bluuebunny/crossref_metadata_2025 huggingface dataset:
Análise documental acerca das psicopatologias e tratamentos em centro de atendimento psicossocial – I
Authors: De Oliveira Taíse Januário , Coelho Junior Leconte de Lisle
Published: February 2024

Quais as principais patologias e os meios de tratamentos ofertados em um Caps I? Para responder essa questão, este estudo analisou os prontuários que possuem diagnósticos fechados de pacientes que foram admitidos entre os anos de 2009 a 2019. Objetivos: Mapeamento acerca das patologias diagnosticadas dentro de um Caps I e o perfil de atendimento oferecido por tal instituição. Métodos: Pesquisa documental realizada tendo como base os prontuários de um Caps I. Resultados: Durante a pesquisa foram encontrados 83 diagnósticos diferentes distribuídos em 227 prontuários. Foi observado uma prevalência significativa de atendimento psiquiátrico, sendo que 171 prontuários da amostra não apresentaram em seus registros atendimentos realizados por outros profissionais da equipe. Conclusão: Foi possível compreender a variedade de psicopatologias encontradas como, também, as formas as quais foram tratadas, tanto pela psicoterapia, intervenção medicamentosa ou ambas. Diante do que foi descrito neste trabalho, os objetivos foram parcialmente compreendidos, sendo visto a necessidade de estudos mais aprofundados sobre tal temática.
Avanços no protocolo de diagnóstico e acompanhamento da tuberculose pulmonar e sua influência no controle epidemiológico
Authors: Leite Mateus Ferreira , De Carvalho Micaella Garibaldi Eloy Fernandes , Ivazawa Marcilene , Patriota Júnior José Adalberto Gouveia , Rocha Tayanna Karla do Amaral , Aureliano Francisco Sandro , Gomes Victor Targino
Published: February 2024

A tuberculose pulmonar é uma doença infecciosa grave que representa um desafio para a saúde pública. O diagnóstico precoce e o tratamento adequado são fundamentais para o seu controle. O presente artigo tem como objetivo avaliar os avanços científicos e tecnológicos no diagnóstico da tuberculose pulmonar, bem como sua relação com a terapêutica precoce e prevenção da disseminação da bactéria. Para tal, foi encontrado 130 artigos onde foram escolhidos 60 artigos para os resultados, obtidos através dos bancos de dados: National Library of Medicine (PubMed); Scientific Eletronic Library Online (SCIELO) e Biblioteca Virtual de Saúde (BVS), dos quais 13 se enquadraram nos critérios de inclusão. Em conclusão, verificou-se que o melhor protocolo para o diagnóstico rápido de casos de tuberculose é o método GeneXpert MTB/RIF por tratar-se de uma metodologia com alta sensibilidade e especificidade o que contribui para uma terapêutica precoce do paciente. Assim, métodos tradicionais como baciloscopia e cultura, são importantes para auxiliar na confirmação do diagnóstico, bem como no acompanhamento do tratamento do paciente, por apresentarem custo menor quando comparado ao TRM. Quanto a terapêutica, a combinação de rifampicina, isoniazida, pirazinamida e etambutol se mostraram eficazes, todavia a adesão dos pacientes é um desafio importante no tratamento, o que torna necessário o tratamento diretamente observado (TDO).
Atuação da enfermagem na adaptação do paciente em uso da laringe eletrônica
Authors: De Castro Gabrieli Roque , Santos Kelly Cristina , E Silva Pérola Liciane Baptista Cruz
Published: February 2024

Introdução: Desde os primórdios da humanidade a comunicação manteve-se como importante ferramenta da evolução e do pensamento crítico. A laringe é um dos órgãos mais importantes para essa função, pois no seu interior estão as cordas vocais (ou pregas vocais) que ao vibrarem são responsáveis pela diferenciação dos sons emitidos na voz humana. A laringectomia total é um procedimento cirúrgico invasivo que remove a laringe cartilaginosa, osso hióide e os músculos infra-hióideos, sendo um procedimento mutilante. Durante a remoção total da laringe e elevação da traqueia obtém-se um orifício chamado traqueostomia que auxilia na respiração. Metodologia: O presente estudo adotou a revisão integrativa como fonte metodológica em virtude de sua capacidade de realizar uma síntese crítica e ampla das evidências provenientes de estudos primários. Resultados e discussão: Os cuidados prestados pelos enfermeiros incluem vários tipos de intervenções como aconselhamento, internamento, cuidados domiciliários e monitorização telefônica. Além disso, ferramentas específicas, como entrevistas semiestruturadas e questionários, foram utilizadas para avaliar a satisfação com o atendimento. Durante toda a pesquisa, foram elencados assuntos que representam o papel da enfermagem na adaptação do paciente em uso da laringe eletrônica, buscando enfatizar o cotidiano da enfermagem no tratamento do paciente oncológico. Conclusão: Destaca-se que a escassez de estudos nesta área evidencia a urgência de mais investigações e a criação de abordagens específicas de Enfermagem para atender a esse grupo de pacientes, enfatizando a grande importância do papel da Enfermagem na adaptação e no apoio a esses indivíduos.
Atividade física na reabilitação de idosos com sarcopenia: uma revisão de literatura
Authors: De Andrade Beatriz Nunes Passos , Pereira Gabriela Esteves Trindade , E Dias Gabriela Silva , Silva Guilherme Borges Batista , Pereira Gustavo Henrique Gonçalves , Pereira João Francisco Esteves , Valentim Maria Esther Zagari , Da Costa Matheus Evangelista , Ferreira Otávio Araújo , Moraes Sarah Mattos
Published: February 2024

