bluuebunny/crossref_metadata_2025 huggingface dataset:
Perbedaan Jumlah Perdarahan Saat Persalinan Pada Ibu Primigravida Yang Melakukan Dan Tidak Melakukan Senam Hamil Selama Kehamilan Trimester III
Authors: Herayono Febby , Basyir Vaulinne , Afriwardi Afriwardi
Published: March 2020

Angka Kematian Ibu (AKI) masih cukup tinggi di Indonesia, karena disebabkan oleh perdarahan, eklamsi dan infeksi. American College of Obstetricans and Gynecologist merekomendasikan senam selama kehamilan agar persalinan lancar dan mengurangi komplikasi saat persalinan. Tujuan penelitian adalah menentukan perbedaan antara jumlah perdarahan saat persalinan pada Ibu primigravida yang melakukan dan tidak melakukan senam hamil selama kehamilan trimester III. Jenis penelitian adalah rancangan comparative study. Penelitian dilaksanakan di wilayah kerja Puskesmas Andalas dan Lubuk Buaya dari Oktober 2018 sampai Januari 2019. Jumlah sampel adalah 44 orang di bagi menjadi 2 kelompok, yaitu pertama 22 orang ibu yang melakukan senam hamil dan 22 orang ibu yang tidak melakukan senam hamil. Pengambilan sampel dengan consecutive sampling. Analisis data menggunakan system komputerisasi dengan uji independent t-test. Hasil penelitian didapatkan rerata jumlah perdarahan pada ibu yang senam hamil 489,18 cc dan pada ibu yang tidak senam hamil 501,86 cc. Tidak terdapat perbedaan jumlah perdarahan pada ibu yang melakukan dan tidak melakukan senam hamil dengan nilai (p=0,786).
Analisis Implementasi Triage, Ketepatan Diagnosa Awal Dengan Lama Waktu Rawatan Pasien di RSUD Prof. DR. MA Hanafiah SM Batusangkar
Authors: Amri Ardian , Manjas Menkher , Hardisman Hardisman
Published: March 2020

Keselamatan pasien saat ini menjadi perhatian penting dalam pelayanan kesehatan seperti di rumah sakit. Salah satu upaya untuk meningkatkan pelayanan kesehatan dengan cara menerapkan standar keselamatan pasien dengan melaksanakan sistem triage yang dilakukan di Instalasi Gawat Darurat (IGD). Tujuan penelitian ini adalah menganalisis ketepatan triage, ketepatan diagnosa awal dan lamanya waktu rawatan pasien di RSUD Prof. DR. M.A Hanafiah SM Batusangkar. Penelitian ini menggunakan metode penelitian kombinasi (mixed methods) dengan desain sequential explanatory. Hasil penelitian didapatkan bahwa pelaksanaan triage di IGD RSUD Prof. DR. M.A Hanafiah SM Batusangkar tidak tepat hasilnya adalah sebesar 6,7%. Diagnosa tidak tepat yang dilakukan dokter terhadap pasien IGD sebanyak 9,6%. Sebesar 30,8% pasien lama rawatannya tidak sesuai dengan Clinical pathway. Tidak ada hubungan yang bermakna antara ketepatan triage dengan lamanya hari rawatan (0,673), dan terdapat hubungan yang bermakna antara ketepatan diagnosa dengan lamanya hari rawatan (0,001). Kesimpulannya adalah triase di IGD RSUD Prof. DR. M.A Hanafiah SM Batusangkar sudah dilaksanakan sesuai standar triage Australia. Selain itu, dokter sudah melakukan tindakan atau diagnosa sesuai Standar Operasional Prosedur (SOP) tetapi masih ada terjadi kesalahan diagnosa dilihat dari adanya perbedaan diagnosa awal dan diagnosa pada saat pasien pulang. Persepsi pasien terhadap pelayanan IGD adalah masih merasa kurang puas, karena pasien merasa masih diabaikan jika jumlah pasien sedang banyak.
Pengaruh Faktor Risiko Hormonal pada Pasien Kanker Payudara di RSUP.Dr.M.Djamil Padang
Authors: Hasnita Yenda , Harahap Wirsma Arif , Defrin Defrin
Published: March 2020

Kanker Payudara merupakan salah satu jenis kanker yang paling sering terjadi pada wanita di Indonesia. Kanker payudara ini berkaitan dengan banyak faktor risiko (multi faktor), salah satunya akibat paparan hormon estrogen. Tujuan penelitian ini adalah menentukan sejauh mana pengaruh faktor risiko hormonal terhadap kanker payudara. Penelitian ini merupakan studi analitik observasional dengan desain case control terhadap 294 responden yang terbagi atas 2 kelompok, yaitu kelompok kasus dan kelompok kontrol. Pengumpulan data dilakukan melalui wawancara langsung dengan responden menggunakan lembar kuesioner di Poliklinik Bedah RSUP.Dr.M.Djamil Padang pada bulan Januari - Maret tahun 2019 dengan teknik consecutive sampling menggunakan Uji Chi-Square.Hasil analisis statistik menunjukkan bahwa terdapat pengaruh yang signifikan pada faktor risiko usia menstruasi pertama (menarche) (p=<0,001; OR=2,84) dan lama penggunaan kontrasepsi pil (p=0,05; OR=3,16), namun tidak ada pengaruh yang signifikan pada usia (p=1), usia pertama melahirkan (p=0,821), paritas (p=0,107), riwayat menyusui (p=1), dan usia menopause (p=0,150). Faktor risiko yang paling dominan adalah lama penggunaan kontrasepsi pil p=0,035. Simpulan penelitian ini adalah faktor risiko hormonal yang memiliki pengaruh terhadap kanker payudara yaitu usia menstruasi pertama (menarche) dan lama penggunaan kontrasepsi pil.
Faktor yang Berhubungan dengan Kunjungan Voluntary Counsaling and Testing Pada Lelaki Seks Lelaki di Kota Padang
Authors: Nurlindawati Nurlindawati , Hardisman Hardisman , Yanis Amel
Published: March 2020

