bluuebunny/crossref_metadata_2025 huggingface dataset:
Persatuan dan kesatuan dalam bermasyarakat
Authors: Rana Sasiki
Published: November 2021

Arti penting persatuan dan kesatuan bagi bangsa Indonesia kuga melambangkan terbentuknya Negara Republik Indonesia. NKRI terbentuk atas persatuan dan kesatuan atas persamaan nasib,budaya,wilayah serta prinsipprinsip yang ada. Arti penting persatuan dan kesatuan bangsa Indonesia adalah agar tidak mudah terpecah belah. Persatuan dan kesatuan sangat penting untuk mempertahankan kedaulatan dan kemerdekaan bangsa. Persatuan dan kesatuan terdapat pada sila ke-3. Melalui sila tersebut menunjukkan cita-cita pendiri negara dan pencipta ideologi ingin menjadikan persatuan sebagai tombak untuk mencapai kemakmuran bagi bangsa Indonesia. Istilah persatuan Indonesia mencakup persatuan dalam pengertian ideologis,politis ,sosialbudaya,dan keamanan. Adapun tujuan dari persatuan Indonesia ialah untuk melindungi rakyat Indonesia agar terhindar dari perpecahan. Bangsa Indonesia mengakui dan menyatakan Indonesia adalah satu kesatuan orang yang terdiri dari berbagai kelompok etnis dengan latar belakang sejarah,budaya,dan agama yang berbeda. Hal ini melalui pemerintah harus benar-benar menjaga dan memperkuat bangsa Indonesia dengan persatuan. Sejarah adaya persatuan dan kesatuan sudah ada sejak masa perjuangan bangsa Indonesia melawan penjajah. Sejak saat itu,arah perjuangan bangsa Indonesia makin tegas,yaitu mewujudkan persatuan dan kesatuan nasiomnal.
Why dimensional analysis is irrational, and correlations based on it are suspect.
Authors: ADIUTORI EUGENE
Published: November 2021

The purpose of dimensional analysis is to minimize the number of parameters that must be varied in experiments designed to determine generic correlations. Because dimensional analysis requires that dimensions be multiplied and divided, dimensional analysis is rational only if it is rational to multiply and divide dimensions. Critical appraisal in the text demonstrates that dimensions cannot rationally be multiplied and divided. Therefore dimensional analysis is irrational, and correlations based on it are suspect because the functionalities assigned to unvaried parameters are not based on data. They are based only on the erroneous view that dimensions can rationally be multiplied and divided.
The influence of uncertain loading on topology-optimized designs
Authors: Hofer Philipp , Wehrle Erich
Published: November 2021

The design of structures using topology optimization can improve the structural performance and save material, in turn reducing costs. Using a framework of large-scale, three-dimensional topology optimization implemented by the authors in an open-source multiphysical software, we investigate the influence of uncertain loading on the optimized design. Direct differentiation is used to reveal the relationship between displacements and applied force, giving an efficient and effective tool to postprocess optimized topologies. The developed methodology for the assessment of the sensitivity with respect to applied forces is explored using two three-dimensional examples: the classic MBB cantilever and a cableway pylon. The advantages and limitations of this method are discussed.
A Python toolbox for Automatic Face Alignment (AFA)
Authors: Gaspar Carl Michael , Garrod Oliver G. B.
Published: November 2021

We describe AFA, an open-source Python package for automating the most common step in the preparation of facial stimuli for behavioral and neuro-imaging experiments – spatial alignment of faces (https://github.com/SourCherries/auto-face-align ). Face alignment is also important in the analysis of image statistics, and as a preprocessing step for machine learning. Automation of face alignment via AFA provides a reliable and efficient alternative to the very common practice of manual image-editing in graphics editors like Photoshop. As an open-source Python package, AFA encourages a clear and transparent specification of experimental method. AFA is based on facial landmark detection that is powered by the reliable and open-source DLIB library; and critical alignment code based on Generalized Procrustes Analysis (GPA) has been extensively unit-tested. AFA documentation and modularity provides opportunity for the modification and extensibility of AFA by the scientific community. As examples, we include functions for automatically generating image apertures that conceal areas outside the inner face; for image morphing between facial identities; and for shape-based averaging of facial identity. All of these are examples of stimulus preparation that have previously required manual landmark selection.
Cognitive Archaeology and the Cognitive Sciences
Authors: Coolidge Frederick L. , Wynn Thomas , Overmann Karenleigh A. , Hicks James M.
Published: November 2021

Cognitive archaeology uses cognitive and psychological models to interpret the archaeological record. This chapter outlines several components that may be essential in building effective cognitive archaeological arguments. It also presents a two-stage perspective for the development of modern cognition, primarily based upon the work of Coolidge and Wynn. The first describes the transition from arboreal to terrestrial life in later Homo and the possible cognitive repercussions of terrestrial sleep. The second stage proposes that a genetic event may have enhanced working memory in Homo sapiens (specifically in terms of Baddeley’s multicomponent working memory model). The present chapter also reviews the archaeological and neurological bases for modern thinking, and the latter arguments are primarily grounded in the significance of the morphometric rescaling of the parietal lobes, which appears to have distinguished Homo sapiens from Neandertals.
Bridging Divides, Building Relations, and the Proposal for Intercultural Theology
Authors: Sweet William
Published: November 2021

