bluuebunny/crossref_metadata_2025 huggingface dataset:
Besar Risiko Status Nutrisi terhadap Morbiditas dan Mortalitas Pasien Hemodialisis Reguler
Authors: Sri Wardani Ni Wayan
Published: July 2022

Latar belakang : Protein energi wasting (PEW) merupakan salah satu komplikasi pasien yang menjalani hemodialisis (HD) reguler akibat malnutrisi dan inflamasi dan menjadi indikator mutu layanan HD. Penelitian ini bertujuan untuk menganalisis besar risiko status nutrisi terhadap morbiditas dan mortalitas pasien HD reguler.
Metode : Penelitian kohort prospektif selama 6 bulan (5 Mei sampai 4 November 2021), pada pasien HD reguler, berusia lebih dari 18 tahun di unit HD RSUD Sanjiwani Gianyar. Status nutrisi dinilai dengan Indeks Massa Tubuh (IMT), kadar albumin serum, Subjective Global Assesement (SGA), Malnutrition inflammation score (MIS), dan International Society of Renal Nutrition and Malnutrition (ISRNM).
Hasil : Subyek penelitian adalah 111 orang terdiri dari 61.3% laki-laki, rerata umur 53,67 tahun, rerata lama menjalani HD 44,56 bulan dengan etiologi utama yaitu hipertensi dan DKD 54%. Rerata IMT 23,41 kg/m2 dan albumin 4,05 g/dL. Analisis risiko relatif (RR) menunjukkan albumin <3,8 g/dL meningkatkan risiko morbiditas 3,25 kali (CI 95% 1,29- 8,13) p=0,01, dibandingkan albumin >/= 3,8 g/dL. Demikian juga SGA B dan C meningkatkan morbiditas 3,2 (CI 95% 1,36–7,52) kali dibandingkan SGA A dengan p=0,007, tetapi IMT, MIS dan ISRNM tidak bermakna. Analisis Kaplan Meier, menunjukkan subyek dengan status nutrisi baik mempunyai ketahanan hidup lebih lama dibandingkan dengan status nutrisi kurang, tetapi tidak bermakna secara statistik.
Simpulan : Status nutrisi kurang berdasarkan albumin dan SGA signifikan meningkatkan risiko morbiditas namun tidak meningkatkan risiko mortalitas. Parameter status nutrisi lain seperti IMT, MIS, dan ISRNM bukan faktor risiko morbiditas dan mortalitas pasien HD.
Predictor Factors of Tuberculosis Treatment Success in Sleman Regency of Indonesia
Authors: Andriyanto Eko , Wijayanti Subronto Yanri , Ida Safitri Laksanawati
Published: July 2022

Background : Tuberculosis (TB) is the leading cause of mortality worldwide. Several studies have created risk scores to predict treatment success in TB patients. However, cohort study did not consider other clinical forms of TB, such as negative AFB smears and extrapulmonary TB. The objectives of this study was to knowing the predictor factors for the success of TB treatment in Sleman Regency by taking into account other  clinical forms of TB such as negative smear and extrapulmonary TB.
Methods : The type and design of this study was an analytical study using a cross- sectional design conducted on TB patients in Sleman Regency from 2015 – 2018. Data were collected from TB 01 or TB 03 register of the Sleman District Health Office, including age, sex, BMI at the beginning of treatment, OAT (Antituberculosis Drugs) guideline, anatomic location, initial AFB status, AFB conversion status in intensive phase, type of TB patient, and treatment outcome. Chi-Square analysis and logistic regression were used to  determine the predictors of TB treatment success.
Results : The research sample was 2308 people: 2158 successful treatments and 150 patients whofailed. AFB conversion in the intensive phase was the only variable to have a role in the TB treatment success (OR = 6.655, 95% CI: 3.354–13,207, p = 0.000).
Conclusion : Conversion of AFB status in the intensive phase is a variable that contributes to the success of TB treatment. Age, sex, BMI at the beginning of treatment, OAT guidelines, anatomic location, initial AFB status, and type of TB patient are not predictors of TB success.
Curcumin for Quality of Life of Multiple Myeloma Patients: a Randomized, Placebo-Controlled Trial
Authors: Hendrawati Anindita Rosenda Eka , Santosa Damai , Dharminto Dharminto , Suharti Catharina
Published: July 2022

Background : The main goal of multiple myeloma (MM) therapy is to control the disease, prolong the survival, and improve the life quality. Curcumin affects pro-inflammatory cytokines. There is no research yet that has been conducted to evaluate the effects of curcumin on increasing MM patient's life quality. Objective of this study is to evaluate the effect of curcumin on increasing MM patients' life quality.
Methods : Of 24 MM patients were enrolled and were divided randomly into treatment groups (n=12) and controls (n=12). Patients in treatment group received melphalan 4 mg/m2, prednisone 40 mg/m2 (MP) for 7 days and curcumin 8 grams/day for 28 days. The control group received MP and placebo. Quality of life (QoL) scores were measured in early diagnosis and after 4 cycles of treatment. The difference between two groups was analyzed using Mann-Whitney U-Test or Independent T Test.
Results : The role function score of the treatment group was better than control. There is a significant difference function score of patients between the treatment and control group, at baseline and 4 cycles treatment (41.66 ± 3.85 vs. 23.61 ± 3.36; 95.83 ± 1.03 vs
76.39 ± 2.51; p=0.022). There was significantly different of insomnia score between treatment and control goup at baseline and the end 4 cycles (41.67 ± 3.79 vs 58.33 ± 3.51; 9.72 ± 1.5 vs 25 ± 1.32; p=0.02).
Conclusion : The addition of curcumin in myeloma patients enhances the QoL score, role function score and lowered symptom insomnia.
Gambaran Elongasi Aorta pada Pemeriksaan Rontgen Toraks Pasien Hipertensi di RSUP Dr. Mohammad Hoesin Palembang
Authors: Citta Aliyah Sania , Marsinta Uli Hanna , Septadina Indri Seta
Published: July 2022

