bluuebunny/crossref_metadata_2025 huggingface dataset:
Postmodernism, Marxism and Versions of the Future: an Interview with Professor Martin Jay / Postmodernismo, marxismo y versiones del futuro: una entrevista con el profesor Martin Jay
Authors: Sanz Loroño Miguel Angel
Published: November 2021

A través de su interés en el postmodernismo y crítica de las metanarrativas, en esta entrevista el profesor Martín Jay aborda algunos de los principales temas que han centrado la atención de la teoría histórica recientemente. Temas como el giro hacia la experiencia histórica, la contribución de Hayden White a la comprensión de la narrativa y el lenguaje, o la importancia de Fredic Jameson, son traídos a colación en este texto. El profesor Jay también vuelve a algunos de sus temas iniciales y conocidos como la llamada French Theory, el filósofo alemán Theodor W. Adorno y la presencia del marxismo en los Estados Unidos.Palabras clavePostmodernismo, capitalismo tardío, marxismo, experiencia histórica. AbstractThrough his interest in postmodernism and in criticism to metanarratives, in this interview Professor Martin Jay tackles some of the main issues that have lately focused the attention of historical theory. Topics such as the turn towards historical experience, Hayden White’s contribution to understanding of narratives and language, or the importance of Fredric Jameson, are brought up in this text. Professor Jay also comes back to some of his former well-known themes such as the so-called French Theory, the German philosopher Theodor W. Adorno and the presence of Marxism in the United States.Key wordsPostmodernism, late capitalism, Marxism, historical experience.
La Historia Reciente en la Argentina: un balance / Recent History in Argentina: An assessment
Authors: Águila Gabriela
Published: November 2021

En los últimos años se ha producido en Argentina un auge sostenido de la historia reciente, entendida como campo de estudio específico. Este proceso no puede desgajarse de tendencias similares habidas en otras tradiciones historiográficas, pero también se inserta en los propios desarrollos académicos de este país. El presente artículo ofrece una panorámica de la producción y los debates académicos, relacionados con la dictadura de 1976-83, examinando las formas de abordar el estudio del pasado reciente y sus líneas de investigación.Palabras claveHistoria reciente, historiografía, Argentina. AbstractOver the past few years recent history – understood as a specific field of studies – has been constantly on the rise in Argentina. This phenomenon cannot be separated from similar trends taking place in other historiographic traditions, but also forms part of the specific characteristics of academia in this country. This article offers a survey of the production and academic debates revolving around it, with respect to the dictatorship of 1976-83, by examining the various approaches to the study of the recent past and its lines of research.Key wordsRecent history, historiography, Argentina.
Covid-19 araştırmalarında Türkiye kaynaklı yayınların sosyal ağ analizi ile incelenmesi
Authors: Yurtsever Esra , Ergüt Özlem
Published: November 2021

Aralık 2019’da Çin Halk Cumhuriyeti’nin Hubei eyaleti Wuhan kentinde başlayan Covid-19, kısa bir zaman içinde tüm dünyaya yayılmış ve 11 Mart 2020 tarihinde Dünya Sağlık Örgütü (WHO) tarafından pandemi olarak ilan edilmiştir. Dünyanın her yerinden milyonlarca insanın enfekte olmasına ve yaşamını yitirmesine neden olan Covid-19, dünyada ve ülkemizde birçok alanda birçok çalışmaya konu olmuştur. Bu çalışmada, Türk araştırmacıların Covid-19 ile ilgili yapılan araştırmalara olan katkılarının incelenmesi amaçlanmaktadır. Çalışmada Web Of Science veri tabanı üzerinden Covid-19 ile bağlantılı terimler kullanılarak yapılan arama sonucunda iki yıllık süreç içerisinde gerçekleştirilen çalışmalar incelenmiştir. Elde edilen yayınlar; yıl bazındaki sıklık, yayın türü, yayınlandığı dergi, yayın dili, yöntem, araştırmacıların çalışma alanları, kurumları ve ülkeleri yönünden analiz edilmiştir. Araştırmacıların özellikle hangi alanda en fazla sayıda çalışmaya imza attıkları da saptanmıştır. Aynı zamanda belirlenen alanda çalışan kişiler ve kurumlar arasındaki ağ yapısı da Sosyal Ağ Analizi ile araştırılmıştır. Sosyal Ağ Analizi, son yıllarda bibliyometrik çalışmalarda haritalama tekniği olarak sıklıkla kullanılan analizlerden biri haline gelmiştir. Sosyal Ağ Analizi’nin bu amaç doğrultusunda kullanılması araştırılan konuda öne çıkan üretken aktörlerin ve aralarındaki ilişkilerin ortaya çıkarılmasına olanak sağlamaktadır. Yapılan analiz sonucunda yazarlar arasında küçük gruplar arasında iş birliklerinin olduğu söylenebilmektedir. Kurumlar arasındaki ağ yapısı analiz edildiğinde ise kurumlar arası iş birliklerinin ön plana çıktığı, kurumların daha fazla köprü rolü oynadığı saptanmıştır. Yazarlar arasındaki iş birliğinin devam etmesi, pandemi sürecinde elde edilen bulguların paylaşılması ve bunların incelenmesi, gerekli düzenlemelerin yapılmasında kaynak teşkil etmesi açısından önemlidir. Çalışmada anahtar kelimeler ve özetler de incelenerek belirlenen alan üzerinde yoğunlaşılan ana konular, analiz teknikleri ile belirlenmiştir. Elde edilen bulguların mevcut durumu ortaya koyarak ilerleyen zamanlarda yayınlanacak çalışmalara birçok açıdan yol gösterici olacağı düşünülmektedir.
Toplum 5.0 ve kamu hizmeti: Türkiye üzerine bir değerlendirme
Authors: Uysal Şahin Özge
Published: November 2021

