bluuebunny/crossref_metadata_2025 huggingface dataset:
Habitat selection of the roe deer Capreolus capreolus (Artiodactyla, Cervidae) in an agroforestry system
Authors: Zorzi Paolo , Nardotto Alessandro , Bottazzo Michele , Dal Zotto Matteo
Published: April 2022

The present study aimed at assessing the habitat preferences of the most widespread and abundant ungulate in Italy, the roe deer, in the Vallevecchia protected area (Venice). This area has been the object of naturalistic management and continuous environmental improvements in the last decades. Currently, the area is characterized by a high habitat heterogeneity, including deciduous woodlands, pine forests, wetlands, and farmlands. The study was carried out during the summers of 2017 and 2020. Data were collected along standardized transects, and the geo-localized records were divided into the corresponding habitats to calculate the Jacobs Index. In addition, chi-square test was applied, with the calculation of Pearson residuals to estimate the significance of associations to the habitats. The analyses show that in Vallevecchia the roe deer prefers woods and permanent meadows. Conversely, this ungulate avoids pine forests, wetlands and farmlands, despite their potential as sources of food and shelter. In line with other studies on agroforestry systems, wooded areas were most likely preferred because they provide shelter from disturbing factors and thermal stress, while meadows were likely chosen for trophic reasons. In this respect, we point out that in the studied area the preference for meadows was most likely due also to the availability of sprouts all year round, deriving from the constant mowing activities implemented in this habitat. In addition, our investigation underlines that the roe deer normally avoids maize and wheat crops, in accordance with similar studies. Moreover, the analyses highlight the preference for farmlands only if woods and grasslands are not present in the adjoining areas. Conversely, the proximity of these habitats results in a low impact on crops. In addition to encouraging the enforcement of current management actions in Vallevecchia, our results represent a contribution to a more effective management of the roe deer in agroforestry systems, aimed at limiting its impact in anthropized contexts and at achieving the conditions for a better coexistence of this deer with human activities.
Non-volant mammals of the ‘Lago di Tarsia’ Regional Nature Reserve and Special Conservation Area (IT93100055; Cosenza, Southern Italy)
Authors: Brusco Agostino , Marchianò Roberto , Dodaro Giuseppe , Battisti Corrado
Published: April 2022

In this study we improved the knowledge about terrestrial mammals (excluding Chiroptera) of the 'Lago di Tarsia' Regional Nature Reserve (Special Conservation Area; Cosenza; Southern Italy), collecting a large amount both of direct and indirect original data (including road-killing remains and items obtained by small mammal traps, owl pellets, and phototraps), and bibliographic ones. We obtained 424 records belonging to 22 taxa classified at species level and one requiring a further taxonomic diagnosis (Microtus savii vel brachycerchus). Hystrix cristata Linnaeus, 1758, Vulpes vulpes (Linnaeus, 1758) and Martes sp. were the taxa with the highest number of records (> 10%). Sciurus meridionalis (Lucifero, 1907), Martes foina (Erxleben, 1777), Glis glis (Linnaeus, 1758), Apodemus cfr. flavicollis (Melchior, 1834), Lepus europaeus Pallas, 1778, Talpa romana (Thomas, 1902), Rattus cfr. rattus (Linnaeus, 1758), Arvicola amphibius (Linnaeus, 1758) were the taxa with the lowest number (<1%). Almost half of the records have been obtained by indirect traces (hairs, excrements, fingerprints, burrows, etc.). Records from owl pellets represented an important percentage. Although the study area is restricted in size, the high environmental heterogeneity make possible the co-occurrence of a high number of species, including specialized taxa (e.g., forest mammals, mustelids and Soricomorpha). Some species, occurring in the neighbouring, although not recorded in our study (e.g. Sorex spp., Neomys sp., Elyomis quercinus Linnaeus, 1766), could be confirmed improving the research effort. Further studies are necessary in this regard, also focusing on the role of this reserve as dispersal corridor for rare carnivores, occurring in the massifs and rivers neighbouring to the Reserve (e.g. Lutra lutra Linnaeus, 1758 and Canis lupus Linnaeus, 1758).
The western European hedgehog Erinaceus europaeus L. 1758 on San Pietro Island (southern Sardinia, Italy) and an updated review of its presence on the Italian small islands
Authors: Battisti Corrado
Published: April 2022

The current presence and local distribution of the western European hedgehog Erinaceus europaeus L. 1758, on San Pietro Island (Southern Sardinia, Italy) are here discussed for the period 2013-2021 with a short review of the species’ occurrence on the small Italian islands. The species was found in the central-eastern sector of the island, which is characterised by a high urban and infrastructural density and an agricultural mosaic, both suitable ecological conditions favouring its presence. Most of the direct data were obtained from roadkills. Despite the elusive behaviour of the species and the consequent possible underestimation, it can be assumed that the species shows a low density. In this respect, it might be interesting to investigate whether local limiting factors, either anthropogenic or natural might act on the hedgehog population. At a larger scale, the updated review of the small Italian islands shows the presence of the species on 13 islands, of which probably only Elba, Asinara and San Pietro (all >50 km2) support established populations. Further research is needed to study anthropogenic origin, history of introduction, genetics, density and medium-long-term viability of these small populations in each insular context.
Penile augmentation with injectable hyaluronic acid gel: an alternative choice for small penis syndrome
Authors: Zhang Chun-Long , Quan Yuan , Li He , Li Qing , Bai Wen-Jun , Xu Tao , Zhang Xiao-Wei
Published: April 2022

