bluuebunny/crossref_metadata_2025 huggingface dataset:
Trissomia do Cromossomo 21: Atenção Farmacêutica para Portadores de Cuidados Especiais / Trissomy of Chromosus 21: Pharmaceutical Care for Special Care Patients
Authors: De Oliveira Jainy Alves , Guimaraes Jailie Azevedo , Gonçalves Me. Karin Anne Margaridi
Published: December 2021

Trissomia do 21, ou como é conhecida, síndrome de Down (SD), é a principal causa genética da deficiência intelectual com graus variáveis de dificuldades físicas, motoras e cognitivas. Apesar da existência de casos hereditários, na maioria das vezes essa alteração se dá devido a uma nova mutação. Trata-se de uma pesquisa do tipo bibliográfica realizada com a utilização de livros, artigos científicos já publicados através da busca no banco de dados do scielo e da bireme, a partir das fontes Medline e Lilacs e periódicos. Sabe-se que essa condição genética faz com que o indivíduo apresente algumas características especificas, necessitando de uma visão holística por meio dos profissionais de saúde, em especial o farmacêutico, que está ligado direto ou indiretamente aos cuidados através de fármacos.
Facetas diretas em resina composta: Uma abordagem conservadora (revisão da literatura) / Direct composite resin veneers: A conservative approach (literature review)
Authors: Da Silva Isabella Braz , Da Silva Valéria Moreira , Bezerra Laisla Ruanna Cândido , Carlos Aline Maquiné Pascareli , Brasil Sarah Pereira Alves
Published: December 2021

A crescente demanda por procedimentos odontológicos estéticos tem viabilizado avanços no desenvolvimento de materiais e técnicas, que visam o restabelecimento da harmonia do sorriso, prezando por procedimentos que sejam considerados minimamente invasivos. A queixa mais comum entre os pacientes refere-se a cor, contorno e presença de diastemas. Para solucionar tais problemas, procedimentos como clareamento dental, uso de aparelhos ortodônticos, confecção de laminados cerâmicos ou facetas diretas podem ser indicados. Este trabalho consiste em uma revisão da literatura que aborda os aspectos gerais da utilização das facetas diretas em resina composta em dentes anteriores, assim como suas vantagens e desvantagens frente à outros tipos de tratamento. Quando bem executadas, essas facetas possibilitam a mimetização dentária com naturalidade, possuindo baixo custo, possibilidade de sessão única, mínimo ou nenhum desgaste dental, além de facilidade de reparos de pequenas falhas. Portanto, as facetas em resina composta são uma ótima opção de tratamento com custo mais acessível, para correções estéticas do sorriso quando realizada adequada indicação e planejamento pelo cirurgião-dentista. Sendo fundamental a colaboração do paciente em relação aos cuidados com as facetas para a longevidade do material.
Impactos da alteração da lei de licitações e contratos administrativos, na elaboração de propostas de preços nas obras de construção civil / The impacts of the amendment of the bidding law and administrative contracts on the preparation of price proposals on civil construction works
Authors: Frias Beatriz da Rocha , Figueiredo Fernanda Lee Lopes , Figueiredo Fernanda Lee Lopes , Miranda Walzenira Parente , Miranda Walzenira Parente , Pinheiro Érika Cristina Nogueira Marques , Pinheiro Érika Cristina Nogueira Marques
Published: December 2021

A aquisição de bens e serviços fornecidos pela Administração Pública se baseia em um processo complexo e burocrático, visando  garantir a impessoalidade, isonomia, moralidade, desenvolvido através de um encadeamento de atos, porque envolve a escolha da proposta considerada mais vantajosa para o procedimento licitatório, permitindo aos interessados em participar da disputa seguindo as regras conforme consta no edital, com isto, um dos processos mais importantes é a elaboração da Proposta de Preço, sendo este, o documento pelo qual o licitante apresenta seu produto ou serviço e o preço, seu montante é levando em conta o objeto da licitação, ligada intimamente ao edital seguindo as exigências registradas em Lei, neste âmbito administrativo é necessária submissão de diversas alterações, sendo passadas por transformações para manter a sua estabilidade e recursos adequados com a estrutura e o objetivo viável .Com intuito de abordar as mudanças ocorridas na elaboração de Proposta de preços, seguindo as normas constituintes na Nova Lei de Licitações e Contratos Administrativos 14.133/21, onde alterações foram realizadas, correspondente as propostas e lances as quais antecede a fase de habilitação e os critérios de julgamento, comparando-as com a legislação antiga da Lei 8666,93, as inovações gerou diferenças significativas, pois os trâmites ainda continuam unindo os conceitos já presentes na antiga legislação vigente, gera o planejamento em prol da eficiência sobre o seu processo negocial, juntamente com a simplicidade e flexibilidade das licitações, tendo como seu principal objeto de estudo exemplos de propostas com intuito de apontar os impactos referentes na sua apresentação.
A atenção farmacêutica no tratamento para esclerose múltipla / Pharmaceutical care in the treatment for multiple sclerosis
Authors: Trevisan Marcio , Arruda Camylla Martins Botelho , Aguiar Gleysla Borges Araújo
Published: December 2021

A esclerose múltipla é uma enfermidade inflamatória, sendo reconhecida a ocorrência de episódios repetidos de desmielinização, levando a uma série de defeitos neurológicos causados por lesões focais da bainha de mielina. Nesse contexto, o estudo levanta o seguinte problema: como o farmacêutico pode ajudar na atenção farmacêutica no tratamento medicamentoso para esclerose múltipla possibilitando o planejamento de ações que garantem a integralidade do cuidado. O objetivo deste trabalho é compreender qual é o papel da assistência farmacêutica na distribuição desses medicamentos para o cuidado da esclerose múltipla e contribuir para a melhoria da adesão e qualidade de vida desses pacientes. Trata-se de uma revisão integrativa sobre a atenção farmacêutica no tratamento medicamentoso para esclerose múltipla que visa coletar dados de artigos científicos publicados, com a finalidade de esclarecer os pontos relevantes da temática de pesquisa envolvida nesta pesquisa. Em muitos estudos pesquisados foi constatado predominância dessa patologia em adultos jovens, do sexo feminino. Não possui etiologia definida, porém pressupõe ser uma doença multifatorial. O farmacêutico, em conjunto com uma equipe multidisciplinar, pode e deve garantir atendimento de qualidade aos pacientes com EM, de forma a evitar a má adesão ao tratamento e proporcionar a esses pacientes uma melhor qualidade de vida.
Prevalence of zoonotic potencial parasites in feces samples collected from public squares and beaches in São Lourenço do Sul, Rio Grande do Sul, Brazil / Prevalência de parasitos com potencial zoonótico em amostras fecais coletadas de praças e praias públicas de São Lourenço do Sul, Rio Grande do Sul, Brasil
Authors: Leão Maysa Seibert de , Lignon Julia Somavilla , Cardoso Tainá Ança Evaristo Mendes , Gonçalves Nicole Freitas , Machado Pamela Cristina Andrioli , Antunes Tatiana de Ávila , Ferraz Alexsander , Dias Eduardo Antunes , Pappen Felipe Geraldo , Pinto Diego Moscarelli
Published: December 2021

