bluuebunny/crossref_metadata_2025 huggingface dataset:
Using Social Networks to Sample Migrants and Study the Complexity of Contemporary Immigration: An Evaluation Study
Authors: Merli M. Giovanna , Mouw Ted , Le Barbenchon Claire , Stolte Allison
Published: November 2021

We test the effectiveness of a link-tracing sampling approach, Network Sampling with Memory (NSM) to recruit samples of rare immigrant populations with an application among Chinese immigrants in the Raleigh-Durham Area of North Carolina. NSM uses the population network revealed by data from the survey to improve the efficiency of link-tracing sampling, and has been shown to substantially reduce design effects in simulated sampling. Our goals are: (1) to show that it is possible to recruit a probability sample of a locally rare immigrant group using NSM and achieve high response rates; (2) to demonstrate feasibility of collection and benefits of new forms of network data that transcend kinship networks in existing surveys and can address unresolved questions about the role of social networks in migration decisions, the maintenance of transnationalism, and the process of social incorporation; (3) to test the accuracy of the NSM approach to recruit immigrant samples by comparison with the American Community Survey (ACS). Our results indicate feasibility, high performance, cost-effectiveness and accuracy of the NSM approach to sample immigrants for studies of local immigrant communities. This approach can also be extended to recruit multi-site samples of immigrants at origin and destination.
The Proximal Zone of Intercultural Development (PZID)
Authors: Oulahal Rachid
Published: November 2021

This article presents results of a comparative analysis of intercultural experiences between French and Singaporean participants. France and Singapore were chosen as research fields because of their difference in terms of the management of cultural otherness: a universalist cultural model for France and a pluralist cultural model for Singapore.Based on an online questionnaire addressing the intercultural experience of the participants, a quantitative analysis allows us to identify singular differences between the French and Singaporean participants . A particularity of the Singaporean context leads us to think about the concept of the proximal zone of intercultural development (PZID) that we will develop in this article.
Kompetencje moralne nauczycieli – prolegomena
Authors: Zając Dariusz
Published: November 2021

The presented analysis focuses on the moral dimension of the teaching profession, which encompasses the moral competence of its representatives. This dimension determines, at least to some extent, the quality of services rendered by teachers to other people as part of their professional activity. Thus, the research and analyses undertaken with regard to this area of scientific exploration are of importance for the discipline of educational research. The aim of the paper is an attempt at making an introduction to the manners of understanding the term: teacher’s moral competences. Such competences can be placed among a number of competencies a teacher should display. The article was prepared based on an analysis of the literature dealing with the subject of the research. The analysis was used to explicate the category, which, similarly to the category of competencies as such, has turned out to be defined in an ambiguous way. The researchers of the issue of teachers’ moral competences have ascribed various meanings and scope to this term, and have differed in indicating its significance and importance for the professional activity undertaken. This is conducive neither to an attempt at developing a clear definition of this term nor to defining its constituent elements more precisely. The analysis of this category implies the need for paying closer attention to teachers’ moral competences, both in the theoretical and practical contexts, and to conduct intensified research on these competences, enriching thereby the scientific achievements made so far in the field referring to the moral dimension of the work performed by the representatives of this social and professional category, i.e., teachers.
Sexy Seniors and Timid Teens: Examining Sexual Scripts, Gender, and Age Performativity through Theatre
Authors: Tidey Leah , Haupt Alexandra
Published: November 2021

La stigmatisation de la sexualité affecte les jeunes et les personnes âgées de manières diverses, mais toujours interconnectées. Dans cet article, Leah Tidey et Alexandra Haupt partent du principe que l’expression du genre et de l’âge fait l’objet d’une surveillance tout au long de notre vie, le corps jeune, cisgenre et hétérosexuel étant investi d’une plus grande valeur sociale que tous les autres. Or, le théâtre permet d’explorer dans un environnement relativement sûr les attentes associées à la sexualité, au genre et à l’âge. Tidey et Haupt s’appuient sur des théories en lien avec les scénarios sexuels et d’autres sur la performativité du genre et de l’âge pour s’intéresser aux expériences rattachées à la négociation de la sexualité, du genre et de l’âge vécues par des jeunes et des personnes plus âgées à travers la performance. S’inspirant de leur travail avec des personnes de ces groupes d’âge, elles observent comment ce savoir théorique se concrétise dans le cadre d’un projet de théâtre communautaire intergénérationnel.
Reflections on a Verbatim Approach to Staging Age
Authors: Motum Robert
Published: November 2021

A Future Tense est un projet en cours dont l’objectif est de créer une pièce de théâtre verbatim intergénérationnelle à partir d’entretiens réalisés avec des adultes dans la vingtaine et des octogénaires. Robert Motum s’en sert comme étude de cas pour explorer les points de rencontre du théâtre verbatim, des pratiques en matière de soutien et des notions d’empathie, ainsi que pour montrer que la forme verbatim est un véhicule qui permet de représenter l’âge sur scène de manière responsable. Motum trouve un écho opportun dans les travaux de Margaret Morganroth Gullette et Anne Basting, des chercheures en études de l’âge, qui lui permettent d’analyser des questions d’ordre éthique survenues au cours du projet réalisé durant la pandémie de COVID-19.
اللجوء السوري في ألمانيا وإعادة السجال في سياسات الهجرة
Authors: جزائرلي ياسر
Published: November 2021

