bluuebunny/crossref_metadata_2025 huggingface dataset:
CREATING AN IMAGE OF PEOPLE WITH DISABILITIES IN LITERATURE LESSONS
Authors:   Doctoral School of Educational Science, Eötvös Loránd University Hungary, Gulya Nikoletta , Fehérvári Anikó ,   Institution of Educational Science, Eötvös Loránd University, Hungary
Published: August 2021

Inclusive education provides an opportunity for students with disabilities to learn with their non-disabled peers. However, inclusive classrooms do not guarantee that non-disabled students will accept or form friendships with students with disabilities. Therefore, there is a need for intervention that facilitates the acceptance of students with disabilities. Literary works are a readily available resource in education to help students learn about society's diversity and its cultural contexts, as long as they depict these social groups appropriately. This study aimed to identify the different recurring patterns of the disability conception within the content of youth literature in primary education, employing content analysis.The research results reveal that people with disabilities are extremely underrepresented and depicted stereotypically in the examined literary works. This representation can reinforce students' negative attitudes toward people with disabilities. Therefore, the stereotypical content should be clarified and discussed during the lessons.
SUBJECT TEACHERS AND ENHANCEMENT OF STUDENTS’ ENGLISH PROFICIENCY IN SELECTED SENIOR SIX CLASSROOMS IN RWANDA
Authors:   University of Rwanda, College of Arts and Social Sciences, Rwanda, Ndimurugero Speciose N. , Mugirase Gloriose ,   University of Rwanda, College of Arts and Social Sciences, Rwanda
Published: August 2021

This study was conducted in Sixth Form schools in Huye District in Rwanda. The researchers’ concern was that most secondary school leavers enter university with low proficiency in English, the medium of instruction. The researchers focused on subject teachers because subject-related courses are allotted more hours than English. The study aimed to explore whether subject teachers offered any assistance in boosting students’ English proficiency. The research drew on Language across the Curriculum (LAC) and Content and Language Integrated Learning (CLIL) approaches. LAC stipulates that all teachers are language teachers, that subject teachers and language teachers should work jointly, and that language should be taught across the curriculum. CLIL recommends that content be learnt through a second language and that the subject and the language be taught at the same time. For validity and reliability purposes, the current study made use of both qualitative and quantitative data collection and analysis methods. Findings revealed that only some of the subject teachers used strategies that could help promote their students’ English proficiency. Findings also indicated that content and English language teachers did not collaborate and that the students were not proficient in English. In accordance with these findings, recommendations were made.
PROFESSIONAL SUPPORT MEASURES FOR NOVICE TEACHERS IN LATVIA
Authors:   Institute of Social Sciences and Humanities, Latvia University of Life Sciences and Technologies, Latvia, Grinfelde Anda , Vanaga Inga ,   Latvian Trade Union of Education and Science Employees, Latvia, Paula Liga ,   Institute of Social Sciences and Humanities, Latvia University of Life Sciences and Technologies, Latvia
Published: August 2021

Retention of novice teachers in education system is a serious problem in Latvia. Mentoring, in-service training and emotional support are crucial for novice teachersto remain and continue working in school. The aim of this research is to explore opinions of Latvian teachers about professional support measures that are available and needed to be introduced for novice teachers. The research results were obtained duringan on-line survey (N=1258) conducted by the Latvian Trade Union of Education and Science Employees in 2018, and document analysis. The questionnaire comprised the statements on methodological, financial, material and technological support which were assessed by using 5-point symmetric Likert scale. The results witness about regional disparities mainly between the capital city Riga and other regions. There are statistically significant (p<0.05) differences in opinions of the teachers representing different regions of the country. The respondents agree that there is a lack of well-structured and uniform support system for novice teachers at national level. In general, the teachers are positive about availability of an emotional supportand in-service training. The most critical opinions are about material and financial support that novice teachers can access. The authors conclude that policy makers should focus on national teachers’ support guidelines.
Optimization of process variables for the biosorption of chromium using Hypnea valentiae
Authors: Rajasimman M. , Murugaiyan K.
Published: August 2021

In this study, Hypnea valentiae, a red alga is used as a sorbent for the removal of chromium from aqueous solutions. The biosorption potential of Hypnea valentiae was investigated in batch experiments. The process parameters were optimized using response surface methodology. Based on the central composite design, quadratic model was developed to correlate the variables to the response. The most influential factor on each experimental design response was identified from the analysis of variance (ANOVA). The optimum conditions for the maximum biosorption of chromium are pH – 2.8, temperature – 48.2oC, sorbent dosage – 5.3 g/L, metal concentration – 103 mg/L and contact time – 27 min. At these optimized conditions the maximum removal was found to be 94.5%.
Prácticas usuales y nuevas urgencias para una agenda de la promoción de la lectura
Authors: Bomibini Gustavo
Published: August 2021

Se describen y anlizan algunas cuestiones que hacen a la construcción y puesta en prática de políticas públicas de promoción de la lectura desarolladas en el ámbito estatal,con cierto acento inevitable puesto en las particularidades que este tipo de prácticas asume en los países de la región latinoamericana.Referirse a la construcción de políticas públicas de lectura,no supone dar cuenta solo de aspectos específicamente técnico-políticos vinculados con la gestión, la planficación y la evaluación de este tipo   de acciones sino también de poner de relieve algunas dimensiones  culturales,téoricas ,pedagógicas u metodológicas que deben ser el presupuesto de trabajo de los aspectos antes mencionados .Se podría sostener que sobre la vieja agenda que prioriza la lectura y los planes de acciónm en pro de su promoción , se vuelve necesario discutir aspectos más generales de marco  que nos permitan realizar una reconsideración del sentido de estas prácticas, de la definición de su especificidad y de sus posibles horizontes de impacto
El derecho a la ciudad desde la perspectiva de jóvenes escolares
Authors: Herrera Martha Cecilia , Acevedo Raúl Infante
Published: August 2021

