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The aim of this paper is to investigate the performance of low-volatility portfolio strategies representing risk aversion after the 2008 global financial crisis. Five investment portfolios were built by taking into consideration the weight distribution criteria defined by the inverse of the standard deviation of assets, the natural logarithm and exponential of these values, as well as the minimum variance and tangent portfolios, based on the SP 500 futures index, dollar futures index, US government long-term bond (10-year Treasury Bond) and gold futures. The design of the strategies used both twelve- and thirty-month rolling windows for the standard deviation and conditional volatility estimates. Mean return of portfolio, risk through standard deviation, Sharpe index, and risk-adjusted return were calculated for evaluation purposes. Results have evidenced that, together, risk-based portfolios using 12-month rolling window or conditional volatility were superior to the tangent portfolio, as well as that the minimum variance portfolio was competitive to other alternatives. The main contribution of the current study lies in the fact that risk aversion was relevant to portfolios’ performance in the post-crisis period.

Penelitian ini bertujuan untuk menguji pengaruh kualitas pelayanan terhadap kepuasan pelanggan dengan menggunakan Harga sebagai variabelnya. Populasi dalam penelitian ini adalah pengguna yang menggunakan transjakarta sebagai transportasi kesehariannya, dengan 120 sampel yang dipilih menggunakan purposive sampling. Teknik analisis data menggunakan analisis linear berganda. Hasil analisis berpengaruh secara parsial terhadap kepuasan pelanggan Transjakarta. Secara simultan menunjukkan bahwa ada pengaruh kualitas pelayanan, harga, dan kepuasan Transjakarta.

Anatomic total shoulder arthroplasty (aTSA) is a successful and reproducible treatment for patients with painful glenohumeral arthritis. However, long-term outcomes using traditional onlay glenoid components have been tempered by glenoid loosening. Inset components have been proposed to minimize glenoid loosening by reducing edge-loading and opposite-edge lift-off forces with humeral translation. Successful short and long-term outcomes have been reported while using inset glenoid implants. The current study is the largest study presenting a minimum of two-year follow-up data following aTSA with an all-polyethylene inset glenoid component (Shoulder Innovations, Holland, MI).A dual center, retrospective review of patients undergoing aTSA using an Inset glenoid component by two fellowship-trained shoulder surgeons at two separate institutions from August, 2016 to August, 2019 was performed. Minimum follow up was two years. Range of motion (ROM), Visual Analog Pain Scores (VAS), Single Assessment Numeric Evaluation (SANE), and American Shoulder and Elbow Surgeons (ASES) scores were obtained. Radiographic outcomes, including central peg lucency and glenoid loosening, were assessed by three independent reviewers on the postoperative Grashey and axillary radiographs obtained at the final follow-up.Seventy-five shoulders were included for final analysis. The mean age of the entire cohort was 64 (±11.4) years. Twenty-one (28%) glenoids were type A1, 10 (13.3%) were type A2, 13 (17.3%) were type B1, 22 (29.3%) were type B2, six (8%) were type B3 and three (4%) were type D. At a minimum follow-up of 24 months (mean 28.7 months), a significant improvement in ROM in all planes was observed. Significant improvements in VAS (5.1 to 0.9, p0.001), SANE (39.5 to 91.2, p0.001) and ASES (43.7 to 86.6, p0.001) scores were observed. There were four (5.3%) cases of central peg lucency about the inset glenoid component and one (1.3%) cases of glenoid loosening. No revisions were performed for glenoid loosening.At a minimum of two years postoperatively, there were significant improvements in ROM and VAS, SANE, and ASES scores with very low rates of central peg lucency and glenoid loosening in patients undergoing aTSA with an inset glenoid component. Further work is needed to determine the long-term benefit of this novel implant.

The aims of the present study were to investigate the occurrence of intramammary infections in primiparous heifers treated and not with antibiotics in the prepartum, postpartum and subsequent lactation periods and to verify the occurrence of antibiotic residues in the milk released for consumption. A total of 188 mammary glands from 47 Black and White Holstein and crossbred heifers belonging to two experimental dairy farms located in the state of São Paulo, Brazil, were evaluated. Animals were randomly distributed into four groups, treated and untreated (control). In the prepartum period, mammary gland secretion samples were collected from all mammary quarters for microbiological examinations. Then, animals in the treated group received intramammary infusion with antibiotics. Milk samples were collected immediately after calving, ten days after and monthly throughout lactation for microbiological assays, milk composition determination, somatic cell count and investigation of antimicrobial residues using Delvotest®SP. It was observed that about 20% of animals already had intramammary infections sixty days before calving, and around 40% at calving. The dry cow therapy had no significant effect on controlling infections. Staphylococcus spp. was the main isolated bacterial genus. Antimicrobial residues were detected in 5.43% of milk samples from treated heifers. The dry cow therapy should be administered in primiparous heifers at the prepartum period with caution and accompanied by a veterinarian.

