bluuebunny/crossref_metadata_2025 huggingface dataset:
Tinjauan Ketepatan Kode Penyakit Tuberkulosis Paru Berdasarkan ICD-10 pada Pasien Rawat Inap di RSKD Duren Sawit Tahun 2021
Authors: Putri Vania Rachma , Fannya Puteri , Dewi Deasy Rosmala , Widjaja Lily
Published: April 2024

Coding accuracy is the process of conforming to the diagnosis code that has been determined by the coding officer based on ICD-10 which greatly affects data reporting and administration. Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis which causes disturbances in the respiratory tract. In RSKD Duren Sawit pulmonary tuberculosis is included in the 10 biggest diseases. The purpose of this study was to determine the accuracy of the pulmonary tuberculosis disease code based on ICD-10 in inpatients at RSKD Duren Sawit in 2021. This study used a descriptive method with a quantitative approach that took 80 samples using a saturated sample technique by means of observation and interviews. The results obtained from 80 samples of the accuracy of the pulmonary tuberculosis code of inpatients at RSKD Duren Sawit found that 56 (70%) and 24 (30%) were inaccurate. There are factors that affect the inaccuracy of using the 5M (Man, Money, Material, methode, Machine) element, namely the man element due to the inappropriateness of the coding officer's profession and lack of thoroughness and the element of the coding SOP method which is still being revised. Suggestions should be officers who do coding in accordance with their profession or medical recorders.
Analisis Factor-Faktor Penyebab Kecelakaan Kerja Penggunaan Benda Tajam Atau Mesin pada Pemanen Sawit
Authors: Yeni Ayu Astuti  , Susilawati Susilawati
Published: April 2024

Indonesia is a country with vast agricultural areas and the fertility of its soil is undisputed. This makes Indonesia a rich country in terms of agricultural products, especially oil palm plantations. Oil palm plantations have many advantages, especially since oil palm is a raw material that plays a strategic role in the country's economic development. However, this also avoids the risk of occupational injuries that threaten plantation workers, especially in the area of palm oil harvesting. Workplace accidents can be caused by activities involving the use of sharp tools and machinery such as dodos, egereks, ganks, axes and axes. The purpose of this study was to analyze the factors leading to occupational injuries associated with the use of sharp tools and machinery in oil palm harvesters. The results of this study indicate that there are several risk factors for workplace injury when sharps and machinery are used in oil palm harvesters, including worker knowledge level, use of personal protective equipment (PPE), and adherence to standards. indicates that there is Having it suggests that there is merit. Instruction manual (SOP)
Pengaruh Stres Kerja Terhadap Kinerja Karyawan Penyemprot Pestisida di PT. X
Authors: Rizki Asih Gustara  , Yeni Ayu Astuti  , Mayang Dwi Octavia  , Salianto Salianto
Published: April 2024

Every employee must have faced work-related stress. Although there are times when work stress is beneficial, if it is excessive it will have a negative impact which is especially detrimental to employee performance. So it is necessary to control and prevent stress in the workplace. The purpose of this research is to examine how the performance of employees of PT. X is affected by stress at work. For this study, a sample of 13 workers who sprayed pesticides were interrogated. The data for this study came from a questionnaire. Quantitative descriptive analytic approach is used in this research. Simple linear regression analysis yields Y = 2.435 + 0.770X and partially t count for the work stress variable (X) of 11.133 and t count value 11.133 > t table value 2.201 and also a significant value less than 0.05 (0.000 <0 , 05). This proves that there is a strong relationship between stress at work and worker performance. So companies should offer advice for managing work stress and other outside activities that can energize the body and mind.
Hubungan Obesitas dengan Kualitas Hidup Lansia Hipertensi Diwilayah Puskesmas Wonokromo Surabaya
Authors: Anatasta Lingga , Ainiyah Nur , Hatmanti Nety Mawarda , Maimunah Siti
Published: April 2024

Hypertensive patients who are obese often find it difficult to carry out daily activities, which is why hypertensive patients with obesity have a poor quality of life. The purpose of this study was to find the relationship between obesity and quality of life in elderly hypertensive patients at the Wonokromo Health Center in Surabaya. This method uses a research design using correlation analysis. The study population was elderly aged 60-74 years with hypertension as many as 100 respondents. Using the straitfied random sampling technique, a sample size of 80 respondents was obtained. Data collection using the BMI (Body Mass Index) and WHOQOL-BREF questionnaires, has passed the ethical test at Nahdlatul Ulama University Surabaya with No. 0174/EC/KEPK/UNUSA/2023, this study used the Spearman rho test. The results showed that most of the 45 respondents (75.5%) were in the obesity category of degree 1, and of the 35 respondents the majority (51.5%) were in the category of degree 2. The results of the statistical test for the significance value of p was 0.025, it can be concluded that there is relationship between obesity and quality of life of hypertensive elderly. From this study it can be concluded that most of the elderly who are obese with degree 1 have a poor quality of life. Further research is expected to further develop by looking at and connecting other factors that affect quality of life.
Pendidikan Kesehatan Tentang Reproduksi Remaja Terhadap Pengetahuan dan Sikap pada Siswa SMK Pacet Kabupaten Mojokerto
Authors: Dwi Helynarti Syurandhari  , Hari Kuswanto  , Asih Media Yuniarti  , Mukhammad Himawan Saputra
Published: April 2024

