bluuebunny/crossref_metadata_2025 huggingface dataset:
Saúde da Família em análise: estudo de caso sobre a produção da atenção à saúde de pessoas com diabetes mellitus tipo 2
Authors: Sarti Thiago Dias , Feuerwerker Laura Camargo Macruz
Published: August 2018

Propõe-se a problematização da modelagem assistencial da Estratégia de Saúde da Família (ESF) a partir do estudo de um caso de produção de cuidado a uma pessoa com diabetes mellitus tipo 2 (DM2) no contexto de uma equipe de ESF atuante em um serviço de saúde de Vitória-ES. Este é um estudo de natureza cartográfica e micropolítica no qual foram observados em profundidade os processos de trabalho de uma equipe de saúde e o cotidiano de vida de um usuário com DM2 indicado como caso analisador por um ano. O caso é característico das dificuldades que os profissionais encontram em cuidar de usuários com condições crônicas: múltiplas comorbidades, terapia medicamentosa complexa, descontrole dos níveis glicêmicos e baixa adesão ao tratamento, sendo que a usuária se vinculava intensamente com a rede suplementar de saúde. Neste contexto, os profissionais da ESF assumiram um papel marginal no cuidado, operando uma agenda biomédica de controle da doença e prevenção de complicações, reforçando o cuidado despotencializado que ela recebia nos serviços privados de saúde, significando que a equipe não operava suas ações a partir da centralidade da usuária no cuidado. Desta forma, a ESF opera como dispositivo de saber-poder que reforça, ao invés de reorientar, o modelo hegemônico de atenção à saúde.
Okamgnienie i ślad
Authors: Graf Paweł
Published: August 2018

Artykuł dokonuje analizy dwóch kategorii filozoficznych: śladu i okamgnienia. Odwołując się do filozofii (J. Derridy, E. Husserla, G. Harmana, M. Heideggera, P. Ricouera i Ch. Tylora) autor interpretuje tytułowe pojęcia, zderzając je z myślą teoretycznoliteracką. Celem nie są jednak wskazane jakości same w sobie, lecz ich moc interpretacyjna skierowana na utwory literackie. Lekturze (związanej z okamgnieniością i śladem, epifanią oraz pustką) zostały poddane teksty I. Calvina, B. Jasieńskiego, P. Macsovszky’ego, B. Schulza i A. Tabucchiego. W konkluzji zostaje podkreślona wartość myślenia paradoksalnego.
Controle biológico do gorgulho aquático Oryzophagus oryzae utilizando armadilhas luminosas com Beauveria bassiana em lavoura de arroz irrigado
Authors: Tomasoni Carolina Maria , Heiber Diego , Hickel Eduardo Rodrigues
Published: August 2018

O gorgulho aquático, Oryzophagus oryzae (Costa Lima), é praga importante nas lavouras de arroz irrigado. Suas larvas, conhecidas por bicheira-da-raiz, danificam o sistema radicular das plantas. A prática do controle biológico desse inseto precisa ser aprimorada. Assim, foi conduzida uma pesquisa objetivando verificar as taxas de mortalidade de O. oryzae, infectados por Beauveria bassiana (Bals.) Vuill. em armadilhas luminosas, instaladas em lavoura de arroz irrigado. Duas armadilhas receberam aparato de contaminação fúngica, com massa de B. bassiana, preparada em arroz autoclavado. Uma terceira armadilha ficou isenta, como testemunha. Insetos capturados de outubro de 2013 a março de 2014 foram mantidos em laboratório para a verificação de mortalidade e infecção fúngica, caracterizada pelo crescimento micelial nas articulações. A mortalidade dos indivíduos artificialmente contaminados foi de 73,1%, enquanto que na testemunha foi de 0,8% (infecção natural). Armadilhas luminosas com aparato de contaminação fúngica foram eficazes no controle biológico de adultos de O. oryzae.
Contagem de Bactérias Lácticas e Análises Físico-químicas de Bebidas Lácteas Fermentadas Comercializadas no Município de Bom Jesus do Itabapoana-RJ
Authors: Silva Layne Gaspayme da , Dutra Haylane Paola Flores , Silveira Lohany Pedrosa Mateini , Loures Sheila Andrade Abrahao , Bastos Paula Aparecida Martins Borges
Published: August 2018

As bactérias lácticas (BAL) são microrganismos necessários para fermentação e qualidade do produto, e sua concentração influencia nos valores de pH com seu potencial de acidificação e produção de ácido lático. O objetivo foi a avaliação de BAL e análises físico-químicas em bebidas lácteas fermentadas de três marcas em quatro lotes, totalizando 12 amostras. As bebidas lácteas avaliadas apresentaram contagens de BAL dentro dos padrões exigidos pela legislação (>106 UFC/mL), pH característico (4-4,5) e acidez titulável dentro do previsto (0.6-1.5 % de ácido láctico). Apenas duas amostras apresentaram menor acidez titulável do que o exigido, demonstrando que eram menos ácidas. Contudo, a contagem de BAL é compatível com o exigido, assegurando um produto de qualidade.
Holocausto, memória judaica e memórias do terror no cone sul
Authors: Aisenberg Edna
Published: August 2018

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Memória, palavras, murmúrios e silêncios: Óssip Mandelstam
Authors: Ferreira Jerusa Pires
Published: August 2018

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Berta Waldman entrevista Vilma Arêas
Authors: Waldman Berta
Published: August 2018

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Vilma
Authors: Naves Rodrigo
Published: August 2018

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Homenagem por tabela /Apogeu
Authors: Candido Antonio
Published: August 2018

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Desmedida: O Brasil, para além da paisagem, em Ruy Duarte de Carvalho
Authors: Chaves Rita
Published: August 2018

