bluuebunny/crossref_metadata_2025 huggingface dataset:
The Italian story of HEMS: the HEMS Association
Authors:   HEMS Association
Published: November 2021

Mountain HEMS Association was born, with a notarial deed of incorporation, in April 2008 following the initiative of 7 autonomous Region /Provinces of the Alps and Apennines: in 2005, Dr. Enrico Visetti, Anesthetist Doctor of the Aosta hospital, organized a helicopter rescue training course aimed at new doctors to be included in the local helicopter rescue. In December 2006, access to the course was offered to all the other operational bases in the Alps. The invitation was extended to the various figures operating within the Service, therefore doctors, nurses, and subsequently the CNSAS Helicopter Rescue Technicians: with the participation of new external experiences, the course objective was also modified. In 2007, 90% of the participants in the training course were Doctors and Nurses who already had experience and actively operated in the helicopter rescue in the bases of origin: the participants themselves had to bring their own ideas and experiences and simultaneously cover the role of speakers. Until now, the main objective, concentrated in the training addressed to new doctors, became, thanks to the support of the various experiences, an exchange of opinions and a training ground for discussion between the various actors. The technical mountaineering part was managed thanks to the support of the mountain rescue, always present in the external activities alongside the staff. In the theoretical part, various lines of common behavior were discussed to be adopted in the interventions of Helicopter Rescue, while in the context of the scientific discussion, the total lack of a database of helicopter rescue services in which to obtain useful information was recognized. During the Courmayer course, in the spring of 2007, the idea of creating a website was born with the aim of developing a data acquisition system from the various operational bases of the Alpine and Apennine arc: from this initiative, the establishment of the Association.
La gestione dei parenti durante una immobilizzazione pediatrica | Case Report
Authors: Cassatella Doriana , Magri Marco
Published: November 2021

Cosa è possibile fare per ridurre l’ansia e lo stress su un paziente pediatrico, causato dai genitori sulla scena dell’incidente? In queste emergenze l’emotività dei parenti deriva non solo dalla paura, ma anche dall’ansia e dalla frustrazione del non poter essere di aiuto durante le operazioni.
Desafios e aprendizados para a transição agroecológica do café orgânico: o caso da agricultura familiar do Leste de Minas Gerais
Authors: Bosa Jairo Antonio , Rover Oscar José
Published: November 2021

Com o reconhecimento e ampliação da agroecologia, ganham relevância os estudos sobre experiências que visam à transição agroecológica. Este artigo analisa aspectos sociais e técnicos em processo que visou à produção orgânica do café no Leste de Minas Gerais. Apoiando-se na abordagem da transição agroecológica e na perspectiva orientada ao ator (POA), analisou-se as ações implementadas, seus resultados, limitações e avanços. O estudo identificou um enfoque mais focado na conversão orgânica, em detrimento de um processo de transição agroecológica, e evidenciou queda acentuada na produtividade do café, com a retirada da adubação química sem uma adequada substituição, além de dificuldades em viabilizar a comercialização, com consequente perda de renda e desestímulo dos agricultores. Por outro lado, revelou o aumento de práticas sustentáveis e iniciativas de organização socioeconômica na agricultura familiar. Em termos estratégicos, identificou aprendizados acerca da construção de mudanças integrando produção, organização e mercado, a partir dos atores sociais locais.
Como Belo Monte se tornou sustentável? Ponderações baseadas no estudo da controvérsia da pesca na região de Altamira/PA
Authors: Prates Camila , Almeida Jalcione
Published: November 2021

Este artigo mapeia e discute a controvérsia na pesca gerada pelas perturbações no rio Xingu em decorrência da construção da Usina Hidrelétrica Belo Monte. As alterações na pesca local, longe de serem consensuais, foram captadas por meio do mapeamento da controvérsia sobre a pesca na região, da observação e realização de entrevistas. Recorre-se à categoria de controvérsia tecnocientífica para mostrar como as alegações no âmbito tecnocientífico são formuladas, disputadas e encerradas não com base em um consenso científico, mas com auxílio de uma rede de sustentação construída por humanos (pescadores, indígenas, pesquisadores) e não humanos (peixes, relatórios, financiamento, acordos) que exerce mais influência sobre os demais. A pesquisa apontou que a suspensão da controvérsia em questão agrava os conflitos ambientais, uma vez que existem diferentes versões ambientais sobre o rio Xingu, apreendidas pela ciência, mas que são ignoradas no âmbito da legitimação dos impactos da obra. O estudo conclui que a controvérsia é encerrada à força com a demarcação política “Belo Monte é sustentável”, que age com a ajuda de diretrizes científicas favorecendo estudos em larga escala sobre o rio, apoiadas pela rede do programa de ação que constrói a Usina.
Egészségfejlesztés, tudatos táplálkozás kialakítása a mindennapokban a közétkeztetési szolgáltatáson keresztül
Authors: Beke Szilvia
Published: November 2021

A közétkeztetési reform elindítása, immáron lassan egy évtizedes múltra tekint vissza, melynek végeredményeként született meg a 37/2014. (IV. 30.) EMMI rendelet a közétkeztetésre vonatkozó táplálkozás-egészségügyi előírásokról. A rendelet immáron korcsoportosan a Food Based Dietary Guidelines európai ajánlásai alapján alakította át a korábbi Menza körképek során bemutatott korántsem ideális helyzetet. Az egészségtudatos táplálkozás kialakítása érdekében a közétkeztetés, mint lehetőség adott, ehhez azonban meg kell őriznünk az étkezők elégedettségét.A tanulmányom gyakorlati részében három korcsoportban (óvoda, általános és középiskola) végeztem felmérést saját szerkesztésű kérdőívvel, melynek elsődleges célja volt, hogy felmérje, a gyermekek, illetve szülők milyen mértékben elégedettek a közétkeztetéssel, valamint, hogy táplálkozási szokásaik, és alapanyag-ismeretük mennyiben függ a szolgáltatás igénybevételétől. A kiosztott 300 kérdőívből 256 érkezett vissza értékelhetően. Ezen kívül, a kínálat oldaláról a város közétkeztetését biztosító szolgáltató vezetőjével készítettem félig strukturált interjút. Az adataimat Microsoft Excellel és SPSS programok használatával dolgoztam fel.Az eredmények közül kiemelném, hogy az elégedettség és a szolgáltatás igénybevételi ideje közötti szignifikáns kapcsolat csak a 2-5 éve és az öt évnél régebben igénybevevők között mutatható ki, ugyanakkor az életkor és az elégedettség között negatív korreláció áll fenn, vagyis minél idősebb a válaszadó, annál elégedetlenebb. Az elégedettség esetében a válaszadók érzékenyen reagálnak a körülményekre, melyek közül a legerőteljesebb kapcsolatot a tálalás minőségével, valamint az ételek hőmérsékletével találtam. Ugyanakkor ezeknél erőteljesebb kapcsolat áll fenn az ételek minősége és ízletessége között.
Egyházi szociális munka Hajdúdorogon
Authors: Soós Zsolt
Published: November 2021

