bluuebunny/crossref_metadata_2025 huggingface dataset:
The Influence of Marketing Mix on Patient Decision-Making in Choosing Nur'aini General Hospital South Labuhan Batu
Authors: Mandasari Trilia , Fitriani Arifah Devi , Nuraini Nuraini
Published: February 2024

Analysis of consumer behavior in health services is crucial in securing a company's sustainability. Amid intense competition, consumer perceptions about the quality of service at hospitals greatly influence their visiting decisions. This research focuses on the case study of Nur'aini General Hospital, which experienced a decline in patient visits from 2013 to 2016. The research method used a survey with 79 respondents from inpatients. The results show that the majority of respondents are adults, have secondary education, and most are women. Data is described in various variables such as service products, rates, service places, promotions, people involved, service processes, and physical facilities. The results of this research can help RSU Nur'aini improve marketing and service strategies to overcome the decline in the number of patient visits.
Turizm İşletmelerinin Hizmet Kalitesi Algısında Temizlik ve Hijyenin Öneminin İrdelenmesi Üzerine Bir Araştırma
Authors: Kumaş Gözde , Bilgili Bilsen
Published: February 2024

Turizm faaliyetine katılan bireylerin birbiri ile etkileşiminin yüksek olması son yıllarda yaşanan Covid-19 salgınının getirdiği tedirginlikle birlikte, temizlik ve hijyen konusunu turizm sektöründe daha da önemli hale getirmiştir. Araştırma kapsamında; konaklama, seyahat, yeme-içme, ulaşım, eğlence ve alışveriş olarak çeşitlenen turizm işletmelerinin hizmet kalitesi algılarında, uluslararası ölçekte sektörü etkileyebilecek parametrelerden biri olan temizlik ve hijyenin öneminin incelenmesi amaçlanmaktadır. Bu amaç doğrultusunda araştırmada, temizlik ve hijyen faktörlerini belirlemek üzere ikincil kaynaklardan veriler toplanmış ve içerik analizi yapılmıştır. Elde edilen bulgulara göre, temizlik ve hijyenin hizmet kalitesi algısı, müşteri memnuniyeti, israfı önleme, maliyeti azaltma, planlı kaynak kullanımı, rekabet avantajı, hassas işletme imajı ve müşteri sağlığı açısından çeşitli işletmeler için önemli olduğu tespit edilmiştir. Web Of Science (WOS) ve Google Scholar’da konu ile ilgili yayınlanan 200 makale ile sınırlandırılan ikincil kaynak taraması sonucunda hazırlanan bu çalışmada, alanda yayınlanmış kaynakların tamamına ulaşılamaması araştırmanın sınırlılığını oluşturmaktadır. Bu araştırmada, ileride yapılacak araştırmalarda kullanılabilecek kuram ve Kano Modeli, Servqual ve Grönroos Modeli gibi araştırma yöntemlerine de değinilmiştir. Bu yöntemlerin kullanılması halinde, bu araştırma sonucunda ortaya koyulan faktörler üzerinde hijyenin etkisinin diğer hizmet kalitesi boyutlarından farkının ortaya konulabileceğine dair öneriler sunulmuştur.
Bilimde Hijyen
Authors: Toker Fidel , Güçlü Nergiz Hatice
Published: February 2024

Antik Yunan’da tıp tanrısı Asklepios’un kızı olan Hygeia, insanların bedenî, zihnî ve ruhi temizliğini sürdürmesini sağlayan sağlık ve temizlik tanrıçasıdır. Hijyen kavramı mitoloji, tıp, mühendislik, işletme, din gibi pek çok bilim dalında kullanılmakta, halk sağlığı ve toplum hayatını derinden etkilemesi bakımından önem arz etmektedir. Hizmet sektöründe yer alan turizm ve rekreasyon, hijyen konusunda en çok özeni gerektiren alanlardan biridir. Ulaşım aracından otel odasına, restorandan sinema salonuna, çocuk oyun sahasından havuza kadar pek çok farklı alan, temizlik açısından özen gerektirdiğinden turizm, yiyecek- içecek ve rekreasyon alanlarındaki araştırmalarda hijyen konusuna sıklıkla değinilmektedir. Nitel araştırma yöntemlerinden doküman incelemesine göre tasarlanan bu çalışmada, farklı bilim dallarından yola çıkılarak turizm ve rekreasyon işletmeleri özelinde bir durum tespiti yapılması hedeflenmiştir. Dergipark veri tabanında yer alan ve içeriğinde “hijyen” anahtar sözcüğü geçen makalelerde içerik analizine gidilmiş, farklı bilim dallarındaki çalışmalar ana/ alt konu, ilişkilendirilen alan, araştırma türü, veri toplama yöntemi ve yayın yılı gibi farklı değişkenler açısından incelenmiştir. Yayınların en fazla tıp, sosyal bilimler, mühendislik, diş hekimliği, veterinerlik, ziraat, mimarlık/ planlama/ tasarım, temel bilimler ve eczacılık alanlarında olduğu saptanmıştır. Son değerlendirme, turizm ve rekreasyon alanlarında yayımlanan makaleler özelinde belirlenen tema ve alt temalara göre yapılmıştır.
Turistik Doğu Ekspresi Turları Kapsamında Kars Âşıklık Geleneği Unsurlarının Kültür Endüstrisi Bağlamında Değerlendirilmesi
Authors: Güçlü Deniz , Kıran Fatih
Published: February 2024

