bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Terapi Tertawa Terhadap Penurunan Tekanan Darah Penderita Hipertensi di Puskesmas Olak Kemang Kota Jambi
Authors: Nurhusna Nurhusna , Oktarina Yosi , Sulistiawan Andika
Published: December 2018

Latar Belakang Hipertensi merupakan salah satu masalah utama pada kesehatan yang saat ini banyak diderita oleh orang-orang lanjut usia. Hipertensi dapat menyebabkan komplikasi pada otak (stroke), jantung (Infark Miokard), dan juga gangguan koroner lainnya. Agar terhindar dari komplikasi fatal hipertensi, maka dapat dilakukan pengobatan hipertensi. Ada dua cara pengobatan hipertensi yaitu terapi farmakologis dan nonfarmakologis. Terapi farmakologis membutuhkan waku yang lama serta memberi efek samping terhadap tubuh, Terapi Non Farmakologis menjadi alternatif terapi yang dikembangkan mampu mengatasi hipertensi lebih sederhana serta cost effective. Terapi Tertawa adalah suatu metode relaksasi yang diduga dapat menurunkan tekanan darah pada penderita hipertensi. Terapi ini merupakan salah satu yang paling sederhana dan mudah dipelajari, dan dianggap mampu menurunkan tekanan darah pada penderita hipertensi. Tujuan penelitian ini yaitu untuk melihat apakah ada pengaruh terapi tertawa terhadap penurunan tekanan darah pada penderita hipertensi di Puskesmas Olak Kemang Kota Jambi. Metoda Penelitian ini merupakan penelitian kuantitatif dengan pre experiment desain berupa two group pre- test and post- test dan dilaksanakan di Puskesmas Olak Kemang Kota Jambi selama lebih kurang 6 bulan dengan jumlah sampel sebanyak 20 orang penderita hipertensi di wilayah kerja Puskesmas Olak Kemang yang diambil secara purposive sampling. Data dianalisis secara univariat dan bivariat dengan menggunakan uji wilcoxson. Hasil Penelitian ini menunjukkan adanya perbedaan tekanan darah responden sebelum dan sesudah terapi tertawa pada kelompok intervensi p-Value =0,001 (P-Value <0,005) namun berbeda pada pada kelompok kontrol P-Value = 1,000 (P-Value <0,005). Hasil penelitian menunjukkan adanya pengaruh terapi tertawa terhadap penurunan tekanan darah P-Value =0,004 Uji Wilcoxon. Kesimpulan Penelitian ini menunjukkan terapi tertawa dapat menurunkan tekanan darah pada lansia dengan hipertensi terutama pada nilai Sistolik segera setelah dilakukan terapi tertawa. Terapi ini baik untuk diterapkan sebagai upaya perawatan penyakit hipertensi non farmakologi.
nutricionalização da vida na tela da TV
Authors: Bertolini Jeferson
Published: December 2018

Este artigo apresenta resultados de pesquisa sobre a participação de nutricionistas em programas de TV sobre saúde e bem-estar. O objetivo é mostrar como os nutricionistas são apresentados nesses televisivos e como o público (entendido aqui como um conjunto aleatório de indivíduos expostos a esses programas de maneira direta ou indireta) percebe a figura do nutricionista. Este trabalho analisa a questão pela ótica do biopoder (forma indireta de governar a vida que busca aumentar as potencialidades físicas da população para produzir corpos economicamente ativos). O trabalho usa análise de conteúdo, observação participante e questionários. O manuscrito conclui que a TV, ao dar visibilidade aos nutricionistas, colabora com o projeto do biopoder de construir corpos economicamente ativos e efetiva a nutricionalização da vida (ocorre quando a nutrição se apropria da vida cotidiana e passa a construir conceitos, costumes e comportamentos sociais).
2. Classification and Diagnosis of Diabetes:Standards of Medical Care in Diabetes—2019
Authors:   American Diabetes Association
Published: December 2018

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA's clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
3. Prevention or Delay of Type 2 Diabetes: Standards of Medical Care in Diabetes—2019
Authors:   American Diabetes Association
Published: December 2018

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA's clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
7. Diabetes Technology: Standards of Medical Care in Diabetes—2019
Authors:   American Diabetes Association
Published: December 2018

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA's clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
15. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2019
Authors:   American Diabetes Association
Published: December 2018

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA's current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA's clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
16. Diabetes Advocacy: Standards of Medical Care in Diabetes—2019
Authors:   American Diabetes Association
Published: December 2018

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations, please refer to the Standards of Care Introduction. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
Sjávarútvegur, karllæg atvinnugrein „þeir hefðu ekki gúdderað einhverja stelpugálu – nema af því að ég var tengd“
Authors: Óladóttir Ásta Dís , Pétursdóttir Guðfinna
Published: December 2018

