bluuebunny/crossref_metadata_2025 huggingface dataset:
GAMBARAN FAKTOR-FAKTOR PENYEBAB BAYI BERAT LAHIR RENDAH (BBLR) DI WILAYAH KERJA UPTD PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYA TAHUN 2013
Authors: Sumartini, S.ST Erwina
Published: November 2020

Menurut data Puskesmas kejadian BBLR pada tahun 2012 berjumlah 74 Bayi dan tahun 2013 berjumlah 58 bayi. BBLR juga menjadi penyebab tertinggi dari kematian bayi di Puskesmas Singaparna, pada tahun 2013 kematian bayi akibat BBLR sebanyak 7 bayi (33,33%) dan pada tahun 2013 sebanyak 2 bayi (14,28%).Secara umum faktor-faktor yang berhubungan dengan kejadian BBLR diantaranya : 1) faktor ibu yaitu penyakit yang diderita ibu, komplikasi kehamilan, umur ibu, paritas, jarak kehamilan, riwayat BBLR, gizi ibu selama hamil, sosial ekonomi dan pengawasan antenatal yang kurang. 2) faktor janin yaitu : kelainan kromosom, infeksi janin kronik, disautosomia familia, radiasi, kehamilan ganda/kembar dan aplasia pancreas.
 Rancangan penelitian yang digunakan adalah jenis kuantitatif dengan metode penelitian deskriptif. Populasi penelitain adalah seluruh ibu yang melahirkan bayi baru lahir dengan BBLR sebanyak 71 orang. Analisis yang digunakan adalah analisis univariat.
 Berdasarkan hasil penelitian menunjukan bahwa BBLR di wilayah kerja UPTD Puskesmas Singaparna Kabupaten Tasikmalaya sebagian besar dilahirkan oleh ibu dengan usia 20-30 tahun (70.42%) dan paritas multipara (53.52%)sebagian besar dilahirkan oleh ibu dengan status gizi baik (tidak KEK 84.51%) sebagian besar dilahirkan oleh ibu yang tidak mempunyai komplikasi kehamilan (59.15%) dan tidak mempunyai penyakit saat hamil (90.14%) dan tidak mengalami hamil kembar (90.14%).
 Berdasarkan hasil penelitian tersebut disimpulkan bahwa usia 20-30 tahun dan paritas multipara merupakan penyebab terbanyak kasus BBLR di wilayah kerja UPTD Puskesmas Singaparna Kabupaten Tasikmalaya Tahun 2013. Saran bagi pihak Puskesmas adalah melakukan upaya untuk memotivasi setiap pasangan usia subur untuk mengatur jarak kehamilan di usia reproduksi dan lebih meningkatkan kualitas asuhan antenatal kepada seluruh ibu hamil dengan atau tanpa risiko kehamilan dengan menekankan asupan nutrisi pada ibu hamil dan mendeteksi sesegera mungkin setiap komplikasi yang terjadi pada ibu hamil, serta melakukan penanganan intensif terhadap penyakit yang diderita ibu saat hamil.
ANALISIS PENGETAHUAN, POLA MAKAN, DAN STATUS GIZI REMAJA SISWA SMP N I SINGAPARNA
Authors: Sulistyoningsih, S.KM.,  M.KM Hariyani
Published: November 2020

Masa remaja amat penting diperhatikan karena merupakan masa transisi antara masa anak-anak ke masa dewasa. Gizi seimbang pada masa ini akan sangat menentukan kematangan pola berfikir dan bersikap di masa depan. Pemberian makanan pada masa remaja perlu mendapatkan perhatian khusus agar tercapai status gizi dan kesehatan yang optimal. Pola makan pada masa remaja serta asupan gizi yang diperoleh akan sangat berpengaruh pada status gizi dan kesehatan remaja Penelitian ini bertujuan untuk melakukan analisis terhadap pengetahuan, pola makan, dan status gizi remaja siswa SMP N 1 Singaparna.
Desain penelitian yang digunakan adalah deskriptif dengan sampel adalah seluruh siswa kelas VIII SMPN I Singaparna, sejumlah 177 orang. Variabel yang diteliti terdiri dari pengetahuan, pola makan, dan status gizi. Instrumen yang digunakan meliputi kuesioner, microtoise, dan timbangan injak. Data yang diperoleh dianalisis dengan memunculkan distribusi frekuensi setiap kategori pada masing-masing variabel.
 Hasil penelitian menunjukkan bahwa sebanyak 48,6% remaja memiliki pengetahuan yang baik tentang makanan bergizi, 49,2% memiliki pengetahuan cukup, dan 3,2% memiliki pengetahuan kurang. Sebanyak 65,5% remaja memiliki kebiasaan sarapan pagi setiap hari, dan hanya 55,4% yang memiliki kebiasaan makan 3 kali dalam sehari.  Persentase remaja yang mengkonsumsi makanan sumber karbohidrat, protein hewani, protein nabati, sayur dan buah dalam setiap kali makan secara berturut-turut adalah: 78,5%, 34,5%, 32,2%, 19,2%, 13,6%. Hanya 59,3% remaja yang mengkonsumsi air minum  dengan jumlah minimal 2 liter sehari. Sebanyak 83,4% remaja memiliki status gizi normal, sedangkan remaja yang memiliki status gizi gemuk sebanyak 4%, dan remaja dengan status gizi kurus sebanyak 12,6%
Kesimpulam dari penelitian ini adalah masih terdapat remaja yang memiliki pengetahuan yang cukup dan kurang tentang makanan bergizi, masih terdapat remaja yang tidak biasa sarapan pagi serta memiliki kebiasaan makan kurang dari 3 kali dalam sehari.  Remaja juga belum menerapkan pola makan seimbang karena belum mengkonsumsi seluruh sumber zat gizi dalam setiap kali makan, serta konsumsi air minum yang masih kurang dari 2 liter. Masih terdapat remaja yang memiliki status gizi kurang dan lebih. Berdasarkan hasil yang diperoleh fihak sekolah sebaiknya melakukan upaya untuk meningkatkan pengetahuan siswa tentang gizi dan pemenuhannya, juga menyediakan kantin yang menjual makanan dan jajanan sehat. Para orang tua hendaknya mendorong anaknya untuk memiliki pola makan yang baik dengan menyediakan makanan dan camilan sehat di rumah.
HUBUNGAN ANTARA KUALITAS PELAYANAN ANTENATAL CARE DENGAN TINGKAT KEPUASAN IBU HAMIL DI POLI KESEHATAN IBU DAN ANAK (KIA) PUSKESMAS LEUWISARI KABUPATEN TASIKMALAYATAHUN 2013
Authors: Mantini, SST Nevi Dwi
Published: November 2020