Bilgi ve iletişim teknolojilerindeki hızlı değişim ciddi bir toplumsal dönüşüm yaratmaktadır. 2000’li başlarında bilgisayar, internet, mobil telefon gibi araçlar neredeyse lüks mahiyetindeyken, günümüzde hayatlarımızın ayrılmaz birer parçaları haline gelmiş ve çok sayıda yeni teknolojik gelişmeyi de arkasından getirmiştir. Artık, yapay zeka, robotlar, nesnelerin interneti, bulut teknolojileri ve büyük veri analizleri gibi çok sayıda ileri düzey bilişim aracı ekonomiden sağlığa, ulaşımdan eğitime kadar her sektörde yaygınlaşmaya başlamıştır. Teknoloji bu yönde hızla ilerlerken tüm dünyada artan doğal afetler, terör olayları, ekonomik krizler ve sosyal sorunlar teknolojinin kullanım amacının ve şeklinin değiştirilmesi gerektiğini gündeme getirmiştir. Bu bağlamda, Japonya tarafından Toplum 5.0 olarak adlandırılan yeni bir teknolojik ve toplumsal dönüşüm hedefi ortaya konmuştur. Dijital teknolojiler temelinde şekillendirilmiş, sürdürülebilir bir toplum anlayışını oluşturmayı hedefleyen Toplum 5.0, insan merkezli yeni bir toplumsal dönüşüm evresini ifade etmektedir. Toplum 5.0’da toplum ile teknolojinin toplum adına işbirliği içinde yer aldığı, teknolojinin toplum için tehdit oluşturmadığı bir ortamın yaratılması amacı vardır. Tüm sektörleri etkileyecek bu dönüşümün özellikle kamu hizmetlerinde etkili olmasının beklendiği ve bunun da bir gereklilik olduğu ifade edilmektedir. Bu çalışmayla da, Toplum 5.0 kavramının teorik çerçevesi detaylı olarak ortaya konularak tüm dünyada kamu sektöründe ne kadar belirleyici olduğu, aksayan ve düzeltilmesi gereken yönlerin neler olduğu ortaya konmaya çalışılmıştır. Tüm bu gelişmeler ışığında, henüz endüstri 4.0’ın emekleme aşamasında olduğu söylenebilecek olan Türkiye’de Toplum 5.0’a geçişte durumunun, mevut sorunların neler olduğu ve bu doğrultuda nasıl bir yol haritası izlemesi gerektiği üzerinde durulmuştur. Birtakım önerilere sunularak konuya ışık tutulmak istenmiştir.
Histochemical Study of Human Placental Tissues in Gestational Diabetic Mellitus
Authors: Lafta Israa , Abdulhameed Wasan , AL-Bakri Nahla
Published: November 2021

Gestational diabetes mellitus (GDM) is a serious pregnancy complication in which a woman who has never had diabetes develops chronic hyperglycemia during her pregnancy. Normal placental function is essential for optimal fetal growth. The transport of glucose from the mother to the fetus is critical for fetal nutrient demands and can be stored as glycogen in the placenta. However, the function of this glycogen deposition is unknown: It may well be a source of fuel for a placenta itself or the storage reservoir for the later use by the fetus in times of need. While the significance of the placental glycogen remains unknown, the mounting evidence indicates that the altered glycogen metabolism and/or deposition is associated with many pregnancy complications, such as gestational diabetes, that adversely affect fetal development. The aim of this study is to assess glycogen deposition using Histochemical staining of Periodic Acid Schiff (PAS) stain. The placenta tissue collected from 50 women were enrolled in this study (25 women with no complications) and (25 women with gestational diabetes). The placentas of the two groups were compared in this study based on glycogen deposition with periodic acid-Schiff stain. The results of a histochemical investigation using PAS stain revealed a significant increase in the glycogen deposition (p≤0.001) in diabetic women's placentas within the intervillous core, around fetal vessels, and the basement membranes.
Correlation of Pregnancy-Associated Plasma Protein (PAPP-A) in Serum and Follicular Fluid with Oocyte and Embryo Quality in PCOS and non-PCOS Women Undergoing ICSI Cycle
Authors: Altmimi Zeena , Jwad Mufeda , Abdulwahid Amal
Published: November 2021

Pregnancy-Associated Plasma Protein (PAPP-A) is a zinc metalloproteinase in the insulin growth factor system (IGFs) produced by the syncytiotrophoplast region of the placenta. It plays a critical function in the cleavage of IGFBP4. In the ovary IGFs, it regulates follicular and oocyte maturation, and steroidogenesis. While in polycystic ovarian syndrome (PCOS) Hyperinsulinemia and hyperandrogenemia it causes follicular environment changes and early ovulation resulting in lower oocyte and embryo quality in patients and this will decrease the success of pregnancy in women enrolled in the ICSI cycle. The present study aimed to assess the relationship of PAPP-A levels in serum and follicular fluid in women with PCOS and non-PCOS with oocyte and embryo quality in women undergoing ICSI cycle. 45 infertile Iraqi women were enrolled. Women with PCOS had to meet at least two of the three criteria set by the Rotterdam ESHRE/ASRMS criteria, the age of the included women ranged between 20-45 years. In non-PCOS patients, PAPP-A has higher level in serum and follicular fluid but without a statistically significant difference matching with PCOS group. In addition, there was no significant correlation between PAPP-A levels in serum and follicular fluid with oocytes and embryo characteristics. However, PAPP-A levels are higher in serum and follicular fluid in women with positive pregnancy but without significant differences. PAPP-A had no correlation with oocyte and embryo quality.
Adding Low Dose hCG to rFSH in GnRH Antagonist ICSI Cycles: A Randomized Controlled Trial
Authors: Al-Masoody Firas , Al-Obaidi Manal
Published: November 2021

