bluuebunny/crossref_metadata_2025 huggingface dataset:
Boreoelona contortrix (Lindholm, 1909) (Bithyniidae, Gastropoda, Mollusca) in the waterbodies of Western Siberia and Kazakhstan
Authors: Andreeva S. I. , Andreev N. I. , Lazutkina E. A.
Published: September 2021

The locations of Boreoelona contortrix in the waterbodies of Western Siberia and Kazakhstan are reported as well as the data on morphology of shells and copulatory apparatus of the species from different parts of its range. The interpopulation variation is considered. On the basis of anatomical and morphometric study, it has been shown that there are no statistically significant differences between males and females of B. contortrix. Problems of taxonomy of the Boreoelona species are discussed.
Pengaruh Kompetensi dan Kompensasi Terhadap Kinerja Pegawai Negeri Sipil Melalui Kepuasan Kerja di Politeknik Angkatan Darat Malang
Authors: Ismail Robertson
Published: September 2021

AbstractCompetence and compensation mediated by job satisfaction are important factors in improving the performance of civil servants so that they affect the smoothness of services in educational institutions, especially the Army Polytechnic. The purpose of this study to determine and analyze the effect are: a) competence on job satisfaction: b) compensation on job satisfaction; c) performance competence; d) compensation for performance; e) job satisfaction on performance; f) indirect competence through job satisfaction on performance; g) indirect compensation through job satisfaction on performance. This type of research is explanatory research using path analysis. The results showed that competence had a positive and significant effect on job satisfaction, compensation had a positive and significant effect on job satisfaction, competence had a positive and significant effect on performance, compensation had a positive and significant effect on performance, job satisfaction had a positive and significant effect on performance. positive and significant effect on performance, competence with job satisfaction mediation has a positive effect on performance, and compensation with job satisfaction mediation has a positive effect on the performance of Army Polytechnic Civil Servants.

Keywords: Competency, Compensation, Job Satisfaction and Performance

Abstrak

Kompetensi dan kompensasi yang dimediasi oleh kepuasan kerja merupakan faktor penting dalam meningkatkan kinerja PNS sehingga berpengaruh terhadap kelancaran pelayanan di lembaga pendidikan khususnya Politeknik Angkatan Darat. Tujuan penelitian ini untuk mengetahui dan analisis pengaruh adalah: a) kompetensi terhadap kepuasan kerja: b) kompensasi terhadap kepuasan kerja; c) kompetensi terhadap kinerja; d) kompensasi terhadap kinerja; e) kepuasan kerja terhadap kinerja; f) tidak langsung kompetensi melalui kepuasan kerja terhadap kinerja; g) tidak langsung kompensasi melalui kepuasan kerja terhadap kinerja. Jenis penelitian ini adalah explanatory research dengan menggunakan analisis jalur. Hasil penelitian menunjukkan kompetensi berpengaruh positif serta signifikan terhadap kepuasan kerja, kompensasi berpengaruh positif serta signifikan terhadap kepuasan kerja, kompetensi berpengaruh positif serta signifikan terhadap kinerja, kompensasi berpengaruh positif serta signifikan terhadap kinerja, kepuasan kerja berpengaruh positif serta signifikan terhadap kinerja, kompetensi dengan mediasi kepuasan kerja berpengaruh positif terhadap kinerja, serta kompensasi dengan mediasi kepuasan kerja berpengaruh positif terhadap kinerja PNS Politeknik Angkatan Darat.

Kata Kunci: Kompetensi, Kompensasi, Kepuasan Kerja dan Kinerja
Pengaruh Manfaat Utilitarian dan Manfaat Hedonis serta Status Sosial terhadap Keputusan Perpindahan Merek dari Televisi Kabel ke Netflix
Authors:   Fakultas Ekonomi dan Bisnis, Departemen Manajemen, Universitas Hasanuddin, Makassar, Almaida Asty , Saputra Dedi Hariadi ,   Fakultas Ekonomi dan Bisnis, Departemen Manajemen, Universitas Hasanuddin, Makassar
Published: September 2021

Abstract Purpose: The purpose of this study is to determine the effect of utilitarian, hedonic, and social benefits on brand switching decisions from cable television to Netflix. Research Methodology: The data for this study were gathered via questionnaires and a review of the literature. Purposive sampling was used to collect data from 92 respondents who were active undergraduate students at the Faculty of Economics and Business Unhas in the 2016-2018 academic year and used the Video on Demand (VoD) Netflix service. Multiple regression analysis, F test (simultaneous), and T test are used in the analysis (partial). Results: The findings indicated that utilitarian benefits and social status had a positive and significant effect on brand switching decisions, whereas hedonic benefits had a negative and insignificant effect. Simultaneously, utilitarian, hedonic, and social benefits all have a positive and significant effect on brand switching decisions.
Penguatan Kapasitas Ibu Rumah Tangga Melalui Pemanfaatan Tanaman Obat Keluarga di Desa Kerinjing Kecamatan Tanjung Raja Kabupaten Ogan Ilir
Authors:   Fakultas Ekonomi, Universitas Sriwijaya, Palembang, Maulana Ahmad , Novalia Nurkardina ,   Fakultas Ekonomi, Universitas PGRI, Palembang, Wijaya Wahyu Aji ,   Fakultas Ekonomi, Universitas Sriwijaya, Palembang
Published: September 2021

