bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Kerapatan Vegetasi Terhadap Kenaikan Land Surface Temperature (LST) di Area Gunung Parang, Kecamatan Tegalwaru, Kabupaten Purwakarta
Authors: Wigunanti Riskiya , Rahmansyah P.R R. Muhammad Rio , A'yun Qurota , Oktaviana Amelia Karin , Ihsan Haikal Muhammad
Published: August 2024

Kerapatan vegetasi dapat menjadi salah satu indikator kenaikan suhu permukaan dataran. Penginderaan jauh memberikan alternatif teknik dalam analisis kerapatan vegetasi dan suhu permukaan daratan. Penelitian ini bertujuan untuk menganalisis dampak perubahan vegetasi terhadap kenaikan suhu permukaan dataran di area gunung parang, di Kecamatan Tegalwaru, Kabupaten Purwakarta. Metode yang digunakan pada penelitian ini yaitu pendekatan penginderaan jauh. Kajian kerapatan vegetasi dianalisis menggunakan algoritma Normalized Difference Vegetation Index (NDVI) dan suhu permukaan dataran menggunakan algoritma Land Surface Temperature (LST).  Produk NDVI dan LST dianalisis menggunakan statistic regresi, untuk mengetahui pengaruh yang bersifat temporal. Penelitian ini dilakukan menggunakan landsat 8 dengan rentang tahun 2018, 2021 dan 2024. Hasil analisis menunjukkan bahwa nilai kerapatan rata-rata berada pada 0.28 sampai 0.35 di tahun 2018, 2021 dan 2024. Terdapat korelasi lemah antara nilai kerapatan vegetasi dan suhu permukaan dengan nilai berada pada interval koefisien 0,20 - 0,399. Area gunung parang merupakan area sumbat lava dan alluvial yang menjadikan lokasi ini dipenuhi dengan batuan beku dan sedimen, sehingga vegetasi yang berkembang sesuai dengan jenis materialnya. Kerapatan vegetasi hanya salah satu yang menyebabkan perubahan suhu permukaan, terdapat variabel lainnya yang menjadikan suhu permukaan berubah. Algoritma NDVI hanya merepresentasikan nilai indeks kerapatan saja, tanpa memberikan informasi jenis vegetasi, tinggi, bentuk kanopi dan lainnya, sehingga nilai indeks dapat dikembangkan menjadi lebih spesifik. Penelitian ini dapat bermanfaat untuk kajian vegetasi dan suhu permukaan menggunakan penginderaan jauh.
Standar Pelayanan Aplikasi Bursa Kerja Online pada Dinas Tenaga Kerja Kota Depok
Authors: Fauziah Syifa , Zulmasyhur Zulmasyhur
Published: August 2024

The Depok government provides Employment application service standards, especially to overcome employment problems in its jurisdiction. However, in practice, there are still minimal critical issues, namely service standards that are not yet optimal. On this basis, this research aims to outline the problems of service standards that require appropriate correction in practice. Then, the method adopted is descriptive qualitative, which attempts to reveal the analysis results systemically and logically based on the content analyzed. The results found were that of the six dimensions analyzed, two of them still did not meet the expected standards, namely service procedures and competency of service providers. Meanwhile, obstacles such as server and network instability and some officers' lack of friendliness hinder the service process. However, four other dimensions are considered to meet the standards well, such as service completion times that meet expectations and no costs charged to the public during the service process.
Pemberdayaan Perempuan melalui Home Industri menuju Ekonomi Kreatif di Kota Batam
Authors: Nasution Riska Abdilah , Marsnely Ayang , Arfilindo Hagi , Friyatmi  , Evanita Susi
Published: August 2024

The women's empowerment program through the home industry of water hyacinth is motivated by human resources who have a skill in the field of crafts. The existence of this home industry opens up job opportunities and takes advantage of the potential of the surrounding community. One of them is the water hyacinth plant, if cultivated, will produce creative crafts and have high economic value. The purpose of this study is to describe the strategy of empowering women through the water hyacinth home industry in Masang Isna Puring Village, Batam. Methods This research uses qualitative research, data collection uses interview and observation techniques. The informants of this research are the owner of the Isna Puring home industry and women's craftsmen. The results showed that the women's empowerment strategy went through the stages of planning, implementation, evaluation, as well as supporting and inhibiting factors for empowerment. The conclusions of the research on the strategy of empowering women through the home industry of aceng hyacinth are able to improve the community's economy and reduce community unemployment in Masang Isna Puring village, Batam
Eksplorasi Wisata Teluk Kabung Tengah: Meningkatkan Daya Tarik Pariwisata Kota Padang
Authors: Angraini Revatri , Dwi Suryani Heriza , Gina Gusnita  , Muhammad Alfikri
Published: August 2024

Artikel ini membahas tentang promosi air terjun ini dilaksanakan di Kecamatan bungus teluk kabung tengah, dengan tujuan  yaitu: (1) Mendeskripsikan karakteristik air terjun di Kecamatan bungus teluk kabung tengah, (2) Menganalisis tingkat potensi wisata alam air terjun di Kecamatan bungus teluk kabung tengah. Rancangan  menggunakan rancangan deskriptif dengan analisis keruangan. Menggunakan metode survey yang meliputi observasi pengukuran promosi air terjun, dan dokumentasi. Metode analisis digunakan adalah analisis deskriptif dan deskriptif kualitatif. Hasil  menunjukkan: (1) Terdapat perjalanan yang sangat susah saran mempengaruhi adalah belum terbukanya akses menuju air terjun, atraksi dan akomodasi yang belum memadai, serta pengelolaan objek wisata yang belum maksimal.
Pelindungan Hak atas Rahasia Medis Pasien dalam Implementasi Rekam Medis Elektronik (Studi pada Rumah Sakit Bhayangkara, Semarang)
Authors: Wahyuntara Jaka Kusnanta , Wahyati Endang , Tugasworo Dodik
Published: August 2024

