bluuebunny/crossref_metadata_2025 huggingface dataset:
The Implementation of Evidence to Improve Falls Prevention: Lessons from a Case Study in Aged Care
Authors: van Kessel Gisela
Published: September 2021

This paper reports on a study investigating the construction of falls prevention evidence within an aged care organization. It describes how the structure and culture of an aged care organization influences the construction of falls prevention evidence by staff. Method: An instrumental single case study design grounded in an interpretive, constructivist paradigm drew on data collected in 2010 from a document review, observations, and informal interviews with nursing and allied health staff. An iterative analysis used a model of diffusion determinants. Results: The aged care organization which served as the case for this study linked its cultural strengths of vision, leadership, and innovativeness with its decision making structures to resources from its external environment to implement falls prevention strategies that were both best practice and innovative. The case study demonstrated that in addition to known individual and organizational barriers to the use of evidence, the nature of evidence itself can act as a barrier when it is constructed into a norm which directs practice in a particular direction thus obscuring alternatives. Conclusion: Organizations can reflect on how their culture and structure can influence the effective use of evidence, the contribution to creating a social norm that inhibits the creative research, and the management required to address complex health issues.
An Exploration of Health Science and Nursing Students’ Knowledge and Behaviors Related to Alcohol: A Preliminary Investigation
Authors: Baker David , Stockton Susan
Published: September 2021

Purpose: To assess health science and nursing students Method: A descriptive exploratory design with survey methodology was used to carry out the study. The participants were a convenient sample of 154 undergraduate health science and nursing majors enrolled in twelve Midwestern Universities. The Alcohol Questionnaire was used to elicit information from participants. The Pearson correlation coefficients were calculated using knowledge about alcoholic beverages with Results: The results respectively were r = 0.17, p=0.0167, which implies that more knowledge was associated with more drinking; r = -0.12, p=0.0125, which implies that more knowledge was associated with drinking less often and r = 0.19, p=0.0125, which implies that more knowledge was associated with excessive drinking. The correlation coefficients fell within the range Discussion: The majority of respondents were generally very knowledgeable about alcohol but their behavior may be cause for concern because a third of the students binge drink. The pattern of behavior reported by this sample suggest a high-risk population who may not be aware of the health risks they are exposing themselves to through their excessive drinking behavior. Conclusion: The findings indicated that these students had good knowledge about alcohol but this knowledge was not associated with a lower likelihood of risky alcohol consumption. Binge drinking was common among 30% of the respondents. Healthcare professionals and educators should be concerned about students drinking behavior and determine what can be done to reduce problematic drinking.
Redescobrindo a leitura
Authors: Zimermann Isabel Cristina Reinhardt , Moretto Marli Terezinha Da Silva
Published: September 2021

O Pacto Nacional Pela Alfabetização na Idade Certa, no município de Sapiranga, foi o grande inspirador de professores e alunos no incentivo e gosto pela leitura. Os kits de livros de literatura e as leituras deleite serviram como base para a criação de belíssimos trabalhos. A leitura das histórias infantis ganhou um imponente destaque, pois voltaram a proporcionar prazer e alegria a leitores e ouvintes, permitindo, com isso, uma melhora significativa na aprendizagem dos alunos e, também, redescobertas de planejamentos e avaliações mais reflexivos e interessantes para as crianças. O prazer de ler e poder vivenciar os contos lidos é uma experiência singular para o educando uma vez que jamais esquece tal ensinamento. O Cantinho da Leitura, criado nas salas de aulas com os livros distribuídos pelo MEC, serviu de base para a confecção de personagens e histórias fantásticas, fazendo professores e alunos emocionarem-se pra valer com o letramento diariamente. Essa atividade é feita pela busca de um prazer sempre crescente, lentamente construído, com delicadeza, sensibilidade e empenho a fim de galgar patamares cada vez mais altos. Instala-se, entre leitor e texto, uma troca interativa, num jogo sedutor. As leituras oferecem alternativas de trabalhos pedagógicos que integram conhecimentos, facilitam a comunicação, enriquecem o vocabulário, e disciplinam a mente, sempre obtendo uma nova descoberta. Esta proposta lúdica- educativa visa a constituir-se em um instrumento diversificado, atrativo e prazeroso do desenvolvimento da leitura nas escolas, respeitando a heterogeneidade das turmas de alfabetização. Redescobrir a leitura é reconhecer a escola como espaço onde os livros são um aliado fundamental no processo de ensino e aprendizagem, para que alunos e professores tenham seus direitos assegurados.
Uso de Radioterapia de Intensidade Modulada no Tratamento de Pacientes Oncológicos no Hospital Central do Exército
Authors: Vieira Marina Tamm Lannes
Published: September 2021

