bluuebunny/crossref_metadata_2025 huggingface dataset:
La metáfora: una aliada del aprendizaje
Authors: Molina Rodelo Deiler Hernando
Published: December 2021

La capacidad de comunicarnos no deja de asombrarnos, a pesar de ser algo tan usual en nuestras vidas. Siendo algo tan frecuente, nos ha permitido generar y transmitir los más grandes conocimientos conocidos de los cuales, muchos, se han expresado en forma de metáforas. En este artículo se hablará de algunas metáforas que se dan en el ámbito cotidiano y pedagógico, de la metáfora como herramienta cognitiva, de la categorización y la integración conceptual con el fin de reconocer la metáfora; uno de los recursos poéticos, comunicativos y cognitivos más mencionados, como un elemento inherente en la actividad de la enseñanza y el aprendizaje.
Socioafectividad y nociones sobre la problemática ambiental en primera infancia
Authors: Sánchez Colorado Daniela
Published: December 2021

Este artículo tiene como objetivo reflexionar sobre la relación que hay entre la educación ambiental y la dimensión socioafectiva en la primera infancia, durante la implementación de la estrategia didáctica llamada: “Si me enseñas, salvo el mundo”, en la cual se generó empatía por el ambiente, al comprender acontecimientos que afectan el medio natural y las consecuencias que tienen sobre los seres que en él habitan. Las experiencias y situaciones problemáticas implementadas demostraron que los niños y niñas en su etapa inicial pueden comprender escenarios complejos al socializar nociones del conocimiento natural y ambiental; además de la motivación por aprender, potenciar habilidades de pensamiento, ejercitar procesos cognitivos, crear hipótesis, relacionar su cotidianidad con situaciones externas relacionadas y buscar posibles soluciones, para llegar a la conclusión de la importancia de la enseñanza de la educación ambiental desde los primeros años de vida.
AS MULHERES NA PESQUISA: O TRABALHO DA PESQUISADORA EM MEIO A PANDEMIA DA COVID-19
Authors: Bartmeyer Susana Maria , Tullio Ágatha , Carmo Gonçalo Cassins Moreira do
Published: December 2021

Dentro do universo da pesquisa acadêmica há uma infinidade de sujeitos. Por isso, dentro desse universo, há uma infinidade de identidades. São homens, mulheres, jovens, idosos, heterossexuais, homossexuais, brancos, amarelos, negros, indígenas. Algumas dessas identidades se sobrepõem e formam as interseccionalidades.
CCB Preservative Treatment of Acacia mangium Poles by Pressure Process
Authors: Akhter Khurshid , Chowdhury Mozammel
Published: December 2021

A study was conducted on the preservative treatment of Acacia mangium poles to determine the treatment schedule for outdoor use. The poles contained 52.27% sapwood which is generally perishable by wood destroying organisms. In this study, 27 poles were treated with aqueous solution of 10% CCB by Lowry empty cell process. Three different pressures and three time periods were applied to evaluate the depth of penetration and amount of retention of the preservative chemicals. It was observed that preservative chemicals penetrated the entire sapwood portions of the poles which are the main criteria for the protection of poles. But, on the other hand, no significant increase was observed in penetration with the simultaneous increase of pressure and time period, although the retention of the preservatives was found to increase significantly. The highest retention of 22.98 kg/m3 and full penetration of sapwood was observed after 1.04 N/mm2 pressure for three hours. It is expected that the applied pressure and time period are adequate for protecting the Acacia mangium poles from wood destroying organisms in outdoor condition.
Ruptured Abdominal Aortic Aneurysm After Successful Transcatheter Aortic Valve Replacement- A Case Report and Review of Management
Authors: Trostler Michael S
Published: December 2021

Background: Transcatheter aortic valve replacement is an important procedure with the aging US population presenting with more aortic stenosis and as many as 10 % of these patients presenting with an abdominal aortic aneurysm at the time of screening. This procedure has also been shown to be as safe as open aortic valve replacement with lower risks of death, stroke, and rehospitalization. Case Report: A 91-year-old female presents approximately one month after transcatheter aortic valve with an acute retroperitoneal rupture of a known abdominal aortic aneurysm. The patient was taken for an emergent endovascular aortic aneurysm repair and became suddenly unresponsive and apneic prior to any anesthetic drug administration, the patient was intubated, and rapid transfusion was started. The procedure was completed successfully with immediate improvement in the patient’s vitals after deployment of the stent. The patient was recovering well, but five days later had a sudden pulseless electrical activity arrest and after appropriate but unsuccessful advanced cardiac life support was declared deceased. Conclusion: While not standard of care, a simultaneous endovascular aneurysm repair during transcatheter aortic valve repair in select patients seems to be a safe procedure without increase in complications from either procedure completed separately. The aim of this manuscript is to review the recent success of simultaneous repair and to illustrate that this newer method may improve outcomes.
Extracranial Dural Arteriovenous Fistula as a Cause of Mastoid Mass: A Case Report
Authors: Rahman Md Moshiur
Published: December 2021

Introduction: Dural arteriovenous fistulas account for 10 to 15% of intracranial arteriovenous malformations. They are defined as malformations to short-circuits between dural and extracranial arteries with dural venous sinuses. Its presentation is in frequent and its management is a challenge in low- and middle-income countries where there are difficulties in accessing high quality technological tools. Case: We present the case of an unusual dural arteriovenous fistula involving the mastoid region and draining into the external jugular vein and through emissary veins into the superior longitudinal sinus, which was treated transarterially. Conclusion: Endovascular management of intracranial dural arteriovenous fistulas can be a challenge. Endovascular treatment includes a transarterial or transvenous approach from the femoral artery or vein. There is little evidence on this subject, so it is necessary to carry out more studies to determine risk factors, intervention effects and medium- and long-term outcomes.
Teori Humanistik Kebutuhan Maslow dalam Pembelajaran Pendidikan Agama Islam Sekolah Dasar (Analisis Artikel Jurnal Sinta 2-6)
Authors: Fajriyah Rania Zulfi , Maemonah Maemonah , Maryamah Maryamah
Published: December 2021

