bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementasi Asesmen Portofolio Untuk Memantau Perkembangan Kognitif Anak Usia Dini di PAUD Plamboyan
Authors: Fahimah Nurul , Puspita Shinta Mutiara , Sulistiono Eko
Published: December 2024

Penelitian ini dilatarbelakangi bahwa asesmen perkembangan anak usia dini merupakan salah satu komponen utama dalam kurikulum 2013. Kurikulum 2013 merupakan kurikulum yang baru diterapkan di Indonesia sesuai dengan Permendikbud no. 137 tahun 2014 tentang standar pendidikan anak usia dini dan Permendikbud no. 146 tahun 2014 tentang kurikulum 2013 pendidikan anak usia dini. Penelitian ini bertujuan untuk mengetahui Implementasi Asesmen Portofolio untuk Memantau Perkembangan Kognitif Anak Usia Dini di PAUD Plamboyan. Penelitian ini merupakan penelitian deskriptif kualitatif. Penelitian ini menggunakan teknik pengumpulan data berupa observasi, wawancara, dan dokumentasi. Analisis data menggunakan teknik analisis Miles dan Huberman (reduksi data, display data, dan penarikan kesimpulan). Uji keabsahan data menggunakan triangulasi teknik dan sumber. Hasil penelitian menunjukan bahwa asesmen anak usia dini di PAUD Plamboyan yang bersifat formal adalah berupa tes terstandar yang dilakukan saat penerimaan siswa baru dan tes psikologis yang bekerjasama dengan lembaga psikologi. Sedangkan Asesmen informal di PAUD Plamboyan diimplementasikan dengan teknik sebagai berikut: 1) Catatan anekdot yang merupakan catatan singkat tentang kejadian spesifik yang terjadi secara tiba-tiba, 2) Time sampling, yang merupakan metode untuk mencatat intensitas perilaku yang muncul dalam waktu tertentu, 3) Checklist dan rating scale yang diimplementasikan dalam format penilaian harian, 4) Portofolio, yang merupakan kumpulan hasil karya anak dalam kurun waktu tertentu, serta 5) Rapor yang berisi tentang laporan tentang deskripsi perkembangan anak di setiap aspek perkembangan anak.
Pengaruh Keaktifan Berorganisasi, Prestasi Belajar dan Pengalaman Magang terhadap Kesiapan Kerja Mahasiswa
Authors: Mabruroh Nisa Atul , Nurhidayati Anik
Published: December 2024

Penelitian ini bertujuan untuk membuktikan pengaruh keaktifan beroganisasi, prestasi belajar dan pengalaman magang terhadap kesiapan kerja mahasiswa Fakultas Ekonomi dan Bisnis Universitas YPPI Rembang. Populasi yang digunakan dalam penelitian ini adalah Mahasiswa Fakultas Ekonomi dan Bisnis Universitas YPPI Rembang yang berjumlah 52 orang. Teknik pengambilan data dengan menggunakan kuesioner. Teknik pengambilan sampel menggunakan sampling purposive. Teknik analisis data yang digunakan menggunakan analisis regresi liniear berganda. Hasil Penelitian diketahui bahwa: 1) Keaktifan Beroganisasi (X1) berpengaruh positif tidak signifikan terhadap kesiapan kerja, yang ditunjukkan oleh nilai Sig. > 0,05 (0,368 > 0,05), 2) Prestasi Belajar (X2) berpengaruh positif signifikan terhadap kesiapan kerja, yang ditunjukkan oleh nilai Sig. < 0,05 (0,001 < 0,05), dan 3) Pengalaman Magang (X3) berpengaruh positif signifikan terhadap kesiapan kerja yang ditunjukkan oleh nilai Sig. < 0,05 (0,008 < 0,05). Nilai dari Adjusted R sebesar 0,744, maka dapat diartikan bahwa 74,4% variasi kesiapan kerja dapat dijelaskan oleh variabel keaktifan berorganisasi, prestasi belajar, dan pengalaman magang, selebihnya 25,6% dijelaskan oleh faktor lain diluar model.
Program Self-Management untuk Mengatasi Masalah Prokrastinasi Akademik pada Mahasiswa Unimuda Sorong
Authors: Nurwahidah Nurwahidah , Rahayu Sindi Puji , Budi Achmad Rizki Setia , Sari Tri Permata
Published: December 2024

Penelitian ini dilakukan dengan tujuan untuk mengatasi masalah prokrastinasi akademik pada mahasiswa Universitas Pendidikan Muhammadiyah (UNIMUDA) Sorong melalui program self-management berdasarkan pendekatan Cognitive Behavior Therapy (CBT). Program self-management merupakan modifikasi perilaku yang memuat self-monitoring, stimulus control, self-reinforcement. Pada penelitian ini, digunakan metode one group pretest-posttest design, yaitu partisipan diukur tingkat prokrastinasi akademiknya sebelum dan setelah intervensi. Program self-management terdiri dari 2 pertemuan berdurasi 60-90 menit. Partisipan pada penelitian ini berjumlah 5 orang. Hasil analisis kuantitatif data menunjukkan nilai Asymp. Sig. (2-tailed) bernilai 0.104. Dikarena nilai 0.104 lebih besar dari 0.05, maka hasil ini menunjukkan bahwa tidak terdapat pengaruh yang signifikan antara sebelum dan sesudah pemberian perlakuan. Temuan ini dapat memberikan gambaran berbeda karena beberapa penelitian sebelumnya menemukan bahwa self-management mampu mengatasi atau mengurangi masalah prokrastinasi akademik. Hal tersebut dapat menjadi perhatian bagi peneliti selanjutnya.
The crucial priority of the study of autoimmune diseases: impact on the individual, family, and society
Authors: Balan Ecaterina
Published: December 2024