تبيّن الدراسة أن قرار الحكومة الألمانية المتعلق باستقبال عدد كبير من اللاجئين يعود أساسًا إلى عاملين اقتصاديين: الأول هو الانحدار الكبير الذي تشهده نسبة المواليد في ألمانيا، وانعكاس ذلك على مستقبل اقتصاد البلد. والثاني هو أن قوة الاقتصاد الألماني ستسهّل عملية اندماجهم. وتتعارض هذه الرؤية لعلاقة الاقتصاد بالاندماج مع الخطاب الذي نشره نقّاد سياسة الهجرة في ألمانيا وأوروبا، الذين ذكروا فشل اندماج المهاجرين المسلمين الذين أتوا في ستينيات القرن الماضي. وتوضّح الدراسة أن هناك فرقًا كبيرًا بين موجتَي الهجرة الأولى والثانية؛ ففي الحالة الأولى لم يكن هناك سياسة اندماج، أما الآن فقد وضعت الحكومة خطة اندماج ترتكز على أهمية التعليم وسوق العمل. كما تبيّن الدراسة التشابه بين الخطاب المعادي للهجرة والخطاب الاستشراقي.
Problems of small hotel business development in Ukraine
Authors: Povorozniuk Inna M. , Chirva Olga G. , Maliarchuk Nataliya М.
Published: November 2021

Purpose of the research.The research purpose is to analyze the problems of small hotel business development in Ukraine. The reasons of problems in the development of small accommodation establishments and optimal ways of their solution are studied. Methodology. Research methodology is based on the use of laws and regularities of economic science; methodology of system approach implying the complex study of specifics of small hotels activity in conditions of stiff competition. The domestic and foreign theoretical, methodological and practical studies on the hospitality industry are used in the research. Results. The theoretical approach to the development of small hotel business as a structural element of the hospitality industry was substantiated, which allowed to reveal the main problems of its development at all levels. It is proved that the hotel services market in recent years has become the subject of interest of medium and small businesses. In turn, it is becoming increasingly popular among tourists. The main ways to solve the problems of small business in Ukraine should be based on the introduction of new standards for hotel customer service and improving the system of consumer protection, as well as stricter requirements to the safety of guests. It is determined that under conditions of constantly growing competition from international hotel companies it is important to reduce the probability of market development under the influence of chain hotels at the national level and to ensure the national preservation of income. Practical meaning. Practical significance of the obtained results is in their usage in solving urgent problems of small hotel enterprises development in Ukraine. Prospects for further research. The prospects for further research are to justify the directions of improving the quality of hotel services in small accommodation establishments.
Management decisions on modernization of e-commerce enterprises as subjects of innovative entrepreneurship
Authors: Symakov Volodymyr
Published: November 2021

The purpose of the article is to analyse the types of management decisions on the modernization of e-commerce enterprises as subjects of innovative entrepreneurship and to explore their content. Methodology. In the study of this issue used methods of generalization, comparison and systematic method. Results. In the article the types of management decisions on the modernization of e-commerce enterprises as subjects of innovative entrepreneurship are analysed. Their content has been studied. Scientific positions are described and statistical data on the research topic are given. Practical meaning. To better understand the issues of management decisions on modernization of e-commerce enterprises as subjects of innovative entrepreneurship, the author analysed foreign sources, which allowed to understand the features of world experience that determine the need of e-commerce enterprises in Ukraine to focus on new technological solutions and modern management approaches. Prospects for further research. The author analyses the current trends of enterprise modernization and notes that conversion optimization is becoming an increasingly serious problem in today’s business environment, as companies seek to effectively customize the pages of their products and make sure that their products stand out in all areas of multi-channel marketing. This can include dynamic Facebook advertising, Google shopping advertising, or digital marketing efforts.
A comparative study of caudal anesthesia with bupivacaine v/s bupivacaine with dexmedetomidine in lower abdominal surgeries in pediatric age group
Authors: Kumar N. Kishore , Kadam Sandeep
Published: November 2021

Background: caudal anaesthesia has short­term effect. Alpha­2 adenoreceptors when used as adjuvant to local anaesthetic in children prolongs analgesic duration. The study is aimed to assess the efficacy of addition of dexme­detomidine with Bupivacaine in caudal block for extending postoperative analgesia and its safety profile in pediatric infra­umbilical surgeries.Method: the prospective interventional longitudinal double blinded study was conducted on 60 patients randomly divided into two groups by simple lottery method: group B who received (0.25 %) bupivacaine 1 ml/kg plus 1 ml nor­mal saline (NS), and those in group BD who received (0.25 %) bupivacaine 1 ml/kg plus 0.5 μg/kg dexmedetomidine in 1 ml NS. Post­surgery, both groups were compared in R studio v1.2.5001. Association between the adverse effect and other variables (age, gender, type of surgery, groups) were assessed by Multiple linear regression.Results: in group BD, duration of analgesia prolonged significantly (P < 0.05). In group BD, FLACC score at initial four hours and at 12th hour was significantly less (P < 0.05). Group B was more likely to receive high number of rescue analgesia (P = 0.0005; OR = 11.769). No significant difference was observed concerning hemodynamics, respiratory parameters and adverse effect between both groups (P > 0.05). Conclusion: in children, dexmedetomidine when used along with bupivacaine prolongs postoperative analgesia du­ration, without any significant side effects.
L’entorse du médiopied (de Chopart)
Authors: Kauffmann P. , Luhmann L. , Alamé K. , Schenck B. , Bilbault P. , Le Borgne P.
Published: November 2021

L’entorse de Chopart est une lésion traumatique peu connue, sous-estimée et souvent confondue avec une entorse de cheville. Le traumatisme en inversion de la cheville, souvent accompagné d’une flexion plantaire forcée du pied, représente le mécanisme lésionnel le plus fréquent. Son diagnostic repose sur un examen clinique précis nécessitant une bonne connaissance anatomique. Les signes radiographiques sont indirects et souvent discrets. Il s’agit principalement d’arrachements osseux ou de lésions osseuses par impaction ; ils peuvent parfois d’emblée justifier d’un complément scanographique. L’échographie peut également être utile en première intention. A contrario, l’IRM est actuellement réservée aux difficultés diagnostiques. Le traitement de cette pathologie est essentiellement fonctionnel. Il faut cependant connaître les quelques indications pour un traitement orthopédique (immobilisation) comme la présence d’une lésion osseuse de grande taille. Le traitement chirurgical est quant à lui exceptionnel. L’instabilité calcanéocuboïdienne ainsi que l’arthrose du Chopart sont des complications possibles (à moyen ou long terme) mais peu fréquentes.
Metropolici Dyrrachion wobec naturalnych katastrof i kryzysu Bizancjum w XIII w.
Authors: Dudek Jarosław
Published: November 2021