Ocânceréumadoençadegrandeletalidadecujaincidênciavemaumentandonos últimosanos.Aradioterapiaconsistenousodaradiaçãoionizante,produzidaporaparelhosou ainda, emitida por radioisótopos naturais ou artificiais para fins terapêuticos e constitui como um dos três pilares do tratamento oncológico moderno. A radioterapia de Intensidade Modulada (IMRT) representa um dos mais importantes avanços da história da Radioterapia.Descrever a técnica de Radioterapia de intensidade modulada, benefícios, desvantagens, e número de casos tratados no Hospital Central do Exército divididos por sítio de tratamento. Trata-se de um estudo descritivo, por meio de revisão bibliográficadaliteraturaeanálisedescritivadetodososcasostratadosnoHospitalCentraldo Exército com Radioterapia de Intensidade Modulada. Para análise dos casos foi utilizada a tabeladeregistrodepacientesdaclínicadeRadioterapiaqueconstadata,sítiodetratamentoe técnica utilizada no período de junho de 2017, mês do primeiro tratamento com a técnica estudada,atéabrilde2018.Emrelaçãoaosítiodetratamentodospacientes queforamtratadoscomatécnicaIMRT,dezessetetinhamdiagnósticodeneoplasiadepróstata, quatropacientescomtumoresdotratogastrointestinal(TGI),quatropacientescomtumoresde cabeçaepescoço(CP)eumpacientecomtumordesistemanervosocentral(SNC).Perspectivasfuturasdeampliaçãodoserviçocomcontrataçãodemaistécnicosderadioterapia, médicosespecialistasemradioterapiacomodevidotreinamentoeaquisiçãodenovastécnicas de tratamento, como radioterapia em arco rápido podem fazer com que a proporção de casos tratados com IMRT aumente, o que poderia levar a uma melhora no perfil de toxicidade dos pacientes tratados na referidainstituição.
O impacto do estresse ocupacional e Síndrome de Burnout entre militares do Exército Brasileiro
Authors: Moreira Tainá Silva Vallim
Published: September 2021

A Síndrome de Burnout e o estresse ocupacional incidem de maneira significativa entre os trabalhadores quando as demandas físicas, cognitivas e psicológicas excedem suas habilidades em enfrentá-las, tornando-se hoje um problema de saúde pública devido ao impacto negativo que pode trazer a saúde e ao desempenho do trabalhador. Assim, este estudo se apresenta com a finalidade de investigar a presença desses transtornos especificamente na categoria profissional dos militares do Exército Brasileiro, através de um levantamento da casuística do estresse ocupacional nessa população na literatura atual, dimensionando o impacto físico, psíquico e social da doença. Esse estudo intenciona trazer à discussão os aspectos inerentes à profissão militar que podem ser considerados fatores de risco ou agravamento do estresse ocupacional e da Síndrome de Burnout, se é factível minimizar esses fatores desencadeantes, de que maneira é possível realizar o diagnóstico precoce e então oferecer tratamento a esses militares. Trazendo esses aspectos a discussão é possível propor e incentivar a inclusão de protocolos de investigação de transtornos ocupacionais nas inspeções de saúde regulares a que são submetidos os militares do Exército Brasileiro.
THE RELATIONSHIP BETWEEN NURSES 'JOB STRESS AND STIGMA TENDENCY
Authors: TAŞKIN YILMAZ Feride , YILDIZ Ezgi , ÇEVİK Betül Esra
Published: September 2021

Nurses are among the occupational groups that experience the most intense work stress since they provide care to a stressful group that is sick or at risk of illness. Stigmatization is one of the factors that negatively affect the working life and the functioning of the environment. A high tendency to stigmatize can further increase work stress on employees. The study was conducted in a descriptive and relationship-seeking manner in order to determine the levels of nurses' job stress and tendency to stigmatize, and the relationship between job stress and stigma tendency. The study was carried out with 245 nurses working in a university hospital. The study data were obtained using the personal information form, the Work Stress Scale and the Stigmatization Scale. It was determined that the average score of the nurses' Work Stress Scale is 2.44 ± 0.54 and 75.9% of them have a stress level that creates a stimulus effect and increases success. It was found that the levels of nurses' psychological stigma tendency (49.11 ± 12.00) were below the average; It was found that 31.8% of them had high stigma tendency levels. It has been determined that the Stigmatization Scale of nurses gives the highest scores to the items "Employees with more seniority like to establish authority over young people", "I do not meet with a person whose lifestyle does not suit me outside of work" and "The efficiency of the elderly personnel in the work environment is very low". When the relationship between the nurses' Job Stress Scale and the Stigmatization Tendency Scale general point average is examined; It was determined that there is a weakly significant positive correlation (r = 0.276; p <0.01). In addition, it was found that the job stress levels of nurses with a high stigma tendency were statistically significantly higher (p <0.01). It is recommended to provide training and information on the stigma tendency and coping with work stress with in-service trainings.
APPLICATION OF AZERBAIJANI FOLK DANCE IN KHOREOGRAPHICAL COMPOSITION
Authors: MURADOVA Terane
Published: September 2021

Login: The article is dedicated to the embodiment of Azerbaijani folk dances on the professional stage. The main condition for the stage embodiment of folk dances is to take into account the laws of composition and stage criteria. When talking about the stage structure of folk dance, a number of important factors need to be clarified. The composition consists of several parts. These parts consist of dance combinations. For this, dance must express the parts of the composition as exposition, binding, development and complementary. Development: Angle factor is very important in stage arrangement of folk dances. The choreographer must take into account that the audience can see the artist from ane direction. Therefore, this fact should not be ignored during the making of the composition. One of the lyrical compositions of Azerbaijani folk dances is based on the “Uzundere” dance. The character of the dance,its lyrical and melodic melody make it possible to perform it as a bridal dance. “Uzundere” dance is ona of the solo dances. However,duet performances are also observed. It should not be forgotten that this danse is performed not only by women but also by men, and each performance has its own dance elements. The most common and professional version of the dance “Uzundere” is a also composition by a female dancer. One of the dances we have analyzed is the “Gaval dance”. The place of this musical instrument in national art is also reflected in dance. The musical content of the “Gaval dance” consists of two different parts. It includes both a slow-paced lyrics and a fast-paced section. These parts change during the dance. This sequence may be repeated several times, depending on the structural properties of the composition. The choreographic content of the dance has been preserved both as a solo and as a collective expression. Result: Based on our analysis and research, the main features of modern dance art can be characterized by the following provisions. As a result of the establishment and successful work of professional dance groups, the development of national dances has reached a new stage, and this process has been reflected in both folk dances and compositions based on the composer’s music. She based the stage arrangement criteria of folk dances on the professional synthesis of world classical traditions and Azerbaijani traditions with Azerbaijani choreography and national dance traditions.
SAFETY CULTURE IN PREVENTION OF OCCUPATIONAL ACCIDENTS
Authors: Olcay Zeynep Feride , Erdem Burcu
Published: September 2021