Kültür endüstrisi, ilk defa Theodor Adorno ve Max Horkheimer tarafından yazılan “Aydınlanmanın Diyalektiği” adlı eserde, negatif anlamlar yüklenmek suretiyle ele alınır. Onlara göre kültür endüstrisi, son derece karamsar, tüketicisini aldatan bir çerçeve içinde değerlendirilmesi gereken bir olgudur. Her ne kadar bu kavram, olumsuz olarak değerlendirilse de zamanla değişen ve dönüşen dünyada bu algıda da değişmeler ortaya çıkmıştır. Günümüzde Kültür Endüstrisi, Kültür Ekonomisi ve Yaratıcı Ekonomi olarak da adlandırılmaktadır. Tüm dünyada olduğu gibi ülkemizde de son yıllarda yerel ve otantik olan somut ve somut olmayan kültür unsurları turizmin ayrılmaz parçalarından biri haline gelmiş durumdadır. Bu çalışmamızda XIV. yüzyıldan sonra Azerbaycan ve Anadolu’da gelişimini devam ettiren Âşıklık geleneğinin kültür endüstrisi/kültür ekonomisinin bir parçası olarak Doğu Ekspresi Turları kapsamında gündeme gelmesi değerlendirilecektir. Bu kapsamda turizm işletmecileri, geleneği icra eden âşıklar ve bu turlara katılan turistlerle yapılan görüşmeler bağlamında Âşıklık geleneğinin kültür ekonomisine katkıları ve bunların sonuçları ortaya konulacaktır.
Investigating the Role of Proverbs and Idiomatic Expressions in Conveying the Discursive Meanings of Discourse
Authors: Hassan Hassan Mahill Abdallah , Hamdan Ayman Hamad Elneil , Ahmad Javed
Published: February 2024

This paper aims to answer the question, “To what extent do proverbs and idiomatic expressions convey the embedded meanings of discourse between the addressers and addressees?” to bring to light that proverbs and idiomatic expressions convey the embedded meaning of discourse. Therefore, the analysis concentrates on such linguistic means as nominalization and lexicalization. These means have been chosen as primary tools for the analysis due to the fact that they are closely related to the two kinds of constraints, such as nouns and words, that are used in the context. The critical discourse analysis is used to respond to such situations. Language is stated to deliver messages between the audience, namely addressers and addressees. The approach is concerned with the analysis of how ideologies mediated through context are embodied in linguistic production and reception perspectives. The result of the analysis has proved that the proverbs and idiomatic expressions were used metaphorically to convey the embedded meaning of the discourse as a highly sophisticated communication of language.
Slavery between Greed and Survival in Solomon Northup’s Twelve Years a Slave
Authors: El Bakal Mohamed
Published: February 2024

Solomon Northup's Twelve Years a Slave is a powerful memoir and slave narrative that reveals the barbarity and inhumanity of the 19th-century American slave trade. Through his firsthand account of being kidnapped and sold into slavery, Northup exposes the greed, deceit, violence, and subjugation that drove white slave traders and masters to dehumanize and commodify black people for their own economic gain. Northup's narrative sheds light on the brutality of slavery and how it stripped both enslaved people and white slaveholders of their humanity. The book illustrates the horrors of slavery, from the physical and emotional abuse inflicted upon enslaved people to the use of religion to justify and uphold the system of slavery. Northup's narrative emphasizes the helplessness, impotence, and oppression of black slaves, particularly those who were born free but were abducted and sold into slavery like himself. Ultimately, the book reflects the resilience and determination of enslaved people to survive in a violent, oppressive, and hostile world.
Travelling Memories: Revisiting the Past in Larry Heinemann’s Black Virgin Mountain
Authors: Alzahrani Sara
Published: February 2024

The Vietnam War was a period of immense upheaval and trauma for American troops. In recognition of the urgent need for psychological support and care for veterans, a therapy culture and narratives of healing began to take shape, acknowledging the psychological potential of revisiting sites of trauma. While there are numerous cases of war veterans returning to Vietnam in search of closure, very few studies have delved into the specific ways in which mobility and movement influence the reconstruction of war memories and their impact on veterans’ healing. This paper aims to examine how the physical act of returning to a place of trauma can be a powerful form of remembrance and healing, potentially leading to a greater understanding of the complex and interconnected nature of trauma and memory. Through a close reading of Larry Heinemann’s memoir Black Virgin Mountain: A Return to Vietnam (2005), this paper seeks to uncover the power and potential of physical movement to manifest and process traumatic memories, and the potential risks involved. Understanding how war memories continue to manifest long after the war has ended is crucial for understanding the healing process and the urgent needs of veterans. It highlights the significance of mobility and movement as active vehicles of remembrance, allowing veterans to navigate the traumas of the past and find closure.
Synergistic antioxidant and anti-inflammatory effects of combined supplementation with oral zinc and dietary Moringa oleifera leaf in streptozotocin-induced diabetic rats
Authors: Idoko Ali Siddiq , Lamba Aminu Muntari , Pharmacy Abdurrahaman Yusuf , Kabir Saifullahi , Abdulrahman Balkisu , Lawal Nura , Ganiyu Aderounmu Ibrahim
Published: February 2024

Individual interventions with zinc or M. oleifera leaf powder have shown some promise in managing diabetes-induced oxidative stress and inflammation. This study examined the synergistic effect of oral zinc and dietary M. oleifera leaf supplementation on the serum antioxidant and anti-inflammatory activities in streptozotocin-induced diabetic rats. Seven groups of 56 rats were used in the experiment: (1) normal rats + normal diet, (2) normal rats + 3% M. oleifera leaf-supplemented diet, (3) non-treated diabetic rats, (4) diabetic rats + 200 mg/kg metformin, (5) diabetic rats + 3% M. oleifera leaf-supplemented diet, (6) diabetic rats + 100 mg/kg oral zinc sulfate, and (7) diabetic rats + 3% M. oleifera leaf-supplemented diet + 100 mg/kg oral zinc sulfate. ELISA assay kits were used for antioxidant and anti-inflammatory markers respectively. The results suggest that when all treated diabetic groups were compared with non-treated diabetic control at p<0.05, only groups 4 and 7 showed a significant increase in superoxide dismutase activity. Only group 5 showed a significant increase in reduced glutathione. No significant changes were observed in catalase and the total antioxidant capacity. MDA decreased significantly in group 7 only. There was a significant reduction in interleukin-6 in groups 6 and 7. Only group 7 showed significantly reduced C-reactive protein. Tumor necrosis factor-α reduced significantly in group 6 only. Overall, the combined supplementation with zinc and M. oleifera outperformed the individual treatments with either zinc or M. oleifera in ameliorating diabetes-induced oxidative stress and inflammation, indicating a possible synergistic effect of their combination.
Pelatihan Digital Marketing untuk Meningkatkan Pemasaran Produk UMKM Ikan Asin
Authors: Lesmanah Unung , Melfazen Oktriza , Yazirin Cepi
Published: February 2024

