bluuebunny/crossref_metadata_2025 huggingface dataset:
Dealing with Sudden Cardiac Death: Who Deserves Device Implantation
Authors: Hanafy Dicky Armein
Published: July 2019

Sudden cardiac death is one of the leading causes of death in the western industrial nations. Most people are affected by coronary heart disease (coronary heart disease, CHD) or heart muscle (cardiomyopathy). These can lead to life-threatening cardiac arrhythmias. If the heartbeat is too slow due to impulse or conduction disturbances, cardiac pacemakers will be implanted. High-frequency and life-threatening arrhythmias of the ventricles (ventricular tachycardia, flutter or fibrillation) cannot be treated with a pacemaker. In such cases, an implantable cardioverter-defibrillator (ICD) is used, which additionally also provides all functions of a pacemaker. The implantation of a defibrillator is appropriate if a high risk of malignant arrhythmias has been established (primary prevention). If these life-threatening cardiac arrhythmias have occurred before and are not caused by a treatable (reversible) cause, ICD implantation will be used for secondary prevention. The device can stop these life-threatening cardiac arrhythmias by delivering a shock or rapid impulse delivery (antitachycardic pacing) to prevent sudden cardiac death. Another area of application for ICD therapy is advanced heart failure (heart failure), in which both main chambers and / or different wall sections of the left ventricle no longer work synchronously. This form of cardiac insufficiency can be treated by electrical stimulation (cardiac resynchronization therapy, CRT). Since the affected patients are also at increased risk for sudden cardiac death, combination devices are usually implanted, which combine heart failure treatment by resynchronization therapy and the prevention of sudden cardiac death by life-threatening arrhythmia of the heart chambers (CRT-D device). An ICD is implanted subcutaneously or under the pectoral muscle in the area of the left collarbone. Like pacemaker implantation, ICD implantation is a routine, low-complication procedure today.
Applicability of Recent Dyslipidemia Guidelines in Clinical Practice
Authors: Erwinanto Erwinanto
Published: July 2019

Atherosclerotic plaque rupture is closely related to acute coronary syndromes.Stabilization of atherosclerotic plaque which slashes plaque rupture is as importantas regression ofplaque size for reducing cardiovascular events. Dyslipidemia therapy targeting to decrease LDL cholesterol reduces cardiovascular events such as acute myocard infarct, stroke, and death which are suggested to be the result of plaque stabilization. Dyslipidemia therapy also regress atherosclerotic plaque into a smaller volume. Plaque regression improves coronary flow responsible for the reduction of myocardial infarction incidence in patients with coronary heart disease (CHD).This paper consists of two parts. The first part discusses the evidence of cardiovascular event reduction with statin. The second part describes dyslipidemia management based on the 2017 Indonesian Heart Association (PERKI) Guideline on the Management of Dyslipidemia
Identifikasi Logam Berat dalam Biji Jagung Manis dan Kedelai pada Transisi Sistem Pertanian Organik
Authors: Priyadi Sapto , - Soelistijono , Harieni Setie , Prasetyowati Kusriani
Published: July 2019

Heavy metals contaminants in land agriculture are environmental problems and to reduce the food safety, so that too needed for the research of Pb, Cd and Cu decrease absorption by plants using organic chelating agent i.e. substance of humus (humic and fulvic acid) in there manure. The research was done with completely block design, in Gagaksipat, Ngemplak, Boyolali; heavy metal analysis in manure, land and seeds use atomic absorption spectrophotometer-flame (AAS Jena Contr AA 300 German). It was aimed to identify contaminants of  Pb, Cd, and Cu in sweet corn and soybean seeds. The research treatment were doses of cow manure: 15, 20, 25, 30, 35, 40, 45 and 50 kg per hectare. The results showed that's enrichment coefficient (EC) Pb and Cu in sweet corn seeds had low accumulator plants categories, whereas the EC plumbum soybean seeds had low accumulator plants categories, whereas the EC copper soybean seeds had moderately accumulator plants categories, and EC cadmium in the sweet corn and soybeans seeds were undetectable. Exposure of Pb and Cd in corn sweet and soybean seeds were undetectable, while of Cu in sweet corn and soybean seeds 2.03 and 12.39 ppm respectively. Contaminant of Pb, Cd and Cu exposure in land sweet corn post-harvested were 30.99; undetectable and 60.58 ppm respectively. While Pb, Cd and Cu exposure in land soybean post harvested were 33.24; undetectable and 56.26 ppm respectively.
Desain sensor suhu dan kelengasan tanah untuk sistem kendali budidaya tanaman cabai (Capsicum Annuum L.)
Authors: Telaumbanua Mareli
Published: July 2019

Di daerah tropis, pertumbuhan tanaman cabai dipengaruhi oleh beberapa faktor iklim seperti suhu, nutrisi, dan cahaya. Suhu, unsur hara, dan kelengasan tanah yang tidak sesuai untuk pertumbuhan tanaman, mampu menyebabkan terhambatnya pertumbuhan tanaman. Hal ini diakibatkan oleh terganggunya produksi enzim dan pembentukan hormon untuk membantu pembentukan jaringan tanaman. Terganggunya pertumbuhan tanaman cabai, ditunjukkan melalui rendahnya pertumbuhan luas permukaan daun dan tinggi tanaman, saat dibandingkan tanaman yang berada pada suhu ideal. Untuk mendapatkan pertumbuhan dan hasil yang maksimal, dibutuhkan sistem kontrol yang mampu mengendalikan suhu, kelengasan tanah, dan hama saat tanaman cabai dibudidayakan. Tujuan jangka panjang penelitian ini adalah merancang suatu sistem pengendalian yang mampu mengendalikan iklim mikro, pemupukan dan pengendalian hama untuk pertumbuhan tanaman cabai. Untuk itu, langkah pertama yang dilakukan adalah perancangan sensor suhu lingkungan dan sensor kelengasan tanah. Mikrokontroler menghubungkan sensor dengan aktuator pompa air dan pompa irigasi melalui modul relay dan transistor TIP122. Keakuratan sensor suhu DHT 22 dan sensor kelengasan tanah dihitung berdasarkan pendekatan nilai koefisien determinasi dan total error masing-masing sensor. Kinerja aktuator dalam perancangan ini, meliputi kecepatan respon dan durasi waktu kerja. Uji kinerja dilakukan sebanyak 3 kali percobaan tanpa menggunakan tanaman cabai. Koefisien determinasi (R²) sensor suhu 1, sensor suhu 2 dan sensor suhu 3 berturut-turut adalah 0,999, 0,999, dan 0,999. Total error dari ketiga sensor tersebut berturut-turut adalah -0,071 ºC, -0,085 ºC, dan 0,014 ºC. Koefisien determinasi (R²) sensor  kelengasan 1, sensor kelengasan 2, dan sensor kelengasan 3 adalah  0,888, 0,8401, dan 0,8963. Total rerata error untuk ketiga jenis sensor kelengasan ini adalah  -0,2204 % , -0,0952 % dan -2,8049 %.
El desarrollo de las corrientes contemporáneas de América Latina. Pensamiento y realidad social
Authors: Sosa Elízaga Raquel
Published: July 2019