Peraturan Menteri Kesehatan Nomor 24 tahun 2022 tentang Rekam Medis mengharuskan seluruh fasilitas penyelenggara pelayanan Kesehatan menggunakan Rekam Medis elektronik. Rekam Medis elektronik harus memenuhi prinsip keamanan data dan informasi, meliputi: kerahasiaan; integritas; dan ketersediaan. Rumah Sakit Bhayangkara Semarang memiliki kompartemen Dokpol yang tidak dimiliki oleh rumah sakit umum. Pasien yang berkunjung meliputi  anggota POLRI dan keluarga , ASN dan keluarga, pasien umum, serta pasien tahanan, baik tahanan tindak pidana umum, tindak pidana khusus, bahkan tindak pidana terorisme. Sehingga dalam perlindungan hak  atas rahasia medis pasien membutuhkan implementasoi Peraturan Menteri Kesehatan Nomor 24 tahun 2022 tentang Rekam Medis yang agak berbeda.Penelitian ini menggunakan metoda penelitian normatif-empiris dengan spesifikasi penelitian deskriptif analitis, dengan desain penelitian kualitatif. Jenis data berupa bahan hukum primer, sekunder dan tersier. Metode pengumpulan datanya meliputi studi kepustakaan, observasi, dan wawancara. Data dianalisa dengan Analisa kualitatif.Hasil penelitian dan Diskusi : Pengaturan Perlindungannya dilaksanakan sesuai dengan Peraturan Perundang-undangan yang berlaku, meliputi bentuk pengaturan umum dan pengaturan khusus dan dengan tujuan pengaturannya sebagaimana yang tertuang dalam Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 Tentang Rekam Medis ; Implementasinya  dilaksanakan oleh subyek-subyek yang terkait, dengan bentuk Implementasi                    Standar Manajemen Informasi, Standar, Pengelolaan Dokumen, dan Standar Rekam Medis Pasien, dengan mekanisme meliputi; penyelenggaraan, kegiatan, kepemilikan dan isi, keamanan dan perlindungan data: kerahasiaan; pembukaan isi, pelepasan hak atas Isi, serta    jangka waktu penyimpanan; Faktor-faktor yang Mempengaruhi Implementasi meliputi faktor yuridis, faktor sosial, dan faktor teknis.Implementasi perlindungan terhadap hak atas rahasia medis pasien di Rumah Sakit Bhayangkara Semarang telah berjalan cukup efektif dan efisien, walaupun tidak sedikit permasalahan yang timbul. Masalah pemahaman substansi Peraturan Menteri Kesehatan tentang Rekam Medis, kualitas kesadaran simpan rahasia medis yang belum begitu menggembirakan, dan terbatasnya kuantitas SDM yang mumpuni , serta hardware maupun soft ware yang tidak sedikit yang perlu dipersiapkan oleh rumah sakit menjadi tantangan tersendiri di dalam implementasi peraturan ini
Pain Management Services in Hospital: The Human’s Right to Health Services
Authors: Jaya A A Gde Putra Semara , Yustina Endang Wahyati , Kuntjoro Tjahjono
Published: August 2024

Pain is suffering for the patient and must be treated immediately. Health professionals need to recognize, assess, understand, and treat pain. Pain management services have not been run optimally in several hospitals. Pain management services are an effort to fulfill the right to health services. This research aims to observe the implementation of pain management services to fulfill the right to health services, especially at the Mangusada Hospital of Badung Regency, Bali, Indonesia. The research method used in this study is the socio-legal approach (empirical legal study) with explanatory specifications. This research was conducted in 2023 as a case study. Primary and secondary data were collected through field and literature studies. Analysis was performed on qualitative and quantitative data. We found that 1) pain management services in Indonesian have legal bases with general and specific technical regulations at the national level, but the specific technical regulations at the Mangusada Hospital are not up-to-date, comprehensive, and harmonious, 2) Mangusada Hospital and its health professionals have not been optimal in providing pain management services to fulfill the right to health services, in terms of the comprehensive legal instruments, the organization of health professionals, and the availability of infrastructure and facilities. Breach of obligations by hospitals and health professionals can be seen as a failure to provide essential services and reduce suffering, substandard service, negligence, a breach of the patient’s human rights, and have legal implications, and 3) legal, social, and technical factors influence the implementation of pain management services in Mangusada Hospital.
PERAN PENGADILAN AGAMA DALAM PENENTUAN AWAL BULAN KAMARIAH DI INDONESIA
Authors: Andi Muhammad Sofyan  , Daeng Mapuna Hadi , Syukur Abu Bakar Abd
Published: August 2024

Abstrak
Pokok masalah penelitian ini yaitu bagaimana peran Pengadilan Agama dalam penentuan awal bulan kamariah di Indonesia. Adapun sub pokok masalah penelitian ini adalah: Bagaimana mekanisme penentuan awal bulan kamariah oleh Pengadilan Agama dan bagaimana peraturan yang mengatur peran Pengadilan Agama dalam penentuan awal bulan kamariah. Penelitian ini merupakan penelitian pustaka (Library Research) yang bersifat kuantitatif. Hasil penelitian ini menunjukkan bahwa, Pengadilan Agama berperan dalam menetapkan hasil rukyat hilal dalam penentuan awal bulan kamariah melalui pelaksanaan sidang isbat rukyatul hilal. berdasarkan surat Ketetapan Ketua Mahkamah Agung Republik Indonesia Nomor: KMA/095/X/2006 tentang Penetapan Izin Sidang Isbat Kesaksian Rukyat Hilal dengan Hakim Tunggal kepada Mahkamah Syar’iyah untuk wilayah Nanggroe Aceh Darussalam dan untuk seluruh Pengadilan Agama di Indonesia. Pengadilan Agama diberi kewenangan untuk memberikan isbat kesaksian rukyat hilal sebagaimana ketentuan dalam Pasal 52A Undang-Undang Nomor 3 Tahun 2006 Tentang Peradilan Agama yang menyebutkan: “Pengadilan Agama memberikan isbat kesaksian rukyat hilal dalam penentuan awal bulan pada tahun Hijriyah”. Implikasi dari penelitian ini ialah diharapkan kepada Pemerintah dalam hal ini Kementerian Agama mampu menyelesaikan perkara perbedaan penentuan bulan kamariah terutama awal bulan Ramadan, Syawal (Idul Fitri) dan Zulhijjah (Idul Adha) serta mampu menyatukan persepsi antar golongan yang berbeda pendapat terkait dengan penentuan awal bulan kamariah.
Kata Kunci: Peran, Pengadilan Agama, Bulan Kamariah
Uji Akurasi Pengukuran Arah Kiblat Masjid di Kecamatan Bontomarannu Kabupaten Gowa
Authors: Nur Adni Ramadhani  , Aisyah Nur , Amir Rahma
Published: August 2024

