bluuebunny/crossref_metadata_2025 huggingface dataset:
Relato histórico y diseño constitucional en Suiza (1798-1891)
Authors: Jaria i Manzano Jordi
Published: October 2021

La existencia de una iniciativa popular de reforma constitucional favorece que la Constitución suiza sea reformada de modo habitual. Sin embargo, a pesar de haber experimentado innumerables revisiones parciales y dos revisiones totales (en 1874 y en 1999), los elementos constitucionales fundamentales que definen la identidad del sistema político permanecen inalterables desde 1848, dando lugar a uno de los estados más estables de Europa desde el punto de vista constitucional y, desde luego, al régimen republicano más longevo del Viejo Continente. El presente trabajo explora como el relato histórico es fundamental en la construcción de la identidad constitucional del Estado federal suizo, que se realiza a través de una idea de continuidad con el pasado, que proporciona un fundamento extremadamente sólido para la continuidad del sistema. Para ello, se analiza el período comprendido entre la llegada de la Modernidad política a Suiza con la instauración de la República Helvética, en 1798, hasta la incorporación a la Constitución de la iniciativa popular de reforma constitucional en 1891.
Fecha de envío / Submission date: 18/01/2021
Fecha de aceptación / Acceptance date: 11/03/2021
Ciudadanos, electores, representantes: Discursos de inclusión y exclusión políticas en Perú y Ecuador (1860-1870)
Authors: Luján Oriol
Published: October 2021

Recensión de / Review of: Marta Fernández Peña, Ciudadanos, electores, representantes: Discursos de inclusión y exclusión políticas en Perú y Ecuador (1860-1870), Universitat de València, Valencia, 2020, 428 páginas.
Enviado el (Submission Date): 19/01/2021
Aceptado el (Acceptance Date): 6/03/2021
Historia de Europa. El advenimiento de la democracia
Authors: Delgado Idarreta José Miguel
Published: October 2021

Recensión de / Review of: Manuel Sales y Ferré, Historia de Europa. El advenimiento de la democracia, Estudio preliminar Gonzalo Capellán de Miguel, Urgoiti editores, Pamplona, 2020, Pág C del estudio, 130 del trabajo
Enviado el (Submission Date): 08/02/2021
Aceptado el (Acceptance Date): 15/04/2021
“Como Catón en las llanuras de Farsalia”. José Marchena y los escritos franceses de un revolucionario en el exilio
Authors: Fernández Sarasola Ignacio
Published: October 2021

Recensión de / Review of: José Marchena, Obra francesa. Escritos del primer exilio, Traducciones de Pilar Garí Aguilera, Bernat Castany Prado y José Javier Rodríguez. Epílogo de Francisco Sánchez-Blanco, Laetoli, Valencia, 2021, 384 pp.
Jaime E. Rodríguez O., el legado de un historiador
Authors: Simal Juan Luis
Published: October 2021

Recensión de / Review of: Ivana Frasquet y Víctor Peralta (eds.), La revolución política. Entre autonomías e independencias en Hispanoamérica, Marcial Pons, Madrid, 2020, 302 páginas
Enviado el (Submission Date): 29/04/2021
Aceptado el (Acceptance Date): 5/05/2021
Perspectivas sobre Weimar
Authors: Gutiérrez Gutiérrez Ignacio
Published: October 2021

Recensión de: Jesús Casquete y Javier Tajadura (coords.), La Constitución de Weimar: Historia, política y derecho, CEPC, Madrid, 2020, 291 pp.
 
Enviado el (Submission Date): 01/05/2021
Aceptado el (Acceptance Date): 4/05/2021
El inicio del fin. El movimiento trigarante en la provincia de Guanajuato, 1821
Authors: Espinosa Aguirre Joaquín Edgardo
Published: October 2021

El movimiento de independencia que se originó a partir de la proclamación del Plan de Iguala, el 24 de febrero de 1821, pasó serios apuros durante los días posteriores a su publicación, pues las autoridades virreinales realizaron un despliegue militar sobre la comandancia del Sur, donde se encontraban Agustín de Iturbide y Vicente Guerrero, lo que acotó su movilidad y campo de acción. En ese marco, cobró relevancia el triunfo sobre diversos poblados del Bajío guanajuatense que a mediados del mes de marzo consiguieron los comandantes militares de la región, ya que ello impulsó al movimiento y permitió que la causa trigarante se fortaleciera en la región central del virreinato, logrando abrir el camino hacia la obtención final de la independencia.
Enviado el: 01/05/2021
Aceptado el: 7/05/2021
Actos, actas y proyectos constitucionales para la forja de la República de Colombia: de El Socorro a Cúcuta (1810-1821)
Authors: Cuño Bonito Justo
Published: October 2021

