bluuebunny/crossref_metadata_2025 huggingface dataset:
Distinct Island Lineages of Binturong (Arctictis binturong) from Indonesia and Its Conservation Implications
Authors: Hardian Andreas Bandang , Rahmawati Irhamna Putri , Widayanti Rini , Aninta Sabhrina Gita
Published: July 2024

Binturong (Arctictis binturong) is a threatened carnivore that inhabits the forests of South and Southeast Asia. Despite its wide range, binturong is relatively scarce across its habitat distribution and is currently under the threat of poaching and illegal trade. Captive breeding has unfortunately been conducted rather haphazardly with a lack of origin record maintained, implicating potential risks to the management such as inbreeding or genetic swamping. This study thus aims to characterise the phylogenetic relationship of Indonesian binturong within the context of Southeast Asian binturong and further probe the distinctness of lineages originating from Java, Sumatra, Indonesian Borneo, and Bangka using Cytochrome B (CytB) and Cytochrome C Oxidase Subunit 1 (CO1). Genetic distance, phylogram topology, and haplotype analysis of both encoding genes further corroborate the distinctness of Java, Borneo, and Bangka binturong from other binturong from Indochinese regions such as India, Laos, and Myanmar. Search for prospective single nucleotide polymorphism markers to discriminate island lineages consistently found that each Java, Bangka, and Bornean binturong be distinct from each other and other lineages, especially when assessed using haplotype-based clustering. Assigning binturong originated from Sumatra is nonetheless more complicated, suggesting the possibility. Our findings substantiated the much-needed systematic research of Southeast Asian binturong as ex-situ insurance population management grows in Indonesia and other parts of the world to protect the diversity of binturong lineages and their corresponding unique evolutionary history.
Penerapan Pelaksanaan Kewirausahaan Di SMKN 1 Cijulang
Authors: Sidik Japar
Published: July 2024

Entrepreneurship in education is a continuous effort by schools, especially school leaders, to make schools more qualified. This entrepreneurial spirit is about reading opportunities carefully, examining all elements of the institution to look for new and innovative, researching realistic and available resources, managing risks and well-being (making profits). (including striving to The problems with this scientific study are: 1) How is entrepreneurship education implemented in schools? From the observations and interviews it is clear that the application of entrepreneurial education can be developed through several activities such as: 2) through extracurricular activities; 3) through personal development; 4) changes in the implementation of entrepreneurship learning from theory to practice. 5) Integration of entrepreneurial education materials/textbooks. 6) Integrate entrepreneurial education through school culture. 7) Integration of entrepreneurship education with local content
Pemberdayaan Guru dalam Meningkatkan Prestasi Sekolah (Studi Pada SMAN 10 Tasikmalaya)
Authors: Yonandi Yonandi
Published: July 2024

Based on the results of a preliminary study at SMAN 10 Tasikmalaya which was studied, there are still problems in the learning process, such as there are still teachers who have not prepared learning before teaching, teachers have not used varied learning strategies so that students feel bored and do not focus on participating in learning activities. The formulation of the problem in this study is: 1) How is the teacher empowerment program in improving school achievement? 2) What are the priorities of teacher empowerment programs in improving school achievement? 3) How is the implementation of teacher empowerment programs in improving school achievement? 4) How to control teacher empowerment programs in improving school achievement?; 5) What are the barriers to teacher empowerment programs in improving school achievement?; 6) How to overcome the obstacles of teacher empowerment programs in improving school achievement? In this study, descriptive and explanatory methods were used. In the research, the data source chosen was all teachers at SMAN 10 Tasikmalaya. The sampling technique uses census techniques so that all populations are sampled, namely 57 people. Based on the results of the study, it is known that 1) The Head of SMAN 10 Tasikmalaya in implementing the teacher empowerment program has sent teachers to take part in workshops, upgrades, and training at the sub-district, district, provincial, and even national levels as long as there is an opportunity. 2) The principal has priority in carrying out teacher empowerment programs, namely the existence of priority programs that can improve the ability of teachers so that school achievement increases, namely holding a work shop that is carried out to provide new insights to teachers; 3) The principal has implemented a teacher empowerment program to improve school achievement by including teachers in various MGMP programs and trainings organized by the religious affairs department. 4) The principal has controlled the teacher empowerment program in improving school achievement by carrying out supervision and supervision to improve and improve the quality of learning in the classroom which ultimately also has an impact on improving the quality of education. 5) Some of the obstacles faced by the principal to improve school achievement include: there are differences in the thinking ability of educators, education staff and students in understanding the vision and mission to produce educational personnel with strong and intelligent characteristics. 6) Efforts to overcome the obstacles faced by the principal to improve school achievement, including conducting continuous and systematic socialization so that teachers have the same perception of the existing vision and mission, planning work programs carefully and meticulously so as not to clash with existing rules
Penerapan Pembelajaran dengan Menggunakan Metode Resitasi Untuk Meningkatkan Aktivitas, Kemampuan Bekerjasama dan Hasil Belajar Matematika di SDN Dawuhan Sengon II Purwodadi Pada Pokok Bahasan Pengerjaan Hitung Bilangan Pecahan
Authors: Murdiani Endang
Published: July 2024