Kualitas pelayanan antenatal care yang memuaskan diharapkan dapat meningkatkan cakupan kunjungan ibu hamil. Data cakupan kunjungan ibu hamil  tahun 2010 di Provinsi Jawa Barat mencapai 86,67%, sedangkan kunjungan ibu hamil di Kabupaten Tasikmalaya mencapai 83%, sedangkan cakupan kunjungan ibu hamil di Puskesmas Leuwisari yaitu 64%. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kualitas pelayanan antenatal care dengan tingkat kepuasan ibu hamil di poli Kesehatan Ibu dan Anak (KIA) Puskesmas Leuwisari  Kabupaten TasikmalayaTahun 2013.
Jenis penelitian yang digunakan adalah kuantitatif dengan metode analitik desain adalah cross sectional. Populasi yang digunakan dalam penelitian ini adalah semua ibu hamil yang memeriksakan kehamilannya di Puskesmas Leuwisari  Kabupaten Tasikmalaya periode bulan Januari – Mei 2013 sebanyak 30 orang. Metode pengambilan sampel yang digunakan dalam penelitian ini dengan cara accidental sampling. Alat pengumpulan data pada penelitian ini adalah kuesioner. Tehnik analisis data yang digunakan adalah univariat dan bivariat.
Hasil penelitian menyatakan bahwa Kualitas pelayanan antenatal care sebagian besar pada kategori baik sebanyak 20 orang (66,7%), Tingkat kepuasan ibu hamil sebagian besar pada kategori memuaskan sebanyak 19 orang (63,3%) serta Ada hubungan yang bermakna antara kualitas pelayanan antenatal care dengan tingkat kepuasan ibu hamil (p sama dengan 0,013).
Kesimpulan penelitian ini Kualitas pelayanan antenatal care sebagian besar pada kategori baik sebanyak 20 orang (66,7%), Tingkat kepuasan ibu hamil sebagian besar pada kategori memuaskan sebanyak 19 orang (63,3%) serta Ada hubungan yang bermakna antara kualitas pelayanan antenatal care dengan tingkat kepuasan ibu hamil (p sama dengan 0,013). Sehingga direkomendasikan Kualitas pelayanan antenatal care yang sudah baik perlu dipertahankan dan bila dimungkinkan untuk ditingkatkan. Upaya tersebut diantaranya adalah dengan memberikan pelayanan berupa kunjungan ke rumah ibu hamil untuk memantau pertumbuhan dan perkembangan kehamilan ibu hamil.
FAKTOR FAKTOR YANG BERHUBUNGAN DENGANANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYA TAHUN 2014
Authors: Susanti, SST,M.Kes Santi , Danefi, SST,M.Kes Tupriliany , Agustini, SST, M.Kes Fenty
Published: November 2020

Angka kematian ibu merupakan indikator kesehatan suatu bangsa. Berdasarkan Survei Demografi Kesehatan Indonesia(SDKI) tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, angka tersebut masih tertinggi di Asia. Demikian juga hasil SDKI tahun 2012 ditemukan AKI semakin tinggi yaitu 359/100.000 Kelahiran Hidup. Pendarahan menempati persentase tertinggi penyebab kematian ibu yaitu 28 persen(28%). Anemia pada ibu hamil menjadi penyebab utama terjadinya pendarahan dan infeksi yang merupakan faktor kematian utama ibu. Di Wilayah Puskesmas Singaparna ditemukan masih tingginya ibu hamil dengan anemia yaitu 255 orang atau sebanyak 20,76%. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan anemia pada ibu hamil di wilayah Puskesmas Singaparna Kabupaten Tasikmalaya tahun 2015. 
Metode penelitian menggunakan jenis penelitian kuantitatif dengan pendekatanCross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil di wilayah Puskesmas Singaparna Tahun 2014. Tekhnik pengambilan sampel menggunakan purposive sampling. Jenis data adalah data sekunder. Waktu penelitian dilaksanakan dalam waktu 6 bulan. 
Hasil penelitian. Terdapat hubungan  antara Umur dan Status Gizi dengan anemia dalam kehamilan. Tidak terdapat hubungan antara paritas dan usia kehamilan dengan anemia dalam kehamilan. Ibu dengan KEK memiliki resiko anemia 2 x lebih besar dibandingkan ibu yang tidak anemia. Ibu yang hamil di periode usia resiko tinggi memiliki resiko anemia 1 x lebih tinggi dibandingkaan ibu yang hamil diusia reproduksi sehat.
Simpulan dan saran. Status gizi ibu merupakan faktor dominan risiko anemia kehamilan. Saran ibu dianjurkan hamil di usia reproduksi sehat dan mempersipakan kehamilan melalui asuhan prakonsepsi untuk mendapatkan status kesehatan yang baik sebelum kehamilan
PENGARUH KUALITAS PENDIDIKAN TERHADAP KEPUASAN LULUSAN DI SEKOLAH TINGGI ILMU KESEHATAN RESPATI TASIKMALAYA
Authors: Rahmidini Annisa , Wirakusumah Firman F. , Dewi Sari Puspa
Published: November 2020

