bluuebunny/crossref_metadata_2025 huggingface dataset:
GEOGRAPHIC LITERACY IN THIRD-YEAR COMPULSORY SECONDARY EDUCATION STUDENTS
Authors: Binimelis Sebastián Jaume , Gómez Gonçalves Alejandro , Gómez Trigueros Isabel María , Muntaner Guasp Joan Jordi
Published: December 2024

Poor geographic knowledge among students and citizens, in general, has been one of the main research concerns in the area of geography education. This study is part of a project aimed at determining compulsory secondary education students’ level of geographic knowledge and providing tools to improve learning. Following quantitative research methods, the geographic knowledge and competences of the participating students have been assessed through an online test. Additionally, the circumstances associated with the students’ personal and academic environment that contribute to explaining the results have been established. The findings show the participating students’ scarcity of geographic knowledge, both regarding specific curricular contents and spatial competence. The results obtained suggest the pressing need to find a new geography teaching approach that is more clearly linked to the language of maps.
Keywords: geographic literacy, geographic knowledge, online map editor instrument, place location knowledge, pre-test data evaluation
دور العلاقات العامة في بناء الصورة الذهنية للمؤسسات المعنية بشؤون الأطفال
Authors: فؤاد فيّ أياد , جاسم باقر موسى
Published: December 2024

يهدف البحث إلى معرفة دور العلاقات العامة في بناء الصورة الذهنية للمؤسسات المعنية بشؤون الأطفال، ومعرفة مؤشرات الصورة الذهنية التي يحملها الجمهور إزاء المؤسسات المعنية بشؤون الأطفال، وقد تم الاستناد إلى المنهج المسحي عن طريق إعداد استمارة المقياس وتوزيعها على عينة من جمهور مؤسسة دار ثقافة الأطفال، والتي شملت (400) مبحوثاً لمعرفة دور العلاقات العامة في مؤسسة دار ثقافة الأطفال والصورة السائدة عنها لدى جمهورها. وقد أظهرت نتائج البحث أن الصورة التي يحملها الجمهور عن مؤسسة دار ثقافة الأطفال هي صورة إيجابية؛ ذلك عن طريق نشاط المؤسسة وعمل العلاقات العامة فيها، والتي تحاول تقديم أفضل النشاطات والبرامج لجمهور المؤسسة، وأيضًا أثبتت النتائج أن مؤسسة دار ثقافة الأطفال من أهم المؤسسات المحلية في العراق التي تعنى باهتمام الأطفال ونشر القيم الثقافية عبر نشاطاتها.
Ekstrakurikuler Teknologi Informasi dan Komunikasi dalam Meningkatkan Hard Skill pada Kelas Bawah di SD Plus AL Harun
Authors: Fitriah Lailatul , Lailia Rahman Marita
Published: December 2024

Information Technology extracurriculars can not only be taught to upper classes, but lower classes can also be taught about technology. With the progress of the times, this year students are taking final exams using CBT-based or using computer media, no longer using paper, pencils, etc. The research aims to describe the extracurricular implementation of ICT at SD Plus AL Harun, to describe improving the hard skills of students at SD Plus AL Harun, to find out the reasons why extracurricular implementation improves the hard skills of students at SD Plus AL Harun. This research uses descriptive qualitative research methods. Using data collection techniques using observation, interviews and documentation methods. The data analysis process in this research uses data reduction, data presentation and drawing conclusions. The validity of the data uses source triangulation, data source triangulation, and method triangulation. The results of the research conducted showed that (1) students' skills increased. (2) students can operate molai from how to turn on the computer to how to turn off the computer properly and correctly. (3) students can draw and color using computer media. (4) students can play with color gradations without using color paint, simply by using a computer students can find out color gradations easily
Reaktualisasi Falsafah Ajaran Hidup Jawa Bagi Siswa dalam Novel Punakawan Menggugat Karya Ardian Kresna
Authors: Suprayitno Edy
Published: December 2024

Javanese philosophy is known as the result of the thoughts, feelings and intentions of Javanese ancestors. This philosophy is passed down from generation to generation to serve as guideline and guidance for Javanese life. In this globalization era, Javanese philosophy is considered starting to fade. Therefore, Javanese people's attitudes towards life appear to shift from the teachings of Javanese philosophy. Various cases occurred recently prove it . Therefore, it is important for Javanese to re-understand the form and values ​​of Javanese philosophy to get in harmony of life. The object of this research is the novel Punakawan Mengganti by Ardian Kresna. The theory used in this research is literary sociology. Based on the research, 5 values ​​of Javanese philosophy were found, namely (1) Ajining Diri saka Lathi, Ajining Raga saka Busana (take care of your words and yourself) , (2) Gupuh, Aruh, Rengkuh, lan Suguh (friendly and generous), (3) Curiga Manjing Warangka, Warangka Manjing Curiga (getting close to God) (4) Digugu lan ditiru (being obeyed and imitated, (5) Napihi Wong Kawudan (social concern). Apart from that, there are two ways to implement these values, namely through teachers and students
QUESTION BANK SECURITY USING RIVEST SHAMIR ADLEMAN ALGORITHM AND ADVANCED ENCRYPTION STANDARD
Authors: Monica Taris , Hadiana Asep Id , Melina Melina
Published: December 2024