A Hajdúdorogon lefolytatott kutatásunk egy hosszabb, tíz elemből álló kutatássorozat része, amelyben elsősorban az ország kedvezőtlenebb helyzetű régióiban fekvő, kisebb lakosságszámú települések főbb társadalmi jellemzőinek, aktuális társadalmi folyamatainak a feltérképezésére törekszünk. A kutatás során alapvetően a helyi lakosok nézőpontjainak a megismerése és megjelenítése a célunk. A kutatási helyszínek megválasztásában döntő szempont volt, hogy e perifériális régiók kisebb településein meglehetősen kedvezőtlen szocio-demográfiai folyamatok zajlanak, ideértve különösen a települési lakosságszám csökkenését, az idősödést és a hátrányos helyzetű lakosság számarányának a növekedését. E folyamatok - amennyiben nem történnek jelentősebb változások - még a jelenleginél is kedvezőtlenebb jövőképet vetítenek előre. E kedvezőtlen szocio-demográfiai tendenciák egyértelműen tetten érhetőek Hajdúdorogon. Ehhez kapcsolódóan a kutatás kiemelt céljának tekintettük a helyi közösségi kapcsolatoknak, ezen belül elsősorban a romák és a nem romák együttélési jellemzőinek, valamint a hátrányos helyzetű romák szociális segítésének a megismerését.
HUKUM ISLAM DAN BUDAYA LOKAL TELAAH UNSUR LOKALITAS DALAM PEMBENTUKAN HUKUM ISLAM
Authors: Ikhwanuddin Moh.
Published: November 2021

Diskursus mengenai Hukum Islam dan budaya lokal sering kali tidak berjalan dengan baik. Keberadaan budaya yang dianggap merupakan hasil cipta manusia dan berjalan dinamis progresif, dipandang memiliki karakter yang berlainan dengan hukum Islam di mana tekstualitas dalil pembentukan hukum Islam bersumber pada dua hal yang paling penting dalam setiap pembentukan hukum, yakni Al-Qur’an dan Hadis. Akan tetapi, dalam tataran teori dan praktis, pembentukan hukum Islam ternyata tidak sama sekali menegasikan nuansa lokalitas. Persinggungan keduanya memiliki relasi yang saling terikat dalam pembentukan awal hukum Islam. Islam, dengan sumber hukumnya, berakulturasi dengan indah dengan unsur lokalitas ternyata mampu menyadarkan kembali pertentangan yang kembali, dan akan terjadi berulang, mengenai hukum Islam dan budaya lokal.
The Real Jesus
Authors: Christianto Victor
Published: November 2021

Edisi desember dari majalah internasional National Geographic (2017) mengangkat suatu topic yang telah menantang ribuan bahkan jutaan pemikir, teolog, dan ahli sejarah, yakni kontroversi seputar siapakah Yesus dari Nazaret. Sebagai sebuah majalah semi-ilmiah dengan tiras yang cukup besar, tentu kita mesti mengangkat jempol atas keberanian majalah tersebut untuk mengangkat topik yang bagi sebagian orang disebut ‘politically incorrect.”
Peran Kepemimpinan Misi Paulus dan Implikasinya bagi Pemimpin Misi Masa Kini
Authors: Arifianto Yonatan Alex
Published: November 2021

Abstrak
Gereja pada zaman ini mulai kehilangan esensi dan tujuan utamanya untuk memberitakan Injil. Salah satu faktor yang menyebabkan gereja kurang optimal dalam pemberitaan Injil adalah lemahnya kepemimpinan misi yang dimiliki. Kepemimpinan misi adalah kemampuan seseorang untuk mempengaruhi dan menggerakan orang supaya terlibat aktif dalam misi Allah. Salah satu tokoh besar dalam kegerakan misi di dunia adalah Rasul Paulus. Oleh sebab itu, penilitian ini bertujuan untuk mengetahui karakter kepemimpinan misi yang dilakukan oleh Paulus dan menghubungkan menjadi implikasi bagi pemimpin pada misi kini. Metode penelitian yang digunakan adalah metode kualitatif dengan pendekatan studi kepustakaan. Hasil dari penelitian ini adalah adanya 5 prinsip kepemimpinan misi Paulus yang dapat diimplikasikan bagi pemimpin masa kini, yaitu berdoa dan terlibat aktif dalam pengabaran Injil (Integritas). Lalu mendidik jemaat dan mencetak pemimpin lokal. Dan menentukan standar misionaris.serta mempersiapkan misionaris untuk diutus. Dan yang selanjutnya mendukung misionaris melalui doa, motivasi, dan pencarian solusi atas setiap persoalan. Lalu yang terakhir di atas semua strategi yang Paulus lakukan, Paulus selalu bergantung kepada Allah.
 
