bluuebunny/crossref_metadata_2025 huggingface dataset:
Pharmacovigilance- A drug safety monitoring tool
Authors: Chauhan Shivangi
Published: September 2021

The objective of this narrative review is to converse about drug safety, global

pharmacological authorities and their responsibility, the process of adverse event

reporting, and the main functions of pharmacovigilance. Pharmacovigilance is a science

that ensures patient safety against both newly launched and well-established medicinal

products in the market. Pharmacovigilance is considered a specific tool used for observing

and estimating Adverse Drug Reactions (ADRs) and is essential for successful drug

management programs, clinical trials, and public health programs. In the few past years,

the number of reported ADRs got increased as a result of which the volume of data got

increased. To handle such huge data and the need to understand the pharmacovigilance, it

requires highly skilled and proficient people for immediate detection of drug's side effects

and protects the product from improper removal. The existing global network of

pharmacovigilance centers will be strengthened through an independent review process in

coordination with the Uppsala Monitoring Center. Its main role is to assess trials and

crucial issues of drug safety that probably influence public health beyond national

borders. In this global arena, Pharmacovigilance becomes an important and integral part

of clinical research. Most of the countries set up pharmacovigilance centers to monitor

drug safety; however, millennial pharmacovigilance faces major challenges for improved

safety and drug monitoring.
Spontaneous cardiac tamponade associated with dabigatran use in an elderly woman
Authors: Bhambhani Anupam , Sharma Sahithi , Nadamani Aditi
Published: September 2021

We report here a rare case of dabigatran-related spontaneous cardiac tamponade, which appeared in absence of the known risk factors that predispose the patient to bleed related to anticoagulant drugs. A 65-year-old lady presented to the emergency room with sudden onset dyspnea which woke her up in the early morning hours. Four days earlier, she had been started on dabigatran therapy for DVT. On examination, she was in shock. Transthoracic echocardiography confirmed cardiac tamponade. Emergent pericardiocentesis was done, draining 480 ml of haemorrhagic fluid, which tested negative for microbes and malignant cells. The patient recovered rapidly and fluid did not re-accumulate after withdrawal of dabigatran therapy. Spontaneous cardiac tamponade is rare with the use of direct anticoagulants, especially dabigatran, in the absence of predisposing risk factors. This case study highlights the need for clinicians to be cognizant of this potentially life-threatening adverse drug reaction of dabigatran so that appropriate timely action can be taken toward diagnosis and management of this complication.
ANALISIS PELAKSANAAN PEMUNGUTAN BEA PEROLEHAN HAK ATAS TANAH DAN BANGUNAN DI KOTA TOMOHON
Authors: Tiwow Sesilia , Ohy Juliana , Hermanto Bambang
Published: September 2021

Abstrak

Penelitian ini bertujuan untuk mengetahui bagaimana pelaksanaan pemungutan BPHTB di Kota Tomohon. Penelitian ini menggunakan metode deskriptif eksploratif dengan pendekatan kualitatif. Teknik pengumpulan data yaitu dengan melakukan wawancara dan  studi pustaka berupa realisasi BPHTB setiap tahun dan peraturan daerah tentang BPHTB yang berlaku. Di kota Tomohon, pemungutan pajak BPHTB berdasarkan Peraturan Daerah No. 2 tahun 2011 dan dilaksanakan oleh BPKPD Kota Tomohon dengan menggunakan sistem self assesment. Adapun dalam pelaksanaan pemungutan BPHTB ini tak lepas dari peran notaris/PPAT dan pihak kecamatan dalam hal ini camat sebagai PPATS. Tarif BPHTB yang dikenakan sebesar 5%.  Berdasarkan hasil penelitian menunjukan bahwa pemungutan BPHTB di kota Tomohon telah berjalan dengan baik, dapat dilihat dari realisasi BPHTB selama beberapa tahun terakhir yang melebihi target, namun adapun tahun tertentu yang sangat jauh dibawah target. Hal ini karena sifat BPHTB yang tidak memiliki potensi penerimaan pajak yang jelas dan menentu.

 

Abstract

This study aims to determine how the implementation of BPHTB collection in Tomohon City. This research uses descriptive exploratory method with a qualitative approach. Data collection techniques are by conducting interviews and literature study in the form of the realization of the BPHTB every year and the regional regulations on BPHTB that are in effect. In the city of Tomohon, BPHTB tax collection is based on Regional Regulation No. 2 of 2011 and implemented by BPKPD Tomohon City using a self-assessment system. As for the implementation of this BPHTB collection, it cannot be separated from the role of the notary / PPAT and the sub-district party, in this case the sub-district head as PPATS. The BPHTB rate is 5%. Based on the results of the study, it shows that the collection of BPHTB in Tomohon City has been going well, it can be seen from the realization of BPHTB over the last few years that has exceeded the target, but there are certain years that are far below the target. This is due to the nature of BPHTB which does not have clear and definite tax revenue potential.
Pengaruh Kesadaran Wajib Pajak dan Kualitas Pelayanan Terhadap Kepatuhan Wajib Pajak Kendaraan Bermotor di Kantor SAMSAT Kota Tomohon
Authors: Hormati Christian , Kewo Cecilia , Wuryaningrat Nikolas F
Published: September 2021

