bluuebunny/crossref_metadata_2025 huggingface dataset:
New opportunities to improve the treatment effectiveness of patients with stable angina
Authors: Grigoryeva N. Yu. , Vilkova O. E. , Samolyuk M. O. , Kolosova K. S.
Published: July 2020

Aim To study the antianginal and heart rate slowing effects in patients with stable angina (SA) who failed to achieve the heart rate (HR) goal and were switched from the beta-blocker (BB) metoprolol tartrate to a combination of metoprolol tartrate and ivabradine.Materials and methods The study included 54 patients with SA not higher than functional class (FC) III (35 (64.8 %) men and 19 (35.2 %) women) aged 59 [48; 77] years. Prior to the study start and at 4 and 8 weeks of follow-up, electrocardiography (ECG) and 24-h ECG monitoring (24h-ECGM) were performed for all patients. The follow-up period duration was 8 weeks. The antianginal and heart rate slowing effects of therapy were clinically evaluated by a decrease in frequency of anginal attacks and patients’ requirement for nitrates, a decrease in HR, and the effect on 24h-ECGM indexes characterizing myocardial ischemia. At the first stage, all patients were prescribed metoprolol tartrate (Egilok®, Egis, Hungary) 25 mg twice a day. Patients with resting HR still higher than 70 bpm after 4 weeks of treatment were switched from metoprolol tartrate to a fixed ivabradine/metoprolol combination (Implicor®, Servier, France) 5 / 25 mg twice a day. Thus, based on achieving/ non-achieving the HR goal, two groups of patients were formed. Statistical analysis was performed with a STATISTICA 10,0 software package.Results After 4 weeks of therapy with metoprolol tartrate 25 mg twice a day, 18 (33.3%) patients of group 1 achieved the HR goal of 70 bpm, while  36 (66.7%) patients of group 2 did not achieve the goal. For further correction of HR, patients of group 2 were switched from metoprolol tartrate to ivabradine/metoprolol 5 / 25 mg twice a day. After 4 weeks of the ivabradine/metoprolol treatment, 31 (86.1 %) patients achieved the HR goal with median resting HR of 62 [56; 70] bpm. The number of angina attacks decreased from 6 [3; 8] to 2 [1; 3] per week (р<0.001). 24hECGM showed that the mean diurnal HR decreased from 81 [76; 96] to 66 [56; 76] bpm (р<0.001); mean night HR decreased from 69 [73; 80] to 52 [43; 60] bpm (р=0.012); and the ischemic ST segment depression was absent.Conclusion Only 33.3% of patients with stable angina achieved the HR goal on metoprolol tartrate 25 mg twice a day. Supplementing the beta-blocker metoprolol tartrate at the same dose with ivabradine allowed 86.1% of patients to achieve the HR goal and exerted a pronounced anti-anginal effect.
Takayusu Arteritis on the background of congenital vascular anomaly?
Authors: Borodina I. E. , Sablin I. V. , Popov A. A. , Ageev A. N.
Published: July 2020

The article described a female patient with high-grade arterial hypertension diagnosed at her young age. Congenital abdominal aortic hyperplasia and conformity with criteria for Takayasu arteritis were diagnosed at 10 years following the clinical manifestation.
The effectiveness of resuscitation in patients with acute myocardial infarction according to the population register
Authors: Garganeeva A. A. , Pavlova K. N. , Kuzheleva E. A.
Published: July 2020

Aim To study clinical and anamnestic features and tactics of managing patients with acute myocardial infarction (MI) in groups with different effectiveness of resuscitation procedures.Materials and methods Patients were selected using the “Acute Myocardial Infarction Registry” epidemiological program. 219 cases of acute MI recorded from 2007 through 2017, which required emergency life support, were studied. Two groups were formed based on success of the resuscitation: group 1 consisted of patients with acute MI who survived due to the cardiovascular life support (n=61); group 2 included fatal cases after resuscitation failure (n=158). Quantitative variables were described as median and interquartile range, Ме (Q1; Q3); comparison was performed in two independent samples using the Mann-Whitney test. Qualitative variables were presented as absolute and relative values (n (%)). Statistical significance of differences in nominal properties was determined with contingency tables (Pearson χ2; two-tailed Fisher’s exact test). Critical level of two-tailed significance was set equal to 0.05.Results The groups consisted of severe cases at baseline. The groups were sex- and age-matched. Mean age of patients in groups 1 and 2 was 63.5±13.1 and 60.9±14.8 years, respectively (р=0.2); in both groups, females were considerably older than males. Analysis of preceding drug therapy showed that comparable proportions of patients received antihypertensive and/or anti-ischemic treatment; however, the qualitative composition of the therapies was significantly different in these group. Thus, survived patients more frequently than deceased patients received drugs from vitally important groups, including β-blockers (93 % and 13 %, р<0.001), antiplatelets (97 % and 13 %, р<0.001), statins (84 % and 5 %, р<0.001), and angiotensin-converting enzyme (ACE) inhibitors (90 % and 8 %, р<0.001). In additions. success of resuscitation procedures was interrelated with the clinical picture. Thus, in atypical MI, the rate of fatal outcomes was higher (89 % and 56.5 %, р<0.001) despite the life support.Conclusion The patients who survived due to resuscitation procedures more frequently had a history of adequate drug therapy for ischemic heart disease and arterial hypertension with β-blockers, ACE inhibitors, antiplatelets, and statins. In this group, MI mostly had a clinical picture of a prolonged anginal attack. The long-term prediction for survivors after successful resuscitation presently remains important and requires further study.
Percutaneous Coronary Interventions in Patients With ST-Elevation Myocardial Infarction: 10-Years Follow-up
Authors: Bessonov I. S. , Kuznetsov V. A. , Dyakova A. O. , Gorbatenko E. A. , Evlampieva L. G. , Kicherova O. A. , Reikhert L. I. , Nyamtsu A. M. , Gultyaeva E. P.
Published: July 2020

Aim      To study long-term results and to identify predictors of death in patients with ST-segment elevation acute myocardial infarction (STEMI) who underwent endovascular revascularization.

