bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Kepatuhan Sign-In Dengan Ketepatan Identifikasi Pasien Pre – Operatif Di RS Primaya Betang Pambelum
Authors: Karmitasari Yanra Katimenta  , Dwi Agustian Faruk Ibrahim  , Bri Yudistira
Published: March 2024

Before the patient is delivered to the operating room, the sign-in action is carried out in the reception room by the health worker before the patient is escorted to the operating table, the sign-in compliance includes identifying the patient, checking the informed consent (consent sheet), checking the surgical site marking, allergy history and supporting examination documents. Every health worker will take action on pre-operative patients in the application of health workers still do not properly identify patients during routine medical / nursing actions, patient identity is mentioned by health workers, health workers do not immediately record and report the results of sign in. This study aims to determine the relationship between sign-in compliance with the accuracy of pre-operative patient identification at Primaya Betang Pambelum Hospital, Method: This type of research is correlational using Cross sectional. The technique of determining respondents using purposive sampling using the Chi Square statistical test. The sample is patients who will undergo surgery at Primaya Betang Pambelum Hospital totaling 109 respondents. Results: The results of the Chi Square statistical test that obtained p value = 0.000 or the level of significance p < 0.05 so that there is a relationship between sign-in compliance with the accuracy of pre-operative patient identification, Conclusion: There is a relationship between sign-in compliance with the accuracy of pre-operaif patient identification as evidenced by the results of p < α with a significant level of 0.05 indicating a significant and meaningful relationship between sign-in compliance with the accuracy of patient identification at Primaya Betang Pambelum Hospital.
Asuhan Kebidanan Komprehensif Pada Ny. P Mulai dari Hamil, Bersalin, Nifas, Bayi Baru Lahir dan Keluarga Berencana di Klinik Pratama Riyyan	Kaban Jahe Tahun 2021/2022
Authors: Linda Purwanti
Published: March 2024

Pregnancy is a physiological and natural condition that occurs in women. There are various complaints experienced by pregnant women during their pregnancy, one of the most common complaints is dizziness. Objective: LTA provides comprehensive midwifery care to pregnant, maternity, postpartum, BBL, neonate and family planning women using a midwifery management approach for Mrs "P" who complained of dizziness. Method: Care in this LTA is through interviews, observation and care management. The subject in this care is Mrs "P" at the Pratama Riyyan Kabanjahe Clinic. Results: results of comprehensive midwifery care for Mrs "N" during pregnancy in the second trimester and third trimester with dizziness, in normal labor, spontaneously without complications, in the postpartum period with normal puerperium, in BBL with BBLN, in patients.
Pengaruh Serai (Cymbopogon Citratus) Terhadap Penurunan Nyeri Gout Athritis pada Masyarakat di Kelurahan Winenet Satu Kota Bitung
Authors: Rahmat Ismail  , Agust A. Laya
Published: March 2024

People with gout arthritis complain of pain in the joints, toes, hands, knees and have never used lemongrass water to reduce joint pain and choose analgesic drugs as pain relief. Lemongrass plant contains essential oil that has chemical properties and pharmacological effects, namely a spicy and warm taste as an anti- inflammatory and relieving analgesic pain.. The purpose of this research was to find out the effect of lemongrass (cymbopogon citratus) on the reduction of gout arthritis pain in The Community In The 1st Winenet Village, Bitung. This research used a pre experimental method with one group pretest-posttest design. The population were residents who suffered from gout arthritis and who experienced joint pain. Sampling using a purposive sampling technique with the number of samples were 12 respondents using the Lamesho formula. The instruments used in this research were observation sheets and pain intensity scale measurement sheets using the Numeric Rating Scale (NRS). The collected data was processed by running the computer program be analyzed by a Wilcoxon Signed Rank test with the significance level α = 0,05.The results of this research indicated that there are differences in pain intensity before and after giving lemongrass, with a ρ value (0,001) < (0,05), meaning that there is an effect of giving lemongrass on reducing gout arthritis pain.The conclusion of this research is that lemongrass can be used as a non- pharmacological therapy to reduce pain in gout arthritis. It is expected that the result of this research will be useful in reducing pain in patients with gout arthritis and can be used as an additional reference for further research.
SANCACO COFFEE SYINBIOTIC (PROBIOTIC AND PREBIOTIC) AND ANTIBACTERIAL ASSAY AGAINST Escherichia coli
Authors: Miksusanti Miksusanti , Adik Ahmadi  , Syndi N.K  , Dasril Basir  , Heni Yohandini K
Published: March 2024

Robusta coffee is one of the plants used as a drink and has an efficacious content that can be modified to be used as a cure for diarrhea. This research was conducted To determine the effect of synbiotic coffee with a combination of coffee, prebiotic inulin chicory, probiotic B. bifidum, and glucose on the growth and antibacterial activity of the probiotic Bifidobacterium bifidum BRL-130. Organoleptic testing of synbiotic coffee was performed on 30 panelists, then the growth test used the total plate count method, and the antibacterial test used the paper diffusion method. The organoleptic test showed that the selected formula 1 had the highest average taste of 3.76. In the symbiotic coffee growth test, the best results were obtained in week 1 of plain water with a temperature of 40°C with the number of colonies 5.95 x108 CFU/mL. Antibacterial activity test using paper disc diffusion method with a variation of the selected formula 1 treatment control, 2 treatment control pure robusta coffee powder, positive control of ciprofloxacin antibiotic, and negative control of aquadest solvent. The antibacterial activity of synbiotic coffee against E. coli showed that there was an inhibitory response in formula 1 against Escherichia coli bacteria in the first week of storage, 12.3±1.1 mm with strong criteria.
TINGKAT PENGETAHUAN MAHASISWA KORPS SUKA RELA (KSR) TENTANG PERTOLONGAN PERTAMA PADA PASIEN TERSEDAK DI UNIVERSITAS MUHAMMADIYAH GORONTALO
Authors: Windrawati Ismail  , Pipin Yunus  , Haslinda Damansyah
Published: March 2024