Class action research (PTK) has been carried out at SDN Dawuhan Sengon II Purwodadi, Purwodadi District, in class VI students in Mathematics subjects with the subject matter of Working on Calculating Fractional Numbers. The learning method used is a resitation method where the teacher gives certain tasks so that students carry out learning activities both individually and in groups. This method was chosen because there is too much study material while there is little available time. This class action research is carried out in 3 cycles, and each cycle consists of three meetings. The results of this action study showed very significant progress both in terms of student activities, participation, the ability to cooperate well and learning outcomes in the form of written test scores. The average score of mathematics learning outcomes before the holding of PTK (On Broad and Volume Subjects) was 61.37; then increased after being given action by the resitation method on cycles I, II, and III respectively was 62.81; 65,63; 71.56. Thus it can be concluded that classroom action research using the resitation method can help solve the problems of teachers in the classroom and can improve student learning outcomes in mathematics subjects
Pembelajaran dengan Google Classroom dalam Meningkatkan Hasil Belajar Sejarah
Authors: Lukmanulhakim Cecep
Published: July 2024

Google Classroom's approach to learning is part of our strategy to use technology to facilitate the learning process for teachers and students. Through this Google Classroom, teachers can provide materials related to the subjects they teach. This is so that students can immediately see their grades, such as presenting materials, submitting assignments, and uploading student grades. Additionally, Google Classroom could be an alternative to replace late meetings when teachers are out of town or busy during class hours. The formulation of the problem in this study is as follows. How can using Google Classroom for online learning improve history learning outcomes? The research method used in this study is descriptive qualitative research related to problem-solving strategies. The reason for using this qualitative descriptive study is that the authors want to improve and enhance the quality of learning. Based on our findings: 1) On Basic Skills 3.7, 2 (5.6%) students had the lowest scores with values between 75 and 79, and 13 (36.1%) participants had the highest scores with values between 85 and 89; educate the 2) For baseline competency 3.8, 12 (33.3%) students had the lowest scores with values between 80 and 84, and 8 (22.2%) students had the highest scores with values between 90 and 94. 3) For Basic Competency 3.9, the lowest score with a value less than 75 is 1 (2.8%) student and the highest score with a value between 90 and 94 is 4  (11.1%) students. 4) For Baseline Competency 3.10, 3 (8.3%) students had the lowest score with a value less than 75 and 4 (11.1%) students had the highest score with a value between 95 and 100
Strategi Kepala Sekolah dalam Meningkatkan Kinerja Guru Di SMAN 10 Tasikmalaya
Authors: Yonandi Yonandi
Published: July 2024

This research was motivated by the lack of the principal's strategy in improving teacher performance at SMAN 10 Tasikmalaya. The purpose of this study was to determine the description of the principal's strategy, supporting factors and obstacles to the principal's strategy in improving teacher performance at SMAN 10 Tasikmalaya. This research approach is qualitative with a descriptive type of approach. This research was conducted at SMAN 10 Tasikmalaya. The data sources in this study are school principals and teachers representing scientific clusters. Data collection techniques in the form of observation, interviews, and documentation. Data analysis techniques use data reduction, data presentation, and conclusion drawing. Checking the validity of the data using trianggulation techniques.
The results showed that the principal's strategy in improving teacher performance at SMAN 10 Tasikmalaya includes: (1) Learning planning, the strategies used include coaching teacher performance, through MGMP activities, including participating in training. (2) Implementation of learning, the strategies used include supervision / supervision of classroom management, facilitating learning media facilities, giving teachers flexibility in the use of learning methods, providing motivation, giving awards. (3) Evaluation of learning, the strategies used include providing facilities and controlling the implementation of learning evaluation. The supporting factors include, with the availability of various rpp making tools, especially guidelines for compiling rpp, as well as learning evaluation equipment facilities, especially assessment formats, student enthusiasm in participating in learning, and learning media facilities provided at SMAN 10 Tasikmalaya are quite adequate. Meanwhile, the inhibiting factors include difficulty adjusting between what is in the rpp with real conditions, some students do not follow BDR due to network constraints, and the IT skills of some teachers are inadequate
DISCOVERY LEARNING DAN KEMAMPUAN BERPIKIR KRITIS MATEMATIS SISWA SEKOLAH DASAR
Authors: Azmy Bahauddin , Yustitia Via
Published: July 2024

is research is motivated by the low learning outcomes of mathematics in Indonesia, as evidenced by the results of the Trend International Mathematics and Science Study (TIMMS) which states that the level of critical thinking ability of students in Indonesia is very low. PISA data shows that Indonesia is ranked 50th out of 57 countries with an average score of 391. The purpose of this study was to determine whether or not the discovery learning model had an effect on students' critical thinking skills on the volume block material for class V SDN Kebondalem Mojosari. The type of experimental research in this study was a posttest-only with Noneequivalent design. The population is all fifth grade students of SDN Kebondalem Mojosari. The technique in this study uses cluster random sampling. The sample used in this study used class VA and VB students at SDN Kebondalem Mojosari. This research method is a test. The instrument in this study used a critical thinking ability test sheet. Data analysis used was homogeneity test, normality test and T test. The results showed that there was an effect of the Discovery Learning model on students' critical thinking skills on the volume block material for class V SDN Kebondalem Mojosari. This is evidenced by the average critical thinking ability of the experimental class is better than the control class
VALIDASI LEMBAR KERJA PESERTA DIDIK (LKPD) BERBASIS MULTIPLE INTELLIGENCES
Authors: Solihah Ai , Habibie Muhammad Tri , Kamali Asep Saefullah
Published: July 2024

