bluuebunny/crossref_metadata_2025 huggingface dataset:
Ameliyathane Hemşireliği Sertifikalı Eğitim Programının Katılımcıların Görüş ve Deneyimleri Bağlamında Değerlendirilmesi
Authors: ÇOBAN Selma , KORKMAZ Ayşe
Published: April 2023

Sağlık alanında yaşanan hızlı değişim ve gelişim sürecine ameliyathane hemşirelerinin de ayak uydurabilmeleri, yeni bilgi ve becerileri uygulayabilmeleri için mesleki eğitim ve gelişimleri açısından çeşitli çalışmalar yapılmaktadır. Sağlık Bakanlığı tarafından 2015 yılından itibaren farklı hastanelerde “Ameliyathane Hemşireliği Sertifikalı Eğitim Programı” uygulanmaya başlamıştır. Araştırmada, bir eğitim ve araştırma hastanesinde uygulanan “Ameliyathane Hemşireliği Sertifikalı Eğitim Programına” katılan ameliyathane hemşirelerinin görüş ve deneyimlerine dayalı olarak hemşirelerin mesleki eğitimi ve gelişimleri değerlendirilmeye çalışılmıştır. Bu çalışmada eğitim programının yetişkin eğitimi ilke ve yöntemleri doğrultusunda değerlendirilmesi amaçlanmıştır. Bu araştırma tarama modelinde betimsel bir çalışmadır. Araştırmanın çalışma grubu bu eğitim programına katılan 20 ameliyathane hemşiresinden oluşmaktadır. Çalışmada gözlem ve görüşme teknikleri kullanılmıştır. Programa katılan yetişkinlerin sosyo-demografik özellikleri ile ilgili toplanan veriler betimsel istatistiğin frekans ve yüzde teknikleri kullanılarak analiz edilmiştir. Araştırmanın diğer bölümlerini oluşturan; kursun temel özellikleri, katılımcıların kursa dair görüş ve önerileri ile ilgili veriler betimsel analiz kullanılarak değerlendirilmiştir. Yarı yapılandırılmış görüşme formunda yer alan soruların ortaya koyduğu temalar belirlenmiş, belirlenen temalar betimlenmiş ve yorumlanmıştır. Araştırmanın sonucunda; katılımcıların çoğu lisans mezunu kadın hemşirelerden oluşmaktadır. Bakanlık onaylı sertifikanın verilmesi katılımın esas sebebini oluşturmaktadır. Katılımcılar daha akademik bir kadrodan eğitim almayı istemişlerdir ve az sayıda eğitimciyi yeterli düzeyde bulmuşlardır. Katılımcılarda sürekli mesleki eğitime dair ilgi ve farkındalık oluşmuştur.
Uso de bioestimulante Stimulate® na produção de mudas de pimentão (Capsicum annum L.)
Authors: Nogueira Mirian , Cruz Paloma da Silva , Cruz Luana Silva da , Jesus Anne Caroline Dias de , Santos Paloma Andrade , Aquino César Fernandes
Published: April 2023

O objetivo deste trabalho foi avaliar o efeito da aplicação do bioestimulante Stimulate® sobre a germinação e a produção de mudas de pimentão. Foram conduzidos dois experimentos em blocos casualizados com os tratamentos dispostos em esquema fatorial 4 x 5, resultante da combinação de quatro tempos de embebição das sementes em solução do bioestimulante Stimulate® (30, 60, 120 e 240 minutos) e cinco concentrações (0,0; 4,0; 8,0; 12,0 e 15,0 mL.L-1). Os maiores IVGs foram constatados em todas as concentrações do bioestimulante, com exceção de 0,0 mL.L-1. Na concentração de 15,0 mL.L-1 foi verificado menor TMG. Em todas as concentrações adotadas, com exceção a de 8,0 mL.L-1, verificou-se o menor tempo médio para a emergência das plântulas, com média entre 10,44 a 10,80 dias para a ocorrência da emergência. A embebição das sementes durante 120 e 240 minutos proporcionou maior taxa de germinação e IVG que ocorreram em menor tempo médio. A aplicação de bioestimulantes durante os estádios iniciais de desenvolvimento da planta propicia o crescimento da raiz e o estabelecimento de plantas de forma rápida e uniforme. Assim, a embebição das sementes de pimentão com o Stimulate® favoreceu a germinação das sementes e a produção de mudas.
Factores que inciden en la pérdida o atraso de vacunas del programa ampliado de inmunización en niños de 0 a 11 meses 29 días en centros de salud de la ciudad de Guayaquil.
Authors: Lascano Filián Jeanina Carolina , Chávez Sarabia Oswal Geovanni
Published: April 2023

Resumen
Introducción: Las vacunas son parte fundamental para el desarrollo óptimo del ser humano, dada la alta eficacia que ha tenido con el paso de los años en lograr la reducción de muertes por enfermedades infecciosas. El cumplimiento de su esquema regular se ha visto afectado por determinantes los cuáles son considerados como uno de los factores para baja cobertura a nivel nacional.
Objetivo: Identificar los diferentes factores que influyen en la pérdida o atraso de vacunas en los niños que son parte del programa ampliado de inmunización en el Ecuador, dentro del rango de 0 días hasta los 11 meses 29 días.
Metodología: Un estudio transversal, descriptivo por medio de la aplicación de entrevistas, encuestas, revisiones bibliográficas con el uso de diferentes bases de datos tales como Pubmed, BVS Library, sCielo, Elsevier entre otros.
Resultados: Se realizaron ochenta encuestas en las cuales se determina que dentro de los factores de atraso o perdida de vacunas el 62,50% son por motivos de falta del biológico, seguido de la poca promoción por parte del equipo de salud referente a la vacunación y el olvido de la fecha de vacunación de los cuidadores con un 15%, se destaca también reconocer que la vacuna con mayor porcentaje (19,42%), de pérdida o atraso en la captación es la vacuna pentavalente cuya prevención trata cinco enfermedades tales como difteria, tétano, tos ferina , haemofilus influenzae tipo B y hepatitis B.
Conclusiones: La inmunización representa a la promoción de la salud, por lo que debe considerarse importante los aspectos sociales y económicos que influyen en poder cumplir con el esquema respectivo. El aporte del personal de salud en la educación al paciente es necesario para un correcto abordaje del plan de inmunización nacional.
Decalajul digital și excluziunea digitală a vârstnicilor în România – Un studiu de caz în București-Ilfov
Authors:   coala Națională de Studii Politice și Administrative, București, DOBRE Alexandra
Published: April 2023