This is a revised version of my Presidential Address, presented to the Canadian Theological Society. In it, I present and offer a proposal for intercultural theology. I start with a recent remark by Pope Francis about bridges (and walls), which leads to the notion of intercultural theology. I then say something about the ways in which intercultural theology has been understood and argue for a specific, concrete approach. I argue that, while such a theology can be part of what it is to do theology in general, it is also a personal task and vocation. After replying to some concerns about what intercultural theology may involve, I offer some concrete illustrations of how one might concretely engage in intercultural theology or theologizing. I conclude that, while intercultural theology may be disruptive, it can be of constructive service to theology today.
COMPARISON OF SKILLS BETWEEN SRI LANKAN AND FOREIGN CONSTRUCTION LABOUR
Authors:   Department of Civil Engineering, University of Peradeniya, Manoharan K. , Dissanayake P. ,   Department of Civil Engineering, University of Peradeniya, Pathirana C. ,   Department of Civil Engineering, University of Peradeniya, Deegahawature D. ,   Department of Industrial Management, Wayamba University of Sri Lanka, Silva R. ,   Centre for Quality Assurance, Wayamba University of Sri Lanka
Published: November 2021

Construction significantly influences a country’s economy. The labour efforts are the lifeblood of construction operations. The construction industry has been facing many challenges due to skill shortages in many countries. This study aimed to compare the work-related skills of Sri Lankan labour against foreign labour forces. A qualitative study methodology was adopted through literature reviews and expert interviews to identify the labour skills which influence the productivity of construction operations. The interviews were conducted in two categories. The first category focused on identifying significant labour skills, the second category was conducted to compare the labour skills between Sri Lankan and foreign labour. Chinese, Indian, Bangladeshi, Nepalese, Saudi Arabian, Malaysian and Korean labour forces were considered in the pair-wise comparison process. Statement categories and codes were developed to perform this qualitative comparison. The overall results show the need of developing cognitive and self-management skills of Sri Lankan labourers, where the transferable skills are not much important. The study pointed up the importance of developing technical skills of Sri Lankan labour in concreting, bar bending, plastering, tiling, welding, electrical work and equipment handling, to reach the levels of leading foreign labour forces. Labourers’ commitment, punctuality, participation, self-motivation and problem solving were the significant self-management skills in this regard. Kappa statistics resulted in the inter-rater reliability of these findings at a substantial level. The study outcomes can be helpful for the skills development authorities to take actions for filling the skills gap, and also for some foreign construction sectors in similar scenarios
CUSTOMER LOYALTY TOWARDS SUSTAINABLE HOTELS: CASE STUDIES IN SRI LANKA
Authors:   Department of Building Economics, University of Moratuwa, Silva L. , Dissanayake P. ,   Department of Building Economics, University of Moratuwa, Kumarasiri B. ,   Department of Building Economics, University of Moratuwa, Soorige D. ,   Department of Building Economics, University of Moratuwa
Published: November 2021

The hotel sector is directly combined with customer loyalty as it has become increasingly obvious by incorporating its’ antecedents with customer satisfaction and trust. Customer loyalty is influenced by customer satisfaction of hospitality service when it is significantly related to service quality. Sustainability is an important concept that can adapt to achieving customer loyalty in the Sri Lankan hotel sector. Indeed, most conventional hoteliers in Sri Lanka do not have the idea of success in achieving customer loyalty through the sustainability concept. Also, despite the abundance of research on the concept of sustainability, a gap in literature could be identified, when it comes to analysing the customer loyalty aspects toward sustainable hotels in Sri Lanka. This study is therefore aimed to bridge the gap that exists in the literature to prove the success of adopting the concept of sustainability in achieving customer loyalty. A qualitative research approach with two case studies was used to achieve the aim of the study. The selected cases include two green-certified five-star hotels which are under the topmost sustainable hotels in Sri Lanka according to Sri Lanka Tourism Development Authority. A total of 10 interviews were conducted from both cases. The collected data were analysed using content analysis. The customer loyalty aspects were identified on the deriving basis of self-influence factors of customers and their consideration of benefits in sustainable hotels. The study unveils an analysis of the interconnection between sustainable hotels and customer loyalty. The findings provide the path to conventional hotels to identify the success of implementing sustainability concept in achieving customer loyalty.
IMPACT OF SPATIAL PLANNING FOR THE COST AND VALUE OPTIMIZATION IN BUILT ENVIRONMENT AGAINST NATURAL HAZARDS
Authors:   Department of Building Economics, University of Moratuwa, Jayalath J.A.C.D. , Disaratna P.A.P.V.D.S. ,   Department of Building Economics, University of Moratuwa, Withanage K.T. ,   Department of Quantity Surveying, General Sir John Kotelawala Defence University
Published: November 2021

Spatial planning is managing the environmental, social and economic dimensions of development. Today the built environment suffers from a lot of natural hazards, resulted due to poor concentration over the environmental, social and economic aspects. Magnitudes and frequencies of these natural hazards has shifted from bad to worst in the recent past. Therefore, economic cost of these hazards has increased, and governments has been compelled to spend large amounts of public money to overcome these impacts on the built environment. Thus, in Sri Lankan context, these circumstances warrant the need to have a sustainable and realistic approach for the spatial planning in the built environment. Hence, the aim of this research was to enhance the cost and value efficiency in built environment against natural hazards through proper spatial planning in Sri Lankan context. Research was conducted mainly based on a questionnaire survey following the mixed research approach. Study identified the impact of poor spatial planning in the built environment in Sri Lankan context and study imparted set of guidelines to ensure effective spatial planning in the built environment in order to minimize the impact of adverse natural hazards. Finally, study concluded that, in order to establish a paradigm shift emphasizing the importance of effective spatial planning in the built environment, it is essential to have a clear understanding on natural process and other socio-economic concerns of the country.
KEY PERFORMANCE INDICATORS IN UPHOLDING SCOPE CREEP MANAGEMENT IN ROAD PROJECTS
Authors:   Department of Quantity Surveying, University of Vocational Technology, Sri Lanka, Jayalath C. , Somarathna K.K.G.P ,   University College of Batangala, Sri Lanka
Published: November 2021

