bluuebunny/crossref_metadata_2025 huggingface dataset:
Antioksidan pada Daun Ubi Jalar (Ipomoea batatas)
Authors: Happy Terza Aflika , Rohmah Etik Ainun , Septiani Linda
Published: August 2024

Penyakit Demam Berdarah Dengue (DBD) disebabkan oleh virus Dengue yang Virus ini ditularkan ke manusia melalui gigitan nyamuk Aedes aegypti dan Aedes albopictus.  Virus yang masuk ke dalam tubuh manusia dapat dimusnahkan oleh antibodi yang kuat.  Senyawa polifenol pada sayur dan buah merupakan salah satu antioksidan yang dapat membantu kerja antibodi dalam melawan infeksi virus.  Polifenol merupakan antioksidan alami yang berasal dari tumbuhan.  Metode yang digunakan pada penelitian ini adalah melakukan uji fitokimia pada daun ubi jalar (Ipomoea batatas) yang diawali dengan pembuatan simplisia. Fitokimia dikerjakan untuk mengetahui jenis kandungan polifenol jenis plafanoid dan tanin yang terkandung di dalamnya.  Metode Fitokimia banyak digunakan untuk skrining karena kriteria yang sederhana, mudah, cepat, alat yang digunakan sederhana, dapat mendeteksi keberadaan senyawa meskipun dalam konsentrasi yang kecil. Hasil pengujian yang dilakukan daun ubi jalar (Ipomoea batatas) mengandung polifenol jenis plavanoid yang ditandai dengan adanya warna jingga, metah bata, merah muda, atau merah tua. Selain mengandung plavanoid, daun ubu jalar (Ipomoea batatas) juga mengandung polifenol jenis tanin,  yang ditandai dengan adanaya warna cokelat kehitaman, biru kehitaman. Polifenol dapat digunakan sebagai antioksidan dan antivirus , karena dapat meningkatkan antibodi pada tubuh manusia dan dapat mengganggu proses replikasi dari virus dengue yang telah masuk ke dalam tubuh manusia.
THE MAIN CHARACTER’S SELF-ACTUALIZATION USING MASLOW’S HIERARCHY OF NEEDS IN THE COLOR PURPLE BY ALICE WALKER
Authors: Rhamawati Yolanda , Sriastuti Anna
Published: August 2024

A. Maslow introduces the five-stage hierarchy Model in his book Motivation and Personality (1954), which emphasizes the satisfaction of needs to achieve the higher self. This research analyzes a novel made by Alice Walker entitled The Color Purple and it leads on one main characters, Celie. This study was done on purpose to help analyzing how Celie gives her needs hierarchy.  The writer used the theory of Maslow of needs which is the needs hierarchy. It is categorized into five which are physiological, love, safety, and belongingness, self-esteem, and also needs of self-actualization. Based on analysis, the evolution of the personality character has been developed in every level, showing equal attentive to fresh visions into her relationships and conduct to others. The writer also applies close reading, and contextual method on purpose to help supporting the analysis. The outcomes indicate that Celie is able to fulfill her needs hierarchy.
Requiem æternam dona eis, Domine : a intermedialidade em 'Mar morto' e "É doce morrer no mar'
Authors: Ramos Eduardo
Published: August 2024

Este artigo busca expor o encontro de Jorge Amado e Dorival Caymmi na construção da canção É doce morrer no mar, composta em 1938 pelos dois conterrâneos baianos. A partir dos estudos de intermidialidade elaborados por Claus Cluver, Thaís Nogueira Diniz, Solange Ribeiro e Paul Steve Scher, propomos relacionar passagens da obra Mar morto, de Jorge Amado, com a canção É doce morrer no mar, de Jorge Amado e Dorival Caymmi. Sob o guarda-chuva da intermidialidade, apontamos várias interseções e traduções intersemióticas entre as duas obras, que transitam abertamente entre os espaços fronteiriços das duas linguagens: a música e a literatura, o som e a palavra.
PERAN PEMERINTAH DAERAH DALAM UPAYA PENGEMBANGAN KAWASAN OBJEK WISATA HUTAN MANGROVE KELURAHAN KLAWALU KOTA SORONG
Authors: Krisifu Junita Erni A. C , Pattiwael Maya
Published: August 2024

Kawasan mangrove yang berada di Kelurahan Klawalu Kota Sorong, dikelola atas kerjasama dari Dinas Pariwisata Kota Sorong dan Dinas Lingkungan Hidup Kota Sorong, dalam hal pengembangan objek wisata dan juga perlindungan ekosistem mangrove di lokasi tersebut secara keseluruhan.Oleh karena itu, peran dari pemerintah sangat diperlukan dalam menjaga potensi ekowisata dengan tetap memperhatikan aspek ekologinya. Penelitian dilaksanakan pada kawasan Objek Wisata Hutan Mangrove Kelurahan Klawalu Kota Sorong pada bulan Mei sampai Agustus 2021. Pengumpulan data dilakukan dengan observasi dan wawancara. Analisis data dilakukan secara kualitatif deskriptif dengan menjelaskan peran Pemerintah Daerah serta faktor pendukung dan penghambat pengembangan objek wisata di lokasi penelitian.Hasil penelitian menunjukan bahwa pemerintah berperan dalam pengembangan objek wisata mangrove di Klawalu dilakukan melalui perencanaan pariwisata, pembangunan pariwisata, peraturan pariwisata dan Pemerintah juga bertindak sebagai fasilitator. Ada 4 faktor yang menjadi pendukung pengembangan objek wisata mangrove Klamalu berupa adanya kerja sama dan upaya promosi, daya tarik wisata, sumber daya manusia, tersedianya fasilitas dan aksesibilitas. Sementara itu, faktor-faktor yang menjadi penghambat berupa keterbatasan anggaran, perilaku masyarakat yang masih merusak lingkungan dan belum adanya penerapan sanksi.
Adopsi Teknologi Dan Perilaku Komunikasi Petani Padi Sawah Dalam Mencari Informasi Kalender Tanam (Katam) Di Kecamatan Air Nipis Kabupaten Bengkulu Selatan
Authors: Herianto Agri , Fariadi Herri , Andriani Evi
Published: August 2024

