bluuebunny/crossref_metadata_2025 huggingface dataset:
Approche analytique et système intégré : tous les chemins mènent-ils à Rome ?
Authors: Husain Odile
Published: April 2023

Odile Husain, The Psychoanalytical Approach and the Comprehensive System : Do All Roads Lead to Rome ?

Confronting the psychoanalytical approach of the Rorschach and the Comprehensive System immediately raises a question of definition. Whereas the Comprehensive System generates a unified representation among its users, the same cannot be said for practitioners who claim their affiliation to the analytical approach. We will first examine compatibility as a trend and will wonder about the need for differentiating an addition of models from an integration of models. At a time when the tendency is one of reconciliation, we shall agree to disagree and will look upon these two models as both divergent and incompatible. Lastly, we will examine certain points of convergence which do not necessarily contradict the viewpoint of incompatibility.

Keywords : Rorschach - Analytical approach - Comprehensive System - Integration
Troubles du comportement chez l'enfant et dépendance à l'environnement : complémentarité des épreuves projectives
Authors: Cohen de Lara Aline
Published: April 2023

Aline Cohen de Lara, Trastomos del comportamiento en el niño y dependencia al entorno. Complementaridad de las pruebas proyectivas.

A pesar de la similitud de los síntomas y de la pertenencia común al registro de los funcionamientos limites, los niños que presentan trastomos de la conducta y del comportamiento, relevan de organizaciones psicopatológicas diversas. Esto incita a ofrecer tratamientos diferenciados, individualizados, que pueden proponerse en un cuadro común de tomar a cargo. La noción de cuadro es fundamental en esta población por la cual la investigación ha mostrado la extrema sensibilidad a las modificaciones del entomo, de allí la necesidad de tener en cuenta en el tratamiento las interacciones con el medio. La aplicación de las pruebas proyeetivas de Rorschach y de TAT, consideradas como dos tipos de entornos, ha permitido constatar los modos de reac ción diferenciados en función del material y de los niños. Según la prueba propuesta, se deja al sujeto situarse a un grado de libertad variable. Paradoxalmente, el material no estructurado del Rorschach favorisó una mayor flexibilidad asociativa que las figuraciones impuestas del TAT, que tienen un efecto intrusivo y a veces desorganizante, bloqueando las capacidades de funcionamiento en un área transicional restricta. La distancia más o menos importante de tratamiento entre las dos puebas señala el impacto diferenciado del entorno sobre el funcionamiento psíquico. Esto constituye un indice de evaluación de la dependencia a los objetos externos, evaluación particularmente importante en relación a esa población a riesgos evolutivos múltiples, la dimension pronóstica estando íntimamente ligada, entre otras cosas, a los encuentros próximos y a la realidad del entomo en el cual los niños van a evolucionar.

Palabras-clave : Niños agitados - Trastomos del comportamiento - Patologías del actuar - Representación psíquica - Dependencia - Rorschach - TAT.
Diálogos e métodos do discurso historiográfico: a análise das fontes a partir da convergência entre a “Escola dos Annales” e a “Análise de Conteúdo” de Laurence Bardin
Authors: Giesbrecht Daniel Florence
Published: April 2023

Registrada pelo menos desde a década de 1960, a aproximação da História com a Linguística e a Antropologia passou a dialogar com mais intensidade em pesquisas de caráter histórico. Com os pressupostos metodológicos introduzidos pela Escola dos Annales, as mais diversas linguagens tornaram-se objetos privilegiados para análise, vistas cada vez mais como metáforas da realidade. Os variados discursos (escritos, orais, arquitetônicos, urbanísticos, iconográficos, musicais, gestuais e rituais) passaram a ser decodificados com maior frequência, procurando-se apreender seus elementos de tensão social e seus sentidos históricos, sua produção e sua circulação num dado meio social. A partir dessa variedade de fontes, novas ferramentas analíticas passaram a fornecer instrumentos do fazer historiográfico como, por exemplo, o método da “Análise de Conteúdo” de Laurence Bardin. Partindo da premissa de que a historiografia é o resultado da reflexão sobre a natureza do histórico, são nas entrelinhas dos discursos das fontes que o historiador é capaz de calcular as frequências fornecidas pelos dados cifrados, o que torna possível a extração de categorias e modelos, num processo “hermenêutico controlado”. Este artigo convida à reflexão sobre tais metodologias e a importância delas para a análise dos tipos de discursos utilizados como fontes na historiografia.
Focus group evaluation of an elective course design
Authors: Hernández Luis Ricardo Ramos , Vazquez Yussel Salas
Published: April 2023

This research led to determining the relevance of the curriculum designed by our Professional Training School for Teachers in Puebla, Mexico, regarding the dimensions of content and curricular order, based on the experience of students and teachers. The methodology has a qualitative approach; the technique was focus groups, and the instrument was a script of open questions that considered the internal evaluation of the process. It is in our best interest to strengthen the design and implementation of the "Inclusion, Art, Play, and Sport" course as part of a series of community-proposed optional courses. In the experience of students and teachers, the group met the general purpose. The feedback received through the focus groups cut in greater depth for students to identify the collective achievements of all the participants: students, teachers, and curriculum designers. Throughout the study, we identified aspects for improvement, such as rethinking some activities and learning evidence, reducing the amount of information to meet, and establishing a better relationship between the topics and the teaching practices, particularly those related to strategies for inclusion in art and sports.
Identificação de bactérias do gênero Streptococcus isoladas do biofilme dental e sua relação com aspectos socioculturais de pacientes odontológicos residentes em zona rural
Authors: Oliveira Valdinéia Dias , Oliveira Mariana Ely Araújo , De Eça Edmone Campos , De Carvalho Luciana Debortoli , Da Conceição Aline Oliveira
Published: April 2023