El texto expone algunas reflexiones e indagaciones en torno a una investigación llevada a cabo sobre ciudad y ciudadanía en jóvenes escolares. En él se aborda la ciudad como el territorio vital de los jóvenes, señalando sus posibilidades en términos de derechos y experiencias vitales, evidenciando, a través de las voces de los propios jóvenes, las percepciones sobre una ciudad frente a la cual se siente vulnerabilidad y discriminación, temores y falta de oportunidades; experiencias que se entrecruzan, al mismo tiempo, con los sueños y esperanzas de lo que estos jóvenes escolares esperan de la ciudad y sus distintos entornos, incluido el espacio escolar. Este artículo es un llamado a quienes vivimos en la ciudad, a quienes participan en la elaboración de políticas públicas o pertenecen al espacio escolar, para promover la construcción de una ciudad que les posibilite a los jóvenes experiencias vitales de configuración subjetiva, surcadas por el ejercicio pleno de sus derechos como ciudadanos.
Educación ciudadana en Colombia: dos coordenadas para un posible análisis
Authors: Cortés Salcedo Ruth Amanda
Published: August 2021

El presente artículo pretende hacer una reseña bibliográfica crítica de dos estados del arte sobre la educación democrática y ciudadana en Colombia, con el objeto de mostrar cómo este tema se ha instalado en los últimos años en el campo de la investigación socioeducativa. Los dos estudios analizados amplían de manera complementaria una significativa masa documental que abarca diversas instituciones y organizaciones que producen discursos sobre educación ciudadana y muestran la pluralidad de los temas abordados y los énfasis según los intereses de quien los produce, constituyéndose en un importante aporte para quienes indagan sobre el tema.
TARGETED SOCIAL ASSISTANCE AS A METHOD OF REDUCING INEQUALITY AND POVERTY: IS THERE AN ALTERNATIVE IN MODERN RUSSIA
Authors:   Doctor of Economics, Professor of the Institute of Public Administration and Management, State Adviser of the Russian Federation, 2nd class, Russian Presidential Academy of National Economy and Public Administration, Moscow, Russia, PRONINA L. I.
Published: August 2021

The article considers methods of measuring economic and social inequality between individual segments of the population and factors affecting the uneven distribution of income between rich and poor in different regions. The trends and changes in the level of inequality in Russia and the world are analyzed. The article examines the category of the minimum guaranteed income of citizens (unconditional basic income), the pros and cons of its introduction in Russia as an alternative to targeted social assistance. The differences in the definition of poverty in the world and in Russia are studied on the basis of two main approaches – absolute and relative. The article examines the change in the principle of determining poverty – the transition from the establishment of the subsistence minimum and the minimum wage based on the consumer basket to the accounting of the median income. The article analyzes the development of legislation that establishes more effective forms of targeted support for the population in comparison with the current ones.
ECONOMIC RELATIONSHIP OF THE "STRATEGIC TRIANGLE" COUNTRIES RUSSIAN FEDERATION – PRC – USA Part 2: Economic cooperation between the USA and the Russian Federation
Authors:   Doctor of Military Sciences, Professor of the Russian Academy of National Economy and Public Service under the President of the Russian Federation, Moscow, Russia, GORDIENKO D. V.
Published: August 2021

The purpose of the study is to assess the impact of economic cooperation between the United States of America and the Russian Federation on the economic relations of the countries of the strategic triangle Russia- China-the United States. An approach to the analysis of trade and investment cooperation between the United States of America and the Russian Federation, which determines the interdependence of the national economies of these countries, is proposed. This allows us to give a forecast of the development of economic relations between the countries of the strategic triangle. The results of the analysis can be used to justify recommendations to the leadership of our country. The conclusion is made: despite the sanctions struggle between the United States and the Russian Federation, these countries continue to remain important economic partners for each other.
Kajian Pemberian Asi Eksklusif, Berat badan lahir rendah, dan Status imunisasi dengan kejadian stunting
Authors: Putri Sitti Zakiyyah , Dahniar  , Sumantri
Published: August 2021

Stunting merupakan pertumbuhan fisik tinggi badan yang tidak normal sesuai dengan umur.  Stunting dipengaruhi oleh multifactor diantaranya adalah pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi dengan kejadian stunting pada balita. Desain penelitian yang digunakan yaitu analitik observational dengan pendekatan cross sectional study. Populasi dalam penelitian ini yaitu seluruh balita usia 25-60 bulan yang ada diwilayah kerja Puskesmas Banggae I yang berjumlah 96 balita. Teknik pengambilan sampel yang digunakan yaitu, yang pertama menggunakan cluster random sampling untuk pemilihan puskesmas kemudian yang kedua menggunakan consecutive sampling dengan jumlah sampel sebanyak 77 balita. Data dikumpulkan dengan menggunakan kuesioner. Analisis data mengunakan analisis person chi-square dan fisher’s exact test dengan ?=0.05. Balita usia 25-60 bulan sebagian besar mendapatkan ASI eksklusif, lahir dengan berat badan normal, dan mempunyai status imunisasi yang lengkap. Kesimpulan: hasil analisis menunjukkan bahwa tidak ada hubungan antara pemberian ASI eksklusif, berat badan lahir rendah, dan status imunisasi dengan kejadian stunting pada balita usia 25-60 bulan. Saran: meninngkatkan pelayanan kesehatan bagi Puskesmas melalui kegiatan deteksi dini dengan mengukur tinggi badan anak balita secara rutin tiap bulan.
pengaruh pemberian "stik kurma ubi jalar" terhadap peningkatan kadar hemoglobin pada ibu hamil
Authors: Ifa Nurhasanah
Published: August 2021

Latar Belakang: Anemia merupakan keadaan tubuh seseorang yang memiliki kadar hemoglobin dibawah normal. Salah satu syarat untuk mencegah terjadinya anemia pada ibu hamil dengan memberikan zat besi sebanyak 90 tablet selama kehamilan. Selain itu, dengan mengkonsumsi bahan makanan seperti kurma dan ubi jalar juga membantu untuk ibu hamil mendapatkan zat besi yang cukup. Tujuan: penelitian ini bertujuan untuk mengetahui pengaruh pemberian stik kurma ubi jalar terhadap peningkatan kadar hemoglobin pada ibu hamil. Metode: Penelitian ini menggunakan eksperimen semu (quasi experiment) dengan jumlah sampel yang diambil sebanyak 30 ibu hamil yang dilakukan di Wilayah Kerja Puskesmas Jangkar. Hasil: Hasil uji statistik yang digunakan adalah uji paired T-test dimana terdapat perbedaan kadar hemoglobin sebelum dan setelah diberikan intervensi (konsumsi “stik kurma ubi jalar) dalam 5 hari dengan nilai rata-rata (mean) yaitu 0,31 gr/dL dan p-value 0,010<0,05. Simpulan: Hasil penelitian menunjukkan bahwa pemberian stik kurma ubi jalar berpengaruh terhadap peningkatan kadar Hb pada ibu hamil.

