bluuebunny/crossref_metadata_2025 huggingface dataset:
THE SYSTEM OF RELATIONS OF INNOVATIVE FORMS OF EMPLOYMENT OF THE POPULATION OF THE REPUBLIC OF BELARUS
Authors: Ziankova I.
Published: December 2021

In the introduction, a new object of research is indicated – innovative forms of employment in sustainable development, taking into account the principle of reproduction not only of the labor force, but of a working man in general. The purpose of the study is to analyze the system of relations of innovative forms of employment of the population of the Republic of Belarus in accordance with the requirements of sustainable development of the national economy. The aim of the study is a comparative analysis of the structure of employment of the able-bodied population in accordance with the requirements of sustainable development of the national economy.In the main part, the position is substantiated that today an analysis of the employment of the working-age population below and above its boundaries is carried out without taking into account the first preparatory stage of employment and labor of young people, without taking into account the indices of the level of sustainable socio-economic development of the country (health, education, standard of living, quality of life, healthy lifestyle; the level of development of environmental security and, in general, national security, demographic security).A global qualitative study of global and national documents, statistical data, proving the importance of researching a new object of the labor market – innovative forms of employment, was carried out.The results obtained can be applied in the development of a new object of the labor market – innovative forms of employment, in the construction of personal educational trajectories of young people, the development of the principle of social equality, in the construction of an innovative reproduction process of the population.
EFEKTIVITAS EDUKASI MANAJEMEN MANDIRI TERHADAP NILAI KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELLITUS (DM) TIPE 2
Authors: Dewi Ratna
Published: December 2021

Abstrak

 

Diabetes mellitus menjadi salah satu dari empat penyakit tidak menular utama yang menjadi target tindak lanjut di dunia, dimana jumlah kasus dan prevalensi diabetes mellitus terus meningkat selama beberapa dekade terakhir. Penatalaksanaan DM yaitu edukasi, pengaturan diet, terapi obat, latihan jasmani dan rutin cek KGD untuk mencegah komplikasi sehingga meningkatkan kualitas hidup penderita. Pendekatan yang efektif seperti edukasi manajemen mandiri sangat dibutuhkan agar penderita DM mau rutin menjalani penatalaksanaan untuk mencegah komplikasi DM. Tujuan penelitian untuk menganalisis perbedaan kadar glukosa darah penderita DM tipe 2 sebelum dan sesudah diberikan edukasi manajemen mandiri. Jenis penelitian adalah quasi experiment dengan rancangan pretest dan posttest yang dilaksanakan di RSU Imelda Pekerja Indonesia. Sampel adalah seluruh pasien DM tipe 2 yang berobat di RSU Imelda Pekerja Indonesia sebesar 38 orang. Alat pengumpulan data menggunakan glukometer. Uji yang digunakan adalah Wilcoxon test. Hasil penelitian menunjukkan adanya perbedaan nilai kadar glukosa darah (p<0,05) sebelum dan sesudah diberikan edukasi manajemen mandiri. Kesimpulan penelitian adalah edukasi manajemen mandiri memberikan pengaruh pada pasien DM untuk melakukan penatalaksanaan penyakit DM secara mandiri yang akan menghasilkan kadar glukosa darah terkontrol. Disarankan kepada pasien DM tipe 2 menerapkan manajemen mandiri dengan bantuan keluarga saat dirumah dan pihak pelayanan kesehatan agar terkontrolnya kadar glukosa darah.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN DIET PADA PASIEN GAGAL GINJAL KRONIK DI RUMAH SAKITUMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2019
Authors: Manurung Rostinah , Sari Juli Yana
Published: December 2021

ABSTRAK

 

Gagal ginjal kronik ( chorinic renal failure ) adalah kerusakan ginjal prosesif yang berakibat fatal yang di tandai dengan uremia (urea dan limbah nitrogen lainnya yang beredar dalam darah serta komplikasinya jika tidak dilakukan dialisis atau transpalasi ginjal ). Dukungan yang di berikan keluarga terhadap pasien yang menjalankan terapi diet sehingga pasien merasaka nyaman. Jenis penelitian menggunakan penelitian kuantitatif dengan tujuan penelitian untuk mengetahui hubungan dukungan keluarga dengan kepatuhan diet pada pasien gagal ginjal kronik di rumah sakit umum Imelda pekerja Indonesia medan tahun 2019. Teknik pengambilan sampel adalah purposive sampling yaitu teknik penentuan sampel  dengan pertimbangan tertentu sesuai sampel kriteria peneliti selama pengumpulan data berlangsung akan dijadikan sebagai responden dalam penelitian yang memperkirakan jumlah sampel adalah 36 pasien namun yang mengalami kepatuhan sebanyak 29 pasien. Hasil pengujian hipotesis untuk melihat hubungan antar variabel X dan variabel Y adalah dengan taraf signifikan (α) = 5% (0,05) dan df = 1 diperoleh hasil p.value = 0,029 dimana sig<a (0,029<0,05) dihitung uji chi squer yang dilakukan derajat kepercayaan nya 2 di peroleh hasil x2 hitung = 4.788 dan nilai x2 tabel = 4,602 artinya Ho di tolak  dan Ha di terima maka dapat diketahui ada hubungan dukungan keluarga dengan kepatuhan diet pada pasien gagal ginjal kronik di rumah sakit umum Imelda pekerja indonesia medan tahun 2019.Dukungan keluarga merupakan factor yang paling berhubungan untuk pasien gagal ginjal kronik, semakin baik dukungan keluarga maka akan semakin baik pula tingkat kepatuhan diet  pasien gagal ginjal kronik.
GAMBARAN PENGETAHUAN IBU HAMIL DALAM PENCEGAHAN PENYAKIT ANEMIA DI DESA KWALA BEGUMIT KABUPATEN LANGKAT
Authors: Manurung Nixson
Published: December 2021

ABSTRAK

 