România devine o societate care îmbătrânește rapid. Sprijinirea persoanelor în vârstă devine astfel o problemă semnificativă, iar promovarea tehnologiilor digitale este o modalitate eficientă de a ajuta la abordarea acesteia. Digitalizarea mai scăzută în rândul seniorilor trebuie înțeleasă în contextul decalajelor digitale multiple. Pe lângă diviziunea evidentă existentă între generații (vârsta fiind unul dintre predictorii care determină gradul de digitalizare), există şi alţi factori care au impact major, cum ar fi nivelul mai scăzut al educației sau al veniturilor, acestea fiind, de asemenea, puternic corelate cu utilizarea mai scăzută a noilor tehnologii. Această lucrare examinează situația actuală a utilizării Internetului de către persoanele în vârstă într-o regiune dezvoltată din România (București-Ilfov) și factorii care îi influențează în folosirea tehnologiilor digitale. Studiul analizează cauzele care explică abilitățile digitale mai scăzute ale persoanelor în vârstă (65 de ani și peste) și factorii care influențează aceste abilități, folosind date din societatea românească. În urma cercetării prezentate, una dintre concluziile articolului este aceea că administrațiile publice, producătorii de echipamente digitale și membrii familiei persoanelor în vârstă ar trebui să lucreze împreună pentru a le permite să profite de avantajele tehnologiilor online. Cuvinte-cheie: Accesul la tehnologiile digitale; vârstnici; decalaj digital; excluziune digitală. ●●●●● Romania becomes a fast ageing society. The support of the elderly became, consequently, a significant topic, and promoting digital technologies is an efficient modality to provide help in this regard. The lower degree of elderly digitalization must be understood in the context of multiple digital divides. Along with the existent divide between generations (age being one of the digital profficiency predictors), there are other factors too, with a major impact, as low level of education or revenues, these two being strongly correlated with a lower degree of digital technology use. This paper is examining the present situation of Internet use in a small sample of elder population in the region of Bucharest-Ilfov. The study analizes the causes that explain the lower digital abilities of eldelrly persons (over 65 years old), and the factors that influence these abilities, using data from Romanian society. The conclusions of the article find that public administration, the digital equipment manufacturers, and families of elderly persons should work together to help these persons to use the advantages of these new digital technologies. Keywords: Digital technologies acces; elderly people; digital divide; digital exclusion.
Prinsip Kesalehan Sosial bagi Muda-Mudi Kristen di Ruang Media Sosial
Authors: Saragih Erman Sepniagus
Published: April 2023

Abstract

The degradation of the habitat of the church’s youth generation and their increasing presentation in the social media space challenge the church to formulate principles of adaptive ministry. This study aims to describe the construction of the principle of social piety based on a constructive reading of the literature to argue for the principle of adaptive service for Christian youth. Some literature related to church service efforts on the impact of social media on Christian youth is always based on vertical spiritual relations. However, horizontal relationships are also significant, as is the principle of social piety. The method used is descriptive qualitative with a secondary data literature study approach. The conclusion is that social piety includes material about balancing faith and works, doing God’s will, loving others and being tolerant, and obeying the government. These four principles are very relevant to be stimulated young Christians in the context of diversity in Indonesia to maintain peace amid diversity.

 

Abstrak

Degradasi habitus generasi muda-mudi Kristen dan meningkatnya presentasi mereka dalam ruang media sosial menantang gereja berpikir untuk merekonstruksi prinsip pelayanan muda-mudi yang adaptif. Tujuan penelitian ini adalah mendeskripsikan konstruksi prinsip kesalehan sosial berdasarkan pembacaan literatur secara konstruktif untuk mengargumentasikan prinsip pelayanan adaptif bagi muda-mudi Kristen. Beberapa literatur terkait upaya pelayanan gereja terhadap dampak media sosial bagi muda-mudi Kristen selalu berbasis relasi spiritual vertikal adalah baik, akan tetapi relasi horizontal juga sangat penting sebagaimana prinsip kesalehan sosial. Metode yang digunakan adalah kualitatif deskriptif dengan pendekatan studi literatur data sekunder. Kesimpulannya adalah bahwa kesalehan sosial mencakup materi tentang keseimbangan antara iman dan perbuatan, melakukan kehendak Allah, mengasihi sesama dan toleran, dan patuh kepada pemerintah. Keempat prinsip tersebut sangat relevan distimulasikan bagi muda-mudi Kristen dalam konteks kebhinekaan di Indonesia untuk merawat perdamaian di tengah-tengah keberagaman.
Keteladanan Tuhan Yesus Secara Humanis Berdasarkan Yohanes 13:1-20
Authors: Gea Sefen Krisman
Published: April 2023

Abstract

As humans who have been created in the image and likeness of God, we should be able to set an example. But the fact is that humans cannot be a complete example, both to God and to fellow humans. This is because man has fallen into sin. Sin has taken control of man, so man begins to rebel, envy, kill, corrupt, commit crimes against God's will, and cannot be an example. To restore God's original plan for humans, God sent Jesus into this world to save and be an example for humans. Jesus is a humanist example. Jesus' model can be seen in John 13:1-20. The research method used in this study is qualitative - Literature Study. The standard of the Lord Jesus that is meant humanly based on John 13:1-20 is that Jesus respects and upholds every human dignity and always puts the interests of others first. The main requirement to be able to imitate Jesus' example humanely is to believe and accept Jesus as his Lord and Savior.