In recent decades there has been a closer relationship between human beings and pets. Although this relationship is beneficial from several points of view, it also poses a risk to public health, as animals can transmit diseases to humans, called zoonoses. Among the main ones we can highlight the parasitic zoonoses, caused by helminths and protozoa, mainly transmitted via fecal-oral. Public squares and beaches are places with potential for the dissemination of parasitic zoonoses, as they are environments for mutual interaction between people and animals. The purpose of this study was to analyze the prevalence of parasites with zoonotic potential in samples of dog feces and sand collected from public squares and beaches in the municipality of São Lourenço do Sul, Rio Grande do Sul, Brazil. 204 samples of canine feces from the environment and 120 samples of sand were collected and submitted to coproparasitological techniques. Of the total, 57.84% of the fecal samples and 21.66% of the analyzed sand samples were contaminated with some parasitic genus. The contamination of the soil of public squares and beaches by parasites with zoonotic potential demonstrates that the population is at risk in these places, with the need to adopt sanitary measures to avoid human infection by zoonoses.
Alimentação da gestante e a saúde bucal da criança: Revisão de Literatura / Pregnant women's diet and child's oral health: Literature Review
Authors: Ferreira Gabriella Marry Freitas , Souza José Antonio Santos
Published: December 2021

Uma alimentação adequada é um quesito indispensável para o crescimento e desenvolvimento humano apropriado, desde a gestação até o crescimento do indivíduo. Durante a gestação, a formação dos dentes do feto pode ser alterada pelos efeitos provenientes da dieta da mãe, podendo ocasionar defeitos de desenvolvimento do esmalte dentário. Diante disso, o objetivo deste trabalho foi realizar uma Revisão de Literatura sobre a alimentação da gestante e a saúde oral da criança. Para isso, um levantamento bibliográfico nas Bases de Dados PubMed, ‘Scientific Electronic Library Online’ (SciELO) e Biblioteca Virtual em Saúde foi realizado, utilizando os seguintes descritores: ‘desnutrição’ e ‘hipoplasia do esmalte’. Os principais nutrientes envolvidos com a odontogênese são cálcio, fosfato, vitaminas A, C, D e o balanço proteico-energético. A deficiência desses nutrientes, durante a gestação, pode levar a hipoplasia de esmalte ou hipocalcificação, a depender da fase da amelogênese em que ocorreu o transtorno nutricional. Além disso, crianças com peso muito baixo podem apresentar uma maior prevalência de defeitos no esmalte, o que pode levar à cárie dentária. Portanto, a gestante precisa ter uma adequada alimentação, a fim de evitar alterações no esmalte dentário e predisposição à cárie dentária na criança.
Anemia ferropriva na infância: diagnóstico e tratamento / Ferroprivate anemia in childhood: diagnosis and treatment
Authors: Da Silva Pamela Cinthianne , Benchaya Aline de Almeida
Published: December 2021

A anemia ferropriva é uma condição caracterizada pela baixa concentração de hemoglobinas no sangue em decorrência da falta de ferro no organismo afetado, e acomete aproximadamente 47,4% das crianças em idade pré-escolar no mundo todo, e essa mesma taxa chegando a incidir, no Brasil, em 54,9% dessa população. Esse artigo faz uma revisão bibliográfica integrativa de textos publicados entre 2011 e 2021 sobre o tema, discutindo a) as formas de diagnóstico da anemia ferropriva, b) as formas de combate contra a mesma por meio de políticas públicas, c) seus possíveis efeitos no desenvolvimento da criança e d) diferentes tratamentos expostos na literatura, sendo que os artigos buscados foram encontrados nas bases de dados PubMed (Public Medline), Scielo (Scientific Eletronic Library online), BVS (Biblioteca Virtual em Saúde) e Google Acadêmico. Conclui-se que existem diversos sintomas clínicos e exames laboratoriais que podem auxiliar no diagnóstico preciso da anemia ferropriva; que o Estado deve oferecer conscientização mais ampla sobre os problemas decorrentes da mesma, treinar suas equipes de saúde para participar desse esforço para atrair a comunidade e garantir suprimento de suplementos de ferro para que seja possível uma continuidade no esforço preventivo; que a anemia ferropriva pode infligir graves danos no processo de desenvolvimento da criança, danos esses que desde cedo comprometeriam sua qualidade de vida e potencial cognitivo; d) que o tratamento, independentemente da abordagem, tem a finalidade de repor o nível sanguíneo de hemoglobinas e deixar o depósito de ferro do organismo em níveis normais novamente, embora seja necessário o cuidado para que uma vez que esse quadro seja atingido a suplementação diminua pois o excesso de ferro no sangue é tão perigoso para o infante quanto sua ausência.
Uma revisão sistemática de ensaios clínicos randomizados da suplementação dietética com Agaricales em pacientes oncológicos / An systematic review of randomized controlled trials of dietary supplementation with Agaricales in cancer patients
Authors: Fortes Renata Costa , Silva Bruna Nascimento da , Rezende Antônio José de , Paz Ramyne de Castro da
Published: December 2021

