bluuebunny/crossref_metadata_2025 huggingface dataset:
Integrative resilience in action: Stories from the frontlines of climate change and the Covid-19 pandemic
Authors: Camponeschi Chiara
Published: September 2022

Interest in resilience and vulnerability has grown remarkably over the last decade, yet discussions about the two continue to be fragmented and increasingly ill-equipped to respond to the complex challenges that systemic crises such as climate change and the Covid-19 pandemic pose to people, places, and the planet. Institutional interventions continue to lag behind, remaining predominantly focused on technocratic framings of vulnerability and resilience that do not lead to a more robust engagement with the reality of the changes that are underway. This paper provides a blueprint for facilitating intersectional resilience outcomes that ensure that as a society we are not merely surviving a crisis, but are committing to interventions that place equity, solidarity, and care at the center of healthy adaptation and wellbeing. First, it traces the evolution of resilience from a strictly ecological concept to its uptake as a socio-ecological framework for urban resilience planning. Next, it argues that current framings of vulnerability should be expanded to inform interventions that are locally relevant, responsive, and “bioecological.” The integrative resilience model is then introduced in the second half of the paper to challenge the scope of formal resilience plans while providing an entry point for renewed forms of resistance and recovery in the age of neoliberalism-fueled systemic crisis. The three pillars of the model are discussed alongside a selection of scalable and adaptable community-driven projects that bring this approach to life on the ground. By being rooted in lived experience, these innovative initiatives amplify and advance the work of frontline communities who are challenging and resisting the neoliberalization not only of urban governance and resilience, but of wellbeing and (self-) care more broadly.
Understanding the impact of vegetation dynamics on the water cycle in the Noah-MP model
Authors: Hosseini Atefeh , Mocko David M. , Brunsell Nathaniel A. , Kumar Sujay V. , Mahanama Sarith , Arsenault Kristi , Roundy Joshua K.
Published: September 2022

The impact of extreme climate events, especially prolonged drought, on ecosystem response, can influence the land-atmosphere interactions and modify local and regional weather and climate. To investigate the impact of vegetation dynamics on the simulation of energy, water, and carbon exchange at the land surface and streamflow, especially during drought conditions, we compared the performance of multiple versions of the Noah- multiparameterization (MP) land surface model (both Noah-MP LSM, version 3.6 and 4.0.1) with default configurations as well as various vegetation physics options, including the dynamic or input leaf area index (LAI) and the fractional vegetated area (FVEG). At the site level, simulated water and energy fluxes from each version were compared to eddy covariance (EC) flux tower measurements and remote sensing data from Moderate-Resolution Imaging Spectroradiometer (MODIS) at well-characterized natural grassland sites in Kansas from 2008 to 2018. The ability of each version to reproduce annual mean river flows was compared to gauged observations at United States Geological Survey (USGS) stations over 11 years (2008–2018). Model performance in replicating spatial patterns during extreme events was assessed by comparing simulated soil moisture (SM) percentiles over the state of Kansas to the U.S. Drought Monitor (USDM). Results from these comparisons indicate that (a) even though there were differences in the latent heat (LE) components (i.e., transpiration, canopy evaporation, and soil evaporation), the total LE is mostly insensitive to variations in LAI across all model versions. This indicates that the incoming net radiation limits the total evaporation, as the presence of adequate soil moisture allows for higher soil evaporation when LAI limits transpiration; (b) regardless of the model version, the force of the precipitation largely dictates the accuracy of evapotranspiration (ET) simulation; (c) Overestimation of LE resulted in underestimation of streamflow, particularly over the land surface type dominated by a combination of grasses and cropland in the western and central part of the state; (d) all of the tested Noah-MP 4.0.1 vegetation physics produced spatial patterns of drought that more closely matched the USDM as compared to version 3.6. These findings have important relevance for applications of large-scale ecosystem-atmosphere feedbacks in water, carbon, and energy exchange.
Clinical study on the treatment of primary trigeminal neuralgia by robot-assisted percutaneous balloon compression
Authors: Dong Fa-yan , Zhan Qi , Shao Zheng-kai , Gu Qiang , Gao Xue-ting , Zhou Bei , Li Lang , Ma Yi-wen , Wang Xue-feng , Liang Yan-chao
Published: September 2022

Background

C-arm-guided percutaneous puncture balloon compression alone has risk factors of puncture failure, complications, and poor prognosis. Robot-assisted PBC can effectively increase the one-time puncture success rate and improve the safety of the procedure. However, evidence on the superiority of robot-assisted PBC over C-arm-guided PBC alone remains relatively limited.

Methods

Retrospective analysis The clinical data of 60 patients with trigeminal neuralgia aged 60 years or older in the Department of Neurosurgery of the Fourth Hospital of Harbin Medical University from January 2021 to October 2021. There were 29 males and 31 females, and the patients’ ages ranged from 60 to 79 years, with an average of 71.63 ± 5.12 years. Two groups were divided according to the surgical method, the C-arm guidance-only group (30 cases, n = 30) and the robot-assisted group (30 cases, n = 30). The success rate of first puncture, total operation time, number of “pear-shaped” balloons, number of C-arm x-ray scans, and immediate postoperative relief rate were recorded in both groups, and follow-up was performed to evaluate the postoperative results and complications. The overall evaluation of postoperative results and complications was performed.

Results

Intraoperative balloon compression was successfully completed in all 60 patients, and the first puncture success rate was higher in the robot-assisted group than in the simple C-arm group, with a significant difference between the two groups (P < 0.001). In terms of intraoperative balloon morphology, the number of “pear-shaped” balloons was higher in the PBC than in the C-arm-only PBC group, with a significant difference between the two groups (P < 0.005). The degree of immediate postoperative remission in the robotic group was 0 VAS score, which was not statistically significant in both groups (P > 0.05). By the final follow-up, the mean VAS score of the robot-assisted group was lower than that of the simple C-arm group, and both were statistically significant (P < 0.05); complications of masticatory muscle weakness or abnormal facial sensation occurred in both groups after surgery, but the number of cases in the robot-assisted group was less than that of the simple C-arm group.

