bluuebunny/crossref_metadata_2025 huggingface dataset:
FAKTOR RISIKO GANGGUAN FUNGSI PARU PADA PEKERJA BENGKEL PENGECATAN MOBIL DI KOTA PALU
Authors: Politon Fellysca Veronica Margareth , Christine
Published: July 2020

Penelitian ini bertujuan untuk menguji faktor risiko karakteristik pekerja, pekerjaan dan kadar total partikel terhisap gangguan fungsi paru pada pekerja pengecatan mobil. Jenis penelitian ini adalah observasional dengan rancangan cross sectional. Populasi adalah pekerja pengecatan mobil di kota Palu. Sample sebanyak 96 orang dengan pengambilan sampel menggunakan simple random sampling. Peneliti menggunakan kuesioner untuk mengumpulkan data status merokok, jumlah rokok per hari, masa kerja, jumlah jam kerja dan pemakaian masker. Penliti juga menggunakan spirometer untuk mengukur variabel fungsi paru dengan tipe Datospir Mod 120B. Hasil penelitian menunjukkan adanya hubungan antara pemakaian masker dengan fungsi paru (p-value=0,021) dengan kekuatan hubungan yang lemah (koefisien Phi ϕ = 0,23); adanya hubungan antara masa kerja dengan fungsi paru (p-value=0,015) dengan kekuatan hubungan yang lemah (koefisien Phi ϕ = 0,28) dan rasio prevalensi 3,33 (95% CI = 1,33-8,36); sedangkan faktor kebiasaan merokok, jumlah jam kerja dan penggunaan masker tidak berhubungan dengan fungsi paru. Dengan demikian, dapat disimpulkan bahwa penggunaan masker dan masa kerja merupakan faktor risiko gangguan paru. Sehingga pekerja disarankan menggunakan masker dan mengatur jam kerja untuk mencegah risiko gangguan paru
Inferencia, Re-experimentación y Regresión
Authors: Erskine Richard G , Mauriz-Etxabe Amaia , Pérez Burgos Angela
Published: July 2020

En este artículo se explora el método de Regresión a periodos evolutivos previos utilizando el concepto de Análisis Transaccional sobre los Estados Niño del Yo, junto con el planteamiento de una relación terapéutica sintónica. Los métodos de psicoterapia incluyen la indagación fenomenológica e histórica acerca de las sensaciones corporales y de los afectos a fin de poder formular, con ayuda de la inferencia, un perfil sobre las experiencias emocionales tempranas de la vida del o la cliente. Se presentan descripciones de caso clínico que permiten diferenciar el proceso terapéutico de re-experienciar, respecto al proceso de re-vivir que puede tener un resultado retraumatizante.
Terapia Constructivista Integradora y Enfoque Transdiagnóstico en Ansiedad y Depresión
Authors: Botella García del Cid Luis
Published: July 2020

Este trabajo aborda una lectura desde una posición constructivista integradora de tres de los conceptos transdiagnósticos relevantes en depresión y ansiedad: Afecto Negativo y Afecto Positivo, Sensibilidad a la Ansiedad e Intolerancia a la Incertidumbre. La investigación clínica procedente de la comparación entre resultados y procesos terapéuticos comunes y diferenciales en pacientes ansiosos y depresivos así como en comunalidades y diferencias en sus narrativas del self se utiliza para contrastar la relevancia de dichos conceptos así como su compatibilidad con la lectura integradora del constructivismo.
Constructivismo, psicoterapias cognitivas de reestructuración y enfoques contextuales
Authors: Caro Gabalda Isabel
Published: July 2020

En este trabajo se establecen las diferencias y convergencias principales entre los modelos cognitivos de reestructuración, los constructivistas y los contextuales. Partiendo de una breve revisión histórica se podrá enmarcar el surgimiento de cada uno de estos enfoques e, igualmente, las diferencias epistemológicas y ontológicas entre ellos. Estos modelos se analizan, principalmente, haciendo hincapié en sus conceptos principales y en las técnicas desarrolladas que, en principio, serían coherentes con su marco teórico. Igualmente, la coherencia entre teoría y práctica se hace evidente mediante el desarrollo de un tipo concreto, y diferente, de relación terapéutica en cada modelo. La conclusión principal sería que, aunque las terapias evolucionan, pudiéndose integrar y combinar, es saludable y conveniente mantener las diferencias entre ellas, dando la bienvenida a las distintas maneras de abordar los problemas psicológicos y de enfocar su tratamiento. Reducirlo todo a un único prisma empobrece nuestro campo de trabajo y su posible evolución.
La psicoterapia como conversación contemplativa
Authors: Miró María Teresa
Published: July 2020

Se presenta la visión de la psicoterapia como una conversación contemplativa. Como preliminar a la conversación contemplativa se propone el Entrenamiento en Atención Consciente y se ofrece un modelo en 30 sesiones (EAC/ULL). Se plantea la naturaleza ontológica de la conversación en la vida humana y se ofrecen ejes para comprender su profundidad y alcance. También se aborda la investigación neurocientífica actual para acercarse al tema de la contemplación. Por último, se abordan cuestiones prácticas para utilizar este enfoque en la sesión terapéutica.
Marginal Effect of R&D Investment and Impact of Market Reforms—An Empirical Analysis of Japanese Electric Power Companies
Authors: Goto Mika , Fujita Kohei , Sueyoshi Toshiyuki
Published: July 2020

