bluuebunny/crossref_metadata_2025_split huggingface dataset:
Revitalizing Nerves: Panchakarma Therapy for Diabetic Neuropathy
Authors: Sowjanya B R  , Shaila Borannavar  
Published: December 2024

Diabetic Peripheral Neuropathy (DPN) is one of the most common and debilitating complications of diabetes, affecting the peripheral nervous system resulting from prolonged elevated blood sugar levels. In Ayurveda, diabetes mellitus closely resembles a disorder called Madhumeha. In Avaranajanya Madhumeha- vitiated Kapha, Pitta and Meda causes Avarana to Vata that affects the vital Dhatus. This may lead to the complication of Madhumeha as that of diabetic neuropathy. A 44-year-old female patient diagnosed with type 2 diabetes mellitus and exhibiting symptoms of DPN-such as numbness, reduced sensation and weakness in the extremities- treated with a combination of Ayurvedic oral medication and external therapies. Considering the treatment protocol of Prameha upadrava and Vatavyadhi chikitsa, internally, Ksheerabala 101 Capsule, and Avipattikara churna were used during the course of treatment. External therapies including Udwartana, Abhyanga and Masha upanaha were done for a duration of 14 days. Ayurveda's integrative approach addresses both the root cause and symptoms of DPN, offering a natural and sustainable alternative for managing diabetic complications. This outcome emphasizes the potential efficacy of combining traditional Ayurvedic treatments with conventional care in the management of diabetic peripheral neuropathy.
Sensitivity Test of Herbal Extracts of Jarem Grass (Grona triflora), Meniran (Phyllanthus niruri), and Patikan Kebo (Euphorbia hirta) Against Terrestrial Bacteria
Authors: Nufus Lale Syifaun , Ifada Andy Susbandiyah , Radiah Nur , Pahmi Khairil 
Published: December 2024

Sensitivity is the ability of a medicinal substance to kill or inhibit the growth of microbes. Meanwhile, intermediate is a condition where there is a shift from a sensitive state to a completely resistant state. Method research was experimental and several procedural processes were sterilization, making of MHA media, bacterial cultivation, and extract preparation. Result showed that the highest diameter of the inhibition zone for the extract was found in the Grona triflora extract in group 1, which was 35 mm and followed by Phyllanthus niruri extract in group 6 which was 29 mm. Furthermore, the inhibition zone diameter of positive control, ciprofloxacin and tetracyclines, were 40 mm. The active ingredients of Grona triflora are flavonoids, alkoloids, and phenolics and the components of meniran that are flavonoid and tannin compounds are estimated as the inhibition factor that cause the inhibition zone in the media. Finally, the inhibitory zone of grass jarem herb extract (Grona triflora) (EGT) and the inhibitory zone for extract of Phyllantus niruri (EPN) are called to have the similar level of sensitivity when compared with several types of antibiotics ciproploxacin and tetracycline which have the sensitive level ≥ 21 mm.
Evaluation of Antagonistic Activity of Endophytic Bacteria from Dayak Onion Against Ganoderma boninense
Authors: Sinta Desiana , Norwahyunie Norwahyunie , Noraini Noraini , Zulviana Zulviana , Naibaho Frans Grovy , Wardhana Vinsen Willi , Panjaitan Desimaria , Hartanto Adrian 
Published: December 2024

