bluuebunny/crossref_metadata_2025 huggingface dataset:
DETERMINING NEW EXPORT GOALS AND COMPETITIVE STRATEGIES FOR THE JEWELRY INDUSTRY IN EAST JAVA IN A GLOBAL VALUE CHAIN PERSPECTIVE
Authors: Pranakusuma Sudhana
Published: July 2021

Global Value Chain (GVC) is a relatively new concept where the process to produce goods or services occurs across countries. Previous research has concluded that integrating in GVC is important for a region to promote its economic growth. One indicator of a region's involvement in GVC is its export value at which in the Province of East Java, the jewelry industry (HS code 71) is the largest export contributor. This study aims to identify new export destinations based on trade data and to analyze internal factors of strength and weakness as well as external factors of opportunity and threat to formulate strategy to improve the competitiveness of jewelry industry with small, medium and large scale in East Java. In this research, the trade balance of jewelry industry between Indonesia and East Java and global importers was analyzed. The results show that some countries in Asia and Oceania, Europe and America are potential markets for the gold industry in East Java to increase the current value of exports. The geographical location of East Java which is close enough to the current export destination countries of jewelry products (Taiwan, Japan and Singapore) as well as potential destinations (India and China) is a competitive advantage. This research also identifies several strategies that can be done by the stakeholders in developing the jewelry industry in East Java.
APLIKASI UNTUK ORDER JAHIT SECARA ONLINE
Authors: Prayitno Bangkit Saputra Jeffri , Bratakusuma Trias , Rifai Zanuar
Published: July 2021

Saat ini masih sangat menjanjikan, berwirausaha di bidang jasa menjahit pakaian, walaupun produksi pakaian jadi sudah ada di beberapa toko baik online maupun offline, dan mudah sekali di dapatkan. Tapi ada beberapa konsumen yang memiliki ukuran tubuh yang berbeda seperti yang disediakan oleh toko, misalnya terlalu kecil atau terlalu besar. Alasan lain mengapa jasa menjahit pakaian masih menjanjikan atau diminati karena ada beberapa model baju yang pas jika dijahitkan misalnya kebaya, jas, pakaian adat, dan model-model lain yang harus diukur pas dengan ukuran badan Platform jahitonline dibangun berdasarkan peluang bisnis e-commerce terutama bidang fashion di Indonesia yang mengalami pertumbuhan yang sangat siginifkan sebanyak 78% di tahun 2018 dan pengguna internet Indonesia mencapai 100 juta jiwa, dan juga dengan dukungan akses internet yang luas. Platform jahitonline fitur khusus order jahit online untuk mewujudkan baju yang memang pas untuk konsumen yang memungkinkan user dapat mengcustom baju mereka sendiri secara online tanpa harus bertemu langsung. Platform jahitonline merekut para penjahit lokal yang berpangalaman bertahun-tahun dibidang fashion. Selain bertujuan untuk bisnis platform jahitonline diharapkan dapat membantu para penjahit dan pemilik butik saling terhubung. Dengan adanya peluang tersebut, maka kami yakin bahwa platform sangat berpeluang untuk dikomersialisasikan pada beberapa fitur-fiturnya
PENGEMBANGAN SISTEM INFORMASI PENJAMINAN MUTU (SIMANTU) LLDIKTI WILAYAH IV
Authors: Sanjaya Rangga , Nurfitriana Handayani Rissa
Published: July 2021

SPMI (Sistem Penjamin Mutu Internal) merupakan acuan bagi perguruan tinggi dalam menilai mutu kinerja dan penyelenggaraan pendidikan tinggi secara internal. SPMI penting untuk diperhatikan oleh perguruan tinggi agar mampu berkompetisi secara positif dengan perguruan tinggi lain di dalam maupun di luar negeri agar mampu meningkatkan pengelolaan dan penyelenggaraan pendidikan tinggi perguruan tinggi tersebut. Untuk dapat menilai ketercapaian masing-masing standar SPMI, DIKTI menyediakan aplikasi pemetaan perguruan tinggi untuk dapat melihat info grafik kinerja penyelenggaraan pendidikan tinggi di seluruh perguruan tinggi di Indonesia. Akan tetapi, dalam pelaksanaannya masih terdapat perguruan tinggi yang belum mengisi dan melengkapi dokumen-dokumen SPMI, sehingga hasil pemetaan yang dilakukan belum sepenuhnya mencerminkan kinerja perguruan tinggi secara faktual. Permasalahan yang sering dihadapi oleh perguruan tinggi dalam melaksanakan penilaian mutu internal adalah tidak terorganisirnya berkas dan dokumen administrasi SPMI. Hal tersebut dapat terjadi karena pengelola kampus tidak memiliki referensi yang cukup tentang bagaimana penyelenggaraan dan dokumentasi administrasi SPMI yang baik. Berdasarkan analisis permasalahan tersebut, dalam menunjang aktivitas pengelolaan dan penyelenggaraan perguruan tinggi, diperlukan adanya kolaborasi dan kerjasama diantara perguruan tinggi, yang difaslitatori oleh pemerintah dalam hal ini diwakili oleh LLDIKTI. Adanya aplikasi Sistem Penjaminan Mutu (SIMANTU) diharapkan dapat mengingatkan dan membantu LLDIKTI dan PT untuk mempersiapkan proses pendataan dalam kegiatan reakreditasi, melalui layanan portal informasi, pangkalan data (resource sharing), riwayat kegiatan, dan bilik konsultasi secara online.
SISTEM INFORMASI MANAJEMEN GUDANG OBAT MENGGUNAKAN DATABASE DAN FORM ORACLE DI PT. LEUWITEX
Authors: Sudiatmo Aditya
Published: July 2021