La forja de los nuevos Estados fue un proceso cruento, donde el cambio de estructuras y superestructuras alumbró nuevos Estados liberales construidos a partir de la derrota de las monarquías absolutas. No hubo negociación, ni transición, ni consenso: la eclosión de los proyectos constitucionales acompañó un triunfo militar que lo asentó y consolidó en torno a unas nuevas bases políticas. La nueva élite triunfante se sirvió de las cartas magnas para consolidar su nueva dominación hacia el interior de sus territorios, pero también utilizaron las constituciones para asegurar su independencia frente al resto de élites regionales. El proceso de construcción de los nuevos Estados ha sido siempre observado solo desde ópticas jurídicas o solo desde perspectivas históricas, sin interrelacionar unos factores que sólo adquieren significación y lógica a través de una óptica integradora. Esto es lo que propone la presente investigación, que forma parte de un esfuerzo iniciado hace años por construir explicaciones integradoras en torno a los proyectos constitucionales que surgieron en la capitanía general de Venezuela y en el Virreinato de la Nueva Granada a principios del siglo XIX.
Fecha de envío / Submission date: 14/04/2021
Fecha de aceptación / Acceptance date: 5/05/2021
Vida y desgracias del Señor de la Guerra
Authors: Espinosa Aguirre Joaquín Edgardo
Published: October 2021

Recensión de / Review of: Juan Ortiz Escamilla, Calleja. Guerra, botín y fortuna, Universitat Jaume I, Castelló de la Plana, 2019, 270 pp.
Fecha de envío / Submission date: 16/10/2020
Fecha de aceptación / Acceptance date: 18/12/2020
De indultos y malos tratos: dos causas de G. M. de Jovellanos en la Sala de Alcaldes de Casa y Corte (Madrid, 1779-1780)
Authors: Lorenzo Álvarez Elena de
Published: October 2021

Este artículo estudia y edita documentación relativa a dos causas instruidas por G. M. de Jovellanos como Alcalde de Casa y Corte en Madrid en 1779. Se trata de dos textos breves que revisten interés porque solo teníamos noticia indirecta de cinco causas, porque estas dos nos permiten conocer de primera mano su desempeño judicial, porque la documentación conservada de las causas de la Sala de Alcaldes de Casa y Corte es limitada, y porque aportan algunos detalles sobre su trayectoria en 1779-1780, una de las etapas menos conocidas de su vida.
Fecha de envío / Submission date: 13/04/2021
Fecha de aceptación / Acceptance date: 5/05/2021
Presentación del dossier. A doscientos años de las revoluciones de Independencia hispanoamericanas
Authors: Chust Calero Manuel , Terán Mariana
Published: October 2021

Presentación del dossier "1820-1821. Un bienio crucial en el mundo hispano"
 
Fecha de envío / Submission date: 5/05/2021
Fecha de aceptación / Acceptance date: 8/05/2021
Legal Regulation of Unmanned Vehicles: Foreign and Russian Experience
Authors: Petrova Daria A. , Mukhalov Denis V.
Published: October 2021

The main purpose of this article is to analyze the legal regulation of unmanned vehicles in the world and in Russia. The methodology is founded on various methods and logical techniques of information processing. The principle method is that of analysis: comparative-legal, structural-functional, and formal-legal. The article highlights the growing interest in self-driving vehicles and autonomous control systems in general, as well as the main advantages of using such technologies. It is determined that there is a constant building of capacity within the framework of information systems and technologies, an active search for labor resources, and a constant training of new personnel to expand the segment of autonomous management systems. The article discusses the intention of legislators from a number of states to develop a regulatory framework aimed at ensuring the testing of unmanned vehicles and their access to public roads, as well as the creation of entire networks of unmanned vehicles that can relieve the transport system and improve the economic and environmental well-being of the population. Within the framework of Russian realities, various government initiatives, initiatives of the President of the Russian Federation, and attempts to regulate unmanned vehicles at the legislative level are being considered. The authors have concluded that the issue of unmanned vehicle use, as well as the legal regulation of such vehicle use is on the agenda of many states. Russias achievements in the framework of the issue are highlighted separately. The question of the emergence of two models for the development of legal regulation of unmanned vehicles is raised: the Russian model and that (those) of other countries.
The Right to Be Forgotten: The Balance Between Public and Private Interests in the Practice of Constitutional Control Organs
Authors: Petrova Daria A. , Galchun Ekaterina A.
Published: October 2021

The internet information and telecommunications network, due to its accessibility and easy storage and distribution of huge amounts of data, and its ability to search and find information, plays a key role in the implementation of such fundamental rights as freedom of speech and the press. At the same time, there is an increasing risk that materials on the World Wide Web may harm the rights and legitimate interests of individuals, especially the right to privacy. In these conditions of eternal competition between the public and the private, the right to be forgotten arises as a mechanism that allows one to remove or slow the spread of unwanted information. The authors investigate the problem of implementing this relatively new opportunity in the context of finding a balance between the public interest in obtaining information and the private interest in destroying it. It is argued that this category of cases is difficult due to the lack of a unified standard of proof and criteria for evaluating arguments. Based on an analysis of the most important precedents, the most common legal positions on the issue are identified and critically assessed. An increasing priority afforded to public interest and the decreasing requirements for the deletion of information is revealed. The authors consider the emergence of the right to be forgotten as a new mechanism for settling disputes in a pre-trial manner, by allowing one to not completely destroy, but to suspend the dissemination of undesirable information, thereby protecting private interests without violating the legitimate rights of the public. The conclusion is made about the right to be forgotten as a compromise in the conflict of fundamental rights. An approximate list of arguments for applicants and respondents is provided, suitable for practical application in disputes about the right to be forgotten.
The Activity of Lawyers in the International Criminal Court: Theoretical and Practical Aspects
Authors: Sedova Daria A.
Published: October 2021