O câncer representa uma das principais causas de mortalidade no Brasil e no mundo. Devido aos efeitos colaterais dos tratamentos convencionais do câncer, terapias alternativas tornam-se imprescindíveis. Evidências científicas apontam que os fungos medicinais são capazes de exercer efeitos antitumorais, antiinflamatórios, antiproliferativos e imunomoduladores. O objetivo deste estudo foi investigar as evidências científicas da suplementação dietética com fungos Agaricales em pacientes oncológicos. Tratou-se de uma revisão sistemática, utilizando artigos publicados entre janeiro de 2007 e junho de 2021, nos idiomas inglês, espanhol e português, indexados em PubMed, Lilacs, SciELO e Cochrane. Dos 08 estudos elegíveis, foram selecionados 07 artigos na base de dados PubMed e 01 estudo da SciELO, sendo todos ensaios clínicos randomizados (ECR). Observou-se que os fungos da ordem Agaricales são capazes de exercer efeitos benéficos na qualidade de vida de pacientes oncológicos, minimizar os efeitos colaterais da quimioterapia, melhorar o estado nutricional, modular o metabolismo lipídico e da glicose, intensificar o sistema imunitário, melhorar a série vermelha e a função hepática, constituindo uma promissora terapia adjuvante contra as neoplasias malignas.
Tribal women health care in Jharkhand State Of India: Emerging Issue And Challenge/ Saúde das mulheres tribais no estado de Jharkhand na Índia: Questão emergente e desafio
Authors: Choudhary Paras Kumar
Published: December 2021

Jharkhand is properly known as the land of forests. It consists of full of hills rivers; valley and green forests .This state has its own charm. So for as matter of pollution causing health point of view the Jharkhand is good place.Scientific method has been used for this study. The four villages of Namkom of Ranchi District are a areas of study. Purposive sampling method was applied for selection of 100 hundred respondents among the Uraon, Lohra, Munda, Chik Baraik and Mahli tribal?s women and data has been collected through Interview and observation method. Descriptive Research Design has been used for conducting the present study.After survey its is prevailed that there is contradiction between perception and the realization.The study finds that the most of the tribal?s women are being benefited from above efforts. Unfortunately a number of Govt. health activist are not in position to undertake a requirement of tribal people as a whole. The Indian Govt. spent a lot of money for the health care of tribal women but unfortunately they are being affected from the Anemia, Vitamin A deficiency T.B. Filaria, Blindness, Iodine deficiency Mal- nutrition and several diseases.
Structural diversity of fruits: conceptual reflexions and taxonomic implications / Diversidade estrutural de frutos: reflexões conceituais e implicações taxonômicas
Authors: De Souza Luiz Antonio
Published: December 2021

Fruit either originates solely from the ovary or ovary and other floral parts and inflorescence. Besides the ovary itself, the pedicle, bracteoles, receptacle, hypanthium, sepals, petals and inflorescence axis are included in the fruit development. Analysis was made in embedded historesin/paraffin material and sectioned in microtome. In the fruit ontogeny the pericarp either may be non-multiplicative or multiplicative. In the first case, the ovary wall differentiates in pericarp without the installation of meristem. Adaxial, middle or abaxial meristems can be installed in the multiplicative pericarp fruits from the periclinal cell divisions that occur in both the epidermis and the ovary mesophyll. Separation tissue takes place in the carpel margins and midrib in dehiscent fruits or it can remain as residual tissue in indehiscent fruits. Fruit classification is complex, and it may show divergence in nomenclature among fruit specialists. Structural fruit ontogeny can be a useful tool for its classification. Fruit structure has been used as diagnostic character of species, genera and tribes of angiosperms. Hypothesis about fruit evolution indicates that apocarpic fruit with follicles can be a basic evolutionary condition, at least among the sensu lato dicots. The Araucaria angustifolia pine seed is considered here as a fruit with protocarps/spermatocarps.
Microencapsulation by lyophilization of natural carotenoids using different wall materials/ Microencapsulação por liofilização de carotenoides naturais utilizando diferentes materiais de parede
Authors: Braga Lilianne Tassinari , Borba Carina Molins , Rodrigues Tabita Veiga Dias , Moraes Caroline Costa , Burkert Janaina Fernandes de Medeiros
Published: December 2021

Due to the biological importance of carotenoids, several works have been developed aiming for the reduction of carotenoid degradation, and one notable proposed alternative has been the formation of microcapsules. Therefore, the aim of the current paper was the microencapsulation of carotenogenic extracts from Rhodotorula mucilaginosa and Sporidiobolus pararoseus by a lyophilization method utilizing gum arabic, xanthan gum, sodium alginate and soy protein-like wall materials. The gum arabic showed the greatest efficiency of encapsulation for the R. mucilaginosa (66.3±0.8 %) and S. pararoseus (91.4±0.9 %) carotenogenic extracts, while the soy protein showed the lowest efficiency of encapsulation (40.7±1.1 % for R. mucilaginosa and 68.5±1.5 % for S. pararoseus). Scanning electron micrographs (SEM) showed irregular structure formation that was independent of the material utilized for the encapsulation. In this way, it was possible to observe that the wall materials directly affect the encapsulation efficiencies, morphology, and thermal behavior of the capsules of natural carotenoids.
Factors associated with the loss of dental implants and the impact on the quality of life / Fatores associados com a perda de implantes dentários e o impacto sobre a qualidade de vida
Authors: Schimunda Nathalia de Faria , Deliberador Tatiana Miranda , Da Silva Gabryelle Costa , Bastos Raphaela Christine , Rozza Marcos Gabriel Garibotti , Meger Michelle do Nascimento , Zielak João César , Brancher João Armando
Published: December 2021

