bluuebunny/crossref_metadata_2025 huggingface dataset:
The impact of soil development, rainfall intensity and vegetation complexity on subsurface flow paths along a glacial chronosequence of 10 millennia
Authors: Hartmann Anne , Weiler Markus , Greinwald Konrad , Blume Theresa
Published: May 2021

Abstract. Hydrologic processes play an important role in the hydro-pedo-geomorphological feedback cycle of landscape evolution. Soil properties and subsurface flow paths change over time, but due to lack of observations important hydrologic processes such as water flow paths are often not properly considered in soil and landscape evolution studies. We investigated the evolution of subsurface flow paths during landscape development in the calcareous glacier forefield at the Griessfirn in the Swiss Alps. While the main focus was on flow path evolution and the formation of preferential flow paths with soil development, we also looked at the impact of irrigation intensity and vegetation complexity (in what way does the vegetation complexity defined by degree of vegetation cover and functional diversity at each age class relate to subsurface structures and flow path initialization?). We chose four glacial moraines of different ages (110, 160, 4 900, and 13 500 years) and conducted dye tracer experiments with Brilliant Blue (4 g l−1) on three plots at each moraine. The three plots at each age class differed by their degree of vegetation complexity (low, medium, and high) and each was further divided into three equal subplots where dyed water was applied with three different irrigation intensities (20, 40, and 60 mm h−1) and an irrigation amount of 40 mm. Dye pattern characteristics in form of volume density and surface area density were derived by digital image analysis and compared via statistical analysis.Volume density was used to classify the observed dye patterns into specific flow type categories. The effect of soil formation and thus changing soil characteristics on flow types were investigated by the analysis of structural and textural parameters in form of grain size distribution, porosity, bulk density, and loss on ignition. A change in flow types with increasing moraine age was observed from a rather homogeneous matrix flow to heterogeneous matrix and finger flow. Along the soil chronosequence, a reduction in particle sizes and an ongoing vegetation development resulted in an accumulation of organic matter in the topsoil and an increase in water storage capacity (decrease in bulk density and increase in porosity). Differences in irrigation intensity only had an effect on flow types at the oldest moraine, where the frequency of finger flow decreased with increasing irrigation intensity. A relation between vegetation complexity and flow types was only observed at the older moraines, which had a dense vegetation cover. With increasing vegetation complexity the proportion of preferential flow paths in form of finger flow also increased.
Meso- to micro-scale modeling of atmospheric stability effects on wind turbine wake behavior in complex terrain
Authors: Wise Adam S. , Neher James M. T. , Arthur Robert S. , Mirocha Jeffrey D. , Lundquist Julie K. , Chow Fotini K.
Published: May 2021

Abstract. Most detailed modeling and simulation studies of wind turbine wakes have considered flat terrain scenarios. Wind turbines, however, are commonly sited in mountainous or hilly terrain to take advantage of accelerating flow over ridgelines. In addition to topographic acceleration, other turbulent flow phenomena commonly occur in complex terrain, and often depend upon the thermal stratification of the atmospheric boundary layer. Enhanced understanding of wind turbine wake interaction with these terrain-induced flow phenomena can significantly improve wind farm siting, optimization, and control. In this study, we simulate conditions observed during the Perdigão field campaign in 2017, consisting of flow over two parallel ridges with a wind turbine located on top of one of the ridges. We use the Weather Research and Forecasting model (WRF) nested down to micro-scale large-eddy simulation (LES) at 10 m resolution, with a generalized actuator disk (GAD) wind turbine parameterization to simulate turbine wakes. Two case studies are selected, a stable case where a mountain wave occurs and a convective case where a recirculation zone forms in the lee of the ridge with the turbine. The WRF-LES-GAD model is validated against data from meteorological towers, soundings, and a tethered lifting system, showing good agreement for both cases. Comparisons with scanning Doppler lidar data for the stable case show that the overall characteristics of the mountain wave are well-captured, although the wind speed is underestimated. For the convective case, the size of the recirculation zone within the valley shows good agreement. The wind turbine wake behavior shows dependence on atmospheric stability, with different amounts of vertical deflection from the terrain and persistence downstream for the stable and convective conditions. For the stable case, the wake follows the terrain along with the mountain wave and deflects downwards by nearly 100 m below hub-height at four rotor diameters downstream. For the convective case, the wake deflects above the recirculation zone over 50 m above hub-height at the same downstream distance. This study demonstrates the ability of the WRF-LES-GAD model to capture the expected behavior of wind turbine wakes in regions of complex terrain, and thereby to potentially improve wind turbine siting and operation in hilly landscapes.
Diferencias en los determinantes del éxito en el emprendimiento en México, una perspectiva de género
Authors: Sánchez Tovar Yesenia , Macías García Miguel Ángel† , Mendoza Flores José Esteban
Published: May 2021

En las últimas décadas las mujeres han logrado posicionarse en los mercados laborales y además participar de manera activa en la creación de nuevas empresas (Langowitz y Minniti, 2007). En el caso de México, de acuerdo con datos de la Secretaría de Hacienda, 3 de cada 5 negocios que se abren son dirigidos por mujeres, del mismo modo se ha observado que en este país, el gobierno ha puesto énfasis en generar programas de apoyo para las mujeres emprendedoras. No obstante, el índice de fracaso de los emprendimientos es del 75%. Lo cual obliga a investigar los factores que determinan el éxito de los emprendimientos entre hombres y mujeres. Para ello, se analizan los factores conductuales y gerenciales que determinan el impacto en el éxito emprendedor, realizando un estudio empírico a 255 directivos de empresas de reciente creación (de 0 a 3 años de apertura) en cuatro ciudades del norte de México. A través del uso de ecuaciones estructurales se pudieron observar las diferencias en el éxito en los negocios entre hombres y mujeres. En primer lugar, se observó que lo que determina el éxito de las mujeres en los negocios radica en los elementos conductuales, es decir, son los rasgos psicológicos (extraversión, apertura y conciencia). Mientras que para los hombres las capacidades gerenciales son las que determinan su éxito. Los resultados anteriores, dejan ver la necesidad de fortalecer la capacitación gerencial en las mujeres para alcanzar el éxito empresarial.
Subalterns Too Can Speak and Contend for Power: Drawing Inspiration from Sheikh Mujib’s 7th March Speech in Nation Building
Authors: Hossain Zahid Sazzad
Published: May 2021

