bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Program Indonesia Pintar Terhadap Peningkatan Kesejateraan Masyarakat Dalam Perspektif Ekonomi Islam Di Nagari Tanjung Bonai Kabupaten Tanah Datar
Authors: Yulianda Vadilla , Hidayat Faisal
Published: August 2024

Smarst Indonesia programs that is put forward has an influence on improving community welfare. However, in practice, this program only favors children from well-off families, causing the child's system to collapse, resulting in a decline in the family's economy. PIP has on improving community welfare in Nagari Tanjung Bonai. The researcsh methode uses a quantitative approach. Parents of children who received PIP in Nagari Tanjung Bonai. Data about PIP recipients was collected through questionnaires. Thea data analysis used is a statistical tool to measurse the influence off the Smarst Indonesia Programs in improeving welfare. The conclusion off this research is that the Smarst Indonesia Programs has a significanst effeckt on increasing community welfare, the Smart Indonesia PIP Program is a factor that distributes Welfare in thees education sectors. This statement is reinforced by the resuls of a simple lineare regressiont test, namely. Thes variable for increasing community welfare is 15,786. The PIP regression coefficient is 0.694, which means that for every 1% addetion the PIP value will increase by 0.694. The regressiont coefficienst has a positife formulation, therefore it is stated that the directions of influensce off variable X on Y is in the same direction. Average correlation or alias relationship, because the value is. Then, it influences the coefficient value, based on the table in the first paragraph in chapter 4.2.1, it is 0.482 or 48.2%, so of the PIP variable on increasing community welfare is 0.482 or 48.2% and the influence affects other variables, some of which are not tested in this study.
 
Keyword: Smart Indonesia Program, Community Welfare, Islamic Economy
Evaluation of Surgical Reconstruction of Old Tendo Achilles Injury by Bosworth Technique
Authors: Musa Dr. Sharif Md. , Hossain Dr. Mohammad Sazzad
Published: August 2024

Background: Chronic Achilles tendon rupture in the watershed hypovascular region (zone II) makes end-to-end repair less feasible. Bosworth's technique, involving gastrocnemius-soleus turndown, was studied to determine its efficacy and functional outcome in repairing chronic tendon in zone II. Objective: To evaluate surgical reconstruction of old Tendo Achilles injury by Bosworth technique. Methods: This prospective study was carried out in Dhaka Medical College Hospital (DMCH) form July 2006 to December 2007. 20 cases were selected as non-randomized purposive sampling technique who came to the out patients department of DMCH. All cases were diagnosed as old neglected Tendo Achilles injury and treated by surgical reconstruction by Bosworth technique. Two cases were lost from follow up and discarded from the study. Finally the study was done on 18 patients. Results: The mean age of the patients was 31.7 years and the lowest and highest cases were 17 and 47 years respectively. The male female ratio was 5:1. One-third (33.3%) patients were day labourer, 22.2% service holders, 16.7% house wives and the rest 27.8% students. Two-Third of the patients (67%) had involvement of left Tendo Achilles and the rest (33%) had right Tendo Achilles. Nearly 40% of patients’ injury was caused by the overhanging edge of the toilet Pan, 27.8% by traumatic rupture, 11.1% assaulted by sharp weapon, another 11.1% by sharp edge of a metallic plate, 5.6% accidentally by sharp cutting knife and 5.5% by broken glass. The mediun level of injury was 3.5 cm above from the insertion of Tendo Achilles, while the lowest and highest level were 2.5 and 6 cm. Minimum delay from injury to operation was 6 weeks and maximum 32 weeks. 5 patients (27.8%) gained normal range of ankle movement, 6 patients (33.3%) decreased by 5° of unaffected side, 4 (22.2%) by 10° and 3 (16.7%) by more than 10⁰. Mean power of planter flexion, mean calf width and mean score to stand on tip toe on injured side relative ........
Desmoid Tumor of the Abdominal Wall: About 3 Cases
Authors: Krimou Hicham , Errabi Nizar , Cisse Mohammed , Laaroussi Mohammed , Kaoukabi Abdessamad El , Said Belhamidi , Abdenacer Moussaoui , Menfaa Mohammed , Hasbi Samir , Sakit Fouad , Choho Abdelkarim
Published: August 2024

Desmoid tumours of the abdominal wall are a rare entity that presents a therapeutic challenge, particularly for large tumours. MRI is the preferred radiological examination for suggesting the diagnosis, detailing the depth of extension, and defining the excision margins of the tumour. We present three cases of desmoid tumours of the abdominal wall in patients who underwent tumour resection followed by abdominal wall reconstruction with a bifacial mesh. The postoperative course was uncomplicated.
Cervical Muscle Spasm Treatment in Acupuncture in Bangladesh: A Case Study
Authors: Islam Dr. SM. Shahidul , Lang Dr. Boxu , Yasmin Sabina , Lima Dr. Rehana Akter
Published: August 2024

Background: There were double-blind studies in which cyclobenzaprine hydrochloride (Flexeril) and diazepam (Valium) were tested for their effectiveness in treating neck and low-back pain. Clinical assessments (graded), patient self-ratings, goniometry, motion analysis by computer and electromyography of controlled movements were all employed in the study. All therapy groups showed statistically significant improvements in clinical outcomes after two weeks, with Cyclobenzaprine hydrochloride showing a statistically significant advantage. Improvements in electromyography were the most noticeable, with the Cyclobenzaprine group seeing statistically significant improvements. In clinical muscular spasms, myoelectric activity does not increase; the opposite is true. Electromyography and computer analysis coupled with complicated electro goniometry show improved myoelectric activity in the back muscles when prescribed strenuous motions are stressed. Methods: This inquiry took place at Suo-Xi Hospital at Shaan Tower, Chamelibag, Shantinagar, Dhaka, Bangladesh. A 34-year-old male patient has been complaining of neck pain for the last three years. Results: Follow-up research showed promising outcomes. He no longer felt neck pain which he had been experiencing for three years. Cervical muscle spasm patients may benefit from acupuncture, according to the findings of this study.
Implementation of Loan to Value Easing Policy and Efforts to Overcome Problem Property Credit
Authors: Lutfi Achmad , Imron Ali , Ayu Diah
Published: August 2024