Tersedak (choking) adalah tersumbatnya saluran napas akibat benda asing secara total atau sebagian, sehingga menyebabkan korban sulit bernapas dan kekurangan oksigen, bahkan dapat segera menimbulkan kematian.Tujuan Umum dari penelitian untuk mengetahui tingkat pengetahuan mahasiswa KSR tentang pertolongan pertama pada pasien tersedak di Universitas Muhammadiyah Gorontalo. Metode penelitian ini dilakukan dengan pendekatan kuantitatif dengan desain deskriptif dengan jumlah sampel 41 responden dengan menggunakan tenknik total sampling. Hasil penelitian menunjukkan pengetahuan baik berjumlah 37 responden (90,2%) dan berpengetahuan kurang sebanyak 4 responden (9,8%). Disimpulkan bahwa tingkat pengetahuan mahasiswa Korps Suka Rela tentang pertolongan pertama pada pasien tersedak di universitas muhammadiyah gorontalo sudah dalam kategori baik.
HUBUNGAN AKTIVITAS FISIK DENGAN KUALITAS HIDUP PADA LANSIA HIPERTENSI DI WILAYAH KERJA LEMBAGA KESEJAHTERAAN SOSIAL LANJUT USIA DI KELURAHAN HUTUO
Authors: Nurlatifa Nurlatifa  , Hamna Vonny Lasanuddin  , Andi Nuraina Sudirman
Published: March 2024

Menua pada lanjut usia adalah suatu proses dimana setiap Manusia akan mengalami kemunduran baik fingsional dan struktur tubuh. Hipertensi  atau  yang  dikenal  dengan  tekanan  darah  tinggi  merupakan  salah  satu penyakit    tidak    menular    yang    berupa    gangguan    pada   sistem   sirkulasi. Aktivitas  fisik  merupakan  pergerakan  anggota  tubuh  yang  dapat  menyebabkan pengeluaran tenaga untuk pemeliharaan kesehatan fisik dan     mental,     serta mempertahankan  kualitas  hidup  agar  tetap  sehat  dan  bugar  sepanjang  hari. Tujuan penelitian untuk mengetahui Aktivitas Fisik dengan Kualitas Hidup Pada Lansia. Desain penelitian menggunakan descriptif correlation dengan rancangan Cross Sectional. Pengambilan sampel menggunakan teknik Total Sampling dengan 50 responden. Pengumpulan data menggunakan lembar kuesioner. Hasil penelitian menunjukan Aktivitas Fisik tertinggi yaitu Tinggi dengan jumlah 18 responden (36,6%), Aktivitas Fisik Sedang 17 responden dengan (34,0%), dan Aktivitas Fisik rendah 10 responden dengan (30,0%).. Sedangkan Kualitas Hidup tertinggi yaitu Baik dengan jumlah 18 responden (36,6%), Sedang 17 responden dengan (34,0%), Buruk denga jumlah 15 responden (30,0%). Hasil analisis menggunakan uji chi square dengan nilai p value=0,002 (<0,05) menunjukkan bahwa terdapat hubungan Aktivitas Fisik dengan Kualitas Hidup pada lansia. Sehingga di anjurkan bagi lansia untuk bisa meningkatkan aktivitas fisik agar kualitas hidup lansia cenderung akan meningkat.
GAMBARAN KEPUASAN PASIEN BPJS TERHADAP PELAYANAN RAWAT JALAN DI RUMAH SAKIT UMUM DAERAH PROF. DR. H. ALOEI SABOE KOTA GORONTALO
Authors: Lianti Tui  , Sabirin B. Syukur  , Fadli Syamsudin
Published: March 2024

BPJS sangat bermanfaat bagi masyarakat salah satunya sebagai pelayanan kesehatan medis di fasilitas kesehatan. Pelayanan kesehatan yang disediakan oleh rumah sakit salah satunya pelayanan rawat jalan. Pelayanan rawat jalan menjadi salah satu pelayanan yang mendapat penilaian secara instan dari pasien, sehingga kepuasan pasien akan langsung dirasakan saat itu juga. Penelitian ini bertujuan untuk mengetahui kepuasan pasien BPJS terhadap pelayanan rawat jalan. Desain penelitian ini deskriptif kuantitatif untuk mengetahui gambaran 5 dimensi yaitu responsivines, reliability, assurance, tangible, dan empathy. Pengambilan sampel menggunakan teknik Simple Random Sampling dengan 100 responden. Pengumpulan data menggunakan lembar kuesioner. Hasil penelitian yang didapatkan ini menunjukkan nilai kepuasan baik dengan jumlah responden 89 dan Kepuasan cukup dengan jumlah 11 responden dari 100 sampel yang ditentukan. Hasil penelitian pada 5 dimensi yaitu tangible terdapat 93 responden berkepuasan baik dan 7 responden berkepuasan cukup, pada reliability terdapat 92 responden berkepuasan baik dan 8 responden berkepuasan cukup, pada ketanggapan terdapat 91 responden berkepuasan baik dan 9 responden yang berkepuasan cukup, pada asuransi jaminan terdapat 96 responden berkepuasan baik dan 4 responden berkepuasan cukup, pada empaty terdapat 94 responden berkepuasan baik dan 6 responden berkepuasan cukup. Kesimpulannya kepuasan baik ini didapatkan dari pelayanan baik dan maksimal yang telah diberikan oleh para tenaga keshatan sehingga pasien BPJS merasa puas terhadap pelayanan yang ada.
Pengaruh Pijat Oksitosin Terhadap Peningkatan Produksi Asi Pada Ibu Nifas Di Bpm Ade Irma Batubara Kabupaten Deli Serdang Tahun 2022
Authors: Putri Dewi Sari Ujung  , Basaria Manurung
Published: March 2024