Data security is essential. Educational question banks at vocational high schools (SMK) contain confidential information that could be misused if not properly secured. This research aims to ensure students question bank data and develop a responsive web platform for Pusdikhubad Cimahi Vocational School by implementing the integration of the Advanced Encryption Standard (AES) and Rivest Shamir Adleman (RSA) cryptographic algorithms through the encryption and decryption process. AES is a symmetric key cryptography algorithm, while RSA is an encryption algorithm based on using public keys to encrypt the keys required by AES-256. The integration of these two algorithms aims to ensure data confidentiality, prevent manipulation, and facilitate access to exam materials by authorized parties. This research shows that the process of encrypting and decrypting question data using a combination of RSA and AES was successfully carried out on the question bank system. Avalanche Effect testing shows that the RSA and AES 256-bit encryption has an Avalanche Effect level of 49.99%. Apart from that, the system feasibility test using black box testing results shows that the SIFILE system has a percentage level of 100%. It is hoped that the results of this research can serve as a data security system at Pusdikhubad Cimahi Vocational School and other educational institutions to secure the question bank from unauthorized access
DETECTION OF LIKURAI DANCE MOVEMENT TYPES IN MALAKA REGENCY USING YOLOV8 BASED ON VIDEO
Authors: Da Costa Zania Abuk , Rahman Aviv Yuniar , Putra Rangga Pahlevi
Published: December 2024

Indonesia is rich in traditional dances from every region, including the Likurai Dance, originating from East Nusa Tenggara, specifically in Malaka and Belu districts. This dance carries deep symbolic and historical meaning; however, it is currently threatened by lifestyle changes and globalization. Despite this, accurately and in real-time recognizing Likurai Dance movements remains challenging, particularly in detecting the specific dance movements. This research aims to test the effectiveness of detecting three types of Likurai Dance movements using documented digital video. The detection model is the YOLOv8 algorithm, known for detecting objects quickly and accurately. A YOLOv8-based platform is proposed to detect these dance movements precisely. In the testing, the YOLOv8 model demonstrated outstanding performance, achieving a very high mAP of 99.5% for the Wesei Wehali movement, 99.4% for the Be Tae Be Tae movement, and 99.1% for the Tebe Re movement. These results indicate that the model can detect dance movements with exceptional accuracy, precision, and recall rates above 98%. This research concludes that YOLOv8 has excellent potential in detecting traditional dance movements with high accuracy. These findings are significant for preserving and documenting the Likurai Dance and provide an educational means for younger generations to understand better and appreciate traditional cultural values.
IMPLEMENTATION OF MSME CREDIT LOAN DETERMINATION USING MACHINE LEARNING TECHNOLOGY WITH KNN (K-NEAREST NEIGHBORS) ALGORITHM
Authors: Nawawi Muchamad Taufik , Suhendar Agus
Published: December 2024

This research aims to develop a loan eligibility prediction model for Micro, Small, and Medium Enterprises (MSMEs) using the K-Nearest Neighbors (KNN) algorithm. The dataset utilized includes variables such as the length of business operation, number of workers, assets, and net turnover of MSMEs. The data is split into training and test sets with a 70:30 ratio. The KNN model is trained using the training data to classify loan eligibility based on a specified k value. The model predictions include whether a loan is accepted and the probability associated with each decision. The results indicate that the KNN model achieved an accuracy rate of 83.939% in predicting loan eligibility. Based on the predictions, 929 MSMEs were deemed eligible to receive loans according to the KNN model recommendations, while 170 MSMEs were classified as ineligible. These findings contribute significantly to the development of decision support systems in the banking and finance sectors, particularly in evaluating MSME loan eligibility.
TRANSFORMER WITH LAGGED FEATURES FOR HANDLING LONG-TERM DATA DEPENDENCY IN TIME SERIES FORECASTING
Authors: Verianto Eko , Shimbun Annisa Fikria
Published: December 2024

Data with long-term dependencies plays an important role in time series forecasting. However, studying data with long-term dependencies in time series data presents challenges for most algorithms. While some algorithms can forecast time series data, not all can model data with long-term dependencies effectively. The algorithm typically used for forecasting data with long-term dependencies is Long Short-Term Memory (LSTM), but LSTM can still face vanishing gradient issues, making it difficult to identify long-term dependencies in very long datasets. Another algorithm used for forecasting long-term time series data is the transformer. However, this algorithm has not yet shown better performance compared to simple linear models. The goal of this research is to develop an effective solution for forecasting time series data with long-term dependencies. The approach proposed in this research is the transformer with lagged features and also using time series cross-validation techniques. The results of this study show the performance of the transformer model in MAPE per fold on the BBCA stock dataset with a lag=5 and fold=5 configuration as follows: 0.0390, 0.0329, 0.0207, 0.0554, 0.0423. On the USD/IDR exchange rate dataset, the results are 0.0273, 0.0431, 0.0498, 0.0236, 0.237. The results of each fold are inconsistent and show unstable performance, indicating that the transformer with lagged features and using time series cross-validation techniques has not yet been able to provide its best performance in long-term time series forecasting.
PREVALENSI JENIS INFEKSI GENITALIA PADA IBU HAMIL TRIMESTER III DI KECAMATAN JATINEGARA
Authors: Purbasari Euis , Erikardo Oktadio , Nikmatullah Nurul Azmah , Wirman Adia Putra
Published: December 2024

Buruknya perilaku personal hygiene berkaitan dengan permasalahan organ reproduksi wanita, ditandai dengan keputihan patologis. Keputihan patologis sangat rentan terjadi pada ibu hamil dikarenakan peningkatan hormon estrogen dapat menyuburkan pertumbuhan mikroorganime merugikan di dalam vagina. Pertumbuhan mikroorganime mengakibatkan kerusakan epitel sehingga pH vagina semakin meningkat, serta didukung kondisi organ reproduksi yang terletak di area tertutup dan berlipat sehingga mudah berkeringat, lembap, dan kotor. Hal ini akan menyebabkan mikroorganisme tumbuh semakin masif. Penelitian ini bertujuan untuk mengetahui prevalensi jenis infeksi genitalia pada ibu hamil sebagai acuan upaya pencegahan dan penanggulangannya. Penelitian ini menggunakan teknik random sampling dengan jumlah sampel 100 orang ibu hamil terinfeksi genitalia. Penentuan infeksi genitalia didasarkan hasil rekam medis pasien. Hasil penelitian menunjukkan prevalensi paling tinggi terjadinya infeksi genitalia pada ibu hamil disebabkan oleh Vaginosis Bakterialis (VB) sebesar 54%, koinfeksi VB dan Candida albicans 30%, Candida albicans 11%, dan Trichomonas vaginalis 5%. Adanya data prevalensi ini, kami berharap unit kesehatan terkait dapat melakukan upaya preventif sehingga menekan angka kejadian infeksi genitalia pada ibu hamil dan melaksanakan pemeriksaan skrining secara rutin.
FAKTOR YANG MEMPENGARUHI KEPATUHAN MINUM OBAT PASIEN HIPERTENSI ANGGOTA PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) DI UPT PUSKESMAS RAPPANG
Authors: Sirajuddin Washliaty , Lukman Nurul Lutfiyah , Lidiawati Dewi , Hakim Reny Anggriany
Published: December 2024

