bluuebunny/crossref_metadata_2025 huggingface dataset:
科技導入專科護理師教育之臨床推理與批判性思維
Authors: 童恒新 童恒新 , Heng-Hsin Tung 蔡秀鸞
Published: February 2023

疫後時代加成數位科技時代的熟度並廣泛運用在醫護教育。專科護理師（簡稱專師）與醫師共同提供病人最適當的照護。臨床推理與批判性思維是專師必備的進階專業照護能力，可透過教育訓練與臨床經驗堆疊漸階式達成臨床批判性思維。本文說明科技導入專科護理師教育之臨床推理批與判性思維訓練。首先，論述科技導入教育的優缺點。接續，陳述專科護理師教育之內涵，臨床推理的理論基礎與必要性。再者，如何將科技導入專科護理師教育之臨床批判性思維以利提升學習成效展演出接軌實務之核心能力。文末，筆者分享實際教學案例如何運用科技導入專科護理師教育之臨床推理與批判性思維。

 

In the post-epidemic era, the proficiency level of digital technology is rapidly improved and technol-ogy has been widely adopted in medical education. Nurse practitioners (referred to as NP) work with physicians to provide the most appropriate care for patients. Clinical reasoning and critical thinking are essential advanced professional skills for NPs, which can be acquired through education and clin-ical experience. This article describes the application of clinical reasoning and critical thinking train-ing technology on NPs’ education. First, the advantages and disadvantages of technology integration with education is introduced. Next, the content of NP education and the necessity of theoretical clini-cal reasoning is described. Furthermore, the ways to apply technology on the critical thinking in NPs’ education to improve the learning effect leading to demonstrating clinical competencies are discussed. At the end of the article, the author shares the applications of technology to facilitate clinical reason-ing and critical thinking in the curriculum of NPs’ education.

 
行動應用程式於護理教育的研發與運用
Authors: 何蕎若 何蕎若 , Chiao-Jo Ho 李明忠 , Ming-Zhong Li 邱文璽 , Wen-Hsi Chiu 鄭夙芬
Published: February 2023

Z世代（又稱I Generation）的學生成長於網路科技快速發展的環境，習慣依賴網路來搜尋資訊，學習偏向視聽刺激，較不喜歡閱讀或聆聽講述。近年來行動應用程式在教育的領域中使用頻率越來越多，學生可以透過行動應用程式隨時隨地取用各種學習資訊。行動應用程式（App）應用到護理教學中，不僅能符合學生的學習需求，更可提高學習成效。多數App設計都是要寫程式，護理教師只能提供課程專業知識 （know how），其App相關內容則需要仰賴科技人設計，設計成本貴，大多需要倚賴經費支援。本文將從行動應用程式談起，說明製作免編程App的操作技巧，探討其優點與限制，同時說明護理教育者如何在有限的資源下，製作一個創新有趣的行動應用程式App。期望未來護理教育者能發展出一個專屬自己的行動學習App，激發學生學習動機，提升學習成效。

 

Generation Z students (also known as I Generation) grew up in a rapidly developing environmentof Internet technology. They prefer to search information from the Internet rather than reading and listening to the lecture. Recently, mobile applications have been adopted frequently in education. Stu-dents can use different apps to get information and learn without limits. The application of Mobile applications (App) can not only meet the learning needs of students, but also improve the effectiveness of learning in nursing. Most Apps design requires programming. However, nursing educators can only provide professional knowledge (know how). App-related tasks need to be performed by technologists. The cost is expensive and financial support is required. The article starts with a brief introduction of mobile apps, and then explained the operating skills of making programming-free apps. Finally, the advantages and limitations of Apps are discussed, and how nurse educators could make an innovative and interesting mobile app with limited resources is explained. It is hoped that nurse educators can develop their own mobile learning Apps to increase students’ learning motivations and to improve learning effectiveness in the future.

 
淺談人工智慧於臨床健康照護之應用
Authors: 余怡珍 余怡珍
Published: February 2023

醫療結合科技技術已是當前健康照護的趨勢，人工智慧在醫療領域的應用促成智慧醫療的發展，醫療照護也借助於各種科技技術的精進，讓疾病可以早期診斷、早期治療，更透過大數據收集與分析，輔助治療決策，增進醫療效率，走向精準醫療。智慧醫療可提供個人健康化管理進而達到高風險疾病預防，增進國人健康的福祉。不論是護理師或專科護理師都是醫療團隊面對病患的第一線醫療專業人員，護理臨床工作中對病患的身心評估、數據收集與完成各項健康紀錄是護理人員的重要職責，特別是專科護理師參與相關的醫療決策與治療計畫具有舉足輕重的角色，因此在現今人工智慧技術與醫療體系逐漸緊密結合的世代，護理人員若能對於科技技術有更深入的了解，將可增進與醫療團隊的溝通，參與更多的醫療決策並提升護理功能與照護品質。本文將介紹科技技術的初步概念及臨床護理的應用，期能提供專科護理師或護理人員未來在臨床照護或研究方面的參考。

 

Technological innovation is currently the mainstream in medical care industry. Specifically, artificialintelligence (AI) has become a critical role in medical care, as it can facilitate early diagnosis and treatment. The collection and analysis of big data can assist in decision making and improving med-ical efficiency. Moreover, this technology can be used to improve personal health management and to prevent high-risk disease and enhance overall health and wellbeing. Nursing staff are the first-line medical care professionals who interact with patients directly. Nurses are expected to carry out full medical assessments of patients, collecting data and recording various electronic health information. Nurse Practitioners play a pivotal role in medical decision-making process by developing treatment plans. As such, given the capabilities of AI and its prevalence within healthcare, understanding this technology and the ways to utilize it, is key to improve interprofessional communication, to facilitate the medical decision-making process and to increase quality of care. This article will introduce the application of AI in nursing and, by extension, provide a starting point for nurses and nurse practi-tioners to better understand its role in clinical care and research.

