bluuebunny/crossref_metadata_2025 huggingface dataset:
Yoga breathing exercises improve quality of life patient with asthmatic status
Authors: Sahat Camalia Suhertini , Susmadi Susmadi , Harmilah Harmilah
Published: July 2022

Background Of The Study: Yoga breathing exercises (Pranayama) are the best way to improve the quality of life of patient with  asthmatic status. Aim Of The Study: is to find out the influence of pranayama on the  quality of life patient with asthmatic status. Methodology: This type of quasi experiments with pre-post control group design. The sampling technique used purposive sampling, the number of samples of 60 respondents, pranayama was carried out 2 x/weeks, for 6 weeks. The data analysis used is the willcoxon test. Results: This study showed the average quality of life of people with asthmatic status before following pranayama by 55.43, minimal-max values of 39-67, confidence index 95% 52.68 - 58.18. While the average quality of life after following pranayama 93.63, the quality of life bearada between 71-117, the confidence index 95 % 89.5-97.76.  The average difference in quality of life of people with. Conclusion: is significantly pranayama  improved the quality of life patient with Asthmatis status.
social and service effects of cement and phosphate plants in Al-Qaim district
Authors: Mikhlif Subhy Ahmed , Najim Shafiq Ubeid Humoud
Published: July 2022

The research aims to know the social and service development effects of cement and phosphate plants in Al-Qaim district, and it became clear through the study that the size of families working in the cement plant is between (5-10), they constituted (83%), while the size of the family working in the phosphate plant is (82%). As a percentage of the total number of workers whose ages ranged between (30-50) years, which reached the stage of sufficient number of family members, as well as the increase in income levels that prompted them to increase the number of family members, As well as the role of customs and traditions in the district, which is reflected in the increase in the number of family members. As for educational services, the percentage of primary schools that were established after the presence of facatories constituted (21%) of the total number of schools in the district, with a noticeable increase in the total number of students as well. (12%) students participating in district schools and (19%) the total number of teachers in district schools.
Diabetes prediction using data mining
Authors: R. Baskar M. E , Rangasamy K. S. , Priya C. , Vishvaharani R. , Rangasamy K. S.
Published: July 2022

Diabetes complaint is substantially caused due to increase in blood glucose position. With the growth of Machine knowledge styles, we have got the strictness to search out an answer to the current issue, we have got advanced system mistreatment information processing that has the capability to read whether the case has polygenic illness or not. Like wise, reading the sickness firstly ends up in furnishing the cases before it begins vital. Information retirement has the strictness to remove unseen data from a large volume of diabetes associated information Data wisdom styles are having the capability to gain other scientific fields through rending new light on common questions. One similar task is aiding in making prognostications on medical data is one similar task. Machine literacy is a new scientific field in data wisdom which handles the ways during which machines learn from experience. The design's main end is to introduce a fashion which performs early vaticination of diabetes complaint of a case with better delicacy by combining colorful machine literacy ways' results. The main provocation of doing this design is to present a diabetes vaticination model for the vaticination of circumstance of diabetes.
Assessment of effect of anti-platelet therapy on minor surgical procedures
Authors: Saify Tabish Uzair , Singh Abhay Partap , Brar Ramandeep Singh , Kaur Mandeep , Singh Harkanwal Preet
Published: July 2022

Background: Antiplatelet therapy is to treat thromboembolic disorders, but it causes hemorrhages. Aspirin is the drug in regular practice. The present study was conducted to assess the effect of anti- platelet therapy on minor surgical procedures. Materials & Methods: 80 patients selected for mandibular third molar extraction of both genders were randomly divided into 2 groups of 40 each. In Group I, patients on antiplatelets drugs (75 mg of aspirin/ 75 mg clopidogrel) were enrolled and in group II, patients who discontinued the drug before 5 days of extraction of mandibular third molar were enrolled. Bleeding was observed after 1 and 24 hours. Results: Group I had 24 males and 16 females and group II had 14 males and 26 females. The mean bleeding time in group I was 75.21 seconds and in group II was 75.14 seconds. The mean duration of surgery in group I was 54.2 months and in group II was 52.1 months. After 1 hour, no bleeding was seen in 38 in group I and 39 in group II and ooze in 2 in group I and 1 in group II.
Religious, moral, and legal rhetoric of abortion argument
Authors: Ashok Dinesh , Qureshi Tahir , Singh Manvendra
Published: July 2022

The issue of ‘right to life’ is a most recognized fundamental human right in all democratic set-upsunquestionable in both legal and moral spheres but it comes into contested mode regarding its absoluteness with an interplay of law and morality in cases such as in matters of ‘Abortion’ activity. The western Christian states especially the common law adhering countries have much perennial debates over the subject and the necessity of a comparative study of abortion laws cannot be denied for a better conceptualisation of the study over the subject ‘abortion’. The study of three western nations having common law system has been taken into consideration for the purpose of finding gaps and controversies.The aspect of the studyis to benefit each society from each other’s experiences for best suitability of the practice in different situations and learn from each other. For the better objectivity of the research findings some western philosophical arguments also been taken into account with Christian ethos much prevailing in their ideas and propositions having influences over the society causing effects over law making.
Effect of corporate governance on risk management of selected deposit money banks in Nigeria
Authors: Musa Success Jibrin , Moses Ibrahim Karimu , Success Blessing Ejura
Published: July 2022