Latar belakang : Hipertensi adalah suatu peningkatan tekanan darah di luar batas normal. Kondisi ini dapat menyebabkan berbagai komplikasi kesehatan termasuk perubahan pada struktur pembuluh darah. Perubahan struktural pada aorta berupa pemanjangan aorta disebut elongasi aorta yang terlihat melalui pemeriksaan foto toraks. Penelitian ini bertujuan untuk mengidentifikasi hubungan kejadian elongasi aorta melalui gambaran foto toraks dengan hipertensi.
Metode : Studi penelitian menggunakan pendekatan cross sectional pada 104 pasien untuk mengidentifikasi usia, jenis kelamin, dan nilai tekanan darah dari rekam medis pasien. Identifikasi gambaran elongasi aorta didapatkan melalui foto toraks.
Hasil : Hasil analisis data didapatkan nilai P-value sebesar 0,000 dimana P-value ≤ 0,05 menandakan bahwa terdapat hubungan signifikan antara hipertensi dan elongasi aorta dengan nilai Prevalence rate 9,792 yang artinya terdapat peningkatan kejadian elongasi aorta sebanyak 9,792 kali pada pasien hipertensi dibandingkan pasien tidak hipertensi
Simpulan : Risiko terjadinya elongasi aorta yang terlihat pada pemeriksaan foto toraks meningkat pada pasien hipertensi.
Faktor Risiko Disfagia pada Pasien Diabetes Mellitus
Authors: Mudha Pratomo Santo , Mailasari Kusuma Dewi Anna , Iman Santosa Yanuar , Antono Dwi , Tedjo Minuljo Tania , Budiarti Rery
Published: July 2022

Latar belakang : Disfagia dapat terjadi akibat komplikasi dari diabetes mellitus terutama pada fase orofaringeal. Disfagia pada diabetes mellitus terjadi karena adanya neuropati autonom akibat hiperglikemia yang lama. Komplikasi ini mempengaruhi berbagai bagian sistem saraf dan mempunyai manifestasi klinis yang beragam, salah satunya adalah kerusakan metabolik pada struktur saraf dan mikrovaskuler dari vasa vasorum. Penelitian ini bertujuan untuk membuktikan bahwa usia, jenis kelamin, merokok, BMI dan kadar HbA1c merupakan faktor risiko disfagia pada penderita Diabetes mellitus (DM).
Metode : Penelitian observasional analitik dengan desain belah lintang melibatkan subjek sebanyak 95 penderita DM dewasa di klinik Penyakit Dalam RSUP Dr. Kariadi Semarang pada bulan Desember 2021 – Februari 2022. Disfagia dinilai dari kuisioner dan pemeriksaan penelanan. Data DM dan HbA1c diambil dari rekam medik. Analisis data menggunakan Chi-Square dan regresi logistic.
Hasil : Rerata usia 51,61 + 8,706 dengan usia termuda 18 tahun dan usia tertua 60 tahun. jenis kelamin laki laki : perempuan = 6 : 13. Usia (p= 0,523), jenis kelamin (p= 0,043, RP -2,76 CI 95% 0,883 – 8,686) riwayat merokok (p= 0,602), status BMI (p= 0,660), dan kadar HbA1c (p= 0,679),
Simpulan : Usia, jenis kelamin riwayat merokok, status BMI dan kadar HbA1c tidak merupakan faktor risiko terjadinya disfagia pada penderita diabetes mellitus.
Kesesuaian Hasil Pemeriksaan Computed Tomography (CT) Scan Abdomen Kontras dengan Hasil Pemeriksaan Histopatologi (Studi pada Pasien dengan Keganasan Kolorektal)
Authors: Beni Muhammad , Nuriya Widyasari Maya , Eka Listiana Devia , Yuliastuti Titik
Published: July 2022

Latar belakang : CT Scan abdomen kontras adalah modalitas pencitraan yang sering digunakan pada pasien dengan kecurigaan keganasan kolorektal seperti adenokarsinoma, neuroendocrine tumor (NET), gastrointestinal stromal tumor (GIST) dan limfoma karena mampu menskrining, mendiagnosis sekaligus menilai staging. Ketepatan diagnosis dan staging akan berpengaruh terhadap tatalaksana selanjutnya. Penelitian ini bertujuan untuk mengetahui kesesuaian hasil pemeriksaan CT Scan abdomen kontras dengan hasil pemeriksaan histopatologi mengenai karakteristik, jenis dan staging lokal pada pasien dengan keganasan kolorektal.
Metode : Penelitian ini merupakan studi observasional dengan pendekatan cross- sectional. Terdapat 61 subyek penelitian yang dilakukan penilaian karakteristik, jenis dan stagingnya menggunakan CT Scan oleh dua ahli radiologi konsultan abdomen sedangkan pemeriksaan histopatologi dilakukan oleh ahli patologi anatomi konsultan abdomen. Uji diagnostik dan uji kesesuaian dilakukan untuk menganalisis kesesuaian hasil pemeriksan CT Scan dan histopatologi.
Hasil : Berdasarkan karakteristik pada CT Scan, 100% sampel termasuk keganasan yang mengarah pada jenis karsinoma, sehingga kesesuaian karakteristik dan jenis tidak dapat dilakukan. Adapun untuk staging (CT Scan) didapatkan T3 57,4% dan T4 42,6%. Pada pemeriksaan histopatologi didapatkan 95,1% adenokarsinoma, 3,3% GIST dan 1,6% limfoma dengan staging pT3 65,6% dan pT4 34,4%. Didapatkan konsistensi dalam penilaian staging lokal antara pemeriksaan CT Scan abdomen kontras dan pemeriksaan histopatologi dengan nilai sensitivitas 82,5%, spesifisitas 90%, nilai prediksi positif 94%, nilai prediksi negatif 73%, tingkat akurasi 85% serta nilai kappa 0,691.
Simpulan : CT Scan abdomen kontras dapat digunakan sebagai modalitas pencitraan untuk staging pada pasien keganasan kolorektal dengan konsistensi cukup baik.
Kurang Pendengaran Pada Anak Sindrom Down
Authors: Damayanti Maya , Muyassaroh Muyassaroh
Published: July 2022

Latar belakang: Sindrom down merupakan kelainan kromosomal genetik yang disebut trisomi dimana terdapat tambahan kromosom pada kromosom 21. Pertumbuhan anak dengan sindrom down cenderung mengalami perlambatan diberbagai sektor, salah satunya adalah gangguan pendengaran ( 65 - 75%) . Tujuan penulisan laporan kasus ini untuk mengetahui kurang pendengaran pada anak dengan sindrom down serta tatalaksana yang seharusnya diberikan.