In the entire history of mankind, a large number of acts of violence and aggression have been committed. Over the past 50 years alone, there have been more than 400 interstate and intrastate conflicts that have claimed the lives of millions of people. Increasingly, there has been an urgent need to protect the violated rights of individuals. The idea of creating a single international body for the protection of human rights has been discussed more than once. For the first time, the idea of creating an international judicial body was expressed in 1948 by the UN General Assembly after the Nuremberg and Tokyo trials at the end of World War II, which issue has been discussed at the United Nations ever since. However, efforts to create such a mechanism have not been successful, despite the need for a permanent criminal court to prosecute and punish those who commit the most serious crimes. In 1998, this idea was realized. The International Criminal Court (ICC) has sought ways to establish a world order with a fair resolution of conflicts. It has long been recognized, the verdict of the Nuremberg Tribunal noted, that international law imposes duties and obligations on specific individuals as well as on the state. [] Crimes against international law are committed by people, not by abstract categories, and only by punishing individuals who commit such crimes can the provisions of international law be respected. To date, the ICC is successfully coping with the task of punishing those persons or groups of persons who have committed the international crimes listed in the Rome Statute. It would seem that the balance between good and evil has been found. The crime has been committed and the criminal punished. But it is important to note that the procedural issues have not been resolved as well as that of punishing criminals. An urgent matter today is the status of defenders of the accused in international criminal proceedings. This question requires not only a doctrinal, but also a practical understanding.
Improved eddy current testing sensitivity using phase information
Authors: To A , Li Zhichao , Dixon S
Published: October 2021

This paper describes a two-coil eddy current sensor being used in a transmit-receive arrangement at 1 MHz, where the drive and amplification electronics are miniaturised and built directly behind the coil to reduce noise and the effects from cable length. Small, simulated defects are
detected, less than 500 microns in length, on titanium and titanium aluminide, which is an increasingly important alloy for aerospace applications. Data is analysed quantitatively in a parametric approach. This experiment uses a transmitting coil driven by a constant current source and a separate
receiving coil, where the magnitude and phase of the induced voltage signals on both coils are measured independently. Experimental measurements are validated using finite element modelling and the phase of the signal on the receiving coil in particular is less susceptible to variations caused
by changes in lift-off. A combination of experimental and simulation data of 2D surface scans and lift-off measurements show the variation in the magnitude and phase of the eddy current signal with lift-off on Ti, TiAl (Ti-45Al-2Mn-2Nb-1B) and 316L stainless steel. It is also shown that the
high-frequency lower noise approach can reliably detect defects of less than 500 microns in length in both Ti and TiAl.
Calculation and experimental verification of force-magnetic coupling model of magnetised rail based on density functional theory
Authors: Li Minglun , Yao Han , Feng Jiarui , Yao Entao , Wang Ping , Shi Yu
Published: October 2021

Metal magnetic memory (MMM) is a widely used non-destructive electromagnetic detection technology. However, the analysis of its underlying principle is still insufficient. The mechanical and magnetic coupling model is a reasonable standpoint from which to study the principle of MMM.
In this paper, a mechanical and magnetic coupling model of steel material is established based on density functional theory (DFT) using the CASTEP first-principles analysis software. In order to simulate the practical working environment, the residual magnetism in the rail is assumed to change
with the stress on the rail. By applying different stresses to the model, the relationship between the atomic magnetic moment, the lattice constant and stress is explored, as well as the causes of magnetic signals in the stress concentration zone. It is revealed that the atomic magnetic moment
and the crystal volume decrease with the increase in compressive stress. The magnetic signal on the surface of the magnetised metal component decreases with the increase in compressive stress, while the tensile stress shows the opposite tendency. Generally speaking, the change in atomic magnetic
moment and crystal volume caused by lattice distortion under stress can be seen as the fundamental reason for the change in magnetic signal on the surface of the magnetised metal. The bending experiment of the rail shows that the normal magnetic field decreases with the increase in compressive
stress in the stress concentration zone. The conclusion is verified by experiments.
Outsourcing under Competition
Authors:   , Sun Yaqin , Shen Wenjing , Kim Seung-Lae
Published: October 2021

My thesis investigates "co-opetitive outsourcing", i.e., the special case of a contract manufacturer (CM) having a dual role as an upstream manufacturer and a downstream competitor to the original equipment manufacturer (OEM). The latter role is referred to as CM encroachment. Outsourcing facilitates CM encroachment by enabling a CM to gain expertise in building the OEM's products, via the well-known "learning-by-doing" effect. Motivated by this context of outsourcing under competition, my doctoral research focused on three essays. My first essay, "Can Learning by Doing Hurt Profit? The Case of Outsourcing and Supplier Encroachment", models the influence of CM learning rate on the long-term CM/OEM profits under different underlying market conditions. In my second essay, "Price and Service Competition between an Encroaching Contract Manufacturer and an OEM", I study how CM encroachment changes price and/or service levels for OEM/CM products under different supply chain competition structures. My third essay, "Competition in Remanufacturing when Information is Asymmetric", examines a different topic, remanufacturing in outsourcing. Specifically, I assess the impact of private information on the profits of the OEM and Independent Remanufacturer (IR), and how this in turn influences the balance between new manufacturing and remanufacturing products.
Media Law and Advocacy
Authors:   , Karavangelas Theano , Cowart Helen Claire , McHugh Michelle
Published: October 2021

