bluuebunny/crossref_metadata_2025_split huggingface dataset:
TRATAMENTO CLÍNICO DO IAM COM SUPRA DE ST EM GESTANTES
Authors: Miranda Camille Cristina , Da Silva João Pedro Mamedes , Cotrik Rebecca Criscolo , Dutra Silvia Fortini , Sommer Lucas de Freitas , De Oliveira Isadora Vitor , Carneiro Carlos Eduardo Quintão , Pena Alice Campos , De Melo Caio Viçoso Vaz , Paupério Renata de Souza Machado 
Published: September 2023

O infarto agudo do miocárdio com supradesnivelamento do segmento ST (IAM com supra de ST) em gestantes é um desafio médico complexo, no qual a necessidade de cuidados especializados é crucial para garantir a saúde tanto da mãe quanto do feto. Este resumo explora os aspectos essenciais do tratamento clínico dessa condição, com base em uma revisão sistemática da literatura. Objetivo: Esta revisão sistemática tem como objetivo examinar os protocolos de tratamento clínico adotados para infartos agudos do miocárdio com supra de ST em gestantes. Metodologia: A revisão da literatura foi realizada com base no protocolo PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). As bases de dados PubMed, Scielo e Web of Science foram consultadas para identificar artigos, estudos e livros científicos relevantes publicados até setembro de 2021. Os descritores utilizados foram: "infarto agudo do miocárdio", "supradesnivelamento do segmento ST", "gestantes", "tratamento clínico" e "protocolos de cuidados". Resultados: Foram selecionados 15 artigos. A análise dos estudos selecionados revelou uma abordagem multidisciplinar como padrão de cuidado para gestantes com IAM com supra de ST. A monitorização cardíaca contínua foi enfatizada, juntamente com a avaliação dos sinais vitais maternos e fetais. O tratamento medicamentoso inclui o uso de agentes antiplaquetários, anticoagulantes e analgésicos, adaptados às necessidades maternas e considerando os potenciais riscos para o feto. A decisão de realizar intervenções invasivas, como angioplastia coronária, foi pautada na gravidade do infarto, estágio da gestação e avaliação de riscos e benefícios. A colaboração entre cardiologistas, obstetras e anestesistas foi destacada como essencial para a tomada de decisões informadas. Conclusão: O tratamento clínico do infarto com supra de ST em gestantes envolve uma abordagem complexa e individualizada, considerando os riscos potenciais tanto para a mãe quanto para o feto. A estratégia multidisciplinar, a monitorização rigorosa e a adaptação da terapia medicamentosa são elementos-chave para otimizar os resultados clínicos. A tomada de decisões quanto a intervenções invasivas deve ser baseada em uma avaliação criteriosa dos riscos e benefícios, levando em conta a situação clínica específica. Essa revisão destaca a importância de estudos contínuos e pesquisas para aprimorar ainda mais as abordagens terapêuticas e melhorar os resultados para as gestantes com IAM com supra de ST.
GESTÃO DE SALA DE AULA: UMA ABORDAGEM DA LIDERANÇA SITUACIONAL PARA GARANTIR A APRENDIZAGEM INDIVIDUAL
Authors: Abud Junior Gilberto , Abud Katia Adriana Leite de Campos , Gonçalves Reginaldo Luiz 
Published: September 2023