This study examines the marginal effect of Research and Development (R&D) investment and impacts of market liberalization on patenting activities of Japan’s nine incumbent electric power companies. We apply the negative binomial panel data regression model to a data set, comprising of companies from 1999 to 2018 and estimate four models. We find the following significant outcomes. First, retail market liberalization for high voltage consumers proves effective to increase patent applications. Second, R&D investment produces patent applications or a positive marginal effect of R&D on patenting is indicated. These results are consistent with previous findings in a way that deregulation to a certain extent facilitates innovation of firms but it may reverse the effect and decrease inventive activities after a threshold point. In addition, the results show a positive marginal effect of R&D investment on innovations; but the degree of the marginal effect declines with retail market liberalization for high-voltage consumers. This finding implies that innovation efficiency decreases due to the progress of deregulation. This result has critical policy implications; government policies for stimulating inventive activities of electric power companies are necessary and these should ultimately benefit consumers with advanced technology and reasonable prices for energy services.
Epigenetic Control in Plants
Authors: Brukhin Vladimir
Published: July 2020

Epigenetic regulation in plants is an exciting field of research [...]
The Application of Intra-Articulr Injections for Management of the Consequences of Disc Displacement without Reduction
Authors: Pihut Malgorzata , Gala Andrzej
Published: July 2020

The aim of the study was to make a comparative studies on the effectiveness of platelet rich plasma (PRP) and hyaluronic acid (HA) in intra-articular injections to the temporomandibular joints—in double blind studies application—based on the analysis of selected clinical parameters of functional efficiency and the mean value of joint’s pain intensity before and after management. The study enrolled a group of 100 patients, aged 21 to 43 years, of both sexes, who came for the prosthodontic treatment. All patients had II b group of disorder according to the Research Diagnostic Criteria/Temporomandibular Disorder, and were consecutively, alternately assigned to the groups, 50 patients in each. Study group PRP was treated with intra-articular injection of platelet rich plasma and study group HA had injection with hyaluronic acid. The examination was double-blind, so that the injecting physician and the patient were not informed what kind of medicinal substance they received in the joint injection. The final selected clinical parameters did not differ statistically significantly between the groups, what means that both administered substances were effective in the repair of intra-articular structures. The results of research showed that the use of PRP and HA in intraarticular joint’s injections positively affects in selected clinical parameters and decrease of the pain in temporomandibular joints in the case of disc displacement without reduction.
Interactive Effects of Business Environment Assessment and Institutional Programs on Opportunity Entrepreneurship
Authors: Jang Yongseok , Lee Woo Jin , Hadley Brandy
Published: July 2020

The study of the institutional characteristics that create favorable environments for opportunity entrepreneurship is critical. We seek to determine how government programs intended to support entrepreneurship impact how potential entrepreneurs view the business environment. We evaluate the effectiveness of institutional programs and the interactions between them and market optimism. We conduct a binomial regression to evaluate the probability of opportunity entrepreneurship, given the perceived quality of the business and regulatory environments. The results indicate that both have a significant influence, while the regulatory dimensions interact with the effects of the perceived quality of the business environment. We find that individuals who have optimism regarding entrepreneurship still seek assurance of a positive regulatory environment before they act. We find that those who consider it to contain promising entrepreneurship opportunities still seek a positive regulatory climate and supportive government programs before acting. Programs that create favorable financial access can encourage entrepreneurs attracted by financial returns. Similarly, favorable government programs that ensure expansion and growth may reinforce this financial optimism. Our study also adds to the literature on institutional economics, providing evidence that effective institutional factors require productive behaviors from individuals.
The Relation between Environmental Management Systems and Environmental and Financial Performance in Emerging Economies
Authors: Voinea Cosmina L. , Hoogenberg Bas-Jan , Fratostiteanu Cosmin , Bin Azam Hashmi Hammad
Published: July 2020

This study pursues to clarify the effect of environmental management systems (EMS) comprehensiveness on environmental performance and financial performance using an extensive quantitative dataset obtained in Brazil over an eight-year period. It is recognized that the implementation of environmental management differs per company varying in how many environmental practices are adopted and hence how comprehensive the EMS is. The relationship between EMS comprehensiveness, environmental performance, and financial performance proves to be complex. First of all, the overall negative effect of environmental performance on financial performance may indicate that the resources needed to realize an improved environmental performance do not outweigh the cost reductions resulting from eco-efficiency or improved reputation. The effect of EMS comprehensiveness on financial performance is in line with that, indicating that an above average EMS comprehensiveness results in lower financial performance, which may correspond to high environmental management- and overhead costs. Across sectors, the companies operating in sector industries have high quality EMS comprehensiveness, while the companies in agriculture, commerce, and services exhibit a lower EMS.
A floristic survey of Fair Isle II: new and notable records and the status of Euphrasia
Authors: Riddiford Nicholas , Quinteros Peñafiel Camila , Metherell Christopher , Ferguson-Smyth Claudia , Twyford Alexander
Published: July 2020

Fair Isle is a small island of 768 hectares located half way between Orkney and Shetland. In the previous publication of Quinteros Peñafiel et al. (2017), we provided a complete flora for the island. This note updates the status of the Fair Isle flora subsequent to the survey by including corrections, new finds and other notable records.
Implementasi Augmented Reality Pada Pembelajaran Matematika Mengenal Bangun Ruang Dengan Metode Marked Based Tracking Berbasis Android
Authors: Saputri Shelia , Sibarani Alexander J.P.
Published: July 2020

