bluuebunny/crossref_metadata_2025 huggingface dataset:
Cost-Effectiveness Analysis of Switching from Trivalent to Quadrivalent Seasonal Influenza Vaccine in Argentina
Authors: Urueña Analia , Micone Paula , Magneres Cecilia , Mould-Quevedo Joaquin , Giglio Norberto
Published: April 2021

The burden of seasonal influenza disease in Argentina is considerable. The cost-effectiveness of trivalent (TIV) versus quadrivalent influenza vaccine (QIV) in Argentina was assessed. An age-stratified, static, decision-tree model compared the costs and benefits of vaccination for an average influenza season. Main outcomes included: numbers of influenza cases; general practitioner (GP) visits; complicated ambulatory cases; hospitalizations; deaths averted; and costs per quality-adjusted life years (QALYs) gained. Epidemiological data from Argentina for 2014–2019 were used to determine the proportion of A and B strain cases, and the frequency of mismatch between vaccine and circulating B strains. To manage uncertainty, one-way and probabilistic sensitivity analyses were performed. Switching from TIV to QIV would prevent 19,128 influenza cases, 16,164 GP visits, 2440 complicated ambulatory cases, 524 hospitalizations, and 82 deaths. Incremental cost–effectiveness ratios (ICERs) per QALY were 13,590 and 11,678 USD from the payer’s and societal perspectives, respectively. The greatest health benefits and direct medical cost savings would occur in ≥ 65-year-olds. One-way sensitivity analyses demonstrated the principal drivers of ICER to be vaccine acquisition costs, environmental B strain predominance, and B strain mismatch. Introducing QIV in Argentina would be beneficial and cost-effective relative to TIV, particularly in older adults.
Vine-Copula-Based Quantile Regression for Cascade Reservoirs Management
Authors: El Hannoun Wafaa , El Adlouni Salah-Eddine , Zoglat Abdelhak
Published: April 2021

This paper features an application of Regular Vine (R-vine) copulas, a recently developed statistical tool to assess composite risk. Copula-based dependence modelling is a popular tool in conditional risk assessment, but is usually applied to pairs of variables. By contrast, Vine copulas provide greater flexibility and permit the modelling of complex dependency patterns using a wide variety of bivariate copulas which may be arranged and analysed in a tree structure to explore multiple dependencies. This study emphasises the use of R-vine copulas in an analysis of the co-dependencies of five reservoirs in the cascade of the Saint-John River basin in Eastern Canada. The developed R-vine copulas lead to the joint and conditional return periods of maximum volumes, for hydrologic design and cascade reservoir management in the basin. The main attraction of this approach to risk modelling is the flexibility in the choice of distributions used to model heavy-tailed marginals and co-dependencies.
Migration of 238U and 226Ra Radionuclides in Technogenic Permafrost Taiga Landscapes of Southern Yakutia, Russia
Authors: Chevychelov Aleksandr , Sobakin Petr , Gorokhov Aleksey , Kuznetsova Lubov , Alekseev Aleksey
Published: April 2021

This article describes the features and migration patterns of natural long-lived heavy radionuclides 238U and 226Ra in the major components of the environment including rocks, river waters, soils, and vegetation of permafrost taiga landscapes of Southern Yakutia, which helped us to understand the scale and levels of their radioactive contamination. Different methods have been used in this study to determine the content of 238U and 226Ra in various samples, including gamma-ray spectrometry, X-ray spectroscopy, laser excited luminescence, and emanation method. It was determined that the main source of radioactive pollution of soil and vegetation cover, as well as surface waters in these technogenic landscapes, are the dumps of radioactive rock that were formed here as the result of geological exploration carried out in this area during the last third of the 20th century. The rocks studied were initially characterized by a coarse, mainly stony gravelly composition and contrasting radiation parameters, where the gamma radiation exposure rate varied between 1.71 and 16.7 µSv/h, and the contents of 238U and 226Ra were within the range 126–1620 mg/kg and 428–5508 × 10−7 mg/kg, respectively, and the 226Ra: 238U ratio was 1.0. This ratio shifted later on from the equilibrium state towards the excess of either 238U or 226Ra, due to the processes of air, water, and biogenic migration. Two types of 238U and 226Ra radionuclides migration were observed in studied soils, namely aerotechnogenic and hydrotechnogenic, each of which results in a different intraprofile radionuclide distribution and different levels of radioactive contamination. In this study, we also identified plants capable of selective accumulation of certain radionuclides, including Siberian mountain ash (Sorbus sibiricus), which selectively absorbs 226Ra, and terrestrial green and aquatic mosses, which accumulate significant amounts of 238U.
Environmental Remediation of Desalination Plant Outfall Brine Discharge from Heavy Metals and Salinity Using Halloysite Nanoclay
Authors: Aljohani Naif S. , Al-Farawati Radwan K. , Shabbaj Ibrahim I. , Al-Mur Bandar A. , Kavil Yasar N. , Abdel Salam Mohamed
Published: April 2021

Halloysite (HS) nanoclay was used for the environmental treatment of desalination brine water discharge via the adsorptive removal of selected heavy metals ions; zinc, iron, nickel, and copper, as well as salinity. Different techniques were used for the characterization of the HS nanoclay and it was found that HS nanoclay exists as transparent hollow nanotubes with high surface area. The study showed that most of the heavy metal ions could be removed successfully using the HS nanoclay in a few minutes, at normal conditions. The adsorptive removal of zinc, iron, nickel, and copper, as well as salinity on HS nanoclay was explored kinetically. It was concluded that the pseudo-second-order kinetic model was able to describe the remediation process. In addition, it was found that most of the heavy metals and salinity were removed from the desalination plant outfall brine discharge and the final concentrations were lower than those in the control and standard samples.
Testing the Efficiency of Parameter Disaggregation for Distributed Rainfall-Runoff Modelling
Authors: Moustakas Sotirios , Willems Patrick
Published: April 2021