Pijat oksitosin merupakan stimulasi yang dapat memberikan refleks let down dan dapat membantu merangsang pelepasan hormon oksitosin sehingga mempertahankan produksi ASI serta memberikan rasa aman dan nyaman pada ibu. jenis penelitian ini menggunakan metode quasi eksperimen menggunakan one group pretest- postest design. Jumlah sampel yang digunakan adalah 35 orang. Hasil yang diperoleh berdasarkan output  test statistic diketahui nilai Asymp. Sig. (2-tailed) sebesar 0,000. Karena memiliki nilai 0,000<0,05, maka H0 ditolak dan Ha diterima. Artinya bahwa ada Pengaruh Pijat Oksitosin Terhadap Produksi ASI Pada ibu Nifas Di BPM Ade Irma Kabupaten Deli Serdan Tahun 2022.
Kepatuhan Ibu Hamil Dalam Pemeriksaan Antenatal Care (ANC) 10t Di Puskesmas Asparaga Kab. Gorontalo
Authors: Astin Maadi  , Harismayanti  , Ani Retni
Published: March 2024

Pemeriksaan ANC merupakan kegiatan yang sangat penting dalam mengidentifikasi kesejahteraan ibu   dan   janin. Penelitian ini bertujuan untuk mengetahui Kepatuhan ibu hamil dalam pemeriksaan antenatal care (ANC) 10T. Desain penelitian ini Deskriptif Kuantitatif. Teknik pengambilan sampel menggunakan teknik purposive sampling. Hasil yang di peroleh adalah mayoritas karakteristik responden berdasarkan usia yaitu 17-25 Tahun, mayoritas karakteristik responden berdasarkan pendidikan yaitu SMP, mayaoritas pekerjaan tertinggi yaitu IRT, mayoritas karakteristik Usia Kehamilan tertinggi yaitu Trimester II, mayoritas karakteristik Kepatuhan ibu hamil berdasarkan kunjungan ANC tertinggi dan Berdasarkan hasil penelitian yang dilakukan di Puskesmas Asparaga Kabupaten Gorontalo di dapatkan hasil 24 ibu hamil patuh kunjungan Antenatal Care (ANC) dengan tidak berkualitas (10T) dan di dapatkan hasil 21 ibu hamil dengan tidak patuh kunjungan Antenatal Care (ANC). Hasil penelitian ini diharapkan dapat meningkatkan pelayanan Antenatal Care (ANC) dan mampu memberikan pelayanan Antenatal Care (ANC) berkualitas. Penelitian ini dapat dijadikan sebagai dasar untuk penelitian selanjutnya yang akan bermanfaat bagi kita semua, khususnya dalam pemilihan variabel penelitian yaitu pekerjaan dan dukungan suami.
Hubungan Post Traumatic Growth Dengan Kualitas Hidup Pada Anak Usia Sekolah Yang Sedang Menjalani Palliative Care
Authors: Canissa Ajeng Rafiska  , Siti Lestari  , Muhammad Anis Taslim
Published: March 2024

Chronic disease in children requires long-term care because of the prognosis and development of the disease. Chronic illness is not an easy thing for children and parents to deal with. Children undergoing medical and nursing care are scary things, these conditions require them to adapt to new routines that are part of their lives every day. This condition can be categorized as a traumatic event, which can affect psychological changes. These psychological changes are called post traumatic growth. Changes in these conditions become one of the factors that affect the quality of life. This study aims to determine the relationship between post traumatic growth and the quality of life of school-age children who are undergoing palliative care. This type of quantitative research with cross sectional approach method. The sampling technique used was purposive sampling with a sample size of 63 respondents. Based on the results of the Sperm- rank statistical test, a p-value of 0.013 was obtained with a positive correlation with a result of 0.312, so that it can be interpreted that there is a relationship between post traumatic growth and the quality of life of school-age children undergoing palliative care. Suggestions to parents or families are expected to always pay attention to physical and psychological conditions, as well as provide motivation and enthusiasm in undergoing palliative care so as to improve the quality of life in patients after experiencing a post traumatic growth process.
Hubungan Verbal Bullying Dengan Kesepian Pada Remaja Korban Bullying di Pondok Putri Hafshawaty Pesantren Zainul Hasan Genggong Probolinggo
Authors: Riska Wati  , Iin Aini Isnawati  , Alwin Widhiyanto
Published: March 2024

Verbal bullying is a form of intimidation through words such as threatening, mocking, calling names with inappropriate nicknames, which are intended to humiliate or destroy the victim. One of the effects of bullying is low self-esteem, anxiety and even more severe loneliness, which makes individuals do not want to interact socially and isolate themselves. This study aims to determine whether there is a relationship between verbal bullying and loneliness in adolescent victims of bullying.This research method used correlational analytic with cross sectional approach. With a total sample of 46 respondents, the sampling approach employed on verbal bullying and loneliness respondents is total sampling. The results of this study found that there were victims of bullying with high verbal bullying criteria as many as 24 respondents (52.2%) and experiencing severe loneliness as many as 25 respondents (54.3%) with value 0.001 <0.05. It can be concluded that there is a relationship between verbal bullying and loneliness, namely individuals who experience verbal bullying result in significant loneliness because the individual does not want to socialize properly and feels that he is not useful to others.The management's approach to the students while providing HE about understanding bullying and other anticipations that can be done by the administrators is to establish a "Peduli" Youth program so that they can understand each other and decrease the number of bullying in adolescent students. This will end cases of verbal bullying and loneliness.
Analisa In Silico Senyawa Biji Lada Hitam (Piper nigrum L.) Terhadap Aktivitas Antioksidan
Authors: Elis Nurul Ikhlas  , Lina Rahmawati Rizkuloh  , Richa Mardianingrum
Published: March 2024