Tujuan penelitian ini adalah untuk menggambarkan kondisi produksi perikanan tangkap di Kota Dumai sejak 2017 hingga 2021, dan menganalisa karakteristik unit penangkapan ikan di kota tersebut. Penelitian menggunakan data sekunder tahunan (2017-2021) berupa jumlah nelayan, jumlah kapal, jumlah alat tangkap, produksi perikanan tangkap, dan nilai produksi perikanan tangkap diperoleh dari Badan Pusat Statistik Kota Dumai. Untuk memperoleh kajian yang lebih komprehensif, data primer diperoleh dengan cara wawancara dan observasi. Analisis data yang digunakan adalah metode analisis isi (content analysis). Hasil penelitian menunjukkan bahwa data produksi perikanan mengalami fluktuasi. Pada tahun 2017 data produksi sebesar 930.815 kg dan menurun signifikan pada tahun 2018 (564.766 kg), kemudian mengalami kenaikan setiap tahun secara perlahan. Kegiatan penangkapan ikan di Kota Dumai tersebar pada 5 kecamatan dari 7 kecamatan, yaitu Medang Kampai, Sungai Sembilan, Dumai Barat, Dumai Timur, dan Dumai Kota. Karakteristik perikanan tangkap Kota Dumai adalah Perikanan Tangkap Skala Kecil atau tradisional. Nelayan di Kota Dumai didominasi oleh nelayan utama. Kapal yang digunakan terdiri atas beberapa jenis, yaitu kapal motor (KM) ukuran 5-30 GT, motor tempel (MT) ukuran 5 GT, perahu tanpa motor (PTM), dan nelayan tanpa perahu (NTP). Alat tangkap yang digunakan terdiri atas alat tangkap aktif, pasif, dan statis.

Background It is unknown how much variation in adult mental health problems is associated with differences between societal/cultural groups, over and above differences between individuals. Methods To test these relative contributions, a consortium of indigenous researchers collected Adult Self-Report (ASR) ratings from 16 906 18- to 59-year-olds in 28 societies that represented seven culture clusters identified in the Global Leadership and Organizational Behavioral Effectiveness study (e.g. Confucian, Anglo). The ASR is scored on 17 problem scales, plus a personal strengths scale. Hierarchical linear modeling estimated variance accounted for by individual differences (including measurement error), society, and culture cluster. Multi-level analyses of covariance tested age and gender effects. Results Across the 17 problem scales, the variance accounted for by individual differences ranged from 80.3% for DSM-oriented anxiety problems to 95.2% for DSM-oriented avoidant personality (mean = 90.7%); by society: 3.2% for DSM-oriented somatic problems to 8.0% for DSM-oriented anxiety problems (mean = 6.3%); and by culture cluster: 0.0% for DSM-oriented avoidant personality to 11.6% for DSM-oriented anxiety problems (mean = 3.0%). For strengths, individual differences accounted for 80.8% of variance, societal differences 10.5%, and cultural differences 8.7%. Age and gender had very small effects. Conclusions Overall, adults' self-ratings of mental health problems and strengths were associated much more with individual differences than societal/cultural differences, although this varied across scales. These findings support cross-cultural use of standardized measures to assess mental health problems, but urge caution in assessment of personal strengths.

Background & objective: The study aimed to assess the total prevalence of functional gastrointestinal disorders (FGIDs), and separately, irritable bowel syndrome (IBS) among adults and to determine their potential association with fructose consumption. Materials & Methods: Data from the Hellenic National Nutrition and Health Survey (HNNHS) were included (3798 adults; 58.9% females). Information regarding FGID symptomatology was assessed using self-reported physician diagnosis questionnaires the reliability of which were screened using the ROME III, in a sample of the population. Fructose intake was estimated from 24 hour recalls and the MedDiet score was used to assess adherence to the Mediterranean diet. Results: The prevalence of FGID symptomatology was 20.2%, while 8.2% had IBS (representing 40.2% of total FGID). The likelihood of FGID were 28% higher (95%CI: 1.03-1.6) and of IBS 49% (95%CI: 1.08-2.05) in individuals with higher fructose intake than with lower intake (3rd tertile compared to 1st). When area of residence was accounted for, individuals residing in the Greek islands, had a significantly lower probability of FGID and IBS compared to those residing in Mainland and the main Metropolitan areas, with Islanders also achieving a higher MedDiet score and lower added sugar intake, comparatively to inhabitants of the main metropolitan areas. Conclusions: FGID and IBS symptomatology was most prominent among individuals with higher fructose consumption, and this was most conspicuous in areas with a lower Mediterranean diet adherence, suggesting that the dietary source of fructose rather than total fructose should be examined in relation to FGID.

Field studies were conducted in 2021 in Kibler and Augusta, AR, to determine the effect of winter cover crops and cultivar selection on weed suppression and sweetpotato [Ipomoea batatas (L.) Lam.] yield. The split-split plot studies evaluated three cover crops [cereal rye (Secale cereale L.) + crimson clover (Trifolium incarnatum L.)], [winter wheat (Triticum aestivum L.) + crimson clover], and fallow; weeding (with or without); and four sweetpotato cultivars (‘Heartogold’, ‘Bayou-Belle-6’, ‘Beauregard-14’, and ‘Orleans’). ‘Heartogold’ had the tallest canopy, while ‘Beauregard-14’ and ‘Bayou Belle-6’ had the longest vines at 5 and 8 wk after sweetpotato transplanting. Sweetpotato canopy was about 20% taller in weedy plots compared to the hand-weeded treatment and vines were shorter under weed interference. Canopy height and vine length of sweetpotato cultivars were not related to weed biomass suppression. However, vine length was positively correlated to all yield grades (r >0.5). Weed biomass decreased one-fold in plots with cover crops compared to bare soil at Augusta. Cover crop biomass was positively correlated with jumbo (r=0.29), no.1 (r=0.33), and total sweetpotato yield (r=0.34). Jumbo yield was affected the most by weed pressure. On average, sweetpotato total yield was reduced by 80 and 60% with weed interference in Augusta and Kibler, respectively. ‘Bayou Belle-6’ was the high-yielding cultivar without weed interference in both locations. ‘Bayou Belle-6’ and ‘Heartogold’ were less affected by weed interference than ‘Beauregard-14’ and ‘Orleans’.

