bluuebunny/crossref_metadata_2025 huggingface dataset:
”Mä kertakaikkiaan löydän jonkun konstin, että nousen täältä” - Kroonista väsymysoireyhtymää (ME/CFS) sairastavien toimijuuden modaliteetit
Authors: Keurulainen Meeri , Holma Juha , Wallenius Elina , Pänkäläinen Mikko , Hintikka Jukka , Partinen Markku
Published: October 2022

Krooninen väsymysoireyhtymä (ME/CFS [myalgic encephalomyelitis/ chronic fatigue syndrome]; G93.3) on pitkäkestoinen, harvinainen ja vaikeasti diagnosoitava sairaus, jolle on tyypillistä voimakas pitkäaikainen väsymys, joka ei selity millään muulla fyysisellä tai psykiatrisella sairaudella. Valtakunnalliset Hyvä käytäntö konsensussuositukset sairauden hoitoon julkaistiin helmikuussa 2021.  Tässä tutkimuksessa tarkastellaan viiden kroonista väsymysoireyhtymää sairastavan toimijuuden kokemuksia. Erityisenä tarkastelun kohteena ovat terveydenhuollon palvelu- ja hoitojärjestelmän vaikutukset sairastuneiden toimijuuteen. Aineisto on kerätty ennen konsensussuositusten julkaisemista. Tutkimus on laadullinen. Aineisto analysoitiin teoriaohjautuneen sisällönanalyysin avulla. Analysoinnissa hyödynnettiin Jyrkämän teoreettismetodologista viitekehystä toimijuuden modaliteeteista. Tuloksissa eri modaliteetit kietoutuivat monisyisesti toisiinsa osoittaen sairastumisen monimuotoisia ja kokonaisvaltaisia vaikutuksia ihmisen toimijuuteen. Sairastuminen horjuttaa kokemusta omasta kykeneväisyydestä, kuntoutumisen mahdollisuuksista ja osallisuudesta yhteiskuntaan. Omaan sairauteen liittyvä toimijuus lähti muodostumaan tilanteessa, jossa terveydenhuollosta puuttuivat toimivat hoitokäytännöt sekä sairauteen liittyvä ymmärrys ja osaaminen. Toimintakykyä kuntoutettiin ja sairauden herättämiä tuntemuksia purettiin läheisten ja vertaisten avulla. Terveydenhuollosta sairastuneet toivoivat saavansa tietoa sairaudesta, toimivia kuntoutuskäytäntöjä sekä ymmärrystä ja tukea sairauden herättämiin tuntemuksiin. Tulosten perusteella sairastuneiden toimijuutta voidaan vahvistaa ja tukea terveydenhuollossa monin eri tavoin.  Sairauteen liittyviin ennakkoluuloihin ja asenteisiin vaikuttaminen, merkityksellisten rakenteellisten tekijöiden ja terveydenhuollon osaamisen vahvistaminen mahdollistaisivat kuntoutumista ja omaa sairauteen liittyvää toimijuuden rakentumista. Sairastunut on tärkeä kohdata myös inhimillisenä toimijana, jolle sairastumisella on kokemuksellisia, kulttuurisia ja sosiaalisia vaikutuksia.
Vuorovaikutus terveydenhuollon ammattihenkilöiden kanssa paljon terveyspalveluja tarvitsevien asiakkaiden arvioimana
Authors: Huhtakangas Moona , Tolvanen Mimmi , Kyngäs Helvi , Kanste Outi
Published: October 2022

Runsas palvelutarve aiheuttaa haasteita sekä asiakkaille itselleen että terveyspalvelujärjestelmälle asiakkaiden pyrkiessä saamaan tarpeitaan vastaavaa hoitoa. Vuorovaikutus on tärkeää asiakkaan ja terveydenhuollon ammattihenkilöiden kohtaamisissa. Tutkimuksen tarkoituksena oli vertailla  lyhyt- ja pitkäaikaisesti paljon terveyspalveluja tarvitsevien asiakkaiden näkemyksiä vuorovaikutuksesta terveydenhuollon ammattihenkilöiden kanssa. Lisäksi tarkoituksena oli testata samalla kohderyhmällä Patient-Professional Interaction Questionnaire PPIQ-mittarin faktorirakenteen yhdenmukaisuutta.
Aineisto kerättiin erään kaupungin hyvinvointipalveluiden pitkäaikaisesti (n=234) ja lyhytaikaisesti (n=261) paljon terveyspalveluja tarvitsevilta asiakkailta tammi-heinäkuussa 2020. Mittari sisälsi 16 vuorovaikutusta arvioivaa väittämää, jotka muodostavat neljä ulottuvuutta: tehokas kommunikaatio; kiinnostus asiakkaan näkemyksiä kohtaan; empatia; asiakkaan osallistaminen hoitoon. Kukin ulottuvuus sisälsi neljä väittämää. Aineisto analysoitiin Pearsonin khiin neliö -testillä, keski- ja hajontaluvuilla sekä Mann-Whitney U -testillä. Mittarin sisäistä johdonmukaisuutta arvioitiin Cronbachin alpha -reliabiliteettikertoimella ja mittausinvarianssia useamman ryhmän konfirmatorisella faktorianalyysillä.
Pitkäaikaisesti paljon terveyspalveluja tarvitsevat asiakkaat arvioivat vuorovaikutuksen ammattihenkilöiden kanssa keskimäärin heikommaksi kuin lyhytaikaisesti paljon terveyspalveluja tarvitsevat asiakkaat. Asiakkaan hoitoon osallistaminen oli keskeinen vuorovaikutukseen liittyvä tekijä pitkäaikaisesti paljon terveyspalveluja tarvitsevien asiakkaiden arvioimana. Useamman ryhmän konfirmatorisen faktorianalyysin perusteella PPIQ-mittarin rakenne ja lataukset olivat samanlaiset lyhyt- ja pitkäaikaisesti paljon terveyspalveluja tarvitsevien asiakkaiden ryhmissä, mutta vastaukset eri väittämiin vaihtelivat ryhmien välillä.
Paljon terveyspalveluja tarvitsevan asiakkaan ja terveydenhuollon ammattihenkilöiden välinen toimiva vuorovaikutus on tärkeä osa asiakaslähtöisiä terveyspalveluja.
Asiakas- ja potilasturvallisuusindikaattorit ympärivuorokautisissa ja kotiin vietävissä sekä kehitysvammahuollon palveluissa vuonna 2020 – valtakunnallinen kartoitus
Authors: Vaartio-Rajalin Heli , Rauhala Auvo , Ikonen Tuija
Published: October 2022

