bluuebunny/crossref_metadata_2025 huggingface dataset:
O papel do gestor escolar para efetivação da gestão democrática na escola
Authors: Cymbaluk Mabel Aparecida , Pedroso Carolina Vilas Boas Alves , Grandini Claudio Oliveira , Filipak Sirley Terezinha
Published: July 2022

A presente pesquisa se propõe a refletir sobre o papel do gestor escolar para a efetivação da gestão democrática no ambiente escolar. Tem como objetivo geral identificar qual é o papel do gestor escolar para a efetivação da gestão democrática e como objetivos específicos: compreender a gestão democrática; identificar o perfil gestor escolar e apontar o papel do gestor escolar na gestão democrática. A metodologia utilizada foi a abordagem qualitativa, utilizando como instrumento de pesquisa a do tipo bibliográfica, norteada por renomados autores da área da educação, tais como: Lück (2011), Paro (2015), Libâneo (2017), entre outros. A partir da presente pesquisa bibliográfica foi possível constatar que o gestor escolar tem como principal papel de ser o guardião da vida democrática, pois este é o sujeito-líder para reger a gestão democrática no ambiente escolar para que a democracia esteja presente na escola de forma direta e principalmente envolvendo todos os sujeitos que ali estão presentes.
Refinamento, desenvolvimento pessoal e práticas meditativas: aspectos introdutórios
Authors: Dendasck Carla Viana
Published: July 2022

Este material trata-se do primeiro artigo de uma sequência de cinquenta materiais, que terá como objetivo principal a construção do conhecimento teórico sobre refinamento e desenvolvimento pessoal, e sua viabilização pragmática através do auxílio de diversas práticas meditativas. Obedecendo a sistematização do rigor científico, cada material será organizado a partir de uma pergunta norteadora que trará sentido a cada material de forma individualizada, mesmo que faça parte de uma sequência. Desta feita, a questão aqui evidenciada será: quais as abordagens conceituais e epistemes que compõem o refinamento, o desenvolvimento pessoal e, como as práticas meditativas auxiliam esse processo? De forma geral, é possível observar que o ser humano é um indivíduo em constante metamorfose, que deve sempre buscar desenvolver-se para atuar de forma mais efetiva tanto no âmbito pessoal quanto social. Os conceitos teóricos são importantes na medida que subsidiam esse processo; no entanto, as práticas meditativas podem ser ferramentas estratégicas para executar de forma efetiva esse processo, produzindo efeitos mentais, sociais e fisiológicos.
Increased Knowledge and Attitudes of Preconception Care using the Dedi Torri Application
Authors: Abriyani Ni nyoman Y. , Tri Sunarsih  , Rosida Luluk
Published: July 2022

Objetive: To determine the increase in knowledge and attitude of preconception care through the application of DeDitorRi.Methods: Uses pre-experiment using a one group pre-test and post-test design.Result: Based on the paired t test in the first health education using the DeDi torRi application to the difference in knowledge obtained with a p value of 0.000 in attitudes with a p value of 0.000. Based on paired t test in the second health education using the DeDitorRi application to the difference of knowledge obtained with a p value of 0.000 and an attitude with a p value of 0.000.Conclusion: Preconception care health education through DeDi torRi (application-based module) and education that is given repeatedly to reproductive age mothers can influence the increase in knowledge and attitude of preconception care.Keywords:  health education applications, preconception care, women of reproductive.

 

 

Abstrak

Tujuan : Untuk mengetahui peningkatan pengetahuan dan sikap perawatan prakonsepsi melalui aplikasi DeDi torRi. Metode : Pre-eksperimen dengan menggunakan rancangan one group pre-test dan post-test.Hasil: Berdasarkan uji paired t test pada pendidikan kesehatan pertama menggunakan aplikasi DeDi torRi terhadap beda pengetahuan yang didapatkan  dengan p value sebesar 0,000 pada sikap dengan p value 0,000. Berdasarkan uji paired t test pada pendidikan kesehatan kedua menggunakan aplikasi DeDi torRi terhadap beda pengetahuan yang didapatkan  dengan p value sebesar 0,000 dan pada sikap dengan p value 0,000.Kesimpulan: Pendidikan kesehatan menggunakan aplikasi DeDi torRi (aplikasi berbasis modul) efektif dalam meningkatkan pengetahuan dan sikap pada perempuan usia reproduktif terhadap perawatan prakonsepsi. Kata kunci: aplikasi pendidikan kesehatan, perawatan prakonsepsi, perempuan usia reproduktif.
Influence of Total Hysterectomy to Sexual Function
Authors: Dini Andini Z. , Yusrizal Ferry , Basir Firmansyah , Theodorus
Published: July 2022

Objective: To determine whether there are differences the impact of total hysterectomy on sexual function between each woman. Women who perform total hysterectomy often experience fear of the negative effects of hysterectomy on their sexual function.Methods: Randomized clinical trials have been conducted in outpatient clinic Obstetrics and Gynecological wards of Dr. Muhammad Hoesin General Hospital, Palembang from February to October 2020. There were 40 samples of women undergoing a total hysterectomy met the inclusion criteria. Sexual function before and after hysterectomy was analyzed with the Wilcoxon test.   Data analysis using SPSS version 22.0.Results: This study showed decreased of desire, decreased stimuli, decreased orgasm, increased lubrication, increased sexual satisfaction, and increased dyspareunia samples after a total hysterectomy. However, with statistical analysis obtained results there were no meaningful changes in sexual function of desire (p = 0.849), stimuli (p = 0.716), lubrication (p = 0.261), orgasm (p = 0.839), sexual satisfaction (p = 0.613) and dyspareunia (p = 0.510)  after total hysterectomy  .Conclusion: It can be concluded that there is no significantly total hysterectomy effect on sexual function, based on FSFI (sexual desire, sexual arousal, lubrication, orgasm, sexual satisfaction, and pain.Keywords: clinical  trial,   FSFI, hysterectomy,  sexual   function.