The clinical management of a maxillary first molar with six root canals is described in this case report having two canals in the mesiobuccal root (MB), two canals in the distobuccal root (DB), and two canals in the palatal root (P). The prevalence of such a complex internal anatomy of teeth is a rare variation. The endodontic management of such deviant canal morphology can be challenging to diagnose and treat. For proper management of such unusual cases, it is essential to have sound knowledge of the intricacies of the anatomy and additional canals. Hence, it is imperative to record such cases in dental literature.

The COVID-19 pandemic has restricted human activities or a person's mobilization. Activity restrictions can make people experience psychological disorders, including pregnant women. This certainly makes it easier for pregnant women to experience stress and the lack of direct social support by those closest to them during the pandemic. The purpose of this study is to examine social support and stress reduction for pregnant women in maintaining health during the COVID-19 pandemic era. Search literature using journal databases, namely Science Direct, Scopus, and Proquest. The journal search strategy aims to retrieve research articles that are by the research topic so that 9 journal articles are discussed in this study. The results of this research study found that social support is important for pregnant women by the closest people such as husbands, family, and friends. Social support can be provided through virtual support to improve the quality of life of pregnant women. Activities for pregnant women that can reduce stress include communicating with others, physical activity, seeking entertainment, rest, alternative therapy, nature recreation, doing home activities such as cooking, doing favorite hobbies, organizing (including studying, preparing for the arrival of the baby), and controlled eating/drinking activities.

Kepulauan mentawai memiliki potensi wisata laut yang potensial. Keberadaan potensi wisata belum berbanding lurus dengan peningkatan pengetahuan pada kelompok sadar wisata untuk melakukan pertolongan apabila terjadi korban kecelakaan laut. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan mencegah terjadinya korban kecelakaan air dan cara melakukan pertolongan pada korban kecelakaan air pada kelompok sadar wisata di Desa Tua Pejat Kepulauan Mentawai. Kegiatan ini dilaksanakan pada 19 Agustus 2022 di Desa Tua Pejat Kabuaten Kepulauan Mentawai. Terdapat 60 orang peserta yang terlibat dalam kegiata ini. Metode yang dipergunaka adalah peyuluhan proses pertolongan pada korban kecelakaan air melalui proses penyampaian materi, diskusi, dan peraktik lapangan. Hasil pengabdian diketahui terdapat peningkatan pegetahuan kelompok sadar wisata untuk melakukan pertolongan pada korban kecelakaan air di kawasan wisata.

The genus Eremanthus (Asteraceae) covers mostly arboreal species, popularly known as “candeia”. Three of these species, E. erythropappus, E. incanus and E. glomerulatus, are endemic to and extensively distributed in Brazil. “Candeias” are of commercial interest due to the good quality of their wood and, mainly, to their essential oils, used for various therapeutic purposes. These species of “candeia” have similar vegetative characteristics, mainly to E. erythropappus and E. incanus, making them difficult to differentiate in the field. This study aimed to characterize the anatomy and external morphology of these “candeia” species to facilitate identification. Qualitative and comparative analysis of the anatomy, histochemistry and ultrastructure of the leaf surface and the external morphology of the leaves were performed. The greatest differentiation between the three species was possible through the external morphological characteristics. The most representative characters were used to elaborate a dichotomous key.

Roma Krzymińska-Siemaszko, Ewa Deskur-Śmielecka, Aleksandra Kaluźniak-Szymanowska, Marika Murawiak, Katarzyna Wieczorowska-Tobis Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, PolandCorrespondence: Roma Krzymińska-Siemaszko, Department of Palliative Medicine, Poznan University of Medical Sciences, os. Rusa 55, Poznań, 61-245, Poland, Tel/Fax +48 61 8738303, Email romakrzyminska@interia.plPurpose: Sarcopenia is associated with adverse outcomes in elderly persons, including functional disability, falls, and even death. Therefore, older adults should be routinely screened for sarcopenia. Due to the unsatisfactory sensitivity of the SARC-F questionnaire, four modified versions have been elaborated: SARC-CalF, SARC-F+EBM, SARC-F+AC, and SARC-CalF+AC. The diagnostic performance of the four modifications of SARC-F has yet to be compared.Materials and Methods: We performed the sensitivity/specificity analysis and compared the overall diagnostic accuracy of the five questionnaires in 260 community-dwelling volunteers aged ≥ 60 yrs from Poland. The study was performed against three reference standards: the European Working Group on Sarcopenia in Older People (EWGSOP1), EWGSOP2, and modified EWGSOP2 criteria.Results: The prevalence of sarcopenia based on these criteria was 20.8%, 11.2%, and 17.3%, respectively. Concerning the three reference standards, the sensitivity of SARC-F, SARC-CalF, SARC-F+EBM, SARC-F+AC, and SARC-CalF+AC ranged from 31.5– 44.8%, 57.4– 65.5%, 48.1– 62.1%, 71.4– 79.2% and 71.4– 79.2%, respectively. The specificity ranged from 86.6– 87.4%, 86.1– 90.3%, 82.3– 84.0%, 69.4– 78.2%, and 72.1– 79.7%, respectively. The AUCs of SARC-F, SARC-CalF, SARC-F+EBM, SARC-F+AC, and SARC-CalF+AC ranged from 0.643– 0.700, 0.757– 0.792, 0.740– 0.775, 0.767– 0.812 and 0.771– 0.852, respectively.Conclusion: The SARC-F questionnaire has low diagnostic accuracy, which limits its usefulness as a sarcopenia screening tool. Incorporating two simple anthropometric measurements, ie, arm and calf circumference, notably improves the diagnostic performance of SARC-F. Based on our results, SARC-CalF+AC seems to be the best screening tool for sarcopenia screening in community-dwelling older adults.Keywords: sarcopenia, screening, older individuals, ROC analysis