Mikið hefur verið ritað um stöðu kvenna í atvinnulífinu og um jafnrétti kynjanna í mismunandi atvinnugreinum. Afar fáar rannsóknir eru þó til á stöðu kvenna í stjórnum fyrirtækja í sjávarútvegi, sem er ein af undirstöðuatvinnugreinum þjóðarinnar. Þessi grein byggir á niðurstöðum rannsóknar á upplifun kvenna sem sitja í stjórnum íslenskra sjávarútvegsfyrirtækja en þær eru ekki margar og nokkrar sitja í fleiri en einni stjórn. Meginniðurstöður sýna að þær sem þó sitja í stjórnum sjávarútvegsfyrirtækja eru almennt ánægðar með stöðu sína innan greinarinnar, þrátt fyrir að sjávarútvegur sé talinn vera afar karllægur heimur. Viðtöl voru tekin við níu konur sem sitja í stjórnum sjávarútvegsfyrirtækja og leitast við að varpa ljósi á hlutskipti þeirra og hvernig upplifun þeirra er af atvinnugreininni og hvað mætti betur fara. Notast var við eigindlega aðferðafræði og voru viðtölin afrituð og greind niður í þemu og kóða. Niðurstöðurnar styðja vissar hugmyndir sem höfundar höfðu í upphafi og sýna þær að sjávarútvegurinn á sér sterka sögu og hefðir sem ef til vill er erfitt að breyta, en alls ekki ómögulegt. Konur eru að ryðja sér til rúms innan greinarinnar en kynjabundnar staðalímyndir eru afar sterkar í sjávarútvegi og störf karla innan atvinnugreinarinnar hafa almennt notið mun meiri virðingar en störf kvenna. Þó skynja viðmælendur ekki neinar neikvæðar raddir frá hinu kyninu þó að það hafi tekið einhvern tíma að koma sér inn í atvinnugreinina og þær finna ekki annað en að á þær sé hlustað og að rödd þeirra hafi hljómgrunn til jafns á við karlana.
Eru íslenskir neytendur smálána ólæsir á fjármál?
Authors: Arnarson Davíð , Kristinsson Kári , Guðjónsson Sigurður
Published: December 2018

Mikil umræða hefur skapast á Íslandi um hin svo kölluðu smálánafyrirtæki. Annars vegar finnst mörgum að smálán bæti við flóru fjármálavara sem eru í boði fyrir neytendur. Hins vegar er hægt að líta svo á að smálán séu ekki annað en okurlánastarfssemi, enda vextir á þessum lánum afar háir. Þrátt fyrir að pólitísk umræða um smálán hafi verið nokkur hafa þau hins vegar verið nánast óskoðuð í fræðasamfélaginu. Í þessari grein skoðum við hvort neytendur smálána séu með verra fjármálalæsi en hinn almenni neytandi. Niðurstöðurnar gefa til kynna að neytendur smálána séu með verra fjármálalæsi en almennir neytendur. Þeir eru einnig yngri, líklegri til að vera karlkyns, með lægri tekjur og menntun.
Ávöxtun og áhætta íslenskra lífeyrissjóða 1993-2017
Authors: Magnússon Gylfi
Published: December 2018

Í þessari grein er rýnt í ávöxtun samtryggingardeilda íslenskra lífeyrissjóða tímabilið 1993-2017, samtals 25 ár. Greint er frá forsögunni og skrifum annarra í kafla 1, í kafla 2 er aðferðafræði lýst, í kafla 3 birtast helstu tölulegar niðurstöður, í kafla 4 er frekari greining. Tímabilið sem skoðað er ræðst af því að gögn sem FME hefur gert aðgengileg um einstaka sjóði ná ekki lengra aftur í tímann. Takmörkuð gögn liggja fyrir um ávöxtun fyrstu fjögurra ára þessa tímabils og er því einkum horft til áranna 1997 til 2017 þótt birt sé ávöxtun fyrir hluta sjóðanna allt aftur til 1993 og jafnframt séu nokkur styttri tímabil sem hefjast eftir 1997 skoðuð. Í ljós kemur að ávöxtun lífeyrissjóða sem heildar hefur verið nokkuð viðunandi þetta tímabil, sérstaklega í ljósi hruns fjármálamarkaða, og í takti við það sem vænta mátti í ljósi þess hvaða eignaflokka sjóðirnir kaupa einkum og hver ávöxtun þeirra hefur verið. Meðalraunávöxtun sjóðanna var 3,73% á ári. Áhættuálag sjóðanna hefur þó verið ekkert þ.e. þeir hafa tekið verulega áhættu en endað þegar upp er staðið með ávöxtun sem samsvarar nokkurn veginn áhættulausum vöxtum. Þó er verulegur munur milli sjóða. Hann mun hafa áhrif á getu þeirra til að greiða lífeyri. Jafnframt er verulegur munur á þeim hópum sem greiða í hvern sjóð. Það mun einnig hafa áhrif á lífeyrisgreiðslur þeirra. Því býr lífeyriskerfið til töluverða óvissu um lífskjör lífeyrisþega eftir sjóðum. Hægt væri að gera breytingar á kerfinu sem myndu draga úr áhættu við það frá sjónarhóli einstakra launþega.
PENGALAMAN TRANSMIGRASI DI INDONESIA (Studi di Desa Olak-Olak, Kecamatan Kubu, Kabupaten Kubu Raya)
Authors: Firmansyah Andang , Superman Superman , Bayuardi Galuh
Published: December 2018

