bluuebunny/crossref_metadata_2025 huggingface dataset:
MATEMATİK DERSİ İÇİN BECERİ TEMELLİ SORU YAZMAYA YÖNELİK BİR KONTROL LİSTESİ GELİŞTİRME ÇALIŞMASI
Authors: YILMAZ Ferda , ŞAD Süleyman Nihat
Published: December 2022

Bu çalışmanın amacı, “Matematik Dersi İçin Beceri Temelli Soru Yazmaya Yönelik Kontrol Listesi” geliştirmektir. Geliştirilen ölçme aracının nitelikli beceri temelli soru yazma ve mevcut soruları değerlendirme açısından başta matematik öğretmenleri olmak üzere beceri temelli soru hazırlayan ve değerlendiren uzmanlara kılavuz olması hedeflenmektedir. Ölçme aracının kapsam geçerliliği sağlamak amacıyla öncelikle literatür taraması yapılmış, ardından matematik alanında beceri temelli soru yazma deneyimine sahip sekiz uzmandan görüş alınmıştır. Uzman görüşleri “Uzman Değerlendirme Formu” ile toplanmıştır. Uzman görüşü ile taslak kontrol listesinin kapsam ve yapı geçerliliği sağlanmaya çalışılmıştır. Uzmanlardan gelen görüşler doğrultusunda kontrol listesinin maddelerinin geçerlilik oranını hesaplamak için Lawshe formülü kullanılmıştır. Lawshe formülüne göre kapsam geçerlilik oranı .750 altında kalan maddeler kontrol listesinden çıkarılmış Kontrol Listesinin kapsam geçerlilik oranı .900 olarak bulunmuştur. Ayrıca kontrol listesinin puanlama güvenirliğini sınamak amacıyla Fliess Kappa katsayısı (k) hesaplanmıştır. Bunun için üç uzman geliştirilen Kontrol Listesini kullanarak örnek beceri temelli soruları değerlendirmiştir ve uzmanların değerlendirmelerine yönelik k değeri 0,840 olarak bulunmuştur. Bu değer ölçme aracının puanlayıcı güvenilirliğinin istenilen düzeyde olduğunu göstermektedir. Çalışmada ayrıca Kontrol Listesinde bulunan maddelere uyan ve uymayan soru örneklerine yer verilerek matematik dersi bağlamında bu tür sorular geliştirirken nelere dikkat edilmesi gerektiği konusunda bir rehber sunulmaya çalışılmıştır.
KAMU POLİTİKALARI VE YASA(LAŞTIR)MA: TÜRKİYE’DE HÜKÜMET SİSTEMLERİ ÜZERİNDEN KAVRAMSAL BİR ÇERÇEVE
Authors: ERAT Veysel , DEMİRKANOĞLU Yahya
Published: December 2022

Yasalar kamu politikalarının amaçlarının gerçekleştirilmesi için önemli bir araçtır. Kamu politikalarının resmi bir dayanağının olması durumu, yasalaştırma aşamasını kamu politikalası sürecinde kritik aşamalardan biri; bir organ olarak yasamayı da kamu politikalarında kritik bir aktörü yapmıştır. Yasalaştırma aşamasının işleyişini etkileyen birçok faktör olmasına rağmen genel olarak hükümet sistemleri daha belirleyicidir. Her hükümet sisteminde yasalaştırma faaliyeti farklı şekillerde tezahür etmektedir. Modern hukuk devletlerinde başlıca hükümet tipleri olan parlamenter sistem, başkanlık sistemi ve yarı başkanlık sisteminin herbirisinde yasalaştırmanın temel aktörü parlamentolar olsa da yasa niteliğinde kararlara veya kararnamelere izin veren düzenlemeler mevcuttur ve farklı aktörler yasalaştırma aşamasında yer edinebilmektedir. Kuruluşundan günümüze farklı hükümet sistemlerinin benimsendiği Türkiye’de de yasalaştırma aşamasının birbirinden farklı şekillerde gerçekleştiği görülmüştür. Bu çalışmada Türkiye’de uygulanmış olan hükümet sistemlerinde yasalaştırma aşamasının nasıl işlediğinin ortaya konulması amaçlanmıştır. Dört bölümden oluşan çalışmanın birinci bölümde, yasa ile kamu politikası arasındaki ilişki; yasa-araç, yasama-aktör ve yasalaştırma-aşama ilişkisi üzerinden ele alınmıştır. Çalışmanın ikinci bölümünde genel olarak hükümet sistemleri ve yasalaştırma arasındaki bağ üç ana hükümet sistemi üzerinden değerlendirilmiştir. Üçüncü bölümde Türkiye’nin kuruluşunda benimsenen meclis hükümeti sisteminden cumhurbaşkanlığı hükümet sistemine kadar hükümet sistemleri-yasalaştırma ilişkisi ortaya konulmuş ve son bölümünde cumhurbaşkanlığı hükümet sistemi yasalaştırmanın aktörleri üzerinden incelenmiştir. Sonuç olarak, parlamenter sistemde yasamanın temel aktör olduğu, başkanlık sistemine kayıldıkça yürütmenin de önemli bir aktör haline geldiği ve bir kamu politikası aracı olarak yasalaştırma aşamasında daha aktif rol alabilecek bir konuma geldiği görülmüştür.
The feasibility of the story as a quality instrument as a narrative quality improvement method
Authors: Delft Elke van , Scheffelaar Aukelien , Janssen Meriam , Luijkx Katrien
Published: December 2022

