bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of staff in Healthcare Companies
Authors: Troncone Raffaella , Coda Marco
Published: September 2020

Evaluation is at the basis of any social context where all individuals are simultaneously "evaluated" and "evaluators" in all areas of daily life. The goal of a good evaluation system is to encourage staff to do "Good Health" through the provision of quality prevention, diagnosis, treatment and rehabilitation services. The main reasons that lead to the evaluation of the personnel lie in the inevitable and primary importance of the human resource in achieving the corporate objectives, and by the pressing need for the quality of the service provided to the citizen, as well as the legitimate need of the employee to differentiate, clarifying its specificities and its own individual contribution to the general objectives of the company. In the working context, the "personnel evaluation" assumes a fundamental importance, if managed with the right criteria, in order to make the employee not a simple pawn to move and manage for use and consumption of the organization, but an integral part of the organization itself.
Strategi Pengembangan Usaha Berbasis Komunitas (Studi Kasus Konveksi Jack Tailor Di Desa Ciperna)
Authors: Imam Mutakin  , Taufik Ridwan
Published: September 2020

Pemberlakuan otonomi daerah yang bersamaan dengan terjadinya krisis ekonomi nasional dan global telah menambah kompleksitas permasalahan yang dihadapi oleh pemerintah pusat maupun pemerintah daerah. Dengan program otonomi daerah, pendekatan pembangunan ekonomi lokal (local economic development) selayaknya diarahkan pada peningkatan dan pemanfaatan unsur- unsur lokal (indigenous) yang mencakup sumberdaya alam, sumberdaya manusia, sosio kultural, dan lokasi strategis pembangunan daerah. Dengan pendekatan ini diharapkan daerah mampu meningkatkan kesejahteraan masyarakatnya secara mandiri didasarkan pada keuntungan kompetitif dan keuntungan komparatif. Dalam pelaksanaannya kegiatan usaha konveksi terebut berupa pembuatan tas, kaos, jaket, topi seragam dan masih banyak lainnya. Di samping itu juga, kegiatan ini mendapat respon yang sangat positif dari masyarakat sekitar. Kemudian lama-kelamaan masyarakat sekitar juga banyak yang tertarik untuk ikut andil dalam usaha konveksi tersebut. Dengan tujuan untuk meningkatkan pendapatan ekonomi keluarga masyarakat yang ada di desa Ciperna secara utuh dan menyeluruh yang bertumpu pada sumber daya manusia dan sumber daya alam. Metode penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif dengan pengumpulan datanya menggunakan observasi, wawancara, studi kepustakaan dan triangulasi data.
STUDI VEKTOR MALARIA DI DESA EMPARU DAN MANGAT BARU KECAMATAN DEDAI KABUPATEN SINTANG PROPINSI KALIMANTAN BARAT
Authors: Sucipto Cecep Dani
Published: September 2020

Kabupaten Sintang  Kalimantan Barat merupakan daerah endemis malaria, salah satu kecamatan adalah Dedai dengan angka AMI/API 3 tahun terakhir (2008 = 1346/336, 2009 = 1230/324, 2010 = 485/348) dan data klinis berdasarkan hasil pemeriksaan laboratorium di Puskesmas Emparu parasit yang ditemukan adalah Plasmodium falciparum. Tujuan penelitian ini untuk mengetahui gambaran bionomik vektor malaria di Desa Emparu dan Desa Mangat Baru Kecamatan Dedai Kabupaten Sintang tahun 2012. Jenis penelitian eksploratif deskriptif dengan desain penelitian adalah studi potong lintang (crossectional) , dengan observasi. Penelitian dilakukan dengan penangkapan nyamuk Anopheles dewasa, koleksi larva dan observasi jenis-jenis perairan sebagai habitat perkembang-biakan Anopheles. survei fauna nyamuk Anopheles sp , dan kesenangan hingap istirahat di dalam rumah. Pengumpulan data dilakukan untuk mengumpulkan semua data hasil survey. Semua data yang telah terkumpul diolah. Data dianalisa secara deskriptif selanjutnya semua nyamuk Anopheles sp dewasa yang tertangkap diidentifikasi berdasarkan O’Connor dan Arwati. Spesies yang dominan di desa Emparu adalah jenis An. hyrcanus  dan An. barbirostris. Spesies yang dominan di desa Mangat Baru adalah jenis An. Barbirostris. Kepadatan rata-rata nyamuk menggigit per orang per malam di desa Mangat Baru sebesar 1,2 angka ini lebih tinggi dibandingkan dengan umpan orang luar sebesar 0.296. Kepadatan rata-rata nyamuk menggigit per orang per malam di desa Emparu sebesar 2.074 angka ini lebih tinggi dibandingkan dengan umpan orang luar sebesar 1.333. Upaya pengendalian di fokuskan pada tempat perindukan dengan cara biologi, yaitu penanaman ikan predator. Upaya menghindari kontak antara nyamuk vektor dengan orang dengan pemakaian kelambu berinsektisida, serta menggunakan reflens saat melakukan penydapan getah karet. Melakukan penurugan pada kubangan bekas ban kendaraan yang rentan di jadikan tempat breeding jentik Anopheles.
HUBUNGAN DUKUNGAN KELUARGA DAN PENERIMAAN MASYARAKAT TERHADAP HARGA DIRI MANTAN PENDERITA KUSTA DI RW 13 KELURAHAN KARANGSARI KOTA TANGERANG TAHUN 2015
Authors: Rohanah Rohanah , Fadilah Lailatul
Published: September 2020