The function of national banking is not only as a forum for collecting and distributing public funds or as an intermediary for savers and borrowers (investors) but also to improve people's living standards; one of these efforts is to provide various types of Credit, one of which is property credit. One of Bank Indonesia's efforts is to provide relief by increasing the loan to value (LTV) ratio for the lower middle class. Based on this background, this article examines and analyzes the considerations for issuing macroprudential policies regarding loan to value relaxation on property loans and the efforts banks should make to handle problem loans. This type of research is empirical legal research because it examines the considerations for issuing macroprudential policies regarding loan to value relaxation on property loans and the efforts banks should make to handle problem loans. PT. State Savings Bank (Persero) Tbk. Applying a maximum limit differs from Bank Indonesia Regulations because banking upholds the principle of prudence.
Mirror of Self and the World: Magical Realism and Power Dynamics in Indonesia Literature
Authors: Handayani Triafedi , Pamungkas Onok Yayang
Published: August 2024

Magical realism in literary art is often only understood in a limited way as an aesthetic element, without taking into account the depth of the symbolic meaning contained in it. In addition, the merger between magical elements and everyday reality is often not fully explored, so the potential for the narrative that can be generated is lost. This research aims to analyze the use of elements of magical realism in contemporary literary art and uncover how these elements enrich literary narratives. This research uses hermeneutic methods to explore the symbolic meanings hidden behind magical elements in literary artworks. Through a hermeneutic approach, the selected works of art are deeply analyzed through literary description, contextual interpretation, and critical reflection, with a focus on how these magical elements are integrated into literary narratives. The results show that the elements of magical realism not only enrich literary narratives, but also create a deeper and more complex experience for the audience, by blurring the boundaries between reality and fantasy. The implication of this study is that magical realism can be used effectively in contemporary literary art to create narratives that are not only aesthetically beautiful but also rich in philosophical and symbolic meaning.
Miguel Alberti. Romantizar el mundo || Esteban Buch. Playlist: música y sexualidad
Authors: Napoli Santiago , Cavallaro Héctor
Published: August 2024

Miguel Alberti. Romantizar el mundo. Poesía y filosofía en Novalis. Buenos Aires: Centro de Investigaciones Filosóficas / Miño y Dávila, 2024, 336 páginas.
Esteban Buch. Playlist: música y sexualidad. Buenos Aires: Fondo de Cultura Económica, 2023, 313 páginas.
Web 2.0 Technologies:
Authors: Juran Krishna Sarkhe , Md. Milan Khan
Published: August 2024

This paper discusses and highlights the potential of Web 2.0 in the context of libraries. Internet in general and Web in particular are playing a vital role in computer-mediated scholarly communication. The objective of this study is to identify the purpose, characteristics, support system in research and changing environment as a result of using Web 2.0 technologies and tools. The findings of the study acknowledge the strength of Web 2.0 tools in improving library services for users. Really Simple Syndication (RSS), Instant Messaging (IM) and Blogs are popular in webbased libraries. The paper concludes by offering best practices for implementing Web 2.0 tools for new web-based libraries. Thus, these emerging web-based features (Web 2.0) are opening up new avenues and giving libraries the ability to offer the improved, customer-driven services to the user communities.
THE ART OF MANIPULATION OF EXISTENTIALISM AS A LITERARY MODE IN THE NOVELS DANGLING MAN, THE VICTIM AND SEIZE THE DAY BY SAUL BELLOW
Authors: Md. Mustafizur Rahman
Published: August 2024

Modern writers such as William Faulkner, Ernest Hemingway, Sigmund Freud, Samuel Becket, Flaubert, Dostoevsky, Joyce, Lawrence, and Eliot directly influenced the form, content, and style of Saul Bellow’s novels, but Bellow’s approach towards existentialism as a literary mode was against the tradition. Saul Bellow in his novels shows that at the inside of existential alienation his protagonists remain optimistic till the end. His stories end not in fragments of frustration, but with a redemptive vision of humanity. The thesis of the paper at hand is to demonstrate and establish how Saul Bellow manipulates his fictionist approaches in the novels Dangling Man, The Victim and Seize the Day, being influenced by the philosophy of existentialism, and how much he is different in his approach compared to other traditional existentialist writers
ANALYSIS OF THE EFFECT OF MURABAHAH FINANCING ON PROFITABILITY WITH NON PERFORMING FINANCING (NPF) AS AN INTERVENING VARIABLE IN BTPN SYARIAH
Authors: Putri Sonia , Maulana Chandra Zaky , Ramayanti Tariza Putri
Published: August 2024

ROA is a description of a bank's ability to generate profits. Increasing the ROA of a bank is very important for investors' interests because it can influence investors' confidence in continuing to invest or save at the bank. ROA is influenced by financing and the rate of return on the financing itself, therefore banks must always pay attention to providing financing so as not to increase the amount of non-performing financing (NPF) which can affect ROA. This research aims to determine the effect of murabahah financing on profitability with non-performing financing (NPF) as an intervening variable at BTPN Syariah bank. This research uses quantitative research with secondary data obtained from quarterly financial reports published on the BTPN Syariah bank website for the 2015-2022 period. This research used a saturated sampling technique with predetermined criteria resulting in 32 samples with an observation period of 8 years. The data analysis technique uses path analysis with SPSS 20 tools.The results of this research data analysis prove that murabahah financing has a significant effect on NPF, murabahah financing has a significant effect on ROA, NPF has no effect on ROA, NPF is unable to mediate the effect of murabahah financing on ROA.
THE INFLUENCE OF JOB SATISFACTION AND WORK DISCIPLINE ON THE WORK PRODUCTIVITY OF PT EMPLOYEES. PP. LONDON SUMATRA INDONESIA TBK. KENCANA SARI PALM OIL MILL LAHAT
Authors: Masdaini Efrina
Published: August 2024

