bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimasi Charger Controller Pembangkit Listrik Picohidro Kapasitas 250 Watt
Authors: Dewi Rozlinda , Suprapto Eko , Wahyuni Kanthi
Published: September 2024

PLTMH is one of the renewable energy power plants that is environmentally friendly. Indonesia has considerable hydropower potential that can be developed into Micro / Mini Hydro Power Plants of 19,385 MW spread throughout Indonesia [2]. PicoHidro Power Plant is part of PLTMH with an output power of < 1 kW [1]. The advantages of this plant are generating electricity without being too influenced by seasons and day and night changes, power generation fluctuations are relatively small, the possibility of electricity generation is high, the impact on the environment is very small and the fast response is suitable for peak load conditions and when there is a disturbance in the network. PLPicohidro uses a DC generator that utilizes a power source for battery charging. The battery is used as an inverter voltage source to turn on the AC load. For that, a Charger Controller is needed which is useful for charging the battery. The DC voltage source coming from the generator is stored using a battery and then goes to the inverter to be converted into AC voltage. In this study, automatic charging of two batteries was used or can be called automatic charging. The way this circuit works is when the battery is full, the charger will automatically stop. The voltage indication during the charger process is 11 Volts and stops when the voltage reaches 14 volts. The use of two batteries in the charger process can work alternately, if battery 1 is full then battery 2 will charge automatically, and vice versa.
Kajian Beban Harian pada Jaringan Distribusi Penyulang Jelutung
Authors: Sabila Rani , Djufri Umar , Dewi Rozlinda
Published: September 2024

A distribution network is a conveyor network that connects the load center substation with the customer. The distribution network functions to distribute electrical energy to customers according to the power and voltage needed. The distribution network line from the Aurduri GI Transformer Bay goes to the incoming to be lowered voltage from 150kv to 20kv. After the voltage is lowered, it is directly channeled to the Jelutung Feeder to find out the daily load on the distribution network. The population in this study is "Study of Daily Burden on the Distribution Network of Jelutung Feeders". The highest daily load is the electrical load that occurs at the highest time in 24 hours. This can be affected by household, industrial, commercial activities and weather conditions. Daily peak loads occur at certain times such as the afternoon. The lowest daily load usually occurs in the morning around 06.00 to 07.30. Average lowest current (I) R,S,T 92,275A and lowest power (P) 3.29Mw. While the average highest current is 212.7A and the highest power is 7.54Mw. The highest current in September was on the 15th with a power of 8.0 mw at 18.30.
Pengaruh Penerapan Model Pembelajaran RBL Terhadap Kreativitas Belajar Siswa Kelas XI IPS Mata Pelajaran Ekonomi Di SMAN 2 Muaro Jambi
Authors: Oktavia Dina Dwi , Yudha Redi Indra
Published: September 2024

This research aims to determine the effect of applying conventional learning methods and the RBL learning model in increasing the learning creativity of class XI IPS students in economics subjects at SMAN 2 Muaro Jambi. The research design that will be carried out in this research is a quasi-experimental research with a pre-test – post-test control group design model with one type of treatment. The results of the research show that there are differences in the influence of the conventional learning model and the RBL learning model on the creativity of class XI IPS students. Students who learn using the RBL learning model obtain the best creative learning abilities.
Implementasi Model Problem Based Learning untuk Meningkatkan Hasil Belajar Peserta Didik Pada Materi IPAS Kelas IIID SDN 057 Palembang
Authors: Linawati Dina , Sari Diah Kartika , Sulaiman Reki , Lestari Diah Ayu , Maryani Dwi , Trijulianti Ega , Triani Endang
Published: September 2024

This research was conducted with the aim of improving student learning outcomes in science learning using the Problem Based Learning learning model. This research method uses a classroom action research design consisting of two cycles, where one cycle consists of 1 meeting. The stages of each cycle consist of four stages, namely planning, implementation, observation and reflection. The subjects in this research were class III D students at SDN 57 Palembang, totaling 24 students, consisting of 11 male students and 13 female students. Data collection techniques use observation techniques and tests on student learning outcomes. This research shows that the average daily test scores achieved by students in the pre-cycle stage reached 68. There were 10 students (42%) who completed their studies (reached the KKM). 14 students (58%) did not complete their studies (under the KKM). Meanwhile, after carrying out cycle one, there were 17 (71%) students who achieved learning completeness (KKM), while 7 (29%) students did not achieve learning completeness. Therefore, it can be concluded that the research results show that the use of the Problem Based Learning learning model can improve the learning outcomes of class V students at SDN 57 Palembang
Pemanfaatan Analisa Swot Dalam Mewujudkan Wirausaha Berbasis BUMDes Di Desa Jambi Tulo Kecamatan Maro Sebo Kabupaten Muaro Jambi
Authors: Sari Pratiwi Indah , Purwati Mulia Inda
Published: September 2024

This research aims to determine the effect of using SWOT analysis in realizing BUMDes-based entrepreneurship in Parit Panjang Hamlet, Jambi Tulo Village, Maro Sebo District, Muaro Jambi Regency. The type of research used is qualitative research with a case study approach with the scope of this research being BUMDes members in Parit Panjang Hamlet, Jambi Tulo Village, Maro Sebo District, Muaro Jambi Regency. The results of the research show that the SWOT analysis not only looks at four aspects from different points of view for the sustainability of BUMDes in Parit Panjang Hamlet, Jambi Tulo Village, Maro Sebo District, Muaro Jambi Regency, but is able to provide a way for the creation of job opportunities for the community to become entrepreneurs and founders of successful MSMEs. not there yet.
Ruang Bagi Pekerja Perempuan: Responsivitas Gender di Tempat Kerja
Authors: Ramdlan Asep , Barliana Mokhamad Syaom
Published: September 2024