Degenerative disease is a health condition of an organ or related tissue whose condition can deteriorate over time due to changes in body cells that affect organ function as a whole. The factor is due to unhealthy life changes such as lack of activity and frequent exposure to harmful substances into the body. Degenerative diseases include hypertension, diabetes, cholesterol, cancer, and death. Harmful substances or free radicals can be inhibited by antioxidants. One drug that has antioxidant activity is ascorbic acid (Vitamin C) which functions as an immune booster and is used by the public because it is effective as an antioxidant and health therapy but there are side effects in the form of gastrointestinal. The research aimed to find candidate drug ingredients from compounds contained in black pepper seeds (Piper nigrum L.) as in silico antioxidants. The methods used are molecular docking and molecular dynamics. The results showed BLH19 had better toxicity than the comparator drug and had hydrogen interactions that could be stabilized by the amino acid Gln139. The results of molecular dynamic calculations for BLH19 have an RMSD value of 1.5 Å with a ΔGTotal of -33.50 Kcal/mol. While the comparator drug has an RMSD value of 1.6 Å with ΔGTotal -3.39 Kcal/mol. The results showed that the affinity level of ascorbic acid compared to BLH19 for the 4RP9 receptor was predicted to be a candidate for a new antioxidant drug.
Analisis Faktor Yang Mempengaruhi Tingkat Kemandirian Lansia Dalam Melakukan Activity Daily Living
Authors: Anis Sulalah  , Dodik hartono  , Achmad Kusyairi
Published: March 2024

The elderly is a vulnerable group that has a very high dependency rate. The elderly  has various health problems such as degenerative diseases and decreased productivity so that it can cause a decrease in independence in carrying out daily activities (Activities Daily Living).This research strategy combines a cross-sectional approach with correlational analysis. Simple random sampling is the method used for sampling. employing the logistic regression test. examined respondents' perceptions of senior citizens' independence, using a sample size of 45 respondents.The results of this study found that there was a relationship between all factors that could be done both from family support, cognitive function, and anxiety with a p value of 0.05 while the dominant factor related to the independence of the elderly was the anxiety factor with a p value of 0.005 a 0.05 and OR value =248792879.8 Can guarantee that family support, cognitive function, and can increase the independence of the elderly, but the most dominant factor for independence is the anxiety factor.To ensure that body parts can move and there is no immobility disorder, it is expected of the aged to continue with everyday activities. They are also expected to maintain their health by visiting an integrated health center, a public health center, or other healthcare facilities.
Pengaruh Health Education Perawat IGD Tentang Penurunan Kesadaran Pada Pasien Terhadap Pengetahuan Keluarga Pasien Di IGD RSU Manado Medical Center
Authors: Alfrida Lulage  , Suwandi Luneto  , Silvia Dewi Mayasari Riu
Published: March 2024

Loss of consciousness is a common problem in the health world. This situation dominates the Emergency Guard Unit in the hospital service. Unconsciousness is a mental and behavioral condition of decreased comprehension, coherence, and motivational capacity. As a result of the loss of consciousness in the patient that occurs, sometimes the family does not know when an unwanted situation occurs because of something that happens and resulting in that loss of awareness occurs. The aim of this study is to find out the impact of IGD nurses' health education on the decline in patient awareness on the knowledge of the patient's family at the IGD RSU Manado Medical Center.
Research uses experimental research methods using one group research design pretest-posttest design. Sample of 15 respondents using purposive sampling. Data collection using questionnaires. Analysed with Mc Namer's statistical test. 
Gender survey results most female respondents 8 (53.3%), age most 17-25 years and 26-35 years 6 respondents (40,0%), most college education 8 respondents (53,3%), most employment private employees 7 respondents (46.7%). The Mc Namer test results are given a p value of 0,000 where < α 0.05.
The conclusion in this study is that there is an influence of health education nurses IGD on decreased awareness in patients to the knowledge of the family of patients at IGD RSU Manado Medical Center. The recommendation is that the hospital should pay attention to health education for families, especially in the IGD room.
Hubungan Konflik Peran Ganda Dengan Stres Kerja Pada Perawat Wanita Di Rumah Sakit Bhayangkara TK.III Manado
Authors: Jacobus Indah Lestari , Yahya Irma M , Riu Silvia Dewi Mayasari
Published: March 2024

Abstract Nurse work stress is a condition of the subjective outcome of an individual's life that can be an interaction between an individual and the working environment that can threaten and stress the psychological, physiological, and behavioral behavior of a nurse. Working stress has a negative impact on workers' physical and mental health, decreased performance, lack of career development, and loss of employment. The aim of this study is to find out the relationship between the conflict of double roles and work stress in female nurses at Bhayangkara Hospital, Manado. Research uses analytical descriptive research methods using cross sectional research design. 43 Subjekts were sampled using purposive sampling. Data collection using questionnaires. Analysed with Chi Square statistical tests. Results of the study age of 26-35 years 31 Subjekts (72.1%), the length of work 1-5 years 34 Subjekt (79.1%), number of children 1 child 22 Subjekts (51.2%). The result of the chi square test is given a p value of 0.022, where < α 0.05. The conclusion in this study is that there is a relationship between conflict of double roles and work stress in women nurses at Bhayangkara Hospital, Manado. It is hoped that the hospital will pay attention to the mental health of nurses to improve the quality of services.
A new understanding of clinical patterns in post-TB lung disease
Authors: Thomson H. , Baines N. , Huisamen T. , Koegelenberg C. F. N. , Irusen E. M. , Mapahla L. , Allwood B. W.
Published: March 2024

BACKGROUND
Post-TB lung disease (PTLD) can be categorised based on physiological, radiological, and clinical abnormalities, delineating distinct clinical patterns; however, thus far the importance of this is unknown. People with PTLD
have a high morbidity and increased mortality, but predictors of long-term outcomes are poorly understood.

METHODS
We conducted an observational study of PTLD patients attending a tertiary hospital in South Africa between 1 October
2021 and 30 September 2022. Patient demographics, risk factors, symptoms, lung function tests and outcomes were captured.