Introdução: A formação do biofilme dental por bactérias cariogênicas, principalmente do gênero Streptococcus, é crucial para o estabelecimento de lesões cariosas. Entretanto, a composição deste biofilme e os níveis quantitativos destas bactérias pode variar e depende de fatores do hospedeiro não totalmente elucidados. Objetivo: Avaliar a variabilidade da colonização do biofilme dentário por bactérias do gênero Streptococcus em pacientes odontológicos residentes em zona rural e relacionar com o uso de drogas, frequência diária de escovação, consumo de plantas medicinais nos últimos seis meses e uso de antimicrobianos nos últimos três meses. Métodos: Bactérias oriundas de biofilme dentário de pacientes odontológicos foram obtidas friccionando-se swab estéril sobre dentes contendo cárie dentária ou não, transferido para o meio de transporte Stuart e levado ao laboratório. As amostras foram submetidas a diluições seriadas na base dois em solução salina estéril e 100 microlitros, das amostras diluídas foram semeadas em placas contendo ágar Mitis-Salivarius. As placas foram incubadas em jarra de microaerofilia com vela e incubadas a 37°C por 24 h. Após crescimento, as colônias foram identificadas quanto à forma e características peculiares das espécies de Streptococcus e contadas. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa envolvendo Seres Humanos da Universidade Estadual de Santa cruz sob número de protocolo CAAE 51682321.7.0000.5526. Resultados: A maioria dos participantes possuía entre 20 a 39 anos, apresentaram hábitos de higiene bucal adequado (>2 vezes ao dia) e fizeram uso de plantas medicinais nos últimos seis meses, sendo Cymbopogon citratus (capim-santo), a planta mais citada. Observou-se uma maior predominância de S. mutans e S. salivarius na composição do biofilme dentário da população estudada e baixa de S. mitis e S. sanguinis. Apenas um paciente informou escovar os dentes uma única vez durante o dia e apresentou níveis elevados de S. mutans. Conclusão: Dos aspectos socioculturais analisados, apenas a frequência de escovação diária interferiu nos níveis quantitativos de S. mutans.
O formador de professores e sua identidade profissional
Authors: Berger Thamiris Christine Mendes
Published: April 2023

A presente pesquisa tem como objetivo identificar que características da configuração identitária de professores formadores de docentes. A investigação é de natureza qualitativa e os participantes do estudo foram 46 professores formadores de docentes de uma universidade estadual do Paraná. Os dados foram coletados por meio de questionários e foram organizados e analisados por meio da análise textual discursiva e análise de clusters. As características de identidade do formador de professores pesquisados revelam que a sua configuração identitária está ancorada num desejo de contribuir significativamente com a formação de professores, e ainda, que seu trabalho possa alcançar transformação social. Os resultados nos permitem inferir que a identidade é composta por componentes biográficos e relacionais que se entrelaçam no decorrer das sucessivas socializações às quais o sujeito é exposto, dando origem ao ator social. No que se refere à docência universitária, mais especificamente nos cursos de licenciatura, é perceptível que há uma mudança na concepção de que basta ter conhecimento específico ou conhecimento do conteúdo para ser professor, mas, trata-se de uma profissão que exige muito mais do que isso.
The Three Most Critical Aspects for Implementing Holistic Customer Experience at Scale
Authors: Katare Shashank
Published: April 2023

Businesses are increasingly challenged by increasing competition, changing customer preferences and, industry dynamics. Moreover, the proliferation of channels and customer touchpointshas added to the complexity of keeping up with these constant changes. Only organizations that are agile enough to understand, evaluate and react to these dynamic requirements can drive innovation and growth. Therefore, organizations must be creative in their consumer engagement strategy across the marketing funnel to enhance overall customer experience, measure the performance, and establish the loopback to refine the strategy.The following paper outlines concepts to help consumer businesses accelerate customer experience management. The objective of the paper is to lay out guiding principles that organizations can use as part of their business processes to create, deliver, and measure personalized customer experiences and drive growth, loyalty, and satisfaction. The paper will dive into the three most important pillars of building successful customer experiences –Design a Customer Experience Management Model, Activate across touchpoints, and Measure performance across touchpoints.
PENGARUH KOMPENSASI DAN MOTIVASI TERHADAP KINERJA KARYAWAN PT. WILMAR CAHAYA INDONESIA
Authors: Nopriandi Nino
Published: April 2023

This study aims to analyze the effect of compensation and motivation simultaneously and partially on employee performance at PT. Wilmar Cahaya Indonesia. The method used is a quantitative method using regression analysis. This study involved 60 research respondents. The results of the study reveal that there is a partial or simultaneous influence of compensation and motivation on employee performance.
LOGÍSTICA PORTUÁRIA E A SEGURANÇA DO TRABALHO
Authors: SILVA DE AQUINO JUNIOR MOACIR
Published: April 2023

In this work, port logistics and work safety will be approached and presented in the case study on the port company that operates in the state of Rio de Janeiro, which needed to adopt more safety rules to carry out the operational work of cargo handling. Due to an incident, it needed to increase its care for its employees, adopting and applying improvement methods to perform the service and adapt the logistical support processes to customers in a safe and effective way. Logistics and security need to be connected for the best performance of the operation. With this we will highlight the subject of work safety that we need to emphasize due to the high rates of accidents in the state and in the country. Strengthening on PPE, risk analysis and maintenance of machinery.
Foro Mundial sobre la Educación. Marco de Acción de Dakar. «La educación para todos: cumplir con nuestros compromisos colectivos»
Authors: - -
Published: April 2023

Nosotros, participantes en el Foro Mundial sobre la Educación, reunidos en Dakar (Senegal), en abril de 2000, nos comprometemos a garantizar para todos los ciudadanos y todas las sociedades la realización de las metas y objetivos de la educación para todos.
Conferencia Iberoamericana de Ministros de Cultura. Declaración de Panamá
Authors: - -
Published: April 2023

Los Ministros y Responsables de Políticas Culturales de Iberoamérica nos hemos reunido en Panamá los días 5 y 6 de septiembre de 2000, con el fin de analizar las políticas culturales con y para la infancia y la juventud.