Cases of violence and harassment in the workplace still occur quite frequently, especially experienced by female workers. The results of the ILO survey provide figures that illustrate that the protection of morals and decency is still not optimal, even though many regulations and guidelines related to worker protection have been issued. Among the efforts to prevent violence and harassment that can be done is to provide spaces for female workers in the workplace. Providing space for female workers not only provides comfort in working, but can also result in productive work. In this article, several literatures are reviewed which show that providing spaces for female workers plays a role in protecting workers' rights, especially regarding the protection of morals and decency. The literature studied includes regulations, books, journals, research results and articles on the internet. This article describes workers' rights that must be protected, various violations of morals and decency that often occur, as well as efforts to prevent these violations. It is hoped that this study will provide an explanation regarding the need for space for female workers in the workplace in providing protection for the rights of female workers. These spaces include a comfortable and safe work space, changing room, toilet, rest room and lactation room.
Kritik Arsitektur terhadap Aspek Keselamatan Sarana Penyelamatan Jiwa Bangunan Gedung Studi Kasus: Gedung Pusat Antar Universitas (PAU) ITB Bandung
Authors: Muhamad Yudha Ariep , Ilhamdaniah Ilhamdaniah , Widaningsih Lilis
Published: September 2024

Safety at the building is a safe condition physically, socially, spiritually, psychologically and other threats that endanger humans. Building Safety not only focus on active fire protection, but also need to concern about passive protection. Regarding from that safety aspect, the aspect of building life saving is a prevention for building users so that they have time for evacuation process until they leave the building. The aspect of saving lives is reviewed from the fulfillment of criteria such as distance between buildings, fire fighting access routes, pavement layers or hardstanding, fire fighting access inside buildings, access to exit facilities (corridors), access to exit facilities (doors), lighting on evacuation routes. , Signage, Placement of assembly point. So that an evacuation plan is created along with the fulfillment of protect users in saving lives at the building.
Kritik Arsitektur terhadap Aspek Inklusif Aksesibilitas Hubungan Horizontal Antar Ruang atau Antar Bangunan Studi Kasus: Selasar RSP (Rumah Sakit Paru) Dr. H. A. Rotinsulu Bandung
Authors: Kusmana Tresna Lugina , Widaningsih Lilis , Ilhamdaniah Ilhamdaniah
Published: September 2024

Hallway of the Lung Hospital DR. H. A. Rotinsulu is one of the facilities that functions as the accessibility of relationships between spaces or between buildings. Tues as referred to in the Lung Hospital DR. H. A. Rotinsulu is a means of connecting circulation pathways between rooms or between buildings outside a building that is not limited by walls or limited by at most 1 (one) side wall. The object of Architectural Criticism is the hall of Dr. Lung Hospital. H.A Rotinsulu Bandung. Architectural criticism is carried out in the form of observations and measurements in the field on several walkway segments, based on the steepness of the contours that have been measured influenced by the long span of each walkway segment, which has been divided into observations according to the existing conditions of the walkways of Dr. Lung Hospital. H. A Rotinsulu Bandung, then a study was carried out in the form of an evaluation of the existing conditions of the walkway according to Ministerial Regulation PUPR No. 14 of 2017 concerning Requirements for Building Facilities and Law no. 8 of 2016 concerning Persons with Disabilities. The aspects studied are: 1. Needs for space for movement of users, 2. Circulation, 3. Guiding paths 4. Placement of gathering points, 5. Waiting area or right of way in transit to the hall rest. The basic dimensions of space and related facilities according to the object of observation refer to the Universal Design principle or the principle of inclusive design so that each user can move easily, safely, comfortably and independently.
Analisis Kerusakan Jalan dengan Metode PCI Untuk Jalan Jati Kota Palangka Raya
Authors: Fadillah Haris , Murniati Murniati , Robby Robby
Published: September 2024

A fully functional road facilitates the movement of people from one place to another, yet road damage can pose threats to the safety and comfort of users. Jati Road serves as a secondary collector road connecting residential centers. The density of traffic on this route is high due to the presence of residential areas and schools nearby. Damage to Jati Road can have a negative impact on the road users' experience. This research aims to determine the types and levels of damage using the PCI method. The study was conducted directly on Jati Road by dividing it into several sections, each spanning 100 meters. Each segment was then visually inspected and measured to identify any damage. The research findings indicate that the PCI of Jati Road in Palangka Raya City reached 73.19%, which is considered very good.
Model Pemilihan Rute Antara Jalan Nasional dan Jalan Tol Surabaya (Bundaran Waru)-Jombang dengan Metode Pembebanan Bertahap
Authors: Pratama Irsyadul Ibad , Sholichin Ibnu , Utomo Nugroho
Published: September 2024