Pendidikan literasi keuangan pada anak sangat diperlukan untuk mendidik anak agar sadar dan mengerti bagaimana mengelola keuangan secara bijak dan sesuai kebutuhan. Tujuan dari kegiatan ini adalah mensosialisasikan literasi keuangan dan CBP Rupiah kepada siswa sekolah dasar di Kabupaten Simalungun khususnya di SDN 096135 Rambung Merah Kecamatan Siantar Kabupaten Simalungun. Metode pelaksanaannya dilakukan dengan berinteraksi langsung dengan siswa di kelas melalui ceramah, tanya jawab, dan tatap muka. Hasil dari kegiatan ini adalah peserta dari SDN 096135 Rambung Merah dapat memahami dengan baik tentang literasi keuangan dan CBP Rupiah dan kegiatan ini perlu dilakukan secara berkelanjutan oleh perguruan tinggi dan pemerintah di Kabupaten Simalungun agar tingkat literasi keuangan dan CBP Rupiah siswa dapat meningkat, karena pendidikan literasi keuangan harus diberikan sedini mungkin kepada anak, terutama anak usia pra sekolah dan sekolah dasar

Sodium hypochlorite is the most widely used irrigant in endodontics because of its tissue dissolving ability and effective antimicrobial action. However, extrusion of sodium hypochlorite from the root canal system may lead to severe cytotoxic effects, regardless of the concentration used. This case report entails the management of inadvertent extrusion of sodium hypochlorite.

Background: Long-term data on COVID-19 vaccine safety, immunogenicity, and acceptance in adults with CHD are lacking. Methods: This is a prospective study including adults with CHD patients undergoing COVID-19 vaccination from January 2021 to June 2022. Data on adverse events, antispike IgG titre, previous or subsequent COVID-19 infection, booster doses, and patients’ attitude towards vaccination were collected. Results: Four hundred and ninety CHD patients (36 ± 13 years, 53% male, 94% with moderate/complex defects) were prospectively included: 433 (88%) received a Pfizer–BioNTech mRNA vaccine, 31 (6%) Moderna mRNA vaccine, 23 (5%) AstraZeneca–Oxford ChAdOx1 nCov-19 vaccine, and 3 (0.6%) Janssen Vaccine; 310 (63%) received a booster dose. Median follow-up after vaccination was 1.53 [1.41–1.58] years. No major adverse event was reported. Eighty-two fully vaccinated patients contracted COVID-19 during follow-up after a median of 5.4 [4.3–6.5] months from the last dose. One patient with Ebstein’s disease died from severe COVID-19. Symptoms’ duration in patients who tested positive after vaccination was significantly shorter than in the group tested positive before vaccination (5.5 [3–8] versus 9 [2.2–15] days, p = 0.04). Median antispike IgG titre measured in 280 individuals (57%) at a median of 1.4 [0.7–3.3] months from the last dose was 2381 [901–8307] BAU/ml. Sixty patients (12%) also showed positive antinucleocapsid antibodies, demonstrating previous SARS-COV2 exposure. Twenty-nine percent appeared to have concerns regarding vaccine safety and 42% reported fearing potential effects of the vaccine on their cardiac disease before discussing with their CHD cardiologist. Conclusion: COVID-19 vaccines appear safe in the mid-term follow-up in adults with CHD with satisfactory immunogenicity and reduction of symptoms’ duration in case of infection.