Sistem informasi merupakan sebuah sarana yang digunakan untuk mendapatkan informasi secara lengkap dalam suatu periode tertentu. Informasi yang diberikan haruslah relevan dan akurat sehingga informasi tersebut dapat digunakan sebagai pengambilan keputusan bagi suatu instansi atau perusahaan. Saat ini perkembangan sistem informasi sangat pesat dan cepat, sehingga menjadi sebuah tantangan baru bagi sebuah perusahaan untuk memindahkan sistem manual kedalam sistem digital yang lebih sederhana dan memiliki kapasitas penyimpanan yang besar. Selain kapasitas yang harus dipertimbangkan, kinerja sistem informasi harus diperhitungkan agar dapat mengganti sistem yang bekerja manual kedalam sistem yang bekerja secara komputerisasi. Transaksi Gudang Obat Kecil di PT Leuwitex meliputi transaksi penerimaan, pengeluaran, balancing, stock opname, pelaporan persediaan, pelaporan transaksi keluar dan masuk, dan beberapa laporan lainnya. Seluruh transaksi yang dilakukan oleh Gudang Obat Kecil dilaporkan kepada pihak akunting. Permasalahan yang sering terjadi pada saat proses pelaporan yaitu keterlambatan pelaporan yang diakibatkan oleh beberapa hal, diantaranya perhitungan akumulasi transaksi yang manual, pencarian slip permintaan yang tertumpuk, penghitungan slip permintaan secara manual, pengelompokan transaksi secara manual, serta masih banyak lagi permasalahan yang dihadapi dalam proses pelaporan kepada pihak akunting. Sistem Informasi Manajemen Gudang Obat Kecil, merupakan sebuah inovasi yang diciptakan agar sistem transaksi manual dapat terekam secara digital dan dapat terlacak dengan waktu yang sangat singkat dan cepat. Selain itu, informasi yang dikeluarkan lebih cepat dan mudah untuk diolah kembali sesuai dengan kebutuhan pengguna secar menyeluruh.
La Resiliencia, en Mujeres Victimas de Violencia
Authors: Lazo Ancajima Deysi Manuela
Published: July 2021

La resiliencia es una característica que desarrollan algunas personas, esta les permite enfrentar estas situaciones adversas, sobreponerse e intentar seguir en un ritmo de vida favorable, siendo especialmente importante cuando las situaciones son de violencia. Esta investigación tiene por objetivo general analizar la resiliencia, en mujeres víctimas de violencia. La metodología empleada se basó en un diseño bibliográfico de tipo documental. Los resultados obtenidos dan cuenta de la importancia de aplicar resiliencia a mujeres víctimas de violencia para la recuperación de su salud y ser nuevamente parte de la sociedad como conclusión se tiene que la resiliencia potencia las características de las personas que le permitirán salir airosas de y fortalecidas de las situaciones de peligro que vivieron.
A expansão do agronegócio: impactos nefastos do desmatamento, agrotóxicos e transgênicos nas abelhas
Authors: Faita Marcia Regina , Chaves Adriana , Nodari Rubens Onofre
Published: July 2021

O reconhecimento sobre os benefícios que as abelhas oferecem para a manutenção da vida não está sendo revertido em ações efetivas para conservação desses polinizadores. Nesse sentido, o objetivo deste artigo é apresentar e discutir os impactos de três importantes características do sistema agrícola industrial, que vem causando danos às abelhas no Brasil: desmatamento, uso de agrotóxicos e cultivo em larga escala de variedades transgênicas. Os danos agudos têm sido frequentemente relatados, tanto em estudos científicos quanto pela imprensa, diante de eventos de mortalidade em massa. Igualmente relevante, os danos crônicos informam sobre enfraquecimento e mortalidade de colmeias, sem apresentar uma causa única ou conclusiva. Estudos têm evidenciado que herbicidas, fungicidas e plantas transgênicas, mesmo considerados inócuos às abelhas, promovem alterações fisiológicas e comportamentais nesses insetos. Porém grande parte deles não indicam os reais prejuízos às colmeias, que só podem ser observados em estudos de longo prazo, realizados a campo. Isso também revela uma falha grave nas avaliações de riscos de agrotóxicos e transgênicos sobre organismos não alvo, que consideram válidos testes feitos em indivíduos isolados de organismos que naturalmente vivem em colônias, como é o caso das abelhas eussociais. Resultados obtidos para um grupo de indivíduos em laboratório, que não necessariamente refletem o efeito na colmeia, são muito comuns. Contudo, resultados de ensaios que consideram a complexidade de interações entre castas e diferentes gerações desses insetos, são muito escassos. Assim constata-se que o princípio da precaução foi sumariamente ignorado em detrimento aos lucros financeiros que se concentram para poucos, enquanto os prejuízos ambientais e à saúde são repartidos entre todos. Desse modo, apresentamos e discutimos os efeitos danosos de três das principais práticas utilizadas no âmbito do agronegócio brasileiro, que afetam de diferentes modos a saúde e sobrevivência das abelhas, assim como os serviços por elas prestados.
As diferentes narrativas alimentares do agronegócio
Authors: Pompeia Caio , Schneider Sergio
Published: July 2021

