bluuebunny/crossref_metadata_2025 huggingface dataset:
Testing the Digital Health Literacy Instrument for Adolescents: Cognitive Interviews (Preprint)
Authors: Park Eunhee , Kwon Misol
Published: January 2020

BACKGROUND

Despite the increasing number of youth seeking health information on the internet, few studies have been conducted to measure digital health literacy in this population. The digital health literacy instrument (DHLI) is defined as a scale that measures the ability to operate digital devices and read and write in web-based modes, and it assesses seven subconstructs: operational skills, navigation skills, information searching, evaluating reliability, determining relevance, adding self-generated content to a web-based app, and protecting privacy. Currently, there is no validation process of this instrument among adolescents.

OBJECTIVE

This study aims to explore the usability and content validity of DHLI.

METHODS

Upon the approval of institutional review board protocol, cognitive interviews were conducted. A total of 34 adolescents aged 10-18 years (n=17, 50% female) participated in individual cognitive interviews. Two rounds of concurrent cognitive interviews were conducted to assess the content validity of DHLI using the thinking aloud method and probing questions.

RESULTS

Clarity related to unclear wording, undefined technical terms, vague terms, and difficult vocabularies was a major issue identified. Problems related to potentially inappropriate assumptions were also identified. In addition, concerns related to recall bias and socially sensitive phenomena were raised. No issues regarding response options or instrument instructions were noted.

CONCLUSIONS

The initial round of interviews provided a potential resolution to the problems identified with comprehension and communication, whereas the second round prompted improvement in content validity. Dual rounds of cognitive interviews provided substantial insights into survey interpretation when introduced to US adolescents. This study examined the validity of the DHLI and suggests revision points for assessing adolescent digital health literacy.
Modeling and Analysis of the Effect of Holes in Reinforced Concrete Column Structures
Authors: Suku Yohanes Laka , Je Kristoforus
Published: January 2020

Holes are often made inside the column structure for plumbing, mechanical, and electrical installation purposes may affect the structural performance of the column. Therefore, this paper aims to model and analyze the effect of holes in reinforced concrete column structures due to lateral loads. Data were obtained from the reference frame structure of the previous researcher, with varying centric column holes of 0%, 2%, 4%, 6%, 8%, 10%, and 12%, respectively to the column cross-sectional area. Furthermore, a hole with a ratio of 4% to the column cross-sectional area was placed at 5 and 10 mm eccentric to the center of column cross-section to examine the influence of holes position in the perforated column. The frame structure was modelled and analyzed by Finite Element (FE) using ABAQUS software. The result showed that the maximum load, displacement, and crack pattern resulted from the model is close to the experimental result. The results of the analysis showed that with the hole size of 2% to 12% of the column cross-sectional area, the frame strength was reduced by 5.43% to 15.56%.  The frame strength was also reduced by 2.77% and 6.14% when the hole placed 5mm and 10 mm eccentric to the center of the column cross-section area. The displacement of the frame also decreases by 59.63% to 74.60% when the holes with the ratio of 2% to 12% to the column cross-sectional area exist in the column. The existence of eccentric holes on the column reduced the performance of the frame structure, by decreasing its strength, displacement and ductility.
The Effect of Horizontal Vulnerability on the Stiffness Level of Reinforced Concrete Structure on High-Rise Buildings
Authors: Monika Fanny , Zega Berkat Cipta , Prayuda Hakas , Cahyati Martyana Dwi , Putra Yanuar Ade
Published: January 2020

Buildings have an essential function; they are a place for people to carry out various activities, such as social, economic, and religious activities. In a building construction plan, considering multiple factors from strength to architecture is necessary. The issue of limited land in some areas has resulted in the construction of vertical buildings, often known as high-rise buildings. High-rise building construction requires paying attention to various levels of vulnerabilities, especially for projects in earthquake-prone areas. In this study, the levels of vulnerability and vertical irregularity of high-rise buildings were analyzed based on structural rigidity for reinforced concrete structures. Building models including a cube-shaped model, L-shaped model, and U-shaped model were investigated. The STERA 3D program was used to determine the strength values of the structures by providing earthquake loads on each structure model using the time-history analysis method. The El Centro and Kobe earthquakes were tested in these structural models because the earthquakes are known to contribute the most exceptional damage value in the history of earthquake-caused disasters. The assessed parameters of the tested structural models include structural stiffness, the most significant displacement in the structure, the maximum displacement and load relations experienced by the construction, and the hysteretic energy exhibited by the structure. Therefore, the best performed structural model in resisting the load could be obtained. The results showed that the U-shaped building model had the highest stiffness value with an increase in stiffness of 7.43% compared with the cube-shaped building model and 3.01% compared with the L-shaped building model.
Application of TRMM Data to the Analysis of Water Availability and Flood Discharge in Duriangkang Dam
Authors: Willy Willy , Riyanto Bambang Adi , Yudianto Doddi , Wicaksono Albert
Published: January 2020