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O fio do mínimo ou "Zapatos: andante com cariaciones" de Margo Glantz
Authors: Kanzepolsky Adriana
Published: August 2018

O fio do mínimo ou “Zapatos: andante con variaciones” de Margo GlantzThis work construes Margo Glantz’ “Zapatos: andante con variaciones” as a text that from the fiction point of view reworks, at the same time displacing and distorting, some nucleic ideas taken from Las genealogías. Our starting hypothesis is that this text (central in the series of texts in Historia de una mujer que caminó por la vida con zapatos de diseñador) does not fictionalise an “original” but a textual original; because of this we think its protagonist (Nora García) as an “imperfect translation” of this Margo Glantz who presents herself as the narrator and character of the parental memories.We question how you construct an autobiography when you already had been a character in your parent’s biography; with this is mind we read the change of status that some events experience from one text to the other; the transformation of the insignificant into central and the central into insignificant. We focused our attention on Nora García/Margo Glantz relation with the universe of shoes. This relation seen as a familial memory mark, personal passion, a garment that defines the subject; and above all as that object which obliquely lets the author to recover in the fictional space the maternal memory (obscured in the Las genealogías by the figure of Jacobo Glantz, her father.
La literatura se acompasa a la nación. Rómulo Gallegos y su Venezuela moderna
Authors: Marinone Mónica
Published: August 2018

Rómulo Gallegos was a chronicler of his place and time. The charm projected on his spirit by the stories of an optimistic modernity led his firm hand in the design of an image of a modern nation for Venezuela, inspired by the possibility of progressive knowledge, social and moral improvement, and the re-establishment  of a policy associated to virtue and law. An acknowledgement of foundations was inherent to that charm, as well as the notion of model, so dear to the western tradition that demanded quality, insisted on values, and recommended or prescribed lifestyles, two axes of a project that could be achievable due to the best regulatory device, Education. In this article I examine how writing was for Gallegos a cultural practice essentially associated to these axes and to that device because of its mission character and its possibility to organize multiple or complex realities. This cultural practice was also the way to canalize its programmatic pulse through performative statements that showed the Venezuelan reality and made the public believe what that reality was like in the view of a group that even standing against-power, enjoyed part of the monopoly of the discursive production of that reality. From this position I focus on Pobre negro (1937) and I establish its connection to some XIXth century scholars through the élan pédagogique or bequest of the Illustration, in the deep conviction that “education could do everything”.
Ritmo e brasilidade em A Capital Federal
Authors: Neves Larissa de Oliveira
Published: August 2018

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Prevalensi Penyakit Malaria dan Hubungannya dengan Tingkat Pengetahuan pada Masyarakat di Baturinggit Selatan
Authors: HALID MUSPARLIN
Published: August 2018

Malaria adalah masalah kesehatan masyarakat yang biasa terjadi pada musim hujan yang dapat berakibat terhadap penularan kepada orang lain dan bahkan kematian. Hal tersebut diperlukan kerjasama antar lembaga dalam mengurangi risiko malaria. Sebagian besar lingkungan di wilayah asia yang menjalar secara endemik menekankan segera melakukan tindakan preventif yang efektif seperti strategi pengendalian terutama pada anak kecil dan wanita hamil. Upaya yang dapat dilakukan dalam pengendalian vektor penyakit malaria dengan mempelajari tingkat pengetahuan dan pengelolaan lingkungan di sekitar rumah mereka. Tujuan penelitian adalah untuk mengeidentifikasi prevalensi penyakit malaria dan hubungannya dengan tingkat pengetahuan pada masyarakat. Jenis penelitian adalah rancangan cross sectional di Baturinggit Selatan pada Juli – Desember 2017. Besar sampel berjumlah 148 kepala keluarga. Analisis data menggunakan uji statistik chi square (χ2) dengan taraf signifikan p < 0,05. Hasil analisis data menunjukkan bahwa faktor jenis kelamin tidak mempunyai hubungan secara signifikan terhadap kejadian malaria dengan p > 0,05. Sedangkan secara signifikan dengan p <0,001, kejadian malaria mempunyai hubungan dengan usia, kebersihan lingkungan di sekitar rumah, ketersediaan program pencegahan dari pemerintah daerah, pengetahuan masyarakat tentang penyebab penyakit tersebut, gejala malaria, cara menghindari risiko penularan penyakit tersebut, cara penularan malaria, dan genangan air sebagai faktor penyebab perkembangbiakan nyamuk sebagai vektor malaria. Peningkatan prevalensi malaria disebabkan oleh faktor pengelolaan lingkungan sekitar rumah dan tingkat pengetahuan masyarakat yang masih rendah.
Eksistensi Manusia dalam Manajemen Pendidikan Islam (Tinjauan Kritis dari Segi Fungsi Penggerakan/Motivating)
Authors: Ningrat Hadi Kusuma
Published: August 2018

Manajemen organisasi akan terlaksana dengan baik jika tersedia sumberdaya organisasi yang dibutuhkan, yang dikenal dengan singkatan 7 M (man, money, machines, material, marketing, methods, dan minutes). Berdasarkan sudut pandang fungsi penggerakan (motivating) dalam manajemen (khususnya manajemen pendidikan Islam) bahwa asset yang maha penting di antara sumber daya organisasi tersebut adalah sumber daya manusia (man). Keberadaannya sebagai penggerak utama sumber daya organisasi lainnya. Hal tersebut akan terwujud, apabila tujuan/kepentingan organisasi dan kepentingan anggota organisasi sinergis; saling menguntungkan. Untuk tujuan tersebut, maka pimpinan organisasi perlu mengetahui dan memahami karakteristik anggota organisasinya. Lebih lanjut pembahasan tentang eksistensi manusia dari segi fungsi penggerakan (motivating) dalam manajemen pendidikan Islam akan diuraikan di bawah ini.
Gender Disparities at Higher Education in Kenya: A Case of Moi University
Authors: Migosi Joash A.
Published: August 2018