 

Abstrak

Tujuan: Mengetahui adakah perbedaan dampak histerektomi total pada fungsi seksual antara setiap perempuan. Perempuan yang melakukan histerektomi total sering mengalami ketakutan akan efek negatif histerektomi pada fungsi seksualnya. Metode: Telah dilakukan uji klinis secara acak di poliklinik rawat jalan bangsal Obstetri dan Ginekologi RSUP Dr. Muhammad Hoesin Palembang dari bulan Februari sampai Oktober 2020. Sebanyak 40 sampel perempuan yang menjalani histerektomi total memenuhi kriteria inklusi. Fungsi seksual sebelum dan sesudah histerektomi dianalisis dengan uji Wilcoxon. Analisi data menggunakan SPSS versi 22.0.Hasil: Penelitian ini menunjukkan penurunan hasrat, penurunan rangsangan, penurunan orgasme, peningkatan lubrikasi, peningkatan kepuasan seksual, dan peningkatan dispareunia setelah histerektomi total. Namun dengan analistik statistik didapatkan hasil tidak ada perubahan yang bermakna pada fungsi seksual yaitu hasrat (p=0,849), rangsangan (p=0,716), lubrikasi (p= 0,716), lubrikasi (p=0,261), orgasme (p=0,839), kepuasan seksual (p= 0,613), dan dispareunia (p= 0,510) setelah histerektomi total.Kesimpulan: Dapat disimpulkan bahwa tidak ada pengaruh histerektomi total yang signifikan terhadap fungsi seksual berdasarkan FSFI (hasrat, seksual, gairah seksual, lubrikasi, orgasme, kepuasan seksual, dan nyeri.Kata kunci: fungsi seksual, FSFI, histerektomi, uji klinis.
The Efficacy of Chemotherapy in Advanced-Stage Cervical Cancer on Vitamin A Serum
Authors: Rizal Raissa N. , Sanif Rizal , Novaliani Amirah , Theodorus
Published: July 2022

Abstract

Objective: To determine the efficacy of neoadjuvant chemotherapy on changes of vitamin A serum in advanced cervical carcinoma patient.

Method: A randomized clinical trial was performed in the Oncology Gynecology Polyclinic and Ward of Dr. Mohammad Hoesin General Hospital, Palembang from September 2019 to September 2020. There were 30 subjects of advanced cervical carcinoma. Vitamin A levels and tumor volume subjects were assessed before and 1 month after 3 cycles of NAC and analyzed using the Paired T Test and Wilcoxon test. The correlation between vitamin A levels and tumor volume was analyzed by using Spearman's Rho test. Data analysis was using SPSS version 22.0.

Results: This study showed statistically not significant increase on vitamin A levels after 3 cycles of NAC chemotherapy (p=0.515). However, there was a significantly decrease in tumor volume after 3 cycles of NAC (p=0.000). In addition, there was a moderate negative correlation between tumor size and vitamin A (r=-0.475; p=0.008).

Conclusion: It can be concluded that there was significantly decrease in tumor volume after 3 series NAC chemotherapy and the smaller tumor size, the higher level of vitamin A serum.

Keywords: cervical cancer, neoadjuvant chemotherapy, randomized clinical trial, vitamin A,

 

Abstrak

Tujuan: Untuk mengetahui efektivitas kemoterapi neoadjuvan terhadap perubahan kadar serum vitamin A pada karsinoma servik stadium lanjut.

Metode: Penelitian uji klinik tanpa pembanding telah dilakukan di Poliklinik dan Bangsal Onkologi Ginekologi RSUP Dr. Muhammad Hoesin Palembang sejak September 2019 hingga September 2020. Didapatkan 30 sampel karsinoma serviks stadium lanjut. Kadar vitamin A dan volume tumor dinilai sebelum dan 1 bulan setelah 3 siklus NAC dan dianalsis menggunakan uji Paired T Test dan Wilcoxon. Korelasi antara Kadar vitamin A dan volume tumor sampel dianalisis menggunakan uji Spearman Rho’s. Analisa data menggunakan SPSS versi 22.0.

Hasil : Pada penelitian ini terdapat peningkatan tidak signifikan kadar vitamin A setelah kemoterapi (p = 0,515). Terdapat penurunan secara signifikan volume tumor sebelum dan sesudah kemoterapi NAC 3 seri (p = 0,000).  Selain itu, didapatkan korelasi negatif sedang yang bermakna antara ukuran tumor dan kadar vitamin A ( r = -0,475 ; p = 0,008).

Simpulan : Disimpulkan bahwa terdapat penurunan volume tumor setelah kemoterapi NAC 3 series dan semakin kecil ukuran tumor maka semakin tinggi kadar vitamin A dalam serum. 

Kata kunci: kanker serviks, kemoterapi neoadjuvan, uji klinik tanpa pembanding, vitamin A.
Estradiol on Day Seven is a Good Predictor for Oocyte Maturation Rate in In Vitro Fertilization Program
Authors: Hestiantoro Andon , Putri Betaria , Gunardi Eka R. , Saroyo Yudianto B. , Natadisastra Muharam
Published: July 2022

Abstract

Objective: to determine which factors influence the rate of oocyte maturation in In Vitro Fertilization (IVF) program.

Methods: A retrospective cohort study was conducted using secondary data from IVF participants at the Yasmin Fertility Clinic, Dr. RSUP. Cipto Mangunkusumo, Jakarta, Indonesia during the period January 2019 to December 2020, as recorded in the InaRepromed archive. The variables analyzed were age, body mass index, and hormone levels on day 1, day 7, and day hCG, with oocyte maturation rate as the main outcome. Correlation test was performed between several variables and the level of oocyte maturation rate and followed by multivariate analysis to assess the factors that were closely related to oocyte maturation rate.

Results: Data from 52 subjects were collected for the study. Positive correlation was observed between oocyte maturation rate and estradiol on day 7 (r = 0.229), while negative correlation was observed between oocyte maturation rate and progesterone/estradiol ratio on day 7 (r = -0.289) and luteinizing hormone on day 1 (r = -0.265). Multivariate analysis revealed that higher estradiol on day-7 was associated with better oocyte maturation rate (p = 0.047).

Conclusion: Higher estradiol level on day 7 was associated with better oocyte maturation rate in IVF.

Keywords: Assisted reproductive technology (ART), estradiol, in vitro fertilization (IVF), progesterone.