Introdução: O envelhecimento populacional impõe desafios às políticas sociais, sobretudo na saúde, entre elas à sarcopenia, caracterizada pela perda de massa muscular e força. A prática regular de exercícios físicos é crucial para prevenir e mitigar esses efeitos, promovendo funcionalidade e independência. Objetivo: Analisar a eficácia da atividade física na reabilitação de idosos com sarcopenia. Metodologia: Revisão de literatura que utilizou a base de dados Pubmed, artigos publicados entre 2019-2023 e descritores: "Exercise", "Sarcopenia", "Rehabilitation" e "Aged", aplicando o operador booleano "AND". Os critérios de inclusão contemplaram artigos completos e gratuitos publicados nos últimos 5 anos. Foram excluídos artigos que abordavam outras doenças além de sarcopenia e obesidade sarcopênica, bem como nutrição/suplementação. Desenvolvimento: A fisiopatologia da sarcopenia está relacionada à desregulação hormonal, inflamação crônica, alterações na composição das fibras musculares, entre outros fatores como a resistência insulínica do idoso, sendo que esses processos contribuem para a degradação da qualidade e força muscular. Com relação ao tratamento e controle da doença, a atividade física aparece como forma mais eficaz de propedêutica, sendo que a realização de treinos resistidos por idosos tem a capacidade de melhorar exponencialmente a musculatura. Conclusão: A importância do exercício na abordagem da sarcopenia destaca-se, impactando positivamente a qualidade de vida e prevenindo a deterioração que aumenta o risco de mortalidade. Observa-se, por fim, a necessidade de estratégias de promoção da saúde para essa população vulnerável.
A importância do cirurgião dentista nas Unidades de Terapia Intensiva: revisão de literatura
Authors: Wanderley Lucas Farias , De Moura Ana Beatriz Xavier , De Castro Karol Costa , Da Rosa Marina Rolo Pinheiro , Da Fonseca Tiago Silva , Hilário Alcione Samias , Moura Desiree de Souza Oliveira
Published: February 2024

A odontologia hospitalar é a prática de atividade que contribuem com a melhora significativa na saúde e qualidade de vida dos pacientes internados, no qual estão mais sucintos a contrair doenças infecciosas, devido as condições sistêmicas em que se encontram. Com isso a presença do CD dentro da equipe multidisciplinar visa melhorar efetivamente o quadro de saúde geral dos pacientes. Objetivo: Destacar a importância da atuação do CD dentro das Unidades de Terapia Intensiva junto a equipe multidisciplinar, através de uma revisão de literatura. Métodos: Foram consultadas as bases de dados Pubmed, Scielo, Lilacs e Google Acadêmico por meio das palavras chaves Odontólogos, Unidade de Terapia Intensiva, Saúde Bucal, foram utilizados 15 artigos nos períodos entre os anos de 2013 e 2023. Conclusão: É de suma importância a integração do CD habilitado dentro das UTIs para a realização das medidas preventivas com a aplicação dos devidos protocolos para cada paciente com intuito de melhoria do quadro clínico de cada paciente internado.
Cirurgia guiada para instalação de implantes convencionais no osso zigomático pela técnica facco - nota técnica
Authors: Garcia Gislaine Fernandes Felipe , Veras Gustavo Mattos , De Vargas Gabriela Jesus , Rosa Mauricio , Pohlmann Felipe Severo , Manfro Rafael
Published: February 2024

Cirurgias guiadas para implantes convencionais são uma excelente alternativa para o posicionamento correto dos implantes e diminuindo a morbidade de tratamento. Os autores apresentam um guia planejado virtualmente para instalação de implantes convencionais no osso zigomático pela técnica Facco.
O papel dos profissionais da atenção básica na triagem auditiva neonatal: vantagens, desafios e impacto na identificação precoce de deficiências auditivas
Authors: Dezincourt Alexandre Vasconcelos , Fernandes Giovana Gomes , Da Silva Fábio Palma Albarado , Da Silva Rodrigo Lemos , Cardoso Jussandra Rodrigues , Da Cunha Paulo André Gonçalves , Oliveira Camila Araújo , Do Amaral Naiade de Oliveira
Published: February 2024

A surdez infantil representa uma preocupação significativa, impactando não apenas aspectos de saúde, mas também sociais e econômicos. A triagem auditiva neonatal (TAN) surge como uma ferramenta crucial para detectar precocemente problemas auditivos. Apesar de sua importância, a abordagem efetiva da saúde auditiva na atenção primária enfrenta desafios consideráveis no Brasil. Fatores como a escassez de profissionais especializados, vasta extensão territorial, custos dos equipamentos e carência de recursos humanos contribuem para essa realidade. Neste contexto, torna-se evidente o papel fundamental dos profissionais da atenção básica na implementação da triagem auditiva neonatal. Diante desses desafios e da importância desses profissionais, esta revisão tem como objetivo avaliar o engajamento e a eficácia dos profissionais da atenção básica na realização da triagem auditiva neonatal. A presente pesquisa tratou-se de uma revisão integrativa de literatura. Os resultados desta pesquisa foram construídos por meio da análise e interpretação de 10 artigos científicos nesse seguimento. Por fim, os estudos ressaltam a importância da colaboração entre os profissionais de saúde, a sensibilização da população sobre a TAN desde o pré-natal, e a necessidade de uma abordagem integrada para garantir o sucesso da triagem auditiva neonatal e o cuidado efetivo das crianças.
Infecções hospitalares associadas a Klebsiella pneumoniae produtora de carbapenemase (kpc): uma revisão
Authors: Lima Mariana Alves , Da Silva Filho José Carlos , Oliveira João Guilherme de Moura , Fernandes Camila de Aguiar Lima
Published: February 2024