The purpose of this study was to understand the gender representation in higher education in Kenya, particularly at the Moi University in Eldoret, Kenya. The study was carried out in the 1995/96 academic year and focused on selected faculties and schools in regard to gender disparities in University enrolment at undergraduate level. Proportionate random sampling technique was employed in identifying the respondents to this study. The questionnaire and document analysis guide were the key instruments used in this study. For secondary data, the study used Document Analysis Guide which was used to collect data from the university authorities and the Ministry of Education Statistics Division and number of candidates who sat for Kenya Certificate for Secondary Education in the years 1990-93. Primary data was collected by questionnaires. The questionnaire return rate was 70%. This return rate was therefore considered sufficient to provide the required information. Data from the questionnaire and the Document Analysis Guide were analyzed using descriptive statistics. Gender representation data was analysed per faculty. Findings from the study indicated revealed that female student enrolment at Moi University is quite low compared to male enrolment. The most affected faculties are Wildlife Management and Technology and Forestry Resources represented by 6.38% and 13.4% respectively. Other Science based courses had at least more than 20% of the female student representation. Even in the arts based faculties, parity is far from being achieved. This calls for concerted efforts to increase the female student enrolment at the university level in Kenya particularly in the fields of Science and Technology.
STABILITY OF ANTHOCYANIN DURING PROCESSING, STORAGE AND SIMULATED DIGESTION OF PURPLE SWEET POTATO PASTA
Authors: Mulyawanti Ira , Budijanto Slamet , Yasni Sedarnawati
Published: August 2018

Purple sweet potato is rich in anthocyanin giving a potential application in food product development.  However, anthocyanin is relatively unstable and easily degraded during processing and storage. Understanding the stability and bio-accessibility of anthocyanin during processing, storage and simulated digestion is very important. The study aimed to investigate changes in anthocyanin degradation during processing, storage and simulated digestion of purple sweet potato pasta. The pasta was prepared through several processing steps, i.e. steaming the tuber, steaming the dough formula, extrusion, drying and boiling. Anthocyanin was analyzed at every stages of processing and storage of the pasta. The durability of the pasta during storage was analysed using an accelerated shelf-life testing method at 30, 40 and 50ºC for 28 days. The study showed that anthocyanin content decreased during the whole stages of processing and storage, but slightly increased during steaming. The highest loss of the anthocyanin occurred in the boiling process. Based on resistance to stomach and intestinal conditions, the bio-accessibility of anthocyanin was better in the digestive system in the stomach than that in the intestines. The increased anthocyanin appeared again in the colon. This study provides useful information for designing an effective method to minimize an extensive loss of anthocyanin of purple sweet potato for food product development.
Structural Interventions At Kensington Palace
Authors: GLOGER Bartłomiej , RABIEJ Jan
Published: August 2018

In March 2012 Kensington Palace one of the most important historic building in the history of the British monarchy was reopened to the public by Queen Elisabeth II. Between 2010 and 2012 the palace has undergone a £12m redevelopment. Kensington Palace is a Scheduled Ancient Monument and Grade I listed building that has been a royal residence since the end of 17th century and holds rooms of special historic interest. However, over previous decades the palace attracted few visitors considering its location and significance. Therefore the main objective was to make it as accessible as reasonably possible for the broader public. The main difficulty in undertaking this task was associated with the requirement of preserving historic fabric whilst upgrading functionality and programme to meet modern standards. This necessitated alteration of selected areas, installation of passenger lift and requirement to address concurrent legislation. The aim of the paper is to analyse the proposed scheme in light of technical requirements relating to access to and use of buildings. In assistance the original documents submitted for planning permission by John Simpson Architects, Historic Royal Palaces’ annual reviews formed the base of this paper. The regeneration scheme proved to be successful as after completion HRP noted significant increase in visitors’ numbers. As a result this project is an interesting insight of design criteria on how to balance potential impact on historic fabric.
The Design Thinking Method In Architectural Design, Particularly For Designing Senior Homes
Authors: TYMKIEWICZ Joanna , BIELAK-ZASADZKA Maria
Published: August 2018

Researches on designing homes for senior in the future implemented by the authors were presented in two articles. The first one is focused on the theoretical foundations. Paper explains what Design Thinking method is, discusses the state of research, objectives, substantiation of the selection of the topic, and modern trends in the design of senior homes. A continuation of this topic is article: SENIOR HOMES of THE FUTURE IN THE EYES of STUDENTS of ARCHITECTURE. DIDACTIC EXPERIENCE FROM THE APPLICATION of THE DESIGN THINKING METHOD.
Senior Homes of The Future In The Eyes of Students of Architecture. Didactic Experience From The Application of The Design Thinking Method
Authors: TYMKIEWICZ Joanna , BIELAK-ZASADZKA Maria
Published: August 2018

The paper is a continuation of the research topic presented in the paper: THE DESIGN THINKING METHOD IN ARCHITECTURAL DESIGN, PARTICULARLY FOR DESIGNING SENIOR HOMES. The text is devoted to the presentation of the research and didactic project based on Design Thinking method, conducted with students of the Faculty of Architecture, Silesian University of Technology. This part consist of the following stages: definition of the problem to be solved, interdisciplinary work of student teams, brainstorming and prototyping. The conclusions are focused on guidelines for the design of senior homes of the future – as defined by students participating in the project, who will be future seniors.
Influence of Load Direction On Behaviour And Mechanical Parameters of Clay-Brick Masonry Walls Under Cyclic Compression
Authors: GALMAN Iwona
Published: August 2018