Bangun Ruang merupakan salah satu dari bagian pelajaran matematika yang memiliki bentuk dan jenis yang beragam. Dalam keberagaman bentuk tersebut, bangun ruang memiliki rumus luas dan volume sehingga dapat diketahui jumlah sisi dan luas yang ada. Pada proses pembelajaran di sekolah, ditemukan adanya kesulitan yang dialami siswa/i dalam memvisualisasikan bangun ruang ke dalam bentuk yang nyata. Fasilitas alat peraga bangun ruang terbatas hanya dapat digunakan di sekolah. Tujuan penelitian ini adalah untuk merancang dan membuat aplikasi pembelajaran berbasis Augmented Reality dimana siswa/i dimampukan untuk belajar dengan mudah memanfaatkan smartphone berbasis Android dalam memvisualisasikan dan menghitung luas dan volume bangun ruang. Metode yang digunakan dalam pengembangan aplikasi yaitu dengan Marked Based Tracking. Sementara pengembangan aplikasi Augmented Reality menggunakan Vuforia SDK (Software Development Kit). Dari hasil yang didapatkan, Augmented Reality Camera dapat memindai gambar di dalam  pencahayaan yang sangat minim, dapat memindai dan mengeluarkan objek 3D hingga kejauhan 50cm jarak dari kamera menuju image target, dan juga dapat menghitung volume bangun ruang dengan cepat.

Kata Kunci – augmented reality, bangun ruang, vuforia, volume, Marked Based Tracking
MODALITAS DALAM TEKS BERITA HOAKS: KAJIAN LINGUISTIK SISTEMIK FUNGSIONAL
Authors: Amrullah Firda , Yassi Abdul Hakim , Gusnawaty Gusnawaty
Published: July 2020

This study aimed to examine the use of modality in news text. This research expected to improve public media literacy in identifying hoax news through modality analysis. This research presented qualitative descriptive data with systemic functional linguistic approach. This study focused on type, value, and modality orientation. The research data resource was Hoax Report of Legislative and President Election Internet Content Control Sub-directorate for the period of August 2018 by Ministry of Communication and Information of Republic Indonesia. The research result showed that modality type possibility modalization intermediate degree and modulity type obligation modulation intermediate degree to dominate other types of modality.  There were also types of modality that were not found in hoax-text news. They were modality type of usuality modalization of medium degree and modality type of inclination modulation of low degree.
EFEKTIVITAS MODEL DIRECT INSTRUCTION DALAM MENINGKATKAN KEMAMPUAN SISWA SMA NEGERI 1 BATAUGA MEMAHAMI NILAI DALAM FOLKLORE WANDIUDIU
Authors: Ria Eva , Abbas Asriani , Hasyim Muhaammad
Published: July 2020

This study aims (1) to explain the application of the direct instruction model in improving the ability of students at SMS Negeri 1 batauga to understand the value of Wandiudiu’s folklore and (2) explain the effectivennes of the direct instruction model in improving the ability of students of SMA Negeri 1 Batauga to understand the value of Wandiudiu’s folklore. The type of research used is the type of classroom action research or commonly known as PTK (classroom action research). This class action research applies several cycles in it’s implementation. The results showed that there was an increase in student learning process. Learning out comes in the control class show differences. However, this difference does not indicate a significant increase in learning outcomes. Cycle I reaches an average value of 70,61 and cycle II reaches an average value of 72,04. The results of both cycles are only in the sufficient category. Learning outcomes in the experimental class showed significant differences. Cycle I reached an average value of 78, 87 and was in the sufficient category, while cycle II achieved an average value of 85,17 and was in the goog category. The improvement of learning outcomes shows taht the effective direct instruction model is used to improve the ability of students of SMA Negeri 1 Batauga to understand the values in Wandiudiu’s folklore.
La pandemia por SARS COV-2 un reto desde múltiples frentes
Authors: Ferrés Garrido Marcela
Published: July 2020

En estos días hemos cumplido el día 100 de circulación del SARS CoV-2 en nuestro país, una infección por un nuevo agente, sin tratamiento eficaz y aún sin vacuna disponible.Coronavirus  y  COVID-19  han  sido  los  términos  mas usados  en  la  conversación  diaria  como  también  en  los medios de difusión siendo percibidos como una amenaza y preocupación para la población general, el personal de salud y las autoridades del país. El informe epidemiológico N 17 del 18 de junio del 2020, comunicó que un total de 250.919 casos de COVID 19 han sido diagnosticados, la gran mayoría de ellos han evolucionado en  forma  ambulatorio  y,  solo  7,4%  han  requerido  de hospitalización para asistencia y soporte de complicaciones pulmonares y/o compromiso general de distintos órganos, en centros hospitalario a lo largo de todo el país. La cifra de letalidad global es de alrededor de 1,8%.
Management of Anemia in Nondialysis Chronic Kidney Disease: Current Recommendations, Real-World Practice, and Patient Perspectives
Authors: Guedes Murilo , Robinson Bruce M. , Obrador Gregorio , Tong Allison , Pisoni Ronald L. , Pecoits-Filho Roberto
Published: July 2020