Masalah psikosoial sebagai dampak penyakit kusta sangat luas, menyebabkan individu merasa malu, takut  ditolak sehingga menyebabkan harga diri rendah. Dukungan keluarga adalah perilaku melayani yang dilakukan keluarga dalam bentuk dukungan emosi, penghargaan, informasi dan instrumental. Harga diri seseorang ditentukan oleh banyaknya penghargaan yang diterima dari masyarakat lingkungan. Tujuan penelitian ini untuk mengetahui hubungan dukungan keluarga dan penerimaan masyarakat terhadap harga diri mantan penderita kusta. Metoda  penelitian ini analitik observasional dengan pendekatan crossectional. Populasi penelitian ini adalah semua mantan  penderita kusta yang berusia 25-40 tahun Tehnik pengambilan sampel  adalah total populasi sebanyak 40 orang. Analisa data untuk univariat menggunakan distribusi frekwensi, bivariat dengan menggunakan uji Chi Square. Hasil penelitian: sebagian besar responden memiliki  harga diri tinggi (62,5%), sebanyak 87,5% responden mendapat dukungan keluarga, responden dengan penerimaan masyarakat yang baik sebesar 72,5%. Hubungan dukungan keluarga terhadap harga diri nilainya tidak signifikan (0.369), hasil uji statistic hubungan penerimaan masyarakat harga diri  ada hubungan yang signifikan (p value  0.01) dan OR 8.36. Penerimaan masyarakat perlu ditingkatkan dengan memberikan pendidikan kesehatan melibatkan tokoh agama dan tokoh masyarakat setempat yang dapat dilakuklan oleh tenaga kesehatan.
FAKTOR-FAKTOR YANG MEMPENGARUHI PERAN SERTA KADER POSYANDU DALAM DETEKSI DINI RISIKO TINGGI KEHAMILAN DI WILAYAH KERJA PUSKESMAS WARUNGGUNUNG TAHUN 2016
Authors: Misbah Nurul , Tansah R Ayi
Published: September 2020

Peranan kader sangat penting karena kader ikut bertanggung jawab dalam pelaksanaan program Posyandu. Bila kader tidak aktif maka pelaksanaan posyandu juga akan menjadi tidak lancar dan akibatnya pelayanan di posyandu akan terhambat yang berdampak pada cakupan kunjungan ibu dan bayi/balita. Keikutsertaan dan keaktifan kader di posyandu diharapkan mampu menggerakkan partisipasi masyarakat. Karena Kader merupakan titik sentral dalam pelaksanaan kegiatan posyandu. Namun keberadaan kader relatif labil karena partisipasinya bersifat sukarela sehingga tidak ada jaminan untuk tetap menjalankan fungsinya dengan baik seperti yang diharapkan. Tujuan Penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang mempengaruhi peran serta kader posyandu dalam deteksi dini risiko kehamilan di wilayah Kerja Puskesmas Warunggunung Kabupaten Lebak Tahun 2016. Desain penelitian deskriptif analitik dengan mengunakan pendekatan cross sectional.  Jumlah Populasi berjumlah 270 orang sedangkan sampel pada penelitian ini adalah kader posyandu di wilayah kerja Puskesmas Warunggunung sebanyak 75 orang,  Analisis data dilakukan dengan analisis univariat dan analisis bivariat.

Hasil penelitian menunjukan Masih ada sebagian kecil peran serta kader posyandu kurang (26,7%), hampir setengahnya pengetahuan kader posyandu kurang (45,3), sebagian besar kader posyandu tingkat pendidikannya rendah (65,3%), sebagian kecil kader posyandu tidak pernah mengikuti pelatihan kader (30,7%), masih terdapat kader posyandu bersikap negatif terhadap deteksi dini pada kehamilan ( 32,0%), hampir setengahnya kader posyandu pengalaman menjadi kader < 10 tahun  (48,0%), terdapat hubungan antara pengetahuan, sikap dan riwayat pelatihan dengan peran kader Posyandu di Kecamatan Warunggunung. Tidak terdapat hubungan antara, Pendidikan dan Pengalaman dengan Peran Kader Posyandu di Kecamatan Warunggunung.

Puskesmas khususnya bidan desa hendaknya meningkatkan kegiatan pelatihan dan pembinaan kepada kader-kader posyandu terkait deteksi dini resiko tinggi pada ibu hamil secara periodik.
FAKTOR –FAKTOR YANG MEMPENGARUHI PROSES INVOLUSI UTERUS PADA MASA NIFAS DIWILAYAH KERJA PUSKESMAS MANDALA KABUPATEN LEBAK PROPINSI BANTEN TAHUN 2016
Authors: Wahyuni Ninik , Nurlatifah Lisa
Published: September 2020

Angka Kematian Ibu (AKI) di Indonesia akibat perdarahan post partum mempunyai peringkat tertinggi. Wilayah kerja Puskesmas Mandala masih terjadi kasus subinvolusi uterus akibat kurangnya pengetahuan ibu nifas tentang proses involusi uterus.

Setelah persalinan, kondisi tubuh ibu secara anatomi akan mengalami perubahan, salah satunya adalah kembalinya rahim pada ukuran semula. Proses ini disebut dengan involusi uterus (Ambarwati, 2010).

Penelitian penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi terjadinya proses involusi uterus selama masa nifas di wilayah kerja puskesmas Mandala Kabupaten Lebak Provinsi Banten. Jenis Penelitian yang digunakan observasional analitik dengan rancangan penelitian cross sectional, dengan analisis Data Univariat, bivariat dan multivariat, sample penelitian sebanyak 47 orang.

