bluuebunny/crossref_metadata_2025 huggingface dataset:
Utility of Immature Platelet Fraction as Diagnostic Biomarker for Isolated Thrombocytopenia
Authors: Zahra Rashid Khan  , Imran Ayisha , N.A.Malik
Published: November 2023

Objective: To evaluate the utility of immature platelet fraction (IPF) as a marker in immune thrombocytopenia purpura (ITP) patients.
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Department of Haematology, Chughtai Institute of Pathology, Lahore Pakistan, from Aug to Nov 2020.
Methodology: Sixty patients (Group-1) of immune thrombocytopenia purpura were selected. Sixty healthy individuals (Group-2) with normal blood count parameters were also included. A complete blood count with simultaneous evaluation of immature platelet fraction was performed for both groups on 3ml peripheral blood collected in K2EDTA. To check the reproducibility of results, each sample was run in duplicate.
Results: Group-1 had a mean platelet count of 43.77±32.82 x109 /L (range 2-98x109/L), a mean immature platelet fraction of 12.93±6.11% (range 3–25%) and a mean age 36.68±7.53 years, (range 22–56 years). Group-2 had a mean platelet count of 251.7±83.55 x109 /L (range 150-450 x109 /L), a mean immature platelet fraction of 3.78±1.86 %, (range 1-7.2%) and a mean age of 36.42±6.94 years, (range 22–55 years). ROC curve analysis yielded an immature platelet fraction value of 7.0% as the cut-off between immune thrombocytopenic purpura patients and healthy individuals.
Conclusion: Immature platelet fraction, though novel, is a useful marker to diagnose and monitor treatment response, diagnosis and management of immune thrombocytopenic purpura.
Concordance between Axillary Ultrasound and Sentinel Biopsy in Clinically Node-Negative Early Breast Cancer
Authors: Mushtaq Afroz , Khan Ali Ayesha , Bano Razia , Naqvi Syeda Rifaat Qamar , Nawaz Shabnum , Khan Fahad Ali , Mushtaq Sana , Khan Palwasha
Published: November 2023

Objective: To determine the sensitivity of axillary ultrasound in detecting axillary nodal metastasis in clinically and radiologically uninvolved axillary nodes in early carcinoma breast by comparing with sentinel node biopsy histopathology on frozen section.
Study Design: Comparative cross-sectional study
Place and Duration of Study: Breast Clinic, CMH, Rawalpindi Pakistan, from Aug 2020 to May 2021.
Methodology: Patients included in the study presented with breast cancer lesions with clinically impalpable axillary lymph nodes aged 18-75. Patients with clinically impalpable nodes underwent an ultrasound of the axilla; if suspicious nodes were found, the patient had subsequent axillary node dissection. Sentinel node biopsy (SLNB) was performed on axillary ultrasound in all patients with no suspicious or benign-looking nodes. Histopathological reporting was taken as standard. Lymph nodal status on axillary ultrasound, SLN biopsy and axillary lymph node clearance were documented and analyzed.
Results: Twenty-nine patients were included who had benign-looking lymph nodes on axillary ultrasound and underwent sentinel lymph node biopsy. The mean age of the patients was 54.03 ± 7.94. Out of 29 patients, 24(82.8%) patients had negative Sentinel lymph node biopsy, and 5(17.2%) had positive Sentinel lymph node biopsy, who then underwent axillary lymph node dissection.
Conclusion: Sentinel lymph node biopsy is the gold standard to determine axillary lymph nodes involved in early carcinoma breast, which seem benign on pre-operative axillary ultrasound.
Understanding The Relationship Between Self-Control and Grit: The Mediating Role of Academic Motivation and Attention Control
Authors: KOÇ Hayri , ŞİMŞİR GÖKALP Zeynep
Published: November 2023

Over the past several decades, the psychological concepts of self-control and grit have gained prominence in the research literature. While these constructs have been studied extensively in isolation, there has been growing interest in understanding the relationship between the two constructs and the factors that mediate this relationship. The current study sought to examine the relationship between self-control and grit in a sample of 1079 undergraduate students (67.9% female) from twelve different state universities. Specifically, this study aimed to examine the mediating role of academic motivation and attention control in this relationship. Correlational analyses revealed that self-control and grit were positively associated with each other, as well as with academic motivation and attention control. Mediation analyses using bootstrapping procedures revealed that academic motivation and attention control partially mediated the relationship between self-control and grit. In other words, higher levels of self-control were associated with higher levels of academic motivation, which was associated with higher levels of grit. Similarly, higher levels of self-control were associated with better attention control, which was associated with higher levels of grit. These findings have important implications for understanding the components that contribute to the development of grit and suggest that interventions aimed at enhancing academic motivation and attention control may promote the development of greater grit in individuals.
Facing Forward: Obstacles and Implications for Kindergarten Teachers' Professional Development
Authors: Allehyani Sabha Hakim
Published: November 2023

In line with the new trend toward reforming the education system in the 21st century, teachers are more willing to accept changes in order to improve performance and achieve success in the educational process. Early Childhood Education (ECE) in Saudi Arabia recently witnessed a huge revolution. Teacher Professional Development (PD) is one of the most influential elements in achieving quality education. The present study focuses on revealing the Professional Development Programs (PDPs) obstacles of kindergarten teachers from their perspectives, as well as their implications for overcoming these obstacles. These obstacles are divided into three main parts include administrative, personal, and digital. The current investigation adopted the exploratory approach, where a total of (n=102) kindergarten teachers in the city of Mecca, in Saudi Arabia, participated in this study by filling out a self-administered questionnaire. Results showed that all kindergarten teachers admitted that they faced several obstacles in their professional practices, which hindered the quality of their practices. Most kindergarten teachers reported a lack of motivation and adequate training opportunities, influencing their reluctance to participate in PDPs. However, they revealed their positive attitudes and willingness to implement a variety of strategies and practices that contribute to their own PD. It recommends that decision-makers and government agencies consider the needs and capabilities of kindergarten teachers during training and involve them in the professional planning and development process to ensure that the training outputs are more effective in their professional practice.Keywords;Administrative, digital obstacles, children, implications, kindergarten teachers, training program.
Formação de Professores e Desafios Tecnológicos: Preparando Educadores para o Futuro Digital
Authors: Duque Rita , Maravalhas Ana , Hansel Tiago , Silva Joel , Silva Dennize , Barbosa Vinicius , Santos Jucirene , Lima Alexssander , Cardoso Lukas , Souza Alcione
Published: November 2023