Inhibition of luteinizing hormone (LH) by gonadotropin releasing hormone (GnRH) antagonist may lead to suboptimal response during ovarian stimulation. In addition, several studies suggest that low level of LH is associated with lowered fertilization and implantation rate and increased early pregnancy loss rate. The aim of this study is to study the effect of adding low dose human chorionic gonadotropin (hCG - 200 IU), as an LH supplement, to recombinant follicle stimulating hormone (rFSH) in a GnRH antagonist cycles in women undergoing in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatment. Sixty-three infertile women undergoing IVF were randomly divided into two groups. One group was stimulated with the conventional stimulation protocol (rFSH alone), while the second group received 200 IU hCG in addition to rFSH in the late follicular phase (hCG + rFSH). Both groups' results including pregnancy rate, total dose of rFSH required, duration of stimulation, endometrial thickness, oocytes and embryos characteristic, serum hormone levels (Testosterone, Estradiol, Progesterone, and LH) and level of epidermal growth factor (EGF) were compared. The results show that pregnancy rate among the group of women who received the low dose hCG was higher than those who did not receive hCG. However, this difference did not reach statistical significance. Furthermore, other cycle outcomes and hormonal values were comparable between the two stimulation protocols.
O conceito de intervencionismo em Economia: uma análise discursiva a partir de artigos científicos
Authors: Santos Isabel Cristina Pereira dos , Barros Thiago Henrique Bragato , Salomão Ivan Colangelo
Published: November 2021

Este artigo tem por objetivo identificar no discurso científico de alguns artigos publicados na Revista Análise Econômica no período 2015-2019 as colocações dos termos “intervenção” e “intervencionismo” em seus contextos, a fim de rastrear seus vieses ideológicos - se intervencionista ou liberal - por meio da Linguística de Corpus. A Linguística de Corpus é uma metodologia que se ocupa da coleta e exploração de uma grande quantidade de textos em formato eletrônico para fins de pesquisa linguística. Com o auxílio do gerenciador de corpus Sketch Engine, identificaram-se as ocorrências do termo “intervenção” e “intervencionismo”. A análise dos dados foi realizada a partir de um referencial teórico da área de Economia e de Análise do Discurso no contexto da Ciência da Informação. Destaca-se que, no âmbito da Ciência da Informação, o levantamento de termos em seus contextos discursivos tem se mostrado imprescindível para a validação de conceitos em determinados domínios, visando ao aperfeiçoamento de Sistemas de Organização do Conhecimento. Para tanto, a Linguística de Corpus, como abordagem de corpus, e a Análise do Discurso, como metodologia de análise de textos científicos, têm contribuído para a Organização do Conhecimento, uma vez que, para que se elaborem sistemas de acesso à informação, além de tecnologia, é preciso entender a informação e seus múltiplos sentidos. O que se constatou nos artigos analisados foi um viés pró-intervencionismo.
AYA Biblioteca: investigação para a encontrabilidade da informação étnico-racial
Authors: Campos Arthur Ferreira , Valério Erinaldo Dias
Published: November 2021

Apresenta a AYA Biblioteca, do Laboratório de Estudos Pós-Coloniais e Decoloniais da Universidade do Estado de Santa Catarina, como um ambiente informacional que promove a encontrabilidade da informação étnico-racial. Objetiva aplicar o checklist para avaliação do ambiente informacional digital da AYA Biblioteca, identificando os atributos da Encontrabilidade da Informação existentes e indicando sugestões para melhorias, na perspectiva do/a usuário/a. Para tanto utiliza uma pesquisa exploratória, de abordagem qualitativa, para a investigação de facilidades, dificuldades e possíveis otimizações quanto a encontrabilidade da informação étnico-racial na AYA Biblioteca. Relaciona, numa dimensão prática, os estudos em encontrabilidade da informação e os estudos das relações étnico-raciais. Mediante aplicação do checklist, sugere um olhar aos atributos: “folksonomia”, devido a variedade cultural, para a população negra e para a população indígena, gerando nuvem de tags proveniente da navegação social; “metadados”, o que engajaria o alcance dos materiais informacionais disponíveis por motores de busca; “wayfinding”, visto que o ambiente não gera marcadores de orientação espacial. Conclui que a AYA Biblioteca é um ambiente informacional digital que contribui para a visibilidade da população negra e da população indígena, tendo um papel favorável na agenda antirracista, podendo ser uma fonte de informação para o ensino da História e Cultura Afro-brasileira e Africana em instituições, conforme a Lei 10.639/2003. Para isso, é necessário adequar-se aos atributos de encontrabilidade da informação, principalmente a partir da criação de um vocabulário controlado, nuvem de tags e o uso de uma plataforma que permita a inserção de metadados.
Initial-boundary value problem for a time-fractional subdiﬀusion equation on the torus
Authors:   V.I.Romanovskiy Institute of Mathematics, Uzbekistan Academy of Sciences, Ashurov Ravshan , Muhiddinova Oqila
Published: November 2021

An initial-boundary value problem for a time-fractional subdiﬀusion equation with the Riemann-Liouville derivatives on N-dimensional torus is considered. Uniqueness and existence of the classical solution of the posed problem are proved by the classical Fourier method. Suﬃcient conditions for the initial function and for the right-hand side of the equation are indicated, under which the corresponding Fourier series converge absolutely and uniformly. It should be noted, that the condition on the initial function found in this paper is less restrictive than the analogous condition in the case of an equation with derivatives in the sense of Caputo.
Pengembangan Efikasi Diri Siswa SMK dalam Menentukan Keputusan Karir Melalui Layanan Bimbingan Kelompok
Authors: Umam Rois Nafi'ul
Published: November 2021