Kepadatan penduduk di Pulau Jawa dan Madura menurut data dari Badan Pusat Statistik (BPS) pada tahun 2010 adalah 136.610.590 jiwa. Hal tersebut berbanding jauh dengan Pulau Kalimantan yang hanya 13.787.831 jiwa. Ketimpangan jumlah penduduk antara Pulau Jawa dan Madura dengan pulau lainnya sangat besar. Oleh sebab itu pemerataan penduduk terus menerus digalakkan salah satunya dengan program transmigrasi. Jauh sebelum negara Indonesia merdeka, program perpindahan penduduk ini sudah dilaksanakan, tentu saja dengan tujuan yang menguntungkan kolonialisme.Program perpindahan penduduk di Masa Kolonial gencar dilakukan pada saat dibukanya perkebunan. Kolonial Belanda menginginkan tenaga kerja yang murah serta mudah. Program ini kemudian berlanjut pada masa politik etis, walaupun tujuan awalnya untuk pemerataan jumlah penduduk akan tetapi banyak terjadi penyelewengan. Kemudian setelah Indonesia merdeka, masalah kepadatan penduduk di Pulau Jawa dan Madura masih menjadi perhatian serius pemerintah. Oleh sebab itu Pemerintahan Soekarno mencanang program transmigrasi pada tahun 1950 yang diselenggarakan oleh Dinas Transmigrasi (Jawatan Transmigrasi).Provinsi Kalimantan Barat khususnya Desa Olak-Olak merupakan salah satu tempat tujuan transmigrasi di Indonesia. Kelompok transmigrasi yang pertama datang pada tahun 1958 sampai dengan tahun 1959. Rata-rata transmigran ini berasal dari daerah Jawa Tengah dan sekitarnya. Oleh sebab itu budaya Jawa masih sangat kental ditemui di Desa Olak-Olak ini, akan tetapi mulai memudar pada generasi-generasi selanjutnya. Keadaan Desa Olak-Olak ini sampai sekarang masih dikatakan belum berkembang karena terhambat banyak faktor salah satunya adalah transportasi.
ENVIRONMENTAL-ORIENTED MODEL OF INTEGRATED MANAGEMENT BY RUSSIAN COMPANIES
Authors: Larionov Valery Glebovich , Falco Sergey Grigorievich , Demidov Alexey Vladimirovich
Published: December 2018

On the basis of the analysis of the current state and trends in the development of environmental management, the main directions for the development of environmentally oriented processes, priorities and main objectives of environmental policy are identified. The article highlights the current problems in the legal regulation of environmental protection, environmental safety and environmental management. The conclusion is drawn about a certain isolation of the ecological and economic policy of Russia, denoting the need to strengthen their integration among themselves, which will be the basis for successfully entering the sustainable development trajectory in the medium term. There have been emphasized the main reasons of the problems related to environmental security in Russia and given information on life expectancy for a certain period of time. The main reason of crisis state of affairs in environmental security and environmental management is unpreparedness of economic conditions for stimulating environmental protection activities of the Russian companies. To restore and enhance the life-supporting conditions of nature, on the basis of adequate compensation for damage to ecosystems, the basic concepts of the equilibrium interaction of companies with the environment have been developed. The concept implies adequate compensation for damage caused to nature by determining the rational ratio between production levels and consumed resources. Based on the concept developed by the authors, an environmentally oriented model of integrated management of Russian companies has been created, the main difference between which from existing international ISO standards and their analogues, is the complex integration of environmental aspects into the organization's management system, which allows to take into account the environmental component at all stages of the life cycle. The introduction of an environmentally oriented model of integrated management in Russian companies will allow for the effective environmental transformation of the management system, which will serve as the basis for improving the environmental acceptability of their activities.
A mittenwaldi oltárképtől a „Máté-passióig”. Teológiai implikációk Paul Gerhardt „Ó, Krisztusfő, te zúzott” énekében
Authors: KOVÁCS Krisztián
Published: December 2018

From the Altar-piece from Mittenwalde to the Matthew-Passion: Theological implication in Paul Gerdhardt’s hymn „O, Sacred Head, Now Wounded”.
Paul Gerhardt (1607-1676) Lutheran pastor, theologian and hymnwriter is, without doubt, one of our most popular and well-known hymnwriters of all time, whose works remained an important part of the Protestant hymns. Gerhardt’s lyrics are not only valuable for the Protestant church music and singing, because he was an excellent poet of his time, but also because every song of his has a mark of the theologian-pastor’s theological confidence. Life, death, the contemplation of the sufferings of Jesus Christ, the theme of the confession of divine providence – the spiritual depth is present in every topic, along with the deliberate and conscious theological conception. Furthermore, he paired them with his personal experiences, sufferings, and his persistent belief in spite of all these. His Passion hymn starting with the „O, Sacred Head, Now Wounded” – „O Haupt voll Blut und Wunden” line certainly occupies an exceptional place, being one of the most frequently used good Friday’s hymns of ours. It has a baroque poet’s emotionality in it that gains from the orthodox Lutheran liturgy and his personal experiences.
Teológia és filozófia
Authors: NÉMETH Tamás
Published: December 2018

The Relationship between Philosophy and Theology.
Several viewpoints have been formulated about the relationship between theology and philosophy from antiquity to the present time. There are four known relation-ships between Christian theology and philosophy. The first one considers them contradictory to each other, the second one tries to find and show the complementary identities between them, the third one considers theology to be above philosophy, and the fourth one considers theology to be subordinated to philosophy. Today’s Christian theology considers dialogue as the only viable path. Not renouncing the absolute need of Christ’s statement to man, however, taking into account the general life vision of people and the changes in their scientific worldview, it seeks to make the message of the Gospel known, acceptable and understandable in the present. Modern Hungarian philosophy of religion seems to be a partner in this endeavour when it seizes religion as reality as a whole. Europe can only avoid religious, philosophical, cultural and scientific fragmentation if it shows a unified reality and truth in the religious sense through continuous dialogue.
Christian Education for a Generation of Amusement
Authors: SIBA Balázs
Published: December 2018