Background and objective: Stories from older adults give insight into their personal lives and in the care they receive. The story as a quality instrument is a narrative quality improvement method with which care professionals can interview older adults about how care is experienced. Each performed interview will be translated into a portrait containing the core themes of the shared story. The objective of this study was to assess the feasibility of and experiences with the story as a quality instrument amongst care professionals and older adults receiving long-term care.Methods: Five care locations providing nursing home care and one providing home care participated in the current study. In total 19 trained care professionals performed interviews with 52 older adults. Both the performed interviews and written portraits were scored according to preset criteria to establish the compliance to the predetermined protocol. Next to that, experiences from care professionals as insider researchers and respondents were gathered.Results: Overall the fidelity for performing the interview was good. In 90% of cases interviewers posed one inviting open question. Following, interviewers used proposed interviewing techniques such as asking in depth questions, asking for an example or summarizing what has been said. In 20 of the interviews, the respondents input accounted for over 80% of the total number of words, and in 27 interviews the respondents’ input accounted for 60%-80%. Fidelity with the protocol for drawing up portraits was sufficient in most cases. In 66% the portrait contained all important themes and in 32% the majority of important themes. One portrait missed a significant proportion of themes mentioned during the interview. The experiences from care professionals consist of successes, challenges, added value and prerequisites.Conclusions: Care professionals were mostly capable of following the method according to protocol after being trained. The method is believed to be a promising innovation because care professionals play a key role in gathering and using stories to improve quality of care. The outcomes can be used by care professionals to learn and improve within their care location according to the quality framework for nursing home care.
TANGGUNG JAWAB DOKTER TERHADAP PASIEN DALAM PEMBERIAN OBAT (SELF DISPENSING) OLEH DOKTER DI PRAKTEK MANDIRI
Authors: Rosar Naufal , Iriansyah Iriansyah , Triana Yeni
Published: December 2022

Abstract: The practice of independent doctors is basically a first-level health service that provides individual assistance by doctors to patients in the form of medical services. Doctors are authorized to provide drug services based on Law No. 29 of 2004 concerning Medical Practice Article 35 paragraph (1) letters i and j concerning the Law on Medical Practice. Based on this provision, it can be said that doctors can store drugs in permitted quantities and types as well as mix and give drugs to those who practice in remote areas and there are no pharmacies. Doctors are given authority in accordance with the education obtained and their competence. However, the existing regulations are not fully followed by health workers. Non-compliance of health workers with these regulations. There are still many health workers who provide health services outside their authority. It is recommended to the Government and independent medical practice to be committed to and apply the rules and procedures set out in the law on medical practice. Keywords: independent doctor practice, doctor's authority, drug service Abstrak: Praktik dokter mandiri pada dasanya merupakan tempat pelayanan kesehatan tingkat pertama yang memberikan bantuan secara individual oleh dokter kepada pasien berupa pelayanan medis. Dokter diberi kewenangan melakukan pelayanan obat berdasarkan Undang-Undang No 29 Tahun 2004 Tentang Praktek Kedokteran Pasal 35 ayat (1) huruf i dan j tentang Undang-Undang Praktek Kedokteran. Berdasarkan pada ketentuan ini dapat dikatakan bahwa dokter dapat menyimpan obat dalam jumlah dan jenis yang diizinkan serta meracik dan menyerahkan obat kepada pasien, bagi yang berpraktik di daerah terpencil dan tidak ada apotek. Dokter diberikan kewenangan ini sesuai dengan pendidikan yang diperoleh dan kompetensinya. Namun, Peraturan yang ada tidak sepenuhnya diikuti oleh tenaga kesehatan. Ketidakpatuhan tenaga kesehatan terhadap peraturan tersebut. Tenaga Kesehatan masih banyak yang memberikan pelayanan kesehatan diluar kewenangan. Disarankan kepada Pemerintah dan praktek dokter mandiri agar perlu berkomitmen dan menerapkan aturan dan prosedur yang telah ditetapka di dalam undang-undang praktek kedokteran.Kata kunci: praktik dokter mandiri, kewenangan dokter, pelayanan obat
TANGGUNG JAWAB HUKUM PELAKU USAHA PENJUALAN OBAT-OBATAN GOLONGAN OBAT KERAS SECARA ONLINE
Authors: Yusriono Biran Affandi , Berampu Lailan Tawila , Yetti Yetti
Published: December 2022

Abstract: This article aims to identify the responsibility of business actors in selling prescription drugs. If left uncontrolled, this will be very dangerous for the community as according to the Regulation of the Minister of Health No. 73 of 2016 concerning Pharmaceutical Service Standards in Pharmacies that each sale of prescription drugs is obligatory in a pharmacy service facility where pharmacy practices are carried out by pharmacists. However, there are many cases of selling prescription drugs online without following the rules and violating Law No. 5 of 1997 on Psychotropic and Law No. 35 of 2009 concerning Narcotics. There are many cases of selling psychotropic drugs online without a doctor's prescription. Business actors who violate the Consumer Protection Laws, Law No. 8 of 1999 in Article 3 namely raising awareness of business actors about the importance of consumer protection to grow honest and responsible attitudes in doing business. The dose of the drug and the procedure to use provided are not according to the rules as the prescription drugs can only be purchased with a doctor's prescription. Thus, it can be said that this is an illegal activity. This incident becomes more serious as it has a dangerous impact on the health of the Indonesian people as consumers. Keywords: Prescription Drugs, Online Business, Distribution of Drugs. Abstrak: Artikel ini bertujuan untuk mengetahui tanggung jawab pelaku usaha dalam menjual obat-obatan golongan obat keras secara online. Hal ini sangat berbahaya bagi masyarakat Indonesia jika tetap dibiarkan, Karena aturan yang berlaku di Indonesia menurut Peraturan Menteri Kesehatan No. 73 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Apotek.  Bahwa setiap menjualan obat keras wajib di sarana pelayanan kefarmasian tempat dilakukan praktik kefarmasian oleh Apoteker. Namun banyak kasus ditemukan penjualan obat keras secara online tanpa mengikuti aturan dan melanggar Undang-Undang No.5 Tahun 1997 tentang Psikotropika dan Undang-Undang  No. 35 tahun 2009 Tentang Narkotika. Sering terjadi kasus Penjualan obat keras golongan Psikotropika secara online tanpa resep dokter. Maka pelaku usaha yang melakukan hal tersebut melanggar aturan yang berlaku pada Undang-Undang perlindungan konsumen UU nomor 8 tahun 1999 pada pasal 3 yaitu menumbuhkan kesadaran pelaku usaha mengenai pentingnya perlindungan konsumen sehingga tumbuh sikap yang jujur dan bertanggungjawab dalam berusaha. Dosis obat yang di berikan dan aturan pakai yang di berikan semua tidak sesuai aturan, karena obat keras ini hanya dapat di beli melalui resep dokter .Dapat di katakan ini adalah kegiatan illegal. Kejadian ini menajadi lebih serius karena menimbulkan dampak berbahaya bagi Kesehatan masyarakat Indonesia sebagai konsumen Kata kunci: Obat Keras, Bisnis Online, Peredaran Obat
PENGARUH DEBT TO ASSET RATIO, DEBT TO EQUITY RATIO, TOTAL ASSET TURNOVER DAN CURRENT RATIO TERHADAP RETURN ON EQUITY PADA PERUSAHAAN SUB SEKTOR PERTAMBANGAN YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Andriani Dian Ayu , Sahla Hilmiatus , Batubara Zulfa Khairina
Published: December 2022