Hipertensi sering disebut the silent killer karena gangguan ini pada tahap awal adalah asimtomatis, tetapi dapat mengakibatkan kerusakan yang permanen pada organ-organ tubuh vital. Berbagai macam upaya telah dilakukan pemerintah untuk menekan peningkatan jumlah penderita penyakit kronis. Salah satu upaya tersebut melalui penyelenggaraan program pengelolaan penyakit kronis (Prolanis). Penelitian ini bertujuan untuk menganalisis kepatuhan minum obat pada pasien hipertensi anggota program pengelolaan penyakit kronis (Prolanis), serta melihat hubungan antara tingkat pendidikan dan lama pengobatan dengan kepatuhan minum obat pasien hipertensi anggota Prolanis di UPT Puskesmas Rappang. Penelitian ini menggunakan rancangan studi kuantitatif dan pengumpulan data secara cross-sectional. Sampel yang memenuhi kriteria inklusi dan eksklusi sebanyak 52 pasien. Hasil penelitian ini menunjukkan bahwa pasien hipertensi anggota Prolanis di UPT Puskesmas Rappang memiliki tingkat kepatuhan sedang yaitu sebesar 46,2% (24 orang). Hasil analisis chi-square diperoleh bahwa terdapat hubungan antara lama mengikuti Prolanis dengan tingkat kepatuhan minum obat, dan tidak terdapat hubungan antara tingkat pendidikan dengan tingkat kepatuhan minum obat.
AKTIVITAS ANTIINFLAMASI SECARA IN-VIVO PADA SENYAWA N-FENIL-P-METOKSINAMAMIDA
Authors: Indriyanti Erwin , Wulan Ariani Hesti , Anggoro Barry
Published: December 2024

Obat antiinflamasi steroid memiliki beberapa efek samping utama seperti iritasi dan ulserasi saluran cerna, sedangkan beberapa obat antiinflamasi nonsteroid dengan substitusi gugus amina dapat meningkatkan aktivitas antiinflamasi, gastroprotektif, dan analgesik, namun bukan berarti tidak memiliki efek samping. Turunan asam sinamat termodifikasi memiliki beberapa senyawa aktif yang lebih kuat dengan efek samping yang minimal. Senyawa N-fenil p-metoksi sinamamida (NFPMS) merupakan senyawa termodifikasi asam     p-metoksi sinamat (APMS) melalui reaksi amidase dengan fenilamina melalui katalis dietilamina menggunakan pereaksi antara Desikloheksilkarbodiimida (DCC). Metode sonokimia merupakan salah satu alternatif green chemistry dalam modifikasi sintesis senyawa ini, dengan beberapa keunggulan seperti lebih efisien, mudah dilakukan, rendemen tinggi, waktu singkat, dan ramah lingkungan. Kristal hasil sintesis NFPMS diuji titik leleh, KLT, FTIR, dan NMR. Hasil sintesis NFPMS menghasilkan % rendemen sebesar 89,82%, sedangkan NFPMS 193-195˚C. Uji KLT mempunyai nilai Rf sebesar 0,9 (NFPMS). Hasil overlay FT-IR kedua senyawa menunjukkan perbedaan pola serapan khas gugus -OH karboksilat (hanya pada APMS) dan gugus amino (NFPMS). Senyawa NFPMS dapat memberikan efek antiinflamasi pada tikus jantan yang diinduksi karagenin dengan dosis efektif 400 mg/KgBB
Peningkatan Kualitas Karya Tulis Ilmiah Mahasiswa Program Studi Farmasi Universitas Khairun
Authors: Burhan Hesty Trisnianty , Nur Amran , Muskamal Muskamal
Published: December 2024

Karya tulis ilmiah meliputi penulisan artikel dan publikasi jurnal artikel ilmiah. Karya tulis ilmiah memiliki peranan penting terhadap pengembangan karier dosen, kualitas alumni maupun pengembangan ilmu pengetahuan. Prodi Farmasi Universitas Khairun merupakan prodi yang berdiri ditahun 2020 sehingga masih sangat membutuhkan peningkatan kualitas lulusan ataupun tulisan-tulisan dosen yang berpengaruh pada peningkatan akreditasi prodi sehingga mampu bersaing dengan prodi atau perguruan tinggi lainnya, namun yang menjadi kendala saat ini adalah masih rendahnya kualitas karya tulis ilmiah mahasiswa yang secara tidak langsung mempengaruhi perkembangan kemajuan akreditasi prodi. Tujuan dilakukan kegiatan ini adalah meningkatkan kualitas karya tulis ilmiah melalui kegiatan sosialisasi dan pembimbingan pelatihan karya tulis ilmiah pada mahasiswa serta sosialisasi pada para akademisi. Dengan melakukan beberapa kegiatan yaitu membuat ebook panduan pesan kasih, membuat video tutorial Mendeley, membuat infografis berbarcode yang kemudian di cetak dan dibagikan kepada mahasiswa dan para akademisi melalui sosialisasi, yang kemudian dilakukan pembimbingan pelatihan karya tulis ilmiah pada mahasiswa untuk meningkatkan pengetahuan dan pemahaman terkait pembuatan artikel ilmiah serta mampu mengaplikasikan menjadi sebuah tulisan karya ilmiah yang dipublikasikan pada jurnal ilmiah. Hasil kegiatan menunjukan bahwa dari 23 mahasiswa yang mengisi quisioner evaluasi sebelum pelatihan, hanya 4 orang yang memiliki nilai 60 dan lainnya memiliki nilai 60 (rerata nilai 37,4) sedangkan evaluasi setelah pelatihan menunjukan bahwa dari 23 mahasiswa yang mengisi quisioner, 4 orang memiliki nilai 60 dan lainnya memiliki nilai 60 (rerata nilai 78,7) sehingga dapat disimpulkan bahwa kegiatan ini selain mampu mengajak, membantu ataupun memotivasi teman akademisi lainnya untuk memperbanyak menulis juga mampu meningkatkan pengetahuan mahasiswa.
Tuberculose ileal diagnosticada em colonoscopia de prevenção: Relato de caso descrevendo aspecto endoscópico, tratamento e cicatrização
Authors: Bringel Eric Arcanjo , Bringel Robert William de Azevedo , Assis Júlia Oliveira de
Published: December 2024