Sistem informasi kepegawaian merupakan kegiatan penting dalam lembaga, perusahaan, kantor dan lembaga lainnya. Itu juga salah satu fungsi sistem informasi yang memfasilitasi manajemen informasi. Dengan bantuan sistem berita ini maka perlu dirancang suatu sistem pengolahan informasi pegawai agar menjadi informasi yang lengkap dan jelas. Dengan dukungan sistem komputer, pekerjaan struktur yang sebelumnya dikendalikan secara manual dapat menjadi sistem pengoperasian yang lebih efisien, akurat, serta mutu dan kualitas teknik kerjanya yang terjamin. Perkembangan teknologi semakin cepat, segala fasilitasnya membantu aktivitas manusia baik secara individu maupun kelompok. Komputer merupakan bukti perkembangan teknologi ini, komputer telah digunakan sebagai alat kerja hampir di semua lapisan masyarakat mulai dari dunia pendidikan, manajemen dan bisnis maupun di organisasi. Pengumpulan data secara manual dianggap tidak efisien dan memakan waktu, karena semua kegiatan perencanaan waktu pegawai harus dicatat di BAPPEDA saat melakukan kegiatan perencanaan pegawai. Kajian ini dilakukan di Badan Perencanaan Pembangunan Daerah (BAPPEDA) Sumatera Utara Sistem diubah menjadi transfer informasi kepegawaian berbasis web. Bahasa pemrogramannya adalah HTML, PHP, CSS dan MySQL sebagai databasenya. Ini perlu, lebih mudah bagi manajer untuk mengelola kegiatan pegawai secara efektif. Tujuan pada penelitian ini yaitu merancang sebuah sistem informasi pribadi yang diharapkan bisa membuat kontibusi bagi hasil Industri dalam aspek sistem informasi kepegawaian.

A core value of the Australian and New Zealand Association for Health Professional Educators (ANZAHPE) is to be a nurturing organisation that enshrines the value of mentorship. In this paper we explore the roles of mentors and coaches and how these might adapt over the next 50 years towards assisting a novice to understand the culture within their own workplace, to enable them to function, survive, and thrive within this context. We further propose that the respective roles of mentors and coaches will become increasingly distinct from each other, to optimise the support that is available for new health professionals, educators, and researchers as they enter the workforce and prepare for lifelong learning and scholarship.

Objetivo: analisar a predição de suicídios entre adolescentes a partir da última década pré-pandêmica em Mato Grosso. Método: trata-se de estudo ecológico e retrospectivo. A coleta de dados ocorreu em janeiro de 2021, referente ao recorte temporal de 2009 a 2019. Utilizou-se dados secundários do Sistema de Informação sobre Mortalidade via Secretaria Estadual de Saúde de Mato Grosso. Para análise dos dados, utilizou-se o programa STATA 14.0. Resultados: a predição de suicídios entre os adolescentes de Mato Grosso revelou predominância do sexo masculino, cor não branca e com oito anos ou mais de escolaridade. Os suicídios em Mato Grosso apresentam estabilidade em relação ao sexo. Quanto a cor, o Centro-Oeste possui maior disparidade quando comparado ao Mato Grosso. Todavia, ambos exibem comportamentos epidemiológicos semelhantes na escolaridade. Conclusão: a partir da última década pré-pandêmica, previu o crescimento de casos de suicídios entre adolescentes em Mato Grosso, e que não se assemelha à totalidade do perfil esperado para a região Centro-Oeste.

Neuroblastoma, the most frequent solid tumor in infants, shows very diverse outcomes from spontaneous regression to fatal disease. When these different tumors originate and how they evolve are not known. Here we quantify the somatic evolution of neuroblastoma by deep whole-genome sequencing, molecular clock analysis and population-genetic modeling in a comprehensive cohort covering all subtypes. We find that tumors across the entire clinical spectrum begin to develop via aberrant mitoses as early as the first trimester of pregnancy. Neuroblastomas with favorable prognosis expand clonally after short evolution, whereas aggressive neuroblastomas show prolonged evolution during which they acquire telomere maintenance mechanisms. The initial aneuploidization events condition subsequent evolution, with aggressive neuroblastoma exhibiting early genomic instability. We find in the discovery cohort (n = 100), and validate in an independent cohort (n = 86), that the duration of evolution is an accurate predictor of outcome. Thus, insight into neuroblastoma evolution may prospectively guide treatment decisions.

The SARS-CoV-2 pandemic has transgressed biomedical categories. According to Horton, it turned out to be a 'syndrome' that infected virtually all spheres of social life. The pandemic has created toxic social atmosphere highly unfavorable to clinical and clinic-ethical decision making. Constraints and pressures related to micro-, meso-, exo- and macro-environments framing doctors, nurses, and medical students in training were identified. These factors exacerbated moral distress (moral injury) amongst clinicians. In a joint Polish-Lithuanian project (IDUB 2020-2022) we examined predictors of moral distress in pandemic clinical contexts. A survey-based, real-time, correlational and comparative study was conducted in Poland and Lithuania after the first year of pandemic with N=227 participants. Unexpected differences on regular and pandemic-type moral distress levels were found between the two national samples. Polish participants showed significantly higher moral distress levels than their Lithuanian counterparts. The following article discusses these findings and recommends the reinforcement of resilient medical decision making.

Salient findings of the fourth serological survey of SARS-CoV-2 infections conducted among the age cohort above 10 years in Tamil Nadu (India) have been described. The overall seroprevalence of 87% was reported in the survey done in December 2021, whereas in the first, second, and third surveys, the seropositivity was 32%, 29%, and 70%, respectively. The % share of the antibodies formed due to vaccination in the third and fourth surveys have the contributions of 6.2% and 28.3%, respectively as per the vaccination record of the state since the above given proportion of the state’s population (full population) was fully vaccinated (two-dose) by the time the two surveys were conducted. Age-wise break up of seropositivity of the fourth survey showed that the cohort of 10-18 years had the least (68.4%) seroprevalence and adults above 60 had the highest at 84.5%. The rate of the spread of the virus decreased due to the hybrid immunity developed by infection and vaccination. Using the vaccination and serological data, the % enhancement of the antibodies formed due to vaccination has been worked out in the real world on the ground.