Layanan VCT (Voluntary Counsaling and Testing), atau dikenal dengan pelayanan konseling dan testing HIV adalah upaya menegakkan diagnosis HIV/AIDS untuk mencegah sedini mungkin terjadinya penularan atau peningkatan HIV/AIDS. Lelaki Seks dengan Lelaki (LSL) menjadi penyumbang terbesar dalam penularan HIV/AIDS. Tujuan penelitian ini adalah menentukan faktor-faktor yang berhubungan dengan kunjungan VCT pada LSL di Kota Padang. Penelitian ini merupakan cross sectional study. Sampel adalah bagian dari populasi yang dinilai atau karakteristiknya diukur dan nantinya akan dipakai untuk menduga karakteristik dari populasi. Besar sampel enam puluh satu (61) responden yang diambil secara accidental sampling. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Data dianalisis secara univariat, bivariat menggunakan Chi Square, dan multivariat menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa waktu lama menjadi seorang LSL diatas 10 tahun (45,9%), waktu terakhir melakukan kunjungan VCT > Tahun 2019 (59,0%), tempat terakhir melakukan kunjungan VCT di Puskesmas (52,5%), responden melakukan kunjungan VCT minimal tiga bulan terakhir sejak penelitian ini dilakukan (59,0%), uji Chi Square menunjukkan bahwa variabel yang berhubungan secara signifikan dengan kunjungan VCT adalah keyakinan mengenai VCT (p=0,005), dorongan orang lain (p=0,001). praktik organisasi (p=0,001), nilai mengenai manfaat VCT tidak mempunyai hubungan signifikan. Hasil analisis multivariat menunjukkan bahwa dorongan dari orang lain tentang VCT merupakan variabel yang mempunyai pengaruh paling signifikan dibanding variabel lainnya.
Analisis Kadar Timbal (Pb) Air Minum Isi Ulang pada Depot Air Minum (DAM) di Kecamatan Padang Timur Kota Padang Tahun 2017
Authors: Febriwani Fitri Wahyu , Elliyanti Aisyah , Reza Mohamad
Published: March 2020

Air minum isi ulang yang diperoleh dari Depot Air Minum (DAM) menjadi populer karena harganya lebih murah dari Air Minum Dalam Kemasan (AMDK) yang bermerek. Apabila air minum isi ulang terkontaminasi dengan timbal (Pb) akan menyebabkan masalah terhadap kesehatan. Tujuan penelitian ini adalah menganalisis kadar Pb air minum isi ulang pada DAM di Kecamatan Padang Timur tahun 2017. Penelitian ini adalah studi analitik. Sampel diambil dari 45 DAM di Kecamatan Padang Timur. Penelitian dilakukan pada bulan November-Desember 2017. Data dianalisis dengan menggunakan uji Mann-Whitney. Hasil studi adalah 100% kadar Pb kecil dari atau sama dengan nilai ambang batas (NAB) sesuai peraturan Permenkes No. 492 tahun 2010, 95,6% sumber air minum isi ulang berasal dari Gunung Talang Kabupaten Solok, 100% DAM menggunakan pipa PVC tipe AW, dan 51,1% DAM menggunakan pipa PVC dengan lama pemakaian <5 tahun. Hasil uji statistik didapatkan bahwa tidak terdapat hubungan bermakna antara sumber air minum dan lamanya pemakaian pipa terhadap kadar Pb air minum isi ulang pada DAM di Kecamatan Padang Timur tahun 2017. Sedangkan 100% pipa PVC pada DAM menggunakan tipe AW sehingga tidak dapat dilakukan uji statistik. Simpulan studi ini adalah kadar Pb air minum isi ulang pada DAM di Kecamatan Padang Timur Kota Padang tahun 2017 masih aman untuk dikonsumsi dan pipa PVC tipe AW aman untuk digunakan dalam rentang waktu tertentu.
Peningkatan Mutu Pendidikan Tinggi Hukum Berbasis Pancasila
Authors: Sastra Wibawa I Putu
Published: March 2020

Human development with cross-cultural characteristics is one of them can be done by optimizing the higher education law that has the character of Pancasila. Pancasila has values that must be internalized into legal higher education that are spread throughout the existing courses. Pancasila values are systems that cannot be separated from one another. One form of effort to build a higher education law with Pancasila character by incorporating the principles of legal pluralism in the legal studies conducted.

Keywords, Pendidikan Tinggi Hukum, Pancasila
Penguasaan Materi Media Pembelajaran Dalam Upaya Menyiapkan Guru Yang Mampu Menyelenggarakan Pembelajaran Yang Mendidik
Authors: Himayaturohmah Emma
Published: March 2020

The problem of this study is the low mastery of computer-based learning media or information technology for Madrasah Ibtidaiyah teachers. The low mastery capacity of learning media directly influences the low competency in conducting educational education. Current curriculum demands teachers are required to master the use of technology in classroom learning. The purpose of this study was to determine the mastery of learning media materials and competencies in conducting educational learning. This research is a field research quantitative descriptive approach. The subjects in this study were Information and Communication Technology-Based Learning Media Training Participants for Teachers of Islamic Education in Kuningan District, West Java Province. Data collection techniques were carried out using questionnaires, observation, interviews and documentation studies. The results showed that mastery of learning media material had an average value of 85.86 which was categorized as good. While mastery of competency in organizing learning that educates has an average value of 80.5 which means it has a good category.
Peningkatan Mutu Pendidikan Politik Perempuan Bali Menuju Terwujudnya Kesetaraan Gender
Authors: Sudiarta I Gede
Published: March 2020

General description of women's participation in the political world in Indonesia representation is very low at all levels of decision making, both at the executive, legislative and judicial levels in the government bureaucracy, political parties both in other public societies. In this case the low quality of women's participation in politics occurs in Bali, namely in the executive ranks. Likewise, at the echelon II level, there were no women who obtained the position, that is, from the number of village heads in Bali there were no women who held more positions as lurah, even if there were only a few. In addition, in the organization of the Lembaga Pemberdayaan Masyarakat (LPM) in Bali, it is rare and there may not be women who become the Bendesa Adat or Bendesa Pakraman. This is also evident in the management of other organizations such as youth clubs and sekuna teruna. In an organization like this it is rare to find women becoming chairpersons or electing a chairperson as chairman or vice chairman. Based on this, a gender perspective is considered by involving men and women in the basic decision-making process of democratic work that will lead to equality.
Membangun Mutu Pendidikan Karakter Siswa Melalui Implementasi Ajaran Tri Hita Karana
Authors: Arta Jaya Kadek
Published: March 2020

