bluuebunny/crossref_metadata_2025 huggingface dataset:
Descontrole glicêmico em pacientes adultos no pós-operatório de cirurgia cardíaca
Authors:   , Januário Carla de Fátima
Published: August 2024

Objetivo: Analisar o descontrole glicêmico em pacientes adultos em pós-operatório imediato de cirurgia cardíaca. Método: Trata-se de um estudo conduzido em três etapas: revisão integrativa da literatura; estudo de coorte retrospectiva e desenvolvimento de um produto técnico. Foi realizado um estudo de coorte retorpectivo, através de coleta de dados secundários em prontuários de pacientes que realizaram cirurgia cardíaca. Resultados: De acordo com a literatura, os efeitos mais comuns da glicemia instável em pacientes em pós operatório imediato de cirurgia cardíaca são o aumento da mortalidade e do tempo de internação, fibrilação atrial, insuficiência renal aguda, acidente vascular encefálico, delirium, maiores custos, reinternações mais frequentes, maiores chances de infecção pós operatória. Em relação ao estudo de coorte, a incidência de descontrole glicêmico no pós-operatório imediato de cirurgia cardíaca foi de 40,7% (n = 37), entre os 91 pacientes analisados. A alteração mais incidente foi a hiperglicemia (86,5%) e apenas dois pacientes (5,4%) apresentaram hipoglicemia. Observou-se associação estatística significativa entre o uso prévio de insulina e a ocorrência de descontrole glicêmico durante o pós-operatório imediato (p=0.039). Das características clínicas nos pacientes que apresentaram o descontrole glicêmico, evidenciou- se, que no terceiro momento de aferição o valor da frequência respiratória foi maior (p= 0,043); no primeiro momento da aferição a saturação de oxigênio foi menor (p=0,040); no quarto momento de aferição o valor da temperatura foi menor (p=0,024). O uso de corticóides durante o quarto momento de aferição do valor de glicemia também esteve associado (p=0,039) ao descontrole glicêmico. A necessidade de correção glicêmica esteve associada ao descontrole glicêmico nos momentos 2,3 e 4 (p<0,001; p=0,001 e p=0,012, respectivamente). Sobre os valores absolutos de glicemia, os pacientes com descontrole glicêmico apresentaram maior variabilidade glicêmica (35,3 ±18,5%) e maiores médias de glicemia em todas as mensurações realizadas. Foi produzido uma cartilha sensibilizadora a respeito destes fatores de risco identificados. Conclusão: Identificar os efeitos da glicemia instável e a incidência e os fatores associados ao descontrole glicêmico em pacientes adultos em pós-operatório imediato de cirurgia cardíaca é essencial para minimizar este evento, bem como melhorar a segurança e estabelecer cuidados baseados em evidências. Descritores: Enfermagem. Procedimentos cirúrgicos cardíacos. Controle glicêmico. Cirurgia torácica. Cuidados pós-operatórios. Cuidados intensivos.
Avaliação da disbiose intestinal e os fatores de saúde associados em indivíduos vegetarianos
Authors: Fornasier de Cordova Bianca , Marcon Maiara , Zanotti Joana
Published: August 2024

Introdução: A composição da microbiota intestinal está bastante relacionada ao estilo de vida e às condições clínicas do indivíduo, sendo que o tipo de dieta pode ser fator causal de disbiose. Objetivos: Avaliar os fatores de saúde associados à disbiose intestinal em indivíduos vegetarianos. Métodos: Estudo observacional transversal com amostra obtida por conveniência, composta por indivíduos vegetarianos com idade ≥ 18 e < 60 anos, de ambos os sexos. A coleta ocorreu com questionário online. O desfecho disbiose intestinal foi investigado através do Questionário de Rastreamento Metabólico (QRM), além disso, foram analisadas variáveis sociodemográficas, antropométricas, de comportamento, de consistência das fezes (Escala de Bristol) e variáveis bioquímicas. Possíveis associações entre as variáveis e o desfecho foram analisadas. O nível de significância estatístico adotado foi de 5%. Resultados: Houve baixa prevalência de diagnóstico de disbiose intestinal (15,9%). Foram encontradas associações entre as seguintes variáveis e o desfecho: gênero feminino (p=0,029), parâmetro diarreia leve da Escala de Bristol (p≤0,0001) e deficiência severa de Vitamina D (p=0,035). Conclusão: O padrão de alimentação vegetariano pode ser fator de proteção para a disbiose intestinal, visto a baixa prevalência encontrada, além disso, há associação dela com deficiência de Vitamina D, sexo e presença de diarreia.
La usurpación de los derechos de obtentores vegetales en Colombia: un análisis desde el error de prohibición
Authors: Vargas-Chaves Iván
Published: August 2024

El presente artículo tiene por objetivo analizar el escenario crítico que se da en el artículo 306 del Código Penal, que penaliza el delito de usurpación de los derechos de obtentores vegetales; ello, desde la figura del error de prohibición. Se analiza la forma en cómo los campesinos incurren en esta situación jurídica, en tanto que, como grupo de especial protección, dependen de prácticas tradicionales que a diario utilizan, así como de las semillas nativas o criollas para garantizar su soberanía alimentaria. La metodología de análisis documental escogida permitió estudiar y realizar un análisis externo desde un enfoque interpretativo sistemático, el conjunto de normas de derecho interno, internacional y supranacional sobre obtenciones vegetales, así como la jurisprudencia y la doctrina especializada en este ámbito. Como aporte, el artículo concluye que, en un Estado de Derecho, el error de prohibición como figura es clave para que todos los individuos, incluidos los campesinos, actúen con seguridad y confianza, sin temor a ser penalizados por actos que además de considerar son lícitos, son fundamentales para su subsistencia y soberanía alimentaria.
La minería de datos con agrupamiento difuso para el cálculo del riesgo de ocupación criminal por parte de grupos armados ilegales
Authors: Granados Garzón Leonardo
Published: August 2024

