bluuebunny/crossref_metadata_2025 huggingface dataset:
Revolução nano: como os sistemas nanométricos estão transformando a liberação cutânea de fármacos
Authors: Riemma Pierre Maria Bernadete
Published: July 2024

A nanotecnologia tem sido amplamente explorada no desenvolvimento de formulações tópicas para melhorar a penetração de fármacos na pele. Diversos sistemas nanoestruturados orgânicos como nanocápsulas, nanoesferas, nanoemulsões, microemulsões e lipossomas têm sido utilizados para encapsular substâncias ativas. Esses sistemas apresentam vantagens, como melhorar a disponibilidade e a estabilidade dos ativos e proteger ativos sensíveis. Além disso, eles são capazes de promover penetração mais eficiente dos fármacos na pele, comparados aos fármacos livres, por meio da modificação dos parâmetros de liberação e difusão da substância. Esses sistemas nanoestruturados também oferecem benefícios relevantes ao tratamento tópico, como veiculação de princípios ativos lipofílicos, proteção contra degradação, liberação controlada e direcionamento do ativo a locais específicos na pele. No entanto, a penetração das substâncias na pele depende de vários fatores e compreendê-los é essencial para otimizar o uso da nanotecnologia em formulações tópicas e promover avanços significativos na área. Este artigo resume os principais benefícios da utilização dos nanossistemas na administração cutânea de fármacos que tem revolucionado esta área, bem como as implicações quanto aos aspectos regulatórios e de segurança.
Manaus: de metrópole da Amazônia para cidade inteligente e sustentável
Authors: Silva Michele Lins Aracaty e , Alves de Carvalho Nerine Lúcia
Published: July 2024

Manaus, berço do Polo Industrial da Zona Franca de Manaus, é responsável por gerar riqueza e propiciar emprego e renda. A instalação do PIM foi primordial para o processo de transformação da cidade de Manaus numa cidade urbanizada, industrial e de elevado grau de concentração populacional. Objetivamos levantar as principais ações já implementadas e em andamento que contribuirão para o processo de transformação da cidade de Manaus numa cidade inteligente e sustentável. Trata-se de uma pesquisa de natureza qualitativa e descritiva e quanto à análise de dados e resultados, prevalece uma análise de conteúdo. Entre as principais ações já implementadas para transformar Manaus numa cidade inteligente e sustentável destacamos: a prontidão tecnológica e a inovação oriunda das empresas instaladas no Polo Industrial de Manaus (PIM), as instituições de pesquisa públicas e privadas, os centros tecnológicos já instalados na capital, a formação continuada do capital humano, as feiras e atividades implementadas para atrair novas empresas no segmento de tecnologia bem como as startups da floresta que aliam tecnologia, conhecimento tradicional e impulsionam a cadeia produtiva dos produtos da floresta.
Caracterización de la minería aurífera de subsistencia o artesanal en el municipio de Puerto Nare, Antioquia-Colombia
Authors: RUIZ Jairo ,   Universidad de Antioquia, BOLIVAR William , BURGOS Eduard ,   Universidad de Antioquia
Published: July 2024

Se efectuó la caracterización de una muestra de 55 mineros, 41 son hombres, 14 mujeres, con edades entre 51 y 60 años; 19 mineros no están formalizados, 25 utilizan Mercurio y 28 no tienen capacitación en salud. Los resultados indican falta de educación formal, organización institucional, apoyo gubernamental. Presentan precariedad económica y exposición a riesgos laborales y ambientales. Requieren acciones comunitarias, gubernamentales y académicos para mejorar las condiciones de vida y trabajo. Además, promover minería segura, saludable, sostenible.
Estrategias Educativas STEM-STEAM en Nivel Superior: Revisión Sistemática de Literatura
Authors: ZUÑIGA-TINIZARAY Fanny S. ,   Universidad Nacional de Loja, MARIN Victoria I. ,   Universitat de Lleida
Published: July 2024

Este estudio aborda las estrategias didácticas STEM-STEAM en nivel superior mediante una revisión sistemática PRISMA de 36 publicaciones indexadas en SCOPUS y WOS. Identifica la interdisciplinaridad y las metodologías activas como las prácticas más efectivas, promoviendo habilidades cognitivas, sociales y emocionales. Los resultados enfatizan la necesidad de estrategias innovadoras que integren conocimientos técnicos y habilidades blandas, preparando a los estudiantes para desafíos laborales actuales y futuros. Este aporte es crucial para el progreso pedagógico en educación superior.
La creación de valor para el cliente, según Zeithaml, desde la perspectiva del estudiante universitario en Guatemala
Authors: GUTIERREZ Lucia , DE LEON Carlos H.
Published: July 2024

El siguiente trabajo se desarrolló por medio de una recopilación de aportes sobre el valor, además de un estudio cuantitativo, que tomó como base la investigación desarrollada por Zeithaml (1988) y la categorización creada sobre el concepto valor para el cliente; esto, para poder determinar si los conocimientos sobre temas de marketing, en estudiantes de las universidades guatemaltecas, les permite ver desde otra perspectiva dicho término, en comparación a los que no llevan ese tipo de cursos en su carrera.
Design & Development of smart scrap management system for a manufacturing organisation
Authors: Dr. Arvind A R  , Sreekanth B  , P. Emmanuel Prathyushchand
Published: July 2024

Scrap management is handled through manual processes in many manufacturing organizationsleading to poor efficiencies. This paper discusses design, development, and deployment of a suitable scrap management system leveraging Industry 4.0 in a lean manner with traceability using ANPR technologyand digital weighbridge setup aided by logistics trucks, digital handshake, and virtual stores in SAP. The complete processes are digitally photographed leaving behind a digital thread for future forensics
Sistema de riego subsuperficial a demanda mediante vasos comunicantes: estudio de caso cultivo de col rizada
Authors: Chipana-Rivera René , Luna-Calle Victoria , Blanco-Villacorta Wilfredo , Moreno-Pérez María Fátima , Roldán-Cañas José
Published: July 2024

