bluuebunny/crossref_metadata_2025 huggingface dataset:
Counselling to promote self-esteem -pilot analysis
Authors: Rani R.A.N. , Hemavathy V.
Published: June 2022

Alcohol is not able to control the drinking habit due to both physical and emotional dependence on alcohol. Counseling aims to address the underlying causes of alcoholism. Alcohol is classified as a ‘brain disease’. Counseling services are therefore an important factor in recovering from addiction and promoting self-esteem. Self-esteemis a reflection of human understanding and a sense of human worth. Counseling is a method that helps to use a problem-solving process to promote self-esteem. This study aims to determine the effectiveness of counseling, promote self-esteem, and link self-esteem with demographic variability. Post-counseling study methodology after counseling, in the Study group, 8.33% of alcohol dependents had a low score, 50% alcohol dependence had a moderate level of the score and 41.67% was a high score. Among the control group, 41.67% of alcohol dependents had a low score, 58.33% received a moderate level and none of them achieved a high score. Therefore, counseling provides professional support, advice, and recommended addiction services.
Role of mindfulness meditation for enhancement of self- efficacy in alcoholism
Authors: Nirmala N. , Hemavathy V.
Published: June 2022

Abstract Mindfulness meditation is an effective tool to create mental awareness and has been used in meditation practice for many decades. Mindfulness meditation is the practice that bringing clear awareness to the present not on the pastor future without evaluation. Many research studies have proved the benefits of mindfulness meditation in psychological and bodily health. Mindfulness meditation interventions is highly effective in reducing the level of anxiety, and depression, prevention of alcohol relapse, controlling of craving and enhancement of self efficacy. Mindfulness meditation technique helps to awareness of once self-efficacy. The connection between mindfulness meditation and self-efficacy helps to focus on set goals and performance. People with high self-efficacy approach obstacles in life as challenges. They set challenging goals for themselves and work hard to achieve them. People with low self- efficacy view life obstacle as life threats and instead to overcome they will focus on their own deficiencies. They rarely set goals and do not commit for that. Self-efficacy is defined as a person’s conviction in his or her ability to carry out the behaviours required to achieve certain performance goals. A self-efficacy is a reflection of once confidence in the ability to control own motivation, behaviour, and responses to the environment.. High level of self-efficacy often has high motivation. In alcoholism It refers to the strength to stop or minimize addiction and manage craving, temptation and maintain behavioural changes. These changes might be the strongest predictors of recovery from alcoholism.
Mucormycosis-“The deadly fungal disease” and its prosthodontic management
Authors: RS Shilpa , Raghavan Rohit , PA Shajahan
Published: June 2022

Coronavirus Disease 2019 (COVID-19), during the second wave in early 2021 has created devastating chaos. Adding more burden to such a challenging situation, mucormycosis an angioinvasive, fulminant fungal infection has seen a sudden surge in patients with COVID -19. Mucormycosis commonly affects immunocompromised patients. Early diagnosis, elimination of the predisposing factor, and surgical debridement, along with antifungal therapy, are the key factors responsible for successful treatment and patient survival. Mucormycosis is presented by various clinical forms. The present paper reviews about the clinical presentation, diagnosis and various treatment modalities for managing mucormycosis-"the deadly fungal disease".
Effects of non-surgical periodontal therapy (NSPT) in prediabetes patients with periodontitis - A randomised control trial
Authors: Sreenivasulu G , Vishwanathan Krishnan , Prasad K A Ravivarma , Sowjanya Kacharla , R Anitha , P Deepthi
Published: June 2022

To clinically and microbiologically evaluate the association of periodontitis and pre-diabetes.

The trial was designed as a randomized controlled clinical trial with a sample size of total of 100 with 1:1 gender ratio. Test group taken were patients with chronic periodontitis with prediabetes and Control group were patients with periodontitis without prediabetes. Body mass index (BMI), Periodontal Probing Depth (PPD),Bleeding on probing (BOP),Clinical Attachment Loss(CAL) using UNC colour coded periodontal probe were recorded. The microbial load in pre-diabetes patients was assessed using samples collected from the periodontal pockets ≤5mm. Fasting Blood sugar (FBS), Post Prandial blood sugar (PPBS), Fasting Insulin were recorded at baseline, 6 weeks,12 weeks and after Non-surgical periodontal therapy (SRP) after taking consent from the patient. The data collected were entered into Microsoft excel 2018. Statistical analysis was done using IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp. Descriptive analyses were done. Student’s t-test, repeated measures of ANOVA were used for determination of the significance of HOMA-IR, HOMA- β mean differences between and within the groups.

In both test and control groups, there was a significant difference (p<0.0001) in probing depth, CAL, gingival bleeding index from baseline to the post treatment (NSPT) till 12 week period. When these clinical parameters were evaluated and correlated with HOMA-IR, HOMA-β, BMI, FBS, post prandial blood sugar at regular intervals, significant (p<0.0001) decrease in HOMA-IR, HOMA-β, BMR, post prandial blood sugar was observed in test group when compared to control group.