 
一位60歲男性以反覆性腹脹表現
Authors: 陳思褕 陳思褕 , Szu-Yu Chen 沈桂鳳 , Kuei-Feng Shen 黃名秀
Published: February 2023

結核性腹膜炎病程緩慢且症狀不具有專一性，當潛伏病灶再激活時其死亡率高。本案例是一位60歲男性患有腹脹疼痛、腹水合併發燒症狀，使用經驗性抗生素治療自發性腹膜炎後，其發燒逐漸緩和、但腹脹疼痛仍持續存在，因反覆性腹水增生與發燒症狀，考慮結核菌感染及惡性腫瘤之可能性，行電腦斷層檢查顯示腹膜有多處結節及浸潤，最終由腹腔鏡取得腹膜組織切片確診為結核性腹膜炎，隨即接受抗結核藥物治療，但病人於服藥四日後因併發急性肝衰竭而離世。面對腹脹、腹痛、反覆性腹水及發燒的病人，當抗生素治療成效不佳、臨床狀況與實驗室檢查值無法相呼應時，需將結核菌感染列為鑑別診斷，藉由詳細的身體評估、追蹤檢驗值及必要的切片病理輔助診斷，方能早期確立診斷，以免錯失最佳治療時機。

 

Tuberculous peritonitis is a slow developed disease with non-specific symptoms. When a latent tuber-culosis lesion is reactivated, its mortality rate is high. In this case, a 60-year-old man was presented with abdominal distension and tenderness. Intermittent fever and intra-abdominal ascites were also noted. After using empiric antibiotics with Imipenem 500 mg + Cilastatin sodium 500 mg to treat spontaneous peritonitis, his fever gradually subsided, but the abdominal distension and tenderness persisted. Due to recurrent ascites and fever, the possibility of tuberculosis infection and malignancy were highly suspected. Abdominal computerized tomography examination was arranged and revealed multiple nodules and infiltrations at the peritoneum. Laparoscopy surgical biopsy of peritoneal tissues were performed and the pathological reports confirmed the diagnosis of tuberculous peritonitis. The patient was treated with anti-tuberculosis drugs, but eventually expired due to acute liver failure four days after anti-tuberculosis drugs prescription. When a patient is presented with abdominal distension and tenderness accompanied with ascites and intermittent fever, antibiotics treatment is ineffective in corresponded to laboratory test data. Tuberculosis infection needs to be considered as one of the differential diagnosis. Detailed physical assessment, follow-up test values tracking and surgical biopsy can help establish an early diagnosis.

 
A Study on the Role of Tofacitinib Among Patients Treated with Alopecia Areata
Authors: Kiyani Asma Javed , Shaikh Huma Afzal , Mirza Urooj , Awan Sobia , Saqib Alina
Published: February 2023

Aim: To determine the efficacy of Tofacitinib in patients with Alopecia Areata. Methods: This interventional study was conducted at Department of Dermatology, Fauji Foundation Hospital Rawalpindi and Cantonment General Hospital Rawalpindi from May, 2022 to October 2022 on 60 patients having hair loss on scalp >50%. Patients were administered with Tofacitinib 5mg BD for 24 weeks. Improvement was assessed by change in the Severity of Alopecia Tool (SALT) score from the baseline. Results: This study was conducted on 60 patients having Alopecia areata. The age of the patients was 33.70±8.69 years. Patients with Alopecia areata 82.9% had >50% change in SALT score, while patients having Alopeciatotalis, 75% showed >50% change in SALT score and patients having Alopeciauniversalis 66.7% showed >50% change in SALT score. Conclusion: From was study we conclude that tofacitinib is an effective treatment for patients with Alopecia areata. Keywords: Alopecia Areata, Tofacitinib, Efficacy
Factors Involved in Avoidance of Contraceptives
Authors: Khan Khozama , Rafiq Tanzila , , Gillani Madiha , Musammat Rafi Piya Muhammad , Altaf Sidra , Mubeen Faisal
Published: February 2023

Objective: To determine the frequency of factors involved in avoidance of contraceptive methods in multigravida female. Study Design: Cross sectional survey Place and Duration of Study: This study was conducted at the obstetrics and Gynaecology unit in Bahawal Victoria Hospital Bahawalpur from 16-08-2018 to 10-09-2019. Materials and Methods: 250 Multigravida women not practicing contraception, of Reproductive age, Para 2 or more were included in the study. All those women fulfilling the inclusion/exclusion criteria were included in the study. Software SPSS was used and Chi-Square test was applied. Frequency and percentages were calculated for factors involved in avoidance of contraceptive methods. Results: Factors involved in avoidance of contraceptive methods was recorded which shows that 6.8%(n=17) had age <18 years, 55.6%(n=139) had will of sons and 37.6%(n=94) had religious reasons. Stratification for factors involved in avoidance of contraceptive methods with regards to parity was done, 100% were between 2-5 para, Out of 139 cases having will of sons, 71.94% were between 3-5 gravidas and 28.06% had >5 gravidas and 94 cases for religious reason, 53.19% were between 3-5 gravidas and 46.81% had >5 gravidas. Conclusion: We concluded that age <18 years, will of sons and religious affiliation are the leading factors involved in avoidance of contraceptive methods in multigravida female Keywords: Avoidance of contraception, multigravida females, multiparity factors, Reproductive age <18 years, will of sons, religious reasons in multiparity.
A STUDY ON KNOWLEDGE OF THE DANGER SIGNS OF PREGNANCY IN MAASAI WOMEN IN KIEKONYOKIE SUB LOCATION OF KAJIADO COUNTY IN KENYA
Authors: Lebahati Simel Laban , Nanduri Dr. Lakshmi , A.Juma Dr.Pamela , Omuga Dr.Blasio
Published: February 2023

