bluuebunny/crossref_metadata_2025_split huggingface dataset:
A influência do regime de substituição tributária de ICMS sobre o preço final da cachaça artesanal de Salinas-MG
Authors: Anjos Géssica Viana dos , Coutinho Filho Fernando Batista , Rocha Maria das Graças Teixeira de Souza e , Santos Maxwel Gomes dos 
Published: August 2024

Este estudo tem como objetivo geral analisar a influência do regime de substituição tributária de ICMS sobre o preço final da cachaça artesanal de Salinas-MG, cidade referência na produção de cachaça artesanal em Minas Gerais. Como metodologia apresenta uma abordagem qualitativa de cunho teórico e investigativo, valendo-se de análise bibliográfica e documental, além dos indicadores quantitativos para a compreensão e interpretação dos dados obtidos nas notas fiscais emitidas por produtores de cachaça, selecionadas dentro do exercício de 2022. Dentre os principais resultados verificou-se, que a principal diferença, na contabilização, para o contribuinte substituto entre o não substituto está na inclusão do ICMS substituição tributária no total da nota fiscal que será registrado no estoque e posteriormente a inclusão do imposto na apuração do custo. Ademais verificou-se que o valor do imposto específico de ICMS substituição tributária pode representar em média 11,46% do faturamento de uma empresa. Diante dos outros tributos incidentes sobre a cachaça, conclui-se que o ICMS substituição tributária é oneroso no preço final da cachaça.
Modelo conceitual de avaliação de propriedade intelectual com base nos fundamentos do Capital Intelectual
Authors: Pol Volnei Darino , Frey Irineu Afonso 
Published: August 2024

A Propriedade Intelectual é um ativo intangível que gera valor e faz parte do Capital Intelectual das organizações. A administração eficiente desse ativo permite a obtenção de benefícios financeiros e econômicos, conferindo também vantagem competitiva na Economia do Conhecimento. Esse processo implica em compreender o contexto relacionado ao Capital Intelectual e sua interação, por meio da criação de processos de avaliação eficazes, capazes de identificar os potenciais e diferenciais de novos conhecimentos. Isso abrange desde a concepção das ideias, passando pelo desenvolvimento, proteção, até sua introdução no mercado e consequente geração de valor para a organização. O objetivo deste estudo foi desenvolver um modelo conceitual de avaliação da Propriedade Intelectual com base nos fundamentos do Capital Intelectual que contemple tais demandas. Quanto à finalidade, esta pesquisa é aplicada e, quanto ao objetivo, é descritiva com natureza qualitativa e, quanto aos procedimentos, emprega métodos baseados em pesquisa bibliográfica e documental. Os resultados obtidos desse estudo incluem a criação de um modelo denominado de Modelo Criação, Proteção e Negociação (CPN). O Modelo CPN possui três abordagens de aplicação, uma ex ante (antes da Proteção), uma constante (continua) e a ex post (após a proteção). O Modelo CPN, integra em seus ciclos conceitos, fluxos e processos da gestão do conhecimento, da conjugação e interação entre o capital humano, estrutural e relacional, de análise sob pré-requisitos diferenciadores, legais, comerciais e tecnológicos para proteção e da valoração clássica baseada no custo, na renda ou mercado.
Predictors of Patient-Reported Outcomes After Hyaluronic Acid Injections: Effect of Expectations and Psychological Stress
Authors: Hall Anya , Lee Donghoon , Campbell Richard , Paul Ryan , Leider Morgan , Smith Brandon , Freedman Kevin , Tjoumakaris Fotios 
Published: August 2024

Introduction:
Hyaluronic acid (HA) injections are a common nonsurgical treatment of knee osteoarthritis (OA). Patient expectations and psychological stress are believed to affect outcomes after orthopaedic procedures.