La minería de datos en el contexto del riesgo de ocupación criminal, se centra en la aplicación de técnicas analíticas para identificar patrones, tendencias y correlaciones que puedan indicar la presencia de grupos armados ilegales en los territorios. El estudio presenta el cálculo de los riesgos de ocupación por parte de los grupos ilegales Clan del Golfo, Ejército de Liberación Nacional (ELN) y Los Pachelly en los municipios del departamento de Antioquia en Colombia. Para ello, las bases de datos utilizadas corresponden a fuentes abiertas como el Sistema de Información Estadístico, Delincuencial, Contravencional y Operativo de la Policía Nacional (SIEDCO), la Dirección de Investigación Criminal e INTERPOL (DIJIN), el Sistema de Información de Drogas de Colombia (SIDCO), el Ministerio de Defensa, el Instituto Nacional de Medicina Legal, el Observatorio de Tierras, la Unidad para la Atención y Reparación Integral a las Víctimas, la Defensoría del Pueblo, la Dirección de Sustitución de Cultivos de Uso Ilícito, la E.S.E. Hospital Carisma, la Dirección de Información Departamental-Gobernación de Antioquia, el Departamento Administrativo Nacional de Estadística (DANE) y el Ministerio de Educación Nacional. Asimismo, utilizamos la metodología Cross Industry Standard Process for Data Mining (CRISP-DM) y se combinó el análisis de componentes principales (ACP) y la técnica Fuzzy c-Means (FCM) para identificar en los datos las variables sociales, económicas, laborales, educacionales y criminales que mayormente aportan al riesgo de presencia de las estructuras criminales en los municipios, lo que permitió clasificarlos en riesgo bajo, riesgo medio, riesgo medio-alto, riesgo alto y riesgo muy alto. Los resultados muestran que el 26 % de los municipios tendrían un riesgo alto para el Clan del Golfo, el 11 % con el ELN y otro 12 % para Los Pachelly. Además, se encontró que los resultados pueden utilizarse en un prototipo de un sistema integrado de alerta temprana para detectar riesgos de ocupación criminal.
Pengembangan Cerita Rakyat Aceh Berbasis Literasi di MTsN 1 Lhokseumawe
Authors: Diana Novi , Sari Mutia
Published: August 2024

Learning success is influenced by many factors. Generally, everything relies on the teacher's competency factor. It is natural that teacher professionalism is now highly demanded in order to improve the quality of education in Indonesia. One of the teacher competencies required in his profession is to prepare to learn well and mature. most teachers enter the class without careful preparation. Even if there is a Learning Implementation Plan (RPP), it is not homemade but photocopying from another teacher/person or from the internet. The main capital of the teacher enters the class using textbooks or worksheets written by others. This requires training for teachers in the preparation of teaching materials. The purpose of this study was to develop literacy-based folklore teaching materials (reviewed based on listening, speaking, reading, and writing skills) for class VII students of MTsN 1 in Lhokseumawe City. The results of the study stated that the validity of the developed learning devices included in the valid category with an average value of RPP validity of 4.03, teaching material 4.12, LKS of 4.42, and items was in the valid category. Learning tools developed through literacy folklore materials based on Aceh have met the effective criteria. Effective criteria viewed from: (1) student learning completeness classically has reached 87% in trial II; (2) achievement of learning objectives of at least 75%; (3) achievement of learning time is at least the same as ordinary learning. Increasing student literacy using Aceh folklore teaching materials on the material is the average student achievement in the first trial of 69 increased to 87 in the second trial, on average each student indicator increased from the trial I to trial II. Students have met the completeness criteria in a classical manner. This is due to the material and problems that exist in teaching materials and worksheets developed according to the conditions of the student's learning environment and referring to literacy. By applying literacy, students will be actively involved in the process of completing Indonesian language material. Theoretically, the learning time used during learning using literacy has met the effectiveness criteria. By using teaching materials, students are first given questions in writing, so that from these problems students can think, observe, make guesses, explain, and analyze to knowledge with the guidance of the teacher.
Pematuhan Prinsip Kesantunan Berbahasa dalam Proses Pembelajaran di Smp Negeri 7 Lhokseumawe
Authors: Fitrah Rifka , Siahaan Rachel Yoan Katherin Putri , El Farouq Muhammad Ayyinna Yusron , Prayogi Arditya
Published: August 2024

Penelitian ini bertujuan untuk mendeskripsikan pematuhan prinsip kesantunan berbahasa yang dilakukan oleh guru dan siswa dalam proses pembelajaran di SMP Negeri 7 Lhokseumawe. Metode yang digunakan pada penelitian ini adalah deskriptif kualitatif. Sumber data pada penelitian ini adalah siswa dan guru SMP Negeri 7 Lhokseumawe, sedangkan datanya berupa dialog siswa dan guru dalam proses pembelajaran. Data diperoleh melalui teknik observasi, teknik rekam, teknik simak, dan teknik catat. Hasil penelitian ini menunjukkan bahwa dalam proses pembelajaran di SMP Negeri 7 Lhokseumawe, terdapat tuturan yang mematuhi prinsip kesantunan berbahasa sebanyak 26 data. Dari keenam jenis maksim yang dijabarkan oleh Leech, peneliti hanya menemukan empat maksim dalam pematuhan prinsip kesantunan berbahasa yaitu maksim kebijaksanaan, maksim kedermawanan, maksim permufakatan, dan maksim kesimpatian. Jadi, dapat dikatakan bahwa tuturan dalam proses pembelajaran di SMP Negeri 7 Lhokseumawe masih banyak siswa yang menggunakanan bahasa yang santun.
Bentuk-Bentuk Bahasa Tabu pada Masyarakat di Desa Muara Batu-Batu
Authors: Yuliandari  , Maharudinsah  , Selamat Husni Hasibuan  , Rhendivan Pasaribu
Published: August 2024