This study aims to examine the effect of job satisfaction and work discipline on employee productivity at PT PP. London Sumatra Indonesia Tbk. Kencana Sari Palm Oil Mill Lahat. This study uses associative research methods, with a population of 102 permanent employees at PT. PP. London Sumatra Indonesia Tbk. Kencana Sari Lahat. Using non-probability sampling method with accidental sampling, a sample of 81 respondents was obtained. Data collection methods include questionnaires and documentation. The data analysis technique used is multiple linear regression analysis with F test, t test, and coefficient of determination at 5% significance level. The results showed that both job satisfaction and work discipline significantly and positively affect employee productivity. The regression equation obtained is Y = 2.556 + 0.346X1 + 0.469X2, where X1 represents job satisfaction and X2 represents work discipline. The findings suggest that improving job satisfaction and implementing work discipline can improve employee work productivity.
THE INFLUENCE OF REWARDS AND PUNISHMENT ON EMPLOYEE PERFORMANCE AT PT. PLN ULP PALOPO CITY
Authors: Purwadi Tri , Rahyuni Kadek Elvy , Danayasa Gede Agus , Putri Tria Manda , Nugraha Yuda Satria
Published: August 2024

This research aims to determine and analyze the influence of rewards and punishment on employee performance at PT PLN ULP Palopo City. The type of research carried out is quantitative. The type of data used comes from primary data and secondary data. Data collection was carried out by means of observation, interviews and questionnaires. Data analysis using Multiple Linear Regression. The research results show that simultaneously Reward and Punishment have a significant effect on employee performance. Meanwhile, partially rewards and punishments do not have a significant effect on employee performance.
THE INFLUENCE FAKTORS ON PROJECT PERFORMANCE: INTEREST, COMPETENCY AND CONTRACT PROJECT
Authors: Ladika Ladika , Sanggoro Heru Bayuaji
Published: August 2024

In order to increase economic growth through the development of industrial areas in Indonesia, the Government is making efforts to accelerate projects that are considered strategic and have high urgency so that they can be realized within a short period of time. A project is considered successful if good project performance is achieved. Competence of project funds is important. This research was conducted to determine the influence of competence, interests and project contracts which are thought to have an impact on project performance. This research contained 55 samples and used the smarPLS method. From the results of this research, it was found that there was a significant influence on project interests and competencies. This shows that the competencies possessed by the project team are very influential. Apart from competency, the results obtained from project interests have an influence on project performance. But this is not the case with project contracts which do not include any influence on project performance.
ANALYSIS OF LIQUIDITY RATIOS AGAINST PROFITABILITY RATIOS (ROA) AT PT. MAYORA TBK. LISTED ON THE INDONESIAN STOCK EXCHANGE
Authors: Prayoga Oka , Hamdan Hamdan , Rizal Rusma
Published: August 2024

This study aims to determine the analysis of the liquidity ratio (current ratio, quick ratio, and cash ratio) to the profitability ratio (return on assets) at PT MAYORA TBK listed on the Indonesia Stock Exchange for the period 2019-2023. The analysis technique used is descriptive analysis with the ratio analysis method. In this study, the current ratio value of 315% is greater than the general standard for similar industries, which is only 200%, while the Quick Ratio performs well and is satisfactory in financial terms because its average of 248% has exceeded the industry standard of only 150%, the Cash Ratio has an average value of 81% higher than the general standard for similar industries, which is 50%, and ROA can be concluded to be in accordance with the standard. PT Mayora Tbk exceeds 5%, indicating the company's ability to generate profit on sales can be said to be good because the average ROA value in this period reached 13%; therefore, the company's performance is quite satisfactory and is considered stable in 2019-2023.
RELATIONSHIP BETWEEN PERFORMANCE EXPECTANCY AND BEHAVIORAL INTENTION: A SYSTEMATIC LITERATURE REVIEW
Authors: Firmannudin Firmannudin , Sartika Dewi , Ayu Safitri Fikta Novia , Parlina Tika
Published: August 2024

The aim of this article is to analyze and comparing preview studies of relationship between performance expectancy and behavioral intention.
Tratamento de transtornos de déficit de atenção com hiperatividade (TDAH) em adultos
Authors: Bessa Brena , Flores Gutierrez David , Nayara de Oliveira Medeiros Kalithia , de Moraes Figueiredo Gabrielle , Arrais de Lavor Monteiro Danielle , Lopes dos Santos Letícia , Maria Correia Alencar Ana , Victoria Planinscheck Clara , Isabel Araújo Lima  Duque Estrada Maria , Gifoni Aragão Igor , Brian Cavalcante Portela de Almeida Jorge , Carolina Fagundes Rodrigues Maria , Gisele Araújo Machado Laura , Paulo Silva do Nascimento João , Caroline Silva Marinho de Paula Maria , Vieira Gomes Daiana
Published: August 2024

O Transtorno de Déficit de Atenção com Hiperatividade (TDAH) em adultos é uma condição que pode impactar significativamente a vida profissional e pessoal dos indivíduos afetados. O objetivo deste estudo é revisar a literatura atual sobre as abordagens terapêuticas para o tratamento de TDAH em adultos, com foco em intervenções farmacológicas e não farmacológicas. Utilizou-se uma revisão integrativa das bases de dados Scientific Electronic Library Online (SCIELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), aplicando os descritores “TDAH em adultos”, “tratamento farmacológico”, e “intervenções não farmacológicas”. Os resultados indicam que a combinação de tratamento farmacológico com estratégias de intervenção não farmacológica pode oferecer uma abordagem eficaz para a gestão dos sintomas de TDAH. Conclui-se que a abordagem multimodal é a mais recomendada para tratar o TDAH em adultos, melhorando os resultados clínicos e a qualidade de vida dos pacientes.
Manejo clínico da hipertensão pulmonar tromboembólica crônica
Authors: Carvalho Fedel Lizandra , Giselle Farias Fernandes Jaqueline , Lopes Gonçalves Fávero Ferreira Gabriela , Da Silva Claudino de Oliveira Rafaela , Antunes Pereira Beatriz , Lamberti Elvira Isadora , Morais Marques de Andrade Rafael , Arrais de Lavor Monteiro Danielle , Eduarda Höehr Zwetsch Maria , Bernardo Peçanha Yves , Pinto Almeida Maryna , Peixoto dos Santos Isabella , Leite Lima Lucilene , Gravatá Almeida Lima Arlon , Mendes Messias Gabriela , Lisiê Fernandes Cosme Macedo Cândida
Published: August 2024

