bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative Analysis of Locational Factors and Their External Influence on Free-Trade Port Zones in China
Authors: Tang Lian-Sheng , Tan Xiang , Guo Peng , Huang Ting-Ting , Liu Tie-Li
Published: February 2022

In the context of regional economic integration, free-trade port zones (FTPZs) have become a powerful platform for attracting high-quality international investment and promoting national economic development. It is worthwhile, then, to explore the hidden value of the locational factors of FTPZs in the process of their construction. Specifically, analyzing the key locational factors of FTPZs and their influences on the locational value can help to improve the ability of FTPZs to add value through factor congregation and further promote the development of regional economies. This study, therefore, analyzes the locational factors of the Shanghai and Ningbo-Zhoushan free-trade ports using an econometric model. The corresponding external influences of locational factors are examined as well. The results show that regional economic development level, industrial structure, port and shipping system, capital accumulation, talent quality, institutional policies, market scale, market consumption potential, and market openness are the essential factors affecting the locational value of FTPZs. Based on our analysis and comparison of the location characteristics and locational value of the Shanghai and Ningbo-Zhoushan free-trade ports, three constructive suggestions are made to enhance the locational value of free-trade ports based on the actual situation of the Ningbo-Zhoushan free-trade port. These suggestions can also maximize the value of free-trade ports’ locations and promote high-quality regional economic growth.
BIM and Automation in Complex Building Assessment
Authors: Růžička Jan , Veselka Jakub , Rudovský Zdeněk , Vitásek Stanislav , Hájek Petr
Published: February 2022

When using Building Information Modeling (BIM) for complex building design, optimizing the building quality in a design phase becomes an important part of integrated and advanced building design. The use of data from an information model in the design phase allows efficient assessment of different design strategies and structural variants and a higher quality of the final design. This paper aims to analyze and verify possible BIM data-driven workflows for Complex Building Quality Assessment (CBQA) and a suitable BIM data structure set up for automatic assessment and evaluation. For an efficient automation process in complex quality building assessment in the design phase, it is necessary first to understand the data structure of the Industry Foundation Classes (IFC), which is widely accepted and used for buildings, and second to understand the data structure of the assessment methodology used for the assessment. This article describes possible data workflows for an automatic assessment based on the experience gained on a case study of the real pilot project of a residential building, where the complex building quality was tested using SBToolCZ, the Czech national assessment method. This article presents the experience and recommendations for setting up the data model of a building for automatic assessment.
Anatomy of Research Performance from a Bottom-Up Approach: Examination of Researchers’ Perspective
Authors: Manasia Loredana , Popa Diana , Ianos Gratiela
Published: February 2022

Performance-based research policies and programmes have fundamentally altered both organisational and individual behaviours and expectations, putting immense pressure on researchers. The soundness of research, originality, valorisation potential, and societal and economic impacts are highly valued and expected characteristics of research. Yet, our understanding of the effects of various systemic and organisational factors on research performance is limited. In an exploratory, single-country case, this paper aimed to develop and examine different models of research performance as perceived by researchers themselves using a large cross-disciplinary sample of 553 researchers from 72 public research organisations in Romania. A pre-tested questionnaire was self-administered online, comprising seven scales: (1) recruitment and selection, (2) research recognition and value, (3) participation in research projects and teams, (4) work incentives, (5) job payment and salary, (6) career development opportunities, and (7) leadership effectiveness. Maximum likelihood and Bayesian estimators were used to test three structural models: (M1) mono-factor; (M2) intercorrelated dimensions, and (M3) the dimensions are indicators of a general construct. Additionally, a path analysis was carried out to study the relationships among the dimensions. We found that M2 and M3 fit the empirical data better. The results showed that career development programmes and opportunities gain centrality in achieving research performance by directly influencing participation and research projects and teams and mediating the effect of job payment. Revealingly, powerful work incentives within research organisations are international mobilities or appreciation awards. When informing evidence-based policies, the models we propose could serve the goal of improving research performance through talent development as the main proxy.
Business Incentive to Reduce Food Losses in Japan
Authors: Igeta Jun , Nakamura Hiroki
Published: February 2022

Although market-based or new business solutions such as food sharing services are important to reduce food wastage, a limited amount of people use sharing economy services, such that real restaurant services are scarce in countries such as Japan. Moreover, while the perspectives of consumer and food wasting behavior in restaurants, doggy bags, and new sharing business applications are important, existing studies related to food loss have not focused on these issues all together in an analytic model. Therefore, this study proposes a new business incentive model to reduce food loss, and we further analyze the feasibility and potential of our proposal by extending the existing basic analytic model. The proposed service is to provide coupons or points in digital applications if customers finish their meal at a restaurant without wasting food; these coupons/points can be used to avail discounts on their future meals. We considered three models of intention to use incentives to reduce food loss and compared new business proposals with the other two incentive services. The results showed that the proposed services are less likely to be used by people who are interested in but do not experience using food sharing services. Nevertheless, the proposed new service has the potential to be used by younger people and people with household incomes ranging from 5 to 10 million yen, indicating that such services have the potential to create a new target group for food loss implementation and a business that encourages a strategy to reduce food loss.
DGAN-KPN: Deep Generative Adversarial Network and Kernel Prediction Network for Denoising MC Renderings
Authors: Alzbier Ahmed Mustafa Taha , Chen Chunyi
Published: February 2022