Materials and methods This study included 283 patients registered in the hospital registry of percutaneous coronary interventions (PCI) for STEMI from 2006 through 2009. Analysis of 10-year results included all-cause and cardiovascular death rate, incidence of recurrent myocardial infarction (MI), repeated revascularization, stroke, stent restenosis and thrombosis. Also, a composite endpoint МАССЕ (Major Adverse Cardiovascular and Cerebrovascular Events) was evaluated, which included death, recurrent MI, repeated PCI, stent restenosis and thrombosis, coronary bypass, and stroke.

Results Information about the health condition was provided by 204 (72.1 %) patients. Mean follow-up period was 120.1±9.5 months. All-cause mortality was 25.5 % with cardiovascular death determined in 19.1 % of cases. Recurrent MI developed in 21.6 % of patients; in 1.5 % of cases, recurrent MI resulted from thrombosis of previously implanted stents. Repeated PCI was performed for 31.9 % of patients; in 13.7 % of cases, the PCI was performed for stent restenosis. Coronary bypass was performed for 5.4 % of patients. Incidence of stroke was 10.3 %. Major cardiovascular and cerebrovascular complications (МАССЕ) during the follow-up period were determined in 60.3 % patients. According to the Cox proportional hazards regression model, age ≥65 years (odds ratio (OR), 3.75 at 95 % confidence interval (CI) from 1.75 to 8.03; р=0.001) and incomplete coronary revascularization (OR, 3.09 at 95 % CI from 1.52 to 6.30; р=0.002) were independent predictors of death based on data of the 10-year observation.

Conclusion      Therefore, at 10 years following endovascular revascularization, STEMI patients showed a moderate death rate with a high incidence of major cardiovascular and cerebrovascular complications. The leading causes for fatal outcomes were recurrent cardiovascular complications. The major predictors of death for the coming 10-year period included age ≥65 years and incomplete myocardial revascularization.
Educar, intervir e avaliar em saúde: análise dos itinerários formativos do projeto caminhos do cuidado
Authors: Machado Frederico Viana , Gusmão Renata Castro , Papini Pedro Augusto , Santos Franceli Francki dos , Ventre Anna Letícia , Kulpa Stefanie
Published: July 2020

Este artigo apresenta parte dos resultados da avaliação nacional do Projeto Caminhos do Cuidado, guiada por uma matriz avaliativa composta por quatro dimensões - Gerencial, Política, Itinerários Formativos e Cenários do Cuidado. Discutiremos especificamente a dimensão Itinerários Formativos, que agrupa as percepções das práticas de educação, aprendizagem e metodologias pedagógicas desta formação direcionada à Agentes Comunitários em Saúde e Técnicos de Enfermagem das Estratégias de Saúde da Família do Brasil. A metodologia inclui um questionário quantitativo que foi respondido por 1151 sujeitos, entrevistas e rodas de conversa. Aplicamos a análise de conteúdo em dados provenientes de 78 rodas de conversa, ocorridas nas 27 Unidades Federativas do Brasil, e 33 entrevistas com participantes do Projeto. Os resultados se dividem em três partes: 1) Arranjos, materiais e estratégias pedagógicas; 2) Seleção formativa de tutores; 3) Educação à distância na formação de tutores e orientadores. A avaliação demonstra que as singularidades e as diversidades do território nacional fizeram parte dos Itinerários Formativos. A estratégia de ancorar a maior parte do curso à experiência dos trabalhadores no território foi identificada como elemento privilegiado para uma aprendizagem significativa, nos moldes da educação popular em saúde e da educação permanente em saúde. A utilização a educação à distância foi negativamente avaliada pelos participantes, destacando-se como dificuldades a baixa motivação e as dificuldades de interação. O Caminhos do Cuidado mostrou que são possíveis processos educativos e avaliativos em larga escala e que contemplem a diversidade de saberes, recriando-se pela experiência de cada território e fortalecendo-se em redes.
Acendendo as Luzes: uma inovação no Cuidado a Saúde dos Pacientes Oncológicos, Familiares e Equipe.
Authors: Chagas Natanael , Locateli Gelvani , Gato Caroline Menzel , De Oliveira Gabriela Gonçalves , Zenevicz Leoni Terezinha
Published: July 2020

