bluuebunny/crossref_metadata_2025_split huggingface dataset:
La labor del Estado en la asistencia y protección a víctimas de trata de personas en Colombia 2016-2019
Authors: Alarcon-Moreno Nancy Edith 
Published: November 2021

La trata de personas, denominada en muchas ocasiones como la esclavitud moderna, ha afectado a miles de personas a nivel mundial, por lo cual los Estados han generado estrategias para contrarrestar este delito y establecido programas para la asistencia y protección de las víctimas. No obstante, según las estadísticas, cada año las víctimas han ido aumentando, y no se tiene la certeza sobre si el actuar del Estado ha sido diligente y cualificado al momento de atender a una víctima. Por esto, desde una metodología mixta, se presenta el número de víctimas de trata en Colombia, así como las medidas que se implementaron en aras de lograr el restablecimiento de derechos de los sobrevivientes de la trata en el periodo 2016 al 2019. En este sentido, se registraron 412 víctimas de trata y con ocasión del conflicto armado: 864 por reclutamiento forzado y 25 casos de trata como violencia sexual en los dos últimos años. De las 412, en tan sólo 188 casos se activó la asistencia mediata según Ministerio del Interior, información que no se logra corroborar por lo que se concluye que, en Colombia, las victimas de trata no logran la recuperación física, emocional, social ni económica.
Influence of Supply Chain Management Strategies on Performance of Medical Supply Chain Organisations in Kenya
Authors: Njuguna Peter Mwangi , Arani Wycliffe , Onyara Viginia 
Published: November 2021

Institutions within the medical supply sector have consistently faced substandard supply chain results because of failure of timely deliveries on the part of suppliers failing to quickly respond to deliver medical shipments. This indicates the procurement role having inadequacies as a key component of an organization since it does not deliver on maximized effectiveness and a reduction of costs based on poor supply chain management plans. A critical purpose of the study was the intention to identify influence of supply chain management strategies on performance of medical supply chain organisations in Kenya. More so, the analysis deals with the degree information integration impacts on Organization performance; to evaluate the impact of warehousing on performance; to examine the impact of outsourcing on performance; and to evaluate the influence of lean supply chain on performance of medical supply entities across Kenya. Direction will through be relying on the resource-based theory as well as the supply chain constraints principle. The analysis will adopt a descriptive study approach; with the targeted size comprising of 30 medical supply entities. The study participants included 2,529 staff of pharmaceutical supply chain entities within Kenya. Determination of the sample group was by Yamane’s concept that led to to a group of 345 participants. Accessing the participants was by stratified and simple random sampling approaches. Towards indicating dispersion and central tendency, standard deviation and respectively, with the inferential statistics being analysed by multiple regression and correlation analysis. The study findings reveal that performance of medical supply organizations in Kenya was significantly related with supply chain information integration (p < 0.05), warehousing (p < 0.05) and outsourcing. Despite this, the association among differentiation strategy and performance was insignificant at p > 0.05 but only significant at p <0.1). It was also found that while lean supply chain had a negative influence on performance (t = -.528, p >0.5) information integration, warehousing and outsourcing had positive influence on performance (information integration: t = 16.461, p <0.05; warehousing: t = 19.671, p <0.05; outsourcing: t = 15.528, p <0.05). The result of these outcomes is that the leadership across medical supply organizations in Kenya need to adopt information integration, warehousing, and outsourcing, which would positively contribute to performance. Medical supply organizations in Kenya should continue emphasizing on supply chain strategies. The outcomes of the study may assist organisations in drawing plans or improving existing strategies governing supply chain management across institutions.
PERILAKU IBU DALAM PENANGGULANGAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS 4 ULU PALEMBANG 4 ULU
Authors: Emiliasari Dian 
Published: November 2021