This research aims to determine the effect of Debt To Asset Ratio, Debt To Equity Ratio, Total Asset Turnover and Current Ratio on Return On Equity in Mining Sub-Sector Companies Listed on the Indonesia Stock Exchange. The research sample was 10 banking companies listed on the Indonesia Stock Exchange from 2015 to 2018. Data testing was carried out using the multiple linear regression analysis method. The results showed that partially the Debt to Asset Ratio variable had no effect on Return On Equity, seen from the results of the significant value 0.271 > 0.05 and the tcount (1.119) < ttable (2.02809), the Debt to Equity Ratio variable has no effect on Return On Equity seen from the results of the significant value 0.362> 0.05 and the value of tcount (0.924) < ttable (2.02809), the Total Asset variable Turnover has a significant effect on Return On Equity seen from the results of significant values 0.000 <0.05 and tcount (4.696) > ttable (2.02809), and the Current Ratio variable has no effect on Return On Equity seen from the results of the significant value of 0.455 > 0.05 and the value of tcount (0.755) < ttable (2.02809), Simultaneously that the value of sig. F of 0.000 < significant level of 0.05 (5%) and the value of Fcount (6.259) > Ftable (2.64).This means that it can be concluded that the variables Debt to Asset Ratio, Debt to Equity Ratio, Total Asset Turnover and Current Ratio have a significant effect on Return On Equity. Adjusted Rsquare value or coefficient of determination is 0.350. This result means that 35.0% of the variance or change in Return On Equity can be explained by variations of DAR, DER, TATO and CR while the rest (65.0%) is explained by other causes outside this research model.
AKUNTABILITAS PENGELOLAAN ALOKASI DANA DESA DI DESA PADANG SANGGAR KECAMATAN TAMBANGAN KABUPATEN MANDAILING NATAL
Authors: Zuraidah Yenni , Nasution Muhammad Arifin
Published: December 2022

Pengelolaan alokasi dana desa (ADD)  di Desa Padang Sangggar Kecamatan Tambangan Kabupaten Mandailing Natal dijalankan sesuai dengan peraturan  bupati mandailing Natal no 05 tahun 2019 tentang pengelolaan keuangan dana desa. Namun pada saat ini di dalam oenerapannya terdapat permasalahan di dalamnya seperti masyarakat yang kurang dilibatkan di dalm pengelolaan alokasi dana desa ini. Di dalam oenelitian ini menggunakan model akuntabilitas,  di daalam model ini terdapat tiga variabelyaitu akuntabilitas proses, akuntabilitas kebijakan dan akuntabilitas program. Penelitian ini menggunakan metode deskriptip dengan pendekatan kualitatif. Dengan adanya peneljtian ini diharapkan a dapat memberikan perubahan pada pengelolaan alokasi dana desa di Desa Padang Sanggar.
IMPLEMENTASI KEBIJAKAN DANA DESA DALAM PEMBERDAYAAN LANJUT USIA (LANSIA) DI DESA MASNAULI KECAMATAN SIRANDORUNG KABUPATEN TAPANULI TENGAH
Authors: Sihotang Fadilah Pratiwi , Siahaan Asima Yanty Sylvania
Published: December 2022

Kebijakan Dana Desa merupakan upaya pemerintah untuk meningkatkan pembangunan desa dan pemberdayaan masyarakat di desa. Salah satunya adalah pemberdayaan lanjut usia (lansia) yang dimaksudkan agar lansia tetap dapat melaksanakan fungsi sosialnya untuk berperan aktif secara wajar dalam kehidupan bermasyarakat, berbangsa, dan bernegara. Implementasi pemberdayaan lanjut usia di desa masnauli belum sesuai dengan UU No. 13 Tahun 1998 tentang Kesejahteraan Lanjut Usia. Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan Penelitian ini bertujuan untuk mendeskripsikan implementasi kebijakan Dana Desa dalam pemberdayaan lanjut usia di Desa Masnauli Kecamatan Sirandorung Kabupaten Tapanuli Tengah. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan  kualitatif. Teknik pengumpulan data dilakukan dengan wawancara, observasi dan dokumentasi. Hasil penelitian menunjukkan bahwa implementasi kebijakan Dana Desa mengakibatkan tidak tercapainya tujuan pemberdayaan lansia yaitu lansia yang sehat, memiliki kebugaran fisik, dan bermartabat. Implementasinya dapat dilihat dari empat indikator, pertama komunikasi, koordinasi yang dilakukan pemerintah Desa Masnauli hanya sedikit melibatkan masyarakat dalam musyawarah. Kedua, rendahnya kualitas sumber daya aparatur desa karena tidak memiliki keahlian dalam bidang pengelolaan dana desa, dan sumber daya finansial dana desa yang dimiliki tidak mencukupi untuk memberikan pemberdayaan lansia kepada seluruh lansia di Desa Masnauli. Ketiga, rendahnya disposisi tingkat kejujuran implementor dalam pemaparan dana desa. Keempat, struktur birokrasi yaitu dalam pelaksanaannya Desa masnauli tidak memiliki SOP atau kerangka kerja yang jelas.
KAPASITAS DINAS PERHUBUNGAN PEMERINTAH KOTA BINJAI DALAM PENGAWASAN LALU LINTAS
Authors: Rindani Novia , Trimurni Februati
Published: December 2022