There is no well-established procedure for the management of small penis syndrome (SPS), especially when psychological interventions fail. This study aimed at systematically evaluating the physical and psychological benefits of penile augmentation (PA) using injectable hyaluronic acid (HA) gel. Thirty-eight patients receiving PA with HA gel from January 2017 to March 2020 were included and followed up for 1 year. Penile size, erectile function, and psychological burden measured by the Index of Male Genital Image (IMGI), Index of International Erectile Function (IIEF), and Beliefs about Penis Size (BPAS), respectively, were assessed at the beginning and at 1, 3, 6, and 12 months postinjection. The volume of HA gel injected was 21.5 ± 3.7 ml. Compared to baseline data, flaccid penile girth and length significantly increased by 3.41 ± 0.95 cm (P < 0.01) and 2.55 ± 0.55 cm (P < 0.01) at the 1st month postinjection, respectively. At the endpoint, despite attenuations, statistically significant improvements in flaccid penis size were still obtained, namely 2.44 ± 1.14 cm in girth (P < 0.01) and 1.65 ± 0.59 cm in length (P < 0.01). Similarly, erectile penile girth statistically increased by 1.32 ± 1.02 cm (P < 0.01) at the 1st month but were only 0.80 ± 0.54 cm bigger than baseline (P < 0.01) at the endpoint. At the 1st month, the average score of IMGI and the mean score of IIEF statistically increased by 46.2 ± 10.5 (P < 0.01) and 7.6 ± 6.2 (P < 0.01), respectively; the score of BAPS significantly decreased by 18.3 ± 4.5 (P < 0.01). These alterations remained steady during follow-up. Considering the significant penile size improvement, lasting psychological benefit, and low complication rate, PA with HA might serve as an appropriate alternative for patients with SPS.
Understanding the Public Service Obligation in the Electricity Sector:
Authors: Karova Rozeta
Published: April 2022

The paper underlines that the EU energy acquis does not simply require the Contracting Parties to the Energy Community Treaty to liberalize their electricity markets, but it also provides for a “safety net” to ensure the available of public services through the imposition of Public Service Obligations (PSO). Nevertheless, the paper points out that the present understanding of the PSOs in the Contracting Parties is not in compliance with the conditions provided by Article 3 of the Electricity Directive. Therefore, it includes some policy recommendations and a proposal for introducing a duty of notification, which should be instructive for the Contracting Parties to improve their understanding of PSO in line with EU law, by thus effectively safeguarding the availability of public services in the electricity sector to their citizens without jeopardizing the effective electricity market liberalization.
The positive employment impact of the Liideri programme
Authors: Dhondt Steven
Published: April 2022

The Finnish TEKES and later Business Finland invested in the Liideri programme. This programme supported firms to improve workplaces with the idea that better quality of work would enhance the performance of these firms. The programme was conducted in the period 2012-2018. After finalisation, an external evaluator looked at possible benefits. This evaluation showed the positive impact of the programme in general on turnover and employment. It is unclear what the programme meant for quality of work. This article digs deeper into the employment impact. The evaluation in 2020 undervalues the societal benefit of the programme. A closer look at this employment impact shows that Liideri delivered a positive return-on-investment during the programme's lifetime. Even with many issues still not understood, the evaluation shows the importance of conducting such major workplace innovation-driven initiatives.
Managers’ support for workplace innovation in the public sector: Wedged between expectations and conditions
Authors: Lidman Linda , Gustavsson Maria , Fogelberg Eriksson Anna
Published: April 2022

Over the past few years, public policy interventions have been initiated to promote public sector innovation. These top-down initiatives have been aimed at generating bottom-up movement, and first-line managers are believed to play an important role in this transformation. However, little is known about the challenges first-line managers face in their role as agents of change. This article therefore explores the expectations and conditions that first-line managers face when innovation support is implemented in municipalities. The article draws on 23 interviews with participants from three Swedish cases where innovation support has been implemented in the municipal context. The findings reveal that a multitude of expectations pointing towards an explorative logic are placed on first-line managers to lead, dare and support in connection with employee-driven innovation, but the conditions under which they operate point towards an exploitative logic. The managers find themselves wedged between high expectations and a lack of mandate, resources and organisational support for workplace innovation in the public sector context.
An Investigation on Humanoid Robots with Biped Locomotion and Walking
Authors: Pon Bharathi A , Ramachandran M , Kurinjimalar Ramu , Soniya Sriram
Published: April 2022