The interactions that occur between the City of Surabaya and the City of Jombang are not only influenced by economic factors, but are also influenced by social factors of life. Residents who are outside the Jombang City area will try to choose the fastest route from several routes that connect their home zone with Jombang City. This research was conducted based on factors that influence the process of choosing a travel route from Surabaya City to Jombang City using class I, class II and class III vehicles. The influencing factors are travel time and vehicle flow. The available route options are via national roads and toll roads. In this research, an analysis of route selection was carried out using the gradual loading method. The gradual loading method was chosen because it can determine the relationship between traffic flow and travel time, without depending on driver assumptions and road network characteristics. After carrying out the analysis using the gradual loading method, the wardrop balance value can then be calculated, the results of which can show that the conditions are balanced and the driver can determine which route to take. From the results of a simple linear regression analysis, a model of the flow - travel cost relationship on the Surabaya - Jombang National Road route was obtained with the equation form 55.63 + 0.031X, while on the Surabaya - Jombang Toll Road route the equation form was 32.044 + 0.024X. The wardrop balance value at a uniform fraction loading of 25% was found to be 0.18 and at a uniform fraction loading of 10% and a non-uniform fraction of 10%, 20%, 30%, 40% the value was 0.03. This value is relatively small and can be interpreted that the condition is close to wardrop equilibrium.
Kajian Kinerja Pelaksanaan Pengurusan Persetujuan Bangunan Gedung (PBG) pada Dinas PUPR Kabupaten Padang Pariaman
Authors: Rino Rino , Mulyani Rini , Khadavi Khadavi
Published: September 2024

In 2022, the implementation of PBG processing which has been carried out by the Padang Pariaman DPUPR in the field of Human Settlement does not comply with the time period based on the established regulations. In this regard, the author conducted research on the factors that influence its implementation, the obstacles faced, as well as potential improvements or recommendations to increase the efficiency and effectiveness of the process. The research method used is a qualitative method by distributing questionnaires and interviews with informants. The dominant factor is timeliness in implementing PBG arrangements; facilities and infrastructure; HR; and initiative. In the Likert Scale assessment, the highest result was obtained in the Disagree assessment, namely 5.57%. The results of the identification of indicators and evaluation results have been validated with experts so that the author provides recommendations to the field of creative work of the Padang Pariaman Regency DPUPR to increase the number of human resources capable of carrying out PBG implementation in accordance with applicable regulations. The Padang Pariaman Regency DPUPR Job Creation Sector must have the facilities and infrastructure to carry out the duties of implementing PBG in serving the community. And the Cipta Karya sector must have the initiative to provide information to the public about PBG and provide licensed experts to help the community complete the PBG requirements.
Evaluasi Kinerja APILL di Simpang Empat Bundaran Burung Kota Palangka Raya
Authors: Natasya Natasya , Riani Desi , Silitonga Sutan Parasian
Published: September 2024

Burung Roundabout is an important roundabout for mobilizing the activities of people entering and leaving the city of Palangka Raya, with the increase in population and the rise in community activities the density of vehicles also increases significantly every year. Traffic problems can occur if there is a lack of coordination in each arm of the roundabout. The research objective is to know the performance of Weaving Area and the performance of APILL at Burung Roundabout. The obtained data consists of quantitative data from field survey data. The data is analyzed using Indonesian Road Capacity Manual (MKJI, 1997). The research result using the calculations from (MKJI, 1997) for the Weaving Area section show that the maximum Capacity (C) obtained is 11,125 smp/h at the DA section. The average traffic delay at the roundabout is 0,77 second/smp with the highest delay index (DS) is 0,22 at the CD section. Consequently the service level during peak hours is classified as grade A. The analysis of APILL at Burung roundabout has good traffic flow result. The highest capacity on the southern arm is 1566 smp/hour and the highest delay is 21 second/smp. The highest queue length is 22 meters on the Southern with a highest saturation degree of 0,44 on the Southern with indicates level of service index C.
Pengaruh Gerak U-Turn terhadap Kinerja Lalu Lintas di Jalan D.I. Panjaitan
Authors: Wanto Endra , Suhendra Suhendra , Setiawan Ari
Published: September 2024

Jalan D. I. Panjaitan in the city of Jambi is a vital road with a 2 lane 2 way (2/2) road type, where there are some roads that use permanent road dividers and some that do not use road dividers. The condition of the road which includes residential areas, shops, schools, hospitals, places of worship, and so on causes road traffic to develop according to the conditions around the road. The aim of the research is to determine the effect of U-turn Volume and Degree of Saturation on Jl. D. I, Panjaitan, knows the level of service on Jl. D. I, Panjaitan. The conclusion is that based on the research results that have been calculated, it can be obtained that the U-turn volume influences the degree of saturation (DS) with a positive correlation, so the highest degree of saturation is obtained with a correlation coefficient value of 0.89. The coefficient value shows that the greater the U-turn volume. the greater the influence on the degree of saturation (DS). So the level of vehicle road service on Jl. DI Panjaitan with a road service level volume of 0.56 can have a service level of C. Where the flow is stable, but the speed of vehicle movement is controlled.
Analisis Pengaruh Beban Berlebih terhadap Sisa Umur Perkerasan Lentur pada Jalan Kawasan Industri Driyorejo dengan Metode MDPJ 2017
Authors: Misela Adinda , Sholichin Ibnu , Estikhamah Fithri
Published: September 2024