 

Kata Kunci : Pemberian stik kurma ubi jalar, peningkatan kadar hemoglobin, ibu hamil
HUBUNGAN TINGKAT PENGETAHUAN PATIENT SAFETY TERHADAP KEPATUHAN PERAWAT DALAM PENERAPAN SURGICAL SAFETY CHECKLIST DI RUANG PRE OPERASI INSTALASI KAMAR OPERASI RSD MANGUSADA BADUNG
Authors: Agnihortry Putu Ayu Mega , Susila I Made Dwie Pradnya , Kusuma A.A. Ngurah Nara
Published: August 2021

Patient safety has now become a global issue and a critical component of hospital quality management. One of the components in patient safety that must be carried out in the operating room is the application of the surgical safety checklist. Adherence in implementing the surgical safety checklist is influenced by several factors such as the knowledge of patient safety that nurses have. This study aims to determine the relationship between the level of patient safety knowledge and the compliance of nurses in implementing the surgical safety checklist in the Pre-Operation Room, the Operation Room, RSD Mangusada Badung. This study used a quantitative observational method with a cross sectional design. The sample was all nurses in the operating room installation room RSD Mangusada Badung who were selected by a total sampling of 41 people. The research was conducted from 01-31 October 2020. The results of data analysis using the rho Spearman nonparametric statistical test at a significance level of ? 0.05, the p value was 0.000 <0.05. This shows that there is a significant relationship between the level of patient safety knowledge on nurses' compliance in implementing the surgical safety checklist in the Pre-Operation Room for the Operation Room, RSD Mangusada Badung. It is hoped that health workers, especially nurses in the operating room, can increase knowledge about patient safety and be more obedient in implementing the surgical safety checklist.
GAYA HIDUP PENDERITA HIPERTENSI
Authors: Zuhartul Hajri Hajri
Published: August 2021

Gaya hidup merupakan faktor terpenting yang sangat mempengaruhi kehidupan masyarakat. Gaya hidup yang tidak sehat, dapat menyebabkan terjadinya penyakit hipertensi, yang disebabkan oleh beberapa faktor misalnya; makanan, aktifitas fisik, stres, dan merokok. Penyakit hipertensi merupakan salah satu faktor risiko yang paling berpengaruh terhadap kejadian penyakit jantung dan pembuluh darah. Hipertensi sering tidak menunjukkan gejala, sehingga baru disadari bila telah menyebabkan gangguan organ seperti gangguan fungsi jantung atau stroke. Tujuan penelitian ini adalah untuk gambaran gaya hidup penderita hipertensi di Desa Golong. Metode penelitian ini menggunakan metode descriptive dengan pendekatan desain cross sectional. Pengambilan sampel dilakukan dengan tehnik purposive random sampling dengan populasi penderita hipertensi di Desa Golong  adalah sebanyak 79 orang dengan sampel 42 orang. Hasil dan saran : hasil penelitian menunjukan gaya hidup penderita hipertensi menunjukan gaya hidup yang tidak sehat sebanyak 59,52% dan gaya hidup sehat sebanyak 40,48%. Disarankan bagi responden atau  masyarakat agar dapat meningkatkan gaya hidup yang sehat  dengan cara mengurangi konsumsi makanan yang mengandung banyak garam, berlemak tinggi, minuman beralkohol, tidak merokok dan meningkatkan aktivitas olahraga.
TINGKAT KEBUGARAN JASMANI RESIMEN MAHASISWA UNIVERSITAS NEGERI GORONTALO DI ERA PANDEMI COVID-19
Authors: Mohamad Fendri R. , Hadjarati Hartono , Kadir Supriyanto
Published: August 2021

Tujuan penelitian ini adalah untuk mengetahui Tingkat Kebugaran Jasmani Resimen Mahasiswa Universitas Negeri Gorontalo Di Era Pandemi Covid-19. Penelitian ini menggunakan metode survei, sedangkan pengumpulan data menggunakan tes dan pengukuran. Sampel berjumlah 16 mahasiswa resimen Universitas Negeri Gorontalo. Teknik pengambilan data menggunakan tes dan pengukuran. Istrumen penelitian menggunakan tes Kesemaptaan A yaitu lari 12 menit dan samapta “B” yang terdiri dari (1) Pull-Up, (2) Push-UP, (3) Sit-UP,(4) Squat-Jump, (5) Doging-Run (Lari angka delapan). Teknik analisa data adalah dengan menggunakan analisis deskriptif kulitatif dengan persentase. Hasil penelitian menjelaskan bahwa tes samapta A dan B dinyatakan Cukup. Rata-rata keseluruhan tes kondisi fisik dalam tingkat kategori cukup, yaitu dengan persentase Baik 12,5 %, Kurang 18,75% dan rata-rata dalam keadaan cukup 75 %. Kesimpulannya bahwa kondisi fisik anggota Resimen Mahasiswa Universitas Negeri Gorontalo di masa Pandemi Covid 19 dalam keadaan Cukup baik. Berdasarkan hasil penelitian disarankan perlu adanya peningkatan latihan yang mengarah pada Kondisi fisik dimasa Pandemi.
Tim Pelaksana NASMOCO Goes to School Sebagai Langkah Awal Link and Match Dengan Dunia Usaha dan Industri
Authors: Bahtiar Bahtiar Wilantara , Firman Handoko  , Tombak Rizky Wijaya
Published: August 2021