Infecções hospitalares associadas à Klebsiella pneumoniae carbapenemase (KPC) representam uma séria ameaça à saúde dos pacientes. Estas infecções, causadas por bactérias produtoras de enzimas do tipo beta-lactamase, têm sido vinculadas a desfechos clínicos adversos, incluindo morbidade, mortalidade e prolongamento da internação hospitalar. A KPC, uma carbapenemase predominante em enterobactérias, desempenha um papel central nesse cenário preocupante. Este estudo revisa os princípios microbiológicos essenciais relacionados à KPC e explora as implicações clínicas dessa bactéria por meio de uma abordagem descritiva, qualitativa e retrospectiva. A resistência à KPC é frequentemente transmitida horizontalmente entre bactérias, facilitada por plasmídeos, moléculas de DNA móveis que carregam os genes responsáveis pela produção da enzima. Isso contribui para a disseminação da resistência bacteriana. O uso inadequado de antibióticos, com ênfase no uso excessivo e inadequado de carbapenêmicos, estabelece um ambiente propício para o desenvolvimento e seleção de cepas resistentes, acarretando consequências clínicas graves, tais como insucesso terapêutico, bem como elevada morbidade e mortalidade. Portanto, é evidente que a resistência à Klebsiella pneumoniae carbapenemase constitui um desafio crescente no âmbito da prática médica, o qual demanda vigilância epidemiológica, estratégias de prevenção e o desenvolvimento de novos agentes antimicrobianos.
Perfil epidemiológico dos casos de hanseníase em Minas Gerais: estudo ecológico de série temporal
Authors: Sousa Junior Nestor , Silva Lucas Felipe de Oliveira , Oliveira Laura Almeida , Santos Eduardo Henrique Bastos , Cartaxo Higor Braga
Published: February 2024

A hanseníase é considerada uma doença endêmica, de acordo com os indicadores de saúde brasileiros, apesar de ter havido uma melhora no controle da sua incidência ao longo dos anos. O presente estudo tem o objetivo de analisar o perfil epidemiológico dos casos notificados desta doença no estado de Minas Gerais, no período entre 2001 e 2022, por meio dos dados secundários disponibilizados pelo Sistema de Informação de Agravos de Notificação (SINAN) do Ministério da Saúde. Verificou-se maior endemicidade de hanseníase no município de Governador Valadares, bem como a ascensão de casos no município de Montes Claros, com maior incidência do sexo masculino dentro da faixa etária economicamente ativa e parcela populacional parda e branca. Ademais, observa-se decréscimo no grau II de incapacidade física e aumento da contenção do desenvolvimento das incapacidades grau 0. Todo esse panorama reverbera a relevância da iniciação e da continuidade de propostas intervencionistas que visem a compilação da tríade: prevenção, tratamento e recuperação, reforçando a necessidade de medidas de contenção do desenvolvimento de incapacidades físicas provenientes do decurso neuropatológico da hanseníase.
Mortalidade por câncer de adrenal no Brasil em homens e mulheres de 2015 a 2020
Authors: Araujo Luana Marcelino Mattos , Coelho Victor Hugo Oliveira Martins , Cantarelli José Diogo Pereira , Leonelo Marianna Silva Dezembro , De Siqueira Filho Josias Torres , Peres João Victor Fuzeta , Silva Guilherme Ricardo Nunes , De Oliveira Pedro Henrique Martins
Published: February 2024

A neoplasia maligna da glândula suprarrenal é extremamente rara, com incidência de 1/milhão/ano, sendo que o pico de incidência ocorre nos primeiros 4 anos de vida e a maioria afetada pertence ao sexo feminino. Este é um estudo ecológico, retrospectivo e exploratório, com dados de mortalidade a nível nacional, extraídos do Ministério da Saúde, por meio do Instituto Nacional de Câncer (INCA). No Brasil, no período avaliado, ocorreram 1973 óbitos em virtude do câncer de adrenal; 339 em 2015, 291 em 2016, 340 em 2017, 355 em 2018, 337 em 2019 e 311 em 2020 (Figura 1). A Região Sul apresenta as maiores taxas de mortalidade para câncer de adrenal. No que se refere à idade, dos 1973 casos, a faixa etária de menores de 1 ano a 04 anos apresentou a maior taxa de óbitos, 358, seguida da faixa etária de 60 a 69 anos, com 331 óbitos. As mulheres apresentaram 11 óbitos a mais do que os homens.
Photocatalytic Degradation Using TiO2 P25: A Comparative Study for Different Textile Dyes
Authors: Giovanazzi Lucas Ciucio , Missner Maria Elisa Philippsen , Francisco Isadora Bertini Martins , Rodrigues Núbia Malú Medeiros , Da Silva Júnior Afonso Henrique , Pellenz Leandro , De Aguiar Catia Rosana Lange , De Oliveira Carlos Rafael Silva
Published: February 2024