Anemia pada kehamilan merupakan anemia karena kekuranga zat besi. Dan merupakan jenis anemia yang pengobatanya relatip mudah, bahkan murah. Anemia pada kehamilan merupakan masalah Nasional karena mencerminkan nilai kesejahteraan sosial ekonomi masarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia  (Manuaba, 2010). Pengetahuan ibu hamil tentang kesehatan khususnya anemia akan berpengaruh terhadap perilaku ibu hamil pada pelaksanaan program pencegahan anemia, sikap tersebut dapat berupa tanggapan. Ibu hamil umumnya mengalami defisiensi besi sehingga hanya memberi sedikit besi kepada janin yang dibutuhkan untuk metabolisme besi yang normal. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan ibu hamil dalam pencegahan penyakit anemia di Desa Kwala Begumit Kabupaten Langkat. Penelitian dalam studi ini menggunakan jenis penelitian Deskriptif. Tehnik sampling dalam penelitian ini adalah probability sampling jumlah sampel yang terkumpul dalam penelitian ini berjumlah 68 keluarga di Desa Kwala Begumit Kabupaten Langkat periode Januari-Maret 2019. Tehnik Analisa data yang digunakan adalah editing, coding, sorting, entry data dan cleaning. Hasil penelitian mayoritas usia responden berumur 21 - 40 Tahun sebanyak 47 orang (69,22 %) sedangkan responden yang berumur 12 - 25 Tahun sebanyak 21 orang (30,88 %), dan responden yang berumur 41 - 50 Tahun tidak ditemui, responden yang berpendidikan SD berjumlah 27 orang (39,7 %), SLTP berjumlah 28 orang (41,1 %), SLTA dan D3/S1/Sederajat masing-masing berjumlah 7 orang (10,1 %), mayoritas memperoleh sumber informasi melalui Tenaga kesehatan berjumlah 22 orang (32,4%), Kerabat/Keluarga berjumlah 18 orang (26,4%), Media cetak berjumlah 12 orang (17,6%) dan melalui Media elektronik berjumlah 16 orang (23,6%), mayoritas pekerjaan ibu  hanya sebagai IRT berjumlah 29 orang (42,6%), Bertani berjumlah 21 orang (30,9%), Wiraswasta berjumlah 15 orang (22,1%) dan PNS berjumlah 3 orang (4,4%), mayoritas tingkat pengetahuan responden cukup berjumlah 34 orang (50 %), sedangkan berpengetahuan baik hanya 20 orang (29,4 %) dan yang berpengetahuan buruk berjumlah 14 orang (20, 6 %). Dari penelitian ini dapat disimpulkan bahwa pengetahuan ibu hamil di desa kwala begumit ini terkategori cukup dikaitkan dengan media informasi yang masih kurang ditandai dengan terbatasnya sarana pelayanan kesehatan yang berpusat di Puskesmas Desa Kwala Begumit untuk dipergunakan oleh 15 dusun yang ada di desa ini. Namun, keterbatasan fasilitas dan tingkat pendidikan menjadi salah satu faktor penghambat seorang ibu hamil untuk mendapatkan pengetahuan yang baik dan menentukan sikap yang baik dalam pencegahan penyakit anemia.
EFEKTIFITAS PEMUTARAN FILM TERHADAP PERILAKU BUANG SAMPAH PADA MAHASISWA AKPER MALAHAYATI MEDAN
Authors: Hastuti Mona
Published: December 2021

ABSTRAK

 

Usia remaja merupakan masa transisi untuk menanamkan perilaku hidup bersih dan sehat (PHBS). Salah satu wujud PHBS adalah perilaku membuang sampah pada tempatnya. Tujuan penelitian ini adalah untuk menganalisis efektifitas pemutaran film terhadap perilaku buang sampah mahasiswa di Akper Malahayati. Jenis penelitian adalah quasi experiment dengan pendekatan kuantitatif dan desain one group pre test and post test design. Sampel adalah seluruh mahasiswa Akper Malahayati Medan  tahun 2019 sebesar 32 orang. Pengumpulan data primer melalui kuesioner dan data sekunder melalui studi dokumentasi. Teknis analisis data secara univariat untuk memperoleh gambaran perilaku buang sampah dan analisis bivariat dengan menggunakan paired-sample t test. Hasil penelitian menunjukkan pengetahuan siswa mayoritas baik (68,8%), sikap mayoritas baik (53,1%) dan tindakan mayoritas baik (68,8%). Penerapan penyamapaian pesan melalui pemutaran film terbukti efektif terhadap peningkatan perilaku buang sampah mahasiswa (p<0,05)Peneliti menyarankan kepada Akper Malahayati Medan  untuk lebih meningkatkan kesadaran mahasiswa untuk buang sampah pada tempatnya.
TINGKAT KECEMASAN PASIEN GAGAL GINJAL KRONIK DALAM MENJALANI HEMODIALISA DI RUMAH SAKIT IMELDA PEKERJA INDONESIA
Authors: Damanik Hamonangan
Published: December 2021

ABSTRAK

 

Gagal ginjal kronik merupakan kerusakan ginjal progresif ditandai dengan uremia (urea dan limbah lain yang beredar di dalam darah serta komplikasinya jika tidak di lakukan dialisis atau transplantasi ginjal). Penderita gagal ginjal kronik yang akan melakukan hemodialisa sering mengalami kecemasan. Kecemasan merupakan reaksi normal terhadap situasi yang sangat menekan kehidupan seseorang yang berlangsung tidak lama. Penelitian ini bertujuan untuk mengetahui bagaimana tingkat kecemasan pasien gagal ginjal kronik dalam menjalani hemodialisa di Rumah Sakit Imelda Pekerja Indonesia. Jenis penelitian yang digunakan adalah deskriptif dengan rancangan studi cross sectional. Penelitian dilakukan pada April tahun 2019. Populasi dalam penelitian ini adalah seluruh pasien yang menjalani hemodialisis di  RS Imelda Pekerja Indonesia sebanyak 205 orang. Tehnik sampling pada penelitian ini adalah tekhnik nonprobability sampling yaitu purposive sampling dengan demikian jumlah sampel pada penelitian ini sebanyak 31 orang. Hasil penelitian menunjukkan bahwa mayoritas responden yang menjalani hemodialisa mengalami kecemasan dengan tingkat kecemasan sedang 19 orang (61,3%), sedangkan minoritas responden hemodialisa dengan tingkat kecemasan berat 4 orang (12,9%).Disarankan bagi responden agar dapat mencari informasi mengenai terapi hemodialisis, seperti manfaat, proses dan dampak yang ditimbulkan oleh terapi tersebut. Dengan demikian responden dapat memahami bahwa terapi yang diberikan adalah untuk membantunya tetap sehat.
GAMBARAN PENGETAHUANIBU TENTANG PENCEGAHAN GIZI BURUK DENGAN PEMENUHAN NUTRISI DI LINGKUNGAN V KELURAHAN MEDAN LABUHAN
Authors: Siregar Yafrinal
Published: December 2021