Tujuan dari pengabdian masyarakat adalah sebagai tim pelaksana NASMOCO go to shool di SMK Muhammadiyah Petanahan. Metode yang digunakan adalah observasi dan diskusi. Tim pelaksana melakukan observasi dan diskusi antara SMK Muhammadiyah Petanahan dan Toyota NASMOCO Magelang sebagai langkah awal link and match. Hasil yang diperoleh yaitu: 1) Program NASMOCO go to school dilaksanakan di SMK Muhamamdiyah Petanahan pada tanggal 10-11 Februari 2021, 2) jumlah kendaraan masyarakat yang melakukan service sebanyak 30 unit, dan 3) Proses pelaksanaan berjalan dengan baik , hal tersebut terlihat dari antusiasme masyarakat yang mengikuti service dan tidak ada kecelakaan kerja.
Penguatan Spiritualitas Sivitas Akademika Kampus Melalui Kegiatan Gema Tadarus Al Qur'an
Authors: Supriyanto Asep
Published: August 2021

Sasaran Pengabdian masyarakat ini berfokus pada sivitas akademika kampus, terutama sivitas akademika di Kampus Politeknik Dharma Patria, Kebumen. Tujuan pengabdian ini adalah untuk meningkatkan dan menguatkan nilai-nilai spiritualitas seluruh sivitas akademika kampus. Dalam pelaksanaannya, kegiatan penguatan spiritualitas yang diwujudkan melalui kegiatan gema tadarus Al-Qur’an ini relatif berjalan dengan baik dan lancar. Pengamalan ajaran agama di lingkungan kampus secara mayoritas memang masih perlu ditingkatkan. Akan tetapi melihat nilai antusias yang terpancar dari wajah para peserta, kegiatan semacam ini ataupun yang sejenis dengan ini perlu diadakan di lingkungan kampus. Terutama kampus yang tergolong bukan kampus keagamaan, yang masih minim dalam kegiatan yang berbau keagamaan.
Pemahaman Digital Marketing Menuju Era 5.0 Di Smk Ma'arif 3 Somalangu Kebumen
Authors: Sigit Wibawanto
Published: August 2021

Pengabdian ini bertujuan untuk memberikan bekal pengetahuan dan wawasan keilmuan mengenai peradaban baru dan persiapan melewati pemasaran 5.0 agar kedepan guru dapat mempersiapkan anak didiknya menjadi pribadi yang siap melewati peradaban, dan mau serta mampu menjadi pebisnis yang faham akan peradaban saat ini. Metode dalam pelaksanaan kegiatan ini menggunakan metode ceramah dan diskusi. Diharapkan dengan memiliki pengetahuan yang cukup mengenai perubahan paradigma dan perkembangan era digital ini, maka siswa dan guru SMK Ma'arif 3 Somalangu Kebumen dapat menyesuaikan dan siap untuk bersaing di masa depan. Kemampuan mencerna pengetahuan ini bisa memberikan manfaat agar menggunakan teknologi dan ilmu pemasaran untuk menjadi pebisnis yang handal.
Discrete ARMA Model Applied for Tumor Growth Inhibition Modeling and LQR-based Chemotherapy Optimization
Authors: Liliopoulos Sotirios G. , Stavrakakis George S.
Published: August 2021

Mathematical models for tumor growth inhibition (TGI) are an important tool in the battle against cancer allowing preclinical evaluation of potential anti-cancer drugs and treatment schedules. In this article, an autoregressive moving average (ARMA) model for cancer tumor growth is estimated based on laboratory data of TGI in mice and presented. The model was proven capable of describing with accuracy the tumor growth under single-agent chemotherapy. At the same time, an optimal control problem was formulated to identify optimal drug dosages. The linear quadratic regulator (LQR) controller was used with success in optimizing both periodic and intermittent chemotherapy treatment schedules reducing the tumor mass while keeping dosages under acceptable toxicity
PENGARUH TERAPI PIJAT TERHADAP TINGKAT KADAR GLUKOSA DARAH PADA PASIEN DENGAN DIABETES MELLITUS : LITERATURE REVIEW
Authors: Satriya Pranata  , Herlina Wulandari
Published: August 2021

ABSTRAK

Latar belakang: penderita diabetes melitus terus mengalami peningkatan tiap tahunnya. Laporan menunjukkan bahwa terapi pijat merupakan terapi komplementer yang digemari di indonesia serta memiliki banyak manfaat.

Tujuan: menggali lebih dalam mengenai pengaruh terapi pijat terhadap tingkat kadar glukosa darah pada pasien dengan diabetes melitus.

Metode: Pencarian artikel dilakukan menggunakan Science Direct, Medline, Google Search dan Pro Quest untuk menemukan artikel sesuai kriteria inklusi dan ekslusi. Artikel yang sesuai dengan kriteria yang ditetapkan penulis dianalisis, ditentukan level dari evidancenya, diekstraksi kemudian disintesis.

Hasil: terapi pijat secara signifikan mampu mengontrol kadar glukosa darah pada pasien anak-anak dengan diabetes melitus P value < 0,0001. Faktor yang mempengaruhi pasien menggunakan pengobatan komplementer adalah gender dengan P value = 0.049, pemasukan rumah tangga P= 0.048 dan frekuensi kontrol gula darah P= 0.036. Swedish massage terbukti efektif memberikan efek penurunan kadar glukosa darah pada anak dengan DM nilai P =0.00. sampel menggunakan pengobatan herbal mencapai 100%. Intervensi mind body 94,2%. 100%. Sampel mempercayai bahwa obat herbal dapat menurunkan kadar glukosa darah dan dapat mengatasi gejala DM 35,7%. Terdapat signifikansi kadar glukosa darah dan laktat sebelum dan sesudah pijat dengan nilai P<0.05. Terdapat penurunan level ansietas dan glukosa darah sebelum dan sesudah dilakukan intervensi pijat dengan nilai P 0.00.