The photocatalytic degradation of textile dyes using metallic oxides has been extensively studied due to the remarkable results. This promising approach offers a more sustainable alternative for treating textile effluents contaminated with dyes and other chemicals, intending to mitigate the environmental impact caused by the textile industry. In this context, this study aimed to investigate the degradation of different classes of synthetic dyes used in industry through the heterogeneous photocatalysis process. For this purpose, TiO2 P25 dispersed in an aqueous dye medium exposed to an isolated source of artificial UV light was used. The significance of this research lies in understanding photodegradation phenomena and studying heterogeneous catalysis mechanisms applied to the degradation of textile dyes. Furthermore, the importance of sustainability in the textile industry is highlighted, emphasizing the need for new solutions to reduce waste emissions. This study contributes significantly to understanding the degradation of textile dyes through photodegradation, providing detailed information on the reaction processes and key factors influencing the efficiency of TiO2-catalyzed degradation. The results demonstrate real application potential and support sustainable strategies for treating textile effluents, aiming to reduce the environmental impact caused by dyes.
Menguak Nilai Kearifan Lokal di Balik Praktik Akuntansi Biaya oleh Para Petani: Studi Etnometodologi Islam
Authors: Thalib Mohamad Anwar , Paputungan Fathir , Kuntuamas Muhliansyah J.A.
Published: February 2024

This research departs from problems related to the study of cost accounting in the agricultural context, which only reveals the reality of accounting limited to the material and ignores local cultural and spiritual values. This study aims to reveal the value of local wisdom behind agricultural accounting practices. This study uses an Islamic paradigm with an Islamic ethnomethodological approach. There are five data analysis stages: charity, knowledge, faith, revelation information, and courtesy. The results showed that there were agricultural cost accounting practices in the form of rental fees for agricultural land expansion services, planting rice seeds, costs for seeds, fertilizers, and pesticides, as well as increased costs due to rising fuel prices. Financial accounting practice is conditional on the value of patience (patience). The value of patience is reflected through the actions of farmers who persist in this profession, even though the cost of managing agricultural land is increasing due to rising fuel prices. In Gorontalo's Islamic culture, elders often instill the value of patience in the local community through the expression (lumadu) “mopo’o tanggalo duhelo” This expression means full of patience. The implication of this research is to present agricultural accounting practices based on local cultural values.
Analisis Kinerja Keuangan Perusahaan Sektor Consumer Cyclicals dan Sektor Transportation & Logistic sebelum dan saat Pandemi Covid-19
Authors: Andriana Dita , Septriani Yossi , Ferdawati Ferdawati
Published: February 2024

The COVID-19 pandemic has had a significant impact on the business activities of all industrial sectors in Indonesia. One of the sectors affected is the transportation & logistics sector, which experienced a 30% decrease in turnover compared to before the pandemic, as well as the consumer cyclicals sector. This study analyzes the financial performance of consumer cyclicals sector and transportation & logistics sector before and during the pandemic in 2018-2021. The sampling technique used was purposive sampling. The data analysis methods used are paired sample t-test and Wilcoxon signed rank test, which previously carried out a normality test. The results of this study indicate that for the consumer cyclical sector, financial performance as measured by current ratio, quick ratio, debt to asset ratio, and debt to equity ratio does not have a significant difference between before and during the COVID-19 pandemic, while net profit margin, return on assets, total asset turnover and working capital turnover have a significant difference between before and during the pandemic. For companies engaged in the transportation & logistics sector, debt to equity ratio and working capital turnover do not have significant differences between before and during the pandemic, while the current ratio, quick ratio, net profit margin, return on assets, debt to asset ratio, and total asset turnover have significant differences between before and during the covid-19 pandemic. The findings conclude that the transportation & logistics sector experienced higher changes in liquidity-related financial performance compared to the consumer cyclicals sector, while the consumer cyclicals sector experienced significant changes in profit performance before and during the pandemic.
To Bara’ Kepemimpinan Bukti, Bukan Janji: Perspektif Sosiologi Politik Masyarakat Seko Embonatana
Authors: Alam Jems
Published: February 2024

Abstrak

Tulisan ini mengkaji tentang to bara’ kepemimpinan bukti, bukan janji, perspektif sosiologi politik masyarakat Seko Embonatana. Tujuan dari penelitian ini memperlihatkan mekanisme memilih, menetapkan dan memberhentikan pemimpin berdasarkan sistem demokrasi masyarakat dan alam semesta melalui proses nipeandei. Cara memilih pemimpin yang demikian berdampak terhadap kualitas kepemimpinan yang pro masyarakat. Tulisan ini menggunakan teori sosiologi politik yang memperlihatkan auratnya interaksi antar masyarakat dan sistem politik. Metode yang digunakan adalah metode penelitian kualitatif dengan memotret peristiwa dan kejadian  yang menjadi fokus perhatian peneliti, mendeskripsikan masalah, digambarkan apa adanya dan menganalisis fakta-fakta dalam bentuk penilaian melalui fenomena yang bersifat luas. Pada akhirnya artikel ini menyimpulkan bahwa  to bara’ sebagai kepemimpinan bukti, mengandung nilai yang relevan diinternalisasikan dengan kepemimpinan pemerintahan saat ini untuk mempengaruhi sistem politik melalui keputusan kebijakan yang memiliki kekuatan legitimasi berupa Undang-Undang Pemerintah Daerah dan Desa yang parsial pada masyarakat.

Kata Kunci:  To bara’, kepemimpinan, masyarakat Seko Embonatana dan sosiologi politik

 

Abstract

This paper examines To Bara’ leadership evidence, not promises, from the perspective of political sociology Seko Embonatana. The research aims to showcase the mechanism of selecting, establishing, and removing leaders based on a community democracy system and the concept of Nipeandei. The choices made have a significant impact on the quality of public leadership. This paper employs political sociology theory, which illustrates the close interaction between people and politics. The research method used is qualitative, involving the documentation of events that capture the researchers' attention, problem description, and analysis of facts related to a broad range of phenomena. In conclusion, this article asserts that Bara leadership evidence carries relevant value, aligning with the current government leadership, influencing policy decisions that partially govern local government and village areas within the community.