A career as a process that individuals will undertake in the future, needs to be carefully prepared since they are at the SMA / SMK education level. Through careful career planning, students can easily make the right decisions about their careers. As for the obstacles that occur, students cannot make their own career decisions which are caused by low self-efficacy/self-confidence. The purpose of this study is to explain the role of counseling guidance services in developing student self-efficacy in achieving career decisions. This type of research is field research with a qualitative approach and a descriptive-analytical method. Data collection techniques were carried out by observation and interviews. Symptoms of low self-efficacy experienced by students are 1) difficulty to make career decisions, 2) not confident in their career plans, 3) worry that they are not absorbed in the world of work. Group guidance services are carried out in 4 stages, namely the initial stage, the transition stage, the activity stage, and the final stage. The results of the counseling service show that students have good self-efficacy, can make career decisions, are confident, and do not experience worries about their career plans.
Tingkat Ketercapaian Tugas Perkembangan Dewasa Awal: Studi Deskriptif pada Mahasiswa IAIN Curup
Authors: Sari Dewi Purnama
Published: November 2021

The purpose of this study is to see the level of achievement of student development tasks to be used as a basic reference in providing guidance, assistance and designing activity programs to develop student potential. This research is a quantitative descriptive study that aims to obtain information on the level of achievement of student development tasks at the Tarbiyah Faculty of IAIN Curup. This study involved 30 PAI study program students, 30 PGMI students, 25 BKPI students, 25 English students and 16 PBA students. Data on the level of achievement of student development was collected using the Student Development Task Inventory (ITP-PT) and then analyzed by statistical analysis of percentages. As a result, the average level of achievement of student development tasks is at the individuality level. There are four aspects of development that have reached the stage of autonomy, namely awareness of responsibility achieved by students of the Islamic Religious Education (PAI) study program and students of the Guidance and Counseling (BK) study program. The basic aspects of life achieved by students of the English Language Education (PBI) study program and aspects of self-acceptance and development have also reached the level of autonomy. Following up on the findings of this study, mastery of the level of achievement of student developmental tasks can be optimized through guidance and counseling activities.
Pengaruh Penerapan Pelayanan Prima Terhadap Kepuasan Pasien Rawat Jalan di RSUD Labuang Baji Makassar
Authors: Pratiwi Reski Dewi , Putra Ryryn Suryaman Prana
Published: November 2021

The number of outpatient visits at Labuang Baji Hospital, Makassar decreased from 2017 as many as 47.773 patients to 45.591 patients where the decrease in the number of outpatient visits was indicated to be related to the excellent service provided by the hospital. This study aims to analyze the effect of the application of excellent service on the satisfaction of outpatients at the Labuang Baji Hospital, Makassar. This type of research is a quantitative study using a cross sectional study design. This research was conducted in the outpatient room of the Labuang Baji Hospital, Makassar. The total sample was 397 outpatients. Data were collected using a questionnaire tool. Data were analyzed using the chi square test at α <5%. The results showed that there was an effect of excellent service from the Attitude with a value of p=0,007, Attention with a value of p=0,001, Action with a value of p=0,003, Ability with a value of p=0,001, Appearance with a value of p=0,000, and Accountability with a value of p=0,000 on outpatient satisfaction at Labuang Baji Hospital, Makassar. It is expected that the Labuang Baji Hospital, Makassar will pay attention and maintain the items of Attitude, Attention, Action, Ability, Appearance, and Accountability because it is scientifically proven affect to outpatient satisfaction.
Evaluasi Pelayanan Rawat Jalan RS X pada Masa Pandemi Covid-19 melalui Segmenting, Targeting dan Positioning
Authors: Giusman Reli , Nurwahyuni Atik
Published: November 2021

Pandemi Covid-19 membuat perubahan besar pada layanan rumah sakit klinik rawat jalan di Indonesia. Perubahan dalam layanan rawat jalan termasuk perubahan alur masuk rawat jalan sesuai protokol kesehatan dimana pasien harus memakai masker, melakukan prosedur skrining, dan membatasi pendamping pasien bahkan pemisahan layanan untuk pasien Covid-19 dan non-Covid-19. Dengan adanya perubahan tersebut, rumah sakit perlu mengembangkan strategi yang efektif untuk mempertahankan angka kunjungan klinik rawat jalan. Tujuan penelitian ini adalah untuk mendapatkan gambaran evaluasi pelayanan rawat jalan di RS X tahun 2020 melalui segmenting, targeting dan positioning sebagai strategi ke depan.Desain penelitian dalam penelitian ini adalah deskriptif, cross sectional dengan menggunakan sampel laporan survei pasien rawat jalan dan laporan kinerja pasien rawat jalan RS X tahun 2020.Hasil penelitian menunjukkan bahwa pelanggan rawat jalan Rumah Sakit X berdomisili di luar wilayah kecamatan rumah sakit (50,1%), pelanggan wanita terbanyak, dan penanggung biaya paling banyak pribadi (83,8%). Jumlah kunjungan rawat jalan selama pandemi mengalami penurunan sebesar 55,63%. Namun tetap saja meskipun banyak protokol baru yang dibutuhkan, kepuasan pasien terhadap pelayanan rawat jalan sebesar 97%, pelayanan kefarmasian rawat jalan sebesar 92,1% dan kesulitan mendapatkan tempat parkir pada saat kunjungan rawat jalan hanya 16,6%.Dengan masih tingginya kepercayaan masyarakat terhadap pelayanan RS X, manajemen disarankan segera menerapkan strategi yang tepat untuk meningkatkan jumlah kunjungan pasien rawat jalan selama pandemi ini.Kata kunci: evaluasi rawat jalan, segmenting, targeting, positioning
Evalusi Pengelolaan Limbah Medis Sebelum dan Saat Pandemi Covid19 di Rumah Sakit Sentra Medika Cikarang
Authors: Sholihah Enny Mar’atus , Sjaaf Amal Chalik , Djunawan Achmad
Published: November 2021