Flexible pavement is designed with regard to the load that will be received in order to achieve optimal performance throughout its service life. However, conditions in the road reveal indications of overloading by each category of vehicles, especially overload vehicles. Driyorejo industrial area road is a provincial road that connects the main industrial areas in Gresik Regency. With traffic dominated by overload vehicles, especially large trucks carrying a lot of goods, indications of damage to the pavement are becoming increasingly clear and obvious. This research aims to assess the impact of traffic load on the remaining life expectancy of flexible pavement, focusing on the load of vehicles crossing the road in the Driyorejo industrial area as the study variable. The calculation method used is the Bina Marga 2017 Method. The data used are Average Daily Traffic (LHR) data and vehicle load data. From the calculation results, the actual traffic growth (i) value is 32.7%. Vehicle overloading causes a decrease in the planned life of the road as indicated by the truck factor value of 1.06. The Remaining Life (RL) calculation represents a 14% decrease from the standard RL value of 69.3% to 55.3% under overload conditions, so it can be concluded that the overload significantly reduces the life of the road which was originally designed for 10 years to only 7 years.
Analisis Kinerja Operasional Light Rail Transit (LRT) Stasiun Demang Kota Palembang
Authors: Sari Nadra Mutiara , Aszharri Arief , Anggraini Nita , Praditya Norca
Published: September 2024

This research examines the operational performance and user satisfaction of the Light Rail Transit (LRT) mass transportation system in Palembang City, particularly on the LRT Demang Lebar Daun station corridor. The study involves the collection of primary and secondary data, including passenger numbers, waiting times, travel intervals, and travel times. The research results indicate that the average number of passengers per LRT station is approximately 10 passengers, resulting in a load factor ranging from 9% to 11%. While passenger comfort levels are relatively high, this low ridership may impact operational efficiency. The waiting times and travel intervals of the LRT are relatively short, enhancing passenger comfort, but warrant operational considerations. Furthermore, the study notes that the round-trip travel time on the LRT is approximately 2 hours, 33 minutes, and 57 seconds. However, limited parking facilities at the Demang Lebar Daun station can affect the interest in using the LRT. In order to improve operational performance and user satisfaction of the LRT, this research recommends an evaluation of travel intervals, waiting times, and daily LRT trip numbers. Additionally, improvements in parking facilities at LRT stations should be considered to enhance the convenience of using this mode of transportation.
Analisis Kelayakan Investasi Proyek Pembangunan Asvara Resort Manuaba Ubud
Authors: Dewi I Gusti Ayu Wulan Krisna , Pramana I Made Wahyu , Sudiarta I Komang
Published: September 2024

The current property competition in Bali, marked by an increase in the construction of hotels, villas, and resorts, coupled with the fluctuating growth rate of tourist visits over the past five years due to the pandemic (with both increases and decreases), necessitates a reevaluation of the investment feasibility analysis for the construction of Asvara Resort Manuaba Ubud. This study aims to assess the market, technical, and financial feasibility aspects of the investment in the construction of Asvara Resort Manuaba Ubud, to determine whether this development remains profitable for investors. Additionally, it seeks to ensure that the benefits of this resort development can be felt by the government and the surrounding community, thus supporting the welfare and economy of the region, especially Gianyar Regency. To analyze the market aspect, data on the number of tourists visiting Bali, occupancy rates, and the availability of similar resorts in the surrounding area, obtained from government agencies and several star-rated hotels in the vicinity, are required and then processed using forecasting methods. For the technical aspect analysis, geographical location data, project location, and land utilization plans are analyzed using qualitative descriptive methods. For the financial aspect analysis, data on costs and revenues obtained from contractors and operators are analyzed using Net Present Value (NPV), Benefit Cost Ratio (BCR), Payback Period (PP), and Internal Rate of Return (IRR) parameters. The market aspect analysis results show an increase in tourist visits, including occupancy rates, which will positively impact visits to this resort. From the technical aspect, land utilization and allocation have been optimized for investment. Financially, the NPV value is Rp 16,706,385,995.27, the IRR is 19.67%, the BCR is 1.242, and the PP is 10 years. The sensitivity analysis results, considering the worst-case scenario where all revenue components decrease by 8% and costs increase by 8%, show an NPV value of Rp 1,215,020,196.08, an IRR of 17.13%, a BCR of 1.018, and a PP of 13 years. Overall, it can be concluded that this investment is feasible for investors.
Patient and public involvement in the design and protocol development for a platform randomised trial to evaluate diagnostic tests to optimise antimicrobial therapy (PROTECT)
Authors: Svobodova Martina , Keating Liza , Gager Melanie , Waldron Cherry-Ann , Ainsworth Sammy , Carman Julie , Jones Sarah , Ogden Margaret , Prestwich Graham ,   PROTECT study team
Published: September 2024

Background Our patient and public involvement activities were part of a project aiming to develop a master protocol and National Institute for Health and Care research application for the PROTECT trial aiming to assess the effectiveness, implementation, and efficiency of antimicrobial stewardship interventions, to safely reduce unnecessary antibiotic usage by excluding severe bacterial infection in acutely unwell patients. Methods Three public involvement sessions were held with representation from young people and parents, people from diverse backgrounds and people with experience of presenting to the emergency department with undifferentiated illness. The teleconference meetings lasted between 60-90 minutes, were recorded, notes were subsequently taken, and findings summarised. The data was collected on September 13, 2023, October 14, 2023 and February 28, 2024. Results Working with public involvement contributors and public involvement groups at the protocol development stage provided an opportunity for the public to shape and influence the trial. We were able to establish the feasibility of the trial in the proposed setting and gain insights into how it would be perceived by potential trial participants. Antibiotic resistance was viewed as an urgent problem and research evaluating new technologies was deemed timely and important. The platform design was considered appropriate, time and cost-effective. Deferred and electronic methods of consent were viewed as acceptable if a clear and inclusive explanation is provided. Conclusions Having access to public contributors with relevant lived experience was an important resource for the trial team. Identification and recruitment of public contributors via working with existing public involvement groups across the UK enabled the trial team to involve public members with varied life experiences and from diverse backgrounds. This project was a good practice example of how public involvement groups and practitioners across the UK can work together to deliver public involvement that is inclusive of relevant groups.
IMPLEMENTATION OF BOOKING INVENTORY AND REPORTING REGIONAL OWNED GOODS
Authors: Kandey Yosua Nicolas , Morasa Jenny , Sardjono Olivia Y M
Published: September 2024