Laporan kasus: Dilaporkan anak usia 11 bulan dengan sindrom down disertai kecurigaan kurang dengar. Hasil pemeriksaan brain evoked response auditory (BERA) didapatkan gangguan pendengaran sensory neural hearing loss (SNHL) derajat sangat berat pada telinga kanan dan derajat ringan pada telinga kiri. Pasien disarankan menggunakan alat bantu dengar, terapi wicara dan evaluasi perkembangan bahasa dan bicara tiap 6 bulan oleh TS tumbuh kembang anak.

Pembahasan: Kurang pendengaran menyebabkan berbagai gangguan pada aspek mental emosional, perkembangan bahasa maupun perkembangan sosial bermasyarakat. Intervensi awal dengan fisioterapi, terapi wicara dan terapi okupasi. Rehabilitasi pendengaran dengan alat bantu dengar (ABD), Bone Anchored hearing Aid (BAHA), dan implant koklea. Kurang dengar pada kasus ini dilakukan habilitasi dengan ABD, terapi wicara dan evaluasi perkembangan bahasa dan bicara.

Kesimpulan : Habilitasi pendengaran pada kasus ini dengan penggunaan ABD, terapi wicara dan evaluasi perkembangan bahasa dan bicara.
Seorang Anak 17 tahun dengan Hipokalemia Periodik Paralisis
Authors: Anantyo Dimas Tri , Muki Putra Renanda
Published: July 2022

Latar Belakang : Paralisis periodik hipokalemik merupakan suatu kelainan yang ditandai dengan serangan episodik berupa kelemahan otot atau paralisis yang diakibatkan hipokalemia. Tirotoksikosis, aktivitas fisik berat, diet tinggi karbohidrat, stress emosional, dan beberapa obat dapat mencetuskan terjadinya serangan. Tujuan dari penyajian kasus ini adalah untuk mendeferensiasi penyebab periodic paralisis dari penyebab lain kelemahan dan kelumpuhan sehingga perawatan yang tepat dapat dimulai sesegera mungkin.

Kasus : Pasien seorang anak laki-laki usia 16 tahun datang ke Instalasi Gawat Darurat dengan keluhan kelemahan yang progresif pada badan dan keempat ekstremitas.

Diskusi : Kelemahan berawal dari kedua tungkai, lalu menjalar ke empat ekstremitas. Pasien menunjukan kelemahan pada keempat ekstremitas (2/5 kekuatan otot).  Pemeriksaan elektrolit awal menunjukan kadar kalium plasma yang rendah (1,8 mmol/L). Pemerikaan penunjang fungsi ginjal, fungsi hepar, dan darah rutin, elektrokardiogram menunjukan hasil normal. Pasien diterapi dengan administrasi kalium oral dan intravena di ruang rawat inap, dan kondisi pasien membaik.

Kesimpulan : Pasien didiagnosis paralisis periodik hipokalemik dan dipulangkan dari rumah sakit dengan pengobatan tablet kalium.
Full Text Volume 9 Nomor 2 Juli 2022
Authors: General Hospital Kariadi
Published: July 2022

Full Text Volume 9 Nomor 2 Juli 2022
Matices del entorno pandémico: Covidianidad, polarización y vulnerabilidad social
Authors: Rodríguez Arechavaleta Carlos Manuel
Published: July 2022

El artículo aborda la complejidad del impacto pandémico en contextos de alta incertidumbre estructural, déficits institucionales y vulnerabilidad social. Basado en una amplia revisión bibliográfica, el argumento tiene como premisa el carácter público y letal de las pandemias y su naturaleza implosiva sobre los estándares básicos de la vida social, las prácticas de carácter rutinarias o reflexivas, las cosmovisiones, las creencias, así como las formas históricas de interacción, asociación y de acción colectiva de una determinada comunidad. Además, pone en el centro de atención la capacidad de respuesta de los gobiernos al COVID-19, sus trayectorias de políticas sanitarias y la cultura cívica de la sociedad. Recupera la noción de confianza social, tanto horizontal entre ciudadanos, como vertical entre estos y gobierno, componente clave en la construcción de capital de acción colectiva para ampliar el paquete de opciones de respuestas a la pandemia, reconociendo el reto comunicativo. Finalmente, subraya que, en estos entornos, la crisis pandémica reta los cimientos mínimos de equidad y justicia social.
Quem tem medo de gênero e sexualidade na América Latina? A ideologia de gênesis dos movimentos Con Mis Hijos No Te Metas e Escola Sem Partido
Authors: Meinberg de Albuquerque Maranhão F°. Eduardo , De Franco Clarissa
Published: July 2022

Neste artigo, analisaremos os discursos dos movimentos latinos Con Mis Hijos No Te Metas (CMHNTM) e da Escola Sem Partido (ESP), que reivindicam a exclusão do debate de gênero e sexualidade da educação, com o intuito de identificarmos o combate à suposta “ideologia de gênero”. Em geral, conforme apontaremos no texto, um dos argumentos que sustenta essa perspectiva se fundamenta no que se chama de “ideologia de gênesis”, ligada a um “dispositivo da cis-heteronorma”. Perceberemos durante o trajeto do texto, como determinadas concepções religiosas alicerçam tais discursos de modo polarizado, maniqueísta e binarizante. Para tal, utilizamos como fontes documentais algumas narrativas destes movimentos colhidas da internet, bem como nos debruçamos em bibliografia especializada nestes assuntos. Especialmente, procuraremos dialogar com o conceito de dispositivo da sexualidade, bem como duas das grandes estratégias narrativas sobre a sexualidade contempladas por Foucault, que são: a socialização das condutas de procriação e a histerização do corpo da mulher, relativas ao controle sobre os corpos, a função social do sexo, e, em especial, o controle sobre o corpo da mulher. Consideramos que os dois movimentos representam e confrontam-se com a perspectiva de uma educação plural, crítica, libertária, democrática, inclusiva e emancipatória, o que justifica a importância deste artigo.
Building space for transparency in Honduras: Lessons from the Infrastructure Transparency Initiative CoST
Authors: Prado Maria
Published: July 2022