There is a significant association between prediabetes state and periodontitis. Early diagnosis of periodontitis and a proper treatment in prediabetic group can prevent the progression of prediabetic condition to diabetes and vise versa.
México y la cadena de valor de los semiconductores: oportunidades de cara al nuevo escenario global
Authors: Filippo Agustín , Guaipatín Carlos , Navarro Lucas , Wyss Federico
Published: June 2022

Los semiconductores, chips, o circuitos integrados, son insumos clave para la producción del más amplio y variado espectro de actividades sociales y productivas. Debido a la pandemia, y a las vulnerabilidades propias de esta cadena de valor -que fueron analizadas en un estudio previo, la economía global enfrenta una crisis de abastecimiento de semiconductores impulsada por un quiebre estructural hacia una mayor demanda de productos digitales. Esto derivó en cuantiosos anuncios de inversión de las empresas líderes del sector, junto con fuertes estímulos de los gobiernos, para expandir su capacidad de producción. El nuevo escenario global de la cadena global de valor (CGV) de semiconductores en los próximos años, donde Estados Unidos ganará mayor peso, abre la pregunta sobre cuáles son las oportunidades y desafíos que se plantean para México. El presente estudio identifica un conjunto de dimensiones clave, como el talento, la innovación, la base de proveedudría, la infraestructura y la facilitación del comercio, para desarrollar la CGV de semiconductores en México en donde la acción de la política pública puede ser determinante. El trabajo se estructura en tres secciones además de la presente: la Sección 2 describe la CGV de semiconductores y la crisis de abastecimiento que la afecta; la Sección 3 se enfoca en el sector de semiconductores en México y, finalmente, en la Sección 4 se presentan las conclusiones y recomendaciones de política.
The Contemplative Psychology of Gerald Gordon May (1940–2005)
Authors: Jastrzębski Andrzej
Published: June 2022

This article presents a diversity of major psychospiritual concepts in the works of Gerald Gordon May (1940–2005), half-brother on the renowned existential psychologist Rollo May. Unlike his brother, Gerald May has not penetrated the thought-provoking mainstream psychology of religion and spiritual theology. In the present text, we attempt to indicate some possible reasons for this, while also presenting him as a unique and insightful interdisciplinary author, exceptionally linking psychology and spiritual theology whose ideas were probably too advanced to be well accepted in his time. In order to argue in favor of this thesis separately from his diagnosis of the misuse of spirituality in contemporary society, the cornerstones of May’s contemplative psychology will be presented under headings such as unitive experiences, spiritual longing, and, their fruit, spiritual surrender.
TO THE STUDY OF THE ORIGINS OF DOMESTIC LINGUISTIC LOCAL HISTORY STUDIES AND REGIONAL ONOMASTICS
Authors: Verkhovykh Lyudmila N.
Published: June 2022

The article presents an analysis of scientific literature devoted to the study of the linguistic local history direction of language learning. The aim of the work is to describe the origins of Russian linguistic local history, regional onomastics based on the use of textological analysis, descriptive method, elements of comparative and comparative-historical methods. The material of the research is presented by works that have a linguistic local history character, starting from the 30s of 18th century. Based on the analysis of scientific works of the 18th and early 19th centuries, including the linguistic local history component, the author comes to the following conclusions. Since the first third of the 18th century in Russia, there have been some fragmentary attempts at linguistic local lore commenting when describing settlements by historians, geographers, physicians, and biologists who participated in research expeditions across Russia. Of particular importance in this respect was the historical and regional studies activities of V.N. Tatishchev, who compiled detailed questions for the study of settlements in Russia, prepared the first part of the “Lexicon of Russian historical, geographical, political and civil”. The material of the research shows that the origins of scientific linguistic regional studies in Russia are associated with the activities of V.K. Trediakovsky and M.V. Lomonosov. M.V. Lomonosov consistently introduced the linguistic local history component into the research methodology, which was applied in practice in the compilation of the “Russian grammar”, in the organization of centralized work on the historical and geographical study of Russian settlements, in the development of the foundations of teaching Russian students in their native language. M.V. Lomonosov is the founder of the linguistic local history direction in Russian linguistics. The beginning of scientific regional onomastic research is associated with the activities of E.A. Bolkhovitinov, who for the first time in 1800 gave a detailed historical and linguistic description of the toponymy and microtoponymy of the Voronezh Territory.
Integration of Post‑Communist Countries in the EU –Leaders and Losers?
Authors: Cíbik Lukáš , Horváth Peter , Brix Richard
Published: June 2022

The economic indicators of the new member states of the EU that joined after 2004 have been generally positive. In this paper, we analyse and interpret the economic development results of the 11 new Member States from the Eastern bloc. The set of individual economic indicators gives us a relatively realistic picture of the differences in development in individual post‑communist countries. The paper points out several factors which, in principle, create two groups of countries for us in terms of the development of economic indicators: A more progressive group of countries, which for the most part is showing progress towards catching up with the EU average, and a less progressive group, whose pace of convergence is significantly slower.
PENERAPAN PENDIDIKAN KARAKTER RELIGIUS MELALUI BUDAYA TADARUS DAN SHALAT DHUHA BERJAMAAH DI SDN KETAWANGGEDE KOTA MALANG
Authors: Bidadari Ayu Bulan
Published: June 2022

ABSTRACT

This study aims to describe the application of religious character education through tadarus culture and congregational dhuha prayer to students at SDN Ketawanggede Malang City. Religious character education is an attempt to form behavior that is obedient to the teachings of the religion he adheres to. Religious character education in this study through two habits, namely tadarus culture and dhuha prayer in congregation. Religious character education is important as a strategy to form good individuals, with noble character, and in accordance with applicable norms. This study uses descriptive qualitative research methods. Data collection techniques used include interviews, observation, and documentation. The results showed that the implementation of religious character education through tadarus culture and congregational dhuha prayer was good, it just needed to be rehabilitated and increase students' awareness regarding the importance of such habituation. The application of religious education through tadarus culture is carried out every day before the learning process begins, while the congregational dhuha prayer is carried out every Friday morning before the learning activity process.

