bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of Doctor-Patient Communication Among Residents in Internal Medicine Polyclinic At RSUP Dr. Mohammad Hoesin Palembang 2014 Using Simplified Checklist of Calgary Cambridge Guide
Authors: Awinda Dipika , Syakurah Rizma , Fadilah Mariatul
Published: October 2020

Introduction : Misperceptions between doctors and patients can bring negative impact for both the doctors and patients. Misperceptions may occur due to miscommunication during doctor-patient communication. Therefore, assessment during the communication process is necessary.

Methods : This study was a descpritive study with qualitative approach. Checklist Calgary Cambridge Guide (CCCG) was chosen as instrument because it has been widely used in many country.The study was condicted in Polyclinic Internal Medicine of dr. Mohammad Hoesin Hospital due to its high patient load with various diseases that is suitable for doctor-patient communication observation. Subjects were six residents in the department. Observation was done during the communication process. Deep interview was then done to assess the resident’s knowledge and opinions in doctor-patient communication and barriers related to it. 

Results : Majority of the residents failed to do some points of the CCCG, which includes self introduction, role and nature of interview, obtain consent and explain process, obtain permission prior to physical examination.

Conclusions : In conclusion, the doctor-patient communication among residents in Internal Medicine Polyclinic At RSUP Dr. Mohammad Hoesin Palembang.
DESCRIPTION OF THE FACTORS EXCLUSIVE BREASTFEEDING FOR NURSING MOTHERS IN DESA KALANGANYAR, KABUPATEN LEBAK, BANTEN [GAMBARAN FAKTOR-FAKTOR PEMBERIAN AIR SUSU IBU (ASI) EKSKLUSIF PADA IBU MENYUSUI DI DESA KALANGANYAR, KABUPATEN LEBAK, BANTEN]
Authors: Samaria Dora , Florensia Lima
Published: October 2020

Exclusive breastfeeding is providing nutrition only breast milk for babies at the age of 0-6 months. The coverage of exclusive breastfeeding in Banten Province reached 61.6% in 2016. The value is still far from the national target of 80%. Infants who do not get exclusive breastfeeding are at risk of experiencing malnutrition in infancy. This study aims to identify the factors of exclusive breastfeeding in the village of Kalanganyar, Banten. This research used descriptive analytic design. The research sample was taken using a purposive sampling technique which included 96 nursing mothers who had babies aged 6-24 months in Kalanganyar Village. The data collected was processed using univariate analysis to obtain a preliminary picture of exclusive breastfeeding in Kalanganyar Village. The results showed that the factors identified were, mother's age, education, occupation, type of labor, parity, breastfeeding experience, income, exclusive breastfeeding education, knowledge, attitude, motivation, and breastfeeding facilities. The researchers recommend further research with a design that can identify the relationship between these factors and the use of multivariate analysis to determine the factors that most influence the exclusive breastfeeding.

BAHASA INDONESIA ABSTRAK: ASI eksklusif adalah memberikan nutrisi hanya ASI bagi bayi pada usia 0-6 bulan. Cakupan pemberian ASI eksklusif di Provinsi Banten mencapai 61,6% pada Tahun 2016. Nilai tersebut masih jauh dari target nasional yaitu sebesar 80%. Bayi yang tidak mendapatkan ASI Eksklusif berisiko mengalami gizi buruk pada masa balita. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor pemberian Air Susu Ibu (ASI) Eksklusif di Desa Kalanganyar, Banten. Penelitian ini menggunakan desain deskriptif analitik dengan instrumen penelitian berupa ceklist. Sampel penelitian diambil menggunakan teknik purposive sampling meliputi 96 orang ibu menyusui yang memiliki bayi usia 6-24 bulan di Desa Kalanganyar. Data yang terkumpul diolah menggunakan analisis univariat untuk mendapatkan gambaran praktif pemberian ASI Eksklusif di Desa Kalanganyar. Hasil penelitian menunjukkan faktor-faktor yang berhasil diidentifikasi yaitu, usia ibu, pendidikan, pekerjaan, jenis persalinan, paritas, pengalaman menyusui, penghasilan, edukasi ASI eksklusif, pengetahuan, sikap, dan motivasi ibu. Peneliti merekomendasikan agar dilakukan penelitian lanjut dengan desain yang dapat mengidentifikasi hubungan antar faktor-faktor tersebut serta penggunaan analisis multivariat untuk menentukan faktor yang paling berpengaruh terhadap pemberian ASI eksklusif.
OKUL ÖNCESİ DÖNEM ÇOCUKLARININ GÖZÜNDEN GERİ DÖNÜŞÜM
Authors: ERDAŞ KARTAL Eda , ADA Ezgi
Published: October 2020

Çocukların çevrelerine karşı olumlu tutum ve davranışlar kazanmaları ve bunların gelecekteki yaşantılarına temel oluşturması bakımından okul öncesi dönem kritik bir öneme sahiptir. Okul öncesi dönemde verilecek çevre eğitimi çocukların çevresel farkındalık ve tutumları üzerinde etkilidir. Çevre eğitiminin önemli bileşenlerinden biri geri dönüşümdür. Bu araştırma okul öncesi dönemdeki çocukların geri dönüşüm konusundaki farkındalıklarını araştıran nitel bir çalışmadır. Araştırmaya 3-6 yaş arasında ve bir okul öncesi eğitim kurumuna devam eden 41 çocuk katılmıştır. Veriler çiz-anlat tekniği kullanılarak toplanmıştır. Verilerin analizinde yorumlayıcı içerik analizi yöntemi kullanılmıştır. Araştırma sonucunda, araştırmaya dahil olan okul öncesi dönem çocuklarının geri dönüşüm hakkındaki algılarının sınırlı olduğu ortaya koyulmuştur. Özellikle 3 yaş grubundaki çocukların çizimlerinde geri dönüşüm ile ilişkili olmayan simgelere yer verdikleri görülmüştür. 4 yaş ve 5 yaş grubundaki çocukların da geri dönüşümü çoğunlukla çevre kirliliği ve çöpleri çöp kutusuna atma/atmama ile ilişkilendirdikleri, ancak 5 yaş grubundaki çocukların resimlerinde geri dönüşüm kutusu, çöplerin ayrıştırılması ve geri dönüştürülebilen maddeler ile ilgili simgelere diğer yaş gruplarındaki çocuklara göre daha fazla yer verdikleri tespit edilmiştir.
EXPLORING THE CHALLENGES AND COPING STRATEGIES OF SUB-SAHARAN AFRICAN STUDENTS IN TURKEY
Authors: MUSIZVINGOZA Ronald
Published: October 2020