Resumo: As práticas Integrativas e complementares têm se incorporado ao sistema de saúde de maneira significativa, na assistência a saúde dos pacientes, especialmente na área da oncologia. O câncer é uma doença devastadora que impacta de maneira negativa na vida do paciente, família e equipe. A utilização das Praticas Integrativas e Complementares (PIC’s) são uma alternativa que complementam os tratamentos convencionais na melhora da qualidade de vida e no cuidado a dimensão espiritual do ser humano.   Objetivo: Relatar a experiência de implantação das Terapias Integrativas e Complementares através do Projeto de Extensão Luzes.Métodos: as atividades realizadas são Reiki, Auriculoterapia, massagem laboral, meditação, grupo de oração, música e canto, Bio Energetics Medicine, Contação de histórias, confecção de origamis, avaliação da saúde bucal, construção de Mandalas e pinturas. As PIC’s são desenvolvidas por um grupo de 136 voluntários dentre docentes, discentes e profissionais de diferentes áreas e da comunidade em geral. Desde sua implantação em Agosto de 2018 já atendeu mais de 1700 pessoas. É desenvolvido dentro do Hospital Regional do Oeste de Chapeco SC nos setores de Oncologia, Quimioterapia e Radioterapia.  Resultados: as terapias integrativas e complementares são reconhecidas como benéficas pelos pacientes, familiares e profissionais. Consideradas aliadas na melhora da qualidade de vida durante o período de internação e tratamento. Também citada como uma maneira diferenciada de assistência a dimensão espiritual porque propicia a formação de vinculos mais empáticos entre profissionais, pacientes e família. Observa-se também uma maior qualificação no processo de formação profissional dos acadêmicos dos cursos de Enfermagem e Medicina da UFFS.Conclusões: A utilização das praticas integrativas e complementares no ambiente hospitalar foram sem sombra de dúvidas um desafio. Devemos reconhecer que valeu o desafio de implantar as Terapias Integrativas e Complementares que aliadas ao tratamento convencional trouxeram benefícios impares a tríade paciente, família e profissional. Um espaço de pratica das PIC’s possibilita a formação de recursos humanos voltados ao SUS, com uma visão ampliada ao processo saúde-doença e mais competentes e comprometidos com a saúde integral do ser humano.
GEMİ RİSK FAKTÖRÜ TEMELLİ DENETİM MODELİ: PARİS MOU DENETİMLERİ UYUM ANALİZİ
Authors: DEMİRCİ Seyid Mahmud Esad , ÇİÇEK Kadir
Published: July 2020

Denizlerde meydana gelen büyük kazalar sonucunda geri dönüşü mümkün olmayan can / mal kaybı ve çevre kirliliği oluşmaktadır. Gemi kaynaklı kazaların en aza indirilmesi için denetim gerekliliği ortaya çıkmıştır. Denetime konu olan gemiler arasından standart altında olanların tespit edilmesi amacıyla liman devletleri arasında oluşturulan mutabakat zaptları ile denetim rejimleri oluşturulmuştur. Limanlara uğrak yapan tüm gemilerin verimli bir şekilde denetlenebilmesi, denetim rejimine göre değerlendirilen gemi risk profili doğrultusunda belirlenen denetim periyoduna uyulması ile mümkün olmaktadır. Bu çalışmada; gemi denetimlerinin verimliliğin artırılması amacıyla, Paris Mutabakat Zaptı denetim rejimi kapsamında ele alınan gemi risk faktörleri ile denetimlerde tespit edilen eksiklik risk alanları arasındaki ilişki uyum analizi ile incelenmiştir. Analiz sonucunda; denetimlerin gemi yaşı ve gemi tipi risk faktörleri doğrultusunda belirli risk alanlarına yoğunlaşarak yapılabileceği görselleştirilerek denetim modeli geliştirilmiştir. Sunulan denetim modeli sayesinde risk odaklı bir yaklaşımla gemi denetimlerinde verimin arttırılması amaçlanmaktadır.
SOĞUK ZİNCİRDE İZLENEBİLİRLİK: DENİZYOLU TAŞIMACILIĞINDA KULLANILAN BİR TEKNOLOJİ ÖRNEĞİ
Authors: YILDIRIM Cansu , OLCAY Oya
Published: July 2020

Soğuk zincirlerde taşınan ürünün yapısı gereği bozulma riskinin yüksek olması nedeniyle ısı, nem gibi dış etkenlerin kontrolünü gerektirdiği için zincirin izlenebilirliğinin önemi artmaktadır. Soğuk zincirde izlenebilirliği arttırmak için kullanılan teknolojiler farklılık göstermesine rağmen, her şirketin en azından bir tane berbat olmuş sevkiyatının olması, günümüz global mobil iletişim dünyasında halen zincirin her üyesinin dahil olabileceği ve kargonun takibini sağlayabileceği bir sistemin eksikliğini vurgulamaktadır. Bu bilgiler ışığında, bu çalışma denizyolu taşımacılığında soğuk zincir lojistiği yapan bir firmaya odaklanarak zincir izlenebilirliğini arttırmak için geliştirilen bir teknolojiyi ikincil veriler ve şirket çalışanları ile gerçekleştirilen yarı yapılandırılmış mülakatlar aracılığıyla incelemeyi ve sağladığı avantajları ortaya çıkarmayı amaçlamaktadır. Çalışmanın sonuçlarına göre yaratılan sistem hem müşterilere hem de şirkete özellikle sunulan hizmetin kalitesi üzerinden ayrı ayrı faydalar sağlamaktadır. Müşteriler açısından eş zamanlı bilgi sağlanması müşteri memnuniyetini arttırırken, şirket açısından ise sistem rekabetçi avantaj yaratılmasına yardımcı olmaktadır. Sistem sayesinde şirketin pazarının büyüdüğü, kayıp konteyner sayısının ve davalık soğutuculu konteyner sayısının azaldığı görülmektedir. Her iki taraf açısından bakıldığında ise geliştirilen sistemin izlenebilirliği arttırdığı, maliyet avantajı, eş zamanlı bilgi paylaşımı gibi avantajlar sağladığı görülmektedir.
Sustentabilidad y nanejo agroecológico mediante indicadores en un paisaje agrícola: estudio de caso a nivel de finca, Amazonía Ecuatoriana
Authors: Macas Julio , Morales Jefferson , Chuquimarca Javier , Reinoso Betty , Soria Boris , Suigla Marcela , Bravo Carlos , Alemán Reinaldo
Published: July 2020