Methods:
This was a prospective cohort study seeking to identify factors predictive of greater patient-reported outcomes after HA injections, particularly expectations and psychological stress. 250 patients receiving a series of HA injections for knee OA were enrolled, with 196 being included for analysis. Demographics, surgical history, and preoperative Kellgren-Lawrence severity scores were collected, and patients completed the Knee Osteoarthritis Outcome Score (KOOS) questionnaire, a modified KOOS questionnaire assessing their 6-month postinjection expectations, and the Perceived Stress Scale before the first injection. Outcomes were assessed at 3 weeks and 3 and 6 months after the final injection.

Results:
KOOS scores improved from preinjection to 6-month follow-up but did not meet patients' expectations or minimal clinically important difference. Expectations correlated with 6-month KOOS pain, activities of daily living, sport, and quality of life subscales (ρ = 0.19 to 0.34), but not the symptom subscale (P = 0.10). Expectations (ρ = 0.31 to 0.37), younger age (ρ = −0.17 to −0.18), and greater perceived stress (ρ = 0.23) correlated with greater improvement from baseline KOOSs. Lower body mass index (ρ = −0.19 to −0.22), male sex (ρ = −0.17), and greater preinjection function (ρ = 0.37 to 0.46) correlated with greater 6-month outcomes. Stress measured on the Perceived Stress Scale did not correlate with 6-month KOOSs (P ≥ 0.27). Lower Kellgren-Lawrence severity score was weakly associated with greater 6-month KOOS activities of daily living and sport scores (ρ = −0.15 to −0.16) and greater improvement in the KOOS symptom score (ρ = −0.15).

Discussion:
This study identified that higher expectations, lower body mass index, younger age, male sex, lower radiographic severity, greater preinjection function, and greater perceived stress are associated with greater patient outcomes after HA injection. Physicians should consider these factors when counseling patients with knee OA about viscosupplementation.

Study Type:
Prospective Cohort Study (Level of Evidence II).
Assessment Of Knowledge And Practices Of Influenza And Pneumococcal Vaccination Among Type 1 And Type 2 Diabetes Patients In Bewal International Hospital
Authors: Imran Muhammad , Shuaib Muhammad , Ikram ul Haq Muhammad , Zubair Hafiz Muhammad , Khan Hasan Akbar , Najeeb Sara 
Published: August 2024

Patients with diabetes have high risk of developing pneumococcal and influenza infections and are advised to take immunization for prevention against the disease. Objective: To determine the level of awareness and immunization behaviors for influenza and pneumonia among patients with type 1 and type 2 diabetes received treatment at Bewal International Hospital, Gujar Khan. Methods: This cross-sectional study was performed at the diabetic clinic of Bewal International Hospital, Gujar Khan, from June 2023 to August 2023. A total of 200 patients with diabetes were included in the study. Socio-demographic details were noted on a pre-structured questionnaire. Questions about knowledge and practices of vaccination particularly influenza and pneumococcal were asked and responses were noted. Results: The mean age of the patients was 47.0 ± 1.18 years. 193 (96.5%) had poor knowledge regarding influenza and pneumococcal infections and their vaccines. An alarming 99% of the people did not have any clue about any vaccination against pneumococcal and influenza infection in patients with diabetes. Similarly, only 1.0% of patients had good practices regarding these vaccinations. Conclusions: The knowledge and practice of influenza and pneumococcal vaccination in patients with diabetes is drastically low in the study population. The health care providers should educate the patients and the government should take concrete steps towards education and improvement of the socioeconomic condition of people along with cost-effectiveness and availability of vaccines for every individual
Article: Bidonomics Versus Maganomics: Pick Your Poison
Authors: Schoenbaum Thomas J. 
Published: August 2024