La escasez de agua y la creciente demanda de alimentos imponen la utilización de tecnologías más eficientes en el regadío. Por tal motivo, se abordaron los fundamentos hídricos e hidráulicos del riego subsuperficial a demanda mediante vasos comunicantes (RSVC), estudio de caso cultivo de col rizada. El sistema estuvo compuesto por un depósito de agua, una cubeta con carga hidráulica constante, una línea de derivación, laterales de riego, emisores y vasos de cultivo. La pérdida de carga en el sistema, para el lateral más alejado, fue 7.38491 mm.c.a., permitiendo operar a presiones muy bajas sin requerimiento energético. Debido a la continuidad hidráulica, generada por la tasa evapotranspirativa, los cultivos no sufrieron estrés hídrico, obteniéndose un rendimiento promedio de 360 g de materia fresca/planta, con una eficiencia de uso del agua de 22.38 g/l, rendimientos favorables cuando se compara con otros estudios.
Programa de Compliance como Vantagem Competitiva para as Organizações Privadas
Authors: Garbaccio Grace Ladeira , Vadell Lorenzo Mateo Bujosa , Gahyva Raphaelle Aquino Castrillo Reiners
Published: July 2024

À luz da Lei Anticorrupção, nº 12.846, de 1º de agosto de 2013, o programa de compliance ou programa de integridade pode ser considerado uma ferramenta indispensável para uma organização privada que almeja obter vantagem competitiva, uma vez que visa garantir à mesma mais confiabilidade jurídica, maior qualidade no desenvolvimento das atividades e economia de recursos humanos e pecuniários. O presente artigo tem como objeto realizar uma análise crítica da utilização de tal programa como instrumento jurídico de destaque competitivo pelas organizações. Pretende-se identificar se a implementação de tal programa jurídico, aplicado à gestão de empresas brasileiras, impacta positivamente em sua governança, trazendo-lhes benefícios perante as demais. Para tanto, empregar-se-á a metodologia qualitativa-dedutiva de pesquisa bibliográfica, doutrinas e leis.
Racial disparities in the enjoyment of the right to full protection of children and adolescents in Brazil (2019-2021): a legal-quantitative approach
Authors: Ferreira Hugo Luís Pena , Mello Jaira Rodrigues de
Published: July 2024

The formal recognition of the right to full protection of children and adolescents by the Constitution and the Child and Adolescent Statute (ECA) does not imply the practical implementation of this right, nor that its legal effectiveness is racially equitable. The study aims to give quantitative expression to racial disparities in the empirical enjoyment of the right to full protection. The research time frame comprises the years between 2019 and 2021 and data are referred to Brazil. Variables related to aspects of full protection are considered, such as the number of homicides, police fatalities, deaths from preventable causes, low birth weight, low per capita household income, and enrollment in daycare centers and primary education, based on aggregate data made available by IBGE, UNICEF, Fundação Abrinq, the Brazilian Public Security Forum, and the Ministry of Health. The main finding is that the race/color of the child and adolescent mattered for the enjoyment of the right to full protection in the analyzed section. Racially biased police lethality concerning black children and adolescents was the aspect with the highest deterioration in the period studied. The highest decrease in racial bias observed was in the incidence of children and adolescents up to 14 years of age with per capita household income of up to ¼ of the minimum wage, which, however, remains with a strong bias. Among the variables considered, there was only no relevant racial bias in live births with low birth weight. The findings challenge the arguments that there would be a deracialized childhood/adolescence in Brazil and point to the need to explicitly consider race when designing public policies aimed at childhood and adolescence.
Pre-Service Social sciences Teachers’ Perspectives of their Teacher Professional Identity in a South African University within the Context of Curriculum Integration
Authors: Wepener Tiani , Fru Raymond , Felix Alan , Tabhu Mlamuli
Published: July 2024

The purpose of this study is to investigate the perspectives of pre-service teachers regarding their identity as social sciences teachers. The aim is to summarise their subject and topic preferences within the social sciences curriculum and to propose ways in which social sciences can be strengthened as an integrated curriculum. This study is based on the questionnaire responses of twenty-three final year Intermediate Phase (Grade 4-6) and Senior Phase (Grade 7-9) pre-service social sciences teachers at a South African university. Forty-three percent of the participants indicated that they do not prefer teaching either History or Geography. A limited response to the questionnaire from pre-service teachers resulted in a small sample size which may not be representative of other pre-service social sciences teachers. The research presented can inform social sciences teacher training programmes about how pre-service teachers view themselves and how they feel about social sciences as an integrated school subject.
Hambatan Didaktis Berpikir Kritis dalam Menyelesaikan Masalah Matematika
Authors: Rahaju Rahaju , Murniasih Tatik Retno , Sumaji Sumaji , Muchtadi Muchtadi
Published: July 2024

Berpikir kritis merupakan kompetensi penting dalam penyelesaian berbagai masalah. Akan tetapi, banyak siswa atau mahasiswa yang kurang terampil berpikir kritis. Salah satu hambatan berpikir kritis disebabkan oleh proses pembelajaran (hambatan didaktis). Penelitian ini bertujuan untuk menggali hambatan didaktis berpikir kritis dalam menyelesaikan masalah matematika pada materi segitiga. Subjek penelitian sebanyak 24 mahasiswa Program Studi Pendidikan Guru Sekolah Dasar. Instrumen pendukung penelitian ini berupa tes pemecahan masalah dan pedoman wawancara. Pengecekan validitas data menggunakan triangulasi metode. Hasil penelitian menunjukkan ada tiga pola penyelesaian masalah, yaitu pola  translasi gambar, pola relasi luas, dan pola kesetaraan luas. Hambatan berpikir kritis pada ketiga pola tersebut disebabkan pembelajaran yang mengandalkan penanaman konsep melalui contoh-contoh yang tidak bervariasi dan terbatas, pemberian rumus siap pakai untuk dihafal, serta penyajian masalah rutin dan prosedur penyelesaiannya. Pembelajaran tersebut membiasakan mahasiswa menyelesaikan masalah secara mekanis, sekedar meniru tindakan guru, tidak memahami makna rumus, dan menimbulkan miskonsepsi. Hal tersebut mengakibatkan kesalahan dalam memahami masalah, mengidentifikasi data, memberi alasan, dan melakukan refleksi. Temuan penelitian ini dapat digunakan sebagai dasar penyusunan materi dan masalah/soal matematika serta rencana pembelajaran untuk mereduksi hambatan berpikir kritis.
Geotechnical and Water Quality Assessment of Erosion-Prone Umuagu Village, Ufuma, Southeastern Nigeria
Authors: E. E. Onuchukwu, , F. M. Madu, , C.V. Ahaneku, , A. O. Njoku, , A.C. Odinye, , G.E.O Odesa,
Published: July 2024

