bluuebunny/crossref_metadata_2025 huggingface dataset:
Tacit Knowledge Sharing for System Integration
Authors: Abbas Yawar , Martinetti Alberto , Rajabalinejad Mohammad , Frunt Lex , van Dongen Leo A. M.
Published: May 2020

Sharing of tacit knowledge is a key topic of research within the knowledge management community. Considering its embodied nature, organizations have always struggled with embedding it into their processes. Proper execution of complex processes such as system integration asks for an adequate sharing of tacit knowledge. Acknowledging the importance of lessons learned for system integration and their presence in tacit and explicit form, a case study was conducted within the Netherlands Railways. It was determined that non-sensitivity to the tacit dimension of lessons learned has resulted in their lack of utilization. Consequently, LEAF framework was developed, where LEAF stands for learnability, embraceability, applicability, and findability. The framework suggests that addressing these four features collectively can eventually lead to an adequate knowledge-sharing strategy for lessons learned. Lastly, the chapter presents an example from the Netherlands Railways to emphasize the key role technological solutions of Industry 4.0 can play in facilitating tacit knowledge sharing.
Safety 4.0
Authors: Baldissone Gabriele , Pilone Eleonora , Comberti Lorenzo , Tarsitano Vincenzo
Published: May 2020

In recent years augmented reality has begun to be a presence in various industrial sectors. In augmented reality the operator's perception of reality is enriched through virtual information useful to help him in his working activity. Augmented reality can be generated through various technical solutions. A first classification can be made based on how the equipment is used: head mounted displays, handheld displays, and spatial displays. Maintenance can benefit from the introduction of augmented reality as it can help operators in activities characterized by variability and in the risky activities. This is because augmented reality allows to remember the steps of the procedures and highlight the dangers if present. However, the use of augmented reality devices can bring new dangers including ergonomic problems or visual fatigue or information overload. This chapter presents an index methodology for assessing the risks introduced by augmented reality devices.
MRO 4.0
Authors: Marques Henrique Costa , Abrahão Fernando Teixeira Mendes , Rocha Guilherme Conceição
Published: May 2020

The demand for increased efficiency of production processes, while maintaining quality and safety in the operating environment, are permanent requirements of industrial revolutions. In the information age, data acquisition and its use to affect business strategies are being carried out by sensing production lines, tracking processes, and the product itself throughout its life cycle. Industry 4.0 requires an organizational transformation in terms of culture, process, and technology for the organization to be able to harness the potential of information. This chapter seeks to establish the difficulties and challenges of organizational transformation from the analysis of an aviation MRO company in light of integrated logistics support (ILS). The discussion will lead to the points to be taken into account from all elements of the ILS that will produce a roadmap for decision-makers to follow.
Student Engagement and Smart Spaces
Authors: Hahn Jim
Published: May 2020

The purpose of this chapter is to provide evidence-based findings on student engagement within smart library spaces. The focus of smart libraries includes spaces that are enhanced with the internet of things (IoT) infrastructure and library collection maps accessed through a library-designed mobile application. The analysis herein explored IoT-based browsing within an undergraduate library collection. The open stacks and mobile infrastructure provided several years (2016-2019) of user-generated smart building data on browsing and selecting items in open stacks. The methods of analysis used in this chapter include transactional analysis and data visualization of IoT infrastructure logs. By analyzing server logs from the computing infrastructure that powers the IoT services, it is possible to infer in greater detail than heretofore possible the specifics of the way library collections are a target of undergraduate student engagement.
The Unarmed Left Against Third Peronism (1973-1976)
Authors: Lissandrello Guido , Kabat Marina
Published: May 2020

This chapter tackles the junction between these two phenomena: the growth of the Argentine left and the politics of the third Peronism in the 1970s in Argentina. The authors study the positioning of the first actor against the measures of the second. To this end, they examine two political parties from two opposite traditions within Marxism: the Communist Party (CP), formed in the Stalinist tradition, and the Socialist Workers Party (PST), part of Argentine Trotskyism. These are, in both cases, organizations that did not bet on the deployment of forms of armed struggle and thus have been relegated by the historiography. Indeed, the main contributions to the study of the left were concentrated in the main political-military organizations: Montoneros.
Nonlinearly Elastic Constitutive Relation of Anisotropic Aggregate of Cube Crystallites
Authors: Wu Lang , Yan Ru Yu , Cai Jun Yao , Li Hao
Published: May 2020

Under Voigt model, Barsch and Johnson gave the formula of nonliearly elastic constitutive relations for isotropic aggregates of cubic crystallites and orthorhambic aggregates of cubic crystallies, respectively. In this paper, a nonlinear elastic constitutive relation based on Voigt model, which is more general than Barsch's and Johnson's results, is derived for the set of anisotropic cubic grains. The anisotropy of metals is described by the texture coefficient.
Microstructure and Properties of TiB2/AlFeNiCoCr Composites by Spark Plasma Sintering
Authors: Xiao Dai Hong , Wu Min Dong
Published: May 2020

TiB2/AlFeNiCoCr high-entropy-alloy-matrix composites were fabricated by spark plasma sintering. Effects of SPS process on microstructure and mechanical properties of 0.5 vol.% TiB2/AlFeNiCoCr composites were studied using X-ray diffraction, density testing, scanning electron microscopy, mechanical property testing. It is shown that increasing of sintering temperature and pressure can improve the relative density and compressive properties of 5 vol. %TiB2/AlCoCrFeNi composites. During the spark plasma sintering, there is phase evolution in the composites. The 5 vol. % TiB2/AlCoCrFeNi composite after sintering at 1200 °C and 30 ~ 45 MPa is composed of phases BCC, B2, FCC, σ and TiB2.
Fatigue Behavior Improvement of A356 Aluminum Alloy of Motorcycle Cast Wheel Produced by High Speed Centrifugal Casting Based on T6 Heat Treatment and Artificial Aging
Authors: Iswanto Priyo Tri , Akhyar Akhyar , Janata Aditya , Mauludin Luthfi Muhammad , Sadida Hizba Muhammad
Published: May 2020