This essay examines the international trade policies of Joseph Biden and Donald Trump, the two presumed candidates for President of the United States in 2024. I first analyse the trade law revolution effected by the Trump presidency, 2017–2021. During these years the Trump administration adopted a protectionist policy rooted in nationalism and populism. As a direct result of Trump administration trade policy there occurred: (1) a significant retreat from globalization; (2) paralysis of the World Trade Organization (WTO); (3) a revival of US unilateralism in trade policy; and (4) the US-China trade war.
When Joseph Biden became president in 2021, he did not reverse the Trump trade policies. Declaring his favour of a ‘worker-oriented’ trade policy, the Biden administration defended Trump’s tariff policies while continuing his hostility to both new free trade agreements and the multilateral trading system. Biden’s distinctive addition to Trump’s trade policy is a protectionist industrial policy featuring subsidies and a ‘buy American’ mandate.
Despite these similarities, Trump and Biden propose very different international trade policies for 2025 and beyond. Trump intends to adopt across the board protectionist tariffs of at least 10% on all imports and tariffs of at least 60% on all Chinese imports. The former tariffs will provoke numerous tit-for-tat trade wars; the latter tariffs will economically ‘decouple’ China and the United States. Both policies will raise prices and slow global economic growth. On the other hand, Biden eschews new tariffs. American policy will be rooted in industrial subsidies and ‘buy American’ protectionism.
Critics of both Trump and Biden propose a ‘third way’ set of international trade policies that avoid protectionism. This ‘third way’ would feature new free trade agreements with Asian- Pacific, European, and Western Hemisphere nations, a revival of multilateralism and the WTO, and a more constructive trade relationship with China.
Article: Plurilateral Agreements and the Multilateral Trade System: Lessons from the Past and Present for the Future
Authors: Nwadike Frances Chisomaga 
Published: August 2024

The World Trade Organization (WTO) remains the leading international institution for global trade. As a member-driven organization, the WTO adopts decisions mainly by consensus. Whilst this promotes equality in decision-making between Members, it raises a challenge in a situation where Members are unable to achieve consensus required to adopt a decision. As a result, there is growing debate on whether WTO Members should adopt plurilateral agreements to advance their diverse interests in the system. This paper contributes to this argument by highlighting plurilateral agreements are part of the WTO system and have been used to strengthen the WTO, rather than weaken it and should be used in this manner.
This paper highlights that plurilateral agreements are common concepts in the WTO and have been used to strengthen the multilateral trade system. This paper provides an overview of the use of plurilateral agreements during the General Agreement on Tariffs and Trade (GATT) era and under the WTO. It argues that plurilateral agreements have strengthened the trading system by operating as legally binding instruments for WTO plus commitments, a solution to multilateral inaction and an avenue for autonomy within the WTO. It concludes by emphasizing that discussions on the trade system’s reform should consider plurilateral agreements as an avenue to strengthen the multilateral trade system rather than as an alternative to or an escape route from it.
PENGARUH PIJAT KAKI DAN RENDAM AIR HANGAT CAMPUR GARAM TERHADAP PENURUNAN EDEMA KAKI PADA IBU HAMIL TRIMESTER III DI PUSKESMAS BANGETAYU GENUK KOTA SEMARANG
Authors: Ayu Septiyana  , Nella Vallen Ika Puspita  , Mudy Oktiningrum  
Published: August 2024

This study aims to determine the effect of foot massage and soaking in warm water mixed with salt on reducing leg edema in third-trimester pregnant women. This type of research is Experimental design with the group Pre-Test and Post-test design approach model. The population in this study were all third-trimester pregnant women who experienced physiological leg edema at the Bangetayu Health Center, Genuk sub-district, Semarang City, totaling 32 people from June to July 2022. The sampling technique used a total sampling of 32 people. The data collection tools in this study were Standard Operating Procedures (SOP) for Foot Massage and Warm Water Soak mixed with salt, Observation Sheets, Questionnaires, and Metlin in Millimeter units. The results of the study obtained a Z value of 5.045 which means that every one time intervention of foot massage and soaking in warm water mixed with salt, which is given one time a day for five days, third-trimester pregnant women have the potential to be 5.045 times to be able to reduce the degree of edema. The Wilcoxon test results obtained a significance of ≤ 0.05, and it was found that there was an effect of foot massage and soaking in warm water mixed with salt on the reduction of leg edema in third-trimester pregnant women at the Bangetayu Health Center, Genuk District, Semarang City.

