bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical case of treatment of a patient with temporomandibular joint dysfunction
Authors: Долгалев А.А. , Водолацкий В.М. , Соловьева О.А. , Христофорандо Д.Ю. , Гарус Я.Н. , Керефова З.В. , Гелетин П.Н.
Published: February 2024

В современной практике врача-стоматолога имеется достаточное разнообразие аппаратурных методов лечения дисфункции височно-нижнечелюстного сустава (ДВНЧС). Практикующему врачу, не имеющему большого клинического опыта, иногда трудно определиться с показаниями к выбору определенной тактики аппаратурного лечения. Часто возникает необходимость применять последовательно или параллельно два или несколько видов окклюзионных аппаратов. Приведен клинический пример комплексной диагностики и комбинированного лечения пациента с ДВНЧС современными индивидуализированными аппаратами — ортотиком и элайнерами. Результаты изучения биоэлектрической активности жевательных мышц до и после лечения ортотиком и элайнерами, в покое и при стискивании зубных рядов через ватные валики, показали значения биопотенциалов при смыкании зубных рядов, более близкие к физиологической норме.

In the modern practice of a dentist today there is a sufficient variety of hardware methods for the treatment of temporomandibular joint dysfunction. It is sometimes difficult for a practicing physician who does not have much clinical experience to determine the indications for choosing a certain tactic of hardware treatment. Sometimes it becomes necessary to use two or more types of occlusal devices in series or in parallel. A clinical example of complex diagnostics and combined treatment of a patient with temporomandibular joint dysfunction with modern individualized devices — orthotics and aligners is given. The results of studying the bioelectric activity of the masticatory muscles before and after treatment with orthotics and aligners, at rest and when squeezing the dentition through cotton pads, showed obtaining values of biopotentials when closing the dentition, closer to the physiological norm.
EFFECT OF ABDOMINAL STREACHING THERAPY AND PELVIC ROCKING EXERCISE EXPERIENCING PRIMARY DYSMENORRHEA IN YOUNG WOMEN
Authors: Faridah Virgianti Nur , Susanti Inta , Nisa' Firotin
Published: February 2024

Background: Primary dysmenorrhea can interfere with daily activities and a symptomatic phenomenon includes abdominal pain, cramps and back pain that occurs during menstruation. One of the nonpharmacological treatments is abdominal stretching and pelvic rocking exercise.Objectives: The purpose of the study was to determine the effect of abdominal stretching and pelvic rocking exercise on changes in primary dysmenorrhea pain in young womenDesign: The research design used is pre-experimental. The population in this study was young women with primary dysmenorrhea, with a large random sampling technique of 47 or samples that influenced the inclusion criteria. Independent variables of combination therapy Abdominal stretching and pelvic rocking exercise, dependent variables primary dysmenorrhea. Data was collected using the Numeric Rating Scale (NRS) instrument.Results: The patient's pain level before treatment was 68.1% experienced moderate pain. The pain felt by the patient after treatment was 49.5%. Wilcoxon's statistical test showed a value of Ï value of 0.000 Î± 0.05 so that there was an influence of abdominal stretching and pelvic rocking exercise on primary dysmenorrhea in young womenConclusions: Based on the results of the study, the combination therapy of abdominal streaching and pelvic rocking exercise can be used as complementary therapy in primary dysmenorrhea.
Family Support for Postpartum Blues
Authors: Dewi Adinda Putri Sari
Published: February 2024

Background: As many as 50-70% of all postpartum women in Indonesia experience postpartum blues and this can lead to postpartum depression with varying amounts from 5% to more than 25%. Involving the family during the postpartum period is one of the efforts that can be made to prevent postpartum blues. This is because family support is a preventive strategy to reduce stress in postpartum mothers.Objectives: To find out the relation between family support and the incidence of postpartum blues in the Rahmah Room at PKU Muhammadiyah Gombong Hospital.Design: This research is a quantitative study with a correlational design with a cross sectional approach. The total population in this study were 200 postpartum mothers. Based on the large sample slovin formula, there were 133 respondents in this study. The sample collection method used is purposive sampling, which is a sampling technique by determining certain criteria. In analyzing data in a bivariate manner, data testing was carried out using the Kendal Tau correlation test with a significant level of 95%.Data Sources: primary data sources and data collection using family support questionnaires and EPDS measurement sheetsResults: The results showed that there was a relation between family support and the incidence of postpartum blues in the Rahmah Room at PKU Muhammadiyah Gombong Hospital with a p-value of 0.001 0.05.Conclusions: There is a relation between husband's support and the incidence of postpartum blues in the Rahmah Room at PKU Muhammadiyah Gombong Hospital.
Nursing Care in Post SC Patients with Intervention Application of Foot Massage Therapy: Case Study
Authors: Mara Maria Fransiska , Cunha Theresia Syrilla da
Published: February 2024

