bluuebunny/crossref_metadata_2025_split huggingface dataset:
CUIDADO NO CIBERESPAÇO COMO DISPOSITIVO DE EDUCAÇÃO EM SAÚDE NO CONTEXTO DA SOCIEDADE DIGITAL
Authors: Lima Paiva Darlan , Martins Torres Raimundo Augusto 
Published: August 2024

Objetivo: Analisar como o cuidado praticado nas mediações nos ciberespaços como dispositivo de educação em saúde no contexto da sociedade digital pode possibilitar à prevenção do bullying e cyberbullying no âmbito escolar.
Método: Estudo de análise reflexiva como suporte conceitual sobre possibilidades de produção da cultura do cuidado educativo nos canais de saúde no YouTube via Internet. Resultado: A cibercultura como resultado do uso do ciberespaço permite uma infinidade de atitudes em relação aos usuários da internet que se interconectam com a vida real. Isto possibilita, práticas de cultura do cuidado e de novos desenhos de assistir os sujeitos em suas demandas de saúde, como são as práticas de webcuidado, e que reforçam relações saudáveis, pois a cibercultura opera a positividade da boa ética dos coletivos humanos. Assim, no ciberespaço podem ocorrer a promoção da cultura do cuidado individual e coletivo como modos de produzir a educação em saúde com saberes multidisciplinares que suscitam, na escola, o enfrentamento do Bullying e cyberbullying com foco na prevenção e promoção destas violências. E podem disparar outras maneiras de cuidar através da comunicação interativa com conteúdos educativos gerados nas relações dialógicas nos ciberespaços que se caracterizam como webcuidado.
Conclusão: A promoção da saúde no ciberespaço é possível e necessária como dispositivos de gerador da cultura do cuidado pela difusão de conteúdos sobre saúde mediados nos canais “on-line” com propósito educativo na prevenção das microviolências produzidas na convivência escolar.
DIABETES MELLITUS TIPO 1: O USO DA BOMBA DE INFUSÃO DE INSULINA NO TRATAMENTO
Authors: Sardinha Ana Helia de Lima , Sales Maria de Fátima Santos , Fonseca Letícia Kisley Silva , Camara Juliana de Paulo , Oliveira Amanda Silva de , Andrade Bruna Rafaella Carvalho , Sousa Sara Maria Ferreira de , Araújo Mayra Sharlenne Moraes 
Published: August 2024

O Diabetes Mellitus (DM) é um distúrbio metabólico caracterizado por hiperglicemia persistente decorrente da deficiência na produção de insulina. No Brasil, 11, 4 % da população, com idades entre 20 e 79 anos, têm o diagnóstico. Nessa perspectiva, a bomba de infusão é um recurso terapêutico que tem contribuído para a obtenção de melhor qualidade de vida do DM1. Objetivo: Identificar, na literatura, a utilização da bomba de infusão de insulina no tratamento do Diabetes Mellitus tipo 1. Método: Revisão integrativa, realizado no período de junho a outubro de 2022, através de artigos publicados na íntegra entre 2016 e 2021, nas seguintes bases de dados: PubMed, Medline, Lilacs Science e Science Direct. Resultados: Obteve-se uma amostra de 20 artigos. Foi confirmado nos estudos que o uso da terapia com a bomba de insulina no tratamento da patologia trouxe melhoria para o tratamento, uma vez que ocorre a redução da hemoglobina glicada, demonstrando um melhor controle glicêmico e assim, trazendo qualidade de vida ao usuário. Por outro lado, o uso da terapia representa desvantagens para algumas pessoas, uma vez que se sentem limitadas a estarem permanentemente conectadas a um aparelho. Considerações finais: O uso das inovações tecnológicas no tratamento do DM1 tem o potencial de contribuir para adesão e prevenção de complicações, nesse intuito é de grande valia o conhecimento e domínio dos profissionais enfermeiros independentes da área e faixa etária de atuação.
Neurodesarrollo y tipo de alimentación en el lactante menor en la Unidad Médica Familiar 62, Cuautitlán, México
Authors: Herrera Mejia Hayde Wendolyn , Zamora Tafoya Marisabel , Ríos Morales Rubén 
Published: August 2024