Building the character and character of the nation through education is absolutely necessary, starting from family education, school and society. In the family character education should be a school of love, where the family becomes a place of learning for their children who are full of love and affection from their parents. Character education through school is not merely just giving knowledge learning, but more about moral understanding, ethical values, noble character and so on. While character education in the community by imitating community leaders is exemplary by children. In the education process the implementation of the Tri Hita Karana  concept can provide an influence on learning outcomes, because one of the concepts of Tri Hita Karana  is to maintain harmony with fellow friends and obey religious orders and the teacher will be able to provide a better result in achieving cognitive aspects, psychomotor aspects, and apective aspects that are able to provide guidance for life to students. Students will become more obedient to school discipline, increase respect for teachers or older people, foster a sense of devotion to God Almighty and have a sense of care for the environment.
OS PROPRIETÁRIOS DE CÃES PODEM COMPARTILHAR DO MESMO PERFIL DE RESISTÊNCIA QUE SEUS CÃES?
Authors: Matusaiki Camila De Cuffa , Silva Bruna Beatriz Marinho da , Sarrano Bruna Eduarda Dias , Paié Natielli Belotti , Cabral Paula Santina Banhe , Dorneles Izabela Camilotti , Otutumi Luciana Kazue
Published: March 2020

Atualmente, o uso indiscriminado de antimicrobianos tem contribuído para o aparecimento de microrganismos resistentes, pois, os mesmos ao entrarem em contato com o princípio ativo dessas drogas de forma indevida, desenvolvem características fisiológicas e genéticas tais como a mutação de seu DNA, podendo passar esses genes de resistência à sua descendência por meio de replicação ou por conjugação de plasmídeos, fazendo com que se reduzam as opções de tratamentos efetivos para as infecções bacterianas, aumentando assim as complicações clínicas de pacientes, sejam eles o homem ou os animais de companhia e/ou produção. Recentemente o nosso grupo de pesquisa realizou um estudo com proprietários de cães do curso de Medicina Veterinária e resultados prévios demonstraram alto perfil de resistência aos antimicrobianos da classe das penicilinas, sendo a amoxicilina o antimicrobiano que apresentou menor eficácia, dentre os antimicrobianos testados para aquela classe. Um dos principais fatores relacionados ao aparecimento de resistência está relacionado ao seu uso excessivo e segundo avaliação prévia dos questionários dos tutores verificou-se um predomínio do uso desse antimicrobiano, tanto pelos tutores quanto para tratamento dos animais. Além disso, a falta de informação dos pacientes e o comportamento dos mesmos em relação aos seus animais de companhia levam-os a utilizarem doses insuficientes dos antimicrobianos quando os mesmos suspendem seu uso quando o animal apresenta melhora clínica. Cabe salientar ainda, a existência de resistência intrínseca do micro-organismo à antimicrobianos específicos, demonstrando a necessidade do isolamento e identificação do micro-organismo e realização da antibiograma para escolha mais adequada do antimicrobiano a ser prescrito. Conclui-se que os proprietários de cães podem compartilhar do mesmo perfil de resistência aos antimicrobianos que seus cães, demonstrando a necessidade da orientação dos mesmos para se reduzir o índice de resistência aos antimicrobianos.
A (IM)POSSIBILIDADE DE APLICAÇÃO DO SISTEMA PLEA BARGAIN NO PROCESSO PENAL BRASILEIRO
Authors: Faraco Neto Pedro , Santos Diego Prezzi , Lopes Vinicius Basso
Published: March 2020

objetivo deste trabalho não é adentrar a mérito político de qualquer viés, e quaisquer menções a agentes públicos em voga serão somente para fins de informação. Dito isso, esta pesquisa tem como fim a análise da expansão do Processo Penal para uma nova ótica de negociação, usando como paradigma, portanto, a política criminal apresentada pelo Ministério da Justiça, no início do mandato presidencial de 2019, abordando principalmente o instituto do plea bargain, importação estadunidense ao ordenamento jurídico brasileiro, que embora excluído do Projeto de Lei de autoria do Executivo, é de suma importância a sua análise, uma vez que o Processo Penal brasileiro caminha a passos largos a uma mudança de paradigma. Pois bem, o denominado “Pacote Anticrime”, conjunto dos PL-881/2019, PL-882/2019 PLP-38/2019, propõe uma série de medidas de política criminal, com a finalidade de diminuir a corrupção, diminuir a atuação de organizações criminosas e ainda diminuir a incidência de crimes violentos. Dentre as diversas alterações ao Código Penal, Código de Processo Penal e outras leis esparsas, fora proposto uma nova tentativa de se inserir no sistema processual penal um viés de negociação, diminuindo a rigidez de garantias fundamentais, e aumentando a celeridade e efetividade do sistema punitivo. Sendo assim, o que se propõe com este trabalho é verificar se a inserção deste instituto no ordenamento jurídico brasileiro, nos moldes proposto no projeto de lei supracitado, ou até mesmo tratando-se do mesmo em sua essência, poderia alcançar o fim a que se propunha, ou se causaria efeitos ainda mais catastróficos ao já colapsado sistema de justiça criminal brasileiro.
A SEGURANÇA JURÍDICA E O DEVER DE MOTIVAÇÃO DAS DECISÕES
Authors: Candido Angélica Giosa , Alecio Suelen Maiara dos Santos , Angelo Guilherme Kravutschke Gomes de , Camargo Carlos Augusto da Silva , Costa Amanda Florentino , Faccin Bruno De Carli , Vaz Mariana Ribeiro Andrade
Published: March 2020

O presente artigo trata do dever de motivação das decisões judiciais na realização do Estado de Direito como mecanismo de proteção de direitos fundamentais e da segurança jurídica. Busca demonstrar que a motivação das decisões judiciais é fundamental ao controle da atividade jurisdicional, reduzindo o arbítrio e o subjetivismo a que todo exercício de poder está sujeito. Para que se construa a compreensão de segurança jurídica, verifica-se que apenas decisões motivadas, especialmente tendo em vista a atual legislação processual civil, são aptas a gerar tal pretensão. Ademais, tem como proposta, justamente, a reflexão sobre a preocupação do processo como mecanismo de tutela, também das partes, mas, especialmente, dos titulares a direitos e garantias fundamentais.
Retos para la economía internacional en un mundo cambiante
Authors: Guillén Mauro , Ontiveros Emilio
Published: March 2020

