bluuebunny/crossref_metadata_2025 huggingface dataset:
GESTÃO DE CUSTOS PARA TOMADA DE DECISÃO EM EMPRESAS DE PANIFICAÇÃO SITUADAS NO MUNICÍPIO DE JOÃO PESSOA/PB
Authors: Vasconcelos Neto Aluízio Guedes de , Callado Aldo Leonardo Cunha
Published: June 2021

Este artigo tem como objetivo investigar as ferramentas gerenciais baseadas na gestão de custos utilizadas por gestores de panificadoras da cidade de João Pessoa/PB como auxílio no processo de tomada de decisão. A pesquisa se classifica como descritiva e quantitativa. Para a sua elaboração, foi aplicado um questionário, considerando três grupos de variáveis. O primeiro foi composto por aspectos relacionados às características dos gestores, enquanto o segundo por aspectos relativos às empresas. O terceiro englobou aspectos relacionados aos conhecimentos e aplicações da gestão de custos pelas panificadoras. Para o tratamento dos dados coletados, foram empregadas duas técnicas estatísticas: análise descritiva das variáveis e a aplicação do Coeficiente de Spearman. Com base nos resultados, sugere-se que o nível de escolaridade dos gestores influencia no conhecimento sobre a gestão de custos.
Tarptautinių katalogavimo principų (ICP) ataskaita
Authors: Tillett Barbara B.
Published: June 2021

Jau daugelį dešimtmečių IFLA yra tarptautinių bibliografijos standartų centras. 1961 m. Paryžiuje IFLA surengė katalogavimo ekspertų pasitarimą, kurio rezultatas buvo gerai žinomi Paryžiaus principai. Jais grindžiamos beveik visos pagrindinės šiuo metu pasauliniu mastu taikomos katalogavimo taisyklės. Tai buvo nepaprastai svarbus žingsnis link katalogavimo praktikos tarptautinio suderinamumo, kuris iki šiol tebėra garbingas IFLA tikslas. Naujieji tarptautiniai katalogavimo principai jau paskelbti, jie atspindi viso pasaulio katalogavimo taisyklių rengėjų ir ekspertų nuomonę.
Lietuvos nacionalinės Martyno Mažvydo bibliotekos kortelinių katalogų ir nacionalinės retrospektyvinės bibliografijos retrokonversija
Authors: Baranauskienė Milda
Published: June 2021

Straipsnio tikslas – aptarti Lietuvos nacionalinės Martyno Mažvydo bibliotekos kortelinių katalogų ir nacionalinės retrospektyvinės bibliografuos retrokonversijos darbų pradžią, tolesnę eigą, iškilusias problemas bei jų sprendimą. Aprašomi vykdomo retrokonversijos projekto etapai, uždaviniai bei reikšmė. Publikacijoje apžvelgiama, kas padaryta per veiklos dešimtmetį.
Lenkijos nacionalinė bibliografija
Authors: Sadowska Jadwiga
Published: June 2021

Straipsnyje aptarta Lenkijos nacionalinės bibliografijos raida nuo XVIII a. ir plėtra šiuolaikinėmis sąlygomis. Pateikta Bibliografijos instituto – nacionalinės bibliografijos centro – veiklos istorinė apžvalga, supažindinama su jo funkcijomis ir einamosios nacionalinės bibliografijos leidinių sistema. Retrospektyvinė nacionalinė bibliografija aptariama pradedant XX a. pradžia.
Naujos išteklių atskleidimo ir pristatymo sistemos: kintantis katalogo vaidmuo
Authors: Cathro Warwick
Published: June 2021

Dabartiniu melu aktyviai diskutuojama apie bibliotekos katalogo vaidmenį ir jo santykį su kitomis išteklių atskleidimo priemonėmis. Tokios diskusijos pavyzdžiu gali būti neseniai paskelbtas Kongreso bibliotekos užsakytas pranešimas apie „besikeičiantį katalogo pobūdį“. Šioje diskusijoje taip pat buvo peržiūrėtas suvestinio katalogo vaidmuo. Kai kas mano, kad suvestiniai katalogai pakankamai išsamūs, ir jų teikiamų paslaugų pasiūla atitinka paklausą, todėl padidėjo tikimybė, kad vartotojai ras jiems aktualius, palyginti retai naudojamus išteklius.

2005 m. Australijos nacionalinėje bibliotekoje vyko diskusija apie katalogo ateitį, taip pat katalogo vaidmenį išteklių atskleidimo ir pristatymo procese. Ją iš dalies paskatino Australijos suvestinio katalogo reforma ir jo, pavadinto „Libraries Australia“, pateikimas žiniatinklyje, kaip nemokama viešoji paslauga. Australijos nacionalinė biblioteka išnagrinėjo pasiūlymo „pakeisti jos katalogą „Libraries Australia“ katalogu, kaip pirmine vartotojams skirta duomenų baze“, privalumus ir trūkumus. Šio tikslo įgyvendinimui Nacionalinė biblioteka numato nemažai konkrečių uždavinių, kurie netolimoje ateityje padėtų atsisakyti vietinio katalogo.
Skaitmeninių išteklių išsaugojimo metaduomenų standartai: atlikti darbai ir siekiai
Authors: McCallum Sally H.
Published: June 2021

Svarbiausias sėkmingo skaitmeninių išteklių išsaugojimo komponentas yra metaduomenys, nes jie leidžia automa­tiškai išsaugoti tokius išteklius. Žmogiškieji ištekliai tampa nebereikalingi tvarkant daugelį skaitmeninių dokumentų, nes protingiau elektroninių išteklių išsaugojimo darbus atlikti kompiuteriu. Praėjusį dešimtmetį daryta nemažai bandy­mų sukurti skaitmeninę saugyklą. Jų metu buvo taikomi skirtingi metodai, sukurti ir vartoti skirtingi duomenų modeliai, pastūmėję pažangos link. Šiame straipsnyje akcentuojama naujausia iniciatyva, vadinama PREMIS, kurios pa­grindą sudaro šiuolaikinės sąvokos ir naujausia patirtis. Ji vertinga tuo, kad atlieka nuodugnų tyrimą, atskleidžiantį, ar identifikuoti metaduomenys gali būti vartojami bendrame kontekste, ir sudaryti pagrindą detalesniems metaduomenims, padeda išsiaiškinti, kiek išteklių dar prireiks išsaugojimo darbams atlikti. Straipsnyje taip pat aptariama inicia­tyva sudaryti papildomų techninių metaduomenų ir dokumentų formatų registrus.
„Bibliografijos teorijos“ disciplina Vilniaus universitete
Authors: Janonis Osvaldas
Published: June 2021

