialności, zdaje się stanowić w takich sytuacjach gwarancję zachowania optymalnego poziomu bezpieczeństwa dla wszystkich uczestników procesu diagnostyczno-terapeutycznego.

Cel pracy

Opracowanie modelu funkcjonowania Szpitalnego Oddziału Ratunkowego oraz Oddziału Leczenia COVID-19 zgodnie z protokołem procesów biznesowych BPMN 2.0 oraz zweryfikowanie w oparciu o system i strukturę funkcjonującą w Uniwersyteckim Szpitalu Klinicznym nr 1 w Łodzi.

Materiał i metody

W pracy wykorzystano elementy notacji BPNM2.0 z wykorzystaniem platformy Adonis CE wersja 11.0. Następnie, stworzone modele zweryfikowano w oparciu o istniejącą infrastrukturę architektoniczno-administracyjną istniejącą w USK nr 1 w Łodzi.

Wyniki

Autorzy stworzyli wzorcowy protokół notacji procesu postępowania z pacjentem w Szpitalnym Oddziale Ratunkowym/Izbie Przyjęć oraz Oddziale Leczenia COVID-19, a następnie zweryfikowali model w oparciu o doświadczenia własne, zebrane podczas tworzenia i prowadzenia tymczasowego Oddziału Leczenia COVID-19 z Obszarem
Izolacyjnym.

Wnioski

Opracowanie algorytmów postępowania w obszarze medycyny zgodnie z procedurami biznesowymi w oparciu o protokół BPNM 2.0 stanowi podstawę do płynnego działania personelu medycznego z wyznaczeniem zakresu obowiązków i odpowiedzialności. Zastosowanie ujednoliconych procedur pracy z pacjentem – podejrzanym lub z potwierdzonym zakażeniem SARS-CoV-2 – w obszarze SOR i Oddziału Leczenia COVID-19 podczas przekraczania poszczególnych stref ryzyka zakażeniem SARS-CoV-2 pozwala na zachowanie należytych standardów epidemiologicznych.
Return to physical activity after SARS-CoV-2 infection – in the eye of a cardiologist
Authors: Łyżwa Piotr , Piotrowicz Katarzyna , Krzesiński Paweł
Published: July 2022

Regularna aktywność fizyczna to podstawa profilaktyki chorób sercowo-naczyniowych. Pandemia koronawirusa SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) w istotny sposób wpłynęła na ograniczenie aktywności fizycznej w populacji osób zdrowych. Ponadto infekcja SARS-CoV-2 związana jest ze zwiększonym, w porównaniu z innymi infekcjami wirusowymi, ryzykiem powikłań sercowo-naczyniowych. Powrót do aktywności fizycznej po chorobie koronawirusowej zależy przede wszystkim od stopnia ciężkości choroby, stwierdzanych w czasie infekcji nieprawidłowości w badaniach układu sercowo-naczyniowego oraz intensywności planowanego wysiłku. Pacjentom z pewnym lub prawdopodobnym rozpoznaniem świeżego zapalenia mięśnia sercowego należy zalecić powstrzymanie się od uprawiania jakichkolwiek sportów do czasu ustąpienia aktywnego zapalenia, a powrót do aktywności fizycznej należy rozważyć po 3-6 miesiącach od ustąpienia objawów, po przeprowadzeniu kompleksowej oceny kardiologicznej. W grupie pozostałych pacjentów (bez rozpoznanego zapalenia mięśnia sercowego) ze względu na ograniczony czas obserwacji i brak badań randomizowanych na temat powrotu do aktywności fizycznej po przechorowaniu, dotychczas opublikowane zalecenia mają charakter opinii ekspertów. W opiniach tych podkreśla się znaczenie stratyfikacji ryzyka i stopniowy, ograniczony objawami, indywidualnie dopasowany powrót do uprawiania sportu po zakażeniu wirusem SARS-CoV-2.
Acute peripheral balance system impairment in the course of vestibular neuritis
Authors: Bielińska Marzena , Miłoński Jarosław , Olszewski Jurek
Published: July 2022