Huolimatta terveydenhuollon kustannus- ja vaikuttavuusmittareiden kansallisesta kehitystyöstä, Suomessa on niukasti vertailukelpoista tietoa sosiaali- ja terveydenhuollon palvelujen asiakas- ja potilasturvallisuudesta. Vuonna 2020 alkaneen valtioneuvoston kanslian selvitys- ja tutkimushankkeen ”Potilas- ja asiakasturvallisuuden kansallinen tilannekuva ja seurantamenettelyt” yhtenä tavoitteena oli selvittää asiakas- ja potilasturvallisuuden mittaamista ja menettelyjä Suomessa. Tässä artikkelissa raportoidaan kyselytutkimuksen havainnot sosiaali- ja kehitysvammaishuollon käyttämistä indikaattoreista.
Asiantuntijatyönä selvitettiin kansainvälisiä ja Suomessa käytössä olevia mittareita ja menettelyjä, joita tunnistettiin kaikkiaan noin 200. Joukossa oli 79 RAI-järjestelmän mittaria. Indikaattorit koottiin Webropol-kyselyyn. Sosiaalihuollon kysely kohdennettiin ympärivuorokautisiin laitos- ja asumispalveluihin, kotiin vietäviin palveluihin sekä kehitysvammahuoltoon. Kysely lähetettiin 170 sosiaalipalvelujen organisaatiolle, joista 87 (51%) vastasi.
Vastanneissa organisaatioissa oli käytössä keskimäärin 56 asiakas- ja potilasturvallisuusindikaattoria 94:stä; eniten maakunnallisilla hyvinvointikuntayhtymillä (69 kpl), yliopistosairaalakaupungeilla (64 kpl) ja keskussairaalakaupungeilla (61 kpl). Yleisimmin seuratut indikaattorit koskivat johtamista ja organisaatiota, vaaratapahtumien raportointia sekä asiakaspalautteita ja reklamaatioita, mutta seurattujen indikaattorien määrissä oli suurta vaihtelua organisaatioiden välillä. Lisäksi RAI-järjestelmän mittareita käytti noin puolet vastaajista laitoshoidossa ja asumispalveluissa sekä kotiin vietävissä palveluissa.
Asiakas- ja potilasturvallisuusindikaattoreita oli käytössä kyselyyn vastanneissa sosiaalipalveluissa kohtalaisesti, omavalvontaohjeiden viitoittamana, mutta seuranta vaikutti epäyhtenäiseltä ja pääasiassa reaktiiviselta. Jatkotutkimusta tarvitaan siitä, kuinka järjestelmällisesti, avoimesti ja terveydenhuollon toimintaan integroituneena indikaattoreita käytetään, sekä siitä, mikä yhteys seurattavien indikaattorien määrällä on asiakasturvallisuuden tasoon.
Belonging in an aquapelago: Island mobilities and emotions
Authors: Hayfield Erika Anne , Pristed Nielsen Helene
Published: October 2022

This paper concerns belonging in islands. Place-belonging conjures images of feeling at home somewhere, in our case islands. Given the emotionality of belonging, we explore island belonging through emotions. More specifically, we apply the concept of the aquapelago to island belonging and refer to this as aquapelagic belonging. Bringing in emotions, embodied perceptions and mobility, we discuss how these are assembled in island-sea relations to form aquapelagic belonging. In doing so, we draw on qualitative data from fieldwork undertaken in locations where proximity to the sea and access to seaborne mobility is paramount. Our findings demonstrate how certain emotional dispositions and mobility practices emerge in processes of aquapelagic belonging, indicating that mobility is intricately entangled with island belonging. We propose that the interconnected nature of land and sea spaces co-produce emotions of belonging in island spaces. We therefore argue that the concept of aquapelagic belonging lends useful insight to understand what is particular about island belonging. Furthermore, we suggest that attention to mobility, which in this context means navigating land/sea environments, is key to understanding aquapelagic belonging. We conclude that to grasp island belonging, the notion of the aquapelago is relevant and assists in understanding the totality of island relations.
Views of the islands: The geographical perception of the Balearic Islands among graduate students in primary education
Authors: Binimelis Sebastián Jaume , Ordinas Garau Antoni , Ruiz Pérez Maurici
Published: October 2022

Geographic literacy is a field of research with a great tradition. This area was first developed in the British and North American academic circles in the 1980s and 1990s, and research has continued until the present day. The analysis of perception and knowledge of geography has focused on the enclaves (toponyms) mentioned in the mental maps (place location knowledge) prepared by university undergraduate students of the primary education teaching major. However, this focus is also on an approach where few studies have been made, yet it has been facilitated by the incorporation of modern geographic information technologies. The authors test a methodology for surface area and perimeter size analysis on the mental maps of the Balearic Islands made by future teachers, comparing their distortions in relation to the real model. After analyzing the results, the most notable common pattern describing the insular students’ perception of the isles is ethnocentrism, which undoubtedly has important implications in the field of geographic education.
Worlds apart: Island identities and colonial configurations in the Dutch Caribbean
Authors: Vance Roitman Jessica , Veenendaal Wouter
Published: October 2022