ABSTRAK

Penelitian ini dilakukan bertujuan mendeskripsikan penerapan pendidikan karakter religius melalui budaya tadarus dan shalat dhuha berjamaah pada siswa di SDN Ketawanggede Kota Malang. Pendidikan karakter religius merupakan suatu usaha untuk membentuk perilaku yang patuh dengan ajaran agama yang dianutnya. Pendidikan karakter religius pada penelitian ini melalui dua pembiasaan, yaitu budaya tadarus dan shalat dhuha berjamaah. Pendidikan karakter religus ini penting sebagai strategi untuk membentuk individu yang baik, berakhlak mulia, serta sesuai dengan norma yang telah berlaku. Penelitian ini menggunakan metode penelitian kualitatif deskrptif. Teknik pengumpulan data yang digunakan meliputi, wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa penerapan pendidikan karakter religius melalui budaya tadarus dan shalat dhuha berjamaah sudah baik, hanya saja perlu pembiasaan kembali serta peningkatan kesadaran peserta didik terkait pentingnya pembiasaan tersebut. Penerapan pendidikan religius melalui budaya tadarus dilaksanakan setiap hari sebelum proses pembelajaran dimulai, sedangkan untuk shalat dhuha berjamaah dilaksanakan setiap hari jumat pagi sebelum proses kegiatan pembelajaran.
ANALISIS PERTEMANAN SISWI KELAS I SD BERDASARKAN PERSPEKTIF GEORGE CASPAR HOMANS
Authors: Amrulloh Fikri Hakim
Published: June 2022

Manusia perlu membangun relasi dengan manusia lainnya karena pasti akan membutuhkan bantuan orang lain untuk mencukupi kebutuhannya. Interaksi yang terjadi antara dua individu atau lebih akan menghasilkan relasi. Salah satu relasi yang bisa dibentuk yakni berupa pertemanan. Hubungan pertemanan memiliki beberapa aspek yang mampu menjalin adanya interaksi antar individu salah satunya yakni adanya timbal balik. Hal ini sesuai dengan teori yang dicetuskan oleh George Caspar Homans yaitu Teori Pertukaran. Salah satu karakteristik teori pertukaran yang mencolok yakni cost and reward. Manusia ketika melakukan interaksi selalu mempertimbangkan cost (biaya atau pengorbanan) dengan reward (hadiah atau manfaat) yang didapat dari interaksi. Pada hubungan pertemanan juga terdapat cost and reward yang membuat sebuah hubungan pertemanan dapat bertahan. Penelitian ini termasuk ke dalam jenis penelitian deskriptif kualitatif dengan metode pengumpulan data menggunakan wawancara. Hasil dari penelitian ini mengungkapkan bahwa analisis pertemanan siswi kelas 1 Sekolah Dasar Negeri Teguhan 2 relevan dengan yang diungkapkan oleh Homans pada teori pertukaran. Hubungan pertemanan tersebut cenderung bertahan dengan sebuah interaksi karena kedua individu memperoleh keuntungan berupa hadiah.
Migración de talentos mexicanos: mitos y realidades
Authors: Aragonés Ana María , Salgado Uberto
Published: June 2022

En esta investigación se presentan los resultados preliminares de una encuesta aplicada por medio de una plataforma digital a 660 migrantes mexicanos altamente calificados que se encuentran trabajando en diversos países. Uno de los objetivos consistió en documentar las formas de inserción laboral en los países de destino con el fin de constatar una idea generalizada en la literatura especializada, la cual sugiere que los mexicanos calificados, están siendo subutilizados o sobreocupados en los mercados laborales de destino. Se analizaron diversos aspectos como el nivel de estudios, el dominio del idioma, lugar de obtención de los grados, posibles formas de discriminación, acceso a derechos laborales, entre otros, asociados al éxito o fracaso de su vida profesional. Los resultados indican que hay algunos mitos en relación con la migración calificada mexicana cuando se señala su baja inserción laboral o la falta de acceso a derechos laborales.
Jövedelmi helyzet, jövedelmi viszonyok és jövedelmi egyenlőtlenségek a telepi lakosok körében
Authors: Fábián Gergely
Published: June 2022

A vizsgált telepen a jövedelmek jelentősen elmaradnak az országos, illetve az Észak-alföldi régióra jellemző értékektől. Ennek hátterében a kedvezőtlen foglalkoztatottság, az alacsony iskolai végzettség, valamint a háztartások nagysága áll. Míg országosan 2,3 fő él átlagosan egy háztartásban, a telepen 3,2 fő. A lakosok jelentős része csak komoly nehézségek árán tud megélni a rendelkezésre álló jövedelmekből. A megélhetéssel kapcsolatos kiadások tekintetében a telepi lakosok számára a lakhatással kapcsolatos kiadások jelentik a legnagyobb problémákat, jellemző a befizetések elmaradása, halasztása, elsősorban a lakbér és a közüzemi díjak esetében. A telepen ugyanakkor az országost is meghaladó mértékű jövedelmi egyenlőtlenségek mérhetőek, aminek hátterében elsősorban a legfelső jövedelmi tized igen kedvező helyzete áll. Körükben nemcsak a telepre jellemző átlagértéket jelentősen meghaladó nettó jövedelmek jellemzőek, amely kis mértékben ugyan, de még az országos átlagnál is magasabb, hanem a jóval kisebb háztartásnagyság, illetve a teljeskörű foglalkoztatottság.
A szervezeti értékek a tanyagondnoki szolgáltatásoknál
Authors: Orbán Szabolcs Gergely , Szabados György Norbert , Bácsné Bába Éva
Published: June 2022