Penentuan arah kiblat masjid di Kecamatan Bontomaranu Kabupaten Gowa menggunakan metode yang sederhana karena kurangya pemahaman masyarakat tentang penentuan arah kiblat bahkan masih diluar batas toleransi. Penelitian ini termasuk penelitian lapangan yang menerapkan metode penelitian kualitatif, memakai pendekatan syar’i, astronomis dan sosiologi. Sumber data yang digunakan dalam penelitian ini terdiri dari data primer dan sekunder. Tujuan dari penelitian ini untuk mengetahui metode penentuan arah kiblat masjid di Kecamatan Bontomarannu Kabupaten Gowa. Oleh sebab itu, perlu dilakukan pengukuran ulang terhadap posisi arah kiblat masjid tersebut dengan menggunakan beberapa metode, yakni Kiblat Tracker, Busur Derajat, Dioptra dan Google Earth. Peneliti melibatkan sembilan sebagai sampel dalam penentuan arah kiblat masjid. Hasil ini menunjukan bahwa tingkat akuarsi arah kiblat pada masjid di Kecamatan Bontomarannu Kabupaten Gowa masih mengalami beberapa kemelencengan dan beberapa yang sudah akurat. Oleh sebab itu, diharapkan Kementrian Agama selaku pihak yang berwenang dalam hal penentuan arah kiblat dapat memberikan pemahaman mengenai metode dalam penentuan arah kiblat terutama pada masjid-masjid tua yang rentan akan kemelencengan arah kiblat.
Lexicographical treasure of Cuba. First and second editions
Authors: Camacho Barreiro Aurora M. , Linares Terry Kelly , Hernández Valdés Lorena , Palacio Piñeiro Yurelkys , García González Elisa , Triana Orozco Amalia
Published: August 2024

"This paper shows the aspects attended to in the elaboration of the Lexicographical Treasure of Cuba (2013) and the new methodological approaches with which the second edition is being conceived. Data are offered regarding the primary sources included in the first one and the limits defined for the second one, as well as the criteria followed for the organization of the information in the macrostructure and microstructure of the dictionary of Cuban dictionaries. It is presented the application, used in the first edition of the Tlex-Cuba, with which the data extracted from the source dictionaries were processed and visualized. The work aims to disseminate little known aspects of the work and to contribute to hispanic metalexicographic studies in general and Cuban ones in particular.
Keywords:
Dictionary of Cuban dictionaries; plant; macrostructure; microstructure; application"
On the relevance of ideology and electoral cycles in the celebration of public-private partnership contracts for infrastructures in Brazil
Authors: Bertulucci Maria Luísa , Pereira Alfredo Marvão
Published: August 2024

This paper provides a unique empirical analysis of the effects of political factors on the adoption of PPP contracts in Brazil. As such, it innovates along two different lines: first, political factors behind the adoption of PPPs have been largely ignored in the vast body of empirical literature, and second, there is scant work done on the motives of any kind behind the adoption of PPPs in Brazil. Various economic and financial reasons have been evoked to justify the use of PPPs in general. These include the goal of promoting socio-economic development in a tight public budgetary framework or of improving the quality of public services through the use of economically efficient and cost-effective mechanisms. Any possible underlying political motives, however, have been overlooked in the PPP research. And yet, there is abundant literature suggesting a link between the adoption of PPPs and the ideology of the governing body or the political cycles associated with elections. This study examines the impact of ideological commitment and opportunistic political behavior on the process of PPP contracting in Brazil, including the stages of public consultation, the publication of tender, and the signature of the contract, using federative-level data for the period between 2005 and 2022. Consistent with the outstanding literature, the two hypotheses are tested: first, conservative parties tend to celebrate more PPP contracts than left-leaning parties, and second, the electoral calendar has a significant effect in the process, allowing for opportunistic behaviors. Empirical results suggest that there is little evidence for the relevance of ideological leanings in the process of adopting PPPs in Brazil. Additionally, regardless of ideology, parties significantly choose to enter PPPs at specific points in the electoral cycle, suggesting decisions are influenced by political considerations and electoral strategy rather than by purely financial or ideological considerations. This may pose severe constraints on the efficiency and cost-effectiveness of the contracts, negatively impacting public governance and leading to protracted costs for taxpayers.
The relationship between energy consumption, pollution, economic growth and ICT: Structural equation modeling approach
Authors: Kurmanov Nurlan , Iskakov Abay , Adilbekuly Merey , Raimbekov Bagdat , Kirichok Oxana , Nabiyeva Maral , Satbayeva Aizhan , Kenzhebayeva Alma , Adieyetova Elmira , Nursultanova Kulyan , Utepkaliyeva Kansulu
Published: August 2024