Accidents and occupational diseases; It causes loss of physical and mental health for employees and high amounts of income loss for employers and countries. In order to prevent all these losses from happening, technical and engineering measures are not enough and an internalized safety culture perception is required in management and employees. The common principle in order to protect it from accidents and diseases is to ensure that the employees act with safety awareness at every moment of the work, with the understanding of safety culture, which is defined as the set of values and rules, under the leadership of the management. Behavior and attitude patterns that do not change in a short time are shown as the main causes of accidents in business life. It is essential to create a culture that embraces safe behavior patterns and, as a result, a safe work environment created to prevent these accidents. In the implementation of this culture, the employees should be included in the process at every stage. In the study, a literature review on safety culture as a preventive factor in occupational accidents was carried out. As a result of the research, it was determined that the most appropriate method in the long-term in the prevention and reduction of accidents is the safety culture.
HOW DOES DISABILITY STATUS CHANGE TIME ALLOCATION? EVIDENCE FROM TURKEY
Authors: DÜZGÜN Burcu
Published: September 2021

Disability status is one of the certain elements of labor market condition and economic wellbeing. Likewise, disability also affects time devoted to market and nonmarket activities, since individuals without disabilities will be more productive in market activities and better at carrying household duties. In this respect, this study examines time allocation decisions of disabled and nondisabled individuals in Turkey. Purpose: Main aim of the study is to investigate how individuals with disabilities allocate their time to market work, nonmarket work, leisure, childcare and other work as compared to their nondisabled counterparts. Method: This study uses data from Turkish Statistical Institute (TURKSTAT) Time Use Survey 2014. Main focus group is non-student, non-retired individuals who are aged between 25 and 64. Seemingly Unrelated Regression (SUR) is used as the estimation methodology. Findings: Descriptive evidence show that males spend more time to market work and leisure, whereas females spend more time to nonmarket work, childcare and other work on average. Significant differences between disabled and nondisabled individuals are observed in time devoted to market work and nonmarket work both for males and females. Additionally, Seemingly Unrelated Regression (SUR) results show significant and negative association between disability status and time devoted to market work, and significant and positive association between disability and time allocated to nonmarket work and leisure for both genders. Age and education level also are important correlating factors. Originality: This is the first study in Turkey that investigates patterns of time allocation variation by gender and disability status.
COMPLEX OF NICKEL (II) ION WITH TRYPTOPHAN AS A HOMOGENEOUS CATALYST IN THE DECOMPOSITION REACTION OF CUMENE HYDROPEROXIDE IN AQUEOUS SOLUTION
Authors: Grigoryan Gevorg S.
Published: September 2021

The formation of Ni2+:Tryptophan (Trp) 1:1 complex, which acts as a model catalyst for decomposition of cumene hydroperoxide (ROOH) in Ni2++Trp+ROOH+H2O system, has been confirmed via kinetic study in aqueous solution at pH>7. The kinetic expression of a single catalytic decomposition reaction of ROOH under the influence of [NiTrp]+ complex was brought out. The temperature dependence of the effective rate constant of ROOH decay (Keff=Kcat[Ni2+]0[Trp]0=const) in the temperature range from 323 to 343 K can be expressed by Arrhenius equation (Eeff is in kJ/mol):  Keff=(1.87±0.02)·106exp[–(49.8±0.3)/RT], min –1.
COMPOSITE SORBENTS BASED ON DIATOMITE-BENTONITE AND PAPER-PULP FOR THE REMOVAL OF HEAVY METALS
Authors: Hayrapetyan Sergey S. , Hayrapetyan Martin S. , Martiryan Armen I. , Darbinyan Hranoush H. , Khachatryan Hambardzum H.
Published: September 2021

The sorption properties of organomineral composite sorbents have been investigated by ICP-MS method. The diatomite of the Jradzor deposit and bentonite of the Sarigyuh deposit (Armenia) were used as inorganic constituents. Diatomite serves as a structure-forming component and provides mass transfer due to its high porosity (V = 2.0 cm3/g) and large pore sizes (150–200 nm). Bentonite is responsible for the functionality of the sorbents. The organic component is also responsible for the functionality of the obtained sorbents. Paper pretreated with acids (nitric and phosphoric) was used as an organic component. A synthetic solution containing cations of heavy metals was used as an object of study. The experiments were carried out in static mode on a Jar-Test device.
DETERMINATION OF FUNGI RESISTANCE OF SEVERAL SAMPLES OF NATURAL LEATHER IN CONDITIONS OF ARMENIA
Authors: Shahazizyan Iren V. , Eloyan Inessa M. , Matevosyan Ruzanna E. , Nanagulyan Siranoush G.
Published: September 2021

In this work we studied the effect of microscopic soil fungi on some lather samples. The species composition of micromycetes inhabiting the samples under study was revealed, and an assessment of the fungal resistance of the materials under study was given. In the process of work, species of microscopic soil fungi were isolated and identified from the soil. In order to determine the degree of resistance to fungi for the infection of samples, a water-spore suspension was obtained. The leather materials were partially destroyed by microscopic fungi, and mold resistance ranged from 2 to 3 on a 5-point scale.
Effect of Covid-19 on Fintech
Authors:   Student, PSG Institute of Management, Coimbatore, M Lohitha
Published: September 2021

