bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Pemberian Jus Tomat dan Jus Jambu Biji Merah terhadap Peningkatan Kadar Hemoglobin pada Ibu Hamil dengan Anemia
Authors: Manurung Goretti , Putri Magdalena Tri , Jayatmi Irma
Published: June 2024

Anemia yang terjadi pada masa kehamilan bisa disebabkan karena banyak wanita yang memulai kehamilan dengan cadangan makanan yang tidak mencukupi atau mengalami anemia sebelum hamil. Anemia yang paling umum terjadi pada kehamilan adalah anemia defisiensi besi, yang disebabkan oleh kurangnya nutrisi dari makanan. Sebagai Upaya Mengetahui pengaruh dari pemberian Jus Tomat dan Jus Jambu Biji Merah untuk peningkatan kadar Hemoglobin pada ibu hamil dengan anemia di UPTD Puskesmas Jatiwarna tahun 2023. Metode studi kualitatif, dengan studi kasus literatur review. Dapat diketahui ada perbedaan antara ibu hamil yang diberikan intervensi penambahan Jus Tomat dan Jus Jambu Biji Merah terhadap kecepatan kenaikan kadar hemoglobin. Sehingga penambahan jus jambu biji merah lebih cepat menaikkan kadar Hemoglobin daripada penambahan jus tomat dengan selisih peningkatan kadar Hemoglobin sebanyak 0,2 gr/dl.
Persepsi Dan Preferensi Masyarakat terhadap Bank Syariah di Daerah Pondok Labu Jakarta Selatan
Authors: Triwardhani Diana
Published: June 2024

Tujuan dari penelitian ini adalah untuk mengetahui bagaimana persepsi dan preferensi dari masyarakat terhadap bank syariah. Dengan mengambil sampel di daerah Pondok Labu, Jakarta Selatan sebanyak 220 menggunakan accident sampling, serta pengambilan data melalui kuesioner maka penelitian ini mendapatkan hasil bahwa secara umum responden mengatakan tentang bank syariah dilihat dari demografi semua mendukung artinya baik dari segi gender, umur, pendidikan,pekerjaan maupun pendapatan terdapat kecocokan ketika ditabulasi silang dengan pendapat mereka tentang bank syariah, mereka berpersepsi bahwa pada bank syariah yang dilihat adalah segi Islaminya, oleh karena itulah presferensi mereka terhadap bank syariah.
Karakteristik Kejadian Ruptur Perineum pada Ibu Bersalin di Rumah Sakit Umum Dewi Sartika Kota Kendari
Authors: Astuti Ayu , Winarti Eko
Published: June 2024

Ruptur perineum adalah luka pada perineum yang di akibatkan oleh rusaknya jaringan secara alamiah karena proses desakan kepala janin atau bahu pada saat proses persalinan. Penyebab dari Rupture Perineum adalah faktor maternal meliputi partus presipitatus, varises vulva dan perineum yang rapuh. Faktor janin meliputi bayi makrosomia dan posisi yang abdormal kemudian faktor penolong yaitu kurangnya skill yang di miliki oleh penolong. Penelitian dilakukan untuk mengidentifikasi ibu bersalin yang mengalami ruptur perineum di Rumah Sakit Umum Dewi Sartika Kota Kendari. Penelitian dilakukan dalam kurun waktu bulan Januari sampai Mei 2023. Hasil penelitan menunjukkan bahwa untuk umur ibu yaitu, banyak terdapat pada umur < 20 tahun berjumlah 217 (68,67%), dan sedikit pada umur >35 tahun berjumlah 19 orang. untuk paritas yaitu, banyak terdapat pada paritas I berjumlah 198 orang (62,65%). Dan sedikit dengan ibu paritas ≥ IV berjumlah 5 0rang (1,58%). untuk presentasi janin yaitu, banyak terdapat pada presentasi belakang kepala berjumlah 302 orang (95,56 %) dan untuk presentasi majemuk tidak ada (0%). untuk berat badan janin yaitu, banyak terdapat pada berat badan janin 2500-4000 gram berjumlah 304 orang (96,20 %) dan untuk pendidikan yaitu, banyak terdapat pada pendidikan SMA berjumlah 109 orang (34,49%), dan sedikit dengan pendidikan SD berjumlah 52 orang (16,45%).
Efektivitas Tablet Fe Kombinasi Jus Bayam dan Tomat terhadap Peningkatan Hemoglobin Ibu Hamil Trimester III di Puskesmas Angsana
Authors: Nurwulan Lilis , Sugesti Retno , Noviyani Ernita Prima
Published: June 2024

Kekurangan kadar hemoglobin atau anemia pada ibu hamil biasanya terjadi akibat kekurangan asupan zat besi dengan ketentuan dikatakan kurang atau anemia apabila kadar Hb < 11 g/dL. Anemia dapat menimbulkan beragai masalah kesehatan baik terhadap ibu maupun janin. Tujuan penelitian ini adalah untuk mengetahui efektivitas terapi tablet fe kombinasi jus bayam dan tomat terhadap peningkatan kadar hemoglobin pada ibu hamil trimester III di Puskesmas Angsana tahun 2024. Metode Penelitian dilakukan secara kualitatif pendekatan studi kasus dengan jumlah sampel yang digunakan sebanyak 2 orang informan yang merupakan ibu hamil dengan kategori usia kehamilan trimester III. Analisis asuhan dilakukan dengan 3 kali kunjungan evaluasi dan pemberian intervensi selama 14 hari. Hasil asuhan kebidanan pemberian terapi tablet Fe kombinasi jus bayam dan tomat lebih efektif dibandingkan hanya diberikan terapi tablet Fe saja. Ada pengaruh pemberian terapi tablet Fe kombinasi jus bayam dan tomat terhadap anemia pada ibu hamil trimester III setelah dilakukan intervensi selama 14 hari. Ada perbedaan kenaikan kadar Hb, pada informan yang diberikan intervensi terapi tablet Fe kombinasi jus bayam dan tomat mengalami kenaikan Hb lebih banyak 0,2 gr% dibandingkan dengan yang diberikan intervensi terapi tablet Fe saja.
Pengaruh Pemberian Pisang Ambon dan Fe terhadap Peningkatan Kadar Hemoglobin Ibu Hamil Trimester III dengan Anemia Ringan di PMB N Bogor
Authors: Dewi Lismaya Puspita , Darmi Salfia , Rini Ageng Septa
Published: June 2024