One of the challenges in hydrologic modelling in Indonesia is data limitation. Rainfall data quality is rarely evaluated, and in some cases, the data are unavailable. The Tropical Rainfall Measuring Mission (TRMM), satellite rainfall data provided by NASA, is an alternative method to solve such problems. This study aims to promote the use of TRMM data to analyze water availability and flood discharge in Duriangkang Dam, Batam City, Indonesia, in comparison with the use of available ground station data. Results show that the ground station data contain some errors; however, overall, the data show similar patterns and acceptable differences compared with the TRMM data. The NRECA and HEC-HMS models are used to analyze water availability, and both models are calibrated using the available reservoir water level data. The NRECA model generally shows a good fit of monthly discharge, although the use of TRMM results in slightly overestimated values in dry years. Similar results are obtained for daily discharge computation using the HEC-HMS model. Water availability analysis using the TRMM data shows an acceptable margin of error. When flood discharge is computed using an uncalibrated HEC-HMS model, the TRMM data somehow yield a lower maximum daily rainfall value than the ground station data. As a result, the obtained 10,000-year flood calculated using the Hang Nadim Station and TRMM data are 1,086 and 624 m3/s, respectively. Therefore, the use of corrected TRMM data in flood discharge computation is essential but increases the value up to 897 m3/s.
The Impacts of Flood and Drought on Food Security in Central Java
Authors: Pratiwi Endita Prima Ari , Ramadhani Eka Laily , Nurrochmad Fatchan , Legono Djoko
Published: January 2020

To achieve food security, water must be available at the right place, at the right time, in the right quantity, and be of the right quality. Water-related disasters will negatively affect agricultural areas and crop production, which can threaten food security. Nevertheless, flood and drought strike Central Java, one of the rice production centres in Indonesia, every year, and climate change has been worsening the condition because extreme events occur more frequently. This study reviews the impacts of flood and drought on paddy fields in Central Java from 2014 to 2018. A set of historical documents, including reports on flood and drought, rainfall records, and rice production, were collected from government institutions. Quantitative analysis was conducted using statistics and geographic information system tools. The results showed that the 2014 flood event reflected badly on 94,306 hectares (ha) paddy fields. Four severely affected regencies were Pati (25,460 ha), Demak (13,560 ha), Jepara (13,281 ha), and Kudus (12,203 ha). Meanwhile, drought in 2015 affected 82,324 ha paddy field. The areas severely damaged by drought were Blora (12,335 ha), Cilacap (11,503 ha), Grobogan (10,514 ha), and Pemalang (10,134 ha). Pearson’s correlation analysis results indicated that the correlation between annual rainfall and drought impact (r = −0.865, p = 0.058) is more significant than that between annual rainfall and drought impact (r = 0.794, p = 0.108). The stakeholders have adopted some strategies to minimise losses, such as establishing a 1,000 small water reservoirs program, preparing temporary pump irrigation, and providing agricultural insurance. Nevertheless, more efforts are still necessary to fight against food insecurity.
Effect of addition titanium dioxide nanoparticles as acrylic resin denture base filler on cytotoxicity
Authors: Hardita Ardhianing , Ismiyati Titik , Wahyuningtyas Endang
Published: January 2020

Denture base material should have a good level of biocompatibility. Acrylic resin is frequently used as a denture base material, however it has a disadvantage of producing residual monomer. Residual monomer is known to have a cytotoxicity effect. Titanium dioxide (TiO2) nanoparticles are used as fillers due to their biocompatibility and ability to enhance the mechanical properties of acrylic resin. The addition of the material to acrylic resin could affect the amount of residual monomer. The aim of this study was to examine the effect of the addition of TiO2 nanoparticles as acrylic resin denture base filler on the cytotoxicity in fibroblast cells. The samples consisted of 24 heat cured acrylic resins in disc shape (5 mm in diameter and 2 mm in thickness), divided into 4 groups (n = 6): three groups given treatment with0.5%, 1%, 2% TiO2, respectively and one control group. Cell viability was measured with MTT assay. The results were tested with one way ANOVA with 95% confidence level followed by LSD post hoc test. The results showed that the highest percentage of cell viability was found in the treatment group of 0.5% TiO2 with value of 91.83 ± 1.75%, while the lowest value was seen in the treatment group of 2% TiO2 with value of 79.38 ± 3.34%. Significant differences were shown between the treatment groups of 0.5% and 2% TiO2, as well as between the control and treatment group with 2% TiO2. The conclusions of this research are the addition of TiO2 nanoparticles as acrylic resin denture base filler has an effect on cytotoxicity; the addition of 0.5% TiO2 nanoparticles filler results in lower cytotoxicity on fibroblast cells compared to the addition of 1% and 2% TiO2.
Video Recording as a Method for Swedish Preschool Teachers to Analyze Multilingual Strategies
Authors: Norling Martina
Published: January 2020

This participatory action research study draws attention to how fifteen preschool teachers develop didactic strategies by using video recording as a method for performing critical and didactic analyses. The overall aim is to develop didactic strategies and knowledge to support multilingual children’s emergent literacy development in Swedish preschools. The starting point for a participatory action research, is action learning and a pragmatic orientation. The approach focuses on human development in an organization where action research is a tool for learning. This study employs a mixed-methods design where qualitative data were analyzed and derived from the preschool teachers’ written reflections related to their video-recorded activities and support of the analysis tool Social Language Environment-Domain, SLE-D (Norling, 2015a). The results show didactic strategies that are related to multilingual children’s interests, strategies that support multilingual children’s empowerment and strategies that challenge multilingual children’s reading and writing processes.Continuing research suggests paying attention to the conditions of multilingual children in preschool education. This entails a long-term effort where action research engages preschool teachers to develop their beliefs into sustainable knowledge, in which video recording can serve as a method for preschool teachers to analyze multilingual strategies.
EFFECTS OF RULE CHANGES ON PERFORMANCE EFFICACY: DIFFERENCES BETWEEN WINNERS AND LOSERS TABLE TENNIS PLAYERS
Authors: Đokić Zoran , Straub Gunter , Lanzoni Ivan Malagoli , Katsikadelis Michail , Munivrana Goran
Published: January 2020