Balance de los años 80. Hacia una teoría de la crisis desigual de los paradigmas. En reuniones de científicos sociales es cada vez más corriente escuchar que nos encontramos ante una crisis de paradigmas que expliquen la situación por la que atraviesa América Latina.
Bush ante Centroamérica: Debate interno, consensos previos y primeras pruebas
Authors: Bermúdez Torres Lilia
Published: July 2019

La articulación de un diseño de política exterior que pueda responder a los grandes desafíos de la década de los noventa, ha sido motivo de un amplio debate en el interior de Estados Unidos. Las evaluaciones contradictorias en torno a los resultados de ocho años de política reaganiana se tornan más complejas en un momento en el que las iniciativas soviéticas han dado la pauta para un proceso de distensión cualitativamente diferente al primero, dado que parte de profundas transformaciones y necesidades internas.
Entrevista a Eduardo Ledezma y al Dr. Benjamín Colamarco,* Comandantes de los Batallones de la Dignidad en Panamá (Agosto de 1989)
Authors: Vergara Rafael
Published: July 2019

¿Cuál es el origen del problema por el que atraviesa Panamá en este momento? El Stablishment norteamericano persigue un objetivo estratégico en  Panamá, compuesto  de cuatro puntos:
El primero es que se desconozca el contenido, la letra y el espítitu de los tratados Torrijas-Carter.

El segundo es que las bases militares que están en Panamá permanezcan aquí más allá del 31 de diciembre de 1999.

El tercero es que el Comando Sur permanezca en Panamá.

El cuarto, es la destorrijizadón del país.
La frontera México-Guatemala: Un ámbito de relaciones complejas
Authors: Castillo G. Manuel Ángel
Published: July 2019

La frontera entre México y Guatemala se extiende a lo largo de una línea accidentada y sinuosa -en una buena parte- de 962 kms., que separa a los estados mexicanos de chiapas, Campeche, Tabasco y Quintana Roo, de los departamentos guatemaltecos de San Marcos, Huehuetenango, El Quiché y Petén.
Lucha sindical y modernización capitalista en Brasil
Authors: Sotelo Valencia Adrián
Published: July 2019

En el presente artículo partimos del supuesto de que el proceso de restructuración capitalista de la economía brasileña, así como las tendencias a la desarticulación del sindicalismo dependiente del Estado desarrollista, dieron comienzo a partir del golpe de Estado en 1964, desactivando el"pacto populista" de los años cincuenta, en donde los sindicatos habían constituido la pieza fundamental, y rompiendo de tajo el proceso ascendente que el movimiento sindical recorría en su lucha por alcanzar su autonomía de clase frente al Estado.
Augusto Pinochet: Auge y derrumbe de un dictador
Authors: Gordon Strasser Alicia
Published: July 2019

Las personalidades autoritarias son rígidas, intransigentes, intolerantes y no conocen la autocrítica. Los autoritarios suelen no tener amigos sino sometidos y subordinados. Entre éstos últimos eligen a sus fieles y leales. Pueden ser apacibles jefes de hogar que han optado por esa instancian para ejercer la autoridad. Mas también pueden ser cabeza de una nación. Los autoritarios pueden ser de cualquier sectoro clase social. Pero no es posible ser militar y no ser autoritario.
Mejoramiento en la gestión de actividades operacionales y la motivación de los RR.HH. de las empresas
Authors: Álamos Núñez Connie
Published: July 2019

El presente artículo presenta la proponer la mejora de la eficiencia en la gestión de las actividades operacionales de una empresa de servicio, permitiendo disminuir los costos asociados a los procesos, en pro de mantener la planta de recursos humanos, identificando el nivel de compromiso que tienen los trabajadores con la empresa y su disposición a nuevos cambios organizacionales, examinando y describiendo los procesos operacionales, identificando aspectos críticos en los procesos operacionales y generando propuestas de mejoramiento y monitoreo de los procesos. En definitiva, a través de los resultados, se determina que la empresa que acoge las propuestas de mejoramiento estará preparada para enfrentar alguna eventualidad, ahora si la empresa decide no prepararse con anterioridad, es decir, prefiere ser reactivo antes que proactivo decidirá en el momento justo tomar medidas respecto a la situación que la aqueja
Analisis Kemampuan Komunikasi Matematis Siswa Berdasarkan Perbedaan Gender
Authors: Nugraha Tonnie Hari , Pujiastuti Heni
Published: July 2019