Hasil penelitian dari analisis univariat berdasarkan proses laktasi masih ditemukan ibu nifas yang memberikan laktasi kurang baik sebanyak 13 orang (27,7%), mobilisasi terbatas sebanyak 6 orang (12,8%), menu tidak seimbang sebanyak 4 orang (8,5%), sebagian besar ibu nifas telah melahirkan anak lebih dari satu kali (multipara) sebanyak 29 orang (61,7%), ibu nifas yang mengalami involusi yang tidak normal sebanyak 4 orang (8,5%). Untuk hasil analisis bivariate variable laktasi, mobilisasi dan nutrisi, Secara bivariat diperoleh rata–rata P Value = kurang dari 0,05 (P<α) yang berarti terdapat hubungan yang signifikan dan sedangkan yang tidak berhubungan adalah paritas dengan hasil P Value = lebih dari 0,05 (P>α). Hasil analisis multivariate keempat variabel independen tidak signifikan memberikan pengaruh pada variable dependen dengan nilai p > 0,05. Faktor-faktor yang berhubungan dengan involusi uterus pada ibu nifas adalah laktasi, mobilisasi dan nutrisi, dan yang tidak berhubungan adalah paritas. analisis multivariate dari keempat variable yaitu (laktasi, mobilisasi, nutrisi, dan paritas )   ternyata tidak ada pengaruh signifikan dengan involusi uterus.
PENDAMPINGAN IBU HAMIL TENTANG PENYULIT MATERNAL TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL DI TANGERANG
Authors: Mesra Erna
Published: September 2020

Pengawasan Antenatal merupakan cara untuk mendukung kesehatan ibu hamil, untuk  deteksi  dini penyulit maternal. Peran perawat pada saat pelayanan antenatal adalah melakukan promosi kesehatan tentang penyulit maternal, dengan adanya promosi kesehatan diharapkan akan mempengaruhi masyarakat, individu maupun kelompok  berperilaku hidup sehat, dengan memanfaatkan fasilitas kesehatan. Masa kehamilan merupakan salah satu masa penentu baik untuk kesejahteraan ibu dan janin, berkaitan dengan kedaruratan yang mungkin  dialami ibu saat kehamilan muda atau kehamilan lanjut yang menimbulkan kegawadarutan pada ibu an  janin. Semua penyulit kehamilan atau komplikasi yang terjadi dapat dihindari bila kehamilan direncanakan dikelola secara benar.Jenis penelitian adalah penelitian eksperimen kuasi (Quasi experiment) dengan rancangan penelitian Two Group Pretest Posttest.  Hasil Ada Perbedaan signifikan pengetahuan  sebelum  dan sesudah pendampingan pada kelompok intervensi didapatkan mean 13.06 dan t test 56.25 dan p value 0.000. Perbedaan pengetahuan pre dan post pada kelompok intervensi secara signifikan sebelum  dan sesudah pendampingan  mean 18.69 dan t test 48.187, p value 0,000  ada perbedaan signifikan pengetahuan  pada kelompok intervensi. Kesimpulan  ada perubahan  pengetahuan  dan sikap antara kelompok perlakuan yang dilakukan pendampingan  dengan kelompok kontrol yang tidak  dilakukan  pendampingan pendidikan kesehatan. Saran setiap ibu hamil  diberi penyuluhan tentang  penyulit maternal dan melakukan deteksi dini tanda bahaya kehamilan
MODEL NURSING EARLY WARNING SYSTEM SCORE (NEWSS) DENGAN APLIKASI TEHNOLOGI INFORMASI SEBAGAI PENGKAJIAN DETEKSI KEGAWATAN PADA KLIEN STROKE DI RS KABUPATEN TANGERANG
Authors: Sunardi Sunardi , Sukaedah Een
Published: September 2020

Stroke merupakan sindroma klinis, terjadi mendadak, progresif, cepat, dan terjadi penurunan fungsi neurologi bahkan sampai menimbulkan kematian, penangganan utama pada klien stroke adalah mempertahankan oksigenasi cerebral atau cerebral blood flow (CBF) secara adequate. Deteksi dini adanya resiko kegawatan yang mungkin muncul akibat perubahan sirkulasi cerebral harus dilakukan dengan cepat dan tepat. Oleh karena di perlukan sebuah inovasi recording hasil deteksi resiko kegawatan pada kasus stroke saat dirawat diruang rawat biasa. Salah satunya menggunakan kemajuan teknologi dalam bentuk aplikasi berbasis tehnologi informasi. Early Warning System Scoring (EWSS) pada klien stroke, adalah sebuah deteksi peringatan dini resiko adanya kegawatan sehingga dengan melihat recording yang tepat secara periodik dapat menilai tingkat resiko klinis pasien stroke yang dirawat. Tujuan recording aplikasi NEWSS yang sedang dikembangkan pada klien stroke yang dirawat, yaitu dapat menetapkan elemen yang diperlukan untuk menilai tingkat resiko klinis klien stroke secara akurat (valid dan realiabel). Desain penelitian ini adalah Quasi Eksperimen yaitu mengujicoba model recording dengan aplikasi NEWSS pada klien stroke berbasis tehnologi informasi. Variabel penelitian yaitu elemen Aplikasi EWSS-Stroke dan variable dependen adalah resiko tingkat kegawatan stroke dan upaya tindak lanjutnya. Data diinput secara langsung oleh perawat dari hasil pemeriksaan dan observasi yang telah dilakukan. Adapun elemen aplikasi NEWSS-Stroke yaitu; Tingkat kesadaran, Nilai NIHSS, Suhu Tubuh, Tekanan Darah, Mean Atrial Pressure (MAP), Frekwensi Nafas, Frekwensi Nadi dan hasil pemeriksaan analisa gas darah (pCO2, pO2, Saturasi O2 Arteri, Saturasi O2 perifer (SaO2)). Berdasarkan hasil penelitian bahwa elemen/komponen data yang dimasukan kedalam aplikasi NEWSS adalah valid dan realiabel dengan niai r hasil lebih besar dari nilai r dalam tabel 0,869, dari 35 jumlah sample yang ada. Kesimpulannya adalah aplikasi NEWSS-Stroke ini dapat mendeteksi resiko kegawatan klien stroke yang dirawat diruang biasa. Penelitian lanjutan saat ini sedang dilakukan pada jumlah sampel yang lebih banyak dengan variasi Rumah Sakit Yang berbeda.
EFEKTIVITAS SERBUK BIJI PEPAYA (Carica Papaya L.) TERHADAP KEMATIAN JENTIK (LARVA) Culex sp.
Authors: Ahmad Ahmad , Adriyanto Arif
Published: September 2020

