Search

Background: Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide.Methods: A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected.Results: We collected 493 individual forms from 71 countries and 94 team forms from 34 countries. Almost half of respondents were surgeons, and most of the responding teams (70%) were led by surgeons. Most of the respondents indicated that diagnosis of AMI is often delayed but rarely missed. Emergency revascularisation is often considered for patients with AMI but rarely in cases of transmural ischaemia (intestinal infarction). Responses from team hospitals with a dedicated special unit (14 team forms) indicated more aggressive revascularisation. Abdominopelvic CT-scan with intravenous contrast was suggested as the most useful diagnostic test, indicated by approximately 90% of respondents. Medical history and risk factors were thought to be more important in diagnosis of AMI without transmural ischaemia, whereas for intestinal infarction, plasma lactate concentrations and surgical exploration were considered more useful. In elderly patients, a palliative approach is often chosen over extensive bowel resection. There was a large variability in anticoagulant treatment, as well as in timing of surgery to restore bowel continuity.Conclusions: Delayed diagnosis of AMI is common despite wide availability of an adequate imaging modality, i.e. CT-scan. Large variability in treatment approaches exists, indicating the need for updated guidelines. Increased awareness and knowledge of AMI may improve current practice until more robust evidence becomes available. Adherence to the existing guidelines may help in improving differences in treatment and outcomes. Background: Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide.Methods: A questionnaire survey about the practices of diagnosing and managing AMI, endorsed by several specialist societies, was sent to different medical specialists and hospitals worldwide. Data from individual health care professionals and from medical teams were collected.Results: We collected 493 individual forms from 71 countries and 94 team forms from 34 countries. Almost half of respondents were surgeons, and most of the responding teams (70%) were led by surgeons. Most of the respondents indicated that diagnosis of AMI is often delayed but rarely missed. Emergency revascularisation is often considered for patients with AMI but rarely in cases of transmural ischaemia (intestinal infarction). Responses from team hospitals with a dedicated special unit (14 team forms) indicated more aggressive revascularisation. Abdominopelvic CT-scan with intravenous contrast was suggested as the most useful diagnostic test, indicated by approximately 90% of respondents. Medical history and risk factors were thought to be more important in diagnosis of AMI without transmural ischaemia, whereas for intestinal infarction, plasma lactate concentrations and surgical exploration were considered more useful. In elderly patients, a palliative approach is often chosen over extensive bowel resection. There was a large variability in anticoagulant treatment, as well as in timing of surgery to restore bowel continuity.Conclusions: Delayed diagnosis of AMI is common despite wide availability of an adequate imaging modality, i.e. CT-scan. Large variability in treatment approaches exists, indicating the need for updated guidelines. Increased awareness and knowledge of AMI may improve current practice until more robust evidence becomes available. Adherence to the existing guidelines may help in improving differences in treatment and outcomes.

To identify communication practices that clinicians can use to address racism faced by Black patients, build trusting relationships, and empower Black individuals in clinical care.Qualitative data (N = 112 participants, August 2020-March 2021) collected in partnership with clinics primarily serving Black patients in Leeds, AL; Memphis, TN; Oakland, CA; and Rochester, NY.This multi-phased project was informed by human-centered design thinking and community-based participatory research principles. We mapped emergent communication and trust-building strategies to domains from the Presence 5 framework for fostering meaningful connection in clinical care.Interviews and focus group discussions explored anti-racist communication and patient-clinician trust (n = 36 Black patients; n = 40 nonmedical professionals; and n = 24 clinicians of various races and ethnicities). The Presence 5 Virtual National Community Advisory Board guided analysis interpretation.The emergent Presence 5 for Racial Justice (P5RJ) practices include: (1) Prepare with intention by reflecting on identity, bias, and power dynamics; and creating structures to address bias and structural determinants of health; (2) Listen intently and completely without interruption and listen deeply for the potential impact of anti-Black racism on patient health and interactions with health care; (3) Agree on what matters most by having explicit conversations about patient goals, treatment comfort and consent, and referral planning; (4) Connect with the patient's story, acknowledging socioeconomic factors influencing patient health and focusing on positive efforts; (5) Explore emotional cues by noticing and naming patient emotions, and considering how experiences with racism might influence emotions.P5RJ provides a framework with actionable communication practices to address pervasive racism experienced by Black patients. Effective implementation necessitates clinician self-reflection, personal commitment, and institutional support that offers time and resources to elicit a patient's story and to address patient needs.