W XIII w. biskupi Dyrrachion (Dyrrachion) stanęli wobec wielu problemów politycznych i religijnych. Musieli również stawić czoło spowodowanej siłami natury katastrofy (trzęsienie ziemi i tsunami), jaka dotknęła miasto w 1271 r., potem porzucone przez biskupa Niketasa (Niketas) i zdobyte przez łacinników. Historyk Jerzy Pachymeres (Georgios Pachymeres) opisał przebieg kataklizmu i jego następstwa uwzględniając krytykę polityki kościelnej cesarza Michała VIII Paleologa (Michael VIII Paleologos). Z kolei dla św. Serapiona (Serapion) z dalekiej Rusi los mieszkańców Dyrrachion, podobnie jak pogranicznego Przemyśla był konsekwencją moralnego upadku wywołanego bliskimi kontaktami z łacinnikami. Mimo opinii o wpływie katolików w Dyrrachion poparcie cesarza z Konstantynopola zapewniało ochronę prawosławnej organizacji kościelną w tej części zachodnich Bałkanów.
Rudymentarne zasady życia społecznego w ujęciu Edmunda Wnuka-Lipińskiego
Authors: Dobrogowska Monika
Published: November 2021

W artykule wyjaśniono i przeanalizowano najważniejsze – w ujęciu Edmunda Wnuka-Lipińskiego– zasady życia społecznego. Uznano, że dużą wagę przywiązuje on do roli zasady dobra wspólnego.Ukazano też, że omawiany autor w swoich pracach bierze pod uwagę zasadę pomocniczości i rozpatrujeją przez pryzmat państwa. Socjolog istotną rolę w systemie demokratycznym przypisujezasadzie solidarności, która tak znacząco jednoczyła, jego zdaniem, społeczeństwo polskie w latachosiemdziesiątych, w opozycji do reżimu komunistycznego. Po 1989 r. mamy – zdaniem autora – doczynienia z elementami atomizacji Polaków i rozwarstwienia społecznego. W kwestii zasady zaufaniaspołecznego E. Wnuk-Lipiński również akcentuje niski jej poziom. Odpowiedzialnością za ten faktobarcza przede wszystkim poczynania elit rządzących.
Baca Tulis Al Qur’an dengan Metode Jet Tempur di Madrasah Ibtidaiyah Matholiul Falah Payaman Ngraho Bojonegoro
Authors: M. Romadlon Habibullah  , Mukholidatul Musthofiah  , Hamidatun Nihayah
Published: November 2021

Penelitian ini dilatarbelakagi banyaknya anak yang belum mampu membaca al Qur’an dengan benar. Hal ini disebabkan karena anak zaman sekarang terbiasa menggunakan gadget daripada membaca al Qur’an. MI Matholiul Falah Payaman Ngraho Bojonegoro merupakan Madrasah yang memiliki program pembiasaan baca tulis al Qur’an hampir setiap hari dan Madrasah ini menggunakan metode yang berbeda daripada metode baca tulis al Qur’an yang diajarkan di berbagai instansi lainnya. fokus penelitian berkaitan tentang bagaimana proses pembelajaran baca tulis al Qur’an dengan metode jet tempur, faktor pendukung dan faktor penghambatnya. Jenis penelitian yang digunakan adalah Penelitian ini menggunakan pendekatan deskriptif kualitatif. analisis data menggunakan reduksi data, penyadian data, verifikasi dan kesimpulan. Hasil penelitiannya adalah (1) proses pembelajarannya dilaksanakan setiap hari selasa, kamis dan ahad. Di bagi menjadi 3 tingkatan pemula, lanjutan, dan tahfidz. Proses pembelajaran baca tulis al Qur’an dimulai dari membaca al Qur’an Membaca surat alfatihah dan surat-surat pendek sesuai dengan tingkatannya. Membaca materi yang ada di jet tempur sesuai tingkatannya, Menulis materi yang ada di jet tempur sesuai tingkatannya, (2) faktor pendukungnya adalah Kemampuan pendidik dalam menguasai materi, keaktifan peserta didik dalam pembelajaran, manajemen kelas. (3) faktor penghambatnya adalah kurangnya media pembelajaran, monotonnya pendidik dalam menyampaikan materi, kedisiplinan siswa.
Pengembangan Buku Ajar IPA Berbasis Peta Pikiran untuk Melatih Berpikir Kreatif Peserta Didik di Sekolah Dasar
Authors: Rian Ningsih Pramunita
Published: November 2021

Penelitian ini bertujuan untuk menghasilkan produk berupa buku ajar yang berbasis peta pikiran untuk melatih berpikir kreatif peserta didik di sekolah dasar. Materi yang di kembangkan adalah materi pengaruh kalor terhadap benda yang terdapat pada materi kelas V di Sekolah Dasar. Metode penelitian yang digunakan adalah metode penelitian pengembangan dengan mengacu pada model 4D yang mempunyai tahapan yaitu, (1) pendefinisian, (2) perancangan, (3) pengembangan, (4) penyebaran. Desain ujicoba menggunakan One Group Pre-test Post-test Design. Teknik analisis data menggunakan analisis data deskriptif kuantitatif. Insturmen yang digunakan antaranya lembar validasi, lembar tes, dan kuesioner. Buku ajar yang dikembangkan dinyatakan memenuhi kriteria valid pada komponen kelayakan isi, kelayakan penyajian, kelayakan kebahasaan dan ke grafikan. Buku ajar yang dikembangkan juga dinyatakan sebagai buku ajar yang praktis di tinjau dari respon peserta didik. Buku ajar yang dikembangkan juga dinyatakan efektif ditinjau dari keterampilan berpikir kreatif yang meningkat dari pre-test yang memeroleh presentase sebesar 28% meningkat pada post-test menjadi 58,2% dengan N-gain ketuntasan kategori sedang. Berdasarkan pembahasan hasil dan temuan-temuan disimpulkan bahwa buku ajar IPA berbasis peta pikiran yang telah dikembangkan pada materi pengaruh kalor terhadap benda layak digunakan untuk melatih berpikir kreatif peserta didik di Sekolah Dasar.
Introduction to the Immigrant Futures Toolkit for City Leaders: A New Lens for Local Economic Development
Authors: Blower Jenna , Turner Kim , Triandafyllidou Anna
Published: November 2021