Viena iš fundamentinių bibliografijos mokslo disciplinų dėstomų Vilniaus universiteto bibliotekininkystės ir in­formacijos mokslo bakalauro studijų programos II kurso studentams, yra „Bibliografijos teorija“. Straipsnyje apibū­dinamas jos turinys, atskleidžiami kai kurie dėstymo metodikos bruožai, formuluojami studentų teorinio bibliografinio parengimo tobulinimo uždaviniai, keliamas pribrendęs uždavinys – parengti lietuvišką „Bibliografijos teorijos“ vado­vėlį.
Antioxidant activity and polyphenol composition of Pistacia terebinthus fruit from Tessala (Western Algeria)
Authors: Bellifa Nazim , Benhaddou Abdelhak Ismail , Ferkous Houssem Eddine , Selka Mohammed Adil , Toumi Houari , Achouri Mohamed Yacine
Published: June 2021

Background: Consumption of traditional herbal beverages has been generally increased in the last decades, Terebinth coffee, known as ‘‘menengic coffee’’ in Turkish, is one of the most consumed herbal coffees in Turkey, turpentine tree is one of the components of the Mediterranean bush, particularly in Algeria, known as Betoum el Kiffan is largely used as food and in traditional medicine. Aims: In this study, Total phenol, flavonoid content, and antioxidant activity of three extracts of Pistacia trebinthus fruit growing in Algeria was measured using radical scavenging activity tests and metal-related tests including, ferric-reducing antioxidant power (FRAP). The chemical composition profile of the fruits and the coffee brands was identified by thin-layer chromatography, the effects of roasting method of this fruit was rivaled also. Materials and Methods: The total phenolic content of the extracts was determined using the Folin-Ciocalteu method. All extracts of the terebinth fruits and coffee brands displayed a high DPPH scavenging effect. Results: The results of the ferric-reducing antioxidant power show that the reduction capacity is proportional to the increase in the concentration of the samples. All the extracts of the plant exhibit antioxidant activities lower than those of the reference product besides the infusion extract of the P. terebinthus roasted coffee, which is the most active with an optical density of 1.68 nm at a concentration of 400 μg/mL. The chromatography results show that the various extracts of Pistacia terebinthus fruit carry a large number of polyphenols, in particular the carboxylic acids phenols. Conclusions: The plant can be considered as a coffee substitute and opens up promising avenues for the food and pharmaceutical industry in Algeria.

Keywords: Antioxidant, Pistacia terebinthus, Coffee, FRAP, polyphenol.
Difference of SPAC composition and control factors of different vegetation zones in north slope of Qilian Mountains
Authors: Liu Yuwei , Zhu Guofeng , Zhang Zhuanxia , Sun Zhigang , Yong Leilei , Sang Liyuan , Wang Lei , Zhao Kailiang
Published: June 2021

Abstract. Understanding the differences and controlling factors of stable water isotopes in the soil-plant-atmosphere continuum of different vegetation zones has important guiding significance for revealing the hydrological processes and regional water cycle mechanisms.This study selected three different vegetation zones (alpine meadows, forests, and arid piedmont zones) in the Shiyang River Basin for study. This paper’s analysis results show that: (1) In SPAC, precipitation isotope has the main controlling effect. From alpine meadows to arid foothills, as the altitude decreases, the temperature effect of precipitation isotopes increases. (2) From the alpine meadow to the arid foothills, the soil water isotope is gradually enriched, indicating that the evaporation is gradually increasing. (3) Alpine meadow plants are mainly supplied by precipitation in the rainy season; forest plants mainly utilize soil water in the dry season and precipitation in the rainy season. The soil water in the arid mountain foothills is mainly recharged by groundwater, and the evaporation and fractionation of plant isotopes are very strong.This research will help understand the SPAC system’s water cycle at different altitudes and climates on high mountains.
A rare case of invasive non-typeable Haemophilus influenzae spondylodiscitis and periprosthetic joint infection
Authors: Sermet Kevin , Demaeght François , Alcaraz Isabelle , Viget Nathalie , Dauenhauer Julie , Senneville Eric , Robineau Olivier
Published: June 2021

Abstract. A non-typeable Haemophilus influenzae (NTHi) was responsible for an invasive infection including bacteremia, spondylodiscitis with epidural abscess, and periprosthetic hip
infection in a 79-year-old woman, triggered by a superinfected ethmo-orbital
mucocele. Surgical drainage and antibiotic therapy allowed recovery.
PET-scan full cartography of NTHi infection dissemination enabled the
discovery of spondylodiscitis. This rare cause of spondylodiscitis and
periprosthetic joint infection suggests a complete work-up is unavoidable.
Small-molecule inhibitors of the PDZ domain of Dishevelled proteins interrupt Wnt signalling
Authors: Kamdem Nestor , Roske Yvette , Kovalskyy Dmytro , Platonov Maxim O. , Balinskyi Oleksii , Kreuchwig Annika , Saupe Jörn , Fang Liang , Diehl Anne , Schmieder Peter , Krause Gerd , Rademann Jörg , Heinemann Udo , Birchmeier Walter , Oschkinat Hartmut
Published: June 2021