O objetivo dos autores com a apresentação do caso é alertar sobre a importância da intubação ileal de rotina durante o exame de colonoscopia, descrever um caso raro de tuberculose ileal isolada em paciente assintomática e discutir sobre o desafio do diagnóstico etiológico correto ao se deparar com lesões ileais atípicas. No caso descrito, durante realização de colonoscopia para rastreamento de câncer colorretal, em paciente assintomática, a intubação ileal possibilitou a detecção de lesão ulcerada atípica, cuja investigação com biópsias, pesquisa de BAAR e teste sorológico levou ao diagnóstico de tuberculose ileal isolada. A paciente foi submetida a tratamento medicamentoso e nova ileocolonoscopia confirmou a cicatrização. A tuberculose intestinal, embora percentualmente rara (1-3% dos casos de tuberculose total), deve sempre ser lembrada quando detectamos lesões ulceradas na região ileal, especialmente nos países em desenvolvimento. O médico deve estar atento e apto a reconhecê-la e diferenciá-la de outras afecções, sob risco de grave prejuízo ao paciente, em caso de diagnóstico e consequente tratamento incorretos. O caso descrito, ilustra os benefícios da intubação ileal de rotina como forte argumento para critério de qualidade do exame.
Restabelecimento da dimensão vertical de oclusão em paciente com colapso oclusal – Relato de caso clínico
Authors: Silva Victor Miguel Gonçalves , Bisinella Ediana Amanda Piana , Santos Neto Otavio Marino dos , Micharki André Luiz , Pezzini Rolando Plümer , Naufel Fabiana Scarparo , Klein Sara Julia Derossi
Published: December 2024

A reabilitação oral em pacientes que possuem perda dentária parcial e colapso oclusal, apresenta frequentemente necessidade de restabelecimento da dimensão vertical de oclusão (DVO), nesses casos o tratamento exige planejamento e estratégias específicas para obter uma nova relação oclusal. A utilização do articulador semi ajustável (ASA) confere maior segurança ao planejamento clínico, todavia a montagem ganha maior complexidade devido alterações dos planos oclusais pela ausência dentária posterior. O presente artigo tem como objetivo detalhar o planejamento e restabelecimento da DVO em paciente com colapso oclusal, descrevendo uma alternativa na montagem do ASA. Metodologia: O presente estudo trata de um relato de caso clínico de cunho analítico descritivo, realizado na clínica de Reabilitação Oral da Universidade Estadual do Oeste do Paraná na cidade de Cascavel/PR. Relato de caso: Paciente do gênero masculino, 60 anos, leucoderma, relatava como queixa principal frequentes fraturas das restaurações e grande insatisfação estética. O paciente apresentava ausência da dentição posterior, desgastes generalizados e alteração na DVO. A reabilitação oral definitiva foi realizada através de próteses fixas sobre implantes nas regiões posteriores edêntulas e próteses fixas sobre os dentes remanescentes. Considerações finais: Nas reabilitações orais em pacientes que apresentam colapso oclusal, torna-se fundamental a correta montagem do ASA para o planejamento eficaz das dimensões faciais, restabelecendo a DVO de forma previsível e fisiológica.
Prevalência de New Delhi Metallo-β-Lactamase (NDM) em pacientes de um serviço público
Authors: Lima Soraya Abegail de , Silva Carla Luiza da , Reche Péricles Martim , Bail Larissa , Ito Carmen Sanches , Madruga Bruna Pereira , Gaspar Maria Dagmar da Rocha
Published: December 2024

Introdução: As bactérias produtoras de NDM (New Delhi Metallo-β-lactamase) são microrganismos resistentes aos antibióticos carbapenêmicos. Desse modo, apresentam relevância no meio da saúde. Objetivo: Levantar a prevalência das bactérias produtoras de NDM em colonização/infecções de pacientes de um serviço público, bem como elaborar material educativo para promover o aprimoramento dos profissionais de saúde na prevenção da disseminação. Método: Estudo epidemiológico observacional de prevalência, cuja coleta transversal de dados foi realizada no sistema TASY. Na análise descritiva, foram traçados o perfil epidemiológico dos pacientes e as frequências. Para a etapa estatística, consideraram-se variáveis dependentes a espécie do microrganismo e o foco; já as variáveis independentes consideradas foram tempo de internação, uso de ventilação mecânica, infecções associadas e o desfecho. Após processamento dos dados, foi produzido um material didático para a educação da equipe de saúde. Resultados: Verificaram-se 24 casos de infecções por bactérias produtoras de NDM. O perfil mais afetado por infecções por tais microrganismos foi o de homens até 60 anos com comorbidades. Mulheres, idosos (>60 anos) e pacientes com comorbidades foram os grupos nos quais essas infecções mais resultaram em óbitos. Klebsiella pneumoniae foi o microrganismo produtor de NDM mais isolado no serviço e o foco de maior prevalência foi o urinário. Uso de ventilação mecânica e infecções prévias foram preditores significativos para desenvolvimento dessas bactérias. Conclusão: O perfil epidemiológico encontrado no estudo coincide com a literatura acerca do tema. Esses microrganismos estão em disseminação, requerendo ações preventivas para o seu controle.
Differentiation between Hemolytic Uremic Syndrome and Thrombotic Thrombocytopenic Purpura: A comparison of key laboratory findings between 2010 and 2021
Authors: Pereira Matheus Ventura , Pereira Emanoelle Gomes , Melo Kevin Fernandes Carriolo de , Carvalho Gabriella Oliveira Alves Moreira de , Gantus Michel Alexandre Villani , Mesquita-Santos Fabio Pereira , Fortes Fabio da Silva de Azevedo , Franzen Anderson Jack
Published: December 2024

