bluuebunny/crossref_metadata_2025 huggingface dataset:
The Evaluation Of The Implementation Of Preceptorship Model Training In Blud Rsud Nabire With Kirkpatrick Approach
Authors: Susanto Wibowo Hanafi Ari , Susanto Wibowo Hanafi Ari , Susanto Wibowo Hanafi Ari
Published: July 2019

Background: Preceptorship model is a continuous learning system that involves the role of nurses as role models and students in the clinical setting, the goal of preceptorship model learning is to form students to become professional nurses, having full sense of responsibility and knowledgeable, so that it will be able to improve the quality of nurses especially in the clinical setting as evidenced by accountability in the work, competence, therapeutic communications in the clinical setting. Preceptorship training is an activity to improve preceptor knowledge about nursing science development so that it can be implemented on the practice ground or guidance process. The effectiveness of a training program can be evaluated on the training process. Evaluating the training program is the last stage in the training itself. Kirkpatrick divides four levels in evaluating the process. There are reaction, learning, behavior and result of training.

Objective: To analyze the evaluation of the implementation of the preceptorship model training at the BLUD RSUD Nabire with a Kirkpatrick approach.

Method: The research method used was a descriptive quantitative. The total sample size was 14 respondents with a total sampling technique. Respondents were given intervention in the form of training of preceptorship model

Result: The reaction level showed a high positive reaction to the training of 86,83%, Knowledge level showed improvement in third measurement with a good category of 100% and attitude showed a positive category of 100%, behavior level showed the implementation of learning in a good category of 71 , 4% and the result level showed the result of B+ of 50%

Conclusion: There was an influence of the implementation of Preceptorship Model training on reaction, learning, behavior and result. It was expected that clinical learning method could be integrated into nursing education curriculum.

 

Keywords: Precepthorship Model; Training; Kirkpatrick
Role of Non-Vitamin K Oral Anticoagulants for Prevention of Stroke in Renal Impaired Atrial Fibrillation Patients
Authors: Setianto Budi Yuli
Published: July 2019

Atrial fibrillation (AF) and chronic kidney disease (CKD) are highly prevalent, particularly with increasing of age and associated comorbidities, such as hypertension, diabetes, heart failure, and vascular disease. The relationship between AF and CKD seems to be bidirectional. CKD predisposes to AF while onset of AF seems to lead to progression of CKD. Stroke prevention is the cornerstone of AF management, and AF patients with CKD are at higher risk of stroke, mortality, cardiac events, and bleeding. Stroke prevention requires use of oral anticoagulants, which are either vitamin K antagonists (e.g. warfarin), or the non-vitamin K antagonist oral anticoagulants (NOAC). While NOAC have been shown to be effective in mild-to-moderate renal dysfunction, there are a paucity of data regarding NOAC in severe and end-stage renal dysfunction. The followingwill discuss the evidence for NOAC in CKD, and summarize the current knowledge regarding the efficacy and safety of NOAC to prevent AF-related stroke and systemic embolism in severe and end-stage renal disease.
Newest Update in Heart Failure Guidelines Recommendation
Authors: Mumpuni Hasanah
Published: July 2019

Heart failure remains a global burden despite important progress that has been made in the management of heart failure. Guidelines from ESC and AHA are still widely used as a guidance for diagnosis and management of heart failure. We will discuss the new recommendation from ESC and AHA guideline for heart failure.
Viabilidad de la socialdemocracia. La agenda latinoamericana de hoy y de mañana
Authors: Castro Nils
Published: July 2019

La agenda política latinoamericana ha sido reemplazada por otra en los últimos años. En los sesenta, se hablaba de la revolución, atendiendo a la demanda de grandes cambios sociales liberadores, cuya necesidad no ha disminuido. En los setenta, de la soberanía y la integración, destinada a recuperar la autodeterminación y solidaridad requeridas para el cambio. En los ochenta, de la democracia, limitada a la prioridad de eliminar las últimas dictaduras militares y consagrar los derechos humanos.
Caracterización del diálogo-negociación en El Salvador 11980-19891
Authors: Sánchez Ramos Irene
Published: July 2019

El tema de la negociación en los conflictos sociopolíticos no es una cuestión novedosa en sí misma. La historia contiene numerosos ejemplos que ilustran cómo en los conflictos de ese tipo se han dado momentos de negociación entre las partes, con diferentes modalidades y en momentos diversos de desarrollo del mismo. De hecho, la solución de un conflicto, independientemente de que incluyera la negociación, en última instancia dependía de la fortaleza que en el plano militar pudiera definir la balanza en favor de una de las fuerzas.
La combinación de negocios y los inversionistas: caso de estudio D&S / Walmart (2008-2011)
Authors: Puente Martínez Maritza
Published: July 2019

El presente artículo presenta el análisis de los cambios en la participación y retornos de los accionistas producto de la combinación de negocios, aplicando un caso de estudio D&S, tras su combinación con Walmart, entre el año 2008-2011. Además, identificar los posibles cambios en los porcentajes de participación y retornos de los mayores accionistas del caso de estudio, comparar las utilidades distribuibles y los dividendos repartidos de los accionistas mayoritarios, categorizar a los accionistas mayoritarios, de acuerdo a sus porcentajes de participación, antes y después del proceso de adquisición, año 2008 – 2011 y, por último, contrastar la participación y los retornos de los accionistas, producto de la combinación de negocios a través del caso de estudio. Se finalizará concluyendo que una combinación de negocios es un medio que le permite a la empresa obtener beneficios competitivos, una nueva forma de reestructuración, teniendo cambios en los porcentajes de participación y en las decisiones de los accionistas.
El valor de las acciones producto de una OPA en el sector financiero
Authors: Belmar Del Canto Elizabeth
Published: July 2019