A hipertensão pulmonar tromboembólica crônica (HPTEC) é uma condição grave e debilitante caracterizada pela obstrução crônica das artérias pulmonares por trombos organizados e remodelados, resultando em hipertensão pulmonar e insuficiência cardíaca direita. O objetivo deste estudo é revisar as abordagens clínicas atuais para o manejo da HPTEC. Foi realizada uma revisão integrativa utilizando as bases de dados Scientific Eletronic Library Online (SCIELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), com descritores em ciências da saúde: “hipertensão pulmonar”, “tromboembolia” e “tratamento clínico”. Os resultados demonstram que o tratamento da HPTEC inclui opções cirúrgicas, como a endarterectomia pulmonar, e terapias medicamentosas específicas, incluindo o uso de anticoagulantes e agentes direcionados à vasodilatação pulmonar. Conclui-se que uma abordagem multidisciplinar é essencial para otimizar os resultados clínicos e melhorar a qualidade de vida dos pacientes.
Qualidade de Vida em Pacientes com Schwannoma Vestibular: Uma Revisão da Literatura
Authors: Rosa Yamamoto Isadora , Lazzarini Bulla Leticia , Carachenski Lalico Alice , Marques de Oliveira Hunder , Alves da Cruz Amanda Cristina , Teles Batista Caio , Costa Mendes Sabrina , Sena Nunes Canabrava Amanda
Published: August 2024

O schwannoma vestibular, também conhecido como neuroma acústico, é um tumor benigno que afeta o nervo vestibulococlear, levando a sintomas como perda auditiva, vertigem e desequilíbrio. Este artigo revisa a literatura existente sobre a qualidade de vida em pacientes com schwannoma vestibular, focando nos impactos físicos, emocionais e funcionais da condição. A análise incluiu estudos sobre os efeitos dos diferentes métodos de tratamento, como cirurgia, radioterapia e observação. Os resultados indicam que, apesar das opções de tratamento poderem proporcionar alívio dos sintomas, elas também podem introduzir novos desafios e efeitos colaterais, afetando significativamente a qualidade de vida dos pacientes. A necessidade de uma abordagem multidisciplinar que inclua suporte psicológico e reabilitação auditiva e vestibular é destacada como crucial para melhorar a qualidade de vida. O artigo sugere que futuras pesquisas devem explorar mais a eficácia das intervenções terapêuticas e a integração de cuidados contínuos.
Cuidados Paliativos: Abordagem Multidisciplinar na Promoção da Qualidade de Vida para Pacientes em Sofrimento.
Authors: Da Silva Willian Cassiano , Savioti Dias Ariadne Araújo , Amorim Jaine , Da Silva Camila Meury Albino , Da Silva José Antonio , Dos Santos Justa Jose William Oliveira , Da Silva Geovana Barros , Aguiar Santos Gabriel , Santos Emmanuel Oliveira , Oliveira Maria Eduarda Machado Lessa de , Carvalho Davi Magalhães , Pires Fernandes Ingridy Tayane Gonçalves
Published: August 2024

Os cuidados paliativos representam uma abordagem essencial no tratamento de pacientes que enfrentam doenças graves e terminais, direcionado na promoção da qualidade de vida e no alívio do sofrimento. Neste tipo de cuidado não está limitado apenas ao controle da dor física, mas também abrange aspectos emocionais, psicológicos, sociais e espirituais, reconhecendo a complexidade do sofrimento humano. Este estudo visa explorar a importância da abordagem multidisciplinar nos cuidados paliativos, destacando como a colaboração entre médicos, enfermeiros, psicólogos, assistentes sociais e outros profissionais contribui para a promoção da qualidade de vida de pacientes em sofrimento. A abordagem multidisciplinar em cuidados paliativos permite que os diversos aspectos do sofrimento do paciente sejam abordados integradamente. Médicos e enfermeiros se concentram no manejo dos sintomas físicos, como dor e desconforto, enquanto psicólogos e assistentes sociais oferecem suporte emocional e psicológico tanto para o paciente quanto para a família. A colaboração entre diferentes profissionais de saúde é fundamental para garantir que todas as necessidades do paciente sejam atendidas de maneira integrada e funcional. Portanto, essa abordagem não apenas alivia o sofrimento, mas também promove uma qualidade de vida significativa para pacientes e seus familiares durante os momentos mais difíceis de suas vidas. A implementação de cuidados paliativos multidisciplinares precisa ser vista como uma prioridade no sistema de saúde, para assegurar que todos os pacientes em sofrimento tenham acesso a um cuidado compassivo e completo.
Learning Curve for In-Hospital Mortality of Transcatheter Aortic Valve Replacement: Insights from the Brazilian National Registry
Authors: Bernardi Fernando Luiz de Melo , Abizaid Alexandre A. , Brito Jr Fábio Sândoli de , Lemos Pedro A. , Siqueira Dimytri Alexandre Alvim de , Costa Ricardo Alves , Leite Rogério Eduardo Gomes Sarmento , Mangione Fernanda Marinho , Thiago Luiz Eduardo Koenig São , Mangione José A. , Lima Valter Correia de , Oliveira Adriano Dourado , Marino Marcos Antônio , Cardoso Carlos José Francisco , Caramori Paulo R. A. , Tumelero Rogério , Portela Antenor Lages Fortes , Prudente Mauricio , Henriques Leônidas Alvarenga , Souza Fabio Solano , Bezerra Cristiano Guedes , Prado Jr Guy F. A. , Freitas Leandro Zacaris Figueiredo , Nogueira Ederlon Ferreira , Meireles George César Ximenes , Pope Renato Bastos , Guerios Enio , Andrade Pedro Beraldo de , Santos Luciano de Moura , Marchi Mauricio Felippi de Sá , Fundão Nelson Henrique Fantin , Ribeiro Henrique Barbosa
Published: August 2024