Keywords: Foot edema, Foot massage, Soak using warm water mixed with salt
Analisis Faktor Yang Berhubungan Dengan Kepatuhan Konsumsi Tablet Fe Pada Remaja Putri Di Sma Negeri 3 Kota Serang Provinsi Banten Tahun 2022
Authors: Refi Lindawati  
Published: August 2024

Konsumsi tablet fe merupakan salah satu upaya untuk menurunkan kejadian anemia pada remaja. Indikator keberhasilan untuk program pencegahan dan penanggulangan kasus anemia yang terjadi pada remaja putri adalah dengan mengkonsumsi atau meminum tablet Fe sehingga dapat menurunkan prevalensi angka anemia pada remaja putri. Menurut Riskesdas tahun 2019 prevalensi angka kejadian anemia mengalami peningkatan sebesar 27,1%. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan remaja putri dalam mengkonsumsi tablet fe di SMAN 3 Kota Serang. Metode : Jenis penelitian yaitu kuantitatif yang dilakukan dengan pendekatan cross-sectional. Jumlah populasi 902 siswi dan sampel 99 responden dengan n tekhnik Random Sampling. Analisis yang digunakan yaitu analisis univariat dan bivariat menggunakan uji chi-square. Hasil : Hasil penelitian univariat didapatkan 76,8% responden tidak patuh, 80,8% memiliki pengetahuan sedang, 50,5% memiliki sikap positif, 52,5% menyatakan adanya dukungan sekolah. Hasil penelitian bivariat tidak ada hubungan antara pengetahuan, sikap, dukungan sekolah dengan kepatuhan konsumsi tablet fe namun ada hubungan antara dukungan tenaga kesehatan dengan kepatuhan konsumsi tablet fe. Simpulan : Sehingga dapat diambil kesimpulan adanya hubungan antara dukungan tenaga kesehatan dengan kepatuhan konsumsi table fe dan tidak adanya hubungan antara pengetahuan, sikap, dukungan sekolah denan kepatuhan konsumsi tablet fe.
Hubungan Antara Tingkat Stres Dengan Gangguan Pola Tidur Pada Mahasiswa Yang Sedang Mengerjakan Tugas Akhir Di Program Studi D III Keperawatan Universitas Faletehan Tahun 2022
Authors: Herna Alifiani  , Dedih Nuryatna  , Asih Sulastri  
Published: August 2024

Tugas akhir dimana fase atau tahapan yang harus dilalui oleh setiap mahasiswa di akhir tahun perkuliahan. Mahasiswa secara umum mempresepsikan tugas akhir menjadi fase yang penuh hambatan dan sebagai sumber stress, memberikan dampak kepada kehidupannya sampai dirasakan mengganggu dan mempengaruhi pola tidur. Penelitian ini bertujuan untuk mengetahui apakah ada hubungan antara tingkat stres dengan gangguan pola tidur pada mahasiswa yang sedang mengerjakan tugas akhir di Program Studi D III Keperawatan Universitas Faletehan. Metode dalam penelitian ini menggunakan penelitian analitik korelasi dengan dsain Cross Sectional dengan jumlah sampel 67 responden menggunakan random sampling. Hasil penelitian ini diketahui sebagian kecil responden (37,3%) mengalami tingkat stres ringan dan hampir sebagian besar responden (43,3%) mengalami gangguan pola tidur ringan. Diketahui ada hubungan antara tingkat stress dengan gangguan pola tidur dengan hasil p value (0,031) < (0,05). Artinya terdapat hubungan antara tingkat stres dengan gangguan pola tidur, dimana semakin tinggi tingkat stres seseorang maka akan mengalami gangguan pola tidur yang tinggi juga. Maka dari itu, diharapkan mahasiswa yang sedang mengerjakan tugas akhir dapat memanage waktu sehingga pola tidurnya lebih efektif, dan para dosen pembimbing dapat memberikan revisi dengan tepat waktu serta dapat memotivasi kepada mahasiswa agar lebih semangat untuk menyelesaikan tugas akhirnya.
PENGARUH PEMBERIAN KOMPRES HANGAT JAHE DALAM PENURUNAN NYERI PADA PENDERITA REMATIK DI WILAYAH KERJA PUSKESMAS TELAGA
Authors: Abd. Rahmat Muthalib  , Sabirin B. Syuku  , Abdul Wahab Pakaya  , Dewi Modjo  
Published: August 2024