Celem pracy było przedstawienie przypadku ostrego obwodowego uszkodzenia narządu równowagi w przebiegu zapalenia neuronu przedsionkowego. Pacjentka, lat 32, przyjęta do Kliniki Otolaryngologii, Onkologii Laryngologicznej, Audiologii i Foniatrii – II Katedry Otolaryngologii, Uniwersytetu Medycznego w Łodzi w trybie pilnym z powodu silnych zawrotów głowy z uczuciem wirowania otoczenia, nudnościami oraz wymiotami utrzymującymi się od ok. kilkunastu godzin. Wcześniej zawroty u niej nie występowały. Innych dolegliwości nie zgłaszała. Zaburzenia słuchu oraz szumy uszne nie występowały i dotychczas z powodu tych dolegliwości nie była
leczona. Przeprowadzono badanie ORL, diagnostykę audiologiczną, otoneurologiczną oraz obrazową (TK głowy) oraz badania laboratoryjne. Rozpoznano ostre obwodowe uszkodzenie narządu równowagi w przebiegu zapalenia nerwu przedsionkowego po stronie prawej. Zastosowano leczenie objawowe: Piracetam, Vinpocetine. Po zmniejszeniu dolegliwości wegetatywnych zalecono indywidualnie dobraną kinezyterapię – ćwiczenia habituacyjne oraz równoważne i koordynacyjne, wykonywane przez pacjentkę – w miarę możliwości – kilka razy dziennie.
Wnioski: Etiologia zapalenia neuronu przedsionkowego w większości przypadków jest nie do końca wyjaśniona. Naukowcy opowiadają się za teorią wirusową, ale podkreślano także znaczenie zaburzeń ukrwienia okolicy jąder przedsionkowych. Obraz schorzenia jest zawsze podobny, dominują nagłe burzliwe objawy. Wiążą się one z występującym deficytem błędnika często z całkowitym wypadnięciem jego funkcji.
Colorectal cancer screening
Authors: Borowiec Szymon , Szymanowski Bartosz , Duchnowska Renata
Published: July 2022

Rak jelita grubego jest jednym z najczęstszych nowotworów złośliwych na świecie. Na rozwój raka jelita grubego, poza predyspozycją genetyczną, wpływa szereg czynników wynikających ze stylu życia. Szacuje się, że proces rozwoju nowotworu złośliwego od przednowotworowej zmiany (gruczolaka) do zmiany złośliwej (gruczolakoraka) wynosi około 10 lat. Badania przesiewowe (skrining) raka jelita grubego pozwalają na skuteczne leczenie zmian przednowotworowych i rozpoznanie nowotworu we wczesnym etapie rozwoju, co pozwala na radykalne leczenie i zmniejsza umieralność. Celem pracy jest omówienie dostępnych w Polsce badań przesiewowych raka jelita grubego.
Gender related differences in active renin, aldosterone and big endothelin concentration during head-up tilt testing in patients with isolated vasovagal syncope
Authors: Stańczyk Adam , Krzesiński Paweł , Piotrowicz Katarzyna
Published: July 2022

Introduction and objective

Neuroendocrine dysregulation seems to play the main role in liberation of abnormal vasovagal reflex, and the pathomechanism can be gender-related. The aim of the study was to assess changes in concentration of active renin (R), aldosterone (A) and big endothelin (BE) at rest and tilting in patients with vasovagal syncope in reference to gender and result of the head-up tilt test (HUTT).

Material and methods

Study involved 133 patients with syncope. In all HUTT were performed. Concentrations of the analyzed hormones were measured at the last minute of the rest, at the 10th minute of tilting and at the end of the test. An aldosterone/renin ratio (A/R) was calculated for each of the phases.

