bluuebunny/crossref_metadata_2025 huggingface dataset:
Incidence of DVT following medial open wedge high tibial osteotomy (MOW-HTO): Prospective study
Authors:   Associate Professor,Department of Orthopaedics, Indian Institute of Medical Science & Research, Jalna- 431202, Maharashtra, INDIA, Naser Mohd Abdul
Published: April 2022

Background: High tibial osteotomy (HTO) is an established procedure for the treatment of medial compartment osteoarthritis of knee with varus deformity and it has become a popular procedure. In elective knee surgeries such as total knee arthroplasty (TKA) and HTO, it is well recognized that those are associated with a substantial risk of developing deep vein thrombosis (DVT) which carries a risk of fatal pulmonary embolism. Materials and Methods: In this prospective study, we analysed 110 patients, operated with MOW-HTO, for medial compartment osteoarthritis, for evidence of DVT, after dividing the patients into a trial group which received chemoprophylaxis in the form of Fondaparinux and a control group which did not receive any DVT prophylaxis. Results: At postoperative day 6, overall DVT was diagnosed in 6 (15.78%) patients in control group and in 5 (7.1%) patients in fondapariux group (P > 0.05). All patients with DVT were asymptomatic clinically. Proximal DVT was diagnosed in only 1 patient (2.5%) in control group, however none of the patient in fondapariux group had proximal DVT (P>0.05). There was no case of symptomatic DVT and symptomatic PE in either group during the entire study period. Among demographic characteristic, age and body mass index (BMI) showed association (P<0.5) with postoperative incidences of DVT in univariate analysis, however multivariate analysis showed patients with age more than 55 years had significant correlation with post- operative DVT. Incidences of overall DVT diagnosed by Doppler USG and CT venography were not different statistically. Conclusion: Our data demonstrates that the incidences of DVT following MOW-HTO were lower than incidences following TKA in Asian patients. therefore it would not be advisable to use routine chemoprophylaxis following MOW-HTO in a low DVT incidence population
PEMBELAJARAN SENI MUSIK BERBASIS ETNIS SIMALUNGUN DALAM APLIKASI WEBSITE
Authors: Widiastuti Uyuni
Published: April 2022

Penelitian ini berjudul Pembelajaran Seni Musik Berbasis Etnis Simalungun Dalam Aplikasi Website. Permasalahan pada penelitin ini adalah belum tersedianya materi pembelajaran Seni Budaya di SMK khususnya musik tradisional Sumatera Utara, oleh sebab itu maka tuujuan penelitian ini adalah untuk: (1) menyusun materi seni musik berbasis etnis Simalungun dalam bentuk dokumen; (2) mengunggah materi seni musik berbasis etnis Simalungun dalam bentuk audio visual ke dalam aplikasi website. Metode penelitian ini menggunakan pendekatan kualitatif, teknik pengumpul data menggunakan observasi, wawancara dan dokumentasi. Hasil penelitian merumuskan bahwa materi yang disusun untuk pembelajaran seni musik adalah pembelajaran sulim simalungun dalam bentuk audio visual. Video Pembelajaran Sulim Simalungun yang dihasilkan pada penelitian ini menguraikan tentang teknik dalam memainkan sulim Simalungun secara bertahap, baik teknik memainkan sulim secara umum maupun teknik yang khas dalam memainkan sulim Simalungun. Selanjutnya dengan VCD pembelajaran sulim Simalungun diunggah pada website dengan blog https://pembelajaransulimsimalungun.blogspot.com/, sehingga digunakan pembelajaran Seni Musik.
Distrés respiratorio agudo grave. Neumonía por infección SARS-Cov-2: caso clínico en el hospital clínica San Francisco
Authors: Aguilar Luzuriaga Carolina Estefanía , Sánchez Riera Evelyn Esthela , Delgado Lazo Kristel , Bohórquez Garces June Dennisse
Published: April 2022

La enfermedad por COVID-19 o novel coronavirus, es una pandemia global de enfermedad respiratoria aguda causada por el virus conocido como SARS-CoV-2. La mayoría de los casos de COVID-19 ocurren en adultos. El síndrome de Distrés respiratorio es una enfermedad pulmonar aguda y difusa que produce hipoxemia, disminución de la compliance pulmonar y aumento del espacio muerto La atención a los pacientes críticos con neumonía por COVID-19 durante la pandemia ha sido el reto más importante afrontado por la Medicina Intensiva en toda su historia. El tratamiento de la neumonía por COVID-19 tiene una evidencia muy limitada al tratarse de una enfermedad nueva, lo que ha obligado a una permanente actualización de los protocolos asistenciales Se presenta un caso clínico de paciente masculino 73 años de edad, casado, nacido en Quito y residente en guayaquil, instrucción superior, jubilado, religión: católica, lateralidad: diestra. Diagnosticado con Diabetes mellitus tipo 2 con tratamiento de Metformina, Empaglifozina, no refiere alergias, intervención de limpieza quirúrgica por pie diabético izquierdo. Manifiesta ser ex fumador y bebedor social, Inmunizado para la Covid-19: Astrazeneca x1 cuyo motivo de consulta es Disnea, Taquipnea. Aun cuando se han seguido los protocolos pertinentes para el cuadro clínico desarrollado, el DRA abordado no puede ser superado por el paciente lo que confirma los estudios de ser un cuadro de difícil pronostico. Los efectos del nuevo coronavirus se han expuesto, pero estamos aún lejos, como comunidad médica imponer una guía única para el manejo de la enfermedad pues, más aún cuando se están conociendo los efectos a largo plazo de SARS-COv-2 en pacientes recuperados. A la fecha de esta investigación se tiene presente ciertos elementos que ya pueden ser considerados como importantes para evitar mayor gravedad de la que hemos sobrevivido y radica en mantener el distanciamiento social, cumplir con los esquemas de vacunación y utilizar tapabocas.
Immediate side effects of Comirnaty COVID-19 vaccine: A nationwide survey of vaccinated people in Israel, December 2020 to March 2021
Authors: Shapiro Ben David Shirley , Baruch Gez Sharon , Rahamim-Cohen Daniella , Shamir-Stein Na’ama , Lerner Uri , Ekka Zohar Anat
Published: April 2022

Background

COVID-19 vaccine safety is of major interest worldwide, since there is no prior experience with it. Israel was one of the first countries to widely use the Comirnaty vaccine.