Human figures move, speak, and perform actions through certain features, such as sensors and actuators. Android is a humanoid robot that looks like a human, while Ginoids look like female humans. Human figures function through certain features. Arts, the UK-based designer and creator of anthropological robots, recently posted a video on
YouTube showing one of the most vivid works with sensors that can sense their environment. Amega, a robot, has been shown to create incredible human-like facial expressions, and in fantasy systems, the human figure is used to represent amazing creatures such as a dwarf, cub, cub. gnome, Halfling, goblin, Troll, orc or an ogre, and Bigfoot Actuators are the motors responsible for the robot's movement. Humanoid robots are designed to mimic the human body. Although with different structures, they use accelerators that act like muscles and joints. The actuators of humanoid robots can be electric, pneumatic or hydraulic. Well, almost. Recently, the UK-based robotics company Engineering Arts showcased its Artificial Intelligence (AI) anthropology robot Amega, which is almost bizarre. Anthropology robots, on the other hand, did not reach the target. Following humans in form and ambiguous function. They have very specific roles - More than just being a "do it all" assistant. Our own TUG mobile robots and the robot's Ramba are prime examples of humanoid robots, with many features such as flexible flexibility, law enforcement and motion redundancy. The humanoid robot
assists working people by ensuring their care and complete safety. Such robots also work in factories and can perform repetitive tasks without any mistakes. Honda Motor Corporation's Asimov is known as the most sophisticated robot in the world due to its human appearance and ability to walk and climb stairs. Amega is a humanoid robot from the British company Engineering Arts. The company claims to be introducing 20 years of innovation in motion and natural gestures, with the ability to use sophisticated AI.
Software Defect Prediction and Software Quality Assessment Using Dlr-Lvq and Fuzzy Rules
Authors: Prasad V S. , Sasikala K
Published: April 2022

Recently, Software development has been considerably grown. Fault in the software causes fault and interrupts the output. Characteristics like these make it much challenging to avert software flaws. Spontaneously forecasting the amount of flaws within the software modules is essential and also can assist developers to proficiently allot restricted resources. Recently, numerous Software Defect Prediction (SDP) techniques are developed. But, the accuracy and time consuming challenges still remain to be solved. Also, a few top-notch techniques don't properly classify the software whereas it is a needed metric to ensure quality standards. This work proffers a novel Decaying Learning Rate – Learning vector Quantization (DLR-LVQ) classifier to forecast the software defect. The proposed methods consist of the following steps: redundant data removal, feature extraction (FE), feature oversampling, data normalization, defect prediction (DP), and quality prediction. The proposed DLR-LVQ’s attained outcome is assessed with the existent methodologies. The outcomes exhibit that the methodology proposed attains efficient classification outcomes are examined. Keywords: Software Defect Prediction (SDP), Non defective software quality prediction, BM-SMOTE, Decaying Learning Rate, Learning Vector Quantization, Fuzzy rules, HDFS and Map Reduce.
An Efficient Secure Data Deduplication and Portability In Distributed Cloud Server Using Whirlpool-Hct And Lf-Wdo
Authors: Athira A R , Sasikala P
Published: April 2022

Distributed Cloud Computing Storage has come up as a service that can expedite data owners (DO) to store their data remotely according to their application or data or file environment. However, insecure data storage, high uploading bandwidth, integration issues of DCS has breached the trustworthiness of the user to store data. In order to
conquer the challenge, the work has developed a data Deduplication and portability-based secure data storage in DCS. The work aids to remove unwanted data and selects the most relevant features to avoid data loss by using GK-QDA Feature Reduction Method and HFG feature selection method. The selected cloud server for the respective data or application is analyzed for redundant data by data duplication using a whirlpool hashing algorithm followed by a hash chaining algorithm. Finally, to minimize the integration issues while moving the encrypted data between the DCS, the work has developed an LF-WDO technique. An experimental analysis has showed an enormous result by achieving a
computation time of 2987 ms as compared to the existing methods
The New Fundraisers
Authors: Breeze Beth
Published: April 2022

This is the first empirically-grounded and theorised account of the identity, characteristics and motivation of fundraisers in the UK. Based on original data collected during a three-year study of over 1,200 fundraisers, the book argues that it is not possible to understand charitable giving without accounting for the role of fundraising.
Like Mother, Like Daughter?
Authors: Armstrong Jill
Published: April 2022

Women are encouraged to believe that they can occupy top jobs in society by the example of other women thriving in their careers. This book shows that having a mother as a role model does not predict daughters progressing in their own careers. It offers a timely and original perspective on the debate about gender equality in leadership positions.
Research and the Social Work Picture
Authors: Shaw Ian
Published: April 2022

Drawing on evidence from across Europe, Asia and the US, this accessible book covers how social workers can engage with research and draw on it in practice.
Confucius’ Education Thoughts and Its Influence on Moral Education in China
Authors: Muyunda Gift , Yue Lei
Published: April 2022

This systematic review aimed at exploring Confucius’ thoughts and influence on moral education in China. The study results show that ancient Chinese educational thoughts of moral education could be said to have three dimensions: goal, main contents, and teaching methods described in this paper. An analysis of the key elements of Confucius' educational thought’s on moral education reveals that the purpose of moral education in ancient China was to cultivate a totally virtuous individual ('Junzi')., while as the concept of benevolence ('Ren') is considered the foundation of Confucius' moral, educational thoughts, while the concept of etiquette ('Li') is the external form of 'Ren.' Both of them are fundamental to Confucius' ideas on moral education. Confucius' moral education includes numerous teaching approaches, such as self-cultivating, individual instruction, enlightenment, and practice, which are presented in this paper. Furthermore, this paper concludes by arguing that Confucius's educational thoughts on moral education provide a significant reference for contemporary education in todays' China and has enduring value for research and practice in contemporary moral education in the 21st century.
Correlation of prognosis and cost-effectiveness of computed tomography for out-of-hospital cardiac arrest patients with return of spontaneous circulation in the Emergency Department
Authors: Korkmaz Tanzer , Asli Sener  , Vermi Degerli
Published: April 2022

