bluuebunny/crossref_metadata_2025 huggingface dataset:
DERMOSSUSTENTAÇÃO ATRAVÉS DE FIO DE POLIDIOXANONA (PDO) TÉCNICA REVERSA
Authors: Batista Conrado Martins Lídia , Borges Mattos Thiago , Cerdeira Filho Francisco
Published: July 2024

Objetivo: relatar através de um caso clínico a aplicabilidade de fios espiculados de polidioxanona, avaliando o efeito lifting, a eficácia da reposição tegumentar por travamento exclusivamente mecânico, assim como o processo de neocolagênese Detalhamentos de Caso: Paciente, 57 anos, gênero feminino, apresentava flacidez cutânea, sulco nasolabial aprofundado, presença de assimetria facial, mediante deslocamento de compartimentos de gordura, pelo efeito natural de envelhecimento. Para o reposicionamento das estruturas foi realizado tratamento com fio de polidioxanona, levando ao o efeito de sustentação, assim como o manejo da técnica reversa, pelo potencializado poder de ancoragem dérmica. Conclusão: a técnica selecionada demonstrasse segura e eficiente no que tange capacidade de dermossustentação, manejo da flacidez cutânea a médio/longo prazo e consequetemente ganho estrutural a nível de derme e hipoderme, apresentando dessa forma como uma alternativa em potencial para os que buscam técnicas não cirurgicas para a remodelação dos componentes perdidos pelo processo de envelhecimento.
VETORIZAÇÃO E DIRECIONAMENTO DE FORÇAS PARA O REJUVENESCIMENTO NÃO CIRÚRGICO EMPREGANDO FIOS FARPADOS DE PDO
Authors: Heli de Campos Joao , Camargo de Toledo Erika Bueno , Cavalcanti Noemi Borgas de Góes , Arashiro Aline Peres , Martins Daniela Ribeiro
Published: July 2024

Objetivo: ressaltar a ação das forças vetoriais na elevação dos tecidos moles da face cedidos pelo processo de envelhecimento. Background: uso de fios tensores subcutâneos para rejuvenescimento facial é uma técnica de lifting e redesenho dos tecidos moles. Os fios de polidioxanona (PDO) induzem a uma resposta inflamatória de acordo com a saúde, idade e imunidade do paciente. As suturas de PDO são degradadas no corpo em 4 a 6 meses e durante esse processo estimulam a produção de colágeno e resultam em alterações positivas na pele. Materiais e métodos: os termos DECS/MESH  viabilizaram as buscas na PubMed, nas Bases da BVS, na Science Direct com termos em inglês, português e espanhol porém a PubMed há melhores resultados para inglês:  (vector forces OR barbes threads AND  ((Primary vector AND aging)) AND (tissue-lifting threads) AND polydioxanone. Os critérios de inclusão foram preferencialmente estudos observacionais retrospectivos ou estudos experimentais de recuperação e análise crítica da literatura. Conclusão: o conhecimento profundo da anatomia facial e a compreensão dos vetores faciais, dos pontos de fixação e do mecanismos de tração ajudará a melhorar os resultados. A prática em cadáveres frescos é um estudo relevante para o profissional que busca avanços técnicos e maior consciência durante a prática clínica. Foi observado em termos práticos que o deslocamento do tecido ou o lifting com fios na face dependem de uma variedade de fatores, que incluem o tipo e a composição do fio, a saúde do paciente e as habilidades do profissional. Esses fatores em conjunto afetarão o resultado clínico final.
 
Palavras-chave: Face; Fios de polidioxanona; Forças vetoriais, Rejuvenescimento.
PREENCHIMENTO LABIAL COM ÁCIDO HIALURÔNICO EM LÁBIO COM CICATRIZES POR FISSURA LABIOPALATINA: CASO CLÍNICO
Authors: Farias Ana Paula Peracchi Oro , Jodas Patricia , Sossai Silvia , Ribeiro Juliano Pantaleão Gil
Published: July 2024

Este trabalho teve como objetivo apresentar um relato de caso clínico de uma paciente diagnosticada com fenda labial que recebeu a correção cirúrgica. Na idade adulta, os pacientes com fissura labial são frequentemente submetidos a diversas cirurgias relacionadas a defeitos e muitos desejam opções menos invasivas para melhorar quaisquer imperfeições cosméticas residuais. Os preenchimentos injetáveis de tecidos moles, especialmente com o ácido hialurônico, podem fornecer um método minimamente invasivo para aprimoramento cosmético em pacientes com fissura labial que desejam maior melhoria estética após o reparo cirúrgico. Conclui-se que a paciente teve os defeitos estéticos residuais tratados por meio de preenchimento com ácido hialurônico com resultado satisfatório no Curso de Especialização em Harmonização Orofacial, do Curso de Odontologia da UNIPAR de Cascavel – Paraná – Brasil.
DIGITALISASI UNTUK TRANSPARANSI KEUANGAN SEKOLAH DI MTs MA’ARIF NU 1 SUMBANG
Authors: NUR ALFIAN FIKRI , HANIF MUH.
Published: July 2024