ABSTRAK

Malnutrisi (Gizi Buruk)  adalah  keadaan  patologis  akibat  kekurangan   atau kelebihan  secara  relatif  maupun  absolut  salah  atau  lebih  zat    gizi (Supriasa, 2009). Malnutrisi (Gizi Buruk)  yaitu suatu kondisi dimana penderita mengalami penurunan berat badan lebih dari 10% dari berat badan sebelumnya dalam 3 bulan terkhir. Penelitian dalam studi ini bertujuan untuk mengidentifikasipengetahuan ibutentang pencegahan terjadinya Gizi buruk melalui pemenuhan nutrisi pada balitadi lingkungan V kelurahan Labuhan Deli dengan menggunakan metode penelitian diskriptif dengan menggunakan rancangan pendekatan cross sectiona, dimanajumlah populasi dalam penelitian ini yaitu 30 orang dengan sampelberjumlah 30 responden. Dimana penelitian di lakukan pada bulan April-Mei 2015.Hasil dari penelitian ini dari 30responden mayoritas memiliki pengetahuan cukup sebanyak 21 orang (70%) dan minoritas berpengetahuan buruk (10%).Dari hasil penelitian terlihat bahwa pengetahuan ibu tentang gizi buruk masih tergolong cukup, untuk itu diharapkan khususnya untuk ibu-ibu yang memiliki balita agar lebh aktif mencariinformasi melalui majalah,buku-buku,TV,dan radio agar mendapatkan informasi-informasi yang penting  tentang gizi buruk,sehingga  ibu tahu tentang pemberian gizi yang baik terhadap balita sehingga terhindar dari gizi buruk.

 

Kata Kunci                           :,, ,
PENGARUH STRATEGI MEKANISME KOPING TERHADAP TINGKAT KECEMASAN PADA IBU PRIMIGRAVIDA DI RUMAH SAKIT UMUM DI MEDAN TAHUN 2019
Authors: Manurung Rostinah
Published: December 2021

Kehamilan pertama bagi seorang ibu primigravida merupakan salah satu periode krisis dalam kehidupannya. Kecemasan tersebut dapat muncul pada ibu hamil karena masa panjang saat menanti kelahiran dan bayangan tentang hal-hal yang menakutkan saat proses persalinan walaupun belum tentu terjadi. Situasi ini menimbulkan perubahan drastis, bukan hanya fisik tetapi juga psikologis. Untuk  menghadapi  kecemasan  tersebut  dibutuhkan mekanisme  koping  yang  baik,  dalam  menurunkan  kekhawatiran  atau  kecemasan tersebut.  Semakin  adaptif mekanisme koping ibu hamil maka tingkat gangguan psikologis  semakin  rendah,  namun  jika  mekanisme  penderita  maladaptive  maka tingkat  gangguan  psikologisnya  semakin  berat. Penelitian ini bertujuan untuk mendeskripsikan adanya pengaruh strategi mekanisme koping terhadap tingkat kecemasan  pada ibu  Primigravida. Penelitian dilakukan pada bulan April tahun 2018 di Rumah Sakit Umum Imelda Pekerja Indonesia Medan Tahun 2018  jenis penelitian yang digunakan adalah pre experimental design dengan pendekatan one - shoot case study. Populasi dalam penelitian ini adalah 80 orang. Tehnik sampling pada penelitian ini adalah purposive sampling dengan demikian jumlah sampel 30 orang. Analisis statistik yang digunakan uji chi square.  Hasil analisis bivariat menunjukkan bahwa strategi mekanisme koping terhadap tingkat kecemasan pada ibu primigravida didapatkan nilai p sebesar 0,000 nilai p = 0,000 < 0,05 dapat diartikan bahwa HA diterima ada pengaruh antara strategi mekanisme koping dengan tingkat kecemasan pada ibu primigravida di Rumah Sakit Umum Imelda Pekerja Indonesia Medan tahun 2019. Ada pengaruh strategi mekanisme koping terhadap tingkat kecemasan pada ibu primigravida di rumah sakit umum imelda pekerja indonesia medan tahun 2019, diharapkan ibu hamil dapat mengatur kopingnya dengan baik agar mengurangi tingkat kecemasan pada ibu hamil.
TINGKAT PENGETAHUAN DAN STRATEGI KOPING MASYARAKAT INDONESIA MENGHADAPI PANDEMI COVID-19
Authors: Kristamuliana  , Simak Valen Fridolin
Published: December 2021

Penyebaran coronavirus disease 2019 (covid-19) dengan cepat di seluruh dunia menyebabkan keresahan di berbagai lapisan masyarakat. . Berbagai respon kesehatan jiwa dan psikologis muncul karena kondisi ini.Hal ini menyebabkan masyarakat berbondong-bondong mencari tahu tentang covid-19 untuk meningkatkan pengetahuan agar dapt terhindar dari virus tersebut. Situasi penuh tekanan ini juga menuntut masyarakat untuk menggunakan strategi koping yang tepat untuk mengatasinya. Tujuan dari penelitian ini adalah untuk mengetahui tingkat pengetahuan masyarakat Indonesia tentang covid-19, strategi koping yang digunakan dalam menghadapi pandemi covid-19 serta hubungan dari kedua variable tersebut. Desain yang digunakan adalah cross sectional dengan jumlah sampel sebesar 400 responden. Pemilihan sampel dilakukan dengan snow ball sampling. Instrumen yang digunakan untuk tingkat pengetahuan adalah COVID KAP-Psy dan untuk strategi koping adalah The Ways of Coping. Hasil penelitian menunjukkan tingkat pengetahuan yang bauk tentang covid-19 pada masyaralat Indonesia sebesar 55,8 % dan pengetahuan sedang sebesar 44,2%; strategi koping berfokus masalah sebesar 47,2% dan berfokus emosi sebesar 52,8%. Tidak terdapat hubungan antara kedua variable tersebut (p=0,941). Kesimpulan peneltian ini adalah tingkat pengetahuan masyarakat Indonesia tentang covid-19 cenderung baik, strategi koping yang digunakan cenderung berfokus emosi dan tidak ada hubungan antara tingkat pengetahuan dan strategi koping yang digunakan oleh masyarakat dalam menghadapi pandemic covid-19 di Indonesia.
HUBUNGAN SELF CARE ACTIVITY DENGAN TINGKAT DEPRESI PADA PASIEN CONGESTIVE HEART FAILURE DI POLIKLINIK JANTUNG RSU FAMILI HUSADA
Authors: Suandari Luh Desy , Putra Putu Wira Kusuma , Darmawan A. A. Kompiang Ngurah
Published: December 2021