The article emphasizes the need to pay special attention to the study of autoimmune diseases, highlighting their significant impact on individuals, families, and society. By exploring the chronic nature of these pathologies and the increased risk of long-term disability, it underscores the major challenges in managing these diseases, emphasizing the pressure on healthcare systems and the associated significant costs. Despite advances in research, the precise mechanisms underlying autoimmune diseases remain incompletely elucidated, necessitating comprehensive research approaches to reveal fundamental aspects. Through a detailed and in-depth approach to studying autoimmune diseases, it is emphasized not only the clarity brought to the fundamental causes but also the opening of perspectives for the development of more effective prevention strategies and treatments. The importance of precisely identifying specific triggers from the surrounding environment becomes crucial for implementing personalized approaches and preventing the onset of autoimmune diseases. Thus, it is concluded that rigorous research into autoimmune diseases is not only a medical necessity but also an essential strategy for improving the quality of life, optimizing healthcare resources, and developing more precise and efficient therapeutic interventions.
Hematological and thermographical changes in rat’s model exposed to long term RF modulated signals
Authors: Aghaa Omar , Hameed Bashaer
Published: December 2024

Background:
Long-term exposure to LTE signals at different frequencies has become a crucial problem in our daily life.

Aim:
The aim of the study to figure out the thermal influence of LTE signals (850 MHz, 1800 MHz, and 2600 MHz) on haematological values in rat’s model during different periods.

Methods:
Forty adult male rats were randomly distributed into four equal groups (control, 850 MHz, 1800 MHz, and 2600 MHz exposure groups). The rats were exposed for 2 hours per day over a period of up to 60 days using a radiofrequency generator.

Results:
The results showed that the different frequencies have different effect on both haematological and thermo-graphical image analysis.

Conclusion:
The study findings demonstrate that these LTE frequencies have a detrimental effect on the rat model through thermal mechanisms.
Hematological and biochemical parameters in the blood of working Belgian Shepherd dogs: An age-related study
Authors: imusi Nejra , Alagi D
Published: December 2024

Background:
Age-related changes in physiological parameters are crucial in understanding the health and performance of working dogs, particularly those in demanding roles such as military and law enforcement. However, limited research exists on how aging affects the hematological and biochemical health of these dogs.

Aim:
This study aims to characterize age-related variations in hematological and biochemical parameters in working Belgian Shepherd dogs to provide insights that could inform health management strategies for these animals.

Methods:
Blood samples were collected from 26 male Belgian Malinois working dogs, categorized into three age groups: adults (2-6 years), seniors (7-10 years), and geriatrics (11+ years). Comprehensive hematological and biochemical analyses were conducted. Analysis of complete blood count was performed for total 16 parameters: red blood cell, white blood cell, packed cell volume, hemoglobin, and platelet, neutrophil, basophil, leukocyte, monocyte, lymphocyte, and eosinophil counts. Mean cell volume (MCV), mean cell hemoglobin, mean corpuscular hemoglobin concentration, red cell distribution width, and mean platelet volume (MPV) were subsequently determined. The biochemistry parameters included glucose, creatinine, urea, blood urea nitrogen:creatinive ratio, phosphorus, calcium, sodium, potassium, Na:K ratio, chloride, total protein, albumin, globulin, albumin:globulin ratio, as well as alanine aminotransferase, alkaline phosphatase, gamma glutamyl transeferase, total cholesterol, amylase and lipase.

Results:
Significant age-related changes were observed in various parameters. Older dogs exhibited decreased creatinine and increased phosphorus and potassium levels, indicating potential changes in muscle mass, renal function, and electrolyte balance. Additionally, the albumin to globulin ratio decreased with age, reflecting shifts in protein synthesis and immune function.

Conclusion:
The study highlights important age-related variations in hematological and biochemical parameters in working Belgian Shepherd dogs. These findings emphasize the need for age-specific health management strategies to maintain the health, performance, and longevity of these dogs, thereby enhancing their effectiveness in critical service roles. 
A retrospective description of blood and urine alterations in 386 male cats with urethral obstruction in Botucatu, São Paulo, Brazil
Authors: Moraes Reiner , Ribeiro Diego , Melchert Alessandra , a Henry , Regalin Doughlas , Filho Raphael , Giuffrida Rog , Takahira Regina , Okamoto Adriano , Okamoto Priscylla
Published: December 2024

Background:
Urinary retention in obstructed male cats leads to changes in blood and urine compounds, which, combined with the time of obstruction, are linked to worsening of the animal's clinical status.

Aim:
This study aimed to describe the primary laboratory changes in male cats with urethral obstruction (UO).

Methods:
Medical records of 386 male cats diagnosed with UO and treated at the Veterinary Teaching Hospital of the Faculty of Veterinary Medicine and Zootechnics (FMVZ), UNESP - Botucatu, between 2010 and 2020 were reviewed. Data on sex, age, breed, body weight, and reproductive status were evaluated.

Results:
Over the years, complete blood count, renal and hepatic biochemistry, blood gas analysis, electrolytes, urinalysis, and urine culture were performed upon request. Anaemia was not representative in obstructed cats. Thrombocytopenia was identified in 65.5% (169/258) of patients, and neutrophilic leukocytosis was identified in 52.4% (170/326) of patients. High urea and creatinine values were detected in 82.9% (273/329) and 77.1% (256/331) of the patients, respectively. Acidemia, increased PO2, metabolic acidosis, hypochloremia, hyperkalaemia, hypernatremia, and hypocalcemia were observed in 37.6% (90/239), 51.5% (120/233), 69.3% (160/231), 50.2% (115/229), 58.5% (138/239), 40.2% (93/231), and 85.7% (84/98) of the cats, respectively. Urinalysis revealed an acidic pH, isosthenuria, a low proportion of proteins, and a high presence of occult blood and erythrocytes per field (> 1,000). Finally, 19.49% had positive cultures. Escherichia coli and Staphylococcus spp. are commonly isolated.