Tingginya tingkat persaingan antara institusi pendidikan mengakibatkan setiap institusi harus dapat mengelola institusinya secara professional. Institusi pendidikan dapat mengatasi daya saing yang tinggi dengan memiliki mutu/kualitas pendidikan yang baik. Keputusan perguruan tinggi melakukan tindakan perbaikan kualitas pendidikan yang sistematis merupakan payung yang menentukan dalam menindaklanjuti keluhan mahasiswa dari suatu kegagalan sehingga pada akhirnya mampu meningkatkan kepuasan lulusan. Tujuan penelitian ini adalah menganalisis pengaruh kualitas pendidikan (tatakelola, pengabdian pada masyarakat, kurikulum program studi, proses pembelajaran, sumber daya manusia, suasana akademik, penelitian dan publikasi, kemahasiswaan, keuangan, serta prasarana dan sarana) terhadap kepuasan lulusan di Sekolah Tinggi Ilmu Kesehatan (STIKes) Respati Tasikmalaya.
Jenis penelitian kuantitatif dan metode yang digunakan adalah metode survey analitik dengan desain penelitian yaitu cross sectional. Populasi dalam penelitian ini adalah seluruh lulusan STIKes Respati Tasikmalaya dua tahun terakhir yaitu Angkatan VII dan VIII berjumlah 201 lulusan. teknik pengambilan sampel pada penelitian ini menggunakan simple random sampling sebanyak 106 lulusan diambil. Metode pengumpulan data dalam penelitian ini adalah dengan kuesioner.
Hasil analisis data menunjukkan bahwa terdapat pengaruh positif antara kualitas pendidikan terhadap kepuasan lulusan di Sekolah Tinggi Ilmu Kesehatan Respati Tasikmalaya. Diharapkan STIKES Respati Tasikmalaya meningkatkan kualitas pendidikan agar lulusan dapat merasa puas.
GAMBARAN EFEK SAMPING PADA AKSEPTOR KB PENGGUNA METODE OPERATIF PRIA (MOP) DI KECAMATAN SINGAPARNA KABUPATEN TASIKMALAYA TAHUN 2016
Authors: Apriasih, SST.,M.Kes Hapi
Published: November 2020

Vasektomi adalah metode kontrasepsi yang dilakukan dengan memotong saluran sperma (vas deferens) yang membawa sperma dari testis ke penis. Dengan metode yang menyerupai  sterilisasi ini, sperma tidak lagi keluar bersama air mani saat pria ejakulasi atau dikenal dengan nama MOP (Metode Operatif Pria). Berdasarkan  data di Puskesmas Singaparna bahwa cakupan penggunaan MOP  paling rendah  dibandingkan dengan  metode kontrasepsi lain, banyak faktor yang mempengaruhi diantaranya adalah resiko efek samping meskipun tergolong rendah.Tujuan penelitian ini adalah mengetahui gambaran efek samping metode kontrasepsi MOP  di Kec Singaparna Kab Tasikmalaya Tahun 2016.

Metode penelitian  yang digunakan adalah kuantitatif,  jenis penelitian deskriptif. Pengumpuan data yang digunakan adalah data primer dengan instrumen penelitian  kuesioner. Sampel terdiri dari 8 orang akseptor KB MOP. Analisis data yang digunakan adalah univariat.

Hasil penelitian dapat diketahui bahwa 100 % responden MOP tidak mengalami efek samping baik efek samping mayor atau efek samping minor, meskipun ada faktor lainnya yang dirasakan pada satu orang pengguna MOP yaitu penurunan libido tetapi bukan faktor utama karena dilihat dari faktor lain seperti pengaruh pekerjaan dan usia.

Kesimpulan penelitian ini adalah seluruh akseptor pengguna MOP tidak mengalami efek samping minor dan mayor.  Saran penelitian ini adalah meningkatkan KIE dan konseling KB PUS dan menggalakan kembali safari KB atau pelayanan KB gratis.
PENGARUH SENAM HAMIL TERHADAP KUALITAS TIDUR PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS SUKAMERANG KABUPATEN GARUT TAHUN 2018
Authors: Avifah Kintan Yulianti , Gantini Dede , Diana Helmi
Published: November 2020

Masa kehamilan dan sesudah melahirkan merupakan masa yang rawan bagi seorang wanita untuk mengalami gangguan tidur, gangguan tidur yang dialami oleh sebagian besar ibu hamil disebabkan oleh perubahan fisiologis yang terjadi selama kehamilan. Berdasarkan studi pendahuluan pada 10 orang ibu hamil trimester III 4 diantaranya mengalami durasi tidur rendah (5-6 jam), 5 orang mengalami durasi tidur sedang (7-8 jam), dan 1 orang dengan durasi tidur tidak baik (9-10 jam). Tujuan penelitian ini untuk mengetahui pengaruh senam hamil terhadap kualitastidur ibu hamil trimester III. Metode yang digunakan adalah pre-eksperimen dengan one group pretestposttest.Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III di Wilayah Kerja Puskesmas Sukamerang Kabupaten Garut yang berjumlah 100 ibu hamil, teknik pengambilan sampel menggunakan teknik Stratifeid Random Samplingyaitu sebanyak 50 orang. Hasil menunjukkan bahwa Sebelum dilakukan senam hamil sebagian besarpada kategori sedang yaitu sebanyak 33 orang (66,0%). Sesudah dilakukan senam hamil seluruhnya 50 orang (100%) ada pada kategori baik. Berdasarkan hasil uji statistik diperoleh nilai signifikan sebesar 0,000 lebih kecil daripada nilai  (0,05),maka H0 ditolak yang artinya bahwa ada pengaruh senam hamil terhadap kualitas tidur ibu hamil di Wilayah Kerja Puskesmas Sukamerang Kabupaten Garut tahun 2018. Senam hamil berpengaruh terhadap kualitas tidur ibu hamil trimester III.Hendaknya ibu hamil selalu melakukan gerakan atau senam hamil yang dapat meningkatkan kualitas kesehatan ibu terutama kualitas tidur ibu
A web como o banco de dados mais rico em amostras da norma coloquial: as expressões idiomáticas
Authors: Rocha Camila Maria Corrêa
Published: November 2020