The purpose of this study was to investigate the contentious ground that resulted from the enactment of the Children's Television Act (CTA). The researcher intended to bring to the surface issues pertaining to the First Amendment and children's media policy implementation, the value and preservation of educational programming and lastly, the impact of the digital environment and, more specifically, online privacy on the CTA's future. Key historical events were analyzed to unearth the primary gaps and issues that are overlooked today with the breadth of children's content available on online platforms. The data that answered the research questions were collected through in-depth interviews with experts and professionals in children's media and policy advocacy. This study's findings showed that freedom of speech has little value when media entities are mandated to care for children's education and entertainment. Whether children interact with commercial or non-commercial entities, all media entities must embrace stronger regulations instead of explicitly adhering to the idea of a free marketplace. Secondly, educational programming should be available to all families on online and offline media platforms. Moreover, a review board should lead a national conversation for more research into the best qualities of an educational program and the solidification of media literacy in schools. Finally, the participants noted that online privacy has gained greater significance compared to the CTA, but such challenges do not dilute its importance. The CTA should set the example for protecting children from manipulative practices on the digital landscape and creating more educational programming on various new platforms. Broadcasters should also be better advised on the appropriate educational standards that their programming should carry.
Pipeline of Mass-spectrometry Data Processing for Diagnostic Molecular Marker Panel Obtaining Using the Example of Search Markers of Breast Cancer Metastasis
Authors: Tokareva A.O. , Chagovets V.V. , Kononikhin A.S. , Starodubtseva N.L. , Frankevich V.E. , Nikolaev E.N.
Published: October 2021

A pathology diagnostic using molecular marker is a perspective direction of clinical medicine. Mass-spectrometry (MS) is a one of methods, which are used for obtaining information about molecular profiles. Selection of species, essential for classification “case/control is an important task for data processing. Pipeline of data processing has been proposed using MS data, obtained during analysis of tumor breast tissue samples and health breast tissue samples, with the aim of metastasis marker selection. As a result, selection of lipid markers that belong to classes, related to metastasis and proliferation processes, makes it possible to create high sensitivity diagnostic model, based on logistic regression. The proposed method is applicable for data processing, obtained by MS analysis of other “omics”: metabolome, proteome, glycome.
A RELAY RACE: VIEWING DANG THAN FROM NGUYEN HUY THIEP
Authors: Do Lai Thuy , Vu Thi Trang
Published: October 2021

Since the Đổi mới (Renovation) and Open policies era, Vietnamese literature has gone through two shifts of paradigm. The first one was from the premodernism paradigm to the modernism paradigm. The second one was from the modernism paradigm to the postmodernism paradigm. The former Renovation/innovation has created a new, different writing movement and changed the whole climate of literature. A new generation of young writer, “post-1975 literature generation” has been born. The latter Renovation/innovation happened silently but more profound, had deep individualism instead of a movementcharacteristic and the self-consciousness of the writers. To present the relay races in Vietnamese literature history, the author studies Nguyen Huy Thiep and Dang Than, respectively, the former is the most prominent writer of the modernism literature and the latter of postmodernism literature. And therefore the reader could see the difference between two literature paradigms, also the difficulties in the paradigm shift.
COMPARISON BETWEEN CHINESE AND VIETNAMESE CUSTOMS: THE ROLE OF THE UXORILOCAL GROOM
Authors: Duong Tuan Anh , Thanh Duc Hong Ha
Published: October 2021

In a patriarchal society, upon getting married, the wife would move into the husband’s home. Hence, a man moving in with his wife’s family may spark controversy. Policies of the Chinese feudal government in the older days contributed to the prejudice against such a man. Chinese and Vietnamese customs have experienced 2000 years of cultural exchange with certain similarities and differences, but they both strive towards a more prosperous and humane society. This is why discrimination against uxorilocal grooms is inappropriate and needs to be removed from the culture of both nations.
THE STUDY OF HUMAN BODY IN NGUYEN DUY’S POETRY
Authors: Chung Thi Thuy
Published: October 2021

Human body is the basement for people’s existence. All human consciousness seems to be resulted from their body. It is regarded as a subject that involved in all human activities and created thoughts as well as human values. Although through Nguyen Duy’s writing career, the poet didn’t intend to use body’s language as one of means of expression. However, the body marked a deep impression in his poetry showing the fundaments of his ideas and feelings of the subject. The language of the body in his poems tended to point out some important issues such as the origin of the body, the body in wars, and the body in poverty.
A DISCOURSE ANALYSIS OF THE METAPHORS WITH THE WORD “TIME” IN TWO NICHOLAS SPARKS’ NOVELS
Authors: Nguyen Thi Kim Ngan
Published: October 2021