The expectations of the children of our “amusement society” are different to what they used to be a generation or two ago. I highlight a few aspects, which might be relevant (albeit not new) to how we address contemporary young people. I would like to raise awareness of aspects which are still indispensable and which have probably gained importance for the process of Christian Education, not because they are novel, but because they are fundamental. What has not changed, is the need for real human relationships, the importance of personal involvement, and the delight of performing meaningful tasks. At Christain Education, pupils not only learn about something, but they are also invited into the in-between space of a dialogue with God. This involves learning by doing, experimenting with practices, which are in line with our spiritual heritage, and which offer our pupils a chance to engage in dialogue with God (prayer, meditation, silence, fasting, journaling, singing etc.).
Social Media, Peer Surveillance, Spiritual Formation, and Mission: Practising Christian Faith in a Surveilled Public Space
Authors: Lewis Bex
Published: December 2018

Social media has become a part of everyday life, including the faith lives of many. It is a space that assumes an observing gaze. Engaging with Foucauldian notions of surveillance, self-regulation, and normalisation, this paper considers what it is about social and digital culture that shapes expectations of what users can or want to do in online spaces. Drawing upon a wide range of surveillance research, it reflects upon what “surveillance” looks like within social media, especially when users understand themselves to be observed in the space. Recognising moral panics around technological development, the paper considers the development of social norms and questions how self-regulation by users presents itself within a global population. Focusing upon the spiritual formation of Christian users (disciples) in an online environment as a case study of a community of practice, the paper draws particularly upon the author’s experiences online since 1997 and material from The Big Bible Project (CODEC 2010–2015). The research demonstrates how the lived experience of the individual establishes the interconnectedness of the online and offline environments. The surveillant affordances and context collapse are liberating for some users but restricting for others in both their faith formation and the subsequent imperative to mission.
COMPREENSÃO DE PROCESSOS DE APRENDIZAGEM GERENCIAL A PARTIR DO USO DO MÉTODO DE HISTÓRIA DE VIDA: UM ESTUDO DE CASO
Authors: Santos Gleberson De Santana dos
Published: December 2018

A gestão do conhecimento, a gestão por competências e a aprendizagem organizacional representam práticas de gestão elementares no processo de melhoria, aperfeiçoamento e inovação das organizações não estanques, constituindo fatores decisivos para aquisição de vantagem competitiva. Este artigo apresenta o uso do método história de vida em processos de aprendizagem organizacional com o intuito de relatar a trajetória de sucesso da gestora de uma das maiores concessionárias de carro do oeste catarinense, bem como analisar os processos de aprendizagem identificados a partir de seus relatos de estratégias implementadas a fim de alcançar a sustentabilidade dos negócios. Esta pesquisa tem abordagem qualitativa, com o uso do método estudo de caso, e em relação aos objetivos é classificada como descritiva. Para coletar os dados, foi realizada entrevista semiestruturada com a gestora. Por meio da análise dos dados, observou-se que a trajetória de vida da gestora é permeada pela aprendizagem tácita e explícita. Os resultados da pesquisa apontam algumas fontes de aprendizagem da gestora, como a universidade, mas também sua própria experiência de vida com situações conflituosas e desconfortáveis que, segundo o relato, foram pontos-chave para seu sucesso, refletindo sua maneira de gestão e implementação de estratégias empresariais.
Perbandingan Kinerja Keuangan Koperasi Konvensional Dan Koperasi Syariah Di Kota Bandar Lampung
Authors: Nurmala Nurmala , Damayanti Damayanti , Ridwansyah Eksa , Pentiana Destia
Published: December 2018

There are 740 cooperatives registered in Bandar Lampung, but more than 50% are suspended. Of these, only a few are actively reporting their financial performance in the form of complete financial statements. Therefore the author assumes that it is important to analyze the comparison financial performance of conventional cooperative and of Islamic cooperatives in the city of Bandar Lampung. The overall financial performance of cooperatives is assessed based on the regulation of the State Minister for Cooperatives and Small and Medium Enterprises of  Republic of Indonesia Number: 14 / PER / M.KUKM / XII / 2009.  The assessment of cooperative health includes capital, quality of productive assets, management, efficiency, liquidity, independence and growth, and cooperative identity. To assess the financial performance of sharia cooperatives is based on the regulations of the Minister of Cooperatives and Small and Medium Enterprises No. 35.3 / Per / M.KUKM / X / 2007. In addition to cooperative health assessments covering capital, quality of productive assets, management, efficiency, liquidity, independence and growth, and identity of cooperatives, there is an assessment of compliance with Islamic principles. The objects in this study are cooperatives that actively reported their finances to the cooperative service in 2015 and 2016. There are 24 conventional and sharia cooperative financial reports analyzed. Based on the analysis, the financial performance of conventional cooperatives gets a final score of 67.15 while the sharia cooperative gets the final score amounting to 74.13. The value indicates that conventional cooperatives and Islamic cooperatives are equally healthy.  Nevertheless, it can be said that the financial performance of Islamic cooperatives is better than that of conventional cooperatives.
Analisis Model Prediksi Kebangkrutan Altman Z-Score. Springate dan Zmijewski untuk Menilai Kelangsungan Usaha PT Enseval Putera Megatrading Tbk
Authors: Nurahayu Choirunnisa , Yuniarti Evi , Nurmala Nurmala
Published: December 2018