In this paper, we present a denoising network composed of a kernel prediction network and a deep generative adversarial network to construct an end-to-end overall network structure. The network structure consists of three parts: the Kernel Prediction Network (KPN), the Deep Generation Adversarial Network (DGAN), and the image reconstruction model. The kernel prediction network model takes the auxiliary feature information image as the input, passes through the source information encoder, the feature information encoder, and the kernel predictor, and finally generates a prediction kernel for each pixel. The generated adversarial network model is divided into two parts: the generator model and the multiscale discriminator model. The generator model takes the noisy Monte Carlo-rendered image as the input, passes through the symmetric encoder–decoder structure and the residual block structure, and finally outputs the rendered image with preliminary denoising. Then, the prediction kernel and the preliminarily denoised rendered image is sent to the image reconstruction model for reconstruction, and the prediction kernel is applied to the preliminarily denoised rendered image to obtain a preliminarily reconstructed result image. To further improve the quality of the result and to be more robust, the initially reconstructed rendered image undergoes four iterations of filtering for further denoising. Finally, after four iterations of the image reconstruction model, the final denoised image is presented as the output. This denoised image is applied to the loss function. We compared the results from our approach with state-of-the-art results by using the structural similarity index (SSIM) values and peak signal-to-noise ratio (PSNR) values, and we reported a better performance.
Numerical Modeling of Ice Accumulation on Three-Dimensional Bridge Cables under Freezing Rain and Natural Wind Conditions
Authors: Wang Dalei , Sun Mengjin , Ma Rujin , Shen Xiang
Published: February 2022

In order to accurately predict the ice accumulation on bridge cables under two typical freezing rain conditions, rime and glaze ice, this paper proposes a numerical simulation framework based on the three-dimensional Messinger theory. Two technical challenges of determining the flow direction of unfrozen water and solving three-dimensional Messinger equations are solved in this research. Based on the outflow, mass was calculated according to the three-dimensional Messinger theory, and the flow direction of unfrozen water in each cell was determined by the resultant force of air shear stress and water film gravity. To solve the three-dimensional equations, an iterative method without finding the stagnation line was introduced. The final iced geometries were determined when the inflow mass ratio was satisfied with the converge criteria. Moreover, this modified numerical model was programmed and embedded into computational fluid software. For both two typical freezing rain conditions, the effects of temperature and wind speed on iced geometries were studied. The aerodynamic characteristics and galloping instability of bridge cables with different iced geometries were also investigated. These preliminary aerodynamic simulations can provide the basis for the wind-induced vibration analysis of the whole structure.
Detecting Selection in the HIV-1 Genome during Sexual Transmission Events
Authors: Seifert David , Joos Beda , Braun Dominique L. , Oberle Corinna S. , Schenkel Corinne D. , Kuster Herbert , Grube Christina , Böni Jürg , Yerly Sabine , Aubert Vincent , Klimkait Thomas , Günthard Huldrych F. , Beerenwinkel Niko , Metzner Karin J. ,   on behalf of the Swiss HIV Cohort Study
Published: February 2022

Little is known about whether and how variation in the HIV-1 genome affects its transmissibility. Assessing which genomic features of HIV-1 are under positive or negative selection during transmission is challenging, because very few virus particles are typically transmitted, and random genetic drift can dilute genetic signals in the recipient virus population. We analyzed 30 transmitter–recipient pairs from the Zurich Primary HIV Infection Study and the Swiss HIV Cohort Study using near full-length HIV-1 genomes. We developed a new statistical test to detect selection during transmission, called Selection Test in Transmission (SeTesT), based on comparing the transmitter and recipient virus population and accounting for the transmission bottleneck. We performed extensive simulations and found that sensitivity of detecting selection during transmission is limited by the strong population bottleneck of few transmitted virions. When pooling individual test results across patients, we found two candidate HIV-1 genomic features for affecting transmission, namely amino acid positions 3 and 18 of Vpu, which were significant before but not after correction for multiple testing. In summary, SeTesT provides a general framework for detecting selection based on genomic sequencing data of transmitted viruses. Our study shows that a higher number of transmitter–recipient pairs is required to improve sensitivity of detecting selection.
A Development of a New Image Analysis Technique for Detecting the Flame Front Evolution in Spark Ignition Engine under Lean Condition
Authors: Petrucci Luca , Ricci Federico , Mariani Francesco , Discepoli Gabriele
Published: February 2022

The aim of herein work is to develop an automatized algorithm for detecting, as objectively as possible, the flame front evolution of lean/ultra-lean mixtures ignited by low temperature plasma-based ignition systems. The low luminosity characterizing the latter conditions makes both kernel formation and combustion development difficult to detect accurately. Therefore, to estimate the igniter capability to efficiently ignite the mixture, ever more performing tools are required. The present work proposes a new image analysis technique, based on a dual-exposure fusion algorithm and on Convolutional Neural Networks (CNNs), to process low brightness images captured via high-speed camera on an optical engine. The performance of the proposed algorithm (PA) is compared to the one of a base reference (BR) algorithm used by the same research group for the imaging analysis. The comparison shows the capability of PA to quantify the flame radius of consecutive combustion cycles with lower dispersion if compared to BR and to correctly detect some events considered as misfires or anomalies by BR. Moreover, the proposed method shows greater capability to detect, in advance, the kernel formation with respect to BR, thus allowing a more detailed analysis of the performance of the igniters. A metric quantitative analysis is carried out, as well, to confirm the above-mentioned results. Therefore, PA results to be more suitable for analyzing ultra-lean combustions, heavily investigated to meet the increasingly stringent legislation on the internal combustion engines. Finally, the proposed algorithm allows us to automatically estimate the flame front evolution, regardless of the user’s interpretation of the phenomenon.
Effects of Crushing Characteristics on Rheological Characteristics of Particle Systems
Authors: Huang Yu , Wang Yi’an , Wang Suran
Published: February 2022