This research paper looks into the main ideologies conveyed by linguistics features, mainly metaphors, in the two Nicholas Sparks’ novels The Notebook and A Walk to Remember. Corpus techniques were adopted to get an overview of the data. The qualitative method was applied with Fairclough’s (2015) three-dimensional framework to analyze the data. A software called Antconc was integrated into this study to achieve the most accurate statistics. The results showed a list of twenty most frequently used keywords, in which “time” is the noun with the highest frequency. Using Fairclough’s three-dimensional model, 40 metaphors with the word “time” based on Lakoff’s (2003) theory were analysed thoroughly. Three main ideologies embedded in those metaphors were then detected. It was found that in Nicholas Sparks’ point of view, time is a valuable commodity, time is an immense invisible power, and time is a non-renewable resource.
FEATURE FILM AS A SECONDARY SOURCE IN HISTORICAL LEARNING
Authors: Hoang Thi Nga , Zakharova Maria
Published: October 2021

A true account of history depends on how reliable the source of the accounts is, and how correct facts about the event are. Primarily, historical accounts are built on what people narrate about particular incidents and events. However, people are motivated differently to give facts or fictitious accounts about a particular event. In the feature films, most story plots have been developed along the common narration in the mainstream media. Others have been altered to ensure that the films are entertaining and meet the expectations of the target audience. However, some of the incidents may or may not have occurred as shown in these movies. This topic explains the ever changing facts about the Vietnam War as shown in the films. It explains how some of the facts have been changed, some of the myths have been developed to be believed as facts and how fiction has changed history.
Four Dimensions of Women’s Empowerment in Tourism: Case Study of Indrayanti Beach, Yogyakarta, Indonesia
Authors: Wardhani Arisanti Ayu , Susilowati Indah
Published: October 2021

The emergence of sustainable tourism has led to a new tourism concept called ecotourism. Ecotourism has the principle of environmental preservation and the local communities’ welfare produces a significant impact on indigenous people in the area. This is because the local community is involved in managing sustainable tourism. Women who are part of the community have the same opportunities as men in accessing opportunities from ecotourism activities. Based on empirical research results, tourism activities create alternative jobs for women to be more independent economically, including the fact that the participation of women in tourism activities has a positive impact on them socially. Empowering women is an important part of community welfare efforts in the scope of tourism, so that women’s empowerment is important in the tourism development process. This study aims to analyze the ongoing empowerment of women and what factors are the drivers and barriers to empowerment in Indrayanti Beach as one of the leading destinations in Gunungkidul Regency as seen from four dimensions (economic, social, political, and psychological). The mixed-method approach has been used in research. It was found that the level of women’s empowerment in Indrayanti Beach had shown a good enough score with the highest average score in the economic dimension, namely 7.64, where women economically have received a positive impact from Indrayanti Beach. The lowest average score is on the political dimension, with a value of 5.82. Women politically still do not have awareness if their role is important for the sustainability of Indrayanti Beach tourism. For the social dimension, the average is 6.81, and the psychological dimension on average is 7.47, where women feel socially and psychologically empowered quite well. The main driver of women’s empowerment is the opportunity and permission from their families to participate in tourism activities. The main obstacle to women’s empowerment is the low self-confidence due to skills that have not been maximized.
The Effect of Service Quality on Loyalty Through Patient Satisfaction in Outpatient of Hospital X, Malang
Authors: Sholeh Moh , Chalidyanto Djazuly
Published: October 2021

This study aimed at analyzing correlation between digital marketing and customer satisfaction and loyalty at general hospitals during the COVID-19 pandemic era. This study was a quantitative study with an observational design and a cross-sectional approach. The population of this study was the hospital’s customers with a total sample of 100 customers that had already received hospital services during the COVID-19 pandemic era and taken using a simple random sampling technique. Data analysis was done using Pearson’s correlation test. Digital marketing was perceived well by 84% of the respondents. Further, for customer satisfaction, it was shown that most respondents had a high satisfaction of 77%. For customer loyalty, it was shown that most respondents had a high loyalty of 75%. The result of data processing for correlation between digital marketing and the respondent’s satisfaction showed a significance level of 0.000 (p-value 0.05) with an r-value of 0.827. Meanwhile, correlation between digital marketing and the respondent’s loyalty showed a significance level of 0.000 (p-value 0.05) with an r-value of 0.655. Digital marketing and customer satisfaction and loyalty at general hospitals are correlated and it’s an effective way to improve hospital customer satisfaction and loyalty during the COVID-19 pandemic era.
Factors Related to Nurse Compliance in The Implementation of Universal Precaution in The Inpatient Room One of Private Hospital in Yogyakarta
Authors: Hastuti Siti Kurnia Widi , Fadilla Annisa Intan , Apriansyah Selly
Published: October 2021

Transmission of nosocomial infections from person to person must be prevented by always maintaining hand hygiene after carrying out inspection activities and interaction activities in hospitals, one of them by doing hand hygiene. Awareness of the importance of hand hygiene in health workers is needed in efforts to prevent nosocomial infections. The hand hygiene compliance rate obtained at One of Private Hospital in Yogyakarta is 80%. Awareness of the importance of the implementation of hand hygiene does not yet exist or has not emerged in the nurse itself, while it is very important in addition to protecting himself from the transmission of infection and can reduce the risk and spread of nosocomial infections in the hospital. This study uses an observational analytic method with a cross-sectional design. The sampling technique uses proportional random sampling, with the number of samples studied as many as 89 people. The research data were analyzed using the chi-square test. The p-value of 0.040 (p 0.05) indicates that there is a relationship between knowledge and nurse compliance in the implementation of hand hygiene. A p-value of 1.00 (p 0.05) indicates that there is no relationship between attitude and nurse compliance in the implementation of hand hygiene. P-value of 0.425 (p 0.05) indicates that there is no relationship between motivation and nurse compliance in the implementation of hand hygiene
Instrument for Measuring Patient Safety Culture: Literature Review
Authors: Hanifa Yumna Nur Millati , Dhamanti Inge
Published: October 2021