Conclusion

Robot-assisted PBC is better than PBC with a C-arm x-ray machine in terms of first puncture success rate, number of intraoperative balloon “pear-shaped” cases, number of C-arm x-ray scans and short-term efficacy.
The development of machine learning in lung surgery: A narrative review
Authors: Taha Anas , Flury Dominik Valentin , Enodien Bassey , Taha-Mehlitz Stephanie , Schmid Ralph A.
Published: September 2022

Background

Machine learning reflects an artificial intelligence that allows applications to improve their accuracy to predict outcomes, eliminating the need to conduct explicit programming on them. The medical field has increased its focus on establishing tools for integrating machine learning algorithms in laboratory and clinical settings. Despite their importance, their incorporation is minimal in the medical sector yet. The primary goal of this study is to review the development of machine learning in the field of thoracic surgery, especially lung surgery.

Methods

This article used the Preferred Reporting Items for Systematic and Meta-analyses (PRISMA). The sources used to gather data are the PubMed, Cochrane, and CINAHL databases and the Google Scholar search engine.

Results

The study included 19 articles, where ten concentrated on the application of machine learning in especially lung surgery, six focused on the benefits and limitations of machine learning algorithms in lung surgery, and three provided an overview of the future of machine learning in lung surgery.

Conclusion

The outcome of this study indicates that the field of lung surgery has attempted to integrate machine learning algorithms. However, the implementation rate is low, owing to the newness of the concept and the various challenges it encompasses. Also, this study reveals the absence of sufficient literature discussing the application of machine learning in lung surgery. The necessity for future research on the topic area remains evident.
Arthroscopy-assisted partial trapeziectomy combined with ligament reconstruction for thumb carpometacarpal joint osteoarthritis: A different technique
Authors: Zheng Wan-Ling , Wu Yang-Chun , Shen Yun-Dong , Yin Hua-Wei , Xu Wen-Dong
Published: September 2022

Background

There is no consensus on the best surgery option for thumb carpometacarpal osteoarthritis (CMC OA). The traditional method has the risk of large trauma, obvious metacarpal subsidence, and decreased stability. The aim of this study is to introduce a different technique to restore the function and stability of the first carpal metacarpal joint with minimal trauma, rapid pain relief, reduced complications, and the clinical outcomes in the long-term follow-up was evaluated and statistically analyzed.

Methods

This was a retrospective study of 10 patients with a mean age of 51.8 years. The surgery consisted of removing partial trapezium through arthroscopy, reconstructing the stability with flexor carpi radialis suspension and tendon interposition. The subjective assessment included visual analog scale (VAS) of pain, quick disabilities of the arm, shoulder, and hand (Quick-DASH) score, and patient satisfaction. The range of motion, grip strength, pinch strength, and radiographic assessment, which can reflect stability of the thumb, were objectively evaluated and statistically analyzed.

Results

Ten patients were monitored at a mean follow-up of 6.8 years. The mean grip strength improved significantly from 16.64 to 22.57 kg after surgery. Pinch strength improved significantly from 3.72 to 5.71 kg on average. The Kapandji score improved signiﬁcantly from 5.7 to 8.6 on average. 80% (8/10) of the patients were satisfied with this surgery. On objective indicators, the VAS score decreased signiﬁcantly from 6.4 to 1.3 on average. The mean Quick-DASH score improved signiﬁcantly from 6.1 to 28.9. Postoperative x-ray showed slight subsidence and dislocation of the first metacarpal in two patients and did not affect the function by measurement.

Conclusion

Arthroscopy-assisted partial trapezium resection combined with ligament reconstruction could be a workable and promising surgical technique in patients with thumb CMC OA. It can offer the advantages of minimizing surgical injury by preserving the first carpal metacarpal joint capsule to protect its stability, with a rapid pain relief, function improvement, and satisfactory results in patients’ clinical measurements.
Influence of using simulated or real patients on undergraduate medical students acquiring competencies in medical conversations in surgery: A prospective, controlled study
Authors: Britz Vanessa , Koch Yannic , Schreckenbach Teresa , Stefanescu Maria Christina , Zinßer Uwe , Sterz Jasmina , Ruesseler Miriam
Published: September 2022

Background

Communication with patients and their relatives as well as with colleagues and students is an essential part of every physician's daily work. An established method for teaching communication skills is using simulated patients (SPs). However, teaching with SPs is often subjectively perceived by medical students as less instructive than teaching with real patients (RPs). Studies that analyze the influence of SPs compared to RPs for acquiring competencies are lacking. The aim of the present study was therefore to investigate the impact of SPs on long-term learning success for communication skills compared to RPs.

Material and Methods

Study participants were undergraduate third-year medical students who attended a communication unit and were randomized into three groups. The first group trained the role-play part with a SP (SP-group). The second group trained with a SP but thought that the patient was a RP because the students and the tutors were told that they were a RP by the principal investigator (incognito patient group [IP-group]). The third group and their tutors trained with a RP and were told that the patient was a RP (real patient group [RP-group]). Five to 12 weeks after completing the training, the study participants completed a curricular summative objective standardized clinical examination.

Results

There were 146 students who participated in the study. There were no significant differences between the three study groups at the informed consent stations and for those conducting anamnesis interviews.