Aim

We aimed to assess the vaccine's short-term side effects directly from a large population and to predict influencing factors for self-reporting side effects.

Methods

In a retrospective cohort study, we investigated self-reported systemic vaccine side-effects using electronic surveys sent to vaccinated individuals between 20 December 2020 and 11 March 2021, within 3 days following administration of the first and second dose. We determined predictors for reporting systemic side effects by logistic regression.

Results

A total of 1,213,693 patients received at least one vaccine dose and 301,537 (24.8%) answered at least one survey. Among them, 68,162 (30.4%) and 89,854 (59.9%) individuals filled the first and the second dose surveys, respectively, and reported one or more side effects. Most common side effects were fatigue, headache and myalgia. Several respondents reported facial paraesthesia after first and second dose, respectively (n = 1,675; 0.7% and n = 1,601; 1.1%). Individuals younger than 40 years and women reported side effects more frequently than others, but pregnant women reported less. Pregnancy was a weak predictor for reporting any side effect in general and in particular fatigue, myalgia, headache, chills and fever.

Conclusions

We found further support for minor short-term side effects, within 3 days of receiving the Comirnaty vaccine. These findings from vaccine recipients in general and pregnant women in particular can improve vaccine acceptance.
PENDIDIKAN TAUHID DALAM KISAH NABI IBRAHIM PERSPEKTIF M. QURAISH SHIHAB DALAM TAFSIR AL-MISBAH
Authors: Darmawan Moh. Lutfi
Published: April 2022

Pendidikan Tauhid adalah seluruh kegiatan umat manusia dibidang pendidikan yang menempatkan Allah sebagai sumbernya, karena Dia adalah Tuhan Rabb Al Alamin. Selain itu, Tauhid juga berguna bagi kesehatan mental dan kebahagiaan hidup. Karena Tauhid itu sendiri memupuk dan mengembangkan fungsi-fungsi jiwa dan memelihara keseimbangannya serta menjamin ketentraman batin. Maka tulisan ini mencoba memberikan penjelasan pendidikan tauhid yang dibangun M. Quraish Shihab tehadap ayat-ayat yang disitir sebagai ayat pendidikan tauhid dan metodenya dalam al-Qur’an. M.Quraish Shihab merupakan seorang mufassir nusantara yang menafsirkan al-Qur’an secara lengkap 30 Juz dengan menggunakan bahasa Indonesia. Di samping seorang mufassir, Quraish Shihab juga aktif menulis dan mengembangkan keilmuannya dengan menghasilkan berbagai macam karya tulis yang bisa dinikmati masyarakat baik dalam bidang fiqih, sastra, agama, tafsir dan karya lainnya. Maka dalam pembahasan ini bertujuan untuk melihat bagaimana penafsiran Quraish Shihab terhadap ayat-ayat pendidikan tauhid dalam Tafsir Misbah dengan fokus penelitian 1) Pendidikan Tauhid dalam Kisah Nabi Ibrahim  2) Metode Pendidikan Tauhid Dalam Kisah Nabi Ibrahim. Adapun metode yang digunakan dalam penelitian ini adalah metode penelitian pustaka (library research method) dengan memakai pendekatan analisis deskriptif, hanya meneliti salah satu tafsir yaitu Tafsir Misbah  buah karya M. Quraish Shihab. Penelitian ini menghasilkan beberapa poin penting tentang pendidikan tauhid dalam kisah Nabi Ibrahim menurut Quraish Shihab dalam Tafsir Misbah. Pendidikan tauhid dalam kisah Nabi Ibrahim menurut Quraish Shihab: a). Pendidikan  Tauhid Kepada Anak b). Pendidikan Tauhid Kepada Kaum Nabi Ibrahim. Metode pendidikan tauhid dalan kisah Nabi Ibrahim : a) Metode Ilmiah  b) Metode Hiwar Jadali c) Metode  Keteladanan d) Metode Rasional
Reducing Uncertainty In Log Analysis Due To Presence Of Heavy-Conductive Minerals In Sendimentary Rocks
Authors: Widarsono Bambang
Published: April 2022

Presence of heavy-conductive mineral(s) in formation rocks tends to provide negative influence to some log readings especially the resistivity log. With regard to its function in log analysis, any distortion in resistivity log readings will certainly lead to potential misinterpretation on petrophysical properties such as water saturation (S.) Therefore a method dedicated to minimizing the effect is indeed necessary.This paper presents results of a study on presence of heavy-conductive minerals, distributed in structural form, on resistivity reading. Based on analogy and expansion of a structural clay distribution model, a correction method plus its application procedure have been proposed. Since the method is develop using an approach that is considered valid in general term it is, therefore, conceptually applicable to any field cases as long as its theoretical conditions are met. In order to make application of the method easier it has also been presented in form of nomographs.Application of the method on log analysis of two wells in West Java has proved itself well in which corrections on calculated water saturation have yielded values that are more consistent when compared to production test data. The method is also prepared in a manner that it can be easily integrated into standard log analysis practices.
Application of Artificial Neural Network for Assisting Seismic-Based Reservoir Characterization
Authors: Widarsono Bambang , Saptono Fakhriyadi , Wong Patrick M , Munadi Suprajitno
Published: April 2022