Atualmente a evolução tecnológica aplica seus recursos para a melhoria de produtos e serviços nas empresas. A escola, mais especificamente a sala de aula necessita de um algo a mais para uma gestão eficaz do que simplesmente a utilização dos recursos materiais para a aplicação de técnicas, métodos e processos. O diagnóstico individual dos alunos é de extrema importância para que se analise em que momento de maturidade e motivação ele se encontra para a realização das atividades. O professor deve exercer essa liderança em sala de aula como ferramenta para uma gestão eficaz diante da heterogeneidade das turmas em que atua, somada as diferentes situações familiares e sociais de cada aluno. A Teoria da Liderança Situacional se apresenta como um recurso eficiente, eficaz e efetivo, visto que ela não é uma teoria acabada, mas que se desenvolve durante a caminhada, verificando qual a necessidade de cada aluno no momento da aplicação das atividades. A maturidade e a motivação vão determinar o comportamento do professor, que deverá inicialmente dirigir e guiar, dando uma supervisão adequada até o momento em que se possa delegar e monitorar o processo proposto. A formação de cidadãos prontos para atuar na sociedade como protagonistas de suas próprias vidas será concretizada com a combinação de material e conteúdo de qualidade aliada a atenção e a motivação oferecida pelo professor no exercício de sua liderança, bem como, na construção de um ambiente favorável de forma flexível e concreta, visto que a sociedade busca inovação para as situações sempre novas em que se deve tomar decisões de forma rápida e assertiva.
On the Strength of Punjabi Asphalt
Authors: Jurášek Michal , Cabalka Josef , Drašar Pavel 
Published: September 2023

Mumio (shilajit), a substance similar to asphalt or resin that oozes from rocks during hot sunny days, mostly in caves in the Himalayas, is known as a medicinal substance in Eastern medicine. It is slowly being accepted by Western healing as well as medicine. It mainly contains fulvic acids, humic acids and a number of other substances. The article mainly summarizes recent information about this substance.
Full text English translation is available in the on-line version.
A NATURAL PERSPECTIVE ON THE MANAGEMENT OF BURN WOUNDS CAUSED BY ACID AND BOILED WOUNDS
Authors: Shrivastava Shivani , Das Sanjita , Das Saumya , Singh Renu , Dhasmana Shruti 
Published: September 2023

Burns are one of the most traumatic incidents that one can experience. Burns are of various types, depending on the severity and depth of the burn wound. The patient undergoing treatment tolerates a lot, including excruciating pain, infection, and burn scars-related issues. Traditional approaches are one of the most effective methods to treat burn injuries. Traditional remedies have the ability to reduce the risk of infection additionally they are cost-effective and free of side effects. Despite the fact that there are many advanced technologies for burn care, natural treatments are needed to avoid more complications because these technologies can have significant side effects and toxicity. The aim of this review is to provide readers information on traditional and herbal treatments for both boiled and acid attack burns. This article focuses on natural resources. This is an effort to investigate and study the pathophysiology of acid and boiled burn wounds in order to learn more about how to treat them effectively. Further scientific studies on enlisted natural resources would be useful for better future management of the above mentioned conditions.
PRÁTICA EDUCATIVA COMO ESTRATÉGIA DE ENFRENTAMENTO DA VIOLÊNCIA OBSTÉTRICA
Authors: Rios Jean Cristina Carneiro , Silva Júnior Milton Ferreira da 
Published: September 2023

O objetivo é refletir quanto à importância da prática educativa como ferramenta para o enfrentamento à violência obstétrica. Trata-se de uma pesquisa-ação a partir do recorte da pesquisa de Mestrado. Foram analisados três relatos de mulheres com experiências de partos no mesmo hospital em Eunápolis-Ba. Foi possível identificar os determinantes sociais em saúde e o intercruzamento de gênero, raça e classe, através dos relatos com evidencias do desconhecimento das mulheres sobre o termo violência obstétrica, assim como procedimentos invasivos e violentos de maneira rotineira pautados no discurso do modelo biomédico como necessários para salvar as vidas ora da mãe, ora do bebê ou de ambos. A prática educativa mostrou-se eficaz como uma ferramenta de construção do conhecimento coletivo seja para ensinar e aprender a partir das vivências das mulheres envolvidas no processo, assim como a discussão sobre os direitos sexuais e reprodutivos e o papel da mulher e sua família no evento do parto. A pretensão a partir dos resultados encontrados é difundir as informações/relatos para as mulheres de Eunápolis como forma de encorajamento e formação de uma rede de apoio de modo que as mulheres consigam parcerias e a garantia dos direitos sexuais e reprodutivos, além de provocações com gestores e profissionais de saúde de modo a repensarem as ações para reformular as práticas a partir das recomendações da Organização Mundial da Saúde (OMS) pautadas nas boas práticas para o bom parto.
Hubungan Peran Bidan, Keadaan Psikologis, Dan Dukungan Keluarga Dengan Kejadian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Jawilan
Authors: Jaojiah Siti 
Published: September 2023

