bluuebunny/crossref_metadata_2025 huggingface dataset:
Zebra Crossing Detection and Time Scheduling Accuracy, Enhancement
Optimization Using Artificial Intelligence
Authors: Sinha Pratik Kumar , Ghodmare Dr. Sujesh D.
Published: September 2021

Zebra crossing detection is a fundamental function of the electronic travel aid. It can locate the zebra crossing and estimate its direction to help the visually impaired to cross the road safely. In contrast to the conventional methods, a regression approach is adopted to detect zebra crossing based on convolutional neural networks. Specifically, a fixed‐size window slides across the image captured at the intersection. The image patches are sequentially fed to the logistic regression model to identify the zebra crossing. Then the image patch of zebra crossing is fed to the regression model to predict the direction. The parameters of models are optimized by the ANN back propagation algorithm before predictions. Compared with existing methods, the proposed method can improve the precision‐recall performance of the zebra crossing identification and reduce the root mean square error of predicted directions.
El peligro de los comensales: endocarditis complicada con espondilodiscitis por Staphylococcus capitis
Authors: Santos Luís Guilherme , Macedo Cristiane , Matos Andreia , Costelha João , Simão Adélia
Published: September 2021

La espondilodiscitis es una infección infrecuente, pero potencialmente grave. Es poco común como complicación de la endocarditis infecciosa, pareciendo asociarse a embolización sistémica. Presentamos el caso de un paciente con historia de deterioro general y fiebre sin foco inicial, complicado con dolor lumbar; con diagnóstico definitivo de endocarditis infecciosa complicada con espondilodiscitis por Staphylococcus capitis. Este germen (habitualmente un comensal) es un patógeno poco común en ambas infecciones en ausencia de infección prostética o quirúrgica, por lo que este caso destaca la importancia de considerar comensales como potenciales causadores de infecciones graves, y no considerar de entrada como contaminaciones los hemocultivos positivos para esos agentes.
Invaginación intestinal: una rara forma de debut de la enfermedad celíaca
Authors: Jiménez-Lozano Julia , Flox-Benítez Gema , Candela-Ganoza Giancarlo , Alonso-Martínez Blanca , González-Fernández María José
Published: September 2021

La enfermedad celíaca es una enfermedad inflamatoria de origen autoinmune que cursa clásicamente con esteatorrea, hipoalbuminemia y descenso ponderal. Presentamos un paciente que debuta de una manera poco frecuente, con una invaginación intestinal como hallazgo en pruebas de imagen tras acudir al servicio de urgencias con dolor abdominal posprandial, anorexia y pérdida de peso.
Abdomen agudo en paciente con COVID-19
Authors: Mora-Delgado Juan , Lojo-Cruz Cristina , Escalera-Pérez Raquel , Narciso-Repilado Gema
Published: September 2021

Entre las manifestaciones extrapulmonares de la COVID-19, la patología gastrointestinal está adquiriendo mayor relevancia, ya que se están observando casos cuya sintomatología inicial está relacionada con esta localización, en ausencia total de síntomas respiratorios. Este artículo pretende ilustrar un caso representativo, cuyo debut fue un abdomen agudo en ausencia de clínica respiratoria inicial. Además, se establece un nexo entre la evolución tórpida del proceso quirúrgico y la COVID-19, reforzado por los hallazgos anatomopatológicos.
Informal Market in Urban Setting in India: A Sociological Review
Authors: VERMA Aayushi , KUMAR MISRA Pawan
Published: September 2021

The formal and the informal market are two significant parts of the economy in India. However, the portion of the informal sector is more when contrasted with the formal one. The informal share of market, which eventually bolsters the conventional economy, is expanding step by step. These informal Markets give a special topic of sociological examination with regards to the informal economy. This paper intends to sociologically contextualize street vendors and weekly markets in the triangle shaped by the urban space, informal economy and state, and see how informal ness is conjured in formal metropolitan circle. This examination through different past investigations attempted to comprehend vendors profile of these market and their conduct with shoppers and among themselves. This paper investigates the profile of consumer and their conduct in urban weekly market. The conduct that the consumers show in looking for, buying, utilizing, assessing and discarding items and services that they expect will fulfil their necessities. Consumer behaviour is impacted by different components like individual, ecological and dynamic. This examination utilizes distinctive other recently distributed attempts to comprehend the idea of weekly market. Further this article also brings into light various problems faced by these informal markets and also talks about policies and legislation brought by government for their betterment.
LEGAL SUPPORT TO THE PROTECTION OF LAND AND SOIL IN LIGHT OF NEW REGULATIONS OF UKRAINE
Authors: Khominets Svitlana
Published: September 2021

In this article, regulations on land and soil protection are studied in a chronological sequence and in the historical and legal contexts. The main factors responsible for the deterioration of the quality of land resources and the soil environment are identified. The modern regulatory framework providing legal support to land and soil protection is analyzed. Among the current problems is the improper land-use triggered by inadequate legal regulation concerning pollution, depletion, degradation, and reduced fertility of soil. Appropriate legal protection to the ecological functions of the soil is absent. Further legal framework addressing rational use and protection of land resources (including soil) in Ukraine should be developed integrating environmental interests of society and ecological tenets of sustainable development.
Review of Primary School English Coursebooks in Terms of Creative Writing Activities
Authors: BAL Oğuz , ŞAHİN Harun
Published: September 2021

In this paper, the writing sections in Primary School English Coursebooks were reviewed to determine the creative writing activities and content analysis method was used in the context of document review. In this process, the coursebooks published by Ministry of National Education Publications and private publishing houses were both selected from each grade level. Results of the review showed that, creative writing types are not included enough in 4th, 5th, and 6th grade textbooks. Though 7th and 8th grade books have a large number of creative writing activities, they do not have enough genre types. In addition to that review, writing skill learning outcomes given in the syllabi and the writing activities in the books reviewed in this paper are also compared. After a comparison of the books of the publications was made, it is revealed that the private publishing houses’ textbooks have more types of genre than the other ones have.
Studi Mutu (ServQual) dan Kepuasan Pasien Berdasarkan Akreditasi Puskesmas
Authors: Ariyanti Fajar , Arofi Septia Putri
Published: September 2021

