bluuebunny/crossref_metadata_2025 huggingface dataset:
Better knowledge associated with better hand hygiene compliance among nurses in Pembina Kesejahteraan Umat (PKU) Muhammadiyah Hospital, Gamping, Yogyakarta, Indonesia
Authors: Sofiana Liena , Ardana Gunadi , Ayu Suci Musvita
Published: February 2022

Background and purpose: Nosocomial infections can cause a significant number of deaths every day worldwide. Failure to perform good and proper hand hygiene is considered a major cause of infections related to health care. Health workers who are the most vulnerable in transmitting infections are nurses, because they are accompanying patients for 24 hours. This study aims to explore the relationship between knowledge, attitudes and motivation with the level of nursesâ€™ compliance in hand hygiene practices in Class III inpatient wards of Pembina Kesejahteraan Umat (PKU) Muhammadiyah Hospital, Gamping, Yogyakarta.Methods: This was a cross-sectional observational analytic study. The study involved all 41 nurses working in Class III inpatient wards at PKU Muhammadiyah Gamping Hospital. The instruments for data collection was a questionnaire and an observation sheet. Data was analysed with statistical software comprised of univariate and bivariate analysis with Chi-square test and Fisherâ€™s Exact test.Results: The results indicate the prevalence of nursesâ€™ hand hygiene compliance was 70.7%. Factor that significantly associated with hand hygiene compliance was knowledge (p=0.001), while attitudes (p=0.577) and motivation (p=0.771) were not correlated significantly.Conclusion: Good knowledge increases the hand hygiene behavior among nurses in Class III inpatient wards of PKU Muhammadiyah Gamping Hospital. It is necessary to improve awareness through providing training on nurse compliance with the prevention and control of nosocomial infections, especially regarding proper steps and timing of hand hygiene practices.
Analysis of the Birth Insurance Program (Jampersal) utilization in Bangli District, Bali, Indonesia
Authors: Dewi Ni Made Ayu Kemala , Kurniati Yuli , Januraga Pande Putu
Published: February 2022

Background and purpose: The Birth Insurance Program or called Jaminan Persalinan (Jampersal) aims to reduce maternal and newborn deaths. Bangli is one of the districts in Indonesia with low utilisation of Jampersal program. The study aims to explore factors associated with the low utilization and uptake of Jampersal Program in Bangli District.Methods: This was a qualitative study conducted between April-May 2019. The study involved 24 informants who were selected purposively. The informants were 18 pregnant women, two community leaders, three health workers and one Bangli Health Officeâ€™s staff. Data were collected through in-depth interviews which explore factors associated to utilisation of Jampersal using PRECEDE-PROCEED Framework. Data were analyzed by thematic analysis.Results: We found that informants who used Jampersal had sufficient knowledge about Jampersal, were exposed to the program informed by health workers and community leaders, and were supported by their families. Whereas, those who yet to utilize Jampersal had a poor understanding on Jampersal service mechanisms, lack of spousal support in preparing Jampersal requirements and private midwives had not signed the Jampersal MoU.Conclusion: Low utilisation of Jampersal Program in Bangli District partially influenced by low understanding of the program and in-optimal involvement of midwifery networks. The local health office should further expand cooperation with the private midwife network for optimum utilization of Jampersal, elucidation of the Jampersal technical guidelines to health workers, as well as technical support for participants in completing required documents.
Perceived quality of primary healthcare services among the National Health Insurance members and fee for service patients in the West Denpasar II Public Health Center Bali, Indonesia
Authors: Nijyoti Nitya , Indrayathi Putu Ayu , Wirawan I Made Ady
Published: February 2022

Background and purpose: The Government of Indonesia established the National Health Insurance or in Indonesia called Jaminan Kesehatan Nasional (JKN) in 2014 with the target of achieving universal health coverage (UHC) by 2019. However, many have not become JKN participants and still use the fee for service financing system. The purpose of this study was to determine patientâ€™s perceptions of the quality of health services under the JKN and fee for service payment methods.Methods: A cross-sectional study was conducted at West Denpasar II Public Health Centre (PHC) with 133 outpatient respondents who were selected sequentially. Data collection was carried out in June 2019 through interviews. Patients' perceptions of service quality were measured according to the six domains of health service quality established by the Institute of Medicine (IOM) which include effectiveness, efficiency, timeliness, patient-centered approach, safety and equity. Bivariate analysis was conducted with Mann Whitney test and multivariate analysis with Ancova.Results: Patients' perceptions of the quality of services in the JKN and fee for service payment methods were found to be quite good with an average of 3.08 and 3.17 of the maximum value of 4.0. Bivariate analysis showed a significant difference with a mean rank of 54.28 for JKN and 79.16 for fee for service (p<0.01). Patients' perceptions of service quality also differed significantly based on the dimensions of efficiency (p=0.001), effectiveness (p=0.005), timeliness (p=0.007) and patient-centered approach (p=0.032). Multivariate analysis showed that the variable that was significantly related to patient perceptions of service quality was the payment methods (p<0.001).Conclusion: Patients with a fee for service payment methods have a better perception of service quality than patients who use JKN. Advocacy to policy makers and service providers should be conducted in order to ensure the equal quality of service for all patients.
Analysis of Public Health Centre Financing using the District Health Account (DHA) Model in Karangasem District, Bali, Indonesia
Authors: Murniati Ni Nengah , Indrayathi Putu Ayu , Januraga Pande Putu
Published: February 2022