The following paper assesses the relationship between electricity consumption, economic growth, environmental pollution, and Information and Communications Technology (ICT) development in Kazakhstan. Using the structural equation method, the study analyzes panel data gathered across various regions of Kazakhstan between 2014 and 2022. The data were sourced from official records of the Bureau of National Statistics of Kazakhstan and include all regions of Kazakhstan. The chosen timeframe includes the period from 2014, which marked a significant drop in oil prices that impacted the overall economic situation in the country, to 2022. The main hypotheses of the study relate to the impact of electricity consumption on economic growth, ICT, and environmental sustainability, as well as ICT’s role in economic development and environmental impact. The results show electricity consumption’s positive effect on economic growth and ICT development while also revealing an increase in pollutant emissions (emissions of liquid and gaseous pollutants) with economic growth and electricity consumption. The development of ICT in Kazakhstan has been revealed to not have a direct effect on reducing pollutant emissions into the environment, raising important questions about how technology can be leveraged to mitigate environmental impact, whether current technological advancements are sufficient to address environmental challenges, and what specific measures are needed to enhance the environmental benefits of ICT. There is a clear necessity to integrate sustainable practices and technologies to achieve balanced development. These results offer important insights into the relationships among electricity consumption, technology, economic development, and environmental issues. They underscore the complexity and multidimensionality of these interactions and suggest directions for future research, especially in the context of finding sustainable solutions for balanced development.
Upaya Pemerinta Daerah dan Masyarakat dalam Mengatasi Pencemaran Limbah Industri Batik di Kota Pekalongan
Authors: Sugiharto Unggul , Marita Diani Inggrit
Published: August 2024

Pokok permasalahan dalam penelitian ini adalah 1) Bagaimana upaya pemerintah daerah dan masyarakat dalam mengatasi pencemaran limbah industri batik di kota pekalongan 2) Apa saja hambatan yang dihadapi yang dihadapi pemerintah daerah dan masyarakat dalam mengatasi pencemaran limbah industri batik di kota pekalongan dan 3) Bagaimana cara mengatasi hambatan yang dihadapi pemerintah daerah dan masyarakat dalam mengatasi pencemaran limbah industri batik di kota pekalongan. Tipe penelitian yang digunakan adalah tipe penelitian deskriptif kualitatif. Berdasarkan hasil penelitian dapat disimpulkan bahwa Upaya untuk mengatasi pencemaran limbah industri batik oleh Pemerintah Daerah dan masyarakat Kota Pekalongan dapat dikatakan belum efektif karena masih ada beberapa masyarakat yang tidak hadir mengikuti sosialisasi, mayoritas pelaku industri batik skala rumah tangga tidak memiliki memiliki izin lingkungan dan tidak menyalurkan limbahnya ke IPAL Komunal. Namun masih terdapat berbagai hambatan dalam mengatasi pencemaran limbah industri batik antara lain kesadaran masyarakat yang masih kurang, kurangnya ketersediaan lahan untuk pembangunan IPAL, biaya mengatasi pencemaran tinggi, adanya pencemaran dari luar Kota Pekalongan. Cara mengatasi hambatan antara lain dengan meningkatkan kepedulian terhadap lingkungan hidup, mencari anggaran di luar APBD, mengembangkan Kapasitas IPAL Komunal dan melakukan kerja sama dengan Kabupaten Pekalongan dan Kabupaten Batang.
Pengaruh Bimbingan Teknis Terhadap Kinerja Anggota DPRD Kabupaten Pemalang
Authors: Sugiharto Unggul , Agoestiani Silvi
Published: August 2024

Pokok permasalahan dalam penelitian ini, yaitu adakah pengaruh yang signifikan dari bimbingan teknis terhadap kinerja anggota DPRD kabupaten pemalang. Tipe penelitian yang digunakan adalah Asosiatif yang berusaha mencari pengaruh antara variabel-variabel melalui pengujian hipotesis. Penelitian ini dilaksanakan di DPRD Kabupaten Pemalang, dengan jumlah responden sebanyak 50 orang dengan menggunakan penelitian populasi dimana seluruh populasi dijadikan sebagai subjek penelitian. Teknik dan instrumen pengumpulan data yang digunakan adalah angket, studi dokumentasi, dan observasi. Berdasarkan hasil penelitian yang dilakukan diperoleh hasil pelaksanaan bimbingan teknis di DPRD Kabupaten pemalang berada pada kategori sangat baik dengan perolehan total skor sebesar 2821. Sedangkan kinerja anggota DPRD pun berada pada kategori sangat baik dengan perolehan total skor sebesar 2658. Adapun pengaruh bimbingan teknis terhadap kinerja anggota DPRD kabupaten pemalang berdasarkan perhitungan Rank Spearman memperoleh hasil 0,639 dan dikategorikan kuat dengan koefisien determinan yang didapatkan adalah sebesar 40,8% sedangkan 59,2% lainnya dipengaruhi oleh faktor lainnya.
Pengaruh Serat Goni Terhadap Kekuatan Impact dan Kekuatan Bending Komposit Bermatriks Polyester
Authors: Sulistiono Dety Oktavia , Al Farizi Moh. Syahrullah , Suranto Dwi Djoko , Wahyudiono Arif
Published: August 2024

Kemajuan material komposit berbahan serat alam terus mengalami perkembangan karena keberadaannnya yang melimpah, murah dan ramah lingkungan. Komposit umumnya tersusun atas matriks polimer dan material pengisi atau serat sebagi penguat. Pemanfataan serat alam yang dapat dieksplorasi sebagai material komposit baru yaitu serat goni yang memiliki keunggulan seperti ramah lingkungan dan harganya lebih murah dibandingkan fiberglass. Penelitian ini bertujuan untuk mengetahui pengaruh serat goni terhadap kekuatan impact dan kekuatan bending komposit bermatriks polyester dengan variasi fraksi berat serat 0% hingga 40%. Metode pembuatan spesimen menggunakan metode hand lay-up dan perendaman pada serat menggunakan NaOH 5% selama dua jam. Material komposit dilakukan pengujian untuk mengetahui sifat mekaniknya meliputi pengujian impact dan pengujian bending. Hasil pengujian impact dan bending tertinggi terjadi pada material komposit berbahan serat goni sebanyak 40%. Nilai impact mengalami kenaikan 506,6% setelah penambahan serat goni sebesar 0,076 J/mm2. Sedangkan nilai bending mengalami kenaikan sebesar 168,4% (44.39 MPa).
Estudios inmunológicos en pacientes con insuficiencia renal crónica
Authors: Luis Fernando García Moreno  , María Eugenia Medina  , Luz Helena Posada  , Carmen Beatriz Zuluaga
Published: August 2024