Penelitian ini bertujuan untuk mendeskripsikan kemampuan komunikasi matematis siswa yang ditinjau berdasarkan perbedaan gender. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Subjek dalam penelitian ini sebanyak 60 siswa kelas IX di SMPN 1 Cikulur. Instrumen yang digunakan yaitu tes kemampuan komunikasi matematis. Data dianalisis secara deskriptif untuk menggambarkan setiap aspek kemampuan komunikasi matematis siswa. Hasil penelitian diperoleh bahwa kemampuan komunikasi matematis siswa: 1) kemampuan komunikasi matematis secara keseluruhan, siswa perempuan lebih tinggi dibandingkan siswa laki-laki; 2) bagi siswa perempuan, aspek menggambar lebih tinggi dibandingkan dengan aspek ekspresi matematika dan aspek menulis; 3) bagi siswa laki-laki, aspek menulis lebih tinggi dibandingkan dengan aspek menggambar dan ekspresi matematika; 4) pada aspek menggambar (drawing), siswa perempuan lebih tinggi dibandingkan dengan siswa laki-laki; 5) pada aspek ekspresi matematika (mathematical expression), siswa perempuan lebih tinggi dibandingkan siswa laki-laki dan 6) pada aspek menulis (written texts), siswa laki-laki lebih tinggi dari siswa perempuan.
Analisis kemampuan pemahaman matematis siswa SMP pada materi sistem persamaan linear dua variabel
Authors: Oktoviani Vika , Widoyani Wiris Laras , Ferdianto Ferry
Published: July 2019

Abstrak

Penelitian ini bertujuan untuk mendeskripsikan kemampuan pemahaman matematis siswa SMP pada materi sistem persamaan linear dua variabel (SPLDV).  Hal ini didasarikarena masih banyak siswa yang kurang memahami konsep SPLDV sehingga siswa merasa kesulitan dalam memecahkanmasalah matematis. Penelitian ini merupakan penelitian deskriptif kualitatif. Subjek dalam penelitian ini adalah siswa SMP.Teknik pengumpulan data menggunakan teknik tes berupa soal uraian yang berjumlah 4 soal dan tiap soal mewakili masing – masing indikator kemampuan pemahaman matematis. Hasil penelitian menunjukkan bahwa (1) Kemampuan pemahaman matematis pada indikator menyatakan ulang sebuah konsep, secara keseluruhan siswa dapat menjawab dengan benar sehingga mencapai tingkat pemahaman yang baik (2) Kemampuan pemahaman matematis pada indikatormengaplikasikan konsep atau algoritma terhadap penyelesaian masalah, siswa dapat membentuk model matematika, kemudian melakukan perhitungan, namun adakesalahan dimana siswa belum mampumenginterpretasikan masalah yang di berikan dengan tepat.

Kata kunci: kemampuan pemahaman matematis, siswa SMP, SPLDV.

 

 

Abstract

This study aims to describe the ability of mathematical understanding of junior high school students in the material system of two variable linear equations (SPLDV). This is based on the fact that there are still many students who do not understand the concept of SPLDV so students feel difficulties in solving mathematical problems. This research is a qualitative descriptive study. The subjects in this study were junior high school students. The data collection technique uses a test technique in the from of a description question which amounts to 4 questions and each questions represent each indicator of mathematical understanding. The result showed that (1) the ability of mathematical understanding on the indicator restated a concept, as a whole students could answer correctly so that they reached a good level of understanding (2) the ability of mathematical understanding of indicators applying concepts or algorithms to problem solving, students could form models mathematics, then do calculations, but there are errors where students have not been able to interpret the problem given correctly.

Keywords: ability of mathematical understanding, junior high school students, SPLDV
Peningkatan Keterampilan Menulis Karangan Sederhana Melalui Alat Peraga Gambar Seri Pada Siswa Sekolah Dasar
Authors: Rusnah R
Published: July 2019

Abstrak. Tujuan penelitian ini yaitu untuk mengetahui peningkatan keterampilan menulis karangan sederhana bagi siswa kelas III SDN 125/IX Kenali Kecil, Jaluko, Muara Jambi. Jenis Penelitian ini adalah Penelitian Tindakan Kelas. Teknik pengumpulan data menggunakan observasi dan tes.  Berdasarkan hasil penelitian, ternyata pengguna alat peraga gambar seri dalam pembelajaran menjadi suatu unsur yang paling berpengaruh dalam membantu mengoptimalkan keterampilan siswa dalam membuat karangan sederhana. Hasil tes formatif yang dicapai pada siklus I oleh 15 subyek penelitian mencapai tingkat keberhasilan 75% - 90%. Sedangkan 5 subjek ternyata masih mendapatkan hasil yang belum optimal (65%). Penerapan pembelajaran yang berorientasi pada penggunaan alat peraga pada Siklus II ini sudah lebih baik dibanding tindakan I. Alat peraga yang digunakan yang ada di sekitar kelas. Pada tindakan perbaikan siklus II ini, tujuan pembelajaran sudah tercapai. Pada saat pelaksanaan perbaikan pembelajaran pada siklus kedua, siswa mengalami perubahan tingkah laku. Siswa penuh kosentrasi mengikuti pembelajaran. Banyak siswa yang mengajukan pertanyaan yang kadang-kadang tidak ada hubungannya dengan materi pelajaran, sehingga guru kelabakan menjawab pertanyaan-pertanyaan tersebut.
Indonesia’s Local Content Curriculum (LCC) Initiative: Decentralization and Perspectives from High School Classrooms in Banten
Authors: YOUNG MICHAEL SEAN
Published: July 2019

This study asked how, and in what ways the local content curriculum (LCC) initiative was being implemented in response to decentralization reforms in Banten, Indonesia. A discussion of the background of decentralization and LCC policy and their implementation builds a framework for understanding the development of the LCC. Specific attention is given to school-based teams and curriculum development in relation to Indonesian decentralization policy (macro level) and the LCC as a proxy for the policy at the micro level. The ethnographic case study investigated nine lecturers and 25 students at a university faculty of teacher training and education program, and 16 LCC senior secondary teachers in five high schools. Data were collected through primary interviews, follow- up conversations, and classroom participant-observations. The study was a sustained, ten-month long immersion in the school communities in order to yield data adequate to answer the research questions. The discussion and findings provide extensive and diverse evidence of dynamic responses to LCC policy changes, as lecturers and teachers were well informed about and engaged in the implementation of LCC courses. Implications of findings are discussed.
Aspek Hukum Pelayan Publik Secara Online Pada Direktorat Administrasi Hukum Umum Kementerian Hukum dan Hak Asasi Manusia
Authors: Santoso Budi
Published: July 2019