This research investigates the application of digitalization to increase financial transparency at Madrasah. The research method uses a qualitative approach with a focus on document analysis and in-depth interviews with TUs and Madrasah Heads. Findings show that digitalization has been significant in increasing financial accountability and transparency, enabling faster and easier access to school financial information. An integrated financial information system enables more efficient management and tighter supervision of the use of school funds. The implication of this research is that digitalization not only optimizes school financial management but also increases the level of trust of stakeholders. This research provides valuable insight for other educational institutions considering implementing technology to increase their financial transparency and accountability.
ABSTRAKPenelitian ini menginvestigasi implementasi digitalisasi untuk meningkatkan transparansi keuangan di Madrasah. Metode penelitian menggunakan pendekatan kualitatif dengan fokus pada analisis dokumen dan wawancara mendalam dengan TU dan Kepala Madrasah. Temuan menunjukkan bahwa digitalisasi telah signifikan dalam meningkatkan akuntabilitas dan transparansi keuangan, memungkinkan akses yang lebih cepat dan mudah terhadap informasi keuangan sekolah. Sistem informasi keuangan terintegrasi memungkinkan pengelolaan yang lebih efisien dan pengawasan yang lebih ketat terhadap penggunaan dana sekolah. Implikasi dari penelitian ini adalah bahwa digitalisasi tidak hanya mengoptimalkan pengelolaan keuangan sekolah tetapi juga meningkatkan tingkat kepercayaan dari stakeholders. Penelitian ini memberikan pandangan yang berharga bagi institusi pendidikan lain yang mempertimbangkan penerapan teknologi untuk meningkatkan transparansi dan akuntabilitas keuangan mereka.
PEMBELAJARAN STATISTIKA DENGAN MEDIA LKS BERBASIS POLYA DI SMP
Authors: A.R CHRISTI PARNAMITA , KURNIAWAN ANDRI , FATIRUL ACHMAD NOOR , KRISTIANI KRISTIANI , RS RIKI SULIANA
Published: July 2024

Learning statistics material is considered difficult by students. One technique to improve understanding and problem solving abilities in statistics material is the polya step. The aim of this research is to describe statistics learning with polya-based worksheets in junior high school students. This type of research is classroom action research. The research subjects were 32 students consisting of 15 male students and 17 female students. The instruments of this research are test sheets, teacher observation sheets and student observation sheets. The data analysis technique used is qualitative data analysis which consists of data reduction, data presentation and drawing conclusions. The criteria for the success of this research are classical completeness more than equal to 75 and observation results in the good category. Based on the research results, it was obtained that the results of observing teacher activities were in the very good category, the results of student observations in the good category and classical completeness were 93.75%. The conclusion in this research is learning using media polya based worksheet with steps to understand the problem, prepare a plan, carry out the plan and check again.
ABSTRAKPembelajaran pada materi statistika dianggap sulit oleh siswa. Salah satu teknik meningkatkan pemahaman dan kemampuan pemecahan masalah dalam materi statistika adalah dengan langkah polya. Tujuan penelitian ini adalah mendeskripskan pembelajaran statistika dengan LKS berbasis polya di siswa SMP. Jenis penelitian ini adalah penelitian tindakan kelas. Subjek penelitian sejumlah 32 siswa yang terdiri 15 siswa laki-laki dan 17 siswa perempuan. Instrumen penelitian ini adalah lembar tes, lembar observasi guru dan lembar observasi siswa. Teknik analisis data yang digunakan adalah analisis data kualitatif yang terdiri dari reduksi data, penyajian data dan penarikan kesimpulan.Kriteria keberhasilan penelitian ini adalah ketuntasan klasikal lebih dari sama dengan 75 dan hasil observasi pada kategori baik. Berdasarkan hasil penelitian diperoleh hasil observasi kegiatan guru pada kategori sangat baik, hasil observasi siswa pada kategori baik dan ketuntasan secara klasikal sebesar 93,75%. Kesimpulan dalam penelitian ini adalah pembeljaran dengan media LKS berbasis polya dengan langkah-langkah memahami masalah, menyusun rencana,melaksankan rencana dan mengecek kembali.
KEEFEKTIFAN MODEL PBL BERBANTU MEDIA CANVA TERHADAP HASIL BELAJAR SISWA PADA PEMBELAJARAN MATEMATIKA KELAS 2 DI SDN BUGANGAN 02
Authors: WIBOWO MEDIANI LARAS , HUDA CHOIRUL , ALIMAH SITI , SUBEKTI ERVINA EKA
Published: July 2024

The background underlying this research is that learning outcomes of second grade students at SDN Bugangan 02 in Mathematics are still low due to the use of inappropriate learning models, so that learning motivations is low and students learning outcomes are not aptimal. The aim of this research is to determine the effectiveness of the Problem Based Learning (PBL) model assisted by Canva on student learning outcomes. This research is quantitative research using One-Group pretest-posttest design with a sample of 14 second grade students at SDN Bugangan 02. Student learning outcomes after being given treatment (post-test) showed an increase as proven by the T-test, it was seen that the significant value was less than 0.05 (0.000 ? 0.05). This means that there is an influential difference between the average pre-test score which was initially 52.80 to 85.00 during the post-test. Thus, it can be concluded that the use of the Problem Based Learning model assisted by Canva has proven to be effective in improving student learning outcomes at the Minimum Completeness Criteria (KKM) limit which is 75. The initial learning completion results were only 7.14% of a total of 14 students achieved completeness, and after being given treatment it became 100% of the total 14 students of second grade at SDN Bugangan 02 who achieved completeness.
ABSTRAKLatar belakang penelitian ini adalah hasil belajar siswa kelas II SDN Bugangan 02 masih rendah di mata pelajaran Matematika akibat penggunaan metode pembelajaran yang tidak efektif. Mencari tahu seberapa baik pendekatan Problem Based Learning (PBL) dalam pendidikan, dengan bantuan Canva, mempengaruhi nilai akhir siswa adalah kekuatan pendorong di balik penelitian ini. Empat belas siswa kelas dua SDN Bugangan 02 berpartisipasi dalam penelitian kuantitatif ini, yang menggunakan desain penelitian One-Group Pretest-Posttest. Uji T menunjukkan adanya peningkatan hasil belajar siswa setelah diberikan perlakuan (post-test). Hasil yang signifikan yaitu kurang dari 0,05 (0,000 ? 0,05) terlihat pada saat dilakukan uji Paired Sample T-test. Hal ini menunjukkan adanya perubahan yang signifikan dari rata-rata nilai Pre-test 52,80 menjadi 85,00 setelah diberikan perlakuan. Berdasarkan persentase peningkatannya dapat dikatakan bahwa penggunaan media Canva untuk membantu paradigma Problem Based Learning telah meningkatkan hasil belajar siswa. Pada saat siswa mencapai batas KKM, hasil belajarnya sudah tuntas sebesar 75 persen. Setelah mendapat perlakuan, persentase siswa yang tuntas meningkat dari 7,14 persen menjadi 100 persen.
INVENTORY MANAGEMENT ANALYSIS FOR LIGHT STEEL ASSEMBLY OPTIMIZATION IN CV. NIRA JAYA ABADI, EAST LAMPUNG
Authors: SANDORA PUTRI , FAUZI FAUZI , SULASTRI SUSI , AMBARWATI DINA
Published: July 2024