En 21 pacientes con insuficiencia renal crónica (IRC) mantenidos mediante hemodiálisis periódicas se estudiaron algunos parámetros inmunológicos como valores absolutos y porcentuales de linfocitos T, B y nulos circulantes, inmunoglobulinas G, M y A, complemento sérico (CH50). También en 78 enfermos con IRC se estudió la respuesta cutánea al dinitroclorobenzeno (DNCB). En la inmunofluorescencia directa se encontraron niveles absolutos y porcentuales significativamente disminuidos de linfocitos B con inmunoglobulinas de superficie (sIg+). Casi todos los sujetos presentaron anergia a la sensibilización con DNCB.
Diagnóstico y manejo de 13 casos de trombosis mesentérica en el Hospital Universitario del Valle, Cali, Colombia
Authors: Edgar Escobar Navia
Published: August 2024

Se discuten 13 casos de trombosis mesentérica aguda en igual número de pacientes atendidos en el Hospital Universitario del Valle, Cali, en el período entre enero 1, 1984 y diciembre 31, 1985. Se revisan los casos según sus manifestaciones clínicas, edad, sexo, extensión del infarto y sus diferentes causas, y factores de riesgo asociados, así como el tratamiento establecido.
Se hace énfasis en el empleo precoz de la angiografía mesentérica como método diagnóstico y vía terapéutica para administrar vasodilatadores tipo papaverina como terapia única o combinada con cirugía. Igualmente se describen las pautas utilizadas hoy en día, para un descubrimiento más temprano y adecuado de esta entidad, con el fin de rebajar las altas tasas de mortalidad.
La desnutrición marginal y el desarrollo intelectual en escolares caleños
Authors: Suzanne Bazar Calonje  , Jesús Rico Valesco  , G. B. Spurr  , Julio César Reina  , Peggy Pastor
Published: August 2024

Se trató de demostrar si la desnutrición marginal, la escolaridad de la madre, el número de niños en la familia y el orden de nacimiento se relacionaban con el desarrollo mental en un grupo seleccionado de 99 estudiantes varones en escuelas públicas (edades 6 a 16 años) de barrios de familias con bajos ingresos de Cali, Colombia. Los niños se clasificaron de acuerdo con su edad y estado nutricional según los estándares de Rueda Williamson para niños colombianos. El grupo normal se compuso de varones cuyo peso estaba entre 95 y 110% del peso normal esperado para edad estatura; el grupo de bajo peso lo formaron varones cuyo peso era menos de 95% del estándar para edad y estatura. El desarrollo intelectual se midió con la prueba de dibujo de Goodenough-Harris y la prueba de matrices progresivas de Raven. Se encontró una tendencia consistente de menor desempeño en el grupo de bajo peso, y las diferencias llegaron a ser estadísticamente significativas en la prueba de dibujos de Goodenough-Harris. No se encontraron asociaciones entre el desarrollo mental y la escolaridad de la madre, el número de hijos en la familia y el orden de nacimiento.
Factores Influyentes en la no vacunación durante las jornadas nacionales de vacunación en Colombia
Authors: Rodríguez F. Rodrigo , Guerrero V. Rodrigo
Published: August 2024

Se realizó un estudio de casos y controles para identificar factores asociados con la no vacunación durante las Jornadas Nacionales de Vacunación (JNV) llevadas a cabo en Colombia en el año de 1984. Una encuesta representativa del nivel nacional realizadas con fines de estimar la cobertura alcanzada sirvió como marco de referencia para la identificación de los sujetos de estudio. Se entrevistaron los 54 niño (casos) que cumplían con todos los requisitos para haber sido vacunados pero que no recibieron ninguna dosis durante dos las JNV y se compararon con 61 niños controles escogidos al azar entre los que habían recibido el esquema completo durante las mismas JNV. Se encontraron diferencias significantes y con un riesgo relativo mayor de 3 en escolaridad del padre, carencia de radio o televisor, inadecuada disposición de excretas y basuras en el hogar, desabastecimiento de agua potable, tiempo necesario para llegar al puesto de vacunación, opinión negativa del padre sobre la vacunación, percepción de las JNV y desconocimiento de la utilidad de las vacunas y de las enfermedades objeto de las JNV. Un total de 31% de los casos de no vacunación fue atribuidos a factores relacionados directamente con la organización de las JNV.
El caso radiológico
Authors: Carlos Chamorro-Mera
Published: August 2024

Historia clínica 277646. Mujer de raza blanca, 24 años, en buenas condiciones generales; se queja de dolor abdominal no cólico, localizado en la fosa ilíaca derecha. Había hecho deposiciones sanguinolentas acompañadas de coágulos negros. El examen físico no reveló anormalidades. La rectosigmoidoscopia fue normal.
Campylobacter pyloris en biopsia de mucosa gástrica
Authors: Armando Cortés B.  , Fabio Carmona V.  , Edwin Carrascal E.  , Fernando T. García  , Armando Vernaza  , Héctor Raúl Echavarría  , Eduardo de Lima
Published: August 2024

En el Hospital Universitario del Valle, Cali Colombia, 224 pacientes fueron sometidos a endoscopia por diversas indicaciones, con toma de biopsia gástrica, para buscar en ellos la presencia de Campylobacter pyloris (CP). La biopsia se procesó con tinciones histológicas de Warthin-Starry y Giemsa y además se cultivó en agar Columbia con sangre de cordero para intentar el aislamiento de CP. La bacteria se encontró en 77.2% de los pacientes estudiados, en 80.2% de los que consultaron por dispepsia y en 82.3% de quienes tenían gastritis histológica. La gastritis crónica atrófica con metaplasia intestinal tuvo un alto porcentaje de positividad, 84.5%. Otro hallazgo importante fue la asociación entre actividad de las lesiones y presencia de CP. Se ofrece una secuencia de la patogénesis de la enfermedad con énfasis en la posible etiología bacteriana y se esboza un esquema de tratamiento.
Diagnóstico y manejo de la depresión enmascarada
Authors: Roberto Perdomo Hoyos
Published: August 2024