The experiences of African students in Turkey may be different from other international students due to their distinct identities. This qualitative study explores the challenges faced by international students from Sub Saharan Africa in Turkey and their coping strategies. Data were drawn from 17 postgraduate students from Africa studying in Istanbul through semi-structured in-depth interviews. Findings show that students faced a range of sociocultural, personal, psychological and academic challenges. Experiences of students were shaped by assumptions and stereotypes about their race/ethnicity, nationality, gender and background. While the findings show that students experience challenges, they also demonstrate how they have developed agency and become resilient through resisting marginalization experiences. Findings from this study have policy implications considering the current internationalization efforts of higher education in Turkey.
Ouro Romano de Tresminas (Portugal)
Authors: Wahl-Clerici Regula
Published: October 2020

O excelente estado de conservação dos vestígios das antigas minas, nas jazidas primárias de Tresminas e Gralheira, bem como os das respetivas indústrias de acompanhamento, permitem-nos documentar e compreender as técnicas de exploração romanas. Através de décadas de investigação e cuidadosa documentação dos vestígios do territorium metallorum Tresminas / Jales foi possível demonstrar que os processos de trabalho apresentados neste volume (prospeção, extração e processamento) não dependem apenas uns dos outros, mas complementam-se substancialmente. Por conseguinte, prospeção não servia apenas para descobrir um depósito, como sabemos de fontes antigas, mas fazia parte do trabalho diário dos mineiros e assumia uma função essencial na exploração mineira.A própria exploração mineira deixou vestígios que nos permitem seguir o progresso do trabalho em determinadas áreas, expondo o rigor romano no planeamento e execução, sugestivo de uma organização central. Prova disso são as fascinantes galerias de grande plano, cujas dimensões e estado de conservação têm impressionado visitantes e investigadores até aos dias de hoje. Para a compreensão do processo mineiro são particularmente úteis os vestígios que permaneceram inacabados, ou que foram aban-do nados ou destruídos na antiguidade. Entre os vestígios do processamento dos minérios auríferos encontram-se cerca de 1000 moinhos de pilões, inúmeros moinhos redondos e instalações de lavagem de enormes proporções. Adicionalmente, são brevemente apresentadas neste volume a gestão da água e a extração de pedra por serem essenciais ao complexo industrial. O contexto histórico do territorium metallorum Tresminas / Jales encontra-se resumido na introdução.
Letter to the Editor Regarding Barranha´s Paper: “Is There a Role for Psychiatry in Physician-Assisted Death in Portugal?”
Authors: Julião Miguel
Published: October 2020

N/A
SARS-CoV-2 e a Importância do Diálogo entre Clínicos e o Laboratório
Authors: Franco-Leandro Paulo
Published: October 2020

N/a.
Analisis Kemampuan Informasi Laba dan Arus Kas dalam Memprediksi Arus Kas Masa Depan
Authors: Pangestu Miranti
Published: October 2020

The purpose of this study is to examine whether earnings information or cash flow information can predict future cash flows in service companies in Indonesia. The sample determined in this study, using the purposive sampling method, produced 145 companies listed on the Indonesian Stock Exchange in 2015-2017, with a total of 435 observations. In this study, multiple regression analysis techniques are used. The results shown by the t-test are partially significant net income. In this case, net income is a predictor of future cash flows. Whereas cash flow information namely operating cash flow, investing cash flow, and funding cash flow do not affect the future cash flow
A vine physiology-based terroir study in the AOC-Lavaux region in Switzerland
Authors: Rienth Markus , Lamy Frederic , Schoenenberger Patrik , Noll Dorothea , Lorenzini Fabrice , Viret Olivier , Zufferey Vivian
Published: October 2020

Understanding how different pedoclimatic conditions interact with vine and berry physiology, and subsequently impact wine quality, is paramount for an good valorization of viticultural terroirs and can help to optimize mitigation strategies in the face of global warming.The aim of the present study was to establish terroir zones in a steep slope region in Switzerland based on vine and berry physiology. The study area, Villette in the AOC Lavaux, was a unique experimental site due to the homogeneity of plant material in a relatively small microclimate (140 ha) and a multiplicity of different expositions, soil types and altitudes. Vine and berry physiology as well as temperature of twenty-two plots were monitored during three consecutive seasons to investigate whether a link with pedoclimatic parameters can be established.The annual temporal variation of the average temperature was 142 growing degree days (GDD) over all years. Remarkably, spatial temperature variability was twice as high, with a variation between most extreme plots of 395 GDDs on average over all years. PCA and hierarchical clustering of assessed vine and berry physiological parameters resulted in a vintage dependent grouping of plots differing between years, which was not congruent with geological entities. This highlights the importance of the vintage effect, which had a large influence on vine and berry physiology and impacted terroir zones more than soil groups. Important differences in budburst and flowering were observed between plots, whereas altitude was the main driver of precocity in all years, being relatively independent of the vintage, which confirms the importance of topography in viticultural terroirs.
STUDI SEMIOTIKA VIDEO KAMPANYE “AHOK PASTI KALAH”
Authors: Fahlevy Rafael Reza , Nugroho Widyo
Published: October 2020