The results of laboratory tests of masonry wallettes subjected to cyclic compression normal and parallel to bed joints are presented in this paper. The influence of the direction of loading on the σ
=
σε() relationship and basic mechanical parameters was analysed. The paper also describes the modes of failure of the tested elements.
Temperature In The Adhesive Layer of Externally Bonded Composite Reinforcement Heated By The Sun
Authors: KRZYWOŃ Rafał
Published: August 2018

The paper describes the measurements of temperature growth in different types of the epoxy adhesive bonding external strengthening. A total of six types of models were tested: CFRP sheet and strip, two SRP tapes adhered to the concrete sample, CFRP strip and SRP tape on a timber sample. Changes in temperature were investigated during the summer in the southern Poland. The maximum measured temperatures for all models exceeded regarded as safe temperature limit of 45°C. The highest recorded adhesive temperature refers to a sample of CFRP strengthened timber and exceeded 70°C. For the structure such a high temperature may result in almost complete loss of adhesion and thus the efficiency of strengthening. Test results may be a warning against the use of FRP external strengthening exposed to direct sunlight without any protection.
Perturbation Numbers – Evaluation of The Influence of The Uncertainty of Parameters On Unidirectional Temperature Distribution In A Plate
Authors: WINKLER-SKALNA Agnieszka
Published: August 2018

This paper describes the issue of unidirectional temperature distribution in a plate with the assumption of perturbations in the problem parameters. The new algebraic perturbation system is proposed as a possible alternative to the traditional I-order perturbation methods. A calculation example is presented to compare the classical solution of a problem with that using perturbation numbers. The investigation of a possibility to apply the new algebraic system using a simple example represents an introduction to the further development of the proposed methodology which can be used to solve more complicated problems, taking into account among other properties, inhomogeneity of material, its porosity or the occurrence of thermal bridges.
Use of Biological Methods For Removal of H2S From Biogas In Wastewater Treatment Plants – A Review
Authors: BARBUSIŃSKI Krzysztof , KALEMBA Katarzyna
Published: August 2018

Biogas is produced during anaerobic digestion of organic substances by a consortium of microorganisms. Biogas consists mainly of methane (CH4) and carbon dioxide (CO2). Other gases such as dinitrogen (N2), water vapour (H2O), ammonia (NH3), hydrogen sulfide (H2S) and other sulfur compounds could also be found therein. Biogas produced by waste biomass has been recognized as one of the most important alternative energy sources in the recent years. In order to be used as a source of energy to generate heat and electricity, biogas should be cleaned. H2S is a colourless, flammable, malodorous and toxic gas. The main issues due to the high concentrations of H2S in biogas are its corrosive action, which damages engines and the production of sulfur oxides (SOx) due to H2S combustion. The best ways to remove H2S from biogas are the biological methods with the use of biofilters, biotrickling filters, bioscrubbers and using of activated sludge.
Investigation of Functional Diversity And Activated Sludge Condition Using Biolog® System
Authors: MICHALSKA Justyna , WOJCIESZYŃSKA Danuta , GREŃ Izabela
Published: August 2018

Activated sludge method dominates among the currently used biological wastewater treatment systems. The dynamic development of this technology implies need for research, most of which are carried out in laboratory conditions. Biolog system seems to be an effective tool that allows a quick assessment of microbial activity of activated sludge. The aim of this study was to verify Biolog® EcoPlates’ usage for comparing the functional and metabolic diversity of activated and excess sludge microbial communities, collected from WWTP “Klimzowiec” in Chorzów with the excess sludge subjected to the purification process, and then long-term adaptation in laboratory conditions. Changes in the functional diversity of activated sludge during the adaptation in the lab-scale were verified. It was found that the acclimatization process plays a crucial role in sludge adaptation to the laboratory environment. In addition, it has been shown that subjecting the excess sludge to purification may lead to changes in functional diversity of this community.
The Use of Low-Calorific Value Gases In Environmental Protection Engineering
Authors: UCHMAN Wojciech , WERLE Sebastian
Published: August 2018

The use of low-calorific value gases is a way to gaseous fuels supply diversification. LCV gases present an application potential in various technologies e.g. reburning process. The experimental investigation of the reburning process in small scale coal-fired boiler using sewage sludge-derived syngas was carried out. The influence of the LCV gas stream on the nitrogen oxides emission reduction was analyzed. The emission reduction reached almost 30% with 11% gas share in thermal input.
Gains in Grain Yield of Extra‐Early Maize during Three Breeding Periods under Drought and Rainfed Conditions
Authors: Badu-Apraku B. , Talabi A. O. , Ifie B. E. , Chabi Y. C. , Obeng-Antwi K. , Haruna A. , Asiedu R.
Published: August 2018

Drought is a key maize (Zea mays L.) production constraint in sub‐Saharan Africa. Fourteen, fifteen, and twenty‐five extra‐early maturing maize cultivars, with varying Striga resistance and drought and low soil N tolerance, were developed from 1995 to 2000 (Period 1), 2001 to 2006 (Period 2), and 2007 to 2012 (Period 3), respectively. The objectives of this study were to examine yield gains in the cultivars and to investigate inter‐trait relationships and yield stability under six drought and 17 rainfed conditions in West Africa from 2013 to 2016. Annual rate of yield increase across cultivars was 0.034 (3.28%) and 0.068 Mg ha−1 (2.25%), whereas yield gains per period were 0.17 and 0.38 Mg ha−1 under drought and rainfed environments, respectively. Yield gains under drought and rainfed environments were related to prolonged flowering period, increased plant and ear heights, improved stalk lodging, and ear and plant aspects, whereas delayed leaf senescence and increased number of ears per plant accompanied yield improvement under drought only. Ear aspect and number of ears per plant were primary contributors to yield and could be used as selection criteria for yield enhancement under drought and rainfed conditions. High‐yielding and stable cultivars across all environments based on additive main effects and multiplicative interaction (AMMI) biplot included ‘2004 TZEE‐Y Pop STR C4’ and ‘TZEE‐W Pop STR BC2 C0’ of Period 2 and ‘2009 TZEE‐W STR’, ‘TZEE‐Y STR 106’, ‘TZEE‐W STR 107’, and ‘TZEE‐W DT C0 STR C5’ of Period 3. These cultivars could be commercialized to improve food self‐sufficiency in sub‐Saharan Africa.
A System for Making and Deploying Oxide‐Coated Plastic Films for Environmental Assessment of Soils
Authors: Rabenhorst Martin C.
Published: August 2018