Kesimpulan: terapi pijat merupakan terapi komplementer yang digemari. Hasil penelitian belum dapat digeneralisasi. Perlu dilakukan penelitian lanjutan
HUBUNGAN KUALITAS SKENARIO DENGAN KEEFEKTIFAN DISKUSI KELOMPOK PADA METODE PROBLEM BASED LEARNING DI FIK UNISSULA
Authors: Retno Issroviatiningrum  , Denti Wijaya Kusumaningsih  , Muh. Abdurrouf
Published: August 2021

ABSTRAK

Latar Belakang: PBL merupakan sistem pembelajaran yang dilakukan berkelompok & kolaboratif, terdapat seorang tutor dan skenario sebagai pencetus diskusi. Faktor penting PBL kualitas skenario, kinerja tutor yang berpengaruh terhadap keefektifan diskusi kelompok & berdampak pada pencapaian hasil belajar.

Metode: Penelitian ini adalah penelitian dengan menggunakan metode deskriptif korelasi. Teknik pengambilan sampel menggunakan total sampling dengan jumlah responden sebanyak 95 responden.  

Hasil: Hasil penelitian diperoleh dari 95 responden, sebagian besar memiliki karakteristik jenis kelamin perempuan dengan persentase 86,3%, kualitas skenario dengan kategori cukup baik 63,2%, & keefektifan diskusi dengan kategori baik 51,6%. Pada kualitas skenario dengan keefektifan diskusi p-value 0,000 dengan keeratan hubungan kuat (0,618) serta arah hubungan positif.

Kesimpulan dan Saran: Penelitian ini didapatkan ada hubungan kualitas skenario dengan keefektifan diskusi kelompok pada metode belajar PBL di FIK Unissula. Berdasarkan hasil penelitian diharapkan kualitas skenario yang dinilai cukup oleh mahasiswa perlu diperbaiki atau ditingkatkan dan juga mahasiswa ditingkatkan belajarnya agar diskusi berjalan dengan efektif & dapat mencapai keberhasilan belajar.
STUDY OF FROST RESISTANCE OF CONCRETE
IN ORDER TO ADJUST THE STANDARD
GOST 10060-2012
Authors: STEPANOVA Valentina , CHEHNIY Galina , PARSHINA Irina , OREHOV Sergey
Published: August 2021

Experience in applying the standard 10060-

2012 ‘Concrete. Methods for determining

frost resistance’ shows the need to adjust the

methods for determining frost resistance of

concrete. Based on the performed by NIIZНB

named after A.A. Gvozdev of research on frost

resistance of concrete by the third accelerated

method of GOST 10060, experimental

data were obtained to clarify the freeze-thaw

regime of concrete samples and the criterion

for evaluating frost resistance by ultrasound

speed.
„Was nicht gemessen werden kann, kann auch nicht gemanagt werden“
Authors: Wild Christian
Published: August 2021

Bereits seit dem 21. Februar 2020 gilt im Bereich Energiemanagement die neue internationale Norm DIN EN ISO 50001:2018, die den nachhaltigen Energieverbrauch in Unternehmen regelt. Nach einer dreijährigen Übergangsfrist verloren Ende August die alten Zertifikate des DIN EN ISO 50001:2011-Standards ihre Gültigkeit. Christian Wild, Geschäftsführer der Iconag-Leittechnik GmbH, erläutert die Auswirkungen für die betroffenen Unternehmen.
Photoredox catalysis in nickel-catalyzed C–H functionalization
Authors: Mantry Lusina , Maayuri Rajaram , Kumar Vikash , Gandeepan Parthasarathy
Published: August 2021

Catalytic C‒H functionalization has become a powerful strategy in organic synthesis due to the improved atom-, step- and resource economy in comparison with cross-coupling or classical organic functional group transformations. Despite the significant advances in the metal-catalyzed C‒H activations, recent developments in the field of metallaphotoredox catalysis enabled C‒H functionalizations with unique reaction pathways under mild reaction conditions. Given the relative earth-abundance and cost-effective nature, nickel catalysts for photoredox C‒H functionalization have received significant attention. In this review, we highlight the developments in the field of photoredox nickel-catalyzed C‒H functionalization reactions with a range of applications until summer 2021.
Role of gangliosides in prostate pathology
Authors:   Departamentul Dermatologie, Spitalul Clinic de Boli Infecţioase şi Tropicale „Victor Babeş“, Bucureşti, Nicolae Ilinca , Ene Corina-Daniela ,   Spitalul Clinic de Nefrologie „Dr. Carol Davila“, Bucureşti, Georgescu Simona Roxana ,   Departamentul Dermatologie, Spitalul Clinic de Boli Infecţioase şi Tropicale „Victor Babeş“, Bucureşti
Published: August 2021

Molecular pathology of benign prostatic hyperplasia is multifactorial and involves endocrine, biochemical, immunological interactions. The mechanisms involved in the onset and progression of benign prostatic hyperplasia are: infections, 50 years of age, hormones and neurotransmitters imbalances, inflammation, oxidative stress. The potential role of glycosylation in the pathogenesis of prostate disease has been neglected. In this study we documented the profile of gangliosides in normal and pathological prostatic tissues together with the pathologic changes seen in the level of extracellular gangliosides in patients with prostate pathology. Analysis of the data in the literature suggests that gangliosides may represent immunologic markers useful in the differential diagnosis between prostate cancer and benign prostatic hyperplasia.
New methods in infectious diseases management, with impact in public health
Authors:   Institutul Cantacuzino, Bucureşti, Alexandrescu Viorel , Roşca Bianca Maria ,   Universitatea „Titu Maiorescu“, Bucueşti
Published: August 2021

Bolile infecţioase cu impact în sănătatea publică fac obiectul unor programe de supraveghere naţionale, regionale și internaţionale. Activităţile specifice acestor programe se realizează prin reţele care funcţionează la nivel naţional și sunt interconectate regional și internaţional. Sistemele de supraveghere tradiţionale colectează, procesează și transferă date ale unor indicatori specifici și nespecifici medicali cum ar fi morbiditatea, mortalitatea și detecţia, izolarea și caracterizarea agenţilor infecţioși.
HIV/AIDS in childhood – a special case
Authors:   Spitalul Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“, Bucureşti, Toader Mioriţa , Neacşu Daniela ,   Institutul Naţional de Geriatrie şi Gerontologie ,,Ana Aslan“, Bucureşti, Oprea Alina ,   Spitalul Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“, Bucureşti, Şerbănică Andreea ,   Spitalul Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“, Bucureşti, Drăghici Mircea ,   Dentirad Hospital Ploieşti, Mitrea Viorel ,   CMI ORL Galaţi, Toader Corneliu ,   Institutul Naţional de Neurologie şi Boli Neurovasculare Bucureşti
Published: August 2021