Penelitian ini bertujuan untuk mengetahui makna yang terkandung dalam video Cameo Project yang berjudul “Ahok Pasti Kalah”. Video yang di unggah pada tanggal 9 februari 2017 yang merupakan bentuk kampanye untuk mendukung pasangan Basuki Tjahaja Purnama (Ahok) dan Djarot dalam pemilihan umum calon Gubernur DKI Jakarta periode 2017-2022. Penelitian ini menggunakan pendekata kualitatif dengan analisis semiotika Ferdinand de Saussure. Semiotika Saussure mengemukakan bahwa penanda (signifier) adalah simbol yang terdapat pada semua pesan yang disampaikan dan tanda itu sendiri pasti memiliki makna atau disebut petanda (signifier). Hasil analisis yang ditemukan peneliti antara lain, adanya penggunaan Clickbait pada pemberian judul dengan tujuan menaikan views, serta pesan yang terkandung dalam video Ahok Pasti Kalah yaitu pencitraan positif Ahok sebagai Gubernur yang dibutuhkan oleh masyarakat DKI Jakarta.
MENGEMBANGKAN ‘PERSONAL SOCIAL RESPOSIBILITY (PSR)’ DALAM MEMBANGUN KARAKTER MAHASISWA
Authors: Mona Leila
Published: October 2020

Kualitas karakter dan kompetensi dari generasi muda merupakan fondasi penting suatu negara. Sebagai generasi muda, mahasiswa diharapkan berperan sebagai manusia tangguh yang memiliki kemampuan dan akhlak mulia, agen perubahan, penjaga nilai-nilai di masyarakat, memiliki kekuatan moral dan menjadi kontrol sosial.  Bonus demografi di Indonesia  meneguhkan pentingnya pendidikan karakter pada generasi muda.  Dalam upaya menempatkan kembali peran perguruan tinggi sebagai wadah dalam membangun karakter sesuai UU no. 12 Tahun 2012 dan Konferensi Unesco tentang Perguruan Tinggi tahun 2009,  maka kajian ini menawarkan pendekatan pembentukan karakter mahasiswa dengan dilandasi sifat altruisme, yaitu Personal Social Responsibility (PSR) bagi mahasiswa dan mengoptimalkan pengabdian masyarakat sebagai salah satu dari Tridarma perguruan tinggi.  Kajian ini mengelaborasi pengimplementasian sinergi PSR dengan Pengabdian Masyarakat, serta peluang pengembangan nilai-nilai karakter bangsa melalui kegiatan PSR tersebut. Implementasi dari program PSR dilakukan minimal dua kali selama masa kuliahnya. Pemilihan program PSR disesuaikan  dengan minat probadi dan minat yang disesuaikan dengan bidang studi yang diambil. Nilai-nilai karakter yang dapat dikembangkan adalah toleransi, bersahabat/komunikatif, peduli lingkungan, peduli sosial, tanggung jawab, dan kreatif.
Controling the Abandoned Land in Tegal Regency
Authors: Sudjito S , Ekasetya Mohammad Paurindra
Published: October 2020

This research aims to know and to analyze the cause of Abandoned land in Sumbarang village, Tegal regency, the effort which has been done by land office of Tegal regency and the obstacle which is faced by the Tegal Regency’s Land Office in controling the Abandoned land. The type of this research is an empirical law which placed in Sumbarang village, Tegal regency. The source of the data consist of primary and secondary data. It is analyzed by qualitative technique. The results of this research find that the factors of the Abandoned land in Sumbarang village are: (1) the wide of the land is not comparable with the worker (2) the right land is lended to Sugar Company (PG) Pangkah, so the farm is changing function. (3) plant hama attack. The efforts which is done by the land office of Tegal regency toward the Abandoned land are (1) directing the right holder to use their land. (2) monitoring towards the land right, (3) evaluating the land right (4) controling based on Government Regulation Number 11 of 2010 jo. Regulation of the Head of the National Land Agency Number 4 of 2010. The Tegal office land faces some obstacles, they are (1) the right holder lives is unknown, so, it causes difficulty in giving the warn. (2) the right holder is not cooperative. There is no coordination and coorperation betwen the right holder and land Office.Keywords: Controling, Abandoned Land, Tegal Regency
The Existence of Party Court in Completing the Internal Disputes of Political Parties in Indonesia (A Case Study of Persatuan Pembangunan Party)
Authors: Suparto S , Admiral A
Published: October 2020

Abstract According to Law Number 2 of 2011, “Any internal conflict inherent a political party, is resolved by that party’s internal organ known as the Internal Dispute Settlement Committee. But unfortunately, not all internal conflicts were ironed out, just as what happened to Persatuan Pembangunan Party. Based on the results of the current study, several factors could be identified to influence the resolution of internal political party disputes, including 1). the inability of the disputed internal party to pay heed to the decision of the Party Court. 2). the government violation of the decision made by the Party Court with biased interference. 3). There is doubtful neutrality considering the membership of the Party Court who comes from internal political parties. 4). Not considering the Party Court's decision while adjudicating disputes over the management of political parties.Keywords: Party Court, Decision, Final.
The Use of Various Substrate Microbial Bamboo Stems for Rice Straw Fermentation and its effect on digestibility and fermentation product of Beef Cattle Ration
Authors: B.H Chabib , Rahayu Sri , Bata Muhamad
Published: October 2020