Maternal health is one of the eight Millennium Development Goals, is central to poverty reduction and overall development, and it increased international attention for monitoring progress on maternal health and improving access to skilled attendants at deliveries.  In Kenya, 44 percent of births are delivered under the supervision of a health professional, mainly a nurse or midwife. Traditional birth attendants continue to play a vital role in delivery, assisting with 28 percent of births. This research paper aimed to study in relation to the utilization of skilled delivery services, the knowledge of the danger signs of pregnancy in Maasai women, the study population belonging to a community of nomadic life style in North of Kajiado County in Kenya. The study design was a cross sectional descriptive study adopting both quantitative and qualitative methodologies. The sample size was 264 women of reproductive age obtained by using formula given by Fisher et al. when the population is more than 10,000.The quantitative data has been analyzed using (SPSS) version 17.0 while the qualitative data was analyzed by summarizing of the themes. Results show  that 7.6% of  Maasai women consult  their mother in law, husbands make most of the decisions 40.2% on  the place of delivery of the expectant mothers whereas as the relatives  make the least  decisions 5.7%. Preparation of the expectant mother for delivery did not have a statistical significant p-0.046.The traditional rite of passage practices had no statistical significance p -0.190. 72% of women could mention at least one correct danger sign for pregnancy out of the posssible four. 97.7% of the Maasai women take more than 1hour to reach to the nearest health facility and less than 1% of them take less than 30minutes to reach to the health facility.
DIAGNOSTIC AND THERAPEUTIC DIFFICULTIES IN THE NEUROSURGICAL MANAGEMENT OF POTT’S DISEASE IN MADAGASCAR
Authors: MG Tsiaremby , JS Bemora , PS Rakotozanany , W Ratovondrainy , M Rabarijaona , C Andriamamonjy
Published: February 2023

Introduction: Pott’s disease or spinal tuberculosis is feared by its neurological damages. The study aimed to indicate and solve the diagnostic and therapeutic problems met in its neurosurgical management.

Methods: It was a retrospective study conducted during 3 and half years (2015-2018) about

36 patients from three neurosurgical centers in Madagascar: CHUJRA, CENHOSOA and CHU FIANARANTSOA.

Results: Pott’s disease had an incidence of 10 cases/year. The mean age was 37 years and the sex ratio was 0.9. Most of the patients came from rural regions (65%). The average of consultation delay was about 16 months. Neurological deficits were observed at 69.4 % and complete paraplegic at 47.2 % at the beginning of hospitalization. The delay of consultation upper to 6 months was significantly correlated in the paraplegia (p-value = 0,002). Spinal injuries had shown by MRI only in 19.4 % and by a spinal CT in 69.4 %. Over 83.3 % of patients needed a neurosurgical intervention while only 52.8 % were able to be operated. Anterior approach offered best results with 83.3 % of neurological recuperation in 3 months. Conclusion: The insidious installation of the disease, the diagnostic delay, the pecuniary insufficiency, the expensive cost of MRI and surgical implants are the main difficulties met in neurosurgical management of Pott’s disease. Anterior approach is the surgical technique the most adapted to the advanced Pott’s disease.
Assessment of the Physiochemical Characteristics of Water Samples from Vicinity Area of Wadafiae Landfill, Khartoum North, Sudan
Authors: Elamin Omer Abbass , Elhassan Abdelelah Mohamed , Abdelgadir Abdelgadir Elfadil , Ahmed Mariam Hamdan
Published: February 2023

The rapid increase in population, urbanization, industrialization, and changes in consumption patterns have given rise to many environmental problems, which mainly include air, land, and water pollution. In Khartoum North, Khartoum State, Sudan, there was a lack of a compatible solid waste management system. These resulted in a decline in environmental health, and the majority of the yards were turned into dumps (kusha). The current study focused on the effects of uncontrolled dumping of municipal solid waste on groundwater, as well as assessing the risk of physiochemical concentrations in the water around the dumpsite and comparing the differences between the dry and rainy seasons in water samples at Wadafiea Dumpsite, Khartoum North, Sudan. Water parameters such as TSS, Cl⁻, TDS, Ca, Mg, SAR, and Na exceeded the controlled 1 (1.333) and 2 (1.332) levels of water and were within the Sudanese Maximum Values, the bounds of Canadian Guideline Values, and WHO Values.
hybrid cluster based classification model for high dimensional disease prediction databases
Authors: Ramya P. , Reddy T. Bhaskar
Published: February 2023

As biomedical databases continue to expand, it becomes increasingly difficult to identify a crucial feature for a classification task due to big data size and sparsity issues. Traditional feature subset models rely on fixed-sized dimensions for the feature ranking and classification process, which is not suitable for addressing concerns with sparsity, missing values, and imbalance in the selection of crucial features for the data classification process. To enhance disease prediction effectiveness, this article proposes a hybrid ensemble feature selection method that employs an advanced cluster-based classification model. The model uses an ensemble of rated features to classify the disease with high accuracy and true positive rate. To improve the effectiveness of tree pruning and classification, we introduce a novel cluster-based classification model. We simulated experimental results using various training datasets to predict accuracy. Our proposed results demonstrate that the gene-chemical disease clustering-based classification framework outperforms traditional methods, statistical metrics, and classification models in terms of optimization.
The Effectiveness of Poster Media on Senior High School Students' Communication Skills on Plant Tissue Concept
Authors: Alya Mutiara , Cahyani Alifia , Erni Erni , Mahrawi Mahrawi
Published: February 2023

One of the human needs is communication; communication is an activity of exchanging information verbally and non-verbally with one another to change behavior (Yanti, 2019). Learning media needed that can be used as a communication tool or intermediary that the sender will convey with the aim that the recipient can more easily receive the information conveyed (Megawati, 2017). One of the learning media used in the learning process is a poster. Poster learning media is said to be good if it includes legibility, visibility, readability, and composition (Pauwels, 2015). In biology learning, poster media is often used. One of the biological materials that use poster media is plant tissue material. Plant tissue materials study plant tissue facts from various cutting techniques and are poured into images so that studying these materials relies on pictures of plant tissue incisions (Pratama et al., 2022). The results of this study have better changes and have a role in changing the verbal and non-verbal communication of students. This poster model is effective for use on plant tissue materials, where the pictures on the poster can make it easier to understand the material. At least it consists of research objectives, methods, results and interpretations, conclusions.
Conservation Education Media: Birdwatching Guidebook in the Buffer Zone of the Rawa Danau Nature Reserve
Authors: Leksono Suroso Mukti , Marianingsih Pipit , Dewi Nurul Aulia , Cahya Nur
Published: February 2023