PeneIitian ini memiliki tujuan untuk mengetahui apakah Pangaruh Kesadaran Wajib Pajak dan KuaIitas PeIayanan terhadap Kepatuhan Wajib Pajak kendaraan bermotor pada Kantor Samsat Tomohon. Pada penelitian ini variabeI kepatuhan wajib pajak menjadi variabeI dependen. SampeI daIam peneIitian lni sebanyak 100 wajlb pajak serta diambiI menggunakan teknik rumus slovin.. Adapun teknik pengambiIan sampeI daIam peneIitian ini memakai metode sampIing IncidentaI Metode yeng digunakan untuk peneIitian ini yaitu metode survey meIaIui pendekatan kuantitatif. DaIam peneIitian lni data primer dengan dikumpulkan meIaIui teknik pengumpuIan data observasi, dokumentasi, serta angket/kuisioner. HasiI peneIitian lni menunjukan bahwa kasadaran wajib pajak tidak berpengaruh positif dan signifikan tarhadap kepatuhan wajlb pajak, kuaIitas peIayanan berpangaruh positif dan signifikani terhadap kapatuhan wajlb pajak dalam membayar pajak kendaraan bermotor di Kantor SAMSAT Kota Tomohon.
Pengaruh Anggaran Berbasis Kinerja Terhadap Kinerja Aparatur Pemerintah Daerah di Kabupaten Minahasa
Authors: Wongkar Don Leonardo , Senduk Ventje , Tanor Linda
Published: September 2021

Fenomena penyerapan anggaran yang kurang maksimal terjadi pada setiap Satuan Kerja Perangkat Daerah Pemerintah Kabupaten Minahasa, dimana permasalahan yang terjadi yaitu penyerapan anggaran yang kurang maksimal, tidak melaporkan laporan realisasi penyerapan keuangan maupun fisik sesuai jadwal yang di tetapkan, kurang matangnya perencanaan, adanya berbagai kendala. Penelitian ini menggunakan metode kuantitatif, yang bertujuan untuk melihat pengaruh anggaran berbasis kinerja terhadap kinerja aparatur pemerintah daerah di kabupaten minahasa. Populasi dalam penelitian ini adalah 264 orang ASN Dinas/Badan dengan sampel 53 orang ASN (20%) dari populasi. Teknik pengambilan data dalam penelitian ini menggunakan metode angket/kuesioner.  Hasil uji hipotesis memperlihatkan bahwa anggaran berbasis kinerja mempunyai tingkat signifikansi sebesar 0,040 yaitu lebih kecil dari 0,05 yang artinya H1 diterima dan bisa disimpulkan bahwa Variable anggaran berbasis kinerja memberikan pengaruh positif kepada variable kinerja aparatur pemerintah daerah dengan presentase 13,7%.
PENGARUH PENERAPAN E-FILLING TERHADAP EFISIENSI PELAPORAN PAJAK PENGHASILAN ORANG PRIBADI PADA KP2KP KABUPATEN MINAHASA
Authors: Wuwungan Tezalonicha , Mundung Bertha , Tangkau Jaqueline
Published: September 2021

Dalam penelitian ini memiliki tujuan untuk mengetahui seberapa berpengaruh penerapan e-filing pada efisiensi pelaporan pajak penghasilan orang pribadi,di KP2KP Kab Minahasa. Pendekatan yang digunakan dalam penelitian ini ialah pendekatan kuantitatif.Sampel yang digunakan dalam penelitian ini adalah 100 responden, yang terdaftar pada KP2KP Kab Minahasa, sudah menggunakan sistem e-filing. Hasil yang didapat dalam penelitian ini ialah terdapat pengaruh positif antara efisiensi pelaporan pajak penghasilan orang pribadi dan penerapan e-filing. Dengan adanya e-filing ini dapat membantu wajib pajak dalam proses pelaporan pajak. Wajib pajak sudah bisa melaporakan pajaknya kapan saja dan dimana saja tanpa harus kekantor pajak lagi, wajib pajak merasa efisien dengan diterapkannya sistem e-filing ini.
Analisis Pengukuran Nilai Aset Tetap Pada Badan Pengelola Keuangan Dan Aset Daerah Di Kabupaten Minahasa
Authors: Wensen Arthur Kleanfi , Kawulur Arie F. , Kewo Cecilia
Published: September 2021

Penelitian ini bertujuan untuk mengetahui pengukuran aset tetap pada Badan Pengelola Keuangan dan Aset Daerah di Kabupaten Minahasa yang berlokasi di Wawalintoan, Kecamatan Tondano Barat, Kabupaten Minahasa. Metode yang di gunakan pada penelitian ini yaitu metode deskriptif komparatif. Peneliti membandingkan perlakuan akuntansi aset tetap pada Badan Pengelola Keuangan dan Aset Daerah dengan Peraturan Standar Akuntansi Pemerintahan Nomor 71 Tahun 2010 pernyataan Nomor 07 mengenai aset tetap. Suatu aset dapat disebut sebagai aset tetap apabila masa manfaatnya lebih dari 12 bulan. Teknik pengumpulan data dilakukan dengan cara observasi, wawancara, dan dokumentasi. Analisis data menggunakan teknik kualitatif. Hasil penelitian menunjukkan bahwa pengukuran aset tetap pada Badan Pengelola Keuangan dan Aset Daerah di Kabupaten Minahasa sudah sesuai dengan Peraturan Standar Akuntansi Pemerintahan Nomor 71 Tahun 2010 Pernyataan Nomor 07 mengenai aset tetap. Badan Pengelola Keuangan dan Aset Daerah di Kabupaten Minahasa memberikan penyajian data aset tetap yang jelas dan terperinci.
Analisis perbandingan kinerja keuangan bank BUMN dan SWASTA dari tahun 2014-2018 menggunakan rasio NPL, LDR, GCG, ROA, NIM dan CAR.
Authors: Gledistin Eka , Tawas Yance , Kambey Anita
Published: September 2021