Adolescent problems regarding sexuality and reproductive health are felt to be increasingly complex and concerning. The increasing cases surrounding adolescent reproduction occur due to the incomprehension of adolescents to various aspects of reproduction related to themselves. The purpose of this study was to determine the effect of adolescent reproductive health counseling on knowledge and attitudes in students of SMK Pacet, Mojokerto Regency. This type of research is an experimental study using Pretest and Posttest (One Group Pretest And Posttest Design). The study population of 320 students was taken as a sample with the Stratified Random Sampling technique of 178 respondents. Univariate and bivariate analysis, non-parametric data distribution with Wilcoxon test. The results of the study were that most respondents had sufficient knowledge about adolescent reproductive health before being given counseling, most respondents had good knowledge about adolescent reproductive health after being given counselling. The results of the Wilcoxon test obtained the results of the Asymp.Sig value. (2- tailed) = 0.000, then it can be concluded that there is a significant influence between the knowledge of students of SMK Pacet Mojokerto Regency towards the intervention provided, namely adolescent reproductive health counseling. Schools can collaborate with several relevant agencies to jointly improve adolescent reproductive health counseling programs, as well as provide facilities and infrastructure such as additional media for student learning facilities such as providing several leaflets related to reproductive health, so that they can be used to increase student knowledge.
Gambaran Pengelolaan Limbah Medis Padat pada Klinik Bidan Praktik Mandiri di Kecamatan Lempuing Kabupaten Ogan Komering Ilir Tahun 2023
Authors: Alifta Nursafira  , Kamsul Kamsul , Esti Sri Ananingsih  , Faiza Yuniati  , Intan Kumalasari
Published: April 2024

WHO said that in 2010, unsafe injections still caused as many as 33,800 new HIV infections, 1.7 million hepatitis B infections, and 315,000 hepatitis C infections. Independent Practice Midwife Clinics are one source of solid medical waste generation. Knowledge of solid medical waste management at independent practicing midwife clinics in Lempuing District, Ogan Komering Ilir Regency in 2023. Research This type of research is descriptive research. This research was conducted in March-May 2023. The population in this study were all 38 independent practicing midwife clinics. The sample is total sampling, namely all independent practicing midwife clinics. The data collection tool is a checklist sheet. Variable sorting, container, storage, and transportation. Data analysis using Univariate Analysis. Sorting 38 (100%) fulfilled the requirements, containers for labeling infectious waste 8 (22%) and pharmaceutical 13 (44%), container grouping for infectious 15 (40%) and pharmaceutical 30 (70%) did not meet the requirements. Storage contained 23 (59%) separate rooms, 8 (21%) covered packaging, and 20 (53%) identity labeled packaging did not meet the requirements. Transportation 11 (29%) did not carry out transportation. by concluding that 38 (100%) have done proper sorting, for containers that have not been labeled infectious waste 8 (22%) and pharmaceutical 13 (44%), there is no separate storage room 23 (59%), there is the packaging does not have a cover 8 (21%), the packaging does not have an identity label 20 (53%). Transportation 11 (29%) did not carry out the transportation be consistent in carrying out proper sorting, more complete facilities, especially in terms of container and storage, and know how to process and transport medical waste properly and correctly.
Penerapan Terapi Murattal Al-Qur’an Terhadap Tingkat Skala Halusinasi Pendengaran pada Pasien Skizofrenia di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah
Authors: Masyriatul Munawaroh  , Tri Susilowati  , Wahyu Reknoningsih
Published: April 2024

The prevalence of schizophrenia mental disorder reaches 1.7% of a thousand Indonesian population with a total of 400,000 sufferers. Schizophrenia has an impact on sufferers, one of which is hallucinations. Sufferers listen to murattal Al-Qur'an as a way to reduce hallucinations. To find out the results of applying Al-Qur'an murattal therapy to the level of auditory hallucination scale in schizophrenic patients at RSJD Dr. RM. Soedjarwadi Central Java Province. This research includes descriptive research with case studies. The results before implementing the murattal Al-Qur'an level of the auditory hallucination scale on Mr. M is moderate with an AHRS score of 16 and Mr. R is heavy with an AHRS score of 23. After implementing the murattal Al-Qur'an the level of the auditory hallucination scale on Mr. M is mild with an AHRS score of 9 and Mr. R is moderate with an AHRS score of 15. In the application that has been carried out, there are developments in 2 respondents, namely experiencing a decrease in the level of hallucinations of sufferers after listening to murattal Al-Qur'an. There is a comparison of development between the levels of the hallucination scale after and before listening to the murattal Al-Qur'an.
Pemberian Posisi Semi Fowler Untuk Meningkatkan Saturasi Oksigen pada Pasien CHF (Congestive Heart Failure) di Ruang ICU RSUD Pandanarang Boyolali
Authors: Putri Sinta Cindyana , Husain Fida' , Widodo Panggah
Published: April 2024

The prevalence of heart failure in Indonesia based on a doctor's diagnosis is estimated at 1.5% or around 29,550 people. Congestive heart failure is caused by interference and blockage of blood flow in the heart so that it will cause signs and symptoms of heart failure in the systemic circulation and pulmonary circulation such as pain, shortness of breath. The problem that often occurs in patients with congestive heart failure is shortness of breath, so non-pharmacological management is needed, one of which is semi-Fowler's position. To find out the results of applying semi-Fowler's position to congestive heart failure patients. The application was carried out using a case study descriptive method to 2 respondents with a diagnosis of Congestive Heart Failure carried out 3 days for 1x a day for 15 minutes. Based on the results of the implementation that has been done, there is an increase in oxygen saturation in congestive heart failure patients by 3-4%. Giving a semi-fowler position can be used as a non-pharmacological technique or independent intervention in patients with congestive heart failure.
Massage Efflurage VCO Terhadap Pencegahan Dekubitus pada Pasien Tirah Baring di RSUD Pandan Arang Boyolali
Authors: Dela Nuvita Sari  , Fida' Husain  , Panggah Widodo
Published: April 2024

