bluuebunny/crossref_metadata_2025 huggingface dataset:
Human Capital Influences Individual Work Performance from Alumni of Vocational High Schools in Telkom Malang
Authors: Suryoningtyas Oktarica Pratiwi
Published: September 2022

The quality of Individual Work Performance (IWP) of workers affects their work productivity in the workplace. This also has an indirect impact on improving the country's economy. The workforce IWP is influenced by human capital. Furthermore, this study was conducted to analyze the human capital of vocational high school graduates on IWP. This study used a survey method with a quantitative approach. The sample of this research was 130 alumni of vocational high school of Telkom Malang in the field of information and communication technology. Human capital indicators were knowledge, competences, skills, and innovativeness. Data collected through surveys and unstructured interviews, then analyzed with descriptive and regression techniques. The findings described respondents’ demographics. Meanwhile, the result of multiple linear regression showed that there was a simultaneous influence between the human capital indicators on the IWP. An effective contribution was determined by IWP’ skill and innovation. To better prepare graduates in their fields, vocational high schools should further increase knowledge, competences, skills, and innovativeness of their students to increase alumni work productivity in the world of work.
Implementation of Problem-Based Learning-Stem Strategy on Students’ Conceptual Understanding and Critical Thinking in Fundamental of Chemical Equilibrium
Authors: Prastika Frissa Rizkihati , Dasna I Wayan , Santoso Aman
Published: September 2022

This research aims to determine differences in students’ conceptual and critical thinking of XI High School Students that teach using Problem Based Learning-STEM strategy on learning chemical equilibrium. This research use design quasi-experimental factorial 2x2 design with convenience sampling. Instruments used in this research are students’ conceptual and critical thinking tests. The result shows that (1) there are differences students’ conceptual and critical thinking in the group that learned by Problem Based Learning-STEM with the group that learned using Problem Based Learning Strategy, (2) there are differences in students’ conceptual and critical thinking based on initial abilities in the group that learned by Problem Based Learning-STEM with the group that learned using Problem Based Learning strategy, (3) there is no interaction of Problem Based Learning-STEM strategy and Problem Based Learning based on initial abilities to students’ conceptual and critical thinking
Integration-Interconnection with a Scientific Approach on the Rational and Irrational Inequality of One Variable Module
Authors: Ulwiyah Sa'adatul , Permatasari Dian , Laksmiwati Pasttita Ayu
Published: September 2022

Learning in madrasah tends to teach concepts and materials related to that science alone, without paying attention to other sciences. Thus, there is a need for innovation in learning that can link various fields of science, one of which is by applying integration-interconnection-oriented learning. The research aims to develop insights into integrated-interconnected mathematical learning modules with a scientific approach to rational and irrational materials of one variable is valid. The type of research used is research and development (R&D). This research was designed by following the steps of Richey and Klein's development, namely the PPE development model (Planning, Production, and Evaluation). The instrument used is a product validation assessment sheet given to two expert validators. The results showed that the integrated-interconnection-oriented mathematics learning module with a scientific approach that had been developed got an average product validity score of 0.82 with a high category. Thus, it can be concluded that this learning module has met the valid criteria.
Higher education quality assurance: the case of the United States
Authors: Verhine Robert E.
Published: September 2022

The purpose of this article is to provide an overview and critique of higher education quality assurance in the context of the United States (US), reviewing the US model in terms of its history, characteristics, problems and controversies, in an effort to extract lessons that are applicable to other countries, including Brazil. The study examines topics such as institutional rankings, student learning assessment, the role of government in the university accreditation process and the challenge of assuring the quality of for-profit institutions. The article concludes with a list of recommendations extracted from the US experience that could conceivably contribute to the improvement of quality assurance frameworks in other parts of the world.
Desarrollo temprano de la capacidad de mentalización, principales precursores neuropsicológicos y sus alteraciones
Authors: Flores Lázaro Julio
Published: September 2022

La mentalización es una capacidad neuropsicológica que permite la interacción entre personas, y el reconocimiento de estados mentales, deseos, y pensamientos propios y de los demás. Esta capacidad presenta competencias tempranas desde los primeros meses de vida. En este artículo se presenta una revisión narrativa de la literatura, dividida en dos secciones: la primera incluye los principales precursores neuropsicológicos que soportan y fomentan el desarrollo normal de la capacidad de mentalización en infantes y niños preescolares: la percepción visual, la búsqueda de mirada/ rostro, las respuestas de expresiones faciales, la atención conjunta y el reconocimiento de emociones. En la segunda sección se revisa la afectación de estos precursores en niños con trastorno del espectro autista. El conocimiento de las principales dimensiones del desarrollo temprano de la mentalización permitirá contar con mejores herramientas profesionales para la evaluación y detección temprana de alteraciones. Por ende, se podrá realizar una intervención eficaz con respecto a la mentalización, la cual se ve afectada en diversos trastornos del desarrollo.
Interface Regionalização e Controle Social numa Macrorregião de Saúde
Authors: De Andrade Cardoso Ana Cláudia , De Lima Martelli Petrônio José , Morais Duarte de Miranda Gabriella , Santos Dantas Cassio Luiz , Dias da Silva Maria Vanessa , Falangola Benjamin Bezerra Adriana
Published: September 2022