Di era modern ini, Digital marketing berkembang pesat dengan fitur-fitur menarik yang ada disetiap aplikasinya. Hal ini seimbang dengan berkembangnya smartphone yang kian menjangkau semua kalangan, dari remaja hingga orang tua. Akan tetapi ditengah berkembangnya smartphone, tidak diimbangi dengan pemanfaatan yang baik. hal ini terjadi pada masyarakat desa Mlaten, kec. Nguling Pasuruan. Mayoritas masyarakat desa memiliki smartphone yang dapat dimanfaatkan sebagai media untuk penjualan jika mereka bisa memanfaatkannya. Penghasilan sehari-hari menggantungkan pada penjualan ikan asin yang mereka olah sendiri. Tempat berjualan dilakukan di pasar tradisional dengan harga bersaing dengan satu sama lainnya. Kegiatan pengabdian ini dilaksanakan dengan metode penyuluhan dan pelatihan secara langsung untuk memanfaatkan digital marketing sebagai media untuk memasarkan produk ikan asin. Hasil dari pengabdian ini masyarakat dapat memahami pentingnya digital marketing dalam pemasaran produk dan masyarakat bisa memanfaatkan digital marketing sebagai media pemasaran produk mereka.
Edukasi Pencegahan Stunting Melalui Pendidikan Keluarga di Desa Punggur Besar Kabupaten Kubu Raya
Authors: Alunaza Hardi , Nuzulian Ully , Rohilie Haunan Fachry , Almutahar Hasan , Umniyah Annisa , Mahesa Gusti , Cantika Suci
Published: February 2024

Pelaksanaan kegiatan pengabdian kepada masyarakat ini dilaksanakan di Kecamatan  Sungai Kakap Kabupaten Kubu Raya mengusung tema edukasi pencegahan stunting melalui pendidikan keluarga. Kegiatan ini dilaksanakan pada bulan Agustus berupa pelaksanaan kegiatan pendidikan kesehatan berupa pemberian edukasi kepada masyarakat sekitar dan dengar pendapat. Berdasarkan kegiatan pengabdian masyarakat yang dilakukan di desa Punggur Besar dapat disimpulkan bahwa masyarakat masih belum mengetahui atau memahami secara jelas proses pencegahan stunting melalui pendidikan keluarga. Namun kegiatan peningkatan kesadaran dan edukasi yang diberikan oleh tim pengabdian masyarakat membantu masyarakat memahami penyebab dan proses pencegahan stunting di lingkungan desa Punggur Besar. Masyarakat juga mendapatkan edukasi yang baik terkait penanganan, proses perbaikan gizi bagi anak dan keluarga, dan upaya meningkatkan kesadaran masyarakat mengenai pencegahan stunting secara komprehensif.
Conversational Implicature in Oprah Winfrey and Meghan Markle’s Interview on thesun.co.uk (A Pragmatic Study)
Authors: Martisa Ela , Aso La , Ningsih Laras Sulistya
Published: February 2024

This study aims to describe the form of conversational implicature in the Interview between Oprah Winfrey and Meghan Markle. This research is a qualitative descriptive study. The subject of this research is Oprah Winfrey and Meghan Markle. The object of the research is the utterances contained in the Interview between Oprah Winfrey and Meghan Markle. The data was collected through searching, downloading, reading script, note taking, classifying, and coding the data to achieve a complete conclusion in the form of conversational implicature in the interview between Oprah Winfrey and Meghan Markle. The results of the study show three forms, namely satire (6 data), protest (3 data), and statement (14 data). Meghan uses this form because she doesn't want to be silent about the problems she has with the royals who played an active role in perpetuating lies about her and Prince Harry.
Analysis of Non-Observance the Maxim in "Knives Out" Movie Script
Authors: Tamrin Tamrin , Muarifuddin Muarifuddin , Arman Arman
Published: February 2024

This research is a pragmatic approach study of an analysis of Non-Observance the Maxim in the Knives Out Movie Script. The objectives of this researcher are to find out the types of Non-Observance Maim in Movie scripts and to find out the dominant types of Non-Observance used by all the character’s utterances. The researcher used the content analysis qualitative method to describe and analyze the selected Non-Observance which are watching movies and then classifies them according to Paul Grice’s concept types of Non-Observance.  The researcher used content analysis which focuses on classifying the types of Non-Observance and the dominant types of Non-Observance in Knives Out movie carried out by all the characters. The researcher found that the characters use all types of Non-Observance. The first flounting there are Quality (3), Quantity (8), and Relation (1) Manner (-). Second is Violation, they are Quality (4), Quantity (3), Relation (1), and Manner (-). Third, Opting Out, which are {Quality (-) Quantity (1) Relation (1) Manner (-), Forth is Infringing, they are Linguistics Performance (-), Culture Impairment (-) Cognitive Impairment (1), and the last is Suspending (1) Based on the data above, it reveals that all characters in their utterances dominantly used the Non-Observance of Flounting with 13 data.
Perlocutionary Act in "Look Away" Movie Script
Authors: Sari Andra , Masri Fina Amalia , Amstrong Neil
Published: February 2024