This paper addresses effect of corporate governance on risk management by bank. Selected deposit money banks base on FOBES list were selected to address the effect in question. The questions asked to which answers were provided among others includes: To what extent (if any) does board strength, shareholders influence and management efficiency influence or affect capital risk, credit risk and liquidity risk of banks in Nigeria. The study is limited to six randomly selected listed commercial banks in Nigeria over the period of six years. In carrying out the analysis, the panel data regression analysis method was adopted. The variables used for this analysis are: the board index and management influence as proxies for corporate governance; capital risk, credit risk and liquidity risk all as proxy variables for risk taking by banks. The data were sourced from the audited financial statements of the sample banks. The estimated result revealed a negative relationship between capital risk and corporate governance which invariably means that the capital risk goes up as Corporate Governance disclosure increases. The result further shows that the more the corporate governance disclosure, the less the credit and liquidity risk taking by the banks in Nigeria.
Analysis of impact of COVID-19 on stress, anxiety and depression among 1st & 2nd MBBS medical students in central India
Authors: Churihar Ritesh , Das Sanjib , Chouhan Vijay , Parmar Sachin
Published: July 2022

Background- The mental health of students has been significantly impacted by the COVID-19 pandemic. Therefore, it is of the utmost importance to keep an eye on and supervise students' mental health during emergencies like pandemics. The purpose of this study is to evaluate the results of previous investigations into the incidence of stress, anxiety, and depressive symptoms among medical students during the COVID-19 pandemic. Objective Analysis of Impact of COVID-19 on stress, anxiety and depression among 1st & 2nd MBBS medical students in central India : A cross sectional study" Materials and Methods: Methodology- This online cross-sectional survey-based study was conducted on undergraduate medical students after it was given permission by the institution's ethics committee. For the collection of baseline socio-demographic information, a structured pre-validated questionnaire was used, and a standard DASS 21 (twenty one items) questionnaire was used for the measurement of depression, anxiety, and stress among undergraduate medical students. Result- 12.3% of participants had extremely severe depression, and 10.9% had severe depression. 27% of participants scored moderately depressed, and 18.2% scored mildly. 39% of participants were normal.
Assessment of nurses' knowledge and practice regarding prevention of deep venous thrombosis among hospitalized patients with COVID-19
Authors: Khodier Doha Ibrahim Rateb , Mahmoud Furat Hussein , Hakeim Eglal Hassanein Abdel , Mohamed Shimaa Attia Ali
Published: July 2022

Background: Venous thromboembolism is a leading cause of patient morbidity. In hospitalized patients with COVID-19, it is a common and potentially fatal complication. Knowledge and effective practice on VTE prophylaxis are vital for the proper management of patients. Inadequate knowledge and poor practice of health professionals towards Venous thromboembolism prophylaxis increased patients' complications. The aim of this study assess nurses' knowledge and practice regarding prevention of deep venous thrombosis among hospitalized patients with COVID-19. Design: A descriptive expletory design. Setting: The study was conducted at New Al Kasr Al Einy Teaching Hospital (Cairo University Hospitals. Egypt). Subject: A convenient sample included 100 nurses from the previously mentioned setting.  Tools: Data were collected using two tools; a self-administrated questionnaire and, an observational checklist. Results: showed that, less than half of the studied nurses were more than 30 years. Majority of them were female, more than half had Institute of nursing, and majority of them had experience more than 6 years. About three quadrants of them had unsatisfactory level of knowledge and incompetent level of practice regarding prevention of deep venous thrombosis among hospitalized patients with COVID-19.
Análisis bibliométrico de Dermochelys coriacea en México utilizando Vosviewer y Scopus
Authors: Vences Pérez Suleima , Díaz-Larrea Jhoana , Cruz-Aviña Juan Ricardo , Cabrera Rubén
Published: July 2022

En el presente estudio se realizó un análisis bibliométrico sobre la especie Dermochelys coriacea en la base de datos Scopus de los últimos diez años. Se utilizaron dos análisis de indagación (de co-autorias y co-presencias), a partir del software VOSviewer versión 1.6.17. Los ítems Dermochelys coriacea, y México se emplearon para la búsqueda de las publicaciones relevantes. Se encontraron un total de 7 artículos durante el periodo 2010 - 2021, en cada año se contó al menos con una publicación. El autor que más publicó sobre esta especie es García-Grajales (N=2) (Universidad del Mar) y el estado que más artículos registró sobre la especie es Oaxaca (N=4). Los temas de Ecología y Microbiología han sido los más abordados y se registraron un total de 52 autores con artículos de D. coriacea en México. Las palabras clave proporcionadas por los autores de los artículos fueron un total de 66, tres de las cuales alcanzaron el umbral. Las palabras que aparecieron con mayor frecuencia fueron: “Dermochelys coriacea”,” leatherback” y “morphology”.
REVIEW DURABILITY BETON GEOPOLYMER BERBASIS FLY ASH
Authors: CORNELIS REMIGILDUS , RUSTENDI IWAN
Published: July 2022

ABSTRAKPaper ini mengkaji beberapa penelitian yang berkaitan dengan durabilitas beton geopolimer berbasis fly ash. Durabilitas beton geopolimer yang dikaji adalah yang berkaitan dengan ketahanan terhadap lingkungan yang bersifat asam dan lingkungan yang sulfat serta air laut. Hal ini karena sebagian struktur beton berada pada lingkungan tersebut. Dengan mengetahui perilaku material tersebut, maka dapat diperoleh desain yang lebih aman dan ekonomis. Beberapa hasil penelitian mengungkapkan bahwa beton geopolimer memiliki kinerja yang lebih baik dibandingÂ  beton OPC dan mampu bertahan dalam lingkungan yang lebih agresif.Â ABSTRACTThis paper examines several studies related to the durability of fly ash-based geopolymer concrete .Geopolymer concrete durability is associated with resistance to acidic environments, sulfate environments and sea water. This is because most of the concrete structure to be in that environment. By knowing the behavior of the materials, it can be obtained design safer and economical. Some research revealed that geopolymer concrete has better performance than OPC concrete and able to survive in an eggressive environment.
ANALISIS PROBABILITAS KEJADIAN GELOMBANG PADA ALUR PELAYARAN PELABUHAN AGATS PAPUA DENGAN PERHITUNGAN FETCH DAN DATA ANGIN
Authors: PURWONO NOVI ADHI SETYO , HUDOYO CITRA PRADIPTA , ATMADJI PINGIT BROTO
Published: July 2022