Teori belajar humanistik yakni jenis teori pembelajaran yang dikemukakan oleh Abraham Maslow yang memberi penekanan siswa agar menyukai tahapan pengajaran terhadap objek tertentu ataupun materi yang berkaitan dengan komponen kemaunisaannya. Penelitiannya berikut mempunyai tujuan dalam memberi pendeskripsian atas pendektatan humanistik di pengajaran Pendidikan Agama Islam pada Sekolah Dasar. Penggunaan metode dalam kegiatan meneliti ini yakni bermetodekan library research. Mengacu terhadap hasil penelitiannya yang sudah diteliti, memberi gambaran pendekatan humanistik sebagai suatu pendekatan yang memberikan bantuan siswa agar menyukai pembelajaran atas materi pelajarannya guna pengembangan minat belajar dari siswa menuju yang lebih bagus lagi. Sehingga, pendekatannya yang humanistik mampu diimplikasikan di pengajaran PAI dalam SD. Humanistik ini sangat mengarahkan ke pendidikan membimbing, mengambangkan dan mengarahkan pada minat dasar dimiliki oleh peserta didik berdasarkan dari ketiga komponen, yakni psikomotorik, afektif, serta kognitif.
Simulation performance of selected global and regional climate models for temperature and rainfall in some locations in India
Authors: SHWETA PANJWANI  , S. NARESH KUMAR  , LAXMI AHUJA
Published: December 2021

Global and regional climate models are reported to have inherent bias in simulating the observed climatology of a region. This bias of climate models is the major source of uncertainties in climate change impact assessments. Therefore, use of bias corrected simulated climate data is important. In this study, the bias corrected climate data for 30 years’ period (1976-2005) from selected common fourGCMs and RCMs for six Indian locations are compared with the respective observed data of India Meteorological Department. The analysis indicated that the RCMs performance is much better than GCMs after bias correction for minimum and maximum temperatures. Also, RCMs performance is better than GCMs in simulating extreme temperatures. However, the selected RCMs and GCMs are found to either over estimate or under estimate the rainfall despite bias correction and also overestimated the rainfall extremes for selected Indian locations. Based on the overall performance of four models for the six locations, it was found that the GFDL_ESM2M and NORESM1-M RCMs performed comparatively better than CSIRO and IPSL models. After bias correction, the RCMs could represent the observed climatology better than the GCMs. And these RCMs viz., GFDL_ESM2M and NORESM1-M can be usedindividually after bias correction in the climate change assessment studies for the selected regions.
Effect of elevated CO2 and elevated temperature on growth and biomass accumulation in Valeriana jatamansi Jones. under different nutrient status in the western Himalaya
Authors: MUNISH KAUNDAL  , RAKESH KUMAR
Published: December 2021

Valeriana jatamansi is an important medicinal and aromatic plant used as sedative in modern  and traditional medicines butthere is dearth of literature regarding how elevated CO2 and temperature affect on this plant. Therefore,an experiment was conducted to study the effect of elevated CO2 (550±50 µmol mol-1) and elevated temperature (2.5±0.5°C above ambient) and vermicompost on growth, phenology and biomass accumulation in V. jatamansi under Free Air CO2 Enrichment (FACE) and Free Air TemperatureIncrement (FATI) facilities at Palampur, India, during 2013-2015. Growth parameters and biomass accumulation into different parts were observed at 4, 12 and 16 months after exposure (MAE). Plant height, total dry biomass and leaf area plant -1 increased in elevated CO2 treatment applied with vermicompost as compared to the other treatments. Elevated CO2 significantly enhanced leaf area (3.5-23.5%), leaf biomass (12.7-33.2%), stem (15.3-15.6%), root (3.2-72.5%), rhizome (2.1-42.2%) and total biomass (7.7-52.7%), whereas elevated temperature increased aboveground biomass (15.0-45.3%), belowground biomass (11.6-55.5%) and total biomass (12.4-7.9%), respectively, as compared to ambient. Phenological stages were advanced by 1.2-3.9 days under FACE and FATI as compared to ambient. The results indicate that aboveground, belowground and total biomass increased under elevated CO2 and elevated temperature as compared to ambient.
Magnitude, frequency, trends of heat and cold waves in recent decades and impact assessment in wheat: the case of north Bihar, India
Authors: S. SHERAZ MAHDI  , B. S. DHEKALE  , SUBORNA ROY CHOUDHURY  , MIZANUL HAQUE  , SANJEEV KUMAR GUPTA
Published: December 2021

The climatological distribution of heat and cold waves of two important agro-climatic zones zone-I (North Alluvial Plain), zone-II (North East Alluvial Plain) of the middle Indo-Gangetic Basin of Bihar state of India was analyzed. We used series of daily maximum and minimum temperature data from 1969-2015 of five stations. Results reveal that zone-I and zone-II experienced 248/184 and 275/199average number of heat and cold events, respectively. The trend analysis exhibited almost similar results for both the zones. The zone-I experienced on an average 4.22 and 7.22 heat and cold wave days per season (hot & cold weather period), respectively. There was a non-significant increasing trend @ +0.04/year for heat waves and significant decreasing trend for cold waves (-0.13/year). Zone-II on an average experienced 3 and 12 HW and CW events per season (hot and cold weather period), respectively. In this zone, heat waves were found to be increasing @ +0.11/year, whereas, significant decreasing trend was found for cold waves (+0.32/year). Study also revealed that, heat waves were more frequent and longer in June and May in zone-I and zone-II, respectively. Whereas, cold waves were more freq uent and longer in January for both the zones. These extreme events have profound impact on wheat crop if coincides with its critical stages. However, shifting planting dates and adoption of heat tolerant varieties may help in minimizing the negative impact of these extreme events.
Influence of weather parameters on powdery mildew of mango inflorescence in humid tropics of South Gujarat
Authors: J.K. BANA  , JAIPAL S. CHOUDHARY  , P.D. GHOGHARI  , HEMANT SHARMA  , SUSHIL KUMAR  , SAGAR J. PATIL
Published: December 2021