A variety of hydrological models is currently available. Many of those employ physically based formulations to account for the complexity and spatial heterogeneity of natural processes. In turn, they require a substantial amount of spatial data, which may not always be available at sufficient quality. Recently, a top-down approach for distributed rainfall-runoff modelling has been developed, which aims at combining accuracy and simplicity. Essentially, a distributed model with uniform model parameters (base model) is derived from a calibrated lumped conceptual model. Subsequently, selected parameters are disaggregated based on links with the available spatially variable catchment properties. The disaggregation concept is now adjusted to better account for non-linearities and extended to incorporate more model parameters (and, thus, larger catchment heterogeneity). The modelling approach is tested for a catchment including several flow gauging stations. The disaggregated model is shown to outperform the base model with respect to internal catchment dynamics, while performing similarly at the catchment outlet. Moreover, it manages to bridge on average 44% of the Nash–Sutcliffe efficiency difference between the base model and the lumped models calibrated for the internal gauging stations. Nevertheless, the aforementioned improvement is not necessarily sufficient for reliable model results.
Nature-Based Solutions for Coastal Engineering and Management
Authors: Slinger Jill , Stive Marcel , Luijendijk Arjen
Published: April 2021

There is a growing scientific and engineering interest in exploring how natural processes can provide management solutions to resolve the degradation and vulnerability of coastal environments [...]
Concurrent Changes in Extreme Hydroclimate Events in the Colorado River Basin
Authors: Bennett Katrina E. , Talsma Carl , Boero Riccardo
Published: April 2021

Extreme events resulting in catastrophic damage have more than doubled in the last five years, costing hundreds of lives and thousands of homes, and heavily undermining regional economic stability. At present, most of these hydroclimatic extreme events are documented by the media as individual events; however, in scientific terms, many are better understood as concurrent events—concurrent extremes of both temperature and precipitation (e.g., drought, floods). This paper considers concurrent changes in hydroclimate extremes, including heatwaves, drought, flooding, and low flows, in six historical-to-future (1970–1999, 2070–2099) Earth System Model (ESM) climate scenarios for the Colorado River basin. Results indicate that temperature-driven Impacts (heatwaves, drought) have the strongest responses while precipitation-driven Impacts have weaker responses. All Impacts exhibit an increase in magnitude from synoptic to annual time scales, with heatwaves increasing in strength about three times at the annual time scale versus the synoptic, while low flows only increase slightly. Critical watersheds in the Colorado were identified, highlighting the Blue River basin, Uncompahgre, East Taylor, Salt/Verde watersheds, locations of important water infrastructures, water resources, and hydrological research. Our results indicate that concurrent extreme hydroclimate events are projected to increase in the future and intensify within critical regions of the Colorado River basin. Considering extreme hydroclimate events concurrently is an important step towards linking economic and social effects of these events and their associated instabilities on a regional scale.
Trabajadores de Y.P.F y su postura frente a la nación.
Authors: Riquelme Milton Waldemar
Published: April 2021

O trabalho aborda as mudanças ocorridas na empresa estatal YPF na Patagônia, no momento da privatização e, posteriormente, durante sua nacionalização. Examino os discursos dos trabalhadores e seus significados frente a ideia de nação, a partir de um exercício hermenêutico da ideologia que atravessa estes discursos.
"Cablegate" e a intervenção continuada dos EUA no Brasil
Authors: Zirker Daniel
Published: April 2021

Jan Black delineou a penetração estadunidense na política brasileira nas décadas de 1960 e 1970, seus vínculos com elites militares e comerciais, apontandopara o comprometimento da soberania nacional. Este estudo mostra uma ênfase renovada dos EUA para manipular as políticas doméstica e externa do Brasil nofinal dos anos 1990 e 2000, com base em telegramas divulgados pelo WikiLeaks.
Cablegate and the continuing US penetration in Brazil
Authors: Zirker Daniel
Published: April 2021

Jan Black outlined the US penetration of Brazilian politics in the 1960s and 1970s, including the linkages with military and business elites, revealing their compromise on national sovereignty. Based on cables released by WikiLeaks, this study shows a renewed emphasis by the US government to manipulate Brazilian domestic and foreign policies in the late 1990s and 2000s.
política externa da Rússia diante da crise síria
Authors: Pautasso Diego , Adam Gabriel , Lima Bruno Rocha
Published: April 2021

A diplomacia russa defende a preservação do governo sírio de Assad, entendendo que os “rebeldes” patrocinados pelos EUA e seus aliados levariam à desestabilização e ao avanço do fundamentalismo islâmico sunita na região. Enquanto a Rússia defende o combate ao jihadismo mediante alianças entre Síria, Irã e demais potências, os Estados Unidos e seus aliados preferem bombardeá-los.
Atravessando o Atlântico Sul
Authors: Oliveira Alana Camoça Gonçalves de , Netto Gabriela Figueiredo
Published: April 2021

No século XXI, o Brasil tem pleiteado o aumento do território marítimo e estreitado suas relações com países africanos, por conta das descobertas de recursos estratégicos no Atlântico Sul. O objetivo do trabalho é analisar a relevância da região para o cenário internacional e a cooperação Brasil-África nos acordos de defesa. Verifica-se que, apesar da projeção brasileira mais ativa no entorno regional, ainda é preciso exercer mais assertivamente o seu papel de liderança.
Parasitismo social
Authors: Silva Gislania de Freitas , Mathias Larissy Leal
Published: April 2021

Este artigo visa apresentar a obra de Manoel Bomfim, partindo do conceito de parasitismo social com que o autor trabalha ao analisar o processo histórico formador das nações latino-americanas e seus desdobramentos políticos, econômicos e sociais. Presente desde o seu surgimento, o parasitismo social persiste como elemento constitutivo dessas sociedades.
Dilema Europeu
Authors: Sander Fabiana , Souza Thais Mello de
Published: April 2021