RESULTS
A total of 185 patients were included (mean age: 45.2 years, SD ±14.3). Half of patients
reported only one previous episode of Mycobacterium tuberculosis infection (n = 94, 50.8%). There was a statistically significant association between TB-associated obstructive lung disease (OLD) and dyspnoea (P = 0.002), chest pain (P = 0.014) and smoking (P
= 0.005). There were significant associations between haemoptysis and both cavitation (P = 0.015) and fungal-associated disease (P < 0.001). Six patients (3.2%) died by study end.

CONCLUSION
PTLD can affect young
people even with only one previous episode of TB, and carries a high mortality rate. For the first time, clinical patterns have been shown to have meaningful differences; TB-related OLD is associated with dyspnoea, chest pain and smoking; while haemoptysis is associated with cavitary and fungal-associated
disease.
Uso do lactato na monitorização hemodinâmica do paciente grave na unidade de terapia intensiva
Authors: Melo Filho Carlos Alberto de , Batista Ibrahim Andrade da Silva , Segundo Ancelmo Portela de Araújo , Santos Larissa Linhares , Soares Rafael Lima , Ribeiro Wanderson Alves
Published: March 2024

A monitorização hemodinâmica é um pilar central da terapia intensiva. As variáveis hemodinâmicas são comumente averiguadas à beira do leito, como a frequência cardíaca, pressão arterial e tempo de enchimento capilar.  Dentre as variáveis da monitorização hemodinâmica, o lactato pode ser útil no ambiente de terapia intensiva.  O aumento do lactato tradicionalmente é associado a com hipóxia tecidual, confirmado por estudos clínicos, os quais demonstraram relação entre aumento do lactato e redução oferta de oxigênio aos tecidos (DO2). Entretanto, outros mecanismos além da hipóxia tecidual também podem desencadear o aumento do lactato. O lactato pode ser usado como marcador de prognóstico, visto que a redução do lactato em pacientes com choque se associou com menor disfunção orgânica, menor tempo de ventilação mecânica e internação em UTI e redução de mortalidade. Entretanto, o uso do clareamento do lactato deve ser usado com cautela pois pode gerar prejuízos para os pacientes.
Da descoberta à situação de emergência: itinerário terapêutico de usuários de álcool e outras drogas
Authors: De Faria Mateus Miranda Fernandes , Harmuch Camila , Devechi Anny Caroline Ribeiro , Barbosa Cecily , Lima Ana Luisa Serrano , Antunes Ghisleine Cristiane de Castro , Jaques André Estevam , Paiano Marcelle
Published: March 2024

Este estudo teve como objetivo conhecer o Itinerário Terapêutico (IT) de adultos que chegam até a emergência psiquiátrica devido ao uso abusivo de álcool e outras drogas. Trata-se de uma pesquisa de abordagem qualitativa, descritiva e exploratória, que buscou responder à seguinte pergunta: Quais são as vivências de indivíduos que consomem álcool e outras drogas até a chegada nos serviços de saúde? Foram realizadas entrevistas individuais, in loco, com 12 indivíduos adultos atendidos na Emergência Psiquiátrica do Hospital Municipal de Maringá, internados por abuso de álcool e outras drogas, identificados pelo Código Internacional das Doenças (CID) de F10 a F19. Excluiu-se uma entrevista por falta de detalhes suficientes para identificar o IT. Para análise de dados utilizou-se a técnica de Análise de Conteúdo, na modalidade temática, conforme proposto por Bardin. Primeiro foram colocados os resultados sociodemográficos e após, para identificação do IT, foram separados dois grandes temas: Da descoberta ao vicio: a influência da droga na vida do indivíduo e A busca por ajuda: A família, a fé e a Rede de Atenção à Saúde. Concluiu-se que o uso de drogas está intrinsecamente ligado a uma série de consequências adversas, incluindo problemas de saúde física e mental, dificuldades financeiras e violência doméstica. Os participantes do estudo identificaram a família como a primeira linha de apoio na procura de ajuda. Além disso, a internação na emergência psiquiátrica e no CAPS foram citadas como os principais serviços da RAPS (Rede de Atenção Psicossocial) para tratamento. A enfermagem desempenha papel crucial na assistência aos usuários de álcool e outras drogas em todos os níveis de atenção. Portanto, o enfermeiro deve possuir habilidades para abordar as questões e relacionamentos, reconhecer e lidar com as consequências do abuso de drogas não só no usuário, mas também na família e na rede de apoio, e prestar um cuidado holístico ao indivíduo.
IMPLICAÇÕES DA DEPRESSÃO E ANSIEDADE NO INFARTO AGUDO DO MIOCÁRDIO
Authors: Figueiredo Ana Camila Ferreira de , Saab Maria Eduarda Ribeiro , Silva Douglas Roberto Guimarães
Published: March 2024

A definição de infarto é a necrose dos cardiomiócitos devido a oclusão arterial. As alterações da contratilidade cardíaca são influenciadas pelo aumento da atividade simpática ou diminuição da parassimpática, relacionando assim a ansiedade e depressão. O objetivo foi analisar as implicações da depressão e ansiedade como fatores de risco para o infarto. Foi feita uma revisão integrativa realizada nas bases de dados PubMed, Scielo e BVSMS. Os descritores utilizados foram: (implications anxiety) AND (depression) AND (anxiety) AND (heart attack) AND (DAC) AND (IAM) AND (depressão) AND (transtorno ansioso e depressivo). Foram incluídos 15 artigos na amostra final. Foram relacionados a existência de transtornos ansiosos e/ou depressivos como possíveis fatores de risco para o IAM, bem como, consequências apresentadas pelos pacientes. Além das intervenções médicas, outras maneiras de auxiliar esses pacientes são o apoio social, terapia cognitivo-comportamental e melhora nos hábitos de vida, que também influenciam de maneira positiva no pós-IAM. Conclui-se que a depressão e ansiedade teve significância clínica podendo ser considerada como fator predisponente para o IAM e repercutório a ele. A incidência desses transtornos é maior no sexo feminino e com idade superior quando comparado aos homens. No âmbito terapêutico o tratamento iniciado precocemente e adequadamente possui bom prognóstico no pós IAM. Portanto, uma anamnese completa, exame físico e complementares auxiliam os médicos a realizar um correto diagnóstico e tratamento desse evento isquêmico.
PRUDÊNCIA, TÉCNICAS E METODOLOGIAS ATIVAS APLICADAS NA GRADUAÇÃO COMO ESTRATÉGIA PARA ESTIMULAR A DESJUDICIALIZAÇÃO
Authors: Alves Fridtjof Chrysostomus Dantas , Amorim Filipe Conde , Lessa Adson Silveira Barros
Published: March 2024