Fatigue behavior of A356 aluminum alloy for motorcycle rim was experimentally investigated based on T6 heat treatment and artificial aging. The high speed of 1,100 rpm from centrifugal casting was used in this study. The pouring temperature at 750 °C was employed and the preheated temperature at 250 °C was applied on the mold. The solution heat treatment of the sample was conducted for 4 hours at 540 o C before it immersed into the water for rapid cooling at room temperature. This step followed by natural aging treatment at 30 °C and artificial aging treatment at 150 °C, 175 °C, and 200 °C for 2 hours, respectively. It is found that increasing centrifugal casting speed into 1,100 rpm combined with heat treatment and artificial aging temperature can significantly increase not only its mechanical properties but also the fatigue life of motorcycle wheel made of A356 aluminum alloy. This experiment proved that the lowest fatigue crack growth rate obtained with this method was at temperature of 175°C.
Competitive Examinations, Special Competitions for Senior Servants or Open Market Competitions - Which of Them Determine Merit the Most?
Authors: Pečarič Mirko
Published: May 2020

Selection mechanisms that could identify the best candidates for the civil service are the first step towards the effective and efficient public administration. The competitive examinations, specific competitions for senior servants and selection available on the labour market are the forms of meritocracy, so the question is not to abolish or sustain them, but to know which of them the most expresses talent, effort, and achievement. And this knowledge is the aim of this paper. Merit seems intuitively the best option for the selection of the best public sector employees, but it is questionable which form of selection is the best. Having this in mind, this paper based on the recruiting processes of the first twenty ranked countries based on the rule of law, GINI index, corruption perception and public integrity indexes shows the competition on the labour market system of recruitment of public servants as the most effective; then follows the competitive examination system for senior public servants and as the last (and contra intuitively) the competitive examination system. Based on the country's low Gini index, results also show it is more likely that the competition on the labour market recruitment system is used.
Community Interpreting for Public Local Institutions in Maribor – Implementation of a Transcultural Law Clinic
Authors: Kučiš Vlasta , Vid Natalia Kaloh
Published: May 2020

Our paper focuses on the possibility of offering supervised translating/interpreting services to legal interpreters and professionals at Maribor court in the form of a transcultural law clinic implemented as an elective course at the university level. In the empirical section, we will focus on the results of interviews with legal interpreters and professionals at the Penalty Department of Maribor court. On the basis of evidence acquired through questionnaires and interviews, this chapter analyses both legal interpreters and legal professionals’ perspectives on their role, mutual cooperation, conflicts that may arise and limits to their functions, all within the framework of current interpreting service provision practiced at the local Maribor court. The analysis of the data lead to establishing a transcultural law clinic in the form of an elective course at the Faculty of Arts, University of Maribor. The research was conducted and the clinic was organized within the project “TransLaw: Exploring Legal Interpreting Service Paths and Transcultural Law Clinics for persons suspected or accused of a crime” financed by the European Union.
Impact of Tourism Development on the Quality of Life: A case study of Perhentian Island, Malaysia
Authors: Nordin Aleff Omar Shah , Ismail Fathilah , Jamal Nurain Yasmin Mohd
Published: May 2020

The purpose of this research was to identify the perceptions of the local community toward tourism development impacts on Perhentian Island. Specifically, the research examined the local community’s perceptions of socio-cultural impacts, economic impacts, and environmental impacts of tourism development. The research also examined the relationship between the impacts of tourism development on the local community’s quality of life (QOL). This research was conducted using a quantitative approach by obtaining responses from 272 local community respondents on Perhentian Island. A household survey based on purposive sampling techniques was conducted to select a suitable sample. The findings of the study revealed that the positive impacts of tourism development outweighed the negative impact. Based on local community perceptions, they believed that tourism development improved their quality of life. This study also finds the impact of social-cultural benefit, economic benefits, economic cost, and environmental benefits have a significant relationship with quality of life. However, there is a negative relationship between the impact of social-cultural cost and environment cost on the quality of life. The findings of this study are important for planners and developers in planning strategic and sustainable tourism development on tourism destinations.
Confirmation and Validation of Smart Tourism Technology Attributes: the case study of City of Tshwane
Authors: Nengovhela Munei , Ochara Nixon Muganda , Madzunye (Nethengwe) Tondani
Published: May 2020

The Fourth Industrial Revolution has resulted in the proliferation of the word ‘smart’. The continued use and adoption of smart tourism technologies by tourists is creating a new form of tourist consumption behaviour that is influenced by smart tourism technologies. The notion of smart cities has also emerged. The city of Tshwane has been making strides to become a world class African smart city and such offers the city of Tshwane an opportunity to position itself as a smart tourism destination. Prior to such positioning, it is critical that a research aimed at investigating digital behaviour of tourists visiting the city be conducted. The objective of the current study was to identify and validate the attributes (factors) of the smart tourism technologies that influence a tourist’s destination choice. The study was quantitative in nature. Data was collected by means of a questionnaire with 29 seven-point Likert scale items. A total of 208 questionnaires were collected. Confirmatory Factor Analysis was used to reduce and validate the factors (Attributes). The study identified seven smart tourism technology attributes that influence destination choice, such factors should therefore be considered when designing smart tourism tools aimed to supporting tourist decision making.
Studies on Anticholinesterase and Antioxidant Effects of Samples from Iris L. Genus of Turkish Origin
Authors: SEVİM Duygu , ŞENER Bilge
Published: May 2020

The genus Iris
L. (Iridaceae) is a member of geophytes with attractive flowers. There are about 56 Iris taxa
growing in Turkey, 24 of which are endemic. A survey of the literature
indicates that the research carried out on Iris species are focused on
the flavonoid and volatile compounds of the plant.