Background: Decubitus ulcers are damage/death of the skin to the tissue under the skin, if not treated immediately it will be one of the factors a person dies. The prevalence of decubitus in America is around 25%, in Europe it is 10.5% and in England it is from 6.7% to 42.7%, and in Indonesia as a whole it is 33%.The implementation of preventing decubitus pharmacologically, one of which is by rubbing massage on the back which is called massage efflurage. Purpose: to determine whether there is an effect of massage efflurage on decubitus prevention. Method: this type of research is descriptive with a case study. The application was carried out on 2 patients selected by purposive sampling method with inclusion and exclusion criteria. This efflurage massage is carried out for 4-5 minutes 2x/day for 3 days. The research instrument used SOP massage efflurage by doing massage by applying a little rubbing pressure, observation sheets and informed consent. Results: from the results of observations made for 3 days on 2 respondents Ny. S and Mr. M indicates that the braden scale increases from day 2 and 3, which means that there is a reduced risk of developing decubitus in 2 respondents. Conclusion: there is an effect of VCO efflurage massage to prevent pressure sores in patients in the ICU.
Hubungan Tingkat Pengetahuan Terhadap Perilaku Menjaga Kesehatan Gigi pada Siswa Kelas IV-VI SDN Mranggen
Authors: Febriana Lady Ayu , Husain Fida'
Published: April 2024

The most dental health problems in Indonesia are damaged/cavities/pain by 54%. The high number of dental health problems is influenced by several factors, one of which is knowledge and behavior factors that have not realized the importance of maintaining dental health. Knowing the relationship between the level of knowledge on the behavior of maintaining dental health in children in grade IV-VI students at SDN Mranggen Polokarto Sukoharjo. This research is a quantitative research using a cross sectional approach method. The total population is 247 students and the sample is 71 grade IV-VI students at SDN 1 Mranggen, SDN 2 Mranggen, and SDN 3 Mranggen Polokarto Sukoharjo. Data collection using questionnaire with analysis test using Spearman Rho. obtained knowledge level of 78.9% good category and behavior of 66.2% medium category and analysis results obtained P.Value of 0.014 (< 0.05). Based on the results obtained, it was concluded that there was a relationship between the level of knowledge on the behavior of maintaining dental health in grade IV-VI students of Mranggen Polokarto Sukoharjo State Elementary School.
Faktor-Faktor Penyebab Terjadinya Missfile Dokumen Rekam Medis di Ruang Filling Puskesmas Pulo Brayan Medan
Authors: Angelia Putriana  , Fince Putri Zega
Published: April 2024

Good medical record keeping is a successful management of a health service. Filling is part of the Medical Record Unit (URM) which has an important role in functioning for various purposes, protecting the confidentiality of the contents of the Medical Record Document (DRM) from unauthorized parties, and protecting the Medical Record Document (DRM) archive from physical and chemical damage. , and biology. Missfile is a medical record file that is lost and misplaced on the medical record file storage shelf in the filling room. A medical record file is said to be misplaced or missing (Missfile) if the file is needed but on the storage shelf the file is not available or does not exist. The impact of a missfile is that it causes patient service in searching medical records to be delayed. Apart from that, it can also result in duplication of medical record numbers and the contents of medical record documents becoming discontinuous. This type of research is descriptive with a qualitative approach whose data collection methods are observation and interviews. The research results showed that factors causing missfiles include the Human Resources (HR) factor, namely the number of medical record officers, only two people who have a high workload, the method factor, namely the absence of SOPs regarding borrowing and returning medical record documents, the machine factor, namely slow shelves. storage of medical record documents and the money factor, namely there is no special budget for the medical record room.
Perbedaan Penurunan Kadar Gula Darah pada Kelompok Yang Diberi Terapi Jus Buah Naga Merah dan Bengkuang pada Penderita DM di Komunitas Gres Lansia Kabupaten Tuban
Authors: Dwi Fitri Hariyanti  , Dwi Kurnia PS  , Lilia Faridatul Fauziah
Published: April 2024

Diabetes Mellitus (DM) is a metabolic disorder in which the body's inability to oxidize carbohydrates is found, due to disturbances in the mechanism of insulin action which can cause hyperglycemia, glycosuria, polyuria, acidosis, lipemia, and ketonuria. Research objectives to analyze the difference in decreasing blood sugar levels in the group that was given red dragon fruit juice and jicama therapy in DM sufferers in the elderly GRES community in Tuban Regency. The design of this research is true experimental design, Two Group Pre-test and Post-test Design. The sample in this study were the elderly in the GRES Community, Tuban Regency, totaling 34 elderly people, using a purposive sampling technique. The analysis of this study used the statistical test pair T-test and Independent T-test. The results of the study using the Paired T-Test showed that the red dragon fruit group had a p-value of 0.000 <0.05, which means that H1 was accepted, that is, there was a difference in decreasing blood sugar levels before and after being given red dragon fruit juice therapy and the jicama juice group. with a p-value of 0.000 <0.05 which means that H1 is accepted, that is, there is a difference in the decrease in blood sugar levels before and after being given Jicama juice therapy.
Analisis Perbedaan Konsumsi Protein pada Remaja Putri Yang Mengalami KEK Usia 15-19 Tahun di Daerah Pesisir dan Non Pesisir
Authors: Dea Ananda Nur Aeni  , Dwi Kurnia P.S  , Ahmad David Royyifi Arifin
Published: April 2024