Objetivo: analisar a participação do controle social no processo de regionalização da saúde nos municípios sede de macrorregião em Pernambuco. Método: foi realizado um estudo de caso, de abordagem qualitativa. Os dados foram obtidos mediante entrevistas semiestruturada com doze conselheiros municipais de saúde e de análise documental dos relatórios das conferências municipais de saúde e das atas, resoluções e listas de frequência das reuniões das Comissões Intergestores Regional. A identificação das dimensões foi realizada mediante análise temática. Resultados: evidenciou-se o conhecimento incipiente dos conselheiros em relação aos aspectos conceituais, à sua atuação no processo de regionalização e, principalmente, aos instrumentos de planejamento regional. A ausência de espaços institucionalizados de controle social no âmbito regional de caráter regular e permanente, como fóruns, conferências e conselhos regionais e de representantes dos conselhos na Comissões Intergestores Regional repercutem nas escassas discussões acerca da regionalização. Conclusão: há necessidade de promover o empoderamento dos conselheiros com o objetivo de fortalecer o processo de regionalização.
Desencontros entre o cuidado instituído e as necessidades de saúde de idosa com deficiência física: ressonâncias encontradas nos serviços de saúde.
Authors: Gomes Pessanha Aracely , Soares de Oliveira Souza Barbara , Terenzi Seixas Clarissa , Santa Cruz Coelho Karla , Slomp Junior Helvo , Da Cruz Kathleen Tereza
Published: September 2022

Resumo: O objetivo deste estudo foi analisar a produção do cuidado à pessoa idosa com deficiência na rede de atenção à saúde em um município do estado do Rio de Janeiro, Brasil. Trata-se de um estudo qualitativo e exploratório, a partir de uma abordagem cartográfica utilizando a ferramenta do usuário-cidadão-guia. Através de encontros semanais virtuais realizou-se o processamento dos registros contidos no diário cartográfico e emergiram quatro analisadores, que foram problematizados: 1-A expectativa do encontro com a “paciente difícil”; 2-A potência de vida por trás do “ser deficiente”, 3-As ressonâncias legitimadas nos/dos serviços de saúde; 4-Preta, pobre e deficiente física na pandemia de COVID-19. Nesse sentido, a usuária desloca os pesquisadores para a (in) visibilidade de seus saberes, desejos e valores, e alerta para a necessidade de considerar as singularidades e a ética das existências quando do planejamento do cuidado em saúde para esta população.
Crianças e condições crônicas complexas: análises sobre lugares e práticas de cuidado em saúde
Authors: Reis Silvia , Polejack Larissa , Dourado Araujo Isadora Cristine , Lima dos Santos Milena
Published: September 2022

A necessidade de equipamentos e de cuidados permanentes às crianças com condições crônicas complexas, a exemplo das dependentes de ventilação mecânica (VM), muitas vezes resultam em internações hospitalares prolongadas, o que impõe dificuldades para as famílias e para o sistema de saúde. Esta pesquisa buscou mapear a existência de crianças dependentes de VM hospitalizadas no Distrito Federal e conhecer os desafios para sua desospitalização. Para tanto, foi realizada uma pesquisa-intervenção cartográfica, por meio do acompanhamento de processos de transição hospital-domicílio e da identificação das dificuldades a eles relacionadas. As pesquisadoras transitaram entre hospitais públicos do DF, domicílios e um abrigo institucional, realizando observação participante (registrada em diário de campo), leitura de prontuários e entrevistas semiestruturadas com mães e profissionais de saúde. Identificou-se que os atravessamentos do saber biomédico, a cultura hospital-centrada, bem como os sentidos atribuídos às crianças “crônicas” e “complexas”, definem o estabelecimento de práticas e lugares de cuidado, dificultando a desospitalização. A falta de capacitação e estrutura adequada para as equipes de atenção domiciliar, e a insuficiência de vagas no serviço de home care privado contratado pela Secretaria de Saúde também são fatores que dificultam esse processo. Concluiu-se que é necessário não só prover condições concretas para que as equipes de atenção domiciliar recebam este público, mas também desnaturalizar a noção de “crônicas” e “complexas”, ampliando a compreensão acerca da desospitalização dos usuários e desinstitucionalizando saberes e práticas, para que seja possível cuidar das crianças e suas famílias de forma singularizada e não burocrática.
Pesquisar envolvendo pessoas com deficiência e a perspectiva inclusiva: dossiê internacional
Authors: Biancha Angelucci Carla , Burg Ceccim Ricardo , Rodrigues de Freitas Cláudia
Published: September 2022

O presente dossiê trata do pesquisar, envolvendo pessoas com deficiência e a perspectiva inclusiva, estando atravessado por pesquisadores da área de Educação Especial, Saúde e Processos Inclusivos. Foram reunidas abordagens em estudos documentais, empíricos e teórico-práticos que tomam a Educação ou a Saúde como dimensões da vida subjetiva, sempre na perspectiva das políticas e práticas de inclusão. A perspectiva inclusiva, neste dossiê, parte da compreensão e acolhimento das premissas da Convenção sobre os Direitos das Pessoas com Deficiência, que, no Brasil, tem estatuto de Emenda Constitucional1.
Percepção discente a partir de um guia didático sobre Problem Based Learning e fraturas expostas
Authors: Castro Neto Deodato Narciso de Oliveira , Nascimento Karla Angélica Silva do
Published: September 2022

