bluuebunny/crossref_metadata_2025_split huggingface dataset:
VANTAGENS DA UTILIZAÇÃO DE CONCRETO BORRACHA NA CONSTRUÇÃO CIVIL
Authors: David Wallace 
Published: July 2021

O setor da indústria civil é responsável por consumir e gerar enormes volumes de matéria prima e dentre as práticas de aproveitamento de resíduo adotadas pelo setor, existem diferentes formas de reciclagem que constituem a utilização de diversos materiais, entre eles, os pneus. Os pneus como exemplo, só o Brasil produz mais de 70 milhões de pneus por ano, a maioria dos quais é descartada de forma inadequada no meio ambiente. Diversos estudos apontam, benefícios quanto a utilização dos resíduos de pneus inservíveis na construção civil em suas diveras estruturas proporcionando benefícios técnicos, econômicos e ambientais. Mediante esse pressuposto, este artigo tem como objetivo, avaliar vantagens da utilização de concreto borracha na construção civil. Pretende assim, verificar pesquisas desenvolvidas do uso da borracha reciclada como agregado no concreto, avaliando suas possibilidades de utilização. Para a realização deste presente artigo escolheu-se a metodologia de pesquisa bibliográfica, através de livros, manuais, documentos, revistas, artigos publicados ou em vias de publicação no meio técnico-científico. Conclui-se de acordo com o estudo apresentado a possibilidade da utilização do resíduo de pneu inservível como agregado na produção de concreto, que, de acordo com diversos estudos aqui apresentados, podem ser utlizados para diversos fins estruturais, proporcionando diversas vantagens econômicas, ambientais e técnicas.
MUNDO DOS SURDOS: ANÁLISE E DISCUSSÃO DO SINAL “EU TE AMO” COMO SIGNO IDEOLÓGICO
Authors: Silva Amauri Moret da , Moura Indira Simionatto Stedile Assis , Bernardo Luciana Coladine , Costa Miriã Gil de Lima 
Published: July 2021

Este artigo tem como objetivo analisar e discutir as construções que permeiam o sinal da expressão “Eu te amo”, na Língua Brasileira de Sinais (Libras), como um signo ideológico dado de acordo com os conceitos bakhtinianos. Como metodologia, optou-se por seguir os pressupostos da metodologia pós-crítica, pela liberdade que a mesma permite para estabelecer métodos, formas e materiais para a pesquisa, de acordo com a necessidade. Assim, como material para análise, utilizou-se as redes sociais, Facebook e Instagram, para coletar imagens divulgadas em momentos reais de uso, como também blogs e sites para apresentar o sinal em questão, sendo realizada a análise e discussão seguindo as bibliografias autorais de Bakhtin, que apresentam conceitos sobre o signo ideológico. Como amparo teórico nas discussões que envolve o mundo dos surdos, pautou-se em: Skliar (2015), Quadros e Karnopp (2004), Perlin (1998), Perlin e STROBEL(2008), entre outros, bem como blogs e sites. Conseguinte, verificou-se que o sinal da expressão “Eu te amo” abandona o seu campo de significação primária literal específica de amor, saindo do plano material, passando a refletir, em outras representatividades/sentidos, conforme o contexto no qual é empregado. Diante dessas asseverações, chegamos às considerações de que, em variados momentos, ele passa a ser signo ideológico por se tornar um sinal de representação, pois reflete o amor a seu povo e tudo o que é intrínseco a ele, como língua, cultura, identidade, bem como assume sentidos outros, de união nos momentos de luta em busca de reconhecimento, respeito e quebra de estereótipos.
BİR DEVLET HASTANESİNDE KALİTE MALİYETLERİNİN PAF MODELİ İLE İNCELENMESİ
Authors: OĞUZ Buket , KAYA Sıdıka , GÖZLÜ Kenan 
Published: July 2021