Abstract Background Robust data on the learning curve (LC) of transcatheter aortic valve replacement (TAVR) are lacking in developing countries. Objective To assess TAVR’s LC in Brazil over time. Methods We analyzed data from the Brazilian TAVR registry from 2008 to 2023. Patients from each center were numbered chronologically in case sequence numbers (CSNs). LC was performed using restricted cubic splines adjusted for EuroSCORE-II and the use of new-generation prostheses. Also, in-hospital outcomes were compared between groups defined according to the level of experience based on the CSN: 1st to 40th (initial-experience), 41st to 80th (early-experience), 81st to 120th (intermediate-experience), and over 121st (high-experience). Additional analysis was performed grouping hospitals according to the number of cases treated before 2014 (>40 and ≤40 procedures). The level of significance adopted was <0.05. Results A total of 3,194 patients from 25 centers were included. Mean age and EuroSCORE II were 80.7±8.1 years and 7±7.1, respectively. LC analysis demonstrated a drop in adjusted in-hospital mortality after treating 40 patients. A leveling off of the curve was observed after case #118. In-hospital mortality across the groups was 8.6%, 7.7%, 5.9%, and 3.7% for initial-, early-, intermediate-, and high-experience, respectively (p<0.001). High experience independently predicted lower mortality (OR 0.57, p=0.013 vs. initial experience). Low-volume centers before 2014 showed no significant decrease in the likelihood of death with gained experience, whereas high-volume centers had a continuous improvement after case #10. Conclusion A TAVR LC phenomenon was observed for in-hospital mortality in Brazil. This effect was more pronounced in centers that treated their first 40 cases before 2014 than those that reached this milestone after 2014.
Direct Oral Anticoagulants versus Vitamin K Antagonists for Left Ventricular Thrombus: A Meta-Analysis with Trial Sequential Analysis
Authors: Pasqualotto Eric , Gewehr Douglas Mesadri , Ferreira Rafael Oliva Morgado , Chavez Matheus Pedrotti , Silva Caroliny Hellen , Cruz Sara Almeida , Limachi-Choque Jhonny , Park Amanda , Coutinho Mário Sérgio Soares de Azeredo , Kubrusly Luiz Fernando
Published: August 2024

Abstract Background Vitamin K antagonists (VKAs) are the recommended first-line treatment for left ventricular thrombus (LVT); however, direct oral anticoagulants (DOACs) have been considered an alternative therapy. Objectives To evaluate the efficacy and safety of DOACs compared with VKAs therapy in patients with LVT. Methods PubMed, Embase, and Cochrane were systematically searched for randomized clinical trials or cohort studies that compared DOACs versus VKAs for LVT. Risk ratios (RRs) were computed for binary endpoints, with 95% confidence intervals (95% CIs). Statistical significance was defined as p value < 0.05. Results A total of 4 randomized clinical trials and 29 cohort studies were included, with 4,450 patients assigned to either DOACs or VKAs. There was no significant difference between groups for stroke or systemic embolic (SSE) events (RR 0.84; 95% CI 0.65 to 1.07; p = 0.157), stroke (RR 0.73; 95% CI 0.48 to 1.11; p = 0.140), systemic embolic (SE) events (RR 0.69; 95% CI 0.40 to 1.17; p = 0.166), thrombus resolution (RR 1.05; 95% CI 0.99 to 1.11; p = 0.077), any bleeding (RR 0.78; 95% CI 0.60 to 1.00; p = 0.054), clinically relevant bleeding (RR 0.69; 95% CI 0.46 to 1.03; p = 0.066), minor bleeding (RR 0.73; 95% CI 0.43 to 1.23; p = 0.234), major bleeding (RR 0.87; 95% CI 0.42 to 1.80; p = 0.705), and all-cause mortality (RR 1.05; 95% CI 0.79 to 1.39; p = 0.752). Compared with VKAs, rivaroxaban significantly reduced SSE events (RR 0.35; 95% CI 0.16 to 0.91; p = 0.029) and SE events (RR 0.39; 95% CI 0.16 to 0.95; p = 0.037). Conclusions DOACs had a similar rate of thromboembolic and hemorrhagic events, as well as thrombus resolution, compared to VKAs in the treatment of LVTs. Rivaroxaban therapy had a significant reduction in thromboembolic events, compared to VKAs.
MOTIVAÇÃO À PRÁTICA DE ATIVIDADES FÍSICAS EM ACADEMIAS
Authors: Aparecida Cardoso Nunes  , Ricardo Pablo Passos  , Adriano de Almeida Pereira  , Bráulio Nascimento Lima  , Bruno de Souza Vespasiano  , Carlos Henrique Prevital Fileni  , Mariela de Santana Maneschy  , Guanis de Barros Vilela Junior  , Alexandre Freitas de Carvalho
Published: August 2024

Esse artigo tem como intuito verificar as ações motivacionais que levam os indivíduos a realirarem a pratica de exercícios físicos em academias, aprofundando sobre os fatores motivacionais que proporcionam os indivíduos a praticarem atividades físicas. Inicialmente, a prática de atividades físicas costumava ser principalmente relacionadas à estética, com pessoas investindo pesadamente em personal trainers e suplementos alimentares. No entanto após a pandemia é nítida que a percepção de qualidade de vida mudou, pois diante de tantas situações adversas as pessoas precisaram modificar a sua rotina e perceberam a importância de se ter qualidade de vida para a sua performance. Diante disso aumentou-se de forma significativa a quantidade de pessoas que praticavam atividades em casa e como fim do período de isolamento as academias estão sempre lotadas. Nesta perspectiva, o objetivo deste estudo foi investigar sobre os aspectos motivacionais que estão ligados nas realizações de atividades físicas nas academias. A metodologia abordada neste estudo foi bibliográfica, de cunho qualitativa acerca da temática abordada. Para entendimento da devida importância para a motivação ao esporte, pois apesar de bastante presente no cotidiano das pessoas, é necessário que haja ainda mais apoio a essas práticas que podem ocorrer até mesmo dentro das academias com a oferta de variedade de modalidades esportivas. Compreende-se que a motivação é um fator essencial para a realização de exercícios em academia de forma regular e eficaz, que o Profissional de Educação Física possui um papel fundamental na motivação, envolvendo os beneficiários em ações motivadoras que os estimulem a praticar atividades diárias.
PERANCANGAN PENCAHAYAAN SAMPING PADA ARSITEKTUR TROPIS
Authors: Thiodore Jacky
Published: August 2024