Bank merupakan tempat penyimpanan serta meminjam uang yang resmi dibuat oleh pemerintah berguna untuk mempermudah kita masyarakat yang kekurangan dana untuk diberikan pinjaman dengan bunga tertentu dan kelebihan dana untuk menyimpan dana, guna untuk mempermudah masyarakat dalam hal kebutuhan. Mengukur kapasitas keuangan adalah suatu cara dalam mengolah keuangan supaya perusahaan bias bersaing dan bertahan diduni perbankan. Metode yang dipakai ialah analisi deskriptif kuantitatif dan komparatif. Hasil yang didapatkan membuktikan jika bank BUMN dan Swasta memiliki kinerja yang sangat baik dan mampu bersaing didunia industry perbankan dan juga dalam hal menagani hambatan.
Analisis Pengendalian Intern Piutang Usaha pada PT. Mutiara Multi Finance Cabang Manado
Authors: Mosey Smitha , Tanor Linda. A. O , Sumampouw Olviane. O.
Published: September 2021

Penelitian ini bertujuan untuk mengetahui bagaimana pengendalian intern piutang di PT. Mutiara Multi Finance. Dalam penelitian ini metode yang digunakan yakni metode penelitian deskriptif. Metode pengumpulan data yang digunakan dalam penelitian ini ialah observasi dan wawancara, teknik analisis data dalam penelitian ini adalah kualitatif deskriptif. Hasil penelitian menunjukan bahwa dalam keseluruhan pengendalian intern terhadap piutang usaha pada PT. Mutiara Multi Finance berjalan cukup efektif, kendati demikian terdapat beberapa prosedur yang belum dijalankan dengan baik. Lingkungan pengendalian terhadap piutang usaha pada PT. Mutiara Multi Finance sudah berjalan dengan baik. Hal tersebut dapat dilihat dari penerapan Standar Operasional dari perusahaan yang sangat baik. Penagihan piutang pada Perusahaan tidak dilakukan dengan baik sebab setiap anggota penagih hutang tidak memiliki tunjangan seperti asuransi atau sebagainya. Informasi dan komunikasi tentang piutang usaha telah diterapkan dengan sangat baik dan efektif. Dari segi informasi manajemen kepada bawahannya hingga pada informasi yang berasal dari kariawan kepada pimpinan perusahaan.
The Effectiveness of Peer Review of Teaching when performed between Early-career Academics
Authors: Woodman Richard , Parappilly Maria
Published: September 2021

The success of peer review of teaching (PRT) in shaping teaching practice during an academic’s formative years may depend on the peers’ teaching experience and the frequency of evaluation. Two Australian early-career University lecturers with no previous experience of peer review performed a single PRT on one another following a one week academic development program, a mandatory exercise for all new academic staff with teaching roles within the University. Their experiences were recorded and used in the development of a teaching philosophy. The same PRT was then repeated between the same 2 individuals for the purpose of mandatory peer evaluation some 5 years later and after gaining considerable teaching experience. This paper describes the perceived impact of the PRT process on their teaching philosophies and the potential limitations imposed by their inexperience in formative PRT and teaching itself. Despite this relative inexperience, both academics believed their initial PRT accelerated changes to their mainly teacher-focused knowledge-transfer approaches. This case study provides qualitative evidence that PRT programs can successfully shape teaching practice without the involvement of more experienced teaching faculty. Academic developers should highlight the importance of building collegiality and the scholarship of teaching and learning for early-career PRT participants.
Using a Brief Form of Problem-Based Learning in a Research Methods Class: Perspectives of Instructor and Students
Authors: Elder Anastasia
Published: September 2021

Problem based learning (PBL) is an instructional method aimed at engaging students in collaboratively solving an ill-structured problem. PBL has been presented and researched as an overhaul of existing curriculum design, yet a modified version may be attractive to college instructors who desire active learning on the part of their students, but who cannot completely reorganize their current course design. A brief case using principles of PBL was constructed for use in an undergraduate research methods class. Instructor planning and student reflections highlight roles and skills demanded in the PBL classroom. Planned conceptual issues were successfully covered during the brief PBL case. In addition, important yet unforeseen topics emerged during the discussions and were seen as helpful for the activity and instructional objectives. Reported student perspectives indicated that the objectives of the PBL activity were successfully accomplished: students learned research concepts, engaged in discussion with peers, and were actively involved with and motivated by the authentic activity. This work supports the suggestion that a brief version of PBL may be an attractive option to instructors interested in having students be more actively engaged in the classroom. Further research on variations of PBL is encouraged.
The Nebulous, Essential Dimensions in Effective University Teaching: The Ethic of Care and Relational Acumen
Authors: Scott Donald
Published: September 2021

This paper examines the interrelationships between teaching beliefs and approaches, instructional design, relationships with students, and academics’ and students’ perceptions of effective teaching and learning. Mixed methodology was utilised and included interviews with academics and students, and questionnaires, inventories, and learning journals. As anticipated educationally optimal instructional design was appreciated by academics and students, however, it was not the most significant aspect in influencing students’ perceptions of ‘good’ or effective teaching. Differences were found between two teaching academics’ beliefs about students and these translated into varied approaches to teaching, interactions with students, and different capacities to establish positive classroom environments and relationships. Academics’ ethic of care and relational acumen were the pivotal components in students’ criteria for effective teaching, which may present a quandary to academic developers. Findings indicate the importance of relational acumen and an ethic of care and may also have significance for university leaders in matching academic teaching activities to faculty strengths and potentially explaining negative student feedback in well-designed units.
Cross-cultural impacts of COVID-19 on higher education learning and teaching practices in Spain, Oman, Nigeria and Cambodia: A cross-cultural study
Authors: Cifuentes-Faura Javier , Obor Deborah Odu , To Loeurt , Al-Naabi Ishaq
Published: September 2021