Introducción: la alimentación que se brinda en las primeras 143 semanas de vida puede afectar a la salud. Un factor de riesgo modificable para la salud a largo plazo es la alimentación infantil. La alimentación balanceada sustenta un adecuado crecimiento y desarrollo, el cual se inicia con la lactancia materna. La inteligencia sensorio-motriz es la capacidad de resolver problemas a partir de actividades donde interactúan la percepción, actitudes y movimientos. Por tal motivo, es importante estimar la asociación del neurodesarrollo y el tipo de alimentación en el lactante menor.
Métodos: se realizó un estudio observacional, analítico, transversal y prolectivo, en una muestra de 212 lactantes de 6 meses de edad, por medio de muestreo no probabilístico no aleatorizado. Se incluyeron a pacientes de seis meses de vida de término, peso percentil 10 a 90, con antecedente de embarazo normo evolutivo, esquema de vacunación completo. Se realizó análisis descriptivo con las variables cuali-cuantitativas e inferencial de las variables de neurodesarrollo y tipo de alimentación (lactancia materna, sucedáneos, alimentación mixta), aplicando la prueba de ANOVA Kruskall-Walss (p=<0.005).
Resultados: de acuerdo con la asociación del neurodesarrollo y el tipo de alimentación, se encontró que el 9.5% correspondió a rezago en el desarrollo y tipo de alimentación mixta, seguido de 6.2% con sucedáneos de lactancia materna, y de 5.1% con lactancia materna exclusiva; (p=0.000).
Conclusiones: se concluyó que el uso de lactancia mixta provoca mayor rezago en el neurodesarrollo, en comparación al uso de sucedáneos de la lactancia materna y de la lactancia materna exclusiva.
Evaluación de la terapéutica aplicada a pacientes post COVID sintomáticos, referidos al servicio de cardiología. Lima, Perú
Authors: Infante Romny 
Published: August 2024

El manejo de la pandemia por SARS-CoV-2, surgida en 2020, impuso al personal de salud un nivel de exigencia como no se había experimentado en los últimos 100 años, no solo por el volumen de casos, sino por las dificultades para su diagnóstico y tratamiento. El interés por conocer la fisiopatología de los síntomas post COVID-19 y determinar la influencia de la inflamación en ellos, condujo a la realización de un estudio clínico de tipo observacional descriptivo con 125 pacientes ambulatorios, encontrando, en la mayor parte de los pacientes, la persistencia del proceso inflamatorio bronquio alveolar y sistémico, que se evidenció con la aparición de los síntomas posteriores a la infección por esta partícula biológica, así como también mostró la evolución satisfactoria de aquellos que fueron tratados con Deflazacort en dosis de 6 mg al día en combinación con fluticasona inhalada, como se observó al evaluar las condiciones de los pacientes en cuanto a la saturación de oxígeno, la disnea de esfuerzo y de parámetros hemodinámicos, como tensión arterial, frecuencia cardiaca, así como también de otros síntomas como la poliartralgía, relacionados con la normalización de indicadores inflamatorios como la Velocidad de Sedimentación Globular VSG y de la Proteína C Reactiva PCR, permitiendo concluir que el uso de esteroides ayuda a controlar el proceso inflamatorio post COVID-19 y, por tanto, favorece la resolución de estos síntomas.
Drying Chips Alat Pengeringan Kemplang Khas Palembang Berbasis Teknologi Solar Drying Pada Sentra Produksi Kemplang Keluruhan Lima Ulu Laut
Authors: Indah Indah pratiwi polsri , Bimo Pamungkas  , Tria Apriyanti  , Pelid Sandi Prawata1  , Paisal  , Dian Kurnia Sari  
Published: August 2024

Penjemuran kerupuk kemplang bergantung kondisi cuaca sehingga laju waktu pengeringan kerupuk kemplang pada UMKM kerupuk kemplang lebih lama saat musim hujan, menyebabkan produk lembab dan berjamur. Tujuan peneliti membuat alat pengering panel surya ini agar kemplang lebih cepat kering dengan kadar air lebih rendah. Metode yang digunakan jenis data primer menggunakan teknik analisis data deskriptif kuantitatif. Hasil pengujian kadar air kerupuk kemplang dengan perbandingan pengeringan menggunakan drying chips dengan direct sun drying yaitu, untuk waktu pengeringan kemplang dengan diameter 3,93 cm jika menggunakan direct sun drying memerlukan waktu 3 hari sedangkan jika menggunakan drying chips hanya memerlukan waktu 1 hari pengeringan. Berdasarkan hal tersebut, dapat disimpulkan bahwa drying chips mampu mengeringkan kemplang lebih cepat.