Objetivo: O presente estudo tem como objetivo avaliar a percepção discente quanto a aplicação de um guia didático com PBL sobre fraturas expostas a partir de casos clínicos. Metodologia: A pesquisa de abordagem qualitativa, de natureza aplicada e caráter exploratório, do tipo pesquisa-intervenção, dividiu os estudantes em dois grupos: experimental e controle. Foi realizada uma sequência didática, a partir de um guia para o desenvolvimento de atividades, tais como: elaboração de oficina metodológica, aplicação do PBL sobre fratura exposta e uma aula tradicional com o mesmo tema aos devidos grupos selecionados de forma aleatória, sendo coletados dados como perfil identitário, questionários para avaliação das percepções discentes pré e pós-teste em ambos os grupos e, posteriormente, a realização de grupos focais. Resultados: Os resultados revelam que o grupo experimental apresentou desfechos superiores em relação ao grupo controle, principalmente nos quesitos de estratégia de aprendizagem continuada, segurança, domínio do tema, construção do conhecimento e envolvimento com o assunto. Considerações finais: Concluímos que a sequência didática, trabalhada no guia intitulado “PBL, faça o seu: Guia de Sequência Didática”, foi fundamental no processo de ensino e aprendizagem, sobretudo pela sua organização e estrutura, visto que promove ações desenvolvidas com os alunos, tanto no caso problema quanto na abordagem pedagógica do professor-tutor.
Factors Affecting Community Compliance in Preventing COVID-19 Based on the Health Belief Model
Authors: Aini Nur , Pratiwi Putri Anggita Maulidinah , Mashfufa Erma Wahyu , Setyowati Lilis , Dwi Marta Ollyvia Freeska
Published: September 2022

COVID-19 cases in Indonesia are increasing. This has been caused by several factors, such as the lack of compliance and the negative perception that COVID-19 is not a dangerous disease. This study used the health belief model to analyze the factors influencing community compliance in preventing COVID-19. This was a descriptive quantitative study with a cross-sectional approach. The participants included 130 residents of Saronggi District, Sumenep Regency. Data were collected through a questionnaire about compliance and perceptions based on the health belief model. Perceptions of vulnerability, seriousness, benefits, barriers and actions were examined, along with their association with COVID-19 prevention compliance. The data were analyzed using an ordinal regression test. Compliance in preventing COVID-19 was measured as obedient in 75 people (57.69%), quite obedient in 17 people (13.07%), and not obedient in 38 people (29.24%). Meanwhile, based on the findings, the dominant factors that influenced compliance were perceived benefits (p = 0.001), perceived barriers (p = 0.023), and perceptions of action (p = 0.003). Public education about the dangers and prevention of COVID-19 needs to be improved by involving community leaders as role models so that community compliance will increase.
Keywords: perception, compliance, health belief model, COVID-19
Effect of Wudhu on Sleep Quality
Authors: Setyowati Lilis , Ramadhan Indra Ardi , Aini Nur , Dwi Marta Ollyvia Freeska , Mashfufa Erma Wahyu
Published: September 2022

Sleep needs are determined by the duration (sleep quantity), depth of sleep, and what is felt after sleep (sleep quality). Many people often ignore the quantity of sleep and consider it normal when the amount of sleep is less than usual. Poor sleep quantity can cause low concentration and attention, which might result in decreased academic scores. Long-term impacts include an elevated risk of coronary heart disease, obesity, high blood pressure, diabetes, mental stress, stroke, and other causes of death. Wudhu before bed is one of the interventions to improve sleep quality. This study aimed to determine the effect of ablution before bed on the quantity of sleep in the students of the Nurul Huda Mergosono Islamic boarding school in Malang-Indonesia. The participants of this study were 82 Islamic boarding school students recruited through simple random sampling. The instrument used was the One Week Sleep Diary. Participants filled out sleep observation sheets and performed ablution for two weeks. Multiple logistic regression was used to analyze the data. In addition, this study examined factors that affect sleep quality in the broader population. The results showed that most participants had a TST of 5 hours. The participants had difficulty initiating sleep, and it took a long time to fall asleep again when they woke up from sleep at night. The most important factor affecting the quantity of sleep was carrying out ablution before going to bed.
Keywords: sleep quantity, ablutions, sleep disorder
Perspectives of COVID-19 Vaccines Among Indonesians: A Thematic Content Analysis of Online Media
Authors: Rahayu Henik Tri
Published: September 2022

The world continues to face the COVID-19 pandemic, including in Indonesia. The number of COVID-19 infections and deaths continue to escalate. COVID-19 vaccines were globally distributed and became a vital tool to prevent the spread of COVID-19 and reduce its life-threatening effects. However, community perspectives regarding COVID-19 vaccines are still varied, which is vital for promoting vaccine programs successfully. The purpose of this study was to explore the community perspectives of COVID-19 vaccines in Indonesia. This was qualitative research that utilized secondary data from online news media. The data were analyzed through content analysis using the NVivo 12 Plus software. The findings indicated that Indonesian community perspectives regarding COVID-19 vaccines are varied. Some accept the vaccines and think they are vital to prevent the increasing number of infections and stop the COVID-19 pandemic; however, some think that the COVID-19 vaccine is only a political issue, not essential, and some do not believe that COVID-19 exists. Negative beliefs or perspectives of COVID-19 vaccines are a barrier to successfully implementing vaccine programs. This study highlights the importance of understanding community perspectives and identifying problems in vaccination programs. Healthcare providers can utilize the findings to provide better health education, particularly in the context of the pandemic.
Keywords: COVID-19, vaccine, community perspective, online media, content analysis, NVivo analysis
Risk Factors for Death in Covid-19 Patients at the Muhammadiyah University General Hospital of Malang
Authors: Galang Pambudi Gusti , Firmansyah Wildan , Nuswantara Harjuna Duta , Djunaedi Djoni
Published: September 2022