This study aims to develop LKPD based on Multiplate Intelligences on the material of the Two-Variable Linear Equation System (SPLDV) which is suitable for use in learning activities for class VIII students of junior high school. Multiplate Intelligences-based learning is a learning theory where students can develop various intelligences together to support the learning process, especially mathematics. This research is a type of development research (Research & Development). Based on the results of research and development of LKPD based on Multiplate Intelligences, the validation results were obtained from three experts in their fields, namely mathematicians 83.08% with very suitable criteria, 86.16% learning method experts with appropriate criteria and 83.08% language experts with feasible criteria. So it can be concluded that the development of LKPD based on Multiplate Intelligences on SPLDV material for use in class VIII junior high school students is very valid and feasible for later use in learning
ANALISIS MINAT BELAJAR MATEMATIKA MTs PONPES DAAR – AL ILMI
Authors: Caesarani Sarah , Islamiyah Izzatul
Published: July 2024

The aim of this research was to analyze the learning interest of junior high school students in learning mathematics. In this study, a qualitative research was used with a descriptive method whose population was students at MTs Daar Al-Ilmi. The sample used was 46 female students. The non-test instrument or questionnaire used in this study, with a total of 20 statement items which includes positive and negative statements. This instrument was created based on 4 indicators of students' interest in learning mathematics. The data analysis technique used in this research is to use the formula for the percentage of student answers which is then described using the criteria for interpreting the results of student answers. The results obtained from analyzing this study indicate that students' interest in learning is an indicator of feeling happy in participating in learning mathematics, having an interest in participating in each learning of mathematics, and having a disciplined attitude in learning mathematics which shows that most students have an interest in learning mathematics
PERSPEKTIF SISWA KELAS TINGGI MI TERHADAP REWARD AND PUNISHMENT DALAM PEMBELAJARAN
Authors: Pratiwi Nadilla , Herianingtyas Nur Luthfi Rizqa
Published: July 2024

The background of this research is my curiosity, which wants to measure whether the school applies rewards and punishments in learning. This study aims to analyze how the perspective of high school students for giving rewards and punishments carried out by their teachers when the learning process is in progress. Besides that, I also want to know what the teacher's behavior is like when teaching when learning takes place in the application of reward and punishment in grades 4, 5 and 6. This research activity was conducted in the form of observational, interviews and questionnaires. The material used in this study is qualitative data, namely data obtained from the results of observation data, interviews and questionnaires. This research was only conducted by 1 respondent, namely students in grades 4, 5 and 6. It was found that the application of reward and punishment in learning was going well and in accordance with standards like giving gifts and punishments in the Pakansari Bogor waterfall. From this we can concluded that various perspectives of high-level students towards giving rewards and punishments in this learning are in line with expectations
PENINGKATAN KREATIVITAS MENGGAMBAR DEKORATIF SISWA KELAS III MELALUI PENERAPAN MODEL CONTEXTUAL TEACHING AND LEARNING (CTL)
Authors: Ernawati Fitri , Susiani Tri Saptuti , Salimi Moh
Published: July 2024

The study aimed to improve student’s creativity in decorative painting, and describe the constraints and solutions in the implementation of Contextual Teaching and Learning. It was classroom action research. The subjects were teacher and students of third grade at SDN 1 Mekarsari.  The data used is in the form of qualitative and quantitative data. Data collection techniques using tetst, observations, and interviews. Data validity uses triangulation of sources and techniques. Data analysis with data reduction, data presentation, and drawing conclusions. The results indicated that Contextual Teaching and Learning (CTL) improved student’s creativity in decorative painting. The students had interesting and unique ideas in painting. The student’s learning outcomes and works improved.  The constraints were the teacher had difficulty to manage the students when drawing and they needed much times to finish. The solutions were the teacher provided more efforts to manage the students. It concludes that the implementation of Contextual Teaching and Learning (CTL) improves creativity in decorative painting to third grade students
Propiedades psicométricas del instrumento neuropsicológico INECO Frontal Screening (IFS) en población con discapacidad
Authors: Tipán Llumiguano Anahi Ibeth , Flores Hernández Fernanda Verónica
Published: July 2024

La población del estudio con características de discapacidad mostró deficiencias físicas, mentales, intelectuales o sensoriales, lo cual ha desencadenado en barreras ambientales y sociales. Dichas personas evidencian limitaciones entono a sus capacidades cognitivas específicamente las funciones ejecutivas mismas que son clave para abordar desafíos y metas, integrando elementos como la inhibición, memoria de trabajo, flexibilidad cognitiva y planificación que permitirán mejorar la calidad de vida de este grupo poblacional. Se aplicó el instrumento INECO a 90 adultos institucionalizados en centros inclusivos de Tungurahua – Ecuador, mediante el instrumento se evaluó su estructura, confiabilidad y comparación de puntuaciones según el sexo, mostrando alta consistencia interna (coeficiente alfa de Cronbach de 0.834). Los resultados indicaron que el IFS tiene un único factor de “funciones ejecutivas”, explicando el 46.3% de la varianza, con cada ítem mostrando una carga significativa en este factor, confirmando su unicidad. En síntesis, el IFS es una herramienta confiable y útil para evaluar funciones ejecutivas en personas con discapacidad, destacando su enfoque en el factor de funcionamiento ejecutivo y su sólida consistencia interna.
Ansiedad y dependencia a los videojuegos en adolescentes del sector rural
Authors: Moreno Paredes Johana Lisbeth , Valencia Cepeda María Cristina
Published: July 2024