Regional property administration is one of the scopes of regional property management, where bookkeeping, inventory, and reporting are a series of activities in the administration of regional property in accordance with the provisions of laws and regulations. Administration of regional property in order to create administrative orders, including compiling reports on regional property that will be used as material for preparing balance sheets of government agencies that provide data so that the implementation of regional property management can be carried out effectively. This study aims to determine the application of opening, inventory and reporting of regional property based on Minister of Home Affairs Regulation No. 47 of 2021 at the Office of the Regional Housing, Settlement and Land Office of North Sulawesi Province. The method used in this study is qualitative descriptive. The results showed that the application of bookkeeping, inventory and reporting of regional property at the office of the Housing, Settlement and Land Office of North Sulawesi Province was in accordance with the Minister of Home Affairs Regulation Number.47 Year 2021 concerning Procedures for Implementing Bookkeeping, Inventory and Reporting of Regional Property.
PERSUASIVE TECHNIQUES IN DIGITAL POSTER SLOGANS OF ENVIRONMENT AND ANIMAL CONSERVATION: A SEMANTIC STUDY
Authors: Aqmarina Rifa , Sujatna Meita Lukitawa
Published: September 2024

This research aims to identify and analyze the persuasive technique and type of connotative meaning in slogans about animal and environmental digital posters retrieved through the Pinterest Platform. This research uses descriptive qualitative methods. As stated by Brett Lamb (2019) in Persuasive Language Teaching Resources, “Writers can use numerous strategies to convince you of their point-of-view.” Based on Brett Lamb's theory, there are 25 persuasive techniques. Besides that, this research focuses on identifying and analyzing the various types of persuasive techniques that appear in slogans. In addition, the study analyzes the types of connotative meaning based on Parera (2004), “Connotative, which can be categorized into two types: positive and negative connotations.” Through collecting, categorizing, classifying, and analyzing the data based on descriptive qualitative methods. The research found 12 persuasive techniques shown in 40 data, including, alliteration, appeal, assonance, emotive language, evidence, hyperbole, inclusive language, metaphor, pun, rhetorical question, repetition, and simile. The data are dominated by the repetition technique because it helps to strengthen memory and influence the perception of the message consistently. On the contrary, a negative connotation is a type of connotative meaning that is mostly used in the slogan. The study found that negative connotations can be more effective in persuading because negative connotations can give a stronger emotional reaction compared to positive ones
Гіпоксична легенева вазоконстрикція: можливості фармакологічного впливу
Authors: Кеда А. Р. , Добреля Н. В.
Published: September 2024

Гіпоксична легенева вазоконстрикція (ГЛВ) – рефлекторне скорочення судин малого кола кровообігу при зниженні парціального тиску кисню в альвеолах, є важливим адаптивним механізмом, який оптимізує оксигенацію крові за умов гіпоксії та забезпечує запобігання гіпоксемії. У літературі активно обговорюється зв’язок між ГЛВ і розвитком легеневої гіпертензії (ЛГ), небезпечним для життя станом.
Мета дослідження – аналіз та узагальнення даних наукової літератури щодо впливу лікарських засобів, які рекомендують для лікування ЛГ, на розвиток ГЛВ та оксигенацію артеріальної крові за умов гіпоксії.
Як препарати для специфічного лікування легеневої гіпертензії використовують антагоністи рецепторів ендотеліну (амбрисентан, босентан, мацисентан), аналоги простацикліну (ілопрост і трепростиніл), інгібітори фосфодіестерази (силденафіл, тадалафіл), розчинні стимулятори гуанілатциклази (ріоцигуат) і блокатори кальцієвих каналів (дилтіазем, ніфедипін, верапаміл). Більшість з цих препаратів пригнічує підвищення артеріального тиску в легеневій артерії за умов гіпоксії та здатні збільшити кровотік у погано вентильованих або невентильованих ділянках легень. Застосування інгаляційних форм лікарських засобів запобігає порушенню газообміну.
Необхідні подальші дослідження взаємозв’язку відповіді судин легеневого русла на гіпоксію та ЛГ. Ефективне лікування ЛГ може потребувати застосування препаратів, що посилюватимуть або пригнічуватимуть ГЛВ як адаптивну реакцію організму. Створення таких сучасних лікарських засобів зможе уповільнити темп прогресування захворювання та покращити виживання.
Permanencia, rezago y deserción de estudiantes con discapacidad en la Universidad Central del Ecuador: una aproximación de estos fenómenos en el período 2014-2019
Authors: Díaz Hurtado Andy Yong Fu , Gómez Tustón Ana Cristina
Published: September 2024