The recent history of Honduras is marked by limitations in transparency and accountability, with civic engagement far behind other Latin American countries. The experience of CoST Honduras offers valuable insights to understand how a policy space was created to incorporate open information and social participation in the delivery of public infrastructure. Applying a multi-method approach that combined desk review, qualitative interviews and a process tracing analysis, the research demonstrates how a policy window, combined with a design and implementation sensitive to the nuances of context, were used to sustain momentum for future change efforts. The findings show real shifts in political agency, in the politics of engagement and in society’s capacity to coordinate and act.
A proteção social e o trabalho em serviços no contexto pandêmico: A ofensiva aprofundada
Authors: Bettiol Lanza Líria Maria , Secco Faquin Evelyn , Rodrigues dos Santos Eliezer
Published: July 2022

O presente artigo objetiva problematizar a configuração da proteção social brasileira, bem como seus efeitos no trabalho em serviços no contexto pandêmico. Enquanto procedimentos metodológicos, prezou-se pela abordagem qualitativa, com o uso de recursos quantitativos. Além da revisão de literatura que subsidiou as reflexões, também foi utilizado como instrumento de coleta de dados um questionário eletrônico direcionado a assistentes sociais brasileiros em exercício no contexto de pandemia, do qual obtivemos 201 retornos, com respostas das cinco regiões brasileiras (Norte, Nordeste, Sul, Sudeste e Centro Oeste). As problematizações expostas indicam um aprofundamento das ofensivas ao sistema de proteção social brasileiro no contexto pandêmico, as quais ampliam desigualdades, precarizam o trabalho e destituem direitos. Do ponto de vista deste estudo, apontam-se para o seu aprofundamento a intensificação e a individualização no trabalho em serviços.
Pendampingan Keterampilan dalam Mencegah dan Tindak lanjut Penanganan Awal Diare di Tingkat Rumah Tangga
Authors: Hutagaol Iin Octaviana , Situmorang Benny Harry Leksmon , Arini Arini
Published: July 2022

Diare adalah suatu kondisi di mana frekuensi buang air besar terjadi lebih sering dan disertai konsistensi tinja yang lebih encer, hal ini disebabkan karena tubuh kehilangan banyak cairan dan elektrolit dalam waktu yang relatif cepat dan pada saat bersamaan usus tidak mampu untuk menyerap cairan dan elektrolit. Metode yang digunakan adalah penyuluhan pada ibu-ibu yang memiliki balita , dengan sebelumnya melakukan pre test untuk menilai pengetahuan ibu dan setelah itu dilakukan post test setelah penyuluhan untuk menilai perubahan pengetahuan ibu terkait diare dan pembuatan larutan gula gara, dan teknik  mencuci tangan. Dilihat dari hasil pendampingan keterampilan dalam mencegah dan tindak lanjut penanganan awal diare di tingkat rumah tangga sebelum diberikan  penyuluhan yaitu sebanyak 15 responden (50%) memiliki pengetahuan yang kurang , sedangkan ibu balita yang cukup mengetahui diare sebanyak 12 responden (40%). Sesudah diberikan  penyuluhan yaitu sebanyak 23 responden (77%), sedangkan ibu balita yang cukup mengetahui stunting ada sebanyak 7 responden (23%). Dapat disimpulkan bahwa terjadi peningkatan pengetahuan ibu yang memiliki balita karena nilai post test lebih tinggi dari nilai pre test. Kesimpulan dari pelaksanaan kegiatan ini diharapkan dapat memberikan manfaat terhadap ibu -ibu yang memiliki balita untuk menangani secara dini kasus diare di tingkat Rumah tangga.
MEMBANGUN JIWA PEKA ( PRODUKTIF, EDUKATIF, KOOPERATIF DAN AKSI) DALAM MENDORONG PEMULIHAN MASA PANDEMI DI KOTA BATAM
Authors: Richmayati Maya , Herman Hendri , Sandra Elminaliya
Published: July 2022

The pandemic period is not completely over and there are more and more people who are economically disadvantaged and need help. There is a problem related to the distribution of necessities, where students cannot go directly to the field. Regarding the distribution of necessities, which is one of the sensitive issues, which is happening at this time in the Tanjung Uncang village. Some people promise cheap groceries, but they never come. Even though people have paid for it, people are afraid of it. The purpose of community service is to help people who have irregular incomes. The method used is social service by providing food packages to people in need .
Teaching Vocabulary Using Fly Swatter Game at the Seventh Graders of Secondary School
Authors: Saputri Tiara Dwi
Published: July 2022

Vocabulary is one of the important elements in learning English. In fact, many students still face difficulties in mastering English vocabulary. This research is about to find out the effect of teaching vocabulary using Fly Swattter game at the seventh graders of secondary school. The method used in this research was a quasi-experiment by using one group pretest and posttest design. For the sample, the researcher took 32 students of the seventh grade of MTs Nurul Hidayah Mintin at Pulang Pisau Regency in the Central Kalimantan Province. Test and questionnaire were instruments used by the researcher to collect the data needed. The result shows that there is a significant effect of teaching English vocabulary using Fly Swatter game. This is also supported by students’ positive responses from questionnaire given. Therefore, the game has succeeded in improving students’ vocabulary of English.
Students’ Perception on Flipped Learning Conducted in an Online Writing Class During the Pandemic: A Survey Research
Authors: Yulitriana  , Retsi Olga Dona , Eriani  , Oktamelinae Indrini , Pratama Yogi Atma
Published: July 2022

