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The Effects of Intensive Care Unit Admission Time on Mortality 重症监护病房入住时间对死亡率的影响
Q4 Health Professions Pub Date : 2023-10-09 DOI: 10.52403/ijrr.20231021
Omer Tasargol, Elif Bombaci, Serkan Tulgar
In recent years, there have been notable advancements in the critical care, including significant progress in medical knowledge, technological innovations, and the development of clinical expertise crucial for effectively treating patients. Numerous factors play a role in shaping the admission and discharge decisions made in the context of intensive care units. In this research we aimed to evaluate the effect of the time of the intensive care unit admissions, categorized as either "off hours" or "business hours," on the subsequent death rates among patients. We performed a retrospective investigation of the mortality rates of 1605 patients in intensive care unit between 2007 and 2010. We included all admissions to the intensive care unit without applying any exclusion criteria. The primary outcome measures in our study were the timing of admission, as well as the rates of discharge and mortality. "Business hours" denoted the time frame from 8:00 to 16:59 on weekdays, while "off hours" encompassed the period from 17:00 to 07:59 on weekdays and throughout the weekends. Significantly reduced mortality rates were evident among patients admitted on Mondays and Wednesdays in comparison to those admitted on other days (p=0.037 and p=0.045, respectively). Furthermore, the study revealed an elevated risk of mortality for admissions during weekends when compared with those admission on weekdays (p=0.005). The results found that a significant association was present between admission timing and mortality. Patients admitted on weekends and during off-hours exhibit an increased risk of mortality when compared to those admitted on weekdays during business hours. Keywords: Intensive care unit, Mortality rate, Time of admission
近年来,重症监护取得了显著的进步,包括医学知识、技术创新和临床专业知识的发展,这些都是有效治疗患者的关键。在重症监护病房的背景下,许多因素在塑造入院和出院决定中发挥作用。在本研究中,我们旨在评估重症监护病房入院时间(归类为“非工作时间”或“营业时间”)对患者随后死亡率的影响。我们对2007年至2010年间重症监护病房1605例患者的死亡率进行了回顾性调查。我们纳入了重症监护病房的所有入院患者,没有应用任何排除标准。我们研究的主要结局指标是入院时间,以及出院率和死亡率。“营业时间”是指平日的8:00至16:59,而“下班时间”是指平日的17:00至07:59和整个周末。周一和周三入院的患者死亡率明显低于其他日期入院的患者(p=0.037和p=0.045)。此外,该研究显示,与工作日入院的患者相比,周末入院的患者死亡率更高(p=0.005)。结果发现入院时间与死亡率之间存在显著关联。在周末和非工作时间入院的病人比在工作日工作时间入院的病人死亡率更高。关键词:重症监护病房,死亡率,入院时间
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引用次数: 1
Assistance in the Introduction to Multiple Intelligences for Elementary School Teachers in Differentiated Learning 协助小学教师在差别化学习中引入多元智能
Q4 Health Professions Pub Date : 2023-10-09 DOI: 10.52403/ijrr.20231007
Sri Wardani, Sri Haryani, Sarwi .
Assistance with introducing multiple intelligences for elementary school teachers in differentiated learning is fundamental knowledge for teachers in implementing differentiated learning. Because differentiated learning respects the diversity of children's abilities and gives children freedom in education. Intelligence is one part of a learner's learning profile that is important to pay attention to. An individual's intelligence can be divided into several categories, including logical-mathematical, linguistic, musical, naturalistic, visual-spatial, intrapersonal, kinesthetic, and visual-spatial. Teachers need to assess and develop students' intelligence effectively, considering the variability of their intelligence. Correct learning techniques can be used in the classroom to help students achieve their full potential based on their intelligence. The idea of an independent learning curriculum is learning based on the diversity of student profiles. Therefore, teachers must know about readiness for differentiated learning. This service research aims to increase knowledge regarding things that must be prepared before implementing differentiated learning through Gugus Srikandi teachers. The method used in service is lecture, practice, and assignment methods. This research shows that elementary school teachers' reflections on differentiated learning at SD Negeri Bojong Salaman 02 include diagnostic assessments, content differentiation, differentiation, process, and product differentiation. In more detail, there were several problems with the implementation, and there were even activities outside the independent curriculum's provisions. These include diagnostic assessments that still need to meet the requirements/through the stages of an assessment action, and teachers still need clarification about integrating learning readiness, learning styles, and learning readiness. Apart from that, the reflection results also reveal that teachers have advantages in implementing differentiated learning. This advantage is that teachers often vary their education, and teachers become idols for students. Keywords: Differentiated Learning, Multiple Intelligences, Independent Curriculum.