Los resultados de nuestras deliberaciones, que elevamos a la próxima Cumbre Iberoamericana de Jefes de Estado y de Gobierno a celebrarse en Panamá en noviembre de 2000, son los siguientes:

Uno de los más importantes elementos constitutivos de la Comunidad Iberoamericana está dado por su dimensión cultural, basada en el conjunto de valores y en el patrimonio común. La infancia y la juventud iberoamericanas son parte activa y fundamental en la construcción y transmisión de esta vitalidad diversa y multicultural.
Presentación. Profesión docente
Authors: Martínez Santiago Roberto
Published: April 2023

Nuestra intención, manifestada en el planteamiento previo que hicimos a los autores invitados, era la de revisar la evolución de la profesión docente en relación con las reformas que desde hace más de diez años se vienen dando en los sistemas educativos iberoamericanos, y de las transformaciones habidas en las sociedades en las que intervienen.

Tanto el Comité Científico como la Dirección de la Revista entendieron que, si los mensajes repetidos desde todas las administraciones educativas reconocen a los docentes como actores principales del proceso de enseñanza–aprendizaje y de las reformas que lo afectan, debieron asignarles algún papel significativo en la puesta en práctica de estas últimas.

Ese papel pudo cambiar, y seguramente lo hizo, algunas o muchas de las condiciones profesionales y laborales en las que los docentes desempeñan su trabajo. También pudo afectar a la imagen que poseían de sí mismos o a las expectativas y el reconocimiento que otros actores tenían respecto de ellos.
[Reseña] Pedagogía de la muerte a través del cine
Authors: Asensi Díaz Jesús
Published: April 2023

Mar Cortina Selva y Agustín de la Herrán. Pedagogía de la muerte a través del cine. Madrid: Universitas. 2011. 256 págs. isbn: 978-84-7991-350-2.

Después de la impactante obra «La muerte y su didáctica. Manual para Educación Infantil, Primaria y Secundaria» (2006), sus autores, los profesores Agustín de la Herrán y Mar Cortina vuelven a insistir en este tema tan relacionado con la formación humana como relegado o tapado por la sociedad. Y lo hacen ahora con un libro, «Pedagogía de la muerte a través del cine», que ellos coordinan y en el que colaboran otros autores. La idea fundamental es que la muerte es uno de los acontecimientos más radicales de la vida humana que la educación no debiera eludir, como lo hace. Ocultarla, banalizarla no conduce a nada. Tratarla o normalizarla en la educación conduciría a «una formación más equilibrada, mejor orientada y más humana de la persona y, desde ella, de los colectivos sociales», aseguran sus autores...
[Reseña] La dirección de centros educativos en Iberoamérica. Reflexiones y experiencias
Authors: Silva Patricia
Published: April 2023

Joaquín Gairín (coord.). La dirección de centros educativos en Iberoamérica. Reflexiones y experiencias. Santiago de Chile: Fidecap. 265 págs. 2011. ISBN: 978-956-8986-01-8.

El libro  es una herramienta de gran utilidad para los interesados en la Dirección Escolar. Las consideraciones y recomendaciones que se presentan son el resultado del análisis valorativo de más de veinticinco especialistas de doce países iberoamericanos que pertenecen a la Red AGE (Red de apoyo a la gestión educativa)...
The Role of Digitalization in the Scientific and Educational Space Integration of the EAEU
Authors: Gospodarik C. G. , Kovalev M. M.
Published: April 2023

The article analyzes the modern potential of education and science in the EAEU countries for the rapid and effective implementation of high-tech import substitution, and also builds econometric models of the impact of education and science on GDP growth on two panels and historical data for 1990-2020 for developed and developing countries, with their subsequent application to assess the impact of the unified scientific and educational space of the EAEU on economic growth with the identification of the main factors of such influence, which made it possible to formulate the most promising ways and mechanisms for creating a unified scientific and educational space of the EAEU.
Conceptual Framework and Analisys of the Business Incubation Process
Authors: Galiyeva N. G.
Published: April 2023

The main stages of the study and analysis of the business incubation process (in the relevant organizations) are presented, both from the perspective of a resident and from the side of a business incubator. The accepted approach to the specifics and characteristics of the leading business incubators / accelerators and other similar organizations from the point of view of project management is explained. In the process of research, a review of academic works and sources of professional associations / institutional organizations was carried out, in which the existing definitions of a business incubator are analyzed, an overview of the organization / business model (business incubator) is provided together with data collection (from interviews and questionnaires). The most famous business incubation programs have been studied. A functional model of a business incubator has been obtained, as well as a set of key performance indicators (KPIs) and metrics that can be useful for a business incubator to achieve effective company management.
An Answer Verification Approach to Objective Questions in Intelligent Tutoring Systems
Authors: Li Wenzu
Published: April 2023

An approach to develop a problem solver for automatic answer verification to objective questions in intelligent tutoring systems constructed using OSTIS (Open Semantic Technology for Intelligent Systems) technology is сonsidered. The problem solver is developed based on multi-agent technology within OSTIS. The proposed problem solver automatically verifies the correctness and completeness of the user’s answer at the semantic level by starting the corresponding sc-agent sets according to the type of the questions. The objective question answer verification is one of the main purposes of the developed problem solver, it can also perform the calculation of the similarity between any two semantic graphs.
Simulation of IoT Smart Home Network with Decision Making Based on MajorDoMo Platform
Authors: Vishniakou U. A. , Yu ChuYue
Published: April 2023

The purpose of the article is to model a smart home with decision-making and the use of the MajorDoMo IoT platform instead of a cloud platform. The main features of the article are: modeling of the IoT network for controlling the control unit on the MajorDoMo platform, the use of the MajorDoMo IoT platform in the Windows system for making decisions when controlling household appliances (fan or air conditioner) based on the temperature and humidity values received from a smartphone modeling sensors, transmitting the results of controlled data to the user's home page. The structure of the MajorDoMo platform is given, its functions are described, and commands for decision support are considered. The use of product rules is proposed as a decision-making model. An example of such a description for data regulation by the household appliances is given. The user can log into the IoT network and view changes in temperature and humidity in real time, as well as check the regulation of the equipment. The possibilities of the PHP language for the implementation of the control process are presented, in which the household device begins to adjust the parameters when the environmental monitoring system detects that the corresponding data exceeds the set threshold.
تاريخ التعليم في السودان أبان عباس الأول وسعيد باشا [1863-1848]
Authors: م. وفاء خالد خلف
Published: April 2023

