bluuebunny/crossref_metadata_2025 huggingface dataset:
Strain Imaging by Speckle Tracking for the Assessment of Diastolic Dysfunction in Beta-Thalassemia Major Patients
Authors: Okay Mufide , Coteli Cem , Unal Sule , Hazırolan Tuncay , Karabulut Erdem , Ozer Necla , Gumruk Fatma , Sayınalp Nilgun
Published: February 2021

Objectives: Strain imaging is a novel promising echocardiographic technique and strain imaging by speckle tracking has been reported recently in a few studies as a promising tool to detect early changes of myocardial deformation that could be related to myocardial iron over load in patients with β-thalassemia major. In this study, we investigated strain images in comparison with the cardiac T2* magnetic resonance imaging results.

Materials and Methods: A total of 45 patients from a single institution’s pediatric and adult hematology centers were evaluated with strain echocardiography and T2* magnetic resonance imaging at concomitant out-patient visits. We grouped patients according to cardiac T2* magnetic resonance imaging results: <20 ms (Group 1, cardiac iron loading present) (n=12) and ≥20 ms (Group 2, no clinically significant cardiac iron loading) (n=33).

Results: The median global longitudinal strain was measured as -19.9% (range -27.1% to -12%) in Group 1 and -20.7% (range -26.5% to -12.8%) in Group 2 (p=0.37). Using receiver operator curve analysis, global longitudinal strain value at a cutoff point of -20.45% in the ruling out T2*<20 ms with a sensitivity of 83% and a specificity of 54% was obtained.

Conclusion: In conclusion, although T2* magnetic resonance imaging is the gold standard method, strain imaging echocardiography can be used for predicting cardiac iron accumulation, after validations were obtained in larger sample sizes.
IN-VIVO IMMUNOMODULATORY ACTIVITY OF ETHANOLIC EXTRACTS OF AERIAL PARTS OF PHYLLANTHUS AMARUS PLANT IN CYCLOPHOSPHAMIDE INDUCED MICE
Authors: Hachhe Veershetty , M Siddaiah
Published: February 2021

Objective: To evaluate the immunomodulatory activity of ethanolic extract of aerial parts of phyllanthus amarus plant in cyclophosphamide induced mice.

Materials and Method: To evaluate the immunomodulatory activity of ethanolic extracts of Aerial parts of phyllanthus amarus plant. on cyclophosphamide induced immunosuppression in mice. ethanolic extracts of aerial parts of phyllanthus amarus plant,  (500mg/kg p.o.) were administered 13 days to albino mice and cyclophosphamide (30mg/kg i.p.) was administered on 11th,12th and 13th days 1 hour after the administration of the respective treatment. On the 14th day blood was collected by retro orbital puncture and the activity was evaluated by determining the RBC, Hb%, Platelet, total WBC and differential counts. Ethanolic extracts of aerial parts phyllantus amarus plant. showed very significant (p<0.001) counteracting effect to cyclophosphamide induced reduction in total WBC, DLC and platelet counts & significant (P<0.01) effect to that of reduction in RBC counts and Hb %. The significant inmmunostimulant effect of the ethanolic extracts of aerial parts of phyllanthus amarus plant on cyclophosphamide induced myelosuppression may be attributed towards the collective presence of saponins, sterols and tannins in the extracts, which suggest the immunomodulatory activities of the ethanolic extracts of phyllanthusamarus plant, leaves,stem and fruits.

Results: The results of the study revealed the dose dependent effect of theextracts in counteracting the myelosuppression induced by cyclophosphamide as inducated by increase in RBC total WBC platelet counts, Hb% and DLC in the extract treated group (III &IV), when compared to cyclophoshamide treated group (Group II).

Conclusion: Ethanolic extract of phyllanthus amarus would contribute for significant immunostimulating activity of In-Vivo

Keywords: Phyllanthus amarus, Cyclophosphamide, Immunomodulatory, Myelosuppression
DUKUNGAN KELUARGA TERHADAP KUALITAS HIDUP KLIEN KANKER STADIUM III DAN IV DI RUMAH SAKIT KANKER
Authors: Dewi Layya Notiva , Wardani Ice Yulia
Published: February 2021

AbstrakAngka kejadian kanker stadium III dan IV pada usia dewasa semakin meningkat tiap tahunnya. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kualitas hidup anggota keluarganya yang menderita kanker stadium III dan IV. Desain penelitian yang digunakan deskriptif korelatif dengan metode analisis univariat dan bivariat. Jumlah sampel 79 responden. Hasil penelitian didapatkan tidak ada hubungan signifikan antara dukungan keluarga yang meliputi dukungan emosional, dukungan instrumental, dukungan informasi, dan dukungan penghargaan terhadap kualitas hidup klien kanker stadium III dan IV. Perawat dalam menghadapi klien sebaiknya menggali koping adaptif, aspek positif, dan aspek spiritualitas klien tidak hanya memberikan dukungan psikologis dalam upaya peningkatan kualitas hidup klien itu sendiri.Kata kunci: dukungan keluarga; kualitas hidup; kanker. AbstractThe incidence of stage III and stage IV cancer in adulthood is increasing every year. This study aims to determine the relationship of the family support to quality of life of family members who have stage III and/or stage IV cancer. The design study is descriptive correlative with univariate and bivariate analysis methods. The numbers of respondents are 79. The results showed no significant relationship between family supports includes emotional support, instrumental support, informational support, appraisal support and the quality of life of clients who have stage III and IV cancer. In dealing with clients, nurses should explore adaptive coping, positive, and spiritual aspects of the client, not only provide psychological support to improving quality of life of the client itself.Keywords: family support; quality of life; cancer
Penerapan Protokol Recruitment Perawat Berbasis Kompetensi Di Rumah Sakit Santa Elisabeth Medan
Authors: RUPANG ERNITA RANTE , Nurmaini Nurmaini , Simamora Roymond H.
Published: February 2021