A magyar tanyák története az elmúlt két és fél évszázadban megmutatta azt, hogy az ott lakóknak, találékonyságuk ellenére azok fenntarthatóságának érdekében rengeteg hátráltató körülménnyel kellett megbirkózniuk. Manapság a kihívásokkal küzdő tanyalakók életének megkönnyítése, illetve a fiatalabb nemzedékek helyben tartása melletti küzdelemben a tanyagondnok az, aki felveszi a harcot a meg nem szűnő problémákkal, a tanyagondnoki szolgáltatás, mint szociális alapszolgáltatás keretében. A tanyasi élet segítése a legtöbb esetben hasonló, viszont nagyon eltérőek lehetnek az egyes szolgáltatók lehetőségei és prioritásai, sokszor a fenntartói forma is, ezért eltérő módon kezelik a problémákat, ami miatt különbségek mutatkozhatnak a tevékenységükben. Tanulmányunk elsődleges célja a tanyagondnokoktól aktuális adatok beszerzése volt a hazánkban található tanyagondnoki szolgálatok működésére vonatkozóan, másodsorban pedig arra kerestük a választ, hogy a szakemberek hogyan ítélik meg szolgálatok szervezeti értékeinek megnyilvánulását. A kapott válaszok alapján úgy tűnik, hogy hasonló fejlesztéseket idealizálnak a megkérdezettek (n=131) fenntartói formától függetlenül, illetve az is érezhető, hogy a munkavégzés optimalizálása érdekében a szolgálatok vezetőinek jobban kellene törekedniük az újdonságok és a különböző vélemények interpretálására.
Countering Online Misinformation, Hate Speech or Extremist Narratives in the Global South
Authors: Haider Huma
Published: June 2022

The widespread expansion of social media outlets has enabled the spread of mis/disinformation, hate speech and extremist narratives online. Internet-based technologies can also be used to confront these types of communication. This report focuses on counter-messaging efforts (also referred to as strategic communications) through online platforms. This can comprise counter-narratives that challenge false information or existing narratives (e.g. undermining the credibility of an extremist group); or alternative narratives that seek to replace existing narratives, rather than directly confront them (e.g. introducing messages of coexistence).
Considerazioni chiave: Coinvolgere le persone in transito al fine di promuovere l'accettazione del vaccino anti-Covid-19 in Italia
Authors: Torre Costanza
Published: June 2022

Il presente lavoro illustra percezioni, concezioni ed esperienze relative al vaccino anti-Covid-19 tra le “persone in transito” in Italia. Per un crescente numero di tali soggetti, l'Italia è considerata una destinazione di transito per raggiungere altri Paesi europei. Le considerazioni contenute in questo documento sono di particolare rilievo per i Paesi situati sulle rotte migratorie orientali e dell'area centrale del Mediterraneo. I decisori politici dell'Unione Europea hanno espresso preoccupazioni riguardo la vulnerabilità di rifugiati, richiedenti asilo e migranti sprovvisti di documenti in relazione al Covid-19. Stante la mobilità delle persone durante il percorso migratorio, nonché la paura e la diffidenza nei confronti delle autorità governative, gli esperti di sanità pubblica hanno correlato l’appartenenza a questi gruppi a un maggiore rischio di trasmissione del Covid-19 entro e oltre i confini nazionali. I fattori che incidono sulla trasmissione del Covid-19, sono gli stessi che rendono difficile intercettare e coinvolgere le persone in transito e i gruppi marginalizzati e razzializzati nelle campagne di vaccinazione promosse dallo Stato. Questo documento sottolinea le complessità di questa situazione umanitaria e fornisce suggerimenti a proposito dell’assuzione di approcci che, anche nel campo della vaccinazione, riescano a tenere in considerazione e a integrare le priorità e le vulnerabilità specifiche delle persone. Inoltre, questo prospetto attinge dalla ricerca condotta nel 2021 sulla frontiera alpina dell’Italia. Questo documento è stato redatto per l’SSHAP da Costanza Torre (LSE) con il sostegno di Elizabeth Storer (LSE) e Sara Vallerani (Università degli Studi Roma Tre). Inoltre, Megan Schmidt-Sane (IDS), Eloisa Franchi (Université Paris-Saclay – Università degli Studi di Pavia) e il Prof. Federico Federici (UCL) hanno fornito il proprio apporto e hanno contribuito all'attività di revisione. Il documento è di responsabilità dell'SSHAP. La ricerca è stata finanziata dal COVID-19 Recovery: G7 Fund (COVG7210058) della British Academy ed è è stata svolta presso il Firoz Lalji Institute for Africa della London School of Economics.
Implementasi Program Corporate Social Responsibility PT. Pertamina Terhadap Pemulihan Bisnis UMKM Binaan Akibat Pandemi Covid-19
Authors: Dharmacahya Bharata , Padmaningrum Dwiningtyas , Wibowo Agung
Published: June 2022