ABSTRACT

Agats Seaport is a port located in Asmet Regency, Papua Province. This port has a pier with a length of 137 m, which is used for loading and unloading of goods and transportation to and from surrounding cities. The results of the orientation in the field indicate that the port suffered heavy damage in the trestle area and a thorough assessment of the existing port facilities requires a thorough evaluation of the structural strength and preparation of detailed designs to rehabilitate the damaged marine facilities

To support the evaluation of these damages, it is necessary to have an analysis related to hydrooceanography which is quite influential on these activities, one of which is the analysis of wave events in harbor waters or the open sea

The results of the Windrose analysis showed that the wind coming from the south dominated the wind speed with an average frequency distribution of 4.38 m/s during observations. The significant wave height (Hs) for 10 years was 3.59 m and a significant wave period (Ts) by 10 seconds. Based on the calculation of the return period waves with a return period of 50 years, the result is a wave height (Hsr) of 5.56 m (fisher tippet type 1) method.

Keywords: Wave Forecast, Wind rose wave rose, Port Agats Pelabuhan

INTISARI

Pelabuhan Laut Agats merupakan pelabuhan yang berlokasi di Kabupaten Asmet, Provinsi Papua. Pelabuhan ini memiliki dermaga dengan panjang 137 m, yang digunakan untuk kegiatan bongkar muat barang dan transportasi dari dan ke kota-kota sekitar. Hasil orientasi di lapangan menunjukkan bahwa pelabuhan tersebut mengalami kerusakan berat pada area trestel dan diperlukan asesmen menyeluruh pada fasilitas pelabuhan yang ada sehingga memerlukan evaluasi kekuatan struktur secara menyeluruh dan menyiapkan detail desain untuk merehabilitasi fasilitas laut yang mengalami kerusakan.

Untuk mendukung evaluasi tentang kerusakan-kerusakan tersebut perlu adanya analisa terkait hidrooseanografi yang cukup berpengaruh terhadap kegiatan tersebut, salah satunya adalah analisa kejadian gelombang pada perairan pelabuhan ataupun laut terbuka.

Hasil analisis Windrose didapatkan bahwa angin yang berasal dari arah Selatan lebih mendominasi kecepatan angin ata-rata distribusi frekuensi sebesar 4,38 m/s selama pengamatan dilakukan Hasil tinggi gelombang signifikan (Hs) selama 10 tahun sebesar 3,59 m dan periode gelombang signifikan (Ts) sebesar 10 detik. Berdasarkan perhitungan gelombang kala ulang dengan kala ulang 50 tahun didapatkan hasil tinggi gelombang (Hsr) sebesar 5,56 m (metode fisher tippet type 1).

Kata Kunci: Peramalan Gelombang, Wind rose wave rose, Pelabuhan Agats
ANALISIS PENGARUH PENAMBAHAN ABU SEKAM PADI DAN SUPERPLASTICIZER (CONSOL SS-8) TERHADAP KUAT TEKAN BETON MUTU TINGGI
Authors: POERWODIHARDJO EDDY , RUSTENDI IWAN
Published: July 2022

ABSTRACT

Concrete is one of the construction needs of modern society. In Indonesia, almost all building

constructions use concrete as a building material, such as in the construction of buildings, bridges, roads and

others. In this study, the addition of rice husk ash and superplasticizer (Consol SS-8) was carried out. To determine

the compressive strength of fc '45 MPa concrete at the age of 14 days and 28 days with variations in the addition

of rice husk ash (ASP) 0%, 5%, 10%. , 15% and the addition of a superplasticizer (Consol SS-8).

The research process was carried out at the Structural Engineering Laboratory of the Civil Engineering

Study Program, Faculty of Engineering, Wijayakusuma University of Purwokerto, the test object used was a

cylinder, the quality of the concrete planned for fc '45 MPa which was tested at the age of 14 and 28 days with

treatment before testing. This study tested the concrete with a cylindrical specimen for the compression test

(diameter 15 x 30 cm) as many as 40 samples consisting of 4 variations and each variation of 5 samples.

From this study, the results of the 28-day-old concrete compressive strength sample test were the

highest in 5% rice husk ash variant concrete (ASP) with an average compressive strength value of fc '39.19 MPa

and the lowest was in the concrete variant of rice husk ash (ASP) 0% with an average compressive strength value

of 33.30 MPa.

Keywords : high quality concrete, rice husk, superplasticizer

ABSTRAK

Beton merupakan salah satu kebutuhan konstruksi untuk masyarakat modern. Di Indonesia hampir

seluruh konstruksi bangunan menggunakan beton sebagai bahan bangunan, seperti pada konstruksi bangunan

gedung, jembatan, jalan dan lainnya. Penelitian ini dilakukan penambahan abu sekam padi dan superplasticizer

(Consol SS-8) bertujuan untuk mengetahui kuat tekan beton fcâ€™ 45 MPa pada umur 14 hari dan 28 hari dengan

variasi penambahan abu sekam padi (ASP) 0%, 5%, 10%, 15% dan penambahan superplasticizer (Consol SS-8).

Penelitian dilaksanakan di Laboratorium Rekayasa Struktur Program Studi Teknik Sipil, Fakultas Teknik,

Universitas Wijayakusuma Purwokerto. Benda uji yang digunakan berbentuk silinder, mutu beton yang

direncanakan fcâ€™ 45 MPa yang diuji pada umur 14 dan 28 hari dengan terlebih dahulu dilakukan perawatan

sebelum pengujian. Penelitian ini menguji beton dengan benda uji selinder untuk uji tekan (diameter 15 x 30 cm)

sebanyak 40 sampel terdiri dari 4 variasi dan masing-masing variasi sebanyak 5 sampel.