The goal of this study was to analyze the differences in table tennis games between winning and losing players, considering changes of rules. The data taken from four major rule changes in 122 games between 244 players in the period 1996-2015 were analyzed. Performance indicators were 30 technical and tactical activities (type, total number, and stroke outcome) as well as serve and return activities (type, total number, serve outcome, and return outcome). A Mann-Whitney-Wilcoxon nonparametric test (p≤0.05) was done. The results showed that the number of strokes per points considering change of rules varied, while domination of forehand play remained. The existence of statistically significant differences between winners and losers in all the analyzed periods: playing with a 38 mm ball to 21 points in eight activities, playing with a 40 mm ball till 21 points in one activity, playing with a 40 mm ball till 11 points in seven activities, and playing with new racket coverings in 14 activities were noted. The results showed the existence of different playing patterns, styles of play, and performance profiles for winning. Nowadays, players use, to a larger extent, different ways to win, but the effectiveness of the serve and return play gained importance.
ANALYSIS OF THE MOTOR STATUS OF YOUNGER SCHOOL AGE CHILDREN IN RELATION TO THEIR NUTRITIONAL STATUS
Authors: Pelemiš Vladan , Ujsasi Darijan , Srdić Velibor , Džinović Danica , Pavlović Slobodan
Published: January 2020

The aim of the research is to determine whether there are gender differences between younger school-age children, and whether those differences within the sub-sample are influenced by the state of mass and motor skills. The whole sample included 285 respondents age 7.27±0.43, of which 144 boys (50.52%), and 141 girls (49.48%) who attended the first grade on the territory of the Province of Vojvodina (Republic of Serbia). The Eurofit battery of tests was used. The research results show that the prevalence of children with severe thinness in the whole sample is low 3.87%; children with normal mass 65.26%; pre-obese children only 18.59% and obese children only 12.28%, so that gender differences in motor skills considering the whole sample, apart from the mass, are between average values for boys considering explosive strength of the lower extremities, repetitive strength of the body and agility. Statistically significant differences within the sub-sample considering motor abilities were seen neither in boys nor in girls of different mass. The research findings show that there is significant percentage of children with normal mass and that the flow of their mass is within their growth and development. Their motor development within the sub-sample also flows equally, and gender differences are present because of differentiation of motor skills, which appears in this period. The authors think that greater differences and variables in respect to mass and motor activities are to be seen in the period of pre-puberty.
THE RESEARCH OF SKIER MOTIVATIONS AND FACTORS INFLUENCING THE CHOICE OF A SKI DESTINATION
Authors: Mlađenović Duško , Virijević Jovanović Saša
Published: January 2020

The main aim of this research is to explore skiers as a segment of the Serbian tourism market, i.e., their reasons of choosing a ski destination for travel. In order to find the answers about the motives of ski tourists, quantitative research was conducted. The data was collected through a Questionnaire on the reasons ski tourists travel and the factors influencing their choice of ski destination. The research represents a pilot project, conducted on a suitable sample of 92 tourists in the Republic of Serbia. The reasons why ski tourists travel to Serbia are divided into three groups: psychological reasons (active holidays, health, enjoyment, relaxation, self-achievement, fleeing from everyday life, and staying in nature); social reasons (spending time with the family, spending time with friends, getting to know new people, new experiences) and reasons for status and prestige (development / testing of ski skills, desire for recognition, proving oneself to others, social recognition, demonstration of skills). The data were analyzed using software SPSS for Windows version 20. The results are presented by the means of descriptive statistics, and since data were normally distributed, the differences were determined by the means of parametric statistical technique, ANOVA method. The research results showed that in the overall sample the most important reasons for traveling are those of a psychological nature, followed by reasons of a social nature, while for skiers in Serbia status and prestige are the least important reasons.
FLUCTUATIONS IN HEART RATE RESPONSE AND EXTERNAL DEMANDS RELATIVE TO GAME PERIOD IN RECREATIONAL FOOTBALL
Authors: Stojanović Emilija
Published: January 2020