One of the macronutrients for the prevention of Chronic Energy Deficiency (SEZ) is protein. Muscle mass is affected by the level of adequacy of energy and protein, the level of adequacy of energy and less protein can lead to a decrease in muscle mass in the subject. If protein intake is sufficient, then nutritional status will be good including the size of the upper arm circumference (LILA). Factors that are strongly suspected to influence the diet of protein sources are the type of region that is closely related to the potential of the region in providing natural food for its population. The availability of various foods is largely determined by geographical conditions (including topography) of the region because it will affect the amount and type of food that can be produced by the region. Objective: This study is to determine the difference in protein consumption of adolescent girls who experience SEZ aged 15-19 years in coastal and non-coastal areas. This type of research is an observational analytical design with a comparative study approach with a population of 213 respondents selected by cluster random sampling technique and obtained 138 respondents. Data on independent and dependent variables were collected through questionnaire interview techniques. The Independent Sample T Test is used to determine whether there is an average difference between two unpaired samples (p-value <0.05). Independent sample test results obtained Asymp sig values. (2-tailed) of 0.008 for differences in protein consumption, it was concluded that the difference in protein consumption in adolescent girls who experienced SEZs aged 15-19 years in coastal and non-coastal areas.
Kualitas Komunikasi Keluarga terhadap Pencegahan Perilaku Seksual Berisiko pada Remaja
Authors: Dina Sulistia  , Annisa Febriana  , Taufik Hidayat
Published: April 2024

Risky sexual behavior is a big problem for adolescents and a challenge for parents in taking care of their adolescents. Efforts can be made to prevent the problem of risky sexual behavior by improving the quality of family communication at home. Communication is important so that adolescents are more open and close to their parents, so they can avoid negative behavior The purpose of this study was to determine the relationship between the quality of family communication and the prevention of risky sexual behavior in adolescents. The type of research is descriptive-analytic with cross-sectional design. The population in this study was 124 people with a total research sample of 61 people taken using random sampling technique. The test was conducted with SPSS using the Pearson correlation test. The results show that there is a relationship between the quality of family communication and the prevention of adolescent risky sexual behavior, P-Value 0.04. Further research needs to be done by paying attention to nursing interventions that can support the improvement of family communication towards adolescents so that efforts to prevent risky sexual behavior in adolescents increase.
Maxim of Politeness to Improve Language Principles: Case Study on Mata Najwa Trans 7 Talk Show Program
Authors: Wildan M , Indrariani Eva Ardiana , Damayanti Wahyu , Suparno Darsita , Ilhamudin Ilhamudin
Published: April 2024

This study investigated how politeness helped speakers and other participants used language as capital during interactions to reduce the likelihood of verbal abuse. This paper used qualitative descriptive research methods. The sample in this study was the Mata Najwa Trans 7 Talk Show Program. The instrument in this paper was observations on the Mata Najwa Trans 7 Talk Show Program. After the data were obtained, they were analyzed using narrative analysis. The results of this research showed that in the Mata Najwa Trans 7 Talk Show Program, six language principles were described: the maxim of wisdom, the maxim of generosity, the maxim of appreciation, the maxim of moderation, the maxim of consensus, and the maxim of sympathy. This study concluded that these six principles guide every speaker and interlocutor in improving the principle of language politeness. Therefore, this research helped to achieve state and national concord, which benefits the development of global peace.
Revisiting Ezra Pound: An Ecofeminist Approach to “The River-Merchant’s Wife: A Letter”
Authors: Shang Jingmei , Mohsen Hamoud Yahya Ahmed , Zhang Hongmei , Wang Jijun
Published: April 2024

The paper focuses on one of intrinsic studies of literary works called ecofeminism. For the object of the current research, the author chooses one of Ezra Pound's poems, as is known to all, The River-Merchant’s Wife: A Letter. The author uses descriptive and analytic method in this paper. As is discussed, the author analyzes the potential ecofeminism by reading this poem carefully and giving a special attention for the lines that express and convey ecofeminism. Meanwhile, the author uses description and figure of speech analysis to build a concrete and poetic artistic conception in this poem. The findings suggest Ezra Pound spent a lot of conception and thinking on the description of environmental vision, including women and nature. On the one hand, the writing vision is tangible, evidenced by integrating his realistic living surroundings and the artistic conception in this poem. On the other hand, the expression of this poem is emotional, which, to a certain degree, evokes contemporary sensitivity to ecology and the concern on women, even the present social and environmental challenges, and the links between nature and literary that have become increasing obvious in the literary studies. The description of the natural surroundings of the poet prompts his deep awareness of environment, which can be looked upon as a potential ecofeminism.
Otimização de um método de extração ultra-sônica e análise por CLAE para determinação de Diuron e seus metabólitos em solo de cultivo de cana-de-açúcar.
Authors: Mello Patrícia Cavani Martins de , Lobo Ilza , Yabe Maria Josefa Santos
Published: April 2024

O Diuron, N-(3,4-diclorofenil)-N,N-dimetilureia pode ser transformado no solo através da biodegradação em 3-(3,4-diclorofenil)-3-metilureia (DCPMU), 3,4-diclorofenilureia (DCPU) e 3,4-dicloroanilina (DCA). Este trabalho teve por objetivo otimizar e validar um método de extração e análise do diuron e metabólitos no solo por CLAE/DAD a fim de determinar as suas concentrações em amostras de solo bioaumentado com microrganismos da rizosfera da cana-de-açúcar. Realizou-se a extração com metanol em banho ultra-sônico e as análises em um cromatógrafo líquido/detector DAD, marca Waters. A condição de análise otimizada para separação dos analitos foi fase móvel metanol:água 50:50 (v/v) e fluxo 1 mL min-1. O comprimento de onda selecionado foi de 240 nm para a DCA  e 254 nm para o Diuron, DCPMU e DCPU. Utilizou-se coluna e pré coluna Waters XTerra RP18, 5 um, 4,6 x 150 mm e 3,9 x 20 mm. A curva de calibração foi obtida a partir da fortificação do solo com a mistura dos padrões, na faixa de 5 mg Kg-1 a 200 mg Kg-1 de solo. A recuperação obtida em dois níveis de concentração 5 e 200 mg Kg-1 de solo ficou entre 85 e 99%. A repetibilidade foi de 0,78%; 2,20%; 2,17% e 1,72% e a precisão intermediária foi de 2,48%; 2,11%; 3,10% e 2,77% para diuron, DCPMU, DCPU e DCA, respectivamente. O limite de quantificação foi de 1,25 mg Kg-1 de solo. A concentração de diuron encontrada em algumas amostras superficiais (0-10 cm) do solo bioaumentado variou de 5,5 a 8,9 mg Kg-1 de solo, mas não foi detectada a presença de seus metabólitos.
Eletrodos de carbono cerâmico: parâmetros de preparação, propriedades e aplicações como sensores eletroquímicos.
Authors: Skeika Tatiane , Zuconelli Cristiane Regina , Fujiwara Sérgio Toshio , Pessoa Christiana Andrade
Published: April 2024