No cenário complexo e dinâmico do século XXI, somos testemunhas de uma era de transformações sem precedentes, impulsionada pela onda avassaladora de inovações tecnológicas. Esta revolução permeia todas as esferas da sociedade, redefinindo a forma como interagimos, aprendemos e nos comunicamos. Neste contexto, a educação figura como epicentro dessa profunda mudança, sendo a mola propulsora que impulsiona o desenvolvimento e a preparação das futuras gerações.
Navegando o Desenvolvimento Profissional na Era Digital: Estratégias para o Sucesso em um Mundo em Constante Transformação
Authors: Hansel Tiago , Paz José , Silva Joel , Valadares Raquel , Souza Elza , Silva Silvana , Oliveira Maria , Ribeiro Dilaine , Lima Êmerson , Montalvão Jusenir
Published: November 2023

Neste contexto paradigmático, a era digital não se configura apenas como uma mera revolução tecnológica, mas como uma transformação profunda na maneira como interagimos, trabalhamos e nos desenvolvemos como profissionais. É imperativo compreender que a mera aquisição de competências técnicas já não é suficiente para manter-se relevante em um cenário em constante metamorfose. O desenvolvimento profissional contínuo transcende a mera acumulação de conhecimento, adentrando o domínio da habilidade de se adaptar rapidamente a novas tecnologias, metodologias e paradigmas de negócio.
Formação de Professores para a Cidadania Digital: Desafios e Estratégias
Authors: Silva Joel , Moraes Thaís , Dias Valquíria , Muniz Carla , Silva Marisalva , Silva Raquel , Pereira Marta , Reis Tânia , Silva Viviane , Michelato Eliane
Published: November 2023

Este capítulo aborda a relevância da formação de professores no contexto da cidadania digital, considerando os desafios emergentes na era digital. Inicialmente, são discutidos os fundamentos da cidadania digital e seu papel na educação do século XXI. Em seguida, são apresentadas as competências-chave que os professores devem possuir para capacitar os alunos a serem cidadãos digitais responsáveis. Ademais, são exploradas metodologias inovadoras para a formação de professores, enfatizando abordagens pedagógicas que promovem a cidadania digital de forma envolvente e interativa. Por fim, são abordados os desafios comuns na implementação da cidadania digital na educação e são fornecidas soluções práticas para superá-los. Ao abordar esses temas, o capítulo visa contribuir para a discussão e implementação efetiva da formação de professores para a cidadania digital no contexto educacional contemporâneo.
The relationship between long standing and hallux valgus degrees in market traders
Authors: Ni Nyoman Jesica Salsabilla Maharani  , I Putu Yudi Pramana Putra  , Ni Wayan Tianing  , Made Hendra Satria Nugraha
Published: November 2023

Background: Hallux valgus is a deformity in the foot or a disorder characterized by a change in shape in the first metatarsophalangeal joint deviating towards the medial and the first big toe deviating laterally with rotation, symptoms caused such as swelling, redness, and pain. Long standing is one of the risk factors for hallux valgus. The recommended duration of standing is around 2.5 hours per day, and the increase in the recommendation may have a greater risk of getting Hallux valgus. The purpose of this study was to determine the relationship between long-standing and the degree of hallux valgus in market traders in Sanur, Bali.

Methods: This study used cross-sectional analytical observation with a sample of market traders in Sanur totaling 31 people. The measuring instruments used to determine hallux valgus are the goniometer and Manchester scale. Data analysis in this study used the Spearman rho test.

Results: Based on data analysis in the study, a positive correlation number of 0.506 was obtained with a significance value of p= 0.004, which means that there was a significant positive correlation between long-standing variables and the degree of hallux valgus in market traders in Sanur.

Conclusion: There was a significant positive relationship between the long standing and the degree of Hallux valgus market traders in Sanur, Bali.
Dupilumab (Dupixent)
Authors: CADTH
Published: November 2023

CADTH recommends that Dupixent be reimbursed by public drug plans for the treatment of patients aged 6 months to younger than 12 years with moderate to severe atopic dermatitis (AD) whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable, if certain conditions are met.

The CADTH Canadian Drug Expert Committee (CDEC) recommendation for Dupixent for the treatment of patients aged 12 years and older with moderate to severe AD dated February 2023 continues to apply to patients who are not included in the population evaluated in this recommendation.

Dupixent should only be covered to treat patients aged 6 months to younger than 12 years with moderate to severe AD who previously tried and did not experience improvement with, or are unable to use, topically applied drugs.

