bluuebunny/crossref_metadata_2025 huggingface dataset:
Parental Worries, Child Maltreatment Risk and Empowerment: How Are They Noticed in Child and Family Services?
Authors: Lepistö Sari Johanna , Ellonen Noora , Rantanen Heidi Eveliina , Vuorenmaa Maaret Kristiina , Helminen Mika Tapio , Paavilainen Eija
Published: February 2022

Parental empowerment has been related to their well-being and self-efficacy. Learning more about the signs describing child maltreatment risk are crucial for the welfare of children and families. The aim of this study was to assess the risk of child maltreatment (CM) and related worrying factors of parents and associations between the CM risk, worries and parental empowerment. The study is based on self-report surveys administered to parents in primary health care and hospital settings. The risk of CM and related worrying factors were measured by the Brief Child Abuse Potential Inventory (BCAP) from 453 parents. Family empowerment was measured by The Generic Family Empowerment Scale (G-FES). Parents expressed worries such as loneliness and distress (20%), feelings of persecution (9%), family conflict (17%), rigidity (21%) and financial insecurity (4%). The BCAP found 27 parents with increased risk. Parents with CM risk expressed more empowerment in connection to services for their child and family. It is crucial to discuss worries in child and family services before they raise the risk level. Tools such as the BCAP are useful in systematically identifying the child maltreatment risk and parental worries under discussion, offering possibilities for preventing child maltreatment and increasing well-being of children.
Blended Learning and Teaching in Higher Education: An International Perspective
Authors: Amenduni Francesca , Ligorio Maria Beatrice
Published: February 2022

Blended learning is not a new topic for educational research in Higher Education (HE) [...]
Turmeric-Fortified Cow and Soya Milk: Golden Milk as a Street Food to Support Consumer Health
Authors: Idowu-Adebayo Folake , Fogliano Vincenzo , Linnemann Anita
Published: February 2022

We studied plant-based milk from soya beans as a means to release and convey the bound antioxidants in turmeric to benefit consumer health. This was compared to cow milk as a carrier because soya milk consumption as an alternative to cow milk is increasing globally. Hence, turmeric paste was added to milk to investigate the release of turmeric antioxidants when changing the matrix (cow vs. soy), the amount of turmeric paste (0%, 2%, and 6%), and the effect of heating (with and without). Proximate, physicochemical, and mineral analysis were carried out for all samples. The total phenol content (TPC) and total antioxidant activity were measured using Folin–Ciocalteu and Quencher methods. Protein ranged from 2.0% to 4.0%, and minerals ranged from 17.8 to 85.1, 0.37 to 0.53, and 0.29 to 0.30 mg/100 mL for calcium, iron, and zinc, respectively. TPC ranged from 0.01 to 0.147 GAE (g/kg) and antioxidant activity from 7.5 to 17.7 TEAC (mmol Trolox/kg sample). Overall, turmeric added nutritional and chemical value to all the samples with and without heat treatment. However, turmeric-fortified soya milk samples showed the highest protein, iron, zinc, TPC, and antioxidant activity. This study identified a cheap, additional nutrient source for developing-countries’ malnourished populations by utilizing soya bean milk to produce golden milk.
Active Transport Network Design Based on Transit-Oriented Development and Complete Street Approach: Finding the Potential in Qazvin
Authors: Mirzahossein Hamid , Rassafi Amir Abbas , Jamali Zahra , Guzik Robert , Severino Alessandro , Arena Fabio
Published: February 2022

Today, automobile dependency constantly causes traffic congestion, delays, reduced access, increased fuel and energy consumption, and environmental emissions. Automobile dependency has caused many direct and indirect transportation problems that may influence our life. Urban planners and transportation engineers seek to improve transport networks considering social issues. One of the most successful solutions for advocating sustainable transport is transit-oriented development (TOD). Another solution that planners encourage to use is designing the roadways based on a complete street approach, which is a system that provides safe, convenient, and comfortable travel and increases accessibility for users of all ages regardless of their transport modes. The present study employed the saturated roads that have heavy traffic most of the time and public transport e-ticket data to investigate the potential complete streets in Qazvin. An online questionnaire was developed using the Analytic Hierarchy Process (AHP) method based on the TOD and the complete street framework to investigate the essential criteria for redesigning the network based on the active transport approach. Thus, after analyzing the six criteria (density, diversity, distance, accessibility, demand management, and design) and eight sub-criteria (pedestrian flow, pedestrian density, connectivity, safety, bike route, bus route, road width, and urban tree canopy index), the proposed active transport network emerged and results show that five high priority streets were identified to be considered as a solution.
Arrhythmic Mitral Valve Prolapse and Mitral Annular Disjunction: Clinical Features, Pathophysiology, Risk Stratification, and Management
Authors: Chakrabarti Apurba K. , Bogun Frank , Liang Jackson J.
Published: February 2022

Mitral valve prolapse (MVP) is a common cause of valvular heart disease. Although many patients with MVP have a benign course, there is increasing recognition of an arrhythmic phenotype associated with ventricular arrhythmias and sudden cardiac death (SCD). Pathophysiologic mechanisms associated with arrhythmias include cardiac fibrosis, mechanical stress induced changes in ventricular refractory periods, as well as electrophysiologic changes in Purkinje fibers. Clinically, a variety of risk factors including demographic, electrocardiographic, and imaging characteristics help to identify patients with MVP at the highest at risk of SCD and arrhythmias. Once identified, recent advances in treatment including device therapy, catheter ablation, and surgical interventions show promising outcomes. In this review, we will summarize the incidence of ventricular arrhythmias and SCD in patients with MVP, the association with mitral annular disjunction, mechanisms of arrhythmogenesis, methods for arrhythmic and SCD risk stratification including findings with multimodality imaging, and treatments for the primary and secondary prevention of SCD.
Addressing Climate Change Vulnerability in the IUCN Red List of Ecosystems—Results Demonstrated for a Cross-Section of Major Vegetation-Based Ecosystem Types in the United States
Authors: Comer Patrick J. , Hak Jon C. , McIntyre Patrick
Published: February 2022

