bluuebunny/crossref_metadata_2025 huggingface dataset:
Brazilian vegetarians and vegans eating practices and consciousness consumption behavior during Covid-19 pandemic
Authors: Lima Elaine Cristina de Souza , De Oliveira Thaiane Ingrid Silva , De Oliveira Barbara Albernaz , Pereira Alessandra Silva , Mocellin Michel Carlos , Raposo Letícia Martins , Ayres Ellen Mayra Menezes
Published: February 2024

Considerando o crescimento da população vegetariana no Brasil e o cenário da pandemia de covid-19, o objetivo do estudo foi identificar mudanças nos hábitos alimentares de vegetarianos adultos brasileiros durante a pandemia. Participaram do estudo 461 vegetarianos, predominantemente pertencentes às classes socioeconômicas B e C, do sexo feminino, com nível superior e residentes na região sudeste do Brasil. A maioria dos participantes relatou mudanças na rotina alimentar. Quanto à preocupação com atitudes sustentáveis, houve concordância para a maioria das sentenças. A amostra do estudo relatou aumento de preços e dificuldades de acesso, principalmente a alimentos in natura, além de preocupação com a sustentabilidade alimentar.
Descompensação glicêmica em Diabetes Mellitus Tipo 2 em consequência de infecção por Covid 19: relato de caso
Authors: Grando Amanda Barbiero , Oliveira Isadora Debona , De Nez Natasha , Hubie Ana Paula Sakr
Published: February 2024

Neste artigo, foi analisada a associação entre COVID 19 e Diabetes Mellitus, através de um relato de caso, onde foi observado descompensação glicêmica em paciente com Diabetes Mellitus tipo 2 após infecção pelo SARS CoV-2, apresentando alterações laboratoriais de hemoglobina glicada e hiperlipidemia. Nesse viés, o diabetes está associado a um pior prognóstico na infecção pelo vírus e por outro lado o SARS- CoV-2 leva a um quadro de disglicemia em diabéticos e hiperlipidemia, o que é observado na clínica do paciente. Sendo revisado nesse artigo ainda, interações entre o vírus e a doença endócrina do caso clínico.
Uma diretriz para a transição da tecnologia multiuso para single-use na etapa de formulação de um produto imunobiológicoIntrodução: O avanço da inovação tecnológica é premente, e assim as empresas devem manter-se na vanguarda de novas tendências científi
Authors: De Oliveira Daniele Alves , De Magalhães Jorge Lima
Published: February 2024

Introdução: O avanço da inovação tecnológica é premente, e assim as empresas devem  manter-se na vanguarda de novas tendências científicas e mercadológicas, mesmo que não venham a implementar todas as novidades de imediato, mas que saibam como trabalhar com elas. Ao desenvolver uma inovação, é preciso que ela seja tecnologicamente viável, condizente com a estratégia de negócios da empresa, convertida em valor para o cliente e em oportunidade de mercado para a empresa. Portanto, não basta reconhecer o imperativo da mudança e desejar fazê-la, é indispensável planejar a mudança da forma mais adequada, a fim de que possibilitem a aplicação prática para a estruturação em modelos de processos de inovação, que compreendem procedimentos e políticas para o desenvolvimento de inovações. Objetivo: Propor uma Diretriz para transição da Tecnologia Multiuso (MUT) para a Tecnologia Single-Use (SUT) na etapa de Formulação de um Imunobiológico, considerando como modelo uma vacina produzida por uma Indústria Biofarmacêutica Nacional. Metodologia: Foi considerada a abordagem Design Thinking (DT) – inspiração, ideação/prototipação e implementação para construção dos desenhos vislumbrados na SUT, seguido pela avaliação dos documentos internos da organização com foco nos detalhes do produto e requisitos de qualidade para as Boas Práticas de Fabricação (BPF). Seguidamente, aplicada a avaliação dos riscos do processo na SUT através da ferramenta de Análise de Modo e Efeito de Falha (Failure Mode and Effects Analysis - FEMEA). Finalmente proposta a diretriz de implementação. Resultados: Obtido protótipos na SUT considerando o processo de Formulação da vacina e ainda da Solução Intermediária consumida nesta etapa, bem como a análise de risco da mudança e a proposição da Diretriz para alteração da MUT para a SUT na etapa de Formulação de um Imunobiológico. Conclusão: Os sistemas para bioprocesso descartáveis, feitos essencialmente de plástico, estão a caminho de usurpar o atual domínio dos sistemas fixos de bioprocessamento de aço inoxidável, por diversas facilidades e benefícios existentes. Os princípios adotados, no processo apresentado, podem ser aplicados na etapa de Formulação de outro Imunobiológico, desde que as interdependências existentes sejam identificadas e consideradas, e desta forma as empresas alcançarão êxito na mudança.
A influência do uso excessivo de glicocorticoides no desenvolvimento de osteoporose: uma revisão integrativa de literatura
Authors: De Pinho Lênio Airam , Gonçalves Carlos Henrique de Moura , Lopes Isabella Isaac , De Oliveira Luma Bertão , Fernandes Vitória Lima , Moura Rafaela Rehem Rosa , Borges Júnior Roberto , Rocha Tiara Grossi , De Oliveira Thiago Melanias Araujo
Published: February 2024