This research discussed how the perlocutionary act is used in the “Look Away” movie script. The objective of this research is to describe the functions of the perlocutionary act of the utterances of the characters in the “Look Away” movie script. This research uses a descriptive qualitative method and the data source of this research is taken from the “Look Away” movie script. In this research, there is data belonging to type two where the content of type two is that what the speaker said is not understood by the listener, usually causing a misunderstanding discourse. But there is also some data belonging to types one; what the speaker said is understood by the speaker, types three; what the speaker’s intention was fully or partially understood by the listener, however, the listener did not work in that way, and types four; what is the speaker’s intention was not been understood by the listeners, however, due to the involvement of other attendants in the communication, the speaker’s expected perlocutionary act came true. This research also has similarities between the four types of perlocutionary acts by Qiang (2013) and perlocutionary act and communication and non-linguistic signs in the perlocutionary act in the book on Perlocutionary Act by Qiang (2013).
Personality of the Main Character in "Inside Out" Movie Directed by Pete Docter
Authors: Zaltina Wa Ode , Rasiah Rasiah , Sofyan Nur Israfyan
Published: February 2024

This thesis aims to analyze the personality of the main character reflected in the movie Inside Out by Pete Docter using Sigmund Freud's psychoanalysis studies. This research uses descriptive qualitative research methods. The data source in this study is Inside Out movie which is directed by Pete Docter, as well as articles, books, and theses that can provide information related to this research. Data is collected through watching, taking notes, taking pictures, and identifying. The results showed that in the main character, there is id, ego, and superego. Next as in the new students, there will be a directive from the teacher that we must introduce ourselves first so that we can be known in our environment that's what Riley did when entering a new school in San Francisco. Also for the sake of hobbies and support from her parents, he had to rise from the slump and he began to adapt well to her new neighborhood of San Francisco. In this case, the most guided in the main character is compassion, attention, and unyielding.
Ethnography of Communication Analysis in "Luca Movie" Dialogue
Authors: Nurfridayanti Rekiyan , Putra Ansor , Azi Rahmawati
Published: February 2024

This study aimed to analyze the ethnography of communication, ethnographic components, and how to explain it using the theory proposed by Dell Hymes. This study discussed the settings/scenes, participants, ends, action sequences, keys, elements, instrumentalities, norms, and genres of the communication summarized in the acronym speaking model in Luca movie dialogue. To make it easy for readers to understand, all the categories mentioned were grouped according to the analysis under study. This ethnographic study focuses on communicative competence in society related to its culture. The researcher used qualitative descriptive research methods to describe and interpret objects according to the current situation. The descriptive method is applied in an integrated manner because in analyzing the data, it is presented in a clearer explanation. The researcher then analyzed the dialogue in the Luca movie by using a descriptive qualitative research method. The finding in this movie is a conversational genre is found which generally becomes the human daily conversation. This movie uses language that is easy for the readers to understand because it uses everyday language whose words can be easily understood. The data found in this study include 141 dialogues based on the variety of topics discussed by the participants. In conclusion, the part of the discussion is that the researcher found some data that included several category elements from the ethnography of communication and then made conclusions from the use of ethnography of communication elements in the research findings section.
Bourdieu's Strategy in the Movie "A Bug's Life"
Authors: Ardianto Agus , Gultom Eva Solina
Published: February 2024

Movies have been a platform to picture every human-related activity. The movie is not a mere depiction but a reflection of social life. The idea is to set movies as a manifestation of social life. A Bug’s Life (1998) is an animated movie directed by John Lasseter that follows the storyline of Seven Samurai (1954) a movie by Akira Kurosawa. A Bug’s Life is a manifestation of social life, it contains the struggle for power, social dynamics, and oppression. This study aimed to analyze the depiction of the strategy of power by Pierre Bourdieu in A Bug’s Life and focused only on strategy-based practical action. Bourdieu has classified the strategy into two segments, which are the reproduction strategy and the reconversion strategy. The author used three variables to analyze the movie, those are habitus, capital/modal, and field, which determine the agent’s strategy. After conducting the research using Pierre Bourdieu's theory, the author found that a strategy is a tool of struggle, strategy is based on emergence, strategy is made to counter another strategy, and strategy is a manifestation of capital, habitus, and field.
Framing in Delta and Omicron Variant News in CNN Channel on Youtube.Com (A Discourse Analysis)
Authors: Santri Jaka , Putra Ansor , Arman Arman
Published: February 2024

This study aims to analyze the form of news framing of the Delta and Omicron variants of COVID-19 on the CNN channel on youtube.com based on the perspective theory of Discourse Analysis of Framing Analysis by Zhondang Pan & Gerald M. Kosicki. The data were analyzed by describing and interpreting the data to answer the research questions of this research. The writer analyzed two news videos from the CNN channel. The writer found that the Delta and Omicron variants of news framing from COVID-19 on the CNN channel tend to have similar schemes between the two video news, prioritizing certain aspects developed by journalists. CNN also shows facts, information, statements, and opinions of experts, governments, scientists, and related parties to support the aspects of the news. Everything is explained by the writer in detail in Syntactical Structure, Script Structure, Thematic Structure, and Rhetorical Structure.
Representation of Racism in "The Man Who Knew Infinity" Movie by Matthew Brown
Authors: Wulandari Siti Ayu , Rasiah Rasiah , Azi Rahmawati
Published: February 2024