Abstract. Dishevelled (Dvl) proteins are important regulators of the Wnt signalling
pathway, interacting through their PDZ domains with the Wnt receptor
Frizzled. Blocking the Dvl PDZ–Frizzled interaction represents a potential
approach for cancer treatment, which stimulated the identification of small-molecule inhibitors, among them the anti-inflammatory drug Sulindac and
Ky-02327. Aiming to develop tighter binding compounds without side effects,
we investigated structure–activity relationships of sulfonamides. X-ray
crystallography showed high complementarity of anthranilic acid derivatives
in the GLGF loop cavity and space for ligand growth towards the PDZ surface. Our best binding compound inhibits Wnt signalling in a dose-dependent manner as demonstrated by TOP-GFP assays (IC50∼50 µM) and Western blotting of β-catenin levels. Real-time PCR showed reduction in the expression of Wnt-specific genes. Our compound interacted with Dvl-1 PDZ (KD=2.4 µM) stronger than Ky-02327 and may be developed into a lead compound interfering with the Wnt pathway.
Regional centroid moment tensor inversion of small to moderate earthquakes in the Alps using the dense AlpArray seismic network: challenges and seismotectonic insights
Authors: Petersen Gesa Maria , Cesca Simone , Heimann Sebastian , Niemz Peter , Dahm Torsten , Kühn Daniela , Kummerow Jörn , Plenefisch Thomas ,   the AlpArray and AlpArray-Swath-D working groups
Published: June 2021

Abstract. The Alpine mountains in central Europe are characterized by a heterogeneous crust accumulating different tectonic units and blocks in close proximity to sedimentary foreland basins. Centroid moment tensor inversion provides insight into the faulting mechanisms of earthquakes and related tectonic processes but is significantly aggravated in such an environment.
Thanks to the dense AlpArray seismic network and our flexible bootstrap-based inversion tool Grond, we are able to test different setups with respect to the uncertainties of the obtained moment tensors and centroid locations. We evaluate the influence of frequency bands, azimuthal gaps, input data types, and distance ranges and study the occurrence and reliability of non-double-couple (DC) components. We infer that for most earthquakes (Mw≥3.3) a combination of time domain full waveforms and frequency domain amplitude spectra in a frequency band of 0.02–0.07 Hz is suitable. Relying on the results of our methodological tests, we perform deviatoric moment tensor (MT) inversions for events with Mw>3.0. Here, we present 75 solutions for earthquakes between January 2016 and December 2019 and analyze our results in the seismotectonic context of historical earthquakes, seismic activity of the last 3 decades, and GNSS deformation data. We study regions of comparably high seismic activity during the last decades, namely the Western Alps, the region around Lake Garda, and the eastern Southern Alps, as well as clusters further from the study region, i.e., in the northern Dinarides and the Apennines. Seismicity is particularly low in the Eastern Alps and in parts of the Central Alps. We apply a clustering algorithm to focal mechanisms, considering additional mechanisms from existing catalogs. Related to the N–S compressional regime, E–W-to-ENE–WSW-striking thrust faulting is mainly observed in the Friuli area in the eastern Southern Alps. Strike-slip faulting with a similarly oriented pressure axis is observed along the northern margin of the Central Alps and in the northern Dinarides. NW–SE-striking normal faulting is observed in the NW Alps, showing a similar strike direction to normal faulting earthquakes in the Apennines. Both our centroid depths and hypocentral depths in existing catalogs indicate that Alpine seismicity is predominantly very shallow; about 80 % of the studied events have depths shallower than 10 km.
Pengawetan Perendaman Dingin Dan Panas Dingin Kayu Trembesi (Albizia Saman) Menggunakan Pengawet Boraks
Authors: Amin Safat , Hutomo Agung Priyo , Arifin Zainul
Published: June 2021

Penelitian ini bertujuan untuk mengetahui nilai retensi dan keefektifan bahan pengawet Boraks (Na2B4O7.10H2O) terhadap serangan rayap tanah (Subteranean termites) pada kayu Trembesi (Albizia saman) dengan metode pengawetan dan konsentrasi bahan pengawet yang berbeda. Penelitian ini dilakukan di Laboratorium Biologi dan Pengawetan Kayu, Fakultas Kehutanan, Universitas Mulawarman Samarinda.  Seluruh data diolah menggunakan pola percobaan 3 x 2 dalam rancangan faktorial acak lengkap dengan 10 kali ulangan. Parameter yang diukur adalah kadar air, Kerapatan kering udara, kerapatan kering tanur, uji retensi, dan persentase uji kehilangan berat dengan menggunakan metode perendaman dingin, perendaman panas dingin dan konsentrasi 1%, 2%, dan 4%. Hasil penelitian menunjukkan bahwa nilai rataan kadar air kering udara Trembesi adalah 11,528% dengan koefisien variasi sebesar 4,445%.  Nilai rata-rata kerapatan kering udara dan kerapatan kering tanur masing-masing adalah 0,460 g/cm3 dan 0,427 g/cm3 dengan koefisien variasi masing-masing sebesar 8,500% dan 8,364%. Konsentrasi bahan pengawet Boraks dan metode pengawetan berpengaruh sangat signifikan terhadap retensi bahan pengawet, semakin tinggi konsentrasi pengawet maka semakin tinggi pula nilai retensi nya.  Metode perendaman panas dingin akan menghasilkan nilai retensi lebih tinggi dibanding metode perendaman dingin. Interaksi antara faktor konsentrasi dan metode pengawetan berpengaruh sangat signifikan terhadap retensi, dimana rataan nilai retensi tertinggi dan paling memberikan pengaruh terhadap perlakuan interaksi yang lain terdapat pada konsentrasi 4% dengan metode pengawetan panas dingin sebesar 2,662 kg/m3. Konsentrasi dan interaksi menunjukan adanya pengaruh yang tidak signifikan terhadap nilai kehilangan berat, sedangkan metode pengawetan menunjukan pengaruh yang sangat signifikan dengan nilai kehilangan berat terendah yang paling berpengaruh adalah perendaman panas dingin sebesar 1,484%. Namun perlakuan pengawetan secara umum telah mampu menurunkan kehilangan berat kayu. Persentase kehilangan berat contoh uji yang dihasilkan dalam penelitian diperoleh nilai dengan kisaran 1,339-3,678% untuk contoh uji yang mendapatkan perlakuan pengawetan, sedangkan contoh uji kontrol sebesar 9,573%.  Nilai tersebut apabila dibandingkan dengan SNI 01-7207-2006 tentang uji ketahanan kayu dan produk kayu terhadap organisme perusak kayu termasuk dalam kelas I (sangat tahan) sampai dengan kelas II (tahan), sedangkan untuk kontrol termasuk dalam kelas III (sedang).  Sehingga dapat dikatakan bahwa kehilangan berat contoh uji yang telah diberi perlakuan cukup efektif untuk pencegahan dari serangan rayap tanah.
Sistem Presensi Online Berdasarkan Metode Rapid Application Development Menggunakan Block Programming
Authors: Nugroho Agus Cahyo
Published: June 2021