Introduction: Several factors can be associated with loss of dental implants and this loss can affect the quality of life. Objective: The objective of this work was to evaluate the factors involved in the loss of dental implants as well as the impact of the loss on the individual's quality of life. Methods: This study included 25 patients who reported the loss of at least one dental implant. Personal data were collected and regarding the medical and dental history. Data such as medication use, presence of systemic diseases, smoking, and consumption of alcoholic beverages were noted. In the dental history, the items relevant to this study were whether patients installed dental implants and whether or not they were lost and how long after installation. To assess the quality of life, oral health-related quality of life, quality of sleep and anxiety trait were used the WHOQoL-bref questionnaire, oral health-related quality of life questionnaire, Sleep Assessment Questionnaire (SAQ) questionnaire and the trait-state anxiety inventory (STAI-T), respectively. In addition, the presence of dental crowding, incisal spacing, and anterior open bite were evaluated. The time elapsed between installation and implant loss was counted in months. The data were submitted to statistical analysis (Spearman, Mann-Whitney, and Kruskal-Wallis correlation and Adjusted Generalized Linear Regression). Values of p 0.05 were considered significant. Results: 25 patients participated in this study. The correlation test showed a significant moderate negative correlation between the Physical Domain of the WHOQoL-bref Questionnaire and Implant Loss Time in Months (r = -0.4689 p = 0.024). Patients with schooling up to high school lost their implants more quickly compared to patients with schooling up to higher education (? = -8.48; p = 0.047). When evaluating Implant Loss Time as an independent variable, no significant results were observed. Conclusion: The early loss of dental implants affects the general quality of life of individuals in the physical domain and this event is associated with low schooling.
Roux-en-y gastric bypass improves in short term the clinical-anthropometric parameters and reduces risk for obesity-related cardiometabolic diseases / Bypass gástrico roux-en-y melhora a curto prazo os parâmetros clínico-antropométricos e reduz o risco de doenças cardiometabólicas relacionadas à obesidade
Authors: Lima Thiago da Rosa , De Almeida Paula Caroline , Voltarelli Fabrício Azevedo , Culturato Lilian , Ávila Eudes Thiago Pereira , Silva Wender Junior de Deus , Navalta James Wilfred , Damazo Amilcar Sabino
Published: December 2021

Roux-en-Y gastric bypass surgery (RYGB) is the most applied technique in the treatment of severe obesity worldwide. However, its impact on anthropometric parameters and the risk for cardiometabolic diseases in obese patients is uncertain. To evaluate anthropometric clinical parameters and the evolution of risk factors for obesity-related diseases in individuals of both sexes undergoing RYGB. Sixty-nine adults subjects from both sexes submitted to RYGB surgery treatment were divided into 3 groups: G1(13 months, n=24); G2 (13 and 25 months, n=21), and G3 (25 and 37 months, n=24). Sociodemographic and anthropometric information before and after surgery were collected. The abdominal perimeter was used in the classification of cardiometabolic risk and the BMI was used for the risk of obesity-related diseases. Hypotheses were tested by Student's t-test and ANOVA, and the significance level adopted was 5%. The average age was 36.0±10.0 years, with 69.6% being male and 30.4% female. Anthropometric parameters (weight, BMI, and abdominal circumference) were higher among women, except for weight loss and percentage of weight loss. There was a difference in weight loss between the sexes in the moments before and after RYGB. There was a decrease in the risk of disease due to obesity and cardiovascular diseases after RYGB. Weight loss and %WL were greater years by year in the short term of 3 years after surgery. RYGB proved to be an effective strategy for both sexes in combating obesity, providing in the short term a significant improvement in clinical-anthropometric parameters and reduction of risk factors for obesity-related cardiometabolic diseases.
Differentially expressed proteins in genetically edited human podocytes: contributing to the understanding of early molecular events in Fabry Disease
Authors: Neto José Tiburcio do Monte , PEREIRA ESTER MIRANDA , Da Silva Adalberto Socorro , Oliveira Ivana Helena Rocha , Do Monte Semiramis Jamil Hadad , Labilloy Anatalia , Andrade Helida Monteiro , Kirsztajn Gianna Mastroianni
Published: December 2021

Background: Podocyte damage and subsequent proteinuric chronic nephropathy are prominent features of Fabry Disease (FD), a multisystemic X-linked inherited lysosomal storage disorder caused by deficient activity of the alpha-galactosidase A (α-GAL A) enzyme following mutations in the GLA gene. Methods: A proteomic approach based on two-dimensional gel electrophoresis coupled with mass spectrometry was used to explore differentially expressed proteins in podocytes with α-GAL A deficiency. This deficiency was developed through GLA gene deletion using CRISPR/Cas9 genome-editing technology in an immortalized human podocyte culture cell line. To further validate our proteomic findings, we compared the expression of autophagy-specific biomarkers (LC3B and p62) using western blotting, as well as evaluated apoptosis using propidium iodide fluorescence microscopy. Results:  Our results showed that protein levels of ubiquitin carboxyl-terminal esterase L1, alpha-enolase, and heat shock protein 60 were reduced FD podocytes. Functional analysis using gene ontology found these proteins were predominately involved in biological processes, including autophagy regulation and apoptosis. Additionally, we found that autophagy-specific biomarkers LC3B and p62 were overexpressed, confirming impaired autophagy regulation and greater apoptosis in FD podocytes. Conclusions Our findings suggest impaired proteostasis in FD podocytes due to concomitant dysfunction of the ubiquitin–proteasome system and the autophagy pathway; both of which are potentially implicated in the pathogenesis of FD nephropathy.
5.Sınıf İngilizce Ders Kitabında Yer Alan Değerler ve İngilizce Öğretmenlerinin Değerler Eğitimi Konusundaki Görüşleri
Authors: GÜL Saime , MAVİŞ SEVİM Özge
Published: December 2021

Bu araştırmada ilk olarak Ortaokul 5. sınıf İngilizce Happy English Ders Kitabı, aktarılan değerler bağlamında analiz edilmiştir. Araştırmanın bu kısmında doküman analizi tekniği kullanılmış ve veriler betimsel analiz yöntemiyle analiz edilmiştir. Analizler sonucunda arkadaşlık, sağlıklı yaşam, sporseverlik, yardımseverlik ve nezaket gibi değerlere sıklıkla yer verildiği, Milli Eğitim Bakanlığının İngilizce öğretim programında öne çıkardığı adalet, dürüstlük, sevgi, saygı, vatanseverlik ve özdenetim gibi değerlere ilişkin verilere çok az rastlandığı tespit edilmiştir. Araştırmanın diğer amacı, İngilizce öğretmenlerinin 5.sınıf ders kitaplarındaki değerler eğitimiyle ilgili görüşlerini ortaya koymaktır. Araştırmanın çalışma grubunu 2020-2021 eğitim-öğretim yılında Türkiye genelinde Milli Eğitim Bakanlığına bağlı eğitim kurumlarında çalışan 40 İngilizce öğretmeni oluşturmaktadır. Veri toplama aracı olarak yarı-yapılandırılmış anket formları kullanılmış ve verilerin analizinde betimsel analizden yararlanılmıştır. Çalışmanın sonuçlarına göre öğretmenler farklı kültürleri tanıma, anlama ve saygı, kendi milli ve manevi değerlerimizi kazanmayı sağlama, kişilik/karakter gelişimi sağlama ve derse karşı ilgiyi artırma gibi yönlerden değerler eğitiminin gerekli olduğunu düşünmektedirler. Araştırmaya katılan öğretmenlerin büyük çoğunluğunun kitaptaki değerler eğitimine yönelik etkinlik, içerik ve görsellerin yeterli olmadığı görüşünde olduğu tespit edilmiştir. Ders kitaplarının yetersizliği/etkinlik eksikliği, ailelerden destek alamama, bazı değerlerin içselleştirilmesinin ve uygulanmasının zor olması ve müfredat yoğunluğu gibi nedenlerden dolayı öğretmenler, değerler eğitimi yaparken zorlandıklarını belirtmişlerdir ve bu sorunların çözümüne ilişkin çeşitli önerilerde bulunmuşlardır.
FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN ASUHAN KEPERAWATAN BERBASIS SDKI, SLKI DAN SIKI DI RUMAH SAKIT KUNINGAN MEDICAL CENTER KABUPATEN KUNINGAN TAHUN 2021
Authors: Agustina Anggita Maharani , Pranatha Aria , Puspanegara Aditiya
Published: December 2021