El objetivo del presente trabajo fue evaluar lasustentabilidad y el manejo agroecológico en la fincael Guayacán, cantón Santa Clara, provincia de Pastaza,Ecuador. Se caracterizó mediante la metodología paraevaluar sustentabilidad en la región amazónica ecuatoriana(MESRAE), que involucró 36 indicadores para cuantificarla sustentabilidad se utilizó una escala ordinal y numéricadel 1 al 10, considerando niveles de alto (>6.5 a 10),medio (>5.5 a 6.5) y bajo (<5.5), distribuidos en cuatrodimensiones, ambiental, socio-cultural, política yeconómica, con los valores obtenidos para cada dimensiónse constituyeron flujogramas tipo “ameba” que permitenvisualizar el estado general y nivel de sustentabilidad dela finca, el índice promedio de sustentabilidad presentó elsiguiente orden: dimensión ambiental (6.85), dimensiónsocio-cultural (7.58); dimensión política (4.02); dimensióneconómica (4.32), los cuales fueron clasificados de alta,media o baja sustentabilidad; el índice obtenido de lafinca es 5.69, nivel uno. Los resultados sugieren que lasustentabilidad a nivel de finca presentó puntos críticosen la dimensión ambiental, económica y política. Losindicadores que deben ser mejorados son: a) Nivel deerosión del suelo b) Presencia de insectos benéficos, c) Bajapresencia de diversidad biológica d) Ingreso neto mensual dela UPA), e) Costos de insumos agropecuarios (balanceado,desparasitantes, sal), f) Estrategias de comercialización, g)Estrategia de ahorro, h) Programas del estado relacionadoscon la finca (Sistemas Ganaderos), i) Nivel de aceptaciónde los programas del estado, j) Articulación de la finca conotras instituciones acompañantes.
Turismo científico una alternativa para conservar el Patrimonio Del CIPCA, Amazonia - Ecuador
Authors: Silva Paola , Gamboa Germania , Chávez Dunia
Published: July 2020

La investigación se enmarcó en la identificacióndel patrimonio natural y cultural del Centro deInvestigación Posgrado y Conservación Amazónica(CIPCA), en la selección de atractivos con potencialcientífico y en el análisis de los criterios que inciden ensu potencial. El propósito radica en enlazar al turismocon la ciencia, en una modalidad que fomenta unacultura científica, ideal para territorios frágiles y quecuidan del medio ambiente. De esta manera insertaral CIPCA en la actividad turística enfocada, en eldescubrimiento de su patrimonio, conformado porunidades socios ambientales anexados a proyectos deinvestigación. La investigación se desarrolló en CIPCAUEA.La identificación del patrimonio se realizó enbase a la metodología: MINTUR (2017a), que estableceuna jerarquización de los atractivos turísticos en basea las condiciones que presentan. La selección de losatractivos con potencial científico se desarrolló a travésdel criterio de expertos y método Delphi. El análisis dela incidencia de los criterios con el potencial científicode los atractivos se realizó con estadística descriptiva,tablas de contingencia y la prueba Chi cuadrado. Losresultados obtenidos fueron: 14 manifestacionesculturales y 2 naturales, en total 16 atractivos turísticos;de los cuales 2 atractivos responden a jerarquía II y14 a jerarquía I. Mediante la valoración se establecióque el CIPCA cuenta con 9 atractivos culturales conmediano nivel de potencial científico, que expone lanecesidad en el fortalecimiento de los criterios con altaincidencia en la determinación del potencial científicode los atractivos, los cuales son: valor pedagógico,producción científica, recurso humano, infraestructuray equipamiento tecnológico.
Almacenamiento de carbono en plantaciones de Juglans neotropica Diels, con y sin asocio de Coffea arabica L.
Authors: Ramírez López Jorge Luis , Oyos Proaño Edwin Andrés , Chagna Avila Eduardo Jaime
Published: July 2020

El objetivo de la investigación fue estimar elcontenido de carbono almacenado en plantacionesy sistemas agroforestales de Juglans neotropica de lasierra norte ecuatoriana, como un aporte a las estrategiasde adaptación y mitigación del cambio climático. Seestimó el carbono de dos plantaciones de 20 años deJuglans neotropica, una pura y otra en asocio con Coffeaarabica. La biomasa de árboles y detritus se determinómediante la relación entre materia fresca y seca. Conun factor de 0.5 se transformó la biomasa en carbonoy se realizó fórmulas alométricas para determinar elcarbono total de la plantación. El carbono de detritussobre el suelo se determinó en laboratorio y se extrapolóa unidad de superficie. El carbono almacenado por laplantación pura fue de 13.17 Mg ha-1, mientras que conasocio fue de 16.11 Mg ha-1. Se registraron diferenciasen el contenido de carbono de todos los componentes,siendo el fuste el componente que más carbonoalmacena. Los detritus fue el componente que mostrómayores diferencias entre los sistemas. Se concluyeque la plantación en asocio almacenó mayor cantidadde carbono, lo que muestra que la inclusión del caféfavorece el crecimiento y la producción de biomasade J. neotropica. El fuste fue el componente de mayoralmacenaje, hecho que contribuyó a la relación linealcon la regresora DAP2Ht, obteniéndose ecuacionescon más de un 90% de ajuste que permiten estimar elcarbono almacenado en condiciones silviculturales yedafoclimáticas similares a las del estudio.
Humanismo y transhumanismo al final de la metafísica: la era digital como paradigma de la metafísica de la subjetividad
Authors: Valle Jiménez Dune
Published: July 2020

