bluuebunny/crossref_metadata_2025 huggingface dataset:
A reforma psiquiátrica no SUS e um debate sobre a luta por uma sociedade sem manicômios: uma revisão integrativa
Authors: Tâmy Alves Iseri Costa Fernanda , Cavalca Scanagatta Vivian , Dos Reis de Sousa Isabella , Andrade Lemes Mônica , Chrys Dias da Silva Steffane , Tempone Mascarenhas Isabella , Fontana Nicoli Higor , Falone Resende Honorato Nicole , Mariz Arêas Jean , Rodrigues Badini Rômulo , Furtado lucena Júnior Francisco , Amorim Melo Alencar Crincia , Figueirêdo Macêdo Secundo Daniel , Regis Brasileiro Neta Yolanda , Alves Pinho Victoria , Douglas Nascimento Leal Klysmann , Priscylla Pinheiro Diógenes Lima Anna , Macedo Silva Maíra , Rodrigues Borges Mayara , Pineli Chaveiro Costa Daniella , Beatriz de Jesus Teixeira Kaila , Hugo Pinheiro dos Santos Victor , De Azevedo Silva Laís , Egildo Gomes de Carvalho Paulo
Published: August 2024

O artigo traça um panorama histórico e epistemológico da evolução das políticas públicas de saúde mental e atenção psicossocial no âmbito do SUS. Para isso, adota uma abordagem que destaca as ações e estratégias relacionadas à participação social, um dos pilares do SUS, e enfatiza a relevância desse aspecto no contexto da reforma psiquiátrica no Brasil. Além disso, ressalta a originalidade e importância da inserção da cultura como meio e fim no processo, ampliando a reforma para além dos serviços de saúde e destacando a construção de um novo espaço social para a loucura. O texto também analisa a evolução das políticas de saúde mental ao longo do tempo, identificando iniciativas-chave e seus impactos na transformação do modelo assistencial, e levanta questionamentos sobre a atual tendência conservadora que se apresenta.
Integração da Medicina Pediátrica no Controle de Arboviroses em Crianças
Authors: Karolina Gomes Ana , Maria Mendes Marques Helena , Borges Dias Mândala , Cristovam Pina Guilherme , Quinan Bittar Nunes Natália , Afonso Da Silva Júnior Nilson , Ferreira De Oliveira Leonardo , Messias Castro Analou , De Souza Wascheck Lucas , Rodrigues De Sousa Tarão Nayhara , Farias Pinheiro Esposito Lucca , Dhieggo Amaral Rhaygner , Corrêa Anna Clara Ascendino , Paula Thais De Andrade , Marques Sílvia Fernanda Pereira , Marques Ize Amanda Pereira
Published: August 2024

As arboviroses, incluindo dengue, Zika, chikungunya e febre amarela, são doenças transmitidas por mosquitos que representam um desafio significativo para a saúde pública, especialmente em regiões tropicais e subtropicais. Essas doenças, causadas por diferentes vírus, são transmitidas principalmente pelo mosquito Aedes aegypti. As crianças são particularmente vulneráveis às arboviroses devido ao seu sistema imunológico em desenvolvimento e dificuldades em comunicar sintomas. Este estudo teve por objetivo revisar a literatura existente sobre a integração da Medicina Pediátrica no controle de arboviroses, avaliando estratégias de prevenção, diagnóstico e tratamento específicas para crianças. Foi realizada uma busca nas bases de dados PubMed e SciELO, abrangendo o período de 2011 a 2020, utilizando termos de pesquisa como "arboviroses" AND "controle pediátrico", "dengue" AND "crianças" AND "tratamento", entre outros. Os resultados mostram que a dengue é prevalente entre crianças, causando desde febre leve até formas graves. O Zika está associado a malformações congênitas, exigindo protocolos de atendimento específicos. A chikungunya provoca febre alta e artralgia intensa, necessitando de estratégias específicas para diagnóstico e manejo. A febre amarela pode ser grave em crianças não vacinadas, reforçando a importância da vacinação. Protocolos do Ministério da Saúde fornecem diretrizes para triagem, diagnóstico e manejo das arboviroses em crianças. A integração da Medicina Pediátrica é essencial para reduzir a morbidade e mortalidade associada a essas doenças em crianças. Investimentos em educação, capacitação e políticas públicas são fundamentais para um controle eficaz e sustentável das arboviroses, melhorando a saúde infantil e prevenindo futuras epidemias.
Long-Term Effects of Pulmonary Valve Implantation and Prosthesis Evolution in Patients with Repaired Tetralogy of Fallot
Authors: Caneo Luiz Fernando , Turquetto Aida Luiza Ribeiro , Boschiero Matheus Negri , Amato Luciana Patrick , Ishikawa Walther Yoshiharu , Hodas Fabiana Padilha , Ligeiro Melissa Ganeko , Agostinho Daniela Regina , Miana Leonardo Augusto , Tanamati Carla , Gonçalves Rilvani Cavalcante , Penha Juliano Gomes , Massoti Maria Raquel Brigoni , Jatene Marcelo Biscegli , Jatene Fabio Biscegli
Published: August 2024

