bluuebunny/crossref_metadata_2025 huggingface dataset:
Psychiatrische Kurz-Psychotherapie (PKP) der Depression als kombinierte Gruppenund Einzeltherapie in Psychiatrischen Kliniken – Konsistente Therapieeffekte
Authors: Algermissen Christian , Rösser Nina
Published: October 2021

Die durchschnittliche Behandlungsdauer von stationären psychiatrischen Patienten mit affektiven Störungen bzw. der Diagnose einer (unipolaren) Depression in der Mehrzahl der Fälle wird zwischen 35 und 42 Tagen (Statistisches Bundesamt, 2017; Wiegand et al., 2020) angegeben. Diese Rahmenbedingungen machen es erforderlich, den Therapieprozess unmittelbar zielorientiert und effizient zu gestalten. Die Psychiatrische Kurz-Psychotherapie (PKP) ist eine Kurzform der Strategisch-Behavioralen Therapie (Sulz et al., 2011). Etablierte kognitive Behandlungstechniken und wesentliche Aspekte anderer Psychotherapiemethoden sind in diese Therapieform integriert (Sulz & Hauke, 2009). Als neuartige Therapietechnik nutzt die Psychiatrische Kurz-Psychotherapie insbesondere Kurzinterventionen zum Aufbau einer Behandlungsstrategie und ist besonders geeignet, einen Therapiefortschritt während des begrenzten stationären Behandlungszeitraums herzustellen. Die Inhalte der Psychiatrischen Kurz-Psychotherapie (PKP) können als kombiniertes gruppenund einzeltherapeutisches Behandlungskonzept in allgemeinpsychiatrisch und psychotherapeutisch orientierten Stationen einer Versorgungsklinik implementiert werden (Algermissen & Rösser, 2019). Die Ergebnisse einer wissenschaftlichen Evaluation (n = 1196) dieses innovativen Therapiekonzeptes in der Klinik für Psychiatrie, Psychotherapie und Psychosomatik am Klinikum Braunschweig erlauben eine positive Bilanz. Das Therapiekonzept ist effektiv, ressourcenschonend und erfährt eine hohe Akzeptanz bei den Patienten. In Kooperation mit einer Psychiatrischen Institutsambulanz oder niedergelassenen Psychotherapeuten sind sektorübergreifende Behandlungspfade planbar. Eine katamnestische Untersuchung nach mehr als drei Monaten in der Mehrzahl der untersuchten Fälle (n = 136) liefert Hinweise darauf, dass die Therapieergebnisse der stationären Depressionsbehandlung konsistent sind.
Estado Dual en Colombia
Authors: Orozco-Macias Andres-Fernando
Published: October 2021

Objetivo: determinar cómo el Departamento Administrativo de Seguridad (D.A.S) y la parapolítica conllevaron a la aparición de un Estado Dual. Metodología: con base en la perspectiva teórica de autores como Fraenkel y Bobbio se aplicó un modelo reflexivo de los acontecimientos en el DAS y la parapolítica. La información se clasificó en tres momentos: a. Documentos del DAS como fuentes primarias, b. Informes de prensa como fuentes secundarias y perspectivas del momento, y análisis de los autores mencionados para demostrar analíticamente la aparición de la dualidad. Resultados: el DAS y la parapolítica desintegraron la unidad del Estado como factor garantista de la participación política, generando una dualidad a partir de la politización de un organismo del Estado y la introducción de grupos al margen de la ley en los puestos de poder público. Conclusiones: las rupturas en la integralidad del Estado como ámbito garantista de la seguridad y la participación política de los ciudadanos, se desintegró en el momento en que los órganos administrativos y judiciales toman partido político y criminalizan a los sectores de oposición, generando vulneración de derechos civiles y democráticos.
Problemas éticos no cotidiano docente em Odontologia
Authors: Rebello Mariáh Macedo , Hoffmann Juliara Bellina , Carcereri Daniela Lemos , Finkler Mirelle
Published: October 2021

Embora sejam conhecidos os problemas éticos vivenciados por estudantes de graduação em Odontologia, o mesmo não pode ser afirmado em relação a professores. Esta pesquisa, de abordagem qualitativa, teve como objetivo compreender os problemas éticos percebidos no fazer docente. A coleta de dados ocorreu por meio de entrevistas semiestruturadas com 18 professores de três instituições de ensino superior do sul do Brasil. A Análise Temática de Conteúdo evidenciou categorias iniciais, dentro das quais alguns problemas éticos foram identificados. Estes foram então agrupados em duas grandes categorias temáticas: “problemas centrais ao fazer docente” e “problemas transversais ao fazer docente”. Os resultados revelam que os principais problemas estão relacionados a desenvolver processos avaliativos justos; ensinar e assistir à saúde com recursos limitados; integrar recursos tecnológicos sem perder a qualidade do processo ensino-aprendizagem; qualificar pedagogicamente o professor-dentista; agir para estimular interesse e comprometimento discente; formar profissionais generalistas com professores especialistas; equilibrar afeto e responsabilidade pelo processo educativo na relação interpessoal; lidar com orientações divergentes; manejar conflitos entre colegas; e enfrentar a mercantilização do ensino. Tais questões são problematizadas neste artigo, buscando instigar a reflexão docente. Em conjunto, reiteram a necessidade de se atuar intencionalmente na dimensão ética da educação superior. Sugere-se que os desafios identificados sejam tomados como objeto de deliberação entre professores - para contribuir com a sua qualificação ético-pedagógica - bem como entre professores e estudantes, favorecendo a construção da personalidade moral dos futuros profissionais.
Comparing the risk of mortality from solid cancer after radiation incidents and occupational radiation exposure
Authors: Koterov Aleksey N. , Ushenkova Liliya N. , Kalinina Mariya V. , Biryukov Aleksandr P.
Published: October 2021