Abstract
The church today begins to lose its essence and main purpose to preach the gospel. One of the factors that causes the church to be less than optimal in preaching the gospel is the weakness of its mission leadership. Mission leadership is a person's ability to influence and move people to be actively involved in God's mission. One of the great figures in the missionary movement in the world was the Apostle Paul. Therefore, this study aims to determine the character of mission leadership carried out by Paul and link it to the implications for leaders on current missions. The research method used is a qualitative method with a literature study approach. The result of this research is that there are 5 principles of Paul's mission leadership that can be implicated for today's leaders, namely praying and being actively involved in preaching the gospel (Integrity). Then educate the congregation and produce local leaders. And setting missionary standards and preparing missionaries to be sent. And that further supports missionaries through prayer, motivation, and finding solutions to every problem. Then the last, above all the strategies that Paul did, Paul always depended on God
Pengaruh Kompetensi Leadership Guru Pendidikan Agama Islam Terhadap Perkembangan Moral Siswa SMK Terpadu Ad-Dimyati Kota Bandung
Authors: Ulfah Ulfah , Susandra Rina
Published: November 2021

Penelitian ini dilatarbelakangi oleh permasalahan perkembangan moral siswa di SMK Tepadu Ad-Dimyati Kota Bandung yang menurun, hal ini terindikasi dengan adanya siswa yang sering terlambat masuk sekolah dan berpakaian tidak rapi. Maka peran guru yang memiliki kompetensi leadership sangatlah diperlukan untuk mengatasi permasalahan tersebut. Penelitian ini dilakukan untuk lebih mengetahui mengenai pengaruh kompetensi leadership terhadap perkembangan moral siswa yang bertujuan untuk: (1) Mengetahui kompetensi leadership guru pendidikan agama Islam, (2) Mengetahui perkembangan moral siswa, dan (3) Mengetahui pengaruh kompetensi leadership guru pendidikan agama Islam terhadap perkembangan moral siswa di SMK Terpadu Ad-Dimyati Kota Bandung. Pendekatan dalam penelitian ini yaitu pendekatan kuantitatif dengan metode penelitian statistik deskriptif. Penelitian ini dilaksanakan di SMK Terpadu ad-Dimyati Kota Bandung dengan jumlah populasi sebanyak 161 siswa yang merupakan siswa kelas XI. Sedangkan sampel dalam penelitian ini sebanyak 48 orang dengan mengambil 30% dari populasi. Hasil yang di peroleh yaitu kompetensi leadership guru PAI berada pada kategori sangat baik, karena ada pada interval 3,00 – 4,00, sedangkan hasil perkembangan moral siswa berada pada kategori sangat baik, karena ada pada interval 3,00 – 4,00. Dari hasil perhitungan diperoleh 5,238 dan Sig. = 0, 027 < 0,05 yang artinya H0 ditolak dan H1 diterima atau signifikasi lebih kecil dari taraf kesalahan yang ditentukan. Dengan demikian, regresi Y atas X adalah signifikan atau dapat di nyatakan bahwa kompetensi leadership guru PAI berpengaruh terhadap perkembangan moral Siswa di SMK Terpadu Ad-Dimyati Kota Bandung. Nilai R Square pada uji korelasi determinan sebesar 0,102 atau dapat di artikan bahwa hanya 10,2% perkembangan moral siswa di SMK Terpadu Ad-Dimyati dapat dijelaskan dengan menggunakan variabel pengaruh kompetensi leadership guru PAI terhadap perkembangan moral siswa di SMK Terpadi Ad-Dimyati. Sedangkan sisanya 89,8% (100% - 10,2%) harus dijelaskan oleh faktor-faktor pengaruh lain.
Doping u sportu
Authors: Šimun Vasilj , Kerže Petar
Published: November 2021

Sport je pred sportaše
postavio visoke kriterije. Kako bi ih postigli veliki broj sportaša pribjegava
uzimanju nedozvoljenih sredstava i metoda (doping). Sportaši, njihovi treneri i
stručne službe pronalaze razna sredstva kako bi zaobišle provjere anti doping
agencija. Farmaceutska industrija neprekidno pronalazi nova sredstva i metode
koje se ne nalaze na listi anti doping agenija, a daju slične rezultate kao i
zabranjena sredstva sa liste. U radu će biti detaljno objašnjene i negativne
posljedice utjecaja velikih korporacija koja kroz sponzorstva i velike ugovore
pred sportaše postavljaju nerealne ciljeve.
Primjer godišnjeg izvedbenog kurikuluma za drugi razred OŠ Pehlin
Authors: Trajkovski Biljana
Published: November 2021

Na uzorku od
20 ispitanika starih 8 godina ± 6
mjeseci (10 dječaka i 10 djevojčica), OŠ Pehlin, bio je primijenjen sustav
baterije mjernih instrumenata od ukupno 12 varijabli (5 morfoloških, 6
motoričkih i jedna funkcionalna), s ciljem utvrđivanja razine antropoloških
obilježja radi optimalnog programiranja, odnosno optimalnog prilagođavanja
zadataka, sadržaja, volumena opterećenja i metoda rada autentičnim potrebama
mjerenih učenika.
Podatci su
dobiveni primjenom osnovnih statističkih parametara (AS, SD) skupina po spolu i uspoređeni su s
vrijednostima za taj uzrast u Republici Hrvatskoj (Findak i suradnici, 1996).
Temeljem analize izračunatih rezultata u morfološkim varijablama može se
zaključiti da su i djevojčice i dječaci skladno građeni i da nemaju izrazitije
količine masti u tijelu. U prostoru motoričkih sposobnosti analiza dobivenih
rezultata ukazuje kod djevojčica na nešto nižu razinu statičke snage ruku i
ramenog pojasa (MIV) i eksplozivne snage nogu (MSD), dok je kod dječaka niža
razina sposobnosti izražena u testu eksplozivne snage nogu (MSD). Učenici i učenice su dobrih funkcionalnih
sposobnosti.
RELIGIOSITY AND POLITICAL TOLERANCE: REASSESING THE RELATIONSHIP
Authors: Peterson Jonathan R.
Published: November 2021