Today, the millennial generation is increasingly inseparable from gadgets. Most of their time is spent interacting using these gadgets. So that even during lectures, they can be sure that they will continue to interact using these gadgets. When this millennial generation is undergoing lectures in the classroom, usually attendance will be circulated using a paper attendance list and students must sign the paper as proof of class attendance. This often creates problems when there are students who leave their presence through classmates. The solution to this problem is to develop a mobile-based online presence system. The urgent need for an online presence system causes the system to be developed quickly. The suitable method for rapid system development is Rapid Application Development (RAD). This QRCode-based online attendance system has succeeded in overcoming the problem of entrusting presence through classmates.
Identifikasi Karakteristik Citra Berdasarkan pada Nilai Entropi dan Kontras
Authors: Wardijono Bheta Agus , Lussiana ETP  , Rozi
Published: June 2021

Abstract

Determining the object boundaries in an image is a necessary process, to identify the boundaries of an object with other objects as well as to define an object in the image. The acquired image is not always in good condition, on the other hand there is a lot of noise and blur. Various edge detection methods have been developed by providing noise parameters to reduce noise, and adding a blur parameter but because these parameters apply to the entire image, but lossing some edges due to these parameters. This study aims to identify the characteristics of the image region, whether the region condition is noise, blurry or otherwise sharp (clear). The step is done by dividing the four regions from the image size, then calculating the entropy value and contrast value of each formed region. The test results show that changes in region size can produce different characteristics, this is indicated by entropy and contrast values ​​of each formed region. Thus it can be concluded that entropy and contrast can be used as a way to identify image characteristics, and dividing the image into regions provides more detailed image characteristics.
Inter-player variability in game patterns in high-level women's volleyball: A study with Outside Hitters (Near vs. Away) using Social Network Analysis. [Variabilidad entre jugadores en los patrones de juego en el voleibol femenino de alto nivel: Un estudio con bateadores externos (Cerca versus Lejos) usando Análisis de Redes Sociales].
Authors:   Centre for Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport of the University of Porto, Porto, Martins João Bernardo ,   Portugal, Mesquita Isabel , Mendes Ademilson , Santos Letícia , Afonso José
Published: June 2021

A wide body of research on team sports has focused on positional status based differences, providing information on inter-player variability according to the functional roles within the game. However, research addressing inter-player variability within the same positional/function status is scarce. The present article presents an analysis of inter-player variability within the same positional status during critical moments, in high-level women's volleyball, using Social Network Analysis. Attack actions of the outside hitters near (OHN) and away (OHA) from the setter were analysed in ten matches from the 2019 Volleyball Nations League Finals (268 plays). Two independent Eigenvector Centrality networks were created, one for OHN and another for OHA. Main results: (a) in side-out with ideal setting conditions, the OHA used more tips and exploration of the block than the OHN; under non-ideal setting conditions, the OHN had slower attack tempos than the OHA; (b) OHA used tip and directed attacks after error situations while OHN was typically not requested after error situations; (c) in transition, OHN typically attacked after having performed a previous action, performing a dual task within each ball possession, while OHA only attacked when there was no prior action; (d) there were also inter-positional similarities, with both OHN and OHA preferring a strong attack in ideal conditions during KI and KIV, and slower tempos in transition in non-ideal conditions. Conclusions: Even within the same positional status, there seems to be subtle, but relevant inter-player variability. Consequently, coaches should devote careful attention when assigning players to positional.
PEMETAAN MASALAH DAN PRIORITAS PROGRAM PENGOLAHAN KOPI ARABIKA DI KABUPATEN GARUT
Authors: Fizriani Atia , Febrianti Tintin , Rismayanti Ai Yanti , Barkah Muhamad Agus
Published: June 2021

Kabupaten Garut memiliki keunggulan berupa daya dukung lingkungan yang sesuai untuk pertumbuhan dan perkembangan tanaman kopi. Beberapa tahun terakhir, budidaya kopi cukup marak, dan untuk meningkatkan nilai tambah aktifitas usahatani kopi ini pun sudah diintegrasikan dengan kegiatan pengolahannya. Beberapa kendala dalam kegiatan pengolahan kopi dipetakan di dalam penelitian dengan tujuan untuk merumuskan beberapa program relevan untuk peningkatan kuantitas dan kualitas pengolahan kopi arabika di Kabupaten Garut. Penelitian dilakukan dengan pendekatan deskriptif kualitatif menggunakan beberapa metode survey, wawancara dan penelusuran pustaka. Hasil di lapangan didapatkan data bahwasannya salah satu kendala yang seringkali dialami oleh kelompok tani dan pengolah kopi ialah teknis budidaya dan masih tingginya biaya produksi pengolahan kopi karena masih sangat tergantung dengan faktor cuaca dan biaya sewa mesin olahan.Kata Kunci : Kopi, Arabika, Roasting, Pengolahan.
ANALISIS TINGKAT KEBUTUHAN DAN KEMAMPUAN PENYEDIAAN KONSUMSI KEDELAI DI KABUPATEN GARUT
Authors: Adinasa Muhammad Nu'man
Published: June 2021