 

Abstrak

Sebagai manusia yang telah diciptakan segambar dan serupa dengan Allah, seharusnya dapat menjadi teladan. Namun faktanya manusia tidak dapat menjadi teladan secara utuh, baik kepada Allah maupun kepada sesama manusia. Hal ini disebabkan oleh karena manusia telah telah jatuh ke dalam dosa. Dosa telah menguasai manusia, sehingga manusia  mulai memberontak, iri hati, membunuh, korupsi, melakukan kejahatan yang melawan kehendak Allah, dan tidak dapat menjadi teladan. Untuk mengembalikan rencana Allah semula bagi manusia, maka Allah mengirimkan Yesus ke dunia ini untuk menyelamatkan dan menjadi teladan bagi manusia. Yesus adalah teladan yang humanis. Keteladanan Yesus ini dapat dilihat dalam Yohanes 13:1-20. Metode penelitan yang dipakai dalam penelitian ini adalah menggunakan metode penelitian kualitatif- Studi Pustaka. Keteladanan Tuhan Yesus yang dimaksud secara humanis berdasarakan Yohanes 13:1-20 adalah Yesus menghargai dan menjunjung tinggi setiap martabat manusia dan selalu mengutamakan kepentingan orang lain. Syarat utama untuk dapat meneladani keteladanan Yesus secara humanis adalah percaya dan menerima Yesus sebagai Tuhan dan Juruselamatnya.
ANALISIS ANGGARAN KINERJA SEKTOR PUBLIK PADA DINAS PERHUBUNGAN PROVINSI SUMATERA UTARA
Authors: Manurung Krismanto Muliadi , Mauliddina Firda
Published: April 2023

Anggaran merupakan pernyataan mengenai estimasi kinerja yang ingin dicapai selama periode waktu tertentu yang dinyatakan dalam ukuran finansial.Dengan demikian, anggaran merupakan hal yang sangat penting bagi pemerintah untuk mengestimasi kinerja yang ingin dicapai nantinya. Anggaran berbasis kinerja adalah sistem penganggaran yang berorientasi pada output organisasi yang berkaitan sangat erat dengan visi dan misi serta perencanaan strategis organisasi. Metode analisa data yang digunakan penulis yaitu metode deskriptif dan metode deduktif. Adapun hasil dari penelitian yang telah dilakukan, maka dapat disimpulkan bahwa Anggaran keuangan pada Dinas Perhubungan Provinsi Sumatera Utara secara keseluruhan sudah baik,tidak ada kegiatan yang tidak dapat dilaksanakan mengenai anggaran dan Anggaran yang disusun ada yang sesuai dengan yang direncanakan dan ada juga yang kelebihan dalam penyusunan anggaran yang disebabkan oleh berbagai faktor, tetapi itu tidak membuat anggaran keuangan pada Dinas Perhubungan Provinsi Sumatera Utara memburuk, karena sisa anggaran yang berlebih akan masuk ke kas daerah.
ANALISIS ANGGARAN BIAYA SEBAGAI ALAT PENGENDALIAN MANAJEMEN PADA DINAS PERHUBUNGAN PROVINSI SUMATERA UTARA
Authors: Hondo Lenia , Siburian Lamtiur
Published: April 2023

Anggaran biaya operasional pada Dinas Perhubungan dapat berperan sebagai alat perencanaan dan pengendalian manajemen yang efektif, sehingga pihak manajemen terbantu mengendalikan biaya operasional agar terarah dengan seefesien mungkin, sehingga dapat diketahui terjadinya selisih dengan membandingkan realisasi biaya operasional terhadap anggaran biaya operasional. Rumusan masalah dalam penelitian ini adalah apakah anggaran biaya operasional telah digunakan sebagai alat pengendalian manajemen pada Dinas Perhubungan Provinsi Sumatera Utara?. Hipotesis pada penelitian ini adalah anggaran biaya operasional belum digunakan sebagai alat pengendalian manajemen pada Dinas Perhubungan Provinsi Sumatera Utara. Metode analisis data yang digunakan adalah Metode Deskriptif, dengan cara mengumpulkan data dan kemudian membandingkan dengan teori yang relevan. Hasil penelitian menunjukan bahwa Dinas Perhubungan Provinsi Sumatera Utara menyusun anggaran biaya operasional berdasarkan estimated of expenditure. Dalam hal ini, perencanaan telah melakukan hal yang tepat yaitu menyusun anggaran berdasarkan kebutuhan dan kebijaksanaan yang telah ditetapkan oleh Dinas perhubungan, selain itu penyusunan biaya anggaran didasarkan pada realisasi anggaran sebelumnya. Anggaran biaya operasional yang tidak terpakai karena alasan masyarakat tidak membutuhkan lagi dan anggaran yang besar sehingga sisa anggaran yang terlalu tinggi. Disarankan pada Dinas Perhubungan Provinsi Sumatera Utara tidak hanya melalui evaluasi antara anggaran dan realisasi tetapi juga menggunakan suatu biaya standar tertentu dan hendaknya biaya yang menguntungkan perlu dianalisis dalam rangka tindakan perbaikan pada masa yang akan datang.
PENGARUH PENJUALAN KREDIT TERHADAP PROFITABILITAS PADA PERUSAHAAN PT. DAKOTA MURNI MEDAN
Authors: Ndruru Kristina , Hutabarat Miranda
Published: April 2023

Dakota Murni Medan merupakan perusahaan dagang yang salah satu kegiatan usahanya adalah bergerak dalam bidang property . prnjualan kredit merupakan kebijakan yang ditempuh perusahaan dengan tujuan untuk meningkatkan volume penjualan yang diharapkan dapat diikuti dengan peningkatan laba perusahaan. Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan pendekatan kuantitatif. Untuk mengethui berapa besar persentase pengaruh penjualan kredit terhadap profitabilitas, maka digunakan koefisien determinan uji- t. untuk mengetahui berapa besar pengaruh antara variabel penjualan kredit dan profitabilitas, maka digunakan analisis regresi linier sederhana. Dalam mengelola data menggunakan program SPSS. Berdasarkan analisis regresi linier sederhana sebesar Y= 26931624000.000 + 1.068 X, berarti ini menunjukkan bahwa jika setiap perubahan penjualan kredit naik sebesar 0,0000000001068. Sedangkan dalam pengujian koefisien determinasi adalah sebesar R Square = 90 % itu berarti pengaruh antara variabel penjualan kredit dengan variabel profitabilitas yaitu sebesar 90 %, sedangkan sisanya 10 % dipengaruhi oleh variabel lain yang tidak diikut sertakan dalam penelitian ini. Berdasarkan hasil uji statistik t menunjukkan bahwa penjualan kredit berpengaruh terhadap profitabilitas (0,012 < 0,05).
PENGARUH KETERAMPILAN DAN LINGKUNGAN KERJA TERHADAP KINERJA PEGAWAI PADA KANTOR CAMAT KUTABULUH KABUPATEN KARO
Authors: Br Ginting Santy Noriva , Simanjuntak Juniati
Published: April 2023