Based on WHO, diarrhea kills about 2 million children in the world each year. Referring to Palembang health service in 2017, the number of diarrhea suspects reached 48.000 people. Meanwhile, diarrhea casesÂ tend to increase in the working areas of a community health center 4 Ulu Palembang every year. In 2016, there were about 1.341 children suspected of diarrhea and increased to 1.361 in 2017. This research aims to know about mothers' behavior using the descriptive method.Â Variables include the motherâ€™s knowledge, attitudes, and actions in dealing with children under fiveÂ yearsÂ with diarrhea. This thesis will be developed based on primary and secondary data.Â Data will be analyzed with univariate statistics. The analysis shows that 62% of respondents have good knowledge, 58% have a good attitude, and 64% have done proper action in caringÂ for children under fiveÂ yearsÂ with diarrhea in community health center 4 UluÂ working areaÂ 2018.Â Based on the result, there are many mothersÂ who didnâ€™t have good knowledge and attitude in care of children under fiveÂ yearsÂ with diarrhea in working area community health center. Itâ€™s suggested that intensive promotion is necessarily given which integrating society participation. To learn more factors influencing a motherâ€™s behavior in caring forÂ children under fiveÂ yearsÂ with diarrhea needs further research.Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Keywords:Â Diarrhea, TheChildren Under The Age of Five
PENGARUH TERAPI BERMAIN MENGGUNAKAN PLAYDOUGH TERHADAP PENINGKATAN MOTORIK HALUS PADA ANAK PRASEKOLAH
Authors: Ferasinta Ferasinta , Dinata Endah Zulya 
Published: November 2021

Preschool children are children aged between 3-6 years, while at 4-6 years they usually attend kindergarten programs. It is hoped that they have been able to master several skills that require fine motor skills, such as using playdough by cutting in accordance with the fine motor development that must be achieved.This study aimed to determine the effect of playing therapy by using playdough with patterns cutting toward improving fine motor skills in preschool children in the Kedurang Health Center Work Area. This research design used a quasi experiment. A sample of 15 preschool children was taken by purposive sampling. The results of test analysis in the pre and post therapy intervention group playing playdough obtained a p-value of 0.000. There is a significant effect after playing playdough therapy on improving fine motor skills in preschool children. It is expected that the PAUD Nurul Amal Kab. South Bengkulu, the working area of the Kedurang Public Health Center, can be more creative in using learning methods such as playdough so that children's fine motor skills are more stimulated.Keywords:Â Preschool children, fine motor skills, Playdough
PENERAPAN MODEL PEMBELAJARAN TEAM ASSISTED INDIVIDUALLY (TAI) UNTUK MENINGKATKAN KEMAMPUAN PEMECAHAN MASALAH MATEMATIS SISWA
Authors: Tanzimah Tanzimah 
Published: November 2021

Abstrak Tujuan dari penelitian ini adalah untuk mengetahui ada atau tidaknya peningkatan kemampuan pemecahan masalah matematis siswa setelah diterapkan model pembelajaran Team Assisted Individually (TAI) di SMP Negeri 7 Prabumulih. Metode yang digunakan dalam penelitian ini adalah metode pra-eksperimen, dengan subjek dalam penelitian ini adalah siswa SMP Negeri 7 Prabumulih kelas VIII.1. Teknik pengumpulan data menggunakan tes tertulis berbentuk essay dimana soal tes ini mengacu pada empat indikator kemampuan pemecahan masalah matematis. Teknik analisis data yang digunakan yaitu uji Gain Ternormalisasi dan uji-t (Paired Sample T-Test). Berdasarkan dari hasil perhitungan dengan uji gain ternormalisasi diperoleh indeks gain sebesar 0,21 dan hasil perhitungan dengan uji-t (hipotesis) diperoleh 21, 998. Berarti H0 ditolak, maka dapat disimpulkan bahwa ada peningkatan yang signifikan kemampuan pemecahan masalah matematis siswa setelah diterapkan model pembelajaran Team Assisted Individually (TAI) di SMP Negeri 7 Prabumulih.Kata kunci: TAI, Kemampuan Pemecahan Masalah Matematis Abstract The purpose of this research is to know whether or not the improvement of students' mathematical problem solving abilities after applied Team Assisted Individually (TAI) learning model in SMP Negeri 7 Prabumulih. The method used in this research is the pre-experiment method, with the subject in this study is the students of SMP Negeri 7 Prabumulih class VIII.1. Technique of data collecting using essay test where this test problem refers to four indicator ability problem solving mathematically. Data analysis technique used is normalized test and t-test (Paired Sample T-Test). Based on the results of the calculation with the normalized gain test obtained a gain index of 0.21 and the results of calculations with t-test (hypothesis) obtained 21, 998. Means Ho rejected, it can be concluded that there is a significant increase in mathematical problem solving abilities students after applied model Team Assisted Individually (TAI) learning at SMP Negeri 7 Prabumulih.Keywords: TAI, Mathematical Problem Solving Ability
PENERAPAN MODEL PEMBELAJARAN INKUIRI TERBIMBING UNTUK MENINGKATKAN HASIL BELAJAR MATEMATIKA SISWA SMPN 4 BENGKULU
Authors: Salimah Salimah 
Published: November 2021