HIV pediatric pathology is currently facing a large number of specialists such as neonatologists, pediatricians, family physicians, oncologists, otorhinolaryngologists, pharmacists, pediatric infectious disease, etc. The involvement of epidemiologists, nurses, social workers, sociologists, support groups together not by politicians is imperative, essential for the diagnosis, management and prevention of HIV infection require focusing on mothers of children and families within dysfunctions social and poverty. Social problems that a child infected with HIV face are almost always overwhelming: drug abuse, discrimination against minority people living with HIV, poverty, poor access to adequate medical services, family breaking when the HIV status of a family member is learned by and other domestic violence, are important to consider. Countries like Romania must learn what is good and what is bad about the AIDS epidemic in the US and Western Europe not to repeat their mistakes and at the same time to rediscover principles generally available today.
INFECȚIA MATERNĂ CU PARVOVIRUS B19 CAUZEAZĂ HIDROPS FETAL CU MOARTE INTRAUTERINĂ – PREZENTARE DE CAZ
Authors:   Universitatea de Medicină și Farmacie Tîrgu Mureș, Disciplina Obstetrică Ginecologie I, Mărginean Claudiu , Pușcașiu Lucian ,   Universitatea de Medicină și Farmacie Tîrgu Mureș, Disciplina Obstetrică Ginecologie I, Molnar Varlam Claudiu ,   Universitatea de Medicină și Farmacie Tîrgu Mureș, Disciplina Obstetrică Ginecologie I, Rugină Cosmin ,   Spitalul Județean Piatra Neamț – Secția Obstetrică Ginecologie
Published: August 2021

Parvovirusul B19 aparține familiei Parvoviridae, genul Erythrovirus și prezintă citotoxicitate asupra liniei eritroblastice umane ducând la anemie severă. Prezentăm cazul unei paciente în vârsta de 35 de ani, aflată la a 3-a sarcină, cu un avort spontan de prim trimestru în antecedente și o naștere fiziologică, care s-a prezentat la controlul de specialitate la 20 de săptămâni gestaționale, asociind semnele unei viroze respiratorii și fără alte patologii până la această vârstă gestațională. Analizele de laborator și ecografia fetală nu au evidențiat nimic patologic, astfel că pacienta a fost trimisă la domiciliu cu recomandarea de a reveni peste 2 săptămâni pentru reevaluare, moment în care ecografia fetală a evidențiat hidrops fetal și anemie severă, iar la 24 de ore asistolie fetală. Serologia maternă a pus în evidență infecția recentă cu Parvovirus B19. Particularitatea acestui caz constă în apariția unei infecții fetale relativ rare în trimestrul doi, în cazul unei sarcini fiziologice, monitorizate, cu prognostic nefavorabil și evoluție fulminantă spre moarte intrauterină.
THE MANAGEMENT OF B HEPATITIS VIRUS INFECTION IN RELATION WITH HUMAN REPRODUCTION
Authors:   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Gherlan George
Published: August 2021

The HBV infection is a major public health problem. It is estimated that worldwide around 2 billion people have markers that show they passed through this infection. In the majority of the cases of HBV infection occurring in adult patients, the natural evolution is towards HBs Ag clearance (which is though not equivalent in all the cases with complete healing as the virus may persist in the hepatocytes in the form of cccDNA). The situation is completely different when the infection is contracted perinatal (intra- or post- partum or more rarely intrauterine) as in these patients, most frequently the infection evolves to chronic forms, either active or inactive or in the form of immune-tolerance. The vertical transmission of HBV infection represents the main problem regarding the management of this infection in pregnancy. In the following review of the literature I synthetized the data regarding the impact of HBV infection on pregnancy as well as the impact of pregnancy on HBV infection. I also searched data regarding the possibility of father-to-offspring transmission and I tried to clarify the mechanisms that make the transmission possible. Finally, I synthetized the existing recommendations in algorithms that are dedicated to ease the activity of the infectious diseases specialist that has to deal with such cases.
SEVERE EVOLUTION WITH MULTIPLE SEPTIC DETERMINATIONS IN A PATIENT DIAGNOSED WITH STREPTOCOCCUS GALLOLYTICUS INFECTION
Authors:   “Dr. Victor Babes’’ Foundation, Constantin Marilena , Neața Mădălina ,   “Dr. Victor Babes’’ Foundation, Ștefan Liliana ,   “Dr. Victor Babes’’ Foundation, Acatrinei Eliza ,   “Dr. Victor Babes’’ Foundation, Bumbu Aurelia ,   “Dr. Victor Babes’’ Hospital, Enyedi Mihai ,   “Dr. Victor Babes’’ Foundation, Nica Maria ,   “Dr. Victor Babes’’ Foundation, Voinea Cristina ,   “Dr. Victor Babes’’ Foundation, Calistru Petre ,   “Dr. Victor Babes’’ Foundation
Published: August 2021

Streptococcus gallolyticus, member of streptococcus bovis group colonizes digestive tubes of birds, cows and human (2.5-15%). Literature describes the association between bacteriemia with Streptococcus gallolyticus and colon tumours but also extracolonic lesions (bacterial endocarditis, vertebral osteomyelitis, dyscitis, colangitis, lung tumors, ovarian tumors). We report the case of a 60 years old male caucasian patient who was diagnosed with vertebral osteomyelitis as the first lesion of Streptococcus gallolyticus infection identified by blood culture. Other lesions were diagnosed on aortic valve (bacterian endocarditis), right popliteal artery (popliteal artery thrombosis), right knee (arthritis). Even if there was a clinical and biological improvement during the treatment, the imaging tests done after 30 and 45 days from the diagnosis showed severe aortic insuficiency so surgical intervention for aortic valvuloplasty was done in a short time. Vertebral and popliteal artery lesions have improved within two months of antibiotic treatment. Colonoscopy, which was done 6 weeks from the diagnosis showed colonic polyps – risk factors of Streptococcus gallolyticus bacteriemia. This case proves that Streptococcus gallolyticus infection has a silent period followed by severe evolution by multiple septic lesions inspite of the precocious treatment and warn of the necessity of digestive investigations at these patients.
TRATAMENTUL INFECŢIEI CRONICE VHC CU DAA ŞI EVOLUŢIA FIBROZEI HEPATICE ÎN TIMPUL TRATAMENTULUI: EXPERIENŢA UNUI CENTRU
Authors:   Centrul de Medicină Internă, Institutul Clinic Fundeni, Bucureşti, România, Rădășan Andreea , Voiculescu Mihai ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România,   Centrul de Medicină Internă, Institutul Clinic Fundeni, Bucureşti, România, Iliescu Laura Elena ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România,   Centrul de Medicină Internă, Institutul Clinic Fundeni, Bucureşti, România
Published: August 2021