Penelitian ini bertujuan untuk mendeskripsikan bentuk tabu sumpah serapah yang terdapat pada masyarakat Muara batu-batu. Metode yang digunakan berupa deskriptif kualitatif. Sumber data penelitian adalah masyarakat Subulussalam berusia 20 s.d. 65 tahun yang berdomisili di Kampung Muara Batu-batu. Data penelitian ini adalah ungkapan tabu sumpah serapah yaitu makian, hujatan, kutukan, kecarutan, sumpahan dan lontaran/seruan. Teknik pengumpulan data menggunakan teknik audio yaitu observasi, wawancara, dokumentasi dan rekam. Adapun tahapan-tahapan dalam analisis data adalah pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Bentuk-bentuk Bahasa Tabu Pada Masyarakat di Kota Subulussalam terdapat 3 jenis bentuk: Bentuk kalimat sebanyak 31 data, Bentuk Frasa sebanyak 8 data, dan Bentuk kata sebanyak 1 data. Berdasarkan keenam jenis tabu sumpah serapah yang didapat pada masyarakat Subulussalam, bahwa 40 ungkapan tabu dalam masyarakat Subulussalam merupakan ungkapan yang dilarang ketika diucapkan karena dapat menyakiti hati serta perasaan orang lain.
Factors Influencing Community Participation in Street Vending Business on Urban Road Corridors: A Disposition of Economic Theories and Land use Models.
Authors: Adamu Eya Musa Adamu , Sinniah Gobi Krishna , Zaly Shah Muhammad , Hashim Abdullahi
Published: August 2024

Cities are complicated ecosystems in which buildings are built and humans interact. Street vending, while sometimes spontaneous and unplanned, serves a crucial role in the urban fabric. Globally, there has been a surge of interest in understanding the dynamics of informal street vending, motivated by a desire to relieve economic inequalities. The goal of this research was to examine the factors that influence street vending activities based on economic disposition as a result of inadequate economic stability, a lack of formal jobs, and individual disengagement from the pursuit of western formal education. We take stock of this study to bring together the many kinds of street vending activities as an integral part of what is considered as liveability. The urban environment functions as an ecosystem, digesting materials, energy, and information while also supporting economic activity and human existence. The study begins with economic theories of street vending; while these activities are not controlled in Nigeria, they are woven into the urban fabric of socioeconomic status. The Cronbach's alpha of 0.861 and Cronbach's alpha based on standardised items of 0.856 suggest 100% validity and 90% reliability, respectively. The model fitting data yielded 93.917 at the 0.001** significance level. The results demonstrate that the model was appropriate for the investigation. Individuals engaged in vending activities to meet their daily and family necessities.
Pan-European Water Use Efficiency and Sustainability Evaluation Based on Stochastic Meta-frontier Analysis
Authors: Bronner Mike , Fong See Kok
Published: August 2024

In 2007, the European Union (EU) intended to become a water-efficient community. Yet, despite the EU’s commitment to the United Nations (UN) sustainable development goals (SDGs), relevant insights based on scientific research are still sparse. This study presents a pan-European water use performance evaluation, considering differences in production technologies and potential efficiency determinants. The empirical results are obtained by analysing country-level panel data from 2011 to 2020. Our paper provides more instructive and encompassing findings to inform holistic policy formulation and management practices than prior studies that have typically relied on partial-factor indicators with limited explanatory power. We find that European countries are subject to technological and efficiency heterogeneity, and our production function and inefficiency equation estimations attest to the existence of divergent cause-effect relationships, calling for decentralised, customised solutions. Arguably, our comparative benchmarking analysis constitutes the first comprehensive cross-country investigation for Europe of its kind, underscoring the importance of impactful science in fostering the preservation of high civilisation in line with the theme of this special issue.
The Moderating Role of Liquidity on Financial Leverage and Profitability of Banks in Ghana
Authors: Ibrahim Abdul Rafiu , Nagriwum Timothy Masuni , Wiredu Richard , Adam Dauda
Published: August 2024

Purpose: In the banking industry, profitability has always been a key metric for determining or analyzing profitability. Changes in bank profitability could have an impact on economic advancement since earnings influence company investment decisions. As a result, significant profitability is necessary for a bank's long-term survival and growth. The paper examined the role of liquidity on the nexus between financial leverage and profitability of banks from the perspective of Ghana.
Methodology: Based on convenience sampling techniques and the availability of reliable data, the study covered six (2018-2023) financial years of the twenty (20) banks. The study employed quantitative research with descriptive and exploratory research design. SPSS (v23) and Microsoft Excel were used in analyzing the secondary data collected from the PwC Ghana Banking Survey Report and the Ghana Statistical Service.
Findings: Per the study analysis, it is established that in Model 1 (ROE), liquidity has no substantial influence on the profitability of the banks and when profitability is measured by ROE, it has an insignificant relationship with liquidity but in Model 2 where profitability is measured by ROA, it was revealed that there exists a significant relationship between profitability and liquidity. Financial leverage and profitability for both models 1 and 2 of the study show a significant relationship. It was also revealed that when profitability is measured by either ROE in model 1 or ROA in model 2, Liquidity has a greater moderating effect on the nexus between financial leverage and the profitability of banks.
Unique Contribution to Theory, Policy and Practice: Therefore, the study concludes that there is a significant moderating effect of liquidity on the link between financial leverage and profitability of banks quoted on the Ghana Stock Exchange and therefore recommends that banks map up a good strategy in maintaining a good financial leverage level to help increase profits thereby increasing shareholders' value.
Nigerian Trade Dynamics: A Cyclical Analysis
Authors: Apere ThankGod , Karimo Tamarauntari
Published: August 2024

Nigeria's economic development is heavily dependent on trade, which is a major factor in the country's GDP growth, foreign exchange profits, and job possibilities. Nonetheless, there are cyclical patterns inherent in Nigerian trade dynamics, which may have a big impact on macroeconomic stability, how policies are made, and how well the economy performs overall. Using research showing a substantial association between trade variations and patterns of economic development, the paper explores the complex relationship between trade cycles and economic cycles. Since Nigeria is heavily dependent on oil exports, it is particularly aware of how the oil trade shapes overall trade cyclicality and how this makes the country susceptible to changes in global demand and commodity prices. Additionally, the analysis delves into the complex link that exists between trade cycle volatility and trade openness. It assesses divergent views found in the literature, with some arguing that greater trade openness can exacerbate trade cycle volatility and worsen economic instability, while others contend that greater trade openness can help reduce trade cycle fluctuations and improve economic stability.
Characterisation of Hβ spectra from EXO 051910+3737.7 X-rays binaries
Authors: Nuchvanichakul Pornisara , Irawati Puji , Rittipruk Pakakaew , Gandhi Poshak , Knigge Christian , Charles Phil , Wannawichian Suwicha
Published: August 2024

