bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical and microbiological characteristics and outcome of patients with healthcare associated ventriculitis and meningitis at a Public Sector Hospital in Pakistan
Authors: Arshad Nazish , Samad Saima , Memon Sughand , Ishaque Sadia , Baqi Shehla
Published: January 2025

Background: Healthcare-associated meningitis and ventriculitis (HAVM) is a serious complication of placement of ventriculoperitoneal shunt (VPS) and external ventricular device (EVD), and can incur high morbidity and mortality.
Material And Methods: This retrospective descriptive, single center study was conducted in patients who had placement of VPS or EVD between January 2018 and December 2021 and developed HAVM. A list of these patients was retrieved from records maintained by the neurosurgery department.
Results: Thirty patients with HAVM were included. Median age was 8.5(IQR 22.25-0.75), two thirds were pediatric, 50% were males. Indication for device placement was congenital hydrocephalus in 18 (60%), tumor in 6 (20%) with VPS insertion in 25 (83.3%), EVD in 5 (16.7%). Fever was documented in 29 (96.7%). Cerebrospinal fluid analysis (CSF) demonstrated median pleocytosis with IQR of 93.5 (17-12959), protein of 131 (IQR 2-285), glucose of 24.5 (IQR 0-72). 17 (56.6%) had ICU stay, 11 were on mechanical ventilation. Mortality occurred in 4 (13.3%). CSF cultures were positive in 28 (93%) patients.  Of 32 bacterial isolates, 16 were gram positive and 16 gram negative. In 15 (93.7%) patients, gram negatives were resistant to carbapenems and included 7 (46.6%) Enterobacterales (CRE), 3 (20%) Pseudomonas aeruginosa and 5 (33.3%) Acinetobacter spp. They were treated with IV colistin and meropenem. Predictors of mortality were male sex and sepsis. (p ≤ 0.05).
Conclusion: Male sex and sepsis were found to be predictors of mortality in HAVM. Gram-negatives in CSF cultures of 15 (93.7%) patients were resistant to carbapenems and challenging to treat.
Keywords: Cerebrospinal fluid infection, Healthcare-associated meningitis and ventriculitis, Hydrocephalus management, Risk-factors, Shunt infections
PENGEMBANGAN SDM MELALUI KOMPENSASI, MOTIVASI DAN KEPUASAN KERJA TENAGA PENDIDIK DI SMK ISLAM KREMBUNG
Authors: Yaqin Mohammad Nurul , Subiyantoro Subiyantoro
Published: January 2025

This study examines human resource development (HRD) through aspects of compensation, motivation, and job satisfaction among educators at SMK Islam Krembung. Using a qualitative approach with a case study method, the research was conducted through interviews and observations of the school principal and educators. The results show that fair and competitive compensation, including basic salary, allowances, and supporting facilities, plays an important role in improving the performance of educators. Motivation, both intrinsic and extrinsic, has proven effective in creating a conducive work environment and encouraging self-development of educators. High job satisfaction, characterized by a balance between workload and compensation as well as harmonious relationships among colleagues, contributes to increased commitment and loyalty of educators. The research concludes that good management of these three aspects can encourage optimal HR development, which ultimately contributes to improving the quality of education in schools. It is recommended that school management consistently pay attention to and manage aspects of compensation, motivation, and job satisfaction to support sustainable human resource development.
TRANSFORMASI PEMBELAJARAN MELALUI IMPLEMENTASI KURIKULUM MERDEKA: STUDI KASUS DI SD NEGERI SOKOWATEN BARU BANTUL YOGYAKARTA
Authors: Alwi Shihab Dly  , Sulfiani Sulfiani
Published: January 2025

This study aims to evaluate the implementation of the Independent Curriculum at SDN Sokowaten Baru, Bantul, Yogyakarta, focusing on the adaptation process, challenges encountered, and the impact on learning quality. A qualitative case study approach was employed, using data collection methods such as observations, in-depth interviews with teachers and school principals, and document analysis. The findings reveal that the implementation of the Independent Curriculum has progressed well despite several challenges. Teachers demonstrated creativity and innovation in designing more relevant and contextual learning materials. Active student participation in the learning process significantly increased, positively impacting motivation and learning outcomes. However, challenges such as limited resources and insufficient understanding of the curriculum concept among some teachers were identified. The study concludes that the implementation of the Independent Curriculum at SDN Sokowaten Baru can be further optimized, offering the potential to serve as a model for other schools in Indonesia. These findings are expected to contribute strategically to future educational policy development.
The Relationship between Sleep Quality and Academic Grades in Students of the Faculty of Medicine, Abulyatama University
Authors: Selian Fitri Alfani , Atika Ratih Ayu , Wahab Abdul
Published: January 2025

This study aims to determine the relationship between sleep quality and academic grades in Abulyatama University Faculty of Medicine students. The research method used is descriptive quantitative using a cross sectional design conducted in July 2024. The study was conducted on 77 samples with total sampling technique.
Plastic Waste Reduction Campaign at the Traditional Market of Nyanggelan Village, Panjer, Denpasar
Authors: SAPUTRA Komang Adi Kurniawan , Ekajayanti L.G.P. Sri , SURIANI , Ni Nyoman
Published: January 2025

This article raises the theme of the plastic waste reduction campaign in the traditional market of Nyanggelan Village, Panjer, Denpasar. The increasing problem of plastic waste is a severe environmental challenge, especially in areas with high trading activity such as traditional markets. Through a participatory approach, this campaign aims to increase public and trader awareness of the negative impacts of plastic waste and the importance of good waste management. Activities include socialization, counseling, and training on using environmentally friendly materials as an alternative to plastic. In addition, this campaign also involves collaboration with the government and local organizations to create sustainable solutions. The results of this activity show an increase in public understanding of the importance of reducing plastic use and changes in behavior in choosing more environmentally friendly packaging. Through this effort, Nyanggelan Village can be an example for other areas in reducing the negative impacts of plastic waste and encouraging further action in maintaining cleanliness and environmental sustainability.
Evaluation of Aquifer Protective Capacity Using Electrical Resistivity Method
Authors: Akindeji Fajana Opeyemi , Arinloye Adebisi Samuel
Published: January 2025