Sheikh Mujibur Rahman, the founding father of Bangladesh, is a leading proponent of empowering the oppressed and inspiring the marginalized and forgotten to come together, unite, and encourage one another to speak up and fight for their rights. His dynamism takes the Bengali nation to independence as a legendary nationalist and sage. His leadership and pro-people political initiatives were effective and fruitful enough to dismantle the repressive political, economic, cultural, and other policies that the West Pakistani rulers imposed on East Pakistan. The author of this paper aims to demonstrate Sheikh Mujib's role in transforming a politically apathetic population of seventy-five million people into politically aware citizens who ultimately contend for power and establish a free country. Especially, this paper focuses on Sheikh Mujib's famous 7th March Speech, which is considered one of the most inspiring speeches in world history. This qualitative research paper explores Sheikh Mujib's 7th March Speech as the final inspiring force that powers resistance to West Pakistan's neocolonialism on East Pakistan after the partition in 1947, using postcolonial subalternity as a theoretical framework. To serve the study's purpose, the 7th March Speech of Sheikh Mujibur Rahman is examined through the lens of a significant historical event. Key words: Sheikh Mujibur Rahman, Marginalized, Subaltern, Power, 7th March Speech, Neocolonialism, Inspiration
Movimento, criação e expressão em tempos de pandemia: reflexões sobre o ensino de Educação Física e Artes nos anos iniciais do Ensino Fundamental
Authors: Oliveira Achilles Alves de , Scholze Sara
Published: May 2021

Este artigo apresenta uma breve reflexão de dois professores de educação básica considerando possibilidades e desafios do contexto da pandemia de COVID-19, causada pelo novo coronavírus. Para discutir sobre o processo de ensino-aprendizagem nesse contexto, parte-se da experiência de 11 semanas de ensino mediado por tecnologias nas disciplinas de Educação Física e Artes nos anos iniciais do ensino fundamental em uma instituição de ensino privada do Distrito Federal, Brasil. Busca-se iniciar uma discussão a respeito das mudanças vividas na educação durante esse período e suas possíveis implicações futuras.
国货正当“潮”之完美日记内容营销策略研究
Authors: 王 静
Published: May 2021

近年“国潮风”盛行，Z时代消费者作为新时代消费主力军，越来越把关注点聚焦于国货品牌。完美日记作为“国潮”美妆品牌，洞悉消费者需求，靠着一流的内容营销进行流量变现，一跃成为国货黑马。为了更好地了解完美日记的内容营销，本文通过结合相关理论文献，针对完美日记的目标群体进行问卷调研，并运用描述性统计分析方法，对完美日记进行分析，得出其应如何在内容营销方面进行设置，从而更好的符合当下消费者的需求，弥补自身不足的同时寻求更好的突破和发新时代发展方向。
原始与GDP调整后巨无霸指数的实证分析
Authors: 程 萌
Published: May 2021

自巨无霸指数提出以来，以其原理的简单性和构建的简洁性，在对各个国家的货币汇价评估以及预测长期的汇率波动趋势等方面扮演着极其重要的角色。但在传统的巨无霸指数测算当中，忽略了非贸易品的成本所带来的影响，使得用其对各国货币汇价的评估及对长期汇率的预测结果与真实结果出现不小的差距。本文结合各国的经济发展水平，对传统的巨无霸指数进行调整。经过对各国数据进行分析和测算后，发现调整后的巨无霸指数与各国的实际情况更为符合，这也使得调整后的巨无霸指数更加具有代表性和可比性。
以美元衡量和以人民币衡量的巨无霸指数对不同国家的比较
Authors: 刘 舒霖
Published: May 2021

英国的《经济学人》自1986年起提出巨无霸指数，这一不太正式的指数曾多次被用于研究和比较不同国家、地区的货币之间的购买力，发挥着至关重要的作用。本文基于巨无霸指数，在购买力平价基础上以美元衡量和人民币衡量的巨无霸指数对不同国家进行比较，分析相比较来说汇率是高估还是低估。由于巨无霸指数受到多种因素的影响，本文结合不同发展水平的国家同时对这两种货币衡量，并以相近发展水平的不同地区国家作以参照。
巨无霸指数是否低估的实证分析
Authors: 林 雨熙
Published: May 2021

均衡汇率问题一直是学界的焦点，基于购买力平价理论的巨无霸指数，为判断汇率水平均衡性提供了一个简单的工具和辅助的视角。本文根据《经济学人》公布的巨无霸指数走势特征，分析巨无霸指数对不同汇率水平的低估程度，尤其是基于美元的巨无霸指数对人民币汇率水平的评估；本文同时分析人民币于各期相较于欧元、英镑、日元皆出现低估的现象。
A ECONOMIA POPOULAR E SOLIDÁRIA E A RODA DE CONVERSA COMO UMA PRÁTICA DOCENTE EFICAZ: UMA REFLEXÃO EM ATIVIDADES NA FEIRA DO SEMIÁRIDO/UEFS-BA.
Authors: Oliveira Lima José Raimundo
Published: May 2021