This project explores new perspectives on the challenges and opportunities of immigration in Canada’s small cities, towns and regions. Immigrant Futures was developed in partnership with Hamilton Economic Development, the City of Moncton, the Halifax Partnership, the Leeds Grenville Local Immigration Partnership and Hire Immigrants-Magnet; with support from Immigration, Refugees and Citizenship Canada (IRCC).
Introduction à la Boîte à outils d'Avenirs Immigrants pour les leaders municipaux: un regard nouveau sur le développement économique local
Authors: Blower Jenna , Turner Kim , Triandafyllidou Anna
Published: November 2021

Avenirs Immigrants met au jour de nouvelles perspectives sur les défis et les
opportunités que l’immigration peut poser pour les communautés canadiennes, qu’elles
soient petites, moyennes ou régionales. Le projet est présenté en partenariat avec le
Service du développement économique de la Ville de Hamilton, la Ville de Moncton,
le Halifax Partnership, le Leeds-Grenville Local Immigration Partnership et Embauches
Immigrants – Magnet, avec l’appui d’Immigration, Réfugiés et Citoyenneté Canada
(IRCC).
Manajemen Pakan dan Analisis Profitabilitas Usaha Peternakan Sapi Potong Rakyat di Masa Pandemi Covid 19 di Kabupaten Langkat
Authors: Haloho Ruth Dameria , Tarigan Elvany
Published: November 2021

Tujuan penelitian adalah untuk mengetahui manajemen pakan dan profitabilitas usaha peternakan sapi potong rakyat. Penelitian dilaksanakan di Kabupaten Langkat dengan jumlah responden sebanyak 80 peternak usaha sapi potong rakyat. Metode penelitian yang digunakan adalah survey. Analisis data yang digunakan adalah deskriftif kuantitatif. Data dianalisis dengan menggunakan analisis pendapatan, profitabilitas dan One Sample T-Test dengan menggunakan SPSS. Hasil penelitian menunjukkan manajemen pakan yaitu pakan yang diberikan hanya terdiri dari hijauan, pemberian pakan diberikan pada pagi dan sore hari dan cara pemberian pakan dengan metode kreman. Berdasarkan hasil perhitungan selama pandemi covid 19, jumlah penerimaan sebesar Rp 16.122.500; biaya produksi sebesar Rp 12.389.581. Besarnya pendapatan sebesar Rp  3.732.919. Nilai Profitabilitas sebesar 23,15% lebih besar dari deposito Bank BRI sebesar 4% maka usaha sapi potong dinyatakan menguntungkan dan layak dikembangkan.
Characteristics of Liquid Smoke of Red Fruit (Pandanus conoideus. L.) Waste with Pyrolysis Method and Potentially as Biopesticide
Authors: Dewi Fransisca Christina , Tuhuteru Sumiyati , Aladin Andi , Yani Dan Setiyawati
Published: November 2021

This study aims to determine the yield and quality of liquid smoke in the form of pH values, acid levels, and phenol levels from the burning of red fruit seed waste as raw material for grade 3 liquid smoke using pyrolysis equipment. Liquid smoke is used as an alternative food preservative and flavor enhancer that it can use in the food processing industry to minimize the use of harmful preservatives such as formalin. But it also can be used as a biopesticide in agriculture so that it becomes an alternative to chemical pesticides in controlling pests. It was researched at the Research Laboratory of the Chemical Engineering Department FTI UMI Makassar in July 2020 and the Agrotechnology Laboratory of the Petra Baliem Wamena Agricultural Science College in April 2021. The research activity began by making grade 3 liquid smoke because liquid smoke can be used as a biopesticide at this level. Then proceed with the analysis of the chemical and physical content of liquid smoke. The research method used was an experimental method with six replications on the amount of red fruit seed waste 500 g, 1000 g, and 1500 g. The pyrolysis process was carried out at temperatures ranging from 300-400ºC for 180 minutes. The results of the observations from the tests carried out showed that the liquid smoke of red fruit seed waste produced was more in the weight or quantity of red fruit seed waste 1000 g was BM2 treatment which had a pH value of 3.35, the acid content of 14.20%, total phenol content of 4.91%, quite brown. Thick and smells like liquid smoke. The high levels of acid ranging from 13.73-14.20% and high levels of phenol ranging from 4.91-5.11% compared to previous studies with raw materials for liquid smoke of rice husks, coconut shells, and organic waste, made the liquid smoke of red fruit seed waste as a biopesticide with repellant and anti-inflammatory properties. Insects ate them because acids and phenols can provide an aromatic that insects do not like.
PENGARUH PEMBERIAN DAUN KELOR PADA IBU HAMIL TRIMESTER III DENGAN PENINGKATAN KADAR HB DI WILAYAH KERJA PUSKESMAS GEDUNG SARI KECAMATAN ANAK RATU AJI KABUPATEN LAMPUNG TENGAH TAHUN 2020
Authors: Tampubolon Yuliana
Published: November 2021