Kata Kunci: Laju waktu pengeringan, Panel surya, Drying chips
ANALISIS IMPLEMENTASI TUPOKSI MADRASAH DI MADRASAH TSANAWIYAH PONDOK PESANTREN DARUSSALAM KUNIR
Authors: Apit Muhamad , Suklani Suklani 
Published: August 2024

ABSTRAK
Dalam konteks manajemen dan administrasi pendidikan. Memahaimi secara mendalam bagaimana madrasah mengimplementasikan Tupoksi yang telah ditetapkan, dengan mencapai tujuan-tujuan yang diharapkan dapat memberikan gambaran yang komprehensif tentang implementasi Tupoksi di madrasah serta memberikan kontribusi positif terhadap upaya perbaikan dan pengembangan lembaga pendidikan tersebut.
Makalah analisis implementasi Tupoksi madrasah, pemilihan metode penelitian sangat penting untuk mendapatkan data yang relevan dan akurat. Berikut adalah beberapa Teknik pengumpulan data. 1). Wawancara Metode wawancara digunakan untuk memperoleh keterangan terkait tujuan penelitian dengan cara Tanya jawab sambil bertatap muka antara pewawancara dengan responden/ orang yang di wawancarai, denganatau tanpa menggunakan pedoman (guide) wawancara.
Dalam wawancara tersebut biasa dilakukan secara individu maupun dalambentuk kelompok, sehingga di dapat data informatik yang orientik (Iryana dan Kawastanti, 2016). 2). Metode Dokumentasi Metode dokumentasi dilakukan sebagai proses pengumpulan data dalam penyelidikan atau penelitian yang berbentuk dokumen dokumen untuk memperoleh beberapa keterangan atau informasi yang diperoleh, termasuk catatan-catatan penting pelaksanaan proseskegiatan belajar terkait dengan proses pendidikan. (Sugiyono 2018:476)
tupoksi madrasah, proses, tugas, produk
KOMPETENSI KEPRIBADIAN KEPALA SEKOLAH DAN MOTIVASI BERPRESTASI GURU SERTA KONTRIBUSINYA TERHADAP KINERJA SEKOLAH DASAR
Authors: Fatimah Siti , Yudaningsih Nunik , Supriadi Andri 
Published: August 2024

Abstrak-Kinerja guru sekolah dasar negeri di gugus Wira Widya Kecamatan Gabuswetan Kabupaten Indramayu dinilai belum maksimal. Pada saat dilakukan observasi awal, hal tersebut diduga disebabkan oleh rendahnya kompetensi kepribadian kepala sekolah dan motivasi berprestasi guru. Oleh karena itu untuk menguji kebenarannya, perlu dilakukan penelitian. Penelitian ini menggunakan metode survey dengan pendekatan kuantitatif, serta teknik korelasional dan regresi. Teknik pengumpulan data melalui angket skala Likert terhadap 76 responden yang merupakan guru sekolah dasar negeri di gugus Wira Widya Kecamatan Gabuswetan Kabupaten Indramayu. Hasil analisis data menunjukkan bahwa (1) Terdapat kontribusi yang signifikan kompetensi kepribadian kepala sekolah terhadap kinerja guru sekolah dasar, (2) Terdapat kontribusi yang signifikan motivasi berprestasi guru terhadap kinerja guru sekolah dasar, (3) Terdapat kontribusi yang signifikan kompetensi kepribadian kepala sekolah dan motivasi berprestasi guru secara simultan terhadap kinerja guru sekolah dasar. Berdasarkan temuan maka peneliti menyarankan pelatihan dan pengembangan dalam aspek kompetensi kepribadian seperti normatif, keteladanan, dan sikap bagi kepala sekolah, memberikan insentif atau penghargaan kepada guru yang mencapai hasil yang baik, mengadakan diskusi dan kolaborasi antara kepala sekolah dan guru juga dapat membantu meningkatkan komunikasi dan pemahaman bersama, yang pada gilirannya dapat memengaruhi kinerja sekolah dasar secara positif.
Kata Kunci: Kinerja guru, Kompetensi kepribadian, Motivasi berprestasi guru.
Effectiveness of 0.3 % nifedipine gel combined with 2.0 % lidocaine and BTA 80 U in treatment of chronic anal fissure. Pilot randomized study. Preliminary results
Authors: Zharkov E. E. , Goloktionov N. A. , Sagidova K. I. , Lebedeva E. Yu. , Kostarev I. V. 
Published: August 2024