La sintomatología de los estados depresivos se ha desviado en los últimos años hacia los síntomas físicos. El énfasis del paciente en sus quejas somáticas y el afán del médico por encontrarles una causa orgánica conduce a exámenes exhaustivos y aun a intervenciones quirúrgicas innecesarias. Mientras tanto, el estado depresivo del paciente se agrava y se complica no sólo desde el punto de vista personal y familiar, sino laboral y social.
Aspectos Epidemiológicos de la infección por virus HTLV-I en localidades del Valle del Cauca y costa del Pacífico
Authors: Ramírez Hernán , Aristizábal Teresa , Levin Arthur , Blattner William A. , Pantoja Mariela , Maloney Elizabeth
Published: August 2024

Se hizo un estudio epidemiológico en poblaciones del valle geográfico del Río Cauca y de la costa del Pacífico para anticuerpos contra el virus HTLV-I, demostrándose un aumento significativo en las proporciones de seropositividad en individuos mayores de 40 años, independiente del sexo. Si bien no se pudo demostrar influencia de la raza o la altitud sobre el nivel del mar en las proporciones de seropositividad mediante un análisis estratificado, se plantea la necesidad de estudios posteriores con métodos de muestreo de población adecuadamente diseñados.
Neoplasias de células T y virus HTLV-I en el suroccidente colombiano
Authors: Ramírez Hernán , Duque E. Edgar , Levin Arthur , Blattner William A. , Pantoja Mariela
Published: August 2024

Se estudiaron 76 casos de leucemias y linfomas de la clínica hematológica del Hospital Universitario del Valle, Cali, Colombia en los cuales se determinó la presencia de anticuerpos contra el virus HTLV-I y se clasificó inmunológicamente el tipo de célula neoplásica. Se encontraron anticuerpos contra el virus en 2 de 41 linfomas (4.9%), ambos de células T, y en 1 de 35 leucemias (2.8%), inmunológicamente indeterminada. Las características clínicas y patológicas de los dos casos de linfoma asociados con el virus fueron las de alto grado de malignidad con compromiso difuso de ganglios linfáticos y estadío clínico avanzado.
Programa de rehidratación oral y reducción de la mortalidad por enfermedad diarreica aguda. Cali, 1982-1986
Authors: Concha-Eastman Alberto , Guerrero V. Rodrigo , Franky de Borrero Melba
Published: August 2024

Con el propósito de medir el impacto del programa control de enfermedad diarreica en niños menores de 5 años en Cali, Colombia, se realizó una evaluación sistemática de las medidas de proceso, resultado, e impacto desde 1982, años en que se inició el programa, hasta 1986. Se compró con el período inmediatamente anterior, 1977-1981. Se encontró que al comienzo se activaron todos los componentes del programa, a saber, capacitación, difusión, distribución de sales rehidratantes, ampliación de la cobertura y participación comunitaria, a través de las Unidades de Rehidratación Oral. Esos componentes se mantuvieron mientras se dio apoyo efectivo al desarrollo del programa. En los 5 años evaluados, la mortalidad por enfermedad diarreica aguda disminuyó significativamente en más de 50%, así como la letalidad y la egresos hospitalarios. Las tasas de morbilidad mostraron una elevación debida quizás a mejoría en los sistemas de descubrimiento precoz de la enfermedad y a una mejor cobertura por parte de la comunidad vinculada al programa.
Fimbriectomía bilateral y su relación con la fertilidad en la coneja
Authors: Saavedra Jaime , Pérez Hugo Marino
Published: August 2024

Se realizó fimbriectomía bilateral microquirúrgica en 16 conejas; en 6 mese el nuevo ostium se fijó a la superficie ovárica. En 14 ambas trompas fueron permeables y todas se embarazaron. En dos animes con el ostium fijado al ovario se desarrolló hidrosalpinx bilateral. se concluye que la fimbriectomía con remoción de la fimbria ovárica sí es importante pero no esencial para la captura del óvulo. Se sugiere revaluar el concepto que la esterilización por fimbriectomía no es reversible.
Evaluación de la efectividad profiláctica del BCG
Authors: Salgado Carlos , Arango César , Bolaños Oscar , Bergonzoli Gustavo , Roa Jaime Arturo , Durán Plinio , Guerrero Rodrigo , Pío Antonio
Published: August 2024

La discusión de los efectos protectores del BCG todavía no termina. Dos estudios recientes efectuados en países tropicales, así como la investigación de este trabajo, muestran evidencias consistentes en que el efecto protector del BCG contra la forma pulmonar de la tuberculosis es 53.0%, 62.5% y 71.0%, respectivamente. Así, en estos países, los programas de vacunación para los recién nacidos deben continuar hasta cuando los estudios de seguimiento suministren nuevas pruebas. Al mismo tiempo, es necesario desarrollar nuevos métodos sensibles de diagnóstico para la tuberculosis infantil.
The radiological case
Authors: Chamorro-Mera Carlos , Aristizábal Gonzalo
Published: August 2024

The patient was a young man who came to the Emergency Department of the Hospital Universitario del Valle, Cali, Colombia, with periumbilical colic pain and bilious vomiting. He had not passed stool or expelled flatus since 24 hours before admission. Deep palpation of the left hemiabdomen indicated pain. Fecal impaction was initially thought to be present. A new series of radiographs 12 hours later showed a radiological picture similar to that initially observed. The leukogram was normal. As the abdominal picture did not improve, an exploratory laparotomy was decided. The patient had no surgical history of any kind.
Análisis genómico de la transmisión de adenovirus respiratorios humanos
Authors: García Vallejo Felipe , Solís Harold , Domínguez Martha Cecilia , Borrero Isabella
Published: August 2024