Results

HUTT(+) was observed in 87subjects (65%). During tilting a gradual increase of R and A was observed. The highest A/R was present in women HUTT(-) (p=0.040), contrary to non-fainting men in which decrease of A/R was accompanied with the highest absolute values at the end of the test (>18.6 pg/ml and A/R ratio at the end of the test <2.53 revealed to be independent predictors of syncope during tilt. The increase of R concentration during tilting <1.26 fold and the lack of increase of A predicted syncope during passive phase. In men,
A concentration at the end of the test <44.0 pg/ml and the increase of A during tilting less than 2.10 fold, independently predicted positive result. None of analyzed parameters was pointed as an independent factor of syncope during passive phase. In women, R concentration at 10th minute of tilting >18.6 pg/ml and A/R ratio at the end of the test <2.53 revealed to be independent predictors of syncope during tilt. The increase of R concentration during tilting <1.26 fold and the lack of increase of A predicted syncope during passive phase. In men, A concentration at the end of the test <44.0 pg/ml and the increase of A during tilting less than 2.10 fold, independently predicted positive result. None of analyzed parameters was pointed as an independent factor of syncope during passive phase.

Conclusions

The activity of the vasoactive hormones is different in women and men and can determine
the result of the test and the tolerance to passive tilting.
Neuroprotection treatment in traumatic brain injury - right now or later on?
Authors: Staszewski Jacek , Gniadek-Olejniczak Katarzyna , Możański Marcin , Bebłocińska Anna , Piusińska-Macoch Renata , Świstak Jarosław , Wołoszyńska Izabela , Wiszniewski Marcin , Lewandowska Monika , Stępień Adam , Maliborski Artur
Published: July 2022

Pourazowe uszkodzenie mózgu (TBI) stanowi wyzwanie dla współczesnej medycyny z powodu znacznej częstości występowania, zróżnicowanego obrazu klinicznego oraz konieczności interdyscyplinarnego postępowania często obejmującego intensywną terapię, leczenie chirurgiczne, farmakologiczne, żywieniowe i rehabilitację. Pomimo postępu w uzyskiwanych wynikach leczenia ciężkich TBI wciąż wielu chorychwymaga długotrwałej opieki i nie odzyskuje pełnej samodzielności. Z tego powodu trwają badania nad nowymi terapiami, w tym nad leczeniem neuroprotekcyjnym, które mogłoby poprawić rokowanie po urazie mózgu zarówno na wczesnym, jak i późnym etapie leczenia. W artykule przedstawiono opis przypadku chorego z ciężkim TBI przebiegającym z długotrwałymi zaburzeniami świadomości, niedowładem czterokończynowym, padaczką pourazową pomimo wczesnej intensywnej terapii i rehabilitacji, którego stan znacząco poprawił się po zastosowaniu leku o działaniu neurotroficznym i neuroprotekcyjnym (cerebrolizyny) w połączeniu z intensywną rehabilitacją i terapią zajęciową. Multidyscyplinarne postępowanie oraz terapia multimodalna będąca połączeniem zróżnicowanych metod leczenia, w tym neuroprotekcyjnego w TBI, jest obiecującą strategią postępowania, które może znacząco przyczynić się do sukcesu terapeutycznego.
Are fifth-grade students in elementary school during the COVID-19 pandemic in need of a jumping task-based worksheet to aid in the development of their knowledge? A needs analysis explained
Authors: Hidayat Rahmat , Pramudiyanti Pramudiyanti , Handoko Handoko
Published: July 2022

The COVID-19 pandemic has forced the education process to be conducted online to avoid face-to-face education patterns. During the pandemic, however, many schools are still failing and experiencing the ineffectiveness of online learning systems. The urgency is that if this condition is not addressed and continues, students may experience a loss of learning, resulting in a lack of enthusiasm to learn at school and, as a result, a decline in cognitive testing results. During the pandemic, learning at the SD Karya Penggawa area, Pesisir Barat Lampung, was less effective, resulting in low student cognitive assessment outcomes. The goal of this study was to assess the need for LKPD development using HOTS-based LKPD Jumping Tasks (High Order Thinking Skills). The method used was a qualitative descriptive research method by conducting a needs analysis. Research data were obtained from interviews and questionnaires. Needs analysis questionnaires were given to teachers and grade 5 students in the  Elementary Schools of the Karya Penggawa area. The results of the study revealed that the development of HOTS-based LKPDs needed to be carried out in SD Karya Penggawa areas because students wanted more attractive LKPDs to prevent loss of learning during the Covid-19 pandemic. Besides, it was also revealed that teachers wanted training on the implementation of LKPD jumping tasks to improve the quality of learning.
Participation of the Female Wokforce and Its Impact on the Economic Development of the Country
Authors: Vančo Véghová Veronika
Published: July 2022