Amaç: Kalite maliyetlerinin değerlendirilmesi hastane yönetimi için önemlidir. Bu çalışmanın amacı, bir devlet hastanesinde döner sermaye bütçesinden gerçekleştirilen harcamalara dayalı olarak PAF (Prevention-Appraisal-Failure) Modeline göre kalite maliyetlerini belirlemektir.Yöntem: Çalışma Sakarya’daki bir devlet hastanesinde gerçekleştirilmiştir. Veriler, hastane kayıtları incelenerek ve hastane yöneticileri, kalite birimi ve ilgili birimlerin çalışanları ile görüşülerek elde edilmiştir. Veriler oran analizi ve Pareto analizi ile değerlendirilmiştir.Bulgular: Toplam kalite maliyetinin toplam maliyet içindeki payı %20,69 olarak bulunmuştur. Toplam kalite maliyetinde en büyük payın önleyici maliyetlere (%95,59) ait olduğu saptanmıştır. Bu maliyetleri ölçme değerlendirme (%2,99), dış başarısızlık (%1,20) ve iç başarısızlık (%0,23) maliyetlerinin izlediği görülmüştür.Özgünlük: Türkiye’de hastanelerde kalite maliyetleri yeterince bilinmemekte, bu alanda sınırlı sayıda çalışma bulunmaktadır. Bu araştırmada, bir devlet hastanesindeki kalite maliyetleri PAF Modeli'ne göre ayrıntılı olarak ortaya konulmuştur. Önceki çalışmalardan farklı olarak yeni kalite maliyet kalemleri eklenmiş ve mevcut duruma göre güncellenmiştir.
MUSEU SACACA COMO PATRIMÔNIO HISTÓRICO DAS POPULAÇÕES TRADICIONAIS DO AMAPÁ
Authors: Ribeiro Fernando da Costa 
Published: July 2021

O presente Material Pedagógico (Revista Pedagógica) intitulado “MUSEU SACACA COMO PATRIMÔNIO HISTÓRICO DAS POPULAÇÕES TRADICIONAIS DO AMAPÁ” foi produzido pelo prof. Dr. Fernando da Costa Ribeiro, para ser trabalhado como conteúdo na Disciplina Educação do Campo, no Curso de Pedagogia da Universidade do Estado do Amapá – UEAP, do Plano Nacional de Formação de Professores da Educação Básica - PARFOR.
A AMAZÔNIA é um outro continente, gigantesca em tamanho, muito rica em sociobiodiversidade e variedades de espécies, quanto em histórias nascidas nas mais diferentes culturas. Nesse contexto as Populações Tradicionais tem um significado relevante quando se fala de Educação do/no Campo.
O bioma Amazônia, que abrange 9 países americanos, especialmente o Brasil, recentemente adquiriu importância especial em nível global. A necessidade de enfrentar o aquecimento global internacionalmente aumenta a obrigação de preservar as condições ambientais das florestas tropicais e especialmente da maior delas, a Amazônia. Assim, o papel das populações tradicionais é necessário e imprescindível nesse processo de conscientização.
A Amazônia não é um espaço vazio, mas é habitada por povos indígenas, ribeirinhos, castanheiros, extrativistas dentre outros, com cultura própria intimamente ligada à manutenção de suas condições ambientais.
Fonte: Registro Fotográfico do Pesquisador, 2013.
A tensão entre o meio ambiente, os direitos dos povos da Amazônia, com destaque as populações tradicionais e as políticas de desenvolvimento econômico, com consequências globais que extrapolam as fronteiras brasileiras, traz como consequência a tensão entre soberania nacional e interesses internacionais. Esta situação não pode ser ignorada e deve ser objeto de estudo e discussão na Disciplina Educação do/no Campo e demais componentes curriculares.
A Revista apresenta a Amazônia Amapaense representada através de réplicas das casas dos ribeirinhos, castanheiros, etnias indígenas locais, casa das parteiras da floresta, casa de farinha, o regatão etc., como patrimônio histórico das populações tradicionais presentes no Museu Sacaca.
Esse material educativo propõe um debate a respeito da tensão entre os interesses das populações tradicionais em preservar os seus ecossistemas e a exploração irracional feita pelos interesses internacionais, com reflexões que irão lançar luz sobre um tema complexo e de difícil solução, que é a preservação da Amazônia.
A criação da Revista surgiu da necessidade de trazer ao debate a importância do patrimônio histórico das populações tradicionais do Estado do Amapá, presentes no museu Sacaca, e representadas nas réplicas das casas dos ribeirinhos, castanheiros, dos índios, etc.
O propósito da Revista é buscar o desenvolvimento e a conscientização desse tema nas escolas, universidades, entidades governamentais e não governamentais, na vida cotidiana entre grupos de pessoas, nas comunidades e por toda sociedade, se contrapondo aos interesses escusos do capital estrangeiro.
Prof. Dr. Fernando da Costa Ribeiro
Interoperability of Health Digitalization
Authors: Lazuardi Lutfan , Sanjaya Guardian Yoki , Ali Pungkas Bahjuri , Siahaan Renova Glorya Montesori , Achmad Lia , Wulandari Hanifah 
Published: July 2021