Basal stem rot (BSR) is one of the key contributors to the decline in palm oil production in Indonesia. BSR is caused by the pathogenic plant fungus Ganoderma boninense. Currently, the control of G. boninense growth relies on systemic fungicides. However, systemic fungicides have negative impacts as they can harm natural soil microorganisms. Biocontrol agents present an environmentally friendly alternative for G. boninense management. The objective of this research was to select and identify endophytic bacterial isolates from Dayak onion [Eleutherine bulbosa (Mill.) Urb.] with antagonistic activity against G. boninense. The investigation was initiated with the isolation of 34 endophytic bacterial isolates and G. boninense isolate. The hemolytic capabilities of endophytic bacterial isolates were evaluated on blood agar media. Antagonism assessments were conducted through the dual-culture method, and the inhibition of G. boninense was measured using the percentage inhibition of radial growth (PIRG). The endophytic bacteria exhibiting the highest PIRG values were identified through molecular analysis based on the 16S rRNA gene sequence. Results revealed that 27 isolates demonstrated no ability to hydrolyze blood agar (gamma hemolysis) indicating no pathogenicity. Isolate CED9 demonstrated the highest PIRG value at 70.26%. Genomic identification based on the 16S rRNA gene sequence confirmed that isolate CED9 was classified as Bacillus subtilis. The identification of biocontrol agents from Dayak onion represents valuable information and a potential arsenal for future strategies in mitigating (BSR) disease.
Addressing the rising fear of nomophobia among medical students
Authors: Desouza Gabrielle Vivian Rhonda , Saqlain Esha , Shabbir Ahsan , Ahmed Hassan 
Published: December 2024

Dear Editor, I am writing to draw your attention to an escalating fear of nomophobia in the medical student community. Nomophobia or no mobile phobia is a self-build fear of missing out on mobile phones, which is becoming prevalent in the younger generation. It’s a psychological condition where people show signs of anxiety and stress upon losing their smartphones 1. Nomophobia's impact on medical students is far more alarming due to the demanding nature of their educational pattern and the simultaneous role of technology in their educational and professional development.
According to a study conducted in Egypt, nomphobia affected almost all the medical resident and many had poor communication skills with their patients2. These days medical students are very dependent on their smartphones for accessing important information and communicating with their colleagues and professors amidst their extensive and rigorous study schedules, However, detrimental dependency leads to distress when separated from their phones, which results in sleep deprivation and poor academic performance3.
The prevalence of nomophobia varies between 6% to 73% in various populations and is expected to rise further. 4 It is imperative that medical institutions and public health professionals take immediate action to raise awareness about the deleterious effects of mobile phone addiction and its potential long-term complications. A concerted effort must be made to educate students and the broader community about the risks associated with nomophobia, with a focus on promoting responsible cell phone use and mitigating the likelihood of a burgeoning public health crisis.
As a future healthcare professional, medical students must prioritize their mental health to provide optimal care and satisfy their patient's needs. Through proper guidance and acknowledging the rising fear of nomophobia, we can build a stronger generation of physicians. Thanks for your consideration of this manuscript.
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Erector spinae block reduces intraoperative and postoperative opioid consumption in patients undergoing laparoscopic sleeve gastrectomy: A randomized controlled trial
Authors: ul Huda Anwar , Alshahrani Amer Saeed , Yasir Mohammad , Sawilah Abdulaziz , Alharthi Ahmed Abdulrahman N 
Published: December 2024

Background: Obese patients are at increased risk of postoperative respiratory complications because of sedatives and opioids. The erector spinae block is a novel regional block that has been used in different surgeries. It offers an easier approach and a better safety profile. This study aimed to assess the role of erector spinae plane block (ESPB) in reducing postoperative pain scores and opioid consumption in patients undergoing sleeve gastrostomies.
Methods: Institutional committee approval was obtained for this randomized controlled trial. Inclusion criteria included patients aged between 18 and 65 years with American Society of Anesthesiologists (ASA) scores 1–3 who were scheduled to undergo laparoscopic sleeve gastrectomy under general anesthesia. Simple randomization using sealed opaque envelopes was used to allocate study patients to either of the two groups. The intervention group received erector spinae block using 0.2% ropivacaine just after induction of anesthesia while the control group did not receive a block. Primary outcome variables were pain scores during the first 24 hours after surgery.
Results: A total of 60 patients were included in the study. There was no significant difference in the baseline characteristics between two groups. Numerical rating scale (NRS) pain scores in the postoperative period were lower in the ESPB group but there was no statistical significance. Intraoperative remifentanil consumption was statistically lower in the ESPB group compared to the control group (P < 0.01). ESPB also reduced 24-hour opioid consumption (P = 0.002). There was no statistical difference in the incidence of adverse events between the two groups.
Conclusion: The use of ESPB in laparoscopic sleeve gastrectomy patients is associated with a significant reduction in intraoperative and 24-hour postoperative opioid consumption.