The labor market situation is complex and influenced by many unwritten and mostly unconscious norms and prejudices that apply to both women and men. However, more women in society pay for this setting. Firstly, by offering them a priori lower wages than equally qualified men (although "only" by women, the second thing is that more women than men work in human resources, so discrimination has a greater real impact) and secondly because men who perceive that they can be socially (less positively) and economically punished (more frequent dismissals) if they are not the best and if they prefer family and / or health if necessary will not be willing to promote a more equal distribution of responsibilities at home and in childcare. This in turn leads to a greater burden on women's unpaid work and slower career growth for women. A vicious circle is forming where the notion that domestic work and caring for children and other members of the household is a "women's" specialization persists, forcing women to combine family life with work and men to work earlier. career (although perhaps both would prefer a family-work balance). Such an approach has far-reaching consequences, not only economic but also psychological.
Perception of Housing Quality and the Current Situation on Real Estate Market by Generation Z
Authors: Vávra Michal
Published: July 2022

The next generation will socially and economically create the image of Slovakia. Understanding the consumer behaviour of this generation is therefore becoming increasingly desirable. The article focuses perception of the housing quality and current situation on real estate market by next generation in Slovakia. Within this article was used standardized questionnaire via Google Form. A total of 115 respondents took part in the research. The respondents were from the Faculty of Commerce at the University of Economics in Bratislava and studied in the final year of the master's degree. The obtained answers of the respondents were subsequently processed using ANOVA one-way-test. From the overall point of view the 81.74% of respondents from the total number, perceive their housing quality positively. The results explain a strong agreement with the perception of the house quality among respondents. Nevertheless, we can record negative perception of the current situation on real estate market by 50.4% of the respondents. We also note the negative perception of current housing legislation by 71.3% of respondents. At the end of the article is the formulated responses of the results by the Generation Z in solving questions of housing from the demographic perspective of gender structures and residence of respondents.
Heterotopic pancreatic tissue on the gallbladder wall: An incidental finding at laparoscopic appendectomy
Authors: Quarmby Natalie , Nicole Rodrigues Andrea , Varley Martin , Beenen Edwin
Published: July 2022

No Abstract
Céu da Boca: os impactos na comunicação e na qualidade de vida de pacientes com fissura labiopalatina e síndromes genéticas associadas.
Authors: Dutra Amaral Meggiolaro Emilly , Ferreira Castro Iana , Cristina Gomes Janaína
Published: July 2022

As fissuras labiopalatinas (FLP) são as anomalias craniofaciais congênitas mais prevalentes na sociedade, atuando como precursoras de alterações morfofuncionais. Foram selecionados pacientes com FLP sindrômica e não sindrômica de 10 a 20 anos de idade de ambos os sexos. Através de questionários, analisou-se dados com relação ao histórico clínico, possíveis síndromes associadas e procedimentos cirúrgicos e terapêuticos realizados pelo paciente e de como esse processo de reabilitação interferiu na qualidade de vida e na comunicação. Os entrevistados relataram que a característica que se torna o maior estigma do paciente fissurado é a questão da fala (89%). A pouca clareza diante da voz hipernasal faz com que a comunicação seja árdua e complexa com ações de repetição de informações. 97% dos participantes demonstraram maior dificuldade na produção de sons com /s/, /z/, /g/, /d/, /p/, /c/, /k/ e /b/. 93% dos entrevistados gostariam de ter nascido sem a FLP. O estudo demonstrou que a FLP interfere na qualidade de vida, nas interações afetivas e sociais e nos aspectos psicológicos ligados à autoestima e à autoimagem.
How/can Gestalt therapy promote liberation from anti-Black racism?
Authors: Billies Michelle
Published: July 2022