Business competition in Indonesia is getting tighter along with the increasing number of entrepreneurs and new companies. One of the important sectors is the construction industry, especially the roofs of buildings that function as protection from weather elements and falling objects. The importance of raw material inventory for smooth production is crucial, because it affects the production process and operational costs. This study aims to analyze the inventory management of raw materials in meeting the demand for light steel assembly in CV. Nira Jaya Abadi in Way Jepara District, East Lampung. The data collection methods used are documentation and interviews. The results of the study show that the management of raw material inventory in CV. Nira Jaya Abadi is not yet optimal in 2023. Using the Economic Order Quantity (EOQ) method, it was found that the number of economical purchases of raw materials was 3,623 units, while the average purchase made by the company was only 1,617 units. This results in a higher frequency of purchases, which is 12 times a year, compared to the optimal frequency of 5 times. As a result, the cost of ordering and inventory of raw materials increased, with inventory costs reaching IDR 19,440,670, while the optimal cost according to the EOQ calculation was IDR 17,065,510.5. This inefficiency causes the company to bear additional costs as well as the risk of damage to raw materials.
ABSTRAKPersaingan bisnis di Indonesia semakin ketat seiring dengan semakin banyaknya wirausahawan dan perusahaan baru. Salah satu sektor yang penting adalah industri konstruksi khususnya atap bangunan yang berfungsi sebagai pelindung dari unsur cuaca dan benda jatuh. Pentingnya persediaan bahan baku untuk kelancaran produksi sangatlah penting, karena mempengaruhi proses produksi dan biaya operasional. Penelitian ini bertujuan untuk menganalisis manajemen persediaan bahan baku dalam memenuhi permintaan perakitan baja ringan di CV. Nira Jaya Abadi di Kabupaten Way Jepara, Lampung Timur. Metode pengumpulan data yang digunakan adalah dokumentasi dan wawancara. Hasil penelitian menunjukkan bahwa pengelolaan persediaan bahan baku di CV. Nira Jaya Abadi belum optimal pada tahun 2023. Dengan menggunakan metode Economic Order Quantity (EOQ), diketahui jumlah pembelian bahan baku yang ekonomis sebanyak 3.623 unit, sedangkan rata-rata pembelian yang dilakukan perseroan hanya 1.617 unit. Hal ini mengakibatkan frekuensi pembelian lebih tinggi yaitu 12 kali dalam setahun dibandingkan frekuensi optimal yaitu 5 kali. Akibatnya biaya pemesanan dan persediaan bahan baku meningkat, dengan biaya persediaan mencapai Rp19.440.670, sedangkan biaya optimal menurut perhitungan EOQ adalah Rp17.065.510,5. Inefisiensi ini menyebabkan perusahaan menanggung biaya tambahan serta risiko kerusakan bahan baku.
PENGARUH MODEL TGT BERBANTUAN MEDIA TARIK GAMBAR DALAM PENINGKATAN PRESTASI BELAJAR IPAS KELAS V SD NEGERI TAWANGMAS 01
Authors: LESTARI KURNIA INDAH , RASIMAN RASIMAN , HARTATI HARTATI , JANUAR HENRY
Published: July 2024

The purpose this research is to determine the effect of the TGT (Teams-Games-Tournament) model assisted by picture drawing media on the learning outcomes of fifth-grade students in science at SD Negeri Tawangmas 01. This study is quantitative with a pre-experimental design method, specifically a one-group pretest-posttest design. The subjects of this research were 28 fifth-grade students from SD Negeri Tawangmas 01 in Semarang. Data obtained were tested using normality tests, N-Gain tests, and paired sample t-tests. Based on the calculations, the average pretest score was 58, and the average posttest score was 95. This is evidenced by the hypothesis test results through the paired sample t-test, where the Sig value was less than 0.05, indicating that Ha was accepted and H0 was rejected at a significance level of ? = 0.05, with a significance value of 0.000 < 0.05. This means that the TGT model assisted by picture drawing media is effective in improving the cognitive learning outcomes of fifth-grade students in science. The N-Gain criteria also received a score of > 0.7, indicating that the use of the TGT model with picture drawing media has a high criterion. Based on this research, it is recommended that the TGT model with picture drawing media can be used as a model and medium to help make the learning process enjoyable and to improve the cognitive learning outcomes of students.
ABSTRAKTujuan penelitian ini adalah untuk mengetahui pengaruh model TGT dengan berbantuan media tarik gambar terhadap hasi belajar peserta didik materi IPAS kelas V SD Negeri Tawangmas 01. Jenis penelitian ini adalah kuantitatif dengan metode pre-eksperimen design dengan desain one-group pretest-posttest. Subjek penelitian ini adalah siswa kelas V SD Negeri Tawangmas 01 Semarang dengan jumlah 28 peserta didik. Data yang diperoleh diujikan melalui uji normalitas, uji N-Gain, dan uji t paired sampel T-test. Berdasarkan hasil perhitungan diperoleh rata-rata pretest 58 dan rata-rata nilai posttest 95. Hal ini dibuktikan dengan hasil uji hipotesis melalui uji t paired sampel t-test bahwa nilai Sig < 0.05 maka Ha diterima dan H0 ditolak pada taraf signifikan ? = 0.05 dengan nilai signifikan 0.000 < 0.05 artinya model TGT dengan berbantuan media tarik gambar efektif digunakan untuk meningkatkan hasil belajar kognitif peserta didik kelas V materi IPAS. Kriteria N-gain juga mendapat nilai > 0,7 yang menunjukkan bahwa penggunaan model TGT dengan berbantuan media tarik gambar memiliki kriteria tinggi. Saran yang dapat disampaikan berdasarkan penelitian ini adalah model TGT dengan berbantuan media tarik gambar dapat dijadikan salah satu model dan media untuk membantu proses pembelajaran agar menyenangkan dan dapat meningkatkan hasil belajar kognitif peserta didik.
CARCINOMA DE CÉLULAS CLARAS RENAIS NA PRÓSTATA: UMA REVISÃO SISTEMÁTICA DA LITERATURA
Authors: Falabretti Victoria , Sá Victor Guilherme de Sousa , Mendonça Mylena Carvalho , Cardoso Ionara Lecyanne Lisboa , Cardoso Shara Maria Pereira , Cordeiro Virna Virgínia Alves , Cruz Antônio Cesar Marques da Costa , Araujo Junior Abelardo Alves de
Published: July 2024