Ao analisar os desdobramentos da crise migratória na Europa à luz das formulações teóricas da Escola Inglesa de Relações Internacionais, concluise que os dilemas enfrentados pela União Europeia têm duas faces: o aumento do conflito de interesses no interior do bloco e a dificuldade de compatibilizar demandas de justiça mundial a um ordenamento estatal. Estes desdobramentos podem levar ao “afinamento” da sociedade internacional europeia, porém sem ameaçar sua existência.
contexto atlântico da República do Peru
Authors: Pinto Rodrigo pereira
Published: April 2021

Do Atlântico ao Pacífico, esse é o caminho que a República do Peru deve percorrer para projetar seu poder, segundo o Livro Branco de Defesa do país. Este artigo discute a estratégia nacional de buscar no Oceano Atlântico uma alternativa para o fortalecimento da economia e da segurança do Peru.
Guerrilla war and hegemony
Authors: Gabbas Marco
Published: April 2021

La guerra de guerrillas is one of the most known of Che Guevara’s works. Providing a political-ideological analysis of this book, I aim to demonstrate that Che Guevara should not be considered only a man of action, but also a political thinker and theorist. To analyze the book, I will use the Gramscian concepts of hegemony and War of Manoeuvrer/War of Position as an interpretative framework.
Política Externa Brasileira
Authors: Guerreiro Moreira Luís Gustavo , Martins Mônica Dias , Costa Camila Alves , Malomalo Bas´Ilele
Published: April 2021

Em meio aos preparativos para o VI Encontro Tensões Mundiais, uma atividade se destacou: a entrevista em 7 de maio de 2018 na Rádio Universitária FM, uma antiga parceria do Observatório das Nacionalidades/ON, firmada à época do saudoso amigo, o jornalista Agostinho Gósson. Para discutir o tema do evento “Política Externa Brasileira: novos rumos e desafios epistemológicos”, estiveram presentes os professores Bas’Ilele Malomalo (Universidade da Integração Internacional da Lusofonia Afro-Brasileira/UNILAB), Camila Costa (Universidade Paulista) e Mônica Martins (Universidade Estadual do Ceará/UECE). Fomos recebidos pela produtora do programa, Raquel Chaves, e pelo apresentador Pedro Vitor, com quem iniciamos uma proveitosa troca de ideias antes mesmo de irmos ao ar.
Defesa nacional e mobilização popular na doutrina militar cubana
Authors: Vasconcelos Jefferson Euclides Moura
Published: April 2021

Analiso a organização cubana para a defesa nacional e a guerra, buscando compreender de que forma a mobilização popular é a chave estratégica para garantir a vitória contra inimigos militarmente superiores – considerando, inclusive, que a vitória se efetiva mesmo quando o embate não acontece, uma vez que a correta preparação funciona como elemento de dissuasão do inimigo.
Caminos de resistencia al desarrollo de la explotación en Guatemala
Authors: Oliveira Ana Clarice Mendonça
Published: April 2021

A expansão do modelo de desenvolvimento neoliberal redesenhou práticas de acumulação por despossessão, aprofundando a instrumentalização de aparatos estatais em benefício de setores extrativistas, com renovados mecanismos discursivos ligados a práticas de subordinação e exploração dos povos e seus bens naturais. Diante disso, na Guatemala, iniciativas de autogestão combinam práticas inovadoras e caminhos ancestrais de resistência, remetendo-se à vida comunitária e espiritualidade dos povos originários.
PNC de El Salvador durante los gobiernos del FMLN
Authors: Baltazar Landeros Edgar
Published: April 2021

El presente artículo tiene por objetivo caracterizar dos procesos de la Polícia Nacional Civil de El Salvador durante los gobiernos del Frente Farabundo Martí para la Liberación Nacional (FMLN):1) el rezago en el desarrollo institucional de la policía y 2) la centralidad del combate a las pandillas como eje de la función policial.
capitalisation comme fausse solution à la sortie de crise
Authors: Salama Pierre
Published: April 2021

Sauf mouvements sociaux de grande ampleur, les pays latino-américains qui avaient opté pour un système de répartition, se dirigent petit à petit vers un système mixte alliant le système de répartition - avec des retraites calculées à partir d’un salaire de référence faible -  et le système de capitalisation, obligatoire ou non, pour ceux qui désireraient avoir une retraite plus élevée. On aurait ainsi un système de retraite universel par répartition faible couplé d’un système par capitalisation de plus en plus important. Cette réforme rapprocherait les pays ayant opté pour la répartition vers ceux qui comme le Chili, la Colombie, le Mexique ont favorisé le système de capitalisation en espérant qu’un jour cela favoriserait la croissance…et pas seulement la spéculation boursière. Cet article a pour objet d’analyser les raisons pour lesquels le système de retraite en Amérique latine doit évoluer compte tenu de la transition démographique sans pour autant entrer dans un système de capitalisation . Contrairement à ce qui est souvent écrit, il existe des solutions alternatives à celles qui sont proposées.
SADC
Authors: Langa Ercilio Neves Brandão , Sacavinda ´Paula Graça
Published: April 2021

O artigo aborda a Comunidade para o Desenvolvimento da África Austral (SADC), em seu surgimento, contexto histórico, político e integração regional, a partir da revisão bibliográfica e de pesquisa documental. Terminada a II Guerra Mundial, na África, criam-se movimentos nacionalistas para descolonização, desenvolvimento e união entre países. A SADC surge das tensões entre dominação colonial e conflitos da África do Sul. Os países unem-se em bloco para reduzir a dependência econômica da África do Sul e isolar o apartheid.
governo brasileiro e o risco de uma democracia simbólica
Authors: Santana de Jesus Souza VANESSA
Published: April 2021

O presente artigo propõe uma análise do risco de a democracia brasileira ser reduzida ao simbolismo, diante do crescimento do discurso autoritário, no cenário político do país, na atualidade. Utiliza--se o método lógico indutivo, com revisão bibliográfica e apreciação crítica. Ao final, se propõe que a vigilância da eficácia social da democracia decorra da própria ação popular de defesa da titularidade e posse de sua soberania.
viradas na Teoria Crítica
Authors: Baltar Paula
Published: April 2021