To understand providers' perceptions of how a patient's experience of racism may impact the successful implementation of a brief posttraumatic stress disorder (PTSD) treatment in the safety net integrated primary care setting. To conduct a developmental formative evaluation prior to a hybrid type I effectiveness-implementation trial.From October 2020 to January 2021, in-depth qualitative interviews were conducted with integrated primary care stakeholders (N = 27) at the largest safety net hospital in New England, where 82% of patients identify as racial or ethnic minorities.Interviews with clinical stakeholders were used to (a) contextualize current patient and provider experiences and responses to racism, (b) consider how racism may impact PTSD treatment implementation, (c) gather recommendations for potential augmentation to the proposed PTSD treatment (e.g., culturally responsive delivery, cultural adaptation), and (d) gather recommendations for how to shift the integrated primary care practice to an antiracist framework.Interview data were gathered using remote data collection methods (video conferencing). Participants were hospital employees, including psychologists, social workers, primary care physicians, community health workers, administrators, and operations managers. We used conventional content analysis.Clinical stakeholders acknowledged the impact of racism, including racial stress and trauma, on patient engagement and noted the potential need to adapt PTSD treatments to enhance engagement. Clinical stakeholders also characterized the harms of racism on patients and providers and provided recommendations such as changes to staff training and hiring practices, examination of racist policies, and increases in support for providers of color.This study contextualizes providers' perceptions of racism in the integrated primary care practice and provides some suggestions for shifting to an antiracist framework. Our findings also highlight how racism in health care may be a PTSD treatment implementation barrier.

Ophiostomatales (Ascomycota) contains many species, most of which are associated with bark beetles. Some members of this order are plant or animal pathogens, while others colonize soil, different plant tissues, or even carpophores of some Basidiomycota. However, little is known about soil-inhabiting Ophiostomatales fungi. A survey of these fungi associated with soil under beech, oak, pine, and spruce stands in Poland yielded 623 isolates, representing 10 species: Heinzbutinia grandicarpa, Leptographium procerum, L. radiaticola, Ophiostoma piliferum, O. quercus, Sporothrix brunneoviolacea, S. dentifunda, S. eucastaneae, and two newly described taxa, namely Sporothrix roztoczensissp. nov. and S. silvicolasp. nov. In addition, isolates collected from fallen shoots of Pinus sylvestris that were pruned by Tomicus sp. are described as Sporothrix tumidasp. nov. The new taxa were morphologically characterized and phylogenetically analyzed based on multi-loci sequence data (ITS, β-tubulin, calmodulin, and translation elongation factor 1-α genes). The Ophiostomatales species were especially abundant in soil under pine and oak stands. Leptographium procerum, S. silvicola, and S. roztoczensis were the most frequently isolated species from soil under pine stands, while S. brunneoviolacea was the most abundant in soil under oak stands. The results highlight that forest soil in Poland has a wide diversity of Ophiostomatales taxa, but further studies are required to uncover the molecular diversity and phylogenetic relationships of these fungi, as well as their roles in soil fungal communities.

This research is motivated by the discovery of how children behave influenced by family disharmony indicating that there are students who are less open to family, students are not given the opportunity to talk in the family, and there is no support for positive activities towards students so that students often blame others. lack empathy, have a big ego. The aim of this study was to determine the relationship between family disharmony and students' emotional maturity. This study uses a Quantitative Correlation approach. The collection of data used in this study through the questionnaire method. The sampling technique used was total sampling by taking a sample of 30 students from a population of 30 students. Data processing techniques that the authors do are data normality test, linearity test and correlation analysis test. The research results obtained based on the correlation analysis test can be concluded that there is an influence between family disharmony (X) and emotional maturity (Y) where a correlation value of 0.699 is obtained at the moderate level which, if expressed as family disharmony, affects the emotional maturity of class XI students at SMK Negeri 1 Ampek Angkek by 0.448 or 45%.

Kelurahan Dasan Geres Kecamatan Gerung Kabupaten Lombok Barat memiliki potensi tingginya jumlah penduduk perempuan yang tergolong dalam usia produktif dan banyaknya kaum pemuda yang sudah tamat SMA tapi menganggur atau tidak memilki pekerjaan. Oleh karenanya kegiatan pengabdian kepada masyarakat ini ditujukan untuk menciptakan inovasi bagi mereka yaitu Budidaya Jamur Tiram dan pengolahan jamur tiram serta meningkatkan akses mereka terhadap informasi dan keterampilan serta teknologi untuk melakukan kegiatan produktif agar dapat memperoleh pendapatan. Metode pelaksanaan dari kegiatan pengabdian kepada masyarakat ini adalah dengan melakukan observasi lapangan untuk memahami potensi dan mencari mitra produsen jamur tiram, penyuluhan inovasi produk, pelaksanaan program (produksi dan pemasaran). Hasil pelaksanaan kegiatan penyuluhan Budidaya jamur yang diikuti oleh 20 perwakilan masyarakat Kelurahan Dasan Geres. Semua peserta yang memperoleh sampel jamur tiram mampu melakukan budidaya jamur tiram di halaman rumah mereka dan menghasilkan produksi yang tinggi. Pelaksanaan kegiatan pengolahan jamur tiram yang dilakukan oleh tim pengabdian kepada masyarakat bersama Tim PKK telah memberikan hasil dimana produk olahan jamur krispi bersama produk jamur tiram segar selain dijual secara langsung ke pasar atau toko/kios, telah dipromosikan dan dipasarkan dengan menggunakan sosial media dan whatsapp broadcast dengan sistem pengiriman produk COD (Cash On Delivery). Usaha budidaya dan pengolahan jamur tiram telah memberikan pendapatan kepada sasaran kegiatan. Maka dari itu usaha jamur tiram ini dapat dijadikan sebagai peluang usaha yang menjanjikan dan nantinya dapat meyakinkan dan menumbuhkan minat wirausaha mereka