Scope creep has been a day-to-day occurrence in almost every major road project causing a considerable cost overrun with no early dimple. This paper offers a critical appraisal on the dominant causes behind scope creep in the road projects. A comprehensive literature survey was undertaken to explore the factors specifically contributing scope creep and various control measures that are adopted, among other purposes, in at least reducing the impact due to scope creep in the final delivery of road projects. The study included interviews with 15 experts to identify major issues and add their hands-on experience. A questionnaire survey was subsequently administered among 100 industrial personnel having a cost management background in order to evaluate the effectiveness of the key performance indicators (KPIs) in terms of taming scope creep. Results from the study showed that concomitant client instructions on additional features, unclear scope and incremental changes cause scope creep throughout the project. Among 53 KPIs identified, the most effective KPI that enables adequate control of scope creep in road projects is the cost efficiency ratio. The results enable comprehending the causes of scope creep and its resultant net effect on cost control.
A NEW SAFETY CLIMATE ASSESSMENT TOOL FOR GULF CONSTRUCTION
Authors:   School of Engineering and the Environment, Kingston University, London, UK, Umar T. , Umeokafor N. ,   School of Engineering and the Environment, Kingston University, London, UK
Published: November 2021

One of the methods which could improve the safety performance of construction organizations is the safety climate approach which is helpful to know the existing maturity level of the safety climate and to develop plans to achieve the required level of maturity. Most of the existing safety climate tools were developed considering different industries in developed countries while construction was based only on few tools. Construction projects in the Gulf Cooperation Council (GCC) member countries are at a peak. This article, therefore, attempts to develop a safety climate assessment tool for the Gulf Cooperation Council (GCC) construction industry. A mixed research method consisting of a systematic review (N = 32), structured questionnaire (N = 102) and email interview (N = 19) was adopted in this research. A new assessment tool that has seven factors including (i) Aligning and Integrating Safety As Value (ii) Training At All Level (iii) Improving Site Safety Leadership (iv) Management Commitment (v) Empowering And Involving Workers (vi) Ensuring Accountability At All Level and (vii) Improving Communication has been finally developed. Each factor is supported by a number of simple questions that the participants have to answer on a Likert scale of 1 to 5 is finally developed. Although, the newly developed tool is validated through email interviews held with the construction industry professionals, however, longitudinal studies are recommended to gauge to the effectiveness of the tool.
PROBLEMS AND RELATED CAUSES OF PUBLIC PROCUREMENT PROCESS TO ACHIEVE SUSTAINABILITY IN DEVELOPING COUNTRIES
Authors:   Department of Building Economics, University of Moratuwa, Gunawardana K.A.P. , Sandanayake Y.G. ,   Department of Building Economics, University of Moratuwa, Karunasena G.I. ,   School of Architecture and Built Environment, Deakin University, Geelong, Australia, Jayawickrama T.S. ,   UniSA Online, University of South Australia, Australia
Published: November 2021

Public Procurement Process (PP Process) in construction industry has identified as integral part to achieve sustainability in developing countries. Sustainability links with the social, environmental, and economic indicators. The PP Process contributes largely to the budget of developing nations. However, existing PP Processes of developing countries have shown lagging features to achieve sustainability due to a number of problems. Further, the depth and gravity of the problems depend on the impact of root causes throughout the activities and stages of procurement lifecycle of a project. Hence, this paper aims to identify the problems and related root causes during the various activities in the stages of PP Process to achieve sustainability in construction projects in developing countries. In order to achieve the aim, this study started with a comprehensive literature review to identify the stages, activities, problems and related root causes in PP Process to achieve sustainability. Subsequently, interviews with 14 subject matter experts were carried out to identify and verify the stages, activities, problems and related root causes to achieve sustainability in PP Process in developing countries. The data were analysed using manual content analysis. The findings of the study identified 10 problems and 22 root causes that affect the 39 activities in 05 stages of PP process in project procurement lifecycle in construction industry. The outcome of this paper will be beneficial to relevant authorities, funding agencies and policy makers in taking necessary steps to update the existing guidelines, bidding documents, procedures and protocols to address the identified problems and root causes to achieve sustainability of developing countries.
SIGNIFICANT FINANCIAL AND ECONOMIC RISK FACTORS IN COASTAL LAND RECLAMATION PROJECTS
Authors:   Department of Building Economics, University of Moratuwa, Perera H.A.H.P. , Perera B.A.K.S. ,   Department of Building Economics, University of Moratuwa, Shandraseharan A. ,   Department of Building Economics, University of Moratuwa
Published: November 2021