Protokol recruitment perawat berbasis kompetensi merupakan suatu pedoman dalam pelaksanaan recruitment perawat yang terdiri dari regulasi, pedoman, standar prosedur operasional (SPO). Penelitian ini bertujuan mengetahui pengaruh penerapan protokol recruitment perawat berbasis kompetensi di Rumah Sakit Santa Elisabeth Medan. Partisipan penelitian 16 orang. Metode penelitian: action research. Data kuantitatif yaitu tingkat pengetahuan partisipan diperoleh melalui penyebaran kuesioner dianalisis menggunakan statistik deskriptif diperoleh hasil adanya peningkatan pengetahuan sebelum dan sesudah pelaksanaan recruitment dengan menggunakan protokol recruitment berbasis kompetensi dari 80% menjadi 100%. Data kualitatif diperoleh dari hasil FGD, analisa dengan content analysis.  Dampak Penerapan Protokol recruitment perawat berbasis kompetensi di Rumah Sakit Santa Elisabeth Medan adalah perekrutan yang dilaksanakan lebih sistematis sesuai alur/prosedur yang telah ditetapkan; jumlah pelamar lebih banyak hasil dari perekrutan lebih bermutu.Implementation of Competency-Based Nurse Recruitment Protocol at Santa Elisabeth Hospital, Medan Competency-based recruitment protocols at the Santa Elisabeth hospital in Medan is a guideline in the implementation of nurse recruitment which consists of regulations, guidelines, standard operating procedur (SPO). This study aims to determine the effect of the application of competency-based recruitment protocol at the Santa Elisabeth hospital in Medan. Study participants were 16 people. Research methods: action research. Quantitative data that is the level of participant knowledge obtained through the distribution of questionnaires were analyzed using descriptive statistics obtained the results of an icrease in knowledge before and after implementation of recruitment using competency based recruitment protocols from 80% to 100%. Qualitative data were obtained from FGD result, analysis with content analysis. The impact of the implementation of competency-based nurse recruitment protocols at the Santa Elisabeth hospital in Medan is the recruitment that is carried out more systematically according to the established procedures; the number of applicants more results from better quality recruitment.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PSYCHOLOGICAL WELL-BEING REMAJA SMP NEGERI 1 BANGUNTAPAN BANTUL YOGYAKARTA
Authors: Supriyadi Supriyadi , Saifudin I Made Moh. Yanuar , Hartono Burhanuddin
Published: February 2021

Remaja sebagai aset bangsa merupakan masa peralihan dari anak-anak kedewasa. Masa peralihan ini sering memunculkan permasalahan seperti kenakalan remaja. Kenakalan terjadi karena rehdahnya psychological wellbeing sehingga remaja tidak mampu beradaptasi pada masa perkembangannya dengan baik. psychological wellbeing dipengaruhi oleh jenis kelamin, usia, spiritualias dan tipe kepribadian. Tujuan studi ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan psychological well-being remaja di SMP Negeri 1 Banguntapan Bantul Yogyakarta. Desain penelitian yang digunakan adalah penelitian deskriptif korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah remaja di SMP Negeri 1 Banguntapan Bantul Yogyakarta. Teknik pengambilan sampel yang digunakan adalah purposive sampling didapatkan sample sebanyak 58 orang. Analisis data menggunakan uji statistik chi square. Hasil penelitian menunjukkan korelasi jenis kelamin (p=766), usia (p=0.030), spiritualitas (p=0.000) dan tipe kepribadian (p=0.015) dengan psychological well-being remaja di SMP Negeri 1 Banguntapan Bantul Yogyakarta.
Experimental Research on English Reading Behavior Based on E-Prime System
Authors: Feng Zhu
Published: February 2021

Guided by the framework of structural construction and based on the E-Prime experimental generation system, the reading time method and detection technology are used to investigate the differences of reading comprehension between conditional adverbial clauses which presented by two ways — preposition and postposition among native Chinese college students. It is found that there are significant differences in reading time and understanding between the preposition and postposition of conditional adverbial clauses in English reading. The results show that both at the sentence level and at the text level, the postposition structure is more difficult to characterize than the preposition structure, which affects the reading speed and the accuracy of understanding. The study aims to improve English reading teaching.
Experience with the use of handheld Doppler for fetal heart rate monitoring during coronavirus disease-19 pandemic
Authors: Bajpayee Devina , Agrawal Ritu , Dastidar Sourav Ghosh , Bisht Nitin , Panda Ranjan Kumar , Kumar Arvind , Sarin Enisha , Kumar Harish
Published: February 2021

Background: Fetal heart rate (FHR) monitoring during intrapartum care is important; however, the use of Doppler during coronavirus disease (COVID-19) pandemic needs to be investigated especially in light of the enhanced infection prevention (IP) required during labor and childbirth. The present study was carried out to evaluate the experience of using a handheld Doppler having both continuous and intermittent monitoring features in seven health facilities across three states. Materials and Methods: Program data including case load, frequency of monitoring, and fetal outcome was obtained from January to March 2020 were compared with data during the lockdown period from April to June 2020. A semi-structured questionnaire was used for a telephonic qualitative interview of eight service providers from the seven facilities to supplement the quantitative data. Transcripts were analyzed using ATLAS.ti to find out how the Doppler was being used. Results: There was decrease in the case load during lockdown; however, there was no decrease in the frequency of monitoring. There was no difference on rate of abnormal FHR detected, stillbirths, and asphyxia. IP protocol was followed in all facilities. The handheld Doppler was used by four facilities to continuously monitor pregnant women. While, study participants reported that strapping the belt for continuous monitoring reduced exposure to suspected COVID cases, two participants believed that strapping could be a risk factor for transmission. Conclusion: Usage of the Doppler for FHR detection can be used for monitoring progress during labor using IP protocol.
Effect of hand exercises on grip strength and manual dexterity in children with severe congenital visual impairment
Authors: Sumayya Faiz Shaikh
Published: February 2021