Adapting new learning and teaching practices during COVID-19 pandemic has impacted students’ learning in higher education. Using a cross-sectional research methodology, the study attempted to understand the cross-cultural impacts of COVID-19 on higher education students in Cambodia, Nigeria, Oman and Spain to determine the changes that COVID-19 has brought about in higher education students; examine how students' learning behaviour and attitudes have changed during COVID-19; identify the challenges they have experienced; and identify the changes that have taken place in learning and teaching in the selected countries. A total sample of 242 students was randomly selected from four higher education institutions in each of the selected countries. The study provided a cross-cultural understanding of how COVID-19 has affected students’ well-being, behaviors and learning. The results show that COVID-19 had adverse effects on the well-being of students in the four countries. Students received inadequate social support and security protection from others and instructors when they needed it. Omani students received less social support compared with the other three countries. COVID-19 had the worse effect on students’ employment in the four countries. The effect pressed much concern on Nigerian students who experience a great job loss. Students from the four countries were required to put a lot of effort and energy to fulfil the requirements in the program.
Molecular epidemiology of liver cancer: Liver cancer incidence and mortality pattern worldwide
Authors: Nasrin Jafari  , Roya Dolatkhah
Published: September 2021

Primary liver cancer was the sixth most prevalent cancer and third leading cause of cancer mortality worldwide. The highest rates of incidence and mortality were reported in Eastern Asia and it was 2 to 3 times more common than females in most regions. The summary estimates of the global trends in incidence rates of liver cancer indicated decreasing trends in many Asian high-risk countries, however increasing trends for North American and European countries. Understanding the several involved cells signaling pathways in liver cancer pathogenesis provide an opportunity to identify novel targets that can be utilized for therapeutic and diagnostic modalities. At this time there are only a few effective strategies to prevent or treat liver cancer, and, therefore, a great deal of research is being conducted on liver cancer early detection and prevention. There are no widely recommended screening tests for liver cancer in people who are at average risk at this time. But, testing might be recommended for some people at higher risk. However researchers are studying ways to prevent or treat hepatitis infections before they cause liver cancers. Research into developing a vaccine to prevent hepatitis C is ongoing. Since population-based methods for screening the disease have not been introduced, the greatest focus should be placed on the predominant risk factors for the disease in older men, further studies should be conducted and high-risk provinces should be spotlighted.
Mapeamento de competências do bibliotecário para uma atuação na indústria
Authors: Araújo Vanessa Silva , Inomata Danielly Oliveira
Published: September 2021

Introdução:apresenta a investigação sobre as competências necessárias para a atuação do bibliotecário na indústria, as quais foram identificadas na literatura, servindo como base para a pesquisa de campo realizada em uma indústria do Pólo Industrial de Manaus, e posteriormente validadas por especialistas no assunto. Método: a pesquisa caracteriza-se por ser exploratória, descritiva, de natureza qualitativa, na qual a pesquisa bibliográfica fundamentou a pesquisa de campo, cujos dados foram coletados por meio de formulário eletrônico.  Resultados: foram identificadas as  competências necessárias para a atuação do bibliotecário na indústria, verificando-se que as competências propostas a partir da literatura estão de acordo com a atuação do bibliotecário no campo de atuação. Conclusão: concluiu-se que há a necessidade de bibliotecários na indústria para lidar com a informação neste ambiente, sendo que as competências identificadas orientam esta atuação, garantindo melhor desempenho nas atividades da indústria.
Study of Aggregation Behavior of Predesigned Azobenzene-Cholesteryl Derivatives in Deep Eutectic Solvents
Authors: Balamurugan Rathinam , Bo-Tau Liu , Vajjiravel Murugesan
Published: September 2021

Structurally isomeric cholesteryl-appended azobenzene derivatives (azo-1 to azo-5) with various substituents, such as H/unsubstituted, ether, ester, and nitro at the terminal position of azobenzene units were designed, and synthesized. The gelation ability and aggregation behavior of the above synthesized azobenzene-cholesteryl derivatives in deep eutectic solvents (DES) such as Zinc Chloride: Ethylene Glycol (Zn:EG), Choline Chloride: EG (Ch:EG), Choline Chloride: Urea (Ch: Urea), and Choline Chloride: Glycine (Ch: Gly) were studied. The results revealed that all the azo derivatives formed semi-transparent and strong/hard eutectic gels in at least one DES except azo-4 which formed gel in two DES. The morphological analyses by scanning electron microscopy (SEM) exhibited entangled dense fibrous, flowers, and sheet-like textures, depending on the nature of DES as well as azo derivatives. Like all azobenzene-based organo-gelators, UV-triggered gel-to-sol transition was expected for these eutectic gels. However, these eutectic gels did not undergo the gel-to-sol transition under UV irradiation. This could be due to the hardness of the gel, which arrests the structural transformation from trans-to-cis during photolysis. It was further confirmed by absorption profiles of before and after irradiation of eutectic gels. Regarding application, an attempt has been made to use eutectic gels as a template for the synthesis of nanomaterials and the results revealed that the azo-4 gel can be used to prepare aggregated highly dense nanorods of copper chloride.
Al-Amwal According to the Qur’an: Using the Maudhu’i Method
Authors: Sahabi Ansar , Baide Kartini
Published: September 2021