Este artigo empreende uma análise da Teoria Crítica a partir de suas renovações, expondo como a virada “decolonial” contribuiu para esse processo. Trata-se do esforço de reconhecer o diálogo entre a Teoria Crítica e o pensamento decolonial, observando a capacidade do último tanto de expor os aspectos eurocentrados da crítica da Teoria Crítica quanto de ampliar o seu escopo concentrando-se, sobretudo, na crítica oferecida por Walter Mignolo.
Pablo González Casanova e a Sociologia latino-americana
Authors: Fernandes Edilmara Kayt Silveira , Barbosa Lia Pinheiro
Published: April 2021

Apesar de fortes influências externas, o desenvolvimento de um pensamento latino-americano autônomo tem crescentes expressões. Pablo González Casanova construiu uma escola de pensamento que conferiuà sociologia latino-americana um papel ético e político como ciência. Este artigo apresenta os principais conceitos, métodos, ideias e projetos que norteiam o pensamento do autor, com destaque para a sua contribuição intelectual na proposição de uma sociologia para a emancipação social.
modelo chinês: um estudo da política de telecomunicações
Authors: Abu-El-Haj Jawdat
Published: April 2021

O artigo recorre à política das telecomunicações da China para compreender sua ascensão mundial. Mostra que a doutrina de intervenção do Estado, após 1949, permaneceu como seu esteio, apesar da nova organização empresarial e abertura aos capitais externos. Esta doutrina exigiu o direcionamento de recursos institucionais, financeiros, tecnológicos e infraestruturais para criar condições iguais de acesso da população rural e urbana e dos estratos sociais de maior e menor renda.
Crianças da Guiné-Bissau
Authors: Freitas Jeane Silva de
Published: April 2021

O objetivo geral desse trabalho é examinar os avanços e retrocessos no tocante às violações contra os Direitos Humanos das crianças em Guiné- Bissau, sob o prisma das correntes teóricas, universalista e comunitarista, das Relações Internacionais.
Bonifácio, gênese do pensamento nacional
Authors: Carmona Ronaldo
Published: April 2021

O artigo destaca o papel de José Bonifácio de Andrada e Silva no processo formador da nacionalidade brasileira. O autor advoga que Bonifácio esboçou umprojeto nacional e elaborou princípios fundadores da política externa brasileira e do Estado nacional.
Educação a distância e qualidade do ensino
Authors: Silva Anderson do Espírito Santo da , Salvador Pedro Ivo Camacho Alves
Published: April 2021

O presente trabalho, realizado em período de pré-pandemia do COVID-19, aborda a modalidade Educação a Distância, de modo a enfatizar a sua qualidade de ensino. Para tanto, a referência utilizada para observar esse aspecto é a análise das respostas de 95 professores, de distintas redes de atuação, os quais, por meio de questionário, responderam a questionamentos pertinentes ao uso e à influência dessa modalidade de ensino em suas rotinas pedagógicas. A referida pesquisa tem como base epistemológica, para tal finalidade, a abordagem cartesiana-quantitativa para se fazer o levantamento de dados, e, por meio da análise estatística, entender essa incidência investigatória. A proposta do presente estudo objetiva, além disso, trazer à tona a influência da tecnologia na educação de forma geral, visando, por meio desta, ampliar um diálogo integrador e estável com todos os pesquisadores interessados na área.
IMPACT OF HUMAN CAPITAL ON INNOVATIVE DEVELOPMENT
Authors: Tukhtarova E. Kh. , Vlasov M. V.
Published: April 2021

The purpose of the study is to study the relationship between the level of human capital and innovative development in various countries of the world in the context of the transition to the sixth technological order. When  studying the relationship between human capital and innovation  development, the authors formulated a hypothesis about a significant difference in the sensitivity and impact of innovation on the level of human  capital for different groups of countries. To test the hypothesis, the authors used analytical, statistical, and correlation-regression analysis methods. The combination of these methods allowed us to record a different degree of relationship between the level of human capital and GDP, human capital and innovation, innovation and GDP of Russia. According to this analysis, in Russia there is a close relationship between the level of human capital and GDP, a less close relationship between innovation and human capital, and a very weak relationship between innovation and GDP. The current situation for Russia in the context of changing technological patterns requires special attention from state institutions to solve this problem. For the purpose of innovative development of Russia, the authors proposed measures for six major areas. The results obtained can be used to justify proposals and  measures to regulate innovation processes, taking into account the priority of national interests of scientific, technological and economic development of the country.
HEALTHCARE AND QUALITY OF LIFE IN THE SOUTH SIBERIAN MACROREGION: COMPARATIVE ANALYSIS
Authors: Molchanova O. V.
Published: April 2021

The article presents and discusses the issues of social and economic development of the South Siberian macroregion, including Novosibirsk, Omsk, Tomsk, Kemerovo regions, Altai Territory and Altai Republic. The emphasis is laid on the comparative analysis of the state and dynamics of quality of life and level of development of healthcare of subjects of the macroregion. A detailed review of the studies in the debated field was made. A typology of the territorial formations, included in the region by the level of economic development, was offered. Open data of government statistics, website content of the authorities of the constituent entities of the Russian Federation, ratings of the territories and authorial assessments of the existent processes were used as a data base. Conclusions were made andrecommendations were given.
WHY MATERNAL CAPITAL DOESN’T WORK
Authors: Ovechkina N. I.
Published: April 2021

In Russia, in 2007, the Concept of Demographic Policy for the period up to 2025 was developed and approved. One of the key tasks is to increase the birth rate of the population. The measures taken to stimulate the birth rate of the second and subsequent children in the family do not bring the desired result. By 2019, the birth rate in the country again fell to the «pre-reform» level. The article is devoted to the description of the main theories that explain the current situation with the birth rate not only in Russia, but also in the world as a whole: A. Smith’s feedback paradox, the theory of social  capillarity by A. Dumont, Caldwell’s theory of flows of goods. The concept of reproductive behavior is considered.
Implementation of Surprise Question Assessments using the Electronic Health Record in Older Adults with Advanced CKD
Authors: Ernecoff Natalie C. , Abdel-Kader Khaled , Cai Manqi , Yabes Jonathan , Shah Nirav , Schell Jane O. , Jhamb Manisha
Published: April 2021

Key Points

The Surprise Question can be successfully integrated into the electronic health record for routine collection to aid in clinical practice.