We investigate the spectral characteristics of the Be/X-ray binary system, EXO 051910+3737.7, in which Be/X-ray systems are the largest sub-class of high-mass X-ray binaries. Spectroscopic observations are taken by the Thai National Telescope (TNT) with a Medium-RESolution spectrograph (MRES) instrument for seven nights spanning from 2020 to 2021. Our primary focus is directed towards the analysis of two Balmer lines, namely Hα and Hβ, given that Be stars typically exhibit emission features in at least one of these hydrogen Balmer lines during certain phases. Our observations reveal split Balmer emission lines throughout the entire duration of our monitoring. Double Gaussian profiles were employed for line fitting to characterize these lines. The presence of double peaks in the Balmer lines indicates the presence of asymmetries within the circumstellar disc. We then analyze V/R variations and the changes in Hβ spectra. Our analysis of V/R variation which Violet (V) and Red (R) peak intensity components, revealed rapid fluctuations occurring within a single day, although determining the precise periodicity was constrained by instrumental limitations and the duration of observability. Furthermore, employing observed the wavelength differences (Δλ) in conjunction with typical Be star parameters allowed us to estimate the radius (rβ) of the Hβ emitting envelope. The average value was calculated to be 2.585r∗, with a standard deviation of 0.050r∗.
HIGHLIGHTS

EXO 051010+3737.7 spectral line profiles were observed using the TNO/MRES instrument, revealing absorption lines for He I, and double-peak emission lines for Hand H.
Rapid V/R variations were detected within a single day.
The radius of the Hemitting envelope use the observed  and typical Be star parameters.

GRAPHICAL ABSTRACT
HPTLC FINGERPRINTS AND FTIR ANALYSIS FOR AUTHENTICATION AND QUALITY CONTROL OF Holostemma ada-kodien Schult.
Authors: Devipriya D , Radhamany P M
Published: August 2024

Plant-derived pharmaceuticals are gaining increased acceptance in treating   various ailments, but ensuring their quality is crucial. Both conventional and   modern techniques are employed to validate the quality. High performance   thin layer chromatography (HPTLC) and Fourier transform infra-red (FTIR)   analysis were conducted to analyse and identify the various phytoconstituents   in serial root extract of Holostemma ada-kodien. The peaks observed in   HPTLC fingerprint profile corresponding to different phytoconstituents   served as markers for standardizing drug; while FTIR analysis aids in   identifying the major functional groups present. Thirteen bands were noted for hexane extract of H. ada-kodien in short UV in track I, while chloroform   and methanol extracts showed eight bands each. In track II, the hexane extract   exhibited eight bands, while chloroform and methanol extracts showed eleven  and eight bands, respectively, under similar conditions. The hexane extract in   long UV showed a maximum area of 78.4 and 71.59%, in track 1 and 2,   respectively, with respective spanning from Rf 0.61 to 0.75 and 0.51 to 0.73.  The methanol extract in visible light in track I showed a maximum area of   46.87%, spanning from Rf 0.73 to 0.98, and in track II, it displayed a maximum   area of 36.59%, spanning from Rf 0.75 to 0.96 with 10 µL applied. Methanolic  root extract of H. ada-kodien showed clear banding patterns in HPTLC   fingerprints which seemed to be a dependable technique to detect adulteration   while FTIR technique revealed functional groups of methanol root extracts.
 SEASONAL VARIATION AND PREVALENCE OF GASTROINTESTINAL PARASITES IN CAPTIVE MAMMALS AT LAHORE ZOO
Authors: Ali Waqas , Ali Sadia , Hussain Abid , Haseeb Abdul , Ahmed Tanveer , Shabeer Waqas , Anwer Muhammad Waqas , Shaukat Mehwish , Hani Umme , Sadique Atif , Hussain Mudasar
Published: August 2024

This study was conducted at Lahore Zoo, Punjab, Pakistan from January to December 2023 to assess the prevalence of gastrointestinal parasites in 10 different captive wild mammalian species. The mammals including girrafe (Giraffa), vervet monkey (Chlorocebus pygerythrus), zebra (Equus quagga), lion (Panthera leo), leopard (Panthera pardus), Rhinoceros (Rhinocerotidae), wild boar (Sus scrofa), Chinkara deer (Gazella bennettii), urial (Ovis vignei) and nilgai (Boselaphus tragocamelus) were selected. A total of 100 fresh fecal samples were collected from the animal enclosures in polythene bags (6×4 inches) 2 times during study period. Coprological examination was done using qualitative analysis such as direct smear method, sedimentation method and flotation methods. The parasitic prevalence was as follows zebra 44.5%, followed by giraffes, rhinoceroses, and wild boars at 27.8%, nilgai, urial, lion and vervet monkey at 22.3%, chinkara 16.7% and leopard 11.2%. The prevalence of gastrointestinal parasites was as Eimeria spp. (3.9%), Strongyloides spp. (3.4%), Trichuris spp. (2.8%), Giardia spp., Ascaris spp., and Strongyle spp. (2.3%), Entamoeba histolytica (1.12%), Trematode eggs (1.12%), Nematodirus (1.12%), Balantidium coli (0.6%), Haemonchus contortus (0.6%), Paramphistomum cervi (0.6%), Parascaris equorum (1.12%) and Cryptosporidium (1.12%). The overall parasitic prevalence was 23.9%, with a noticeable seasonal variation, being higher in summer (31.2%) compared to winter (17.79%). These findings highlight the significant parasitic burden in captive wild mammals. It can be concluded that regular de-worming sessions, cleaning, disinfection of enclosures and proper disposal of fecal matter should be done to reduce the overall parasitic burden.
Biopsychosocial conditions of patients in the rheumatology department of a university hospital
Authors: Gur Kabul Elif , Taskın Fatma , Basakci Calik Bilge , Cobankara Veli
Published: August 2024

Objectives

The aim was to examine biopsychosocial conditions of patients hospitalized in the rheumatology department of a university hospital.