The IUCN Red List of Ecosystems (RLE) is a global standard for ecosystem risk assessment that integrates data and knowledge to document the relative risk status of ecosystem types as critically endangered (CR), endangered (EN), and vulnerable (VU). A series of indicators for each type gauge the probability of range wide “collapse”. Climate change vulnerability can factor into RLE assessments, especially as indicators of climate change severity under the criteria for environmental degradation over the recent and upcoming 50 years. We applied a new framework to assess climate change vulnerability—and thus, severity of climate change degradation—to a cross-section of 33 upland ecosystem types in the United States to demonstrate this input to the RLE. The framework addressed climate exposure and ecosystem resilience. Measures of climate change exposure used climate projections for the mid-21st century compared against a 20th century baseline. Augmenting measures in use for RLE assessment, measures of resilience included several for adaptive capacity, including topoclimate variability, diversity with functional species groups, and vulnerability of any keystone species. All 33 types were listed as VU (n = 22), EN (n = 9), or CR (n = 2) and 51% scored at least one step higher (e.g., LC up to VU) from climate change severity.
Influence of Graded Surface Decarburization of Automobile Forging Front Axle on the Bending Behavior Based on a Third-Order Shear Deformation Beam Theory
Authors: Hu Zeqi , Wu Min , Hua Lin , Qin Xunpeng , Ni Mao
Published: February 2022

During the forging process of automobile front axle, the steel near the surface is often decarburized for a certain depth. The mechanical properties at the decarburization layer are graded and different from the inner area, influencing the bending behavior of axles under heavy loads. In this paper, the decarburized forging of front axle is regarded as a rectangular thick sandwich beam, composed of a homogeneous core and the functionally graded layer coated on both bottom and top surface. A Third-order Shear Deformation Theory (TSDT) is employed to investigate the static bending behaviors under two point−loads. The properties of sandwich FG material are represented with a piecewise power−law function, and the displacement field governing equations are derived through the virtual work principle. The Navier analytical method and numerical DQM procedures are employed to obtain the bending responses under simply supported boundary conditions, and the results are validated through the comparison with an example in the literature. Then, the transverse deflection, rotation, axial stress, and shear stress are studied in terms of different power−law exponents, decarburization depth, unsymmetrical decarburization depth, unbalance loading, and beam sectional dimension. The study reveals the influence of surface decarburization on the bending behavior of forged automobile front axles, and contributes to the optimization of structure design.
General Cutting Load Model for Workload Simulation in Spindle Reliability Test
Authors: Kong Lingda , Chen Weizheng , Luo Wei , Chen Chuanhai , Yang Zhaojun
Published: February 2022

As the key functional component of the machine tool, the reliability test of the spindle is necessary to verify the reliability of the machine tool. In the reliability test, the cutting load model is the guideline of workload simulation and is the prerequisite to ensure the accuracy and effectiveness of the long-term experiment. However, the existing load models usually aim at the specific cutting force at the tool-tip, thereby ignoring the versatility, maneuverability, and accuracy of the load model when applied in the spindle reliability test. In this study, a general cutting load model for the machine tool spindle is established in a form of radial-axial-torque decomposition, and the radial force is simplified as non-rotating status for the maneuverability of conducting a load simulation. The difference between rotating and non-rotating radial force on the reliability calculation is also discussed and corrected using bearing fatigue analysis. A spindle reliability test platform with radial force, axial force, and torque simulation is developed according to the cutting load model, while the loading spectrum is compiled for conducting the spindle reliability test. This research is of great engineering value for the designing of the spindle reliability test.
Subclasses of Multivalent Meromorphic Functions with a Pole of Order p at the Origin
Authors: Breaz Daniel , Karthikeyan Kadhavoor R. , Umadevi Elangho
Published: February 2022

In this paper, we carry out a systematic study to discover the properties of a subclass of meromorphic starlike functions defined using the Mittag–Leffler three-parameter function. Differential operators involving special functions have been very useful in extracting information about the various properties of functions belonging to geometrically defined function classes. Here, we choose the Prabhakar function (or a three parameter Mittag–Leffler function) for our study, since it has several applications in science and engineering problems. To provide our study with more versatility, we define our class by employing a certain pseudo-starlike type analytic characterization quasi-subordinate to a more general function. We provide the conditions to obtain sufficient conditions for meromorphic starlikeness involving quasi-subordination. Our other main results include the solution to the Fekete–Szegő problem and inclusion relationships for functions belonging to the defined function classes. Several consequences of our main results are pointed out.
Some New Versions of Integral Inequalities for Left and Right Preinvex Functions in the Interval-Valued Settings
Authors: Khan Muhammad Bilal , Treanțǎ Savin , Soliman Mohamed S. , Nonlaopon Kamsing , Zaini Hatim Ghazi
Published: February 2022

The principles of convexity and symmetry are inextricably linked. Because of the considerable association that has emerged between the two in recent years, we may apply what we learn from one to the other. In this paper, our aim is to establish the relation between integral inequalities and interval-valued functions (IV-Fs) based upon the pseudo-order relation. Firstly, we discuss the properties of left and right preinvex interval-valued functions (left and right preinvex IV-Fs). Then, we obtain Hermite–Hadamard (𝓗-𝓗) and Hermite–Hadamard–Fejér (𝓗-𝓗-Fejér) type inequality and some related integral inequalities with the support of left and right preinvex IV-Fs via pseudo-order relation and interval Riemann integral. Moreover, some exceptional special cases are also discussed. Some useful examples are also given to prove the validity of our main results.
Dysbiotic Gut Bacteria in Obesity: An Overview of the Metabolic Mechanisms and Therapeutic Perspectives of Next-Generation Probiotics
Authors: Breton Jonathan , Galmiche Marie , Déchelotte Pierre
Published: February 2022