The current global death rate of Covid-19 is 2.1%. In Indonesia, the rate is 3.3%. The Muhammadiyah University General Hospital of Malang is a Covid-19 referral hospital and in July 2021 there were 242 Covid-19 cases admitted to the wards with 48 deaths (19.8%). This study aimed to determine the risk factors of death in Covid-19 patients in terms of comorbidities. This was an analytical retrospective observational study, which used secondary data from July 2021. Several risk factors were examined, including gender, age (26 to 86 years), length of treatment (1 to 17 days), and comorbidities (diabetes mellitus, hypertension, heart failure, renal disorders, obesity, pregnancy, stroke, COPD, etc). We concluded that the most influential risk factors were male gender, age between 60 to 69 years, treatment duration of 1 to 5 days and diabetes mellitus.
Keywords: comorbidities, mortality, Covid-19, infection installation
Comparison of Antibody Titers From COVID-19 Survivors and Health Workers Getting Two Doses of the Sinovac® Vaccine
Authors: Rahmatika Frida Neila , Suryaningsih Indah Ika , Chumairoh Nur , Djunaedi Djoni
Published: September 2022

Almost two years since becoming a global threat, the whole world is still looking for the best way to reduce the rate of transmission of COVID-19. One of the ways to deal with COVID-19 is to increase immunity by stimulating antibodies in the community. Antibody-mediated humoral responses are critical to prevent viral infections. Antibodies can also be formed through natural processes when someone is infected by SARS-Cov2 or through vaccination programs. In this study, collective blood samples were taken to examine IgG spike receptor binding domains (IgG S-RBD) between two groups: COVID-19 survivors (n = 50) and health workers who were vaccinated twice with the Sinovac vaccine (n = 50). There were no significant differences in antibody levels between the previous COVID-19 infection group and the health workers groups (p = 0.8). 50% (n = 6) of the health workers who were aged 30-39 had excellent titer antibody levels, as did 50% (n=7) of the COVID-19 survivors group who were in their 30s. Further research is needed to decide the perfect time for booster shots.
Keywords: COVID-19, titer antibody, IgG S-RBD, Sinovac
Clinical Characteristics of Multisystem Inflammatory Syndrome in Children With Severe and Critical Symptoms in the Pediatric Intensive Care Unit
Authors: Taufiq Kadafi Kurniawan , Maulidya Erviani , Ratridewi Irene , Olivianto Ery , Kuntartiwi Dyahris , Yuliarto Saptadi
Published: September 2022

Generally, children infected with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS COV-2) have mild symptoms or are asymptomatic. However, some children have severe and critical symptoms affecting several organ systems, including the gastrointestinal, cardiovascular, respiratory, and neurological systems. These severe and critical symptoms are associated with multisystem inflammatory syndrome in children (MISC). This study aimed to describe the clinical features, ventilation modalities usage, and outcome conditions of these children. This was a retrospective study of children with COVID-19 and MISC who were treated in the COVID-19 isolation pediatric intensive care unit (PICU) of Saiful Anwar General Hospital over one year. The data were obtained from medical records and were analyzed descriptively. A total of 491 pediatric patients with suspected COVID-19 were included; 51 had a confirmed COVID-19 diagnosis; 9/491 (1.8%) were patients with MISC who were treated in the PICU; and 7/9 (78%.0) of MISC patients in the PICU used mechanical ventilators. The frequency of MISC patients with gastrointestinal problems was 7/9 (78%) patients, respiratory problems was 9/9 (100%), and myocardial injury (increased troponin) was 5/9 (56%) patients. All MISC patients admitted to the PICU experienced shock with vasoactive drugs including dobutamine, epinephrine, norepinephrine and vasopressin. All MISC patients with severe and critical symptoms had comorbidities. Invasive mechanical ventilation was provided for 7 patients, and 2 patients received non-invasive ventilation. The mean of PEEP used in the invasive ventilation was 7-9 cmH2O. The length of the ventilator usage was 2-21 days, with 2 patients passing away, both with a comorbidity and multiorgan system injuries. It can be concluded that pediatric patients with confirmed COVID-19 may also have MISC with severe and critical symptoms. Early recognition of pediatric patients with MISC is necessary to reduce morbidity and mortality.
Keywords: COVID-19, multisystem inflammatory syndrome, children
Application of the ATC/DDD Method to Evaluate Captopril and Nifedipine Usage in Bluluk-Lamongan Regency Healthcare Service
Authors: Nurhani Alifya Puspita , Hidayati Ika Ratna , Yunita Sendi Lia , Titani Mutiara , Muslih Muhammad , Atmadani Rizka Novia
Published: September 2022