Penelitian ini bertujuan untuk mengetahui pengaruh keterampilan (X₁) dan lingkungan kerja (X₂) terhadap kinerja pegawai (Y) pada Kantor Camat Kutabuluh Kabupaten Karo dengan membagikan kuesioner kepada responden sebanyak 26 orang. Persamaan analisis regresi linear berganda ini dapat diartikan sebagai berikut:  Y = 3,653 + 0,150 X₁ + 0,589 X₂

Nilai konstanta 3,653 artinya kinerja mengalami kenaikan sebesar 36,53% jika keterampilan dan lingkungan kerja dimasukkan dalam persamaan. Nilai koefisien regresi keterampilan (X₁) sebesar 0,150 artinya kinerja akan meningkat dipengaruhi oleh keterampilan sebesar 15%. Nilai koefisien regresi lingkungan kerja (X₂) sebesar 0,589 artinya kinerja akan meningkat akibat kenaikan lingkungan kerja sebesar 15% Variabel keterampilan  (X₁) berpengaruh positif dan signifikan terhadap kinerja  (Y) dengan nilai t hitung sebesar 0,911 dengan nilai t tabel sebesar 0,684.  Variabel lingkungan kerja (X₂) memiliki pengaruh negatif terhadap kinerja  (Y) dengan nilai t hitung 4,024 dengan nilai t tabel sebesar 0,684. Variabel keterampilan  (X₁) dan lingkungan kerja (X₂) secara bersamaan memiliki pengaruh positif dan signifikan terhadap kinerja (Y) yang ditunjukkan oleh nilai F hitung 54,189  dan F tabel 3,40. Hasil perhitungan dengan menggunakan program SPSS V22 dapat diketahui bahwa koefisien determinasi (adjusted R²) yang diperoleh sebesar 0,810. Hal ini berarti 81,0% kinerja dapat dijelaskan oleh variabel keterampilan dan lingkungan kerja sedangkan sisanya yaitu 19%  kinerja dipengaruhi oleh variabel-variabel lainnya diluar penelitian ini, misalnya loyalitas dan motivasi dll.
PENGARUH DISIPLN DAN PELATIHAN TERHADAP PRODUKTIVITAS KERJA KARYAWAN PADA PT. PERKEBUNAN NUSANTARA III MEDAN
Authors: Simatupang Sabar L.T. , Ndruru Putri Andayanti , Zebua Media
Published: April 2023

Sampel penelitian 135 responden karyawan PT. Perkebunan Nusantara III Medan. Jenis Penelitian Explanatory Research. Hasil regresi linier berganda Y = 3,326 + 0,357X1 + 0,695X2, menunjukkan variabel disiplin berpengaruh secara signifikan terhadap produktivitas kerja karyawan dengan nilai t-hitung 3,105 > t tabel 1.656. variabel pelatihan menunjukkan nilai t-hitung 3,105 > 1,656 hal ini hal ini menunjukkan bahwa pelatihan berpengaruh secara signifikan terhadap produktivitas kerja karyawan. Hasil F hitung sebesar 237,052  > nilai F-tabel 2,67, hal ini menunjukkan bahwa terdapat pengaruh signifikan antara variabel disiplin dan pelatihan secara simultan berpengaruh terhadap produktivitas kerja karyawan. Sedangkan nilai koefisien determinasi diketahui Adjusted R Square  yang diperoleh adalah sebesar 0,924 (92,4%), artinya disiplin dan pelatihan mampu menjelaskan produktivitas kerja karyawan yang menggambarkan pengaruh oleh variabel lain untuk produktivitas kerja karyawan pada PT.Perkebunan Nusantara III Medan. Saran yang yang diberikan, agar pada PT. Perkebunan Nusantara III Medan untuk lebih kedisiplinan dan pelatihan karyawan agar tercapainya tingkat produktivitas kerja yang maksimal.
PENGARUH PROMOSI DAN POTONGAN HARGA TIKET PESAWAT TERHADAP MINAT BELI KONSUMEN PADA PT. MANUMADI TOUR AND TRAVEL BALI
Authors: Siregar Pandapotan Na Uli Sun , Sihombing Eva Omega , Pasaribu Melisa
Published: April 2023

Sampel pada penelitian ini menggunakan purposive sampling diperoleh 80 konsumen yang melakukan perjalanan pada tahun 2021 untuk dijadikan sampel. Hasil  (uji t) dimana variabel promosi (0,62) lebih besar dibandingkan dengan dari alpha 5% (0,05) atau thitung = 1,895 (n - k = 80 - 2 = 78) < ttable 1,990. Untuk potongan harga (0,00) lebih kecil dibandingkan dari pada alpha 5 % (0,05) atau thitung = 11,321 (n - k = 80 - 3 = 77) > ttable 1,991. Hasil (uji F) dimana nilai signifikansi F lebih kecil dari 5 % (0,05) atau nilai Fhitung = 98,880 > Ftable 3,12 (df1 = k - 1 = 3 - 1 = 2) sedangkan (df2 = n - k (n - k = 80 - 3 = 77). Kesimpulan dari penelitian ini Promosi (X1) dan Potongan Harga (X2) berpengaruh positif dan signifikan terhadap Minat Beli Konsumen (Y) pada PT. Manumadi Tour and Travel Bali.
ANALISIS PROSEDUR PEMBERIAN KREDIT PADA CU SIMPAN PINJAM KSM PERSADANTA KECAMATAN SIBOLANGIT
Authors: Lase Ester Desiana , Simanungkalit Haposan , Sinaga Agam , Simatupang Sabar LT.
Published: April 2023