Flipped learning (FL) is the approach used in this research based on two reasons: firstly, the traditional learning fails to facilitate students’ need for knowledge construction, collaboration, and sufficient practice and feedback in online learning; therefore, the teacher had to use another approach called Flipped Learning. Secondly, Flipped Learning has the potency to facilitate the students’ needs mentioned earlier. This research is a survey research and was conducted in an online Writing Class at the university of Palangka Raya and a questionnaire and interview were the instruments used to collect the data needed. The result shows that the success in implementing the FL could be achieved when the four pillars of FL integrated appropriately in the teaching and learning process.  As the result, the students gave highly positive responses towards FL that it can facilitate their needs in the online writing class during the pandemic as the four pillars are accordingly implemented; therefore, the pre-learning activities, practices, small group discussions and feedbacks are adequately provided through FL.
An Analysis of Students’ Difficulties in Writing Descriptive Texts in the Tenth Grade of SMA Kristen Palangka Raya
Authors: Agustin Marsaleno , Norahmi Maida , Asi Natalina
Published: July 2022

Most students had problems writing a descriptive text when they were assigned their text. Many students were not able to describe themselves or they had difficulties in writing descriptive text. Some students think that writing is the most difficult skill in English. Some students also could not finish their writing at the end of the time set due to limited ideas and vocabulary. This research aimed to describe the students’ difficulties in writing descriptive texts and find out the causes underlining those frequent difficulties. This research uses the qualitative descriptive method.  The research subjects were X MIPA students of SMA Kristen Palangka Raya who had difficulties when writing descriptive text. This research involved 17 students as the research subjects. The data of this research were the results of students’ worksheets and the student's answers to the given questionnaires. The researcher employed a writing test and questionnaires to gain descriptive data. As a result, the factors that cause the students’ difficulties in writing descriptive text were students’ lack of vocabulary, difficulties to translate, and lack of competence in understanding English tenses.
An Analysis Types of Figurative Languages Used in The Sherlock Holmes; The Adventure of Sherlock Holmes of The Noble Bachelor
Authors: Adventalia Talita Gabriel , Susanty  , Ristati
Published: July 2022

The objectives of this research are to describe the types of figurative languages found in the short story, identify the meaning of the figurative languages, and find the most frequently used figurative language type in the story. The method used in this research is descriptive analysis. The data were collected from the adventure of noble bachelor short story. The research has found 41 figurative languages of 8 types, which are 21 metonymy (51.21%), 6 hipflask (14.63%), 4 epithet (9.76%), 3 synecdoche (7.32%), 2 metaphor 2 (4.88%), simile 2 (4.88%), irony 2 (4.88%), and innuendo (2.44%). The research has found that metonym used more than other figurative languages and the contextual meaning are used in the short story.
Modelo de gestión de activos para empresas de infraestructuras hídricas
Authors: Aparicio-Ruiz Pablo , Onieva Luis , Muñuzuri Jesús , Ramos-Salgado Cristóbal
Published: July 2022

Asset management and renewal are usually planned at the annual and operational levels. However, at a strategic and tactical level, infrastructure companies are looking for management models that allow them to analyze their assets, their evolution, and the detection of those assets that must be renewed and incorporated before in medium- and long-term planning. Additionally, it is necessary to define the financial effort and its temporal application. This effort should allow the portfolio of assets that make up the water network to meet the organization's asset management objectives. The monitoring of objectives, including the sustainable maintenance of network infrastructure, can be developed on the basis of management indicators that facilitate their renewal. Indicators allow to analyze the state or strength of the organization, and also constitute an opportunity factor to improve efficiency in the management of assets when financial and non-financial strategies are combined.Following the ISO 55000 approach, asset management involves balancing the cost, opportunities, and risks that these assets play in the objectives of the organization. To achieve this balance, an alignment of different elements of influence in management is required.The decision-making process in asset management requires considering a risk management strategy. Risks can incorporate the interaction of several aspects that must be combined. In the process, multicriteria techniques could be incorporated into management to integrate both scientific knowledge and expert knowledge. These techniques contribute to defining the weight of the parameters that constitute the definition of risk in the choice of assets. The risk level combined with the financial factor allows you to define the replacement to support optimized strategic planning. Similarly, the model must consider the regulatory and financing framework that influences water companies. Finally, the model should be oriented toward a process of maximizing the renewal of assets based on a set of performance indicators.The model of the decision-making process presented is based on a) a phase of determination of investment and risk, b) a phase of construction of works based on operational criteria, c) a phase of analysis and planning proposal based on the current state of the network, and d) a phase of study of improvement scenarios based on the performance indicators of the organization, which should allow the generation of an action plan. The development of the methodological framework and its applications allows and improves decision making and provides a strategic vision from which managers benefit by obtaining a new perspective on the evolution of the network and the integration of the different departments or functional areas of the company when looking for a joint solution aligned with strategic objectives.
Modelos lineales mixtos para la programación de la producción con una sola etapa: estado del arte
Authors: Muñoz Díaz María Luisa , Escudero Santana Alejandro , Lorenzo Espejo Antonio , Robles Velasco Alicia
Published: July 2022

This paper presents a review of the state-of-the-art literature and a subsequent taxonomy of mixed linear programming models (MILP) developed for production planning. Specifically, single-stage models are analysed due to their relevance to various scenarios. One of the most common scenarios involves multi-station processes that include a main stage as a bottleneck that limits the production rate of the whole plant, and is therefore of critical importance for the plant. Another situation is the multi-stage processes that can be decomposed into multiple, much simpler single-stage problems considered as independent or weakly linked. And, naturally, it is also applicable to real single-station plant scenarios. To this end, a total of 120 papers have been reviewed. 29 of them have been analysed in detail. This review presents 30 models in total that have been analysed in terms of their most significant characteristics.This document explains each of these characteristics and, consequently, specifies which models possess each characteristic. In particular, it specifies whether the models are formulated in continuous, discrete or hybrid time; whether their objective function is cost-based (maximising profit or minimising cost) or time-based (minimising makespan, tardiness, earliness, lateness, number of delayed orders, total time invested in setups or total processing time); whether the model includes the task of selecting batch sizes for each product among its objectives; whether setup times are taken into account and what types of setups (sequence-dependent, equipment-dependent, resource-dependent or operation-dependent); whether deadlines are considered, whether these deadlines are strict or regulated by penalties and what types of deadlines are included (order completion, order availability or equipment availability); finally, whether stop periods for breaks, maintenance, inspections or defect correction are included in the planning.The final result of this work is a clear and concise tabular representation of the information discussed, which provides a framework for future developments in this field. In particular, we identify two possible lines of future research that stand out for their interest in real problems and whose presence is limited in the current state of the art. The first of these research lines concerns the inclusion of maintenance task planning and the second concerns the inclusion of the autonomous batch size selection. Both tasks are within the MILP model itself.
Implementasi Metode Kontekstual Model Problem Posing untuk Meningkatkan Prestasi Belajar Matematika Siswa
Authors: Wuryani Eva
Published: July 2022