Analyses of the Caribbean continue to divide the region based on colonial heritage, which is largely a result of the fact that it primarily consists of small islands. In this article, we demonstrate the inaccuracy of such categorizations on the basis of two sets of arguments. Based on historical as well as contemporary evidence from the Dutch Caribbean, we show that different islands that were artificially united into a single jurisdiction by colonial powers commonly experience intense inter-island rivalries and separatist tendencies. In addition, however, we show evidence pointing to frequent contacts and shared regional identities between neighboring islands belonging to different (post)colonial spheres of influence, both in the past and in the present. In sum, therefore, our interdisciplinary analysis – combining insights from history and political science – shows that small islands experience seemingly contradictory tendencies towards both island nationalism and inter-island cooperation, but that cooperation can only work if it is initiated on the terms of islands themselves, and not determined by colonial rulers or metropolitan states.
Ferry services and the community development of peripheral island areas in Hong Kong: Evidence from Cheung Chau
Authors: Lau Yui-yip , Tam Ka-chai , Ng Adolf K.Y.
Published: October 2022

The history of Hong Kong ferry services began with the establishment of the colony of the British Empire after the Treaty of Nanking. The ferry system was the foundation of public transport in Hong Kong. This study adopts the concept of centre-periphery theory to explain how ferry services facilitate regional integration in Hong Kong, notably on Outlying Islands, and describe how better transportation influenced the course of development of the communities of the peripheral islands. Through an intensive documentary investigation and in-depth interviews with the islanders, this study undertakes a historical approach to study the evolution of the Hong Kong ferry services throughout the last two centuries, and to see the prospects of its development, particularly the services for the Outlying Islands, in the postcolonial Special Administrative Region. Our main concerns include the significance of ferry services in maintenance, and the economic development and social welfare in the Outlying Islands. The slow decline of Hong Kong ferry services since the 1970s notwithstanding, the study addressed how and why ferry services in Hong Kong are still important to keep the city intact, while giving the islanders some new choices of self-identity and of staying in their peripheral home.
Karakter Islami dalam Film Animasi Nussa dan Rara Episode Cerita Rara: Kajian Sosiolinguistik
Authors: Melati Inka Krisma , Asrini Hari Windu , Budiman Ajang
Published: October 2022

Permasalahan karakter pada anak cukup menjadi sorotan yang memprihatinkan. Tujuan penelitian ini sebagai berikut: [1] mendeskripsikan bentuk-bentuk karakter Islami, [2] mendeskripsikan karakter Islami berdasarkan Setting & Scene, [3] mendeskripsikan karakter Islami berdasarkan Partisipant, dan [4] mendeskripsikan karakter Islami berdasarkan Act Sequence dalam film animasi Nussa dan Rara episode Cerita Rara. Penelitian ini menggunakan metode deskriptif kualitaif. Sumber data dalam penelitian ini media youtube tayangan kartun animasi Nussa dan Rara episode Cerita Rara. Data dalam penelitian ini adalah data hasil transkripsi berupa kutipan kata, frasa, klausa, kalimat dan narasi yang terdapat dalam tayangan animasi Nussa dan Rara. Teknik pengumpulan data dalam penelitian ini sebagai berikut, [1] melakukan transkripsi data dan [2] pengkodean data dan pengelompokkan data yang menunjang penelitian. Analisis data dilakukan bersamaan dengan interpretasi data sesuai teori. Teknik berdiskusi data yaitu berdiskusi bersama ahli. Hasil penelitian diperoleh simpulan bahwa karakter Islami dalam Film Animasi Nussa dan Rara episode Cerita Rara memenuhi bentuk-bentuk karakter Islami yaitu [1] karakter Islami Religius, [2] karakter Islami Disiplin, dan [3] karakter Islami Sabar dengan tinjauan teori Speaking. Ditemukan tiga teori Speaking yang digunakan dalam penelitia ini yaitu [1] Setting dan Scene, [2] Partisipant, dan [3] Act Sequence.
Analisis Kesalahan Berbahasa pada Karangan Mahasiswa BIPA Darmasiswa RI (Kajian terhadap Hasil Karangan Mahasiswa Darmasiswa 2016-2017)
Authors: Khoirunnisa Alifia , Wurianto Arif Budi , Isnaini M.
Published: October 2022

Buku Kumpulan Juara Jurnal Bahasa Indonesia Mahasiswa BIPA 2016-2017 memiliki karangan yang berjumlah 22 karangan menceritakan pengalaman mahasiswa asing selama berada di Indonesia. Penelitian ini bertujuan untuk mendeskripsikan kesalahan berbahasa yang terdapat dalam karangan mahasiswa BIPA darmasiswa. Pendekatan yang digunakan dalam penelitian adalah pendekatan kualitatif. Prosedur pengumpulan data penelitian ini adalah (1) pengumpulan karangan, pembacaan karangan, penandaan dengan menggarisbawahi, pengklasifikasian dengan tabel, pembuatan diagram. Data penelitian ini diambil dari Jurnal Bahasa Indonesia Mahasiswa Darmasiswa tahun 2016/2017. Data yang diambil berupa kalimat yang diidentifikasi berupa hasil kesalahan berbahasa yang meliputi : kesalahan struktur kalimat, kesalahan pemilihan diksi, dan kesatuan wacana. Sumber data penelitian ini adalah buku kumpulan juara jurnal Bahasa Indonesia tahun 2016/2017. Subjek penelitian ini adalah mahasiswa Darmasiswa. Objek Penelitian adalah karangan mahasiswa Darmasiswa yang terkumpul dalam buku juara jurnal Bahasa Indonesia tahun 2016/2017.
Alih Kode dan Campur Kode Dalam Film Sultan Agung: Tahta, Perjuangan dan Cinta
Authors: Qirana Alifa , Fujiastuti Ariesty
Published: October 2022