Conclusion:
This study provides a description of laboratory changes and those most prevalent in the population under study. UO may result mainly in isolated or combined laboratory changes such as azotemia, acidemia, metabolic acidosis, hyperkalaemia, hypocalcemia, acidic pH and occult blood in urine. Additional laboratory changes may be present; however, they must be deeply investigated as comorbidities might be associated with. Therefore, the description of laboratory changes in large populations, such as in male cats with UO, provides a reference for veterinarians regarding the hematological and urinary changes expected in obstructed male cats, and instigate the search for further studies in the field.
Morphological and genetic demonstration of Cephalopina titillator in dromedary camels
Authors: Essa Israa , Saadi Mohammed , Amanah Akram , Abd Monyer , Ali Mansour
Published: December 2024

Background:
Cephalopina titillator is one of the most important parasites, which infests the upper respiratory tract of camels leading to deteriorating health effects, substantial economic losses and even death.

Aim:
This study aimed was to detect the prevalence rate of C. titillator in slaughtered camels, determining its morphology using the electron microscope, and confirming its species by the molecular phylogeny.

Methods:
A total of 200 slaughtered camels at different areas in Al Muthanna province (Iraq) were inspected visually to collect the parasite samples that identified initially based on their morphological characteristics. To confirm the parasite species, molecular phylogeny was conducted targeting the COX1 gene.

Results:
An overall 19.5% of study camels were found infested with C. tittlator. Based on light and electron microscopes, the larval stage of C. tittlator was shown numerous posterior spiracular pores, cephalo-pharyngeal skeleton, abdominal segments, spinulation in anterior ventral portion, no spines on final segment of abdomen, and rounded dorsal surface. Dorsoventrally, a slender and flattened shape with presence of 12 segments as well as widely separated antennal lobes and obligate mouth hooks were seen. Molecularly, all the tested samples were found positive by PCR. Additionally, some positive PCR products were sequenced, and reported in the NCBI-GenBank under the access numbers of OP218846, OP218847, and OP218845, OP218839, OP218840, OP218841, OP218842, OP218843, and OP218844. Sequence analysis revealed the obvious identity between the local isolates and the global NCBI-GenBank Iran isolate (MW136151.1).

Conclusion:
This study described precisely the morphology of C. titillator using the light and electron microscopes suggesting its role in appropriate identification and classification. Molecular examination demonstrated the importance of COX1 gene in identification of C. titillator and sequencing of the local isolates; however, additional molecular phylogenetic studies are needed to establish the evolutionary relationships among the oestrid group of insects with specialized habits and habitats.
Effects of Crescentia cujete (L.) fruit extract on the profile of hematology of ranchu goldfish (Carassius auratus)
Authors: Wongkar Felician , Prakoso Yos , Wijayanti Agustina
Published: December 2024

Background:
Disease prevention in cultivating ranchu goldfish (Carassius auratus) can be prevented by giving immunostimulants in the food. One immunostimulant can come from herbs such as calabash fruit (Crescentia cujete L.).

Aim:
This study aims to analyze the potential of calabash fruit extract (BFE) on the hematological profile of ranchu goldfish.

Methods:
This study used 30 ranchu goldfish, which were divided into six treatments, as follows: P1 = standard food; P2 = food + 0.5% CMC Na; P3 = food + 0.1% POWER C®; P4 = food + 0.5% BFE; P5 = food + 0.3% BFE; and P6 = food + 0.6% BFE. The treatment was performed for 28 days with a feeding frequency of 2 times a day. On the 28th day, fish performance was measured. The blood was collected for hematology and immunohistochemistry against antibody anti-COX-2 and CD4+. The data were statistically analyzed using SPSS with confidence level at 95%.

Results:
The group P6 indicated the highest growth performance compared to the other groups (p<0.05). This group also showed a significant elevation of heterophils compared to the others (p<0.05). In contrast, the levels of Hb, PCV, MCV, MCH, MCHC, WBC, lymphocytes, monocytes, and thrombocytes did not differ from each other (p>0.05). Interestingly, there is a decrease in CRP and immunoreactivity of COX-2 and an elevation of CD4+ following the increase in BFE concentration (p<0.05).

Conclusion:
It can be concluded that BFE affects the performance and hematological profile of ranchu goldfish and has the potential as an immunostimulant.
An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
Authors: Wood Jonathan , King Martyn , Dutton Anita
Published: December 2024

Background:
Bacterial contamination of medical equipment is a significant risk in both human and veterinary medicine, leading to potential cross-contamination between clinicians, technicians, patients, and healthcare professionals. Pathogens can persist on surfaces, resulting in healthcare-associated infections. Tonometry used to measure intraocular pressure (IOP) for diagnosing conditions like glaucoma and uveitis, is crucial in both human and veterinary care. However, there is limited information on bacterial transmission through reused tonometer probes in veterinary patients. This pilot study aimed to explore the potential for cross-contamination of bacteria via a rebound tonometer probe using bacterial isolates linked to bacterial ulcerative keratitis in dogs.

Aim:
To evaluate the potential for bacterial transmission via rebound tonometry using the ICare® TONOVET Plus in a controlled laboratory environment. The study focused on two bacterial isolates commonly implicated in canine bacterial ulcerative keratitis: Pseudomonas aeruginosa and beta-haemolytic Streptococcus.

Methods:
Bacterial cultures were inoculated on blood agar and MacConkey agar plates. Tonometer probes were used to perform multiple corneal rebounds (CR) readings on known bacterial samples, followed by multiple CR readings on agar growth plates, incubation and re-examination of the agar plates for evidence of bacterial transfer. Controls included plates where the probes were only used on sterile agar.

Results:
Bacterial transmission was detected with distinct bacterial colonies corresponding to individual CR readings on the plates inoculated with Pseudomonas and beta-haemolytic Streptococcus. A control plate exhibited a single bacterial colony, likely due to inadvertent contamination.