Pendahuluan: Pengelolaan limbah medis merupakan salah satu hal yang penting dalam penanganan pandemi Corona Virus Disease 2019 (Covid-19). RS Sentra Medika Cikarang merupakan salah satu rumah sakit rujukan Covid-19 yang menghasilkan limbah medis. Perlu adanya evaluasi pengelolaan limbah medis sebelum dan saat pandemi Covid-19. Metode: Desain penelitian ini adalah studi kasus. Penelitian ini dilaksanakan pada bulan Agustus tahun 2020. Informan kunci dalam penilitian ini adalah sanitarian dan perawat. Hasil dan Pembahasan: Pengelolaan limbah medis saat pendemi tidak berbeda jauh dengan sebelum pandemi. Jumlah pasien yang berkunjung ke pelayanan kesehatan menurun akibat pandemi. Limbah yang dihasilkan dari pelayanan Covid-19 meliputi bekas makanan atau minuman pasien serta APD seperti hazmat, masker, sarung tangan. Berat limbah tersebut jauh lebih ringan. Kesimpulan. Limbah medis di Rumah Sakit Sentra Medika sudah dilakukan pengelolaan sesuai dengan regulasi yang telah ditetapkan pemerintah.
Manajemen Kebidanan Pada Ibu Bersalin Dengan Retensio Plasenta
Authors: Dwi Syalfina Agustin , Priyanti Sari , Irawati Dian
Published: November 2021

Retensio plasenta merupakan kondisi perlengketan plasenta atau belum lahir lebih dari 30 menit setelah bayi lahir karena elastisitas uterus yang menurun dan kontraksi. Faktor risiko yang mempengaruhi kejadian retensio plasenta antara lain paritas, usia, jarak kehamilan, anemia, kondisi social ekonomi, rahim yang besar, Riwayat komplikasi pada kehamilan sebelumnya. Penelitian ini bertujuan untuk menggambarkan tanda gejala dan penanganan ibu bersalin dengan retensio plasenta. Penelitian ini merupakan penelitian epidemiologi deskriptif dengan pendekatan case report. Teknik pengumpulan data dengan melakukan pendampingan continue of care mulai dari kehamilan sampai dengan pemakaian kontrasepsi serta memberikan asuhan kebidanan melalui kunjungan rumah. Asuhan persalinan pada ibu dilakukan selama pendampingan di tempat praktik bidan yayuk siswatiningsih. Ny “S” mengalami komplikasi pada kala III yaitu retensio plasenta karena plasenta lebih dari 30 menit belum lahir. Penatalaksanaan yang dilakukan dengan melakukan pemasangan infus, menyuntikkan oksitosin 10 IU secara IM dam melakukan plasenta manual. Plasenta bisa dilahirkan secara manual, setelah itu bidan mengajarkan massage pada uterus kepada ibu dan keluarga untuk mengendalikan kontraksi tetap adekuat. Asuhan kebidanan yang dilakukan pada Ny “ S” berhasil dilakukan dengan baik sehingga tidak terjadi perdarahan. Faktor risiko yang dimiliki Ny ”S” yang meningkatkan kejadian retensio plasenta adalah obesitas. Petugas Kesehatan dan masyarakat diharapkan mampu mendeteksi komplikasi sedini mungkin sejak kehamilan sehingga mampu dilakukan pencegahan dengan cepat.
Pengaruh Person-Environment Fit, Kepuasan Kerja dan Komitmen Organisasional Terhadap Intention To Leave Pegawai
Authors: Ayu Dessya Putri , Kartika Ria Chandra
Published: November 2021

Perputaran tenaga kerja adalah keluar masuknya pegawai dalam suatu organisasi atau perusahaan karena alasan tertentu, baik sukarela maupun tidak sukarela. Tingginya tingkat perputaran kerja di RS Orthopedi & Traumatologi Surabaya sebesar 40% - 88% selama tahun 2012 hingga tahun 2015. Penelitian ini di lakukan untuk mengkaji pengaruh person-environment fit, kepuasan kerja, dan komitmen organisasi terhadap intention to leave pegawai. Penelitian ini merupakan penelitian observasional dengan pendekatan analitik dan desain cross sectional. Uji regresi linier berganda digunakan untuk menguji pengaruh antar variabel. Sampel dalam penelitian ini adalah 50 pegawai yang dipilih dengan simple random sampling. Person-environment fit tidak berpengaruh signifikan terhadap intention to leave sebesar 0,662 dan kepuasan kerja juga tidak menunjukkan pengaruh yang signifikan terhadap intention to leave sebesar 0,405. Komitmen organisasi berpengaruh signifikan terhadap intention to leave sebesar 0,000. Komponen dari komitmen organisasi yaitu komitmen afektif berpengaruh signifikan terhadap intention to leave sebesar 0,018. Berdasarkan penelitian tersebut, dapat disimpulkan bahwa person-environment fit dan kepuasan kerja berpengaruh tidak signifikan terhadap intention to leave pegawai, sedangkan komitmen organisasi memiliki pengaruh yang signifikan terhadap intention to leave. Berdasarkan ketiga sub variable dari komitmen organisasi ditemukan bahwa komitmen afektif diketahui berpengaruh signifikan terhadap intention to leave dan menunjukkan arah negatif.
Efektivitas Kepatuhan Protokol Kesehatan Covid-19 Pada Pekerja Sektor Informal Di Kota Makassar (Studi Kasus di Terminal Mallengkeri)
Authors: Abadi Muh Yusri , Marzuki Dian Saputra , Rahmadani Suci , Fajrin Muhammad Al
Published: November 2021