Ekonomi modern seperti sekarang, koperasi masih menjadi salah satu lembaga keuangan yang dibutuhkan masyarakat untuk meningkatkan kesejahteraanya. CU Simpan Pinjam KSM Persadanta sendiri dibentuk untuk menciptakan kemandirian ekonomi diantara seluruh anggotanya, khususnya untuk menyelenggarakan rasa solidaritas diantara penduduk sekitar Kecamatan Sibolangit dalam membantu meningkatkan perekonomian anggotanya. Tujuan dari penilitian ini untuk mengetahui efektivitas alur pemberian kredit pada CU Simpan Pinjam KSM Persandata Kecamatan Sibolangit, apakah alur atau prosedur pemberian kreditnya sudah tepat sasaran dan masih memungkinkan untuk masuk dalam kategori arus kas yang sehat.  maka penulis akan mencoba membandingkan indikator kegagalan bayar (kredit macet) dengan indikator seperti antara lain: wawancara, pengumpulan data, pemeriksaan / penyidikan atas kebenaran dan kewajiban mengenai hal-hal yang ditemukan nasabah dan lainya diperoleh, penyusunan laporan, analisis data. Hasil dari proses analisis itu sendiri kemudian akan digunakan untuk menguji hipotesa penulis sebelumnya sehingga memunculkan sebuah kesimpulan yang juga menjadi saran dan masukan untuk CU Simpan Pinjam KSM Persandata Kecamatan Sibolangit.
PENGARUH KOMPENSASI DAN LINGKUNG AN KERJA TERHADAP KINERJA KARYAWAN DI PERUSAHAAN UMUM DAERAH PASAR KOTA MEDAN
Authors: Sinuraya Rini Mariani Br , Tambunan Otto. M. , Tarigan Jenni , Gaol Jonner Lumban
Published: April 2023

Dalam tujuan pembuatan skripsi ini adalah untuk mengetahui pengaruh mengenai kompensasi dan lingkungan kerja terhadap kinerja karyawan. Manfaat dari risert ini adalah untuk mengetahui pengaruh kompensasi dan lingkungann kerja terhadap kinerja karyawan baik secara parsial maupun simultan. Populasi dalam penelitian ini sebanyak 358 karyawan dan Sampelnya adalah 72 responden. Teknik pengambilan sampel dalam penelitian ini Metode Sample Random Sampling. Persamaan regresi yang didapat dipenelitian ini (Y)=  22,152 + 0,115X1 + 0,33X + 0,989 , (X1)= (0,05/2 ;72-2-1) = 0,025:69 = 2,000 artinya kompensasi (X1) tidak berpengaruh terhadap kinerja  karyawan (Y). Lingkungan kerja (X2)= ftabel =(K;n-k)= (2;72-2)= (2;70)= 3,13 aartinya lingkungan kerja berpengaruh terhadap kinerja karyawan (Y) baik secara parsial maupun secara simultan dengan menggunakan uji t dan uji f pada setiap item. Melalui nilai hitung thitung >ttabel (1,279>2,000) dengan tingkat signifikan 0,001b<0,05 artinya pengaruh lingkungan kinerja terhadap kinerja karyawan pada perusahaan umum daerah pasar kota medan sangat berpengaruh dan bersignifikan terhadap perusahaan. Disarankan untuk perusahaan meningkatkan pemberian kompensasi dengan cara melengkapi fasilitas yang menunjang terhadap kinerja karyawan
PEMBERDAYAAN MASYARAKAT SEBAGAI KAMPUNG TEMATIK DESA GUNUNG MALANG KECAMATAN TENJOLAYA KABUPATEN BOGOR
Authors: Syaiful Syaiful , Taufikfajar Ali , Pramesti Larasati Ayu
Published: April 2023

Improvements in the program delivered are the program for a healthy house using building materials, components of spatial planning, lighting, air quality and ventilation. Likewise with the provision of clean water, disease vectors, waste disposal and residential density. The average level of occupancy density in Gunung Malang village is still low, so it is very possible that there will be healthy houses, but the quality of the buildings is an obstacle. The approach methods used in this healthy home counseling program are: (1) a religious approach in prayer rooms and mosques as well as recitations; (2) kinship approach; (3) Social approach. The result of this counseling that can be achieved for the community is the increase in community knowledge in managing healthy and livable homes. Counseling comes from the word "suluh" which means "torch" or "lamp" or "that gives light". With counseling, it is hoped that there will be an increase in knowledge, skills and attitudes. Counseling is a process of changing behavior among the community so that they know, are willing and able to make changes in order to achieve increased production, income/profits and improvement of their welfare.
General Situation, Problems and Suggested Solutions for Goose Breeding in Kütahya Province
Authors: AKIN Yüksel
Published: April 2023

This study was carried out in order to reveal the current situation of goose breeding in extensive and semi-intensive conditions in Kütahya province and to determine the important problems encountered in breeding. The material of the study consisted of the survey data obtained from 125 goose producers in the villages of Merkez, Altıntaş, Aslanapa, Çavdarhisar and Tavşanlı districts of Kütahya province where goose breeding is intense. According to the research findings, it was determined that the average period of goose breeding of farmers in the province of Kütahya was 1-10 years. It was determined that the number of breeding male geese per farm was 1-5 and the number of breeding female geese was 3-20 (M/F:1/3-5/20). It was determined that 56.8% of the goose shelters were made of briquette or brick material. 88.8% of the breeders stated that gooselings were released to the pasture when they were 1-2 weeks old. Although the rate of not taking any precautions against diseases was 84.0%, the rate of those who stated that they did not experience any loss was 75.2%. As a result, it was determined that the structure and problems of goose breeding in Kütahya were similar to the country in general and the production was mostly done to meet the meat needs of the family. It can be stated that the main problems of the producers are feed costs, inadequacies in care and feeding, breedings with low-yielding domestic breeds, difficulties in the supply of breeding animals, and problems in marketing.
Life Scenario System of Care for Stroke Survivors and Families: An Ethnography Study
Authors:   Faculty of Nursing, Universitas Muhammadiyah Kalimantan Timur, Indonesia, Purdani Kartika Setia , Rungreangkulkij Somporn ,   Faculty of Nursing, Khon Kaen University, Thailand
Published: April 2023