Alih kode dan campur kode sangat menarik saat digunakan dalam proses komunikasi atau percakapan seseorang. Hal ini bisa digunakan untuk memperoleh maksud atau tujuan tertentu. Tujuan dari penelitian ini adalah untuk mendeskripsikan wujud alih kode dan campur kode dan mendeskripsikan jenis alih kode dan campur kode dalam film Sultan Agung: tahta, Perjuangan, dan Cinta. Penelitian ini memfokuskan pada wujud dan jenis alih kode serta campur kode pada film Sultan Agung: tahta, Perjuangan, dan Cinta. Jenis penelitian ini adalah penelitian deskriptif kualikatif. Data penelitian ini adalah penggunaan alih kode dan campur kode yang terdapat dalam film Sultan Agung: tahta, Perjuangan, dan Cinta. Sumber data penelitian ini adalah film Sultan Agung: tahta, Perjuangan, dan Cinta. Berdasarkan temuan penelitian dan pembahasan diperoleh hasil penelitian sebagai berikut. Pertama, ditemukannya 2 wujud alih kode, yaitu wujud kode bahasa dan wujud kode tindak tutur. Kedua ditemukannya 5 wujud campur kode, yaitu wujud campur kode pada tataran kata, wujud campur kode pada tataran kata ulang, wujud campur kode pada tataran frasa, wujud campur kode pada tataran idiom, dan wujud campur kode pada tataran klausa. Ketiga ditemukannya 2 jenis alih kode, yaitu intern dan ekstern. Kemudian yang keempat, ditemukannya 2 jenis campur kode yaitu jenis ke luar dan ke dalam.
Pengaruh Penggunaan Media Film Animasi Terhadap Kemampuan Menulis Teks Narasi Siswa Kelas VII Smp Negeri 2 Galesong Selatan Kabupaten Takalar
Authors: Sulaiman Sulaiman , Agus M. , Indramini Indramini
Published: October 2022

Penelitian ini bertujuan untuk mendeskripsikan pengaruh penggunaan media film animasi terhadap kemampuan menulis teks narasi siswa kelas VII SMP Negeri 2 Galesong Selatan Kabupaten Takalar. Metode penelitian ini adalah penelitian kuantitatif dengan jenis penelitian experiment dengan desain pretest-posttest control group desain. Perbedaan ketarmpilan menulis teks narasi antara kelas eksperimen dan kelas kontrol ditunjukkan dengan hasil uji analisis atatistik Wilcoxon dan Mann Whitney. Hasil uji analisis statistik Wilcoxon dan Mann Whitney pada nilai post-test kelas eksperimen dan kelas kontrol keduanya menunjukkan nilai signifikasi Asymp.Sig.(2-tailed) = <0,001. Karena hasil nilai signifikasi Asyim.Sig.(2-tailed) = <0,001 < 0,05. Maka dari kedua hasil uji analisis statistik tersebut dapat disimpulkan bahwa terdapat pengaruh penggunaan media film animasi terhadap kemampuan menulis teks narasi siswa kelas VII SMP Negeri 2 Galesong Selatan Kabupaten Takalar.
Strategi Direktif Maudy Ayunda dalam Perkenalan Juru Bicara Presidensi G20 Indonesia: Tinjauan Linguistik Sistemik Fungsional
Authors: S Sri Devi , Thaba Aziz
Published: October 2022

Penelitian ini bertujuan untuk mendeskripsikan bentuk strategi direktif yang digunakan oleh Maudy Ayunda dalam pidato perkenalan sebagai tim juru bicara Presidensi G20 Indonesia yang dianalisis menggunakan tinjauan Linguistik Sitemik Fungsional (LSF). Penelitian ini bersifat deskriptif kualitatif. Sumber data dalam penelitian ini adalah kalimat yang mengandung unsur direktif dalam pidato Maudy Ayunda. Metode yang digunakan dalam penelitian ini adalah metode simak dengan teknik catat. Proses menyimak yang dimaksud adalah mendengarkan secara saksama pidato perkenalan yang dilakukan oleh Maudy Ayunda kemudian mencatat semua pidato yang disampaikan dalam bentuk teks utuh. Setelah itu mengumpulkan data-data direktif yang kemudian diklasifikasi dan diolah berdasarkan bagiannya. Hasil penelitian menemuikan bahwa terdapat tiga spesifikasi direktif yang ditemukan dalam pidato Maudy Ayunda yaitu deklaratif (menginformasikan), imperatif (memerintah) dan interogatif (menanyakan). Ketiga spesifikasi tersebut didominasi oloeh deklaratif dangan persentase kemunculan 80% dibandingkan dengan imperatif yang hanya 15% dan interogatif 5%. Hal ini diperkuat oleh beberapa data temuan direktif dalam pidato yang menggunakan kata Saya menyampaikan, Saya mengucapkan, Saya merasa, Saya ingin, yang digunakan untuk menginformasikan hal-hal penting terkait kegiatan Presidensi G20 Indonesia kepada masyarakat luas
Analisis Stilistika Penggunaan Gaya Bahasa Pada Kumpulan Puisi Sayap-Sayap Tumbuh Karya Edrida Pulungan
Authors: Pertiwi Tri
Published: October 2022