En el presente trabajo nos proponemos analizar el problema del humanismo y la técnica en la filosofía de Heidegger, destacando su posición crítica frente a la idea de humanismo surgido en el marco de la tradición metafísica, pues sería la manifestación más visible de la subjetividad moderna. Esto se plasmaría, según Heidegger, en la filosofía de Nietzsche, especialmente en su interpretación de la voluntad de poder y en la figura del superhombre, como consumación y fase última de la metafísica. Donde la voluntad de dominar y disponer del hombre y de la naturaleza en todas sus formas expresa la destinación del ser como Gestell (lo dispuesto), que en la era digital se manifiesta en fenómenos tales como dataísmo y transhumanismo, cumpliendo así la interpretación que Heidegger adelantaba hace más de cincuenta años, donde la racionalidad técnico científica, a través del pensar calculante, se manifiesta como consumación de la metafísica
Assessing the impact and implications for social workers of an innovative children’s services programme aimed to support workforce reform and integrated working
Authors: Malin Nigel , Tunmore Jane
Published: July 2020

This article reports findings from an independent audit and evaluation of an innovative children's services programme (CSP) funded 2009-2011 by twelve Local Authorities under the auspices of the North-East of England's Improvement & Efficiency Partnership (NEIEP) to manage improvements and efficiencies across the children's services sector focusing upon messages for social workers. The overall purpose of the CSP was to make demonstrable progress in tackling the challenges of child poverty by delivering high quality support to the growing number of children with social care/health needs through regional improvement. The key objectives of the CSP included supporting workforce reform and integrated working; development of personalised services; family support to reduce the need for residential care; and provision of tools to aid commissioners with needs analysis. The audit identified key outputs, for example, improvements to best practice on Whole Family approaches, safeguarding and leadership training evolved through a skills framework; and included a regional model of social work supervision training along with a provision of options to increase the range and quality of foster care placements. The evaluation considered actions arising from the above findings, including demonstrated improvements to inter-disciplinary working and pooling resources to produce better outcomes for families; setting up a data-base to improve the balance between fostering, residential care and family support; and creating opportunities for social workers to explore the practical implementation of using personal budgets.
Prevention of aggressive behaviour and violence in childcare institutions
Authors: Øien Lisa , Lillevik Ole Greger
Published: July 2020

The article describes how personal qualities in the helpers are important measures to prevent aggression and violent behaviour from adolescents living in childcare institutions. Our research question was: In what way does personal competence make a difference in the prevention of violence, and how is this ‘personal competence’ expressed? Through six semi-structured individual interviews and one focus group interview with staff from five state-run childcare institutions in Norway, we found that the helpers’ attitude is of great importance to avoid unnecessary confrontation. Our study indicates that staff who search to find the reason behind aggression, and who are deeply concerned about the well-being of the young people tend to ease conflict, rather than trigger it. We see their attitude as a choice of perspective in their work with adolescents, and we see it as a phenomenological-hermeneutic approach. This perspective is an integral part of the child-care workers’ personal competence, and implies recognition of the perspectives young people have on their own situation. The importance of personal competence to prevent aggression and violent behaviour is evident, and the ability of mentalisation is argued to be significant in these child-care workers.
‘Patient Zero’
Authors: Macdonald Stephen J. , Taylor-Gooby David
Published: July 2020

Over the last three years, there has been a major shift in healthcare policy within England. This has radically altered the relationship between General Practitioners (GPs) and patients. This article examines the role of patient and public involvement within the National Health Service (NHS) from the perspective of volunteers and health practitioners. The aim of the study is to explore how different models of patient and public involvement (PPI) are characterised through ideological perspectives which construct the goals and motivations of service users and health practitioners. This article draws on data from a small qualitative study of 16 participants analysing different narratives and experiences of patient and public involvement within the North East of England. The study analyses data from health professionals, including General Practitioners and health managers, and patient volunteers who make up part of a range of different health advisory groups in the NHS. Whilst all respondents agree about the importance of public involvement to assist localised NHS healthcare, it should be noted that what is meant by patient and public involvement in this study is somewhat unclear for people involved in the process. The research concludes by illustrating how practitioners’ and volunteers’ interpretations of patient and public involvement diverge in terms of their expressed motivations, aims, goals and expectations.
‘No sanctuary’: Missed opportunities in health and social services for homeless people with dyslexia?
Authors: Macdonald Stephen J , Deacon Lesley
Published: July 2020

This paper examines the relationship between dyslexia, homelessness and access to health and social services. This is a quantitative study analysing data from the Multiple Exclusion Homelessness across the United Kingdom Survey. Data was collected from 443 participants who had experienced some form of homelessness in the UK. A comparison was made between people with dyslexia and those homeless people without this condition. The data findings in this paper appear to reveal that people with dyslexia are overrepresented within the survey’s homeless population. It may be expected that people with dyslexia might not come in contact with health professionals and social workers as support for this condition generally takes place within an educational environment. Yet this study seems to indicate that homeless people with dyslexia have greater contact with health professionals and social workers compared with non-dyslexic homeless people. This paper suggests that health and social services need to consider conditions like dyslexia in order to develop support for this particular group of people that have experienced homelessness.
Step Up: the first and second cohorts compared Findings from an employer-based. accelerated training route in social work in England
Authors: Manthorpe Jill , Baginksy Mary
Published: July 2020