Este artículo analiza las grandes transformaciones que está experimentando la economía mundial. Aborda los aspectos tecnológicos, demográficos, macroeconómicos, climáticos y de distribución de la renta, así como sus implicaciones sobre los nuevos equilibrios de poder en la economía internacional.
PRESENTACIÓN
Authors: Steinberg Federico
Published: March 2020

En los últimos años, la economía mundial está experimentando grandes transformaciones estructurales que están cuestionando el orden económico internacional vigente desde la Segunda Guerra Mundial, al tiempo que ponen en jaque el contrato social en el que se asentaba la estabilidad en las democracias avanzadas. El auge de las potencias emergentes, la crisis financiera global de 2008 y la Gran Recesión que la ha seguido, los retos asociados a la irrupción de la economía del conocimiento o al cambio climático y el aumento de la desigualdad, por mencionar sólo algunos temas, están obligando a los gobiernos a replantearse la gestión de una interdependencia económica cada vez más intensa para dar respuesta a nuevos problemas globales. Pero este replanteamiento se produce precisamente en un momento de cambio en los equilibrios de poder en el sistema internacional (caracterizado por el auge de las potencias emergentes y el declive relativo de Occidente, sobre todo de Europa), lo que hace mucho más difícil encontrar soluciones cooperativas a retos cada vez más complejos y más transnacionales.
Gobernanza económica global: ¿Dónde estamos?
Authors: Steinberg Federico
Published: March 2020

Este artículo analiza los retos a los que se enfrenta la comunidad internacional para construir una gobernanza económica global, efectiva y legítima. Tras analizar la justificación normativa para la coordinación económica internacional y los obstáculos para alcanzarla, se procede a explorar los avances y asignaturas pendientes en las distintas áreas económicas relevantes. Para ello, se analiza el papel del G-20, que desde 2008 ha emergido como en el epicentro de la coordinación económica internacional.
The IMF Getting what it Needs in (as) the Aftermath of the Crisis*
Authors: Moreno Pablo
Published: March 2020

Since 2009, the IMF has profoundly transformed all of its major policies in governance, surveillance, lending, and resources; leading to an institutional metamorphosis. This work looks at the fundamental changes in Fund´s main policies focusing on two broad questions: (i) what has been done?, placing into context the magnitude and nature of the policy changes; and, specially, (ii) what more can be done?, following a positive approach on the additional reforms that can be pursued, taking into account the current context of reform fatigue and the state of the debate within the IMF.
Climate Change: Risky Business?
Authors: Lázaro Touza Lara E. , Zoghby Michel S.
Published: March 2020

The recently released IPCC report states that climate change is unequivocal, unprecedented and anthropogenic in origin. Climate change is a three-pronged global externality with environmental, socio-economic and political consequences.. It may unleash ‘catastrophic’ losses in welfare if tipping points are crossed. Actions to avert catastrophic outcomes should arguably resemble insurance decisions rather than investment decisions. Early recommendations from the economics community on a climate policy ramp have been partially upended by stronger calls for action based, inter alia, on severe tail events. Efforts by the international community to respond to more urgent calls for action have so far failed to materialise. Future research on severe tail events, environmentally sound technologies and the establishment of more acceptable burden sharing agreements may improve the current grim prospects for effective and efficient climate action.
Una alternativa progresiva a la estructura lineal de precios públicos en la financiación del sistema universitario en España
Authors: Gil Izquierdo María , Carta Fabio
Published: March 2020

Este trabajo analiza los principales cambios que se han introducido recientemente en la financiación del Sistema Universitario Español. El objetivo es, por una parte, revisar las consecuencias derivadas de estas medidas en términos de suficiencia y equidad y, por otra, estudiar la viabilidad de aplicar un sistema progresivo en el cobro de precios públicos, teniendo en cuenta el origen económico del estudiante. Las conclusiones evidencian que la introducción de un sistema de este tipo sería compatible con los principios de suficiencia y de equidad, y viable en su aplicación. Sin embargo, se requieren algunas precauciones para que los efectos en recaudación, progresividad y redistribución tengan el resultado perseguido.
The lost oasis: Archaeology of a ‘forgotten’ mikiri well in the Simpson Desert
Authors: Rowlands Don , Smith Mike , Macfarlane Ingereth , Wright Duncan , Tischler Max
Published: March 2020

This paper describes a previously unknown mikiri well in the Simpson dune field. This site was abandoned about 500-600 years ago and does not feature in ethnographic records for this region. We argue that its abandonment was most likely due to failure of the well caused by a fall in the local watertable. The Simpson Desert is one of the major sand-ridge deserts of the world, but current views of the chronology of human use of this vast dune field rest on only a handful of radiocarbon ages (n=12). The radiocarbon ages for this mikiri, and its surroundings, add to this limited dataset. We plot all available radiocarbon ages from archaeological sites in the dune field showing that occupation of this mikiri coincided with a widespread increase in use of the dune field during the last millennium, at about the time the Wangkanguru people in the dune field were becoming linguistically distinct from the Arabana to the west.
Improved earthquake location in the gold mining regions of South Africa using new velocity models
Authors: Midzi V. , Pule T. , Manzunzu B. , Mulabisana T. , Zulu B.S. , Myendeki S.
Published: March 2020

Reliable local earthquake locations depend on many factors of which a major one is the velocity model. Currently the Council for Geoscience (CGS) has been using the global IASP91 velocity model for earthquake locations in the cluster networks. To continue improving the earthquake locations it is necessary that new velocity models are determined for each cluster region (Central and East Rand - CERAND, the Klerksdorp – Orkney – Stilfontein – Hartebeesfontein – KOSH and the Far West and West Rand - WRAND). The availability of good quality data recorded by the cluster networks since their inception in 2010 provides an opportunity to conduct this work. Thus data from the cluster networks database were selected according to set quality criteria to obtain parametric data for 130 earthquakes in the CERAND region, 404 in the KOSH region and 1024 in the WRAND region. These data were used to determine a minimum 1-D velocity model with associated station corrections for each of the regions using the VELEST software package. Comparison of epicentres obtained using the new velocity models to epicentres previously published by the CGS, showed improvement in the quality of the new locations. Thus, the new models will be implemented in the day-to-day analysis of data recorded in the three study regions by the cluster network of stations.
Hoax management of presidential staff office: An example of government public relations strategies
Authors: Saidah Musfiah , Rusfian Effy Zalfiana
Published: March 2020

