Gabriela Mistral University

ABSTRACT This article investigates the applicability of the concept of teacher agency to school leaders. The COVID-19 crisis and emergency remote teaching (ERT) were selected as a study context due to their ability to reveal multiple educational challenges which could potentially highlight school leaders’ agency and its influence on managing educational crises. The study involved a multiple case study in subsidized Chilean schools, where data was obtained through semi-structured interviews using a protocol validated by expert judges. The data was then analyzed using grounded theory techniques, including inductive-deductive coding stages. The main findings reveal that the dimensions of teacher agency identified in the literature could also apply initially to school leaders, aligning with their conceptualization. Additionally, our data revealed that educational crises can be influenced by agentical actions of school leaders. Finally, we propose that since agency is a phenomenon that emerges from the material conditions in which educational participants deploy their actions, each great challenge experienced by agents in their material reality can probably give rise to new forms of agency.

Pendahuluan: PPOK merupakan penyakit yang sering, dapat dicegah dan dapat diobati, namun sering tidak terdiagnosa dan misdiagnosa sehingga pasien tidak mendapatkan pengobatan atau pengobatan yang tidak tepat.
 Kasus: Seorang laki-laki usia 76 tahun rujukan dari rumah sakit tipe D dengan diagnosa PPOK dengan CAP, AKI, dan CHF cf III dan membutuhkan hemodialisa. Pasien datang ke rumah sakit sebelumnya dengan keluhan sesak nafas 1 bulan yang lalu dan memberat 1 minggu SMRS, sesak nafas dirasakan memberat saat aktifitas, keluhan disertai batuk (+) berdahak warna putih. 1 minggu SMRS pasien dirawat di RS perujuk, karena keluhan sesak memberat pasien dilakukan intubasi dan dirawat di ICU di RS perujuk selama 1 hari. Pasien kemudian dirujuk ke RSS dan dilakukan perawatan di ICU selama 12 hari, kemudian dilanjutkan perawatan di HCU.
 Diskusi:
 Penggunaan intubasi dan weaning pada pasien PPOK sangat menarik dan menantang. Pasien selama 12 hari perawatan di ICU diberikan medikamentosa sesuai diagnosa dan manajemen ventilasi dengan pemberian NIV diselang seling dengan NRM setelah pasien autoextube pada hari ke-5. Rontgen thorax terakhir menunjukkan perbaikan pada pneumonia dan edem pulmo, sehingga pasien dipindah di HCU untuk perawatan selanjutnya. Problem pasien dengan PPOK dan proses menyapih dari ventilator dapat membutuhkan waktu yang lama. Kesabaran intesivis dan pasien dibutuhkan dalam proses ini.
 Kesimpulan:
 PPOK yang didiagnosa disertai dengan komorbid penyakit lainnya dapat menyulitkan untuk proses perawatan dan weaning ventilator jika pasien menggunakan ventilator ketika masuk di ICU.
 
 Kata Kunci: COPD, Cor Pulmonale, ICU

Libraries, as educational and cultural institutions, face various challenges and changes. One of the ways to enhance the reputation of libraries is through branding as a reliable access to information. Library branding goes beyond more than identity or a level of awareness. It aims to improve the continuous experience of library users. Brand identity is often perceived primarily through visual aspects such as logos, colors, shapes, and visual identification. Vision, Mission, core values, organizational culture, and competencies are vital elements of the internal component of corporate branding. This study examined librarian’s knowledge levels regarding brand identity using three corporate communication elements: communication, behavior, and symbolism. The total population is more than 100 with a confidence level of 90% and a 10% margin of error, namely 40 librarians—data collection targeting librarians and the staff in a university library. The validity test results were from 15 questions; 13 were valid, and 2 were invalid. The reliability test stated that this study was reliable. The results showed that the level of knowledge of librarians for communication got a score of 3,92, which means high. Behavior got a score of 4,47, which means very high, and symbolism got a score of 3,57, which means high. The mean total score is 3,57, which is high. The conclusion is that the librarian’s level of knowledge about brand identity is high. The most influential factor for internal brand identity in this study is behavior.

Although the pandemic is still with us and COVID-19 continues to saturate the news, everyone has abundant reasons to travel, whether it be physical and mental exhaustion from prolonged shutdowns, vaccine tourism, family reunions, long-awaited vacations, summer in the southern hemisphere, school break or year-end holidays. The main purpose of this research was to examine and understand the main motivations that lead consumers to attend national events as part of their local tourism activities. Through interviews, we have therefore collected the complementary experiences of specialists who work day-in-day-out to encourage local, quality and sustainable tourism. Using a naturalistic qualitative methodology, our hermeneutic analysis is structured in five phases and based on data—of a social nature—from public and private institutions which believe in endurable tourism. In order to validate these results and for them to be considered by other institutions and other countries when modifying and proposing activities to maintain sustainable tourism, the interviewees had to be representatives of public and private institutions and national tourists who have worked and attended the celebrations of the end of the year 2021 in this region of Chile. Our main conclusions from the analyzed units show that these types of local events enhance local tourism and lead to sustainable political, economic, social, and ecological activities.