Background: Vision is important in planning and performing motor skills. Early reduction or lack of visual function may alter or delay the development of basic motor and visual-motor skills. Developing skilful hands is a necessity in blind children as it often compensates for their missing vision. Objective: The objective of the study was to focus on the efficacy of hand exercises on grip strength and manual dexterity in children with severe congenital visual impairment. Materials and Methods: The study included 60 children aged 7–15 years who were diagnosed with severe bilateral congenital visual impairment. Hand exercises were given to all the 60 children at least 4 days in a week for a period of 6 weeks. Grip strength and manual dexterity values were analyzed using Jamar dynamometer and Purdue Pegboard test, respectively. Results: The mean age was 12.15±2.284 years. We observed a significant improvement in grip strength (p<0.001) and manual dexterity (p<0.001) post-intervention as compared to the pre-intervention scores. Conclusion: The findings of the present study indicate that hand exercises can be a useful training method in improving grip strength and manual dexterity in children with severe congenital visual impairment.
Outcome of infants with antenatally detected hydronephrosis
Authors: Pushpalatha Kariyappa  , Rajashekhar Basavaraj Kenganal  , Sreejesh Lal Kizhakkayil
Published: February 2021

Background: It is estimated that genitourinary anomalies comprise 20% of all antenatally detected fetal anomalies, of which hydronephrosis is the most common anomaly affecting 1–5% of all pregnancies. Depending on diagnostic criteria and gestation, the prevalence of antenatal hydronephrosis (ANH) ranges from 0.6 to 5.4%. Aim: The aim of the study was to find the causes and outcome of antenatally detected hydronephrosis. Methods: Babies diagnosed with antenatally detected hydronephrosis from January 2016 to December 2016 were followed up for 6 months postnatally. Based on anteroposterior diameter of renal pelvis babies were classified as mild, moderate and severe according to Society for Fetal Urology consensus statement on evaluation and management of ANH and these babies were followed up. Results: Two percent of babies born during the study period had significant ANH (68/3251). Three were lost to follow-up. Among the remaining 65 babies, three (4.6%) had severe, 13 (20%) had moderate, and 49 (75.4%) had mild ANH. During follow-up 39 (60%) resolved spontaneously, ten (15.3%) showed resolving hydronephrosis and 16 (24.6%) required some form of intervention. All babies with severe ANH required intervention (100%). Nine (69.2%) babies with moderate and four (8.1%) babies with mild ANH required intervention. Among babies who required intervention, majority had vesicoureteric reflux (12.3%) and pelviureteric junction obstruction (9.2%). Sixteen babies (24.6%) developed urinary tract infection. Conclusion: Majority of the ANH are mild and resolve spontaneously. Size at detection decides the likelihood of need for intervention as all those with severe hydronephrosis required intervention. Majority of babies with ANH are asymptomatic at birth and postnatal abnormality could be detected only by follow-up scans. Hence, this study reinforces on the regular follow-up of babies with ANH.
Rare association of septic arthritis with neonatal diabetes in a patient with PDX-1 mutation
Authors: Madhura Karguppikar  , Nikhil Shah  , Anuradha Khadilkar  , Vaman Khadilkar
Published: February 2021

We present a 58-day-old male infant with neonatal diabetes and septic arthritis of hip. He was born of a consanguineous marriage at 35 weeks of gestation and was asymptomatic till presentation. Family history revealed his older sibling had suffered from meningitis and a second sibling had neonatal diabetes (died due to an unknown infection). Our patient underwent arthroscopy for septic arthritis and symptoms resolved after antibiotic therapy. Genetic testing was performed for the lipopolysaccharide-responsive beige-like anchor (LRBA) mutation (known to be associated with neonatal diabetes and autoimmune disorders); however, the result revealed a homozygous mutation in PDX-1 gene which is known to cause neonatal diabetes with or without exocrine pancreatic insufficiency. Our case suggests that in neonatal diabetes with atypical infections, genetic causes other than LRBA mutation, like PDX-1 mutation, may be suspected. A genetic diagnosis aids both in treatment and prognostication of neonatal diabetes.
Unusual cardiac manifestation of Hepatitis A virus infection in children – A case report
Authors: Afreen Khan  , Aparna Chakravarty  , Jagannath Mohapatra
Published: February 2021

Hepatitis A virus infection is one of the major causes for acute viral hepatitis in children. Many extra-hepatic manifestations have been described in the literature. Only three cases of cardiovascular involvement in Hepatitis A in children have been reported till now. We here report two pediatric case of Hepatitis A infection with bradycardia.
Bird dispersal techniques
Authors: Seamans Thomas , Gosser Allen
Published: February 2021

Conflicts between humans and birds likely have existed since agricultural practices began. Paintings from ancient Greek, Egyptian, and Roman civilizations depict birds attacking crops. In Great Britain, recording of efforts at reducing bird damage began in the 1400s, with books on bird control written in the 1600s. Even so, the problem persists. Avian damage to crops remains an issue today, but we also are concerned with damage to homes, businesses, and aircraft, and the possibility of disease transmission from birds to humans or livestock. Bird dispersal techniques are a vital part of safely and efficiently reducing bird conflicts with humans. The bird must perceive a technique as a threat if it is to be effective. No single technique can solve all bird conflicts, but an integrated use of multiple techniques, each enhancing the other, generally provides relief.
Beavers
Authors: Taylor Jimmy D. , Yarrow Greg K. , Miller James E.
Published: February 2021