Backgrounds: Hypertension is an increase in diastolic and systolic blood pressure that is intermittent or protracted which is characterized by a systolic pressure above 140 mmHg and a diastolic pressure above 90 mmHg. Hypertension is a fairly dominant health problem because the cases are always increasing in both developed and developing countries.
Methods: This study used descriptive analytic with a cross sectional approach. The population in this study were all elderly in the Jawilan Health Center working area as many as 504 elderly and the sampling technique used was using the formula and obtained as many as 84 samples.
Results: The results of this study indicate that there is a significant relationship between the role of midwives and the incidence of hypertension in the elderly, a P value of 0.000 and the results of OR = 8,286 (2,986-22,989), there is also a significant relationship between psychological conditions and the incidence of hypertension in the elderly, a P value of 0.000 is obtained. and the results of OR = 65,143 (15,632-271,467), and there is a significant relationship between family support and the incidence of hypertension in the elderly and obtained a P value of 0.000 and the results of OR = 11,773 (4,184-33,129).
Suggestions: So that midwives and also families can provide as much support and information as possible about hypertension so that confidence in the elderly can be built.

Pendahuluan: Hipertensi merupakan kenaikan tekanan darah diastolik maupun sistolik yang intermiten atau berlarut-larut yang ditandai dengan tekanan sistoliknya diatas 140 mmHg dan tekanan diastoliknya diatas 90 mmHg. Hipertensi menjadi masalah kesehatan yang cukup dominan karena kasusnya selalu meningkat baik di negara-negara maju maupun negara berkembang.
Metode: Penelitian ini menggunakan deskriptif analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh lansia di Wilayah Kerja Puskesmas Jawilan sebanyak 504 lansia dan teknik pengambilan sampel yang digunakan yaitu menggunakan rumus dan didapat sebanyak 84 sampel.
Hasil: Hasil penelitian ini menunjukan bahwa ada hubungan signifikan antara peran bidan dengan kejadian hipertensi pada lansia diperoleh nilai P Value 0,000 dan hasil OR = 8,286 (2,986-22,989), ada hubungan yang signifikan pula antara keadaan psikologis dengan kejadian hipertensi pada lansia diperoleh nilai P Value 0,000 dan hasil OR = 65,143 (15,632-271,467), dan ada hubungan yang signifikan antara dukungan keluarga dengan kejadian hipertensi pada lansia dan diperoleh nilai P Value 0,000 dan hasil OR = 11,773 (4,184-33,129).
Saran: Supaya bidan dan juga keluarga dapat memberikan support dan informasi sebanyak-banyaknya tentang hipertensi agar kepercayaan diri pada lansia dapat terbangun.
ANALISIS PEMBIAYAAN PROPERTI MENGGUNAKAN AKAD MUSYARAKAH MUTANAQISAH PADA PERUMAHAN GRIYA HARTACU PATTALLASSANG KABUPATEN GOWA
Authors: Jumarni Jumarni , Fathurrahman Fathurrahman , Katman Muhammad Nasri 
Published: September 2023