The purpose of the study is to compare the excess relative risk (ERR per 1 Sv) of solid cancer mortality in acute - catastrophic or emergency, and occupational - fractionated or chronic exposure. Materials and research methods. A maintained database (database of sources) on nuclear workers from about 40 countries, on the basis of it a combined data analysis was carried out to determine the integral ERR value per 1 Gy for cancer mortality for comparison with parameters of cohorts exposed to catastrophic and emergency exposure: the LSS cohort victims of the atomic bombings in Japan, residents of the Techa River (radioactive contamination due to emissions from the Mayak plant) and Russian liquidators of the Chernobyl accident. Results. Comparison of the ERR per 1 Sv for cancer mortality for workers in the global nuclear industry (combining analysis of data from 37 studies) with the parameters of the LSS cohort, residents on the Techa River and liquidators of the Chernobyl accident showed the absence of logical and principial differences, and the risks for the last two cohorts were the highest. Although the data obtained partly confirm the approach of recent years by the United Nations Scientific Committee on the Effects of Atomic Radiation, according to which the carcinogenic effects of acute, accidental, and fractionated or chronic radiation exposure do not depend on the dose rate factor (DDREF), nevertheless, taking into account biological mechanisms and data radiobiological experiments, this issue cannot be considered unambiguously resolved. Conclusion. Based on the ERR per 1 Sv, the average external dose, and the annual background cancer mortality in Russia and the United States, the expected increase in cancer mortality for 100,000 nuclear workers will average 32-69 people over 10 years (0.032-0.069% of the group). Such risks, due to the many carcinogenic non-radiation factors of life and work, as well as fluctuations in the background value, cannot be taken into account in the practice of medicine and health care.
Hadapi keberagaman dengan sikap persatuan dan kesatuan
Authors: Anindita Risma
Published: October 2021

Persatuan dan kesatuan memiliki makna “bersatunya beraneka ragam suku bangsa menjadi satu kesatuan yang utuh dan serasi.” Persatuan dan kesatuan Bangsa Indonesia bisa diartikan sebagai persatuan bangsa atau negara yang menduduki wilayah Indonesia.
Who knows what we are good at? Unique insights of the self, knowledgeable informants, and strangers into a person’s abilities
Authors: Hofer Gabriela , Langmann Laura , Burkart Roman , Neubauer Aljoscha
Published: October 2021

Who is the best judge of a person’s abilities—the person, a knowledgeable informant or strangers just met in a 3-min speed date? To test this, we collected ability measures as well as self-, informant- and stranger-estimates of verbal, numerical and spatial intelligence, creativity, and intra- and interpersonal emotional competence from 175 young adults. While people themselves were the most accurate about the majority of their abilities, their verbal and spatial intelligence were only estimable by informants or strangers, respectively. These differences in accuracy were not accompanied by differences in the domains’ relevance to people’s self-worth or observability to strangers. These results indicate self-other knowledge asymmetries for abilities but raise questions about the reasons behind these asymmetries.
Pemanfaatan Media Permainan Sains untuk Memfasilitasi Perkembangan Motorik Halus Anak
Authors: Ulfadilah Nida , Mulyana Edi Hendri , Muslihin Heri Yusuf
Published: October 2021

Penelitian ini dilatarbelakangi oleh keterbatasanya penggunaan media permainan sains untuk memfasilitasi motorik halus anak usia dini. Hal tersebut dikarnakan guru yang kurang dalam pengetahuan tentang penggunaan media terutama tentang media permainan sains, media tersebut sangat bermanfaat bagi anak usia dini husunya bagi pengembangan motorik halus anak. Metode yang digunakan menggunakan metode penelitian studi kasus dengan pendekatan kualitatif, penelitian ini dilalukan di sekolah Pendidikan Anak Usia Dini (PAUD) Kober Ar-Rahman, dengan responden kepala sekolah dan guru-guru kober Ar-Rahman, pengumpulan data yang dilakukan menggunakan tehnik observasi dan wawancara, pengambilan sampel yang dilakukan dengan menggunakan tehnik sampling random sederhana (simple random sampling), yaitu setiap keseluruhan populasi mempuanyai kesempatan yang sama untuk dipilih, sampel yang diambil yaitu 3 orang 1 kepala sekolah dan 2 Guru sekolah Kober Ar-Rahman. Analisis data yang digunakan dalam penelitian ini dalam bentuk deskripsi dengan diolah menggunakan reduksi data Hasil penelitian ini menujukan bahwa penggunaan media permainan sains untuk memfaslitasi perkembangan motorik halus anak usia dini di Kober Ar-Rahman jarang digunakan karena keterbatasan media yang ada dan pengetahuan guru yang kurang luas mengenai penggunaan media.
Minat Membaca dan Motivasi Belajar Dalam Meningkatkan Indeks Prestasi
Authors: Supomo Supomo
Published: October 2021

This study aims to determine the Effect of Reading Interest (X1), Learning Motivation (X2) and is in the process of determining Reading Interest (X1), Learning Motivation (X2) Against Learning Achievement Grade XI IPA2 Students in Sorong 1 Public High School (Y) ) This type of research is Ex post facto. Purposive sampling is a sampling technique used in this study. The interest and motivation of learning to read have a significant influence on the achievement index of students in class XI IPA2 of Sorong City Senior High School 1, respectively at 70.1% and 67.6%. Taken together the interest in reading and learning motivation has a significant influence on the achievement index of students in class XI IPA2 in Sorong City 1 Public High School, amounting to 74.8%.
Hybrid Electrical System Optimization of Remote Island using HOMER
Authors: Mansur Adrian
Published: October 2021