Penelitian ini berjudul “Analisis Stilistika Penggunaan Gaya Bahasa Pada Kumpulan Puisi Sayap-Sayap Tumbuh Karya Edrida Pulungan”. Penelitian ini dikaji untuk menganalisis kumpulan puisi “Sayap-Sayap Tumbuh” dengan mencari tahu gaya bahasa yang terdapat di dalamnya melalui pendekatan stilistika. Penelitian ini menggunakan metode penelitian deskriptif kualitatif bertujuan untuk mendeskripsikan secara sistematis, faktual, dan akurat dengan menggunakan kata-kata atau kalimat. Penelitian ini dilaksanakan mulai bulan Mei 2019 sampai dengan Juni 2019. Teknik pengumpulan data menggunakan teknik catat. Data dalam penelitian ini adalah data tertulis kumpulan puisi “Sayap-Sayap Tumbuh” karya Edrida Pulungan. Sumber data dalam penelitian ini adalah buku kumpulan puisi, yang dilakukan di Medan, Sumatra Utara. Hasil penelitian analisis stilistika kumpulan pusisi “Sayap-Sayap Tumbuh” ini terbentuk karena dilakukan kajian untuk mencari gaya bahasa atau majas, terdapat 15 majas yang ada pada kumpulan puisi dengan 4 majas dominan. Gaya bahasa atau majas tersebut di antaranya.
Pengaruh variasi bevel pada proses pengelasan SMAW terhadap kekuatan tarik material
Authors: Fauzi Yusuf Rizal , Khalid Anhar , Barry Akmal
Published: October 2022

The strength of welded joints is influenced by a wide variety of factors. One of them is due to structural changes as a result of the heating process. In order for the connection between the two metal parts to have good quality, it is necessary to have a proper welding and the connection and the shape of the weld bevel are in accordance with the use of the results of the weld. Parameters in Shielded Metal Arc Welding (SMAW) welding include current strength, voltage, electrical polarity, and the angle of the joint used. These parameters make the basis for the right selection in order to get a good quality or connection quality. The purpose of this study was to determine the effect of bevel variations on the tensile strength test of the SMAW welding process connection on medium carbon steel material. The welding process is carried out using RB 26 type electrodes using a current of 100 A at 1 G welding position, welding is carried out on the material using V, I and double V bevel with 1 specimen per bevel. Based on the research that has been done, it can be concluded that the type of joint bevel has an important influence on the results of the weld. From the variation of the bevel that has the highest tensile strength value, it is V bevel rather than double V bevel and 1 bevel. Due to the variation of V bevel has a small distortion angle compared to double V bevel and I bevel. Optimal electric welding results depend on the welding process technique.
Rancang bangun mesin sablon cup semi otomatis
Authors: Handono Sulis Dri , Mafruddin Mafruddin , Prasetyo Ari Dwi , Iswadi Bambang , Purnomo Riki
Published: October 2022

Screen printing is a technique of printing graphic designs using gauze or called screens. One application of the screen printing machine is on the cup. The more beverage vendors in cup packaging like today, the more screen printing machines are needed. To meet these needs, a cup screen printing machine was made. The purpose of the study was to determine the shape and dimensions as well as the performance of the semi-automatic cup screen printing machine. The research method carried out is by designing and manufacturing a semi-automatic cup screen printing machine and testing with two different types of molding, namely 14 Oz and 16 Oz. From the results of the design and manufacture of the semi-automatic cup screen printing machine design, the length is 600 mm, the width is 400 mm and the height is 900 mm. Using an electric motor of 0.25 HP, gear box 1:60, screen length of 400 mm and width of 150 mm and using a steel frame ST 37 type L. Based on the results of tests and calculations it is known that the production capacity of the screen printing machine is 300 cups/hour and the quality production with 14 Oz molding type is 92% good, 4.67% normal, 2.6% bad while 16 Oz molding is 88% good, 7.34% normal, 4.6% bad. The electrical power consumption of the screen printing machine is 328.6 Watt and the mechanical efficiency is 54.04 %.
NAFKAH ISTRI YANG DI TALAK RAJ’I DALAM KEADAAN HAMIL
Authors: Razik Fakhru , Nurkhaerah Sitti , Kristiane Desy
Published: October 2022

Among the obligations of a husband, one of them is to provide a living for his wife and the obligation of a wife is to be obedient and obedient to her husband. The purpose of marriage will not be achieved if one of the parties neglects their obligations, this can create disputes in the family that result in divorce. The consequence of divorce for a wife, whether pregnant or not pregnant, is to undergo a period of iddah, either because of raj'i divorce or ba'in divorce. This study outlines several opinions, concepts or theories that describe or present problems related to the wife's right to earn a living from her ex-husband during the iddah period after being divorced from Raj'i in a pregnant state and the legal consequences for husbands who do not provide iddah. to the wife who was divorced while pregnant
Phenomenon of the Regional Sense of humor in the Tuscan Poetry
Authors:   Maxim Gorky Institute of Literature and Creative Writing, Sycheva Vladislava
Published: October 2022

The article considers the phenomenon of the national Tuscan sense of humour and the influence of local mentality on the poetry of the region. Quotes from the pieces of Guittone D’Arezzo, Rustico di Filippo, Dante Alighieri, Lorenzo de’ Medici, Francesco Berni and other authors of various periods, from the 13th to the 20th century, demonstrate in chronological order which part the specific Florentine irony takes in the process of formation, development and transformation of the Italian comic verse (or realistic verse). This genre arose not only as a poetical method but also as a reaction to the social and political situation. Comparative analysis of the poems allows us to follow the evolution of the Florentine poetic tradition and draw the conclusion about the cyclical nature of the literature process, confirmed by the regular return to the debunking of excessive tragedy in Italian poetry by the comic verse. In addition, the article reveals the common features of comic verse of different historical periods, which consist in the similarity not only of themes and motives but also of comic techniques based on the characteristic sceptical view of the life of Tuscans.
Religion and Diplomacy: The Dynamics of Indonesian-Afghanistan Relations During President Joko Widodo Government
Authors: Fatimatuzzahro Fatimatuzzahro , Yumitro Gonda
Published: October 2022