Pengawasan Lalu Lintas merupakan salah satu bentuk upaya yang dilakukan pemerintah dalam menjamin kelancaran arus lalu lintas. Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan kapasitas Dinas Perhubungan Pemerintah Kota Binjai dalam pengawasan lalu lintas. Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan pendekatan kualitatif. Teknik pengumpulan data dilakukan dengan observasi, wawancara dan dokumentasi. Hasil penelitian menunjukkan bahwa Kapasitas Dinas Perhubungan Pemerintah Kota Binjai dalam Pengawasan Lalu Lintas masih belum maksimal. Hal ini dapat dilihat dari perlunya peningkatan kualitas sumber daya manusia; infrastruktur, teknologi dan sumber daya keuangan belum memadai dalam mendukung kinerja; kepemimpinan strategis belum dilakukan secara maksimal; program dan manajemen proses belum efektif serta hubungan dan kerjasama dengan pihak lain belum optimal. Dinas Perhubungan Pemerintah Kota Binjai perlu melakukan peningkatan kapasitas dalam pengawasan lalu lintas di Kota Binjai
PERAN LINGKUNGAN MASYARAKAT DALAM MENGATASI KONFLIK SOSIAL TERHADAP PERKEMBANGAN MORAL ANAK
Authors: Napitupulu Aslina Polinda , Armyliyanda Nadia , Hardiansyah Risky
Published: December 2022

Manusia adalah makhluk sosial yang selalu terlibat dalam perbedaan, konflik dan juga persaingan, baik sukarela maupun terpaksa. Konflik sosial tidak dapat dihindari karena merupakan aspek yang permanen dalam kehidupan sosial. Konflik ini dibutuhkan masyarakat agar menjadi sebuah perubahan agar menjadi manusia yang lebih baik di masa depan. Peran lingkungan masyarakat merupakan salah satu pilar dalam tiga pusat pendidikan di masyarakat yang menjadi pilar utama. untuk membentuk baik buruknya pribadi manusia agar berkembang dengan baik dan memiliki moral dan etika moral Perkembangan moral pada setiap individu tidak terbentuk dengan sendirinya tetapi dibentuk oleh tempat di mana mereka hidup dan tinggal di dalamnya. seseorang yang tinggal di lingkungan dengan lokasi yang menuntut adaptasi lebih besar tidak cepat terpengaruh oleh lingkungan tempat tinggalnya Individu yang tinggal di lingkungan yang berada sangat rentan mengalami masalah pada tahap perkembangan moralnya. Penelitian ini bertujuan untuk mengetahui peran lingkungan masyarakat dalam mengatasi konflik sosial pada tumbuh kembang anak. Pendekatan yang digunakan adalah pendekatan kualitatif dan metode yang digunakan adalah metode deskriptif
The Epidemiology of Platelet-Rich Plasma Injections From 2010 to 2020 in a Large US Commercial Insurance Claims Database: A Recent Update
Authors: Berlinberg Elyse J. , Swindell Hasani , Patel Harsh H. , Zabat Michelle , Forlenza Enrico M. , Cancienne Jourdan , Forsythe Brian
Published: December 2022

Introduction:

The popularity of platelet-rich plasma (PRP) injections for the treatment of orthopaedic conditions has grown markedly. We sought to better define the trends in the usage of orthopaedic PRP injections across an insured US population over the past decade.

Methods:

The PearlDiver M91Ortho commercial administrative claims database was queried for all patients receiving PRP injections for orthopaedic conditions from 2010 through the first quarter of 2020 (Q1.2020). Trends in PRP use, reimbursement charges, demographics, joints injected, and administering physicians were assessed over time and reported as year-over-year (YOY) changes.

Results:

Over the study period, 14,096 unique patients had 17,759 orthopaedic PRP injections. The number of PRP injections administered had a YOY increase of 7.1% (144 injections/year, 95% confidence interval [CI] = 89 to 199, P
trend = 0.0009). A YOY increase of 895% was observed in total nonsurgical charges ($683,974/yr, 95% CI 441,504 to 926,444, P
trend = 0.0009). The median age of PRP recipients increased (YOY change = +0.6 years, 95% CI 0.4 to 0.8, P
trend = 0.0005). Injections to the elbow (YOY change = −0.8%, 95% CI −0.10% to [−0.06%], P
trend = 0.005) and foot/ankle (YOY change = −1.0%, 95% CI −1.4% to [−0.06%], P
trend = 0.002) decreased, whereas hip (YOY change = +0.4%, 95% CI 0.2% to 0.6%, P
trend = 0.019), knee (YOY change = +0.9%, 95% CI 0.3% to 1.2%, P
trend = 0.016), and spine (YOY change = +0.2%, 95% CI 0.0% to 0.4%, P
trend = 0.033) injections increased. PRP injections given by sports medicine orthopaedic surgeons (YOY change = +0.8%, 95% CI 0.6% to 1.2%, P
trend <0.0001) increased over time, whereas those by general orthopaedic surgeons decreased (YOY change = −0.9, 95% CI −1.2 to [−0.6%], P
trend = 0.001).

Conclusion:

PRP injections quadrupled in prevalence from 2010 to Q1.2020, with a projected increase in annual usage in this data set of 66% by 2030. As greater evidence-based indications for PRP use are identified, more specialists and insurance providers may consider expanding their involvement in this growing field.