协助小学教师在差异化学习中引入多元智能,是教师实施差异化学习的基础知识。因为差别化学习尊重儿童能力的多样性,给予儿童受教育的自由。智力是学习者学习特征中值得注意的一部分。一个人的智力可以分为几个类别,包括逻辑数学、语言、音乐、自然、视觉空间、内省、动觉和视觉空间。教师需要考虑到学生智力的可变性,有效地评估和开发学生的智力。正确的学习技巧可以在课堂上使用,帮助学生在他们的智力基础上充分发挥他们的潜力。自主学习课程的理念是基于学生档案的多样性进行学习。因此,教师必须了解差异化学习的准备情况。这项服务研究的目的是通过Gugus Srikandi老师来增加对实施差异化学习之前必须准备的事情的了解。在服务中使用的方法是讲座,实践和作业方法。本研究发现,小学教师在SD Negeri Bojong Salaman 02中对差异化学习的反思包括诊断性评估、内容差异化、差异化、过程差异化和产品差异化。更详细地说,在实施过程中存在几个问题,甚至存在独立课程规定之外的活动。这些包括诊断性评估,仍然需要通过评估行动的各个阶段来满足要求,教师仍然需要澄清学习准备、学习风格和学习准备的整合。除此之外,反思结果还揭示了教师在实施差异化学习方面的优势。这个优点是,老师经常改变他们的教育,老师成为学生的偶像。关键词:差异化学习,多元智能,自主课程
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引用次数: 0
Analysis of the Outsourcing System from an Islamic Economic Perspective and Labor Law (Study at PT. Karya Putra Surya Gemilang, Samarinda Branch) 伊斯兰经济与劳动法视角下的外包制度分析(PT. Karya Putra Surya Gemilang, Samarinda Branch研究)
Q4 Health Professions Pub Date : 2023-10-09 DOI: 10.52403/ijrr.20231013
Aji Wahyu Kurnia Rahma Islam, Rais Adbdullah, Miftahul Huda
The purpose of this research is to analyze the outsourcing system from an islamic economic perspective and labor law, study at PT. Karya Putra Surya Gemilang, Samarinda Branch. This research is research designed using a qualitative research model. The data analysis used in this research is qualitative analysis. Data analysis techniques consist of two types, namely data condensation and data validation testing. The research results show that the outsourcing system at PT. Karya Putra Surya Gemilang, Samarinda Branch is in accordance with labor law and Islamic law. Keywords: Outsourcing System, Islamic Economic Perspective, Labor Law
本研究的目的是从伊斯兰经济和劳动法的角度分析外包制度,研究在PT. Karya Putra Surya Gemilang, Samarinda分部。本研究是采用定性研究模式设计的研究。本研究使用的数据分析是定性分析。数据分析技术包括两种类型,即数据浓缩和数据验证测试。研究结果表明,PT. Karya Putra Surya Gemilang, Samarinda分公司的外包制度符合劳动法和伊斯兰教法。关键词:外包制度;伊斯兰经济视角;劳动法
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引用次数: 0
Evaluation of Archery Sports Development in Majalengka Regency 马雅伦卡县射箭运动发展评价
Q4 Health Professions Pub Date : 2023-10-09 DOI: 10.52403/ijrr.20231006
Muhamad Agus Maulana, Mugiyo Hartono, Donny Wira Yudha
Sports today have become the biggest social phenomenon in this world. The role of sport as an engine of nation building and character has been tested, therefore Archery is a sport to hone fine and gross motor, where success is determined by the ability to do coaching from an early age. The approach used is a qualitative natulistic way to understand phenomena using methods focused on their unique qualities and characteristics. This research uses a way that involves personal opinion, and the method used is a natural method. This examination means understanding the extraordinary things that the person being explored, such as behavior, intelligence, inspiration, activities, etc. can do completely through the way we describe and speak. This study aims to examine the archery potential of Majalengka Regency. The results showed that: 1) Training is an action or tool carried out by an organization to achieve a target. 2.) Initial start-up and training provided by the district/city. Provinces/municipalities provide monitoring support through various activities. The main purpose of these two activities is to attract potential / outstanding athletes. The results of the athlete network form the basis of recruitment and development. 3) Facility and infrastructure planning. Planning related to improving physical education facilities has been carried out according to existing mechanisms. 4) The process of organizing and related to the allocation of resources is related to management managing the facilities and infrastructure owned in order to achieve the effectiveness of achieving organizational goals. 5) Achieving achievements in the world of sports is not simple, it requires dedication and maximum effort from the athlete. Keywords: Coaching, Sports, Archery Sports.