Resumo - A Roda de Conversa, segundo Brandão (2006) é uma metodologia natural da educação popular, pois todo e qualquer sujeito, de uma forma ou de outra, conversa sobre si, sobre a vida, sobre o mundo ou sobre algo que o interessa. Esta prática foi observada a partir da experiência de economia popular e solidária organizada pelo Programa Incubadora de Iniciativas da Economia Popular e Solidária realizada na Feira do Semiárido da Universidade Estadual de Feira de Santana-Ba. Mas, o que vem a ser uma Roda de Conversa enquanto pratica docente? Roda de Conversa, também, é um meio para trabalhar valores como o respeito, aprender a escutar e a falar na hora certa, estabelecimento de regras, cidadania, aceitação e dispõe de aspectos relevantes como a fala, registro, a postura e a entonação de voz segundo Campus (2000). É, neste contexto, um método de ressonância coletiva que consiste na criação de espaços de diálogos em que os sujeitos podem se expressar e, sobretudo, escutar os outros e a si mesmos. Este instrumento de aprendizagem democrático é, comumente, utilizado pela Equipe da Incubadora de Iniciativas da Economia Popular e Solidária (IEPS) da UEFS, ainda que sem a deliberada intenção, com o objetivo de fortalecer nos participantes posturas coletivas, a perda do medo de falar no grupo, posicionar-se em público, entre outras maneiras de comunicar o que pensa e tem produzido êxito. Este procedimento tem fortalecido o IEPS, a partir da discussão dos conceitos e definições de termos fronteiriços ou complementares à Economia Popular e Solidária, em especial, autogestão, solidariedade nas relações e cooperação para a fluidez do trabalho coletivo, inclusive, o trabalho docente.
Pengaruh sanitasi terhadap tingkat kepuasan pasien dirumah sakit daerah Kabupaten Kuantan Singingi
Authors: Permatasari Putri , Putra Ridwan Manda , Agrina Agrina
Published: May 2021

In hospital health care facilities, sanitation problems are the most important thing, the existence of problems such as clean water, sewage systems, conditions of garbage bins, sewerage systems and sanitation of building spaces cause discomfort for patients being treated. The inpatient room is part of the inpatient installation and is the most important part of the hospital. Therefore, this study aims to determine the effect of sanitation on the satisfaction level of inpatients at the General Hospital of Kuantan Singingi Regency. This research is a quantitative study using the spearmank rank analysis method. The research subjects were patients or their families who were waiting for the patient in the ward. The sample in this study amounted to 70 respondents, with the sampling technique incidental sampling. The analysis was carried out by using the Chi-Square test, the results showed that there was an influence between clean water sources, the P value = 16,556, the sewage system (X2), the P value = 16,170, the trash bin condition (X3), the P value = 16,640 variables. condition of sewerage (X4) obtained P value = 12,685 and  sanitation of building space (X5) obtained P value = 17,637 level of patient satisfaction at the General Hospital of Kuantan Singingi Regency. The results concluded that there is an influence between all independent variables (sanitation) and the dependent variable (satisfaction). Based on the results of research on inpatient respondents at the Kuantan Singingi Hospital, namely the patient was satisfied and comfortable with the services provided. The satisfaction of these patients can improve the image and quality of the Kuantan Singingi Hospital to be good among the public and the government in Kuantan Singingi Regency.
Uji resistensi nyamuk aedes aegypti terhadap sipermetrin 0,05% dipelabuhan Sungai Duku dan Bandara Sultan Syarif Kasim II Pekanbaru
Authors: Handayani Dedes , Zuhirman Zuhirman , Putra Ridwan Manda
Published: May 2021

Control of use of chemical insecticides is one way to reduce the vector borne disease dengue hemmorrhagic fever (DHF)which are caused by the mosquito Aedes aegypti. This study aims to determine the susceptibility status of Aedes aegypti to cypermethrin insecticide, the differences susceptibility status in the Duku River Port and Sultan Syarif Kasim Airport Pekanbaru.This study was an descriptif study with cross-sectional design. Egg and Larva Aedes aegypti mosquito sample collected from ovitrap and larva-place from Duku River Port area and Sultan Syarif Kasim II Airport. Test of susceptibility to cypermethrin 0.05 % was done using impregnated paper refers to the WHO method, T independent test to considaret susceptibility status different both area.The result showed that Ae. aegypti in Duku River Port area and Sultan Syarif Kasim II airport areas have been toleran cypermethrin 0.05%.There is no difference in the susceptibility of cypermethrin 0,05% to the population of Aedes aegypti in Duku River Port and Sultan Syarif Kasim II Airport.
Abduction as a Methodological Approach to Case Study Research in Management Accounting — An Illustrative Case
Authors: Conaty Frank
Published: May 2021

This paper presents a practical example of abduction as a methodological approach to case study research in management accounting. The paper addresses the often cited critical challenges posed by this methodology, and inductive qualitative research in general, for the validity and generalisability of findings. In particular the manner in which the researcher’s phronesis was facilitated is described.