The Covid-19 has caused disruption in almost every aspect of human life personally and professionally. Among the various sectors the finance sector has been the one that has been jolted by the pandemic across nations. Governments and organizations have resorted to use innovative technologies to overcome the challenges thrown at them. The adoption of technology in the finance domain is termed as “Fintech”. Fintech witnessed its effects but they started adopting various innovative paths to tackle their business problems. This has also led to the shift in mindset of the people to adopt ‘Digital’ in all methods of transactions. The findings reveal that, the idea of going digital became the biggest pillar for the growth of Fintech during the pandemic. Moreover, some fintech sectors flourished during the pandemic. This paper gives insights on the different fintech sectors present in India. This also provides the reasons for the development of fintech industries during Covid-19.
Performance of Modified Anaerobic Hybrid Baffled (MAHB) bioreactor treating recycled paper mill effluent: Effects of organic loading rates
Authors: Hassan Siti Roshayu , Dahlan Irvan
Published: September 2021

The performance of modified anaerobic hybrid baffled (MAHB) bioreactor treating recycled paper mill effluent (RPME) was investigated at various organic loading rates (OLR) of 1, 2, 3 and 4 g COD/ L.day. The bioreactor was operated continuously at constant hydraulic retention time (HRT) of a day without effluent recycled and chemicals adjustment/addition. Throughout 70 days of operation, a maximum removal efficiency up to 97% of chemical oxygen demand (COD) and 98% of volatile fatty acid, biogas production of 12.51 L/day equivalent to methane (CH4) yield of 0.108L CH4/ g COD and a stable pH system between 6.6 to 7.2 were achieved. Additionally, alkalinity of the bioreactor system shows a stable profile that indicates the whole system was well buffered with a quit high degradation of volatile solid (VS) up to 18%. These results indicated that MAHB bioreactor has been successfully treated RPME at various OLR.
Synthesis and characterization of titanium dioxide doped nickel oxide dielectric materials
Authors: Bakar Nurul Ainon , Sulaiman Muhammad Azwadi , Mohamed Julie Juliewatty
Published: September 2021

Nickel oxide (NiO) belongs to the transition metal oxide family, having good dielectric constantwith the range of 103 – 105, but it has high dielectric loss. In this research, the effect of titaniumdioxide (TiO2) addition into NiO was investigated. Generally, TiO2 was used in the application ofelectrical ceramic, catalysts, electric conductors and chemical intermediates. Ni1-xTixO1+x wasprepared via solid-state reaction method with 6 different TiO2 compositions. The preparation startedwith the powder mixing process for 24 hours and followed by calcination process at 950 °C for 4hours. Then, the calcined powders were compacted into 6 mm pellet shape under pressure of 250MPa pressure. Three pellets were made for each TiO2 composition. Those pellets were sintered at1250 °C for 5 hours. XRD results showed that pure NiO at 0.01 and 0.02 mole % of TiO2compositions produced single NiO crystalline phase, while 0.03, 0.05 and 0.10 mol % of TiO2showed the TiO2, instead of NiO phases. SEM analysis showed that increasing TiO2 concentrationmake the grain size increase, with 0.02 mole % of TiO2 gave the largest grain size, shows that 0.02mole % is the optimum TiO2 concentration for grain size enlargement. Furthermore, the bulkdensity of Ni1xTixO1+xpellet was reduces at higher TiO2 concentration. In dielectric test, the additionof 0.03 mole % of TiO2 gave the highest dielectric constant with value of 4.51 x 1014 and 0.05 mole% of TiO2 gives the result of lowest dielectric loss (0.53).
Biodiversity of benthic macroinvertebrates in Sungai Kisap, Langkawi, Kedah, Malaysia
Authors: Nurhafizah-Azwa S. , Ahmad A.K.
Published: September 2021

A study on macroinvertebrate diversity was conducted in Sungai Kisap, Langkawi, Kedah. Five stations were selected with a distance of approximately 500 metres apart with three replications of benthos and two replications of water sample. The results classified Sungai Kisap in Class I, which indicates very good water quality based on WQI recommended by the Department of Environment. A total of 2 phyla, 3 classes, 8 orders, 29 families, and 3564 individuals were successfully sampled and recorded. The presence of Hydropsychidae, Baetidae, and Chironomidae with a high abundance of the families show the potential to be used as biological indicators of a clean ecosystem. The analysis showed that the average value of Shannon Diversity Index, H’ (1.28), Pielou Evenness Index, J’ (0.45), and Margaleff Richness Index, DMG (2.80) indicates that Sungai Kisap is in moderate condition and the distribution of macroinvertebrates is uniform between stations. The correlation test showed that the WQI has a strong relationship with the diversity indices involved. BMWP, ASPT, and FBI showed that Sungai Kisap has good water quality.
Facile preparation of graphene oxide silver aerogel for antibacterial
Authors: Mohamed Noor An’amt , Amanina Yusoff Nurul Farah , Nay Ming Huang , Abdul Kari Zulhisyam , Abdul Razab Mohammad Khairul Azhar , Abu Bakar Muhammad Hafiz , Wei Lee Seong , Abdullah Nor Hakimin
Published: September 2021

We report a simple and straightforward method for the preparation of graphene oxide-silver aerogel (GOAg) via microwave irradiation. Graphene oxide (GO) was used as a substrate for the growth of silver nanoparticles (AgNPs) and silver complex was used as a precursor. The GOAg were prepared by rapidly expose mixture of GO and silver complexes with microwave for 30 s under an ambient atmosphere. For the nanocomposites, GOAg solution were lyophilized in a freeze-dryer for 24 hours to form an aerogel. The obtained GO and GOAg nanocomposites were characterized by X-ray diffractometer (XRD) and Ultraviolet-visible spectroscopy (UV-Vis). XRD confirmed the formation GO, and GOAg while GOAg display antibacterial properties against Methicillin-resistant Staphylococcus aureus (MRSA) and Aeromonas hydrophila bacteria. We demonstrate
Phytoremediation of chromium(VI) using Colocasia esculenta in laboratory scale constructed wetlands
Authors: Men Chan Kar , Mohd Ghazi Rozidaini
Published: September 2021

