bluuebunny/crossref_metadata_2025 huggingface dataset:
Avanços no diagnóstico e manejo da síndrome hemolítico-urêmica atípica
Authors: Santos Maria Clara Rodrigues , Azevedo Bruno Martini de , Teixeira Eduarda de Oliveira , Silva Julia Barros , Oliveira Laís Cherri Marcolino de
Published: February 2025

A síndrome hemolítico-urêmica atípica (SHUa) é uma condição rara, mas grave, caracterizada pela tríade de anemia hemolítica microangiopática, trombocitopenia e insuficiência renal aguda. Diferente da forma clássica associada à infecção por Escherichia coli produtora de toxina Shiga, a SHUa resulta principalmente de desregulação do sistema complemento, o que leva a uma resposta inflamatória exacerbada e dano endotelial. A epidemiologia da doença é complexa, com incidência variável entre regiões e populações, sendo mais frequente em crianças e adultos jovens. Diversos fatores de risco estão envolvidos no desenvolvimento da SHUa, incluindo mutações em genes reguladores do complemento, como CFH, CFI e MCP, além de eventos precipitantes como infecções, gravidez e uso de determinados medicamentos. A fisiopatologia é dominada por uma ativação descontrolada da via alternativa do complemento, resultando em dano endotelial e formação de microtrombos, comprometendo a perfusão renal e outros órgãos. O diagnóstico da SHUa exige uma abordagem cuidadosa para excluir outras causas de microangiopatia trombótica. Exames laboratoriais avaliam hemólise, função renal e atividade do complemento, além de testes genéticos que podem confirmar a predisposição hereditária. No tratamento, os inibidores do complemento, como eculizumabe e ravulizumabe, revolucionaram o manejo da doença, reduzindo significativamente a morbimortalidade. A terapia de suporte, incluindo plasmaférese e controle da hipertensão, também desempenha um papel fundamental. As perspectivas futuras envolvem a identificação de novos biomarcadores para diagnóstico precoce e terapias mais específicas, visando um controle mais eficaz da ativação do complemento. Estudos em andamento buscam alternativas menos onerosas e de administração mais conveniente, o que pode ampliar o acesso ao tratamento e melhorar a qualidade de vida dos pacientes.
O fortalecimento da musculatura periférica e respiratória no tratamento de pacientes com doença pulmonar obstrutiva crônica
Authors: Souza Hellen Cristine da Silva , Silva Matheus Gomes Ribeiro da , Moreira Linda Denise Fernandes , Passos Xisto Sena , Dias Cristina de Souza , Melo Thalissa Cristine de
Published: February 2025

Objetivos: O objetivo desse estudo é investigar o treinamento muscular respiratório e periférico como alternativas para combater as disfunções apresentadas nos pacientes com DPOC. Metodologia: A coleta de dados foi realizada no site Biblioteca Virtual em Saúde (BVS), na base de dados PubMed no National Center for Biotechnology Information (NCBI) e no Physiotherapy Evidence Database (PEDro), com a associação das palavras chaves e os operadores booleanos (Chronic Obstructive Pulmonary Disease OR COPD) AND Muscle Respiratory AND Skeletal Muscle). Foram incluídos estudos de casos clínicos e de intervenções, relacionados com o objetivo, da população abrangida por esse, escritos em inglês. Resultados: Como achados principais, foi atestado a eficácia do treinamento muscular respiratório e periférico como alternativas para contornar as disfunções apresentadas no espectro da DPOC, tanto para função muscular, quando capacidade funcional e dispneia aos esforços. Conclusão: Dentro do proposto ao tema, o treinamento muscular é de extrema importância e foi obtido segundo os relatos clínicos, melhoras significativas nas funções musculares e nas capacidades funcionais do paciente. Mas há a necessidade de mais estudos acerca do tema como objeto de investigações para outras disfunções relacionadas aos pacientes portadores de DPOC.
Desafios diagnósticos de imagem da evali: uma revisão dos achados radiológicos e tomográficos em usuários de cigarros eletrônicos
Authors: Corrêa Hugo Leonardo Cinél , Regueiro Eloisa Maria Gatti
Published: February 2025

Este estudo tem como objetivo examinar os resultados específicos de exames de imagem, como radiografias e tomografia computadorizada (TC), em pacientes com Lesão Pulmonar Associada ao Uso de Cigarro Eletrônico, E-cigarette or Vaping Product Use-Associated Lung Injury (EVALI). O uso de cigarros eletrônicos (CE), também conhecidos como vaporizadores, aumentou significativamente nos últimos anos, particularmente entre indivíduos jovens e adultos, devido à percepção deles como alternativas mais seguras aos cigarros tradicionais. No entanto, evidências crescentes sugerem danos pulmonares potenciais, levando ao reconhecimento da EVALI como uma condição respiratória. Essa patologia tem um desafio diagnóstico significativo devido à ampla gama de achados clínicos e de imagem que frequentemente se assemelham a outras condições respiratórias. Diante desse cenário, foi realizada uma revisão abrangente de casos clínicos e estudos publicados na base de dados Portal de Periódicos CAPES e PubMed, a fim de identificar padrões e características específicas nas radiografias e TC, fornecendo uma compreensão mais abrangente dos sintomas de EVALI e contribuir para o diagnóstico e tratamento precoces desses pacientes.
EPISTEMOLOGIA Y PEDAGOGIA EN LA FORMACIÓN DOCENTE
Authors: Patiño Becerra Fanny Bernarda , Silva Giraldo Cesar Augusto , Suarez Suarez David Andrés , Orlando Celis Salazar
Published: February 2025