Anemia adalah suatu kondisi tubuh dimana jumlah dan ukuran sel darah merah atau kadar hemoglobin (Hb) lebih rendah dari normal, yang akan mengakibatkan terganggunya distribusi oksigen oleh darah ke seluruh tubuh. Salah satu penyebab anemia bisa karena kurangnya zat besi, vitamin B12, dan asam folat. Tujuan penelitian ini adalah untuk mengetahui Pengaruh pemberian pisang ambon dan Fe terhadap peningkatan kadar hemoglobin ibu hamil Trimester III dengan anemia ringan di PMB Nurhayati Bogor Tahun 2023. Metode penelitian ini yaitu Study Case Literatur Review (SCLR). Hasil asuhan kebidanan bahwa pada responden 1 yang di berikan intervensi Fe dan pisang ambon Hb awal 10,6 gr% (anemia ringan), pada hari ke-7 setelah intervensi kadar Hb mmeningkat jadi 11 gr% (tidak anemia) dan pada hari ke-14 kadar Hb menjadi 11,4gr% (tidak anemia). Responden ke 2 yang hanya diberikan intervensi Fe, Hb awal 10,5 gr% (anemia ringan), hari ke-7 Hb meningkat jadi 10,8 gr% (anemia ringan) dan hari ke-14 mengalami peningkatan lagi menjadi 11,1 gr% (tidak anemia). Ada perbedaan waktu kenaikan kadar Hb antara yang dilakukan intervensi Fe dan pisang ambon dengan yang hanya diberikan Fe. Dengan demikian ibu hamil yang mengalami anemia ringan memiliki wawasan tentang pentingnya pemberian pisang ambon sebagai terapi tambahan pada ibu hamil dengan anemia dan dapat mengimplementasikannya di rumah. Manfaat bagi bidan dapat mengembangkan variasi menu pemberian pisang ambon dalam pencegahan anemia pada ibu hamil.
Pengaruh Fungi Mikoriza Arbuskula dan Jarak Tanam terhadap Pertumbuhan Tanaman Kacang Hijau (Vigna radiata L.)
Authors: Halim Halim , Sabaruddin Laode , Arma Makmur Jaya , Resman Resman , Hisein Waode Siti Anima
Published: June 2024

Produksi kacang hijau di Sulawesi Tenggara selalu mengalami fluktuasi yang disebabakan oleh kondisi iklim yang berubah-ubah, kesuburan tanah yang rendah serta sistem budidaya yang masih konvensional. Untuk meningkatkan produksi kacang hijau, maka perlu adanya budidaya tanaman yang baik dengan input yang mudah diterapkan oleh petani. Penelitian ini bertujuan untuk mengetahui pengaruh fungi mikoriza arbuskula dan jarak tanam terhadap pertumbuhan tanaman kacang hijau. Penelitian ini dilaksanakan di Laboratorium Lapangan Kebun Percobaan II Fakultas Pertanian Universitas Halu Oleo Kendari. Penelitian ini menggunakan Rancangan Acak Kelompok (RAK) pola factorial yang terdiri dari dua factor yaitu: faktor pertama propagul fungi mikoriza arbuskula (FMA) yang terdiri atas empat taraf dan Faktor kedua yaitu jarak tanam yang terdiri atas tiga taraf. Variabel yang diamati yaitu: tinggi tanaman (cm), jumlah daun (helai), diameter batang (cm), luas daun (cm2). Hasil penelitian menunjukkan bahwa terdapat interaksi antara fungi mikoriza arbuskula dengan jarak tanam terhadap tinggi tanaman 21, 28 dan 35 HST, jumlah daun 28 HST, diameter batang 35 HST dan luas daun 21, 35 dan 42 HST.
Identifikasi Nilai Konstanta Daun Tanaman Rambutan dan Jambu Air Berbasis Pengolahan Citra Digital
Authors: Ramadhani Farchan Mushaf Al
Published: June 2024

Daun merupakan salah satu organ tanaman yang penting, karena pada daun terdapat bagian berlangsungnya proses fotosintensis dan transpirasi yang menentukan pertumbuhan tanaman. Data luas daun diperlukan untuk pengukuran indeks luas daun dan asimilasi bersih. Terdapat beberapa metode pengukuran luas daun, salah satu metode yang paling cepat dan mudah digunakan adalah pengukuran luas daun berdasarkan dimensi daun (panjang dan lebar). Namun untuk mendapatkan akurasi yang tinggi perlu digunakan faktor koreksi yang optimal. Berdasarkan dari pertimbangan tersebut, tujuan dari penelitian ini adalah untuk mengembangkan model konstanta luas daun (k) berbasis pengolahan citra digital yang sangat berguna untuk meningkatkan akurasi pengukuran luas daun dengan studi kasus pada daun tanaman rambutan dan jambu air. Penelitian ini dilakukan di Laboratorium Agroteknologi Universitas Pekalongan. Penelitian ini merupakan penelitian identifikasi dengan melakukan pengamatan dan pengukuran dimensi daun untuk menghasilkan nilai konstanta (k) daun. Analisis data menggunakan R2, RMSE, NRMSE, NSE, dan d. Hasil penelitian didapatkan nilai konstanta daun tanaman rambutan sebesar 0,738 dan jambu air sebesar 0,680. Nilai konstanta tersebut dapat digunakan dalam pengukuran luas daun untuk tanaman rambutan dan jambu air dengan menggunakan metode dimensi daun (panjang dan lebar). Hasil penelitian menunjukkan bahwa dengan menggunakan nilai konstanta tersebut dalam mengukur luas daun menggunakan metode dimensi daun menghasilkan korelasi yang sangat kuat dan linier dengan pengukuran luas daun menggunakan pengolahan citra digital. Selain itu, berdasarkan hasil analisis statistik didapatkan bahwa nilai konstanta tersebut sangat baik dan akurat dalam memprediksi luas daun.
Pengembangan Media Pembelajaran Matematika Menggunakan Software Adobe Animate pada Materi Logika Matematika Kelas XI SMK Negeri 1 Gowa
Authors: Suharti Suharti , Sulasteri Sri , Amelia Fitra , Sriyanti A. , Majid Ahmad Farham
Published: June 2024