This study investigates the groundwater potential of Osun State University, Osogbo campus, through an electrical resistivity survey. Using 30 Vertical Electrical Sounding (VES) points and the Schlumberger array method, geoelectric parameters such as longitudinal conductance, reflection coefficient, and overburden thickness were analyzed. The resistivity data revealed ten distinct curve types with the H curve type being the most prevalent, representing 30% of the total. The subsurface was characterized by 3 to 5 distinct layers, including topsoil, weathered layers (sandy, clayey, or lateritic), fractured basement, and fresh basement. Results showed a wide range of aquifer protective capacities. Approximately 30% of the VES points exhibited poor protective capacity, while 16.66% showed weak protection. Moderate protection was observed in 6.66% of the points, and fairly good protection in 16.67%. The remaining 13.33% had good protection, with only 3.3% rated as very good. Longitudinal unit conductance values ranged from 0.0563 to 1.1427, confirming the predominance of weak to moderate aquifer protection. Aquifers with low reflection coefficient values (r < 0.8) indicated a favourable groundwater potential but increased vulnerability to contamination. This suggests that while certain areas of the campus are vulnerable to contamination, others may offer better protection for long-term groundwater storage and use. The study underscores the importance of tailored groundwater management strategies, particularly given the rapid population growth and industrial expansion in the region, which could introduce future contamination risks. These findings are crucial for sustainable groundwater management in the campus area, ensuring protection against future contamination threats.
Prevalence and Environmental Determinants of Aflatoxin Contamination in Maize Sold in Open Markets Across Nasarawa State, Nigeria
Authors: Akharenegbe Pedro , Isah Maryam , Eyo Nsemoh Hannah , Jayeoba Glory , Isah Ibrahim Okposhi
Published: January 2025

This study evaluated the prevalence of aflatoxins (AFB1, AFB2, AFG1, and AFG2) in maize sold across 13 Local Government Areas (LGAs) in Nasarawa State, Nigeria, and examined how environmental factors contribute to fungal growth and mycotoxin production. Maize samples (130) were subjected to total heterotrophic fungal count (THFC) analysis using standard microbiological methods, while aflatoxin levels were measured using thin-layer chromatography (TLC) combined with densitometry. Statistical methods, including analysis of variance (ANOVA) and regression modeling, were utilized to clarify spatial contamination trends and identify environmental variables that could predict contamination. The findings revealed significant aflatoxin contamination, with 85.4% of samples surpassing the 20-ppb safety limit set by the Standards Organisation of Nigeria (SON). Aspergillus flavus, the main producer of aflatoxin B1, was found in 94% of the samples, followed by Fusarium verticillioides (71%) and Aspergillus niger (59%). Regression analysis showed a strong correlation (r = 0.710, P<0.001) between fungal load and AFB1 levels, with humidity explaining 41.1% of the variability in THFC. The highest AFB1 concentration (137.10 ± 15.10 ppb) was found in Doma, while Lafia showed consistently lower contamination levels, likely due to better post-harvest handling practices. This study underscores the urgent need for targeted interventions to reduce aflatoxin contamination, such as rapid drying, hermetic storage systems, and educating farmers on preventing fungal growth. It also recommends implementing aflatoxin surveillance programs and researching resistant maize varieties to improve food safety and public health in Nasarawa State.
Konseling Keluarga dalam Pendekatan behavioral Dalam Mengatasi Masalah Keluarga
Authors: Siregar Risdawati
Published: January 2025

Keluarga merupakan tempat yang penting bagi perkembangan anak-anak baik secara fisik, emosi, spiritual dan sosial. Karena keluarga merupakan sumber berbagi kasih sayang, perlindungan dan identitas bagi anggotanya. Hidup berkeluarga adalah fitrah yang diberikan Allah Swt kepada manusia. Karena itu, orang yang berakal dan sehat tentu mendambakan keluarga bahagia, sejahtera, damai, dan langgeng. Rumah tangga yang bahagia adalah rumah tangga di mana seluruh anggota keluarga tidak selalu mengalami keresahan yang menggoncang sendi-sendi keluarga.Akan tetapi dalam keluarga, pasti ada masalah, permasalah dalam keluarga sangatlah beragam. Setiap keluarga pasti pernah mengalami saat-saat krisis yang menyebabkan munculnya permasalahan dalam keluarga. Ketidak mampuan orangtua dalam menyikapi permasalahan ini akan berakibat dan memunculkan masalah dalam diri anak. Oleh karena itu ada beberapa teori konseling dalam mengatasi permasalahan keluarga tersebut.salah satunya teori konseling behavioral.  . Konseling keluarga dengan pendekatan behavioural adalah suatu pendekatan yang efektif dalam meningkatkan keharmonisan antara anggota keluarga. Pendekatan ini berlandaskan pada teori behavioristik yang menekankan pentingnya perilaku yang tampak dan dapat diamati.dan konseling behavioral dapat mengubah prilaku manusia melalui proses belajar dan pembiasaan.  Dengan menggunakan beberapa teknik, seperti pengisian postess kalakomunikasi interpersonal. Konseling keluarga dengan pendekatan behavioural dapat meningkatkan efektivitas komunikasi interpersonal, sehingga dapat meningkatkan keharmonisan dalam keluarga.
MANAJEMEN PENDIDIKAN KARAKTER DI TAMAN KANAK-KANAK AISYIYAH BUSTANUL ATHFAL PADANGSIDIMPUAN
Authors: Damayanti Rosari
Published: January 2025