Introduction: Sectio caeasar is labor by making an abdominal incision to remove the fetus. Sectio caesarea delivery is the process of removing the baby by dissecting the mother's abdomen by making an incision in the uterine wall. Sectio caesarea is the main medical action to save the life of the mother and also the baby. This study aims to describe nursing care in postpartum section caesarae mothers with the application of foot massage therapy to reduce pain.Methods: This research uses a case study design. Data collection ranging from assessment to nursing evaluation was carried out in the Anggrek room of RSUD dr. TC. Hillers Maumere in January 2023. The samples used were 2 patients who were hospitalized for at least 3 days. Data collection techniques use interviews, observations and documentation studies.Results: assessment of two respondents who were postpartum mothers through day SC to those who experienced pain during the treatment period. The diagnosis established is Acute Pain associated with Physical Injury Agents (sectio caesarea surgical procedure: disconnection of tissue incontuinity) Intervention is carried out is the application of foot massage therapy, observation of pain scales and vital signs and collaborative for further action. Evaluation after treatment pain reduced, no signs of infectionConclusion: After foot massage for 3 days for 15-20 minutes showed a decrease in search in postpartum Sectio caeasarea patientsKeywords: Foot massage, sectio caessarea, pospartum
Case Study of Effective Cough Implementation in Pulmonary TB Patients in the Nita Community Health Center Working Area
Authors: Djara Frans Loro
Published: February 2024

Introduction: The family is a group of people consisting of father, mother and children, the role of the family is very necessary in helping the healing process of pulmonary tuberculosis. The aim of this study was to determine the role of effective coughing in tuberculosis patients.Methods: Case study analysis was used in this research. two respondents were used in this study to receive intervention while the remaining one respondent did not. This research was analyzed descriptively.Results: After effective cough intervention, tuberculosis patients showed effective results, compared to those who did not receive the intervention.Conclusion: Effective cough intervention is considered safe and improves the patient's ability to expel phlegm.
Correlation between Medication Adherence to Clinical Outcome of Patients with Type 2 Diabetes Mellitus at Permata Hati Clinic, Sukoharjo
Authors: Dhuhania Dinda Nur , Karminingtyas Sikni Retno
Published: February 2024

Background: Diabetes mellitus is a disease characterized by increased blood glycemic levels which can cause blindness, heart disease and kidney failure. One of the factors that contribute to the failure to control blood glycemic levels in patients with diabetes mellitus is patient non-adherence in treatment.Objectives: This study aims to analyze the relationship between medication adherence and clinical outcomes of type 2 diabetes mellitus patients at the Permata Hati Clinic in SukoharjoDesign: This research is a correlation descriptive study with a cross sectional approach. The research sample was prolanis patients and suffering from type 2 diabetes mellitus who were more than 26 years old, namely 38 patients. The sampling technique uses total sampling. Compliance with patient treatment was assessed using the MMAS-8 questionnaire. The patient's clinical outcome was assessed by achieving fasting blood sugar levels. The data were analyzed using the Spearman rank test with a 95% confidence level (a = 0.05).Results: The level of adherence to taking medication for diabetes mellitus patients was at a moderate level of adherence in 17 patients (44.74%). Analysis with the Spearman rank test obtained a significance value of 0.000 with a correlation coefficient value of -0.801. This shows that there is a significant relationship between medication adherence in diabetes mellitus patients with fasting blood sugar levels.Conclusions: There is a relationship between medication adherence and clinical outcomes of diabetes mellitus patients at the Permata Hati Primary Clinic, Sukoharjo Regency
Hubungan Pengetahuan Tenaga Kesehatan dengan Penerapan Kesehatan dan Keselamatan Kerja (K3) Di Puskesmas
Authors: Munika Evi , Suratmi Suratmi , Qowi Nurul Hikmatul
Published: February 2024

Introduction: Occupational Safety and Health (K3) efforts must be carried out in all workplaces, especially those with health risks such as hospitals. Occurrence of work accidents can be caused by many factors, one of which is the behavior of human resources consisting of knowledge, attitudes, and actions. The purpose of this study was to determine whether there is a relationship between knowledge of health workers and the implementation of Occupational Health and Safety (K3) at thecommunity health centerMethods: The research method uses correlation analysis, cross sectional. The population is all health workers at the X Community health center, totaling 59 officers. The sampling technique uses simple random sampling. The sample of this study was 51 health workers. The research method uses analytic correlation and cross sectional. The research data was taken using a questionnaire after tabulating the data which was analyzed using the Spearman Rank test (Rho) with a significance level of p = 0.05.Results: The results of the study showed that out of 51 health workers, almost all of them had high knowledge with good OSH application as many as 46 (93.9%). based on the results of the data above, a statistical test was obtained with a significant value of p sign = 0.725 (p 0.05). This means that there is no relationship between the knowledge of health workers and the application of occupational health and safety (K3)Conclusion: Based on the research, it is hoped that health workers can implement occupational health and safety properly.
The Application of Cinnamon Compresses To Reduce Pain Scale In Older Age With Gout Arthritis: Case Study
Authors: Agustina Desi , Ridawati Indah Dewi , Aprilyadi Nadi , Susmini Susmini , Wibowo Wahyu Dwi Ari
Published: February 2024