Abstrak : Pengaruh Pemberian Daun Kelor Pada Ibu Hamil Trimester Iii Dengan Peningkatan Kadar Hb Di Wilayah Kerja Puskesmas Gedung Sari Kecamatan Anak Ratu Aji Kabupaten Lampung Tengah Tahun 2020Berdasarkan data survey Di Puskesmas Gedung Sari Kecamatan Anak Ratu Aji Lampung Tengah terhadap 67 ibu hamil TM III, setelah dilakukan observasi berdasarkan pemeriksaan Hb, diketahui dari 59 ibu hamil TM III, menunjukkan 27 ibu hamil (88%) mengalami anemia dan 7 ibu hamil (10,4%) tidak mengalami anemia. Setelah dilakukan wawancara terhadap 6 ibu hamil yang mengalami anemia, mereka mengatakan tidak pernah mengkonsumsi daun kelor. Hal ini menarik penulis untuk menelaah lebih lanjut bagaimana pola konsumsi daun kelor dengan kadar hemoglobin pada ibu hamil.. Tujuan dalam penelitian ini adalah untuk mengetahui pengaruh pemberian daun kelor  pada ibu hamil trimester III terhadap  kadar Hb Di Wilayah Kerja Puskesmas Gedung Sari Kecamatan Anak Ratu Aji Kabupaten Lampung Tengah Tahun 2020.Jenis penelitian kuantitatif , rancangan Quasi Experiment dengan pendekatan one group pre test and post test design. Populasi dalam penelitian ini adalah seluruh ibu hamil TM III yang mengalami anemia ringan  dan sedang di wilayah Kerja Puskesmas Gedung Sari Kecamatan Anak Ratu Aji Kabupaten Lampung Tengah tahun 2020  sampel dalam penelitian ini adalah kunjungan ibu hamil  TM III perbulannya mencapai  27 ibu hamil dengan anemia ringan dan sedang. Dalam penelitian ini teknik sampling yang digunakan adalah Total Sampling.Berdasarkan analisis bivariat dengan menggunakan uji Paired Sample T-Test, diketahui nilai p-value < 0,05 yaitu 0,000 yang artinya Ada Pengaruh Pemberian Daun Kelor  Pada Ibu Hamil Trimester III Terhadap Kadar Hb Di Wilayah Kerja Puskesmas Gedung Sari Kecamatan Anak Ratu Aji Kabupaten Lampung Tengah Tahun 2020. rata-rata kadar Hb responden sebelum diberikan daun kelor adalah 8,596 dengan nilai minimum 8.0 g/dl dan maksimum 9,6 g/dl, dari 27 Responden setelah mengkonsumsi daun kelor rata-rata kadar Hb responden sesudah diberikan daun kelor adalah 10,048 dengan nilai minimum 8,9 g/dl dan maksimum 11,4 g/dl diketahui nilai selisih kadar Hb antara sebelum dan sesudah adalah -1,4519Kata Kunci     : Kadar Hb & Daun Kelor
PENGARUH PENYULUHAN DENGAN MEDIA VIDEO MELALUI WHATSAPP GROUP TENTANG HEPATITIS B TERHADAP PENINGKATAN SKOR PENGETAHUAN IBU HAMIL
Authors: Yanti Ni Nyoman Lestari , Mahayati Ni Made Dwi , Armini Ni Wayan
Published: November 2021

Hepatitis B bisa menular dari ibu ke bayi sehingga diperlukan informasi untuk meningkatkan pengetahuan ibu tentang Hepatitis B, penyuluhan tatap muka tidak bisa dilakukan saat pandemi Covid. Tujuan penelitian mengetahui peningkatan skor pengetahuan tentang hepatitis B pada ibu hamil setelah penyuluhan dengan media video melalui whatsapp group di Desa Sibang Kaja. Jenis penelitian eksperimen, metode pretest-posttest control design. Besar sampel 54 orang, dengan kelompok kontrol 27 responden diberikan video yang pernah dipakai di Puskesmas, kelompok eksperimen 27 responden diberikan video yang dikembangkan peneliti dengan materi lebih terfokus pada hepatitis pada kehamilan. Pengukuran pengetahuan dengan kuisioner dibuat pada zoho form. Hasil uji Wilcoxon signifikansi 0,000 < 005, terdapat perbedaan pengetahuan sebelum dan sesudah penyuluhan, perbedaan pengetahuan antara kelompok intervensi dan kelompok kontrol dengan uji Mann withney 0,004 < 0,04. Kesimpulan ada pengaruh penyuluhan hepatitis B dengan media video melalui whatsapp group terhadap peningkatan skor pengetahuan ibu hamil di Desa Sibangkaja. Petugas kesehatan, Puskesmas agar meningkatkan promosi kesehatan dengan pengembangan media yang menarik dan mudah dimengerti masyarakat.
Physician perceptions of stress and telemedicine
Authors: Guma Jenna , Klimowich Katelyn , Pan Juming , Collins Philip , Cooley Danielle
Published: November 2021

Introduction: Telemedicine is an emerging field in which physicians can interact electronically with patients to improve health. During the COVID-19 pandemic, the use of telemedicine has grown exponentially. As physicians work to provide equally high-quality care for their patients remotely, their experiences must be considered.

Methods: This study utilized an online anonymous survey of physicians to assess their satisfaction, comfort level and student involvement when using telemedicine for patient care.

Results: Overall, physicians’ experiences with the integration of telemedicine into their practices varied based on gender, the presence of medical students, age and prior experience with telemedicine. Physicians are more comfortable with telemedicine now than they had been prior to the start of the COVID-19 pandemic, and physicians who had prior experience were less likely to find it stressful to incorporate. Physicians in both the youngest (30–39 years old) and oldest (60 and older) categories reported the highest levels of satisfaction with telemedicine. Female physicians indicated they will be more likely to incorporate more telemedicine into practice in the future, beyond the COVID-19 pandemic. Of the specialties surveyed, family physicians report the lowest levels of comfort and satisfaction with telemedicine.