This experiment investigated various substrate growth of bamboo stems microbes (BSM) in rice straw fermentation and its effect on dry matter digestibility (DMD), organic matter digestibility (OMD), NH3-N and VFA concentration. Materials were rumen fluid of beef cattle from the slaughterhouse. Basal diets consisted of rice straw and concentrate with ratio of 40 : 60 (% dry matter) were administered to five treatments namely P0 = untreated rice straw (control), P1 = Ammoniated rice straw,  fermented rice straw using microbial bamboo stems grown on ammoniated rice straw (P2), rice bran (P3) and cassava waste (P4). The experiment used in vitro method was designed with Completely Randomized Design and the data were analyzed variance. The results showed that the treatment had no significant effect on dry matter digestibility (DMD), organic matter digestibility (OMD), NH3-N and VFA concentration (P>0,05). The fermentation process of microbial bamboo stems in rice straw with a level of 10% with different substrate did not able to  increase the digestibility and products fermentation, but there tends that the rice bran and substrates can increase DMD and N-NH3 concentration
Spatial Analysis Of Buffalo Development In Brebes Regency
Authors: Nur Rozaq Nanang , Sugiharto Mochamad
Published: October 2020

The study on spatial dimension of buffalo development in Brebes is intended to (1) analyze the regional shifting patterns of buffalo development within a period of 5 years (2012-2016) and (2) to identify the relationship between the number of farmland areas and the population of buffalo in Brebes Regency. This research employs a secondary data analysis method by utilizing the available data analyzed using a spatial analysis. Location Quotient (LQ) analysis is conducted to analyze the regional shifting patterns of buffalo followed with a product moment correlation analysis to identify the relationship between the number of farmland areas and the population of buffalo livestock. The results show that the buffalo population is related to the number of ​​rice plant areas (P <0.05) as well as that of the peanut plant areas (P <0.01). For the last 5 years (2012-2016), there is no regional shifting pattern in the center for buffalo development in Brebes Regency. The centralization of buffalo develoment in Brebes Regency is located in Salem, Bumiayu, Sirampog, Tonjong, Larangan and Songgom sub-district
PENGARUH MODEL PEMBELAJARAN KOOPERATIF TIPE JIGSAW TERHADAP MOTIVASI DAN HASIL BELAJAR SISWA PADA MATA PELAJARAN MATEMATIKA DI SMKN 1 PURWOKERTO
Authors: Purnomo Dwi Andi
Published: October 2020

danya pengaruh model pembelajaran terhadap siswa dapat dilihat dari hasil belaar yangdicapai. Salah satu model pembelajaran yang digunakan untuk memberi motivasi dan hasilbelajar siswa adalah model Kooperatif Tipe Jigsaw. Model ini digunakan pada pembelajaranmata pelajaran matematika kelas XI Kompetensi Keahlian Multimedia SMKN 1 Purwokerto.Metode yang digunakan dalam penelitian ini adalah metode eksperimen. Tujuan dari penelitianeksperimen ini adalah untuk menyelidiki apakah ada: (1) Pengaruh pembelajaran model Jigsawdan model konvensional dalam meningkatkan motivasi belajar siswa. (2) Pengaruh pembelajaranmodel Jigsaw dan model konvensional dalam meningkatkan hasil belajar siswa. (3) pengaruhantara motivasi belajar siswa dengan hasil belajar siswa. Penelitian ini merupakan penelitianeksperimen kuasi yaitu pembelajaran Jigsaw untuk meningkatkan motivasin dan hasil belajarsiswa. Subjek penelitian adalah siswa kelas XI Multimedia SMKN 1 Purwokerto. Analisis datamenggunakan uji t independent dan t dependent, serta analisis regresi sederhana. Hasil penelitiandiperoleh kesimpulan: (1) Motivasi belajar siswa pada kelompok pembelajaran model Jigsawlebih tinggi dibandingkan kelompok konvensional. (2) Hasil belajar siswa pada kelompokpembelajaran model Jigsaw lebih tinggi dibandingkan kelompok konvensional. (3) Motivasibelajar siswa berpengaruh positif dan signifikan terhadap hasil belajar siswa. Jadi dapatdisimpulkan bahwa terdapat pengaruh yang signifikan antara motivasi belajar dan hasil belajarsiswa yang diajarkan dengan model pembelajaran kooperatif tipe jigsaw dan modelpembelajaran konvensional.
ADAPTASI KOMUNIKASI GURU ASING MENGHADAPI PERBEDAAN BUDAYA DI SEKOLAH INTERNASIONAL
Authors: Hayat Muzahid Akbar
Published: October 2020

Penelitian ini bertujuan untuk mengungkap pengalaman adaptasi komunikasi tenaga pengajarasing selama menjalankan tugas pembelajaran di Indonesia. Fokusnya adalah eksplorasi ataspengalaman adaptasi komunikasi guru asing di sekolah Internasional Menengah Atas Jakarta.Dinamika interaksi yang melibatkan negosiasi, percakapan tatap muka, situasi dan kontekspercakapan, kiat-kiat adaptasi komunikasi yang di dalamya terdapat tantangan, kesulitan-kesulitan bahkan mungkin terjadi kegagalan komunikasi yang berujung pada penolakan secarasosial sampai dengan dapat diterimanya guru asing. Untuk memahami pengalaman adaptasikomunikasi guru asing peneliti menggunakan pendekatan kualitatif dengan menggunakanfenomenologi deskritif. Fenomena tersebut dianalisi dengan menggunakan penggabungan duametode analisis antara lain analisis yang dikembangkan oleh Rossman dan Marshall (2006) danIntepretive Phenomenological Analysis (IPA) oleh Smith. Terdapat 10 guru asing yang dipilihsecara purposeful sampling dengan kriteria: guru asing yang mengajar minimal satu tahun disekolah Internasional Menengah Atas Jakarta. Hasil penelitian ini memperlihatkan sejumlah guruasing menjelaskan terdapat “culture problem” saat bertemu dengan perbedaan budaya.
SEKOLAH BERBASIS AGROFORESTRY SEBAGAI STRATEGI PENURUNAN ANGKA PUTUS SEKOLAH DI DESA GUNUNGLURAH, KECAMATAN CILONGOK, KABUPATEN BANYUMAS
Authors: Meliana Yuni , Hermawati Putri Kusuma Sri , Putri Ivy Oktavianti Dwi
Published: October 2020