Background and purpose: Health financing aspects of the public health centres (PHC) may influence the achievement of PHCâ€™s programs and its minimum service standards (SPM). The District Health Account (DHA) is a model used to describe and evaluate health financing at the PHC level. The purpose of this study was to analyze health financing mechanism from both the government and national health insurance in the Karangasem District using the DHA Model.Methods: This study was an evaluation research with a case study approach using the DHA Model. Evaluations were carried out at two PHC, Manggis II PHC and Abang I PHC, between March and April 2018. Data were collected from the Karangasem District Health Office and the PHCs. These include PHC realization data, report on program achievements and SPM. The research instrument used for the data collection and analysis was the DHA extraction form and pivot table which includes information on cost sources, financing managers, service providers, functions, programs, types of activities, budget lines, levels of activities and beneficiaries.Results: We found the source of budget in both PHC was dominated by the district budget (APBD) and the national budget (APBN). The institutions which manage the budget and provide service were predominantly the Health Office and PHC. The most frequent financing functions was for governance and administration, while the largest types of activities covered was the indirect activities. Budget spending for operational costs was higher than for maintenance and investment. Realization of the activity for community program efforts (UKM) and prevention program (UKP) was lower than for the capacity building program.Conclusion: The DHA model was able to identify patterns of health budget allocation by health agencies. The use of the DHA model to analyze health financing should be adopted routinely in order to provide evaluation reports for health agencies at the district level.
Husband's behavior and early marriage as risk factors for hepatitis B virus infection among pregnant women in Karangasem, Bali, Indonesia
Authors: Surapathi I Nengah Adnyana , Wirawan Dewa Nyoman , Sawitri Anak Agung Sagung
Published: February 2022

Background and purpose: Indonesia is categorized as a country with moderate level of hepatitis B virus (HBV) infection, where the majority of HBV transmissions occur from mother to child, horizontal transmission during childhood and adulthood, and transmission in health services. This study aims to determine factors associated with HBV infection among pregnant women.Methods: A case control study was conducted among 80 pregnant women with sero-positive HBsAg as cases and 80 pregnant women with sero-negative HBsAg as controls. The sources of cases and controls were the registers of pregnant women at 12 public health centers (PHCs) and Karangasem District Hospital from June 2017 to December 2018. Cases were selected by systematic random sampling from 129 pregnant women with sero-positive HBsAg and controls were selected through the same method from 1,408 pregnant women with sero-negative HBsAg. They were then matched based on village or residence. Data collected were including history of marriage, pregnancy, childbirth and abortion, history of health services relevant to HBV infection, use of contraception, mobility, permanent tattoos and history of injecting drug use. Data collection was carried out from June to August 2019 through face-to-face interviews with pregnant women as respondents in their respective homes using a pre-tested questionnaire. Bivariate data analysis was conducted with chi square test and multivariate analysis with logistic regression.Results: The case and control groups were similar in terms of age, number of pregnancy and parity. Risk factors which found to be significantly associated with HBV infection in pregnant women were age at first marriage <19 years with AOR=2.51 (95%CI: 1.13-5.60), history of husband’s mobility with AOR=3.07 (95%CI: 1.13-8.34), husband has a permanent tattoo with AOR=2.77 (95%CI: 1.04-7.44) and low level of maternal education with AOR=2.47 (95%CI: 1.06-5.73).Conclusion: Young marital age, low education, husband's mobility and husband with permanent tattoos increase the likelihood of HBV infection among pregnant women. The coverage of HBV examination among pregnant women and early detection of HBV among husbands ought to be increased, especially among those with associated risk factors.
Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District
Authors: Prabasari Made Ayu Diah , Lubis Dinar Saurmauli , Sutiari Ni Ketut
Published: February 2022

Background and purpose: The Indonesian government has set a target to reduce stunting prevalence from 27.7% in 2019 to 14% in 2024. There are 10 villages in Gianyar District have been selected as stunting loci since 2018, however, the percentages of the village fund utilized for health and nutrition were low. This research aims to identify the level of community participation in the utilization of village fund for stunting prevention in two stunting loci villages in Gianyar.Methods: This was a qualitative study using a multiple case study approach conducted in two stunting loci villages in Gianyar, Bali. Data collection was conducted from May to June 2020 through in-depth interview with 12 key informants. Thematic qualitative analysis was done using the ladder of participation concept with Arnsteinand political approach by Carpentier which involves several key concepts such as process, field, actor, decision making moment and power.Results: The level of community participation in the village fund utilization for stunting prevention was still in the of pseudo participation – Placation level. The majority of proposals or recommendation for stunting prevention program came from cadres of community health post, health care workers and the village assistants. Final decision making in the planning stage was largely depending on the village government. The community plays the role as program recipient. Several challenges for optimal utilization of village fund for stunting prevention were geographical condition, paternalistic leadership as well as the lack of understanding and capacity of key actors.Conclusion: The community participation in utilization of the village fund for stunting program in the two villages was in the vague participation level. The village government should provide more rooms to empower the community in order to increase their participation level.
Overweight is associated with low fitness level among regional government employees in Denpasar City
Authors: Puspitasari Kadek Dina , Widarini Putu
Published: February 2022