Akreditasi puskesmas merupakan upaya untuk meningkatkan mutu pelayanan. Salah satu cara mengetahui peningkatan mutu pelayanan dapat diukur melalui kepuasaan pasien. Pada tahun 2016 di Kota Lubuklinggau didapatkan indeks kepuasaan masyarakat pada puskesmas non-akreditasi (Puskesmas Priuk) lebih tinggi dibandingkan dengan indeks kepuasaan masyarakat pada puskesmas terakreditasi (Puskesmas Sidorejo). Tujuan penelitian ini untuk mengetahui kepuasan pasien dan mutu pelayanan kesehatan berdasarkan akreditasi puskesmas. Penelitian ini  menggunakan desain cross sectional deskriptif dan studi kasus. Sampel penelitian adalah pengunjung pukesmas berjumlah 108 responden dan informan penelitian adalah kepala puskesmas dan kepala tata usaha. Analisis data menggunakan analisis deskriptif dan analisis konten. Hasil penelitian menunjukkan kepuasan pada puskesmas terakreditasi berdasarkan dimensi keadaan fisik (96,3%), keandalan (98,1%), ketanggapan (98,1%),  jaminan (98,1%) dan empati (96,3%) lebih tinggi dari puskesmas non-akreditasi berdasarkan dimensi keadaan fisik (40,7), keandalan (88,9%), ketanggapan (90,7%), jaminan (96,3%) dan empati (90,7%). Puskesmas terakreditasi diharapkan dapat mempertahankan mutunya dan bagi puskesmas non akreditasi diharapkan dapat memperhatikan dimensi-dimensi mutu untuk memperbaiki dan meningkatankan kepuasan pasien serta mempersiapkan diri dalam menghadapi proses akreditasi.
Analisis Perilaku Siswa SMP terhadap Kebijakan Kawasan Tanpa Rokok (KTR)
Authors: Hariyanti Dwi , Hidayah Mudita Sri , Sari Chanif Kurnia
Published: September 2021

Perokok pada remaja usia 10-14 tahun semakin meningkat. Merokok akan berdampak pada perokok aktif dan juga lebih besar resikonya yaitu pada perokok pasif sehingga perlu dilakukan upaya pengamanan rokok bagi kesehatan, diantaranya melalui penetapan Kawasan Tanpa Rokok (KTR). Di Temanggung sebagai kota Tembakau belum memiliki perda yang mengatur tentang pelaksanaan kebijakan KTR. Penelitian ini bertujuan untuk mengetahui hubungan sikap, norma subjektif dan persepsi kontrol perilaku terhadap perilaku siswa terkait kebijakan terhadap KTR di SMP. Metode penelitian yang digunakan yaitu deskriptif kuantitatif dengan menggunakan pendekatan cross sectional. Populasi penelitian ini adalah siswa SMP Negeri di Temanggung kelas 8 dan 9. Pengambilan sampel menggunakan cluster sampling didapatkan 382 siswa. Analisis data bivariat yang digunakan yaitu Somers’d. Hasil analisis penelitian menunjukkan ada hubungan bermakna dengan tingkat hubungan yang lemah (Pv=0,006 ; r=0,246)) antara sikap dengan perilaku siswa SMP terhadap kebijakan KTR dan tidak ada hubungan antara norma subyektif  (Pv=0,134) dan persepsi kontrol perilaku (Pv=0,088).
Persepsi Pedagang Pasar terhadap COVID-19 dan Pencegahannya di Pasar Kasih Naikoten 1 Kota Kupang
Authors: Lette Arman Rifat
Published: September 2021

Infeksi coronavirus masih terus terjadi hingga saat ini. Semua lapisan masyarakat perlu secara disiplin mematuhi protokol Kesehatan, tidak terkecuali pedagang di pasar. Pedagang di pasar sangat rentan tertular COVID-19. Berdasarkan hasil observasi, pedagang di pasar tradisional kurang mematuhi Protokol Kesehatan. Tujuan penelitian ini adalah untuk menggali persepsi pedagang terhadap COVID-19 dan pencegahannya. Metode penelitian adalah kualitatif dengan rancangan eksplorasi dan pendekatan fenomenologi. Informan utama adalah pedagang pasar. Informan pendukung adalah Perwakilan perusahaan daerah pasar Kota Kupang, dan  perwakilan Pengelola pasar. Teknik pengambilan data melalui wawancara mendalam dan observasi. Analisis data menggunakan teknik analisis fenomenologi. Penelitian dilakukan dari bulan April-Mei 2020. Penelitian dilakukan di pasar tradisional Kasih, Naikoten 1-Kota Kupang. Hasil penelitian menunjukkan persepsi terhadap penyakit COVID-19 yaitu tidak takut karena Tuhan ada,  tidak pikir dan pasrah saja,  takut juga, dan kebutuhan ekonomi/hidup lebih mendesak. Persepsi terhadap pencegahan penyakit COVID-19 antara lain biasa cuci tangan, pakai masker buat sesak nafas dan kesulitan berkomunikasi, pakai masker saat ada petugas dan saat keluar jalan, Work From Home tidak dapat dilakukan, dan penutupan pasar tidak mungkin dilakukan. Para pedagang tetap memilih berjualan karena berkaitan dengan kesalahan persepsi/pandangan serta desakan kebutuhan/ekonomi. Komunikasi, Informasi dan Edukasi (KIE) secara berkelanjutan perlu dilakukan agar pedagang disiplin mematuhi protokol kesehatan.
Hubungan Status Gizi dengan Usia Menarche pada Remaja Putri
Authors: Alam Syamsul , Syahrir Sukfitrianty , Adnan Yudi , Asis Aslina
Published: September 2021