As an exemplar that directly addresses these critical challenges, the study provides a methodological roadmap, reinforcing the contribution of this methodology to the conduct of qualitative research, not just in management accounting, but in general.
Competitiveness Analysis of Indonesian Pepper in International Market
Authors: Amorita Christine , Daryanto Arief , . Sahara
Published: May 2021

Indonesia is one of the world's largest pepper producing countries and most of Indonesia's pepper production is exported abroad. Apart from the superiority of Indonesia's natural resources, namely as a country with the second-largest area of pepper cultivation, now competition between countries cannot be measured only by the number of exports it owns. The existence of synergy between countries in producing a product with high economic value is evidence of trade integration between countries. This study aims to analyze the comparative advantage of Indonesian pepper compared to Vietnam, Brazil, India, and Malaysia, to analyze the competitive advantage of Indonesian pepper, and to analyze the value chain of Indonesian pepper. This study used a sample of five countries, namely Indonesia, Vietnam, Brazil, India, and Malaysia. This research used quantitative and qualitative research approaches. The methods used in this research used Revealed Comparative Advantage (RCA), Porter's Diamond Theory, and value added analysis. The analysis results show that the five competing countries have a comparative advantage over pepper; Indonesia has a competitive advantage in conditions of natural resource factors. Indonesia's participation in the global value chain is declining. The main focus of the government in 2020 is on the input, production, capital, and market sides.

Keywords: comparative advantage, competitive advantage, pepper, value added, value chain.
Requirements for assuming a permanent establishment under Art. 5 OECD Model Tax Convention
Authors: Witt Mandy
Published: May 2021

In January 2019, the German Federal Finance Court defined the legally binding requirements with respect to a fixed place of business being a matter of a permanent establishment according to German law, thus the revenue generated being subject to the German taxation.This article addresses the research question ‘Which criteria have to be met by a permanent establishment to be effective for tax purposes?’Regarding the methods, the article reviews relevant literature and case law to identify the prevailing and dissenting opinions on the requirements for assuming a fixed place of business under Art. 5(5) OECD-Model Tax Convention. As to the question whether one can refer to a fixed place of business as a permanent establishment, the courts use to differentiate between Civil Jurisdiction and Common Law. For the sake of clarity, the courts coined the article 5 of the OECD[1] Model Tax Convention. In accordance to the abovementioned Model Tax Convention, binding provisions were defined on the international level for both, countries using the Common Law as well as for those using the Civil Law, with respect to the requirements as to a permanent establishment and the resulting country of taxation to be applied. In doing so, the question arose whether for instance a lockbox would represent a permanent establishment or not.However, the contracting states did not succeed in determining clear requirements as to the existence of the establishment in question. In fact, they left it to the state in question to define their respective double-tax agreements according to their own needs.
An application of analytical hierarchy process (AHP) in formulating priority strategy for enhancing creative industry competitiveness
Authors: Munizu Musran , Riyadi Slamet
Published: May 2021

This study is aimed to analyze the variables of external environment, organizational resources, organizational capabilities, and business competitiveness. The study priorities strategy and programs as basic for developing the competitiveness of creative industry in Indonesia. The number of respondents who participated in this survey was 200, while the key informants were 10 people. Method of analysis involved descriptive statistics, and analytical hierarchy process (AHP). Then, data were processed by using both IBM SPSS 24, and Expert Choice 11. The results show that creative industry competitiveness has relatively declined during covid-19 pandemic. Although external environment support, organizational resources, and organizational capabilities were at good shape. The priority strategy for competitiveness development should be focused on strengthen the organizational capabilities by considering the dynamics of external environmental factors and internal resource capacity. Then, the priority programs developed sequentially are increasing partnerships with suppliers, distributors and customers, analyzing social and economic aspects, developing human resource capacity, and using information and communication technology in products and services. In addition, another important program is strengthening the supply chain system.
Modeling generalized statistical distributions of PM2.5 concentrations during the COVID-19 pandemic in Jakarta, Indonesia
Authors: Warsono Warsono , Antonio Yeftanus , Yuwono Slamet B. , Kurniasari Dian , Suroso Erdi , Yushananta Prayudhy , Usman Mustofa , Hadi Sutopo
Published: May 2021

Understanding the probabilistic or statistical behavior of air concentrations is necessary for the effective management of air pollution, such as PM2.5. Failure to consider the appropriateness of the model can lead to making inferences that are not supported by scientific evidence. The main focus of this article is to find the best statistical distribution in fitting PM2.5 concentrations in the periods of February–June 2018 and February–June 2019 (the periods without COVID-19) and in the period of February–June 2020 (the period with COVID-19) in Jakarta, Indonesia. This article considers making an assessment of the performance of both generalized distributions (e.g., generalized gamma, generalized extreme value, and generalized log-logistic [GLL]) and classical distributions (such as lognormal [LN], gamma, Weibull, log-logistic, and Gumbel) in modeling daily concentrations of PM2.5 in the period of February–June 2020, or the period during which the COVID-19 pandemic is present, in Jakarta. For comparison purposes, this study also analyzed PM2.5 concentrations in the periods of February–June 2018 and February–June 2019. The comparative evaluation of the models of each period of data uses graphical analyses and goodness-of-fit statistics. The results of applications indicate that the generalized distributions fit the data better than do the classical distributions. Particularly, compared with the classical distributions, including the LN model, the GLL distribution is the most appropriate model in fitting PM2.5 concentrations in the periods without and during the period with COVID-19 in Jakarta, Indonesia.
Combined multi-criteria decision making and system dynamics simulation of social vulnerability in southeast Asia
Authors: Octavian Amarulla , Widjayanto Jobi , Putra I Nengah , Purwantoro Susilo Adi , Salleh Mohd Zaini , Rahman Azrul Azlan Abd , Ismail Ariffin , Baker Rogis
Published: May 2021