Penelitian pengembangan ini bertujuan untuk mengetahui prosedur pengembangan serta kualitas media pembelajaran matematika menggunakan Software Adobe Animate pada materi logika matematika ditinjau dari tingkat kevalidan, kepraktisan, keefektifan. Research and Development (R&D) adalah jenis penelitian yang digunakan pada penelitian ini dengan prosedur pengembangan ADDIE. Siswa kelas XI di SMK Negeri 1 Gowa menjadi subjek penelitian. Produk yang dihasilkan adalah media pembelajaran matematika pada materi logika matematika yang terdapat alat peraga visual dan didesain dengan menarik yang dapat dioperasikan dengan laptop dan android secara offline. Lima tahapan prosedur pengembangan ADDIE antara lain: tahap Analysis, Design, Development, Implementation, dan Evaluation. Selanjutnya, hasil dari kriteria kevalidan didasarkan pada hasil validasi oleh tim validator adalah 3,51 (sangat valid). Kriteria kepraktisan didasarkan pada hasil respon guru 98% (sangat positif) dan lembar observasi kemampuan guru mengelola pembelajaran 3,84 (tinggi), kemudian dari kedua hasil analisis tersebut media memenuhi kriteria praktis. Kriteria keefektifan didasarkan pada hasil respon peserta didik 93,7% (sangat positif), pengamatan aktvitas peserta didik 87,3% (sangat baik), dan tes hasil belajar diperoleh persentase ketuntasan 83,87%, sehingga dari hasil pengukuran diperoleh media memenuhi kriteria efektif. Dengan demikian, dapat disimpulkan bahwa media pembelajaran materi logika matematika layak untuk digunakan dalam pembelajaran.
Strategi Komunikasi Guru dalam Proses Pembelajaran terhadap Siswa Berkebutuhan Khusus di Sekolah Luar Biasa Laniang Makassar
Authors: Nurfaindah Nurfaindah , Fatimah Jeanny Maria , Kahar Kahar
Published: June 2024

Penelitian ini bertujuan untuk mengetahui strategi komunikasi yang digunakan oleh guru di SLB Laniang Makassar dalam menjalin interaksi dengan siswa berkebutuhan khusus. Strategi komunikasi merupakan salah satu faktor penting dalam perkembangan anak berkebutuhan khusus yakni dalam kemandirian belajar yang diterapkan oleh guru saat proses belajar mengajar di sekolah. Pada lingkungan masyarakat, penyandang disabilitas masih sering dikesampingkan dan kurang dipedulikan. Persepsi keliru yang menganggap mereka sebagai beban dan tidak mampu mandiri masih sering dijumpai. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Data dikumpulkan melalui wawancara dengan guru dan observasi di kelas. Hasil penelitian menunjukkan bahwa guru di SLB Laniang Makassar menggunakan berbagai strategi komunikasi dalam menjalin interaksi dengan siswa berkebutuhan khusus. Strategi tersebut meliputi: (1) Menetapkan komunikator: Guru harus memiliki kredibilitas, daya tarik, dan kekuatan untuk menjadi komunikator yang efektif. (2) Menetapkan target sasaran dan analisis kebutuhan khalayak: Guru harus memahami karakteristik siswa, baik dari aspek sosiodemografik, profil psikologis, maupun karakteristik. (3) Menyusun pesan: Pesan yang disampaikan kepada siswa harus informatif, edukatif, dan persuasif. (4) Memilih media dan saluran komunikasi: Guru harus memilih media dan saluran komunikasi yang sesuai dengan kebutuhan siswa.
Korelasi Indeks Massa Tubuh Berbasis Aplikasi Appsheet dan Kadar Hemoglobin Remaja Putri di Panti Asuhan Darun Najah Yogyakarta
Authors: Resmiaini Resmiaini , Sulistyo Andhy
Published: June 2024

Indonesia saat ini mengalami masalah gizi (triple burden) yaitu stunting (gizi pendek), wasting (kurus) dan obesitas (kegemukan melampaui batas) serta defisiensi mikro nutrien seperti anemia. Salah satu indikator utama untuk menilai status gizi adalah Indeks Massa Tubuh. Selain itu, kadar hemoglobin juga merupakan indikator penting yang mencerminkan status kesehata. Apliknasi Appsheet menawarkan solusi inovatif dalam pemantauan kesehatan.Penelitian ini bertujuan untuk mengevaluasi korelasi antara indeks massa tubuh (IMT) yang diukur menggunakan aplikasi Appsheet dengan kadar hemoglobin pada remaja putri yang tinggal di Panti Asuhan Darun Najah, Depok Yogyakarta. Jenis penelitian ini menggunakan kuantitatif yang dilakukan secara observasional analitik. Jumlah sampel yang diambil yaitu 22 remaja putri usia 12-18 tahun menggunakan metode total sampling. IMT dihitung menggunakan aplikasi Appsheet yang memudahkan pengelolaan data secara digital. Kadar hemoglobin diukur menggunakan metode standar yang telah ditetapkan. Analisis uji Chi Square dilakukan untuk menentukan korelasi antara IMT dan kadar hemoglobin. Indeks massa tubuh 22 remaja putri panti asuhan Darun Najah adalah 14 dengan IMT normal (63,6%) dan 8 dengan IMT abnormal (36,4%). Di Panti Asuhan Darun Najah, 10 (45,5%) dari 22 remaja putri memiliki kadar hemoglobin ≥ 12 gr/dL atau tidak mengalami anemia, sedangkan 12 (54,5%) remaja putri mengalami anemia. Kesimpulan terdapat hubungan indeks massa tubuh dengan kadar hemoglobin remaja putri di panti asuhan Darun Najah Depok Sleman Yogyakarta (p value 0.002<0.05)
TAREKAT SEBAGAI MEDIA PEMBINAAN MENTAL (STUDI ANALISIS TERHADAP TAWASULAN DI PONDOK PESANTREN NURUL HUDA CIREBON)
Authors: Sapari Sapari
Published: June 2024