Core Ideas

IRIS films document reducing soil conditions.

IRIS films perform the same as IRIS tubes.

IRIS films permit easy acquisition of two‐dimensional images.

The IRIS film deployment system protects IRIS from abrasion or scratching.

IRIS films require 5% of the storage volume of traditional IRIS tubes.

The documentation of reducing conditions in soils is important in the study, monitoring, and delineation of hydric soils and wetlands. Over the last decade, IRIS (Indicator of Reduction In Soils) technology has moved from the periphery into common use in hydric soils studies. Their appeal has been their ease of use and their conceptual simplicity, and IRIS technology has been approved by the US National Technical Committee for Hydric Soils (NTCHS). Recent developments in IRIS applications have also utilized Mn oxide paint, in addition to Fe oxide paint. While IRIS technology has encompassed a variety of forms, polyvinyl chloride (PVC) tubes are used most commonly. There are, however, challenges when using traditional PVC IRIS tubes. These include: (1) difficulty in acquiring a two‐dimensional image from a three‐dimensional cylindrical structure; (2) abrasion or scratching of the tubes during transport and on insertion (especially in sandy or dense soil conditions); (3) expense of shipping due to their weight and size; (4) long term storage issues; (5) general environmental and/or sustainability concerns with using non‐reusable plastic tubing. This paper describes a system for the delivery and installation of oxide‐coated plastic films in soils. Field testing of both Fe‐coated and Mn‐coated devices demonstrates that data provided by films does not differ significantly from data provided by tubes. However, many of the problems and issues that have plagued the use of IRIS tubes are eliminated by use of IRIS films.
PROFIL HEMATOLOGIK BERDASARKAN JENIS PLASMODIUM PADA PASIEN MALARIA RAWAT INAP DI RSK LINDIMARA, SUMBA TIMUR
Authors: Irawan Henryanto , Merry Maria Silvia , Wuryaningsih Nining Sri , TS Tri Baskoro
Published: August 2018

Pendahuluan: Malaria merupakan salah satu penyakit menular yang

masih banyak ditemukan di negara tropis dan sub tropis. Data WHO pada tahun

2013 diperkirakan 197 juta kasus malaria dengan angka kematian sekitar

584.000 orang. Di Indonesia kasus malaria pada tahun 2013 sebesar 343.527

kasus. Kabupaten Sumba Timur merupakan daerah endemis malaria dengan

angka kejadian malaria yang masih cukup tinggi yaitu sebesar 6.266 kasus.

Tujuan: Menganalisis gambaran hematologik malaria terutama angka

eritrosit dan hemoglobin berdasarkan jenis Plasmodium, distribusi berdasarkan

data demografi (jenis kelamin, umur, dan pekerjaan) dan rejimen obat anti malaria

yang digunakan.

Metode: Penelitian ini bersifat deskriptif analitik dengan menggunakan

metode potong lintang. Data berasal dari data rekam medis 262 pasien malaria

yang rawat inap di Rumah Sakit Kristen Lindimara bulan Juli 2014 - Desember

2014. Data dianalisis secara univariat dan uji T.

Hasil: Sebanyak 262 subjek penelitian sebanyak 210 orang (80,2%)

terinfeksi Plasmodium falcifarum dan 52 orang (19,8%) terinfeksi Plasmodium

vivax dengan derajat infeksi ringan (69,5%). Hasil uji T terhadap gambaran klinis,

angka eritrosit (p=0,380) dan kadar hemoglobin (p=0,523) menunjukkan tidak

terdapat perberdaan yang signifikan antara kedua jenis Plasmodium (p>0,05).

Berdasarkan distribusi data demografi, frekuensi tertinggi pada perempuan

(53,1%), umur ≥ 15 tahun (54,6%) dan sebagian besar adalah pelajar (43,1%).

Rejimen obat anti malaria yang digunakan ialah kombinasi kina dan primakuin

(75,6%).

Kesimpulan: Kejadian malaria di RSK Lindimara paling banyak

disebabkan oleh Plasmodium falcifarum (80,2%) dibandingkan dengan

Plasmodium vivax (19,2%). Berdasarkan gambaran klinis, angka eritrosit dan

kadar hemoglobin tidak terdapat perbedaan yang signifikan antara kedua jenis

Plasmodium (p>0,05). Kombinasi kina dan primakuin merupakan obat pilihan

pertama di RSK Lindimara (75,6%).
FIDELITY CASE MANAGEMENT SYSTEM PADA PASIEN STROKE RAWAT INAP DI RUMAH SAKIT UNIVERSITAS GADJAH MADA
Authors: Alfajri Novi Zain , Pinzon Rizaldy Taslim , Lestari Trisasi
Published: August 2018

Latar Belakang: Koordinasi asuhan pasien masih bermasalah di RS UGM khususnya dalam perencanaan perawatan dan proses transisi. RS UGM menerapkan case management system untuk memperbaiki koordinasi asuhan kasus kompleks salah satunya stroke. Evaluasi dilakukan terhadap sistem baru tersebut.