La presente investigación se propone, analizar la variación del valor de las acciones pertenecientes a empresas del sector bancario chileno, que cotizan en bolsa, producto de la oferta pública de acciones, desde el año 2004. Describe las características de las ofertas públicas, de acuerdo a la información entregada por la Superintendencia de Valores y Seguros, realizadas a partir del año 2004, en el sector bancario chileno. Correlaciona el valor de cierre histórico de las acciones del sector bancario, durante el período en que se genera la OPA (el período antes y después) y explica, mediante la evidencia obtenida, las variaciones experimentadas en las acciones cotizadas en el mercado bursátil, que se han generado producto del lanzamiento de una OPA. Se concluye que la hipótesis planteada y el objeto e investigación ponen de manifiesto que existe una variación anormal en el mercado bursátil, ante la realización de una OPA, pero esta variación anormal, no es significativa para el rango de variación dado por la investigación (5%)
“Gobiernos corporativos”: comparación entre Chile, Perú y Colombia como socios del Mercado Integrado Latinoamericano (MILA)
Authors: Gallardo Loaiza José Antonio
Published: July 2019

La presente investigación consiste en una comparación entre Chile, Perú y Colombia como socios del Mercado Integrado Latinoamericano, a partir del análisis de las estructuras que forman parte de los Gobiernos Corporativos, considerando mecanismos externos privados, mecanismos internos, y por último, mecanismos externos regulatorios. Dicho análisis se realiza mediante revisión documental y opiniones de directores de sociedades. El resultado del análisis destaca que la implementación del Mercado Integrado Latinoamericano supone estandarización en materia de Gobierno Corporativo, y con ello la armonización de un concepto común de buen gobierno corporativo, que alinea incentivos y promueve el respeto a los derechos de los accionistas y grupos de interés que participan en la empresa, garantizando la distribución de rentas que incentiven la realización de las inversiones.
Pengaruh Media Kartu terhadap Hasil Belajar Matematika Siswa di Kelas VII SMP Negeri 10 Palembang
Authors: Muslimin Muslimin , Sunardi Sunardi , Shaumi Shaumi
Published: July 2019

Abstrak

Tujuan penelitian ini adalah untuk mengetahui apakah ada pengaruh metode pembelajaran demonstrasi menggunakan media kartu terhadap hasil belajar matematika siswa materi bilangan bulat di kelas VII SMP Negeri 10 Palembang. Subjek yang diteliti yaitu siswa kelas VII SMP Negeri 10 Palembang. Jenis penelitian ini adalah eksperimen yang dilakukan terhadap populasi. Dari data yang telah terkumpul diperoleh nilai rata-rata hasil belajar matematika siswa yang mengikuti pembelajaran dengan metode demonstrasi menggunakan  media kartu adalah 76,26 dengan jumlah siswa 34 orang. Sedangkan hasil belajar matematika siswa menggunakan strategi pembelajaran ekspositori diperoleh nilai rata-rata 65,88 dengan jumlah siswa 34 orang. Karena penelitian dilakukan pada populasi, maka statistik yang digunakan adalah statistik deskriptif. Hipotesis dalam penelitian ini diterima apabila nilai rata-rata kelas eksperimen > nilai rata-rata kontrol. Jadi, sesuai dengan hasil penelitian bahwa nilai rata-rata kelas eksperimen yaitu 76.26 > nilai rata-rata kelas kontrol yaitu 65,88. Maka hipotesis diterima atau ada perbedaan antara hasil belajar dengan metode demonstrasi menggunakan media kartu dan hasil belajar menggunakan strategi pembelajaran ekspositori pada pokok bahasan penjumlahan dan pengurangan pada bilangan bulat di kelas VII SMP Negeri 10 Palembang.

Kata Kunci: media kartu, penjumlahan dan pengurangan bilangan bulat

 

 Abstract

The purpose of this study was to determine whether there was an effect of the demonstration learning method using card media on the mathematics learning outcomes of integer material students in grade VII SMP Negeri 10 Palembang. The subjects studied were students class VII of SMP Negeri 10 Palembang. This type of research is an experiment carried out on the population. From the data that has been collected, it is obtained that the average value of the mathematics learning outcomes of students who take the learning method using the media card demonstration is 76.26 with a total of 34 students. While the mathematics learning outcomes of students using expository learning strategies obtained an average value of 65.88 with a total of 34 students. Because the research was carried out on the population, the statistics used were descriptive statistics. The hypothesis in this study is accepted if the average value of the experimental class > the average value of the control. So, in accordance with the results of the study that the average value of the experimental class is 76.26 > the average value of the control class is 65.88. So the hypothesis is accepted or there is a difference between learning outcomes and the demonstration method using card media and learning outcomes using expository learning strategies on the subject of addition and subtraction of integers in class VII SMP Negeri 10 Palembang.

Keywords: card media, addition and subtraction of integers
Analisis Pengaruh Minat Belajar Siswa MA Dengan Menggunakan Aplikasi Geogebra Pada Materi SPLDV
Authors: Putri Ayu Dwi , Hasnita Siti , Vilardi Mulkah , Setiawan Wahyu
Published: July 2019

Abstrak

Artikel ini merupakan penelitian pengaruh minat belajar siswa terhadap aplikasi geogebra pada materi sistem persamaan liner dua variabel (SPLDV) di kelas X-A Madrasah Aliyah. Penelitian ini dilakukan bertujuan untuk mengetahui tingkat minat belajar matematika siswa yang berada di MA Al Barry Cikalongwetan.Penelitian ini menggunakan metode survey dan korelasional.Sejumlah 22 orang siswa kelas XI MA Al Barry Cikalongwetan digunakan sebagai sampelnya. Instrumen non tes yaitu kuisioner minat belajar  yang diberikan sebanyak 20 butir pernyataan, yang terdiri dari 10 pernyataan positif dan 10 pernyataan negatif. Hasil penelitian yang diperoleh berdasarkan tes kuisioner yang dilakukan adalah bahwa minat belajar siswa terhadap aplikasi geogebra pada materi sistem persamaan liner dua variabel (SPLDV) di MA  Al Barry Cikalongwetan tergolong sangat rendah.