El presente artículo, es una reflexión personal sobre la relación entre la pedagogía, y la formación del maestro en Colombia, Teniendo en cuenta el interés del gobierno nacional de colocar como bandera de evolución y transformación social a la educación, no deja de ser oportuno investigar sobre los soportes teóricos de dicho cambio.
En este mismo sentido, se busca esclarecer el significado de la pedagogía en el contexto de la epistemología. En primer lugar y siguiendo por una vía histórica, se problematiza sobre el estatuto de cientificidad de la pedagogía. Seguidamente, se reflexiona sobre el alcance de dicho debate en el país, y finalmente, se propone el camino a seguir por los maestros colombianos en el contexto de la implementación de las nuevas políticas educativas propuestas por el Ministerio de Educación Nacional.
Challenges faced by farmers in Muna and Samahil, Yucatán, México
Authors: Zapata-Aguilar José Apolinar , López-Ruíz Karen Alejandra , Cruz-Díaz Olga Libia
Published: February 2025

The agriculture is a fundamental economic activity for any country, since it
provides food to the population and generates income for the different links in the
chain. Objetive: It was to identify the main operational problems faced by farmers
in the municipalities of Muna and Samahil, Yucatán, Mexico to continue planting
crops. Methodology: the study was descriptive, non-experimental, and transversal
and a mixed approach, in which the survey technique was used that addressed a
sample of thirty-four farmers from the municipalities of Muna and Samahil,
Yucatan, Mexico and the technique interview that was addressed to an official from
Ministry of Agriculture and Rural Development. Results: It was found that the main
problems faced by farmers from Muna and Samahil, Yucatan, Mexico to continue
farming were the high cost of inputs crop loss and the difficulty they have in
marketing their products in the markets. Conclusions: The formal organization of
the farmers of Muna and Samahil, Yucatan, Mexico is necessary for the acquisition
of wholesale inputs, greater training and technical, assistance to reduce crop losses
and the design of distribution logistics, which exceeds intermediation and allows
farm workers to receive fair payment for their crops.
School environments and educational performance: Challenges and opportunities in Secondary Education
Authors: Rodríguez-Aguilar Jessica Sabrina , Espericueta-Medina Marta Nieves , Sanchez-Rivera Lilia , Villareal-Soto Blanca Margarita
Published: February 2025

This research analyzes how school coexistence influences low educational
performance in two secondary education institutions in a post-pandemic context.
The importance of a constructive school environment to mitigate educational lag is
highlighted, in line with the UN's Sustainable Development Goal 4, which promotes
inclusive and high-quality education. Its main objective is to investigate how school
coexistence affects low educational performance through a comparative analysis of
students from two secondary schools in Mexico. The methodology implemented is
that of a research approach with comparative and correlational designs. A sample
of 150 students was used. A specific research instrument was carried out and as for
the statistical analysis, it was characterization, correlations and comparisons of
means. The main conclusions indicate that school coexistence is crucial for quality
education. Constructive environments facilitate integration and academic
performance, while hostility and insecurity contribute to poor performance. It is
recommended to develop initiatives to improve school coexistence and comply with
SDG 4
The Impact of Workaholism on Employees’ Wellbeing: An Investigation in a Non-Western Economy
Authors: Shehper Zonaira , Nabi Khan Shamila
Published: February 2025

Amid the aftermath of the ‘Great Resignation’ following COVID-19, employees increasingly
demand improved work-life balance due to the challenges posed by modern workplaces. This study first
examines the impact of workaholism on work-family inter-role conflicts. Second, it explores how workfamily inter-role conflicts affect the physical and psychological health of workaholics. Third, the study
assesses the impact of ill health on workaholics' job and life satisfaction. Out of 350 distributed
questionnaires, 242 Pakistani employees working in the manufacturing and service sectors completed the
survey. As hypothesized, workaholism is positively associated with work-family inter-role conflicts and
significantly harms the health of workaholics. This diminished wellbeing leads to reduced job satisfaction
and decreased life satisfaction. The study provides implications for HR managers and policymakers in
Pakistan, highlighting workaholism's pervasive influence on employee wellbeing. Specifically, the results
demonstrate the role of work-family inter-role conflicts in exacerbating ill health, urging organizations to
prioritize work-life balance to improve workforce wellbeing and productivity.
LICENCIANDOS EM CIÊNCIAS E SUA RELAÇÃO COM O TRABALHO
Authors: D'Agostino Lídia Cristina , Massi Luciana , Moris Carlos Henrique Aparecido Alves
Published: February 2025

This study aimed to identify the profile of 21,373 undergraduate students from teacher education courses in Chemistry, Physics and Biology and their relationships with work. From the ENADE 2017 microdata, we selected and organized 12 questions into the Socioeconomic, Academic, and Professional dimensions and we selected one question to create three student conditions, considering sociological literature: Student (0h), Student-worker (up to 20h) and Worker-student (more than 21h). Chi-square tests, graphical diagrams, and standardized residuals made it possible to visually distinguish existing associations. Considering the three dimensions, it is possible to notice that the Student is similar to the Student-Worker, mainly due to the parents' level of education and forms of study, with the vocation for a teaching being characteristic of the latter. The Worker-student differs in all aspects from the other two and is largely marked by the relationship with work and income.
Проблемы сброса сточных вод на рельеф местности и возможные их решения (в порядке обсуждения)
Authors: Пукемо М.М.
Published: February 2025