Abstract: Anti-Black racism is an interruption of contact that often takes place out of awareness, and is continuously enacted through innumerable fixed gestalts at every level of human experience. Gestalt therapy as a movement does not leverage its great potential for undoing fixed gestalts of anti-Black racism, or supporting fluid gestalts of racial liberation; this article explores GT theories and practices that do so. I first discuss how concepts of the field, ground, awareness, consciousness, and contact can be informed by ideas such as intersectionality and double consciousness from Black liberation history as well as theorists such as Crenshaw, DuBois, Fanon, Freire, and the Black Lives Matter movement. I then offer a case example and explore how socialization into whiteness can lead to everyday forms of anti-Black dehumanization by white therapists. I conclude with questions toward furthering this work in our movement. Keywords: race, racism, anti-Black, Black, oppression, privilege, intersectionality, awareness, consciousness, field
Developing a manual for identifying interventions in psychotherapy to measure treatment adherence in research
Authors: Schulthess Peter , Crameri Aureliano , Koemeda-Lutz Margit , Tschuschke Volker , von Wyl Agnes
Published: July 2022

Abstract: This article describes the process of developing a manual of therapeutic interventions of ten different modalities. With this manual, independent raters can identify the therapeutic interventions occurring in a therapy session. In research, this is called the control of treatment adherence. The article also presents some results shown by using this manual. A surprising finding was that treatment fidelity was rather low in all treatment modalities. Therapists in all modalities were identified as using between 4.7% and 32.5% of interventions specific to their school of psychotherapy. Nonspecific interventions ranged between 51.4% and 73.2% of all interventions identified. Between 14.8% and 24.8% were identified as interventions from other treatment modalities. Keywords: psychotherapy research, naturalistic design, treatment adherence, Manual of therapeutic interventions, Gestalt therapy, specific and non-specific interventions
Pembelajaran Matematika Melalui Koding
Authors: Ismayani Ani
Published: July 2022

Coding or computer programming is believed to promote students' computational thinking skills, one of the essential skills in the 21st century. Nowadays, computational thinking is even considered as a new type of literacy that students need to master. By means of coding, students are trained to be competent in problem solving through various activities that stimulate logical, creative, critical, and analytical thinking. These qualities make coding widely promoted as medium and means of learning mathematics. This paper discusses how coding can be integrated in mathematics learning to achieve its goals, grounded on some references tracing and empirical observations in a limited scope. Furthermore, several examples of coding activities and their forms of integration with mathematics lessons at school are discussed.
Implikasi pada Pernyataan Sehari-hari
Authors: Sudiarto Sudiarto
Published: July 2022

This study aims to facilitate the understanding of if-then statements or implications in everyday statements based on mathematical logic. The research method used is applied literature study and concept analysis. The researcher analyzes the implications of everyday statements based on the relationship between cause and effect statements using set theory which is described by a Venn Diagram. The pattern of compound statement relationships in the Venn Diagram is used to determine the truth value of the implications. There are seven patterns of causal statement relationships in everyday statements depicted in the Venn Diagram. Based on the pattern of the relationship, there are seven types of implications in everyday statements, namely: (1) Section Implications which in mathematical logic are called Implications, (2) Scope Implications, (3) Intersecting Implications, (4) Equivalence Implications, which in Mathematics called Biimplications, (5) Independence Implication, (6) Different Universal Implication, and (7) Negation Implication. The results of this study indicate that giving examples of mathematical logic statements using everyday statements must consider the pattern of causal statements to make it easier to determine the truth value.
Tantangan dan Kesempatan dalam Pembelajaran Matematika Menggunakan Flipped Classroom
Authors: Permatasari Dian
Published: July 2022

The existence of technology in the teaching and learning process has changed the way teachers transfer their knowledge to their students. Moreover, the COVID-19 pandemic has impelled the use of technology in learning. The existence of flipped classroom has positive influences on the effectiveness of learning in understanding the basic concepts, joyful learning, student’s achievement, and collaborative learning between students. Some challenges arise in the employment of flipped classroom in the actual classroom. Therefore, this article is intended to explore the various challenges of learning mathematics in the flipped classroom model in the pandemic era. Teachers, who generally use traditional teaching as their method, find several problems regarding the way to manage and design the flipped classroom model in their teaching practice. To learn more about the flipped classroom design, teachers should expand their knowledge through training or collaborative study with professionals or experts in the flipped classroom. This is essential because it supports teachers to organize learning well.
Production of polyhydroxyalkanoates (PHA) by pseudomonas from waste products
Authors: Singh Anuradha , Srivastava Vivek
Published: July 2022