ABSTRACT Facing the adaptation of new habits (IMR) towards a productive and safe society against COVID-19, the Minister of Health issued a Minister of Health Decree number HK.01.07 / MENKES / 382/2020 concerning Health Protocols. The target in this study is the availability of a Covid-19 Health Protocol Compliance Effectiveness Study for Informal sector workers at Mallengkeri Terminal. This research is a quantitative method with cross sectional design. The research was conducted at Mallengkeri Terminal. The population in this study were all Mallengkeri Terminal drivers with a total sample of 97 respondents using accidental sampling technique. The results showed that there were 88 respondents (90.7%) who were good and 9 respondents (9.3%) who were not good enough in the effectiveness of compliance with the COVID-19 health protocol. The statistical test results showed that the achievement of goals and results (p = 0.004), target group satisfaction (p = 0.357), maintenance systems (p = 0.236), action (p = 0.068), facilities (p = 0.288), and motivation ( p = 0.744). Based on the research results, it can be concluded that only the achievement of goals and outcomes variables have a significant relationship with the effectiveness of compliance with the COVID-19 health protocol, while the other variables have no relationship
Rapid Assesment Analisis Beban Kerja Perawat Ruang Isolasi Rawat Inap Non ICU Covid-19 di Rumah Sakit Umum Daerah Cengkareng
Authors: Ariani Ni Putu Retno
Published: November 2021

Pada masa pandemi Covid-19, tenaga keperawatan merupakan profesi yang sangat dibutuhkan dalam penanganan pasien yang terkonfirmasi Covid-19. Untuk memenuhi kebutuhan jumlah tenaga perawat maka perlu dilakukan analisa beban kerja dan selanjutnya dapat dilakukan perhitungan kebutuhannya. Tujuan penelitian mendeskripsikan dan mengidentifikasi beban kerja perawat di ruang isolasi rawat inap non ICU pelayanan Covid-19 di RSUD Cengkareng yang merupakan salah satu rumah sakit rujukan Covid-19. Penelitian ini menggunakan metode kuantitatif dengan pendekatan observasional, data penelitian diambil melalui pengamatan langsung dan wawancara mendalam yang dilakukan selama kurun waktu 5 hari di ruang isolasi rawat inap non ICU. Perhitungan beban kerja menggunakan metode Ilyas, dimana informasi yang dihasilkan untuk mengambil keputusan dapat dipercaya karena setiap transaksi bisnis dapat diukur secara cepat dengan tingkat akurasi yang tinggi. Dengan menghitung beban kerja ini dapat memperkirakan kebutuhan tenaga perawat yang diperlukan dalam perencanaan sumber daya manusia. Hasil perhitungan yang didapatkan yaitu berdasarkan data pasien per-Desember 2020, jumlah pasien yang dirawat di ruang isolasi non ICU untuk pasien Covid-19 berjumlah 251 orang, sedangkan tenaga perawat yang terdiri dari perawat RSUD Cengkareng dan perawat relawan berjumlah 171 orang. Berdasarkan data tersebut, analisa beban kerja dengan metode Ilyas didapatkan nursing time perawat ruang isolasi non-ICU untuk pasien Covid-19 adalah 3,5 jam, dan perhitungan kebutuhan tenaga perawat sebesar 178 orang. Penambahan jumlah tenaga perawat di ruang isolasi rawat inap non ICU di RSUD Cengkareng masih dibutuhkan.  Keywords: Workload analysis, Nurses Need, Ilyas Method.
Pengaruh Sistem Informasi Kepegawaian Terhadap Efektivitas Kerja Karyawan Rumah Sakit Muhammadiyah Bandung
Authors: Lestari Lusi Liani , Susanti Ai Susi
Published: November 2021

ABSTRAKPenelitian ini bertujuan untuk mengetahui pengaruh penerapan sistem informasi dengan mengkhususkan pada sistem informasi kepegawaian terhadap efektivitas kerja karyawan bidang sumber daya manusia di Rumah Sakit Muhammadiyah Bandung. Bertambah luasnya wilayah kerja dan tingginya tingkat kunjungan pasien maka jumlah pegawai semakin meningkat. Pencatatatan data kepegawaian  yang masih dilakukan secara manual dan tidak tercatat baik dalam sebuah sistem akan kesulitan dalam pencarian dan pembuatan rekapitulasi data pegawai, hal tersebut kurang efektif dan efisien yang menyebabkan beban waktu kerja bertambah, untuk itu diperlukan suatu sistem informasi yang dapat menangani permasalahan tersebut. Jenis penelitian ini  menggunakan metode pengambilan sampel non probability sampling dengan jenis sampel jenuh untuk pengumpulan data. Penelitian ini menggunakan metode deskriptif kuantitatif dan metode analisis data menggunakan teknis analisis uji regresi linear sederhana dan Koefisien Determinasi. Hasil penelitian dari 20 responden menunjukan bahwa berdasarkan dari hasil uji regresi linear sederhana koefisien regresi pada variabel X memperoleh sebesar 0,769. Koefisien regresi tersebut bernilai positif, sehingga dapat dikatakan bahwa arah pengaruh variabel X terhadap variabel Y adalah positif. Dan berdasarkan hasil koefisien determinasi (R2) memperoleh R square sebesar 0,723 yang menunjukan bahwa variabel X memiliki pengaruh sebesar 72,3 % terhadap variabel Y. Secara keseluruhan penelitian ini dapat disimpulkan bahwa variabel bebas mempunyai pengaruh yang signifikan terhadap variabel efektivitas kerja. Penerapan sistem informasi kepegawaian diharapkan mampu mengatasi berbagai kendala yang dihadapi para pekerja di bidang sumber daya manusia dalam mengolah data kepegawaian. Kata Kunci : Sistem Informasi, Efektivitas Kerja, SDM
Karakteristik Perawat Dan Kualitas Asuhan Raung Akut Psikiatri
Authors: Abdad Fairus Ali , Ayuningtyas Dumilah
Published: November 2021