Level of Evidence:

III, retrospective cohort study.
Komparasi tentang Manajemen Satuan Pendidikan di Negara Selandia Baru
Authors: Fajar Abdul , Jannah Roudhotul , Hilman Cecep
Published: December 2022

Di era milenial seperti saat ini Pendidikan menempati posisi yang sangat penting dalam perkembangan manusia. Kualitas system Pendidikan Finlandia menarik menjadi kajian karena keberhasilannya telah diakui dunia. Penelitian ini memberikan gambaran mengenai perbandingan sistem Pendidikan Negara Indonesia dan Finlandia. Kaian Kepustakaan adalah metode yang digunakan dalam penelitian ini. Studi Komparasi ke Selandia Baru dilakukan oleh Direktur Jendral GTK pada 16 Oktober hingga November 2017 dalam rangka mengimplementasikan Inpres No.9 tahun 2016 tentang revitalisasi sekoolah kejuruan, dengan mengembangkan sumber daya manusia pendidik bidang produktif agar lebih kompeten, terampil dan dapat membuat jajaring terutama praktik pengajaran terbaik.
Propuesta de análisis para la determinación de cobertura máxima en consulta externa para el primer nivel de atención en odontología en el sistema de atención en salud pública de Costa Rica.
Authors: Cairol Barquero Andrés , Obando Hernández Juan Carlos
Published: January 2023

Introducción: Los servicios de Odontología según estructura organizativa de la CCSS, se encuentran establecidos en clínicas de segundo nivel, y Tercer nivel de atención este documento se pretende brindar insumos  de modelo predictivo de cobertura asociada a los Servicios de Odontología de primer nivel de atención, de las Áreas de Salud adscritas a la Dirección de Red Integrada de Prestación de Servicios de Salud Central Sur. Materiales y métodos: Se utilizaron los datos abiertos de la Caja Costarricense de Seguro Social sobre la gestión de la consulta externa, las características poblacionales del Programa de las naciones unidades y al escuela de estadista de la UCR del 2020 y las variables epidemiológicas de los servicios de odontología adscritos a la Dirección Regional Central Sur, Para la tabulación de los datos se utilizó Excel Ò y utilizó el coeficiente de correlación Sperman para las siguientes variables: efectividad en la programación (horas utilizadas en la consulta externa entre las horas que se programaron para este fin por 100), gestión de citas perdidas (cantidad de citas sustituidas y recargos entre el número de citas perdidas por 100),  consulta por hora, cupos no utilizados, cantidad de odontólogos por población adscrita, tasa de prevalencia de: piezas obturadas, piezas cariadas, periodontitis, pieza sana, pieza perdida por caries y los índices de desarrollo humano y de pobreza multidimensional. Para realizar la predicción de la cobertura se utilizó la correlación variable múltiple utilizando Excel Ò y Jamovi Ò así como la estadística descriptiva y coeficiente de correlación. Resultados: La media de la cobertura regional es de 16 % (IC 95 % 13.7 - 17.7%) donde la media poblacional por odontólogo es de 10778 (IC 95 % 8896 – 12660. Se utilizaron las variables que presentaron por separado un coeficiente de correlación para la realización de la regresión múltiple las que muestran una correlación moderada a alta, posteriormente para el cálculo de la proyección de la cobertura global, se utilizó un regresión múltiple con las 9 variables. Discusión: En este estudio mostro que la media de la cobertura regional es de 16 % (IC 95 % 13.7 - 17.7%) y según López Torres A y Bermúdez Mora G (1), la cobertura nacional para el año 2018 era del 17.8 %, mostrando un mayor alcance en las poblaciones de niños, adolescentes y adultos mayores, por lo que la cobertura regional es muy similar a la nacional. Conclusiones: La capacidad administrativa de valorar estadísticamente cuales son los principales factores que inciden en la cobertura, es un reto actual en la administración de servicios de salud, por lo que este modelo estadístico planeta una metodología robusta para aproximar la capacidad máxima de la cobertura global que tiene un servicio de odontología en atención primaria.
Criterios de Sgarbossa, herramienta útil para ayuda al diagnostico de infarto agudo al miocardio en presencia de Bloqueo de rama izquierda
Authors: Cairol Barquero Andrés
Published: January 2023

Uno de los principales retos en la evaluación inicial de un paciente con dolor torácico y al realizar un electrocardiograma de inicio, el paciente tiene como antecedente médico un bloqueo de rama izquierda (BRIHH). Según Kumar et al (1), cerca del 1 % de las personas menores de 50 años presenta un BRIHH lo que dificulta el diagnóstico de infarto agudo al miocardio. Desde 1996 en el estudio realizado por O’Gara et al, cerca del 0.6 % de los pacientes revisados con un infarto agudo al miocardio tenían un bloqueo de rama izquierda.
A Brief Comparison Between Systematic Theodicy and The Qur’anic Theodicy
Authors: KURT Emrullah
Published: December 2022

One of the most debated problems in the history of philosophy is the problem of evil. Since classical times, philosophers have started to think about evil, a phenomenon that exists in the world and that almost everyone encounters. With questions such as why there is evil in the world we live in or how we can deal with evil, the problem of evil began to be examined philosophically. However, this is not only unique to the history of philosophy, it is also a topic of discussion that religions with a tradition of revelation have dealt with. Religions such as Judaism, especially Christianity and Islām have to some extent dealt with this problem. The means by which these religions respond to this problem is different from that of philosophical explanation, in which the process of reasoning and each philosopher's own logical process is heavily involved. Philosophers have tried to explain evil within the framework of neo-platonism and argued that it is actually the absence of goodness. While matter takes its most concrete form at the lowest levels, it moves far away from the good. Therefore, distancing from the perfect brings evil. Scholastics and Islāmic theologians, on the other hand, have tried to show that the evil in the world is not incompatible and contradictory with the existence of God by providing explanations that are partially in line with the doctrine of their religion. These theologians sometimes went beyond the framework of the doctrine and carried their reasoning tools quite far. Philosophers and theologians have tried to act according to the religious tradition to which they belonged in offering some solutions to this problem. Nevertheless, they did not always take the religious tradition into consideration when providing these answers and often tried to produce philosophical answers. In the modern period, the problem of evil has been seen as the soft belly of the Abrahamic religions. Since the seventeenth century, it has become one of the strongest atheistic arguments and has been used intensively today. Academically, this issue has generally been dealt with within the framework of philosophy of religion. It seems possible to say that a Qur'an-oriented study is relatively rare compared to the philosophical one. Therefore, in this study, the researcher has tried to focus on some Qur'anic verses that can be associated with the problem of evil and to show the relationship between the concepts used in the Qur'an in this context. He then discusses whether some of the Qur'anic parables can be evaluated within the framework of theodicy. In addition, the researcher has tried to reveal the differences between the arguments and style in the Qur'an and philosophical theodicy, also called systematic theodicy, throughout this study.
Research on the Integration and Development of Folk Art and Cultural Tourism Industry under the Modern Cultural Background
Authors: Hu Wenjun
Published: December 2022