Objective: To assess the prevalence of computed tomography application in out-of-hospital cardiac arrest cases during emergency department processes, its contribution to changes in patient management, and effects on hospital discharge, and its cost-effectiveness.
Method: The retrospective study was conducted at the Izmir Bakircay University Cigli Training and Research Hospital, Izmir, Turkey, and comprised data of adult out-of-hospital cardiac arrest patients who were brought to the emergency department and survived for at least 24 hours between June 21, 2016, and December 31, 2018. Demographic variables and computed tomography results were collected and analysed. Abnormalities found in computed tomography results that could have changed patient management, discharge results, and the cost of the computed tomography were recorded.
Results: Of the 109 patients, 65(59.6%) were men with a mean age of 62.1± 14.2 years (range: 28-95 years), and the mean age of the 44(40.3%) female patients was 69.2 ± 15.8 years (range: 18-96 years). Overall, 74(67.9%) patients underwent computed tomography in the emergency department after resuscitation. Acute abnormalities were found in 4(3.6%) scans, and 3(2.7%) abnormal scans resulted in management changes.
Conclusion: Computed tomography of out-of-hospital cardiac arrest patients in the emergency department should not be a matter of routine, and the scan, if necessary, should be done post-admission.
Key Words: Out-of-hospital cardiac arrest, Return of spontaneous circulation, Computed tomography, Emergency medicine.
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Approaches to the development of environmental regional standards for the content of lead in the soils of the Black Sea coast of the Caucasus on the basis of an integral indicator of the biological state of the soil
Authors: Kuzina Anna A. , Kolesnikov Sergey I. , Minnikova Tatiana V. , Nevedomaya Elena N. , Ter-Misakyants Tigran A. , Kazeev Kamil Sh.
Published: April 2022

Introduction. The Black Sea coast of the Caucasus is an actively developing region with a progressively growing tourism and recreation infrastructure. However, there are rare and unique soils, such as southern chernozems (chestnut), brown soils of dry subtropics, yellow soils. Lead (Pb) is a priority group of toxicant metals. However, the use of uniform, common standards of Pb content in all types of soils is impractical, since local regional ecological and geochemical features of soils are not taken into account when calculating them. Materials and methods. Soil contamination of 100, 1000, 10,000 mg Pb per 1 kg of soil was modelling, corresponding to 1, 10 and 100 MPC of this element in Germany and several other countries. After 30 days, changes in biological parameters (the number of bacteria, the activity of soil enzymes and length of roots of radish) were evaluated. To combine the values of the studied biological indicators with different units of measurement into one common indicator, an integral indicator of the biological state (IIBS) of the soil was used. Results. In most cases, there was an inhibition of the biological properties of the studied soils. According to the resistance to Pb pollution, the soils of the Black Sea coast of the Caucasus form the series including southern chernozems (Haplic Chernozems Pachic) (85) > cinnamonics typical (Haplicisols Eutric) (79) ≥ soddy-carbonate typical (Rendzic Leptosols Eutric) (77) ≥ cinnamonics leached (Haplic Cambisols Eutric) (76) ≥ cinnamonics carbonate (Haplic Cambisols Eutric) (74) = sod-calcareouses leached (Rendzic Leptosols Eutric) (74) = yellow soils (Albic Luvisols Abruptic ) (74) > brown forest weakly-unsaturated (Haplic Cambisols Eutric) (67) ≥ brown forest acid (Haplic Cambisols Eutric) (65) > brown forest acid podzolized (Haplic Cambisols Dystric) (59). On the base of the analysis of the degree of failure of environmental functions of soils, regional values of maximum permissible concentrations (rMPC) of Pb in soils of the Black Sea coast of the Caucasus are established. Regional values of maximum permissible concentrations of Pb for southern chernozem is 120 mg/kg, for cinnamonics typical, cinnamonics leached, cinnamonics carbonate, sod-calcareouses leached, sod-calcareouses typical soils and yellow soil - 100 mg/kg, for brown forest acid, brown forest weakly-unsaturated - 70 mg/kg, 65 mg/kg for brown forest acid podzolized. Limitations. The proposed maximum permissible concentrations of Pb in soils are applicable primarily to the territory of the Black Sea coast of the Caucasus. Conclusion. The proposed maximum permissible concentrations of Pb in the soils of the Black Sea coast of the Caucasus can be used by environmental, agricultural and scientific institutions.
The incidence of the adult population living in the "uranium legacy" area in conditions of radon exposure
Authors: Petoyan Ivan M. , Shandala Natalya K. , Titov Aleksey V. , Zinovieva Natalya V.
Published: April 2022