Polyhydroxyalkanoate commercial manufacture is hampered by high production costs (PHAs). Up to 50% of the total process expenses might be attributed to the medium used for cultivation. With this research, the researchers hoped to determine if acidogenic fermentation of food waste may yield volatile fatty acids as low-cost carbon sources for bacterial growth essential to make polyhydroxyalkanoates (PHAs). The bacterium Pseudomonas pseudoflava was used to examine the generation of polyhydroxyalkanoates (PHA) from waste food at varied carbon concentrations (4-55g/l). Bacteria produced the most PHA at a concentration of 19 g/l (52.5 percent) and removed the most carbon at a concentration of 7 g/l (67.6 percent). Various analytical methods were used to examine the synthesized PHA's structure, molecular weight, and thermal characteristics, among other things. According to the results of this study, organic carbon persisting in wastewaters may be degraded and converted into PHA by using P. pseudoflava.
Age estimation by determination of the stages of third molar development using Kullman's method
Authors: Sadphule Rajesh , Waghmare Mandavi , Pagare Sandeep , Shetty Naveen , Gavand Kapil , Vhatkar Bhavika
Published: July 2022

Determination of dental age in a living person is also equally important to know his /her age where there is no birth record available for legal purposes.The present study involves the radiographic examination of mandibular 3rd molar on digital Panoramic X-Ray. The radiograph of each subject was then interpreted following the guidelines suggested by Kullman et al (1992) for age estimation based on their developmental stage and root length of mandibular third molar. This study concluded that the developmental stages of root of mandibular third molar gives fairly accurate results and can be considered for the age estimation with the methodology suggested by Kullman et al.
Evaluation of endometrial tuberculosis among subjects undergoing endometrial biopsy at our teritiary care centre
Authors: Mishra Amritesh Ranjan , Awasthi Vartika
Published: July 2022

Background: Female genital tuberculosis (FGTB) is known to cause severe tubal disease leading to infertility and its incidence closely parallels with the overall prevalence of tuberculosis (TB) in a community. Objectives of the study: To study the prevalence of endometrial tuberculosis among the infertility subjects undergoing endometrial biopsy. Materials and Methods: Demographic data regarding age, Socioeconomic status based on the Modified Kuppuswamy scale, menstrual pattern, type of infertility, past-history of TB in any part of the body or history of TB contact (living in the same household or in frequent contact with a sputum smear positive TB patient in last 2 years). Body Mass Index/ BMI was calculated. All the subjects were evaluated for GTB by CXR, CBNAAT, USG, Culture AFB, Biopsy, and histopathological examination. Results and Discussion: We performed various investigations which include CXR, USG, CBNAAT and CS for AFB, we found that all the subjects had normal CXR, 132 had tubo-ovarian mass on USG, 36 had CBNAAT positive and culture for AFB was positive in 23 subjects.
Evaluation of hSCRP and microalbumin levels in smokers
Authors: Turankar Sunita Avinash , Sushma P. , Yasmin Tabassum , Vineetha K. R.
Published: July 2022

Background: Smoking is associated increase in morbidity and mortality from various diseases. Increasing evidence suggests that chronic smoking adversely affects vascular and hormonal systems. Smoking plays a significant role in the development of atherosclerosis, thrombogenesis and vascular occlusion, which further adversely affects the prognosis of nephropathies. Aim and. Objectives: to estimate and compare the levels of hSCRP and microalbumin levels in smokers and non-smokers. Materials and Methods: Under aseptic precautions random venous blood sample of 2 mL was drawn from ante-cubital vein and collected in red top tube and serum was separated and analysed for high sensitivity C reactive protein (hSCRP). Early morning mid-stream urine was used for urine microalbumin estimation and the same sample was used for urine microscopy to exclude patients with urinary tract infection. Statistical Analysis: All statistical tests was performed using SPSS software. For comparisons of different variables student’s t-test and Chi-square test were be used. Pearson coefficient of correlation was used for assessment of relationship between variables. A p value <0.05 was considered statistically significant.