The pandemic of Covid-19 has become a problem for SMEs in Indonesia. SMEs experience a shortage of labor which causes people to lose income. PT Pertamina through Corporate Social Responsibility offers assistance to tackling the problems faced by SME actors during the pandemic by running partnership and community development program. The goal is to help SMEs to be able to survive and develop their businesses in pandemic situation. This study aims to determine the form, the stages and the performance of PT. Pertamina CSR implementation in the process of recovering the SME businesses causes by the pandemic. The basic research method uses a qualitative descriptive method. The location and informant selection was carried out purposively. Research data obtained from observation, interviews and documentation. The validity of the research using the method and source triangulation technique. The results of the study found that the form of the CSR program implemented by PT. Pertamina from before the pandemic until now has not experienced any changes, namely community development. CSR implementation by PT. Pertamina didn’t find any changes from before and during this pandemic, but what has been done in this pandemic situation is adjustment of activities. The adjustments are intensively carried out by PT. Pertamina in this pandemic is to encourage the digitization of SMEs. CSR Implementation of PT. Pertamina is carried out in four stages, starting from planning, implementation, evaluation and reporting. CSR Performance of PT. Pertamina during the pandemic can be seen through eight CSR performance indicators, namely leadership, aid proportion, transparency and accountability, area coverage, planning and evaluation, stakeholder involvement, sustainability and outcome
Excision of Recurrent Hemangioma in Hand with Reconstruction Using Abdominal Flap
Authors: Mangara Tua Ivan Joalsen , Ardan Andi Mohammad , Pagehgiri Hari Daswin , Sukamto Amy Rosalie , Dwipayana Made Angga Putra
Published: June 2022

Highlights:

Hemangioma of the hand is a challenging case due to the need to maximize eradication of the mass while minimizing damage to the healthy tissue to preserve the physiologic function of the hand.
The reconstruction of the defect also needs to be taken into account to maintain the cosmetical appearance.
Collaborative multidisciplinary work is essential to achieve these demands and maintain the patient’s quality of life.

 
Abstract:
Hemangiomas are known for their typical involution with age. However, around 40% of cases require intervention. Hemangioma in hand is challenging because the hand function and the aesthetic appearance need to be preserved. Hereby we reported a 21-year-old woman with a recurrent hemangioma on the left hand in Abdul Wahab Sjahranie Hospital, Samarinda, Indonesia. The patient’s previous surgery was ineffective since the mass reappeared in the same area. We performed surgical excision and reconstruction with an abdominal flap. One-month and one-year postoperative follow-up indicated good flap viability and preserved hand functions without the need for amputation. This report also emphasizes the importance of collaboration from multiple surgical and medical fields to allow favorable outcomes in this case.
Managing Human Resources for Surge Capacity in Referral Hospitals Based on WHO Hospital Readiness Checklist for Covid-19
Authors: Dinia Fitri , Trisnantoro Laksono , Helmi Mochamat
Published: June 2022

Highlights:

Managing human resources for surge capacity in three referral hospital at West Kalimantan was evaluated.
Availability, mobilization and recruitment, duties division, and hospital staff welfare are the reasons for referral hospitals in West Kalimantan are not optimal to face surge capacity during the Covid-19 pandemic.
Provincial Health Office role had not been optimal in the HR management at referral hospitals during the Covid-19 pandemic.

 
Abstract:
One of the components of effective disaster response management to deal with surge capacity in referral hospitals in West Kalimantan, Indonesia, was to ensure the adequacy of the number of human resources (health workers). This study was conducted to evaluate three referral hospitals and identify the role of the West Kalimantan Provincial Health Office in managing human resources for health workers facing surge capacity due to the Covid-19 pandemic. This study used Rapid Assessment Procedures with qualitative and quantitative methods. Data were collected through observation and interview by using instruments adopted from the Checklist of WHO Hospital Readiness for Covid-19. Based on the checklist, 51.1% of referral hospitals had implemented HR management regarding staff availability. However, the readiness of referral hospitals in West Kalimantan to face surge capacity had not been optimal in several key components, such as staff availability, staff mobilization and recruitment, division of staff duties, and hospital staff welfare during the Covid-19 pandemic. The role of the Provincial Health Office had not been optimal in managing HR at referral hospitals. The Provincial Health Office only played an active role at the beginning of the Covid-19 pandemic, especially for the provision of volunteers. Meanwhile, in the second year of the Covid-19 pandemic, the role of the Provincial Health Office had decreased, especially in the staff availability and training at the referral hospitals. Therefore, the role of the West Kalimantan Provincial Health Office in HR management at the referral hospitals was highly not dominant (17.78%). The central government should regulate the authority of the Provincial Health Office as the leading sector in all types of referral hospitals to integrate all potencies and human resources of local governments to maximize HR management in referral hospitals to face surge capacity due to the increased cases of Covid-19.
Pharmacological Approaches in Obesity Treatment
Authors: ERDOĞAN ERDEN Elif , YAZICI Zeynep Gül , KILIÇ Cansu , AYDIN Sule , KILIÇ Fatma Sultan
Published: June 2022