Frente à ampliação global de problemas de saúde pública relacionados à alimentação, a literatura tem dispensado maior atenção ao estudo das múltiplas determinações que podem influenciar a transição a sistemas agroalimentares sustentáveis e saudáveis. Procurando contribuir com o debate, este artigo analisa as narrativas de diferentes agentes relacionados ao campo do agronegócio sobre duas agendas: a da segurança alimentar e nutricional (SAN) e a da alimentação adequada e saudável. O objetivo é examinar os modos como tais narrativas têm sido mobilizadas e modificadas, tanto para responder a críticas, quanto para legitimar posicionamentos sobre políticas públicas e propostas legislativas. O período abordado corresponde ao intervalo entre os anos 1990 e a década de 2020, e os materiais empíricos utilizados incluem documentos corporativos e estatais, manifestações públicas de agentes privados e políticos, e relatórios de organizações internacionais. Tais materiais são abordados com foco no agenciamento de categorias, nas variações discursivas provocadas pelas críticas e na heterogeneidade de representações do campo. Os resultados mostram que, ao perderem legitimidade quanto à agenda da SAN no país, representações dominantes das cadeias de commodities passam a privilegiar discursos sobre suas contribuições nas exportações desses produtos, ao passo que uma nova controvérsia ganha impulso, aquela que relaciona a alimentação à saúde.
Do modelo agroquímico à agroecologia: a busca por sistemas alimentares saudáveis e resilientes em tempos de COVID-19
Authors: Altieri Miguel A. , Nicholls Clara Inés
Published: July 2021

A irrupção inesperada da crise de COVID-19 exige uma transição agroecológica mais efetiva no contexto das políticas em curso de desenvolvimento rural e urbano em todo o mundo. Para avançarmos, uma reorientação drástica dos sistemas de produção, distribuição e consumo de alimentos parece inevitável. À primeira vista, esse impulso exigirá a mobilização de cinco estratégias: a abolição progressiva do uso de pesticidas; o enriquecimento da matriz ecológica; a revitalização das pequenas propriedades agrícolas; a difusão de sistemas alternativos de produção animal; e a promoção da agricultura urbana. Neste artigo, nós oferecemos uma breve revisão do potencial contido nessas iniciativas agroecológicas. Consideramos que as novas evidências de eventos climáticos cada vez mais erráticos, juntamente com a síndrome das “novas pandemias emergentes”, colocam em xeque a hegemonia do modelo de agronegócio globalizado. Por outro lado, diante dos inúmeros desafios a serem enfrentados pela humanidade nas próximas décadas, argumentamos que vem se tornando cada vez mais urgente promover ações coordenadas visando o fomento de sistemas agroecológicos territorializados.
Flexibilização da regulação de agrotóxicos enquanto oportunidade para a (necro)política brasileira: avanços do agronegócio e retrocessos para a saúde e o ambiente
Authors: Gurgel Aline Monte , Guedes Clenio Azevedo , Friedrich Karen
Published: July 2021

O modelo químico-dependente imposto pelo agronegócio expõe a sociedade brasileira a agrotóxicos associados a graves danos à saúde humana e ao ambiente. O avanço da pauta neoliberal no governo agravou o cenário de exposição a essas substâncias em decorrência do desmonte das políticas públicas que criam mecanismos de proteção. Neste sentido, este artigo coloca em foco a flexibilização de regras e normas de regulação de agrotóxicos no Brasil entre os anos de 2019 e 2020. Trata-se de um estudo descritivo e transversal que analisou normas, decisões judiciais e relatórios técnicos publicados no âmbito da União entre janeiro de 2019 e janeiro de 2021, mas com efeitos jurídicos retroativos até dezembro de 2020. Observou-se a liberação de um número recorde de agrotóxicos e a flexibilização de normativas que regulam o registro e o uso dessas substâncias no país, cujos impactos costumam atingir mais intensamente grupos populacionais em situação de maior vulnerabilidade. Argumenta-se que a associação entre o agronegócio e o aprofundamento de vulnerabilidades tem sido mediada por práticas de biopoder voltadas para atender aos interesses do capital financeiro, que determinam sobre quem deve recair os custos do modo capitalista de produção. Este cenário foi agravado com o avanço da pandemia do Covid-19 no país, configurando a necropolítica governamental, que se traduz em uma estratégia de eliminação de povos e comunidades tradicionais, negros, pobres e campesinos.
Language and Linguistic Orthography
Authors: Aloufi Aliaa
Published: July 2021

Orthography is an undeniably unique human achievement; this work aims to provide a comprehensive overview of this achievement, by clarifying the concept of orthography and acknowledging its significance. Besides that, it demonstrates the broader types of orthographies that will face any foreign language learner—language orthography and linguistic orthography—and highlights the distinction between the two. In addition to discussing relevant work on orthography, it concludes with an evaluation of the two types, highlighting the differences in many aspects that are related to function, development and usage. Such work will enhance our understanding of orthography and surely contribute, not only to linguistic, but also to language research in general.
An Adaptive Methodology to Overcome Localization Translation Challenges
Authors: Brashi Abbas
Published: July 2021