The American beaver (Castor canadensis) is known as an “ecosystem engineer” because of the benefits their dams provide to biological diversity and ecosystem function. It also is considered a “keystone species” because of its ability to transform its environment, creating new habitats upon which other species depend. Despite the many positive benefits beavers provide through foraging and dam building, beavers also create conflict with people when their activities cause damage. The focus of this publication is to provide basic information on beaver ecology, damage, and management.
European Starlings
Authors: Homan H. Jeffrey , Johnson Ron J. , Thiele James R. , Linz George M.
Published: February 2021

European starlings (Sturnus vulgaris, Figure 1)are an invasive species in the United States. The first recorded release of the birds was in 1890 in New York City’s Central Park. Because starlings easily adapt to a variety of habitats, nest sites and food sources, the birds spread quickly across the country. Today, there are about 150 million starlings in North America. Conflicts between people and starlings occur mostly in agricultural settings. Starlings damage apples, blueberries, cherries, figs, grapes, peaches, and strawberries. Starlings gather at concentrated animal feeding operations (CAFOs) during late fall and winter. Starlings also cause human health problem, airplane hazards, and nuisance problems. European starlings are not protected by the Migratory Bird Treaty Act (MBTA).
МАРКЕТИНГОВІ ІНСТРУМЕНТИ В СИСТЕМІ УПРАВЛІННЯ БАНКОМ
Authors: Сукач Олена , Сиволап Юлія
Published: February 2021

Наслідки пандемії та падіння світової економіки, негативно відобразились і на діяльності банківського сектора. На українському ринку банківських послуг відмічено значне зниження рентабельності діяльності банків, скорочення їхньої кількості, що призвело до підвищення конкуренції. Наразі, актуальним, постає питання розробки та використання дієвих інструментів управління банківською діяльністю. Статтю присвячено дослідженню місця та ролі маркетингу в системі управління банком. Досліджено сутність, мету та специфіку банківського маркетингу. На основі досліджень науковців узагальнено поняття банківського маркетингу та його інструментарію. Визначено основні тенденції його розвитку в сучасних реаліях. За результатами виконаного дослідження сформовано пропозиції щодо активізації використання маркетингового інструментарію в банківській сфері.
ГЛОБАЛЬНІ ІНСТРУМЕНТИ ПРОТИДІЇ ЕКОЛОГІЧНИМ ПРОБЛЕМАМ У СУЧАСНІЙ СИСТЕМІ СВІТОВОГО ГОСПОДАРСТВА
Authors: Халавка Остап , Поліщук Ліна
Published: February 2021

У сучасній системі світового господарства проблема забруднення навколишнього середовища набула загрозливого характеру для довгострокового економічного розвитку як розвинутих країн світу, так і країн, що розвиваються. Ключовими інструментами протидії екологічним проблемам у сучасній системі світового господарства та міжнародних економічних відносин слугують Паризька Кліматична Угода, Цілі Сталого Розвитку ООН та система торгівлі квотами на викиди. Існуючі глобальні інструменти протидії екологічним загрозам демонструють недостатню ефективність у досягнення поставлених перед ними цілей, а тому потребують перегляду. Ключовим недоліком наявних інструментів є відсутність обов’язкового характеру для країн-підписантів, а також недосконалість механізмів моніторингу та контролю за станом їх реалізації. Підвищення ефективності наявних глобальних інструментів протидії екологічним проблемам та розробка більш дієвих інструментів повинні стати пріоритетом для акторів сучасної системи світового господарства.
ДІАГНОСТИКА ЕФЕКТИВНОСТІ ПРАЦІ НА ПІДПРИЄМСТВАХ В УМОВАХ РОЗВИТКУ ІННОВАЦІЙНОЇ ЕКОНОМІКИ
Authors: Яскал Оксана
Published: February 2021

Стаття присвячена визначенню проблем діагностики ефективності праці на підприємствах та врахування виявлених закономірностей при вдосконаленні політики управління в умовах становлення інноваційної економіки України. Здійснено оцінку тенденцій динаміки продуктивності праці та дієвості заходів щодо управління продуктивністю праці, яка довела, з одного боку, невідповідність виявлених трендів продуктивності праці наявним та перспективним потребам економіки, а з іншого, – виявила недосконалість управління ефективністю праці на практиці. Виявлені наявні диспропорції, що відображають втрату керованості в управлінні ефективністю праці (на прикладі Чернівецької області). Запропонований алгоритм дослідження тенденцій ефективності праці створює методичну основу для вдосконалення управління продуктивною працею з позицій стимулювання інноваційної активності підприємств.
МЕТОДИЧНІ ПРИЙОМИ АНАЛІЗУ ВИТРАТ ПРИ УПРАВЛІННІ НЕРУХОМІСТЮ ЕЛЕВАТОРІВ
Authors: Чубук Леся
Published: February 2021

Стаття присвячена дослідженню методичних підходів до аналізу витрат при управлінні об’єктами нерухомості. Автором проаналізовано структуру цін, витрат та доходів на прикладі підприємства елеваторного господарства. Зазначено, що склад та структура витрат мають галузеві особливості, що суттєво ускладнює розрахунки. Автором розкрито наповнення статей калькуляції витрат, які складаються з: амортизації обладнання; витрат на оплату праці працівників; витрат на електроенергію; матеріальних витрат; витрат на послуги сторонніх організацій. Запропоновано застосування методів аналізу чутливості, диференціації ставки дисконту, аналізу беззбитковості щодо визначення критичних витрат елеваторної нерухомості та розробки стратегії їх зменшення. На основі проведених розрахунків, визначено процедури при розробці стратегії зниження витрат, основними з яких є: аналіз фінансового звіту, складання рейтингу витрат, формування технічних вимог до засобів мінімізації витрат, обґрунтування напрямків оптимізації витрат, поєднання організаційних та технічних способів оптимізації, визнання найвищої цінності людських ресурсів, запровадження практики проведення щорічного зовнішнього аудиту та інші. Запропоновано такі шляхи зменшення загальних витрат: здійснення капіталовкладень в механізацію та автоматизацію виробничих процесів; використання альтернативних джерел енергії, використання вітчизняних якісних аналогів іноземного обладнання, з доступними і порівняно недорогими запчастинами та сервісними послугами.
МОДЕЛЬ УПРАВЛІННЯ РИЗИКАМИ COSO: ЕВОЛЮЦІЯ ТА ТРАНСФОРМАЦІЯ
Authors: Приказюк Наталія , Мендрик Діана
Published: February 2021