Rawa Danau Nature Reserve is a conservation area that protects various remaining flora and fauna on Java island, including birds. However, at present, Rawa Danau Nature Reserve 's existence is threatened due to changes in the structure and habitat function by the activities of the surrounding community. Therefore, it is necessary to have a solution in the form of efforts to preserve and preserve the diversity of species and their ecosystems. One form of this program is conservation education. Conservation education is a form of effort to protect biodiversity and natural resources by increasing knowledge, skills, participation, attitudes, and awareness of the importance of natural resources to sustain life. Information media is needed to facilitate the achievement of conservation education goals, one of which is the development of a birdwatching field guidebook. This study aimed to develop a birdwatching field guidebook as a medium for conservation education in the Rawa Danau Nature Reserve area The development method was used to create the field manual. The developed guidebook contains information on bird diversity, bird conservation, observation techniques, and bird observation locations, as well as bird identification sheets accompanied by bird distribution patterns in the form of descriptions and illustrative pictures or photographs of research results. The book was also developed to meet the principles of environmental education, namely to develop awareness, knowledge, attitudes, skills, and participation in protecting the environment.
The Use of the Think-Pair-Share on Senior High School Students’ Mathematics Learning Achievement on Integral Concept
Authors: Kartini Linda
Published: February 2023

This study aimed to improve the ability of class XI high school students to understand the explanations of resource persons in mathematics by applying the Think Pair Share (TPS) learning model so that learning mathematics becomes more fun and creates creativity. The problem faced by the teacher is the need for students' ability to understand the speaker's explanation material, such as students' ability to understand definite integrals, calculate definite integrals and simple algebraic functions, and use integrals to calculate areas. This classroom action research was conducted in class XI in a school in Serang City, Banten. Activities carried out as many as two cycles of action. In general, the procedures in each action are (1) planning, (2) implementing, (3) observing, (4) reflecting on the results of action research, and the results show that based on data analysis during the cycle I and cycle II, it can be concluded that the application of the Think Pair learning model Share (TPS) in learning mathematics on integral material has increased both qualitatively and quantitatively, namely: The learning outcomes obtained by students in learning mathematics are: Initial results (pretest) show an average score: 46.75; The results in cycle I rose to an average score of: 77.25; The results in cycle II rose to an average score of 79.25. Student activity in carrying out mathematics learning activities shows: In cycle I, it shows an average of 60% (good enough), and in cycle II, it goes up and shows an average of 88% (very good). The results of the research and discussion above show that the action hypothesis is proven, namely, the use of the TPS model can improve mathematics learning outcomes for class XI high school students.
The Adolescent Emotional Regulation with a Single Parent and Its Implication on Family Education
Authors: Damayanti Dini , Rahmawati Rahmawati , Khairun Deasy Yunika
Published: February 2023

This study aimed to determine the image of the emotional regulation of adolescents who has a single-parent man. This type of research is qualitative research with a phenomenological study approach. The research place is the subject, who resides in Serang city. The data sources of this study are three teenagers who have single parents caused by death. The results showed that the picture of emotional regulation in adolescents with single parents’ men had not been formed perfectly. Because the subject was still unable to cope with the emotional problems he was experiencing, it wasn't easy to control and express his emotions appropriately. The implications of this study illustrate the importance of a close single-parent man in adolescents to have good emotional skills.
Lightweight Materials in Electric Vehicles
Authors: Zhou Xianyan , Jiang Jun , Hu Zhili , Hua Lin
Published: February 2023

Review
Lightweight Materials in Electric Vehicles

Xianyan Zhou 1,*, Jun Jiang 2, Zhili Hu 3, and Lin Hua 3

1 Department of Mechanical and Industrial Engineering, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway
2 Department of Mechanical Engineering, Imperial College London, Exhibition Road, London, SW7 2AZ, UK
3 School of Automotive Engineering, Wuhan University of Technology, Luoshi Road, Wuhan, 430070, China
* Correspondence: xianyan.zhou@ntnu.no
 
 
Received: 23 September 2022
Accepted: 21 November 2022
Published: 18 December 2022
 

Abstract: Lightweight materials are highly demanded in electric vehicles (EVs) to reduce environmental impacts and energy consumption. Aluminium alloys are promising materials in EVs due to their advantages such as high specific strength, corrosion resistance and recyclability. However, forming complex-shaped thin-wall aluminium products is challenging due to their poor formability and limited dimensional accuracy. Meanwhile, recycling some of the high-strength aluminium alloys from EVs is still challenging. This review highlights some of the future potential aluminium forming techniques for EV production, including incremental sheet forming (ISF), hot forming and quenching (HFQ ® ) technique, and transverse stretching and local bending (TSLB). Also, the issues associated with aluminium recycling are listed and discussed. This review provides scientific guidance to the industry and the scientific community for advancing the applications of aluminium alloys in EVs.
Cistitis Eosinofílica Patología Poco Frecuente: Reporte de un Caso y Revisión de Literatura
Authors: Hernández Leidi Diana , Fuentes Guillermo
Published: February 2023

OBJETIVO: presentar el caso clínico de un paciente con diagnóstico de cistitis eosinofilica al que se le realizó resección transuretral de tumor vesical (RTU-TV). ANTECEDENTES: La cistitis eosinofílica es una condición inflamatoria muy rara de la vejiga. Implica la inflamación transmural con predominio fuerte de eosinófilos en la pared de la vejiga con fibrosis con o sin necrosis del músculo. CASO CLINICO: paciente femenina de 30 años con historia de 6 meses de presentar hematuria macroscópica, ocasional, con expulsión de coágulos pequeños, redondos, que cede con la ingesta de agu. Además refiere disuria, estranguria y dispareunia. Se realiza ultrasonido, el cual reporta la presencia de masa vesical; TAC Abdomino-Pélvica: tumor vesical de 2 x 3 cms en piso y fondo vesical. Se realiza RTU-TV. En la biopsia se concluye: Cistitis Glandularis con metaplasia intestinal asociada a una cistitis eosinofilica. Se trata con antihistamínicos por 1 mes, esteroides por 15 días y  antibiótico por 7 días presentando remisión completa. RESULTADO: patología poco frecuente la cual se logró resecar en vejiga vesical de forma completa. Se administró esteroides y anti alérgicos por 4 semanas presentando remisión completa de la enfermedad. CONCLUSIONES: la RTU-TV  más terapia con esteroides y antihistamínicos están indicados  en este tipo de patología. Es necesario el control  y seguimiento riguroso del paciente.
Różnorodność krajobrazu dźwiękowego Parku Śląskiego
Authors:   Główny Instytut Górnictwa, Zakład Akustyki, Elektroniki i Rozwiązań IT, Miterska Magdalena , Kompała Janusz
Published: February 2023