Depresi merupakan kondisi yang rentan dialami oleh pasien Congestive heart failure, dimana keadaan patologis gagal jantung seperti kerusakan struktur dan fungsi jantung secara tidak langsung mempengaruhi kualitas hidup pasien, serta tingginya angka rehospitalisasi dan mortalitas dapat menyebabkan timbulnya keterbatasan fungsional dan distress psikologis bagi pasien. Penelitian ini bertujuan untuk mengetahui Hubungan Self Care Activity Dengan Tingkat Depresi Pada Pasien CHF. Jenis penelitian ini adalah kuantitatif dengan desain deskriptif korelasional dengan pendekatan cross sectional. Penelitian ini dilakukan di Poliklinik Jantung RSU Famili Husada. Pengambilan sampel dengan menggunakan nonprobability sampling dengan teknik proposive sampling, diperoleh sampel 50 orang. Hasil penelitian menunjukkan dari 50 responden sebagian besar  memiliki tingkat depresi sedang yaitu 30 responden (60%). Sedangkan self care activity sebagian besar memiliki self care activity yang cukup yaitu 36 responden (72%).  Hasil uji rank spearman  test menunjukan nilai p-value 0,000  α = 0,05 yang artinya ada hubungan self care activity dengan tingkat depresi pada pasien CHF di poliklinik Jantung RSU Famili Husada.
The Exogenous Shock of COVID-19: An Evidence from Financial Sector of an Emerging Economy
Authors: Hasan Md. Enamul , Ahmed Asma , Akhi Rowshonara Akter
Published: December 2021

This paper analyses the effect of COVID-19 on the financial sector of Bangladesh. Particularly, it explores how this pandemic has affected this industry, considering firms’ past (pre-pandemic) financial characteristics. Employing the Generalised Estimation Equations (GEE) method with 1050 firm-year observations, which includes listed Banks, Financial Institutions, and Insurance companies’ data obtained from annual reports, datastream, and WHO, we found that firms with the larger size, more leverage, liquidity, and higher ROA is more resilient to stock return declines reacting to this pandemic. This study should be of interest to investors and regulators as it provides new evidence related to an industry’s pandemic and stock market response based on their prior financial characteristics. Besides, it will contribute to the extant literature of COVID-19 and the firm’s stock return from an emerging economy perspective.
Reestablishing the Foundations: Investigating the Theoretical and Practical Boundaries of Criminology
Authors: Hawks Jr. Albert , Mcdonald-Lopez Karina
Published: December 2021

Symbolic boundaries are essential to social functioning and, more narrowly, to the social functioning of academia. Yet the boundaries of the field of Criminology remain deeply ambiguous. What are the parameters of the field? What is agreed upon as foundational theory? What are the core research agendas? This lack of clarity and consensus hampers internal dialogue between interdisciplinary scholars and constrains efforts to meaningfully address critical societal ills. As such, with this review we seek to promote cohesion in the field and improve our ability to understand crime as a social phenomenon. To accomplish this, a team of researchers conducted a thorough review of criminology textbooks and top journals in the field. We first examine explicit and implicit definitions of criminology and next identify the major avenues of current research. We further highlight major avenues and oversights of research, making recommendations for further study to promote productive cohesion amongst criminologists. Finally, we combine theoretical conceptions of criminology with current research to offer a new, comprehensive definition: Criminology is the theoretically informed scientific study—and the resulting body of knowledge—of crime broadly understood as a socially constructed and embedded phenomenon as well as its causation and prevention.
A Study on Online Shopping Scams
Authors: Arumugam Nalini , Mohamad Faizah , Shanthi Alice , Dharinee Sai
Published: December 2021

Online shopping is becoming increasingly popular though there are several risks. Hence, this study investigates the language used by an international e-commerce platform customer to voice out their dissatisfaction, types of online shopping risks on the international e-commerce platform, and strategies acquired by the platform in addressing scamming issues on their site. A qualitative approach was used to analyse the data gathered from consumers’ feedback and review of the product they purchased on the international e-commerce platform. Data were analysed thematically. The study’s findings revealed that delayed delivery and receiving counterfeit products were the most frequent complaints reported. The shopping risks identified were quality of product and delivery risks. Furthermore, the findings also revealed that the international e-commerce platform used negotiation, mediation, confrontation, and litigation strategies to combat scamming issues on its platform. The study concludes with recommendations.
Profile of migrants for cocoa production and agronomic characteristics of cocoa farms in Western Côte d'Ivoire
Authors: Kpangui Kouassi Bruno  , Sangne Yao Charles  , Kouakou Kouassi Apollinaire  , Koua Kadio Attey Noël  , Koffi N'Guessan Achille
Published: December 2021