BACKGROUND: Attention Deficit Hyperactivity Disorder (ADHD) is characterized by inattention, hyperactivity, and impulsivity and includes one of the most prevalent neurodevelopmental disorders in childhood. Despite the high prevalence, many professionals who work with children and adolescents with this disorder do not have enough knowledge on the subject. Physical education professionals deal directly with these children and need the knowledge to choose which skills and/or motor criteria to emphasize in their classes. However, issues related to neurodevelopmental disorders are not frequently addressed in the physical education courses, which impairs proper dealing with this population. AIM: This study aims to verify the level of knowledge about ADHD and its motor impairments in professionals and students of physical education. METHOD: A questionnaire was developed by researchers of motor behavior and was applied to professionals and students of physical education. The participants' responses were then analyzed through descriptive and inferential statistics. RESULTS: The results indicate that although the volunteers have basic notions about the subject, they do not have enough preparation to deal with children with ADHD. CONCLUSION: It was concluded that the knowledge about ADHD is insufficient and a reformulation in the curriculum of physical education courses is recommended.

In the objective of meeting the need for animal protein, the Maiwa Breeding Center (MBC) carried out diversification of its processed chicken meat products in the form of crispy chicken. This study aimed to analyze the level of consumer satisfaction with the quality and services of the products provided by Meatball Celebes Restaurant. Thedata werecollected from 98 respondents who were randomly selected from each predetermined area using an online questionnaire in the form of google form format during the COVID-19 pandemic. Data were further analyzed using IPA (Importance Performance Analysis)and CSI(Customer Satisfaction Index)analysis. The results revealed that the product quality of the Celebes meatball restaurant, which is the product suitability attribute, became an importantattribute,so it needed to be improved. Furthermore, function, reliability, and quality attributes must be maintained because they areimportant categories, whoseperformance are currentlygood. The attributes of physical conditions including the cleanliness, parking areas, and complete facilities are the main priority categories to be improved. The ability to provide reliable services, performance needs to be maintained because it has been good and is considered important by consumers. The responsiveness attribute, however, is a low priority to be improved. Based on the CSI analysis, the level of consumer satisfaction, which is the quality of the product, obtained a value of 0.79, while the service obtained a value of 0.78, thus categorized as satisfied. Therefore, these aspects need to be more improved in order to becomevery satisfied.

Various industries are widely using the austenitic stainless steels, and these steels possess the potential to improve their mechanical properties through alloying and deformation machining. However, such material improvement could also affect the quality of its machine cutting. The paper studies the influence of intensive plastic deformation on structure and properties of the 08X18H10 steel alloyed with copper and manganese, as well as on the quality of its machining in turning under different structural states. It was established that the use of multilateral forging led to formation of a heavily deformed subgrain structure with the high dislocation density in the steel under study, and subsequent rolling caused additional formation of the differently oriented deformation microtwins and packs of nanotwins. These structural alterations contributed to increasing the strength and micro-hardness of the material. Analysis of the machine turned surface relief of the samples showed that using the intensive plastic deformation made it possible to significantly reduce the Ra and Rz roughness parameters compared to those samples not subjected to intensive plastic deformation. It was found that an increase in feed led to the growing micro-hardness of the material thin near-surface layer and to its smoother alteration in depth from the machined surface.

Mobile health (mHealth)-that is, use of mobile devices, such as mobile phones, monitoring devices, personal digital assistants, and other wireless devices, in medical care-is a promising approach to the provision of support services. mHealth may aid in facilitating monitoring of mental health conditions, offering peer support, providing psychoeducation (i.e., information about mental health conditions), and delivering evidence-based practices. However, some groups may fail to benefit from mHealth despite a high need for mental health services, including people from racially and ethnically disadvantaged groups, rural residents, individuals who are socioeconomically disadvantaged, and people with disabilities. A well-designed mHealth ecosystem that considers multiple elements of design, development, and implementation can afford disadvantaged populations the opportunity to address inequities and facilitate access to and uptake of mHealth. This article proposes inclusion of the following principles and standards in the development of an mHealth ecosystem of equity: use a human-centered design, reduce bias in machine-learning analytical techniques, promote inclusivity via mHealth design features, facilitate informed decision making in technology selection, embrace adaptive technology, promote digital literacy through mHealth by teaching patients how to use the technology, and facilitate access to mHealth to improve health outcomes.