Perumahan Griya Hartacu Pattallassang Kabupaten Gowa memiliki dua akad pembiayaan yang digunakan dan merupakan salah satu perumahan subsidi dibawah asuhan PT. Tiga Maha Rewa. Perumahan inimenggunakan akad pembiayaan antara lain akad KPR Murabahah, dan akad Musyarakah Mutanaqisah. Penelitisendiriberfokuspadaakadpembiayaanmusyarakahmutanaqisah. Penelitian ini bertujuan untuk mengetahui bagaimana pelaksanaan akad Musyarakah Mutanaqisah, dan bagaimana kesesuaian akad musyarakah mutanaqisah dengan Fatwa Dewan Syariah Nasional No. 73/DSN-MUI/XI/2008. Adapun rumusan masalah yaitu: (1), Bagaimana pelaksanaan akad Musyarakah Mutanaqisah dalam proses pembiayaan pada perumahan Griya Hartacu di Pattallassang? (2), Apakah proses transaksi akad pembiayaan musyarakah mutanaqishah sudah sesuai Fatwa Dewan Syariah Nasional Majelis Ulama Indonesia (DSN-MUI) No. 73/DSN-MUI/XI/2008?. Penelitian ini merupakan penelitian lapangan (field research) menggunakan penelitian kualitatif. Penedekatan penelitian ini menggunakan kualitatif deskriptif. Adapun subjek penelitian ini adalah masyarakat yang tinggal di perumahan Griya Hartacu Pattallassang. Teknik pengumpulan data dilakukan dengan observasi, wawancara dan dokumentasi. Teknik pengabsahan data dengan teknik triangulasi teori dan sumber dengan mengumpulkan data dan informasi dari berbagai sumber yang berbeda. Hasil dari penelitian ini menunjukkan bahwa pembiayaan pada perumahan Griya Hartacu Pattallassang menggunakan dua akad pembiayaan yaitu akad KPR murabahah, dan akad musyarakah mutanaqisah. Dua akad ini juga sangat berpengaruh dalam proses transaksi masyarakat yang menjadi pelaku dalam kedua akad tersebut. Akad musyarakah mutanaqisah dikaji dengan Fatwa DewanSyariah Nasional No. 73/DSN-MUI/XI/2008, Peneliti telah menganalisis dan mengkaji kemudian peneliti menemukan bahwa pembiayaan akad musyarakah mutanaqisah sudah sesuai dengan fatwa DSN-MUI namun akad tersebut belum digunakan secara menyeluruh hanya sebagian pembeli yang menggunakan akad tersebut dalam proses pembelian rumah.
Cost–effectiveness of weekly gastro-resistant risedronate 35 mg, compared with weekly alendronate 70 mg tablets, in the treatment of postmenopausal osteoporosis in Spain
Authors: Casado Enrique , Rosas José , Rubio-Terrés Carlos , Rubio-Rodríguez Darío , Boolell Mitra , Arístegui Ignacio 
Published: September 2023

Aim:To estimate the cost–effectiveness of treating postmenopausal osteoporosis (PMO) with weekly gastro-resistant risedronate 35 mg gastro-resistant tablets (RIS-GR), compared with weekly alendronate 70 mg tablets (ALN) in Spain.Methods:A probabilistic analysis (second-order Monte Carlo simulation) was performed with a time horizon of 5 years, from the perspective of the Spanish National Health System. The bone fracture probabilities were obtained from a cohort study of 3614 women from USA with PMO treated with RIS-GR (1807) or ALN (1807) (Thomasius, 2022). The pharmacological cost and the cost of fractures were obtained from Spanish sources (€ 2022). The utilities of patients with and without fracture (quality-adjusted life years [QALYs]) were obtained from the medical literature.Results:Compared with ALN, treatment with RIS-GR can avoid 79 fractures (between 75 and 82) every 1000 patients treated, and 0.0119 QALYs would be gained (between 0.0098 and 0.0140) per patient. Additionally, GR-RIS would generate a cost saving per patient of €1994 (€1437–2904) with a probability of 99.7%. The scenario analyses confirmed the stability of the base case results.Conclusion:According to this study, RIS-GR would be the dominant treatment (lower costs with QALY gain) compared with ALN.
Going Global or Staying Local: Determinants of Domestic and International Corporate Bond Issues in the Baltics
Authors: Tocelovska Natalja , Vainovskis Oskars , Lenerts Tenis 
Published: September 2023