Penelitian ini bertujuan untuk mendeskripsikan implementasi pembelajaran matematika pada pokok bahasan matriks dengan menggunakan metode kontekstual model problem posing. Desain penelitian yang digunakan adalah penelitian tindakan kelas. Penelitian ini melibatkan 40 siswa sebagai subyek. Instrumen yang digunakan dalam penelitian ini adalah lembar evaluasi pada pokok bahasan matriks dan lembar observasi untuk mengamati aktifitas siswa selama implementasi metode kontekstual model problem posing. Peneliti dapat menyimpulkan bahwa implementasi metode kontekstual model problem posing dalam pembelajaran matematika pada pokok bahasan matriks terbukti mampu meningkatkan hasil belajar siswa. Hal ini dibuktikan dengan peningkatan rata-rata kelas yang mula-mula pada siklus I adalah 65,12 dengan ketuntasan klasikal 40,00% dan pada siklus II menjadi 79,12 dengan ketuntasan belajar 100 %. Selain itu, hasil penelitian menunjukkan selama implementasi metode kontekstual model problem posing, mampu membuat suasana pembelajaran semakin kondusif sehingga siswa semakin aktif dalam mengikuti pelajaran serta menumbuhkan rasa tanggung jawab siswa dalam menyelesaikan tugas-tugasnya dan kegiatan kelompok.
Kesulitan Orang Tua Siswa Sekolah Dasar dalam Pembelajaran Daring Selama Pandemi Covid-19
Authors: Rohma Shofiatur , Thohir M. Anas
Published: July 2022

Tujuan penelitian ini adalah untuk mengeksplorasi faktor kesulitan orang tua siswa Sekolah Dasar (SD). Untuk itu, metode penelitian ini menggunakan studi kasus dengan melibatkan 12 orang tua dari siswa SD. Ini dilakukan dengan menyebarkan quisionaire dan pertanyaan mendalam untuk mengekplorasi faktor-faktor tersebut. Analisis yang digunakan adalah dengan melakukan koding, reduksi, dan penyajian. Hasil penelitian ini adalah pelaksanaan pembelajaran daring memerlukan peran orang tua untuk mendampingi anaknya. Meskipun demikian, orang tua mengalami kesulitan ketika anaknya melakukan pembelajaran daring. Kesulitan yang dialami orang tua meliputi, materi pembelajaran, cara mengajar anak, waktu untuk selalu mendampingi anaknya ketika belajar, handphone yang digunakan dalam pembelajaran masih bergantian dengan orang tua, tidak bisa dalam mengoperasikan teknologi yang digunakan dalam pembelajaran, koneksi internet yang buruk, dan mahalnya kuota internet. Implikasi dari penelitian ini adalah pendampingan kepada siswa tetap disarankan, namun perlu dipersiapkan alat dan konenksi internet.
Pengembangan Aplikasi Diagram Venn Berbasis Android dengan Model Spiral
Authors: Tama Bayu Jaya , Purwoko Hendro
Published: July 2022

Matematika sering digunakan dalam kehidupan untuk menemukan solusi terhadap permasalahan. Guru harus kreatif dalam mendesain strategi pembelajaran, untuk memotivasi siswa belajar dengan cara memadukan teknologi. Contohnya adalah penggunaan aplikasi untuk melakukan perhitungan teori himpunan berbasis Android dengan menggunakan bahasa pemrograman Kotlin pada perangkat lunak Android Studio dan menerapkan SDLC (Software Development Life Cycle) bermodel Spiral yang dikembangkan oleh Boehm pada tahun 1986 dengan menyelaraskan antara desain dan pembuatan prototipe yang dapat digunakan oleh berbagai Industri. Model Spiral digunakan untuk membantu pengembangan perangkat lunak mulai dari gagasan, tahap pengembangan hingga prototipe yang layak pakai dan berkembang terus menerus mengingat bahwa perangkat yang digunakan pada penelitian ini sudah mencapai versi ke dua. Adapun proses perhitungan teori himpunan adalah sebagai berikut: (1) Dimulai dengan melakukan input nilai S, A, B, C, irisan dan hasil yang ingin didapat; (2) Kemudian masuk ke dalam proses perhitungan, jika gagal maka akan muncul pesan kesalahan; (3) Jika berhasil akan menampilkan hasil perhitungan dan diagram Venn. Aplikasi penghitung teori himpunan yang merupakan pengembangan dari aplikasi Versi pertama menerapkan alur SDLC Model Spiral dapat menjalankan dua belas simulasi dan memunculkan diagram Venn dengan tepat.
Management Information System Tools and Human Resource Management Practices in Selected Commercial Banks in Akwa Ibom State
Authors: Bassey Ebong Okon , Uwa Kingsley Lazarus
Published: July 2022

This research was conducted to examine the relationship between Management Information System Tools and Human Resource Management Practices in Selected Commercial Banks in Akwa Ibom State. Four objectives and four Research Questions were developed. For the objective of the study to be achieved, four hypotheses were formulated. A survey research design was adopted for the study and a sample size of 181 respondents was drawn from the population of 330. The major instrument for data collection was a structured questionnaire administered to the respondents. Random Sampling Technique was used to pick the size from the population. Data collected were analyzed using simple percentage and Pearson Product Moment Correlation was used in testing the hypotheses. Results showed that there is a significant correlation between system software, Supervisor support and employee network design, and Human Resource Management. Based on the findings of the analysis, it was concluded that Software design, supervisor support, employee network design, business and process knowledge are significant positive determinants of Human resource management. Commercial Banks that consider the application of management information system dimensions are likely to record a better HRM Key Performance Indicators (KPI); Recruitment & Selection, Training & Development, Performance Management and Appraisal Processes, and Compensation and Benefits. Although all four (4) management information system dimensions were strongly correlated, the coefficient for business and process knowledge was seen as the dimension that had the highest significant influence at 0.874 on the human resource. Consequently, it is recommended that Commercial Banks in Akwa Ibom State should help in the development of human resources management information system to measuring goals through training programs.
A satisfação sexual do homem na transição para a parentalidade
Authors: Pinto Patrícia , Leal Rita , Costa Ilídia , Tavares Ana Rita
Published: July 2022