Kejadian Ikutan Pasca Imunisasi (KIPI) pada vaksinasi COVID19 merupakan kejadian medik yang kemungkinan berhubungan dengan vaksinasi COVID-19. Setiap orang yang telah menerima vaksin tidak semua mengalami KIPI. Namun setiap tubuh orang merespon vaksin berbeda-beda setelah menerima vaksinasi COVID-19. Penelitian ini bertujuan untuk mengetahui dan mengevaluasi KIPI yang timbul setelah vaksinasi COVID-19 dosis pertama, kedua, dan booster di Puskesmas Pakis Kabupaten Malang. Analisis yang digunakan dalam penelitian ini adalah mengertahui hubungan antara karteristik data peserta vaksin dengan timbulnya KIPI di Puskesmas Pakis Kabupaten Malang setelah menerima dosis pertama, kedua dan booster pada periode bulan Januari 2021 sampai Juni 2022. Penelitian dilakukan secara observasional dengan pendekatan cross sectional. Pengumpulan sampel menggunakan teknik purposive sampling yaitu pasien yang memenuhi kriteria inklusi yang ada dengan menggunakan data rekam medis. Hasil Penelitian ini dapat diketahui dari tabel distribusi frekuensi bahwa 180 peserta vaksin yang memenuhi kriteria inklusi dengan presentase peserta yang mengalami KIPI yaitu 10 orang (5,56%) dan yang tidak mengalami KIPI 180 orang (94,44%). Selain itu dapat diketahui dari diagram bahwa status penerimaan dosis vaksin primer mayoritas diterima pada dosis vaksin Coronavac dan dosis booster mayoritas diterima pada jenis vaksin Moderna di Puskesmas Pakis. Adapun laporan KIPI dari Puskesmas Pakis pada jenis KIPI yaitu pada umumnya berupa demam, sakit kepala (pusing), nyeri pada area suntikan serta mual. Dapat disimpulkan bahwa adanya KIPI yang terjadi setelah vaksin COVID-19 di Puskesmas Pakis pada umumnya berupa demam, sakit kepala (pusing), nyeri pada area suntikan serta mual.

The purpose of this study to examine the impact of new accounting standard of finansial instrument (PSAK 71) and lease (PSAK 73) on financial performance and liabilities of Indonesia listed companies. By applying the purposive sampling method, 140 companies for 2019 and 2020 were selected as the sample of this study. The data of this study analyzed using Paired Sample T-test and Wilcoxon Signed Ranks Test. The findings of this study show that new finansial intrument accounting standard PSAK 71) implementation impact to finansial performance (ROE) and liabilities (DAR and DER). This study also found that new lease accounting stardard impact to finansial performance (ROE and ROA) and liabilities (DAR). Moreover this study found that after implemnentation of PSAK 71 will be followed by ROE decreasing and DAR and DER increasing. Meanwhile, firm finansial performance that proxied by ROE and ROA decrease and DER increase since new lease accounting standard (PSAK 73) implemented by indonesian listed companies. This study conclude that new finacial instrument and lease accounting standard finansial performance and liabilities of indonesian listed companies. Indonesian listed companies deal with lower finansial performance and higher liabilities financing after apllying those new accounting standard.

Membrane bioreactors have been widely used in biological wastewater treatment. The membranes used in this type of technology are produced from organic or inorganic materials. However, membranes can also be formed from the deposition of solid particles, colloids, and polymeric materials, as well as microbial cells and flocs, on an inert support during the filtration process. When coupled to a bioreactor, they establish a unique system called a dynamic membrane bioreactor (DMBR). This type of bioreactor, while retaining the solids and microorganisms present in the system, removes both easy and difficult-to-degrade organic material, which reduces treatment costs and makes it advantageous compared to conventional membrane bioreactors (MBRs). In Brazil, this technology is relatively new and still little explored. Therefore, the present study aims to evaluate the DMBR's performance in anaerobic wastewater treatment systems. In addition to the advantages and disadvantages presented by this type of system compared to conventional MBRs (micro and ultrafiltration), the fouling phenomenon, its implications, and the theories that explain the formation of the dynamic layer are described. Finally, some challenges that still need to be overcome in the use of this technology are pointed out in order to be affirmed as a safe and robust tool for the biological treatment of domestic and industrial wastewater.

Most entrepreneurs have witnessed their businesses fail during the Covid-19 pandemic, and young farmers are no exception. This study revealed the challenges encountered by young farmers during the pandemic and their efforts to address them. Production, capital, marketing, and their effects on income have emerged as significant challenges for them. The participants were young farmers who received business capital through the Young Agricultural Entrepreneurial Development Program (Penumbuhan Wirausaha Muda Pertanian or PWMP). The data were gathered by census method, and 71 young farmers completed and returned the questionnaire via electronic forms. Data were analyzed using a quantitative description. The results unveiled that young farmers encountered production, capital, and marketing issues. Young farmers combated production problems by improving creativity, cooperation, and management. Forming partnerships, developing innovative products, and seeking bank loans were all viable options for addressing the capital shortage. Additionally, marketing concerns were addressed through online marketing, building partnerships, and expanding networks. Besides capital, young farmers required opportunities, mentors, and a supportive environment to succeed as entrepreneurs. The government should establish policies supporting the efforts of young farmers during the pandemic. Moreover, young farmers necessitated training and infrastructure assistance in online marketing.