Abstract Purpose: The Community Service Program (PKM) is located in Kerinjing Village, Tanjung Raja District, Ogan Ilir Regency. The targeted target audiences are housewives in the village. This activity aims to: (1) socialize the potential benefits of family medicinal plants (TOGA) as healthy drinks that can increase income, (2) socialize the correct way of planting family medicinal plants so that the quality is better, arousing the motivation of the target community to develop family medicinal plat processing. Method: The methods applied in this training include counseling on several theories that support the potential and composition of family medicinal plants, how to plant and process medicinal plants into various beverage processed products, suitable packaging methods, practice, and assistance. Community service activities are carried out through lectures and demonstrations. Results: The output produced from this activity include: (1) increased knowledge and skills of housewives regarding the use and processing of family medicinal plants, (2) increased knowledge of how to plant and pack good products, and (3) increased motivation for developing a business to use family medicinal plants. Conclusions: After the activity, there is an increase in knowledge and skills to develop a business to use family medicinal plants, their potential, and how to process them into healthy drink products, as well as proper packaging methods. In addition, this activity also increases the motivation of housewives who are participants to develop businesses in the field of beverage products based on family medicinal plants.
THE ROLE OF SUPPORTING COMPONENTS AS A MULTIPLE FORCE IN INDONESIAN TOTAL DEFENSE SYSTEM
Authors: P. Sihombing Goki
Published: September 2021

This study discusses the role of the Supporting Components in national defense as a multiplier force in the Indonesian Universal Defense System. The method in this study uses the Estimative Methodology method, namely predictive analysis which can accurately predict several key variables to be presented through several levels of analysis (levels of analysis) to customers which can be used as a basis for strategic decision making. The results of the study show that the role of the Supporting Components has strong relevance to the prediction of changes in the Universal Defense System in the long term by generating new defense strategies as a result of High Impact Low Probability, while threats are the variables with the largest changes (dominant) so that they will affect the Defense System in the long term
Uniform Ray Description of Physical Optics Scattering by Finite Locally Periodic Metasurfaces
Authors: de Jong Yvo
Published: September 2021

This paper presents a uniform ray description of electromagnetic wave scattering by locally periodic metasurfaces of polygonal shape. The model is derived by asymptotically evaluating the critical-point contributions of a physical optics scattering integral. It is valid for metasurfaces whose bulk scattering coefficients are periodic functions of a phase parameter which, in turn, is a continuous and smooth function of surface coordinates. The scattered field is expressed in terms of reflected, transmitted and diffracted rays that do not generally obey conventional geometrical constraints (i.e., Snell’s law and the Keller cone). An iterative technique is presented to determine the locations of critical points on one or multiple interacting metasurfaces. Numerical results demonstrating the utility and accuracy of the asymptotic physical optics model are also provided.
A legitimação da educação física escolar: a cultura corporal de movimento como linguagem e condição de possiblidade de conhecimento
Authors: Martiny Luis Eugênio , Theil Larissa Zanetti , Maciel Neto Eloy
Published: September 2021

INTRODUÇÃO: A Educação Física escolar construiu-se por meio de diferentes influências pedagógicas históricas que produziram interferências marcantes na escola, no fazer pedagógico dos profissionais imersos nesse contexto, e consequentemente, contribuíram para um estado de crise identitária da Educação Física. OBJETIVO: Diante este cenário o objetivo principal deste estudo é a reflexão acerca da legitimidade da Educação Física como componente do currículo escolar. MÉTODOS: Trata-se de um ensaio teórico que propõe a problematização da Educação Física escolar, com destaque para as intervenções pedagógicas dos conteúdos da cultura corporal de movimento. Primeiramente fez-se uma reflexão e discussão sobre o objeto de estudo da Educação Física, posteriormente sobre a sua relevância, seu lugar de pertencimento no sistema de ensino como componente curricular, e por último, sobre as suas condições de possibilidade de conhecimento a partir do saber científico e do saber do senso comum. RESULTADOS: A possibilidade de conhecimento da Educação Física e por conseguinte, sua legitimação, dar-se-á pela harmonização entre aquilo que a diferencia e aquilo que a integra, ou seja, do arranjo entre diferentes manifestações da cultura corporal do movimento e a linguagem. CONCLUSÃO: É importante destacar que não se pretendeu produzir respostas prescritivas, porém é necessário produzir e discutir acerca da responsabilidade curricular da Educação Física como disciplina, trazendo à tona maiores esclarecimentos do universo representativo dessa área do saber. Para além, tem-se consciência que este estudo não colocará um ponto final em toda esta temática. Antes pelo contrário, é um ponto de partida para que se possa realizar novas investigações e intervenções pedagógicas que consigam explorar os conteúdos da cultura corporal de movimento nas aulas de Educação Física.
Pedagogia da Autonomia de Paulo Freire na Educação Física escolar - Relações e possibilidades diante da BNCC
Authors: Bizzocchi Carlos Eduardo , Oliveira Júlia Félix de
Published: September 2021

OBJETIVO: Este artigo tem como proposta trazer as possíveis relações e as potenciais possibilidades propostas por Paulo Freire em sua obra Pedagogia da Autonomia para o desenvolvimento de oito dimensões do conhecimento elencadas para a Educação Física na Base Nacional Comum Curricular (BNCC). MÉTODOS: Valendo-se das recomendações de Freire para a formação progressista dos professores, procuramos associar a prática docente à essência das práticas pedagógicas com vistas ao atingimento dos objetivos relacionados indiretamente às competências da educação básica. RESULTADOS: Por meio do desenvolvimento dessas dimensões propomos a reflexão sobre a validade das propostas na concepção da educação física como área potencial de desenvolvimento de capacidades vitais à construção do indivíduo histórico-social. CONCLUSÃO: As reflexões propostas por Paulo Freire em Pedagogia da Autonomia são valiosas na construção das práticas pedagógicas com vistas ao desenvolvimento das oito dimensões do conhecimento elencadas para a Educação Física na BNCC.
O ensino das práticas de aventura e a contextualização da determinação social da saúde
Authors: Silva Regina Queiroz , Andrade Leonardo Carlos de , Lima Isaac Neves de , Costa Katiane dos Santos
Published: September 2021