This study aimed to investigate fluctuations in external demands and heart rate (HR) response across two game periods (half-times) in recreational football players. Eighteen recreationally active, male college students (goalkeepers: n = 2; outfield players: n = 16; age: 20.9 ± 1.5 yr; height: 179.4 ± 5.0 cm; body mass: 76.9 ± 8.1 kg; fat mass: 15.3 ± 5.5%) participated in this study. Two sessions were used to administer 4-a-side small-side games (SSG). Differences in activity demands and HR response were analyzed using a paired sample t-test. The magnitude of the differences in each dependent variable was quantified with effect size (ES) analyses and interpreted as: trivial, <0.2; small, 0.2–0.59; moderate, 0.6–1.19; large, 1.2–1.99; very large, >2. An ES analysis showed, small to moderate, significant decreases in distance covered at 0-6.00 km·h-1 (ES = -0.54, small), 6.01-12.00 km·h-1 (ES = -0.99, moderate), 12.01-18.00 km·h-1(ES = -0.66, moderate), >24 km·h-1 (ES = -0.72, moderate), total distance (ES = -0.91, moderate) and high-intensity accelerations (ES = -0.60, moderate) during the second rather than the first half. In addition, unclear significant decreases in HRmean, and percentage of time spent working 81-90% HRmax were observed across two game periods. Our findings indicate game-related fatigue, whereby players demonstrated a consistent HR response across two game periods despite diminutions in activity demands during the second half. Similarities in HR response across two game periods might be due to the lower physical fitness of recreational players, eliciting slower HR recovery.
INFLUENCE OF OBESITY ON SCHOOLGIRLS MOTOR SKILL PERFORMANCE
Authors: Uzunović Slavoljub , Šekeljić Goran , Marković Jovan , Nemec Predrag , Piršl Danica , Nemec Vesna , Stošić Dejan
Published: January 2020

The aim of this study is to compare the motor skills status of girls with different nutritional status. The research sample consisted of 180 girls aged 10 and was divided into 4 subsamples: malnourished, normally nourished, pre-obese and obese girls. The assessment of the motor space was carried out with a battery of eighteen motor tests. The identification of the differences between the groups was carried out by the Univariate Analysis of Variance (ANOVA) method. The significance of the differences between the groups was tested by the Multivariate Analysis of Variance (MANOVA) method. The results of the study suggest that obese girls had problems in variables which assessed the explosive power of the lower extremities, running speed and repetitive strength. No significant differences were found for variables which evaluate segmental speed, flexibility, precision, balance, cranial body muscle explosion, and coordination.
Prevalencia de Cyberbullying en jóvenes estudiantes colombianos Homosexuales y Bisexuales
Authors: Soto Hernández Camilo , Salcedo Lopera Oscar , Redondo Pacheco Jesús , Luzardo Briceño Marianela
Published: January 2020

La prevalencia del ciberbullying crece en la medida que la tecnología permite el acceso rápido a la comunicación virtual y se hace accesible a la mayoría de personas, trayendo consigo graves efectos en la salud psicológica e incluso física de las víctimas. Las causas por las que se hace son muy variadas; la de interés aquí es por orientación sexual en adolescentes escolarizados, ya sean homosexuales o bisexuales. El objetivo del trabajo reside en determinar la prevalencia de ciberbullying por homofobia en personas con orientación sexual distinta a la heterosexual, en dos colegios de educación media. La investigación fue de corte transversal, de alcance descriptivo. Participaron 192 estudiantes de secundaria de grados octavo y noveno de un colegio público y uno privado de la ciudad de Bucaramanga, Colombia, de los que 53% fueron mujeres y 47% hombres. Los resultados indican que en los colegios analizados hay una prevalencia de 27.6% de este fenómeno social, y que las minorías sexuales (homosexuales y bisexuales) han sido víctimas, victimarios y observadores. Sin embargo, no es posible establecer si el ciberbullying al que estuvieron expuestos fue por razón de su orientación sexual.
Relación entre representación de enfermedad, representación del tratamiento y adherencia en adultos con asma: Una revisión
Authors: Lugo González Isaías Vicente , Vega Valero Cynthia Zaira
Published: January 2020

La adherencia al medicamento de control es el pilar fundamental para el control del asma; sin embargo, se ha identificado que una representación negativa de la enfermedad y el tratamiento impactan de modo negativo en esta. Se hizo una revisión narrativa para identificar los estudios empíricos acerca de representación de enfermedad, representación del tratamiento y adherencia a medicamentos de control en adultos con asma, desde el modelo de sentido común y representación de la enfermedad (MSCRE). Se identificaron 17 estudios divididos en transversales y longitudinales (12), experimentales (3) y de intervención (2), reportando que las principales dimensiones del MSCRE asociadas con la adherencia son la necesidad del tratamiento, preocupación, control de la enfermedad y del tratamiento, temporalidad crónica y consecuencias. Se concluye que el MSCRE es un modelo psicológico que tiene aplicaciones en la investigación y atención clínica para explicar y promover conductas de adherencia a medicamentos de control en adultos con asma.
El trabajo en equipo mediado por Facebook: una iniciativa de estudiantes universitarios
Authors: González Carmona Fany Lucero , Saucedo Ramos Claudia Lucy
Published: January 2020

En este estudio analizamos las principales prácticas mediadas por Facebook que estudiantes universitarios desplegaban para la elaboración de trabajos en equipo. Participaron 10 estudiantes del último año de la carrera de Psicología de la UNAM. Con base en la metodología cualitativa, hicimos 46 observaciones participantes en las aulas y dos entrevistas en profundidad con cada participante. Los hallazgos permiten indicar que el desarrollo del trabajo en equipo ocurre mayoritariamente de forma mediada por el chat de Facebook, en donde los estudiantes toman decisiones en conjunto, negocian de modo constante, dirimen cómo conducirse en el desarrollo de estas tareas y se viven como personas-actuando-con-herramientas-culturales. Insistimos en la necesidad de conocer las prácticas de uso de Facebook que los estudiantes despliegan, de modo que permita comprender sus vivencias escolares e implementarlas para favorecer a los alumnos, a los profesores y a los procesos formativos y de enseñanza-aprendizaje.
Teorías expuestas de la acción de educadoras con relación al desarrollo personal y social
Authors: Hernández Ortega Alicia , Vega Pérez Lizbeth Obdulia
Published: January 2020