AIM: to improve the results of chronic anal fissure treatment. PATIENTS AND METHODS: the study included 22 patients randomized by random numbers generation method into 2 groups. Eleven patients were included in main group and were treated with 0.3 % nifedipine + 2.0 % lidocaine gel, 11 patients of the control group received injections of botulinum toxin A into the internal anal sphincter at a dose of 80 U (BTA 80). RESULTS: by day 30, there was a decrease of maximal resting pressure in anal canal (MRPAC) in both the main and control groups [p = 0.015 and p = 0.004, respectively] and the average resting pressure in anal canal (ARPAC) [p = 0.01 and p = 0.02, respectively]. There was no difference between the groups in pain severity both after stool and during the day (p = 0.5 and p = 0.6, respectively). On day 60, the defect was epithelized in 6/11 (54.6 %) patients of the study group and in 9/11 (81.8 %) patients of the BTA 80 group [p = 0.36], respectively. The reason of treatment failure in 4/11 (36.4 %) patients of the main group and 2/11 (18.2 %) patients of the control group was a preserved internal sphincter spasm. It was found that these patients used a lower amount of the drug product — 2.2 (1.8; 2.5) mg/day compared to 2.4 (1.9; 2.7) mg/day in other patients. On the day 30 after surgical treatment, complaints about gas incontinence were registered in 1/11 (9.1 %) patients of the main group and 1/11 (9.1 %) patients of the control group [p = 1]. Such a complication as external hemorrhoid thrombosis occurred only in 1/11 (9.1 %) patients in the BTA 80 group [p = 0.87]. CONCLUSION: the study results show that gel containing 0.3 % nifedipine and 2 % lidocaine produces an effect on the tone of the internal sphincter comparable to BTA. However, the lack of accurate dosage of the drug product and/or low patient compliance reduce the effectiveness of treatment and make the use of BTA preferable for medical relaxation of the internal sphincter.
Staged surgical treatment of wounds of the extra-abdominal rectum
Authors: Pesikin I. N. , Perekhodov S. N. , Onnitsev I. E. , Artemkin E. N. , Sokolov A. A. , Kharitonova L. S. , Mytnikov A. D. , Kozlov N. S. , Kelzin A. I. , Kuzminov A. D. 
Published: August 2024

AIM: to improve the algorithm and results of surgical treatment of combat wounds of the rectum. PATIENTS AND METHODS: thirty-one patients with combat injuries of the rectum were included in the cohort. RESULTS: twenty-seven (87.1 %) patients were discharged in satisfactory condition, 4 (12,9 %) patients died. Sepsis developed in all four patients: in two of them sepsis was on the background of necrotising fasciitis and one had peritonitis. Endoscopic control revealed 10 wounds of the extraperitoneal part of the rectum undiagnosed at the 1st and 2nd stages of medical care. Surgical care included all four main components: diverting stoma, distal washout (mechanical cleansing of the rectum to clear water), suturing of the lesion through perineal access, drainage or tamponisation of the presacral space was done in 20 (64.5 %) patients. Endoluminal VAC therapy was used in 12 patients. In 11 of them, VAC treatment was successful with complete healing of rectal wall wounds. CONCLUSION: the four-component treatment approach is the optimal option for wounds of the extraperitoneal part of the rectum. Diverting stoma and distal bowel washout prevents severe infection. Endoluminal VAC therapy, in some cases, can be used as an alternative to presacral drainage and suturing of the rectal wall lesion.
Intracorporal isoperistaltic linear colorectal “side-to-side” (overlap) anastomosis: invention concept and primary results
Authors: Sazhin A. V. , Ermakov I. V. , Ivakhov G. B. , Lebedev I. S. , Dalgatov K. D. , Poltoratsky M. V. , Shikhin I. S. , Timoshenko N. A. 
Published: August 2024