Pengendalian vektor khususnya vector penyakit filariasis biasanya menggunakan bahan insektisida kimia sintetik, hal ini beresiko terjadi resistensi pada nyamuk Culex sp. sebagai vektor utama.  Serbuk Biji Pepaya (Carica Papaya L.) sangat baik untuk digunakan sebagai penolak larva Culex sp.karena racun yang terdapat dalam biji pepaya yang disebut alkaloid karpaina. Tujuan penelitian ini untuk menentukan efektivitas serbuk biji pepaya sebagai larvasida Culex sp.  Desain penelitian menggunakan post test desain with control.  Perlakuan variasi dosis yaitu 60 mg, 90 mg, 120 mg,150 mg.Sampel yang diambil adalah larva instar III dan IV. Jumlah perlakuan dan pengulangan menggunakan pola Rancangan Acak Kelompok (RAK) dimana  perlakuan pada penelitian ini sebanyak empat perlakuan dengan enam kali pengulangan. Setiap perlakuan berisi 20 larva dan melakukan enam kali pengulangan. Hasil penelitian ini menunjukan jumlah persentase kematian berturut-turut sebesar 58,33%, 78,33%, 87,50%, 94,16%. Hasil analisis statistik dengan uji One Way ANOVA menunjukkan nilai p value = 0,000 yang artinya bahwa nilai p value < 0,005, yang mengindikasikan bahwa serbuk biji pepaya (Carica Papaya L.) efektif untuk membunuh larva Culex sp. Bagi peneliti selanjutnya dan pemangku kebijakan terkait disarankan untuk menggunakan serbuk biji pepaya (Carica Papaya L.) sebagai bioinsektisida alami dan mencari bioinsektisida alami lain yang ramah lingkungan.
Monte Carlo Simulation in Predicting the Level of Culinary Sales Revenue (Case Study at Radja Minas Padang)
Authors: Ihksan Muhammad , Defit Sarjon , Yunus Yuhandri
Published: September 2020

Radja Minas is one of the culinary places located in the city of Padang with more than 30 employees. With the development of Radja Minas, of course, a good management strategy is needed. One way to do a revenue simulation, sales revenue simulation is a process of drawing or predicting sales. This study aims to predict the average sales revenue, so that it becomes a recommendation for use in making management strategies. The data processed in this research is sales data from 2017 to 2019 which comes from Radja Minas. This data will be processed using the monte Carlo method. The results of the tests that have been done have an accuracy rate of 92.66%. The high level of accuracy from the results of predictive data processing, this research is very precise and suitable for optimizing sales revenue. So that this research becomes a recommendation to be used in making a management strategy at Radja Minas in the future.
La pandemia de la COVID-19 y su impacto en la educación superior
Authors: Díaz-Lazo Aníbal Valentín
Published: September 2020

El mundo vive la pandemia de la enfermedad del coronavirus (COVID-19) ocasionado por el coronavirus 2 del síndrome respiratorio agudo severo (SARS-CoV-2), la cual se inició en Wuhan (China) a fnes de diciembre del 2019; propagándose progresivamente a todo el mundo y afectando en la actualidad a más de doscientos países (Zhang, 2019);WHO, 2020). En América Latina, las mayores tasas de incidencia por 100 000 habitantes corresponden a Chile con 1200 casos y a Perú con 730,6 casos (WHO, 2020).
LOCALE-VARYING RELATIONSHIPS BETWEEN TOURISM DEVELOPMENT AND RETAIL PROPERTY PRICES IN A SHOPPING DESTINATION
Authors: Yang Linchuan , Chau K.W. , Lu Yi , Cui Xu , Meng Fanyu , Wang Xu
Published: September 2020

Existing literature has inadequately examined the nexus between tourism and property prices. Additionally, it mainly focuses on hotels and housing, thereby overlooking other property categories (e.g., retail properties). The relationship between tourism development and retail property prices in shopping destinations (e.g., Hong Kong and Singapore) may hinge on the locale. More specifically, the relationship may be different in the tourist precinct or popular tourism shopping area (PTSA) and the unpopular tourism shopping area (UTSA). This study examines locale-varying relationships between tourism development (measured by tourist volume and tourism expenditure) and retail property prices from 2002Q1 to 2014Q4 in Hong Kong using standard and error-correction-model-based (ECM-based) Granger causality tests. Results of standard Granger causality tests indicate that tourism development Granger causes the increase in retail property prices in the PTSA but not in the UTSA. Moreover, results of ECM-based Granger causality tests further verify the robustness and plausibility of the tourism-led growth (in retail property prices) hypothesis in the PTSA. In other words, we find that tourism development measures can be used to better predict changes in retail property prices in the PTSA than simply referring to the price history.
Resolving Decades of Periodic Spirals from the Wolf–Rayet Dust Factory WR 112
Authors: Lau Ryan M. , Hankins Matthew J. , Han Yinuo , Endo Izumi , Moffat Anthony F. J. , Ressler Michael E. , Sakon Itsuki , Sanchez-Bermudez Joel , Soulain Anthony , Stevens Ian R. , Tuthill Peter G. , Williams Peredur M.
Published: September 2020

WR 112 is a dust-forming carbon-rich Wolf–Rayet (WC) binary with a dusty circumstellar nebula that exhibits a complex asymmetric morphology, which traces the orbital motion and dust formation in the colliding winds of the central binary. Unraveling the complicated circumstellar dust emission around WR 112 therefore provides an opportunity to understand the dust formation process in colliding-wind WC binaries. In this work, we present a multi-epoch analysis of the circumstellar dust around WR 112 using seven high spatial resolution (FWHM  ∼ 0.″3–0.″4) N-band (λ ∼ 12 μm) imaging observations spanning almost 20 yr and that includes images obtained from Subaru/COMICS in 2019 October. In contrast to previous interpretations of a face-on spiral morphology, we observe clear evidence of proper motion of the circumstellar dust around WR 112 consistent with a nearly edge-on spiral with a θ

s
 = 55° half-opening angle and a ∼20 yr period. The revised near edge-on geometry of WR 112 reconciles previous observations of highly variable nonthermal radio emission that was inconsistent with a face-on geometry. We estimate a revised distance to WR 112 of

kpc based on the observed dust expansion rate and a spectroscopically derived WC terminal wind velocity of

km s−1. With the newly derived WR 112 parameters, we fit optically thin dust spectral energy distribution models and determine a dust production rate of