Objetivo: Elucidar mediante as evidências disponíveis na literatura o aparecimento da osteoporose associado ao uso demasiado de glicocorticoides. Métodos: Trata-se de uma revisão integrativa da literatura, por proporcionar uma síntese dos resultados obtidos através de pesquisas publicadas. Para direcionar a revisão utilizou-se como questão norteadora: “Quais as evidências disponíveis na literatura sobre a influência do uso excessivo de glicocorticoides no desenvolvimento de osteoporose? ” Para a construção da pesquisa, a coleta e análise de dados foi realizada através do Portal da Biblioteca Virtual da Saúde (BVS) e da base de dados Medical Literature Analysis and Retrievel System Online via PubMed, através dos seguintes Descritores em Ciências da Saúde (DeCS): “Glicocorticoides”, “Osteoporose”, “Osteonecrose” combinados entre si pelo operador booleano AND. Discussão: Os artigos analisados revelaram um elevado risco de fraturas vertebrais (51,3%) seguidas de não vertebrais (25,6%), incluindo as de quadril, em indivíduos tratados com glicocorticoides, e uma maior recorrência em sujeitos adultos, pertencentes ao sexo feminino, pelo simples fato desse grupo alvo possuir um componente a mais contribuinte, a diminuição do fator hormonal, estrogênio. Conclusão: A partir dos resultados obtidos, conclui-se que a causa mais comum do que se chama osteoporose secundária é o uso prolongado de glicocorticoide, uma vez que produz efeito direto e adversos sobre os ossos e, mais prevalente em meio a população feminina, por esta possuir alterações do ciclo hormonal, quando ao se entrar no período de menopausa.
Telessaúde - telemedicima: inovação e sustentabilidade
Authors: Andreza Marli Nascimento dos Santos , Diniz Cicera Lais Ferreira , De Macedo Cinthya Texeira , Dos Santos Vagner Sales , Bezerra Marta Cordeiro Brito , Brito Anielle dos Santos , De Santana Willma José , Gonçalves Roberta Lins
Published: February 2024

O investimento crescente na tecnologia em saúde no país é garantido com a participação conjunta entre órgãos competentes que compõem os ministérios do Governo Federal, dando-lhe maior ênfase ao uso da telemedicina e telessaúde, fortalecendo o desenvolvimento e aceitação dessa ferramenta para o atendimento assistido aos usuários das novas inovações tecnológicas. O objetivo deste estudo é descrever que a telemedicina- telessaúde são inovações tecnologias e sustentáveis importantes para o fortalecimento do atendimento aos pacientes e usuários da telemedicina virtual. Trata-se de uma revisão integrativa da Literatura. O levantamento dos dados se deu a partir de artigos publicados entre 2019 e 2023 e indexados no banco de dados Scientific Eletronic Library Online (SCIELO); Medical Literature Analysis and Retrieval System Online (MEDLINE) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), utilizando os seguintes descritores: Inovação tecnológica, assistência em saúde, medicina virtual. Com o uso do operador Booleano AND e foi utilizado o instrumento Preferred Reporting Iterns (PRISMA), para demonstrar de maneira mais explicita a busca e seleção dos estudos. A telemedicina e a telessaúde são ferramentas tecnológicas que obtiveram grandes feitos nos últimos anos. A telemedicina em seu escopo funciona como uma prestação de serviços ofertados para o atendimento médico à distância, com enfoque em atender todas as regiões demográficas do país que sofre com a discrepância da desigualdade nos atendimentos dos serviços de saúde.
Hormônios sexuais: riscos e benefícios para a saúde cardiovascular
Authors: Nunes Vinicius Lima , Cabral Dieyson Silva , Leite João Pedro Maciel Machado , Gondra Raphael Santovito , De Souza Neto José Carlos , Fleury Neto Mory Perilo , Miñarro Ana Luiza Mauro , Cazarotto Walter Helene Nunes , Queiroz Pedro Silva , De Santana Rodrigo Rondina , Da Silva Elisângelo Aparecido Costa , Asseis Augusto César Romão
Published: February 2024

INTRODUÇÃO: Os hormônios sexuais estão envolvidos a longo prazo em resultados cardiovasculares, podendo se apresentar como protetor ou gerador de riscos para eventos como o Infarto Agudo do Miocárdio (IAM) a depender das suas concentrações. OBJETIVOS: avaliar a influência dos hormônios sexuais como fator protetor ou de risco a depender de suas concentrações. METODOLOGIA: Trata-se de uma revisão integrativa na base de dados PUBMED utilizando os descritores “myocardial and sex hormones’’ para artigos publicados entre 2018 e 2024. RESULTADOS: Existem estudo com resultados divergentes apresentando a deficiência de testosterona na prevenção da disfunção da contratilidade do miocárdio, enquanto outros abordam que o baixo nível de testosterona sérica pode estar associado a um maior risco de doenças cardiovasculares. A aparente relação entre os níveis de estradiol e o risco de doença coronariana é confundida pela idade e outros fatores de risco. O uso exacerbado de esteroides androgênios está envolvido em maior risco de eventos cardiovasculares. CONCLUSÃO: Os hormônios sexuais possuem importância no funcionamento homeostático do sistema cardiovascular. A reposição hormonal quando adequada está envolvida em melhores resultados cardiovasculares. São necessários mais estudos que avaliem, principalmente, a influência dos hormônios sexuais femininos sobre o sistema cardiovascular.
Perfil epidemiológico dos casos de hanseníase em Alagoas no período de 2016-2022
Authors: De Araújo Maria Gabriela Calaça , Lima Yuri Farias , Carvalho Ana Clara Silva , Freitas Victor Lima de Paiva , Fachin Laércio Pol
Published: February 2024

Introdução: A hanseníase é uma doença causada pelo bacilo gram positivo Mycobacterium leprae de grande incidência no mundo. A patologia pode ser classificada em indeterminada, tuberculoide, dimorfa e virchowiana de acordo com diferentes características. Sua transmissibilidade ocorre por meio das vias respiratórias superiores, sendo o homem o único reservatório natural da bactéria. O Brasil ocupa o segundo lugar no ranking mundial de novos casos da doença, demonstrando a importância em avaliar a epidemiologia da hanseníase em Alagoas. Objetivo: Avaliar a epidemiologia da hanseníase no estado de Alagoas no período de 2016-2022, levando em consideração as variáveis: faixa etária, raça, sexo e classificação por forma clínica e operacional. Métodos: Trata-se de um estudo epidemiológico observacional, retrospectivo, sendo constituído pelos casos de hanseníase notificados no Sistema de Informação de Agravos de Notificação (SINAN), no período de 2016 a 2022, coletados através do Departamento de Informática do Sistema Único de Saúde (DATASUS) via Tabnet. Considerando as seguintes variáveis: sexo, faixa etária, classificação operacional, forma clínica e raça. Resultados: Foram analisados 2.456 casos de hanseníase registrados no SINAN no período de 2016 a 2022 para a descrição do perfil epidemiológico. A faixa etária mais acometida foi entre 40-49 anos, sendo o ano de 2018 o que apresentou maior número de eventos diagnosticados, e o sexo masculino o mais afetado, com a classificação operacional multibacilar sendo a mais frequente e a forma clínica mais comum a dimorfa. Conclusão: A hanseníase ainda é um problema de saúde pública no país e está relacionada a condições de saúde precária e baixo nível socioeconômico. Portanto, faz-se necessário ações de vigilância em saúde e capacitação dos profissionais de saúde para um diagnóstico precoce da doença, e uma maior atenção ao público masculino, visando a diminuição dos agravos aos pacientes e disseminação da doença na comunidade.
Abordagem abrangente das queimaduras térmicas: do diagnóstico à prevenção
Authors: Da Conceição Humberto Novais , Diogo Marina Pezzetti Sanchez , Escobar Nayanne Deusdará , Sousa Marco Túlio Borges , Campigotto Roberto Spadoni , Hirt Luciano , Freitas Vinícius Cangussu , Freitas Bruna Cangussu
Published: February 2024