Political tolerance ­­­–– the willingness to afford basic civil rights to individuals or groups that one finds disagreeable –– is fundamental to liberal democracy. For several decades, political scientists believed that widespread religious adherence in the United States threatened political tolerance. Recent research casts doubt on the direct relationship between religiosity and political tolerance. However, this research is based on decades-old data or a sample collected from a single county. My study tests the relationship between religiosity and political tolerance using more recent national survey data. It confirms that, although religiosity is related to dogmatism, no direct relationship exists between religiosity and political tolerance.
PEMERIKSAAN DNA SENTUHAN DARI BARANG BUKTI DENGAN PERBEDAAN JENIS BAHAN
Authors: Saamia Vira , WIRANATHA I MADE , Rofik Irfan , Aritonang Setia betaria , Oktaviani Dwi Ana
Published: November 2021

Analysis of Touch DNA on forensic laboratory has been a favorite approach to identify a person. Every investigator demand the identity of whom the perpetrator that commit the crime, that leaved their DNA on the evidence. Many factors affect touch DNA, one of these is the substrate of the evidence. Common evidences that often examined in forensic lab are firearms, knife, swords, clothes, and switch bomb. To collect the cell on the evidence we use tapelift method using the duct tape. PrepFilerTM BTA Extraction Kit used to extract the DNA from the duct tape, followed by Quantifiler® Duo. For profiling the DNA we use GlobalFilerTM and fragment analyzed on ABI 3500 Genetic Analyzer followed by GeneMapper ID.X. V.1.4. Based on our analysis, DNA from fabric substrate has the higher percentage of success DNA profiling. The success DNA profiling rate of fabric and plastic substrate is 100%, and 0% for wood substrate. According to recent researches, smooth substrate, like plastic and glass, has higher percentage to get full profile than rough substrate, like woods. But on the fabric, they found has much higher percentage than smooth substrate. This can be due to the absorption ability of the fabric to obtain more cells
Penerapan aplikasi perhimpunan simpan pinjam mandiri Paroki Padrepio Medan
Authors: Purba Megaria , Saragih Marice , Saragih Veronika
Published: November 2021

Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio Medan  beralamat di Jalan Beringin III No 9 Helvetia Medan meliputi wilayah Gereja Katolik Paroki Padre Pio Helvetia Medan Keuskupan Agung Medan. Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio adalah salah satu wadah untuk menggalang kekuatan ekonomi rakyat yang perlu didorong dan ditumbuh kembangkan.  Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio memiliki Anggaran Dasar dan Anggaran Rumah Tangga didalamnya terdapat aturan, kewajiban dan hak setiap anggota. Dengan semangat keinginan untuk menabung diantara para anggota Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio Medan menciptakan modal bersama lalu akan dipinjamkan bagi anggota  untuk tujuan kesejahteraan yang diatur sesuai dengan  anggaran rumah tangga. Sistem yang digunakan oleh Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio masih menggunakan sistem yang manual dengan pengertian bahwa  perhitungan transaksi yang disetor oleh para kolektor kepada bendahara masih menggunakan kalkulator dengan perhitungan berulang kali untuk menghindari terjadinya kesalahan sehingga membutuhkan waktu yang lama.Pemberkasan dan buku anggota yang terdiri dari 213 orang menggunakan pencatatan dalam buku besar folio dan kertas file sehingga untuk mencari data dari setiap anggota membutuhkan waktu yang lama dan sering tidak ditemukan karena bisa tercecer atau alasan lain. Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio perlu melakukan pengembangan sistem yang sedang berjalan yaitu manual menjadi sistem penerapan aplikasi komputer.untuk pengolahan data yang cepat dan akurat. Aplikasi yang diterapkan adalah Aplikasi Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio yaitu hasil penelitian Megaria Purba tahun 2020 . Penerapan Aplikasi Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio dengan melalui pendampingan dan pelatihan para pengguna diantaranya adalah para kolektor,bendahara serta admin yang sekaligus menjadi mitra pengabdian AMIK WIDYALOKA. Pendampingan dan pelatihan dilakukan secara tatap muka dilokasi Koperasi Perhimpunan Simpan Pinjam Mandiri Paroki Padrepio jalan Beringin III No 9 Helvetia Medan dengan menggunakan protokol kesehatan karena suasana covid 19.
Audit Teknologi Informasi Menggunakan COBIT 5 Domain Build Acquire Implement Pada PT Beiersdorf Indonesia
Authors: Hidayat Taufik , Budihartanti Cahyani
Published: November 2021

Beiersdorf Indonesia merupakan perushaan FMCG multi nasional yang bergerak dalam kategori perawatan kulit. Dalam operasional perusahaan dalam rangka mengakselerasi dan memonitor penjualan menggunakan aplikasi DAR & BFAST. DAR & BFAST adalah sistem aplikasi yang mendukung proses bisnis dengan fungsinya memonitor aktifitas SPG & Salesman. Masalah yang dihadapi adalah perlunya evaluasi dengan melakukan penilaian tata kelola dan manajemen TI untuk mengetahui kondisi TI saat ini dan pemahaman mengenai kemampuan untuk mencapai tujuan bisnisnya. Penelitian ini akan berfokus pada penilaian kapabilitas proses tata kelola dan manajemen TI pada domain BAI COBIT versi 5 dengan berfokus pada domain proses BAI02 dalam rangka untuk menilai kapabilitas proses terkait pengelolaan pendefinisian kebutuhan dari implementasi DAR & BFAST. Metode penelitian yang digunakan adalah memakai framework penilaian yang mengacu pada COBIT (Control Objective for Information and Related Technology) versi 5. Terdapat Process Assessment Model (PAM) pada framework ini untuk menentukan tingkat efektifitas dan efisiensi dari sekumpulan proses, dengan cara mengevaluasi tingkat kematangan kapabilitasnya. Metode pengumpulan data pada penelitian ini adalah dengan menyebarkan kuesioner dan wawancara ke pihak penanggung jawab proses-proses yang ada. Hasil penilaian implementasi TI berbasis COBIT versi 5 di PT Beiersdorf Indonesia Indonesia menunjukkan tingkat kapabilitas proses TI domain proses BAI02 berada pada level 1 (Performed) dengan skala 24% dengan tingkat pencapaian P (partially achieved). Rekomendasi perbaikan disusun untuk mencapai target tingkat kapabilitas yang diharapkan.
Perancangan aplikasi teknologi informasi helpdesk berbasis web pada instalasi rekam medik dan admisi RSCM Jakarta
Authors: Purwanto Arie , Yasin Verdi , Haroen Rachmawaty
Published: November 2021