M
⊙ yr−1, which demonstrates that WR 112 is one of the most prolific dust-making WC systems known.
Characterization of Temporarily Captured Minimoon 2020 CD3 by Keck Time-resolved Spectrophotometry
Authors: Bolin Bryce T. , Fremling Christoffer , Holt Timothy R. , Hankins Matthew J. , Ahumada Tomás , Anand Shreya , Bhalerao Varun , Burdge Kevin B. , Copperwheat Chris M. , Coughlin Michael , Deshmukh Kunal P. , De Kishalay , Kasliwal Mansi M. , Morbidelli Alessandro , Purdum Josiah N. , Quimby Robert , Bodewits Dennis , Chang Chan-Kao , Ip Wing-Huen , Hsu Chen-Yen , Laher Russ R. , Lin Zhong-Yi , Lisse Carey M. , Masci Frank J. , Ngeow Chow-Choong , Tan Hanjie , Zhai Chengxing , Burruss Rick , Dekany Richard , Delacroix Alexandre , Duev Dmitry A. , Graham Matthew , Hale David , Kulkarni Shrinivas R. , Kupfer Thomas , Mahabal Ashish , Mróz Przemyslaw J. , Neill James D. , Riddle Reed , Rodriguez Hector , Smith Roger M. , Soumagnac Maayane T. , Walters Richard , Yan Lin , Zolkower Jeffry
Published: September 2020

We present time-resolved visible spectrophotometry of 2020 CD3, the second known minimoon. The spectrophotometry was taken with the Keck I/Low Resolution Imaging Spectrometer between wavelengths 434 and 912 nm in the B, g, V, R, I, and RG850 filters as it was leaving the Earth–Moon system on 2020 March 23 UTC. The spectrum of 2020 CD3 resembles V-type asteroids and some lunar rock samples with a 434–761 nm reddish slope of ∼18%/100 nm (g–r = 0.62 ± 0.08 and r–i = 0.21 ± 0.06) with an absorption band at ∼900 nm corresponding to i–z = −0.54 ± 0.10. Combining our measured H of 31.9 ± 0.1 with an albedo of 0.35 typical for V-type asteroids, we determine 2020 CD3's diameter to be ∼0.9 ± 0.1 m, making it the first minimoon and one of the smallest asteroids to be spectrally studied. We use our time-series photometry to detect significant periodic light-curve variations with a period of ∼573 s and amplitude of ∼1. In addition, we extend the observational arc of 2020 CD3 to 37 days, to 2020 March 23 UTC. From the improved orbital solution for 2020 CD3, we estimate the likely duration of its capture to be ∼2 yr and the nongravitational perturbation on its orbit due to radiation pressure with an area-to-mass ratio of (6.9 ± 2.4) × 10−4 m2 kg−1 implying a density of 2.3 ± 0.8 g cm−3, broadly compatible with other meter-scale asteroids and lunar rock. We searched for prediscovery detections of 2020 CD3 in the Zwicky Transient Facility archive as far back as 2018 October but were unable to locate any positive detections.
An Independent Analysis of the Six Recently Claimed Exomoon Candidates
Authors: Kipping David
Published: September 2020

It has been recently claimed that KOIs-268.01, 303.01, 1888.01, 1925.01, 2728.01, and 3320.01 are exomoon candidates, based on an analysis of their transit timing. Here, we perform an independent investigation, which is framed in terms of three questions: (1) Are there significant transit timing variations (TTVs)? (2) Is there a significant periodic TTV? (3) Is there evidence for a nonzero moon mass? We applied rigorous statistical methods to these questions alongside a reanalysis of the Kepler photometry and find that none of the Kepler objects of interest (KOIs) satisfy our three tests. Specifically, KOIs-268.01 and 3220.01 pass none of the tests and KOIs-303.01, 1888.01, and 1925.01 pass a single test each. Only KOI-2728.01 satisfies two, but fails the cross-validation test for predictions. Further, detailed photodynamical modeling reveals that KOI-2728.01 favors a negative-radius moon (as does KOI-268.01). We also note that we find a significant photoeccentric effect for KOI-1925.01 indicating an eccentric orbit of at least e > (0.62 ± 0.06). For comparison, we applied the same tests to Kepler-1625b, which reveals that (1) and (3) are passed, but (2) cannot be checked with the cross-validation method used here, due to the limited number of available epochs. In conclusion, we find no compelling evidence for exomoons among the six KOIs. Despite this, we were able to derive exomoon mass upper limits versus semimajor axis, with KOI-3220.01 leading to particularly impressive constraints of M
S/M
P < 0.4% [2σ] at a similar semimajor to that of the Earth–Moon.
A study into the propagation of the uncertainties in nuclear data to the nuclear concentrations of nuclides in burn-up calculations
Authors: Pisarev Alexander N. , Kolesov Valerii V.
Published: September 2020