The implementation of safe and quality care with attention to patient safety, requires organization’s effort to create and cultivating patient safety culture. The purpose of this article was to map the instruments used in measuring patient safety culture in healthcare organizations. The method used integrated literature review from various sources of research articles published from 2015 to 2020. The article included if it was available in full text and open access as well as articles described the instruments of patient safety culture or measurement of patient safety culture using one of the instruments of measurement of patient safety culture. The results of the literature review unravel the findings of three instruments such as HSOPSC (Hospital Survey on Patient Safety Culture), MaPSaF (Manchester Patient Safety Assessment Framework) and SAQ (Safety Attitudes Questionnaire). We concluded all three instruments contained four dimensions of patient safety culture, namely open culture, just culture, reporting culture and learning culture and were widely used to measure patient safety culture in hospitals, primary health facilities and other health facilities.
The Implementation of Antenatal Care with Telehealth Towards Pregnant Women’s Mental Health
Authors: Tendean Angelia Friksa , Dewi Arlina , Wirasto Anggit
Published: October 2021

Mental health problems among pregnant women must be prevented or managed to prevent more various possible complications that can occur to both mother and fetus, which can be carried out together with Antenatal Care (ANC). Telehealth is a technology-based approach to improving maternal health care. This study aims to discuss the implementation of ANC with telehealth towards pregnant women’s mental health. This study is a literature review conducted by searching databases of PubMed, Proquest, Cochrane Review, and EBSCOhost databases from 2000-2020. The result showed the mode of telehealth had been used varies in nine articles have reviewed, with the most participants were using handphones 56% and computers 11%, and both combination 22%, while application-based 45%, websites 22%, software 11%, internet 11%, and SMS 11%. Implementing telehealth with ANC made it possible to effectively detect early mental health and manage the problem. The result has also shown that telehealth has achieved a good satisfaction level. The common factors that influence telehealth's efficacy include income, education, the age of pregnant women, and gestational age. It can be concluded that telehealth with ANC can effectively improve mental health among pregnant women and be recommended for use by health care providers in pandemic COVID-19.
Hospital Brand Image, Service Quality, and Patient Satisfaction in Pandemic Situation
Authors: Raka Sukawati Tjokorda Gde
Published: October 2021

The aim of this research was to analyze the effect of hospital brand image, service quality, and patient satisfaction on hospital service users in Denpasar, Bali. This study was conducted during the current pandemic. This study aimed at testing the important mediation role of service quality in relation to hospital brand image on patient satisfaction. This study took the research samples of 81 respondents who used medical services at hospitals in Denpasar. The simple random sampling technique was used to collect the data. The hypothesis test results show that hospital brand image positively, significantly influences patient satisfaction. Hospital brand image positively, significantly influences service quality. Service quality positively, significantly influences patient satisfaction.
Alat Pengukur Suhu Tubuh Non Kontak
Authors: Supriyanto Supriyanto , Wahyuning Sri
Published: October 2021

Penelitian ini dilakukan untuk mendeteksi secara dini paparan virus corona melalui suhu tubuh manusia. Salah satu tanda terpaparnya adalah suhu tubuh melebihi 38 derajat Celcius, meski tidak semuanya menunjukkan gejala, bahkan ada yang tergolong orang tanpa gejala (OTG). Pengukuran suhu tubuh saat ini menggunakan Thermo gun dengan mengarahkan ke dahi pada jarak 3-5 sentimeter sehingga petugas cukup dekat dengan objek. Akibatnya, pengukuran ini tidak sesuai dengan aturan protokol kesehatan terkait social distancing. Petugas berpotensi tertular dan menularkan virus Covid 19. Penelitian ini bertujuan untuk merancang alat pengukur suhu tubuh manusia dengan jarak pengukuran yang lebih jauh. Peneliti menggunakan sensor radiasi infra merah untuk mendapatkan refleksi pada objek untuk menghitung suhu dari refleksi. Oleh karena itu, teknologi mikrokontroler digunakan untuk melakukan pemrosesan data yang cepat. Selain itu mikrokontrolernya cukup kecil, sehingga alat menjadi ringan. Dalam praktiknya, sensor infra merah dapat memindai panas tubuh manusia dari jarak 50 sentimeter. Pada saat yang sama, mikrokontroler menghitung nilai suhu dan layar LCD digunakan untuk menampilkan data. Jarak efektif pengukuran dengan alat ini adalah 40-55 sentimeter, dengan akurasi pengukuran suhu 97,99%. Sedangkan pengukuran dilakukan di tempat terbuka, tanpa AC, dan tidak terkena sinar matahari langsung.
Role of Topical Corticosteroid Therapy in Various Dermatoses
Authors: Singh Jitendra Kishore , Zanwar Yogesh Rupram , Kumar Jagannath , Patel Jatin Jayeshbhai , Dube Vineet Chandrabhushan , Sinha Madhurendra Kumar , Biswas Tanushree , Dharak Ramchander , Tiwary Pankaj , Sutariya Priyanka Kartik
Published: October 2021