Petani padi sawah akan menerapkan inovasi tentang kalender tanam apabila mereka telah mengetahui secara jelas tentang manfaat yang akan mereka dapatkan. Frekuensi penyuluhan yang sangat terbatas dan hanya beberapa kelompok tani yang mendapatkan penyuluhan tentang kalender tanam, membuat petani harus mencari sendiri informasi tentang kalender tanam baik itu secara personal, kelompok, atau menggunakan media massa. Tujuan dari penelitian ini adalah mengetahui tingkat adopsi teknologi inovasi kalender tanam dan mengetahui perilaku komunikasi petani padi sawah dalam mencari informasi kalender tanam di Kecamatan Air Nipis Kabupaten Bengkulu Selatan. Metode penelitian yang digunakan adalah metode deskriptif, pengukuran tingkat adopsi teknologi katam dan perilaku komunikasi petani padi sawah menggunakan skala likert. bentuk checklist dengan bobot skor. Hasil penelitian mengungkapkan bahwa tingkat adopsi petani padi sawah terhadap kalender tanam (katam) berada pada tingkat sedang, hal ini disebabkan petani belum terlalu banyak yang melakukan adopsi kalender tanam (katam).Perilaku komunikasi yang digunakan oleh petani dalam mencari informasi terhadap kalender tanam (katam) yaitu perilaku komunikasi secara personal dengan kategori rendah, komunikasi kelompok dengan kategori tinggi dan komunikasi media massa dengan kategori rendah.
Kata Kunci: adopsi teknologi, perilaku komunikasi, petani padi sawah
Descarte dos resíduos sólidos urbanos: estudo de caso no município de Cuité - PB
Authors: Amorim Antônia Santos , Saldanha Denise Santos
Published: August 2024

Mediante a complexidade que permeia a problemática do despojo inadequado de resíduos na sociedade contemporânea e reconhecendo a importância do tema para a comunidade, este trabalho tem como objetivo apresentar o processo de descarte dos resíduos sólidos urbanos no município de Cuité/PB. Além disso, abordamos a significativa importância da prática da reciclagem, destacando como o descarte correto atua na preservação da biodiversidade, assim como dos recursos naturais. O estudo foi conduzido em diversas fases, incluindo pesquisa bibliográfica, visitas in loco, aplicação de questionários e coleta de dados sobre as etapas de reciclagem no município. Assim, constatou-se através das análises dos resultados, que 87% dos entrevistados contam com a venda de materiais recicláveis como uma fonte complementar de renda, no entanto, é de interesse de todos que a área passe por um plano de recuperação, pois possibilitará uma qualidade de vida melhor para as pessoas que vivem no entorno.
Wilayah Periurban Bogor : Identifikasi Karakteristik Fisik, Sosial dan Ekonomi
Authors: Janthy Trilusianthy Hidayat  , Mujio Mujio , Lesmana Raka Al-Farithsi
Published: August 2024

Wilayah Peri Urban (WPU) merupakan wilayah yang terletak di antara wilayah yang secara fisik mempunyai kenampakan kekotaan di satu sisi dan kenampakan pedesaan di sisi yang lain (Yunus, 2008). WPU Kabupaten Bogor yang berbatasan dengan Kota Bogor berkembang secara dinamis dan cenderung tidak dapat terkendali. Penelitian ini bertujuan untuk mengidentifikasi karakteristik dan tipologi WPU berdasarkan kondisi fisik, sosial dan ekonominya. Metode analisis yang digunakan 1) analisis overlay GIS untuk mengetahui karakteristik kekotaan atau kedesaan di wilayah penelitian, 2) analisis skoring untuk mengetahui hasil skor dari setiap variabel yang telah ditentukan sebelumnya, berdasarkan total skor dari setiap variabel diperoleh tipologi wilayah penelitian, 3) analisis deskriptif kualitatif untuk menentukan arahan pengembangan wilayah penelitian berdasarkan karakteristik, tipologi, dan interaksi masyarakat di wilayah penelitian yang didapatkan melalui kuesioner. Hasil penelitian menunjukkan bahwa wilayah penelitian (WPU) dari 35 desa/kelurahan Kabupaten Bogor yang berbatas langsung dengan Kota Bogor,  4 desa dan 1 kelurahan memiliki tipologi rural peri urban dengan karakteristik kedesaan yang tinggi dan interaksi yang tidak terlalu besar dengan Kota Bogor, sedangkan 25 memiliki tipologi peri urban sekunder dengan karakteristik kedesaan dan kekotaan yang seimbang dan interaksi yang sedang dengan Kota Bogor, dan 5 desa memiliki tipologi peri urban primer dengan karakteristik kekotaan yang tinggi dan memiliki interaksi yang besar dengan Kota Bogor.
Hábitos de estudio en los estudiantes de la Facultad de Humanidades de la Universidad de San Carlos de Guatemala sede Salamá, Baja Verapaz
Authors: Martínez Mejía Sandra Patricia
Published: August 2024

PROBLEMA: ¿Cómo son los hábitos de estudio que aplican los estudiantes de la Facultad de Humanidades de la Universidad de San Carlos de Guatemala, sede Salamá, Baja Verapaz? OBJETIVO: analizar cómo son los hábitos que aplican los estudiantes de la Facultad de Humanidades de la Universidad de San Carlos de Guatemala, sede Salamá, Baja Verapaz. MÉTODO: la investigación partió del método hipotético - deductivo, único método con el que se puede obtener información científica, aplicada a las ciencias formales (Prieto Castellanos, 2017). El método está basado en el ciclo inducción-deducción-inducción RESULTADOS: según los resultados obtenidos, se comprobó que la aplicabilidad de los hábitos de estudio en los universitarios, se encuentra en un 70.8%, ubicándose en un nivel “medio” CONCLUSIÓN: significa que la aplicación eventual de hábitos de estudio, está repercutiendo en los factores de organización, planificación e implementación de métodos y técnicas, lo que está generando cambios en su ámbito académico y  por consiguiente, la mayoría de los universitarios, sólo estudia el Profesorado de Enseñanza Media y no da continuidad a la Licenciatura.
Evaluation of Some Blood and Biochemical Parameters for Patients with Diabetes
Authors: Salih Basil Hazem
Published: August 2024