У статті висвітлено результати аналізу моделі COSO та публікаційних джерел стосовно даного стандарту. Проаналізовано погляди іноземних науковців на ефективність та доцільність імплементації стандарту COSO організаціями. Виявлені та представлені еволюційні етапи моделі COSO, надано їх характеристики. Виокремлено особливості та основні характеристики моделі (COSO ІІ та «сучасної» моделі), визначено і проаналізовано можливості й обмеження, при імплементації моделі COSO.
Pengaruh Work Family Conflict dan Stres Kerja terhadap Kinerja Karyawan pada PT. BPR Parthakencana Tohpati di Denpasar
Authors: Trisnawati Ni Wayan Ayu , Suartina I Wayan , Dewi Ida Ayu Sasmita
Published: February 2021

Performance is the result obtained by an organization, both the organization is profit-oriented and nonprofit oriented which is generated during a period of time. The purpose of this study was to determine the effect of work-family conflict and work stress on employee performance at PT. BPR Partakencana Tohpati in Denpasar. This research was conducted at PT. BPR Partakencana Tohpati, having its address at Jalan Gatot Subroto Timur No 49 Denpasar, Kesiman Kertalangu Village, Kesiman District, Denpasar Regency, Bali Province. The number of respondents taken was 50 employees, the sampling method was saturated. The data analysis techniques used were validity and reliability tests, classical assumption tests, multiple correlation analysis, multiple linear regression analysis, determination, t-test, and f test. Based on the analysis, it was found that work-family conflict has a negative effect on employee performance, work stress has a positive and significant effect on employee performance, and simultaneously work-family conflict and work stress have a positive and significant effect on employee performance at PT. BPR Partakencana Tohpati in Denpasar.
COVID-19: impatto sulla salute mentale e supporto psicosociale
Authors: Cantelmi Tonino , Lambiase Emiliano , Pensavalli Michela , Laselva Pasquale , Cecchetti Sara
Published: February 2021

Una pandemia non è solo un fenomeno medico, ma colpisce gli individui e la società e causa disagi a livello fisico, psicologico, sociale ed economico. Questo perché è un tipo di evento in grado di dimostrare, spesso in modo molto violento, la vulnerabilità e la fragilità dei nostri sistemi sociali e della nostra struttura psicologica, e quanto spesso possano essere inadeguate le nostre capacità di risposta tecnico-scientifica, sociocomunitaria e personale. In questo articolo abbiamo elaborato una rassegna della letteratura al fine di capire le possibili conseguenze psicologiche della pandemia in atto, cercando materiale da tre possibili fonti di informazione: situazioni con caratteristiche simili a quelle della pandemia in atto (es. con distanziamento sociale), eventi epidemici precedenti (es. SARS e MERS) e ricerche svolte direttamente in questo anno sulla pandemia da Sars-CoV-2. Dalle informazioni raccolte è emerso che le conseguenze psicologiche possono essere anche molto gravi (es. Depressione o Disturbo Post-Traumatico), verificarsi in tempi brevi e durare anche molto tempo dopo gli eventi che li hanno prodotti. Inoltre, è emerso come, nonostante le informazioni e la consapevolezza acquisite in situazioni passate o simili, non è stato fatto a sufficienza per prevenire e affrontare tali conseguenze psicologiche avverse.
Seconde e altre generazioni. Peculiarità al femminile?
Authors: Ricucci Roberta
Published: February 2021

Il contributo presenta una riflessione sui figli dell'immigrazione, con una particolare attenzione alla componente femminile. Il tema delle seconde e altre generazioni è da tempo al centro dell'attenzione di studiosi e policy-makers, anche se spesso è trattato da alcuni privilegiati punti di vista (la scuola, il rapporto con le origini o l'appartenenza religiosa), talora tralasciando il confronto fra bambini e bambine, ragazzi e ragazze, giovani, nella definizione e nelle dinamiche dei percorsi d'inclusione. Su tale confronto, che spesso non evidenzia peculiari e specifici tratti distintivi per sesso, si concentra il presente saggio.
Minorenni straniere: tratta di esseri umani, sfruttamento sessuale e violenza di genere
Authors: Howard Paolo
Published: February 2021

In Italia sono moltissime le minorenni e le adolescenti straniere, soprattutto d'origine nigeriana e romena, vittime di tratta ai fini di sfruttamento sessuale. Sono ragazze destinate al mercato della prostituzione su strada, in appartamento e online, soprattutto durante l'emergenza sanitaria. Esistono diversi indicatori che consentono d'individuare le ragazze vittime di sfruttamento sessuale, tra cui assumono rilievo le conseguenze in termini di violenza fisica e psicologica. Si tratta di violenza di genere. Un approccio di genere è dunque centrale per prevenire il fenomeno e proteggere le minorenni che sono vittime di tratta per sfruttamento sessuale.
Violenza di genere e violenza assistita: la prospettiva di genere nell'uso degli strumenti civilistici di tutela e prevenzione
Authors: Enrichens Arianna
Published: February 2021