Tujuan penelitian ini untuk mengetahui: 1) kemampuan penyediaan kedelai pada tahun 2012 di Kabupaten Garut dan 2) prediksi kebutuhan konsumsi kedelai di Kabupaten Garut 5 tahun ke depan. Studi ini telah diselenggarakan dari Mei sampai Juli 2013. Pengumpulan data dalam wujud data deret waktu (time series) di dalam 10 tahun terakhir (2003-2012), data sekunder tersebut meliputi banyaknya penduduk, luas panen yang diukur dalam ha (hektar), produksi dan produktivitas kedelai pada setiap tahunnya di Kabupaten Garut, data tersebut selanjutnya diolah untuk menentukan hasil yang dibutuhkan untuk peramalan pemenuhan data kebutuhan dan kemampuan untuk menyediakan konsumsi kedelai di Kabupaten Garut. Data dianalisis menggunakan analisis deskriptif dan kualitatif sederhana untuk menentukan pemenuhan kebutuhan dan kemampuan konsumsi terhadap komoditasÂ  kedelai, untuk mendapatkan peramalan kebutuhan kedelai di Kabupaten Garut 5 tahun kedepan dilakukan dengan menggunakan data terakhir dari instansi terkait, analisis kecenderungan (trend analysis), dan analisis deret waktu. Hasil analisis menunjukkan kemampuan Kabupaten Garut dalam pemenuhan kedelai yang akan siap untuk dikonsumsi sebesar 21.462 ton pada tahun 2012, hasil ini belum melampaui kebutuhan yang harus disediakan Kabupaten Garut pada tahun tersebut yang berjumlah 25.178,44 ton kedelai. Pada tahun 2017 produksi kedelai Kabupaten Garut diramalkan akan menghasilkan sejumlah 23.655 ton sedangkan kebutuhan kedelainya diramalkan sebesar 26.807,96 ton, denganÂ  jumlah sebesar itu, Kabupaten Garut masih belum mampu memenuhi kebutuhan perkapita penduduknya untuk komoditi kedelai.Â
Efficacy Of Triphala Ghrita Netratarpan in Computer Vision Syndrome
Authors: Sawant Deepak
Published: June 2021

In the present era, the full computerization of a country is necessary for the progress. The present era can be defined as â€œComputer Ageâ€. It has seems that the work at the computer is very intensive & most tiring therefore countries like Germany has included computer operational work in the list of the 40 most harmful trades for the health & restricted work at the computer should not exceed 50% of the working time. In the developing countries like India where the remuneration for the work is far from satisfactory & the young generation is aspiring for more material gains which necessitate them to work overtime or have part-time jobs in addition to their legitimate work. This situation adds up to the works with the computer which badly affects their health. Computer Vision Syndrome (CVS) is the complex of eye and vision problems related to near work which are experienced during or related to computer use. CVS is characterized by visual symptoms which result from interaction with a computer display or its environment. In most cases, symptoms occur because the visual demands of the task exceed the visual abilities of the individual to comfortably perform the task. In CVS following Signs & Symptoms occurs.they are Presence of excessive debris & mucous strands in the tear film., Reduced or absence of marginal tear strip.Lusterless ocular surface - xerosis.,Lid Dry & Rough touch. And Symptoms are Itching, Burning sensation, Blurred vision, Dryness of eyes, Redness of eyes, Pricking Pain. , Foreign body Sensation, Difficulty in opening & closing the lids.For the study, we have taken Triphala Ghrita Tarpan for 7 days in three consecutive months for 30 patients in treated group and in controlled group eye exercises given like palming, eye movements for 7days in three consecutive months for 30 patients.The results are very much satisfactory in the treated group as compared to the controlled group.The details will be given in detail in full research paper.
Reseña. SABER, VIOLENCIA Y DERECHO MODERNO CAPITALISTA. APUNTES INICIALES PARA UNA HISTORIA CRÍTICA DEL DERECHO MODERNO, DE DANIEL SANDOVAL CERVANTES
Authors: MELGARITO ROCHA ALMA GUADALUPE
Published: June 2021

RESEÑA: SABER, VIOLENCIA YDERECHO MODERNO CAPITALISTA. APUNTES INICIALES PARA UNA HISTORIACRÍTICA DEL DERECHO MODERNO,DE DANIEL SANDOVAL CERVANTES
Screening of Some Exotic Rice Germplasm Against Brown Spot (Bipolaris oryzae) Disease under Rainfed Conditions
Authors: Yaqoob Muhammad
Published: June 2021

Ten different lines including one approved variety and one susceptible check were tested against brown spot disease of rice under low water application conditions. The disease data were recorded on 1-9 rating scale. The results revealed highly significant differences among various rice genotypes against disease reaction ranging from highly resistant to highly susceptible in different genotypes. Three lines remained highly resistant, four resistant and two moderately resistant under rainfed conditions.
Preparation and Characterisation of Some Transition Metal Complexes of Niacinamide (Vitamin B3)
Authors: Hasan Md. Mahmudul , Hossain Md. Elius , Halim M. Ershad , Ehsan Md. Qamrul
Published: June 2021

Niacinamide forms metal complexes of general formula [M(C6H6N2O)2]Cl2; where M = Mn(II), Co(II), Ni(II), Cu(II) and Zn(II) in the aqueous medium. The complexes were formulated by comparing the experimental and calculated data for C, H, N and metal. The prepared complexes were characterised by different physicochemical methods. The UV-vis, FTIR spectral analysis and thermo gravimetric analysis(TGA). TGA of these complexes have been discussed. Magnetic susceptibility values indicate that all complexes except Zn complex are paramagnetic in nature. The redox properties of the metal ions in the Mn, Cu and Zn complexes have been discussed from the cyclic voltammetric studies. In all cases the systems are quasi reversible.
An Unusual Complication of Cocaine Toxicity
Authors:   Stoke Mandeville Hospital Buckinghamshire, Houghton Lucy , Jones Quentin ,   Churchill Hospital, Old Road, Oxford, OX3 7, Wathen Chris ,   Stoke Mandeville Hospital Buckinghamshire
Published: June 2021