This study was conducted on patients with diabetes, in Samarra General Hospital. In this study, 50 blood samples were collected, 30 of which were taken from patients with diabetes, 20 of which were from non-diabetic people of both sexes, for ages (18_65) and for the period December 5, 2022 to the period is 1 February 2023. Blood was separated to obtain serum for biochemical analyses, and whole blood was sampled for CBC testing. The sugar test was conducted to ensure the presence of diabetes first, and the study confirmed that there was a significant increase in the patients compared to the control group, where the FBG test was conducted, and we note that there is a significant increase in the FBG test for patients with diabetes. A uric acid test was conducted, and the results showed a significant increase in patients compared to the control group, as the results of the analysis indicated that patients with diabetes appeared to have a significant increase in uric acid levels. The urea and creatinine test did not find a significant difference compared to the control group. As for the cbc test, the results for rbc, wbc, plt, hb, pcv showed no significant difference.
Single and Combinations of Rosuvastatin, Celecoxib, and Colchicine Effects on Biochemical and CBC Parameters of Wistar Albino Rats
Authors: Ayeed Mahinaz Yassen , Wady Siham Ajmi
Published: August 2024

Drug resistance became a well-known problem in different areas of pharmacology, including anti-cancer therapy and antibiotics. The overcoming of drug resistance either by different drugs or doses, increases the risk of tissue toxicity. The combination of single FDA-approved drugs became one of the solutions shorting the time for new drug approval, and lowering the cost of manufacturing and transporting of drug to pharmacy shelves. Every day a new combination is investigated to narrow the gap in different pharmacological requirements. Lipid-lowering and anti-inflammatory drugs are widely used and are widely available globally. The study aimed to investigate four probabilities of combinations of three single drugs Rosuvastatine (Ro), Celecoxib (Ce), and Colchicine (Co) on biochemical and Complete Blood Count parameters (CBC) to evaluate the reliability and probable effects of these drugs on normal body function. Nine groups (n=6) of Wistar Albino Rats were inoculated with single and combinations of drugs for eight days using the maximum normal human doses of each drug, blood samples were collected in the middle, and at the end of the experiment. Results showed that combinations induced abnormal biochemical, and CBC parameters in ALT, AST, Creatinine, and RBC parameters in all but one (Rosuvastatine-Celecoxibe-Colchicine) of the combination. The study concluded that the combination could be used except that showed a higher level of abnormal physiological parameters, and percussions should taken by more pharmacological and physiological investigation in a bigger scale of studies including longer durations and different animal models before the combinations utilized by human.
Demonstration of Selected Improved Tef (Eragrostis tef (Zucc.) Varieties with their Agronomic Management Practices at Ura District in Assosa Zone
Authors: Bekele Desta , Andarge Tesfa , Dereje Addisu
Published: August 2024

Tef is a foremost staple cereal crop with substantial contribution in the GDP of Ethiopia. Tef grain is highly nutritious gluten-free as well as high quality forage. However, lack of improved tef varieties reduced the production and productivity of tef in Assosa areas. Hence, the objective of this study is to demonstrate and create awareness about the recently released improved tef varieties for target area. The three recently released improved tef varieties (Dursi, Ebba, Areka-1) and standard check Quncho variety was evaluated on plot size 10m by 10m at adjacent plots. The highest grain yield (1413.68 kg per ha) was obtained by Dursi variety while the lowest grain yield (894.24 kg per ha) was recorded by Quncho variety. The demonstrated tef varieties were Dursi, Areka-1 and Ebba had yield advantage over standard check (Quncho) variety by 36.74%, 14.33% and 9.63%, respectively. Based on selection criteria such as grain yield, plant height, panicle length, diseases resistance and seed color farmers were selected Dursi variety. Based on grain yield obtained and farmers’ selection criteria we recommended that Dursi tef variety will give better yield for target area.
Dying in the Margins: The Cost of Dying Exhibition Guide
Authors: Richards Naomi
Published: August 2024

This exhibition contemplates research findings on experiences of dying at home for people facing financial hardship and deprivation in Scotland. The imagery and testimonies encountered here lay bare end-of-life experiences which are not always considered. Firstly, not everyone pictured in this room looks as if they are dying. Despite serious illness, pain, and discomfort, many people included in the study continued to go about their daily lives. This included continuing to care for their children, grandchildren, and partners. That the dying are still carers, or still live alongside us in our communities, passing us in the stairwell, the library, or on the bus, is not always recognised. The twelve stories represented depict people who were weighed down by the heavy financial costs of dying. Some of these individuals also lacked a material environment or a care package conducive to a dignified end of life experience. For those who had struggled on a low income their entire lives, terminal illness only plunged them further into hardship. For others just about getting by, terminal illness brought new and unanticipated hardship. While the state offers a partial safety net in such cases, there are questions over whether this is sufficient to meet the needs for a comfortable end of life. The exhibition comprises three different approaches to aid a deeper understanding of the issues. The photovoice images, made by participants themselves, frame their experiences from the inside demonstrating their resilience as well as their isolation. The digital stories give the perspectives of bereaved loved ones. Margaret Mitchell’s images speak to each individual’s strengths as well as their vulnerabilities. As you view this exhibition, we ask you to think about what the NHS, housing associations, social work, and the third sector, as well as communities in general, should and could offer people who perhaps haven’t had the best chances in life. What could be designed or distributed differently to ease people’s distress in the final months of their lives?
ANÁLISE EPIDEMIOLÓGICA DA TUBERCULOSE NO CEARÁ: PERÍODO DE 2012 A 2023
Authors: Moreira Gustavo , Macêdo da Silva Sabrina , Aquino Dantas Davi , De Lima Brasil Ana Júlia , Bezerra Salviano Francisco Wallace , Saraiva de Alencar e Sá Clarice , Furtuoso Moreira Bruno , Moura Teixeira Thaís , Queiroz Miranda Leticia , Bismara Carneiro Santos Pedro Arturo , Bezerra de Araújo Ingrid Katherine , Moreira Murilo Augusto
Published: August 2024