Tujuan: Mengevaluasi fidelity case management pasien stroke rawat inap dan mengidentifikasi faktor-faktor implementasinya

Metode: Penelitian implementasi, desain concurrent mixed method, dilaksanakan November 2016 – Januari 2017 di RS UGM. Pengambilan data dengan wawancara mendalam terhadap case manager, diskusi kelompok terarah paramedis, dan observasi proses koordinasi. Fidelity yang dinilai meliputi kepatuhan terhadap cakupan dan konten. Evaluasi luaran dibatasi pada lama hari rawat dan angka kematian.

Hasil dan Pembahasan: Kepatuhan konten alur case management masih rendah yaitu sebesar 2%. Alur skrining dan follow up post discharge belum sesuai karena kepatuhan dan pemahaman pelaksana serta belum lengkapnya petunjuk teknis. Ketidaksesuaian skrining mempengaruhi rendahnya cakupan kasus yaitu 19%. Faktor pendukung implementasi adalah ketersediaan panduan, pelatihan, dukungan pimpinan, dan respon tim. Kendala implementasi adalah kurangnya petunjuk teknis, kendala waktu koordinasi, dan kendala sosial edukasi pasien. Evaluasi luaran menunjukkan angka kematian menurun, rerata lama hari rawat memanjang. Responden merasakan manfaat case management dalam memperbaiki koordinasi tim.

Kesimpulan dan Saran: Fidelity implementasi case management system di RS UGM rendah ditandai dengan rendahnya kepatuhan konten dan cakupan kasus. Rerata lama hari rawat memanjang, tetapi rentang hari rawat memendek. Angka kematian kasus lebih kecil. Respon partisipan adalah faktor pendukung implementasi tetapi strategi fasilitasi belum dilakukan dengan optimal sehingga mempengaruhi fidelity yang rendah. Strategi fasilitasi perlu ditingkatkan dengan kebijakan dan petunjuk teknis yang komprehensif terutama pada alur skrining dan follow up post discharge, pelatihan case manager, sosialisasi, dan monitoring evaluasi berkelanjutan

Kata kunci: fidelity, stroke, case management system
Mel as Hyperobject
Authors: Keiser Mel
Published: August 2018

Through the words of Timothy Morton’s Hyperobjects: Philosophy and Ecology after the End of the World (2013), the adapted practice of distant reading, the lens of current neuroscience, and the flavor of non-philosophy, artist Mel Keiser transmutes a text about object oriented ontology and ecological philosophy into a piece that describes what it is to be an identity becoming.
Krisis as the Scene of Non-Decisional Judgement: A Performance Fiction for the Generic Human
Authors: Lammin Hannah
Published: August 2018

François Laruelle’s non-standard aesthetics proposes a framework for ‘conjugating’ philosophy with the arts to articulate new models of thought (2012a). This posture of thinking is posed as a defence of man against the presuppositions that ground philosophy, which conceptually overdetermine the human and condemn thought to a perpetual state of crisis (Gracieuse et al. 2012). Laruelle’s epistemological approach holds a certain potential for the field of performance philosophy because it brings performance together with philosophy in a non-hierarchical arrangement that combines their respective means, producing an ‘art of thought’ (Laruelle 2012a, 5). This article examines the effects of bringing performance into thought in this manner, by putting Laruelle’s pragmatics into practice. It enacts a non-standard re-description of two sets of theoretical materials: one ‘philosophical’, the other from ‘performance theory’. The first, a deconstruction of the performativity of human rights declarations (Hamacher 2006), resonates with Laruelle’s concerns about the conceptual overdetermination of the human; however, it appeals to the Platonic scene of krisis as an alternative paradigm for presenting the human—which remains an event with a crisis-structure. The second, an aesthetic theory of performance conceived as a liminal event (Fischer-Lichte 2008), has a similar structure. By articulating these materials together, I will show how terms can be extracted from performance theory and used as a means to radicalise the scene of krisis, producing a stage on which the ‘human’ can be presented in an underdetermined mode. This allows us to achieve a non-predicative theorisation of the human that eludes Hamacher, whilst demonstrating through practice the abstract procedure by which ‘performance’ is utilised in the context of non-standard aesthetics.
Anarchic Reflection and the Crisis of Krisis: Working with Artaud
Authors: White Joel
Published: August 2018

This article begins by arguing that the ‘madness’ of Antonin Artaud is either fetishised or resisted, depending on the disciplinary angle from which one works. It proposes an alternative approach to the study of Artaud, which might avoid such pitfalls by reading Artaud’s work as performative philosophy or a philosophy of performance. The approach is defined by the principle of ‘working with’, rather than working on, a literary or philosophical figure. The second part of the article works, or philosophises, with Artaud, reading his work on the ‘Theatre of Cruelty’ alongside Immanuel Kant’s work on judgment from the third Critique. It explores the Kantian distinction between determining and reflective judgment, extending reflective judgment into what I call anarchic reflection. To do so, the article elucidates the conceptual relation between actuality, entropy, an-archy, cruelty and sublimity, defining anarchic reflection as an unintentional and/or intentional crisis of the judgment or krisis (κρίσις) of Form that opens the possibility of its transformation.
Liquidez dinámica: la capacidad real de pago del emprendimiento
Authors: Chaves da Silva Rodrigo Antonio
Published: August 2018