The demand for land required for construction and development has been rapidly increasing over the past 30 years in the global context because of population growth, especially in coastal cities. Therefore, coastal land reclamation (CLR) has drawn attention both internationally and regionally. However, CLR projects are complex and costly and, therefore, are often associated with numerous risks. Although risk management in CLR projects has been the focus of few past studies, they have not specifically focused on financial and economic risks. This study, therefore, aimed to identify the most significant financial and economic risk factors present in CLR projects to enable the management of those risks. The required empirical data were collected by conducting a two-round Delphi survey, comprising expert interviews and a questionnaire survey. The collected data were analysed using content and descriptive statistics. The results revealed 13 significant financial and economic risk factors of CLR projects. Quality of sand and soil was identified as the most important risk factor of CLR projects. Delayed payment, unpredictable safety and security conditions of the country, dredging volume and defaulting contractors and subcontractors were identified in the next top four ranking in this study.
THE OBSTACLES TO ENERGY SAVING IN RESIDENTIAL BUILDINGS IN NIGERIA: STAKEHOLDERS’ PERSPECTIVES
Authors:   School of Science, Engineering and Environment, University of Salford, United Kingdom, Ibrahim A.T. , Fernando N.G. ,   School of Science, Engineering and Environment, University of Salford, United Kingdom
Published: November 2021

Over the past three decades research on energy use in buildings has become significant due to increasing scientific and political pressure on issues concerning global warming and climate change. As part of the impact by climate change, tropical nations are faced with several challenges in achieving energy savings, particularly the energy consumption behaviour of building occupants, with very little research coming from Africa. Previous research has shown that variations due to occupant behaviour is substantial. To address these challenges in line with the objectives of some of the UN Sustainable Development Goals (SDGs) (namely, clean and sustainable energy, as well as climate action) in residential buildings, this paper explores the perceptions of stakeholders by identifying the barriers which affect energy use from different cultural perspectives. Qualitative data were collected using semi-structured telephone interviews with experts in the energy and construction fields in Nigeria. The purpose of the interviews was to provide an insight into residential energy consumption behaviour and the barriers faced in the adoption of sustainable energy sources. The results were analysed using an energy cultural framework. An analysis of the results shows that continuous awareness of energy saving behavioural change, government subsidies for renewable energy, government checks, and the standardization of energy-efficient appliances imported into the country can improve people’s trust regarding sustainable choices and can promote efficient energy use. The outcome from this work is expected to give a better understanding of energy use behaviour and inform future energy policies and interventions related to household energy saving.
De novo hemorrhagic sporadic cavernous malformation appearance after COVID-19 respiratory infection: illustrative case
Authors: Holmes Carmen R. , Lanzino Giuseppe , Flemming Kelly D.
Published: November 2021

BACKGROUND

Little is known about whether coronavirus disease 2019 (COVID-19) influences cavernous malformation (CM) formation or hemorrhage risk.

OBSERVATIONS

The authors present the case of a 31-year-old patient who developed a hemorrhagic, de novo CM in the setting of a developmental venous anomaly within 3 months of COVID-19 respiratory disease. The authors speculate that COVID-19 disease stimulated formation of the CM through TLR4 inflammatory pathways and subsequently led to the hemorrhagic presentation because of hypercoagulability related to the disease.

LESSONS

This case raises the possibility that COVID-19 may be a risk factor for de novo development of CMs in predisposed patients.
Generation of Synthetic Peptide-Specific Antibody for the Development of A Southern Rice Black-Streaked Dwarf Virus Diagnostic Test
Authors: Hanh Do Thi , Minh Nguyen Anh , Cuu Nguyen Van , Huong Phung Thi Thanh , Hoi Pham Xuan , Phuong Nguyen Duy
Published: November 2021

Southern rice black-streaked dwarf virus (SRBSDV) causes severe epidemical disease on rice with the infected area up to millions of hectares in South China and North and Central of Vietnam. So far, there are no effective, cheap, quick, and practicable methods for diagnosing SRBSDV. The conventional RT-PCR technique is the most popular method for detecting SRBSDV with high accuracy. However, it is hard to apply this method for large-scale SDBSDV diagnosis because of the requirements of expensive reagents and instruments, as well as complex procedures. Meanwhile, SRBSDV diagnostic techniques based on antigen detection have outstanding advantages due to their low cost, easy manipulation, and wide application possibility. Today, there are still no commercially available specific antibodies to SRBSDV. In a previous study, to develop the SRBSDV diagnostic technique by the ELISA technique, a SRBSDV specific antibody was generated by a recombinant P10 envelope protein (66kDa), which has a titer of 1:5,000. In this study, we continued to study the production of SRBSDV specific polyclonal antibodies from small antigen–rich peptides from the SRBSDV P10 envelope protein. The resulting purified antibody can specifically bind to the P10 protein and at the diluted concentration of 1:100,000 it can detect SRBSDV in infected rice samples via the dot-blot technique. Our research results open up new opportunities for proactive antibodies to develop a SRBSDV membrane rapid diagnostic kit.
The MUSLIM FASHION CONSUMERS AND PURCHASING DECISION
Authors: Octaviani Wulan , Eri Puspita Rosana
Published: November 2021