Hoax management is a significant factor in maintaining government stability. Public Relations is necessary to respond and manage current developing issues, especially during the current era of information. Public satisfaction is dependant on how the government manages issues and ultimately increase public trust. This research employed the qualitative approach, i.e., case study research method, which describes researches carried out intensively in great detail and depth. The data were collected through unstructured observations, interviews, and documentation. This research investigated the Communication Excellence Theory proposed by Grunig and Hunt, which illustrate the symbolic processes of understanding human behaviour within an organisation. This research also studied how the concept of public relations strategies is implemented in solving the cases mentioned in this study. The results of the analysis found that, for the Presidential Staff Office, social media was essential in establishing an effective government public relations as well as to manage public issues.
Семантика вторичных форм, образованных на основе причастий на -быт и -ган в якутском и тувинском языках
Authors: Филиппов Гаврил Гаврильевич , Ооржак Байлак Чаш-ооловна
Published: March 2020

В статье представлен сравнительный анализ вторичных форм, возникших на основе семантически и функционально соотносимых причастных форм на -быт и -ган в якутском и тувинском языках. Формы на -быт и -ган занимают важное место в глагольных системах. Как наиболее яркие типичные тюркские причастия, сохраняя свои собственно причастные функции, и, выступая в предложении в качестве определения, они также употребляются как сказуемые в главной и зависимой частях предложения. В своей предикативной функции формы на -быт и -ган выделются в числе основных показателей прошедшего времени. Эти фoрмы дополнительно обладают значениями результативности и временной дистанции отдаленного действия. В сочетании с различными аффиксами, служебными словами и определенными вспомогательными глаголами формы на -быт и -ган образуют ряд синтетических и аналитических вторичных форм.Семантическое устройство систем вторичных финитных форм, сложившихся на основе форм -быт и -ган в якутском и тувинском языках показывают направление дальнейшего развития их базовой семантики в этих языках. В якутском языке во вторичных 12 формах на основе -быт актуализируются значения временной дистанции отдаленности обозначаемого действия во времени, достоверности действия в прошедшем и, как переосмысление значения перфективности — появляются значения пересказывательности и адмиратива. В тувинском языке значения миративности, косвенной эвиденциальности также получили развитие в 4-ех вторичных формах, образованных с участием формы на –ган.Вторичные аналитические структуры на -быт эт- и -ган с «бытийными» вспомогательными глаголами регулярно передают значения прошедшего относительного и давнопрошедшего времени, отражая общую тенденцию формирования системы относительных времен, как и в других тюркских языках. Характерную для многих тюркских языков грамматикализацию семантики притворного действия (симуляции) действия выражают сочетания причастий -быт/-ган со вспомогательными глаголами буол-/бол-.
Создание русско-тувинского параллельного подкорпуса электронного корпуса тувинского языка: первые итоги
Authors: Салчак Аэлита Яковлевна , Ондар Валентина Сувановна
Published: March 2020

В статье представлены предварительные итоги работ по созданию русско-тувинского параллельного подкорпуса электронного корпуса тувинского языка, которые ведутся в Научно-образовательном центре «Тюркология» Тувинского государственного университета.Рассмотрено примерное количество переводных русско-тувинских произведений, в том числе переводных произведений как зарубежных писателей, так и писателей национальных республик Советского Союза, переведенных на тувинский язык с русского языка. Авторами были использованы данные Национальной библиотеки Тувы и Тувинского государственного университета. По данным картотек библиотек насчитывается более 700 переводных произведений.В состав русско-тувинского параллельного подкорпуса включены переведенные на тувинский язык произведения М. Ю. Лермонтова «Герой нашего времени», М. А. Шолохова «Поднятая целина», В. П.  Катаева «Я, сын трудового народа», А. П. Чехова «Человек в футляре» А. Фадеева «Молодая гвардия» М. Горького «Свидание», Б. Васильева «А зори здесь тихие», Е. Ильиной «Четвертая высота». На 2019 г. объем собранного русско-тувинского параллельного корпуса составляет 7631813 словоупотреблений.В работе приводятся примеры выравнивания русско-тувинских параллельных текстов, рассмотрена проблема перевода этнокультурных реалий на тувинский язык. Сравнительный анализ русско-тувинских параллельных текстов показывает степень эквивалентности и неэквивалентности перевода; трудности передачи лексики, содержащей национально-культурный компонент (слова-реалии); лексико-семантические и стилистические трансформации при переводе.
Способы образования простых личных имен тувинцев
Authors: Сувандии Надежда Дарыевна
Published: March 2020

В статье представлены наиболее распространенные способы образования простых личных имен (антропонимов) в тувинском языке.Материалом исследования послужили более 500 личных имен, собранных автором в 2019 г. во время лингвистических экспедиций к тувинцам Монголии (сумоны Цэнгэл Баян-Ульгийского аймака и Буянт Ховдского аймаков) и по ряду районов Тувы: Монгун-Тайгинскому, Овюрскому, Бай-Тайгинскому, Барун-Хемчикскому, Дзун-Хемчикскому. Анализировался также архив личных имен, собранных автором в экспедициях за 20 лет.Имена подразделяются на простые непроизводные и простые производные. Первые образованы лексико-семантическим способом словообразования; от нарицательных слов из различных семантических групп лексики. Вторые (большая часть) — морфологическим способом: с помощью добавления различных аффиксов по соответствующим моделям (выявлено более 15 моделей).
Устаревшая лексика в тувинских героических сказаниях
Authors: Ондар Менги Васильевна
Published: March 2020