Kata kunci: Minat Belajar, Geogebra, SPLDV

 

Abstract

This article is a study of the influence of students' interest in learning on the application of geogebra in the material of two variable liner equations in class X-A High School Students. This study was conducted to determine the level of interest in mathematics learning of students at Al Barry High School in Cikalongwetan. This study uses survey and correlational methods. A total of 22 grade XI students at Al Barry Cikalongwetan High School were used as samples. The non-test instrument was a questionnaire of learning interest which was given as many as 20 statements, consisting of 10 positive statements and 10 negative statements. The results of the study obtained based on the questionnaire test conducted is that students' learning interest in the application of geogebra in the material system of two-variable linear equations in Al Barry High School in Cikalongwetan was very low.

Keywords: Learning Interest, Geogebra, SPLDV
Perceived Effectiveness on the Use of English Language in Teaching Mathematics and Science
Authors: HUSARIDA HUSARIDA , DOLLETE ROLANDO
Published: July 2019

This study investigated the perceived level of effectiveness on the use of English in teaching mathematics and science in one bilingual school in Jambi, Sumatra, Indonesia. Students from grades 5 and 6 and six teachers participated in the study by providing data on their experiences in learning and teaching Mathematics and Science using English medium for instruction. A questionnaire was used in this study consisting of  the socio-demographic characteristics of the students and teacher, school factors, perceived level of effectiveness on the use of English in teaching mathematics and science. Statistical procedures of descriptive statistics and Pearson correlation using SPSS 20 were used to analyze data. The major findings of the study were (1) most participants perceived that English medium instruction helped them in improving their English reading and writing skills; (2) most participants agreed with the helpfulness of English as a Medium Instruction; (3) there was no significant relationship between teachers’ socio-demographic characteristics and the perceived level of effectiveness on the use of English in teaching Mathematics and Science; (4) there was a significant relationship between students’ socio-demographic characteristics and the perceived level of effectiveness on the use of English in teaching mathematics and science; (5) there was a significant relationship between school factors such as facilities and equipment with the perceived level of effectiveness on the use of English in teaching mathematics and sciences perceived by students; (6) there was a negative significant relationship between school factors and the perceived level of effectiveness on the use of English in teaching mathematics and science perceived by teachers. Recommendations are also discussed.
UNCONDITIONAL CONSERVATISM AS A MEDIATION BETWEEN LEVERAGE AND SIZE TO FIRM VALUE
Authors: AKBAR DINUL ALFIAN , AMIR AMRI , RAHAYU SRI , MACHPUDIN ASEP
Published: July 2019

This research is motivated by the controversy regarding the benefits of conservative accounting numbers, intended to determine the direct effect of leverage and size on firm value, and the indirect influence of these variables through unconditional conservatism as an intervening variable on firm values ​​in 2010 - 2017 on the Stock Exchange Indonesia. The results were that the variable unconditional conservatism can mediate the influence between size on firm value. There is a direct influence between leverage and size on firm value.
ANALISIS ASPEK GRAMATIKAL DAN LEKSIKAL PADA CERPEN KETEK IJO KARYA M. FAJAR KUSUMA
Authors: Izar Julisah , Afria Rengki , Sanjaya Dimas
Published: July 2019

Tujuan dari penelitian ini adalah untuk mengetahui: (1) Bagaimana bentuk kohesi gramatikal yang terdapat pada cerpen Ketek Ijo karya M.Fajar Kusuma dan (2) Bagaimana bentuk kohesi leksikal pada cerpen Ketek Ijo karya M.Fajar Kusuma Jenis penelitian ini adalah kualitatif deskriptif. Data dianalisis dengan menggunakan metode padan dan agih. Metode padan yang digunakan adalah metode padan referensial dengan teknik lanjutan unsur pilah penentu (PUP), yaitu dengan memilah kalimat-kalimat yang memiliki penanda kohesi gramatikal dan leksikal. Teknik dasar yang digunakan dalam metode agih adalah bagi unsur langsung (BUL). Keabsahan data diperoleh dari ketekunan pengamatan dan triangulasi. Instrumen penelitian adalah humant instrument.

Peneliti menjadi alat pengumpul data utama sekaligus menganalisis langsung data yang telah dikumpul tersebut Hasil penelitian menunjukkan hal-hal berikut. Pertama, bentuk penanda kohesi gramatikal yang muncul adalah referensi, substitusi, konjungsi, dan elipsis. Kedua, bentuk kohesi leksikal yang muncul adalah repetisi, sinonimi, antonimi, hiponimi, kolokasi dan metonimia.
Left Ventricular Adaptations in Herding Dogs
Authors: Costa Martins Raimy , Da Exaltação Pascon João Paulo , Guzmán Béltran Karen , De Arruda Mistieri Maria Ligia
Published: July 2019