Conclusion:
The results indicate that bacterial transmission via rebound tonometer probes is possible. Although this was an in vitro study, the findings raise concerns about cross-contamination in clinical practice. Changing tonometer probes between patients, particularly after those with bacterial ulcerative keratitis is advised until further investigation into the in vivo bacterial transmission is investigated.
Fracture toughness of cancellous iliac bone
Authors: Stefan Calin , Marsavina Liviu , Miu Catalin
Published: December 2024

Background:
Cancellous bone mechanical properties are directly linked to the structural integrity, which is a result of bone quantity, the quality of its bone matrix and its microarchitecture. Several studies highlighted the bone behavior under specific loads, contributing to understanding risk factors and developing more effective therapeutic strategies. The anatomy and stability of iliac bone fractures, providing insight into pelvic trauma management.

Aim:
To evaluate the anisotropic behavior of fracture toughness of porcine iliac bone.

Methods:
Longitudinal and transversal specimens from pork iliac bone were cut and tested in three point bending fixtures at room temperature, in order to determine the fracture toughness of the cancellous iliac bone.

Results:
The tests on entire iliac bone reveals a brittle behavior. The tests on notched specimens cut on longitudinal and transversal directions show different fracture toughness values. Also, a brittle behavior occurs. The obtained results are at the lower limit of other fracture toughness results of cancellous bones.

Conclusion:
Our results point out the anisotropic behavior of the cancellous iliac bone. Higher fracture toughness values were obtained on longitudinal direction comparing with the transversal direction with 36.5 %.
GEOMETRIA NO 4º ANO DO ENSINO FUNDAMENTAL: UMA ANÁLISE DE LIVROS DIDÁTICOS SELECIONADOS PELO PNLD 2019
Authors: Souza Taiara Ribeiro , Souza Helenara Machado de , Soares Fabrício , Nehring Cátia Maria
Published: December 2024

Geometria, como os demais conceitos matemáticos propostos pelos documentos oficiais para serem abordados na Educação Básica, tem sua origem nas necessidades vivenciadas pelos seres humanos, durante seu processo evolutivo. Neste sentido é que o estudo que deu origem a este artigo foi   pensado, tendo por objetivo identificar como é proposto o ensino da Geometria em livros didáticos, disponibilizados para o 4° ano do Ensino Fundamental, pelo Programa Nacional do Livro Didático, PNLD 2019. O estudo foi realizado a partir de uma pesquisa bibliográfica, tendo como instrumentos de estudo 10 (dez) dos 16 (dezesseis) livros disponibilizados pelo PNLD 2019 e como organização da coleta de dados uma ficha, na qual foi identificado elementos relacionados ao tema deste estudo, nas obras analisadas. Além dos documentos oficiais, a Base Nacional Comum Curricular-BNCC e Referencial Curricular Gaúcho, utilizou-se como respaldo para este estudo os documentos que regulamentam o processo de seleção dos livros didáticos, definido pelo PNLD 2019.  Verificou-se que os conceitos geométricos são abordados a partir de situações cotidianas, em propostas de atividades interdisciplinares e com o uso de recursos como planificações, Tangran, malhas, software de geometria dinâmica, entre outros.
Điều trị thành công vết bỏng với mô hạt lâu lành
Authors: Nguyễn Thị Hương , Hồ Thị Vân  Anh , Nguyễn Thị Thu Minh
Published: December 2024

Bỏng là mối lo ngại lớn về sức khỏe trên toàn cầu, chiếm tỷ lệ đáng kể trong các thương tích ở trẻ em. Theo Tổ chức Y tế Thế giới, hàng năm có khoảng 180.000 trường hợp tử vong do bỏng, tập trung chủ yếu ở các nước có thu nhập thấp và trung bình [3]. Bỏng nặng không chỉ gây ra những ảnh hưởng lớn về mặt sức khỏe thể chất mà còn có thể ảnh hưởng lâu dài đến sức khỏe tâm thần, đặc biệt trên trẻ em, đối tượng đang trong giai đoạn tăng trưởng và phát triển. Điều trị nhằm tạo điều kiện thuận lợi nhất giúp cho vết thương liền thuận lợi, tránh hình thành "sẹo bệnh lý" như sẹo phì đại, ảnh hưởng đến chất lượng cuộc sống người bệnh [5]. Phẫu thuật căt hoại tử ghép da che phủ sớm sẽ giảm nguy cơ nhiễm khuẩn, tăng khả năng cứu sống, giảm nguy cơ hình thành vết thương mạn tính. Tuy nhiên vẫn còn một số đơn vị điều trị bỏng áp dụng kỹ thuật này chưa hiệu quả. Bệnh viện Bỏng Quốc gia Lê Hữu Trác đã thu dung, điều trị nhiều bệnh nhân với mô hạt mạn tính kèm theo những rối loạn tâm lý kéo dài. Chúng tôi giới thiệu bệnh nhân nữ, 6 tuổi với chẩn đoán 22% mô hạt mặt, cổ, ngực, bụng, lưng, hai tay, hai chân do bỏng lửa ngày thứ 100 đã được phẫu thuật cắt hoại tử ghép da nhiều lần tại tuyến trước nhưng thất bại.
Nghiên cứu hiệu quả giảm đau của hỗn hợp Nefopam - Fentanyl bệnh nhân tự điều khiển sau phẫu thuật nội soi khớp gối
Authors: Đinh Mạnh Hà , Đặng Thị Hồng , Nguyễn Tiến Đức , Võ Văn Hiển
Published: December 2024