Introduction. The purpose of the study is to assess the health status of the adult population of the Lermontov city, Stavropol Territory, living in the “uranium legacy” area in conditions of increased exposure to radon in residential premises has been investigated. Materials and methods. The material of the study was the medical statistics data for the period 2009-2018 reported by Clinical Hospital No. 101 under FMBA of Russia, presented in forms No. 7 (information on malignant diseases) and No. 12 (information on the number of diseases in adults). The frequency, structure and dynamics of primary morbidity and incidence of malignant neoplasms were evaluated. Results. During the period under review, a high primary incidence in the adult population was revealed (average: 748.2 ± 111.4 per 1000 persons) to increase and significantly exceeded the same indicator in the Stavropol Territory (390.3 ± 20.3 per 1000 persons) The incidence of four classes of diseases: diseases of the musculoskeletal system and connective tissue, diseases of the genitourinary system, diseases of the skin and subcutaneous tissue, diseases of the eye and adnexa was significantly higher than the regional average value. The incidence of respiratory diseases (lungs - a critical organ to the action of radon) did not significantly differ from the average regional indicators. On the contrary, the incidence of malignant neoplasms decreased (330.6 ± 1.1 per 100.0 persons) and on average approached that in the region (320.5 ± 11.4 per 100.0 persons). At the same time, the incidence of lung cancers was significantly lower than the regional average (22.6 ± 3.0 and 33.5 ± 0.3 per 100.0 persons, respectively). Limitations. The study is limited to studying the state of incidence (primary, cancer) of Lermontov adult population. The estimation of the relative number of excess lung cancers is based on the expert assessment of the ICRP of the corresponding coefficient. Conclusion. According to medical statistics for 2009-2018, the population of Lermontov had a relatively low incidence of malignant neoplasms, including lung cancers, of which, according to theoretical estimates, no more than 15-20% of cases can be conditionally associated with radon exposure. The revealed relatively high primary incidence of the adult population seems to be associated with the adverse impact on health of numerous factors of the human environment. Presumably, this situation also reflects the availability of quality medical care for the population.
Health risk assessment of drinking water: Case study of city of Latacunga and the canton of Pedro Vicente Maldonado (Ecuador)
Authors: Salazar Flores Cristian A. , Kurbatova Anna I. , Mikhaylichenko Kseniya Yu. , Milutka Anastasiya C.
Published: April 2022

Introduction. The quality of drinking water in the city of Latacunga and the canton of Pedro Vicente Maldonado was investigated. The health risk assessment related to the use of the studied water after its treatment was carried out. Materials and methods. Drinking water quality was assessed according to the Ecuadorian and Russian hygiene standards. Methodological recommendations in the study were used to calculate risks for indicators and chemicals characterized by the olfactory-reflex effect of exposure to drinking water, as well as guidelines to assess the risk to public health when exposed to chemicals of a non-carcinogenic and carcinogenic nature. Carcinogenic risk study was conducted by taking into consideration the potentially carcinogenic substances such as trihalomethanes and volatile organic compounds. The chemical safety of drinking water and the effectiveness of water treatment measures were carried out based on an comprehensive assessment of the quality of drinking water. Results. When analyzing drinking water in the city of Latacunga, exceedance of the Ecuadorian and Russian hygienic standards was revealed in terms of such indicators as phosphates (up to 1.3 TLV), bromoform (up to 1.6 TLV) and dibromochloromethane (up to 4 TLV). According to the criteria for assessing the risk of reflex factors when using drinking water in the city of Latacunga and in the canton of Pedro Vicente Maldonado, the risk of immediate action is at the acceptable level of risk. In accordance with the criteria for assessing the magnitude of the non-carcinogenic risk of chronic exposure to water in the city of Latacunga, assessed by the effect of non-specific action, it can be considered as a matter of concern, and the water of the canton of Pedro Vicente Maldonado can be considered as acceptable. The individual carcinogenic risk in both cities is at an unacceptable carcinogenic risk level. Assessment of the integral indicator of the hazard of drinking water revealed the lack of chemicals safety of drinking water treatment both in the city of Latacunga and in the canton of Pedro Vicente Maldonado and poor efficiency of water treatment. Limitations. This study does not show the effect of seasonal changes in the course of the integral assessment of drinking water as per chemical safety parameters. Conclusion. The results obtained underline the need for special attention to the substances formed during disinfection, since high hazard indices are due to the content of trihalomethanes, especially bromodichloromethane and dibromochloromethane.
IMPLEMENTASI KOMUNIKASI DALAM PENGENDALIAN TUBERKULOSIS PARU STUDI KASUS: PUSKESMAS SIKO DAN KALUMATA KOTA TERNATE
Authors: Muliana Muliana
Published: April 2022

ABSTRACT

Tuberculosis (TB) is a direct infectious disease caused by the bacteria Mycobacterium tuberculosis. Based on the 2017 Global Tuberculosis Report, globally new tuberculosis cases amounted to 6.3 million, equivalent to 61% of tuberculosis incidents (10.4 million). Tuberculosis remains the 10 highest cause of death in the world and tuberculosis mortality globally is estimated at 1.3 million patients. The purpose of this study was to determine the Implementation of Communication in the Control of Pulmonary Tuberculosis in the Siko and Kalumata Puskesmas in Ternate City. In this study, researchers used a mix method. The research location is in the working area of the Siko and Kalumata Community Health Centers. The size / number of informants in this study is determined on the basis of saturation theory (the point in managing data when new data no longer brings additional insight to the research question). The informants in this study were the Head of the Community Health Center Head of the Sub-District Head Office, Religious Leaders, Community Leaders, Health Cadres and TB Patients. Communication has an important role in controlling pulmonary tuberculosis, various structured programs from the global WHO level to regional city governments are trying to do this and then duplicated and implemented in the working areas of the Siko and Kalumata Puskesmas. Results of research on the implementation of communication generally show that the category is not good enough as much as 48.0% and quite good 52.0%. There is no difference in the mean value of communication between the two working areas of the Siko and Kalumata puskesmas. In addition, a more innovative communication approach is needed and that touches the community so that they can independently try to participate in controlling pulmonary tuberculosis either by adhering to treatment, or taking part in preventing an increase in new cases.