Background and purpose: Time spent on sedentary work is a potential risk factor of nutritional problems among employees, which could lead to a low level of fitness. This study aims to determine the correlation between nutritional status with fitness level among government employees of Denpasar City. Methods: This is an analytic observational study with a cross-sectional design. The samples of this study are 285 government employees in Denpasar City who had taken a physical fitness measurement test using the Rockport method and complete demographic data. Data on fitness level, nutritional status, age, gender, and pulse rate were included in the analysis using a multinomial logistic regression test.Results: The median age of employees are 47 years old and slightly more females (51.6%) than males. More than half of the employees had a low level of fitness (50.9%) and most were overweight (47%). The overweight group was 4.11 times more likely to have a low fitness level than the healthy weight group (RRR=4.11; 95%CI: 1.03-16.32).Conclusion: There is a significant relationship between nutritional status and fitness level after gender, age, and pulse rate were controlled. Therefore, it is necessary to maintain a normal nutritional status to maintain or enhance individual fitness level by routinely following regular sports activities that have been programmed and do stretching in between working hours.
Evaluation of hypertension screening guidelines implementation at the public health centers in Tabanan District, Bali, Indonesia
Authors: Ratnata Gede Agung , Duarsa Dyah Pradnyaparamita , Ani Luh Seri
Published: February 2022

Background and purpose: World Health Organization (WHO) reported the number of people with hypertension worldwide reached one billion in 2015. Hypertension screening is an effort to manage and control hypertension through hypertension management stages. This study aims to explore in-depth the implementation of hypertension screening guidelines performed by the public health centers (PHCs)Methods: This is a qualitative exploration with an exploratory case study approach by adopting the Lawrence W. Green Theory. This study was conducted in two PHCs in Tabanan District, those with the highest and the lowest target achievement. The factors examined were the implementation of guidelines and factors affecting it. The data were collected using in-depth interviews with ten informants and data were analyzed using thematic methods.Results: We found the predisposing factors of the implementation including the management of Health Operational Assistance (HOA) funds, the grouping of targets at risk of hypertension, hypertension screening guidelines, and the attitudes and beliefs of the officers and the community. The driving factors consisted of the lack of community participation. The inhibiting factors were indicated by the insufficient number of health workers and community support. Conclusion: There are several obstacles for the implementation of hypertension screening guidelines both from the health services side including budget allocation and community participation. Therefore, more thorough planning and measures to improve participation is needed.
The impact of hospital accreditation on patient safety culture in the health services implementation at Sanglah General Hospital, Bali
Authors: Indrayani Putu May , Januraga Pande Putu , Negara Surya
Published: February 2022

Background and purpose: Hospital accreditation is carried out to evaluate hospitals' performance in providing patients with excellent and safe health services. One aspect of service quality is patient safety culture. This study aims to determine the impact of hospital accreditation on patient safety culture in health service implementation at the Sanglah General Hospital in Denpasar City, Bali Province.Methods: This study used a qualitative research design. In-depth interviews were conducted to 11 informants consisting of hospital management, clinicians and nurses which were chosen purposively  since they were directly related to the assessment and supervision of health service providers at Sanglah Hospital. The interview guide was  based on the Modified Manchester Patient Safety Framework (MaPSaF). Data were analyzed with a thematic approach.Results: The interview results show that the ten dimensions of patient safety culture had been implemented well but still need to be improved in the dimensions of giving priority to safety, system errors and responsibilities, recording incidents and best practices, learning and influencing change, also education and training of staff and teamwork. The maturity level of patient safety culture at Sanglah Hospital is at generative culture in four dimensions and at proactive culture on the six dimensions of patient safety culture.Conclusion: Accreditation had a positive impact on the maturity level of patient safety culture at a proactive level, mainly changes in knowledge, attitudes, and behavior in health service providers. However, in its implementation, there were still constrained on infrastructure, time, and energy.
The influence of deformation conditions of titanium alloys on the surface quality of the feather of compressor blades
Authors: Kachan О. , Ulanov S.
Published: February 2022

Purpose of work. Improving the quality of manufacturing of blanks of compressor blades from titanium alloys by precision stamping.

Research methods and equipment. The research was carried out by precise stamping of blade blanks from the VT8 titanium alloy of the compressor of the D-436 aircraft engine at various temperatures of deformation.

Precise stamping of parts was carried out in one tool stroke from a preliminary blank obtained by extrusion from a rod with a diameter of 30 mm.

The research of the surface of the workpiece was carried out after processing by X-ray spectral analysis on a JSM6360LA scanning electron microscope.

Microhardness was measured on a PMT-3 device at a load of 50 g.

Investigations by precision stamping were also carried out on blades made of the OTCh-1 alloy of the input guide vane of the HPC of the D-136 helicopter engine and on the rotor blades of the compressor of the D-36 aircraft engine made of VT3-1 titanium alloy.

The obtained results. It is shown that the conditions of deformation of a titanium alloy blade blank by precise stamping have a significant effect on the quality of its surface (macrostructure and microstructure). The deformation temperature of the metal affects the macrostructure and microstructure of the surface during precision stamping of blades from titanium alloys.

Scientific novelty. It has been established that during precise stamping of blade blanks from titanium alloys, the deformation temperature has a significant effect on the quality of their surface. The values of the deformation temperature are determined, which provide a significant level of quality of the surface of the airfoil of the blades with precise stamping.

Practical value. The results obtained made it possible to develop multi-pass stamping of blade blanks from titanium alloys, when fractional deformation in one pass is applied, not exceeding 30%.