Abstract Background Pulmonary valve regurgitation is a significant long-term complication in patients with tetralogy of Fallot (TOF). Objective This study aims to investigate the effects of pulmonary valve implantation (PVI) on the anatomy and function of the right ventricle (RV) and the long-term evolution of the implanted prosthesis in the pulmonary position. Methods A single-center retrospective cohort analysis was performed in 56 consecutive patients with TOF who underwent PVI. The study included patients of both sexes, aged ≥ 12 years, and involved assessing clinical and surgical data, pre- and post-operative cardiovascular magnetic resonance imaging, and echocardiogram data more than 1 year after PVI. Results After PVI, there was a significant decrease in RV end-systolic volume indexed by body surface area (BSA), from 89 mL/BSA to 69 mL/BSA (p < 0.001) and indexed RV end-diastolic volume, from 157 mL/BSA to 116 mL/BSA (p < 0.001). Moreover, there was an increase in corrected RV ejection fraction [ RVEFC = net pulmonary flow (pulmonary forward flow − regurgitant flow) / R V end-diastolic volume] from 23% to 35% (p < 0.001) and left ventricular ejection fraction from 58% to 60% (p = 0.008). However, a progressive increase in the peak pulmonary valve gradient was observed over time, with 25% of patients experiencing a gradient exceeding 60 mmHg. Smaller prostheses (sizes 19 to 23) were associated with a 4.3-fold higher risk of a gradient > 60 mmHg compared to larger prostheses (sizes 25 to 27; p = 0.029; confidence interval: 1.18 to 17.8). Conclusion As expected, PVI demonstrated improvements in RV volumes and function. Long-term follow-up and surveillance are crucial for assessing the durability of the prosthesis and detecting potential complications. Proper sizing of prostheses is essential for improved prosthesis longevity.
Curva de Aprendizagem da Mortalidade Hospitalar da Substituição da Válvula Aórtica Transcateter: Insights do Registro Nacional Brasileiro
Authors: Bernardi Fernando Luiz de Melo , Abizaid Alexandre A. , Brito Jr Fábio Sândoli de , Lemos Pedro A. , Siqueira Dimytri Alexandre Alvim de , Costa Ricardo Alves , Leite Rogério Eduardo Gomes Sarmento , Mangione Fernanda Marinho , Thiago Luiz Eduardo Koenig São , Mangione José A. , Lima Valter Correia de , Oliveira Adriano Dourado , Marino Marcos Antônio , Cardoso Carlos José Francisco , Caramori Paulo R. A. , Tumelero Rogério , Portela Antenor Lages Fortes , Prudente Mauricio , Henriques Leônidas Alvarenga , Souza Fabio Solano , Bezerra Cristiano Guedes , Prado Jr Guy F. A. , Freitas Leandro Zacaris Figueiredo , Nogueira Ederlon Ferreira , Meireles George César Ximenes , Pope Renato Bastos , Guerios Enio , Andrade Pedro Beraldo de , Santos Luciano de Moura , Marchi Mauricio Felippi de Sá , Fundão Nelson Henrique Fantin , Ribeiro Henrique Barbosa
Published: August 2024

Resumo Fundamento Dados robustos sobre a curva de aprendizagem (LC) da substituição da válvula aórtica transcateter (TAVR) são escassos nos países em desenvolvimento. Objetivo Avaliar a LC da TAVR no Brasil ao longo do tempo. Métodos Analisamos dados do registro brasileiro de TAVR de 2008 a 2023. Pacientes de cada centro foram numerados cronologicamente em número sequencial de caso (NSC). A LC foi realizada usando um spline cúbico restrito ajustado para o EuroSCORE-II e o uso de próteses de nova geração. Ainda, os desfechos hospitalares foram comparados entre grupos definidos de acordo com o nível de experiência, com base no NSC: 1º ao 40º caso (experiência inicial), 41º ao 80º caso (experiência básica), 81º ao 120º caso (experiência intermediária) e 121º caso em diante (experiência alta). Análises adicionais foram conduzidas de acordo com o número de casos tratados antes de 2014 (>40 e ≤40 procedimentos). O nível de significância adotado foi p <0,05. Resultados Foram incluídos 3194 pacientes de 25 centros. A idade média foi 80,7±8,1 anos e o EuroSCORE II médio foi 7±7,1. A análise da LC demonstrou uma queda na mortalidade hospitalar ajustada após o tratamento de 40 pacientes. Um patamar de nivelamento na curva foi observado após o caso 118. A mortalidade hospitalar entre os grupos foi 8,6%, 7,7%, 5,9%, e 3,7% para experiência inicial, básica, intermediária e alta, respectivamente (p<0,001). A experiência alta foi preditora independente de mortalidade mais baixa (OR 0,57, p=0,013 vs. experiência inicial). Centros com baixo volume de casos antes de 2014 não mostraram uma redução significativa na probabilidade de morte com o ganho de experiência, enquanto centros com alto volume de casos antes de 2014 apresentaram uma melhora contínua após o caso de número 10. Conclusão Observou-se um fenômeno de LC para a mortalidade hospitalar do TAVR no Brasil. Esse efeito foi mais pronunciado em centros que trataram seus 40 primeiros casos antes de 2014 que naqueles que o fizeram após 2014.
Anticoagulantes Orais Diretos versus Antagonistas da Vitamina K para Trombo Ventricular Esquerdo: Uma Metanálise com Análise Sequencial de Ensaios
Authors: Pasqualotto Eric , Gewehr Douglas Mesadri , Ferreira Rafael Oliva Morgado , Chavez Matheus Pedrotti , Silva Caroliny Hellen , Cruz Sara Almeida , Limachi-Choque Jhonny , Park Amanda , Coutinho Mário Sérgio Soares de Azeredo , Kubrusly Luiz Fernando
Published: August 2024