In England several initiatives are underway in social work education, among which are changes to application and training processes, and the development of shorter employment-based post-graduate qualifying routes. Here trainees are placed with social work employers (local authorities), receive substantial funding compared to other students, and local authority staff are closely engaged with higher education providers. This article presents and analyses the views of the first and second cohorts of trainees undertaking the Step Up to Social Work programme. Data were collected by online survey, administered at four time points. The overall response rate at each of the four points was high; ranging from 64 per cent to 78 per cent for Cohort 1 and 77 per cent to 83 per cent for Cohort 2. Comparison of data across cohorts revealed satisfaction with the training and the Step Up initiative but levels of satisfaction were increased among Cohort 2, which may be attributable to changes made following the first cohort’s experiences. The findings from this comparison of trainees may usefully inform other studies and provision of employment-based routes in social work education and the satisfaction levels achieved may be ones to which other programmes may wish to aspire.
Safeguarding Adults Reviews: Prompting practice and policy
Authors: Manthorpe Jill , Martineau Stephen
Published: July 2020

Abstract: As a whole there was remarkably little controversy in England over the Care Act 2014, once debates over funding caps had been kicked into the long grass. After all, who could oppose the idea of better information, clearer entitlements, and more support for carers? Among the non-contentious areas were specific proposals for Serious Case Reviews (SCRs) to become Safeguarding Adults Reviews (SARs). In light of the many concerns in children’s services about the dominance of SCRs in policy and practice debates this lack of interest and discussion may seem surprising. In this paper we explore why such reviews concerning adults are largely seen as non-contentious and frame our analysis around four different ‘prompts’; those from Parliament, from earlier SCRs, from practice analysis and from practice development. We draw on our own wider research programme on Adult SCRs and subsequently SARs. This programme of research has explored different facets of the review process and undertaken different thematic analyses by location or user group.
Developing an analytical framework for understanding the emergence of de‑professionalisation in health, social care and education sectors
Authors: Malin Nigel
Published: July 2020

This article aims to develop an analytical framework for understanding the context in which a process of de-professionalisation exists within an employment culture dominated by capitalism, globalisation and inequality. It specifically focuses upon experiences arising in health, social care and education sectors typifying that found within the British Welfare State during late modernity. Different theoretical definitions are presented to introduce an argument for a multi-dimensional approach. For example de-professionalisation may cover the removal from professional control, influence, manipulation or a destabilisation of a conventional mode of professionalisation and professional ties. Alternatively it may embody causation to appear unprofessional; or to discredit or deprive of professional status; also privately may be experienced as a weakening of status, respect or tendency away from a position of strength or equal status and be associated with measures for lessening the need for specialist knowledge and expertise. This analysis is based on a review of recent policy and practice evidence to support the notion that de-professionalisation may be defined through a lens of ‘cuts to services’ and job insecurity. It includes a case study covering the strike by NHS junior doctors which it is argued has had an impact on the image of ‘doctors as professionals’, resulting in a potential loss of public trust. De-professionalisation may be defined by financial cuts to staff training and through critiquing models of current training; or by a lowering of morale, a demoralisation or pervasive denigration of the workforce. Lastly this process may be considered as an outcome of low productivity in the workplace where a rise in low-skilled jobs becomes blamed for static wages. Increases in productivity come about as a result of deploying better raw materials, better trained or educated labour or better machines. Ordinary workers seem to have enjoyed few of the benefits of economic growth. Keywords: ideological roots of de-professionalisation; neo-liberalism, Taylorism/Post-Fordism; health, social care and education providers; service cutbacks; reductions in training; workforce morale and productivity
Gentrificação, mídia e poder simbólico
Authors: Amaral João Flávio Menezes , Rodrigues Isadora Meneses
Published: July 2020

O debate acerca da transformação socioespacial das cidades via processos de gentrificação pode ser enriquecido com contribuições dos estudos em comunicação e da cultura de consumo. Buscamos explicitar possibilidades de objetivar fenômenos de gentrificação a partir do estreitamento de relações entre estes campos e os estudos urbanos. Para tanto, refletimos sobre a possibilidade de diálogo entre os principais paradigmas da gentrificação, sobre a relação entre meios de comunicação e a produção social do espaço urbano mercantilizado, sobre a midiatização da experiência urbana e a fabricação de lugares e sobre a reconfiguração simbólica do espaço a partir da linguagem de exclusão e pertencimento que estrutura a cultura de consumo.
A língua que “une” é a mesma que divide
Authors: Pasinatto Rubiamara
Published: July 2020

Tomando o aporte teórico-metodológico da Análise de Discurso francesa (AD), o objetivo deste artigo é observar como, ao se colocarem enquanto falantes da língua Portuguesa, um grupo de catadores de materiais recicláveis de Cruz Alta- RS se relaciona com a língua. Acredita-se que, ao tratarem acerca das suas relações com a língua, eles também estarão discusivizando sobre sua identidade e, isso, permitirá uma reflexão sobre suas formas de subjetivação. De maneira geral, as sequências discursivas analisadas vieram ratificar a ideia de que a língua atua como um divisor que hierarquiza os falantes, numa conjuntura em que os desaparelhados linguisticamente são fadados a processos de discriminação e a posições marginalizadas na sociedade.
SOCIALIZATION AND TOURISM AWARENESS TRAINING FOR MANAGERS AND RESIDENTS OF COMMUNITIES AROUND AROSBAYA CRETACEOUS TOURISM OBJECT MADURA
Authors: Noviyanti Upik Dyah Eka , Nuruddin Nuruddin
Published: July 2020