In 1999, the Italian Central Institute for Applied Marine Research (ICRAM), in response to reports made by local fisheries, began a study into the interactions between common bottlenose dolphins (Tursiops truncatus) and the artisanal fishery in the Asinara Island National Park (Sardinia). Using onboard observers, fishing boat surveys were carried out to determine the frequency of interactions, variations in the catch of target species and damage to two different types of trammel net caused by dolphins. Interactions occurred primarily with trammel nets targetting striped red mullet (Mullus surmuletus; the less valuable peacock wrasse, Simphodus tinca, was also caught). Interactions also occurred with trammel nets set for lobster (Palinurus elephas), cuttlefish (Sepia spp.) and scorpionfish (Scorpaena spp.), but these were considered negligible. The target species, catch and damage inflicted on the catch was recorded, both in the presence and absence of dolphins, in an effort to ascertain associated damage and economic cost. Loss of catch was found to be significant only in the case of nets deployed during the red striped mullet fishing season. Although the level of interaction was high relative to the narrow red striped mullet fishery season, the overall economic impact on the fishing community was found to be modest. The presence and regulations of the national park area may provide an opportunity for investigating mitigation activities compatible with both cetacean conservation and the maintenance of the traditional fisheries.

Caries is portrayed by a moderate sclerosing of stain and dentin designs and plaque, and it is rapidly becoming perhaps the most widely recognized persistent sickness in small kids, particularly those between the ages of 7 and 12 years. The objective of this study was to learn the association between youngsters' dental caries and brushing rehearses in Pancur Batu, Deli Serdang District, Durin Simbelang Town. This examination technique utilizes a cross-sectional procedure and a relationship plan. 84 members in this review went through accidental testing. A survey was the device utilized. The review’s discoveries demonstrate that most of the respondents have dental caries (63.1%) and unfortunate brushing propensities (57.1%), with the Chi-square trial results procuring a p-regard of 0.002 (p=0.05), showing a significant association between brushing propensities and dental caries. at the point when dental caries in small kids begin to be an issue in Durin Simbelang Pancur Batu Town, Deli Serdang District, starting in 2021. To keep away from dental caries, health professionals are obliged to show their children how to consistently keep up with oral cleanliness by cleaning and flossing their teeth.

Pesatnya perkembangan teknologi informasi di era digital harus dimanfaatkan secara optimal untuk meningkatkan kualitas pembelajaran kimia. Di era digital ini, penggunaan laboratorium virtual dapat menggantikan laboratorium nyata sebagai sarana untuk membuktikan teori, hukum, dan konsep kimia. Kajian ini menelaah berbagai platform laboratorium virtual yang dapat digunakan dalam pembelajaran kimia. Platform laboratorium virtual yang dikaji dalam artikel ini adalah Chemcollective, Laboratorium Maya, PhET, dan Olabs. Setiap platform laboratorium virtual yang dikaji memiliki kelebihan dan kekurangan, sehingga informasi ini diharapkan dapat menjadi bahan pertimbangan bagi guru dalam memilih platform laboratorium virtual yang sesuai dengan tujuan pembelajaran kimia yang telah dirancang.

Clinicians trained to assess and treat child psychopathology are facing an increasing need to expand their clinical expertise outside of traditional frameworks, which have historically focused largely on the child or the child-mother dyad. Clinicians treating children also need to be prepared to assess and address the systems of care that affect a child's mental health, starting with their family. There is a scarcity of Latino mental health providers and limited clinical opportunities or settings that serve this population by incorporating a developmental, cultural, and sociopolitical framework into high quality care of the whole family.