INTRODUÇÃO: Este artigo expõe uma sequência didática com o conteúdo práticas corporais de aventura, tomando como principal enfoque as articulações com o debate sobre saúde coletiva a partir da pedagogia histórico-crítica e dos princípios curriculares para o trato com o conhecimento da abordagem crítico-superadora. Compreendendo que a saúde coletiva está pautada em um aporte dialético e que toma a totalidade do indivíduo nessa particularidade histórica, defendemos que essa concepção de saúde tem envergadura suficiente para dialogar com o ensino das diferentes atividades da Cultura Corporal na busca por uma formação crítica. OBJETIVO: O objetivo é apresentar o caminho teórico-metodológico do ensino das práticas corporais de aventura considerando as possibilidades de usufruto e vivência em meio urbano, mais especificamente nos parques da cidade de Goiânia. MÉTODOS: A metodologia de exposição foi delineada a partir dos princípios de um relato de experiência, que visa apresentar detalhadamente uma proposta pedagógica já materializada em diálogo com a produção científica. Concomitantemente foi desenvolvido um debate acerca da saúde coletiva apresentando as determinações sociais do trabalho e as contradições dessa sociedade onde os trabalhadores não têm acesso à cultura corporal e ao tempo de lazer, impactando sua saúde. RESULTADOS: a) o processo de ensino e aprendizagem das práticas corporais de aventura na terra, no ar e na água, em suas modalidades arvorismo, slackline e stand up paddle e dimensões técnicas, históricas e de vertigem; b) Debate sobre as formas de acesso às práticas de aventura e exploração dos espaços públicos em Goiânia; c) Compreender as contradições acerca da particularidade de nossa sociedade (capitalismo); d) Construção de material alternativo. CONCLUSÃO: Os alunos compreenderam os conceitos das práticas corporais de aventura e os determinantes sociais da saúde, tecendo críticas à falta de políticas públicas de acesso à cultura corporal e apontando possibilidades alternativas (e provisórias) para a comunidade vivenciar e usufruir destes bens, mesmo à contragosto da lógica do capital.
Sentidos y horizontes de los adolecentes y jóvenes rurales, circundano las montañas
Authors: Rivero Zegarra José Luis
Published: September 2021

En este trabajo se describen experiencias educativas de diversos adolescentes y jóvenes rurales enfrentados a una educación que no guiarda pertinencia con el contexto en el que viven y que no construyeron los horizontes que les podrían haber dado sentido y futuro. En medio de la crisis estructural de nuestros países, en Bolivia se han experimentado en los últimos 15 años reformas en el estado, una de ellas es la educación cuyo eje central fue la atención a la educación primaria,incorporando el Construcionismo como enfoque pedagógico. La experiencia tuvo luces y sombras, pero sobre todo dejó mucha incerticlumbre en el área ruralcuando contenidos curriculares, modalidades educativas y metodologías para los procesos de aprendizaje, no llenaron las expectativas de profesores, alumnos y padres de familia .
La diversidad en la infancia: una mirada expedicionaria en la escuela
Authors: Ramírez Cabanza Ana Brizet , Escorcia Romera Tadiana Guadalupe
Published: September 2021

El artículo presenta avances en la conceptualización de la vulnerabilidad educativa al ser caracterizada en el espacio escolar desde tres manifestaciones específicas: vulnerabilidad académica, en la convivencia y en la condición de niñez. Así mismo, expone cómo los proyectos de vida se constituyen en factor protector ante la vulnerabilidad educativa y como la respuesta pedagógica de la escuela, para disminuir los diferentes factores de riesgo presentes en el contexto no solo escolar, sino familiar y barrial. El proceso se aborda desde un enfoque cualitativo, en el que la etnografía y la investigación acción, son la posibilidad para explorar el entorno escolar· y así hacer emerger en las narrativas de los niños, niñas, padres, madres de familia y docentes frente a la vulnerabilidad educativa la posibilidad polifónica de la diversidad.
La calidad en la educación pública
Authors: Salazar Carreña Paola Andrea
Published: September 2021

La autora examina primeramente algunos debates en torno a la noción de calidad en la educación pública; en segundo lugar, realiza un análisis comparativo entre los enfoques conceptuales de calidad en la educación en los dos Planes de Desarrollo Distritales de la ciudad de Bogotá, D. C. en los periodos (2001-2004) y (2004-2008) respectivamente. En tercer lugar, presenta una nueva noción de calidad ligada a dos conceptos fundamentales: a la necesidad de la construcción de equidad desde las políticas públicas; esto es, calidad para la educación y su ejercicio como derecho; y a la necesidad de analizar la propuesta de educación de calidad desde la perspectiva de formación de ciudadanía y configuración del sentido de lo público. Finalmente, proporciona algunas reflexiones sobre las perspectivas analíticas actuales respecto a educación y calidad y retoma la propuesta de Paulo Freire para darle una nueva dimensión al análisis de la educación y la calidad desde tres perspectivas: educación para la calidad, la calidad para la educación y educación - calidad de vida.
Calidad de la educación, justicia y libertad
Authors: Mora Cortés Andrés Felipe
Published: September 2021