Conclusion: Physician respondents of this survey provided valuable data on the perceptions of the widespread incorporation of telemedicine during the COVID-19 pandemic. Further research can follow which physicians choose to keep telemedicine integrated into their practices and how the demand for these virtual visits may change in the coming months.
Uso y abuso del turismo oscuro como paradigma. ¿Un concepto saturado?
Authors: González Vázquez David
Published: November 2021

El turismo oscuro como paradigma analítico ha recibido en las dos últimas décadas un enorme protagonismo tanto en los ámbitos académicos como en la esfera mediática. Su uso se ha consolidado, en mayor o menor medida, en todas las latitudes y escuelas teóricas vinculadas a los estudios turísticos. La idiosincrasia extremadamente genérica del propio concepto de turismo oscuro ha generado, no obstante, debate sobre la idoneidad del mismo como paradigma para el análisis de muchas de las prácticas turísticas desarrolladas en lugares vinculados a la muerte o la tragedia. Ante lo que puede aparentar una cierta saturación sobre el uso del concepto dark tourism y su utilidad para el avance científico, habrá que observar su evolución a partir de las líneas de investigación desarrolladas en los próximos años.
Music Therapy in People Suffering from Korsakoff Syndrome: A Case Report
Authors: Bruggen-Rufi Monique van , van Rijn Annelies
Published: November 2021

This article reports about two different cases of persons with Korsakoff syndrome (KS) who benefit greatly from music therapy while they are struggling with behavioral and emotional problems, caused by their chronic alcohol abuse which led to developing KS. Typical characteristics of persons suffering from KS are memory impairment, confabulation and problems with executive functions. Music therapy is a non-pharmacological intervention which has the potential to improve communication skills, reducing behavioral problems and thus leading to a better quality of life in KS-patients. An empathic yet directive approach has been proven beneficial when working with KS-clients. There is still little knowledge on how music therapy may contribute to improving these skills or reducing these impairments. The two case reports that follow provide greater insight into how to treat patients with KS through music therapy, specifically in patients who are residing in a long-term care facility specialized in KS.
COVID-19 in Costa Rica: Achieved Goals and Imminent Risks
Authors: Jiménez-Montero José G. , Villegas-Barakat RD Mayra , O Cerdas-Salas , M Coto-Hernandez , H Sancho-Ugalde
Published: November 2021

Coronavirus diseases 2019 (COVID-19) emerged in China in December 2019 and it rapidly widespread around the world. As of May, 2020, there had been 3.618.325 confirmed cases of COVID-19, 253.381deaths and 1.184.145 recovered persons reported globally. In this review we present the evolution of the infection in Costa Rica and analyze preventive measurements taken to contain a potential explosive dissemination of COVID-19 infection. In Costa Rica, the accumulated incidence per 100.000 habitants of COVID-19 was 14.5 and the death rate 0.81 per 100.000 habitants. By May 3, the number of recovered patients were identical to those with active disease. So far, the health care system has not collapsed as most of the COVID-19 patients have being managed at home. However, the battle is not over yet. Due to the fact that re-opening of the country gradually will take and the number of new cases of undocumented immigrants, children and youngsters is steadily increased, unfavorable consequences in the following weeks might be anticipated. The Costa Rican health authorities are vigilant and diligently managing the COVID-19 pandemic.
Avaliação do uso de antimicrobianos em idosos internados em um hospital público
Authors: Cerqueira Monique Gomes , Santos Rafaela Lima , Souza Priscilla Magalhães , Valasques Junior Gildomar Lima , Souza Tuany Santos
Published: November 2021

Objetivo: O objetivo deste estudo foi avaliar o uso de antimicrobianos em idosos internados em um hospital público. Metodologia: Trata-se de um estudo com delineamento transversal, de caráter quantitativo e descritivo, realizado na Clínica Médica de um hospital público da Bahia, durante um período de três meses, através de um formulário estruturado pelo pesquisador. Foram analisados 42 prontuários de pacientes com idade igual ou acima de 60 anos. Destes, 29 faziam uso de antimicrobianos. Resultados: A prevalência do uso de ATMs foi de (69%), sendo maior no sexo feminino (93%), e nos pacientes com 80 anos ou mais (52%). Os medicamentos mais utilizados foram a ceftriaxona (59%), levofloxacino (28%) e azitromicina (28%). Houve predomínio da polifarmácia (100%). Além disso, os principais diagnósticos para o uso dos ATMs foram para as doenças que acometem o aparelho respiratório (38%) e doenças do aparelho circulatório (32%). Em relação a via de administração, foi observado a maior frequência no uso da via intravenosa (79%). Conclusão: Sugere-se que é necessário conhecer o uso desses medicamentos nos hospitais, principalmente na geriatria, para subsidiar a elaboração de protocolos clínicos, reduzir o tratamento por terapia empírica, além de ser importante a interação da equipe multiprofissional para evitar o aumento da resistência bacteriana e impedir que possíveis quanto as prescrições ocorram.
Os significados e sentidos de ensino: o ensino eclético
Authors: Carneiro Carlos José de Sousa
Published: November 2021

O presente artigo é consequência da pesquisa de Mestrado em Educação na Universidade Federal do Piauí. Investiga os sentidos e significados de ensino desenvolvidos por professores de uma escola pública estadual de Ensino Médio na cidade de Parnaíba, estado do Piauí. Neste trabalho, apresentamos um dos significados de ensino, o Ensino Eclético, o que representa o ponto alto da investigação e da produção do conhecimento. A pesquisa contou com as categorias teóricas de Significado e Sentido em Vigotski (2008, 2007, 2000) e com o procedimento da entrevista reflexiva em Szimanski (2010). Na análise, descobrimos que o Ensino Eclético não encontra atributos em teorias e/ou bibliografias ricas, tendo os seus atributos construídos durante a pesquisa a partir da empiria e da experiência dos professores envolvidos na pesquisa.
Estilo de vida de adultos com deficiência percebida em quilombos baianos, Nordeste brasileiro
Authors: Mussi Ricardo Franklin de Freitas , Squarcini Camila Fabiana Rossi , Cavalcante Neto Jorge Lopes
Published: November 2021