El presente artículo tiene como finalidad efectuar una aproximación a la situación de estudiantes con discapacidad en una universidad pública del Ecuador, a partir de tres componentes del derecho a la educación: permanencia, rezago y deserción, con base en una investigación previa. Este trabajo tiene lugar en razón de la reducida literatura sobre las personas con discapacidad en la educación superior en Ecuador, grupo sumamente minoritario en esta esfera, pues hasta el 2018 apenas el 1.29% de personas en esta condición accedieron al nivel superior de enseñanza, lo que hace imperioso conocer cuál es su realidad más allá del derecho al acceso reconocido en normas constitucionales e infraconstitucionales, es decir, cómo transcurre su vida universitaria, de ahí la necesidad de analizar estas aristas del derecho a la educación. Este estudio pudo determinar la existencia de elevados índices de repitencia, que en suma es la problemática más evidente, no obstante, la deserción, aunque en menor medida se encuentra presente, lo que demanda de una mayor preocupación por parte de las instituciones educativas por implementar en forma institucionalizada políticas, departamentos y programas especializados encaminados al fomento de la permanencia y el éxito académico de estudiantes con discapacidad.
La evaluación de los estudiantes, desde una concepción pedagógica de la integralidad. Principios y funciones
Authors: Tamayo Caballero Rafael Lodezma , Martin Astorga Eglis , Valdés Bencomo Yulima Daimet , Rodríguez Solis María Fernanda
Published: September 2024

Introducción: En la contemporaneidad, en Europa y en América Latina y el Caribe se constata un despertar en cuanto a los debates sobre la necesidad de una mayor atención a la evaluación de los estudiantes. Objetivo: reflexionar sobre la necesidad de una evaluación de los estudiantes desde una concepción pedagógica de la integralidad e incorporar funciones concretas, así como un principio que propicie la formación integral de los estudiantes. Metodología: se utilizan métodos teóricos y empíricos de investigación científica, con énfasis en la metodología cualitativa a partir de un estudio de casos, en la cual se triangulan diversos datos, fuentes y métodos. Resultados: la integralidad en el hombre ha sido estudiada más no se observa un tratamiento al término desde el punto de vista psicológico, que sustente desde la pedagogía, su evaluación. Desde la teoría los principios y funciones de la evaluación son numerosos y utilizados con diversas acepciones. Conclusión: los estudios acerca de la evaluación de los estudiantes están centrados en su manifestación fenoménica y no siempre en lo conceptual. De ahí la necesidad de una conceptualización, un principio y funciones que propicien la formación integral. Área de estudio general: Pedagogía. Área de estudio específica: Evaluación de los estudiantes.
Reducción de desigualdades y la universidad ecuatoriana: Un enfoque de capacidades
Authors: López Zurita Santiago , Garcés Toro Diana , Gavilanes Jurado Guido , Camacho Estrada Sara
Published: September 2024

Introducción: Las universidades son responsables de producir y difundir el conocimiento, mismo que es clave para para la libertad y la equidad en las economías del conocimiento; sin embargo, su acceso y distribución están influenciados por el poder y los intereses de quienes lo controlan, lo que causa las desigualdades. Objetivo: Analizar cómo aporta la universidad ecuatoriana a través de la investigación al cumplimiento del Objetivo de Desarrollo Sostenible [ODS] 10, reducción de desigualdades, sobre la base del enfoque de capacidades y el concepto de desarrollo humano. Metodología: El estudio utilizó el análisis de contenido para revisar 178 documentos normativos entre estatutos, Planes Estratégicos de Desarrollo Institucional [PEDI] y lineamientos de investigación correspondientes a 62 universidades, en los que se identificó fragmentos que promueven las capacidades de las personas y generan libertades instrumentales. Resultados: El 72.54% de los fragmentos analizados priorizan la calidad educativa y el desarrollo humano, con un énfasis notable en libertades instrumentales como oportunidades sociales (60.27%) y garantías de transparencia (13.85%); no obstante, se observa un bajo interés en aspectos económicos y de protección social, lo que sugiere que, aunque hay esfuerzos por promover la igualdad de oportunidades, aún existen áreas críticas que requieren atención. Conclusión: Las universidades ecuatorianas aportan en la promoción de capacidades y libertades que contribuyen al desarrollo humano y a la reducción de desigualdades. Área de estudio general: Educación superior Área de estudio específica: Enfoque de capacidades. Tipo de estudio: Artículo original
Prospects and Methods for Studying the Proliferative Capacity of the Human Peripheral Blood Lymphocyte Subpopulations in Radiation Medicine
Authors:   Urals Research Center for Radiation Medicine, Chelyabinsk, Russia, Kodintseva E.A. , Akleyev A.А. ,   Southern-Urals State Medical University, Chelyabinsk, Russia
Published: September 2024

Introduction 1. Proliferation of peripheral blood lymphocytes as an integrative indicator of the functional activity of ICS in normal and pathological conditions. 2. Features of proliferative activity of peripheral blood lymphocytes under the action of AI. 3. Methodological approaches to the quantitative determination of proliferating cells in human peripheral blood lymphocyte subpopulations. Conclusion
Penerapan Basic Feeding Rules Berhubungan Dengan Status Gizi Anak Usia 1-3 Tahun Di Wilayah Puskesmas Janti Kecamatan Sukun
Authors: Febriyanti Dwi , Mumpuni Risna Yekti , Raharjo Puguh
Published: September 2024