Introdução: A tuberculose (TB), causada pela bactéria M. tuberculosis, é um problema de saúde pública no Brasil. Este estudo visou analisar a epidemiologia da TB no Ceará entre 2012 e 2023. Métodos: Utilizando dados do Sistema de Informação de Agravos de Notificação (SINAN) disponíveis na plataforma DATASUS, foi conduzido um estudo epidemiológico, descritivo e retrospectivo. Analisou-se variáveis como distribuição de casos por ano, macrorregião de saúde, sexo biológico, faixa etária, forma da doença e desfecho dos casos. Resultados: Houveram um total de 51.129 casos de TB no período, com um aumento de 11,2% nos casos anuais, e um total de 1.619 óbitos atribuídos à TB. A maioria dos casos ocorreu na macrorregião de Fortaleza (72,09%), com prevalência maior em homens (66,87%) e na faixa etária de 20 a 39 anos (42,96%). A forma pulmonar da doença foi a mais comum (85,74%). Observou-se uma média anual de 3.333 novos casos e 260,66 casos reincidentes, com uma taxa de cura média de 63,08%. Discussão: A persistência da TB, apesar das estratégias de controle, deve-se a fatores socioeconômicos e falhas nas políticas de saúde pública. A predominância entre indivíduos jovens e do sexo masculino reflete questões comportamentais e biológicas. A taxa de abandono do tratamento (14,5%) e o aumento de casos de TB-MDR indicam a necessidade de intervenções mais eficazes e integradas, desde a detecção precoce até o tratamento adequado e contínuo. Considerações finais: Observados os resultados desta pesquisa, é possível notar que medidas de controle e prevenção da tuberculose precisam ser refinadas e trabalhadas para melhorar os índices relacionados a esta patologia.
Análise de Dados Longitudinais sobre Eficácia dos Novos Agentes Imunoterápicos em Pacientes com Melanoma Metastático
Authors: Maciel Guimarães Mônica , Correa Barros Andrio , Pedro Carrijo Cunha Câmara João , Linhares Ribeiro Vitor , Clara Ascendino Correa Anna , Perillo Barbosa Roberta , Cardoso Franciele , Freitas Barbosa Camila , Augusto Ferreira Nunes Mateus , Ferreira Nunes Larissa , De Andrade Paula Thaís , Guthierry Almeida de Mendonça Charbell
Published: August 2024

O melanoma metastático é uma forma agressiva de câncer de pele caracterizada pela disseminação das células tumorais para outras partes do corpo, resultando em uma baixa taxa de sobrevida. Tradicionalmente, os tratamentos disponíveis, como a quimioterapia, apresentavam eficácia limitada e efeitos colaterais significativos. Nos últimos anos, a imunoterapia, especialmente através de inibidores de checkpoint imunológico como nivolumabe, ipilimumabe, pembrolizumabe e lambrolizumabe, emergiu como uma abordagem inovadora e promissora no tratamento do melanoma metastático.  O objetivo desta revisão sistemática é avaliar a eficácia e a segurança dos novos agentes imunoterápicos em pacientes com melanoma metastático. Especificamente, serão analisados estudos que investigaram o uso de nivolumabe, ipilimumabe, pembrolizumabe e lambrolizumabe, em monoterapia ou em combinação, comparando taxas de resposta, sobrevida global, sobrevida livre de progressão e perfis de segurança. Este estudo consiste em uma revisão sistemática da literatura. A busca foi realizada nas bases de dados PubMed e MEDLINE, abrangendo o período de 2013 a 2019. Os dados foram extraídos independentemente por dois revisores e analisados de forma descritiva e comparativa. Dos 152 estudos inicialmente identificados, 8 estudos foram selecionados para a revisão final com base na relevância e qualidade metodológica. Os estudos demonstraram que a combinação de nivolumabe e ipilimumabe resulta em taxas de resposta e sobrevida superiores em comparação à monoterapia. O pembrolizumabe também mostrou-se eficaz, superando o ipilimumabe e a quimioterapia em termos de sobrevida global e sobrevida livre de progressão. Além disso, o nivolumabe e o lambrolizumabe apresentaram remissão tumoral duradoura e perfis de segurança gerenciáveis. Os novos agentes imunoterápicos, especialmente quando combinados, representam avanços significativos no tratamento do melanoma metastático. A combinação de nivolumabe e ipilimumabe mostrou-se altamente eficaz, oferecendo benefícios sustentáveis a longo prazo. O pembrolizumabe destacou-se como uma alternativa eficaz, melhorando a sobrevida em comparação com o ipilimumabe e a quimioterapia. Estudos futuros são essenciais para aperfeiçoar essas estratégias de tratamento e explorar novas combinações terapêuticas que possam oferecer resultados ainda melhores, consolidando a imunoterapia como um pilar fundamental no manejo do melanoma metastático.
An overview of the angular geomorphic lock – an anti-rutting model for sustainable road infrastructure
Authors: Nondo Christopher , Kambole Chewe , Tembo Yohane
Published: August 2024

Sustainable road infrastructure is largely dependent on the resilience of the road foundation to withstand dynamic stresses. From Empirical to Mechanistic Empirical Pavement Design Guidelines (MEPDG), the use of unbound granular materials (UGMs) has been specified for road foundation bases for flexible roads. Rutting is a common road failure from these designs. MEPDG includes climate change factors that essentially invalidate the empirical approach. However, both design approaches still rely on the anisotropic particle interlock of UGM upon compaction, notwithstanding traditional or intelligent compaction technology. The anisotropic character of compacted UGM only exhibits vertical stiffness with the highest shear stress located in the mid layer. This makes the interface between the surface of the compacted subgrade and the bottom of the compacted subbase incompatible. Consequently, the stiffness of the UGM is satisfactory for static loads, but when these become dynamic, the inter-granular transmission of these stresses creates a new challenge, non-linearity of stress and the ensuing propensity for stress rotation. A model subbase of a road foundation was modified acknowledging the natural angle of repose of UGM. The ribbed saw tooth structure with an inherent composite anisotropic character seemed to offer significant stiffness. A three-point shear stress localisation (3-PSSL) was experimentally created with three stress levels identified within the subbase and a fourth stress level in the base. This geomorphic lock is possible by the use of an angular geo-lock compactor (AGL). Added stiffness in the road foundation should avert rutting, thereby increasing resilience and sustainability of road infrastructure, and ultimately stimulating socio-economic development. World Intellectual Property Organisation (WIPO) has documented this ongoing research as patent No. WO 2021/048590 A1 awaiting entry into The National Phase. This is Work in Progress, where particle intra-lock may invalidate particle interlock.
Bipolar Bozukluğa Sahip Bireylerin Romantik İlişkilerinin İncelenmesi: Fenomonolojik Bir Çalışma
Authors: Aslan Kübra Nur , Bilican Işıl
Published: August 2024