Menarche pada remaja wanita adalah salah satu tanda kematangan fisik dan seksual. Berbagai studi melaporkan bahwa faktor gizi memiliki peran penting terjadinya menarche pada remaja putri. Tujuan penelitian adalah untuk mengetahui hubungan status gizi dengan usia menarche pada remaja putri SMP Negeri 10 Bulukumba, Kecamatan Ujungloe, Kabupaten Bulukumba. Desain penelitian ini menggunakan survey analitik dengan pendekatan cross sectional study. Sampel pada penelitian ini berjumal 74 orang (total sampling) yaitu seluruh siswi yang telah mengalami menarche. Hasil Penelitian menunjukkan responden dengan status gizi baik dengan usia menarche normal sebanyak 43,75% dan responden dengan usia menarche tidak normal sebanyak 56,25%. Sedangkan responden dengan status gizi kurang dengan usia menarche tidak normal sebanyak 84,62% dan responden dengan usia menarche normal hanya 15,38%. Hasil uji statistik menunjukkan terdapat hubungan status gizi dengan usia Menarche pada Remaja Puteri SMPN 10 Bulukumba Kecamatan Ujung Loe Kabupaten Bulukumba (Pv=0,020; OR=4,28). Status gizi merupakan faktor yang signifikan terkait dengan usia menarche. Remaja putri dengan status gizi yang baik akan mengalami waktu pubertas secara normal, sehingga terjadi menstruasi secara normal dan tanpa gangguan.
The Need for Introduction of Sharia Microfinance Program in the Gambia
Authors: Gassama Saikou , Hamidah  , Sudaryati Erina
Published: September 2021

The Gambia is a 95 percent Muslim country that is located in the western part of Africa. The population of the country is around 2.5 m. The Gambia is largely dependent on Agriculture, tax, tourism, and foreign aid and is ranked 178, in the Human Development Index 2019, the Gambia is classified as a country with medium human development. The paper used the literature review method. Currently, there is various microfinance program that has been existing for years, but none of them are having Islamic microfinance loan products until recently when two are lunched, as a result, some did not take their loans and even those who take it is hard to change their lives because it is purely for profit-making and also the higher interest rate for some of them. Islamic Microfinance would be the best development instrument for the population of Gambia. The microfinance institutions in The Gambia are very well expanded, they are the main source of credit to the Gambian population both rural and urban. Therefore it will be very important if microfinance institutions in the Gambia can introduce sharia microfinance. The objective of this paper is to suggest ways to introduce sharia microfinance in The Gambia and the benefits of sharia microfinance. The results of this study find out that Islamic microfinance is a viable loan product that can work in the Gambia, there are various kinds of Islamic microfinance products that can work for the poor in the Gambia, such as farmers, gardeners, and market vendors or SMEs. And Islamic microfinance could be the best way of eradicating poverty in the Gambia, since it is not based on the predetermined interest rate and have various suitable loan schemes, if well implemented can change lives.
Identification of risk factors associated with umbilical hernia in under 5 children: A hospital based study
Authors: Amin Shayla , Islam Nazrul , Quddush ASM Ruhul , Kamruzzaman - , Badruzzaman - , Parvin Sabiha , Sultana Faria
Published: September 2021

Umbilical hernia is one of the most commonly encountered abnormalities in early months of infancy and childhood. Though umbilical hernia is a common benign condition which resolves spontaneously during first 5 years of life, it may be a great concern to the parents and other caregivers. Therefore, the high index of suspicion, prompt recognition and thorough understanding of common factors are necessary to ensure their correction and convince the parents to treat. A hospital based cross sectional observational study was conducted in the paediatrics unit of Community Based Medical College & Hospital from March 2013 to September 2013 to determine the factors associated with umbilical hernia. A total of 160 cases of umbilical hernia admitted in paediatrics unit and outpatient department of Community Based Medical College & Hospital were enrolled in the study. Necessary information were collected by detailed history taking, clinical examination and close follow up of the hospital course, using pre-designed questionnaire. Among 160 patients, malnutrition were observed in 21.8% , severe malnutrition was the most common abnormality (45%) followed by moderate malnutrition 28.05%, mild malnutrition 28.05%. Low birth weight were found to have 21.3%, among medical condition, excessive crying were 18.7%, chronic cough were 18.7%, constipation were 17.5%, positive family history 1.9%. Malnutrition and low birth weight are more common association of umbilical hernia.Malnutrition has great impact on developing umbilical hernia. Chronic cough, excessive crying, constipation more or less equally responsible. So early identification of risk factors and proper management and close monitoring are important to reduce the risk of developing umbilical hernia.

CBMJ 2018 July: Vol. 07 No. 02 P: 04-08
Breast Reduction for Fibrocystic Breast Disease: a case report
Authors: Sultana Taslima , Alam Maruf , Hossain Shakhawat
Published: September 2021

The pathophysiology of fibrocystic breast disease is determined by estrogen predominance that results in hyper proliferation of connective tissue (fibrosis), the risk of breast cancer is increased twofold to fourfold in these patients. The clinical correlate of fibrocystic disease is reflected by breast and axillary pain or tenderness. The disease progresses with advancing premenopausal age and is most pronounced in women during their 40s. We present a case of 23 years old lady who completely get rid of her symptoms from heavy breast with diagnosed fibrocystic changes immediately after breast reduction surgery. Breast reduction can be a treatment option for fibrocystic breast diseases which are not responding to medical treatment.