Tahap perubahan pola makan pada balitayang biasanya akan mengalami masalah sulit makan. Masalah ini jika tidak ditangani akan berpengaruh pada kondisi status gizi anak. Untuk menanganinya orang tua dapat menerapkan basic feeding rules. Penelitian ini bertujuan untuk mengetahui hubungan mengenai praktik basic feeding rules dengan status gizi anak di Wilayah Puskesmas Janti Kecamatan Sukun. Penelitian ini adalah penelitian kuantitatif korelasional menggunakan pendekatan cross sectional. Jumlah sampel sebanyak 102 ibu dan balita yang berusia 1-3 tahun yang ditentukan dengan metode Multistage Random Sampling. Metode analisis data dengan uji Spearman Rank. Mayoritas status gizi baik sebanyak 77 balita (75,5%) dan penerapan basic feeding rules sedang sebanyak 62 responden (60,8%). Penerapan basic feeding rulesdan status gizi berkorelasi signifikan (p=0,000, r= 0,549)Hasil ini menyoroti bahwa ketidakmampuan orang tua dalam praktik basic feeding rules akan menyebabkan munculnya masalah inappropriate feeding practice sehingga dapat mempengaruhi kondisi gizi anak.Untuk mengubah praktik diperlukan pengembangan berbagai faktor yang mempengaruhi penerapan basic feeding rules.
Anestesia em paciente com doença de Pompe: Relato de caso e revisão de literatura
Authors: Gonçalves Rafaella Guedes , Amorim Jane Auxiliadora , Feitosa Isabela Maria Pereira de S. S. , Oliveira Rodrigo Philippe Alves de Assis Damasceno , Barros Fábio Raniere Angelim , Nascimento Júlia Amorim do
Published: September 2024

A doença de Pompe é uma enfermidade autossômica recessiva rara. Trata-se de um erro inato do metabolismo, decorrente da deficiência da enzima alfa-glicosidase ácida, que resulta em acúmulo intralisossomal de glicogênio, clinicamente manifestada por fraqueza muscular progressiva. O objetivo desse estudo foi relatar um caso de anestesia em paciente com doença de Pompe e revisar a literatura. Homem, 47 anos, submetido à colecistectomia videolaparoscópica, sob anestesia venosa total. Na avaliação pré-anestésica apresentava ausculta diminuída em bases pulmonares, saturação de oxigênio 96%, atelectasia em pulmão direito, PaO2 74 mmHg e PaCO2 41 mmHg, e distúrbio ventilatório misto grave com capacidade vital forçada 41% do previsto, ARISCAT escore de 31 pontos. No intra-operatório, além da monitorização de rotina, foram monitorizados o bloqueio neuromuscular e a atividade cerebral e profundidade anestésica. Ao final da cirurgia paciente foi extubado com TOF 100% revertido e administração de sugamadex. Instalado BIPAP e encaminhado à unidade de terapia intensiva. Evoluiu sem apresentar sinais clínicos de insuficiência respiratória e recebeu alta hospitalar sem complicações. Em revisão, descrevemos 10 casos de pacientes com doença de Pompe submetidos à cirurgia, seis deles sob anestesia geral:  8/10 mulheres, com 5 meses a 56 anos de vida.  Todos com comprometimento de dois ou mais sistemas: 5/10 do aparelho cardiovascular, 8/10 do aparelho respiratório e 7/10 fraqueza muscular generalizada. Esses pacientes necessitam de um preparo pré-operatório envolvendo uma equipe multidisciplinar. O planejamento da anestesia, monitorização e reversão do bloqueio neuromuscular associados aos cuidados perioperatórios são essenciais para um atendimento com qualidade e segurança.
Percepção de indivíduos acerca do impacto da dieta na saúde oral durante o seu processo de envelhecimento
Authors: Silva Amanda Laryssa Alves da , Maia Luciana Maria Silva de Seixas
Published: September 2024

Introdução: O envelhecimento populacional está ocorrendo de forma acelerada, exigindo ajustes estruturais para atender as necessidades dos idosos. Isto porque este público alvo pode aumentar a demanda por serviços de saúde. Objetivo: Identificar a percepção de adultos e idosos sobre o impacto da dieta na saúde bucal durante o processo de envelhecimento. Métodos: Estudo transversal, descritivo, quantitativo e qualitativo. Foi aplicado um questionário a 30 participantes com idade entre 20 e 70 anos, recrutados na Clínica Integral da Universidade Federal de Pernambuco. A coleta de dados abordou aspectos sociodemográficos, autopercepção, acessibilidade a serviços odontológicos e dietéticos. Resultados: A amostra foi composta adultos e idosos (50% cada). Foi identificado diferenças entre idosos e adultos quanto  à autopercepção, principalmente nos hábitos alimentares e na saúde geral. Enquanto 73,3% dos idosos se declararam felizes, apenas 53,3% dos adultos relataram satisfação. A hipertensão foi identificada como a comorbidade mais comum entre os idosos. Conclusão: Existe uma mudança na autopercepção durante o processo de envelhecimento. Idosos tendem a ser mais satisfeitos com relação a sua saúde. Em qualquer faixa etária faz-se necessária maiores divulgações de conhecimentos sobre nutrição e saúde bucal. Dados permitem criar estratégias para intervenções de prevenção na saúde dos indivíduos, possibilitando que o processo de envelhecimento seja mais saudável.
Pieloplastia em paciente recém-nascido de 2235 gramas com estenose de junção ureteropélvica bilateral e insuficiência renal
Authors: Barros Lara Araujo Almeida , Leite Pedro Henrique Borba , Lorenzi Keila Maria Lima Miguel
Published: September 2024