A low response rate indicates additional implementation efforts are needed to encourage integration of the Surprise Question into clinical practice.

Assessment of reasons for nonuptake highlighted improving technical implementation and providing additional decision making support.

Background

The Surprise Question (SQ; “Would you be surprised if this patient died in the next 12 months?”) is a validated prognostication tool for mortality and hospitalization among patients with advanced CKD. Barriers in clinical workflows have slowed SQ implementation in practice.

Objectives

The aims of this study were: (1) to evaluate implementation outcomes after the use of electronic health record (EHR) decision support to automate the collection of the SQ; and (2) to assess the prognostic utility of the SQ for mortality and hospitalization/emergency room (ER) visits.

Methods

We developed and implemented a best practice alert (BPA) in the EHR to identify nephrology outpatients ≥60 years of age with an eGFR <30 ml/min per 1.73 m2. At appointment, the BPA prompted the physician to answer the SQ. We assessed the rate and timeliness of provider responses. We conducted a post-hoc open-ended survey to assess physician perceptions of SQ implementation. We assessed the SQ’s prognostic utility in survival and time-to-hospital encounter (hospitalization/ER visit) analyses.

Results

Among 510 patients for whom the BPA triggered, 95 (19%) had the SQ completed by 16 physicians. Among those completed, nearly all (98%) were on appointment day, and 61 (64%) the first time the BPA fired. Providers answered “no” for 27 (28%) and “yes” for 68 (72%) patients. By 12 months, six (22%) “no” patients died; three (4%) “yes” patients died (hazard ratio [HR] 2.86, ref: yes, 95% CI, 1.06 to 7.69). About 35% of “no” patients and 32% of “yes” patients had a hospital encounter by 12 months (HR, 1.85, ref: yes, 95% CI, 0.93 to 3.69). Physicians noted (1) they had goals-of-care conversations unprompted; (2) EHR-based interventions alone for goals-of-care are ineffective; and (3) more robust engagement is necessary.

Conclusions

We successfully integrated the SQ into the EHR to aid in clinical practice. Additional implementation efforts are needed to encourage further integration of the SQ in clinical practice.
Izazovi i plodovi djelovanja karizmatskog pokreta danas
Authors: Vranješ Nikola , Seletković Ivan
Published: April 2021

Katolički karizmatski pokret ili Pokret obnove u Duhu Svetomu jedan je od najraširenijih i danas duhovno-pastoralno najaktivnijih pokreta unutar Katoličke Crkve. U posljednjih nekoliko desetljeća, a osobito od vremena Drugoga vatikanskog sabora naovamo, ovo je duhovno i pastoralno gibanje doživjelo različite faze vlastitog razvitka i konsolidiranja. Danas su jasno profilirani njegovi temeljni teološko-pastoralni okviri postojanja i djelovanja, kao i uporišna težišta aktivnosti pojedinaca i zajednica koje su vezane za to gibanje. U ovome radu sagledavaju se i razlučuju izazovi, tj. oni aspekti djelovanja ovog pokreta koji osobito u duhovnom i pastoralnom smislu predstavljaju poteškoću. Uz to, sagledavaju se i razlučuju i pozitivne strane te perspektive djelovanja ovog pokreta preko kojih njegovi pripadnici obogaćuju ukupni život i djelovanje Crkve, a osobito djelo evangelizacije.
TINJAUAN ATAS AKUNTANSI PERTANGGUNGJAWABAN ANGGARAN: STUDI PADA DINAS KEHUTANAN KABUPATEN BUTON
Authors: Hanifa Lia
Published: April 2021

Tujuan penelitian ini adalah untuk mengetahui tinjauan atas akuntansi pertanggungjawaban anggaran studi pada Dinas Kehutanan Kabupaten Buton. Penelitian ini dilakukan pada Dinas Kehutanan Kabupaten Buton yang beralamat di Jalan Poros Wakoko–Lasalimu, Kecamatan Pasarwajo, Kabupaten Buton. Hasil penelitian ini menunjukan bahwa Dinas Kehutanan Kabupaten Buton telah memenuhi syarat-syarat sistem akuntansi pertanggungjawaban, baik berupa struktur organisasi, anggaran, penggolongan biaya, sistem informasi dan sistem pelaporan biaya. Karakteristik akuntansi pertanggungjawaban di Dinas Kehutanan Kabupaten Buton terdiri dari identifikasi pusat pertanggungjawaban, standar tolak ukur kinerja, pengukuran kinerja yang berupa perbandingan realisasi dan anggaran, serta adanya penghargaan dan hukuman berdasarkan kebijakan.
KETERAMPILAN BERPIKIR TINGKAT TINGGI SISWA SEKOLAH MENENGAH PERTAMA DALAM MATA PELAJARAN MATEMATIKA
Authors: Samritin Samritin
Published: April 2021

Penelitian ini bertujuan untuk mengukur kemampuan berpikir tingkat tinggi (KBTT) siswa SMP dalam mata pelajaran matematika. Penelitian ini menggunakan teknik testing (pengujian) yang melibatkan 913 siswa SMP di Ibukota Kabupaten Muna. Tes yang digunakan telah  diketahui memiliki bukti validitas, reliabilitas tinggi, dan parameter butir yang baik. Data yang diperoleh dalam penelitian ini adalah data kuantitatif. Data dianalisi secara deskriptif kuantitatif. Berdasarkan hasil analisis diperoleh simpulan bahwa: (1) reliabilitas hasil pengukuran sangat tinggi (2) kemampuan higher order thinking siswa SMP dalam mata pelajaran masih rendah yang ditunjukkan oleh persentase siswa yang berada pada kategori kemampuan rendah dan sangat rendah sebanyak 66,05%, sedangkan siswa yang mencapai kategori tinggi dan sangat tinggi hanya sebanyak 33,95%, (3) persentase siswa yang mencapai kemampuan tinggi dan sangat tinggi di SMPN 4 Raha lebih tinggi dibandingkan siswa SMP lainnya, (4) rata-rata skor setiap sekolah berada di bawah rata-rata ideal.
PENERAPAN MODEL PROBLEM BASED LEARNING PADA PELAJARAN BIOLOGI UNTUK MENINGKATKAN KOMPETENSI DAN KEMAMPUAN BERPIKIR KRITIS SISWA KELAS X SMA NEGERI 4 BAUBAU
Authors: Azidin Azidin
Published: April 2021