The heating temperature of the intermediate billet for deformation should be as close as possible to Тm within  ± 10 °С.
Emotionella positioneringar i elevers berättelser om ämnet modersmål
Authors: Ljung Egeland Birgitta
Published: February 2022

Syftet med artikeln är att generera kunskap om modersmålselevers erfarenheter om skolämnet modersmål genom att studera elevers emotionella positioneringar i berättande och berättelser om sina relationer till språk. Utgångspunkt tas i livsberättelseintervjuer genomförda vid tre tillfällen med två grundskoleelever med migrationsbakgrund, som bor och går i skolan på två mindre orter i Sverige. Intervjuerna gjordes inom ramen för ett avhandlingsprojekt som handlade om elevers berättelser om migration och tillhörighet. I artikeln fokuseras både vad och hur de berättar om sina erfarenheter av språk och ämnet modersmål i skolan och hur erfarenheterna ges mening i berättandet. Teoretisk utgångspunkt tas i synen på berättelser som socialt situerade handlingar och identitetsframträdanden samt i begreppet investering, för att förstå engagemang i språkinlärning. Genom narrativ positioneringsanalys görs analysen i flera nivåer och särskilt fokus läggs på de emotioner som framträder genom de positioneringar eleverna gör på olika språkliga nivåer och med hjälp av olika resurser. I berättelserna framträder glädje och stolthet, men också mer ambivalenta känslor kopplade till modersmålet och modersmålsämnet. Eleverna beskriver hur modersmålsundervisning i skolan är viktig och betyder mycket på olika sätt och framstår som en språkligt och kulturellt identitetsstärkande praktik.
Betyg och prestationsemotioner
Authors: Löfgren Håkan
Published: February 2022

Från och med 2021 är det upp till skolans rektor att avgöra om betyg ska sättas i årskurs 4 eller årskurs 6. Syftet med artikeln är att beskriva hur denna betygsreform kan få konkreta konsekvenser för elever med behov av särskilt stöd i ett skolsystem där det är fritt att välja skola. I artikeln analyseras rektors, speciallärares, lärares och elevers berättelser om en elevs erfarenheter av försöksverksamheten. Eleven blev enligt berättelserna mycket ledsen och bytte skola efter att ha fått sina första betyg. Den narrativa analysen visar att positionen ansvarig för det inträffade konstrueras på kvalitativt olika sätt genom att ansvaret för händelseutvecklingen förläggs på olika parter i och utanför skolan. Analysen fokuserar även på att eleven tillskrivs olika prestationsemotioner i de olika berättelserna. Diskussionen fokuserar på frågan om vem som är ansvarig för elever i behov av stöd och för likvärdigheten i en marknadiserad skola för alla.
The Politics of Expertise in Latin America: Antecedents and Actualities
Authors: WHITEHEAD LAURENCE
Published: February 2022

ABSTRACT All public activities are in some broad measure political, and all require certain specialised skills, which may be termed “expertise”. But over time and space the realm of the specifically “political” may either expand or contract. Equally, what counts as expertise, and how much autonomy it will be granted, also varies over time and space. Horsemanship, literacy, oratory, textual exegesis, and an understanding of global financial derivatives have each been regarded as the hallmark of the modern expert in one setting or another. The relationship between the “generalist” politician and the “specialist” expert is one of the most ancient and recurring themes in political science. Effective and durable rule requires the enlistment of a range of competences, yet government is not reducible to technique. How then are the rulers to be guided by their advisers without being usurped by them?
A Convergência entre Evolucionismo e Regulacionismo
Authors: VEIGA JOSÉ ELI DA
Published: February 2022

RESUMO O objetivo deste artigo é comparar os fundamentos de duas linhas teóricas que têm sido frequentemente usadas na economia política: a evolucionista e a regulacionista. A premissa básica é que essas duas linhas ainda estão intimamente ligadas aos seus respectivos pais: as obras de Schumpeter e Marx. Ou seja, tanto suas semelhanças quanto suas diferenças estão mais em seus códigos genéticos do que em suas adaptações ao ambiente em que se desenvolveram: microeconomia neoclássica e macroeconomia keynesiana e kaleckiana.
Projetos Pessoais de Idosos a Partir de uma Política Pública de Moradia
Authors: Azevêdo Ana Luiza Morais de , Silva Júnior Edivan Gonçalves da , Eulálio Maria do Carmo
Published: February 2022

Resumo A compreensão sobre suporte e qualidade ambiental torna-se de fundamental importância para intervenções e melhoria das condições e qualidade de vida da população idosa. Este estudo objetivou identificar a percepção do suporte ambiental e suas implicações na elaboração de projetos pessoais na velhice. A pesquisa se caracterizou como exploratória, descritiva e de abordagem quantiqualitativa. Participaram 76 idosos residentes em três condomínios do Programa Cidade Madura do estado da Paraíba. Para a coleta de dados foram utilizados os questionários sociodemográfico e o de projetos pessoais. As análises foram realizadas por meio da análise de conteúdo pela perspectiva de Bardin. A média de idade encontrada no estudo foi de 71,01 anos, com predomínio: de mulheres (56,6%); de estado civil casado (31,6%); de baixa escolaridade; de renda de até um salário mínimo mensal (76,3%); e de aposentados (73,7%). A análise dos Projetos Pessoais resultou em 8 categorias de atividades: Vínculos afetivos, Atividades domésticas, Lazer, Atividades de compromisso, Religião, Saúde, Jardinagem, Informação/distração. O ambiente (físico e contextual) é um importante aliado na concretização dessas atividades, que refletem em um bem-estar global. O estudo concluiu que potencialidades do ambiente como segurança, tranquilidade, socialização e acessibilidade, dão suporte favorável à realização de atividades cotidianas, o que, consequentemente, reflete em um bem-estar geral e melhor qualidade de vida. Algumas fragilidades do ambiente, como falta de acessibilidade urbana, ineficiência e insuficiência de serviços de saúde e transporte público, também foram citadas pelos idosos como limitações na realização de seus projetos pessoais.
Os Efeitos do Racismo na Saúde Mental das Militantes Negras do MMNDS
Authors: Santos Vitoria Carmo dos , Dias Acácia Batista
Published: February 2022