Pelayanan keperawatan yang diberikan masih menjadi permasalahan, karena masyarakat merasakan ketidakpuasan dan beranggapan pelayanan yang diberikan belum optimal. Rumah Sakit di Kuningan khususnya Rumah Sakit KMC masih menggunakan Nanda Nic Noc. Pelaksanaan askep berbasis SDKI, SLKI dan SIKI berhubungan dengan pengetahuan, pendidikan, motivasi dan sikap perawat. Tujuan penelitian ini untuk mengetahui faktor apa saja yang berhubungan dengan Pelaksanaan Askep Berbasis SDKI, SLKI, dan SIKI Di Rumah Sakit KMC Kabupaten Kuningan Tahun 2021.

Jenis Penelitian deskriptif kuantitatif. Populasi penelitian perawat yang bekerja di Ruang Rawat Inap sebanyak 58 orang didapat menggunakan teknik total sampling sesuai kriteria inklusi dan ekslusi. Instrumen penelitian menggunakan lembar kuesioner. Uji statistik menggunakan uji Chi-Square.

Analisis univariat diperoleh faktor pengetahuan sebagian besar kurang (84,5%), pendidikan sebagian besar D3 (65,5%), sikap sebagian besar mendukung (53,4%), motivasi sebagian besar tinggi (39,7%) dan pelaksanaan askep berbasis SDKI, SLKI dan SIKI sebagian besar cukup (67,2%). Hasil uji Fisherâ€™s Exact Test faktor pengetahuan diperoleh p = 0,000>0,05, hasil uji Chi-Square untuk faktor pendidikan diperoleh p = 0,000>0,05, faktor sikap diperoleh p = 0,001>0,05, faktor motivasi diperoleh p = 0,002>0,05.

Terdapat hubungan antara faktor pengetahuan, pendidikan, sikap dan motivasi dengan pelaksanaan askep berbasis SDKI, SLKI dan SIKI Di Rumah Sakit KMC Kabupaten Kuningan. Disarankan agar dapat memberikan pelatihan kepada para perawat khususnya diruang rawat inap mengenai pelaksanaan asuhan keperawatan berbasis SDKI, SLKI dan SIKI untuk meningkatkan pengetahuan, keterampilan dan pengalaman perawat.
PENGARUH PENGGUNAAN BUKU SDKI, SLKI DAN SIKI TERHADAP PENINGKATAN PENGETAHUAN PERAWAT DALAM MEMBUAT DOKUMENTASI KEPERAWATAN BERBASIS SDKI, SLKI DAN SIKI DI RUMAH SAKIT KMC KUNINGAN TAHUN 2021
Authors: Awaliyani Via Alfiyah , Pranatha Aria , Wulan Nur
Published: December 2021

Rumah sakit mempunyai peran penting dalam meningkatkan derajat kesehatan masyarakat, memberikan pelayanan kesehatan yang baik merupakan bentuk kepuasan bagi masyarakat. Asuhan keperawatan yang berkualitas menentukan pelayanan kesehatan yang berkualitas juga. Untuk membuat asuhan keperawatan yang berkualitas, perawat harus memiliki tingkat pengetahuan yang baik, khususnya pendokumentasian. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan buku SDKI, SLKI dan SIKI terhadap peningkatan pengetahuan perawat dalam membuat dokumentasi asuhan keperawatan berbasis SDKI, SLKI dan SIKI di Rumah Sakit KMC Kuningan Tahun 2021. Desain penelitian ini adalah quasy eksperimen pretest and posttest with control group. Seluruh perawat rawat inap sebagai subjek penelitian. Teknik pengambilan sampel dengan total sampling sebanyak 36 orang. Instrumen yang digunakan adalah kuesioner pengetahuan yang berisi teori SDKI, SLKI dan SIKI. Kemudian dianalisis dengan menggunakan uji non parametrik Wilcoxon test dan independent paired t-test. Terdapat pengaruh penggunaan buku SDKI, SLKI dan SIKI terhadap peningkatan pengetahuan perawat dalam membuat dokumentasi keperawatan berbasis SDKI, SLKI dan SIKI di rumah sakit KMC Kuningan Tahun 2021. Hasil penelitian kelompok intervensi menunjukkan p-value 0,003 dan perbedaan kelompok intervensi dan kelompok kontrol menunjukkan p-value 0,0001. Terdapat pengaruh yang signifikan terhadap peningkatan pengetahuan perawat pada kelompok yang diberikan intervensi penggunaan buku dan pelatihan buku SDKI, SLKI dan SIKI dengan kelompok kontrol yang tidak diberikan intervensi dan pelatihan buku SDKI, SLKI dan SIKI. Diharapkan perawat dapat mengikuti pelatihan secara periodik apabila pihak manajemen rumah sakit membuat program pelatihan terkait ketiga buku tersebut agar pengetahuan semakin bertambah.
HUBUNGAN KETERATURAN MELAKSANAKAN SHALAT FARDHU DENGAN TINGKAT STRES PADA MAHASISWA KEPERAWATAN YANG SEDANG MENYUSUN SKRIPSI DALAM MASA PANDEMI COVID-19 DI SEKOLAH TINGGI ILMU KESEHATAN KUNINGAN 2021
Authors: Suhada Ronny , Fajrin Asti Dwi
Published: December 2021