 

Abstrak

Tujuan: untuk menentukan faktor-faktor yang mempengaruhi tingkat pematangan oosit dalam program Fertilisasi InVitro (FIV).

Metode: Desain penelitian adalah kohort retrospektif, menggunakan data sekunder peserta bayi tabung Klinik Fertilitas Yasmin, RSUP Dr. Cipto Mangunkusumo, Jakarta, Indonesia selama periode Januari 2019 hingga Desember 2020, yang tercatat di dalam arsip InaRepromed. Variabel yang dianalisis adalah umur, indeks massa tubuh, dan kadar hormon pada hari ke-1, hari ke-7, dan hari ke-hCG, dengan tingkat maturasi oosit sebagai luaran utama. Dilakukan analisis korelasi antara beberapa variabel dengan tingkat maturasi oosit, dan dilanjutkan dengan analisis multivariat untuk menilai faktor-faktor yang berhubungan kuat dengan tingkat maturasi oosit.

Hasil: Data dari 52 subjek dikumpulkan untuk penelitian ini. Dijumpai korelasi positif antara tingkat maturasi oosit dan estradiol pada hari ke 7 (r = 0,229), sedangkan korelasi negatif diamati pula antara tingkat maturasi oosit dan rasio progesteron/estradiol pada hari ke 7 (r = -0,289) dan hormon luteinisasi pada hari 1 (r = -0,265). Analisis multivariat mengungkapkan bahwa estradiol yang lebih tinggi pada hari ke-7 dikaitkan dengan tingkat maturasi oosit yang lebih baik (p = 0,047).

Kesimpulan: Kadar estradiol yang lebih tinggi pada hari ke 7 dikaitkan dengan tingkat pematangan oosit yang lebih baik pada program FIV.

Kata kunci : Teknologi reproduksi berbantu (TRB), estradiol, fertilisasi in vitro (IVF), progesteron.
High Random Blood Glucose Level before Surgery as a Risk Factor for Recurrent Event in Epithelial Ovarian Carcinoma
Authors: Hapsari Anggiyasti V. , Iskandar Teuku M.
Published: July 2022

Abstract

Objective : To investigate the high random blood glucose level as a risk factor for recurrent disease in EOC patient at Kariadi General Hospital.

Methods: Sixty six patients diagnosed as EOC in Kariadi General Hospital were divided into 2 groups: 30 patients with recurrent disease and 30 patients without recurrent disease after completing chemotherapy cycles. We analysed correlation between age of diagnosis, tumour mass location, Ca-125 level, histological subtype and random blood glucose level before surgery with recurrent disease.

Result: There is no significantly difference in age of diagnosis, tumour mass location and histological subtypes between two groups. However, recurrent EOC patients have higher Ca-125 level significantly than non-recurrent patients (327.8±250.5 vs 183.5±212.1 respectively; p = 0,01). Mean of random blood glucose level of recurrent patients is also higher than non-recurrent patients significantly (150.5 ±79 vs 110.8 ± 31.1 respectively; p = 0.006). Patient with random blood glucose level > 110 mg/dl have 3 times more likely to develop recurrence in EOC patient significantly with 95% CI.

Conclusion: The mean of random blood glucose level in recurrent EOC patients is significantly higher than non-recurrent EOC patients. Patient with random blood glucose level > 110 mg/dl have 3 times more likely to develop recurrence in EOC patient.

Keyword: epithelial ovarian cancer, random blood glucose level, recurrent.

 

Abstrak

Tujuan: Untuk membuktikan kadar glukosa darah sewaktu yang tinggi sebagai faktor risiko kejadian residif pada pasien karsinoma ovarium epitelial di RSUP dr. Kariadi.

Metode: Enam puluh pasien yang telah didiagnosis sebagai karsinoma ovarium epitelial di RSUP dr. Kariadi dibagi menjadi 2 kelompok: 30 pasien pada kelompok residif dan 30 pasien pada kelompok non-residif berdasarkan evaluasi setelah menyelesaikan siklus kemoterapi. Data yang dianalisis meliputi usia saat terdiagnosis, lokasi tumor, kadar Ca-125, subtipe histologi, kadar gula darah sewaktu (GDS) sebelum operasi dan hubungannya dengan kejadian residif.

Hasil: Tidak terdapat perbedaan yang bermakna dalam usia saat diagnosis, lokasi tumor dan subtipe histologis diantara kedua kelompok. Namun, kelompok pasien residif memiliki kadar Ca-125 yang lebih tinggi secara bermakna dibandingkan kelompok pasien non-residif (327,8 ± 250,5 vs 183,5 ± 212,1; p = 0,01). Rerata kadar GDS pada kelompok pasien residif juga lebih tinggi secara bermakna daripada kelompok non-residif (150,5 ± 79 vs 110,8 ± 31,1; p = 0,006). Pasien dengan kadar GDS > 110 mg/dl memiliki risiko 3 kali lipat untuk menjadi residif secara bermakna dengan tingkat kepercayaan 95%.

Kesimpulan: Rerata kadar GDS pada kelompok pasien residif lebih tinggi secara bermakna dibanding kelompok pasien non-residif. Pasien dengan kadar GDS > 110 mg/dl memiliki risiko 3 kali lipat untuk menjadi residif

Kata kunci: kadar gula darah sewaktu, karsinoma ovarium epitelial, residif.
Prevention and Treatment of Venous Thromboembolism in Pregnancy
Authors: Suparman Erna
Published: July 2022

Abstract

Objective: To determine prevention and treatment of venous thromboembolism in pregnancy

Methode: Literature Review

Results: The diagnosis of TEV, both deep vein thrombosis (DVT) and pulmonary embolism (PE) was clinical and confirmed by imaging. D-dimers commonly used in the non-pregnant population are less useful in pregnant women. Prevention needs to be done by assessing the risk of TEV in pregnant women and giving thrombophylaxis according to risk. Treatment of TEV in pregnant women mainly uses heparin, either unfractionated heparin (UFH) or low molecular weight heparin (LMWH).