This study aims at describing the concept of al-amwal in the Qur'an which is referred to as treasure. This research focuses more on the concept of property and property ownership in the Qur'an, property as slander (trials), worldly treasures (al-hayah al-dunya), property as a means of doing good. Descriptive research method with qualitative approach is employed in this study. This present study, is a library study using maudhu’i method. Maudhu’i method is a method seeks to find the answer in the Qur'an by collecting ayahs of the Qur'an that have similar purpose, which together discuss a particular topic / title and publish those ayah in accordance with the time of thier descent in accordance with the causes of their descent, then pay attention to the ayahs with explanation, description and relationship with other ayahs. The results show that wealth (wealth) is a primary need for man to support his life in this world. The Qur'an reminds that property must be obtained through lawful manners as stipulated by the shariah law. In fact the Qur'an and the Sunnah clearly explain that property should not be transferred from one person to another through unjustified ways. In stead, it should be transferred based on the sharia, such as through trades or other lawful transactions. The use of property in Islamic teachings must always be in devotion to God and used in the framework of taqqarub (to get closer) to Allah.
Clinico-radiological Results of Distal Chevron Osteotomy without Lateral Soft Tissue Release in Mild to Moderate Hallux Valgus Deformity
Authors: Wani Mohd Rafeeq , Wani Mohd Iqbal , Bashir Arshid , Halwai Manzoor Ahmad , Sonum Stanzin , Rashid Yasir
Published: September 2021

Background. The study was done to evaluate short term clinico-radiological results of distal chevron oste­otomy without lateral soft tissue release in mild to moderate hallux valgus.
Materials and methods. This was a prospective study consisting of a total of 35 cases with mild to moderate hallux valgus deformity. All these patients were treated by distal chevron osteotomy without lateral soft tissue release.
Results. In our study, the average value of hallux angle preoperatively was 32° (range, 24°-40°) and at final follow-up it was 14° (range, 8°-31°). The average reduction was 18°. The average intermetatarsal angle showed mean reduction of 5.3° at the final follow-up. Average range of motion of the first metatarsophalyngeal joint preoperatively and at final follow-up showed a small reduction of 5 degrees. The average preoperative AOFAS score was 49, which improved by 35 points to 84 at the final follow-up. 11.42% of the patients in the study group had a recurrence.
Conclusions. 1. Based on our experience with distal chevron osteotomy without lateral soft tissue release, we found the procedure easy to perform with good procedural outcomes. 2. The possible complications of lateral soft tissue release are avoided.
Analisis Dampak Lalu Lintas dari Gedung Bertingkat Sangat Tinggi pada Kawasan Sentra Bisnis
Authors: Lubis Harun al-Rasyid , Zukhruf Febri , Kusumawati Aine , Farda Muhammad
Published: September 2021

Pembangunan dan operasional gedung sangat tinggi pada kawasan sentra bisnis dapat menarik dan membangkitkan lalu lintas yang signifikan pada jaringan jalan di kawasan dan sekitarnya. Dengan mengunakan simulator jaringan jalan, yaitu Paramics, makalah ini menganalisis dampak lalu lintas dari pembangunan sebuah super high-rise building atau gedung bertingkat sangat tinggi (GBST) pada kawasan sentra bisnis di Jakarta. Simulator ini divalidasi dengan menggunakan data observasi dilapangan, yaitu data kecepatan rata-rata dan panjang antrian kendaraan. Studi ini juga mengusulkan metode estimasi nilai trip rate untuk super high-rise building. Metode pengukuran tersebut dikembangkan berdasarkan survei bangkitan-tarikan dari gedung dengan fungsi atau karakteristik sejenis di kawasan bisnis tersebut. Metode yang telah dikembangkan tersebut kemudian diterapkan untuk sebuah studi kasus. Studi ini kemudian melakukan pengujian dari beberapa tindakan manajemen lalu lintas untuk meminimalkan dampak lalu lintas yang ditimbulkan oleh pengoperasian gedung super tinggi. Tindakan tersebut diantaranya adalah penambahan lajur jalan, sinyalisasi persimpangan dan pengoperasian transportasi publik di sekitar kawasan.
Integrated Community Collaborative Care for Seniors with Depression/Anxiety and any Physical Illness
Authors: Shulman Richard , Arora Reenu , Geist Rose , Ali Amna , Ma Julia , Mansfield Elizabeth , Martel Sara , Sandercock Jane , Versloot Judith
Published: September 2021

Background

We report on the feasibility and effectiveness of an integrated community collaborative care model in improving the health of seniors with depression/anxiety symptoms and chronic physical illness.

Methods

This community collaborative care model integrates geriatric medicine and geriatric psychiatry with care managers (CM) providing holistic initial and follow-up assessments, who use standardized rating scales to monitor treatment and provide psychotherapy (ENGAGE). The CM presents cases in a structured case review to a geriatrician and geriatric psychia­trist. Recommendations are communicated by the CM to the patient’s primary care provider.

Results

187 patients were evaluated. The average age was 80 years old. Two-thirds were experiencing moderate-to-severe depres­sion upon entry and this proportion decreased significantly to one-third at completion. Qualitative interviews with patients, family caregivers, team members, and referring physicians indicated that the program was well-received. Patients had on average six visits with the CM without the need to have a face-to-face meeting with a specialist.

Conclusion

The evaluation shows that the program is feasible and effect­ive as it was well received by patients and patient outcomes improved. Implementation in fee-for-service publicly funded health-care environments may be limited by the need for dedicated funding.
Factors Associated With Patient Engagement in Shared Decision-Making for Stroke Prevention Among Older Adults with Atrial Fibrillation
Authors: Mehawej Jordy , Saczysnki Jane , Abu Hawa O. , Gagnier Marc , Bamgbade Benita , Lessard Darleen , Trymbulak Katherine , Saliba Connor , Kiefe Catarina , Goldberg Robert , McManus David
Published: September 2021

Objective

To examine the extent of, and factors associated with, patient engagement in shared decision-making (SDM) for stroke prevention among patients with atrial fibrillation (AF).