ABSTRACTIntroduction: The main complaint of patients with Gout Arthritis is pain problems. Bat to treat joint pain problems in the elderly with Gout Arthritis in total still does not exist, but there are many treatment options to relieve symptoms can be done. Giving warm compresses using cinnamon spices (cinnamomun burmani) containing eugenol and cinamaldehid can reduce the sensitivity of the nociceptor, so as to relieve pain symptoms. This study aimed to analyze the administration of cinnamon compresses in the elderly with Gout Arthritis with chronic pain nursing problems.Methods: This research uses a descriptive method with a case study approach. Samples used by 2 elderly people with Gout Arthritis using the format of family nursing care assessment, and pain scale assessment. The application of cinnamon compress is done for 4x a week using cinnamon liquid as much as 2 ml, with 200 cc of water, at a temperature of 40-450C, followed by compress for 15-20 minutes using a washlap. Data was analyzed using descriptive analysisResults: After applying cinnamon compresses four times a week, the study showed a decrease in pain intensity before and after the intervention was given to the two subjects. The subject's pain intensity decreased from moderate pain intensity to mild pain.Conclusion: The application of cinnamon compresses is effective in reducing the intensity of Gout Arthritis pain.Keywords: Cinnamon; Compress; Gout Arthritis; Painful
The Description Neurotherapy in Ischemic Stroke Patients
Authors: Fatihah Anisa Zulfa
Published: February 2024

Introduction: Neuroprotectants are a therapy used to prevent the development of infarction in acute ischemic stroke patients. One approach to neuroprotective therapy is to start early administering neuroprotective agents to patients experiencing acute ischemic stroke. This study aims to describe the pattern of use of neuroprotectant drugs in ischemic stroke patients at RSUD Dr. Soegiri Lamongan.Methods: This research method is a descriptive observational method with a cross-sectional study design. Data collection was carried out retrospectively by searching patient medical records and pharmaceutical installation data for the period June-December 2019.Results: The majority of ischemic stroke patients were female (51.5%), the majority were aged 50-59 years (48.5%), had comorbid hypertension (79.4%) and comorbid DM and hypertension (20.6 %). The neuroprotective drug citicoline was prescribed in 32 patients (33%) and piracetam in 19 ischemic stroke patients (19.6%).Conclusion: The highest use of neuroprotective drugs in ischemic stroke patients at RSUD Dr. Soegiri is a combination of citicoline and piracetam (44.3%%).
Psychoeducation through SEKOPER (Women's School) Increases Knowledge of Stunting in Mothers
Authors: Zuliani Zuliani , Retnowuni Arifa , Masruroh Masruroh , Yudianto Andi , Ulfa Ana Farida , Yani Athi' Linda , Qomariana Anna , Ninuk Devin Prihan , Lestari Trijati Puspita
Published: February 2024

Introduction: Women have strategic roles that need to be activated and optimized in order to be integrated in development. But to achieve that, women are still faced with various diverse problems, especially in the scope of gender. Stunting is one of the most important global problems that has not been addressed in Indonesia. Family empowerment efforts are also very necessary. In overcoming the problem of stunting. This research aims to analyze women's knowledge about stunting through SEKOPER (women's school) after being given educationMethod: This research method is experimental with a one group pre test-post test design approach. The population is mothers who have children under 60 months of age who are given education about stunting. The sampling technique used simple random sampling with 27 respondents. The instrument uses a questionnaire with data collection carried out twice for pre and post values. Data analysis used Wilcoxon rank.Results: The results show that most of the respondents' knowledge before psychoeducation was sufficient and afterwards most of them had good knowledge. Obtained p value = 0.000 which shows that there is a difference in mean knowledge before and after being given psychoeducation.Conclusion: Psychoeducation has an impact on knowledge and efforts to prevent stunting. It is hoped that preventive efforts in the community can be carried out optimally and sustainably.Keywords: Women, Psicoeducation, Stunting, Suitcase
The Self-Concept of Adolescent Girls Regarding Physical Changes During Puberty
Authors: Kartikasari Ratih Indah , Primindari Risya Secha , Nurafifah Dian , Kusumaningrum Andri Tri , Mauliyah Ihda
Published: February 2024

Introduction: Self-conception is a mental health problem often experienced by teenage girls who will or have experienced menstruation, especially during early puberty. This situation requires special attention. According to a preliminary survey conducted by the researchers of the State Primary School 1 Turi District of Lamongan, 80% of teenagers have experienced physical changes. The aim of this study was to determine the description of a teenage girl's self-concept about physical changes during puberty.Methods: descriptive research design. The research population was part of the seventh grade teenage children in the State 1 Turi High School, Turi district, Lamongan district, with a sample size of 40 teenage girls. Sampling is done using quota sampling. Data collection method with closed questionnaires. The data collected is analyzed descriptively.Results: 92.5% of adolescents have a negative self-image. 77.5% have negative ideas about themselves, and 90% of teenagers have bad self-esteem.Conclusion: Almost all of the teenage girls in the 7th grade in the 1st grade in Turi, Turi district, and Lamongan district have a negative self-concept. Counseling teachers and UKS (School Health Unit) should work together to provide communication, information, and education on physical changes in adolescents during puberty, especially women's gymnastics, so that they have a positive self-concept and adolescent girls' mental health is improved. Keywords: self-concept, puberty, physical change, female adolescence
Penerapan Metode Analytical Hierarchy Process dan Technique for Order by Similarity to Ideal Solution dalam Sistem Pendukung Keputusan Penentuan Dosen Terbaik Fakultas
Authors: Hamonangan Apriyanto , Tullah Rahmat , Agusli Rachmat , Ryando M. Bucci
Published: February 2024