Perubahan pelayanan publik dari pelayanan secara manual kepada pelayanan secara online yang diselenggarakan oleh Direktorat Jenderal Administrasi Hukum Umum Kementerian Hukum dan HAM berdampak besar terhadap kemudahan dan efisiensi pendaftaran fidusia, badan hukum PT dan yayasan. Meski demikian, dari aspek hukum ada beberapa hal terkait pelayanan publik di Direktorat AHU yang harus mendapatkan kejelasan sehingga pelayanan publik yang diselenggarakan menjadi legal; misalnya soal memungkinkan ataukah tidak pelayanan diselenggarakan secara online pada peraturan terkait dengan obyek pendaftaran di Direktorat AHU. Demikian juga dengan soal sertifikat atau surat keputusan yang diberikan secara elektronik, apakah masih mengharuskan diterbitkan sertifikat atau surat keputusan yang asli.
Analisis Yuridis Sistem Pengawasan terhadap Kejahatan Pasar Modal
Authors: SOFYAN TITO
Published: July 2019

Sistem pengawasan terutama terhadap kejahatan dan pelanggaran di pasar modal yang bermuara pada perlindungan hak-hak pemodal merupakan masalah krusial karena banyak ditemukan bukti praktek penyalahgunaan sumber-sumber daya perusahaan yang berlangsung secara ekstensif. Padahal mekanisme perdagangan di pasar modal merupakan kepercayaan, bila kepercayaan itu hilang, maka runtuhnya pasar modal akan berimbas kepada sektor lain, terutama sektor ekonomi. Meskipun Undang-Undang Nomor 8 Tahun 1995 tentang Pasar Modal (UUPM) telah mengatur ketentuan-ketentuanmengenai perlindungan terhadap hak-hak pemodal, namun dalam kenyataan seringkali hak-hak pemodal terabaikan karena kurangnya akses informasi terhadap sumber daya perusahaan dibanding emiten. Oleh karenanya perlu mendapatkan perlindungan hukum yang adil dan seimbang dengan emiten, melalui intervensi norma-norma hukum yang sengaja diciptakan oleh negara, sebab perlindungan hukum terhadap pemodal ini tidak cukup dengan mengandalkan aspek norma-norma kebebasan berkontrak semata.
Pengaturan Kewenangan Pembuatan Akta Pertanahan Antara Notaris Dan Pejabat Pembuat Akta Tanah
Authors: Rahayu Adi
Published: July 2019

This article discusses the regulation-making authority between the notary and Pejabat Pembuat Akta Tanah (PPAT). In making the land deed, notary authority derived from attribution attached to the profession of notary, whereas PPAT authority derived from a delegate or delegation of authority from the competent authority, in this case Badan Pertanahan Nasional. Deed of land made by or in the presence of a notary deed is authentic and has the strength of evidence is perfect, while issued PPAT ineligible authentic deed and only has the strength of evidence deed under hand
LEGITIMASI SENIMAN DAN KARYA SENI DI TAMAN BUDAYA JAMBI (TINJAUAN SOSIOLOGI SENI)
Authors: Aulia Defni , Bahar Mahdi , Gunawan M Ardhi , Gunawan Indra , Pratomo Wahyu , Alfath Muhammad
Published: July 2019

Seniman dan karya seni bernuansa tradisional yang berada pada tatanan kode kultural masyarakat Jambi, adalah akumulasi modal kultural yang dilegitimasi pemerintah Provinsi Jambi untuk membentuk identifikasi distingtif sebagai citra kultural di luar batas teritorial Provinsi Jambi. Suatu mekanisme tindakan deviasi diferensial yang dilakukan oleh pemerintah dalam menjalankan otoritas otonom atau desentralisasi politik lokal, yang merupakan upaya untuk membedakan diri dari lajur Kebudayaan Minangkabau dan Melayu Islami yang selama ini sudah menyatu dan mendominasi dalam struktur sosial masyarakat Jambi.
Toprak ve İnsan: Birkaç Edebi Metinde ve Avesta’da Toprağın Yansıması
Authors: ARİFOĞLU Yunus
Published: July 2019

Toprak, insanın üzerinde yaşadığı ve ona bağlı olduğu en eski ve temel
unsur olarak kabul edilir. Bu nedenledir ki eski iktisadi sistemler toprağa
bağlı bir biçimde şekillenmişlerdir. İnsanın yerleşik hayata geçmesiyle, toprak
insan hayatında belirleyici olmuştur. Toprağın sahip olduğu bu önem nispetinde
bir sisteme bağlı olması zorunluydu. Bu ihtiyaca binaen Eski Çağdan itibaren
işlenen toprak, bir sisteme bağlı gelişerek belli bir olgunluğa erişmişti.
Ortaçağ’da gelişen toprak sistemleri, Eski Çağın birikimi
olan sistemlere dayalı olmuş ve bu sistemler revize edilerek günün koşullarında
yeniden yorumlanmışlardır. Bu çalışmada insanın
toprakla ilişkisi öncelikle birkaç edebi metin üzerinden tartışılacak, ardından
dini metinlerden olan Avesta’nın toprak üzerindeki etkilerine bakılacaktır.
The valuation of asset management firms
Authors: Bigelli Marco , Manuzzi Fabio
Published: July 2019