Methods

We used data from the Systematic Assessment of Geriatric Elements-Atrial Fibrillation study which includes older ( ≥65 years) patients with AF and a CHA2DS2-VASc≥2. Partici­pants reported engagement in SDM by answering whether they actively participated in choosing to take an oral antico­agulant (OAC) for their condition. Multiple logistic regression was used to assess associations between sociodemographic, clinical, geriatric, and psychosocial factors and patient en­gagement in SDM.

Results

A total of 807 participants (mean age 75 years; 48% female) on an OAC were studied. Of these, 61% engaged in SDM. Older participants (≥80 years) and those cognitively impaired were less likely to engage in SDM, while those very know­ledgeable of their AF associated stroke risk were more likely to do so than respective comparison groups.

Conclusions

A considerable proportion of older adults with AF did not engage in SDM for stroke prevention with older patients and those cognitively impaired less likely to do so. Clinicians should identify patients who are less likely to engage in SDM, promote patient engagement, and foster better patient-provider communication which may enhance long- term patient outcomes.
Improving End-of-Life Care for People with Dementia in LTC Homes During the COVID-19 Pandemic and Beyond
Authors: Kaasalainen Sharon , Mccleary Lynn , Vellani Shirin , Pereira Jose
Published: September 2021

COVID-19 pandemic has resulted in a significant increase in deaths in long-term care homes (LTCH). People with dementia living in LTCHs represent one of the most frail and marginal­ized populations in Canada. The surge of COVID-19 cases in LTCHs and rationing of health-care resources during the pandemic have amplified the pre-existing need for improve­ments in palliative and end-of-life care in LTCHs. This pos­ition statement, created by a task force commissioned by the Alzheimer Society of Canada, provides recommendations for a multipronged coordinated approach to improving palliative and end-of-life care of people with dementia living in LTCHs during the COVID-19 pandemic and beyond.
COVID-19 and Long-Term Care: the Essential Role of Family Caregivers
Authors: Hindmarch Whitney , McGhan Gwen , Flemons Kristin , McCaughey Deirdre
Published: September 2021

Background

Those most at risk from severe COVID-19 infection are older adults; therefore, long-term care (LTC) facilities closed their doors to visitors and family caregivers (FCGs) during the initial wave of the COVID-19 pandemic. The most common chronic health condition among LTC residents is dementia, and persons living with dementia (PLWD) rely on FCGs to maintain their care provision. This study aims to evaluate the impact of visitor restrictions and resulting loss of FCGs providing in-person care to PLWD in LTC during the first wave of the COVID-19 pandemic.

Method

An online survey and follow-up focus groups were conducted June to September 2020 (n=70). Mixed quantitative (descrip­tive statistics) and qualitative (thematic analysis) methods were used to evaluate study data.

Results

FCGs were unable to provide in-person care and while al­ternative communication methods were offered, they were not always effective. FCGs experienced negative outcomes including social isolation (66%), strain (63%), and reduced quality of life (57%). PLWD showed an increase in responsive behaviours (51%) and dementia progression. Consequently, 85% of FCGs indicated they are willing to undergo specialized training to maintain access to their PLWD.

Conclusion

FCGs need continuous access to PLWD they care for in LTC.
O inexprimível de Jankélévicht, em Glosas sobre um Êxtase de alta contemplação de São João da Cruz
Authors: Silva Alves Rocélio ,   Order of Augustinian Recollects
Published: September 2021

The article deals with the philosophy of Jankélévitch, in which words such as unknowable, what cannot be expressed are present, and it brings the idea of ambiguous, unfathomable, not separable. This does not mean that his philosophy deals with a chaotic or fruitless reality of what cannot be expressed, but it means that he proposes, in his description of reality, another way of watching the World beyond the real, touchable and specific World, inviting us to contemplate and experience the “I-do-not-what” which surrounds us, which is expressed especially through art. This article addresses a comparison between the mystical experiences of John of the Cross (1542-1591) and the concept of what cannot be expressed of the philosopher Vladmir Jankélévicth (1903-1985). First of all, a brief biography of John of the Cross is presented, stressing his historical context and the “Place” which he describes. Then the article makes an analysis of the poem “Ectasis of High Contemplation”, to stress the elements which are present in the poem, and that help us to approach to Jankélévicth’s philosophy.
Say It Out Loud! Read-Aloud Book Club
Authors: Pollitt Katrina R.
Published: September 2021

Traditional book clubs, where participants read a book on their own and then come together to discuss, have never really worked for my kids, teens, and families—or for me for that matter. It has always felt a little too “homework-ish.” You know what I mean: “Here’s a book. Go read and absorb, and then we’ll discuss with some prescribed questions.” This is definitely not my definition of fun, and I think book clubs need to be fun to be successful.
Membership Committee: ALSC Member Profiles
Authors: Knight Allison
Published: September 2021

Erika Lehtonen, Youth Services Librarian, Timberland Regional Library, Belfair, WashingtonTasha Nins, Children’s Librarian, Ramsey County (MN) LibrarySue Conolly, Elementary Librarian, Chiyoda International School Tokyo, Japan
The Story, the Teller, and the Listener
Authors: Kanegis Bob
Published: September 2021

Students, faculty, and families are gathered in the library for a school-wide Tellabration, where kids showcase the folktales they have learned this semester.With slightly trembling hands, Alexi rings the Tibetan bells that convene the performance. He’s a third grader who rarely speaks, and if he does, usually mumbles. For most of the semester, he’s been physically disruptive and often finds himself the object of his teachers’ ire.
Anaphylaxis in new European Resuscitation Council guidelines 2021
Authors: Alihodžić Hajriz
Published: September 2021