This study proposes an adaptive methodology to overcome localization translation challenges. The objective of the study is to generate a theoretical framework for identifying localization translation problems and ultimately propose a user-centred and agile-based methodology to minimize translation errors. The main research question that this paper attempts to answer is the question of “What would be the best theoretical framework for identifying current translation problems and addressing the convergence of translation and localization according to the new developments in informatics and communication technologies?” To answer this question, it was important to dismantle the notions of translation, translation theory, and localization. Based on the revised new definitions adapted to the new socio-technological context of the present digital era, the challenges can be identified and addressed through the formulation of a new methodology. The new methodology involves several steps, including the selection of recognized techniques like the “rich points” model to identify the localization translation challenges, a set of quality criteria to evaluate the projects, and adopting a user-centred approach and agile methodology for the project management of localization translation projects in order to assure the satisfaction of the stakeholders and a rapid adaptation to changes in the requirements. The proposed methodology must be validated in the future by applying it to concrete cases of localization translation projects and assessing its utility and performance. Thus, it would be useful in the future for improving localization translation projects.
Onomatopoeia and Cat Vocalisations
Authors: Aloufi Aliaa
Published: July 2021

Onomatopoeia—the imitation of natural sounds—is a common phenomenon in human language, though imitations of the same sounds might appear different cross-linguistically. It is true that onomatopoeia is not like ordinary language, but how does it differ from natural vocalisation? While the distinction between onomatopoeia and ordinary language has received ample treatment, its difference from natural sounds have so far received less attention from linguistics. This study aims to investigate the phonetic differences between onomatopoeic cat sounds in ten languages and natural cat vocalisations. The findings show some segmental and phonotactical distinctions due to the direct representation of these words regarding their meanings, which clearly indicates that this phenomenon in world languages is not arbitrary and offers strong evidence of iconicity. While arbitrariness is the norm in human language and has an essential impact on language development, there are clearly some nonarbitrary aspects of human language, and onomatopoeia is notable among them.
De positie van de onderzoeker in het enquêterecht
Authors: Hanegraaf C.E.J.M.
Published: July 2021

De positie van de onderzoeker in het enquêterecht

De auteur gaat in op de positie van de persoon die het onderzoek naar het beleid en de gang van zaken van een rechtspersoon uitvoert, de onderzoeker. Hij besteedt aandacht aan de belangrijkste taken, bevoegdheden en verplichtingen van de onderzoeker, alsmede aan enkele discussies die in dat kader spelen.
De door de Ondernemingskamer benoemde tijdelijke bestuurder en commissaris
Authors: Duynstee D.J.F.F.M. , Drenth T.
Published: July 2021

De door de Ondernemingskamer benoemde tijdelijke bestuurder en commissaris

In deze bijdrage bespreken de auteurs wat een OK-functionaris is, en gaan zij in op zijn aansprakelijkheidspositie en op enige recente ontwikkelingen in de jurisprudentie ten aanzien van de rol van de Ondernemingskamer in het beperken van de risico’s voor de OK-functionaris. Afgesloten wordt met een kort pleidooi voor een bredere toepassing van artikel 16 lid 5 Rv en meer structureel toezicht.
De OK-functionaris: ervaringen uit het veld
Authors: Van Hassel W.G.
Published: July 2021

De OK-functionaris: ervaringen uit het veld

Veertig jaar OK-ervaring levert een bont palet van opmerkelijke casus en getroebleerde relaties, en ook lege holdings, beursfondsen, familiebedrijven en zelfs een artikel 12 Sv-procedure. Deze terugblik rondt de auteur af met enkele gedachten over vormvoorschriften, hindsight bias, gesprekstechniek van onderzoekers, en een oplossing voor duurzaam ontwrichte relaties tussen aandeelhouders.
Transformational Leadership and Instructional Quality during the COVID-19 Pandemic: A Moderated Mediation Analy
Authors: Burić Irena , Parmač Kovačić Maja , Huić Aleksandra
Published: July 2021

The school lockdown caused by the COVID-19 pandemic pushed teachers to online teaching literally overnight, which put their performance at risk. Transformational school leadership (TSL), teacher self-efficacy (TSE) and digital competencies might have played a protective role in such burdening conditions. Therefore, the present study aimed to examine the mediating role of TSE in explaining the relationship between TSL and instructional quality. Additionally, the moderating role of digital competencies in explaining the interrelations between TSL and TSE as well as between TSE and instructional quality, or the proposed mediating mechanism, was tested. The study was conducted via online survey in Spring 2020 and involved 1655 Croatian teachers. The mediation and moderated mediation analyses revealed that TSL was positively related to instructional quality both directly and indirectly via TSE. Teacher digital competencies did not moderate the proposed relationships or the mediating mechanism.
Personal and Contextual Factors of the Emotional Exhaustion of School Principals during the COVID-19 Pandemic
Authors: Sorić Izabela , Burić Irena , Penezić Zvjezdan
Published: July 2021