Arsitektur tropis dideskripsikan sebagai arsitektur yang arah rancangannya meresponi iklim tropis dengan cara mengantisipasi maupun memanfaatkan. Salah satu ciri iklim tropis adalah sinar matahari yang tersedia sepanjang tahun. Sinar matahari memberikan dua konsekuensi untuk ditanggapi oleh arsitektur tropis, yaitu adanya intensitas cahaya yang diperlukan dan radiasi matahari yang diantisipasi. Arsitektur rumah tradisional sering kali dijadikan acuan untuk arsitektur tropis di Indonesia. Rancangan rumah tradisional dengan teritisan panjang dan jendela kecil merespon sinar matahari. Rancangan ini menghasilkan suhu ruang yang nyaman, namun ruang cenderung gelap. Idealnya arsitektur tropis dapat menghasilkan ruang dengan intensitas cahaya yang terang sekaligus suhu ruang yang nyaman. Untuk mempelajari rancangan arsitektur tropis yang ideal ini maka penelitian ini mengkaji Rumah Tangkuban Perahu yang menerapkan rancangan pencahayaan samping. Penelitian dimulai dengan penelitian lapangan, kemudian diperkuat dengan studi menggunakan perangkat lunak Autodesk Ecotect. Ecotect digunakan untuk mensimulasikan dampak rancangan arsitektur terhadap performa bangunan, meliputi intensitas cahaya dan suhu ruang pada objek penelitian. Parameter perancangan pencahayaan samping yang dibahas meliputi detail bukaan, elemen pembayangan dan material bangunan. Parameter ini digunakan untuk mengevaluasi rancangan arsitektur tropis terhadap dua unsur kontradiktif sinar matahari sehingga ruangan dapat mencapai kenyamanan visual dan termal dari pencahayaan alami. Keywords: arsitektur tropis, pencahayaan alami, pencahayaan samping.
KESESUAIAN BANGUNAN CAGAR BUDAYA GOLONGAN A DALAM MEWADAHI FUNGSI MUSEUM
Authors: Dharmawan Stephanie
Published: August 2024

Bangunan cagar budaya golongan A merupakan bangunan konservasi yang memiliki derajat intervensi paling sedikit. Terdapat sejumlah museum di Jakarta yang merupakan hasil konversi dengan tujuan untukmempertahankan keberlangsungan hidup bangunan cagar budaya. Hal yang diteliti dalam penelitian ini adalah kriteria apa yang harus dicapai sebuah bangunan konversi dalam mewadahi fungsi museum dan bagaimana bangunan cagar budaya golongan A dapat memenuhi kriteria tersebut. Penelitian dilakukan dengan menganalisis Museum Perumusan Naskah Proklamasi. Standar–standar tersebut meliputi kondisi lingkungan, kondisi fisik, sistem tata udara, sistem pencahayaan, sistem keamanan, sistem pencegahan dan penanggulangan kebakaran serta organisasi ruang bangunan museum.Hasil dari penelitian yang dilakukan adalah Museum Perumusan Naskah Proklamasi memenuhi sebagian besar kriteria sebagai bangunan museum. Kriteria yang terpenuhi ialah kondisi lingkungan 60% yangmemungkinkan area berkumpul dan petugas kebakaran beroperasi, kondisi konstruksi fisik yang masih baik, bukaan pada bangunan yang menghadap utara-selatan mendukung pertukaran udara, jalur evakuasi sejauh 32m untuk penanggulangan kebakaran dan organisasi ruang terbagi dengan baik antara publik dan service. Kriteria yang perlu ditingkatkan sebagai bangunan museum adalah sistem pencahayaan yang memungkinkan kerusakan barang koleksi dan sistem keamanan kunci dan adanya 5 titik buta untuk menjaga barang koleksi. Keywords: konversi, preservasi, bangunan cagar budaya, fungsi museum
ANALISIS STRATEGI OPERASIONAL TOWER APARTEMEN
Authors: Pribudi Cicilia Angelia
Published: August 2024

Pertumbuhan ekonomi di Indonesia dinilai mengalami pertumbuhan yang cukup tajam di sektor industri dan manufaktur. Kemajuan ekonomi ini memiliki dampak positif dalam penyerapan sumber daya manusia, tidak hanya pekerja lokal (orang Indonesia), tetapi juga pekerja asing. Berdasarkan pertumbuhan ini, tempat tinggal menjadi kebutuhan yang sangat krusial. Setiap ekspatriat membutuhkan tempat tinggal yang nyaman dan aman untuk meraka tinggali bersama keluarga mereka ataupun untuk hidup sendiri. Para ekspatriat membutuhkan tempat tinggal yang aman, nyaman, memiliki akses yang mudah ke transportasi publik, dan juga memiliki ritel area yang dapat menunjang kebutuhan mereka. Oleh karena itu kebutuhan akan menara apartemen di Indonesia terus meningkat dari tahun ke tahunnya. Untuk mendukung menara apartemen menjadi tempat yang nyaman dan aman, maka diperlukan strategi operasional yang sesuai dengan standar interasional baik dimulai dari tahap konstruksi maupun sampai tahap apartemen beroperasi. Strategi operasional juga bermanfaat untuk menekan biaya pada saat konstruksi apartemen, serta meningkatkan keamanan dankenyamanan untuk para pemilik ataupun penyewa unit apartemen yang tinggal didalamnya. Keywords: menara, apartemen, strategi, operasional
ANALISIS GEOMETRI PROPORSI FASADE PORTICO PADA BANGUNAN INSTITUSI NEGARA BERGAYA ARSITEKTUR KLASIK DI JAKARTA
Authors: Fireza Doni , Nadia Adli
Published: August 2024