Resumo A presente produção versa sobre as consequências do racismo na saúde mental das mulheres negras integrantes do Movimento de Mulheres Dandara do Sisal (MMNDS), atuante no Território do Sisal, na Bahia. A intersecção de raça e gênero fomentou a organização do movimento, já que o gênero influi no racismo e a cor, no machismo; além do fato de as mulheres negras serem alvos de racismo e sexismo desde o período da escravização. A abordagem metodológica utilizada foi a descritiva-qualitativa, cujos métodos de coleta de dados foram entrevistas semiestruturadas com seis mulheres negras e observação participante de ações e atividades do movimento Dandara do Sisal. As entrevistadas relataram o racismo, a discriminação e o preconceito raciais que sofreram em suas trajetórias em diferentes espaços e instituições sociais: família, escola, universidade/faculdade, mercado de trabalho, dispositivos de saúde pública etc. Ser vítima de tais violências reflete negativamente na identidade negra, autoestima, subjetividade e saúde mental das atrizes sociais. Elas descreveram o sofrimento psíquico da exclusão social e a importância de estarem em movimento como estratégias de fortalecimento mental e enfrentamento ao racismo. Entende-se a Psicologia, enquanto ciência e profissão, como importante na luta antirracista, pois as consequências deletérias do racismo ameaçam a saúde mental e as subjetividades das mulheres e população negras.
Percepção de queixa vocal e autoavaliação do impacto de um problema de voz em atores profissionais de teatro
Authors: Pecorari Andresa , Yamasaki Rosiane , Badaro Flavia , Borrego Maria Cristina , Behlau Mara
Published: February 2022

RESUMO Objetivo investigar a ocorrência de queixa vocal autorreferida no uso profissional da voz em atores profissionais de teatro; correlacionar presença de queixa vocal com três protocolos de autoavaliação do impacto de uma alteração vocal: Escala de Sintomas Vocais (ESV), Escala de Desconforto do Trato Vocal (EDTV) e Índice de Desvantagem Vocal -10 (IDV-10); verificar quais protocolos são mais robustos à detecção do impacto de possível disfonia nessa população. Métodos Participaram 75 atores profissionais de teatro, ambos os gêneros, 18 a 64 anos. Os atores informaram a presença ou ausência de queixa vocal e responderam a três protocolos de autoavaliação: Escala de Sintomas Vocais (ESV), Escala de Desconforto do Trato Vocal (EDTV) e Índice de Desvantagem Vocal-10 (IDV-10). Resultados constatou-se que 25% dos atores apresentaram queixa vocal. O grupo com queixa (GCQ) apresentou maior número de sintomas vocais e maior frequência e intensidade de desconforto de trato vocal, quando comparado ao grupo sem queixa (GSQ). IDV-10 não identificou desvantagem vocal nos grupos. No GCQ, houve correlação forte entre ESV e IDV-10 e correlação muito forte entre os escores de frequência e intensidade da EDTV. No GSQ, houve correlação moderada entre ESV e EDTV, ESV e IDV-10 e correlação muito forte entre os escores de frequência e intensidade da EDTV. Conclusão neste estudo, 25% dos atores profissionais de teatro apresentaram queixa vocal. A correlação entre a queixa vocal e os protocolos foi positiva e variou de moderada à forte. No GCQ, a ESV e a EDTV foram instrumentos mais robustos na detecção do impacto de uma possível disfonia.
Sobre cuidados em saúde em um hospital geral
Authors: Landi Laura Corrêa de Magalhães , Baptista Tatiana Wargas de Faria , Nogueira Carolina de Oliveira
Published: February 2022

Este artigo analisa práticas de cuidado em saúde vivenciadas em um hospital geral do Sistema Único de Saúde (SUS), com a intenção de problematizar e refletir sobre o cuidado e as práticas em saúde que se fazem presentes entre pessoas, no cotidiano do serviço, nas relações e nos fluxos que são estabelecidos. Utilizamos a Etnografia para descrever uma cena que reflete as relações entre os saberes, os cuidados e descuidados que se fazem em um hospital. Propomos pensar o cuidado como múltiplo e observamos o hospital por meio de sua constituição como uma “máquina de curar”. Refletimos o encontro entre profissional e usuário, entre o cuidador e quem recebe o cuidado, para propor que em todo e qualquer encontro de saúde certo cuidado é realizado.
Análise política da atuação do Conselho Nacional de Saúde na construção da política de saúde no Brasil no período de 2014-2017
Authors: Temoteo-da-Silva Berenice , Lima Isabel Maria Sampaio Oliveira
Published: February 2022