La adolescencia es una etapa de transición caracterizada por cambios físicos y emocionales. Los adolescentes son más propensos a desarrollar problemas de salud mental. La ansiedad y la dependencia a los videojuegos son fenómenos que han aumentado su prevalencia en los últimos años en los adolescentes, reflejando un desafío significativo. Por lo cual el objetivo del estudio fue determinar la relación entre ansiedad y dependencia a los videojuegos en adolescentes de entre 13 a 19 años del sector rural. En el estudio se empleó un enfoque cuantitativo con diseño no experimental y alcance correlacional, con corte de tipo transversal. El instrumento utilizado para evaluar la ansiedad fue el Inventario de ansiedad de Beck (BAI) y para la dependencia a los videojuegos se empleó el Test de Dependencia de Videojuegos (TDV). Después de analizar los resultados, se encontró una prevalencia de ansiedad moderada y un nivel bajo de dependencia a los videojuegos. Además, se observaron diferencias significativas entre hombres y mujeres en la dependencia a los videojuegos, siendo los hombres quienes presentaron un puntaje superior. Finalmente, se encontró que existe relación positiva leve entre las variables estudiadas.
Hubungan Kinerja Guru dan Motivasi Belajar Siswa Dengan Kinerja Belajar Siswa Studi Kasus di SMK Putra Pertiwi, Tangerang Selatan, Banten.
Authors: Indrawati Indrawati
Published: July 2024

Penelitian ini ditujukan untuk mengetahui hubungan antara motivasi siswa dan kinerja guru dengan kinerja belajar siswa dalam mata pelajaran adaptif dan produktif. Sebagai responden sebanyak 34 guru SMK Putra Pertiwi, Tangerang Selatan, Banten. Data dikumpul menggunakan tiga set angket tertutup. Hasil analisis data menunjukkan motivasi belajar siswa dalam kategori cukup, kinerja guru termasuk kategori tinggi dan kinerja belajar siswa dalam kategori tinggi, Juga diperoleh korelasi antara motivasi belajar siswa dalam kategori tinggi korelasi kinerja guru dengan kinerja belajar siswa termasuk kategori tinggi. Disimpulkan, siswa dan guru merupakan pemeran utama dalam meningkatkan kinerja belajar siswa.  Disarankan kepala sekolah dan pengawas sekolah secara rutin melaksanakan supervisi kelas agar guru selalu meningkatkan kinerja mengajarnya. Sekolah disarankan agar guru mengintensifkan pendampingan belajardan sekolah meningkatkan kunjungan industri dan praktek kerja industri sebagai bentuk motivasi ekstrinsik bagi siswa
The Age of Establishment of the Company after the Enactment of the Job Creation Law
Authors: Yalid Yalid , Harahap Irawan , Ratiwi Riantika P
Published: July 2024

This study examines the conflict of age proficiency norms related to the establishment of the company since the post-enactment of the job creation law. As is known, the establishment of an individual company according to Article 6 paragraph (2) letter A of Government Regulation Number 8 of 2021 can be carried out by Indonesian citizens who are 17 years old and legally competent. The age of establishment of the individual company is clearly not in sync with the age of proficiency norms in the Civil Code. The problem will occur if later the individual company is converted into a Limited Liability Company while the age of its founder has not reached 21 years, while converting an individual company into a Limited Liability Company must be done through an agreement. The research method is carried out in a normative manner, with the approach of legislation, Court decisions, legal concepts and comparisons, using legal materials and analyzed and interpreted comprehensively. The results of this study proficiency in establishing the company the author chose the ideal concept only option. Some countries use the 18-year-old adult age benchmark in some laws using the 18-year-old size and some experts agree that the 18-year-old adult size is thus the size of an 18-year-old adult is an appropriate size for the skills of people related to establishing a company
Terapia manual em adultos com cefaleia tensional: uma revisão sistemática
Authors: Teles Flávia Pascoal , Guimaraes Amanda Pinto , Olintho Marcella Ferreira , Sousa Deise Duarte Santos , Luz Gustavo Ribeiro da
Published: July 2024

Introdução: A cefaleia do tipo tensional (CTT) é a cefaleia primária mais prevalente em todo o mundo. É descrita como a dor de cabeça que mais prevalece em jovens trabalhadores, caracterizando-se como um importante problema de saúde pública, com maior incidência em mulheres adultas e prevalência de 90% contra 67% dos homens. Objetivo: pesquisar, a partir da revisão da literatura médica, a respeito da terapia manual em adultos com cefaleia tensional, para melhor entendimento dela e das técnicas da terapia manual para tratamento dessa patologia.  Materiais/sujeitos e métodos: Para elaboração dessa revisão de literatura a respeito da utilização de terapias manuais em adultos com cefaléia tensional foram consultados artigos científicos e artigos de revisão publicados e referenciados nas seguintes fontes: SciELO, revistas ICESP e RSD Journal publicados entre os anos de 2007 e 2021. Resultados e discussão: A terapia de controle da dor mais difundida ainda é a medicamentosa, no entanto, sob influência da medicina chinesa, algumas técnicas como alongamentos e massagens, aplicadas manualmente sobre tecidos musculares, ósseos, conjuntivos e nervosos, podem colaborar com a melhora do quadro. Dessa forma, nosso objetivo foi avaliar a eficácia das terapias manuais para controle da cefaleia tensional, através da Escala Visual Analógica (EVA) da dor, aplicadas nos pacientes no início e final da terapia. Considerações finais: Ao finalizar, foram encontradas mudanças importantes na intensidade da dor, variabilidade da frequência cardíaca e limiar de dor à pressão. Logo, concluiu-se que a terapia manual se mostra como uma terapia promissora na melhora da dor na cefaleia tensional e ausentando-se de malefícios à aplicação da técnica ao paciente.
Mecanismos neurológicos envolvidos na escoliose idiopática revisão sistemática da literatura
Authors: Cunha Mirelly Karoline , Silva Luana Thaysa da , Hostt Luísa Pettz Oliveira , Alves Wanessa Gonçalves , Gomes Isadora da Silva
Published: July 2024