Background: Arosbaya Limestone Hill has now become one of the alternative developing tourist attractions in Madura. The shape of the hill that has sculptures from the rest of the limestone quarry with unique shapes and the red color of the hill blushed into a uniqueness that invited many tourists to this destination. Besides that, its location is easily accessible and not far from other tourist destinations, namely the grave religious site of the Bangkalan Kings “Mother’s Tears” which incidentally are already well-known making the potential of this destination developed quite large. Purpose: The purpose of this activity is to increase the understanding and ability of both managers and residents around the Arobi Kapur Hill attractions in Berbeluk Village Arosbaya District Bangkalan Madura Regency on how to manage a tourist destination. Methods: awareness raising and tourism awareness training in the form of awareness of tourism awareness concepts and Sapta Pesona Wisata, tourism management training and excellent service. Results: From the results of the socialization and training, the manager and the community around the Bukit Kapor Arosbaya tourism object can get attention and gain knowledge and skills regarding aspects in the management and management of attractions. Conclusion: Partners get increased knowledge and skills in managing a destination. So that his hope through this program creates economic independence of citizens, especially young people through the field of tourism, the availability of new jobs for residents, and the availability of sustainable management of attractions.
KLASIFIKASI NAÏVE BAYES UNTUK MENDIAGNOSIS PENYAKIT PNEUMONIA PADA ANAK BALITA (STUDI KASUS : UPTD PUSKESMAS SUKARAJA SUKABUMI)
Authors: Rahmawati Ami , Wintana Dede , Suhada Satia , Gunawan Gunawan , Sulaiman Hamdun
Published: July 2020

Pneumonia is a contagious infectious disease that is the leading cause of death in toddlers in the world. In developed countries, there are 4 million cases each year, totaling 156 million cases of pneumonia every year worldwide. Pneumonia is caused by, among others, bacteria, viruses, fungi, exposure to chemicals or physical damage from the lungs, as well as indirect effects from other diseases. Pneumonia is characterized by symptoms of coughing and / or difficulty breathing such as rapid breathing, and pulling the lower chest wall inward. Therefore, early detection of pneumonia in children under five is very necessary in order to be able to prevent and cope with the disease into a serious stage as the purpose of this study is to diagnose pneumonia in toddlers using data mining classification, the naïve Bayes algorithm. Of the 118 cases consisting of 113 cases of patients diagnosed with pneumonia and 5 cases of patients who were not diagnosed with pneumonia, an accuracy value of 98% was obtained, so it can be interpreted that the naïve bayes algorithm has a good correlation with the attributes contained in the dataset.

Keywords: Naïve Bayes Algorithm, Pneumonia.

Pneumonia adalah penyakit infeksi menular yang merupakan penyebab utama kematian pada balita di dunia. Di negara maju terdapat 4 juta kasus setiap tahun hingga  total di seluruh dunia ada 156 juta kasus pneumonia anak balita  setiap tahun. Pneumonia antara lain disebabkan oleh bakteri, virus, jamur, pajanan bahan kimia atau kerusakan fisik dari paru-paru, maupun pengaruh tidak langsung dari penyakit lain. Pneumonia ditandai dengan gejala batuk dan atau kesulitan bernapas seperti napas cepat, dan tarikan dinding dada bagian bawah ke dalam. Oleh Karena itu, deteksi dini penyakit pneumonia pada anak balita sangat diperlukan agar dapat mencegah dan menanggulangi penyakit tersebut kedalam tahap yang serius seperti tujuan penelitian ini yaitu untuk mendiagnosis penyakit pneumonia pada anak balita menggunakan klasifikasi data mining yaitu algoritma naïve bayes. Dari 118 kasus yang terdiri dari 113 kasus pasien yang terdiagnosis pneumonia dan 5 kasus pasien yang tidak terdiagnosis pneumonia maka diperoleh nilai akurasi sebesar 98%, sehingga dapat diartikan bahwa algoritma naïve bayes memiliki korelasi yang baik dengan atribut yang terdapat pada dataset.

Keywords: Naïve Bayes Algorithm, Pneumonia.

 
PEMODELAN ENTERPRISE RESOURCE PLANNING MENGGUNAKAN ODOO PADA Z-TECH KOMPUTER
Authors: Purwaningtias Fitri , Mukmin Chairul
Published: July 2020

Z-Tech Computers is a company engaged in the sale of computers and accessories. At present the Z-Tech Computer system runs on a buying and selling process carried out conventionally (manually). This condition occurs in the stock control process. The condition that occurs in Z-Tech Computers is information on the placement of goods that are not organized. This information causes problems that arise inaccurately information on stock data and the position of the finished goods attracts losses for the company. For this reason, in this research information modeling is carried out using an integrated modeling language to describe the needs of buying and selling. The results of modeling carried out are implemented in the form of enterprise resource planning (ERP) using the Odoo Application. UML and implementation using Odoo can be run as needed. Because Odoo has a variety of integrated modules, both customer management, accounting, sales, and even purchasing modules.

Keywords: Enterprise Resource Planning, Odoo, Unified Modeling Language 

Z-Tech Komputer merupakan perusahaan yang bergerak dalam penjualan komputer dan aksesorisnya. Saat ini pada Z-Tech Komputer sistem berjalan pada proses pembelian dan penjualan dilakukan secara konvensional (manual). Kondisi tersebut terjadi terutama pada proses pengekan stok. Kondisi lain yang terjadi yaitu pada Z-Tech Komputer yaitu informasi penempatan barang yang ada tidak teroganisir. Kondisi tersebut menimbulkan permasalahan berupa tidak akuratnya informasi data stok dan posisi barang sehingga menimbulkan kerugian bagi perusahaan. Untuk itu dalam penelitian ini dilakukan pemodelan informasi menggunakan unified modeling language unutk menjabarkan kebutuhan pada pembelian dan penjualan. Hasil pemodelan yang dilakukan diimplementasikan dalam bentuk enterprise resource planning (ERP) menggunakan Aplikasi Odoo. Dari hasil implementasi menunjukkan bawah pemodelan UML dan implementasi menggunakan Odoo dapat berjalan sesuai kebutuhan. Karena Odoo memiliki beragam modul yang saling terintegrasi, baik modul manajemen pelanggan, akuntansi, penjualan, dan bahkan pembelian.