CBMJ 2018 July: Vol. 07 No. 02 P: 42-44
Tumors of the Lacrimal Sac: Three case reports
Authors: Ul Kadir Syeed Mehbub , Nuruddin Murtuza , Rashid Riffat , Haider Golam
Published: September 2021

Lacrimal Sac tumors are extremely rare and potentially life threating. It may be primary, secondary and metastasis from distant organ. Lacrimal sac tumors may be broadly classified into epithelial (72%), mesenchymal (12%), lymphoproliferative (11%) and melanocytic (04%). About 72% are malignant; tend to be locally invasive with high recurrence rate. To report three cases of rare primary lacrimal sac tumors. We evaluated three rare case reports on primary lacrimal sac tumors in two tertiary eye hospitals in Bangladesh. 46 year old female, 36 year old male, and a 21-year-old young male, patients presented with mass in the lacrimal sac area. Two of them underwent deep incision biopsy and histopathology revealed Low grade extranodal marginal zone lymphoma (ENMZL). One patient was treated with Radiotherapy and another one with 6-Cycles of CHOP chemotherapy(Cyclophosphamide, Hydroxydaunorubicin, Oncovin,Prednisone). One patient underwent excision biopsy and histopathology reported lacrimal sac haemangiopericytoma. In all cases the lesions were resolved completely. Management of lacrimal sac tumors requires a high index of suspicion, as these are fatal tumor and often misdiagnosed as dacryocystitis. Early and appropriate intervention will help to complete resolution of the tumor as well as to reduce the recurrence.

CBMJ 2018 July: Vol. 07 No. 02 P: 45-49
Death of Paediatric Surgical Patients in NICU of CMH, Dhaka
Authors: Md Shariful Islam Abu Daud , Elias Khan Shams ud Din , Yasmeen Sabina , Nira Julia Akhter
Published: September 2021

Introduction: The purpose of this study was to explore clinical characteristics and primary surgical diagnosis associated with in-hospital death in pediatric surgical patients admitted to the neonatal intensive care unit (NICU) of Combined Miilitary Hospital (CMH), Dhaka.
Aim: To explore the clinical factors associated with in-hospital death in paediatric surgical patients admitted to the NICU over a period of 4 years in CMH Dhaka.
Methods: This retrospective study includes all patients admitted to NICU of CMH Dhaka for paediatric surgical diseases between July 2013 and December 2017. Data analyzed to asses factors associated with in-hospital death.
Results: A total of 72 cases were included and 61(84.7%) underwent surgery. Fifteen patients (20.8%) died while hospitalized in the NICU. The 5 most common surgical diagnoses were Anorectal Malformation, Intestinal Atresia/ Stenosis, Hirschsprungs disease, Intestinal perforation and meconium related obstruction. Esophageal atresia, necrotizing entero-colitis cases had the highest mortality rate.
Conclusion: This study describes EA, NEC, Low birth weight (LBW), prematurity and caesarean delivery associated with significant number of deaths of surgical patients in NICU. Novel approaches for these conditions are required to improve the survival.
JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 26-28
Effect of Oral Fenofibrate on Serum Bilirubin Level in Term Neonates with Unconjugated Hyperbilirubinaemia: A Randomized Control Trial
Authors: Mosharref Murshida , Rehnuma Naila , Jahan Nusrat , Zafreen Farzana
Published: September 2021

Introduction: Hyperbilirubinemia is a common problem in the neonatal period. Phototherapy is the most important proposed treatments for hyperbilirubinemia, but several drugs along with phototherapy are used with recent advances.
Aim: To see the effect of oral fenofibrate on serum bilirubin level in term neonates with unconjugated hyperbilirubinaemia.
Methods: This prospective study was carried out in Combined Military Hospital Cumilla from July 2018 to June 2019. Total 60 term and normal birth weight neonates with neonatal jaundice were enrolled in this study. Jaundiced newborns presenting with infection, G6PD deficiency, conjugated bilirubin >2 mg/dl or >15% of total serum bilirubin (TSB) and congenital anomalies were excluded from this study. These neonates were randomly allocated to the Fenofibrate group (30 cases) and Control group (30 cases). Total serum bilirubin was measured every 24 hours till the end of phototherapy and at the time of discharge. Statistical analysis was done using SPSS 22.0 and p<0.05 was considered significant.
Results: There were no significant differences in gender, age, weight, gestational age and type of delivery between two groups. Mean duration of hospital stay were 4.0±0.7 and 5.5±1.4 days in Fenofibrate group and Control group respectively (p<0.001). In Fenofibrate group, TSB was decreased from 17.2 mg/dl to 15.2 mg/dl after 24 hours, to 13.6 mg/dl after 48 hours, and to 10.1 mg/dl at the time of discharge.  In control group, TSB was decreased from 17.0 mg/dl to 16.3 mg/dl after 24 hours, to 15.9 mg/dl after 48 hours, and to 10.3 mg/dl at the time of discharge.
Conclusion: Treatment of neonatal unconjugated hyper- bilirubinemia with fenofibrate reduces neonatal bilirubin levels and decreases the need for phototherapy and hospitalization.
JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 35-38
Clinical Profile of Cerebral Palsy: A Study in Tertiary Level Hospitals of Bangladesh
Authors: Solaiman SM , Beauty Anjuman Ara , Sabbir ASM
Published: September 2021

Introduction: Cerebral palsy (CP) is the most common motor neurodevelopmental disorder among children which incurs a huge economic burden in respect of treatment and rehabilitation.
Aim: To assess the clinical profile of CP in the outdoors of tertiary level hospitals in Bangladesh.
Methods: This cross-sectional study was carried out in two hospitals, namely Child Development Center, CMH Dhaka and Institute of Pediatric Neurodisorder and Autism, BSMMU, Dhaka from October 2019 to January 2020. A total of 134 cases were included by convenient sampling. Data were collected from the parents of the children by face to face interviews through a pretested semi-structured questionnaire.
Results: CP was found more prevalent in male children (76.1%) than female children (23.9%). Most of the families (83.6%) belonging to CP children have monthly income ≤ Taka 24000.00. The majority of the parents were HSC qualified or less which accounted for 76.9% for father and 91.8% for mother respectively. Among the etiologies; perinatal asphyxia ranked highest (78.4%). The spastic variety was the most common (78.4%) presentation of which 41.0% suffered from quadriplegia. The majority of the CP cases (83.6%) were associated with intellectual disability.
Conclusion: CP has a wide range of presentation, association and co-morbidities. Physicians should be aware of these diversified presentations and co-morbidities of CP and deal accordingly for better outcome of the patients.
JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 19-21
Violencia obstétrica en mujeres atendidas en un hospital público
Authors: Huarino-Suca Shirley Lizbeth , Choque-Chura Olga
Published: September 2021