Conclusion

Communication skills training with SPs appears to be equivalent to training with RPs in terms of competency development in communication-based assessments in surgery. Therefore, SPs should be used in these curricula, especially at an early stage, to enable the students to practice adequate communication skills.
Anesthetic management of a child with congenital insensitivity to pain with anhidrosis: A case report
Authors: Zhang Ying , Geng Zhiyu
Published: September 2022

Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disease classified as hereditary sensory and autonomic neuropathy type VI. Patients with CIPA are characterized by insensitivity to pain, episodes of unexplained fever, anhidrosis, self-mutilating behavior, intellectual disability, and autonomic nervous system abnormalities. The clinical features may intrinsically pose anesthetic challenges. We present a case of a patient with CIPA who underwent tumor biopsy under general anesthesia using a Supreme laryngeal mask airway without any complications. The anesthetic management of this condition is discussed.
Case report: Primary chronic calcaneal bursitis treated with subtotal bursectomy in a cat
Authors: Jeon YoungJin , Lee Haebeom , Roh Yoonho , Kim Daehyun , Jeong Seong Mok , Jeong Jaemin
Published: September 2022

A 6-year-old, female spayed Bengal cat with a bodyweight of 6.4 kg was presented with swelling of the bilateral calcaneal region and weight-bearing hindlimb lameness with a 4-month history of unsuccessful conservative therapy. On orthopedic examination, a cyst-like mass around the calcaneal tendon was palpated. Palpating the mass and flexing the tarsal joint triggered pain. Through ultrasonography and magnetic resonance imaging, an inflamed or fluid-accumulated lesion was suspected around the calcaneal tendon, but there was no evidence of calcaneal tendonitis. Swollen calcaneal bursae were removed surgically. Histopathologic examination revealed fibrosis and an edematous feature. The cat was diagnosed with bilateral chronic primary calcaneal bursitis based on history, clinical signs, and diagnostic results. Hence, subtotal bursectomy was performed. At 4 weeks postoperatively, the cat had no pain around the tarsal joints and was ambulating normally. Radiographic and ultrasonographic exams revealed no recurrence of swelling or inflammation in the calcaneal region. Thirteen-month follow-up confirmed acceptable function and no relapse of clinical signs. The inflammation of calcaneal bursa alone can be the primary cause of hindlimb lameness in cats. A cat with hindlimb lameness and swelling on the calcaneal region should be assessed with the possibility of primary calcaneal bursitis. Subtotal calcaneal bursectomy can be considered as an effective treatment for primary chronic bursitis.
Genome-wide association studies for the identification of cattle susceptible and resilient to paratuberculosis
Authors: Alonso-Hearn Marta , Badia-Bringué Gerard , Canive Maria
Published: September 2022

Mycobacterium avium subsp. paratuberculosis (MAP) causes Johne's disease or paratuberculosis (PTB), with important animal health and economic implications. There are no therapeutic strategies to control this disease, and vaccination with inactivated vaccines is limited in many countries because it can interfere with the intradermal test used for bovine tuberculosis detection. Thus, infected animals either get culled after a positive ELISA or fecal PCR result or die due to clinical disease. In this study, we review recent studies aimed to discover genetic markers which could help to identify and select cattle less susceptible and more resilient to PTB. In recent years, the genotyping and subsequent imputation to whole-genome sequence (WGS) has allowed the identification of single-nucleotide polymorphisms (SNPs), quantitative trait loci (QTL), and candidate genes in the Bos taurus genome associated with susceptibility to MAP infection. In most of these genome-wide association studies (GWAS), phenotypes were based on ante-mortem test results including serum ELISA, milk ELISA, and detection of MAP by fecal PCR and bacteriological culture. Cattle infected with MAP display lesions with distinct severity but the associations between host genetics and PTB-associated pathology had not been explored until very recently. On the contrary, the understanding of the mechanisms and genetic loci influencing pathogen resistance, and disease tolerance in asymptomatic individuals is currently very limited. The identification of long-time asymptomatic cattle that is able to resist the infection and/or tolerate the disease without having their health and milk production compromised is important for disease control and breeding purposes.
A Review of Studies on the Seasonal Variation of Indoor Radon-222 Concentration
Authors: Belete Guadie Degu , Shiferaw Aragaw Msganaw
Published: September 2022

Due to their electrostatic nature, radon decay products can attach to solid particles and aerosols in the air. Inhalation and ingestion are therefore the two main routes through which people are exposed to radon and its decay products. During the inhalation of these radioactive aerosols, deposition takes place in different regions of the human respiratory tract. The deposited aerosols carrying radon and its progeny undergo a continuous radioactive transformation and expose the lung to ionizing alpha radiation, which can destroy the sensitive cells in the lung, causing a mutation that turns cancerous. Radon which is a colorless, odorless, and tasteless radioactive noble gas is a major health concern and is the second leading cause of lung cancer. To address this, an indoor radon survey was conducted in many countries internationally, with results showing that indoor radon concentration has a seasonal variation. This is due to the fluctuation of environmental parameters and the geological nature of buildings. Its concentration was found to be maximum in the cool (winter) season and a minimum concentration was recorded in the warm (summer) season of the year.
Tackling Cholera Outbreak Amidst COVID-19 Pandemic in Nigeria: Challenges and Recommendations
Authors: Sow Alhaji Umar , Haruna Usman Abubakar , Amos Oladunni Abimbola , Olajide Edward Olorunfemi , Amene Terhemen , Odususi Oluwatomisin Dara , Adewusi Bukola Adedoyin , Abia Chinedu , Safari Jackson , Sorinola Florence Wuraola , Alaka Hassan Olayemi , Musa Sulaiman Muhammad
Published: September 2022

Background: Since the first confirmed case of the Novel Coronavirus Disease 2019 (COVID-19) in Nigeria, the pandemic has become a major public health challenge, affecting different sectors of the country. While Nigeria is battling to control the spread of COVID-19, the eruption of new cholera cases has put additional pressure on the strained healthcare system.

Evidence: We showed how the overwhelming focus on COVID-19 has jeopardized key cholera containment measures such as disease surveillance, risk communication, and case management.

Policy Options and Recommendations: We recommend provision and universal access to safe water and sanitation as key cholera preventive and control measures. However, these are resources that developing countries including Nigeria find rather challenging to provide. We also proposed the implementation of well-coordinated multi-sectoral interventions that involve strengthening disease surveillance including access to safe drinking water, vaccines, and treatment, especially in vulnerable communities.