Introdução: A escoliose idiopática é uma condição caracterizada pela curvatura anormal da coluna vertebral em um padrão em “S” ou “C”, no adulto é definida como uma deformidade da coluna vertebral no plano coronal com ângulo de Cobb > 10°. Embora possa surgir em qualquer idade, é mais prevalente no período de crescimento rápido na adolescência. Objetivo: O artigo revisa sobre mecanismos neurológicos que podem estar associados aos desenvolvimentos e intervenções usadas para melhoria da sobrevida do doente. Materiais/sujeitos e métodos: O estudo a seguir é uma revisão de literatura com base em artigos das bases de dados SCIELO e PUBMED que abordam esse tema. Resultados e discussão: A etiologia exata permanece desconhecida, mas fatores genéticos, hormonais, biomecânicos, sobrecarga em articulações facetárias e processos degenerativos são considerados. A avaliação compreende um histórico clínico detalhado, exame físico, e uso de radiografias para determinação do ângulo de Cobb. O tratamento varia segundo a gravidade da alteração, medida pelo ângulo de Cobb, abrangendo desde a observação e fisioterapia em casos leves até intervenções cirúrgicas em curvas graves.  Considerações finais: A gestão da EI demanda uma abordagem multidisciplinar e adaptada, com avaliações regulares e tratamentos de acordo com a alteração e a maturidade esquelética do paciente. É uma condição potencialmente limitante que afeta um grupo heterogêneo de pacientes.
Custos perioperatórios de anestesia local ou regional versus anestesia geral em ambiente ambulatorial: uma revisão sistemática de literatura recente
Authors: Pereira Patrícia Keller , Mazao Henrique Dantas Marinho , Coelho Julliana de Paula Tavares , Chiedde Marcela , Vilela Marcos Vinícius Maringolli
Published: July 2024

A escolha entre anestesia regional e geral em procedimentos depende da complexidade, das características do paciente e das metas específicas de analgesia e recuperação. Este artigo tem como objetivo demonstrar os custos perioperatórios de anestesia geral, anestesia local ou regional, com o intuito de explorar os riscos intraoperatórios, complicações e ajudar na tomada de decisões clínicas. Para sua elaboração, foram consultados artigos científicos referenciados na Medline/PubMED, SciELO e Cochrane entre 2000 e 2024. Resultados e Discussão: a grande maioria dos estudos mostrou a diferença entre a anestesia geral ou local, demonstrando seus benefícios e malefícios. Em um estudo de comparação de anestesia em procedimentos ginecológicos, foi demonstrado que a anestesia regional ou local apresenta benefícios na redução de complicações sistêmicas, enquanto a anestesia geral pode ser preferida em procedimentos longos e complexos. Considerações finais: Conclui-se que, ao comparar anestesias geral e regional, devem-se considerar seus riscos, benefícios e o melhor método para cada paciente individualmente.
Remifentanil na prática clínica: revisão
Authors: Almeida Michelle Dayane Antunes de , Cardoso Barbara Varussa , Dantas Rafael Silva
Published: July 2024

Introdução: O remifentanil é um opioide sintético utilizado na prática anestésica devido às suas propriedades farmacocinéticas favoráveis, como a rápida metabolização e a meia-vida curta. Este estudo visa revisar a eficácia, as indicações, os efeitos adversos e as considerações econômicas do uso de remifentanil em contextos clínicos. Materiais, sujeitos e métodos: Para a elaboração deste artigo de revisão foram utilizados os bancos de dados eletrônicos PubMed, SciELO e Cochrane, buscando por artigos científicos, revisões sistemáticas e meta-análises datadas entre fevereiro de 2004 e junho de 2020. A pesquisa foi realizada utilizando o termo "Remifentanil in clinical practice". Resultados e discussão: O remifentanil se destaca como o opioide de escolha dos anestesistas para infusões venosas contínuas devido à sua duração curta de efeito e recuperação rápida, mesmo após infusões prolongadas. A dose recomendada é de um bolus de 1 µg/kg via endovenosa, seguido por uma infusão de 0,5 µg/kg/min, ajustada conforme o procedimento. No entanto, seu uso em terapia intensiva ainda carece de evidências robustas para garantir sua segurança. Considerações finais: O remifentanil é uma ferramenta valiosa no manejo da dor aguda, proporcionando controle preciso da analgesia e facilitando a recuperação pós-cirúrgica. Entretanto, seus custos elevados e a necessidade de analgesia complementar devem ser considerados. A contínua pesquisa e monitorização são essenciais para otimizar seu uso clínico.
Agitação no despertar da anestesia em crianças: aspectos atuais: revisão
Authors: Padilha Daniella da Mata , Gontijo Laís Campos , Labre Thiago Brilhante Pereira , Cunha Camila Adrielle Santos , Pereira Leticia Vilarino
Published: July 2024