Para analisar a associação entre fatores sociodemográficos e o estilo de vida em adultos quilombolas baianos com deficiência percebida, 517 entrevistas face-a-face foram consideradas. Foi realizada regressão logística binária para definir a associação entre o Estilo de vida e os fatores sociodemográficos. A escolaridade permaneceu associada a Nutrição, a renda à Atividade Física, o número de filhos com Comportamento Preventivo e Relacionamentos, e o sexo com o Estresse. Então, ter menos escolaridade aumenta a probabilidade para Nutrição negativa, ter renda mais alta aumenta a probabilidade para Atividade Física positiva. Ter mais filhos aumenta a probabilidade do Comportamento Preventivo e Relacionamentos positivos e ser homem para Estresse positivo.
Convergência dos Planos de Ensino ao Projeto Político Pedagógico, quanto às metodologias de ensino
Authors: Conceição Simone da Silva , Cunha Leila Chaves , Lindner Edson Luiz
Published: November 2021

O objetivo do presente artigo é identificar a convergência dos planos de ensino, do 5º ano do Ensino Fundamental, ao Projeto Político Pedagógico (PPP), em relação às metodologias de ensino, de uma escola do estado de Santa Catarina. Trata-se de pesquisa descritiva, de cunho qualitativo. Para o tratamento dos dados aplica-se a técnica de análise de conteúdo proposta por Bardin (1977). Os resultados demonstram que, de forma geral, os procedimentos metodológicos previstos nos planos de ensino convergem com os identificados no PPP da escola, embora que alguns professores não apresentam procedimentos convergentes com o PPP. Conclui-se que os professores apenas elencam os procedimentos, sem esclarecer, de forma mais detalhada, como os procedimentos metodológicos serão desenvolvidos.
Consumo de produtos processados e ultraprocessados e o seu impacto na saúde dos adultos
Authors: Pinto Juliana Rosa Ribeiro , Costa Flávia Nunes
Published: November 2021

O cotidiano da vida moderna tem demandado mais praticidade e agilidade nas atividades realizadas na rotina, afetando também a alimentação das pessoas, em termos de escolha de alimentos. Nesse sentido, os produtos processados e ultraprocessados tem ganhado destaque de consumo, seja pela facilidade e pela diminuição de tempo de preparo desses alimentos. Um dos problemas em torno do alto consumo está no desencadeamento de Doenças Crônicas Não Transmissíveis, como doenças no aparelho gastrointestinal, doenças cardiovasculares, obesidade e distúrbios metabólicos. Portanto, o objetivo do presente estudo foi analisar o impacto do consumo de produtos processados e ultraprocessados na saúde dos adultos. Para isso, uma revisão integrativa de literatura foi realizada, no recorte temporal entre 2011 e 2021 e com resultados sobre o crescimento das indústrias alimentícias, alto consumo desses alimentos, sua classificação e os impactos negativos que trazem para a vida adulta. De forma, que as conclusões ressaltam a importância de conscientização da população em torno do tema, dos malefícios ao organismo, que pode ser evitado de maneira simples, como a substituição por alimentos saudáveis.
Distresse moral de médicos relacionado à incerteza moral frente às diretivas antecipadas de vontade
Authors: Ribeiro Uiara Raiana Vargas de Castro Oliveira , Swiech Liliane Mayumi , Souza Waldir , Guirro Úrsula Bueno do Prado , Corradi-Perini Carla
Published: November 2021

Moral-uncertainty-distress (MUD) é o distresse moral relacionado ao conflito sobre qual melhor decisão em situações moralmente complexas. Propomos identificar a relação entre percepção do médico sobre as Diretivas Antecipadas de Vontade (DAV) e MUD, assim como o impacto na tomada de decisão. Neste estudo qualitativo, realizou-se entrevistas semiestruturadas com oito médicos de um hospital em Curitiba-PR tendo por base uma DAV verídica e, posteriormente, submetidas ao método de análise de conteúdo por categorização de Bardin. A primeira categoria identificada, DAV como elementos de conflito moral, revelou atitudes paternalistas por parte dos entrevistados, assim como insegurança por incertezas prognósticas, questionamento das DAV considerando motivações prévias do paciente e pouco conhecimento sobre as DAV. O reconhecimento das DAV como instrumentos de exercício da autonomia do paciente constituiu a segunda categoria encontrada. Apesar da identificação das DAV como ferramentas de autonomia, outros aspectos se mostraram moralmente desafiadores para os médicos entrevistados, sendo potencial fonte de MUD e impactando a tomada de decisão.
ENEM em tempos de Pandemia: desafios enfrentados pelos docentes frente o ensino remoto da rede estadual de Presidente Kennedy/TO
Authors: Gularte Fabiana Nunes , Nascimento Fernanda Kátia Vieira do , Carvalho Aluísio Vasconcelos de
Published: November 2021

Com a situação mundial (pandemia) que estamos vivenciando, durante esse período que chega a mais de um ano e meio, a área da educação sofreu um grande impacto e teve que se modificar com uma nova forma de ensino para que os alunos não perdessem o vínculo com escola, que se deu por meios de aulas online e de roteiros de forma quinzenal. O presente artigo vem abordar os desafios enfrentados pelos docentes na pandemia em relação ao ENEM e analisar as competências e habilidades através das metodologias trabalhadas no ensino remoto pelos professores da escola pública de Presidente Kennedy-TO, com o foco na preparação para o Exame Nacional do Ensino Médio – ENEM. Foi realizado um questionário onde 10 professores atuantes no ensino responderam perguntas objetivas e subjetivas relacionadas as metodologias utilizadas e mudanças que foram sofridas durante a pandemia. Os resultados obtidos mostram que com a pandemia a preparação dos alunos para o ENEM se tornou bastante desafiadora, e os docentes vem tentando se reinventar de várias formas para que os alunos atinjam as competências e habilidades exigidas no presente exame.
Exercícios de fortalecimento para a reabilitação de lesão em ligamento cruzado anterior
Authors: Oliveira Sofia Silva , Barros Leandro Alves , Moraes Tainá Christielle Rocha , Silva Wanderson Fernandes
Published: November 2021