As expressões idiomáticas têm recebido a atenção dos linguistas, especialmente daqueles que têm o léxico como objeto de estudo (ORTIZ ÁLVAREZ; XATARA, 2001). Entretanto, apesar da sua recorrência na variante coloquial e do crescente interesse nelas por estudiosos, estudos anteriores mostraram que os dicionários gerais não as apresentam e, quando o fazem, a inclusão é assistemática, não condizente com suas especificidades léxico-semânticas. Nesta linha, tem-se como objetivo, neste estudo, verificar, no buscador Google, o número de ocorrências de um corpus de expressões idiomáticas, com vistas a comprovar a necessidade de que recebam um tratamento lexicográfico que condiga com suas especificidades. A utilização da web como instrumento de busca justifica-se posto que ela é, na atualidade, o banco de dados mais rico em amostras da norma coloquial – nível de linguagem em que se inserem as EIs.
Aridification signatures from fossil pollen indicate a drying climate in east-central Tibet during the late Eocene
Authors: Yuan Qin , Barbolini Natasha , Rydin Catarina , Gao Dong-Lin , Wei Hai-Cheng , Fan Qi-Shun , Qin Zhan-Jie , Du Yong-Sheng , Shan Jun-Jie , Shan Fa-Shou , Vajda Vivi
Published: November 2020

Abstract. Central Asia experienced a number of significant elevational and
climatic changes during the Cenozoic, but much remains to be understood
regarding the timing and driving mechanisms of these changes as well as
their influence on ancient ecosystems. Here, we describe the palaeoecology
and palaeoclimate of a new section from the Nangqian Basin in Tibet,
north-western China, dated as Bartonian (41.2–37.8 Ma; late Eocene)
based on our palynological analyses. Located on the east-central part of
what is today the Tibetan Plateau, this section is excellently placed for
better understanding the palaeoecological history of Tibet following the
Indo-Asian collision. Our new palynological record reveals that a strongly
seasonal steppe–desert ecosystem characterized by drought-tolerant shrubs,
diverse ferns, and an underlying component of broad-leaved forests existed in
east-central Tibet during the Eocene, influenced by a southern monsoon. A
transient warming event, possibly the middle Eocene climatic optimum
(MECO; 40 Ma), is reflected in our record by a temporary increase in regional
tropical taxa and a concurrent decrease in steppe–desert vegetation. In the
late Eocene, a drying signature in the palynological record is linked to
proto-Paratethys Sea retreat, which caused widespread long-term
aridification across the region. To better distinguish between local
climatic variation and farther-reaching drivers of Central Asian
palaeoclimate and elevation, we correlated key palynological sections across
the Tibetan Plateau by means of established radioisotopic ages and
biostratigraphy. This new palynozonation illustrates both intra- and
inter-basinal floral response to Qinghai–Tibetan uplift and global climate
change during the Paleogene, and it provides a framework for the age assignment
of future palynological studies in Central Asia. Our work highlights the
ongoing challenge of integrating various deep time records for the purpose
of reconstructing palaeoelevation, indicating that a multi-proxy approach is
vital for unravelling the complex uplift history of Tibet and its resulting
influence on Asian climate.
Oceanic and atmospheric methane cycling in the cGENIE Earth system model – release v0.9.14
Authors: Reinhard Christopher T. , Olson Stephanie L. , Kirtland Turner Sandra , Pälike Cecily , Kanzaki Yoshiki , Ridgwell Andy
Published: November 2020

Abstract. The methane (CH4) cycle is a key component of the Earth
system that links planetary climate, biological metabolism, and the global
biogeochemical cycles of carbon, oxygen, sulfur, and hydrogen. However,
currently lacking is a numerical model capable of simulating a diversity of
environments in the ocean, where CH4 can be produced and destroyed, and
with the flexibility to be able to explore not only relatively recent
perturbations to Earth's CH4 cycle but also to probe CH4 cycling
and associated climate impacts under the very low-O2 conditions
characteristic of most of Earth's history and likely widespread on other
Earth-like planets. Here, we present a refinement and expansion of the
ocean–atmosphere CH4 cycle in the intermediate-complexity Earth system
model cGENIE, including parameterized atmospheric O2–O3–CH4
photochemistry and schemes for microbial methanogenesis, aerobic
methanotrophy, and anaerobic oxidation of methane (AOM). We describe the
model framework, compare model parameterizations against modern
observations, and illustrate the flexibility of the model through a series
of example simulations. Though we make no attempt to rigorously tune default
model parameters, we find that simulated atmospheric CH4 levels and
marine dissolved CH4 distributions are generally in good agreement with
empirical constraints for the modern and recent Earth. Finally, we
illustrate the model's utility in understanding the time-dependent behavior
of the CH4 cycle resulting from transient carbon injection into the
atmosphere, and we present model ensembles that examine the effects of
atmospheric pO2, oceanic dissolved SO42-, and the
thermodynamics of microbial metabolism on steady-state atmospheric CH4
abundance. Future model developments will address the sources and sinks of
CH4 associated with the terrestrial biosphere and marine CH4 gas
hydrates, both of which will be essential for comprehensive treatment of
Earth's CH4 cycle during geologically recent time periods.
In Vitro Induction of Callus and Flowers in Immature Oil Palm Inflorescences
Authors: Monteiro Marcília Gabriella Tavares , Souza Joanne Moraes de Melo , Pinheiro Hugo Alves , De Lemos Oriel Filgueira , De Oliveira Raimundo Parente , Boás Bruno Barbosa , De Souza Fernanda Ilkiu Borges
Published: November 2020