Conclusion: This policy brief provides evidence for policymakers, which if acted upon, will foster sustainable solutions to the lingering cholera outbreaks in Nigeria.
Case Report: Specific ABL-Inhibitor Imatinib Is an Effective Targeted Agent as the First Line Therapy to Treat B-Cell Acute Lymphoblastic Leukemia With a Cryptic NUP214::ABL1 Gene Fusion
Authors: Stukaite-Ruibiene Egle , Norvilas Rimvydas , Dirse Vaidas , Stankeviciene Sigita , Vaitkeviciene Goda Elizabeta
Published: September 2022

Acute lymphoblastic leukemia (ALL) with recurrent genetic lesions, affecting a series of kinase genes, is associated with unfavorable prognosis, however, it could benefit from treatment with tyrosine kinase inhibitors (TKI). NUP214::ABL1 fusion is detected in 6% of T-cell acute lymphoblastic leukemia (T-ALL), and is very rare in B-ALL. We present a case of adolescent with B-ALL and a cryptic NUP214::ABL1 fusion which was initially missed during diagnostic screening and was detected by additional RNA sequencing. Treatment with specific ABL-inhibitor Imatinib was added later in therapy with a good effect. Initial treatment according to conventional chemotherapy was complicated by severe side effects. At the end of Consolidation, the patient was stratified to a high risk group with allogeneic hematopoietic stem cell transplantation because of insufficient response to therapy. At that time, targeted RNA sequencing detected NUP214::ABL1 gene fusion which was previously missed due to a small microduplication in the 9q34 chromosome region. Gene variant analysis revealed no TKI-resistant ABL1 mutations; therefore, treatment with Imatinib was added to target the NUP214::ABL1 fusion protein. A negative minimal residual disease was achieved, and treatment was downgraded to intermediate risk protocol. Combining routine genetic assays with next-generation sequencing methods could prevent from missing atypical gene alterations. Identification of rare targetable genetic subtypes is of importance in order to introduce targeted therapy as early as possible that may improve survival and reduce toxicity. Treatment with ABL1 inhibitor imatinib mesylate revealed as a highly effective targeted therapy against the leukemia driving protein kinase.
Alsó, felső teljes fogívre kiterjedő sínpótlás harapásemeléssel, egyéni szögértékek meghatározásával
Authors: Varga Zita , Schmidt Péter , Hermann Péter
Published: September 2022

Állkapocsízületi rendelésre érkezett páciensünk vizsgálata során fogain a kopás mindhárom típusa, azaz az attríció, abfrakció és erózió jelei is felismerhetőek voltak. Az erősen abradált fogazat miatt harapása megsüllyedt, rágóizmai panaszossá váltak. Kezelése komplex terápiát igényelt. Jelen esetben a megfelelő harapási magasság beállítása,a centrális reláció meghatározása bonyolult feladat, azonban elengedhetetlen. A terápia során felhasznált egyéni értékű artikulátort részlegesen egyéni értékekre állítottuk be az ultrahangos méréseken alapuló Arcus Digma regisztrációs rendszer segítségével. A napjainkban egyre gyakrabban előforduló állkapocsízületi panaszokkal érkező páciensek megfelelő ellátásában a cikkben ismertetett eljárás, valamint eszközök iránymutatóak lehetnek.
Skizofrénia és szájhigiénia: irodalmi áttekintés
Authors: AGHASIZADEH SHERBAF Reza , NAGY Katalin , BERKOVITS Csaba , ÁLMOS Péter , PÁRKÁNYI László , AGHASSI ZADEH SHERBAF Zohreh , KOMLÓSI Laura , KAPOSVÁRI George
Published: September 2022

Az általános betegségek közvetlenül vagy közvetve befolyásolhatják a fogak egészségét és a páciens szájhigiénéjét.A fogorvosi rendelőben megjelenő betegek körében a pszichiátriai kórképek a leggyakoribb rendellenességek közé tartoznak.A fogászati kezelések során az érintetteknek speciális igényeik vannak. A skizofrénia egy olyan krónikus mentálisbetegség, amely a személyes érzelmek és érzések zavaraival jár, illetve mentális és bizonyos tudati funkciók romlásáhozvezet. A tünetek közé tartoznak a téveszmék, a hallucinációk, a rendezetlen gondolkodás és a következetlenség.Amennyiben hasadásos elmezavarban szenvedő páciens jelentkezik kezelésre a fogorvosi rendelőben, pszichiátriaikonzultációt kell biztosítani. Az elektív fogászati beavatkozásokat el kell halasztani mindaddig, amíg a páciens tüneteikontroll alá kerülnek. A gyógyszerek mellékhatásai súlyosak lehetnek, ezért elengedhetetlen a beteg gondos és folyamatosellenőrzése.
REMOÇÃO SELETIVA DA CÁRIE COM GEL PAPACÁRIE DUO: REVISÃO DE LITERATURA
Authors: Silva Alícia Marcelly Souza de Mendonça , Da Silva Ana Cláudia , Monteiro Gabriela Queiroz de Melo , Durão Márcia De Almeida
Published: September 2022

INTRODUÇÃO: A Odontologia Minimamente Invasiva (OMI) visa a preservação e manutenção da saúde bucal por meio da realização de procedimentos minimamente invasivos e de acompanhamento periódico do paciente. OBJETIVO: Realizar uma revisão da literatura sobre a remoção químico-mecânica, utilizando do gel Papacárie Duo®. MÉTODO: Foram realizadas buscas nas bases de dados SCIELO, BVS e BIREME, no período de 2004-2020, de artigos, em português e inglês. RESULTADOS: O gel Papacárie, composto de papaína e cloraminas, atua no tecido dentinário infectado, preservando estruturas sadias, prevenindo a irritação e exposição pulpar. Sua ação químico-mecânica, reduz o desconforto do paciente e dispensa o uso de rotatórios evitando propagação de aerossóis, muito importante para minimizar chances de contaminação cruzada. CONCLUSÃO: o conhecimento e a aplicação de técnicas minimamente invasiva é de grande importância na clínica odontológica, devendo ser amplamente divulgadas e realizadas para maior preservação da estrutura e da vitalidade dental.
AVALIAÇÃO DOS RÓTULOS DE SUPLEMENTOS COM ÁCIDO GRAXO ÔMEGA 3 COMERCIALIZADOS EM FARMÁCIAS LOCALIZADAS NA ZONA NORTE DE RECIFE- PE
Authors: Cisneiros Amanda Alves , Queiroz Rafaela Patrícia Guerra de , Santos de Arruda Hayanna Adlley
Published: September 2022