After reviewing the main valuation frameworks of asset management firms, we ran empirical research on 50 listed US and European asset management firms in the 2008-2017 period. Our results find that such firms are characterized by a high EBIT and earnings margin, respectively equal, on average, to 28% and 17% of revenues, represented by fees. The average yearly fees are equal to 1.04% of assets under management (AUM) and the average firm value is equal to 3.01%, confirming the values at which these companies are typically acquired on the market. Higher values are found to be significantly positively correlated with a higher earnings margin and a higher level of fees on AUM, confirming the previous findings of Joenväärä and Scherer (2017) on a smaller US sample.
A garantia da Assistência Farmacêutica frente às contradições regulatórias do estado brasileiro
Authors: Oliveira Rodrigues Cássio Alexandre , Pinheiro Lopes Higor José , Randall Martins Rand
Published: July 2019

Os autores defendem: (1) que a atenção farmacêutica de qualidade é estratégia essencial para a concretização dos objetivos da política de assistência farmacêutica; (2) que a presença do farmacêutico é necessária para a prestação de uma atenção farmacêutica de qualidade; e (3) que, em que pese os avanços normativos e programáticos no sentido de formular e em implementar uma política avançada de assistência farmacêutica em nosso país, existem tentativas de – também pela via normativa – impedir a prática de uma atenção farmacêutica de qualidade ao tornar não obrigatória a presença do farmacêutico nos serviços de farmácia.
Self-medication among patients with COPD: a cross-sectional analysis in the Brazilian Public Health System
Authors: Ribeiro Pinto Charleston , Moreira Lemos Antônio Carlos , Assunção Costa Lindemberg , Tupiná de Alcântara Aramis , Lima Yamamura Laira Lorena , Martins Neto Eduardo
Published: July 2019

The self-medication, when it occurs in an inadequate manner, may lead to a adverse reaction, interactions with prescribed medications, bacterial resistance and waste of health resources. This study seeks to identify the prevalence and the factors associated with self-medication in patients with COPD treated in the Brazilian public health care network. To answer this question, we prospectively made detailed questionnaires about drugs consumption with 383 patients whom came from the Health Care Networks and admitted into a Pharmaceutical Care Service of a Public Program Management COPD, in Salvador, Brazil. The prevalence of self-medication was 26.9%. The self-medication practice were associated with women with low education and a high number of comorbidities. This finding raises the discussion on the importance of a thorough evaluation of the usage pattern of drugs consumed by way of self-medication in patients with COPD, as a strategy to promote the rational use of medicines in the clinical practice.
Impact of medication use on quality of life of institutionalized elderly in Northeast Brazil
Authors: De Figueiredo Júnior Lécio , Carvalho Xavier de Medeiros Caroline Adisson , Vieira Cunha Lima Sara Iasmin , Antunes de Araujo Aurigena , Silveira Rebouças Barbosa Rosa Angélica , Randall Martins Rand
Published: July 2019

Objective: The evaluation of the quality of life of institutionalized elderly people and the impacts caused by medications. Method: Observational, prospective and transversal study with institutionalized elderly. Data were collected through interviews in ten cities. In addition to socio-demographic data, information on cognition and quality of life was collected. A multivariate logistic regression model was used to identify the drugs and clinical characteristics associated with low quality of life (p <0.05). Results: A predominance of women (60.9%) was observed in the sample of 138 elderly. The mean age was ± 79 years, with a large majority with income equal to or less than a minimum wage (86.2%). Univariate analysis indicated that only angiotensin-converting enzyme inhibitors were factors favoring quality of life. In contrast, the diagnosis of depression, diabetes and higher number of medications worsen quality of life. Among the pharmacological classes also related to the worse quality of life we have the antipsychotics. Conclusion: The quality of life in institutionalized elderly people is negatively affected by a greater quantity of prescription drugs and, above all, by the use of antipsychotics. In contrast, the use of ACE inhibitors has been shown to be related to a better quality of life.
A crise de identidade do farmacêutico
Authors: Batista de Araújo Ivonete
Published: July 2019

A profunda mudança na atuação do profissional farmacêutico produziu uma grande desorientação nos professores dos cursos de Farmácia que permanece até hoje, pois são poucos os que assimilaram, efetivamente, as modernas projeções e os desafio. Atenção farmacêutica ou cuidado farmacêutico é a filosofia de prática clínica que incorpora a maioria dos critérios de qualidade que o cuidado em saúde envolve. A atenção farmacêutica requer equipes de Farmácia Clínica – pessoas com várias habilidades e níveis de competência, onde cada membro deve cooperar para atingir um objetivo comum. A essas equipes, exige-se as funções habituais de liderança e gerenciamento (exemplo: planejamento, organização, direção, controle e avaliação). Quando o farmacêutico clínico não está integrado na equipe multiprofissional, sua atuação não mostra nível de evidência.
Achados audiológicos em portadores de zumbido subjetivo associado a DTM
Authors: Cassol Karlla , Lopes Andrea Cintra , Bozza Amanda
Published: July 2019

Introdução: Sintomas otológicos são frequentes em pacientes com disfunção temporomandibular, e dentre esses sintomas destaca-se a prevalência do zumbido. Na literatura destacam-se diversos estudos que comprovam essa associação, embora a avaliação audiológica e otorrinolaringológica estejam dentro dos padrões de normalidade. Apesar de muitos estudos envolvendo equipes multiprofissionais, pouco se conseguiu esclarecer a associação de sintomas auditivos e DTM. Objetivo: Investigar a saúde auditiva em portadores de zumbido associado à DTM na etapa pré-tratamentos odontológicos. Metodologia: Foram avaliados 53 pacientes das clínicas de Ortodontia e Audiologia da Faculdade de Odontologia de Bauru, Universidade de São Paulo. Para investigar a saúde auditiva, os participantes realizaram entrevista específica, audiometria tonal liminar convencional e altas frequências, logoaudiometria, imitanciometria e emissões otoacústicas. Resultados: O zumbido unilateral foi relatado pela maioria dos indivíduos, sendo com presença de plenitude auricular, e sem otalgia. A maioria dos sujeitos apresentou audição normal bilateralmente, seguido de perda moderada. Conclusão: Os resultados evidenciaram que a ocorrência de alterações auditivas em portadores de DTM é significativa, sendo assim, o acompanhamento audiológico deve ser indicado em portadores de DTM.
Pengaruh Waktu Aging pada Sintesis Zeolit Linde Type-A (LTA) dari Zeolit Alam Lampung (ZAL) dengan Metode Step Change Temperature of Hydrothermal
Authors: Ginting Simparmin Br. , Arya Perdana Guntur , Darmansyah Darmansyah , Agustina Iryani Dewi , Wardono Herry
Published: July 2019