Introdução: As queimaduras, resultantes da exposição a calor, podem ocorrer por diferentes fontes de energia, desencadeando morte celular em diversos tecidos. Classificadas como a quarta causa global de trauma, apresentam maior incidência em populações de baixa renda. No Brasil, estima-se 1 milhão de casos anuais, resultando em aproximadamente 2.500 óbitos. Com maior prevalência em homens no ambiente de trabalho e em mulheres e crianças no doméstico, as lesões cutâneas podem ter impactos sistêmicos e psicossociais. Apesar dos avanços, medidas preventivas são cruciais para reduzir incidências evitáveis. O estudo busca disseminar conhecimentos sobre a fisiopatologia e manejo dessas queimaduras. Metodologia: Foi realizada uma uma revisão sistemática realizada por meio de pesquisas nas bases de dados: PubMed, SciELO, BVS e Google Scholar utilizando os descritores: “Burn” AND “Management” AND Emergency”. Foram encontrados 921 artigos, que foram submetidos aos seguintes critérios de seleção: artigos nos idiomas português e inglês; publicados no período de 2005 a 2022 e que abordavam as temáticas propostas para esta pesquisa, disponibilizados na íntegra. Após os critérios de seleção restaram 13 artigos. Resultados e discussão: A extensão e profundidade das queimaduras são cruciais para a avaliação do prognóstico, com a Regra de Wallace e a classificação em profundidade sendo ferramentas valiosas. A gestão inicial inclui a atenção à via aérea, especialmente em casos de queimaduras na cabeça e face, lesão por inalação ou outros fatores de risco. A reposição volêmica é fundamental para prevenir o choque, sendo a fórmula de Parkland uma abordagem comumente adotada. O controle da dor é alcançado com o uso criterioso de opióides, possivelmente associados a anti-inflamatórios não esteroidais (AINEs), dipirona ou paracetamol, com atenção especial em casos de risco de sangramento. A cobertura das lesões com gazes estéreis e a limpeza cuidadosa da ferida são práticas essenciais, evitando a ruptura de bolhas formadas. Antibióticos tópicos são considerados, mas seu uso é reservado para casos de infecção diagnosticada, minimizando o risco de resistência. O controle da dor, ressuscitação volêmica e outras intervenções devem ser adaptados conforme a avaliação constante da evolução do paciente. Conclusão: Nesse sentido, destaca-se a importância de políticas públicas voltadas para a prevenção de queimaduras, visando educar a população sobre medidas preventivas e ações adequadas em caso de ocorrência. A disseminação de protocolos de atendimento ao paciente queimado entre profissionais de saúde é crucial, dada a complexidade e a alta morbimortalidade associadas a essas lesões térmicas.
MODEL PEMBELAJARAN RECIPROCAL TEACHING : APAKAH MEMPENGARUHI MOTIVASI BELAJAR MATEMATIKA?
Authors: Rezki Rezki , Noviantari Ika , Susanti Dwi , Hermansyah Hermansyah
Published: February 2024

AbstractThe reciprocal teaching-learning model was applied to determine its effect on student’s motivation to learn mathematics at SMP Negeri 11 Tarakan. This study used a quantitative approach to the type of quasi-experimental research. The data collection technique used is a motivational questionnaire to learn mathematics. The sample in this study were students of class VIII-1 and class VIII-2 of SMP Negeri 11 Tarakan. Simple regression analysis was used as a data analysis technique. Based on data analysis, it was found that the reciprocal teaching-learning model had a positive effect on student’s motivation to learn mathematics at SMP Negeri 11 Tarakan.Keywords: Reciprocal Teaching, Mathematic Learning MotivationAbstrakModel pembelajaran reciprocal teaching diterapkan untuk mengetahui pengaruhnya terhadap motivasi belajar matematika siswa SMP Negeri 11 Tarakan. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian eksperimen semu. Teknik pengumpulan data yang digunakan berupa angket motivasi belajar matematika. Sampel dalam penelitian ini adalah siswa kelas VIII-1 dan kelas VIII-2  SMP Negeri 11 Tarakan. Analisis regresi sederhana digunakan sebagai teknik analisis data. Berdasarkan analisis data diperoleh bahwa model pembelajaran reciprocal teaching berpengaruh positif terhadap motivasi belajar matematika siswa SMP Negeri 11 Tarakan.Kata kunci: Reciprocal Teaching, Motivasi Belajar Matematika
MEMPERSIAPKAN SISWA MERAIH PRESTASI DALAM KOMPETISI MATEMATIKA: APA YANG DILAKUKAN GURU?
Authors: Simamora Rustam Effendy , Suardi Zainuddin , Widyawati Eka
Published: February 2024