Hasil dari penelitian ini yaitu uji sampel kuat tekan beton umur 28 hari tertinggi pada beton varian abu sekam padi

(ASP) 5% dengan nilai kuat tekan rata-rata sebesar fcâ€™ 39,19 MPa dan terendah pada beton varian abu sekam padi

(ASP) 0% dengan nilai kuat tekan rata-rata sebesar 33,30 MPa.

Kata kunci : beton mutu tinggi, abu sekam padi, superplasticizer
DEBIT ALIRAN MAKSIMUM SALURAN DRAINASE DI WILAYAH PERMUKIMAN RW.8 DESA LANGENHARJO, SUKOHARJO
Authors: ISMADI ISMADI , YUUWONO ABITO BAMBAN
Published: July 2022

Abstrak

Wilayah RW.8 Langenharjo, Grogol, Sukoharjo merupakan area yang selalu tergenang banjir di setiap musim hujan tiba. Penyebab pasti terjadinya genangan belum diketahui karena belum pernah dilakukan penelitian secara ilmiah mengenai ini. Untuk itu perlu kiranya saat ini dilakukan langkah awal untuk mengetahui kondisi hidrologis yang terjadi di area ini. Permasalahannya adalah seberapa besar debit aliran maksimum yang ditimbulkan oleh hujan di area ini dan harus dibuang keluar? Tujuan penelitian adalah untuk mengetahui besaran debit aliran maksimum oleh hujan dengan periode ulang 1,01 tahun dan periode ulang 2 tahun yang nantinya diharapkan bisa menjadi bekal untuk penyelidikan penyebab terjadinya genangan dan perencanaan penanggulangan banjir selanjutnya. Debit aliran maksimum periode ulang 1,01 tahun bisa digunakan untuk mengevaluasi kapasitas saluran yang ada dan debit aliran maksimum periode ulang 2 tahun bisa untuk merencanakan kapasitas pompa yang dibutuhkan apabila dilaksanakan pompanisasi. Metode penelitian menggunakan metode Rasional. Hasil penelitian menemukan besaran debit aliran maksimum untuk periode ulang 1,01 tahun (Q1,01) sebesar 0.68 m3/det dan untuk periode ulang 2 tahun (Q2) sebesar 0.95 m3/det.

Kata kunci: Intensitas hujan, luas area tangkapan. debit aliran.
SISTEM PAKAR PENYAKIT PADA TANAMAN KOPI BERBASIS ANDROID MENGGUNAKAN METODE FORWARD CHAINING
Authors: SUDARYANTO EKO , SURYANTO ASEP , WATININGSIH TRI
Published: July 2022

Abstrak

Perkembangan teknologi informasi telah membawa dampak yang signifikan ke dalam berbagai bidang tidak hanya di bidang komputer tetapi juga bidang di luar ilmu komputer. Bidang yang juga tersentuh oleh teknologi komputer adalah bidang perkebunan. Kopi merupakan komoditas perkebunan yang memiliki peranan yang penting bagi perekonomian di Indonesia.Adanya penyakit yang menyerang pada tanaman kopi mengakibatkan menurunnya kualitas dan rendahnya tingkat produktifitas pada tanaman kopi.Penanganan penyakit pada tanaman kopi tidak tertangani dengan baik karena kurangnya informasi yang diketahui petani tentang penyakit kopi. Berdasarkan permasalahan tersebut, penulis membuat aplikasi Sistem Pakar Penyakit Pada Tanaman Kopi Berbasis Android menggunakan Metode Forward Chaining. Teknik pengumpulan data yang digunakan penulis adalah wawancara, studi pustaka dan observasi. Dari hasil penelitian berhasil dibuat aplikasi sistem pakar berbasis android dengan tujuan untuk mendiagnosa penyakit pada tanaman kopi menggunakan metode forward chaining dan memberikan keluaran berupa penyakit tanaman kopi beserta cara penanganan penyakit tanaman kopi.Aplikasi sistem pakar dapat membantu para petani kopi dan orang awam dalam mendiagnosa penyakit tanaman kopi dan sebagai pengganti pakar dalam mendiagnosis penyakit pada tanaman kopi.

Kata Kunci : Sistem Pakar, Penyakit, Tanaman Kopi, Forward Chaining, Android
IDENTIFIKASI AWAL SECARA VISUAL KERUSAKAN STRUKTUR BETON BERTULANG AKIBAT BEBAN GEMPA
Authors: Chandra Budijanto , Tjan Hermawan , Purwanto LMF
Published: July 2022

Abstrak

Indonesia mempunyai tingkat resiko gempa yang cukup tinggi, karena terletak di antara empat sistem lempeng tektonik yang aktif, akan tetapi banyak bangunan di Indonesia tidak dirancang sebagai bangunan tahan gempa terutama untuk bangunan beton bertulang dua lantai. Selain itu pengerjaan konstruksi beton bertulang tidak memenuhi standar sehingga menjadi titik lemah pada waktu terjadi gempa. Tujuan penelitian ini adalah untuk mengidentifikasi awal secara visual kerusakan struktur beton bertulang akibat gempa dan tujuan dari penelitian ini adalah untuk memberikan usulan untuk hal-hal yang perlu diperhatikan pada struktur dan pengerjaan konstruksi sehingga dapat berfungsi secara baik dalam keadaan gempa. Pendekatan penelitan adalah kualitatif dengan menganalisis data dan gambar yang didapat pada beberapa kejadian gempa di beberapa lokasi di Indonesia. Hasil akan dirumuskan dalam bentuk tabel yang mudah dibaca dan berguna bagi arsitek maupun pelaksanan pembangunan gedung, khususnya gedung dua lantai.