Tujuan penelitian ini untuk meningkatkan Tujuan penelitian untuk mengetahui efektifitas penerapan model Problem Based Learning pada pelajaran Biologi untuk menigkatkan kompetensi dan kemampuan berpikir kritis siswa kelas X SMA Negeri 4 Baubau Tahun Pelajaran 2013/2014. Penelitian ini adalah penelitian tindakan kelas yang terdiri atas dua siklus, masing-masing siklus terdiri dari empat tahap yaitu perencanaan, tindakan, observasi/evaluasi, dan refleksi. Subjek penelitian ini adalah siswa kelas X-1 dan X-2 SMA Negeri 4 Baubau tahun pelajaran 2013/2014. Hasil penelitian ini menunjukkan bahwa model Problem Based Learning (PBL) dapat (1) meningkatkan pemahaman konsep Biologi siswa; (2) meningkatkan kemampuan memecahkan masalah Biologi; (3) meningkatkan kemampuan menerapkan konsep-konsep Biologi; (4) meningkatkan sikap positif siswa  terhadap pelajaran Biologi; dan (5) meningkatkan  kemampuan berpikir kritis siswa.
MENGENAL IDENTITAS MASYARAKAT BUTON MELALUI KONSEP BERKELUARGA DALAM KABANTI KALUKU PANDA
Authors: Kosilah Kosilah , Andarias S Hafidhawati
Published: April 2021

Tujuan penelitian ini adalah untuk mengetahui identitas masyarakat Buton melalui konsep berkeluarga yang terdapat dalam Kabanti Kaluku Panda. Hasil penelitian dalam kabanti Kaluku Panda tersebut di dalamnya mengandung  konsep-konsep ketuhanan, konsep seks dan  konsep berkehidupan sosial baik dalam bermasyarakat maupun tata cara dalam membina sebuah keluarga. Konsep berumah tangga pada masyarakat Buton adalah konsep yang mengikuti ajaran agama islam dalam membangun rumah tangga, yakni konsep sakinah, mawaddah wa rohmah  dan senantiasa menjaga kesetiaan dalam hubungan. Larangan yang paling fatal dalam pernikahan yakni adanya pelanggaran batas atau zina maka hukumannya sangatlah berat. Adapun prosesi menuju kehidupan dalam berumah tangga di masyarakat Buton sangatlah detil dan panjang urutannya. Dimulai dari persiapan, pemilihan, prosesi pernikahan hingga konsep seks dalam berhubungan setelah berumah tangga menjadi konsep nilai yang sangat berharga demi terciptanya sebuah generasi yang baik.
LAYANAN INFORMASI PEMBELAJARAN MANAJEMEN DAN BISNIS BERBASIS PETA KONSEP DALAM BIMBINGAN DAN PENYULUHAN PADA SISWA KELAS IX SMP NEGERI 11 BAUBAU
Authors: Julu La
Published: April 2021

Tujuan Penelitian ini adalah untuk mengetahui layanan   informasi  pembelajaran manajemen dan   bisnis   berbasis   peta   konsep   dalam bimbingan dan penyuluhan pada siswa kelas IX SMP Negeri 11 Baubau. Penelitian tindakan kelas ini dilakukan di SMP Negeri 11 Baubau Tahun Pelajaran 2015/2016. Subjek penelitian ini berjumlah 68 orang terdiri dari 43 laki-laki dan 25 perempuan. analisis-refleksi data langkah pembelajaran dengan menggunakan peta konsep adalah kegiatan eksplorasi, ivensi dan aplikasi. Kegiatan eksplorasi merupakan kegiatan orientasi (pengenalan awal) siswa mengenai konsep-konsep yang terdapat dalam suatu wacana. Kegiatan invensi adalah kegiatan pedalaman siswa terhadap konsep-konsep dalam suatu wacana. Kegiatan aplikasi adalah kegiatan menerapkan hasil belajar dalam kehidupan sehari-hari. Kendala yang dihadapi siswa dalam memahami konsep berasal dalam diri siswa adalah kebiasan belajar yang bersifat verbalisme menyebabkan siswa menemukan kesulitan dalam menganalisis konsep. Kendala yang berasal dari luar siswa adalah kendala sistem pendukung pembelajaran yaitu sarana dan prasarana yang kurang memadai, seperti alat-alat audio dan visual. Pelaksanaan pembelajaran melalui peta konsep dapat meningkatkan hasil belajar
MENINGKATAN KEMAMPUAN KETERAMPILAN BERBICARA SISWA MELALUI METODE DISKUSI KELOMPOK DI KELAS V SD NEGERI 2 KATOBENGKE
Authors: Karim Karim
Published: April 2021

Tujuan penelitian ini adalah untuk mengetahui efektivitas metode diskusi kelompok untuk meningkatkan kemampuan keterampilan berbicara siswa kelas V SD Negeri 2 Katobengeke. Subjek penelitian ditetapkan dikelas V SD Negeri 2 Katobengke dengan jumlah peserta didik sebesar 20 orang. Hasil penelitian menunjukan bahwa hasil Belajar siswa kelas V SD Negeri 2 Katobengke dalam proses belajar mengajar Bahasa Indonesia melalui pembelajaran metode diskusi kelompok secara efektif mengalami peningkatan pada, aktifitas siswa, guru dan hasil belajar yaitu, tuntas secara klasikal dan secara individu.
ANALISIS DEIKSIS DIALEK KULISUSU MASYARAKAT DESA RANTE GOLA KECAMATAN BONEGUNU KABUPATEN BUTON UTARA
Authors: Stofiana Tofan
Published: April 2021