O artigo propõe que o desenvolvimento da prudência, aplicação de técnicas na aula expositiva, junto de métodos ativos de ensino, podem colaborar para estimular, na graduação, a desjudicialização dos conflitos envolvendo o Poder Público. Assim, através de técnicas, que podem ser utilizadas nas aulas expositivas, e da aplicação de metodologias ativas, como da aprendizagem baseada em problemas (ABP), simulações e debates, é possível construir estratégias para incentivar a utilização de instrumentos preventivos. Nesse sentido, a forma como a voz é utilizada e a postura do corpo podem repercutir na qualidade das aulas expositivas, otimizando-se com a aplicação dos métodos ativos de ABP, simulações e debates, capacitando os alunos a analisarem quais são as implicações da judicialização excessiva envolvendo o Poder Público, e como isso reflete na efetivação da igualdade. Junto a isso, a aplicação dos métodos propostos ressalta a importância dos meios preventivos de judicialização, o que incentiva os alunos a considerarem instrumentos, como a mediação, conciliação e transação, que podem contribuir para a desjudicialização.
O PAPEL DA SUSTENTABILIDADE NA ADMINISTRAÇÃO: A IMPLICAÇÃO PRÁTICA DAS ESTRATÉGIAS ORGANIZACIONAIS DE SUSTENTABILIDADE ALINHADAS AOS OBJETIVOS DA AGENDA 2030
Authors: Lourenço Maria Eduarda Martini , Genova Raissa Di , Roque Andreza Santoro , Costa Eduardo Nemi , Cardoso Patrícia Aparecida Maschio , Gonçales Edson José , Batista Abner Maicon Fortunato , Macedo Karla Gonçalves
Published: March 2024

A sustentabilidade é um conceito relevante na administração que implica em repensar toda a cadeia de valor da empresa, desde a obtenção de matérias-primas até a disposição final de produtos. Neste estudo, objetiva-se explorar como as empresas podem integrar a sustentabilidade em sua administração, as implicações práticas desse alinhamento com a Agenda 2030 e como isso pode moldar o futuro dos negócios e da sociedade como um todo. Trata-se de uma pesquisa de cunho exploratório e descritivo, com abordagem qualitativa, adotando procedimentos técnicos de pesquisa bibliográfica. Os resultados apresentados durante esta pesquisa enfatizam a crescente importância da sustentabilidade nos cenários global e empresarial, destacando a interconexão entre os pilares econômicos, sociais e ambientais que compõem o conceito de sustentabilidade. Pode-se concluir que a sustentabilidade desempenha um papel fundamental no contexto empresarial moderno, não apenas como um gesto de responsabilidade social, mas também para garantir sua própria viabilidade.
Asphalt Concrete Production Technology Using Oil Sludge from Zhaik Munay LLP
Authors: Satayeva Sapura Sanievna , Burakhta Vera Alekseevna , Urazova Aliya Frunzeevna , Nazarova Dauriya Sagindykovna , Khamzina Bayan Elemesovna , Begaliyeva Raikhan Sabitovna , Shinguzhieva Altynay Bakytzhanovna , Satybayeva Nurgul Artigalievna , Yerzhanova Zhadyra Toigalievna , Murzagaliyeva Alma Askarovna
Published: March 2024

Oil sludge exhibits a compositional similarity to bitumen, a pivotal constituent in asphalt concrete mixtures. This similarity underscores the potential applicability of oil waste in the production of asphalt concrete, serving not only as an organic binder to fortify indigenous soils but also as a binding agent for the fabrication of organomineral mixtures. The incorporation of oil sludge in road construction endeavors holds promise for the conservation of natural resources, the amelioration of the environmental landscape, and a concurrent reduction in the cost of construction materials. The focus of this study encompasses a comprehensive examination of the physical and mechanical properties pertaining to asphalt concrete of Grade I, Type B. To enhance the performance attributes of asphalt concrete, an additive in the form of oil sludge sourced from ZhaikMunay LLP (Uralsk) was introduced. Various proportions of oil sludge, namely 5%, 10%, and 15%, were incorporated into the asphalt concrete mixture. The utilization of 5% oil sludge elicited negligible alterations in the properties of the asphalt concrete. However, with a 15% addition of oil sludge, discernible reductions were observed in maximum compressive efficiency (0.03% by volume) and shear resistance, indicated by the internal friction coefficient efficiency (0.01% by volume).
Minimize Total Cost and Maximize Total Profit for Power Systems with Pumped Storage Hydro and Renewable Power Plants Using Improved Self-Organizing Migration Algorithm
Authors: Tran Dao Trong , Phan Tan Minh
Published: March 2024

This study presents the application of an improved self-organizing migration algorithm (ISOMA) for minimizing the total electricity production expenditure (TEPE) and maximizing the total electricity sale profit (TPRF) for hydrothermal power systems (HTPS) without and with renewable energies. Two power system configurations were employed to test the real efficiency of ISOMA while dealing with two objective functions. In the first configuration, there was one thermal power plant and one hydropower plant, while in the second configuration, wind and solar energy were both connected to the first system. The results achieved in the first configuration with the first objective function indicated that ISOMA not only outperformed SOMA according to all comparison criteria but was also superior to other methods such as evolutionary programming (EP), acceleration factor-based particle swarm optimization (AFPSO), and accelerated particle swarm optimization (APSO). The evaluation of the results achieved by ISOMA in the second configuration with the objective function of maximizing the TPRF revealed that ISOMA could reach better profits than SOMA in terms of maximum, mean and minimum TPRF values over fifty trial runs. As a result, it was concluded that pumped storage hydropower plants are very useful in integrating with renewable power plants to cut total cost for thermal power plants and in reaching the highest profit for the whole system. Also, ISOMA is a suitable algorithm for the considered problem.
Peran Strategis Sumber Daya Manusia dalam Implementasi Corporate Social Responsibility
Authors: Iryadana Mohamad Razab
Published: March 2024