The key papers on estimating the uncertainties in nuclear data deal with the influence of these uncertainties on the effective multiplication factor by introducing the so-called sensitivity factors and only some of these are concerned with the influence of such uncertainties on the life calculation results. On the other hand, the uncertainties in reaction rates, the neutron flux, and other quantities may lead to major distortions in findings, this making it important to be able to determine the influence of uncertainties on the nuclear concentrations of nuclides in their burn-up process. The possibility for the neutron flux and reaction rate uncertainties to propagate to the nuclear concentrations of nuclides obtained as part of burn-up calculations are considered using an example of a MOX-fuel PWR reactor cell. To this end, three burn-up calculation cycles were performed, and the propagation of uncertainties was analyzed. The advantages of the uncertainty estimation method implemented in the VisualBurnOut code consists in that all root-mean-square deviations are obtained as part of one calculation as the statistical method, e.g. GRS (Generation Random Sampled), requires multiple calculations. The VisualBurnOut calculation results for the root-mean-square deviations in nuclear concentrations were verified using a simple model problem. It is shown that there is a complex dependence of the propagation of the root-mean-square deviations in the nuclear concentrations of nuclides in the process of fuel burn-up, and, therefore, further studies need to aim at investigating the influence of uncertainties in nuclear data on the nuclear concentrations of nuclides.
Cluster analysis of karyotype similarity coefficients in Epimedium (Berberidaceae): insights in the systematics and evolution
Authors: Wang Lin-Jiao , Gao Meng-Di , Sheng Mao-Yin , Yin Jie
Published: September 2020

In order to evaluate the genome evolution and systematics, karyotype analysis of mitotic metaphase chromosomes in 51 taxa of Epimedium and two species of Vancouveria was conducted. The 53 taxa were clustered, based on their karyotype similarity coefficients. Results showed that the 53 taxa studied were all diploid with 12 chromosomes (2n = 2x = 12). Each taxon had one pair of satellites located on pair I of homologous chromosomes. Moreover, the karyotype types of the 53 taxa studied were all type 1A or 2A of Stebbins. It can be concluded that the karyotypes between species are indeed very similar and the genome of Epimedium was conservative in evolution. The cluster analysis of karyotype similarity coefficients could provide valuable clues for the systematics and taxonomy of Epimedium. Results of the cluster analysis strongly supported the previous taxonomic division of E. subg. Rhizophyllum and E. subg. Epimedium. The results also showed that the interspecific relationship was closely correlated with geographical distribution in E. subg. Epimedium and the taxa native to east Asia had the highest genetic diversity in Epimedium. Finally, the origin of the modern geographical distribution of Epimedium was inferred. Results of the present study have significant scientific values in further studies on resource utilisation, taxonomy and phylogeny in Epimedium.
Gender, race, class, ecology and peace
Authors: Vron Ware Talks to Jo Littler
Published: September 2020

In this interview Vron Ware discusses how her work has intertwined themes of 'gender, race, class, ecology and peace', as she put it in her book Beyond the Pale: White Women, Racism and History, published in 1992 - a time when 'talking about whiteness … was usually met
by stony silence'. She relates this and her early work on gender and the National Front to more recent incarnations of gendered racism. The discussion moves over a wide range of subjects, including whiteness and the environmental movement, feminist statues and military monuments, the role
of painting and photography in teaching and learning and how we might see futures beyond militarism. Ware reflects on ways in which the politics of 'gender, race, class, ecology and peace' formed part of her background in NGOs and campaigning organisations - including Searchlight, Friends
of the Earth and the Women's Design Service. The same themes also run through her current project on re-thinking the category of the rural, which involves 'trying to think ecologically, in a way that sees interconnections between social, economic and cultural changes' - continuing the effort
to join the dots between anti-racism, feminism, anti-militarism and eco-socialism.
Biologic Switching Among Nonsystemic Juvenile Idiopathic Arthritis Patients: A Cohort Study in the Childhood Arthritis and Rheumatology Research Alliance Registry
Authors: Mannion Melissa L. , Xie Fenglong , Horton Daniel B. , Ringold Sarah , Correll Colleen K. , Dennos Anne , Beukelman Timothy
Published: September 2020

Objective

Biologic medications have significantly improved disease control and outcomes of patients with juvenile idiopathic arthritis (JIA). Current treatment recommendations suggest escalating therapy, including changing biologics if needed, when inactive or low disease activity is not attained. The patterns and reasons for switching biologics in clinical practice in North America are not well described.

Methods

We used the Childhood Arthritis and Rheumatology Research Alliance Registry and included individuals with JIA if they newly started a biologic after January 1, 2008, and had at least 12 months of subsequent observable time. Subjects with systemic JIA were excluded. We compared characteristics of switchers and nonswitchers using chi-square for categorical variables and Wilcoxon rank-sum test for continuous variables, and used linear regression for time analysis.

Results

Of the eligible children, 1361 with JIA in the registry started a biologic (94% tumor necrosis factor inhibitors [TNFi]). Median followup time was 30 months and 349 (26%) switched biologics. Among biologic switchers, ineffectiveness/disease flare was the most common reason for switch (202, 58%). The most common documented switch was from etanercept to another TNFi (221, 63%). The median time to switch to a second biologic decreased substantially from 55.2 months in 2008 to 7.2 months in 2016.

Conclusion

In a multicenter cohort of patients with JIA starting a biologic, one-quarter switched to a second biologic, and the time to switching decreased in recent years. Additional studies should evaluate the outcomes and optimal timing of switching and preferred sequence of biologic use.
Urinay neutrophil gelatinase-associated lipocalin as a biomarker in different renal problems
Authors: TURGUT Didem , PİŞKİNPAŞA Serhan Vahit , COŞKUN YENİGÜN Ezgi , AYDEMİR Nihal , DEDE Fatih
Published: September 2020