: Introduction : Maternal and child health (MCH) is a global priority as health care innovation continues to evolve, including the use of information and communication technology. Studies showed that interoperable information systems can improve the quality of health services and at the same time facilitate the integration of data for the purpose of monitoring and evaluating the performance of health services, especially MCH. Aims : This study aims to identify various maternal and child health information systems used in Indonesia and opportunity of interoperability between systems to support continuum of care services. Methodology: Qualitative descriptive research was conducted in Yogyakarta Province from November to December 2020. This study assessed MCH applications that have been used in public and private primary health care, hospitals, health offices and in the community by identifying their functions and mapped data elements used by each application to assess potential interoperability between systems. The online focus group discussions with various application providers was conducted to explore the challenges of interoperability between digital systems. Results and Discussion : There were 18 maternal and child health information systems have been developed by the government (central and local), health facilities and private sector. The initiation of interoperability between systems has not yet occurred, except to support regular reporting at the health office and Ministry of Health level. Interoperability between information systems required efforts to improve information technology facilities and infrastructure, development of health data standards, strengthening governance and regulation and utilization of data as an effort to monitor, evaluation and continuity of interoperability between systems to support the digitalization of services and routine reporting. Conclusions and Recommendations : Digitalization of MCH services in Indonesia has the opportunity to support the continuum of care through an interoperable system. However, several enabler factors need to be prepared to support interoperability between information systems.
HUBUNGAN OBESITAS TERHADAP KESEIMBANGAN POSTURAL
Authors: Fitria Dinda Annisa , Berawi Khairun Nisa 
Published: July 2021

Pendahuluan: Obesitas merupakan suatu keadaan dengan akumulasi lemak yang tidak normal atau berlebihan di jaringan adiposa sehingga dapat mengganggu kesehatan dan menjadi salah satu penyakit yang sukar diatasi. Prevalensi obesitas mencapai hampir 3 kali lipat dalam kurun waktu lebih dari 40 tahun (pada tahun 1975–2016). Sementara di Indonesia, prevalensi obesitas mencapai 15,4% pada tahun 2013. Tulisan ini bertujuan untuk mengetahui apakah terdapat hubungan obesitas terhadap keseimbangan postural. Metode penelitian: Metode penelitian yang digunakan adalah dengan meninjau artikel dengan kata kunci obesitas dan keseimbangan postural. Pembahasan: Obesitas merupakan suatu kelainan kompleks pengaturan nafsu makan dan metabolisme energi yang dikendalikan beberapa faktor biologik spesifik . Keseimbangan didefinisikan sebagai suatu kemampuan untuk mengontrol pusat gravitasi agar tetap berada di atas landasan penopang. Obesitas memengaruhi keseimbangan dari segi anatomi, yakni perubahan postur yang terjadi adalah menurunnya lingkup gerak sendi (LGS), berkurangnya elastisitas pada ligamen dan otot, serta berubahnya center of gravity (CoG). Individu yang obesitas memiliki tingkat kestabilan yang kurang daripada individu yang memiliki berat badan normal sehingga mengurangi kinerja gerakan ekstremitas atas. Kesimpulan: Data menunjukkan bahwa terdapat hubungan obesitas terhadap keseimbangan postural dimana pada individu yang obesitas memiliki kontrol postural yang tidak baik daripada individu dengan berat badan normal. Namun, penelitian lebih lanjut diperlukan untuk mengetahui jenis obesitas yang lebih memiliki hubungan erat dengan keseimbangan postural.
PENGGUNAAN ANTIBODI MONOKLONAL SEBAGAI TERAPI PILIHAN PADA PENDERITA ARTRITIS REUMATOID UNTUK MENCEGAH KOMPLIKASI KARDIOVASKULER
Authors: Singjie Leonard Christianto , Felix Immanuel , Siregar Reynaldo Halomoan 
Published: July 2021