AbstractThis study aims to describe the character education management at Aisyiyah Bustanul Athfal Kindergarten in Padangsidimpuan. The research approach uses a qualitative method with data collection techniques including observation, interviews, and documentation. The findings indicate that character education management involves careful planning through a curriculum based on Islamic values, implementation integrated into daily learning activities, and periodic evaluation through observation of children’s behavior. Supporting factors include the involvement of teachers, parents, and the school environment, while the main challenge lies in the consistency of program implementation. In conclusion, the character education management at this kindergarten is effective in shaping moral values and children’s personalities from an early age. Keywords: Management; Character Eduation; ABA Kindergarten.
Peran Kepemimpinan Kepala Raudhatul Athfal(RA ) dalam Meningkatkan Kinerja Guru di RA Al-Juhdi Desa Padang Bujur
Authors: Hasibuan Yusnah
Published: January 2025

AbstractThis study aims to examine the Leadership Role of the Head of Raudhatul Athfal (RA) in improving teacher performance at RA Al Juhdi, Padang Bujur Village. This study collected data through a qualitative approach. Data were collected through interviews, observations, and documentation studies. The subjects of this study were: the Principal, and teachers who teach at RA Al Juhdi, Padang Bujur Village. The results of the study indicate that the role of the principal in improving teacher performance is that a principal understands his leadership role as used in this study using Mulyasa's theory, namely as an educator, manager, administrator, supervisor, leader, innovator, and motivator. The efforts made by the principal in improving teacher performance at RA Al-Juhdi, Padang Bujur Village are by (a) Motivating teachers, (b) Increasing teacher discipline, (c) Increasing teacher competence, and (d) increasing academic competence. Keywords: Role; RA Principal Leadership; Teacher Performance
Kepemimpinan Kepala Sekolah dalam Peningkatan Kompetensi Guru di SMA Negeri 1 Natal
Authors: Ropiqoh Siti
Published: January 2025

AbstractWith increasing developments in the current era of globalization and modernity, improving the quality of education can become an urgent problem. Problems that arise within the school are related to the function and leadership role of the school principal, so a study was conducted with the research title School Principal Leadership in Improving Teacher Competency. The data collection technique used was an interview technique by several school principals. Competency is a combination of mastery of knowledge, values and attitudes which are reflected in habits of thinking and acting in carrying out tasks/work. Teachers who are able to apply competence in the implementation of learning will have more fun and arouse interest in learning and create an active learning atmosphere and ultimately have an impact on increasing student achievement. The school principal's efforts to improve teacher competence and personality are by holding several training and recommendation activity programs. In general, increasing competency carried out by school principals aims to ensure that teachers master classroom management. There are 4 main components regarding school principal leadership in improving teacher competency, namely teacher performance, increasing competency, quality of education, and leader strategy Keywords: Leadership; Principal; Improvement; Teacher Competency
HUMAN METAPNEUMOVIRUS (HMPV): A BRIEF OVERVIEW OF CURRENT KNOWLEDGE AND DIAGNOSTIC APPROACHES
Authors: Kozopas N.M.
Published: January 2025

Human metapneumovirus (HMPV) is a significant cause of respiratory infections, primarily affecting children, the elderly, and immunocompromised individuals. This article examines the current state of knowledge about HMPV, its biological characteristics, clinical manifestations, diagnostic approaches, and therapeutic strategies. Special attention is given to the role of laboratory diagnostics in detecting HMPV and the prospects for vaccine development.
Enhancing Diabetes Hospital Stay Predictions through Interpretability
Authors: FH Frank
Published: January 2025

Diabetes Mellitus is a prevalent chronic disease with significant public health implications, often leading to hospitalizations due to complications. Accurate prediction of the length of hospital stay (LOS) is essential for effective patient management and resource allocation. This study focuses on enhancing LOS predictions for diabetes patients using machine learning models, specifically Random Forest and Feed-forward Neural Networks. Utilizing a dataset of over 70,000 patient records from more than 120 U.S. hospitals, key variables such as demographics, admission types, and lab results were analyzed. The findings indicate that incorporating Shapley values improved model interpretability and bolstered confidence in predictive outcomes via enhancing the accuracy and precision of LOS predictions.
CCS Concepts ‧ Machine learning ‧ Healthcare applications ‧ Interpretability in AI
Fabrication of ZnO films on quartz tubes for photocatalytic degradation antibiotic in water
Authors: Vũ Viết Doanh , Lê Hải Đăng , Trần Dương Trung Đức
Published: January 2025

In this study, zinc oxide (ZnO) thin films were deposited on the quartz tubes of UV lamp  by dip-coating technique. The structural, surface morphology, optical and photocatalytic property of ZnO thin films were studied. X-ray diffraction analysis showed that the ZnO thin films has a crystalline structure of hexagonal wurtzite. The SEM image confirms that the grown film is composed of nanoparticles about 20 to 30 nm and thickness of films in range about 180 nm. The band gap value was 3.06 eV for the ZnO thin films at room temperature. Additionally, the photocatalytic activity was investigated using tetracycline under 11W UV lamp irradiation. Results determined at 360 nm wavelength showed that the decomposition efficiency after 5 hours reached 72.3% when using about 130 cm2 of ZnO thin films, 800 mL of tetracycline hydrochloride 100 mg/L.
Desain dan Implementasi Robot Pengolah Sampah Organik Berbasis Autonomous Menjadi Pupuk dengan Produktivitas 1 Ton Per Hari
Authors: Muda Nur Rachman Supadmana , Farandila Bilqis , Safanabila Dinar , Fadilah M.Faisal
Published: January 2025

Pengelolaan sampah organik merupakan tantangan yang terus dihadapi oleh masyarakat modern. Sampah organik yang tidak dikelola dengan baik dapat menciptakan masalah lingkungan, seperti pencemaran tanah dan air. Penelitian ini bertujuan untuk merancang dan mengimplementasikan robot pengolah sampah organik yang mampu mengolah hingga 1 ton sampah per hari menjadi pupuk organik. Robot ini dirancang untuk beroperasi secara otomatis dengan teknologi sensor, sistem penggerak, dan algoritma pemrosesan data untuk mengoptimalkan efisiensi proses pengolahan. Hasil pengujian menunjukkan bahwa robot mampu mencapai produktivitas yang diinginkan dengan tingkat efisiensi tinggi dan dampak lingkungan yang minimal.
ESTRATÉGIAS DE CUIDADO AO PACIENTE PORTADOR DE HIPERTENSÃO NA ATENÇÃO BÁSICA
Authors: Marques Victor Guilherme Pereira Da Silva
Published: January 2025