This research aimed to describe the role undertaken by teachers at SMP Negeri 1 Tarakan, one of the public junior high schools in Tarakan, Indonesia, in preparing their students to succeed in mathematics competitions. This qualitative research employed a case study approach. The data collection techniques included interviews, documentation, and observation. The data analysis consisted of several interactive steps: preparing the collected data, reading it repeatedly to comprehend it, coding, identifying and testing themes through triangulation and member checking, describing the established themes, interpreting the themes and descriptions, and drawing conclusions. We also conducted peer debriefing during coding and writing research reports. Based on the data analysis, the findings regarding the role of teachers in preparing students for participation in mathematics competitions in the school consisted of two categories: students selection and coaching. Mathematics teachers select students through two main steps: set criteria and analyze students’ mathematical abilities. While coaching students to prepare for competition participation, teachers employed a personalized approach, facilitated student learning, motivated students, and utilized resources and facilities.Keywords: case study, mathematics competition, mathematics in junior high school, teacher roles. Penelitian ini bertujuan untuk mendeskripsikan hal yang dilakukan oleh guru di SMP Negeri 1 Tarakan dalam mempersiapkan siswanya untuk meraih prestasi dalam kompetisi Matematika. Jenis penelitian ini adalah kualitatif dengan pendekatan studi kasus. Adapun teknik pengumpulan data adalah wawancara, dokumentasi, dan observasi. Analisis data yang dilakukan terdiri dari beberapa langkah interaktif: mempersiapkan data yang telah terkumpul, membaca berulang-ulang untuk memahami semua data, melakukan pengkodean, menentukan tema dan mengujinya melalui triangulasi dan memeriksa anggota, mendeskripsikan tema yang sudah ditetapkan, menginterpretasi tema dan deskripsi tersebut, dan menarik kesimpulan. Sepanjang melakukan pengkodean dan penulisan laporan penelitian, kami juga melakukan peer debriefing. Berdasarkan hasil analisis data, temuan tentang bagaimana peran guru dalam mempersiapkan siswa untuk mengikuti kompetisi Matematika  di sekolah tersebut terdiri dari dua kategori: memilih siswa dan melakukan pembinaan. Guru Matematika memilih siswa dengan dua langkah utama, yaitu menetapkan syarat dan menganalisis kemampuan Matematika siswa. Selama membina siswa untuk mempersiapkan mereka mengikuti kompetisi, guru melakukan pendekatan personal, memfasilitasi siswa dalam belajar, memotivasi siswa, dan memanfaatkan sarana dan prasarana.Kata kunci: kompetisi Matematika, Matematika SMP, peran guru, studi kasus.
EKSPLORASI FAKTOR PENGHAMBAT BERPIKIR KREATIF MATEMATIS SISWA MENENGAH PERTAMA
Authors: Kamara Jean Gloria , Simamora Rustam Effendy , Rahayu Setia Widia
Published: February 2024

AbstractMathematical Creative Thinking Ability (MCTA) is a crucial skill for students in their mathematics learning. However, limited research exists on the inhibiting factors of Mathematical Creative Thinking (MCT), specifically among junior high school students. Therefore, this study aims to explore these inhibiting factors among junior high school students using a qualitative method with a case study approach. Data were collected through assignment tasks, observations, and interviews, wherein the tasks were designed as open-ended questions. The study identified themes generated from the data analysis, revealing several factors inhibiting students’ MCT. These factors include negative perceptions towards mathematics and its learning, intrinsic motivation, inadequate understanding of basic concepts, the experience of learning loss, low self-efficacy towards open-ended questions, low procedural understanding of open-ended questions, and insufficient teacher competence.Keywords: Mathematical creative thinking, school mathematics, open-ended problem, case study.AbstrakKemampuan berpikir kreatif matematis (KBKM) adalah kemampuan esensial yang harus dimiliki siswa pada pembelajaran Matematika. Akan tetapi, belum banyak penelitian yang membahas faktor penghambat berpikir kreatif matematis (BKM) siswa menengah pertama. Oleh karena itu, penelitian ini bertujuan untuk mengeksplorasi faktor penghambat BKM siswa menengah pertama. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Data dikumpulkan melalui pemberian tugas, melakukan pengamatan, dan melakukan wawancara. Tugas yang dikerjakan oleh partisipan adalah tipe soal open-ended. Temuan pada penelitian ini merupakan tema-tema yang dihasilkan dari analisis data. Berdasarkan temuan yang diperoleh, faktor-faktor yang menghambat BKM siswa adalah memiliki persepsi negatif terhadap Matematika dan pembelajarannya, motivasi intrinsik, pemahaman konsep dasar yang rendah, mengalami learning loss, efikasi diri yang rendah terhadap soal open-ended, pemahaman prosedural yang rendah terhadap soal open-ended, dan kompetensi guru yang kurang memadai.Kata kunci: Berpikir kreatif matematis, Matematika sekolah, soal open-ended, studi kasus.
CREATIVE PROBLEM SOLVING: APAKAH EFEKTIF MENINGKATKAN KEMAMPUAN PEMECAHAN MASALAH MATEMATIKA PESERTA DIDIK?
Authors: Nursyam Nursyam , Herna Herna , Aprisal Aprisal
Published: February 2024

AbstractThis study aims to describe enhancement mathematical problem solving ability of students by applying creative problem solving learning. This study is classroom action research which consists of 2 cycles by adopting the scheme from Kemmis and Taggar. This study was carried out at SMP Negeri SATAP Tandasura. The instruments used to collect data consisted of problem solving ability tests, student response questionnairy, and learning observation sheet. The study results showed that creative problem solving learning can increase students' mathematical problem solving ability based on predetermined success indicators.Keywords: creative problem solving, problem solving ability, classroom action researchAbstrakPenelitian ini bertujuan untuk mendeskripsikan peningkatan kemampuan pemecahan masalah matematika peserta didik dengan menerapkan model pembelajaran creative problem solving. Penelitian ini adalah penelitian tindakan kelas yang terdiri dari 2 Siklus dengan mengadopsi skema dari Kemmis dan Taggar. Penelitian ini dilaksanakan di SMP Negeri SATAP Tandasura. Instrumen yang digunakan untuk mengumpulkan data terdiri dari tes kemampuan pemecahan masalah, angket respon peserta didik, dan lembar observasi keterlaksanaan pembelajaran. Hasil penelitian menunjukkan bahwa kemampuan pemecahan masalah matematika peserta didik meningkat berdasarkan indikator keberhasilan yang telah ditetapkan setelah pembelajaran creative problem solving diterapkan.Kata kunci: Creative problem solving, pemecahan masalah, PTK
Long-term clinical results of power-assisted adenoidectomy with torus tubarius correction
Authors: Liakh K.V. , Shkorbotun Ya.V.
Published: February 2024