A 25-year man presented to the Accident and Emergency Department complaining of dizziness and shortness of breath after taking 70 grams of cocaine over 10 hours. He said a friend had noticed that his skin had turned dark blue. On examination the patient was severely centrally and peripherally cyanosed. His pulse oximeter oxygen saturations were 88% on air. An arterial blood gas showed a methaemoglobin level of 45.6%. The patient was diagnosed with cocaineinduced methaemoglobinaemia and given methyl thioninium chloride (methylene blue). He made an uneventful recovery.
Problem Based Review: The Patient with Acute Monoarthritis
Authors:   Department of Medicine, Ng Teng Fong General Hospital, Singapore., Suresh Ernest
Published: June 2021

Acute monoarthritis is a common medical emergency with wide differential diagnosis. Common underlying causes include trauma, septic arthritis, crystal induced arthritis (gout and pseudogout), and reactive arthritis. Of these, septic arthritis is the diagnosis not to miss because of its association with significant morbidity and mortality. Precise diagnosis of the underlying cause of monoarthritis relies on a good history, physical examination findings, and results of focussed investigations. In this article, a practical approach to diagnosis and initial management of patients presenting with acute monoarthritis is described with the aid of a case vignette.
Exercise Stress Test Utility in Patients with Chest Pain Presumed to be of Cardiac Origin
Authors:   Acute Medical Unit, Heart of England NHS Foundation Trust, Birmingham, Bennett Philippa , Dyer Philip ,   Acute Medical Unit, Heart of England NHS Foundation Trust, Birmingham
Published: June 2021

Introduction: NICE stated exercise stress tests (EST) should not be used to diagnose obstructive coronary artery disease in patients presenting with chest pain presumed to be of cardiac origin. Methods: A retrospective review of 209 patients with presumed cardiac chest pain was done. EST results, GRACE scores and need for invasive coronary angiogram (ICA) were analysed to predict the need for readmission, intervention and future events. Results: The sensitivity of the EST in identifying obstructive coronary artery disease was 70%. The EST, ICA and the GRACE 6-month mortality had a 77%, 70% and 81% negative predictive value (NPV) for readmission respectively. Conclusion: EST, GRACE scores and ICA are useful in providing prognostic information but are poor predictors of readmission. Follow up and education programmes are needed to reduce this burden.
Acute care simulation training for foundation doctors: The perceived impact on practice in the workplace
Authors:   Department of Anaesthetics and Intensive Care Medicine, Oxford University Hospitals, Oxford, Patel Prabir , Sockalingam Indu ,   Department of Anaesthetics, Lister Hospital, East and North Hertfordshire NHS Trust, Oxford
Published: June 2021

High fidelity simulation allows training of foundation doctors in a safe, structured environment. We explored the perceived impact of such training on subsequent clinical practice. 82 doctors attended and 52% responded to a follow up questionnaire sent two months after their training. 88% felt better able to manage the acutely ill patient than they did before their training. All cited simulation training as a reason for this and 44% felt simulation training was the main contributor. The remainder cited clinical experience as the main contributor. 53% gave real clinical examples where they applied skills attributed to simulation training. Doctors reflected positively on simulation training sometime after the experience, demonstrated transference of learnt skills and felt more confident at work.
Drug-Induced Methaemoglobinaemia
Authors:   Frenchay Hospital, North Bristol Hospitals NHS Trust, Bristol, Arora Alok
Published: June 2021

Dear Editor, I read the case report of cocaine induced methemoglobinemia¹ in the recent edition of the acute medicine journal with interest.
Chest pain and an abnormal chest X-ray – a case report
Authors:   Surrey and Sussex NHS Trust, Smallwood Nicholas , Perrio Sarah ,   Sarah Perrio
Published: June 2021

Chest pain is a common symptom amongst patients presenting to the acute medical unit, and presents a diagnostic challenge. We present the case of a previously healthy 65 year old year old gentleman with chest pain and subsequent vomiting, treated initially as an acute coronary syndrome, despite normal ECG and troponin. Chest radiograph revealed left basal consolidation with an effusion, suggesting pneumonia. The absence of symptoms of respiratory infection along with a normal C-reactive protein level led to further investigation with CT. This revealed evidence of oesophageal rupture (Boerhaave’s syndrome). Despite early surgical intervention our patient suffered a number of complications and continues his recovery in hospital three months post presentation.
Problem based review: pulmonary embolism in pregnancy
Authors:   Severn Deanery, Neuberger Francesca
Published: June 2021

Pulmonary embolism (PE) in pregnancy carries a significant mortality. Pregnant patients often present via the acute medical take with symptoms of possible PE and require timely assessment and investigation. The symptoms of PE are sometimes very difficult to differentiate from those of normal pregnancy and the vast majority of patients will require imaging. The radiation risks to mother and foetus from imaging may cause considerable anxiety (to both patients and healthcare providers) and need to be explained to patients in the context of a potentially life-threatening condition so they can be actively involved in decision-making on how best to proceed. When PE is diagnosed in pregnancy, there are obstetric considerations around the time of delivery and women should receive specialist follow-up.
A Risk Index for Geriatric Acute Medical Admissions (RIGAMA)
Authors:   St James’s Hospital, Dublin 8, Ireland, Romero-Ortuno Roman , O’Dwyer Clodagh ,   St James’s Hospital, Dublin 8, Ireland, Byrne Declan ,   St James’s Hospital, Dublin 8, Ireland, O’Riordan Deirdre ,   St James’s Hospital, Dublin 8, Ireland, Silke Bernard ,   St James’s Hospital, Dublin 8, Ireland
Published: June 2021