Keyword: To bara’, leadership, Seko Embonatana community and political sociology
THE EFFECT OF SEXUAL RELATIONSHIP HEALTH EDUCATION DURING PREGNANCY ON THE ANXIETY OF PRIMIGRAVID MOTHERS IN THE NEW NORMAL PERIOD
Authors: Galuh Wibowo Ayu , Mawardika Tina
Published: February 2024

Sexual intercourse during pregnancy is still a taboo among the people around Ungaran City, Semarang Regency, giving rise to anxiety and concern about fulfilling sexual needs during pregnancy which generally occurs among primigravida mothers due to a lack of experience and knowledge regarding sexuality during pregnancy. The aim of the study was to determine the effect of health education on sexual intercourse during pregnancy on anxiety among primigravida mothers. Quantitative method by way of quasi experiment, nonequivalent control group design approach. The first group was given health education through animated video media and the other group was not given any treatment. Measuring tool with a questionnaire that is measured comparatively analytically in pairs. The research sampling technique used purposive sampling. The population in this study were 376 pregnant women and the research sample was 38 primigravida mothers who live in Ungaran City, Semarang Regency. Analysis used the Mann Whitney test with a value of α (0.05). Results: Statistical test results using the Mann Whitney test obtained Z count (-2.634) > Z table -1.96 and p-value (0.008) < α (0.05). Conclusion: There is an effect of health education about sexual intercourse during pregnancy on the anxiety level of primigravida mothers. Keywords: sexual relationship; worry; primigravida ABSTRAK Hubungan seksual selama masa kehamilan masih menjadi hal yang tabu di kalangan masyarakat sekitar Kota Ungaran, Kabupaten Semarang, sehingga menimbulkan kecemasan dan kekhawatiran mengenai pemenuhan kebutuhan seksual pada masa kehamilan yang umumnya sering terjadi pada ibu primigravida karena kurangnya pengalaman dan pengetahuan terkait seksualitas selama kehamilan. Tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan tentang hubungan seksual selama masa kehamilan terhadap kecemasan pada ibu primigravida. Metode secara kuantitatif dengan cara quasi experiment, pendekatan nonequivalen control grup design. Kelompok pertama diberi pendidikan kesehatan melalui media video animasi dan kelompok lain tidak diberi perlakuan. Alat ukur dengan kuesioner yang diukur secara analitik komparatif berpasangan. Teknik pengambilan sampling penelitian menggunakan purposive sampling. Populasi dalam penelitian ini sebanyak 376 ibu hamil dan sampel penelitian berjumlah 38 ibu primigravida yang berdomisili di Kota Ungaran Kabupaten Semarang. Analisis menggunakan uji Mann Whitney dengan nilai α (0,05). Hasil: Hasil uji statistik dengan menggunakan uji mann whitney diperoleh nilai Z hitung (-2,634) > Z tabel -1,96 dan nilai p-value (0,008) < α (0,05). Simpulan: Ada pengaruh pendidikan kesehatan tentang hubungan seksual selama masa kehamilan terhadap tingkat kecemasan ibu primigravida. Kata kunci: hubungan seksual; kecemasan; primigravida
EFFECTIVENESS OF FLOOR CLEANING AND WALL CLEANING ON GROWTH OF PATHOGEN GERMS IN THE CURRENT ROOM OF DR KARIADI HOSPITAL, SEMARANG
Authors: Neny Yunitasari Linawati , Sri Sulistyowati Elyana , Wahyuningtyas Hadiharti
Published: February 2024

Surface swab examination is carried out to evaluate the cleaning that has been carried out both in detecting the presence of germs in the environment and also for checking the count of germ colonies on the floor surface. The results of the preliminary study by looking at the results of floor swab measurements after general cleaning, especially floor cleaning, obtained data from March - May 2022, 113 outpatient rooms, inpatient and operating rooms and found results that did not meet the quality standards for floor swabs, there were 33 rooms, namely operating room, central nutrition, delivery room, baby room, cardiac catheterization room, mortuary, Rajawali pharmacy, CSSD room, PBRT room, Garuda room, Kepodang and registration room. The aim is to determine the effectiveness of cleaning floors and walls against the growth of pathogenic germs in the Heart Installation. Quantitative research method which is descriptive analytic, test analysis using paired t-test and Wilcoxon. Results: there is no significant difference between cleaning the floor on the growth of pathogenic germs in Pre-post General Cleaning, namely 0.678. Floor Cleaning First-Second 3.5 Hours is 0.259. Keywords: pathogenic germs; floor cleaning; wall cleaning  ABSTRAK Pemeriksaan swab permukaan dilakukan untuk mengevaluasi pembersihan yang telah dilakukan baik dalam mendeteksi keberadaan kuman yang ada dilingkungan dan dilakukan juga pemeriksaan hitung koloni kuman permukaan lantai. Hasil studi pendahuluan dengan melihat hasil pengukuran swab lantai setelah dilakukan general cleaning khususnya pembersihan lantai didapatkan data pada bulan Maret - Mei 2022, 113 ruang rawat jalan, rawat inap dan kamar operasi dan ditemukan hasil yang tidak memenuhi syarat baku mutu usap lantai ada 33 ruang yaitu kamar operasi, gizi sentral, ruang bersalin, kamar bayi, ruang keteterisasi jantung, kamar jenazah, farmasi Rajawali, ruang CSSD, ruang PBRT, ruang Garuda, Kepodang dan Ruang pendaftaran. Tujuan untuk mengetahui efektifitas pembersihan lantai dan dinding terhadap pertumbuhan kuman pathogen di Instalasi Jantung. Metode Penelitian kuantitatif yang bersifat deskriptif analitik, analisa uji menggunakan paired t-test dan wilcoxon. Hasil : tidak ada perbedaan signifikan antara pembersihan lantai terhadap pertumbuhan kuman pathogen pada Pre-post General Cleaninng yaitu 0,678. Pembersihan Lantai 3,5 Jam Pertama-Kedua yaitu 0,259. Kata kunci : kuman pathogen; pembersihan lantai; pembersihan dinding
Recubrimientos dorados, plateados y platinados en la metalurgia precolombina del Ecuador
Authors: Estévez-Salazar Patricia , Romero-Estévez David
Published: February 2024