Renewable energy is an important solution in improving access to electricity, especially in isolated areas including the utilization of solar power however intermittency is becoming the main challenge that is faced in the application of Solar Power Plant (SPP). Hybrid system implementation becomes a strategy in an effort to improve system reliability based on the variation in load and intermittency of SPP. Salemo Island is one of the areas that has utilized SPP as one of the sources of electricity energy, but its operation has not been optimal as the load increases, therefore, a study was conducted to optimize the hybrid electrical system based on the current existing conditions. The results of the study showed that with the addition of SPP capacity of 200 kWp and the addition of batteries as much as 120 units, it could obtained an optimal Leveled Cost Of Energy (LCOE) value of 1,306 IDR/kWh and operating costs of 450 million with a Net Present Cost (NPC) of 8.4 billion and a capital cost of 3.2 billion. Another option is the addition of SPP 150 kWp with a lower capital cost value of 2.02 Billion, but greater than the aspect of operating cost of 883 million and LCOE of 1,897 Rp/ kWh
Innovative Suspension System Integrated to the Wheel Rim for Lightweight Vehicle
Authors: Skarka Wojciech , Kocoń Wojciech , Skoberla Ryszard , Bzymek Anna
Published: October 2021

Car industry has dynamically developed the electric car segment and is always on the lookout for new solutions that could help a company to become a leader brand on the market. Besides fully autonomous car technologies also new mechanical solutions could give advantage over other companies. Thus many ideas have been made to replace conventional vehicle suspension by the use of a flexible wheel rim. Based on over a year of experience, researches and studies in a field of existing lightweight vehicle suspension systems it was decided to design new solution, which structure eliminates main disadvantages of existing solutions such as energy losses and poor stability. The new suspension solution was designed based on our own knowledge and TRIZ method as a tool of verification. The CAD model of subassembly was subjected to a virtual examination for three different situations: standard ride, hard braking and sudden acceleration. Then a mathematical model of vibration damping properties has been created using MATLAB Simulink software. Additionally, the suspension quality and energy loss analysis have been performed to verify whether the problem was solved. The obtained results have been investigated and compared with commercially used car suspension systems.
The Interplay of Site and Construction Systems Decisions for Complex Urban Infrastructures
Authors: Moser Bryan R. , Bellew Cassie , Cadario Adele , de Filippi Roland
Published: October 2021

For development of urban infrastructures, such as smart cities and reconstruction of existing energy, transit, and population hubs, critical decisions are made during the early shaping of these projects. Many stakeholders are involved, including non-experts, some of whom may be impacted but not beneficiaries of the investments. We refer to a subset of the decisions as “systems architectural decisions” – not because these decisions relate to the architecture professions – but because they are meaningful, impactful, and sensitive decisions which drive many of the downstream choices and emergent impacts of the project. Often these early decisions are based predominantly on the site itself and its operation. In this paper we explore systems models for stakeholders of complex, urban infrastructures including architectural decisions related to implementation, such as phasing, construction, and project organization. In research underway on a transit hub project in Tokyo, Japan, we explore how inclusion of these decisions as part of a broader morphological matrix of site decisions influences the tradespace of emergent outcomes. In this way we seek to bring strategic discussion of construction options into the early framing of urban infrastructure projects.
System Dynamics Modeling to Manage Performance Based on Scope Change for Software Development Projects
Authors: Hiekata Kazuo , Khatun Mst. Taskia , Chavy-MacDonald Marc-Andre
Published: October 2021

The success of a project can be described based on the output performance of the project. Output Performance defines successful completion of a project with given constraints. To keep the project’s output performance high, it is very necessary to complete the project with defined a set of resources. One of the important resources of a project is scope. Scope defines the set of tasks need to be completed for a project. Scope change is a very common issue in software development project and this change has a major impact on productivity as well as the overall performance of the project. In this paper, we have proposed a simulation model based on rework cycle using System Dynamics for managing the project’s performance considering scope change. We have tried to compare the scenarios both for baseline project and project with scope change. In this case we have shown how moderate use of schedule pressure and overtime gives positive impact on productivity. And this increase of productivity also increases the performance in developing the project. The proposed model helps for decision making process that will increase the productivity and keep the project’s output performance high when the scope is changed.
METAPHORS OF EURISTIC OPTIMIZATION IN CONSTRUCTION TASKS
Authors: Elena Gorda
Published: October 2021

A promising direction for solving complex optimization problems in construction is the heuristic approach, which is due to the objective ambiguity of the construction industry and provides a choice from a set of solutions based on analogy, similarity, similarity of the heuristic model or algorithm, which will take into account the experience of natural process to obtain a solution of complex many modal, many parametric and multicriterial problems, and the objective function of the activity is complex, very extreme, with gaps, with obstacles sometimes poorly defined (as a fuzzy function on fuzzy sets). It should be noted that the observation of natural neural networks, social forms of existence, populations and species is currently relevant and widely used. At one time, bionics gave impetus to the development of technical physics and engineering in general. In information technology, the study of wildlife processes can accelerate the development, creation and use of algorithms and mechanisms for processing information in wildlife, which are the result of long-term evolutionary selection. Such algorithms are called algorithms based on metaphor (metaheuristics or metaphor). To use metaphors to understand the strategy used, the method must be translated into the language of the applied field – construction and mathematical methods – in standard optimization terminology. An overview of the currently most common heuristic models and algorithms is performed, taking into account their features and areas of application. The features that are characteristic of construction tasks and the reasons for which they are due, and the relationships that are assigned to them. The main tasks solved in the construction industry for application in relation to their heuristic optimization are defined and considered. Based on the concepts of construction tasks, fields of construction tasks, information object of construction tasks, the analysis of the choice of metaphor for the task in the construction industry is carried out and the scheme of selection of metaphor is offered.
Pflegemaßnahmen in der primärversorgung angesichts der risiken von bluthochdruck während der schwangerschaft
Authors: Adrião Iracely Santos , Barbosa Marluce Sampaio Nobre
Published: October 2021