Perguruan Tinggi memiliki tanggung jawab penting dalam menjalankan tridharma perguruan tinggi, yaitu pendidikan, penelitian, dan Pengabdian kepada Masyarakat (PKM). Dalam konteks ini, dosen menjadi elemen kunci dalam menjalankan misi tersebut, sebagaimana yang ditetapkan dalam Undang-Undang Nomor 14 Tahun 2005. Pentingnya pengambilan keputusan dalam merekrut dosen terbaik sangat signifikan untuk mendukung proses belajar mengajar dan menghasilkan mahasiswa yang kompeten di bidangnya. Seringnya tidak ada objektif dalam memiilih dosen terbaik menjadi permasalahan yang perlu diatasi pada Fakultas Teknologi Informasi dan Komunikasi Global Institute. Untuk mengatasi masalah tersebut, perlu diterapkan sistem pendukung keputusan dengan menggunakan metode Analytical Hierarchy Process (AHP) dan Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). Hasil yang didapat dari penelitian ini dengan beberapa sample data yaitu dosen dengan nilai prefensi sebesar 0.60317 dan terendah 0.36203.
Penerapan Metode K-Means dan Euclidean Distance Untuk Seleksi Metode Judul Tugas Akhir
Authors: Ningrum Leny Tritanto , Irmayansyah Irmayansyah , Utari Lis
Published: February 2024

Salah satu syarat kelulusan mahasiswa pada sebuah perguruan tinggi yaitu melalui tahap penyelesaian tugas akhir dalam bentuk skripsi sebagai laporan penelitian. Tahap awal penyusunan skripsi yaitu pengajuan judul tugas akhir berdasarkan bidang kajian dan metode yang digunakan. Data skripsi di repository perpustakaan semakin bertambah. Bidang kajian dan metode yang dipilih mahasiwa seringkali serupa dengan data judul skripsi yang tersimpan di perpustakaan. Dari data judul skripsi yang tersimpan tersebut dapat digali pengetahuan agar lebih selektif dalam memberikan persetujuan berdasarkan bidang kajian dan metode judul tugas akhir yang diajukan mahasiswa. Objek pada penelitian ini adalah salah satu perguruan tinggi swasta di Bogor. Adapun tujuan penelitian ini adalah untuk mengetahui sebaran bidang kajian dan metode yang pernah digunakan oleh mahasiswa sebagai bahan evaluasi untuk pengajuan judul skripsi berikutnya sehingga dapat lebih memudahkan bagian akademik. Metode yang digunakan pada penelitian ini adalah algoritma K-Means dan pengukuran jarak data menggunakan Euclidean Distance. Data yang digunakan adalah judul skripsi mahasiswa tahun 2019, 2020, 2021, dan 2022 yang terdiri dari atribut judul, kelas, dan topik penelitian. Dalam proses pengolahannya, dilakukan persiapan data (data preparation) dengan mentransformasikan data judul menjadi atribut metode dan bidang kajian. Setelah dilakukan persiapan data dilakukan proses normalisasi yang bertujuan mengubah data kategori menjadi numerik agar dapat diterapkan pada tahap modeling. Penelitian ini menghasilkan 2 klaster berdasarkan bidang kajian dan metode yang terdiri dari metode Data Mining serta Decision Support System (DSS). Hasil uji akurasi klaster menggunakan Silhoutte Coeffisient sebesar 0,62% dan menunjukkan klaster yang dihasilkan baik dan masuk ke dalam kategori medium structure.
Implementasi Aplikasi Laporan Kinerja Watchmaker Dan Polisher di Service Center Jam Tangan X Dengan Metode RAD
Authors: Aziz Ikhwana Fakih Nur , Febrianto Febrianto , Darwis Muhammad , Hendrowati Retno
Published: February 2024

Salah satu proses operasional rutin yang dilakukan oleh service center jam tangan X, perusahaan perbaikan jam tangan mewah, adalah mencatat laporan kinerja para teknisi (watchmaker dan polisher) sebagai dasar penilaian dan perhitungan komisi. Namun, saat ini proses tersebut masih dilakukan secara manual menggunakan Microsoft excel sehingga memakan waktu lama dan rentan kesalahan karena melibatkan banyak lembar kerja dan tabel untuk setiap nama teknisinya. Oleh karena itu penulis melakukan pengembangan aplikasi laporan kinerja watchmaker dan polisher (SiLaKi-WaPo) berbasis web di service center jam tangan X yang bertujuan untuk memudahkan pengelolaan laporan kinerja. Aplikasi ini dirancang dengan menggunakan metode pengembangan Rapid Application Development (RAD) dan memanfaatkan tools UML sehingga efisiensi waktu untuk pengembangan dapat tercapai. Beberapa tools pemrograman yang dipakai adalah JavaScript, HTML, CSS, MongoDB dan NodeJS serta GitHUB untuk melakukan version control. Aplikasi yang dihasilkan dalam penelitian ini diuji menggunakan metode pengujian Black-Box dengan pendekatan Use case Testing dan hasilnya diketahui bahwa seluruh fitur berjalan dengan baik. Dengan adanya aplikasi SiLaKi-WaPo berbasis web, pengguna dapat mengelola laporan kinerja watchmaker dan polisher dengan lebih mudah, cepat dan efisien.
Implementasi Algoritma K-Means Clustering dalam Pengelompokkan Produk Pigeon Pada PT. Digital Niaga Indonesia Berdasarkan Analisis Recency, Frequency, Monetary (RFM)
Authors: Pudoli Ahmad , Nugroho Radityo , Yulianawati Yulianawati , Kusumaningsih Dewi
Published: February 2024