Bipolar bozukluğa sahip kişilerin romantik ilişkiyi nasıl deneyimlediklerini incelemek amacıyla gerçekleştirilen araştırma, fenomonolojik desen üzerine yapılandırılmıştı ve nitel araştırma yaklaşımı çerçevesinde görüşme tekniği kullanılmıştır. Veriler tematik analiz ile incelenmiştir. İnceleme sırasında yorumlama ve çıkarımlarda bulunma yolları ile derinlemesine analiz yapılmıştır. Araştırma, amaçlı örnekleme yöntemi kullanılarak ulaşılan 23-38 yaş, 4’ü kadın, 2’si erkek, 2’si evli, 4’ü sevgililik döneminde olan toplamda 6 bipolar bozukluğa sahip birey ile yürütülmüştür. Veri toplama aracı olarak yarı yapılandırılmış görüşme formu kullanılmıştır. Olguya ait beş tema bulunmuştur: Duygusal yakınlık ihtiyacının kesintiye uğraması, düzenli ilaç ve psikoterapinin sağaltıcı gücü, bir suçlu varsa o da ‘’benim’’, duyarlı partnerin hastalık ve ilişki seyrine olumlu etkisi, dalgalı bir denizde hayatta kalmak. Duygu düzenleme güçlüğüne bağlı artan kaygı semptomları, depresif duygulara etki ettiği kadar duygusal yakınlığı sekteye uğratmaktadır. Duyarlı partner, düzenli ilaç kullanımı ve psikoterapi desteği ilişkinin ve hastalığın seyrini olumlu etkilemektedir. Kişilerin tartışma esnasında kendilerini suçlu görmeye meyilli oldukları sonucuna varılmıştır.
Levosimendana e Fibrilação Atrial: Uma Metanálise de Ensaios Clínicos Randomizados
Authors: Wan Huan , Feng Jihua , Ji Pan , Chen Wei , Zhang Jianfeng
Published: August 2024

Resumo Fundamento A fibrilação atrial (FA) é uma complicação prevalente associada à levosimendana; no entanto, permanece incerto se existem disparidades nos efeitos da levosimendana na FA não pós-operatória e pós-operatória. Objetivos Este estudo teve como objetivo avaliar o efeito da levosimendana na FA não pós-operatória e pós-operatória conduzindo uma metanálise de ensaios clínicos randomizados (ECR). Métodos PubMed, Embase, Biblioteca Cochrane e outras bases de dados foram pesquisadas. Pares de revisores identificaram ECRs que compararam levosimendana e placebo ou outras terapias, e os resultados relataram dados de eventos de FA. Foram utilizados modelos de efeitos aleatórios (com nível de significância de 5%). Resultados Foram incluídos 29 ensaios elegíveis compreendendo 6.550 participantes, onze dos quais avaliaram a incidência de FA não pós-operatória e 18 incluíram FA pós-operatória. A análise revelou que a levosimendana elevou significativamente o risco de FA no grupo não pós-operatório (OR, 1,62; IC 95%: 1,19-2,20; p=0,002) e reduziu a incidência de FA no grupo pós-operatório (OR, 0,65; IC 95%: 0,44-0,96; p=0,03). A ocorrência de FA diminuiu mais significativamente em pacientes que usaram levosimendana após cirurgia cardíaca (OR, 0,53; IC 95%: 0,32-0,88; p=0,02) do que em pacientes que usaram levosimendana antes da cirurgia cardíaca (OR, 0,67; IC 95%: 0,42-1,06; p=0,09). O risco de FA foi significativamente elevado pela grande dose em bolus de levosimendana (dose em bolus ≥12 μg/kg) (OR, 1,44; IC 95%: 1,10-1,88; p=0,004) e diminuído pela pequena dose em bolus de levosimendana (dose em bolus <12 μg/kg) (OR, 0,64; IC 95%: 0,34-1,20; p=0,16). Conclusão A levosimendana foi associada a um aumento da incidência de FA não pós-operatória. O emprego da levosimendana foi eficaz na prevenção da FA pós-operatória.
Mais Complicações em Mulheres após Revascularização do Miocárdio Mesmo com Tempos Cirúrgicos Reduzidos: Atenção por Equidade e Melhoria da Qualidade
Authors: Lacava Leonardo , Freitas Fabiane Letícia de , Borgomoni Gabrielle Barbosa , Silva Pedro Gabriel Melo de Barros e , Nakazone Marcelo Arruda , Campagnucci Valquiria Pelisser , Tiveron Marcos Gradim , Lisboa Luiz Augusto , Jatene Fabio Biscegli , Mejia Omar Asdrúbal Vilca
Published: August 2024

Resumo Fundamento Análises em grandes registros apontam desfechos desfavoráveis para mulheres submetidas à cirurgia de revascularização do miocárdio (CRM), enquanto estudos randomizados sofrem com a falta de representatividade. Objetivo Comparar os resultados hospitalares ajustados entre homens e mulheres submetidos à CRM. Métodos Entre julho de 2017 e junho de 2019, 3991 pacientes foram submetidos à CRM primária isolada, tanto de forma eletiva como de urgência, em 5 hospitais de estado de São Paulo, Brasil. Para equilibrar as diferenças entre homens e mulheres, as populações foram ajustadas utilizando o Propensity Score Matching. Os desfechos considerados para análise foram os utilizados pelo STS Adult Database. As análises foram conduzidas no software R, considerando significância valores de p < 0,05. Resultados Após o Propensity Score Matching (1:1), cada grupo incluiu 1089 pacientes. Em relação às variáveis intraoperatórias os homens apresentaram maior tempo de CEC (p<0,001), tempo cirúrgico (p<0,001), número de anastomoses distais (p<0,001) e uso de enxertos arteriais. Em relação aos desfechos as mulheres apresentaram maior incidência de infecção de ferida profunda (p=0,006), tempo prolongado na Unidade de Terapia Intensiva (p=0,002), maior necessidade do uso de balão intraórtico (p=0,04), maior taxa de transfusão sanguínea (p<0,001), maior readmissão hospitalar em até 30 dias após a cirurgia (p=0,002) e maior taxa de óbitos (p=0,03). Conclusões Apesar dos homens terem apresentado um maior tempo de CEC, maior número de enxertos arteriais e maior número de anastomoses distais, os resultados imediatos após CRM foram piores em mulheres.
More Hospital Complications in Women after Cabg Even for Reduced Surgical Times: Call to Action for Equity in Quality Improvement
Authors: Lacava Leonardo , Freitas Fabiane Letícia de , Borgomoni Gabrielle Barbosa , Silva Pedro Gabriel Melo de Barros e , Nakazone Marcelo Arruda , Campagnucci Valquiria Pelisser , Tiveron Marcos Gradim , Lisboa Luiz Augusto , Jatene Fabio Biscegli , Mejia Omar Asdrúbal Vilca
Published: August 2024