In present study, the dichloromethane and
methanol extracts prepared from the rhizomes of 47 Iris taxa growing in
Turkey were investigated for their in vitro cholinesterase inhibitory
effects against acetylcholinesterase (AChE) and
butyrylcholinesterase (BChE) which the enzymes linked to Alzheimer’s diseases and antioxidant capacities using 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical
scavenging test as well.

The Iris extracts studied have been found
more active against BChE than AChE. compared
with 100
μg/ml galanthamine (89.29 ± 0.96 %) as reference, Iris kerneriana (coded as Y122) and Iris pseudacorus (coded as Y131)
methanol extracts had significant BChE inhibition effect (respectively, 80.22 ±
1.04 % and 53.06 ± 1.13 %) at concentration of 200 μg/ml. Among
tested samples, methanol extracts of I.
kerneriana, I. lazica, I. pseudacorus and I. suaveolens have shown remarkable antioxidant activity at
concentration of 2 mg/ml for DPPH compared with gallic acid.
Borsa İstanbul Teknoloji Endeksi (XUTEK) Şirketlerinin Altman Z-Skor Analizi İle Değerlendirilmesi
Authors: Sinan Gülençer  , Adalet Hazar
Published: May 2020

Altman Z-Skor ile finansal başarısızlık ve iflas riskini analiz etmektir. Teknoloji firmaları başlangıç ​​yatırımları ve AR-GE süreçleri arasında yoğun risk taşımaktadır. Teknoloji firmalarının bulunduğu bölgelerde sektör, çok hızlı dönüşümlerin meydana geldiği ve hızlı aksiyonlar bulunmaktadır. 16 teknoloji şirketi üzerinde gerçekleştirilmiştir. Altman Z-Skor ile ilgili finansal başarısızlık ve iflas riskini ölçümleme yapabilmek 16 teknoloji içindir ait 2019 bilanço grafikleri arasından elde edilen sonuçlar değerlendirilmiştir. Altman Z-Skoru modeli kullanılır, BİST 2019 hisse değer değişmektedir.
Aproximações entre Álgebra e Geometria: uso do conceito de progressão aritmética na divisão de segmentos de retas em pontos equidistantes
Authors: Melo Indianara Scarpari de , Santos Dirceu Lima dos , Kripka Rosana Maria Luvezute
Published: May 2020

A aprendizagem de conceitos em matemática implica na percepção de relações entre diferentes abordagens, sejam elas por meio da aritmética, álgebra ou geometria. Nesse artigo, apresenta-se uma proposta alternativa para a resolução de um problema clássico da geometria analítica, que trata da divisão de um segmento em uma razão dada, percebido por uma acadêmica do curso de licenciatura em Matemática, ocorrido espontaneamente, no decorrer de uma disciplina denominada “Geometria Analítica”. A pesquisa bibliográfica indicou que existem diferentes modos de resolução, mas não foi encontrado um método semelhante ao proposto pela estudante. Concluiu-se que essa percepção, que implica no uso tanto de conceitos geométricos, como algébricos, pode favorecer o ensino e a aprendizagem significativa da matemática, pois permite estimular o uso de conceitos prévios já existentes, tais como os conceitos de ponto médio, pontos equidistantes e progressão aritmética, bem como possibilita estimular o desenvolvimento da competência em transitar entre diferentes registros semióticos.
O Vídeo Didático: algumas percepções da prática docente inseridas entre a matemática acadêmica e a matemática escolar
Authors: Silva Sandro Ricardo , Javaroni Sueli Liberatti
Published: May 2020

Apresentamos neste artigo a análise de um dos vídeos produzidos durante uma pesquisa que tinha como objetivo investigar como a Matemática é apresentada nos vídeos elaborados por licenciandos, discentes das disciplinas de Estágio Supervisionado, de um curso de Graduação em Matemática na modalidade a distância. Como procedimentos metodológicos adotamos a observação participante no ambiente virtual de aprendizagem Moodle, ambiente natural das disciplinas; entrevistamos as professoras responsáveis pelas disciplinas investigadas e o coordenador do curso; aplicamos dois questionários, um para os cursantes das disciplinas investigadas e outro para os professores que trabalham na modalidade a distância; utilizamos as informações do projeto pedagógico do curso como dados e analisamos os vídeos produzidos pelos licenciandos. Para organização e análise dos dados produzidos utilizamos a Teoria Fundamentada nos Dados. Dessa análise inferimos que existe uma relação entre a Matemática Acadêmica e a Matemática Escolar e que os estudantes utilizam vídeos como recursos didáticos e pedagógicos.
Aspectos da Concepção de Educação Matemática Crítica em Material Didático de Matemática Financeira
Authors: Bartho Viviane Dinês de Oliveira Ribeiro , Mota Nádija Araújo da
Published: May 2020