The mountainous relief of the West of Côte d'Ivoire and the large savannahs next to forests didn’t make this zone very excellent for cocoa production. However, for the last decade, an important influx of farming population has been observed in this area. The objective of this study is to analyze the dynamics of the settlement of migrant farmers in the West region of Côte d’Ivoire, using the department of Biankouma as a case of study. So, individual surveys were conducted among 203 cocoa farmers from 15 villages in the department of Biankouma, who had migrated to this region, It was found that the majority of these farmers are natives of Côte d'Ivoire (38.3%) and non-natives (33.5%) from countries in the West Africa region. The migratory flow to this region is mainly internal, with 95.6% of farmers coming from 11 Districts and 55 localities in the country. While initially (i.e., before 1985), farmers came from towns near Duékoué (11.8%), these waves of movement from towns in neighboring districts (Bas-Sassandra and Sassandra-Marahoué) to the Western Region will experience their highest rates between 2002 and 2013. Observations drawn from our research findings support the hypothesis that the political-military crisis that the country has experienced has accentuated migratory flows of farmers for cocoa production in western Côte d'Ivoire and these migratory flows could be the cause of the degradation of forest cover in the Biankouma Department.
Queer Politics of Post-Enlightenment: Beyond the Horizon of the Present
Authors: Kulpa Roberto
Published: December 2021

This essay reflects on queer politics in Central and Eastern Europe (CEE) through the examples of Poland and Hungary, using the Derridean concept of “supplement” to expose the inherently unstable and somewhat queer nature of populist nationalisms. I suggest that both populist and LGBTQ+ politics are the legacy of the Enlightenment, consolidating the negative effects of the ongoing dominance (or, more precisely, coloniality) of a European-defined “modernity.” In response, I ponder whether the “in-betweenness” of CEE may accelerate the realization of new possibilities for queer politics beyond the heteronormative and racialized present of “Europe.”
Depression and psychological distress in elders are influenced by the antioxidant enzyme SOD2
Authors: Ueno Augusto Yoshiro , Jung Ivo Emilio da Cruz , Cruz Ivana Beatrice Mânica da , Barbisan Fernanda
Published: December 2021

Introduction: Depression and psychological stress have high prevalence and incidence rates, affecting the individual welfare and increasing the risks for non-infectious chronic diseases. Studies have shown relations between inflammation and oxidative stress. In genetics, the single nucleotide polymorphism (SNP), inside the superoxide dismutase gene (Val16Ala-SOD2), is an important study subject to comprehend the risks of developing depression because its different genotypes can impact the balance between superoxide and hydrogen peroxide. The genotype VV favors the superoxide, the AA favors the peroxide and the AV generates similar amounts. Objectives: Evaluate the relation between oxidative unbalance, generated by Val16Ala-SOD2 SNP, and the rates of depression in elders. Methods: The study, approved by the ethics committee of UFSM, was a case-control analysis to examine the association between Val16Ala-SOD2 SNP, depression and stress in elders. Genetical analysis was made by polymerase chain reactions. The sample had 612 elders from Gravataí (RS). Depression was diagnosed using the geriatric depression scale- 15 and the stress by self perception. Statistical analysis was made by SSPS. Results: From the 612 elders (with similar ages and lifestyles), 115 were diagnosed with depression; the other 497 composed the control group. The analyses showed significantly higher frequency of the genotype VV in those who had depression, compared with the allele A. Conclusion: The results indicate strong association of the Val16Ala-SOD2 SNP, the risks of depression and psychological stress, probably due to the increasing oxidative stress and inflammatory state associated with the recessive genotype, VV.
Sífilis e gestação: um desafio ainda nos dias atuais
Authors: Azevedo Mariana Pessanha Wagner de , Castro Luiz Alberto Martins de , Rifan Sarah Almeida , Soares Bruno de Almeida Castro , Caldas Camila Fleckner Navarro Rodrigues , Morais Paula Loureiro Meireles Ávila de
Published: December 2021

Introdução: A sífilis é uma patologia cujo agente etiológico é o Treponema pallidum, que tem entre suas formas de transmissão a vertical. Trata-se de uma patologia com tratamento acessível, efetivo e eficaz, mas que ainda representa um desafio para a saúde pública. Relato de caso: Paciente primigesta, com idade gestacional de 35 semanas e 2 dias (calculada por meio de ultrassom tardio), chega à maternidade relatando fortes dores em baixo ventre e refere não perceber movimentação fetal há dois dias. Também diz ter realizado um ultrassom há três dias, sem alterações. Nega comorbidades ou qualquer uso de medicação. Ao ser analisado o cartão do pré-natal, constatou-se tipo sanguíneo e fator Rh O+, apenas duas consultas de pré-natal, com uma rotina incompleta, e testes rápidos para sífilis e vírus da imunodeficiência humana (HIV) negativos. Ao exame físico não demonstrava alterações. Atividade uterina: uma contração, de duração de 20 segundos, em 10 minutos de exame. Tônus uterino normal. Fundo uterino de 31 cm, batimentos cardíacos fetais (BCF) não auscultados ao exame e movimentação fetal não percebida. Ao toque vaginal: colo mediocentralizado, dilatado 2 a 3 cm, apagado em cerca de 80%, feto cefálico, -2 De Lee. Foi solicitado um ultrassom obstétrico, que evidenciou ausência de BCF e índice de líquido amniótico normal, com idade gestacional de 34 semanas e 2 dias. A plantonista solicitou teste rápido para sífilis e um estudo laboratorial de doenças venéreas (VDRL). Após a realização do teste rápido, foi evidenciado um resultado positivo no teste rápido de sífilis. Após aproximadamente 10 horas de trabalho de parto, houve a expulsão fetal, com posterior dequitação espontânea. O ato ocorreu sem intercorrências. O resultado do VDRL mostrou a proporção de 1:4.096, e prescreveu-se para essa paciente penicilina benzatina, três doses. A paciente, após três dias da expulsão fetal, recebeu alta. Conclusão: É possível observar a importância de um pré-natal bem realizado, com a devida realização dos exames, para o diagnóstico e o tratamento precoce. A sífilis é uma patologia de etiologia conhecida e amplamente estudada, atualmente de fácil diagnóstico e tratamento bem estabelecido, mas que ainda nos dias atuais é um desafio de saúde pública no país em que vivemos. É de extrema relevância o adequado rastreio dessa patologia para a prevenção de desfechos maternos e fetais negativos.
Tromboflebite pélvica séptica pós-abortamento — relato de caso
Authors: Rodrigues Lara de Siqueira , Streit Mariana Brandão , Schorr Bianca Carmo , Abreu Leandro Teixeira , Santos Isabella Soares da Costa dos , Beralto André Luiz Clemente
Published: December 2021