This work aimed to investigate the effects of different combinations of auxin (0, 225 and 450 µM Picloram) and Murashige and Skoog salts (50% and 100% MS salt concentrations, respectively named as ½ MS and MS) in mediate the induction of callus and flowers from immature inflorescences (developmental stages I-9, I-12 and I-15) of the oil palm BRS – Manicoré hybrid. In I-9 inflorescence explants, the rate of callus induction was 17% higher in ½ MS than in MS; while in both I-12 and I-15 inflorescence explants, callus induction was over than 95% regardless of the MS salt concentration. The higher rate of callus induction in I-9 inflorescences was mediated by 450 µM Picloram, while the callus induction rates for either I-12 or I-15 inflorescences were higher than 92% regardless of Picloram concentration. Floral induction was lower in I-9 inflorescence explants (45% floral induction rate) than in both I-12 and I-15 inflorescence explants (floral induction rate higher than 90%). Our results suggest that Picloram (450 µM) and MS salts concentrations (½ MS) led to the highest rates of calluses and flowers induction in younger inflorescence explants (I-9); however, the medium composition is indifferent on callus and flower induction in I-12 and I-15 inflorescences.
Who’s Afraid of a Living Wage and a Say for All?: Economic Justice in Appalachia
Authors: Kingsolver Ann
Published: November 2020

As part of a set of articles dedicated to the memory of Rob Welch and focused on social and economic justice in Appalachia, this article focuses on economic justice and injustice through Kentucky’s living wage debate. Calls for economic justice and a living wage are set in a historical and national context, with a discussion of the very different logics framing notions of economic life and well-being. Examples are provided of inclusive work toward economic justice in Appalachian Kentucky.
Esoteric Resonances in Andrzej Towiański’s Thought
Authors: Grana Giulio Dalla
Published: November 2020

The aim of the article is to show the mystic and esoteric doctrines that possibly influenced Andrzej Towiański’s thought. After an introductory analysis of the cultural environment of Vilnius, where Towiański was educated, the study moves through a comparative analysis of thinkers, doctrines, and his own religious thought. Fundamental concepts in Towiański’s thought are: transmigration of souls; free-will of man in relation to the destiny of his soul and of his community; inner illumination as the only path to knowledge and truth; and the preparation for the arrival of a new epoch. The specific subjects of the comparison in this article are: the Kabbalistic teachings on metempsychosis; the writings of the Swedish mystic Emanuel Swedenborg; the thought of the French philosopher Louis-Claude de Saint-Martin; the visions of the Westphalian seer Anna Katharina Emmerick; and the Judeo-Christian millenarianism. Although several affinities are demonstrated, the influences which allowed Towiański to elaborate his doctrine cannot be fully confirmed or limited to the authors analyzed. The way Towiański was initiated into these esoteric teachings still awaits scholarly investigation.
Situational awareness in the identification of abuse – Out-of-hospital emergency care providers’ experiences
Authors: Salminen-Tuomaala Mari Helena , Tiainen Juha , Paavilainen Eija
Published: November 2020

This qualitative study describes out-of-hospital emergency care providers’ experiences and views of situational awareness (SA) in the identification of abuse, including observations that led them to suspect abuse. Nine prehospital emergency care providers and three community paramedics were interviewed based on preselected themes. The data was analyzed using inductive content analysis. According to the results, emergency care providers’ self-defined situational awareness consisted of cognitive competence (logical reasoning and detection of cause-effect relationships); emotional competence (empathy and emotional intelligence); social competence (interaction skills and assessment of family dynamics), and experiential knowledge. Indicators of abuse involved the overall situation; the client’s physical condition; the client’s mental condition; the context and circumstances, and the logic in client reports. Although situational awareness develops with work experience, it is advisable for educators to include a wide range of cognitive, emotional and social skills in the initial and continuing education of emergency care professionals. These skills can be practiced using multi-professional simulation-based education.
Towards A Model to Improve English Language Standards in Schools: Impact of Socio-Economic Factors of Stakeholders
Authors: Silva Viruli A. De , Palihakkara Hemamali
Published: November 2020

There is a dire need to enhance the English language standards in schools of developing countries using English as a second or Foreign language, due to its importance in employability and high-earning ability in the job market. Enhancing English language standards in schools is vital to improving the English language competence of school leavers and undergraduates to achieve an English language quality level as a nation, to produce diversified graduates of global quality, to address the unemployability problem in developing countries. Sri Lanka, with a rich history of a colonial era, is no exception. Studies on the influence of Socio-Economic factors of stakeholders on improving the English language standards in schools had received poor attention from past researchers, especially in the Sri Lankan education context. Hence, the overall purpose of this study is to develop a theoretical model, to explore the impact of socio-economic factors of stakeholders on English Language Standards in Sri Lankan schools. The study reviewed reliable secondary data published in scholarly extant literature, government Policy Documents, Research Reports of reputed institutions, etc., relevant to the above primary relationship and key concepts of the study. Six main stakeholders in the socio-economic context of the school English Language education were identified: (i) Education Policy Makers, (ii) School Management, (iii) School Principals, (iv) English Language Teachers, (v) Students, and (vi) Parents. An integrated, seven-construct conceptual model, labeled ‘ELS Model’ (English Language Standard Model), was developed, to examine the impact of socio-economic factors of the six stakeholders on improving English Language Standards in schools. This ELS Model presents original insights and future directions to scholars/researchers and significant implications for policymakers.
Exploring the Factors Associated with Infant Mortality in Rural Indonesia
Authors: Irawaty Dian Kristiani , Elfiyan Indra , Purwoko Edy
Published: November 2020