Umuagu village is located in Ufuma town which is one of the sixteen communities in Orumba North Local Government Area of Anambra State. It is located between latitude 6º 05’N and 7º 11″E. The developing erosion site which is the subject of this work runs along the Etiti to Obuagu collector road, commencing off the Ekwulobia/Umunze Road and all five gullies found in Umuagu-Ufuma are road-bound, active and disruptive. A total of three (3) soil and three (3) water samples were collected and analysed using standard method. The result of the soil analyses shows that the soil at Uphill Etiti Umuagu contains 88.2% sand, 6.8% silt and 5.0% clay. In the Middle Course Etiti Umuagu, the soil contains 56.4% sand, 18.5% silt and 15.1% clay while in the Down Stream Course Obuagu Umuagu, the soil samples contain 62% sand, 25% silt and 13% clay. From the obtained result, it is apparent that the entire sequence is sandy and loose; a condition that favours easy soil dispersal and erosion. Physical observation of the water samples shows that the water samples are clean, colourless and had no odour. The pH of the water samples was 6.40, 6.5, 6.30 for borehole, river, and stream waters respectively. The total dissolved solids, total hardness and conductivity contents were within the WHO/ FMEnv limits, with concentrations of 002mg/l, 003mg/l and 003mg/l; 48mg/l, 28mg/l and 30mg/l; and 15.60 µs, 14.60 µs and 16.20 µs for the borehole / river/ stream respectively. The values of the heavy metals detected were: Lead 1.690/ 0.9740/ 0.8612; and Chromium 0.020/ 0.00/ 0.00 (these were above the WHO standard except concentration of Lead in the borehole) while there was no trace of Cobalt, Silver, Tin and Aluminium in the water, except for Magnesium and Molybdenum. The concentration of coliform counts was observed to exceed the value of 102 cfu/ml recommended by the World Health Organisation.
Comparative Analysis of Physicochemical Properties of Oils from Groundnut, Melon, Watermelon and Orange Seeds
Authors: C.A Popoola, , A.D. Haruna,
Published: July 2024

This study analyzed and compared the physicochemical properties of oils produced from groundnut, melon, watermelon and orange seeds. The moisture content, saponification value, iodine value, peroxide value, acid value, free fatty acid, ester value, refractive index, viscosity, density, specific gravity, cloud point, pour point, flash point and fire point of the oils were analyzed. There were no significant differences in iodine value, peroxide value, refractive index, viscosity, specific gravity, cloud point, pour point, flash point and fire point, while there were significant differences in the moisture content, saponification value, acid value, free fatty acid, ester value, and density, The results revealed that these oils contain low fatty acid value and they are good sources of edible oil as they have low acid value. These oils also have great potentials as industrially promising oils, with their high saponification and iodine values, they will be good raw materials for bio-lubricant production and for a variety of industrial applications.
CRITICAL THINKING AS A FACTOR IN THE DEVELOPMENT OF SOFT SKILLS
Authors: Mukhametkairov  , Yermentayev  , Matayev  , Duissekeyeva  , Saduakassova
Published: July 2024

In this article we consider the problems of "critical thinking"as a cause of insufficient development of soft skills in high school students. In the course of theoretical analysis the concept and characteristics of critical thinking as a soft skill are established and different approaches to the development of critical thinking skills in high school students are outlined. Since critical thinking allows to guide and control the whole process of learning in school, including the independent development of students regarding the acquisition of not only knowledge, but also soft skills. The special connection between logic and creative thinking is noted. The main ways of developing critical thinking as a factor in the development of soft skills according to the Delphi model (Peter Facione) are outlined. The results of practical research based on the key cognitive skills have shown that the level of development of soft critical thinking skills is a necessary condition for the development of high school students, as soft critical thinking skills were developed in them during the experiment, albeit slightly (due to the use of modern techniques and methods of technology in the process of teaching and education), which determines the effectiveness of their further development. It is recommended to use in school education, in high schools, interactive techniques and methods of developing soft skills, while taking into account the age of students and their need to form critical thinking both for self-development and for the acquisition of other competencies.
RELAÇÃO ENTRE ACOMPANHAMENTO NO PRÉ-NATAL, MORTALIDADE MATERNA E FATORES SOCIODEMOGRÁFICOS
Authors: Araújo Alan Francisco Pereira , Pinheiro Beatriz Rodrigues , Guimarães Íris Isabela da Silva Medeiros
Published: July 2024