A partir de 84 muestras respiratorias y fecales, se recuperaron 3 pares de adenovirus. Se efectuó el análisis de restricción de los 3 pares de adenovirus que representan un modelo de estrecho contacto. Con el criterio de análisis de restricción un par se identificó como adenovirus serotipo 2 Ton 99; otro como adenovirus serotipo 6 (variante A6.1) y el último como adenovirus 3 cepa GB. La comparación de los perfiles de restricción en los pares de aislados demostró una completa comigración en cada caso. Se obtuvieron evidencias de que el análisis de restricción es una herramienta poderosa para estudiar los mecanismos de transmisión de adenovirus respiratorios en niños en estrecho contacto.
Estudio clínico comparativo entre enoxaparina y heparina en pacientes de hemodiálisis crónica
Authors: Gómez Rafael Alberto , Posada Juan Guillermo , Mercado Álvaro , Randazzo Rossana , Otero Luis Mariano , Morales Jorge
Published: August 2024

En 16 pacientes del programa de hemodiálisis crónica del Hospital Universitario del Valle, Cali, Colombia, se comparó la efectividad clínica del uso de la enoxaparina vs, heparina regular. Los resultados enfermos se dividieron en 2 grupos comparables: el grupo 1 recibió enoxaparina (0.75-1 mg/kg/) dosis única al comienzo de la hemodiálisis por la línea arterial. El segundo grupo recibió heparina, 5,000 U dosis total. Se evaluaron varios parámetros: tiempo de protrombina, tiempo de tromboplastina parcial, recuento de plaquetas, temperatura corporal, presencia de fibrina en la cámara venosa, apariencia del filtro, tiempo de hemorragia. No hubo diferencias clínicamente significativas en ambos grupos. El uso de enoxaparina produjo simplificación técnica en el procedimiento, sin aumentar la posibilidad de complicaciones hemorrágicas ni la tendencia a la coagulación en el sistema extracorpóreo.
Boy with the Pet Dog
Authors: Derain Allan R. , Benitez Christian Jil R.
Published: August 2024

Set at the beginning of the hot season in the Philippines, when heat starts to crawl on skin, the short fiction “The Boy with the Pet Dog” (“Ang Batang May Alagang Aso”) stages an encounter between the titular character and a young man from the province who intends to work on his family’s farm. Queerness figures in the narrative as intimately entangled with class, and becomes articulable only through a language made possible by the tropics itself, in the form of butterflies coming out of chrysalises, brown bodies glowing with sweat, and swiftlets flocking mango trees. At the heart of the story is a dog, whose unbridled elan unleashes the tempered and unnameable yearning that suffuses the narrative. With a title that seemingly alludes to Anton Chekhov’s famous short fiction, the story, in its cunning lightness, can be ultimately read as a rehearsal of tropical queer reimagination of writing desire.
Automat Bill of Quantities for School Buildings Projects Using BIM
Authors: Abbas Elaf F. , Al-Zwainy Faiq M. S.
Published: August 2024

The Bill of Quantities (B.O.Q.) is a crucial document in construction projects, analyzing materials, labor, and expenses. Traditional methods involve manual measurement and interpretation, while 3D Building Information Modeling (BIM) offers a novel technique. This research compares the accuracy, efficiency, and industry implications of traditional and 3D BIM methods for estimating B.O.Q., highlighting the labor-intensive and error-prone nature of the conventional method. The second section introduces 3D BIM, which offers a virtual project representation, seamlessly integrating geometry, material data, and quantities to automate measurement and reduce errors. To provide empirical evidence, the paper includes a case study comparing estimated quantities by the (traditional method Tender), BIM, and site) in an actual construction project. The case study analyzes the project’s accuracy, consistency, and overall impact. The results showed the accuracy of BIM vs. as-Tender (83.911) and the accuracy of BIM vs. as-Actual (93.059), which is more than the accuracy of Tender vs. as-Actual (65.512).
Investigating the Potential of Water Treatment Sludge for Improvement of the Geotechnical Properties of Gypseous Soil
Authors: Ali Mohammed H. , Aljanabi Khalid R. Mahmood , Mustafa Ayad S.
Published: August 2024

Water treatment sludge (WTS) has in recent years been used for improvement in geotechnical properties of soil. The present study has been taken up to establish whether WTS can be used for the improvement of gypseous soil by assessing its effects on the geotechnical properties. Soil samples were collected from the study area while WTS were locally obtained from a water treatment plant. Chemical and physical properties, mineral compositions, particle size distribution, water content, and Atterberg limits of soil and WTS were determined. The laboratory test was performed by employing laboratory testing to investigate the effects of different percentages of WTS on the strength, compressibility, collapsibility, and compatibility of the soil at different curing times. The results obtained showed that WTS influenced the geotechnical properties of gypseous soils significantly. Improvements in the strength, compressibility, and collapsibility were shown. The best application rate of WTS was suggested on the basis of the possible improvements in the geotechnical properties. From the study’s outcomes, it could be concluded that the use of WTS may be an alternate and economic material for the improvement of geotechnical properties of gypseous soil.
Evaluating the Hydraulic Performance of USBR II Stilling Basin with Rough Bed
Authors: Saleh Layla A. M. , Khassaf Saleh I.
Published: August 2024