Pendahuluan: Penyakit kardiovaskular adalah penyakit dengan tingkat kematian tertinggidi dunia. Angka kematian di Indonesia pada tahun 2016 sebesar 37%. Salah satupenyebab penyakit kardiovaskular adalah penyakit autoimun. Artritis Reumatoid (RA)adalah penyakit autoimun yang sering menimbulkan komplikasi penyakit kardiovaskuler.Tatalaksana yang tepat pada penyakit RA akan mencegah komplikasi kardiovaskuler.Pembahasan: Artritis reumatoid adalah penyakit inflamasi kronis yang berdampak padapersendian. Inflamasi kronis ini juga menyebabkan efek pada pembuluh darah denganmenyebabkan terbentuknya aterosklerosis. Pada pasien RA, aterosclerosis disebabkanoleh sitokin proinflamasi, seperti IL-6 dan TNF-α, yang mengaktivasi reaksi imun danmenyebabkan terbentuknya plak hingga dapat menyebabkan ruptur. Selain prosesinflamasi, obat antiinflamasi non steroid yang seringkali digunakan untuk mengobati RA,juga dapat meningkatkan resiko penyakit kardiovaskular sebanyak 2-3 kali. OAINSmemiliki hubungan dengan apoptosis sel dan memiliki efek kardiotoksik akibat peningkatanROS dan kolesterol yang dapat menyebabkan penyakit kardiovaskular. Beberapapenelitian menemukan anti-IL-1β antibodi monoklonal yang disebut Canakinumab. IL-1βadalah mediator inflamasi yang poten. Canakinumab bekerja dengan cara menetralisirsinyal dari IL-1β dan menurunkan inflamasi pada pasien dengan penyakit autoimunsehingga mengurangi kemungkinan pasien terkena penyakit kardiovaskular. Penelitianyang dilakukan untuk mengetahui dosis poten Canakinumab, menemukan bahwa 150 mgCanakinumab selama dua minggu adalah dosis paling poten. Kesimpulan: Berdasarkanpenelitian yang telah dilakukan, dapat disimpulkan bahwa antibodi monoklonal dapatdigunakan sebagai terapi pilihan pada penderita RA untuk mencegah terjadinya penyakitkardiovaskular terkait dengan RA.
HUBUNGAN UNIT KERJA, MASA KERJA, PENGGUNAAN APD DAN RIWAYAT MEROKOK DENGAN KEJADIAN ISPA: Studi Kasus DI PT Semen X Kota Padang
Authors: Lokaria Aldian Mulyanto 
Published: July 2021

ABSTRAK Pendahuluan: ISPA menjadi penyakit akibat kerja tersering pada tenaga kerja, termasuk di PT semen X di Kota Padang. Terdapat berbagai faktor yang menyebabkan tingginya angka kejadian ISPA pada tenaga kerja. Penelitian dilakukan untuk melihat hubungan unit kerja, lama kerja, kebiasaan penggunaan Alat Pelindung Diri (APD) berupa masker dan riwayat merokok sebagai pembanding pada tenaga kerja dengan gambaran gejala ISPA di PT semen X. Metode: Penelitian bersifat analitik observasional dengan desain cross sectional dan dilakukan di PT semen X, pada bulan Mei 2018. Subjek penelitian adalah 131 tenaga kerja di PT semen X. Penelitian dilakukan dengan cara wawancara terkait unit berkerja, lama berkerja, kebiasaan penggunaan APD, riwayat merokok dan timbulnya gejala yang menunjang ISPA. Hasil: Chi-square test menunjukkan terdapat perbedaan gambaran gejala ISPA di setiap kelompok unit kerja (P=0,118), lama kerja (P=0,753) dan kebiasaan penggunaan APD (P=0,330) secara tidak bermakna, sedangkan terdapat perbedaan pada riwayat merokok (P=0,026) secara bermakna. Simpulan: Tidak terdapat hubungan bermakna antara unit kerja, lama kerja, dan kebiasaan penggunaan APD pada tenaga kerja dengan gambaran gejala ISPA di PT semen X. Kata kunci: ISPA, Unit Kerja, Lama Kerja, APD ABSTRACT Background: Upper Respiratory Tract Infection (URI) is the most common occupational diseases of the worker, including PT semen X at Padang city. There are various factors causing high rates of URI occurrence in worker. The research was conducted to see the relation of work unit, the length of work and the habits of the use of Personal Protective Equipment (PPE) like a mask compared to smoking history on the worker with the symptom of URI at PT semen X. Methods: The study was analytic observational with cross sectional design and was done at PT Semen X, in May 2018. The subjects were 131 worker at PT semen X. The research was conducted by interviewing working unit, duration of work, usage habit PPE, smoking history and the onset of symptoms that support URI. Results: From Chi-square test showed that there were differences of symptom of URI in each group of work units (P = 0,118), length of work (P = 0,753) and usage habits of PPE (P = 0,330) unsignificantly, also smoking habit (P = 0,026) significantly Conclusion: There is no significant correlation between work unit, length of work and use habits of PPE on worker with symptom of URI at PT semen X. Keywords: URI, Work Units, Length of Work, PPE
PENGARUH GENETIK, GAYA HIDUP DAN LINGKUNGAN PADA KEJADIAN LEUKEMIA MIELOBLASTIK AKUT
Authors: Sativa Shania Ocha 
Published: July 2021