In patients with hypertrophy of the pharyngeal tonsil, hypertrophy of the lymphoid tissue of the torus tubarius is often observed. The application of power-assisted technologies allows for precise correction of the torus tubarius simultaneously with adenoidectomy. The purpose of the study was to investigate the clinical effectiveness of power-assisted endoscopic adenoidectomy with additional correction of the torus tubarius in the presence of its hypertrophy, based on postoperative survey results. For this purpose, we surveyed of 209 patients who underwent endoscopic power-assisted adenoidectomy. In 107 of them additional correction of torus tubarius hypertrophy was performed in case of its presence (main group), while in 102, only adenoidectomy was performed in all patients (control group). The prevalence of main group complaints before adenoidectomy and their dynamics were assessed based on a survey 12–24 months post-intervention. It was found that the additional removal of hypertrophied torus tuba­rius in children during power-assisted endoscopic adenoidectomy significantly reduces the risk of frequent upper respiratory tract infections and acute otitis media. The proportion of individuals who assessed the adenoidectomy effect as "significant improvement" in terms of "frequent upper respiratory tract infections" in the main group was 20.4% higher, and for "frequent acute otitis media" it was 41.3% higher. Conclusion: Endoscopic power-assisted adenoidectomy with torus tubarius correction is an effective and safe method for children with hypertrophy of the pharyngeal tonsil in combination with torus tubarius hypertrophy, especially in cases where indications for intervention include frequent upper respiratory tract infections and acute otitis media.

Keywords: scoring system, tonsils hypertrophy, tonsil pharingeal, hypertrophy, otitis, inflammatory diseases of the nose and paranasal sinuses.
The Effect of Current Ratio and Total Asset Turn Over on Return on Assets at Bank Sumut KC. Syariah Pematang Siantar Periode 2017-2021
Authors: Vera Rahmi , Nurlaila Nurlaila , Kusmilawaty Kusmilawaty
Published: February 2024

This research aims to determine whether there is an influence of Current Ratio and Total Asset Turn Over on Return on Assets at Bank Sumut KC. Syariah Pematang Siantar using a quantitative approach. The data used in the research is secondary data obtained from published reports in a monthly time series from 2017 to 2021. The data was analyzed using multiple linear regression. The results of the research show that (1) the Current Ratio variable has a negative and insignificant influence on Return on Assets at Bank Sumut KC. Pematang Siantar Sharia. (2) The Total Asset Turn Over variable has a positive and significant influence on Return on Assets at Bank Sumut Branch Pematang Siantar Sharia. (3) The variables Current Ratio and Total Asset Turn Over simultaneously influence Return on Assets at Bank Sumut KC. Pematang Siantar Sharia.
Pengaruh Profitabilitas, Debt Default, dan Pertumbuhan Perusahaan terhadap Opini Audit Going Concern
Authors: Tegar Glorious
Published: February 2024

Business industry can be linked to become a reference for the condition of country's economic status. Giving a going concern audit opinion can help company’s stakeholders in ensuring the sustainability of the company in the next year from the date of the audited financial statements. This can help the company to make decisions easier. This research was taken during the Covid-19 pandemic, which shows that there are companies that have suffered losses due to the pandemic and can be seen in the going concern audit opinion on the company's financial statements. Auditors are expected to be aware of the factors and potential problems that can arise and affect the sustainability of the company. These include the influence of profitability, debt default and company growth.
Dampak Stabilitas Keuangan Daerah terhadap Ketahanan Keuangan Pemerintah Daerah
Authors: Harahap Muhammad Nasim , Dailibas Dailibas , Nasution Raden , Chaerudin Chaerudin , Muslihat Asep
Published: February 2024

This research investigates the impact of local financial stability on the financial resilience of local governments. The study examines the relationship between financial stability, efficient budget management, wise debt control, long-term financial sustainability, and the financial resilience of local governments. The research employs a quantitative approach, utilizing regression analysis to analyze the data collected from various local governments. The findings indicate a significant positive influence of financial stability, efficient budget management, wise debt control, and long-term financial sustainability on the financial resilience of local governments. The study contributes to the understanding of the crucial factors affecting the financial well-being of local governments and provides insights for policymakers to enhance financial planning and resilience.
Pengaruh Intellectual Capital dan Kinerja Keuangan terhadap Manajemen Laba pada Perusahaan Makanan dan Minuman yang Terdaftar di Bursa Efek Indonesia Periode 2018 – 2021
Authors: Ardiansyah Nabiila Putri , Sadikin Dikdik Saleh
Published: February 2024

This study aims to determine the effect of Intellectual Capital and Financial Performance on Earnings Management in food and beverage companies for the period 2018–2021. This study used 28 food and beverage companies listed on the Indonesia Stock Exchange using a purposive sampling method. Hypothesis testing was carried out in this study using descriptive statistics using panel data regression analysis method. The results of this study indicate that Intellectual Capital has a positive effect on Earnings Management. Meanwhile, financial performance proxied by Return on Assets (ROA) has a negative effect on Earnings Management.
Analisis Penerapan Akuntansi Pembiayaan Murabahah Berdasarkan PSAK 102 (Studi Kasus pada KSPPS di Kabupaten Pemalang)
Authors: Puspitasari Saras Meilia , Imron Ali , Suripto Suripto
Published: February 2024

This research are purpose as to determine the application and suitability of murabahah financing based on PSAK 102 concerning murabaha accounting for KSPPS BMT Al Fatta, KSPPS Berkah Usaha Syariah, KSPPS Dana Syariah, KSPPS BMT Bina Muamalah Taawun in Pemalang Regency. This study uses a qualitative method with a descriptive approach, namely by describing the implementation of the murabahah financing program, as well as analyzing the suitability of accounting treatment in recognition, measurement, presentation and disclosure murabahah financing through observation, interviews and documentation. The results of this study indicate that the treatment of murabahah financing at KSPPS BMT Al Fatta, KSPPS Berkah Usaha Syariah, KSPPS Dana Syariah, KSPPS BMT Bina Muamalah Taawun located in Pemalang Regency is not fully in accordance with the murabahah accounting treatment in PSAK 102 which includes the recognition and measurement of murabahah. Meanwhile, presentation and disclosure are in accordance with PSAK 102.
Die Einführung zentraler Prüfungen in der französischen Besatzungszone (1945-1949). Prüfungspraktiken und das Schreiben über Literatur
Authors: Reh Sabine
Published: February 2024