Obezite; dünyada ve ülkemizde giderek artış gösteren bir salgın hastalık haline gelmektedir. Tedavi edilmediği durumlarda morbidite ve mortaliteye sebep olmaktadır. Obezite gelişiminde kişisel ve çevresel faktörler rol almaktadır. Nörolojik ve metabolik yolaklarla kontrol edilen enerji homeostazındaki bozulma obezite ile sonuçlanmaktadır. Obezite gelişimi sonrası tedavi sürecinde ilk basamak hayat tarzı ve diyet değişiklikleridir. Ancak çoğu zaman ikinci basamak tedavilere ihtiyaç duyulur. Bu aşamada obezite patofizyolojisi göz önünde bulundurularak farmakoterapi seçenekleri değerlendirilir. Kişinin genetik altyapısı, enerji homeostazındaki bozulma ve çevresel etkenler obezite oluşumunda rol oynamaktadır. Bu nedenle genetik mutasyonlar sonucu oluşan eksiklikler ve enerji homeostazında etkili yolaklar hedeflenerek farmakolojik yaklaşımlar kullanılır. Bunlar arasında hali hazırda kullanılan orlistat, cetilistat, liraglutid, lorkaserin, burpropion/naltrekson kombinasyonu, fentermin/topiramat kombinasyonu, metformin gibi seçenekler mevcutken, genetik mutasyonlar sonucu oluşan obezitede etkili metreleptin ve setmelanotid gibi obezite endikasyonu için onay almış ve endikasyon dışı kullanılarak obezitede fayda sağlanmış ajanlar mevcuttur. Obezite tedavisi için farmakolojik yaklaşımlar gün geçtikçe artmaktadır. Günümüzde obezite tedavisinde umut vadeden semaglutid, oksitosin, bromokriptin, resveratrol, β3 adrenerjik reseptör agonistleri ,velneperit, davalintide (AC2307), glukoz-bağımlı insülinotropik polipeptid (GIP) analogları, beloranib, tesofensin gibi birçok seçenek de mevcuttur. Bunların yanında obezitenin önlenmesine yönelik aşı çalışmaları da sürdürülmektedir. Obezite risk faktörlerini, gelişim sürecini bütüncül olarak ele aldığımızda obezitenin önlenmesi ve tedavisi için seçenekler artmakta olup obeziteye karşı mücadelede elimizi güçlendirmektedir.
Conséquences de la saison 2021 sur le rendement quantitatif en viticulture wallonne
Authors: Delval Louis , Jonard François , Javaux Mathieu
Published: June 2022

Passant de 150 ha (pour 36 exploitations) en 2018 à 300 ha (pour 64 exploitations) à la fin de 2021, la surface viticole wallonne (Belgique – figure 1.a) n’a cessé de croître ces dernières années. Cependant, en 2021, les vignobles wallons ont été fortement touchés par le mildiou (Plasmopara viticola) dû à des conditions météorologiques exceptionnellement humides et fraîches. Cette étude montre que les pertes quantitatives ont été hétérogènes entre les vignobles. Cette variabilité est expliquée principalement par le type de cépage, le mode de production et la gestion liée aux maladies.
Water deficit responses of field-grown Pinot noir mediated by rootstock genotypes in a cool climate region
Authors: De Souza Claudia Rita , Gindro Katia , Verdenal Thibaut , Spring Jean-Laurent , Spangenberg Jorge E. , Zufferey Vivian
Published: June 2022

Under the global warming scenario, water scarcity is expected to intensify in most grape-growing regions. The use of drought-tolerant rootstocks is considered a useful tool to mitigate the negative effects of soil water deficit on vine functioning. Differences in leaf gas exchange, plant water status, specific hydraulic conductivity in petioles (Kpetiole), xylem vessel size and vegetative vigour of field-grown Pinot noir grafted onto five rootstocks (3309C, 101-14 MGt, Kober 5BB, Riparia Gloire de Montpellier, 41B MGt) were investigated during one season under water deficit in Switzerland. The water deficit was imposed by installing waterproof and non-reflecting plastic sheets on the soil from March to harvest (September) to avoid rainfall infiltration. Rootstocks had stronger effects on vine water status than on gas exchanges. During the grape ripening stage, vines grafted onto 41B MGt and 101-14 MGt were characterised by more severe water stress as shown by the lowest values of pre-dawn leaf (Ψpd), stem water potential (Ψstem) and water stress integral (SΨ), whereas 3309C and Kober 5BB rootstocks induced milder effects. Significant differences in photosynthesis (A), stomatal conductance (gs) and transpiration (E) were only observed between vines grafted onto 41B MGt and 3309C at later stages of ripening. Changes induced by rootstocks in shoot vigour, Kpetiole and the number and size of xylem vessels in petioles and stems were correlated to differential responses of Pinot noir to water deficit. The increased vegetative vigour induced by 3309C and Kober 5BB was associated with the highest Kpetiole, xylem vessel size and a good plant water status of Pinot noir under low soil water availability. Kober 5BB induced the highest yield, probably due to the better vine water status, whereas vines grafted onto 41B MGt showed the lowest malic acid content and yeast assimilable nitrogen in berries.
Prehospital Stroke Care, Paramedic Training Needs, and Hospital-Directed Feedback in Lithuania
Authors: Melaika Kazimieras , Sveikata Lukas , Vilionskis Aleksandras , Wiśniewski Adam , Jurjans Kristaps , Klimašauskas Andrius , Jatužis Dalius , Masiliūnas Rytis
Published: June 2022