Mục tiêu: Đánh giá hiệu quả giảm đau của hỗn hợp Nefopam - Fentanyl bệnh nhân tự điều khiển đường tĩnh mạch sau phẫu thuật nội soi khớp gối. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả lâm sàng, tiến cứu trên 50 BN có chỉ định phẫu thuật nội soi khớp gối dưới gây tê tủy sống, được giảm đau bằng hỗn hợp tỷ lệ (Fentanyl: 12,5mcg/ml; Nefopam 1,5mg/ml); cài đặt PCA với các thông số: liều nền 1ml/giờ (25mcg/giờ), liều bolus 1ml (25mcg), thời gian khóa 10 phút, liều tối đa 15ml/4 giờ. Đánh giá tác dụng giảm đau sau mổ bằng thang điểm VAS lúc nghỉ và lúc vận động, mức độ tiêu thụ các thuốc giảm đau sau mổ, mức độ hài lòng của bệnh nhân sau mổ. Kết quả: Ở thời điểm 24 giờ sau phẫu thuật điểm đau VAS khi nghỉ và vận động của bệnh nhân là 1,18 ± 1,11 (0 - 3) và 2,52 ± 1,21 (0 - 6); liều lượng Fentanyl và Nefopam sử dụng trung bình là 27,78 ± 1,542ml (25ml - 30ml); số lần bolus thuốc giảm đau là 3,78 ± 1,54 lần (1 - 6 lần), không có trường hợp nào phải giải cứu đau, các bệnh nhân đều rất hài lòng (56%) và hài lòng (44,0%). Kết luận: Giảm đau sau phẫu thuật nội soi khớp gối bằng hỗn hợp dung dịch Nefopam và Fentanyl bệnh nhân (BN) tự điều khiển đường tĩnh mạch cho hiệu quả giảm đau tốt.
Escala CHA2DS2-VASc como predictor de severidad de ictus en pacientes con fibrilación auricular.
Authors: López-Hidalgo Miguel , Pinto-Longart Luis , Eblen-Zajjur Antonio , Regis Euler , Reina José , Poggioli Ignacio , Ramírez José
Published: December 2024

The CHA2DS2-VASc score was created as a predictive instrument of risk of embolic stroke occurrence in patients with atrial fibrillation (AF), for therapeutic decisions. This score was not created as a tool to assess ischemic stroke severity in patients with AF, although the components of the score are associated with the formation, size, and growth of thrombus in the left atrium. Based on this, we assessed the possible utility of CHA2DS2-VASc score as a pre-dictor of ischemic stroke severity in patients with stroke and AF, using the sim-plified 6S score as an indicator. Observational, prospective, and cross-sectional study, in which the CHA2DS2-VASc score was evaluated concerning the degree of ischemic stroke severity, using the 6S score as a reference for correlation analysis in patients hospitalized with stroke and AF in the emergency room of the Ciudad Hospitalaria “Dr. Enrique Tejera”, from January- September 2022. The median age was 71 [41-76] years, 55.3% were female, 85.9% had hyperten-sion; 42.4% diabetes, 31.8% previous stroke; 14% heart failure and 16.5% had previous AF. Only 5.9% of the patients received anticoagulation when admitted. The median [p25-p75] was 5 [4-6] points for the CHA2DS2-VASc score and 11 [8-11] points for 6S score. Both scores had a significant association (19.2%, R = 0.19, p <0.001. This study using the 6S severity score as an indicator, showed that CHA2DS2-VASc, could be a useful clinical tool to predict stroke severity.
News
Authors: Tudball Daniel
Published: December 2024

News
Manajemen kinerja SDM kesehatan: Menjaga kualitas melalui sistem penilaian yang efektif
Authors: Putri Priyono Afifah Thaliah , Alba Alinda Mahardika , Wasir Riswandy , Arbitera Cahya
Published: December 2024

Performance standards provide guidelines regarding the quantity and quality of performance that employees must achieve. Performance standards can be used as a benchmark in implementing work processes to achieve predetermined results to provide an assessment. The results of the Performance Evaluation contain the strengths and weaknesses of the employee's performance, and will be notified to the employee being evaluated as appreciation for their performance so that the employee knows and makes improvements to the evaluation results provided. Therefore, this study aims to explore how performance management in the health HR sector can be carried out optimally in order to maintain and improve the quality of health. The method used is a literature review from the Google Scholar and Pubmed databases for 2019-2024. With research results, performance assessment is an effort to identify, measure and manage the work carried out by workers (HR) within an organization/company. This is proven because many employees state that they always comply with existing regulations at work, including wearing uniforms provided by the agency, working in accordance with their duties and responsibilities and working in accordance with instructions from their superiors. Service quality is the main factor in community satisfaction in receiving health services at community health centers.
Standar kinerja memberikan pedoman tentang kuantitas dan kualitas kinerja yang harus dicapai karyawan. Standar kinerja dapat dijadikan tolak ukur dalam pelaksanaan proses kerja untuk mencapai hasil yang telah ditentukan untuk memberikan penilaian. Hasil Evaluasi Kinerja berisikan kekuatan dan kelemahan kinerja karyawan, dan akan diberitahukan kepada karyawan yang dievaluasi sebagai penghargaan atas kinerjanya agar karyawan mengetahui dan melakukan perbaikan atas hasil evaluasi yang diberikan. Maka dari itu, kajian ini bertujuan untuk mengeksplorasi bagaimana manajemen kinerja dalam sektor SDM kesehatan dapat dilakukan secara optimal guna menjaga dan meningkatkan kualitas kesehatan. Metode yang digunakan yaitu literature review dari database Google Scholar dan Pubmed tahun 2019-2024. Dengan hasil penelitian Penilaian kinerja merupakan usaha mengidentifikasi, mengukur dan mengelola pekerjaan yang dilaksanakan oleh para pekerja (SDM) di lingkungan suatu organisasi/perusahaan. Hal ini dibuktikan karena banyak pegawai yang menyatakan bahwa mereka selalu mentaati peraturan yang ada di tempat bekerja termasuk mengenakan pakaian seragam yang disediakan instansi, kerja sesuai dengan tugas dan tanggung jawab dan bekerja sesuai dengan instruksi dari atasan. Kualitas pelayanan menjadi faktor utama bagi kepuasan masyarakat dalam mendapatkan pelayanan kesehatan di puskesmas.
Efektivitas penilaian kinerja dan penggajian berbasis kinerja dalam peningkatan kualitas layanan kesehatan
Authors: Anggraini Mela Ratri , Permatasari Putri , Azahra Sabrina , Astuti Winda Dwi
Published: December 2024