El profesor crea una práctica propia que se adapta a las características del contexto en que se localiza; para lograrlo tendrá que considerar su experiencia, sus creencias y conocimientos con relación a la enseñanza. El objetivo en el presente artículo es identi-ficar las teorías expuestas de la acción de las educadoras con relación al desarrollo personal y social en niños preescolares. El tipo de estudio es cualitativo con un diseño de estudio de caso. Se trabajó con tres educadoras de dos jardines de niños de la Ciudad de México. Las estrategias, técnicas y materiales utilizados fueron: escritos y planeación de la educadora, y una entrevista semiestruc-turada. Los resultados obtenidos indican que las teorías expuestas de la acción de las educadoras están orientadas a un conjunto de categorías relacionadas: autonomía, identidad personal, relaciones interpersonales y estrategias de acompañamiento para su desarrollo en los niños. Los hallazgos aportan evidencia empírica acerca de las teorías de la acción con relación al desarrollo perso-nal y social en la primera infancia; dichos resultados demuestran que las educadoras, al ingresar al aula, crean, aplican, adaptan y dan sentido al currículum; esto permite entender la realidad educativa desde adentro.
Modifikasi Teorema Konvolusi Transformasi Kanonikal Linier Quaternion Sisi Kiri
Authors: Oktaviana W , Musdalifah S , Resnawati
Published: January 2020

ABSTRACTQuaternion Linear Canonical Transform (QLCT) is a generalization of the Linear Canonical Transform (LCT) onquaternion algebra which plays an important role in optics and signal processing. QLCT can be seen asgeneralization of Quaternion Fourier Transform (QFT). Based on the fact, this paper propose the formulat ofmodification convolution theorem based on left-sided QLCT by considering the fundamental relationship betweenleft-sided QLCT and QFT. The results showed the modification convolution theorem for left-sided QLCT based onrelationship between left-sided QLCT and QFT as a sum of multiplication of left-sided QFT can be derived.Keywords : Convolution Theorem, Quaternion Fourier Transform, Quaternion Linear Canonical Transform
Penentuan Rute Terpendek Pendistribusian Tabung Gas Lpg 3 Kg Pt. Fega Gas Palu Pratama Menggunakan Algoritma Tabu Search
Authors: Riswan  , Sahari A , Lusiyanti D
Published: January 2020

ABSTRACTDistribution is one of the important tools in the company business activities. The problem that is often occurred indistribution is the determination of the shortest route. The purpose of this study is optimitation distribution route of3 kg LPG gas cylinders which is carried out by PT. Fega Gas Palu Pratama in Palu City, considering that thiscompany has not used a particular method in determining the distribution route of 3 kg LPG gas cylinders. Themethod used in this study is the Tabu Search algorithm. The algorithm of the Tabu Search method are of follows,first by determine the initial solution using the closest Nearest Neighbor, determine alternatives by exchange 2points in the solution, evaluate alternative solutions, determine a new optimum solution, update the Tabu List, thenwhen the termination criteria are obtained then the Tabu Search algorithm will stop otherwise it will revert toexchanging 2 points evaluation. The process of calculating the Tabu Search algorithm is conducted manually andbuilt using MATLAB. Based on the research that has been done, it is obtained that the shortest, more efficient routeis 21.91 km which has reduction of 7.26 km from the initial route 29.17 km.Keywords : Algorithm Tabu Search, Distribution, Shortest Route.
TAFSIR AYAT ALAHKAM ABIL FADHOL ALSENORY: SEBUAH MODEL TAFSIR ANALISIS KRITIS
Authors: Asif Muhammad , Humam Abdul Wadud Kasyful
Published: January 2020

This study tries to trace and find out the interpretation model of the tafsir Alahkam written by Abil Fadhol Alsenory, as an earlier tafsir of the pesantren in Indonesia. Based on the historical approach, philology, and analysis of critical discourse, by describing the socio-political context, as well as the author's response to the socio-religious conditions at the time, the results indicate that there are one primer script and two manuscript copies of his students. The primer script was written directly by Abil Fadhol, while the manuscript was a copy of the students' writing from Abil Fadhol's explanation during his teaching moment. All of the three texts show that there are two social conditions as its background, namely 'restriction' policy of the New Order regime with NU, and the debate over religious polemic between traditionalists (NU) and modernists in Indonesia in the second half of the 20th century. From this, it was revealed that Abil Fadhol's interpretation model was very critical but contextual and applicable to its surrounding social conditions.
ALQUR’AN DAN HADITH DALAM WACANA DELEGITIMASI NASIONALISME DI MEDIA ONLINE ISLAM
Authors: Miski Miski , Hamdan Ali
Published: January 2020