Kata kunci: Gempa, bangunan tahan gempa, struktur beton bertulang.
PERBANDINGAN PENGGUNAAN LIMBAH PLASTIK HDPE, LIMBAH PLASTIK PP DAN LATEKS TERHADAP ASPAL PENETRASI 60/70
Authors: Poerwodihardjo F Eddy , Setiabudi Fajar
Published: July 2022

Abstrak

Penggunaan plastik di Indonesia meningkat secara signifikan mengikuti bertambahnya kebutuhan hidup manusia dan limbah plastik menjadi masalah yang sangat kompleks di daerah kota maupun desa. Modifikasi aspal dengan penambahan bahan lain perlu dicoba untuk menaikkan kandungan zat polimer sintetis/alami, meningkatkan kekakuan aspal, serta meningkatkan ketahanan aspal pada suhu dan cuaca ekstrim. Penelitian ini dilakukan untuk mengetahui pengaruh campuran aspal penetrasi 60/70 yang dicampur limbah plastik HDPE, PP dan LATEKS, dan untuk mengetahui berapa persentase campuran optimum dengan membandingkan hasil uji aspal normal. Pengujian yang dilakukan meliputi uji PENETRASI, DAKTILITAS, TITIK LEMBEK, BERAT JENIS, dan VISKOSITAS Aspal. Persentase limbah plastik HDPE, limbah plastik PP dan LATEKS yang digunakan sebagai campuran aspal sebesar 0%, 1%, 2%, 3%, 4%, 5%, dan 6%. Hasil penelitian aspal menggunakan limbah plastik HDPE, limbah plastik PP dan LATEKS diperoleh hasil OPTIMUM pada aspal dengan campuran limbah plastik HDPE sebesar 3%, dengan hasil uji Penetrasi 64,33 mm, uji Titik lembek 54 oC, uji Daktilitas 115,1 cm, uji Berat jenis 1,0364 gr / cm3, dan uji Viskositas 489,14 Cst.

Aspal modifikasi campuran limbah plastik dapat digunakan sebagai campuran perkerasan lentur (Flexible Pavement).

Kata kunci: ASPAL, Limbah Plastik HDPE, PP, LATEKS
Evaluation of a Software Model for Integrating Learning Management Systems and Massive Open Online Courses
Authors: Rugube Talent T , Govender Desmond
Published: July 2022

Educational technology is widely used in higher education. The implementation requires the integration of learning systems. The integrated systems can be evaluated to see if they assist learners in achieving learning outcomes by interacting with relevant content. The study focused on inferential statistics arising from the technology acceptance evaluation of a software design model. The proposed software design model automatically combines data to integrate a Learning Management System (LMS) with Massive Open Online Courses (MOOCs). The inferential statistics explain the acceptance or rejection levels of the software design model by the stakeholders (lecturers, students, and universities at large) based on the Technology Acceptance Model and Task-Technology Fit. Google forms were used to obtain information on the software design model. Partial least squares structural equation modelling was applied for data analysis because the data were non-normally distributed. The study’s results showed that Task-Technology Fit constructs had a significant effect on the technology acceptance model. The three constructs inﬂuencing use that emerged from this study were, in order of importance: perceived usefulness, perceived ease of use, and intention to adopt. Perceived usefulness was the most powerful construct due to its total effect size, proving the importance of useful technology in the higher education setting.
O uso da técnica de relaxamento muscular profundo de Jacobson em agentes comunitários de saúde
Authors: Severino Danilo Júnior Teixeira , Rodrigues Bruna Soares de Souza Lima , Spósito Pollyanna Álvaro
Published: July 2022

O Agente Comunitário de Saúde (ACS) é um profissional importante que atua nos domicílios em conjunto com a comunidade, promovendo ações de prevenção de doenças e promoção da saúde. Porém esse profissional tem sido cada vez mais acometido por problemas de ordem ocupacional, como: a ansiedade, a depressão e o estresse. Sendo assim, constitui objetivo dessa pesquisa aplicar a Técnica de Relaxamento Muscular Profundo de Jacobson (TRM) em ACS e analisar o efeito desta técnica no nível de ansiedade desses profissionais. Trata-se de uma pesquisa com abordagem quali-quantitativa, longitudinal e descritiva, na qual participaram 12 ACS que trabalham em duas unidades básicas de saúde do município de Jequeri, Minas Gerais. O estudo foi dividido em três etapas: Na primeira etapa da pesquisa os 12 participantes responderam a um Inventário de Ansiedade de Beck (BAI), na segunda etapa foram realizadas 8 sessões da TRM e na terceira etapa os ACS foram reavaliados, seguindo o mesmo protocolo do BAI. Constatou-se que 10 ACS mostraram redução de ansiedade, apenas 1 ACS apresentou aumento no escore de ansiedade e outro ACS manteve o mesmo escore. Diante do exposto foi possível concluir que a TRM foi eficaz na redução do nível de ansiedade dos ACS, melhorando a qualidade de vida desses profissionais.
O desafio da comunicação de más notícias: a percepção dos graduandos em medicina
Authors: Vasconcelos Bianca Zorge , Cyrillo Giovana Cuin , Moraes Suzana Guimarães
Published: July 2022