Penelitian ini bertujuan untuk mendeskripsikan Deiksis Dialek Kulisusu Masyarakat Desa Rante Gola Kecamatan Bonegunu Kabupaten Buton Utara. Metode dalam penelitian ini adalah deskriptif kualitatif. Penelitian kualitatif dilakukan dengan tidak mengutamakan angka-angka, tetapi mengutamakan kedalaman penghayatan terhadap interaksi antara konsep yang sedang dikaji secara impiris. Berdasarkan hasil penelitian ini Deiksis Dialek Kulisusu Masyarakat Desa Rante Gola Kecamatan Bonegunu Kabupaten Buton Utara yaitu: Dieksis Orang atau Persona, Dieksis Tempat, Dieksis Waktu, Dieksis Wacana, Dieksis Sosial, Dieksis Penunjuk.
Implementation Flipped Classroom Based Video for Improving Interest Learning of Physics
Authors: Hadriani Neneng
Published: April 2021

This study aims to increase students' interest in learning in the application of the flipped classroom learning model with video media, and the instruments used are pre-test and post-test questionnaires and observation sheets for observers. The analysis was carried out by checking the completeness of the survey, classifying the answers by giving scores and obtaining the Normalized Gain test results (N-Gain). This research was conducted at SMP IT ABU BAKAR FULLDAY SCHOOL class VII, with the research method Pre-Experimental designs with the form One-Gup Pretest-Posttest Design. Based on the results of research that has been carried out using the video-based flipped classroom model to increase student learning interest, the results obtained are 35% which is classified as moderate, seen from the normalized Gain criteria, if there are results 30 ≤ N-Gain ≤ 70, then it is in the medium category.

Flipped classroom;physics learning, learning video, learning interest
Morfologi Jenis Tembelekan (Lantana camara L.) di Beberapa Wilayah Kepulauan Buton (retracted due to double publication)
Authors: Jumiati Jumiati , Andarias S Hafidhawati
Published: April 2021

This paper is retracted by editor due to publication ethics missconducted by author (simultaneously publication in other journal).
Penerapan Metode Variativ dalam Meningkatkan Pembelajaran Bahasa Indonesia Di Smp Buru
Authors: Harziko Harziko , Mayanti Yulis , Karim Karim , Azwan Azwan , Musyawir Musyawir , Iye Risman
Published: April 2021

Penelitian untuk mengeatahui pengaruh penerapan metode Metode Variative dalam meningkatkan hasil belajar isswa di SMP 9 Buru. Adapun Metode yang digunakan yakni deskriptif Kuantitatif. Metode deskriptif kuantitatif yaitu menggambarkan secara jelas dan nyata variabel penelitian dalam bentuk angka-angka dan statistik. Untuk memperoleh data penelitian, penulis menggunakan teknik pengumpulan yairu Angket atau kuesioner, sementara itu dalam menganalisis data penulis menggunakan analisis data distribusi frekuensi sedangkan mencari hubungan metode variatif dalam peningkatan motivasi belajar siswa kelas XII SMP Negeri 9 Buru, penulis menggunakan analisa statistik dengan rumus. Korelasi Product Momet. Karena data ini membahas dua variabel yang berhubungan. Rata-rata skor penggunaan metode variatif adalah 72,4 dan rata-rata nilai motivasi belajar siswa adalah 71. Untuk mengetahui apakah ada hubungan yang positif anatara Penggunaan metode variatif (variabel X) dengan motivasi belajar siswa (variabel Y), maka penulis menggunakan rumus Product Moment. Dari perhitungan di atas ternyata angka nilai koefisien korelasi antara hasil penelitian skor penggunaan metode variatif dengan nilai motivasi belajar siswa sangat signifikan.
Peningkatan Minat Siswa Di Kabupaten Buru Untuk Melanjutkan Studi: Strategi Persuasif
Authors: Taufik Taufik , Handayani Nanik , Amir Nur Fadhilah , Harziko Harziko , Irmawati A.
Published: April 2021

Banyak dari lulusan siswa SMA yang tidak memiliki minat untuk melanjutkan pendidikannya ke perguruan tinggi. Penelitian ini bertujuan untuk mengetahui strategi persuasif yang dilakukan oleh guru dalam memberikan motivasi kepada siswa SMA kelas XII untuk melanjutkan studi. Jenis penelitian ini merupakan penelitian lapangan dengan metode kualitatif. Penelitian ini dilakukan di SMA Negeri 9 Buru Kecamatan Lolongguba dan MA Uswatun Hasanah Kecamatan Namlea Kabupaten Buru. Data dikumpulkan dengan teknik wawancara, dokumentasi, dan catat. Hasil penelitian menunjukkan bahwa strategi persuasif yang dilakukan oleh guru terdiri atas lima teknik, yaitu 1) teknik asosiasi yang dilakukan dengan memilih topik yang sedang hangat diperbincangkan dan mendiskusikannya dengan siswa, 2) teknik integrasi dilakukan dengan berupaya untuk mengakrabkan diri dengan siswa dengan menggunakan bahasa yang digunakan siswa dalam komunikasi sehari-hari, 3) teknik ganjaran dilakukan dengan menceritakan berbagai pengalaman orang sukses dan memberikan hadiah kepada siswa yang ingin melanjutkan studi, 4) teknik tataan dilakukan dengan menampilkan pantun motivasi dan menyelipkaan candaan pada sela-sela motivasi, 5) teknik red-herring digunakan dengan menjelaskan pengorbanan orang tua siswa sehingga para siswa harus menjadi anak yang suskes.
Model pendidikan Kader Berbasis Wawasan Kebangsaan di Era-Post-Trust: Studi Kasus Organisasi Ikatan Mahasiswa Muhammadiyah Universitas Muhammadiyah Maluku Utara
Authors: Fatah Rahmat Abd , Rasai Julhija
Published: April 2021