Conclusion: The ASH recommends the use of LMWH compared with UFH for the management of acute VTE in pregnancy, in once-daily or divided doses. The recommended method of delivery for pregnant women receiving anticoagulant therapy should be planned delivery

Key word : vein thromboemboli, deep vein thrombosis, pulmonary embolism, pregnancy

 

Abstrak

Tujuan: mengetahui bagaimana pencegahan dan tatalaksana tromboemboli vena pada kehamilan

Metode: Kajian Pusataka

Hasil: Diagnosis TEV, baik Deep vein thrombosis (DVT) dan pulmonary embolism (PE) berdasarkan klinis dan dikonfirmasi dengan pencitraan. D-dimer yang biasa digunakan pada populasi non-hamil kurang berguna pada ibu hamil. Pencegahan perlu dilakukan dengan menilai risiko TEV pada ibu hamil dan memberikan trombofilaksis sesuai dengan risiko. Tatalaksana TEV pada ibu hamil terutama menggunakan heparin, baik unfractionated heparin (UFH) maupun low molecular weight heparin (LMWH).

Kesimpulan:  ASH merekomendasikan penggunaan LMWH dibandingkan dengan UFH untuk pengelolaan VTE akut pada kehamilan, dalam dosis sekali sehari atau terbagi. Metode persalinan yang direkomendasikan untuk ibu hamil yang menerima terapi antikoagulan harus direncanakan persalinan

Kata kunci : tromboemboli vena, deep vein thrombosis, pulmonary embolism, kehamilan
Diagnosis and Management of Severe Peripartum Cardiomyopathy
Authors: Laksono Sidhi , Prawara Ananta S. , Halomoan Reynaldo
Published: July 2022

Objective: To describe the diagnosis and management of severe peripartum cardiomyopathyMethods: A case report.Case: A 35-year-old woman presented with dyspnea and leg edema. The patient gave birth 3 months ago. The hemodynamic was unstable and the physical examination showed a mild rhonchi in the basal of the lung and pansystolic murmur in the apex. Echocardiography showed a dilated heart chamber and reduced ejection fraction (30%). The patient was diagnosed as severe PPCM. The initial management was to stabilize the patient using furosemide, catecholamine, and vasopressor administration. After the patient’s condition was stable, ramipril, bisoprolol, and bromocriptine were given as heart failure therapy.Conclusions: Patient with suspicion of PPCM should be managed thoroughly from detailed history taking to proper diagnostic testing such as echocardiography. Prompt treatment of severe PPCM according to the guideline will improve the cardiac function.Key words: catecholamines, echocardiography, peripartum cardiomyopathy, pregnancy, vasopressor.

 

Abstrak

Tujuan: Untuk mendeskripsikan mengenai diagnosis dan manajemen pasien pada kasus kardiomiopati peripartum yang berat.Metode: Laporan kasus.Kasus: Seorang Perempuan 35 tahun datang dengan dispnea dan edema tungkai. Pasien melahirkan 3 bulan lalu. Hemodinamik tidak stabil dan pemeriksaan fisik menunjukkan ronki ringan di basal paru dan murmur pansistolik di apeks. Ekokardiografi menunjukkan dilatasi ruang jantung dan fraksi ejeksi berkurang (30%). Pasien didiagnosis dengan PPCM berat. Penatalaksanaan awal adalah menstabilkan pasien dengan pemberian furosemid, katekolamin, dan vasopresor. Setelah kondisi pasien stabil, diberikan ramipril, bisoprolol, dan bromokriptin sebagai terapi gagal jantung.Kesimpulan: Pasien dengan kecurigaan PPCM harus dikelola secara menyeluruh mulai dari anamnesa yang rinci hingga uji diagnostik yang tepat seperti ekokardiografi. Pengobatan segera untuk PPCM derajat berat yang sesuai dengan pedoman akan meningkatkan fungsi jantung.Kata kunci: ekokardiografi, kardiomiopati peripartum, katekolamin, kehamilan, vasopressor.
Akibat Hukum Penolakan Penandatanganan Perjanjian Kerjasama (Non-Disclosure Agreement) oleh Pekerja yang Mengundurkan Diri
Authors: Nugroho Kresno Adi , Djumadi Djumadi , Hafidah Noor
Published: July 2022

Artikel ini membahas tentang Perjanjian Kerahasiaan (Non-Disclosure Agreement) ketika dalam melakukan sebuah perjanjian Kerahasiaan (Non-Disclosure Agreement)  dan meminta mantan pekerja persuahaan tersebut menandatanganinya. Mantan pekerja tersebut merasa keberatan karena ada poin-poin yang didalam Perjanjian Kerahasiaan (Non-Disclosure Agreement) merasa dirugikan sehinga perlu dikaji akibat yang ditimbulkan jika mantan pekerja tersebut menolak untuk menandatangani Perjanjian Kerahasiaan (Non-Disclosure Agreement). Tujuan dari Penelitian ini untuk mengkaji menganalisis Perjanjian Kerahasiaan (Non-Disclosure Agreement) dari perusahaan dapat mengakomodir asas keadilan dan menganalisis akibat hukum yang ditimbulkan apabila pekerja yang mengundurkan diri menolak menandatangani Perjanjian Kerahasiaan (Non-Disclosure Agreement) dari perusahaan metode yang digunakan bersifat normatif yaitu mengkaji persoaln hukum dari sudut pandang ilmu hukum secara mendalam tipe penelitian yang digunakan yaitu penelitian Theoritical Research  Hasil Penelitiannya adalah perlu adanya batasan yang jelas dalam Perjanjian Kerahasiaan (Non-Disclosure Agreement) agar suatu perjanjian yang dibuat antara perusahaan dan pekerja dapat memenuhi tujuan yang berlandaskan asas keadilan kedua Seharusnya si pekerja pada saat menandatangani perjanjian kerja pada awal memasuki perusahaan tersebut juga harus mempelajari apakah dalam isi perjanjian tersebut menyatakan bahwa mengharuskan si pekerja menandatangani Perjanjian Kerahasiaan (Non-Disclosure Agreement) dan Pengaturan mengenai Perjanjian Kerahasiaan (Non-Disclosure Agreement) sendiri belum diatur secara eksplisit dan perjanjian ini pun mengacu pada asas kebebasan berkontrak  sehingga ketika seorang pekerja mengundurkan diri dan pindah ke perusahaan kompetitor, selama dalam perjanjian kerja tidak diatur demikian, maka hal itu tidak mengapa karena telah dijamin oleh ketentuan Pasal 38 ayat (2) Undang-Undang Nomor 39 Tahun 1999 tentang Hak Asasi Manusia
Long-Distance Travel Impacts of COVID-19 Across the United States
Authors: Huang Yantao , Zuniga-Garcia Natalia , Kockelman Kara
Published: July 2022