Masalah kependudukan merupakan masalah yang kompleks dan memerlukan upaya penyelesaianseefektif mungkin, terutama dalam hal pendidikan. Pendidikan merupakan salah satu aspekpenting dalam kehidupan masyarakat. Semakin baik pendidikan masyarakat, maka akan semakinbaik pula sumber daya manusianya. Namun, studi kasus di Indonesia masih banyak ditemukananak putus sekolah. Seperti di Kabupaten Banyumas, terdapat 1.500 anak putus sekolah pertahundi setiap kecamatan. Terlebih di Kecamatan Cilongok yang merupakan salah satu kecamatandengan jumlah penduduk miskin terbanyak di Kabupaten Banyumas. Dalam rangka mengatasipermasalahan tersebut, muncul inisiatif dari para pegiat pendidikan Pusat Kegiatan BelajarMasyarakat (PKBM) Argowilis yang peduli terhadap pendidikan anak-anak pinggir hutan untukmendirikan sekolah alternatif. Mereka mendirikan MTs Pakis di Desa Gununglurah sebagaisekolah dengan basis agroforestry pertama di Kabupaten Banyumas. Pembelajaran yangdilakukan di sekolah tersebut meliputi pelajaran umum dan pelajaran khusus agroforestry.Pelajaran agroforestry adalah pembelajaran yang memadukan pertanian dengan area hutansebagai upaya menjaga local wisdom. Metode yang digunakan dalam penelitian ini adalahkualitatif deskriptif yang berberfokus pada sekolah berbasis agroforestry sebagai strategipenurunan angka putus sekolah di Desa Gununglurah, Kecamatan Cilongok, KabupatenBanyumas beserta faktor pendorong dan penghambatnya.
AGENDA MEDIA DALAM PEMBERITAAN TOP UP UANG ELEKTRONIK DI MEDIA ONLINE KOMPAS.COM
Authors: Ayu Dyah , Pratiwi Mutia Rahmi
Published: October 2020

Tekhnologi terus berkembang seiring dengan kebutuhan manusia yang semakin beragam.Berbagai proses konvensional kini bergeser menjadi lebih modern dengan berbasis pada teknologi.Hal ini berlaku pada penetapan kebijakan e-money di tahun 2017 sebagai wujud implementasiGerakan Nasional Non Tunai (Cashless society) sejak tahun 2014. Data menunjukan bahwa padaAgustus 2017, jumlah uang elektronik yang beredar di masyarakat meningkat sekitar lebih dari 20juta dibandingkan tahun 2016. Keberhasilan ini tidak lepas dari penggunaan e toll di seluruhIndonesia. Namun muncul kebijakan baru terkait biaya tambahan untuk isi ulang saldo atau top-upuang elektronik sesuai PADG yang dikeluarkan oleh Bank Indonesia.Kebijakan ini menimbulkanpolemik yang menjadi objek pemberitaan di Kompas.com pada tahun 2017 lalu. Penelitian inimerupakan penelitian kualitatif dengan pendekatan analisis framing Pan dan Kosicki. Hasilpenelitian menunjukan bahwa Kompas.com berada di pihak yang tidak setuju dengan kebijakanBank Indonesia terkait beban biaya tambahan untuk top-up uang elektronik bagi penggunanya. Halini ditunjukan Kompas.com dengan pemberian porsi berita yang lebih tinggi kepada pihak yangtidak setuju (melalui pernyataan narasumber), pemilihan kaya yang berkonotasi negative,penyajian kata tertentu yang diulang-ulang, dicetak tebal serta diberi warna yang berbeda untukmenunjukan keberpihakan.
PERENCANAAN PROGRAM PUSAT KEGIATAN BELAJAR MASYARAKAT SEBAGAI COMMUNITY RELATIONS LAPAS KLAS I SUKAMISKIN
Authors: Setianti Yanti
Published: October 2020

Penelitian ini bertujuan untuk mengetahui pengumpulan fakta, perumusan masalah dan perencanaan, Program “Pusat Kegiatan Belajar Masyarakat” sebagai salah satu Community Relations lapas klas 1 Sukamiskin. Penelitian ini menggunakan metode penelitian deskriptif. Pengumpulan data dilakukan melalui wawancara mendalam terhadap pihak yang terlibat dalam Program Pusat Kegiatan Belajar Masyarakat, observasi, dan kepustakaan. Hasil dari penelitian menyatakan Perancangan program dilakukan dengan terlebih dahulu dengan melakukan pengumpulan fakta melalui survey wawancara langsung terhadap pihak lapas, setelah itu pihak Lapas melakukan perumusan masalah dengan analisis terhadap faktor internal dan eksternal, setelah itu perencanaan dilakukan dengan menentukan perancanaan strategis dan operasional terkait kegiatan bimbingan belajar yang dilakukan dalam program. Kesimpulan dari penelitian ini adalah program Community Relations Pusat Kegiatan Belajar Masyarakat sudah dilakukan dengan cukup baik, perencanaan dan perumusan masalah sudah dilakukan secara relevan dan berdasarkan permasalahan yang ada, perencanaan dilakukan dengan matang namun dalam pemilihan kegiatan belum dilakukan langkah penentuan secara strategis, Saran penulis dalam penelitian ini adalah agar penyelenggara juga melakukan riset dengan lebih mendalam, perencanaan kegiatan yang dapat memberikan efek berkelanjutan bagi penerima, aksi dan komunikasi yang memperhitungkan penyebaran informasi akuntabilitas, serta evaluasi yang tidak terpaku kepada satu indikator saja.
A Review of Recent Studies on Urban Stormwater Drainage System for Urban Flood Management
Authors: Teshome Manaye
Published: October 2020