Hypertension occurs when the systolic blood pressure is more than 140 mmHg and the diastolic is more than 90 mmHg. Hypertension might cause damage to the body’s organs directly or indirectly. This study aimed to analyze the use of the drugs Captopril and Nifedipin at the Bluluk Health Center, Bluluk District, Lamongan using the ATC/DDD method. This was an observational study with a retrospective descriptive design. Data collection was carried out using quantitative methods, more specifically the ATC/DDD method. The results of DDD/1000 inhabitants/day of the drug Nifedipine 10 mg in 2020 were highest in January, namely 0.98 mg, and the lowest was 0.17 mg in October with an average of 0.46 mg. For DDD/1000 inhabitants/day, the drug Captopril 12.5 mg in 2020, the highest in January was 3.6 mg and the lowest in May was 0.4 mg with an average of 1.6 mg. For DDD/1000 inhabitants/day, the drug Captopril 25 mg in 2020 was the highest in August at 7.6 mg and the lowest in April was 1.2 mg with an average of 3.7 mg. The DDD value of Nifedipine 10 mg was less than the World Health Organization value of DDD Nifedipine, which is 30 mg. The DDD value of Captopril (12.5 mg and 25 mg) was also less than the World Health Organization DDD of 50 mg, so it can be concluded that the use of Nifedipine 10 mg and Captopril (12.5 mg and 25 mg) is still controlled.
Keywords: Captopril, Nifedipine, ATC/DDD, hypertension, healthcare service
Use of Clopidogrel in Ischemic Stroke Patients
Authors: Hasanah Khofifah Uswatun , Hasmono Didik , Sumadi Firasti AN
Published: September 2022

Stroke is a clinical condition that develops rapidly and is caused by focal (diffused) brain injuries or damage accompanied by symptoms that can occur for 24 hours, and it can lead to death. Clopidogrel is an antiplatelet drug used to prevent stroke by reducing the ability of blood to clot. This study aimed to examine the usage pattern of clopidogrel in ischemic stroke patients at Sidoarjo Public Hospital during the period of January – December 2020. This study was observational and retrospective. The data were analyzed descriptively. Monotherapy of clopidogrel was registered in all patients (100%) with a dosage of 1 x 75 mg delivered orally. The use of clopidogrel with other antiplatelet drugs was 1 x 80 mg ASA delivered orally and 1 x 75 mg clopidogrel given orally for 1 patient.
Keywords: clopidogrel, antiplatelet, ischemic stroke
The Relationship Between Exposure to Coal Dust Levels and Acute Respiratory Infection: A Literature Review
Authors: Agustiyaningsih Titik , Susilo Anggi Maylita , Dwi Marta Ollyvia Freeska , Ruhyanudin Faqih
Published: September 2022

Coal is a resource that humans use as fuel, including for steam power plant activities. In the process of generating electricity, coal must go through a combustion process which in the end leaves dust from burning the coal. This combustion residue contains compounds that can cause respiratory problems, one of which is acute respiratory infection (ARI). This study aimed to determine the relationship between exposure to coal dust levels and the incidence of ARI, and to identify the associations between the duration of exposure and dust concentration in coal combustion residues with the incidence of ARI. This was a literature review, with a sample of 11 journal articles obtained from Pubmed (n = 2), Proquest (n = 3), Science Direct (n = 1), EBSCO (n = 3), and Neliti (n = 1). The keywords used to search for the relevant articles were: “Acute Respiratory Infection” OR “Pneumocosis” OR “Pneumonia” AND “Coal Dust” OR “Dust” OR “PM₁₀” OR “PM₂,₅”. Thematic analysis was used to examine the results. 81.8% of the results from the articles showed that there was a relationship between exposure to coal dust levels and the incidence of ARI, while the remaining 18.2% showed no correlation. Exposure duration, dust particle size, threshold value and dust-forming compounds have a relationship with the incidence of ARI and other respiratory disorders.
Keywords: acute respiratory infection, ARI, coal dust
Efficacy of Open vs. Laparoscopic Appendectomies
Authors: Izhar Muhammad , Khan Asfandiyar , Ahmad Ziyad , Abubakar Muhammad , Anjum Bilawal , Ullah Wajid
Published: September 2022

Background: Appendicitis is common problem treated surgically by open or laparoscopic appendectomy.
Objectives: To compare short term complications of open versus laparoscopic appendectomy.
Study design: Randomized control trial
Setting: Department of General Surgery, Mardan Medical Complex, MTI, Mardan.
Subjects: Total 110 patients of both gender aged 20 to 40 years undergoing appendectomy were enrolled.
Methodology: This study was done from 12thJuly 2020 till 11th January 2021 after approval from hospital ethical committee. Total 110 patients were enrolled and divided in open appendectomy and laparoscopic appendectomy and short term complications were noted.
Results: In our study total 110 patients were enrolled and divided in two groups. The mean age of patients was 32.65±4.8 years. There were 25.5% patients in younger age group and 74.5% in elder age group. In our study population there were 26.4% males and 73.6% female patients. The mean body mass index was 30.9±5.5 kg/m2. Mean duration of surgery was 1.4±0.4 hours in laparoscopic group and 1.5±0.4 hours in open appendectomy. The most common complication was wound infection in 12.7%, paralytic ileus in 10.9%, intra-abdominal abscess in 9.1% and vomiting in 6.4% patients. Complication rate was significantly increased in open appendectomy, p-value 0.032.
Conclusion: Laparoscopic is safer as compared to open appendectomy.
Narrative Competence in Pretense Play and Stories
Authors: Glaubman Rivka , Glaubman Hananyah
Published: September 2022

The purpose of the present study was to explore a method for analyzing children's narratives in pretense play and replica stories. A theoretical framework was derived from Bruner (1990) and Fein (1989). This framework served to construct the Realistic-Imaginal Scale (RIS) which incorporated behavioral components appearing in the relevant empirical literature. The scale includes 17 items grouped into 4 categories and measures narratives on a realistic-imaginary continuum. A limited attempt to test the applicability of the RIS, using pretense play episodes of Israeli kindergarten children, and the replica stories of US preschoolers, revealed well-distributed scores correlated with Applebee's narrative organization scores. The scale yielded high inter-scorer reliability. Distributions of scores showed a striking resemblance between the two culturally and contextually different samples. The strong theoretical framework of the RIS makes it a promising tool for the analysis of young children's narrative competence, thus providing a potent tool for theoretical and research.
Intensive Reading and Task- Based Approaches: A Relevant Viewpoint in Improving Students’ Reading and Writing Proficiency
Authors: Ala Mary Joy , Derequito Chester
Published: September 2022