Using over a thousand Americans’ population-weighted responses to a long-distance travel survey, this paper examines reductions in trips over 75-miles (one-way) in 2020, during the pandemic, versus behaviors in 2019. Negative binomial models of trip counts suggest that people age 25 to 64 took 0.20 fewer annual long-distance business trips during the pandemic, but people age 65 and older took 0.45 fewer business and 0.57 fewer non-business long-distance trips, on average. Household income was not a key predictor for long-distance non-business-trip-making during the pandemic, but was important in predicting long-distance trip rates for business purposes (both before and during the pandemic) and for non-business trips pre-pandemic.
SAÚDE CARDIOVASCULAR IDEAL: UMA REVISÃO INTEGRATIVA DE LITERATURA
Authors: Dumont Lígia Sant’Ana , Silva Graciele Tais , Ávila Lara de Castro , Silva Pedro Henrique de Almeida , Soares Viviane
Published: July 2022

Introdução: A promoção de saúde cardiovascular (SCV) tem por objetivo evitar o surgimento dos fatores de risco cardiovasculares sugerindo mudanças no estilo de vida. Para isso, a American Heart Association estabeleceu 7 métricas com o objetivo de trabalhar com a população promoção e prevenção em saúde visando a redução da prevalência de doenças cardiovasculares (DCV). Objetivo: revisar os estudos que foram publicados na literatura sobre avaliação de saúde cardiovascular desde o estabelecimento das sete métricas pela American Heart Association em 2010. Métodos: As buscas foram realizadas com o descritor “saúde cardiovascular” na base de dados do Publisher Medline (PubMed), Scielo e Web of Science. Os estudos foram avaliados pela escala de Downs e Black (1998). Resultados: 85,7% dos estudos mostraram SCV ideal para histórico de tabagismo e pobre para o consumo alimenta; para a atividade física, 51,1% foram classificados como ideal; e 57,1% foram classificados como pobre para o IMC; dentre os fatores biológicos, a PAS estava pobre em 42,8%, a glicemia de jejum e o colesterol total estavam ideais em 42,8%. Conclusão: Dentre as métricas analisadas, o fator dieta foi o que mais se encontrou distante do ideal para a proteção do sistema cardiovascular, dentre as métricas modificáveis seguida do IMC. Como visto, o consumo alimentar inadequado perpassa por vários países e pode ser o ponto de partida para estratégias de promoção e prevenção em SCV. Uma medida relativamente simples de controle da massa corporal pode influenciar de forma significativa todos as outras métricas relacionadas a SCV.
ВЗАЄМОЗВ’ЯЗОК МІЖ ПОКАЗНИКАМИ БІОЛОГІЧНОГО ВІКУ ТА ФІЗИЧНОЇ ПІДГОТОВЛЕНОСТІ КУРСАНТІВ ВВНЗ
Authors: Оленєв Дмитро , Присяжнюк Станіслав , Шемчук Вадим , Юденко Оксана , Старчук Олександр
Published: July 2022

В статті розглянуто питання взаємозв’язку показників біологічного віку курсантів вищих військових навчальних закладів як одного із чинників, що характеризують стан здоров’я, з показниками рівня розвитку основних фізичних якостей як інтегральної оцінки їх загальної фізичної підготовленості. З’ясовано, що переважна більшість сучасних досліджень діагностування біологічного віку різних верств населення спрямована на визначення кількісної характеристики функціональних систем організму людини, що не відображає динаміки його показників в залежності від рівня фізичної підготовленості. Результати проведеного авторами дослідження дозволили зробити попередні висновки щодо залежності показників біологічного віку від рівня  фізичної підготовленості курсантів.
TALENT MANAGEMENT В СИСТЕМІ ВІЙСЬКОВОЇ ОСВІТИ УКРАЇНИ
Authors: Цевельов Олег , Вітер Дмитро , Мітягін Олег , Шабатіна Надія
Published: July 2022

Успіх розвитку військового колективу значною мірою залежить не тільки від високого рівня готовності й умінь діяти в бойовій обстановці, а й від ефективності використання особистих якостей військовослужбовців, які є рушійною силою будь-якого військового підрозділу та важливим складником досягнення їм високих позицій з виконання поставлених завдань та результативності підрозділу і військового колективу у цілому.

У сучасному світі, коли захист держави потребує нових підходів, процес прийняття рішення становиться динамічним і в органах військового управління виникає постійна потреба в пошуках нових рішень і підвищенні ефективності її процесів, виграють ті військові підрозділи, які формують новий вектор розвитку кадрової політики та зміцнюють свою конкурентну позицію за рахунок пошуку, залучення й утримання найбільш талановитих спеціалістів у військовому колективі.

Талановиті люди мають змогу переміщатися як усередині одного військового колективу, так і функціонувати в рамках збройних сил, а також проявляти більше можливостей розпочати кар’єру та зріст по службовій сходинці, що, своєю чергою, призводить до виникнення дефіциту необхідних спеціалістів, тому пошук, залучення та утримання справжніх лідерів є достатньо складною проблемою, у зв’язку з чим з’являється посилення конкурентної боротьби за талановитих співробітників. Отже, виникає потреба побудови нової системи управління персоналом, основою якої стане орієнтація на таланти.
АВТОМАТИЗАЦІЯ ОБЛІКУ ПУБЛІКАЦІЙ НАУКОВИХ ПІДРОЗДІЛІВ НА ОСНОВІ ВИКОРИСТАННЯ API ORCID
Authors: Горбачевський Сергій
Published: July 2022

Розглянуто алгоритм автоматизації обліку публікацій наукових підрозділів на основі використання API ORCID, а також переваги та недоліки використання саме ORCID.
ОСОБЛИВОСТІ ПІДГОТОВКИ ОФІЦЕРІВ ЗАПАСУ СТАРШОГО ТА ВИЩОГО ОФІЦЕРСЬКОГО СКЛАДУ В УМОВАХ ВОЄННОГО СТАНУ
Authors: Зельницький Андрій , Заболотний Олег , Васильєв Олександр , Корнієнко Валерій
Published: July 2022