The school principal's job, which is extremely stressful even in "normal conditions", is currently even more stressful due to the changes brought to the educational system by the Covid- -19 pandemic, that is, due to the requirements for the fast and successful organization and implementation of distance (online) education. Therefore, the aim of this study was to examine the extent to which the principals' personal characteristics (gender, age, ICT competencies, self-efficacy, work efficiency, support for teacher autonomy, positive and negative affect) together with some contextual characteristics (school size) contribute to the principals' burnout, that is, to emotional exhaustion as a key dimension of burnout. The sample consisted of 206 principals (of which 74 (35.9%) were men) who completed an online questionnaire during the implementation of online education due to the Covid-19 pandemic. The results showed that for the emotional exhaustion of principals, in the situations of online education due to the Covid-19 pandemic, the most important predictors were their ICT skills and the negative affect that they experience at work. Additionally, negative affect completely mediated the relationship between the principals' self-efficacy and their emotional exhaustion at work.
Croatian Pupils' Perspectives on Remote Teaching and Learning during the COVID-19 Pandemic
Authors: Ristić Dedić Zrinka , Jokić Boris
Published: July 2021

On March 16th 2020, the Croatian government mandated a nationwide closure of schools and introduced remote teaching and learning in response to the COVID-19 pandemic. The present study explores the perspectives of pupils in the 7th grade of elementary education regarding this period of remote teaching and learning. The study aims to examine the level and determinants of pupils' satisfaction with newly implemented practices and to explore their perception of remote teaching and learning in comparison to classroom practices. An online survey was conducted with 920 pupils from 23 elementary schools in Zagreb between May 25th and June 6th 2020. The results indicate average satisfaction levels and a weak ability of the model to predict pupils' satisfaction based on a set of individual pupil characteristics. Pupils' interest in using digital devices and fathers' educational status were the only significant predictors of satisfaction. On average, pupils perceived remote teaching and learning as unfavourable in terms of quality, task load and effort in comparison to classroom practices. There was, however, a small cluster of pupils (15%) who associated remote teaching and learning with higher-quality practices.
Sources of Stress, Depression and Academic Functioning of University Students during the COVID-19 Pandemic
Authors: Živčić-Bećirević Ivanka , Smojver-Ažić Sanja , Martinac Dorčić Tamara , Birovljević Gorana
Published: July 2021

The aim of the study was to examine the sources of stress that students experienced during the COVID-19 pandemic with respect to gender and change of residence, as well as the relation between specific sources of stress, depressive symptoms and self-rated academic functioning. The study included 923 students aged 19 to 28 (73 % females). The students completed the Stress Source Questionnaire, the Academic Functioning Questionnaire, and the Depression, Anxiety and Stress Scale (DASS-21). Four groups of stress sources have been identified. The consequences of isolation represent the strongest stress source, followed by academic stress, the possibility of infection, and family sources of stress. Females experience all sources of stress more intensely than males, and students who changed their residence experience family problems and the consequences of isolation more stressfully than students who live continuously in their families. All sources of stress, except possible infection, are significant predictors of depression, while depression is a significant additional predictor of students' self-rated academic functioning after controlling for gender, change of residence, and sources of stress. The consequences of isolation, as a source of stress, have the strongest effect on depression and self-rated academic functioning.
We are All in This Together: The Comparison of Coronavirus' Experiences in Croatia and Other European Countries
Authors: Uzelac Ena , Ćepulić Dominik-Borna , Palić Petra
Published: July 2021

Different countries were successful in different ways in their attempts to contain the spread of the coronavirus, which compromised the health of many people. Stress levels rose and the restrictive measures impacted the citizens' trust in institutions. An important resource for managing crises is a country’s economic growth. Given that the gross domestic product (GDP) per capita is one indicator of economic growth, the goal of this study is to investigate the differences in perceived stress and trust in institutions between European countries categorized into below-average, average and above-average GDP per capita levels during the coronavirus pandemic. The analyses of N = 84,080 participants from 29 countries gathered via an online survey showed that citizens of higher-level GDP per capita countries experienced less stress and had more trust in institutions. Compared to the average level, Croatian citizens experienced somewhat higher stress and had somewhat higher trust in the government’s measures. These results imply that economic growth is one of the country-level factors associated with the quality of managing the coronavirus pandemic.
Job Satisfaction and Mental Health of Health Professionals in Croatia during the COVID-19 Pandemic
Authors: Tokić Andrea , Gusar Ivana , Nikolić Ivanišević Matilda
Published: July 2021

The aim of this study was to identify the determinants of job satisfaction and the mental health of health workers during the COVID-19 pandemic. A total of 498 health professionals participated on a voluntary basis. The variables investigated were: socio-demographic variables, work characteristics ((non-)change of job during the pandemic, (non-)stay in self-isolation, and working hours), and personal characteristics of the employees (resilience, burnout, mental health, job satisfaction, and (non-)change of job satisfaction during the pandemic). The results indicate that job satisfaction and mental health cannot be explained by the change in working conditions during the pandemic. Exhaustion was a negative predictor of job satisfaction and mental health, while the dimension of disengagement was a negative predictor of job satisfaction, and resilience was a positive predictor of mental health. The respondents whose job satisfaction increased during the pandemic had the longest working hours and worked more often with COVID-positive and suspicious patients. Respondents whose job satisfaction decreased during the pandemic had lower resilience, mental health and higher levels of burnout compared with those whose job satisfaction remained the same or increased.
The method of sensory integration in the therapy of children with autism
Authors: Micek Agnieszka , Kmiecik-Niedziela Barbara
Published: July 2021