Introdução: O rótulo tem por função orientar o consumidor sobre os constituintes dos alimentos e suplementos promovendo escolhas saudáveis. No entanto, isto não significa que os consumidores o estejam utilizando como uma ferramenta para a escolha dos alimentos ou suplementos que deverão compor sua dieta e, assim, reduzir os excessos alimentares e os danos ocasionados à saúde. Estudar suplementação com o ômega 3, como agente preventivo e de tratamento de doenças como possibilidades de suplementação disponíveis no mercado é de extrema importância, pois sua inclusão é essencial tanto no planejamento alimentar de indivíduos saudáveis quanto no daqueles que já apresentam algumas patologias, assim como orientar os consumidores e profissionais de saúde acerca da utilização, concentração e armazenamento adequado desses produtos. Objetivo: Este trabalho teve como objetivo avaliar as informações encontradas nos rótulos de suplementos de ômega 3, vendidos nas farmácias da Zona norte do Recife, PE, para verificar se estavam de acordo com a legislação vigente, garantindo que tanto os profissionais e consumidores tenham produtos de qualidade em relação a segurança higiênico sanitária, recomendações diárias e nutrientes adequados. Métodos: Foram selecionadas 18 marcas que são comercializadas nas lojas para a avaliação e a análise dos rótulos foi dividida em dois grupos: o primeiro estava relacionado às informações técnicas, o segundo foi referente às especificidades dos ácidos graxos. Conclusão: Ao final da análise dos rótulos de ômega 3, apenas dois apresentaram conformidade com todos os itens avaliados, porém, a maioria, apresentou algum tipo de irregularidade, mostrando a necessidade de uma severa e contínua fiscalização e de uma lei específica para a padronização dos ácidos graxos, tendo em vista que são comercializados de forma livre, necessitando de um monitoramento dos padrões exigidos pela Agência Nacional de Vigilância Sanitária (ANVISA), bem como uma exigência de certificação internacional a serem cumpridos, garantindo a proteção do consumidor. Logo verificou-se que 89% dos produtos apresentaram alguma inadequação quanto à legislação. Mas como a legislação vigente em relação à rotulagem é vasta, mas fragmentada, refletiu uma porcentagem de 11% dos produtos em relação aos rótulos que estavam conforme, mas os que que não estavam em conformidade podem trazer sérios riscos à saúde do indivíduo.
Política exterior de Bolsonaro: ideología y aislamiento diplomático (2019-2022)
Authors: Rodrigues Gilberto
Published: September 2022

La ideología y el aislamiento diplomático no eran expresiones en el léxico de la política exterior brasileña (PEB) en tiempos democráticos pero, entre enero de 2019 y agosto de 2022, periodo que comprende este análisis de la presidencia de Jair Bolsonaro, se inocularon en la diplomacia brasileña. Empoderado por la Administración Trump y debilitado por su derrota, Bolsonaro y su grupo ideológico instrumentalizaron y alienaron la PEB para situar al país en la ola internacional de la ultraderecha conservadora y autoritaria, desligando a Brasil de su diplomacia pragmática, de geometría variable en las relaciones internacionales, con el Sur global y el Norte global, vía alianzas regionales y como miembro de los BRICS (Brasil, Rusia, India, China y Sudáfrica), en tanto actor fiable y previsible en los foros multilaterales, en defensa de la democracia y los derechos humanos. Disruptiva, la PEB de Bolsonaro constituye una deformación en la identidad internacional de Brasil.
SISTEM AKUNTANSI PEMBELIAN PERSEDIAAN PADA PT. UTAMA INTI HASIL KIMIA INDUSTRI
Authors: Munthe Herlin
Published: September 2022

Sistem akuntansi memiliki peran yang sangat penting dalam sebuah perusahaan karena sistem mengumpulkan, mengorganisir dan mengikhtisarkan tentang berbagai transaksi perusahaan sehingga dapat dimanfaatkan oleh pihak-pihak yang berkepentingan. Penelitian ini dilakukan pada PT. Utama Inti Hasil Kimia Industri yang berlokasi di jalan Medan-Binjai km 12. Tujuan penelitian ini adalah untuk mengetahui bagaimana sistem akuntansi pembelian persediaan pada PT. UTAKI. Penelitian pada skripsi ini berbentuk deskriptif kualitatif, dimana data sekunder yang dikumpulkan peneliti dengan teknik observasi, wawancara dan dokumentasi.

Dari hasil penelitian yang dilakukan peneliti terhadap perusahaan dapat diambil kesimpulan bahwa perusahaan belum menerapkan biaya standar dengan baik. Penetapan standar harga bahan baku dilakukan berdasarkan standar harga tahun lalu dan menjadi pedoman selama satu tahun untuk tahun yang mendatang. Dalam penetapan standar harga bahan baku ini kurang tepat, karena penetapan standar harga bahan baku didasarkan atas harga bahan baku realisasi tahun yang lalu maka sebaiknya harga standar bahan baku disusun setiap akhir bulan.
PENGARUH LEVERAGE, PROFITABILITAS, DAN UKURAN PERUSAHAAN TERHADAP NILAI PERUSAHAAN PADA PT DELTA DJAKARTA, TBK YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Rifqah Rifqah Harahap
Published: September 2022