La trascendencia del desarrollo de los procesos tecnológicos alcanzados durante varios miles de años por los orfebres precolombinos radica en el alto desempeño de sus técnicas metalúrgicas, sin conocerse hasta la actualidad, todos los métodos que emplearon para lograr los dorados, platinados y demás recubrimientos como técnicas finales de acabado de los objetos. En contraste, las técnicas modernas, las cuales, a pesar de ser elaboradas con alta tecnología, los recubrimientos sufren desgaste perdiendo su calidad con el paso del tiempo. Esta síntesis trata de los procesos tecnológicos de dorado, plateado y platinado superficial, adicionalmente, los estudios, teorías e hipótesis relacionadas al reemplazo electroquímico, sinterización, y a la disponibilidad de materia prima. Finalmente, se sintetiza los análisis de composición realizados por diferentes investigadores nacionales y extranjeros para resaltar el conocimiento ancestral aborigen que, en todo sentido, es comparable con el desarrollo de las técnicas aplicadas por la metalurgia actual.
Analysis of the risk factors for maladjustment states formation in international English-speaking students
Authors: Vasylieva O.V.
Published: February 2024

The problem of providing full-fledged higher education while training qualified specialists is currently an urgent task of medical universities not only in Ukraine, but also in the entire civilized world. In recent years, the number of international students studying in English has significantly increased at the Kharkiv National Medical University (approximately 3,500 from 85 countries). One of the most important pedagogical tasks of any higher educational institution is work with students, aimed at faster and more successful adaptation of them to the system of education, to the new system of social relations, to their mastering the new role of students. 372 international English-speking students of I–VI courses of the Kharkiv National Medical University, of both sexes (223 men, 149 women) with an average age of (19±3) years, took part in the study. All examinees were divided into three groups: group I – 194 students from India; group II – 96 students from Asian countries; group III – 82 students from African countries. The main psychosocial risk factors for the development of maladjustment states among international students were identified: change in the life stereotype; necessity for adaptation in a new team; difficult study material, complex terminology; strict academic discipline, mandatory completion of missed classes and lectures. Also, students do not follow the usual daily routine (studying and resting), there is excessive drinking, smoking, they had signs of Internet addiction. The surveyed students note a lack of positive emotions; awareness of an insufficient level of educational preparation; low level of motivation; imperfection of psychological coping mechanisms; lack of self-regulation skills. The data obtained in the course of the study regarding psychodiagnostic manifestations of maladaptive states in students determine the direction of methods for correction and prevention of adjustment disorders in students.

Keywords: adaptation mechanisms, manifestations of maladjustment states, education, medical education.
Desain Cold Storage untuk Pembekuan Ikan Laut Menggunakan Perangkat Lunak Coolselector®2
Authors: Selan Rima Nindia
Published: February 2024

The process of cooling and freezing carried out on fish products is one of the preservation methods that apply a cooling machine in its operation. The refrigeration machine used applies a steam compression refrigeration system with R404A refrigerant as its working fluid. A design that is not following the standards can result in significant losses both in material and economic terms. Besides, the wrong model can also cause the performance of the engine to cool down. The purpose of this study is to design and analyze the performance of cold storage for freezing fish using Coolselector®2 software version 3.6.1. Performance analysis is based on superheating and subcooling temperature variations to determine its effect on the performance of the cooling engine. Changes for superheat temperatures carried out at the 8K, 9K, 10K, 11K and 12K levels while the subcooling temperature is considered constant at the 3K level. Variations were made at subcooling temperatures at the 3K, 4K, 5K, 6K and 7K levels with superheat temperatures considered consistent at the 5K level. The result of cold storage room design shows that the room has a cooling capacity of 14.54 kW. Analysis of the performance of the engine coolant design shows that the refrigeration machine has excellent performance. It will be proved by the higher subcooling and superheat temperatures, the COP also increase. The most top COP is at the 12K superheat temperature level of 2.045, while for the subcooling temperature at the 7K level of 3.144
Karakteristik Pembakaran Premixed Campuran Bioetanol Dan Premium (Gasoline)
Authors: Riwu Defmit B.N. , Tobe Adi Y. , Adoe Dominggus G. H. , Pah Jack C.A. , Baria Metrisno , Baria Metrisno
Published: February 2024

Bioethanol is one of the renewable energies that can be used as fuel. Ethanol produced from palm sap can be used to mix fuel oil (BBM) into gasohol (energy mixed) which marks green fuels era begin. This research was conducted by burning a mixture of Bioethanol (105 ml, 120 ml, 135 ml, 143 ml) and Premium (45 ml, 30 ml, 15 ml, 7 ml), to determine the effect of adding Premium into bioethanol on temperature and flame color. The combustion process is carried out by premixed, in which a mixture of bioethanol and premium is heated to produce steam. This steam will be given a spark to produce combustion of the mixture. After the steam burns and produces a fire, then the air flow rate is regulated until the fire is blow-off. The results of the study indicate that, if the composition of bioethanol in the fuel is increasing, the flame looks bluer and the equivalence ratio value becomes smaller. In addition, the temperature reached at point 1 is higher than point 2. This indicates that point 1 is the final combustion zone, which is where the fuel has been burned completely
Faipari projektek szakirodalmi elemzése
Authors: Novotni Adrienn
Published: February 2024