Objective: This article aims to analyze and compare the clinical and laboratory findings related to Thrombotic Microangiopathies (TMAs), specifically Hemolytic Uremic Syndrome (HUS) and Thrombotic Thrombocytopenic Purpura (TTP), to support diagnostic and therapeutic decisions. The study also explores critical biochemical and hematological markers to differentiate these diseases. Methodology: A systematic literature review was conducted using articles from PubMed, Scielo, and Google Scholar, focusing on studies published from 2010 to mid-2021, covering a ten-year period. The review included research on clinical presentations, laboratory findings, and the molecular mechanisms underlying HUS and TTP. Results: The analysis revealed significant overlaps in clinical manifestations, such as anemia, thrombocytopenia, and renal dysfunction, but distinct differences in their pathophysiologies. HUS is associated with complement system dysfunction and Shiga toxin-mediated damage, while TTP is linked to ADAMTS13 enzyme deficiency. Laboratory markers such as lactate dehydrogenase, bilirubin, and platelet count were identified as crucial for differentiating the two conditions. Unique Contribution to Theory, Policy, and Practice: Underscoring the critical clinical and laboratory distinctions between HUS and TTP, this study provides a comprehensive framework for achieving precise diagnoses and developing individualized treatment strategies. Enhancing diagnostic accuracy is paramount to mitigating treatment delays, minimizing complications, and improving patient outcomes. Moreover, this review highlights the imperative need for standardizing diagnostic protocols for TMAs and advocates for further research to address existing knowledge gaps in this field.
Transformações na transição do Núcleo de Apoio à Saúde da Família (NASF) para o programa eMulti: Uma análise dos desafios e oportunidades na atenção primária à saúde
Authors: Serra Natalicio de Araújo , Araújo Luana Fonseca , Silva Janderson Barbosa , Rodrigues Fagner Bernardo , Alves Daniele Pires Dias , Melo Alessandra Andrade Falqueto de , Melo Bruno Antônio Machado de , Barbosa Nati Damásio , Silva Gislane Gomes da Conceição da , Pereira Kamon Lincoln Trabuco
Published: December 2024

O objetivo deste artigo é analisar a transição do Núcleo de Apoio à Saúde da Família (NASF) para o Programa eMulti, destacando os desafios estruturais, operacionais e financeiros, bem como os impactos dessa mudança na Atenção Primária à Saúde (APS). Trata-se de um estudo qualitativo com abordagem bibliográfica, fundamentado em literatura acadêmica, documentos oficiais e relatórios técnicos. Os resultados indicam que, embora o NASF tenha promovido uma abordagem multiprofissional no cuidado em saúde, enfrentou limitações significativas relacionadas à falta de financiamento e coordenação. O eMulti surge como uma tentativa de superar essas lacunas, oferecendo maior flexibilidade e autonomia aos municípios. Contudo, obstáculos como a ausência de diretrizes claras, dificuldades de adaptação dos profissionais e desafios no financiamento persistem. Conclui-se que o eMulti representa um avanço no modelo de atenção multiprofissional, mas exige esforços para aprimorar a integração, colaboração e efetividade das equipes. Este estudo contribui para o debate sobre políticas públicas de saúde e aponta direções para futuras pesquisas.
Double trouble: First degree-atrioventricular block and concealed ventricular preexcitation
Authors: Almeida Gustavo Luiz Gouvêa de , Almeida Marcelo Barbosa de , Santos Ana Carolina Mendes dos , Mattos Ângela Vargas de , Ballot Sophie , Lopes Alexandre
Published: December 2024

This article aims to present a case report of a canine patient with first-degree atrioventricular block and occult ventricular pre-excitation. A 9-year-old male dog, was referred for cardiological evaluation for suspected heart failure. The physical examination revealed a regular heart rhythm, loud holosystolic murmur over the left apex of the heart, accompanied by systolic thrill. Systolic blood pressure was 140 mmHg. The chest X-ray showed evidence of severe cardiomegaly and pulmonary edema, compatible with congestive heart failure. The echodoppler examination demonstrated presence of severe mitro-tricuspid insufficiency and enlargement of the four cardiac chambers. Serial electrocardiographic examination revealed presence of first-degree atrioventricular block concomitant with occult ventricular pre-excitation. To the best of our knowledge, the combination of such different electrocardiographic abnormalities wasn't reported before in a canine patient.
Síndrome de Lemierre em paciente pediátrico com otomastoidite por Streptococcus anginosus: Um relato de caso
Authors: Anache Natalia Comparin , Tognini Ana Lucia Lyrio de Oliveira , Rocha Renan Galleno Pinto
Published: December 2024