Park Śląski o powierzchni 535 hektarów znajduje się w centrum największej polskiej aglomeracji i stanowi miejsce wypoczynku mieszkańców pobliskich miast. Przeanalizowano krajobrazy dźwiękowe w różnych częściach parku: w Wesołym Miasteczku, zoo, skansenie, ogrodzie różanym, na Polach Marsowych oraz w okolicach planetarium. W wyniku badań wyodrębniono w parku strefy głośne i ciche. Wskazano na znaczenie odpowiedniego projektowania parków miejskich względem hałasu w ich otoczeniu. Ze względu na obszary o różnym przeznaczeniu i lokalizację parku jego poszczególne części różnią się krajobrazem dźwiękowym. W artykule przedstawiono charakterystykę krajobrazu dźwiękowego poszczególnych obszarów Parku Śląskiego.
Strengthening teaching capacities for nurse lecturers: An initial report
Authors: Hoang Lan Van , Tran Thuy Duong , Phan Hong Anh , Nguyen Thi Hoa Huyen , Bui Thi Hien , Hoang Thi Hue , Le Thi Thuy
Published: February 2023

Objectives: To assess the prior knowledge of teaching methods among nurse lecturers before participating in the train-of-trainer workshop, namely “Covid-19 and Nursing Education: Strengthening nurse lecturers’ teaching capacities and learning environments for the new nornal”.
Subjects and methods: A cross - sectional study was used to assess the knowledge of teaching methods of all nurse lectures from five nursing schools. An online survey, which had 25 items related to 05 topics in the workshop, was developed.
Results: 26 nurse lecturers completed this online survey. The results of the pre-test survey showed that the average score of knowledge about teaching methods was 12 (± 2.8) with the possible score ranged from 0 - 25 points. Only 02 lecturers correctly answered 19 questions out of a total of 25 questions. The most incorrect answers were given by the lecturers in the knowledge area about debriefing techniques in simulation training and peer support methods.
Conclusion: The initial results of knowledge regarding teaching methods indicated the need of conducting the training program for nurse lecturers. The study outcome has potential application based on its series of training workshops, teaching demonstration and a combination of quantitative and qualitative evaluation on the effectiveness of the training program.
Analyzing the role of tofacitinib in treatment of alopecia areata: A retrospective analysis from a tertiary care center of North India
Authors: Singla Shalabh , Narang Ranchit , Shanker Vinay , Gupta Sharang , Saraswat Neha , Singh Rajwinder
Published: February 2023

Background: Alopecia areata is a disease, in which patients’ loss hairs as random patches due to autoimmune complications. Tofacitinib acts as an inhibiter in the Janus kinase signal transducer and activator of transcription pathway and is an effective drug approved for the of rheumatoid arthritis treatment. Limited evidence is available on the role of tofacitinib in treatment of alopecia areata.

Aim and Objective: The present study aims to evaluate the efficacy of tofacitinib in treatment of alopecia areata patients visiting the tertiary care center of North India.

Materials and Methods: Total 17 patients with alopecia areata were recruited in this study and prescribed with the tofacitinib 5 mg twice daily for 6 months. Severity of alopecia tool (SALT) was used to analyze the severity of hair loss. The SALT score measures the total percent of hair loss in all area of scalp. A higher SALT score indicates higher hair loss.

Results: The mean age of the patients was 27.88 ± 16.30 years with male-to-female sex ratio of 2.4:1. The mean duration of disease was 32.29 ± 22.14 months. There was a significant decrease in the SALT score (P = 0.0001) following the 6 months tofacitinib treatment.

Conclusion: Tofacitinib was found to be effective in the treatment of alopecia areata. Further multicentric studies with ample sample size are required to establish tofacitinib as a standard treatment for the alopecia areata.
Analysis of pattern of anti-osteoarthritic drugs in a tertiary care hospital of central India – A drug utilization study
Authors: Siddiqui Riyaaz , Shende Tanaji , Mahajan Harshal
Published: February 2023

Background: Osteoarthritis (OA) is the most common kind of arthritis and symptomatic OA is recognized as a significant cause of disability and participation limitation in middle-aged and older persons.

Aims and Objectives: The present study was done to evaluate drug utilization pattern of drugs used in treatment of OA at tertiary care center in central India.

Materials and Methods: The present study was observational and prospective research carried out at NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, a tertiary care hospital. The necessary information was collected from the orthopedics department. The investigation lasted 6 months, from July 2022 to December 2022. The present research included 108 patients diagnosed with OA.

Results: The research included a total of 104 patients comprising of 58 females and 44 men. The majority of the patients were found to be 60 years old or older, with OA impacting their knee joint considerably (45%). NSAIDs were the most regularly given class of medicines in OA which was prescribed to 81% of the patients. Combined treatment of NSAIDs, calcium, and Vitamin D3. It was found that 52% of patients were adhering to OA medication.

Conclusion: The patient’s uncontrolled pain was brought on by medicines, a low-calcium diet, increased stress, obesity, and advanced age, as well as a lack of knowledge about the challenges associated with OA.
Evaluation of hydrothermally carbonized alternative biomass (Lepironia articulata) as a source of alternative energy and adsorbent
Authors: Ullah Asad , Kaewsichan L. , Tohdee K.
Published: February 2023