The Greek word “Apoplexies” or “Apoplexy” for violent who is 40-60 years old and being struck was called by Hippocrates in 460-370 BC to mention stroke today. The tardiness for 10-minute delays will increase the disability impact. The most significant effect, in this case, is stroke patients and their families. The aim of this study is to explore and describes the life scenario of stroke survivors and families in the community. Ethnography study is an approach for qualitative research in this study with details the main participants are seventeen stroke survivors and twenty-four stroke caregivers. The data collection method is observation, in-depth interviews, and continued field notes for the content analysis, the duration for collecting data is five months. The result of this study is two categories, life scenarios of stroke survivors and life scenarios of family. The life scenarios of stroke survivors support two scenarios, and the life scenario of families as stroke caregivers has three scenarios. Stroke is not a misfortune disease or a punishment from God. This disease is having a golden period for acute care and rehabilitation training times, when the stroke survivors and families optimize this time, the loss of body function is controlled. On the other hand, the main caregiver has several responsibilities in this condition. Further, both of them needed support to continue and adapt their lives to new roles.
Alterações bioquímicas, fisiológicas e sanitárias em sementes de grão-de-bico (Cicer arietinum L.) durante o armazenamento
Authors:   , Miranda Rafaela Marques de
Published: April 2023

O cultivo do grão-de-bico vem se expandindo no Brasil e conhecer o comportamento dessas sementes durante o armazenamento é fundamental para definir estratégias adequadas para a sua conservação. Objetivou-se avaliar as alterações bioquímicas, fisiológicas e sanitárias em sementes de grão-de-bico armazenadas em diferentes embalagens e condições de ambiente. Para tanto, sementes da cultivar BRS Aleppo, foram acondicionadas em embalagem impermeável (plástico) e permeável (papel) e armazenadas em: câmara fria e seca - CF (8 °C ± 1,0 e 35% UR ± 1,3); sala refrigerada - REF (18 °C ± 1,3 e 62% UR ± 4,0) e ambiente não controlado - AMB (24 °C ± 1,8 e 68% UR ± 6,7). Inicialmente e aos 3, 6, 9 e 12 meses de armazenamento as sementes foram avaliadas quanto ao teor de água, germinação, primeira contagem de germinação, comprimento de plântula, envelhecimento acelerado, condutividade elétrica, índice de velocidade de emergência, conteúdo de malonaldeído, atividade das enzimas antioxidativas SOD, APX e CAT e incidência de fungos. Utilizou-se o delineamento inteiramente casualizado, em esquema de parcela subdividida (3x2x4) + 1 (avaliação inicial). Os dados obtidos nos testes de qualidade fisiológica referentes aos períodos de armazenamento foram submetidos à análise de regressão polinomial e para comparações entre embalagens e ambientes, dentro de cada período de armazenamento, foram utilizados os testes F e de Tukey (5%), respectivamente. Foi realizada ainda a análise multivariada de componentes principais com todos os dados obtidos. O teor de água das sementes em embalagem plástica foi semelhante em todos os ambientes durante o armazenamento (11,0%), e em papel houve maior variação, com redução em CF (7,5%) e ligeiro aumento em AMB (12,5%). A qualidade fisiológica e sanitária das sementes foi mantida em CF, tanto em plástico quanto em papel. O armazenamento em REF, independente da embalagem, e o armazenamento em AMB na embalagem impermeável (plástico), foram eficientes na manutenção da germinação das sementes até doze meses, porém com redução do vigor após nove meses de armazenamento. Por outro lado, houve redução significativa da qualidade fisiológica e sanitária das sementes armazenadas em AMB em embalagem porosa (papel) a partir de 6 meses, sendo essa condição inadequada para o armazenamento por doze meses. A maior temperatura e umidade relativa do ambiente não controlado (AMB) associada à embalagem poroso (papel) provocaram alterações bioquímicas prejudiciais à qualidade das sementes como peroxidação lipídica e redução da atividade de enzimas antioxidativas, SOD e CAT. Aspergillus spp. e Penicillium spp. foram os fungos predominantes durante o armazenamento, apresentando alta incidência principalmente em sementes sob REF e AMB. Palavras-chave: Condição de ambiente. Embalagem. Enzimas antioxidativas. Fungos de armazenamento.
Safety and tolerability of rituximab in the treatment of systemic sclerosis
Authors: Garzanova L. A. , Ananyeva L. P. , Koneva O. A. , Desinova O. V. , Starovoytova M. N. , Ovsyannikova O. B. , Shayakhmetova R. U. , Glukhova S. I.
Published: April 2023

Introduction. Rituximab (RTX) has been used for the treatment of systemic sclerosis (SSс) for a long time and has shown good efficacy for skin fibrosis and interstitial lung disease. However, data on tolerability and long-term adverse events (AEs) during RTX therapy in SSc are insufficient.

Objective. The aim of this study was to assess the tolerability and safety of RTX in patients with SSс in a long-term prospective follow-up.

Materials and methods. Our open-label prospective study included 151 SSс patients who received at least one RTX infusion. The mean age of the patients was 47.9±13.4 years; the majority of them were women (83%). The mean disease duration was 6.4±5.8 years. The mean follow-up period after the first RTX infusion was 5.6±2.6 years (845.6 patient-years (PY)). All patients received RTX in addition to ongoing therapy with prednisone and/or immunosuppressants. AEs were assessed and recorded by a doctor in the hospital immediately after RTX infusion, then by patient reported outcome during the observation period. All causes of death were considered, regardless of treatment.