Background: Emergency medical services (EMS) are the first health care contact for the majority of stroke patients. However, there is a lack of data on the current paramedics’ hospital-directed feedback and training needs across different health care settings. We aimed to evaluate paramedics’ prehospital stroke care knowledge, training needs, and current status of feedback on suspected stroke patients. Methods: We surveyed paramedics from the Vilnius region from September to November 2019, and compared the answers between the city and the district agencies. The questionnaire content included questions on paramedics’ demographic characteristics, prehospital stroke care self-assessment, knowledge on stroke mimics, stroke training needs, and the importance of hospital-directed feedback on suspected stroke patients. Results: A total number of 161 paramedics were surveyed, with more district paramedics rating their prehospital stroke care knowledge as inadequate (44.8% (95% confidence interval (CI) 32.8–57.6) vs 28.1% (95% CI 20.1–27.8), p = 0.028). In addition, more district paramedics indicated a need for additional stroke training (83.1% (95% CI 71.5–90.5) vs 69.8% (60.0–78.1), p = 0.043). However, respondents reported being the most confident while dealing with stroke (71.3%, 95% CI 63.8–77.7) compared to other time-critical conditions (p < 0.001). Vertigo (60.8%, 95% CI 53.0–68.0), brain tumours (56.3%, 95% CI 48.5–63.8), and seizures (54.4%, 95% CI 46.7–62.0) were indicated as the most common stroke mimics. Only 6.2% (95% CI 3.4–11.1) of respondents received formal feedback on the outcome of suspected stroke patients brought to the emergency department. Conclusion: A high proportion of paramedics self-perceive having inadequate stroke knowledge and an urgent need for further stroke training. The EMS staff indicate receiving an insufficient amount of feedback on suspected stroke patients, even though the usefulness is perceived to be paramount.
End-to-End Prediction of Lightning Events from Geostationary Satellite Images
Authors: Brodehl Sebastian , Müller Richard , Schömer Elmar , Spichtinger Peter , Wand Michael
Published: June 2022

While thunderstorms can pose severe risks to property and life, forecasting remains challenging, even at short lead times, as these often arise in meta-stable atmospheric conditions. In this paper, we examine the question of how well we could perform short-term (up to 180min) forecasts using exclusively multi-spectral satellite images and past lighting events as data. We employ representation learning based on deep convolutional neural networks in an “end-to-end” fashion. Here, a crucial problem is handling the imbalance of the positive and negative classes appropriately in order to be able to obtain predictive results (which is not addressed by many previous machine-learning-based approaches). The resulting network outperforms previous methods based on physically-based features and optical flow methods (similar to operational prediction models) and generalizes across different years. A closer examination of the classifier performance over time and under masking of input data indicates that the learned model actually draws most information from structures in the visible spectrum, with infrared imaging sustaining some classification performance during the night.
Relativistic Dilation and Contraction of the Probabilities of Quantum States of Light at Angular Incidence
Authors: Cardoso Daniel Souza , Bordin José Rafael
Published: June 2022

The transport and entanglement of photons is becoming prominent in optics applied to information and quantum computing, where the angular momentum of light stands out in the exchange and inversion of quantized states, with prospects for several technological applications, such as the transport and storage of quantum information. In order to contribute to the understanding of quantized states in photon-matter interaction, we describe a quantized state equation in multidimensional Hilbert space for the diagnosis of OAM states, where probabilities arise in a relativistic setting. It was found that the classical-relativistic variability of the probabilities constitutes a resultant capable of describing the quantized states of light, where the state variable is the variation of the angular momentum of the photon, capable of estimating the orbital angular momentum inversion points at angular incidence. It was found that the chances of finding the quantized states of light at angular incidence can be treated by purely relativistic probabilities, explaining that when both states have equal chances of being found and the angular momentum variation is zero, the source-observer synchronizations occur at the step of increasing relativistic regime of the photon dynamics. We found that the relativistic effect from the perspective of the source referential is able to alter the chances of an event occurring, dilating and contracting the probabilities of finding a quantized state of light at angular incidence.
Validation of the Cooling Model for TMCP Processing of Steel Sheets with Oxide Scale by Industrial Experiment Data
Authors: Beygelzimer Emmanuil , Beygelzimer Yan
Published: June 2022

To verify the authors’ mathematical model for water jet cooling of steel sheet, the previously performed experimental studies of temperature of the test plate in the roller quenching machine (RQM) were used. The calculated data of steel temperature evolution along the RQM length were compared with the readings of thermocouples inserted in the center of the test plate and at its surfaces. The core of the model is the dependence of the temperatures of film, transition and nucleate boiling regimes on the thickness of the oxide scale layer on the cooled surface. It was found that the model correctly takes into account the oxide scale on the sheet surface, flow rates and combinations of the RQM banks used, water temperature and other factors. For all experiments the calculated metal temperature corresponds well to the measured one. In the experiments with interrupted cooling, the calculated temperature plots repeat the characteristic changes in the experimental curves. The main uncertainty in the modeling of cooling in a wide temperature range can be contributed by the random nature of changes in the oxide scale thickness during water cooling. In this regard, the estimated thickness of the oxide scale layer should be considered as the main parameter for adapting the sheet temperature control process. The obtained data confirm the possibility of effective application of the model in the ACS of industrial TMCP (Thermo-Mechanical Controlled Process) systems.
Анализ динамики эпидемического процесса COVID-19 в мире за неделю с 11.06.2022 г. по 17.06.2022 г.
Authors: Зимирова Анастасия , Поспелов Михаил , Иванова Александра , Дмитриева Людмила , Чумачкова Елена , Карнаухов Игорь , Щербакова Светлана , Кутырев Владимир
Published: June 2022

В обзоре представлен анализ эпидемиологической ситуации в странах мира по COVID-19, за неделю с 11.06.2022 г. по 17.06.2022 г.
Análisis del impacto de telemedicina en la atención médica de casos postcovid-19 en el Hospital Municipal Los Olivos, Lima - 2021
Authors:   , Chumbile Huaytalla Alfredo , Paredes Gonzales Heberth Josue
Published: June 2022