Penelitian ini bertujuan untuk mengetahui apakah leverage, profitabilitas dan ukuran perusahaan berpengaruh terhadap nilai perusahaan pada PT Delta Djakarta, Tbk yang terdaftar di Bursa Efek Indonesia secara parsial maupun simultan. Jenis penelitian ini adalah penelitian kuantitatif. Populasi dalam penelitian ini adalah PT. Delta Djakarta, Tbk, dan sampel pada penelitian ini adalah “Perusahaan PT Delta Djakarta, Tbk yang terdaftar dalam Bursa Efek Indonesia yang mempublikasikan laporan keuangan lengkap secara berturut-turut periode 2009-2018”. Sumber data dalam penelitian ini adalah data sekunder. Pengumpulan data dilakukan dengan metode dokumentasi. Teknik analisis yang digunakan adalah analisis linier berganda, uji hipotesis dan koefisien determinasi. Analsisis dilakukan dengan menggunakan program IBM SPSS statistics versi 22.0. Hasil penelitian menunjukkan secara parsial leverage dan profitabilitas berpengaruh positif dan tidak signifikan terhadap nilai perusahaan, dan ukuran perusahaan berpengaruh negatif dan tidak signifikan terhadap nilai perusahaan. Secara simultan leverage, profitabilitas dan ukuran perusahaan berpengaruh positif dan signifikan terhadap nilai perusahaan. Hasil pengujian koefisien determinasi (Adjusted R Square) sebesar 0,629 atau 62,9%, menunjukkan bahwa tinggi rendahnya perusahaan di pengaruhi leverage, profitabilitas dan ukuran perusahaan sedangkan sisanya dipengaruhi variabel lain.
ANALISIS RASIO PROFITABILITAS DAN RASIO SOLVABILITAS DI PT INDOFOD SUKSES MAKMUR TBK TAHUN 2016-2017
Authors: Ndruru Budisokhi
Published: September 2022

ANALYSIS OF PROFITABILITY RATIO AND SOLVENCY RATIO AT PT INDOFOOD SUKSES MAKMUR TBK IN 2016-2017

PT Indofood Sukses MakmurTbk, is one of the leading instant noodle and processed food companies in Indonesia. One of the ways used to maintain the financial stability of a company is by conducting an analysis and evaluation of the company which later the analysis will maximize relatively little information into broad and accurate information.To find out the financial statements of a company requires analysis and financial ratios. The purpose of this research is to find out the state of financial statements through the financial ratio of its indicative, at PT Indofood SuksesMakmurTbk in 2016 to 2017.The method carried out by researchers is a method of analyzing the ratio of profitability and solvency. The results of this study showed that in 2016 to 2017 PT Indofood Sukses Makmur Tbk was classified as a fairly healthy company because the ratio level was norm
PENYIMPANGAN PERILAKU DI TEMPAT KERJA DITINJAU DARI PELANGGARAN KONTRAK PSIKOLOGIS PADA KARYAWAN PT. NATIONAL SUPER MEDAN
Authors: Elvina Wati Rinda
Published: September 2022

Penelitian ini bertujuan untuk mengetahui hubungan antara pelanggaran kontrak psikologis dengan penyimpangan perilaku di tempat kerja. Hipotesis yang diajukan dalam penelitian ini adalah ada hubungan positif antara pelanggaran kontrak psikologis dengan penyimpangan perilaku di tempat kerja, dengan asumsi semakin tinggi pelanggaran kontrak psikologis, maka semakin tinggi penyimpangan perilaku di tempat kerja dan sebaliknya semakin rendah pelanggaran kontrak psikologis, maka semakin rendah penyimpangan perilaku di tempat kerja. Subjek penelitian yang digunakan dalam penelitian ini adalah karyawan PT. National Super Medan sebanyak 106 orang. Data diperoleh dari skala untuk mengukur pelanggaran kontrak psikologis dan penyimpangan perilaku di tempat kerja. Perhitungan dilakukan dengan melakukan uji prasyarat analisis (uji asumsi) yang terdiri dari uji normalitas dan uji linearitas. Analisis data yang digunakan adalah menggunakan korelasi Product Moment melalui bantuan SPSS 17 for Windows. Hasil analisis data menunjukkan koefisien korelasi sebesar 0.678 dan nilai signifikansi sebesar 0.000 (p < 0.05). Ini menunjukkan ada hubungan positif antara pelanggaran kontrak psikologis dengan penyimpangan perilaku di tempat kerja. Hasil penelitian ini menunjukkan bahwa sumbangan yang diberikan variabel pelanggaran kontrak psikologis terhadap penyimpangan perilaku di tempat kerja sebesar 46 persen, selebihnya 54 persen dipengaruhi oleh faktor lain yang tidak diteliti. Jadi, dapat ditarik kesimpulan bahwa hipotesis penelitian diterima, yaitu ada hubungan positif antara pelanggaran kontrak psikologis dengan penyimpangan perilaku di tempat kerja dapat diterima.
DAMPAK MOTIVASI KERJA TERHADAP KUALITAS PELAYANAN KARYAWAN RETAIL BAJU
Authors: Trisna yanti Darni
Published: September 2022