Infant mortality is a sensitive indicator to measure the health condition of a population. Despite large declines in infant mortality rates in Indonesia, the people living in rural areas are the most affected. This study aims to analyze the causes of infant mortality in rural Indonesia and suggested strategies for its reduction. This study is an analytical cross-sectional design based on the 2017 Indonesian Demographic and Health Survey (IDHS) dataset for children. The information on infant deaths collected from those mothers who experienced infant deaths. Series of logistic regression models were used to select the significant factors affecting infant mortality in rural Indonesia. Infant mortality is associated with intermediate social determinants such as birth order, birth weight, and breastfeeding status. Socio-demographic factors such as the educational status of mothers, wealth quintile, the smoking habit of the mother, age of mother at first delivery, and sex of the baby are also related to infant mortality. The most crucial factors in rural Indonesia were the age of first-time mothers. As a strategy for addressing the issue of infant mortality in rural areas, the result of the study highlights the need for decreasing adolescent pregnancies among the youngest age groups. Pregnant mothers in the youngest age group should be supported by quality maternal health services to ensure their pregnancies in healthy condition. The focus of breastfeeding promotion programs should be encouraged, particularly on early initiation and duration of breastfeeding.
Global Analysis of SIRS Epidemic Model With General Incidence Function and Incomplete Recovery Rates Stochastical Model
Authors: Ouedraogo Dramane , Traore Ali , Guiro Aboudramane
Published: November 2020

In this paper, deterministic and stochastic models are developped for a class of SIRS epidemic models. Firstly, The conditions for the existence, local and global stability of the disease-free equilibrium and endemic equilibrium are obtained. Secondly, we built the stochastic model. The populations are computationally simulated under various conditions. Comparisons are made between the deterministic and stochastic model.
Analysis of multicriteria transportation problem connected to minimization of means of transport number applied in a selected example
Authors: Ambroziak Tomasz , Malesa Agnieszka , Kostrzewski Mariusz
Published: November 2020

This article presents the method connected to the formulation and solving of multicriteria transportation problems in the context of necessary transportation resources. In the developed method transport resources are considered in the aspect of their number minimization. Moreover, the authors of the article present several well-known methods for solving multicriteria transportation problems and then develop solutions of multicriteria linear transportation problems for minimization of the number of transport resources (means of transport). Furthermore, the authors describe an example of a solution as a result of using an original computer application. What is more, the development of correctness verification of the presented algorithm has been conducted. The article was concluded with a summary along with an indication of further work in the subject matter.
TCO - Total Cost of Ownership as a supporting tool of choosing the car fleet in rental company
Authors: Mazur Barbara , Wasiak Mariusz
Published: November 2020

The research problem addressed in the article concerns the issue of choosing a car fleet for rental company, factors determining the choice and determining their service life. These problems are key elements in the vehicle replacement policy for the efficiency of rental company. Based on the review of literature, a research gap was identified in the field of car fleet selection and the optimization of the replacement cars process. In the first section of the article describes the short-term rental market, the definition of TCO in general and selected elements. Then each element was characterizes in detail with their application in practice referring to the economic aspects of choosing car rental fleet. The final section of this article contains a case study, in which a real decision was described, as well as its solution and assessment.
An assessment of the susceptibility of bacterial cellulose films to fouling by mold fungi
Authors: Betlej Izabela , Krajewski Krzysztof J. , Borysiuk Piotr
Published: November 2020

An assessment of susceptibility of bacterial cellulose films to fouling by mold fungi. The article presents the results of research on the degree of fouling of films made of bacterial cellulose by selected mold fungi. The degree of fouling of the cellulose film was compared with the degree of fouling of pine wood samples. On the basis of the obtained results, it was found that the cellulose film is covered by mold fungi. At the same time, it was found that T. viride grows on wood much faster than bacterial cellulose.
Additions to the Swedish fauna of Diplazontinae (Hymenoptera: Ichneumonidae) with the descriptions of five new species
Authors: Johansson Niklas
Published: November 2020

Although Sweden is a country with a comparatively well-known fauna, there are still many species that await discovery, especially in the boreal regions. In this study five new species of Diplazontinae, Homotropus klopfsteinae sp. nov., Homotropus hellqvisti sp. nov., Homotropus mugerwai sp. nov., Homotropus riedeli sp. nov. and Woldstedtius aureotibialis sp. nov., are described. Sussaba roberti Klopfstein, 2014 and Homotropus megaspis (Thomson, 1890) are reported for the first time from Sweden. Four of the new species are described from boreal areas, which highlights the need to further investigate the river- and seaside areas of the western taiga.
The influence of external and internal factors on the squat jump height
Authors: Klisarić Dragan
Published: November 2020

Squat jump is an important tool - an exercise that determines power of kinetic chain muscle groups which leads to jump height. Science and practice registered numerous factors that influence the squat jump height, the most important are set out and described. The aim of this article was to describe and explain the influence of external and internal factors on the squat jump height. The paper compares and comments on the results of available domestic and foreign scientific research. The analysis of the researched sources concluded that the greatest influence on the squat jump height among the external factors has the way of performance, while the greatest influence among internal factors has growth. The results of this article can be used to improve the quality of directing and abilities testing as well as the training process to achieve the best in sports and sports branches.
Numerical modeling of scale effects for circular cylinder in the theory of thermoelastic materials with voids
Authors: Li Yulong , Volkov Alexander , Rabinskiy Lev , Shemiakov Aleksandr
Published: November 2020