Children with autism often have difficulties with registering and interpreting information received from senses. Inadequate response to signals coming from senses, commonly encountered among them, may be associated with restricted stereotyped behaviours and social deficits, affecting their relationships, education and daily life activities. Children with autism may have impaired sensory perception, show hypersensitivity to environmental stimuli manifested by fascination or anxiety, e.g. they may feel distress due to constant quiet noise. Researchers have been studying the impact of sensory processing disorder on the daily functioning in children with autism for decades. The sensory integration theory has evolved over the years, some strategies directed on therapy of senses have been evaluated and used as a complementary method of treatment in this population. However, controversy over this concept sometimes arises, especially in the lay press. Therefore, there is still a need for reflection on the management of children with autism spectrum disorder (ASD) in the context of sensory integration therapy. In this target group, it is particularly important to undertake interventions aimed at improving self-regulation, receiving information from the world of the senses and everyday functioning.
An analysis of commercially recommended profiles for normobaric preacclimatization
Authors: Tannheimer Markus , Lechner Raimund
Published: July 2021

Introduction: Normobaric hypoxic training (NHT) for preacclimatization at home has found its way into commercial expedition mountaineering. Portable NH-generators produce a normobaric hypoxic gas mixture that can be inhaled using breathing masks at rest or during exercise or it can be pumped into lightweight tents for sleeping. These devices can be rented from commercial companies.
Materials and methods: Prior to an expedition to Manaslu (8163 m) NHT was used for preacclimatization over a period of 10 days. Our regimen involved a greater increase in sleeping altitude (10 nights to reach 5400 m) than recommended by the rental company (30 nights to reach 3900 m).
Results: No incidents occurred during NHT. Our regimen induced sufficient acclimatization to Manaslu Base Camp (4900 m), as evidenced by the fact that none of the expedition members suffered from AMS although they reached base camp within 2 days from Kathmandu – by helicopter flight to 3500 m and a one day walk the next day. Eight days after leaving Kathmandu, camp III was reached at 6850 m.
Conclusions: At natural altitudes above 2500 m an increase of sleeping altitude should not exceed 300-500 m per day. Below 2500 m, there are no restrictions. It is therefore unclear why the company recommends such a slow increase in sleeping altitude. In our opinion, it is not necessary for healthy persons to start with a sleeping altitude below 2500 m. In contrast to natural altitudes, NH exposure can be instantly stopped if symptoms occur. Therefore, it seems safe to expose healthy persons to more liberal normobarichypoxic conditions.
The need for specific first aid and emergency knowledge whilst trekking in remote areas – results of the ADEMED (Aachen DEntal and MEDical) Expedition to the Annapurna region, Nepal
Authors: Scharfenberg C. , Lechner K. , v.d. Giet S. , Hettlich M. , Schöffl V. , Küpper T.
Published: July 2021

Introduction: Fellow trekkers are often the first responders to their comrades in remote settings. Not everyone undertakes First Aid (FA) training when travelling to remote settings away from comprehensive healthcare, whether travelling independently or in a group. The syllabus of standard urbanised FA courses does not fully cover the needs of such trekkers (ie altitude illnesses). We evaluated the FA and emergency knowledge of trekkers en route in the remote Nepalese Himalayas.
Material and methods: A questionnaire about FA, trekking emergencies and water hygiene knowledge was completed by a cohort of 453 trekkers passing through Manang (3,519 m), Nepal, who volunteered their participation. A previously validated questionnaire consisted of 20 multiple choice questions (each using a five-point Likert scale) was used, followed by a subjective self-assessment of 17 key topics using a 5-point rating scale from very good to unsatisfactory knowledge. Demographic data including FA and climbing experience was also collected.
Results: The participants generally showed a poor knowledge in FA and trekking emergencies, even though 20.8% had some occupational medical training. In total 59.5% of possible answers were answered correctly. On average each participant managed to answer only one out of 20 questions (5.4%) completely correct. The most unsatisfactory results concerned the following topics, each with only 2.4% correct answers: hypothermia/resuscitation, rescue strategies and rip fractures. The best results were for HACE 33.8%, cranio-cerebral injury 33.6%, angina pectoris/heart attack 31.8% and hypovolemic shock 28.7%. The majority of participants had very limited experience of climbing mountains, rock climbing or ice climbing.
Conclusions: This study provides essential data identifying deficiencies in standard FA courses that are targeted for urban settings, and not for trekkers in a remote setting far away from comprehensive health care and rescue. There is a need to develop readily accessible FA curriculums specific to trekkers that would provide education on preventative care prior to, during, and after treks, and to improve their knowledge of medical care of trekking injuries and emergencies.
Badania poligonowe innowacyjnych słupów
linii elektroenergetycznych 400 kV
Authors: Labocha Sławomir
Published: July 2021

W artykule opisano rozwiązania konstrukcyjne oraz specjalistyczne badania innowacyjnych stalowych słupów kratowych przeznaczonych dla linii elektroenergetycznych 400 kV. Nowe serie słupów opracowano w związku z wdrożeniem wyższych standardów bezpieczeństwa dla linii elektroenergetycznych, zawartych w normie PN-EN 50341-2-22:2016. Pełnowymiarowy prototyp nowych słupów poddano badaniom poligonowym obejmującym, poza weryfikacją nośności dla obciążeń normowych, określenie obciążenia niszczącego nową konstrukcję. W pracy przedstawiono podstawowe wyniki badań oraz dokonano analizy porównawczej z procedurami normowymi zawartymi
w PN-EN 50341-2-22:2016 oraz PN-EN 1993-3-1:2008. Wykazano dobrą zgodność analiz teoretycznych oraz rezultatów z badań słupów w skali 1:1.
Zachowane kościoły drewniane powiatu tarnogórskiego jako przykład różnorodności przyjętych rozwiązań górnośląskiej architektury sakralnej
Authors: Tunkel Magda
Published: July 2021