Stormwater drainage and urban flooding are the popular issues in policy agendas and academia. Although the research on these title increases steadily an integrated review on stormwater drainage and urban flood with a focus on pluvial flooding has yet to be produced. This paper presents a critical review on stormwater drainage and urban flood based on 78 selected journal papers published over the period of 1990 to 2018. The review focus on pluvial flooding to relate urban stormwater drainage management and urban flood disaster management and to show the links between the two. The methods taken to manage urban stormwater drainage and urban flooding as well as the complexity of achieving a comprehensive urban flood disaster management are evaluated and discussed. To better understand the concepts behind urban flood and improve the urban flood risk management strategies, recommendation of future research directions are also provided.
Lipofuscin-Type Pigment as a Marker of Colorectal Cancer
Authors: Carvalho Sónia , Carneiro Isa , Henrique Rui , Tuchin Valery , Oliveira Luís
Published: October 2020

The study of the optical properties of biological tissues for a wide spectral range is necessary for the development and planning of noninvasive optical methods to be used in clinical practice. In this study, we propose a new method to calculate almost all optical properties of tissues as a function of wavelength directly from spectral measurements. Using this method and with the exception of the reduced scattering coefficient, which was obtained by traditional simulation methods, all the other optical properties were calculated in a simple and fast manner for human and pathological colorectal tissues. The obtained results are in good agreement with previous published data, both in magnitude and in wavelength dependence. Since this method is based on spectral measurements and not on discrete-wavelength experimental data, the calculated optical properties contain spectral signatures that correspond to major tissue chromophores such as DNA and hemoglobin. Analysis of the absorption bands of hemoglobin in the wavelength dependence of the absorption spectra of normal and pathological colorectal mucosa allowed to identify differentiated accumulation of a pigment in these tissues. The increased content of this pigment in the pathological mucosa may be used for the future development of noninvasive diagnostic methods for colorectal cancer detection.
Exogenous H2S Regulates of Cystathionine Gamma-Lyase in HUVECs During Hypoxia
Authors: Wang Maoxian
Published: October 2020

Cystathionine gamma-lyase (CSE) is one of the essential H2S-producing enzymes, and it regulates diverse functions in connection with cardiovascular function. It is crucial how exogenous H2S regulates CSE expression of the vascular endothelial cell during hypoxia. We examined the transcription and expression of CSE in HUVECs regulated by exogenous H2S with 100 μM during hypoxia by Luciferase assay, Western blotting, and quantitative RT-qPCR. Exogenous H2S influenced on the promoter activity of CSE in HUVECs during hypoxia. The effects of 100 μM H2S on CSE mRNA expression in HUVECs is decreased compared with 0 μM H2S. The consequences of 100 μM H2S on the expression level of CSE protein in HUVECs at two h of hypoxia is reduced compared with 0 μM H2S. These findings suggest that vascular endothelial cells can respond to the signals of hypoxia in the blood, and can respond to changes in H2S concentration in the blood, thus affect the blood vessels themselves.
In-Silico Study of the Immune Systems Associated Genes in Case of Type-2 Diabetes with Insulin Action and Resistance and in Obesity
Authors: Eldakhakhny Basmah Medhat , Sadoun Hadeel Al , Choudhry Hani , Mobashir Mohammad
Published: October 2020

Obesity, type 2 diabetes, and different forms of cancers are among the leading human diseases and highly complex in terms of diagnostic and therapeutic approaches. Diabetes and cancer are among the most frequent and complex diseases and based on epidemiological evidence and study it can be concluded that the patients suffering from diabetes are considered to be significantly at higher risk for a number of cancer types. Both these diseases are among the highly complex and heterogeneous in nature. There are a number of evidences which support the hypothesis that these diseases interlinked and obesity may aggravate the risk(s) of both these diseases type 2 diabetes and different types of cancers. Multi-level unwanted alterations such as (epi-)genetic alterations, changes at the transcriptional level, and altered signaling pathways (receptor, cytoplasmic, and nuclear level) are the major source which promotes a number of complex diseases and such heterogeneous level of complexities are considered as the major barrier in the development of therapeutic. With so many known challenges, it is critical to understand the relationships and the common shared causes between type 2 diabetes and cancer which is difficult to unravel and understand. Furthermore, the real complexity arises during diagnosis from contended corroborations that specific drug(s) (individually or in combination) during diagnosis process of type 2 diabetes may increase or decrease the cancer risk or affect cancer prognosis. In this review article, we have presented the recent and most updated evidences from the studies where the origin, biological background, correlation between them have been presented or proved. Furthermore, we have summarized the methodological challenges and tasks that are frequently encountered. we have also outlined the physiological links between type 2 diabetes and cancers. Finally, we have presented and summarized the outline of the hallmarks for both these diseases diabetes and cancer.
Neurochemical Changes in Brain and Neuropsychiatric Symptoms in Clinically Isolated Syndrome
Authors: Guenter Wojciech , Bieliński Maciej , Bonek Robert , Borkowska Alina
Published: October 2020