A HAS é uma condição crônica e silenciosa. Para auxiliar no tratamento das pessoas afetadas, utiliza-se uma classificação que se baseia em valores. Relatar por meio da literatura as estratégias de cuidado ao portador de hipertensão na atenção básica. Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Assistência integral à saúde”, “Hipertensão” e “Atenção básica”. Os critérios de inclusão foram: publicados no período entre 2014 e 2024, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. As práticas educativas dentro da APS podem ser desenvolvidas por meio de rodas de conversa, nas quais ocorre a troca de conhecimentos e a disseminação de informações entre os profissionais de saúde e os pacientes. O presente estudo conclui-se que no contexto da APS é importante que haja uma interação batente efetiva na equipe multidisciplinar a fim de promover um cuidado integral ao paciente hipertenso.
A IMPORTÂNCIA DA PROMOÇÃO DA SAÚDE PARA PACIENTE DIABÉTICOS DA ATENÇÃO PRIMÁRIA
Authors: Marques Victor Guilherme Pereira Da Silva
Published: January 2025

O Diabetes Mellitus é um grupo de doenças metabólicas que se caracteriza pela presença de hiperglicemia. Essa condição, quando associada a complicações, pode afetar vários órgãos. Discutir por meio da literatura científica acerca da importância da promoção da saúde para diabéticos da atenção primária. Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Atenção primária à saúde”, “Promoção da saúde” e “Diabetes mellitus”. Os critérios de inclusão foram: publicados no período entre 2014 e 2024, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. Estudos ressaltam a importância das equipes de atenção primária no cuidado com indivíduos que têm DM, através da realização de atividades voltadas à promoção da saúde, prevenção e gerenciamento da doença e suas complicações. O presente trabalho conclui-se que o paciente diabético precisa de um acompanhamento pelo menos semestralmente preferencialmente na APS, visto que além da consulta, é necessário que sejam realizadas orientações quanto a alimentação e a prática regular de exercício físicos.
CUIDADOS PREVENTIVOS SOBRE HIPERTENSÃO ARTERIAL NA ESTRATÉGIA SAÚDE DA FAMÍLIA
Authors: Santos Segunda Maria Olintete Barros Dos
Published: January 2025

O monitoramento regular de pessoas que apresentam diabetes mellitus (DM) e/ou HA, através de ações voltadas para a prevenção, identificação, manejo e controle dessas condições e suas complicações. Descrever por meio de evidências científicas sobre os cuidados preventivos sobre hipertensão arterial na estratégia saúde da família. Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Assistência integral à saúde”, “Estratégia saúde da família” e “Hipertensão arterial”. Os critérios de inclusão foram: publicados no período entre 2014 e 2024, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. O rastreamento da HA é realizado na atenção primária, que busca controlar e reduzir riscos, proporcionando suporte e educação em saúde, juntamente com ações da equipe multiprofissional. Conclui-se a ESF é o meio preferencial do contato da população com os serviços de saúde no SUS, visto isso tem como responsabilidade realizar as atividades de promoção e prevenção da saúde.
PASSEIO TERAPÊUTICO COM PACIENTE EM UTI: UMA REVISÃO DE LITERATURA SOB UMA PERSPECTIVA MULTIDISCIPLINAR
Authors: Paulo Sabrina Amorim
Published: January 2025

Este artigo realiza uma revisão de literatura sobre o impacto do passeio terapêutico em pacientes internados em Unidades de Terapia Intensiva (UTI), sob uma perspectiva multidisciplinar. O objetivo é analisar os efeitos psicológicos dessa intervenção, destacando os benefícios emocionais, como a redução da ansiedade e do estresse, e a melhoria do humor, conforto e sensação de controle. O passeio terapêutico, realizado tanto dentro da UTI quanto em ambientes externos, tem mostrado resultados positivos, promovendo o bem-estar psicológico e a recuperação emocional dos pacientes. A literatura sugere que a psicomotricidade e o contato com diferentes estímulos sensoriais podem melhorar a adaptação ao tratamento intensivo, além de aumentar a motivação para o tratamento. No entanto, a revisão aponta a necessidade de protocolos mais sistematizados e a superação de desafios logísticos e de segurança para garantir a eficácia dessa prática. A colaboração entre profissionais de diversas áreas da saúde, como médicos, enfermeiros, fisioterapeutas e terapeutas ocupacionais, é essencial para a implementação segura e eficaz do passeio terapêutico. A pesquisa sugere que mais estudos são necessários para aprimorar os protocolos e avaliar os impactos em longo prazo dessa intervenção.
TECNOLOGIA E HUMANIZAÇÃO: O CUIDADO INTENSIVO NA PRÁTICA
Authors: Paulo Sabrina Amorim
Published: January 2025