Introdução: A trombose de veia ovariana é um evento raro, que pode acontecer no puerpério, pós-abortamento, cirurgias pélvicas, entre outros. A apresentação clínica é bastante inespecífica, podendo manifestar-se com dor abdominal difusa e mal localizada e febre, portanto, pode entrar como diagnóstico de exclusão entre as causas de abdome agudo e infecção puerperal. Para a elucidação diagnóstica é importante a realização de exames de imagem, como ultrassonografia com doppler, ressonância magnética e tomografia computadorizada. Relatamos o caso de uma paciente com trombose de veia ovariana pós-abortamento tardio. Relato de caso: Paciente P.V.H.G., 35 anos, sem comorbidades, três gestações, dois partos cesáreos, evolui com abortamento tardio, e é realizada wintercuretagem, com saída de moderada quantidade de restos placentários. A paciente recebe alta hospitalar um dia após o procedimento, assintomática, afebril, apresentando sangramento vaginal em dedo de luva. Dois dias após a alta hospitalar, inicia quadro de dor abdominal de forte intensidade, mal localizada e febre alta aferida (39,5°), retornando à emergência com suspeita de quadro infeccioso e sendo internada para investigação e tratamento. Realizou-se ultrassonografia transvaginal que mostrou imagem hipoecogênica de limites mal definidos, medindo 27x25x25 mm, sem fluxo ao doppler, atrás de ovário esquerdo e exames laboratoriais com elevação dos marcadores inflamatórios. Foi iniciada antibioticoterapia com clindamicina e gentamicina e solicitou-se tomografia computadorizada com contraste, que evidenciou imagem sugestiva de trombose em veia ovariana esquerda. O esquema antibiótico foi mantido e iniciou-se heparinização plena, tendo a paciente evoluído com boa resposta clínica. Conclusão: Em sendo a tromboflebite pélvica séptica (TPS) um diagnóstico raro e de exclusão, faz-se necessário conhecer para poder suspeitar, diagnosticar e tratar. Sua incidência é variável, provavelmente por conta de sub e sobrediagnóstico, a depender da instituição e local. Em relação à clínica, a dor apresenta-se constante, em flanco e abdome baixo e pode-se palpar cordão ou massa “em salsinha”, rara e específica. Historicamente, já se propôs tratamento cirúrgico, mas atualmente o antibiótico de amplo espectro associado à heparina tem-se mostrado seguro e eficaz. A suspeita de TPS deve ser levantada especialmente quando, após tratamento por cinco dias com antibiótico para endometrite, a febre em picos persiste, como no caso aqui relatado. Com base nisso, deve ser realizada imagem (tomografia computadorizada ou ressonância nuclear magnética), e avaliado o início de anticoagulação plena. Sobre o seguimento, a duração da anticoagulação depende do local acometido. Para trombose de veia ovariana, como no caso relatado, a bibliografia sugere anticoagulação por três meses com varfarina oral, além de controle por imagem.
Tumor trofoblástico de sítio placentário associado a ruptura uterina: relato de caso
Authors: Yela Daniela Angerame , Hoch Karin Anspach , Benetti-Pinto Cristina Laguna
Published: December 2021

Introdução: O tumor trofoblástico de sítio placentário (TTSP), modalidade rara e maligna de doença trofoblástica gestacional (DTG), acomete 1/50.000-100.000 gestações e totaliza apenas 725 casos conhecidos no mundo todo. Não tem aspecto ultrassonográfico nem características clínicas patognomônicas, o que torna o diagnóstico de certeza dependente de análise patológica. O diagnóstico precoce é fundamental para o sucesso do tratamento. Relato do caso: Mulher de 20 anos com história de amenorreia de 17 semanas e 2 dias e exame de gonadotrofina coriônica humana (HCG) positivo. Antecedente obstétrico de dois abortos (último seis meses antes). Não apresentava alterações ao exame físico e ginecológico. O ultrassom mostrou área nodular, sólida na parede posterior do útero e o HCG era de 337 mU/mL. Assim, a paciente foi submetida a histeroscopia para exérese da área suspeita de restos ovulares. Cinquenta dias após o procedimento, retornou ao serviço com abdome agudo e choque hemorrágico. Foi submetida a laparotomia exploratória, que evidenciou rotura uterina, depois a histerectomia total e salpingectomia bilateral. O anatomopatológico identificou o TTSP. A paciente evoluiu sem intercorrências e teve alta hospitalar após cinco dias. Não se evidenciaram metástases a distância e a paciente encontrava-se clinicamente bem e com HCG negativo há 12 meses. Conclusão: O TTSP é um tumor raro e de difícil diagnóstico. O diagnóstico tardio, por sua vez, pode levar as mulheres a evoluírem para quadros com alta morbimortalidade, além de implicar piora do prognóstico. Assim, mediante a identificação de lesões intrauterinas associadas a baixos níveis de HCG, é crucial aventar a hipótese de tratar-se de uma forma rara de DTG, como o TTSP.
Unexpected Discovery of Hemoglobin D Iran Families in Punjab, Pakistan by using two different Screening Methods
Authors: Sikander Nada , Bashir Shabnam , Tariq Rija , Sabir Furqan , Akhtar Samia , Tariq Amna
Published: December 2021

Background: Hemoglobin D Iran is frequently misdiagnosed as Hb E or Hb D Punjab if only one method of screening is used. The objective of our study was to highlight the importance of using two different screening techniques in diagnosis of a hemoglobin variant, Hb D Iran in our case. Hematological parameters of heterozygous Hb D Iran and compound heterozygous β/Hb D Iran were also compared. Methods: A descriptive study was carried out on results of 52,379 subjects which were part of thalassemia extended family cascade screening from 36 districts of Punjab from October 2019-March 2021. Cases of Hb D Punjab and Hb E were run on both CE-HPLC (cation exchange-high performance liquid chromatography) and CZE (capillary zone electrophoresis). Resulting Hb D Iran cases were confirmed by ARMS-PCR (Amplification refractory mutation system-polymerase chain reaction). Results: Forty cases of Hb D Iran were detected out of 160 initially suspected Hb D Punjab cases and 126 Hb E cases. Diagnosis was confirmed by molecular analysis. Statistical significance was found between RBC count, MCV, MCH, Hb F and diagnosis of “heterozygous Hb D Iran” and “compound heterozygous for β/ Hb D Iran”. Conclusion: Hb D Iran can be easily missed and misdiagnosed as Hb E or Hb D Punjab, if two screening methods are not used. This maybe a reason why Hb D Iran remains unreported in our region. CBC and HPLC indices can also be suggestive if a case is of heterozygous D Iran or compound heterozygous β/Hb D Iran. Keywords: Hb D Iran, Hb E, Hb D Punjab, Cation exchange High performance liquid chromatography, Capillary zone electrophoresis
Diseño para la innovación en las firmas de abogados. Un estudio de caso de los premios Innovation in Motion en Baker McKensie
Authors: Hagan Margaret
Published: December 2021