In nondialysis CKD (ND-CKD), anemia is a multifactorial and complex condition in which several dysfunctions dynamically contribute to a reduction in circulating hemoglobin (Hb) levels in red blood cells. Anemia is common in CKD and represents an important and modifiable risk factor for poor clinical outcomes. Importantly, symptoms related to anemia, including reduced physical functioning and fatigue, have been identified as high priorities by patients with CKD. The current management of anemia in ND-CKD (i.e., parameters to initiate treatment, Hb and iron indexes targets, choice of therapies, and effect of treatment on clinical and patient-reported outcomes) remains controversial. In this review article, we explore the epidemiology of anemia in ND-CKD and revise current recommendations and controversies in its management. Exploring data from real-world clinical practices, particularly from the Chronic Kidney Disease Outcomes and Practice Patterns Study (CKDopps), we highlight the current challenges to translating current recommendations to clinical practice, providing patients’ perspectives of anemia and how it affects their quality of life. Finally, we summarize recent advances in the field of anemia that may change the way this condition will be managed in the future.
Decentralization and Regionalization of Surgical Care as a Critical Scale-up Strategy in Low- and Middle-Income Countries Comment on "Decentralization and Regionalization of Surgical Care: A Review of Evidence for the Optimal Distribution of Surgical Services in Low- and Middle-Income Countries"
Authors: Henry Jaymie A.
Published: July 2020

As global attention to improve the quality, safety and access to surgical care in low- and middle-income countries (LMICs) increases, the need for evidence-based strategies to reliably scale-up the quality and quantity of surgical services becomes ever more pertinent. Iversen et al discuss the optimal distribution of surgical services, whether through decentralization or regionalization, and propose a strategy that utilizes the dimensions of acuity, complexity and prevalence of surgical conditions to inform national priorities. Proposed expansion of this strategy to encompass levels of scale-up prioritization is discussed in this commentary. The decentralization of emergency obstetric services in LMICs shows promising results and should be further explored. The dearth of evidence of regionalization in LMICs, on the other hand, limits extrapolation of lessons learned. Nevertheless, principles from the successful regionalization of certain services such as trauma care in high-income countries (HICs) can be adapted to LMIC settings and can provide the backbone for innovation in service delivery and safety.
Legal and Ethical Challenges in Developing a Dutch Nationwide Hepatitis C Retrieval Project (CELINE)
Authors: van Dijk Marleen , van Agt Frans M. , Drenth Joost
Published: July 2020

In 2016 the World Health Organization (WHO) called upon nations worldwide to eliminate viral hepatitis. Due to suboptimal hepatitis C virus (HCV) therapies in the past, many patients could not be treated or cured. With the current options, all patients can be treated and >90% is cured. However, these developments have not reached all patients, especially those who were lost to follow-up (LTFU) in previous years, an estimated 30% in the Netherlands. Retrieving these patients can contribute to HCV elimination. In light of this, we aimed to develop a nationwide retrieval strategy. During development we identified four major challenges. The first challenge is ethical and arises from the aim of the project: should physicians retrieve LTFU patients? We argue that the arguments in favour outweigh those against. The three other challenges are methodological and mainly legal in nature. Firstly, how far back are we allowed to trace LTFU patients? In the Netherlands, patient files should be kept for a minimum of fifteen years, but in chronic disease they may be archived longer. Secondly, which professional should identify the LTFU patients? Ideally this would be the treating physician, but we describe the circumstances that allow inclusion of assistance. Lastly, what is the proper way to invite the LTFU patients? We found that we can often request current address information from municipalities, and explain this process in detail. The offered solutions are feasible and translatable to other healthcare environments. We hope to take away any insecurities people may have about the ethical and legal nature of such a retrieval project and hope to inspire others to follow in our footsteps.
Beyond Targets: Measuring Better and Rebuilding Trust Comment on "Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?"
Authors: Hamblin Richard , Shuker Carl
Published: July 2020

Tenbensel and colleagues identify that a target for emergency department (ED) stays in New Zealand met with gaming in response from local hospitals. The result is in line with studies in other jurisdictions. The enthusiasm for targets and tight performance measurement in some health systems reflects a lack of trust in professionals to do the right thing for altruistic reasons. However such measurement systems have failed to address this loss of trust and may, ironically, have worsened the situation. A more promising approach for both improving performance and restoring trust may depend upon collaboration and partnership between consumers, local providers, and central agencies in agreeing and tracking appropriate local responses to high level national goals rather than imposing tight, and potentially misleading measures from the centre.
Deliberative Processes by Health Technology Assessment Agencies: A Reflection on Legitimacy, Values and Patient and Public Involvement Comment on "Use of Evidence-informed Deliberative Processes by Health Technology Assessment Agencies Around the Globe"
Authors: Goetghebeur Mireille , Cellier Marjo
Published: July 2020

Legitimacy of deliberation processes leading to recommendations for public financing or clinical practice depends on the data considered, stakeholders involved and the process by which both of these are selected and organised. Oortwijn et al provides an interesting exploration of processes currently in place in health technology assessment (HTA) agencies. However, agencies are struggling with core issues central to their legitimacy that goes beyond the procedural exploration of Oortwijn et al, such as: how processes reflect the mission and values of the agencies? How they ensure that recommendations are fair and reasonable? Which role should be given to public and patient involvement? Do agencies have a positive impact on the healthcare system and the populations served? What are the drivers of their evolution? We concur with Culyer commentary on the need of learning from doing what works best and that a reflection is indeed needed to "enhance the fairness and legitimacy of HTA."
Rhetoric or Reform? Changing Health and Social Care in Wales
Authors: Willson Alan , Davies Andrew
Published: July 2020