Persaingan bisnis dalam era global saat ini semua perusahaan yang bergerak dalam bidang perdagangan produk harus cermat dan tepat dalam menemukan konsep serta pola di penjualan yang dilakukan agar dapat meningkatkan angka penjualan dan penggunaan metode pemasaran di perusahaan, salah satunya adalah dengan pemanfaatan dan pengelolaan data penjualan yang dimiliki. PT. Digital Niaga Indonesia merupakan perusahaan yang menjalankan bisnisnya di online shop seperti Shopee, Tokopedia, serta Lazada dari Toko Pigeon Indonesia yang menjual perlengkapan bayi mulai dari botol susu, dot maupun perlengkapan bayi lainnya. Namun demikian dari semua produk yang ditawarkan tentunya tidak semua diminati dan terjual dengan lancar, ada yang terjual sangat laris, yang laris, serta kurang laris. Data dan informasi penjualan yang dimiliki perusahaan jika hanya tersimpan secara digital di dalam database tentunya tidak dapat dimanfaatkan dan diolah untuk kebutuhan dari pengembangan strategi pemasaran perusahaan. Tujuan dari penelitian yang dilakukan merupakan untuk mengetahui Algoritma K-Means fungsionalitasnya dalam menghasilkan menentukan Cluster atau disebut juga kelompok untuk produk paling laris, laris dan kurang laris untuk menjadi dasar pembuatan promosi di setiap marketplace pada PT. Digital Niaga Indonesia. Dalam menentukan peminatan barang menggunakan laporan penjualan 4 bulan yaitu Agustus sampai November 2022, kemudian data akan diproses dengan Algoritma K-Means Clustering. Hasil akhir adalah didapatkan 557 produk dan menghasilkan nilai di akhir 3 Cluster atau kelompok berikut : Cluster 1 atau ditulisn dengan C1 sebanyak 100 data, kemudian untuk Cluster 2 ditulis dengan lambang C2 dengan hasil 20 data serta dalam Cluster 3 atau kelompok tiga dilambangkan dengan C3 menghasilkan 437 data yang didapat dari 124473 data transaksi. Metode RFM dapat menentukan bahwa Cluster 1 adalah produk yang kurang laris, Cluster 2 paling laris, dan Cluster 3 laris. Evaluasi Cluster yang dibuat dihitung dengan DBI dan mengelluarkan hasil 0.520.
Secrecy of Taxpayer Information and the Disclosure thereof by an Order of Court in Terms of the Tax Administration Act 28 of 2011 and the Promotion of Access to Information Act 2 of 2000
Authors: De Lange S
Published: February 2024

The secrecy provisions of the Tax Administration Act 28 of 2011 (hereinafter, the TA Act) provide that taxpayer information may generally not be disclosed by the South African Revenue Service (hereinafter, SARS). One of the exceptions to the preservation of secrecy is when a court orders disclosure following an application regulated by secs. 69(2)(c), 69(3), 69(4), and 69(5) of the TA Act. This article considers this exception to taxpayer secrecy in terms of the TA Act, with a focus on the circumstances provided in sec. 69(5) of the TA Act, which must be met before the court may order disclosure. This is done by first considering the previous provisions relating to secrecy and the exception thereof by an order of court found in, for example, the Income Tax Act 58 of 1962, which applied before the commencement of the TA Act. The case law on the previous provisions and the more recent cases on the TA Act secrecy provisions are analysed. This article also considers the disclosure of taxpayer information by a court in terms of the Promotion of Access to Information Act 2 of 2000 (hereinafter,the PAI Act), in light of the recent finding by the Constitutional Court in Arena Holdings (Pty) Ltd t/a Financial Mail and Others v South African Revenue Service and Others.1 In this case, the majority of the court declared certain provisions of the PAI Act and the TA Act constitutionally invalid, which results in the mandatory disclosure of taxpayer information when it is in the public interest, as contemplated in sec. 46 of the PAI Act. The PAI Act, in addition to the TA Act, now allows for a court order to disclose information in terms of the public interest procedure if access was refused by SARS. This begs the question: What is the interaction between a TA Act court order to disclose taxpayer information and a PAI Act court order to disclose taxpayer information if the requirements ofsec. 46 of the PAI Act are applicable and if access was refused by SARS?
Using the Theory of Learning Organisations to Understand the Role of Principals in School Health Promotion: A Case Study
Authors: Mtimkulu Melody , Kwatubana Siphokazi
Published: February 2024

The role of principals is increasingly recognised as important in school health promotion. There is a significant body of literature regarding school health promotion and its benefits for learners and the school community, but little is known about the role of principals. Using Senge’s theory of learning organisations as a framework, this study qualitatively sought to understand the roles of principals in promoting healthy school environments. The study used a combination of semi-structured individual interviews and focus groups to gather data from six school management team members; seven teachers; and three school governing body members from a high school in Fezile Dabi District of the Free State. Individual interview data was obtained and focus group discussions were conducted to confirm the findings. The data gathered was analysed using a combination of inductive classification and theory analysis. The study’s main findings demonstrate that principals should (i) provide leadership in health promotion activities within their schools and in collaborations and partnerships with the external community and (ii) have personal mastery, vision, knowledge and thinking skills to be able to play their role effectively. Furthermore, it was found that all five principles of the theory of learning organisation can be used to understand the role of principals in school health promotion. Based on these findings it is recommended that a learning culture be created in schools. The findings of this research suggest implications regarding both the practice of providing leadership in school health promotion and practices in the preparation of principals and teachers for the task of School Health Promotion.