China is a big multi-ethnic family, with numerous cultural tourism resources, while folk culture has unique characteristics and its tourism value is extremely high. Folk art can not only create a different kind of folk cultural experience for tourists, but also provide a way for tourists to learn about exotic cultures and customs, so that they can relax their mood to the greatest extent and enjoy their body and mind. At the same time, in equal communication with each other, we can enhance mutual friendship and enhance the cultural quality of tourists. Based on this, this paper, based on the modern cultural background, puts forward the innovative development countermeasures of the integration of folk art and cultural tourism industry. Developing and protecting folk culture tourism is an important factor to promote the sustainable development of local tourism economy and one of the important pillars of economic development. Therefore, this study can provide some reference and guiding significance for the inheritance and innovation of traditional folk culture and the development of tourism industry.
Analysis of Factors Affecting the Development of Online Education under COVID-19: Evidence from Chinese “Double Reduction” Policy
Authors: Sun Siqin
Published: December 2022

With the further spread of the new crown epidemic and the enactment of the "double reduction" policy in 2021, the online education market is challenged by ice and fire. This paper collects data on the size of the online education market and related influencing factors, and introduces multiple linear regression analysis for comparative analysis. I found that is effective in estimating the online education market in the new environment, with significantly higher model accuracy. This has important implications for how to develop a quality online education market, which in turn has significant practical implications for the country's response to the epidemic affecting offline education, meeting people's educational needs, and improving the education system.
The Spread of Internet Buzzwords from the Perspective of Communication Science from 2017 to 2021
Authors: Guo Yitong
Published: December 2022

This paper first uses domestic scholars' research on Internet buzzwords to understand the specific connotation, classification forms, dissemination laws, and multiple features of Internet buzzwords. Then, the paper explains the reasons for the creation of Internet buzzwords from five aspects: creation by Internet users; participation in media products; guidance by opinion leaders; guidance by policy guidelines; and the fission of modal theory. Then the paper analyze the impact of Internet buzzwords on today's society from both positive and negative aspects and propose corresponding solutions. Internet buzzwords are new cultural forms that are closely related to us and are mirrors of social life, and the analysis of Internet buzzwords is conducive to the healthy development of the online environment.
Media Culture Construction of Short Video on Gender: Analysis on Sports Star Gu Eileen in Tik-Tok during 2022 Beijing Winter Olympics
Authors: Yong Yaxin
Published: December 2022

From the perspective of cultural geography, this paper analyzes the geo cultural rhetoric of female sports star Gu Ailing in the process of self constructing the image of "local people" during the Beijing Winter Olympic Games, and points out that the foundation and focus of shaping the localized media image are all around the creation of "local sense", and independently cater to the media gaze from the four aspects of dynamic language, behavior, static external and identity, At the same time of highlighting the love land complex, the space ballet highlights the cultural elements of Beijing, making the Sino American cross cultural attributes contained in its image blend with each other, and writing a multi identity interlaced and close self-construction way.
LGPD DESCOMPLICADO
Authors: Romão Gabriel Luis Andrigo Pio , Eboli Daisy
Published: December 2022

O presente artigo tem como objetivo alertar e ensinar, através de um folder educativo, o uso da Lei Geral de Proteção de Dados Pessoais (LGPD), de maneira descomplicada. A LGPD tem como foco a criação de um cenário de segurança jurídica, com a padronização de regulamentos e práticas para promover a proteção aos dados pessoais do cidadão comum e da empresa no Brasil, de acordo com os parâmetros internacionais existentes. Porém muitos brasileiros ainda desconhecem sua base legal e seus critérios de uso, por isso este documento visa demonstrar de forma sucinta, quais são seus direitos e deveres perante a lei.
Determinación de los factores óptimos de desinfección utilizando Bioperac en maracuyá, limón y aguacate en el cantón Catamayo.
Authors: Correa Campoverde Jenyffer , Chalco Sandoval Wilson
Published: December 2022

La determinación y aplicación de parámetros óptimos de desinfección durante el proceso poscosecha de frutas y hortalizas es primordial, mantiene al producto en buenas condiciones y asegura que no constituya un riesgo en la salud del consumidor. Esta investigación estuvo enfocada en garantizar la calidad e inocuidad de los productos agrícolas, específicamente en maracuyá, limón y aguacate, producidos en el barrio La Era del Cantón Catamayo, provincia de Loja. Para ello, se determinó un tamaño de muestra de 68 unidades por producto, posteriormente se desarrollaron pruebas preliminares empleando cinco concentraciones de desinfectante Bioperac (0,25; 0,50; 1,00; 1,50 y 2,00%) y mediante un análisis organoléptico se establecieron los tratamientos definitivos; en estos se evaluaron las características de calidad: organolépticas, físico-químicas y microbiológicas; finalmente, se determinaron los costos de producción requeridos en el manejo poscosecha de los productos. Los resultaron obtenidos respecto a los análisis de calidad e inocuidad de los tratamientos definitivos indicaron que los factores óptimos de desinfección para maracuyá, limón y aguacate corresponden al 1,00% de Bioperac, con un tiempo de contacto de 3 minutos, a una temperatura de refrigeración de 7 oC, empacados en bolsas de polietileno (limón) y polipropileno (maracuyá y aguacate). El tiempo de vida útil para maracuyá y aguacate fue de 35 días, mientras que en limón fue de 49 días, cuyos costos de producción son más bajos a los ofertados por los supermercados en la ciudad de Loja.
El reciclaje de plásticos, un reto para lograr una economía circular
Authors: Valarezo Ulloa María José , Ruiz Virgen Lazaro
Published: December 2022