Nos cursos de formação de professores de ciências/química no Estado da Bahia, Brasil, temos trabalhado com os referenciais teórico-metodológicos de cunho crítico-dialético, objetivando superar a concepção empírico-analítica de ciência e de romper com as perspectivas idealistas de educação, visando à emancipação humana. No campo pedagógico, a Pedagogia Histórico-Crítica tem sido a melhor forma de atingir esses objetivos, pois parte da prática social, problematiza e faz a análise segundo seus princípios, onde parte e totalidade estão articuladas no seu movimento histórico, focada numa nova síntese impregnada das múltiplas determinações do real, propiciando um nível superior de compreensão e explicação da prática social. Assim, para esta Pedagogia, o trabalho educativo visa produzir, direta e intencionalmente, a humanidade em cada indivíduo singular (o estudante). Historicamente, esta humanidade é produzida de modo coletivo pelo conjunto dos homens, através de meios e estratégias adequadas, com o objetivo maior da transformação social. A pedagogia Histórico-Crítica, tece as críticas pertinentes às pedagogias do aprender a aprender e suas correlatas, que são as principais tendências pedagógicas que têm dominado o Ensino Médio na Bahia e se apresenta como uma possível alternativa para mudar esse quadro e para resgatar aquilo que para nós é a principal finalidade da educação escolar: identificar os conhecimentos clássicos, sistematizados e de relevância social, da ciência, filosofia, arte e da cultura corporal, que precisam ser apropriados pelos sujeitos sociais para que possam interferir decisivamente no processo de produção e reprodução da nossa existência, na busca da emancipação humana. Metodologicamente, nesse trabalho, utilizamos uma abordagem qualitativa, com enfoque crítico-participativo na perspectiva histórico-cultural. Finalmente, apresentamos alguns resultados da implantação desta pedagogia na formação de professores para atuarem no ensino básico em química, nos cursos de graduação, de projetos de extensão e em um programa interinstitucional de pós-graduação local em ensino, filosofia e história das ciências. Os resultados mostram avanços na superação nas concepções empírico-analíticas de ciência e idealistas de educação. Para concluir, já podemos afirmar que ela tem sido um instrumento qualificado para a intervenção didática em escolas do Ensino Básico, levando os estudantes a desenvolverem uma concepção pedagógica crítica, visando à emancipação humana.

International audience

Indonesia is one of the most disaster-prone countries in the world as evidenced by the World Risk Index 2019 data, Indonesia is ranked 37th out of 180 countries. The younger generation as agents of change must be able to have a positive influence on the community on the importance of preparedness and mitigation as an effort to reduce the impact of disaster risk. This research intends to design the development of Augmented Reality-based disaster mitigation learning media as a means of disaster education. The method used is the development of a prototype model consisting of listen to customer, build/revise mock-up, customer test-drive mock-up. This stage is carried out with the stages of needs analysis, design, testing, implementation, and evaluation. The results showed that the Blackbox Fire Disaster Mitigation-AR test was successfully displayed as expected (valid) with the target user being the community and students, especially early childhood children building creative, critical, and innovative thinking patterns in solving problems about disasters. Novelty given in developing ideas about disaster mitigation educational media in order to realize quality education and handling climate change. It can be concluded that the presence of Augmented Reality-based disaster mitigation learning media is considered very useful in supporting the learning process in the 21st century and making it easier for users to implement the knowledge gained into daily life by knowing the stages before and after disaster mitigation through disaster education.

Angka Kematian Ibu (AKI) di Kabupaten Pringsewu pada tahun 2018 berjumlah 6 kasus atau dengan Angka Kematian Ibu (AKI) sebesar 92 per 100.000 Kelahiran Hidup (KH),sedangkan Angka Kematian Bayi di kabupaten Pringsewu pada tahun 2018 sebesar 9 per 1000 kelahiran hidup. Selain itu salah satu upaya untuk mengurangi AKI dan AKB adalah dengan melakukan asuhan komprehensif dari kehamilan, persalinan, nifas, bayi baru lahir, dan keluarga berencana. Tujuan Laporan Tugas Akhir ini ditulis untuk melaksanakan asuhan kebidanan secara komprehensif pada ibu ANC, INC, PNC, BBL dan KB dengan menggunakan pendekatan manajemen kebidanan 7 langkah yang dituangkan dalam SOAP, dengan didukung oleh peran tenaga kesehatan dalam mencariteori dan praktik. Metode yang digunakan pada Laporan Tugas Akhir yaitu Observasional Deskriptif. Dalam studi kasus ini metode pengumpulan data yang digunakan adalah dengan pengumpulan data primer melalui wawancara langsung kepada klien dan sekunder melalui buku atau artikel yang ada dari ANC, INC, PNC, BBL, dan KB. Subjek dalam Laporan Tugas Akhir ini adalah Ny.R dari kehamilan,persalinan,BBL, nifas sampai KB, dan bayi Ny.R di tempat PMB Wiji Lestari S.ST pengkajian dimulai pada bulan Februari sampai Mei 2022. Kesimpulan dari studi kasus ini adalah bahwa tidak ada kesenjangan antara teori dan praktik dilahan. Saran bagi PMB Wiji Lestari S.ST sebagai bahan evaluasi bagi lahan praktik untuk mensosialisasikan tentang asuhan yang berkelanjutan yang berhubungan dengan cara kompehensif dari kehamilam, persalinan, BBL, nifas,dan KB serta IMD selama 1 jam yaitu dengan cara konseling dan pembagian leaflet.