Рассматриваются проблемы и риски, связанные со сбросом очищенных сточных вод на рельеф местности, а также возможные пути решения этих проблем. Представлен комплексный анализ экологических рисков, связанных с данным способом утилизации сточных вод, который давно получил широкое распространение, но в настоящее время не урегулирован законодательно. Основная проблема заключается в том, что загрязненные сточные воды, попадая в грунт, могут просачиваться в подземные водоносные горизонты, что может привести к долгосрочным экологическим катастрофам. Подчеркивается, что данный способ может применяться только в исключительных случаях, когда другие варианты невозможны, и только при строгом соблюдении ряда условий и технических требований. Важнейшими из них являются технологии очистки, например биопруды, с более жесткими технологическими нормативами и постоянным контролем качества сточных вод. Сделан вывод, что при соблюдении всех необходимых мер и ограничений сброс очищенных сточных вод на рельеф местности может быть оправдан в конкретных ситуациях, но требует тщательной подготовки и контроля с целью минимизации возможных негативных последствий для окружающей среды.

The problems and risks associated with the land disposal of effluents, as well as possible solutions to these problems, are considered. A comprehensive analysis of the environmental risks associated with this method of wastewater disposal, which has long been widespread, however, up to now is not regulated by law so far, is presented. The main problem is that contaminated wastewater, getting into the soil, can infiltrate into underground aquifers resulting in long-term environmental disasters. It is emphasized that this method can only be used in exceptional cases, when other options are impossible, and only in strict compliance with a number of conditions and technical requirements. The most important of these are treatment technologies, such as lagoons, with more stringent technological standards and constant monitoring of wastewater quality. It is concluded that, if all the necessary measures and restrictions are observed, the land disposal of effluents may be justified in specific situations; however, provided thorough preparation and control in order to minimize possible negative consequences for the environment.
Технология VSEP – новые горизонты мембранного разделения в переработке отходов животноводства
Authors: Цабилев О.В. , Углов С.А.
Published: February 2025

Рассмотрены основные особенности технологии VSEP, которые значительно расширяют возможности применения мембранных методов разделения жидких сред в самых различных отраслях промышленности. Приведены результаты пилотных испытаний процесса VSEP для очистки (мембранного разделения) навозного стока животноводческих предприятий с применением обратноосмотических мембран, что позволило получить деминерализованную воду высокого качества, пригодную для повторного использования в хозяйстве. При этом концентрированные навозные стоки транспортабельны и имеют значительно меньший объем. Полностью сохраняется энергетическая ценность данного продукта, который можно использовать как для удобрения почв, так и для выработки биогаза. Испытания проводились в условиях действующего производства на базе свиноводческой фермы производительностью до 100 тыс. голов в год, расположенной в Северо-Западном федеральном округе. В ходе испытаний получены положительные результаты, технология рекомендована к промышленной реализации. Процесс разделения отличается стабильностью, а особенностью исследуемой технологии является высокое качество очищенной воды, простота реализации, практически полное отсутствие потребляемых реагентов, отсутствие необходимости предварительной очистки, компактность оборудования.

The main features of the VSEP technology are considered that significantly expand the opportunities of using membrane methods for separating liquid media in a wide variety of industries. The results of pilot tests of the VSEP process for the processing (membrane separation) that provided for obtaining high-quality demineralized water suitable for reuse at the farm. In addition, concentrated manure wastes are transportable and much smaller in volume. The energy value of this product is completely preserved, so that it can be used both for soil fertilizing and for biogas producing. The tests were conducted under the conditions of an existing industry on the basis of a pig farm with the productiveness of up to 100 thousand livestock number per year, located in the Northwestern Federal District. The tests yielded positive results, and the technology was recommended for commercial application. The separation process is characterized by stability, and the feature of the technology under study is the high effluent quality, simplicity of implementation, almost zero of consumed chemicals, no need for pretreatment, compactness of the equipment.
Demonstration of superior UIS robustness of 3300V scaled IGBT by non-proportional scaling methods
Authors: Zhou Xiang , saito wataru , HIRAMOTO Toshiro
Published: February 2025

Robustness under high-temperature Unclamped Inductive Switching (UIS) tests were systematically compared among 3300V scaled Insulated Gate Bipolar Transistors (IGBTs) using TCAD simulations, with scaling factors (k) ranging from 1 to 10. Based on multiple lines of physical evidence, the failure mechanism of IGBTs during the UIS test was identified as latch-up. A slight degradation in UIS robustness was observed in fully scaled IGBTs, as evaluated using a novel reliability comparison method. Moreover, certain non-proportional scaling techniques were shown to mitigate this degradation, with some approaches even surpassing the UIS robustness of the original (k=1) IGBT design.
Factors Influencing the Level of Fatigue in Government Hospital Nurses
Authors: Winata Susanty Dewi , Ingkiriwang Elly , Sutanti Yosephin Sri , Purnamawati Purnamawati , Winaktu Gracia JMT , Berliana Adisa
Published: February 2025