The existing water is becoming polluted nowadays due to high anthropogenic emission of water. The phytoremediation technology is used to treat the contaminated soil and water which containing higher amount of pollutants. The water that contains heavy metals will cause water scarcity and affect on human health when human drink the water. In this study, Colocasia esculenta was chosen for the removal of Cr(VI) in water. The efficiency of C.esculenta in accumulates Cr(VI) in synthetic wastewater was evaluated. The effect of time and concentration of Cr(VI) were identified in this study. Cr(VI) concentration was determined using diphenylcarbazide method (DPC). Experiment were set up in Laboratory Scale Constructed Wetlands with varies the concentration of synthetic wastewater of 1, 2, 5, 10, 50, 500 and 1000 mg/L and was continued for 36 days. The result of removal percentage for the 1, 2, 5 and 10 mg/L reach 100% while for 50, 500 and 1000 mg/L only remove 99.99%, 94.79% and 55.84% respectively. Roots of C.esculenta are able to accumulate Cr(VI) in wastewater which with BCF value was 1.557 mg/L. The BCF value of roots were more than 1, represents the higher accumulation of metal in plant. Therefore, C.esculenta has potential to use in removing Cr(VI) in water.
Pembangunan Game 3D Real Time Strategy “Bug Invasion” Berbasis Desktop
Authors: Kurniawan Rudi , Yudha Pradatama Rizal
Published: September 2021

Banyaknya judul-judul baru yang ditawarkan oleh permainan dengan genre Real Time Strategy, dari hasil pengamatan pada kenyataannya belum banyak yang menawarkan mekanisme baru dalam permainan tersebut. Penelitian ini bertujuan untuk menghasilkan sebuah mekanisme baru dengan menawarkan sebuah metode mikro ekonomi. Dengan metode mikro ekonomi permainan dapat memberikan tantangan baru bagi para Pemain berupa pembatasan (boundary) dalam penempatan posisi suatu objek, misalnya banyaknya jumlah bangunan yang dibangun dalam satu area tidak dapat dilakukan seara sembarangan. Pada permainan ini dikembangkan juga sebuah Artificial Intelligence (AI) yang digunakan sebagai kubu lawan dalam sebuah simulasi pertempuran melawan pemain nyata (manusia). Pada proses pembangunan game 3D digunakan metode Multimedia Development Life Cycle (MDLC) yaitu (1) Tahap konsep; (2) Tahap desain; (3) Tahap pengumpulan material (gambar, model character, animasi, video, audio dan lain-lain); (4) Tahap pembuatan (penggabungan semua objek berdasarkan tahap konsep dan tahap desain); (5) Tahap pengujian, alfa serta beta; (6) Tahap pendistribusian (rilis game kepada target pengguna). Adapun tools yang digunakan yaitu Game Engine Unity dengan bahasa pemrograman C#. Dari hasil ujicoba dengan mekanisme ini, permainan baru yang menggunakan sebuah metode mikro ekonomi telah mampu memberikan batasan terhadap penempatan posisi serta banyaknya bangunan yang ditempatkan yaitu dengan cara membuat sebuah border berbentuk lingkaran yang berpusat dimasing-masing town hall Pemain maupun AI. Pembuatan sebuah border yang berbentuk lingkaran digunakan sebagai penanda batas wilayah antara Pemain dan AI. Dengan demikian Pemain maupun AI tidak akan dapat membangun bangunan yang mereka miliki serta mengambil sumber daya yang berada di luar batas dari border/ wilayahnya
Pemilihan Lokasi Pembangunan Klinik Dengan Metode Analytical Hierarchy Process Didukung Sistem Informasi Geografis
Authors: Ashari Taufik
Published: September 2021

Klinik merupakan fasilitas pelayanan kesehatan masyarakat yang menyelenggarakan pelayanan kesehatan perorangan yang menyediakan pelayanan medis dasar dan atau spesialistik untuk masyarakat. Letak klinik yang berada di daratan tinggi khususnya di Kabupaten bandung Barat sering menjadi penghambat dalam mengakses lokasi. Sistem Informasi Geografis (SIG) merupakan cara yang direkomendasikan dalam menyajikan aspek data spasial. Dalam hal ini SIG mempunyai manfaat dalam proses penentuan lokasi pembangunan klinik. Kriteria yang digunakan untuk menentukan lokasi klinik dalam penelitian ini adalah lokasi, aksebilitas dan letak Dari analisis dengan menggunakan metode AHP (Analitycal Hierarchy Process) yang akan di integrasikan atau digabungkan dengan teknologi Sistem Informasi Geografis. Dari perhitungan AHP berdasarkan bobot kriteria akan diperoleh nilai AHP untuk masing-masing kandidat pemilihan lokasi klinik. Kemudian terdapat sub kriteria yaitu sewa lahan, jumlah penduduk, kemudahan transportasi darat, dekat dengan pemukiman warga, banyak pesaing, lahan parkir, dan pendapatan daerah. Nilai-nilai AHP tersebutlah yang digunakan oleh sistem untuk menentukan lokasi kandidat pemilihan lokasi klinik yang paling optimal. Berdasarkan hasil perhitungan yang memiliki bobot tertinggi adalah lingkungan dengan nilai 0,633. Selanjutnya adalah aksebilitas dengan nilai 0,260 dan yang terakhir adalah letak dengan nilai 0,106. Dan hasil pengujian akhir rekomendasi lokasi yaitu mendapatkan presentase sebesar 78,5%
Skenario Implementasi Sistem Informasi Identitas Digital Dengan Menggunakan WSO2 IS Di STMIK “AMIKBANDUNG”
Authors: Rahayu Andi , Hermawaty Hermawaty , Abdul Mujib Muhammad , Dzulkarnaen Rizal
Published: September 2021