This article is relevant, as changes during the external loading may affect the stress state of the materials. The aim of this paper is to consider the numerical modeling of heating for circular cylinders in the frame of the theory of elastic materials with voids. A numerical solution is build using COMSOL Multiphysics software, where the implementation of the considered theory is realized based on the direct equation-definition approach. Constitutive relations were written in General form partial differential equation module. A matrix form of the equations for the two-dimensional case was used. Scale effects arising in considered problems are discussed. The classical solution is the particular case of the considered theory, when the coupling number tends to asero, i.e. when the micro-dilatation effects are small and do not affect the material's stress state. The limiting case in the case of the small value of the coupling number is the classical thermoelasticity solution.
Experimental studies and modelling of fracture toughness of the epoxy samples with eccentric cracks
Authors: Korolenko Vladimir , Li Yulong , Dobryanskiy Vasiliy , Solyaev Yury
Published: November 2020

The relevance of the work is due to the need for experimental studies to determine the mechanical characteristics of epoxy resin samples, which can be used to check the correctness of the choice of parameters and criteria for the onset of crack growth within the framework of elastic fracture mechanics, cohesive models, models such as virtual crack closure technique, extended finite element method, etc. Thus, the article is aimed at determining the parameters of fracture toughness of samples of brittle epoxy resin with applied eccentric cracks. The leading method for the study of this problem is the experimental method, which makes it possible to determine the critical stress intensity factor for three-point bending of samples with an edge crack, as well as to study samples with an eccentric (relative to the center of the sample) location of cracks. The paper presents the results of experimental studies to determine the critical stress intensity factors for samples of brittle epoxy resin L285 with hardener H 285 (Hexion), obtained without the addition of a plasticizer. The results of testing samples with asymmetric cracks are compared with the results of numerical modeling within the framework of elastic fracture mechanics with the energy fracture criterion. The materials of the article are of practical value, first of all, for the calibration of fracture mechanics models.
Complex stress-strain behaviour of a cylindrical shell with a dynamically breaking internal elastic base
Authors: Antufiev Boris , Aung Thu , Polyakov Pavel , Kuznetsova Elena
Published: November 2020

During the operation of a solid-propellant rocket engine, the combustion products of a powder charge create increased pressure in the combustion chamber. Besides, the combustion of gunpowder is accompanied by a large release of heat, which, despite the thermal insulation, causes the appearance of deformations in the engine cowling. This leads to the need to investigate the durability of the shell under the influence of internal pressure and temperature fields. The aim of the paper is to determine the complex dynamic deformed state and vibrations of the engine cowling under the action of force and temperature loads. The problem of a complex axisymmetric stress-strain state and vibrations of a thin cylindrical shell with a dynamically breaking internal elastic foundation, obeying Winkler's hypothesis, is approximately solved. The shell is under the action of internal pressure and temperature fields on a part of its length free from an elastic base. The resolving equation of the problem of the shell deflection is solved by the Bubnov-Galerkin method, reducing the problem to a system of linear algebraic equations. The examples are considered, in which the basic frequencies of natural vibrations of the structure are determined depending on the conditions of shell fastening. Parametric studies are carried out.
Performance appraisal and supervision of state-owned enterprises in Bosnia and Herzegovina
Authors: Nikolić Nikola , Slobodan Marin , Šušić Milan
Published: November 2020

Bosnia and Herzegovina has opted for a market economy, which implies the liberalization of prices and trade, as well as the existence of an applicable legal system, including real rights. In order for a market economy to function, it is necessary to ensure macroeconomic stability and consensus on economic policy. A developed financial sector and the absence of significant barriers to entry and exit strengthen the efficiency of the economy. By analyzing the database of financial statements of state-owned companies in Bosnia and Herzegovina, we conclude that they are mostly in poor financial condition. This paper analyzes the structure of the state-owned enterprise sector, and identifies individual enterprises that affect fiscal and macroeconomic performance. State-owned companies do not contribute enough to the growth and stability of the economy, the financial analysis showed. The framework for the management of state-owned enterprises has also been analyzed and we come to the conclusion that the entity and cantonal governments do not perform their ownership function in accordance with the WB / OECD guidelines. Quality governance reforms in state-owned enterprises are needed to encourage transparency and increase the quality of accountability. Achieving a higher level of quality in the state-owned enterprise sector can achieve an increase in total GDP of 3 percent annually.
Retrospective review of 108 breast reconstructions using the round block technique after breast-conserving surgery: Indications, complications, and outcomes
Authors: In Seok Kyung , Kim Yoon Soo , Kim Ho Sung , Park Jin Hyung , Kim Hong Il , Yi Hyung Suk , Park Jea Chun , Jeon Chang Wan , Choi Jin Hyuk , Jung Sung Ui , Kim Hyo Young
Published: November 2020

Background Several oncoplastic approaches have been implemented in recent years to enhance cosmetic results and to reduce complications. The round block technique is a volume displacement technique for breast reconstruction after breast-conserving surgery (BCS). However, its indications are currently limited according to tumor location, and its cosmetic results and complications have not been clearly established. We hypothesized that the round block technique could produce favorable cosmetic results without major complications regardless of tumor location or nipple-tumor distance, below a certain resected tumor volume and tumor-breast volume ratio.

Methods All breast reconstructions using the round block technique after BCS were included in this analysis. Patients’ data were reviewed retrospectively to investigate complications during follow-up, and clinical photos were used to evaluate cosmetic results. The relationships of tumor location, nipple-tumor distance, tumor volume, and the tumor-breast volume ratio with cosmetic results were investigated.