Dupixent should only be reimbursed if the patient is under the care of a dermatologist, allergist, clinical immunologist, or pediatrician who has expertise in the management of moderate to severe AD, and if the cost of Dupixent is reduced. When first prescribed, Dupixent should only be reimbursed for 6 months. Dupixent should not be used in combination with phototherapy, any immunomodulatory drugs (including biologics), or a Janus kinase (JAK) inhibitor treatment for moderate to severe AD.
ESTUDO DA ANATOMIA DAS VIAS BILIARES A PARTIR DE COLANGIOGRAFIAS REALIZADAS EM PACIENTES COM ICTERÍCIA OBSTRUTIVA, EM UNIDADE DE SAÚDE TERCIÁRIA DE JUAZEIRO-BA
Authors: Lopes Letícia Dias Almeida , Cabral Isabella Freitas , Pires Glauber Lutterbach de Oliveira , Nascimento Sidrayton Pereira do
Published: November 2023

: O trabalho é caracterizado como um estudo observacional transversal, com o objetivo de analisar as variações anatômicas das vias biliares através de colangiografia percutânea realizada em pacientes de unidade de saúde terciária no município de Juazeiro-BA. O estudo foi realizado a partir de coleta de dados em prontuários, dos quais 12 foram descartados e 16 foram selecionados. Dentre as variações anatômicas observadas, cerca de 68,7% apresentavam via biliar do tio A, 6,2% do tipo B e 18,7% do tipo C. Não foi possível visualizar e caracterizar o tipo de via biliar de 6,2%, devido compressão por massa amorfa, inviabilizando análise anatômica. Conhecer a anatomia das vias biliares e suas variações é de suma importância no ato operatório para evitar causas iatrogênicas de lesão em via biliar, além de evitar complicações pós-operatórias futuras.
Intercomparison of Aerosol Optical Depths from four reanalyses and their multi-reanalysis-consensus
Authors: Xian Peng , Reid Jeffrey S. , Ades Melanie , Benedettie Angela , Colarco Peter R. , da Silva Arlindo , Eck Tom F. , Flemming Johannes , Hyer Edward J. , Kipling Zak , Rémy Samuel , Sekiyama Tsuyoshi Thomas , Tanaka Taichu , Yumimoto Keiya , Zhang Jianglong
Published: November 2023

Abstract. The emergence of aerosol reanalyses in recent years has facilitated a comprehensive and systematic evaluation of Aerosol Optical Depth (AOD) trends and attribution over multi-decadal timescales. Notable aerosol reanalyses currently available include NAAPS-RA from the U.S. Naval Research Laboratory; the NASA MERRA-2; JRAero from the Japan Meteorological Agency (JMA); and CAMSRA from Copernicus/ECMWF. These aerosol reanalyses are based on differing underlying meteorology models, representations of aerosol processes, and data assimilation methods and treatment of AOD observations. This study presents the basic verification characteristics of these four reanalyses versus both AERONET and MODIS retrievals in monthly AOD properties and identifies the strength of each reanalysis and the regions where diversity and challenges are prominent. Regions with high pollution and often mixed fine-coarse mode aerosol environments such as South Asia, East Asia, Southeast Asia, and the Maritime Continent pose significant challenges, as indicated by higher monthly AOD root mean square error. Moreover, regions that are distant from major aerosol source areas, including the polar regions, and remote oceans exhibit large relative differences in speciated AODs and fine-mode vs coarse-mode AODs among the four reanalyses. To ensure consistency across the globe, a multi-reanalysis-consensus (MRC) approach was developed similar to the International Cooperative for Aerosol Prediction Multi-Model Ensemble (ICAP-MME). Like the ICAP-MME, while the MRC does not consistently rank first among the reanalyses for individual regions, it performs well by ranking first or second globally in AOD correlation and RMSE, making it a suitable candidate for climate studies that require robust and consistent assessments.
Pengaruh Pemahaman Mata Pelajaran Fiqih Terhadap Keaktifan Beribadah Siswa Kelas XII IPA MAN 3 Pesisir Selatan
Authors: Saprisal Saprisal
Published: November 2023

Penelitian ini bertujuan untuk menguji pengaruh pemahaman mata pelajaran Fiqih terhadap keaktifan beribadah siswa kelas XII IPA MAN 3 Pesisir Selatan. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan asosiatif. Sampel pada penelitian menggunakan teknik purposive sampling yakni siswa kelas XII IPA MAN 3 Pesisir Selatan yang berjumlah 60 siswa. Pengumpulan data dilakukan dengan kuesioner berupa skala Likert dan dokumentasi. Data dianalisis menggunakan analisis regresi linier sederhana dengan menggunakan SPSS versi 25.0 for windows. Hasil analisis regresi linier sederhana diperoleh nilai thitung diperoleh sebesar 94.824 > ttabel sebesar 2,000 dan nilai sig. diperoleh sebesar 0,000 (p<0,05). Artinya terdapat pengaruh yang signifikan pemahaman mata pelajaran Fiqih (X) terhadap keaktifan beribadah (Y) siswa kelas XII IPA MAN 3 Pesisir Selatan. Adapun nilai koefisien determinasi (R2) sebesar 0,994. Dari hasil tersebut dapat dinyatakan bahwa terdapat pengaruh yang signifikan pemahaman mata pelajaran Fiqih terhadap keaktifan beribadah siswa kelas XII IPA MAN 3 Pesisir Selatan sebesar 99,4% dan sisanya 0,6% dipengaruhi oleh variabel lain yang tidak diidentifikasi dalam penelitian ini.
Praca duszpasterska ks. Alfonsa Schletza
Authors: Bańka Józef
Published: November 2023

W artykule dokonano próby charakterystyki działalności duszpasterskiej ks. Schletza. Omówiono jego pracę w parafiach we Lwowie i w Zielonce (1937-1955). Przedstawiono także posługę jako kapelana w Zgromadzeniu Sióstr Augustianek (1957-1972), rekolekcjonisty i kaznodziei.
Pengaruh Performa Quay Container Crane dan Penerapan System Single Cycle dan Dual Cycle Terhadap Bongkar Muat Peti Kemas di KSO Peti Kemas Koja Jakarta
Authors: Ridwan  , Luhur Aji , Elnath G Muhammad
Published: November 2023