Reservoir rock physical properties, such as porosity and water saturation, always play prominent roles in the development of oil and gas fields. Accurate information regarding their distribution is always desired. For this new approach that uses a purpose, a combination of intelligent computing (artificial neural network or ANN) and rock physics, with a full utilization of core data, well logs and seismic-derived attributes, is proposed. The method is basically an effort to link the required rock physical properties to seismic- derived attributes through the use of rock physics theories. The ANN itself is used to fill the gaps of data array required by the proposed method through its capacity for pattern recognition. The proposed method is applied to a limestone reservoir in East Java. Validation is carried out by comparing the results to the observed data at well locations as well as by geological justification. The application has shown a new potential for supporting reservoir modeling and field development.
Dst Data Evaluation In Practice
Authors: Adim Herlan
Published: April 2022

Originally Drill Stem Test (DST), as an evaluation tool, was only an indicator of type of fluid production. Interest in the DST as a modern evaluation tool was revived when certain theoretical equations were proven as a means of calculating values for important formation parameters. This paper is an example, the basic interpretation method, that will prepare the geologist and engineer for more sophisticated approaches that are sure to come, It is proposed of this paper to show how DST data might be Ned to make certain reservoir parameter de- terminations, in field works.
Penerapan Konsep Walkable Campus Pada Perancangan Jalur Pedestrian Kampus Diponegoro UKSW
Authors: Wibawa Isna Nugraha , Sutrisno Alfred Jansen
Published: April 2022

Walkable Campus is a pedestrian track design concept that prioritizes connectivity, accessibility, security, comfort, and beauty. The UKSW pedestrian track needs to be evaluated so that it can meet the needs of users. The evaluation was carried out using the walkable campus concept, so this study aims to produce a pedestrian path design based on a walkable campus. The research method used is descriptive statistics and Scenic Beauty Estimation (SBE). Descriptive statistics were used to evaluate connectivity, accessibility, security, and convenience. While SBE is used to evaluate beauty. There are 5 spots out of 3 zones where zone 1 has 2 spots, zone 2 has 1 spot, and zone 3 has 2 spots. The results of the descriptive statistical test show that the connectivity, accessibility, security, and comfort of the 3 zones received poor ratings from users. Therefore, the results of the evaluation of user perceptions are used to make a design proposal. The proposed design is made to meet the aspects of connectivity, accessibility, security, and convenience. Meanwhile, the results of the SBE evaluation show that the aesthetic condition of the existing pedestrian paths from 5 spots has a low SBE value when compared to the 3 proposed designs. In addition, the SBE evaluation is used to determine the design recommendations. There are 5 designs that meet the walkable campus concept.
The Analisis Pengaruh Abusive Supervision terhadap Employee Creativity dengan Sleep Deprivation, Emotional Exhaustion, dan Self Efficacy sebagai Mediator
Authors: Jasmine Kennia , Martdianty Fanny
Published: April 2022

The television industry has undergone many changes and disruptions and is always required to be creative in order to survive. Creative television employees play an important role in the company's performance in the midst of unfavorable environmental conditions. This study aims to examine the effect of abusive supervision on employee creativity, sleep deprivation, emotional exhaustion, and self efficacy. Besides aiming to examine the effect between variables, this study also intends to examine the impact of related variables to employee creativity and its mediating roles were also investigated. This research employed a quantitative study with an online survey of 203 television station employees in Indonesia. The structural Equation Modeling (SEM) method was used to analyze the data. Based on the research that has been done, the results showed that abusive supervision was not proven to directly and significantly affect employee creativity, this is due to the low level of abusive supervision in the television industry. However, abusive supervision has been shown to increase sleep deprivation, emotional exhaustion, and decrease employee self efficacy. This study also found that employee creativity was strongly influenced by employee self efficacy. Lastly, the results indicated that self efficacy could act as a potential mediator between abusive supervision and employee creativity.
KAJIAN TINGKAT KEMAJUAN DAERAH KABUPATEN/KOTA DAN KETIMPANGAN WILAYAH ANTAR KABUPATEN/KOTA DI PULAU LOMBOK PROPINSI NUSA TENGGARA BARAT
Authors: Wahidin  , Yuniarti Titi , Astuti Endang
Published: April 2022

Ruang lingkup penelitian ini mengkaji kemajuan pembangunan ekonomi yang dicapai oleh kabupaten/kota dan ketimpangan antar wilayah kabupaten/kota di pulau Lombok. Tujuannya: untuk mengetahui tingkat kemajuan kabupaten/kota di Propinsi Nusa Tenggara Barat dari hasil pembangunan ekonomi selama sepuluh tahun terakhir dan untuk mengetahui tingkat ketimpangan pendapatan antar kabupaten/kota di pulau Lombok Propinsi Nusa Tenggara Barat.

Variabel penelitian yaitu: pertumbuhan ekonomi, pendapatan per kapita, jumlah penduduk. Pengumpulan data dilakukan dengan menggunakan metode dokumentasi, yaitu teknik pengumpulan data dengan mengali data dari laporan, buku-buku dan catatan-catatan yang terkait dengan masalah penelitian Analisis data dilakukan dengan menggunakan analisis analisi Tipologi Klassen. Hasil analisis Tipologi Klassen diklasifikasikan dalam empat klasifikasi, yaitu: (1) Daerah Maju dan Tumbuh Cepat (High Growth and high Income), adalah daerah yang memiliki tingkat pertumbuhan ekonomi dan pendapatan per kapita yang lebih tinggi dari tingkat pertumbuhan ekonomi dan pendapatan per kapita propinsi.(2) Daerah Potensial Maju (High Income but Low Growth), adalah daerah yang memiliki pendapatan per kapita yang lebih tinggi tetapi tingkat pertumbuhan ekonomi yang lebih rendah dari propinsi. (3) Daerah Berkembang cepat (High Growth but Low Income), adalah daerah yang memiliki tingkat pertumbuhan ekonomi yang lebih tinggi tetapi pendapatan per kapita yang lebih rendah dari propinsi.(4) Daerah Relatif Tertinggal (Low Growth and Low Income), adalah daerah yang memiliki tingkat pertumbuhan ekonomi dan pendapatan per kapita yang lebih rendah dari propinsi.