Obesity, a worldwide health concern with a constantly rising prevalence, is a multifactorial chronic disease associated with a wide range of physiological disruptions, including energy imbalance, central appetite and food reward dysregulation, and hormonal alterations and gut dysbiosis. The gut microbiome is a well-recognized factor in the pathophysiology of obesity, and its influence on host physiology has been extensively investigated over the last decade. This review highlights the mechanisms by which gut dysbiosis can contribute to the pathophysiology of obesity. In particular, we discuss gut microbiota’s contribution to host energy homeostatic changes, low-grade inflammation, and regulation of fat deposition and bile acid metabolism via bacterial metabolites, such as short-chain fatty acids, and bacterial components, such as lipopolysaccharides, among others. Finally, therapeutic strategies based on next-generation probiotics aiming to re-shape the intestinal microbiota and reverse metabolic alterations associated with obesity are described.
Enhanced Production of (R)-3-Hydroxybutyrate Oligomers by Coexpression of Molecular Chaperones in Recombinant Escherichia coli Harboring a Polyhydroxyalkanoate Synthase Derived from Bacillus cereus YB-4
Authors: Goto Saki , Miyahara Yuki , Taguchi Seiichi , Tsuge Takeharu , Hiroe Ayaka
Published: February 2022

The biodegradable polyester poly-(R)-3-hydroxybutyrate [P(3HB)] is synthesized by a polymerizing enzyme called polyhydroxyalkanoate (PHA) synthase and accumulates in a wide variety of bacterial cells. Recently, we demonstrated the secretory production of a (R)-3HB oligomer (3HBO), a low-molecular-weight P(3HB), by using recombinant Escherichia coli expressing PHA synthases. The 3HBO has potential value as an antibacterial substance and as a building block for various polymers. In this study, to construct an efficient 3HBO production system, the coexpression of molecular chaperones and a PHA synthase derived from Bacillus cereus YB-4 (PhaRCYB4) was examined. First, genes encoding enzymes related to 3HBO biosynthesis (phaRCYB4, phaA and phaB derived from Ralstonia eutropha H16) and two types of molecular chaperones (groEL, groES, and tig) were introduced into the E. coli strains BW25113 and BW25113ΔadhE. As a result, coexpression of the chaperones promoted the enzyme activity of PHA synthase (approximately 2–3-fold) and 3HBO production (approximately 2-fold). The expression assay of each chaperone and PHA synthase subunit (PhaRYB4 and PhaCYB4) indicated that the combination of the two chaperone systems (GroEL-GroES and TF) supported the folding of PhaRYB4 and PhaCYB4. These results suggest that the utilization of chaperone proteins is a valuable approach to enhance the formation of active PHA synthase and the productivity of 3HBO.
Farm-Level Technical Efficiency and Its Determinants of Rice Production in Indo-Gangetic Plains: A Stochastic Frontier Model Approach
Authors: Chandel Raj bahadur Singh , Khan Aftab , Li Xiaojing , Xia Xianli
Published: February 2022

This research was conducted to explore the factors affecting the technical efficiency (TE) of rice producers and its determinants at the farm level. We used a multi-stage sampling procedure to collect cross-sectional data from 800 rice growers in the Uttar Pradesh state of India, and a stochastic frontier model (SFA) was applied. The results showed that the mean technical efficiency was 72%, suggesting scope for a substantial increment in rice productivity exists while using the current level of inputs and technologies. Furthermore, the MLE results revealed that labor, irrigation, and hybrid seeds had a constructive impact on technical efficiency, while experience and tenure status showed a negative impact on technical efficiency. As unraveled by the results of the study, it can be concluded that the technical efficiency of rice farmers can be improved through timely access to credit and agricultural information delivered to them via extension services. The study, therefore, recommends that the government provide subsidized agrochemicals and focus on developing a robust network of extension services throughout the local districts for proper dissemination of inputs. About 12% of India’s rice is produced in the Uttar Pradesh state. So, this study could be an essential tool for the agriculture sector, which could help to solve rice productivity problems for future generations.
Integrating the OHIF Viewer into XNAT: Achievements, Challenges and Prospects for Quantitative Imaging Studies
Authors: Doran Simon , Al Sa’d Mohammad , Petts James , Darcy James , Alpert Kate , Cho Woonchan , Escudero Sanchez Lorena , Alle Sachidanand , El Harouni Ahmed , Genereaux Brad , Ziegler Erik , Harris Gordon , Aboagye Eric , Sala Evis , Koh Dow-Mu , Marcus Dan
Published: February 2022

Purpose: XNAT is an informatics software platform to support imaging research, particularly in the context of large, multicentre studies of the type that are essential to validate quantitative imaging biomarkers. XNAT provides import, archiving, processing and secure distribution facilities for image and related study data. Until recently, however, modern data visualisation and annotation tools were lacking on the XNAT platform. We describe the background to, and implementation of, an integration of the Open Health Imaging Foundation (OHIF) Viewer into the XNAT environment. We explain the challenges overcome and discuss future prospects for quantitative imaging studies. Materials and methods: The OHIF Viewer adopts an approach based on the DICOM web protocol. To allow operation in an XNAT environment, a data-routing methodology was developed to overcome the mismatch between the DICOM and XNAT information models and a custom viewer panel created to allow navigation within the viewer between different XNAT projects, subjects and imaging sessions. Modifications to the development environment were made to allow developers to test new code more easily against a live XNAT instance. Major new developments focused on the creation and storage of regions-of-interest (ROIs) and included: ROI creation and editing tools for both contour- and mask-based regions; a “smart CT” paintbrush tool; the integration of NVIDIA’s Artificial Intelligence Assisted Annotation (AIAA); the ability to view surface meshes, fractional segmentation maps and image overlays; and a rapid image reader tool aimed at radiologists. We have incorporated the OHIF microscopy extension and, in parallel, introduced support for microscopy session types within XNAT for the first time. Results: Integration of the OHIF Viewer within XNAT has been highly successful and numerous additional and enhanced tools have been created in a programme started in 2017 that is still ongoing. The software has been downloaded more than 3700 times during the course of the development work reported here, demonstrating the impact of the work. Conclusions: The OHIF open-source, zero-footprint web viewer has been incorporated into the XNAT platform and is now used at many institutions worldwide. Further innovations are envisaged in the near future.
Detect Megaregional Communities Using Network Science Analytics
Authors: Zhang Ming , Lan Bolin
Published: February 2022