AbstrakPenelitian ini merupakan penelitian tindakan kelas. Penelitian ini bertujuan untuk meningkatkan hasil belajar peserta didik pada mata pelajaran matematika di kelas VII SMP Negeri 4 Kota Bengkulu dengan menggunakan model pembelajaran Inkuiri Terbimbing. Instrumen yang digunakan untuk pengumpulan data dalam penelitian ini adalah tes hasil belajar peserta didik. Subjek dalam penelitian ini adalah peserta didik kelas VII-1 SMP Negeri 4 Kota Bengkulu dengan jumlah siswa 33 orang. Penelitian dilaksanakan dalam 3 siklus, dimana dalam satu siklus terdiri dari empat pertemuan dan satu pertemuan tes akhir siklus. Tiap siklus terdiri dari empat tahap yaitu perencanaan, pelaksanaan, observasi, refleksi. Indikator keberhasilan dalam penelitian ini adalah 80 % dari seluruh peserta didik yang mendapat nilai ≥ 75. Hasil penelitian menunjukkan bahwa penerapan model pembelajaran Inkuiri Terbimbing dapat meningkatkan hasil belajar matematika peserta didik. Pada pembelajaran siklus I nilai rata-rata hasil belajar peserta didik yaitu 64.89 dengan ketuntasan belajar klasikal 54.55%. Siklus II nilai rata-rata peserta didik 78.73 dengan ketuntasan klasikal klasikal 75.76%. Nilai rata-rata dan ketuntasan klasikal siklus III adalah 85.76 dan 87.88%.Kata Kunci: Hasil Belajar, Pembelajaran Inkuiri Terbimbing. AbstractThis research is a classroom action research. The aim of the study is improving student’s learning achievement on mathematics subject at class VII of SMP Negeri 4 Kota Bengkulu by using Guided Inquiry learning model. The instrument of data collection is a test for student’s learning achievement. The subjects of the study were students of class VII-1 SMP Negeri 4 Kota Bengkulu concist of 33 students. The study was conducted in three cycles, in which cycles consisted of four meetings and one final test of cycle. Each cycles consist of 4 steps, namely planning, implementation, observation, reflection. The indicator of success in this study is 80% of all students who get score of ≥75. The results showed that the application of Guided Inquiry learning model can improve student’s learning achievement on mathematics. In cycle one, the average score of the students was 64.89 with classical learning completeness was 54,55%. Cycle two the average score of the students was 78.83 with classical learning completeness was 75.76%. The average score of the students and classical completeness was 85.76 and 87.88%.Keywords: Learning Achievement, Guided Inquiry Learning
Gammapatía monoclonal de significado incierto: A propósito de un caso de Nefropatía por Depósito de Cadenas Ligeras Lambda
Authors: Cantillo Jorge de Jesús 
Published: November 2021

RESUMEN
La nefropatía asociada a las gammapatías monoclonales es debida principalmente al depósito de cadenas ligeras. Las enfermedades renales paraproteinémicas son lesiones asociadas con depósito de inmunoglobulinas intactas o fragmentos de inmunoglobulinas (cadenas pesadas y cadenas ligeras). La enfermedad por depósito de cadenas ligeras es una condición rara, caracterizada por el depósito de cadenas ligeras monoclonales en muchos órganos y a nivel renal predominantemente en glomérulos y membranas basales tubulares. La enfermedad está frecuentemente asociada con desórdenes linfoproliferativos, y la mayoría de casos son causados por depósito de cadenas ligeras kappa. Aunque se presenta sobre todo en cuadros malignos, en ocasiones no se detecta patología hematológica y se denomina idiopática o “primaria”. Suele manifestarse como una insuficiencia renal severa con proteinuria nefrótica, no tiene tratamiento claramente establecido y el pronóstico es malo. Se describe las características clínicas e histológicas del segundo caso informado en Colombia de nefropatía por depósito de cadenas ligeras diagnosticado en el contexto de una enfermedad renal paraproteinémica sin datos de malignidad.
Palabras clave: Enfermedades por depósito de inmunoglobulinas monoclonales, enfermedad por depósito de cadenas ligeras, nefropatía, enfermedad renal paraproteinémica, gammapatía monoclonal. discrasia de células plasmáticas.
OBSTRUCCIÓN DE COLON EN UNA PACIENTE JOVEN
Authors: GARCIA PAVIA ARTURO , MATALLANA ROLLO VIRGINIA 
Published: November 2021