The gap that exists between reading and writing proficiency in English continues to grow. Moreover, the poor performance of the students is alarming when it comes to reading and writing. The kind of approach, strategy, and method has a big impact and factor which would affect the students’ performance. The purpose of this study is to determine the significant difference of Intensive reading approach in reading proficiency in terms of word recognition, comprehension, and speed. Also, to determine the significant difference of Task- based approach in the writing proficiency of the students in terms of sentence structure, vocabulary, cohesion, and transition device. Consequently, the intensive reading approach with the components of Know, want, and learn (KWL) Chart, Vocabulary Self Selection strategy (VSS), and Story maps used during the execution of the lessons. However, in the task – based approach which has the components of Listing, Ordering/sorting, Comparing/contrasting was used as part of the writing test. The findings show that there was significant difference in intensive reading approach in the reading proficiency of the respondents in terms of word recognition and comprehension. There were constant changes every time the treatment was being used. However, in speed, the changes were being manifested. It implies that the longer the time you use the treatment, the higher the chance that the speed of the students will be improved. The length of time of the intervention was another factor that may have caused these non-significant results. In the same manner, there was significant difference in task- based approach in the writing proficiency of the respondents in terms of sentence structure, vocabulary, cohesion, and transitional devices. The writing proficiency was all improved across the three post tests using the intervention. The findings show that there was improvement in the three consecutive posttests of Grade 8 respondents in reading and writing proficiency after the exposure to the intensive reading and task-based approaches. The use of the said approaches shows positive results in enhancing reading proficiency in terms of word recognition, comprehension, and speed. Moreso, in writing proficiency in terms of sentence structure, vocabulary, cohesion, and transitional devices.

Keywords: Intensive Reading Approach, Task- based Approach, Reading Proficiency, Writing Proficiency.
Study on relationship between job satisfaction, motivation and work engagement of kindergarten teachers in the preschool system in Albania
Authors: Kume Enida
Published: September 2022

The study provides the results of data analysis of 176 interviews with kindergarten teachers. Job satisfaction, work motivation and work engagement are manifestations of the psycho-social state and behavior of Albanian kindergarten teachers that are evaluated at the "moderate" level. The evaluation of Pearson's correlation coefficients between Job satisfaction, work motivation and work engagement identified the statistical significant relationships (p<0.05) between them. The multifactors linear regression analysis showed that job satisfaction is most important psycho-social indicator that affet the general variance of work engagement of the kindergarten teacher .  Among the demographic features with the greatest effect on the variance of work engagement is family status (p<0.01), followed by age and work experience of kindergarten. Propriety status of kindergarten and residential areas do not have a statistically significant impact on the state and psycho-social behavior of kindergarten teachers
Impactos de Geradores Fotovoltaicos Distribuídos em uma Rede de Distribuição de Energia Elétrica de Baixa Tensão
Authors: Castilhos Leonardo Pereira , Donadel Clainer Bravin
Published: September 2022

Este trabalho tem como objetivo principal simular, por meio de uma ferramenta computacional, uma rede secundária de distribuição de energia elétrica e analisar os impactos observados em fatores de qualidade de energia elétrica após a inserção de geradores fotovoltaicos distribuídos na rede. Foi definido um caso base de referência que representa a rede original sem a presença de geradores distribuídos. Ao caso base foram inseridos geradores fotovoltaicos distribuídos formando, assim, seis casos que representam distintos cenários cuja diferença é a quantidade de geradores distribuídos ao longo da rede. Do cenário 1 ao cenário 6 aumenta-se a presença de geração distribuída na rede e, para cada caso, são analisadas grandezas como: perdas no transformador de distribuição, perdas totais nas linhas, energia elétrica ativa entregue à rede pelo transformador de distribuição, potência no secundário do transformador de distribuição e tensões nas barras. O sexto cenário de simulação representa um cenário crítico. Os resultados apontam problemas que não podem ser aceitos, tendo em vista a legislação brasileira. Portanto, são sugeridas mudanças na rede a fim de mitigar os impactos negativos da conexão de geradores distribuídos na rede, observados no cenário 6. Tais mudanças foram implementadas e o cenário 6 foi novamente simulado a fim de que fosse avaliada a eficiência de cada mudança proposta. As simulações e resultados apresentados neste trabalho mostram que a presença de geradores fotovoltaicos distribuídos nas redes secundárias de distribuição de energia elétrica pode causar impactos tanto positivos quanto negativos. Desta forma, é evidenciada a importância dos estudos acerca de tais impactos.
Produtividade e Competividade para as Micro e Pequenas empresas através da participação no Projeto ALI do SEBRAE
Authors: Nunes Anderson de Souza , Silva Rafael Mozart da
Published: September 2022