В статье проанализированы устаревшие слова в текстах тувинских героических сказаний (ТГС). Считается, что эпические тексты являются древними, архаичными. Несмотря свою древность, язык героических сказаний периодически обновляется, развивается в соответствии с изменяющимися процессами в языке этноса.Источниками исследования послужили тексты ТГС в общем количестве 38 единиц, опубликованные в разных сборниках, а в настоящее время составляющие отдельную базу данных Электронного корпуса тувинского языка (http://www.tuvancorpus.ru/).Собранный материал показывает, что устаревшие слова в текстах ТГС распределяются по следующим тематическим группам: названия титула и статуса персонажей; названия военного оружия и атрибутики героя; названия предметов быта; названия частей тела человека. Было выявлено 13 архаизмов и 9 историзмов. Из них 10 единиц являются монголизмами, остальные имеют тюркское происхождение.  Отдельные устаревшие слова из этих групп в настоящее время вновь возвращаются в разряд активной лексики тувинского языка, обретя новое значение.
Desafios associados à esclerose lateral amiotrófica: relato de caso clínico
Authors: Bosse Tamara Simão , Baptista Lara Ferreira , Júnior Gustavo Gavilan Alves da Silva , Linhares Rebeca Coêlho , Portela Élida Maria Moura de Paulo , Morais Isadora Maria de Almeida , Castro Luana Cristina Farias , Souza Luan Kelves Miranda de
Published: March 2020

Objetivo: Relatar o caso e descrever os desafios associados à Esclerose Lateral Amiotrófica, analisando seus efeitos. Detalhamentos de Caso: A Esclerose Lateral Amiotrófica (ELA) é uma doença neurodegenerativa progressiva, idiopática e fatal que afeta os neurônios motores na medula espinal, tronco cerebral e córtex motor. Na busca de entender os desafios enfrentados por uma paciente portadora de ELA, foi avaliado as terapias adjuvantes no retardo do avanço da doença, além de que, nesse estudo foi possível perceber que a implantação do marca-passo diafragmático reforçou a musculatura, na qual obteve mais força para realizar movimentos respiratórios, que a redução proporcional da Capacidade Vital Forçada (CVF) (46%) e do Volume Expiratório Forçado no primeiro minuto (VEF1) (50%) se tornou grave e que os transplantes de células estaminais hematopoiéticas obtiveram uma melhora na força por 6 meses e na fala. Considerações Finais: Porém mais estudos e pesquisas devem ser realizados investigando melhor os mecanismos de ação das terapias coadjuvantes no tratamento da ELA com a combinação de farmacoterapia para aumentar a sobrevivência e otimizar sua qualidade de vida, além de ajudar na busca de novos tratamentos.
Modelo simulador de baixo custo para treinamento de septoplastia
Authors: Souza Felipe Xavier de , Rodrigues Jussandra Cardoso , Andrade Jocyane de Souza , Oliveira Cássia Maria Oliveira de , Barbosa Ana Larisse Gondim , Brandão André dos Santos
Published: March 2020

Objetivo: Desenvolver um modelo simulador de baixo custo para treinamento de técnicas de Septoplastia para médicos residentes em Otorrinolaringologia. Métodos: Trata-se de uma pesquisa tecnológica com desenvolvimento experimental de um protótipo de cirurgia. O modelo foi constituído por um septo artificial produzido com materiais de baixo custo e fácil aquisição, associado à um suporte em formato de hemi-crânio desenvolvido e impresso em impressora 3D. Adaptações foram realizadas para garantir que o resultado final fosse o mais objetivo e prático possível, facilitando assim sua utilização. Resultados: Com o modelo, foi possível treinar as etapas iniciais de um procedimento de septoplastia, podendo ser realizado em variados ambientes, devido seu baixo peso, facilitando seu transporte. Permite que o usuário se familiarize com os instrumentais de septoplastia e o uso de fotoforo em um espaço cirúrgico limitado que é a cavidade nasal, dando-lhes a oportunidade de melhorar a destreza manual, essencial durante um procedimento real. Conclusão: O presente protótipo, oferece uma nova opção para treinamento e para melhorar as habilidades cirúrgicas do médico residente, conferindo maior segurança e destreza, mediante treinamento prévio em um modelo específico, para posterior transferência destas habilidades para um ambiente cirúrgico real.
Fatores que interferem no cumprimento do calendário vacinal na infância
Authors: Gomes Araújo Maria Clara , Ferreira da Silva Liliane , Stanford Baldoino Luciana , Rodrigues dos Santos Porto Tatiana Naiana , De Sousa Martins Vinícius , Pereira Carvalho Dorivaldo , Pereira de Sousa Neto Benedito , Andrade Magalhães Nilton , Stanford Baldoino Lorena
Published: March 2020

Objetivo: Analisar quais os fatores que interferem no cumprimento da atualização do calendário vacinal da infância. Métodos: Trata-se de uma pesquisa descritiva, exploratória com abordagem quantitativa realizada em uma Unidade Básica de Saúde do município de São José dos Matões-MA. Participaram da pesquisa 51 crianças com a faixa etária de 0 a 4 anos, as quais os pais ou responsáveis apresentaram a caderneta de vacinação da criança com a folha de registro das vacinas. Resultados: Evidenciou-se que os imunobiológicos que obtiveram mais doses com atrasos foram:  meningocócica (18,18%), pneumocócica (16,67%), Pentavalente (9,09%), DTP (7,58%), Tetraviral (7,58%), Febre Amarela (7,58%), Hepatite A (7,58%), Rotavírus (7,58%), VIP (6,06%) e VOP (6,06%). Constatou-se que os principais fatores encontrados foram criança fora da faixa etária (30,77%), criança adoecia (27,69%), esquecimento (15,38%), não quis levar a criança (10,77%) e outros motivos (falta de tempo, falta de imunológico no posto) (6,15%). Considerações finais: Os fatores que levam ao descumprimento podem ser diversos, desde fatores sociais ou relacionados à saúde, houve um elevado número de crianças fora da faixa etária adequada para a administração do imunobiológico recomendado, o que dificulta assim o alcance da cobertura vacinal.

Palavras-chave: Vacinação em Massa, Programas de Imunização, Esquemas de Imunização.
A Target-Based Method for Designing Heterochiral Cyclic Peptide Binders: De Novo Inhibitors of the PD-1/PD-L1 Interaction
Authors: Guardiola Salvador , Varese Monica , Roig Xavier , Garcia Jesús , Giralt Ernest
Published: March 2020

NOTE: This preprint has been retracted by consensus from all authors. See the retraction notice in place above; the original text can be found under "Version 1", accessible from the version selector above.