Hasil penelitian: 1) Daerah Kota Mataram adalah daerah maju dan tumbuh cepat, karena Kota Mataram menunjukkan rata-rata laju pertumbuhan ekonominya selama lima tahun terakhir lebih tinggi dari rata-rata laju pertumbuhan ekonomi Propinsi Nusa Tenggara Barat (NTB). Dan rata-rata PDRB per kapita Kota Mataram selama lima tahun terakhir lebih tinggi dari rata-rata PDRB per kapita Propinsi NTB. Daerah Kabupaten Lombok Barat, Kabupaten Lombok Tengah, Kabupaten Lombok Timur, dan Kabupaten Lombok Utara, adalah Daerah Relatif Tertinggal. Keempat daerah kabupaten ini mempunyai rata-rata laju pertumbuhan ekonomi selama lima tahun terakhir lebih rendah dari rata-rata laju pertumbuhan ekonomi Propinsi NTB. Dan memiliki rata-rata PDRB per kapita selama lima tahun terakhir lebih rendah dari rata-rata PDRB per kapita Propinsi NTB.  2) tingkat ketimpangan  pendapatan antar kabupaten/kota di pulau Lombok Propinsi Nusa Tenggara Barat adalah ketimpangan sedang. Hal tersebut diindikasikan oleh angka Indeks Williamson yang mencapai angka 0,281 dimana angka ini masuk pada kategori ketimpangan sedang.

Kata kunci: maju dan tumbuh cepat,  potensi maju, berkembang cepat, relatif tertinggal, ketimpangan tinggi, sedang, dan rendah.
Pendampingan Praktek Pembuatan Pupuk Kompos di Kelompok Tani Bina Mandiri Untuk Mendukung Implementasi Good Agriculture Practice (GAP) Manggis
Authors: Joko Priyono  , Kurniawan Yuniarto
Published: April 2022

Keberlanjutan sektor agribisnis manggis tidak lepas dengan dukungan dari tata kelola teknis budidaya saat pramusim pohon. Dukungan alih pengetahuan dalam pelaksanaan good agriculture practice (GAP) manggis saat pra musim dan pasca musim panen diperlukan dalam mempertahankan produksi dan kualitas periode pohon manggis berikutnya. Praktek GAP yang dilaksanakan kepada kelompok bina mandiri adalah perawatan pohon manggis dengan menyediakan pupuk kompos dari bahan-bahan yang tersedia di dalam lahan pohon manggis. Tujuan dari kegiatan pengabdian ini adalah pendampingan dalam pembuatan pupuk kompos memanfaatkan sampah lokal di sekitar kebun. Partisipasi mitra kelompok tani Bina Mandiri adalah melakukan praktek dalam pembuatan pupuk kompos. Hasil pelatihan dan pendampingan di kelompok tani Bina Mandiri adalah adanya kemampuan individu dan kelompok untuk memproduksi pupuk kompos secara mandiri. Anggota kelompok lainnya melakukan pembuatan pupuk kompos secara mandiri di setiap lahannya. Hasil kompos setelah 30 hari dipersiapkan untuk suplai nutrisi manggis setelah selesai berbuah.
Association between elevated red cell distribution width and in-hospital mortality in patients with acute decompensated heart failure.
Authors: Muhammad Asim Saddique  , Asif Manzoor  , Shahid Abbas  , Hassan Asghar Randhawa
Published: April 2022

Objective: To determine the frequency of death ratio in hospitalized patients has acute decompensated heart failure (ADHF) with elevated red cell distribution width (RDW). Study Design: Descriptive Cross-sectional Analysis. Setting: Armed Forces Institute of Cardiology/National Institute of Heart Diseases, (AFIC/NIH) Rawalpindi. Period: January, 2019 to July, 2019. Material & Methods: A total of one hundred and seventy five (n=175) patients of either gender between age 30-80 years who presented with ADHF with RDW ≥ 15.3% were enrolled. All patients were given standard care and were observed for mortality during their stay in the hospital. Results: Results of the present study showed 10.3% (n=18/175) patients died during their stay in the hospital. No significant difference was noted in mortality when data was stratified for age, gender and co-morbidities (P>0.05 in all cases). Conclusion: A significant proportion of patients presented with ADHF with an elevated RDW (>15.3%) were died during their stay in hospital. We suggest further randomized controlled trials to accurately evaluate the predictive role of RDW in these patients.
Mortality rate in COVID-19 positive patients with acute kidney injury requiring hemodialysis.
Authors: Mehdi Hussain  , Zarafshan Zubair  , Sarah Iftikhar  , Ujala Zubair
Published: April 2022

Objective: To determine the mortality rate in COVID-19 positive patients with acute kidney injury requiring hemodialysis. Study Design: Observational Retrospective study. Setting: Department of Nephrology, Patel Hospital, Karachi. Period: March, 2020 to May 2021. Material & Methods: Data was collected retrospectively from medical records of patients. Patients with positive COVID-19 PCR and having AKI requiring hemodialysis were included in the study. Data was collected by complete evaluation of COVID-19 patient records and their symptoms, clinical status and final outcome during their hospital stay was noted. Results: The frequency of acute kidney injury requiring hemodialysis in our tertiary care setup was found to be 12.2% (n=41). Amongst these there were 53.7% males (n=22) and 46.3% females (n=19) and the mean age of patients was found to be 64.82+ 11.2 years. The mean level of lymphocyte count was found to be 11.3 + 4.8 *109/L. The in hospital mortality of COVID-19 positive patients having AKI was documented to be 73.2% (n=30) as shown in Table-IV. The other group of patients included 11 patients who recovered from acute kidney injury after hemodialysis sessions and were discharged from the hospital. Conclusion: Since COVID-19 infection became pandemic in 2020 there still needs to be a lot of research done in different populations. Hospitalized patients with COVID-19 infection should be Screen for kidney impairment and provided proper treatment. There has been found a very close association between the severity of acute kidney injury and mortality among the critically ill patients.
As relações étnico-raciais e a prática docente de história: as contribuições africanas e afro-brasileiras na cultura brasileira e mato-grossense.
Authors: Silva Mauricio Da
Published: April 2022