This study aimed to analyze racism in The Man Who Knew Infinity movie used Paradies, Harris, and Anderson’s theory. The Man Who Knew Infinity released in 2016 is a film directed by Matthew Brown that features the character of a genius mathematician from India named Srinivasa Ramanujan who wants to publish his formula about mathematics at Trinity College. As an Indian, Ramanujan experienced various acts of racism committed by the British, both mentally and physically. This study used a descriptive qualitative method. The data was collected through four steps, such as watching, screenshotting, note-taking, and identifying the data. The result of this study showed that the main character experienced racism because of his race and nationality. The kinds of racism that the main character experienced namely stereotypes, prejudice, and discrimination.
Account in "The Devil All the Time" Movie Script
Authors: Shabirtz Gerry , Masri Fina Amalia , Amstrong Neil
Published: February 2024

This research aims to discuss Account in The Devil All the Time movie script, based on Scott and Layman’s theory on the Justification and excuses aspects. Data was collected through searching, downloading, reading, watching, and coding, and the data collected was analyzed through several steps; presenting, describing, interpreting, classifying, and concluding the results of this research. The results showed that the account exists and is applied by the character. The researcher finds several types of accounts, namely justification 5, defeasibility 3, scapegoating 3, and biological 2. One type of account was not found, namely an accident. In the finding, the researcher finds that every excuse contains justification but every justification does not contain an excuse. Moreover, the justification aspect is more dominantly used because the character always justifies the bad behavior of others or themselves. In excuses, the defeasibility aspect is used because many murders are committed based on victims who deserve to be killed. The scapegoating aspect is used by the character to accuse others of the mistakes he made so as not to become a suspect of his actions and the biological is the last factor that causes Account’s behavior in this movie script.
Analysis of Metafunction in Nick Vujicic's Motivational Speech “Hear the Heart” on YouTube
Authors: R. Seysar Dinda Nurul Pratiwi , Gultom Eva Solina
Published: February 2024

This study aims to analyze the language metafunctions in Nick Vujicic’s Hear the Heart speech using Systemic Functional Linguistics (SFL) theory by M.A.K. Halliday and supported by other Systemic Functional Linguists’ theories. This study employed the qualitative method. 499 data clauses are investigated in this study. The result shows that in terms of ideational metafunction, the dominant process used by Nick was the mental process (33,07%) which indicates that he involved his senses to represent his experiences of the outer world as well as the inner world of his thoughts and feelings. In interpersonal metafunction, declarative mood (72,34%), high value of modality (38,50%), and second personal pronoun (58,62%) are the most frequently used in the speech, which shows his high commitment and certainty of the information he uttered and also to show his care and respect for the audience; thus, a close intimate relationship is maintained. Through textual metafunction, which is dominated by topical theme (52,70%), Nick attempts to get the audience’s attention to focus on the message of what is being said and gives many statements to tell the audience about his experiences in life. To conclude, by using the three metafunctions, Nick could organize his language choice properly to create meaning and achieve his purpose in the speech.
Simulasi Pemanfaataan Turbin Angin sebagai Pembangkit Energi Listrik di Bukit Karang Putih PT.Semen Padang
Authors: Syafrin Khairuly , Hamid Muhammad Irman
Published: February 2024

Dinamika angin dapat dipelajari dengan menerapkan fungsi kerapatan probabilitas atau distribusi probabilitas. Dalam penelitian ini digunakan mikro kontroller Arduino uno R3 dan beberapa modul sensor yakni sensor arah dan kecepatan angin, sensor suhu ,kelembapan dan tekanan udara. Penelitian ini menggunakan Arduino Uno R3 yang berfungsi sebagai data logger, semua informasi baik berupa tegangan ataupun nilai arus dari sensor akan diolah dan disimpan menjadi data digital. Data Angin yang digunakan dalam penelitian ini adalah data yang diperoleh dari pengukuran menggunakan sensor kecepatan angin dari anemometer, sensor suhu dan kelembaban dan mikrokontrol lerarduino uno.  Datanya berupa angin (m/s), suhu C, kelembababan (%) per satu menit selama satu bulan Perhitungan yang dilakukan menggunakan rumus daya angin, area sapuan baling-baling, densitas udara, koefisiensi daya dan efesiensi konversi daya. Dari Hasil di atas terlihat perbedaan Pm,Tm dan Wm dan Grafiksetiap  masing-masing masukan dari kecepatan angin pada turbin. Pm tertinggi adalah 6,47 watt terjadi pada saat kecepatan angin adalah 1,188 m/s sedangkan Nilai Tm tertinggi adalah 0,4674 Nm pada saat Kecepatan angin 2,079 m/s dan Kecepatan Rotor tertinggi adalah 2,512 radian/s pada saat kecepatan anginnya 1,188 m/s. 3.Konversi energi litrik dari energi angin dipengaruhi oleh densitas udara, kecepatan angin, Nilai TSR nya, Panjang bladenya serta Sudut kemiringannya (β) nya dan semuanya diperhitungkan unutk memproleh nilai efisiensi yang tinggi dari hasil nilai PM, Tm dan Kecepatan rotor.
Cerebral palsy, diagnosis and modern treatment (literature review)
Authors:   FSBEI HE Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation, Nizhny Novgorod, Badu S. K.
Published: February 2024

In most nations, cerebral palsy, which af fects 1 in 500 newborns and has an estimated incidence of 17 million people globally, is the most frequent cause of childhood-onset, lifelong physical disability. The term «cerebral palsy» refers to a group of children that share characteristics of a non-progressive brain injury or lesion that was sustained during antenatal, perinatal, or early postnatal life rather than a disease entity in the traditional sense. The type of movement abnormality, the degree of functional capacity and limitation, and the body areas affected vary widely among the clinical symptoms of cerebral palsy. Although there is presently no cure for brain injury, efforts to prevent and treat it are progressing. Although cerebral palsy affects people for their whole lives, the majority of research efforts and management techniques for the condition currently concentrate on the needs of children. The treatments discovered included nanomedicine, stem cell therapy, physiotherapy, occupational therapy, and medicinal and surgical techniques. Further research is required to adapt therapies like cord blood therapy, nanomedicine, and stem cell therapy in clinical settings.
Estrés laboral en personal de enfermería de la unidad de cuidados intensivos en clínica
Authors: Arévalo-Pachala Lesly Jomayra , Albornoz-Zamora Elsa Josefina , Vega-Falcón Vladimir , Romero-Fernández Ariel
Published: February 2024