ABSTRAK Leukemia Mieloblastik Akut merupakan salah satu kelainan sel darah berupa keganasan yang ditandai dengan proliferasi dan pertumbuhan dari sel hematopoietik yang imatur di dalam sum-sum tulang dan darah. Pasien dengan AML memiliki gejala khas seperti mudah lelah, sulit bernapas atau sesak, perdarahan, dan tanda-tanda infeksi yang merupakan akibat dari kegagalan sumsum tulang. Penyakit ini dapat didiagnosis dengan pemeriksaan darah lengkap, analisis darah tepi, serta pemeriksaan sampel sumsum tulang. Insidensi penyakit ini tinggi pada orang dewasa. Hampir 80% kasus leukemia akut terjadi pada orang dewasa dan 20% kasus leukemia akut terjadi pada anak-anak. Kejadiannya meningkat seiring dengan bertambahnya usia seseorang. Oleh karena penyebab pasti dari leukemia belum diketahui, beberapa faktor risiko terkait pernyakit ini telah diidentifikasi. Beberapa faktor risiko absolut dan relatif dari leukemia akut dikelompokkan menjadi faktor genetik, gaya hidup dan lingkungan. Merokok, obesitas, konsumsi alkohol serta asupan makanan berpengaruh terhadap perkembangan dari leukemia sendiri. Faktor risiko lingkungan yang dapat menyebabkan AML ialah paparan benzen, radiasi ionisasi dosis tinggi, agen kemoterapetik, dan paparan zat atau bahan elektromagnetik. Kata Kunci: Faktor Risiko, Keganasan, Leukemia Mieloblastik Akut ABSTRACT Acute Myeloblastic Leukemia (AML) is a blood cell disorder in the form of malignancy characterized by the proliferation and growth of immature hematopoietic cells in the bone marrow and blood. Patients with AML have typical symptoms such as fatigue, difficulty breathing or tightness, bleeding, and signs of infection that result from bone marrow failure. The disease can be diagnosed by a complete blood count, peripheral blood analysis, and examination of bone marrow samples. The incidence of this disease is high in adults. Nearly 80% of cases of acute leukemia occur in adults and 20% of cases of acute leukemia occur in children. The incidence increases with age. Because the exact cause of leukemia is unknown, several risk factors associated with this disease have been identified. Some absolute and relative risk factors for acute leukemia are grouped into genetic, lifestyle and environmental factors. Smoking, obesity, alcohol consumption and food intake influence the development of leukemia itself. Environmental risk factors that can cause AML are benzene exposure, high dose ionizing radiation, chemotherapeutic agents, and exposure to substances or electromagnetic materials. Keywords: Risk Factor, Malignancy, Acute Myeloid Leukemia
FARMAKOTERAPI GANGGUAN ANSIETAS DAN PENGARUH JENIS KELAMIN TERHADAP EFIKASI ANTIANSIETAS
Authors: Azzahra Fatimah , Oktarlina Rasmi Zakiah , Hutasoit High Boy Karumulborg 
Published: July 2021