Die Situation der deutschen Schulen nach dem 2. Weltkrieg, vor allem in der unmittelbaren Nachkriegszeit zwischen 1945 und 1949, war schwierig. [...] Im Beitrag wird zunächst anhand der historischen Forschungsliteratur die Schulpolitik in der französischen Besatzungszone skizziert. Damit soll deutlich gemacht werden, in welchem Kontext von Ideen einer Umerziehung und der Schaffung einer demokratischen Schule die beabsichtigte Reform der Gymnasialbildung steht. Sie wurde schließlich 1947 mit einer veränderten Abiturprüfung auch in die Wege geleitet. Wie diese Veränderungen unter Bezugnahme auf die französische, zentrale Prüfungspraxis und deren historische Wurzeln verstanden werden können und welche Modifikationen zu erkennen sind, die bis heute Bestand in Baden-Württemberg haben (ein Land, das 1952 entstand), ist ebenfalls noch Gegenstand des ersten Kapitels. In einem zweiten Abschnitt werden Reaktionen auf die Einführung dieser Art der Abiturprüfung dargestellt, insbesondere Reaktionen seitens der Deutschlehrer*innen in verschiedenen Zeitschriften, vor allem in ‚Der Deutschunterricht‘ und ‚Schola‘. Hier ist nicht nur zu erkennen, welche Auswirkungen auf den Unterricht der Prüfung zugeschrieben und von ihr erwartet, sondern auch wie die französischen Praktiken des Schreibens über Literatur im Verhältnis zu den deutschen Schreibpraktiken eingeschätzt wurden. In einem dritten Kapitel wird gezeigt, wie sich in den folgenden Jahren der französische Gedanke des ‚Concours‘, des Wettkampfes, ausbreitet. In den Aktenbeständen Württemberg-Hohenzollerns im Staatsarchiv in Sigmaringen befinden sich einige Aufsätze von 18- und 19-jährigen Schüler*innen, die 1949 im Rahmen eines ausgerufenen Wettbewerbs im Goethejahr geschrieben wurden. An ihnen und den Beurteilungen durch die Lehrkräfte kann gezeigt werden, wie trotz einer oberflächlichen Angleichung in der Praxis des Prüfens gerade keine einfache Übernahme der Art und Formorientiertheit des französischen Schreibens über Literatur stattgefunden hat. (DIPF/Orig.)
Sachlichkeit und Fachlichkeit in der Oberstufe. Erika Essens Vorschläge zu einer Modernisierung des Deutschunterrichts und die Antwort der 'kommunikativen Wende'
Authors: Kämper-van den Boogaart Michael
Published: February 2024

Der Akzent dieses Beitrags liegt auf den didaktischen Impulsen, die von Arbeiten der Marburger Seminarleiterin Erika Essen ausgingen. In gewisser Differenz zu Robert Ulshöfer gelten diese als Versuche, den Deutschunterricht zu versachlichen und nach fachlichen Kriterien zu entschlacken und zu modernisieren. Das konnte nicht verhindern, dass Essens auf Sprachlichkeit ausgerichtete Didaktik nach 1968 massiv in die Kritik geriet. Dabei zeigte sich, dass durch die zunehmende Sensibilisierung gegenüber Sprachbarrieren für Sprecher*innen eines restringierten Codes „Sprache“ oder „inhaltsbezogene Sprachbetrachtung“ den Nimbus einbüßte, neutral zu sein. Der Beitrag geht auf die historische Kritik an Essen ein, problematisiert aber auch aus anderer Perspektive die mit ihren Arbeiten verbundenen Sachlichkeits- und Rationalitätsansprüche. Im letzten Teil geht der Beitrag über Essen hinaus und nimmt die Innovationen einer Kommunikationsdidaktik in den Blick, die 1971 durch Werner Schlotthaus auf den Weg gebracht wurde und die 1972 auch die Hessischen Rahmenrichtlinien Deutsch prägte. (DIPF/Orig.)
EFEKTIFITAS KOMBINASI TERAPI RENDAM KAKI DAN AROMATERAPI ROSA CENTIFOLIA TERHADAP PENURUNAN TEKANAN DARAH PASIEN HIPERTENSI
Authors: Pradana Kelvin Enfi , Agustina Wiwik , Kartikaningtias Chinthia , Arlinda Putu Sintya
Published: February 2024

Latar belakang: Hipertensi merupakan suatu peningkatan abnormal tekanan darah secara terus menerus lebih dari satu periode, dengan angka kejadian hipertensi meningkat dari 650 juta menjadi 1,28 miliar dalam tiga puluh tahun terakhir pada tahun 2022 dan diperkirakan akan terus meningkat. Tujuan: Untuk mengetahui efektifitas terapi kombinasi rendam kaki air hangat dan aromaterapi rosa centifolia dalam menurunkan tekanan darah pada pasien hipertensi. Metode: yaang digunakan dalam penelitian ini adalah penelitian quasy experimental. Populasi pasien hipertensi di dusun Sidomulyo sebesar 150 pasien, sedangkan sample yang digunakan sebesar 30 responden yang menggunakan teknik stratified random sampling. Hasil: penelitian menunjukan sebelum diberikan terapi grade 1 hypertension 26% , dan setelah diberikan terapi mayoritas kelompok intervensi tekanan darah mengalami penurunan ke normal blood pressure 80%. Analisis Uji kruskall wallis menunjukkan hasil terapi efektif pada hari ke 7 sebesar 0,000 dengan presentase keefektifan 91,2%. Terapi dapat efektif karena rendam kaki dan aromaterapi memberi efek vasodilatasi yang dapat menurunkan tekanan darah. Implikasi: Terapi ini diharapkan menjadi alternatif bagi Masyarakat untuk menurunkan tekanan darah dengan dilakukan secara berlanjutan dan teratur.
TINGKAT MANAJEMEN PERAWATAN DIRI PADA LANSIA PENDERITA PENYAKIT TEKANAN DARAH TINGGI
Authors: Mustajab Abdullah Azam , Khoiriyah Siti
Published: February 2024