Anaphylaxis is a potentially life-threatening allergic reaction. New guideline for treatment of anaphylaxis is presented in European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. There are no major changes. This guideline is specific for the initial treatment of adult patients with anaphylaxis or suspected anaphylaxis by clinician. Adrenaline is the most important drug for the treatment of anaphylaxis and the first line of treatment. regarding this accessory and its future potential.
Comparison of efficiency of medium molecular weight uremic toxin removal between high-flux hemodialysis and postdilution online hemodiafiltration
Authors: Nenadović Marko , Nikolić Aleksandra , Kostović Milica , Drašković Branislava , Jovanović Milena , Nikolić Tomislav , Petrović Dejan
Published: September 2021

Introduction. Conventional high-flux hemodialysis effectively removes uremic toxins of medium molecular weight of 0.5-15 (20) kDa, while postdilution online hemodiafiltration effectively removes uremic toxins of medium molecular weight in the range of 0.5-60 kDa. AIM. The aim of the study was to compare the efficacy of b2-microglobulin removal from the patient serum during a single session of conventional high-flux hemodialysis and postdilution online hemodiafiltration. METHOD. Eighty-five patients treated with conventional high-flux hemodialysis and thirty patients treated with postdilution online hemodiafiltration were examined. The main parameter for assessing the removal efficiency of medium molecular weight uremic toxins was serum b2microglobulin concentration before and after a single session of conventional high-flux hemodialysis and postdilution online hemodiafiltration. The following were used for statistical analysis: Kolmogorov-Smirnov test, Student's T test and Mann-Whitney U test. RESULTS. In patients treated with postdilution online hemodiafiltration, the average total convective volume was 21.38 ± 2.97 liters per session. The b2-microglobulin reduction index for the FX CorDiax 600 dialysis membrane was 61.76 ± 7.32%, while for the FX CorDiax 800 dialysis membrane it was 74.69 ± 6.51%. The albumin reduction index for the FX CorDiax 600 membrane was 3.48 ± 1.28%, and for the FX CorDiax 800 dialysis membrane it was 6.01 ± 2.97%. There is a highly statistically significant difference between the reduction index of b2-microglobulin and albumin, for two different dialysis modalities and two different dialysis membranes (p < 0.01). CONCLUSION. Postdilution online hemodiafiltration is more efficient in removing b2-microglobulin from patient serum, compared to conventional high-flux hemodialysis. Albumin loss during a single session of high-flux hemodialysis is lower compared to a single session of postdilution online hemodiafiltration. With both dialysis modalities, albumin loss is less than 4.0 g/4h. High-flux hemodialysis effectively prevents the development of dialysis-related amyloidosis, while postdilution online hemodiafiltration effectively prevents not only the development of dialysis-related amyloidosis, but also the development of resistance to erythropoietin and atherosclerotic cardiovascular diseases in the population treated with regular dialysis.
Landslide investigations using the geoelectrical scanning method and ground penetrating radar: Case studies
Authors: Arnaut Filip , Sretenović Branislav
Published: September 2021

Geotechnical investigations of landslides for future mitigation are a complex task. To obtain relevant information, various geophysical methods are used, with varying degrees of success. The geoelectrical scanning method, also known as Electrical Resistivity Tomography (ERT) has been successfully applied in several locations in Serbia in the las three decades. The geoelectrical scanning method was used during investigations of landslides: Umka, Lukovska banja, Tara, and Trandžament, while both geoelectrical scanning and Ground Penetrating Radar (GPR) were utilized at the Trandžament landslide. The achieved results from both methods are mutually correlated at the Trandžament landslide. Correlation of GPR data with geoelectrical scanning data was only possible since there were no nearsurface low resistivity zones in the Trandžament landslide body. Otherwise, electromagnetic signal attenuation would be high in the presence of near-surface low resistivity zones, and a quality signal would be impossible to detect at the receiving antenna.
Implementation of Harris Hawks Optimization (HHO) algorithm to solve engineering problems
Authors: Milenković Branislav
Published: September 2021

Recently, optimization techniques have become very important and popular in different engineering applications. In this paper we demonstrate how Harris Hawks Optimization (HHO) algorithm can be used to solve certain optimization problems in engineering. In the second part, biological fundamentals, as well as method explanation are given. Afterwards, the HHO algorithm and its' applicability is explained in detail. The pseudo code for this algorithm was written using MATLAB R2019a software suite. Harris Hawks Optimization (HHO) algorithm was used for optimization of engineering problems, such as: speed reducer optimization, pressure vessel optimization, cantilever beam optimization and tension/compression spring optimization. The statistical results and comparisons show that the HHO algorithm provides very promising and competitive results compared to others metaheuristic algorithms.
Technical condition diagnostics and material testing of critical points of steel structure of rotary excavators and depositors
Authors: Aličić Merim , Aličić Almis , Softić Samir
Published: September 2021

In Bosnia and Herzegovina, significant coal production takes place in surface mines, which requires continuous work on the maintenance of machines and devices for surface exploitation. The complexity of the construction of rotary excavators, their high cost, and high costs of failure and maintenance, indicate the need for research and development of an efficient diagnostic system. The subject of research are the steel structures of three rotary excavators SRs 402 15 / 1.5 (piece 3) and the depositor A2RsB8500.60 (piece 1), which are in the process of coal production and overburden, at the open pit mine "Dubrave" in Dubrave JP Elektroprivreda BiH ZD Rudnici "Kreka" in Tuzla.
La desinformación entra por los ojos
Authors: Teruel Rodríguez Laura
Published: September 2021