A Síndrome de Lemierre é uma doença rara caracterizada por complicações secundárias a infecção de orofaringe, dentre elas a tromboflebite séptica, sendo a veia jugular interna (VJI) o sítio mais comum de acometimento, podendo também complicar com formação de êmbolos sépticos em outros locais. Reportada pela primeira vez em 1936, teve um aumento de incidência nos últimos anos. O tratamento inclui antibioticoterapia, não havendo consenso na literatura quanto a anticoagulação ou abordagem cirúrgica, devendo estas serem avaliadas individualmente. O propósito deste relato é evidenciar a apresentação rara da síndrome em pacientes pediátricos, fornecendo uma descrição detalhada da evolução clínica, das complicações e do tratamento adotado. Além disso, visa contribuir para a vigilância de complicações em pacientes pediátricos inicialmente diagnosticados com patologias comuns. Neste trabalho é discutido o caso clínico de um paciente pediátrico, sexo masculino, 5 anos e 5 meses, diagnosticado inicialmente com otite média aguda, evoluindo para otomastoidite causada por Streptococcus anginosus. Durante a internação, evoluiu com artrite séptica em quadril esquerdo, derrame pleural, trombose de VJI e trombose de sigmóide, achados característicos da Síndrome de Lemierre.
Layout seguro - integração entre segurança e eficiência produtiva: Um estudo de caso de uma indústria no Polo Industrial de Manaus - Amazonas
Authors: Simão Alicia do Nascimento
Published: December 2024

A organização do layout de uma planta industrial é um fator crítico tanto para a segurança dos trabalhadores quanto para a eficiência produtiva. Em um ambiente industrial, negligências relacionadas à organização do espaço podem resultar em acidentes de trabalho e ineficiências operacionais. O presente artigo objetiva apresentar o desenvolvimento de um layout fabril seguro em uma indústria localizada no Polo Industrial de Manaus, onde a necessidade de realizar a mudança do layout se mostrou essencial para atender às normas de segurança e otimizar os processos produtivos. A metodologia seguiu etapas estruturadas: alinhamento inicial com as equipes de segurança e produção, mapeamento do layout atual com uso do software AutoCAD, desenvolvimento do layout ideal, testes operacionais e implementação das mudanças. Durante o diagnóstico, foram identificadas condições inseguras e áreas que precisavam de melhorias, como corredores estreitos e falta de sinalização. O novo layout propôs a ampliação dos corredores e a realocação de pallets, respeitando as normas de segurança e otimizando o espaço. Os resultados indicaram uma melhoria significativa nas condições de trabalho, com a eliminação de riscos e aumento da eficiência operacional. A implementação foi bem-sucedida e a adaptação dos colaboradores foi rápida, reforçando a viabilidade de intervenções colaborativas no ambiente fabril e que a revisão contínua do layout é essencial para otimizar a segurança e a produtividade, contribuindo para um ambiente de trabalho mais seguro e eficiente, alinhado às melhores práticas de segurança industrial.
Construindo o direito à saúde: A história e os marcos do Sistema Único de Saúde no Brasil
Authors: Silva Ellen de Moraes e , Guedes Dany da Silva , Serique Maria Alice Barbosa , Oliveira Robert Davis Souza de , Vasconcelos Vangila de Souza , Saraiva Aurilene Ferreira , Costa Francisca de Souza , Castro Paula Mazzarella Marques , Corrêa Kayla Caetano , Oliveira Criscyanne Andrade de
Published: December 2024

Este artigo tem como objetivo compreender a trajetória histórica de construção do Sistema Único de Saúde (SUS) no Brasil, desde seus marcos iniciais até sua consolidação como política pública de saúde. A pesquisa visa analisar os processos políticos, sociais e econômicos que contribuíram para a criação e evolução do SUS, destacando os principais marcos legais e institucionais ao longo do tempo. Adotou-se uma abordagem qualitativa e descritiva, fundamentada em princípios teóricos e metodológicos amplamente reconhecidos na literatura científica. A metodologia permitiu uma análise aprofundada dos principais eventos históricos, das transformações do SUS e da atuação de diferentes atores sociais e políticos que influenciaram o sistema de saúde ao longo das décadas. Os resultados apontam para a evolução do SUS, com destaque para os marcos legais essenciais, como as Leis 8.080/1990 e 8.142/1990, que definiram a estrutura organizacional do sistema e sua descentralização. Foram identificados avanços significativos, como a ampliação do acesso à saúde e a criação de programas como a Estratégia Saúde da Família, mas também surgiram desafios persistentes, como o subfinanciamento do sistema, as desigualdades regionais e a falta de recursos adequados. O estudo contribui para a compreensão das vitórias e limitações do SUS e oferece subsídios para a reflexão sobre seus desafios contemporâneos e futuros.
Impactos e desafios da Inteligência Artificial na Medicina: Uma revisão atualizada da literatura
Authors: Telles Vanessa de Jesus , Alcântara Matheus Silva
Published: December 2024

A Inteligência Artificial (IA) tem sido cada vez mais utilizada na medicina através de ferramentas que prometem avanços na prática médica. Por ser uma tecnologia popularizada recentemente, muito ainda se discute sobre seus impactos e mais ainda sobre os desafios a serem enfrentados no âmbito da saúde. Diante disso, o presente estudo tem como objetivo compreender os impactos da IA na medicina e os desafios para sua consolidação no contexto médico. Foi realizada revisão de literatura a partir de 10 artigos científicos publicados de 2019 a 2024, nas línguas inglesa, portuguesa e espanhola, selecionados a partir das bases de dados Biblioteca Virtual em Saúde, Lilacs, PubMed e SciELO utilizando os descritores em saúde “Inteligência Artificial”, “Educação Médica” e "Saúde". A literatura aponta os impactos da IA na medicina, o que inclui avanços no acesso e processamento de dados em saúde, na interpretação de exames, em procedimentos e nas tomadas de decisões médicas. É evidenciado ainda o uso de ferramentas de IA tanto na educação de jovens médicos quanto na prática clínica e na abordagem de novas especialidades. No entanto, desafios para a utilização da IA no âmbito médico também são evidenciados, estando relacionados a aspectos técnicos, éticos e legais. Percebe-se que a IA possui impactos benéficos para pacientes e profissionais em formação ou atuantes, mas sua consolidação na medicina ainda enfrenta desafios importantes marcados pelo desconhecimento dos limites ainda não explorados dessa tecnologia.
The Impact of Prior Based Loss Function for Elliptical Regression Models
Authors: Arashı Mohammad , Kurnaz Fatma Sevinç , Mamodekhan Naushad
Published: December 2024