O presente resumo traz como temática as relações étnico-raciais e a prática docente de história, as contribuições africanas e afro-brasileiras na cultura brasileira e mato-grossense. Nosso objetivo ce
APLICAÇÃO DA INTELIGÊNCIA ARTIFICIAL EM IMAGEM CARDIOVASCULAR: EM TOMOGRAFIA COMPUTADORIZADA E RMN
Authors:   Hospital Israelita Albert Einstein.  Departamento de Diagnóstico por Imagem. São Paulo, SP, Brasil, Szarf Gilberto ,   Universidade Federal de Sao Paulo.  São Paulo, SP, Brasil, H. Nomura Cesar ,   Hospital Sírio – Libanês. São Paulo,  SP, Brasil,   Instituto do Coração - InCor-  HCFMUSP . São Paulo, SP, Brasil
Published: April 2022

Ao longo dos últimos anos, foram desenvolvidos conhecimentos relacionados à aplicação de IA em imagens médicas. O resultado disso é que hoje temos algoritmos sendo desenvolvidos para pesquisa e outros disponíveis para serem incorporados em nossa prática. Este artigo oferece uma visão relacionada às possíveis aplicações de IA que podem auxiliar ao longo da jornada dos pacientes para os quais foi solicitada uma tomografia computadorizada ou uma ressonância magnética do coração. Perspectivas futuras também são alvo de comentários.
ANALISIS PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN DI PUSKESMAS KEDUNGDORO
Authors: Yuni Rachmawati  , Achmad Daengs GS  , Edo Galih Permadi
Published: April 2022

Patient satisfaction is the result of the patient's assessment of health services by comparing what is expected with what he receives. Consumer demands for the quality of puskesmas services require a change in customer-oriented services by prioritizing service quality. This is to increase patient satisfaction with health services. The purpose of this study was to determine the effect of service quality on patient satisfaction at the Kedungdoro Health Center. This study is a quantitative study with a cross-sectional study design and survey method. The study population was all patients in November as many as 500 patients. The research sample was obtained using the Lwanga & Lemeshow formula as many as 180 patients and taken by the accidental sampling method. The research data were collected using a questionnaire and the data were analyzed using Multiple Linear Regression.The results showed that the results of the t-test of service quality variables in the formof physical evidence, reliability, responsiveness, assurance and empathy partially have a significant positive effect on the patient satisfaction variable. In addition, the F test showed that all service quality variables simultaneously or simultaneously had a significant effect on patient satisfaction. Variables of service quality that need to be evaluated for follow-up to increase patient satisfaction are elements of physical evidence and empathy..
Prozess und Outcome-Evaluation mithilfe des Synergetischen Navigationssystems (SNS)
Authors: Schiepek Günter
Published: April 2022

Die Evaluation der psychotherapeutischen Routinepraxis ist nicht nur sinnvoll, weil sich die Effekte der Therapie aus den Bedingungen und Prozessen jedes Einzelfalls heraus ergeben, sondern hat sich auch substanziell geändert. Die Möglichkeiten der Digitalisierung haben über Internetund App-basierte Technologien die Erfassung von Outcome und Prozessen einfach gemacht und geben bei entsprechend hochfrequenten Abtastraten auch Einblick in den aktuellen Verlauf. Damit leistet Evaluation einen Beitrag zur aktiven Gestaltung von Psychotherapien, über Prozessfeedback und -reflexion mit Einbezug der Patient*innen auf Augenhöhe. Für diese Möglichkeiten der Prozessund Outcome-Evaluation wurde das Synergetische Navigationssystem (SNS) entwickelt, das Datenerfassung, -speicherung und -analyse kombiniert. Patient*innen können über eine App quantitative Einschätzungen (z. B. Skalierungen) und elektronische Tagebucheinträge vornehmen, die auf einem Bildschirm im Form von Zeitreihen und Textfeldern dargestellt werden. Verschiedene Methoden geben Einblick in die nichtlinearen Eigenschaften therapeutischer Prozesse (z. B. kritische Instabilitäten) und in die stattfindenden Musterwechsel. Das SNS erfüllt damit Funktionen der Therapierevaluation, der Prozessreflexion und -steuerung sowie der Praxisforschung. Neben den verfügbaren standardisierten können auch personalisierte Fragebogen erstellt werden, deren Items sich aus einer von Therapeut*in und Patient*in gemeinsam durchgeführten Fallkonzeption (z. B. der idiografischen Systemmodellierung) ergeben.
RURAL TOURISM FIRMS IN THE COVID-19 ENVIRONMENT: SOUTH AFRICAN CHALLENGES
Authors:   University of Mpumalanga, School of Biology & Environmental Sciences, Mbombela, South Africa, GIDDY Julia K. ,   University of Johannesburg, School of Tourism & Hospitality, College of Business and Economics, Johannesburg, South Africa, ROGERSON Christian M. ,   University of Johannesburg, School of Tourism & Hospitality, College of Business and Economics, Johannesburg, South Africa, ROGERSON Jayne M. ,   University of Johannesburg, School of Tourism & Hospitality, College of Business and Economics, Johannesburg, South Africa
Published: April 2022

One consequence of the COVID-19-induced changing consumer travel preferences is growing demand from urban residents for open spaces and the experiences of rural destinations. This re-focuses attention on the challenges of rural tourism firms and of issues of developing rural tourism destinations. In extant international scholarship only limited studies have been undertaken for sub-Saharan Africa. This paper contributes to research debates on rural tourism change in the Global South and more particularly around COVID-19 and the development prospects for rural tourism in South Africa. Using 25 qualitative interviews undertaken in the rural Thaba Chweu Local Municipality of Mpumalanga province it is shown that the challenges facing rural tourism relate to weaknesses in the local institutional environment that have existed for the past two decades. The core constraints on expansion on rural tourism surround issues of the local government mismanagement and corruption. The consequence has been limited provision of basic services and maintenance of critical infrastructure, most especially roads, water and power supplies, which are essential for successful rural tourism development. It is concluded that the leading challenges facing rural tourism firms in South Africa are markedly different from issues which are highlighted in scholarship concerning rural tourism in the Global North.
Dressing Daniel: Identity Formation and Embodiment in Daniel 1–6
Authors: Quick Laura , Lyell Ellena
Published: April 2022