Keywords: Tuberculosis (TB), communication
EFEKTIFITAS PEMANTAUAN PEDIATRIC EARLY WARNING SCORING/SYSTEM DALAM ELECTRONIC HEALTH RECORD
Authors: Febrianti Herlina
Published: April 2022

Pediatric Early Warning System atau Score (PEWS) merupakan instrumen untuk mengidentifikasi perburukan kondisi beberapa jam sebelum terjadi melalui tanda-tanda klinis dengan pengukuran skor. Instrumen ini dapat digunakan dalam Electronic Health Record (EHR), sehingga pengukuran menjadi lebih akurat. Penelitian ini bertujuan untuk mengetahui efektifitas pemantauan PEWS dalam EHR. Penelitian ini menggunakan studi literatur dengan penelusuran database online tahun 2016-2021. Kriteria inklusinya adalah full text dan fokus pada anak. Pemilihan sampel pada artikel adalah pemantauan PEWS dalam EHR. Data di review dengan Critical Appraisal Skills Programme tools hingga disimpulkan. Diperoleh 3 studi yang memenuhi kriteria inklusi. Hasil review menunjukan akurasi dasar mean adalah 71% dan akurasi penerapan kalkulator PEWS sebesar 100%. Waktu untuk membuat grafik adalah 20 menit, sebelumnya 55 menit dan jangkauannya juga berkurang 37% menjadi 27 menit. Adanya pemantauan PEWS menggunakan EHR, lebih akurat dan terhindar dari kesalahan, dibandingkan dengan PEWS manual.Â Pediatric early warning system or score (PEWS) is an instrument to identify the deteriorating clinical conditions by comparing clinical manifestationsâ€™ evaluation to the scoring system. Implementing PEWS in the electronic health record (EHR) system is a way to increase the accuracy of patientsâ€™ management in hospitals. This study aimed to evaluate the effectiveness of PEWS monitoring in EHR. This study uses a literature review was conducted in 2021 to review online databases from 2016-2021. All full-text research in children was included to review PEWS monitoring in the electronic medical record system. Data was reviewed with Critical Appraisal Skills Programme (CASP) tools. The results showed three studies are included to show better accuracy of PEWS calculator implementation of 100 percent compared to 71 percent accuracy of manual PEWS. There is decreasing in the median time of graphic plotting from 55 minutes to 20 minutes after intervention. PEWS calculator system also shows better range than manual system. Monitoring of PEWS from electronic medical record systems shows better accuracy and decreases human error than manual PEWS.
PENGARUH TERAPI AKUPUNTUR TERHADAP PENURUNAN HEMIPLEGIA SHOULDER PAIN PADA PASIEN STROKE: TINJAUAN LITERATUR
Authors: Banne Tondok Santalia , Aksan Sitti Ramdasari , Firdaus Eza Kemal , Naâ€™imah Siti
Published: April 2022

Stroke merupakan penyakit yang menyerang sistem saraf pusat yang dapat menyebabkan kelumpuhan bahkan kematian. Pada kasus stroke penderita biasanya mengalami nyeri bahu. Teknik akupuntur merupakan salah satu cara yang dapat mengatasi gejala tersebut. Tujuan dari studi literatur ini adalah untuk menemukan bukti pengaruh terapi acupuncture terhadap penurunan shoulder pain hemiplegia pada pasien stroke. Metode yang diterapkan dengan melakukan pencarian literatur publikasi artikel maksimal database yang diperoleh adalah 10 tahun terakhir: Science direct, Cochrane Library dan Pubmed dengan kata kunci stroke AND shoulder pain OR hemiplegia AND acupuncture. Artikel yang dipilih adalah artikel yang asli yang merupakan hasil review yang sesuai dengan kriteria inklusi: teks artikel utuh dan bahasa Inggris. Kriteria eksklusi: rumusan masalah tidak sesuai (PICOT). Review yang dilakukan peneliti adalah melakukan pengecekan duplikasi artikel, judul, dan membaca keseluruhan isi artikel. Setelah itu, melakukan ekstraksi data dari artikel yang telah dipilih. Peneliti menyesuaikan dengan panduan PRISMA flowchart. Diperoleh 4 artikel yang memenuhi kriteria. Akupuntur merupakan terapi komplementer yang efektif dan minim efek samping dalam menurunkan hemiplegia shoulder pain (HSP) pada pasien stroke yang dilakukan dengan menusukkan jarum kecil pada titik meridian kepala, lengan dan bahu.Â Â Stroke is a disease that attacks the central nervous system that can cause paralysis and even death. In this case, the patient usually experiences shoulder pain. Acupuncture technique is one way that can overcome these symptoms. The purpose of this literature study was to find evidence on the effect of acupuncture therapy on reducing shoulder pain hemiplegic in stroke patients. The method applied by searching the literature for publication of articles, the maximum database obtained is the last 10 years: Science Direct, Cochrane Library and Pubmed with the keywords: stroke AND shoulder pain OR hemiplegia AND acupuncture. The selected article is the original article which is the result of a review that meets the inclusion criteria: full article text and English. Exclusion criteria: Incorrect problem formulation (PICOT). The review carried out by the researcher is by checking the duplication of articles, titles, and reading the entire contents of the article. After that, perform data extraction from the selected articles. Researchers adjusted to the PRISMA flowchart guide. Obtained 4 articles that meet the criteria. Acupuncture is a complementary therapy that is effective and has minimal side effects in reducing hemiplegia shoulder pain (HSP) in stroke patients by inserting small needles at the meridian points of the head, arms, and shoulders.Â
Assessing Aeolian Sand Potential in Ain Sefra Region - Southwestern of Algeria
Authors: Bouarfa Said , Youb Okkacha , Khaouani B. , Berrabah D. , Djoudi W.
Published: April 2022