Pada tahun 2019 hingga saat ini tengah terjadi sebuah pandemi di berbagai negara termasuk Indonesia. Di Sekolah Tinggi Ilmu Kesehatan Kuningan dari 10 orang mahasiswa 6 diantaranya mengalami stres pada saat menyusun skripsi dalam masa pandemi COVID-19. Shalat merupakan salah satu alternatif yang dapat digunakan mahasiswa dalam manajemen stres. Tujuannya untuk mengetahui hubungan keteraturan melaksanakan shalat fardu dengan tingkat stres pada mahasiswa keperawatan yang sedang menyusun skripsi dalam masa pandemi COVID-19 di Sekolah Tinggi Ilmu Kesehatan Kuningan 2021.Jenis penelitian ini adalah analitik dengan pendekatan cross sectional. Populasinya adalah mahasiswa keperawatan yang sedang menyusun skripsi dalam masa pandemi COVID-19 dengan sampel 110 mahasiswa menggunakan teknik random sampling. Intrumen penelitian yang digunakan yaitu kuesioner. Dan uji statistik mengunakan Rank Spearman. Analisis univariat diperoleh variabel keteraturan melaksanakan shalat fardu sebagian besar memiliki keteraturan cukup baik (51,8%), variabel tingkat stres hampir sebagian besar mengalami tingkat stres ringan (42,7%). Hasil uji statistik Rank Spearman menunjukan ada hubungan yang signifikan antara keteraturan melaksankan shalat fardu dengan tingkat stres (Ï-value sebesar 0,000 < Î±=0,05 dan R = -0,444).Terdapat hubungan antara keteraturan melaksankan shalat fardu dengan tingkat stres pada mahasiswa keperawatan yang sedang menyusun skripsi dalam masa pandemi COVID-19 di Sekolah Tinggi Ilmu Kesehatan Kuningan. Disarankan kepada mahasiswa agar melaksanakan shalat fardu secara teratur sebagai cara untuk mengatasi stres sehingga dapat meminimalisir terjadinya tingkat stres yang lebih berat pada saat menyusun skripsi.
Afectación ambiental por las descargas directas de las aguas residuales sobre fuentes hidricas:
Authors: Navas Gallo Nelson Andrey , Silva Jaimes Constanza
Published: December 2021

El objetivo del presente estudio fue evaluar la afectación al medio biótico, abiótico y demográfico causado por la generación y descarga de las aguas residuales domésticas sin un adecuado tratamiento sobre fuentes hídricas. Se realizaron análisis de los parámetros DQO, DBO5, Sólidos Suspendidos Totales y Aceites y Grasas, en el vertimiento para conocer el cumplimiento de la normatividad Ambiental vigente Resolución 0631 de 2015, de igual forma se halló el índice de biodegradabilidad, donde se demostró que es de carácter poco biodegardable. Finalmente se realizó una identificación y evaluación de impactos ambientales de los componentes del ambiente respecto a las actividades cotidianas que se realizan en el municipio, y de esta forma se determinó la magnitud y afectación sobre los recursos ambientales del municipio de Tona Santander.
Modelación de áreas inundables en un sector minero de la cuenca Quebrada el Arrayán – Región de Coquimbo - Chile.
Authors: Alencar da Silva Alves Keyla Manuela , Contreras Franco Constanza Belén , Parodi Dávila María Carolina
Published: December 2021

La cuenca hidrográfica Quebrada del Arrayán, se encuentra ubicada en la región de Coquimbo, al norte de Chile. Es una zona reconocida por la intensa actividad minera de extracción de cobre y oro, y por los inúmeros tranques de relaves instalados en los alrededores de la zona urbana a oeste de la cuenca. Existen 108 tranques de relaves instalados en el sector oeste de la cuenca, la mayoría de ellos en estado de abandono o inactividad. El sector oeste de la cuenca es un área susceptible a inundaciones, destacando las ocurridas en 1997, 2015, 2017 y 2020. El clima semiárido con régimen de precipitaciones concentradas en pocos días, combinado con sectores de depresión en montaña, como la pampa ondulada y los cordones transversales, son factores que contribuyen con la susceptibilidad de inundación en el área de estudio. La dinámica hídrica en zonas con concentración de numerosos tranques de relaves abandonados puede representar un agravamiento potencial del riesgo, considerando el arrastre de metales pesados y la contaminación del agua y suelo. Como resultado, por medio de modelación matemática en SIG se identificó que 63% de los tranques de relaves abandonados se encuentran instalados en zonas inundables y cercanos a sectores poblados.
Imaginaire et politique
Authors: Sironneau Jean-Pierre
Published: December 2021

L’imaginaire et le politique ont des relations aux multiples aspects et il n’est pas possible de tous les aborder dans le cadre de cet article. Nous choisirons de nous concentrer sur le rapport entre le mythe et l’idée nationale, d’une part, et le mythe et les idéologies politiques, d’autre part. Avant d’envisager ces questions, nous présenterons d’abord les travaux de Gilbert Durand issus de ses articles « Le social et le mythique » et « La cité et les divisions du royaume » ; puis nous nous intéresserons précisément à l’étude des deux axes annoncés. Cet article met ainsi l’accent sur l’importance de l’imaginaire dans la politique et dans la société. Nous conclurons sur l’évolution actuelle, en particulier en Europe occidentale, où le mythe ne joue plus son rôle fédérateur pour la société.
Tout est image. Pour une propédeutique de l’imaginaire
Authors: Walter Philippe
Published: December 2021

La naissance du CRI à Grenoble (en décembre 1966) doit être replacée dans le contexte intellectuel de la nouvelle critique des années 1960. Les trois courants dominants du matérialisme historique, de la psychanalyse freudienne et du structuralisme ont alors été dépassés par le CRI au profit d’un « nouvel esprit anthropologique » qui privilégiait la réalité sensible des images au détriment des idéologies réductrices. Les intellectuels des villes ont perdu le lien charnel avec une civilisation rurale et un mode de vie ayant façonné notre langue, nos croyances et nos fêtes, ainsi que des artisanats séculaires. Le médiéviste peut encore retrouver le lien avec cette mémoire du temps. Mais s’il n’a pas conservé une âme païenne et un esprit paysan, il est condamné à la posture post-moderne. Penser la culture occidentale en contournant ou ignorant le Moyen Âge n’est qu’une imposture. Un exemple de longue vie des images (du Kairos grec à la Fortune médiévale) montre l’importance des relais culturels qui relativise toute théorie préconçue des archétypes.
Les mythes et les symboles grecs anciens et judéo-chrétiens dans le roman Le Cercle de Stratis Tsirkas
Authors: Karagianni Elefthéria
Published: December 2021