Objetivo: determinar la influencia que ejercen los factores socioeconómicos en el estrés laboral del personal de enfermería de la Unidad de Cuidados Intensivos de la Clínica de Quito, Ecuador. Método: Descriptiva observacional en una población de 12 enfermeras. Resultados y conclusión: La presencia de estrés por cada una de las dimensiones, se encontró que en el 50% de las enfermeras aparece un nivel de estrés confirmado, en un 33.3% el intermedio y en el 16.7% el nivel bajo. Las áreas exploradas en esta investigación a través del instrumento de la OIT/OMS, y mediante las entrevistas realizadas a directivos de la Clínica de Quito (vicedirector y Coordinadora de Enfermería), han permitido determinar los diferentes factores socioeconómicos que generan estrés en el personal de enfermería de la Unidad de Cuidados Intensivos (UCI), y ante el riesgo de estos factores han manifestado un nivel de estrés intermedio.
Interpretación del riesgo a desarrollar úlceras por presión en unidades de cuidados críticos
Authors: Llano-Pila Sandra Maricela , Albornoz-Zamora Elsa Josefina , González-Salas Raúl , Vega-Falcón Vladimir
Published: February 2024

Objetivo: interpretar los riesgos a desarrollar en úlceras por presión en unidades de cuidados críticos. Método: Revisión sistemática de 15 articulos publicados en PubMed. Resultados y conclusiones: Se debe tener en cuenta el efecto del número de tratamientos y fármacos invasivos, ya que es directamente proporcional a la aparición de úlceras por presión; Es decir, cuantos más tratamientos, mayores son los riesgos. Se observó que los pacientes que recibieron más de 3 tratamientos (ventilador, sedación, vasoconstrictor y relajantes) tenían una mayor probabilidad de daño en la piel. La estrategia de prevención de úlceras por presión es evaluar inicialmente el riesgo de ingreso y reevaluar la piel del paciente a lo largo de la estancia hospitalaria, ya que se ha observado que durante las primeras horas de ingreso el paciente tiene riesgo de desarrollar úlceras por presión; Este riesgo aumenta cuanto más tiempo permanezca en cama, hasta 7 días.
Abordaje de enfermería al familiar del paciente críticamente enfermo
Authors: Lozada-Martínez Liliana Alexandra , Ortega-Guevara Neris Marina , Nuñez-Zuñiga Ana Lorena , Labrada-González Elsy
Published: February 2024

Objetivo: analizar el abordaje de enfermería al familiar del paciente críticamente enfermo. Método: La investigación se basó en la revisión documental de 15 articulos publicados en PubMed de 5 años de vigencia. Resultados y conclusión: Se identificó como es el abordaje de enfermería al familiar del paciente críticamente enfermo cuyos resultados indican que el personal de enfermería debe establecer una relación más cercana con los familiares del paciente crítico con el fin de cubrir las necesidades de la familia como son las necesidades emocionales en donde se debe brindar apoyo ya que la familia se siente vulnerable.
Cuidado de enfermería en prevención de complicaciones de paciente crítico pediátrico con acceso venoso periférico
Authors: Lucio-Amanche Gina Vanessa , Ortega-Guevara Neris Marina , Albornoz-Zamora Elsa Josefina , Echevarria-Frutos Isabel
Published: February 2024

Objetivo: describir el cuidado de enfermería para prevención de complicaciones en pacientes críticos pediátricos con acceso venoso periférico. Método: Descriptiva documental. Resultados y conclusiones: La selección de los sitios de venopunción en pacientes críticos pediátricos debe ser cuidadosa porque durante la niñez las venas son difíciles de visualizar, tienen menor diámetro, existe mayor fragilidad capilar además que las variaciones anatómicas y condiciones de los pacientes complican el proceso, pero de manera general se pueden elegir las venas superficiales del dorso de la mano y del antebrazo de miembro no dominante, evitando los sitios de flexión, además en la pierna, zona antecubital la safena, yugular externa y venas superficiales del cuero cabelludo porque son visibles, palpables, tienen la ventaja de que no dañan el árbol vascular, son bien soportados por las estructuras circundantes y permiten una sujeción adecuada.
Cuidados de enfermería en pacientes con quemaduras durante el proceso de hospitalización
Authors: Manzano-Pérez Victoria Alexandra , Rodríguez-Plascencia Adisnay , Romero-Fernández Ariel José , Soria-Acosta Alina Rosa
Published: February 2024

Objetivo: describir los cuidados de enfermería en pacientes con quemaduras durante el proceso de hospitalización. Método: Descriptiva documental. Resultados y conclusión: El profesional de la salud del área de enfermería no centra su accionar únicamente en el apoyo médico, las acciones van orientadas a la toma de decisiones iniciales, al establecimiento de diagnósticos diferenciales en base a las necesidades propias de los pacientes. La adecuada intervención en base al esquema ABCDE, será la pauta inicial del personal de enfermería y sumada a esta las siguientes intervenciones encaminadas al mantenimiento de las constantes vitales, contribuirán a un análisis del estado del paciente, de los riesgos temporales que estos presentan, de las posibles complicaciones y de la gran cantidad de intervenciones, con el objeto de establecer acciones más individualizadas del paciente, que contribuyan a su mejor recuperación.
Intervención de enfermería en pacientes adultos con trastornos mentales en las unidades de cuidados críticos
Authors: Martínez-Rivera Viviana Nataly , Ortega-Guevara Neris Marina , Reyes-Guevara Andrea Margarita , Acosta-Núñez Jeannette Mercedes
Published: February 2024