In the period 2017-2022, there has been a notable growth in international bond placements by Baltic companies, which is distinct from corporate bond issuance in the European Economic Area. While the Baltic governments have demonstrated an increased focus on the corporate bond market development – the pan-Baltic Capital Markets Union launched in 2017 and covered bond law as adopted in Latvia in 2021, those activities are not directly linked to the ongoing shift to international corporate borrowing. In the academic literature, the determinants affecting corporate bond issuance are getting certain attention while studying separately the country-level determinants and the firm-level determinants, which are further split into domestic and international corporate bond issuance. For the Baltic countries, rare academic research has focused on the corporate bond market development of an individual Baltic country.
This paper aims to discover the determinants for domestic and international corporate bond issuance of Baltic companies. While providing theoretical insight into corporate bond issuance rationale for both domestic and international placements, the paper focuses on factors that have contributed to firms choosing to issue bonds internationally. The methods applied in this study are scientific publication analysis, document analysis, expert survey, in-depth interviews, and statistical data analysis. For the statistical analysis, macroeconomic data was acquired from Cbonds, The World Bank, and International Monetary Fund databases in combination with company-specific data gathered from Nasdaq CSD, Orbis, Lursoft, Storybook, and Rekvizitai. The authors have employed a panel regression model for domestic and international bond issuance, and probit regression for all issued bonds in the Baltics from 2003-2022 to estimate the probability of pursuing bond financing internationally.
The findings of this paper indicate that in the Baltics the main firm-level determinants for domestic corporate bond issuance are the company’s financial performance, its geographic exposure, documentation and listing costs, and access to alternative funding sources; on the country-level, the determinants are the share of sovereign international bonds of GDP, corruption perception, and exports as a share of GDP. For issuing international corporate bonds, the main determinants on the firm-level are bond placement size, company size, equity ratio, a satisfactory credit rating, and appropriate yields in the context of higher competition for international investor attention; on the country-level, GDP per capita, country’s export share, interest rate spread, regulatory quality, and political stability play an important role.
Kamu kurumlarındaki yöneticilerin demokratik ve otoriter yöneticiliğe bakış algıları üzerine bir çalışma: Elazığ ve Erciş şeker fabrikaları örneği
Authors: ALKAN Deniz , OĞRAK Abdullah , AKKUŞ Aydın 
Published: September 2023

Globalleşmenin etkisiyle teknoloji ve bilimsel anlamda değişimlerin yaşandığı günümüzde kurumlar mevcut rekabet şartlarına uyum sağlamak adına sürekli kendini yenileyen örgütsel ve yönetsel anlamda giderek farklılaşan bir yapı halini almaktadırlar.
Bu bağlamda kurum içerişinde yönetici, yönetici tipi ve yönetim anlayışı ile yöneticilerin örgüt içerisindeki etkinlikleri; kurumların gelişmesinde, varlıklarını sürdürebilmelerinde ve belirlenen nihai hedeflere ulaşmalarında yadsınamaz derecede önem arz etmektedir. Çalışma Kamu Kurumu bünyesinde faaliyet gösteren Erciş ve Elâzığ şeker fabrikalarında çalışan yöneticilere uygulanmış olup, ilk etapta bireylerin yöneticiliğe bakış açıları ile Otokratik ve Demokratik-Katılımcı yönetici ile ilgili görüşlerini belirlemek ve her iki kamu kurumu arasındaki verileri mukayese etmek amacıyla yapılmıştır. Veri toplama yöntemi olarak yöneticilere anket uygulanmıştır. Elde edilen veriler bir istatistiksel veri analizi programına işlenerek; veriler arasında faktör analizi, güvenilirlik analizi ve frekans analizleri ile normallik testleri yapılmış olup; değişkenler arasındaki ilişkiyi tespit etmek için de t testi ve tek yönlü varyans analizleri yapılmıştır. Araştırma bulgularına göre, yönetim kademesinde çalışan bireylerin demokratik - katılımcı yönetim tarzını benimsedikleri, otokratik yönetim tarzına genel anlamda katılmadıkları, ancak çoğu katılımcının yöneticiliğin doğuştan gelen bir yetenek ve sanat olduğu, bunun ise; eğitimle gelişebileceği kanaatinde oldukları tespit edilmiştir. Yapılan farklılık analizlerine göre kurumlardaki yönetim kademesindeki bireyler arasında istatiksel olarak anlamlı bir farklılığa rastlanmamıştır.
Meningkatkan Kepuasan Serta Kepecayaan Pelanggan Dan Mengurangi Tingginya Komplain Menggunka Metode Importance Performance Analysis (IPA)
Authors: Hermanto Hermanto 
Published: September 2023