Enquadramento: o nascimento de um filho acarreta modificações na vida do casal que inclui a sexualidade, sendo a perspetiva do homem raramente explorada. Objetivos: descrever a satisfação sexual do homem após o nascimento de um filho; verificar a existência de relação entre a satisfação sexual e as caracteristicas pessoais e familiares. Metodologia: estudo descritivo-correlacional, transversal com pais de crianças com idade >= 1 mês e <= 1 ano. A amostragem foi não probabilistica (n=101), cujo questionário difundido online integrou a Nova Escala de Satisfação Sexual validada para a população portuguesa por Pechorro et al. (2015). Resultados: a satisfação sexual dos homens foi positiva, tendo a menor pontuação sido atribuída aos itens que diziam respeito à disponibilidade, criatividade e diversidade da sua parceira para a relação sexual. Verificou-se a inexistência de relação estatisticamente significativa entre a satisfação sexual do homem e as suas características pessoais e familiares. Conclusão: o homem tem expetativas em relação à parceira no que respeita à sexualidade. Os profissionais de saúde devem valorizar a sexualidade na perspetiva do casal, na transição para a parentalidade. Sugere-se investimento na comunicação e partilha igualitária de tarefas domésticas entre o casal para que se reserve disponibilidade para a sexualidade.
Do internamento para a comunidade – o cuidador informal na transição
Authors: Lima Teresa , Amaral Odete , De Almeida Pureza , Carvalho Paula , Marques Tânia , Pinto Ana Raquel , Coimbra Tânia
Published: July 2022

Enquadramento: o processo de transição entre instituições de internamento e o domicílio acarreta mudanças e adaptações sobretudo do cuidador informal. Objetivos: conhecer as dificuldades vivenciadas pelos cuidadores informais no cuidar o familiar/utente no domicílio; identificar as ferramentas utilizadas pelos mesmos para as ultrapassar; Conhecer os apoios que dispõem para a prestação de cuidados no domicílio; Conhecer a sua opinião sobre a importância de uma visita domiciliária antes do doente ir para domicílio e por fim criar um projeto de intervenção Integrar+. Metodologia: estudo qualitativo descritivo e exploratório com enfoque fenomenológico-hermenêutico e com uma amostra de 8 cuidadores. Recorreu-se à entrevista semiestruturada (ad hoc). Resultados: os cuidadores informais não se sentiam preparados para receber o familiar/utente no domicílio, a maioria não tinha a habitação adaptada. As necessidades mencionadas foram: físicas, psicológicas/emocionais, financeiras, sociais e indisponibilidade. Referiram o coping emocional, apoios familiar, social e para os autocuidados, capacitação dos cuidadores informais e familiar/utente e cuidados de saúde como estratégias. Conclusão: a articulação entre a Equipa de Cuidados Continuados Integrados e as entidades referenciadoras é fundamental para haver uma transição segura dos cuidados, com ganhos em saúde dos cuidadores informais/utentes/famílias.
Intervenção de enfermagem centrada no cuidador familiar em sobrecarga
Authors: Rodrigues Fátima , Viegas Laura
Published: July 2022

Enquadramento: cuidar diariamente de um familiar idoso dependente tem impacto na saúde do cuidador que por sobrecarga transforma-se de pessoa saudável em doente. Objetivos: avaliar o nível de sobrecarga do cuidador familiar e avaliar o efeito de uma intervenção de enfermagem suportada num programa psicoeducativo. Metodologia: estudo quase-experimental. Decorreu em unidades de saúde da região de Lisboa, com dois grupos: grupo experimental (recebeu intervenção de enfermagem suportada por um programa psicoeducativo) e grupo controlo (cuidados habituais). Amostra de conveniência de 64 famílias avaliadas antes e 2 meses após a intervenção. Instrumentos: questionário sociodemográfico e escala de Zarit. Os procedimentos éticos foram considerados. Resultados:  os cuidadores tinham como caraterísticas: média de idade 63 anos, cuidar de 1-3 anos, a moda foi ser do sexo feminino, casado, reformado, ser filha e coabitar com o idoso. A sobrecarga do grupo experimental em T1 (X= 59, 3) diminuiu após a intervenção T2 (X= 53,9), comparativamente ao grupo controlo, cujos valores se mantiveram sem diferenças estatisticamente significativas T1 (X= 51,9) e T2 (X=51,2). Conclusão: a intervenção de enfermagem, de fácil aplicação ajuda o cuidador a adquirir habilidades para lidar com o caregiving, mantendo a função social de cuidar do familiar.
Evaluation of LC-MS/MS Analysis and In Vitro Biological Activities of Rosa pimpinellifolia Root, Pseudo-fruit, and Seed extracts
Authors: GÜVEN Leyla , ÖZGEN Ufuk , SEVİNDİK Handan , AĞAN İclal , KOCA Mehmet , TURAN İbrahim , DEMİR Selim , ALİYAZICIOĞLU Yüksel
Published: July 2022