The economic development of PT EPM Tbk in 2011 to 2016 did not improved, because in 2011 to 2016 the cash flow statement of PT EPM Tbk. decreased. This writing aims to determine the prediction of bankruptcy at PT EPM Tbk with the Altman Z-Score, Springate and Zmijewski Score models to assess the business continuity of PT EPM Tbk from 2011 to 2016. The analysis technique used is the Altman Z-Score bankruptcy prediction model, Springate and the Zmijewski Score for various types of companies. Based on the results of the analysis of the three bankruptcy prediction models Altman Z-Score, Springate Score and Zmijewski Score shows that the business continuity assessment of PT Enseval Putera Megatrading Tbk in 2011 to 2016 is a company in good financial condition or a healthy company and is not at risk The Z-Score is more than the Altman Z-Score, Springate Score and Zmijewski Score standards.
Analise de interações medicamentosas em unidade de terapia intensiva em hospital de referência do nordeste brasileiro
Authors: Junior Nelso Coelho da Fonseca , Viana Luã Sousa , Lúcio Manoel Pinheiro
Published: December 2018

Objetivo: Esse estudo objetiva identificar e caracterizaras possíveis interações medicamentosas que acometem pacientes críticos internados emunidade de terapia intensiva. Trata-se de uma pesquisa observacional e descritiva, realizada em um hospital público terciário de referência do nordeste brasileiro. Métodos: Foram incluídas no estudo todas as prescrições médicas da unidade de terapia intensiva do referido hospital nos meses de abril e maio de 2018. Identificaram-se as interações droga-droga e posteriormente caracterizaram-se as mesmas segundo o grau de severidade em menores, moderadas e maiores, utilizando-se o aplicativo drugs.com. Resultados: Das 152 prescrições avaliadas, 96% apresentaram interações medicamentosas, das quais 85% eram moderadas, 10% menores e 5% maiores. As interações menores mais frequentes foram:ácido acetilsalicílico e carvedilol (42%), anlodipino e enalapril (31%), ácido acetilsalicílico e omeprazol, (27%). Dentre as interações de nível moderado, as mais frequentes foram fenitoína e ranitidina (38%), seguidas de enalapril e heparina  (33%), e anlodipino e fenitoína  (29%). As interações maiores mais encontradas foram: fenitoína e nimodipina (76%), fenitoína e fentanil (14%) e fentanil e ondansetrona (10%). Esses resultados demonstram uma taxa elevada de interações medicamentosas em unidade de terapia intensiva. Conclusão: Nessas condições verifica-se a importância da participação ativa da equipe multidisciplinar no acompanhamento dos pacientes críticos, especialmente no que diz respeito ao manejo das possíveis conseqüências das interações medicamentosas, possibilitando melhorias significativas no quadro clínico desses pacientes.
Permainan tradisional Yogyakarta sebagai sumber belajar alternatif berbasis kearifan lokal bagi pembelajaran di sekolah dasar
Authors: Kurniawan Muhammad Ragil
Published: December 2018

Penelitian ini bertujuan untuk: a) Untuk mengetahui ragam permainan tradisional anak yang berbasis kearifan lokal di Yogyakarta, b) Untuk mengetahui karakter permainan tradisional berbasis kearifan lokal di Yogyakarta guna mendukung pembelajaran di sekolah dasar. Jenis Penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Objek penelitian ini adalah permainan tradisional anak (dolanan anak) yang ada di D.I Yogyakarta. Penelitian ini menggunakan metode studi pustaka yang didukung oleh hasil wawancara dari ahli dan praktisi kebudayaan Yogyakarta. Analisis data yang digunakan adalah analisis data kualitatif. Hasil penelitian menunjukkan sebagai berikut: a) terdapat minimal 37 permainan tradisional yang ada di daerah Istimewa Yogyakarta. b) Dari ke-37 permainan tradisional yang ada memiliki ragam karakter permainan yang sangat luas. Mulai klasifikasi berdasarkan kelompok pengguna (individual, kelompok kecil hingga kelompok sangat besar), berdasarkan muatannya (bermuatan verbal, imajinasi hingga yang bermuatan fisik), hingga berdasarkan kompetensi yang terkandung (kompetensi bernyanyi, bermain, berpikir hingga berkompetisi) kesemua kategori ada jenis permainan tradisional yang masuk dalam masing-masing klasifikasi kelompok
Efficient Ensemble Refinement by Reweighting
Authors: Koefinger Juergen , Stelzl Lukas S. , Reuter Klaus , Allande Cesar , Reichel Katrin , Hummer Gerhard
Published: December 2018

In integrative structural biology/hybrid modeling approaches, we integrate structural models of macromolecules and experimental data to obtain faithful representations of the structures underlying the data. For example, in ensemble refinement by reweighting we first generate structural ensembles of flexible and dynamic biological macromolecules in molecular simulations. In a subsequent reweighting step, we refine the statistical weights of the structures to strike a balance between the information provided by simulations and by experimental data. For the "Bayesian inference of ensembles" approach (BioEn), we present two complementary methods to solve the underlying challenging high-dimensional optimization problem. We systematically investigate reliability, accuracy, and efficiency of these methods and integrate molecular dynamics simulations of the disordered peptide Ala-5 and NMR J-couplings. We provide an open-source library free of charge at https://github.com/bio-phys/BioEn.
Trakya'da Yok Olmaya Yüz Tutmuş Bir Meslek: Çömlekçilik
Authors: Ölçer Sevcan
Published: December 2018