Throughout the United Kingdom, the National Health Service (NHS) struggles to meet demand and achieve performance targets. Services need to work with individuals and communities to reduce avoidable disease and dependence. All four UK nations have separately realised the need for change but 20 years’ experience suggests that vision and rhetoric are not enough. Success requires reformed systems and changed leadership behaviour to enable frontline staff to break the status quo. Top down, target driven behaviour must be replaced with a real focus on improvement, championing those who have the knowledge to deliver it.
Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle
Authors: Brugha Ruairi , Clarke Nicholas , Hendrick Louise , Sweeney James
Published: July 2020

Background: The failure of some high-income countries to retain their medical graduates is one driver of doctor immigration from low- and middle-income countries. Ireland, which attracts many international medical graduates, implemented a doctor retention strategy from early 2015. This study measures junior doctors’ migration intentions, the reasons they leave and likelihood of them returning. The aim is to identify the characteristics and patterns of doctors who plan to emigrate to inform targeted measures to retain these doctors. Methods: A national sample of 1148 junior hospital doctors completed an online survey in early 2018, eliciting their experiences of training and working conditions. Respondents were asked to choose between the following career options: remain in Ireland, go and return, go and stay away, or quit medicine. Bivariate analyses and a two-stage multivariable analysis were used to model the factors associated with these outcomes. Results: 45% of respondents planned to remain in Ireland, 35% leave but return later, 17% leave and not return; and 3% to quit medicine. An intention to go abroad versus remain in Ireland was independently associated (P<.05) with the doctor being under 30 years (odds ratio [OR]=1.09 per year under 30), a non-European Union (EU) national (OR=1.54), a trainee (OR=1.50), and with hospital specialization, especially in Anesthesiology (OR=5.09). Respondents were more likely to remain if they had experienced improvements in supervision and training costs. Intention to go abroad and not return versus go and return was independently associated (P<.05) with: age over 30 years (OR=1.16 per year over 30); being a non-EU (OR=9.85) or non-Irish EU (OR=3.42) national; having trained through a graduate entry pathway (OR=2.17), specializing in Psychiatry (OR=4.76) and reporting that mentoring had become worse (OR=5.85). Conclusion: Ireland’s doctor retention strategy has not addressed the root causes of poor training and working experiences in Irish hospitals. It needs a more diversified retention strategy that addresses under-staffing, facilitates circular migration by younger trainees who choose to train abroad, identifies and addresses specialty-specific factors, and builds mentoring linkages between trainees and senior specialists.
The Effectiveness of a Multi-Pronged Psycho-Social Intervention Among People With Mental Health and Epilepsy Problems - A Pre-Post Prospective Cohort Study Set in North India
Authors: Mathias Kaaren , Corcoran Dale , Pillai Pooja , Deshpande Smita , San Sebastian Miguel
Published: July 2020

Background: In low- and middle-income settings, many people with mental health problems cannot or do not access psychiatric services. Few studies of people with epilepsy and mental problems have evaluated the effectiveness of a predominantly psycho-social intervention, delivered by lay community workers. The aim of this study was to assess the effectiveness of a community-based complex mental health intervention within informal urban communities while simultaneously addressing social determinants of mental health among disadvantaged people with severe and common mental disorders (CMDs), and epilepsy. Methods: In this observational, prospective cohort study set in Uttarakhand, India, the lay-worker led intervention included psychoeducation, behavioural activation, facilitation of access to care, and facilitated psycho-social support groups. Participants were categorised as having a severe or CMD or epilepsy and assessed 5 times over 24 months using primary outcome measures, including the Patient Health Questionnaire (PHQ9) (severity of depression), the World Health Organization Disability Assessment Schedule (WHODAS 2.0), the Recovery Star, and scoring of a bespoke Engagement Index. Analysis included descriptive statistics as well as hierarchical linear regression models to report fixed effects as regression coefficients. Results: Among the 297 (baseline) participants only 96 people (31%) regularly used psychotropic medication (at least 4 weeks) and over 60% could not or did not consult a psychiatrist at all in the study period. Nonetheless, people with CMDs showed a significant reduction in their depression severity (PHQ9: B=-6.94, 95% CI -7.37 to -6.51), while people with severe mental disorders (SMDs) showed a significant reduction in their disability score (WHODAS 2.0: B=-4.86, 95% CI - 7.14 to- 2.57). People with epilepsy also reduced their disability score (WHODAS 2.0: B=-5.22, 95% CI -7.29 to -3.15). Conclusion: This study shows significant improvements in mental health, depression, recovery, disability and social engagement for people with common and SMDs, and epilepsy, through a community-based intervention that was nonpharmaceutical. It provides preliminary evidence of the value of predominantly psycho-social interventions implemented by lay health workers among people with limited or no access to psychiatric services.
COVID-19: A Window of Opportunity for Positive Healthcare Reforms
Authors: Auener Stefan , Kroon Danielle , Wackers Erik , Dulmen Simone van , Jeurissen Patrick
Published: July 2020