Os impactos benéficos do pré-natal para assegurar uma gestação saudável ao binômio mãe-feto são múltiplos. Em contrapartida, obstáculos relacionados às características sociodemográficas fazem com que a adesão materna não seja homogênea no Brasil, contribuindo para desfechos danosos. Assim, o presente estudo tem por objetivo conhecer o perfil sociodemográfico das mães que não contemplam as indicações referentes ao acompanhamento pré-natal e daquelas que possuem como resultado da gestação a morte materna. Trata-se de uma pesquisa quantitativa, descritiva, do tipo transversal, realizada por meio de levantamento nas bases de dados do DATASUS, entre 2019 e 2023. Foram coletados os dados referentes às variáveis: faixa etária materna, estado civil, número de consultas pré-natal e taxa de óbito materno. Nesse sentido, as variáveis sociodemográficas que estiveram relacionadas a menor taxa de adesão ao pré-natal e/ou maior índice de mortalidade materna foram: regionalidades norte e nordeste, raças parda, preta ou indígena; solteiras; menor nível de escolaridade materna; e gestação na adolescência. Tais achados se associam, dentre outros fatores, respectivamente, pelo aceso defasado a serviços prestados em determinadas regiões e a determinadas cor/raça, dificuldade no entendimento de orientações, falta de suporte oferecido por cônjuge e maior exposição a riscos. As causas diretas foram as principais relacionadas a morte, evidenciando a influência positiva de um pré-natal suficiente. Conclui-se que as estratégias de saúde pública devem abarcar características sociodemográficas de risco como norteadoras de campanhas e na busca ativa de mulheres em situações ameaçadoras.
ASUHAN KEPERAWATAN GERONTIK PADA PASIEN OSTEOPOROSISDENGAN MASALAH KEPERWATAN NYERI KRONIS MENGGUNAKAN TERAPI SENAM OSTEOPOROSIS DI UPT PSTW JOMBANG
Authors: Andriansyah Muhammad Ibnu ,   Program Studi Keperawatan DIII Akademi Bahrul Ulum Jombang, Roni Faishol , Wijaya Arif , Pratiwi Tiara Fatma ,   STIKes Bahrul Ulum Jombang, Jawa Timur, Indonesia,   STIKes Bahrul Ulum Jombang, Jawa Timur, Indonesia,   AKPER Bahrul Ulum Jombang, Jawa Timur, Indonesia
Published: July 2024

Elderly people who experience musculoskeletal pain include elderly people with a history of gout, rheumatism, osteoporosis, osteoarthritis, lower back pain and muscle pain. There have been many methods used to overcome this pain, such as drinking warm water and taking pain medication, but these have not provided optimal results. Implement Gerontik Nursing Care for Osteoporosis Patients With Chronic Pain Nursin Problems at UPT PSTW Jombang. The design of this research is a case study using 2 osteoporosis clients with chronic pain nursing problems, who received nursing care for 7 consecutive days using an intervention, namely Osteoporosis Gymnastics therapy. The results of the study showed that the problem of chronic pain by providing Osteoporosis Exercise therapy, the problem was resolved in reducing the pain level of the elderly. Osteoporosis Exercise Therapy can help reduce pain and provide comfort to the elderly, this therapy is carried out for 7 days.
HUBUNGAN PERAN KELUARGA DAN TINGKAT STRES TERHADAP KADAR GULA DARAH PADA LANSIA DENGAN DIABETES MELLITUS TIPE II
Authors: Wahdi Achmad ,   Fakultas Ilmu Kesehatan, Universitas Kadiri, Puspitosari Dewi Retno , Prasetyawan Fendy , Karingga Devangga Darma , Ramayanti Eva Dwi ,   STIKes Ganesha Husada Kediri,   Fakultas Ilmu Kesehatan, Universitas Kadiri,   Fakultas Ilmu Kesehatan, Universitas Kadiri,   Fakultas Ilmu Kesehatan, Universitas Kadiri
Published: July 2024

Elderly is an unavoidable aging process that will decrease body function. One is the decline in adapting to stress on the environment or illness suffered. This study aims to determine the relationship between the role of the family and the level of stress on blood sugar levels in elderly patients Diabetes mellitus in Puskesmas Bunten Barat Ketapang. This research uses observational analytic design with cross sectional approach. Population of all elderly Diabetes mellitus type 2 and elderly family. The sample size of 30 respondents was taken by simple random sampling technique. Independent variable in this research is family role and stress level. Dependent variable is blood sugar level. The data collection instrument used the family role questionnaire, the DDS (Diabet Distress Scale) questionnaire and the blood sugar glucose observation sheet. Data were analyzed with Exact Fisher test with significance level α = 0,05. The result showed almost half (43,3%) family role enough, almost half (43,3%) heavy stress respondent level, most (63,3%) abnormal sugar level. Exact Fisher test results obtained ρ = 0.001 <α for the relationship of family roles and blood sugar levels means there is a relationship role of the family with blood sugar levels. The relationship of stress level and blood sugar levels obtained ρ = 0,000 <α means there is a relationship between stress levels with blood sugar levels. Family role is expected in caring for family members, especially the sick including elderly. It is expected that families play a role in diabetes care and is expected for the elderly can control the stress they are experiencing problems faced
EFEKTIVITAS PROGRAM INTERVENSI PENCEGAHAN KANKER SERVIKS PADA REMAJA PUTRI DI LINGKUNGAN SMK BIM JOMBANG
Authors: Arfan Nurul Azmi ,   Institut Teknologi Sains dan Kesehatan Insan Cendekia Medika Jombang, Nuzula Rizka Firdausi , Ningsih Dovi Dwi Mardiyah ,   Institut Teknologi Sains dan Kesehatan Insan Cendekia Medika Jombang,   Institut Teknologi Sains dan Kesehatan Insan Cendekia Medika Jombang
Published: July 2024

Cervical cancer is one of the main causes of death in women throughout the world, including in Indonesia. Early prevention through education and health interventions is important to reduce the death rate from cervical cancer. This study aims to evaluate the effectiveness of a cervical cancer prevention intervention program in adolescent girls. The research method used was quasi-experimental with a pretest-posttest design without a control group. A total of 200 young women at secondary schools in SMK BIM Jombang were selected as respondents. The intervention provided included lectures, group discussions, distribution of educational materials, and counseling by competent health workers. Data was collected through a questionnaire that included the level of knowledge and awareness of young women about cervical cancer prevention before and after the intervention. The research results showed a significant increase in the level of knowledge and awareness of young women after the intervention. Before the intervention, 30% of adolescent girls had low knowledge, 55% had medium knowledge, and 15% had high knowledge. After the intervention, this percentage changed to 5% for low knowledge, 30% for medium knowledge, and 65% for high knowledge. In the aspect of awareness, before the intervention, 35% of young women had low awareness, 50% had moderate awareness, and 15% had high awareness. After intervention, 7.5% had low awareness, 32.5% had moderate awareness, and 60% had high awareness. This increase shows that the intervention program provided has succeeded in significantly increasing the understanding and awareness of young women. The involvement of parents and teachers provides additional support that is very important for applying the knowledge they gain in everyday life. In addition, policies that support cervical cancer prevention programs are needed to create an environment that supports the health of adolescent girls
PENGARUH PEMBERIAN KONSELING DENGAN MEDIA VIDEO TERHADAP PENGETAHUAN IBU TENTANG BIRTH BALL PADA PROSES PERSALINAN
Authors: Veradilla  , Faulia Mauluddina  , Novia Amerti Dwi Puspita Sari
Published: July 2024