Results. A total of 85 (56%) AEs were registered, the overall incidence of AEs was 10/100 PY (95% confidence interval (95% CI): 8–12). The highest frequency of all AEs was observed in the first 2–6 months after the first course of RTX, however, these were mainly mild and moderate AEs (71%). The most frequent AEs were infections, they were observed in 40% of cases, with no serious opportunistic infections reported. The overall incidence of all infections was 7.1/100 PY (95% CI: 5.5–9), serious infections – 1.5/100 PY (95% CI: 0.9–2.6). Infusion reactions occurred in 8% of patients. Other AEs were noted in 3% (0.6/100 PY; 95% CI: 0.3–1.4). The overall incidence of serious AEs was 18% (3.2/100 PY; 95% CI: 2.2–4.6). There was a significant decrease of the immunoglobulin G (IgG) during follow-up, however, its average values remained within normal limits. There were 17 (11%) deaths (2/100 PY; 95% CI: 1.3–3.2). In most cases, patients died from the progression of the major organ failure, which arose before RTX treatment.

Conclusions. In our study, the safety profile of RTX in SSс was assessed as favorable. It was similar to the AE profile in other autoimmune diseases treated with RTX. With an increase in the cumulative dose of RTX, no increase in AEs was observed. The mortality is comparable to the other severe autoimmune diseases in observational studies. Monitoring of Ig G may be useful for patients with SSс on RTX therapy for early detection of the risk of developing infectious complications. RTX could be considered as a relatively safe drug for the complex therapy of SSс when standard therapy is ineffective or impossible.
Role of interventional radiology in surgical diseases of breast
Authors: Mohammad Sohail Asghar  , Asgher Mohammad Zohaib , Abdul Wahab  , Aslam Jaweria , Zafarullah Sadaf
Published: April 2023

Since the publication of the first imaging-guided wire localisation technique, the art of breast treatments has made great strides. Radiologists like Hall, Frank, Kopans, DeLuca, and Homer were all the pioneers in innovative breast interventional radiology field. Their approaches and gadgets for enhancing surgical outcomes in cases with breast diseases aided progress in the discipline and have withstood the ravages of time. Many of their methods are still in use. We are all standing together at the beginning of a new chapter in medicine. Cost effectiveness, comparative effectiveness studies, and an older population are all causing clinicians to reconsider what they perform. Similarly, we are now united on a global scale. The studies described in the current narrative review relate to multiple nations around the world. Breast cancer is a worldwide health problem.
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Acute myocardial infarction after a negative Dobutamine stress echocardiogram in a patient with end-stage liver disease
Authors: Ahmad Khursheed , Shahzad Khurram , Muhammad Muzaffar Mahmood
Published: April 2023

Dobutamine stress echocardiogram (DSE) is generally a safe and reliable test for detection of myocardial ischaemia. We report the case of a 43-year-old male with end-stage liver disease (ESLD), who underwent DSE as part of workup for liver transplantation. Although the patient had an uneventful negative DSE, within 45 minutes he developed inferior ST-segment elevation myocardial infarction (STEMI). His coronary angiography showed severe 2-vessel coronary artery disease, which was treated with percutaneous coronary intervention (PCI) with implantation of drug-eluting stents (DES). Acute coronary syndrome (ACS) after a normal DSE has previously been reported in the literature. We describe one such case, with added complexity of managing an ACS in a patient with high bleeding risk. Our case is unique in reporting a STEMI after a negative DSE in a liver transplant recipient. Increased physician awareness of potential complications of DSE is essential to allow timely recognition and management.
Effect of COVID 19 lockdown on medical education; a systematic review
Authors: Shakeel Faiz , Saghir Iqra , Toufique Ghassan , Nabiha Khalid  , Kalas Zunain Ali
Published: April 2023

Objectives: To evaluate the complications of e-learning during pandemic-led lockdown, its effect on medical students' learning, and to recommend practical solutions.
Method: The systematic review comprised literature search on Google Scholar, Medline and Pubmed databases for studies published from 2019 to April, 2022. dealing with the effect of coronavirus disease-2019 on medical education. Key phrases used were 'COVID19 effects’, ‘medical students' or 'e-learning' or 'e-examination'. Methodological information was evaluated using EPPI (Evidence for Policy and Practice Information) tool.
Results: Of the 60 studies initially found, 5(8.33%) were included. Students in their final year required practical application to benefit their professional lives. As a result, this circumstance has a variety of psychological consequences, such as an inability to focus during self-study for final-year test preparation, which leads to a loss of self-confidence and identity, and an inability to develop into tomorrow's competent and professional doctor.
Conclusion: Despite emergencies like the pandemic, the students' future should not be ignored. They need practical education for future work. There is a need for better strategies for improved learning so that future doctors may work efficiently in their fields.
Key Words: COVID-19, Health lockdown. e-learning, Medical, PRISMA, Team-based learning, 3D learning, Psychological effects.
The estimation of the toxic effects of «Complex Plus» agrochemical and perspective use in agriculture
Authors: Poghosyan Susanna Babkenovna , Muradyan Susanna Arshavirovna , Ter-Zaqaryan Siranush Ogannesovna , Keshishyan Anna Araevna , Dzhandzhapanyan Ashot Norayrovich , Mikaelyan Aram Razmikovich , Tadevosyan Natalya Stepanovna
Published: April 2023

use of agrochemicals strengthen health and environmental issues. To insure the safe use of new preparations, acute and sub-acute studies must to be done.
In this study, the estimation of the toxic effects of “Complex Plus” formulation synthesized on the basis of imidacloprid and proposed as growth stimulator, insecticide and microelements complex simultaneously has been achieved.
Material and methods. The oral and dermal LD50 have been established, sensitivity by sex, skin-irritating and allergic effects, effect on the mucous membranes (rats, rabbits) were studied. The results were processed by the method of variation statistics; standard errors, etc. were calculated by the method of probabilistic analysis of Litchfield–Wilcoxon in the modification of Prozorovsky. The values difference was estimated by two-tailed Student’s test (t-test) with significance level at p<0.05.
Results. The acute intoxication was manifested in some disorders of the central nervous system. Oral LD50 was 805±27 mg/kg bodyweight (II Class, WHO; IV class GOST 32419); dermal LD50>2000 mg/kg bodyweight (III class, WHO; IV class GOST 32419). Sex sensitivity and skin-irritating effects were not revealed. The formulation had a moderate irritant effect on the mucous membranes of eyes (rabbits) and no sensitizing effect. Immunological tests in vitro were negative.
Limitation. Acute toxicity and sensitizing effect of formulation was studied.
Conclusion. Strict complying with the established agrotechnical requirements, hygienic regulations when using the proposed agrochemical will undoubtedly reduce the adverse effects of this formulation on the population and the environment, and will also contribute to development of agriculture in Armenia in the cost-effective way.
The role of bioactive agents in enhancing the defense response to nanoparticle toxicity (a literature review)
Authors: Ryabova Yulia Vladimirovna , Shabardina Lada Vladimirovna
Published: April 2023