Since 2012 Koja Jakarta Container Terminal has a target of unloading and loading 1 million containers. To get the desired target, KSO Koja Container Terminal immediately took quick steps by upgrading and adding several tools to support performance so that it could be more optimal in carrying out loading and unloading activities such as upgrading several CCs from Post Panamax grade to Super Post Panamax. Along with the many containers that are unloaded or loaded at TPK KOJA, and the market that competes between container terminals with each other. The management of Koja must increase the target size of unloading and loading containers by quay container crane (QCC) or what we often call Box Crane per Hours (BCH), but on the other hand with the demands of TPK KOJA management that unloading and loading 1 million containers, many tools in the field and at the dock are forced to work hours with maintenance that has not been scheduled properly resulting in congestion of loading and unloading equipment. The type of research used in this study is qualitative descriptive analysis, qualitative descriptive research is aimed at describing and describing existing phenomena, both natural and human engineering, which pay more attention to the characteristics, quality, relationships between activities. In addition, descriptive research does not provide treatment, manipulation or alteration of the variables studied, but describes a condition as it is. So the results of the Quay container crane performance research at TPK Koja from the author's observation, in the process of container loading and unloading activities at TPK Koja still found inhibiting factors. The effect of the Dual Cycle Operation system in loading and unloading at TPK KOJA cannot be determined the box crane unit per hour produced, because in this case the management of TPK KOJA is still in the trial stage of the system.
EDUKASI ORANG TUA PENANGANAN BALITA TERSEDAK DI POSYANDU PUSKESMAS NAGASWIDAK PALEMBANG
Authors: Ardianty Septi
Published: November 2023

Tersedak atau choking adalah obstruksi atau tersumbatnya jalan napas oleh benda asing. Tersedak merupakan keadaan gawat darurat yang membutuhkan penanganan segera karena dapat mengganggu jalan napas, henti jantung bahkan kematian. Tersedak rentan terjadi pada anak usia dibawah 5 tahun, biasanya terjadi karena makanan kurang dikunyah dengan baik. Upaya dalam penanganan tersedak dapat dilakukan dengan cara memberikan pendidikan kesehatan. Media audio visual video merupakan suatu medium yang sangat efektif untuk membantu proses pembelajaran karena mengandalkan pendengaran dan pandangan sehingga mempercepat proses pemahaman dan memperkuat ingatan.Tujuan: Untuk meningkatkan pengatahuan responden tentang menanganan balita tersedak dengan memberikan pendidikan kesehatan melalui media video menangani balita tersedak di wilayah kerja Puskesmas Nagaswidak Palembang Tahun 2023. Metode : Pengabdian Masyarakar  ini mengunakan metode kuantitatif dengan menggunakan pre-experiment, dengan rancangan one group pre-test dan post-test design. Populasi dalam penelitian ini sebanyak 40 orang. Teknik pengambilan sampel menggunakan purposive sampling yaitu orang tua yang memiliki anak usia dibawah 5 tahun, didapatkan sebanyak 40 orang. Hasil : pengabdian masyarakat  dengan analisa data menggunakan uji Paired Sample T-test. Menunjukan ada pengaruh pendidikan kesehatan melalui media video dengan nilai rata-rata pengetahuan orang tua sebelum dilakukan (pre-test) 41.00. Sedangkan rata-rata pengetahuan orang tua setelah dilakukan pendidikan kesehatan (post-test) adalah 79.25. dengan nilai p-value = 0.001 (p value < 0.05).  Kesimpulan : Ada pengaruh pendidikan kesehatan melalui media video terhadap pengetahuan orang tua dalam menangani balita tersedak di wilayah kerja Puskesmas Nagaswidak Palembang.
APPLICATION ANALYSIS OF THE INFORMATION SYSTEM FOR REPORTING IMMIGRATION PERMITS FOR PORT TRANSPORTATION EQUIPMENT AT THE IMMIGRATION OFFICE CLASS II TPI BELAWAN
Authors: Akbar Rasona S , Nursanto Gunawan Ari , Marbun Rainhard Bounkey
Published: November 2023

At this time the earth is being hit by the Corona Virus pandemic which has resulted in a lack of direct interaction in services and in the field of immigration, especially in reporting services for immigration permits for transportation equipment / ships. This situation has the potential to be exploited by unscrupulous individuals to carry out unscrupulous acts such as extortion and other things. Then the immigration office made an innovation, namely the application of the Port Transport Equipment Immigration Permit Reporting Information System, which was abbreviated as Sili Laba. The aim of the researcher was to determine the profile of the Sili Laba application, and the effect of the Sili Laba Innovation Strategy on the performance of the Class II TPI Belawan immigration office. In this study using quantitative methods. And the results of the research based on the regression test show that Y = 37.549 + 0.331X which states that for every additional 1 value of the innovation strategy, the performance value will increase by 0.331. Based on the results obtained from the above equation, the calculated t value is greater than the t table value, which is 6.064 > 2.021. So, from the results of the above equation it can be concluded that there is an influence given by the innovation strategy variable (X) on the performance variable (Y).
IMPLEMENTATION OF ISO 9126 IN THE QUALITY TEST OF THE M-PASSPORT APPLICATION AT THE CLASS I NON-TPI TANGERANG IMMIGRATION OFFICE
Authors: Prabadhi I.A , Rosmaya Mila , Silvia Alya
Published: November 2023

In order to improve services to the community, the Directorate General of Immigration has utilized information technology in the form of a service information system for the community. The purpose of this study is to measure the quality of the information system for immigration services at the Tangerang Immigration Office according to ISO 9126. Collection method the data used is simple observation, interviews, and quantitative in the form of filling out questionnaires. The validity and reliability test uses SPSS 26. The results of this study indicate that the measurement of the quality of patient service information systems carried out with the ISO 9126 standard is obtained as follows: Functionality variable is 95%, Reliability variable is 90.7%, Usability variable is 90%, Variable the efficiency is 93%, the maintainability variable is 91% and the portability variable is 95.7%. And through the percentage of due diligence, it can be concluded that the use of the M-Passport application in immigration services for passport applicants at the Immigration Office Class I Non TPI Tangerang has fulfilled the ISO 9126 standard with the percentage obtained an average actual score of 91.99% or an average criterion "Very good".
Analisis Persepsi Bauran Pemasaran Terhadap Pemanfaatan Pelayanan Pada Pasien Di Poliklinik Rawat Jalan Eksekutif RS Haji Jakarta
Authors: Dahlia Zaida , Satar Yuli Prapanca , Trigono Ahdun
Published: November 2023