Penelitian ini bertujuan untuk mengetahui pengaruh motivasi kerja terhadap kualitas pelayanan pada salah satu perusahaan ritel medan – Medan Mall. Hipotesa yang diajukan pada penelitian ini adalah ada hubungan positif antara motovasi kerja dengan kualitas pelayanan. Dengan asumsi semakin tinggi motivasi kerja dari karyawan maka semakin tinggi pula kualitas pelayanan karyawan di perusahaan. Subjek penelitian yang digunakan dalam penelitian ini adalah  karyawan tetap sebanyak 208 orang. Teknik sampling yang digunakan dalam studi ini menggunakan teknik simple random sampling. Hasil uji normalitas pada variabel motivasi kerja dalam penelitian ini diperoleh sebesar 0,183 dan untuk variabel kualitas pelayanan sebesar 0,082 maka sebaran dalam penelitian ini dikatakan normal. Hasil uji linearitas hubungan variabel motivasi kerja karyawan dengan kualitas pelayanan di Salah satu perusahaan ritel medan – Medan Mall diperoleh nilai signifikansinya 0,000 < 0,05, maka variabel motivasi kerja dengan variabel kualitas pelayanan bersifat linear. Hasil penelitian dengan menggunakan analisis data menunjukkan bahwa koefisien determinasi (R square) = 0,065 dengan signifikansi 0,000 sehingga hipotesis yang diajukan dapat diterima, bahwa motivasi karyawan berpengaruh namun sangat kecil dalam meningkatkan kualitas pelayanan. Selanjutnya, Uji t menguji signifikansi koefisien regresi yaitu apakah motivasi kerja karyawan berpengaruh secara nyata terhadap kualitas pelayanan karyawan. Bahwa dengan syarat untuk uji t ( uji parsial) Thitung > Ttabel dimana nilai dari Thitung sebesar 5,020 dan Ttabel sebesar: Df = Jumlah sampel - 1 Df = 208 - 1 = 207 yaitu :  2,51. Jadi, dari perhitungan diatas maka dapat dinyatakan  signifikan dengan nilai 5,020> 2,51 (Thitung > Ttabel ).
CYBERLOAFING DITINJAU DARI ROLE AMBIGUITY PADA KARYAWAN PT. FURNILUX INDONESIA SEI RAMPAH
Authors: Erika Tri Santy
Published: September 2022

This study aims to test if there is a positive relationship between role ambiguity and cyberloafing, assuming higher role ambiguity, the lower cyberloafing is, on the other hand, the lower the ambiguity role, the lower is cyberloafing. The research subjects were all employees at PT. Furnilux Indonesia consisting of 105 people or commonly termed as saturated sampling method. Data were obtained from the scale to measure role ambiguity and cyberloafing. The calculations performed by prerequisite analysis uses shows that r = 0.544, and p = 0.000 (p<0.05) showing that there was a positive relationship between role ambiguity and cyberloafing. The results of this study indicated that the contribution (R2) is given by the variable role of ambiguity tons of cyberloafing up to 29.6 percent, the remaining 70.4 percent was affected by other variable not studied. Based on the results of this study can be concluded that the hypothesis can be accepted.
PROKRASTINASI DITINJAU DARI KEPERCAYAAN DIRI DAN DUKUNGAN SOSIAL PADA SISWA SMK PABAKU
Authors: Mailani Liana
Published: September 2022

Penelitian ini bertujuan untuk mengetahui  hubungan antara Kepercayaan Diri dan Dukungan Sosial dengan Prokrastinasi pada Subjek dalam penelitian ini adalah siswa dan siswi SMK Pabaku yang akan menempuh ujian Nasional sebanyak 94 orang. Analisis data menggunakan regresi linier berganda. Hasil penelitian menunjukkan bahwa: (1)  ada hubungan negative  antara  Kepercayaan Diri dan Dukungan Sosial dengan prokrastinasi dengan koefisien rx1y =  - 0,515, p= 0,000. Hal ini berarti semakin tinggi Kepercayaan Diri dan Dukungan Sosial maka akan semakin rendah prokrastinasi. Sumbangan efektif sebesar 49.1% sedang sisanya sebesar 50.9% dipengaruhi oleh faktor-faktor lain yang tidak diteliti. (2) Ada hubungan negatif antara Kepercayaan diri dengan prokrastinasi dengan koefisien rx2y = -0,657,p = 0,000. Artinya semakin tinggi kepercayaan diri maka akan semakin rendah prokrastinasi atau sebaliknya, dengan sumbangan efektif sebesar 43.1%. (3) Ada hubungan negatif antara Dukungan Sosial dengan prokrastinasi dengan koefisien rx2y = -0,356, p=0,018. Artinya semakin tinggi dukungan sosial maka akan semakin rendah prokrastinasi atau sebaliknya, dengan sumbangan efektif sebesar 12.6%.
TURNOVER INTENTION DITINJAU DARI JOB EMBEDEDDNESS PADA KARYAWAN BAGIAN PRODUKSI PT. EXPRAVET NASUBA MEDAN
Authors: Savira Vinesa Intan
Published: September 2022

This study aims to determine the relationship between job embededdness and turnover intention. The subjects of this were 102 employees of production in PT. Expravet Nasuba Medan. Data were obtained from scales to measure job embededdness and turnover intention. The data is analyzed by Product Moment correlation through SPSS 18 for Windows. The result shows that there is a negative relationship between job embededdness and turnover intention, with correlation coefficient r = -0.571 and (p < 0.05). Based on the results, it is concluded that the hypothesis is acceptable, and there is a negative correlation between job embededdness and turnover intention.
HUBUNGAN ANTARA KUALITAS KEHIDUPAN BEKERJA DENGAN KOMITMEN KARYAWAN PADA PT. INALUM
Authors: Syahputra Hendri
Published: September 2022