Background/aim: Neutrophil gelatinase-associated lipocalin (NGAL) is used previously to estimate the etiology, severity, and clinical outcomes of acute kidney injury (AKI). However, the role of urinary NGAL (uNGAL) in the postrenal setting is not clear. In our study, we aimed to discover the cut-off value of uNGAL that can be used in the differential diagnosis of underlying AKI etiologies.Materials and methods: In this prospective cross-sectional study, we examined 82 subjects in four groups: patients that had (1) postrenal AKI; (2) AKI other than postrenal etiologies; (3) stable chronic kidney disease; and (4) healthy subjects. A renal function assessment was carried out by measuring serum creatinine (sCr) and uNGAL at the time of diagnosis [0th min (T0)]. We followed the study group for three months. Results: At the time of diagnosis, sCr (T0) was highest in the postrenal AKI and AKI groups in contrast to stable chronic kidney disease patients and healthy subjects (P < 0.001), as expected. T0 median uNGAL was highest in the postrenal group (P < 0.001). Area under curve (AUC) of uNGAL to estimate postrenal AKI presence was 0.957 (95% CI, 0.897–1.000; P < 0.001). The cut-off point of uNGAL was 42.625 ng/mL for this estimation. Conclusion: Patients with AKI must be classified according to the underlying etiologies as soon as possible. uNGAL may be useful to estimate the etiologies, and whether the problem is acute or chronic in the course. In postrenal kidney problems, to plan the urgency of the urologic procedures, it is crucial.
Effects of oregano (Oreganumonites L.) aromatic water on rumen microbial fermentation of Holstein calves
Authors: ÖZKAYA Serkan , ALMALI Ozan Emre , AYAN Yavuz , ERBAŞ Sabri , AKSU Taylan
Published: September 2020

The study aimed to determine the effects of the addition of aromatic oregano water (AOW) on rumen fermentation of Holstein calves. For this purpose, 20 Holstein calves were divided into four groups (n = 5) and fed with three different doses of AOW (1, 1.5, and 2%). The experimental groups were formed as follows; the control group (CNT): milk + starter; G1: 1% AOW supplemented milk + starter; G2: 1.5% AOW supplemented milk + starter; G3: 2% AOW supplemented milk + starter. The rumen fluid was taken from the oesophagus at 60 days of age with the aid of a rumen probe. In acetic acid (AA), propionic acid (PA), and butyric acid (BA) except for total volatile fatty acid (TVFA) (P < 0.05), the numerical differences between the means of the groups were not found statistically significant. The rumen pH values of the groups were not affected by the addition of AOW. Likewise, the difference between the total bacteria and the numbers of protozoa, Entodinum, Diplodinium, Isotrichia, and Daystrichia were not statistically significant. The results of the study showed that the addition of AOW did not have a negative or positive effect on rumen fermentation of the calves.
Peut-on humaniser la fin de vie ?
Authors: Clermidy P. Pierre
Published: September 2020

La revue Laennec se propose de traiter régulièrement une question posée à Marseille aux étudiants de L2 médecine dans le cadre de l’examen de l’option « Santé, société et humanité ».
L’émotionnel aux confins de la vie : une approche prospective des compétences en gériatrie hospitalière
Authors: Dickason Rebecca
Published: September 2020

Les résultats de la concertation « grand âge et autonomie » révèlent, d’une part, la proportion actuelle des personnes âgées à l’hôpital (30 % des patients en court séjour et 65 % de ceux des soins de suite et de réadaptation) (Ministère de la santé, 2019) et, d’autre part, une augmentation du nombre de personnes âgées dépendantes à l’horizon 2030 de 15 % à 33 % selon le scénario retenu (Libault, 2019). À l’horizon 2050, un doublement de la population française âgée de plus de 80 ans est attendu, de même qu’une augmentation de la part des plus de 65 ans (OCDE, 2019). Dans ce contexte, se pencher sur les compétences de demain en gériatrie prend tout son sens. C’est ce que nous faisons en nous appuyant sur une étude de terrain en USLD (soins de longue durée). Cet article met en évidence deux niveaux de compétences (individuel et collectif) ainsi qu’une dyade de compétences sur le plan émotionnel : des compétences de réalisation du travail émotionnel, pour les soignants (infirmières et aides-soignantes), et des compétences de détection de pénibilité et de (sur)charge émotionnelles, pour l’encadrement.
Patient Risk Profile for Unplanned 90-Day Emergency Department Visits Differs Between Total Hip and Total Knee Arthroplasty
Authors: Plate Johannes F. , Ryan Sean P. , Bergen Michael A. , Hong Cierra S. , Mont Michael A. , Bolognesi Michael P. , Seyler Thorsten M.
Published: September 2020

Numerous studies have explored 90-day readmissions following total joint arthroplasty; however, there is a paucity of literature concerning 90-day emergency department (ED) visits. The authors aimed to characterize the risk factors for ED presentations and to determine the primary reasons for return, hypothesizing that certain medical comorbidities would account for resource utilization. The institutional database was queried for primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Patients were stratified based on return visits to the ED within 90 days postoperatively. Univariable and multivariable analyses were performed to determine the factors most predictive of ED return for each THA and TKA. A total of 10,479 procedures resulted in 1234 90-day ED visits made by 937 patients. Significant predictors of 90-day ED return after THA included black race, age older than 80 years, congestive heart failure, valvular heart disease, metastatic disease, peripheral vascular disease, alcoholism, drug use, depression, and discharge to a skilled nursing facility. In contrast, only black race, liver insufficiency, cancer, and pulmonary hypertension were predictive of ED return following TKA. The primary risk factors for ED return differ for THA and TKA, and this is not currently reflected in the medical severity diagnosis-related group system. Specifically, black patients with multiple comorbidities are at high risk for unplanned ED visits following THA. This should be considered in patient counseling and outreach programs when attempting to mitigate the postoperative risks and to decrease 90-day resource utilization in this patient population. [
Orthopedics
. 2020;43(5):295–302.]
Redesigning Finished Product Warehouse Layout - A Case Study
Authors: Phan Mai Ha , Thinh Ngo Ha Quang , Kieu Tien Trung , Thai Linh Y
Published: September 2020