In the book of Daniel, Daniel and his friends all adopt foreign dress to succeed in a foreign setting. We might understand this as a kind of colonization, wrought upon bodies. But this raises questions about their ethnic identity: can one remain Jewish if adopting and adapting to foreign embodied practices, including dress, adornment, and diet? By exploring embodied practices as an issue of ethnicity and identity formation in Daniel 1–6, we will argue that these stories make a bold claim about the embodied colonization of the foreign court: underneath their Persian garb, Daniel and his friends remain thoroughly Jewish after all.
RESILIÊNCIA DOS PROFISSIONAIS DE SAÚDE NO ENFRENTAMENTO DO NOVO CORONAVÍRUS
Authors: Nascimento Maria Berenice Gomes , Fernandes Marcelo Costa , Massagli Silvia Carla Conceição , De Lira Rafaelle Cavalcante , Freitas Fabiana Ferraz Queiroga
Published: April 2022

Objetivo: Discutir a resiliência de profissionais de saúde no enfrentamento do novo coronavírus, a partir de um estudo teórico-reflexivo. Metodologia: Refletir a partir de um olhar do construto teórico da resiliência delineado pela autora Yunes as situações adversas experienciadas pelos profissionais da saúde que estão cuidando de pacientes com COVID-19. Os depoimentos foram extraídos de telejornais entre os meses de março e abril de 2020. Resultados: A pandemia do coronavírus trouxe graves consequências para os profissionais da atenção à saúde, assim despertando a necessidade de minimizar impactos na saúde mental destes. Apreende-se que os fatores de riscos evidenciados externam o medo de contrair a doença, falta de equipamentos de proteção individual, bem como o medo de morrer e deixar os filhos ou ainda serem agentes transmissores da doença. Conclusão: A condição observada gera ansiedade, angústia, revelando a necessidade e importância dos profissionais da saúde também serem cuidados, para que ao final dessa jornada estejam com a saúde mental preservada.
Representações sociais entre gestantes vivendo com soropositividade para HIV: o discurso do sujeito coletivo
Authors: Santos Floriacy Stabnow , Souza Adna Nascimento , Silva Janainna Ferreira e , Silva Milena Soares da , Fontoura Iolanda Graepp , Silva Pedro Mário Lemos da , Ferreira Adriana Gomes Nogueira , Neto Marcelino Santos
Published: April 2022

Objetivo: conhecer as representações sociais da gravidez entre gestantes vivendo com HIV positivo. Métodos: estudo qualitativo, fundamentado na Teoria das Representações Sociais. Os dados foram coletados entre março e maio de 2018 através de entrevista semiestruturada iniciada com a questão norteadora da pesquisa: “Fale-me como se sente em relação a sua gestação?” Foram incluídas mulheres com soropositividade para HIV conhecida antes da atual gravidez, atendidas em maternidade de referência do interior do nordeste do Brasil com idade maior de 18 anos. Para a análise utilizou-se o discurso do Sujeito Coletivo. Resultados: Foram entrevistadas 12 gestantes na faixa etária de 20 a 45 anos e dos discursos emergiram os temas: Descoberta da soropositividade; Motivos da atual gravidez; Percepção quanto a possibilidade da transmissão vertical; Sentimentos quanto ao futuro dos bebês e Fatores facilitadores da adesão terapêutica. Considerações finais: Tornou-se evidente que as gestantes passam por decepção e choque no recebimento do diagnóstico entre outros sentimentos negativos, manifestando-se não apenas ao descobrir-se HIV-positivo, mas em diversas áreas da vida. As gestantes manifestaram boas expectativas quanto ao futuro de seus filhos e conheciam os benefícios da adesão terapêutica.
CENTRO DE ESPECIALIDADES ODONTOLÓGICAS
Authors: Joaquim Davide Carlos , Felipe Letícia Pereira , Lima Arthur Castro de , Costa Karina Gonzaga da , Balde Mohamed Saido , Sousa Leilane Barbosa de , Leite Ana Caroline Rocha de Melo
Published: April 2022

Introdução: Aspectos sociais e econômicos e comportamentos em saúde bucal podem desencadeiam doenças orais com repercussão sistêmica. Objetivo: Caracterizar e associar os aspectos sociodemográficos e econômicos e a autopercepção, hábitos e comportamentos em saúde bucal dos usuários do Centro de Especialidades Odontológicas de um município cearense. Metodologia: Estudo observacional analítico transversal e de abordagem quantitativa, realizado em 2019, com pacientes atendidos no CEO Regional de Baturité – CE. Após consentimento, foi preenchido um questionário, construído com base na literatura e validado. Resultados: Dos 388 participantes, 63,14% tinham renda de até um salário mínimo, 54,64% tinham boa autopercepção da saúde bucal e 61,08% realizavam a escovação pelo menos 3 x por dia. Observou-se associação entre ser paciente com idade acima de 40 anos e utilizar dentifrício, escova dental e outros meios de higienização e ter boa autopercepção da saúde bucal, escovar os dentes mais de 2 x por dia e ter buscado atendimento odontológico há 6 meses. Conclusão: A população estudada, apesar do perfil demográfico e econômico desfavorável, apresentou uma boa autopercepção e comportamentos adequados em saúde oral. Ainda, seus aspectos socioeconômicos e a sua autopercepção, hábitos e comportamentos em saúde bucal se relacionaram entre si.
TRANSTORNOS TRAUMÁTICOS CUMULATIVOS EM PROFISSIONAIS DE ENFERMAGEM: DA INCIDÊNCIA A ESTRATÉGIAS PARA PREVENÇÃO E CONTROLE
Authors: De Oliveira Lídia Rocha , Ferreira José Erivelton de Souza Maciel , Da Silva Maria Jocelane Nascimento , De Sousa Albertina Antonielly Sydney , Martins Flávia Vasconcelos de Araújo , Pinheiro Eliziê Pereira , Felício Janiel Ferreira
Published: April 2022