A particle system’s large-deformation shear flow exhibits obvious random characteristics, making accurate modeling of the particle system difficult. Particle systems, which are frequently used in engineering, are prone to breakage, which introduces additional uncertainty into the system. The purpose of this study was to conduct ring-shear experiments on a variety of common engineering materials in order to quantify the effect of the dynamic crushing process of the particle system on the instability of shear flow. Different shear fracture characteristics may result in a change in the volume trend of the system, from dilatancy to shrinkage. While the mean value of the crushable system’s stress ratio does not increase with shear rate, the stress ratio’s fluctuation characteristic parameters are negatively correlated with shear rate. As particles become more easily sheared, the initial value of the stress ratio fluctuation increases. The effect of shear rate on the fluctuation in the system stress ratio is determined indirectly by the degree of system fragmentation. The study of the particle system’s fluctuation characteristics will aid in developing a stochastic dynamic model for the landslide system in the future, allowing for improved prediction and prevention of landslide disasters.
Estimating the Ice Loads on Concrete Dams Based on Their Structural Response
Authors: Hellgren Rikard , Enzell Jonas , Ansell Anders , Nordström Erik , Malm Richard
Published: February 2022

In the assessment of concrete dams in cold climate, it is common that the theoretical stability becomes insufficient for load cases that include ice loads. However, the magnitude and return period of these ice loads have a high degree of uncertainty. This study estimates the magnitude of ice loads on eight concrete dam monoliths using measurements of their displacement from 29 winters. In the displacement signals, events are identified and assumed to be caused solely by ice loads. The observed displacement during an event is interpreted as an ice load using a load–displacement relationship derived from FE simulations of each dam. These simulations show that ice loads of the magnitudes given in design guidelines and recorded in previous measurements would significantly affect the structural response of the studied dams. However, only small traces of ice loads can be found in the observed responses of the studied dams. The estimated ice loads are significantly lower than the ice loads recorded in traditional ice load measurements. These results indicate that the average magnitude of ice load on an entire monolith is significantly lower than the measured local pressures. This would imply that ice loads may be a smaller concern regarding dam safety than previously believed.
The Spatial-Temporal Characteristics of Soil Moisture and Its Persistence over Australia in the Last 20 Years
Authors: Cai Jiangtao , Chen Tiexi , Yan Qingyun , Chen Xin , Guo Renjie
Published: February 2022

Persistence is an important feature of soil moisture, which affects many important processes such as land–air interaction and ecohydrological processes. Soil moisture datasets from reanalysis, remote-sensing observations and land surface models have been widely used in various ecohydrological studies, however, due to the complexity of hydrological processes, the essential features of soil moisture such as spatial-temporal characteristics and persistence still need to be further quantified. This study focused on the Australia region and used in situ observation from fourteen International Soil Moisture Network sites to evaluate soil moisture from six gridded products, including satellite remote-sensing records (ESA CCI), output of reanalysis (ERA5-Land) and land surface models (GLDAS and GLEAM). High correlation coefficients between observations and the other soil moisture datasets were gotten. Regional averaged inter-annual variations of soil moisture were relatively large with some dry periods (2002–2010, 2013–2016) and wet periods (2011–2012) indicated by these gridded products. General coherent spatial patterns were found in long-term soil moisture with large differences in the lateral inflow area of the Great Artesian Basin. The coefficient of variation of these soil moisture datasets generally decreased from northwest to southeast, but the enhanced vegetation index coefficient of variation was larger in the southwest corner, northeast (non-coastal areas) and the lateral inflow area. Persistence calculated from various soil moisture datasets had quite large differences compared with measurements. Meanwhile, little coherence was gotten among different surface soil moisture datasets, the persistence of deep soil moisture seemed to be significantly overestimated. Therefore, models still need to improve the temporal characteristics with the persistence rather than the correlation coefficient.
Comparison of Three Techniques to Adjust Daily Precipitation Biases from Regional Climate Models over Germany
Authors: Ibebuchi Chibuike Chiedozie , Schönbein Daniel , Adakudlu Muralidhar , Xoplaki Elena , Paeth Heiko
Published: February 2022