AIM: to present the primary experience of performing intracorporeal linear colorectal anastomosis using the “overlap” technique in laparoscopic anterior rectal resection. MATERIALS AND METHODS: the study presents the outcomes of intracorporeal linear “overlap” anastomosis in patients who underwent laparoscopic anterior rectal resection between October 2023 and February 2024. The results were evaluated based on various parameters including operation time, the postoperative morbidity rate (by Clavien-Dindo scale), conversion rates, hospital stay, quality of life by SF-36 questionnaire 30 days after surgery. RESULTS: the linear “overlap” anastomosis was done in 10 patients (5 females), aged 62.0 ± 9.03 years and BMI of 27.5 ± 7.2 kg/m2. No intraoperative complications occurred. One patient developed a seroma at the incision site (Clavien–Dindo I). The first bowel movement was at 1 (0–3) days after surgery. The post-op hospital stay was 5.7 ± 1.9 days. CONCLUSION: primary results demonstrate the simplicity and safety of intracorporeal linear “overlap” anastomosis technique. The further advanced study is justified.
Open management of rectal wound after transanal endoscopic microsurgery: randomized prospective study
Authors: Sinitsyn R. K. , Alekseev M. V. , Chernyshov S. V. , Khomyakov E. A. , Rybakov E. G. 
Published: August 2024

INTRODUCTION: the wound following Transanal Endoscopic Microsurgery (TEM) is traditionally closed by suturing. However, some studies suggest that leaving the wound open after TEM might be a viable alternative. STUDY OBJECTIVE: to compare two methods of managing rectal wounds in patients after TEM. PATIENTS AND METHODS: patients were divided into 2 groups: the main group (open wound management) and the control group (suture wound management). The primary endpoint of the study was the morbidity rate. The secondary endpoints included the need and duration of antibacterial therapy, post-op hospital stay, the severity of the inflammatory response, the wound healing time and the quality of life. RESULTS: from November 2021 to November 2023, 177 patients were included in the randomized study: 68 in the open wound management group and 109 in the suture wound group. The analysis included 50 patients in eachgroup. It was found that the operation time in the main group was significantly shorter (30 (20; 40) minutes versus 55 (40; 60), p < 0.0001). The infectious complications rate was lower in the open wound management group: 11/50 (22 %) versus 16/50 (32 %), p = 0.26; the postoperative bleeding rate was higher: 4/50 (8 %) versus 2/50 (4 %), p = 0.7. Post-op hospital stay did not differ: 6 (4;7) days versus 6 (5; 7), p = 0.22. The duration of antibiotic therapy for infectious complications was longer in the open wound management group: 6 (5;6) days versus 5 (5;6.5), p = 0.02. In the case of infectious complication the inflammatory response was higher in the group of the open wound management: white blood cell counts (15.9 (14.3; 19.5) × 109/L versus 13.1 (12; 15.6) × 109/L, p = 0.01) and temperature (38.6 ± 0.7 °C versus 38 ± 0.6 °C, p = 0.02). Wounds in both groups healed by the 30th day, and the quality of life did not differ between groups. CONCLUSION: the results of the randomized study demonstrated the efficacy and safety of open rectal wound management after TEM.
Computed tomography in quality control of surgery for right colon cancer
Authors: Kholeva A. A. , Agababian T. A. , Nevolskikh A. A. , Avdeenko V. A. , Ivanov S. A. , Kaprin A. D. 
Published: August 2024