Urban science research and the research on megaregions share a common interest in the system of cities and its implications for world urbanization and sustainability. The two lines of inquiry currently remain largely separate efforts. This study aims to bridge urban science and megaregion research by applying network science’s community detection algorithm to explore the spatial pattern of megaregions in the contiguous United States. A network file was constructed consisting of county centroids as nodes, the direct links between each pair of counties as edges, and inter-county commuting flows as the weight to capture spatial interactions. Analyses were carried out at two levels, one at the national level using Gephi and the other for the State of Texas involving NetworkX, an open-source Python programming package to implement a weighted community detection algorithm. Results show the detected communities largely conforming to the qualitative knowledge on megaregions. Despite a number of limitations, the study indicates the great potential of applying network science analytics to improve understanding of the spatial process of megaregions.
Efficacy of the combined use of physiotherapy for the correction of carbohydrate and lipid metabolism disorders in metabolic and post-COVID syndromes
Authors:   LLC «Med TeKo», Center for Strategic Planning and Management of Biomedical Health Risks of the FMBA of Russia, Moscow, Russian Federation, Benkov Andrey Aleksandrovich , Nagornev Sergey Nikolaevich ,   FSBI Center for Strategic Planning and Management of Biomedical Health Risks, FMBA of Russia, Moscow, Chelombitko Ekaterina Gennadievna ,   cademy of Postgraduate Education, FMBA of Russia, FSBI Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the FMBA of Russia, Moscow, Russian Federation, Gusakova Elena Viktorovna ,   FSBI CPE CSMA, Moscow, Russian Federation, Frolkov Valeriy Konstantinovich ,   Center for Strategic Planning and Management of Biomedical Health Risks, FMBA of Russia, Moscow, Korlyakova Olga Veniaminovna ,   I.M. Sechenov First Moscow State Medical University, Moscow
Published: February 2022

The article analyzes the mechanisms of the effect of low-frequency electrostatic field (LESF) and transcranial magnetic stimulation (TMS), as well as their combined use, on various functional systems in patients with metabolic syndrome under placebo control. It was found that LESF activates the microcirculatory-tissue system, while TMS optimizes the hormonal regulation of carbohydrate and lipid metabolism, with both physical factors having approximately equal antithrombolytic and hypotensive effects. When used together, the biological potential of these factors is summed up. The revealed patterns were confirmed in patients with post-COVID syndrome. In addition, they showed a decrease in the activity of inflammatory processes, an improvement in blood oxygen saturation and a decrease in the severity of depression. It is concluded that it is advisable to use these technologies to correct metabolic disorders and increase the effectiveness of the treatment of post-COVID syndrome.
Сontrol of the quality and safety of medical activities in health care companies
Authors:   Plekhanov Russian University of Economics, Korchagina L.M.
Published: February 2022

The quality of health care is one of the most frequently cited principles of health policy, as well as a political priority and an important factor influencing the health of the population. It is currently high on the agenda of policymakers at the national, European, and international levels. There are countless risks in the health care system, and minimizing them is always a priority. Quality management is key to creating a safe environment for healthcare patients. The article reflects the reasons for focusing on the quality of care provided by medical organizations.
ISOLASI DAN UJI POTENSI BAKTERI ASAM LAKTAT ASAL KIMCHII DAN TEH KOMBUCHA DALAM MENGHAMBAT BAKTERI PATOGEN
Authors: Riadi Selamat , Setiyawati Dewi , Situmeang Suryani
Published: February 2022

ABSTRAK

 

Bakteri asam laktat dikenal luas sebagai bakteri probiotik yang dapat berfungsi sebagai antimikroba melalui metabolit yang dihasilkannya. Senyawa metabolit yang dihasilkan bakteri asam laktat memiliki kemampuan menghambat pertumbuhan mikroorganisme patogen. Senyawa aktif yang dihasilkan bakteri asam laktat tersebut disebut bakteriosin. Bakteriosin merupakan senyawa aktif yang dihasilkan oleh bakteri termasuk bakteri asam laktat yang berfungsi sebagai bakterisida. Habitat bakteri asam laktat salah satunya adalah di dalam makanan fermentasi. Teh kombucha dan fermentasi sayuran (kimchi) merupakan produk fermentasi yang dapat dibuat secara sederhana di rumah. penelitian ini dilaksanakan secara deskriptif dengan tahapan penelitian yaitu persiapan sampel, isolasi, pemurnian isolat, identifikasi isolate, uji antagonis dan uji senyawa bakteriosin. Berdasarkan hasil penelitian didapatkan 5 jenis isolat yaitu KT01, KT02, FK01, FK02 dan FK03. Keseluruhan isolat merupakan kelompok bakteri gram positif dengan variasi bentuk sel basil dan kokus. Isolat bakteri KT02 dan FK02 diketahui meghasilkan zona hambat terbesar terhadap ketiga jenis bakteri pathogen Eschericia coli, Salmonella thypii dan Shigella dysentriae.
Determinan Kejadian Diare Pada Anak Balita di Kelurahan Bagan Deli Wilayah Kerja Puskesmas Belawan Medan
Authors: Manalu Putranto , Damanik Wulan Indah , Pane Putri Yunita , Sibagariang Eva Ellya
Published: February 2022