Karakteristik ODGJ dengan ciri gangguan yang khas menyebabkan mereka membutuhkan penanganan yang khusus. Ruang PHCU atau Psychiatric High Care Unit merupakan ruang perawatan intensif psikiatri yang digunakan untuk merawat pasien dengan kondisi akut. Kualitas asuhan keperawatan di Ruang PHCU dipengaruhi oleh banyak faktor, salah satunya adalah karakteristik perawat. Penelitian ini merupakan penelitian deskriptif analitik dengan metode cross sectional. Populasi dari penelitian ini adalah perawat Ruang PHCU RSJ dr. H. Marzoeki Mahdi Bogor, adapun besar sampel yang diteliti ditentukan dengan  metode total sampling. Pengambilan data dilakukan dengan menggunakan metode survey melalui penyebaran kuesioner dalam format digital. Uji statistik dilakukan untuk data univariat dan bivariat. Hasil penelitian pada analisis univariat diketahui bahwa  perawat Ruang PHCU sebagian besar berusia ≥ 36 tahun, memiliki jenjang pendidikan non profesi dan memiliki masa kerja > 3 tahun. Gambaran kualitas asuhan berdasarkan determinan kualitas asuhan diketahui bahwa sebagian besar perawat mempunyai persepsi yang baik terkait pengembangan diri, pelaksanaan standar asuhan keperawatan, sarana dan prasarana serta ketersediaan anggaran untuk pemeliharaan sarana dan prasarana. Adapun persepsi yang kurang baik terjadi pada pengukuran determinan terkait ketersediaan anggaran untuk diklat dan anggaran untuk imbal jasa atau remunerasi. Pada analisis bivariat yang dilakukan dengan menggunakan uji chi-square dengan tingkat kemaknaan 95% dan nilai α ≤ 0,05, diketahui bahwa tidak ada hubungan antara usia, tingkat pendidikan dan masa kerja perawat dengan kualitas asuhan keperawatan.
Impact of Redesign of a Clinical Decision Allergy and Drug Interactions Alerts in an Electronic Prescribing System on Patient Safety – A Quantitative Descriptive Study
Authors: Khalil Viviane , Hua Amanda
Published: November 2021

ABSTRACT

Background:

Electronic medication management systems (EMS) generate medication alerts such as Drug-Drug interaction (DDI) and allergy at the drug order entry point for clinicians to improve patients’ safety. EMS that provide non-clinically significant alerts contribute to alert fatigue and pose a risk for patients’ harm. The primary aim is to assess the impact of redesign of allergy and DDI alerts on alerts’ trigger and overrides rates. The secondary aim is to assess the impact of the redesign of the alerts on reported patients’ harm.

Methodology:

A retrospective cross sectional 2 stage study was conducted. Stage 1 involved analysis of inpatients’ electronic drug orders in the hospital’s EMS that triggered an allergy, or a DDI alert from October to December 2019 in a 650 bed Australian hospital. A report on the 50 commonly overridden allergy and DDI alerts was reviewed by a multidisciplinary team to assess the clinical significance of the alerts using a risk matrix tool, frequency of overrides as well as published literature on adverse effects. Subsequently, non-clinically significant allergies and DDI alerts were deactivated in EMS system in March 2020. Stage 2 of the study involved the same analysis conducted in stage 1 (March to May 2021). The number of alerts overrides, alert trigger rates and number of related reported incidents involving patients’ harm were analysed.

Results:

A total of 288,267 and 288,133 prescriptions orders were reviewed in the 2 stages respectively. A total of 12 DDI and 37 allergy alerts were deactivated in stage 2. Redesign of the alerts reduced the trigger rate of allergy alerts (4.96% to 3.77%, P < 0.0001) and DDI alerts (5.30% to 4.73%, P < 0.0001). A statistically significant reduction in the number of incidents with reported patients’ harm related to overrides of alerts was observed in the post intervention phase. The allergy alert trigger rate was reduced from 4.96% to 3.77%, P = 0.0172.

Conclusion:

The study demonstrated that using an evidence-based approach and a risk assessment matrix to deactivate non-clinically significant alerts potentially contribute to a decrease in patients’ harm.

Highlights
Case of neurological manifestations of Fahr's syndrome
Authors: Novikova L. B. , Akopyan A. P. , Sharapova K. M. , Karaseva O. A.
Published: November 2021

The article contains a description of the clinical observation of a patient with Fahr’s syndrome. A review of the literature on this rare neurodegenerative disease, Fahr’s disease, and Fahr’s syndrome is presented. An observation of a 54-year-old patient Sh. with Fahr’s syndrome is presented. The authors of the article set themselves the goal of drawing attention to Fahr’s syndrome, which is the sphere of interests of doctors of various specialties. Raising the awareness of doctors about this disease will contribute to its timely diagnosis and treatment.
Immunopathogenesis and immunotherapeutic approaches of neurodegenerative and cerebrovascular diseases with cognitive impairment. The current state of the problem and prospects
Authors: Smirnova A. A. , Prakhova L. N. , Ilves A. G.
Published: November 2021

Cognitive impairments (CI) are a serious problem in modern society, because they significantly reduce patients’ quality of life and tend to progress. Age-related diseases such as neurodegenerative — first of all Alzheimer’s disease (AD) and cerebrovascular disorders are key causes leading to CI. At present, approaches to treating these diseases have limited eﬀectiveness in restoring cognitive functions, and do not change disease course, although they can slow cognitive decline.

Understanding the immunopathogenesis of neurodegenerative and cerebrovascular diseases defines new targets and approaches to their treatment. In addition, suppression of neuroinflammation is advisable in the cases of early nonclarified cognitive decline, when information from routine medical, laboratory and instrumental examination of patients is insuﬃcient to identify the causes of CI.

This article summarizes current understanding of the immunopathogenesis of AD and chronic cerebral ischemia. The mechanism of neuroinflammation is presented as a cascade of sequential events that are closed in a self-perpetuating inflammatory response in the end. So called damage-associated molecular patterns, specific receptors that can bind them (pattern recognition receptors), intracellular signal transduction in microglia, cytokines and adhesion molecules are considered as potential points of application of immunomodulatory therapy. The review provides information on the current level of development of immunotherapy of AD, chronic cerebral ischemia and oﬀers the prospect of its application.
The use of the monoclonal antibody Erenumab in patients with chronic migraine in real clinical experience
Authors: Ekusheva E. V. , Artemenko A. R. , Shirshova E. V. , Sokov P. E. , Plieva A. M.
Published: November 2021

Patients with chronic migraine are characterized by frequent severe headache attacks, polypharmacy (painkillers), insuﬃcient eﬀect of preventive therapy, and a decrease in the quality of life. The aim of a prospective open-label study was the evaluation of the eﬃcacy and tolerance of Erenumab (Irinex) in the treatment of patients with chronic migraine in real clinical practice.