Este estudo tem como objetivo analisar a integração entre avanços tecnológicos e práticas humanizadas nas Unidades de Terapia Intensiva (UTI), destacando os impactos da tecnologia no cuidado intensivo e os desafios de promover a humanização. A UTI é um ambiente caracterizado pelo uso de tecnologias avançadas, essenciais para o monitoramento e tratamento de pacientes críticos.Trata-se de uma revisão integrativa para analisar a integração entre avanços tecnológicos e cuidados humanizados nas Unidades de Terapia Intensiva (UTI), visando entender seu impacto no bem-estar físico e emocional dos pacientes. Foram realizadas buscas em bases de dados como SciELO, LILACS e MEDLINE, utilizando descritores e palavras-chave específicas. A pesquisa seguiu critérios rigorosos de inclusão e exclusão, e a análise dos dados foi feita por dois pesquisadores de forma independente. No entanto, a crescente dependência dessas tecnologias pode gerar uma desconexão emocional entre a equipe de saúde e o paciente, comprometendo a qualidade do atendimento. A humanização no cuidado intensivo envolve a consideração das necessidades físicas, emocionais e sociais do paciente, sendo fundamental para proporcionar um atendimento digno e respeitoso. A literatura revisada indica que, embora a tecnologia desempenhe papel crucial na melhoria das taxas de sobrevivência e na eficácia dos tratamentos, ela pode dificultar a construção de vínculos humanos essenciais, especialmente quando o paciente está sedado ou inconsciente. A humanização é possível mesmo em um ambiente altamente tecnológico, por meio de estratégias como escuta ativa, apoio psicológico e cuidados paliativos. A revisão conclui que a verdadeira transformação nos cuidados intensivos ocorre quando as equipes de saúde equilibram o uso da tecnologia com práticas humanizadas, respeitando os direitos dos pacientes e promovendo sua dignidade. A capacitação contínua dos profissionais em comunicação empática e o uso ético da tecnologia são fundamentais para garantir um atendimento eficaz e acolhedor. A integração entre essas duas dimensões, tecnologia e humanização, resulta em um cuidado de qualidade, respeitando as necessidades físicas e emocionais dos pacientes.
PACIENTES EM DELIRIUM EM TERAPIA INTENSIVA: PREVENÇÃO E MANEJO
Authors: Paulo Sabrina Amorim
Published: January 2025

O delirium em pacientes internados em Unidades de Terapia Intensiva (UTI) é uma condição grave e frequentemente subdiagnosticada, que pode comprometer a recuperação clínica e aumentar o tempo de internação, além de gerar elevados custos para as instituições de saúde. O manejo eficaz do delirium requer uma abordagem multidisciplinar dos profissionais de saúde. A identificação precoce das causas subjacentes, como infecções, desequilíbrios metabólicos e uso de sedativos, é essencial para um tratamento adequado. Tendo como objetivo identificar a prevenção e as intervenções eficazes para o manejo do delirium em Unidades de Terapia Intensiva. A pesquisa bibliográfica integrativa, permitindo a coleta e análise de diversas fontes acadêmicas. Utilizou-se descritores do DeCS em bases de dados como MedLine, SciELO e LILACS, com critérios de inclusão de publicações entre 2017 e 2023, excluindo revisões e artigos com acesso restrito. O processo resultou na seleção de 8 artigos relevantes para o estudo. As intervenções não farmacológicas, como mobilização precoce, controle do ambiente e estímulo à interação familiar, têm mostrado resultados positivos na prevenção e no manejo do delirium. A literatura também destaca a importância de protocolos específicos de prevenção, que incluem a monitoração constante dos pacientes e o treinamento contínuo das equipes de saúde. Além disso, o suporte psicológico tanto para os pacientes quanto para suas famílias são elementos chave para a recuperação e bem-estar. O estudo reforça que, ao adotar uma abordagem holística e colaborativa, é possível não apenas reduzir a incidência e duração do delirium, mas também melhorar a qualidade de vida dos pacientes, diminuir a morbimortalidade e otimizar o uso de recursos hospitalares. A integração de estratégias farmacológicas e não farmacológicas, junto com uma gestão eficiente da equipe multiprofissional, se revela essencial para o manejo do delirium e contribui para a sustentabilidade do sistema de saúde, promovendo melhores resultados clínicos e operacionais.
Risk factors for premalignant lesions of the oral cavity in the Bernardo Posse Polyclinic
Authors: Quintana Sánchez Luis Miguel , Fernández Queija Yivelin
Published: January 2025

Introduction : Oral cancer represents a significant public health challenge due to its high morbidity and mortality, especially in populations with associated risk factors. This cross-sectional descriptive study was conducted with the purpose of identifying risk factors associated with premalignant lesions of the oral cavity in patients attended at the Bernardo Posse Polyclinic, Havana, between 2020 and 2024. The analysis included variables such as age, sex, anatomical location of the lesions and risk habits, such as smoking, alcoholism, inadequate diet and predisposing diseases. Early identification of these factors can contribute significantly to the prevention of oral cancer.Methods: A descriptive cross-sectional study was carried out in a sample of 25 patients of both sexes with evident premalignant lesions in the buccomaxillofacial complex. The variables studied included age, sex, anatomical location of the lesions and risk factors (smoking, alcoholism, diet and predisposing diseases). Data were collected through surveys and clinical records, and descriptive statistical analyses were applied to determine the absolute and relative frequencies of the variables. The sample was selected from the oral cancer registry of the Bernardo Posse Polyclinic.Results: The analysis showed that 40% of premalignant lesions were located on the tongue, this being the most affected anatomical site. The age group with the highest prevalence was 35-59 years, with a significant incidence of smoking (50%) and alcohol consumption (50%) as main risk factors. A higher proportion of female patients (56%) compared to male patients (44%) was observed, which differs from global trends in which men tend to be more affected. Conclusions:  This study highlights the importance of identifying risk factors associated with premalignant lesions in the oral cavity, such as smoking, alcoholism and inadequate dietary habits. The results underline the need to implement educational and prevention programs aimed at at-risk populations, especially in the age groups with the highest incidence, to improve early detection and reduce the prevalence of oral cancer. Comprehensive care and the promotion of healthy habits are essential to address this problem
PENGARUH PENGAWASAN TERHADAP TINDAKAN PERILAKU TIDAK AMAN PARA PEKERJA KONSTRUKSI PADA TAHAP PELAKSANAAN PEMBANGUNAN PROYEK GEDUNG BERTINGKAT
Authors: Pingkan Scarlet  , Nicholas Heda Ofridhio Asmara  , Hermawan  , Budi Setiadi
Published: January 2025