Material and methods

Ninety-six patients (mean age: 53.14 ±16.83 years) receiving inpatient treatment at the rheumatology service of a university hospital were included. Chest circumference, manual muscle testing, general well-being (Visual Analogue Scale – VAS), the Fatigue Severity Scale, the Rivermead Mobility Index, the Beck Anxiety Inventory, and the Nottingham Health Profile were used for evaluation.

Results

The average number of days hospitalized was 15.57 ±15.11. Mean disease duration was 7.91 ±9.34 years. Respiratory rate per minute was 22.55 ±6.03. Chest circumference measurement at rest was 97.01 ±9.70 cm, inspiration was 99.71 ±9.67 cm, expiration was 94.10 ±13.91 cm. Quadriceps muscle strength (on a scale of 0–5) was 4.26 ±0.74 on the right and 4.16 ±0.76 on the left; biceps brachii muscle strength was 4.46 ±0.64 on the right and 4.39 ±0.78 on the left. The VAS score was 6.03 ±2.51; the Rivermead Mobility Index was 11.41 ±4.11; the Nottingham Health Profile total score was 39.18 ±22.44; the energy level sub-score was 52.89 ±37.06. History of previous hospitalization was found in 42 patients (43.8%). Five patients (5.2%) were at bed level, 4 patients (4.2%) were at sitting level, 7 patients (7.3%) were at standing level, and 80 patients (83.3%) were at walking level. Seventeen patients (17.7%) used assistive devices for mobilization. Sixty-one patients (63.5%) were fatigued, and 21 patients (21.9%) had moderate anxiety.

Conclusions

Inspiratory capacity of patients hospitalized in rheumatology service is low. Their respi­ratory rate is higher than the normal value. Their mobility and energy levels are at average values while fatigue and anxiety levels need to be considered. In addition to pharmacological treatments, we recommend that patients hospitalized in rheumatology service be supported by appropriate exercises provided by physiotherapists.
Identifikasi Kebutuhan Belajar Dan Manajemen Diri Pasien Gagal Ginjal Terminal Yang Menjalani Hemodialisis Di Rumah Sakit Tangerang
Authors: Chris Veronica Gultom Eva , Natalia Watania Lani , Pailak Heman , Harapan Telaumbanua Daniel , Arisman Laoli Jevrianus , Rudiyatin Lili , Taruk Lola Gustianus
Published: August 2024

Kebutuhan belajar pasien mencakup kebutuhan informasi akan status kesehatan yang meliputi banyak hal, yakni obat-obatan, perawatan kulit, dan lain-lain. Adanya kebutuhan ini selaras dengan manajemen diri pasien dalam merawat tubuh melalui hubungan dengan perawat dan pasien sampai kepada manajemen emosional. Adapun tujuan penelitian adalah untuk mengidentifikasi kebutuhan belajar dan manajemen diri pasien gagal ginjal terminal yang menjalani hemodialisis.  Manfaat yang dapat diperoleh dari hasil penelitian dapat dijadikan dasar dalam melakukan intervensi berupa edukasi dan peer support program kepada pasien. Penelitian dilakukan dengan metode kuantitatif deskriptif dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah 190 pasien gagal ginjal terminal yang menjalani hemodialisis di Rumah Sakit Siloam Lippo Village Tangerang Gedung A dan Gedung B. Teknik sampling yang digunakan yakni Total Sampling. Hasil penelitian menunjukkan nilai mean kebutuhan belajar pasien 205.85±17.53, nilai mean manajemen diri 96.21±9.36.
Rancangan Aplikasi untuk Penjualan Obat Herbal Pada Klinik Djamoe Martha Tillaar Cikarang
Authors: Wijayanti Diah , Haryadi Eko , Rismayanti Irma , Widyastuti Indria
Published: August 2024

Di era digital ini, perkembangan teknologi informasi (TI) terus meningkat dan dipercepat, oleh karena itu diperlukan sistem komputer yang membuat hidup manusia menjadi lebih mudah, cepat, dan nyaman. Manusia harus mampu beradaptasi dengan lingkungan dan sistem yang lebih kompleks. Klinik Djamoe Martha Tilaar merupakan klinik herbal yang bergerak dibidang penjualan obat herbal di Kota Cikarang. Klinik Djamoe Martha Tilaar kesulitan mengolah data dan menghasilkan data secara cepat dan akurat. Dilihat dari penjualannya masih membutuhkan waktu yang lama dalam proses pendistribusian data produk, data transaksi, data pasien, dan data karyawan. Perusahaan masih kesulitan mencari atau mengolah data. Sistem yang ada saat ini sudah usang dan harus segera diubah agar penjualan dan keuntungan bisa meningkat. Salah satunya adalah mengganti sistem lama dengan sistem baru, untuk mempermudah dalam mengolah data dan menghasilkan laporan penjualan yang lebih baik, oleh karena itu diperlukan aplikasi desktop untuk membantu dalam pengolahan data. Salah satu metode yang digunakan dalam perancangan aplikasi ini adalah metode waterfall atau disebut juga air terjun, sedangkan pengumpulan data dapat dilakukan dengan cara mengamati dan bertanya langsung kepada Djamoe Martha Tillar. Sedangkan untuk tools sistem basis datanya menggunakan entitas relasional desain dari sisi proses menggunakan flowchart dan HIPO. Dengan adanya aplikasi ini diharapkan dapat mengatasi permasalahan yang ada di klinik Djamoe Martha Tilaar dan meminimalisir kesalahan yang terjadi pada sistem tradisional serta memudahkan pengolahan data untuk membantu karyawan dalam mengelola sistem penjualan agar lebih efektif dan efisien. Diagram dan struktur catatan logis, sedangkan implementasinya menggunakan bahasa pemrograman Java. Dengan adanya aplikasi ini maka klinik Djamoe Martha Tillar dapat meminimalisir kesalahan yang terjadi dan menyelesaikan masalah sekaligus membantu karyawan mengelola penjualan membantu karyawan dalam mengelola sistem penjualan
Pengembangan Proyek Sistem Informasi Penjualan Laptop Berbasis Web pada Bless Computer
Authors: Manurung Desky Olivia , Venansia Apriliana , Fatmawati Fatmawati
Published: August 2024