Resumo Fundamento Os antagonistas da vitamina K (AVKs) são o tratamento de primeira linha recomendado para trombo ventricular esquerdo (TVE); entretanto, os anticoagulantes orais diretos (AODs) têm sido considerados uma terapia alternativa. Objetivos Avaliar a eficácia e a segurança dos AODs em comparação com a terapia com AVKs em pacientes com TVE. Métodos PubMed, Embase e Cochrane foram sistematicamente pesquisados em busca de ensaios clínicos randomizados ou estudos de coorte que comparassem AODs versus AVKs para TVE. As razões de risco (RR) foram calculadas para desfechos binários, com intervalos de confiança (IC) de 95%. A significância estatística foi definida como valor de p < 0,05. Resultados Foram incluídos um total de 4 ensaios clínicos randomizados e 29 estudos de coorte, com 4.450 pacientes designados para AODs ou AVKs. Não houve diferença significativa entre os grupos para acidente vascular cerebral ou eventos embólicos sistêmicos (AVC/EES) (RR 0,84; IC 95% 0,65 a 1,07; p = 0,157), acidente vascular cerebral (RR 0,73; IC 95% 0,48 a 1,11; p = 0,140), eventos embólicos sistêmicos (EES) (RR 0,69; IC 95% 0,40 a 1,17; p = 0,166), resolução do trombo (RR 1,05; IC 95% 0,99 a 1,11; p = 0,077), qualquer sangramento (RR 0,78; IC 95% 0,60 a 1,00; p = 0,054), sangramento clinicamente relevante (RR 0,69; IC 95% 0,46 a 1,03; p = 0,066), sangramento menor (RR 0,73; IC 95% 0,43 a 1,23; p = 0,234), sangramento maior (RR 0,87; IC 95% 0,42 a 1,80; p = 0,705) e mortalidade por todas as causas (RR 1,05; IC 95% 0,79 a 1,39; p = 0,752). Em comparação com AVKs, a rivaroxabana reduziu significativamente AVC/EES (RR 0,35; IC 95% 0,16 a 0,91; p = 0,029) e EES (RR 0,39; IC 95% 0,16 a 0,95; p = 0,037). Conclusões Os AODs tiveram uma taxa semelhante de eventos tromboembólicos e hemorrágicos, bem como de resolução do trombo, em comparação com os AVKs no tratamento de TVE. A terapia com rivaroxabana teve uma redução significativa nos eventos tromboembólicos, em comparação com os AVKs.
A Calcificação do Arco Aórtico Observada na Radiografia de Tórax Pode Servir Como um Preditor Independente de Acidente Vascular Cerebral Recorrente
Authors: Çakan Fahri , Sunal Asli Sert , Adar Adem , Onalan Orhan
Published: August 2024

Resumo Fundamento Apesar dos avanços nas modalidades de diagnóstico e tratamento, há necessidade de marcadores preditivos para acidente vascular cerebral (AVC) recorrentes. Objetivos Este estudo teve como objetivo investigar a relação entre calcificação do arco aórtico (CAA) e recorrência de AVC em pacientes com AVC durante o acompanhamento de um ano. Métodos Todos os pacientes com AVC que sofreram seu primeiro evento foram avaliados para participação no estudo. Foram registrados pacientes que sofreram AVC recorrentes durante o acompanhamento de um ano. A CAA foi avaliada por radiografia de tórax. Com base na ocorrência de AVC recorrente, os pacientes foram divididos em dois grupos. A CAA foi classificada em quatro categorias de acordo com o seu grau, e a presença de CAA foi incluída na análise estatística. A relação entre CAA e AVC recorrente foi avaliada por meio de uma curva característica de operação do receptor. Um nível de significância <0,05 foi considerado aceitável para todas as análises estatísticas. Resultados Um total de 203 pacientes foram incluídos no estudo (46,8% mulheres, média de idade 69±12,3). AVC recorrente foi detectado em 49 pacientes. CAA, hipertensão e fibrilação atrial foram mais frequentes em pacientes com AVC recorrente. Pacientes com AVC recorrente apresentaram menor taxa de filtração glomerular e maior largura de distribuição de glóbulos vermelhos (RDW). Na análise de regressão multivariada, CAA (hazard ratio [HR], 3,544; IC 95%:1,653-7,598, p=0,001) e RDW (HR,1,214; IC 95%:1,053-1,400, p=0,008) foram identificados como preditores independentes de AVC recorrente. Conclusão A presença de CAA (≥ grau 1) e RDW foram significativamente associadas ao desenvolvimento de AVC recorrente dentro de um ano. Esses achados podem ter significado prognóstico no acompanhamento de pacientes com AVC.
Aortic Arch Calcification Observed on Chest X-Ray May Serve as an Independent Predictor for Recurrent Stroke
Authors: Çakan Fahri , Sunal Asli Sert , Adar Adem , Onalan Orhan
Published: August 2024

Abstract Background Despite advances in diagnostic and treatment modalities, there is a need for predictive markers for recurrent strokes. Objectives This study aimed to investigate the relationship between aortic arch calcification (AAC) and stroke recurrence in stroke patients during a one-year follow-up. Methods All stroke patients who experienced their first event were evaluated for participation in the study. Patients who experienced recurrent strokes during the one-year follow-up were recorded. AAC was assessed by chest radiography. Based on the occurrence of recurrent strokes the patients were divided into two groups. AAC was classified into four categories according to its degree, and the presence of AAC was included in the statistical analysis. The relationship between AAC and recurrent stroke was assessed using a receiver operating characteristic curve. A significance level of <0.05 was deemed acceptable for all statistical analyses. Results A total of 203 patients were included in the study (46.8% female, mean age 69±12.3). Recurrent stroke was detected in 49 patients. AAC, hypertension, and atrial fibrillation were more frequent in patients with recurrent stroke. Patients with recurrent stroke had a lower glomerular filtration rate and a higher red cell distribution width (RDW). In multivariate regression analysis, AAC (hazard ratio [HR], 3.544; 95% CI:1.653-7.598, p=0.001) and RDW (HR,1.214; 95% CI:1.053-1.400, p=0.008) were identified as independent predictors of recurrent stroke. Conclusion The presence of AAC (≥ grade 1) and RDW were found to be significantly associated with the development of recurrent stroke within one year. These findings may have prognostic significance in the follow-up of stroke patients.
PENATAAN INFRASTRUKTUR MOBILITAS PEJALAN KAKI DAN PESEPEDA PADA KAWASAN KOMERSIAL BLOK M
Authors: Owen Dennis , Anastasia Varren , Alessandro Alessandro , Wijaya Afuwan Haliman , Paulus Kelvin , Setiawan Carolina
Published: August 2024