This study compares the performance of three bias correction (BC) techniques in adjusting simulated precipitation estimates over Germany. The BC techniques are the multivariate quantile delta mapping (MQDM) where the grids are used as variables to incorporate the spatial dependency structure of precipitation in the bias correction; empirical quantile mapping (EQM) and, the linear scaling (LS) approach. Several metrics that include first to fourth moments and extremes characterized by the frequency of heavy wet days and return periods during boreal summer were applied to score the performance of the BC techniques. Our results indicate a strong dependency of the relative performances of the BC techniques on the choice of the regional climate model (RCM), the region, the season, and the metrics of interest. Hence, each BC technique has relative strengths and weaknesses. The LS approach performs well in adjusting the first moment but tends to fall short for higher moments and extreme precipitation during boreal summer. Depending on the season, the region and the RCM considered, there is a trade-off between the relative performances of the EQM and the MQDM in adjusting the simulated precipitation biases. However, the MQDM performs well across all considered metrics. Overall, the MQDM outperforms the EQM in improving the higher moments and in capturing the observed return level of extreme summer precipitation, averaged over Germany.
Recent Hydrological Droughts in Brazil and Their Impact on Hydropower Generation
Authors: Cuartas Luz Adriana , Cunha Ana Paula Martins do Amaral , Alves Jessica Anastácia , Parra Larissa Milena Pinto , Deusdará-Leal Karinne , Costa Lidiane Cristina Oliveira , Molina Ruben Dario , Amore Diogo , Broedel Elisangela , Seluchi Marcelo Enrique , Cunningham Christopher , Alvalá Regina Célia dos Santos , Marengo José Antonio
Published: February 2022

Brazil has endured the worst droughts in recorded history over the last decade, resulting in severe socioeconomic and environmental impacts. The country is heavily reliant on water resources, with 77.7% of water consumed for agriculture (irrigation and livestock), 9.7% for the industry, and 11.4% for human supply. Hydropower plants generate about 64% of all electricity consumed. The aim of this study was to improve the current state of knowledge regarding hydrological drought patterns in Brazil, hydrometeorological factors, and their effects on the country’s hydroelectric power plants. The results show that since the drought occurred in 2014/2015 over the Southeast region of Brazil, several basins were sharply impacted and remain in a critical condition until now. Following that event, other regions have experienced droughts, with critical rainfall deficit and high temperatures, causing a pronounced impact on water availability in many of the studied basins. Most of the hydropower plants end the 2020–2021 rainy season by operating at a fraction of their total capacity, and thus the country’s hydropower generation was under critical regime.
Fungi in Freshwaters: Prioritising Aquatic Hyphomycetes in Conservation Goals
Authors: Barros Juliana , Seena Sahadevan
Published: February 2022

Deprivation of protection for aquatic hyphomycetes is disturbing because they are key players in freshwater ecosystems across the globe. To attain a more holistic conservation paradigm for biodiversity in freshwaters, it is necessary to broaden our ecological perception of microfungi, mainly in aquatic hyphomycetes. A considerable groundwork still needs to be accomplished in progressing towards conserving aquatic hyphomycetes. Overcoming the paucity of information regarding the rare and endangered species, biogeography and above all, a global biodiversity database, would be a significant contribution in the initiation of an overarching conservation strategy for aquatic hyphomycetes. Being aware that the biodiversity decline in freshwaters is alarming, here we seek to explore why biodiversity data of aquatic hyphomycetes are missing. This article closely examines the threats to the biodiversity of aquatic hyphomycetes and freshwater ecosystems. Moving forward, we advocate a structured approach to gaining a thorough understanding to embrace aquatic hyphomycetes biodiversity into the conservation strategies. Including aquatic hyphomycetes in the conservation objectives may attract more funding opportunities for global surveys to initiate a fungal inclusive conservation era. Fungal conservation ventures can profit from interdisciplinary collaborations and cutting-edge science and technology, leading to informed decision making for biodiversity assessment and management.
Nutrients Removal from Aquaculture Wastewater by Biofilter/Antibiotic-Resistant Bacteria Systems
Authors: Nicula Nicoleta-Oana , Lungulescu Eduard-Marius , Ieropoulos Ioannis A. , Rimbu Gimi A. , Csutak Ortansa
Published: February 2022

The presence of nutrients in aquaculture water bodies causes serious problems for aquatic ecosystems, requiring the development of technical solutions to reduce their amounts. This work identifies some bacterial strains that are able to reduce nutrient quantities and studies the effect of antibiotics on bacterial growth, on the ability to form biofilms on different solid supports, and on the ability to reduce nutrients in aquaculture wastewater. Bacterial biofilm adhesion on different substrates depends on the surface properties of the substrate, on the bacterial types that form the biofilm, but also on biofilm–substrate interactions. The obtained results revealed the high capacity of biofilm-forming bacterial strains of Pseudomonas aeruginosa and Chromobacterium violaceum to eliminate up to 87% of nitrate and nitrite ions and up to 62% of phosphate ions in the presence of concentrations of 0.1–0.4 µg/mL of oxytetracycline antibiotic from aquaculture wastewater.
Collaborative Optimization of the Battery Capacity and Sailing Speed Considering Multiple Operation Factors for a Battery-Powered Ship
Authors: Zhang Yan , Sun Lin , Ma Fan , Wu You , Jiang Wentao , Fu Lijun
Published: February 2022