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Peptides, together with antibodies, are among the most potent biochemical tools to modulate challenging protein-protein interactions. However, current structure-based methods are largely limited to natural peptides and are not suitable for designing target-specific binders with improved pharmaceutical properties, such as macrocyclic peptides. Here we report a general framework that leverages the computational power of Rosetta for large-scale backbone sampling and energy scoring, followed by side-chain composition, to design heterochiral cyclic peptides that bind to a protein surface of interest. To showcase the applicability of our approach, we identified two peptides (PD-i3 and PD-i6) that target PD-1, a key immune checkpoint, and work as protein ligand decoys. A comprehensive biophysical evaluation confirmed their binding mechanism to PD-1 and their inhibitory effect on the PD-1/PD-L1 interaction. Finally, elucidation of their solution structures by NMR served as validation of our de novo design approach. We anticipate that our results will provide a general framework for designing target-specific drug-like peptides.
Tuning the Water Reduction Through Controlled Nanoconfinement Within an Organic Liquid Matrix
Authors: Dubouis Nicolas , Serva Alessandra , Berthin Roxanne , Jeanmairet Guillaume , Porcheron Benjamin , Salager Elodie , Salanne Mathieu , Grimaud Alexis
Published: March 2020

The growing hydrogen-economy requires accelerating the hydrogen evolution reaction. The water dissociation step (Volmer step) has been proposed as a main kinetic limitation, but the mechanisms at play in the electrochemical double-layer are poorly understood. This is due to the ambivalent role of water: it acts both as a reactant and as a solvent. Here we propose to confine water inside an organic liquid matrix in order to isolate the sole role of water as a reactant. We observe the formation of aqueous-rich nanodomains, which size can be tuned by changing the supporting electrolyte, and found that the reactivity of the system significantly varies with its nanostructure. Depending on the conditions, it is dominated by either the strength of short-range cation-water interactions or the formation of long chains of water molecules. This understanding paves the way toward the development of more efficient and selective electrocatalysts for the water, CO2, O2 or N2 reduction.
Short-Chained Anthracene Strapped Porphyrins and Their Endoperoxides
Authors: Callaghan Susan , Flanagan Keith , O'Brien John E. , Senge Mathias O..
Published: March 2020

The synthesis of short-chained anthracene-strapped porphyrins and their Zn(II)complexes are reported. The key synthetic step employed was a [2+2] condensation between a dipyrromethane and 2,2'-((anthracene-9,10-diylbis(methylene))bis(oxy))dibenzaldehyde. Following exposure to polychromatic light, self-sensitized singlet oxygen and the anthracene moieties underwent [4+2] cycloaddition reactions to yield the corresponding endoperoxides. 1H NMR studies demonstrate that the endoperoxide readily formed in chloroform-d and decayed at 85 Â°C. X-ray crystallography and absorption spectroscopy were used to confirm macrocyclic distortion in the parent strapped porphyrins and endoperoxides. Additionally, X-ray crystallography indicated that endoperoxide formation occurred exclusively on the outside face of the anthracene moiety.
Orem自护理论驱动下的护理实践活动在优质护理服务中的应用
Authors: 杨 红
Published: March 2020

目的： 探索 Orem 自护理论驱动下的护理实践活动在神经内科优质护理服务中的应用效果。 方法： 本研究将优质护理服务评价指标纳入考核中，结合 Orem 自护理论设置个体化自护康复计划。规范为患者提供护理活动和流程，比较实施前、后患者基础护理到位率和患者满意度。 结果： 实施前、后住院患者基础护理到位率有明显改善（P ＜ 0.05），实施前、后患者满意度有明显改善（P ＜ 0.05）。 结论： 在创建优质护理服务中运用个体化自护康复计划能规范护理行为，提升护理服务品质。
血脉清治疗周围性神经炎的疗效观察
Authors: 闫 宏山 , 杨 张峰 , 贾 晓华
Published: March 2020

目的： 观察血脉清片配合甲钴胺治疗周围性神经炎的疗效。 方法： 周围性神经炎患者共 196 例，随机分为治疗组（血脉清甲钴胺组）、即对照组（全天麻胶囊，维生素 B1 片），治疗组病例 98 例，对照组病例 98 例，治疗组口服血脉清片（ 50mg/ 片），3 片 / 次， 3 次 / 日，甲钴胺片 (0.5mg/ 粒 )， 1 粒 / 次， 3 次 / 日， 14 天为一疗程：对照组口服全天麻胶囊（ 0.5g/ 粒）， 4粒 / 次， 3 次 / 日，维生素 B1 片（ 10mg/ 片）， 1 片 / 次， 3 次 / 日， 14 天为一疗程； 结果： 治疗组总有效率达 97.95%，痊愈率达 85.71，均明显高于对照组（ 88.77%， 73.50%）。 结论： 血脉清、甲钴胺治疗周围性神经炎疗效确切，无明显毒副作用。
脑梗塞溶栓治疗并发脑出血相关因素的分析
Authors: 韦 章林
Published: March 2020

脑梗塞溶栓治疗并发脑出血主要指的是脑梗塞之后梗塞位置的继发出血，是一种药物治疗后的继发出血。作为脑梗塞患者在治疗过程中最为常见的并发症之一，容易引发脑梗塞患者残疾症状的加重以及死亡问题，对患者的康复产生严重的不良影响。因此，需要加强对脑梗塞溶栓治疗并发脑出血相关因素的分析，明确引发脑出血的主要原因，并采取针对性的措施进行防治，促进患者的早日康复。
优质护理干预在高血压性鼻出血患者护理中效果观察
Authors: 唐 妍
Published: March 2020

目的： 探讨分析优质护理干预在高血压性鼻出血患者护理中效果。 方法： 抽取我院 2017 年 10 月 1 日 -2018 年 4 月 1 日收治的 92 例高血压性鼻出血患者为研究对象，以入院单双号随机将 92 例患者划分为对照组（n=46）以及研究组（n=46），对照组采取常规护理，研究组采取优质护理干预，分析护理效果。 结果： 研究组护理满意率高于对照组，P ＜ 0.05；两组患者入院舒张压及收缩压无统计学价值（P ＞ 0.05），研究组复诊舒张压及收缩压均低于对照组，P ＜ 0.05；研究组遵医行为、日常生活、药物治疗以及健康行为等自我能效评分均高于对照组，P ＜ 0.05。 结论： 对高血压性鼻出血患者实施优质护理干预，有利于控制患者血压，提升自我能效，具有显著的护理效果。
医用空气加压氧舱维护、维修
Authors: 李 佳龙 , 魏 笠
Published: March 2020