Changes in behavior in the new normal era that have occurred since the pandemic at the end of 2019 until now have caused changes to occur from all orders of life, one of which is the world of education felt by students. All online activities have become the main material that must be adapted by students both in learning and activities or student organizations, but with the easing of health protocols, activities that were previously online beginning to gradually be transferred to offline, although not all of them. The Center for Scientific Development and Student Research of Padang State University is a student activity unit engaged in research, science, and community service which is one of the units that have changed the work strategy of the management in achieving the vision and mission and common goals in the organization. Since the easing of health protocol regulations, this organization has slowly begun to change the format of its activities that were previously full online to blended, namely some are online and some are offline. Therefore, it is necessary to research the performance of administrators from the perspective of members who serve in the new normal era in pandemic conditions like now. The type of research used is quantitative descriptive research with a Likert scale approach. The data type used is primary data. The study was conducted in the middle of July to early August 2022. The results showed that after researching the performance and level of satisfaction, it was known that the overall performance of the management was by expectations and had a positive influence on the level of member satisfaction.

The purpose of this study is to investigate how business value is impacted by sound corporate governance, profitability, managerial ownership, institutional ownership, and firm size. A manufacturing firm in the consumer products industry is the focus of this study. The methodology used in this study is quantitative. The use of study variables to test hypotheses is emphasized in the quantitative technique of research. The secondary data used in this study came from the IDX-published summary of the yearly financial statements' outcomes. 43 manufacturing enterprises were chosen as the sample for this study using the purposive sampling method. Multiple linear regression analysis is the statistical technique used to assess statistical hypotheses. According to the study's findings, only one of the two hypotheses was confirmed, and the other was disproved. This study finds that management ownership, profitability, strong corporate governance, and business size have little bearing on the value of a firm, while institutional ownership affects firm value.

The article focuses on the analysis of subjective conditions for the integration of humans with humanoid robots. By interacting with each other, these units create hybrid systems that deserve to be called positive, as interactions with technological artifacts contribute to increasing the optimal functioning of users. An online survey-based study with 364 respondents was conducted that tested the relationship between anthropocentric beliefs of individuals, attitudes towards, and interactions with humanoid robots. It was found that this relationship is positive and is mediated by the aspects of fear of artificial intelligence (AI) related to the perception of AI-driven agents as scary and intimidating and by anxiety caused by the fear of their strong expansion (e.g., in the labor market). The significant strength of the relationship is an important clue for people designing hybrid systems (e.g., in the workplace), especially in conservative societies whose representatives are sensitive to the position humans in the hierarchy of entities.

Akne vulgaris adalah peradangan pada kelenjar pilosebasea yang ditandai dengan tertutupnya pori-pori, Indonesia mencatat sebanyak 80 % remaja yang berusia 14 - 17 tahun pada perempuan dan 16 - 19 tahun pada laki – laki mengalami akne vulgaris (Dewinda et al., 2020; Heng et al, 2021). Faktor penyebab akne vulgaris bersifat multifaktor, antara lain faktor usia, ras, herediter, keseimbangan hormon, stress, makanan, kosmetik, dan jenis kulit serta kurangnya pengetahuan dan sikap remaja terhadap akne bisa menyebabkan banyaknya remaja menderita akne vulgaris. Kegiatan ini bertujuan untuk memberikan informasi mengenai akne vulgaris dan mengukur pengetahuan kesehatan kulit khususnya akne vulgaris pada remaja kelas VIII MA Muhammadiyah 9 Al-Mizan Lamongan. Kegiatan pengabdian kepada masyarakat ini dilakukan melalui pemberian Pre-Test sebelum pembertian materi dan Post-test setelah pemberian materi untukmengukur tingkat pengetahuan siswa/siswi. Terdapat perbedaan sebelum diberikan penyuluhan dengan sesudah diberikan penyuluhan (p

Individuals with sickle cell disease (SCD) often experience numerous vaso-occlusive crisis events throughout their lives, which can progress to severe damage of several organs, including avascular necrosis, also known as osteonecrosis (ON). Osteonecrosis is one of the most devastating musculoskeletal clinical manifestations of sickle cell disease, afflicting up to 50% of the SCD patients. Herein, a NMR-based untargeted metabolomics approach was used to assess the metabolome alterations of blood plasma and bone marrow interstitial fluid (BMIF) samples of SCD patients with osteonecrosis. Furthermore, biochemical signatures associated with different osteonecrosis stages were assessed by analysing the metabolome of blood plasma and bone marrow interstitial fluid samples of SCD patients with different stages of the disease based on the Fiat and Arlet classification (FAC). Multivariate statistical analysis allowed a clear discrimination between the studied groups and it provided important insights into the different osteonecrosis stages. Citrate was pointed out as a possible biomarker to differentiate SCD patients with and without osteonecrosis. Acetate, creatinine, histidine, tyrosine, glucose, and NI5 seems to be key metabolites associated to different stages of the disease. Although this is a pioneer exploratory study, we acknowledge that fact that it is limited by the group sizes and absence of a validation cohort. Nevertheless, multivariate statistical analyses indicated that the metabolome of blood plasma and BMIF samples encompasses a complex metabolic regulation system for osteonecrosis.