Ikatan Mahasiswa Muhammadiyah sebagai organisasi mahasiswa Islam menaruh perhatian besar pada proses pendidikan kader. Karena itu pola pendidikan kader menjadi keharusan dalam rangka membentuk kompetensi Religiusitas, intelektualitas dan Humanitas. Tetapi untuk melaksanakan proses pendidikan kader tidaklah mudah karena harus berhadapan dengan fakta sosial material dan kenyataan era Pos Truth yang ditandai dengan hilangnya kebenaran obyektif di tengah keberagamaan dan keberagman bangsa.  Bertolak dari latar belakang di atas. Penelitian ini bertujuan mengembangkan model perkaderan berbasis wawasan kebangsaan di Ikatan Mahasiswa Muhammadiyah (IMM) Universitas Muhammadiyah Maluku Utara (UMMU). Metode penelitian kualitatif dipakai untuk menjalankan penelitian ini. Berdasarkan hasil penelitian didapat model perkaderan IMM UMMU dengan sebutan perkaderan empat M (4M). Yaitu  perkaderan Makro Objektif (Penguatan geneologi pemikiran dan basis Keorganisasian), Makro Subyektif (Penguatan  budaya dan nilai kepemimpinan), Mikro Objektif (Pola interaksi/tindakan transformasional kader) dan Perkaderan Mikro Subjektif (Prinsip Ketauhidan, peneguhan sikap intelektualitas dan keberpihakan) dimana masing-masing 4M memiliki spesifikasi orientasi, model dan metode sendiri tetapi masih dalam objek yang sama yaitu melakukan penguatan teoritik-aplikatif pada tiga tahapan kompetensi dasar utama yang harus menyeluruh dan tidak boleh dirubah tahapannya yaitu, dimulai dari tahapan perkaderan kompetensi Religiusitas,  intelektual dan humanitas serta penguatan proses penokohan kader.
Strategi Kampanye Calon Anggota DPRD Kota Ternate di Tengah-Tengah Pemilihan Presiden 2019
Authors: Umar Amrullah , Kahar Suyatno
Published: April 2021

Pilpres dan Pileg 2019 dilaksanakan secara bersamaan tentu sangat berdampak secara sistemik. Partai-partai pengusung  Capres Prabowo harusnya menang di kota Ternate, karena Capres Prabowo menang telak di kota Ternate yakni  67,98%, sementara Capres Jokowi hanya mendapatkan  32,02 %. Namun justru Partai pengusung capres Jokowi seperti PKB, PDIP dan Golkan keluar sebagai partai pemenang. Penelitian ini bertujuan untuk mengetahui Strategi Kampanye Calon Anggota DPRD Kota Ternate Di dalam  Pemilihan Presiden 2019. Metode yang digunakan adalah kualitatif deskriptif. Hasil penelitian menunjukan bahwa pertama Solidaritas diantara Caleg internal partai merupakan suatu strategi untuk memperoleh suara. Kedua, Program kerja partai dijadikan wacana iklan politik.  ketiga,   strategi kampanye yang dilakukan secara normative   sesuai dengan PKPU tahun 2018 tentang Kampanye Pemilu.  Keempat. Untuk menutupi isu politik nasional para Caleg menggunakan isu pembangunan etnis. Kelima, Strategi Kampanye dengan menggunakan hubungan kerja. Keenam, Putra daerah dijadikan dijadikan wacana politik.
RHETORICAL STRATEGIES USED IN MALAY RESEARCH ARTICLE CONCLUSIONS
Authors: Loi Chek Kim , Lau Yoke Lian , Soon Chow Thai , Sapan Nur Shafiekah , Ramli Siti Aishah , Bating Henry
Published: April 2021

This paper explains a combination of genre-based knowledge and evaluative stance in the context of academic arguments used in the conclusion sections of Malay research articles. For this purpose, it draws on an analysis of the features in Appraisal theory (Martin & Rose, 2003) together with a move analysis (Swales, 1990, 2004). The data comprises empirical research articles. The conformity with the standard IMRD (Introduction- Method- Results- Discussion) is taken as the ﬁrst similar feature when selecting the set of empirical research articles from the selected journals. Among others, the ﬁndings observe that evaluative stances produce rhetorical effects in Malay conclusions. When taking a stance, both the evoked Attitudes and inscribed Attitudes are employed. A closer examination shows that the evoked Attitudes and inscribed Attitudes are either used separately or simultaneously to realize a move.
A BIBLIOMETRIC ANALYSIS OF 68 YEARS OF RESEARCH ON CHARITABLE GIVING
Authors: Yaacob1 Aqilah , Gan Jen Ling
Published: April 2021

This is the first study, to the authors’ knowledge, to evaluate and quantify the progress of charitable giving as there is no research on the global trend of charitable giving. This research aimed to retrieve journal articles related to charitable giving over a 68-year time span and suggest new avenues for future research. This study involved a bibliometric analysis from 1,144 publications related to the theme, registered in the Scopus database from 1951 to the recent publication in 2019. The bibliometric procedures examined the research performance and development within the framework of international impact, while VOS Viewer 1.6.11 visualized the overall research trend of charitable giving. The results indicate that the United States is the country with the most publications related to charitable giving. James, R.N. and List, J.A. are the two leading authors in this field based on the total number of publications. Most of the articles published in this field are found in Non-profit and Voluntary Sector Quarterly, Journal of Public Economics, and Voluntas journals. While Journal of Business Research and Journal of Consumer Research are the top two leading CiteScore journals in charitable giving studies. Among the most recent author keywords are crowdfunding, social media, social status, social preferences, emotion, incentives, agency, and laboratory experiment, which demonstrated the current keen interest associated with charitable giving studies. This paper is beneficial for academicians, organizations, and policymakers in understanding the general picture of the field and enables future scholars to see where the study began and trace its shift over time.