Penelitian ini bertujuan untuk: (1) mengetahui Prosesi Tradisi Tawasulan yang ada di Pondok Pesantren Nurul Huda Munjul; (2) mengetahui tujuan para santri mengikuti Tradisi Tawasulan di Pondok Pesantren Nurul Huda Munjul;(3) mengetahui efek psikologis Tradisi Tawasulan terhadap para santri dan masyarakat yang ada di Pondok Pesantren Nurul Huda. Metode penelitian yang digunakan adalah metode deskriptif kualitatif dengan pendekatan fenomenologis. Deskriptif adalah metode dalam meneliti status kelompok manusia, suatu sistem pemikiran ataupun suatu kelas peristiwa pada masa sekarang, bertujuan untuk membuat gambaran secara sistematis, faktual dan akurat mengenai fakta-fakta, sifat-sifat serta hubungan antara fenomena yang diselidiki. Sedangkan pendekatan fenemonologis berusaha memahami arti peristiwa dan kaitan-kaitannya terhadap orang-orang biasa dalam situasi-situasi tertentu.. Hasil penelitian dapat disimpulkan: Tradisi Tawasulan yang ada di Pondok Pesantren Nurul Huda Munjul memberikan implikasi psikologis positif  bagi para santri dan masyarakat sekitar. Bagi para santri Tradisi Tawasulan memberikan  dampak psikologis munculnya kesadaran diri yang membatin tentang pentingnya rasa tanggung jawab dalam menimba ilmu di Pondok. Perasaan tersebut mendorong para santri untuk serius dan tekun dalam mengaji dan menjalani kehidupan sehari- hari  sesuai dengan tata nilai yang ada di Pondok Pesantren. Bagi masyarakat sekitar, Tradisi Tawasulan memberikan Implikasi psikologis munculnya totalitas kepasrahan atas segala kehendak Allah dengan disertai keyakinan bahwa Allah akan memberikan ketenangan jiwa dan dapat menghindarkan mereka dari kegoncangan jiwa. Sehingga kepatuhan rasa tersebut mendorong seseorang lebih siap dalam menghadapi setiap perubahan dan kemajuan Zaman.
Risk Factors and Prevalence of Hepatitis B and C in Badin City, Pakistan
Authors: Akbar Jamali Yasir , Farzana Rukia , Khan Jawad Ahmad , Mughal Amjad Ali , Saeed Hira , Kazi Sadia
Published: June 2024

Hepatitis is a global health concern, and its ever increasing prevalence in Pakistan has highlighted the need to study its epidemiology and develop preventative strategies. Objective: To determine the frequency and identify the risk factors associated with hepatitis virus infections B and C among the population of Badin city. Methods: Seven hundred sixty-seven people were tested for Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) using immunochromatographic methods. Additional testing was performed on blood samples from individuals who tested positive for hepatitis, and quantitative Polymerase Chain Reaction (PCR) was used to determine the viral load. Results: A total of 767 individuals had hepatitis. Among these, the research found that HCV was more common than HBV. However, men were more affected than women. Data on the exposure to risk factors for hepatitis B and C among the patients in our study are presented in Table 2 Of the 767 respondents, 473 (61.7%) were shaved from a barber/beauty parlour. Approximately 358 (46.7%) patients with hepatitis reused syringes. Drug addiction was observed in 66 (8.6%) patients. A history of blood transfusion was observed in 73 patients (9.5 %). Obstetrical procedures, ear pricks, and nose piercings were reported in 195 (68.1%), 245 (85.7%) and 240 (83.9%) female patients with hepatitis, respectively. Conclusions: Barbers, blood transfusions, and intravenous drug use are the most common risk factors for the spread of HBV and HCV are barbers, blood transfusions, and Intravenous Drug Use (IDUs), although newer variables, including piercings of the nose and ears and IDPs, also contribute
Tự động phát hiện và tách vết nứt trên tường gạch trát vữa từ ảnh bằng cách kết hợp bộ lọc SOBEL và phân ngưỡng OTSU
Authors: Phan Thị Anh Thư , Trịnh Đình Vũ
Published: June 2024

Nghiên cứu này tập trung vào vấn đề phát hiện các rạn nứt trên các bề mặt tường gạch trát vữa. Nghiên cứu đề xuất một phương pháp tự động để phát hiện vết nứt từ các ảnh chụp dựa trên sự kết hợp của hai thuật toán phát hiện biên và phân đoạn hình ảnh. Phương pháp bắt đầu bằng việc chuyển đổi ảnh màu thành ảnh xám và sau đó áp dụng bộ lọc Sobel để xác định các vùng có biên độ thay đổi lớn. Kết quả là một ảnh xám với các biên cạnh của vết nứt nổi lên. Sau đó, phương pháp sử dụng thuật toán phân ngưỡng Otsu để tự động xác định ngưỡng phù hợp cho mỗi tấm ảnh giúp tách vết nứt khỏi phần nền một cách hiệu quả. Hình ảnh thực nghiệm ghi nhận các vết nứt có kích thước và hình dạng khác nhau. Hình ảnh vết nứt có bề rộng tối đa 5 mm, tối thiểu xấp xỉ 1 mm và được chụp bởi điện thoại Iphone 13 với độ phân giải 12MP, khẩu độ f/1.6. Kết quả của nghiên cứu cho thấy rằng phương pháp này phát hiện các vết nứt một cách hiệu quả và có khả năng nhận diện cả vết nứt lớn và nhỏ. Kết quả của nghiên cứu cho thấy phương pháp đề xuất có tiềm năng ứng dụng trong quản lý và sửa chữa để nâng cao tính thẩm mỹ của bề mặt công trình. Tuy nhiên, độ chính xác của kết quả còn phụ thuộc vào độ phân giải và góc chụp của ảnh.
The FSR and Public Procurement
Authors: Benvenuti Giulia
Published: June 2024