The development of the Islamic State (IS) in Southeast Asia creates changes in the social order in a direct and indirect manner. This study aims to identify the factors that influence the development of the Islamic State (IS) and analyze the influence of its development on social vulnerability in Southeast Asia. This study employed a mixed-method supported by the Interpretive Structural Modeling (ISM), Analytical Hierarchy Process (AHP), and System Dynamics (SD). Based on the results of research from relevant experts, this study uncovered seven the most dominant and structured problems. Furthermore, there are fourteen elements related to the social vulnerability of the Islamic State (IS) in Southeast Asia. The social vulnerability value is 0.01 and is categorized as Low Vulnerability. The aspects that influence the development of Islamic State indicate that the existing social system in Southeast Asia is strong enough in encountering the influence of ideology and the development of the Islamic State.
Examination of Job Satisfaction and Anxiety Levels of Workers Working at COVID-19 Diagnostic Centers During the Pandemic
Authors: KILIÇ Ümmühan , GÜDÜK Özlem , GÜDÜK Özden , GÖKÜZ Sevinç
Published: May 2021

Health workers who are working in the front line during pandemic are vulnerable to mental health problems such as anxiety, which can affect their job satisfaction negatively. This study aims to determine the job satisfaction and anxiety levels of workers working in COVID-19 diagnostic centers during the pandemic. The sample comprised of 184 biologists working in 17 diagnostic centers. A total of a 52 item questionnaire was applied to the employees consisting of questions about their demographic information, satisfaction level, and anxiety level. The data were analyzed with SPSS v.22.0. Nonparametric tests (i.e., Mann Withney U Test and Kruskal Wallis Test) were used to determine the statistical significance of the comparative analysis results. Spearman correlation coefficient was used in the correlation analysis of job satisfaction and anxiety levels. Statistical significance was evaluated at p<0.05 level. The reliability of the scales was assessed through the Cronbach alpha coefficient.          The average age of the participants was 27.11±4.01. Most of the participants were women (71.7%), and 47.8% had a master’s degree. 89% of participants voluntarily started this work during the pandemic process. 94.6% stated that they were committed to their profession, and 77.7% indicated that they were very suitable for the profession.          The anxiety level of the participants was found as average (mean=3.74±5.76). Gender and working hours affected the anxiety level. The anxiety level of women (4.31±6.02) was significantly higher than men (2.29±4.81) (p=0,002). The highest anxiety level was in those who worked at the 4-12 pm shift (4.45±6.18). On the other hand, there was no statistically significant difference in anxiety levels according to education level, marital status, and working experience (p>0.05). The average job satisfaction of the participants was 4.18±0.61. Committed employees had higher job satisfaction levels (4.20±0.61) than others (3.81±0.54) (p=0.026).          The study showed that although health workers work at high-risk units, the commitment to their job and being a volunteer for the job are very important to keep their anxiety levels lower and job satisfaction levels high.
A Systematic Assessment of Service Delivery in Preliminary Care Unit at a State Hospital in Sri Lanka
Authors: MALLAWARACHCHİ S.m.n.s.m.
Published: May 2021

Preliminary Care Unit is the Sri Lankan model of the emergency department in the state health facilities above the level of Base Hospitals in the country. Provision of prompt, quality, and comprehensive patient care without any unnecessary delay, minimizing unnecessary admissions to wards, and reducing the cost of patient management were the objectives of establishing such units. The current study aimed to systematically assess the process of service delivery in the Preliminary Care Unit of District General Hospital, Gampaha. The study was descriptive with both cross-sectional and retrospective components and was conducted in 2019. Study instruments and techniques included are key informant interviews, focus group discussions, the desk review of secondary data, and direct observation. Key informant interviews with the medical officer-in-charge and nursing sister in charge of the unit were conducted by the principal investigator. Two focus group discussions were conducted, with ten randomly selected medical officers and 8 nursing officers with a minimum one-year of work experience at the Preliminary Care Unit. Data gathered from the desk review of the secondary data from the admission book, Bed Head Tickets, and record of monthly statistics of the preliminary care unit using a checklist to ascertain the total number of admissions and their outcome in 2018. All admissions of a randomly selected week of 2018 were studied to assess the age and gender distribution and they were classified into two categories as medical and surgical, according to the admitting doctor’s notes. Direct observation was used to triangulate the data. The major deficiencies of the process of service delivery in the Preliminary Care Unit elicited at the key informant interviews and focus group discussions were overcrowding and excess waiting which were multifactorial in causation. Less organized process flow and inadequate resource availability led to overcrowding and excess waiting.
The Influence of Storytelling on EFL Students Motivation in Speaking Practice in SMPN 03 Bengkulu Tengah
Authors: Noprianti Sri , Akbarjono Ali , Martina Feny
Published: May 2021

Based on the explanation of the theory by Gardner the state is motivation comes from within a person as a driving force to achieve goals for more advanced change. This study aims to determine how enthusiastic student's Eighth grade in the SMPN 03 Bengkulu Tengah are in learning English, especially speaking English. Researchers used a quasi-experimental research method, namely a control group posttest only design which showed a significant difference between 74, 92%, and 61.96% of the experimental class in the control class. From this hypothesis, the researcher obtained a comparison of the experimental class in the treatment using the storytelling method of 4.34% and the control class with the narrative picture method of 3.58%. So the researcher can conclude that there is a significant difference between the two methods with or without the use of treatment compared to the motivation to learn English in class VIII students at SMPN 03 Bengkulu Tengah.
Improving Students’ Critical Thinking Ability in Exposition Text Through E-Writing
Authors: Rohayati Dedeh , Friatin Lilies Youlia
Published: May 2021