In questo articolo ci si propone di tracciare un quadro, secondo un approccio di genere, degli strumenti di tutela civilistica che il nostro ordinamento offre alle donne, ai loro figli e alle loro figlie, offesi dalla violenza maschile. Si analizzeranno pertanto anzitutto le caratteristiche specifiche delle dinamiche violente delle relazioni familiari, differenziandole da quelle tout court conflittuali e dando valore all'autodeterminazione della donna nei percorsi di affrancamento. Si evidenzierà, quindi, l'importanza di riconoscere nella pratica giudiziaria civile inerente la separazione, il divorzio e l'affidamento della prole minorenne la rilevanza della violenza assistita ai fini delle decisioni a tutela della prole, stigmatizzando gli stereotipi purtroppo ancora esistenti.
Il corpo paradigmatico. Simulazione incarnata, intersoggettività, Sé corporeo e linguaggio
Authors: Gallese Vittorio , Cuccio Valentina
Published: February 2021

In questo articolo proponiamo una modalità con cui la neuroscienza cognitiva può fornire nuovi insight su tre aspetti della cognizione sociale. Intersoggettività, Sé umano e linguaggio. Sottolineiamo il ruolo sociale del corpo, concepito come sor-gente costitutiva della coscienza preriflessiva del Sé e degli altri. Intendiamo fornire una visione critica della neuroscienza contemporanea cognitiva e sociale e soste-niamo che il livello neurofisiologico di descrizione è condizione necessaria ma non sufficiente per lo studio dell'intersoggettività, del Sé umano e del linguaggio; questi elementi possono essere chiaramente comprensibili solo in collegamento ad un pie-no riconoscimento della loro stretta inter-relazione con il corpo. Prenderemo in esame i meccanismi specchio e la simulazione incarnata per la loro importanza per una nuova concettualizzazione dell'intersoggettività e del Sé umano. In questo con-testo ci focalizzeremo su una forma specificamente umana di intersoggettività: il linguaggio. Discuteremo gli aspetti della cognizione sociale legati al linguaggio in termini di incarnazione, sottolineando sia il carattere innovativo sia i limiti di que-sto approccio. Sosterremo che un aspetto chiave del linguaggio umano consiste nel disaccoppiamento dal suo usuale uso denotativo, che ne manifesta la capacità di astrazione. Discuteremo queste caratteristiche del linguaggio umano come esempli-ficazione della nozione greca di paradeigma, originariamente studiata da Aristote-le, per riferirci ad una forma tipica di argomentazione retorica e per collegarla alla simulazione incarnata. La conoscenza paradigmatica connette il particolare al par-ticolare, passando da una particolare situazione contingente al caso esemplare. Al-lo stesso modo, la simulazione incarnata consiste nella sospensione dell'applicazione concreta di un processo: la riutilizzazione della conoscenza moto-ria in assenza di movimento che essa realizza è un esempio di "conoscenza paradig-matica". Questo nuovo approccio epistemologico all'intersoggettività consente la possibilità di previsioni circa la natura intrinsecamente funzionale delle nostre ope-razioni cognitive sociali, andando oltre e senza subordinazione ad una specifica ontologia della mente.
A new paradigm for psychoanalysis and psychotherapy
Authors: Mendes Pedro António
Published: February 2021

This article seeks to propose a reflection on the immediate future of psychoanalysis. Winnicott's Third Way, in England, and Lebovici, in France, sought to reform psychoanalysis by focusing on empathic observation and enactment, but reconciling it with the mythical paradigm of the Freudian-phantasmatic model, which created an impasse. In order to resume its development, psychoanalysis needs to carry out a scientific revolution proposed by, among others, Stern and the Boston group in the United States with the theory of inter-subjectivity, and by Coimbra de Matos, in Portugal, with the theory of the New Relation. Continuing along this path, we propose that intimate human relations, and their transformation, constitute the new paradigm of current psychoanalysis. To access this new object, psychoanalysis preferably uses the methodology of inter-intentional observation and intervention. Thus from the quality of the "foreintentional" OU "forward-intentional" attunement, from the analytic pair, there are often spontaneous complementary intuitions, empathic enactments and future-oriented actions that result in new forms of intimate relationship in daily life, new social relations in the world and new meanings for life. This is a proposal that integrates the discoveries of neuroscience and psycho-sociology in psychoanalysis, and psychoanalysis in the other sciences.
Return to Sepharad. Is it possible to heal an ancient wound?
Authors: Angel Gonzales Torres Miguel
Published: February 2021

The spanish government has issued a new law offering spanish nationality to sephardic jews around the world fulfilling some characteristics. This legal movement tries to undo the decree of expulsion of spanish jews in 1492. It has been received with a surprising lack of any significant debate (for or against the law) in Spain. The presentation explores this topic, addressing the emotional reactions towards this in spanish population using materials form a focus group qualitative study and also touches upon the identity problems exposed by the new law and the mechanisms of denial, guilt, reparation, displacement, reactive formation, etc. accompanying the whole process. Events in the distant past, often of a traumatic quality may contribute intensely to the construction of national identity. The healing of old wounds, if possible, might shake our large group structure and lead us to confront a complex reality and to a creative process of new identity formation. A deeper exploration of this situation might also help us to understand better the complex identity problems in many large groups around the world today, linked sometimes to group violence and war and to a general movement towards nationalist and isolationist political choices.
Lavoro e digitalizzazione: introduzione alla sezione monografica
Authors: Carreri Anna , Gosetti Giorgio , Poggio Barbara , Zanoni Patrizia
Published: February 2021