Latar Belakang: Bauran pemasaran merupakan salah satu strategi yang penting untuk memberikan informasi secara luas kepada konsumen tentang apa yang kita tawarkan, memperkenalkan suatu produk barang atau jasa yang kita miliki menjadi salah satu poin penting dalam bauran pemasaran. Pada dasarnya bauran pemasaran yang paling lazim di aplikasikan di Indonesia adalah product, price, place, promotion, people, process dan physical evidence. Tujuan: Tujuan penelitian ini adalah untuk menganalisis presepsi bauran pemasaran terhadap pemanfaatan pelayanan pada pasien di poliklinik rawat jalan eksekutif RS Haji Jakarta. Metode: Penelitian ini dilakukan dengan metode pendekatan kuantitatif, dilakukan dengan metode pemberian kuesioner kepada responden yang masuk dalam kriteria inklusi yang nantinya data yang diperoleh akan dilakukan penginputan data dengan SPSS 29. Hasil: Hasil penelitian didapatkan bahwa semua unsur bauran pemasaran memiliki peran dalam menentukan persepsi terhadap konsumen meskipun unsur price dan physical evidence sangat berpengaruh dalam menentukan presepsi pasien. Banyak pasien yang masih merasakan kurangnya pemanfaatan dalam poliklinik rawat jalan eksekutif terutama dikarnakan jadwal dokter, tempat parkir dan juga alur pengobatan yang tidak efektif dan efisien menjadi salah satu masalah yang dapat ditinjau lebih baik lagi untuk kemudian dijadikan evaluasi terhadap bagaimana jalannya poliklinik rawat jalan eksekutif di RS Haji Jakarta.

Kata Kunci: bauran pemasaran, persepsi, product, price, place, promotion, people, process dan physical evidence.
Analisis Efektivitas Strategi Pemasaran Terhadap Peluang Penggunaan Metoda Pemasaran Digital RACE (Reach, Act, Convert, Engage) di RSUD Tamansari Tahun 2023
Authors: Ariesanti Widiawati , Indrawati Lili , Andarusito Nurcahyo , Dumesty Refni
Published: November 2023

Persaingan antar rumah sakit yang semakin ketat disekitar lokasi RSUD Tamansari, adanya penurunan pendapatan, promosi layanan di RSUD Tamansari lebih banyak menggunakan pemasaran digital, adanya keterbatasan sumber daya manusia, strategi pemasaran belum dievaluasi, serta belum menggunakan metode strategi pemasaran digital untuk menuntun dan mengarahkan kegiatan pemasaran dalam mencapai tujuan pemasaran. Penelitian ini menggunakan jenis penelitian kualitatif yang bersifat deskriptif analisis, Teknik pengumpulan data yaitu observasi, wawancara, telaah dokumen, subyek penelitian 3 orang. Analisis data menggunakan analisis isi (content analysis), validasi data digunakan teknik triangulasi. Hasil penelitian, pemasaran RSUD Tamansari belum efektif, sasaran belum tercapai, sumber daya manusia dan asuransi yang bekerjasama terbatas, kegiatan pemasaran belum berjalan sesuai target. Strategi pemasaran belum optimal, belum menentukan positioning, Peluang RSUD Tamansari dalam penggunaan metode pemasaran digital RACE ((Reach, Act, Convert, Engage) cukup besar karena sebagian besar langkah-langkah dalam metode RACE sudah dilaksanakan oleh RSUD Tamansari. Atas temuan ini disarankan kepada manajemen untuk menentukan strategi yang akan digunakan dan membentuk tim pemasaran terpadu untuk meningkatkan promosi dan membangun citra rumah sakit.

Kata kunci: strategi, pemasaran digital, promosi layanan.
ALÜMİNYUM VE ANTİMON İÇERİKLİ ALEV GECİKTİRİCİLERİN POLİMER VE KAPLAMA NUMUNELERİNDE TAYİNİ
Authors: DÜNDAR Mustafa Şahin , TURAL Murat , CANER Celal
Published: November 2023

ÖZ

Polimer ve kaplama malzemelerinin; birçok endüstride hammadde olarak veya nihai ürünlerde günlük hayatta birçok alanda tüketildikleri görülmektedir. Örneğin; döşeme sanayi, branda, çadır, suni deri, ambalaj, zemin kaplama vb. Bu sebeple de kullanımlarının çok fazla alanda olması ile birlikte yangın güvenliği konusu da önemli hale gelmektedir. Yangın güvenliği içinde üretim aşamasında ya da daha sonradan katkı olarak bazı maddeler kullanılmaktadır. Burada yangının ilerleyişini ve yayılmasını durdurma amaçlı alev geciktirici katkı malzemeleri devreye girmektedir. Bu çalışmada antimon trioksit ve alüminyum hidroksit içeren alev geciktirilerin kullanıldığı üç farklı PVC esaslı suni deri, branda ve çadır numuneleri için ICP-OES cihazı kullanılarak bulutlanma noktası ekstraksiyonu yöntemiyle, alüminyum ve antimon metallerinin tayini gerçekleştirilmiştir.
Heart Rupture Associated with Vertebral Fractures: An Unusual Blunt Trauma Presentation
Authors:   AIRCCS Azienda Ospedaliero-Universitaria di Bologna, Largo Nigrisoli 2, 40100 Bologna Italy, SN Forti Parri
Published: November 2023

Blunt trauma of the chest consequent to car accidents can rapidly cause lethal multiple organ injuries.
GAMBARAN KEJADIAN NYERI PUNGGUNG PASCA sectio caesarea DENGAN TINDAKAN SPINAL ANASTESI
Authors: Kurniawan Abdul gani , Amin Susanto  , Arni Nur Rahmawati
Published: November 2023