Trakya
bölgesinde yüzyıl öncesine kadar yaygın olan çömlekçilik ve çömlekçi çarkı
kullanımı yıllar geçtikçe azalmış ve yok olmaya yüz tutmuştur. Bölgede
prehistorik dönemden günümüze kadar pek yok yerleşim yerinde ele geçen seramik
malzemeler, üretimin tekniklerinin çeşitliliğini kanıtlamakta ve teknolojik
gelişmelere bağlı olarak günümüze gelen durumunu gözler önüne sermektedir.
Anadolu'nun farklı bölgelerinde geleneksel anlayışta halen sürdürülmeye
çalışılan çömlekçilik, Trakya Bölgesinde yalnızca bir ustanın varlığıyla
gerçekleşmektedir. Bu usta ve yakın zamanda mesleği bırakan ustaların aileleri
sayesinde, Trakya Bölgesi'nde hammadde temini, hamur hazırlama teknikleri,
üretimi yapılan formlar ve pişirim teknikleri birbirleriyle karşılaştırılarak
değerlendirilmiştir.
Internal load in elite young soccer players during a whole season according to playing positions
Authors: Castillo Daniel , Raya-González Javier
Published: December 2018

The aims of this study were 1) to compare the internal load, measured as session rating of perceived exertion (s-RPE), between training sessions and official matches among playing positions in young elite soccer players and 2) to analyze the s-RPE association between training and official match-play. Nineteen young elite soccer players who competed in the Spanish First Division Under-19 Championship participated in this study. Internal load was registered during 120 training sessions and during 30 official matches. Only the players who participated in all the weekly sessions and played at least 70 min were included in the further analysis. No significant differences (P > 0.05, ES = -0.57/0.62) among playing positions were found in the s-RPE registered by soccer players in training sessions, official matches nor in the total sessions. On the other side, higher s-RPE was observed during trainings in comparison to matches in each playing position (P < 0.001, ES = 5.51-30.77). However, no association was observed between training s-RPE and match s-RPE for the whole of the players (P = 0.60, r = 0.04), nor for each specific playing positions (P = 0.29-0.89, r = -0.11/0.16). These findings could be useful for coaches in order to plan the distribution of the weekly training load. Nonetheless, it is also suggested that internal load monitoring cannot be confidently used, in isolation, as a tool to detect differences in the match-play demands, attending to playing positions, in young soccer players. Thus, the use of both internal (i.e., s-RPE) and external (i.e., global positioning system measures) load is suggested to manage the training and match load and to prescribe the training sessions appropriately.
Comparing external total load, acceleration and deceleration outputs in elite basketball players across positions during match play
Authors: Vázquez-Guerrero Jairo , Suarez-Arrones Luis , Casamichana Gómez David , Rodas Gil
Published: December 2018

The aim of this study was to compare external load, calculated by an accelerometer training load model, the number and intensity of accelerations and decelerations, and the acceleration:deceleration ratio between playing positions during basketball matches. Twelve elite male basketball players (mean±SD, age: 25.5±5.2 years; (range: 19-36 years); body height 201.4±8.6 cm; body mass: 98.4±12.6 kg) were monitored during two official matches. An accelerometer training load model and the number of accelerations and decelerations were used to assess physical demands imposed on basketball players. Magnitude-based inferences and effect sizes (ES) were used to assess possible differences between positions: point guards (PG), shooting guards (SG), small forwards (SF), power forwards (PF) and centers (C). Elite basketball players in all positions presented higher maximal decelerations than accelerations (ES=2.70 to 6.87) whereas the number of moderate accelerations were higher than the number of moderate decelerations (ES=0.54 to 3.12). Furthermore, the acceleration:deceleration ratio (>3 m∙s-2) was significantly lower in players on the perimeter (PG and SG) than in PF and C (ES=1.03 to 2.21). Finally, PF had the lowest total external load (ES=0.67 to 1.18). These data allow us to enlarge knowledge of the external demands in basketball matches and this information could be used in the planning of training programs
POLÍTICAS PÚBLICAS EDUCACIONAIS: UM OLHAR SOBRE A EXPERIÊNCIA DO PROEJA NO IF SERTÃO PE - CAMPUS FLORESTA
Authors: Massena Talita De Souza , Santos Josaias Santana dos , Bernardes Juliana Reis , Sousa Wellington Dantas de
Published: December 2018

O presente artigo teve como objetivo avaliar o POEJA, enquanto política pública, com perfil sócio-educativo, focada na assistência de uma parcela da população que precisa ser tratada com diferencial que atenda às peculiaridades de sua situação social e educativa: os jovens e adultos com alteração na linha faixa etária-série escolar. A pesquisa é do tipo descritiva e de natureza qualitativa e, quanto aos procedimentos, é bibliográfica e documental. A pesquisa limitou-se a analisar a realidade dos cursos da modalidade PROEJA no IF Sertão PE. Como resultado verificaram-se os seguintes os pontos positivos: a preocupação com a reintegração do sujeito ao ambiente escolar, para instrumentalizá-lo a ter capacidades e habilidades de atuar mais eficientemente na sociedade, buscando pensar uma política pública que contemple essa necessidade peculiar; e como pontos negativos, podem-se citar todos os difíceis e reais percalços - institucionais e sociais - que atravancam o processo ensino-aprendizagem de jovens e adultos com distorção idade-série, concretizados nos altos índices de evasão e retenção, observados na execução desse estudo.
HUBUNGAN ANTARA UMUR IBU DENGAN KLASIFIKASI LABIOSCHISIS DI RSUD Prof. Dr. MARGONO SOEKARJO PURWOKERTO
Authors: Suryandari Artathi Eka
Published: December 2018