: O carcinoma de células claras renais (CCRc) é uma neoplasia primária dos rins e representa até 75% de todos os casos de carcinomas de células renais. Entretanto, sua ocorrência na próstata é uma condição rara.  Os pacientes com a patologia, em geral, apresentam-se assintomáticos nos estágios iniciais, podendo evoluir para estágios mais avançados com metástases no pulmão, fígado e ossos. Este achado histopatológico em localização extra-renal como tumor primário exige investigação clinicopatológica. Este artigo de revisão sistemática investiga a literatura atual sobre CCR na próstata, abordando sua apresentação clínica, diagnóstico, terapias disponíveis e prognóstico. Foi realizada busca e estudo de um conjunto de trabalhos nas plataformas PubMed, Medline e BVS, onde foram selecionados estudos publicados a partir 2015, onde oito documentos foram selecionados e apenas seis utilizados devido aos critérios de inclusão estabelecidos. Este estudo é de grande relevância para a comunidade acadêmica, pois visa unir os achados clínicos e manejo terapêutico dos casos relatados até o momento sobre carcinoma de células claras na próstata.
EDUCADORES E TECNOLOGIAS DIGITAIS: DESAFIOS E PERSPECTIVAS DOS DOCENTES
Authors: E Sousa Ana Clécia Santana d , Silva Silvania Lima da , Santos Maria Pricila Miranda dos
Published: July 2024

Esta pesquisa teve como objetivo identificar as facilidades e/ou dificuldades encontradas pelos educadores em integrar novos recursos tecnológicos como práticas no processo de ensino e de aprendizagem no cotidiano escolar. É formulada por um estudo abrangente de caráter descritivo e de ordem qualitativa, com fundamentos sobre a importância das Tecnologias de Informação e Comunicação - TICs como elementos de grandes valores a serem associados ao processo de ensino/aprendizagem, Anos Finais do Ensino Fundamental e Médio. Nessa perspectiva, com a finalidade de atender a temática em destaque, este trabalho discute-se acerca da importância do uso das tecnologias em sala de aula e suas contribuições para o desenvolvimento da aprendizagem. A priori traz uma breve reflexão sobre a educação durante o período pandêmico, com ênfase nas transformações educacionais advindas desse período, discutindo os impasses e os desafios predominantes entre os educadores, destacando a formação do professor como a chave para o sucesso de uma educação de qualidade, reportando-se principalmente a trajetória da inserção da informática na educação e todo seu processo de aperfeiçoamento. Implicando para os benéficos advindos para o meio educacional se houver uma boa relação entre educação e tecnologia. É composto, também, por uma análise sobre a importância da boa relação do educador com as tecnologias. Com o intuito de atender a temática foram entrevistadas por meio de questionários duas profissionais da Educação que atuaram durante e após a pandemia relatando as transformações vivenciadas por elas na área de atuação.
REABILITAÇÃO FUNCIONAL APÓS LESÃO DO LIGAMENTO TALOFIBULAR ANTERIOR (LTFA) EM ATLETAS: ABORDAGENS TERAPÊUTICAS E EVIDÊNCIAS CIENTÍFICAS
Authors: Rezende Gustavo Di Luigi , Carvalho Arthur Ribeiro de , Guimarães Pedro Paulo Ribeiro , Moreira Neto Ivan , Shinyashiki Marina Bava
Published: July 2024

A lesão do ligamento talofibular anterior (LTFA) é comum em esportes que envolvem mudanças rápidas de direção e saltos, resultando em uma instabilidade lateral do tornozelo. Este diagnóstico condição é complexo e envolve mudanças na anatomia e biomecânica do tornozelo, que são frequentemente causadas por movimentos de rotação e inversão. Sua condição demanda uma reabilitação funcional, a qual inclui fortalecimento muscular, exercícios proprioceptivos, mobilidade articular e alongamento dos tecidos moles, etapas cruciais para a recuperação funcional. A realização de exercícios proprioceptivos melhora a coordenação neuromuscular e fortalece os músculos peroneais, tibial anterior e gastrocnêmio. Alongamento e mobilização articular são essenciais para recuperar a amplitude de movimento e a flexibilidade. Durante a recuperação, técnicas de bandagem e órteses podem ajudar e devem ser feitas continuamente para evitar novas lesões e a incidência de entorses. A reabilitação do LTFA deve ser multifacetada e incluir educação contínua do paciente, fortalecimento, propriocepção, mobilidade e prevenção. Esta revisão visa fornecer uma visão abrangente da lesão do ligamento talofibular anterior, abordando suas características clínicas, fisiopatologia e opções de tratamento com base na evidência disponível na literatura científica.
APRENDIZADO HÍBRIDO
Authors: Santos Maria Eliane Ferreira dos
Published: July 2024

Este trabalho reúne material básico sobre pesquisa e informações científicas, relacionadas a importância do blended learning que também é chamado de ensino híbrido, misto ou b-learning. Ele pode ser definido como um modelo de educação formado por mais de um tipo de ensino, que integra aprendizado presencial e a distância, usando normalmente a tecnologia. O objetivo desse formato é aproveitar os benefícios do ensino presencial e do digital, ao mesmo tempo em que minimiza suas desvantagens. Dessa forma este artigo irá falar sobre itens importantes para sua funcionalidade. Sabe-se que um programa de educação corporativa criado no modelo blended learning apresenta mais benefícios para todos, como aumento da eficiência, mobilidade e possibilidade de personalização do ensino.
TECNOLOGIAS INTEGRADAS À SALA DE AULA
Authors: Santos Maria Eliane Ferreira dos
Published: July 2024