Este ensayo explora la relación de doble vía existente entre calidad en la educación y política social. Después de definir una postura crítica frente a la teoría del capital humano como eje articulador de la relación calidad educativa-política social, el documento propone dos dimensiones desde las cuales la educación puede determinar los fundamentos políticos y normativos de una política social justa y creadora de libertad: i) por una parte, se enuncia la necesidad de un modelo educativo formador de sujetos morales dispuestos para la justicia; por otra ii) se considera la urgencia de formación de sujetos que valoren la política social desde la perspectiva de la libertad y no desde las necesidades de articulación a la ética del trabajo o la estética del consumo.Si la política social configura las condiciones socio-económicas para una educación de calidad, la calidad educativa edifica las bases políticas y normativas de una política social justa y creadora de libertad
Políticas públicas y profesión docente
Authors: Roldán Rodrigo Jaramillo
Published: September 2021

Es inobjetable afirmar que la educación colombiana ha obtenido avances significativos en los últimos quince años a la luz de los indicadores predominantes de la calidad, pero a la vez, es necesario señalar que en ese mismo lapso la profesión docente se ha visto afectada negativamente. Particularmente se hace consideración a lo que reglamentó la Ley  115 de 1994 y que ha dejado de ponerse en práctica; se señalan algunos inconvenientes generados con la ejecución de la misma, las formas y los procedimientos en los concursos docentes, la invisibilización de las instituciones formadoras de maestros y los retrocesos en la cultura evaluativa institucional
Целиачна криза – клиничен случай с остро начало на цьолиакия при 39-годишна жена
Authors: Црънчева Радослава , Петрова Диана , Станчев Никола , Станчева Мария , Стоянов Димитър , Кьосева Диана
Published: September 2021

Целиакията е автоимунно системно заболяване с предилекционно засягане на тънкото черво и развитие на хронично възпаление. Асоциира се с прием на глутен – протеиновата съставка на житото, ръжта, ечемика и овеса. Чувствителните и генетично предразположени индивиди боледуват както в детството, така и в зряла възраст. Класически симптоми са диария и малабсорбция, но заболяването може да протече с атипични прояви като анемия, дерматит, остеопения, инфертилитет, засягане на нервната система, поведенчески разстройства.

В литературата са описани редки случаи на остро начало – целиачна криза при възрастни. Състоянието протича с метаболитни нарушения, диселектролитемия, нерврологични прояви и повишена смъртност. Представяме клиничен случай на 39-годишна жена с рязко начало на болестта, анемия, диария, диселектролитемия, тетания и мускулна слабост на крайниците. Резултатите от серологичните, ендоскопски и хистологични изследвания потвърждават диагнозата целиакия. Беше въведена безглутенова диета, която доведе до клинично възстановяване.
Миокардит след имунизация с първа доза информационна РНК ваксина срещу COVID-19
Authors: Стоименов Благовест , Панчева Ралица
Published: September 2021

С оглед масовото приложение на иРНК ваксините в световен мащаб нарастват и случаите на пациенти, диагностицирани с миокардит. Поради изразената хетерогенност в клиничното протичане на това заболяване диагностицирането му лесно може да се пропусне. Мнозинството от регистрирани случаи са на млади мъже във възрастов диапазон между 15 и 29 години след завършен имунизационен цикъл. Представеният от нас клиничен случай е на 33-годишен мъж с анамнеза за прекаран перимиокардит преди 8 години и настъпили оплаквания след приложение на първа доза иРНК ваксина. Ранното диагностициране на миокардита дава възможност за навременно започване на кардиопротективна терапия, която да редуцира риска от развитие на внезапна сърдечна смърт, както и да подобри прогнозата при тези пациенти.
COMPLEX MECHANISMS IN ROAD TRAFFIC ACCIDENTS CONCERNING PEDESTRIANS. A CASE STUDY
Authors:   Institute of Legal Medicine, University of Medicine and Pharmacy “Grigore T Popa” Iasi, Romania, GIRLESCU Nona , DIAC Madalina Maria ,   Institute of Legal Medicine, University of Medicine and Pharmacy “Grigore T Popa” Iasi, Romania, HUNEA Iuliana ,   Institute of Legal Medicine, University of Medicine and Pharmacy “Grigore T Popa” Iasi, Romania, DAMIAN Simona Irina ,   Institute of Legal Medicine, University of Medicine and Pharmacy “Grigore T Popa” Iasi, Romania, KNIELING Anton ,   Institute of Legal Medicine, University of Medicine and Pharmacy “Grigore T Popa” Iasi, Romania, BULGARU ILIESCU Diana ,   Institute of Legal Medicine, University of Medicine and Pharmacy “Grigore T Popa” Iasi, Romania
Published: September 2021

Pedestrian injuries vary according to vehicle type, position during the accident, and pedestrian’s age, thus determining complex aspects by associating multiple types of traumas. In forensic practice, it should be noted that the lesion-producing mechanisms recorded among pedestrians are most frequently mixed, reason for which a correct and careful examination of the victim must be supported by the characteristics of the vehicle involved in the accident, as well as by other elements at the crime scene. It is necessary to thoroughly examine the injuries, an analysis that should always be characterized by a dynamic interpretation, directly related to the mechanism of accident occurrence, with case-by-case individualization, to result in the clarification of conditions difficult to grasp at a superficial interpretation. This article aims to briefly review the main lesion mechanisms in case of pedestrians, to emphasize on the importance of understanding the complexity of these injuries, in order to elucidate – as accurately as possible – the circumstances of such an ill-fated event.
PENGARUH SENAM ERGONOMIK TERHADAP PENURUNAN KADAR GULA DARAH PADA LANSIA DENGAN DIABETES MELITUS DI DESA SIDAKARYA, DENPASAR SELATAN
Authors: Febrianti Ni Putu Mira , Wijaya I Putu Artha , Kio Alfiery Leda
Published: September 2021