Rheumatoid apabila tidak segera ditangani akan menimbulkan kecacatan baik ringan seperti kerusakan sendi maupun berat seperti kelumpuhan. Tindakan non farmakologi yang dapat dilakukan secara mandiri dalam menurunkan nyeri dengan melakukan kompres hangat dengan jahe. Tujuan dari penelitian ini untuk mengetahui apakah ada pengaruh pemberian kompres hangat jahe dalam penurunan nyeri pada penderita rematik. Metode penelitian kuantitatif menggunakan Quasi eksperimental pre-postest. Teknik pengambilan sampel purposive sampling. Sampel dalam penelitian ini adalah 17 responden. Hasil penelitian ini terdapat pengaruh kompres hangat jahe terhadap penurunan nyeri dengan nilai p value = 0,000 <α = 0,005. Sebagian besar responden mengalami nyeri sedang sebelum diberikan perlakuan kompres hangat jahe. Sebagian besar responden mengalami nyeri ringan setelah diberikan perlakuan kompres hangat jahe dalam penurunan nyeri artritis rheumatoid. Kesimpulan dalam penelitian ini yaitu ada pengaruh sebelum dan setelah pemberian kompres hangat jahe dalam penurunan nyeri artritis rheumatoid.
Promosi kesehatan reproduksi sebagai upaya mengurangi penyimpangan perilaku seksual pada remaja di Indonesia
Authors: Tri Novianty Mansyur  , Yumi Abimulyani  , Neny San Agustina Siregar  , Yuliana Yacinta Kainde  
Published: August 2024

Informasi seks dan kesehatan reproduksi yang baik dan benar merupakan hak setiap anak di seluruh penjuru dunia. Pengaruh akses informasi secara global yang semakin mudah diakses menyebabkan anak dan remaja mengadaptasi kebiasaan-kebiasaan tidak sehat. Pendidikan kesehatan sangat penting dalam perubahan atau perbaikan perilaku melalui peningkatan kesadaran, kemauan dan kemampuan. Tujuan penelitian ini adalah untuk mengetahui pengaruh promosi kesehatan terhadap peningkatan pengetahuan kesehatan reproduksi remaja dalam upaya mengurangi penyimpangan perilaku seksual remaja di Indonesia. Metode: Desain penelitian menggunakan preeksperimental dengan pendekatan one group pre test dan post test design. Sebanyak 47 Siswi sekolah menengah kejuruan di Kota Makassar, Sulawesi Selatan yang memenuhi kriteria menjadi responden dalam penelitian ini. Penelitian ini dilaksanakan pada bulan November – Desember 2019.Hasil: Terdapat pengaruh yang signifikan pada pemberian pendidikan kesehatan dengan tingkat pengetahuan remaja akan kesehatan reproduksi (p < 0.005). Kesimpulan: Adanya pendidikan kesehatan seperti yang dilakukan pada penelitian ini diharapkan mempunyai efek jangka panjang yang dimulai dari perubahan tingkat pengetahuan yang baik pada kesehatan reproduksi perempuan sehingga mampu mencapai tingkat kesehatan reproduksi yang optimal dan tidak adanya penyimpangan terhadap penggunaan organ reprodusi tersebut.
FAKTOR YANG MEMPENGARUHI KESEHATAN MENTAL PADA IBU HAMIL: SCOPING REVIEW
Authors: Atik Sunarmi  
Published: August 2024