A kutatás során a Scopus faipari projektekkel foglalkozó cikkeit elemeztük. Először 2016-ig visszamenőleg elvégeztük a cikkek tartalmi elemzését. Következtetéseink megerősítése érdekében ezután a teljes adatállomány többes előfordulású kulcsszavai közötti kapcsolatokat és klasztereket rajzoltuk fel SNA, CA, MCA és K-közép módszerekkel, majd dendrogrammal.
Przynależność geobotaniczna zlewni Kamienicy Nawojowskiej na podstawie florystycznych elementów kierunkowych
Authors: Zelek Robert
Published: February 2024

The aim of the study is to determine the geobotanical affiliation of the Kamienica Nawojowska catchment area on the basis of the occurrence of species of the western and eastern floristic directional elements, which allow the location of this area in the appropriate section of the Carpathians. A list of species characteristic of the western and eastern directional elements was prepared, together with a list of localities. The greater number of western than eastern species indicates that this area belongs to the Western Carpathians.
Los delitos en los delirantes
Authors:   , Rosa Jorge José
Published: February 2024

Comenzaremos con el estudio del síndrome delirante, desmenuzando la forma cómo se debe encarar el estudio de estos enfermos, que como sabemos es el más dificultoso, por tener sus funciones mentales básicas normales, siendo por esto llamados alienados lucidos. Después de revisar varios tratados de clínica y semiología psiquiátrica, he encontrado que la manera más sencilla de interpretar estos cuadros, tanto para el especialista como para el práctico, es hacerlo, según se nos ha enseñado en nuestra cátedra de Psiquiatría de La Plata, actualmente a cargo del doctor Roberto Ciafardo.
Knowledge With Anxiety Level Of Pre-Menopausal Women In Facing Menopause
Authors: Idayati  , Sarah Fahjrianti
Published: February 2024

Menopause is a natural process that every women goes trhough. Before menopauseoccurs, it is usually preceded by a pre-menopausal phase. In the pre-menopausal period leading to menopause, it will cause anxiety because of which does not exist information aboutmenopause. Therefore, it is obligatory to increase knowledge so that all women are ready to face menopause and do not experience anxiety. The aim of this study is to determine the relationship between education with anxiety levels of pre-menopausal women to deal with menopause in West Ambarawa Village, Ambarawa District in 2022. The design used in this study an analytical Survey with transversal approach. While sampling using purposive sampling technique from a total of 50 respondents. The instruments used are knowledge questionnaire sheets and HRS-AData analysis results using the chi-square test found significance with a p value of 0.003 or <0.05. This suggests a relationship between the level of pre-menopausal women anxiety in facing menopause in Ambarawa Barat, Ambarawa District, Pringsewu Regency in 2022. in concluded that the higher knowledge will greatly affect the anxiety of pre-menopausal women who will face menopause. Health professionals, especially nurses, are expected to provide menopause education to increase knowledge in pre-menopausal women.
Mirror Therapy in Increasing Muscle Strength in Stroke Patients
Authors: Mardiana Mochamad Ramdan  , Fitri Nurlina
Published: February 2024

A stroke is a pretty serious health disorder when not treated immediately. A common problem is hemiparesis, where the patient will have difficulty performing daily activities, such as walking, working, eating, drinking, and so on. Mirror Therapy is one of the rehabilitation therapies with the help of mirrors that can be done in patients with hemiparesis. This therapy can be claimed to increase muscle strength in hemiparesis. The purpose of this writing is to analyze the application of mirror therapy to increased muscle strength in stroke patients. The method used is systematic review with search engines elsivier, PubMed, and Proquest. The keywords used are mirror therapy, stroke, and muscle strength. The SLR process step uses PRISMA and produces 8 articles for analysis. The results of the study have been obtained that, the effect of the application of mirror therapy to increase muscle strength, results is a significant difference in motor skills before and after the therapy, this application is effective when performed for 15–30 minutes every 3 times in a week, for 1-2 months or 12-20x exercise in 1-2 months. Mirror therapy can be applied to all stroke patients whether ischemic or hemorrhagic without visual impairment. Therefore, it is expected that mirror therapy can be performed in hospitals or home care as a patient rehabilitation program.
The Relationship of Motivation with Therapeutic Communication of Nurses in One of The Public Hospitals in Cimahi City
Authors: Imelisa Rahmi , Cahyandi Dio Rifki , Wisnusakti Khrisna , Setiawati  , Rohayani Lilis
Published: February 2024

Therapeutic communication is a major medium to build a therapeutic relationship between nurses and patients. Therapeutic communication that is not carried out properly will cause patients to be less cooperative in accepting every action given, feeling dissatisfied and even asking for forced return. The implementation of this therapeutic communication is influenced by the desire, passion and motivation of the nurse to do the work. An evaluation at a general hospital in Cimahi City, shows that the implementation of this communication was only 80%, which is below the target of 90%. This study aims to determine the relation between nurse motivation and the implementation of therapeutic communication to patients at a general hospital in Cimahi City. A quantitative research and a cross-sectional approach used in the study. Technic sampling used a purposive sampling, 41 nurses being involved. Data was collected with a questionnaire for motivation and observation guidance for the implementation of therapeutic communication. Data analyzed with frequency distribution and chi square test. The results showed that 21 respondents (48,8%) had low motivation, and 19 respondents (46,3%) implemented complete therapeutic communication. Bivariate analysis showed that there was a relationship between nurse motivation and the application of therapeutic communication with p-value 0.001 (< α=0.05). It is recommended to the hospital management to increase the motivation of nurses by holding various activities or making certain policies.
Knowledge Relating to The Diabetic Ulcer Prevention Efforts in Diabetes Mellitus
Authors: Virgiani Bestina Nindy , Windiramadhan Alvian Pristy , Bela Nurika
Published: February 2024