Trial registration ID

The trial was registered with Clinicaltrials.gov as trial ID-NCT04368195.
Organização do cotidiano de trabalho dos profissionais do Serviço de Atendimento Móvel de Urgência
Authors: Souza Moema Santos , Silva Doane Martins da , Maia Mariana Almeida , Ventura Palloma Fernandes Estanislau Vaz , Alves Marília 
Published: December 2024

Introdução: Serviço de Atendimento Móvel de Urgência (SAMU) é um serviço complexo, dinâmico e singular, com imprevisibilidade nos atendimentos, requerendo dos profissionais agilidade nas tomadas de decisões. A organização prévia da ambulância, por meio do checklist, e a assistência baseada em protocolos, possibilitam a assistência segura com vistas à prevenção de incidentes. Objetivo: analisar a organização do cotidiano de trabalho dos profissionais do SAMU de Belo Horizonte, Minas Gerais. Método: estudo qualitativo, fundamentado no referencial teórico do cotidiano de Michel de Certeau, realizado entre julho e outubro de 2020, por meio de entrevistas com 32 profissionais. Os dados foram organizados utilizando-se o software MAXQDA®e analisados por meio de análise temática. Resultados: participaram do estudo 32 profissionais de saúde que revelaram o uso do checklist como conduta obrigatória para organização do plantão sem sobressaltos. A conferência e a organização facilitam o acesso aos itens, possibilitando a otimização da assistência e prevenindo riscos. O uso de protocolos assegura decisões assertivas diminuindo os incidentes. No entanto, o acondicionamento de materiais e equipamentos no espaço restrito da ambulância, pode gerar incidentes, pois sendo reveladas adaptações no interior da ambulância para evitar que os equipamentos se soltem e caiam sobre o paciente ou profissional. É necessário discutir a implementação de protocolos e organização da ambulância com foco na identificação de riscos, o que aumenta a probabilidade de prevenir incidentes para usuário e profissionais.
РЕАЛІЗАЦІЯ STEM-ПРОЄКТІВ В ОСВІТНЬОМУ ПРОЦЕСІ З ХІМІЇ
Authors: Блага-Мініна Дар'я 
Published: December 2024

У науково-методичній статті розглянуто теоретичні основи та практичні аспекти використання STEM-проєктів в освітньому процесі з хімії. На основі аналізу сутності STEM-підходу в навчанні визначено характеристики, на основі яких навчальний проєкт можна вважати STEM-проєктом. Акцентовано на перевагах інтеграції, що надає можливість поєднувати хімію з іншими природничо-математичними науками, такими, як фізика, біологія, математика, інформатика. Автор аналізує ефективність застосування STEM-проєктів в освітньому процесі з хімії, описує етапи підготовки до його реалізації. У статі представлено приклад такого проєкту та окреслено міждисциплінарний підхід до вивчення хімії, що унаочнює можливість інтеграції знань із різних предметів. Удосконалено методику використання штучного інтелекту в освітньому процесі з хімії, зокрема під час проєктної роботи для аналізу вхідної інформації та прогнозування результатів експерименту.
STUDI LITERATUR : KEBIJAKAN PEMANFAATAN KAWASAN TAHURA
Authors: Saputra Widodo Eka Reza 
Published: December 2024