Sistem penggajian berbasis kinerja dan penilaian kinerja memegang peran penting dalam peningkatan mutu pelayanan kesehatan. Meskipun keduanya menghadapi masalah seperti ketidakjelasan indikator dan subjektivitas, tetapi implementasi kedua sistem tersebut mampu meningkatkan produktivitas dan efektivitas pegawai. Studi ini bertujuan untuk menganalisis sistem penilaian kinerja dan penggajian berbasis hasil yang berkontribusi mampu meningkatkan kualitas layanan kesehatan. Desain penelitian menggunakan studi literature review dari literatur internasional maupun nasional yang didapat melalui database Google Scholar dan Pubmed. Pencarian artikel difokuskan pada artikel yang terbit sejak 2019 hingga 2024.  Hasil menunjukkan kualitas layanan kesehatan dapat meningkat dengan menerapkan sistem penilaian kinerja dan penggajian berbasis hasil. Meskipun dalam beberapa indikator terdapat peningkatan, kurangnya sumber daya dan komunikasi masih menjadi penghambat. Kesimpulan dari penelitian ini bahwa penilaian kinerja dan penggajian berbasis hasil memberikan pengaruh positif terhadap mutu pelayanan kesehatan dan kepuasan kerja. peneliti Diharapkan kedepannya dapat memperdalam permasalahan kedua sistem, serta melakukan evaluasi dan monitoring rutin untuk keberlanjutan sistem.
Assessment and Enhancement of Safety Practices on Construction Sites in Nepal
Authors: Jyoti Yadav Aryan Dipak Raut, , Lama Aakriti , Raut Aryan Suraj , Mahato Sushil , Yadav Jyoti
Published: December 2024

ABSTRACT - Construction Safety is an essential talk topic
all over the world especially in countries like Nepal where the
construction sector is a major contributor to the economy.
Nepal is a developing country. The growth is driven by
urbanization to a large degree. We are constructing buildings
and all other infrastructures to satisfy the needs of the people
who live in the city (water supply, power supply). The rate of
construction of infrastructures is increasing. In Nepal most of
the projects are labor intensive. The construction industry
involves large skilled and unskilled personnel. Nepal is young
in practicing construction and lacks experience. Any
construction project has risk of accidents as they are inevitable.
The site accidents are the most important factor to be
considered for a project to be successful. We do not have the
exact accident data recording system here in Nepal. The basic
problem in Nepal is negligence towards the constructional
safety and lack in use of proper safety equipment’s and tools.
In addition to that labors are unskilled, illiterate and untrained.
Accidents that result in the loss of life, damage of property and
many injuries during construction are the major challenges of
construction field. The major causes of accident in construction
industries are physical, physiological, psychological and
mental. One of the main causes of accidents is the unsafe
working conditions. Also due to low level of awareness
towards safety and importance of human values, development
of effective safety management system etc. is the major
problem of safety at construction sites in Nepal.
Key Words: Construction Safety, Nepal, Safety Practices,
Construction Industry, Workplace Safety, Safety Challenges,
Safety Training Programs, Regulatory Frameworks, Safety
Culture, Construction Accidents
Uji Efektivitas Beberapa Dosis Triklopir dan Polyoxyethylene Alky Ether terhadap Pengendalian Gulma Solanum torvum
Authors: Prayitno Sebastiyan , Mawandha Hangger Gahara , Rusmarini Umi Kusumastuti
Published: December 2024

Weeds are unwanted plants because they are detrimental to the absorption of nutrients, water, carbon dioxide, light, and growing space. Chemical weed control is an effective method in large areas of oil palm plantations because it uses less labor and time. The purpose of this study was to determine the effectiveness of triclopyr herbicide and polyoxyethylene alky ether adjuvant in controlling Solanum torvum weeds. The research location was Sawita Estate plantation, South Kalimantan. This study used non-factorial experiments arranged in RAK, using several doses of triclopyr herbicide and polyoxyethylene alky ether adjuvant. This study consisted of one factor with 5 treatments, namely control (no treatment), Triclopyr 3.3 ml/l water + polyoxyethylene alkyl ether 0.7 ml/l water, Triclopyr 4.2 ml/l water + polyoxyethylene alkyl ether 0.9 ml/l water, Triclopyr 5 ml/l water + polyoxyethylene alkyl ether 1.1 ml/l water, and Triclopyr 5.8 ml/l water + polyoxyethylene alkyl ether 1.3 ml/l water. Each treatment was repeated four times. Observation of the toxicity level of weeds to herbicides was done visually with scoring based on the European Weed Research Society (EWRS). Scoring data were analyzed by ANOVA (Analysis of Variance) with a real level of 5%, and if there is a significant effect, it is continued with Duncan's Multiple Range Test (DMRT) at the 5% level. In the treatment of herbicide triklopir (5 ml/water + polyoxyethylene alkyl ether), 1.1 ml/water is effective in controlling Solanum torvum weeds; this is indicated by the results of scoring with increasingly smaller numbers, which means all weeds die. The cost used in the treatment of triclopyr (5 ml/water + polyoxyethylene alkyl ether) 1.1 ml/water is an efficient treatment compared to other treatments in controlling Solanum torvum weeds.
Estimating Wind Speed with ANFIS: A Case Study in Karaman City
Authors: Gulhan Selim , Kul Seda , Balcı Selami , Çeltek Seyit Alperen
Published: December 2024

Wind energy, one of the renewable energy sources, plays an increasingly important role in our world as a clean and sustainable energy source. Since the electricity generation potential from wind energy has a variable structure, energy generation estimates to be made to minimize the adverse effects of this situation have an important place for both power plants and operators. Various estimation methods are used for wind energy sources. In this study, wind speed (m/s) is estimated using fuzzy logic, one of the 34902 data Adaptive-Network-Based Fuzzy Inference System (ANFIS) models consisting of hourly average temperature (℃), relative humidity (%), and actual pressure (hPa) parameters are taken at Karaman-17246 Meteorology Station in 2022. The Root Mean Square Error (RMSE) of the obtained results is examined, and it is seen that the method used approached the result with 0.97. Thus, the technical information is presented for researchers to determine the wind energy potential for the Karaman region in Turkiye.
Determinants of Corporate Tax Evasion in Latin America
Authors: Caceres Luis Rene
Published: December 2024