Introduction. Ubiquity of nanoparticles (NPs) necessitates the increase in the resistance and tolerance of the human body to their toxic effects. The exposure to nanoparticles can occur not only in the occupational setting but also because of environmental pollution and a purposeful use of nanomaterials (e.g., in medicine and cosmetology). Impossibility of elimination of nanoparticle exposure and its adverse health effects at the current stage of technological development makes the problem even more urgent. Our objective was to study the ability of bioactive agents (vitamins, macro- and microelements, flavonoids, etc.) to enhance the defense response to nanoparticle toxicity.
Material and methods. The analysis and generalization of modern scientific research is carried out. To review and summarize data of recent scientific studies, we have done a literature search using PubMed, Web of Science, and Google Scholar search engines, as well as Russian scientific electronic libraries eLibrary.ru and Cyberleninka.ru. The inclusion criteria were information about adverse health effects of nano-sized particles (1–100 nm) and attenuation of their toxicity using bioprotectors in experimental animals. After primary screening of more than 70 publications, we selected thirty-six articles for the review.
Results. The ability of bioactive agents to increase the resistance of a living organism, including warm-blooded mammals, to nanoparticle exposure has been demonstrated. We established a protective effect of vitamin E against nephrotoxicity of gold NPs and toxicity of silver NPs; vitamin C against the hepatotoxic effect of titanium (IV) oxide NPs and reproductive toxicity of nickel NPs, and B vitamins against toxic effects of zinc oxide NPs. We have also found evidence of a protective effect of selenium against silver NPs, including cardioprotective ones. Flavonoids (hesperidin and quercetin) demonstrated protective effects against nephro-, neuro- and hepatotoxicity of nanoparticles. In addition, we noted their positive role in repair of mitochondrial dysfunction. L-arginine also showed the ability to attenuate poisoning induced by Au NPs.
Limitations of the study. We reviewed open access Russian and English-language publications.
Conclusion. This literature review facilitates identification of the most effective ways to increase the resistance and tolerance of a living organism to adverse health effects of nanoparticles.
İlkokul 4. Sınıf Matematik Dersindeki Yeni Nesil Sorularının Öğretmen Görüşlerine Göre İncelenmesi
Authors: ŞAHAN Hayriye , ŞAHİN Çavuş
Published: April 2023

Bu çalışmanın amacı ilkokul 4. Sınıf Matematik dersinde kullanılan yeni nesil sorularının öğretmen görüşlerine göre analiz edilmesidir. Dolayısıyla bu araştırma, araştırma sınıf öğretmenlerinin yeni nesil matematik problemlerine ilişkin öğretmen görüşlerini derinlemesine belirlemeyi amaçlayan nitel bir çalışmadır. Nitel araştırma yönteminin kullanıldığı bu çalışmada, çözümlemeler durum çalışması deseni ile yapılmıştır. Araştırmanın çalışma grubunu Çanakkale İl merkezindeki bulunan devlete ait yedi ilkokulda görev yapan toplam 23 öğretmen oluşturmaktadır. Çalışmada veri toplama aracı olarak, yarı yapılandırılmış görüşme formu kullanılmıştır. Hazırlanan görüşme formu, çalışma grubunu oluşturan öğretmenlere dağıtılarak, toplanmıştır. Araştırmaya katılan sınıf öğretmenlerinin ilkokul 4. Sınıf Matematik dersindeki yeni nesil matematik sorularına ilişkin görüşlerinin analizinde içerik analizi tekniği kullanılmıştır. Elde edilen sonuçlara göre kodlama ve temalandırma yapılarak, frekans tekniği yardımıyla tablolar halinde sunulmuş ve yorumlanmıştır. Öğretmen görüşleri doğrultusunda araştırmada elde edilen sonuçlar, yeni nesil soruların eleştirel düşünme, yorumlama, problem çözme, analiz etme gibi üst düzey bilişsel becerileri geliştirdiği yönündedir. Buna ek olarak soruların zor, karmaşık ve uzun olduğu yönünde görüşler de incelenmiştir.
Assessment on Farmers Tree Growing Practices and Tree Species Diversity in the Home Garden, Farmlands, and nearby Forest of Abaychomen District, Oromia Region, Ethiopia
Authors: Geleta Taye Lemma
Published: April 2023

This study was conducted to investigate the farmers’ tree growing practices and diversity of tree species in the home garden,farmlands, and nearby forest areas of Abaychomen District, Eastern Wollega, Oromia region, Ethiopia. Data were collected fromsampled Households (HHs) using purposive random sampling methods for the socio-economic survey and a systematic sampling technique for vegetation assessment.For the interview, 152 HHs were selected from the two Peasant Associations of Gutene and Dinoberema. Focus group discussions and site observations were used. The result showed 51 tree species in Dinoberema and 41 in Gutene were identified and recorded. The Shannon diversity index is high in the natural forest of both sites and low in the crop fields of Gutene and home garden area of Denoberema. Simpson diversity index exhibited a similar trend as the Shannon diversity index in both sites. Croton macrostachyus and Podocarpus falcatus are the 1stand the 2ndmost important tree species in both sites.Higher Sorensen coefficient similarity observed between crop field and home gardens. The result also revealed, HHs within the rich wealth class have a large area of home garden related to medium and poor. According to respondents viewed, (80 % observed labour availability) in Gutene and (60% observed land availability) in Dinoberema were opportunities to grow trees. However, shortage of cash and land were the main constraints for tree growing practices.Therefore, this study is important for effective tree biodiversity.Hence, identifying and documenting the tree species diversity and practices of local peoples on tree management are necessary to build the gaps in knowledge