In the paper we consider a multiple regression model with elliptically contoured errors. In the Bayesian view, a prior information is taken for the weight under a prior based balanced-type loss function in order to avoid making redundant assumptions. This is the essence of the Bayesian inference with vague prior information in regression analysis. It directly impacts on the performance of the quasi empirical Bayesian shrinkage estimators through the inclusion of a reciprocal weight related to the dimension of parameter space. The shrinkage factor of the estimator is also robust to outliers and the unknown density generator of elliptical models. Finally, this result is supported by an application.
Factors Influencing Perceived CPR Hands-Only Skill Retention Among High School Students
Authors: Rantung Gilny Aileen Joan , Aregay Atsede Fantahun
Published: December 2024

Retention refers to an individual's ability to retain or recall information, knowledge, or skills acquired through learning. Proficiency in performing Cardiopulmonary Resuscitation (CPR) is essential for high school students to enhance their preparedness for emergencies. One of the most straightforward CPR techniques for laypersons is CPR Hands-Only. This study aims to identify the factors influencing the post-training self-assessed perceived retention of CPR skills among high school students. A cross-sectional approach was employed, involving 111 high school students participating in a CPR Hands-Only training program. Participants were selected using a purposive sampling technique. Data were collected using structured self-assessment questionnaires to evaluate age, gender, class level, history of witnessing heart attacks, prior CPR training, knowledge, confidence, and perceived skill retention. Multivariate logistic regression was used for data analysis. Class level, knowledge, and confidence are found to influence CPR skill retention (p<0.05) significantly. 76.6% of participants have reported perceiving themselves as capable of retaining CPR skills, with most demonstrating moderate to high levels of knowledge and confidence. Age and gender do not have a significant impact, and prior exposure to heart attacks or CPR training also shows no notable effect on skill retention. The findings indicate that educational level, knowledge enhancement, and confidence-building are critical factors for successful CPR skill retention. Adapting training methods to these factors can improve training effectiveness and emergency preparedness, particularly in regions like Indonesia, where CPR training is not yet routinely integrated into school programs.
Sustainable and Community-Based Marine Tourism Development on Lovina Beach, Buleleng, Bali
Authors: I Gede Wiramatika  , Sumardani Rizki , Sengkey Fenny , Osin Rosvita Flaviana , Anggayana I Wayan Agus
Published: December 2024

Lovina, often known as Lovina Beach, is a marine tourism destination in Singaraja, North Bali. The tourism potential is still pristine and still maintains its authenticity. The most famous tourist attraction in Lovina Beach is the dolphin attraction. This study aims to describe the Lovina marine tourism destination, how local people participate in the development of Lovina tourist destinations and the obstacles faced by the community in developing Lovina tourist destinations. The research method used in the study is descriptive qualitative, data in this study were collected through observation methods, in-depth interviews, documentation, and literature studies. Determination of informants was determined using the Accidental Sampling technique. The results of this study describe tourist destinations seen from tourist destinations, tourist attractions, and tourism facilities. Community participation in the development of marine tourism destinations can be seen from maintaining the sustainability of biota, the formation of tourism awareness groups, the provision of tourism facilities, the provision of jukung (small boat) rentals, taking jobs in the tourism sector, and the holding of the Lovina festival. In the development of marine tourism destinations, there are several obstacles faced in the development of Lovina tourism destinations such as; the less than optimal arrangement and development of tourism potential which can be seen from the environmental pollution of Lovina Beach which greatly disrupts tourist activities. The conclusion drawn in this study shows that in the development of marine tourism destinations on Lovina Beach, local communities have been involved, but in its development, there are still obstacles that can be seen from the environmental pollution that occurs on Lovina Beach. Based on the findings in this study, the study recommends that in developing tourism, the community collaborates with the local government. Further research is recommended to examine the role of government and tourist perceptions.
Public Toilet as A Destination Image
Authors: Jaya Risman , Zulkifli Andi Ade , Ismail Ismail
Published: December 2024

This study aims to determine the role of public toilets as a destination image in the tourist attraction of Bara Beach in Bulukumba Regency. This study applies a qualitative method on the grounds that this qualitative research is appropriate to be used in determining real conditions in the field by utilizing descriptive methods. In the new normal era like today, every tourist attraction must be able to ensure that health protocols are still strictly and consistently implemented. One of them is the implementation of sanitation in public toilets in tourist attractions, including at Bara Beach, because this is considered to be able to make tourists who use the public toilet feel safe and comfortable. Bara Beach is one of the mainstay marine tourism attractions of South Sulawesi province, especially Bulukumba Regency. Throughout the year this beach is visited by many tourists, this is due to the extraordinary potential it has in the form of a very fine stretch of white sand and a very beautiful beach area, including the beauty of the sunset when the day is approaching nightfall. For this reason, the availability of decent and standard public toilets is very necessary, the completeness of public toilet facilities in Bara Beach must of course be in accordance with the standards. And in terms of cleanliness, it is also very necessary to maintain it well, considering that the public toilet will be used by visitors or tourists, both domestic and foreign tourists. The availability of public toilets in Bara beach destinations will certainly not necessarily be a service solution for one of the basic needs of tourists, but what is no less important in this case is how to manage it. The management of public toilets must be done properly so that the needs of tourists for clean, comfortable and safe public toilets are met, but in addition to maintaining the cleanliness of public toilets can be maintained properly, the participation of users in this case tourists is also very much needed. For this reason, through this study, the researcher intends to further study "Public toilets as an image of destinations (study on Bara beach in Bulukumba Regency)".
SAĞLIKLI BİREYLERDE FARKLI SOLUNUM KASI EGZERSİZLERİNİN SOLUNUM FONKSİYONLARI, FONKSİYONEL KAPASİTE VE YAŞAM KALİTESİ ÜZERİNE ETKİSİNİN KARŞILAŞTIRILMASI
Authors: Aktuğ Zait Burak , Yavuz Gönül , Kutlu Zeynep , Akçar Menduha
Published: December 2024