Diabetes mellitus is a chronic metabolic disorder caused by pancreas that does not produce enough insulin, resulting on the inability of the body to use insulin effectively. The symptoms suffered by patients are often mild and this causes considerable people with diabetes mellitus do not realize that they have diabetes mellitus. If Diabetes Mellitus is not immediately treated, it would cause long-term complication including macrovascular diseases. Plentiful elderly with Diabetes Mellitus in Sidakarya Village do not realize that they suffer from Diabetes Mellitus and prefer to do non-pharmacological therapy. One of non-pharmacological therapies that can reduce blood sugar levels is ergonomic exercises. The aim of this study was to find out how ergonomic exercises effected towards the lower of blood sugar levels in elderly in Sidakarya Village, South Denpasar. This study is a quantitative research using Pre-Experimental Design One Group Pre-Test Post-Test with total samples of 19 elderly. Data was analysed using non-parametric test of Wilcoxon Sign Rank Test in order to compare the result of the pre-test and post-test. The result of this study showed that prior to the implementation of ergonomic exercises, it was found approximately 57,9% respondents who suffered from prediabetes and 42,1% respondents who suffered from diabetes, while after intervention of ergonomic exercises were given, there were only 7 respondents (36,8%) who suffered from diabetes and 12 respondents (63,2%) who have normal blood sugar levels. According to the calculation result, it was obtained that p value = 0,0001 < ? 0,05 and Zcount -3.824b that showed an effect of ergonomic exercises towards the lower of blood sugar levels in elderly in Sidakarya Village, South Denpasar. Based on the result of this study, ergonomic exercises is expected to be able to help reducing blood sugar levels in elderly with Diabetes Mellitus who prefer to do non-pharmacological therapy.
Incidencia Universitaria en las Actitudes hacia la Investigación: Adaptación de un Instrumento Breve
Authors: González-Rivera Juan Aníbal , Rosario-Rodríguez Adam , Torres-Rivera Natasha , Ortiz-Santiago Taimara , Sepúlveda-López Vicmarie , Tirado de Alba Miriam , González-Malavé Chardlyn M.
Published: September 2021

El estudio tiene como objetivo adaptar un instrumento breve que mida incidencia universitaria en las actitudes de los estudiantes graduados hacia la investigación. Este proyecto es la fase inicial de una investigación mayor que pretende examinar la autoeficacia para investigar y su relación con otras variables académicas en una muestra de estudiantes graduados de Puerto Rico. Como base para la versión breve se utilizaron dos factores del Índice de Actitud hacia la Investigación. Participaron 308 estudiantes universitarios activos en escuela graduada (maestría y doctorado). El análisis factorial exploratorio reflejó una solución de dos factores que explicaban el 66.38% de la varianza. Los factores fueron Incidencia de Profesores (5 ítems) e Incidencia Institucional (5 ítems). Para el factor 1, Incidencia del profesor, los índices de discriminación de los ítems fluctuaron entre .52 a .76, obteniendo un alfa de Cronbach de .84. Para el Factor 2, Incidencia institucional, la discriminación de los ítems osciló entre .62 y .80, logrando un alfa de Cronbach de .88. Estos resultados sugieren que la escala tiene el potencial para medir este constructo en Puerto Rico y se recomienda su uso en futuras investigaciones.
Post Operative Cognitive Dysfunction: A Literature Review
Authors: Tambunan Irfan Ferdinand
Published: September 2021

Along with ages, elderly patients with comorbid who undergoing surgical procedures are more likely to experience cognitive disorders such as decreased quality of life and loss of independence. This is known as postoperative cognitive dysfunction. The percentage is quite significant for old age to experience cognitive disorders. Ages, education level, health and mental status can be a factor causing cognitive disorders. Comprehensive assessment of objective mental, social and functional status can increase patient preoperative. Perioperative pharmacological management can reduce the incidence of POCD. For example, minimal use of propofol in spinal anesthesia may reduce POCD in hip fracture surgery. The use of dexmedetomidine in ventilated patients in the ICU may also reduce POCD. The etiology is still unclear, but there is a suspicion that the use of neurotoxic anesthetics can trigger the occurrence of POCD, but this has not been further proven.
Orthopedic Surgeries: Review of Physicological Effect Pre and Post-Surgical Treatments
Authors: Wicaksana Satria Putra
Published: September 2021

Patient satisfaction with a treatment is an important outcome measure and is associated with increased adherence to that treatment. The role of psychological factors with regard to successful surgical outcomes has been highlighted previously. This is an orthopedic literature for the psychological traits that are relevant to surgical outcomes as well as an overview of options for psychologically optimizing a patient for surgery and ways to address problems encountered in the postoperative period in pandemic or non-pandemic before. A literature review was conducted in the electronic database PubMed using keyword “Psychological”, and “Orthopedic Surgeries”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2015 and 2021. Articles which not written in English were excluded from the study. This search resulted in 6 papers. All of the papers disscuss about physicological effect on pre and post-surgical treatment. Satisfaction with surgery was closely associated with physical function and anxiety before surgery. Our analysis provides low levels of evidence supporting the use of psychological interventions, particularly with regard to anxiety and mental components of quality of life. Pre-operative anxiety, depression and low self-efﬁcacy are consistently associated with worse physiological surgical outcomes and quality of life. However, there is currently insufﬁcient evidence to be sure that pre-operative psychological interventions are of beneﬁt, or which interventions are most effective.
Postoperative Complication and Depression: A Literature Review
Authors: Nugraha Sendy Aditya
Published: September 2021