A preparação de eletrodos a base de carbono cerâmico (ECC) tem sido aprimorada durante as últimas décadas, aumentando o potencial de aplicação desses eletrodos como sensores eletroquímicos. O interesse nestes materiais está principalmente relacionado às suas características tais como superfície renovável, alta estabilidade térmica e resistência mecânica. Nessa revisão apresentam-se alguns dos principais aspectos relacionados aos ECCs, tais como os fatores de preparação os quais influenciam diretamente nas propriedades eletroquímicas dos mesmos e algumas aplicações como sensores eletroquímicos. Dentre os fatores de preparação destacam-se a característica do precursor, o tipo de material de carbono além da proporção entre precursor, catalisador e material de carbono. A modificação do ECC com espécies mediadoras de elétrons pode ampliar a gama de aplicações como sensores eletroquímicos já que estes aumentam a seletividade e a sensibilidade.
Método rápido de análise do estado de saúde (SOH) de baterias de íon lítio de telefones celulares descartados empregando os conceitos da técnica de titulação galvanostática intermitente (GITT).
Authors: Urbano Alexandre , De Souza Ziani Schiaber , Toscano Danilo , Floriano Ricardo , Catarini Paulo Rogério , Scarmínio Jair
Published: April 2024

O estado de saúde (state of health - SOH) é um importante parâmetro de avaliação de uma bateria recarregável, pois determina seu tempo de vida útil (número de ciclos) e auxilia na manutenção dos sistemas eletrônicos abastecidos com estas baterias. Neste trabalho o estado de saúde e o coeficiente de difusão aparente Dap de baterias de íon lítio descartadas de telefones celulares foram medidos e correlacionados com o objetivo de diminuir o tempo de análise do SOH para as baterias. O coeficiente de difusão aparente é uma modificação do coeficiente de difusão iônico obtido pela técnica GITT. A correlação entre SOH e Dap é bem comportada revelando uma dependência cúbica. O tempo de análise pode, portanto, ser reduzido em mais de 1 h.
Desigualdade educacional na pandemia da Covid-19: um estudo sobre o ensino remoto e o abandono escolar
Authors: Neuhold Roberta dos Reis , Pacheco Jéssica  Nascimento
Published: April 2024

Implementado às pressas e desarticulado de políticas públicas que mitigassem o acirramento das desigualdades sociais, o ensino remoto adentrou de forma generalizada a educação básica brasileira durante a pandemia da Covid-19. Órfãs de uma diretriz nacional e do apoio técnico, pedagógico e financeiro do Ministério da Educação, as redes de ensino, cada uma ao seu tempo e à sua maneira, substituíram as aulas nas dependências escolares por atividades que usaram, predominantemente, Tecnologias Digitais de Informação e Comunicação por quase dois anos. Como essa modalidade de ensino foi experienciada pelos estudantes de baixa renda em territórios marcados por altos índices de vulnerabilidade? Essa indagação orientou o presente trabalho que monitorou uma escola pública de um pequeno município no litoral norte do Rio Grande do Sul. Ao longo de cinco meses, três turmas das séries finais do ensino fundamental foram acompanhadas, analisando a frequência e a participação discente nas aulas de Língua Portuguesa. Tendo os registros do trabalho docente (compostos por diários de classe e planilhas) como principais fontes, a pesquisa diagnosticou que os índices de abandono escolar chegaram a 21,6%, evidenciando que o ensino remoto não se tornou acessível a todos os estudantes.
A tecnologia grupal na saúde mental de estudantes universitários: contexto pandêmico e repercussões
Authors: Farinha Marciana Gonçalves , Vivenzio Rafaella Andrade , Braga Tatiana Benevides Magalhães
Published: April 2024

A pandemia de COVID-19 impactou os pilares políticos, econômicos, sanitários e culturais da sociedade, exigindo estratégias de adaptação à doença, entre elas o cuidado aos impactos psicológicos emergidos neste cenário. Este estudo consistiu em uma pesquisa interventiva qualitativa, com foco em estudantes universitários, que  analisou  a implementação e os resultados de uma intervenção grupal, bem como os efeitos da pandemia na saúde mental. Participaram 20 universitários e três mediadoras vinculadas ao curso de Psicologia e foram realizados sete encontros semanais de uma hora e trinta minutos cada. As fontes de dados foram compostas por um questionário sociodemográfico, um questionário de avaliação da saúde mental inicial e final e um protocolo de avaliação do processo grupal. Foi realizada análise temática dos dados, revelando impactos importantes na saúde mental, em aspectos como sono, ansiedade e rotina, bem como a potencialidade do grupo para acolher o sofrimento psíquico. Diversas estratégias potencializaram a escuta em contexto on-line, bem como fortaleceram o vínculo grupal e as redes de apoio dos participantes. Conclui-se pela necessidade de aperfeiçoar estratégias de atendimento grupal para situações de urgência e emergência e para contextos online.
The Relationship Between Preoperative International Normalized Ratio and Postoperative Major Bleeding in Total Shoulder Arthroplasty
Authors: Zhang Dafang , Dyer George S. M. , Earp Brandon E.
Published: April 2024

Introduction:

This study aimed to assess the relationship between preoperative international normalized ratio (INR) levels and major postoperative bleeding events after total shoulder arthroplasty (TSA).