A presente pesquisa teve como objetivo geral investigar a repentina mudança de rotina imposta pela COVID-19 às MPEs atendidas pelo Projeto ALI do SEBRAE. Por meio de análises quantitativas foi possível concluir que as empresas pesquisadas que conseguiram retomar o seu faturamento não tiveram avanços significativos nas dimensões de gestão da operação e marketing, mostrando como as empresas renunciam a avanços e novas práticas em detrimento de ganhos de faturamento no curto prazo.  A pesquisa também corrobora com a ideia de as MPEs ainda precisam de muita dedicação e abertura para a implantação real de novas culturas e de soluções digitais.
Diseño de productos de información
Authors: Vargas Cubillos Ligia Hiomara
Published: September 2022

El diseño de productos de información está determinado por un proceso secuencial y lógico conformado por varios elementos. Se parte del conocimiento profundo del mercado, es decir, de la totalidad de usuarios de la unidad de información; seguidamente se identifican las necesidades reales de información; luego, se formulan las posibles soluciones y se materializa la idea en un producto, apoyado en el diseño centrado en el usuario (DCU) y en la arquitectura de la información; finalmente, se diseñan los prototipos y se realizan las pruebas para hacer los ajustes necesarios, con el fin de lograr el diseño definitivo listo para la comercialización.
Blefaritis
Authors: Pérez Mogollón José Fernando
Published: September 2022

Hablar de los parpados nos lleva a pensar en unas estructuras que tienen relación con los ojos, cubriendo el segmento anterior y que funcionan como unas cortinas o velos móviles que se cierran y se abren con frecuencia, de forma generalmente involuntaria entre 10 y 20 veces por minuto. La blefaritis es una patología focal, esto es, la patología no se manifiesta uniformemente en todo el párpado, existen grados de gravedad que difieren entre las distintas glándulas y secciones del párpado. Esta obra presenta los distintos tipos de blefaritis y las técnicas para su tratamiento y cuidado.
Cicloplejía y dilatación de pupila
Authors: Méndez Parra Juan Carlos
Published: September 2022

La cicloplejía es una herramienta fundamental para el profesional que quiera hacer una valoración cuidadosa del globo ocular y su refracción. En los niños cobra una mayor relevancia porque permite al optómetra obtener un dato de la refracción del ojo sin que la acomodación intervenga. Esta obra le permite al optómetra utilizar la cicloplejía para la valoración de pacientes escolares, logrando más asertividad en la refracción, y utilizar técnicas indirectas de oftalmoscopia sacando provecho de la midriasis obtenida en la cicloplejía.
Ejercicios resueltos de microeconomía intermedia
Authors: Sánchez Muñoz María del Pilar
Published: September 2022

El propósito de estos Apuntes de Clase es presentar el desarrollo de algunos ejercicios de optimización del consumidor, utilizando un lenguaje formal que le permita al estudiante de Microeconomía avanzar y alcanzar los objetivos propuestos en su proceso de aprendizaje. Para la optimización del consumidor se emplean las funciones de utilidad Cobb-Douglas, de Leontief, lineal y cuasilineal, desarrolladas empleando los enfoques primal y dual, para determinar las funciones de demanda marshallíana y hicksiana, utilidad indirecta y mínimo gasto, a partir de los métodos de igualación de pendientes y el método de Lagrange. Asimismo, se trabajan medidas de bienestar como variación equivalente, variación compensada y variación de excedente del consumidor. Finalmente, se desarrollan los efectos de sustitución y renta por los métodos de Slutsky y Hicks.
Cooperación internacional para el desarrollo
Authors: Tassara Carlo
Published: September 2022

Este libro ofrece elementos para contestar a varios interrogantes sobre la cooperación internacional para el desarrollo, trazando un recorrido de su evolución basado en el análisis crítico de los diversos contextos políticos, económicos y sociales de la historia reciente; así como de los principales paradigmas y los actores que los han caracterizado. Además, esta investigación intenta perfilar la coyuntura en la que se encuentra la cooperación internacional y delinear los escenarios de su proyección futura después de la aprobación de la Agenda 2030 para el desarrollo sostenible. En este contexto, el autor evidencia procesos como el nuevo protagonismo de los países emergentes, la transición hacia un sistema internacional cada vez más multipolar y la creciente importancia en la cooperación del abordaje de temas propios de la gobernanza global. José Antonio Ocampo Profesor de la Universidad de Columbia Presidente del Comité de Políticas de Desarrollo de la ONU.
Conexiones de la salud global
Authors: Soler-Tovar Diego
Published: September 2022

La obra es la fundamentación conceptual y ejemplificación de la interfaz ecosistema-humano-animal, definida esta última como la zona de contacto física y funcional entre tres sistemas independientes: los humanos, los animales (domésticos o silvestres) y el ecosistema. Así, entre las generalidades de este nuevo concepto y su relación con las agrociencias, la epidemiología y la ecología, al igual que entre la conexión de los múltiples sistemas a partir de estudios de caso de patógenos virales, bacterianos y protozoarios, se pretende dar un enfoque aplicado de la interfaz al estudiar diferentes situaciones donde se integra la seguridad alimentaria y la salud pública (ambiental, humana y animal). De este modo, el libro se constituye en un llamado a la colaboración interdisciplinaria y la comunicación entre los diferentes actores responsables del cuidado de la salud de los humanos, animales y el ambiente, tanto natural como modificado por las actividades humanas.
Colombia y la Medicina Veterinaria contada por sus protagonistas
Authors: Villamil-Jiménez Luis Carlos
Published: September 2022