A formação médica conta não apenas com o aprendizado de procedimentos técnicos e protocolos para tratar cada doença, mas também com o aprimoramento da capacidade de comunicação de cada aluno. É de extrema importância que, durante o curso, os estudantes de medicina adquiram e aperfeiçoem a habilidade de se comunicar de forma clara com todos ao seu redor, sejam pacientes, familiares ou membros da equipe de saúde. A relação médico-paciente inclui, muitas vezes, a comunicação de más notícias ao paciente e/ou familiares, o que gera um impacto negativo na vida destes e por isso é necessário que essa comunicação seja feita de forma cuidadosa e empática pelo médico e sua equipe. Entretanto, o que se nota atualmente é uma falha no ensino dos estudantes de medicina quanto à habilidade de comunicação de más notícias e com isso os alunos não desenvolvem de forma adequada a capacidade de passar informações negativas aos pacientes e seus familiares. Dessa forma, este estudo tem o objetivo de entender e avaliar a percepção dos alunos quanto à comunicação de más notícias e o conhecimento ou não dos protocolos SPIKES e PACIENTE, quão preparados eles se sentem para passar esse tipo de notícia quando necessário e se o ano da graduação (do 3o ao 6o anos) e idade do aluno influenciam nessa capacidade, e então ao final avaliar se esta é uma habilidade que é abordada no curso de currículo tradicional de forma adequada ou se existe uma defasagem no ensino da habilidade de comunicar-se. A pesquisa será descritiva, transversal e quantitativa, com estudantes de medicina do terceiro ao sexto anos, por meio de um formulário online, o qual ainda deverá ser validado, e que foi elaborado e adaptado a partir do questionário validado por Pereira, da Universidade Estadual Paulista (UNESP), que conta com questões para avaliar como os alunos aprendem sobre comunicação de más notícias durante a graduação de medicina, quais são suas maiores dificuldades nesse sentido e qual sua percepção sobre os protocolos SPIKES e PACIENTE.
Ventilator weaning: protocol of a bibliometric analysis
Authors: Santos Sonia Maria da Silva Gomes , Santos Ângelo Miguel Valadas Guerreiro dos , Assunção Marta Regina Soares de , Silva Paulo Cesar Lopes
Published: July 2022

Introduction: Ventilator weaning has been frequently addressed by the international scientific community, observing different types of approach, which leads to a disparity in the results obtained in the various studies and in the systematization and/or standardization of procedures, at this crucial moment, for the person in critical care units. With scientific progress, several experimental studies have been conducted that document this need, and there are few secondary studies that add to these conclusions. Objective: The bibliometric analysis designed in this document aims to analyse the behaviour of scientific publications in the context of ventilator weaning, dissecting trends and highlighting research opportunities. Methods: Protocol of a mixed methods study that will include quantitative and qualitative studies. In addition to primary studies, systematic reviews and meta-analyses will also be considered. As there is no specific methodological framework for bibliometric analysis protocols, it is important to mention that the study will follow the guidelines of DONTU et al (2021) in the quantitative phase of the research and will follow the guidelines of BHANDARI (2022) in the qualitative phase of the research. The research will include Web of Science (Clarivate) indexed studies, as a database that presents tools that allow gathering bibliometric indicators that can be analysed in specific software (Sitescape and VOSViewer), and that will allow defining the evolution, over time, of scientific production and which are the most relevant studies in this conceptual area. MAXQDA software will allow the qualitative analysis of the articles included (studies published since 2015) and will determine: the methodological trends in this line of investigation; the contributions of the development of this procedure to clinical practice in intensive care; limitations pointed out by the selected studies; and the future perspectives envisioned by their authors. The results will be presented in graphical, tabular and narrative format.
Cuidando do cuidador: um relato de experiência da organização e utilização de atividades na favela da rocinha para cuidar de um grupo de cuidadores
Authors: Alves Mariana Pace , Ferreira Jainne Martins , Mesquita Maria Gefé da Rosa
Published: July 2022

O objetivo desse estudo é descrever as atividades organizadas e utilizadas para um grupo de moradores da favela da Rocinha responsáveis por cuidar de pessoas em cuidados paliativos. Trata-se do relato de uma experiência desenvolvida de março a dezembro do ano de 2021. As atividades foram utilizadas no programa denominado “Cuidando do Cuidador”, construído pela instituição Saúde Contato em parceria com o projeto de extensão das universidades UFRJ e UFSJ intitulado “Comunidade Compassiva”. Foram produzidas e executadas por equipe multidisciplinar palestras e rodas de conversa relacionadas ao autocuidado com foco na promoção da saúde. Na sequência, atividades que incluíram práticas de exercícios físicos, alongamentos, meditação, atendimentos de massagem terapêutica, de psicoterapia, de fisioterapia, de nutrição e auriculoterapia, foram realizadas com o grupo.  Os resultados, registrados por meio de observações empíricas e anotações de relatos verbais durante os nove meses, demostraram uma mudança positiva na forma de se cuidar tais como: mudanças no padrão de alimentação para dieta mais equilibrada, início da prática do exercício físico de forma regular, melhora na autoestima e na postura corporal, maior conhecimento sobre o corpo e seu funcionamento, emoções e sentimentos, diminuição da ansiedade, estresse, depressão e dor física. Assim sendo, verificamos que as atividades utilizadas no programa “Cuidando do Cuidador” impactaram positivamente o bem-estar físico, mental, social e espiritual dos moradores da favela da Rocinha responsáveis por cuidar de algum familiar/paciente em cuidados paliativos. Merece destaque que os participantes se tornaram multiplicadores dos conteúdos aprendidos, ajudando a engajar outras pessoas da comunidade para atitudes mais saudáveis.
Suporte por pares em saúde mental no grupo de ouvidores de vozes
Authors: Parente Juliana da Silva , Muniz Marcela Pimenta Guimarães
Published: July 2022