Methods:

The American College of Surgeons National Surgical Quality Improvement Program database was queried for TSA from 2011 to 2020. A final cohort of 2405 patients with INR within 2 days of surgery were included. Patients were stratified into four groups: INR ≤ 1.0, 1.0 < INR ≤ 1.25, 1.25< INR ≤ 1.5, and INR > 1.5. The primary outcome was bleeding requiring transfusion within 72 hours, and secondary outcome variables included complication, revision surgery, readmission, and hospital stay duration. Multivariable logistic and linear regression analyses adjusted for relevant comorbidities were done.

Results:

Of the 2,405 patients, 48% had INR ≤ 1.0, 44% had INR > 1.0 to 1.25, 7% had INR > 1.25 to 1.5, and 1% had INR > 1.5. In the adjusted model, 1.0 < INR ≤ 1.25 (OR 1.7, 95% CI 1.176 to 2.459), 1.25 < INR ≤ 1.5 (OR 2.508, 95% CI 1.454 to 4.325), and INR > 1.5 (OR 3.200, 95% CI 1.233 to 8.302) were associated with higher risks of bleeding compared with INR ≤ 1.0.

Discussion:

The risks of thromboembolism and bleeding lie along a continuum, with higher preoperative INR levels conferring higher postoperative bleeding risks after TSA. Clinicians should use a patient-centered, multidisciplinary approach to balance competing risks.
Pengaruh Transformational Leadership Kepala Sekolah, Organizational Culture dan Organizational Commitment terhadap Teacher Performance di SMP XYZ Wilayah Jakarta
Authors: Boli Bernardus
Published: April 2024

Keberhasilan sebuah organsiasi terindikasi melalui keberhasilan dalam mengelolah sumber daya, baik dalam hal kepemimpinannya, budaya kerja maupun komitmen yang akan dibangun untuk setiap yang bekerja di dalamnya. Dalam lembaga pendidikan, guru menjadi figur terdepan dalam mengelaborasi berbagai layanan melalui kinerjanya. Kinerja guru yang baik dipengaruhi oleh banyak faktor, seperti kepemimpinan kepala sekolah, budaya yang berkembang dalam organisasi, dan komitmen organisasi dalam melaksanakan kebijakannya. Penelitian dalam tulisan ini bertujuan untuk mengetahui pengaruh kepemimpinan transformasional kepala sekolah, budaya organisasi maupun komitmen organisasi terhadap kinerja guru. Metode yang digunakan dalam penelitian ini adalah metode penelitian kuantitatif dengan pendekatan deskriptif dan verifikatif. Teknik penarikan sampel dalam penelitian ini adalah non probability sampling dengan jumlah responden sebanyal 85 guru. Hasil penelitian menunjukkan bahwa kinerja guru  termasuk dalam kategori yang cukup bagus, dimana kepemimpinan transformasional kepala sekolah maupun budaya organisasi tidak secara signfikan atau langsung berpengaruh pada kinerja guru, sedangkan komitmen organisasi justeru memberikan pengaruh yang kuat pada performansi guru di Sekolah Menengah Pertama (SMP) XYZ wilayah Jakarta.
Pengembangan Instrumen Penilaian Berbasis Scaffolding untuk Mengukur Scientific Reasoning Pada Pembelajaran IPA di SMP
Authors: Miranda Yussy , Ridlo Zainur Rasyid , Nuha Ulin
Published: April 2024

Tujuan dari penelitian ini yaitu untuk mengetahui pemberian instrumen penilaian berbasis scaffolding untuk mengukur scientific reasoning pada pembelajaran IPA di SMP pada materi suhu, kalor dan pemuaian yang dilaksanakan pada bulan november di salah satu Sekolah MTsN 1 Jember Kabupaten Jember. Penelitian ini menggunakan Borg and Gall. Sampel diambil menggunakan uji kelompok kecil dan uji kelompok besar di kelas VII E,F,G,H. Instrumen penelitian ini berupa soal tes penalaran ilmiah yang dikembangkan oleh Lawson yaitu tipe LCTSR (Lawson Classroom Test of Scientific Reasoning). Dari hasil penelitian menunjukkan bahwa validitas instrumen penilaian mendapatkan rata-rata sebesar 80,59%. Reliabilitas instrumen penilaian mendapatkan indeks sebesar 0,837 dan dapat dikategorikan reliabel sangat tinggi. Daya pembeda butir Soal Terdapat 3 kategori yaitu, 5 item dalam kategori baik, 10 item dalam kategori cukup, dan 5 item dalam kate-gori buruk yang ditentukan oleh daya pembeda dari 20 item item pertanyaan yang diu-jikan. Tingkat kesukaran 20 item soal yang diujikan menghasilkan presentase mudah 20%, sedang 70% dan sukar 10%. Namun hasil ini masih harus ditingkatkan kembali agar peserta didik dapat terlatih untuk memiliki kemampuan Scientific Reasoning.
Pengembangan Teknologi Pembelajaran Sistem Informasi Ujian Komprehensif Fakultas Syari’ah UIN Salatiga
Authors: Malihatun Handayani
Published: April 2024