Menurut data dari WHO tahun 2013, diare masih menjadi penyebab kematian terbesar kedua pada balita. Tiap tahunnya diare menyebabkan kematian pada 760.000 balita di seluruh dunia. Banyak factor yang menyebabkan terjadinya diare pada balita yaitu personal higiene yang tidak baik, sanitasi jamban yang tidak memenuhi syarat, sumber air yang tidak memenuhi syarat dan lain-lain. Berdasarkan data yang dimiliki Puskesmas Belawan jumlah kasus diare yang di tangani dari bulan mei sampai bulan oktober tahun 2018 adalah sebanyak 498 kasus, yang di  sesuaikan dengan jumlah usia 1- 4 tahun. Penelitian ini bertujuan untuk mendeskripsikan determinan kejadian kasus diare pada balita di Kelurahan Bagan Deli Wilayah Kerja Puskesmas Belawan Medan. Populasi dalam penelitian ini adalah seluruh penderita diare pada balita di Kelurahan Bagan Deli Belawan pada tahun 2018 yang berjumlah 302 orang. Sampel diambil dengan menggunakan teknik purposive sampling dan didapatkan jumlah sampel 75 orang ibu yang memiliki anak balita. Berdasarkan uji statistik menggunakan uji chi-square terdapat hubungan yang signifikan antara personal hygiene (p = 0.000), sanitasi jamban (p = 0,000), dan sumber air (p = 0,000) dengan kejadian diare pada balita. Penelitian ini menyimpulkan terdapat hubungan antara personal hygiene, sanitasi jamban keluarga dan sumber air dengan kejadian diare pada balita di Kelurahan Bagan Deli Wilayah Kerja Puskesmas Belawan.
PENGARUH FAKTOR INDIVIDU, ORGANISASI DAN PERILAKU TERHADAP KEPATUHAN PERAWAT DALAM MELAKSANAKAN HAND HYGIENE DI RUANG RAWAT INAP RSUD BATU BARA
Authors: Hariyanto Budi , Nadapdap Thomson P , Simanjorang Aisyah
Published: February 2022

Abstract

            Hospital is a gathering place for all kinds of diseases, both infectious and non-communicable. In terms of origin or infection, it can come from the community (community acquired infection) or come from the hospital environment (Hospital acquired infection) which was previously known as nosocomial infection. The purpose of this study was to analyze the influence of individual, organizational and behavioral factors on nurse compliance in implementing hand hygiene in the inpatient room of Batu Bara Hospital. This type of research is a survey. The population in this study were 70 nurses who worked at Batubara Hospital and all of them were sampled. Data collection using a questionnaire. Data analysis used univariate analysis and bivariate analysis using the Chi-Square test at the 95% confidence level, α = 5%. The results of this study indicate that there is an influence of individual factors on nurses' compliance in implementing hand hygiene. There is an influence of organizational factors on nurses' compliance in implementing hand hygiene. Nurses' compliance in implementing Hand Hygiene is influenced by organizational factors of 4,119 times. For the management of Batu Bara Hospital to improve the promotion strategy of lefleat media and MMT hand hygiene in the form of quality improvement (design, word / sentence structure, size), increasing the number, and placement locations that are easily seen by anyone.
PENGARUH PELAYANAN KESEHATAN GIGI DAN MULUT TERHADAP KEPUASAN PASIEN DI PUSKESMAS SENTOSA BARU KOTA MEDAN
Authors: Astuti Sri , Nyorong Mappeaty , Januariana Neni Ekowati
Published: February 2022

ABSTRAK

Mutu pelayanan kesehatan dapat memengaruhi derajat kesehatan dan kesejahteraan pasien, karena pasien yang merasa puas akan datang berobat kembali. Adapun tujuan dalam penelitian ini yaitu untuk menganalisis pengaruh pelayanan kesehatan gigi dan mulut terhadap kepuasan pasien di puskesmas Sentosa Baru Kota Medan. Penelitian ini menggunakan jenis penelitian kuantitatif survei analitik dengan rancangan cross sectional study. Lokasi penelitian ini dilakukan di puskesmas Sentosa Baru Kota Medan. Populasi penelitian yaitu seluruh pasien rawat jalan yang berkunjung dengan rata-rata kunjungan perbulan yaitu 422 pasien. Adapun jumlah sampel dalam penelitian ini sebanyak 81 orang. Teknik yang digunakan adalah purposive sampling. Data hasil survey dianalisis dengan menggunakan uji chi-square dan regeresi logistik.  Hasil penelitian menunjukkan bahwa ada pengaruh wujud (tangible), kehandalan (reliability), cepat tanggap (responsiveness), kepastian (assurance) dan empati (emphaty) pelayanan kesehatan gigi dan mulut terhadap kepuasan pasien. Berdasarkan hasil penelitian diketahui bahwa wujud (tangible), kehandalan (reliability), cepat tanggap (responsiveness), (assurance) kepastian dan empati (emphaty) berpengaruh terhadap kepuasan pasien di puskesmas Sentosa Baru Kota Medan dan variabel yang paling berpengaruh terhadap kepuasan pasien adalah variabel cepat tanggap (responsiveness). Adapun saran bagi penelitian ini yaitu sebaiknya puskesmas untuk menjaga kepuasan pasien pelanggan dengan meningkatkan mutu pelayanan dan melengkapi sarana prasarana yang masih kurang sehingga kepuasan pasien terpenuhi dan pasien menjadi loyal
PENATALAKSANAAN PASIEN DEMAM TIFOID RAWAT INAP DI RSUD H. ABDUL MANAN SIMATUPANG KISARAN
Authors: Rahimi Armon , Tarigan Antje Irmella , Lubis Adhayani
Published: February 2022