O grupo de ouvidores de vozes trata-se de uma nova abordagem em saúde mental, seguindo os pressupostos da reforma psiquiátrica, em busca da despatologização da experiência de ouvir vozes, que por muito tempo limitou-se a sintoma de uma doença e foi silenciada com medicalização e isolamento social dos ouvidores. Teve início através do Movimento Hearing Voices onde os grupos buscam uma aproximação e reinserção social dos ouvidores, garantindo seus direitos humanos e estabelecendo uma relação de suporte por pares entre os participantes. O objetivo do estudo consiste em discutir sobre os grupos de ouvidores de vozes enquanto estratégia de suporte por pares em saúde mental e a origem e os sentidos atribuídos às vozes. Trata-se de um estudo de campo, com abordagem qualitativa, do tipo exploratória. Foi desenvolvido em ambiente virtual na plataforma google meet em uma conta do G Suíte com iduff mail (serviço de e-mail acadêmico da Universidade Federal Fluminense), que permite videochamada. A videochamada acontece em encontros semanais com 2 horas de duração, no recorte temporal de 10 meses, com início em maio de 2021 a fevereiro de 2022. Os participantes foram pessoas que frequentam o grupo de ouvidores de vozes com mais de 18 anos e também profissionais da área da saúde e dos serviços e pessoas que ouvem vozes. Dos resultados encontrados foram depreendidas três categorias de análise a partir das falas e conteúdos abordados nos encontros para discussão temática: Origem, conteúdo e natureza das vozes; Desafios advindos das vozes; e Potencialidades e sentidos construídos a partir da experiência com as vozes. O estudo mostrou que suporte por pares construído sobre valores e entendimentos do Movimento Hearing Voices nos grupos de ouvidores de vozes é um instrumento capaz de fornecer diversos benefícios para o ouvidores de vozes, com o seu reconhecimento, empoderamento, fortalecimento e melhor relação com as suas vozes, consequentemente possibilitando esperança, para se construir uma melhor qualidade de vida através da aceitação, um melhor relacionamento com as vozes, autoconhecimento e resgate de sua autonomia.
Aspectos socioeconômicos da Covid-19: análise no município de Aparecida de Goiânia, Goiás
Authors: Rodrigues Savianny Gonçalves , Filho Daniel Rodrigues Silva , Martins Fernanda Franco , Filho Reginaldo Dias Soares , Pelá Márcia Cristina Hizim
Published: July 2022

O presente estudo tem como objetivo analisar o perfil epidemiológico dos casos confirmados de COVID-19 em Aparecida de Goiânia, buscando trazer à tona o debate sobre como a pandemia tem influenciado as diferentes camadas da população e quais os grupos socioeconômicos seriam mais vulneráveis. Trata-se de um estudo descritivo e epidemiológico. Os dados utilizados foram disponibilizados pela prefeitura do município. As variáveis avaliadas foram: faixa etária, sexo, raça/cor, casos confirmados e óbitos. Observou-se a predominância dos casos em indivíduos de 30 a 39 anos, do sexo feminino de cor parda. A maioria dos óbitos ocorreu em idosos. Regiões mais desenvolvidas e mais concentradas obtiveram os maiores números de contaminações, enquanto regiões esparsas, isoladas e de menor adensamento apresentaram maior taxa de letalidade o que pode sugerir relação entre vulnerabilidade socioeconômica e letalidade. Os resultados reforçam a necessidade de informações mais detalhadas sobre a pandemia para um melhor monitoramento epidemiológico.
An estimation of cost of concrete shielding in a radiotherapy room housing a clinical linear accelerator that produces high-energy photons
Authors: Paiva Eduardo de
Published: July 2022

Ionizing radiations have an important role in medicine in the treatment of various types of cancer. In particular high-energy photon beams associated with advanced techniques such as IMRT (intensity modulated radiation therapy) and VMAT (volumetric modulated arc therapy) have been largely used in external beam radiotherapy. However, the use of these techniques requires a special attention to the shielding of the walls of the facility room housing a linear accelerator that produces high-energy photon beams. In this study we performed an estimation of cost of concrete shielding to a radiotherapy room where patients are treated with photon beams of energies from 4 to 30 MeV (mega-electron volts) based on simple assumptions. Results have shown that total cost of concrete increases about 19% when photon energies increase from 4 to 30 MeV for conventional therapy and about 23% when modern techniques are included. Results have also indicated a linear increasing of costs with the area of the facility room.
Alcohol hinders the Anti-Carcinogenic effect of Resveratrol in the Colon of rats
Authors: Cesar Everton Félix , Minto Stefania Bovo , Garcia Sérgio Britto
Published: July 2022

Resveratrol (RESV), a polyphenol present in wine and other natural sources, has potent anti-oxidant and chemopreventive effect against various types of cancer by multiple mechanisms of action. On the other hand, ethanol, which is also one important component of wine, is associated with increased oxidative stress and risk of cancer in general, including the colonic cancer. It is unknown whether the anti-oxidant and anti-carcinogenic effects of RESV could be counterbalanced by alcohol in vivo. Thus, the present study evaluated the anti-neoplastic action of RESV, pure or associated with ethanol on the colon carcinogenesis induced by N-methyl-N'-nitro-N-nitrosoguanidine (MNNG) in rats. It was performed a detailed analysis of aberrant crypt foci (ACF) formation and the systemic oxidative stress through malondialdehyde (MDA) dosage. The inflammatory process, which is associated to the colonic carcinogenesis, was estimated by the immune-expression of cyclooxigenase-2 (COX-2). Our experiments were performed in 32 wistar rats, divided into four groups: the group C was the control, the group M received MNNG (5mg/ml), the group MR received MNNG and RESV (1mg/kg/day) and the group MRA received RESV and alcohol (0,377g/kg/day). As a result, RESV decreased the number of ACF and COX-2 expression, but these effects were abolished by the alcohol. RESV reduced the production of MDA in all treated groups, evidencing that its systemic antioxidant effect was also present in the animals treated with alcohol. It was concluded that alcohol hindered the anti-carcinogenic effects of RESV. This effect of alcohol should be attributed to its pro-inflammatory effects, which have avoided the anti-inflammatory properties of RESV.
Ferramentas de apoio na tomada de decisão compartilhada
Authors: Santos Renata Oliveira Maciel dos
Published: July 2022

Decisão compartilhada é definida como uma abordagem colaborativa que inclui o envolvimento dos indivíduos durante a tomada de decisão clínica, considerando seu contexto de vida e valores para orientar as escolhas de cuidado. O objetivo desse estudo foi discutir a utilização de ferramentas de apoio à decisão na tomada de decisão compartilhada em saúde. As ferramentas de apoio têm a finalidade de facilitar a comunicação clínica, esclarecendo as implicações das escolhas de cuidado, especialmente quando há mais de uma opção viável ou quando as opções possuem benefícios e danos que as pessoas valorizam de forma diferentes. A literatura apresenta fatores que influenciam a tomada de decisão compartilhada nos ambientes clínicos, sendo as ferramentas de apoio à decisão um potente facilitar desse processo ao proporcionar maior entendimento sobre as opções de cuidados e auxiliar na comunicação clínica.
Amyloid Gallbladder as an Initial Presentation of Multiple Myeloma (MM): A Rare Presentation
Authors: Chengappa Madhuri
Published: July 2022