Objetivo: analizar la intervención de enfermería en pacientes adultos con trastornos mentales en las unidades de cuidados críticos. Método: Descriptivo y de corte transversal. Resultados: el 51,9% del personal valora casi siempre la presencia de medicamentos sedantes como factor para el desarrollo de trastornos mentales en el paciente hospitalizado. Conclusión: En primera instancia en lo concerniente a la valoración mental existe aún falencias en el personal de enfermería sobre la valoración del estado mental del paciente en todas sus dimensiones, que todavía por falta de información no se ha implementado escalas que aporten a la mejoría en la evaluación del estado cognitivo del paciente con trastorno mental, que existe decadencia de uso de un plan de cuidados enfocados en diagnósticos enfermeros y por ende intervenciones personalizadas en cada paciente y su correcto registro en las bitácoras de evaluación.
Infecciones bacterianas más frecuentes en pacientes con covid-19 dentro de la unidad de cuidados intensivos
Authors: Miguez-Agama Jessica Alexandra , Ortega-Guevara Neris Marina , Dávila-Quishpe María Aidé , Sandoval-Rueda Myrian Cecilia
Published: February 2024

Objetivo: describir las infecciones bacterianas más frecuentes en pacientes con COVID-19 dentro de la Unidad de Cuidados Intensivos. Método: Se trabajó con revisión bibliográfica sobre temas especializados en ciencias médicas, enfermería y epidemiología a nivel nacional e internacional. Resultados y conclusión: La coinfección con otros microorganismos, como bacterias y hongos, es un factor que puede aumentar los síntomas de la enfermedad y la mortalidad. Las características clínicas de las lesiones pulmonares debidas a la Covid-19 pueden ser difíciles de distinguir de la neumonía bacteriana.
Factores de riesgo en la aparición de infecciones asociadas al catéter venoso central
Authors: Miranda-Padilla Alicia Isabel , Rodríguez-Plascencia Adisnay , Romero-Fernández Ariel José , Gómez-Martínez Nairovys
Published: February 2024

Objetivo: determinar los factores de riesgo asociados en la aparición de infecciones relacionadas al catéter venoso central en las Unidades de Cuidados Intensivos.  Método: Descriptivo documental. Resultados y conclusiones: La mayoría de los factores que contribuyen al riesgo de infección relacionados a los catéteres venosos centrales, la desnutrición, la ventilación mecánica uso de antibióticos prolongados, negligencia del personal, falta de cuidado en la manipulación del dispositivo mencionado en el número de lúmenes y métodos de tratamiento excesivos, fueron los factores de riesgo más comunes. Educar y capacitar al personal que coloca, manipula y mantiene los catéteres es una parte importante de la prevención de complicaciones infecciosas del CVC.
Cuidados de enfermería en la secuencia rápida de intubación de pacientes con distrés respiratorio agudo
Authors: Morocho-Espinoza Narcisa Estefanía , Ortega-Guevara Neris Marina , Neira-Huera Rebeca Alejandra , López-Ruales Rosa-del-Pilar
Published: February 2024

Objetivo: analizar los cuidados de enfermería en la secuencia rápida de intubación de pacientes con distrés respiratorio agudo. Método: Descriptivo documental. Resultados y Conclusión:  El síndrome de distrés respiratorio se sigue situando entre las entidades patológicas con altas tasas de mortalidad y entre las primeras causas para requerir intubación endotraqueal en los pacientes críticos, esto debido a que su fisiopatología no se basa únicamente en el daño respiratorio, sino a la afectación colateral de diferentes órganos y sistemas, el SDRA no distingue edades y pese a ser mayor su incidencia en hombres que en mujeres las secuelas que ocasiona a corto, mediano y largo plazo afectan directamente a la calidad de vida de todas aquellas personas que lo han padecido, por esta razón es de gran importancia seguir investigando, actualizando y aportando con conocimientos de bases científicas que puedan mejorar su tratamiento, así como prever su aparición secundaria a cualquier patología.
Nivel de conocimiento sobre el cuidado de vía venosa central en cuidados intensivos
Authors: Morocho-Yupangui Ivan Mauricio , Albornoz-Zamora Elsa Josefina , González-Salas Raúl , Hernández-Zambrano Yarintza Coromoto
Published: February 2024

Objetivo: analizar el cuidado de vía venosa central en cuidados intensivos. Método: Descriptivo documental. Resultados y conclusión: Las infecciones relacionadas con los CVC son un problema de especial relevancia y frecuencia, y su morbilidad, dentro de ellas la bacteriemia es la infección nosocomial más temible. Los sistemas de evaluación son importantes para determinar deficiencias en el conocimiento enfermero sobre CVC por lo que pueden ayudar a corregir errores en la práctica, y mejorar la calidad de atención y seguridad al paciente.
Cuidados de enfermería en administración de sedoanalgesia en pacientes bajo ventilación mecánica en emergencia
Authors: Muyulema-Yumiseba Nelly Paola , Albornoz-Zamora Elsa Josefina , González-Salas Raúl , Guarate-Coronado Yeisy Cristina
Published: February 2024

Objetivo: interpretar los cuidados de enfermería en la administración de medicamentos sedoanalgésicos en el paciente que se encuentra bajo ventilación mecánica en emergencia.  Método: Revisión bibliográfica de 15 articulos publicados en PubMed con análisis de contenido. Resultados y conclusión: el papel del profesional de enfermería en la prevención de la debilidad adquirida por los pacientes pediátricos en la unidad de cuidados intensivos y su rehabilitación. concluyendo que el nivel de confianza actual muestra la necesidad de la enfermería pediátrica. Existe una conexión entre la fragilidad aprendida en la UCI, investigación realizada en gran medida para los ancianos, y el material aprendido de los jóvenes, que es proporcionalmente más deficiente.
Diagnóstico situacional del dolor crónico en el personal de enfermería del área crítica
Authors: Pachucho-Flores Ana Pamela , Rodríguez-Plascencia Adisnay , Romero-Fernández Ariel José , Acosta-Núñez Jeannette Mercedes
Published: February 2024