A fracture is a break in the continuity of the bone, bone tissue, or cartilage which is generally caused by force. The operative treatment in fracture cases is Open Reduction Internal Fixation (ORIF). Patients after ORIF installation often have psychological problems. One of them is self-concept, namely body image, self-identity, self-ideal, and self-esteem. The purpose of this study was to determine the relationship between self-concept and body image in ORIF patients at Meuraxa Hospital Banda Aceh, the relationship between self-esteem and body image in ORIF patients, the relationship between self-identity and body image in ORIF patients, the relationship between self-role and body image in ORIF patients. This study uses the Chi-Square correlation method with = 0.05. The results of this study showed that P-value = 0.000

This study analyzed the effect of anti-Asian American violence on Asian Americans’ daily lives because the hate crimes or sentiment was not salient in the early stage of the pandemic in rural Alabama. The survey was conducted from April to May 2020. A total of 234 Laotians and 119 Cambodians participated, and multiple regression models were employed. Two communities demonstrated distinctive sociodemographic characteristics. The younger Cambodians were more concerned about anti-Asian violence, which made sense considering that Cambodians gained new community members through international marriage brides from Cambodia. They were more likely to obtain limited information due to the language barrier and depend on advice from leaders they could trust. These results explained the higher worry about the infection for younger Cambodians, the significant influence of community leaders’ recommendations, and the higher fear by the educated. Laotians showed an overall moderating effect of age. Laotian fifties demonstrated that older adults handled better on the perceived disruption of COVID-19. They utilized various media sources to reduce their worry and help more appropriate damage-avoiding behavior for community members.

Tabungan mudharabah merupakan tabungan yang dijalankan berdasarkan akad mudharabah. Tabungan ini berprinsip pada akad mudharabah dimana nasabah akan mendapat keuntungan berupa bagi hasil berdasarkan ketentuan yang sudah disepakati. Penelitian ini termasuk penelitian lapangan (Field Research), sedangkan sifat penelitian ini adalah deskriptif kualitatif. Penelitian ini menggunakan teknik pengumpulan data wawancara dan dokumentasi, wawancara dilakukan kepada karyawan dan nasabah tabungan mudharabah di BPRS Al Falah. Berdasarkan penelitian yang dilakukan oleh peneliti di BPRS Al Falah diperoleh bahwa produk tabungan mudharabah lebih diminati oleh masyarakat daripada tabungan wadi’ah. Hal ini dilihat berdasarkan jumlah nasabah dari masing-masing produk. Kemudian diperoleh bahwa mekanisme tabungan mudharabah yang diterapkan oleh BPRS Al Falah sudah baik dan sesuai dengan ketentuan dan prosedur yang ada.

In this paper a novel Concentrating Photovoltaic/Thermal Glazing system (CoPVTG), developed at the Centre for Sustainable Technologies of the University of Ulster (Belfast, UK), and exploiting concentration technology, is presented and investigated. The innovative device consists in two glazed panels of which the external one is moulded to form several lenses that concentrate the solar radiation onto photovoltaic cells lines. Thanks to the specific behaviour of these lenses, the solar radiation is capable to reach the indoor environment during the winter months (when it's more useful), while it ends onto the photovoltaic cells during the summer months (reducing the solar gains while also providing electricity to the building). To increase the electricity production, a forced air flux can be created inside the glazed cavity to reduce the PhotoVoltaic cells temperature, and the obtained hot air can be exploited for diverse purposes. Finally, such device is conceived to be integrated into existing windows framing to boost its adoption in new or refurbishment construction. With the intention of studying the device under a wide range of boundary and working conditions, a dynamic simulation tool was developed in MATLAB environment and validated trough experimentally gathered data. With this tool it is possible to investigate the performance of the novel device integrated into several buildings. Specifically, a case study analysis was performed by considering an office building located in five different localities. From the conducted analyses, interesting results and design criteria are obtained. Specifically, the CoPVTG adoption returns higher electricity yield vs. standard semi-transparent window, ranging between 54 and 84% in case of cold and hot weather zones, respectively. In term of overall economic performance, the adoption co CoPVTG allow for a HVAC system running cost reduction, for the investigated case study, ranging from 20 to almost 100% depending on the considered weather zone.

Cleome viscose Linn. also known as the jakhya are widely utilised in traditional and ethnomedicine. Biosynthesis of calcium oxide nanoparticles has captured attention of many as due synthesis involve non-toxic and eco-friendly solvents and ingredients, is more environmentally friendly, least time taking and cost-effective, and simpler than the other alternatives. In the study CaCO3 was obtained from conch shell. CaONPs were biosynthesized in methanolic extract of Cleome viscosa leaves through precipitation and deposition of CaCO3. The synthesized CaO nanoparticle was having the average particle size of ~72 nm according to DLS and the particle was found to be stable with zeta potential of -21.6 mV. The SEM analysis of nanoparticle predicted the structure to be roughly round. The UV-Visible spectrophotometer analysis predicted the maximum absorption in the visible range of ~400-420 nm. The synthesized CaO nanoparticle was found to be quite effective against BT-474 breast cancer cell line of conc. 3.4 mg/ml having cell cytotoxicity of ~ 86% at this concentration and IC50 of nanoparticle was 1.359 mg/ml. The IC50 of Antioxidative assay was 282 µg/ml and 525 µg/ml for DPPH and ABTS free radicals respectively.