The current coronavirus disease 2019 (COVID-19) pandemic is testing healthcare systems like never before and all efforts are now being put into controlling the COVID-19 crisis. We witness increasing morbidity, delivery systems that sometimes are on the brink of collapse, and some shameless rent seeking. However, besides all the challenges, there are also possibilities that are opening up. In this perspective, we focus on lessons from COVID-19 to increase the sustainability of health systems. If we catch the opportunities, the crisis might very well be a policy window for positive reforms. We describe the positive opportunities that the COVID-19 crisis has opened to reduce the sources of waste for our health systems: failures of care delivery, failures of care coordination, overtreatment or low-value care, administrative complexity, pricing failures and fraud and abuse. We argue that current events can canalize some very needy reforms to make our systems more sustainable. As always, political policy windows are temporarily open, and so swift action is needed, otherwise the opportunity will pass and the vested interests will come back to pursue their own agendas. Professionals can play a key role in this as well.
We Need Compassionate Leadership Management Based on Evidence to Defeat COVID-19
Authors: Binagwaho Agnes
Published: July 2020

The current pandemic of coronavirus disease 2019 (COVID-19) has had unprecedented reach and shown the need for strong, compassionate and evidence-based decisions to effectively stop the spread of the disease and save lives. While aggressive in its response, Rwanda prioritized the lives of its people – a human right that some governments forget to focus on. The country took significant steps, before the first case and to limit the spread of the disease, rolled out a complete nationwide lockdown within one week of the first confirmed case, while also providing social support to vulnerable populations. This pandemic highlights the need for leaders to be educated on implementation science principles to be able to make evidence-based decisions through a multi-sectoral, integrated response, with consideration for contextual factors that affect implementation. This approach is critical in developing appropriate preparedness and response strategies and save lives during the current threat and those to come.
A Process for Evaluating Quality Decision-Making Practices During the Development, Review and Reimbursement of Medicines
Authors: Bujar Magdalena , McAuslane Neil , Walker Stuart , Salek Sam
Published: July 2020

Background: The development of a medicine is not only underpinned by good science but also by Quality DecisionMaking Practices (QDMPs). Indeed, it is important to ensure that all organisations involved in the lifecycle of medicines are aligning their practices in decision-making to the QDMPs to ensure quality, transparent and consistent decisionmaking processes. Methods: The aim of this study was to evaluate the practicality of QoDoS (Quality of Decision-Making Orientation Scheme) in assessing the incorporation of ten QDMPs during the development, review and reimbursement of medicines, illustrated by case studies with a pharmaceutical company, a regulatory authority and a health technology assessment (HTA) agency. Individuals from each organisation completed the 47-item QoDoS questionnaire. Results: The results demonstrate the applicability of QoDoS in identifying favourable and unfavourable practices and in assessing the consistency and transparency of the QDMPs within each organisation, as well as across the different stakeholders. Furthermore, the study established the value of the methodology in raising awareness of the biases and best practices in decision-making, as well as having a basis for discussion for differences within and across stakeholders to promote consistency and alignment in decision-making. Finally, the QoDoS demonstrated the need for improvement across a number of decision-making practices for the 3 organisations such as the evaluation of alternatives and of the decision impact. Conclusion: The QoDoS can be used to benchmark organisations’ decision-making practices to provide a basis for discussion to ultimately encourage a level of trust across and within organisations and helping to identify areas for improvement.
Variaciones geomagnéticas diarias debido al efecto lunar: estudio basado en datos del Observatorio Geomagnético de Huancayo
Authors: Rosales Domingo , Vidal Erick
Published: July 2020

La Luna aparentemente parece no tener un efecto geomagnético apreciable de pe- riodo mensual, pero Keil (1839), Sabine (1853), Broun (1874) y muchos otros han

demostrado que existe una variación lunisolar diaria. Se sabe que la variación solar (S) y lunar (L) tienen variaciones estacionales. Los cambios estacionales de S, particularmente en días quietos, han sido estudiados en mucho más detalle que los cambios estacionales de L. El propósito del presente trabajo es describir con mayor detalle el efecto de la variación L en la zona del Ecuador geomagnético, en ausencia de fuertes perturbaciones por el que se ha seleccionado convenientemente los datos del Observatorio Geomagnético de Huancayo (promedios horarios) del 1 de enero del 2008 al 31 de diciembre del 2009, periodo que se encuentra dentro del rango más prolongado de mínima actividad solar de los últimos 160 años (fin del ciclo solar 23 e inicio del ciclo solar 24). 

El análisis espectral por wavelets y Fourier nos permite identificar la variación S compuesto por sus armónicas, siendo S1 y S2 la principales contribuciones que co- rresponden a la variación diurna y semidiurna, así como de sus bandas laterales, además del efecto de la variación estacional. Con la finalidad de poder observar la variación L, es sustraída la variación S juntamente con sus bandas laterales, permi- tiendo observar mediante el análisis espectral por wavelets L1 y L2 como las princi- pales contribuciones en la variación L, además del efecto estacional similar a lo descrito por Chapman y Miller (1940).
Sismicidad de interior de placa en Cuba
Authors: Cotilla Rodríguez Mario Octavio
Published: July 2020

La mayor extensión superficial de Cuba está relacionada con la sismicidad interior de la placa de Norteamérica. Este territorio se define en la Unidad Neotectónica Occidental con ~900 terremotos perceptibles (1492-2013). El valor de la magnitud máxima estimada es 6.2, años 1880 y 1914. Los terremotos más fuertes demuestran un periodo de recurrencia superior a 100 años. El conjunto de todos los eventos ha producido algunos muertos y heridos, pero mucho menos que los de la región suro- riental (~100). La actividad sísmica se justifica por la influencia dinámica del límite de placas Caribe-Norteamérica en las zonas de fallas y sus intersecciones.
Detección de zonas de fracturamiento en áreas urbanas mediante el método capacitivo de tomografía eléctrica
Authors: Olvera-Ramírez Ana Belén , Chávez René E. , Hernández-Quintero Juan Esteban
Published: July 2020