A pesquisa para este artigo reúne material básico sobre pesquisa e informação científica, com exemplos na área de tecnologias integradas à sala de aula nos dias atuais. Conteúdo: conceitos gerais; tipos de pesquisas e etapas do processo de pesquisa de conteúdo; etapas e estrutura; estrutura e redação; principais fontes de informação em tecnologias educacionais e pesquisa bibliográfica. Visa contribuir para a capacitação de pessoal da área e fornecer subsídios para a prática científica no meio acadêmico.
ASSOCIAÇÃO ENTRE INFECÇÃO POR HIV E COMPLICAÇÕES CARDIOVASCULARES: IMPLICAÇÕES CLÍNICAS
Authors: Silva Matheus Souza , Damacena Maria Izadora Sousa , Queiroz Thais de Paula , Ferreira Isabella de Almeida Gonçalves , Matera Laura de Alcântara
Published: July 2024

A associação entre infecção por HIV e complicações cardiovasculares tem sido objeto de crescente interesse devido ao aumento da sobrevida dos pacientes com HIV devido aos avanços no tratamento antirretroviral. Estudos sugerem que indivíduos soropositivos têm um risco elevado de desenvolver doenças cardiovasculares, como doença arterial coronariana, insuficiência cardíaca e acidente vascular cerebral. Mecanismos propostos incluem efeitos diretos do HIV no sistema cardiovascular, efeitos indiretos relacionados à inflamação crônica e efeitos colaterais de medicamentos antirretrovirais. Objetivo: analisar criticamente estudos recentes que investigaram a relação entre infecção por HIV e complicações cardiovasculares, identificando fatores de risco, impactos clínicos e estratégias de manejo. Metodologia: Utilizou-se o checklist PRISMA para guiar esta revisão sistemática. Artigos foram selecionados nas bases de dados PubMed, Scielo e Web of Science, com os descritores "HIV", "cardiovascular complications", "risk factors", "antiretroviral therapy", e "systematic review". Critérios de inclusão foram estudos publicados nos últimos 10 anos, artigos revisados por pares, e foco na associação entre HIV e complicações cardiovasculares. Critérios de exclusão incluíram estudos duplicados, não relacionados ao tema e com amostras pequenas. Resultados: revelaram uma correlação significativa entre HIV e maior incidência de eventos cardiovasculares, especialmente em pacientes mais jovens. Fatores de risco identificados incluíram idade avançada, duração prolongada da infecção por HIV e uso de certos medicamentos antirretrovirais. Estratégias de manejo enfatizaram a importância do controle metabólico e cardiovascular precoce, além de intervenções para reduzir o risco global de doenças cardiovasculares. Conclusão: Esta revisão destaca a necessidade de vigilância contínua e intervenções preventivas direcionadas para melhorar os resultados cardiovasculares em pacientes com HIV, integrando cuidados clínicos e estratégias de tratamento eficazes.
INSÔNIA E A TERAPIA COGNITIVO-COMPORTAMENTAL
Authors: Silva Carolina de Souza e , Lima Kauã Medeiros , Silva Paula Oliveira , Pucci Silvia Helena Modenesi
Published: July 2024

O transtorno da insônia tem como característica a insatisfação com a qualidade e quantidade do sono. As queixas mais frequentes são em relação a dificuldade em iniciar ou manter o sono, apresentando sofrimento clinicamente significativo e/ou prejuízo no funcionamento social, profissional e em outras áreas importantes da vida do indivíduo. Os objetivos dessa pesquisa são investigar quais as estratégias e/ou técnicas podem ser utilizadas para manejar os sintomas do transtorno de insônia. Metodologia: Revisão integrativa da literatura, utilizando a base de dados indexada PubMed, BVS e APA e descritores: “insônia” e “terapia cognitivo comportamental”. Foram aplicados critérios de elegibilidade, e pesquisados artigos de resultados dos últimos cinco anos em português e inglês. Resultados: Os resultados encontrados mostram que as técnicas de higiene do sono, restrição do sono entre outros achados são estratégias utilizadas para manejar os sintomas do transtorno de insônia. A terapia cognitivo-comportamental para insônia (TCC-I) pode efetivamente melhorar a qualidade do sono e vida dos indivíduos. Esses achados, são consistentes com pesquisas anteriores que sugerem a TCC como a opção de tratamento para a insônia. Conclusão: A TCC atua como coadjuvante no processo de tratamento do Transtorno de insônia com técnicas colaborativas. Identificou-se a necessidade de mais publicações nacionais acerca do tema.
ABORDAGEM MULTIDISCIPLINAR NA PREVENÇÃO DE QUEDAS EM IDOSOS: PAPEL DOS FISIOTERAPEUTAS, MÉDICOS E TERAPEUTAS OCUPACIONAIS
Authors: Breitenbach Luciana Martinuzzi , Soares Lorena Di Lauro , Magalhães Ana Luiza Santos , Magalhães Ana Carolina Santos , Brito Zayla Adeilde Aguiar de , Valentim Cesar Guilherme Queiroz , Rodrigues Marina Catharino , Fernandes Isadora Marçal Barbosa , Pereira Lívia Vilaça Cota , Naves João Dias Batista Dixini
Published: July 2024