Pada diri manusia terdapat berbagai subfaktor yang memicu terjadinya kecelakaan kerja karena melakukan tindakan perilaku tidak aman. Tujuan penelitian ini mengidentifikasi kegiatan pengawasan dan perilaku tidak aman pekerja di bidang K3 (Keselamatan dan Kesehatan Kerja), dan menganalisa keterkaitan antara dua variabel tersebut. Pengumpulan data menggunakan teknik penyebaran kuesioner pada dua proyek yang berbeda dan diolah menggunakan aplikasi SPSS. Hasil dari jawaban kuesioner yang telah diisi oleh para responden pada dua proyek tersebut, didapatkan hasil 52.6% dari total pekerja menjawab bahwa pengawasan pada proyek X tergolong buruk, sedangkan 79.6% dari total pekerja di proyek Y memiliki pengawasan yang baik. Variabel perilaku tidak aman di Proyek X 63.9% menjawab telah bekerja secara aman, tetapi berbanding terbalik dengan fakta dilapangan, sedangkan pada proyek Y sebanyak 75.9% pekerja berpendapat bahwa telah bekerja dengan aman dan terbukti dengan fakta dilapangan.
PENENTUAN EARNED VALUE SEBAGAI INDIKATOR PROGRESS FISIK KONSTRUKSI: STUDI KASUS PROYEK KERETA CEPAT JAKARTA-BANDUNG
Authors: Muhammad Sapto Nugroho  , Muhammad Zaki  , Abdhy Gazali
Published: January 2025

Pengukuran progress fisik dalam proyek konstruksi, terutama pada proyek infrastruktur besar seperti Kereta Cepat Jakarta-Bandung (KCJB), sangat penting untuk memastikan pekerjaan sesuai dengan jadwal dan efisiensi sumber daya terjaga. Penelitian ini mengeksplorasi implementasi metode Earned Value (EV) untuk mengevaluasi kinerja proyek KCJB. Metode EV dipilih karena mampu mengintegrasikan lingkup, biaya, dan waktu proyek sehingga memungkinkan pemantauan kemajuan proyek yang lebih komprehensif dan tepat waktu. Namun, proyek KCJB menghadapi tantangan signifikan, seperti kompleksitas proyek dan koordinasi antara berbagai pemangku kepentingan yang terlibat. Selain itu, perbedaan dalam pelaporan kemajuan pekerjaan oleh Kontraktor EPC dan struktur biaya dalam kontrak  menciptakan  tantangan  tambahan  dalam mengukur kemajuan  fisik.  Penelitian  ini mengusulkan framework integrasi data dan pendekatan manajemen adaptif untuk mengatasi tantangan ini dan meningkatkan akurasi pengukuran progress fisik proyek. Berdasarkan hasil analisis, progress fisik proyek KCJB per Maret 2021 mencapai 48,3%. Hasil ini menunjukkan pentingnya integrasi metode EV yang akurat dan adaptif dalam menghadapi kompleksitas proyek infrastruktur berskala besar, seperti KCJB, untuk meningkatkan efektivitas pengukuran progress fisik dan mendukung pengambilan keputusan manajerial yang lebih baik.
OPTIMALISASI SISTEM SEA WATER REVERSE OSMOSIS (SWRO) DI PULAU ENDE: EVALUASI EFISIENSI DAN STRATEGI PENGELOLAAN
Authors: Putu Gede Suranata  , Putu Ika Wahyuni  , Kadek Windy Candrayana  , I Wayan Gde Erick Triswandana  , Gde Wikan Pradnya Dana
Published: January 2025

Pulau Ende menghadapi tantangan besar dalam memenuhi kebutuhan air bersih karena keterbatasan sumber air tawar. Upaya untuk mengatasi masalah ini, pemerintah membangun instalasi Sea Water Reverse Osmosis (SWRO) sebagai solusi desalinasi air laut. Penelitian  ini bertujuan  untuk  mengoptimalisasi  biaya  operasional dan keberlanjutan operasional SWRO di Pulau Ende yang sebelumnya telah terlaksana, dengan fokus pada analisis biaya listrik, pemeliharaan, serta perhitungan waktu operasional yang ideal. Data diperoleh melalui survei lapangan dan analisis teknis terhadap perangkat SWRO, termasuk perhitungan daya aktif dan daya reaktif. Hasil penelitian menunjukkan bahwa biaya operasional SWRO meliputi komponen penting seperti listrik, tenaga kerja, dan pemeliharaan, dengan estimasi biaya bulanan mencapai Rp. 47.628.869. Penelitian ini juga menyimpulkan bahwa untuk mencapai titik impas,  operasional SWRO  harus  berjalan  minimal selama 596  jam per bulan.  Dengan  analisis  ini, penelitian memberikan rekomendasi terkait strategi pengelolaan SWRO agar operasional dapat berjalan efisien dan berkelanjutan.
MAPPING PERMASALAHAN HASIL AUDIT INVESTIGASI BANGUNAN PUBLIK DI INDONESIA
Authors: Ferry Hermawan  , Bagus Abrar Ahimsa  , Rayhan Muhammad
Published: January 2025

Bangunan publik menghadapi masalah fisik yang dapat mempengaruhi fungsinya sebagai penyedia layanan esensial seperti kesehatan, pendidikan, hingga pemerintahan. Hal tersebut disebabkan oleh usia, bencana alam, dan kualitas konstruksi. Penelitian ini mengkaji pola permasalahan bangunan publik di Indonesia dengan mengidentifikasi hubungan  antara  permasalahan  fisik dengan  manajemen  bangunan  publik,  serta  mengidentifikasi pengendalian permasalahan bangunan publik di Indonesia. Jurnal internasional dan dokumen audit bangunan publik digunakan menjadi data sekunder, yang diolah menjadi mindmap dan matriks untuk mengidentifikasi hubungan antara permasalahan. Hasil analisis menunjukkan bahwa permasalahan yang paling banyak dari kajian pustaka adalah keretakan non struktural. Hal tersebut mengindikasikan audit pada ranah global dilakukan dengan cukup reaktif. Sedangkan pada studi kasus, audit dilakukan pada saat terjadi sengketa konstruksi. Masalah bangunan sering terjadi pada tahap Operation and Maintenance. Pada tiga studi kasus, ditemukan bahwa perizinan lahan dan kegagalan bangunan memiliki dampak yang cukup serius. Sebanyak 34 permasalahan bangunan publik pada kajian pustaka dan studi kasus memiliki persamaan yang menunjukkan bahwa masalah bangunan tidak hanya terjadi di Indonesia. Perbedaannya adalah pendeteksian dan penanganan dari masalah yang terjadi. Masalah bangunan sebenarnya dapat terjadi pada seluruh tahap dari fase Project Life-Cycle. Oleh karena itu, deteksi dan penanganan masalah yang cepat serta efektif dibutuhkan untuk mencegah masalah berkelanjutan.
ANALISIS PERBANDINGAN WAKTU PELAKSANAAN PEKERJAAN PENGECORAN MENGGUNAKAN TOWER CRANE DENGAN CONCRETE PUMP
Authors: Anak Agung Gde Agung Yana  , I Putu Ari Sanjaya  , I Putu Agus Arie Gunawan  , I Gusti Ngurah Oka Suputra  , Made Yani Anggreni
Published: January 2025