Aim: to create and validate a Risk Index for Geriatric Acute Medical Admissions (RIGAMA) for those aged ≥ 65, based on accumulation of deficits. Methods: we retrospectively validated a 30-item RIGAMA against inpatient mortality, length of stay (LOS), discharge to long-term care (LTC) and 30-day readmission, adjusted for age. Results: ≥ 1 RIGAMA deficit was superior to age in predicting mortality and prolonged LOS, with a clear incremental effect. The latter was true for ≥3 deficits in predicting 30-day readmission. Three to 5 deficits predicted discharge to LTC better than age. Conclusion: RIGAMA is easy to collect by the admitting junior doctor and may help trigger early senior support and inform the appropriate use of hospital resources by older patients.
Acute pulmonary oedema with normal left ventricular function in a patient with resistant hypertension – what is the likely diagnosis?
Authors:   Respiratory Medicine Churchill Hospital, Old Road, Oxford, OX3 7LE, Jones Quentin , Herrington Will ,   Renal Medicine Churchill Hospital Oxford, OX3 7LE
Published: June 2021

We report the case of a 75-year old woman who presented with shortness of breath and haemoptysis. She had been treated for presumed essential hypertension for many years. On admission she was found to be severely hypertensive. Chest X-ray showed pulmonary oedema. However, an echocardiogram reported good systolic ventricular function. Her hypertension and pulmonary oedema did not respond to medical treatment necessitating intubation. A CT angiogram identified the cause – undiagnosed bilateral severe renal artery stenosis. We discuss this increasingly common condition that is difficult to manage and easily missed.
Picture Quiz Question: A Life-Threatening Cause of Abdominal Pain
Authors:   Gastroenterology Department, Great Western Hospital NHS Foundation Trust, Swindon, Wiltshire, UK, Rana Fahd , Muhammad Shaikh Muddassir ,   Department of Rheumatology, James Cook University Hospital, Middlesbrough, Rajyaguru Priya ,   Cardiology Department, Frenchay Hospital, Bristol
Published: June 2021

A 76 year old man presented to the emergency department with gradual onset abdominal pain over a period of 24 hours and generalised lethargy. The abdominal pain was central with no radiation and was described as an ache by the patient. There was no history of vomiting. He had a 45 pack-year history of smoking. He was noted to have a blood pressure of 150/60 mmHg, pulse of 130 beats per minute, temperature of 36.5oC and saturations of 95% on room air.
Picture Quiz Answer: A Life-Threatening Cause of Abdominal Pain
Authors:   Gastroenterology Department, Great Western Hospital NHS Foundation Trust, Marlborough Road, Swindon, Wiltshire, UK, Rana Fahd , Muhammad Shaikh Muddassir ,   Department of Rheumatology, James Cook University Hospital, Middlesbrough, Rajyaguru Priya ,   Cardiology Department, Frenchay Hospital, Bristol
Published: June 2021

Following review of the abdominal x-ray, an urgent CT aortogram was undertaken which showed an abdominal aortic aneurysm (AAA) measuring 13 cm in width and 18.9 cm in length (Figure 2 and 3). Furthermore there was some stranding of tissue around the margins of the aorta superiorly consistent with an early leak of the aneurysm. Surgical repair of the giant AAA was carried out; however two days after operation the patient deteriorated suddenly and despite all attempts at resuscitation, he passed away.
Trainee Update September 2014
Authors: Conway Nerys
Published: June 2021

I hope you have all settled well into your new jobs and a very warm welcome to those that have recently joined the ‘family’ of acute medicine. I would first of all like to thank Ruth Johnson for all her hard work as trainee representative over the last 18 months and wish her all the best as she ventures into consultant territory: her replacement will be announced later in the autumn. July was a busy month, dominated by our Acute Medicine Awareness Week, during which AMUs across the UK undertook events to raise the profile of the speciality and the important work they were doing locally. Barnsley completed a 25 mile virtual marathon, Crosshouse Hospital made £350 in a cake sale, Salford Royal staff walked around every acute medical unit in Greater Manchester, North Staffordshire staff ran a half marathon and there was more cake on sale in Kings College and Leicester Royal. The AMU staff at Southampton raised over £400 with their cake sale and cycle challenge, during which they were joined by the Trust Chief Executive for a ‘virtual’ 120 miles on an exercise bike situated outside the hospital entrance. The highlight, however was the contribution of Dr Nigel Lane, an acute medicine trainee from Southmead Hospital in North Bristol, who put together an outstanding weekly programme of events. This included a visit from the Chief Executive of the trust, visit from local GPs to the unit, daily MDT teaching, daily ‘messages of the day’ located on the trust website and lots of screensavers, banners and information scattered throughout the hospital. I am delighted to announce that Nigel has received the SAM awareness week prize. This involves the opportunity to join the European School of Internal Medicine and attend the winter EFIM school camp in Latvia. Nigel will also be joining us as one of the speakers in the trainee session at SAM Brighton. He will be speaking on “Preparing for your PYA”. There will also be talks in the trainee session on “Keeping your e-portfolio updated”, “Choosing your specialist skill” and “Preparing for your consultant job”. The session will be aimed at both junior and senior trainees. The trainee that has produced the best poster at Brighton will also have a chance to win a place to attend the summer EFIM school camp. The day before the conference starts there will be a SCE revision session. I attended last year and found it extremely helpful! Looking forward to seeing you all in Brighton. In the meantime if you have any problems or suggestions please tweet or email me at the addresses below.
PRISMA Analysis of 30 Day Readmissions to a Tertiary Cancer Hospital
Authors:   Department of Acute Medicine, Manchester Royal Infirmary, Oxford Road, Manchester, Cooksley Timothy , Merten Hanneke ,   VU University Medical Center, Kellett John ,   Department of Emergency Medicine, Hospital of South West Jutland, Esbjerg, Denmark, Brabrand Mikkel ,   Department of Emergency Medicine, Odense University Hospital, Kidney Rachel ,   Division of Internal Medicine, St James’s Hospital, Dublin, Ireland, Nickel CH ,   Emergency Department, University Hospital of Basel, Switzerland, WB Nanayakkara Prabath ,   Department of Internal Medicine, Section Acute Medicine, Amsterdam University Medical Centre, VU University, The Netherlands, P Subbe Christian ,   Acute, Respiratory & Critical Care, Medicine Bangor University & Ysbyty Gwynedd Hospital Bangor, Wales
Published: June 2021