This paper investigates the determinants of tax evasion by exporting firms in a sample of Latin American countries. After a review of the selected literature, the paper presents the results of the estimation of equations that explain this type of tax evasion in terms of variables related to corruption and business climate. Among the most outstanding results are that tax evasion decreases with the government’s capacity to control corruption and with economic growth, while it increases with the opening of the economy, inflation, and the expansion of credit to the private sector. The paper also discusses other aspects of tax evasion, such as its role in the homicide rate and remittances. The paper concludes with a series of conclusions and recommendations.
IMPACT OF COMPOSITE MATERIALS ON AIRCRAFT WEIGHT REDUCTION, FUEL EFFICIENCY, AND PERFORMANCE IN COMMERCIAL AVIATION
Authors:   Bangladesh Army University Of Science And Technology (Baust), Department Of Mechanical Engineering, Saidpur Cantonment, Saidpur, 5311, Nilphamari, Bangladesh, Rafi Hami Asad
Published: December 2024

The adoption of composite materials in commercial aviation has profoundly transformed aircraft design and performance. This research explores the impact of composites, particularly Carbon Fiber Reinforced Polymers (CFRP) and Glass Fiber Reinforced Polymers (GFRP), on aircraft weight reduction, fuel efficiency, and operational performance. By replacing traditional materials such as aluminum, composite materials enable a 15-30% reduction in structural weight, contributing to a 20-25% improvement in fuel efficiency. Models like the Boeing 787 and Airbus A350 exemplify these advancements, achieving enhanced payload capacity, extended range, and reduced environmental impact. Despite challenges such as high manufacturing costs and complex repair processes, the long-term economic and ecological benefits—lower operational expenses and reduced carbon emissions—underscore the importance of composites in sustainable aviation. This study underscores the necessity for further innovation in composite technologies to optimize performance and cost-effectiveness in the evolving landscape of commercial aviation.
Protocolo para julgamento com perspectiva de gênero: banco de sentenças e decisões
Authors: Souza Luana Barbosa de , Lopes Maramélia Duarte , Amorim Iêda Cristina Dias
Published: December 2024

O artigo examina a aplicação, pelo Tribunal de Justiça do Estado do Pará (TJPA), do “Protocolo para Julgamento com Perspectiva de Gênero” desenvolvido pelo Conselho Nacional de Justiça (CNJ) e formalizado em 2023 por meio da Resolução CNJ Nº 492. A análise foca em sentenças proferidas na Vara de Violência Doméstica e Familiar contra a Mulher de Ananindeua, Estado do Pará. O problema central da pesquisa consiste em verificar como magistrados e magistradas têm incorporado essa ferramenta em suas decisões, promovendo uma prática judicial mais equitativa e inclusiva, ao considerar as especificidades de gênero e as desigualdades estruturais que permeiam os contextos dos casos analisados no âmbito do Direito. A metodologia combina revisão bibliográfica e análise documental, utilizando dados extraídos do “Banco de Sentenças e Decisões com Aplicação do Protocolo para Julgamento com Perspectiva de Gênero”, mantido pelo CNJ, correlacionados com fundamentos teóricos relevantes. A pesquisa revela que o uso do protocolo como guia para o Judiciário brasileiro contribui significativamente para decisões judiciais em ferramentas de proteção e promoção de justiça para mulheres e minorias de gênero.
Palavras-chave: Protocolo. Perspectiva de gênero. TJPA. Relações de gênero. Práxis.
Tecnologias interativas no ensino de matemática: um estudo de caso com realidade aumentada na educação básica
Authors: Araújo Francisco Cleuton de , Nascimento Rildo Alves do , Assis II Onildo Ribeiro de , Martins Fabiano Battemarco da Silva , Muller Deisse Carla de Oliveira , Carvalho João Cláudio Nunes , Santos Francisco Nordman Costa , Freire Elias das Neves , França Washington Luiz de , Lima Isaías José de , Torres Gabriel Frazão , Santos Isaque Pinho dos , Souza Francisco Jorge Bezerra de , Freitas Flávio Augusto de , Neto Luiz Edson Pinheiro Távora
Published: December 2024

O presente trabalho investiga o impacto da utilização da Realidade Aumentada (RA) integrada ao software GeoGebra no ensino de Geometria para alunos da Educação Básica. A pesquisa se justifica pela necessidade de incorporar tecnologias inovadoras no ambiente educacional, considerando os desafios contemporâneos no ensino de conceitos geométricos. O objetivo central do estudo foi avaliar como a RA, ao proporcionar visualização tridimensional e interações dinâmicas, pode contribuir para a melhoria da compreensão de conceitos geométricos e do desenvolvimento da visualização espacial dos estudantes. A metodologia adotada foi qualitativa, caracterizada por um estudo de caso que incluiu observação participante, entrevistas semiestruturadas com professores e testes de desempenho com alunos. Os resultados indicaram uma evolução significativa nas habilidades geométricas dos estudantes, com destaque para a melhoria na visualização espacial. Os professores relataram percepções positivas sobre o uso das tecnologias, evidenciando maior engajamento dos alunos nas atividades. Conclui-se que a RA, associada ao GeoGebra, é uma ferramenta viável no ensino de Geometria, embora barreiras como infraestrutura tecnológica e formação docente ainda representem desafios para sua implementação em larga escala.
DIÁLOGO ENTRE A CONVENÇÃO INTERAMERICANA DE DIREITOS HUMANOS E A CONSTITUIÇÃO FEDERAL DE 1988: UM ESTUDO SOBRE O CONTROLE DE CONVENCIONALIDADE
Authors: Puccio Giovanna Calis Soares Silva de
Published: December 2024