Objetivou-se analisar a atuação do Conselho Nacional de Saúde no núcleo do processo decisório da política de saúde entre 2014-2017. A análise foi baseada nos projetos políticos em disputa na arena política da saúde e nos projetos dos governos de Dilma e de Temer. Com a mudança no projeto de governo, o Conselho passou a atuar pela via judicial, além de pelas vias social e parlamentar, passando do alinhamento (crítico) à franca oposição, até sua neutralização com o boicote da participação do Conselho nas discussões de pautas da política de saúde nos anos 2016-2017. Embora não tenha tido poder suficiente para mudar a correlação de forças em torno do desmonte do Sistema Único de Saúde (SUS), o Conselho figurou-se em um bloco político de resistência e de enfrentamento em defesa do SUS constitucional.
FUNDADORES DE JORNAIS E DIRIGENTES PARTIDÁRIOS: RECURSOS ESTRATÉGICOS PARA A COMPETIÇÃO OLIGÁRQUICA NA BIOGRAFIA DOS SENADORES BRASILEIROS
Authors: Massimo Lucas
Published: February 2022

RESUMO O artigo analisa a distribuição de dois atributos na biografia dos senadores brasileiros durante a Primeira República: ter sido fundador de jornais e dirigente partidário. Aventamos que os indivíduos que acumularam os dois atributos estiveram em condições de controlar redes de influência próprias e, por esse motivo, podem ter suas biografias entendidas como a origem dos partidos políticos brasileiros no período republicano. Esses achados foram obtidos a partir de um estudo prosopográfico com todos os indivíduos que tomaram posse no Senado Federal entre 1890 e 1934.
AS ELEIÇÕES DOS ANOS 1930: COORDENAÇÃO PRÉ-ELEITORAL EM TEMPOS DE VOTO SECRETO
Authors: Ricci Paolo
Published: February 2022

RESUMO Este artigo investiga se a previsão do voto secreto em 1932 constitui uma ruptura do modelo adotado na Primeira República, em que os partidos organizavam os eleitores, mobilizando-os e controlando-os no ato de votar. A partir de uma análise dos jornais da época e dos resultados eleitorais da eleição de 1934, constatou-se o exíguo impacto da reforma. Apesar de a lei determinar que o eleitor votasse em um ambiente isolado, ficou mantida a prática da impressão e distribuição das cédulas pelos partidos. Organizando de forma eficiente a preparação e distribuição delas, candidatos e partidos logravam agregar e mobilizar os eleitores nas eleições.
“UMA DANÇA SOBRE O ABISMO”: AS ESTRATÉGIAS DA CANDIDATURA DE JOSÉ AMÉRICO DE ALMEIDA NA CAMPANHA PRESIDENCIAL DE 1937
Authors: Burity Luiz Mário Dantas
Published: February 2022

RESUMO A campanha presidencial de 1937 aconteceu em ambiente competitivo, com dois candidatos que dividiram a base aliada do governo, e em meio a investidas autoritárias de Getúlio Vargas, políticos e militares próximos a ele. O objetivo deste texto é identificar as estratégias mobilizadas por José Américo de Almeida e seus correligionários para viabilizar e executar a sua candidatura. Foi possível observar que esse grupo não foi passivo no cenário que estava posto, mobilizando as ferramentas de que dispunham de várias maneiras, a fim de formar um programa e uma base eleitoral a partir de uma interpretação do projeto revolucionário de 1930.
OS MOMENTOS FINAIS DO ESTADO NOVO NO AMAZONAS: MOVIMENTO QUEREMISTA, REORDENAMENTO POLÍTICO-PARTIDÁRIO E AS ELEIÇÕES DE 02 DE DEZEMBRO DE 1945
Authors: Tavares Neto João Rozendo
Published: February 2022

RESUMO O presente artigo analisa os momentos finais do Estado Novo no Amazonas, destacando a atuação do movimento queremista, passando pelo reordenamento político-partidário e pelas eleições de 02 de dezembro de 1945. Para tanto, lançamos mão dos jornais da época enquanto fonte fundamental para compreendermos o momento histórico em questão, lançando luzes sobre a movimentação na vida política local num momento de flagrante agitação e mudanças no jogo político amazonense.
REVISÃO ABERTA POR PARES: QUANDO, POR QUE E PARA QUEM?
Authors: Garcia Joana Coeli Ribeiro , Silva Fernanda Mirelle de Almeida , Silva Kleisson Lainnon Nascimento da
Published: February 2022

Revisão aberta por pares, revisão aberta, open peer review, open review ou OPR é um ativo que beneficia autores, avaliadores, publishers e comunidade científica que cotidianamente usam seu produto. O recurso existente consagra-se com base na filosofia proveniente do open science, reduz vieses do obscurantismo dos moldes convencionais, perpassando a produção científica. A pesquisa visa contribuir com a adoção do open peer review minimizando obstáculos ideológicos sobre dinâmicas que permeiam o processo, em resposta às questões que originam e conduzem esta comunicação. Para atender o objetivobusca-se na literatura e nas métricas da produção científica recuperadas na Web of Science (WoS) ênfase em autoria, abordagens, data de publicação e área do conhecimento utilizadas para abalizar aspectos distintos da temática. São 130 artigos, publicados de 1993- 2020, oriundos de diversas áreas do conhecimento em que a Ciência da Informação e a Medicina,com suas especialidades, apresentam a maior parte dos artigos. Após análise dos questionamentos que originam o estudo faz-se algumas provocações sobre os rumos que a temática trilhará na ciência aberta e sobre os desafios para quem atua com open peer review.
Improvement of chalk solution feature infill by rapid impact compaction
Authors: Dewar Alastair , Wong Christopher , Chitambira Burden
Published: February 2022