La eliminación de la contaminación por plásticos es una de las bases del surgimiento de una economía circular. La alta demanda de este tipo de materiales, el crecimiento per cápita y una falta de conciencia por parte de los consumidores están llevando consigo al planeta a un desastre ambiental, a tal punto que cantidades microscópicas de este material ya se encuentran presentes en las cadenas tróficas del planeta. Se han presentado varias soluciones al problema y aún se desconoce cuáles serían las medidas a seguir si queremos alcanzar la conservación del ambiente y disminuir la crisis por plástico. Esto unido a la falta de políticas públicas, la falta de apoyo de la población y el uso desmedido de plástico en los diferentes sectores industriales hace que su producción y transporte representen una de las mayores fuentes de emisiones de CO2 a la atmósfera. Ante esta realidad, el reciclaje de plásticos dentro de una economía circular es una alternativa prometedora que llevará consigo la articulación de todos: compañías, recicladores, gobiernos, ONGs y población, para lograr alcanzar un sistema sólido y demostrar que los residuos plásticos tienen un valor y vale la pena el desarrollo de nuevas tecnologías para su reciclaje.
Vivencias de enfermeros ante la muerte de pacientes Covid19 en la Unidad de Cuidados Intensivos de Santo Domingo de los Tsáchilas, Ecuador
Authors: Gonzalez Guambaña Katherine Michelle , Buenaño Evelyn
Published: December 2022

La enfermedad por coronavirus, llamada también Covid19, identificada en diciembre del 2019 y declarada pandemia por la Organización Mundial de la Salud, ha generado gran impacto en la salud mental del personal de salud que se encuentra en primera línea de atención, sin embargo, no se evidencian estudios que reflejen sus experiencias, sentimientos y actitudes en este servicio. Por consiguiente, resulta importante el desarrollo de este estudio planteándose como objetivo analizar las vivencias de enfermeros ante la muerte de los pacientes con Covid19 en la Unidad de Cuidados Intensivos. Se trata de un estudio cualitativo, fenomenológico de carácter interpretativo, donde se realizó un muestreo por conveniencia, con 8 entrevistas semiestructuradas, ejecutadas en las enfermeras de la UCI de la provincia de Santo Domingo de los Tsáchilas que laboran en el área Covid19. A partir de los ejes de indagación vivencia, sentimiento y afrontamiento, se obtuvieron las siguientes categorías: “momento difícil ante la muerte del paciente Covid19”, “sentimientos negativos ante la muerte del paciente”, “miedo al contagio”, “resiliencia en tiempos de pandemia”, “acercamiento a Dios y ayuda profesional”, “desapego afectivo con el paciente”, y finalmente “cuidado humanizado e integral”. Concluyendo que los enfermeros viven momentos difíciles y caóticos ante la muerte de pacientes Covid19, esta experiencia genera sentimientos negativos como: tristeza, dolor, desesperación y miedo. La resiliencia, el acercamiento a Dios, la ayuda profesional y el cuidado humanizado e integral, son técnicas de afrontamiento ante esta situación.
Acil Servise Başvuran Travmalı Çocukların Demografik Özellikleri ile Acil Hemşirelik Girişimlerinin Tanımlanması
Authors: Aydemir Azize , Ayyıldız Mustafa
Published: December 2022

Amaç: Araştırmanın amacı bir yıllık dönemde acil servise başvuran travmalı çocukların özelliklerinin ve acilservis hemşirelerinin girişimlerinin tanımlanmasıdır.Yöntem: Bu araştırma retrospektif yöntemle yapılmıştır. Araştırma kapsamında 01.01.2018-31.12.2018 tarihleriarasında üçüncü basamak bir üniversite hastanesi acil servisinde travma tanısı koyulmuş 700 çocuğun dokümanıincelenmiştir. Dokümanlardan toplanan veriler Hemşirelik Girişimleri Sistemi, Hemşirelik Yönetmeliği ve AcilHemşireliği Derneği güncel kılavuzları ışığında sınıflandırılmıştır. İstatiksel analiz sonuçları kategorik verileriçin frekans ve yüzde olarak sunulmuştur.Bulgular: Çocuk travmalarında en önemli etyolojik faktörlerin yüksekten düşme (%38,3) ve trafik kazaları(%24,9) olduğu bulunmuştur. Çocukların ergenlik (%28,7) döneminde travmalara karşı daha savunmasızoldukları tespit edilmiştir. Erkek çocukların (%65,6) kız çocuklardan (%34,4) iki kat daha fazla travmaya maruzkalma riskine sahip olduğu belirlenmiştir. Acil servise travmalı çocukların başvuru sıklığı akşam saatlerinde(%57) ve yaz mevsiminde (%41,6) artış göstermektedir. Hemşirelik bakımına ilişkin kayıtların içeriğini en çokvital bulgulara ilişkin bilgiler (%83,3) oluşturmaktadır. İkinci sırada en sık uygulanan hemşirelik aktiviteleridolaşım problemlerine (%55,6) yöneliktir. Acil servis hemşirelerinin hasta tanısı koyma, nörolojik takip ve hastaöyküsünü alma (%0,7) girişimlerini neredeyse hiç uygulamadıkları veya kayıt etmedikleri bulunmuştur.Sonuç: Acil servis hemşirelerinin travmalı çocuklara yapılan uygulamalarda Acil Hemşireliği Derneği güncelkılavuzlarına ve Hemşirelik Yönetmeliği’ne yeterli uyumunun olmadığı bulunmuştur. Travmalı çocuklardamortalite ve morbidite oranının azalması için acil uygulamalar ve bakım, acil hemşireliği ve travma hemşireliğikonularında hemşirelerin yeterli donanıma sahip olmaları gerekmektedir. Ergenlik problemlerine yöneliksavunma mekanizmalarının güçlendirilmesi ve ailelerin bu konuda desteklenmesi travmalı çocuk sayısınınazalmasına katkı sağlayabilir.
Hubungan Kualitas Tidur Dengan Kejadian Insomnia pada Mahasiswa Keperawatan Semester Akhir
Authors: Rejo Mulyo Windi Triastutik
Published: December 2022

ABSTRAK

Sebagian besar mahasiswa tidak lepas dari kesibukan kesehariannya dan sangat rentan mengalami kualitas tidur yang buruk. Banyaknya aktivitas dan problematika pada usia remaja menyebabkan kelompok usia ini memiliki resiko tinggi terhadap gangguan tidur khususnya insomnia. Penelitiantinimbertujuan kuntuk xmengetahui hubungant kualitas tidur denganvkejadian insomnia padavmahasiswatKeperawatanddi STIKes Maharani Malang. Penelitiancinikmenggunakanf desain lkorelasi, denganbpendekatanycrossi gsectional, pengambilanbsampelimenggunakandteknikatotalisamplingusejumlahz 39 orang, Kemudian dianalisis menggunakan uji Spearman. Hasil analisis data nilai p value : 0,000 dengan nilai ɑ : 0,05, dengan kekuatan  hubungan r = 0,897. Kesimpulanjadakhuhungan yangesignifikan antarazkualitasetiduredengantkejadian insomnia padatmahasiswa. Diharapkanduntuke penelitixselanjutnyamdapathmelakukan pengembangan lebihvlanjutepadabinstrumen penelitian, dan penyuluhan tidur yang lebih kompleks lagi dari penelitian ini.