Penelitian ini bertujuan untuk melihat hubungan antara kualitas kehidupan bekerja dengan komitmen karyawan pada PT. INALUM (Persero), metode penelitian kuantitatif, yaitu metode penelitian yang bertujuan melihat hubungan antara satu variabel dengan variabel yang lain, sampel penelitian ini berjumlah 56 orang. Penelitian ini mengajukan hipotesis sebagai berikut : terdapat hubungan antara kualitas kehidupan bekerja dengan kualitas karyawan dengan asumsi semangkin tinggi kualitas kehidupan bekerja maka akan tinggi komitmen karyawan. Penelitian ini menggunakan skala kualitas kehidupan bekerja yang terdiri dari 6 aspek yaitu : kompensasi, kondisi kerja, kesempatan untuk berkembang, jaminan kesehatan kerja, tidak adanya kecurigaan terhadap karyawan, hak-hak karyawan. Serta komitmen karyawan terdiri dari 3 aspek yaitu : identifikasi, keterlibatan, loyalitas. Adapun faktor yang belum diteliti yaitu : karakteristik pribadi, karakteristik pekerjaan, peran dalam organisasi. Dalam upaya membuktikan hipotesis diatas maka digunakan teknik product moment. Dalam membuktikan hipotesis diatas, maka digunakan metode analisis product Moment, dimana yang menjadi variabel bebas adalah kualitas kehidupan bekerja dan variabel terikat adalah komitmen organisasi. Berdasarkan hasil analisis dengan teknik Korelasi product moment, diketahui bahwa: 1)  terdapat hubungan positif antara Kualitas kehidupan bekerja dengan komitmen karyawan, dimana angka kofisien korelasi yang diperoleh sebesar rxy = 0,522 ;  p= 0.00 < 0,050. Artinya bahwa semangkin tinggi kualitas kehidupan bekerja, maka semangkin tinggi komitmen karyawan, dinyatakan hipotesis yang diajukan dalam penelitian dinyatakan diterima. 2) penelitian ini member hasil yang signifikan dalam taraf signifikansi 0,050, dengan koefisien diterima (r2) = 0, 273 dan BE nya sebesar (27.3). 3) secara umum, hasil penelitian terhadap karyawan PT INALUM yang berada di Kuala Tanjung Kec. Sei Suka, Kab. Batu Bara, Sumatra Utara memiliki kualitas kehidupan kerja yang tinggi, karena nilai rata-rata empiriknya (238,20.) lebih besar dari pada nilai rata-tara hipotetiknya (197,5.). Kemudian untuk komitmen organisasi juga dinyatakan dalam taraf yang tinggi dimana nilai rata-rata empirik (119,59) lebih besar dari nilai rata-rata hipotetiknya (95).
RELATIONSHIP OF BIG FIVE PERSONALITY WITH DECISION TAKING CHOOSE SCHOOL DEPARTMENTS IN THE NETWORK COMPUTER TECHNICAL DEPARTMENT IN THE FACTORY VOCATIONAL SCHOOL
Authors: Mailani Liana
Published: September 2022

Penelitian ini bertujuan untuk mengetahui hubungan antara kepribadian Big Five dengan pengambilan keputusan. Hipotesis yang diajukan dalam penelitian ini adalah kepribadian Big Five (Etraversion, Agreeableness, Conscientiousness, Neuroticsm¸dan Openness to New Eperience) disini dapat dijadikan prediktor untuk memprediksi pengambilan keputusan memilih sekolah kejuruan di SMK Pabaku. Subjek penelitian yang digunakan dalam penelitian ini adalah siswa SMK Pabaku sebanyak 85 orang yang dipilih dengan metode Sampling Jenuh. Data diperoleh dari skala untuk mengukur kepribadian Big Five dan pengambilan keputusan memilih Jurusan di SMK. Perhitungan dilakukan dengan melalui uji prasyarat analisis (uji asumsi) yang terdiri dari uji normalitas sebaran dan uji linearitas hubungan. Analisis data yang digunakan adalah menggunakan analisa Regresi berganda melalui bantuan SPSS 17 for Windows.  Hasil analisis data menunjukkan koefisien korelasi sebesar 0,682 dengan p sebesar 0,002 (p < 0,05). Ini menunjukkan bahwa kepribadian Big Five dapat dijadikan prediktor untuk memprediksi pengambilan keputusan dengan sumbangan yang diberikan kepribadian Big Five terhadap pengambilan keputusan adalah sebesar 29,8 persen. Hasil penelitian ini menunjukkan bahwa dari kelima kepribadian Big Five yang memiliki korelasi positif dan signifikan adalah pada dimensi Openness to New Experience dengan  sumbangan yang diberikan dimensi Openness to New Experience  terhadap pengambilan keputusan adalah sebesar 17,1% dan selebihnya dipengaruhi oleh faktor lain yang tidak diteliti. Dari hasil penelitian ini dapat ditarik kesimpulan bahwa hipotesis kepriban kepribadian Big Five (Etraversion, Agreeableness, Conscientiousness, Neuroticsm¸dan Openness to New Eperience) disini dapat dijadikan prediktor untuk memprediksi pengambilan keputusan memilih sekolah Tehnik Komputer Jaringan di SMK Pabaku dapat diterima.
KECEMASAN MENYUSUN SKRIPSI DITINJAU DARI PERFEKSIONISME PADA MAHASISWA FAKULTAS PSIKOLOGI UNIVERSITAS PRIMA INDONESIA
Authors: Lubis Rizky Amelia
Published: September 2022

Penelitian ini bertujuan untuk mengetahui hubungan antara perfeksionisme dengan kecemasan pada mahasiswa Fakultas Psikologi Universitas Prima Indonesia Medan. Hipotesis yang diajukan dalam penelitian ini adalah ada hubungan positif antara perfeksionisme dengan kecemasan, dengan asumsi semakin tinggi perfeksionisme, maka semakin tinggi kecemasan dan sebaliknya semakin rendah perfeksionisme, maka semakin rendah kecemasan. Subjek penelitian yang digunakan dalam penelitian ini adalah mahasiswa Fakultas Psikologi Universitas Prima Indonesia Medan sebanyak 90 orang mahasiswa. Data diperoleh dari skala untuk mengukur perfeksionisme dan kecemasan. Perhitungan dilakukan dengan melakukan uji prasyarat analisis (uji asumsi) yang terdiri dari uji normalitas dan uji linearitas. Analisis data yang digunakan adalah menggunakan  korelasi Product Moment melalui bantuan SPSS 18 for windows. Hasil analisis data menunjukkan koefisien korelasi sebesar 0.260 dan nilai signifikansi sebesar 0.007 (p < 0.05). Ini menunjukkan ada hubungan positif antara perfeksionisme dengan kecemasan. Hasil penelitian ini menunjukkan bahwa sumbangan yang diberikan variable perfeksionisme terhadap kecemasan sebesar 6.8 persen, selebihnya 92.2 persen dipengaruhi oleh faktor lain yang tidak diteliti. Dari hasil penelitian ini dapat ditarik kesimpulan bahwa hipotesis penelitian adanya hubungan positif antara perfeksionisme dengan kecemasan dapat diterima.