In the context of harsh emission control and ecological environment protection, the shipping industry is transforming and upgrading towards greening, decarburization, and electrification. Battery-powered all-electric inland ships have been attracting increasingly attention. However, its initial investment cost is much more expensive than a traditional diesel-driven mechanical ship because lithium-ion batteries are currently expensive. Hence, a suitable battery size and efficient energy management strategy for ship sailing are very important for a battery-powered ship. In this paper, a novel joint optimization method of the sailing speed and battery capacity, which considers the interaction between battery size and sailing speed as well as multiple operation factors, such as freight demand and battery life, and port electricity price, is proposed to fully exploit the battery-powered ships’ application potential. Moreover, a joint optimization model of the sailing speed and battery energy consumption model considers the battery-powered ship’s characteristics and waterway characteristics. Next, a solution algorithm for the proposed joint optimization model is established to achieve joint decision-making regarding the sailing speed and battery size. Finally, case studies are conducted to demonstrate the flexibility and effectiveness of the proposed method. The results show that the proposed method can obtain the optimal sailing speed and the corresponding battery capacity synchronously when the actual transportation scenario is fixed. Moreover, the battery initial investment cost can be effectively reduced with the prosed method.
PENGARUH KOMPETENSI DAN KUALITAS PETUGAS KESEHATAN TERHADAP KEPUASAN PASIEN RAWAT JALAN DI PUSKESMAS SEI AGUL MEDAN
Authors: Suhartina Suhartina , Ginting Tarianna , Suyono Tan , Sipayung Wella Adenata
Published: February 2022

Permasalahan kinerja yang timbul di Puskesmas Sei Agul tidak terlepas dari kompetensi dan kualitas pelayanan yang menjadi modal dalam mempertahankan roda organisasinya. Masyarakat umumnya pasti memiliki keinginan mendapat pelayanan yang berkualitas. Permasalahan dalam penelitian ini adalah apakah kompetensi dan kualitas pelayanan yang terdiri dari kehandalan, daya tanggap, jaminan, empati dan bukti fisik berpengaruh positif dan signifikan terhadap kepuasan pasien. Tujuan penelitian ini untuk mengetahui seberapa besar pengaruh kompetensi dan kualitas petugas kesehatan terhadap tingkat kepuasan pasien rawat jalan di Puskesmas Sei Agul. Adapun penelitian ini adalah survei analitik dengan menggunakan desain penelitian cross sectional dengan sampel 96 orang. Teknik pengambilan sampel yang digunakan adalah Purposive Sampling. Hasil penelitian ini menunjukan bahwa nilai p-value antara kompetensi (0,015), kehandalan (0,043), daya tanggap (0,005), jaminan (0,109), empati (0,000), bukti fisik (0,002). Dari hasil analisis regresi berganda memperlihatkan bahwa kompetensi dan empati berpengaruh signifikan secara bersama-sama terhadap kepuasan pasien. Namun yang paling berpengaruh terhadap kepuasan pasien ialah Empati(0,000) dibandingkan dengan kompetensi (0,013). Kesimpulan dari penelitian ini adalah terdapat pengaruh yang bermakna antara kompetensi, kehandalan, daya tanggap, empati dan bukti fisik terhadap kepuasan pasien, sedangkanjaminan tidak berpengaruh terhadap kepuasan pasien. Dan dari hasil uji regresi empati yang paling mempengaruhi kepuasan pasien.
KARAKTERISTIK DEMAM BERDARAH DENGUE PADA ANAK DI RUMAH SAKIT UMUM ROYAL PRIMA MEDAN
Authors: Tarigan Antje Irmella , Alexander Rico , Natali Oliviti
Published: February 2022

Penyakit DBD merupakan penyakit menular yang terutama menyerang anak-anak. Tujuan penelitian ini adalah untuk mengetahui distribusi proporsi pasien DBD pada anak berdasarkan umur, jenis kelamin, gejala klinis, diagnosis (pemeriksaan fisik dan pemeriksaan penunjang). Penelitian ini merupakan penelitian deskriptif dengan desain studi kasus. Data yang menjadi populasi dalam penelitian ini adalah seluruh data rekam medis pasien demam berdarah dengue pada anak di Rumah Sakit Umum Royal Prima Medan. Besar sampel sesuai dengan tujuan penelitian untuk mencari proporsi, maka sampel dibutuhkan minimal 100 data rekam medis pasien DBD pada anak. Teknik pengambilan sampel akan dilakukan dengan cara purposive sampling yaitu dipilih rekam medis yang paling lengkap datanya. Penelitian ini menyimpulkan pasien DBD anak terbanyak pada kelompok umur 15-19 tahun (29%) dan berdasarkan jenis kelamin yang terbanyak laki-laki (59%). Keluhan utama semua pasien adalah demam tinggi dan keluhan tambahan paling banyak adalah mual + muntah + ruam + nyeri kepala + (23%). Hasil pemeriksaan fisik menunjukkan pasien yang diinspeksi terbanyak mengalami ruam (40%). Pada pemeriksaan palpasi, perkusi, dan auskultasi menunjukkan semua pasien memiliki gejala soepel, timpani, dan suara paru normal/vesikuler. Berdasarkan uji Tourniquet yang terbanyak adalah positif, pemeriksaan hemoglobin yang terbanyak adalah normal (89%), pemeriksaan hematokrit yang terbanyak adalah tidak normal  (89%) dan pemeriksaan leukosit yang terbanyak adalah tidak normal (89%). Pada pemeriksaan trombosit menunjukkan semua pasien mengalami trombositopenia.
HUBUNGAN MUTU PELAYANAN TENAGA KESEHATAN DENGAN KEPUASAN PASIEN RAWAT JALAN RUANG POLI UMUM DI PUSKESMAS SEI AGUL MEDAN
Authors: Kurnia Muhammad A. , Gultom Rosalina , Siagian Masryna , Girsang Ermi
Published: February 2022