Background: Athlete’s heart syndrome comprises a set of functional and anatomic cardiac changes secondary to intense and prolonged physical exercise in humans and animals. The heart adapts to the type of activity performed, and Doppler echocardiography is the best tool for identifying these changes. Speckle tracking echocardiography (STE) has provided new data on cardiovascular adaptations secondary to physical exercise in humans, information that conventional echocardiography cannot provide. Although physical activity and work in dogs are well documented, there are few studies on cardiovascular adaptations secondary to exercise in dogs, and no studies to date evaluated these adaptations using STE.Materials, Methods &Results:A total of 31 dogs of the Border Collie and OvelheiroGaúchoBrasileiro breeds were divided into two groups: a herding group (HG, n = 15), which performed herding activity five to six times a week for at least 4 months, and a sedentary group (SG, n = 16), with no history of physical activity in the past twelve months. All dogs were previously subjected to electrocardiography and blood pressure measurement. After that, the animals underwent echocardiographic examination at rest at a single time point. The data were analyzed by two-way multivariate analysis of variance (ANOVA) at a level of significance of 5% (P < 0.05) and a trend at 90% (P < 0.1). The dogs of the HG had higher values for left-ventricular end-systolic diameter (LVESD) and systolic volume (SV), and lower values for left-ventricular myocardial performance index (Tei index) and systolic septal movement. STE results indicated that the HG presented lower values for strain and strain rate in some myocardial segments in the radial, circumferential, longitudinal, and transverse directions.Discussion:The increase in LVESD is justified by the increase in preload (volume) required to meet the increased oxygen demand, whereas SV is directly related to the Frank-Starling mechanism. The lower Tei index in the HG indicates better systolic-diastolic performance, explained by a shorter isovolumetric relaxation time and isovolumetric contraction time and by an increase in left ventricular (LV) ejection time. Similar results were not observed in LV systolic wall motion. Therefore, we believe that the most likely explanation is a higher systolic efficiency, associated with lower energy demand at rest. According to STE criteria, the lower strain and strain rate in the HG in some myocardial segments in all directions suggest less need for myocardial deformation and lower deformation velocity in order to maintain systolic function. In conclusion, conventional echocardiography and STE were complementary and fundamental to understand cardiovascular adaptations in herding dogs.
Şehir Markası Oluşturma Süreci ve Bir Marka Şehir Olarak Samsun’un İncelenmesi
Authors: Özden Aybike Tuba , BULUT Yetkin
Published: July 2019

Mevcut çalışma, Samsun’un markalaşması sürecinde hangi
aşamada olduğunu anlamak amacıyla şehrin ileri gelenlerinin algıları ve ortak
bilincini incelemeye yönelik gerçekleştirilmiş, ilgili birimlerin bilgi ve
düşüncelerine ulaşılmaya çalışılmıştır. Çalışmada Samsun şehrinin markalaşma
sürecine şahit olmuş, bu konuda etkin rol almış veya alması muhtemel yedi kişi
ile standartlaştırılmış açık uçlu görüşme yapılmıştır. MÜSİAD, SAGİD, SAMİKAD,
TÜMSİAD, SAMSİAD, SAMGİAD başkanları ve Samsun Büyükşehir Belediye Başkanı ile
yapılan görüşmelerde, herkesin ortak bir fikir etrafında toplandığı ancak birbirleri
ile bu fikirlerini paylaşmadıkları, henüz markalaşma için bir başlık atılmadığı
gibi, herkesin bu konuda farklı bir algı ve bilgiye sahip olduğu
gözlemlenmiştir. Bu çalışmada,
şehir markalaşması ve şehir pazarlaması değerlendirmesi sonrasında araştırmanın
yöntemi ve elde edilen bulgular ayrıntılı olarak sunulmuş, Samsun şehrinin
markalaşma sürecinde yapılabilecekler ayrıntılı olarak ele alınmıştır.
Toplam Faktör Verimliliğinin Ekonomik Büyümeye Etkisi: 15 OECD Ülkesi İçin Panel Veri Analizi
Authors: Kamacı Ahmet , CEYHAN Said , PEÇE Mehmet Akif
Published: July 2019

Toplam faktör
verimliliği, refahın ve uzun dönemli büyümenin temel kaynağıdır. Sermaye ve
emek aynı kalarak, daha yüksek çıktı ve gelir sağlanması, toplam faktör
verimliliğinin artması anlamına gelmektedir. Toplam faktör verimliliği düşük
olan ülkeler nispeten daha fakir, toplam faktör verimliliği yüksek olan ülkeler
ise daha zengin ve gelişmiş ülkelerdir. Bu çalışmada 15 OECD ülkesinde
1995-2016 dönemleri için toplam faktör verimliliğinin ekonomik büyüme üzerine
etkisi panel veri analizi ile incelenmiştir. Serilerde birimler arası
korelasyon, değişen varyans ve otokorelasyon problemi bulunduğundan dolayı
Parks-Kmenta tahmincisi kullanılmıştır. Yapılan analizlere göre, toplam faktör
verimliliğinden ekonomik büyümeye doğru tek yönlü bir nedensel ilişki tespit
edilmiştir. Parks-Kmenta tahmincisi sonuçlarına göre de toplam faktör verimliliğindeki
bir birimlik artış ekonomik büyümeyi 1.19 birim artırmaktadır.
Artvin İli, Şavşat İlçesi, Yukarı Koyunlu (Süles) Köyünden Derleme Sözlüğü’ne Katkılar
Authors: KARA Kürşad , GÜZEL Ferdi
Published: July 2019

Bu çalışmanın amacı somut olmayan kültür mirasından biri olan söz
varlığını derlemek ve kayıt altına almaktır. 
Söz varlığını tespit etmek için saha Artvin ili, Şavşat ilçesi, Yukarı
Koyunlu köyü (Süles) olarak belirlenmiştir. Bu köyün belirlenmesindeki temel
etkenler; köyün dağ köyü olması, merkezden uzak olduğu için ağız özelliğini
koruyor olması ve bugüne kadar benzer türde yapılan araştırmalarda bu yöreye
ait doğrudan bir derlemenin yapılmamasıdır. Nitel
araştırma modeline göre hazırlanmış bu çalışmada kültür analizi deseni
kullanılmıştır. Çalışma sonucunda Derleme
Sözlüğü’nde olmayan kelimelere rastlanılmıştır. Ayrıca daha önce yapılan
çalışmalarda derlenen bazı kelimelerin anlamlarında yanlışlığın olduğu
görülmüştür. Son olarak da daha önce tespit edilen bazı kelimelerin farklı
anlamları da ortaya konmuştur. Derlenen kelimeler, Şavşat ilçesine bağlı olan
Yukarı Koyunlu köyünün Doğu grubu ağızlarının özelliklerini taşıdığını
göstermektedir. Yukarı Koyunlu ağzında başta Gürcüce olmak üzere bazı yabancı
kökenli kelimelerin varlığının tespiti bu yörenin tarihi geçmişi hakkında da
bizlere birçok ipucu vermektedir.
İnternetin Popüler Paylaşım Alanlarında Ünlü Kültü Oluşturma Ve Fan Tüketim Kültürü Üzerine Etkileri
Authors: KARA Adnan
Published: July 2019