Material and methods. 48 patients with chronic migraine were clinically and neurologically examined (35.5 [19; 56]; diagnosis was established according to the criteria of ICHD classification and diagnosis of migraine. Medical monitoring period was 3 months. Clinical and neurological testing and subcutaneous administration of Erenumab (Irinex) 70 mg were performed once a month during the whole period.

Results. Safety, good tolerance and an obvious significant clinical eﬀect were noted when using Erenumab (Irinex) 70 mg. It led to a significant improvement in clinical score and the course of chronic migraine, the eﬀectiveness of rapid relief of symptoms and significant reduction in the need for painkillers in most patients. The best results were found after 3 months of therapy.
The Effect of Microbes and Fly Ash to Improve Concrete Performance
Authors: Muhammad Adlizie Rifkianda , Ekaputri Januarti Jaya , Basoeki Makno
Published: November 2021

This paper presents the application of�fly ash�combining with microbes in concrete to reduce cement content.�A class F fly ash as cement replacementwas applied with ratios of 20%, 30%, 40%, and 50% to reduce hydration heat. Microbes from bacterial consortium were applied to as the filler to increase concrete compressive strength. The concrete mix design from SNI 03�2834�2000 was applied for a compressive strength target of 30 MPa. The mechanical test was carried out consisting compressive and tensile test.�Concrete�workability�and the heat hydration measurement were performed for fresh concrete.�The results showed that the maximum strength of 45.10 MPa was obtained from specimens with 30% fly ash content.�Application of microbes associated with�fly ash content of 40% showed the maximum strength of 48.47 MPa.�It was found that the tensile strength also increased with the application of�fly ash�and microbes.�Hydration temperature of concrete decreased with the increase of�the ash�content.�This proves that the application of�fly ash�and microbes in concrete can reduce the cement as well as increasing the concrete performance.
ANALISIS PARTISIPASI MASYARAKAT DALAM PENGEMBANGAN KAMPUNG WISATA KREATIF DESA SEKIDA KECAMATAN JAGOI BABANG
Authors: Pratiwi Nana Novita
Published: November 2021

Sekida Village as a Creative Tourism Village is an embryo for the community's economic development. The Creative Tourism Village has provided a space for participation for the community through various activities. Thus, this study aims to determine forms of community participation in supporting the development of the Creative Tourism Village in Sekida Village. The research approach used is phenomenological with qualitative descriptive method. The research stages consisted of data collection, data reduction, data presentation and drawing conclusions. The results of the analysis concluded that the largest form of community participation was manpower and expertise with a percentage of 82% and 72%, respectively. Based on their characteristics, the people who are dominant in contributing to supporting the development of the Creative Tourism Village through their participation are the older adults with an elementary education level.Keywords: Community Participation, Creative Tourism Village, Sekida Village.
PENENTUAN PENGGUNAAN LAHAN GAMBUT UNTUK PENINGKATAN EKONOMI MASYARAKAT DI KABUPATEN INDRAGIRI HULU
Authors: Zamaya Yelly , Tampubolon Dahlan , Misdawita Misdawita
Published: November 2021

Sustainable peatland management will have an impact on the welfare of the community as a whole. Rural communities use peatlands as their primary source of income.  This article aims to formulate plants on peatlands to improve the economy of the community Indragiri Hulu Regency. The method used is a combination of field observation data and a participatory geographic information system (GIS-P). The utilization of peatlands is still dominated by oil palm and rubber plants. Peatlands have the potential for high-value and environmentally friendly vegetation, such as gaharu, barley and liberica coffee. The shallower peatlands are suitable for horticultural vegetation such as rice and short-lived vegetables and fruits. Besides, it is reasonable to cultivate wetlands in Indragiri Hulu, such as catfish, catfish, tilapia and tilapia. Through this participatory information system, it is possible to determine the commodities developed in the region.
POTENSI RUANG SEMPADAN SUNGAI UNTUK PEMENUHAN KEBUTUHAN RUANG TERBUKA HIJAU TAMAN KOTA SEMARANG
Authors: Kautsary Jamilla kautsary , Rahman Boby , Shafira Salmaa
Published: November 2021

Ruang Terbuka Hijau (RTH) di perkotaan keberadaannya sangat penting tidak hanya dari sisi estetik, dan ekologis, tetapi juga secara sosial dan ekonomi. Keberadaan ruang ini, menjadi sangat langka dan sulit untuk dipenuhi, akibat kurangnya langkanya lahan di perkotaan. Upaya pemenuhan RTH secara umum hanya didasarkan pada pertimbangan pemenuhan angka 30% luas perkotaan dengan perincian 20%  publik dan 10% RTH privat, tanpa melihat detailnya sesuai dengan pedoman teknis yang berlaku di Indonesia. Kajian potensi RTH sempadan sungai ini berlokasi di Kota Semarang, dengan pendekatan perhitungan terinci sesuai standar Peraturan Menteri Pekerjaan Umum No. 5 Tahun 2008. Identifikasi luasan dibantu dengan alat analisis GIS yang di triangulasikan dengan data primer dan sekunder. Hasil perhitungan yang menunjukkan ada potensi yang cukup besar untuk RTH sempadan sungai sebesar 11,95% (dari yang seharusnya 1,5% bersama RTH fungsi tertentu lainnya). Potensi kelebihan ini sebagian tentu bisa dimanfaatkan untuk pemenuhan RTH taman kota yang saat ini capaiannya rata-rata hanya sebesar 3,776% dari 12,5% yang di tentukan.