Distortions caused by foreign subsidies in public procurement procedures are one of the specific concerns addressed by the Foreign Subsidies Regulation (FSR). This article analyses both the substantive provisions of the FSR and specifically the notion of ‘subsidies’ and the procedure managed by the European Commission to countervail the effects of subsidies in procurement procedures. The first in-depth investigation concerning a public procurement procedure is also outlined.
A conceptual framework of knowledge management and job performance among Academicians
Authors: Mad Adim Faridzul Adzli bin , binti Ishak Dr. Rosnah , bin Ali Mohd Fauzi
Published: June 2024

This paper reviews the influence of knowledge management on job performance among academicians. Knowledge management improves performance and enables the acquisition of shared knowledge. With knowledge sharing, academicians have a broader view of the field of work and problems that exist on a corporate scale. For the organization, combining individual knowledge from the academicians will obtain the foundation of the organization's knowledge. Knowledge management can positively impact university processes directly or indirectly by saving time and costs, increasing knowledge assets, and increasing adaptability. Knowledge management practices will improve the job performance of academicians and encourage them to teach more enthusiastically. The implications of this paper hope that this can be a starting point for a more drastic change in each individual who holds the title of academician so that they become more committed to their duties as educators.
PSICOSE INESPECÍFICA INDUZIDA POR ERVAS: UM RELATO DE CASO
Authors: Boschetti Natália Veadrigo , Abreu Júlia da Rosa , Gislon Suelen Dagostim , Pinho Lauren Delfino , Tonello Marina , Meneguzzo Thaís Marson , Rech Peterson , Vinhas Júlia Rahal Guilayn
Published: June 2024

Resumo: A psicose é um estado mental que envolve a perda de contato com a realidade, associando-se a sintomas de delírios, alucinações, desordens de pensamentos e comportamentos, entre outros. Visto que na maioria dos casos seu início se dá na adolescência e início da vida adulta, é de suma importância sua correta identificação sabendo abordar suas causas e manejo. Neste relato de caso, será apresentado uma paciente feminina, 46 anos, natural de Santa Catarina, divorciada, mãe de duas meninas, católica, comerciante, que iniciou com sintomas de perseguição associado a desconfiança e insônia, tendo seu início há 10 dias e com piora progressiva, notada por familiares. Na anamnese, identificou-se uso de remédio para emagrecimento contendo inúmeras ervas que foi iniciado junto com o aparecimento dos sintomas paranóides. Após a identificação do caso, foi suspenso a medicação para emagrecimento e introduzido ESCITALOPRAM 10mg pela manhã, RISPERIDONA 2mg à noite e ZOLPIDEM, no seguimento realizou-se exames laboratoriais e de imagem, sem alterações e observou-se melhora parcial dos sintomas, sendo aumentado a dose de RISPERIDONA para 2mg, o que possibilitou a paciente a retornar suas atividades laborais. Após um ano de tratamento com remissão dos sintomas, foram retirados gradualmente a medicação, sendo que passado o tempo, novos sintomas psicóticos retornaram associados ao início de ingesta diária de álcool. Novamente reintroduziu-se a RISPERIDONA, e manteve-se acompanhamento da paciente a fim de evitar novas recaídas trazendo controle dos sintomas.
A GUARDA COMPARTILHADA NO ÂMBITO DA MULTIPARENTALIDADE
Authors: Pacheco Thais Rubia Castro
Published: June 2024

O estudo procura analisar como a guarda compartilhada pode ser aplicada no contexto da multiparentalidade, considerando a existência de múltiplos vínculos socioafetivos estabelecidos. O objetivo é mostrar que a guarda compartilhada é uma alternativa viável e benéfica para todas as partes envolvidas. Nesse sentido, são apresentadas as diferentes perspectivas da doutrina e da jurisprudência sobre o assunto, visando demostrar que a guarda compartilhada pode ser a mais eficiente nesses casos. Além disso, são explorados os princípios do afeto, do melhor interesse da criança e do adolescente, e entre outros, que sustentam a possibilidade da aplicação desse modelo de guarda. A pesquisa bibliográfica foi utilizada como metodologia para embasar teoricamente o estudo, analisando obras e artigos acadêmicos que discutem a guarda compartilhada e a multiparentalidade. Além disso, foram analisadas as leis brasileiras relacionadas ao tema. A jurisprudência também foi utilizada como fonte de dados, com o devido objetivo de apresentar casos concretos em que a guarda compartilhada foi aplicada no contexto da multiparentalidade. Esses casos foram analisados para demostrar a importância desse instituto na busca pela harmonia entre os pais e na proteção dos interesses da criança ou adolescente.
USO DE CIGARRO ELETRÔNICO: QUAIS OS EFEITOS SISTÊMICOS?
Authors: Santos Matheus Lira dos , Araujo Diego Neves , Silva Neto Genildo da , Bandeira Taciana Freitas Alves , Costa Ana Dora Alécio Virtuoso , Almeida Thaís Noronha , Carvalho Rodolfo Rodrigues de , Silva Luiz Ricardo Elias da , Santos Johann Matheus Nascimento dos , Silva Felipe Matheus Vitorino de Mattos , Andrade Renato da Silva , Santos Raylen Pladion dos
Published: June 2024

O tabagismo é um grave problema de saúde pública global, causando uma série de doenças e mortes prematuras. Além dos danos diretos aos fumantes, a exposição ao fumo passivo também contribui para problemas de saúde. O surgimento dos cigarros eletrônicos como uma alternativa ao tabagismo tradicional despertou interesse, especialmente sob o argumento de "trocar para parar". No entanto, estudos recentes têm levantado preocupações sobre os efeitos sistêmicos do uso desses dispositivos. Esta revisão sistemática examinou os efeitos do uso de cigarros eletrônicos, revelando uma série de impactos adversos. Estudos demonstraram que o uso de cigarros eletrônicos, principalmente aqueles contendo nicotina, está associado a aumentos significativos na pressão arterial, frequência cardíaca e rigidez arterial. Além disso, observou-se uma redução na função endotelial, aumento na formação de trombos plaquetários e uma resposta inflamatória aguda, todos fatores de risco para doenças cardiovasculares. Embora alguns estudos tenham investigado os efeitos dos cigarros eletrônicos sem nicotina, eles também indicaram efeitos adversos, como aumento na rigidez arterial e alterações na função microcirculatória, embora em menor magnitude do que aqueles observados com nicotina. A interrupção temporária do uso de cigarros eletrônicos pode levar a melhorias na função pulmonar e em biomarcadores de saúde, destacando a importância da cessação do uso desses dispositivos. No entanto, a falta de estudos de longo prazo, especialmente em não fumantes prévios, é uma lacuna significativa na compreensão dos impactos dos cigarros eletrônicos.
By Torches, Bones, and Temples
Authors: Peukert Stock Olivia
Published: June 2024