Kemajuan teknologi informasi pada zaman sekarang sangat penting dan banyak di butuhkan tidak terkecuali pada rumah sakit. Pada bagian teknisi instalasi atau admisi rekam medik, karena berpengaruh untuk jalan nya operasional rumah sakit yang mengutamakan nyawa pasien, Installasi perangkat atau masalah pada sistem atau aplikasi sering terjadi , dan oleh sebab itu untuk memperbaiki masalah tersebut secara realtime sangat di butuhkan Sebuah Sistem untuk penanganan yang di lakukan oleh IT Helpdesk yang bertujuan untuk komunikasi secara cepat, pengajuan keluhan dengan sigap pada jika ada kendala dan perbaikan pada aplikasi,. Pada aplikasi Helpdesk ini Jika User Ada keluhan atau meminta bantuan untuk intsall perangkat, kemudian yang aka di lakukan adalah input form pengajuan keluhan pada aplikasi yang akan di cek oleh teknisi. Dan  apabila pengajuan yang berubpa no tiket pada aplikasi telah di respon ,maka akan segera di perbaiki jika ada yang harus di ganti atau dikomunikasi kan problem solving nya seperti apa langkah berikutnya ,dan aplikasi ini bisa di cek secara real time dan menjaga agar tidak ada keterlambatan respon terkait hal ini.
Demographic and Economic Predictors of Uptake of Cervical Cancer Screening among Women in Isiolo County, Kenya
Authors: Linus Agnes Muthoni , Wanyoro Anthony , Gitahi Mary Muiruri
Published: November 2021

PURPOSE: To determine the demographic and economic factors associated with cervical cancer screening among women in Isiolo County, Kenya.

METHODOLOGY: A community based cross-sectional study. The study included 444 women aged 15-65 years drawn from six community units in Isiolo County. Multistage cluster sampling was used to draw a sample from the community units and household levels. Data was collected using a questionnaire administered by a research assistant. The questionnaire consisted of the demographic and economic factors associated with uptake of cervical cancer screening. Descriptive statistics, cross tabulations and multivariate logistic regressions were used in data analysis.

FINDINGS: Among the 444 eligible women 81(18.2%) had ever been screened for cervical cancer. The significant determinants of screening included residence (OR=0.012, CI 95% [0.002-0.06] P-p<0.001); education (OR=0.31, CI 95% [0.107-0.895] p<0.05); Occupation (OR=0.142, CI 95% [0.031-0.66] P-Value=0.013); and perception by the respondents that screening is expensive (OR=0.112 CI 95% [0.04-0.309] P-Value<0.001).

CONCLUSION: Uptake of cervical cancer screening at Isiolo county is significantly low. This study identified the demographic factors of screening as area of residence and education level. Occupation and the respondents’ opinion that screening is expensive were found to reduce chances of screening among the women. Many of the participants however expressed their willingness to be screened if the service was offered for free. Intensifying health education and community awareness is recommended to equip the women with accurate information regarding cervical cancer and screening.
Can Digital Health Interventions Improve Adherence to Antiretroviral (ART) for Patients Living with HIV/AIDS in Sub-Saharan Africa? Systematic Review
Authors: Sharper Sikota , Evans Chikumbe Sanhkwa , Mwiya Mufalali Simasiku , Muduli Regina , Phiri Bevis
Published: November 2021

BACKGROUND: Human Immunodeficiency Virus (HIV) infection is one of the most devastating human pandemics in Sub-Saharan Africa (SSA) and this is the region most hit by pandemic. Adherence to Antiretroviral Therapy (ART remains challenging and varies between 27% and 80% compared to the required level of 95%. Lack of adherence is of one the major causes of treatment failures. Given the increase in the use of mobile phones in Africa, text messaging is seen as a potential strategy to improve medication adherence although there is little evidence to support this argument. The aim of this review is to evaluate the efficacy of text messaging interventions to improve adherence to antiretroviral treatment.

METHODS: The Effective Public Health Practice Project (APHPP) tool was used to ensure that included Randomized Controlled Trials (RCT) studies follow vigorous methodological standards including selection bias, study design, confounders, blinding, data collection methods, and withdrawal and dropout. Selected bibliographic databases MEDLINE, Web of Science, and CINAHL Plus were searched for relevant articles published in English and dated between 2005 and 2018. Six trials met the inclusion criteria as set out in the protocol. Due to the inconsistency and the likely observed heterogeneity, narrative synthesis of evidence was carried out.

RESULTS: The results from 2/3 of included studies provided evidence that text messages reminders improve adherence to antiretroviral treatment whereas 1/3 produced contradictory results. Nevertheless, weekly Short Messaging Service (SMS) reminders were more effective than daily (SMS) in achieving 95% self-reported adherence to antiretroviral treatment and in reducing the frequency of treatment interruptions. The results indicated that patients receiving text messages had their plasma HIV viral load suppressed, median CD4+ cell counts increased and were on 100% on time picking up monthly ART refills compared to the control.