Objetivo: Determinar la existencia de violencia obstétrica en mujeres con parto vaginal atendidas en el Hospital Hipólito Unanue de Tacna, Perú. Material y métodos: Estudio descriptivo, prospectivo, de corte transversal. Se aplicó el Cuestionario de Violencia Obstétrica (CVO) a 250 puérperas de 18 a 45 años de edad, de parto vaginal sin complicaciones y con recién nacido vivo y sano, de agosto a noviembre del 2019; los datos fueron procesados en el programa SPSS versión 23. Resultados: Las puérperas tuvieron entre 30 a 45 años (57,6 %), estudios secundarios (74,4 %), convivientes (65,5 %) y primíparas (67,5 %). Durante la atención obstétrica, a veces o nunca recibieron información (34,8 %), a veces o nunca pidieron consentimiento verbal para procedimientos (73,6 %), a veces o nunca recibieron explicación sobre tacto vaginal (34,8 %), no recibieron explicación sobre ruptura de membranas (48,8 %), ni sobre episiotomía (30,8 %), ni sobre revisión uterina (57,6 %), a veces fueron llamadas por su nombre (32,8 %), o tratadas con amabilidad y paciencia (73,2 %), a veces con respeto y privacidad en la atención (63,2 %), no tuvieron acompañamiento durante el parto (90,4 %) y percibió maltrato verbal (17,6 %). Presentaron ayuno (65,6 %), el parto fue en posición de litotomía (77,2 %), se practicó episiotomía (76,4 %), contacto precoz a la hora (76 %). Recibió maltrato (20,4 %), siendo el 13,2 % por personal técnico de enfermería. La violencia obstétrica fue por desinformación y falta de consentimiento (85,2 %), trato deshumanizado (90,4 %) y patologización o medicalización (99,6 %). Conclusión: Existe violencia obstétrica en puérperas, al no permitir acompañamiento, no hay elección de posición de parto y se ejerce la episiotomía como rutina; se evidencia trato deshumanizado por personal de salud. Basta una sola forma de conducta, acción u omisión que afecte la atención de la gestante o puérpera para que se establezca la violencia obstétrica.
Pengenalan Sistem Tata Surya Menggunakan Teknologi Augmented Reality pada Siswa Sekolah Dasar
Authors: Tresnawati Dewi , Rahayu Sri , Yusuf Khoerudin
Published: September 2021

Pengenalan sistem tata surya untuk siswa dalam mata pelajaran Ilmu Pengetahuan Alam sangatlah penting. Seiring perkembangan zaman, cara penyampaian materi sistem tata surya makin berkembang, dari mulai menggunakan buku, media pembelajaran fisik, video edukasi, hingga kini dengan menggunakan teknologi Augmented Reality. Maka dengan perkembangan teknologi saat ini, penelitian ini ditujukan untuk membangun sebuah media pembelajaran pengenalan sistem tata surya dengan teknologi Augmented Reality untuk siswa Sekolah Dasar yang sebelumnya menggunakan media pembelajaran lain sebagai media penyampaian materi. Metodologi penelitian yang digunakan adalah Multimedia Development Life Cycle (MDLC), metode ini digunakan untuk menghasilkan produk tertentu dengan tahapan yang ada didalamnya yaitu Konsep(Concept), Perancangan(Design), Pengumpulan bahan(Material Colecting), Pembuatan(Assembly), Pengujian(Testing), Distribusi (Distribution). Hasil dari penelitian ini berupa terciptanya aplikasi media pembelajaran Sistem Tata Surya dengan menggunakan Augmented Reality untuk siswa Sekolah Dasar. Dengan adanya media pembelajaran ini diharapkan mampu meningkatkan semangat para siswa dalam mempelajari materi seputar Sistem Tata Surya dengan memanfaatkan teknologi Augmented. Reality.
STRATEGI MENINGKATKAN KUALITAS KELUARGA SAKINAH DI KAMPUNG PENTAS DESA SAKAMBANG PURWAKARTA
Authors: Ash Shabah Musyaffa Amin , Hambali Yoyo , Supriyanto Agus , - Suprihatin
Published: September 2021

Fostering a sakinah family is the dream of all people who are building a household, efforts to make it happen is not an easy matter, because it requires hard work and support from all parties in the family, both father, mother and child. Not a few families who have problems and even fail in the middle of the road, because some family members do not have a sense of responsibility and do not carry out their obligations as they should in the family. For this reason, marriage guidance is needed as a preventive measure so that there are no disputes in the household. The implementation method in this activity is counseling to the community directly with resource persons in accordance with their fields. The results of this activity indicate an increase in public awareness of the importance of building and implementing a sakinah family in their respective families.
Successful outcome birth in full term pregnancy velamentous insertion of the umbilical cord – vasa previa
Authors: Thanasas Ioannis K. , Papavasileiou Sofia
Published: September 2021