Objetivo: Analisar a eficácia de exercícios de fortalecimento para pacientes pós lesão de ligamento cruzado anterior através da análise de indicadores encontrados na literatura. Metodologia: Trata-se de uma revisão bibliográfica sistemática, tais dados utilizados na composição deste estudo foram coletados no banco de dados do site: PUBMED, e em revistas e livros periódicos que tenham a temática do estudo. Os documentos selecionados qual se referem ao tema, e que estão publicados nos anos 2016 a 2021 foram excluídos estudos de caso, estudos incompreensíveis, revisões sistemáticas e com a metodologia inadequada, e que foram descritos de forma incoesa e incoerente ao tema proposto Resultados: Nas buscas pelas literaturas, resultou em um achado de 1065 artigos usando as palavras chaves “anterior cruciate ligament, muscle strengtheing”, porém apenas 185 se correlacionava ao tema de lesão de ligamento cruzado anterior, destes 185 apenas 6 correspondera  a todos os critérios de inclusão e descrevia diretamente sobre alguma técnica de exercício de fortalecimento pós lesão de ligamento cruzado anterior, e na análise da escala Pedro, apresentou resultado acima de 7. Conclusão: Treinamentos de força progressiva é eficiente para recuperação do quadríceps e isquiotibiais, e os exercícios de resistência excêntrico de cadeia aberta, isocinético e concêntrico auxilia no fortalecimento e na ativação neuromuscular são eficientes para recuperação mesmo que em fase tardia, a intervenção através dos exercícios de fortalecimento associadas a outras terapêuticas para recuperação do quadro de pós LCA, aumenta os efeitos da reabilitação do paciente.
Positive fluid balance within the first 72 hours in the intensive care unit is associated with higher mortality in adult patients
Authors: Aragão Natália Linhares Ponte , Peixoto Júnior Arnaldo Aires , Feijó Carlos Augusto Ramos , Albuquerque Marina Parente , Meneses Francisco Albano de
Published: November 2021

Objective: To identify the association between cumulative fluid balance in the first 72 hours of ICU stay and outcomes. Methodology: retrospective observational cohort with data analysis of adult patients hospitalized in an ICU of a tertiary teaching hospital. Results: a total of 86 patients who remained in the ICU for more than 72 hours were evaluated. The fluid balance in the first 72 hours was higher in the subgroup of patients who died in the ICU (5210.3 ± 2787.7 vs. 3017.4 ± 2847.2 mL, p = 0.004). The fluid balance in the first 72 hours was an independent factor directly associated with death in the ICU (OR: 1,000; p = 0.009). The area under the ROC curve was 0.7119 (95% CI: 0.58-0.84, p = 0.005). The optimal cutoff point for the fluid balance in the first 72 hours as a predictor of death in the ICU was + 3.900mL and the relative risk of death among those who presented a fluid balance higher than this value was 1.702 (95% CI: 1, 15-2.53, p = 0.009). Conclusion: an association was identified between the cumulative value in the fluid balance in the first 72 hours of ICU stay and the highest risk of death, which is an independent factor of the patient's severity at admission.
Isolamento social em tempos de pandemia do COVID-19 e sua relação com a obesidade
Authors: Cristo João Victor Machado , Silva Filipe Santos da , Serique Manuela Salame , Lobato Micaella Yanne Fender , Silva Fernanda Protázio , Parente Fernanda de Souza , Paula Amanda de , Campos Davi Gonçalves , Gonçalves Cristal Louise Antunes , Ishigaki Beatriz Sayuri Vieira , Lima Lorena Soriano de Melo , Franco Santino Carvalho
Published: November 2021

Introdução: A obesidade é uma doença crônica, multifatorial e que gera repercussões sistêmicas; caracterizada por um Índice de Massa Corporal (IMC) maior que 30. O isolamento social na pandemia do COVID-19 interferiu diretamente no tratamento dos pacientes obesos e adoeceu pacientes antes sem a comorbidade. Metodologia: Trata-se de uma revisão bibliográfica qualitativa, com busca de estudos nas bases de dados Biblioteca Virtual em Saúde (BVS), Google Scholar, PubMed e Scientific Library Online (SciELO). Para a pesquisa, utilizou-se os descritores COVID-19, isolamento social, obesidade, saúde mental e transtornos alimentares. Incluíram-se publicações entre 2017 e 2021 em português e inglês disponíveis em texto completo. Foram selecionados 15 artigos dos 71 encontrados. Resultados e discussão: percebeu-se que o isolamento interfere negativamente no tratamento de pacientes obesos, pois os locais de prática de exercícios físicos ficaram restritos e a reclusão domiciliar dificulta o tratamento. Outro problema está no desenvolvimento de compulsão alimentar, já que a comida está sendo utilizada para aliviar problemas de ansiedade, depressão e estresse. Conclusão: O COVID-19 causou problemas que vão além dos casos de infecção pelo vírus, pois o isolamento social afetou diretamente o tratamento de pacientes obesos.
Contando Histórias, Trilhando Caminhos: A experiência da residência em saúde mental no cuidado aos trabalhadores da saúde
Authors: Gregoviski Vanessa Ruffatto , Ferreira Luiz Alberto dos Santos
Published: November 2021

A saúde do trabalhador é uma temática essencial, principalmente ao compreender que o trabalho constrói o sujeito. No âmbito da saúde, há uma necessidade ainda mais nítida de cuidado a essas pessoas. Este artigo surge com o objetivo de contar a experiência vivida enquanto residente multiprofissional em saúde mental, desenvolvendo ações, pensando na saúde mental dos trabalhadores de saúde em um âmbito de gestão e na atenção básica. Trata-se de um relato de experiência que utiliza enquanto ferramentas metodológicas o diário de campo e a observação participante, constituindo-se como uma pesquisa qualitativa que utiliza a análise de conteúdo. As intervenções propostas, ainda que pontuais, tiveram impactos positivos, demonstrando a importância do afeto e da pausa para esses trabalhadores, fomentando o suporte coletivo. Desse modo, percebe-se a residência como uma possibilidade de cuidado aliado a educação permanente em saúde, pois é capaz tanto de apontar lacunas existentes, quanto de acolher as demandas de cuidado feitas.