With the use of information technology today, business actors in managing their business utilize technology with marketing media that are currently many such as online stores that can market their products widely so that sales increase. Bless Computer is one of the stores that sells laptops, computers, and various computer accessories. In its business practice, the store has not utilized online media in all aspects of the store. The current store sales system is desktop-based and the stock of goods in the store is still manual so an information system is needed for online and offline business processes. From the problems studied, the author concludes to create a web-based sales system that is applied with PHP programming language and MySQL database. The design of this system is also supported by a software development method known as the Software Development Life Cycle (SDLC) waterfall model to facilitate the planning process, stages of making, and testing of the system created. The results of the research obtained are the Bless Computer store laptop sales website which is made as attractive as possible and contains information about the Bless Computer store so that it is easily known by many people to purchase laptops and accessories more easily to increase sales.
Analisis Perbandingan Decision Tree dan Random Forest Pada Klasifikasi Teks Data Kesehatan
Authors: Oktavianto Hardian , Sulistyo Henny Wahyu , Wijaya Guruh , Irawan Dudi , Abdurrahman Ginanjar
Published: August 2024

Salah satu topik penelitian yang diminati para peneliti adalah klasifikasi teks otomatis. Klasifikasi teks pada saat ini sering digunakan karena semakin banyaknya jumlah dokumen teks yang harus kita tangani maupun kita gunakan setiap hari. Metode pengklasifikasi yang banyak digunakan diantaranya adalah decision tree dan random forest. Decision Tree umumnya dipilih memiliki kesederhanaan visual, konstruksi keputusan yang relatif cepat, dan tidak memerlukan asumsi sebelumnya tentang data. Algoritma Random Forest menggunakan konsep yang sama dengan Decision Tree kemudian melakukan agregasi hasil dari setiap pohon keputusan untuk memperoleh hasil. Algoritma Random Forest juga menggunakan pendekatan perluasan, yang disebut pendekatan bagging, yang mana fitur-fitur berbeda dari kumpulan data akan ditugaskan ke setiap pohon keputusan. Tujuan penelitian ini adalah melakukan kategorisasi dengan menggunakan teknik klasifikasi menggunakan algoritma decision tree dan random forest, yang merupakan algoritma pengklasifikasi yang banyak digunakan. Dengan menggunakan empat buah skenario uji dimana membagi data latih dan data uji dengan kombinasi 10%-90% 15%-85% 20%-80% dan 25%-75% menghasikan informasi bahwa Random Forest memiliki akurasi yang lebih baik. Akurasi Random Forest pada tiap skenario uji selalu lebih baik daripada nilai akurasi Decision Tree. Pada Decision Tree, menunjukkan nilai akurasi cukup stabil pada kisaran 75%, sedangkan pada Random Forest menunjukkan nilai akurasi lebih stabil pada nilai 99%.
Multimedia Development Life Cycle Dan User Acceptance Test Pada Media Pembelajaran Interaktif Rumus Matematika
Authors: Agusti Amanda Hana , Alfian Ari Nurul
Published: August 2024

Salah satu pembelajaran di SDN Pekayon Jaya III Bekasi selatan adalah mata pelajaran matematika. Sebagian siswa mengatakan bahwa matematika merupakan pelajaran yang paling sulit dipahami. Belum memanfaatkan media pembelajaran interaktif di sekolah, hal tersebut dapat menyebabkan kesulitan siswa dalam menghafal rumus matematika dan prestasi belajar siswa dalam belajar rumus matematika kurang memuaskan. Melihat permasalahan yang terjadi pada sekolah diperlukan sebuah media pembelajaran interaktif. Hasil dari keluaran penelitian ini adalah media pembelajaran interaktif rumus matematika siswa kelas IV SD. Model pengembangan yang digunakan dalam penelitian adalah multimedia development life cycle (MDLC) yang dapat meliputi dalam beberapa bagian yaitu konsep (concept), perancangan (design), pengumpulan bahan (material collecting), pembuatan (assembly), pengujian (testing) dan distribusi. Pengujian sistem yang dilakukan menggunakan black box dan user acceptance. Hasil dari pengujian black box 100% sesuai dan hasil dari pengujian user acceptance yang dilakukan pada 20 responden memiliki hasil 85,4% dapat disimpulkan bahwa aplikasi sangat layak digunakan.
Kontribusi persepsi kompetensi manajerial kepala sekolah, motivasi berprestasi, dan lingkungan kerja terhadap kinerja guru SMP Negeri se-Kecamatan Sapuran, Wonosobo
Authors: Setyowibowo Bambang , Jaenullah Jaenullah
Published: August 2024

Purpose – This paper examined contribution of principal managerial competence perception, achievement motivation, and working environment simultaneously to the work performance of the teachers of State Junior High School os sub district 3 in Sapuran Wonosobo both simultaneously and partially.
Method − This research was a quantitative research. The population of the research were all the Goverment servant teachers as much as 279 people with samples were 124 people. The data were taken by using questionare. The analysis was done by using multiple linear regression by simultaneous and partial technique
Findings − The result showed that ; (1) There is a positive and significance contribution simultaneously between the principal managerial competence perception, achievement motivation, and working environment to the work teachers performance of Junior High School. (2) There is positive and significance contribution to the work performance of the teachers of junior high school.; (3) There is a positive and significance contribution of the achievement motivation to the work performance of the teachers of Junior High School.; (4) There is a positive and significance contribution of the working environment to the work performance of the teachers of Junior Hing School.
DESAIN LAPORAN KEUANGAN BERBASIS MICROSOFT EXCEL PADA UMKM
Authors: SeptianaMS03  , Sugiono  , Tukasno
Published: August 2024