A prevenção de quedas em idosos é um desafio significativo de saúde pública, devido aos altos índices de morbidade, mortalidade e impacto econômico associados. Esta revisão integrativa analisou e sintetizou evidências sobre a eficácia de abordagens multidisciplinares na prevenção de quedas em idosos, destacando o papel dos fisioterapeutas, médicos e terapeutas ocupacionais. A pesquisa incluiu 17 estudos publicados entre 2010 e 2023, abrangendo ensaios clínicos randomizados, estudos de coorte, estudos de caso-controle e revisões sistemáticas. Os resultados indicaram que intervenções de fisioterapia, incluindo programas de exercícios direcionados ao fortalecimento muscular, equilíbrio e mobilidade funcional, são eficazes na redução do risco de quedas. Os médicos desempenham um papel crucial na revisão e ajuste de medicamentos, bem como na gestão de condições crônicas e na correção de déficits sensoriais. Os terapeutas ocupacionais contribuem significativamente ao adaptar o ambiente domiciliar e promover técnicas seguras para a realização das atividades diárias. A integração das intervenções desses profissionais em um programa coordenado mostrou-se a abordagem mais eficaz para a prevenção de quedas, destacando a importância da comunicação e coordenação entre os membros da equipe multidisciplinar. A personalização das intervenções para atender às necessidades individuais dos idosos também foi identificada como essencial para maximizar os benefícios. Concluímos que a abordagem multidisciplinar na prevenção de quedas é fundamental para reduzir a incidência de quedas e melhorar a qualidade de vida dos idosos. Políticas de saúde devem apoiar modelos de cuidados integrados e promover a formação contínua dos profissionais de saúde envolvidos. Futuras pesquisas devem explorar a eficácia dessas intervenções em diferentes contextos culturais e socioeconômicos, bem como o impacto de novas tecnologias na prevenção de quedas.
Design Study for an Airborne N2O Lidar
Authors: Kiemle Christoph , Fix Andreas , Fruck Christian , Ehret Gerhard , Wirth Martin
Published: July 2024

Abstract. Nitrous oxide (N2O) is the third most important greenhouse gas modified by human activities after carbon dioxide and methane. This study examines the feasibility of airborne differential absorption lidar to quantify N2O emissions from agriculture, fossil fuel combustion, industry and biomass burning. The mid-infrared spectral region, where suitably strong N2O absorption lines exist, challenges passive remote sensing by means of spectroscopy due to both low solar and terrestrial radiation. Lidar remote sensing is principally possible thanks to the laser as independent radiation source, but has not yet been realized due to technological challenges. Mid-infrared N2O absorption bands suitable for remote sensing are investigated. Simulations show that a spectral trough position between two strong N2O lines in the 4.5 µm band is the best option. A second option exists in the 3.9 µm band at the cost of higher laser frequency stability constraints and less measurement sensitivity. Both options fulfill the N2O measurement requirements for agricultural areal or point source emission quantification (0.5 % measurement precision, 500 m spatial resolution) with technically realizable and affordable transmitter (100 mW average laser power) and receiver (20 cm telescope) characteristics for integrated-path differential absorption lidar that measures the column concentration beneath the aircraft. While a satellite implementation is still out of reach owing to the lack of space-proof technology, the development of an airborne N2O lidar is feasible, yet would benefit from progress in infrared laser transmitter and low-noise detection technology.
Naturally fractured reservoir characterisation in heterogeneous sandstones: insight for uranium in situ recovery (Imouraren, Niger)
Authors: Jamet Maxime , Ballas Gregory , Soliva Roger , Gerbeaud Olivier , Lefebvre Thierry , Leredde Christine , Loggia Didier
Published: July 2024

Abstract. This study delves into the characterisation of a heterogenous reservoir, the Tchirezrine II sandstone unit in northern Niger. The characterisation is crucial for potential uranium in situ recovery (ISR) in a naturally fractured and faulted context. Employing a multifaceted approach, including well log data, optical borehole imagery, and hydrogeological tests, alongside satellite-based lineament analysis, this study provides a comprehensive understanding of the structures and their impact on fluid flow. Lineament analysis reveals scale-dependent patterns, consistent with spatially homogeneous joint networks restricted to mechanical units, as well as nearly scale-invariant patterns, better corresponding to spatially heterogeneous fault networks. Various deformation structures are detected from borehole imagery, including extensional fractures, cataclastic deformation bands, and brecciated–cataclastic fault cores. Based on well log data, the Tchirezrine II reservoir displays heterogeneous porosity and permeability related to its fluvial context. These data differ from the traditional porosity–permeability relationship obtained in a sandstone reservoir matrix but are instead consistent with Nelson's classification, emphasising the impact of deformation structures on such petrophysical properties. Hydrological tests have been implemented into a zone of E–W-trending deformation structures, revealing a strong permeability anisotropy. This strong E–W anisotropy is consistent with the presence of the observed E–W structures, i.e. with a draining behaviour of extensional open fractures and a sealing behaviour of both cataclastic bands and fault rocks. Considering implications for ISR mining, this study allows the discussion of the interplay between fractures, faults, and fluid flow properties. It suggests that a well pattern perpendicular to the main permeability orientation can attenuate channelled flow, thus improving the contact of the leach solution with the mineralised matrix. These results provide an integrated approach and a multi-scale characterisation of naturally fractured reservoir (NFR) properties in sandstone, offering a basis for the optimisation of NFR production such as ISR development.
The Life Course of 20th-Century Lyon Silk Workers. A Pilot Study
Authors: Wroten Elizabeth , Hareven Tamara
Published: July 2024

At the time of her death in October 2002, Dr. Tamara Hareven was in the process of completing a large cross-cultural examination of the global declines in the silk and textile industries. A small sample of her interview data transcripts from canuts in Lyon have, more than 20 years after her death, been translated into English and coded for themes as a pilot study of a larger data set. Six themes emerged from the participants' data.  Participants sensed that the industry was disappearing, that the industry was something that was looked at as a historical artifact to be studied rather than a profession, and that there was not enough being done to encourage young people to enter the industry. Gender disparities within the industry continued to a lesser extent than before the 20th century began, but still seemed profound, especially as girls who were recruited for apprenticeships were often minors when they were moved away from their families. The apprenticeship conditions continued to be less than desirable well into the 20th century. Economically, the silk industry is often poorly paid and vulnerable to economic crises as fashion and world economics change. Large social changes often had impacts on the family life of the silk worker families. Finally, just as economics tended to ebb and flow for the silk industry, so did the labor conditions.
AB-Türkiye İlişkileri Bağlamında Ermenilerin Kimlik İnşasına Yeniden Bakış
Authors: Candaş Yardım Nazlıgül
Published: July 2024