The issue of the quality of work of nurses in hospitals is something that needs attention, especially regarding the level of work fatigue by nurses. Work fatigue is a symptom related to work efficiency, skills and increased anxiety. Research shows that work fatigue has a significant impact on work accidents. This study aims to determine the factors that influence the level of fatigue in nurses in government hospitals. This research is a descriptive analytical research with a cross sectional approach. The population in this study were nurses at government hospitals. In this research, fatigue factors are divided into 3, namely age, gender and length of service. Sampling was carried out using the simple random sampling method. Data collection uses a questionnaire in the form of a Google form. Based on the results, it was found that there was a relationship between factors that influence fatigue and the level of fatigue, p - value <0.005 (0.000).
Efektivitas Terapi Target Sorafenib dalam Penanganan Hepatocellular Carcinoma: Literature Review
Authors: Dharma Herbert , Purnamawati  , Angeline Reni
Published: February 2025

Kanker hati merupakan kanker paling umum keenam dan penyebab utama kematian ketiga di dunia. Penyebab utama kanker hati adalah virus Hepatitis B atau Hepatitis C yang mengakibatkan pasien mengalami penyakit hati kronis dan dapat memburuk serta berkembang menjadi kanker hati. Terapi target sorafenib dapat digunakan untuk mengobati pasien dengan kanker hati stadium lanjut. Obat ini dapat menekan proliferasi sel tumor serta menghambat angiogenesis tumor. Studi ini bertujuan untuk mengetahui manfaat dari terapi target dalam penanganan Hepatocellular Carcinoma. Metode yang digunakan pada studi ini dengan cara pencarian artikel dalam basis data elektronik melalui internet menggunakan Google Scholar dan Pubmed. Hasil didapatkan kombinasi terapi target sorafenib dengan terapi konvensional, seperti TACE dan ablasi radiofrekuensi, secara signifikan dapat meningkatkan tingkat kelangsungan hidup dan waktu menuju progresivitas. Simpulan, terapi target sorafenib bila digabungkan dengan terapi konvensional memiliki manfaat dan nilai efektivitas lebih tinggi dibandingkan dengan terapi lainnya. Kekurangan dari terapi target sorafenib yaitu banyak efek samping yang dapat ditimbulkan bagi pasien.
Trabekuloplasti pada Glaukoma: Sebuah Tinjauan Pustaka Terkini
Authors: Lily Lia Listya , Kalangi Geraldi Marcelino , Manufandu Gracea Sintike , Anugrahsari Santi
Published: February 2025

Glaukoma merupakan neuropati optik progresif yang dapat menyebabkan kebutaan ireversibel, di mana tekananintraokular (TIO) berfungsi sebagai satu-satunya faktor risiko yang dapat dimodifikasi untuk pengendalian penyakit.Di antara berbagai modalitas pengobatan, trabekloplasti laser, khususnya Trabekloplasti Laser Selektif (SLT), telah menjadi populer karena meningkatkan aliran keluar humor akuos dan mengurangi TIO. SLT sering kali lebih disukaidaripada Trabekloplasti Laser Argon (ALT) karena keamanan dan efektivitasnya, khususnya dalam mengobatiGlaukoma Sudut Terbuka Primer (POAG). Tinjauan ini menggabungkan studi terbaru yang membandingkan SLT denganmodalitas lain seperti Trabekloplasti Laser Mikropulsa (MLT) dan hasil klinisnya. Tujuan dari literature review ini adalah untuk mengevaluasi efektivitas Selective Laser Trabeculoplasty (SLT) dalam mengelola tekanan intraokular (TIO) pada pasien glaukoma, terutama glaukoma sudut terbuka primer (POAG), baik sebagai terapi lini pertama maupun sebagai terapitambahan. Metode penelitian ini menggunakan literatur review, sumber literatur dipilih melalui pencarian di internetmenggunakan artikel dalam database jurnal-jurnal penelitian pada Google Scholar dan Pubmed dan dipilih 30 literatur dari metode tersebut. Literatur mengungkapkan bahwa SLT, sebagai terapi lini pertama atau tambahan untuk pengobatanmedis, secara efektif menurunkan TIO dan dapat diulang dengan aman dengan kemanjuran yang berkelanjutan. Selainitu, SLT menawarkan alternatif bagi pasien yang tidak responsif terhadap pengobatan topikal, memberikan pilihan non-invasif yang dapat menunda kebutuhan untuk pembedahan. Tinjauan ini juga mengkaji peran SLT dalam penangananglaukoma jangka panjang, perbandingannya dengan teknik yang lebih baru, dan efektivitas perawatan berulang dalammempertahankan kontrol TIO. Penelitian lebih lanjut disarankan untuk memvalidasi hasil jangka panjang SLT, terutamauntuk berbagai aplikasi dan perbandingannya dengan terapi laser yang lebih baru.
Offline version of the Proceedings of 12th EWTEC 2017, Cork, Ireland
Authors: Lewis Tony
Published: February 2025

Please note: this is a snapshot of the Proceedings of the 12th EWTEC provided for convenience as a single download for offline use. To extract the files, use 7-Zip.
The role of the extrinsic exposome - specific risk factors - in atopic dermatitis
Authors: Macharadze Dali , Ruzhentsova Tatiana Aleksandrovna , Janaeva Heda Axmedovna , Meshkova Natalia Andreevna , Malishev Vladimir Sergeevish
Published: February 2025