İnternetin
dünyada hızlı şekilde yayılmasıyla bu medya ortamında ortaya çıkan ünlüler
bulunmaktadır. Bu ünlüler çok geniş fan kitlesine sahip olmaktadır. Fan
kitlesinin kendilerine özgü tüketim alışkanlıkları bulunmaktadır. Bu çalışmada
internetin popüler paylaşım alanlarında ünlü kültü oluşturulması ve fan tüketim
kültürü üzerine etkileri incelenmiştir. Bu amaçla internetin popüler paylaşım
alanlarında en fazla takipçilerine sahip iki ünlü Katy Perry ve Justin Bieber
örnek olay olarak ele alınmıştır. Sonuç olarak her iki ünlünün de kült haline
gelmesinde internetin oldukça etkili olduğudur. Kült haline gelen ünlülerin de
fanlarının tüketimlerini de etkilediği sonucuna varılmıştır.
Hidroelektrik Santrallerin Sosyoekonomik Analizi: Artvin Örnekleminde Bir Araştırma
Authors: ATAMAN SEVİN Eylem , ÇELİKAY Ferdi
Published: July 2019

Bu araştırmanın amacı hidroelektrik
santrallerin (HES) toplumsal açıdan sosyal farkındalık düzeyini ortaya koyabilmektir.
Araştırmanın verileri Artvin iline bağlı Borçka ve Hopa ilçelerinde yaşayan 200
kişiden anket tekniği ile toplanmıştır. Araştırmada geliştirilen ölçek
aracılığıyla yenilebilir enerji kaynaklarının önemi, sosyal fayda ve sosyal
maliyetleri bireylerin perspektifinden ortaya konulmuştur. Ayrıca hidroelektrik
santrallerin bölge halkı nezdindeki farkındalık düzeyi irdelenmiştir. Yapılan
bağımsız örneklem t testi sonuçları, demografik faktörlerden medeni durum ve
cinsiyet başlıklarında yenilebilir enerji kaynakları, hidroelektrik santraller
ve enerji yatırımlarının etkinliği gibi olgular itibariyle bireyler arasında
anlamlı bir farklılık olmadığını göstermektedir. Ancak tek yönlü varyans
analizinden elde edilen sonuçlar, özellikle eğitim düzeyi, yaş ve ikamet süresi
başlıklarının bahsedilen olgular itibariyle bireylerin düşüncelerini farklı
şekilde yapılandırdığını ortaya koymaktadır.
Custo-minimização da troca entre o medicamento referência seu biossimilar: sustentabilidade na relação tratamento vs. saúde suplementar
Authors: Ramires Yohanna , Tartari de Oliveira Bruna Mariana , De Sousa Fernando Miguel , Lind Jolline , Pires Ramos Moacir , Lopes Rocha Jaime Luis
Published: July 2019

Objetivo: Avaliar custo-minimização da troca entre as versões referência e biossimilar (BSM) do infliximab (IFX) em operadora de saúde com mais de 500.000 vidas. Metodologia: Estudo retrospectivo, descritivo, seguido de custo-minimização entre os pacientes que utilizaram IFX, de 1º de janeiro de 2016 a 31 de dezembro de 2017. Avaliou-se possível permuta entre as drogas objetivando descrever a economia da substituição. Estabeleceram-se como critérios de exclusão o pagamento da tecnologia fora do protocolo estabelecido pela operadora, não pagamento e glosas justificadas. Após exclusão, calcularam-se as despesas totais somando os custos do produto, atualizados pelo Índice Nacional de Preços ao Consumidor Amplo (IPCA), e taxas de infusão. Resultados: Evidenciou-se que 185 pacientes, totalizando 1.441 liberações, utilizaram IFX referência no período avaliado. Destas, 31 liberações foram excluídas devido aos critérios estipulados. Por fim, 1.410 liberações foram incluídas. Identificou-se a utilização de 5.354 frascos de IFX referência, por 12 especialidades, totalizando R$ 22.937.911,30 de despesas e médias R$ 16.268,02 (±R$ 4.257,91) por liberação e R$ 123.988,71 (±R$ 84.855,52) por paciente. Quando aplicada à mudança hipotética, o custo ajustado passa a R$ 16.099.739,66, com médias R$ 11.418,26 (±R$ 2.975,37) e R$ 87.025,62 (±R$ 59.419,06) por liberação e paciente, respectivamente, perfazendo um valor diferencial de R$ 6.838.171,64 na suposta economia de recursos. Conclusão: A análise econômica no tratamento com imunobiológicos evidenciou significativa relevância, pois contribui com o uso adequado da terapêutica garantindo a sustentabilidade do sistema de saúde. Medicamentos BSM apresentam-se como uma opção custo- -minimizatória em comparação ao tratamento referência para saúde suplementar.
Atenção para prática de automedicação entre portadores de doença pulmonar obstrutiva crônica
Authors: Assunção Costa Lindemberg , Ribeiro Pinto Charleston , Moreira Lemos Antônio Carlos
Published: July 2019

A automedicação é uma forma comum de autocuidado que envolve o uso de medicamentos pelo consumidor para tratar distúrbios ou sintomas auto-reconhecidos. Estudos que avaliam essa prática entre portadores de DPOC são escassos, sendo que em nosso meio os dados são inexistentes. Estudos futuros que explorem o impacto da automedicação sobre farmacoterapia e desfechos da doença são de grande interesse.
Impacto orçamentário da Diacereína no tratamento da osteoartrite de joelho
Authors: Rocha de Oliveira Cristiane , Zimmermann Ivan Ricardo , Branco de Sousa Eduardo , Lyra da Silva Roberto Carlos
Published: July 2019