Eka Reza Saputra Widodo1, Sudarmanto Hasan1, Yusfriandi Dwi Ariesna1, Iswan Dunggio2, Marini Susanti Hamidun2 1,Pasca Sarjana Universitas Negeri Gorontalo Prodi Kependudukan dan Lingkungan Hidup, Pascasarjana UNG. JLN SUDIRMAN GORONTALO. (085254133776) 2, Dosen Pasca Sarjana Universitas Negeri Gorontalo Kependudukan dan Lingkungan Hidup, Pascasarjana UNG. JLN SUDIRMAN GORONTALO Abstrak. Penelitian ini mengkaji kebijakan pemanfaatan kawasan Taman Hutan Raya (Tahura) BJ Habibie dengan fokus pada pengelolaan sumber daya alam, keberlanjutan ekosistem, serta kontribusinya terhadap kesejahteraan masyarakat sekitar. Metode yang digunakan yaitu studi literartur dan pengamatan langsung kawasan Tahura BJ Habibie. Analisis dilakukan terhadap implementasi kebijakan, tantangan yang dihadapi, serta dampak sosial dan lingkungan yang timbul. Hasil penelitian menunjukkan bahwa meskipun kebijakan ini memiliki potensi untuk memperkuat konservasi, masih terdapat berbagai kendala dalam hal pengawasan, pendanaan, dan partisipasi masyarakat. Rekomendasi kebijakan difokuskan pada peningkatan kolaborasi antar pihak terkait dan penguatan kapasitas pengelolaan kawasan konservasi. Kata kunci: Kebijakan pemanfaatan kawasan, Taman Hutan Raya (Tahura) BJ Habibie, Pengelolaan sumber daya alam, Konservasi ekosistem, Kesejahteraan masyarakat, Dampak sosial dan lingkungan, Pengawasan kawasan konservasi, Partisipasi masyarakat, Keberlanjutan lingkungan, dan Kolaborasi pengelolaan kawasan
Análise do perfil farmacoterapêutico de gestantes HIV positivo atendidas em um hospital universitário em São Luís – MA
Authors: Melo Joyciane Reis , Silva Flávia Stella Rego Furtado Cutrim da , Silva Francimary Martins , Reis Jayane Santos Lima 
Published: December 2024

A Síndrome da Imunodeficiência Adquirida (Sida/Aids) é causada pelo vírus HIV. A transmissão vertical, é responsável por 90% dos casos de Aids em menores de 13 anos no Brasil. OBJETIVO: Descrever o perfil farmacoterapêutico de gestantes HIV positivo atendidas no Hospital Universitário Materno Infantil, Maranhão, no período de janeiro de 2019 a dezembro de 2020 e avaliar se as medidas de profilaxia e o esquema terapêutico foram efetivos para os recém-nascidos através do rastreamento de casos HIV positivo. METODOLOGIA: Trata-se de um estudo documental retrospectivo, descritivo e quantitativo, realizado a partir da análise de informações extraídas dos prontuários eletrônicos do Aplicativo de Gestão para Hospitais Universitários (AGHU), do Sistema Nacional de Agravos de Notificação (SINAN), do Sistema de Controle Logístico de Medicamentos (SICLOM), e das prescrições médicas disponíveis na Unidade de Farmácia do Hospital Universitário Materno Infantil. Os dados referem-se ao período de janeiro de 2019 a dezembro de 2020 e objetivou analisar características epidemiológicas e clínicas, visando estimar a frequência de casos positivos em neonatos e a efetividade do tratamento antirretroviral. Os dados foram processados no Bioestat® (α 5%). RESULTADOS: Identificou-se que a maioria das gestan­tes eram jovens adultas, pardas, com baixa escolaridade, gestações anteriores, residentes na zona rural e trabalhadoras do lar. Não houve ocorrência de transmissão vertical dentre as pacientes do estudo. CONCLUSÃO: Faz-se necessário a ampliação da educação em saúde, bem como elaborar medidas que contribuam para a descentralização de locais de dispensação de medicamentos, visando evitar a evasão/interrupção do tratamento antirretroviral.
TEXTO E ENSINO DE LEITURA: “ORA CAMALBA DE DIE OU O DRAGÃO” EM SALA DE AULA
Authors: Castanheira Dennis , Morais Margareth 
Published: December 2024