Indonesian people at this time need quality health services that can be seen based on the level of patient satisfaction in Indonesia that shows the patient's satisfaction rate of 42.8%. In Sei Agul Puskesmas there are outpatient who expressed dissatisfaction as much as 49 people (51.6%). This research aims to determine the relationship quality of healthcare professionals with the satisfaction of a general Poly chamber patient in the health center of Sei Agul. The type of research used in this study is an analytical survey using the Cross-Sectional approach. The number of samples in this study was 95 outpatient. The sampling technique used is Purposive Sampling. Data retrieval using questionnaire measuring instrument. Analysis of data conducted in the analysis of Univariate and bivariate (test Chi- Square) with a degree of significance p Value = 0.05. The results showed that the reliability with the value p value =

0.006 (P Value < 0.05), responsiveness with the value p value = 0.002 (p value < 0.05), the guarantee with the value P value = 0.003 (P Value < 0.05), empathy with the value p value = 0.386 (p value > 0.05), and physical evidence with the value p value = 0.019 (p Value < 0,05). The conclusion of this research is there is a relationship of reliability with patient satisfaction, there is a response of responsiveness to patient satisfaction, there is a guarantee relationship with patient satisfaction, no empathy relationship with patient satisfaction and there is a relationship of physical evidence with patient satisfaction.
Analisis Penggunaan Obat Rasional Dalam Peresepan Pada Kasus ISPA Non Pneumonia Di Rumah Sakit Umum Dr. Pirngadi Kota Medan
Authors: Simarmata Hendrico H.P , - Sudiro , - Asriwati
Published: February 2022

RSUD DR Pirngadi Medan has a large number of cases of non-pneumonia ARI in Medan city and found some irrational drug prescriptions by doctors. This study aims to analyze drugs by doctors in prescribing rational drug use in cases of ARI Non Pneumonia. This research is quantitative. The study took place from July-August 2020. The research population consisted of all general practitioners, pulmonary specialists, pediatricians and internal medicine specialists totaling 79 people. The survey data were analyzed using the Chi-Square test and linear regression. Based on the results of the study, it was found that there was a relationship between prescribing drugs by doctors based on correct diagnosis (p = 0.000), there was a relationship between prescribing drugs by doctors based on appropriate indications (p = 0.000), there was a relationship between prescribing drugs by doctors based on the exact type of drug (p = 0.000) , there is a relationship between prescribing drugs by doctors based on the right dose (p = 0.000), there is a relationship between prescribing drugs by doctors based on the correct assessment of the patient's condition (p = 0.000), there is a relationship between prescribing drugs by doctors based on accurate information (p = 0.000), there is a relationship prescribing drugs by doctors based on appropriate follow-up with rational drug use (p=0.000). The conclusion in this study is that all variables in this study are related to rational drug use in cases of ARI Non Pneumonia and the most dominant variable is the correct information variable. Research suggestions are to make improvements to patient records so that patient profiles are easier to see and therapeutic decisions are easier and more accurate
Infeksi penyakit kulit pada anak dan determinannya
Authors: Silalahi Marlinang Isabella , Sibagariang Eva Ellya , Henrista Nanda , Sormin Delores Elisabeth , Kurniawan Evan , Wilsen Wilsen
Published: February 2022

Penyakit kulit merupakan salah satu jenis penyakit yang sering ditemukan pada anak akibat kurang memperhatikan kebersihan diri dan sanitasi lingkungan. Tujuan penelitian ini adalah untuk menganalisis determinan infeksi penyakit kulit pada anak. Penelitian ini adalah penelitian kuantitatif dengan desain penelitian menggunakan rancangan cross sectional. Sampel penelitian berjumlah 62 orang. Data diuji secara statistik dengan menggunakan uji Chi Square. Hasil penelitian menunjukkan terdapat hubungan antara personal hygiene (0,000) dan sanitasi lingkungan (0,000) dengan kejadian infeksi penyakit kulit pada anak, Disarankan agar memperhatikan personal hygiene anak terutama dalam hal mencuci tangan dengan sabun dengan baik dan benar dan mengganti pakaian setelah mandi. Promosi kesehatan terutama yang berkaitan dengan masalah penyakit penyakit kulit infeksi perlu ditingkatkan agar masyarakat lebih peduli dengan risiko infeksi penyakit kulit.
Distúrbios vocais associados ao AVC: uma revisão sistemática
Authors: Vitorio Ymai Rosendo Beatriz , Faustino Gonçalves Laura , De Paiva Karina Mary , Haas Patricia
Published: February 2022

Introdução. A voz é primordial para os seres humanos e depende da integridade das estruturas neurológicas e anatômicas relacionadas à fonação. Dentre as implicações do AVC associadas com a voz, os distúrbios vocais afetam diretamente a inteligibilidade da fala e a saúde vocal dos indivíduos. Objetivo. Apresentar evidências científicas com base em revisão sistemática da literatura (PRISMA) respondendo à seguinte pergunta norteadora: Quais os possíveis distúrbios vocais associados ao AVC? Método. A busca de artigos foi realizada nas bases de dados Scielo, Lilacs, Pubmed, Scopus, Bireme e Web Of Science, não houve restrição de localização, período e idioma. Para a seleção dos estudos foi utilizada a combinação baseada no Medical Subject Heading Terms (MeSH). Para complementar, foi realizada uma busca por literatura cinza no Google Scholar. Foram admitidos na pesquisa dois estudos que obtiveram pontuação ≥6 pontos segundo o protocolo para pontuação qualitativa proposto por Pithon et al. (2015). Foram identificados 181 artigos com potencial para inclusão, sendo dois correspondentes aos critérios de inclusão definidos e à pergunta norteadora. Resultados. Os sujeitos acometidos pelo AVC apresentaram aspectos de vozes rugosas, soprosas, instáveis e pastosas, às vezes tensas, além de lentidão e instabilidade no controle motor laríngeo. Não houve associação direta do comportamento vocal ao AVC com a topografia da lesão encefálica. Conclusão. Dentre os distúrbios vocais associados ao AVC, identificou-se a classificação regular da disartria espástica e flácida, seguida de aspectos vocais como a rugosidade, soprosidade, tensão vocal exagerada, instabilidade na emissão de vogais e velocidade reduzida.
Geografia, Riscos e Proteção Civil. Homenagem ao Professor Doutor Luciano Lourenço. Volume 1
Authors: Nunes Adélia , Amaro António , Vieira António , Velez de Castro Fátima , Félix Fernando
Published: February 2022