Präeklampsie präsentiert sich als eines der hypertensiven Syndrome, die Frauen während der Schwangerschaft, während der Geburt und / oder in der postpartalen Periode bis zu 10 Tagen betreffen können, so dass es immer noch eine Pathologie ist, die, wenn sie nicht richtig diagnostiziert und behandelt wird, großen Schaden anrichten und sogar zum Tod der schwangeren Frau und / oder des Teilenden führen kann. Das Hauptziel dieser Studie ist es, die Prävention von Präeklampsie in der Primärversorgung durch Krankenpflege zu kennen. Daher lautet die folgende Frage: Was sind die pflegerischen Maßnahmen in der Primärversorgung angesichts der Risiken von Bluthochdruck während der Schwangerschaft? Die vorliegende Arbeit basiert auf einer bibliographischen Forschung, mit einem qualitativen Ansatz, der durch die integrative Review-Methode durchgeführt wird. Um die Daten zu sammeln, wurde eine Untersuchung in den Datenbanken Google Scholar, Pubmed, Scielo und Medline durchgeführt. Die verwendeten Deskriptoren waren: Risiken. Schwangerschaft. Hypertonie. Krankenpflege. Die für die Stichprobenauswahl verwendeten Einschlusskriterien waren: Artikel, die von 2015 bis 2020 elektronisch veröffentlicht wurden; Sprache Portugiesisch. Ausschlusskriterien waren Artikel unter 2015 und Keywords, die nichts mit dem Thema zu tun haben. Für die vollständige Analyse der ausgewählten Artikel wurde eine Online-Plattform (Suche in Datenbanken) verwendet, mit dem Ziel, zu extrahieren (Titel und Zweck der Artikel), zu organisieren (in Tabellenform), die Informationen zusammenzufassen und die Bildung der Datenbank zu erleichtern. Die Ergebnisse zeigten 35 veröffentlichte Artikel, aber nur 15 Artikel in den letzten fünf Jahren haben als Hauptthema die Prävention und Risiken von Präeklampsie in der Primärversorgung. Es wird der Schluss gezogen, dass die wichtigsten Verhaltensweisen, die nicht nur von Krankenschwestern, sondern vom gesamten Team in der Primärversorgung angewendet werden, auf dem Aufnahmeprozess basieren sollten, der sich auf Maßnahmen konzentriert, die bei der Prävention von Präeklampsie entscheidend sein können.
Mogućnosti suzbijanja cvjetnog štitastog moljca prirodnim neprijateljima i botaničkim insekticidima
Authors: Juran Ivan , Šumić Kristina , Čačija Maja
Published: October 2021

Cvjetni štitasti moljac, Trialeurodes vaporariorum (Westwood, 1856), ekonomski je najznačajniji štetnik na kulturama koje se uzgajaju u zaštićenim prostorima, posebice rajčice. Javlja se svake godine i uzrokuje direktne i indirektne štete, te prenosi biljne viruse. Brojnost populacije i visina šteta su u izravnoj korelaciji, odnosno veće štete nastaju pri brojnijoj populaciji. Praćenje i pravovremeno uočavanje ovog štetnika ima veliki značaj za uspjeh primjene mjera suzbijanja. Cvjetni štitasti moljac prati se žutim ljepljivim pločama i vizualnim pregledima naličja listova. Već pri uočavanju jedne odrasle jedinke potrebno je pristupiti suzbijanju kako bi se spriječilo prenamnožavanje i daljnje širenje. Kemijske mjere najčešći su način suzbijanja moljca. No, uslijed učestalog korištenja insekticida, posebice insekticida istog mehanizma djelovanja, pojavio se problem rezistentnosti ovog štetnika na brojne djelatne tvari iz različitih kemijskih grupa. Stoga se u integriranoj zaštiti prednost daje agrotehničkim, mehaničkim, fizikalnim i biološkim mjerama koje ne dovode do pojave rezistentnosti i prihvatljivije su za okoliš. Biološke mjere uključuju korištenje različitih makrobioloških i mikrobioloških preparata, naturalita i botaničkih insekticida. Entomofagne osice uspješno se koriste u suzbijanju cvjetnog štitastog moljca. Vrlo je važna njihova pravovremena primjena, jer su najviše učinkovite pri nižim populacijama štetnika. Sve veća pozornost pridaje se botaničkim insekticidima kao ekološki povoljnijoj zamjeni za kemijske insekticide. Prirodnog su porijekla, a mnogi od njih imaju insekticidno djelovanje te bi se mogli primjenjivati u suzbijanju cvjetnog štitastog moljca i na taj način omogućiti uspješnu zaštitu kultura koje ovaj štetnik napada.
Effect of phosphorus doses to obtain higher yields in the cultivation of garlic (Allium sativum L.), at the district of Barranca [Efecto de las dosis de fósforo para obtener mayor rendimiento en el cultivo de ajo (Allium sativum L.), en el distrito de Barranca]
Authors: Vergara Santillan Lady Milagros , Legua Cárdenas José Antonio , Nunja García José Vicente , Jamanca Ramirez Marco Antonio , Inga Sotelo Miguel Angel , Sotelo Montes Javier Enrrique , Gómez Gamarra Javier Eugenio , Cruz Nieto Dante Daniel
Published: October 2021