Introducere. Hepatita C reprezintă o inflamaţie a ficatului, cauzată de virusul hepatitic C. Virusul C este de aproximativ 10 ori mai infecţios decât virusul HIV. Infecţia acută determina rar simptomatologie şi se poate vindeca spontan în primele 6 luni, la aproximativ 20% dintre pacienţii infectaţi. În cele mai multe cazuri, însă, infecţia devine cronică (până la 80% din cazuri) (6). Hepatita cronică VHC este o cauză majoră de ciroza hepatică şi hepatocarcinom, în întreaga lume (7). În ultimele decenii, tratamentul standard pentru infecţia cronică VHc a fost combinaţia PEG-IFN şi Ribavirina (RBV). Prezentul şi viitorul tratamentului pentru virusul C este reprezentat de noile generaţii de DAA, în general, Exviera+Viekirax pentru România, în special. Obiectivele studiului: Obiectivul principal al acestui studiu este de a determina cum tolerează pacienţii cu infecţie cronică VHC, cu fibroză hepatică F4, noul tratament cu DAA, precum şi care va fi evoluţia fibrozei hepatice. Material şi metodă: În acest studiu au fost înrolaţi 33 pacienţi, din Centrul de Medicină Internă, Institutul Clinic Fundeni, internaţi în perioada 02.2016 - 08.2016. Am evaluat sindromul inflamator, sindromul de colestaza şi evoluţia fibrozei hepatice la aceşti pacienţi. Rezultate: Am observant o reducere semnificativă a sindromului infamator, nivelul bilirubinei serice a înregistrat, de asemenea, o scădere, dar în ceea ce priveşte stadiul fibrozei hepatice, acesta a rămas acelaşi, la sfârşitul tratamentului antiviral cu DAA, Exviera+Viekirax. Concluzii: Este nevoie de mai multe date pentru a putea formula o concluzie solidă, în ceea ce priveşte rata SVR, efectele secundare, evoluţia fibrozei hepatice şi eventualele recăderi.
COMPLICAŢIE NEUROLOGICĂ SEVERĂ LA O TÂNĂRĂ CU INFECŢIE HIV
Authors:   Spitalul Clinic de Boli Infecţioase şi Tropicale „Victor Babeş“, Bucureşti, Ianache Irina , Oprea Cristiana ,   Spitalul Clinic de Boli Infecţioase şi Tropicale „Victor Babeş“, Bucureşti,   “Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: August 2021

Introducere: Managementul pacienţilor cu infecţie HIV şi sindrom inflamator de reconstituţie imună (IRIS) reprezintă încă o provocare, în special la pacienţii cu infecţii oportuniste cerebrale. Prezentare de caz: Prezentăm cazul unei tinere în vârstă de 26 de ani, diagnosticată cu infecţie HIV într-un serviciu de hematologie şi internată în clinică noastră cu anemie severă, anxietate şi depresie. Probele biologice la internare au evidenţiat o anemie importantă, imunodepresie severă (CD4+ 63/mm3) şi o viremie HIV crescută (6,25 log10 copii/mL). După o lună de la iniţierea terapiei antiretrovirale cu schemă lamivudina 3TC, tenofovir (TDF) şi raltegravir (RAL), s-a observat o creştere importantă a imunităţii celulare (limfocite CD4+ 192/mm3) şi o scădere semnificativă a încărcăturii virale HIV la 1.5 log10 copii/mL. Evoluţia clinică a fost dificilă, pacienta prezentând multiple episoade de convulsii tonico-clonice generalizate, halucinaţii auditive şi instalând hemipareză dreaptă. Examenul LCR a evidenţiat 2 celule/mmc, proteinorahie normală (0,42 g/l), ARN- HIV de 82 copii/mL iar culturile bacteriene şi fungice nu au fost crescute. Examenul IRM cerebral a evidenţiat leziuni hiperintense în secvenţele T2 şi FLAIR, hipointense în T1, localizate în ariile fronto-temporale, în emisferul cerebelos drept şi în punte. Deşi PCR ADN-JC a fost pozitiv în LCR, sugerând diagnosticul de leucoencefalopatie multifocală progresivă (PML), aspectul neuro-imagistic atipic şi simptomatologia psihiatrică asociată au făcut iniţial dificilă stabilirea diagnosticului. Starea generală s-a agravat treptat în special prin accentuarea simptomatologiei psihiatrice şi neurologice (tremor sever, hipotonie axială, slăbiciune musculară generalizată, insomnie şi anxietate marcată). Progresia semnificativă a leziunilor în substanţa albă subcorticală cu priză de contrast, în contextul ameliorării statusului imunologic, a scăderii importante a viremiei HIV şi a prezenţei ADN-JC în LCR, au orientat diagnosticul spre IRIS-PML. Pacienta a primit corticoterapie în doze mari, tratament antipsihotic şi a continuat terapia antiretrovirală, cu evoluţie clinică treptat favorabilă, cu ameliorarea treptată a simptomatologiei neuropsihice. Concluzii: Diagnosticul afecţiunii neurologice a fost dificil în special din cauza debutului atipic, a prezenţei concomitente a simptomelor psihice şi a aspectului neuro-imagistic necaracteristic.
EVALUATION OF FOUR PHENOTYPIC TESTS FOR THE DETECTION OF OXA-48-TYPE CARBAPENEMASE IN ENTEROBACTERIACEAE
Authors:   “Prof. Dr. Matei Bals” National Institute of Infectious Diseases, Bucharest, Talapan Daniela ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Dorobat Olga Mihaela ,   “Prof. Dr. Matei Bals” National Institute of Infectious Diseases, Bucharest, Bleotu Coralia ,   Stefan S. Nicolau Institute of Virology, Romanian Academy, Bucharest, Aldea Ioana ,   Stefan S. Nicolau Institute of Virology, Romanian Academy, Bucharest, Necula Laura ,   Stefan S. Nicolau Institute of Virology, Romanian Academy, Bucharest, Florea Dragos ,   “Prof. Dr. Matei Bals” National Institute of Infectious Diseases, Bucharest,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Popescu Gabriel Adrian ,   “Prof. Dr. Matei Bals” National Institute of Infectious Diseases, Bucharest,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Streinu-Cercel Adrian ,   “Prof. Dr. Matei Bals” National Institute of Infectious Diseases, Bucharest,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Rafila Alexandru ,   “Prof. Dr. Matei Bals” National Institute of Infectious Diseases, Bucharest,   “Carol Davila” University of Medicine and Pharmacy, Bucharest
Published: August 2021