The article provides an overview of the latest concepts regarding the role of specific exposomal factors in atopic dermatitis in children and adults. As is known, specific factors include: air pollutants (external, internal); air humidity; metals; water hardness; detergents; pollen and other allergens; diet; human lifestyle factors. In this work, the main attention is paid to all the above factors, except for the role of allergy in the etiopathogenesis of atopic dermatitis (a separate publication will be devoted to this issue). Based on the data of systematic reviews, meta-analyses and recent studies, the role of specific factors is analyzed: air pollutants (external and indoor); diet for pregnant women and during lactation; various dietary supplements, etc. - in the development of atopic dermatitis. It is shown that these (and other exposomal) factors can also participate in the worsening of clinical manifestations of atopic dermatitis (for example, detergents). However, the leading role of any specific factor (factors) in the etiopathogenesis of atopic dermatitis (including allergies) has not been reliably proven to date. This also applies to nutritional factors (for example, adherence to a hypoallergenic diet by the mother during pregnancy and lactation; use of vitamin D and probiotics in the pre- and postnatal periods, etc.). In all likelihood, the external exposome is involved as a risk factor in the development of atopic dermatitis and worsening of the severity of the disease. Nevertheless, measures aimed at improving environmental factors can only be useful, especially in combination with anti-inflammatory drugs.
ABORDAGENS MODERNAS PARA CORREÇÃO DE RETRAÇÃO GENGIVAL UTILIZANDO PREENCHIMENTOS COM ÁCIDO HIALURÔNICO
Authors: Almeida Lídia Geralda Alves de , Oliveira Beatriz Rezende de , Ramos Tânia Aparecida Oliveira
Published: February 2025

A correção de retração gengival tem se mostrado uma das principais preocupações no campo da odontologia estética, especialmente com o avanço das técnicas minimamente invasivas. Entre as opções terapêuticas modernas, o uso de preenchimentos com ácido hialurônico tem ganhado destaque, devido à sua eficácia e segurança no tratamento dessa condição. A retração gengival, que pode resultar em exposição da raiz dentária e comprometimento estético, tem sido tradicionalmente tratada com enxertos de tecido gengival e cirurgia plástica periodontal. Contudo, o preenchimento com ácido hialurônico oferece vantagens significativas, como menor tempo de recuperação, menos dor pósoperatória e resultados estéticos satisfatórios. O Brasil, como líder em odontologia estética, tem contribuído para o desenvolvimento de novas abordagens que buscam não apenas corrigir, mas também melhorar a estética e a saúde gengival. No entanto, apesar de seus benefícios, o uso de ácido hialurônico apresenta desafios, como a necessidade de precisão na aplicação e o risco de complicações temporárias. A presente revisão bibliográfica visa analisar as técnicas atuais de preenchimento com ácido hialurônico, destacando sua eficácia, segurança e os resultados estéticos, comparando-os com as opções tradicionais de tratamento da retração gengival. A pesquisa revela que, embora os resultados sejam promissores, é essencial a realização de mais estudos longitudinais para consolidar essa técnica como uma solução definitiva.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KECEMASAN PADA WANITA USIA SUBUR YANG MELAKUKAN PAP SMEAR
Authors: Sari Rinda Intan
Published: February 2025

Wanita usia subur perlu untuk memerhatikan kesehatan reproduksinya, apabila tidak diperhatikan beresiko menderita kanker serviks. Salah satu usaha preventif kanker serviks yang dapat dilakukan adalah screening melalui pap smear. Rendahnya kesadaran wanita untuk melakukan pap smear sebagai sarana pencegahan dan deteksi dini kanker serviks dan kurangnya minat wanita dalam melakukan pap smear dipengaruhi oleh faktor dukungan keluarga yang kurang dan prosedur pap smear sering mengakibatkan kecemasan. Jenis penelitian ini adalah kuantitatif dilakukan dengan pendekatan cross-sectional. Sampel dalam penelitian adalah Wanita Usia Subur di SMC RS Telogorejo sebanyak 79 pasien dihitung menggunakan rumus slovin. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen yang digunakan alat ukur dukungan keluarga dan alat ukur kecemasan. Hasil penelitian menunjukkan bahwa dukungan keluarga pada wanita usia subur yang melakukan pap smear di SMC RS Telogorejo memiliki dukungan keluarga yang cukup (65,8%). Tingkat kecemasan pada wanita usia subur yang melakukan pap smear memiliki tingkat kecemasan pada kategori sedang (48,1%). Ada hubungan dukungan keluarga dengan kecemasan pada wanita usia subur yang melakukan pap smear di SMC RS Telogorejo (p value = 0,000). Diharapkan hasil penelitian ini dapat menambah pengetahuan perawat dan dapat berperan dalam membentuk dukungan agar mengurangi kecemasan kepada wanita usia subur yang melakukan pap smear.
ASUHAN KEBIDANAN BERKELANJUTAN (CONTINUUM OF CARE) PADA NY.M USIA 27 TAHUN SEKUNDIGRAVIDA DI PMB ISTRI UTAMI
Authors: Tri Wahyuni Endah , Sulistyawati Nining , Iffat Abidah Jilan
Published: February 2025