Usaha Dagang (UD) toko Cemal Cemil yang bergerak di bidang manufaktur dengan produk yang dipasarkan adalah jajanan dan mainan tahun 80an hingga tahun 2000 semakin menurun tiap tahunnya. Dengan perkembangan zaman yang semakin moderen banyak bermunculan mainan-mainan masa kini sehingga memberikan persaingan yang sangat ketat bagi usaha mainan dan makanan tempo dulu yang sejenis terutama bagi UD. Cemal Cemil, oleh karena itu kondisi ini dapat mengakibatkan penurunan penjuaalan dan berkurangnya kepercayaan konsumen terhadap produk UD. Cemal Cemil. Dengan menggunakan metode Importance Performance Analysis yang merupakan salah satu metode untuk mengukur tingkat kepuasan pelanggan. Dengan menggunakan metode Importance Performance Analysis perusahaan dapat melihat seberapa besar tingkat kepuasan yang dirasakan oleh pelanggan yang datang ke toko Cemal Cemil. Dari hasil analisis metode Importance Performance Analysis tingkat skor rata-rata dari kinerja dan harapan yang dimana nilai total rata-rata kinerja sebesar 42,02 dan harapan sebesar 51,11 kemudian dibagi jumlah item yaitu 12 sehingga didapat data kinerja sebesar 42,02/12 = 3,50 dan harapan sebesar 51,11/12 = 4,26 untuk digunakan sebagai pembatas pada diagram kartesius. Sehingga di dapat data kepuasan pelanggan sebesar 79%, dari perhitungan total jawaban kinerja dari responden, data tersebut didapat dari tingkat total kesesuaian antara kinerja dan harapan.
Hubungan Pengetahuan dan Peran Keluarga Terhadap Kejadian Decubitus pada Pasien Stroke di RSUD Malingping 2022
Authors: Masitoh Imas , Rohmah Meynur , Maulidia Septimar Zahrah 
Published: September 2023

Stroke adalah masalah kesehatan yang terjadi akibat gangguan fungsi otak fokal (global), dimana gejala yang timbul berlangsung selama 24 jam atau lebih tanpa adanya penyebab lain selain vaskuler Ketidakmampuan keluarga serta keterbatasan peran keluarga tentang perawatan pada pasien stroke menjadi penyebab terjadinya ulkus dekubitus. Dampak yang muncul akibat dekubitus antara lain dampak terhadap kondisi fisik, sosial, psikologis, finansial, dampak yang diakibatkan dari gejala dekubitus, dan dampak terhadap kesehatan secara umum. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan Pengetahuan dan Peran Keluarga Terhadap Kejadian Decubitus pada Pasien Stroke di RSUD Malingping 2022. Jenis penelitian yang di lakukan menggunakan metode studi korelasional dengan pendekatan secara potong lintang (cross sectional). Tehnik pengambilan sempel dalam penelitian ini menggunakan teknik pendekatan total sampling sebanyak 65 responden. Hasil penelitian ini diuji dengan Uji Spearman dan menunjukkan untuk pengetahuan keluarga diperoleh p-value adalah 0,002 dan untuk peran keluarga diperoleh p-value adalah 0,014 ini berarti lebih kecil dari nilai ? 0,05 (p < 0,05), sehingga dapat disimpulkan bahwa terdapat Hubungan Pengetahuan dan Peran Keluarga Terhadap Kejadian Decubitus pada Pasien Stroke di RSUD Malingping.