Kawasan Blok M merupakan kawasan komersial yang terletak di Jakarta Selatan. Kawasan ini sudah berdiri sejak jaman Pemerintahan Belanda, sehingga kawasan ini memiliki gaya arsitektur yang beragam; mulai dari gaya arsitektur Belanda sampai gaya arsitektur art deco. Sejak dulu Blok M merupakan kawasan perdagangan yang ramai, dan mayoritas dikunjungi anak muda yang menjadi tempat “nongkrong” yang cukup populer pada saat itu. Keberadaan Terminal Blok M yang tidak jauh dari Kawasan Blok M juga meningkatkan kepadatan di kawasan tersebut. Terminal Blok M yang menjadi terminal transit beragam moda transportasi yang menghubungkan Jakarta dan wilayah di sekitarnya, mendatangkan ratusan ribu hingga jutaan masyarakat ke area tersebut setiap harinya. Hal ini mengakibatkan adanya transformasi ruang kota di Kawasan Blok M saat ini. Sekarang Kawasan Blok M bukan hanya menjadi kawasan perdagangan, melainkan sebagai pusat transit moda transportasi. Semakin tingginya kepadatan di kawasan tersebut, sayangnya masih belum diimbangi dengan perkembangan infrastruktur dan ruang kota di kawasan. Hal ini mengakibatkan tingginya kepadatankendaraan bermotor, kurangnya kenyamanan pejalan kaki, rendahnya ketersediaan ruang terbuka hijau yang beralih fungsi menjadi pusat komersial, dll. Salah satu dampak yang juga cukup penting adalahberkurangnya minat masyarakat terutama generasi muda untuk berkunjung ke area Kawasan Blok M. Pada beberapa area, sudah banyak fungsi komersial yang tutup karena sepinya pengunjung. Melihatdaripada permasalahan tersebut, penelitian ini bertujuan untuk menghidupkan kembali potensi dari Kawasan Blok M, baik dari segi peninggalan arsitektur, kawasan komersial yang sempat populer,maupun transformasi kawasan yang berkembang menjadi pusat transit. Pendekatan yang digunakan di dalam penataan kembali kawasan adalah efektifitas dan efisiensi mobilitas pejalan kaki dan pengguna sepeda sebagai dukungan untuk transformasi ruang kota yang terjadi saat ini. Hasil dari penelitian berupa ide proposal desain penataan Kawasan Komersial Blok M. Keywords: kawasan komersial, pusat transit, mobilitas pejalan kaki, pengguna sepeda, transformasi ruang kota
PENERJEMAHAN PARADOKS PERILAKU ANAK MUDA INDONESIA DI ERA MODERN KE DALAM BAHASA DESAIN ARSITEKTUR GEREJA KRISTEN INJILI
Authors: Chandra Cathleen Charity
Published: August 2024

Seiring berkembangnya zaman, pola dan gaya hidup berubah. Perubahan ini mencakup perubahan demografis, dimana yang terbanyak adalah kelompok usia 16-30 tahun, disebut generasi muda. Di Indonesia, kelompok usia ini merupakan 33,75% dari keseluruhan komposisi penduduk. Generasi muda memiliki keunikan dan gaya hidup yang berbeda dari generasi lainnya. Hal ini berdampak dalam segala aspek kehidupannya, termasuk di gereja. Menurut studi, anak muda merasa gereja tidak lagi relevan terhadap kehidupannya. Fenomena ini menyebabkan peningkatan keterhilangan anak muda di gereja. Mereka tidak bisa menjadi dirinya sendiri. Hal ini disebabkan oleh kurangnya adaptasi gereja. Sikap yang kurang merespon terhadap perubahan zaman ini menjadi salah satu faktor dari hilangnya anak muda dari gereja. Oleh karena itu, maka dibutuhkan studi mengenai kecenderungan perilaku anak muda yang kemudian dapat diturunkan dalam kelompok-kelompok kata yang berbeda namun bersifat komplementer, atau disebut juga paradoks. Selain itu, Teologi Kristen juga menjadi dasar dalam perancangan. Kedua hal ini yang akanditerjemahkan ke dalam bahasa desain menggunakan teknik pemaknaan melalui arsitektur puitik. Hal ini dilakukan secara kualitatif. Penerjemahan ini diharapkan meningkatkan adaptasi gereja danmengurangi keterhilangan anak muda dari gereja dengan menyampaikan pesan Teologi yang sesuai dengan konteks zamannya yang dituangkan ke dalam kriteria desain. Keywords: gereja, anak muda, Bahasa desain, arsitektur gereja.
STUDI PASKA HUNIAN: KINERJA PENERAPAN ARSITEKTUR TERAPEUTIK PADA PANTI WERDHA Kasus studi: Sasana Tresna Werdha Caritas
Authors: Benyamin Gabriel Dwinovianus Olaf , Nadia Adli , Fireza Doni
Published: August 2024

mengalami gangguan psikologis dan tercermin dalam bentuk kecemasan, stres, bahkan mungkin depresi. Gangguan psikologis pada lansia ini perlu ditanggapi secara aktif melalui terapi dan perlu didukung melalui suasana dan ruang yang memberikan kenyamanan secara psikis atau dikenal dengan lingkungan terapeutik. Implementasi arsitektur terapeutik telah lama dikenal pada perancangan arsitektur panti werdha dan secara konseptual, arsitektur terapeutik digunakan untuk meningkatkan kualitas hidup lansia secara pasif melalui ruang dan elemen-elemen arsitektur penyusun di dalamnya. Namun demikian, meskipun penerapan azas-azas terapeutik ini telah diupayakan pada panti werdha Sasana Tresna Werdha Caritas, pengukuran kinerjanya belum terukur secara empiris. Sebagai obyek studi, penelitian ini dilakukan di Sasana Tresna Werdha Charitas dengan menggunakan metode wawancara mendalam agar dapat terpetakan kinerja masing-masing fungsi ruang dan elemen-elemen arsitektur di dalamnya dari sudut pandang pengguna. Tolok ukur yang akan digunakan untuk mengolah hasil wawancara adalah kriteria (1) Homelike atau kenyamanan menyerupai rumah; (2) Pencarian jalan atau wayfinding; (3) Aksesibilitas; (4) Keamanan dan keselamatan. Sedangkan ruang-ruang yang akan diukur kinerjanya adalah toilet, kamar tidur, koridor, teras, aula, dan ruang berkumpul. Penelitian ini akan menghasilkan deskripsi kehandalan implementasi azas-azas arsitektur terapeutik yang bertujuan untuk melengkapi kajian paska hunian pada panti werdha dari sudut pandang pengguna. Penelitian ini diharapkan dapat meningkatkan wawasan perancangan yang menerapkan azas-azas terapeutik secara tepat sehingga dapat bermanfaat bagi para perancang, pengelola panti jompo dan para lansia secara umum. Kata kunci: lingkungan terapeutik, terapeutik, panti jompo, arsitektur penyembuhan, paska hunian, arsitektur
ANALISIS WALKABILITY PADA KAWASAN TERMINAL LINTAS LEBAK BULUS, JAKARTA SELATAN
Authors: Budiardjo Nethania , Juliana Audrey
Published: August 2024