To assess cognitive impairment and affective symptoms and their association with damage to normal-appearing white matter (NAWM) in patients with clinically isolated syndrome (CIS), we compared neuropsychological test scores between patients with CIS and healthy controls, and examined correlations between these and proton magnetic resonance spectroscopy (1H-MRS) outcomes in patients with CIS. Forty patients with CIS and 40 healthy participants were tested with the set of neuropsychological tests, the Beck Depression Inventory (BDI) and the Hospital Anxiety and Depression Scale (HADS). Single-voxel 1H-MRS was performed on frontal and parietal NAWM of patients with CIS to assess ratios of N-acetyl-aspartate (NAA) to creatine (Cr), myo-inositol (mI), and choline (Cho), as well as mI/Cr and Cho/Cr ratios. Patients with CIS had lower cognitive performance, higher scores for the BDI and anxiety subscale of HADS than healthy controls. There were significant correlations between the following neuropsychological tests and metabolic ratios in the frontal NAWM: Stroop Color-Word Test and Cho/Cr, Symbol Digit Modalities Test and mI/Cr as well as NAA/mI, Go/no-go reaction time and NAA/Cho as well as NAA/mI, Californian Verbal Learning Test and NAA/Cr. BDI scores were related to frontal NAA/mI and parietal NAA/Cr and Cho/Cr ratios, whereas HADS-depression scores were associated with frontal NAA/Cr and NAA/mI, and parietal NAA/Cr and Cho/Cr ratios. HADS-anxiety correlated with parietal NAA/Cr ratio. This study suggests that neurochemical changes in the NAWM assessed with single-voxel 1H-MRS are associated with cognitive performance and affective symptoms in patients with CIS.
Multiscale Method for Solving High-order BVPs
Authors: Zhang Yingchao , Mei Liangcai , Lin Yingzhen
Published: October 2020

This paper presents a numerical algorithm for solving high-order BVPs. We introduce the construction method of multiscale orthonormal basis in Wm[0; 1] by multiscale orthonormal basis in W1[0; 1]. We define approximate solution, and obtain the approximate solution of high-order BVPs by using the approximate theory. Moreover, the convergence and stability of the algorithm are improved. At last, several numerical experiments show the feasibility of the proposed method.
Excess Medical Care Spending: The Categories, Magnitude, and Opportunity Costs of Wasteful Spending in the United States
Authors: Speer Matthew , McCullough J. Mac , Fielding Jonathan E. , Faustino Elinore , Teutsch Steven M.
Published: October 2020

Landmark reports from reputable sources have concluded that the United States wastes hundreds of billions of dollars every year on medical care that does not improve health outcomes. While there is widespread agreement over how wasteful medical care spending is defined, there is no consensus on its magnitude or categories. A shared understanding of the magnitude and components of the issue may aid in systematically reducing wasteful spending and creating opportunities for these funds to improve public health.

To this end, we performed a review and crosswalk analysis of the literature to retrieve comprehensive estimates of wasteful medical care spending. We abstracted each source’s definitions, categories of waste, and associated dollar amounts. We synthesized and reclassified waste into 6 categories: clinical inefficiencies, missed prevention opportunities, overuse, administrative waste, excessive prices, and fraud and abuse.

Aggregate estimates of waste varied from $600 billion to more than $1.9 trillion per year, or roughly $1800 to $5700 per person per year. Wider recognition by public health stakeholders of the human and economic costs of medical waste has the potential to catalyze health system transformation.
Impact of Caregiving During Emerging Adulthood on Frequent Mental Distress, Smoking, and Drinking Behaviors: United States, 2015–2017
Authors: Grenard Deborah L. , Valencia Esteban J. , Brown Jennifer A. , Winer Rachel L. , Littman Alyson J.
Published: October 2020

Objectives. To examine associations between caregiving mental or behavioral health outcomes among emerging US adults, defined as persons aged 18 to 25 years.

Methods. The study sample included emerging adult respondents to the 2015–2017 Behavioral Risk Factor Surveillance System’s caregiving module. Exposures were caregiver (n = 3087), expectant caregiver (n = 2303), and noncaregiver (n = 12 216) status. Expectant caregivers were defined as persons not currently providing care but anticipating doing so within the next 2 years. Outcomes included frequent mental distress (FMD), drinking (binge or heavy), and current smoking (cigarette or e-cigarette use). We used robust Poisson regression to calculate adjusted prevalence ratios (APRs) and corresponding 95% confidence intervals (CIs). We adjusted all models for income.

Results. Caregivers had a similar prevalence of FMD when compared with both expectant caregivers (APR = 1.67; 95% CI = 1.28, 2.17) and noncaregivers (APR = 1.50; 95% CI = 1.23, 1.82). Caregivers had a higher prevalence of current cigarette smoking compared with noncaregivers (APR = 1.44; 95% CI = 1.21, 1.71).

Conclusions. Among emerging adults, providing care is associated with poorer mental health. Point estimates looking at FMD were higher when we compared caregivers with expectant caregivers, suggesting a difference in exchangeability between comparison groups.

Public Health Implications. This study highlights the importance of including emerging adults in caregiving research.
Real-Time Spatiotemporal Analysis of Microepidemics of Influenza and COVID-19 Based on Hospital Network Data: Colocalization of Neighborhood-Level Hotspots
Authors: Mylona Evangelia K. , Shehadeh Fadi , Kalligeros Markos , Benitez Gregorio , Chan Philip A. , Mylonakis Eleftherios
Published: October 2020

Objectives. To identify spatiotemporal patterns of epidemic spread at the community level.

Methods. We extracted influenza cases reported between 2016 and 2019 and COVID-19 cases reported in March and April 2020 from a hospital network in Rhode Island. We performed a spatiotemporal hotspot analysis to simulate a real-time surveillance scenario.

Results. We analyzed 6527 laboratory-confirmed influenza cases and identified microepidemics in more than 1100 neighborhoods, and more than half of the neighborhoods that had hotspots in a season became hotspots in the next season. We used data from 731 COVID-19 cases, and we found that a neighborhood was 1.90 times more likely to become a COVID-19 hotspot if it had been an influenza hotspot in 2018 to 2019.

Conclusions. The use of readily available hospital data allows the real-time identification of spatiotemporal trends and hotspots of microepidemics.

Public Health Implications. As local governments move to reopen the economy and ease physical distancing, the use of historic influenza hotspots could guide early prevention interventions, while the real-time identification of hotspots would enable the implementation of interventions that focus on small-area containment and mitigation.
Deaths Attributed to Psychiatric Disorders in the United States, 2010–2018
Authors: Bohnert Amy S. B. , Sen Srijan
Published: October 2020

Objectives. To quantify deaths in the United States from 2010 through 2018 that were reported with an underlying cause of death as a psychiatric diagnosis, which do not indicate a clear mechanism of death, and that may be misclassified suicide and overdose deaths.