У статті досліджено проблеми підготовки (перепідготовки) офіцерів запасу старшого та вищого офіцерського складу Збройних Сил України у контексті еволюції поглядів на проведення державної військової кадрової політики в умовах запровадження воєнного стану в державі, запропоновано внесення змін до змісту окремих базових понять категоріального апарату та розглянуто основні напрями і шляхи подальшого удосконалення підготовки офіцерів запасу на принципах централізації, децентралізації, ступневості, індивідуалізації, органічного зв’язку з бойовою діяльністю військ (сил).
Obogaćivanje mlijeka malih preživača selenom
Authors: Antunović Zvonko , Klir Šalavardić Željka , Sičaja Vinko , Novoselec Josip
Published: July 2022

Selen je važan element u tragovima koji sudjeluje u brojim fiziološkim i metaboličkim procesima u organizmu životinja i ljudi. Brojna su područja i regije u svijetu poznati po nedostatku selena u tlima, a samim time i u usjevima/proizvodima, što se odražava i na njegov nedostatak u životinja i ljudi. Posljednjih se godina sve više pozornosti poklanja iznalaženju optimalne metode/postupka u cilju obogaćivanja proizvoda selenom. Konzumacijom animalnih proizvoda obogaćenih selenom u humanoj prehrani moguće je zadovoljiti njihove nutritivne potrebe za selenom. Cilj ovoga rada je analizom i sintezom dostupne literature istražiti: (I) važnost selena za životinje i ljude, (II) sadržaj selena u mlijeku preživača s posebnim naglaskom na mlijeko malih preživača (ovaca i koza), (III) metode/postupke u procesu obogaćivanja mlijeka malih preživača selenom i to prije svega onih s naglaskom na hranidbeno modeliranje i prirodne postupke te (IV) neke od mogućnosti uporabe obogaćenoga mlijeka selenom u prehrani ljudi. Zaključno se može reći da su metode/ postupci usmjereni u obogaćivanje mlijeka malih preživača selenom za preporuku. Prije svega su to dodavanje organskih izvora selena u hranu ili provođenje postupka biofortifikacije krmiva selenom koji slovi kao prirodni postupak čime se postižu pozitivni učinci na zdravlje životinja, kao i pozitivni učinci pri konzumaciji mlijeka obogaćenoga selenom i u ljudi, osobito pri dužem nedostatku selena u hrani.
Potencijali i prepreke razvoja agrara kroz bioekonomiju u Republici Hrvatskoj
Authors: Radić Tajana , Jurišić Vanja , Kulišić Biljana , Đođo Željana , Franić Ramona , Mikuš Ornella , Petak Zdravko , Gazić Dario , Matin Ana
Published: July 2022

Bioekonomija jedna je od politika Europske unije koja ima za cilj osnažiti gospodarstva kroz veću učinkovitost korištenja biomase putem brojnih inovacija te olakšati prijelaz na zelene politike kroz dobavu obnovljivog ugljika u društvo. Poljoprivreda kao primarni proizvodni sektor ima važnu ulogu u razvoju kružne i održive bioekonomije. Istraživanje je provedeno na poljoprivrednim proizvođačima, članovima Hrvatske poljoprivredne komore u 6 fokus grupa, Delfi metodom. Prosječno je sudjelovalo 10 ispitanika po fokus grupi. Cilj ispitivanja je ustanoviti prepreke i sklonost prema inovacijama u okviru bioekonomije. Rezultati su pokazali potrebu za prilagođavanjem mjera te usuglašavanjem poljoprivrednih politika u skladu s potrebama prakse, većim udruživanjem proizvođača, logističkom infrastrukturom, prijenosom informacija i znanja kako bi poljoprivredni proizvođači prepoznali prilike za rast koje nudi kružna i održiva bioekonomija.
Asuhan Kebidanan Ibu Bersalin dengan Lilitan Tali Pusat
Authors: Sinaga Elvalini Warnelis , Aulia Tasya Nur
Published: July 2022

Kehamilan, persalinan,  masa nifas, bayi baru lahir dan pemilihan alat kontrasepsi merupakan serangkaian  proses fisiologis yang berkesinambungan. Lilitan tali pusat dapat mengakibatkan hal fatal yaitu kematian pada bayi, hal tersebut dikarenakan puntiran tali pusat yang berulang-ulang ke suatu arah dan dapat mengakibatkan aliran darah dari ibu ke janin terhambat total. Tujuan penelitian  adalah  melakukan Asuhan Kebidanan Berbasis Continuty of Care dilakukan dengan pendekatan manajemen 7 langkah Helen Varney dan SOAP. Metode penelitian dilakukan dengan studi kasus. Penatalaksanaan dilakukan dengan pendekatan Continiue Of Care  yaitu asuhan kebidanan pada Ny. A G1P0A0. Asuhan kebidanan komperensif pada Ny ”A” di dapat keluhan yang di rasakan masih dalam hal fisiologis dan telah di lakukan penatalaksanan sesuai dengan keluhan dan sesuai dengan hasil fisiologis dan dilakukan penatalaksanaan sesuai dengan kondisi pada pasien pada masa hamil, bersalin, nifas, neonatus, dan KB. Kala I persalinan Ny”A” berjalan normal, dengan Kala II dilakukan dengan menunda pemotongan tali pusat dalam waktu 60 menit. Penatalaksaannya yang di lakukan yaitu melakukan mengobservasi kemajuan persalinan dan keadaan janin dan berjalan dengan baik dan tidak mengalami masalah. Masih banyaknya ibu yang melahirkan dengan tanpa menunda pemotongan tali pusat yang disebabkan masih sedikit pilihan tempat melahirkan dengan penundaan pemotongan tali pusat.
Determinan Kasus Preeklampsia pada Ibu Bersalin
Authors: Harahap Nirmala , Situmeang Irene Florensia
Published: July 2022