Kematian ibu menurut World Health Organization (WHO) yang dikutip dari Pusat Data dan Informasi Kementerian Kesehatan RI adalah kematian selama kehamilan atau dalam periode 42 hari setelah berakhirnya kehamilan, akibat semua sebab yang terkait dengan atau diperberat oleh kehamilan atau penanganannya, tetapi bukan disebabkan oleh kecelakaan/ceder. diketahui hasil uji normalitas  pretest pengetahuan ibu tentang birth ball pada proses persalinan sebelum pemberian konseling dengan media video mendapatkan nilai  p (0.000) < 0,05, sesuai ketentuan pada test Shapiro-wilk maka data dinyatakan terdistribusi tidak normal dan hasil uji normalitas postest pengetahuan ibu tentang  birth ball pada proses persalinan sesudah pemberian konseling dengan media video mendapatkan nilai  p (0.000) < 0,05, sesuai ketentuan pada  test Shapiro-wilk  maka data dinyatakan terdistribusi tidak normal. Tujuan penelitian untuk mengetahui pengaruh pemberian konseling dengan media video terhadap pengetahuan ibu tentang birth ball pada proses persalinan. Penelitian ini merupakan penelitian kuantitatif, dengan rancangan penelitian pre-experimental. Dengan metode one group pretest-posttest design, yaitu desain penelitian yang terdapat  pretest sebelum diberi perlakuan dan posttest setelah diberi perlakuan. Dengan demikian dapat diketahui lebih akurat, karena dapat membandingkan dengan diadakan sebelum diberi perlakuan. Sampel dalam penelitian ini adalah semua ibu  hamil trimester III yang berjumlah 44 responden yg ada di klinik citra.
THE RELATIONSHIP OF FAMILY SUPPORT AND BREASTFEEDING SELF EFFICACY IN BREASTFEEDING MOTHERS PMB YULI BAHRIAH
Authors: Bahriah Yuli , Yuni Kurniati
Published: July 2024

Breast milk (ASI) is considered the best and most important food for babies up to 6 months of age without the addition of other foods. The success of breastfeeding is very dependent on the support provided, both from the family and from the mother's self-efficacy in breastfeeding. The mother's condition can also influence breastfeeding success, such as confidence in her breastfeeding ability (breastfeeding self-efficacy). This study aims to determine the relationship between family support and breastfeeding self-efficacy (breastfeeding self-efficacy) with the success of providing exclusive breastfeeding to breastfeeding mothers at PMB Yuli Bahriah. The method used is quantitative by designcross-sectional, and the sample consisted of 20 breastfeeding mothers in the PMB Yuli Bahriah Kertapati work area in 2024. Data collection was carried out using a questionnaire with specific questions regardingfamily support and the success of exclusive breastfeeding.Breastfeeding self-efficacy measured using a scaleBreastfeeding Self-Efficacy (BSE) and analyzed by testchi-square. The research results show that there is a significant relationship betweenfamily support, breastfeeding self-efficacy, and the success of exclusive breastfeeding. Family support plays an important role in the success of exclusive breastfeeding, because it helps babies and families understand the importance of breastfeeding. Mothers also need to increase their self-confidence and motivation to breastfeed as well as knowledge about correct breastfeeding techniques through health service counseling.
FACTORS THAT INFLUENCE FP ACCEPTORS IN CHOOSING INJECTIVE CONTRACEPTION METHODS IN PRACTICE INDEPENDENT MIDWIFE (PMB) ANNISA PRABUMULIH CITY
Authors: Mandasari Pera
Published: July 2024

Injectable contraception is a contraceptive in the form of a liquid that is injected into a woman's body periodically and contains hormones, then enters the blood vessels to be absorbed little by little by the body which is useful for preventing pregnancy. The aim of the study was to find out the factors that influence family planning acceptors in choosing the injection contraceptive method at the Independent Midwife Practice (PMB) Annisa Prabumulih. The research method is analytic in nature, using a Cross Sectional approach. The population of this study were all active family planning acceptors at Annisa Prabumulih's Independent Midwife Practice (PMB). Sampling in this study using a total sampling technique, namely as many as 57 respondents. Research instruments in the form of checklists and questionnaires. The results of the study based on biivariate analysis there is a significant relationship between education and the choice of family planning injection contraception with a Pvalue of 0.000 <? 0.05, there is a significant relationship between knowledge and the choice of family planning injection contraception with a Pvalue of 0.000 <? 0.05, there is a significant relationship between husband's support and selection of contraceptive injections with a Pvalue of 0.001 < ? 0.05.
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMERIKSAAN PAYUDARA SENDIRI (SADARI) PADA SISWI KELAS XI DI SMK PELITA INSANI KOTA PRABUMULIH
Authors: Dwi Saputri MS  , Precelia Fransiska
Published: July 2024