Disclosure of incident on our successful outcome childbirth in term pregnancy velamentous insertion of the umbilical cord – vasa previa. Pregnant firstborn with free individuals and obstetrical history covering the 39th week of pregnancy is introduced in Maternity Clinic of our with symptomatology of automatic start birth. Sudden and to thoroughly grade vaginal hemorrhage found immediately after technical rupture of fetal membranes accompanied by decelerations of the fetal heartbeat raised the possible diagnosis of velamentous insertion of the umbilical cord – vasa previa and the interest undergone emergency cesarean section. After removal of the fetus and placenta was there synovial adherence cord. The caesarean section was performed smoothly with physiological loss blood. There was no need for blood transfusion in neonates, as well as it did not take neonatal support. Following a smooth postoperative course left together with the postpartum at fifth day of hospitalization. At this paper on the basis of current data a brief literature review of rare disease entities this respect mainly the diagnosis, treatment and prognosis.
Çevresel Güvenlik ve Enerji Arz Güvenliği Bağlamında Türkiye’nin Enerji Politikası
Authors: SARITUNALI Hatice Nur
Published: September 2021

Enerji, yaşamın sürdürülebilirliği için gerekli olan temel ihtiyaçlardan birisidir. Yerleşik hayata geçildikten sonra enerji, hayatın her alanında kullanılmıştır ve her geçen gün artan tüketim oranıyla kullanılmaya devam etmektedir. Makineleşmenin ortaya çıktığı sanayi devrimiyle birlikte beden gücüne dayanan işler makineler yardımıyla yapılmaya başlanmış, böylece sanayileşen toplumlar eskisinden daha fazla enerjiye ihtiyaç duymaya başlamıştır. Böylece ülkelerin artan enerji ihtiyaçlarını karşılamak ve sanayileşmelerinin sürekliliğini sağlamak için enerjiye olan ihtiyaçlarını kesintiye uğramadan, güvenilir kaynaklardan, uygun fiyatlı ve yeterli miktarda sağlamaları gerekmektedir. Enerji kaynaklarının çeşitlendirilmesi, bununla birlikte enerji arz güvenliği ve çevresel güvenlik günümüzde tüm ülkelerin güncel konuları arasında yer almaktadır. Bu konular arasında sorun yaşayan ülkeler her alanda birçok sıkıntıyla karşı karşıya kalmaktadır. Günümüzde enerji, ülkelerin geleceği ve gelişimi için çok önemli bir konuma sahiptir. Ülkelerin bir kısmı ihtiyacından daha fazla enerji kaynağına sahipken, diğer ülkeler kendi ihtiyaçlarını dahi karşılayamamaktadır. Türkiye de enerji ihtiyacını büyük oranda dış kaynaklardan karşılayan ve fosil enerji tüketiminin fazla olduğu bir ülkedir. Enerji konusunda dışa bağlılık risk oluştururken, fosil kaynakların yüksek oranda kullanılması ise çevresel güvenlik alanında risk oluşturmaktadır. Türkiye'nin enerji hedeflerine bakıldığında önceliğin yerli ve yenilenebilir enerji kaynaklarının kullanımının yaygınlaştırılması olduğu görülmektedir. Bir diğeri ise kaynak çeşitlendirilmesine gidilmesi ve dışa bağımlılığın azaltılmasını sağlayabilecek olan nükleer santraller gibi alternatif enerji yatırımlarına önem ve öncelik verilmesidir. Böylelikle, Türkiye’nin çevresel güvenliğe nazaran enerji arz güvenliğine önem ve öncelik verdiği anlaşılmaktadır.
Focusing on the Growth of Entrepreneurship through Interventions and Supports Mechanism: A Case from Bhutan
Authors: BHATTARAİ Hemlal
Published: September 2021

The role of entrepreneurship is always regarded as an important pillar of a country’s socio-economic development. There is evidence that startups and entrepreneurs contribute a substantial share of the contribution to the national economy. There are situational challenges encountered by entrepreneurs which make entrepreneurs a not preferred option to venture into as well as forcing existing entrepreneurs to withdraw their active roles. This study makes use of secondary data from the published sources to underline the intervention measures as well as a support mechanism that a small country like Bhutan has been exercising in past decades to foster the growth of entrepreneurship in the country. The study found out the initiative and mechanisms provided by various agencies and stakeholders to make a vibrant entrepreneurship ecosystem proved much successful and also creations of multiple incubation centers are proving out much successful in the case of Bhutan. Even in the era of the ongoing pandemic, Bhutan has identified entrepreneurs especially “cottage and small scales industries (CSI)” as a key element of its economy and prioritizes it as one of the flagship programs to be supported in the current five-year plan of the country.
Tedarik Zinciri Yönetiminde Sürdürülebilirlik Uygulamaları ve Malatya İli Örneği
Authors: GÜLTEKİN Salih , DESTE Mustafa
Published: September 2021

Tedarik zinciri yönetimi kapsamında, sürdürülebilirliğin üç boyutu olan ekonomik, çevresel ve sosyal sürdürülebilirlik başlıklarının kapsamlı olarak ele alındığı bu çalışmada; Malatya ili organize sanayilerinde faaliyet gösteren işletmeler üzerine bir araştırma yapılmıştır. Yapılan bu araştırma ile son yıllarda önemi hızla artan “sürdürülebilirlik” kavramını, tedarik zinciri yönetimi bağlamında ele alarak, literatüre katkı sağlanması amaçlanmıştır. Bu amaç doğrultusunda, çalışma kapsamındaki işletmelerin, sürdürülebilir tedarik zinciri yönetimi konusundaki engel ve algılarının ölçülmesine, engel ve algı düzeylerinin işletmelerin temel bazı özelliklerine göre dağılımında farklılık olup olmadığının tespit edilmesine çalışılmıştır. Ayrıca bu çalışmada, işletmelerin sürdürülebilir tedarik zinciri yönetimi algı ve engel düzeylerinin, işletmelerin; ekonomik, çevresel ve sosyal sürdürülebilirlik performansları ile olan ilişkisi incelenmiştir. Son olarak araştırma konusu işletmelerin; ekonomik, çevresel ve sosyal sürdürülebilirlik performansları arasındaki ilişki analiz edilmiştir. Bu çerçevede çalışmanın, hem değerlendirme ve çözüm önerileri için kullanılmasına hem de Malatya ili organize sanayi bölgelerinde faaliyet gösteren işletmelerin sürdürülebilirlik yaklaşımlarını ortaya koyabilecek bir envanter oluşturulmasına katkı sağlayacağını ifade etmek mümkündür.
Dijital Ekonomi ve Göstergelerinin Sürdürülebilir Kalkınma Üzerindeki Etkisi: AB Ülkeleri Örneği
Authors: ALTAY TOPCU Betül
Published: September 2021