The high increase of electronic media supported by internet resulted in accessing all information easily. Concurrently, the requirement of thinking critically intrigued all parties to be involved in the internet environment. This research aimed at investigating whether or not there were significant mean differences of critical thinking ability in writing exposition text between students who were taught by using E-writing method and those who were given traditional method of writing. The study employed quantitative paradigm design with the type of quasi experimental and involved students which was selected purposively and formed into experimental group and control group. The primary data was the result of pre-test and post-test in the form of essays which were scored by the Holistic Critical Thinking Scoring Rubric (HTCR) developed by Facione & Facione (2011). Based on the result of pre-test and post-test, NGain was analyzed through Man Whitney test to find out the significant mean different of students’ critical thinking ability. After being analyzed by using SPSS 23, the Mann Whitney test came up with the accepted hypotheses i.e., there were significant mean differences of critical thinking ability between experiment group and control group, with mean of NGain score for experimental group was higher than control group had. The statistical output of Mann Whitney test obtained implied that students’ critical thinking ability were influenced by E-writing method. The result of the study convinced that E-writing contributed greater improvement in students’ critical thinking ability than the traditional method did. The finding of present study provided evidence for the effectiveness of E-writing in increasing the students’ ability in thinking critically in writing exposition text.
Nghiên cứu chế biến sản phẩm nước ép nghệ mật ong bổ sung hương liệu
Authors: Nguyễn Chí Dũng , Vương Bảo Thy , Nguyễn Thị Tuyết Sang , Nguyễn Kim Ngân
Published: May 2021

Nghiên cứu đánh giá các chỉ tiêu hóa lý của nước ép nghệ mật ong bổ sung hương liệu và ổn định chất lượng, tạo ra sản phẩm mới, làm phong phú hơn nữa các sản phẩm nước giải khát từ tự nhiên trên thị trường. Kết quả nghiên cứu cho thấy, khi bổ sung Cekol 30000A (CMC) 0,07% vào dung dịch cho sản phẩm có độ ổn định và độ trong cao. Khi sử dụng acid ascorbic 0,3% nước ép có vị chua – ngọt hài hòa, màu sắc ổn định kết hợp với 0,1% hương dưa gang tạo cho sản phẩm có hương vị đặc trưng, đáp ứng được nhu cầu của người tiêu dùng.
Nghiên cứu các trạng thái electron của các cluster MnB20/−/+
Authors: Trần Thị Mỹ Nhân , Nguyễn Minh Thảo , Trần Quốc Trị , Trần Văn Tân
Published: May 2021

Trong nghiên cứu này, cấu trúc hình học và cấu trúc electron của các cluster MnB20/−/+ được tính toán bằng phương pháp tính đa cấu hình CASSCF/CASPT2. Cấu hình electron, thông số cấu trúc và năng lượng tương đối ở các trạng thái năng lượng thấp của các cluster được báo cáo. Kết quả tính cho thấy hàm sóng của các trạng thái năng lượng thấp có tính chất đa cấu hình mạnh. Đồng phân hình tam giác được dự đoán ổn định hơn đồng phân hình đường thẳng ở cluster trung hòa và cluster anion. Với cluster cation, độ bền của cluster hình vòng và cluster hình đường thẳng là gần như tương đương nhau. Kết quả tính được cho thấy năng lượng ion hóa và ái lực electron của trạng thái cơ bản của cluster MnB2 có giá trị lần lượt là 7,76 eV và 1,42 eV. Cluster MnB2 hình tam giác tạo ra bằng cách thêm một nguyên tử B vào cluster MnB có tính bền với tác nhân oxy hóa và tác nhân khử cao hơn cluster MnB.
Ampliando o olhar para a população LGBT em um grupo de discussão com trabalhadores de saúde
Authors: Palu Longhi Marcelen
Published: May 2021

O presente estudo trata-se de uma pesquisa-ação realizada com trabalhadores de saúde de um ambulatório médico de especialidade sobre o acolhimento a população LGBT. Apesar de avanços como a criação da Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais, população LGBT, há práticas discriminatórias nos serviços de saúde. O objetivo deste artigo é analisar as discussões realizadas nestes grupos e seus possíveis desdobramentos nas práticas saúde. Também convidamos usuários que utilizam nome social para uma conversa, na qual foram apontadas experiências que revelaram a discriminação social e familiar que sofrem e a dificuldade de acesso ao processo transexualizador. A discussão com os trabalhadores apresentou muitas potencialidades para ampliação do olhar acerca da população LGBT e gerou desdobramentos, como a apropriação do histórico de preconceitos, lutas e conquistas dos LGBT pelos trabalhadores de saúde, reflexões sobre a vulnerabilidade deste grupo e reorganizações no processo de trabalho. Foram observadas algumas fragilidades e sentimentos homofóbicos ligados a concepções culturais e religiosas que afetavam a atuação profissional desses trabalhadores. As discussões possibilitaram a reflexão sobre a necessidade ampliação do olhar à população LGBT, fomentando a construção de um atendimento em saúde que garanta seus direitos.
Percepções sobre o tratamento de homens com diagnóstico de sífilis: uma síntese rápida de evidências qualitativas
Authors: Galindo Martins Tebet Danielle , Calmont Gusmão Gigante Vanessa , Da Silva Peres Bezerra Wanessa , Hammoud Brandão Jannayna Hammoud Brandão , Luize Grenze Micheli , Mello Miranda Paniago Anamaria , Mendonça de Moraes Silvia Helena , Do Valle Leone de Oliveira Sandra Maria , Maia Barreto Jorge Otávio
Published: May 2021