This article critically analyses the reconstruction of the Armenian identity in the context of reforms in Turkey's European Union (EU) accession process. Within the scope of the research, in order to understand the cultural, ethnic and religious identity construction processes of the Armenian community in Istanbul, the existing academic literature on Armenians in Turkey has been analysed in detail, and field research based on observation and in-depth interviews has been conducted. In line with the historical background ranging from the Ottoman millet system to the Republic's policies of creating a homogenous nation, from the democratisation movement to the EU accession process, the construction process of Armenian identity has been analysed in three stages in the light of the relevant theoretical debates. Firstly, the historical development of different legal statuses evolving from non-Muslims to minorities is analysed; secondly, the reform process brought about by the EU membership process is examined. While analysing this process, the basic dynamics that contributed to the formation of Armenian identity were first identified. Secondly the prominent changes in the legal, political, social and cultural fields that accelerated the reconstruction of the Armenian community's identity by the EU reform process were tried to be identified. Finally, the social dilemmas experienced in the aftermath of the reforms are analysed and the ongoing identity struggle of the Armenian community is outlined. While the EU membership process allows the Armenian community in Turkey to express their identities more openly and freely, social insecurity and dilemmas prevent this process from being fully realised. The study analyses the theoretical approaches to identity construction and the political, economic, social and cultural transformations experienced by the Armenian community in Turkey and offers suggestions on the processes of identity struggle. In particular, it is emphasised that overcoming social insecurities and dilemmas is critical for the sustainable survival of Armenian identity. In this context, it is concluded that more inclusive and supportive policies should be developed in order to preserve the Armenian identity and increase its social acceptance. Key Words: Identity, European Union, Türkiye, Armenian identity, minority
Agorafobiye Eşlik Eden Panik Bozuklukta Bilişsel Davranışçı Terapi: Olgu Sunumu
Authors: Ortaç Onur
Published: July 2024

This study was conducted using DSM-IV and DSM-V criteria for agoraphobia and panic disorder. The client was a 20-year-old woman. Cognitive behavioural therapy was used in the interviews. The client, who was locked in the ward as a result of falling asleep in the ward in the first school, started to fear of not being able to stay in closed areas and not being able to walk alone in open areas. Upon this, he was taken to a psychologist by his family and although these problems were overcome to some extent, they were triggered again when he saw that his uncle locked his cousin in the room to punish him at the dinner they went to his uncle's family. The client applied to the therapy by saying that he could not stay in closed areas again, his heart beat rapidly when he entered those areas, numbness in his hands and feet, and he felt like he was going to die. The client was first introduced to the cognitive behavioural model and psychoeducation was given. Then a therapeutic relationship was established with the client. In the continuation of the sessions, homework, relaxation exercises were given to the client and automatic thinking and basic beliefs were determined. At the end of the session, thanks to cognitive behavioural therapy, it will be seen that the client's fear of closed spaces and panic attack symptoms experienced in closed spaces decreased. Keywords: Agoraphobia, Panic Disorder, Cognitive Behavioural Therapy.
Analisis Partisipasi Masyarakat dalam Pilkada Walikota di Kota Tangerang Selatan Tahun 2020
Authors: Awat Amir Zulkarnain , Izzatusholekha Izzatusholekha , Salam Rahmat , Andriansyah Andriansyah
Published: July 2024

Penelitian ini bertujuan untuk menganalisis tingkat partisipasi masyarakat dalam Pemilihan Kepala Daerah (Pilkada) Walikota di Kota Tangerang Selatan pada tahun 2020. Partisipasi masyarakat dalam proses pemilihan kepala daerah memiliki peran penting dalam memastikan representasi yang demokratis dan legitimasi dari hasil pemilihan tersebut. Metode penelitian yang digunakan adalah penelitian kualitatif dengan pendekatan deskriptif. Teori yang digunakan dalam penelitian partisipasi masyarakat ini berasal dari Sherry Arnstein (informing, consultation, dan placation). Data primer diperoleh melalui wawancara yang disebar kepada warga Kota Tangerang Selatan yang memiliki hak pilih dalam Pilkada Walikota. Penelitian ini juga memanfaatkan data sekunder dari instansi terkait dan lembaga yang relevan untuk memperoleh gambaran menyeluruh tentang konteks politik dan sosial di kota tersebut. Hasil dari analisis mengungkapkan tingkat partisipasi masyarakat dalam Pilkada Walikota Tangerang Selatan pada tahun 2020, termasuk tingkat kehadiran di tempat pemungutan suara, tingkat partisipasi dalam debat kandidat, kampanye politik, dan kegiatan lainnya terkait pemilihan. Selain itu, penelitian ini juga mengidentifikasi faktor-faktor yang mempengaruhi partisipasi masyarakat dalam Pilkada, seperti tingkat kesadaran politik, tingkat pendidikan, dan persepsi tentang integritas calon. Hasil penelitian ini diharapkan dapat memberikan kontribusi dalam memahami tingkat partisipasi masyarakat dalam proses Pilkada Walikota dan faktor-faktor yang memengaruhinya di Kota Tangerang Selatan pada tahun 2020. Temuan-temuan ini diharapkan dapat menjadi dasar untuk merumuskan kebijakan yang lebih efektif dalam meningkatkan partisipasi masyarakat dalam proses politik dan pemilihan kepala daerah di masa mendatang.
Estetika dan Etika dalam Dakwah Digital: Studi pada Desain konten Islami di Instagram
Authors: Zanzibar Zanzibar
Published: July 2024