Neste trabalho foi realizado a imobilização dos microrganismos Saccharomyces pastorianus e Saccharomyces cerevisiae na esfera de carragena realizando a atividade de fermentação através do açúcar mascavo, cristal e sacarose. O melhor açúcar utilizado é sacarose devido seu alto consumo de açúcar (81,82% e 72,72 %). Em relação aos microrganismos pode-se notar que Saccharomyces pastorianus tiveram maior porcentagem de consumo de açúcar (81,82%) nas esferas de carragena com a levedura (0,3g) e as que continham apenas esferas de carragena. Ressaltando que as que continham Saccharomyces cerevisiae também teve um alto consumo de açúcar (72,72%) nas esferas de carragena com levedura (0,3g e 0,45g), com as que continham apenas esferas de carragena e levedura (0,3g). Devido o englobamento da Saccharomyces cerevisiae pode-se notar uma interação maior com todos os testes demonstrando que a mesma tem uma interação melhor com a sacarose. Tais resultados indicam a imobilização celular em esferas de carragena como uma técnica promissora para a manutenção das culturas de Saccharomyces pastorianus e Saccharomyces cerevisiae.

Introduction: Health authorities particularly World Health Organization emphasize upon the role of nutrition (macronutrients and micronutrients) in prevention of CVD (Cardiovascular Diseases). Objectives: The study aimed to assess knowledge on risk factors of cardiovascular diseases and diverse role of micronutrients in their prevention amongst undergraduate medical students in Pakistan. Methodology: A cross-sectional survey was carried out among students of third, fourth and final year MBBS across various medical colleges in Pakistan. Consecutive non-probability sampling was employed and self-reported questionnaire was used for collection of data. A total of 381 students were recruited and majority (n=213; 55.9%) were females. Largest number of respondents belonged to third year of MBBS (n=160; 42%). Nearly 66% (n=250) medical students had adequate knowledge on cardiovascular diseases’ risk factors. Results: Around 31% (n=117) had adequate while 69% (n=264) had sub-optimal knowledge on benefits of micronutrients in cardiovascular diseases. Chi-square test of association showed statistically significant relationship (P-value

Currently, Instagram is widely used as a media campaign for nationalism and feminism. There are several feminists and nationalist figures in Indonesia who also actively use Instagram social media, namely Retno Marsudi and Susi Pudjiastuti. The purpose of this research is to analyze the effectiveness of Instagram as a media campaign for nationalism and feminism among teenagers in Batam City. This research is an interpretative qualitative research with Roland Barthes's semiotic analysis. Primary data sources were obtained from Instagram posts in the form of image snippets and image elements, captions and netizens, and comments contained in these Instagram posts. While secondary data obtained was from books, journals (online), and articles (online). Data collection in this study was obtained by using documentation techniques. The collected data were then analyzed by interpreting the two stages of sign from Roland Barthes' semiotic theory. The results of the study show that feminism in Indonesia is considered very minimal when compared to nationalism. There is a gap between women and men. This is due to the strong culture and beliefs of the Indonesian people who think that women should not exceed men in various aspects.

The article analyzes the results of a study that reveals characteristics of preschool children play activities in the conditions of the war in Ukraine, which were collected in two regions of the country significantly different in the scope of military operations carried out, life activities of the population (in the temporarily occupied territory of Ukraine and territories under Ukrainian control), as well as peculiarities of preschool education itself. The objectives of the research were: to find and highlight changes in the content, types and organizational forms of play activities of preschool children in the conditions of war based on the results of observations by preschool teachers; to identify the level of awareness of preschool teachers regarding play resources as an effective tool for psychosocial support of children in war conditions; to determine the need for preschool teachers to develop their skills in facilitating children's play activities in war conditions for the introduction of appropriate measures in the system of postgraduate pedagogical education; to approve a set of diagnostic tools for further research. The results of the research proved that: 1) the war in Ukraine significantly changed a nature of play activities of preschool children compared to the pre-war period, which is reflected in: the dominance of various plots of military actions in the content of a play, while children play new roles (of a positive nature – military, rescuers, firefighters, volunteers, doctors, construction workers, etc.), conditioned by the new military reality; children's active use of toy weapons and toy substitutes for modern weapons; increased time, spent on computer games, including war-themed games; reduced time, spent on play in general and free play in particular; refusal of children from noisy, active games in favor of quiet, quiet play alone; growing need of children for greater attention of adults during the play; emotional excitement of children, dominance of negative emotions in the play; increased weight of creative activities in children's daily routine, including play. The specified changes are found both in play activities of boys and girls of preschool age; 2) preschool teachers are aware of the importance of play for supporting the child's well-being in wartime conditions. They consider the level of their own knowledge and skills to support play activities of preschoolers to be insufficient, and so understand the urgent need for their additional training In-service Teacher Training institutions in the area of play facilitation