The aim is to determine the effectiveness of supervised Physiotherapy (PT) versus a home exercise program for functional outcomes in patients with rotator cuff (RC) disorders treated surgically. TYPE: Systematic review and meta-analysis of randomized clinical trials. An electronic search was performed in the MEDLINE, CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised PT versus home exercises in functional outcomes, such as shoulder or upper limb function, pain intensity, and range of motion, in subjects older than 18years with RC disorders treated surgically. Six trials met the eligibility criteria, and for the quantitative synthesis, five studies were included. At 3months, the mean difference (MD) for the Constant-Murley questionnaire (0-100 points) was -0.76 points (95% confidence interval (CI)=-15.64 to 14.12, p=0.92), while the MD for the visual analog scale (0-10cm) was -0.87cm (95% CI=-2.8 to 1.06, p=0.38). These differences were neither clinically nor statistically significant. There was very low quality of evidence towards no better benefits in shoulder pain and function of supervised PT over home exercises programs in patients older than 18years with RC disorders treated surgically. CRD42020185805.

Sistem Informasi Ketenagakerjaan (Sisnaker) merupakan penerapan e-government di Kementerian Ketenagakerjaan yang ditujukan agar masyarakat dapat dengan mudah mengakses informasi dan layanan ketenagakerjaan. Untuk mencari informasi biasanya masyarakat menggunakan mesin pencari. Sisnaker harus berada dihalaman depan halaman mesin pencari agar mudah ditemukan masyarakat. Penelitian ini melakukan analisis penerapan search engine optimization (SEO) pada sisnaker dengan alat otomatis seperti Google Analytics, Moz Pro dan Ubersuggest. Metode yang digunakan adalah metode deskriptif dengan mendeskripsikan hasil yang didapat dari alat analisis otomatis SEO. Hasilnya didapatkan penerapan SEO sisnaker sudah baik namun terdapat beberapa hal yang harus diperbaiki.

The association between body mass index (BMI) and functional outcomes is unknown in elderly individuals with distal radius fracture (DRF). The aim of this study is to evaluate if there is association between BMI and functional outcomes in patients older than 60years with DRF treated conservatively. A prospective observational study was performed. A total of 228 patients with extra-articular DRF were prospectively recruited. All patients were categorized by their BMI as normal, overweight, or obese. Functional outcomes were assessed after cast removal and at 1-year follow-up. The Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH), and Patient-Rated Wrist Evaluation (PRWE) questionnaires were used to assess upper limb and wrist/hand function, respectively, while the Jamar Dynamometer was used to assess grip strength. Of the total number of patients, 184 were female (80.7%), 87 were overweight (38.2%), and 111 were obese (48.7%). After cast removal, the correlations between BMI and functional outcomes were DASH 0.06 (p = 0.578), PRWE 0.04 (p = 0.692), and grip strength -0.02 (p = 0.763). At 1-year follow-up, the correlations were DASH 0.55 (p = 0.036), PRWE 0.32 (p = 0.041), and grip strength -0.21 (p = 0.043). This study suggests that at 1-year follow-up, there was a low-to-moderate association between BMI and poor functional outcomes in elderly patients with extra-articular DRF treated conservatively. Level IV, observational prospective study.

Telah dilakukan kegiatan uji banding antar laboratorium dengan parameter kimia terbatas yaitu Besi (Fe). Penelitian ini bertujuan menentukan dan memonitor kesinambungan unjuk kerja laboratorium dalam pengujian tertentu dan mengetahui kompetensi personil dari laboratorium penguji peserta. Cara pengolahan data uji banding dalam menguji Besi menggunakan z-score. Sampel air yang diujikan sebanyak 500 mL yang dikemas dalam botol plastik tertutup rapat. Pengujian parameter Besi secara spektrofotometrik dilakukan serentak di 14 (empat belas) laboratorium penguji, Hasil perhitungan nilai z-score data hasil pengukuran konsentrasi Besi menunjukkan bahwa terdapat dua laboratorium penguji yang berada dalam kategori kurang memuaskan, yaitu laboratorium dengan kode LUB-1 dengan nilai Z-Score 4.14 dan LUB-5 nilai z-score -3.32; dua laboratorium diragukan kode LUB 4 dengan nilai Z-Score 2.17 dan LUB-15 dengan nilai z-score; sedangkan 10 (sepuluh) laboratorium penguji lainnya termasuk dalam kategori kompeten termasuk Laboratorium Hidrologi dan Klimatologi Lingkungan Fakultas Geografi UGM,sehingga kemampuan personil dalam melakukan pengujian tidak diragukan.

In this paper we represent a result of our study in field of analysis , that is, an abstraction of the system of real numbers. We start by defining a set of positive elements in a countable infinite (denumerable) field and, hence, we obtain a linearly ordered field which we call a field of rational elements or a rational field. After that we may introduce irrationals elements in our rational field. And, at last we have a system of real abstract numbers.