This study aims to analyze the dynamics of relations between Indonesia and Afghanistan during the reign of Joko Widodo before and after the Afghan coup by the transnational Islamic movement of the Taliban. Even though the Taliban is back in power in Afghanistan, relations between Indonesia and the Afghan government are still going well. This research is a qualitative descriptive study using the concept of multitrack diplomacy to answer the problem of this research. The method to collect data by literature study, the journals used as references are reputable journals randomly obtained from several publishers such as Taylor Francis Online and Sage. In addition, researchers also use Harzing publish or Perish. When searching for articles, the primary key used by the authors in Harzing is Indonesia Afghanistan, Indonesia-Afghanistan relations, Jokowi Afghanistan, Indonesia’s response to Afghanistan. The authors also used an open knowledge map from 2014-to 2021 to complete the data source. The authors imported the article into Mendeley in the next stage and then used Vosviewer software to determine clusters and research gaps. The authors found that Indonesia and Afghanistan have an excellent relationship, as seen by the contribution of Indonesia, which is actively involved in responding to Afghanistan’s internal conflict with the Taliban in efforts to handle Afghan refugees and the involvement of non-governmental organizations. The was also a shift in the focus of issues in Indonesia’s relations with Afghanistan. Before the Taliban coup in Afghanistan, the Indonesian government was more focused on the topic of refugees.
The Royal Throne of Tuan Besar in the Restoration of Kubu Kingdom: A Nasab Fiqh Perspective
Authors: Bakar Abu
Published: October 2022

This study describes the unresolved problem of the fight for the throne in the restoration of the Kubu kingdom and reveals the underlying root causes. The description of the problem is based on historical accounts and continuous local mass media coverage related to the fight for the throne. The problem is placed in its Indonesian political context, namely Regional Autonomy Era which seeks to promote the preservation and development of local culture. Nasab fiqh (Islamic Jurisprudence concerning lineage) is used as the perspective of the review. This study explains that the Kubu restoration was hindered by the fight for the throne because the nasab (lineage) requirements were used as the sole instrument. In turn, the lineage requirement has made the issues related to Kubu throne a primordial fight among the king’s descendants. This sheds some light on the fact that the throne has high heirloom value or shared inheritance which is attached to material rights. These material rights are granted by regional autonomy which provides opportunities for the king to revive local cultural roles.
The Tuan Guru Tradition of Nahdlatul Wathan in Pesantren
Authors: Muslim Supratman , Suprapto Suprapto , Jamaluddin Jamaluddin
Published: October 2022

Pesantren (Islamic Boarding Schools) is a religious educational institution that has long history in Indonesia. Pesatren has an important role in producing religious figures, including kyai (an expert of Islamic teachings) or tuan guru (grand teacher). However, this role began to fade as many secular educational institutions emerged due to modernization and globalization, and at the same time pesantren began to change a lot to adapt to this new system. This study aims to explore the role of the Ma’had Dar Al-Qur’an wa Al-Hadith Nahdlatul Wathan (MDQH NW) Islamic boarding school in maintaining the tuan guru (grand teacher) tradition, and the strategies used to maintain this tradition. This study used a qualitative method with data collected through techniques of participatory observation, in-depth interviews and documentation. The results indicate that the MDQH NW has a significant contribution in maintaining the tuan guru tradition. This is demonstrated by the pattern of education and all institutional activities oriented to the pesantren culture with the study of the al-Mu’tabarah book with the halaqah system. The strategies include strengthening traditional education, strengthening socio-religious relations, and strengthening Islamic da’wah. Continuity is also seen in the social relations built with the masyayikh (internal quality assurance) at Madrasah Shaulatiyah Makkah. Changes also occurred at the MDQH NW in Pancor regarding the duration of studies, especially for the talibat (female students) who previously took 3 years then extended to 4 years, which is the same duration as the tullab (male students). However, the MDQH NW Islamic Boarding School in Anjani still maintains the rule that has become the legacy of its founders, namely three years for the talibat and four the tullab.
Syncretism on Catholic Symbols in The Invulnerability Rituals in West Borneo
Authors: Halawa Arius Arifman , Ahen Lukas , Cenderato Cenderato
Published: October 2022

Catholic churches highly appreciate human customs and cultures to recognize ways for humans to express and develop their humanity. They often include elements of art and culture in liturgical symbols as a form of expressing faith in God. Many liturgical songs use ethnic songs, images and building form with certain traditional and cultural motifs. This study aims at examining the use of Catholic religious symbols by a group of Catholic Youths in West Borneo in practicing invulnerability. The practice actually experienced a mix that creates a religious syncretism and is contrary to the Catholic faith. The work focuses on the use of Catholic religious symbols in the preservation of Dayak customs in West Borneo, the view of the leadership of the Catholic Church on the use of Catholic religious symbols to preservate Dayak customs in West Borneo. This study used a qualitative method with the instruments of Interview and Questionnaire. Some people used church symbols in invulnerability rituals, especially during Dayak cultural activities, such as the cross symbol, the Rosary, statues of Jesus/Mother Mary in various sizes. In addition, they also used Catholic prayers to open with the sign of the cross, the Lord’s Prayer, the Hail Mary and the Prayer I Believe. From the church’s perspective, invulnerability knowledge is local wisdom that needs to be apreciated. However, it is contrary to the teachings of the Church and is inappropriate to the intent and purpose of their existence.
Religion, Lifestyle, and Identity Affirmation within Middle Class Malay Muslims in Pontianak of West Borneo
Authors: Hamzah Nur , Sirait Sangkot , Lessy Zulkipli
Published: October 2022

This work aims at revealing the implications of modernization and improvement of the living standards of the middle-class Malay Muslim community in Pontianak City. The modern world has proven to affects the aspects of religion and culture of the people in the globe, including the Malay Muslims in Pontianak. This is based on research employing qualitative approach with the support of ethnographic activities. Observations and in-depth interviews were to support the data collection from middle-class Malay Muslims in Pontianak. The work suggests that the modernization and improvement of the social class of Pontianak Malay Muslims has changed their relationship to the Malay culture where they have become more selective towards existing customs and traditions. In addition, the increase in the living standards has in fact also increased the desire of Malay Muslims towards various efforts to affirm class identity. Modern Malay Muslims tend to addopt modern life style with the supports of Islamic teachings they practice in everyday life as they consider Islam as the foundation of their customs and traditions. The hegemony of modernity has penetrated the life of the Malay Muslims and influenced the characteristics of their religiousity and Malaydom to a more modernized style.
Reorienting Ecological Paradigm for Harmonization of Humans and Nature: A Christian Perspective
Authors: Talupun Johanna Silvana , Sopacuaperu Eklepinus Jefry
Published: October 2022