Keywords: Learning Organisations, School Health Promotion, School leadership, Team Learning
PENGGUNAAN WINDOW WIDTH DAN WINDOW LEVEL PADA PEMERIKSAAN COMPUTED TOMOGRAFY SCANNER THORAX DENGAN KLINIS ANEURISMA AORTA DI RUMAH SAKIT AL ISLAM BANDUNG
Authors: Ningrum Surdiyah Asri
Published: February 2024

Setting the parameters of Window Width and Window Level on CT Scan Thorax examination using contrast media can produce a good image of the lungs and aorta. The purpose of this study is to find out the right window setting so as to produce a good image in the case of Aortic Aneurysm. This type of research is descriptive qualitative with a case study approach.

The results showed that the effect of window width and Window Level parameter settings on the lung window and mediastinum window provided optimal image quality results of abnormalities in the lungs and surrounding anatomical structures.
SOIL PHYSICAL QUALITY INDICES OF MINING-INDUCED DISTURBANCES IN SOIL WITHIN THE LOESS REGION OF WESTERN CHINA
Authors: Yang Dejun , Bian Zhengfu , Zhang Yajun , Yu Haochen , Wu Zhenhua
Published: February 2024

Soil sampling and in situ measurements were conducted at 24 locations at three time points from May 2015 to April 2016. The statistical analysis showed that the variabilities of soil water content and soil penetration were moderate, while particle size and soil saturated hydraulic conductivity varied considerably. Rainfall before measurements contributed positively to the mean soil water content and negatively to particle size. This was mainly due to the soil aggregates and large soil particles being broken into smaller particles from rain splash. The detached small-sized soil particles could coalesce into larger-sized ones and even soil aggregates. Stressors in zones differ, resulting in variations between soil physical quality indices. The point-to-point comparisons indicated that the mean measured soil water content and soil saturated hydraulic conductivity were similar, if the measurements for these two indices were conducted under similar weather conditions during the same period between years. The investigation on the relationships among soil physical quality indices showed a negative relationship between the measured soil water content and soil saturated hydraulic conductivity. A positive correlation was also found between soil particle size and soil saturated hydraulic conductivity. Lower soil strength resulted in higher soil saturated hydraulic conductivity.
TerrANTALife 1.0 Biodiversity data checklist of known Antarctic terrestrial and freshwater life forms
Authors: Pertierra Luis , Varliero Gilda , Barbosa Andrés , Biersma Elisabeth , Convey Peter , Chown Steven , Cowan Don , De Los Rios Asunción , Escribano-Alvarez Pablo , Fontaneto Diego , Fraser Ceridwen , Harris Mathew , Hughes Kevin , Griffiths Huw , le Roux Peter , Liu Xiaoyue , Lynch Heather , Majewska Roksana , Martinez Pablo , Molina-Montenegro Marco , Olalla-Tarraga Miguel , Peck Lloyd , Quesada Antonio , Ronquillo Cristina , Ropert-Coudert Yan , Sancho Leopoldo , Terauds Aleks , Vianna Juliana , Wilmotte Annick , Hortal Joaquín , Greve Michelle
Published: February 2024

Incomplete species inventories for Antarctica represent a key challenge for comprehensive ecological research and conservation in the region. Additionally, data required to understand population dynamics, rates of evolution, spatial ranges, functional traits, physiological tolerances and species interactions, all of which are fundamental to disentangle the different functional elements of Antarctic biodiversity, are mostly missing. However, much of the fauna, flora and microbiota in the emerged ice-free land of the continent have an uncertain presence and/or unresolved status, with entire biodiversity compendia of prokaryotic groups (e.g. bacteria) being missing. All the available biodiversity information requires consolidation, cross-validation, re-assessment and steady systematic inclusion in order to create a robust catalogue of biodiversity for the continent.

We compiled, completed and revised eukaryotic species inventories present in terrestrial and freshwater ecosystems in Antarctica in a new living database: terrANTALife (version 1.0). The database includes the first integration in a compendium for many groups of eukaryotic microorganisms. We also introduce a first catalogue of amplicon sequence variants (ASVs) of prokaryotic biodiversity. Available compendia and literature to date were searched for Antarctic terrestrial and freshwater species, integrated, taxonomically harmonised and curated by experts to create comprehensive checklists of Antarctic organisms. The final inventories comprises 470 animal species (including vertebrates, free-living invertebrates and parasites), 306 plants (including all Viridiplantae: embryophytes and green algae), 997 fungal species and 434 protists (sensu lato). We also provide a first account for many groups of microorganisms, including non-lichenised fungi and multiple groups of eukaryotic unicellular species (Stramenophila, Alveolata and Rhizaria (SAR), Chromists and Amoeba), jointly referred to as "protists". In addition, we identify 1753 bacterial (obtained from 348117 ASVs) and 34 archaeal genera (from 1848 ASVs), as well as, at least, 14 virus families. We formulate a basic tree of life in Antarctica with the main lineages listed in the region and their “known-accepted-species” numbers.
Semi-local convergence of Cordero's sixth-order method
Authors: Wang Xiaofeng , Shang Ning
Published: February 2024