The influence of environmental parameters on the development of powdery mildew caused by Oidium mangiferae Berthet on mango inflorescence was studied for seven consecutive years (2012-18) in humid tropics climatic conditions of South Gujarat. The disease incidence and severity (DIS), area under disease progress curve-AUDPC (A-value) and apparent infection rate (r-value) were recorded at panicle and fruit setting stages of the tree at weekly intervals. The correlation studies showed that incidence and severity of powdery mildew significantly negative relationship with morning relative humidity (r = -0.631; p<0.05 and r = -0.721; p<0.01) and average relative humidity (r = -0.766 and r = -0.787; p<0.01). Temperature (maximum and average) and evaporation showed positive relationship with incidence and severity of powdery mildew. Further, stepwise linear regression model indicated that average relative humidity as single predictor independent variable had the strongest relationship disease incidence and severity, which explained 59 percent disease incidence and 62 percent for disease severity variability. This forewarning model can be useful for efficient management of powdery mildew disease of mango and as well as agro advisory services to farmers.
Development of agro-climatic grape yield model for Nashik region, Maharashtra, India
Authors: S.J. KADBHANE  , V.L.MANEKAR
Published: December 2021

Prediction of the crop yield is need of time according to the change in climate conditions. In the present study, the Agro-Climatic Grape Yield (ACGY) model has been developed with monthly climatic parameters using multi-regression analysis approach. The developed model was statistically tested for its predictive ability. The discrepancy ratio, the standard deviation of discrepancy ratio, mean percentage error and standard deviation of mean percentage error for the model was obtained as 1.03, 0.19, 0.03% and 0.19, respectively. Sensitivity analysis was carried out for the developed ACGY model using the parametric sensitivity method. In order to know the future grape yield using ACGY model, climate scenarios were generated under Canadian Earth System Model (CanESM2) for three emissions representative concentration pathways as RCP2.6, RCP4.5, and RCP8.5. According to the analysis using ACGY model, increasing yield was observed in grape up to year 2050 as compared to current yield.
Paulus Sang Pendidik
Authors: Ming David
Published: December 2021

This article wants to Examine the teaching of Paul as a leading writer and educator who has the authority of Christ in his teaching. Where the Apostle Paul was an Apostle of Christ who preached the gospel of truth to non-Jews. Apart from being an Apostle, he is also an extraordinary teacher, through his teaching many souls are won, many teachers are born, even many churches of God were established through the ministry of the Apostle Paul. Through a personal experience encounter with Christ Jesus the Lord. Being the main Apostle in the writing of the New Testament. In his teaching. First: his teaching brought many people to a new understanding of Christ. The second gives a living testimony to those who hear it as a powerful form of evangelism. The research method that the author uses is quantitative with a theological approach. Where in this article, the author describes the Apostle Paul apart from being an educator and teacher as well as being a evangelist. The findings of this study are as a method of preaching the gospel of Christ. It is very important to imitate the Apostle Paul who has the ability as a teacher and educator so as to produce the next generation for the continuity of God's church in the ministry for the congregations it serves.
PENGARUH GADGET DAN PERTUMBUHAN KEROHANIAN REMAJA SMP ADVENT BARUSJULU DI MASA PANDEMI COVID-19 BERDASARKAN ULANGAN 6:7
Authors: Pelawi Stepanuston , Hutagalung Stimson , Ferinia Rolyana
Published: December 2021

Latar belakang dilaksannya penelitian ini, melihat anak remaja yang selalu menggunakan gadget baik dalam belajar maupun dalam waktu santai, tujuan dari penelitian ini adalah untuk menganalisis penggunaan gadget dikalangan remaja  dan melihat pertumbuhan kerohanian remaja selama pandemi covid-19 dilingkungan SMP Advent Barusjulu berdasarkan Ulangan 6:7. Metode yang dipergunakan dalam penelitian ini  kualitatif  dan deskriptif dengan melakukan wawancara kepada 124 remaja yang bersekolah di SMP Advent Barusjulu untuk menguatkan hasil analisis kualitatif . Hasil dari penelitian ini lebih banyak waktu yang digunakan remaja untuk bermain gadget daripada berdoa dan membaca Alkitab. Disaat menjelang tidur, remaja lebih banyak menggunakan waktu untuk bermain gadget untuk membuka media sosial dan aplikasi lainnya dan lupa untuk berdoa dan pada waktu  bangun tidur hal pertama yang dilakukan remaja adalah membuka gadgetnya yang mengakibatkan mereka lupa untuk berdoa.  Implikasi penelitian ini agar orang tua berperan untuk menolong dan membimbing anak-anak mereka membagi waktu dalam bermain gadget dan membaca dan menyelidiki firman Tuhan supaya tingkat kerohanian remaja dapat meningkat. Guru Agama Kristen juga memiliki peranan dalam mengarahkan anak remaja SMP Advent Barusjulu untuk meningkatkan pertumbuhan kerohanian.
Analisis Filosofis tentang keilahian Roh Kudus dari sudut pandang anak muda Advent kolayinuk berdasarkan Yohanes 14:16
Authors: Ramlen Matthew woran , Sagala Rudolf Weindra , Hutagalung Stimson , Ferinia Rolyana
Published: December 2021

Abstrak: Dewasa ini banyak anak muda advent salah mengertiakan tentang keilahian Roh Kudus. Berdasarkan latar belakang masalah tersebut, maka tujuan penelitian ini, ialah untuk menganalisis pemaknaan keilahian Roh Kudus dari sudut pandang anak muda berdasarkan Yohanes 14:16. Penelitian ini menggunakan metode kualitatif dengan pendekatan literature yaitu kajian analisis deskripsi yang didasarkan kepada Historical Grammatical Method dengan mengutamakan prisnsip Sola Skriptura, yang berarti Alkitab menginterpretasi dirinya sendiri. Hasil analisis menunjukkan bahwa banyak dari anak muda yang meragukan keilahian Roh Kudus sebagai Allah. Dengan meragukan keilahian Roh Kudus, anak muda semakin kurang aktif mengikuti kebaktian. Dan hati mereka menyimpang dari kebenaran Kristus. Kesalahan anak muda meragukan keilahian Roh Kudus, disebabkan kuranya pemahaman mereka mengenai Roh Kudus adalah perwakilan Kristus di bumi. Roh Kudus, Kekal, Mahatahu, Mahakuasa dan Mahahadir, sehingga Roh Kudus memenuhi kita dengan kuasa untuk hidup sejalan dengan kehendak Kristus.