The ecological crisis that is very alarming at the moment is caused by, among others, the “poor” ethics in the relationship between humans and the universe. Humans tend to see themselves as high and mighty, also the most decisive (superior). Conversely, nature is perceived as less important, of lower class, not human (inferior). Inequality in the relationship between humans and nature has further wosened the “ethical poverty” and the relationship is increasingly immoral. Thus, ethical poverty forms paradigm disorientation, dysfunction of action and disintegration of relations. Therefore, this article aims to reorient the paradigm, and to encourage the creation of harmonious relations based on a paradigm shift in favor of life. Everything begins with a search for social ethics that observes the events of the ecological crisis, investigates in-depth and hears various calls for a paradigm shift, identifies ethical-ecological principles and seeks a hermeneutical-biblical ethics as a religious interpretation that goes beyond the anthropocentrism of interpreting the holy scriptures. The method used in this research is a literature study. Data related to the issue of the ecological crisis was collected and then an in-depth analysis was carried out and finally conclusions were made. The issue of ecological crisis used as a reference in this research is the case of mining on Romang Island. This case is analyzed with a social ethics and a religious ethics approaches. The results of the analysis serve as a reference for transformative actions.
Lei de drogas
Authors: Schwingel Danieli , Silva Rodrigo Vaz
Published: October 2022

O assunto drogas é conhecido mundialmente por seus complexos e desafiadores problemas, por esse motivo, o legislador brasileiro busca cada vez mais adequar o sistema punitivo para amenizar as consequências de grande prejudicialidade que causa. No Brasil, a atual Lei de Drogas gerou dissenso na doutrina, quando alguns doutrinadores apontaram as suas inovações como positivas e outros consideraram-nas negativas declarando-a como escassa em vista da grande dimensão de condutas que as suas redações precisam atender e resolver. Através da presente pesquisa, constatou-se que, a princípio, a lei não traz critérios suficientes para diferenciar o usuário de agente, recaindo o problema sobre a análise do dolo sem que a lei tenha trazido um maior detalhamento além da breve expressão “para consumo pessoal” no delito que tipifica o usuário. Tornou-se assim, possível verificar que mesmo diante de todas as atualizações e mudanças nos instrumentos normativos seria com a utilização das teorias do dolo que ampliariam as chances de identificação da real intenção do agente. Em consonância Esse estudo utilizou-se o método dedutivo/descritivo, tendo em vista a crescente preocupação que assola o sistema penal punitivo brasileiro. Para tanto, se utilizou a técnica de pesquisa bibliográfica e documental, que compreende e discute a importância do aferimento correto legal.
(In)aplicabilidade do creditamento de PIS e COFINS sobre insumos nas atividades empresariais
Authors: Ruchinski Karina , Paula Alan Pinheiro de
Published: October 2022

O Sistema Tributário Nacional atual é extremamente complexo e permite o surgimento de inúmeros debates e interpretações acerca das normas vigentes e da aplicação destas no caso concreto. Um dos impasses atuais é a inaplicabilidade do creditamento de PIS e COFINS sobre insumos no que se refere a algumas atividades empresariais. Sendo assim, buscando correlacionar os conceitos e os fatos, o presente artigo tem por objeto a contextualização histórica e conceitual diante da matéria tributária em geral, abrangendo as competências e os princípios tributários, bem como a problemática da inaplicabilidade do creditamento de PIS (Programa de Integração Social) e COFINS (Contribuição para o Financiamento da Seguridade Social) sobre insumos. Será evidenciado o correspondente tema a partir da definição de insumos, onde segundo a Receita Federal do Brasil, deve ser aferido à luz dos critérios de essencialidade ou relevância, considerando a imprescindibilidade ou a importância de determinado item, bem ou serviço para o desenvolvimento da atividade econômica desempenhada pelo contribuinte. Será analisado o tratamento acerca dos insumos na legislação de PIS e COFINS frente ao entendimento da Receita Federal do Brasil, expondo a definição do conceito de “insumos’’ no que se refere a apropriação de créditos e a legitimidade de empresas privadas que exercem atividades de revenda se creditarem de suas receitas decorrentes de insumos utilizados para a efetivação de suas atividades econômicas. Foi utilizado o método dedutivo e pesquisas bibliográficas legislativas, doutrinárias e jurisprudenciais.
The Dangerous Discourse of “Us” vs. “Them:” Spain's VOX Discursive Practices
Authors: Navarro Francisco de Borja , Yeh Aiden
Published: October 2022

Since the entry of the far-right party VOX into the Spanish government administrations in 2018, Spain's political scene has gone through a deep transformation. The disparity in opinions among the different parties concerning migration seems to tear the country's democratic foundation apart. This paper is a study of the language and discursive strategies used by VOX's leader, Santiago Abascal, articulating the party's populist propaganda for a united country to “make Spain great again.” The analysis was grounded on the theoretical underpinnings of Wodak's (2001) discursive strategies and Van Dijk's (1993) “Us” vs. “Them” framework. The data were based on Abascal's closing political campaign speech during the Madridlenian elections, which was televised in May 2021. The 30-minute video recording was transcribed, annotated, coded, and analyzed. The findings suggest a pattern of discursive practices aimed at diminishing other political parties and their representatives, vilify immigrants, and impugn government measures that were against VOX's authoritarian conservatism and nationalism. There was a predominant use of predication strategies to positively present VOX while denigrating its political rivals. Referential/nomination strategies were also used to divide the society between in-groups and out-groups. Strongly embedded in these strategies were perlocutionary acts used to incite hate toward the out-groups and evoke fear and anxiety toward the in-group, strategically employed as tools to gain votes in the elections.
Continuous medical education: modern approaches to surgical training
Authors: Belenky I. G. , Manukovsky V. A. , Barsukova I. M.
Published: October 2022