Background: Hospital readmissions are increasingly used as a quality indicator. Patients with cancer have an increased risk of readmission. The purpose of this study was to develop an in depth understanding of the causes of readmissions in patients undergoing cancer treatment using PRISMA methodology and was subsequently used to identify any potentially preventable causes of readmission in this cohort. Methods: 50 consecutive 30 day readmissions from the 1st November 2014 to the medical admissions unit (MAU) at a specialist tertiary cancer hospital in the Northwest of England were analysed retrospectively. Results: 25(50%) of the patients were male with a median age of 59 years (range 19-81). PRISMA analysis showed that active (human) factors contributed to the readmission of 4 (8%) of the readmissions, which may have been potentially preventable. All of the readmissions were driven by a medical condition related to the patient’s underlying cancer and ongoing cancer treatment. Conclusion: The majority of readmissions of patients undergoing cancer treatment appear to be related to the underlying condition and, as such, are predictable but not preventable. This suggests that hospital readmission is not a good quality indicator in this cohort of patients.
An unusual Cause of Periorbital Swelling in a Young Female
Authors:   Acute Medical Unit, Belfast Health and Social Care Trust, Royal Victoria Hospital, Griffiths Ursula , Kumar Darshan ,   Acute Medical Unit, Belfast Health and Social Care Trust, Royal Victoria Hospital, Trimble Micheal ,   Acute Medicine Unit, Royal Victoria Hospital, Belfast, UK, Prabhavalkar Siddhesh ,   Acute Medical Unit, Belfast Health and Social Care Trust, Royal Victoria Hospital
Published: June 2021

A 16 year old female was admitted with a one week history of headache and swelling of both upper eyelids. Other symptoms included nausea, tiredness, dizziness and photophobia with no symptoms of skin rash, or neck stiffness. She had been previously very well with no significant past medical history.
Trainee Report Autumn 2016
Authors:   Chelsea and Westminster Hospital, Krishnamoorthy Sanjay , Patel Neil ,   Society for Acute Medicine
Published: June 2021

After providing years of sterling representation, Nick Smallwood will be moving on to a consultant job. Neil Patel takes his place formally at SAMEdinburgh. Neil is an ST5 trainee in Thames Valley with special interest in medical education and medical leadership. He has been working on projects to improve GIM recruitment and training, establishing trainee networks, and developing strategies to improve trainee morale over last few years with various local to national organisations. He is looking forward to bringing this project experience to his new role with SAM to improve and develop the trainee experience in Acute Medicine.
Using a Delphi study approach to develop competencies for Allied Health Professionals working in Acute Medicine
Authors:   Chelsea and Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, Edwards Thomas
Published: June 2021

A Delphi study approach was used to develop a national standard of competencies for Occupational Therapists and Physiotherapists working in acute medicine. Nineteen expert therapists participated in the Delphi study, which consisted of four rounds. A total of two hundred and seventy one competencies were developed and agreed for inclusion in a single document. This paper describes the methodology and challenges presented in developing such a diverse range of competencies.
Dissecting the Diagnosis – An Unusual Case of Pericarditis
Authors:   Huddersfield Royal Infirmary, Mundy Louise , Desai Purav ,   Huddersfield Royal Infirmary
Published: June 2021

Chest pain is an extremely common presenting complaint on the acute medical unit. It is important to distinguish between patients who have serious pathology and those without. Often, the focus is on ruling out an acute coronary syndrome and inadequate consideration is given to other possible causes. This case highlights the importance of performing relevant investigations in a timely manner, in order to ensure that a correct diagnosis is made.
İHA fotogrametrisi konum doğruluğuna kamera odak uzaklığı etkisinin incelenmesi
Authors: HASTAOĞLU Ahmet , HASTAOĞLU Kemal Özgür , POYRAZ Fatih , GÜL Yavuz
Published: June 2021

Son yıllarda İHA fotogrametri yöntemi Harita Mühendisliği alanında oldukça yaygın olarak kullanılmaya başlanmıştır. İHA fotogametri ürünlerine ait konum doğruluklarını etkileyen birçok parametre bulunmaktadır. Bunların başında ise Yer Örnekleme Aralığı (YÖA) gelmektedir. YÖA artıkça konum doğruluğu da düşmektedir. YÖA ise uçuş yüksekliği ve odak uzaklığına bağlı olarak değişmektedir. Gerçekleştirilen bu çalışmada odak uzaklığı değeri değiştirilmesiyle oluşan YÖA artışının konum doğruluğuna etkisi incelenmiştir. Bu amaçla aynı çalışma sahasında uçuş yüksekliği sabit tutularak odak uzaklığı değiştirilmiş ve aynı hava koşullarında uçuşlar gerçekleştirilmiştir. Yaklaşık 15 ha’ lık bir alanda 9 adet Yer Kontrol Noktası (YKN)ve 7 adet de Denetleme Noktası (DN) tesis edilmiştir. Dört farklı uçuşta odak uzaklığı sırası ile 16 mm, 20mm, 24 mm ve 35 mm olarak ayarlanmıştır. Fotogrametrik değerlendirmeler sonucunda her bir odak uzaklığı için Kontrol Noktalarına ait Karesel Ortalama Hata (KOH) değerleri elde edilmiştir. Elde edilen sonuçlar doğrultusunda 35 mm yerine 16 mm, 20 mm ve 24 mm odak uzaklığı kullanıldığında sırasıyla YÖA %106, %66 ve %43 artmasına rağmen konum doğruluğunda 20 mm ve 24 mm için ±%10’lik değişim gözlenirken 16 mm için %122’ lik bir değişim gözlenmiştir. Sonuç olarak Odak uzaklığı 20mm’ den daha küçük olduğunda konum doğruluğunda dramatik bir düşüş gözlenmiştir.