Kata Kunci: Anak muda, Keilahian, Roh Kudus
Pendampingan Pastoral Untuk Meningkatkan Spiritual Kaum Tuna Rungu
Authors: Tinenti Maxlucky , Hutagalung Stimson , Ferinia Rolyana
Published: December 2021

God created man with the perfection of the image and image of God, because of sin, the perfection of God is lost, the relationship between God and man is cut off and the physical perfection of man decreases, the limitations of reason, physical and mental deficiencies. One of the physical deficiencies that exist in human nature is deafness or deafness. Due to lack of hearing, deaf people feel inferior, not confident, which results in psychological pressure. The research method uses descriptive qualitative, through journals, articles, internet, books. The purpose of this study, how to rebuild self-confidence and psychological pressure by means of pastoral assistance to improve the spirituality of the deaf by providing motivation through pastoral visitation, training in language so that they can read God's word, equipping skills to be able to be independent entrepreneurs, touching with love and applying the word of God. The result is that deaf people have good spirituality, regain their self-confidence and feel worthy of living before God, in society with existing physical deficiencies
EDUKASI GIZI SEBAGAI SALAH SATU MODALITAS TERAPI MEMPENGARUHI SURVIVAL RATE PASIEN DENGAN NEOPLASMA OVARIUM KISTIK
Authors: Cecy Rahma Karim  , As’ad Suryani , Nurpudji A Taslim  , Mardiana Madjid
Published: December 2021

Pendahuluan

Kanker ovarium adalah proses keganasan primer yang terjadi pada organ ovarium. Keganasan ovarium dapat terjadi pada seluruh usia kehidupan wanita. Malnutrisi pada penderita kanker secara negatif berpengaruh terhadap respon terapi, komplikasi, kualitas hidup dan survival penderita. Intervensi nutrisi dapat mencegah malnutrisi.

Laporan kasus

Seorang perempuan dengan diagnosa neoplasma ovarium stadium IV A dengan efusi pleura dan asites yang direncanakan untuk dioperasi. Pasien mengeluh asupan tidak adekuat karena terasa cepat kenyang dan terjadi penurunan berat badan selama 8 bulan sebesar 6 kg. Pemeriksaan fisik ditemukan pasien tampak anemis,loss of subcutaneous fat,asites,muscle wasting ada. Pada laboratorium menunjukkan penurunan kadar hemoglobin dan albumin,peningkatan kadar leukosit. Pasien di diagnosa dengan gizi buruk,anemia normositik normokrom,deplesi sistem imun, hipoalbuminemia, dan leukositosis. Total kebutuhan energi terkoreksi adalah 1450 kkal dengan komposisi protein 19.8 % karbohidrat 50-55% dan lemak 25-30%, yang ditingkatkan bertahap. Intervensi nutrisi diberikan melalui oral berupa makanan lunak dan formula tinggi protein, kebutuhan cairan 1000 ml/hr,diberikan suplementasi multivitamin neurodex,vitamin C 100 mg,vitamin A 6000 IU,zink 20 mg, dan kapsul ikan gabus 3x2 kapsul setiap hari. Setelah 11 hari intervensi nutrisi pasien menunjukkan perbaikan pada hemoglobin, albumin dan lekosit dan kondisi pasien mengalami perbaikan sehingga operasi dapat dilakukan.

Kesimpulan

Intervensi nutrisi; makro dan mikronutrien, monitoring serta edukasi gizi diperlukan untuk menunjang perbaikan kondisi klinis pasien.
PERANAN ANTIOKSIDANT DALAM MENAIKKAN NAFSU MAKAN PASIEN TUMOR PANCREAS DISERTAI GIZI BURUK
Authors: Umrayani  , Agussalim Bukhari  , Suryani As’ad  , Mardiana Madjid
Published: December 2021

Latar Belakang

Tumor pankreas merupakan jenis tumor yang dapat mengenai pankreas baik jaringan eksokrin maupun endokrin.  Sebanyak 90% merupakan tumor ganas jenis adenokarsinoma ductal pankreas yang merupakan neoplasma primer dimana frekuensinya 80% dari semua keganasan pankreas.

Laporan kasus

Seorang laki-laki umur 41 tahun  dikonsul dari bagian bedah dengan diagnosis  Post operasi laparatomi eksplorasi bypass biliodigestif  choledocho-jejunostomy. Keluhan utama nafsu makan berkurang, Dialami sejak ± 17 hari. Ada  mual dan muntah tiap kali makan, nyeri perut dan nyeri luka operasi.  Riwayat makan makanan berlemak tinggi ada, merokok ada, riwayat minum alkohol ada. Pemeriksaan fisis  ditemukan konjungtiva anemis, sclera sub ikterik, thorax ada loss of subcutaneous fat,  ekstremitas ada wasting dan edema dorsum pedis. Pasien didiagnosis dengan Severe Protein Energy Malnutrition ( 64% Lila), status metabolic anemia normositik normokrom (9,4 g/dl), leukositosis (17600), hipoalbuminemia (2,3), hiponatremia (132), Hipocloremia (94).

Penatalaksanaan nutrisi dengan energi 1600 kkal, karbohidrat 55%.  Protein yang diberikan 1,5 g/kgBB/hari, lemak 24% melalui oral berupa makanan lunak, formula peptisol, buah, dan putih telur 2 butir perhari, diberikan kapsul ekstrak ikan gabus 2 kapsul/8 jam, zamel syrup 2 sendok/8 jam. Dan curcuma 400 mg/8jam.