Labio palatoshcisis cleft lip or palate is a congenital defect such as a crack in the upper lip, gums, jaw and palate. Congenital abnormalities is ranked third highest based on a survey conducted in 13 major hospitals in Indonesia. The purpose of this study was to analyze the relationship between maternal age with labioschisis classification. This study used cross sectional retrospective design, data extracted from medical records during the period January , 2010 to December, 2016. Total sample of 42 respondents, the data were analyzed using chi squaretest with significance level ρ value of 0.005. The results showed that most respondents had labioschisis at 57%, while 43% of respondents experienced labiopalatoschisis and labiognatopalatoschisis. The lives of most mothers with children experiencing labioschisis is 20-35 years old ie 67%. There was no relationship between the mother's age with classification labioschisis (ρvalue 0.186).
RESPON NYERI DISMENOREA BERDASARKAN KARAKTERISTIK REMAJA PUTRI
Authors: Nisak Ana Zumrotun , Azizah Noor
Published: December 2018

Salah satu ketidaknyamanan fisik saat menstruasi yaitu dismenorea, dimana bisa menyebabkan penderita harus istirahat dan meninggalkan pekerjaan sehari-hari, untuk beberapa jam atau beberapa hari. Respon perilaku terhadap nyeri dapat mencakup pernyataan verbal, perilaku vocal, ekspresi wajah gerakkan tubuh, kontak fisik dengan orang lain, atau perubahan respons terhadap lingkungan. Tujuan penelitian untuk mengetahui apakah karakteristik remaja putri mempunyai korelasi terhadap respon nyeri dismenorea. Penelitian ini merupakan jenis penelitian kuantitatif dengan desain penelitian korelasional. Pendekatan yang digunakan dalam penelitian ini adalah cross sectional. Populasi dalam penelitian ini adalah semua siswi kelas X di SMAN 3 Kabupaten Pati yang sudah mendapatkan menstruasi dan merasakan nyeri haid sebanyak 47 siswi. Penelitian dilakukan pada bulan juni-juli 2017. Tehnik analisis statistik data univariat dan analisis bivariat menggunakan uji korelasi  Somers’d. Hasil penelitian menunjukkan bahwa dari beberapa karakteristik remaja putri yaitu umur, usia menarche, lama menstruasi dan riwayat dismenorea keluarga, didapatkan hasil bahwa terdapat korelasi yang bermakna antara riwayat dismenorea keluarga dengan respon nyeri dismenorea dengan p velue=0,000, nilai r=0,482, ini dapat diartikan bahwa remaja putri dengan riwayat keluarga yang juga mengalami dismenorea memiliki kekuatan hubungan yang sedang dengan respon nyeri dismenorea dan mempunyai arah korelasi negatif. Diharapkan dapat dilakukan penelitian terkait dengan respon nyeri dismenorea dengan variabel yang berbeda dan remaja yang mengalami dismenorea supaya menambah wawasan tentang dismenorea serta penanganannya sehingga nyeri dismenorea dapat teratasi. Kata Kunci      : Nyeri dismenorea, karakteristik remaja
GAMBARAN PELAKSANAAN INFORMED CONSENT BIDAN PRAKTIK MANDIRI (BPM) DALAM PELAYANAN KEBIDANAN DI KOTA SEMARANG
Authors: Mulyanti Lia , Chafidoh Chafidoh , Damayanti Fitriani Nur
Published: December 2018

Latar Belakang : Pada era sekarang ini muncul berbagai tuntutan hukum kepada dokter dan rumah sakit mengenai hak pasien dalam menerima pelayanan kesehatan yang menyeluruh. Menurut pasal 18 ayat (1) huruf b dan d Permenkes No.1464/MENKES/PER/X/2010 tentang ijin dan penyelenggaraan praktik bidan, menyatakan bahwa bidan dalam memberikan pelayanan harus memberikan informasi dan meminta persetujuan tindakan. Pelayanan kebidanan mulai dari kehamilan, persalinan, nifas, bayi baru lahir,dan keluarga berencana. Dari hasil studi pendahuluan yang dilakukan ke BPM didapatkan beberapa BPM yang memiliki informed consent dan dalam pengisiannya tidak lengkap hanya berisikan identitas dan sedikit BPM memiliki informed consent dan dalam pengisiannya lengkap. Hal tersebut dipengaruhi beberapa faktor antara lain terlalu banyaknya pasien, bahkan tidak adanya pasien yang datang ke BPM untuk periksa. Tujuan : Untuk mengetahui gambaran pelaksanaan informed consent pada Bidan Praktek Mandiri (BPM) dalam pelayanan kebidanan di Kota Semarang. Metode : penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Subyek penelitian adalah 40 BPM di Kota Semarang yang diambil secara propotional random sampling. Pengumpulan data menggunakan kuesioner dan observasi. Uji statistik menggunakan analisis univariat. Hasil : Sebanyak 2,5% responden melakukan informed consent dengan baik, 7,5% responden melakukan informed consent dengan cukup, dan 90% responden melakukan informed consent dengan kurang. Simpulan : Sebagian besar BPM dalam pelaksanaan informed consent adalah kurang. Kata Kunci : Informed Consent, Pelayanan Kebidanan
Short-term CBT of mixed anxiety-depressive disorder
Authors: Lahutina Sofiia Ivanivna
Published: December 2018

Epidemiological studies indicate that anxiety and depressive disorders are the most common mental health problems, without timely and effective help, they can have a pronounced negative impact on the quality of life of a person. Cognitive-behavioral therapy is one of the most researched and effective psychotherapeutic methods for treating depression, anxiety disorders, PTSD, eating disorders, and many others. The purpose of this article is to show the effectiveness of short-term cognitive-behavioral psychotherapy of mixed anxiety and depressive disorder. The clinical case presented in this article illustrates a person whose mental disorder caused somatic symptoms, reduced life quality. The introduction of cognitive-behavioral therapy in national protocols of treatment of mental disorders will improve the quality of life, facilitate faster re-socialization and rehabilitation of patients.
Constraints And Challenges Faced By Women Entrepreneurs In Emerging Market Economy And The Way Forward
Authors: Agrawal Reena
Published: December 2018