Oath-taking during Roman Antiquity constitutes a telling example of how words and material matter interplay and relate to one another. Ancient Latin literature provides a myriad of representations of oaths sworn, both fictive and supposedly historical, which allude to contemporary notions of materiality. In this study, a selection of personal oaths (oaths sworn between individuals, as opposed to large-scale official ones) from Roman literature are explored in terms of materiality and agency. The chosen oath examples are all phrased using a ‘material language’ and their oath formulae include what is here termed as objectifying wordings, that is the reference to abstract things through material matter. The present article aims to demonstrate that Roman authors sometimes chose to (have their characters) swear by material matter – instead of something abstract and intangible – in order to better express what is actually sworn by or what is actually put up as deposit in the portrayed oath: in other words, how they could utilize contemporary notions of materiality as literary tools for the formulation of personal oaths.
”Min tröst var att författa en egen artikel om svamparna”
Authors: Wijkmark Sofia
Published: June 2024

“My Consolation was to Write my Own Article on Fungi”: Fictional Representations of the Relationship Between Fungi and Humans
This article explores fictional representations of fungi, understanding them as a materialization of theoretical ideas about the entangled relationships between humans and the more-than-human, central to humanistic and philosophical thinkers within the nonhuman turn. The point of departure is the growing interest in fungi over the last decades, scientifically and, more recently, also in arts and culture. To frame the discussion historically, concepts from ethnomycology is used as a background, describing cultural tendencies and attitudes towards fungi in terms of mycophobia and mycophilia. The American HBO-series The Last of Us (2023) is discussed as an example of the contemporary boom, using Anna Tsing’s ideas on fungi as a representation of multi-species collaboration in the era of capitalist destruction. The story raises questions about individuality, represented by the human, as opposed to the collective fungus. The main focus of the article is, however, a Swedish context and two prose narratives in which fungi play a significant role, Agneta Pleijel’s historical novel Fungi. En roman om kärleken (Fungi. A Novel on Love, 1993) and Lars Jakobson’s fantastic story “Nians nät över trapetsen” (“The Nine Net over the Trapezius”, 2004). In the postapocalyptic world of The Last of Us, the fungus is a dangerous parasite portrayed with horror and ambivalence. In Pleijel’s and Jakobsons’s stories the lives of fungi are associated with harmony, even joy. In different ways, their human characters relate to fungi with love and reverence, and strive to fully understand their nature. Nevertheless, all three stories raise questions about interspecies entanglements. The wonders and horrors of symbiosis that they portray point towards the complex condition of the anthropocene and the limits of a mechanistic worldview.
Are renal stone protocol computed tomography reports giving us enough information?
Authors: Bayley Conrad , Hogarth David B. , McLarty Ryan , De Shubha , Schuler Trevor
Published: June 2024

Introduction: Non-contrast computed tomography (CT) is the gold-standard diagnostic test for urolithiasis. Little is published regarding which information needs to be included in the report for it to be most useful to the healthcare team for efficient triage and high-quality patient care. This study aimed to assess the quality and variability of CT scan reporting at a single Canadian tertiary academic medical center.
Methods: We completed a retrospective review of 100 consecutive renal colic CT scans. Descriptive statistics were used to report the frequency with which specific elements commonly used by urologists to triage and treat patients were included in radiology reports.
Results: Our sample had a mean age of 51.4±13.1 years. Stone size was universally reported for obstructing stones but was less frequently reported for non-obstructing stones (100% vs. 86.8%). A similar trend was observed for the exact stone number (100% vs. 93.4%). Non-obstructing stones were more likely than obstructing stones to be reported in one dimension (77.5% vs. 47%). Obstructing stones were reported in three dimensions 27% of the time. CT reports commonly include the presence or absence of hydronephrosis status (98%) but are less likely to include renal size (32%) and periureteral stranding (16%). Hounsfield units (HU) were reported in 3% of the reports, but skin-to-stone distance (SSD) and radiation dose were never reported.
Conclusions: Reports routinely included assessments of stone size, location, and number (although not uniformly). HU, SSD, and radiation dose were rarely reported. This provides insight into opportunities for standardized reporting to optimize knowledge transfer that may result in clinical efficiency and improved quality of patient care.
THE DEVELOPMENT OF ENTREPRENEURIAL SKILLS OF STUDENTS AS A FACTOR OF ECONOMIC DEVELOPMENT: STRATEGIES AND TEACHING METHODS
Authors: Zainullina Snezhana , Vorob'eva Elena , Ozerova Natal'ya , Korovkina Alina
Published: June 2024

In the modern world, the development of entrepreneurial skills among students is becoming an increasingly important factor for economic development. Entrepreneurship stimulates innovation, contributes to the creation of new jobs and increases the competitiveness of the market. This paper discusses learning strategies and methods aimed at developing students' entrepreneurial skills.
Effective strategies include creating a stimulating educational environment where students can experiment, think creatively, and put their knowledge into practice. It is also important to introduce practical entrepreneurship courses that allow students to develop planning, resource management and risk-taking skills.
Teaching methods should be interactive and adapted to the needs of students. This includes gaming technologies, case studies, mentoring, and project work. Such methods allow students not only to gain theoretical knowledge, but also to apply it in practice, developing their entrepreneurial abilities.
Implementation, Advantages and Barriers and Legal Protection Against the Use of Electronic Signatures
Authors: Nova Haikal Muhammad , Mahmudah Siti
Published: June 2024