In this paper, the semi-local convergence of the Cordero's sixth-order iterative method in Banach space was proved by the method of recursion relation. In the process of proving, the auxiliary sequence and three increasing scalar functions can be derived using Lipschitz conditions on the first-order derivatives. By using the properties of auxiliary sequence and scalar function, it was proved that the iterative sequence obtained by the iterative method was a Cauchy sequence, then the convergence radius was obtained and its uniqueness was proven. Compared with Cordero's process of proving convergence, this paper does not need to ensure that $ \mathcal{G}(s) $ is continuously differentiable in higher order, and only the first-order Fréchet derivative was used to prove semi-local convergence. Finally, the numerical results showed that the recursion relationship is reasonable.
A remark on the velocity averaging lemma of the transport equation with general case
Authors: Lyu Ming-Jiea , Sun Baoyan
Published: February 2024

In this paper, we proved a new result for the celebrated velocity averaging lemma of the free transport equation with general case

   \begin{document}$ \begin{equation*} \partial_{t}f+ a(v) \cdot \nabla_{x} f = 0\,. \end{equation*} $\end{document}

After averaging with some weight functions $ \varphi(v) $, we proved that the average quantity $ \rho_{\varphi}(t, x) = \int_{\mathbb{R}_{v}^{3}}f(t, x, v)\, \varphi(v)\, {\rm d} v $ is in $ W_{x}^{1, p} $, $ p\in[1, +\infty] $. This result revealed the regularizing effect for the mean value with respect to the velocity of the solution. Our strategy was taking advantage of a modified vector field method to build up a bridge between the $ x $-derivative and $ v $-derivative. One significant point was that we first observed that the operator $ t\, \nabla_{x}+\left(\left[ \nabla _{v} a(v) \right] ^{T}\right) ^{-1}\nabla_{v} $ commuted with $ \partial_{t}+ a(v) \cdot \nabla_{x} $.
La segunda Ester entre Sefarad, Ašquenaź y Šušán
Authors: Kacprzak Marta Katarzyna
Published: February 2024

La literatura sefardí moderna se basa principalmente en traducciones o adaptaciones de novelas occidentales realizadas sobre todo del hebreo y el francés, aunque no faltan obras traducidas del yidis o de originales alemanes, griegos, italianos, rusos e incluso ingleses. Entre estas obras se encuentran las adaptaciones judeoespañolas de una leyenda polaca sobre Esterca, una supuesta amante del rey Casimiro III el Grande (1310-1370). El presente artículo pretende ofrecer un análisis contrastivo de dos versiones sefardíes de la historia de Esterca, es decir, de Ester hašeniyá (Salónica, 1887 o 1888) cuyo autor desconocemos y de La segunda Ester a cargo de Šelomó Yisrael Čhereźlí (Jerusalén, 1905). Asimismo, analizamos la edición hebrea titulada Megillat Ester hašeniyá de Yiŝḥac ben Mošé Rumš (Vilna, 1882) en la cual basaron sus obras los autores sefardíes. Primero, comentamos las fuentes de inspiración de los autores y algunas peculiaridades que, a la hora de cotejar los tres textos, han llamado nuestra atención tanto a nivel literario como lingüístico. A continuación ofrecemos la transcripción del texto de Čhereźlí seguida del glosario.
Nurse-Driven Fluid Responsiveness Evaluation in Patients With Septic Shock: A Quality Improvement Initiative
Authors: Dilman Yana , Bethel Claire , Ramesh Navitha , Myers Charlene
Published: February 2024

Background

Fluid responsiveness should be assessed in patients with septic shock because only 50% of patients are fluid responsive. Dynamic measures of fluid responsiveness, like pulse pressure variation measured after a passive leg raise maneuver, are recommended to guide fluid administration in patients with sepsis after initial fluid resuscitation.

Local Problem

The purpose of the project was to evaluate outcomes after implementing a nurse-driven fluid responsiveness evaluation using passive leg raise and pulse pressure variation measurement in patients with septic shock.

Methods

The project included 30 adult patients with septic shock in a 24-bed medical-surgical intensive care unit at a community hospital. A new nursing process was initiated for bedside fluid responsiveness evaluation (pulse pressure variation measurement after passive leg raise). Staff members received in-person individual training sessions. Preintervention and 20-week postintervention patient outcomes data were collected to estimate the project’s impact on incidence of fluid overload and acute kidney injury, duration of mechanical ventilation, and intensive care unit length of stay. Preintervention and postintervention staff satisfaction surveys assessed nurses’ perception of the project’s value.

Results

Before intervention, 24 of 37 patients (65%) met criteria of fluid overload. The project resulted in a 28% decrease in the incidence of fluid overload. Staff satisfaction surveys revealed a significant increase in nurses’ feelings of empowerment to positively affect patient outcomes; all nurses agreed that the new process was efficient.