Bidan merupakan  profesi yang berperan penting untuk berhubungan  serta berkomunikasi  langsung dengan masyarakat, dalam memberikan pelayanan yang dibutuhkan. Salah satu upaya yang dilakukan oleh Kementrian Kesehatan  Republik Indonesia  untuk meningkatkan  kualitas  hidup  ibu dan bayi serta  menurunkan  angka kematian  adalah  dengan  melakukan asuhan  kebidanan  berkelanjutan  atau  Continuum  of  Care.  Asuhan Kebidanan berkelanjutan merupakan salah satu upaya pendampingan komprehensif meliputi fisiologis, psikologis,  sosial, dan spiritual pada ibu sejak kehamilan hingga masa nifas yang memungkinkan  petugas kesehatan selalu memantau pasien setiap tahap sehingga dapat mencegah komplikasi. Penelitian ini bertujuan memberikan asuhan kebidanan berkelanjutan atau Continuum of Care pada Ny. M G2P1A0 di Praktik Mandiri Bidan Istri Utami Sleman Yogyakarta. Metode yang digunakan adalah studi kasus dengan desain Continuum of Care  pada asuhan  kebidanan  dengan  pendokumentasian  SOAP. Asuhan  yang  diberikan  sesuai  dengan standar pada saat ANC, INC, PNC dan KB. Hasil ANC menunjukan Ny. M hamil dengan anemia ringan, tetapi dapat teratasi dengan mengonsumsi tablet Fe 2 kali sehari. Saat persalinan kala I-IV menunjukan Ny. M dalam keadaan normal dan tanpa penyulit. Pada masa nifas, Ny. M memiliki keluhan berupa kelelahan, tetapi dapat teratasi dengan baik. Pada KF I- IV Ny. M dalam kondisi fisiologis dan proses involusi berjalan dengan baik. Perawatan bayi baru lahir untuk bayi Ny. M selama KN I – III berada dalam keadaan sehat dan tidak ada cacat bawaan. Ibu memilih menggunakan KB IUD post plasenta dikarenakan kontrasepsi jangka panjang dan non- hormonal sehingga tidak mengganggu produksi ASI. Penulis telah melakukan asuhan kebidanan berkelanjutan pada Ny.M sesuai standar, keluhan ibu selama kehamilan teratasi, Ny.M melahirkan di fasilitas kesehatan dan ditolong tenaga kesehatan, masa nifas berjalan normal, keadaan bayi baik dan Ny.M merupakan akseptor KB IUD post plasenta.
KETIMPANGAN PERAN GENDER DALAM PENGASUHAN ANAK DAN KAITANNYA DENGAN STUNTING (Studi Kasus Pada Keluarga Yang Memiliki Balita Stunting Di Desa Plumbon Tahun 2024)
Authors: Widiyanti Ike , Rudiansyah Rudiansyah
Published: February 2025

Budaya patriarki masih menjadi fenomena yang melekat dalam kehidupan keluarga di Desa Plumbon, yang berkontribusi terhadap tingginya angka stunting pada balita. Penelitian ini bertujuan untuk mendeskripsikan gambaran perilaku patriarki dalam keluarga yang memiliki balita stunting. Penelitian ini menggunakan desain deskriptif kualitatif dengan  metode  wawancara mendalam  terhadap  tujuh keluarga yang memiliki balita stunting. Hasil penelitian menunjukkan bahwa dalam keluarga patriarki, peran utama laki-laki adalah sebagai pencari nafkah, sementara  perempuan  bertanggung  jawab penuh atas pengasuhan  anak dan pemenuhan kebutuhan gizi. Rendahnya keterlibatan ayah dalam pengasuhan serta keterbatasan akses ibu terhadap sumber daya ekonomi dan informasi kesehatan menjadi faktor utama yang berkontribusi terhadap kejadian stunting. Selain itu, wawancara  dengan pihak desa mengonfirmasi bahwa budaya patriarki masih kuat di lingkungan setempat, memperkuat pola pengasuhan yang kurang mendukung pertumbuhan optimal anak. Oleh karena itu, diperlukan intervensi berbasis gender yang melibatkan peran aktif ayah dalam pengasuhan serta edukasi bagi keluarga untuk meningkatkan pemahaman tentang pentingnya pola asuh yang lebih inklusif guna mencegah stunting.
Alkali-reactive aggregates: corrosion and protection of concrete
Authors: Rozental N. K. , Chekhnii G. V. , Rozental A. N.
Published: February 2025

Introduction. One type of concrete corrosion is caused by the chemical interaction of amorphous silica in aggregates with alkalis in the cement paste. This process develops slowly, and damage to the concrete is often detected only several years after construction is completed. Initially, damage caused by alkali-silica reaction was observed in large structures such as dams, bridges, and road pavements. Repairing and protecting damaged concrete structures is considered a complex process. The present paper addresses issues related to the prevention and protection of structures affected by this type of corrosion.

Aim. To evaluate methods for protecting concrete from internal alkali corrosion.

Materials and methods. The paper presents the results of determining the reactivity of aggregates from crushed stone and sand of various deposits. A method for protecting against alkali corrosion using lithium nitrate solution for impregnating concrete was tested in the process. To accelerate the impregnation process, concrete was treated with a direct current.

Results. The study demonstrates the inconsistency of results obtained through standard testing methods. The most reliable results are achieved through long-term testing (at least one year) of concrete made with the studied aggregates and cements. The study involved assessing feasibility of repairing concrete with signs of alkali corrosion through impregnation with lithium compound solutions while applying electric current.

Conclusions. The expansion of concrete due to alkali corrosion from aggregates sourced from various deposits has been investigated. The study confirmed the necessity for long-term testing of concretes using aggregates of specific suppliers, considering the characteristics of the applied cements and mineral additives. The authors examined the potential for protecting concrete from alkali corrosion through the introduction of lithium compound additives, including the use of current. The application of current accelerates the impregnation of concrete with lithium salt solutions; however, it poses certain challenges. Impregnation of the outer layer creates conditions for cracking due to differences in deformation between the outer layer and the inner layers that have not undergone impregnation. If the reactivity of the aggregate with cement alkalis is suspected, it is recommended to introduce finely ground silica-containing additives into the concrete to bind alkalis and prevent the development of concrete damage.
Innovative technologies and artificial intelligence in the construction sector
Authors: Lanchakov A. B.
Published: February 2025

Introduction. The present study analyzed the implemented innovative cross-cutting technologies in the construction sector of the Russian Federation, aimed at facilitating the production and design activities of construction organizations. The relevance of the study lies in the necessity to achieve technological sovereignty in the construction industry of the Russian Federation.