This study aims to determine how much influence product quality, sales promotion, and Islamic branding have on purchasing decisions with purchase intention as an intervening variable in the Naisha brand. The focus of this research object is the customer of the Naisha brand who has transacted online. The research method used is quantitative, with primary data obtained through distributing questionnaires and interviews. The sampling technique used purposive sampling, and the number of respondents in this study was 96 respondents. The data analysis used includes instrument test, multiple linear regression analysis, statistical test, classical assumption test and path analysis. This study indicates that product quality, sales promotion, and Islamic branding partially and simultaneously positively and significantly affect buying interest in Naisha products. Other results indicate that the variable product quality, sales promotion, and Islamic branding positively and significantly affect purchasing decisions. The purchase intention variable has a mediating effect on other independent variables.
Problemas de coagulação em adultos com síndroma respiratório agudo grave devido a infeção por coronavírus 2 (SARS-CoV-2): uma revisão abrangente
Authors:   Médico de Família, Costa Susana Pereira , Antunes Inês Lopes ,   Médico de Família, Gomes Ana Margarida ,   Médico de Família, Ho Cláudia ,   Médico de Família, Caldas Mafalda Lemos ,   Médico de Família, Marques Ana Rute ,   Médico de Família, Pereira Ana Monteiro ,   Médico de Família, Peres Ana Teresa ,   Médico de Família, Revilla Gema Ponce ,   Médico de Família, Vidreiro Inês ,   Médico de Família
Published: November 2021

Objetivos: Resumir as informações publicadas acerca dos problemas de coagulação em adultos com SARS-CoV-2, incluindo características, fisiopatologia, diagnóstico e resposta ao uso profilático ou terapêutico de anticoagulantes ou antiagregantes plaquetários. Métodos: Realizada uma revisão abrangente, de acordo com as guidelines Joanna Briggs Institute Guidelines on Scoping Reviews e Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review guidelines (PRISMA-ScR). Efetuada pesquisa nas bases de dados MEDLINE®, SciELO® e Web of Science® entre 1 e 2 de maio de 2020. A seleção dos artigos foi dividida em etapas sequenciais considerando: título, resumo e artigo integral. Em cada etapa os artigos foram aceites ou rejeitados tendo em conta os critérios de inclusão e exclusão. Foi feito o mapeamento dos dados e a evidência relevante foi sumarizada. Resultados: Após seleção obtiveram-se 106 artigos. Destes, 36 correspondiam a cartas, 28 a estudos originais, 25 a revisões e 14 a relatos de caso; uma meta-análise, um comentário e um consenso também foram incluídos. Os resultados mostraram associação entre COVID-19 e complicações trombóticas, embora com diferentes tipos de eventos e taxas de frequência. A tríade inflamação, disfunção endotelial e coagulopatia parecem estar subjacentes às alterações fisiopatológicas. As técnicas laboratoriais e de imagem podem ser úteis para uma intervenção adequada. A profilaxia com anticoagulantes parentéricos, preferencialmente heparina de baixo peso molecular (HBPM) em dose intermédia, entre as comummente utilizadas para profilaxia ou tratamento, está indicada em pacientes hospitalizados, especialmente com doença grave. Deve ser mantida por um período variável após a alta, dependendo do doente. A anticoagulação terapêutica parece não diferir de outras situações previamente conhecidas. Conclusões: Várias incertezas persistem na abordagem dos problemas da coagulação em pacientes com infeção por SARS-CoV-2. As informações existentes dizem respeito principalmente ao contexto hospitalar e têm origem em fontes pouco robustas. Assim, são necessários ensaios clínicos aleatorizados e controlados para sustentar as decisões clínicas em todos os estadios.
Articulação entre os cuidados de saúde primários e secundários: grau de satisfação dos médicos especialistas e internos de medicina geral e familiar
Authors:   Médico de Família, Sousa Joana , Barreto Mariana ,   Médico de Família, Cabral Lara ,   Médico de Família, Mendes Francisca ,   Médico de Família, Balazeiro Anabela ,   Médico de Família
Published: November 2021

Introdução: O médico de família é frequentemente o primeiro contacto com o sistema de saúde, devendo avaliar a necessidade de referenciação para os cuidados de saúde secundários (CSS). O objetivo deste trabalho foi avaliar a satisfação dos médicos de medicina geral e familiar relativamente à articulação com os CSS. Material e Métodos: Estudo multicêntrico, longitudinal. Participantes: médicos de MGF. Dados recolhidos através do preenchimento de questionário. As variáveis foram avaliadas numa escala de 1 a 5, por ordem crescente de satisfação e incluíram: idade, sexo, categoria profissional, área e local de trabalho, acesso e qualidade dos registos das consultas hospitalares, do serviço de urgência e carta de alta, acesso aos exames complementares dos CSS, tempos de resposta e informação de recusa de referenciações, satisfação global. Resultados: Foram obtidas 228 respostas. A pontuação média das respostas variou entre 2,2 e 3,6. A satisfação da articulação na sua globalidade obteve uma média de 2,6±0,74, com 50% dos profissionais a responder «razoável», existindo diferença estatisticamente significativa consoante a área de trabalho. Discussão: Os resultados obtidos revelam que ainda existe um longo caminho a percorrer relativamente à articulação entre os CSP e CSS. Conclusão: É crucial existir uma articulação eficiente entre os CSP e CSS para garantir que os utentes têm acesso aos cuidados de que necessitam, no lugar e tempo mais adequados. O facto de se ter utilizado um questionário não validado, de a amostra ser de pequena dimensão e não existir uma representação equitativa das diferentes áreas limita a robustez das conclusões.
Efeitos de uma pandemia numa unidade de cuidados de saúde primários e sua população: um estudo retrospetivo
Authors:   Médico de Família, Vieira Pedro Alexandre , Barros Paulo Jorge ,   Médico de Família, Caseiro Tânia ,   Médico de Família, Rodrigues Natalina ,   Médico de Família, Arcanjo João ,   Médico de Família
Published: November 2021