Kejadian demam tifoid di  Indonesia sekitar 760-810 kasus per 100.000 penduduk setiap tahunnya, dengan angka kematian 3,1-10,4%. Penelitian ini bertujuan untuk mengetahui gambaran diagnostik dan penatalaksanaan pasien demam tifoid rawat inap. Penelitian ini merupakan penelitian deskriptif dengan desain studi kasus. Populasi seluruh data pasien demam tifoid rawat inap di RSUD H. Abdul Manan Simatupang Kisaran dan jumlah sampel yang ditentukan sebanyak 100 data yang diambil oleh petugas rekam medik. Penelitian ini menyimpulkan keluhan utama tertinggi pada pasien demam tifoid adalah demam (91%) dan keluhan tambahan tertinggi mual (76%). Berdasarkan jenis pemeriksaan, pemeriksaan fisik yang tertinggi adalah pemeriksaan pada lidah tifoid (68%), pemeriksaan darah rutin yang tertinggi dengan leukopenia (65%). Pemeriksaan serologis pada semua pasien yaitu uji widal (+) 89% dan uji tubex (+) 11%. Terapi cairan diberikan kepada semua pasien yaitu terapi RL(85%) dan NaCL (15%). Sedangkan pada lama rawatan, rata-rata 6 hari (minimum 2 hari dan maksimum 12 hari). Outcome perawatan paling banyak adalah pulang berobat jalan (49%). Status komplikasi tidak tercacat sehingga disarankan untuk lebih memperhatikan kelengkapan pada status data rekam medis.
Identifikasi Jamur Pada Pasien Penderita Tuberkulosis Paru di RSUP H. Adam Malik Medan
Authors: Setiyawati Dewi , Situmeaang Suryani M.Florence
Published: February 2022

Pulmonary tuberculosis’s an inflammation of the lung parenchrose caused caused by bacterium Mycobacterium tuberculosis. Pulmonary mycosis’s a disease that’s often undiagnosed because the typical clinical symptom for this disease’re unknown. A person with pulmonary mycosis will show non-specific symptom of chronic cough which is often regarded as a symptom of pulmonary tuberculosis. The study aims to identify Aspergillus sp in patients with pulmonary tuberculosis in H. Adam Malik Central Public Hospital Medan. Tye type of research used’s descriptive research that will describe about Aspergillus sp in patients with pulmonary tuberculosis in H. Adam Malik Central Public Hospital Medan. The population was all patients of Tuberculosis Lung at H. Adam Malik Central Public Hospital. The results of this study from 5 sampel show that sampel number 1 found a Aspergillus fumigatus and Aspergillus niger, sampel number 4 found a Aspergillus flavus, sampels number 2,3 and 5 found a Candida albicans. Based on the results of the study can be conclude that the factors that cause the growth of fungus is from the provision of Anti-Tuberculosis Drugs in a long time that only suppress the bacteria from Pulmonary Tuberculosis
Rancangan Ulang Tata Letak Fasilitas Lantai Produksi Industri Pembuat Kertas Sembahyang menggunakan Metode Systematic Layout Planning
Authors: Simangunsong Lady
Published: February 2022

Tata letak fasilitas merupakan rancangan strategis yang digunakan untuk waktu lama. Semua industry manufaktur harus memperhatikan tata letak yang tepat untuk meningkatkan produktivitas industry tersebut. Sebuah industri pembuat kertas sembahyang yang terletak di daerah Tanjung Morawa, Medan memiliki kesalahan dalam penempatan tata letak bahan baku dan penempatan mesin produksi, sehingga jarak perpindahan dari gudang sementara ke stasiun kerja pencetakan dan pemotongan berjauhan sehingga menimbulkan cost material handling yang tinggi. Melihat permasalahan tersebut maka dilakukan penelitian untuk melakukan perbaikan tata letak fasilitas dan  rancangan ulang. Adapun metode yang digunakan untuk penelitian ini, Systematic Layout Planning (SLP) yaitu salah satu metode yang digunakan untuk mengatur tempat kerja di sebuah pabrik dengan menggunakan dua daerah dengan frekuensi yang tinggi dan logis untuk hubungan satu sama lain.  Dan Algoritma CORELAP yaitu alogaritma yang digunakan untuk menghasilkan rancangan layout baru yang tidak bergantung pada initial layout. Dengan melakukan perbandingan layout antara SLP dan CORELAP maka didapatkan hasil akhir yang optimal menggunaka metode SLP dengan pengurangan jarak antar departemen sebesar 1.407 meter atau efisiensi jarak sebesar 39,91%.
Analisis Kualitas Produk Rumah Tangga Dengan Metode Quality Function Deployment (QFD) Pada PT. ABC
Authors: Delvika Yuana
Published: February 2022

Penelitian ini dilaksanakan karena kurangnya keinginan PT. ABC untuk memperbaiki produk rumah tangga agar semakin dicintai konsumen. Tujuan Penelitian ini dilakukan untuk mengetahui apakah produk rumah tangga telah sesuai dengan persepsi konsumen dan untuk mengetahui bagaimana desain ulang produk rumah tangga berdasarkan keinginan konsumen. Metode yang digunakan untuk menyelesaikan penelitian ini menggunakan Quality Function Deployment (QFD). Penyebaran kuesioner terbuka dilakukan kepada 384 orang pada masing-masing daerah tersebut serta kuesioner tertutup kepada 66 orang berisikan 10 pernyataan. Berdasarkan analisa data yang dilakukan, diperoleh responden secara dominan menjawab setuju perlunya perbaikan rumah tangga di CV. BTPST. Nilai Uji Reliabilitasnya 0,707 sedangkan nilai Uji Validitasnya berurutan 0,768; 0,332; 0,494; 0,559; 0,333; 0,516; 0,510; 0,638; 0,355; 0,620. Setelah dilakukan identifikasi melalui kuesioner tertutup disimpulkan bahwa persepsi konsumen menyetujui perlunya desain ulang pada produk rumah tangga yang menjadi sampel dengan bentuk silinder, bagian bawah diberikan lapisan, tutup serta tangkai gagang diberi isolator berupa karet/plastik, diterterakan tanda volume air, kemasan diterterakan batas waktu/umur pakai, kemasan berbahan kotak kardus, produk rumah tangga yang menjadi sampel seharga Rp. 55.000,- dan ketahanan produk ini selama 7-8 bulan.
Cartographie des zones inondables dans le Rif méridional : Réalité des risques et perspectives de gestion à Aïn Aïcha (Province de Taounate, Maroc septentrional)
Authors: El Alami Younes , Rassam Noura , Hmamouchi Mostafa , El-Fengour Mohammed , Houari Abdelghani
Published: February 2022