今天体育已经成为世界上最大的社会现象。体育作为国家建设和品格建设的引擎的作用已经得到了检验,因此,射箭是一项磨练精细和粗大运动的运动,在这项运动中,成功取决于从小就进行指导的能力。所使用的方法是一种定性的自然主义方法,利用关注其独特品质和特征的方法来理解现象。本研究采用了一种涉及个人意见的方法,使用的方法是自然方法。这种考察意味着完全通过我们描述和说话的方式来理解被探究者的非凡之处,如行为、智力、灵感、活动等。本研究旨在研究马雅伦卡摄政的射箭潜力。结果表明:1)培训是组织为达到某一目标而采取的行动或工具。2)。由区/市提供的初始启动和培训。各省/市通过各种活动提供监测支助。这两项活动的主要目的是吸引有潜力/优秀的运动员。运动员网络的结果构成了招募和发展的基础。3)设施和基础设施规划。有关改善体育设施的规划已根据现有机制进行。4)与资源配置有关的组织过程与管理有关,管理所拥有的设施和基础设施,以达到实现组织目标的有效性。在体育界取得成就并不简单,它需要运动员的奉献精神和最大的努力。关键词:教练,体育,射箭运动
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引用次数: 0
Powder Manufacturing Techniques: A Review 粉末制造技术综述
Q4 Health Professions Pub Date : 2023-10-09 DOI: 10.52403/ijrr.20231020
Hemant Panchal, Devanshi Bhaliya, Moksha Patel
The growing need for advanced materials has placed a significant emphasis on the production of top-tier metal powders. To fulfill this demand, several established powder production methods have emerged, aimed at delivering high-purity metal powders. This review paper explores the various techniques used in the production of metal powders, addressing their importance in meeting the evolving requirements of modern manufacturing. Keywords: Atomization, Ball Milling, Melt Spinning, Electro-decomposition.
对先进材料日益增长的需求使得生产顶级金属粉末成为一个重要的重点。为了满足这一需求,已经出现了几种成熟的粉末生产方法,旨在提供高纯度的金属粉末。本综述探讨了金属粉末生产中使用的各种技术,解决了它们在满足现代制造业不断发展的要求中的重要性。关键词:雾化,球磨,熔融纺丝,电分解。
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引用次数: 0
The Impact of Teacher Certification, Academic Supervision, and Teaching Facilities on Improving the Quality of Education with Learning Quality as an Intervening Variable in Vocational Schools around Grobogan Regency 教师资格认证、学术监督和教学设施对提高教育质量的影响——以学习质量为中介变量
Q4 Health Professions Pub Date : 2023-10-09 DOI: 10.52403/ijrr.20231017
Teguh Astoro, Yuli Utanto, Nina Oktarina
Improving the quality of education is important that the human resources produced are of good quality. However, the quality of education in Indonesia needs attention because it can be seen from the large number of unemployed, dominated by vocational school graduates, namely 10.38%. Conditions that were not much different were also seen in Grobogan Regency, where the number of A-accredited vocational schools only reached 13.79%, meaning that the quality of education in this area needs to be improved. This research aimed to reveal the impact of teacher certification, academic supervision, and teaching infrastructure on the quality of education toward the quality of learning in vocational schools around Grobogan Regency. A total of 93 vocational school teachers were selected as research samples based on Slovin's calculations. Data obtained from filling out questionnaires by respondents were analyzed using path analysis and Sobel test. The research results showed that there was a direct impact of teacher certification, academic supervision, and teaching infrastructure on the quality of learning. Not much different, teacher certification, academic supervision, infrastructure, and quality of learning also have a direct impact on the quality of education. Based on the Sobel test calculations, there was an indirect impact of teacher certification, academic supervision, and teaching infrastructure on the quality of education toward the quality of learning. The implication was that improving the quality of education can be done by increasing the quantity and quality of teacher certification, implementing optimal supervision by school principals, and providing adequate infrastructure then it can support a quality learning process. Keywords: Quality of Education, Quality of Learning, Academic Supervision, Teacher Certification.