Latar Belakang: Penyakit tekanan darah tinggi disebut dengan the silent disease karena penderita sering kali tidak merasakan gejala dan baru mengetahui ketika memeriksakan tekanan darahnya. Tujuan: Untuk menganalisis tingkat manajemen perawatan diri pada lansia penderita penyakit tekanan darah tinggi. Penyakit tekanan darah tinggi memerlukan manajemen perawatan diri dengan cara mengelola dan mengendalikan penyakit dan pencegahan komplikasi hipertensi. Metode: Studi deskriptif kuantitatif dengan total sampling berjumlah 30 responden. Instrumen studi menggunakan self-care management penderita penyakit tekanan darah tinggi meliputi integrasi diri, regulasi diri, interaksi dengan tenaga kesehatan dan lainnya, pemantauan tekanan darah dan kepatuhan terhadap aturan yang dianjurkan. Data dianalisis dengan analisis deskriptif. Hasil: Studi menjelaskan komponen self-care management penderita hipertensi terbanyak meliputi integrasi diri cukup 15 (50%), regulasi cukup 20 (66,7%), interaksi dengan tenaga kesehatan dan lainnya kurang 12 (40%), pemantauan tekanan darah kurang 15 (50%) dan kepatuhan terhadap aturan yang dianjurkan cukup 14 (46,7%). Tingkat self-care management setengah responden penelitian mempunyai tingkat self-care management cukup 15 (50%) dengan skor terendah self-care management 58 dan skor tertinggi self-care management 157. Kesimpulan: Lansia penderita hipertensi mempunyai tingkat manajemen perawatan diri yang cukup. Saran bagi peneliti selanjutnya bisa melakukan intervensi untuk meningkatkan manajemen perawatan diri pada lansia penderita hiprtensi supaya menjadi lebih baik.
IMPLEMENTASI PERILAKU HIDUP BERSIH DAN SEHAT DI SD DHARMA WANITA PRATIWI MEDAN
Authors: Siallagan Ance M , Novitarum Lilis , Rajagukguk Diva L
Published: February 2024

Latar Belakang: Perilaku hidup bersih dan sehat (PHBS) di sekolah adalah pelaksanaan prosedur kesehatan yang wajib di praktekkan oleh guru, siswa, serta seluruh masyarakat di lingkungan sekolah demi terciptanya kehidupan yang bersih dan sehat. Sekolah dasar menjadi sasaran utama PHBS karena pada siswa harus ditanamkan perilaku hidup yang bersih dan sehat sejak dini. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi implementasi perilaku hidup bersih dan sehat pada siswa di SD Dharma Wanita Pratiwi Kecamatan Medan Selayang. Metode: Penelitian ini menggunakan rancangan deskriptif pada siswa kelas tiga, empat, dan lima dengan jumlah 86 orang melalui teknik total sampling. Pengumpulan data dilaksanakan pada Mei 2023 menggunakan kuesioner perilaku hidup bersih dan sehat di sekolah dasar. Hasil: Implementasi perilaku hidup bersih dan sehat di SD Dharma Wanita Pratiwi Medan termasuk dalam kategori cukup baik ditandai dengan pelaksanaan cuci tangan menggunakan sabun dan air mengalir (77,9%), mengkonsumsi jajanan sehat (87,2%), menggunakan jamban sehat (49,6%), melakukan olahraga dan aktivitas fisik (59,1%), memberantas jentik nyamuk (49,6%), tidak merokok di lingkungan sekolah (43,5%) dan membuang sampah pada tempatnya (51,2%). Sementara pada indikator menimbang berat badan dan tinggi badan (89,5%) masih kurang. Kesimpulan: SD Dharma Wanita Pratiwi Medan perlu melakukan optimalisasi usaha kesehatan sekolah (UKS) serta koordinasi dengan fasilitas pelayanan kesehatan untuk melakukan pengukuran berat badan dan tinggi badan secara berkala di sekolah.
Tingkat Depresi, Cemas, dan Stres pada Pasien Kanker yang Menjalani Kemoterapi
Authors: Mastan Johanes A. , Rotty Linda W. A. , Haroen Harlinda , Hendratta Cecilia , Lasut Pearla
Published: February 2024

Abstract: Chemotherapy in cancer patients has psychological impacts which are depression, anxiety and stress. This study aimed to evaluate the levels of depression, anxiety and stress in cancer patients undergoing chemotherapy. This was a descriptive study with a cross-sectional design. Samples were obtained by using non-probability sampling with purposive sampling technique. Subjects were cancer patients undergoing chemotherapy at Prof. Dr. R. D. Kandou Hospital aged over 18 years old, not pregnant, and not having an infectious disease. Assessment of levels of depression, anxiety and stress using DASS-42. The results obtained 62 patients undergoing chemotherapy; 47 were women (75.8%). The median and interquartile age range was 52 (14.75) years and body mass index (BMI) was 22 (5.17), 42 patients having an income <3.5 million rupiahs (67%), 36 patients with duration of illness >1 year (58%) and the majority of patients (79%) were in marital status. Among subjects, 23% experienced depression, 40% experienced generalized anxiety disorder, and 21% experienced stress. In conclusion, patients undergoing chemotherapy can experience depression, anxiety and stress disorders.
Keywords: depression; anxiety; stress; chemotherapy; cancer patients
 
Abstrak: Kemoterapi pada pasien kanker memiliki dampak psikis yaitu depresi, cemas, dan stres. Penelitian ini bertujuan mengetahui tingkat depresi, cemas, dan stres pada pasien kanker yang menjalani kemoterapi. Jenis penelitian ialah deskriptif dengan desain potong lintang. Sampel diperoleh menggunakan non-probability sampling dengan teknik purposive sampling. Subjek penelitian ialah pasien kanker yang menjalani kemoterapi di RSUP Prof. Dr. R. D. Kandou dengan usia di atas 18  tahun, tidak hamil, dan tidak sedang dalam pengobatan penyakit infeksi. Penilaian tingkat depresi, cemas, dan stres menggunakan DASS-42. Hasil penelitian mendapatkan­ 62 pasien yang menjalani kemoterapi; 47 pasien ialah perempuan (75,8%). Median dan interquartil range usia ialah 52 (14,75) tahun dan  IMT 22(5,17), dengan 42 pasien mempunyai pendapatan <3,5 juta rupiah  (67%),  36 pasien dengan lama sakit  >1 tahun (58%) dan sebagian besar pasien (79%) dalam status kawin. Sebanyak 23% pasien mengalami depresi, 40% gangguan cemas menyeluruh, dan 21% mengalami stres. Simpulan penelitian ini ialah pasien yang menjalani kemoterapi dapat mengalami gangguan depresi, cemas dan stres.
Kata kunci: depresi; cemas; stres; kemoterapi; pasien kanker
Persepsi Kelompok Tani Alfa Omega Terhadap Penerapan Pertanian Organik Di Kelurahan Rurukan Kecamatan Tomohon Timur Kota Tomohon
Authors: Sembiring Lida Devega Br , Tambas Jane Sulinda , Loho Agnes Estephina
Published: February 2024