Kata kunci: Enterprise Resource Planning, Odoo, Unified Modeling Language
DETEKSI DINI PENYAKIT IUGR (INTRA UTERINE GROWTH RETRICTION) DENGAN METODE SVM (SUPPORT VECTOR MACHINE)
Authors: Karinasari Irhama Karin
Published: July 2020

IUGR (INTRA UTERINE GROWTH RETRICTION) is a condition when the baby's growth stops before birth so the baby looks small and does not have normal growth like normal fetal growth patterns. The purpose of this study was to detect the fetus in the womb so as to know the condition of the baby is normal or IUGR by knowing the gestational age, bi-parietal diameter, abdominal circumference, head circumference, fetal length.The purpose of this study was to obtain an accurate prediction of IUGR with "value 0" meaning that IUGR disease was not detected, whereas "value 1" was detected symmetric IUGR disease and "value 2" was Asymmetric IUGR using the SVM method (Support Vector Machine) ) with 4 kernelsThere are 12 parameters of IUGR patients. Patient data were obtained from Jemursari SBY Hospital. In this experiment using the swarm particle optimization (PSO) as an algorithm selection feature. In experiments show that PSO can reduce the attributes of 12 attributes to 4 attributes. In experiments with this multiclass SVM method obtained an accuracy value of 96%.

Keywords: IUGR, SVM

IUGR  (INTRA UTERINE GROWTH RETRICTION) adalah adalah sebuah kondisi ketika pertumbuhan bayi berhenti sebelum dilahirkan sehingga bayi terlihat kecil dan tidak memiliki pertumbuhan yang normal seperti pola pertumbuhan janin yang normal. Tujuan dari penelitian ini adalah untuk mendeteksi janin dalam kandungan agar mengetahui kondisi bayi tersebut normal atau IUGR dengan cara mengetahui usia kehamilan, diameter bi-parietal, lingkar perut, lingkar kepala, panjang fetus. Tujuan penelitian ini adalah untuk memperoleh hasil prediksi yang tepat terhadap penyakit IUGR dengan “nilai 0” artinya tidak terdeteksi penyakit IUGR, sedangkan “nilai 1” adalah terdeteksi penyakit IUGR Simetrik dan “nilai 2” adalah IUGR Asimetrik dengan menggunakan metode SVM ( Support Vector Machine ) dengan 4 kernel. Terdapat 12 parameter dari pasien IUGR. Data pasien diperoleh dari RS Jemursari SBY. Dalam percobaan ini menggunakan optimasi partikel swarm ( PSO ) sebagai fitur pilihan algoritma. Dalam experimen menunjukkan bahwa PSO dapat mengurangi atribut dari 12 atribut menjadi 4 atribut. Dalam percobaan dengan metode SVM multiclass ini memperoleh nilai akurasi sebesar 96%.

Kata kunci: IUGR, SVM
IMPLEMENTASI FRAMEWORK COBIT 5.0 FOKUS DOMAIN DELIVERY, SUPPORT, DAN SERVICE PADA PT.XYZ
Authors: Heningtyas Yunda , Sihaloho Indah Mayatika , Junaidi Akmal
Published: July 2020

XYZ company has implemented information technology in the company's operations. Information technology management audits are needed to find out whether the application of information technology is in accordance with the company's control standards. The framework used in this research was COBIT 5.0 domain that is DSS (Delivery, support, dan service) because the DSS domain includes has IT management scope, data management scope, and facility operational scope. This research aimed to evaluate information technology management at the company. Audit results shows that the company's capability level in 4th level (Predictable Process). Predictable Process means that DSS domain process has been standarized, do the IT process, and achieved process. Capability level that the company wants to be achieve is 5th level (Optimizing Process). To achieve this level, companies must innovate and make sustainability improvements.

Keywords: COBIT 5.0 Framework, Delivery, support, dan service, DSS Domain, IT Management of Audit 

PT. XYZ adalah perusahaan yang telah menerapkan teknologi informasi dalam operasional perusahaan. Audit manajemen teknologi informasi diperlukan untuk mengetahui apakah penerapan teknologi informasi sudah sesuai dengan standar control perusahaan. Framework yang digunakan dalam penelitian ini adalah COBIT 5.0 domain yang DSS (Delivery, support, dan service) karena domain DSS mencakup pengelolaan layanan teknologi informasi, pengelolaan data, dan operasional fasilitas. Penelitian ini bertujuan untuk mengevaluasi manajemen teknologi informasi pada perusahaan tersebut. Berdasarkan hasil audit, capability level perusahaan berada pada level 4 (Predictable Process). Predictable Process diartikan proses domain DSS pada perusahaan telah terstandarisasi, melakukan proses sesuai dengan standar yang ditetapkan, dan mencapai hasil dari proses tersebut. Namun, expected level yang ingin dicapai perusahaan adalah level 5 (Optimizing Process). Untuk mencapai level tersebut, perusahaan harus membuat inovasi dan melakukan perbaikan yang berkelanjutan.

Kata kunci: Audit Manajemen Teknologi Informasi, Delivery, support, dan service, Domain DSS, Framework COBIT 5.
Valeur énergétique des luzernes déshydratées
Authors: DEMARQUILLY C.
Published: July 2020

La digestibilité de 23 échantillons de luzerne déshydratée condensée (broyée et agglomérée) a été mesurée en 1990 et 1991. Les résultats, ajoutés à ceux obtenus antérieurement (3 en 1968, 3 en 1980 et 6 en 1982) ont permis de calculer des équations de prédiction de la valeur énergétique des luzernes déshydratées.