Le Cercle, de l’auteur grec Stratis Tsirkas, classifié parmis les romans politiques, est une œuvre qui met sur le devant de la scène l’importance des mythes et des symboles, aussi bien grecs anciens que judéo-chrétiens, dans le contexte de la seconde guerre mondiale au Moyen-Orient. Des gens de nationalités diverses et aux buts variés, sans bornes et complètement déboussolés, à la fois profanant le sacré et sacralisant le profane se concentrent autour de la ville de Jérusalem. L’imaginaire mythique du roman tourne autour des trois axes principaux : le premier est la sacralité de la ville et l’importance du centre ; le deuxième concerne les symboles aquatiques et le rêve, et le troisième axe le symbole de la femme. Leur analyse nous aidera à percevoir des mythes et des symboles en tant que modus vivendi, et leur effet sur la conscience, le comportement et l’action humains en 1942, durant la période du conflit armée en Europe.
PENGEMBANGAN PERANGKAT PEMBELAJARAN FISIKA BERBASIS MASALAH UNTUK MENINGKATKAN KEMAMPUAN BERPIKIR KRITIS PESERTA DIDIK
Authors: Hasin Ardiansah , Ali Sidin , Arafah Kaharuddin
Published: December 2021

Abstrak. Penelitian ini bertujuan untuk : memeroleh informasi tentang profil perangkat pembelajaran berbasis masalah, mengetahui apakah kemampuan berpikir kritis yang diperoleh peserta didik yang diajar melalui model pembelajaran berbasis masalah lebih baik dibandingkan dengan peserta didik yang diajar tanpa melalui model pembelajaran berbasis dan mengetahui respon peserta didik terhadap perangkat pembelajaran fisika berbasis masalah untuk meningkatkan kemampuan berpikir kritis peserta didik. Desain penelitian yang digunakan adalah Posttest Only Control Group Design. Pengumpulan data dilakukan melalui observasi dan tes kemampuan berpikir kritis untuk mengukur kemampuan berpikir berpikir kritis peserta didik kemudian selanjutnya data dianalisis dengan menggunakan analisis deskriptif-inferensial. Hipotesis penelitian Kemampuan berpikir kritis peserta didik yang diajar melalui model pembelajaran berbasis masalah lebih baik dibandingkan peserta didik yang tidak diajar dengan menggunakan model pembelajaran berbasis masalah. Hasil penelitian menunjukkan bahwa perangkat pembelajaran yang dikembangkan yang meliputi buku peserta didik (BPD), lembar kegiatan peserta didik (LKPD), rencana pelaksanaaan pembelajaran (RPP) dan tes kemampuan berpikir kritis (TKBK) setelah dilakukan validasi dan ujicoba maka perangkat pembelajaran tersebut dinyatakan valid, praktis dan efektif sehingga layak untuk dipergunakan dalam pembelajaran fisika. Sedangkan kemampuan berpikir kritis dapat tercapai secara optimal melalui pembelajaran dengan menggunakan pembelajaran berbasis masalah.hal ini terlihat dari Hasil analisis deskriptif menunjukkan bahwa nilai rata-rata skor tes kemampuan berpikir kritis peserta didik Kelas XI IPA 2 MAN 2 Model makassar yang diajar melalui model pembelajaran berbasis masalah sebesar 56,63 dan standar deviasinya 7,17. Sedangkan nilai rata-rata skor tes kemampuan berpikir kritis peserta didik Kelas XI IPA 2 MAN 2 Model makassar yang diajar tanpa menggunakan model pembelajaran berbasis masalah sebesar 39,23 dan standar deviasinya 8,32. Hasil analisis inferensial menunjukkan bahwa Kemampuan berpikir kritis peserta didik yang diajar melalui model pembelajaran berbasis masalah lebih baik dibandingkan peserta didik yang tidak diajar dengan menggunakan model pembelajaran berbasis masalah pada taraf nyata = 0,05
ANALISIS HASIL BELAJAR FISIKA KELAS XI MIPA SMA NEGERI 2 POLEWALI
Authors: Arham Arham
Published: December 2021

Penelitian ini menggunakan metode deskriptif dengan pendekatan kuantitatif yang bertujuan untuk menganalisis informasi tentang gambaran hasil belajar fisika di SMA Negeri 2 Polewali tahun ajaran 2019/2020. Subjek dalam penelitian ini adalah peserta didik kelas XI  MIPA SMA Negeri 2 Polewali yang berjumlah 103 orang. Tujuan penelitian ini untuk memperoleh data kemampuan kognitif peserta didik dengan memberikan tes tertulis berupa pilihan ganda diakhir pembelajaran dan untuk memperoleh data kemampuan psikomotorik peserta didik dengan menggunakan lembar observasi serta ranah afektif menggunakan instrumen penilaian diri. Berdasarkan analisis statistik deskriptif diperoleh gambaran kemampuan kognitif peserta didik berada pada kategori tinggi dan gambaran kemampuan psikomotorik peserta didik berada pada kategori cukup terampil serta gambaran ranah afektif peserta didik berada pada kategori baik
PENGEMBANGAN INSTRUMEN PENILAIAN HASIL BELAJAR FISIKA PESERTA DIDIK SMA NEGERI 11 PINRANG
Authors: Rajja Fitriani
Published: December 2021