Surgical procedure is a significant factor for patients and is associated with depression. The literature review aims to identify depressive conditions in patients with a history of postoperative hospitalization. Depressive conditions, anesthesia and surgery can lead to a high increase in patient morbidity and mortality. Major depressive disorder is a common complication, which can lead to increased morbidity and mortality. Depressive disorders can cause patients to develop certain diseases that occur postoperatively, especially in patients who have malignant tumors or carcinomas that will undergo surgery. Depression is associated with cognitive impairment, which is exacerbated by postoperative events. There is evidence that postoperative pain is seriously depressing and depression causes pain to worsen. Depression is also said to be a strong predictor and correlates with persistent postoperative pain. Some studies say depression is an objective risk factor that can lead to a long recovery after surgery. Depression can also occur in patients admitted to the intensive care unit, which is associated with high morbidity and mortality rates, thereby increasing the possibility of additional hospitalization costs.
Postoperative Cognitive Dysfunction
Authors: Saksono Awang Budi
Published: September 2021

The impact of general anesthesia on cognitive impairment is controversial and complex. A large body of evidence supports the association between exposure to surgery under general anesthesia and the development of delayed neurocognitive recovery in a subset of patients. Existing literature continues to debate whether these short-term effects on cognition can be attributed to anesthetic agents themselves or whether other variables are causative of the observed changes in understanding. Furthermore, there are conflicting data on the relationship between anesthesia exposure and the development of long-term neurocognitive disorders or incident dementia in the patient population with normal preoperative cognitive function. Patients with pre-existing cognitive impairment present a unique set of anesthetic considerations, including potential medication interactions, challenges with cooperation during assessment and non-general anesthesia techniques, and the possibility that pre-existing cognitive impairment may impart a susceptibility to further cognitive dysfunction.
Delirium-The Effect off Children Anesthesiology after Surgery
Authors: Marantika Yuni Dwi
Published: September 2021

Delirium of anesthesiology is a clinical phenomenon widespread in children. Although the pathophysiology is still uncertain, some factors seem to be involved, such as rapid awakening in an unknown environment, agitation during anesthetic induction, preoperative anxiety, environmental disorders, pre-anesthetic medication, and inhalational anesthetics. There remain unanswered questions and implications related to the emergence of delirium in children. Although we know that there are some predisposing factors to emergence delirium, we still cannot accurately identify those  at most significant risk. Emergent delirium should be considered a ‘vital sign,’ which should be followed and documented in every child in the postanaesthesia recovery period. What should adopt standardized screening tools for pediatric emergence delirium(ED).
Diabetes Mellitus Type-1 and Psychosocial Intervention to Improve Quality of Life
Authors: Amalia Sarah
Published: September 2021

Type 1 diabetes mellitus is the most common chronic endocrine pathology among children. Data from the Indonesian Pediatric Association (IDAI) states that the incidence of DM in children aged 0-18 years has increased by 700% over a period of 10 years. Treatment includes diet, physical activity, insulin medication, and proper self-control. The necessary changes in habits and lifestyles can lead to psychosocial problems, including anxiety, depression and eating disorders. Subsequently, the child or adolescent and his or her family group may move into new balance characterized by good self-control and adherence to treatment, or deepen individual and group disorders which may reappear, especially in adolescence. The comprehensive treatment of type 1 diabetes mellitus requires addressing these aspects through multidisciplinary teams which include medical and psychosocial professionals. This review analyses the main aspects related to the psychosocial impact of diabetes mellitus type 1 among children, adolescents and their families mental. A substantial amount of behavioral science research has demonstrated that psychosocial factors play an integral role in the management of diabetes in both children and adults. Research has also shown how psychosocial therapies that can improve regimen adherence, glycemic control, psychosocial functioning, and quality of life.
Plastic Surgery: Review on Screening of Psychiatric Disorder
Authors: Fenisenda Angeline
Published: September 2021

Recently the popularity of plastic surgical procedure has been increased. Many people surgically alter their physical appearance with the intent of boosting their social and psychological well-being; however, the long-term effectiveness of aesthetic surgery on improving well-being is unconfirmed. To have successful cosmetic plastic surgery result, it is imperative to assess candidates for predictors of poor outcomes. These include the following factor : psychiatric disorder, demographic factors (male and younger age), relationship issues, unrealistic expectations, previous dissatisfied surgery, and minimal deformity. For psychiatric patients, despite having technically satisfactory cosmetic surgery, poor emotional adjustment and social functioning were seen post procedure. Proper screening and evaluation of these patients could save money and resources. In this brief review we discuss about psychiatric disorder screen on plastic surgery to prevent unwanted outcome. A literature review was conducted in the electronic database PubMed using keyword “Psychiatric Disorder”, “Plastic surgery”, “Prevention” and “Screening”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2011 and 2021. Articles which not written in English were excluded from the study. This search resulted in 18 papers. Some patient who undergo cosmetic surgery suffer from underdiagnosed or untreated psychiatric disorder. To avoid unnecessary expense and resource it is advisable that all patient who seek cosmetic procedure undergo psychiatric screen such as PHQ-9, GAD-7, BDDQ and other test to avoid un-necessary expense and resource.
Pharmacogenetics of Metformin
Authors: Joneri Alrahman
Published: September 2021

Hyperglycemia is a medical condition in which an increase in glucose levels in the blood exceeds normal limits. Hyperglycemia is one of the typical signs of diabetes mellitus (DM). The World Health Organization (WHO) predicts an increase in the number of people with DM which is a global health threat. Diabetes is the leading cause of kidney failure, and the leading cause of heart disease and stroke, in adults. Metformin, which is a biguanide group, is recommended by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes as the first-line oral therapy for DM and is the most widely used oral medication worldwide. Metformin can also increase peripheral glucose utilization and ultimately decrease the production of fatty acids and triglycerides. Some of the individual differences that underlie the variation in response to metformin.
Obstetric Management in Maternal with Covid-19
Authors: Giovano Asoly
Published: September 2021