Preeklampsia merupakan hipertensi yang timbul pada usia kehamilan ≥20 minggu disertai dengan adanya proteinuria. Preeklampsia merupakan penyulit kehamilan yang dapat terjadi pada saat hamil, bersalin dan masa nifas. Preeklampsia merupakan penyebab langsung kematian ibu. Penelitian ini bertujuan untuk mengetahui determinan kasus preeklampsia pada ibu bersalin. Metode penelitian menggunakan kuantitatif dengan desain Cohort retrosfektif. Pengambilan data secara cross sectional dengan pendekatan accidental sampling. Jumlah besaran sampel dalam penelitian ini menggunakan uji hipotesis dua populasi dari lemeshow, S., Hos,er., Klar., and Lwanga sesuai kriteria eksklusi diketahui sebanyak 159 ibu yang memiliki bayi 0-6 bulan. Hasil penelitian ini menunjukkan bahwa terdapat 24,5% responden mengalami preeklampsia, angka ini cukup tinggi menjadi morbiditas ibu. Hasil analisis statistik bivariat menunjukkan terdapat hubungan antara usia ibu (Pv=0,04; OR=2,495), riwayat hipertensi (Pv=0,000; OR=41,043) riwayat preeklamspia (Pv=0,000; OR=59.500), dan konsumsi kalsium (Pv= 0,018; OR=2,613) dengan kasus preeklampsia. Hasil analisis multivariat menunjukkan variabel yang paling dominan mempengaruhi kasus preeklamspia adalah riwayat hipertensi (Exp B=43,557), artinya responden dengan riwayat hipertensi akan berpeluang 43 kali terjadi preeklampsia. Dari hasil tersebut perlu adanya peningkatan edukasi pada ibu hamil mengenai faktor yang berhubungan dengan kejadian preeklampsia dan mampu untuk mengenali gejala-gelaja preeklampsia sehingga ibu hamil dapat melakukan pencegahan.
Analisa Tingkat Risiko Terjadinya Kebakaran dan Ledakan pada Kegiatan Unloading Bahan Bakar Minyak dari Mobil Tangki di SPBU
Authors: Yulianto Budi , Tejamaya Mila
Published: July 2022

Proses kegiatan pengiriman BBM ke SPBU dengan proses unloading memiliki potensi bahaya yang tinggi karena hubungannya dengan bahan bakar jenis bensin dan solar. Oleh karenanya perlu dilakukan analisis perhitungan level risiko dan permodelan skenario untuk menggambarkan dampak kebakaran dan ledakan, agar dampak yang ditimbulkan dapat diminimalkan dengan melakukan pengendalian dan pencegahan. Tujuan penelitian ini adalah untuk mengetahui tingkat risiko terjadinya kebakaran dan ledakan pada kegiatan unloading bahan bakar minyak dari mobil tangki di SPBU. Dalam penelitian ini menggunakan metode semi kuantitatif, dimana penilaian risiko dapat menggunakan metode kuantitatif, kualitatif dan semi kuantitatif. Sampel pada penelitian ini adalah mobil tangki kapasitas 24.000 liter melakukan proses pembongkaran (unloading) BBM dengan produk yang diangkut jenis premium di 3 SPBU wilayah Jawa Bagian Barat yang pernah mengalami insiden kebakaran. Instrumen dan analisa risiko bahaya kebakaran dan ledakan menggunakan Dow’s Fire and Explosion Index. Dari hasil perhitungan Dow’s Fire and Explosion Index dengan menggunakan software ALOHA versi 5.4.7 dan MARPLOT dapat diketahui klasifikasi risiko dari kejadian kebakaran dan ledakan serta area dampak dari kejadian tersebut. Hasil penelitian ini diketahui bahwa Tingkat risiko kebakaran dan ledakan dari proses unloading bahan bakar minyak dari mobil tangki ke SPBU menurut klasifikasi tingkat risiko dengan nilai 122,56 berada pada kategori Intermediate.
CLINICAL DIFFERENCES IN MANIFESTATIONS OF SELF-DESTRUCTIVE BEHAVIOR IN PATIENTS WITH SCHIZOPHRENIA SPECTRUM PSYCHOTIC DISORDERS
Authors: Bashynskyi Oleksadr
Published: July 2022

Manifestations of self-destructive behavior (SDB) differ in patients with schizophrenia spectrum psychotic disorders and our study aims to identify these differences through the demonstration of clinical cases. The purpose of the study is to explore clinical differences in manifestations of self-destructive behavior in patients with schizophrenia spectrum psychotic disorders. The study involved 95 patients diagnosed with schizophrenia spectrum disorders. The patients were divided into two groups. The first group (Gr1 PermSDB) included 40 patients (42% of the total number of subjects) with psychiatric disorders, who expressed a constant presence of manifestations of self-destructive behavior throughout the whole disease period or during more than half of this period (both according to the patients and to the medical records). The second group (Gr2 ImpSDB) included 55 patients (58% of the total number of subjects), where the manifestations of self-destructive behavior appeared only at the height of exacerbation of psychopathological symptoms, and this caused the acts of impulsive self-harm. Looking at the examples, we see a difference in motivational statements in different groups of patients: in Gr2, the main factor that motivated patients to harm themselves was the exacerbation of psychotic symptoms. At the same time, the main factors influencing the self-harm in Gr1 were personal experiences related to psychological problems
Keywords: self-destructive behavior, schizophrenia, schizophrenia spectrum psychotic disorders, clinical cases
Environmental management education using immersive virtual reality in asthmatic children in Korea: a randomized controlled study (secondary publication)
Authors: Kim Seung Hyun , Park Sang Hyun , Kang Insoon , Song Yuyoung , Lim Jaehoon , Yoon Wonsuck , Yoo Young
Published: July 2022