عملت بريطانيا منذ أن احتلت السودان عام 1882 على استغلال الخلافات بينالمصريين والسودانيين أفضل استغلال ؛ وذلك لتحقيق أهداف السياسة البريطانية . كانكثير من السودانيين في تلك الفترة يذكرون عهد الإدارة العثمانية حياً في أذهانهم ضويذكرون أن المصريين قد اشتركوا في تلك الإدارة ؛ ومن هؤلاء من لا يفرق بينالمصريين وحكامهم من العثمانين ؛ وان كانت الفترة كلها عرفت السودان بالحكمالعثماني؛ فكانت صور الظلم الذي وقع على أهل السودان عالقة الأذهان . وقد حاولالانجليز جهد طاقاتهم أن تظل تلك الصورة حية بل عمدوا الى تضخيمها وتحويلها ؛ ولميتركوا مناسبة إلا ذكروا السودانيين ببشاعة الظلم الذي لاقوه من العثمانيين والمصريين ©
القاب الظفاء الأمويين وخوانيمهم ونعليقانهم ودلالانها الدينية والسياسية
Authors: أ.م.د. عربية قاسم أحمد
Published: April 2023

لقد دخل التطور في مفاصل الحياة العامة ؛ ونخص بالذكر السياسية والإداريةنتيجة للتطور الذي حدث في المجتمع العربي بعد الإسلام وظهور مؤسسة الخلافة بعدوفاة الرسول () وترامي أطراف الدولة العربية الإسلامية على أثر الفتوحات ؛ مما أتىبها إلى اكتساب كثير من العادات والتقاليد التي كانت غير سائدة في المجتمع العربيالبسيط؛ نتيجة المخالطة للأقوام الأجنبية؛ ولاسيما الإمبراطوريتين الفارسية والبيزنطيةاللتين كانتا تتميزان بالأبهة والترف . فمن الطبيعي أن تدخل على رسوم الخلافة شيئاً منالتغيير . فكانت الألقاب وخواتيم الخلفاء الأمويين نصيب في ذلك .

فأول من استعمل الألقاب وأصبح تقليداً جديداً في رسوم الخلافة الأموية الخليفةمعاوية بن أبي سفيان الذي عمل منذ أن تولى ولاية الشام في عهد الخليفة عمر بنالخطاب (ؤه) على أن يكتسب العادات والتقاليد الإمبراطورية بغية الحاجة وليس التقليد ؛حينما أنتقده الخليفة عمر (رضي الله عنه ) أثناء زيارته إلى الشام وكان معاوية في أبهةالملك وزيه من العديد والعْدّة استنكر ذلك وقال أكسرويّة يا معاوية ؛ فأجابه قائلاً : " أنافي ثغر تجاه العدو وبنا إلى مباهاتهم بزينة الحرب والجهاد حاجة فسكت ولم يخطئه " ().

أما الخواتيم فكانت موجودة منذ عهد الرسول () والخلفاء الراشدين © ؛ لكنالخليفة معاوية استخدم أسلوبا جديداً في الخواتيم ؛ وبذلك اكتسب دلالات سياسية ودينيةوهي أصل بحثنا ؛ وسنتناولها في عرضنا هذا .
الثباين المكاني لحركة مرور السيارات في شوارع مدينة النجف الأشرف الرئيسية والثانوية وعند ساعات الذروة الصباحية والمسائية
Authors: ذكرى رشيد بدن  , أ.د فلاح جمال معروف العزاوي  , أ.م.د. عباس غالي الحديثي
Published: April 2023

يتناول البحث دراسة حركة النقل وواقع الحركة المرورية في مدينة النجفالأشرف؛ء وذلك من خلال الرصد الميداني لتلك الحركة في الشوارع الرئيسية والثانويةوتشخيص مناطق الأزدحامات في المدينة ومسبباتها.

وقد تمم الأحصاء الميداني لعدد المركبات المارة في شوارع منطقة الدراسةبأنواعها وأحجامها المختلفة. وتحويل المركبات إلى مركبات قياسية (مق) بأستعمالمعاملات خاصة لهاء إذ تختلف المركبات فيما بينها من حيث مطابقتها بالوحدات المكافأةللمركبات القياسية وذلك تبعا لسعة المركبات من الركاب أو حمولتها أو أطوالها.
النخطيط الاسترائيجي للموارد البشرية في الوظيفة الادارية - لدى موظفي الادارة في مؤسساث الدولة في العراق -
Authors: أ.د. عبد الصاحب البغدادي  , م. د.سهاد كاظم عبد الموسوي
Published: April 2023

يعد التخطيط عنصر أساسيا من عناصر العملية الإدارية والموارد البشرية تعد الجزءالاهم في بيئة التنظيم الاداري التي تحتاج تخطيطاً على كلا المستويات القريب والبعيدوتنميته بما يتلاءم مع التطورات المستقبلية. وتكتسب الموارد البشرية أهمية كبيرة فيالوقت الحالي فهي إدارة أهم عنصر في العملية التخطيطية الا وهو ( البشر) باعتبارهالعنصر المنتج والمفكر والمساهم في العملية الإنتاجية ودخول مفهوم التخطيط للمواردالبشرية وكذلك مفهوم التخطيط الاستراتيجي في حيز التنفيذ الذي يستند على الاسسالعلمية التي تتوافق بين القدرات البشرية وقدرته على اتخاذ القرارات المناسبة.
العلاقة بين الأمن الغذاتي والعنف الحضري دراسة في الجغرافية السياسية
Authors: أ.م.د. عباس غالي داود الحديثي  , أ.م.د. أعياد عبد الرضا عبدال ابراهيم  , م.م. عبد الله علي كاظم
Published: April 2023