W artykule opisano cechy architektoniczne
i konstrukcyjne drewnianej architektury
sakralnej zlokalizowanej w regionie
Górnego Śląska. Opisano zachowane kościoły
powiatu tarnogórskiego (Księży Las, Miasteczko
Śląskie, Szałsza) oraz zaprezentowano
wyniki badań literaturowych, archiwalnych
i studialnych mających na celu wskazanie różnorodności
przyjętych rozwiązań ciesielskich
w badanych obiektach. Prowadzone autorskie
badania z lat 2014–2019 umożliwiły wykonanie
analiz oraz oceny zachowanych kościołów
zbudowanych z drewna w regionie Górnego
Śląska. Do grupy tych obiektów zalicza
się również 3 kościoły powiatu tarnogórskiego,
których cechy rozwiązań architektoniczno-
-konstrukcyjnych zaprezentowano w zestawieniu
tabelarycznym.
Wholeness and Life Course in Person Centered Medicine
Authors: Mezzich Juan E , Appleyard James , Botbol Michel , Salloum Ihsan M.
Published: July 2021

Wholeness and Life Course in Person Centered Medicine
Towards enhanced emotional interactions with older persons. Findings from a nursing intervention in home health care.
Authors: Veenvliet Charlotte , Eide Hilde , Lange Martijn de , Dulmen Sandra van
Published: July 2021

Background. Living at home with a physical condition that requires assistance places high emotional burden on older persons that needs to be attended to by nurses. However, nurses in home health care have previously been found to communicate primarily in an instrumental way. This increases the risk that emotional concerns are being overlooked or not responded to in an appropriate way.Aims and Objectives. To enhance emotional interactions with older clients in home health care, an individual feedback intervention was developed for these nurses. The first experiences and results are presented in this paper.Design and Methods. Ten nurses/nurse assistants participated in this exploratory pre-post test study. They were asked to audiotape visits with older persons (65+) before and after an audio-feedback intervention. Older clients’ implicit and explicit expressions of emotional concerns as well as nurses’ responses to these expressions were rated with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The nurses were given feedback based on the audio-recordings and the observations and were asked to reflect on the audio-feedback intervention.Results. The nurses valued the audio-feedback. Overall, 201 cues and 35 concerns were expressed during 58 recorded visits. At post-intervention, 29% of identified cues and concerns were nurse-initiated, at pre-intervention 18.8% (NS). Nurses provided space in 73.7% of their responses. During shorter visits nurses tended to provide less space (p=.06). After the intervention, 20.9% of the cues and concerns were ignored, before the intervention this was 25% (NS).Conclusions. Receiving feedback was taken in very well by the nurses working in home health care and the feedback intervention seems to enhance emotional interactions in home health care with older persons. Although, due to the low power of the study, the differences between pre-and post-intervention measurements were not significant. Studies with larger samples are needed to replicate these findings.
Emergence of Coproduction and Participatory Care in European Clinical Practice
Authors: Szescilo Dawid
Published: July 2021

Coproduction as a participatory and collaborative innovation in public service delivery might be particularly useful as a tool for improving quality, efficiency and patient satisfaction in the course of health services provision. This article reviews the practices of coproduction identified in European health care systems. This aims at exploring if the coproduction has already gained a status of significant trend in health services provision and what are the outcomes of coproductive arrangements implemented. In the first part, drawing from the literature review, major types of coproduction in health care have been identified, including shared decision making, self management and expert patient initiatives, and peer support networks. In the second part the existing evidence on European experience with coproduction in health care has been analysed in terms of scale and outcomes. This review demonstrates that while coproduction might be promising addition to institutional mix in health services delivery, it is still at early stage of development. The number and scope of coproductive arrangements is rather low and most of them could be identified in the UK health care system. Possible reasons for limited dissemination of coproduction in the European health care systems are discussed in the last part of the article.
European Alliance Against Depression: Person centered care for depression and prevention of suicidal behaviour
Authors: Hegerl Ulrich , Arensman Ella , Kohls Elisabeth
Published: July 2021

Background: Depression is a prevalent and severe disorder and a major cause for attempted and completed suicides in Europe. Objectives: The community-based 4-level-intervention concept developed within the “European Alliance against Depression” (EAAD; www.eaad.net) combines two important objectives:  to improve the care and treatment of patients with depression and to prevent suicidal behavior. Methods: The EAAD community-based 4-level intervention comprises training and support of primary care providers (level 1), a professional public awareness  campaign (level 2), training of community facilitators (teachers, priests, geriatric care givers, pharmacists, journalists) (level 3), and support for self-help of persons suffering from depression and for their relatives (level 4). Results: Several studies evaluated different aspects of the 4-level community-based intervention concept over the past years and showed a significant reduction in suicidal behavior and various changes in intermediate outcomes (e.g. changes in attitude or knowledge in different populations). Systematic process evaluation was helpful to identify several predictable and unpredictable obstacles to a successful implementation of such community-based programs as well as synergistic and catalytic effects.Conclusions: The EAAD community-based interventionhas been shown to be effective concerning the prevention of suicidal behavior and is the most broadly implemented community-based intervention targeting depression and suicidal behavior world-wide. Via the EAAD and partners from currently 22 countries from in- and outside of Europe, the intervention concept and materials (available in many different languages) are offered to interested regions.
Conceptualization and Metrics in Person Centered Medicine
Authors: Mezzich Juan E , Appleyard James , Botbol Michel , Salloum Ihsan M , Kirisci Levent
Published: July 2021