Lebak Bulus merupakan salah satu kawasan yang diusung menjadi kawasan TOD (Transit OrientedDevelopment) di Jakarta. Kawasan tersebut memiliki pusat jaringan transportasi umum seperti TerminalLintas, Stasiun MRT, dan Halte Transjakarta Lebak Bulus. Sebagai kawasan TOD, Lebak Bulus harusmemperhatikan walkability sebagai faktor utama tercapainya prinsip berjalan kaki sehingga dapat mendukungprinsip TOD lainnya seperti perpindahan antarmoda transportasi umum (prinsip transit). Penelitian inibertujuan untuk mengukur walkability pada kawasan dan mendapatkan pedoman untuk mewujudkan kawasanyang lebih walkable. Peneliti menggunakan metode kombinasi antara kualitatif fenomenologi dan kuantitatif,dimana terjadi pengamatan secara langsung terhadap fenomena dan kondisi objek yang alami serta penggaliansudut pandang atau penilaian (skor) pengguna melalui kuesioner. Hasil pengamatan serta penggalian dianalisislebih lanjut menggunakan interpretasi peneliti hingga menghasilkan kesimpulan bahwa walkability padakawasan Terminal Lintas Lebak Bulus hanya sekadar cukup. Kawasan belum layak untuk mewadahi kegiatanberjalan kaki karena jalur pejalan kaki tidak nyaman dan menarik serta hanya memiliki tingkat keselamatandan keamanan yang sedang. Peningkatan kualitas jalur pejalan kaki direkomendasikan untuk mengutamakankebersihan dan ukuran jalur yang lebih luas, pencahayaan jalur, kemudahan bagi kaum disabilitas, keamananjalur terhadap kendaraan, serta kelengkapan fasilitas atau furnitur pejalan kaki yang memadai.Kata Kunci: terminal; Lebak Bulus; pathway; pedestrian; walkability
STRATEGI DESAIN FASILITAS JALUR PEDESTRIAN RASUNA SAID BERDASARKAN PERSEPSI DAN PERILAKU PENGGUNA
Authors: Magdalena Kezia , Aditantri Rahmatyas , Rahmi Lela Alifah
Published: August 2024

Jalan Rasuna Said di Jakarta merupakan jalur pejalan kaki yang sangat padat lalu lintasnya yang berfungsisebagai pusat utama bagi kawasan bisnis di Jakarta. Tujuan dari penelitian ini adalah untuk mengevaluasi fasilitas pejalan kaki yang ada dan merumuskan strategi desain yang tepat berdasarkan persepsi dan perilaku pejalan kaki. Metode penelitian yang digunakan termasuk pemetaan perilaku untuk mengidentifikasi perilaku pejalan kaki dan analisis kepentingan-kinerja (importance-performance analysis/ IPA) untuk memastikan persepsi pejalan kaki. Hasil penelitian menunjukkan bahwa fasilitas yang ada tidak cukup untuk mengakomodasi volume lalu lintas pejalan kaki yang cukup besar. Berkembangnya kegiatan sosial di daerah tersebut mengakibatkan kebutuhan akan fasilitas seperti halte dan tempat sampah. Sempitnya ruang pejalan kaki menuntut penyediaan fasilitas yang tidak memakan banyak tempat. Untuk mengakomodasi jumlah pejalan kaki lansia yang terus bertambah selama periode liburan, diperlukan rambu-rambu yang sesuai (zona perak) dan pencahayaan standar. Jalur pejalan kaki yang rata dan bebas lubang sangat penting untuk mencegah pejalan kaki terjatuh. Selain itu, jalur sepeda yang jelas dan penyangga diperlukan untuk mengatasi hambatan yang disebabkan oleh aktivitas jogging dan bersepeda. Strategi desain ini diharapkan dapat meningkatkan kenyamanan dan keamanan pejalan kaki di Jalan Rasuna Said.Kata kunci:  jalur pejalan kaki, fasilitas, pemetaan perilaku, pola aktifitas, strategi desain
HALAMAN REDAKSI
Authors: Journal Architecture Innovation
Published: August 2024

Architecture Innovation Volume 8 No 1 2024
ANALISIS PEMASARAN JERUK SIAM (Citrus nobilis) DI DESA GADINGREJO KECAMATAN UMBULSARI
Authors: Aida Siti Nur , Hadi Syamsul , Aulia Anisa Nurina
Published: August 2024

Essentially, marketing is the process of moving products from manufacturers to customers. This study's goal is 1) to find out the marketing channels used for chayote, 2) to calculate marketing margins, 3) to determine marketing efficiency. This study's methodologies are descriptive and quantitative analysis. Purposively, Gadingrejo Village, Umbulsari District, Jember Regency was selected as the research location. 32 farmers and 12 marketing institutions make up the sample, which is selected using simple random sampling and total sampling. The study's findings indicate that: 1.) In Gadingrejo Village, chayote is marketed through two different channels, including the channel pattern to one Farmer – Wholesaler – Retailer – Consumer, the second channel pattern is Farmer – Collector Trader – Wholesaler – Retailer – Consumer, 2) The marketing margin in each marketing channel pattern has differences, namely a marketing margin of Rp 4,5000/kg is found in the first marketing channel pattern, and Rp 6,000/kg is found in the second, 3) The level II marketing channel pattern, with a farmer share value of 59.09%, has the highest marketing efficiency of any more efficient marketing channel pattern; in contrast, the level III marketing channel pattern, with a farmer share value of 45.45%, has the lowest marketing efficiency of any marketing channel pattern.
PENGARUH MANAJEMEN LABA, STRUKTUR MODAL DAN PERTUMBUHAN PERUSAHAAN TERHADAP NILAI PERUSAHAAN DENGAN PROFITABILITAS SEBAGAI VARIABEL INTERVENING
Authors: Witriyana Yuvita Budi , Wahyuni Ika , Widaninggar Nanda
Published: August 2024