RESUMO: Este artigo tem como objetivo principal fomentar um trabalho mais qualificado com a leitura na sala de aula, por meio de um olhar metodológico com atividades pré-textuais, textuais e pós-textuais. Como referencial teórico, foram utilizados os pressupostos da relação entre Texto, Leitura e Ensino (Koch, 2002; Koch; Elias, 2009; Santos; Cuba Riche; Teixeira, 2012), a fim de embasar um trabalho centrado nos efeitos de sentido e na interpretação. Para isso, utilizamos a história “Ora Camalba de Die ou O Dragão”, presente no premiado livro Que história é essa?, escrito por Flavio de Souza, ilustrado por Pepe Casals e publicado pela Companhia das Letrinhas. Nessa, é contada a narrativa de um famoso conto de fadas sob a perspectiva de um personagem coadjuvante: o Dragão. Como resultado deste percurso, foram elaboradas atividades que podem ser aplicadas no contexto do 6º ano do Ensino Fundamental II.

PALAVRAS-CHAVE: Texto; Ensino; Conto de fadas.
A INFORMATIVIDADE NO ETHOS MULTI(FACE)TADO DO SAMBA-ENREDO: MEU DEUS, MEU DEUS, ESTÁ EXTINTA A ESCRAVIDÃO?: POR UMA CORRELAÇÃO AMPLIADORA DA NOÇÃO DE INFORMATIVIDADE DA LINGUÍSTICA TEXTUAL
Authors: Souza Julio Teixeira de 
Published: December 2024

RESUMO: O conceito de informatividade trabalhado pela Linguística Textual parece que é pouco problematizado a fim de se descobrirem ligações com outros elementos teórico-analíticos da linguagem. No geral, é reservado à informatividade o entendimento de que diz sobre a distribuição de informações ao longo da superfície textual. Apura-se o grau de informatividade, que varia entre alto, médio e baixo, a depender do conhecimento prévio do leitor do texto. No entanto, acreditamos a informatividade ser um fator textual potencialmente discursivo porque é possível percebê-lo como o responsável pela criação de um ethos discursivo em relação ao qual o sujeito do discurso projeta sua face. Partimos da compreensão centrada no texto para dizer de um sujeito que nasce de sua articulação linguístico-discursiva. Esse sujeito não é mais o autor do texto, mas sim um sujeito do discurso, cujo contorno é traçado pelas informações que enuncia. Neste artigo, analisaremos um samba-enredo. Traremos o samba-enredo da escola de samba Paraíso do Tuiuti, no ano de 2018, como material significativo com que queremos demonstrar a possibilidade de se ampliar a noção de informatividade, correlacionando a ela a noção de ethos e de face. Para o aporte teórico deste trabalho, contaremos, sobretudo, com os entendimentos de Koch (2009), Marcuschi (2008), sobre a Linguística de Texto, de Amossy (2016), sobre ethos, de Goffman (1985, 2011), sobre face, e de Farias (2002), sobre a linguagem do samba-enredo. Com isso, temos a intenção de contribuir com os estudos de texto, donde destacamos o fator da informatividade.
Edukasi Pencegahan Bullying dan Kekerasan Seks Pada Anak Usia Dini Di SDN Boke Sape
Authors: Waluyati Ida , Syaifullah Syaifullah , Irmansah Irmansah 
Published: December 2024