Ain Sefra is a semi-arid area located in south-western Algeria carried out by sand barring, which has made any development in the area impossible. Thus, to understand this phenomenon, it is useful to estimate the displacement of the quantity of sand and the directions of the effective winds during 30 years (1985-2015) to quantify the phenomenon of silting and categorize the danger. Using the method of Fryberger, anemometric (wind) data from meteorological stations were analyzed to examine the potential for sand drift potential (DP) at Ain Sefra between 1985 and 2015. The objective is to identify the hazard level by estimating the sand displacement and effective wind directions over 30 years (1985-2015). The resulting (potential displacement) DP and directional wind variability are estimated and discussed. The average annual sand DP is expected to be 222VU (vector units). These figures have led to the classification of the Ain Sefra location as a wind environment with intermediate energy levels (medium energy wind environment) (Fryberger and Dean 1979). It is determined that the drift potential is 76 with a migration coefficient of 0.3 and that the area has a medium classification. It is also shown that the complex system of wind erosion and its interrelationship with other components are in play. The sand drift potential environment varies greatly from location to location, and 80% of the resulting annual PDR occurs during the fall season from March to June. In addition, effective winds often blow from the southwest to the northeast at an angle of 234°. In addition, the sand can be in different directions, leading it to drift. We should also mention that the directional variability is also quite high
Strengthening the Competence of Religious Instructors Services Based on Tolerance in Multicultural Communities
Authors: Umar Nasaruddin , Saihu Made
Published: April 2022

This study aims to determine the affirmation of tolerance in a plural society through the competence of religious instructors in serving the people. The result of this research is that the competence of religious instructors in serving the people towards a tolerant religious life already has the correct perception and understanding of religious teachings and norms in building insight into plurality and multi-ethnicity. Along the way, the religions that emerged in a multicultural society were then understood by the people. Among them, there are those who understand it rationally an sich and some who understand it irrationally or mystically. Tolerance is needed to create balance and social cohesion in a multicultural society. To create a proportional attitude of religious tolerance in a multicultural society, it is necessary to cultivate an epoché attitude in serving the people.
Терроризмга қарши курашишда ҳалқаро ҳамкорликнинг ҳуқуқий асослари ва принциплари
Authors: Садиков Акрамхон
Published: April 2022

Мақолада терроризмга қарши курашишнинг универсал халқаро ҳамкорлик асослари ҳисобланувчи ҳуқуқий асослар, принциплар, уларнинг мазмуни, шунингдек, соҳалар бўйича ва минтақавий ҳужжатлар таҳлили келтирилган. Масалан, БМТ Бош Ассамблеяси 2006 йил 20 июнда “БМТнинг терроризмга қарши курашиш глобал стратегияси” таҳлилида ундаги асосий принциплар тушунтирилган. Шу билан бирга, Ўзбекистон учун терроризмга қарши курашда муҳим ҳисобланадиган МДҲ доирасидаги ташкилот ва ҳуқуқий ҳужжатлар аҳамияти очиб берилган. Муаллиф универсал халқаро ҳужжатлар асос бўлса-да, минтақавий амалий механизмлар яратишга қаратилган ҳуқуқий асослар заифлигини эътироф этади. Қолаверса, айрим ўринларда халқаро ҳамкорлик асослари миллий ҳуқуқ суверенитетига дахл қилиши мумкинлиги, шу сабабли халқаро механизмларни тўлиқ ишлатиш қийинлигини ҳисобга олишини айтади.
Microcontroller Based Speed Control of BLDC Motor
Authors: Nitin Walade  , Dr. K B Porate
Published: April 2022

Brushless DC Motor overcomes many problems of the brushed DC Motor and has been widely carried out in diverse fields. The improvement of BLDCM manage machine calls for reliable operation, first rate performance of manipulate set of rules, low cost and brief improvement cycle. This paper proposes the velocity manipulate of BLDC motor used in variety of application. the power of the force machine is elevated the use of virtual controller. The 3-P inverter is applied the use of clever electricity Module for feeding BLDC motor. The proposed machine accepts hall sensor alerts from the motor and is programmed for preferred velocity. Experimental consequences confirm the powerful evolved drive operation. The Simulink modeling of BLDC the usage of MATLAB/SIMULINK.
Validity in Interpretation
Authors: Hirsch ,   Jr. E. D.
Published: April 2022