The Government has promulgated Law of the Republic of Indonesia Number 11 of 2008 concerning Electronic Information and Transactions as first amended by Law of the Republic of Indonesia Number 19 of 2016 concerning Amendments to Law Number 11 of 2008 concerning Electronic Information and Transactions and amended again by Law Number 1 of 2024 concerning the Second Amendment to Law Number 11 of 2008 concerning Electronic Information and Transactions; and The government has also made derivative regulations in the form of Government Regulation Number 71 of 2019 concerning the Implementation of Electronic Systems and Transactions. Currently, the Government through the Ministry of Communication and Information Technology has also granted permission to agencies or legal entities authorized as Electronic Certification Providers (PSrE) that provide electronic certificate and electronic signature services. However, the fact is that today people still rarely or do not know how to use electronic signatures or electronic transactions in every agreement. Often people also do not know about the difference between electronic signatures or signature scans. People today also still doubt the legal consequences and legal risks that occur if electronic transactions and/or electronic documents are signed through electronic signatures. With the existing facilities and infrastructure made by the current government, people should be able to use electronic signatures in electronic transactions, both in buying and selling transactions, accounts receivable or the implementation of other agreements that are often carried out in the community. Therefore, this study aims to discuss and elaborate the implementation of provisions regarding the use of Electronic Signatures in electronic transactions and electronic contracts and also to provide an understanding of legal protection to facilitate and convince the public to be able to carry out transactions and agreements electronically.
On the Onset of Plasticity: Determination of Strength and Ductility
Authors: Jankowski Alan F.
Published: June 2024

The analysis of the work hardening variation with stress reveals insight to operative stress-strain mechanisms in material systems. The onset of plasticity can be assessed and related to ensuing plastic deformation up to the structural instability using one constitutive relationship that incorporates both behaviors of rapid work hardening (Stage 3) and the asymptotic leveling of stress (Stage 4). Results are presented for the mechanical behavior analysis of Ti-6Al-4V wherein the work hardening variation of Stages 3 and 4 are found to: be dependent through a constitutive relationship; be useful in a Hall-Petch formulation of yield strength; and provide the basis for a two point-slope fit method to model the experimental work hardening and stress-strain behavior.
Indigenous Ecological Knowledge and Perceptions of Climate Change on the Environment and Livelihood of Local Communities in Kgalagadi District of Botswana
Authors: Mabula Summer , Sianga Keoikantse , Angassa Ayana
Published: June 2024

Extreme climate change causes an immeasurable threat to the livelihood security and prosperity of rural communities, including the natural environment and resources managed by the local people in the Kgalagadi District of Botswana. The study aims to understand the indigenous ecological knowledge of local communities about climate change, its impacts on the environment, and their livelihoods across five villages in the Kgalagadi District of Botswana. The present study used a semi-structured questionnaire survey at the household level who were randomly selected using the village register book. The results indicated that all the respondents in Kang village and some from Lehututu and Tshane villages perceived that the causes of climate change were unknown. However, some respondents across the other four villages believed that climate change is caused by various factors including wildfires, pollution from industries, impacts from livestock, and vehicles, as well as a curse from God. Indigenous knowledge must be well incorporated with scientific methods and up-to-date climate change adaptation and mitigation strategies to envisage more concrete results. This helps to integrate the insight of local people into policies and strategies to make an effort for solutions that are crucial for sustainable development. We suggest that all stakeholders should harmonise the use of indigenous knowledge with climate change strategies, to make the best use of its contribution to the successful execution of climate change policies.
Kemampuan Menganalisis Kebutuhan dan Pemahaman Diri Bagi Orang Tua sebagai Upaya Preventif Terjadinya Stres
Authors: Kholifah Kholifah
Published: June 2024

Pemulihan kondisi pasca pandemi Covid-19 masih terasa sulit, tantangan kehidupan semakin komplek, manusia mengalami kekhawatiran, ketakutan, kecemasan. Kebutuhan kehidupan yang beragam sulit dihindari, menuntut dipenuhi, apabila tidak, akan mendatangkan permasalahan. Orang tua harus mampu menganalisis kebutuhannya, mendesak atau dapat ditangguhkan. Orang tua juga harus memiliki kemampuan memahami diri sendiri, faham kekuatan dan kelemahannya dengan harapan dapat mengambil keputusan yang tepat. Keduanya penting dimilikinya agar supaya terhidar terjadi stres sebagai akibat pemenuhan kebutuhsn yang tidak dapat terpenuhi. Tujuan penelitian untuk mendiskripsikan tentang pentingnya kemampuan menganalisa kebutuhan dan pemahaman diri sebagai upaya preventif terjadinya stres. Metode penelitian kualitatif, pengumpulan data dengan metode wawancara dan observasi, analisa dengan teknik domain. Hasilnya, antisipasi stres, masih banyak orang tua belum mampu, kemampuan orang tua dalam menyesuaikan diri dengan realita masih rendah, sering orang tua kurang tepat menyikapi stres. Dalam mengnalisa kebutuhan masih sering kebingungan, hal tersebut karena orang tua sering terpengaruh lingkungannya, malu jika tidak sama dengan yang lain. Kemampuan orang tua dalam memahami diri sendiri masih sangat memprihatinkan, karena pada umumnya kurang bisa mengenali siapa dirinya dan tindakannya berorientasi dengan orang lain, bukan berkaca pada “siapa dirinya”.
När och varför ändrade Löta säteri i Björnlunda socken namn till Jakobsberg?
Authors: Lundholm Michael
Published: June 2024

Olika teorier har framförts i litteraturen kring när och varför Löta säteri i Björnlunda socken, Daga härad, kom att byta namn till Jakobsberg. En teori är att det uppkallades efter säterigrundarens avlidne make, Jakob Skytte (död 1653), en annan att Jakob Wattrang, som förvärvade säteriet 1676, uppkallade det efter sig själv, och en tredje att det uppkallades efter honom efter hans död 1698. I föreliggande artikel visas att säteriet kallades Löta ännu när Jakob Wattrang köpte det 1676, men att det benämndes Jakobsberg första gången 1690 medan Jakob Wattrang ännu levde. En alternativ förklaring till namnet föreslås istället: att Jakob Wattrang uppkallade säteriet efter sin första hustru, Jakobina Lohe, som avled strax efter att säteriet förvärvats 1676, eller möjligen efter både sig själv och henne. Namnen Löta och Jakobsberg användes omväxlande i det kamerala materialet till 1718, varefter det ganska konsekvent benämndes Jakobsberg.
Healthcare Through the Lens of Music
Authors: Klasko Stephen , Terry Ken , Sacopulos Michael
Published: June 2024