Stilling basins are built in conjunction with dams, weirs, and gates to dissipate the high kinetic energy of incoming flow and prevent severe scouring of the downstream riverbed. Dissipation of this high energy can be achieved through forming a hydraulic jump. The hydraulic jump features, including the relative length, ratio of sequent depth, and energy dissipation, are utilized as criteria to evaluate the efficiency of the stilling basin operation. The present study involved conducting experimental and numerical tests to evaluate the performance of the USBR II stilling basin downstream of an ogee spillway using six upstream Froude numbers ranging between 6.37 and 14.97. Experiments were conducted for the Typified USBR II stilling basin. The results were used to perform mesh sensitivity for numerical simulation. The USBRII stilling basin with different rough beds was numerically simulated using FLOW-3D software. The rough beds were designed using three roughness intensities, 10%, 15%, and 22%, and three relative roughness heights: 1, 0.75. and 1. According to the numerical results, distributing staggered cubic elements in the bed of the USBR II stilling basin at 10% intensity and a relative roughness height of (1) enhanced the stilling basin performance compared to the smooth bed and other rough beds. In the case of the best roughness bed, the sequent depth ratio decreased by about 12.1%, and the energy dissipation enhanced by around 5.1% compared to the Typified basin.
Tendências epidemiológicas da hanseníase no Piauí: impacto da pandemia da COVID-19 (2019-2023)
Authors: Monteiro Nádia Pereira da Silva do Rêgo , Monteiro Naira Pereira da Silva do Rêgo , Maia Lucas Lemos Silva , Mendes Cíntia Maria de Melo
Published: August 2024

Objetivo: Descrever o perfil epidemiológico da hanseníase no estado do Piauí entre 2019 e 2023 e avaliar o impacto da pandemia da COVID-19 nas notificações da doença. Métodos: Realizou-se um estudo descritivo e observacional com dados do Sistema de Informação de Agravos de Notificação (SINAN). Foram avaliados casos notificados de hanseníase, explorando variáveis sociodemográficas e clínicas. Utilizou-se análise estatística descritiva para examinar a distribuição temporal dos casos e entre diferentes grupos populacionais. Avaliou-se também o número de notificações nos períodos pré, durante e pós pandemia. Resultados: O estado do Piauí notificou 3.685 casos de hanseníase durante o estudo. Houve uma queda de casos de 2019 para 2020, seguida de aumento até 2022 e nova redução em 2023. Predominaram casos em homens, indivíduos pardos, de 40 a 49 anos e com ensino fundamental incompleto. Formas multibacilares foram mais frequentes, com elevado número de lesões cutâneas e baixo grau de incapacidade. Conclusão: A pandemia da COVID-19 impactou negativamente os esforços de vigilância e controle da hanseníase no Piauí, refletido na variação anual das notificações. São necessárias estratégias contínuas para melhorar a detecção precoce e o tratamento eficaz, especialmente entre as populações mais vulneráveis do estado.
Six-minute walk test among silicosis patients: Its correlation with abnormal radiographic findings on chest radiograph and high resolution computed tomography scan
Authors: Jalutharia Jitendra , Dixit Ramakant , Kuldeep Rajveer , Goyal Mukesh , Choudhary Manisha , Srivastava Komal
Published: August 2024

Objectives

Silicosis is one of the oldest chronic lung diseases that leads to relentless fibrotic changes in the lungs with a resultant fall in lung functions. This study was conducted to assess exercise capacity utilizing a six-minute walk test (6-MWT) among patients detected to have “simple” and “complicated” forms of silicosis. A further correlation between 6-MWT parameters and abnormal chest imaging findings was also done.

Material and Methods

Silicosis diagnosis among study subjects was based on the history of exposure to occupational silica dust along with suggestive radiological findings of pneumoconiosis assessed by the trained experts. Study subjects performed the 6-MWT as per standard protocol. Chest radiological and “high resolution computed tomographic” (HRCT) abnormalities were also analyzed in each subject and compared with their 6-MWT components (distance walked in meters and oxygen desaturation occurrence, if any).

Results

One hundred twelve study subjects (males 106 and females 6; mean age 44.05+10.84 years) constituted the final study population. The six-minute walk distance (6-MWD), fall in SpO2 and BORG dyspnea scale in patients with grade “0” on chest X-ray was 362.79 ± 34.2 meter, 1.28 ± 0.91% and 0.96 ± 0.59, respectively and these parameters gradually converted with increasing International Labour Organization silicosis grading with 94.21 ± 29.4 meter, 7.11 ± 1.61% and 4.50 ± 0.93, respectively in grade “C.” A gradual change in 6-MWT parameters was also evident when compared with HRCT scan grading abnormalities.

Conclusion

Results of this study shows abnormally reduced lung function parameters among subjects with silicosis and it also correlates with degree of the profusion of nodules seen radiologically both on chest radiograph and HRCT.
A case series of maturity onset diabetes of the young: Searching for a polar bear in a snowstorm
Authors: Reddy Trishya , Bhattacharyya Shaila
Published: August 2024

Monogenic diabetes occurs due to a defect in a single gene or a chromosomal locus. The various modes of inheritance occurring include autosomal recessive, autosomal dominant, and non-Mendelian traits or can occur as a spontaneous case secondary to a de novo mutation. Although uncommon, monogenic diabetes accounts for 2.5–6% of diabetes in the paediatric age group and usually presents under 25 years of age. Monogenic diabetes can be classified into four major groups: (1) Maturity onset diabetes of the young (MODY), (2) neonatal and early infancy diabetes, (3) monogenic insulin resistance syndromes, and (4) diabetes affiliated with extra-pancreatic features. MODY is the most prevailing form of monogenic diabetes with an autosomal dominant inheritance. There are 14 subtypes of MODY that have been recognised now, and mutations in the genes hepatic nuclear factor 1-alpha (HNF1α) (MODY-3), glucokinase (MODY-2) HNF4α (MODY-1) account for about 95% of all MODY cases. According to a study in the UK, 80% of the MODY cases are misdiagnosed as either Type 1 or Type 2 diabetes mellitus. In our case series, we report 4 cases of MODY and compare their various characteristics. A genetic test was performed for children and adolescents with diabetes mellitus who had a strong history of diabetes in the family and tested negative for islet cell antibodies. Although there have been cases of MODY that have been previously reported worldwide, they usually fall under the types – MODY-3, MODY-2, and MODY-1, whereas we identified one adolescent with Kruppel-like factor-11 gene mutation giving rise to MODY-7 and two adolescents with paired box gene -4 gene mutation causing MODY-9, both of which contribute to <1% of the cases of MODY reported worldwide.