Este artigo analisa o diálogo entre a Constituição Federal de 1988 (CF/88) e a Convenção Interamericana de Direitos Humanos, com foco no controle de convencionalidade, um mecanismo que assegura a conformidade das normas internas dos Estados com os compromissos internacionais. O objetivo principal da pesquisa é investigar como a Constituição e a Convenção se complementam e, em alguns casos, se tensionam nesse processo, além de avaliar as implicações dessa interação normativa para a proteção dos direitos humanos no Brasil. A metodologia utilizada envolve uma abordagem qualitativa, com base em revisão bibliográfica e análise de casos emblemáticos do cenário jurídico brasileiro, que ilustram a aplicação prática do controle de convencionalidade. A pesquisa discute ainda os desafios enfrentados e as contribuições desse mecanismo para o fortalecimento dos direitos humanos no país, destacando a importância de uma integração harmônica entre os sistemas normativos. Ao final, concluo que o controle de convencionalidade não apenas complementa a Constituição Federal de 1988, mas também a enriquece, promovendo uma interpretação normativa que maximiza a proteção dos direitos humanos no Brasil.
Polymer-modified screen-printed electrode-based electrochemical sensors for doxorubicin detection
Authors: Dimitrievska Iva , Paunović Perica , Grozdanov Anita
Published: December 2024

In the last decade, intensive research has been performed in the field of analytical electrochemistry, seeking designs of electrochemical sensors capable of providing better analytical characteristics in terms of sensitivity, selectivity, reliability, ease of fabrication and use, and low cost, especially for pharmaceutical drug monitoring. Our research has primarily focused on developing screen-printed electrode-based sensors and their application as electrochemical platforms for drug determination and monitoring, specifically emphasizing their suitability for surface modification. A commercial screen-printed graphene electrode was used as the electrochemical sensing component, which was subsequently modified with polymers, such as polyvinylidene fluoride and chitosan. All studied electrodes were tested using a doxorubicin hydrochloride (DOX) solution with a concentration of 0.002 mol L-1 dissolved in 0.1 mol L-1 phosphate-buffered saline at pH 6.7. Cyclic voltammetry was used as an electrochemical characterization technique to gather data on all tested electrodes' electrochemical activity. The morphological characterization of the electrodes was done using scanning electron microscopy. The changes in the electrolyte during the electrochemical measurements were followed through ultraviolet-visible spectroscopy. The modified electrodes demonstrated a favorable electrochemical response to DOX and exhibited higher electrical conductivity than the commercial one. The characterization results indicated that the Ch-modified electrode exhibited excellent electrochemical conductivity and demonstrated strong electrochemical performance. The evaluations of this electrode comprised the definition of the lowest limit of detection and limit of quantification among the tested electrodes, with values of 9.822 and 32.741 µmol L-1, respectively, within a linear concentration range from 1.5 to 7.4 µmol L-1. Additionally, the electrodes showed excellent repeatability, stability, and reproducibility, confirming their suitability for sensitive DOX detection.
The Effect of Giving Ajwa Dates on Increasing Hemoglobin Levels in Adolescent Girls
Authors: Romauli Suryati , Fitriana Iriyani Nur , Ivanna Kalo Greaceline Vira
Published: December 2024

Anemia is still a nutritional problem especially for adolescent girls. This is because there are still many young women who do not make efforts to prevent anemia. This study aims to determine the effect of giving ajwa dates on increasing Haemoglobin levels in adolescent girls. Method: The design of this study is pre-experimental with a two-group pre-post test design.  A sample of 48 respondents. Data were obtained through examination of Haemoglobin levels before and after the intervention. The data was analyzed based on a data normality test. Results: The Hb levels of adolescent girls in the intervention group before being given ajwa dates had an average value of 9.463, std. deviation of 1.3276 with the lowest Hb of 5.1 gr/dl and the highest Hb of 10.9 gr/dl, while the control group had an average value of 11.667, std. deviation of .3046 with the lowest Hb of 11.0 gr/dl and the highest Hb of 12.2 gr/dl. The hemoglobin levels of adolescent girls in the intervention group after being given ajwa dates had an average value of 10.829, std. deviation of 1.3917 with the lowest Hb of 7.7 gr/dl and the highest Hb of 13.5 gr/dl, while in the control group had an average value  of 11.221, std. deviation of .5365 with the lowest Hb of 10.0 gr/dl and the highest Hb of 12.2 gr/dl.  There is an effect  of giving ajwa dates on increasing haemoglobin levels in adolescent girls with a value of p = 0.001
Demografía y estacionalidad de microorganismos patógenos en muestras del tracto respiratorio inferior de pacientes del hospital Luis Vernaza durante el año 2022
Authors: Romero-Ramírez Jennyfer Carolina , Barcia-Menéndez Rolando Cristóbal , Romero-Ramírez Stephanie Carolina , Jaime-Mora Vicente Augusto
Published: December 2024

Las infecciones del tracto respiratorio inferior representan un problema de salud importante, al aumentar la morbilidad, mortalidad de la población y el gasto en salud pública. El objetivo principal fue evaluar la demografía y la estacionalidad de microorganismos patógenos en muestras del tracto respiratorio inferior de pacientes del hospital Luis Vernaza durante el año 2022. Se realizó un estudio cuantitativo, no experimental, retrospectivo y transversal, con una muestra de 297 pacientes atendidos en el Hospital. Los resultados mostraron que Klebsiella pneumoniae fue el patógeno bacteriano más común, particularmente en pacientes mayores de 90 años. Candida albicans representó al agente fúngico, con mayor frecuencia en pacientes mayores de 90 años. Se observó una mayor frecuencia de infecciones respiratorias bajas por estos dos agentes durante los meses de invierno del año 2022. Además, se concluyó que los pacientes mayores de 65 años presentaron un riesgo significativamente mayor de infecciones por estos patógenos durante el invierno en comparación con edades menores.