Pemilihan alat yang tepat untuk melakukan pekerjaan konstruksi sangat dibutuhkan, agar pelaksanaan pekerjaan menjadi efektif dan efesien. Menggunakan alat yang tepat akan mempengaruhi biaya dan waktu. Pada proyek Pembangunan Gedung Kantor (DPMPTSP, Disnaker, Diskes Dan Capil) Kabupaten Gianyar menggunakan dua alat pada waktu melakukan pengecoran pelat lantai yaitu tower crane dan concrete pump. Kedua alat yang digunakan memiliki kelebihan dan kekurangan, yang mempengaruhi produktivitas pelaksanaan. Produktivitas alat akan mempengaruhi waktu dan biaya proyek konstruksi. Penelitian yang dilakukan di sini adalah mencari titik impas (break event point) waktu penggunaan alat tower crane dan concrete pump pada waktu pelaksanaan pengecoran pelat lantai. Metoda pelaksanaan yang dilakukan adalah dengan melakukan pengamatan siklus pengecoran yang dilakukan oleh alat concrate pump dan tower crane. Dari pengamatan yang dilakukan akan diperoleh produktivitas masing-masing alat. Dengan menggunakan metoda regresi dan hasil pengamatan yang dilakukan, selanjutnya data pengawmatan dianalisis untuk mencari persamaan regresi antara volume dan waku pelaksanaan pekerjaan pengecoran menggunakan tower crane dan concrate pump. Persamaan regresi ini akan digunakan mencari waktu pelaksanaan pengecoran pada lantai 1, 2, dan atap serta titik impas (break event point) dari kedua alat yang di gunakan untuk melakukan pengecoran pelat lantai pada gedung. Berdasarkan hasil penelitian yang dilakukan, untuk menyelesaikan pengecoran setiap 6 m3 pada lantai II, III dan Atap secara berurutan tower crane memerlukan waktu (0,208; 0,219; 0,400) jam sedangakn concrete pump membutuhkan waktu (0,138; 0,155; 0,216) jam. Untuk titik impas kedua alat tersebut pada lantai II, III dan Atap atas volume terhadap waktu adalah (4,926 m3; 0,1 jam), (5,011 m3; 0,121 jam), (3,149 m3; 0,116 jam). Hasil titik impas menunjukan bahwa alat tower crane dibatasi hingga volume titik impas tertentu pada masing-masing lantai, setelah titik impas tersebut penggunaan concrete pump lebih menguntungkan dari segi dan waktu.
ANALISIS PENAWARAN KONTRAKTOR GEDUNG SEKOLAH DI PROVINSI BALI
Authors: Putu Ira Pramesti Wiraningsih  , I Made Aryatirta Predana
Published: January 2025

Gedung sekolah merupakan salah satu bagian dari sub-klasifikasi Bangunan Gedung Pendidikan yang secara rutin ditawarkan setiap tahun oleh Pemerintah melalui Lembaga Pengadaan Secara Elektronik (LPSE). Gedung sekolah pada umumnya memiliki desain yang tipikal sehingga menarik minat kontraktor untuk memperebutkan proyek tersebut. Beberapa tahun terakhir, proyek konstruksi yang ditawarkan oleh Pemerintah Provinsi Bali mengalami penurunan jumlah hingga 30% setiap tahunnya. Keterbatasan jumlah proyek tersebut membuat kontraktor berkompetisi mengajukan penawaran dengan nilai yang rendah. Fenomena persaingan tersebut kemudian menimbulkan pertanyaan apakah penawaran yang diajukan tersebut sudah optimum bagi kontraktor. Penawaran dikatakan optimum ketika penawaran tersebut memberikan peluang menang dan keuntungan harapan. Analisis penawaran optimum dilakukan pada proyek bangunan gedung sekolah di Provinsi Bali pada tahun 2018-2020 dengan Metode  Friedman,  didapatkan bahwa  nilai optimum adalah penawaran  dengan  mark-up  1% - 8% atau  ketika kontraktor menawar sebesar 76,21% - 81,49% dari nilai HPS. Berdasarkan tinjauan pada proyek 3 tahun terakhir yaitu tahun 2021-2024, diketahui hanya 14,55% kontraktor di Provinsi Bali memenangkan pekerjaan dengan harga yang wajar. Penawaran yang diajukan mengutamakan peluang kemenangan dengan cara menekan persentase keuntungan, atau dengan kata lain berpeluang besar untuk mengalami kerugian. Namun secara administratif diketahui proyek mampu diselesaikan dengan mutu dan waktu yang tepat meskipun dengan biaya yang tidak wajar. Tender sebagian besar dimenangkan oleh dua penawar terendah, yaitu sebanyak 88% proyek dimenangkan oleh penawar terendah pertama ataupun kedua, sedangkan hanya 12% proyek lannya dapat dimenangkan oleh penawar yang lebih tinggi.
Analisis Biaya Operasional Kendaraan dari Gudang Pusat Alfamart ke Cabang Minimarket Alfamart
Authors: Danny Garcia  , Nofri
Published: January 2025