System engineering methods are often used to design complex systems like airplanes. However, this method is also useful to propose solutions to redesign logistics systems such as warehouses and transport systems. This paper will apply system engineering in analyzing the late order problem at a pesticide company, thereby surveying stakeholders needs for warehouse re-designing. The functional analysis in the warehouse will be carried out in the concept analysis section to propose warehouse’s layout redesign alternatives that based on the demand of storage capacity and throughput. The authors also used the AHP method to select the final design layout. The detailed design section builds the operation process for the warehouse as well as the codification for commodity storage slots along with these tables forms that support for warehouse management. These solutions increase warehouse performance as well as the utilization in warehouses when applied in practice. Therefore, the system engineering method should be used in warehouse’s redesign
A Research of Design the Control System of 3D Printer by Fused Deposition Modeling (FDM) Technology
Authors: Nguyen Thanh Nam , Vo Tuyen , Nguyen Minh Tam , Thanh Tu Nguyen
Published: September 2020

Nowadays, 3D printing technology or Additive Manufacture (AM) is becoming more and more popular in industries and life. Additive Material technology is a technology of linking or crystallizing materials under the control of a computer to create three-dimensional details. Additive Manufacture Technology currently consists of many different methods, in which the method of extruding molten materials through the nozzle called Fused Deposition Modeling (FDM) is the most popular. Almost all 3D printer machines that use this method are now very popular in the market, with the ability to work suitable for many types of objects, from individual scale to company one. However, the design and manufacture of these machines are carried out according to traditional methods, with many limitations. The paper presents an application of selective design method for FDM technology analysis results according to the module in [5] to implement the control system design of FDM to reduce costs and improve the reliability of the product.
Mechanical Properties of PMMA/PC Blend by Injection Molding Process
Authors: Hoang Van Thanh , Luu Duc Binh , Tao Quang Bang , Chen Chao Chang Arthur
Published: September 2020

Polycarbonate (PC) has the high impact strength, whereas Polymethylmethacrylate (PMMA) possesses the high tensile strength. Both of them have been widely used for optical elements in illumination. This paper aims to investigate mechanical properties including tensile and impact strengths of PMMA/PC blend with 50 percent of PC concentration by injection molding process. Tensile and impact specimens were designed following ASTM, type V and were fabricated by injection molding process. Taguchi technique was employed to figure out the optimal process conditions for maximum tensile and impact strengths. The processing conditions such as melt temperature, mold temperature, packing pressure and cooling time were applied and each factor has three levels. As a results, melt temperature has been found to be the most significant parameter for both tensile and impact strengths and cooling time is the least significant parameter for the mechanical properties.
Estimate the Melt Flow Length with Internal Induction Heating for the Injection Molding Process
Authors: Thuan Huynh Duc , Son Tran Anh , Minh Pham Son
Published: September 2020

In this paper, an induction heating system was applied to the heating stage in the injection molding process. Through simulation and experiment, the heating process was estimated by the temperature distribution and the heating rate. In the simulation, the mold temperature was increased from 30°C to 180°C in 9 s. Therefore, the heating rate was higher than 16°C/s, which represents a positive result in the field of mold heating. Additionally, the temperature distribution revealed that the higher temperature is concentrated on the gate area, while the outside of the mold cavity is at a lower temperature. The same parameters were applied to both the experiment and the simulation, and the results were in good agreement.
Facilitating Posttraumatic Growth After Critical Illness
Authors: Jones Abigail C. , Hilton Rachel , Ely Blair , Gororo Lovemore , Danesh Valerie , Sevin Carla M. , Jackson James C. , Boehm Leanne M.
Published: September 2020

The theory of posttraumatic growth arose from accounts of various trauma survivors experiencing not only distress but also growth and change. An intensive care unit admission is an unplanned, sudden, and traumatic experience, and many survivors have posttraumatic stress that can lead to posttraumatic stress disorder. Survivors leave the intensive care unit with new functional impairments that drive depression, and they frequently experience anxiety. Amidst the stress of understanding the trauma of an intensive care unit admission, survivors can grow in their world views, relationships, and sense of self. Understanding posttraumatic growth in intensive care unit survivors will inform health care providers on how to help survivors understand their new difficulties after an intensive care unit stay and facilitate growth. This article is a conceptual review of posttraumatic growth, identifiers of posttraumatic growth, and how the tenets of the posttraumatic growth theory apply to intensive care unit survivors. Health care professionals, specifically nurses, can incorporate practices into their care during and after the intensive care unit stay that encourage understanding and positive accommodation of new difficulties brought on by the intensive care unit hospitalization to support survivor growth. Opportunities for research include incorporating posttraumatic growth assessments into post–intensive care unit clinics, self-help materials, and various programs or therapies. Outcomes associated with posttraumatic growth are listed to suggest directions for research questions concerning posttraumatic growth in intensive care unit survivors.
Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach
Authors: Pandian Vinciya , Morris Linda L. , Brodsky Martin B. , Lynch James , Walsh Brian , Rushton Cynda , Phillips Jane , Rahman Alphonsa , DeRose Troy , Lambe Leah , Lami Lionel , Wu Sarah Pui Man , Garza Francisco Paredes , Maiani Simona , Zavalis Andrea , Okusanya Kafilat Ajoke , Palmieri Patrick A. , McGrath Brendan A. , Pelosi Paolo , Sole Mary Lou , Davidson Patricia , Brenner Michael J.
Published: September 2020

Purpose

Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic.

Methods

Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations.

Results

Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equipment includes an N95/FFP3 mask with or without surgical masks, gloves, goggles, and gown when performing aerosol-generating procedures for patients with known or suspected COVID-19. Viral testing of bronchial aspirate via tracheostomy may inform care providers when determining the protective equipment required. The need for protocols to reduce risk of transmission of infection to nurses and other health care workers is evident.

Conclusion

Critical care nurses and multidisciplinary teams often care for patients with a tracheostomy who are known or suspected to have COVID-19. Appropriate care of these patients relies on safeguarding the health care team. The practices described in this review may greatly reduce risk of infectious transmission.