Since the inception of Person Centered Medicine (PCM) as a programmatic movement, one could find the articulation of science and humanism as a core concept. This revealed a prominent concern for conceptual clarity, illustratively to formulate humanism as the essence of medicine as well as to engage the scientific method as an essential tool. An ongoing scientific effort in PCM involves systematic conceptualization. Another one, reflecting concern for precision in description and prediction, looks at metrics and measurement in its various forms and levels. These two lines of work are outlined below.
Systematic Conceptualization of Person Centered Medicine and Development and Validation of a Person-centered Care Index
Authors: Mezzich Juan E , Kirisci Levent , Salloum Ihsan , Trivedi Jitendra , Kumar Kar Sujit , Adams Neal , Wallcraft Janet
Published: July 2021

Background: A world-wide movement is emerging for person centered medicine and healthcare collaboratively developed by the International College of Person Centered Medicine and a number of global institutions through annual Geneva Conferences and International Congresses as well as scholarly publications. While frequently quoted definitional note have been advanced through this maturational process, efforts are needed to conceptualize and measure systematically person-centered care.Objectives: These included the elucidation of the core concepts of person centered medicine and healthcare, the design of a prototype measuring instrument, and the study of its metric structure, acceptability, reliability and validity.Methods: The following methodological approaches were employed: A systematic review of the literature, consultation exercises with broad international panels composed of health professionals and representatives of patient and family organizations, and quantitative and qualitative data analyses.Results: The following key concepts underlying person centered medicine were elucidated: 1) Ethical Commitment, 2) Cultural Sensitivity, 3) Holistic scope, 4) Relational Focus, 5) Individualized Care, 6) Common Ground for Collaborative Diagnosis and Care, 7) People-centered Systems of Care, and 8) Person-centered Education and Research. On this basis, a Person-centered Care Index was developed composed of 8 broad items and 33 sub-items, each measured on a 4-point scale. The study of its metric structure revealed high Cronbach internal consistency (0.95), scale unidimensionality through factor analysis (69 % of the variance accounted for by the first factor), and interesting inter-correlations such as the sub-item attaining the highest correlation with the global average score being “fulfillment of the person’s life project” (0.88). Validation studies in California, London and Lucknow (India) showed quite high levels of inter-rater reliability (above 0.80 intra-class correlations for most items) and substantial content validity.Discussion: The elucidated core concepts of person centered medicine appear to be consistent with those of international studies on the bases of person- and people-centeredness in primary care and on research and implementation of person centered care. The concepts are also consistent with the key domains of person-centered diagnostic approaches. Further validation studies with larger samples in diverse settings and cultures seem to be warranted.Conclusions. The emerging core concepts of person centered medicine appear to be solid. The Person-centered Care Index built on such concepts appears to have suitable metrics and promising acceptability, reliability and content validity. Further empirical research is recommended.
Person Centered Management Approach for the Dhat Syndrome
Authors: KAR SUJITA KUMAR , Singh Amit
Published: July 2021

Background: Person centered care is a holistic management approach that emphasizes attention to the particularities of the person in context. Trying to fit a general model of care to every patient with a given disorder may not be effective enough to meet the distinct needs of the patient as a person. The Dhat syndrome, being a culture bound syndrome with diverse symptoms and inter-individual variations, may require a care model that can address the unique needs of the person presenting for help.Objectives: A literature review was conducted to analyze different management strategies for the Dhat syndrome. It also explored the relevance and feasibility of a person centered approach for the Dhat syndrome. Methods: An extensive web search on the Medline database was carried out using the keyword “Dhat syndrome”. Relevant studies were analyzed with focus on management strategies for the Dhat syndrome.Results: A total of sixty five articles were found through September 2016 in the Medline database. Out of these, seventeen articles dealing with management of the Dhat syndrome were identified for analysis. Most studies advocated the role of anti-anxiety and antidepressant medications for Dhat syndrome. Several studies also emphasized the role of sex education, relaxation exercises, supportive psychotherapy as well as structured psychotherapies such as cognitive behavior therapy and insight oriented psychotherapy for the Dhat syndrome. Some studies focused on issues relevant to person centered care for an effective treatment of the syndrome, including empathetic listening, non-confrontational attitude, individualized care, and collaborative approachesDiscussion: Various dimensions of person centered care seem to be applicable to the treatment of the Dhat syndrome. This approach tenders promising ways toward enhanced clinical effectiveness to help people experiencing this syndrome.Conclusions: A person centered management approach may be an effective, feasible and acceptable model of care for patients presenting the Dhat syndrome, reflecting wide-ranging recommendations from a critical review of the literature.