本文根据我负责医用空气加压氧舱的维护、维修，安全运行多年大型（ 18 人）医用空气加压氧舱的经验，介绍了医用空气加压氧舱维护、维修。
基于P38/ERK-MAPK信号通路探讨理筋手法对大鼠运动性骨骼肌损伤的修复作用机制
Authors: 李 彦双 , 马 惠昇 , 穆 静 , 史 欢 , 李 嫚嫚 , 桑 涛 , 宋 毛毛 , 袁 兰英
Published: March 2020

目的： 从 P38MAPK/ERK 信号通路探索理筋手法促进骨骼肌损伤修复的作用机制。 方法： 选用 SPF 级健康雄性 SD 大鼠 54 只，随机分为模型对照组 9 只，空白组 9 只，自然恢复 1w、 2w 组各 9 只，治疗 1w、 2w 组各 9 只。除空白组外，其余各组均在跑台上进行一次性持续下坡跑运动，造模 4 周结束后，治疗组给予理筋手法治疗。治疗结束后分别取各组大鼠股四头肌，采用 HE 染色法观察大鼠肌纤维的改变、Western Blot 法检测大鼠肌组织 ERK、P38MAPK 蛋白表达水平。 结果： 造模 4 周结束后，模型组肌纤维排列紊乱，肌纤维扭曲变形、断裂，横纹消失，大量炎性细胞浸润；ERK/P38MAPK 表达增强。而经理筋手法治疗后，各组 ERK/P38MAPK 表达明显降低，肌纤维机构均明显改善，炎性细胞浸润减少。 结论： 理筋手法可能是通过对 P38MAPK、ERK 信号蛋白的调节，从而干预骨骼肌损伤的修复。
APROXIMAÇÃO ENTRE REALIDADE E “FICÇÃO MATEMÁTICA” DE ISABELLE STENGERS, COM O USO DO GEOGEBRA
Authors: Costa Nilton Carlos , De Azevedo Railce da Silva , Amorim Neto Alcides Castro
Published: March 2020

O artigo tem como temática a aproximação entre realidade e “ficção matemática” de Isabelle Stengers, com o uso do GeoGebra. A pesquisa justifica-se pela importância da discussão acerca dos dilemas e percalços oriundos ao ensino de matemática, levando em consideração a teoria do conhecimento defendida por Isabelle Stengers (1949). Para tanto, utilizou-se da pesquisa bibliográfica a partir das ideias de autores como Brasil (1998), D’Ambrosio (1986), Ausubel (1983), dentre outros. O objetivo geral dá-se em determinar de que forma softwares como o GeoGebra pode ser uma ferramenta de aproximação entre a realidade e a “ficção” no Ensino da Matemática. A proposta investigativa será apresentada em três seções, sendo a primeira referente a alguns conceitos vinculados à teoria de Isabelle Stengers, posteriormente abre-se espaço para uma breve discussão sobre algumas contribuições da autora para o ensino de ciências, levando em consideração o conceito de ficção matemática e em seguida a aproximação da ficção matemática com a realidade usando o GeoGebra. Em suma, percebe-se que as contribuições da teoria de Isabelle Stengers ainda permanecem válidas e muito presentes no contexto do ensino atual.
First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020
Authors: Spiteri Gianfranco , Fielding James , Diercke Michaela , Campese Christine , Enouf Vincent , Gaymard Alexandre , Bella Antonino , Sognamiglio Paola , Sierra Moros Maria José , Riutort Antonio Nicolau , Demina Yulia V. , Mahieu Romain , Broas Markku , Bengnér Malin , Buda Silke , Schilling Julia , Filleul Laurent , Lepoutre Agnès , Saura Christine , Mailles Alexandra , Levy-Bruhl Daniel , Coignard Bruno , Bernard-Stoecklin Sibylle , Behillil Sylvie , van der Werf Sylvie , Valette Martine , Lina Bruno , Riccardo Flavia , Nicastri Emanuele , Casas Inmaculada , Larrauri Amparo , Salom Castell Magdalena , Pozo Francisco , Maksyutov Rinat A. , Martin Charlotte , Van Ranst Marc , Bossuyt Nathalie , Siira Lotta , Sane Jussi , Tegmark-Wisell Karin , Palmérus Maria , Broberg Eeva K. , Beauté Julien , Jorgensen Pernille , Bundle Nick , Pereyaslov Dmitriy , Adlhoch Cornelia , Pukkila Jukka , Pebody Richard , Olsen Sonja , Ciancio Bruno Christian
Published: March 2020

In the WHO European Region, COVID-19 surveillance was implemented 27 January 2020. We detail the first European cases. As at 21 February, nine European countries reported 47 cases. Among 38 cases studied, 21 were linked to two clusters in Germany and France, 14 were infected in China. Median case age was 42 years; 25 were male. Late detection of the clusters’ index cases delayed isolation of further local cases. As at 5 March, there were 4,250 cases.
CONCEPTUAL DESIGN OF BIRD-LIKE UNMANNED AERIAL VEHICLE FOR PEST BIRD CONTROL
Authors: Junaidin Buyung , Hartini Dwi , Herlambang Santo
Published: March 2020

Finch (Lonchura) pest bird becomes a serious problem for rice-plant farmers when entering harvest period because it could make crop yields decreases or even crop failure. There are many method have been done for pest bird control but almost all of those are not effectives. Bird-like unmanned aerial vehicle is proposed as an alternative solution to control pest bird. The aim of this research is to do conceptual design of unmanned aerial vehicle which look like predator bird for pest bird control in farm area. The predator bird which means is black eagle (Ictinaetus Malaiensis) which is one of natural predators of small birds including finch family. Conceptual design of bird-like unmanned aerial vehicle follows general design process of aircraft with some simplification. Method of design adopt to Raymer’s method and sketching of black eagle planform especially wings and tail. The design results an unmanned aerial vehicle look like black eagle with cruise speed  is 10m/s and operational altitude 120m above sea level. From aerodynamics analysis shows that bird-like unmanned aerial vehicle which have designed fill lift requirement at angle of attack  3o and longitudinal static stability criteria.