Los métodos de diseño e innovación se han extendido por el sistema jurídico como herramientas prometedoras para reimaginar cómo se prestan los servicios, se realizan las comunicaciones y se estructuran los modelos de negocio. Este artículo explora cómo los métodos de pensamiento de diseño pueden introducirse en un bufete de abogados tradicional, como Baker McKenzie, mediante una mezcla de formación en diseño, sprints de innovación y concursos de ideas. El estudio de caso muestra cómo los métodos de pensamiento de diseño deben ajustarse para su aplicación adecuada en una firma de abogados. Los requisitos de horas facturables, la jerarquía organizativa y las obligaciones profesionales pueden socavar el trabajo de diseño. Una primera ronda de diseño puede convertirse en una bola de nieve con más sprints, años sabáticos e inversiones para aumentar la capacidad de los abogados y el desarrollo de la innovación.
Betterment of Performance in Groupal Interaction with Professor of Non-Pedagogic Careers
Authors: IA Solernou Mesa
Published: December 2021

This work picks up the base, the structure and the partial results of a pedagogic model that it stimulates the study to develop the interaction groupal in the educational performance of graduate professors of non-pedagogic careers (doctors, nurses, engineers and others). The idea integrates in way theoretical systemic budgets from the Advanced Education theory and of the historical cultural focus. The interaction groupal was conceived integrated to the variable educational performance, it constitutes the center of the research and it guided the carried-out inquiries. The picked-up data were subjected to triangulation as well as analyzed with the use of the descriptive and not parametric statistic. The investigation was carried out in nine years in one of the abilities of the University of Medical Sciences of Havana, Cuba and its results have been applied in the courses of the university professors of the careers of the health mainly.
COVID-19 Pandemic: A Great Concern to Addiction Problem
Authors: Muhammad Faisal , Oruche Chinyere Amaka , Chowdhury Kakoli
Published: December 2021

As a result of the current novel coronavirus disease 2019 (COVID-19) pandemic, the general healthcare system is battling with recognizable challenges in delivering patients care. Both the patients and healthcare providers are at risk of COVID-19 exposure.
Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation
Authors: Joo Min Su , Kwon Hoi Young , Kim Jeong Woo
Published: December 2021

Background: We aimed to assess the effect of plate hook bending in treatment of acromioclavicular (AC) dislocation by analyzing clinical and radiological results according to the angle of the plate hook (APH).Methods: This was a retrospective, observational, case-control study including 76 patients with acute AC joint dislocation that were divided into two groups according to treatment with bent or unbent plate hook. The visual analog scale (VAS), the American Shoulder and Elbow Surgeons (ASES) shoulder score, and range of motion (ROM) were evaluated as clinical outcomes. Comparative coracoclavicular distance (CCD) was measured to evaluate radiological outcomes.Results: While the VAS and ASES of the bending group at 4 months after surgery were significantly higher (P=0.021, P=0.019), the rest of those and ROM showed no significant difference. The initial CCD decreased from 183.2%±25.4% to 114.3%±18.9% at the final follow-up in the bending group and decreased from 188.2%±34.4% to 119.1%±16.7% in the non-bending group, with no statistical difference (P=0.613). The changes between the initial and post-metal removal CCD were 60.2%±11.2% and 57.3%±10.4%, respectively, with no statistical difference (P=0.241). The non-bending group showed greater subacromial osteolysis (odds ratio, 3.87). Pearson’s coefficients for the correlation between APH and VAS at 4 months after surgery and for that between APH and ASES at 4 months after surgery were 0.74 and –0.63 (P=0.027 and P=0.032), respectively.Conclusions: The APH was associated with improved postoperative pain and clinical outcomes before implant removal and with reduced complications; therefore, plate hook bending is more useful clinically during plate implantation.
Topographical measurement of the attachments of the central band of the interosseous membrane on interosseous crests of the radius and ulna
Authors: Jang Suk-Hwan , Kim Kyung-Whan , Jang Hyo Seok , Kim Yeong-Seok , Kim Hojin , Kim Youngbok
Published: December 2021

Background: To suggest a reasonable isometric point based on the anatomical consistency of interosseous membrane (IOM) attachment in association with topographic characteristics of the interosseous crest, the footprints of the central band (CB) of the IOM on the radial and ulnar interosseous crests (RIC and UIC) were measured.Methods: We measured the distance from the CB footprints from each apex of both interosseous crests in 14 cadavers and the angles between the forearm axis of rotation (AOR) and the distal slopes of the RIC and UIC in 33 volunteers. Results: The CB footprints lay on the downslope of both interosseous crests with its upper margin on average 3-mm proximal from the RIC's apex consistently in the radial length, showing normality (p>0.05), and on average 16-mm distal from the UIC's apex on the ulna without satisfying normality (p<0.05). The average angle between the UIC's distal slope and the AOR was 1.3°, and the RIC's distal slope to the AOR was 14.0°, satisfying the normality tests (p>0.05), and there was no side-to-side difference in both forearms (p<0.05).Conclusions: The CB attached to the downslope just distal to the RIC's apex constrains the radius to the UIC that coincides with the AOR of the forearm circumduction, maintaining itself both isometrically and isotonically.
When should reverse total shoulder arthroplasty be considered in glenohumeral joint arthritis?
Authors: Jo Young-Hoon , Kim Dong-Hong , Lee Bong Gun
Published: December 2021