Pemeriksaan payudara sendiri (SADARI) adalah upaya deteksi dini untuk mencegah kanker payudara. Kegiatan SADARI ini dilakukan seseorang untuk memeriksa dan mengetahui adanya perubahan pada payudaranya. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi pemeriksaan payudara sendiri (SADARI) pada siswi kelas XI di SMK Pelita Insani Kota Prabumulih tahun 2024. Metode penelitian bersifat analitik, dengan pendekatan Cross Sectional. Populasi penelitian ini adalah adalah siswi kelas XI SMK Kesehatan Pelita Insani tahun 2024. Pengambilan sampel pada penelitian ini menggunakan tehnik Total Sampling, sebanyak 55 responden. Instrumen penelitian berupa kuesioner. Hasil penelitian berdasarkan analisa univariat diketahui bahwa dari 55 responden terdapat 41 responden (74,5%) yang melakukan pemeriksaan SADARI dan 14 responden (25,5%) yang tidak melakukan pemeriksaan SADARI, terdapat 37 orang (67,3%) yang memiliki pengetahuan baik dan 18 orang (32,7%) yang memiliki pengetahuan kurang, terdapat 9 orang (16,4%) yang memiliki riwayat keluarga kanker payudara dan 46 orang (83,6%) yang tidak memiliki riwayat keluarga kanker payudara, terdapat 45 orang (81,8%) yang memiliki usia menarche normal dan 10 orang (18,2%) yang memiliki usia menarche abnormal. Dari  analisa bivariat diketahui ada hubungan yang bermakna antara antara pengetahuan dengan pemeriksaan SADARI dengan nilai Pvalue 0,000 < ? 0,05, ada hubungan yang bermakna antara riwayat keluarga dengan pemeriksaan SADARI dengan nilai Pvalue 0,000 < 0,05, ada hubungan yang bermakna antara usia menarche dengan pemeriksaan SADARI dengan nilai Pvalue 0,000 < 0,05. Diharapkan pemeriksaan SADARI ini dijadikan salah satu penkes yang wajib di berikan pada poli kebidanan agar dapat menyebarluaskan informasi tentang deteksi dini penyakit ca mamae.
Local Wisdom-based Restorative Justice Approach to Customary Violations Committed by Children
Authors: Budiana I Nyoman
Published: July 2024

Child protection is an effort to create conditions so that children can carry out their rights and obligations while still prioritizing their best interests. There are three things discussed in this study namely: punishment policy in the use of diversion and restorative justice, values and forms of restorative justice, and the role of custom in cases of children in conflict with the law. This study is an empirical legal study that examines the settlement of criminal cases committed by children with a restorative justice approach. The data used are primary data and secondary data. Analysis of the problems is carried out qualitatively. The policy of handling children's cases with the concept of restorative justice, which promotes peace through deliberations involving various parties, religious and traditional leaders, and the community is very much in line with the concepts of progressive law and substantive justice. To realize the settlement of cases based on restorative justice, relevant stakeholders are expected to be able to apply the values of restorative justice in practice to be able to produce peace agreements that reflect the sense of community justice. Efforts to resolve cases or customary issues carried out by deliberation by traditional elders as village peace judges, are part of the application of local Balinese wisdom and are the best step to restore the situation as before by sticking to the spirit of kinship, mutual care, compassion, and care. Keywords: Children, customary village, diversion, local Balinese wisdom, restorative justice
Huma Betang-Based Resolution of Mining Land Conflicts: Belom Bahadat Legal Culture of Bakumpai Dayak Community in Central Kalimantan, Indonesia
Authors: Wiguna Teguh Musa , Murhaini Absori, Suriansyah , Budiono Arief
Published: July 2024

This study aimed to explore local wisdom treasures related to the study of legal culture which was not widely known by the public. This study used a mix of anthropological and juridical philosophical methods. It used the socio-legal study approach conducted through direct exploration and structured interviews. Results showed that Dayak Bakumpai indigenous people highly uphold the inclusive cultural principles contained in the Huma Betang philosophies. One of the philosophies was the resolution of mining land conflicts, influenced by the culture’s positive values. This value was adopted from an inclusive culture in the Belom Bahadat values that are upheld by the Bakumpai Dayak community. Meanwhile, conflict resolution was carried out through "Bahandep Bahapakat Rakat", which is a practice of helping each other in deliberations. This is so that the headman or local traditional leader can help people return to harmony.
1. PHÂN TÍCH TÁC ĐỘNG TÀI CHÍNH CỦA HOẠT ĐỘNG ĐIỀU TRỊ CHO NGƯỜI BỆNH TẠI BỆNH VIỆN LÊ VĂN THỊNH GIAI ĐOẠN 2018-2023
Authors: Khanh Trần Văn , Vũ Hoàng Thy Nhac , Thùy Trần Quí Phương , Vũ Đặng Hoàng Lê , Trang Nguyễn Hoàng Thu , Thịnh Trần Nguyễn Quốc
Published: July 2024

Mục tiêu: Nghiên cứu thực hiện nhằm phân tích tác động tài chính trong điều trị cho người bệnh tại Bệnh viện Lê Văn Thịnh (BVLVT) trong giai đoạn 2018-2023.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, thực hiện thông qua hồi cứu dữ liệu về nguồn chi trả chi phí trực tiếp y tế (CPTTYT) trong điều trị cho người bệnh có BHYT tại BVLVT trong giai đoạn 2018-2023. Dữ liệu được trích xuất từ phần mềm quản lý của bệnh viện, sau đó tổng hợp, xử lý, và phân tích bằng phần mềm Excel và R.
Kết quả: Trong giai đoạn 2018-2023, tổng CPTTYT đã sử dụng để điều trị cho người bệnh có BHYT là 1.075,107 tỷ đồng, trong đó, quỹ BHYT chi trả 85,2%; tổng chi phí cho điều trị ngoại trú chiếm 66,8%; tổng chi phí thuốc chiếm 57;8%. Xem xét thành phần chi phí, nghiên cứu ghi nhận có sự khác biệt về tỷ lệ chi phí của dịch vụ y tế giữa điều trị nội trú và ngoại trú. Trong đó, thuốc luôn chiếm tỷ lệ chi phí cao nhất, với tỷ trọng chi phí của thuốc trong điều trị ngoại trú gấp đôi tỷ trọng chi phí trong điều trị nội trú (73,7% vs 30,5%). Xem xét tổng CPTTYT theo ba giai đoạn 2018-2019 / 2020-2021 / 2022-2023; nghiên cứu ghi nhận tổng giá trị CPTTYT trong điều trị nội trú và ngoại trú đều tăng theo thời gian; trong điều trị ngoại trú, tỷ trọng chi phí của thuốc tăng dần theo thời gian (68,7%; 73,6%; 74,9%); trong điều trị nội trú, tỷ trọng chi phí của phẫu thuật-thủ thuật, chẩn đoán hình ảnh, giường bệnh có giá trị giảm theo thời gian, và tỷ trọng chi phí vật tư y tế có giá trị tăng theo thời gian.
Kết luận: Kết quả phân tích đã cung cấp những thông tin quan trọng về tác động tài chính trong điều trị cho người bệnh có BHYT tại BVLVT trong giai đoạn dài từ khi BVLVT thực hiện tự chủ tài chính đến nay, hỗ trợ quá trình đánh giá việc sử dụng nguồn tài chính của BVLVT cho hoạt động chuyên môn trong giai đoạn 2018-2023, từ đó, có những căn cứ để tối ưu hóa việc sử dụng nguồn tài chính, phục vụ tốt nhất cho hoạt động khám chữa bệnh tại BVLVT.
8. TỶ LỆ TIÊM MŨI NHẮC LẠI VẮC XIN COVID-19 VÀ CÁC YẾU TỐ LIÊN QUAN CỦA NGƯỜI DÂN TẠI TỈNH LÂM ĐỒNG
Authors: Thùy Ká , Quỳnh Huỳnh Hồ Ngọc , Trâm Nguyễn Thị Ngọc , Phúc Lê Trường Vĩnh
Published: July 2024