Carbapenemase-producing Enterobacteriaceae have the potential to rapid dissemination in healthcare settings, becoming a major infection control and public health concern. PCR remains the reference method for identifying these strains, but is still expensive. We evaluated the performance of four phenotypic tests for identifying OXA-48-producing (Oxacillinase-48) Enterobacteriaceae. These were modified Hodge test (MHT), a combination disk test with meropenem alone or in combination with various inhibitors and temocillin, an enzymatic test and an immunochromatographic test. The tests were performed and interpreted according to guidelines or manufacturer’s recommendations. The most frequent microorganism included in the study was Klebsiella pneumoniae. All the tests had 100% specificity, except MHT (87,5%). Sensitivity was 91,25% for MHT, 90% for the combination disk test, 95% for the enzymatic test and 82,50% for the immunochromatographic test.
Pengaruh Sistem Pengendalian Internal Pemerintah Terhadap Kinerja Pemerintah Daerah
Authors: Mattoasi Mattoasi , Musue Didiet Pratama , Rauf Yaman
Published: August 2021

PThis study aims to determine the effect of the internal control system on the performance of local government Case Study in Gorontalo Regency. This study uses quantitative research methods, and the data sources use primary data obtained from questionnaires distributed to respondents. Meanwhile, the data analysis used in this research is descriptive quantitative analysis using statistical t-test and coefficient of determination test (ajusted R-Square). The results showed that the internal control system had a positive effect on the performance of local governments with a determinant value of 48.7%. The result of this study contribute to the government to establish and implement a more effectives Internal Constrol Systems (ICS).
A Model of Life Cycle on Biogas Feed to Solid Oxide Fuel Cell in Malaysia: Economic and Environmental Perspective
Authors: Shafini Mohd Shafie  , Zakirah Othman  , A Harits Nu'man  , Nik Nurul Anis Nik Yusuf
Published: August 2021

Abundant of palm oil waste creates huge potential in producing biogas. Technically, biogas can be fed as an input gas into the fuel cell system to get the electricity output. This paper aims to estimate the life cycle costs and environmental impact for the biogas feed to the solid oxide fuel cell system in two different models: Individual System and Centralized System. Then the system boundary-setting starts from palm oil plantation until the fuel cell system. The result indicates that the individual system is more efficient due to lower cost and emission compared to the centralized system. Life cycle cost for the individual and centralized system is RM 2.56 / kWh and RM 7.04 / kWh, respectively. Then the carbon dioxide emissions are 0.2034 CO2-EQ / kWh and 0.61 CO2-EQ / kWh. Hopefully, the outcome from this paper will be able to assist the decision-maker in planning to model the fuel cell combining with biogas system in the future. Apart from that, its objective is to focus on cost-efficient and more sustainable electricity generation.
PERFIL DE SUSCETIBILIDADE AOS ANTIMICROBIANOS EM INFECÇÕES COMUNITÁRIAS DO TRATO URINÁRIO EM MULHERES DA CIDADE DE ANÁPOLIS/GO
Authors: Lemes Eliane Pureza , Matos Jéssica Araújo Matos Araújo , Ramos Ana Luiza Rodrigues , Ponce Bruna Helena Ferreira , Freitas Aline De Araújo , Pinto Emerith Mayra Hungria
Published: August 2021

Introdução: A infecção do trato urinário (ITU) é a segunda infecção mais comum na população em geral e apresenta uma alta prevalência em mulheres. As enterobactérias são os agentes mais envolvidos. Objetivo: Avaliar o perfil de suscetibilidade antimicrobiana in vitrode enterobactérias isoladas de uroculturas. Métodos: Estudo descritivo transversal realizado no período de agosto a dezembro de 2017 no Laboratório de Análises Clínicas da UniEVANGÉLICA. Amostras de urina de jato médio de 333 pacientes do sexo feminino,com pedidos de urocultura foram semeadas nos meios de cultura apropriados para isolamento. A identificação dos bacilos Gram negativos foi realizada por meio do Sistema Bactray® e o antibiograma foi realizado pelo método Kirby–Bauer. Resultados: Foram isoladas enterobactérias em 13,2% (n=44) das amostras analisadas. Com relação a identificação, a maioria dos isolados foram de E. coli (65,9%; 29/44), seguidos por Klebsiella sp. (9,1%; 4/44), Acinetobacter baumannii (9,1%; 4/44), Morganella morganii (9,1%; 4/44) e Hafnia alvei (6,8%; 3/44). O maior percentual de resistência das enterobactérias isoladas foi observado para ampicilina, seguido da celafosporina de primeira geração (cefalotina), norfloxacina e ciprofloxacina. Das enterobactérias isoladas, 40% (12/30) apresentaram resistência a dois ou mais fármacos de classes diferentes, sendo que oito isolados de E. colidemonstraram multirresistência. Conclusões: A E. coli foi a enterobactéria mais frequentemente isolada e com perfil de resistência a múltiplos fármacos.