Yapılan çalışmanın amacı sağlıklı bireylere uygulanan sekiz haftalık aletli solunum kası egzersizleri ile aletsiz solunum kası egzersizlerinin solunum fonksiyonları, fonksiyonel kapasite ve yaşam kalitesi üzerine olan kronik etkisinin karşılaştırılmasıdır. Çalışmaya 55-65 yaş arası toplam 30 kadın gönüllü olarak katılmıştır. Katılımcılar egzersizleri yapmak üzere 10 kişiden oluşan powerbreathe grubu (PG), triflo grubu (TG) ve büzük dudak grubu (BDG) olarak üç gruba ayrılmıştır. Katılımcıların solunum parametreleri spirometer ile, fonksiyonel kapasiteleri 6 dakika yürüme testi (6DYT) ve 6DYT’i sonunda yorgunluk düzeyleri modifiye borg skalası (MBS) ile, yaşam kaliteleri SF-36 ölçeğinin kısa formu ile belirlenmiştir. Katılımcılar 8 hafta boyunca haftanın her günü sabah ve akşam 30’ar tekrardan oluşan solunum kası egzersizi uygulamıştır. Farklı protokollerin sonuçlarını, ön ve son test ölçümlerini ve protokol*zaman etkileşim etkisini incelemek için, Tekrarlanan ölçümler iki yönlü ANOVA testi kullanılmıştır. Çalışma sonucunda solunum parametrelerinin grup içi karşılaştırılmasında FVC’de PG’da, FEV1 ve MVV’de PG ve TG’larında, FEV1/FVC%’de PG, TG ve BDG’larında son test lehine istatistiksel olarak anlamlı bir fark bulunurken (p
ÇİFT KARİYERLİ HAKEMLERİN HAKEMLİK MESLEĞİNİ SÜRDÜRME DURUMLARINA TOPLUMSAL CİNSİYET BAĞLAMINDAN BİR BAKIŞ
Authors: Eti Rana , Dağlı Ekmekçi Yeter Aytül
Published: December 2024

Günümüz gerçeklerinde birey ikinci bir işe yönelmektedir. İkinci bir iş veya hobi amaçlı başka bir mesleğe yönelme durumu çift kariyerliliğin kapsamındadır. Bu kapsamda çift kariyerli hakemlerin hakemlik mesleğini sürdürme durumlarının toplumsal cinsiyet bağlamında araştırılması amaçlanmaktadır. Bu çalışmada raket sporları branşlarında (tenis, badminton ve masa tenisi) görev yapan 134 kadın ve 243 erkek olmak üzere toplam 377 hakeme ulaşılmıştır. Çalışma verileri, araştırmacılar tarafından düzenlenen kişisel bilgi formu ve “Hakemlik Mesleğini Sürdürme Ölçeği” ile toplanmıştır. Çalışmada tanımlayıcı istatistiğin yanı sıra verilerin normal dağılım gösterdiği (kurtosis -,300 ve skewness -,094) kabul edilerek bağımsız örneklemler T-testi ve Tek Yönlü Varyans Analizi (ANOVA) kullanılmıştır.
Bulgulara göre cinsiyet, medeni durum, yaş, eğitim durumu, branş değişkenlerine göre hakemlik mesleğini sürdürme ölçeği ve alt boyutları arasında anlamlı farklılıklar bulunmaktadır. Ayrıca toplumsal cinsiyete yönelik ifadelere verilen yanıtlara göre de hakemlik mesleğini sürdürme ölçeği ve alt boyutlarında anlamlı farklılıklar bulunmaktadır. Sonuç olarak çift kariyerli kadın hakemlerin stresleri yüksek olmasına rağmen hakemlik mesleğini sürdürme eğilimleri de yüksektir.
EXAMINING THE EFFECT OF ACADEMIC ACHIEVEMENT AND COACH COMMUNICATION ON PRE-COMPETITION ANXIETY: A RESEARCH ON ACTIVE STUDENT ATHLETES
Authors: Kürkcü Akgönül Esra , Günel İlker , Musa Mihriay
Published: December 2024

This research was conducted to investigate of academic success and coach communication level on pre-competition anxiety and self-confidence levels of students who do active sports. The sample consists of a total of 216 student athletes (age: 20.63±4.57), 89 female and 127 male. Pre-competition anxiety was measured with the "Revised Competition State Anxiety Inventory-2 (CSAI-2R)". Academic success was evaluated based on the participants' grade point average. “t test, ANOVA and Pearson Correlation test” were used. Cognitive anxiety (CA) level of students was 8.63 points (high); physical anxiety (PA) level was 8.51 points (medium); self-confidence (SC) level was 15.29 points (high). There is a significant and positive relationship between academic success and coach communication level (p=0.28; r=0.150); However, there was a significant and negative relationship between coach communication level and pre-competition CA (p=0.000; r=-0.279) and a significant and positive relationship with SC level (p=0.000; r=0.292). CA, PA and SC scores of students were significantly different according to gender (p=0.001; p=0.002; p=0.001); However, there was no significant difference according to sports age, coach type, education level and coach gender (p>0.05). As a result, it has been determined that students who do active sports have serious CA before the competition and very high SC. While the grade point average of the participants increases, the level of coach communication also increases. While coach communication level increases, their cognitive anxiety decreases and self-confidence increases. Therefore, while the grade point average increases, cognitive anxiety level decreases and self-confidence level increases. Increased academic success positively affects pre-competition anxiety.