Coronavirus disease-19 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2 (SARS- CoV-2). Covid-19 pandemic began in the end of 2019 and spread all over the world in a short duration of time. Like two other notable beta coronaviruses, severe acute respiratory syndrome coronavirus-1 (SARS-CoV-1) and Middle East respiratory syndrome coronavirus (MERS-CoV), SARS-CoV-2 can lead to severe contagious respiratory disease. Due to impaired cellular immunity and physiological changes, pregnant women are susceptible to respiratory disease and are more likely to develop severe pneumonia.
Ecological Responses of Macroinvertebrates to an In-Stream Ecosystem Restoration Technique in a Tropical Stream in Eastern Uganda
Authors: Turyahabwe Remigio , Mulabbi Andrew , Asaba Joyfred , Olowo Moses
Published: September 2021

A field experiment was conducted to examine the ecological responses of macroinvertebrates to an in-stream ecosystem restoration technique called woody debris introduced in a stream in different arrangements to show how they (woody debris) affected the macroinvertebrate ecology, specifically assemblage composition and biometrics in River Nabongo. The experiment was carried out in two heterogeneous stream environments i.e., i) in a riffle found in the middle reaches of the river at a higher altitude and ii) a pool in the lower altitude and reaches of the river. Each of these two treatments had a control plot for comparison purposes. Four macroinvertebrate sampling campaigns were launched in experimental sites from September 2019 to April 2021. All restoration structures had more macroinvertebrates than control and pre-treatment sites. The introduction of simple structures at the riffle site led to an increase in collector-filterers from 9-128 individuals, while at the pool site all the structures increased macroinvertebrates by 1151 individuals. Taxon richness was highest in the complex plot with 14±0.41 which significantly differed from the rest of the sampling plots at P<0.05. The relative abundance of taxa at the pool site varied significantly from one sampling plot to another at P<0.05 with the highest mean abundance registered in complex and simple structures having 61.3±0.10 and 23.5±0.11 respectively. It was concluded that complex woody debris structures increase the diversity, abundance and richness of aquatic macroinvertebrates by providing hard substrates for colonization by algae and microorganisms on which macroinvertebrates feed. We recommended that other researchers should study the impact of other in-stream ecosystem restoration techniques such as floating islands, constructed wetlands, D-deflectors, a comparison of which with restored woody debris will enable ecologists to choose the most suitable technique to apply at different stream points.
ГОРМОНАЛЬНА РЕГУЛЯЦІЯ Сa-P ОБМІНУ У ПАЦІЄНТІВ ІЗ ХРОНІЧНОЮ ХВОРОБОЮ НИРОК ТА ТЕРАПЕВТИЧНІ ПІДХОДИ ДО КОРЕКЦІЇ
Authors: Moyseyenko Valentyna , Medvedyev Taras
Published: September 2021

Вступ. Однією з найбільш частих і важких проблем, що виникають при лікуванні діалізних хворих, є корекція фосфорно-кальцієвого обміну. При хронічній нирковій недостатності порушуються всі ланки фосфорно-кальцієвого обміну. При зниженні швидкості клубочкової фільтрації (ШКФ) нижче 60 мл/хв /1,73 м2 зменшується фільтрація фосфору і підвищується його сироваткова концентрація, що викликає підвищення секреції паратиреоїдного гормону (ПТГ).Мета. Узагальнити відомості про роль гормональної регуляції фосфорно-кальцієвого обміну в патогенезі розвитку хронічної хвороби нирок та серцево-судинних захворювань, що її супроводжують, і проаналізувати основні терапевтичні підходидля корекції цих порушень.Матеріали та методи. Бібліографічний – проведено теоретичний аналіз та здійснено узагальнення даних літератури, проаналізовано фактичний вміст. При дослідженні використано анкетно-опитувальний метод, а також – опис, аналіз, реферування.Результати та їх обговорення. ПТГ продукується головними клітинами паращитоподібних залоз (ПЩЗ). Концентрація Ca2 + в сироватці крові є основним модулятором секреції ПТГ [2]. Стимуляція кальцій-чутливих рецепторів (КЧР) ПЩЗ через каскад реакцій призводить в підсумку до пригнічення секреції ПТГ. Додатковим стимулом збільшення секреції ПТГ є гіперфосфатемія. ПТГ має наступні фізіологічні ефекти: стимулює резорбцію кальцію з кісткової тканини, реабсорбцію кальцію в ниркових канальцях. Вітамін D (D3 і D2) в асоціації з вітамін D-зв’язуючим білком переноситься в печінку, де гідроксилюється з утворенням 25(OH)D або кальцидіолу (KD), який в подальшому зазнає 1α-гідроксилювання в ниркових канальцях, перетворюючись в активну форму вітаміну D – кальцитріол (KT) або D-гормон. Білок Клото є трансмембранним протеїном, який крім інших ефектів, забезпечує певною мірою чутливість організму до інсуліну і уповільнює процес старіння в дослідах на тваринах. FGF23 має фосфатурічний ефект, стимулює секрецію ПТГ і гальмує 1α-гідроксилазну активність нирок, призводячи до зниження синтезу КТ і його рівня в сироватці крові.Висновки. Підвищення рівнів FGF23 і ПТГ є відповідальним за несприятливі ефекти надмірного вмісту фосфатів, але інгібування цих компенсаційних механізмів клінічно неможливо, тому що це призводить до небезпечних змін в мінеральному обміні. При цьому, профілактика кардіоваскулярних ускладнень у осіб з порушеннями в системі FGF23/Klotho повинна включати корекцію вмісту фосфатів, так як їх атерогенну роль продемонстровано, а спроби зменшити абсорбцію фосфатів з використанням тільки фосфат-біндерів можуть результувати збільшенням абсорбції фосфатів в той час, коли фосфат-біндери не присутні в порожнині кишківника. Можливим терапевтичним підходом також є дієтичний контроль у таких пацієнтів за рівнем Ca, P та вітаміну D з блокадою кишкового активного перенесення фосфатів для зниження дієтичної фосфатної абсорбції.
АСЕПТИЧНИЙ НЕКРОЗ ГОЛІВОК ОБОХ СТЕГНОВИХ КІСТОК У ПАЦІЄНТА З ГЛОМЕРУЛОНЕФРИТОМ НА ТЛІ ПРИЙОМУ ГЛЮКОКОРТИКОСТЕРОЇДІВ
Authors: Bryzhachenko Tetyana
Published: September 2021