Introdução: A incidência de agitação pós-operatória em crianças sob anestesia geral é elevada, manifestando-se por comportamentos como choro, irritabilidade, intensa agitação e desorientação. As causas dessa agitação são multifatoriais, e algumas medicações estão sendo utilizadas para minimizar os danos da agitação pós-anestésica e proporcionar um despertar mais tranquilo. Materiais, sujeitos e métodos: Artigos originais e revisões publicados nos últimos 10 anos e indexados no MEDLINE e PubMed foram utilizados, com as palavras-chave: agitação no despertar, tratamento, criança, anestesia pediátrica. Resultados e discussão: Este artigo apresenta uma revisão de possíveis desencadeadores de agitação, uma proposta de escala para uniformização adequada do diagnóstico e medidas de prevenção e tratamento. Diversos anestésicos e analgésicos são usados no tratamento da agitação no despertar. No entanto, o efeito potencial de depressão respiratória dessas drogas pode representar um risco para os pacientes durante a recuperação. Monitorar os fatores precipitantes para a agitação ao despertar é a principal medida para evitar essa complicação. Considerações finais: Embora o mecanismo subjacente à ocorrência de agitação no despertar não tenha sido totalmente elucidado, vários fatores são conhecidos por desencadear sua ocorrência. Portanto, a prevenção é mais segura e prioritária que o tratamento. Quando já instalada, a habilidade e experiência da equipe, assim como o uso de medicamentos, são aplicados para evitar maiores danos ao paciente pediátrico.
Usos do sulfato de magnésio em obstetrícia e em anestesia: revisão
Authors: Aguiar Daniel Barreto de , Silva Guilherme Leandro da , Consorte Fabrício Rossatto , Borba Brenda Paula Moura Araújo
Published: July 2024

Introdução: O magnésio é um íon intracelular que desempenha funções cruciais como ação sedativa e analgésica, essenciais na prática anestésica. Além disso, oferece vários benefícios para a saúde fetal e no manejo de intercorrências gestacionais e pós-gestacionais. Objetivos: Este artigo revisa o uso do sulfato de magnésio na anestesia e obstetrícia, avaliando suas aplicações e benefícios. Materiais / Sujeitos e Métodos: Foram consultados artigos científicos e de revisão nas bases Medline/PubMED, SciELO e Cochrane, além de um artigo da Revista Brasileira de Anestesiologia e o livro "Rotinas em Obstetrícia" (2017), no período de 2019 a 2024. Resultados: Evidências indicam uma forte correlação entre o uso de sulfato de magnésio e a redução de paralisia cerebral, morte e disfunção motora. Ademais, está associado à diminuição da agitação e controle da dor pós-operatória, com menor necessidade de rocurônio e propofol. Conclusões: O sulfato de magnésio é um coadjuvante importante na anestesia geral e na neuroproteção fetal durante o trabalho de parto prematuro, eclâmpsia e síndrome HELLP.
Complicações na sala de recuperação pós-anestésica: uma revisão integrativa
Authors: Costa Aylla Rainere Amaral , Baggio Isabela Estefani , Pires Henrique Escudeiro
Published: July 2024

Introdução: A recuperação anestésica é uma etapa crítica do período pós-operatório imediato. Na sala de recuperação pós-anestésica (SRPA), o paciente submetido ao procedimento anestésico-cirúrgico deve permanecer sob observação e monitorização constantes de uma equipe multidisciplinar até que ocorra recuperação e estabilidade clínica. Este artigo de revisão examina as complicações mais frequentes na SRPA em diferentes circunstâncias, considerando que a prevalência e frequência dependem de inúmeros fatores como comorbidades pré-existentes, método anestésico escolhido, tempo de duração do procedimento, entre outros. Materiais, sujeitos e métodos: Este artigo de revisão foi elaborado a partir de artigos científicos e de revisão publicados e referenciados na SciELO, Medline/PubMed e Revista Brasileira de Anestesiologia entre 2009 e 2023. Resultados e discussão: Com base em uma extensa pesquisa bibliográfica, são identificadas e discutidas complicações como hipotermia, dor, hipoxemia, náusea, vômito e instabilidade hemodinâmica. Além disso, são exploradas complicações específicas, suas causas, impactos clínicos, abordagens de prevenção e gestão usadas pelos profissionais de saúde. Considerações finais: Para obter sucesso pós-anestésico, é necessário implantar uma assistência individualizada de forma integral e específica em todos os momentos do período peri-operatório, com o propósito de possibilitar ao paciente uma recuperação mais rápida e eficaz, evitando complicações imediatas na SRPA.
Uso da dexmedetomidina na anestesiologia: uma revisão de literatura
Authors: Verde Guilherme Moura Lima , Silva Giovana de Souza da , Corrêa Fernanda Gomes Ferreira Zago
Published: July 2024