Penelitian kualitatif ini bertujuan untuk mengeksplorasi peran strategis Sumber Daya Manusia (SDM) dalam mendukung dan mengimplementasikan Corporate Social Responsibility (CSR) dalam organisasi. Dengan mengadopsi pendekatan studi kasus, penelitian ini mengumpulkan data melalui wawancara mendalam dengan praktisi SDM, manajer CSR, dan karyawan di berbagai perusahaan yang dikenal aktif dalam inisiatif CSR. Analisis tematik dari data wawancara mengungkapkan bahwa SDM memiliki peranan penting dalam merancang, mengkomunikasikan, dan mengintegrasikan kebijakan CSR ke dalam budaya perusahaan, serta memobilisasi karyawan untuk berpartisipasi dalam kegiatan CSR. Temuan penelitian menunjukkan bahwa integrasi efektif antara praktik SDM dan program CSR berkontribusi signifikan terhadap peningkatan kinerja organisasi, meningkatkan keterlibatan karyawan, dan memperkuat reputasi perusahaan. Selain itu, penelitian ini mengidentifikasi berbagai tantangan dan rekomendasi strategis untuk meningkatkan sinergi antara SDM dan CSR. Hasil studi ini menekankan bahwa SDM tidak hanya berfungsi sebagai pendukung administratif tetapi juga sebagai mitra strategis dalam perencanaan dan eksekusi CSR, yang akhirnya mempengaruhi keberhasilan keseluruhan perusahaan dalam mencapai tujuan sosial dan lingkungannya
Moirele in coloniile grecesti de pe tarmul vestic al Pontului Euxin. Cult, reprezentare iconografica si credinte populare
Authors: Feraru Remus Mihai
Published: March 2024

The cult of Moirai/ Moerae, their iconography, and the popular faith concerning the goddesses of destiny in the Greek colonies on the western shore of the Pontus Euxinus make the subject of the present study. Our research is based on the study of epigraphic, literary, and archeaological (votive bas‑reliefs) documents. The cult of the Moirai is certainly certificated in Naulochos (the modern Obzor, in Bulgaria) and at Istros where two dedications to the goddesses of destiny were found out. A votive aedicula in the temple of Aphrodite at Istros proves the relations between the Moirai and the cult of Aphrodite. The association of the Moirai with Aphrodite is confirmed by the two reliefs discovered at Panticapaion and Tyras, which present a similar composition with the one on the votive relief at Istros. The funeral epitaphs found out along the western shore of the Pontus Euxinus underline the Greeks’popular creeds related to the goddesses of destiny.
New Insights regarding the Clay Tobacco Pipes discovered in the Historical City Center of Timisoara
Authors: Munteanu Alexandru
Published: March 2024

Articolul de faţă tratează problema unor noi descoperiri de pipe de lut din centrul istoric al Timișoarei, realizate în urma cercetărilor preventive din Piaţa Sf. Gheorghe (2017) și Parcul Civic (2020). Cele paisprezece piese prezentate în cadrul acestei lucrări cuprind pipe databile atât în secolul XVIII, în timpul ocupaţiei otomane a orașului, cât și în secolul XIX. Analizarea pieselor respective a dus la stabilirea a trei mari categorii observate anterior și în alte lucrări referitoare la pipele de lut descoperite în cadrul săpăturilor arheologice din Timișoara: pipele nedecorate de culoare roșiatică, pipele turcești și pipele austro‑ungare.
The Military Communication Network in the Portile de Fier under the Teutonic Order, 1429–c. 1435
Authors: Snider Jason
Published: March 2024

Analiza privind eficienţa unui sistem defensiv include cu necesitate examinarea sistemului său de comunicaţii întrucât acesta face legătura dintre aproape toate componentele operaţiunilor, cum ar fi comanda și controlul, logistica, spionajul etc. În cazul Ordinului Teutonic din prima jumătate a secolului al XV‑lea, acesta includea mesajele scrise și comunicaţiile prin mesageri. Sistemul, pe care Ordinul îl instalase cu doar un secol înainte în organizaţia sa religioasă Ordensstaat din Prusia, a devenit mult mai sofisticat. Acest fapt a permis administrarea unui teritoriu care se întindea pe o mie opt sute de kilometri pătraţi, la data maximei sale evoluţii, în 1400, precum și să facă recrutări în afara graniţelor sale și să poarte cruciade de amploare în regiunea baltică. Cu toate acestea, spre sfârșitul anilor 1420, o nouă oportunitate s‑a creat la graniţa sudică a Regatului Ungariei, care a permis Ordinului Teutonic să vină cu logistica și experienţa sa militară pentru a face faţă forţe‑ lor Imperiului Otoman în zona Porţilor de Fier. Comunicaţiile au fost incluse în această competenţă dat fiind faptul că forma lor exista deja și funcţiona cu succes. Articolul de faţă încearcă să analizeze sistemul comunicaţional adus de forţa expediţionară a Ordinului Teutonic în această zonă de frontieră agitată, prin comparaţie cu sistemul existent deja la Porţile de Fier, la standardul stabilit în cadrul Ordensstaat. Acest ţel va fi atins prin analiza‑ rea corespondenţei scrise de și către conducătorii forţei de expediţie, pe baza documentelor care s‑au păstrat în diferite arhive din Europa centrală.
On the Metropolitanate of Severin “in” Transylvanian Feleac: the Archbishop in Transylvania and the Professors of the Greek Faith in the North
Authors: Simon Alexandru
Published: March 2024