The research deals with phosphorus fertilization to obtain higher yields in garlic cultivation. The objective was to determine the appropriate dose of foliar phosphorus fertilization, to obtain a higher yield in garlic cultivation. The methodology is based on applied and experimental research; Therefore, the Completely Random Block Design was used, composed of 4 blocks and 5 treatments which were T1 = 00, T2 = 250, T3 = 500, T4 = 750, T5 = 1000 mL of phosphorus (Wuxal phosphorus)/200 L. water and were applied 15, 30 and 45 days after sowing. They were evaluated from sowing to postharvest and the data were processed with analysis of variance and Duncan. Likewise, phosphorus concentrations in leaves were analyzed. The results determined that T4 stood out in stem length with 35.28 cm, commercial yield with 11.208 tn/ha, bulb weight with 34.28 g, number of bulblets with 13 and foliar analysis highlighted T5 with 0.48 g/100 g d.s. (dry material). It is concluded that the T4 dose with 750 mL of phosphorus (Wuxal Phosphorus)/200 L of water increased 13.01% in yield in relation to T1; being significant.
FEASIBILITY STUDY OF PARK AND RIDE IN ALUN-ALUN BEKASI CITY
Authors: Maulana Aldy , Murtejo Tedy , Rulhendri Rulhendri , Alimuddin Alimuddin , Chayati Nurul
Published: October 2021

The efforts of the Bekasi City government to reduce congestion and make it easier for the community to mobilize to DKI Jakarta by implementing the Park and Ride concept, in this case the Bekasi City government plans to build a Park and Ride facility in the Bekasi City square. This research was conducted to determine the feasibility level of the Park and Ride development plan in the Bekasi City square and also to obtain an overview of the existing results of the traffic conditions in the Bekasi City square area (PMI Tennis Court). The traffic counting survey and interviews were conducted at Bekasi Station, on Jalan Ir. H juanda, Jalan Perjuangan, Jalan Pramuka and Jalan Veteran which are then processed using Microsoft Excel to find out the maximum demand from Park and Ride, namely 1527 motorbikes and 308 units of cars, the economic feasibility level of the Park and Ride building shows an IRR of 3.4% , the NPV value> 1 is IDR 102,280,883,874.40 and BCR is 1.37. With a prediction of a building length of 25 years, while for roads that become accessibility for vehicles to and from the Park and Ride building, the lowest level of service occurs on Veteran and Pramuka roads, with service levels F and E. This proves that traffic engineering is necessary. and increasing road capacity, to and from Park and Ride, with pedestrian access and bicycle lanes (to improve road performance).
HUBUNGAN WAKTU TUNGGU PELAYANA RAWAT JALAN TERHADAP KEPUASAN PASIEN DI POLIKLINIK SPESIALIS PENYAKIT DALAM RSUD KOTA BOGOR TAHUN 2018-2019
Authors: Dwi Lestari Denisa , Khodijah Parinduri Siti , Fatimah Ratih
Published: October 2021

Waktu tunggu pasien untuk layanan kesehatan diketahui sebagai salah satu tolak ukuran utama untuk sistem kesehatan yang responsif. Lamanya waktu tunggu pasien mencerminkan bagaimana Rumah Sakit mengelola komponen pelayanan yang disesuaikan dengan situasi dan harapan pasien. Pelayanan yang baik dan bermutu tercermin dari pelayanan yang ramah, cepat, nyaman. Tujuan penelitian ini untuk mengetahui hubungan antara waktu tunggu pelayanan rawat jalan terhadap kepuasan pasien di Poliklinik Spesialis Penyakit Dalam RSUD Kota Bogor.Penelitian ini menggunakan metode kuantitatif dengan analisis studi deskriptif analitik dan rancangan studi cross sectional. Besar sampel pada penelitian ini sebanyak 59 yang diambil dengan teknik purposive sampling. Pengumpulan data dilakukan dengan instrument kuesioner dan lembar observasi. Uji statistik yang digunakan yaitu uji korelasi spearman. Hasil penelitian ini menggambarkan sebagian besar responden memiliki waktu tunggu tidak standar atau > 60 menit (94.9%) dan standar atau â‰¤ 60 menit (5.1%). Secara keseluruhan tingkat kepuasan pasien sebanyak 39.0% menyatakan puas dan 61.0% menyatakan kurang puas. Penelitian ini menunjukkan adanya hubungan antara waktu tunggu pelayanan terhadap kepuasan pasien rawat jalan Poliklinik Spesialis Penyakit Dalam RSUD Kota Bogor, dengan nilai p < 0.05 dan r = 0.290.
ANALISIS MANAJEMEN LOGISTIK OBAT DI PUSKESMAS CIPAYUNG KOTA DEPOK PROVINSI JAWA BARAT TAHUN 2019
Authors: Hilmawati Silvia , Chotimah Indira , Dwimawati Eny
Published: October 2021