Objetivos: conhecer os custos e estimar o impacto orçamentário do Instituto Nacional de Traumatologia e Ortopedia sobre o uso da diacereína no tratamento medicamentoso oferecido aos pacientes ambulatoriais com osteoartrite do joelho. Método: foram desenvolvidas etapas para a análise de impacto orçamentário incremental, descrevendo o cenário de linha de base e o conjunto de medicamentos já utilizados na instituição; descrevendo o cenário alternativo com inserção de diacereína e estimando o custo direto da introdução deste medicamento para a fração de pacientes elegíveis. As estimativas serão convertidas em dólares e euros, utilizando a taxa de câmbio do dia 29 de dezembro de 2017, segundo banco central. Dados públicos foram consultados a partir do cadastro de compras governamentais e do sistema informatizado do Instituto. Análise de sensibilidade determinística e probabilística foi aplicada para verificar o impacto de incertezas e pressupostos. O horizonte temporal de cinco anos foi considerado na comparação dos cenários. A análise foi feita sob a perspectiva dos gestores da instituição. Resultados: um perfil dos pacientes ambulatoriais com osteoartrites que recebem tratamento no Instituto; medicamentos mais prescritos neste Instituto e seus custos diretos de aquisição. O impacto orçamentário da diacereína como terapia adjuvante foi estimado para este cenário. Houve um aumento de 6% nos custos institucionais de compra de medicamentos. Conclusões: a análise do impacto orçamentário da diacereína no tratamento da osteoartrite de joelho permite aos gestores da instituição o planejamento de recursos e implementação de estratégias para tal tratamento, assim como, elaboração de um protocolo clínico e diretrizes terapêuticas para esta população específica.
Relationship between neutrophil gelatinase-associated lipocalin, cardiac biomarkers, inflammation index and renal parameters in cardiovascular disease
Authors: Choi Jong , Lee Moon , Fujii Tatsuyoshi
Published: July 2019

The plasma neutrophil gelatinase-associated lipocalin (NGAL) level is elevated in myocardial infarction (MI) and affected by inflammation and kidney function. The aim of this study was to determine which of these conditions more critically affects the plasma NGAL level in MI. Patients with MI were evaluated by measuring the NGAL concentration and its corrected values. No significant association was observed between plasma NGAL concentration and cardiac biomarkers. However, the NGAL/inflammation index ratio (NGAL/Inf ratio) was positively correlated with troponin-I (r=0.289, p<0.001), and the NGAL/serum creatinine ratio (NGAL/sCr ratio) was significantly correlated with creatine kinase-MB (r=0.251, p<0.001). After adjusting for inflammation and kidney function, increased NGAL concentrations returned to baseline levels, which were not different from those of healthy individuals. The percent difference between NGAL and the NGAL/Inf ratio was 35.6%, significantly higher than that between NGAL and the NGAL/sCr ratio (15.4%; p<0.001). The severity of inflammation seems to play a more crucial role than renal and myocardial dysfunction in affecting plasma NGAL levels in MI. Plasma NGAL levels need to be corrected using the inflammation index and sCr levels for exactly evaluating patients with MI.
Características neuroanatômicas e linguísticas na dislexia adquirida
Authors: Pimentel Bianca Nunes , Boff Uiliam Ferreira , Vargas Marta Romero de
Published: July 2019

Introdução: a dislexia adquirida caracteriza-se pela perda da capacidade de compreender o significado de palavras escritas desenvolvida previamente. Esta afecção pode ter origem em acidentes vasculares, traumatismos e outras doenças cerebrais. Objetivo: investigar as características da dislexia adquirida, explorando as correlações neuroanatômicas nas encefalopatias que as produzem, por meio de uma revisão de literatura. Método: Para a realização do estudo, os autores seguiram os critérios sugeridos pela Cochrane Handbook. Primeiramente, formulou-se uma pergunta, seguida da localização e seleção criteriosa dos artigos. Em seguida, ocorreu a avaliação crítica de cada estudo, finalizando com a análise, interpretação e apresentação dos resultados encontrados. Foram consultadas as bases de dados Science Direct, Pubmed/Medline e Scopus, com a utilização dos descritores “brain diseases”, “brain injuries”, “traumatic brain injuries” e “stroke” com o operador booleano OR, associado aos descritores “alexia” e “acquired dyslexia” por meio do operador booleano AND. Revisão de Literatura: A primeira busca eletrônica contabilizou 137 artigos científicos, dos quais 11 foram eleitos por se tratar de estudos contendo a relação anatômica das lesões e/ou sinais clínicos e linguísticos da dislexia adquirida. Conclusão: A principal causa da dislexia adquirida foi o acidente vascular cerebral, sobretudo no lobo occipital, em ambos os hemisférios, repercutindo na percepção e, posteriormente, no reconhecimento visual da palavra. Faz-se necessário ampliar as pesquisas sobre a dislexia adquirida, a fim de aprofundar o conhecimento sobre a mesma, instrumentalizando os clínicos para o processo de reabilitação.
Luto e Reidealização na Clínica da Infância: Estudo de um Caso
Authors: Santos Tamires Dias dos , Santos Diogo Ribas dos , Londero Angélica Dotto , Souza Ana Paula Ramos de
Published: July 2019

Objetivos: analisar o processo de reidealização do filho com autismo na clínica singular da criança e sua família; observar os efeitos dessa clínica no desenvolvimento linguístico, cognitivo e psíquico infantil. Método: análise de caso clínico de criança de dois anos e onze meses com diagnóstico de autismo e de sua mãe. Realizou-se a avaliação psicológica através da APEGI e CARS antes e depois da intervenção, assim como avaliação de linguagem por meio dos Sinais Enunciativos de Aquisição da Linguagem e da observação clínica. Resultados: ficou evidente o processo de ressignificação da deficiência do filho por intermédio das dimensões de competência, estética e futuro, baseadas no desenvolvimento das potencialidades linguística, cognitiva e subjetiva do filho. Conclusão: a reidealização do filho com autismo ocorreu a partir da escuta da mãe e da descoberta das potencialidades linguística, cognitiva e subjetiva dele, o que repercutiu positivamente no desenvolvimento do menino.
Fadiga e Sintomas Vocais em Professores Universitários
Authors: Depolli Gabriel Trevizani , Fernandes Djanira Nogueira do Santos , Costa Matheus Rodrigo Batista , Coelho Sarah Coutinho , Azevedo Elma Heitmann Mares , Guimaraes Michelle Ferreira
Published: July 2019