Lepironia articulata (LA) widely available wetland biomass was successfully converted into a solid coal-like material called hydrochar. Hydrothermal carbonization (HTC) being a technically-attractive thermal conversion process of biomass into hydrochar at mild conditions was adopted in this study. The effect of process parameters on the physicochemical properties and the yield of hydrochar was studied by varying carbonization temperature and residence time over the range of 180, 200, 220, 240 oC and 6, 12, 24 h, respectively. With an increase in temperature, the hydrochar yield decreased rapidly from 68.8% at 180 oC to 55.2% at 240 oC. In addition, the increase in carbon percentage was observed with an increase in temperature from 10.28% (180 oC) to 38.69 %( 240 oC). The H/C and O/C atomic ratios reduced from 1.392 and 0.541 to 1.072 and 0.271, respectively, which was typically related to decarboxylation, demethanation, and dehydration reactions. Hydrochar obtained was characterized appropriately, i.e., proximate analysis, TGA, HHV, FT-IR and BET. The highest surface area (SBET) of hydrochar obtained was 72.2 m2/g. The maximum iodine number calculated was 220 mg/g. HHV of hydrochar was in the range of 22.52 to 25.1 MJ/kg. Overall results conclude the effectiveness of LA in the field of environmental remediation, sustainable and alternative energy.
STRATEGI PENGUATAN SRADHA DAN BHAKTI MELALUI AJARAN NAWA WIDHA BHAKTI DI ASHRAMA SEKOLAH TINGGI HINDU DHARMA KLATEN JAWA TENGAH
Authors: Gayatri Sindhi Mahesti  , Setyaningsih  , Dewi Ayu Wisnu Wardani
Published: February 2023

Zaman modernisasi tidak lepas dari perkembangan dan kemajuan  teknologi komunikasi maupun teknologi informasi yang mempermudah manusia melakukan kegiatan dalam kehidupan sehari-hari. Berbagai macam perkembangan di era modernisasi ini membuat manusia banyak kehilangan tata krama dan ketaatannya kepada Tuhan terutama generasi muda yang semakin terpengaruh budaya asing. Menjadi umat beragama maka harus menjunjung tinggi sradha dan  bhakti kepada Sang Hyang Widhi dengan melakukan perbuatan yang berlandaskan dharma. Tujuan peneltian ini adalah untuk mendiskripsikan strategi penguatan sradha dan bhakti melalui ajaran Nawa Widha Bhakti di Ashrama Sekolah Tinggi Hindu Dharma Klaten Jawa Tengah, menganalisa faktor penghambat dan faktor pendukung dalam penguatan sradha dan bhakti melalui ajaran Nawa Widha Bhakti di Ashrama Sekolah Tinggi Hindu Dharma Klaten Jawa Tengah dan mengevaluasi hasil dari penerapan penguatan sradha dan bhakti melalui ajaran Nawa Widha Bhakti di Ashrama Sekolah Tinggi Hindu Dharma Klaten Jawa Tengah. Penelitian ini menggunakan pendekatan kualitatif, analisis data kualitatif bersifat induktif, yaitu: reduksi data, penyajian data, penarikan kesimpulan/verifikasi. Dari strategi penguatan sradha dan bhakti membentuk karakter mahasiswa mulai tertanam rasa peduli kepada sesama dan memahami kewajiban memperbaiki karma wasana guna mencapai Moksartham Jagadhita Ya Ca Iti Dharma.
Keep on smiling: Market imbalance, option pricing, and the volatility smile
Authors: Orrell David
Published: February 2023

This article argues that the volatility smile is �real� in the sense that volatility and price change are correlated through the degree of market imbalance.
Oral versus Rectal Diclofenac Sodium: Comparison of efficacy for Perineal pain relief after Episiotomy
Authors:   Wah Medical College, Wah Cantt, Pakistan, Kalsoom Shabana
Published: February 2023

Objective: To compare the efficacy of oral diclofenac sodium and diclofenac suppository for perineal pain relief after episiotomy. Study Design: Prospective randomized clinical trial. Place and Duration: Obstetrics and Gynecology Department of Pakistan Ordnance Factories Hospital, Wah Cantt from 1st Jan 2021 to 30th June 2021. Methodology: The study included 260 patients, who were randomly divided into group A and B through a computer-generated list. Patients in group A were given diclofenac sodium tablet 50mg orally just after the completion of episiotomy repair and it was repeated after 12 hours. Diclofenac suppository 50mg was placed rectally after episiotomy repair in patients of group B and was repeated after 12 hours. Perineal pain was measured at 24 hours after episiotomy repair on Visual Analogue Scale. Results: The mean pain score was 2.93 in diclofenac suppository group and 3.98 in oral diclofenac group. The women in suppository group had less pain than oral group and the difference was statistically significant (p=0.001). Conclusion: Diclofenac suppository was more effective than oral Diclofenac Sodium for perineal pain relief at 24 hours after episiotomy. Keywords: Diclofenac Suppository, Diclofenac Tablet, Episiotomy, Mean Pain Score, Perineal Pain Relief, Visual Analogue Scale How to Cite This: Mushtaq I, Kalsoom S, Nisa K, Jamil M, Safdar F, Majeed N. Oral versus rectal Diclofenac Sodium: Comparison of efficacy for Perineal pain relief after Episiotomy. Isra Med J. 2022; 14(3): 104-107. DOI: https://doi.org/10.55282/imj.oa1329
Investigating the impact of Platelet-Rich Plasma Infusion
Authors:   Altamash Institute of Dental Medicine, Karachi., Rizvi Syed Hasnain
Published: February 2023

Objective: To investigate the impact of Platelet-rich plasma infusion on performance enhancing growth factors and find molecular markers to distinguish athletes treated with such infusions. Study Design: Prospective, Double-blind, Randomized controlled study. Place and Duration: Department of Dental Education and Research, Altamash Institute of Dental Medicine, Karachi from 15th January 2022 to 20th June, 2022. Methodology: The ergogenic growth factors FGF-2 that are basal fibroblast growth factor, vascular endothelial growth factor, IGF-1 (insulin-like growth factor), IGFBP-3 (insulin-like growth factor binding protein-3), and platelet-derived growth factor-BB (PDGF-BB) WADA are tracked that were measured in 25 patients before (baseline) and 0.25, 3, 24, 48, 72, and 97 hours after the test. Patients under observation were prohibited from any movement or any food intake three hours prior to the exam. The change from each participant's baseline was calculated using an enzyme-linked immunosorbent assay to assess growth factors. Results: Total sample size was 23. Platelet-Rich Plasma had considerably higher levels of PDGF-BB (67% higher than standard 392 pg/ml), vascular endothelial growth factor (6.04% higher than standard 236 pg/ml), and bFGF (45% higher than standard 5 pg/ml), than serum, while IGF-1 and hGH levels were unchanged. IGF-1, bFGF, and vascular endothelial growth factor serum levels all significantly rose 24 and 48 hours after Platelet-Rich Plasma injection, as well as 3, 24, 48, 72, and 96 hours afterwards. Additionally, all 23 patients who had Platelet-Rich Plasma therapy had higher levels of vascular endothelial growth factor and success rate is 100% luckily. Conclusion: Serum levels of PDGF-BB, vascular endothelial growth factor, and bFGF significantly increase after Platelet-Rich Plasma injection, suggesting that Platelet-Rich Plasma have ergogenic effects. Following Platelet-Rich Plasma, the IGFBP-3 3 IGF-1 product, an indirect biomarker of hGH doping, significantly rose. All Platelet-Rich Plasma patients exhibited elevated vascular endothelial growth factor. Keywords: PRP Injection, Platelet-Rich Plasma, Human Growth Hormone, Growth Factors, Ergogenic Growth Factors, Insulin Growth Factor, Vascular Endothelial Growth Factor How to Cite This: Rizvi SH, Asphandiar DC, Arshad T, Hashmi FA. Investigating the impact of Platelet-Rich Plasma Infusion. Isra Med J. 2022; 14(3): 121-126. DOI: https://doi.org/10.55282/imj.oa1330
Penerapan Data Mining Naïve Bayes Dalam Klasifikasi Kepuasan Mahasiswa Berlangganan WiFi Indihome
Authors: R.W.P.P.Zer P.A.M. Zidane , Gunawan Indra
Published: February 2023