 

ABSTRACT

           Most of the students can not avoid their daily activities and are easy to suffer from having poor sleep quality. The number of activities and problems in adolescence causes this age group to have a high risk of sleep disorders  especially insomnia. Insomnia is the inability to sleep despite their desire to do so. Thisestudysaims cto know thenrelationship betweent sleeptquality and therinsomnia on The College Student incMaharani College of Health Science Malang. This research applied correlation design, withdcrosshsectionalkapproach, Samplingbused indthist study isktotalysamplingetechnique oft39 people, then it iskanalyzedeby usingkSpearmanktest. Theyresultyoffdatazanalysiseshowsdthatetheredista significantecorrelation betweentsleep quality and insomnia in Maharani College of Health Science Malang. Iteis shown from result of data in which pgvalue: 0,000 with ɑ values: 0,05, with correlationdr = 0,897. fConclusion, Theredistaksignificant correlation betweengsleep qualitydandcthe incidence ofeinsomnia inastudents. Itdisarecommendedgforefurther researchersdtoabenabledtodfurther develop thenresearch instrument, andemore complex sleep counseling from this study.
Hubungan Pemberdayaan Keluarga Dengan Kemampuan Keluarga Merawat Ibu Nifas
Authors: Audilla Amita , Nurhidayati  , Purwacaraka Manggar
Published: December 2022

Pemberdayaan   keluarga   merupakan  intervensi   keperawatan   yang  dirancang dengan tujuan untuk mengoptimalkan kemampuan keluarga sehingga anggota keluarga memiliki  kemampuan  secara  efektif  merawat  anggota  keluarga  dan  mempertahankan  kehidupan mereka. Masa nifas adalah masa yang dimulai setelah kelahiran plasenta dan berakhir ketika alat-alat kandungan kembali seperti keadaan sebelum hamil yang berlangsung sampai 42 hari. Perawatan  diri  pada  masa  nifas diperlukan  karena  pada  masa  nifas  wanita  akan  banyak  mengalami  perubahan  pada  dirinya,  baik fisik maupun psikologis. Tujuan penelitian ini adalah untuk mengetahui hubungan pemberdayaan keluarga dengan kemampuan keluarga merawat ibu nifas, selain itu juga untuk meningkatkan pengetahuan, perilaku, dan sikap keluarga dalam memberikan pemberdayaan untuk merawat ibu nifas. Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian cross sectional, jumlah sampel 40 ibu nifas. Teknik pengambilan sampel menggunakan teknik proposional sampling dengan menggunakan rumus besar sampel. Instrument yang digunakan dalam peneitian ini yaitu dengan menggunakan lembar kuesioner untuk mengukur pemberdayaan keluarga dan kemampuan keluarga merawat ibu nifas yang sudah dilakukan uji validitas dan reliabilitas. Hubungan pemberdayaan keluarga dengan kemampuan keluarga merawat ibu nifas setelah diuji menggunakan independent T-Test didapatkan hasil p value 0,000. P value 0,000 < (α = 0,05), maka H0 ditolak yang artinya ada hubungan pemberdayaan keluarga dengan kemampuan keluarga merawat ibu nifas di Kecamatan Boyolangu Kabupaten Tulungagung
Endometrial organoids and trophoblast organoids: Novel models for investigation of maternal-fetal interactions
Authors: Peng Lijin , Yin Tingxuan , Zhao Weijie , Xu Chunfang , Du Meirong
Published: December 2022

A coordinated crosstalk between the maternal body and embryo is indispensable in a successful pregnancy. However, reliable models to study the potential cellular and molecular mechanisms of maternal-fetal interaction have not been established. The widely used research models including animal models and cell lines have significant limitations. Recently, the emergence and advancement of organoids have aroused attention. Endometrial organoids and trophoblast organoids which recapitulate human decidua and trophoblasts in three-dimensional cultures provide new opportunities to study the physiological or pathological processes of decidualization and implantation. Furthermore, to recapitulate precise cell-cell communication in the decidual microenvironment in vivo, the co-culture of multicellular organoids will be a potential optimal model for future investigations of crosstalk at the maternal-fetal interface. Here, we focus on the latest development and advancement of endometrial organoids and trophoblast organoids.
Techno-Typological Analysis of the Late Epipaleolithic/ Proto-Neolithic Chipped Stone Tools at Çemka Höyük
Authors: Kodaş Ergül
Published: December 2022

The Late Epipaleolithic period, also referred to as the Proto-Neolithic and dated back to the eleventh millennium BCE and early tenth millennium BCE, is closely linked with the communities located east of the Fertile Crescent that began to be settled during the Younger Dryas. This period, which started in the first half of the twentieth century and is defined by settlements in the northwestern Zagros region, has long been under the radar, but has been catching on again, especially since the 2000s, for the identification of a Younger Dryas layer found in settlements in the Upper Tigris Valley. The period in question has few architectural data for support and is represented by the chipped stone tool industry, which is thought to be observed in Zagros. It also appears that this period, which was primarily defined through its chipped stone tool industry, is no longer limited to the northwestern Zagros region, but also now includes the Upper Tigris Valley and the Eastern Jazeera (Eastern Fertile Crescent) region. The Younger Dryas layers, also found in the Çemka Höyük settlement during the 2019 excavations, shed new light on the chipped stone tool industry in the Upper Tigris Valley between the eleventh and tenth millennium BCE. The layers also contribute to redeliberating and redefining local and interregional relations.