Mujer de 39 años con retraso mental leve por problemas durante el parto. Acude a Urgencias por distensión abdominal progresiva de siete días de evolución, asociado a ausencia de deposición y gases. En la exploración física destaca el abdomen muy distendido, sin signos de irritación peritoneal pero con molestias a la palpación difusa. Resto de exploración sin hallazgos y analítica sin alteraciones. Se realiza radiografía de abdomen que muestra una clara imagen en grano de café. (Figura 1 y 2)
Se realiza una colonoscopia urgente llevando a cabo la devolvulación del sigma. La pared del sigma mostraba leves signos de sufrimiento con edema y friabilidad espontánea, pero sin necrosis. La paciente realiza abundante deposición tras colonoscopia y la radiografía de control muestra la resolución del vólvulo. (Figura 3)
La paciente es dada de alta con cita en consultas de cirugía general para planificar la realización de una sigmoidectomía programada.
Corticosteroid Provoked Avascular Necrosis: A complicacy concerning Systemic Lupus Erythematous
Authors: Kurian Helan , Vilapurathu Jobin Kunjumon , G R Vijaya Sankar , Paul Dhanya , Roy Chinnu 
Published: November 2021

Avascular necrosis (AVN) is the complete death of bone, due to loss of blood flow to the bone. Corticosteroid therapy is the second most significant factor for AVN, and systemic lupus erythematosus (SLE) is the most prevalent underlying disease. Conventional management of AVN entails reduction of weight, complete bed-rest, trimming down the dose of glucocorticoid or abdicating the drug completely. A 19-year old female with a known history of SLE, on methylprednisolone for 2-years, came to the orthopedics outpatient department for pain in her right pelvis. On detailed examination, she was diagnosed with avascular necrosis. The AVN developed as a result of corticosteroid therapy because for the initial 12 months she was on methylprednisolone >20 mg/day (exceeded daily dose). The physician instructed her; complete offload and a trial of bisphosphonate plus aspirin plus statin was given and awaited for revascularization. If the revascularization fails, the physician would suggest total hip replacement.
Pengaruh Penggunaan Metode Buzz Grup terhadap Peningkatan Hasil Belajar Siswa Kelas IV Mata Pelajaran Matematika
Authors: Nida Mauizdati  , Rofiatun Nisa'  , Isti Nurkholipah  
Published: November 2021

This study aims to determine the effect of using the buzz group method on improving the learning outcomes of fourth grade students in mathematics. This buzz group method aims to train students in discussing, exchanging opinions with their friends, growing self-confidence, and making learning active and fun, so that it can affect student learning outcomes. This research method uses an experimental method consisting of an experimental class and a control class. The experimental class received the buzz group method and the control class did not receive the buzz group method in learning. The instrument in this study was to use a test in the form of questions. From the data collection that has been obtained, the calculation results obtained the average value of the experimental class is 60, while the control class has an average value of 45.67. Based on the results of observations that have been made, it shows that the buzz group method has good criteria for use in the learning process activities, this is evidenced by the persentage value of the observer I 90%, observer II 77,5%, Besides that it also proven based on the result of research by testing the hypothesis using the t test on the data analysis that has been carried out the results t_count = 2.624 t_table = 2.05 with a significance level of 5%, and observer III 77,5%. then H_1 is accepted, meaning that there is a difference between the scores of students' mathematics learning outcomes in the experimental class and the control class. It means that one of the factors that affect the improvement of student learning outcomes is the teacher’s skills in managing the class, one of which is by using interesting learning methods such as the buzz group method
Henri Bourru et Prosper Ferdinand Burot : les débuts de la psychothérapie à l’Ecole de Médecine Navale de Rochefort-sur-Mer (1885-1895), au carrefour de l’hystérie et des personnalités multiples
Authors: Rizet Clément 
Published: November 2021

À partir de la prise en charge d’un patient en particulier, Louis V., deux professeurs de médecine navale ont entrepris une remise en question du rapport entre technique et effets thérapeutiques d’un cas d’hystérie grave. En marge des débats de leur époque (1880-1900) sur cette pathologie, les doublements de personnalité et l’hypnotisme, Henri Bourru et Prosper F. Burot « inventent » la psychothérapie au sens d’une cure de la personnalité prenant en compte un Inconscient dans le flux de l’histoire du sujet. C’est de cette situation carrefour dont nous allons tenter de rendre compte ici.
La grippe de Hongkong (1968-1970) ou l’invention d’un souvenir épidémique
Authors: Casson Loïc 
Published: November 2021