This study tries to analyze the efforts of Islamic online media in constructing the discourse of delegitimation of nationalism, with the case study of eramuslim.com. With the constructivism paradigm, the ulumu Alqur'an, and critic of Sanad Hadith criticism, through the content analysis of articles in the media over a period of eight years, the results of the study show that the construction model of the discourse of delegitimation of nationalism used by eramuslim.com is a literal or denotative interpretation of the quranic verses and hadith which are considered to have a correlation with the problem of nationalism, as well as criticism of the nationalism system as a divisive people and ideology of fanaticism. There are also symptoms of strengthening the romanticism of religion in Islamic online media, along with symptoms of the obscurity of who has the right to talk about a particular issue.
DINAMIKA TEKS DAN KONTEKS: MODEL DIALEKTIKA ALQUR’AN DAN REALITAS
Authors: Supriyanto Supriyanto
Published: January 2020

This study tries to article tries to discuss and mapping the dialectical models between text and reality in the daily human life. 'Limitations' of the text and the development of the time,requires Qur’an to be able to dialogue with the context of space and time. So that,the message of the Qur’an can be understood by human beings, in various dimensions of space and time. One of the Qur'anic communication models with the times is throughthe dialectical model. With the content analysis method, based on the Mushaf Utsmani as its reference, the results show, that there are at least Eleven dialectical models offered by the Qur'an, namely: Alsibr wa Altaqsim (breaking and showingthe opponents' opinions), Istifham Taqriri (questions that have one answer to the truth), Qiyas Mudhmar (Enthimeme), Qiyas Khalaf (Syllogism per Impossible), Qiyas Tamtsil (Reasoning by Analogy), Istidlal by using stories, Altaslim (Presupposition), Almunaqadhah (Refutation), Dalik Alikhtira' and Dalil Alhuduts (the argument which shows everything has its creator), and the continued Dalil. One of the philosophical functions that can be applied with these various dialectical models areto strengthen the argument for the truth of life in the hereafter.
Relato da atuação do farmacêutico, em um município da bahia, no fornecimento de medicamentos não incorporados ao SUS
Authors: Dias Teixeira Andréia , Oliveira Leite Bárbara Cecilia
Published: January 2020

Introdução: As solicitações na saúde pública para fornecimento de medicamentos não incorporados ao SUS estão cada vez mais frequentes. Ao prover esses medicamentos, sem evidência científica suficiente, que em sua maioria com elevado custo, gera questionamentos acerca da efetividade do direito à saúde individual ou coletiva, visto que um grande valor financeiro é destinado à aquisição desses para atender uma pequena parcela da população, em detrimento do recurso destinado a tratamento dos agravos mais frequentes. Métodos: Em um município da Bahia, de 300.000 habitantes, desde 2007 são fornecidos, via processo administrativo, e com recursos próprios, pelo programa intitulado PDME (Programa de Medicamentos Excepcionais), medicamentos não incorporados ao SUS, e medicamentos das listas do CEAF (Componente Especializado da Assistência Farmacêutica). Houve nos últimos anos um crescimento exponencial na demanda, direcionando para a inviabilidade do programa. O gasto, em 2015 chegou a 34% do total de empenhos de medicamentos, para atender apenas 0,4% da população. Em 2017 a Assistência Farmacêutica municipal adotou a estratégia de estabelecimento de critérios técnicos para o fornecimento, incluindo avaliação farmacêutica, com emissão de parecer farmacêutico. As demandas são analisadas em caso de indeferimento do fornecimento, emitido um parecer para o médico assistente com a justificativa técnica para a solicitação, além disso, sugerindo a possibilidade de opções terapêuticas do SUS. Para pacientes contemplados pelo PDME, cujos medicamentos estavam disponíveis no CEAF (Componente Especializado da Assistência Farmacêutica) e cujo CIDs (Código Internacional de Doenças) correspondem aos PCDT (Protocolos Clínicos e Diretrizes Terapêuticas), estes foram encaminhados, para cadastro nas unidades de referência do Estado da Bahia. Resultados: E DISCUSSÕES: Houve um decréscimo de 48,17% de pacientes cadastrados no PDME, dessa forma esses usuários hoje correspondem a 0,3% da população total do município, e os empenhos referentes a esses atendimentos correspondem a 14% do montante total de aquisição de medicamentos no município. Os recursos financeiros disponíveis puderam ser utilizados na aquisição de medicamentos para os principais agravos de saúde, atendendo uma maior parcela da população. Conclusão: A avaliação técnica do farmacêutico para o fornecimento de medicamentos não incorporados ao SUS é fundamental para garantir a consolidação dos princípios e diretrizes e adequada operacionalização do SUS, contribuindo para que os recursos públicos em saúde sejam aplicados de maneira eficaz, eficiente e justa.
Dados de mundo real sobre tratamento da DPOC no sistema público de saúde do estado do Maranhão: uma análise de tendência de 2010 - 2017
Authors: Ribeiro Pinto Charleston , Assunção Costa Lindemberg , Da Costa Santos Caciara , Carielly Barbosa Martins Camilly , Feitosa Monteiro Sandro Cesar , Moreira Lemos Antônio Carlos
Published: January 2020

Dados de mundo real sobre tratamento da DPOC no sistema público de saúde do estado do Maranhão: uma análise de tendência de 2010 - 2017
Acordos inovadores no mundo: avaliação da experiência internacional
Authors: Duva Andreas , Matsuno Gustavo , Silva Julian Guilherme
Published: January 2020