Indonesia sebagai bekas negara kolonial Belanda memiliki banyak bangunan kolonial dan bangunan baru yang menggunakan gaya klasik sebagai desain arsitekturnya. Peralihan perkembangan arsitektur pada masa pasca kemerdekaan memasuki era kontemporer menghasilkan makin banyaknya karya arsitektur baru oleh arsitek Indonesia yang menggunakan gaya arsitektur klasik sebagai sumber inspirasinya. Salah satu warisan teori arsitektur dari periode klasik adalah teori aturan geometri yang berbasiskan proporsi yang dikenal dengan teori proporsi emas. Namun, penerapan teori proporsi emas sebagai warisan arsitektur klasik diduga tidak sejalan dengan penggunaan elemen fisik desain bangunannya. Tulisan ini bertujuan untuk menganalisis sejauh mana penerapan teori proporsi emas pada kasus-kasus bangunan gaya arsitektur klasik di Jakarta, Indonesia baik dari periode masa kolonial abad ke-19 hingga masa pasca kemerdekaan akhir abad ke-20. Ini termasuk; (1) mempelajari teori proporsi gaya klasik, (2) menganalisis perhitungan proporsi pada fasad bangunan studi kasus, dan (3) membuat pemeriksaan silang antara teori proporsi emas dan perhitungan proporsi dalam studi kasus. Hasilnya adalah pengungkapan tingkat konsistensi penerapan teori proporsi emas dalam bangunan bergaya arsitektur klasik di Jakarta. Diharapkan dengan pengetahuan ini arsitek dalam merancang bangunan dengan elemen arsitektur klasik dapat lebih secara komprehensif menerapkan teori proporsi emas tersebut agar tercipta karya yang lebih estetis. Kata Kunci: Golden Proportion, Arsitektur Klasik, Analisa Geometris, Arsitektur Kolonial Indonesia
ANALISIS RUMAH SAKIT JIWA DENGAN PENDEKATAN PSIKOLOGI LINGKUNGAN STUDI KASUS: RSJ Dr. Soeharto Heerdjan
Authors: Camelia Arletta , Santoni Santoni
Published: August 2024

Kurangnya perhatian terhadap ODGJ (Orang dengan Gangguan Jiwa) dan buruknya stigma masyarakat terhadap mereka menunjukkan bahwa Indonesia masih buta dan belum peduli terhadap masalah tersebut. Kurangnya fasilitas kesehatan mental di Indonesia membuat penderita sulit untuk mengaksespengobatan. Arsitektur memiliki peran yang besar dalam mengatasi masalah ini, yaitu dengan menyediakan fasilitas yang dapat meningkatkan kualitas hidup ODGJ. Teori yang digunakan dalam simulasi perancangan adalah teori psikologi lingkungan, yang merupakan sebuah studi ilmiah mengenai transaksi dan hubungan timbal balik antara manusia dan lingkungan sekitarnya. Teori inimerupakan hasil kolaborasi antara para arsitek dan ahli psikologi yang berupaya untuk menciptakan kondisi hidup yang sesuai dengan kebutuhan penghuninya, yang kebanyakan diterapkan pada perancangan fasilitas untuk “special population,” seperti layanan kesehatan kejiwaan. Psikologi Lingkungan menunjukkan bahwa lingkungan yang kita tinggali berefek kepada perasaan penghuninya secara tidak sadar. Metodologi riset yang akan digunakan adalah metode kualitatif, dengan studi preseden dan observasi terhadap rumah sakit jiwa yang sudah ada di Jakarta. Hasil penelitian tersebut akan diterapkan dalam simulasi perancangan rumah sakit jiwa dengan teori psikologi lingkungan. Dengan metode dan nilai-nilai yang tepat, perancangan rumah sakit jiwa di masa mendatang tidak hanya akan membantu mempercepat kesembuhan pasien, tetapi juga membantu mereka merasa lebih nyaman selama mereka mendapatkan perawatan. Keywords:  rumah sakit jiwa, orang dengan gangguan jiwa, kesehatan mental, psikologi lingkungan
PENERAPAN PRINSIP WALK, CYCLE, DAN CONNECT PADA KAWASAN TRANSIT ORIENTED DEVELOPMENT DENGAN PENDEKATAN STUDI KASUS: KAWASAN MANGGA DUA, JAKARTA UTARA
Authors: Juliana Audrey , Lo Anwen
Published: August 2024

Kawasan Mangga Dua merupakan area komersial dan mixed used development yang berlokasi di Jl. Gunung Sahari Raya No. 1, Ancol, Pademangan, Jakarta Utara. Kawasan ini mempunyai lokasi yang strategis karena berada di sentra perdagangan Mangga Dua, dan hanya 10 menit dari kawasan Kota dan Ancol. Kawasan ini juga mudah diakses karena dekat dengan moda transportasi umum seperti bus Trans Jakarta sehingga sangat cocok jika menjadi area Transit Oriented Development (TOD). Aktivitas masyarakat di Kawasan Mangga Dua tergolong lumayan aktif, namun sayangnya standar TOD belum maksimal diterapkan. TOD adalah urban development yang memaksimalkan berbagai macam fungsi dalam jangkauan pejalan kaki. Tujuannya adalah untuk menjamin hak semua orang dalam mengakses kota. Standar TOD mempunyai 3 kategori penilaian, yaitu: Gold Standard, Silver Standard, dan Bronze Standard. Detail penilaian tersebut berdasarkan dari 8 prinsip utama yang meliputi berjalan kaki, bersepeda, menghubungkan, angkutan umum, pembauran, memadatkan, merapatkan, dan beralih. Penulis menganalisis prinsip TOD tersebut sebagai tolak ukur keberhasilan Kawasan Mangga Dua dengan mengaitkan dengan beberapa preseden, terutama di negara Singapura sebagai inspirasi untuk memberikan solusi dari masalah yang ada sehingga Kawasan Mangga Dua dapat lebih ditingkatkan dan memenuhi standar TOD, terutama pada prinsip berjalan kaki, bersepeda, dan menghubungkan. TOD di Kawasan Mangga Dua diharapkan dapat menjadi lebih baik dan bermanfaat, serta berdampak positif bagi kehidupan masyarakat di Jakarta Utara.Kata kunci:  prinsip walk TOD, prinsip cycle TOD, standar TOD, Mangga Dua
EVALUASI KUALITAS RUANG TAMAN PINTAR KALIJODO TERHADAP KEBUTUHAN PERKEMBANGAN PSIKOLOGIS ANAK DENGAN PENDEKATAN RUANG PUBLIK RAMAH ANAK
Authors: Kristianto Mandau Apri , Sandy Kelly , Prihandrijanti Maria
Published: August 2024