Entre las diversas funciones que el patrimonio posee, se destaca la función de liquidez que se encuadra entre las básicas y más importantes de la riqueza, pues, ésta garantiza la satisfacción de las divisiones contraídas en un período. El análisis de balances, tecnología de la contabilidad, surgió científicamente en la época contemporánea, con el propósito de verificar la liquidez del emprendimiento y éste fue considerado el motivo inicial para el análisis de la riqueza. El objetivo de este trabajo es analizar y destacar a la liquidez dinámica, que es una de las mayores teorías del sector financiero de la contabilidad. La metodología en cuanto a los medios es analítica y bibliográfica, en cuanto a los fines es exploratoria y explicativa, con el interés de enfatizar está tesis, siendo un artículo de análisis de balance. Se justifica este levantamiento por el hecho de que no tenemos exploraciones sobre este concepto y análisis, constituyendo una investigación relevante, e imprescindible para los contadores analistas y gerenciales. La liquidez, por lo tanto, puede ser efectiva o nominal, la primera es adecuada y real, la segunda es aparente, se expresa en la forma informativa, pero no siempre concuerda con la realidad. Tal artículo explicitará los aspectos de las especies de liquidez, nominal y real, pero con más prominencia en el enfoque de la liquidez real, para proporcionar al lector el conocimiento necesario para analizar y producir auténticas conclusiones sobre la verdadera liquidez del patrimonio, es decir: liquidez dinámica.
Polska adaptacja kwestionariusza CSIE Locke'a do pomiaru poczucia skuteczności interpersonalnej i jego osobowościowe korelaty
Authors: Stanisławski Krzysztof , Strus Włodzimierz , Cieciuch Jan
Published: August 2018

Celem artykułu jest prezentacja polskiej wersji kwestionariusza do pomiaru poczucia skuteczności interpersonalnej – Skal koła skuteczności interpersonalnej (Circumplex Scales for Interpersonal Efficacy; CSIE) Locke’a – oraz poznanie osobowościowych uwarunkowań konstruktów koła interpersonalnego i szerokości repertuaru zachowań interpersonalnych. CSIE są oparte na modelu koła interpersonalnego Wigginsa (Wiggins, Trapnell, Phillips, 1988) i mierzą 8 aspektów interpersonalnego poczucia skuteczności: Dominujący, Dominujący i Zdystansowany, Zdystansowany, Ustępliwy i Zdystansowany, Ustępliwy, Ustępliwy i Życzliwy, Życzliwy, Dominujący i Życzliwy. Badanie przeprowadzono na próbie N = 306. Rzetelność jednej skali (FG – Ustępliwy i Zdystansowany) jest niska, rzetelności pozostałych skal są zadowalające. Struktura wewnętrzna i trafność teoretyczna narzędzia są satysfakcjonujące. Stwierdzono, że interpersonalne poczucie skuteczności jest najsilniej powiązane z metacechą Beta / Plastyczność, co poddano dyskusji w kontek  ie Cybernetycznej Teorii Wielkiej Piątki (Cybernetic Big Five Theory; CB5T) DeYounga (2015). Jako wskaźniki szerokości repertuaru zachowań interpersonalnych zastosowano elastyczność interpersonalną (wzniesienie profilu) oraz sztywność interpersonalną (długość wektora). Elastyczność interpersonalnego poczucia skuteczności i cech interpersonalnych jest powiązana z ekstrawersją, ugodowością, stabilnością emocjonalną, intelektem, Alfą / Stabilnością, Betą / Plastycznością oraz Ogólnym Czynnikiem Osobowości. Z kolei sztywność wartości i cech interpersonalnych koreluje z ekstrawersją, ugodowością, stabilnością emocjonalną, intelektem, Alfą / Stabilnością, Betą / Plastycznością oraz Ogólnym Czynnikiem Osobowości.
The Prevalence of Autism Spectrum Disorders in Adult Psychiatric Inpatients: A Systematic Review
Authors: Tromans Samuel , Chester Verity , Kiani Reza , Alexander Regi , Brugha Terry
Published: August 2018

Background:

Whilst the prevalence of autism spectrum disorders in adults within the community setting is well-established, less is known about the prevalence among adults based within a psychiatric inpatient setting.

Objective:

To conduct a systematic literature review pertaining to the prevalence of autism spectrum disorders among the adult psychiatric inpatient population.

Method:

Eligibility criteria included: (a) investigation of the prevalence of autism spectrum disorders (b) adult psychiatric inpatient study population (c) published in English language. Electronic databases accessed included PubMed, Medline, CINAHL, PsycINFO and EMBASE. Additionally, the ancestry method was utilised for the references of eligible papers, as well as grey literature searches and consultation with experts in the field.

Results:

From the search, 4 studies were identified which satisfied the inclusion criteria, conducted in a variety of inpatient psychiatric settings, including secure forensic and intellectual disability units and a state psychiatric hospital. There were significant differences in methodological approaches, including the screening tests, diagnostic instruments and diagnostic criteria utilised. Autism spectrum disorder prevalence estimates varied considerably, from 2.4-9.9%.

Conclusion:

From the limited research data currently available, it appears that the prevalence of autism spectrum disorders is increased in inpatient psychiatric settings relative to the general population. There is a need for further high quality research in this patient group, to add to this limited evidence base, as well as in developing effective strategies to identify patients with a high likelihood of autism spectrum disorders within this setting.
Correction of amplitude-phase field distribution at aperture of deformed large-aperture fixed phased array
Authors: Shishov Yu. A. , Shaldaev S. E. , Sergeev D. V. , Vahlov M. G. , Podoltzev V. V.
Published: August 2018

On the basis of an analytical review of scientific and technical information sources dedicated to correction of errors in the gainphase distribution of the field on the aperture of the phased antenna array, such errors been caused by correlation of errors in phase quantization by discrete phase shifters, and also caused by disbursement of their characteristics and by failures in a part of the phased antenna array elements, an unresolved problem has been discovered. It is required to correct the amplitudephase distribution errors caused by deformation of the curtain of the large-aperture stationary phased antenna array and resulting in deviation of the radiating elements from their design parameters. A mathematical apparatus of the field distribution electronic correction is being developed together with an algorithm for controlling the radiation pattern of the phased antenna array. The effectiveness of the proposed method for correcting the array pattern distribution on the aperture of the deformed phased antenna array has been evaluated and an option for technical implementation thereof has been proposed.