Mục tiêu: Nghiên cứu này được thực hiện để xác định tỷ lệ tiêm mũi nhắc lại (TMNL) vắc xin COVID-19 và đánh giá các yếu tố ảnh hưởng đến quyết định tiêm chủng của người dân tại xã Tân Châu, huyện Di Linh, tỉnh Lâm Đồng.
Phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả được thực hiện trên 360 người dân từ đủ 18 tuổi trở lên tại xã Tân Châu, huyện Di Linh, tỉnh Lâm Đồng. Dữ liệu được thu thập bằng cách phỏng vấn trực tiếp đối tượng nghiên cứu thông qua bộ câu soạn sẵn và thang đo tiền đề tâm lý ảnh hưởng quyết định tiêm chủng (thang đo 5C).
Kết quả: Tỷ lệ TMNL vắc xin COVID-19 ở đối tượng tham gia nghiên cứu là cao, 84,7%, trong đó tỷ lệ tiêm mũi 3 là 39,4%, mũi 4 là 35,3%. Đối tượng là người dân tộc K’Ho có tỷ lệ TMNL thấp hơn so với đối tượng dân tộc Kinh. Đối tượng có trình độ học vấn cao có tỷ lệ TMNL cao. Tất cả nhân tố của thang đo 5C đều có tác động đến tỷ lệ TMNL vắc xin COVID-19.
Kết luận: Tăng cường tiếp cận, tuyên truyền tầm quan trọng và lợi ích của việc TMNL vắc xin COVID-19, tập trung đến đối tượng là người dân tộc K’Ho, người có trình độ học vấn thấp. Nâng cao mức độ tin tưởng vào vắc xin, trách nhiệm với cộng đồng trong việc phòng ngừa dịch lây lan; nhấn mạnh tính nguy hiểm của dịch bệnh, loại bỏ các rào cản trong tiếp cận tiêm chủng để nâng cao tỷ lệ TMNL vắc xin COVID-19.
PENGARUH PEMBERIAN KOMBINASI MINYAK KEMIRI DAN MINYAK KELAPA TERHADAP PERTUMBUHAN RAMBUT BAYI DI PMB JUWENI SAMARINDA
Authors: Juweni  , Noorbaya Siti  , Anggraini Ryzky Diah  , Pertiwi Desi  , Haeruddin
Published: July 2024

Bayi merupakan individu yang lemah dan memerlukan proses untuk beradaptasi dalam tumbuh kembang. Rambut merupakan mahkota bagi penampilan dan keindahan pada bagian tubuh bayi. Kondisi rambut bayi baru lahir berbeda-beda ada yang tebal, tipis bahkan botak. Minyak kemiri mengandung asam linoleat, alkaloid dan asam linolenat yang dapat menembus poros akar dan batang rambut hingga bagian terdalam. Minyak kelapa mengandung asam lemak jenuh, asam laurat dan asam palmitat yang berfungsi untuk menghaluskan dan melembutkan rambut dan kulit kelapa. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian kombinasi minyak kemiri dan minyak kelapa terhadap pertumbuhan rambut bayi di PMB Juweni Samarinda pada kelompok kontrol dan kelompok intervensi. Desain penelitian yang digunakan adalah penelitian kuantitatif dengan jenis penelitian adalah metode kuasi eksperiment dengan menggunakan kelompok kontrol dan kelompok intervensi. Teknik pengambilan sampel secara purposive sampling. Responden adalah bayi berusia 6 bulan sampai 24 bulan yang berjumlah 20 orang bayi. Hasil penelitian berdasarkan hasil uji independent sample t test terhadap uji hipotesis diperoleh nilai equal variance assumed untuk nilai sig. (2-tailed) sebesar 0,011. Hal ini menunjukkan bahwa nilai signifikansi (Sig.) sebesar 0,011 < 0,05 sehingga dapat dikatakan bahwa H0 ditolak dan H1 diterima. Simpulan penelitian adalah terdapat pengaruh pemberian kombinasi minyak kemiri dan minyak kelapa terdapat pertumbuhan rambut bayi di PMB Juweni Samarinda pada kelompok kontrol dan kelompok intervensi sebesar 0,011. Saran bagi peneliti lain yang tertarik dapat melakukan penelitian lebih lanjut tentang faktor-faktor yang mempengaruhi pertumbuhan rambut bayi.
PENGALAMAN IBU HAMIL MENGIKUTI KELAS PRENATAL YOGA: SCOPING REVIEW
Authors: Devi Elfita Sari  , Tetty Oktavia Limbong
Published: July 2024