Zeolit  Lynde Type-A  (LTA)  merupakan zeolit yang tergolong dalam kadar Si/Al rendah. Zeolit LTA memiliki  berbagai  kegunaan,  antara lain  sebagai adsorben, katalis, membran, penukar ion, maupun molecular sieve. Zeolit LTA sebagai  molecular  sieve  memiliki  kemampuan  dehidrasi  yang  tinggi  sehingga dapat digunakan untuk dehidrasi air pada campuran bioetanol-air agar diperoleh bioetanol yang sesuai dengan FGE (Fuel Grade Ethanol), yaitu kemurnian mencapai lebih besar dari 99%. Zeolit LTA dapat menyerap air di dalam bioetanol dikarenakan sifat  Zeolit LTA yang hidrofilik. Penelitian ini mengkaji pengaruh waktu aging agar diperoleh persen kristalinitas relative zeolit LTA yang tinggi. Variasi waktu aging pada penelitian ini adalah 0 jam, 15 jam, 30 jam, dan 45 jam. Tahapan sintesis zeolit dilakukan pada sebuah water bath secara hidrotermal  dengan metode step change temperature, yaitu pada suhu 90oC selama 1,5 jam dan 95oC selama 2,5 jam. Hasil sintesis dianalisis menggunakan SEM (Scanning Electron Microscopy), FTIR (Fourier Transmission Infra Red), BET (Brunaur, Emmet And Teller), dan XRD (X-Ray Diffracton).  Berdasarkan analisis FTIR, hasil sintesis mempunyai ciri khas Zeolit LTA yaitu double rings pada bilangan gelombang 550-600 cm-1, persen kristalinitas relatif tertinggi yang didapatkan dari hasil analisis XRD adalah sebesar 66,15%, hasil analisis SEM menunjukkan morfologi Zeolit LTA berbentuk kubus, dan berdasarkan analisis BET didapatkan isotherm adsorpsi tipe ketiga.
Kombinasi Proses Elektrokoagulasi – Oksidasi Lanjut Berbasis O3/GAC Pada Limbah Cair Industri Batik
Authors: Enjarlis Enjarlis , Hartanto Singgih , Christwardana Marcelinus , Sijabat Boy Frando , Fatlan Ode Resa
Published: July 2019

Gabungan proses Elektrokoagulasi-Oksidasi Lanjut (EC-OL) berbasis O3/GAC merupakan teknologi alternatif untuk mengolah limbah cair industri Batik. Limbah cair industri batik mengandung Bahan Berbahaya dan Beracun, mempunyai ± COD 500 - 3000 ppm, BOD ± 1200 ppm dan TSS ±10.000 ppm serta tidak memenuhi Baku Mutu Lingkungan.Tujuan penelitian gabungan EC-OL pada limbah cair batik yaitu menentukan: (a) waktu optimum proses Elektrokoagulasi (EC), (b) dosis ozon dan jumlah karbon aktif yang tepat pada Oksidasi Lanjut berbasis O3/GAC (OL), dan (c) pengaruh gabungan proses Elektrokoagulasi-Oksidasi Lanjut (EC-OL) berbasis O3/GAC terhadap konstanta laju degradasi kontaminan organik (k) dalam limbah cair industri Batik. Pada gabungan proses EC-OL, untuk elektrokoagulasi digunakan elektroda Al, kuat arus 1 A tetap, dan waktu proses (20, 40 dan 60 menit) dan Oksidasi Lanjut (OL) dilakukan pada dosis ozon (0,0625; 0,125 dan 0,1875 gr O3/liter) dan massa GAC (10, 20 dan 30 gram). Parameter uji yang digunakan yaitu nilai COD, Total suspention solid (TSS) dan warna limbah. Dari hasil percobaan diperoleh: (a) waktu proses elekrtrokoagulasi terbaik selama 60 menit dengan penurunan COD 54 % dan TSS 31%, (b) pada proses OL berbasis O3/GAC diperoleh dosis ozon terbaik sebesar 0,125 gr O3/L dan massa GAC sebanyak 30 gram dengan penurunan COD 61,11% dan TSS 15,33% dan (c) Pada gabungan proses EC-OL penurunan COD terjadi sebesar 95,08% dan TSS 81,39% dan konstanta laju degradasi kontaminan organik sebesar 0,6931 min-1.
HUBUNGAN KECEPATAN DENGAN KEMAMPUAN DRIBBLING ATLET BOLABASKET PUTERA CLUB NEO CLACH BUKITTINGGI
Authors: Neldi Hendri
Published: July 2019

Problem in this research that is decreasing achievement of athlete of club NEO Clach Bukittinggi, as for research purpose is to know the relation of speed and hand eye coordination to dribbling ability of club basketball athlete of NEO CLACH Bukittinggi. The method of this research is correlation method. The population of this study is all athletes Bolabasket NEO Clach Bukittinggi amounted to 14 people, sampling in this study was done by total sampling technique. So in this study are sampled is 14 people athletes who follow the training of club bolabasket NEO Clach Bukittinggi. This research was conducted in January 2018, while the research place was conducted in SMA 4 N Bukittinggi. Speed ​​data with a 30-meter speed test, eye-hand coordination data of the Neo Clach Bukititinggi basketball athlete, was taken using a throw ball test to the wall and dribbling ability data with a dribbling zig-zag ability test.The result of data analysis shows that: (1). Speed ​​has a significant relationship to dribbling ability, this is indicated by the results obtained is tcount 2.03> ttabel 1.76 (2). Eye Coordination has a significant relationship to dribbling ability, this is indicated by the result obtained that is tcount 3.48> ttabel 1.76 (3). There is a significant joint relationship between speed and hand-eye coordination with dribbling ability. Obtained Fcount 8.97> Ftable 3.35, with the value R = 0.736 obtained R2 = 0.542, while the contribution is 54.2%.
PENGARUH METODE DAN KEMAMPUAN MOTORIK TERHADAP KETERAMPILAN JURUS TUNGGAL PENCAK SILAT
Authors: Johor Zainul
Published: July 2019