AIM: to assess the length of the stump of the feeding arteries of the right colon, their anatomical location relative to the superior mesenteric vein (SMV), the level of ligation of the main arteries after right hemicolectomy with D2- and D3-lymphadenectomy. PATIENTS AND METHODS: the retrospective study included 82 patients with a histologically confirmed right colon cancer aged 44-88 (mean 68) years. All patients underwent right hemicolectomy. In 40 cases, D2 lymph node dissection was performed, in 42 cases — in D3. Preoperatively, all patients were assessed for the location of the ileocolic and right colon arteries relative to the SMV and the expected length of their stumps was measured by CT. Postoperatively, the actual length of the stumps was assessed. RESULTS: CT images of the ileocolic artery stump were obtained in 76 (92.6%) of 82 patients. In 6 patients, a metal clips were installed along the contour of the superior mesenteric artery; in such cases, a clear CT image of the stump of the ileocolic artery was not obtained, and the length of the stump was assessed as 0 mm. The stump of the right colic artery was determined in all patients in whom the artery was identified preoperatively. The ventral location of the ileocolic artery relative to the SMV according to CT data was identified in 38 (46.3 %) of 82 patients, the dorsal location — in 44 (53.7 %) of 82 patients. With the ventral location of the ileocolic artery relative to the SMV in patients with D2, the length of the artery was 14.3 (8-25.6) mm, with D3 — 7.6 (3.3–11.1) mm (p = 0.005). With the dorsal location of the ileocolic artery relative to the SMV in patients with D2, the length of the artery was 8.8 (4.9–16.2) mm, with D3 — 3.9 (1–6.9) mm (p = 0.004). CONCLUSION: the actual length of the stump of the feeding artery can become an indicator of the level of ligation of the main arteries and, indirectly, the extent of lymphadenectomy after right hemicolectomy. Further studies with a larger number of cases are needed to confirm the hypothesis for measuring the length of the stump of the feeding arteries as a marker of the extent of the procedure performed.
OFFSHORE WIND ENERGY CONNECTED TO HVDC SYSTEM, VSC CONTROL (REVIEW PAPER)
Authors: Zafar Ahsan 
Published: August 2024

This paper presents a technical and economic analysis to evaluate the benefits and drawbacks of grid connecting offshore wind farms through a dc link. A first case, concerning a 100-MW wind farm, is thoroughly investigated and cases of larger wind farms (200 and 500 MW) are presented. Three different transmission solutions are compared: 150-kV ac, 400-kV ac, and high voltage dc based on voltage sourced converters (VSC-HVDC). After a brief overview of the features of these connection solutions, the related operational aspects are evaluated. An economic assessment compares the dc connection option to the ac alternatives, taking into account the investment, operation, and maintenance costs, and the negative valorization of losses and energy not supplied. Economic assessment includes sensitivity analyses of parameters, which could impact the 100-MW wind farm: distance, component costs, dc converter reliability, and dc converter losses.Â Index Termsâ€”DC power transmission, interconnected powersystems, power cables, power transmission economics, wind powergeneration.
Perancangan Cooling Tower Unit 5 PT Pertamina Geothermal Energy Area Kamojang
Authors: Indah Mustika Hazaar  , Ratu Fenny Muldiani  , Sri Wuryanti  , Adistia Prajani  
Published: August 2024

Cooling tower adalah alat penukar kalor yang mendinginkan air kondensat melalui kontak langsung dengan udara yang dihisap oleh fan. Penelitian dilakukan pada cooling tower di PLTP Area Kamojang, yang pada kondisi eksisiting sekarang menunjukkan efektivitas 53,3%, dan tidak sesuai standar pada nameplate sebesar 85%. Penurunan efektivitas ini disebabkan oleh umur pakai dan kotoran yang mengganggu filling media, sehingga nilai range dan approach meningkat, dan menyebabkan penurunan nilai efektivitas. Solusi masalah ini melibatkan perancangan ulang cooling tower menggunakan perhitungan yang divalidasi dengan software Solidwork, diikuti analisis kinerja, perbedaan hasil manual dan simulasi, serta analisis ekonomi. Hasil perancangan ulang menunjukkan peningkatan efektivitas menjadi 84,54%, dengan nilai NPV sebesar Rp 244,378,986,197.56 dan payback period selama 6 bulan.