Kesimpulan

Intervensi nutrisi yang optimal, monitoring serta edukasi gizi diperlukan untuk menunjang perbaikan kondisi klinis pasien kanker pankreas disertai dengan gizi buruk dan hipoalbuminemia.
PEMBERIAN L-ALANYL L-GLUTAMYL DENGAN ASUPAN TINGGI PROTEIN PADA PASIEN LUKA BAKAR LISTRIK 48% DERAJAT II-III
Authors: Margherita Suppini Sumardi  , Nurpudji A. Taslim  , A. Yasmin Syauki
Published: December 2021

Luka bakar merupakan masalah kesehatan masyarakat yang paling sering ditemukan pada usia produktif. Data unit luka bakar rumah sakit di Indonesia menunjukkan terjadinya peningkatan mortalitas. Pada luka bakar berat terjadi hipermetabolisme dan proteolisis yang tinggi sehingga diperlukan terapi nutrisi yang tepat dan dini. Dilaporkan kasus seorang laki-laki, 18 tahun dengan keluhan nafsu makan melalui oral menurun dengan diagnosis severe protein energy malnutrition, luka bakar listrik 48% grade II-III. Terapi nutrisi yang diberikan adalah diet energi 3350 kkal melalui oral dan parenteral dengan komposisi protein: karbohidrat: lemak = 14,3%: 50%: 35,7%. Diet dimulai dengan 40% lalu 80% dan 100% dari total energi (hari ke-III). Kebutuhan protein 2,0 g/kg/hari dengan suplementasi parenteral glutamin (13,46 g/hari). Suplementasi mikronutrien berupa zink 40 mg/24 jam, ekstrak ikan gabus 480 g/hari, vitamin B1 4 mg/8 jam, vitamin C 500 mg/12 jam, vitamin A 10.000 IU/24 jam. Perbaikan balans nitrogen dari -7,7 menjadi +5,36. Albumin dan protein total mengalami perbaikan dari 2, 4 g/dl menjadi 3,5 g/dl dan 6,8 g/dl menjadi 6,8 g/dl. Penyembuhan luka terjadi dengan baik (inflamasi-repair dan remodeling) selama tiga puluh tiga hari masa perawatan. Kesimpulan: suplementasi glutamin dengan asupan tinggi protein dapat mempercepat penyembuhan luka, dan mencegah mortalitas pada pasien luka bakar berat.
DEMANDAS ESTRUTURAIS: FLEXIBILIDADE E GESTÃO
Authors: Bochenek Antônio César
Published: December 2021

O protagonismo dos tribunais e a insuficiência da atuação dos poderes constituídos transferem ao Judiciário os debates a respeito da efetividade ou omissão das políticas públicas. O Judiciário recebe demandas com estados de desconformidade dos direitos constitucionais, por meio dos litígios estruturais. Contudo, para o tema, ainda não há legislação processual específica, e são poucas as experiências empíricas estudadas. A pesquisa explora preceitos e valores do processo estrutural mediante interpretação e adaptação das normas existentes, em especial do Código de Processo Civil, que relativizam e mitigam a rigidez das regras processuais. Assim, a investigação centra-se nas duas características essenciais dos processos estruturais, isto é, a flexibilidade processual e a gestão judicial. Em contrapartida, decorrem novas funções judiciais. As pistas estão sendo lançadas para novas pesquisas e investigações.
GESTÃO PROCESSUAL E EFETIVIDADE JUDICIAL: UM ESTUDO DE CASO A PARTIR DO TRIBUNAL DO JÚRI COM MELHOR DESEMPENHO NO RANKING NACIONAL DO CNJ
Authors: Lunardi Fabrício Castagna
Published: December 2021

O presente artigo tem o objetivo de investigar como a gestão processual pode impactar a efetividade de unidades judiciais, a fim de aumentar a celeridade do processo e a qualidade da prestação jurisdicional, bem como estabelecer métricas para medição do desempenho. Para atingir os seus escopos, a investigação se desenvolve a partir de uma linha crítico-metodológica e jurídico-comparativa, buscando analisar a gestão processual na perspectiva de direito comparado. Para aferir o impacto da gestão processual no Judiciário, será utilizada a metodologia estudo de caso, analisando-se o contexto da unidade judicial que ficou em primeiro lugar no ranking nacional de desempenho, medido pelo Conselho Nacional de Justiça. Ao final, conclui-se que a gestão processual produz grandes impactos no desempenho judicial, com aumento da produtividade, redução da taxa de congestionamento, diminuição do acervo processual, além de melhorar a qualidade dos julgamentos, razão pela qual se propõe que as unidades judiciais criem e implementem um modelo estratégico de gerenciamento de processos, que respeite as garantias das partes e contribua para um Judiciário mais efetivo.
LIDERANÇA: ATIVO ESTRATÉGICO DO PODER JUDICIÁRIO
Authors: Batista Francisco Eduardo Fontenele , Figueiredo Luiza Vieira Sá De
Published: December 2021

Após a criação do Conselho Nacional de Justiça como órgão da cúpula administrativa do Poder Judiciário, muito se evoluiu em termos de planejamento e estratégia. Entretanto, ainda é preciso avançar nas políticas de gestão de pessoas. Neste trabalho, propõe-se que a liderança seja compreendida como ativo estratégico da organização. O estudo da liderança foi inicialmente orientado à pessoa e com o tempo passou a ser direcionado à situação, falando-se em liderança situacional. Atualmente, está voltado à interação, ganhando dinamicidade nas relações construídas no ambiente de trabalho, com enfoque no desenvolvimento humano e reflexo na efetividade das atividades organizacionais. Nesse contexto, faz-se necessário o alinhamento da gestão de pessoas à estratégia judiciária, com o desenvolvimento de competências específicas pelos magistrados e servidores do Poder Judiciário, por conta das mudanças experimentadas na sociedade contemporânea. Defende-se que a compreensão da liderança como ativo estratégico do Poder Judiciário refletirá nas estratégias a serem implementadas pelos tribunais e, consequentemente, em maior eficiência no cumprimento de sua missão.
A ABSORÇÃO DA AGENDA 2030 E SEUS 17 OBJETIVOS DE DESENVOLVIMENTO SUSTENTÁVEL PELO JUDICIÁRIO BRASILEIRO: RESULTADOS INICIAIS E PERSPECTIVAS
Authors: Corrêa Priscilla Pereira Da Costa
Published: December 2021