Aim. To propose recommendations for the implementation process of these technologies and their commercialization in the construction industry, based on the areas of transformation within the construction sector of the Russian Federation identified through innovative technologies. The objectives include analyzing the innovative cross-cutting technologies currently utilized at construction sites in the Russian Federation and abroad, and outlining the main directions for the development of innovative technologies in construction.

Materials and methods. The study involved general methodological approaches — systemic-creative and systemic-informational — along with methods of systemic analysis and logical analysis, as well as generalization and classification. The research object of study consists in cross-cutting safety and design technologies at construction sites. Specifically, the study analyzes BIM technology, unmanned aerial vehicles, and others currently used at construction sites in Russia and abroad, examines the current state of transformations in the construction sector of the Russian Federation considering these innovations, and identifies key directions for the development of innovative technologies in construction, including the application of artificial intelligence.
Sense as sampling propensity
Authors: Goodale Michael
Published: February 2025

Both individuals and predicates can be referred to in different ways which carry different senses or connotations. Despite this being discussed since at least Frege, it poses a deep problem to standard extensional semantics. For example, as discussed by Jennifer Saul, “Clark Kent went into the phone booth and Superman came out” simply means something different from “Superman went into the phone booth and Clark Kent came out”.
I introduce a novel way of modelling these kinds of semantic phenomena using Sampling Propensity (Icard, 2016). The core idea is that the basic atoms of semantic calculus are generated from a set of potential candidates via a generative cognitive procedure. In other words, when one thinks of Clark Kent, they directly think of someone wearing glasses or being a mild-mannered journalist, whereas Superman draws to mind blue-and-red leotards and heroics. This sampling procedure is also at play with common nouns in generic sentences like “lions have manes” or “mosquitoes carry malaria”. Crucially, it can distinguish co-extensional nouns like “drink” and “beverage”, which occasionally yield different truth conditions in the same kinds of generic sentences.
The account includes a fully-formalised compositional system in which individual concepts and category concepts are modeled as an extension linked with a sampling propensity and where some propositions are evaluated by continually sampling exemplars from a concept. The sampling approach also links competence and performance where finite sampling yields performance and sampling repeatedly converges on competence. This approach also has ramifications for quantification, particularly the generic “flavour” of non-partitive ‘all’.
Analysis of the Influence of Product Quality, Price Perception, and Packaging on Purchasing Decisions and Their Impact on Consumer Satisfaction of Bluder Bread Products
Authors: Untari Dewi , Safirin Mochamad Tutuk , Tirkaamiana Dean , Lantara Dirgahayu
Published: February 2025

CV. XYZ is a food-related company that uses a make-to-order production system and sells bread as its primary product. CV. XYZ encounters issues with the low degree of customer satisfaction with Bluder Bread’s product quality, cost, and packaging as well as the drop-in number of purchases made by customers. This study aims to ascertain how purchase decision are influenced by product quality, perceived pricing, and packaging, as well as how these factors affect customer happiness. Partial Least Square (PLS) based Structural Equation Modeling (SEM) analysis is used in the investigation.  The research conclusions demonstrated that, although packaging did not significantly influence decisions to buy, percepstions of product quality and pricing had a major impact. However, customer satisfaction with bread was not significantly impacted by product quality, perceptions of pricing, or packaging. Purchase decisions can serve as a mediator and have a big impact on customer happiness.
The Role of Effective Communication of Protocollerian Organizations in the Secretariat of the Regional People's Representative
Authors: Dipanegara Romy , Djalil Nur Alim , Sukmarini Andi Vita
Published: February 2025

This research was carried out at the Wajo Regency DPRD Secretariat. Data collection was carried out through observation, interviews and documentation. Data were analyzed using descriptive analysis. Based on the results of field research regarding the role of the protocol section of the Wajo district DPRD secretariat in preparing the agenda for the Wajo district DPRD secretariat, it can be concluded that the role of the protocol and leadership communication section is not good and really needs to be improved, especially on the Problem-Solving Process Facilitator indicator. Problem Solving Process) and Communications Technician (Communications Technician). Some of the problems that arise are not just practical negligence of protocol, but include changes in the schedule, unpreparedness of the protocol apparatus in the field, the wishes of the leadership, lack of protocol competence, conditions at the event venue and other factors. However, due to the presence of alertness and good coordination so far, the gaps that have occurred can be resolved and do not cause significant qualitative problems using the interview method.
Drug Abuse Prevention Strategy in the City of Surabaya
Authors: Aisyah Fatiya Nur , Wibawani Sri
Published: February 2025