CONCLUSION: Included studies in this review provided evidence that simple SMS reminders were important in improving and sustaining optimal ART adherences. Text messaging is seen as potential strategy to improve medication adherence. Therefore, it should be included in health systems strategies to help improve sustainable development goals. The results suggest that preventing treatment failure can be achieved by SMS reminders in a resource limited setting.
High drug resistance among Gram-negative bacteria in sputum samples from an intensive care unit in Nepal
Authors: Ghimire R. , Gupte H. A. , Shrestha S. , Thekkur P. , Kharel S. , Kattel H. P. , Shrestha P. S. , Poudel N. , Shakya S. , Parajuli S. , Mudvari A. , Edwards J.
Published: November 2021

SETTING: Tribhuvan University Teaching Hospital, Kathmandu, Nepal.OBJECTIVES: 1) To report the number and proportion of Pseudomonas, Acinetobacter, Burkholderia, Stenotrophomonas (PABS) species among intensive care unit (ICU) patients with sputum culture;
and 2) to assess antimicrobial resistance patterns, demographic and clinical characteristics associated with resistance to at least one antibiotic and ICU discharge outcomes among those patients with PABS species admitted to hospital between 14 April 2018 and 13 April 2019.DESIGN:
This was a hospital-based, cross-sectional study using secondary data.RESULTS: Of 166 who underwent sputum culture, 104 (63%) had bacterial growth, of which, 67 (64%) showed PABS species. Of the positive cultures, Pseudomonas, Acinetobacter, Burkholderia and Stenotrophomonas
were present in respectively 32 (30.7%), 31 (29.8%), 1 (1%) and 3 (2.8%). Pseudomonas showed a high level of resistance to levofloxacin (61%), cefepime (50%) and amikacin (50%). Acinetobacter was largely resistant to cefepime (95%), imipenem (92%) and levofloxacin (86%). Of the
67 with PABS infection, 32 (48%) died.CONCLUSION: The study showed a high prevalence of Pseudomonas and Acinetobacter and the emergence of Stenotrophomonas in sputum culture samples of ICU patients. This highlights the need for monitoring PABS and associated
resistance patterns to reduce mortality in ICU patients.
Incidence of healthcare-associated infections with invasive devices and surgical procedures in Nepal
Authors: Koju P. , Liu X. , Zachariah R. , Bhattachan M. , Maharjan B. , Madhup S. , Shewade H. D. , Abrahamyan A. , Shah P. , Shrestha S. , Li H. , Shrestha R.
Published: November 2021

SETTING: Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu, Nepal.OBJECTIVES: 1) To report the incidence of health-care-associated infections (HAIs), 2) to compare demographic, clinical characteristics and hospital outcomes in those with and without HAIs;
and 3) to verify bacterial types in HAI and community-acquired infections (CAIs) among inpatients with invasive devices and/or surgical procedures.DESIGN: This was a cohort study using secondary data (December 2017 to April 2018).RESULTS: Of 1,310 inpatients, 908 (69.3%)
had surgical procedures, 125 (9.5%) had invasive devices and 277 (21.1%) both. Sixty-six developed HAIs (incidence = 5/100 patient admissions, 95% CI 3.9–6.3). Individuals with HAIs had a 5.5-fold higher risk of longer hospital stays (7 days) and a 6.9-fold risk of being in intensive
care compared to the surgical ward. Unfavourable hospital exit outcomes were higher in those with HAIs (4.5%) than in those without (0.9%, P = 0.02). The most common HAI bacteria (n = 70) were Escherichia coli (44.3%), Enterococcus spp. (22.9%) and Klebsiella
spp. (11.4%). Of 98 CAIs with 41 isolates, E. coli (36.6%), Staphylococcus aureus (22.0%) and methicillin-resistant S. aureus (14.6%) were common.CONCLUSION: We found relatively low incidence of HAIs, which reflects good infection prevention and control standards.
This study serves as a baseline for future monitoring and action.
High success and low recurrence with shorter treatment regimen for multidrug-resistant TB in Nepal
Authors: Koirala S. , Shah N. P. , Pyakurel P. , Khanal M. , Rajbhandari S. K. , Pun T. , Shrestha B. , Maharjan B. , Karki S. , Koirala S. , Tamang K. B. , Roggi A. , Kumar A. M. V. , Ortuño-Gutiérrez N.
Published: November 2021

SETTING: Nine drug-resistant TB centres, some of them supported by Damien Foundation in Nepal where >80% of multidrug-resistant/rifampicin-resistant TB (MDR/RR-TB) patients are treated.OBJECTIVE: To assess the uptake, effectiveness and safety of the 9–12-month
shorter treatment regimen (STR) in MDR/RR-TB patients registered from January 2018 to December 2019.DESIGN: This was a cohort study involving secondary programme data.RESULTS: Of 631 patients, 301 (48.0%) started and continued STR. Key reasons for ineligibility to start/continue
STR were baseline resistance or exposure to second-line drugs (62.0%), contact with extensively drug-resistant TB (XDR-TB) or pre-XDR-TB (7.0%) patients and unavailability of STR drugs (6.0%). Treatment success was 79.6%; unsuccessful outcomes were death (12.0%), lost to follow-up (5.3%),
failure (2.7%) and not evaluated (0.7%). Unsuccessful outcomes were significantly associated with HIV positivity and patient age 55 years, with adjusted relative risk of respectively 2.39 (95% CI 1.52–3.77) and 3.86 (95% CI 2.30–6.46). Post-treatment recurrence at 6 and 12 months
was respectively 0.5% and 2.4%. Serious adverse events (SAEs) were seen in 15.3% patients — hepatotoxicity and ototoxicity were most common.CONCLUSION: STR had a modest uptake, high treatment success and low post-treatment recurrence. For proper detection and management of
SAEs, improving pharmacovigilance might be considered. Availability of rapid diagnostic test for second-line drugs is crucial for correct patient management.
Annual consumption of parenteral antibiotics in a tertiary hospital of Nepal, 2017–2019: a cross-sectional study
Authors: Baral P. , Hann K. , Pokhrel B. , Koirala T. , Thapa R. , Bijukchhe S. M. , Khogali M.
Published: November 2021