Tujuan penelitian ini adalah membantu mekanisme ujian komprehensif yang ada di Fakultas Syari’ah untuk lebih maju sesuai dengan teknologi yang sedang berkembang. Metode yang digunakan untuk pengujian perangkat lunak Sistem Informasi Ujian Komprehensif dengan standar ISO 9126 yang terdiri dari aspek: functionality, efficiency, usability, reliability dan portability. Pengujian dilakukan dengan kuesioner untuk aspek functionality dan usability, sedangkan untuk aspek efficiency, reliability dan portability menggunakan tool dan software pengujian. Hasil pengujian aplikasi Sistem Informasi Ujian Komprehensif berdasarkan ISO 9126 didapatkan hasil pengujian diperoleh nilai functionality sebesar 1 di kategorikan (Baik), pengujian usability sebesar 80% (Sangat Layak), pengujian efficiency diperoleh waktu respon sebesar 48 ms (Diterima), pengujian reliability diperoleh tingkat reliability 100% (Memenuhi) dan aspek  portability aplikasi  telah  memenuhi  standar  kriteria karena  berhasil dijalankan  pada semua  browser untuk desktop maupun browser mobile yang diujicobakan tanpa error.
Screening of Type 2 Diabetes Patients of Khyber Pakhtunkhwa for CDKAL1 Variant (rs10946398)
Authors: Ali Maqsood , Bahadar Haji , Shah Haseenullah , Afridi Sajjad , Ali Sajid , Ijaz Kiran , Khuda Fazli , Khan Hamayun , Raziq Mohsin , Ullah Zaki
Published: April 2024

Diabetes Mellitus Type 2 (T2DM) is a metabolic disorder influenced by environmental and genetic factors, with varied genetic predispositions across populations. Research on T2DM's genetic risk factors in the Pakistani community is limited. Objective: To explore the association between the CDKAL1 gene variant (rs10946398) and T2DM in the Khyber Pakhtunkhwa population in Pakistan. Methods: The study involved 100 T2DM patients and 100 controls, matched by age and gender, following specific inclusion and exclusion criteria. Sociodemographic data were collected alongside 3ml of whole blood for DNA extraction. The CDKAL1 gene was analyzed using PCR-based Sequence Restriction Fragment Length Polymorphism (RFLP), and the data were processed with SPSS version 26.0s. Results: Findings showed that 47% of cases were aged 39 to 59, with 94% having a family history of T2DM and 85% leading a sedentary lifestyle. A significant association was observed between the CDKAL1 rs10946398 variant and T2DM. The GC variant was linked to a fourfold increase in risk (OR: 4.833, CI: 1.197-19.509, P=0.027), and the CC variant had a twofold association (OR: 2.788, CI: 1.545-5.033, P=0.001). These associations persisted after adjusting for family history, age, socioeconomic factors, exercise, and diet. Conclusions: The study identified a significant correlation between the CDKAL1 rs10946398 variants and T2DM susceptibility in the Khyber Pakhtunkhwa population, emphasizing the role of genetic factors in the disease's prevalence within this community.
Anthropological strategies for successful Christian missionary endeavors amidst poverty escalation in Africa
Authors: Alawode Akinyemi Oluwafemi
Published: April 2024

Poverty and hunger have become global crises, especially in Africa. African political leaders have continued mismanaging public resources while many have embezzled public funds. Some have misappropriated public funds and borrowed senselessly from the West, making it difficult for them to dissociate themselves from the dictates of Western powers. Another factor that has impoverished Africa is intertribal war, caused mainly by leadership negligence because of their political calculations. Other problems that have contributed to the escalating poverty level in Africa are political instability, economic downturn, and religious intolerance. Despite the poverty crisis in Africa, the church has remained proactive in alleviating poverty in Africa. The church has been missional in its approach, but with its missionaries’ efforts, it has had to become strategic in the contemporary time to record successes in its missions’ endeavour in Africa, especially in Nigeria. Therefore, this paper attempts to explain the anthropological strategies that mission agencies and missionaries employ to record success in the face of poverty escalation in Africa; this will be achieved by explaining the concept of poverty in Africa, historically examining missions’ success in Africa and identifying anthropological strategies employed by missionaries in Africa despite the escalating level of poverty in Africa. This study reveals strategies for mission success to ensure missionaries of different denominations are aware of previous achievements and to do more.
ANÁLISE DO GASTO CALÓRICO DO EXERCÍCIO AERÓBIO CONTÍNUO VS INTERVALADO EM JOVENS UNIVERSITÁRIOS
Authors: Lucena Pedro Henrique Marques de , França Clizaldo Luiz Maroja Di Pace , Queiroz Neto Olivan Osmar de , Lucena Caroline de Lima Alexandre , Silva Camila Lins , Oliveira Janyeliton Alencar de , Paz Natália Herculano , França Arthur Maroja Di Pace , Dantas Pedro Augusto Mariz , Paz Carlos Renato , Cirilo-Sousa Maria do Socorro
Published: April 2024

O objetivo foi analisar o gasto calórico na corrida contínua e intervalada (HIIT) em jovens universitários. Métodos: Participaram da pesquisa um total de 12 (doze) homens fisicamente ativos com idade média de ± 21.6 anos. Foram realizados dois protocolos de exercícios aeróbio, G1 = contínuo (AEC) sendo uma corrida contínua de 30’ e o G2 = intervalado (AEI) sendo 30’ com 1’ de corrida em alta intensidade e 2’ de caminhada. Foram verificados os gastos calóricos e a percepção subjetiva do esforço após as sessões experimentais. Os dados foram analisados por meio do software Jamovi versão 2.2.5); foi utilizado o teste T de student para comparação entre os grupos e o nível de significância adotada será p≤0.05. Resultados: Houve diferença significativa em todas as variáveis estudadas, distância percorrida G1= (P=0,002) Velocidade média (P=0,003), Gasto Calórico (P=0,002). Conclusão: O treino AEC mostrou ser um exercício que exige uma percepção do esforço maior de acordo com a tabela de Borg, assim causando assim um maior gasto calórico quando comparado ao AEI.
ACHADOS EM TOMOGRAFIAS COMPUTADORIZADAS DE TÓRAX DE PACIENTES TRAUMATIZADOS, ATENDIDOS NA EMERGÊNCIA CIRÚRGICA DE UM HOSPITAL PÚBLICO DE REFERÊNCIA DO SUL DO BRASIL
Authors: Dutra Vinícius Ensslin , Pietro Daniel Di , Luiz Milena Maragno , Cabral Junior Nelson
Published: April 2024