No decurso da sua longa e ativa carreira académica, o Professor Luciano Lourenço desenvolveu uma intensa atividade de interação e cooperação com instituições, grupos de investigação, profissionais de diversas áreas de atividade e do conhecimento, em estreita associação à sua atividade científica e docente, mas também consequência do seu caráter beirão e da sua personalidade carateristicamente interventiva e socializadora. Não é, por isso, de estranhar que a este convite de homenagem ao Professor Luciano Lourenço se tenha associado tão elevado número de colegas, de várias áreas científicas, que com ele colaboraram ao longo de várias décadas, bem como as diversas instituições com as quais se relacionou, quer assumindo cargos de gestão, quer estabelecendo relações de trabalho, e que quiseram deixar o testemunho de profissionalismo e cooperação desenvolvido. Com efeito, a presente obra, constituída por dois volumes, para além de diversas mensagens congratulatórias de instituições e pessoas com quem o Professor Luciano Lourenço estabeleceu algum tipo de colaboração, reúne um vasto conjunto de textos versando temáticas intimamente relacionadas com as áreas nas quais desenvolveu uma investigação e produção mais significativa. Assim, esta obra integra 83 textos, elaborados por mais de 170 autores de 11 nacionalidades (Portugal, Brasil, Marrocos, Espanha, Itália, França, Equador, Canadá, Chile, Colômbia e Estados Unidos da América) distribuídas por três continentes, oriundos de diversas áreas científicas.
As variações recentes do nível do mar e o risco no litoral
Authors: Alves-da-Silva António , Matlack-Klein Pamela
Published: February 2022

No presente, a preocupação com o nível médio do mar e sua anunciada subida é uma realidade em todo o globo. Mas será esse realmente um factor de risco? Será um fenómeno perigoso? Para investigar a questão, elaborou-se um estudo focado em registos da maré recolhidos criteriosamente ao longo do globo (até ao ano de 2015), para avaliar tendências e oscilações do nível médio anual do mar, extraídos a partir de análise estatística, com foco particular no século XXI. Como resultado principal, é apresentado um mapa de perigo relativo de subida nível do mar, à escala global, são apresentadas conclusões e dados exemplos práticos no sentido de determinar se as variações do nível do mar devem ou não constituir motivo de preocupação iminente.
Erosão Hídrica dos Solos: o caso particular de Idanha-a-Nova (Castelo Branco)
Authors: Lemos Paulo M. C. , Costa Claudia
Published: February 2022

O principal objetivo deste projeto é a aplicação da Equação Universal de Perdas do Solo. Tal permitirá evidenciar a importância que o processo de Erosão Hídrica possui na degradação dos solos, sendo que para o Concelho de Idanha-a-Nova, a maioria destes (69,14%) já se encontram com uma perda média a elevada, devido a este processo de destacamento e remoção das partículas pela ação da precipitação e da escorrência superficial. A identificação dos solos degradados, ou aqueles que estão mais suscetíveis ao processo de erosão, permitirá às entidades competentes tomar rapidamente decisões conscientes, no sentido de se evitar a perda irremediável deste bem precioso!
Medidas de mitigação e controlo de ravinamento: Um estudo de caso das ravinas de Seirós (Norte de Portugal)
Authors: Martins Bruno , Ferreira Cármen , Nunes Adélia , Meira Castro Ana
Published: February 2022

Sabe-se que o processo de erosão desencadeado por ravinamento pode contribuir de forma significativa para a perda e degradação do solo, o que pode limitar, as opções no que ao uso e ocupação do solo dizem respeito. A variedade de fatores físicos associados à instalação e evolução de ravinas dificulta a interpretação, e requer uma análise bem fundamentada com base na observação local. Neste trabalho são analisadas um conjunto de ravinas numa área agrícola, próximo de Seirós, Ribeira de Pena (Norte de Portugal). Para além da caracterização, é averiguada, ainda, a adequação da estratégia de proteção implementada pelo proprietário e apresentadas medidas de mitigação no sentido de controlo da erosão do solo, e reabilitação da área afetada.
A casa e o risco - entre a insegurança, o domocídio e a instrumentalização geopolítica
Authors: Luís Fernandes João
Published: February 2022