Abstract Background Analyses of extensive registries indicate adverse outcomes for women undergoing coronary artery bypass grafting (CABG) surgery, while randomized studies often lack representativeness. Objective To compare adjusted hospital outcomes between men and women undergoing CABG. Methods From July 2017 to June 2019, 3991 patients underwent primary isolated CABG, both electively and urgently, in 5 hospitals in the state of São Paulo, Brazil. To mitigate demographic differences between men and women, populations were adjusted using propensity score matching (PSM). The outcomes considered for analysis were those used by the STS Adult Database. The analyses were performed using R software, with a significance set at p<0.05. Results After PSM (1:1), each group included 1089 patients. Regarding intraoperative variables, men exhibited longer cardiopulmonary bypass (CPB) time (p<0.001), surgical time (p<0.001), a higher number of distal anastomoses (p<0.001), and increased use of arterial grafts. Regarding outcomes, women had a higher incidence of deep sternal wound infection (p=0.006), prolonged Intensive Care Unit stay (p=0.002), increased need for an intra-aortic balloon pump (p=0.04), higher blood transfusion rates (p<0.001), higher 30-day hospital readmission rates after surgery (p=0.002) and higher mortality rate (p=0.03). Conclusions Although men had longer CPB times, a greater number of arterial grafts, and a greater number of distal anastomoses, immediate results after CABG were poorer in women.
Pengaruh Pemahaman Bertransaksi, Kemudahan, Dan Manfaat Dalam Menggunakan Webform BSI Terhadap Kepuasan Nasabah Di BSI
Authors: Salma Hasna Nafis  , Inka Clarina Melyana
Published: August 2024

With changes in Bank Syariah Indonesia digital transaction, the mindeset of customers and bank employees needs to be changed to improve themselves in using digital banking facilities, so learning about this requires understanding, convenience, and the benefits of using digital banking in order to create satisfaction in use. This study aims to determine the understanding, convenience, and benefits of using the Webform BSI on customer satisfaction at BSI. This research uses quantitative research method and uses IBM SPSS version 26 as a test tool to assist data processing and data collection. This study uses a sample of FEBI IAIN Kudus 2020-2022 students who have savings at BSI by using an accidental sampling technique, namely a sampling technique where anyone who meets the resercher by chance and can be used as a sample, people who happen to be found are suitable as data source. The results of this study indicate that understanding of transactions using the Webform BSI partically affects customer satisfaction. The ease of using the Webform BSI partically does not affect customer satisfaction. The benefits of using the Webform BSI partically affect customer satisfaction.
Pengaruh Corporate Social Responsibility dan Corporate Image terhadap Loyalitas Nasabah BRI Cabang Jember
Authors: Ashlah Izzul , Slamet Wijiono  , Miftashul Imaroh
Published: August 2024

Penelitian ini bertujuan untuk menganalisis pengaruh corporate social responsibility (CSR) dan  corporate image terhadap loyalitas nasabah BRI Cabang Jember. Penelitian ini mengunakan metode kuantitatif, menggunakan teknik purposive sampling menggunakan kriteria khusus dalam penentuan sampel yakni menjadi nasabah BRI dan menerima CSR yang telah disalurkan, sampel yang digunakan sebanyak 100 orang. Data diolah menggunakan SPSS dan menunjukkan hasil bahwa (1) corporate social responsibility berpengaruh positif dan signifikan terhadap loyalitas nasabah BRI Cabang Jember, (2) corporate image berpengaruh positif dan signifikan terhadap loyalitas nasabah BRI Cabang Jember.
Penyelesaian Masalah Pergantian Akad Pembiayaan Murabahah Ke Mudharabah Dalam Menangani Nasabah Yang Bermasalah Pada BMT-UGT Sidogiri
Authors: Kamali  , Ainor Rifki Fatmala  , Sahrul Niam
Published: August 2024

Problems in the world of finance are a very complex aspect that requires more thorough research. The aim of this research is to determine the completion of the murabahah contract. The research method in this research uses field research with a qualitative approach. The data collection technique uses observation, interviews and documentation. Field data was analyzed descriptively. The research results show that problematic murabahah financing will be transferred to another contract, if the customer on two calls is not present. Then the murabahah object that is not sold is then used as the object of the mudarabah financing contract.
Hubungan keragaman konsumsi pangan dan asupan zat gizi dengan kejadian stunting pada balita usia 24-59 bulan
Authors: Karlina Karlina , Hidayanti Lilik , Atmadja Taufiq Firdaus Al Ghifari
Published: August 2024

Stunting as a result of chronic nutritional problems in the long term. Height for age -2 Standard Deviation (SD) is called stunting. This study aims to analyze the relationship between the diversity of food consumption and nutrient intake with the incidence of stunting in toddlers aged 24-59 months. The method of this research was analytic observational with cross sectional design. The population of this study were all children under five in Sukaratu Village, Sukaresik District as many as 364 people. The subject of this study was toddlers aged 24-59 months, obtained as many as 76 subject. Sampling using Proportional Random Sampling technique. The statistical test used is Chi-square. There was a significant relationship between stunting and food diversity (OR 6,1) energy intake (OR 5,6), protein intake (OR 8,8), carbohydrate intake (OR 3.9), and fat intake (OR 8,5). Keywords: diversity of food consumption, nutrient intake, stunting, toddler
Pola konsumsi hasil perikanan masyarakat Kabupaten Gresik terhadap komoditas perikanan saat Pandemi Covid-19
Authors: Sanjaya Yushinta Aristina , Rahmawati Rahmawati , Safitri Amanda Dewi , Widianti Erika , Diana Adella Farah , Anggraeni Elina Putri
Published: August 2024