La grippe de Hongkong a sévi en France entre 1968 et 1970. Elle est très régulièrement citée dans la presse d’aujourd’hui comme une épidémie totalement oubliée. Elle aurait pourtant fait 40 000 victimes en deux mois. Dans cet article, je questionnerai ces modalités d’oubli à travers une remise en contexte scientifique et social. On constatera une dissociation atypique du processus historique de mémorisation des faits d’avec le processus scientifique de validation de ces mêmes faits. Du point de vue scientifique, une observation attentive des sources montre que cette épidémie n’a pas toujours été ce qu’elle est devenue aujourd’hui. Ainsi, avec l’évolution du traitement des données, le nombre des morts passera en 40 ans de 7 000 à 40 000.
Swift trust et équipes temporaires : une étude exploratoire dans les cabinets de conseil
Authors: Bornarel Frédéric , Virgili Sandrine 
Published: November 2021

Ce papier interroge une forme de confiance peu étudiée dans la littérature, et pourtant très actuelle, la swift trust ou confiance rapide. En effet, le contexte des équipes temporaires, très largement diffusé, n’offre pas les conditions de stabilité et de longévité propices au développement de la confiance personnelle. Ceci est problématique car la confiance personnelle est vue comme un ingrédient essentiel à l’engagement dans la dynamique collaborative. Notre objectif est double. Premièrement, d’un point de vue conceptuel, nous interrogeons les mécanismes organisationnels qui permettent de produire cette forme de confiance dépersonnalisée. Deuxièmement, nous cherchons à en préciser la réalité et les usages empiriquement à travers une étude exploratoire menée au sein de trois cabinets de conseil, considérés comme un des idéaux-type d’équipes temporaires. Nos résultats permettent de préciser la réalité de cette forme de confiance ainsi que les mécanismes organisationnels qui la soutiennent. En conclusion l’articulation swift trust / confiance personnelle est réinterrogée. Codes JEL : M5, M12
WORKSHOP DAN SOSIALISASI PENGGUNAAN ALAT PRAKTIKUM IPA SEKOLAH DASAR DI SDN PULO PANJANG
Authors: Rostikawati Diana Ayu , Khaerudin Dedy , Kiawati Elga Sandi 
Published: November 2021

Science learning in elementary schools should more emphasis on process through practicum activities, currently science learning in the class is still limited to delivering theory and rarely invites students to do practicals because of the limitations of practicum tools owned by the school. Based on observations, this is also experienced by science teachers at SDN Pulo Panjang. Based on these problems, community service activities were carried out in the form of workshops and socialization of use science practicum tools, this activity consisted of two steps, e.g. preparation and implementation. At preparation step, simple practicum tools are produced for science practicum, then these practicum tools are demonstrated at implementation step. At implementation step, the speaker explained and demonstrated several practicums related to electricity & magnetism and pressure materials. There are several things that participants gained after holding this workshop, e.g. 1) Knowledge, after the workshop it was seen that participants got new knowledge about implementation of elementary science practicum, 2) Skill, participants seemed to have tskills to carry out elementary science practicum activities, and 3) Products, after the workshop, science practicum tools will be given to the school, science practicum tools provided are equipped with guides/modules
CURRICULUM REFORM IN EAST TIMOR: CURRICULUM MATHEMATICS PRIMARY SCHOOL
Authors: Kusuma Jaka Wijaya , Junaedi Iwan , Mulyono Mulyono , Hamidah Hamidah 
Published: November 2021

This study aimed to analyze the newly developed math curriculum taking into account the views of teachers and students. Curriculum analysis is realized in three dimensions; (1) Classroom management – the physical and emotional environment of the classroom, the role of teachers and students, and interactions, (2) Instructions – objectives, planning, implementation, methods and techniques, instructional media, and measurement and evaluation, and (3) Strengths (and benefits) and weaknesses (and limitations). Qualitative case study methods are utilized with literature reviews. The responses collected from the sources are the content that is analyzed, and then the code is categorized. These findings suggest that some changes have been made and reflected in the implementation of the classroom, and the student-centered approach has been incorporated into the instruction. On the other hand, some difficulties arise during implementation due to a lack of infrastructure