The commodification of religion has entered fields that were previously unthinkable. The magnitude of the potential behind the rise of the Islamic spirit is a factor in the spread of religious commodification, although commodification of religion does not oppose existing religious teachings and even tends to support it, but this phenomenon has the potential to erode the values of religiosity and sacredness in religion. Karl Marx has warned that the commodification of religion is like opium, the opium can provide temporary peace but consciously or unconsciously it results in bigger damage. The fields of commodification of religion have various styles and methods, but these various styles and methods bring up to a pattern which is then used as a reference for capitalists to branding their products. In order to explain the phenomenon of this pattern of religious commodification, the researcher uses a normative qualitative method approach based on library research by using secondary data such as previous journal articles, books, proceedings and similar sources as the main data. There are five patterns in the phenomenon of religious commodification. Firstly, branding and services products with Islamic and modern shades. Second, offering facilities that make it easier for Muslims to praying, although by costs that are above standard. Third, limiting activities that are considered un-Islamic as a form of Islamic service. Fourth, displaying Islamic symbols as a sign that the product is an Islamic product. Fifth, framing in the media and promotions that by buying or consuming these products, they are considered obedient to Islamic teachings.

Eating disorders (EDs) are serious mental health illnesses, yet there is a need to better understand the illness experience to improve treatment outcomes. Qualitative research, and narrative approaches in particular, can elicit life stories that allow for the whole illness journey to be explored. This study aimed to explore the experiences of women with a history of an ED, identifying the life events they perceived were relevant to the onset of their ED through to recovery. Interviews were conducted with 18 women with lived experience of an ED. Through structural narrative analysis, an overarching storyline of childhood loss contributing to a belief of conditional acceptance, fear of abandonment and struggle to seek emotional support due to the fear of being a burden was identified. Negative experiences with the health sector were common. These findings have implications for the way medical professionals respond to help seeking and deliver treatment.

This research was conducted to find out the language style used by Rocky Gerung during the 2019 presidential elestion campaign at the Indonesia Lawyers Club event. This type of research is qualitative with descriptive analysis method. Data collection techniques are carried out by observing and recording techniques. The data source was obtained from the video of the Indonesia Lawyers Club event. After the data is obtained, the data is analyzed based on the type of language style. The style of language that tends to be dominant in this study is the style of affirmation which consists of interruptions, corrections, repetitions, rhetoric, stigmatism, and tautology. As a political observer, Rocky Gerung is known for his assertive speaking style, daring to criticize and often using satirical language in his speeches. In this research, the style of language Rocky used the most was interrupt with the aim of emphasizing the meaning of what he said.

Background. Women who undergo perineal episiotomy can be affected by several complications such as bleeding, infection, perineal pain, dyspareunia, reduction of sexual desire, as well as urinary and anal incontinence. Perineal pain related to episiotomy has been reported to interfere with women’s daily activities postpartum and can prevent proper breastfeeding, proper rooming-in, and maternal-infant bonding. The purpose of this study was to determine the effect of dry heat application on perineal pain and episiotomy wound Healing among primipara women. Method. A quasi-experimental, two-group, pre-post-test research study was conducted at the postnatal inpatient ward and the outpatient clinic of the El-Shatby Maternity University Hospital in Alexandria. A sample of 100 parturient women was divided into the following two groups at random: dry heat and moist (control) heat. Women in the moist heat group were advised to sit in a basin (tub) of warm water for 10 minutes, while those in the dry heat group were instructed to set an infrared light (230 volts) at a distance of 45 cm from the perineum after 12 hours post episiotomy. Both interventions were applied twice a day for ten consecutive days. They evaluated the severity of their perineal pain at baseline and repeated it on the 5th and 10th days after obtaining the interventions while the episiotomy wound healing was assessed on the 5th and 10th days. Results. It was discovered that the dry heat group had a significantly improved episiotomy wound healing as regards perineal redness, edema of the perineal area, ecchymosis, wound discharge, and approximation of wound edges on the 5th ( P < 0.001 , P < 0.001 , P < 0.007 , P < 0.003 , and P < 0.001 , respectively) and 10th day after intervention ( P < 0.001 , P < 0.001 , P < 0.001 , P < 0.005 , and P < 0.001 , respectively) than the moist heat group. The primipara women had significantly lower perineal pain intensity in the dry heat group on the 5th and 10th days after intervention than in the moist heat group (MH P < 0.001 for the dry heat group and MH P = 0.004 for the moist heat group). Conclusion. The application of dry heat promoted episiotomy wound healing among primipara women and reduced their perineal pain during early postpartum days than moist heat.

Context Feeding dairy cows with plant oils rich in unsaturated fatty acids is a recommended strategy for increasing the proportion of polyunsaturated fatty acids in milk for human consumption. Aims We evaluated the effects of supplementation with peanut oil (high oleic acid content) and sunflower oil (high linoleic acid content) on the fatty acid profile and oxidative stability of milk and the expression of oxidative stress response, lipogenic-related and insulin-like growth factor 1 (IGF-1) genes in pasture-fed Jersey cows in early lactation. Methods Twenty-four cows were distributed in a randomised block design. Treatments were four dietary supplements of concentrate alone, or concentrate plus oil (59.6 g/kg dry matter): peanut oil, sunflower oil, or a 1:1 (v/v) mixture of peanut and sunflower oils. Analyses were performed at 30 and 60 days in milk. Key results Both peanut oil and mixed oil diets increased the hypocholesterolemic/hypercholesterolemic ratio (P