The diabetic 'ulcer is a frequent complication of diabetes mellitus. In the patient who lacks knowledge of his diabetic ulcer's prevention, he could directly influence his actions. The better the knowledge the patient has the better the 'ulcer' he's exposed to, likewise, he 'd risk developing the diabetic ulcer at any cost. The aim of this study was to identify relationship between knowledge and prevention of diabetic ulcers in the DM patients in general policlinic, RSUD Indramayu. This type of research is a descriptive correlation with a sectional cross approach. The population in this study is all the patient of diabetes mellitus who visited polycolic in 1 and 2 with an average monthly visit of as many as 80 patients. The sampling technique used was an purposive sampling with a sample of as many as 66 respondents. The data-collection tool uses a questionnaire. The data was analyzed using pearson chi-square test. Research shows that, as much as 29 (43.9%) of the respondent 'ulcer' is' diabetic ', and 37 (56.1%) 'he has' diabetic' ulcer 'prevention well, further analysis shows pvalue = 0,000 (a = 0.05). The conclusion of this study is that there is a significant relationship between knowledge and prevention of diabetic ulcers in the DM patients. Suggestions for nurses to create health education programs to prevent ulcers, such as providing education to DM patients about the symptoms of ulcers.
Application of Range of Motion (ROM) to Increase Muscle Strength in Meeting Activity Needs in Stroke Patients
Authors: Sri Rachmawati Aida , Mufidah Zulfa
Published: February 2024

Stroke is a neurological disease caused by oclusion or hyperfusion in the blood vessels of the brain that causes neurological deficiencies and causes defects or death. The purpose of the case study is to find out a picture of nursing orphanage to meet the needs of physical mobility disorder activity by applying the Range of Motion for stroke patients starting from the achievement assessment to the evaluation. The methods used are descriptive case studies, with data collection techniques including interviews, physical examinations, observations and documentation. The results of the study showed that patients had weakness in the right extremity with the strength of the upper extremity muscle value 0 and the lower extremity value 2. The primary nursing diagnosis of physical mobility disorders is associated with a decrease in muscle strength. Planning to [treatment is to improve physical mobility in stroke patients. Implementation was done with increased physical mobility based on (SOP) Range of Motion performed in the morning, each movement for 10 counts for 30 minutes. Evaluation carried out after 4 days of implementation obtained data there was an increase in muscle strength of the upper extremity to 1 and the lower extremities to 3. Based on the explanation above, there was an increase in muscle strength between before and after the action. It is expected to be able to implement ROM therapy as an intervention to address the problem of physical mobility disorders in stroke patients.
Health Education To Reduce Negative Stigma And Increase Willingness To Screen For Tuberculosis
Authors: Yolanda Amalia  , Setiawan  , Witdiawati
Published: February 2024

Tuberculosis (TB) is still a health problem in the world because Tuberculosis (TB) is one of the 10 highest causes of death worldwide and the main cause of death from infectious agents. The stigma circulating in society influences the desire of patients not to undergo treatment or comply with TB treatment and people who have symptoms become afraid to check themselves and undergo screening because they are reluctant to be viewed negatively by society. This case study aims to determine the effect of health education as an effort to reduce negative stigma and increase willingness to screen. This research uses a case study method consisting of a needs assessment and intervention provided by a health education and TB screening program. Management data showed that 37 residents of Ciwalen Village who were studied had been diagnosed with pulmonary tuberculosis. Of the 37 people who had been diagnosed with pulmonary TB, only 34 people regularly took medication. The results of health education were 13 residents from taking part in screening activities before the health education activity and after the health education activity was held the number increased by 28 people. It can be concluded that the stigma of TB in society has an impact on the TB control process. Health education activities carried out as an effort to reduce the stigma of TB can increase the willingness of residents to undergo TB screening, especially for residents who are at high risk or residents who have symptoms.
Depression and Quality of Life in Chronical False Patients With Hemodialises in DR. Soekardjo Hospital in Tasikmalaya City
Authors: Solihatin Yuyun , Budiawan Heri , Brahmantia Bayu
Published: February 2024

As chronic kidney failure increases, patients undergoing hemodialysis experience disturbance of sleep quality and anxiety. Patients who have been diagnosed with GGK are required to undertake medical intervention only to undergo hemodialysis therapy or known as bloodwashing therapy. Nevertheless, hemodialysis also poses a number of physical, psychological, social, and spiritual problems that will affect the quality of life of the patient. Stress, and depression are the most common psychological disorders in patients undergoing hemodialysis. The aim of this research is to find out the relationship between depression and quality of life in patients with hemodialysis at RSUD Dr. Soekardjo City of Tasikmalaya. Research Methods. The research method in this study is to include the type of descriptive research with univariate analysis and bivariate with cross sectional, the population is patients undergoing hemodialysis with a total sampling of 87 respondents. As a result of the study, there was a significant relationship between depression and the standard of quality of life of GGK patients undergoing hemodialysis obtained a p value of 0.012 (p < 0.05).