Reconhece-se a necessidade da Educação Financeira, mas como conciliar seu ensino – com o pressuposto do funcionamento do capitalismo e do consumo – a uma Educação Matemática Crítica, cujo objetivo básico é o desenvolvimento do sujeito de forma integral, crítica e reflexiva? Tem-se a perspectiva de que o ensino da gestão das finanças deveria relacionar-se a uma visão crítica, preocupada com a sociedade, a inclusão e o ecossistema. Assim, analisamos uma atividade didática delimitada de um material pedagógico elaborado para o trabalho de Educação Financeira. O material encontra-se em escolas públicas de Ensino Médio de São Paulo como apoio ao ensino da Matemática em geral. Resultados impulsionaram discussões acerca da problemática inicialmente observada e desvelaram contradições entre os propósitos de uma Educação Matemática Crítica e as características e métodos da atividade de Educação Financeira. Concluímos haver necessidade de (re)discussão dos objetivos da Educação Matemática na escola pública, já nos cursos de graduação.
The Estimated Value of Losses and Insurance Due to Citarum River Flooding
Authors: Irianingsih Iin , Susanti Dwi , Kartiwa Alit , Ivana S.S.S. Forman
Published: May 2020

Flooding in Citarum always happens in Bandung District which causes loss of property, household damage, diseases moreover decease. The government provides aid for flood victims, but the help is not cover losses. In this circumstance, people need insurance. This study aims to set up flood insurance based on economic conditions, areas, and losses due to flooding. To find out the conditions, interviewed the village chief of Baleendah. The analytical methods used are linear regression analysis and analysis method mix. Linear regression analysis was used to estimate flood losses that will serve as the sum insured in the form of insurance products. Analysis mixture consisting of identification areas, conditions, and alternative insurance models used to establish the right flood insurance for Baleendah. Results show the estimation of flood losses and flood insurance appropriate to the condition of Baleendah.
Estimation of Reinsurance Risk Value Using the Excess of Loss Method
Authors: Saputra Jumadil , Fauzia Tika , Sukono Sukono , Riaman Riaman
Published: May 2020

As with any other business that has a risk of any incident in the future, the insurance business also needs protection against the risks that may arise in the company so that the company does not lose. Therefore, the need for anticipation in organizing any claims submitted by the insurance company to Reinsurance Company so that insurance company may assign any or all of the risks to reinsurance companies. In the method of reinsurance excess-of-loss there is a certain retention limits that allow reinsurance companies bear no claims incurred on insurance companies. The results of this study showed the average occurrence of claims and the risks that may be encountered by Reinsurance Company during the period of insurance. The magnitude of the risk assumed by the reinsurer relies on the model claims aggregation formed from individual claim size distribution models and distribution models the number of claims incurred in the period of insurance. Besides the magnitude of risk was also determined from the retention limit of insurance and reinsurance method used.
Abnormal Portfolio Asset Allocation Model: Review
Authors: Bt Abdul Halima Nurfadhlina , Susanti Dwi , Kartiwa Alit , Soeryana Hasbullah Endang
Published: May 2020

It has been widely studied how investors will allocate their assets to an investment when the return of assets is normally distributed. In this context usually, the problem of portfolio optimization is analyzed using mean-variance. When asset returns are not normally distributed, the mean-variance analysis may not be appropriate for selecting the optimum portfolio. This paper will examine the consequences of abnormalities in the process of allocating investment portfolio assets. Here will be shown how to adjust the mean-variance standard as a basic framework for asset allocation in cases where asset returns are not normally distributed. We will also discuss the application of the optimum strategies for this problem. Based on the results of literature studies, it can be concluded that the expected utility approximation involves averages, variances, skewness, and kurtosis, and can be extended to even higher moments.
ADMINISTRAÇÃO DE MARKETING: Análise críticas e fundamentais sobre marketing moderno.
Authors: Rapôso Cláudio Filipe Lima , Andrade Júnior Gilberto Cordeiro de
Published: May 2020

Philip Kotler, nasceu em 27 de maio de 1931 na cidade Chicago nos Estados Unidos, Kotler se tornou mestre em Economia Pela Universidade de Chicago e seu Doutorado na mesma área no MIT. Segundo análise feita ao Google Scholar com o descritores” Administração de Marketing” e “Philip Kotler” a sua obra foi citada 11.846 vezes em português, entre os autores está Chiavenato (2004), Vieira (2002), Honorato (2004) e Tenório (2015). A competitividade do mercado tende a ser astuto, agregando diversas e complexas opções, tornando bastante energética a forma de conquistar e fidelizar clientes, mantendo fiéis dedicados. Dessa forma, conclui-se que o objetivo empresarial tende a superar o contexto simples de satisfação, incorporando o conceito de fidelização, comunicação e entrega de forma eficiente em uma sociedade globalizada.

Referências bibliográficas

Bardin, L. (2009). Análise de conteúdo, Edições 70, Lisboa. Portugal, LDA.

Brito, R. C. B., & Gomes, R. (2015). Young male homosexuals and their health: a systematic review/Os jovens homossexuais masculinos e sua saude: uma revisao sistematica/Los jóvenes homosexuales masculinos y su salud: una revisión sistemática. Interface: Comunicação Saúde Educação, 19(52).

Chiavenato, I., & Sapiro, A. (2004). Planejamento estratégico. Elsevier Brasil.

Honorato, G. (2003). Conhecendo o marketing. Editora Manole Ltda.

Kotler, P. (2000). Marketing para o século XXI. Futura.

Kotler, P. (2003). Dirección de marketing: conceptos esenciales (3. a edición).

Kotler, P., & Armstrong, G. (2007). Princípios de marketing. Pearson Prentice Hall.

Kotler, P., & Keller, K. L. (2006). Administração de marketing: a bíblia do marketing. 12ª edição.

Lana, D. (2016). Administração de Marketing. MISES: Interdisciplinary Journal of Philosophy, Law and Economics, 4(2), 571-575.

Tenório, O. F. G. (2015). Responsabilidade social empresarial: teoria e prática. Editora FGV.

Vieira, V. A. (2002). As tipologias, variações e características da pesquisa de marketing. Revista da FAE, 5(1).