Questa introduzione al numero monografico riflette su come la digitalizzazione sta cambiando la qualità del lavoro e della vita lavorativa. Anzitutto, cercando di andare oltre a letture polarizzate e deterministiche, ricostruiamo il dibattito scientifico prestando particolare attenzione ai processi di soggettivizzazione che si intrecciano con le nuove tecnologie, e le forme di controllo e di autonomia che esse introducono. Sulla base della nostra lettura dei contributi raccolti, l'articolo offre poi una riflessione sui concetti e gli strumenti metodologici utilizzati e individua piste di ricerca futura per l'analisi del modo in cui le tecnologie digitali trasformano il lavoro e la qualità della vita lavorativa.
Il ricevimento negli high-end hotel: complessità e discrezionalità nei processi di lavoro
Authors: Gaspani Fabio
Published: February 2021

Focalizzandosi sul segmento elevato del settore alberghiero, l'articolo indaga le dimensioni della complessità e della discrezionalità nei processi lavorativi che interessano gli addetti al ricevimento del reparto front office. Tali aspetti vengono esaminati in relazione ai contenuti tangibili e intangibili del lavoro. I dati provengono da un'osservazione partecipante nel corso della quale l'autore ha assunto il ruolo di receptionist front line in due hotel nella città di Milano. L'attenzione sulle pratiche di lavoro permette di esplorare le caratteristiche del servizio in contesti che richiedono elevati standard di qualità, consentendo altresì di fare emergere la pluralità di competenze richieste al personale. Il contributo mette in luce come i processi di lavoro in cui sono impegnate figure non apicali nella gerarchia organizzativa possono presentare un considerevole livello di complessità. Nello specifico, questa dimensione richiama la numerosità delle mansioni e la variabilità delle situazioni di servizio, lo svolgimento integrato di compiti tangibili e intangibili, la necessità di coordinamento, la velocità di esecuzione delle attività e la loro frammentazione. In aggiunta, gli aspetti dell'anticipazione e della personalizzazione, così come la gestione di problemi o imprevisti, implicano gradi di discrezionalità variabili in relazione a diverse componenti del servizio. Le riflessioni sviluppate attraverso lo studio degli high-end hotel consentono una maggiore comprensione delle caratteristiche del lavoro a contatto con i clienti nelle organizzazioni dei servizi che operano nella fascia superiore del mercato.
Ruoli, mansioni e competenze professionali all'interno del mondo dell'accoglienza: professionalità a confronto
Authors: Giacomelli Elena
Published: February 2021

La ricerca persegue l'obiettivo di formulare e rispondere ad alcune domande relative al ruolo e alle competenze professionali dell'operatore che lavora con richiedenti e titolari di protezione internazionale. L'interrogativo di fondo nasce sul campo grazie all'esperienza della ricercatrice come operatrice di accoglienza presso la Provincia Autonoma di Trento, che costituisce il caso empirico approfondito. L'osservazione partecipante ha fatto emergere la rilevanza che le scelte, i ruoli e i valori degli operatori assumono nell'influenzare il significato dell'accoglienza praticata e talora persino i percorsi d'integrazione dei soggetti beneficiari. Oltre all'osservazione, la ricerca si è avvalsa di interviste in profondità a 55 operatori. Focalizzandosi sulle figure professionali che più lavorano con il concetto di "vulnerabilità" - operatori di accoglienza, assistenti sociali e psicologi - l'analisi va ad individuare i punti di intersezione e contatto tra le varie professionalità, permettendo di rilevare le micro-tattiche che sono messe in atto nella quotidianità del lavoro, rispetto alla formalità delle procedure. Si vedrà come l'operatore di accoglienza si sia di fatto professionalizzato all'interno del sistema, luogo dove ha sviluppato le proprie competenze e costruito le proprie "grammatiche d'azione". Su un versante parallelo e a tratti convergente, assistenti sociali e psicologi sono invece professionalità che si sono formate "fuori" dal sistema-mondo dell'accoglienza ma, una volta arrivate "dentro", si sono trovate ad assumere ruoli e competenze professionali in parte nuovi, che possono talora far emergere contraddizioni e contrasti, ma anche innovative forme di integrazione con quelle degli operatori di accoglienza.
Decodificare empaticamente la diversità. L'applicazione della Consultazione Transculturale nei servizi sociali
Authors: Galesi Davide
Published: February 2021

Non sempre gli operatori sociali dispongono di competenze e strumenti utili a costruire con persone di background migratorio una comunicazione effettivamente comprensiva, che dia luogo ad efficaci percorsi di intervento. Questa ricerca esplorativa basata sull'osservazione partecipante e interviste semistrutturate focalizza il dispositivo della consultazione transculturale come strumento gruppale e dialogico che, grazie alle connessioni tra dimensione psico-emotiva e socio-antropologica, consente una più appropriata valutazione di bisogni e risorse, nonché una costruzione più partecipata degli interventi, nel rispetto dei principi di unicità e autodeterminazione della persona.
HUBUNGAN ANTARA UMUR, JENIS KELAMIN, PENDIDIKAN DAN PEKERJAAN DENGAN STIGMATISASI TERHADAP ORANG DENGAN HIV/AIDS DI RSUD MGR. GABRIELMANEK,SVD ATAMBUA
Authors: Berek Pius A. L. , Bubu Wendelina
Published: February 2021