Objetivo: Analisar a literatura científica acerca da incidência de LER/DORT em trabalhadores de enfermagem e identificar as estratégias formuladas para diminuição da sua incidência nos serviços de saúde. Método: Realizou-se estudo do tipo revisão integrativa. A busca ocorreu, no período de janeiro a março de 2021, na Biblioteca Eletrônica Científica Online (SciELO), na Biblioteca Virtual em Saúde (BVS) e nas bases de dados:  Web of Science, Pubmed, Scopus, Cochrane e Cinahl. Resultados: Foram incluídos 21 artigos, elencados em duas categorias. Os estudos expressaram elevada incidência de transtornos traumáticos cumulativos em profissionais de enfermagem, principalmente em auxiliares e técnicos, evidenciando o perfil e as dificuldades enfrentadas pelo trabalhador acometido com afecções. Poucos estudos foram incluídos nas estratégias de prevenção e/ou combate do desenvolvimento desses transtornos, reforçando a necessidade de realização de estudos clínicos a fim de melhorias da ergonomia no ambiente laboral.  Conclusão: As evidências desta pesquisa contribuem para que os profissionais e os gestores dos serviços de saúde possam conhecer o conteúdo produzido na literatura acerca dos transtornos traumáticos cumulativos mais incidentes nos profissionais de enfermagem, possibilitando a formulação de intervenções direcionadas a sua prevenção e controle.
DESAFIOS VIVENCIADOS NA SORODIFERENÇA AO HIV: REFLEXÕES À LUZ DA FILOSOFIA DA VONTADE DE SCHOPENHAUER
Authors: Da Silva Valéria Gomes Fernandes , Da Silva Bruno Neves , Serra Maria Aparecida Alves de Oliveira , Andrade Anny Suellen dos Santos , Pinto Érika Simone Galvão , De Souza Nilba Lima
Published: April 2022

Objetivo: refletir sobre as relações sorodiferentes ao vírus HIV e seus desafios a partir da filosofia da vontade de Arthur Schopenhauer. Método: trata-se de um estudo teórico-reflexivo realizado a partir da busca por artigos e livros, nos meses de outubro e novembro de 2021. Resultados: Observa-se que os pressupostos conceituais e a filosofia da vontade de Artur Schopenhaouer têm relação com o contexto atual referente aos desafios que os parceiros sorodiferentes vivenciam em suas relações, como a invisibilidade dessas relações na condição da diferença sorológica perante a sociedade e nos serviços de saúde, o preconceito e a falta de informação acerca das possibilidades que se sobrepõem ao conceito de sofrimento e dor, constantemente associados a essas parcerias. Considerações finais: as reflexões realizadas sinalizam que a vontade dos parceiros sexuais de permanecer no relacionamento em condição de sorodiferença ao vírus HIV é a força matriz para vencer os desafios e riscos peculiares a essa forma de convivência. Acredita-se que a compreensão das relações sorodiferentes ao vírus HIV a partir de uma fundamentação filosófica é relevante no processo ressignificação da infecção na sociedade, pelos profissionais de saúde e nos diferentes âmbitos dos serviços responsáveis por acompanhar e acolher esses parceiros.
GERENCIAMENTO DOS RESÍDUOS DE SERVIÇOS DE SAÚDE EM UM HOSPITAL PÚBLICO DO MARANHÃO
Authors: Da Silva dos Santos Miguel Henrique , Oliveira Macedo Ana Paula , Costa Maia Dias Ismália Cassandra , Stabnow Santos Floriacy
Published: April 2022

Objetivo: descrever as etapas do gerenciamento dos resíduos de serviços de saúde de um hospital público do Maranhão, considerando o ambiente/investigando os profissionais. Métodos: estudo transversal descritivo, com visitas às enfermarias e postos de enfermagem, cada local observado durante uma hora (com cinco réplicas) seguindo um roteiro pré-estabelecido e com aplicação de questionário semiestruturado com a equipe de enfermagem. Resultados: os postos de enfermagem apresentaram maior quantidade de geração de resíduos perfurocortantes, com destaque para agulhas e seringas; o Descartex apresentava localização e posição adequada e segura, mas com volume excedido; resíduos infectantes, biológicos e de lixo comum, foram acondicionados em sacos plásticos segundo o normatizado. A frequência de coleta e limpeza estava de acordo com a normatização, embora as lixeiras estivessem sem tampa e pedal. O transporte foi realizado em containers adequados embora o tempo de remoção dos resíduos até o armazenamento externo estivesse em desacordo com o estabelecido. 88% dos técnicos e 100% dos enfermeiros relataram que há diferença no manejo dos diferentes grupos de resíduos, tendo como resíduos mais gerados os perfurocortantes, máscaras, luvas e papel. 94% dos técnicos e todos os enfermeiros afirmaram existir a etapa de segregação. 36,3% dos técnicos e 20% dos enfermeiros afirmaram já terem sofrido algum acidente ocupacional envolvendo resíduos perfuro cortantes. Conclusões: Observou-se maior produção dos resíduos biológicos, perfurocortantes e comuns, com determinados pontos em desacordo com a legislação normativa, ressaltando a necessidade dos profissionais da equipe de enfermagem conhecerem as etapas do gerenciamento dos resíduos.
Prediction of Shear Strength Parameters of Gypseous Soil using Artificial Neural Networks
Authors: Al-zubaidy Dunya S. , Aljanabi Khalid R. , Khaled Zeyad S. M.
Published: April 2022