Les crues et les inondations des agglomérations du Rif méridional méritent une attention particulière dans le processus d’aménagement et d’urbanisme. Le cas du centre Aïn Aïcha est représentatif. En effet, la combinaison des processus physiques et anthropiques influence le système hydrologique de l’Oued Ouerrha à Aïn Aïcha. Le présent travail porte sur la détermination et la cartographie des zones inondables à travers l’application des approches historiques et hydrogéomorphologiques. Elle vise à cartographier les zones qui devront être qualifiées de non ædificandi et, au-delà, à inciter à l’intégration le concept de risque hydrologique dans la planification et la gestion urbaine par les décideurs-aménageurs de la municipalité de Aïn Aïcha.
Na adaptação aos riscos climáticos é preciso pensar pequeno
Authors: Monteiro Ana , Madureira Helena , Sousa Carlos , Pacheco Maria
Published: February 2022

A aprovação, a 16 de abril de 2021, da Lei do Clima pelos Conselho e Parlamento europeus consagram finalmente o esforço de investigadores que, como o Luciano Lourenço, têm procurado dar utilidade social ao conhecimento científico, neste caso no domínio dos riscos climáticos. Os benefícios da opção por soluções de adaptação não são facilmente demonstráveis - como ilustram os contributos do projeto EXHAUSTION (Exposure to heat and air pollution in EUrope: cardiopulmonary impacts and benefits of mitigation and adaptation) - mas é sem dúvida a opção mais robusta e a que promoverá a mudança estrutural de paradigma de qualidade de vida e bem-estar dos seres humanos, imprescindível para uma coabitação mais harmoniosa de todos os elementos no ecossistema.
Fatores de controlo da evolução das ravinas em ambiente Mediterrâneo
Authors: Martins Bruno , Meira e Castro Ana , Nunes Adélia
Published: February 2022

Os processos de erosão por sulcos ou ravinas contribuem, de forma efetiva, para perda e degradação do solo, em particular em ambientes Mediterrâneos. O conhecimento dos fatores de instalação e desenvolvimento é importante para a eficácia das estratégias e medidas de proteção do solo. Neste trabalho, pretende-se identificar os principais fatores associados ao desenvolvimento de ravinas em ambiente Mediterrâneo. Para o efeito, foram avaliadas as mudanças morfológicas na ravina do Corgo (centro de Portugal), entre 2015 e 2019, e avaliadas algumas variáveis biofísicas. O coeficiente de correlação de Spearman-Rho e a regressão múltipla stepwise foram aplicados para avaliar a correlação entre as variações morfológicas e as variáveis consideradas.
“Tanta casa sem gente, tanta gente sem casa”. A geografia dos sem-abrigo na ótica dos riscos sociais
Authors: Velez de Castro Fátima , Cortez Vaz Ana Maria
Published: February 2022

Neste texto de homenagem ao Doutor Luciano Lourenço, no âmbito da sua jubilação, pretendemos dar a conhecer uma possibilidade de pesquisa em Geografia Social, numa estreita ligação com as Ciências Cindínicas, ou seja, abordar a dimensão topológica dos sem-abrigo. Tendo em conta os pressupostos epistemológicos da escola que desenvolveu no âmbito da/dos Riscos, iremos discutir a dimensão teórico-conceptual do tema, assim como analisar a dinâmica do fenómeno à escala nacional e à escala local de Coimbra, refletindo sobre caminhos de investigação desejáveis.
Envelhecimento e solidão: o papel das bibliotecas móveis na mitigação de riscos sociais
Authors: Marques Maria Beatriz
Published: February 2022

Tendo interesses comuns no domínio dos Riscos Sociais com o Presidente da Direção da Riscos, o Professor Doutor Luciano Fernandes Lourenço, este trabalho visa analisar o contributo das Bibliotecas Móveis para o combate de alguns dos maiores Riscos da Sociedade Portuguesa, designadamente nas Regiões Periféricas: o envelhecimento e a Solidão. Para atingir este objetivo, anuncia-se o conceito de Bibliotecas Humanas, onde os “Livros Vivos ou Livros Humanos” assumem um papel central na dinâmica de inclusão dos leitores e apresentam-se estórias de experiências vivenciadas no norte, no sul e no centro do país que ultrapassam as ameaças da Geografia física, e aproveitam as oportunidades da Geografia humana. Conclui-se pela necessidade de uma visão social e humana da Ciência da Informação que desloque o foco da visão sacrossanta dos Sistemas de Informação para uma orientação para o cliente.
Metodologia de análise de risco tecnológico na borda litorânea do Parque Estadual do Cunhambebe na Serra do Mar - Região da Costa Verde - RJ
Authors: Góes Souza Kátia Regina
Published: February 2022