Keberadaan pandemi covid-19 menjadi permasalahan bagi masyarakat dan beberapa sektor Indonesia termasuk sektor perikanan. Penyebaran covid-19 membuat pemerintah mengeluarkan kebijakan pembatasan sosial berskala besar yang menyebabkan aktivitas masyarakat dan pola konsumsi hasil perikanan dan produk olahan perikanan menurun. Penelitian ini bertujuan untuk menganalisis tingkat dan pola konsumsi komoditas perikanan terhadap masyarakat Kabupaten Gresik di masa sebelum pandemi Covid-19, saat pandemi, dan setelah pandemi. Metode yang digunakan adalah survey deskriptif. Hasil penelitian menunjukkan bahwa pola konsumsi ikan dan hasil perikanan bersifat fluktatif sebelum, saat, dan setelah pandemi Covid-19. Minat beli ikan dan hasil perikanan masyarakat dipengaruhi oleh aspek kebersihan, harga, dan tempat penjualan dengan rata-rata pembelian sebesar Rp 50.000 sampai Rp 100.000 per minggu. Jenis perikanan yang menjadi minat masyarakat yaitu ikan air tawar, selain harganya lebih murah, kondisi ikan tersebut lebih segar di pasaran. Kesimpulan dari penelitian ini adalah pandemi covid-19 menyebabkan terjadinya perubahan pola konsumsi masyarakat Kabupaten Gresik terhadap komoditas perikanan. Perubahan pola konsumsi ini mencakup perubahan pengeluaran untuk pembelian komoditas perikanan dan jenis komoditas perikanan yang dikonsumsi. Namun, tidak terdapat perbedaan signifikan terhadap cara mendapatkan produk perikanan dan preferensi pembelian komoditas perikanan secara utuh atau bagian tertentu saja
Hubungan kebiasaan sarapan dan kebiasaan jajan dengan status gizi anak di SDN Karang Tengah 04 Kabupaten Bogor tahun 2022
Authors: Swantrisa Hanna Brenda , Atmadja Taufiq Firdaus Al-Ghifari , Hidayanti Lilik
Published: August 2024

Anak sekolah merupakan salah satu usia yang rentan akan permasalahan gizi. Status gizi anak dapat dipengaruhi oleh beberapa hal diantaranya yaitu kebiasaan sarapan dan kebiasaan jajan anak. Penelitian ini bertujuan untuk menganalisis hubungan antara kebiasaan sarapan dan jajan dengan status gizi pada siswa di SDN Karang Tengah 04 Kabupaten Bogor. Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Penelitian ini dilakukan di SDN Karang Tengah 04 Kabupaten Bogor pada bulan Juli 2022. Jumlah sampel dalam penelitian ini sebanyak 49 siswa, pengambilan sampel menggunakan teknik purposive sampling. Data kebiasaan sarapan dan kebiasaan jajan menggunakan instrumen berupa kuesioner. Data tinggi badan dan berat badan menggunakan microtoice dan digital weight scale. Analisis data yang digunakan yaitu uji Chi Square. Hasil penelitian menunjukan bahwa sebagian besar siswa (51%) memiliki kebiasaan sarapan yang tidak baik dan sebagian besar siswa (61,2%) memiliki kebiasaan jajan yang baik. Hasil uji statistik menunjukkan adanya hubungan yang signifikan antara kebiasaan sarapan dengan status gizi siswa di SDN Karang Tengah 04 Kabupaten Bogor dengan nilai p-value = 0,027 (p0,05) dan adanya hubungan yang signifikan antara kebiasaan jajan dengan status gizi siswa di SDN Karang Tengah 04 Kabupaten Bogor dengan nilai p-value = 0,011 (p0,05).
Identifikasi formalin pada ikan asin dan gambaran pengetahuan penjual tentang formalin di Pasar Cikurubuk Kota Tasikmalaya
Authors: Purnama Muhammad Wildan , Susilowati Prima Endang , Kosnayani Ai Sri
Published: August 2024

Formalin merupakan salah satu jenis bahan tambahannpangan yang dilarang. Penggunaan formalin sebagai bahan tambahan pangan kian marak di kalangan masyarakat salah satunya digunakan pada ikan asin. Formalin yang ikut terkonsumsi akan berbahaya bagi tubuh. Pasar Cikurubuk merupakan salah satu pasar di Kota Tasikmalaya yang menyediakan ikan asin. Tujuan penelitian ini adalah menganalisis ada tidaknya formalin pada ikan asin dan mengetahui gambaran pengetahuan penjual tentang formalin di Pasar Cikurubuk. Metode penelitian ini yaitu penelitian deskriptif. Populasi dari penelitian ini adalah semua jenis ikan asinnyang dijual di Pasar Cikurubuk Kota Tasikmalaya dan penjual ikan asin di Pasar Cikurubuk Kota Tasikmalaya. Sampel ikan asin diambil dengan teknik purposive sampling dan subjek responden diambil dengan total sampling. Pengujian kualitatif formalin menggunakan formalin test kit dan gambaran pengetahuan menggunakan kuesioner. Hasil dari penelitian ini yaitu dari 25 sampel ikan asin 13 sampel diantaranya positif mengandung formalin. Gambaran pengetahuan penjual ikan asin sebesar 92,9%  berpengetahuan baik dan 7,1% berpengetahuan tidak baik. Kesimpulan dari penelitian ini masih adanya ikan asin yang positif formalin di Pasar Cikurubuk Kota Tasikmalaya dan gambaran pengetahuan penjual ikan asin di pasar tersebut sudah cukup baik.
Ketahanan pangan rumah tangga dengan kejadian stunting pada balita Posyandu Cipapagan Kelurahan Sirnagalih, Kota Tasikmalaya tahun 2024
Authors: Putri Dela Aulia , Chaidar Raysha , Windianti Septiani Tri , Wahyu Darodjat Kaila Nisrina , Arianti Aprila , Surya Hazani Dinar Ayu , Binawan Aisyah Salsabila , Nuraisha Sitti
Published: August 2024