Bu çalışmada 28 AB ülkesinde Uluslararası Dijital Ekonomi ve Toplum İndeksi ve bu indekse ait alt göstergelerin sürdürülebilir kalkınma indeksi üzerindeki etkisinin 2018 yılı için yatay kesit veri analiz yöntemi kullanılarak araştırılması amaçlanmıştır. Çalışma bu etkinin AB ülkelerinde hangi dijital ekonomi göstergesi veya göstergelerinden kaynaklandığının belirlenmesi açısından önemlidir. Analiz sonuçlarına göre AB ülkelerinde dijital ekonominin sürdürülebilir kalkınma üzerindeki etkisi pozitif ve istatistiksel olarak anlamlıdır. Başka bir ifadeyle söz konusu ülkelerde dijital ekonomideki artış sürdürülebilir kalkınmayı artırmaktadır. AB tarafından ölçülen beş dijital ekonomi göstergelerinden olan ve işletmelerin dijitalleşmesi ve çevrimiçi satış kanallarının geliştirilmesini ifade eden dijital teknolojiye entegrasyon indeksinin, sürdürülebilir kalkınma indeksi üzerindeki etkisi pozitif ve istatistiksel olarak anlamlıdır. Bu indeksin dışında kalan diğer dijital ekonomi göstergelerinin sürdürülebilir kalkınma üzerinde etkisinin olmadığı sonucuna ulaşılmıştır. Analiz bulguları AB ülkelerinin sürdürülebilir kalkınma düzeyinin artmasında dijital ekonomi göstergelerinden sadece dijital teknolojiye entegrasyon indeksinin etkili olduğunu göstermiştir.
Status of Red-headed Vulture (Sarcogyps calvus) in Bundelkhand Region, India
Authors: Ankit Sinha , Preeti Gupta , Adesh Kumar , Amita Kanaujia
Published: September 2021

Vultures are excellent indicators of environmental health and as carrion feeders play an important
ecological role. They are the only known vertebrate obligate scavengers. Nine different species of old world vultures
are found in India. Red-headed Vulture (RHV) is one of the resident vulture species and is found throughout the
country up to 2000 m elevation. This study was carried out in two states of India, Uttar Pradesh and Madhya
Pradesh known as Bundelkhand. The grids of 15x15 sq km and random points were laid over the study area.
Transects of 10 km were conducted in all the selected grids. As a result, 46, 54 and 74 vultures were recorded from
2017 to 2019, respectively. There was a continuous rise in the RHV population during the study period, which is a
good sign for the species. Along with other vulture species, RHV is also facing serious threats. Biotic and abiotic
threats such as habitat loss, predation, hunting and disturbance, scarcity of food and water, change in land use and
agricultural practices, poisoning and, mortality in road accidents while feeding. The population trend is showing
positive signs but only regular monitoring and conservation activities will help in saving the species.
The THE PHILOSOPHICAL FOUNDATION OF THE SCHOOL LITERACY MOVEMENT IN INDONESIA
Authors: Nandy Intan Kurnia
Published: September 2021

The School Literacy Movement (SLM) was launched in 2015 by the Indonesian government in response to the concerns of many parties regarding the readiness of the Indonesian young generation to face the challenges of the 21st-century. This paper examined the philosophical foundations of SLM by scrutinizing the School Literacy Movement Master Design published in 2019 as the object of study. This study was a descriptive qualitative study, using the inferential content analysis method. The findings were: (1) the philosophical foundation of SLM that is portrayed in the object of study are essentialism, perennialism, progressivism, existentialism, and critical pedagogy, and (2) the object of the study is strongly influenced by the philosophy of progressivism since the writers of the SLM Master Design were more focused on the effort to prepare the students to face the 21st-century challenges.

Gerakan Literasi Sekolah (GLS) atau The School Literacy Movement (SLM) atau dicanangkan pada tahun 2015 oleh pemerintah Indonesia, sebagai jawaban atas keprihatinan banyak pihak terkait kesiapan generasi muda Indonesia menghadapi tantangan abad 21. Tulisan ini mengkaji landasan filosofis SLM dengan menelaah Desain Induk Gerakan Literasi Sekolah terbitan 2019 sebagai objek kajian. Penelitian ini adalah penelitian deskriptif kualitatif yang menggunakan metode analisis isi inferensial. Temuan penelitian adalah: (1) Landasan filosofis SLM yang tergambar dalam objek kajian adalah esensialisme, perenialisme, progresivisme, eksistensialisme, dan pedagogi kritis; dan (2) Objek kajian sangat dipengaruhi oleh filosofi progresivisme karena penulis Desain Induk SLM lebih fokus pada upaya mempersiapkan siswa untuk menghadapi tantangan abad ke-21.
Pengaruh Aromaterapi Lemon terhadap Emesis Gravidarum Trimester I
Authors: Fitria Aida , Prawita Ade Ayu , Yana Sari
Published: September 2021