Edukasi tentang pencegahan bullying dan kekerasan seks penting diberikan untuk anak sejak dini. Edukasi bahaya bullying pada anak di sekolah juga lebih diarahkan pada saling menghargai dan menghormati satu sama lain. Berdasarkan hasil wawancara dan observasi awal pada SDN Boke di Desa Boke Kecamatan Sape Kabupaten Bima bahwa kemampuan anak mengenal pendidikan seks masih dalam kategori rendah, pemahaman orang tua tentang cara pemberian edukasi seks pada anak masih kurang, minimnya metode dan media pembelajaran mengakibatkan kurangnya inovasi baru dalam mengenalkan pendidikan seks dengan memperhatikan tahapan perkembangan anak. Tindakan bullying juga kerap terjadi di lingkungan sekolah karena anak belum memahami dampak bullying bagi anak yang lain. Metode edukasi pencegahan bulyying dan seks usia dini ini dilakukan melalui teknik bercerita, diskusi, tanya jawab, permainan, pemberian sticknote, doorprize, serta bernyanyi. Kegiatan ini dilakukan dengan komunikasi yang sederhana dan penuh kenyamanan sehingga anak tidak terkesan menggurui dan menegangkan. Nilai-nilai edukasi seks dibalut dalam untaian nyanyian dan sajian gambar yang memudahkan anak dalam memahami hal tersebut. Hasil kegiatan pengabdian ini adalah para siswa mampu memahami cara melindungi dirinya dari kejahatan seksual, memahami terkait ciri pertumbuhan yang terjadi pada masa pubersitas, mengenal bagian tubuh yang tidak boleh disentuh dan dilihat oleh orang lain, serta bijak menggunakan gadget. Dismping itu, anak memahami cara menyelesaikan masalah dengan pendekatan musyawarah besama, saling menghargai dan menghormati diantara perbedaan. Oleh karena itu, pihak sekolah harus tetap melakukan edukasi pencegahan bulyying dan kekerasan seks yang kontinyu pada seluruh siswa dengan metode-metode dan media yang menyenangkan.
Teoriden Uygulamaya Geoteknik Mühendisliği
Authors: Topçu Sadettin , Seyrek Evren , Umu Seyfettin Umut , Gücek Süleyman , Zorluer İsmail , Vitoşoğlu Yaşar , Şengül Tayfun 
Published: December 2024

Geoteknik mühendisliği, inşaat mühendisliği projelerinde teknik ve finansman riskinin en yüksek elemanı olan zeminin davranışını yapı ile etkileşimli olarak inceleyen bir bilim dalıdır. Temel İnşaatı ve Zemin Mekaniği alanlarını içine alan Geoteknik Anabilim Dalı 1900’lü yılların başında oluşmaya başlamıştır. Klasik zemin mekaniğinin temel prensiplerinin geoteknik alanında çalışan profesyonellerin yıllar içerisinde artan saha deneyimleri ile birleştirilmesi ile zemin davranışındaki belirsizliklerin en aza indirgenmesi mümkün hale gelmiştir. Bu yaklaşım hem emniyetli hem de optimum maliyetli yapıların tasarımına olanak sağlamıştır. Özellikle 1964 Niigata depremi, 1995 Kobe depremi ve 1999 Adapazarı depremi sonrasında gözlenen hasarlar yerel zemin koşullarının etkilerini göz önüne sermiş ve araştırmacıların Geoteknik Deprem Mühendisliği alanı üzerine yoğunlaşmasına sebep olmuştur.
Teoriden Uygulamaya Geoteknik Mühendisliği isimli bu kitap, geoteknik alanındaki farklı çalışma konularına ilişkin değerli bilgiler içeren beş bölümden oluşmaktadır. Ele alınan başlıklar arasında; baraj enjeksiyon perde tasarımı, sismik şev stabilitesi, zemin büyütme analizi, sahaya özel sismik tehlike analizi ve atık lastik ürünlerinin İnşaat Mühendisliği alanında kullanımı konuları yer almaktadır. Bu kitabın, Geoteknik Mühendisliğine hem teori hem de uygulama açısından kapsamlı bir bakış açısı sunacağına inanıyor, kitabın hazırlanmasında emeği geçen tüm bölüm yazarlarına ve kitabı okuyucuları ile buluşturma fırsatı sunan Özgür Yayınları’na teşekkür ederim.
Doç.Dr.Hasan SAVAŞ