Em conformidade com a prioridade um do Marco de Sendai, no qual ressalta a necessidade de gerar políticas e práticas para compreender o risco e suas dimensões através de avaliações preditivas de desastre para prevenção e mitigação, este artigo tem por objetivo desenvolver uma metodológica de mapeamento de risco tecnológico baseado em modelo preditivo desenvolvido com ferramentas de SIG e usando bacia hidrográfica como recorte em escala regional. A área de estudo se insere na Região da Costa Verde, na Serra do Mar, entre os municípios de Mangaratiba e Angra do Reis.
Educação para uma ‘sociedade de risco’: ensinar e aprender a (con)viver com os perigos e desastres
Authors: Soares Laura , Pacheco Elsa
Published: February 2022

Enquanto domínio fundamental da Educação para a Cidadania, aprender a viver numa ‘sociedade de risco’ implica a definição de um conjunto de orientações no sentido de promover uma cultura de prevenção e autoproteção de crianças e jovens face à ocorrência de eventos danosos, independentemente da sua origem. Considerando o quadro normativo do sistema educativo em Portugal, assim como os métodos/estratégias pedagógicas que devem ser privilegiados na atualidade, apresentam-se um conjunto de reflexões sobre ‘perigos e desastres’ que, no âmbito da formação de jovens professores de Geografia da Universidade do Porto, serviram de inspiração para a implementação de metodologias ativas de ensino e aprendizagem, designadamente através da promoção de trabalhos-projeto desenvolvidos em colaboração com estudantes do ensino básico e secundário.
Geografia e Físico-Química uma colaboração imprescindível para a compreensão do Risco
Authors: Vaz Anabella , Estudante Anabela
Published: February 2022

O presente trabalho de ensino aprendizagem, realizado na escola secundária do Agrupamento de Escolas João de Deus em Faro, no ano letivo 2020-21, pretende demonstrar a necessidade de parcerias interdisciplinares, para uma melhor compreensão do risco e da sua importância no atual contexto socioambiental e a várias escalas territoriais de análise. Este trabalho exemplifica uma forma de concretização da autonomia curricular no ensino secundário, entre as disciplinas de Geografia e Físico-Química, partindo da perceção do risco nos alunos e implicando-os em todas as fases do processo de ensino aprendizagem. O conteúdo abordado, os Riscos, faz parte das Áreas de Competência das disciplinas envolvidas e do domínio de Educação para a Cidadania.
Fragmentação em Território de Pesca: o declínio da pesca artesanal marinha em Barra Grande, Cajueiro da Praia-PI
Authors: de Andrade Lima Ulisses , da Silva Lima Francisca Cardoso
Published: February 2022

No Nordeste do Brasil, na pesca artesanal extrativa marinha, predomina a captura em pequena escala, a unidade familiar é a principal fornecedora de mão de obra. Na praia de Barra Grande, em Cajueiro da Praia – Piauí, o modo de produção segue a lógica da economia de subsistência, nos últimos anos a captura do pescado e a reprodução social em unidades familiar, tem diminuído à medida que os territórios de pescadores são ocupados por grandes empreendimentos turísticos. O estudo tem como proposta identificar as causas do declínio e fragmentação da pesca artesanal marinha na localidade.
A Floresta no Município de Mortágua: serviços e riscos percecionados pela população
residente
Authors: Mateus Lígia , Nunes Adélia , Figueiredo Albano , Campar de Almeida António
Published: February 2022

As florestas de plantação representam um processo de intensificação na exploração
florestal com escala mundial, procurando dar resposta a um aumento da procura de
matérias primas, essencilamente lenhosas, com origem na floresta. Esta tendência, apesar
de reduzir a pressão sobre as florestas nativas espontâneas, tem implicações ao nível
dos serviços dos ecossistemas fornecidos pelas florestas, além de apresentarem também
algumas fragilidades, que podem ter forte impacte nos territórios onde dominam. Com o
objetivo de avaliar a perceção que as populações têm sobre estes efeitos, foi realizado
um inquérito por questionário no concelho de Mortágua, um município onde as florestas de
plantação assumem relevância tanto económica como em termos de área ocupada,
nomeadamente os eucaliptais.
Redução do risco de desastre em áreas urbanas: revisão conceptual e
aplicação
Authors: Ferreira Tiago Miguel
Published: February 2022

Em resultado de vários acontecimentos impactantes, o foco da comunidade
internacional sobre os efeitos dos perigos naturais e antropogénicos em áreas urbanas
tem vindo a aumentar significativamente nos últimos anos. No entanto, e apesar desse
interesse crescente, o quadro da investigação e a inovação na área da redução dos riscos
e da resiliência urbana enfrenta ainda desafios técnicos e societais difíceis de
ultrapassar, nomeadamente no que se refere à compreensão da interação entre os
diferentes elementos que fazem parte do problema. Compreender os impactos e interações
entre estes elementos é um passo tecnicamente exigente, mas essencial, para o
desenvolvimento de estratégias de redução de risco mais eficazes. Este texto visa
discutir os principais desafios relacionados com a redução do risco de catástrofe e a
resiliência urbana, através de uma breve revisão conceptual e da apresentação de uma
aplicação prática ao Centro Histórico de Coimbra (Portugal).
Déficits de governação de risco: uma leitura sobre a pandemia SARS-CoV-2
Authors: Morais Ribeiro Manuel João
Published: February 2022

Este artigo centra-se numa leitura dos pressupostos da governação de risco,
analisando um conjunto de déficits identificados que têm condicionado os resultados
desejados nestes processos. Apresentando, sucintamente, dois dos modelos referenciados
neste tema, desloca-se, depois, a dissertação, para uma breve explicação dos déficits,
de acordo com a proposta concetual do IRGC. Será com suporte nessa proposta que se
discutirá, de forma analítica, os respetivos referenciais, aplicados ao processo de
tratamento da situação pandémica resultante do SARS-CoV-2, na qual serão interpretadas
determinadas decisões e medidas que, por ação ou omissão, têm caraterizado este processo
de governação do risco.