Taman Pintar Kalijodo merupakan ruang publik yang dibangun di tengah permukiman oleh pemerintah dengan konsep ramah anak sebagai upaya menyejahterakan kehidupan anak-anak permukiman. Taman ini berpotensi sebagai child-friendly public space di perkotaan. Kualitas ruang publik ramah anak memiliki kaitan yang erat terhadap perkembangan psikologis anak. Beragam fasilitas dapat ditemukan di Taman Pintar Kalijodo. Anak-anak dari berbagai usia datang dan menikmati fasilitas dan alat permainan yang ada sebagai upaya pertumbuhan dan perkembangan anak. Penelitian ini mengevaluasi konsep ramah anak Taman Pintar Kalijodo dengan pendekatan teori child-friendly public space oleh UN-Habitat. Hasil evaluasi tersebut dianalisis berdasarkan kriteria kebutuhan perkembangan psikologis anak. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kualitatif melalui observasi langsung, dokumentasi, dan pemetaan. Analisis data didukung oleh studi literatur yang berhubungan dengan ruang publik ramah anak dan perkembangan psikologis anak. Hasil analisis menyatakan bahwa terdapat dua elemen child-friendly public space yang belum terpenuhi, yakni keamanan dan kenyamanan. Hal ini dapat menyebabkan perkembangan psikologis anak terhambat. Kekurangan pada elemen keamanan terutama untuk kelompok usia Balita berupa tidak adanya pembatas antara area playground dan lapangan futsal. Kekurangan pada elemen kenyamanan terdapat pada kelompok usia Balita dan anak sekolah (6-12 tahun) karena pemandangan Kali Krendang yang tidak sedap dilihat dan beberapa wahana permainan yang tidak terurus. Penelitian ini diharapkan dapat menjadi dasar perancangan ruang publik dengan konsep ramah anak yang mendukung perkembangan psikologis anak. Kata kunci:  ruang publik, ramah anak, perkembangan psikologis, Taman Pintar Kalijodo
IDENTIFIKASI PERSEPSI MASYARAKAT DAN PENGUNJUNG DALAM PEMULIHAN STIGMA KAWASAN MANGGA BESAR MELALUI PERANCANGAN ARSITEKTUR
Authors: Adrianty Erlinda , Nadia Adli , Rahmi Lela Alifah
Published: August 2024

Mangga Besar merupakan kawasan populer dengan keberagamannya. Keberagaman tersebut menjadi daya tarik utama khususnya dalam konteks kuliner dan kehidupan malam. Namun demikian, daya tarik tersebut memunculkan perbedaan persepsi dan pandangan dalam kelompok masyarakat dan pengunjung, menciptakan kompleksitas baru. Penelitian ini mengidentifikasi dan memetakan persepsi masyarakat setempat dan pengunjung kawasan Mangga Besar secara umum agar dapat memberi gambaran pada arsitek dan perancang kawasan dalam mengkolaborasikan aspek sosial, fungsi dan simbolik di Mangga Besar. Hasil dari penelitian ini akan mengungkap persepsi dan pandangan masyarakat terhadap Mangga Besar sehingga dapat memberikan solusi yang tepat terhadap akar masalah yang akan diungkap. Untuk mengungkapkan hal tersebut, penulis menggunakan penelitian yang dapat mengungkap persepsi masyarakat setempat dan pengunjung yang lalu kemudian diinterpretasikan pada beberapa strategi perancangan yang kontekstual terhadap kawasan tersebut. Hasil dari penelitian ini adalah pandangan dan persepsi masyarakat serta strategi perancangan lingkungan binaan yang diharapkan akan cocok untuk menetralisir stigma hiburan malam di kawasan tersebut sehingga dapat menyoroti potensi kawasan, meningkatkan persepsi positif dan mencapai keseimbangan antara kebutuhan masyarakat setempat dan pengunjung kawasan Mangga Besar. Kata kunci:  Mangga Besar, Persepsi, Red District, Kawasan
Identificación del acento en hablantes de español mediante el análisis de atributos MFCC y aprendizaje supervisado
Authors: Robles Contreras Carmen Victoria , Carrillo Ruiz Maya , Hernández Ameca José Luis , Robles Mendoza Francisco Javier
Published: August 2024

Speaker recognition has multiple real-life applications. The purpose of this study is to determine the feasibility of classifying samples of human speech, specifically Spanish speakers, based on their distinctive accents. In this work, Mel-Frequency Cepstral Coefficients (MFCC) combined with machine learning techniques were used to identify the nationality of Spanish-speaking individuals through voice recordings obtained from the Crowdsourcing Latin American Spanish for Low-Resource Text-to-Speech corpus. Data preprocessing was performed by extracting 50 MFCC from each recording, which formed the dataset for experimentation. Experiments were conducted with different subsets, and the best results were obtained with individuals from four Latin American countries, including both males and females. Neural networks were employed for the classification stage, achieving an accuracy of 99.84%.
An activity theory perspective on interprofessional teamwork in long-term care
Authors: Fernandez Nicolas , Gulino Nicolas
Published: August 2024

Background: Teamwork in healthcare is shaped by reciprocal interactions among individual team members and their clinical context. Cultural Historical Activity Theory (CHAT) provides a framework to study teamwork from a developmental perspective. We observed interactions between members of an Interprofessional Healthcare Team (IHT) to identify practical guidelines for educators. 
Method: Three Health Care Providers (HCPs) with more than 22-years’ experience in a semi-urban LTC facility participated. We video-recorded two regular IHT meetings and selected excerpts for subsequent video-recall interviews. The excerpts were shown and discussed first with each team member, then with members in pairs and finally with all members reunited. We prompted participants to explain what was happening on the videos. All interviews were recorded, transcribed, and analyzed using CHAT’s unit of analysis based on Activity Systems.
Findings: We observed contradictions within the Activity Systems involving diverging views on outcomes of enhancing or maintaining quality of life; using non-traditional tools and spaces to sustain resident mobility; safeguarding community and patient safety despite time constraints and job titles, and unease for being paid to perform unconventional interventions. The contradictions have been grouped into three themes reflecting the Activity Systems: 1) enhancing versus maintaining quality of life; 2) improvising to achieve care goals; and 3) role fluidity.
Discussion: Our findings show that practical goal-oriented and contextual adaptations rely heavily on improvisation and dialogue. Educating HCPs for interprofessional teamwork should focus on developing situational awareness to foster continuous adaptation of disciplinary interventions.