Introdução: Na profissão docente, a voz é primordial para o desempenho profissional, contudo muitos professores desconhecem a fisiologia da fonação e os cuidados necessários com a voz. Além de alterações na qualidade vocal, professores podem apresentar variados sintomas vocais, com implicações relevantes no processo ensino-aprendizagem. Objetivo: Verificar o índice de fadiga e sintomas vocais em professores universitários e correlacionar os protocolos Índice de Fadiga Vocal (IFV) e Escala de Sintomas Vocais (ESV). Métodos: Foram aplicados os protocolos IFV e ESV em 126 professores universitários de uma universidade federal brasileira, sendo 71 mulheres e 55 homens, com faixa etária entre 30 a 50 anos. Foi realizada análise estatística por meio da Correlação de Spearman, adotando-se nível de significância de 5%. Resultados: A média de pontuação do domínio “fadiga e restrição vocal” foi de 13,7 e 4,05 para o ítem “desconforto físico associado à voz”. Sem conversão, o valor médio para o domínio “recuperação com repouso vocal” foi de 7,93, e com inversão foi de 4,06. Cansaço ao falar, ardência na garganta e rouquidão foram os sintomas mais autorreferidos. Observou-se que, quanto maior os sintomas vocais, maior o índice de fadiga vocal (r= 0,727; p= < 0,001). Conclusão: Professores universitários apresentaram escores médios dos fatores 1 e 2 do IFV maiores do que os escores apresentados por indivíduos vocalmente saudáveis, e escore médio do fator 3 semelhante ao escore médio de disfônicos. Rouquidão foi o sintoma prevalente em todos os professores. Houve correlação positiva forte entre os protocolos.
KONTRIBUSI MOTOR ABILITY DAN KONSENTRASI TERHADAP KEMAMPUAN PENGUASAAN KATA HEIAN YODAN KARATEKA LEMKARI DOJO ANGKASA LANUD PADANG
Authors: Asnaldi Arie
Published: July 2019

The problem in this research is based on observations in the field, there is still a lack of some aspects of the physical conditions that affect the Heian said yodan conducted by karate dojo LEMKARI Space Lanud Padang. Presumably there are several factors that affect the Kata heian yodan, among these factors is the motor ability and concentration. This study aims to explain the contribution of the motor ability and concentration on the mastery of the Kata heian yodan.

This research method is quantitative method using data analysis techniques regression and correlation, either single or double. The population in this study is the karateka LEMKARI Dojo Space Lanud Padang enrolled in training, totaling 52 people, with a sample of 32 people were taken by purposive sampling that karateka daughter alone. Measurements ability using Barrow motor data Motor Ability Test were then processed using the formula lewis, to the concentration data using Grid Concentration Test. For mastery of data pegukuran Kata Heian yodan with Rule Of Competition World Karate Federation of the Executive Board of Forki with Kata Scoring Form of Free Game FKTI-INKAI.

Based on data analysis results: (1) The components of motor abilities contributed 17.39% to the mastery of the kata heian yodan; (2) Components of concentration contributed 12.47% to the mastery of the word kata heian yodan; (3) Taken together the motor ability and concentration contributed 25.17% to the Heian yodan word mastery, and the remaining percentage is influenced by other factors. Based on these results, we can conclude that the motor ability and concentration to contribute jointly towards mastery of the kata heian yodan.
PENGARUH METODE LATIHAN SISTEM SET DAN SIRKUIT TERHADAP PENINGKATAN KEMAMPUAN DAYA LEDAK OTOT LENGAN PADA ATLET BOLABASKET FIK UNP
Authors: Mariati Sari , Rasyid Willady
Published: July 2019

This study aims to see whether or not there is a difference in the influence of the set system and circuit system on the increase in arm muscle explosive power in UNP Padang FIK athletes. This type of research is a quasi-experimental research conducted at the PPSP GOR of UNP Development. This study aims to see whether or not there is a difference in the influence of the set system and circuit system on the increase in arm muscle explosive power in UNP Padang FIK athletes. The type of this research was a quasi-experimental study conducted at the PPSP National Development Development Center in the sample. The research was 20 male football players from FIK UNP and consisted of 10 sets of system groups and 10 circuit system groups who were given 16 exercises Data collection techniques using two hand medicine ball push. The collected data is used to test hypotheses using the t test. Before the t test is carried out, the analysis requirements test is carried out, namely the normality test and homogeneity test. The results of the 1.2, and 3 hypothesis test using t test statistics can be summarized as follows: (1) The set system does not significantly influence the increase in arm muscle explosive ability. It can be obtained thit 1.74  0.05α. > tt2.26 and p 0.00 <0.05α (3) There is no significant difference in effect between the set system and the circuit system on the increase in arm muscle explosive ability, the value of thit 1.32 <2.26 and p 0.287> 0.05α.
PENINGKATAN HASIL BELAJAR SMASH BOLAVOLI MELALUI PEMBELAJARAN BERBASIS MEDIA
Authors: STKIP Pamane Talino Ngabang Arisman
Published: July 2019