Kehamilan merupakan masa ketika perubahan biomekanik dan fisiologis terjadi dengan cepat seiring tubuh beradaptasi untuk mendukung pertumbuhan janin. Melakukan aktivitas seperti berolah raga saat hamil sangat bermanfaat seperti senam yoga. Penggunaan terapi komplementer yang diantaranya yoga banyak digunakan wanita selama masa kehamilan. Tujuan penelitian ini adalah untuk mengetahui pengalaman ibu hamil mengikuti kelas prenatal yoga. Penelitian ini menggunakan scoping review. Metode scoping review ini terdiri dari beberapa langkah yaitu Mengidentifikasi Pertanyaan Scoping Review, Mengidentifikasi Sumber Literatur yang Relevan, Pemilihan Literatur, Menyusun, meringkas, dan melaporkan hasilnya. Berdasarkan critical appraisal diperoleh 19 artikel. Hasil penelitian menemukan 3 tema yaitu 1. kurangnya pengetahuan ibu hamil tentang kelas prenatal yoga, 2. mengurangi tingkat stres selama masa kehamilan, 3. yoga merupakan intervensi yang tidak berbahaya dan efektif bagi wanita hamil. Pengalaman ibu hamil mengikuti kelas prenatal yoga sangat menguntungkan bagi ibu hamil dan bayi yang dikandungnya. Selama mengikuti kelas prenatal yoga ibu hamil tidak merasakan stres bahkan gejala depresi yang ibu hamil merasa sangat bermanfaat secara psikis dan fisik sehingga kenyamanan selama proses kehamilan meyakinkan ibu hamil menuju persalinan.
KENAIKAN BERAT BADAN DAN STATUS GIZI PADA BALITA SELAMA KEHAMILAN
Authors: Dwi Alfiyatul Ma'rifah  , Annasari Mustafa  , Ika Yudianti  , Susi Milwati
Published: July 2024

Masalah status gizi terjadi disetiap siklus kehidupan, dimulai sejak dalam kandungan (janin) sampai usia lanjut. Data hasil studi pendahuluan didapatkan bahwa anak batita yang mengalami status gizi kurang sebanyak 0,8% pada tahun 2021, dan mengalami kenaikan pada tahun 2022 sebanyak 11% di Desa Ngawonggo Kecamatan Tajinan Kabupaten Malang. Banyak faktor yang mempengaruhi status gizi anak batita, salah satunya adalah riwayat kenaikan berat badan ibu selama hamil yang tidak sesuai dengan anjuran kenaikan berat badan sesuai IMT. Tujuan dari penelitian ini untuk menganalisis hubungan antara kenaikan berat badan ibu selama hamil dengan status gizi anak batita di Posyandu Ngawonggo Kecamatan Tajinan Kabupaten Malang. Jenis penelitian ini merupakan penelitian kuantitatif, dengan desain analitik korelasional, menggunakan pendekatan Cross Sectional. Uji statistik menggunakan Rank Spearman’s. Jumlah sampel sebanyak 94 responden dengan teknik proporsional random sampling. Instrumen penelitian ini adalah alat penimbang berat badan untuk menentukan status gizi anak batita, buku KIA untuk melihat kenaikan berat badan ibu selama hamil, dan wawancara. Hasil uji statistik Rank Spearman menunjukan nilai p value 0,031 yang berarti bahwa terdapat hubungan yang signifikan antara riwayat kenaikan berat badan ibu selama hamil dengan status gizi anak batita. Nilai Rank Spearman = 0,223 yang berarti hubungan antara riwayat kenaikan berat badan ibu selama hamil dengan status gizi anak batita sangat lemah. Saran bagi ibu hamil untuk memantau kenaikan berat badan ibu selama hamil yang harus disesuaikan dengan standar IMT.
Problems with Bekesy’s traveling wave theory
Authors: Myjkowski Jan
Published: July 2024

The theory of hearing under the name of traveling wave theory was announced in 1928 by Georg Bekesy, a 29-yearold engineer from Budapest. In 1961, it was awarded the Nobel Prize [1]. It has been revised and supplemented many times. The progress of science over the century has been much faster than the evolution of this theory. Many years of analysis and consideration of the logic of what is assumed to be a mechanistic theory of hearing indicate the need for a new discussion on a seemingly already closed issue. New studies and experiments not previously known have emerged [2]. Processes at the molecular and electron levels are coming to the fore [3]. Less important is the mechanics and hydrodynamics, which so far was the center stage. Some fundamental assumptions of the theory need to be verified. In effect of the analysis of countless works originating from numerous specialties and consultations with specialists in many fields of science, a picture of hearing has emerged that is significantly different from that presented in textbooks and publications related to hearing. For 20 years now, there have been voices of criticism of the current philosophical system of our hearing [4]. Today, despite the censorship of orthodox reviewers, increasingly more is heard about the frailty of the traveling wave theory. But it is still impossible to think about the possibility of making a mistake in the assumptions of the theory of hearing almost 100 years ago. Thanks to advances in science, this is becoming more and more apparent. A consequence of this is the need to introduce new information related to hearing theory into textbooks. This is met with some significant resistance from potent decision makers, accustomed to the existing state of affairs, despite contradictions with current knowledge and the logic of Nature. There have been signals about the problems of the traveling wave theory for a long time, but they are certainly too weak because they do not stimulate even the slightest discussion on this topic. It seems to be a forbidden topic; it is forbidden to challenge a Nobel Prizewinning theory. As evidence pointing to the need for discussions and analysis, I present some of the most important issues related to hearing theory:
Toumanian and the Universe
Authors: Karaxanyan Lusine
Published: July 2024

Toumanian’s poetic intelligence indeed ignited the universe, ensuring the continuous flow of creation
on Earth and into the hearts and minds of people. The rapprochement with the universe represents a
cultural endeavor in life organization, aimed at not only rectifying past and present mistakes but also
guiding pathways to harmony with the universe and God. His lyrical hero embodies the ultimate human,
seamlessly integrated into the universe, reverting to their inherent creator nature and origin. Through
this, Toumanian established space as an essential element of identity, a perpetual value. The article
explores the connection between Toumanian and space.
New M dwarfs found in DFBS plates
Authors: Kostandyan G. R.
Published: July 2024

In this paper we report about 100 new M dwarfs, confirmed in the DFBS database. The DFBS is the
digitized version of the First Byurakan Survey (FBS, or Markarian survey). FBS plates have been used to
search and study faint Late-Type Stars (LTS). The confirmations is based on Gaia DR3 BP/RP spectral
database. In previous studies of the DFBS plates, these objects were presented as LTS candidates. TESS
phased light curves for some of them shows flares. In SEDs of these objects the infrared excess is clearly
visible.