The agricultural sector plays a crucial role in advancing Indonesia’s economy and enhancing foreign exchange earnings through labor absorption. This study aims to examine the influence of Earnings Management, Capital Structure and Company Growth on Firm Value with Profitability as an Intervening Variable in Agricultural Sector Companies Listed on the Indonesia Stok Exchange during 2020-2022. The research employs a quantitative method. This study’s data analysis and hypothesis testing utilize Structural Equation Modeling – Partial Least Square (PLS-SEM).
The hypothesis results using indicate that Earnings Management significantly negatively impacts Profitability, Capital Structure has a positive but not significant impact on Profitability, while Company Growth has a negative but not significant impact on Profitability. Additionally, Earnings Management has a significant positive impact on Firm Value, Capital Structure has a positive but not significant impact on Firm Value, and Company Growth has a significant positive impact Firm Value, Profitability has a significant positive impact on Firm Value. The results of the indirect effects hypothesis testing show that Earnings Management has a negative but not significant impact on Firm Value through Profitability, Capital Structure has a positive but not significant impact on Firm Value through Profitability and Company Growth has a negative but not significant impact on Firm Value through Profitability.
PENGARUH BEBAN KERJA DAN GAYA KEPEMIMPINAN TERHADAP KINERJA ASN DENGAN LINGKUNGAN KERJA SEBAGAI VARIABEL MODERATING PADA DINAS KESEHATAN SITUBONDO
Authors: Rizal Ardi Usmaul , Tulhusnah Lusiana , Ediyanto Ediyanto
Published: August 2024

Human resources are an important aspect that determines the success of a company in achieving its goals and objectives. Proper employee job placement is one of the key elements in human resource management to support this achievement. The aim of this research is to analyze the effect of the variables of Workload and Leadership Style on the Performance of Civil Servants (ASN) with Environment as a moderating variable at the Situbondo Health Office. The population in this study involves 40 ASN of the Situbondo Health Office excluding the leaders. Sampling in this research was conducted using the saturated sampling technique, which means that all members of the population were included as samples. The Partial Least Squares Structural Equation Model (PLS-SEM) was used for data analysis and hypothesis testing.
The results of the direct effect hypothesis test using the Smart PLS 3.0 application show that workload has a significant positive effect on performance, leadership style has a significant positive effect on performance, the work environment moderates the effect of workload on performance, and the work environment does not moderate the effect of leadership style on performance.
PERAN LOKASI, CITA RASA, DAN SUASANA KAFE DALAM MEMPENGARUHI KEPUTUSAN PEMBELIAN DAN KEPUASAN KONSUMEN PADA KAFE KALIURANG DI KAPONGAN
Authors: Sandra Intan Ayu Kartika , Tulhusnah Lusiana , Sari Rini Kartika
Published: August 2024

In the current era of globalization, many developments are occurring rapidly and sophisticatedly, including the development of the cafe business. This research aims to analyze the role of the cafe's location, taste, and atmosphere in influencing purchasing decisions and consumer satisfaction at the Kaliurang Cafe in Kapongan. This research is explanatory. The population in this study were consumers of the Kaliurang Cafe in Kapongan. The sampling technique was determined by simple random sampling. Data analysis and hypothesis testing in this research used the Partial Least Square - Structural Equation Model (PLS-SEM).
The results of direct influence hypothesis testing using the Smart PLS 3.0 application show that location has a significant effect on purchasing decisions, taste has no significant effect on purchasing decisions, cafe atmosphere has no significant effect on purchasing decisions, location has a significant effect on consumer satisfaction, taste has a significant effect on consumer satisfaction, cafe atmosphere does not have a significant effect on consumer satisfaction, purchasing decisions have a significant effect on consumer satisfaction. The results of the indirect influence hypothesis test show that the location variable on consumer satisfaction through purchasing decisions has a positive but not significant effect, taste on consumer satisfaction through purchasing decisions has a negative but not significant effect, cafe atmosphere has a positive but not significant effect on consumer satisfaction through purchasing decisions.
PENGARUH KOMUNIKASI PEMASARAN, HARGA DAN KUALITAS PRODUK TERHADAP KEPUASAN KONSUMEN MELALUI KEPUTUSAN PEMBELIAN SEBAGAI VARIABEL INTERVENING (Studi Kasus Pada CV. Pacific Andre Anton di Situbondo)
Authors: Novia Rozana Putri , Arief Mohammad Yahya , Syahputra Hendra
Published: August 2024

Increasing business competition certainly requires the right marketing strategy, so that business can run effectively and efficiently. Offering high-quality products and communicating with consumers appropriately are two examples of consumer behavior in the target market that business people must know. The purpose of this study was to analyze the effect of marketing communication, price, and product quality on consumer satisfaction through purchasing decisions. This research is explanatory research. The population in this study were consumers of CV. Pacific Andre Anton in Situbondo. The sampling technique was determined by purposive sampling. Data analysis and hypothesis testing in this study used the Structural Equation Model-Partial Least Square (PLS-SEM). The results of the direct effect hypothesis test with the Smart PLS 3.0 application, show that marketing communication has a significant effect on purchasing decisions. Price also has a significant effect on purchasing decisions, then product quality has no significant effect on purchasing decisions, marketing communication has a significant effect on customer satisfaction, price does not have a significant effect on customer satisfaction, product quality has no significant effect on customer satisfaction, and purchasing decisions have a significant effect on customer satisfaction. The results of the indirect effect hypothesis test show that the variable marketing communication on customer satisfaction through purchasing decisions has a significant positive effect, price on customer satisfaction through purchasing decisions has a positive but insignificant effect, product quality on customer satisfaction through purchasing decisions has a negative but insignificant effect.
PENGARUH BUDAYA ORGANISASI, LINGKUNGAN KERJA DAN KEPEMIMPINAN TERHADAP KINERJA PERANGKAT DESA PADA KANTOR DESA KESAMBIRAMPAK DAN DESA KAPONGAN KABUPATEN SITUBONDO MELALUI MOTIVASI KERJA SEBAGAI VARIABEL INTERVENING
Authors: Ramdani Dicky , Fandiyanto Randika , Ariyantiningsih Febri
Published: August 2024