Rapôso, C. F. L., de Lima, H. M., de Oliveira Junior, W. F., Silva, P. A. F., & de Souza Barros, E. E. (2019). LGPD-LEI GERAL DE PROTEÇÃO DE DADOS PESSOAIS EM TECNOLOGIA DA INFORMAÇÃO: Revisão Sistemática. RACE-Revista da Administração, 4, 58-67.

Rapôso, C. F. L. (2019). CRITICAL ANALYSIS OF THE WORK: THE FIRST FOR CHAPTERS OF THE ANATOMY OF THE STATE. Internacional Multidisciplinary Journal of the Brazil , 2(1), 21 - 29. https://doi.org/10.46343/imjbr.v2i1.10
ANALISIS DUKUNGAN INSTITUSI TERHADAP PENYELENGGARAAN KANTIN SEHAT PADA MAHASISWA DI UNIVERSITAS NEGERI DAN SWASTA DI JAKARTA
Authors: Permatasari Tria Astika Endah , Nurkamalia  , Astin Nia Mailan
Published: May 2020

Masalah gizi ganda terus meningkat di berbagai negara termasuk di Indonesia. Salah satu kelompok yang berkontribusi dalam kondisi ini adalah mahasiswa. Ketersediaan kantin sehat di kampus menjadi faktor penyebab utama rendahnya status gizi mahasiswa. Penelitian ini bertujuan untuk mengetahui dukungan institusi terhadap peyelenggaraan kantin sehat pada mahasiswa di Universitas negeri dan swasta di Jakarta. Penelitian ini menggunakan desain studi analitik observasional dengan menggunakan metode cross sectional. Subjek penelitian ini adalah mahasiwa Negeri dan mahasiswa Swasta di Jakarta. Teknik pengambilan sampel yang digunakan adalah accidental sampling dengan jumlah responden sebanyak 114 responden yang terdiri dari 57 mahasiswa Perguruan Tinggi Negeri dan 57 mahasiswa Perguruan Tinggi Swasta. Data diambil pada bulan Oktober-November 2017 dengan menggunakan kuesioner yang diadaptasi dari Ontario Society of Nutrition Professionals  in Public Health (OSNPPH). Data ini dianalisis dengan menggunakan analisis multivariat logistic ganda. Penelitian ini menunjukkan bahwa didapatkan nilai OR pada dukungan institusi sebesar 4,246 (95% CI: 1,933 – 9,326). Berdasarkan persepsi mahasiswa, dukungan institusi berpeluang 4 x lipat terhadap penyelenggaraan kantin sehat dibandingkan dengan yang tidak mendapatkan dukungan ististusi. Oleh karenanya, perlu adanya dukungan kebijakan penyelenggaraan kantin sehat dan penyediaan fasilitas di kampus dalam menunjang pemenuhan gizi mahasiswa.
VALUE STREAM MAPPING (VSM) PADA INSTALASI RAWAT INAP DI RUMAH SAKIT PEMBINA KESEJAHTERAAN UMAT (PKU) MUHAMMADIYAH GOMBONG
Authors: Muyassaroh Titi Istinganah , Wibowo Marsiana
Published: May 2020

Value Stream Mapping (VSM) merupakan gambaran aktivitas pelayanan dari pertama kali konsumen meminta pelayanan hingga selesainya pelayanan. Rumah sakit menggunakan VSM untuk mengidentifikasi Value Added (VA) dan Non Value Added (NVA). Tujuan penelitian adalah menganalisis aliran proses pelayanan rawat inap VSM untuk mengetahui VA dan NVA. Peneliti menggunakan pendekatan kualitatif dengan rancangan studi kasus. Subjek terdiri dari petugas pendaftaran, perawat rawat inap, kepala instalasi rawat inap, apoteker farmasi rawat inap, kasir rawat inap, dan pasien rawat inap BPJS serta umum. Peneliti melakukan wawancara dan observasi pelayanan pasien BPJS dan pasien umum. Hasil menunjukkan waktu proses penerimaan pasien BPJS adalah 6.111 detik dan pasien umum adalah 5.465 detik. Waktu proses pemulangan pasien BPJS adalah 11.877 detik dan pasien umum 7.904 detik. Perbandingan VA dan NVA proses penerimaan pasien rawat inap BPJS 52%:48%, pasien umum yaitu 49%:51%. Pada proses pemulangan pasien BPJS 20%:80%, dan pasien umum 40%:60%. Baik pasien umum maupun BPJS memiliki waktu tunggu yang lama masuk bangsal. Proses pemulangan pasien BPJS berdurasi lebih lama dibandingkan pasien umum. Hasil observasi menunjukkan adanya waste waiting, conclusion, defect, transportation dan overproccesing. Rumah sakit perlu menindaklanjuti hasil ini agar pelayanan rawat inap lebih efektif dan efisien.
SUPLEMENTACIÓN A VACAS LECHERAS DE TRANSICIÓN CON CALCIO EN FORMA DE GEL PARA PREVENIR LA HIPOCALCEMIA
Authors: Soto Isamari , Ruiz Teodoro M. , Randel Paul F.
Published: May 2020

Resumen en español
TÜRKİYE TÜRKÇESİ İLE AZERBAYCAN TÜRKÇESİNİN BİRLEŞİK ZARF-FİİL EKLERİNİN YAPI AÇISINDAN KARŞILAŞTIRILMASI
Authors: DAĞLI Hacı , KIZILTOPRAK Şeyhmus
Published: May 2020