Semakin berkembangnya teknologi menjadikan banyaknya aplikasi yang digunakan dalam berbagai aktifitas. Sebagian besar pengguna menggunakan berbagai macam credential (username dan password) yang berbeda untuk login ke berbagai layanan aplikasi yang tersedia. Berdasarkan permasalahan, maka diusulkan sistem Single Sign On (SSO). untuk authentifikasi terhadap pengguna, dimana pengguna bisa mengakses beberapa aplikasi tanpa harus login di masing-masing aplikasi. Dalam penerapan SSO digunakanlah WSO2 IS sebagai Identity Provider dimana aplikasi server ini memfasilitasi keamanan saat menghubungkan dan mengelola banyak identitas di berbagai aplikasi. Dalam pengembangannya dibuat juga aplikasi yang bertindak sebagai Service Provider (pihak yang memerlukan otentikasi) dengan berbagai macam protokol seperti SAML dan OPENID. Hasil dari penerapan SSO menggunakan WSO2 IS dan aplikasi dengan protokol SAML dan OPENID berhasil membuat sistem untuk mengizinkan pengguna dapat mengakses seluruh sumber daya dalam jaringan hanya dengan menggunakan satu credential saja
Book Review: Daniel J Gervais (ed) The Future of Intellectual Property (2021)
Authors: Ncube Caroline B
Published: September 2021

None
Notes: Splitting hairs? Bwanya v The Master of the High Court
Authors: Osman Fatima
Published: September 2021

In Bwanya v The Master of the High Court 2021 (1) SA 138 (WCC), the Western Cape High Court ordered that the applicant, a partner in an opposite-sex partnership, was entitled to inherit from her deceased partner’s estate by ordering an amendment of the Intestate Succession Act 81 of 1987 to cater for unmarried opposite-sex partners. The court distinguished the case from Volks NO v Robinson 2005 (5) BCLR 446 (CC) — which precludes an unmarried partner from claiming maintenance from the deceased partner’s estate — on the basis that the case involved an inheritance claim as opposed to maintenance. The note argues that the failure of the court to deal with the central argument in Volks in respect of inheritance rights undermines the strength of the judgment. The Constitutional Court in confirmation proceedings should address this matter, and consider a softening of the doctrine of stare decisis to overrule the Volks case. Furthermore, the case opens the door to claims by other unmarried partners in polygamous relationships. While such claims involve policy considerations that are best addressed by the legislature, they are likely to come before the courts in the near future. Courts should recognise such claims in acknowledgment of the diversity in family formations in South Africa.
Biotechnology of Nanostructures Micronutrients Vitamins for Human Health
Authors:   Chemistry Department, Faculty of Science Tanta University, 31527, Tanta, Egypt, Madkour Loutfy H
Published: September 2021

Nowadays, nanotechnology is used as a way to increase bioavailability and decrease the side effects of drugs and nutrients. Micronutrients and nutraceuticals such as vitamins, carotenoids, polyunsaturated fatty acids and polyphenols are classes of food ingredients that are essential for human health and well-being. These compounds are rarely added purely to the targeted food application but rather in encapsulated, solid, dry product forms with added functionalities such as improved stability, bioavailability or handling. Development of new strategies, like nanocarriers, that help to promote the access of neuroprotective molecules to the brain, is needed for providing more effective therapies for the disorders of the central nervous system (CNS). Polymer–lipid hybrid nanoparticles, encapsulating vitamin D3 and vitamin K2, with improved features in terms of stability, loading and mucoadhesiveness were produced for potential nutraceutical and pharmaceutical applications. Recently, nanoformulations that include nanovesicles, solid-lipid nanoparticles, nanostructured lipid carriers, nanoemulsions, and polymeric nanoparticles have shown promising outcomes in improving the efficacy and bioavailability of vitamin E. Active targeting of nanoparticles loaded with vitamin D to cancer cells.
Obtaining Thin Films of Silicon-Carbon Method of Reactive Magnetron Sputtering are used as Solar Cells
Authors:   Institute of Radiation Problems of ANAS, Azerbaijan r, Baku c. 1143, B. Vahabzadeh 9, Russia, Najafov BA , Abasov FP , Ibragimov RS ,   Institute of Radiation Problems of ANAS, Azerbaijan r, Baku c. 1143, B. Vahabzadeh 9, Russia,   Azerbaijan State University of Oil and Industry, Baku c, Azadlig Ave.34, Russia
Published: September 2021

In the work of the various parameters studied film amorphous and nano-crystalline alloy silicon-carbon (а-nc-Si1-xCx :H (x=0÷1)) doped with phosphorus (PH3 ) and boron (B2 H6 ). Studied the properties of these films on different substrates derived from quartz, glass and Silicon-coated Fe, Al, Pd, Ni, Ti, Ag. Using transmission electron microscopy (TEM) studied the morphology obtained nano tubes. Also examine the structural properties of films by using infrared spectroscopy and x-ray diffraction of x-rays. Created by cascade solar cells area S = 1.2 cm2 and have a coefficient of 11.2%.
COVID-19 and ophthalmology: is conjunctival transmission possible?
Authors:   Omsk State Medical University, Surov Alexander , Lyuft Ekaterina ,   ICSM “Euromed”, Svinareva Irina ,   Omsk State Medical University
Published: September 2021