Topical corticosteroids are the cornerstone in managing several dermatologic disorders, including plaque psoriasis.Managing plaque psoriasis warrants the use of an effective anti-inflammatory, antimitotic, antipruritic, and immunosuppressive agent, such as clobetasol propionate (CP). Recently, CP 0.025% cream received approval by United States food and drug administration (US FDA) for the treatment of moderate-to-severe psoriasis in adult patients. CP 0.025% cream has proven efficacious in chronic skin diseases, including controlling inflammation and pruritus, in various steroid-responsive dermatoses. In contrast to prior CP formulations, this novel CP 0.025% cream formulation does not contain propylene glycol, short-chain alcohols, and sorbitol-based emulsifiers, which are known contact allergens. The other beneficial attributes of this CP 0.025% cream formulation are high penetration of active ingredients and a lower degree of systemic absorption. This case series discusses the experience of using CP 0.025% cream in terms of its efficacy and safety in various dermatologic conditions.
The relationship between modified Graeb score and intraventricular hematoma volume with Glasgow outcome scale and modified Rankin scale in intraventricular hemorrhage of brain: a comparative study
Authors: Rashid Mohammad H. , Hossain Mohammad N. , Hossain Muhammad S. , Eva Israt Z. , Habib Rumana , Mamun Abdullah A. , Ahmed Umam U.
Published: October 2021

Background: Intraventricular hemorrhage (IVH) is an acute neurosurgical condition. The aim of this study was to identify the relationship between modified Graeb score (mGS) and intraventricular hematoma volume with Glasgow outcome scale (GOS) and modified Rankin scale (mRS).Methods: This is a Quasi-experimental study conducted in the department of neurosurgery, Chittagong Medical College Hospital, Chittagong, Bangladesh during the period from 24 July 2018 to 23 July 2019. After a detailed history and clinical examination, 150 patients were selected for this study. The study participants were divided into two major groups- external ventricular drainage (EVD) and conservative; both groups consisted of 44 patients. Written informed consent were taken from the participants. Data were analyzed using statistical package for the social sciences (SPSS) software.Results: Overall mean age was around 60 years with an age range from 15-85 years. More than three fourth of the patients in both groups were from the age group of >50 years (73.83%). There were no differences between EVD and conservative groups regarding medical comorbidities. Most prevalent comorbidity among the patients of both groups’ hypertension, followed by diabetes and previous ischemic stroke. Overall the most frequent symptoms in the studied patients were vomiting, followed by loss of consciousness, headache and convulsion. There were no significant differences between the two groups regarding presenting symptoms. The mean Glasgow coma scale (GCS) score level was significantly lower in the patients with EVD than their counterpart from 1st post-operative day to 8th post-operative day. However, within-group comparison shows that the GCS score was significantly increased from 1st day to 8th day in both groups of patients.Conclusions: These findings can be used to identify patients in whom an EVD may provide measurable outcomes benefit with respect to patient mortality and help guide neurosurgical decision-making in particular patient subgroups with acute IVH.
Functional outcome of AO type C distal humerus fractures treated with internal fixation using olecranon osteotomy in a tertiary care hospital
Authors: Singh Simranpreet , Arif Mudasser , Gupta Sanjeev
Published: October 2021

Background: Distal humerus fractures are commonly encountered in the orthopedic emergency. The goals in the treatment of these fractures are aimed at perfect anatomical reduction which could be obtained by open reduction and internal fixation.Methods: A prospective cohort study was conducted from July 2019 to December 2020 in Government Medical College, Jammu on 35 patients with AO type C distal humerus fractures. Functional outcomes were recorded and evaluated at end of 6 months using mayo elbow performance score (MEPS) score. 3 patients were lost in the follow up and were not included in the study.Results: 32 patients in the age group 20-65 years were included in the study with a mean age of 42.5 years. Males outnumbered females in ratio of 3:1. Patients undergoing olecranon osteotomy for fixation of distal humerus fractures had mean elbow flexion (121±8.3), loss of elbow extension (10.3±4.2). The functional outcome was made using MEPS score with a mean of 84±8.4 at final follow up.Conclusions: In this study we concluded that olecranon osteotomy approach provided better outcome. Intraarticular distal humerus fractures was better visualized with olecranon osteotomy approach and allowed early mobilization.
Prospective analysis of post-operative pain management in elective laparotomies in a tertiary care centre
Authors: T. Nithya , Rajagopalan S.
Published: October 2021

Background: The study was conducted to record the drug used for postoperative pain in elective laparotomies and to determine the effectiveness of multimodal analgesics used.Methods: A prospective observational study for a period of 15 months from March 2019 to May 2020 in 140 patients who underwent elective laparotomies from the department of general surgery Rajarajeswari medical college and hospital (tertiary care center).Results: A total of 140 patients were included among which 58 (41.4%) were female and 82 (58.6%) were male patients. The 20 different types of surgeries were recorded. In our study the most common surgery performed was open appendectomy followed by open cholecystectomy. Most common mode of analgesia used was combined analgesia. Opioids, NSAIDS (non-steroidal anti-inflammatory drugs), epidural and transdermal patch was used. NRS (numerical rating scale) score was recorded for all 140 patients on postoperative days 1, 2 and 3.Conclusions: Combined analgesia was better mode of pain management method than a single analgesic. Due to different multimodal analgesics used in different institutions patients experienced different degrees of pain, hence we need a standard protocol for a best pain management method.
Clinical profile of ST-elevation myocardial infarction patients from a tertiary care hospital in Northern India
Authors: Kumar Prakhar , Durdana Shazia
Published: October 2021