Looking at the learning outcomes data obtained by FIK UNP students who took basic martial arts courses from 1380 students, as many as 402 people (29.13%) who did not graduate and delayed scores were 278 (20.14%). That is, most students fail in basic pencak silat lectures. The purpose of this study was to see this study in general aiming to determine the differences in the results of learning methods and motor skills on the skills of a single stance Pencak Silat FIK UNP students in Padang. This type of research is Comparative. The research method used was an experiment with a 2 x 2 factorial design. As a population were all students of sports education study programs who took the basic martial arts courses at FIK UNP. The random sampling technique so that the sample in this study were 132 male students. The pencak silat single skill skill test uses the standard single test from IPSI. Tests of motor skills are used for the 40 m run test, throwing the ball into the wall, Shuttle run, throwing medicine balls, stand test strokes, and repeated flexibility for 20 seconds. Testing the hypothesis of this study uses two-way analysis of variance (ANAVA) techniques. Based on the analysis, it was found that Inquiry Methods were more effective in improving students' skills in the Single Pencak Silat Skill than the command method. There was an interaction between the method with Motorized Skill and the improvement of the student's Single Pencak Silat Skill. At a high level of Motor Capability, Inquiry methods are more effective than the command method for improving student Single Pencak Silat Skills. At a low Motor Capability level, the Command method is more effective than the Inkuri method for improving students' Single Skill Pencak Silat skills
Micro RNAS as New Players in Control of Hypothalamic Functions
Authors: Beylerli O. A. , Gareev I. F. , Beylerli A. T.
Published: July 2019

Micro RNAs (miRNAs) are short non-coding RNAs (ncRNAs) of ~22 nucleotides in length involved in the post-transcriptional regulation of gene expression. They were discovered over 15 years ago and their functions are becoming clearer. They play an important role in all biological processes. MiRNAs are important modulators of the expression of eukaryotic genes. Focusing on transcripts encoding proteins they impact on the cellular transcriptome thus helping to determine the destiny of a cell. More and more data emerge to indicate an important functional role of miRNAs in the brain development. Since their discovery many miRNAs have been described as key factors in the development and function of the central nervous system. Some play a significant role in the genesis and differentiation of nerve cells (neurons and glial cells). Notably, it has recently been established that miRNAs play a vital role in the mechanisms underpinning the infantile increase of the gonadotropin-releasing hormone (GnRH) production by neurons in the hypothalamus. This phenomenon is necessary for the onset of puberty in mammals. In this review offers our attempt to describe miRNAs as new players in the control of hypothalamic functions, namely the onset of puberty.
Clinical and Epidemiological Characteristics of Infections Associated with Surgery and Treatment of Oncological Diseases
Authors: Badamshina G. G. , Ziatdinov V. B. , Fatkhutdinova L. M. , Тrukhina G. M. , Bakirov B. A. , Tutelian A. V. , Isaeva G. Sh.
Published: July 2019

Introduction.In the Russian Federation there is a constantly updated register of infections associated with surgery and the treatment of oncological diseases reporting which is mandatory. Massive expenses and detriment to patients’ health caused by these infections prompted the authors to run a retrospective epidemiological analysis of the morbidity registered in the population of the city of Kazan during the period under review. This paper presents a study of patterns of the emergence and spread of nosocomial infections.

This study aimsto examine the clinical and epidemiological characteristics of infections associated with surgery and the treatment of oncological diseases registered in the population of the city of Kazan.

Materials and methods.Authors analysed the Emergency Notifications for an Infectious Disease (form 058/u) as well as the data from the Rospotrebnadzor Federal Statistical Record Form №2. The paper presents the morbidity annual dynamics, structure and spatial characteristics and describes key pathogens of HAIs.

Results and discussion. On the basis of the data obtained the authors give clinical and epidemiological characteristics of the annual dynamics of the morbidity characterised by recurrent rises during the year with the top incidence in the autumn. Neonatal PSI infections dominate the HAIs incidence structure (52.8%). St. aureus is the priority HAI pathogen (26.5% of cases) in the city of Kazan.

Conclusion.Microbiological monitoring of emerging HAIs is an efficient tool for managerial decision making and the development of an algorithm for anti-epidemic measures in the departments and the hospital as a whole for the reduction of risk of infection.
A Technique for Wound Cavity Closure after Coccyx Resection in Experiment
Authors: Khidiatov I. I. , Gerasimov M. V. , Kudoyarov R. R.
Published: July 2019

Introduction. Closing the wound cavity after the coccyx resection in patients with posttraumatic coccygodynia remains an issue unresolved. Closing the wound cavity with local tissues often leads to the wound dehiscence due to excessive tension which in turn leads to suppuration and prolonged healing.

This paper aims to assess experimentally the effectiveness of using ground autograft bone of the coccyx removed for the closure of the surgical wound.

Materials and methods. In the animal experiment the coccyx resection was performed under a combined anaesthesia in six pigs (three in the study group and three in control). In the control group the wound edges were sutured to its floor. In the study group after the coccyx resection the ground bone mass made of the coccyx resected was implanted into the wound cavity.

Results and discussion. In the control group the wound dehiscence was registered in all the animals. After the animals were taken out of the experiment it was established that in the study group a new consolidated bony conglomerate was formed without any pronounced inflammatory changes around the wound. In control the wound cavity healed with secondary intention.