Introdução: A dexmedetomidina é um agonista alfa-2 adrenérgico utilizado na anestesiologia por suas propriedades sedativas, ansiolíticas e analgésicas, sem causar depressão respiratória significativa. É frequentemente usada para sedação em procedimentos cirúrgicos e diagnósticos, assim como em unidades de terapia intensiva para pacientes que necessitam de ventilação mecânica. A principal vantagem da dexmedetomidina é sua capacidade de proporcionar uma sedação consciente, permitindo que os pacientes sejam facilmente despertados e cooperativos, o que facilita avaliações neurológicas e outras interações clínicas. No entanto, a administração desse fármaco deve ser cuidadosamente monitorada devido ao risco de efeitos colaterais como bradicardia e hipotensão. Objetivo: Este estudo tem como objetivo abordar essa ferramenta valiosa na anestesiologia moderna, ressaltando os riscos e benefícios, a fim de oferecer uma boa analgesia e segurança respiratória. Metodologia: Trata-se de uma revisão da literatura baseada na análise de artigos científicos publicados nas bases SciELO, BVS, Medline e LILACS. Foram incluídos estudos em inglês e português, publicados entre 2000 e 2023, que abordassem o uso da dexmedetomidina na anestesiologia. Resultados: A dexmedetomidina proporciona sedação consciente, efeitos analgésicos e ansiolíticos, sendo útil tanto em sedação e analgesia em UTI quanto como adjuvante de anestesia geral. No entanto, seu uso requer monitoramento rigoroso devido aos riscos de bradicardia e hipotensão. Conclusão: A dexmedetomidina é uma ferramenta importante na anestesiologia, oferecendo sedação e analgesia eficazes sem causar depressão respiratória, mas exige monitoramento adequado para evitar efeitos adversos.
The Dilemmatic of the Absence of a Notary’s Deed in an Individual Company after the Enactment of the Job Creation Law as a Form of Legal Certainty
Authors: Eunika Bella ,   Warmadewa University & Terompong No.24, Sumerta Kelod, Denpasar, Bali 80239, Kosasih Johannes Ibrahim , Wesna Putu Ayu Sriasih ,   Warmadewa University & Terompong No.24, Sumerta Kelod, Denpasar, Bali 80239,   Warmadewa University & Terompong No.24, Sumerta Kelod, Denpasar, Bali 80239
Published: July 2024

The existence of an Individual Company, which aims to ease abbreviate by reducing or simplifying the rules, raises a dilemma in its regulation which shifts the meaning of a company as a legal entity. The method used is normative legal research, with the legal approach used is conceptual and statutory approach. The existence of an Individual Company as a legal entity that can be recognized as a legal subject is only passed with a Statement of Establishment of an Individual Company and registered to the Ministry of Law and Human Rights based on the Job Creation Law. The convenience found was only based on an economic point of view. Practically speaking, there are more hazards in the society. As an example, the Individual Company credit facility, which is hesitant to be granted by the bank as the creditor because it is still categorized as individual credit. Although it has the status of a legal entity, its establishment by one person and without a Notary may not ensure certainty for all parties in the Individual Company.
Problem Based Learning E-Module Development on Statistic Topics
Authors: Rismen Sefna ,   Departement of Mathematic educatin, PGRI Sumatera Barat State University, Padang, Indonesia, Fitri Dewi Juliana , Rahmi Rahmi , Selvia Juni ,   Departement of Mathematic educatin, PGRI Sumatera Barat State University, Padang, Indonesia,   Departement of Mathematic educatin, PGRI Sumatera Barat State University, Padang, Indonesia,   Departement of Mathematic educatin, PGRI Sumatera Barat State University, Padang, Indonesia
Published: July 2024

The low level of learning independence, students' problem-solving abilities, and instructional materials that do not yet use digital as a demand for 21st century learning inspire this research. The goal of this study is to create a valid and useful Problem Based Learning based E-Module on data display and measurement material. Data centralized. This is development research (Research and Development/ R&D) employing the Plomp development paradigm. This development strategy employs two stages: preliminary research and prototyping. The subjects of this study were nine SMAN 13 Padang class X students. Observation sheets, interview guides, and questionnaires were employed as study instruments. Techniques for data analysis employ quantitative and qualitative analysis. The E-Module's validity based on problem-based learning was 89.85%, with a very valid category. The E-Module's practicality results were 87.33% in the extremely practical category. Based on the findings, it is possible to infer that the E-Module based on problem-based learning on data presentation material and data concentration measurements at SMAN 13 Padang is valid and practical, and that it may be utilized as teaching material.
Intestinal Intussusception in Adults: A Diagnostic Challenge
Authors: Rafael Hernandez Zamora Angel ,   Hospital Regional de Alta Especialidad “Dr. Juan Graham Casasús, Servicio de Cirugía General., Omar Duarte Albarrán Emanuel , Ximena Mercado Puga , Emmanuel Rodríguez Trinidad Rene ,   Hospital Regional de Alta Especialidad “Dr. Juan Graham Casasús, Servicio de Cirugía General.,   Hospital Regional de Alta Especialidad “Dr. Juan Graham Casasús, Servicio de Cirugía General.,   Hospital Regional de Alta Especialidad “Dr. Juan Graham Casasús, Servicio de Cirugía General.
Published: July 2024