Results In total, 108 breasts were reconstructed. The mean resected tumor volume was 30.2±15.0 mL. The cosmetic score was 4.5±0.6 out of 5. Tumor location, nipple-tumor distance, tumor volume, tumor-breast volume ratio, radiotherapy, and chemotherapy had no significant effects on cosmetic results or complications. There were no major complications requiring reoperation.

Conclusions Breast reconstruction using the round block technique after BCS can lead to good cosmetic results without major complications regardless of the tumor location, nipple-tumor distance, radiotherapy, or chemotherapy. Below the maximum tumor volume (79.2 mL) and the maximum tumor-breast volume ratio (14%), favorable results were consistently obtained.
Open carpal release using local anesthesia without a tourniquet: Does bleeding tendency affect the outcome?
Authors: Lee Seongwon , Oh Sangho , Son Daegu
Published: November 2020

Background The aim of this study was to analyze the clinical results of minimal single palmar-incision carpal tunnel release without a tourniquet.

Methods We reviewed the medical records of 75 patients (90 cases of carpal tunnel syndrome) who underwent minimal single-palmar incision carpal tunnel release without a tourniquet from June 2010 to January 2018. Ten patients had a bleeding tendency. We compared the preoperative and postoperative Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) scores. We also analyzed outcomes and complications according to the presence of a bleeding tendency.

Results In all cases, there was a complete disappearance or marked improvement in symptoms within 6 months, with no recurrence. The postoperative BCTQ score showed a significant improvement compared to the preoperative score, and no statistically significant difference in BCTQ scores was detected according to the presence of a bleeding tendency.

Conclusions Carpal tunnel release without a tourniquet using a minimal single palmar incision is effective and reliable. This technique prevents unnecessary pain associated with the tourniquet and is especially helpful in patients with a bleeding tendency or those treated with hemodialysis.
Correction of bony deviation in rhinoplasty
Authors: Kim Kook Hyun
Published: November 2020

In rhinoplasty, osteotomy is becoming more and more frequent as a way to achieve aesthetically pleasing and functional results, as well as patient satisfaction. In procedures to correct a deviated nose, osteotomy to correct the bone plays an essential role in addition to correction of the septum and cartilage, and osteotomy can reduce the wide nose bridge and give a slightly higher appearance in Asian rhinoplasty. However, osteotomy is relatively invasive, and the nasal bones of Asians are often low and thick, so bleeding or swelling during surgery can be somewhat more severe, and a stuffy nose can occur after surgery if osteotomy is performed incorrectly. Since side effects are possible, it is necessary to have a precise understanding of the relevant anatomy and technique. Several articles have described nasal bone osteotomy in rhinoplasty, and this review article introduces the methods presented in various articles, describes indications and limitations, and reviews the relevant anatomical structures and techniques in an accurate manner. We introduce a method that can increase patients’ satisfaction and the completeness of surgery through accurate osteotomy, as well as reducing the risk of side effects.
Septal deviation correction methods and surgical considerations in turbinoplasty
Authors: Kang Eun Taek
Published: November 2020

Nasal septoplasty is often required to correct a cosmetic deformity, which is a common reason for patients to present to a plastic surgeon. If nasal septoplasty is insufficient, a residual deformity or nasal obstruction may remain after surgery. Even if the nasal septum is corrected to an appropriate position, nasal congestion could be exacerbated if the turbinate on the other side is not also corrected. Therefore, appropriate treatment is required based on the condition of the turbinates. Herein, we survey recent trends in treatment and review previous research papers on turbinoplasty procedures that can be performed alongside nasal septoplasty.
Son ilusiones: etnicidad e identidad cultural en la periferia urbana española desde Los Chichos hasta Estopa
Authors: Martín Sevillano Ana Belén
Published: November 2020

La producción cultural de la clase obrera española ha recibido escaso reconocimiento histórico en España, país que presenta un modelo social que liga las prácticas artísticas y culturales a las clases media y alta. A partir de 2011, tras el movimiento político 15M, la crítica ha iniciado un tímido proceso de recuperación y revalorización de prácticas culturales que han sido consideradas de mal gusto o marginales en virtud del origen social de sus artífices y de su audiencia. La rumba suburbana de Los Chichos y Estopa es un ejemplo de cómo prácticas musicales de gran impacto y repercusión social han quedado relegadas en la reconstrucción de la memoria cultural e histórica de la España postfranquista. Este artículo documenta la falta de reconocimiento que la rumba suburbana ha recibido para reflexionar después, a través del análisis de la letra de temas representativos de los grupos antes mencionados, sobre el imaginario y la experiencia de la clase obrera.
Hunted and Honoured: Animal Representations in Precontact Masks from the Nunalleq Site, Southwest Alaska
Authors: Mossolova Anna , Knecht Rick , Masson-MacLean Edouard , Houmard Claire
Published: November 2020

The precontact lifeways of Yup’ik people in Southwest Alaska were poorly known until the 2009–2018 excavations at the Nunalleq site near the village of Quinhagak. Until recently, the site dating from around AD 1400–1675 had been locked in permafrost that secured the extraordinary preservation of organic artefacts and faunal materials. As in many other hunter-gatherer communities across the North, animals were economically and culturally central to the lives of Nunalleq residents. This multidisciplinary paper combines the ethnographic study of unearthed artefacts with the results of subsistence and dietary studies at Nunalleq, and demonstrates how precontact Yup’ik ecologies were embodied in material culture, particularly in the iconography of ceremonial objects such as masks and mask attachments. Early ethnographic records and collections suggest that Yup’ik masks were often complex in structure and imagery, and can be considered miniature models of a multilayered and ensouled universe. Masks and other material culture representations highlight the way humans and animals are related and ontologically linked in Yup’ik worldviews. By taking this approach, this study aims to better understand the role of animals in the belief systems and lifeways of a precontact Nunalleq community.