In this study, we investigated antioxidant, anticholinesterase, antityrosinase properties, and polyphenolic and flavonoid content by spectrophotometric; antimicrobial by disc diffusion and microdilution method; antigenotoxic activities by comet assay, and the phytochemical composition of the Rosa pimpinellifolia extracts by LC-MS/MS. The EtOAc extract of the root (RPKE) had higher antioxidant activities at 10 μg/mL with inhibition of 39.7, 91.2, and 39.5% respectively in the DPPH·, ABTS•+, and superoxide anion radical scavenging activity assay than standard antioxidant molecules. The polyphenolic contents of the RPKE and the EtOAc extract of the seed (RPÇE) were found to be 378.2 ± 0.477 and 305.39 ± 0.568 μg GAE/mg respectively. The extracts of RPKE showed butyrylcholinesterase activity with 19±0.12% inhibition at 100 μg/mL concentration. RPKE showed higher activity at 500 μg/mL with inhibition of 50% in the tyrosinase inhibitory assay than the other R. pimpinellifolia extracts. The extracts of R. pimpinellifolia exhibited antimicrobial activity against Staphylococcus aureus and Candida albicans. The extracts of R. pimpinellifolia did not show any antigenotoxic effect up to the concentration of 1000 μg/mL. In LC/MS/MS analysis, Cyanidin-3-O-Glucoside and isoquercetin in the pseudo-fruit; procyanidin B2 and catechin in the root were the major phenolic compounds.
Fritillaria cinsinin ve bu cinsin bir üyesi olan Aygül lalesi’nin (Fritillaria eduardii) dünü, bugünü ve yarını
Authors: KİMSANALİEV Daniel , MARAKLI Sevgi , KAYA Yilmaz
Published: July 2022

Fritillaria, Avrasya ve Kuzey Amerika olmak üzere iki kıtada dağılım gösteren ve yaklaşık 140 soğanlı otsu çok yıllık türden oluşan bir cinstir. Şimdiye kadar kaydedilen en büyük diploid genom boyutlarına sahip bitkilerden oluşan bu cins, son yıllarda araştırmacılar tarafından çok fazla ilgi görmektedir. F. eduardii bitkisi de bu cinsin içinde yer alan bir türdür. Bu tür ile ilgili literatürde az çalışma bulunmaktadır. Ekosisteme ve canlı sağlığına çok önemli katkılar sunan bitki biyoçeşitliliğinin; tarım, geleneksel ve modern tıp, endüstri ve biyoteknoloji gibi birçok bilim ve teknoloji alannına sunduğu olağanüstü imkânların gelecekte de insanlığın sigortası durumunda olacağı düşünülmektedir. Kırgızistan, yüzölçümü olarak birçok dünya ülkesinden küçük olmasına karşın çok zengin biyolojik çeşitliliğe sahip bir ülkedir. Batken bölgesi de bu biyolojik çeşitliliğe katkıda bulunan önemli bir merkezdir. Aygül bitkisi gibi yüzlerce endemik ve yerel bitkiye ev sahipliği yapmaktadır. Aygül bitkisi, güzelliğinden dolayı Batken bölgesinde tanınan bir endemik bitki olmasının yanı sıra tüm Kırgızistan için değerli bir bitki olma özelliğini de taşımaktadır. Aygül bitkisinin isimlendirilmesi araştırmacılar tarafından tartışılan konulardan biridir. Bu bitkinin ismi literatür kaynaklarında Petillium eduardii, Fritillaria imperialis var. eduardii, Fritillaria imperialis var. inadora, Fritillaria imperialis var. purperea ve Fritillaria eduardii olarak geçmektedir. Sınırlı sayıda yetişen Aygül bitkisi, yetiştiği doğal ortamında kuvvetli sağanak yağmurlara ve sert iklim koşullarına maruz kalmaktadır. Ayrıca bu bitki türü Kırgız Cumhuriyeti Başkanlığı’nın 28 Nisan 2005 tarihli, 170 no’lu tebliği ile Kırmızı Kitap listesine eklenerek nesli tükenme tehlikesi altında ve doğada toplanması yasak olan çiçek soğanları listesine dâhil edilmiştir. Bu derleme çalışmasında amaç, Fritillaria cinsi ve bu cinsin bir üyesi olan Kırgısiztan’ın endemik türü Aygül bitkisi ile ilgili olarak gen kaynaklarının korunması ve biyoçeşitlilik içerisindeki devamlılığının sağlanması için uygulanabilecek biyoteknolojik metotların belirtilerek bu alanda yapılacak araştırmalar için temel bilginin sağlanmasıdır.
« Entendre les choses muettes »
Authors: Pinot Sophie
Published: July 2022

Trois questions font le fil de ce texte. Que peut entendre le clinicien, le psychanalyste, d’une réalité (aussi triviale soit-elle), avec son « poids de réel », qui s’impose au sujet ? De cette volonté qui s’impose, comment en avoir quelque appréhension ? Et de quelle manière en accuser réception ? À suivre Freud dans « L’Esquisse d’une psychologie scientifique » et la relecture de « l’Entwurf » qu’en a fait Lacan dans son Séminaire L’éthique de la psychanalyse , cette réalité qui pousse et s’impose, c’est ce qui du vivant fonctionne sans s’annoncer, sans demander notre avis, «  l’urgence de la vie  » dit Freud. Die Not des Lebens dit Lacan, Le besoin et non pas les besoins. La jouissance du vivant, ce vivant qui s’impose du côté de la chaleur, du besoin mais aussi de la douleur. Jouissance réelle, massive, la Chose, das Ding . Cette « réalité muette qu’est das Ding  », comment en entendre quelque chose ? La réponse de Lacan est limpide « uniquement dans la mesure où se produisent des paroles ». Entendre les choses muettes… à la condition qu’elles passent à la parole. Ce que vise la clinique analytique c’est donc une parole. Pas n’importe laquelle. Le sujet parlant n’est ni le corps parlant ni le sujet blablatant. Face à ce qui se présente dans l’urgence pour un sujet, le clinicien n’a-t-il pas à en accuser réception d’une position qui maintienne une certaine pression ? Celle de ne pas céder sur le en savoir quelque chose de ce qui se présente là. Celle de mettre un dire sur une expérience de jouissance. Savoir la jouissance opaque de sa vie, c’est la position éthique de la psychanalyse.
L’acte et ses conséquences
Authors: Le Page Gaëlle
Published: July 2022

Un dire, ça se rencontre au moment où ça surgit, on ne peut qu’en prendre acte. Tout à coup ça urge et dans un mouvement irrépressible se dessine la hâte où le dire passe dans le corps. L’acte, c’est l’instant où ça se transforme, où ça coupe. Et le sujet délogé de ses dits, identifié à son acte, reconnaît son empreinte dans le vivant. À partir de deux cas cliniques, celui d’une entrée en analyse et l’autre d’une sortie de cure, nous tâcherons de saisir quelques moments fugaces de dires analysants pour tenter d’en mesurer la portée pour un sujet.