يعد حجم السكان من اهم عناصر الدالة الاستهلاكية إذ إن عدم التوازن ما بينالاستهلاك من جهة والانتاج والموارد الانتاجية من جهة اخرى يمكن ان يقود الى تعذرخطط تحقيق الامن الغذائي. ان ارتفاع النسبة المئوية للنمو الحضري في العراق للمدة2011-7 يدل على ان الهجرة من الريف الى الحضر لازالت مستمرة بسبب تعثرالسياسات وبرامج التنمية الزراعية. هذاء فضلا عن زيادة الطلب على الغذاء نتيجة تغيراسلوب الحياة الحضرية مما زاد من تعقيد مشكلة الامن الغذائي؛ ومن ثم احتمال حدوثالعنف. وقد اشار جالتونج عصنالة6 الى ثلاثة اشكال من العنف كنتيجة للجوع والفقرعلى نطاق العالم منها العنف المباشرء والعنف غير المباشرء والعنف الثقافي. لذا فانالاستقرار السياسي والاقتصادي والاجتماعي لكثير من الدول ومنها العراق قد ينهار، بلربما يعرّض السلام العالمي للخطر بسبب عدم تحقيق الامن الغذائي في المناطقالحضرية.
العولمة والتغير الاجنماعي والثقافي [مجتمع الديوانية أنموذجا]
Authors: م . شذى نجاح بلاش
Published: April 2023

لقد شهد قطرنا العراقي تغييرات كبيرة ادت الى نقلة اجتماعية واقتصاديةوحضارية كان لها اثارها العميقة على المؤسسات الاجتماعية والاقتصادية والادارية منناحية وعلى سلوك الانسان العراقي الجديد من ناحية اخرى وفي ضوء ما اصاب الانساقالاخيرة من تغيرات اساسية اجتماعية واقتصادية وسياسية في العراق عموما وفي منطقةالدراسة على وجه التحديد.

جاء هذا البحث ليلقي الضوء على جوانب التغير الاجتماعي والثقافي في منطقةالدراسة. وكما يبدو واضحا الان فان ليست ثمة دراسات علمية تناولت مدينة الديوانيةوفق قواعد علم الاجتماع والانثروبولوجيا الحديثة. وقد تمثل هذه الدراسة بداية لدراساتاجتماعية مكملة وعلى نطاق اوسع في المستقبل لقد زارت الباحثة جميع المؤسساتوالمنظمات الاجتماعية ذات العلاقة. فضلا عن استعانتها بالملاحظة والملاحظة بالمشاركةمع الافراد والجماعات المختلفة في منطقة الدراسة .
PERBEDAAN TINGKAT KEPATUHAN DIET MEDITERANIA TERHADAP TEKANAN DARAH PADA PASIEN HIPERTENSI
Authors: Kusmala Yudith Yunia , Septiadi Endry , Handayani Dewi Ratih , Rakhmat Iis Inayati , Tobing Lukman , Putra Nandita Zacky Muttaqien , Nuralif Rifky Atha'ullah
Published: April 2023

Data World Health Organization (WHO) menetapkan pasien hipertensi di seluruh dunia yaitu sekitar 1,13 milyar orang. Riset Kesehatan Dasar (Riskesdas) 2018 menunjukkan bahwa prevalensi pasien hipertensi mencapai 34,1% di Indonesia, di Provinsi Jawa Barat sebesar 39,6%, dan di Kota Cimahi sebesar 41,83%. Salah satu penatalaksanaan hipertensi yang direkomendasikan oleh US Dietary Guideline, American Heart Association (AHA), dan European Society of Cardiology (ESC) adalah diet Mediterania. Penelitian ini bertujuan untuk mengetahui perbedaan tingkat kepatuhan diet Mediterania terhadap tekanan darah sistolik, diastolik, dan mean arterial pressure (MAP) pada pasien hipertensi. Rancangan penelitian menggunakan metode analitik observasional dengan pengamatan kohort prospektif pada 39 pasien hipertensi selama satu bulan. Pengambilan data sampel menggunakan teknik systematic random sampling. Subjek penelitian terbagi berdasarkan kepatuhan diet Mediterania yaitu rendah, sedang, dan tinggi yang diukur dengan skor alternate Mediterranean diet (AMED) setelah mengisi food frequency questionnaire (FFQ) 4 kali dalam 1 bulan, kemudian dilakukan pemeriksaan tekanan darah pada akhir bulan. Data tekanan darah sistolik dan MAP dilakukan uji analisis Anova dan Post Hoc Tukey, sedangkan data tekanan darah diastolik dilakukan uji Kruskal Wallis dan Mann Whitney. Hasil penelitian menunjukkan perbedaan tingkat kepatuhan diet Mediterania terhadap tekanan darah sistolik (p=0,001<0,05), tekanan darah diastolik (p=0,029<0,05), dan MAP (p=0,003<0,05) yang bermakna pada pasien hipertensi. Semakin tinggi tingkat kepatuhan pasien dalam menjalankan diet Mediterania, maka nilai tekanan darah sistolik, diastolik, dan MAP semakin rendah. Komposisi diet Mediterania yang mengandung monounsaturrated fatty acid (MUFA) dan polyunsaturated fatty acid (PUFA) yang tinggi berefek sebagai antiinflamasi, antioksidan, dan kardioprotektif sehingga berpotensi menurunkan tekanan darah.
KORELASI PENINGKATAN KADAR TROPONIN-I DENGAN MORTALITAS PADA PASIEN DEWASA TERKONFIRMASI COVID-19
Authors: Suraya Nida , Supriatin Lastri , Prihatni Delita , Mulya Harahap Raja Iqbal
Published: April 2023