Methods. We used national vital statistics data to identify rates and circumstances of deaths by specific underlying cause of death categories in the US population.

Results. There were 115 442 deaths attributed to psychiatric diagnoses and 834 763 deaths attributed to suicide or overdose. The population rate of deaths attributed to psychiatric diagnoses increased from 3.26 to 4.96 per 100 000 US persons between 2010 and 2018.

Conclusions. Psychiatric diagnoses may represent a fairly substantial number of misclassified overdose and suicide deaths. Improving mortality surveillance requires improving the accuracy of diagnoses reported on death certificates.
The Influence of Preoperative Tibial Bone Marrow Edema on Outcomes After Medial Opening-Wedge High Tibial Osteotomy
Authors: Yang Hong-Yeol , Kang Sung-Ju , Kwak Woo-Kyoung , Song Eun-Kyoo , Seon Jong-Keun
Published: October 2020

Background:

The relationship between preoperative subchondral bone marrow edema (BME) in the osteoarthritic knee and pain has been established. However, little is known about the influence of preoperative BME on outcomes after medial opening-wedge high tibial osteotomy (MOHTO). The purpose of this study was to clarify the association between preoperative BME severity and clinical outcomes after MOHTO at intermediate follow-up.

Methods:

We reviewed the cases of 105 consecutive patients who underwent MOHTO for osteoarthritis of the knee with preoperative subchondral BME in the medial aspect of the tibia between January 2005 and December 2015. BME was evaluated using magnetic resonance imaging (MRI). The sizes of the BME lesions were determined on the basis of the maximum diameter and were classified as small (<1 cm), medium (<2 cm), large (<4 cm), or very large (diffuse; >4 cm). Associations between preoperative BME severity and postoperative outcomes at a mean follow-up of 6.2 years (range, 2.0 to 14.3 years) were evaluated according to a Spearman correlation matrix with each reviewer’s grades. Functional outcomes were assessed using the Hospital for Special Surgery (HSS) score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Society Score (KSS), and Short Form-12 (SF-12) questionnaire. Survival rate and complications were also evaluated.

Results:

The degree of preoperative BME was not significantly correlated with postoperative outcomes (p > 0.05). There were significant improvements between the preoperative and latest follow-up assessments in all functional outcome categories (p < 0.001). Patients demonstrated marked improvements with respect to pain, function, and quality of life. The overall survival rate was 95.2%, with a mean follow-up of 6.2 years. Six major complications were identified in 5.7% of the patients, and these resulted in 5 patients (4.8%) who had conversion to total knee arthroplasty.

Conclusions:

We did not find any correlation between preoperative subchondral BME severity and postoperative outcomes. MOHTO showed good functional outcomes, a low major complication rate, and an excellent survival rate with a mean follow-up of 6.2 years, regardless of the degree of preoperative BME.

Level of Evidence:

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
To Calculation of Fillet Welds
Authors: Davydov E. Yu. , Bondarovich A. I.
Published: October 2020

When making welded joints, it is not always possible to press tightly elements to be joined before surfacing the weld. In normative documents on welded joints, the allowable gap between the elements to be connected can reach 3 mm  when welding with a covered electrode and 2 mm when welding in shielded gases. At the same time the presence of a gap is not taken into account in the standards for calculation of welded joints. Experimental studies have been carried out to determine effect of the gap on the bearing capacity of the weld. Specimens have been made with welded joints of two types: for work in shear and pull-out. For the purpose of comparison, half of the specimens have been made without gaps, and the other half with gaps between the elements to be joined. The specimens have been made at the Minsk plant of technological metal structures, and their tests have been carried out in a research laboratory of the Belarusian National Technical University. Based on the results of the experiments, it has been concluded that the gaps between the elements to be joined significantly reduce the bearing  capacity of  the welded joints.  In addition,  inspection of  fracture surfaces  have  shown that, in the presence of a gap, the  cut  surfaces of  the weld  pass along the  fusion boundary  of  the base and deposited metals.  It has  been  experimenttally established that the existing gap leads to a slight increase in the penetration depth. However, the latter factor does not compensate for the decrease in the bearing capacity of the welded joint due to the presence of a gap between the elements to be joined.
Consumption of Solid Runoff during Erosion of Bottom Slope of Soil Dam
Authors: Bohaslauchyk P. M. , Evdokimov V. A.
Published: October 2020

Erosion is divided into two stages in accordance with the accepted design scheme for erosion of a soil dam during overflow. The paper deals with the first stage, when the downstream thrust prism is washed out. The key factor in calculating erosion deformations is the choice of the solid flow rate formula. Studies show that the mechanism of formation and transportation of solid runoff during erosion of dam models from sandy oils is very similar to that previously described by many authors for the condition of river channel erosion. The peculiarity of the process is that the erosion occurs at high speeds. Therefore, solid runoff almost immediately goes into a suspended state. To select the required formula, experiments have been carried out on models of dams made of sandy soils having various granulometric composition. It has been established that at high velocities under the considered conditions, the value of the solid waste flow rate depends solely on hydraulic characteristics of the flow. The influence of physical and mechanical properties of the eroded soil on the value of the flow rate of solid runoff is insignificant, and they may not be taken into account. Calculations have been carried out using formulas known from river hydraulics, which show that none of them gives sufficient convergence with experimental data. Based on the analysis of a large number of experimental data, a formula for the discharge of solid runoff for erosion conditions of dam models during overflow has been obtained in the paper. This has taken into account the fact that the dam erosion by the overflow has a high degree of stochasticity and is difficult to describe theoretically. This is especially evident in conditions of spatial erosion, when, simultaneously with the classical erosion of the bottom, the sides of the eroded hole periodically collapse, which is difficult to take into account in the calculations.