Sectio caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front of the abdomen or vagina. mothers after sectio caesaria will experience low back pain due to spinal anesthesia procedures. To describe the incidence of back pain after sectio caesarea with spinal anesthesia at Sejiran Setason Hospital, West Bangka The method used in this study is a descriptive analytical. Through a survey using an observation sheet with a cross sectional approach. The population in this study were all patients who underwent sectio caesarea with spinal anesthesia at Sejiran Setason Hospital, West Bangka, with a total of 30 respondents The results of this study obtained an overview of the number of age characteristics of the respondents mostly in the 18-24 year age group reaching 50%. The description of the level of pain experienced by the respondents, most of the respondents felt the level of moderate pain reached (43.3%) the age group experiencing the incidence of pain was mostly in the 18-24 year age group with moderate pain reaching 23.3%.: It can be concluded that the respondent's age, back pain level, age group and number of births affect the incidence of back pain after cesarean section with spinal anesthesia
IMPLEMENTASI HAM GENERASI PERTAMA DALAM INTERNATIONAL COVENANT ON CIVIL AND POLITICAL RIGHTS (ICCPR) PADA KEHIDUPAN POLITIK MASYARAKAT DESA MARGA, TABANAN PROVINSI BALI
Authors: Feri Made , Saravistha Deli Bunga
Published: November 2023

The first generation of human rights basically spoke about freedom and political life, in other words, these rights were civil and political rights. In this case, it can be exemplified by the right to life, equality before the law, freedom of opinion, the right to a fair legal process, the right to freedom of religion and the right to vote and be elected in elections. The role of the village apparatus is very important in guaranteeing the implementation of freedom of human rights in society which is reflected in the system of government and protection of the rights of the community in the civil and political fields in accordance with the Law of the Republic of Indonesia Number 12 of 2005 concerning Ratification of the International Covenant On Civil And Political Rights Covenant (International Civil and Political Rights) which is accompanied by a Declaration against Article 1 concerning the ratification of the International Covenant on Civil and Political Rights. The obstacles faced in the fulfillment of civil and political rights in the community can be resolved by using a consensus approach bridged by the Village Consultative Body (BPD) and facilitated by the village apparatus. BPD plays an important role in ensuring the civil and political rights of the people of Marga Dauh Puri Village, Marga District, Tabanan Regency, Bali. Moreover, the UN Human Rights Council has opened up opportunities for complaints for individuals, activists and NGOs. So it is interesting to examine more deeply through two problems, namely regarding the selection mechanism and the absorption of understanding of human rights in the regulation and process of selecting village government apparatus, especially related to civil and political rights in the life of the nation and state of the Marga Village community in particular. With a research method that is somewhat different from human rights research in general, namely Juridical Empirical.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN CAMPAK DI PUSKESMAS KOTA JUANG KABUPATEN BIREUEN TAHUN 2022
Authors: Armiatin Armiatin
Published: November 2023

Campak merupakan penyakit yang sangat menular dan sebagai penyebab utama kematian anak di Negara terutama di benua Afrika dan Asia. Lebih dari 95% kematian akibat campak terjadi di negara-negara berkembang. Tujuan Penelitian: Untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kejadian penyakit campak di Wilayah Kerja Puskesmas Kota Juang Kecamatan Kota Juang Kabupaten Bireuen Tahun 2021. Desain penelitian: Penelitian kuantitatif dengan pendekatan case control study. Populasi dalam penelitian ini adalah ibu rumah tangga yang anaknya menderita campak sebanyak 41 ibu (kasus) dan ibu rumah tangga yang anaknya tidak menderita penyakit campak (kontrol) sehingga total populasi adalah 82 ibu. Penelitian di laksanakan di Wilayah Kerja Puskesmas Kota Juang Kecamatan Kota Juang Kabupaten Bireuen. Hasil Penelitian: Hasil analisa univariat diperoleh hasil mayoritas ibu memiliki pengetahuan baik yaitu sebanyak 53 ibu (64.6%), status imunisasi terhadap anak mayoritas mendapatkan imunisasi campak yaitu sebanyak 63 anak (76.8%). Hasil analisa bivariate diperoleh hasil ada hubungan antara pengetahuan ibu dengan kejadian penyakit campak dimana nilai p-value = 0,000 (p-value ≤ α 0,05) di Wilayah Kerja Puskesmas Kota Juang Kecamatan Kota Juang Kabupaten Bireuen. Ada hubungan antara status imunisasi anak dengan kejadian penyakit campak dimana nilai p-value = 0,002 (p-value ≤ α 0,05) di Wilayah Kerja Puskesmas Kota Juang Kecamatan Kota Juang Kabuaten Bireuen. Saran: Diharapkan Puskesmas dapat lebih aktif untuk memberikan edukasi maupun informasi kepada masyarakat khususnya ibu dengan promosi dan penyuluhan kesehatan tentang penyakit campak dan pencegahannya melalui imunisasi campak.
EKSTRAK DAUN TEH HIJAU (Camellia sinensis) DALAM PROSES PENYEMBUHAN LUKA PADA MENCIT (Mus musculus)
Authors: Hartanti Miranti Dwi , Putri Erlyn  , Muhammad Ahsanul Khuluqi
Published: November 2023

Khasiat daun teh hijau (Camellia sinensis) sebagai anti radang sudah terkenal secara luas. Kandungan epigallocatechin pada teh hijau telah terbukti bermanfaat pada proses penyembuhan luka. Penelitian ini bertujuan untuk mengetahui proses penyembuhan luka pada mencit (Mus musculus) dengan menggunakan ekstrak daun teh hijau (Camellia sinensis). Penelitian ini merupakan penelitian eksperimental rancangan post test only controlled group design. Sampel menggunakan 18 mencit galur Swiss webster yang dipilih secara acak dan dibagi menjadi 3 kelompok. Sebanyak 0,2 ml ekstrak dioleskan satu kali per hari pada punggung mencit yang telah diberikan luka sayat sepanjang 1 cm. Data diolah menggunakan uji Kruskal-Wallis yang dilanjutkan uji Post Hoc. Data menunjukkan nilai p = 0,0001, terdapat perbedaan signifikan proses penyembuhan luka pada mencit menggunakan ekstrak daun teh hijau.
KEWENANGAN JAKSA DALAM PERKARA TINDAK PIDANA PENCUCIAN UANG
Authors: Atika Nur
Published: November 2023