Objetivos: A COVID-19 é a primeira pandemia severa do mundo moderno, tendo já colapsado diversos sistemas de saúde, obrigando-os a adaptar-se. Este artigo pretende analisar a atividade médica numa unidade de cuidados primários durante o primeiro pico da pandemia, de modo a avaliar os impactos desta no acompanhamento clínico da população. Métodos: Estudo retrospetivo que analisou os dados de todas as consultas efetuadas numa unidade de cuidados primários entre 1 de março e 31 de julho de 2020 e em período homólogo de 2019 e 2018. Resultados: Em 2020 registou-se um aumento de consultas quando comparado com igual período de 2019 e 2018 (14.871, 14.326 e 12.996, respetivamente), sendo a maioria não presencial, ao contrário de anos anteriores (71,6% em 2020, 42,6% em 2019 e 35,2% em 2018). Verificou-se também uma diminuição da maioria das consultas de vigilância e de rotina (2.562 em 2020, 3.067 em 2019 e 2.975 em 2018) e um aumento das consultas por patologia psiquiátrica, destacando-se a ansiedade (362 em 2020, 252 em 2019 e 238 em 2018). Conclusões: Apesar da pandemia, o número total de consultas aumentou em 2020, embora à custa de consultas não presenciais e com uma diferente prevalência de diagnósticos. Ocorreram menos consultas de vigilância e aumentaram as consultas por patologia psiquiátrica, possivelmente decorrentes do impacto socioeconómico da pandemia. Trata-se da primeira casuística da atividade médica de cuidados primários registada durante a primeira vaga da pandemia em Portugal.
Молодь та наркотики – 2021: Результати моніторингу залежної поведінки серед молоді м. Харків 1995–2020 років та студентського модуля Українського лонгітюдного дослідження (ULS+)
Authors:   Kharkiv National University of Internal Affairs, Serdiuk Oleksii , Burlaka Viktor ,   Wayne State University, Danylenko Heorhii ,   Institute for children and adolescents health care of the NAMS of Ukraine, Bobro Natalia ,   Kharkiv National University of Internal Affairs, Bazyma Boris ,   Kharkiv National University of Internal Affairs, Shcherbakova Iryna ,   Kharkiv National University of Internal Affairs
Published: November 2021

The results of sociological monitoring of the spread of addictive behavior among young people in Kharkiv "Youth and Drugs" and the results of the student module of Ukrainian Longitudinal study (ULS+) are presented. The "Youth and Drugs" study conducted since 1995 by the Kharkiv National University of Internal Affairs together with the Sociological Association of Ukraine with the support of the Department of Science and Education of Kharkiv Regional State Administration. The key indicators of drug, alcohol and tobacco use and misuse among young people, the prevalence of gambling, computer and Internet use, the structure of youth leisure, bullying, suicidal behavior, mental and behavioral disorders, etc. were analyzed. For educators, law enforcement, physicians, scientists and anyone interested in the prevention of addictive behavior.
Bovine milk production in Campeche: prospects and challenges for rural producers' development
Authors: Santillán Fernández Alberto , Vargas Díaz Arely Anayansi , Rosales Martínez Verónica , Fraire Cordero Silvia , Bautista Ortega Jaime , Ireta Paredes Arely del Rocio , Arroyo Balán Fabián Leonardo
Published: November 2021

Objective: To characterize at the municipal level the productivity of the bovine-milk sector in the state of Campeche, Mexico; to determine the profitability of the sector and to propose improvement schemes in order to add value to the commercialization of the product.
Design/Methodology/Approach: From the Agricultural and Fisheries Information System, the following variables were obtained: Production (thousands of L), Price ($ L-1) and Value of Production (thousands of $) from 2006 to 2018. Through multivariate statistics and analyses, the profitability of the bovine-milk sector from 2013-2018 compared to 2007-2012 was determined. The analyses were completed by an interview with 12 milk producers who gave added value through the manufacture of cheeses.
Results: A drop in profitability (-8.8%) was found in the sector from 2013-2018 compared to 2007-2012, despite the increase in production of 6.2% that did not compensate for the fall in prices (-14.2%). The regions with the highest productivity were located from the center to the south of the state: Champotón (24.62%), Escárcega (17.36%), and Campeche (16.63%).
Study Limitations/Implications: Adding value to the milk commodity is a priority need in the short term, to avoid abandoning the activity, which could compromise the economy of rural producers.
Findings/Conclusions: The Mennonite settlements in Campeche have managed to add value to the bovine-milk sector through the manufacture and sale of artisan cheeses. However, the great challenge of the sector is the revaluation of artisan cheeses with market strategies that encourage the consumption of local resources in a context of globalization.
Modified British Parliamentary Debate Technique in Teaching Speaking to Indonesian EFL Learners
Authors: Nur Rafiah , Latifa Ammang Latifa, M.Hum , Masriani
Published: November 2021