提高教育质量对培养高素质的人力资源具有重要意义。然而,印尼的教育质量需要关注,因为从大量的失业人口中可以看出,以职业学校毕业生为主,占10.38%。Grobogan reggency的情况也没有太大不同,获得a级认证的职业学校的数量仅达到13.79%,这意味着该地区的教育质量需要提高。本研究旨在揭示教师资格认证、学术监督和教学基础设施对教育质量的影响,以Grobogan摄政地区职业学校的学习质量为研究对象。根据Slovin的计算,选取了93名职业学校教师作为研究样本。采用通径分析和Sobel检验对被调查者填写问卷的数据进行分析。研究结果表明,教师资格认证、学术监督和教学基础设施对学习质量有直接影响。没有太大区别,教师资格认证、学术监督、基础设施和学习质量也对教育质量有直接影响。根据索贝尔测试计算,教师资格认证、学术监督和教学基础设施对学习质量的教育质量有间接影响。这意味着,提高教育质量可以通过增加教师认证的数量和质量,实施最佳的学校校长监督,并提供足够的基础设施来实现,然后它可以支持高质量的学习过程。关键词:教育质量、学习质量、学术监督、教师资格认证
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引用次数: 0
Acute Onset Peripheral Neuropathy in a Patient with Scrub Typhus 恙虫病急性发作周围神经病变1例
Q4 Health Professions Pub Date : 2023-10-02 DOI: 10.52403/ijrr.20230966
Pankaj Gandhi, Yunus Nagori
The neurological complications of scrub typhus can have a wide spectrum of presentations involving both central and peripheral nervous system, meningoencephalitis and meningitis being the most common. Involvement of the peripheral nervous system in scrub infection is not commonly reported, here we present a case of A 70-year-old male diagnosed with scrub typhus fever and presented with peripheral neuropathy. Duloxetine and methyl cobalamin combination along with gabapentin were used for management and the patient was partially improved gradually over a period of six days. Keywords: scrub typhus, scrub infection, scrub typhus fever, orientia tsutsugamushi.
恙虫病的神经系统并发症可有广泛的表现,涉及中枢和周围神经系统,脑膜脑炎和脑膜炎是最常见的。周围神经系统在刷洗感染的累及是不常见的报道,在这里我们提出一个病例70岁的男性诊断为刷洗斑疹伤寒,并提出周围神经病变。应用度洛西汀、甲基钴胺素联合加巴喷丁治疗,患者在6天内逐渐部分好转。关键词:恙虫病,恙虫病感染,恙虫病东方体。
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引用次数: 0
An Assessing Existence of Legal Infrastructure That Supports the Development of Green Investment Indonesia 支持印尼绿色投资发展的法律基础设施存在性评估
Q4 Health Professions Pub Date : 2023-10-02 DOI: 10.52403/ijrr.20230965
Mazaya Dhiya Haniifah, Tamaulina Br Sembiring
In this paper, we describe green infrastructure as no longer a foreign concept in spatial and regional planning. The concept has become an integral part of the increasing demand for land for urban development, and the need for green open space to balance the development. This has led many countries to start implementing green infrastructure as part of the urban development "trend". The various applications are summarized in this book, with a focus on the United States, the United Kingdom, case studies of several countries in the European Union, and Singapore. The book also includes a chronological sequence of laws and regulations that support the implementation of green infrastructure in these countries, so as to illustrate how the implementation of green infrastructure requires a process to realize a strong legislative basis. Keywords: Legal Infrastructure, Green Investment, Economic Development
在本文中,绿色基础设施在空间和区域规划中不再是一个陌生的概念。这个概念已经成为城市发展对土地日益增长的需求的一个组成部分,需要绿色开放空间来平衡发展。这导致许多国家开始实施绿色基础设施,作为城市发展“趋势”的一部分。本书总结了各种应用,重点是美国、英国、欧盟几个国家和新加坡的案例研究。本书还按时间顺序列出了支持这些国家实施绿色基础设施的法律法规,以说明绿色基础设施的实施需要一个过程来实现强大的立法基础。关键词:法制基础设施;绿色投资;经济发展
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引用次数: 0
Innovation of Speaking Learning Using Somatic, Auditory, Visual, Intellectual (SAVI) Model based Personality Types Class VII Students 基于躯体、听觉、视觉、智力(SAVI)模型的七年级学生口语学习创新
Q4 Health Professions Pub Date : 2023-10-02 DOI: 10.52403/ijrr.20230953
Musliha ., Rahayu Pristiwati, Wagiran .