Introduction: Emesis gravidarum or nausea, vomiting, which often occurs in the first trimester of pregnancy, if left untreated, will cause problems for pregnant women and the fetus. Handling of emesis gravidarum can be done with pharmacological and non-pharmacological treatments such as lemon aromatherapy. According to Riskesdas Jambi province in 2018, complications experienced by pregnant women amounted to 14.36% of them experienced nausea and vomiting. Objective: To determine the effect of lemon aromatherapy on emesis gravidarum in pregnant women in the first trimester at the Rosita Village Midwife Clinic, Pasar Monday, Jambi Province in 2020. Method:  The research was pre-experimental design approach in the form of one group pre-test and post-test. The study population was 20 people. The sample were taken by using a purposive sampling technique amounted to 15 respondents, the statistical test used was the depnden t test. Result:  The data obtained the pre-test mean of 10,20 and SD of 1.486, while the post-test of mean of 4,80 SD of 1.234. From the results of the statistical test, namely the paired t-test with a confidence level of 95%, it is known that the p-value=0.000. Conclusion: There is frequency reduction in first trimester emesis gravidarum by giving lemon aromatherapy Lemon Aromatherapy in Trimester I Pregnant Women.
Pengaruh Cahaya Led Putih di Malam Hari Terhadap Kadar Malondialdehyde (MDA) Otak dan Histopatologi Sel Ca3 Dan Ca1 Hipokampus Pada Tikus Wistar Jantan
Authors: Mallisa Hilda Emma , Arsyad Aryadi , Idris Irfan
Published: September 2021

Penelitian ini bertujuan untuk mengetahui pengaruh cahaya LED putih di malam hari terhadap kadar malondialdehyde (MDA) otak dan histopatalogi sel CA3 dan CA1 hipokampus. Jenis penelitian true eksperimental dengan post-test only control group design yang dilakukan pada 24 ekor tikus. Kelompok terbagi berdasarkan waktu paparannya: 15 hari dan 30 hari, masing-masing memiliki kelompok kontrol dan perlakuan. Kelompok kontrol: terang-gelap normal (12L:12D) dan kelompok perlakuan: terang-terang (12L:12L) dengan pencahayaan berasal dari lampu LED putih 1200 lux saat malam hari. Hasil uji statistik menunjukkan rerata kadar MDA otak pada masing-masing kelompok perlakuan meningkat signifikan (p=0,000) dibanding kelompok kontrol. Selanjutnya, rerata persentase sel rusak CA3 dan CA1 pada kelompok perlakuan 15 hari lebih tinggi secara signifikan (p=0,006) dibanding kelompok kontrol, begitupun dengan kelompok perlakuan 30 hari (p=0,002). Otak merupakan organ yang rentan terhadap stress. Daerah cornu ammonis (CA3 dan CA1) di hipokampus sangat rentan terhadap gangguan ini. Radikal bebas yang meningkat akan mengarahkan sel CA3 dan CA1 pada kerusakan maka perlu adanya pengurangan dalam penggunaan lampu LED pada malam hari
Criterios Para Iniciar la Succión Nutritiva en Un Neonato con Dificultades Respiratorias Una Revisión Literaria
Authors: Leguizamo Galvis Rosa Paola
Published: September 2021

La respiración comprende una serie mecanismos complejos, que van desde el intercambio de gases con el exterior hasta la utilización de oxígeno (O2) por la célula y la eliminación de dióxido de carbono (CO2). Estos mecanismos requieren de la coordinación de diferentes órganos y sistemas, no únicamente del sistema respiratorio, el cual se encuentra estrechamente relacionado con la succión y la deglución en el neonato, convirtiéndose en un determinante a la hora de alimentar o no a un neonato por vía oral, sobre todo si este es nacido pretérmino o presenta alguna dificultad respiratoria. El objetivo de esta revisión es determinar los criterios más importantes para el inicio de la succión nutritiva en los neonatos con dificultades respiratorias, para ello se realiza la búsqueda de evidencia científica al respecto en diferentes bases de datos como PubMed, Scopus y Cochrane desde el año 2000 en adelante, en donde se eligen 70 artículos, de los cuales después de aplicar los criterios de selección se trabaja con 16 de ellos, considerados los más apropiados para el desarrollo de la temática. Se concluyó que, dentro de los criterios más importantes para iniciar la succión nutritiva en pacientes con dificultades respiratorias, se encuentran  la medición de la saturación periférica de oxígeno (SpO2), una coordinación de la triada SRD adecuada, la inexistencia de signos de alarma como la tos, la regurgitación nasal y el tiraje intercostal y definitivamente una succión nutritiva a través de la lactancia materna, gracias a sus múltiples beneficios incluida la disminución del riesgo de desaturación.
Análisis Fonoaudiológico En La Interacción Social: Relatos De Jóvenes Migrantes De 8° Básico, Antofagasta, Chile.
Authors: Morales Gina , López Gómez Jessica , Marín Apablaza Daniela , González Figueroa Stephanny
Published: September 2021

La finalidad del trabajo es la interpretación de la interacción social con los elementos de la naturaleza del objeto [físicos y sociales] en los niveles del lenguaje semántico y pragmático, a través de los relatos de vida realizados por estudiantes de octavo año básico de una escuela de Antofagasta, en Chile con una perspectiva fonoaudiológica. El trabajo se encuentra alineado de manera transversal a la agenda internacional 2030 del Objetivo del Desarrollo Sostenible [ODS] N°4 [meta 4.7] objetivos los cuales orientan a garantizar los contextos de aprendizaje seguros e inclusivos. La investigación es de carácter narrativo biográfico [relato]; con enfoque cualitativo; el estudio es de caso escolar y análisis de contenido con instrumento de recolección de datos. Para la trascripción del corpus de la entrevista semiestructurada, en complemento con el escrito, participaron ocho estudiantes de octavo año básico con edades comprendidas entre 13 y 14 años de una escuela en la ciudad de Antofagasta. Los resultados, otorgan el significado de la naturaleza del objeto físico y social ante la necesidad de una interacción eficaz durante el periodo de inmersión comunicativa en la escuela. Se concluye la importancia del apoyo fonoaudiológico para propiciar comunicativamente las redes de apoyos sociales que permitan inmersión lingüística de la pragmática para leer el contexto del país de acogida y en el nivel semántico para mediar el aprendizaje con los conceptos nuevos usados en el establecimiento.