This study aims to improve student learning outcomes in learning volleyball smash through media-based learning. The method used is action research design Kemmis and Taggart. The subjects in this study were students of SMA Santo Tomas X totaling 38 people.Research in cycle 1 meeting performed 3 times, starting from initial tests to measure students' abilities before the given action. After the act of learning undertaken, researchers gave a final test on the students and the result is a complete student as many as 16 students with a percentage of completeness 42.11%, when compared to the success criteria specified actions, namely 80% of the study conducted in cycle 1 could not be said to be successful , The study was continued to cycle 2 with slight changes and additions to the previous learning of each action and the second cycle will be implemented as much as 3 meeting. The final test in cycle 2 showed excellent improvement as many as 32 students get finished with a percentage of 84.21%. In other words, this study also no longer need to be continued because it is in accordance with the criteria of success of 80%.Based on these results we can conclude that: 1) through media-based learning can improve student learning outcomes in learning smash volleyball, 2) the application of media-based learning gives students the convenience and can motivate students in implementing the learning.
O ensino de História na escola técnica: teoria e prática
Authors: Funari Pedro Paulo , Alves Júlia
Published: July 2019

Trata da educação técnica e do ensino de História no sistema escolar público, no Estado de São Paulo, ligado à Secretaria de Ciência e Tecnologia. Discutem-se os programas curriculares introduzidos desde 1990, ressaltando-se os problemas e avanços daí decorrentes.

Abstract

The paper deals with vocational education and history teaching at the São Paulo State public school system under the authority of the Secretariat for Science and Technology. New History syllabuses introduced from 1990 are discussed, stressing the problems and achievements resulting from their introduction.

Résumé

L 'article discute l'enseignement d'Histoire auprès des écoles publiques d Education technicienne de l État de São Paulo, liées à la Secrétairerie de Science et Technologie. On discute aussi les programmes introduits en 1990, en particulier leurs points positifs et négatifs.

Resumen

Este artículo trata de la educación técnica y de la enseñanza de Historia en las escuelas públicas del Estado de São Paulo, ligadas a la Secretaría de Ciencia y Tecnologia. Los programas introducidos en el 1990 son discutidos, con especial atención para los puntos positivos y negativos.
Universidade: nos bastidores da produção do conhecimento
Authors: Haguette Teresa Maria
Published: July 2019

Trata de dois temas interligados e que repercutem intensamente o processo de geração de conhecimento nos programas de pós-graduação da academia: a incompetência metodológica do orientador de disertações e teses e seu relacionamento com o aluno. Ao final, são propostos vinte princípios considerados cruciais para assegurar as condições básicas do rigor científico, associadas ao relacionamento ótimo entre orientador e orientando.

Abstract

The article analyses two intertwined topics which have an intense repercussion in the process of generation of knowledge in graduate programs of the academy: the methodological incompetency of the adviser and his relationship with the students. Finally, twenty principles, considered crucial to achieve the basic conditions of scientific rigor which are associated to an excellent relationship between adviser and the student, are proposed.

Résumé

L 'article aborde deux thèmes intimement reliés et qui répercutent intensément dans le processus de production de la connaissance dans les programmes de troisième cycle de l'académie: l'incompétence méthodologique du directur de thèse ou de dissertations el sa relation avec l 'étudiant. Finalement, sont proposés vingt principes considérés cruciaux pour assurer les conditions fondamentales de la rigueur scientifique associées à une excellente relation entre le directeur de thèses ou dissertations et les étudiants.

Resumen

El artículo aborda dos temas interrelacionados y que repercuten intensamente en el proceso de generación de conocimiento en los programas pos-graduados de la academia: la incompetencia metodologica del orientador de disertaciones y teses y su relacionamiento con el estudiante. Al final, son propuestos veinte principios considerados fondamentales para el desarollo de las mejores condiciones del rigor científico asociadas a uno relacionamiento deseable entre orientador y orientando.
Os novos paradigmas em educação: os caminhos viáveis para uma análise
Authors: Grinspun Mirian Paura
Published: July 2019

Trata dos novos paradigmas em educação, a partir da concepção atual do que se entende por conhecimento, realidade e cidadania. Apresenta uma reflexão sobre paradigmas, discutindo seu significado na dimensão de Kuhn e nas tendências contemporâneas de educação. Identificando três eixos paradigmáticos, o estudo questiona o contexto histórico-social-cultural, com o qual a educação mantém estreita relação, o que levará a uma nova percepção da própria educação. Os eixos são os seguintes: a objetividade, mostrando a questão do conhecimento e da interdisciplinaridade; a subjetividade, evidenciando os valores, atitudes e interesses que são inerentes ao sujeito; e a totalidade, unindo os diferentes aspectos que se apresentam na formação "por inteiro" do cidadão. Dados o novo tecido social, a nova concepção de realidade, os novos avanços científicos tecnológicos, as novas tendências sociais e culturais, devemos buscar, também, os novos paradigmas em educação, para o presente e visando ao futuro da sociedade.
DESCRIPTION AND COMPARISON OF AEROSOL PROPERTIES OVER CLUJ-NAPOCA - ROMANIA AND KOFORIDUA – GHANA, USING AERONET NETWORK DATA
Authors: AMOUZOUVI Mignanou Yawovi , DZAGLI Milohum Mikesokpo , ȘTEFӐNIE Horațiu , ROBA Carmen Andreea , MEREUŢӐ Alexandru , OZUNU Alexandru , SAPPOR Sharon
Published: July 2019

This article presents a description and a comparative study of the optical and microphysical properties of aerosols measured above Cluj-Napoca city in Romania and above Koforidua city in Ghana. Atmospheric aerosols have a major impact on climate and our health. We analyzed the Aerosol Optical Thickness at 440 nm (AOT), the Ångström parameter (α 440 – 870 nm), the fine and coarse volume concentrations and the single scattering albedo, in order to describe the aerosol properties at these 2 stations. We used daily averages which are calculated for every day when the available number of measurements is higher than 3. At CLUJ_UBB station, the Aerosol Optical Thickness at 440 nm wavelength has values between 0.031 and 0.699, with an average of 0.229 ± 0.11. At Koforidua_ANUC station, the AOT440 has values between 0.106 and 2.580, with an average of 0.742 ± 0.50, much higher than the values measured at CLUJ_UBB. The aerosol at the two locations has different properties, at Cluj-Napoca the urban industrial type is predominant while at Koforidua the predominant type is mineral dust.