The aim of the research was to determine the perception of the Alfa Omega farmer group regarding the implementation of organic farming in Rurukan Village, East Tomohon District, Tomohon City. This research lasted for three months from May to July 2023. The data used in primary data was obtained through interviews with 13 respondents from the Alfa Omega farmer group, which were taken by census and secondary data was obtained from agencies related to the research conducted. Data analysis used is descriptive. The results of the research show that the perception of the Alfa Omega farmer group regarding the implementation of organic farming is relative profit, namely profit if sold to shops that collaborate with the Alfa Omega farmer group, having good quality plants. The perception of suitability of plants is that they are suitable because of fertile soil, high soil moisture and good water access. The perception regarding the ease of trying it is that it is easy to implement organic farming and easy to get raw materials. The perception of complexity is that it takes a long time to neutralize the soil and it is difficult to get a clear price comparison on the market between organic agricultural products and non-organic products. There needs to be outreach so that the Alfa Omega farmer group implements organic farming. It is also hoped that the Department of Agriculture will provide financial assistance to be able to switch to organic farming.
ANALISIS PENGARUH FAKTOR – FAKTOR PENENTU KONTRAKTOR UNTUK KEMENANGAN TENDER
Authors: Pratama Alfian , Plamonia Nicco
Published: February 2024

Proses lelang atau tender ialah suatu prosedur untuk pemilihan penyedia barang/jasa yang dilakukan secara terbuka dan diikuti oleh seluruh penyedia barang/jasa yang telah memenuhi syarat oleh panitia tender. Permasalahan utama yang sering terjadi yaitu kurang lengkapnya berkas tender ditambah dengan faktor lain seperti kenaikan harga, pengalaman kontraktor dan lain sebagainya yang dapat mempengaruhi keberhasilan dan kegagalan kontraktor mendapatkan keuntungan karena faktor – faktor ini tidak bisa diprediksi dengan pasti. Penelitian ini bertujuan untuk mengidentifikasi faktor apa saja yang mempengaruhi kemenangan tender online dan mengetahui faktor yang pengaruhnya paling dominan saat melakukan tender online. Metode penelitian yang digunakan adalah analisis statistik deskriptif, uji validitas, uji reliabilitas dan analisis faktor. Faktor yang mempengaruhi kemenangan kontraktor saat melakukan tender di Provinsi DKI Jakarta terdiri dari 4 identifikasi faktor yaitu: Administrasi, Teknis, Harga dan Lainnya serta 6 faktor baru dari hasil ekstraksi faktor, yaitu: Faktor I terbentuk dari 7 variabel (X1, X3, X7, X9, X15 dan X18); Faktor II terbentuk dari 6 variabel (X2, X5, X11, X14, X16 dan X17); Faktor III terbentuk dari 4 variabel (X4, X10, X19 dan X21); Faktor IV terbentuk dari 4 variabel (X8, X12, X13 dan X20); Faktor V terbentuk dari 2 variabel (X23 dan X25); & Faktor VI terbentuk dari 2 variabel (X22 dan X24). Faktor yang pengaruhnya paling menentukan adalah faktor 1 dengan nilai eigenvalues 7,831 karena dapat menjelaskan 31,322% variabilitas seluruh variabel dan memiliki kemampuan paling besar/sangat tinggi pengaruhnya terhadap kemenangan kontraktor saat melakukan tender online di Provinsi DKI Jakarta.
EVALUASI STRUKTUR GEDUNG TEKNIK UNIVERSITAS PANCASILA BERDASARKAN SNI 1726-2019 DAN SNI 2847-2019
Authors: Daffa Musthofa Muhammad Rifqi , Kurnia Fadli
Published: February 2024

Pada tahun 2019 telah diterbitkan SNI 1726-2019 tentang Tata Cara Perencanaan Ketahanan Gempa untuk Struktur Bangunan Gedung dan Non- gedung. Serta SNI 2847-2019 tentang persyaratan struktur beton untuk bangunan gedung. Gedung Kuliah Teknik Universitas Pancasila dibangun pada tahun 1988 yang didesain menggunakan Standar peraturan PBI–1971. Sejak Saat itu sudah banyak Perubahan pada Peraturan Standar yang ditetapkan pemerintah sehingga gedung ini perlu dievaluasi dari segi kekuatan ktrukturnya berdasarkan Standar Peraturan terbaru.Berdasarkan kajian diatas maka dalam penyusunan penelitian ini dilakukan evaluasi terhadap struktur Gedung Teknik Universitas Pancasila untuk mengetahui kekuatan dengan meninjau Sress Ratio Kolom,Lendutan balok, simpangan antai lantai, Stabilitas struktur dan kebutuhan Perkuatan pada kolom dengan kondisi kritis dengan menggunakan standar peraturan Gempa SNI 1726-2019 dan SNI 2847-2019. Berdasarkan hasil analisis Stress ratio Kolom K1,K2,K3,K4,K5 melebihi nilai 1. Setelah diperkuat dengan concrete Jacketing nilai stress ratio dibawah 1. Simpangan antar lantai Pada Lantai 2,3 dan 4 melebihi batas simpangan izin. Setelah diperkuat concrete Jacketing Lendutan balok masih memenuhi batas izin lendutan sesuai dengan SNI 2847-2019. Nilai koefisien Stabilitas θX θY masih memenuhi syarat izin sesuai SNI 1726-2019. Perkuatan Concrete Jacketing Berhasil memperkuat Struktur bangunan Gedung Teknik Universitas Pancasila.