At the end of 2019, an outbreak of a new coronavirus infection occurred in the people's Republic of China with an epicenter in the city of Wuhan (Hubei province). On February 11, 2020, the World Health Organization assigned the official name of the infection caused by the new coronavirus – COVID-19 (Coronavirus Disease 2019). As of May 2020, COVID-19 has been confirmed in nearly three and a half million people and has resulted in just over 230.000 deaths. In January 2020, the first case of death of an ophthalmologist from Wuhan Central hospital who was infected from a patient was recorded, which attracted the attention of the medical community around the world, especially in countries at the center of the pandemic. There are scientific papers showing the possibility of infection with the COVID-19 virus through the mucous membrane of the eye, which is relevant for doctors working in a pandemic, especially practicing ophthalmologists and General practitioners.
Lower respiratory tract infections in patients with comorbidities
Authors:   Sechenov First Moscow State Medical University (Sechenov University), Dvoretsky Leonid
Published: September 2021

Comorbidities are an important factor of the various infectious respiratory diseases emergence, complications development and prognosis. The most frequent comorbidities affecting the course and outcome of respiratory infections are the following: cardiovascular disease (heart failure, various types of coronary artery disease, cerebrovascular disease), chronic obstructive pulmonary disease, diabetes mellitus, obesity. The paper reports data on the discussed comorbidities impact on the course and outcome of bacterial and viral respiratory infections, inter alia in patients with COVID-19.
Patient with homozygous familial hypercholesterolemia: difficult to treat. Case report
Authors:   Russian Medical Academy of Continuous Professional Education, Moscow, Russia, Susekov Andrey , Balakhonova Tatyana ,   ational Medical Research Center for Cardiology, Moscow, Russia; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Soloviev Vladislav ,   Pirogov Russian National Research Medical University, Moscow, Russia, Isaeva Yuliia ,   Pirogov Russian National Research Medical University, Moscow, Russia, Miklashevich Irina ,   Pirogov Russian National Research Medical University, Moscow, Russia, Leontieva Irina ,   Pirogov Russian National Research Medical University, Moscow, Russia
Published: September 2021

Homozygous familial hypercholesterolemia is a severe genetic disorder characterized by extremely high levels of total cholesterol and low-density lipoprotein cholesterol (LDL-C), as well as by rapid atherosclerosis progression in various vascular territories. Objective examination of the affected patients often reveals multiple Achilles tendon xanthomas, xanthomas on the extensor surface of arms, knee joints, etc. The prevalence of such severe inherited hyperlipidemia in many populations is about 1 : 1 000 000, however, the family heterozygous type frequency increase leads to the decrease of this value and to the increase in the affected people number. The paper introduces case report for the patient V.I. aged 16 who was diagnosed with homozygous familial hypercholesterolemia at the age of 12. DNA testing revealed pathogenic mutations in the LDL receptor gene which confirmed the diagnosis. The paper reports the results of the discussed patient treatment using triple-drug combination lipid-lowering therapy with rosuvastatin (40 mg/day), ezetimibe (10 mg/day) and evolocumab (420 mg/day) in the last two years. The total cholesterol level decreased from 20.8 mmol/L (baseline) to 7.3–12.00 mmol/L, and the LDL-C level decreased from 19.9 mmol/L to 4.6–9.9 mmol/L due to therapy, the treatment was well tolerated. During the observation period, a rapid regression of xanthomas on the buttocks, knee and elbow joints, and Achilles tendon was achieved. A series of baseline instrumental tests (2013) revealed severe atherosclerosis of carotid arteries (maximum stenosis up to 50%), and first symptoms of aortic valve stenosis. Another examination in the hospital (2019) revealed slowing the progression of atherosclerosis in the carotid arteries and aorta, however, the arterial hypertension onset required additional prescription of a low dose of enalapril. Exercise testing and Holter ECG monitoring has yet identified no myocardial ischemia. Thus, the timely diagnosis together with long-term triple-drug intensive lipid-lowering therapy make it possible to slow down the atherosclerosis progression in the discussed rare and severe category of patients.
Cutaneous types of mastocytosis in paediatry. Case report of maculopapular cutaneous mastocytosis in an infant
Authors:   People’s Friendship University of Russia, Moscow, Russia, Tamrazova Olga , Glukhova Evgeniya ,   Bashlyaeva Children City Clinical Hospital, Moscow, Russia
Published: September 2021

Mastocytosis is a heterogeneous group of neoplasms characterized by increased mast cells proliferation and accumulation in various organs and tissues. The paper introduces the newest mastocytosis classification and diagnosis principles. Each type of cutaneous mastocytosis is discussed separately, with the recommendations for the affected patients’ management. The paper reports the typical mastocytosis manifestations in a 1(1/2)-year-old infant.
Deteksi Pasien Obstetrik Kritis dengan Maternal Early Warning System
Authors: Kumala Fajar Apsari Ratih
Published: September 2021