Secara umum kebutuhan nasional adalah pemantauan terhadap ketersediaan obat dan BMHP di daerah, baik itu obat esensial, obat indikator maupun rekomendari dari Formularium Nasional. Tujuan penelitian ini adalah untuk menganalisis manajemen logistik obat di Puskesmas Cipayung Kota Depok mulai dari unsur input, proses dan output. Penelitian ini merupakan jenis penelitian kualitatif dengan metode pengumpulan data berupa wawancara, observasi dan telaah dokumen dengan populasi sebanyak 47 orang dan jumlah informan 4 orang dengan menggunakan prinsip kecukupan dan kesesuaian mengenai penelitian. Instrumen yang digunakan adalah voice recorder dan daftar pertanyaan sebagai pedoman wawancara. Hasil penelitian menunjukan bahwa sumber daya manusia yang berada di instalasi farmasi belum mencukupi, tempat penyimpanan logistik obat belum mencukupi dan untuk ketersediaan obat terkadang mengalami kekosongan dikarenakan stok yang tidak tersedia dan waktu tunggu pemesanan yang lama. Kesimpulan dari penelitian ini adalah sumber daya manusia dalam pengadaan obat di Puskesmas Cipayung Kota Depok belum mencukupi hal ini dapat menghambat proses pelayanan, serta gudang farmasi yang belum mencukupi dalam proses penyimpanan obat-obatan. Peneliti menyarankan agar sarana untuk penyimpanan obat diperbaiki serta penambahan sumber daya manusia di instalasi farmasi.
ANALISIS FAKTOR YANG MEMPENGARUHI PROSES KLAIM BPJS DI RSUD LEUWILIANG BOGOR TAHUN 2018
Authors: Dwi Astuti Linda , Chotimah Indira , Khodijah Parinduri Siti
Published: October 2021

Sejak ditetapkan sistem Jaminan Kesehatan Nasional di Indonesia sejak 2004, rumah sakit diseluruh Indonesia secara bertahap diwajibkan untuk bekerja sama dengan BPJS. Berlakunya sistem ini diharapkan meningkatkan mutu pelayanan kesehatan masyarakat. Namun dalam pelaksanaannya terdapat berbagai kendala yang menyebabkan terganggunya kinerja rumah sakit berkenaan dengan cashflow atau kendali biaya rumah sakit. Salah satu penyebabnya adalah berkas klaim yang diserahkan kepada BPJS tidak sesuai dengan ketentuan klaim sehingga klaim tidak dibayarkan dan menyebabkan kerugian bagi rumah sakit. Tujuan penelitian ini untuk menganalisis gambaran faktor input, proses dan output dari keterlambatan pemprosesan klaim BPJS di RSUD Leuwiliang. Penelitian ini menggunakan metode kualitatif dengan menggunakan pendekatan sistem melalui wawancara mendalam dan observasi. Hasil penelitian dari komponen input terkait jumlah SDM masih kurang, beban kerja yang ganda, pelatihan SDM masih kurang, dimana SIMRS belum berjalan maksimal, tidak adanya dana insentif dan masih terdapat ruangan yang tidak memiliki SOP. proses terkait alur proses klaim sudah berjalan namun masih terdapat kendala dalam penginputan proses klaim antara lain jaringan internet eror, ketidak lengkapan berkas, double berkas, keterlambatan berkas, salah koder, hasil penunjang tidak lengkap, tulisan dokter sulit dibaca. output terdapat selisih berkas yang artinya masih ada dana rumah sakit yang belum dibayarkan dan masih ada yang ditolak oleh BPJS pada rawat jalan yang ditolak sebanyak 1.586 berkas klaim dan rawat inap yang ditolak sebanyak 1.319 berkas klaim. Diharapkan rumah sakit memberikan kesempatan pelatihan kepada seluruh pegawai untuk meningkatkan kinerja pegawai berkenaan dengan sistem BPJS untuk mengoptimalkan pemberkasan, perlunya meningkatkan dan lebih mendayagunakan fungsi SIMRS.
Walking Accessibility to Parks: Considering Number of Parks, Surface Area and Type of Activities
Authors: El-Murr Karl , Robillard Arianne , Waygood Owen , Boisjoly Geneviève
Published: October 2021

Parks and green spaces are desirable destinations for diverse reasons including exercising, playing, relaxing, and socializing. In this paper, we demonstrate that simultaneously considering number of parks, surface area and type of activity provides an improved understanding of walking accessibility to parks in urban areas. Using open datasets and a configurable tool, we find that in Montreal, 95% of the population have access to three or more parks, 83% can access 3 or more playgrounds, and 10% can access 3 or more open air activities within a 1 km walk. The accessible surface area varies considerably across the region. The tool reveals distinct patterns that better reflect the diversity of needs and uncovering specific inequalities, and can therefore contribute to improved decision-making.
Textile Memory in Colchane: Weavers Revitalizing the Aymara Tradition
Authors: Hoces de la Guardia Soledad
Published: October 2021

In Aymara culture, textiles have played a fundamental role as highly valued community possessions and significant media for ritual and tradition. In Chilean territory, the Colchane community has been fortunate, because they have here retained, with fidelity and vigor, their culture and traditional textile practices. However, the average age of active weavers is rising and those younger do not have the technical expertise of their elders, which has led to the loss of a significant part of traditional technical knowledge.

To not forget the “handwork” became an urgent concern for artisans in the community, members of the Aymar Warmi association, who sought the support of textile professionals to develop a project that would permit them to organize in order to recover the know-how to make some pieces that they had ceased to weave.

Between 2015 and 2016, we carried out the project “Memoria Textil: Reproducción y muestra de una selección aymara de Colchane,” (Fondart N  80940) which sought to revitalize local traditional weaving by creating a collection of textile pieces representative of inherited expertise. The collection remained on display in the community as reference materials to be consulted by the weavers.