“Here is a book that brings logic to the most unruly of disciplines, literary interpretation. Viewing this subject within the tradition of hermeneutics, Mr. Hirsch is able to trace its origins and development with brilliant insight. The result is a lucidly systemic and authoritative account of the premises and procedures applicable to the interpretation of a literary text. Mr. Hirsch has performed a monumental service thereby that of reinstating the credentials of objectivism and defining the limits of the aesthetics of truth. This study is a necessary took for anyone who wants to talk sense about literature.”—Virginia Quarterly Review

By demonstrating the uniformity and universality of the principles of valid interpretation of verbal texts of any sort, this closely reasoned examination provides a theoretical foundation for a discipline that is fundamental to virtually all humanistic studies. It defines the grounds on which textual interpretation can claim to establish objective knowledge, defends that claim against such skeptical attitudes as historicism and psychologism, and shows that many confusions can be avoided if the distinctions between meaning and significance, interpretation and criticism are correctly understood.
Perceptions of Zambian dentists and dental technicians in respect of dental technical services
Authors:   , Mukena Martha Mutinta
Published: April 2022

This study is an evaluation of the perceptions of Zambian dental technicians and dentists of the dental technological services offered in Zambia. Zambia is a small nation (land size of 752,614km²) with a population of approximately 11,000,000. Patients needing oral restorative treatment have two options available to them; they seek treatment in state hospitals or through private practices. Access to prosthetic treatment is difficult due to the difficulties associated with obtaining treatment from the state as well as there being very few privately owned dental laboratories. Dental technology in Zambia dates back to 1964 and since its inception there has been no evaluation as to whether the services offered are adequate and satisfactory. The aim of this study was to;  Provide insights into the understanding of dentists and technicians regarding dental technical services.  Provide insights into available dental technical services with the aim of assisting in developing future guidelines for provision of such services in Zambia.  Identify national oral health objectives and make suggestions for the improvement and development of the services in Zambia. This aims of the research are relevant as the research was conducted at a time when the nation is undergoing a general introspection of service delivery. Data was collected through the medium of semi-structured personal interviews with registered and practicing dentists and technicians in the main cities of Zambia that include Lusaka, Ndola and Kitwe. Their views were transcribed and coded according to significant themes that emerged for data analysis. ii The results indicate that there is reason to be concerned about the general quality of service delivery. In addition, the study showed that the working relationships between technicians and dentists require improvement. Moreover, the study established that Zambia has a critical shortage of skilled technicians and particularly ceramic technicians and ceramic dental laboratories. The data also revealed concerns that little attention by government policymakers is being afforded to dental technical services whilst attention is paid rather to clinical dental services. As a result, state owned laboratories suffer from a lack of adequate and functioning equipment as well as a lack of quality dental materials. Finally, the study showed that Zambia has no clear direct oral health policies that govern the dental technical services.
Evaluación de los formatos de supervisión de enfermería en una institución de tercer nivel de atención
Authors: Loza-Vidal Hortensia
Published: April 2022

Introducción: la supervisión en enfermería tiene como principales funciones:  la gestión,  liderazgo, dirección y control que se realiza para mejorar el entorno laboral y garantizar el logro de objetivos organizacionales mediante instrumentos que apoyan el  supervisado como lo son los formatos.
Objetivo: evaluar la reestructuración de los formatos de supervisión en los distintos servicios en un hospital de tercer nivel.
Material y métodos: se realizó un análisis de frecuencia. Se dividió en dos etapas, una: la recopilación de la información, junto con una prueba piloto sólo para las supervisoras generales, quienes elaboraron dichos formatos; y la otra: la reestructuración de los formatos y capacitación de las jefes de enfermería de servicio y las suplentes de servicio, del 28 de mayo al 3 junio 2019. Este trabajo se llevó a cabo en el INNN, en coordinación con las supervisoras de los turnos matutino, vespertino, nocturno en sus dos veladas, jornada especial diurna y nocturna.
Resultados: al finalizar la prueba piloto se obtuvo que el 56 % dijó tener más observaciones en  el nuevo formato del área crítica. En tanto, el 64 % del personal enfermero dirigente cita que los espacios de los formatos de hospitalización y área crítica son muy pequeños.
Discusión: hasta hoy no existe un modelo universal establecido para llevar a cabo la supervisión. Si bien es cierto que la falta de supervisión es un agravante que ocasiona quejas. De tal manera, afirmamos, que dentro de la supervisión los formatos son parte de la calidad del cuidado enfermero, herramienta valiosa entre otras, que permite llevar a cabo el funcionamiento de los servicios en una institución.
Conclusión: estamos conscientes que la constante en  la supervisión es la mejora continua que nos lleva al éxito en todas sus formas, ofreciendo mejores cuidados al paciente liderados por la supervisora y así,  maximizar las oportunidades de promoción de salud y cumplir con los estándares y protocolos.