The relevance and novelty of the work is confirmed by the patent for the invention developed on the basis of the studies performed and by the certificate of state registration of the software, which was based upon in the processing of results of the measurements of the deformations in the curtain of the large-aperture phased antenna array.
Development of a personal portable dosimeter of an effective dose with the RFID data channel
Authors: Novikov S. G. , Berintsev A. V. , Alekseyev A. S. , Somov A. I. , Prikhodko V. V. , Guskov P. A. , Svetukhin V. V.
Published: August 2018

The aim of the work is development of a personal portable dosimeter of effective dose with the RFID data channel without built-in power supply source. Such personal dosimeters are in demand for long-term monitoring of the effective dose of ionizing radiation received by personnel when working with potentially hazardous radiation objects. The proposed X-ray detector has a novelty design with a Gafchromic EBT3 radiochromic film-based sensor element changing its transparency when exposed to ionizing radiation. The dosimeter circuit diagram has been developed and implemented. The dosimeter includes a microcontroller device estimating changes in the effective dose by determination of a degree of the sensor element varying transparency. The specific feature of the device is that it has no built-in power supply source. The dosimeter is supplied with radio frequency data transmission system. The active operating mode of the dosimeter is realized solely at the moments of data reading by external RF devices. The sensitivity of the developed device is expected to be at 0.034% / mGy, the lower dose limit of sensitivity is 1 mGy. The error of dose measuring by this method does not exceed 0.25 mGy.
The frequency range selection for airborne weather radar with the search for areas with the visibility of landmarks for flight and landing
Authors: Bestugin A. R. , Ryzhikov M. B. , Novikova Iu. A.
Published: August 2018

A radar dome of a small aircraft can accommodate an antenna with a small aperture only. The energy potential and radiation parameters required for detection of hazardous weather events are thereby impaired. Mathematical modeling of the effect of wavelength change on the quality of radar meteorological forecast has been performed. Performance parameters of small-sized weather radars have been evaluated for enhancing the safety of the flights of small aircraft. Mathematics have been presented for comparing the efficiency of detecting dangerous thunderstorm areas with allowance for the signal reflection from the ground surface. The formula take into account the wavelength, the directional function of the antenna system, the radar reflectivity of the ground surface, the speed and altitude of flight. The efficiency of the weather radar with a small-sized antenna aperture operating in3 cmand8 mmwave lengths has been reviewed. The detection range of small aircraft radars with different wavelengths in different weather conditions has been determined. A flight envelope search mode is proposed with a possibility of visual orientation and landing in bad weather conditions. The mode is based on measuring the radar reflectivity of moisture targets.
Advancing Cardiac Surgery Case Planning and Case Review Conferences Using Virtual Reality in Medical Libraries: Evaluation of the Usability of Two Virtual Reality Apps (Preprint)
Authors: Napa Sandeep , Moore Michael , Bardyn Tania
Published: August 2018

BACKGROUND

Care providers and surgeons prepare for cardiac surgery using case conferences to review, discuss, and run through the surgical procedure. Surgeons visualize a patient’s anatomy to decide the right surgical approach using magnetic resonance imaging and echocardiograms in a presurgical case planning session. Previous studies have shown that surgical errors can be reduced through the effective use of immersive virtual reality (VR) to visualize patient anatomy. However, inconsistent user interfaces, delegation of view control, and insufficient depth information cause user disorientation and interaction difficulties in using VR apps for case planning.

OBJECTIVE

The objective of the study was to evaluate and compare the usability of 2 commercially available VR apps—Bosc (Pyrus Medical systems) and Medical Holodeck (Nooon Web & IT GmbH)—using the Vive VR headset (HTC Corporation) to evaluate ease of use, physician attitudes toward VR technology, and viability for presurgical case planning. The role of medical libraries in advancing case planning is also explored.

METHODS

After screening a convenience sample of surgeons, fellows, and residents, ethnographic interviews were conducted to understand physician attitudes and experience with VR. Gaps in current case planning methods were also examined. We ran a usability study, employing a concurrent think-aloud protocol. To evaluate user satisfaction, we used the system usability scale (SUS) and the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). A poststudy questionnaire was used to evaluate the VR experience and explore the role of medical libraries in advancing presurgical case planning. Semistructured interview data were analyzed using content analysis with feedback categorization.

RESULTS

Participants were residents, fellows, and surgeons from the University of Washington with a mean age of 41.5 (SD 11.67) years. A total of 8 surgeons participated in the usability study, 3 of whom had prior exposure to VR. Users found Medical Holodeck easier to use than Bosc. Mean adjusted NASA-TLX score for Medical Holodeck was 62.71 (SD 18.25) versus Bosc’s 40.87 (SD 13.90). Neither app passed the mean SUS score of 68 for an app to be considered usable, though Medical Holodeck (66.25 [SD 12.87]) scored a higher mean SUS than Bosc (37.19 [SD 22.41]). One user rated the Bosc usable, whereas 3 users rated Medical Holodeck usable.

CONCLUSIONS

Interviews highlighted the importance of precise anatomical conceptualization in presurgical case planning and teaching, identifying it as the top reason for modifying a surgical procedure. The importance of standardized user interaction features such as labeling is justified. The study also sheds light on the new roles medical librarians can play in curating VR content and promoting interdisciplinary collaboration.