Artikel ini dengan tujuan   Kewenangan jaksa dalam perkara tindak pidana pencucian uang yang secara khusus mengenai kewenangan jaksa sebagi penyidik dalam Tindak pidana Pencucian Uang (TTPU), dan mengenai penyidikan tindak pidana pencucian uang yang dilakukan oleh kejaksaan. Tujuan dari penelitian ini yaitu Untuk mengetahui kewenangan kejaksaan dalam tindak pidana pencucian uanag (TTPU), dan untuk mengetahui penyidikan tindak pidana pencucian uang. Metode yang digunakan dalam penelitian ini yaitu metode penelitian normatif. Bahwa Kejaksaan merupakan salah satu lembaga Negara yang memiliki wewenang melakukan penyidikan Tindak Pidana Pencucian Uang dengan Tindak Pidana Asalnya yaitu Tindak Pidana korupsi, sebagaimana ditentukan dalam Undang- Undang Nomor 8 Tahun 2010 Tentang Pencegahan dan Pemberantasan Tindak Pidana Pencucian Uang. Dan Proses penyidikannya adalah : Memperoleh sumber tindakan penyidikan, Penerbitan Surat Perintah Penyidikan dan Surat Pemberitahuan Dimulainya Penyidikan , Pemanggilan Saksi, Ahli dan Tersangka ,Pemeriksaan Saksi, Ahli atau Tersangka, TindakanPenggeledahan dan/atauPenyitaan, Tindakan Penahanan Tersangka , Pelimpahan Berkas Perkara Hasil Penyidikan. Kata Kunci : Kewenangan Jaksa, Proses Penyidikan oleh Kejaksaan.
Políticas de resíduos sólidos: impactos da rede Coopera Mais Brasil
Authors: Souza Amauri Santos de , Alves Andréa Pereira de Oliveira , Monteiro Camila da Silva Oliveira , Kochhann Andréa , Almeida Francisco Alberto Severo de , Pires Roseli Vieira
Published: November 2023

A Cooperativa Coopera Mais Brasil cuida da gestão ambiental de resíduos sólidos, com foco na pesquisa das políticas adotadas e seus desafios, impactos e contribuições socioambientais nos municípios atendidos. O objetivo geral se constitui em analisar os desafios, impactos e contribuições da rede Coopera Mais Brasil nas políticas de resíduos sólidos dos municípios atendidos por ela. Trata-se de uma pesquisa qualitativa, de natureza exploratória descritiva e teórica, sendo bibliográfica e documental, que analisa o Plano de Negócios (2019) da cooperativa e outros documentos pertinentes, como a Lei nº 12.305/2010, que instituiu a Política Nacional de Resíduos Sólidos. O embasamento teórico vem de autores como Andrade e Ferreira (2011); Deus, Battistelle e Silva (2015); Maiello, Britto e Valle (2018); Szigethy e Antenor (2021) e outros. Para estudo das informações colhidas, será utilizada a análise de conteúdo de Bardin (1977). A colaboração entre a cooperativa e os municípios promove práticas sustentáveis, como a logística reversa, que reduz o desperdício e preserva o meio ambiente. No entanto, a gestão dos cooperados e programas de educação ambiental são desafios importantes para a cooperativa.
Avaliação de equilíbrio em crianças e adolescentes com transtorno do espectro autista
Authors: Daltro Manuela Carla de Souza Lima , de Araújo Adilma Fernandes , Macedo Marriane Brito , De Pontes Filho Rui Nóbrega , Mazzaro Vandezita Dantas de Medeiros , De Medeiros Nara Maria Holanda , E Oliveira Luciana Ferreira Monteiro , De Sousa Milena Nunes Alves
Published: November 2023

Objetivo: Avaliar equilíbrio de crianças e adolescentes com TEA. Método: Pesquisa quantitativa, de caráter descritivo, por meio da pesquisa de campo com levantamento e dados através de um estudo transversal, localizado na cidade de Patos no Estado da Paraíba. A amostra foi composta por 20 crianças e adolescentes que faziam parte da Associação de Pais e Amigos dos Autistas de Patos e região (ASPAA) da cidade de Patos no estado da Paraíba. Resultados: Participaram da pesquisa 20 crianças entre 2 e 9 anos, com média de idade de 61,5 meses, sendo 60% do sexo masculino e 40% sexo feminino 50% estavam muito inferiorquanto ao equilíbrio e somente 10% estavam no normal médio. Conclusão: Os achados indicaram que a maioria das crianças avaliadas apresentou atraso motor relacionado ao equilíbrio comparado com a idade cronológica.
A prevalência da anemia carencial e sua associação com geohelmintíases em escolares
Authors: Lopes Ribeiro Yasmin , Araújo Helena Brandão , Rezende Gabriel Oliveira , Lima Maria Gláucia de
Published: November 2023