Adaptasi fisiologis yang terjadi pada ibu hamil dapat menyamarkan tanda-tanda penyakit maternal berat. Ini mempersulit identifikasi kolaps maternal yang akan terjadi. Penggunaan early warning system (EWS) yang dimodifikasi untuk penggunaan pada pasien ibu hamil dan postpartum akan membantu dalam identifikasi, treatment dini, dan penanganan pasien yang memiliki, atau akan mengalami, penyakit kritis. Maternal Early Warning System (MEWS) seharusnya mengidentifikasi pasien yang berisiko untuk mengalami perburukan pada saat intervensi dini dapat mencegah perburukan ke morbiditas berat MEWS telah digunakan secara ekstensif dalam praktek obstetrik, tetapi sistem yang digunakan sangat bervariasi. Parameter-parameter yang sering dimasukkan dalam MEWS antara lain denyut jantung, tingkat pernapasan, tekanan darah, dan tingkat kesadaran. Dari berbagai MEWS yang telah dikembangkan, ada tiga MEWS utama, yaitu (1) modified early obstetric warning system (MEOWS), (2) Maternal Early Warning Criteria (MEWC), dan (3) Maternal Early Warning Trigger (MEWT) tool. Hingga kini masih belum diketahui sistem MEWS apa yang terbaik, dan setiap rumah sakit mungkin memerlukan penyesuaian dalam parameter MEWS. Literatur yang ada menunjukkan kemungkinan manfaat dan mendukung penggunaan MEWS. Implementasi dan penggunaan MEWT telah dikaitkan dengan penurunan morbiditas maternal komposit dan morbiditas maternal berat. Akan tetapi, respon apa yang optimal untuk setting tertentu agar memperbaiki pelayanan maternal setelah tanda peringatan muncul hingga kini masih belum jelas.

 

Detection of Critically Ill Obstetric Patients with Maternal Early Warning System

Abstract

Physiological adaptations that develop in pregnant women may obscure signs of severe maternal diseases. These causes difficulties in identifying the impending maternal collapse. An early warning system (EWS) modified for pregnant and postpartum women may assist in identification, early treatment, and management of patients who already or will develop critical illness. Maternal Early Warning System MEWS has been extensively used in obstetric practices; however, the systems used in preactice are varied. The most considered parameters for MEWS are heart rate, respiratory rate, blood pressure, and level of consciousness. From many MEWS developed, three primary MEWS existed, (1) modified early obstetric warning system (MEOWS), (2) Maternal Early Warning Criteria (MEWC), dan (3) Maternal Early Warning Trigger (MEWT) tool. There is still no consensus regarding which MEWS is superior, and different hospitals may require adjustments in MEWS parameters. The existing literatures suggested the potential benefit of MEWS and supported MEWS in clinical practice. Implementation and adoption of MEWS had been associated with reduced composite maternal morbidities and severe maternal morbidities. However, the optimal response for certain settings to improve maternal services after warning system has been activated is still lacking.
Wat is verantwoord antibioticagebruik? Een zoektocht naar een definitie, kwaliteitsindicatoren, belemmerende en bevorderende factoren
Authors: MONNIER A.A.
Published: September 2021

What is responsible antibiotic use? A search for a multi-stakeholder definition, quality indicators, barriers and facilitators

Antibiotic resistance leads to infections that are increasingly difficult to treat. Resistance can be partially curbed through responsible antibiotic use. In this thesis, responsible antibiotic use was explored by consulting different stakeholders: antibiotic prescribers, patients, public health organisations, manufacturers and regulators.

Key results:
Consensus on a definition and indicators for responsible antibiotic use: these can be applied by healthcare facilities for education and to improve their antibiotic use.
Experiences of hospital patients with antibiotic use and their views on responsible antibiotic use: these can be utilized to improve the communication between healthcare professionals and patients.
An inventory of barriers and facilitators for responsible antibiotic use: these can be utilized to guide multisectoral antibiotic policies.
These results contribute to the body of knowledge regarding the complexity of using antibiotics responsibly. They are embedded in a context of increasing awareness of the societal implications of antibiotic resistance and of the need for multisectoral actions to address the issue.
Pengaruh Kualitas Produk dan Kualitas Pelayanan Terhadap Kepuasan Konsumen di Kedai Kaizar Lahat
Authors:   STIE Serelo Lahat, Hayani Hayani
Published: September 2021

This study aims to determine: (1) the effect of product quality on customer satisfaction of Kedai Kaizar Lahat (2) the quality of service on customer satisfaction of Kedai Kaizar Lahat, and (3) the effect of product quality and service quality on customer satisfaction of Kedai Kaizar Lahat. This research is a survey research with an associative design. The population in this study were all consumers of Kedai Kaizar Lahat. The sample of this research is most consumers of Kedai Kaizar Lahat in Kab. Lahat, amounting to 60 people. Data collection using a questionnaire that has been tested for validity and reliability. The data analysis technique used in this study is multiple regression analysis. The results of the study with a significance level of 5% found that (1) product quality has a positive effect on customer satisfaction, (2) service quality has a positive effect on customer satisfaction and (3) product quality and service quality have a positive and significant effect on customer satisfaction.
Analisis Brand Equity Perguruan Tinggi Swasta di Bandar Lampung
Authors:   Institut Informatika dan Bisnis Darmajaya, Aswin Aswin , Pratisti Cahyani ,   Institut Informatika dan Bisnis Darmajaya, Saputra Muhammad ,   Institut Informatika dan Bisnis Darmajaya
Published: September 2021

Business competition among education services in Bandar Lampung is rapidly raising, including private universities. Brand equity is proven to increase the universities profitability in the long term. This qualitative research aims to provide a comparison of the brand equity among private universities in Bandar Lampung. Through descriptive analysis and cochran q-test from 560 combined informants from high school and collegues found that in high school IIB Darmajaya was Top of mind IIB Darmajaya, Recall brand was Technocrats University, and Brand recognition that they knew IIB Darmajaya from friends and family. Whereas the collegues obtained Top of mind was IIB Darmajaya, Brand recall IIB Darmajaya was identical to Computer Science and Economics, Brand recognition recognizes IIB Darmajaya from logos, slogans and taglines, Brand association that IIB Darmajaya had a good image, good quality private campus, an innovative campus, had a variety of student activities, and Brand loyalty in good categories also. Promotional activities both directly and digitally to high school students absolutely needed to improve IIB Darmajaya's brand recall.