Artículo de la sección Informe
O que é, o que é: a morte? Notas e reflexões sobre o conceito de morte em Martin Heidegger
Authors: Cardoso de Castro João , Cardoso de Castro Murilo
Published: September 2021

Tendo como ponto de partida a expressão “Um humano [Mensch] logo que nasce já é bastante velho para morrer”, escrita por Martin Heidegger em Ser e Tempo, este artigo se apresenta como uma ousada tentativa de releitura do conceito de morte, dada a dificuldade de interpretação de sua magnum opus, em especial da segunda parte da obra. Esta empreitada se concentrou em buscar compreender a morte, o ser-para-a-morte e a antecipação, conceitos fundantes do pensamento heideggeriano e reunidos aqui sob uma nova perspectiva. Para além da interpretação cotidiana deste conceito - que deve ser de imediato colocada em suspenso - ou ainda de uma parte significativa das leituras especializadas de Heidegger, este trabalho entende que a morte, no horizonte do pensamento heideggeriano, é o processo cotidiano de atualização (ato) de possibilidades (potência) no interior da experiência humana. Tendo a fenomenologia como recurso de análise, e o fenômeno da morte como chave de acesso à questão do sentido da morte, foi possível reunir aqui um conjunto de notas e direção para se compreender todos os existenciais como sinônimos de morte, o que se evidencia na condição cotidiana de um Dasein impróprio, inautêntico, e no aparecimento (Erscheinung) de um mim-mesmo prevaricado com a-gente (das Man), à semelhança caricatural de um “morto-vivo”, um “zumbi”, tema muito em voga, nos dias de hoje, em filmes e séries. Embora o “humano” - cotidianamente sujeito a representações sucessivas - se atenha a isto ou aquilo, em ser-para-a-morte se está livre de todo apego a isto ou aquilo, na aquiescência tanto disto quanto daquilo, na proximidade de tudo e pertencimento a nada, no “deixar-ser” (Gelassenheit).
A literatura infantil e juvenil brasileira contemporânea e a desobediência epistêmica: reflexões e impasses
Authors: Silva Telma Borges
Published: September 2021

Este trabalho visa realizar uma reflexão sobre a literatura infantil e juvenil produzida no Brasil apósa Lei 10.639/2003, explicitando em que medida ela vai ou não ao encontro do que é postulado pelodocumento legal. Para tanto, valho-me das noções de “política de identidade” e de “identidade empolítica”, pensadas por Walter Mignolo, quando discute o que é “desobediência epistêmica”. Façoum diálogo com Michel Foucault, a partir de sua reflexão sobre episteme e com base no prefácio de As palavras e as coisas. A concepção de estereótipo e seus usos na literatura brasileira, conforme apresentado em Bastide, Brookshow e Proença Filho, contribui para uma incursão na história da literatura infantil e juvenil brasileira, que dividi em 5 fases, para evidenciar sua relação direta com as temáticas produzidas pela literatura brasileira dita para os adultos, destacando os estereótipos produzidos para tipificar os negros e cristalizando uma visão monotópica dessas personagens. Como contraponto a essa discussão, apresentei uma breve análise do livro O tronco do Ipé, de José de Alencar, no qual esses estereótipos se manifestam com bastante clareza. Destaquei algumas produções literárias da quinta fase para demonstrar em que medida elas avançam desconstruindo esses estereótipos, assinalando para conhecimentos pluriversais ou permanecem no sistema universal da episteme ocidental. No primeiro grupo, há aqueles livros que conservam o substrato cultural eurocêntrico, fazendo alguns ajustes para reacomodar personagens e espaços, dando uma nova coloração ao mito da democracia racial. No segundo, destaquei de que modo as produções baseadas em estudos sobre as culturas africanas, que fundamentam a afro-brasileira, apontam na direção da pluralidade praticando, portanto, a desobediência epistêmica.
Collision clock shift of two Fermi atoms in harmonic potentials
Authors: Chen Ze-Rui , Liu Guang-Cun , Yu Zhen-Hua ,   Guangdong Provincial Key Laboratory of Quantum Metrology and Sensing, School of Physics and Astronomy, Sun Yat-Sen University, Zhuhai 519082, China
Published: September 2021

Atomic clocks provide the most accurate definition for time. The precision of atomic clock has been improved by many orders of magnitude since the first atomic clock was built. However, the interatomic interaction usually suppress the precision of atomic clock. As a result, it is especially meaningful to study the interaction effect in atomic clock, which is considered to be helpful in improving the precision and accuracy of atomic clock. In order to characterize the collision effect induced clock shift, we theoretically study the collision clock shift in the Rabi spectrum, caused by the short-range interaction between two Fermi atoms in harmonic potential. Given that the short-range interatomic interaction is generally weak, and that the parameters of external lattice laser field are in the Lamb-Dicke regime, we make an approximation that the spatial wave-function of the Fermi atoms does not change, and then derive the motion equation for the internal wave-function under the external Rabi driving field. We solve the equation of motion by the perturbative method, and obtain the solution to first order, and thus derive the expression of the collision clock shift of the Rabi spectrum in terms of the interatomic interaction and the external Rabi driving laser field parameters for specific spatial wave-functions of atoms. Finally, we use the exact expression of the Green’s function in harmonic potential to obtain the averaged clock shift of collision at finite temperatures. Our results relate the atomic interaction with atomic clock shift, and provide a unified description of all partial waves of atomic interaction induced clock shift. Therefore, it becomes much more convenient to study the contributions of different partial waves to atomic clock shift. On the other hand, our results indicate that through precisely measuring the clock shift, the information about the interatomic interactions can also be obtained. In addition, our results for two interacting atoms can inspire the future study of real many-body interacting system which will be the next research topic.