Introdução: A Incorporação da nusinersena no Sistema Único de Saúde atrelada a um acordo de compartilhamento de risco é um marco na história da CONITEC. Entretanto, a experiência com este tipo de acordo no Brasil é limitada, o que causa uma demanda por maior entendimento das experiências internacionais. Por sua vez, as informações sobre acordos internacionais em fontes públicas são muitas vezes dispersas e de difícil acesso, dificultando a consulta a elas. Objetivos: Ilustrar a experiência global com acordos inovadores a partir de experiências documentadas em fontes públicas. Descrever onde, para quais áreas terapêuticas e com que tipo de estrutura estes acordos são firmados. Métodos: Foi realizada uma busca na base de dados de acordos inovadores proprietária da IQVIA considerando todos os acordos inovadores catalogados e registrados a partir de fontes públicas de informação no período entre 1994 e 2018. Foram considerados como acordos inovadores aqueles que consideram mecanismos de precificação, financiamento ou contratação que são mutuamente benéficos para os pagadores e a indústria e que não são considerados prática padrão no mercado. Os acordos identificados foram analisados em relação à onde foram realizados, qual a área terapêutica, qual a modalidade de acordo e qual a estrutura do acordo. Resultados: Foram localizados 369 acordos distintos. A região com mais acordos foi a Europa (72%), seguida da América do Norte (19%), Ásia (8%) e América Latina (1%). A maior parte dos acordos está restrita à oncologia (41%) e doenças autoimunes (15%). No que tange às modalidades dos acordos, a maioria foi de acordos de compartilhamento de risco baseados em valor (37%), seguidos de acordos financeiros “tradicionais” (18%), acordos financeiros com compartilhamento de risco (18%), reembolso com desenvolvimento de novas evidências (16%) e modalidade desconhecida (12%). Ao analisar a modalidade de acordo para oncologia e doenças autoimunes – áreas terapêuticas mais comuns – perfis distintos são observados: na oncologia é mais comum o compartilhamento de risco, sendo os tipos de acordo mais comuns os de compartilhamento de risco baseados em valor (33%) seguidos de acordos financeiros com compartilhamento de risco (24%); Já nas doenças autoimunes, a maior prevalência é de acordos menos complexos, como os acordos financeiros “tradicionais” (40%), só então seguidos dos acordos compartilhamento de risco baseados em valor (32%). Conclusão: A pequena representatividade da América Latina no cenário global de acordos inovadores ilustra não só a necessidade de aprender com a experiências prévias de outros países, mas também ressalta a importância dos novos acordos firmados pelo Ministério da Saúde para a região. Outro fator de atenção é a discrepância na quantidade de acordos baseados em risco entre as diferentes áreas terapêuticas analisadas.
A Importância do farmacêutico clínico na atenção básica
Authors: Batista Cavalcante Elaine Alane , Da Silva Freitas Icaro , Miranda de Souza Ferreira Ediléia , Matias dos Santos Thays
Published: January 2020

Introdução: O Lúpus Eritematoso Sistêmico (LES) é uma patologia de caráter autoimune e crônica, caracterizada por processos inflamatórios e danos teciduais que comprometem diversos órgãos. O LES possui etiopatogênese incerta, porém acredita-se que está ligado a fatores genéticos, ambientais e comportamentais. A doença possui sinais e sintomas característicos que afetam a qualidade de vida do portador, dessa maneira, o mesmo necessita de cuidados e atenção especiais. Objetivo: analisar a atuação do farmacêutico no tratamento de pacientes diagnosticados com Lúpus Eritematoso Sistêmico através de uma revisão integrativa. Métodos: Foi desenvolvida uma revisão integrativa da literatura de caráter qualitativo e exploratório na qual se utilizou artigos nos idiomas inglês e português contidos em periódicos presentes nas principais bases de dados como a Scientific Electronic Library Online (SciELO), Pubmed, Science Direct e Medline em um recorte temporal feito entre os anos 2002 e 2019. Resultados:O paciente acometido por LES necessita de orientação e cuidados especiais devido às complicações que abarcam os sinais e sintomas característicos da patologia. Intervenções medicamentosas e não medicamentosas são fundamentais para o tratamento e para o prognóstico positivo da doença, todavia, alguns entraves dificultam a adesão e a continuidade do tratamento pelo enfermo. Essas dificuldades estão entre: a quantidade de medicamentos prescritos devido à pluralidade sintomática, os efeitos colaterais decorrentes do uso dos tais, o custo do tratamento, o medo da dependência medicamentosa, além do esquecimento dos horários e orientação de como proceder à medicação. Além disso, ocorre também que a falta de conhecimento real sobre a doença e sobre a situação de saúde, as renúncias que o paciente precisa fazer para evitar agravos, bem como falta de apoio familiar favorecem o abandono do tratamento. Assim, o farmacêutico, nessa conjuntura pode contribuir inicialmente, para o diagnóstico diferencial da doença, além de participar ativamente no acompanhamento farmacoterapêutico, de modo que o paciente adira ao tratamento de forma efetiva, pode ainda contribuir para diminuir eventuais problemas relacionados aos medicamentos utilizados no tratamento da doença, e ainda, intervir informando ao enfermo a sua situação, permitindo ao mesmo compreender e tornar-se protagonista no sucesso terapêutico e melhora na qualidade de vida. Conclusão: Diante de todos os fatores biopsicossociais envolvidos no tratamento do LES, a presença do farmacêutico como integrante de uma equipe multidisciplinar é de suma importância para que o tratamento venha ser efetivo, devido ao conhecimento e suas atribuições clínicas.
Avaliação da evolução do serviço de farmácia clínica em um complexo hospitalar do Sul do Brasil.
Authors: Flach Karoline , Zanella Lazaretto Francieli , Frosi Keller Shirley
Published: January 2020