Jantung adalah organ kedua setelah paru-paru yang banyak dipengaruhi oleh Severe Acute Respiratory Syndrome Corona Virus-2 (SARS CoV-2), mengalami cedera akibat virus tersebut ditandai dengan peningkatan kadar troponin. Kadar troponin-I secara signifikan lebih tinggi pada pasien COVID-19 berat, mendapat perawatan intensif, dan meninggal. Penelitian ini bertujuan menganalisis hubungan kenaikan kadar troponin-I dengan mortalitas pasien dewasa terkonfirmasi Corona Virus Disease-19 (COVID-19). Penelitian ini bersifat deskriptif retrospektif dilakukan pada pasien COVID-19 rawat inap di RSUP Dr. Hasan Sadikin Bandung dari Desember 2020 hingga Maret 2021 sesuai kriteria inklusi dan eksklusi. Data kadar troponin-I dan karakteristik pasien diambil dari sistem informasi laboratorium dan rekam medis. Hubungan kenaikan kadar troponin I dengan mortalitas dianalisis dengan uji chi-square. Hasil penelitian menunjukkan bahwa dari 90 pasien usia 20-60 tahun sebanyak 48 orang (53,3%), pasien laki-laki sebanyak 57 orang (63,3%), dan pasien dengan komorbid sebanyak 64 orang (71,1%). Peningkatan kadar troponin-I terjadi pada 80% pasien berhubungan secara signifikan dengan mortalitas (p 0,0001) dengan Odds Ratio (OR) sebesar 6,40. Hal ini berarti pasien dengan kadar troponin I meningkat memiliki kemungkinan untuk meninggal 6,4 kali lebih besar daripada pasien dengan kadar troponin-I normal. Kondisi COVID-19 berat dapat menyebabkan kerusakan pada berbagai organ termasuk otot jantung. Pada penelitian ini, pasien COVID-19 dengan kenaikan kadar troponin-I pada masa perawatan memiliki risiko kematian lebih tinggi daripada pasien dengan kadar troponin-I yang normal. Untuk mengevaluasi apakah troponin-I merupakan faktor penyebab kematian yang kuat pada pasien COVID-19 dewasa diperlukan analisis multivariat.
MANAJEMEN PENCEGAHAN PENINGKATAN TEKANAN INTRAKRANIAL (TIK) PADA PASIEN PASCA KRANIOTOMI DI RUANG INTENSIVE CARE UNIT (ICU)
Authors: Pujianto Ahmat , Lesmana Hendy , Ose Maria Imaculata , Aris Junaidi Bayu Purnomo
Published: April 2023

Kondisi pasien pasca kraniotomi relatif tidak stabil, dan berpotensi mengalami komplikasi intrakranial sehingga pasien harus mendapat pemantauan ketat di ruang perawatan intensif (Intensive Care Unit ((ICU). Penelitian ini bertujuan untuk mendapatkan gambaran manajemen pencegahan tekanan intrakranial (TIK) pada pasien pasca kraniotomi di ICU. Penelitian ini merupakan penelitian studi kasus yang melibatkan 12 responden pasien pasca kraniotomi sesuai kriteria inklusi dan eksklusi. Instrumen yang digunakan untuk mengumpulkan data adalah lembar observasi catatan medis pasien yang berisi karakteristik responden, status hemodinamik responden, manajemen TIK yang dilakukan, nilai pemeriksaan Glasgow Coma Scale-Pupil (GCS-P), nilai laboratorium untuk laktat, dan nilai elektrolit (natrium, kalium, dan klorida). Hasil penelitian menunjukkan bahwa pada hari ketiga perawatan, pengaruh sedasi sudah menurun dan 3 responden (8,3%) sudah dalam keadaan sadar dengan nilai GCS-P E4M6Vett-P 3/3. Semua responden diberikan posisi head up 15-30 derajat, sedangkan untuk mode ventilator mekanik, positive end expiratory pressure (PEEP), fraksi oksigen, obat sedasi, analgesik. Pada hari ketiga perawatan, sebagian besar responden sudah mengalami peningkatan ke arah perbaikan. Manajemen pencegahan peningkatan tekanan intrakranial pada pasien pasca kraniotomi akibat cedera otak traumatik pada pasien di ICU sesuai dengan pedoman Brain Trauma Foundation Guideline tahun 2016. Hanya saja untuk pengukuran tekanan intrakranial pada semua pasien belum dilakukan baik secara non-invasif maupun invasif.
PERBEDAAN STIGMA ANTARA MAHASISWA KESEHATAN DENGAN
NON-KESEHATAN TERHADAP ORANG YANG HIDUP DENGAN HIV/AIDS
Authors: Nurrachmawati Annisa , Ifroh Riza Hayati , Permana Lies
Published: April 2023

Tenaga kesehatan berkepentingan dalam memberikan pelayanan kepada orang dengan Human Immunodeficiency Virus–Acquired Immunodeficiency Syndrome (HIV-AIDS). Mahasiswa kesehatan saat ini dipersiapkan menjadi tenaga kesehatan di masa depan, namun perlu dideteksi sejak dini ada atau tidaknya stigma terhadap orang dengan HIV-AIDS yang dapat menghambat pelayanan prima. Tujuan penelitian ini adalah mengetahui perbedaan stigma, pengetahuan, sikap, dan akses informasi antara mahasiswa kesehatan dan non-kesehatan terhadap orang dengan HIV-AIDS. Penelitian kuantitatif ini didesain crossectional dengan jumlah responden yaitu sebanyak 479 orang mahasiswa kesehatan dan non-kesehatan di Provinsi Kalimantan Timur dan Kalimantan Utara. Teknik pengambilan sampel adalah accidental sampling pada November 2020 melalui survei daring. Instrumen menggunakan kuesioner The AIDS related Stigma Scale dari studi Balfour (2010). Hasi penelitian menunjukkan bahwa sebanyak 69,5% mahasiswa kesehatan memiliki pengetahuan HIV yang lebih baik dibandingkan mahasiswa non-kesehatan. Berdasarkan analisis Mann Whitney terdapat perbedaan bermakna sikap (nilai p: 0,047), pengetahuan tentang HIV (nilai p: <0,001) dan keterpaparan informasi HIV (nilai p: 0,048) antara kelompok mahasiswa kesehatan dan non-kesehatan. Di lain sisi, tidak terdapat perbedaan secara statistik pada stigma, persepsi dan sumber informasi HIV antara kedua kelompok (nilai p>0,05). Mahasiswa kesehatan memiliki kecenderungan sikap, pengetahuan dan akses informasi yang lebih tinggi dibandingkan mahasiswa non-kesehatan. Diperlukan upaya penguatan dalam memperbaiki kesalahpahaman tentang HIV khususnya stigma terhadap ODHA (Orang Dengan HIV-AIDS) dengan menggunakan media sosial yang efektif.
DISTANCE TRAINING OF DENTAL AND ORAL THERAPIST FUNCTIONAL POSITIONS AS AN EFFORT INCREASED KNOWLEDGE OF DENTAL AND ORAL HEALTH CARE SERVICES
Authors: Choirin Ajeng , Hidayat Taufik , Nugroho Aris
Published: April 2023