Este artigo trata da relação entre o Judiciário brasileiro e o desenvolvimento, na perspectiva de uma das vertentes da relação entre direito e economia: o movimento direito e desenvolvimento. A partir de formulações teóricas da Nova Economia Institucional acerca da importância do sistema jurídico e das instituições para o desenvolvimento econômico, analisa o resultado da absorção da Agenda 2030 pelo Judiciário brasileiro. Desde a edição da Portaria n. 133/2018, do Conselho Nacional de Justiça – CNJ, pesquisas e debates sobre a absorção dos Objetivos de Desenvolvimento Sustentável – ODS, da integração de metas e da construção de indicadores pelo Judiciário brasileiro vêm sendo realizados. Ao reascender a discusssão sobre direito e desenvolvimento, essa iniciativa convoca análises sobre o desenvolvimento na Constituição Federal e o papel do Judiciário brasileiro no tema. O objetivo deste artigo é verificar a compatibilidade dos ODS com a Constituição de 1988 e identificar as principais contribuições da absorção da Agenda 2030 para a eficiência do Judiciário brasileiro. A metodologia a ser utilizada será a revisão bibliográfica e a coleta de dados sobre as principais iniciativas na implantação de medidas decorrentes da absorção da Agenda 2030 no Judiciário brasileiro.
O TRATAMENTO ADEQUADO DAS CUSTAS PROCESSUAIS COMO INSTRUMENTO DE GESTÃO PROCESSUAL
Authors: Cardozo Rafael Souza
Published: December 2021

O presente trabalho tem como objetivo analisar os efeitos do sistema atual de custas processuais no Judiciário brasileiro na perspectiva da análise econômica do direito e da gestão processual. A partir da pesquisa bibliográfica documental, em especial da análise de dados do Poder Judiciário, verifica-se que as custas processuais são um elemento que impacta diretamente na decisão de litigar. As baixas custas processuais e o financiamento estatal no patamar de 90% servem de estímulo ao ajuizamento de novas demandas, à sobreutilização do Judiciário, à subutilização dos métodos alternativos e à interposição de recursos. Conferir tratamento adequado às custas processuais perpassa pela aproximação do seu valor ao custo efetivo do processo e pela atuação do magistrado gestor, que deve exercer efetivo controle com vistas à concessão de uma tutela judicial justa e efetiva.
A FLEXIBILIZAÇÃO PROCEDIMENTAL EXTRAÍDA DA EXPERIÊNCIA DO CASE MANAGEMENT: UMA ANÁLISE QUANTO À PERTINÊNCIA DO INSTITUTO NO ÂMBITO DOS JUIZADOS ESPECIAIS
Authors: Fonte Rodrigo Maia Da
Published: December 2021

Este trabalho visa avaliar em que medida a flexibilização procedimental extraída da experiência do case management pode ser aplicada no âmbito dos juizados especiais (cíveis e federais). Após exame da importância do referido instituto em relação a outros países (direito comparado), ele será avaliado à luz das normas previstas no Código de Processo Civil e nos juizados especiais, concluindo-se por uma maior pertinência da gestão processual em relação a este último subsistema.
Pengaruh Akupresur Stroke 14 Titik Terhadap Rentang Gerak Ekstermitas Atas dan Bawah pada Pasien Stroke Non Hemoragik
Authors: Reza Reza Indra Wiguna , Hersika Asmawariza Lalu
Published: December 2021

Decreased limb function is one of the complications that often occurs in non-hemorrhagic stroke patients who experience hemiparesis as a result of limited joint motion in the upper and lower extremities. Acupressure is useful in improving extremity function by increasing the movement of qi (vital energy) flow in the body, but acupressure has never been done by nurses in hospital care rooms as a therapy to prevent and overcome motor function complications in non-hemorrhagic stroke patients. This study aims to identify the effect of acupressure at 14 points on the range of motion of the upper and lower extremities in non-hemorrhagic stroke patients. This study used an experimental design with a pre-post test approach design with a control group of 38 respondents (n control and n intervention = 19). The intervention group was given 14-point stroke acupressure for 15 minutes once a day for 7 days. The results showed that there were differences between the control and control ranges between the intervention group and the control group (p = 0.000). Acupressure at 14 points is an effective intervention to increase the range of motion of the upper and lower extremities in non-hemorrhagic stroke patients who have hemiparesis. The recommendation in this study is that nurses in the stroke center can apply 14-point acupressure as one of the SOPs in the treatment of non-hemorrhagic stroke patients to improve the range of motion in the extremities.
Hubungan Antara Peran Orangtua dengan Teknik Menggosok Gigi yang Baik dan Benar pada Anak Pra Sekolah Usia 4-6 Tahun
Authors: Prasiska Novi Setia , Maria Lilla , Zeisar Rahmawati Previta
Published: December 2021