Bu çalışmada, Güney-batı (Oğuz) grubuna dâhil olan Azerbaycan Türkçesi ile Türkiye Türkçesinin birleşik zarf-fiil eklerinin yapısı açısından karşılaştırmalı bir çalışma yapılmıştır. Yapılan bu karşılaştırmada her iki dilde bulunan birleşik zarf-fiil ekleri ele alınarak analiz edilmiştir. Edilen bu analizde her iki dilin birleşik zarf-fiil ekleri arasındaki farklar ve benzerlikler olduğu tespit edilmiştir. Özellikle bu çalışmamızda Pr. Dr. Tuncer Gülensoy’un “Türkçe El Kitabı” adlı kitabı, Haydar Edikun’un “Türk Dilbilgisi” adlı eseri, M. Ergin’nin, “Türk Dilbilgisi” adlı kitabı, Zeynep Korkmaz’ın “Türkiye Türkçesi Grameri - Şekil Bilgisi” kitabı, Tofiq Hacıyeva, Nizami Cefərov ve Nəzami Xudiyev’in “Azərbaycan Dili”, Q. Ş. Kazımov’un “Müassir Azərbaycan Dili”... gibi kaynaklardan temel alınarak gidilmiştir. Anahtar kelimeler: Türkiye Türkçesi, Azerbaycan Türkçesi, Zarf-fiil
Clinical Study to Evaluate the Efficacy and Safety of Comprehensive Ayurvedic Therapy in Plaque Psoriasis
Authors: Mitra Achintya , Radhakrishnan P , Das Debajyoti , Deep VC , Jameela Sophia , Khanduri Shruti , Rana Rakesh , Maheswar T , Gupta Bharti , Hazara Jayram , Padhi Madan Mohan , Srikanth Narayanam , Dhiman Kartar Singh
Published: May 2020

Background:

Psoriasis is a noninfectious chronic disease with unknown etiology, but multiple triggers and much comorbidity, characterized by well-defined dry scaly erythematous patches covered with adherent silvery white scales predominantly on the extensor surfaces. The risks and adverse effects of long-term contemporary therapy outweigh the benefits. Ayurveda approaches psoriasis as Vata-Kaphaja Kushtha and individualized approach to patient is advised. This study was done to assay the efficacy and safety of comprehensive Ayurvedic therapy, involving Panchakarma, Takradhara, and Rasayana in the management of plaque psoriasis.

Objectives:

To evaluate clinical efficacy and safety of comprehensive Ayurvedic therapy in psoriasis.

Materials and methods:

A prospective, open-label multicenter study was carried out at two peripheral centers of Central Council for Research in Ayurvedic Sciences (CCRAS). A total of 85 patients diagnosed with plaque psoriasis were recruited and administered Vamana Karma followed by Takradhara and Rasayana therapy. The total duration of therapy was 66 days. Assessment was done based on the relief in clinical symptoms of psoriasis, psoriasis area and severity index (PASI) score, and dermatology life quality index (DLQI). Safety assessment was done through analysis of liver function tests (LFTs) and kidney function tests (KFTs) before and after the trial period.

Results:

The treatment protocol provided statistically significant relief in symptoms of psoriasis, PASI, and DLQI. The PASI score improved from 23.594 at baseline to 5.199 at the end of trial with p value < 0.001. There was significant improvement in all parameters of DLQI at the end of 66th day and no adverse events (AEs) were noted during the trial period. The values of LFT and KFT were observed to be within limits during the entire period.

Conclusion:

Treatment protocol involving Panchakarma, Takradhara, and Rasayana was effective in producing relief in plaque psoriasis.
Clinical Evaluation of Efficacy and Safety of Classical Ayurveda Formulations, Panchatikta Ghrita and Nalpamaradi Taila, in the Management of Psoriasis
Authors: Khanduri Shruti , Jameela Sophia , Amin Hetal , Anumol K , Rao Bhogavalli Chandrasekhara , Rana Rakesh , Srikanth Narayanam
Published: May 2020

Background:

Psoriasis is a common immune-mediated dermatological manifestation that has a significant impact on the physical, social, and psychological well-being of the individual. The most common cutaneous manifestation of the disease includes chronic, symmetrical, scaling papules, and plaques on an erythematous base. Ayurveda considers skin disorders under the spectrum of Kushta and those diseases that manifest with dryness, exfoliation, thick plaques, etc., are generally attributed to vitiation of Vata and Kapha Dosha with underlying Rakta Dhatu Dushti. Panchatikta Ghrita has been used for both Shodhanartha Snehapana (oleation for Shodhana purpose) and Shamana in skin diseases of varied origin. Nalpamaradi Taila is ideal in vitiation of Vata and Kapha Dosha while pacifying Pitta and Rakta Dushti.

Materials and methods:

A multicenter, open-label prospective study that is to be executed at two Institutes of Central Council for Research in Ayurvedic Sciences (CCRAS) which were dedicated to research of skin disorders. A total of 120 patients would be recruited for the trial (60 from each institute) and would be administered with Panchatikta Ghrita in the dose of 6 g twice daily before food, with lukewarm water as Anupana, while Nalpamaradi Taila will be given for external application over the affected areas twice daily for a duration of 12 weeks. The primary outcome will be change in psoriasis area and severity index (PASI) score from baseline to final visit and change in dermatology life quality index (DLQI) questionnaire will be the secondary outcome measure. The safety and tolerability of the formulations will be determined by clinical/biochemical assessments during the follow-ups. Paired t test would be used to assess the efficacy of the interventions at 12th and 14th week when compared with the baseline. Data will be collected and analyzed at CCRAS Headquarters using SPSS 15.0 software.

Ethics and dissemination:

Ethics approval has been obtained from the participating institutes. The results obtained will be submitted for publication in a peer-reviewed journal.