WiFi Indihome merupakan salah satu produk PT. Telkom Group dibidang teknologi jaringan yang popular di masyarakat, salah satunya mahasiswa di STIKOM Tunas Bangsa. Berdasarkan tingkat populernya WiFi Indihome, PT. Telkom Group selalu menjaga kualitas dari produk yang dihasilkan agar mahaiswa puas terhadap layanan tersebut. Karena bukan tidak mungkin jika kualitas yang ditawarkan ditanggapi kurang memuaskan mahasiswa yang sudah berlangganan WiFi Indihome.. Tujuan dalan penelitian ini adalah untuk melakukan mengklasifikasi kepuasan mahasiswa STIKOM Tunas Bangsa yang berlangganan WiFi Indihome dengan data sebanyak 100 data training dan 10 data testing. Penelitian ini menghasilkan nilai akurasi sebesar 90% dengan hasil prediksi Puas dengan True Puas terdapat 8 item, sedangkan prediksi Puas dengan True Tidak Puas terdapat 1 item dan prediksi Tidak Puas dengan True Puas terdapat 0 item sedangkan prediksi Tidak Puas dengan True Tidak Puas terdapat 1 item. Dengan hasil penelitian ini dapat memberikan keputusan yang akan diambil oleh PT. Telkom Group untuk selalu meningkatkan kualitas dari produk yang dihasilkan.
ANIMASI EDUKASI BAHAYA KEKERASAN TERHADAP PEREMPUAN DAN ANAK
Authors: Sarah Annisa , Siahaan Yanty Faradillah , Zakir Ahmad
Published: February 2023

Salah satu pelanggaran hak asasi manusia yang angkanya mencapai 348.446 kasus adalah tindakan kekerasan yang korbannya lebih sering terjadi pada perempuan dan anak-anak. Ada banyak faktor yang menyebabkan terjadinya kekerasan terhadap perempuan dan anak. Salah satunya kurangnya pemahaman masyarakat terhadap perilaku menyimpang yang mereka lakukan. Tujuan penelitian ini ialah menyebarluaskan edukasi melalui animasi 2D untuk memberi pengetahuan terhadap masyarakat agar dapat menghindari tindakan kekerasan. Animasi 2D dipilih karena dapat menjelaskan informasi menjadi lebih sederhana sehingga mudah dipahami oleh penonton. Penelitian ini menggunakan metode DDD-E, yang dalam pembuatannya dilakukan dengan 4 tahapan, yaitu : decide, design, developt, dan evaluate. Dalam pembuatan animasi 2D dibuat storyboard sebagai panduan utama untuk membuat scene yang akan di tampilkan dalam animasi. Hasil dari potongan - potongan scene dalam bentuk video yang nantinya akan di lengkapi dengan audio sebagai sound pendukungnya. Penelitian ini menghasilkan video edukasi animasi seperti memukul, membentak, mencubit, bullying, dan kekerasan pada perempuan seperti KDRT dan penelantaran, yang di dukung dengan media sosial yang bisa di lihat di https://youtu.be/gilnA9GapoU.
IMPLEMENTASI ALGORITMA K-MEANS UNTUK CLUSTERING JUDUL SKRIPSI UNIVERSITAS HARAPAN MEDAN
Authors: Dea Mustika Rizky , Zakir Ahmad , Rizmi Alkhowa
Published: February 2023

Clustering merupakan proses analisa informasi yang mana kerap digunakan sebagai salah satu proses untuk Data Mining yang bertujuan untuk mengumpulkan informasi yang memiliki karakter yang sama pada satu kawasan yang sama dan informasi yang memiliki karakter yang berbeda ke kawasan lain.  Pada penelitian yang dilakukan hal yang akan menjadi tujuan atau sasaran dalam penlitian ini adalah mengetahui proses clusterisasi judul skripsi di Universitas Harapan Medan mengetahui cara kerja algoritma K-Means dalam melakukan Clusterisasi judul skripsi, menerapkan algoritma K-Means. Adapun rumusan masalah yang dibangun pada penelitian ini bagaimana proses pengelompokkan judul skripsi yang ada di perpustakaan universitas harapan medan dengan menerapkan algoritma K-Means Clustering sehingga akan dapat memudahkan proses pengelompokkan. Aplikasi yang dibangun menggunakan Bahasa pemrograman PHP dan MySQL segabai databasenya. Metode K-Means merupakan sebuah metode yang melakukan proses clustrering untuk satiap judul skripsi yang ada. Penelitian yang dilakukan menciptakan informasi baru yaitu dengan adanya Clustering data dari judul skripsi berdasrakan bidang dari judul itu sendiri dimana setiap hasilnya dapat dilihat di masing-masing cluster datanya. Dari hasil penelitian yang dilakukan maka dapat disimpulkan bahwa algoritma K-Means merupakan algoritma yang mampu mengelompokan beberapa data dengan cepat dan tepat sehingga data data yang memuat judul skripi tersebut dapat dilihat sesuai dengan kelompoknya datanya masing-masing.
SISTEM INFORMASI PEMASARAN KULINER DELITUA BERBASIS WEB MENGGUNAKAN METODE EXTREAM PROGRAMMING
Authors: Nisa Rhabiatun , Zakir Ahmad , Elsera Marina
Published: February 2023