Introdução: No que se refere ao trauma torácico torna-se necessário seguir as recomendações do Colégio Americano de Cirurgia (American College of Surgery - ACS) por meio de anamnese, exames físicos e métodos complementares. Neste viés, a tomografia computadorizada (TC) possui sensibilidade e especificidade maior quando comparada à radiografia de tórax. Objetivo: Identificar em tomografias computadorizadas de tórax a prevalência das alterações em pacientes traumatizados atendidos na emergência cirúrgica.  Método: Trata-se de um estudo transversal em que os dados foram coletados com base em laudos tomográficos de pacientes submetidos ao exame de tomografia de tórax e/ou de corpo inteiro, atendidos na emergência do HRSJ através do serviço de cirurgia-geral, no período de 11 de junho de 2021 até 1º de maio de 2022, sendo avaliadas as variáveis: idade, sexo e achados tomográficos. Resultados: Foram analisados 859 laudos tomográficos dos quais, 78,2% são pacientes do sexo masculino, com média de idade de 44,1 anos. Destes, 34,7% apresentaram, pelo menos, uma alteração no exame de imagem: fraturas de costela/esterno como as mais prevalentes, correspondentes à 70,9% dos casos, seguidos por pneumotórax, com 32,8% e derrame pleural, com 22,1%. Já o achado de menor destaque, além de menos comum, foi o de lesão diafragmática, com apenas 0,3%. Conclusão: O perfil de pacientes traumatizados, submetidos à tomografia de tórax e atendidos na emergência cirúrgica de um hospital público de referência do sul do Brasil, é comporto por homens e jovens dos quais, 34,7% sofreram alguma alteração, sendo fratura de costelas/esterno a mais frequente, seguida de pneumotórax e derrame pleural.
FATORES DE RISCO PARA A OCORRÊNCIA DE ENTEROPARASITOS EM CÃES E GATOS RESGATADOS E ACOLHIDOS POR ORGANIZAÇÕES NÃO GOVERNAMENTAIS
Authors: Medeiros Ellen Cristina Araújo de , Lima Mariana Prada de , Pinto Michel dos Santos , Camargo Neto João Alfredo Biagi , Bresciani Katia Denise Saraiva
Published: April 2024

A presença de animais não domiciliados no meio urbano é um fator preocupante para a saúde pública, visto que suas fezes contaminadas com formas pré-parasitárias de enteroparasitos podem atuar como meio de transmissão de diversas zoonoses, como larva migrans cutânea, larva migrans visceral, criptosporidiose e giardiase. Diante do exposto, o objetivo foi pesquisar os fatores de risco para a ocorrência de parasitos gastrintestinais de animais resgatados e acolhidos por organizações não governamentais nos municípios de Araçatuba e Birigui, São Paulo. Amostras fecais de 58 cães e 75 gatos foram colhidas e processadas  por meio das técnicas de Willis-Mollay e Hoffman, Pons e Janer. A investigação dos fatores de risco foi efetuada por meio da aplicação de um questionário em forma de entrevista. Assim, 52 (39,09%) dos animais foram considerados positivos, sendo identificados Ancylostoma spp., Cystoisospora spp., Toxocara spp.  e Trichuris spp., respectivamente em 12 (66,6%), 2 (11,1%) 5 (27,7%) e 4 (22,2%) dos cães. Também foi observada a presença de Ancylostoma spp. em 27 (79,41%) e Cystoisospora spp. em 13 (38,23%) dos gatos. A técnica de Willis-Mollay apresentou maior eficácia no diagnóstico de Ancylostoma spp. (74,35%) em relação à técnica de Hoffman, Pons e Janer (25,64%) nos animais. Ainda, foi a única capaz de identificar os gêneros Cystoisospora spp. e Trichuris spp. Entretanto, a técnica de Hoffman, Pons e Janer demonstrou maior êxito no diagnóstico de Toxocara spp. (80%) em relação à técnica de Willis-Mollay (20%). A análise dos dados constituiu-se de estatística interferencial (Teste Exato de Fisher), para verificar a associação dos fatores de risco com as infecções parasitárias, além da correlação entre as variáveis supramencionadas, não sendo observada diferença significativa. Por meio dos resultados obtidos, pode-se verificar a elevada prevalência de parasitos, inclusive de caráter zoonótico, em animais resgatados e acolhidos dos municípios de Araçatuba e Birigui, sendo os gêneros Ancylostoma e Cystoisospora os de maior ocorrência nos animais.
QUARTEIRIZAÇÃO NA MANUTENÇÃO DE FROTAS: ESTRATÉGIAS PARA OTIMIZAÇÃO LOGÍSTICA E SUSTENTABILIDADE
Authors: Pacheco Vanessa Gama , Barroso Marcelo Batista Soares
Published: April 2024

O estudo investigou a implementação da quarteirização na gestão de frotas da Base Administrativa do Quartel-General do Exército, com foco em melhorar a eficiência operacional, reduzir custos, promover a sustentabilidade e fomentar a inovação. A metodologia incluiu análise bibliográfica, estudos de caso e entrevistas com membros da organização. Os resultados apontaram para uma melhoria significativa na disponibilidade das viaturas, destacando a eficácia da quarteirização em otimizar a prontidão e operacionalidade dos veículos. Pontos positivos incluíram a redução de custos, a simplificação de processos licitatórios e a busca por eficiência operacional, alinhados com critérios de ESG(ambiental, social e governo). As discussões ressaltaram a importância de integrar a sustentabilidade e a inovação à quarteirização, além de aprimorar a gestão de relacionamentos com fornecedores. A conclusão enfatizou a necessidade de uma abordagem equilibrada na implementação da quarteirização, reconhecendo os benefícios da estratégia para a gestão de frotas, desde que acompanhada por práticas inovadoras, sustentáveis e alinhadas aos princípios de ESG.