Hablar de medicina veterinaria en Colombia requiere un conocimiento sobre los aspectos que marcaron el ambiente político y social desde la Colonia hasta nuestros días, y este libro introduce al lector en los hechos, las tendencias, los logros y las dificultades de los pioneros y de los actores que hicieron posible el inicio de la veterinaria durante el siglo XIX, así como de los responsables de los complejos escenarios del siglo XX, quienes afrontaron la formulación de políticas, la gestión institucional en los ámbitos nacional e internacional y gestaron el desarrollo de la academia y la investigación. Lo mejor de este libro es que, empleando un estilo ameno y sencillo, nos contextualiza, a través de sus capítulos, y presenta a Colombia en el centro de los sucesos. Además, ofrece la posibilidad de disfrutar episodios inéditos que le imprimen originalidad cuando muestran el devenir de la escuela veterinaria a través del testimonio y la vida de los protagonistas. En últimas, la obra es una lectura imprescindible para las futuras generaciones de médicos veterinarios comprometidos con su profesión y con los nuevos enfoques que respondan a las expectativas y demandas de la sociedad.
Cuerpo
Authors: Restrepo María Eugenia
Published: September 2022

Cómo salir de un estado en el cual fluyes sin tomar las riendas de tu vida, débil frente a las adversidades; esa fue la pregunta que originó este texto. Desde Deleuze, María Eugenia Restrepo descubre a un hombre vital, sumido en el devenir propio del rizoma y al responder la pregunta bajo su perspectiva se abre camino a “una vida afortunada”, una en la cual la conciencia de lo que se es capaz de ser y hacer coincide con el incremento en la potencia de actuar para desplegar todo lo que el cuerpo puede. Este libro va dirigido a aquellos que se han hecho el mismo cuestionamiento, además de ayudar a entender la propuesta ontológica de Deleuze.
Aprender a ser familia
Authors: Uribe Díaz Patricia Isabel
Published: September 2022

Esta obra presenta varias líneas de interés para la sociedad colombiana y para quienes investigan en este campo: en primer lugar, hace visible una modalidad de convivencia familiar subregistrada en las cifras oficiales y representada socialmente como familia incompleta; pero con fuerte arraigo en las prácticas cotidianas e históricas de las familias en este país: la mujer-madre que voluntariamente o por la fuerza de las circunstancias asume la jefatura familiar y sin compañero-padre saca adelante a sus hijos. En segundo lugar, se adentra en los dinamismos internos del funcionamiento de tales familias, haciendo acercamientos muy vitales, con fuerza casi testimonial, referidos a la forma como sus integrantes mismos la representan, a cómo representan y relatan sus fortalezas y debilidades, sus trayectorias, sus conflictos y a cómo estos conflictos se afrontan internamente. Por último, el texto se realiza, justamente, desde la voz de quienes viven la experiencia, modalidad investigativa desde la cual se aprecia con mayor fineza la estructura de categorías y subcategorías que las mismas personas escogen para dar cuenta de sus vivencias.
¿Qué cambia la educación?, políticas públicas y condiciones de los cambios educativos
Authors: Arias Gómez Diego Hernán
Published: September 2022

Un cambio educativo implica transformaciones en la estructura de la escuela y del sistema, cuya motivación, adecuación e implantación requieren largos y penosos esfuerzos por revisar los contextos y las necesidades. Los falsos cambios se convierten en las más peligrosas amenazas, porque nada es peor que creerse en la otra silla sin haber atravesado el río; es decir, imaginarse, de manera ingenua, situado en un paradigma alternativo, cuando en realidad se hace lo mismo de siempre con nuevos nombres, y esto abunda en la educación. Máxime cuando las políticas de turno entronizan discursos y modas pedagógicas que, sin la complejidad de su aplicación, hacen pensar que ahora sí se hará lo que no se hacía, mientras todo sigue más o menos igual: estudiantes desmotivados, conocimientos caducos, estructuras rígidas y autoritarias, horarios fijos, evaluaciones unidireccionales, maestro despedagogizados y educación sin presupuesto intelectual y económico.La complejidad del cambio educativo implica entender y abordar los sujetos, los escenarios y las condiciones de quienes los ponen en práctica y de quienes los padecen. Como cualquier cambio social, el cambio educativo depende menos de técnicas y recetas, y más de condiciones objetivas y subjetivas para su planeación, ejecución y evaluación. Así como ninguna experiencia es transferible en forma mecánica a otra realidad, el cambio educativo adolece de esquemas rígidos de identificación que garanticen su replicación y transferencia a cualquier lugar. El cambio, de ser posible, pasa inevitablemente por las personas; es más, lo que cambia realmente a las personas. Por tanto, no existe metodología a prueba de sujetos, ni tampoco existe cambio a prueba de seres humanos.
Dinamika Relasi Islam Dan Negara: Tinjauan Terhadap Kelompok Modernis dan Neo Medernis
Authors: Ravico Ravico
Published: September 2022

The relationship between Islam and the state in the political journey in Indonesia has a journey and continues to be an endless debate or polemic. So that the next stage of the debate gave birth to two groups of Islamic political thought, namely the modernist and neo-modernist groups. The focus of the problem is how these two groups view the relationship between Islam and the state. This research is a descriptive-qualitative research with literature study and its stages. This study uses a historical approach to find analysis and answers to problems. The result of the research is that the main ideas of the two schools of modernism or neo-modernism in viewing Islam and the state must have fundamental differences, because theoretically, Islam and the state are difficult to find common ground. So that both are divided into 2 (two) thoughts, namely idealistic and realistic. However, in their idealistic framework, they both formulated a state system that was entirely based on Islamic knowledge.