Dentro de la zona metropolitana de la Ciudad de México; es común observar afec- taciones de estructuras en los edificios, y en algunos casos fracturas, hundimientos y colapsos se han convertido en uno de los principales riesgos en las manchas ur- banas actuales. La delegación Iztacalco, se encuentra en al centro-oriente del Distri- to Federal, limita al norte con la delegación Venustiano Carranza y Cuauhtémoc, al poniente con Benito Juárez, al sur con Iztapalapa y al oriente con el municipio me- xiquense de Nezahualcóyotl, presenta en algunas zonas, afectaciones en sus unida- des habitacionales, ejemplos claros son el Barrio de Santiago y la Unidad Habitacional “Infonavit” (Instituto del Fondo Nacional de la Vivienda para los Trabajadores). Los daños a las unidades se deben a la existencia de fracturas en el subsuelo que pasan por debajo de las estructuras civiles, debilitando sus cimentos o alterando el subsuelo, originando los daños estructurales que afectan estas construc- ciones. Para caracterizar el fracturamiento observado, se llevaron a cabo estudios geofísicos en las dos unidades habitacionales, donde se realizaron cuatro perfiles eléctricos para cada una de las unidades, mediante el método de Tomografía Eléc- trica Capacitiva (TEC). Se encontró una dirección preferencial de las fracturas infe- ridas en el subsuelo en ambas zonas de estudio con dirección NW-SE. Esta dirección se logra correlacionar con la orientación de fracturas inferidas descritas en estudios previamente realizados en la delegación Iztacalco, que se encuentran muy cercanos a las zonas de estudio. 

De igual forma los datos obtenidos mediante el método capacitivo con el ins- trumento Ohm-Mapper, se ven afectados por ruido cuyo origen, en su mayoría, se debe a variaciones superficiales de la resistividad, dichos datos fueron procesados de manera separada, para minimizar el efecto de ruido, y lograr visualizar de forma más clara las anomalías expuestas en los perfiles.
Reporte técnico de los resultados del Primer Taller Panamericano de Geomagnetismo (PANGEO)
Authors: Hernández-Quintero J.Esteban
Published: July 2020

La expresión natural del magnetismo en nuestro planeta ha sido objeto de estudio desde hace cientos de años. Desde los primeros intentos de describir este fenómeno,se han encontrado nuevas manifestaciones que lo han mantenido a través del tiempo dentro del escenario científico. 

En la actualidad, el estudio del Geomagnetismo está tomando gran relevancia. Los desastres naturales tales como terremotos (L’aquila, abril 2009; Haití, enero 2010; Chile, abril 2012; Japón, marzo 2012; Mexicali, abril 2010), erupciones vol- cánicas como en México (Popocatépetl 2012), Ecuador (Tungurahua 2012) o Gua- temala (Pacaya 2012), deslizamientos de tierra, inundaciones o la influencia del clima espacial en la vida humana, son temas de gran impacto en nuestra sociedad contemporánea. Se busca con este trabajo reportar los trabajos desarrollados duran- te el Primer Taller Panamericano de Geomagnetismo (auspiciado por el Instituto Panamericano de Geografía e Historia). Exponer las experiencias de los países de América que se presentaron en este taller con el objetivo de hacer una evaluación en América Latina del quehacer en esta disciplina, con fines de mitigación o pre- vención de riesgos naturales con el apoyo de nuevas metodologías geofísicas. Fi- nalmente, se menciona la capacitación continua de personal altamente especializado para el estudio de los riesgos naturales con la ayuda de la tecnología bien actualiza- da y diversificada con énfasis en el geomagnetismo.
Pengaruh Variabel Harga dan Citra Perusahaan terhadap Keputusan Pembelian Produk Wingsfood
Authors: Sinambela Ella Anastasya , Sari Putri Purnama , Arifin Samsul
Published: July 2020

The business world involving well-known corporations is increasingly showing competition through the sale of its products and efforts to dominate the market. One of the well-known corporations in Indonesia is Wingsfood which already has loyal customers because it trusts the products it produces since entering its market. This study aims to determine the effect of price and company image on purchasing decisions of Wingsfood products in the city of Mojokerto. Samples were taken as many as 143 respondents. The analytical tool used is SPSS 25. The research sampling technique uses random sampling. The questionnaire scale uses a Likert scale. Data consists of primary data taken from questionnaires distributed directly to respondents. The analysis used to examine the effect of price and company image is multiple linear analysis. From the results of data processing the regression equation Y = -2.211 + 0.387 + 0.869X2 is obtained. Research shows several findings, namely (1) price significantly influences the purchasing decisions of Wingsfood products in the city of Mojokerto, (2) company image has a significant effect on purchasing decisions of Wingsfood products in Mojokerto, (3) price and image of the company have a simultaneous effect on product purchasing decisions Wingsfood in koto Mojokerto
Nafarroako toponimia agusia aztergai: -oi(t)z, -o(t)z, -(i)(t)z duten herri izenen inguruan
Authors: Salaberri Zaratiegi Patxi , Salaberri Izko Iker
Published: July 2020