Istoria medievală a satului Feleac este produsul a diverse documente “selectate” și a unei succesiuni de dorinţe maghiare și românești. Istoria ecleziastică medievală a români‑ lor din Transilvania este “produsul ilegitim” al disputelor interconfesionale și al pierderilor arhivale. Reformele “au curăţat” minţile și “au reorganizat” etnicităţile (secolele XVI‑XVIII și chiar mai târziu). Puţine “certitudini” au supravieţuit, ceea ce este valabil în mod particular în cazul Unirii de la Florenţa (1439) și al răspândirii ei. Istoria bisericească a Feleacului este în mare măsură o istorie politică. Conectarea ei la marile decizii este posibilă, tentantă, dar și riscantă. Numărul surselor relevante este redus și a rămas cam același din secolul al XIX‑lea și până astăzi.
Inventarul armamentului cetatii Deva in anul 1640
Authors: Magina Livia , Magina Adrian
Published: March 2024

An inventory from 1640, published in this study, describes in detail the number of war instruments in the fortress of Deva. The inventory was made at the sale of the Deva estate by Lady Maria Széchy to Prince George I Rákóczy. So far only one such document was known, completed on 30 November 1640 and published by historian Endre Veress. However, the present inventory precedes it by one month, having been made by the archivists of the Alba Iulia Chapter house. The three men of the Transylvanian prince identified numerous pieces of artillery and other tools necessary for the defence of the fortification, but most of them were obsolete, sometimes a century old. Even if the weaponry was neither too modern nor too numerous, combined with the extraordinary position of the fortress it could still be an asset. The inventory of weapons of Deva offers us the possibility of investigating the military aspects of a Transylvanian fortress in the middle of the 17th century. Knowledge of military resources in that period is essential in understanding how the principality of Transylvania adapted to changes in tactics and weaponry in the early modern era.
Nobilimea romaneasca aradeana in veacurile XIX-XX. Familia Petranu de Ileanda – destin si istorie
Authors: Oarcea Felicia Aneta
Published: March 2024

In the labyrinth of discovering the past lives of the Romanian nobility, our thoughts have stopped on the longevous Petranu Family of Ileanda whose history of over 250 years of nobility raises new interests of deciphering a universe, anchored in traditions, spirituality, and Romanian culture throughout the ages. Old records mention that the Petranu Family of Ileanda was ennobled by the Transylvanian Prince G. Rákoczy, in 1650, for military services. Over the history, two of the members of this family marked the Romanian culture and spirituality. The renowned priest‑professor Dr. Ioan Petranu (1864–1904) was an author of school textbooks, a well‑known collector of folklore, a passionate philologist, and a researcher of the most important bibliophile documents from the parts of Arad. His son, Coriolan Petranu (1893–1945), a university professor at the Institute of Archeology and the History of Art from Cluj‑Napoca, was considered a pioneer in the field of Romanian museology. His prodigious activity was always driven by professionalism, conscientiousness, and visionary spirit. Over the time, he remains a model for us, the generation of today. We consider it appropriate, at the celebration of 130 years since he was born, to reinstate him in the pantheon of the Romanian nation, creator of new cultural and spiritual values.
Relatiile romano-franceze in luna mai 1932, reflectate in paginile cotidianului banatean Vestul
Authors: Narai Eusebiu
Published: March 2024

War reparations deeply affected international relations, and attempts were made by American economic, financial and political circles to solve this thorny problem by launch‑ ing two plans (the Dawes Plan – 1929 and the Young Plan – 1930) and by establishing a general moratorium on the payment of war reparations and debts (the Hoover Moratorium - 1931). Unfortunately, the end of the First World War did not bring the much‑desired peace to Europe, as the Versailles system soon proved ineffective and short‑sighted. On the ruins of the former Central and Eastern European empires (the German Second Reich, Austro‑Hungary – derived from the Habsburg Empire, the Ottoman Empire and the Tsarist Empire), nation states emerged or existing states, which had gained their independence some time ago and had embarked on the road to modernisation, joined their territories. Some European states adopted authoritarian or totalitarian models of government relatively early on (the Soviet Union, Italy, Turkey, Bulgaria, Poland, Hungary, Germany – now the Weimar Republic, Portugal, etc.). The great global economic crisis has led to a progressive deterioration in international relations. On the European level, a number of pressing and difficult issues have emerged: war reparations; the Austro‑German customs union or the Curtius‑Schober project: disarmament; the European Union project, etc. Of particular concern were the privileged Soviet‑German relations and the successful attempt by the Weimar Republic to achieve equal rights with other states in the field of armaments. Formed on the basis of the principle of nationalities at the end of the First World War, Greater Romania will always advocate the maintenance of the territorial status quoo and collective security, strictly respecting the Covenant of the League of Nations and building a network of agreements and treaties to defend the fundamental interests of the small and medium‑sized states of Central and Eastern Europe. Dominated by four world‑renowned diplomats (Take Ionescu, Ionel Brătianu, Nicolae Titulescu and I.G. Duca), Romanina for‑ eign policy between the wars was defined by: the decisive role played within the frame‑ work of the Little Entente; the deterioration of Romanian‑Soviet relations, generated by the dispute over Bessarabia; adherence to the Briand‑Kellogg Pact, supplemented by the Hoover‑Stimson doctrine; the strengthening of relations with Poland; the initiative to convene Balkan conferences, in order to achieve a new regional defensive alliance; the hostile reaction to the Austro‑German customs union project; the favourable attitude towards the Danube Confederation plan launched by France; the Romanian‑Hungarian confrontation in the trial of the Hungarian opthonists in Transylvania; the active involvement in the work of the Disarmament Conference; the privileged relations between Romania and France; the trade agreements and the Romanian‑German cultural relations, etc.