A sífilis atinge mais de 12 milhões de pessoas em todo o mundo e os homens são importante fonte de transmissão para suas parcerias, quando inadequadamente diagnosticados e tratados. Fatores indi-viduais relacionados aos homens podem ser importantes barreiras para buscar e aderir ao tratamento adequado. O objetivo deste es-tudo foi descrever aspectos relacionados ao tratamento de homens com diagnóstico de sífilis, na percepção deles, de suas parcerias e de profissionais de saúde. Foi conduzida uma síntese rápida de evidências qualitativas, a partir da análise de estudos primários qua-litativos e posterior descrição dos resultados. A busca foi feita no MEDLINE (via PubMed), EMBASE (via Elsevier), LILACS (via BVS), Psy-cINFO, literatura cinzenta no Google Scholar, sem restrição de língua ou tempo. Dois revisores realizaram a seleção e as discrepâncias fo-ram resolvidas por consenso. A qualidade metodológica foi avaliada utilizando o instrumento CASP. Foram identificados 2.881 estudos, dos quais, após seleção, cinco foram incluídos. Os conteúdos sele-cionados e categorizados para uma melhor apresentação dos resul-tados mostram que os aspectos que podem influenciar a população masculina no tratamento da sífilis estão associados à escolaridade, visão pessoal de gênero, baixa compreensão da doença e dificulda-des de acesso aos serviços, inclusive relacionadas à organização do processo de trabalho.
Aproximações entre a terapia comunitária integrativa com a redução de danos
Authors: Da Silva Eroy Aparecida , Tuon Regina
Published: May 2021

O objetivo deste artigo foi contextualizar a história do desenvolvimento da Redução de Danos no Brasil a partir dos contextos sociopolíticos garantidos na constituição de 1988, com a mudança dos paradigmas de cuidados em relação ao cuidado de saúde mental/ álcool e outras drogas, e as aproximações dos pressupostos da Terapia Comunitária Integrativa junto a essa população com a Redução de Danos como prática emancipatória.
Educação para a moderação
Authors: Figueiredo Regina , Eluf Maria Luísa
Published: May 2021

O artigo relata o desenvolvimento de materiais educativos visando o estímulo ao desenvolvimento de noções de autocuidado em saúde e de moderação de consumos e usos de diversas substâncias, favorecendo uma abordagem de autorresponsabilidade, a partir da persepctiva de Redução de Danos e não amedrontadora, para a educação em saúde de crianças. São apresentados os cadernos de exercícios para Ensino Fundamental I, que, através de exercícios e estímulo a pesquisa e análise, abordam o contato com produtos químicos de higiene pessoal e limpeza doméstica, a atenção no consumo alimentar e a moderação do consumo de alimentos prejudiciais, o contato e uso de medicamentos e os perigos de automedicação e ingestão dos mesmo sem acompanhamento de profissionais de saúde, a importância do autocuidado e da frequência à serviços de saúde, enquanto saúde preventiva, e o consumo social e prejuízos do ácool e do cigarro, enquanto drogas legalizadas que necessitam de atenção e moderação de uso.
Falla hepática aguda
Authors: Santos-Sánchez Oscar Mauricio
Published: May 2021

La falla hepática aguda es la pérdida súbita de la función hepática en un corto plazo en un paciente sin enfermedad hepática previa, que se acompaña de coagulopatía y encefalopatía. Es una entidad rara con una incidencia muy baja que afecta especialmente a personas jóvenes. La principal causa en países desarrollados es la toxicidad por acetaminofén, mientras que en los países subdesarro-llados son las hepatitis virales. El curso natural de la enfermedad es la progresión rápida a muerte por falla orgánica multisistémica, sepsis o edema cerebral. Después del diagnóstico, los pacientes deben remitirse tempranamente a la unidad de cuidado intensivo y a centros que ofrezcan trasplante hepático. La supervivencia sin trasplante hepático hasta hace pocos años era menor al 15%; sin embargo, en la actualidad puede ser hasta del 50%, dependiendo de la causa, y está relacionada con tratamientos específicos, la disponibilidad de trasplante hepático y una atención óptima en las unidades de cuidados intensivos. El trasplante hepático se constituye en el tratamiento de elección para los pacientes con falla hepática aguda y criterios de mal pronóstico del King’s College.
Recomendaciones en el tratamiento actual de la infección crónica por el virus de la hepatitis B
Authors: Escandón-Felizzola Víctor Deioxes
Published: May 2021

La infección crónica por el virus de la hepatitis B (VHB) se considera un problema de salud pública mundial. Se estima que al menos dos mil millones de personas han estado expuestas al VHB, y a pesar de una vacuna efectiva, 300 millones de personas están infectadas crónicamente a nivel mundial. Aunque el virus no es directamente citopático, la infección puede desencadenar cirrosis hepática y aun, carcinoma hepatocelular (CHC). El ADN circular cerrado covalentemente (ADNccc) en el núcleo de los hepatocitos y la incapacidad del sistema inmunitario para eliminar la infección crónica por el virus son los mecanismos más importantes de la infección por VHB. Las diferentes entidades, como la Asociación Europea para el Estudio del Hígado (EASL) y la Asociación Americana para el Estudio de las Enfermedades Hepáticas (AASLD), ponen a disposición las pautas para el manejo de esta enfermedad. A pesar de los avances en el tratamiento de la infección crónica por el VHB, en particular con el desarrollo de los análogos de los nucleótidos/nucleósidos, quedan aún muchos interrogantes. Las investigaciones continúan para el desarrollo de nuevas opciones de tratamiento enfocadas principalmente en evitar que la suspensión de la terapia conlleve a un incremento de la carga viral, con el consecuente aumento del riesgo de progresión de la enfermedad hepática, y un eventual CHC.
Falla hepática subaguda secundaria a hepatotoxicidad severa por medicamentos: reporte de caso
Authors: Morantes-Rubiano Juan Felipe , Pérez-Cadavid Juan Camilo , Restrepo-Gutiérrez Juan Carlos , Muñoz-Maya Octavio
Published: May 2021