The National Narcotics Agency is a government agency or institution directly appointed by the President to handle drug abuse in Indonesia, including Surabaya City.   Drug abuse is a significant social problem in Surabaya City because Surabaya is the second largest business city in Indonesia with a high population density. The National Narcotics Agency (BNN) of Surabaya City has made various efforts to prevent drug abuse. This research aims to find out the drug prevention strategy carried out by the Surabaya City BNN through 3 indicators, namely primary, secondary and tertiary prevention. This research uses qualitative methods with data collection techniques carried out by observation; document study; and in-depth interviews with informants. Determination of informants was done by purposive technique on key informants, then continued with snowball technique. The data validity checking technique used is data triangulation. The results showed that the Surabaya City BNN strategy has been carried out well in primary prevention and secondary prevention, but in tertiary prevention the Surabaya City BNN still does not have sufficient facilities and infrastructure to carry out inpatient rehabilitation.
The Effect of Workload, Training and Reward on Frontliner Service Quality Performance with Motivation as an Intervening Variable
Authors: Leonarda Olivia , Aima M. Havidz , Lusiana Lusiana
Published: February 2025

This study aims to analyze the influence of workload, training, and rewards on the service quality performance of frontliners at PT Private Bank X, with motivation as an intervening variable. The research is grounded in the critical role of frontliners in delivering customer-facing services, which are affected by factors such as workload, training, and rewards. The research questions focus on the extent to which these three variables impact service quality performance through motivation. The study employs a quantitative approach using multiple regression analysis and mediation testing to evaluate the role of motivation. The findings indicate that workload has a significantly negative impact on frontliner performance, whereas training and rewards have a significantly positive effect. Moreover, motivation serves as an intervening variable that strengthens the influence of training and rewards on service quality performance but does not enhance the impact of workload. These results suggest that to enhance service quality performance, the company should focus on improving training programs and providing appropriate rewards while effectively managing workload to prevent a decrease in employee motivation.
Strategic Issue Management in Opposing Land Grab, Environmental, and Humanitarian Violation of Super Premium Tourism Development
Authors: Wijaya Janies
Published: February 2025

The development of Indonesia’s strategic national-scale project in turning Komodo National Park as a Super Premium Tourism Destination resulted agrarian issues, including local communities’ land grab, environmental, and humanitarian issues. The government has violated so many aspects to accelerate the project delivery and has made the people of East Nusa Tenggara, specific to the people of Komodo, Labuan Bajo, and western Flores Island as the victim from the negative impacts of the development. Local communities have expressed their voice to the government, demanding fairness and basic rights to be fulfilled. Instead, they have to endured repressive actions and intimidation from the authorities, while the requested requirements met the dead end. The government has been ignoring the demand and never included the impacted local communities and activists in the discussion. Responding to this controversy, UNESCO also raised their concerns and requested the government to submit an Environmental Assessment report, and demand to stop the development until the requirements are met. This article proposes strategic action to National Committee on Agrarian Reform and other related entities in advocating this group and the ecosystem in the region in fighting to get their demand fulfilled by the government through an agrarian reform. As challenging as it is, direct lobby to the government has to be done. To strengthen the pressure, this communication strategy plan to acquire the power of the Indonesian Netizen by creating public sphere, through public opinion war and media scrutiny, to make the issue going viral and push the government for immediate agrarian reform.
Analysis of the Influence of Service Quality, Store Atmosphere, Visual Merchandising on Interest and Repeat Purchases
Authors: Khuluq Muhamad Khusnul , Safirin Moch. Tutuk
Published: February 2025

In the world of the culinary industry, competition in the restaurant business is increasingly fierce. Wizzmie must continue to provide the best offers for consumers. People's buying interest in visiting restaurants is not only because of the delicious taste of food and drinks, but also because of the quality of service, comfortable atmosphere and attractive product sales. Researchers are interested in knowing the influence of Service Quality, Store Atmosphere and Visual Merchandising variables on consumer interest and repeat purchases at Wizzmie Rungkut branch. The focus of this research is customers of the Rungkut branch of Wizzmie Restaurant with 110 respondents using the purposive sampling method. Research data was obtained from distributing questionnaires using a Likert scale. The research results show that the Purchase Interest variable has a moderate influence on the dependent variable at 49%, as well as the Repeat Purchase variable at 44.7%. The GoF test result of 0.553 shows that the entire SEM-PLS model is in the high suitability category, so that the data is able to explain the relationship between the variables studied. The variables Service Quality and Visual Merchandising have a significant effect on Purchase Interest, and Purchase Interest has a significant influence on Repeat Purchases, while Store atmosphere has no influence on Purchase Interest.
Decision Making for Boycott Action of Pro-Israel Food and Beverage Products by Bengkulu University Students
Authors: Ningrum Putri Yulia , Nopianti Heni , Himawati Ika Pasca
Published: February 2025

The research aims to analyze the decision-making of the boycott of proIsrael food and beverage products carried out by students of the Faculty of Social and Political Sciences, Bengkulu University. The research was conducted using a qualitative approach, and the data collection process was carried out through interviews and observations. The results of the study were analyzed using the theory of social action proposed by Max Weber. Based on the results of interviews submitted by informants, it is obtained that the boycott of pro-Israel products by students of the Faculty of Social and Political Sciences, Bengkulu University is a form of contribution from students to help have a negative impact on the company's performance so that it withdraws its support for Israel. The boycott action carried out by students is due to the emergence of a sense of humanity and feelings of concern, anger, and sadness felt towards the atrocities committed by Israel against Palestine. In addition, boycott actions are also carried out through the dissemination of information with social media as a tool which aims to disseminate information on boycott products and seek the truth of information received from social media such as Tiktok, Instagram, and Twitter. This research is expected to provide deeper insight into the factors that influence student decisionmaking in boycotting pro-Israel products, and can be a reference for academics, educational institutions, and social activists in understanding social care, humanitarian values, and the use of social media in shaping student attitudes towards global issues.