There is, in the content of the Journal, an embarrassment of riches, and picking a "best" seems to demand a certain qualification: is the "best" the most interesting, most surprising, most educational, most important, most provocative, most enjoyable? How to choose? We are hardly unbiased and can admit to a special affection for the ones that we and the authors worked hardest on, hammering version after version into shape. Acknowledging these biases, here are the 2022 articles that we think deserve your attention or at least a second read.

Civic education is an important teaching that should be introduced to children as early as possible. This education is closely related to a person's character and character. The purpose of this education is to become a society that has high moral values and is virtuous like the values that have been contained in Pancasila. One of the values already contained in it is the state's goal to always integrate without any divisions in it. There needs to be character building education for children and the Indonesian people starting from the family scope. Today, character education is very much needed and is considered to be able to make every human being smart, virtuous and behave politely. Moral and virtuous character education is embodied in civics education (PKn) subjects which are carried out at every school level. Based on the results and discussion, it can be understood that the role of civic education is to foster citizens, especially the next generation who are good for the life of the nation and state. Citizenship education for the next generation is very important in order to raise awareness of defending the country and increasing love for the homeland.

The background of this research is that increasingly strong business competition makes Micro, Small Medium Enterprises( MSMEs) actors should have a good marketing strategy to remain competitive with their rivals and there is still a lack of science and understanding in dealing with competition in the digital masa and its benefits for business actors. The Faculty of Economics also Business, Bung Karno University( FEB UBK) plans and facilitates lecturers who wish to carry out community service activities. And this is the basis for FEB Bung Karno University Management Study Program to plan community service activities in each annual work plan. The purpose of community service activities at FEB Bung Karno University is to examine how to apply marketing strategies as the tool to increase small medium businesses to the people of Karet Tengsin Village, Tanah Abang District during a pandemic by using social media to establish good relations and communicate with consumers and increase morale creative entrepreneur and looking for new opportunities that exist.

Indonesia is ranked 5th in the world for the highest prevalence of stunting with a prevalence of stunting reaching 37% (nearly 9 million children under five). The Indonesian government has carried out a series of strategies to reduce the prevalence of stunting. The purpose of this scientific work is to describe the government's strategy in efforts to reduce stunting in Indonesia to prepare for the 2045 golden generation, and to describe the implementation of the National Strategy in the National Action Plan for the Acceleration of Reducing Stunting Rates in Indonesia (RAN- PASTI) to prepare for the 2045 Golden Generation. Results: The results of this study are (1) The stunting management strategy is also included in the 2020-2024 RPJMN planning document. In the RPJMN, the handling of stunting is included in the 3rd Development Agenda, namely Increasing Qualified and Competitive Human Resources. (2) Implementation of the National Strategy in the National Action Plan for the Acceleration of Reducing Stunting Rates in Indonesia (RAN-PASTI) to Prepare for the 2045 Golden Generation RAN-PASTI is an implementation guideline for the National Strategy, mechanism for implementing work procedures, as well as Monitoring, Evaluation, and Reporting on the implementation of Acceleration Reducing stunting to achieve the target of a stunting prevalence rate of 14% in 2024 according to the mandate of Presidential Regulation No. 72 of 2021.

This study explores the relationship between Industry 5.0 and Society 5.0 in the Business, Management and Accounting fields. After a short literature review about what Industry 5.0 means, this research analyzes the role of society 5.0 and the Company Stakeholder Responsibility. The purpose of this study is to explain whether the Society 5.0 can be a practical application of Company Stakeholder Responsibility (CSR). The practical implications are to allow scholars, researchers and entrepreneurs to more consciously regarding the human-centric approach in order to realize the goals of Society 5.0. This work shows a tool used within enterprise that can be represent a real application of 5.0 paradigm.

Objective: Compare the results between adult men and women treated with open reduction and internal fixation after unstable ankle fractures. Methods: Prospective study including 86 patients (n=57, men; n=29, women) with unstable ankle fractures surgically treated. A sociodemographic and clinical questionnaire with 48 items was applied. The morphology of ankle fractures was analyzed according to the AO Foundation and Orthopaedic Trauma Association (AO/OTA) classification system. Results: Among the 86 patients, young men predominated all variables researched. The most common injury was motorcycle crashes, followed by soccer accidents (p≤0.001) caused by high-energy trauma (p≤0.05). Other factors are fractures on the right side (p≤0.05), more fractures AO/OTA 44-B2 and C1 (p≤0.05), and malleolus lateral and bimalleolar fractures (p≤0.01). Conclusion: The results indicate that adult men are more likely to suffer ankle fractures requiring surgical treatment than adult women. We suggest that the anatomical reduction of displaced malleolar fractures, especially restoring the fibula length and maintaining reduction until the fracture is healed, appears to be highly favorable for the surgical treatment of unstable ankle fractures. Level of Evidence II; Prognostic Studies; Prospective Study.