Trial registration number:

CTRI/2020/01/022844.
Traditional Ayurveda Medicines for the Management of Amlapitta (Functional Dyspepsia)
Authors: Yadav Babita , Mahajon Bidhan , Dubey Neha , Kumar Panda Ashok , Chandrasekhara Rao Bhogavalli , Singhal Richa , Srikanth Narayanam
Published: May 2020

Background:

Amlapitta (functional dyspepsia, FD) is experienced as a heterogeneous group of upper abdominal symptoms characterized by upper abdominal colic or discomfort which may also comprise heartburn, bloating, regurgitation, early satiety, anorexia, postprandial fullness, belching, and nausea. Traditional Ayurveda medicines are frequently practiced for FD since long; however, available scientific proof relating to their competence and mechanism of actions are insubstantial. In this article, we report a protocol of a prospective, single-arm, open-label, multicenter clinical study by means of classical Ayurveda formulation to examine the effectiveness, mechanism, and safety of the patients diagnosed with Amlapitta (FD).

Materials and methods:

Present protocol is a single-arm, open-label multicenter clinical study to find the safety and efficacy of classical Ayurveda formulations Narikela Lavana and Amalakyadi Churna in the management of Amlapitta. A total of 110 patients with Amlapitta will be selected based on the inclusion and exclusion criteria. All the patients will be treated orally; with traditional Ayurveda medicine, i.e., powder Narikela Lavana 2 g, twice daily, before food; and Amalakyadi Churna 3 g, twice daily, after food. The entire participant will undergo 12-week treatment and 2-week follow-up. A total of seven visits will be scheduled for each of the participants, i.e., each one in week 0, 2, 4, 6, 8, 10, and 12. The primary outcomes include changes in FD symptoms in dyspepsia questionnaire; changes in symptoms of Amlapitta disease in Amlapitta symptom rating scale (ASRS) along with satisfactory therapeutic response. The secondary outcomes include disease relapse rate after successful treatment; assessment of quality of life in the participants of FD by the World Health Organization Quality of Life (WHO-QOL) scale; and psychological assessment by Beck's depression inventory scoring scale. Therapeutic mechanism outcomes, safety outcomes, and end-point outcomes will also be assessed.

Discussion:

Present protocol has been designed with expected better clinical outcome and safety profile in dyspepsia patients in addition to reduce relapse rate of disease during posttreatment period. If found effective, the selected drug will be listed in terms of better efficacy, safety, and cost-effective treatment of Amlapitta. The selected drug may lead to a step ahead of better understanding and management of other gastrointestinal disorders.

Trial registration:

Trial has been registered REF/2019/07/027369. The registration number for this trial is CTRI/2019/09/021133.
Colombia
Authors:   International Monetary Fund. Western Hemisphere Dept.
Published: May 2020

Selected Issues
Republic of Moldova
Authors:   International Monetary Fund. European Dept.
Published: May 2020

Thanks to recent reforms, Moldova entered the current crisis with strong
fiscal, financial, and external buffers. However, the economic outlook has deteriorated
sharply due to the COVID-19 pandemic. GDP is expected to fall by 3 percent due to
lower external and domestic demand, aggravated by a significant slowdown in
remittances. This, together with negative shocks to confidence and spillovers from
global financial channels, has created an urgent balance of payments need. Fiscal,
exchange rate, and financing pressures—already significant—are likely to worsen in the
coming weeks. On March 11, the Executive Board concluded the 2020 Article IV
consultation and completed the final review under the 2016 ECF/EFF arrangements.
Maldives
Authors:   International Monetary Fund. Asia and Pacific Dept
Published: May 2020

The Maldives is suffering from the impact of the COVID-19 pandemic. The
Maldivian economy is one of the most dependent countries on tourism. GDP growth is
projected to be about -8.1 percent in 2020, about 15 percentage points below the prepandemic
growth rate, and with large downside risks. The baseline impact would open
a 2020 external financing gap of about US$214 million and a fiscal financing gap of
around US$ 228 million.
Evolution of NO3 reactivity during the oxidation of isoprene
Authors: Dewald Patrick , Liebmann Jonathan M. , Friedrich Nils , Shenolikar Justin , Schuladen Jan , Rohrer Franz , Reimer David , Tillmann Ralf , Novelli Anna , Cho Changmin , Xu Kangming , Holzinger Rupert , Bernard François , Zhou Li , Mellouki Wahid , Brown Steven S. , Fuchs Hendrik , Lelieveld Jos , Crowley John N.
Published: May 2020

Abstract. In a series of experiments in an atmospheric simulation chamber (SAPHIR, Forschungszentrum Jülich, Germany) NO3 reactivity (kNO3) resulting from the reaction of NO3 with isoprene and stable trace gases formed as products was measured directly using a flow-tube reactor coupled to a cavity-ring-down spectrometer (FT-CRDS). The experiments were carried out in both dry and humid air with variation of the initial mixing ratios of ozone (50–100 ppbv), isoprene (3–22 ppbv) and NO2 (5–30 ppbv). kNO3 was in excellent agreement with values calculated from the isoprene mixing ratio and the rate coefficient for the reaction of NO3 with isoprene. This result serves both to confirm that the FT-CRDS returns accurate values of kNO3 even at elevated NO2 concentrations and to show that reactions of NO3 with stable reaction products like non-radical organic nitrates do not contribute significantly to NO3 reactivity during the oxidation of isoprene. A comparison of kNO3 with NO3 reactivities calculated from NO3 mixing ratios and NO3 production rates suggests that organic peroxy radicals and HO2 account for ~ 50 % of NO3 losses. This contradicts predictions based on numerical simulations using the Master Chemical Mechanism (MCM version 3.3.1) unless the rate coefficient for reaction between NO3 and isoprene-derived RO2 is roughly doubled to ≈ 5 × 10−12 cm3 molecule−1 s−1.
Rapid and objective characterization of channel morphology in a small, forested stream
Authors: Helm Carina , Hassan Marwan A. , Reid David
Published: May 2020