Background: Dental and Oral Therapist Functional Positions from CPNS formation are required to attend the training of the Dental and Oral Therapist Functional Positions first appointment in accordance with applicable regulations. Bapelkes Semarang as a training unit of the Ministry of Health held a Distance Training for 4 batches of Dental and Oral Therapists Functional Positions in 2022. The training aims to increase the knowledge of trainees in carrying out dental and oral health care. Objective: This study aims to analyze the effectiveness of Distance Training of Dental and Oral Therapist Functional Positions towards increasing the knowledge of trainees in dental and oral health care services. Methods: Quasi experimental design with the pretest-posttest one group design. The number of samples is a total population of 120 participants in the Distance Training of Dental and Oral Therapists Functional Positions in 2022. Data analysis used descriptive analysis and one-way ANOVA (Brown-Forsythe). Results: The descriptive test showed an increase in knowledge in each batch and the one-way ANOVA (Brown-Forsythe) statistical test showed a p value = 0.333 (p>0.05). It can be concluded that there is no significant difference in increasing knowledge among the four training batches. Conclusion: Distance Training of Dental and Oral Therapist Functional Positions is effectively increase the knowledge of trainees in dental and oral health care services.
LEVEL OF PATIENT SATISFACTION WITH THE QUALITY OF SERVICES AT LEPO-LEPO KENDARI PUSKESMAS DENTAL POLY DURING THE COVID-19 PANDEMIC
Authors: Afdillah Nia , Nuraisya Nuraisya , Astuti Widya
Published: April 2023

Background: The quality of health services is a very important thing in the delivery of health services in order to show the degree of perfection of health services. Good service quality can lead to a sense of satisfaction for patients. Measuring the quality of service in a health facility can be done by assessing the level of patient satisfaction, where the patient is an object that directly enjoys the services provided. At the time when the COVID-19 pandemic caused disruption to public access to services, every health facility had to improve the quality of service to prevent transmission which could save the lives of patients and dentists. Purpose: This study aims to describe the level of patient satisfaction with the quality of service during a pandemic covid-19 at the dental polyclinic at the Lepo-Lepo Kendari Health Center. Research method: This type of research is descriptive in nature with a total sample of 50 people (total sample) who are visitors or patients at the dental polyclinic at the Lepo-Lepo Public Health Center. Results: the results of this study showed that 48% of patients were satisfied on the assurance dimension, 54% of patients were satisfied on the effectiveness dimension of health services, 56% of patients were satisfied on the dimensions of health services (responsiveness), 60% of patients were satisfied on the convenience dimension (physical appearance) and 58% of patients were satisfied on the human relations dimension (empathy). Conclusion: Overall from the five dimensions, the level of patient satisfaction with the quality of service at the dental polyclinic at the Lepo-Lepo Public Health Center is in the satisfied category.
LKS MODEL CONTEXTUAL TEACHING AND LEARNING PADA MATERI KUBUS DAN BALOK DAN KEMAMPUAN PEMECAHAN MASALAH MATEMATIS SISWA
Authors: Hagomosan Nasution Tio , Masyita Ariani Nyayu , Masri
Published: April 2023

Penelitian ini bertujuan menghasilkan Lembar Kerja Siswa (LKS) yang valid dan praktis untuk pembelajaran Contextual Teaching and Learning pada materi kubus dan balok; dan untuk untuk mengetahui efek potensialnya pada kemampuan pemecahan masalah matematis siswa. Penelitian ini adalah penelitian pengembangan dengan model four-D, yaitu Define (pendefinisian), Design (perancangan), Develop (pengembangan), dan Desseminate (penyebaran). Penelitian ini dilaksanakan pada semester genap tahun ajaran 2021/2022. Proses validasi dilakukan oleh 3 orang validator. Hasil telaah validator digunakan untuk merevisi Lembar Kerja Siswa. Analisis data validasi secara kualitatif dan kuantitatif menunjukkan Lembar Kerja Siswa yang dikembangkan valid. Selanjutnya Lembar Kerja Siswa disebarkan terbatas kapada 15 orang siswa SMP untuk diuji tingkat kepraktisannya. Data kepraktisan dikumpulkan dengan angket respon siswa. Diperoleh skor rata-rata kepraktisan sebesar 3,91 yang termasuk kategori praktis. Efek potensial LKS terhadap kemampuan pemecahan masalah matematis siswa telah terlihat dari hasil kerja siswa dalam LKS.
Kata Kunci: Lembar Kerja Siswa, contextual teaching and learning, kubus dan balok, kemampuan pemecahan masalah matematis
Nurse's Knowledge about Modifiable and Non-Modifiable Risk Factors of Heart Failure Patient in Erbil Teaching Hospitals
Authors: Younis Yousif Mohammed
Published: April 2023

Background: The changes in cardiac function are associated with heart failure which result in a decrease of cardiac output. This results of a decline in stroke volume that is due to systolic dysfunction, diastolic dysfunction or a combination of the two. Nurses can play a role in prevention of heart failure disease by being knowledgeable of the risk factors associated with disease and also, the nurse may be a teacher-motivator for the patient.
Objectives: The aim of the study is to find out the association between nurse's knowledge about modifiable and non-modifiable risk factors of heart failure.
Methodology: A non probability purposive sample was 20 of February, 2014 to 20 of April 2014, 64 subjects, were selected in medical wards and coronary care units in both Hawler and Rizgary Teaching Hospitals. The study instrument contained of two parts. Part one included socio-demographic characteristics and part two was observational check list which contained 21 items for nurse's knowledge about modifiable and non-modifiable risk factors of heart failure patient. Data was analysis by the statistical package for science service (SPSS version 17) was used for data entering and analysis such as S= significant (<0.05), very highly significant (<0.000) and non-significant (>0.05), Percentage, frequency and Chi-square test were used to interpretation.
Results: According to the results, that majority of the sample (67.2%) were within age group 23-32 years old. Male were more than female, the majority 83.8% of them were married and 75% of them graduates ofa nursing institute. Most of them had 1-7 years of experiences. The study shows very highly significance association of gender and highly significances association of marital status, levels of education and years of experiences in medical ward and coronary care unit.
Conclusion: According to the results, the majority of the samples were within young age group, male more than female, the majority of them were graduated of nursing institution. Concerning statistical association between age group and nurse's knowledge about heart failure risks shows non-significant, while shows very highly significant within gender and highly significant between nurse's knowledge with their marital status, levels of education and years of experiences in medical ward and coronary care unit.
Recommendation: Training session, continuous education and work shop by world health organization should be conduct for nurses at coronary care unit and medical ward to provide best nursing care for heart failure patient. Further study should be done to find out the gap between nursing practices and theory topics
Ruptured Cerebral Mycotic Aneurysm with Subarachnoid Hemorrhage Complicating Infectious Endocarditis
Authors: Tadsaoui S. , Faiz S. , Boutakioute B. , Idrissi M. Ouali , Ganouni N. Cherif Idrissi El
Published: April 2023