For English language learners, speaking is an essential skill that should be achieved. By practicing continuously, they can become trained and skilled. To support their proficiencies and competencies, they also should master the language subskills: pronunciation, structure, and vocabulary. The teachers, therefore, should facilitate their students by applying appropriate techniques of language learning in the classroom so that their students can speak English quickly. Through this study, the researchers managed an effective teaching technique for speaking class by implementing a modified British Parliamentary Debate to train the students' speaking skills. This study, therefore, projected to find out whether or not the use of the Modified British Parliamentary Debate technique in teaching speaking can increase their speaking skill. This study also aims to determine whether or not the students are interested in learning to speak through the modified British parliamentary debate. The study applied the quasi-experimental method with a nonequivalent control group design. The subjects of the study were students of Madrasah Aliyah Negeri Enrekang, Indonesia. The population of the research was 64 students. The researchers grouped the students into two groups. There were 32 students in group one and 32 students in group two. The researchers assigned both groups to the same activities in pretest and posttests but different treatments of teaching techniques. The researchers gave a modified British parliamentary debate model for the experimental group and a small group discussion for the control one. The instruments of the research were an oral speaking test and a questionnaire. The results of data analysis exhibited a significant improvement in the students' speaking skills after the treatments. The result of hypothesis testing showed that the t-test value (2.087) was higher than the t-table value (2.000) at the level of significance 0.05 and the degree of freedom 62. Moreover, based on the questionnaire, this study found that the students were interested in learning the speaking skill through modified British Parliamentary debate. In short, implementing the modified British parliamentary debate in teaching speaking can develop the students' speaking skills and encourage the students to learn speaking ability.
ANALISIS TINGKAT EFISIENSI SEKTOR PARIWISATA DI JAWA TENGAH TAHUN 2017 DAN 2019
Authors: Panjaitan Yennie Glorya , Gunanto Edy Yusuf Agung
Published: November 2021

Sektor pariwisata sebagai salah satu sektor yang diandalkan bagi penerimaan daerah maka pemerintah Provinsi Jawa Tengah dituntut untuk dapat menggali dan mengelola potensi wisata yang dimiliki. Penelitian ini bertujuan untuk menganilisis tingkat efisiensi dan produktivitas pada sektor pariwisata di Jawa Tengah antara tahun 2017 dan 2019 dengan sampel 35 Kabupaten/Kota. Analisis dilakukan dengan menggunakan konsep efisiensi yang didasarkan pada teori produksi, pengukuran nilai efisiensi dan produktivitas diperoleh menggunakan metode analisis Data Envelopment Analysis (DEA) dan Malmquist Productivity Index (MPI). Asumsi yang digunakan adalah variable return to scale (VRTS) dan model orientasi output (output oriented). Dengan variable input objek wisata, restoran dan rumah makan, biro perjalanan wisata dan jumlah hotel bintang serta melati. Variabel output dalam penelitian ini adalah wisatawan dan pendapatan sektor pariwisata. Hasil akhir penelitian menunjukkan bahwa terdapat 16 Kabupaten/Kota (45,8%) di tahun 2017, 18 Kabupaten/Kota (51,4%) di tahun 2019 yang mencapai efisiensi teknis penuh. Total Factor productivity change mengindikasikan bahwa 22 Kabupaten/Kota (62,8%) mendekati frontier baik pada frontier produksi maupun frontier efisiensi dan dari scale efficiency change mengindikasikan bahwa terdapat 17 Kabupaten/Kota (48,57%) mengalami perbaikan efisiensi teknis selama periode 2017 ke 2019.
Hubungan Pengetahuan dan Sikap dengan Pemeriksaan Payudara Sendiri (SADARI) di SMAN 8 Sidrap
Authors: Andi Nurul Amalia  , Arni Rizqiani Rusydi  , Nukman
Published: November 2021

Pemeriksaan payudara sendiri (SADARI) merupakan salah satu cara yang efisien dan efektif sebagai pendeteksi dini kanker payudara selain mammografi. untuk mengetahui hubungan pengetahuan dan sikap dengan pemeriksaan payudara sendiri pada remaja putri Kelas 2 dan 3 SMA Negeri 8 Kabupaten Sidrap Tahun 2020. Jenis Penelitian ini merupakan penelitian kuantitatif analitik dengan desain cross sectional dengan dengan menggunakan teknik pengambilan sampel yaitu teknik purposive sampling sebanyak 50 sampel dianalisa dengan menggunakan uji statistik Fisher’s Exact Test. Dari Hasil penelitian diperoleh bahwa variabel pengetahuan dan sikap terdapat hubungan terhadap pemeriksaan payudara sendiri pada remaja putri kelas 2 dan 3 di SMA Negeri 8 Kabupaten Sidrap tahun 2020. Kesimpulan dalam penelitian ini adalah ada hubungan antara pengetahuan dengan pemeriksaan payudara sendiri dan ada hubungan antara sikap dengan pemeriksaan payudara sendiri pada remaja putri kelas 2 dan 3 di SMA Negeri 8 Kabupaten Sidrap. Saran bagi penelitian ini adalah diharapkan kepada peneliti selanjutnya untuk mengambil variabel dan lokasi yang berbeda tentang hubungan pengetahuan dan sikap remaja putri dengan pemeriksaan payudara sendiri pada remaja putri kelas 2 dan 3 SMA.
Prevalence of Anaemia Based on Haemoglobin Levels among Under Five Years Children in Combined Military Hospital, Sylhet
Authors: Sultana Most Sarmin , Rahman Md Rezaur , Wahab Md Abdul , Ul Alam Md Mahbub
Published: November 2021