Вступ. Рідкісним ускладненням при прийомі глюкокортикоїдів є аваскулярний некроз, механізм розвитку якого до кінця не з’ясований. Припускають, що ГК ушкоджують ендотеліальні клітини судин, призводячи до стазу, підвищення внутрішньо-кісткового тиску, знижують артеріальну перфузію, спричиняючи інфаркт кістки. Тривалий прийом глюкокортикоїдів асоціюється з розвитком різних побічних явищ. Однак аваскулярний некроз може виникнути і при короткочасному вживанні невисоких доз ГК. Знаючи про них, лікар може запобігти або мінімізувати цей негативний вплив.Мета. Описати клінічний випадок асептичного некрозу голівок обох стегнових кісток у пацієнта з гломерулонефритом на тлі прийому глюкокортикостероїдів, проаналізувати динаміку лабораторно-інструментальних показників.Матеріали і методи. Огляд сучасних та зарубіжних джерел, аналіз та обговорення конкретного клінічного випадку; методики – опис, аналіз, реферування.Результати та їх обговорення. Частота виникнення асептичного некрозу кісток корелює з дозою і тривалістю прийому ГК. Відомо про його виникнення на тлі прийому глюкокортикоїдів у дозі більше 20 мг/добу, але частіше на більш високих дозах – 40 мг/добу. Однак аваскулярний некроз може виникнути і при короткочасному вживанні невисоких доз ГК. На ранніх стадіях симптоми неспецифічні: набряклість навколо ураженого суглоба й обмеження рухливості в ньому. Часто захворювання до певного моменту перебігає безсимптомно. Больовий синдром і кульгавість виникають на пізніх стадіях. Для діагностики цього ускладнення застосовують рентгенографію, МРТ, КТ.Висновки. Прийом глюкокортикоїдів асоціюється з розвитком різних побічних явищ. Для раннього виявлення аваскулярного некрозу кісток лікар має ретельно обстежувати пацієнта при кожному відвідуванні, коригувати дози, тривалість та схеми призначення глюкокортикоїдів при гломерулонефриті.
Severe acute respiratory syndrome coronavirus 2 targeted antibodies cocktail and B cell receptor interplay: interventions to trigger vaccine development
Authors: Haneef Kabeer , Saleem Rabia , Iqbal Khan Muhammad Saleem , Adeyinka Olawale Samuel , Banday Sadeeq , Asghar Muhammad Umer , Rahman Zia Ur , Fatima Zainab
Published: September 2021

Coronavirus disease-2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus (SARS-CoV)-2 spread globally and creates an alarming situation. Following the SARS-CoV-2 paradigm, therapeutic efficacy is achieved via repurposing several antiviral, antibacterial, and antimalarial drugs. Innate and adaptive immune cells work close to combat infection through the intricate production of antibodies (Abs) and inflammatory cytokines. As an essential component of the immune system, Abs play an important role in eliminating viruses and maintaining homeostasis. B lymphocytes (B cells) are effector cells, stringent to produce neutralizing Abs to combat infection. After recognizing SARS-CoV-2 antigens by a surface receptor called B cell receptors (BCRs) on the plasma membrane, the BCRs transmembrane signal transduction and immune activation results in Ab production and development of immune memory. Thus, it ensures that plasma B cells can quickly start an intricate immune response to generate efficient protective Abs to clear the pathogen. Nevertheless, considering therapeutic challenges in the context of the new coronavirus pandemic, this review addresses the molecular mechanism of the immune activation and function of novel SARS-CoV-2 specific B cells in the production of SARS-CoV-2 specific Abs. Additionally, these studies highlighted the Ab-mediated pathogenesis, the intriguing role of nano-scale signaling subunits, non-structural proteins during COVID-19 infection, and structural insights of SARS-CoV-2 specific Abs.
Faktor-faktor yang Mempengaruhi Keputusan Merevaluasi Aset Tetap
Authors: Jefriyanto Jefriyanto
Published: September 2021

This study aims to determine the effect of leverage, liquidity, fixed asset intensity, and size of the company against the decision to revaluate fixed assets. The research was conducted at a manufacturing company listed on the Indonesia Stock Exchange in 2012 until 2016 as many as 550 units of analysis and the sample is collected by using purposive sampling technique which the samples were chosen selectively. By using logistic regression, the result of this research is fixed asset intensity and firm size have positive effect to revaluation decision. Liquidity and leverage have no effect on the decision to revalue fixed assets. The conclusions of this study are companies that have high fixed assets and companies with a large percentage of sales are more likely to revalue fixed assets.