Organizations have various kinds of resources as input to transform an environment into a productive one with the division of labor, human resources are also the most important element. The aim of this research is to analyze and test the influence of organizational culture, work environment and leadership on the performance of village officials through work motivation as an intervening variable. The population used in this research was Village Officials at the Kesambirampak Village Office and Kapongan Village, Situbondo Regency, a total of 33 people were selected. This sampling technique is saturated sampling. Data analysis and hypothesis testing in research uses Structural Equation Models - Partial Least Square (PLS-SEM).
The results of the direct influence hypothesis test using the Smart PLS 3.0 application, show that Organizational culture has a significant positive effect on work motivation. The work environment has a significant positive effect on work motivation. Leadership has a significant positive effect on work motivation. Organizational culture has a negative but not significant effect on performance. The work environment has a positive but not significant effect on. Leadership has a negative but not significant effect on performance. Work motivation has a significant positive effect on performance. Then the results of the indirect influence hypothesis test show that the organizational culture variable on performance through work motivation has a significant positive effect. The work environment on performance through work motivation has a positive but not significant effect. Leadership on Performance through work motivation has a significant positive effect
PENGARUH DISIPLIN KERJA, LINGKUNGAN KERJA DAN INSENTIF TERHADAPKINERJA PADA KARYAWAN ASN UPTD PUSKESMAS CERMEE BONDOWOSO DENGAN KEPUASAN KERJA SEBAGAI VARIABEL INTERVENING
Authors: Hurriyah Hilyatul , Tulhusnah Lusiana , Pramesthi Riska Ayu
Published: August 2024

The position and function of the State Civil Apparatus as part of the State apparatus which is responsible as a public servant must provide equitable services to the community, with the principles of loyalty and compliance with Pancasila and the 1945 Constitution. The aim of this research is to analyze and test the influence of Work Discipline , Work Environment and Incentives on the Performance of ASN Employees at the Cermee Bondowoso Health Center UPTD with Job Satisfaction as an intervening variable. This research is explanatory research. The population in this study were ASN UPTD employees of the Cermee Bondowoso Community Health Center. The sampling technique uses a saturated sample technique. Data analysis and hypothesis testing in this research used the Structural Equation Model - Partial Least Square (PLS-SEM).
The results of the direct influence hypothesis test using the Smart PLS 3.0 application, show that Work Discipline has a significant positive effect on Job Satisfaction, Work Environment has a positive but not significant effect on Job Satisfaction, Incentives have a significant positive effect on Job Satisfaction, Work Discipline has a negative but not significant effect on Performance , Work Environment has a significant negative effect on Performance, Incentives have a significant positive effect on Performance. The results of the indirect influence hypothesis test show that the variables that work discipline has a significant positive effect on performance through job satisfaction, the work environment has a negative but not significant effect on performance through job satisfaction, and incentives have a significant positive effect on performance through job satisfaction.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI MINAT BELI ULANG PADA SWALAYAN KOPERASI GUYUB RUKUN DI PANARUKAN DENGAN KEPUASAN KONSUMEN SEBAGAI VARIABEL INTERVENING
Authors: Mufid Rozin Khairon , Arief Mohammad Yahya , Syahputra Hendra
Published: August 2024

In the current era of globalization, of course, there are many developments that are very rapid and increasingly sophisticated, one of which is the development of retail business businesses. The purpose of this study is to analyze the Role of Product Diversity, Service Quality, and Facilities in influencing Consumer Satisfaction and Repurchase Interest in Guyub Rukun Cooperative Supermarket in Panarukan. This research is an explanatory research. The population in this study is the consumers of the Guyub Rukun Cooperative Supermarket in Panarukan. The sampling technique was determined by simple random sampling. Data analysis and hypothesis testing in this study used the Structural-Partial Least Square Equation Model (PLS-SEM).
The results of the direct influence hypothesis test using the Smart PLS 3.0 application, showed that product diversity did not have a significant effect on consumer satisfaction, Service quality did not have a significant effect on consumer satisfaction, Facilities had a significant effect on consumer satisfaction, Product diversity had a significant effect on repurchase interest, Service quality did not have a significant effect on repurchase interest, Facilities do not have a significant effect on repurchase interest, Consumer satisfaction has a significant effect on repurchase interest. The results of the indirect influence hypothesis test showed that the variable of product diversity on repurchase interest through consumer satisfaction had a negative but insignificant effect, The quality of service for repurchase interest through consumer satisfaction has a negative but not significant effect, the facility for repurchase interest through consumer satisfaction has a positive but insignificant effect.
PERAN DISIPLIN KERJA, KOMPENSASI, DAN STRES KERJA TERHADAP KINERJA MELALUI MOTIVASI KERJA SEBAGAI VARIABEL INTERVENING PADA PUSKESMAS PANJI KABUPATEN SITUBONDO
Authors: Fitria Ulfi Nurul , Arief Mohammad Yahya , Pramesthi Riska Ayu
Published: August 2024