The shear strength of soil is one of the most important soil properties that should be identified before any foundation design. The presence of gypseous soil exacerbates foundation problems. In this research, an approach to forecasting shear strength parameters of gypseous soils based on basic soil properties was created using Artificial Neural Networks. Two models were built to forecast the cohesion and the angle of internal friction. Nine basic soil properties were used as inputs to both models for they were considered to have the most significant impact on soil shear strength, namely: depth, gypsum content, passing sieve no.200, liquid limit, plastic limit, plasticity index, water content, dry unit weight, and initial voids ratio. Multi-layer perceptron training by the backpropagation algorithm was used in creating the network. It was found that both models can predict shear strength parameters for gypseous soils with good reliability. Sensitivity analysis of the first model indicated that dry unit weight and plasticity index have the most significant effect on the predicted cohesion. While in the second model, the results indicated that the gypsum content and plasticity index have the most significant effect on the predicted angle of internal friction.
Antibacterial and antibiotic-modulating activities of Rhinella jimi and three other animal extracts against multidrug-resistant Gram-negative phenotypes
Authors: Guefack Michel-Gael F. , Tankeo Simplice B. , Ngaffo Carine M.N. , Bonsou Idrios N. , Nayim Paul , Wamba Brice E.N. , Kuete Victor , Mbaveng Armelle T.
Published: April 2022

Background: The antibiotic resistance of pathogenic bacteria is one of the major health problems worldwide. The development of novel antimicrobial therapies based on natural products that greatly reduce this resistance is urgent. The present study aimed at evaluating the antimicrobial potential of four animal methanol extracts, Gryllus campestris, Testudo hermanni, Cardisoma guanhumi, and Rhinella jimi as well as their synergistic effects with antibiotics against twenty Gram-negative bacteria. Methods: Zoochemical analysis of extracts was performed using qualitative reference methods for the detection of secondary metabolites and the ninhydrin reaction for the detection of protein constituents. The antibacterial activity of animal extracts alone and in combination with antibiotics was carried out using broth microdilution methods. Results: Amino acids, peptides, or proteins were present in all extracts. Alkaloids were detected in extracts of C. guanhumi and R. jimi and were absent in other extracts. Flavonoids, tannins, and steroids were evidenced only in dried and fresh extracts of R. jimi. Polyphenols, anthocyanins, anthraquinones, and saponins were not detected in all extracts. Dried extract from R. jimi was most active. It had antibacterial potential against 85% of the tested bacterial strains with significant activity (100≤MIC≤512 µg/mL) against 35% of bacteria; this included three E. coli (ATCC8739, AG100ATet and MC4100), one E. aerogenes (ATCC13048), one K. pneumoniae (ATCC11296) and two P. aeruginosa (PA01 and PA124). Dried and fresh extracts from C. guanhumi displayed an antibacterial activity against 40% and 20% of the bacteria tested, respectively, whereas dried extracts from G. campestris and fresh extracts from T. hermanni inhibited the growth of 15% and 10% of bacteria, respectively (MIC range of 512 to 2048 µg/mL). The dried and fresh extracts of R. jimi, at MIC/2 and MIC/4, potentialized the activities of more than 70% of the antibiotics respectively against more than 70% of studied bacteria. Both extracts highly improved the activity of oxacillin, gentamicin, erythromycin, and ciprofloxacin with improved activity factors (IAFs) ranging from 16 to 256. Conclusion: This work demonstrated that R. jimi extracts had a broad spectrum of antibacterial activities. The overall data provided evidence that animals investigated in this study might be potential sources of natural antimicrobial agents; They can be combined with clinically used antibiotics to overcome bacterial resistance. Keywords: Animal extract, antibiotics; Gram-negative bacteria; efflux pumps; multidrug resistance; Rhinella jimi.
Adaptation and validation of the Dimensions of Identity Development Scale in Chinese
Authors: Meng Runtang , Mastrotheodoros Stefanos , luyckx koen
Published: April 2022

The Chinese version of the Dimensions of Identity Development Scale (DIDS)
A proposed attention-based model for spatial memory formation and retrieval
Authors: Soyer Cagatay
Published: April 2022

Animals use sensory information and memory to build internal representations of space. It has been shown that such representations extend beyond the geometry of an environment and also encode rich sensory experiences usually referred to as context. In mammals, contextual inputs from sensory cortices appear to be converging on the hippocampus as a key area for spatial representations and memory. How metric and external sensory inputs (e.g. visual context) are combined into a coherent and stable place representation is not fully understood. Here, I review the evidence of attentional effects along the ventral visual pathway and in the medial temporal lobe and propose an attention-based model for the integration of visual context in spatial representations. I further suggest that attention-based retrieval of spatial memories supports a feedback mechanism that allows consolidation of old memories and new sensory experiences related to the same place, thereby contributing to the stability of spatial representations. The resulting model has the potential to generate new hypotheses to explain complex responses of spatial cells such as place cells in the hippocampus.
Framing right-wing populist satire: the case-study of Ghisberto's cartoons in Italy
Authors: Polli Chiara , Berti Carlo
Published: April 2022

Over the last few years, right-wing populism has increased its popularity and political weight, successfully merging with Euro-scepticism, nationalism, xenophobia, religious symbolism, and aggressive forms of conservatism (e.g., anti-feminism, homophobia, and, in general, patriarchal politics). Several studies have focused on the communication strategies of contemporary populism, examining the latter’s use of traditional and new media. So far, however, little attention has been paid to the role and language of right-wing populist satire. Our study draws on the ideational approach to populism to explore how right-wing populism is expressed in satirical cartoons. This approach perceives populism as a thin-centered ideology, based on a Manichean division between ‘good people’ and ‘evil elites,’ which regularly combines with other ideological components (e.g., nationalism, Euroscepticism, xenophobia). Our analysis focuses on the Italian cartoonist Ghisberto, known for his provocative and frequently controversial work. We examine a sample of Ghisberto’s vignettes using multimodal analysis tools and Greimas’s notion of isotopy. The aim is to investigate how right-wing populist satire constructs its different targets (the EU, left-wingers, migrants, NGOs, women, etc.) and how populist ideology exploits cartoons’ communicative resources and power.