We present a rare case of Amyloid (AL) deposition in the gallbladder as an initial presentation of MM. The patient was a 92-year-old female who was admitted to the hospital with right upper quadrant pain. Computed Tomography (CT) abdomen and pelvis showed stone in the distal common bile duct and mildly distended gallbladder with wall thickening, she underwent ERCP for stone extraction followed by cholecystectomy. A postoperative histological examination revealed congo red stain positive for amyloidosis, positive apple-green birefringence under polarized light, and was typed as AL. Further workup, showed a lytic bone lesion on the skeletal survey and bone marrow core biopsy showed hypercellular bone marrow with increased plasma cells confirming the diagnosis of MM.
Farklı Beden Kütle İndeksine Sahip Ergenlerde Akran Zorbalığı
Authors: AKCAN Arzu , ODABAŞ Neşe
Published: July 2022

Amaç: Bu araştırmada, farklı beden kütle indeksine sahip ergenlerde akran zorbalığının incelenmesi amaçlanmıştır.

Gereç ve Yöntem: Çalışma, bir ilin oranlı küme örnekleme yöntemi ile belirlenen dört ortaokulunda altıncı, yedinci ve sekizinci sınıflarına kayıtlı 794 ergen ile gerçekleştirilmiştir. Veriler Kişisel Bilgi Formu ve Akran Zorbalığı Belirleme Ölçeği Ergen Formu ile toplanmıştır. Çalışmanın yapılabilmesi için etik kurul ve kurum izinleri alınmıştır. Verilerin analizinde Mann-Whitney U Testi ve Kruskal Wallis Testi kullanılmıştır.

Bulgular: Ergenlerin yaş ortalaması 12.29±1.07 olup %51.6’sı erkek, %15.4’ü fazla kilolu, %14.2’si obezdir. Öğrencilerin Akran Zorbalığı Belirleme Ölçeği Ergen Formu zorbalık toplam puanı 62.29±16.66, kurban olma toplam puanı 74.65±24.72 olarak bulunmuştur. Erkek olmanın, okulu sevmemenin, okula gelmek istememenin Akran Zorbalığı Belirleme Ölçeği Ergen Formunun birçok faktöründe yüksek puan farkı yarattığı görülmüştür (p
Riddles of history: manuscripts of Peter the Great
Authors: Купин Алексей Федорович
Published: July 2022

В статье описан пример почерковедческого исследования рукописных документов от имени Петра Великого конца XVII - начала XVIII вв. с целью установления исполнителя рукописей. Изложены порядок и результаты исследования, продемонстрированы особенности письма Петра Великого, дающие основание полагать, что изучаемые рукописи выполнены одним лицом. Проанализированы причины проявления различающихся признаков почерка, дано объяснение этим признакам с учетом совокупности факторов и обстоятельств.

The article describes an example of handwriting research of handwritten documents on behalf of Peter the Great of the turn of the 17th and 18th centuries in order to identify their executor. The author outlines the order and results of the study, demonstrates the features of the writing of Peter the Great, giving reason to believe that one person wrote the studied manuscripts. The article analyzes the reasons for the manifestation of different signs of handwriting and explains these signs, taking into account a combination of factors and circumstances.
Forensic situational examination as a combined product of transport, forensic medical, automotive and other types of forensic examinations
Authors: Алиев Максим Мустакимович
Published: July 2022

Статья посвящена рассмотрению проблемы недостаточно активного использования возможностей судебной ситуалогической экспертизы в целях раскрытия и расследования дорожно-транспортных преступлений и объективизации доказывания. Автор большое внимание уделяет истории становления термина «судебная ситуалогическая экспертиза», особенностям выбора оптимальных тактических решений по алгоритмам назначения, методике производства и оценке результатов ситуалогических экспертиз при расследовании дорожно-транспортных преступлений. Цель данной работы - восполнить пробел в специализированной литературе криминалистического и судебно-экспертного направлений применительно к расследованию уголовных дел данной категории. Изученная практика расследования дорожно-транспортных происшествий свидетельствует о том, что судебная ситуалогическая экспертиза проводится далеко не во всех случаях, когда имеется такая потребность. В связи с этим возникает необходимость в расширении знаний о возможностях судебной ситуалогической экспертизы и оптимальных алгоритмах её производства. Обосновываются предложения по внесению отдельных изменений и дополнений в действующее уголовно-процессуальное законодательство и базовое законодательство о судебно-экспертной деятельности. Работа имеет междисциплинарный характер. Выделяются и описываются особенности комплексного подхода при производстве судебных экспертиз. Данное направление дополняется также рассмотрением примера из следственной практики.

The article is devoted to the problem of insufficiently active use of the possibilities of forensic situational expertise for the purpose of disclosure and investigation of traffic crimes and objectification of evidence. The author pays great attention to the history of the formation of the term “forensic situational expertise”, the peculiarities of choosing optimal tactical solutions for assignment algorithms, production methods and evaluation of the results of situational examinations in the investigation of traffic crimes. The purpose of this work is an attempt to fill the gap in the specialized literature of forensic areas in relation to the investigation of criminal cases of this category. The studied practice of investigating road accidents indicates that forensic situational expertise is not carried out in all cases when there is such a need. In this regard, there is a need to expand knowledge about the possibilities of forensic situational expertise and optimal algorithms for its production. The author substantiates proposals for making individual amendments and additions to the current criminal procedure legislation and the basic legislation on forensic expertise. The article is interdisciplinary in nature. The author identifies and describes the features of an integrated approach in the production of forensic examinations, and considers an example from investigative practice.