Mycotic aneurysm is a redoubtable complication of infectious endocarditis which is the source of many other complications and is generally difficult to diagnose. They are secondary to the migration vegetations in the cerebral circulation, which, depending on its septic nature or not, can give different clinical pictures: ischemic embolic vascular accidents, meningitis, cerebral hemorrhages and brain abscesses. We report in this article a case of a 36-year-old patient, hospitalized in the cardiology department for infective endocarditis, who suddenly presented with intense headaches without any other associated signs. A cerebral scan (Fig-1) was carried out in emergency, which was in favor of a subarachnoid hemorrhage with demonstration of a saccular aneurysm of the terminal portion of the basilar trunk. Two days later, for a better characterization, the patient underwent a cerebral arteriography (Fig-2) which revealed an aneurysmal dilation of the terminal portion of the basilar trunk of mycotic origin.
Angiocholitis Due to Hydatid Cyst of the Liver Fistulized in the Bile Ducts: Comparative Study between Surgical Treatment and Endoscopic Treatment
Authors: Omar Dr. Marghich , Amine Dr. Hamdane , Tarek Dr. Anis , Mohamed Dr. Alila , Abdelmalek Ousadden , Khalid Ait Taleb , Adil Ibrahimi Sidi , Benajah Dafr-Allah , Khalid Mazaz , Bachir Benjelloun EL
Published: April 2023

Background: Liver hydatid is a parasitic disease considered benign but can become dangerous because of its complications. The fistula in biliary tract remains one of the most feared complications by its frequency, morbidity and mortality. Materials and methods: We present a descriptive and comparative retrospective study at the university hospital Hassan II of Fez. This study was carried out on 63 cases of angiocholitis on hydatid cyst of the liver fistulized in the bile ducts and extends over a period of 5 years from January 2015 to December 2019. The objective of this study is to evaluate and compare the contribution of different therapeutic modalities in the treatment of cystic biliary fistula (Surgical treatment against endoscopic treatment). Results: Surgical treatment was used in 22 patients against 41 patients who underwent endoscopic treatment. The success rate of endoscopic treatment was higher than that of surgical treatment (83% against 73 %, p = 0.350). The mortality rate was reduced in the endoscopy group compared with patients in the surgery group (5% against 14 %, p = 0.226). General morbidity and major morbidity were higher significantly in patients treated surgically (General morbidity: surgery 41% against 2% for endoscopy, P0.05). Conclusion: Endoscopic treatment should be considered as the treatment of choice for angiocholitis due to hydatid cyst of the liver fistulized in the bile ducts.
Elevation of Serum Amylase and Lipase Levels in Diabetic Ketoacidosis without Acute Pancreatitis: A Case Report and Literature Review
Authors: Yang Hsi-Hsing
Published: April 2023

Serum amylase and lipase levels are commonly used as diagnostic markers for acute pancreatitis, but elevated levels of these enzymes can also occur in other conditions. We report a case of a 45-year-old male with a known history of type 2 diabetes who presented with nausea, vomiting, and abdominal pain. Laboratory investigations revealed hyperglycemia, ketonemia, metabolic acidosis, and elevated levels of serum amylase and lipase. However, imaging studies did not reveal any evidence of acute pancreatitis or other abdominal pathology. The patient was diagnosed with diabetic ketoacidosis and managed with fluid resuscitation, insulin therapy, and correction of metabolic acidosis. The serum amylase and lipase levels gradually normalized, supporting the diagnosis of diabetic ketoacidosis without complicated with acute pancreatitis. This case highlights the importance of considering alternative diagnoses in the setting of elevated serum amylase and lipase and appropriate management of diabetic complications to prevent the development of more severe conditions.
Total Parenteral Nutrition Induced Pancytopenia: A Case Report
Authors: Chaker A. , Chajai I. , Erregragui Y. , Awab E. , Moussaoui R. El , Hijri A. El , Azzouzi A.
Published: April 2023

Total parenteral nutrition is a mean of delivering nutrition intravenously. Its use is associated with vitamin deficiency. Folic acid and vitamin B12 deficiencies are a rare cause of pancytopenia, whose existence compromises the prognosis of a critically ill patient. In this report, we present the case of a 48 year old man with septic shock secondary to a gangrenous cholecystitis complicated postoperatively by an abscessed collection of the hepatic hilum, and was given total parenteral nutrition. The patient was referred to our department for specialized care, and displayed signs of severe hypovolemia and anemia, with refractory shock. Lab findings were in favor of pancytopenia, with an abdominal CT-Scan showing multiple hematomas. Patient underwent surgical intervention and was diagnosed with folic acid deficiency. He was supplemented with folic acid and vitamin B12, transfused, and switched to mixed enteral and parenteral nutrition following vasopressor drug withdrawal. Outcome was marked by the increase of platelets, hemoglobin and white blood cells, without recurrence of hemorrhage, and transfer of the patient to the surgical ward after complete recovery from the septic shock. This case highlights the importance of vitamin supplementation in patients receiving total parenteral nutrition, and the regular assessment of their complete blood count in the absence of any supplementation.