In the project, a methodology was defined in which the professionals assumed the role of facilitators and guides, with all decisions made by the weavers. This led to greater recognition from their peers for local teachers, who directed the transmission of knowledge that went beyond the technical and practical sphere, since together with the textiles their reason for existence was recovered, documenting the contexts in which they were used, some of them forgotten. A consequence of this initiative has been participation of these weavers in the national award Sello Indigena, a prize now received on two occasions based on the practices and pieces recovered.
The Existential-Spiritual of Development of Elderly: Thematic Review & Islamic Interpretation of al-Ashr
Authors: Drianus Oktarizal
Published: October 2021

This article aims to explore various literature on spiritual-existential development in the elderly. Initial exploration of this issue is considered important given the increasing structure of the aging population in Indonesia. This population, if not managed properly, will become a pathos structure. The author conducted a thematic analysis to find the main themes of spiritual development issues faced by the elderly. The analysis technique is carried out from compiling the code, determining the initial code, to creating the theme presentation and visualizing the theme. Several themes that are considered as general issues in the spiritual-existential development of the elderly, include: 1) The dynamics of spirituality which include: disconnection versus a focus on religious activities, a more honed listening ability, to a pearl of greater wisdom on the various phenomena that surround it; 2) Reflection on existential themes in the elderly, such as talk of the fate he went through, the death that would come to him, the suffering that made him strong, the struggles that made him strong, and the mistakes of the past; 3) The tasks of the spiritual-existential development of the elderly such as strengthening the belief to Allah, doing higher quality goodness (amal shaleh), mutual wills in truth and patience.
Relationship between Cultural Anthropology and Cultural Contexts of Consumer Behavior: A Conceptual Model
Authors: Khan Md. Mahfuzur Rahman
Published: October 2021

This paper assesses whether there is an appropriate relationship between the cultural context of consumer behavior and cultural anthropology. While these two fields are not seen as identical, they are often related to similar constructs such as attitudes, behavior, beliefs, cultural influence, and the influence of reference groups. People of the same culture behaving in an organized way. To be very specific, cultural anthropology is mixed up with the cultural context of consumer behavior to some extent. Cultural anthropology and consumer behavior are conceptualized as problems to be understood at varying levels of complexity, from individuals acting alone to large groups of people. Surveys of 235 people were conducted, who are also members of a model organization. This study finds out how the two areas of cultural anthropology are related to consumer behavior’s cultural aspect. Toward this end, this paper illustrates ways in which the perspective of cultural anthropology can be applied to cultural issues of consumer behavior. A relational model was also proposed.
Modelo de Responsabilidad Social Empresarial para el mejoramiento de comunidades asentadas en un entorno empresarial: Caso mujeres cabeza de familia
Authors: Puche-Villadiego Ricardo Augusto
Published: October 2021

El trabajo nace de la necesidad de las empresas de contar con un programa de responsabilidad social que contribuya con el mejoramiento de su entorno a través de un modelo efectivo que llegue a la comunidad. Para la delimitación del modelo se identificó un grupo de interés seleccionando las comunidades asentadas en el entorno de una unidad empresarial y específicamente mujeres cabezas de familia. Se establece entonces un modelo de responsabilidad social que apunta a mejorar la calidad de vida y el acercamiento de la empresa a la comunidad a partir del sistema de donaciones, donde los recursos económicos (mercancías) se entregan con el objetivo de mejorar el aspecto económico, social y educativo. El modelo diseñado permite un desarrollo social, donde la generación de actividades de Responsabilidad Social Empresarial (RSE) son la base para lograr un bienestar social al grupo objetivo y adicionalmente, se convierte en instrumento para lograr un acercamiento entre la empresa y la comunidad. El modelo opera canalizando mercancías hacia la comunidad, administradas por la empresa, con el propósito de garantizar su correcta disposición.
Editorial
Authors: Ramírez Orozco Ricardo Ernesto
Published: October 2021

La investigación médica es una labor ardua, comprometida y de constanteactualización. El proceso de la renovación es una constante que aplica de igualmanera en el ámbito de esta hermosa disciplina. Nuestra revista, desde su origen,se ha caracterizado por innovar y presentar información de interés de últimomomento, actualmente pasamos por un proceso de transición editorial en el cualse da un paso adelante y se continúa el impecable trabajo que se ha llevado hastael momento. Es grato informar que, a partir de este número, se inicia un procesode publicación continua, en el que la colaboran diversos profesionales que seintegran al equipo de trabajo de Lux Médica.
Por otro lado, cabe mencionar que, dentro de estos procesos de actualización,se inicia con la maquetación de artículos a través de la infraestructura decomunicación de publicación académica AmeliCA, plataforma que mejorará laforma en la que se presenta la información, facilitando la lectura de nuestrosartículos. Finalmente, generamos una nueva imagen que respeta los valores yconvicciones de nuestra revista, denotando las mejoras, cambios y actualizacionespor las que la revista Lux Médica se encuentra.
En este número podemos destacar las aportaciones de diversas temáticas entrelas cuales destacan distintas áreas de las ciencias de la salud, como nutrición,traumatología y ortopedia, geriatría, psiquiatría, angiología y cultura física,enriqueciendo de manera importante a nuestra comunidad lectora. Me despidoesperando disfruten este nuevo número de la publicación.
Sinceramente,
Ricardo Ernesto Ramírez OrozcoEditor en jefe de la revista Lux MédicaUniversidad Autónoma de Aguascalientes, México
Analisis Keberhasilan Inseminasi Buatan (IB) Ternak Sapi Berdasarkan Karakteristik Inseminator di Kabupaten Kerinci
Authors: Amidia Lusi , Hoesni Fachroerrozi , Rosadi Bayu
Published: October 2021