An important task of the health system is to improve the quality of medical care, the quality of professional training of surgeons. The purpose of the study: based on the analysis of the literature, to determine the main components of the educational process within the framework of continuous education of doctors of surgical specialties, necessary for adequate professional development and improvement of the quality of medical care for specialized patients. Results of the study. An analysis of the system of professional training of surgeons was carried out, its shortcomings were noted. Knowledge, practical skills, experience, medical thinking, logic and intuition are the most important components of a highly professional doctor, surgeon. The world experience of training specialists is presented. Conclusion. Today in Russia, a new modern system of postgraduate education of doctors of surgical specialties is being formed within the framework of the system of continuing medical education. In order to achieve better results, organizational approaches to vocational education should be reviewed.
Pathophysiological aspects of anesthesiological provision of surgical interventions in patients with Duchenne-­Becker myopathy
Authors: Vasilev V.  V.  , Vasileva I. S.
Published: October 2022

A case of intubation-tracheal anesthesia in a patient with Duchenne-Becker myopathy due to the need for surgical intervention for acute calculous cholecystitis is described. The methodology of the performed anesthesia is described in detail, as well as the methods of anesthetic support of operations in patients with myopathy, myasthenia gravis and myotonic muscular dystrophy.
Medical and statistical characteristics of patients and injuries of the burn center Dzhanelidze Research Institute of Emergency Care
Authors: Krylov P. K. , Zinoviev E. V. , Manukovsky V. A. , Orlova O. V. , Krylov K. M.
Published: October 2022

The results of the analysis of the medical and statistical characteristics of patients who applied for emergency and urgent indications to the burn center of the State Budgetary Institution “St. I. I. Dzhanelidze”, based on the results of 2019–2021. It was revealed that out of 4465 patients, 790 (17.8%) were admitted with injuries requiring immediate hospitalization in the intensive care unit for burns. 2232 victims (50%) after examination in an inpatient emergency department were referred to specialized general departments of the burn center, in 1443 cases (32.2%) injuries were recorded that did not require inpatient treatment, assistance was provided on an outpatient basis. Most of the patients applied for burn injuries — 3825 (85.7%), ICD10 codes: T310-T319.
Some aspects of airway management and artificial ventilation during advanced life support carried out by the EMS brigade. Review
Authors: Ershov A. L.
Published: October 2022

The review of foreign literature highlights some principles of ensuring the patency of the patient‘s respiratory tract with subsequent artificial ventilation during resuscitation by an ambulance team.
MINUTES OF THE MEETING OF THE PROFILE COMMISSION FOR THE SPECIALTY «EMERGENCY AID» OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION (JUNE 9, 2022)
Authors: Editorial Article
Published: October 2022

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INTERREGIONAL SCIENTIFIC AND PRACTICAL CONFERENCE WITH INTERNATIONAL PARTICIPATION “CURRENT ISSUES OF THE ORGANIZATION OF EMERGENCY, INCLUDING EMERGENCY SPECIALIZED MEDICAL ASSISTANCE” (MOSCOW, NOVEMBER 10–11, 2022)
Authors: Editorial Article
Published: October 2022

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Understanding career choice patterns among medical students of Jazan University
Authors: Mashbari Hassan , Abuallut Ismail , Shami Mohammed , Abulqusim Ebrahim , Najmi Muhannad , Madkhali Wasan , Zaino Mohammad , Alhazmi Abdulaziz
Published: October 2022

Background: The choice of specialty for medical students can be challenging due to numerous possibilities and circumstances that may influence student choice. Thus, this study aims to evaluate career choice patterns among medical students of Jazan University and the factors influencing their choices.
Methods: A cross-sectional, observational study was conducted from November 2021 to March 2022 and comprised medical students from the second year to the sixth year. Data were collected using an anonymous, structured, self-administered questionnaire. We used Statistical Package for the Social Sciences v.23 to analyze the results.
Results: We enrolled 441 students in this study. Among this group, 203 (46%) were female and 237 (54%) were male. Their mentors significantly influenced female students' choices (p < 0.001). Internal medicine was the most chosen specialty (13.2%), followed by general surgery (11.6%) and family medicine (6.8%). Mentor inspiration was the most cited reason for the specialty choice (32.2%), followed by passion and fewer on-call duties, chosen by 27.2% and 18%, respectively.
Conclusion: Mentorship was the most influencing factor in carrier choices among our study participants, followed by passion and specialty with fewer on-call duties. A well-structured mentorship program in the early years of medical education will significantly impact the future of specialties.
The World in economic indices depending on a country's size. I. The World on the {Population, GDP}-plane
Authors: Seidametova Zarema Seidalievna , Temnenko Valerii Anatolievich
Published: October 2022

The purpose of the study is to develop a method and conceptual apparatus for identifying the distribution structure of countries on the {Population, GDP}-plane. To achieve this goal, two new economic indexes have been introduced: the "product index" PI and the "demographic index" DI. With the help of an identity linking the indices PI and DI for each country with the economic productivity index EPI, the existence of a global economic parameter – the critical value of the economic productivity index EPIc, was revealed. The economic meaning of this global parameter is revealed. The scientific novelty of the research lies in the development of a two-dimensional interval classification of states according to the scale of the economy and the scale of the country. The use of this classification reveals, as a result, fundamental features of the distribution of countries on the plane {Population, GDP}, deeply rooted in world history and slowly changing in time.