Peran orangtua merupakan suatu bentuk tingkah laku yang ditunjukkan oleh orang tua untuk mengembangkan kepribadian anak. Pada anak prasekolah, dalam pemeliharaan kesehatan gigi masih bergantung pada orangtua. Peran orangtua sangat berpengaruh dalam mengajarkan anak cara menggosok gigi yang baik dan benar sehingga anak dapat menjaga dan memelihara kesehatan giginya. Tujuan penelitian ini untuk mengetahui hubungan antara peran orangtua dengan teknik menggosok gigi yang baik dan benar pada anak prasekolah usia 4-6 tahun di PAUD Dewi Sartika Kelurahan Dinoyo Kecamatan Lowok Waru Kota Malang. Desain penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional dengan jumlah responden 42 orang menggunakan teknik total sampling. Instrument penelitian yang digunakan berupa kuesioner peran orangtua dan lembar observasi teknik menggosok gigi pada anak prasekolah. Penelitian ini menggunakan uji statistic spearman dengan tingkat kemaknaan (α) =0,05. Hasil penelitian menunjukkan bahwa terdapat hubungan antara peran orangtua dengan teknik menggosok gigi yang baik dan benar pada anak prasekolah usia 4-6 tahun di PAUD Dewi Sartika Kelurahan Dinoyo Kecamatan Lowok Waru Kota Malang. Hasil analisis (p value : 0,000 < α :0,05), nilai (r) = 0,628 dengan signifikan sebesar 0,000. Berdasarkan hasil penelitian disarankan kepada orangtua agar dapat meningkatkan peran dalam mebimbing dan mengawasi anak dalam menggosok gigi.
Hubungan Kepuasan Pasien Dengan Minat Menggunakan pelayanan Kesehatan di Puskesmas.
Authors: Alamsyah Refi Andi , Retnaningtyas Ekowati , Loura Sari Nining
Published: December 2021

Pelayanan jasa kesehatan yang ada di Puskesmas saat ini menuntut peningkatan mutu. Mutu pelayanan kesehatan sangat terkait dengan kepuasan. Konsumen yang puas akan jasa yang diterimanya akan cenderung menggunakan jasa pelayanan kesehatan dimasa yang akan datang. Tujuan Penelitian untuk mengetahui hubungan tingkat kepuasan pasien dengan minat menggunakan jasa pelayanan kesehatan di Puskesmas Dinoyo-Malang. Penelitian ini merupakan penelitian deskriptif dengan rancangan cross sectional. Sampel diambil dari pasien yang berobat di Puskesmas Dinoyo-Malang sebanyak 50 sampel, dengan menggunakan total sampling. Pengambilan data melalui pengisian kuesioner oleh responden. Hasil penelitian disajikan dalam bentuk tabel distribusi dengan di analisa secara statistik, untuk melihat ada tidaknya hubungan antara variabel independen dan dependen. Hasil pengujian dengan =0,05 didapatkan =0,00 dengan koefisien korelasi r =0.480, indikasi ini menunjukkan yang signifikan. Artinya semakin tinggi tingkat kepuasan pasien maka minat mereka untuk kembali menggunakan jasa pelayanan kesehatan di Puskesmas tersebut juga akan cenderung semakin tinggi. Berdasarkan hasil diatas diharapkan diadakan penelitian lanjutan dengan memperluas variabel yang dapat mempengaruhi minat pasien menggunakan jasa pelayanan kesehatan.
Faktor-Faktor Yang Berhubungan dengan Persalinan Prematur
Authors: Ida Rahmawati  , Mutiara Violita siska , Absari Nuril , Andini Putri
Published: December 2021

Premature labor is labor before 37 weeks' gestation or birth weight between 500-2499 grams. The impact of premature birth is likely that babies born prematurely will need intensive care to survive. This study aims to study the factors associated with preterm labor in the Rose Room of RSUD Dr. M. Yunus Bengkulu in 2018. The study used the Analytical Survey method with a Case Control design. The population is all maternity mothers in the RSUD dr. M. Yunus Bengkulu in 2018 as many as 603 deliveries. Samples were taken as many as 88 mothers consisting of 44 mothers with preterm labor taken by Total Sampling and 44 mothers without preterm labor who were taken by Systematic Random Sampling. The data used is secondary data. Data were analyzed using univariate, bivariate and multivariate analysis with Chi Square (c2) and Contingency Coefficient (C) tests. The results obtained from 88 mothers there were 44 (50.0%) mothers with preterm labor, 44 (50.0%) non-preterm delivery mothers, 61 (69.3%) mothers aged 20-35 years, 52 (59.1 %) multiparous parity mothers, 61 (69.3%) mothers not KPD, there is an age relationship with preterm labor with the category of moderate relationship, there is a relationship of parity with preterm labor with a close relationship category, there is a relationship of KPD with preterm labor with a close relationship category. It is hoped that health workers can increase screening for pregnant women who visit the Midwifery Clinic to conduct early detection of pregnancy at risk so that it does not have an impact on preterm labor.
La batalla de Roncesvalles en la «Anacephaleosis» de Alfonso de Cartagena. Ténicas narratológicas en las glosas latinas y castellanas
Authors: Rodríguez López Pablo
Published: December 2021

La Genealogía de los Reyes de España es la última obra de renombre publicada por Alfonso de Cartagena (ca. 1385-1456) antes de su fallecimiento. Su rica tradición textual se muestra en que tanto la obra latina original como su traducción castellana han sido glosadas. 
Este trabajo pretende analizar, tomando como punto de referencia el episodio de la batalla de Roncesvalles en el capítulo dedicado al rey Alfonso II, la técnica mediante la que el glosador -o glosadores- estructuraba las adiciones de la obra. Se ha seleccionado este punto concreto por la singularidad que supone la presentación y contraposición de las distintas fuentes historiográficas, en algún punto contradictorias, y el modo de lidiar con opiniones contradictorias de autoridades eclesiásticas.
Referral of presumptive TB among operators of community medicine outlets
Authors: Kwabla M. P. , Amuasi J. H. , Krause G. , Klett-Tammen C. J. , Castell S.
Published: December 2021