Este estudo apresenta o relato de caso de uma paciente do sexo feminino, recém-nascida prematura, diagnosticada com estenose extensa e obstrutiva da junção ureteropélvica (JUP) bilateral que evoluiu com insuficiência renal após o nascimento, uma condição congênita rara em neonatos. A paciente, com peso de 2.235 g, foi submetida a um procedimento cirúrgico de pieloplastia desmembrada de Anderson-hynes aos 15 dias de vida, com evolução clínica favorável e importante melhora da função renal. O objetivo principal deste estudo é enriquecer a literatura médica com informações pertinentes sobre essa anomalia congênita e demonstrar a factibilidade da realização deste procedimento cirúrgico em recém-nascidos, incluindo os de baixo peso. Este caso destaca a importância do diagnóstico precoce e da intervenção cirúrgica tempestiva para aumentar a sobrevida e melhorar a qualidade da assistência prestada aos pacientes com estenose de JUP. Além disso, o estudo visa estimular futuras pesquisas e o desenvolvimento do raciocínio diagnóstico, bem como sensibilizar a equipe de saúde para a detecção precoce dessa condição rara.
Entre saúde e sofrimento: A realidade das internações por transtornos mentais e do comportamento no Sul do Brasil
Authors: Silva Júlia Fernandes , Ferrer Maria Gabriela Andrade , Farina Sophia Rovani , Miguel Victor Hugo Lemos , Garcez Valéria Ferreira
Published: September 2024

Os transtornos mentais e do comportamento causam não só prejuízos psicossomáticos, mas também geram prejuízos financeiros significativos nos gastos públicos com saúde, especialmente na atenção hospitalar. Diante desse cenário, o presente estudo visa identificar o perfil epidemiológico dos pacientes internados em decorrência de transtornos mentais e do comportamento, na região Sul do Brasil, entre 2018 e 2023 para assim analisar a efetividade da assistência à saúde mental no local e período analisados. Trata-se de um estudo retrospectivo, transversal e descritivo, utilizando dados obtidos através da vigilância em saúde pública e registrados no Sistema de Informações Hospitalares do SUS. A região Sul registrou 430.661 internações, com menor incidência em 2020 e picos variáveis no período pós-pandêmico. O Paraná, apesar de não ter a maior incidência, teve a maior taxa de mortalidade, tempo e custo de internação. A análise indica uma prevalência de homens adultos e uma alta ocorrência de atendimentos de urgência, sugerindo falhas na atenção primária à saúde mental.
Plano de ação para redução de danos e boas práticas em sala de imunização: Relato de experiência
Authors: Nogueira Suyane Reis , Lima Beatriz da Silva , Freire Arilene Inácio , Silva Adriana Dias
Published: September 2024

Objetivo: Identificar inconsistências nas práticas de vacinação que possam resultar em danos. Metodologia: estudo descritivo e exploratório, do tipo relato de experiência, realizado com base em publicações e observação das práticas em sala de imunização de uma Unidade de Saúde da Família na Amazônia Legal, a partir de visita técnica realizada por estudantes durante disciplina da graduação para a aplicação de ferramenta e identificação de problemas e prioridades para a proposição de um plano de ação para melhorias. Resultados: foram identificadas falhas estruturais e operacionais, como a ausência de Procedimento Operacional Padrão, assim como, inexistência de capacitação regular para a equipe. Isto posto, foi apresentado um plano de ação com intervenções para melhorias. Considerações Finais: o estudo enfatiza a importância da educação permanente em saúde para aperfeiçoar as práticas nas salas de imunização, além da garantia de maior segurança para usuários e profissionais.
Sistema nervoso central, neurotransmissores e a psicopatologia: Um recorte
Authors: Monteiro Cliciane da Silva
Published: September 2024

O objetivo do artigo, é o expor o histórico da composição do Sistema Nervoso Central (SNC) na visão da psicopatologia e da anatomia, revisitar a literatura sobre o grupo dos neurotransmissores com moléculas pequenas e de ação rápida o outro grupo é composto por neuropeptídeos, são moléculas maiores e mais lentas. Descrever a composição das sinapses e a importância dos neurotransmissores e suas classes, e ainda expor sobre a psicopatologia associada a fatores psicossociais e neurotransmissores. Trata-se de uma pesquisa bibliográfica a partir de uma revisão da literatura, tipo narrativa. São as funções neuropsicológicas do cérebro que tem o poder de processamento das experiências transformando-as em conhecimento, o sistema nervoso Central é uma espécie de substrato que suporta o psíquico e amplia a malha neural. São mais de 50 substâncias químicas que atuam como transmissores sinápticos, são às funções integrativas do sistema nervoso que canaliza as informações consideradas importantes para as regiões integrativas. As emoções sentidas por cada um é resposta de determinada liberação química do organismo, mas isso vai além e envolve o ambiente psicossocial de cada indivíduo. Ao final será possível associar quais disfunções dos neurotransmissores que estão relacionados os principais transtornos psicopatológicos, e concluir que o profissional em psicologia deve entender a psicopatologia ciência fonte de subsídios patológicos da psiquê humana e a influência dos neurotransmissores e os transtornos decorrentes do seu desequilíbrio, sendo tal conhecimento extremamente necessário compor a avaliação psicopatológica do paciente demandante.