Learning to speak is a teaching and learning process at the high school level in class VII. This research provides the latest innovation in speaking learning in class VII by harmonizing the learning model and the Somatic, Audiotorial, Visual, Intellectual (SAVI) model assisted by flash card media. In this case, educators choose learning models that have been proven to be effective which will be used to achieve learning objectives. The application of the Somatic, Audiotorial, Visual, Intellectual (SAVI) learning model will influence the learning atmosphere in the classroom. This research aims to explain speaking learning using the Somatic, Auditory, Visual, Intellectual model assisted by flash card media based on the personality type of class VII students. Based on the conclusions of speaking learning, it was found that the Somatic, Auditory, Visual, Intellectual (SAVI) models were more effective in improving students' speaking abilities. The average initial test score was 44.47 while the average final test score was 87.41. These very significant differences can be ensured that the application of this innovative Somatic, Audiotorial, Visual, Intellectual (SAVI) learning model provides a very good improvement in speaking learning. Keywords: Speaking Learning, Savi, Flash Card, Personality Types.
学习说话是高中七年级的一个教学过程。本研究通过协调学习模式和借助闪存卡媒介辅助的体、听、视、智(SAVI)模式,为七班的口语学习提供了最新的创新。在这种情况下,教育者选择的学习模式已被证明是有效的,将用于实现学习目标。体、听、视、智(SAVI)学习模式的应用会影响课堂的学习氛围。本研究旨在以七年级学生的人格类型为基础,运用闪存卡媒介辅助的躯体、听觉、视觉、智力模型来解释口语学习。基于口语学习的结论,我们发现躯体、听觉、视觉、智力(SAVI)模式在提高学生口语能力方面更为有效。初试平均成绩为44.47分,终试平均成绩为87.41分。这些非常显著的差异可以确保这种创新的躯体、听觉、视觉、智力(SAVI)学习模式的应用为口语学习提供了非常好的改善。关键词:口语学习,Savi,闪存卡,性格类型
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引用次数: 0
An Assessment of the Importance of Vocabulary in English Language Study to Vietnamese Learners 词汇在越南语学习者英语学习中的重要性评价
Q4 Health Professions Pub Date : 2023-10-02 DOI: 10.52403/ijrr.20230964
Thi Nhung Nguyen
The aim of this paper is to assess the importance of vocabulary in English language study for Vietnamese learners. This paper summarises 35 scientific papers on the importance of vocabulary in English study in Vietnam. The paper first reviewed current status of vocabulary of Vietnamese learners. Next, the assessment of the importance of vocabulary in English language teaching and testing was fully discussed in Vietnam. Finally, we finished this review by providing suggestions for vocabulary learning in Vietnam. It was found that vocabulary play a very important role in English language study in Vietnam. In addition, this review also finds it important for Vietnamese students to learn English as a Foreign Language (EFL) and for teachers to understand the conditions necessary for vocabulary learning in order to improve vocabulary learning and teaching. Keywords: Assessment, Importance, Vocabulary, English language study, Vietnam.
本文的目的是评估词汇在越南学习者英语语言学习中的重要性。本文综述了关于词汇在越南英语学习中的重要性的35篇科学论文。本文首先回顾了越南语学习者词汇的现状。其次,对越南英语教学和测试中词汇重要性的评估进行了充分的探讨。最后,我们对越南的词汇学习提出了建议。研究发现,词汇在越南英语学习中起着非常重要的作用。此外,本综述还发现,越南学生学习英语作为外语(EFL)和教师了解词汇学习的必要条件,以提高词汇学习和教学的重要性。关键词:评价,重要性,词汇,英语学习,越南
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引用次数: 0
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International Journal of Current Research and Review
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