Permasalahan HIV / AIDS sejak lama menjadi isu bersama yang terus menyedot perhatian berbagai kalangan diseluruh dunia. HIV/AIDS merupakan masalah global yang melanda dunia sejak awal dekade 80 – an. Begitu banyak isu legal yang terjadi dalam perawatan pasien HIV / AIDS yang menimbulkan banyak stigma yang berbentuk prasangka buruk dan mendiskreditkan atau menolak ODHA.. Penelitian ini merupakan penelitian desktriptif analitik korelasi menggunakan pendekatan cros sectional dengan tujuan untuk menganalisis hubungan antara umur, jenis kelamin, pendidikan dan pekerjaan dengan stigmatisasi bagi ODHA di RSUD Mgr. Gabriel Manek, SVD Atambua. Teknik sampling accidental sampling terhadap 170 responden dengan kriteria inklusinya adalah pengunjung di RSUD Mgr. Gabriel Manek, SVD Atambua, bisa baca tulis dan bersedia menjadi responden. Teknik analisis univariat untuk menganalisis terhadap tiap variable. Terdapat 61,2% responden yang memberi stigmatisasi bagi ODHA bagi ODHA di RSUD Mgr Gabriel Manek SVD Atambua. Sedangkan analisis bivariat menggunakan chi square dengan derajat kepercayaan 95% (α = 0,05) ditemukan tidak terdapat hubungan antara umur dengan stigmatisasi bagi ODHA di RSUD Mgr Gabriel Manek SVD Atambua (p value = 0,433), demikian juga jenis kelamin, tidak terdapat hubungan yang signifikan (p value = 0,429). Namun pendidikan dan pekerjaan ditemukan adanya hubungan yang bermakna yaitu orang yang berpendidikan rendah (SD dan SLTP) memiliki peluang 2,23 kali lebih besar kemungkinan untuk memberikan stigmatisasi bagi ODHA dibandingkan dengan orang yang berpendidikan Lanjutan sampai perguruan tinggi (p value = 0,028; OR = 2,23; 95% CI = 1,04 – 4,45); dan orang yang tidak bekerja memiliki kemungkinan 1,42 kali memberikan stigmatisasi bagi ODHA dibandingkan dengan orang yang bekerja (p value = 0,007; OR = 1,42; 95% CI = 0,22-0,78). Disarankan kepada manajemen rumah sakit agar meningkatkan penyebaran informasi melalui program PKRS secara tersentral. Untuk peneliti selanjutnya agar mengembangkan penelitian yang serupa untuk melihat variabel mana saja yang paling berhubungan.
GAMBARAN PENGETAHUAN DAN PERAN KADER DALAM POSYANDU DI WILAYAH KERJA PUSKESMAS HALILULIK DESA NAITIMU KECAMATAN TASIFETO BARAT KABUPATEN BELU
Authors: Neno Sisilia Gisela Nesti , Mau Djulianus Tes , Rua Yusfina Modesta
Published: February 2021

Latar Belakang: Penelitian ini dilaksanakan di Puskesmas Halilulik Desa Naitimu Kecamatan Tasifeto Barat Kabupaten Belu dari tanggal 06 agustus – 14 agustus 2020. Kader adalah seorang anggota masyarakat yang berasal dari masyarakat dan dipilih oleh masyarakat itu sendiri serta membantu petugas tenaga kesehatan dalam kegiatan pos pelayanan terpadu. Tujuan : tujuan dari penelitian ini untuk mengidentifikasi gambaran pengetahuan kader dalam kegiatan pos pelayanan terpadu di wilayah kerja Puskesmas Halilulik Desa Naitimu Kecamatan Tasifeto Barat. Metode : metode penulisan ini menggunakan pendekatan kuantitatif dengan metode deskriptif betujuan untuk mengekspresikan tingakt pengetahuan kader dalam kegiatan pos pelayanan terpadu. Populasi adalah kader di Puskesmas Halilulik Desa Naitimu Kecamatan Tasifeto Barat Kabupaten Belu, sampel di ambil dari semua kader pos pelayanan terpadu Desa Naitimu sebanyak 55 orang, alat pengumpulan data berupa kuesioner. Hasil penelitian : hasil penelitian dari 55 responden dapat disimpulkan bahwa secara umum tingkat pengetahuan kader tentang sistem lima meja yang berpengetahuan baik sebanyak 50 responden (90,9%) berpengetahuan cukup sebanyak 5 responden (9,1%) dan yang berpengetahuan baik tentang peran kader sebanyak 55 responden (100%). Sarannya adalah untuk meningkatkan pengetahuan tentang sistem lima meja dan peran kader. Untuk kader agar dapat menerapkan sistem lima meja dan perannya dalam kegiatan pos pelayanan terpadu.
VersVG - Versicherungsvertragsgesetz - Gesamtwerk inkl. 6. Lieferung
Authors: Riedler Andreas
Published: February 2021

Das Standardwerk zum VersVG ist komplett Die neue Generation des führenden Kommentars zum VersVG Der Kommentar zum Versicherungsvertragsgesetz (VersVG) prägt seit vielen Jahren Rechtsprechung und Wissenschaft im Versicherungsrecht. Mit dem Jahr 2020 führen die Herausgeber Attila Fenyves, Stefan Perner und Andreas Riedler das Werk in eine neue Generation: Das Grundwerk ist erheblich erweitert worden und umfasst jetzt drei Mappen. Die Umstellung auf Fußnoten erleichtert die Lesbarkeit und die Handhabung in der Praxis. Das Team des VersVG-Kommentars wird durch neue Autorinnen und Autoren aus Rechtsprechung, Wissenschaft und Anwaltspraxis verstärkt. Sie alle sorgen für eine wissenschaftlich fundierte und gleichzeitig verständliche Erläuterungen der Bestimmungen des VersVG mit klarem Blick Richtung Praxis. Die 6. Lieferung enthält diese Kommentierungen: - Vor § 1 VersVG (insb: Allgemeine Versicherungsbedingungen) durch Attila Fenyves - §§ 1c, 1d VersVG (Antidiskriminierung) durch Stefan Perner - Vor § 178a und §§ 178a bis 178e VersVG (Krankenversicherung) durch Moritz Zoppel Für wen? Der Kommentar richtet sich an Versicherungsunternehmen, VersicherungsmaklerInnen und -agenturen, Rechtsanwaltskanzleien, Gerichte und Lehrende an den Universitäten.