En la actualidad la telemedicina se ha beneficiado de la masificación de dispositivos electrónicos como el teléfono con WhatsApp, Skype, Zoom o las grandes redes sociales como Facebook y YouTube. Según Kindelán (2006) se ha ido desarrollando el manejo de avanzada tecnología para realizar desde consultas y diagnósticos hasta complejas intervenciones quirúrgicas a distancia. Por lo que se evidencia una significativa importancia de utilizar los recursos telemáticos en el área empresarial de la salud. Las expectativas del desarrollo de la telemedicina en Perú son un dilema entre la necesidad social y la falta de inversiones que hagan factible su perfeccionamiento. En tiempos de cuarentena se ha vislumbrado la importancia de un cambio de paradigma en las formas de prestar los servicios de salud. Sin embargo, hace falta la voluntad política y las iniciativas privadas para desarrollar alternativas de telemedicina contextualizadas que garanticen el derecho a la salud de todos los peruanos. Según Schwamm (2014) el significado de la telemedicina se circunscribe a las actividades médicas y de salud en donde se utiliza la tecnología de la información y comunicación, permitiendo prestar una asistencia médica remota, con la gran novedad de ser no presencial, pero manteniendo la posibilidad de atención presencial cara a cara con la persona...
Plan de negocio para la exportación de pulpa congelada de acai para los Estados Unidos de América (EEUU)
Authors:   , Alarcon Luyo Danixa
Published: June 2022

La actual tesis presenta como objetivo investigar el mercado estadunidense de tal manera que se pueda proponer un plan de negocio con el fin de exportar pulpa congelada, demostrando viabilidad económica y financiera de la inversión solicitada. En ese sentido, Mission Produce busca proveer dicho producto en calidad premium, la cual posee un mayor aprovechamiento multivitamínico. El acai representa el décimo lugar dentro de las comidas saludables en el planeta, ya que posee peculiaridades netamente nutracéuticas que contribuyen a que la vida de la población sea más longeva siempre y cuando se tenga una frecuencia significativa en razón del consumo. En ese sentido, considerando el abanico de compradores idóneos de dicho producto tales como: Industria alimentaria, de cosméticos y/o productos de belleza, suplementos nutricionales, se busca ubicar un nuevo punto de venta geoestratégico que pueda desarrollar actividades de exportación de dicho producto. En el presente trabajo de investigación se describe los aspectos más relevantes los cuales se centran en la descripción de la empresa, el plan estratégico de la empresa, el plan de marketing, el plan de operaciones, el diseño de estructura y plan de recursos humanos, el plan financiero y la explicación del equipo gerencial de la empresa. Advierte además que no existen investigaciones que conlleven a establecer acciones que determinen una producción homogénea y continua del producto, ya que hasta la actualidad la actividad extractiva se realiza de manera rudimentaria. Frente a dicha situación señalada y los aspectos relevantes señalados, el presente estudio sistematiza un conjunto de capítulos los cuales buscan promover la exportación de dicho producto en el extranjero, considerando la zona geográfica de los Estados Unidos de América.
Precisión de los métodos de Demirjian y Nolla para estimar la edad dental en radiografías panorámicas digitales en una población subadulta de la ciudad de Ica-Perú
Authors:   , Crisostomo Chavez Rosario del Pilar
Published: June 2022

La presente investigación tuvo como Objetivo identificar cuál de los métodos propuestos por Demirjian y Nolla se observa con más precisión en la estimación de la edad dental, mediante el uso de radiografías panorámicas digitales de niños de 7 a 15 años los cuales se atendieron en el Centro Radiológico de Diagnóstico por Imágenes de la ciudad de Ica el año 2016. Metodología: diseño comparativo descriptivo, con un nivel transversal observacional y retrospectivo. La población objetiva del estudio fueron 200 radiografías, de las cuales se obtuvo una muestra de 140 radiografías; al procesar e interpretar dichas panorámicas mediante el uso del método de Demirjian se concluye que este presentó más precisión en estimar la edad dental en niños de 7 a 15 años, a diferencia del método de Nolla. Así mismo, se pudo estimar que la edad con mayor proporción con respecto al método de Demirjian está entre las edades de 13-13,9 años con un total de 52 individuos (37,1%).
Validación de cuestionario para medir el nivel de conocimiento sobre traumatismos dentoalveolares en pacientes odontopediátricos
Authors:   , Mercado Hermoza Adriana Elizabeth
Published: June 2022

Estudio observacional, descriptivo, transversal y prospectivo. El objetivo fue validar un nuevo cuestionario para medir el nivel de conocimiento de traumatismos dentoalveolares en pacientes odontopediátricos. Se realizó la modificación de un instrumento validado previamente creando uno nuevo de 21 preguntas de opción múltiple, divididas en 3 secciones: Conocimiento de la clasificación de Andreasen, Protocolo terapeútico en dentición decidua y Protocolo terapéutico en dentición permanente. Se sometió el instrumento a un juicio de expertos y a una prueba piloto. El cuestionario se aplicó a una muestra total de 150 participantes (50 estudiantes de pregrado de la carrera de Estomatología, 50 odontólogos generales y 50 especialistas en odontopediatría). Se volvió a aplicar el cuestionario (test retest) al 50% de la muestra. En los resultados se observó que el cuestionario alcanzó una alta validez de contenido al obtener un puntaje de 0.98. El análisis KR20 evidenció una confiabilidad alta de 0.64 y el coeficiente de Pearson una reproducibilidad muy alta de 0.86. Al realizar el análisis factorial exploratorio para evaluar la validez de constructo se observó que no era específico para el tipo de formato de preguntas con respuesta múltiple en los que se asocian respuestas que incluyen contenido teórico, por lo que, se optó por conservar las tres dimensiones planteadas originalmente. Con estos resultados, se puede concluir que el presente instrumento es válido, confiable y reproducible para ser ejecutado en futuras investigaciones con las recomendaciones sugeridas en la investigación.