Purpose: Awareness of environmental control is considered a significant influence on the performance of asthma self-management behaviors, which are involved in maintaining effective asthma control. This study aimed to investigate whether immersive virtual reality (VR) education is effective in environmental control education for asthmatic children in Korea.Methods: Thirty asthmatic children aged 9 to 13 years with aeroallergen sensitization were enrolled. Environmental control education for asthmatic participants was performed using immersive VR (VR group) or conventional leaflets provided by asthma specialists (control group). Five questionnaires, on awareness of environmental control, memory, assessment of intent to act, a satisfaction test, and an asthma control test (ACT), were used to estimate the effects of education.Results: The scores for awareness of environmental control, memory, and intent to act significantly increased after education in both groups, and the scores remained high until 4 weeks after education. Both groups' ACT scores were consistently high before and 4 weeks after education. Satisfaction scores were very high in the VR group.Conclusion: The increased scores in awareness of environmental control and intent to act indicate that the environmental control education using VR is worthy of attention as an effective educational tool for asthma management. Further developed techniques, including active environmental interventions by participants in VR, could be applied to effective asthma management.
FROM WORKPLACE ATTACHMENT AND DETACHMENT TO COMMUTER SATISFACTION
Authors: BEŇO MICHAL
Published: July 2022

Commuting to and from work can be stressful, tedious and unenjoyable. Previous research has demonstrated the positive/negative relationship between duration of commuting and life satisfaction. Relying on secondary data, the present study applies a quantitative research approach to examine the data. The quantitative results obtained indicate that there is a positive correlation between the indicators of 1-9 minutes and 45-59 minutes of commuting and happiness. This implies that a higher degree of workforce commuting in those periods leads to a higher degree of happiness. Secondly, in some cases employees spend more time commuting than the number of paid vacation days. In seven (Spain, Austria, Slovakia, Finland, Portugal, Cyprus and Iceland) of the surveyed countries, the commute is shorter than employees’ permitted annual time off. According to the data, the duration of commuting time can affect our state of happiness. Furthermore, the findings demonstrate that employees spend more time commuting than the number of paid vacation days. The time and stress that appear with a long commute have a big influence when it depends whether the employee prefers free time (shorter commute) or money. Happiness may be influenced by different transportation modes. Clearly, the advantage of lessening this burden makes employees happier. Overall, the study indicates that duration of commuting (short or long) can contribute to being happy, but happiness will only be maintained if the commute is shorter than employees’ permitted annual time off.
Holmium Laser Removal of Antegrade-Placed Ureteral Stent Suture via Ureteroscopy
Authors: Quiring Mark E , Chialastri Paul , Son Young , Fink Benjamin A , Berger Claire , Mueller Thomas J , Barsky Robert I
Published: July 2022

Antegrade conversion to nephroureteral stent is common after percutaneous nephrostomy tube placement for obstruction when retrograde alternatives fail. Nephroureteral stents often have a nylon retaining suture attached to aid in placement and removal. If the nephroureteral suture is not removed, it can become embedded in the renal parenchyma as nylon is unabsorbable, preventing stent removal and potentially leading to adverse outcomes. This case report describes a complication of antegrade nephroureteral stenting and shows that retrograde ureteroscopy with holmium lasering of the retained suture was an effective treatment for the removal of retained stents. Furthermore, after a difficult extraction of the nephroureteral stent, the patient displayed minimal post-operative sequelae, and no visible defects on follow-up renoscopy.
Influenza Epidemic in Glasgow, 1918–19: Source, Impact and Response
Authors: MacSporran Graham
Published: July 2022

The emergence of Cov-19 in China in December 2019 has shown how vulnerable populations are to novel viruses. The influenza pandemic of 1918–19 was also caused by a novel virus which had crossed the species boundary and led to seventy million deaths world-wide. The historiography of the epidemic in Britain tends towards a national perspective with few regional studies. This article provides a regional perspective by studying the epidemic in Glasgow. The study will identify the likely source of initial infection and the impact of the disease and will also consider the public and the municipal health authority responses to the epidemic. Finally, there will be an assessment on whether this most fatal of diseases left a lasting legacy. It will be suggested that infection probably arrived on a transatlantic ship and that some 6,000 to 7,000 died comprising all age groups and across the social spectrum. The article will conclude that the influenza epidemic in Glasgow, in the context of the prevailing poor state of public health, was a serious, rather than a catastrophic, outbreak of disease and that it quickly receded in the public consciousness.
Playing posthumanism? NieR: Automata and the inescapable human
Authors: Solberg Ragnhild
Published: July 2022

This paper was presented at the SLSAeu2021 conference "Literary and Aesthetic Posthumanism" in March 2021. The paper investigates how NieR: Automata consolidates reversing an anthropocentric view with firmly situating the human in the network.
Effects of Hip Bracing on Gait Biomechanics, Pain and Function in Subjects With Mild to Moderate Hip Osteoarthritis
Authors: Steingrebe Hannah , Stetter Bernd J. , Sell Stefan , Stein Thorsten
Published: July 2022

Hip Osteoarthritis (HOA) is a common joint disease with serious impact on the quality of life of the affected persons. Additionally, persons with HOA often show alterations in gait biomechanics. Developing effective conservative treatment strategies is of paramount importance, as joint replacement is only indicated for end-stage HOA. In contrast to knee osteoarthritis, little is known about the effectiveness of hip bracing for the management of HOA. Studies analysing mechanically unloading hip braces partly showed beneficial results. However, methodological limitations of these studies, such as small sample sizes or lack of control groups, limit the applicability of the results. Additionally, mechanically unloading braces might impose restrictions on motion and comfort and thus, might not be suitable for people with only mild or moderate symptoms. The aim of this study was to comprehensively quantify the effects of unilateral HOA as well as functional hip bracing on gait biomechanics, pain, proprioception and functional capacity in people with mild to moderate HOA. Hip and pelvis biomechanics during walking were analysed in 21 subjects with mild to moderate HOA under three bracing conditions: unbraced, immediately after brace application and after 1 week of brace usage. Additionally, pain, hip proprioception and functional capacity were assessed. A matched group of 21 healthy subjects was included as reference. Kinematic and kinetic data were collected using a 16-camera infrared motion capturing system and two force plates. Visual analogue scales, an angle reproduction test and a 6-min walking test were applied to measure pain, hip proprioception and functional capacity, respectively. Subjects with HOA walked slower, with reduced step length, sagittal hip range of motion and peak extension angle and had a reduced functional capacity. After 1 week of brace application step length, walking speed and functional capacity were significantly increased. Additionally, pain perception was significantly lower in the intervention period. These results encourage the application of functional hip braces in the management of mild to moderate HOA. However, as key parameters of HOA gait such as a reduced peak extension angle remained unchanged, the underlying mechanisms remain partly unclear and have to be considered in the future.