It is well acknowledged fact thatentrepreneurship is an engine of economic growth and social development. Women entrepreneurship though has been growing around the world, but the evidences suggest that women entrepreneurscontinue to be adversely affected by the numerous socio-economic issues in the male dominated business societies, which hugely undermine the morale of women entrepreneurs.The current study was taken up to investigate the working of twenty sevenwomen entrepreneurs working on micro and small levels, in different areas of Uttar Pradesh (India), who have created employment opportunities for thousands of people living at grass root level and also created new prospects for the rural artisans in theirregion.  The study aims to explore the various the obstacles faced by the women entrepreneurs working in different areas of Uttar Pradesh (India),analyze the impact of the prevailing constraints and challenges on the progress of these women entrepreneurs, and recommend the aspects that he to be looked into by the policy makers, to address the issues and challenges. It is also anticipated that the findings will bring to light valuable insights, which might be used by the policymakers, organization and institutions who intend to assist more and more entrepreneurs, especially women entrepreneurs, to venture into businesses. The study revealed multifarious constraints and challenges faced by the women during their entrepreneurial journey. In the current study we have tried to classify these constraints into four broad categories: Socio-Cultural Issues; Economic Issues; Psychological Issues and Managerial Issues.
Female Entrepreneurship Opportunity: Home-Based Genealogy Business
Authors: Radović-Marković Mirjana M
Published: December 2018

In the last 15-20 years, the character of genealogical research has transformed gradually. Thus, genealogy is changing into a modern academic discipline. The modern genealogy is supported by digitization of public and genealogical records. At the same time, the new technologies are affecting the development of home-based genealogical research services. The goal of this paper is to offer more ways of encouraging entrepreneurship for genealogists, including the role of the education system and research skills that are especially critical in the field of genealogy and in genealogists' success in their business
Importancia que la granularidad baja representa en la reusabilidad de un Objeto de aprendizaje
Authors: Samperio Pacheco Víctor Manuel , Moreno Gutiérrez Silvia Soledad , Vélez Díaz Daniel , Flores Jiménez Ruth
Published: December 2018

El presente documento da a conocer la importancia que tiene la granularidad baja en la construcción de los Objetos de Aprendizaje (OA), así como el parámetro denominado reusabilidad, que determina la eficacia, en un gran porcentaje, del OA. Cabe hacer mención que la mayor parte de este documento es un análisis de la investigación que se lleva a cabo en la Universidad Autónoma del Estado de Hidalgo, en el desarrollo de OA de granularidad baja, específicamente con los alumnos de la Licenciatura en Sistemas Computacionales, que diseñaron y desarrollaron OA, para su posterior utilización de estos recursos por parte de los alumnos de la misma Licenciatura. Lo anterior permitió obtener ciertos parámetros de medición necesarios para el avance de la Investigación. Como abreviación para esta investigación en estudio, en los párrafos siguientes se nombrará investigación en desarrollo.
Nivel de actividad física de niños de 4to. Grado de primaria en un municipio de Hidalgo
Authors: Maldonado Muñiz Gabriela , Martínez Cruz Yesenia , Falcón Hernández Claudia , Trejo García Claudia Atala , Camacho y López Salvador M. , Godínez Gómez Rubén , Hilerio López Ángel Gabriel
Published: December 2018

La conducta adaptativa en actividad física requiere que los niños participen en juegos y actividades recreativas en las que realicen por lo menos 60 minutos de esfuerzo vigoroso al día. Objetivo: Describir el nivel de actividad física de niños en edad escolar de 4to. grado de primaria en un municipio de Hidalgo. Metodología: Estudio cuantitativo, transversal, descriptivo. Muestra de 54 niños de una escuela primaria publica urbana. Se autoadministró el Cuestionario de Actividad Física “Four one-day physical activity questionnaire" (r= 0’89; p< 0,01). Resultados: 56% niños sexo masculino, edad 8.7±1.7 años; 81% de los niños son activos. Discusión: En promedio los niños ven televisión, películas, juegan en computadora o videojuegos 62 horas/semana, inadecuado de acuerdo a la clasificación de la actividad física reportada en la Encuesta Nacional de Salud y Nutrición 2012. Conclusiones: Los niños de 4to grado de primaria son activos, en promedio superan los 60 minutos de actividad física moderada y/o vigorosa recomendados por la OMS y el Gobierno Federal de México, no obstante dedican un gran número de horas a actividades muy ligeras.
¿Qué es el dolor? ¿Qué lo diferencia del sufrimiento? “Si un niño dice tengo dolor se le ha de creer”
Authors: Mayorga Ponce Rocío Belem , Maldonado Muñiz Gabriela , Trejo García Claudia Atala , Camacho y López Salvador Martin , López Cruz Carolina
Published: December 2018

El dolor forma parte de la humanidad, pero el dolor infantil estremece aún más por la vulnerabilidad aunado a esto el sufrimiento es la respuesta cognitiva emocional que se produce ante un dolor físico, es un conjunto de emociones y sentimientos que se van uniendo y adquieren más intensidad, siendo obligatorio la medición del dolor en el paciente infantil. Igualmente vivimos en una sociedad altamente dependiente de los fármacos. ¿Con los niños es igual?