Household food security is a central part of the anti-failure strategy at the national level and plays an important role in meeting food needs from the national to the individual scale. Stunting is a chronic malnutrition problem caused by insufficient nutritional intake in a relatively long time due to feeding that does not meet nutritional needs. The purpose of this study was to analyze the relationship between household food security and the incidence of stunting in infants at the cipapagan posyandu in sinargalih village. This study used a quantitative analytic method with a cross-sectional design. The research sample was 30 housewives who had toddlers 0-59 months recorded in the Cipapagan Posyandu area. Research sampling was conducted using non-probability sampling techniques, namely accidental sampling. The results of data analysis using the Fisher Exact test show that there was no significant relationship between household food security and stunting in toddler (p-value = 0.638)Ketahanan pangan rumah tangga merupakan salah satu bagian sentral dari strategi anti kegagalan di tingkat nasional dan berperan penting dalam memenuhi kebutuhan pangan dari skala nasional hingga individu. Stunting adalah permasalahan kurang gizi kronis yang disebabkan oleh tidak cukupan asupan gizi dalam waktu yang relatif lama akibat pemberian makan yang tidak memenuhi kebutuhan gizi. Tujuan dari penelitian ini adalah untuk menganalisis hubungan ketahanan pangan rumah tangga dengan kejadian stunting padabalita di posyandu cipapagan kelurahan sinargalih. Penelitian ini menggunakan metode analitik kuantitatif dengan rancangan cross sectional. Sampel penelitian sebanyak 30 ibu rumah tangga yang mempunyai balita 0-59 bulan yang terdata di wilayah Posyandu Cipapagan. Pengambilan sampel penelitian dilakukan menggunakan teknik non-probability sampling yaitu secara accidental sampling. Hasil analisis data dengan mengunakan uji Fisher Exact menunjukkan bahwa tidak ada hubungan yang signifikan antara ketahana pangan rumah tangga dengan stunting pada ballita (p-value = 0,638).
Konsumsi natrium, status gizi dan kejadian hipertensi pada ibu hamil di Kota Tasikmalaya
Authors: Fatimah Siti , Puspita Syifa Aulia , Pulungan Syalsabila , Syaida Rahman Malwa Aulia , Alfariza Mochamad Nizar Rosidi , Damayanti Sintia , Jeremy Joel Guruh Martin
Published: August 2024

Hypertension is a dangerous disease, notably if it occurs in women who are pregnant. It can cause death for the mother and the baby to be born because there are no typical symptoms or signs as an early warning. The research aims to determine the relationship between sodium consumption and the incidence of hypertension in pregnant women in Sukamanah Village, Tasikmalaya City. The subjects in this research were all pregnant women in the RW 8 Sukamanah Village, Tasikmalaya City, totaling 15 people. The inclusion criteria in this study were pregnant women willing to be interviewed, while the exclusion criteria were taking blood pressure-lowering drugs. The data collection technique used in this research was distributing 1x24-hour food recall questionnaires and measuring blood pressure directly with a blood pressure monitor. This type of research is an analytical survey with a cross-sectional design. Data analysis used the Chi-Square statistical test. Sodium consumption is related to the incidence of hypertension in pregnant women (p-value= 0.025). There is no relationship between nutritional status and the incidence of hypertension in pregnant women in Sukamanah Village, Tasikmalaya City (p-value = 0.464).Hipertensi merupakan penyakit yang berbahaya, terutama apabila terjadi pada wanita yang sedang hamil.  Hal ini dapat menyebabkan kematian bagi ibu dan bagi bayi yang akan dilahirkan, karena tidak ada gejala atau tanda khas sebagai peringatan dini. Penelitian bertujuan untuk mengetahui hubungan konsumsi natrium dengan kejadian hipertensi pada ibu hamil di Kelurahan Sukamanah Kota Tasikmalaya. Subyek dalam penelitian ini yaitu seluruh ibu hamil di wilayah RW8 Kelurahan Sukamanah Kota Tasikmalaya, berjumlah 15 orang. Kriteria inklusi pada penelitian ini adalah ibu hamil dan bersedia di wawancara, sedangkan kriteria ekslusi adalah mengonsumsi obat-obatan penurun tekanan darah. Teknik pengambilan data yang digunakan dalam penelitian ini adalah penyebaran kuesioner food recall 1x24 jam dan pengukuran tekanan darah secara langsung dengan tensimeter. Jenis penelitian ini adalah survey analitik dengan rancangan cross sectional. Analisis data menggunakan uji statistik Chi Square. Konsumsi natrium berhubungan dengan kejadian hipertensi pada Ibu hamil (p-value = 0,025) dan tidak ada hubungan status gizi dengan kejadian hipertensi pada ibu hamil di Kelurahan Sukamanah.Kota Tasikmalaya (p-value = 0,464).
Penggunaan metode ceramah dengan media teka teki silang terhadap peningkatan pengetahuan gizi seimbang siswa sekolah dasar
Authors: Alifmalia Syelin , Kosnayani Ai Sri , Betaditya Dika
Published: August 2024

Status gizi siswa Sekolah Dasar (SD) masih menjadi salah satu masalah kesehatan di Indonesia. Pengetahuan gizi anak menjadi faktor penting yang berpengaruh terhadap status gizi, karena pengetahuan tentang gizi anak akan membentuk perilaku anak saat menentukan memilih, dan membeli makanan. Tujuan penelitian ini adalah menganalisis pengaruh pendidikan gizi dengan menggunakan metode ceramah dibantu media Teka Teki Silang (TTS) terhadap peningkatan pengetahuan gizi seimbang siswa kelas V dan VI SDN Sukahening Kabupaten Tasikmalaya. Desain penelitian yang digunakan yaitu quasi-experimental dengan rancangan without control group design. Subyek penelitian adalah siswa kelas V dan VI yang berusia 10-14 tahun sebanyak 88 orang. Hasil dari penelitian yaitu menunjukkan bahwa ada peningkatan signifikan pada tes pengetahuan gizi seimbang dengan nilai selisih post-test dan pre-test sebesar 1,0. Hasil Uji beda menggunakan Wilcoxon bernilai 0,00 (p value 0,05) menunjukkan adanya perbedaan nilai pengetahuan gizi seimbang sebelum dan sesudah pendidikan gizi seimbang. Kesimpulan penelitian ini ada pengaruh penggunaan metode ceramah dengan media TTS terhadap peningkatan pengetahuan gizi seimbang. Saran penelitian yaitu diharapkan untuk memperhitungkan estimasi waktu dan kendala-kendala yang mungkin terjadi.