In this episode of SoundPractice, host Mike Sacopulos interviews Stephen Klasko and Ken Terry about the future of healthcare. They talk about their book, Feelin’ Alright: How the Message in Music Can Make Healthcare Healthier, which explores the power of music to bring people together and send messages about healthcare. They discuss the negative effects of the current healthcare system, including fragmentation and inequity, and propose solutions such as moving healthcare to outpatient sites and using technology such as large language models and wearables to improve patient care. They also discuss the importance of addressing social determinants of health and reducing healthcare inequalities. Klasko and Terry offer a novel proposal for reforming healthcare financing and delivery without adopting Medicare for all, and they emphasize the importance of doctors having a stake in the healthcare system and address the mistrust that currently exists.
A Menu of Integrated Behavioral Health Options
Authors: Corso Kent
Published: June 2024

Integrated behavioral health programs require a different approach to healthcare delivery. This includes changes in coding and billing, clinical skill sets, medical record documentation, and team-based approaches to patient healthcare. There is a gap in mental health training in the philosophy of integrated care, population health concepts, medical home model, and the Triple Aim. Explicit respecialization training is required for most mental healthcare professionals. Choosing a model of integrated mental health is essential, with five formal models to consider. These models have clear, uniform training standards and increased likelihood of finding the right behavioral health providers for the program. All models can use clinical outcome instruments to gauge patient progress.
The Death Doula’s Guide to Living Fully and Dying Prepared
Authors: Arnoldy Francesca Lynn , Sacopulos Michael
Published: June 2024

In this episode of SoundPractice, host Mike Sacopulos speaks with Francesca Arnoldy, a death doula and author of The Death Doula’s Guide to Living Fully and Dying Prepared. Arnoldy explains what death doulas do and how they can help patients prepare for end-of-life care. She discusses the similarities between birth doulas and death doulas, both of whom provide emotional support during major life transitions. Arnoldy also talks about the importance of death wellness and how to practice memento mori, or remembering death. She emphasizes the need for individuals to reflect on their lives, think about their mortality, and plan for end-of-life care, including practical steps such as creating legal documents and organizing belongings. Arnoldy also discusses the role of death doulas in working alongside hospice and palliative care providers and collaborating with physicians.
The Price of Water: Evaluating the Potential Cost Savings of Switching from Saline to Distilled Water for Wound Irrigation
Authors: Shah Pearl , Wang Zhidong , Moody Robert , Lakshman Nivan , Odom John
Published: June 2024

As water becomes an increasingly precious commodity, health systems face difficulties in balancing usage and costs. Numerous studies indicate minimal differences in patient outcomes between the use of normal saline and tap water in wound care and surgical procedures. The aim of this study is to evaluate the potential cost implications for hospitals when shifting from sterile water and saline to in-house distilled water for wound care and surgical procedures. We analyzed a two-facility hospital network, assessing current sterile water and saline solution usage and expenses and compared it with the cost of implementing an in-house water distillation system. In 2022, the hospital network spent $305,180.78 on sterile water and saline solution bottles. By replacing the current expenditure on sterile water and saline solution bottles for irrigation with a water distillation plant at the hospital network, the estimated annual cost of the new system is projected to be significantly lower, at $83,298.87. This results in substantial total savings of $221,881.91 annually, amounting to $361.37 per bed per year, while also considering the additional benefit of reducing plastic disposal costs. Extrapolating the in-house distillery cost savings to all 919,649 staffed hospital beds in the United States could potentially save approximately $565 million annually. Over a decade, this could reach up to $5.65 billion, if all hospitals adopt similar self-hosted water distillation systems.
Trends in Engaging Specialists in Value-Based Care
Authors: Raffel Kelly
Published: June 2024

Value-based care, a healthcare delivery model in which providers are paid based on patient health outcomes and the quality of services rendered, has the potential to reduce overall healthcare costs and transform the healthcare industry. Physician engagement is crucial to the ultimate success of these models. While much emphasis is placed on engaging primary care physicians in value-based care efforts, specialty care providers have had limited opportunities for engagement thus far.
APACHE-adjusted ICU Outcomes Have Returned to Pre-pandemic Values
Authors: Higgins Thomas , Ringle Eric , Henson Kathy
Published: June 2024

During the COVID-19 pandemic, severity-adjustment systems lacked longitudinal data for the coronavirus and thus could not specify diagnosis-specific risk. Without risk adjustment for the patient’s diagnosis and presenting condition, outcomes such as morbidity, mortality, and length of stay become challenging to interpret. APACHE, which risk-adjusts for acute physiology, age, and chronic health, is a widely used ICU benchmarking tool, and participating institutions identified rising and concerning standardized mortality rates in 2020. Following up on previously reported results that severity-adjusted outcomes were worse than expected for patients with COVID-19 versus traditional viral pneumonia during the first two years of the pandemic, the authors now report data that suggest the COVID-19 mortality penalty versus other viral pneumonia lessened once the Omicron variant became the predominant pathogen in early 2022. They present implications for benchmarking hospital performance and public reporting.
Cardiothoracic Surgeon to Entrepreneur
Authors: Magliato Kathy
Published: June 2024

The author, a female cardiothoracic surgeon with an MBA, explains that she became a doctor to heal people, and earned an MBA to heal more people. She shares her experience of collaborating with a fellow MBA student to develop a cardiac diagnostic medical device, which uses a proprietary mathematical algorithm to monitor changes in vascular health. The device has been tested on nearly 700 patients and is currently awaiting FDA clearance. The article highlights the benefits of having an MBA in the medical field, including the ability to build and leverage oneself as a brand, and to address problems differently.