This study aims to determine the effect of internal and external inseminator characteristics on the success of IB in Kerinci Regency. This research was conducted on December 12, 2020 to January 6, 2021. The objects observed in this study were all inseminators at each IB post in Kerinci Regency.The data obtained from this study are primary data and secondary data. The data were analyzed using Stepwise Multiple Regression analysis. The results of the analysis show that the success of artificial insemination in Kerinci Regency is good, this can be seen from the S/C value per inseminator of 1.69.The influence of internal characteristics (length of work, training intensity, accuracy, technical ability of straw management and estrus detection) and external (distance from house to work area, supporting facilities, condition of post IB, sanitation of tools and fittings) has an effect (P>0.05). Meanwhile, internal characteristics (responsibility) and external (voluntary rewards) have no effect (P>0.05) on the success of IB in Kerinci Regency. Based on this research, it can be concluded that not all internal and external characteristics affect the success of IB in Kerinci Regency.
Pengaruh Modal dan Tenaga Kerja terhadap Pendapatan UMKM Kerupuk Ikan SPN Kota Jambi
Authors: Habriyanto Habriyanto , Kurniawan Bambang , Firmansyah David
Published: October 2021

This study aims to determine the effect of working capital and labor on the income of MSME fish cracker SPN Jambi City in a quantitative descriptive of: How are the effects of working capital and labor on the income of fish cracker fish in Jambi City. This research is expected to provide benefits to authors, agencies, and academics related to SPN fish cracker income, as well as a source of information for SPN fish cracker business owners in order to optimize their income. This type of research is quantitative-descriptive, because this research accommodates the form of numbers and data processing using multiple linear regression analysis with the help of the IBM statistics 22 application. The data used is secondary data in the form of time series data from 2018 to 2020 which is obtained from the SPN fish cracker business owner. Based on the results of research that has been done, data obtained from the variables of working capital and labor have a positive and significant effect on income. Based on the test using main component analysis, it shows that the working capital variable has a significant value (0.00 <0.05) with a coefficient value of 0.724. , the labor variable has a significant value (0.755 <0.05) with a coefficient value of .042.
PERAN ETIKA PROFESI GURU MATEMATIKA DALAM MENGAHADAPI TANTANGAN ABAD 21
Authors: Wahyu Wahyu , Maulana Wisnu , Aidil Fitrisyah Muhammad , Zulkardi Zulkardi , Sari Novita
Published: October 2021

ABSTRAKPenelitian ini bertujuan untuk mendeskripsikan peran guru matematika dalam menghadapi tantangan abad 21 yang semakin besar. Perkembangan dunia telah memasuki abad 21 yang dimana persaingan dalam dunia semakin  ketat  dan  tidak  terlepas  dari  perkembangan  teknologi  yang  semakin  pesat.  Dalam  menghadapi tantangan abda 21 guru matematika dituntut profesional di bidangnya, dimana pada abad 21 guru matematika dituntut dalam kompetensi karakter, keterampilan dan literasi dalam menciptakan sebuah pembelajaran. Hal tersebut merupakan sebagai tanggung jawab guru  matematika dalam  mempersiapkan siswa  agar  mimiliki kemampuan kolaborasi, berpikir kritis, kreatif, dan komunikatif. Selain itu peran guru pada abad 21 saat ni telah bergeser,  peran  guru  menjadi  fasilitator,  motivator,  nilai-nilai  karakter,  dan  inspirator.  Selain  itu  guru matematika diera abad 21 ini dituntut untuk menguasai iptek dan mampu memanfaatkannya dalam proses pembelajaran. Sehingga  kemampuan  guru  terus  berkembang  sebagai  bentuk  kesiapan  dalam  menghadapi perubahan zaman yang silih berganti. Kata kunci :Etika profesi, kecakapan abad 21, pembelajaran matematika. ABSTRACTThis study aims to describe the role of mathematics teachers in facing the growing challenges of the 21st century. The development of the world has entered the 21st century where competition in the world is getting tougher  and  cannot  be  separated  from  the  increasingly  rapid  development of  technology.  In  facing  the challenges of you, 21 mathematics teachers are demanded to be professionals in their fields, wherein 21 mathematics teachers are required to be competent in character, skill, and century literacy in creating learning. This is the responsibility of the mathematics teacher in preparing students to have the ability to collaborate, think critically, creatively, and communicate. In addition, the role of teachers in the 21st century has now shifted, the role of teachers as facilitators, motivators, character values, and inspirers. In addition, mathematics teachers in this 21st-century era are required to master science and technology and be able to use them in the learning process. So that the ability of teachers continues to develop as a form of readiness to face the changing times Keywords :Professional ethics, 21st-century skills, mathematics learning
Acompañamiento en el parto: ¿capricho o necesidad?
Authors: Trilleros Gómez Deibit Sneider , Angarita Navarro Ariadna María
Published: October 2021

Introducción: el presente trabajo es realizado bajo la necesidad de comprender la importancia del acompañamiento de la mujer en el momento del parto, ya que el sustento en otra persona, mejora la evolución correcta y natural del mismo. Objetivo: determinar la percepción que tiene la parturienta, la familia y el personal de salud entorno al acompañamiento brindado hacia la mujer en el proceso de parto y posparto Método: estudio realizado bajo revisión documental con base a revisión de artículos de investigación en diferentes bases de datos, revistas digitales y páginas web tanto nacionales como internacionales. Dicha recopilación de los datos se llevó a cabo de marzo a mayo de 2017, para identificar los estudios que pudieran ser válidos para esta revisión. Resultados: tras la revisión bibliográfica en diferentes fuentes se obtuvo un total de 10rabajos (artículos científicos, artículos de libro y trabajos de grado, trabajos) los cuales arrojaron datos muy relevantes y específicos del tema a tratar y que dieron una respuesta objetiva a la pregunta problema planteada en el presente artículo. Conclusiones: el acompañamiento en el parto deja de ser un capricho tanto para la parturienta, su familia y el personal de salud y se convierte en una necesidad actual tras la necesidad de brindar un cuidado humanizado el cual influya trascendental y positivamente tanto para la madre, como para el recién nacido y su familia.