ABSTRAK
Ansietas merupakan perasaan difus, yang sangat tidak menyenangkan dan tidak menentu tentang sesuatu yang akan terjadi. Menurut WHO, jumlah populasi global yang menderita ansietas pada tahun 2017 diperkirakan mencapai 3.8%. Estimasi total dari jumlah individu yang menderita ansietas di dunia adalah 284 juta orang. Hal ini menunjukkan peningkatan yang cukup tinggi dari tahun 2005 yakni sekitar 15.1%. Manifestasi klinis dari ansietas berbeda tergantung pada bentuk gangguannya, tetapi tanda dan gejala umum dari ansietas memeiliki karakteristik yang terdiri dari dua komponen yaitu fisik dan emosional yang memengaruhi proses kognitif seseorang. Pengobatan ansietas dapat menggunakan obat – obatan antiansietas, psikoterapi, ataupun keduanya. Lini pertama dari farmakoterapi ansietas adalah Selective Serotonin Reuptake Inhibitors (SSRIs) yang biasanya digunakan sebagai antidepresi. SSRIs dipilih sebagai lini pertama karena memiliki efek samping yang lebih rendah dibandingkan obat golongan lainnya. Terdapat pengaruh jenis kelamin terhadap efikasi antiansietas yang berguna terhadap pemilihan antiansietas. Kata Kunci : Ansietas, Antiansietas, Farmakoterapi, Pengobatan
ABSTRACT
Anxiety is a diffuse feeling, which is very unpleasant and uncertain about something that will happen. According to WHO, the total global population suffering from anxiety in 2017 is estimated to reach 3.8%. The total estimated number of people living with anxiety in the world is 284 million people. This shows a fairly high increase from 2005 which was around 15.1%. Clinical manifestations of anxiety is different depending on the form of the disorder, but the general signs and symptoms of anxiety have characteristics that consist of two components, that is physical and emotional that affect someone cognitive processes. The treatment of anxiety can using drugs, psychotherapy, or both. The first line of pharmacotherapy for anxiety is Selective Serotonin Reuptake Inhibitors (SSRIs), which are usually used as antidepressants. SSRIs were chosen as first-line because they have lower side effects than other class of drugs. There is an effect of sex on the efficacy of antianxiety that is useful for selection of the antianxiety. Keywords : Anxiety, Antianxiety, Pharmacotherapy, Treatment
Precise Intraoperative Lymph Node Identification by Isosulfan Blue of Occult Neck Lymph Node Metastases for Decision to Convert from Supraomohyoid Neck Dissection to Comprehensive Neck Dissection in Early-Stage Oral Cancer
Authors: Chindavijak Somjin 
Published: July 2021

Objective: To study the sensitivity and specificity of peritumoral isosulfan blue dye injection for localization of suspected metastatic lymph nodes.
Materials and methods: The study included all patients diagnosed with early-stage oral cancer between January 2018 and March 2020. After elevation of the skin flap, the primary site was injected peritumorally with isosulfan blue 0.3-0.5 cc at 1 cm intervals and massaged. The time at which any draining nodes turned blue was recorded and the node was then excised for frozen section. After which supraomohyoid neck dissection was performed. The frozen sections were stained with H&E and analyzed for presence of metastases. Negative sections were further analyzed using immunohistochemistry stains. Sensitivity, specificity and time of identification suspected metastatic lymph node were analyzed .
Results: Nineteen patients with early-stage oral cancer were included. The majority (78.4%) presented with tongue lesions. The mean injection amount administered was 3.62±0.83 cc, and the number of injections around the tumor were 10.26±2.31. Mean duration from time of injection to the identification of a blue node was 19.26±15.99 min. Nodes at Level I of the neck were the most common identified as blue nodes (57.8%). Statistical analysis comparing pathological findings with blue node identification revealed this technique has a sensitivity of 71.4% with specificity of 91.7% and an overall accuracy of 84.2% in identify metastasis lymph node.
Conclusion: Isosulfan blue injection of primary oral tumors demonstrated a high level of efficiency in identifying metastatic lesions in draining lymph nodes. This technique may be helpful in deciding intraoperatively whether to convert from supraomohyoid neck dissection to comprehensive neck dissection .