Biaya operasi kendaraan adalah total biaya yang dikeluarkan oleh pengguna jalan saat menggunakan moda transportasi tertentu dari zona asal ke zona tujuan. Biaya ini terdiri dari dua komponen utama, yaitu biaya tetap (fixed cost) dan biaya tidak tetap (variable  cost). Biaya  tetap adalah biaya yang tidak berubah  meskipun  terjadi  perubahan  pada volume produksi jasa hingga tingkat tertentu, sedangkan biaya tidak tetap adalah biaya yang berubah seiring dengan perubahan volume  produksi  jasa. Menurut  Buton  (1993),  dalam penetapan  nilai  operasi  kendaraan,  penentuan  harga layanan transportasi   harus   memaksimalkan   kepentingan   penyedia   jasa   transportasi   sambil   tetap   mempertimbangkan kesejahteraan masyarakat. Kondisi ini akan stabil dalam jangka panjang, yang disebut dengan Long Run Marginal Cost (LRMC), di mana komponen biaya tersebut mempengaruhi penetapan harga dengan memperhatikan biaya modal atau biaya tetap lainnya yang berdampak pada kelangsungan kendaraan di masa depan.
ANALISIS KARAKTERISTIK BAMBU SEBAGAI MATERIAL DINDING NON STRUKTURAL
Authors: Desi Putri  , Astuti Masdar  , Endah Lestari  , Abdul Rokhman
Published: January 2025

Bambu merupakan material konstruksi ramah lingkungan mempunyai keunggulan dari segi kekuatan yang diketahui dari sifat mekaniknya seperti kuat tarik, kuat tekan dan kuat lentur. Bambu diaplikasikan sebagai material pada komponen struktur seperti balok, kolom dan truss. Bambu juga dapat diaplikasikan sebagai komponen non struktur berupa dinding. Pada saat gempa bumi kerusakan pada bangunan didominasi oleh kerusakan pada dinding, meskipun dinding bukan sebagai komponen struktur. Keruntuhan pada dinding non struktur banyak menimbulkan kerugian dan korban luka termasuk korban jiwa. Salah satu upaya untuk mencegah timbulnya korban jiwa akibat runtuhnya dinding bangunan pada saat terjadi gempa adalah dengan membuat dinding terbuat dari bambu laminasi. Dengan kegagalan dinding dimana kekuatan terendah adalah geser sehingga perlu diketahui kekuatan mekanik bambu khususnya geser sebagai pertimbangan dalam desain. Tujuan penelitian ini untuk mengetahui sifat fisik dan sifat mekanik bambu Petung sebagai bahan dasar dalam pembuatan bambu laminasi. Bambu Petung dilakukan dengan dua kondisi, kondisi pertama bambu Petung tanpa dilakukan pengawetan bambu dan kondisi kedua bambu Petung dengan dilakukan pengawetan pada bambu. Penelitian dilakukan secara eksperimental menggunakan standar ISO N225157-1 untuk pembuatan benda uji dan Standar N22157-2 untuk pengujian material. Pengawetan bambu mengacu pada SNI 8909-2020. Berdasarkan hasil penelitian dapat disimpulkan bahwa bambu Petung yang dilakukan pengawetan memiliki sifat fisik dan sifat mekanik yang lebih tinggi dari pada bambu Petung tanpa dilakukan pengawetan. Kadar air pada bambu Petung mengalamai kenaikan 1,22% pada daerah nodia dan 2,76 % pada daerah internodia. Kerapatan Bambu Petung mengalami kenaikan sebesar 8,33% pada daerah nodia dan 11,36 % pada daerah internodia. Kuat geser pada Bambu Petung baik pada daerah nodia maupun pada daerah internodia masing masing sebesar 25,19% untuk daerah nodia dan pada daerah internodia terjadi peningkatan kuat geser bambu Petung sebesar 28,21%.
EVALUASI STORY DRIFT PADA STRUKTUR GEDUNG PERKANTORAN 5 LANTAI DENGAN SAP2000
Authors: Sadvent M Purba
Published: January 2025

Indonesia, yang terletak di dalam Cincin Api Pasifik, adalah wilayah yang sangat rentan terhadap gempa bumi dengan intensitas tinggi. Oleh karena itu, diperlukan perencanaan infrastruktur yang mampu menahan gempa untuk memastikan keselamatan dan ketahanan struktur dalam jangka panjang. Laporan ini bertujuan untuk menganalisis sebuah gedung perkantoran lima lantai di Kemang, Jakarta Selatan, sesuai dengan persyaratan dalam SNI 1726:2019 tentang ketahanan gempa untuk struktur bangunan.Analisis dilakukan dalam tiga tahap utama: pra-analisis, analisis, dan kesimpulan. Tahap pra- analisis meliputi penentuan lokasi, peruntukan, dimensi gedung, serta perhitungan N-SPT dan respons spektrum gempa. Tahap  analisis  mencakup  perhitungan  manual dan  penggunaan  aplikasi SAP2000  untuk  menentukan  apakah  gedung memenuhi persyaratan SNI 1726:2019. Hasil analisis menunjukkan bahwa gedung tersebut tidak aman terhadap gempa karena nilai simpangan antar lantai melebihi batas yang diizinkan. Simpangan antar lantai respon spektrum arah-x ada pada lantai 2 sebesar 565, 06 mm, arah-y ada pada lantai 2 sebesar 691,45 mm  sedangkan kinerja batas ultimit strory drift izin adalah 46,15 pada kedua arah.   Kesimpulan dari laporan ini menegaskan bahwa gedung perlu didesain ulang dengan perkuatan tambahan, seperti perkuatan sambungan balok kolom, penambahan dinding geser, atau penggunaan kolom dan balok yang lebih besar untuk memenuhi persyaratan keamanan gempa.Evaluasi dan desain yang lebih detail diperlukan untuk memastikan keamanan dan ketahanan struktur terhadap gempa