Penelitian ini bertujuan untuk mengembangkan instrumen penilaian hasil belajar fisika peserta didik SMA Negeri 11 Pinrang yang terdiri atas instrumen dan rubrik pada ranah sikap, pengetahuan, dan keterampilan. Penelitian ini merupakan penelitian pengembangan instrumen penilaian hasil belajar fisika untuk materi Penelitian ini merupakan penelitian pengembangan instrumen penilaian hasil belajar fisika untuk materi Hukum Newton. Pengumpulan data validasi teoteris melalui pendapat pakar dan proses validasi empiris dengan teknik tes dan nontes. Hasil penelitian menunjukkan bahwa terdapat 2 butir instrumen ranah pengetahuan yang tidak valid secara teoretik dengan koefisien konsistensi antarpakar sebesar 0,96. Sedangkan, untuk instrumen penilaian ranah sikap dan keterampilan semua butir instrumen valid secara teoretik dengan nilai koefisien konsistensi untuk kedua instrumen sebesar 1,00. Pada tahap validasi empirik dilakukan ujicoba beberapa kali untuk tiap-tiap instrumen. Untuk instrumen penilaian ranah sikap spiritual sebanyak 3 kali dan sikap sosial sebanyak 4 kali. Untuk instrumen penilaian ranah kognitif dilakukan 3 kali dan terdapat 3 butir soal yang tidak valid pada ujicoba ketiga. Sedangakan untuk instrumen penilaian keterampilan kinerja sebanyak 2 kali. Berdasarkan hasil analisis semua instrumen penilaian yang dikembangkan telah valid dan reliabel serta layak digunakan.
KORELASI MOTIVASI DAN HASIL BELAJAR FISIKA KELAS XI MIPA SMA NEGERI 1 KUALA TUNGKAL
Authors: Aprily Uliya
Published: December 2021

Penelitian ini menggunakan metode deskriptif dengan pendekatan kuantitatif yang bertujuan untuk menganalisis tentang korelasi motivasi belajar dan hasil belajar siswa SMAN 1 Kuala Tungkal tahun ajaran 2020/2021.Subjek dalam penelitian ini adalah peserta didik kelas XI MIPA SMAN 1 Kuala Tungkal yang berjumlah 62 orang.Tujuan penelitian ini untuk mengetahui gambaran motivasi belajar siswa berada pada kategori kadang-kadang,hubungan motivasi belajar dan hasil belajar siswa kelas XI SMAN 1 Kuala Tungkal.
STUDI TENTANG KONDUKTIVITAS DAN RESISTANSI TERMAL GEOPOLIMER BERPORI BERBASIS ABU TERBANG (FLY ASH)
Authors: Sulfianty Sulfianty , Nurhayati Nurhayati , Subaer Subaer
Published: December 2021

Telah dilakukan penelitian yang bertujuan untuk menyelidiki sifat konduktivitas dan resistansi termalnya. Pembuatan sampel dengan menambahkan agen pembentuk pori (H2O2) ke dalam pasta geopolimer yang diaktivasi menggunakan alkali, dikeringkan (curing) pada suhu 70 ̊C selama 24 jam dan disimpan pada ruang terbuka selama ± 3 hari. Pengujian awal meliputi pengujian porositas, massa jenis dan daya serap air sedangkan pengujian untuk  sampel geopolimer berpori sesuai standar SNI 03-0349-1989 terdiri dari X-ray Diffraction, mikroskop optik digital, konduktivitas dan resistansi termal serta resistansi api dan panas (Shock thermal). Berdasarkan hasil penelitian dapat disimpulkan bahwa penambahan H2O2 akan memperbesar porositas dan daya serap air sehingga massa jenis akan semakin kecil. Sampel yang sesuai standar SNI 03-0349-1989 berdasarkan pengujian awal adalah sampel dengan komposisi 1,6%. Hasil karakterisasi XRD menunjukan bahwa fase berbentuk amorf dengan intensitas tertinggi diperoleh oleh SiO2 dan hasil karakterisasi mikroskop optik digital menunjukan bahwa ukuran pori dari sampel tidak seragam berkisar antara 1-10 mm. Adapun hasil uji konduktivitas dan resistansi termal berturut-turut yaitu 0,77 W/m ̊K dan 0,02 K.m2/W. Serta uji resistansi api dan panas (shock thermal) menunjukan bahwa sampel dapat bertahan hingga 1300 ̊C. Hal ini menunjukan bahwa geopolimer berpori berbahan dasar abu terbang (Fly Ash) memiliki nilai konduktivitas dan resistansi termal yang rendah dan tahan terhadap suhu tinggi sehingga dapat diaplikasikan sebagai bahan isolasi termal yang baik dan ramah lingkungan.
ODONTOLOGIA E DOENÇA DE ALZHEIMER: UMA REVISÃO INTEGRATIVA
Authors: Bhertyne Pinheiro Romão Clara , Costa de Holanda Rafaela , Albuquerque de Souza Samara , Oliveira de Abreu Layana , Alexandre Casimiro de Oliveira Marcos , Lopes Drumond Clarissa
Published: December 2021

Introdução: A doença de Alzheimer (DA) é caracterizada por uma afecção neurodegenerativa progressiva e irreversível, que a priori gera perda da memória recente e posteriormente, a memória geral, incluindo vários distúrbios cognitivos, o que afeta diretamente a convivência do indivíduo. Para facilitar sua compreensão diagnóstica e o tratamento, é dividida em três estágios: inicial, intermediário e avançado. Objetivo: Nesse contexto, o objetivo deste trabalho foi realizar uma revisão integrativa de literatura sobre a odontologia e a doença de Alzheimer com ênfase no manejo e tratamento odontológico em consultório. Método: Para isso, o método utilizado foi o qualitativo, sendo realizada uma revisão integrativa de literatura a partir de pesquisas bibliográficas nas bases de dados: SCiELO (Scientific Online Library), Google Acadêmico, PUBMED (National Library of Medicine National Institutes of Health dos EUA) e o Guia de atenção à saúde bucal da pessoa com deficiência (Ministério da Saúde), a partir de trabalhos publicados entre 2006 e 2020. Resultados e discussão: A partir desse levantamento, fica evidente a importância de o cirurgião-dentista ter um conhecimento voltado para a DA, sendo necessário a aplicação de técnicas e manejos adequados para a condução do tratamento odontológico, tornando o atendimento satisfatório e garantindo a saúde bucal e a qualidade de vida do paciente. Conclusão: Portanto, embora haja estudos e protocolos voltados ao tratamento odontológico e a doença de Alzheimer (DA), se faz necessário um protocolo mais robusto e objetivo que oriente o profissional de odontologia para o manejo adequado do paciente com a DA, permitindo assim uma maior uniformidade e qualidade nesse atendimento.

Palavras chave: saúde bucal, doença de Alzheimer, assistência odontológica.