Humans are an important and dominant factor in carrying out work or activities in an organization, because humans become actors, determining the realization of organizational goals. The aim of this research is to analyze and test the influence of work discipline, compensation and work stress on performance through work motivation. This research is quantitative research. The population in this study were ASN employees at the Panji Community Health Center. The sampling technique uses saturated sampling. Data analysis and hypothesis testing in this research used the ₋ Partial Least Square Structural Equation Model (PLS-SEM).
The results of the direct influence hypothesis test using the Smart PLS 3.0 application, show that work discipline has no significant effect on work motivation, compensation has no significant effect on work motivation, work stress has a significant effect on work motivation, work discipline has no significant effect on performance, compensation has a significant positive effect. on performance, work stress has no significant effect on performance, work motivation has a significant effect on performance. The results of the indirect influence hypothesis test show that the variable Work Discipline on Performance through Work Motivation has a positive but not significant effect, Compensation on Performance through Work Motivation has a positive but not significant effect, Work Stress on Performance through Work Motivation has a significant positive effect.
ANALISIS DAMPAK NEGATIF DAN SOLUSI PENYELESAIANNYA TERHADAP KEGIATAN PENAMBANGAN EMAS TANPA IZIN PADA KAWASAN BUKIT NAGA
Authors: Saptawartono  , Murati Ferra , Iashania Yunida , Prayoga Aditia , Yohanes Yosindo , Pramana Andika , Ambeng Ravie Resido , Silaban Lamture , Agustina Lastiur
Published: August 2024

The Bukit Naga area is an area that has recently attracted the attention of the wider community, because it is alleged to have quite large gold potential.  People flocked to the area to carry out gold mining activities. In order to get an overview of the impacts arising from gold mining activities in the Bukit Naga area, research was carried out on the influence of gold mining activities on the socio-cultural conditions of the community and their environmental conditions, as well as solutions to solving the problems encountered.  The research was conducted using the literature study method for data collection.  Data analysis used descriptive-qualitative method.  The results of the study describe that gold mining activities carried out in the Bukit Naga area have an impact on the socio-cultural conditions of the community (security, health, conflicts of interest in doing business, and local community culture) and environmental conditions (changes in the bio-physical environment, disruption of the ecosystem, reduced and loss of flora and fauna, occurrence of erosion, landslides and floods, as well as environmental pollution). From a legal perspective, the mining activities carried out are illegal activities, which are contrary to and violate the applicable laws and regulations. Problem solving solutions offered: conduct preventive law enforcement, proposing the Bukit Naga area to become a WPR facilitate recommendation and licensing of gold mining business, equipping the community with good and environmentally friendly mining activities and good coordination and collaboration of all parties in managing and utilizing the Bukit Naga gold mining area.
 Keywords: Bukit Naga Area, Gunung Mas Regency, Gold Mine
GEOWISATA SEBAGAI ALTERNATIF KEGIATAN PASCA TAMBANG PADA LAHAN BEKAS TAMBANG BATU DI KOTA PALANGKA RAYA
Authors: Kristiana Wita , Tanggara Deddy Nan Setya Putra
Published: August 2024

Abstract
The use of ex-mining areas for tourism purposes has become a growing trend lately. Geotourism is environmentally responsible tourism by utilizing geological sites or reclaimed ex-mining land areas to be converted into geotourism areas. This activity is expected to bring benefits to the lives of local communities in a sustainable manner. In Palangka Raya, Buhis Hill which is in the Bukit Tangkiling area is an area that used to be a area of quarry mining, in this area the Bukit Cinta Geotourism was developed. This area has a charming landscape,with expanses of meadows, shrubs, and towering rock cliffs. This area also has unique geological features, such as volcanic rocks that form interesting and beautiful geological formations. The Bukit Cinta geotourism area in the Bukit Buhis area has enormous potential to become an ideal place for fans of extreme sports, such as rock climbing, hiking and mountain biking. Buhis Hill also has interesting and challenging hiking trails, which connect several tourist objects in the vicinity. This can be a special attraction for tourists who are looking for an exciting and challenging adventure experience.
Keywords: Hills, Tangkiling, Post Mining, Geotourism, Geology
Plus Ultra: Female body in public sphere at 8th Biennial Sea Salon
Authors: Mello Júlia , Cirillo José
Published: August 2024

Oriana Duarte’s compelling piece, “Plus Ultra,” unveiled at the 8th Biennial Sea Salon (Vitória-Espírito Santo, Brazil), intricately weaves personal narratives that accentuate the interplay between movement, landscape, and the human form. This artwork serves as a profound exploration of subjectivity, inviting the audience to immerse themselves in a realm that is both geographical and virtual. Duarte’s creation prompts a series of pivotal inquiries, unraveling the layers of experience within the urban landscape of Espírito Santo. The first query delves into the intricate dynamics of encountering the artwork and its inherent esthetic and political ties within this specific locale. The second interrogates the role of the female body in “Plus Ultra,” shedding light on how it becomes a central element in the narrative. Ultimately, the third question scrutinizes the evaluation of female artists’ participation within the broader context of the 8th Biennial Sea Salon. The findings from this exploration resonate profoundly, emphasizing the critical relevance of interconnected themes such as art, body, subjectivity, gender, and space in contemporary artistic discourse. Duarte’s work not only underscores the symbiosis between these elements but also unveils the transformative potential of corporeality in reshaping the urban landscape. By decoding the intricate relationships within “Plus Ultra,” this study contributes to a deeper understanding of how contemporary art serves as a catalyst for redefining not only physical spaces but also societal perceptions, especially when viewed through the lens of female artistic expression.
Bioprinting of tumor immune microenvironment for immunotherapy
Authors: Kim Sein , Han Seokgyu , Lee Jaehyun , Lee Chanyang , Park Sungsu
Published: August 2024

Accurately simulating the tumor immune microenvironment (TIME), which consists of a tumor, extracellular matrix (ECM), vascular network, and a variety of stromal and immune cells, is crucial for advancing and testing immunotherapies such as checkpoint inhibitors, chimeric antigen receptor-T (CAR-T) cells, and cancer vaccines. Traditional models, such as animal models, are limited by their differences from human immune environments. Bioprinting addresses these limitations by incorporating tumors, immune cells, and vascular cells within an ECM, thereby reflecting the complex interactions, including trafficking, between cancer and immune cells. These models provide better predictive accuracy for human immune responses, reducing translational failures and improving preclinical testing. While bioprinting methods for simulating the tumor microenvironment, where cancer cells form spheroids surrounded by blood vessels, are well reviewed, bioprinting methods for recapitulating the TIME are not as thoroughly explored. This review aims to fill this gap by exploring the development, application, and potential of bioprinted TIME models in enhancing the study and efficacy of immunotherapies, ultimately offering a more realistic and personalized approach to cancer treatment.
 