Artikel ini bertujuan untuk membahas bagaimana elemen estetika dan etika dapat diintegrasikan dalam desain konten dakwah di media sosial, khususnya Instagram. Penelitian ini menggunakan pendekatan kualitatif dengan menganalisis contoh-contoh nyata dari akun Instagram yang berhasil memadukan estetika dan etika dalam konten dakwah mereka. Penelitian ini menemukan bahwa desain konten dakwah di Instagram yang memadukan elemen estetika (daya tarik visual) dan etika (kejujuran, penghormatan terhadap nilai- nilai Islam, sensitivitas) dapat meningkatkan penerimaan dan efektivitas pesan dakwah di kalangan audiens yang beragam. Penelitian ini terbatas pada analisis konten Instagram, sehingga perlu eksplorasi lebih lanjut pada platform media sosial lainnya. Artikel ini memberikan wawasan tentang penerapan prinsip-prinsip desain dalam konteks dakwah digital, khususnya dalam menjaga keseimbangan antara estetika dan etika, yang belum banyak dieksplorasi dalam penelitian sebelumnya.
PERAN PEMERINTAH DALAM MENCEGAH DAN MENANGANI PENURUNAN KASUS STUNTING DI KABUPATEN ACEH UTARA
Authors: Zahara Ana , Aruni Fidhia , Chyntia Eka
Published: July 2024

Penanganan stunting merupakan salah satu prioritas pembangunan nasional yang tercantum dalam RPJMN 2020-2024 dengan target penurunan angka stunting sebesar 11,8% pada tahun 2024 (3). Fokus utama dalam penanganan stunting oleh Kementerian Kesehatan RI adalah memberikan intervensi gizi spesifik yang diberikan pada 1000 Hari Pertama Kehidupan (HPK). Kabupaten Aceh Utara menempati peringkat kedua di Aceh dengan prevalensi balita stunting sebesar 38,3%. Posisinya disusul oleh Kabupaten Pidie Jaya dengan prevalensi balita stunting 37,8%. Peraturan Bupati Nomor 41 Tahun 2020 Tentang Percepatan Penurunan Stunting Terintegrasi merupakan pedoman dalam penangan dan pencegahan stunting di Kabupaten Aceh Utara. Hadirnya aturan tersebut diharapkan mencegah stunting di Kabupaten Aceh Utara. Namun, hadirnya aturan tersebut hingga saat ini masih belum mampu menekan angka stunting di Kabupaten Aceh Utara. Untuk itu, melalui Peraturan Bupati tersebut peneliti ingin melihat bagaimana usaha Pemerintah bekerjasama dengan para stakeholder dalam pencegahan dan mengurangi prevalensi stunting pada anak balita di Kabupaten Aceh Utara berdasarkan Peraturan Bupati Nomor 41 Tahun 2020 Percepatan Penurunan Stunting Terintegrasi. Penelitian ini juga mendukung Fokus penelitian Era MBKM pada Bidang Fokus Kemandirian Kesehatan.Urgensi penelitian ini adalah untuk mengetahui bagaimana upaya Pemerintah Kabupaten Aceh Utara dalam pencegahan dan penanganan prevalensi stunting pada anak balita di Kabupaten Aceh Utara serta menguraikan informasi bagaimana Pemerintah Kabupaten Aceh Utara menciptakan kerjasama dengan semua pihak yang bertanggungjawab terhadap pencegahan dan penanganan prevalensi stunting pada anak balita di Kabupaten Aceh Utara. Penelitian ini menggunakan penelitian kulitatif deskriptif, dan data diambil dengan cara wawancara dan penyebaran gloogle form kepada aparatur pemerintah, stakeholder dan masyarakat terkait. Luaran penelitian ini berupa jurnal nasional terakreditasi 1-6 dengan tingkat TKT yang hiharapakan adalah 3.
BLATER DAN POLIGAMI PADA MASYARAKAT MADURA
Authors: Holilah Holilah , Arifin Samsul Arifin
Published: July 2024

Penelitian ini berjudul “BLATER DAN POLIGAMI PADA MASYARAKAT MADURA (Studi Kasus Faktor Penyebab Blater Berpoligami dan Pengaruhnya Terhadap Status Sosial Istri di Kecamatan Tanjungbumi Kabupaten Bangkalan). Adapun rumusan masalahnya adalah: (1) Apakah faktor penyebab harmonisnya hubungan keluarga poligami pada kelompok blater di Kecamatan Tanjungbumi Kabupaten Bangkalan, serta; (2) Bagaimana pengaruh menjadi istri blater terhadap status sosial para istri di Kecamatan Tanjungbumi Kabupaten Bangkalan. Penelitian ini bertujuan untuk menganalisis dan mendeskripsikan faktor-faktor yang menyebabkan harmonisnya hubungan keluarga dalam konteks poligami pada komunitas blater di Kecamatan Tanjungbumi Kabupaten Bangkalan, serta menganalisis dan mendeskripsikan pengaruh menjadi istri blater terhadap status sosial para istri di Kecamatan Tanjungbumi Kabupaten Bangkalan. Studi ini merupakan penelitian lapangan yang mengadopsi pendekatan kualitatif, khususnya menggunakan jenis desain studi kasus. Penelitian ini melibatkan informan sebanyak 17 orang yang terdiri dari 5 pasangan orang blater berpoligami, 1 pasangan orang blater yang dahulu pernah berpoligami, 1 pasangan orang blater tidak berpoligami, 1 orang blater tidak berpoligami dan 2 tokoh masyarakat Tanjungbumi. Pengumpulan data dilaksanakan melalui: (1) pengamatan partisipatif; (2) wawancara mendalam, dan; (3) dokumentasi serta studi kepustakaan. Temuan yang didapatkan dalam penelitian ini adalah: pertama, faktor yang menyebabkan orang blater berpoligami adalah: (1) menambah/meningkatkan keblateran seseorang; (2) memperbanyak anak/keturunan; (3) karena hobi dan senang; (4) ingin mendapatkan anak laki-laki; (5) besarnya pengaruh blater di masyarakat, dan; (6) karena memiliki ekonomi yang mapan (kaya). Kedua, poligami blater berpengaruh positif terhadap status sosial istri, yaitu dapat menaikkan status sosial istri dari yang biasa menjadi orang yang disegani di masyarakat. Hal ini tidak lain karena blater adalah salah satu kelompok yang diposisikan sebagai status sosial atas di masyarakat, meskipun disisi perilaku lebih dekat dengan preman.