Conclusions. The study confirms the effectiveness of using ground autograft bone for the closure of the wound cavity.
Current Techniques of Intravascular Imaging and Implantation of Bioresorbable Coronary Vascular Scaffolds (Stents)
Authors: Nikolaeva I. E. , Zagitov I. G. , Buzaev I. V. , Risberg R. Yu.
Published: July 2019

Introduction. The use of intravascular imaging techniques, in particular intravascular ultrasound, makes it possible to reduce the number of subsequent revascularisations. The method of optical coherence tomography (ОСТ), due to its high resolution accuracy, makes it possible to establish and assess the edge dissection, stent thrombosis, tissue prolapse, and strut fracture and malposition. This paper aims to assess the impact of routine use of OCT on long term outcomes in patients with scaffolds implanted.

Materials and methods. 32 stenting procedures with the use of bioresorbable coronary intravascular scaffolds (Absorb, Abbot Vascular) were performed in 2014-2015 with subsequent visualisation and assessment with optical coherence tomography. In the control group (n=16) scaffolds were implanted without the use of OCT under traditional contrast enhanced X-ray imaging. The analysis of the combination of outcomes that included subsequent emergency revascularisation in the target artery, cardiac death, myocardial infarction and 12 months post-op OCT imaging data, served as the end.

Results. The total of 55 BVS were implanted, 22 in the OCT group and 23 in control. Suboptimal results were registered in eight cases out of 16 in the OCT group (50%). These included: one dissection and atherosclerotic plaque prolapse — implantation of a second BVS and postdilatation, one eccentric stent expansion — a model for acute thrombosis, resolved with postdilatation, and stent underexpansion in the remaining six. Once the OCT revealed the intima dissection following predilatation; this was stabilised with the implantation of a second scaffold. The examination results at 12 months follow up established that there were 3.215 more scaffold restenoses in the control group.

Conclusion. The cutting edge technique of intravascular revascularisation with bioresorbable coronary scaffolds requires careful preparation and intraoperative control. The results of our study support the use of intravascular imaging techniques as methods of choice for the assessment of the expansion, areas of dissection, thrombosis and scaffold eccentricity.
Teoria e prática de professores considerados construtivistas
Authors: Leite Sérgio Antonio , Palma Luciane
Published: July 2019

Tem como objetivo descrever as práticas desenvolvidas por professores considerados construtivistas e relacioná-las com as respectivas concepções teóricas. Os dados foram coletados através de observações e entrevistas. O contato com a teoria parece ter sido fundamental para todos os professores envolvidos superarem o modelo tradicional de alfabetização. Porém, os dados sugerem várias contradições. A principal delas é a perigosa concepção reducionista, segundo a qual a teoria construtivista explica todo o processo de alfabetização escolar. Além disto, destaca-se a dificuldade dos professores no desenvolvimento de atividades funcionais em sala de aula.

Abstract

The purpose of this research was to describe the classroom practices of teachers considered constructivists and to relate them with the theoretical basis of constructivism. Data were collected by interviews and classroom observation. The contact with the theory seemed to be very important for teachers to overcome the traditional pattern of literacy. However, data suggest some contradictions: the principal one is the dangerous notion that the constructivism theory explains all the process of school literacy. Moreover, some difficulty was observed for teachers to develop activities in the classroom.

Résumé

Cet article présente une recherche avec l'objectif de décrire les activités que les professeurs réalisent dans les classes et les raconter avec les principes du constructivisme, à travers plusieurs interviews et sessions d'observation. Le contact avec la théorie constructiviste fut fondamental pour les professeurs surpasser le modèle traditionnel d'alphabetization. Cependant, les données suggèrent diverses contradictions. La principale c 'est la conception réductioniste selon laquelle la théorie constructiviste peut expliquer tout le procès d'alphabetization scolaire. En outre, il faut détacher les difficultés des professeurs pour développer des activités fonctionnelles.

Resumen

La presente investigación tuve como objectivo describir las prácticas desarrolladas por profesores considerados constructivistas y relacionarlas con las concepciones teóricas descriptas. Los datos fueran colectados através de observaciones y entrevistas. El contacto con la teoria parece tener sido fundamental para que todos los profesores envolvidos tengan superado el modelo tradicional de alfabetización. Pero los datos.sugeren varias contradicciones. La principal de ellas es la peligrosa concepción reduccionista según la cual la teoria constructivista explica todo el proceso de alfabetización. Además, se destaca la dificultad de ¡osprofesores en el desarrollo de actividades fimcionales en sala de clase.
A crise dos que discutem paradigmas
Authors: De Gregori Waldemar
Published: July 2019

RESPOSTA à VERA MARIA P. DE MIRANDA HENRIQUES
PENERAPAN DIFFERENTIAL REINFORCEMENT OF ALTERNATIVE BEHAVIOR UNTUK MENURUNKAN SCREEN-TIME PADA ANAK DENGAN LANGUAGE DISORDER
Authors: Ardiwijaya Rizqina Permatasari , Kuntoro Ike Anggraika
Published: July 2019

Screen-time merupakan waktu penggunaan media elektronik, seperti televisi, telepon genggam, komputer, tablet atau video games. Beberapa penelitian melaporkan bahwa terdapat hubungan antara screen-time dengan obesitas, masalah atensi, agresi dan language disorder. American Academy of Pediatrics menganjurkan maksimal durasi screen-time pada anak usia dini adalah 2 jam per hari. Hal ini disebabkan karena anak dengan screen-time lebih dari 2 jam per hari akan mendapatkan kesempatan stimulasi dan komunikasi dua arah yang lebih sedikit, padahal mereka memiliki tugas perkembangan untuk mempelajari bahasa, memperkuat attachment dengan pengasuh, dan aktif mengeksplorasi lingkungan. Oleh sebab itu, penelitian ini bertujuan untuk menurunkan durasi screen-time pada anak dengan menggunakan metode antecedents control dan differential reinforcement of alternative behavior (DRA). Partisipan pada penelitian ini adalah anak laki-laki berusia 2 tahun 11 bulan dengan language disorder. Hasil penelitian menunjukkan bahwa teknik antecedents control dan DRA efektif menurunkan screen-time dari 226.25 menit menjadi 57.5 menit per hari.