RESUMEN Analizamos aquí algunos nombres de pueblo de Navarra y establecemos que, cuando pueden ser incluidos en una serie toponímica, la explicación etimológica que se da es más fiable. Los hemos clasificado en dos grupos: primero los acabados en -oi(t)z, -o(t)z, y después los que terminan en -i(t)z. Estudiamos la relación que la toponimia tiene con la patronimia, dado que ambos sistemas proceden del genitivo de la tercera Declinación del latín (-nis). En las conclusiones afirmamos que los topónimos investigados son deantroponímicos, unos más antiguos que otros, y que el sufijo es -(i)(t)z. Proponemos utilizar los más claros como «topónimos ancla», con el objeto de aclarar otros más oscuros, y los relacionamos con la romanización, ya que muchos de los antropónimos que están en la base proceden del mundo del latín, si bien la evolución de dichos topónimos es eusquérica. Esto es importante, pues demuestra que se desarrollaron en un ambiente vascohablante. LABURPENA Nafarroako herri-izen multzo bat aztertzen dugu hemen, eta sail batean sartuta daudenean azalpena fidagarriagoa dela esaten. Izenak bi taldetan antolatu ditugu: -oi(t)z, -o(t)z daukatenak lehenik, eta -i(t)z dutenak ondoren. Toponimiak patronimiarekin dauzkan estekak ere ikusten dira, biek jatorri latineko hirugarren deklinabideko genitiboan (-nis) dutelako. Ondorioetan, ikertu toponimoak deantroponimikoak direla erraten dugu, batzuk zaharragoak direla besteak baino, eta atzizkia berez -(i)(t)z dela. Argienak «aingura toponimo»tzat ibiltzea proposatzen dugu, ilunagoak azaltzeko, eta erromanizazioarekin lotzen ditugu: haien oinarriko antroponimo asko latin mundukoak dira, baina toponimoen bilakaera euskararen barnekoa. Honek leku-izenak euskaldunek garatu zituztela frogatzen du. ABSTRACT Here we analyze a number of Navarrese village names and contend that their etymological explanation is more reliable whenever they can be integrated into a toponymic set. The names have been classified in two groups: those which end in -oi(t)z, -o(t)z first, and those which bear the ending -i(t)z second. The links between toponymy and patronymy are also explored, given the fact that both systems originate in the Latin genitive marker of the third declension (-nis). We conclude that the analyzed toponyms are deanthroponymic, that some are older than others, and that the suffix is -(i)(t)z. We propose to use the most transparent of these as «anchor toponyms» so as to elucidate the obscure ones, and we relate them with Romanization: many of the underlying anthroponyms emanate from the Latin world, albeit the toponyms’ evolution adheres to Basque. This observation is relevant, since it proves that the place names developed in a Basque-speaking environment.
Euskara Eremu Zientifikoan: Giza eta gizarte zientziei buruzko
aldizkarietako laburpenen azterketa kuantitatiboa (2010-2019)
Authors: Boillos Mari Mar , Bereziartua Etxeberria Garbiñe
Published: July 2020

RESUMEN A raíz de las acciones que se tomaron para poner en marcha la
normalización del euskera en la década de los 80, el euskera ha ido
haciéndose un hueco en el ámbito académico y, con ello, en las publicaciones
científicas. El objetivo de este trabajo es conocer qué presencia tiene el
euskera en las revistas científicas en las que se publica (también) en
euskera. Dicho estudio se ha acotado a un corpus: 31 revistas de ciencias
sociales y humanidades que se publican en la Comunidad Autónoma Vasca y la
Comunidad Foral de Navarra entre los años 2010 y 2019. Se ha medido la
presencia del euskera en los artículos de dichas revistas, así como en los
abstract de dichos artículos. Los resultados muestran que la presencia del
euskera es aún escasa y que no hay una apuesta en favor del euskera en las
revistas de alto impacto. LABURPENA 80ko hamarkadan euskara normalizatzeko
martxan jarri ziren ekimenen ondorioz, euskara bere tokia hartzen joan da
eremu akademikoan eta, horrekin lotuta, argitalpen zientifikoetan. Lan honen
helburua euskaraz (ere) ekoizten duten aldizkari zientifikoetan euskarak zer
presentzia daukan jakitea da. Azterketa corpus batera mugatu da: 2010-2019.
urteen artean eaen eta nfkn argitaratu diren giza nahiz gizarte zientzietako
31 aldizkari. Aldizkari horietan euskarak izan duen presentzia neurtu da,
bai artikuluetan eta bai artikulu horien abstractetan. Emaitzek erakusten
dutenez, euskararen presentzia oraindik eskasa da eta ez dago euskararen
aldeko apusturik inpaktu handieneko aldizkarietan. ABSTRACT As a result of
the actions established for the normalization of the Basque language in the
1980s, Basque has carved a niche in the academic sphere and, thus, in
scientific publications. The purpose of this paper is to find out the
presence of the Basque language in the scientific journals in which it is
published (also) in Basque. This study has been limited to a corpus: 31
Social Sciences and Humanities journals published in the Basque Autonomous
Community and Foral Community of Navarre between 2010 and 2019. The presence
of the Basque language has been measured in the papers of these journals, as
well as in the abstracts of those papers. The results show that the presence
of Basque is still scarce and that there is no firm commitment to Basque in
high impact journals.