Intussusception, a rare cause of intestinal obstruction in adults, accounts for only 1% of obstruction cases and 5% of all intussusceptions. Its global incidence is 1-3 cases per million per year. Early identification is challenging, which can lead to significant morbidity and mortality. In adults, intussusception is often associated with benign or malignant lesions, with primary adenocarcinoma being the principal cause. Preoperative diagnosis can be complex, and computed tomography (CT) is considered the preferred imaging modality. Most cases require surgical intervention, and the decision on whether to reduce before resection depends on the type and location of the lesion. Both laparoscopic and open surgeries are valid options, depending on clinical conditions and the surgical team's experience. We present the case of a patient in their fourth decade of life with a 15-day history, who presented to the emergency room with symptoms of intestinal obstruction secondary to intussusception. An emergency laparotomy was performed, revealing intussusception from the ascending colon to the transverse colon with a neoplastic-looking lesion in the cecum. A right radical hemicolectomy with intestinal diversion was performed. Histopathological examination revealed a moderately differentiated grade 2 adenocarcinoma.
MSME Development to Increase IPR Valuation
Authors: Huda Muahammad Asiful ,   Faculty of Law, Diponegoro University, Semarang, Indonesia, Turisno Bambang Eko ,   Faculty of Law, Diponegoro University, Semarang, Indonesia
Published: July 2024

This study discusses the protection of Intellectual Property Rights (IPR) in Indonesia, particularly in the context of Micro, Small, and Medium Enterprises (MSMEs). Indonesia has regulations that protect IPR through Law No. 21 of 1961 on Industrial and Trade Marks, and Law No. 20 of 2008 on MSMEs, which support business development. IPR protection is essential for MSMEs to enhance competitiveness and obtain legal recognition for their works. However, public awareness and understanding of the importance of IPR remain low, and there are various obstacles in the registration and management process of IPR. This research employs a normative juridical method by reviewing literature related to relevant theories, concepts, principles, and legal regulations. The results show that brand development and industrial design in MSMEs can provide significant added value, as well as the importance of patent protection to encourage innovation. It is hoped that the government can facilitate the registration process and socialization of IPR, and establish a specialized institution for IPR valuation to enhance the economic contribution of MSMEs in Indonesia.
Exploiting Folk Cultural Resources of Dai Binh Village, Quang Nam Province, in Tourism Development
Authors: Mi Le Thi Dieu ,   Faculty of Social Sciences and Humanities, School of Languages, Humanities and Social Sciences, Duy Tan University, Da Nang, 550000, Vietnam
Published: July 2024

The article systematically investigates the current status of folk cultural resource exploitation in the tourism development of Dai Binh Village, Quang Nam Province. The author employs research methods including data collection, synthesis, document analysis, and statistical data processing to evaluate the tourism development status of Dai Binh Village. Additionally, comparative analysis methods are used to analyze statistical data and make assessments, evaluations, and scientifically based forecasts. To accomplish this research, the author utilizes primary sources such as official documents, reports, articles, etc., from governmental agencies and scholars specializing in folk cultural resources of Dai Binh Village. These sources provide a critical foundation for the author to gain an overview of folk cultural resource exploitation activities in Dai Binh Village's tourism development. Based on this foundation, the author analyzes and clarifies the folk cultural resources of Dai Binh Village and the current status of their exploitation in tourism development. Furthermore, the article proposes several solutions to effectively utilize folk cultural resources in the tourism development of Dai Binh Village, Quang Nam Province.
The Leadership School Principal in the Implementation of Local Character Education
Authors: Purwanti Ratna ,   Lambung Mangkurat University, Banjarmasin Indonesia, Aslamiah Aslamiah , Suriansyah Ahmad ,   Lambung Mangkurat University, Banjarmasin Indonesia,   Lambung Mangkurat University, Banjarmasin Indonesia
Published: July 2024

The purpose of this study is to describe the leadership of school principals in the implementation of local character education in Harapan Bangsa Kindergarten. This research uses a qualitative method. Data collection in this study uses depth interviews and observations. Data validation in this study was carried out by triangulation of sources and techniques, confirmability and dependability. Meanwhile, data analysis uses an interactive model from mile and Huberman (2014) which consists of data collection, data condensation, data presentation and data conclusion. The results of this research are the leadership of school principals in the implementation of local character education in the aspects of vision, mission, motto, leadership style with a collegitability approach, then building a joint commitment, consensus deliberation by involving all school residents, and an approach through communication, kinship and good coordination.
Aggregate Loss Models to Calculate Risk Measures
Authors: Rahmawati Septi , Adib Andhita Zahira , Rusyn Volodymyr
Published: July 2024

The concept of aggregate loss models pertains to a stochastic variable representing the total sum of all losses encountered within a set of insurance policies. In the non-life insurance sector, it is employed to assess the potential losses that an insurance company may face when claims made by policyholders exceed the allocated claim reserves. The purpose of studying aggregate loss models is to ascertain risk measures such as standard deviation of premium principles, value at risk (VaR), and conditional tail expectation (CTE). These steps aid insurance companies in the management and quantification of risks associated with aggregate losses. The standard deviation of premium principles is calculated analytically by substituting expected values and variances, while VaR is estimated using the Monte Carlo method to determine quantile values and confidence intervals. CTE is evaluated by computing the average losses that surpass the VaR threshold. These distributions and parameters require the Pareto distribution, which characterizes claim sizes, and the Poisson or Negative Binomial distribution, which factors in the number of claims. It is crucial to carefully consider the selection of the appropriate distribution, as it plays a significant role in determining the accuracy and reliability of the model. Furthermore, other influencing factors, such as loading factors and confidence intervals, should also be taken into account. These factors have the potential to significantly impact the quantification of risk arising from the model.