Perkembangan teknologi yang sangat pesat di era globalisasi saat ini telah memberikan banyak manfaat dalam kemajuan diberbagai aspek sosial salah satunya perkembangan UMKM yang semakin pesat di berbagai daerah di Indonesia. Perkembangan UMKM pada wilayah Deli Tua saat ini terkesan lambat. Hal ini disebabkan karena ketertinggalan dalam mengadopsi teknologi informasi di dalam usahanya. Sistem yang digunakan oleh UMKM masih memanfaatkan sistem yang tradisional, sementara saat ini zaman sudah semakin canggih disertai dengan keberadaan teknologi yang modern Perkembangan UMKM pada wilayah Deli Tua saat ini terkesan lambat. Hal ini disebabkan karena ketertinggalan dalam mengadopsi teknologi informasi di dalam usahanya. Sistem yang digunakan oleh UMKM masih memanfaatkan sistem yang tradisional sehingga perlu membuat sistem informasi berbasis web dalam melakukan promosi UMKM Deli Tua. Penelitian ini akan membuat sistem berbasis website dalam mewadai pelaku umkm Deli Tua untuk dapat berkembang, penelitian ini memanfaatkan metode Extream Programming yang mempunyai tahapan tahapan pengembangan website, penelitian ini menghasilkan sistem penjualan produk UMKM Deli Tua dan Menjadikan aplikasi ini sebagai suatu alternatif media penyedia layanan informasi guna mempermudah pelanggan mendapatkan informasi dan membeli produk-produk unggulan yang ditawarkan. Tujuan dari penelitian ini Menghasilkan sistem berbasis website yang dapat membantu UMKM Deli Tua membangun media promosi baru yang dapat memperluas jangkauan promosi bisnisnya melalui internet dan Mempercepat pertumbuhan umkm didaerah deliserdang dengan mewadai media promosi berbasis website
PENERAPAN CUSTOMER RELATIONSHIP MANAGEMENT PADA PT PASIFIK SATELIT NUSANTARA
Authors: Umairi Alsabri Yushri , Zakir Ahmad , Irwan Dedy
Published: February 2023

pasifik satelit nusantara merupakan perusahaan yang bergerak pada bidanng telekomunikasi berbasis satelit yang mempunyai banyak pelanggan yang tersebar di sumatera utara. Dikarenakan ada banyak pelanggan Salah satu upaya untuk menjawab kebutuhan yang diharapkan akan mendorong perusahaan untuk melayani para pelanggan dengan lebih baik lagi adalah dengan menerapkan Customer Relationship Management. CRM merupakan suatu teknik yang dibuat untuk meningkatkan kepuasan pelanggan, mengingat pada era sekarang elektronik sudah sangat berkembang di masyarakat dan Customer Relationship Management merupakan strategis bisnis yang bisa diterapkan pada perusahaan untuk meningkatkan kualitas pelayanan kepada pelanggan. tujuan Customer Relationship Management secara umum adalah menciptakan dan mempertahankan suatu hubungan yang baik dengan pelanggan dan mengurangi kemungkinan pelanggan berpindah ke produk pesaing. Tujuan dari penelitian ini Untuk menghasilkan website yang menerapkan Customer Relationship Management (CRM) dalam memperoleh pelanggan baru, meningkatkan hubungan dengan pelanggan dan mempertahankan pelanggan dan Untuk mendapatkan keuntungan yang selalu bertambah dari pelanggan yang loyal, dan meningkatkan daya saing menggunakan sistem Customer Relationship Management berbasis website.
Pengelolaan Dana Desa Dalam Penanggulangan Kemiskinan Di Kecamatan Batauga Kabupaten Buton Selatan
Authors: Basri Ahmad , Tenri Andi , Ramadhan Syahril
Published: February 2023

Penelitian ini bertujuan mendeskripsikan perencanaan, pelaksanaan, dan pengawasan dana desa dalam penanggulangan kemiskinan di Kecamatan Batauga Kabupaten Buton Selatan. Penelitian menggunakan metode kualitatif dengan pendekatan deskriptif. Teknik pengumpulan data dengan cara observasi, wawancara, studi pustaka dan dokumentasi. Analisis data deskritif yang lebih menekankan analisisnya pada proses penyimpulan induktif serta analisis terhadap dinamika hubungan antar fenomena yang diamati. Hasil penelitian menunjukan bahwa pengelolaan dana desa dalam penanggulangan kemiskinan di Kecamatan Batauga Kabupaten Buton Selatan belum cukup baik, hal ini dapat dilihat pada tahapan perencanaan dana desa yakni  terlambatnya jadwal penyusunan dokumen Rencana Kerja Pemerintah Desa (RKPDes)  pada setiap tahunnya, penyusunan prioritas perencanaan dana desa belum berorientasi pada penanggulangan kemiskinan dan belum dibentuknya tim verifikasi di tingkat Kabupaten yang bertugas mengevaluasi perencanaan dan pelaporan pengelolaan dana desa. Pada tahapan pelaksanaan, prioritas program dana desa lebih berorientasi kepada pembangunan sarana fisik, sebagian besar Pemerintah Desa belum mempublikasikan prioritas pelaksanaan dana desa pada ruang publik yang dapat diakses oleh masyarakat desa, dan pelaksanaan pembangunan yang dibiayai oleh dana desa belum dilaksanakan secara berkelanjutan. Pada tahapan pengawasan dana desa, masyarakat dan Badan Perwakilan Desa (BPD) cenderung pasif dalam  mengawasi pengelolaan dana desa. Pemerintah Kecamatan pun demikian, hal ini dapat dilihat dari minimnya rapat-rapat fasilitasi yang diinisiasi oleh Camat tentang penggunaan dana desa, serta pihak BPM dan Pemdes yang relatif kurang melaksanakan pembinaan berupa pelatihan/bimbingan teknis tentang pengelolaan dana desa.