The goal of this study is to arm MSME stakeholders with information and understanding so they can grow MSMEs by embracing technology. In some circumstances, this causes fresh issues when making judgments down the road. Microsoft Excel is a handy tool for modern financial reports that makes it simpler to record transactions for a certain time period. It is envisaged that by using this application, MSME players will stop manually recording reports, making it simpler for outsiders and MSME actors to view financial data. This study uses participatory action research as its methodology (PAR). Additionally, the outcomes of this study are through conducting training on the design of financial reports based on Microsoft Excel to assist MSME actors in making them.
Acute Renal Failure as a result of Mushroom Poisoning
Authors: Karakuş Ali , Polat Mustafa
Published: August 2024

Dear Editor,
Mushroompoisoningsmaypresentwithearlyfindings in thefirst 2 hoursandlatefindingsbetween 6 hoursand 20 days. Renalfailurecan be seen in theacuteperiod in fungicontainingorellinandallenicnorleucine, andwithin 2-6 days in speciescontainingcyclopeptide. Patientsapplywithcomplaints of nausea, vomiting, diarrhea, unconsciousness in thefirst 3 daysafteringestion of mushroomscontainingnephrotoxin, andoliguriaandanuriawithin 3-20 days. Patientsmayneeddialysis in additiontosupportivetreatment. Inthisarticle, it wasaimedtoemphasizethatmushroompoisoningshould be considered in thedifferentialdiagnosis of renalfailureandcoma, as in thepatientwhosehistorywaslearnedtohaveeatenmushrooms 10 daysago.
Twenty-nine-year-oldmalepatientwasbroughttotheemergencyroomduetodeterioration in his general conditionandunconsciousness. Inthepatient'shistory, therewerenauseaandvomitingaftereatingmushroomsabout 10 daysago, andantibioticinitiation in an externalcenter. On physicalexamination, the general conditionwaspoor, unconscious, and Glasgow comascalewas 7. Thepatientwho had suddencardiacarrest in theemergencydepartmentwasadmittedtotheintensivecareunitafterresuscitation. Thepatient'sbloodpressurewas 130/90 mmHg, pulse: 112/min, fever: 36.5 C, respiration: 36/min. Otherphysicalexaminationrevealednoabnormality. Inthelaboratorytests of thepatient: Hemoglobin 12.5, platelet 346, glucose 89, Urea 189, Creatinine 14, sodium 127, potassium 7.5, AspartatAminotransferaz 47, alaninAminotransferaz 13, Calcium 8.3, Troponin I 2.39, amylase 146, kreatin kinaz 1279, kreatin kinaz-MB 121, Gama glutamiltransferaz11, Lipase 35 andmetabolicacidosiswasdetected in bloodgas. Thepatientwastakentoemergencyhemodialysis. Hemodialysiswasappliedfor 3 days. Control bloodvalues 5-7. dayureawas 205-79, creatininewas 18-7.On the 7th day, thepatientwasextubated. On the 10th day, thepatientrecoveredcompletelyandwasdischargedvoluntarily.
As a result of mushroompoisoning, lateclinicalkidneyfailure can be seen. Mushroompoisoningshould not be forgotten in patientsbroughttotheemergencyroomwithcoma. If it is not possibletofollow-upthesepatientsafterthecomplaintsthatoccur in thefirstdays, theyshould be informedaboutpossiblelatecomplications.Cultivatedmushroomsshould be preferredtopreventpoisoning
TWO CASE OF BOTULISM DEVELOPED AFTER ENDOSCOPIC CLOSTRIDIUM BOTULINUM TOXIN ADMINISTRATION TO THE STOMACH WALL
Authors: Tekin Fatih Cemal , Akıllı Belgin , Şimşek Melahat , Öcal Fatma Selcen , Vişneci Emin Fatih , Demir Aysegul
Published: August 2024

Every year, the United States records about 200 cases of botulism. Those who inject substances such as heroin, use homemade alcohol, and eat improperly prepared canned food are at risk of contracting this extremely rare disease. As seen in this case, those treated with Clostridium Botulinum Toxin are also considered to be in the risk group. However, iatrogenic botulism cases are much rare; and in the literature, case reports of botulism after intragastric Clostridium Botulinum Toxin administration are rare. We aimed to present these cases to draw attention to this rare condition in patients who presented to the emergency department with complaints such as weakness, dyspnea, and diarrhea.
Penerapan Pendekatan Pembelajaran Beyond Center and Circle Time Terhadap Keterampilan Sosial Anak
Authors: Yani Ismi Winda , Yusria  , Rianti Ida
Published: August 2024

Penelitian ini bertujuan untuk mengetahui bagaimana penerapan pendekatan Beyond Centre And Circle Time terhadap keterampilan anak. Fokus penelitian ini adalah pada penerapan pendekatan pembelajaran Beyond Centre And Circle Time terhadap keterampilan sosial anak. Penelitian ini dilakukan di Taman Kanak-Kanak Islam Diniyyah Kota Jambi. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan kualitatif deskriptif dengan menggunakan metode pengumpulan data yaitu observasi, wawancara dan dokumentasi. Tahap teknik analisi data meliputi reduksi data, penyanjian data dan verifikasi data, sedangkan pengecekan tererpercayaan data dilakukan dengan perpanjangan keikut sertaan, ketelitian pengamatan, trigulasi datadan melakukan konsultasi ke pembimbing. Hasil penelitian pertama nemunjukan bahwa pendekatan Beyond Centre And Circle Time terhadap dapat menimbulkan keterampilan sosial anak diantaranya anak memiliki banyak teman, anak bisa berinteraksi dengan baik, anak dapat berkomunkasi dengan baik, kemandirian dan rasa percaya diri yang baik. Kedua, pembentukan keterampilan sosial melalaui pendekatan beyond centre and circle time dimulai dengan perencanaan, pelaksanaan dan penilaian yang sudah ditentukan standar capaian perkembangan dengan berpedoman berdasarkan kompetensi dasar pada kurikulum 2013. Ketiga, kendala yang dialami oleh guru adalah terdapat beberapa guru yang belum memahami secara utuh pendekatan Beyond Centre And Circle Time, guru juga kesulitan dalam memilih kegiatan maian dan pembuat APE.
Upaya Orang Tua dalam Menangani Keterlambatan Bicara Pada Anak Bawah Dua Tahun
Authors: Narti Wiwin
Published: August 2024