Introdução: De acordo com a Resolução nº 585 de 29 de agosto de 2013 do Conselho Federal de Farmácia, o farmacêutico deve exercer atividades clínicas a fim de proporcionar cuidado ao paciente, promover o uso racional de medicamentos e otimizar a farmacoterapia em todos os níveis de atenção à saúde. Desta forma, torna-se imprescindível a organização e o fortalecimento do serviço de farmácia clínica em instituições hospitalares. Objetivos: O presente trabalho teve como objetivo verificar a evolução da farmácia clínica em um complexo hospitalar após a reorganização do serviço. Métodos: O estudo foi retrospectivo, realizado no período de janeiro a junho de 2019 onde foi quantificado o número de prescrições avaliadas pelo profissional farmacêutico antes e após a implantação do serviço de farmácia clínica em um complexo hospitalar composto por 7 hospitais do sul do Brasil com aproximadamente 1000 leitos no total. Anteriormente à implantação, os farmacêuticos desempenhavam múltiplas atividades hospitalares em sua jornada, dentre elas a avaliação de prescrições médicas. Após a reorganização do serviço que ocorreu em março de 2019, 6 farmacêuticos passaram a realizar as atividades clínicas. Resultados: O número de prescrições avaliadas pelo farmacêutico foi de 258 em janeiro, 394 em fevereiro e 31 em março. Neste período, 12 farmacêuticos e 4 residentes de farmácia desempenhavam diversas atividades na rotina hospitalar. A reorganização do serviço de farmácia ocorreu em março de 2019, o que pode explicar a redução de avaliações farmacêuticas neste mês. A partir de abril de 2019, 2 farmacêuticas clínicas e 4 residentes foram dedicados somente a atividades clínicas e a avaliação de prescrições, tendo sido então avaliadas 429 prescrições. O número de prescrições avaliadas em maio foi de 922 e nas primeiras 3 semanas do mês de junho foi de 720. Estimou-se que o número de prescrições avaliadas até o final de junho seria de 939 prescrições, superando assim o resultado do mês anterior. Conclusão: A avaliação farmacêutica de prescrições médicas aumentou após a implantação de um serviço de farmácia com dedicação exclusiva deste profissional a atividades clínicas. Acredita-se que o serviço possa se desenvolver ainda mais em um período de tempo mais longo e com a incorporação de mais farmacêuticos clínicos. A evolução dos Resultados: obtidos através deste indicador de prescrições avaliadas fortalece o serviço de farmácia clínica no contexto hospitalar e propicia cada vez mais o desenvolvimento de ações que visam melhorar a terapia medicamentosa e consequentemente a qualidade de vida do paciente.
Avaliação do perfil da assistência farmacêutica dos municípios do Sudoeste da Bahia
Authors: Santos Oliveira Brunna , Rocha Teixeira Silvana , Fernandes Teles Mauro , Maciel Brasil Moreira Pablo
Published: January 2020

Introdução: Através da Política Nacional de Medicamentos a Assistência Farmacêutica (AF) passou a ser compreendida como ponto complementar nas práticas desenvolvidas para promoção, prevenção e recuperação à saúde, ultrapassando a simples aquisição e distribuição de medicamentos. Entretanto, os municípios brasileiros encontram dificuldades para cumprir as diretrizes dessa política. Objetivos: Avaliar a capacidade de gestão da Assistência Farmacêutica dos Municípios vinculados à Microrregião de Saúde do Sudoeste Baiano. Métodos: Trata-se de um estudo de corte transversal quali-quantitativo, realizado com 12 municípios vinculados à Microrregião de Saúde do Sudoeste da Bahia. A participação se deu a partir da aplicação de um questionário virtual adaptado, com os farmacêuticos das respectivas localidades e da assinatura de Termo de Consentimento Livre e Esclarecido. Resultados: Os dados coletados mostraram que os farmacêuticos entrevistados possuem faixa salarial que varia entre R$ 1.300,00 à 4.000,00, com carga horária de 20 a 40 horas semanal, onde 50% deles dispõem de um segundo vínculo empregatício. A pesquisa demonstrou ainda que a maioria dos municípios não possuem Comissão de Farmácia e Terapêutica (CFT), não utilizam Manual de Boas Práticas de Armazenamento e Distribuição de medicamentos, sequer Procedimento Operacional Padrão (POP). Além disso, foi possível observar que na maioria dos municípios não há orientação farmacêutica adequada aos pacientes. Ademais, demonstraram objeção para cumprir as etapas do ciclo da AF e garantir o uso racional de medicamentos da população. Conclusão: Apesar dos avanços ocorridos na consolidação do SUS, em particular na Assistência Farmacêutica, os municípios ainda se deparam com dificuldades em gerenciar e executar ações básicas que envolvem a AF, o que pode levar à deficiência no acesso da população ao medicamento.