This paper provides upper- and lower-bound limits of stiffness improvement observed from the treatment of infilled solution features in chalk as part of the Central 1 contract being delivered by the Align JV, which is part of the UK's High Speed 2 Phase 1 rail link. Infilled solution features were treated using rapid impact compaction (RIC) to achieve a sufficiently stiff subgrade beneath a wide range of temporary foundations and reduce the risk of collapse settlement. Improvement by RIC treatment was sufficient to ensure subsequent foundation performance or reduce the extent of compaction grouting subsequently required beneath the most heavily loaded foundations. The depth of improvement observed was up to 10 m and the improvement in elastic modulus observed was up to five times the pre-treatment value. Over 40 cone penetration tests were conducted before and after RIC. Typical lower- and upper-bound improvement curves are presented based on the observed minimum and maximum post-treatment stiffness. The degree of stiffness improvement was observed to generally reduce at greater than 5 m depth.
Molecular Detection of Aflatoxin Producing Aspergillus species Isolates in some Chicken Meat Cuts in Gharbiya Governorate, Egypt
Authors: F Shaltout , GI Heikal , AM Ghanem
Published: February 2022

Contamination with fungi and their toxins is considered one of the most dangerous hidden pollutants that threaten the health of the consumer. The presence of mycotoxins in various foods has been recorded, despite their apparent safety for human consumption. The current study was conducted to evaluate the prevalence of Aspergillus species and aflatoxin producing genes using culture and molecular methods, respectively. A total of 75 samples of chicken cuts, represented by wing, breast, and thigh (25 of each), were randomly collected from various grocery and poultry shops located at Gharbiya governorate, Egypt. Results of culture and isolation techniques revealed the detection of Aspergillus sp. in 36, 48 and 44% of the examined wing, breast and thigh samples, respectively. Moreover, microbiological identification of the isolated strains showed presence of A. niger, A. flavus, A. fumigatus, A. terreus and A. parasiticus in 16, 13.3, 10.6, 1.3 and 1.3% of the total population of the examined samples. Molecular detection of some aflatoxin production regulating genes (OmtA, Nor1 and Ver1) in ten aspergillus sp. isolates revealed their detection in 8/10 (80%), 8/10 (80%) and 7/10 (70%) represented by positive bands at molecular weight of 1024, 400 and 537 bp, respectively. Referring to the recorded results, chicken cuts may possess a great silent hazard to human being under improper good manufacturing practices and inadequate hygienic conditions during handling and storage.
Beneath the Backbone of the World: Blackfoot People and the North American Borderlands
Authors: Hill Christina Gish
Published: February 2022

Review of: Beneath the Backbone of the World: Blackfoot People and the North American Borderlands, by Ryan Hall.
The Rural Cemetery Movement: Places of Paradox in Nineteenth-Century America
Authors: Rosenow Michael K.
Published: February 2022

Review of: The Rural Cemetery Movement: Places of Paradox in Nineteenth-Century America, by Jeffrey Smith.
Commonwealth of Compromise: Civil War Commemoration in Missouri
Authors: Coleman Dwain
Published: February 2022

Review of: Commonwealth of Compromise: Civil War Commemoration in Missouri, by Amy Laurel Fluker.
Iowa Gardens of the Past: Lost & Historic Gardens of Iowa, 1850-1980
Authors: Hohmann Heidi
Published: February 2022

Review of: Iowa Gardens of the Past: Lost & Historic Gardens of Iowa, 1850-1980, by Beth Cody.
The Ku Klux Klan in the Heartland
Authors: Campney Brent M. S.
Published: February 2022

Review of: The Ku Klux Klan in the Heartland, by James H. Madison
Amenorrhea and pituitary human chorionic gonadotrophin production in a 38-year-old presenting as pregnancy of unknown location: case report and review of literature
Authors: Ordog Theadora , Raff Marika Rebecca , Rysavy Mary B. , Duran Eyup Hakan , Scott James R. , Eapen Abey
Published: February 2022

Background: Amenorrhea and extraplacental production of serum human chorionic gonadotropin (hCG), particularly in young women, can mimic a pregnancy of unknown location. Elevated serum hCG in the absence of pregnancy can pose a diagnostic dilemma and has led to potentially harmful and unwarranted interventions including chemotherapeutic agents like methotrexate or have led to delay in necessary medical interventions in women. We report a case to demonstrate that amenorrhea and extraplacental human chorionic gonadotropin (hCG) production in young women can mimic a pregnancy of unknown location. Furthermore, we performed a critical review of literature on pituitary hCG production. Case: A 38-year-old woman with a diagnosis of Silver-Russell syndrome, a unicornuate uterus, history of right oophorectomy for a benign serous cystadenoma and a desire for pregnancy presenting with a provisional diagnosis of pregnancy of unknown location.After performing a thorough review of history, physical examination, ultrasound exams, and a review of hormone analysis [including hCG, Tumor markers, Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Anti-Mullerian Hormone (AMH), Estradiol (E2) levels], we confirmed the diagnosis of premature ovarian insufficiency and pituitary hCG production. Conclusions: In women, serum levels of hCG may increase with age, and are not always an indicator of pregnancy. Therefore, it is imperative to interpret false-positive test results and rule out the extraplacental production of hCG. This will help prevent unnecessary surgical procedures and treatment, including chemotherapy.
СРАВНИТЕЛЬНЫЙ АНАЛИЗ БИЗНЕС-МОДЕЛЕЙ ЗАРУБЕЖНЫХ И ОТЕЧЕСТВЕННЫХ НЕФТЕСЕРВИСНЫХ КОМПАНИЙ
Authors: Белошицкий Алексей Васильевич
Published: February 2022

Аннотация. Целью исследования является сравнение бизнес-моделей зарубежных и российских компаний, что может определить критерии технологического развития, дающие конкурентные преимущества каждой из сторон.