SETTING: Patan Hospital, a tertiary care hospital in Lalitpur District, Nepal.OBJECTIVES: To describe the annual parenteral antibiotic consumption in 1) defined daily dose (DDD) and DDD per 100 admissions; 2) calculate DDD per 100 admissions and proportions by pharmacological
subgroup, chemical subgroup and AWaRe categories; and 3) describe patient expenditure on parenteral antibiotics as a proportion of the total patient expenditure on drugs and consumables between 2017 and 2019.DESIGN: This was a cross-sectional study.RESULTS: Total DDD
of parenteral antibiotics increased by 23% from 39,639.7 in 2017 to 48,947.7 in 2019. DDD per 100 admissions increased by 10% from 172.1 in 2017 to 190.2 in 2019. Other beta-lactam antibacterials comprised the most frequently consumed pharmacological subgroup. The chemical substance most often
consumed was ceftriaxone, with an increasing trend in the consumption of vancomycin and meropenem. Parenteral antibiotics in ‘Watch’ category were the most consumed over the study period, with a decreasing trend in ’Access’ and increasing trend in ‘Reserve’
categories.CONCLUSION: We aimed to understand the consumption of parenteral antibiotics at a tertiary care hospital and found that Watch antibiotics comprised the bulk of antibiotic consumption. Overconsumption of antibiotics from the ‘Watch’ and ‘Reserve’
categories can promote antimicrobial resistance; recommendations were therefore made for their rational use.
A new therapeutic option in the management
of allergic rhinitis
Authors: Lipiec Agnieszka , Jurkiewicz Dariusz
Published: November 2021

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Analysis of factors influencing pedestrians’ safety in the road traffic
Authors: Idzior Marek
Published: November 2021

The article presents analysis of pedestrian safety in the national road traffic. Factors influencing the safety of pedestrians in the road traffic are discussed. In terms of the regulations governing the relations of drivers and pedestrians, we significantly differ from the countries of Western Europe or Scandinavia, where the level of road safety is much higher than in our country. The situation in this country has probably matured to change it, give it the proper rank and improve the unfavourable statistics of pedestrian safety in the road traffic.
Mechanical and Thermal Evaluation of Diatomite Doped Fly Ash Based Geopolymers
Authors: ŞAHBUDAK Kemal
Published: November 2021

In this work, the properties of alkali silicate geopolymer type materials and diatomite as additive to fly coal ash was investigated using thermic coal plant’s fly ash in alkaline solution. The reacted products of alumino-silicate geopolymers using fly ash plus diatomite were pseudo-amorphous aluminosilicate gel and calcite and their mechanical and thermal properties were evaluated by the addition of diatomite. The compressive strength of this geopolymer is similar to that of the Portland cement mortar of PC20 (± 20 %) when cured for 28 days while the density and thermal properties are much lower that indicates the insulator properties. Alkaline solution was produced by NaOH in different concentrations to determine the least alkaline solution molarity in the range of 1 M, 3 M and 5 M. The characterization of geopolymers were done by using XRD for phase analysis, SEM for surface and morphological evaluation, compression tests for mechanical properties and transient plane source thermal analysis for thermal insulation properties. The results showed that, 1 M of NaOH alkaline solution and 10wt% diatomite addition can provide enough strength of 18 MPa which is a good candidate for constructional materials. The thermal conductivity coefficient of 10 wt.% diatomite added geopolymer was evaluated as 0.0018 W/m×K which can also be a good candidate for insulator materials to be used in green lateral wall production.
Melanocytic or Not? Dermoscopy and Reflectance Confocal Microscopy for Lesions Difficult to Diagnose: A Cross-Sectional Diagnostic Accuracy Study
Authors: Scharf Camila , Argenziano Giuseppe , Brancaccio Gabriella , Licata Gaetano , Ronchi Andrea , Moscarella Elvira
Published: November 2021

Background: Different techniques for non-invasive skin examination and early diagnosis of skin lesions are available nowadays, being dermoscopy and reflectance confocal microscopy (RCM) the most diffused ones. Several studies supported the complementary use of dermoscopy and RCM that improves diagnostic accuracy when dealing with melanocytic lesions.

Objectives: To analyze RCM diagnostic accuracy in the differential diagnosis between melanocytic and non-melanocytic lesions.

Methods: This is a cohort selected cross-sectional study conducted at the Dermatology Unit of the University of Campania L. Vanvitelli, Naples, Italy, from 2012 to 2020. We searched the image database for all excised lesions for which the clinical and dermatoscopic differential diagnosis was between melanocytic and non-melanocytic and for which an RCM examination was performed. Sensitivity, specificity, and diagnostic accuracy values ​​were estimated.

Results: The study included 53 cases that were found to have disagreement between clinical, histological and RCM diagnosis, of which, in 31 cases the differential diagnosis was melanocytic vs non-melanocytic lesion. The RCM reached a specificity of 87% (95% CI: 0.73-1) and a sensitivity of 62.5% (95% CI: 0.29-0.96) in the present sample. Diagnostic accuracy was 80.6% (95% CI: 0.67-0.94).

Conclusion: RCM has a high specificity in differentiating between difficult-to-diagnose melanocytic and non-melanocytic lesions.
The Milk Deity IAt ('I3At) in Ancient Egyptian Religion
Authors: Ahmed Ayman Mohamed
Published: November 2021

This paper addresses the question of the deity (I3t/I3ty) in ancient Egyptian religion. To date, there has not been a comprehensive study of this deity. The author attempts to provide answers for questions concerning how the name was written, differentiating the male and female forms of the deity, outlining the deity’s character, describing his/her physical appearance and attributes, and his/her link to divine birth and milk production. Several issues related to this deity, such as its dual nature, remain uncertain. For example, although textual resources indicate a female form of the deity, no female form is actually shown. This study, based on linguistic, theological, and archeological sources, presents more documentation of this little-known deity in hope that it will serve as the basis for further research.doi: http://dx.doi.org/10.5913/jarce.56.2020.a001
On the Pairs of Shafts in the Pyramid of Khufu as Means for the Ascent to the Akhet
Authors: Miatello Luca
Published: November 2021

The shafts in the pyramid of Khufu have been investigated by robots in several projects. Mason’s marks in red ink at the end of the southern shaft of the “Queen’s Chamber” can be read as the hieratic number 121 (cubits), which would indicate the shaft’s length. Precise measurements were planned for the pyramid superstructure and its architectural elements. This paper shows that the shafts represent paths of the solar circuit, which would have led the king’s immaterial components to the akhet. The model is highly coherent, and all of its features are discussed, as the shape of the inner step pyramid, the sharp turns of 45° in the northern shafts, and the two metal pins inserted into a blocking slab at the end of each lower shaft.