Abstract. Forested, gravel bed streams possess complex channel morphologies which are difficult to objectively characterise. The spatial scale necessary to adequately capture variability in these streams is often unclear, as channels are governed by irregularly spaced features and episodic processes. This issue is compounded by the high cost and time-consuming nature of field surveys in this type of environment. In larger stream systems, remotely piloted aircraft (RPAs) have proven to be effective tools for characterizing channels at high resolutions over large spatial extents, but to date their use in small, forested streams with closed forest canopies has been limited. This paper seeks to demonstrate an objective method for characterizing channel attributes over large areas, using easily extractable data from RPA imagery collected under the forest canopy in a small (width = 10 to 15 m) stream, and to provide information on the spatial scale necessary to capture the dominant spatial morphological variability of these channels. First, the accuracy and coverage of RPAs for extracting channel data was investigated through a sub-canopy survey. From this survey data, relevant cross-sectional variables were extracted and used to characterize channel unit morphology using a principal component analysis-clustering (PCA-clustering) technique. Finally, the length scale required to capture dominant morphological variability was investigated from analysis of morphological diversity along nearly 3 km of channel. The results demonstrate that sub-canopy RPA surveys provide a viable alternative to traditional survey approaches for characterizing these systems, with 87 % coverage of the main channel stream bed. The PCA-clustering analysis provided a more objective means of classifying channel morphology with a correct classification rate of 85 %. Analysis of morphological diversity suggests that reaches of at least 15 bankfull width equivalents are required to capture the channel's dominant heterogeneity. Altogether, the results provide a precedent for using RPAs to characterize the morphology and diversity of forested streams under dense canopies.
Erosion after an extreme storm event in an arid fluvial system of the southern Atacama Desert: an assessment of the magnitude, return time, and conditioning factors of erosion and debris flow generation
Authors: Aguilar Germán , Cabré Albert , Fredes Victor , Villela Bruno
Published: May 2020

Abstract. The contribution of an individual extreme storm event to long-term erosion rates has been estimated for the first time in the Atacama Desert. A mean erosion of 1.3 mm has been calculated for the March 2015 event that impacted the southernmost part of the Atacama Desert. The estimated erosion is consistent with millennial erosion rates and the previously reported return times of high-sediment-discharge events in the study area. This is significant because erosion rates, related to events of high sediment discharge in arid fluvial systems, are difficult to measure with sediment loading due to destruction of gauges by devastating flash floods and therefore have not been directly measured yet. During the March 2015 storm, debris flows were reported as the main sediment transport process, while gullies and channels erosion were the main source of sediments that generated debris flows reaching the tributary junctions and the trunk valleys. Sediment yield at tributary outlets is highly dependent on the ability of catchments to store sediments in stream networks between storms. The largest tributary catchments, the high hydrological hierarchy, the low topographic gradient and the gentle slopes are the most determining factors in generating debris flows capable of reaching alluvial fans in any storm event from large sediment volumes stored in the stream networks. Our findings better assess the susceptibility to debris flow of arid catchments, which is significant for the southernmost valleys of the Atacama Desert because human settlements and industries are mostly established in alluvial fans.
Probabilistic characterisation of coastal storm-induced risks using Bayesian Networks
Authors: Sanuy Marc , Jiménez Jose A.
Published: May 2020

Abstract. Coastal areas are often affected by inundation and erosion storm-induced risks. Detailed local risk assessments usually propagate a source (storm) through a pathway (coastal morphology) to characterise hazards (i.e. erosion and inundation) at the receptors and assess corresponding consequences. A probabilistic estimation of hazards based on the coastal response requires assessing large amounts of source characteristics. In addition, the coast is a dynamic environment, and factors such as climate change projections or existing background erosion trends require performing risk analyses under different scenarios. This work applies Bayesian Networks (BNs) following the source-pathway-receptor-consequences scheme aiming to perform a probabilistic risk characterisation at the Tordera Delta (NE Spain). The BNs allow an efficient assessment of results from a large number of storms (179) and their simulated consequences at the receptor scale (~ 4000 receptors). Presented results highlight the storm characteristics with higher probabilities to induce given risk levels for inundation and erosion, and how these are expected to change under given scenarios of shoreline retreat due to background erosion. The BNs also output probabilistic distributions of the different risk levels conditioned to given distances to the beach inner limit, allowing for the definition of probabilistic setbacks.
Hilbert problems for the geosciences in the 21st century – 20 years later
Authors: Ghil Michael
Published: May 2020

Abstract. The scientific problems posed by the Earth's atmosphere, oceans, cryosphere – along with the land surface and biota that interact with them – are central to major socio-economic and political concerns in the 21st century. It is natural, therefore, that a certain impatience should prevail in attempting to solve these problems. The point of a review paper published in this journal in 2001 was that one should proceed with all diligence, but not excessive haste: festina lente, i.e. hurry in a measured way. The earlier paper traced the necessary progress through the solutions of ten problems, starting with What can we predict beyond one week, for how long, and by what methods? and ending with Can we achieve enlightened climate control of our planet by the end of the century? A unified framework was proposed to deal with these problems in succession, from the shortest to the longest time scale, i.e. from weeks to centuries and millennia. The framework is that of dynamical systems theory, with an emphasis on successive bifurcations and the ergodic theory of nonlinear systems, on the one hand, and on pursuing this approach across a hierarchy of climate models, from the simplest, highly idealized ones, to the most detailed ones. Here, we revisit some of these problems, 20 years later, and extend the framework to coupled climate-economics modeling.