Методологическую базу исследования представляют основные теоретические понятия о природе формирования бизнес-моделей предприятия и принципы их функционирования на базе «ценностного» и «процессного» подходов. Признается первостепенность таких параметров, как привлекательность продукта компании для клиентов и партнеров, а также механизмов создания стоимости и извлечения прибыли. Отмечено, что такой элемент бизнес-модели, как новое технологическое предложение, способен обеспечить преимущество на нефтесервисном рынке. Названы основные модели инновационного развития (эндогенная, сетевая и экзогенная), их отличия и характеристики. Изучены особенности развития корпораций «Halliburton» и «Schlumberger», обеспечившие успех и технологическое лидерство в мировой нефтесервисной отрасли.

Результаты исследования. Установлено, что обновление производственных мощностей российских нефтесервисных предприятий возможно на основе любой из трех представленных моделей стимулирования инновационной активности или их комбинации. Предполагается, что способная к устойчивому развитию инновационная бизнес-модель российской нефтесервисной компании в условиях современной изменчивой рыночной ситуации должна отличаться гибкостью, способностью к оптимизации затрат, адаптивностью и быстрой реакцией на требования/предпочтения рынка.

Перспективы исследования заключаются в детальном анализе характера и особенностей взаимоотношений между нефтяной компанией-заказчиком и нефтесервисным подрядчиком, что представляет значительную и важную область исследований отраслевого бизнеса.
ИЗМЕРЕНИЕ «ЦИФРОВОЙ» ЭКОНОМИКИ И ПСЕВДОЭФФЕКТ ТЕХНОЛОГИЧЕСКОГО ДУАЛИЗМА
Authors: Сухарев Олег Сергеевич
Published: February 2022

Аннотация. Цель исследования. Управляемое распространение цифровых технологий стало атрибутом экономической политики во многих странах, войдя в качестве базовой задачи в доктрину «Индустрия 4.0». Решение этой задачи требует учета исходного состояния технологического базиса экономики, готовности всех звеньев экономики к освоению новых технологий. Эффект технологического дуализма может оказывать сдерживающее влияние на распространение цифровых и иных технологий, что требует отдельного изучения. Целью исследования выступает построение методики оценки распространения цифровых технологий и идентификации эффекта технологического дуализма, который для российской экономики приобретает специфическое содержание.

Методологию исследования составляет теория технологического развития и эффективности функционирования объектов экономики, подходы в области экономических измерений и формирования алгоритма и методики оценки релевантных параметров.

Результат исследования состоит в том, что в российской экономике выявлен псевдоэффект технологического дуализма на основе анализа динамики основного капитала и перемещения труда между экономическими секторами. Его возникновение может блокировать технологическое развитие, не препятствуя при этом ходу процесса распространения цифровых технологий. Обоснованы два базовых варианта распространения цифровых технологий и предложена методика оценки масштаба их распространения в экономике с оценкой эффективности ввода, а также методика идентификации технологического дуализма. Показано, что отсутствие роста производительности при расширении компьютерной техники и сетевых технологий не является парадоксом, а составляет вполне закономерный итог, обусловленный не только капитальным вложением на внедрение этих технологий, но и необходимостью обучения персонала, а также исходным масштабом рынка продуктов, создаваемых объектами, осуществляющими ввод цифровых технологий.

Перспектива исследования. Для изучения изменений структуры технологической динамики на перспективу предложен инструмент технологической карты и портфеля, требующие расширенного статистического учета технологий и описывающих их параметров, позволяющие расширить представление о влиянии технологий на экономическое развитие и эффекте технологического дуализма.
СОЦИОКУЛЬТУРНОЕ ПРОСТРАНСТВО СОВРЕМЕННОГО ОБЩЕСТВА: ГЕНЕЗИС И ОСНОВНЫЕ ХАРАКТЕРИСТИКИ
Authors: Любченко Василий Сергеевич
Published: February 2022

Аннотация. Цель исследования — определение основных параметров социокультурного пространства современного общества, выделение в нем структурных элементов и анализ характера их взаимодействия.

Методология. Используется социокультурный подход, согласно которому общество необходимо рассматривать как единство культурного и социального, а также методология идеальных типов М. Вебера, позволяющая исследовать социум на уровне действующих субъектов.

Результаты исследования. Определены основные характеристики социокультурного пространства современного общества, или общества модерна, его генезис и современное состояние. Выделены основные взаимодействующие в нем ценностные системы, тенденции их изменения.

Перспективы исследования. Исследование социокультурного пространства общества модерна позволяет провести содержательный анализ его трансформации в постмодерн и выявить направления его дальнейшего развития.