Background: Our aim was to the study clinical and epidemiological profile of patients presenting with ST-elevation myocardial infarction (STEMI).Methods: We did a single centre cross-sectional observational study of 200 patients presented with STEMI to a tertiary referral centre in Northern India from January 2016 to November 2017. All patients above 18 years of age admitted with diagnosis of STEMI were included in the study.Results: The mean age of study population was 55.75±12.5. The most common chief compliant was chest pain (95.1%). The anterior wall myocardial infarction (AWMI) accounted for 60.5% of all STEMI patients. The median duration from onset of symptoms to presentation to hospital was 7.93±6.58 hours. Cardiogenic shock was observed in 10.5% patients. Most common risk factor noted was smoking (63%). Mean left ventricular ejection fraction (LVEF) was less in AWMI (47±9.09) as compared to inferior wall myocardial infarction (IWMI) (50.72±7.14) (p<0.05). Among 200 cases studied, 11.5% cases developed post MI-Angina. Among arrhythmic complications, sinus bradycardia was most common (17.5%).Conclusions: Our study represents the predominance of AWMI as the initial acute coronary syndrome (ACS) presentation with a considerable delay in first medical contact. Complications like cardiogenic shock, arrhythmia were frequently observed. The biggest barrier to uniform STEMI care in developing nations is nonexistence of regional systems of care and this need to be improved.
Skin manifestations of autoimmune diseases in the pediatrics
Authors: Alyamani Nawal R. , Alsuwayq Ridha M. , Bahatheq Nawaf M. , Alkhatir Zahra A. , Alhawdar Arwa W. , Alharthi Yousef H. , Alqarni Khalid H. , Turkistani Ebtihal A. , Alkhamis Riam S. , Alkhowaiter Rhonda A. , Albrahim Latifa I. , Safar Mohammed A.
Published: October 2021

Autoimmune diseases during childhood are common and are usually observed to affect multiple systems. Among many pediatric autoimmune diseases, several cutaneous manifestations were reported in the literature, and the adequate examination and detection of these manifestations might significantly enhance the chances of establishing an adequate diagnosis of the underlying diseases and conditions because the affected patients usually present with typical symptoms. Establishing a proper diagnosis can enhance the prognosis of the affected patients and might prevent the development of serious complications and other adverse events. Besides, it was also previously indicated that establishing an early diagnosis will furtherly help with deciding the most appropriate interventions, which will also enhance the prognosis of the pediatric population. In this literature review, we have discussed the cutaneous manifestations of several autoimmune diseases that might affect the pediatric population. We have majorly discussed the conditions that are associated with systemic lupus, juvenile idiopathic arthritis, dermatomyositis, juvenile-onset systemic sclerosis and morphea. The cutaneous manifestations of these conditions are hugely variable and usually need careful examination and adequate differential diagnosis to establish the best management modality. Besides, some manifestations might gradually develop which might even make the diagnostic approaches even more difficult. Accordingly, clinicians should provide full and thorough examination and diagnosis of the suspected patients because detecting such cases might significantly enhance the prognosis and lead to adequate treatment.
Prevalence of anemia in pregnancy in rural Warangal
Authors: Lingala Murali , D. Manisha , . Bhagath , . Kavitha
Published: October 2021

ABSTRACTINTRODUCTION: Anemia in pregnancy is an important factor which is associated with a number of maternal and fetal complications. It is a major contributor to poor pregnancy and birth outcomes in developing countries. This study aims at finding the prevalence of anemia among pregnant women living in rural Warangal and to determine the socio-demographic features of pregnant women.METHODOLOGY: A community based cross-sectional study was conducted in Wardhanapet, the rural field practicing area of Kakatiya medical college, Warangal, Telangana. All pregnant women between the ages of 15 and 49 years were included in the study.The sample size was calculated by using the formula *P*Q/ = 382 pregnant women. Where Z is confidence level at 95% (standard value is 1.96); P is proportion (prevalence of anemia during pregnancy 54.4%, NFHS-5); L is precision at 95% CI = 0.05.Simple random sampling was done and the data was collected using a pre-designed, semi-structured questionnaire. Hemoglobin levels were taken from existing lab reports of the subjects. Hemoglobin cut-off for anemia during pregnancy was taken as per WHO criteria. The data collected was entered in MS-EXCEL and exported to SPSS V20 for further analysis. Chi square test was used to find out the significance and p value ≥0.05 was considered significant.RESULTS: Among 382 subjects, the prevalence of anemia was 62%. Of them, 40% (n=130) had mild, 55% (n=155) had moderate anemia and 5% (n=12) had severe anemia. Significant association was found between anemia and parity, birth spacing, intake of IFA tablets, education and type of diet. There was no association between age of the subject, age at first conception and socioeconomic status.CONCLUSION: As prevalence of anemia is 62%, efforts to identify modifiable factors of anemia the importance of prevention of anemia must be reinforced in pregnant women.