As geohelmintíases são doenças transmitidas por helmintos presentes no solo, prevalentes em países subdesenvolvidos e em desenvolvimento, sendo as crianças o grupo mais suscetível a essas infecções devido os seus hábitos de higiene, entre outros fatores, podendo sofrer com as graves consequências do parasitismo como traumas intestinais e a desnutrição que levam ao aparecimento de outros distúrbios, dentre eles a anemia carencial. O tipo de anemia mais comum é a anemia ferropriva, a qual está relacionada à deficiência na ingestão ou absorção de ferro e à perda sanguínea crônica. O objetivo deste estudo descritivo de revisão da literatura foi realizar um levantamento de informações sobre essas infecções e o distúrbio hematológico e sua correlação. A associação da anemia carencial e das geohelmintíases em crianças de idade escolar não é fortemente estabelecida na literatura, apesar de ser um frequente achado laboratorial e clínico. Hipóteses para esse fenômeno seriam a falta de estudos e pesquisas de campo no Brasil, dados escassos por não serem doenças de notificação compulsória e a negligência quanto as enteroparasitoses.
Estudo das relações cinemáticas do movimento circular utilizando videoanálise
Authors: Nunes Lucas Mateus Coelho , Borges Heloiza Santos , Nascimento Leonardo Silva do , Amazonas Járlesson Gama
Published: November 2023

O presente trabalho teve como objetivo realizar um estudo relacionado ao movimento circular uniforme e acelerado por meio da filmagem e posterior videoanálise utilizando o software livre Tracker, possibilitando a integração de conteúdos de Física por meio da experimentação, tecnologias de Informação e comunicação e modelagem científica. Para realizar as medições, fixou-se uma partícula na extremidade do disco do aparelho rotacional e mediu-se o raio da circunferência até a posição da partícula. Os vídeos foram gravados e a coleta dos dados ocorreu a cada 3 frames. Os resultados mostram que o raio médio mensurado no Tracker está em acordo com o medido no início do experimento. No intervalo entre 5 e 60 segundos, a velocidade linear apresenta estabilidade em torno do valor 0,86 m/s, caracterizando o movimento como circular e uniforme com aceleração tangencial nula. Ao desligar o aparelho, o módulo da velocidade diminui até se anular entre os intervalos de 60 a 62,57, representando assim um movimento circular retardado e progressivo. Por fim, detaca-se que este estudo pode ser apresentado em diferentes níveis de ensino, contribuindo para a inovação tecnológica nas aulas de física.
Consumo de alimentos en los pueblos indígenas chorotegas en el centro norte de Nicaragua, 2022
Authors: Valdivia Lorente Pedro Antonio , Rojas Meza Jairo Emilio
Published: November 2023

Se estudió el consumo de alimentos en los pueblos indígenas chorotegas en el centro norte de Nicaragua, con el objetivo de determinar los alimentos de mayor y menor consumo y conocer las cantidades de kilocalorías contenidas en estos. De enfoque cuantitativo-cualitativo; diseño de tipo transversal y observacional. La muestra fue de 406 familias, once entrevistas y cinco grupo focales; el cálculo se realizó con la aplicación de la fórmula de poblaciones finitas según Munch Galindo en 1996; técnica de recopilación de información: encuesta de frecuencia de consumo y recordatorio de 24 horas. La investigación se sustenta en instrumentos previamente validados por expertos, con un Alpha Cronbach de 0.8937; para el análisis de la información se utilizó el paquete estadístico SPSS versión 25 con triangulación de la información, se realizó un análisis de conglomerados usando el método jerárquico de Ward. Son 12 alimentos que se consumen por el 75 y 100% de las familias en la semana, que incluyen en los grupos de cereales, grasas, verduras, hortalizas, leguminosas, misceláneos, huevo y carne de pollo; son nueve los alimentos pertenecientes a los grupos de lácteos, frutas, verduras, hortalizas y cereales que son consumidos por el 40% al 74%; 24 alimentos son consumidos por menos del 40%: frutas, verduras, cereales y derivados, carnes, azúcar y misceláneos. El análisis de conglomerados encontró diferencias entre los territorios, agrupándolos en tres grupos diferentes entre sí.
Implementación de la Integral Definida para el análisis de la viscosidad de fluidos
Authors: Ponce Herrera Glorielí , López Valdivia Fátima Suyén , Canales Urrutia Carmen Isabel , Medina Martínez Walter Ismael , Herrera Castrillo Cliffor Jerry
Published: November 2023

Este artículo presenta la implementación de la integral definida para analizar la propiedad de viscosidad en los fluidos, con el objetivo de proporcionar una guía para la investigación y análisis en este campo complejo desde una perspectiva del cálculo matemático. Se seleccionaron dos problemas relacionados con la variable de viscosidad extraídos de la novena edición del libro de Víctor Streeter. Para recopilar información precisa y presentarla de manera coherente, se empleó un enfoque cualitativo. A través de cálculos físicos y matemáticos, se desarrolló un método sólido para estudiar la viscosidad, promoviendo la interdisciplinariedad al abordar temas relevantes de distintas áreas de la carrera de Física-Matemática, como Cálculo, Álgebra y Física mecánica de fluidos, así como la evaluación a través de rúbricas. Los resultados de este estudio contribuyen al enriquecimiento y ampliación del conocimiento, tanto para estudiantes como para docentes interesados en las propiedades de los fluidos. Este enfoque innovador combina diferentes asignaturas y fomenta el desarrollo del pensamiento crítico en las nuevas generaciones de académicos.
Military expenditure, policy syndromes and tourism in the world
Authors: Asongu Simplice , Odhiambo Nicholas
Published: November 2023

This study assesses the importance of military expenditure in moderating the role of insecurity dynamics on tourist arrivals or international tourism in 163 countries. It is framed to assess how the future of international tourism can be improved when military expenditure is used as a tool to mitigate perceived and real security risks that potentially reduce international tourists’ arrivals. The empirical evidence is based on Negative binomial regressions. The following main findings are established. Military expenditure significantly moderates violent crimes and perception of criminality to induce a favorable net impact on international tourist arrivals. The corresponding net effect is insignificant and negative for insecurity dynamics of “access to weapons” and “political instability”, respectively. An extended analysis is performed to assess thresholds at which political instability can be moderated for the desired net effect. This threshold is the critical mass at which the unconditional negative impact from political instability is neutralized with military expenditure. Policy implications are discussed.