BACKGROUND: Case detection is an important part of TB control programmes. In 2007, the TB programme in Ghana join the WHO´s public-private partnership with community medicine outlet operators to increase referral of persons with presumptive TB for laboratory investigation.
Information on factors likely to influence referral is scarce in Ghana. We assessed these factors among pharmacists and over-the-counter (OTC) medicine sellers.METHODS: In 2019–2020, we conducted computer-assisted telephone interviews among community pharmacists and OTC medicine
sellers in the Eastern Region of Ghana. We used a structured questionnaire and collected data on respondents´ sociodemographics and professional characteristics. We used logistic regression to investigate characteristics associated with self-reported referral of presumptive TB cases.RESULTS:
Of all respondents who completed the interviews, 68.7% (321/467) reported having ever referred a presumptive TB case and 72.1% (336/466) had received specific training. Associated factors of presumptive TB referral were having received specific training (OR 2.7, 95% CI 1.5–4.9); performing
both dispensing and managerial functions (OR 2.8, 95% CI 1.4–5.5); operating from OTC shop (OR 6.2, 95% CI 1.6–23.4) and the availability of a TB laboratory within walking distance (OR 3.3, 95% CI 1.2–9.5).CONCLUSION: Interviewees largely support TB referral. However,
a significant proportion does not follow the strategy closely. We recommend more specific TB training courses.
Legislation on Dental Practice in Croatia in the Second Half of the 19th Century
Authors: Volarić Nikola , Jakab Jelena , Gardaš Miro , Včev Aleksandar
Published: December 2021

In the second half of the 19th century, Croatia experienced a radical
change in the performance of dental practice and legislation that regulates
such practice. From the old feudal system when dental practice was practised by
barbers-surgeons and feldshers (Old Croatian language: vidari), it is
transferred to a more modern system where dental practice becomes a part of medical
sciences and its implementation requires adequate medical education. The most
important factor that contributed to this was the adoption of new modern laws
in 1874, and then in 1894, as well as accompanying regulations, which
adequately regulated the matter of public health and dental practice.
Specifics of Sex Life and Methods of Birth Control Among Students at the University of Osijek
Authors: Bosnić Zvonimir , Trtica Majnarić Ljiljana , Volarić Mile , Lozić Antonio , Vučić Domagoj
Published: December 2021

The aim of this study is to define specifics of sex life and methods of birth control among students at the University of Osijek. Participants were students who study at Josip Juraj Strossmayer University of Osijek. A newly formed questionnaire containing 31 questions was used for this purpose. The study included 549 voluntarily students, 54.3% of students had first sexual experience between 16 and 18 years of age. Most of them were long-term couples, who are managing better with sexual activities then students in short-term relationships, who are more stressed because of their studies. When it comes to the type of contraceptives, 71, 9 % of students used some of birth control methods, and most common is condom (75.9 %). However, 27. 9 % of students believe that natural methods of birth are safe enough. There are no significant differences in age at the time of first sexual activity considering gender, year at university and residency. The biggest reason for not using contraception is long-term relationship in which students do not feel fear of sexually transmitted diseases and pregnancy.
Identification of Risk Psychosocial Factors as Predictors of Loneliness of Elderly in Nursing Homes During Social Isolation Due to COVID-19 Pandemic
Authors: Solić Matej , Vujanić Jasenka , Kralj Mirjana , Včev Aleksandar , Jakab Jelena , Lovrić Robert , Mudri Željko , Mikšić Štefica , Bulka Ivona
Published: December 2021

The elderly is at bigger risk for getting COVID-19 virus, and a particularly vulnerable group are people placed in homes for the elderly and frail. The aims of the study were: (1) to examine differences in the respondent’s experiences of social isolation, loneliness and perception of social support, (2) to examine correlations between the dimensions of social isolation and the experience of social support with the experience of loneliness, and (3) to examine whether dimensions of social isolation and perceived social support are risky psychosocial significant predictors of loneliness. The cross-sectional study was conducted on 98 participants from three nursing homes in Croatia, EU. It used Social Provision Scale, the short- form Loneliness Scale and the Multidimensional Scale of Perceived Social Support. The results indicate that people who are single are lonelier, and if they do not have descendants are less likely to contact their family and at the same time they report a weaker social support experience. Loneliness is a statistically positive thing with a social provision dimension,
information availability, and a significant negative correlation with the experience of social support. The dimensions of social provision, access to information and perceptions of social support contribute to the experience of loneliness. The constant exposure to negative information about the pandemic, the insecurity and anxiety of the people who communicate with them, make the users of homes for the elderly and infirm even more vulnerable to the development of loneliness.
Glycemic Control in Diabetes Type 2 Patients in Foster Families of Brod-Posavina County During the COVID-19 Pandemic
Authors: Miškić Blaženka , Čosić Vesna , Knezević Praveček Marijana , Rahelić Daniel , Kljaić  Bukvić Blaženka , Vučić Domagoj , Rajkovača Latić Ines , Miškić Karla
Published: December 2021

COVID-19
pandemic has changed everyday life and medical supervision of chronically ill
patients. Epidemiological measures, social distancing, and limited access to
medical care impair glycemic control in patients with diabetes. Also, type 2
diabetes is a risk factor for more severe form of coronavirus disease. A large
proportion of diabetic patients are placed in foster families who also adapt to
the new situation. The purpose of this study was to examine the manner and frequency
of glycemic control in patients with type 2 diabetes who are placed in foster
families in the region of Brod- Posavina County. We established contact with
patients suffering from type 2 diabetes situated in foster families and their caregivers.
Measurement of glycemia was performed several times a day with regular notes
and the data were supplemented by an insight into the medical documentation of
patients in the hospital information system. The study included 33 patients
with type 2 diabetes. The relationship between HbA1C with fasting and
postprandial glycemia was linear. There were no statistically significant
differences in HbA1C regulation by type of therapy. There was a significant
difference in the number of complications according to the level of HbA1C (Hi
square test = 25.982, p <.001). The number of complications generally
increased as HbA1C regulation was poorer. During current COVID-19 pandemic,
care for patients with type 2 diabetes is significantly limited. Improved
medical care for patients can be achieved by establishing cooperation and daily
communication between caregivers, family physicians and, if necessary,
diabetologists, especially through the use of online platforms and telephone
communication, all with the aim of early detection of diabetes complications and
adequate treatment of patients in current conditions.