Anatomical total shoulder arthroplasty (TSA) has been used widely in treatment of glenohumeral osteoarthritis and provides excellent pain relief and functional results. Reverse total shoulder arthroplasty (RSA) was created to treat the complex problem of rotator cuff tear arthropathy. RSA also has been performed for glenohumeral osteoarthritis even in cases where the rotator cuff is preserved and has shown good results comparable with TSA. The indications for RSA are expanding to include tumors of the proximal humerus, revision of hemiarthroplasty to RSA, and revision of failed TSA to RSA. The purposes of this article were to describe comprehensively the conditions under which RSA should be considered in glenohumeral osteoarthritis, to explain its theoretical background, and to review the literature.
Estudo do valor prognóstico do Ki-67 em adenocarcinomas colorretais e sua correlação com parámetros clínico-patológicos.
Authors: Alves Ana , Muñoz Javier
Published: December 2021

Estudar o valor prognóstico do Ki-67 em Adenocarcinomas Colorretais, correlacionando-o com diferentes parámetros clínico-patológicos. Trinta cinco pacientes com adenocarcinoma colorretal foram submetidos a resseção cirúrgica do respetivo tumor e sujeitos a um follow-up pós-operatório de 10 anos. Observou-se correlação estatisticamente significativa entre a “expressão imunohistoquímica do Ki-67” e o “prognóstico dos pacientes” (p < 0,05),
mas não com a “localização” e o “grau de diferenciação tumoral” (p > 0,05). Aos 10 anos a sobrevivéncia foi de 62,9%. A determinação da correlação do Ki-67 com o “grau de diferenciação” e “localização” dos Adenocarcinomas Colorretais tem- se mostrado, na maioria dos estudos, não estatisticamente significativa. Contudo, este marcador parece apresentar valor prognóstico.
El derecho limitado de asociación de los empleados públicos en la legislación colombiana
Authors: Arredondo del Rio José M.
Published: December 2021

El análisis de las normas del derecho colectivo del trabajo da cuenta de las limitaciones al ejercicio pleno del derecho fundamental de asociación de los empleados públicos, si bien estos no suscriben un contrato de trabajo, en el acto que regula sus funciones, al ser una relación legal o reglamentaria, se comparten en esencia los deberes, derechos y obligaciones propios de una relación contractual de tipo subordinada.
Análisis contractual y extracontractual territorial de las industrias hidroeléctrica, hidrocarburífera y minera en Colombia
Authors: Mira-Olano Luz Elena , Gutiérrez-Ossa Jahir Alexander
Published: December 2021

El artículo determina el estado del arte que en materia contractual y extracontractual rige a las industrias hidroeléctrica, hidrocarburífera y minera en Colombia. El grado de exposición que las caracteriza, las hace ver vulnerables en ambos referentes de materia. El análisis institucional y el análisis económico del derecho, fungen como marcos de referencia legal y de regulación a la hora de equiparar los planteamientos contractuales con los extracontractuales. En primer lugar, elmarco jurídico internacional aún tiene dificultades para generalizarse frente a dichos sectores. La mediación institucional y del análisis económico del derecho no logra desentrañar las dificultades que presentan estas a la hora de iniciar, llevar a cabo o finalizar proyectos. Es importante, que se entienda la importancia de equilibrar el marco contractual con el extracontractual para solventar las dificultades, aún comunes, que se presentan en estos sectores, indispensables para el ciclo económico de los países, bajo los que se extienden programas de interconexión de recursos entre todos ellos.
Discapacidad de origen vial Medellín, Colombia (2017)
Authors: Salazar-Henao Edwin Alberto , Cabrera-Arana Gustavo Alonso
Published: December 2021

En el mundo, millones de personas se ven enfrentadas diariamente al riesgo de muerte o discapacidad como consecuencia de un incidente vial. Las cifras van en aumento, y la mayoría de las víctimas son peatones, ciclistas y motociclistas. Estados y organismos internacionales han implementado legislación, programas y políticas públicas para revertir esta situación, restituir derechos a personas con discapacidad y reintegrarlos a una vida social, familiar, académica y laboral, espacios naturales en donde se desarrolla la vida cotidiana. En Medellín se identifica una plataforma normativa e institucional, pero al igual que en otras ciudades de Colombia y muchos países de América Latina y el Caribe, el problema no recibe atención de gobiernos; los datos son escasos y las políticas públicas presentan baja implementación.
Neuropsychiatrische comorbiditeit bij mensen met epilepsie en verstandelijke beperking
Authors: Schelhaas Jurgen , Hendriksen Jos
Published: December 2021

Op 9 januari 2019 promoveerde Jans van Ool aan de Universiteit Maastricht op haar proefschrift ‘Diagnostic and neuropsychiatric considerations in epilepsy and intellectual disability’. In het proefschrift staat beschreven welke kenmerken binnen de epilepsie en verstandelijke beperking samenhangen met verschillende soorten neuropsychiatrische problematiek en worden de diagnostische implicaties hiervan besproken.
In memoriam Fernando Lopes da Silva
Authors: Gorter Jan , Pennartz Cyriel
Published: December 2021

Op 7 mei jl. is Prof. dr. Fernando Lopes da Silva op 84-jarige leeftijd overleden. Fernando Lopes da Silva was van 1980 tot 2000 als hoogleraar verbonden aan de Universiteit van Amsterdam, eerst aan de biologie-faculteit en later aan het Swammerdam Instituut for Life Sciences. Fernando was in binnen- en buitenland erkend en geliefd om zijn inzicht, kennisoverdracht, wijsheid en warme persoonlijkheid.
Nederlands Epilepsie Netwerk
Authors: Van Ruijven Marije
Published: December 2021

Het Nederlands Epilepsie Netwerk is een gezamenlijk initiatief van de Nederlandse Liga tegen Epilepsie, het Epilepsiefonds, de EVN en de epilepsiecentra SEIN en Kempenhaeghe. Er nemen dertien ziekenhuizen deel aan een pilot om samenwerking tussen tweede en derde lijn te optimaliseren. Dit initiatief wordt gefinancierd door het Epilepsiefonds en de Nederlandse Vereniging tegen Vallende Ziekte.