O conceito de casa é amplo e indefinido. Com dimensões materiais e imateriais, a casa estará ligada a valores positivos de conforto, segurança e identidade. Por essa razão, a perda da casa é sempre uma forma de violência. Mas também existem ameaças dentro desse espaço doméstico. A habitação poderá ser um lugar agressivo e inseguro. Para além disso, pode ser um instrumento de imposição de poder. Construir ou destruir casas poderá fazer parte de uma estratégia geopolítica para afirmação da soberania sobre um território. Por tudo isto, atravessando todas estas questões, a relação entre a casa e os riscos é múltipla, extensa e variada.
A Geografia e os territórios de risco: contributos para a compreensão da difusão da COVID 19 à escala global
Authors: Nossa Paulo , Cravidão Fernanda
Published: February 2022

O ano de 2020 ficará marcado pela disseminação, em termos globais, da COVID 19. Uma nova pandemia que rapidamente atingiu todos os lugares, embora o seu impacto esteja retratado nos territórios de modo desigual. Os mais pobres, os mais frágeis, os mais distantes dos centros de decisão são, como sempre foram, os últimos a terem acesso a condições medico-sanitárias capazes de mitigarem as consequências do vírus. Vivem em territórios de risco: em fragilidade sanitária, ausência de água potável, grandes densidades urbanas, exposição as alterações climáticas, conflitos de natureza diversa, deslocados, áreas onde a divisão do mundo em grandes blocos geopolíticos exerce de modos diversos o seu poder.
Riscos climáticos, saúde pública e a vulnerabilidade socioespacial no Brasil
Authors: Sant'Anna Neto João Lima
Published: February 2022

O objetivo deste trabalho é o de discutir a dimensão dos riscos climáticos no território brasileiro, associando os eventos extremos com os principais agravos na saúde e no bem estar da população, considerando os graves problemas socioeconômicos que tornam a vulnerabilidade social ainda mais aguda. Para tanto, parte-se da proposta teórica de Monteiro (1976), que considera as três dimensões do clima em sua relação com o espaço urbano, na perspectiva da análise sistêmica. Para a análise da saúde pública, toma-se como pressuposto, a proposta teórica do Observatório Clima e Saúde (Fiocruz, 2019) que classifica a relação clima e saúde em 4 grandes grupos de riscos climáticos e de enfermidades associadas.
Legendas à procura dum mapa: a propósito da geografia e do imaginário geográfico de Mia Couto
Authors: Jacinto Rui
Published: February 2022

A cumplicidade entre geografia e literatura, reabilitada após uma quebra de confiança ocorrida com o advento da moderna geografia, é aproveitada para perscrutar a experiência e o imaginário geográfico latente nas experiências do mundo narradas pela pena dum escritor incontornável que se expressa em língua portuguesa: Mia Couto. A geograficidade duma obra vasta e multifacetada é explorada sob duas perspetivas complementares: compreender os contornos da geografia e o imaginário geográfico dum geógrafo heterodoxo que continua a cartografar laboriosamente uma prodigiosa e imaginária geografia.
A cultura do vinho em Portugal. Pelos caminhos da vitivinicultura
Authors: Santos Norberto
Published: February 2022

O vinho, sempre presente na cultura portuguesa, ganhou, nos últimos anos, um valor acrescido. Os elementos culturais associados à vitivinicultura, o cultivo das vinhas, a produção de vinho, toda a etnografia a ela ligada, desempenham um papel relevante promovendo a divulgação de costumes, as tradições e as histórias dos lugares e das pessoas. Olhar para o enoturismo e para os seus stakeholders permite-nos contactar com identidades e saberes-fazer específicos de cada lugar, com expressões culturais autênticas a serem inscritas nos terroirs. Este texto valoriza a cultura do vinho, as regiões vitivinícolas e as rotas do vinho, suportes de sensações ímpares e multissensoriais, de partilha de experiências e veículo de transformação do modo como olhamos para o outro, para os lugares e para nós próprios.
A investigação geográfica dos incêndios florestais em Portugal - Luciano Lourenço o
grande impulsionador -
Authors: Bento-Gonçalves António , Vieira António
Published: February 2022

Num país onde os incêndios florestais configuram um dos principais riscos, Luciano
Lourenço foi pioneiro e o maior impulsionador do estudo geográfico dos incêndios
florestais, o que permitiu colocar a Geografia ao lado de outras ciências que desde cedo
foram reconhecidas como fundamentais no estudo da referida temática. Este pequeno texto,
que pretende, em primeira análise, homenagear o Prof. Luciano Lourenço, tenta, de forma
muito resumida, realçar o papel crucial que, quer enquanto investigador, quer enquanto
divulgador, ele teve no desenvolvimento e consolidação dos incêndios florestais como
objeto de estudo da Geografia.
Avaliação de Risco de Incêndio Rural à escala local na região Centro de
Portugal
Authors: Oliveira Sandra , Bergonse Rafaello , Pinto Santos Pedro , Gonçalves Ana , Melo Raquel , Zêzere José Luís
Published: February 2022

Um índice de risco de incêndio foi aplicado às 972 freguesias da região Centro de
Portugal Continental, integrando três dimensões: perigosidade, exposição e
vulnerabilidade social. As freguesias do setor centro-sul apresentam níveis de risco
mais elevados. Os padrões espaciais variam para cada dimensão; a vulnerabilidade mais
elevada ocorre nas freguesias dos setores oriental e centro-sul, enquanto a perigosidade
mais alta se localiza numa faixa N-S no setor central da região. As estratégias de
redução de risco devem ser ajustadas de acordo com a relevância de cada
dimensão.