Introduction: Anaemia is the commonest nutritional problem in the world but the burden of anaemia is disproportionately borne among children in developing countries. Physical, mental and social developments of the children are adversely affected by childhood anaemia.
Objective: To assess the prevalence and severity of anaemia based on haemoglobin levels in children less than five years of age attending in Combined Military Hospital (CMH), Sylhet.
Materials and Methods: This cross sectional study was conducted at CMH, Sylhet from January 2018 to December 2018. The study included 184 children aged 6 months to less than 5 years. Personal data and history of co-existing medical conditions were collected by data collection sheet and then analyzed.
Results: The prevalence of anaemia was 74(40.2%). Out of the anaemic under five children, 46 (75.7%) had mild anaemia, 18(24.3%) had moderate anaemia, and no one had severe anaemia (WHO definition). There was no significant difference for prevalence of anaemia in relation to sex and age different groups.
Conclusion: The prevalence of anaemia in 6 months to less than 5 years children was found to be high, given the negative impact of anaemia on the development of children in future, so there is an urgent need for effective and efficient remedial health interventions.
JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 76-79
Coexistence of Pelviureteric Junction Obstruction and Vesicoureteral Reflux
Authors: Asaduzzaman Md , Abdullah SM , Hanif Mohammad Abu , Hasanuzzaman Md , Islam Rifat Naoreen , Islam Shahnoor
Published: November 2021

Introduction: The most common upper urinary tract problem in children is obstruction at the pelviureteric junction. It happens with varying degrees of seriousness. Ultrasonography and DTPA (Diethylene Triamine Penta-acitic Acid) renography are commonly used to detect it. Objective: To find out the coexistence of ipsilateralpelviureteric junction obstruction with vesicourenteral reflux.
Materials and Methods: This prospective study was conducted in the Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2006 to May 2007 over a period of 1 year 5 months. Thirty-five patients with unilateral hydronephrosis due to PUJ obstruction were included in this study (age: 1 month-15 years). Results were analyzed using Statistical Package for Social Science (SPSS).
Results: Incidence of Vesicoureteral reflux (VUR) among pelviureteric junction (PUJ) obstruction patients was 8.6%. Of them Grade-I VUR was 33.3% and grade-II VUR was 66.7%. Mean age of the patients was 4.71 ± 1.97 years and with VUR was 9.33 ± 4.93 years. Male to female ratio was 4:1. Only 5.7% mothers had regular antenatal checkup and 28.5% had irregular. Majority of the patients 28 (80%) were presented with painless loin mass, 6 (17.1%) with fever, 8 (22.9%) with loin pain and 8 (22.9%) with failure to thrive. Three patients (8.6%) showed abnormal R/M/E and all of the abnormal R/M/E samples showed positive culture.
Conclusions: Incidence of Vesicoureteral reflux (VUR) among pelviureteric junction (PUJ) obstruction patients was 8.6%.
Medicine Today 2021 Vol.33(2): 94-97
The Effects of Hyperbaric Oxygen Therapy in Patients with Central Retinal Artery Occlusion: A Retrospective Study, Systematic Review, and Meta-analysis
Authors: Rosignoli Luca , Chu Edward R. , Carter John E. , Johnson Daniel A. , Sohn Jeong-Hyeon , Bahadorani Sepehr
Published: November 2021

Purpose: Central retinal artery occlusion (CRAO) is a vision-threatening condition with a potentially poor visual prognosis. Many different treatment modalities are suggested but controversy remains regarding effectiveness of these treatments. The purpose of this study is to perform a systematic review and meta-analysis in addition to analyzing retrospective data at our own tertiary care center regarding effectiveness of hyperbaric oxygen therapy (HBOT) in treatment of CRAO.Methods: The PubMed, Scopus, and the Cochrane Library are searched from the date of database inception to September 2021 to conduct a review based on the PRISMA (preferred reporting items for systematic review and meta-analysis), evaluating the role of HBOT in visual recovery of CRAO patients. In addition, a retrospective chart review of patients clinically diagnosed with CRAO at our university-based hospital (University of Texas Health, San Antonio, TX, USA) from year 2011 to 2021 was conducted.Results: After a review of 376 articles, three articles met the inclusion criteria for meta-analysis, where a total of 207 patients received HBOT versus 89 patients that did not receive any form of oxygen therapy. Analysis of these results demonstrate that HBOT in CRAO patients does not enhance the final visual outcome (p = 0.83). Similar conclusion was also drawn from retrospective analysis of 48 patients (15 HBOT versus 33 controls) at our tertiary care center, where no visual benefit was observed in the HBOT group.Conclusions: HBOT does not appear to improve final visual outcome and concerns remain regarding adverse reactions such as barotrauma and generalized seizures. Large, randomized studies are required for further understanding of the role of HBOT in treatment of CRAO.
STUDI MANAJEMAN RISIKO PADA BANK SYARIAH INDONESIA (BSI)
Authors: Ahmad Suhaimi, M.A
Published: November 2021

ABTSRAKRisiko dalam konteks perbankan merupakan suatu kejadian potensial, baik yang dapat di perkirakan maupun yang tidak dapat diperkirakan dan berdampak negatif terhadap pendapatan dan permodalan bank. Risiko-risiko tersebut tidak dapat dihindari, tetapi dapat dikelola dan dikendalikan. Oleh karena itu sebagaimana lembaga perbankan pada umumnya. Dalam menghadapi potensi risiko, maka Bank Syariah Indonesia (BSI) harus menerapkan manajemen risiko yang tepat.

Penerapan manajemen risiko pada Bank Syariah Indonesia setidaknya memuat: Penerapan manajemen risiko secara umum; Penerapan manajemen risiko untuk masing-masing risiko, mencakup 8 risiko, yaitu risiko kredit, risiko pasar, risiko likuiditas, risiko operasional, risiko hukum, risiko strategis, risiko kepatuhan, dan risiko reputasi. Penilaian profil risiko. Kualitas penerapan manajemen risiko meliputi: Tata kelola risiko Kerangka manajemen risiko Kecukupan proses manajemen risiko dan Sistem pengendalian internal yang menyeluruh.