doi: http://dx.doi.org/10.5913/jarce.56.2020.a008
The new hypothesis angular deformation and filling of diagrams in bending with torsion in reinforced concrete structures
Authors: Kolchunov Vladimir , Dem'yanov Aleksey , Protchenko Maxim
Published: November 2021

The authors considered a simple method for constructing bend-torsion functionals by grid methods. Analysis of the diagrams of angular deformations and shear stresses made it possible to develop a new hypothesis of angular deformations. The consequences of the hypothesis were in the form of expressions from the analysis of diagrams. The authors also obtained functionals for determining angular deformations, bending and torque moments from the compressed area of concrete and reinforcement. The projection ratios helped to determine the shear and normal stresses through deformations using diagrams. The filling of the diagrams was in the form of expressions using functionals. The authors recorded expressions for determining the filling of the diagrams, as well as the total bending and torque moments.
Design and applications of a neural networks assisted portable liquid surface tensiometer
Authors: Drevinskas Tomas , Balevičiūtė Jūratė , Bimbiraitė-Survilienė Kristina , Dūda Gediminas , Stankevičius Mantas , Tiso Nicola , Mickienė Rūta , Armonavičius Domantas , Levišauskas Donatas , Kaškonienė Vilma , Ragažinskienė Ona , Grigiškis Saulius , Donati Enrica , Zacchini Massimo , Maruška Audrius
Published: November 2021

In this paper, a portable instrument for surface tension measurements, characterization and applications is described. The instrumentation is operated wirelessly, and samples can be measured in situ. The instrument has changeable different size probes; therefore, it is possible to measure samples from 1 ml up to 10 ml. The response of the measured retraction force and the concentrations of measured surfactant is complex. Therefore, two calibration methods were proposed: (i) the conditional calibration using polynomial and logarithmic fitting and (ii) the neural network trained model prediction of the surfactant concentration in samples. Calibrating the instrument, the neural network trained model showed a superior coefficient of determination (0.999), comparing it to the conditional calibration using polynomial (0.992) and logarithmic (0.991) fit equations.
Velvære i wellness-industrien
Authors: Nielsen Annegrete Juul , Strandvad Sara Malou
Published: November 2021

Oplevelsessamfundet og sundhedssamfundet er to af de betegnelser, der bruges til at beskrive den epoke vi lever i. Varer gøres i stigende omfang til oplevelsesprodukter og befolkningens sundhed gøres til genstand for øget opmærksomhed. Begge diagnoser inkarneres i wellness-industrien, hvor sundhed udformes som et oplevelsesprodukt. Igennem gen-analyser af en række af etnologen Tom O’Dells observationer fra svenske spa-hoteller diskuterer artiklen produktionen af velværeoplevelser. Sædvanligvis beskrives servicearbejde som immaterielt arbejde eller følelsesarbejde. Med afsæt i et ANT-perspektiv fremhæver artiklen, hvordan materialer gøres aktive for at frembringe følelsen af velvære, og hvordan dette følelsesproduktionsarbejde ikke kun varetages af spamedarbejdere men også af kunderne selv.
Primus inter pares – paradokser, deadlocks og omveje i gymnasieledelse
Authors: Jacobsen Alice Juel , Buch Anders
Published: November 2021

I denne artikel undersøger vi organisatoriske reformforandringer, som de konstrueres i inter-aktionen mellem ledere og lærere i skolesammenhæng. Det empiriske grundlag er casestudier i danske gymnasieskoler. Ved at benytte en etnografisk fremgangsmåde og et paradoksbegreb knyttet til en forståelse af professioner, undersøges mikroprocesserne, der er i spil i New Public Management-forandringer i skoleregi. I artiklen viser vi, at en position som primus inter pares-leder imellem de professionelle fører til adskillige paradokser, blokeringer og omveje, alle med effekt for arbejdet med forandringer i skolen. Konkrete paradokser identificeres ud fra det em-piriske materiale, og primus inter pares-ledelsens udfordringer udfoldes.
En teknologi på grænsen – det etiske hensyn og det fælles bedste
Authors: Bøhm Mikkel , Bendtzen Jan , Jensen Michael , Larsen Martin Brix
Published: November 2021

Forestil dig, at et lille kamera optager alt, hvad du siger, og alt hvad du gør, mens du passer dit arbejde. Tilsæt da hektiske situationer med ufuldstændig information og et markant handlepres, så har du den situation, som nogle af beredskabets holdledere og indsatsledere sættes i. Formålet med brugen af kropskameraer i beredskabet er læring, og erfaringerne viser, at disse kropskameraer er i stand til at initiere refl ekterende og refl eksive læreprocesser på en anderledes produktiv måde, end nogen anden teknologi tidligere har været i stand til. Udfordringen er at balancere, hvordan en sådan teknologi kan bidrage med tilstrækkelig stor værdi, selvom den potentielt set medfører uproduktive påvirkninger af individet. Kropskameraer bliver derved uomtvisteligt en teknologi på grænsen, der udfordrer balancen mellem det etiske hensyn til individet og det samlede læringsudbytte for det fælles bedste.
Kampen mod sexchikane er et fælles ansvar
Authors: Vind Marianne
Published: November 2021

For nogle år siden, da jeg var næstformand for HK Privat, blev jeg kontaktet af tre piger. De gik i 9. klasse og har vel været omkring 15 år gamle. De skulle skrive projektopgave, og da de ville skrive om seksuelle krænkelser og sexchikane på arbejdspladsen, ville de gerne lave et interview med mig. Det var i kølvandet på #MeToo-sagen, så medierne havde bragt mange historier fra ind- og udland om modige kvinder, der langt om længe sagde fra over for krænkende adfærd på deres arbejdspladser og i vores offentlige rum. Måske var det også derfor, de tre piger var kommet på at skrive projektopgave om netop sexchikane på arbejdspladsen. Det var nemlig første gang nogensinde, at jeg var blevet kontaktet af folkeskoleelever om det emne.