Kehamilan merupakan masa yang paling penting dan juga kritis bagi wanita dalam kehidupannya, pada masa kehamilannya wanita akan mengalami perubahan fisik, psikis dan juga emosi serta dapat mempengaruhi pada kesehatan mental ibu. Kesehatan mental juga dapat dikaitkan dengan kecemasan selama kehamilan. Scoping review yang dilakukan bertujuan untuk memetakan bukti yang ada tentang faktor faktor yang mempengaruhi kesehatan mental ibu hamil. Database yang digunakan Pubmed, Ebscho, Sience Direct dan grey literatur yaitu Google Scholar dengan kriteria inklusi original artikel, terbit diatas tahun 2017 diterbitkan menggunakan bahasa inggris, artikel yang membahas tentang tentang faktor faktor yang mempengaruhi kesehatan mental ibu hamil , artikel free full text dan open access. Kriteria eksklusi artikel review, artikel opini, dokumen/pedoman organisasi. Kelayakan artikel dinilai Menggunakan Joanna Briggs Institute tools (JBI), dan Critical Appraisal Programme (CSAP) faktor penyebab terganggunya mental ibu hamil yaitu dapat dipengaruhi oleh kurangnya dukungan suami dan keluarga, lingkungan sosial dan juga status ekonomi serta kurangnya pengetahuan dan pengalaman yang dimiliki ibu.
O DIREITO AO ENSINO FORMAL DAS LÍNGUAS ANGOLANAS
Authors: Patatas Teresa de Jesus Portelinha Almeida 
Published: August 2024

Angola tem uma diversidade linguística endógena que foi desconsiderada nas políticas educativas (nas épocas colonial e pós-independência) até à paz nacional em 2002. O direito ao ensino formal da língua endógena foi adiado até 2008, ano da inclusão nas escolas primárias. Este estudo tem como objetivo refletir sobre os dois momentos do uso do direito ao ensino da língua local nas escolas: a proibição e a inclusão. Fez-se uma pesquisa bibliográfica. Após a independência não havia condições sociopolíticas para refletir a Resolução 47/135 (1992) da Assembleia Geral da Organização das Nações Unidas, que adota a Declaração sobre os direitos das pessoas pertencentes a minorias nacionais ou étnicas, religiosas e linguísticas; ou ainda, sobre a Declaração Universal dos Direitos Linguísticos (Barcelona, 1996) que enfatiza o direito da pessoa ao ensino da própria língua (Art. 2.°) e acrescenta que este ensino deve estar permanentemente ao serviço da multiplicidade linguística e cultural e buscar a harmonia intercomunitária (Art. 23.º). A língua de ensino continua a ser o português, porém a Constituição da República (2010) declara o direito ao respeito, valorização e preservação da identidade linguística dos angolanos (Art. 87.º). Dados empíricos recolhidos por grupos focais em abril de 2018, na província do Namibe, em três escolas, mostram múltiplos benefícios no uso do direito a este ensino, segundo a perceção dos estudantes, especialmente na contribuição para a preservação e promoção do património linguístico e para a união nacional neste país pós-conflito. O ensino evita também o desaparecimento, discriminação e deterioração das línguas e incentiva o uso do direito à aprendizagem formal da própria língua.
Level of Resilience in Adolescent Motherhood attend in a Hospital in Lima
Authors: Perez-Siguas Rosa , Matta-Solis Hernan , Matta-Solis Eduardo , Tacas-Yarcuri Victoria , Matta-Perez Hernan , Cruzata-Martinez Alejandro , Ventura-Hernandez Eva , Meneses-Claudio Brian 
Published: August 2024

Introduction: resilience in adolescent mothers will play an important role, since it will help the adolescent to improve her coping capacity in situations that make her vulnerable during her pregnancy, so the research objective is to determine the level of resilience in adolescent motherhood attended in a hospital in Lima. Methods: it is a quantitative, descriptive-cross-sectional and non-experimental study; with a total population of 125 adolescent mothers who answered a questionnaire of sociodemographic aspects and the Connor and Davidson Resilience Scale instrument in the 25-item version.Results: in their results, we can observe that 5(n=4,3 %) have a low level of resilience, 29(n=25,2 %) medium resilience level and 81(n=70,4 %) high resilience level.Conclusions: in conclusion, the adolescent's environment should be evaluated, since it will allow us to show if there are protective or risk factors that promote resilience