Keterlambatan bicara pada anak bawah dua tahun dapat mempengaruhi kemampuan sosial, emosional, dan akademik di masa depan. Oleh karena itu, penelitian ini bertujuan untuk mengetahui upaya orang tua dalam mencegah keterlambatan bicara pada anak bawah dua tahun. Metode penelitian yang digunakan adalah kualitatif dengan teknik pengumpulan data melalui wawancara mendalam dengan 15 orang tua dari anak bawah dua tahun yang mengalami keterlambatan bicara. Hasil penelitian menunjukkan bahwa orang tua melakukan berbagai upaya preventif, termasuk peningkatan stimulasi verbal di rumah, pembatasan penggunaan gadget, serta penciptaan lingkungan sosial yang mendukung melalui interaksi rutin dengan teman sebaya. Orang tua juga aktif berkonsultasi dengan profesional kesehatan, seperti dokter anak, psikolog dan terapis wicara, untuk mendapatkan panduan mengenai cara mendukung perkembangan bicara anak. Upaya-upaya ini terbukti efektif dalam mencegah keterlambatan bicara dan mendukung perkembangan komunikasi anak yang optimal. Penelitian ini menekankan pentingnya peran aktif orang tua dalam memantau dan mendukung perkembangan bicara anak sejak dini, serta pentingnya intervensi dini dalam mencegah keterlambatan yang lebih serius.
Meningkatkan Minat Belajar Siswa Kelas V Pada Mata Pelajaran Matematika Dengan Menggunakan Model Pembelajaran Group Investigation di Sekolah Dasar Negeri 30/VII Kecamatan Rimbo Bujang Kabupaten Tebo
Authors: Bina Graswiri Nisa , Yanfaunnas  , Rahmi Laili
Published: August 2024

Penelitian ini bertujuan untuk meningkatkan minat belajar siswa kelas V pada mata pelajaran Matematika Mata Pelajaran Gedung Volume 30/VIII Wirotho Agung 2021. Jenis penelitian yang dilakukan adalah penelitian tindakan kelas (PTK) yang merupakan kegiatan penelitian yang terintegrasi dengan terlaksananya proses pembelajaran. Dan dengan menggunakan model penelitian dari kemmis dan taggert penelitian ini dilakukan secara auto in twe eyeles. Subjek penelitian ini adalah siswa kelas V yang berjumlah 14 siswa. Teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Teknik observasi digunakan untuk mengetahui aktivitas belajar siswa pada pra siklus, siklus I dan siklus II dimana teknik wawancara dilakukan sebelum pembelajaran untuk mengetahui aktivitas belajar siswa dan setelah pembelajaran untuk mengetahui respon siswa dan teknik dokumentasi sebagai sumber data dalam pembelajaran. bentuk foto yang digunakan untuk memperkuat data penelitian hasil penelitian ini bagaimana penerapan pembelajaran investigasi kelompok odl pada mata leon matematika dapat meningkatkan minat belajar siswa kelas V di SDN 30/VIII Wirotho Agung pengamatan rata-rata hasil minat belajar siswa pada pra siklus sebesar 30,6% pada kategori akhir pada tahap pertama. Siklus I sebesar 60,5% dan mengalami peningkatan pada siklus II yang mana penelitian ini setiap siklus mengalami peningkatan hasil yang dialami dan peningkatan pada siklus II yaitu sebesar 81,1% pada kategori baik. Sehingga pada siklus awal ini mengalami peningkatan hasil minat belajar siswa sehingga penelitian ini dapat dikatakan berhasil.
Meningkatkan Hasil Belajar Siswa Melalui Penerapan Modelling The Way pada Pembelajaran Bahasa Indonesia Kelas V di Sekolah Dasar Negeri Nomor 94/II Bungo
Authors: Ayu Ningsih Delvia , Nurbaedah  , Narti Wiwin
Published: August 2024

Latar belakang penelitian ini adalah rendahnya hasil belajar siswa kelas V Sekolah Dasar Negeri Nomor 94/II Bungo pada mata pelajaran Bahasa Indonesia. Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa kelas V Sekolah Dasar Negeri Nomor 94/II Bungo pada mata pelajaran Bahasa Indonesia. Jenis penelitian yang digunakan Penelitian Tindakan Kelas (PTK) dengan model Kemmis dan Taggar. Instrumen pengumpulan data yang digunakan yaitu observasi, tes tertulis, dan wawancara. Hasil penelitian menunjukkan bahwa penerapan modelling the way dapat meningkatkan hasil belajar mata pelajaran Bahasa Indonesia pada siswa kelas V di Sekolah Dasar Negeri Nomor 94/II Muara Bungo dengan rincian: pada aspek kognitif pra siklus peserta didik menunjukkan presentase ketuntasan hasil belajar 54,167% dengan kriteria sedang dan nilai rata-rata kelas 75,7, pada siklus I persentase jumlah peserta didik yang tuntas mengalami peningkatan yaitu sebesar 79,167% dengan kriteria tinggi dan nilai rata-rata kelas 84,83, pada siklus II jumlah persentase ketuntasan hasil belajar peserta didik kembali mengalami peningkatan menjadi 87,5% dengan kriteria tinggi dan nilai rata-rata kelas 88,1. Peningkatan hasil belajar belajar aspek afektif pada siklus memperoleh skor 121 dengan presentase ketuntasan belajar sebesar 56% dengan kriteria sedang, sedangkan pada ranah psikomotor memproleh sko 76 dengan presentas ketuntasan belajar klasikal 52,7% dengan kriteria sedang. Pada siklus I pertemuan pertama hasil belajar ranah afektif memperoleh skor 159, presentase ketuntasan belaja klasikal 73,6% dengan kriteria tinggi dan ranah psikomotor memperoleh skor 154, presentase ketuntasan klasikal 72,2% dengan kriteria tinggi. Sedangkan pada siklus II pertemuan hasil belajar ranah afektif memperoleh skor 179, presentase ketuntasan hasil belajar klasikal 82,8% dengan kriteria tinggi dan pada ranah psikomotor memperoleh skor 175, pesentase ketuntasan klasikal 81% dengan kriteria tinggi.