Objetivo: analizar el diagnóstico situacional del dolor crónico en el personal de enfermería del área crítica. Método: Descriptivo observacional. Se tomó como población a 93 enfermeras/os que trabajan en las áreas críticas de los Hospitales del Cantón Ambato. Resultados y conclusión: Se logró realizar un diagnóstico de dolor crónico producido por el estrés, demostrando en base a los cuestionarios aplicados que los altos niveles de estrés están relacionados con el riesgo de aparición de problemas musculoesqueléticos, por ende, de dolor. Se demostró en el presente estudio, que el 38.7% y 36.5% presentan altos y moderados niveles de estrés, lo cual se encuentra relacionado con el 91.4% de docentes que presentan un riesgo alto de desarrollar problemas musculoesqueléticos en miembros superiores tanto en miembro derecho como en izquierdo.
Intervenciones de enfermería en el cuidado ocular del paciente crítico
Authors: Paguay-Daquilema Marisol Elizabeth , Ortega-Guevara Neris Marina , Armijos-Campoverde Lupita Melania , Dávila-Quishpe María Aidé
Published: February 2024

Objetivo: analizar las intervenciones de enfermería en el cuidado ocular del paciente crítico. Método: Revisión sistemática de 15 articulos de investigación relacionados al objetivo de investigación. Resultados y conclusión: Las afecciones oculares son una de las principales afecciones que afectan los pacientes recluidos en cuidados críticos, las cuales se han reportados principalmente en pacientes que han padecido de COVID-19 y cáncer como producto de la propia complicación de la enfermedad como consecuencia del uso de fármacos, siendo las principales patologías oculares el síndrome de ojo seco y las ulceraciones oculares.
Cuidados de enfermería en úlceras por presión en pacientes con distrés respiratorio-agudo en terapia intensiva
Authors: Pérez-Sánchez Evelyn Paola , Dávila-Quishpe María Aidé , Vega-Falcón Vladimir , Sandoval-Rueda Myrian Cecilia
Published: February 2024

Objetivo: analizar los cuidados de enfermería en úlceras por presión en pacientes con distrés respiratorio-agudo en terapia intensiva. Método: Se realizó una revisión sistemática donde se incluyeron 15 documentos con la calidad académica de los estudios. Resultados y conclusión: Se priorizó detectar los factores de riesgo que presentan los pacientes críticos, por lo cual fueron más susceptibles de presentar ulceras en posición prono, una vez detectado se procedió aplicar los cuidados de enfermería respectivos con cuidados especiales en la piel manteniéndola humectada, colocando parches hidrocoloides en las zonas con mayor riesgo, realizando el cambio respectivo de posición cada dos horas, permitieron evitar la presión sobre la piel y se produzcan lesiones.
Relación del delirio con los factores estresores del entorno en las unidades de cuidados intensivos
Authors: Procel-Niama Alina Gabriela , Rodríguez-Plascencia Adisnay , Romero-Fernández Ariel José , Ortega-Guevara Neris Marina
Published: February 2024

Objetivo: determinar la relación del delirio con los factores ambientales estresores del entorno en las unidades de cuidados intensivos. Método: Revisión sistemática. Resultados y conclusión: A través del análisis de la información obtenida se puede evidenciar que existe una relación estrecha entre los factores estresores del ambiente y el origen del delirio. Se han identificado los principales factores estresores del ambiente hospitalario en los cuales el personal de enfermería puede trabajar que principalmente son los factores modificables en los que el estrés psicosocial, privación del sueño, son factores que el personal puede prevenir instado inicialmente en estas medidas para no recurrir a las medidas farmacológicas.
El síndrome de burnout como factor asociado al estrés laboral del personal de enfermería
Authors: Quintuña-Cuyago Andrea Estefanía , Rodríguez-Plascencia Adisnay , Romero-Fernández Ariel José , Neira-Huera Rebeca Alejandra
Published: February 2024

Objetivo: determinar la relación que existe entre el Síndrome de Burnout y el estrés laboral en el personal de enfermería de la unidad de cuidados intensivos por la pandemia COVID-19, que sirvan como punto de referencia para futuras investigaciones. Método: Revisión documental. Población de 15 articulos científicos en bases de dato: Scielo, PubMed, Latindex 2.0. Resultados y conclusión: La salud mental y sus complicaciones son un problema evidente dentro del personal de salud. El personal más afectado resulta ser enfermería al verse expuesto a peores condiciones laborales sin los insumos y recursos necesarios para desempeñar sus actividades.
Cuidados de enfermería en la prevención de lesiones oculares en pacientes adultos críticos bajo sedación
Authors: Ramírez-Lara Katherine María , Albornoz-Zamora Elsa Josefina , González-Salas Raúl , Morales Gómez-de la Torre María Fernanda
Published: February 2024

Objetivo: analizar los cuidados de enfermería en la prevención de lesiones oculares en pacientes adultos críticos bajo sedación. Método: Revisión documental. Resultados y conclusión: Se recomienda encarecidamente el desarrollo de protocolos estandarizados de atención de enfermería de dichos cuidados; con la actual crisis sanitaria y el aumento de pacientes en UCI, el riesgo de desplazar el cuidado de la superficie ocular puede conllevar resultados devastadores para la visión de los pacientes; por ello, se ha demostrado que la implementación de algoritmos estándares para su cuidado (adaptados a los recursos disponibles) puede mejorar sustancialmente la práctica de enfermería y mejorar las probabilidades de un resultado positivo para los pacientes críticos.