Conclusion

The results indicate that the project had a positive impact on patient outcomes and nurse autonomy.
Preliminary application study on LABIELLE (Labial EndoliftX Laser Enhancement) vulvar treatment for labia minora and majora tightening
Authors: Araujo María José , Carbone Alejandro
Published: February 2024

This scientific article provides a comprehensive overview of Labielle, a minimally invasive vulvovaginal treatment designed to enhance the aesthetic and functional aspects of both labia majora and labia minora. The article discusses the anatomy of the female genitalia, the indications for Labielle, the treatment procedure, potential benefits, safety considerations, and future directions in this emerging field of gynecological aesthetics aimed at respecting the female anatomy with a non-surgical minimally invasive treatment, that respects the functionality and the natural appearance as well as the personal diversity of each patient.
Epistemic Responsibility and Community Engagement in Sindiwe Magona’s Beauty’s Gift
Authors: Karmakar Goutam , Chetty Rajendra
Published: February 2024

HIV/AIDS has pervasively affected the health and well-being of South African women, as evidenced by their exacerbating mortality rates over the decades. Sindiwe Magona’s Beauty’s Gift (2008) is a critical intervention in this regard because, in focusing on the death of a young black woman owing to her infection with HIV/AIDS, it critiques the overarching and ingrained patriarchal ideologies that are hindering the treatment and prevention of this disease. The article seeks to examine Magona’s text as uncovering the lack of appropriate knowledge about HIV/AIDS, and the silencing of South African women in the articulation or dissemination of this disease-related knowledge. The article argues that Magona’s text emphasizes the delinking of taboos and highlights the necessity of the South African community’s engagement at micro and macro levels regarding HIV/AIDS. This engagement reflects an epistemic responsibility that is crucial to reducing the dreadful impact of this illness from both cultural and structural perspectives.
Newborn and Infant Hearing Screening for Early Detection of Hearing Loss in Nairobi, Kenya
Authors: Ndegwa Serah , Tucci Debara , Lemon James , Murila Florence , Shepherd Susan , Mwangi Moses , Macharia Isaac , Ayugi John
Published: February 2024

Background: Early detection of hearing loss and subsequent intervention leads to better speech, language and educational outcomes giving way to improved socioeconomic prospects in adult life. This can be achieved through establishing universal newborn hearing screening (UNHS) programs. The objectives of this study were to assess the feasibility of implementing a UNHS program and to also determine the prevalence of hearing loss in newborns in Nairobi, Kenya.

Materials And Methods: A cross-sectional pilot study was conducted at the National Hospital and a sub-county hospital immunization clinic. A total of 9,963 babies aged 0-3 years, were enrolled in the hearing screening program through convenient sampling over nine months. A case history was administered followed by Distortion Product Oto-acoustic emissions (DPOAEs) and automated auditory brainstem response (AABR) hearing screening.

Results: The screening coverage rate was 98.6% (9963/10,104). The referral rate for the initial screen was 3.6% (356/ 9,963), and the return rate for follow-up rescreening was 72% (258 babies out of 356) with a loss to follow-up rate of 28% (98/356). The referral rate of the second screen was 10% (26/258). All 26 babies referred from the second screen returned for diagnostic hearing evaluation and were confirmed to have hearing loss, yielding a prevalence of 3/1000.

Conclusions:  Establishing universal newborn and infant hearing screening programs in Kenya is feasible and essential for early  detection and intervention for hearing loss. Data management and efficient follow-up systems are an integral part of achieving  diagnostic confirmation of hearing loss and early intervention.
Prevalence, Levels and Correlates of Intellectual Disability among Adolescents Incarcerated in a Correctional Facility in Kaduna, NorthWestern Nigeria
Authors: Lasisi Marufah Dupe , Nuhu Folorunsho Tajudeen , Okechukwu Oguizu , Adebayo Femi , Sheikh Taiwo Lateef , Edwin Eseigbe Ehi , Moneme Pascal
Published: February 2024

Background: Adolescents with intellectual disability are disproportionately represented within correctional facilities. Studies have shown that such adolescents are vulnerable to manipulation and influence including coercion into homosexual relationships, as well as to being victims of homicide compared to others. However, there are few studies on intellectual disability among adolescents in correctional facilities in Northern Nigeria. This study thus aimed to assess the prevalence, levels and correlates of intellectual disability among adolescents in a correctional facility in Kaduna, Northwestern Nigeria

Materials And Methods: This cross-sectional study was conducted among all the adolescents incarcerated at the Borstal Training Institution in Kaduna, North-western Nigeria between March and June 2018 who gave informed consent/assent. Data collection was done using a sociodemographic questionnaire; Raven’s Progressive Matrices (RPM); Adverse Childhood Experiences (ACE) Questionnaire and Perceived parental support questionnaire.

Results: The 93 participants aged 13 years to 19 years were all males with a mean age of 17.71 years (SD ±1.19). The majority (88.2%) were below average intellectually while 58.1% were intellectually defective. Participants with below-average IQ had experienced parental death (χ2 = 4.099, p=0.043), had mothers with less than 12 years of education (χ2 = 5.653, p=0.015) and scored lower on perceived combined parental support (t=-4.704, p=0.032), maternal (t=- 4.334, p=0.000) and paternal support (t=-3.506, p=0.001).

Conclusions: Intellectual disabilities are prevalent among adolescents in incarceration. There is a need to put in place programs for the identification of such adolescents in our correctional facilities so that programs which minimize the disability while emphasizing the adolescents' strengths can be instituted thus probably reducing their representation in the prison population as well as enhancing the success of rehabilitation back into the society. In addition, identified correlates should be incorporated into targeted prevention strategies for vulnerable adolescents effectively and sustainably to reduce their occurrence.