La falla hepática aguda es una patología rara con una mortalidad alta y causas variadas, entre ellas, la hepatotoxicidad secundaria al uso de medicamentos, con un diagnóstico diferencial difícil, en particular en presencia de polifarmacia. Esta patología se asocia con falla orgánica multisistémica que puede hacer necesario el trasplante hepático si no se logra la estabilización del paciente. Se presenta el caso de una mujer de 50 años con un cuadro de 6 semanas de evolución, consistente en dolor en hipocondrio derecho, náuseas e ictericia generalizada, quien presentó falla hepática aguda de tipo subagudo que finalmente requirió trasplante hepático. Se describe el abordaje diagnóstico hacia la identificación de una etiología medicamentosa probable por el uso de amiodarona, con la evolución positiva de la paciente después de 3 años de seguimiento postrasplante.
Falla hepática aguda sobre crónica por exacerbación de hepatitis B asociada a suspensión de la terapia antiviral: reporte de caso
Authors: Álvarez-Payares José Carlos , Álvarez-Payares Cristian , Restrepo-Gutiérrez Juan Carlos
Published: May 2021

El principal objetivo del tratamiento de la infección por virus de la hepatitis B es prevenir la replicación viral, con el fin de evitar las posibles complicaciones asociadas a la infección, como son las exacerbaciones o flares, las cuales pueden llegar a ser tan severas que causan una falla hepática aguda sobre crónica (ACLF). La ACLF se asocia con falla multiorgánica y una alta mortalidad, y puede ser desencadenada por la reactivación de hepatitis virales, infecciones bacterianas y consumo de alcohol, entre otros factores. Aunque la fisiopatología de la ACLF no es clara aún, parece haber una respuesta inflamatoria excesiva asociada con esta condición. El uso de análogos de nucleótidos/nucleósidos en el tratamiento de la hepatitis B crónica reduce el riesgo de morbilidad y mortalidad asociadas a la progresión de la enfermedad hepática, pero la terapia a largo plazo tiene sus limitaciones por el alto costo y por el riesgo asociado al uso indefinido. Debido a esto, en los últimos años se ha venido considerando la interrupción de la terapia en algunos pacientes por parte de las diferentes asociaciones; no obstante, aún no hay consenso en cuanto al mejor momento para hacerlo. Se describe el caso clínico de un paciente con cirrosis compensada por hepatitis B, con HBsAg positivo y HBeAg inicialmente negativo, a quien se le suspendió el tratamiento con entecavir por decisión médica, presentando una ACLF por exacerbación de la hepatitis B, con posterior deterioro y muerte del paciente. Se debe realizar una caracterización adecuada de cada paciente antes de suspender el tratamiento.
Bernard Shaw's Gnostic Genius
Authors: Kilner-Johnson Allan
Published: May 2021

This article returns attention to Bernard Shaw's heterodox understanding of religion and faith, which bears subtle yet consistent traces of theosophical, hermetic, and gnostic influence. Although he did not possess anything beyond a passing intellectual interest in occult practice, the esoteric inclinations of Shaw's inner circle mingled with his own deeply felt faith in the progress of humanity to give rise to his well-remembered belief in the “Life Force.” From his early collaborative relationships with leading occultists Florence Farr and Annie Besant to the visionary brilliance portrayed in Saint Joan, Shaw's dramatic writing and religious speeches capture a complex and ever-shifting understanding of the relationship between humanity and the divine, and an unerring faith in the ability of the individual to pursue their own gnostic genius.
In and Against Eco-Apocalypse: On the Terrestrial Ecotopianism of Radical Environmental Activists
Authors: Alberro Heather
Published: May 2021

This article draws on utopian and posthumanist theory in order to critically assess the contemporary resurgence of green utopianism in the form of contemporary radical environmental activists (REAs) mobilizing against the socioecological perturbations of the Anthropocene. Featuring empirical data in the form of twenty-six semi-structured interviews with REAs from groups such as Earth First! and Sea Shepherd, the article critically examines the singular modality of ecotopianism exhibited by REAs, and explores the degree to which their post-anthropocentric worldviews—and crucially the widespread annihilation of cherished Earth kin amidst the Anthropocene era of climate and ecological breakdown—influences their imaginative reconstitutions of human–animal–nature relations. REAs exhibit a distinctively earthbound or terrestrial ecotopianism that disavows future-oriented modalities of hope and closure around particular notions of the “good” in light of the intrusion of ecological decline into the present, instead emphasizing the need to disrupt the present and live better alternatives in the here and now. The article concludes with reflections on the value of some closure for necessary socioecological transformations, and on what REA ecotopianism suggests about the potential for posthuman utopian modalities that decenter the human in their projections of more livable worlds.
“To Make Discoveries in Those Latitudes”: Utopia and Settler Colonialism in Equality; or, a History of Lithconia
Authors: Puthoff David
Published: May 2021

This article contributes to the call for decolonial utopian work by examining one of the earliest utopian texts in the United States, Equality; or, A History of Lithconia. Using a close reading drawing on colonial context, the author argues that Equality criticizes management of the Euro-American settler state. The story's historical and philosophical content overwrites Indigenous bloodshed and critiques instead both Jeffersonian agrarian democracy and urbanized commerce. The junction between reason and religion in this Deist text displays its ideological commitment to terra nullis and a settler autarky that rearranges space for the betterment of a settler populace. Advocating an equal share of land and income among settlers, Lithconia's history praises an intelligent class that deploys reason and crafty social alliance to resolve Old World conflicts. Lithconia's universal income ultimately diverts the spoils of centuries of war against indigenous peoples, suggesting utopia and indigeneity occupy an incongruent relationship.
The Secret to being a Successful Online Instructor
Authors: Marino Tammy
Published: May 2021

The Secret to being a Successful Online Instructor