bluuebunny/crossref_metadata_2025_split huggingface dataset:
Delegating home visits in general practice: a realist review on the impact on GP workload and patient care
Authors: Abrams Ruth , Wong Geoff , Mahtani Kamal R , Tierney Stephanie , Boylan Anne-Marie , Roberts Nia , Park Sophie 
Published: May 2020

BackgroundUK general practice is being shaped by new ways of working. Traditional GP tasks are being delegated to other staff with the intention of reducing GPs’ workload and hospital admissions, and improving patients’ access to care. One such task is patient-requested home visits. However, it is unclear what impact delegated home visits may have, who might benefit, and under what circumstances.AimTo explore how the process of delegating home visits works, for whom, and in what contexts.Design and settingA review of secondary data on home visit delegation processes in UK primary care settings.MethodA realist approach was taken to reviewing data, which aims to provide causal explanations through the generation and articulation of contexts, mechanisms, and outcomes. A range of data has been used including news items, grey literature, and academic articles.ResultsData were synthesised from 70 documents. GPs may believe that delegating home visits is a risky option unless they have trust and experience with the wider multidisciplinary team. Internal systems such as technological infrastructure might help or hinder the delegation process. Healthcare professionals carrying out delegated home visits might benefit from being integrated into general practice but may feel that their clinical autonomy is limited by the delegation process. Patients report short-term satisfaction when visited by a healthcare professional other than a GP. The impact this has on long-term health outcomes and cost is less clear.ConclusionThe delegation of home visits may require a shift in patient expectation about who undertakes care. Professional expectations may also require a shift, having implications for the balance of staffing between primary and secondary care, and the training of healthcare professionals.
Effectiveness of different post-diagnostic dementia care models delivered by primary care: a systematic review
Authors: Frost Rachael , Walters Kate , Aw Su , Brunskill Greta , Wilcock Jane , Robinson Louise , Knapp Martin , Dening Karen Harrison , Allan Louise , Manthorpe Jill , Rait Greta ,   on behalf of the PriDem Study project team
Published: May 2020

BackgroundGlobal policy recommendations suggest a task-shifted model of post-diagnostic dementia care, moving towards primary and community-based care. It is unclear how this may best be delivered.AimTo assess the effectiveness and cost-effectiveness of primary care-based models of post-diagnostic dementia care.Design and settingA systematic review of trials and economic evaluations of post-diagnostic dementia care interventions where primary care was substantially involved in care plan decision making.MethodSearches were undertaken of MEDLINE, PsychINFO, EMBASE, Web of Science, and CINAHL (from inception to March 2019). Two authors independently critically appraised studies and inductively classified interventions into types of care models. Random effects meta-analysis or narrative synthesis was conducted for each model where appropriate.ResultsFrom 4506 unique references and 357 full texts, 23 papers were included from 10 trials of nine interventions, delivered in four countries. Four types of care models were identified. Primary care provider (PCP)-led care (n= 1) led to better caregiver mental health and reduced hospital and memory clinic costs compared with memory clinics. PCP-led care with specialist consulting support (n= 2) did not have additional effects on clinical outcomes or costs over usual primary care. PCP–case management partnership models (n= 6) offered the most promise, with impact on neuropsychiatric symptoms, caregiver burden, distress and mastery, and healthcare costs. Integrated primary care memory clinics (n= 1) had limited evidence for improved quality of life and cost-effectiveness compared with memory clinics.ConclusionPartnership models may impact on some clinical outcomes and healthcare costs. More rigorous evaluation of promising primary care-led care models is needed.
A provocação imperialista aos sovietes
Authors: Mella Julio Antonio 
Published: May 2020

Publicado originalmente in El Machete, No. 67, México, terceira semana de junho de 1927, págs. 1 e 2, e assinado com o pseudônimo Cuauhtémoc Zapata. Traduzido por Luiz Bernardo Pericás.
"A União Soviética sofre um novo ataque. Primeiro foi a invasão armada dos exércitos imperialistas. Mais tarde, a proteção aos bandos de mercenários “brancos”. Hoje se aspira a acabar com a primeira república de trabalhadores e camponeses através de uma guerra internacional incitada pelos imperialistas. A era das provocações está em andamento. Em distintos países sucedem acontecimentos que obedecem a uma só consigna: a dos imperialistas (principalmente a Inglaterra do assustado Chamberlain)". (Julio Antonio Mella, 1927)
Recebido em 07-06-2019
Aprovado em 23-08-2019
Reconfiguración Espacial de Lázaro Cárdenas, México: Diferencias en el Crecimiento entre la Ciudad y el Puerto, 1987-2018 / Spatial reconfiguration in Lázaro Cárdenas, Mexico: Differences Between the City Expansion and the Port Growth, 1987-2018
Authors: Padilla y Sotelo Lilia Susana , Muñoz Rosa Alejandrina De Sicilia 
Published: May 2020

cidade e o porto de Lázaro Cárdenas apresentam contrastes diferenciados quanto ao seu crescimento que mostram divergências e uma reconfiguração espacial própria. Destacam-se suas características geográficas: localização na Bacia do Pacífico, excelente hidrografia, território com baixas elevações e jazidas minerais na região, fatores que propiciaram a criação de um grande porto inserido na globalização, atualmente, com estrutura de categoria mundial, e a Siderúrgica Lázaro-Cárdenas Truchas, ambos complexos têm desempenhado um papel preponderante. A metodologia aplicada é mista, quantitativa e qualitativa obtida através da cartografia básica com informações associadas. São expostos os antecedentes da criação da cidade e do porto, faz-se a caracterização das transformações espaciais de ambos os locais, o urbano e o portuário, e sua relação com a ocorrência de fatos relevantes ao seu desenvolvimento. Conclui-se haver uma marcante desarticulação entre o crescimento espacial da cidade e o do porto.
Penentuan Jenis Kelamin berdasarkan Sidik Hypothenar
Authors: Widya Iswara Raja Al Fath , Rohmah Intarniati Nur , Santosa Santosa , Relawati Ratna 
Published: May 2020

Latar Belakang : Bagian hypothenar telapak tangan merupakan daerah yang sering mengalami kontak dengan permukaan benda saat melakukan aktivitas sehingga dapat menimbulkan suatu cetakan atau pola berupa garis menonjol (ridge) yang dapat digunakan dalam proses identifikasi. Salah satu identifikasi yang penting ditentukan adalah jenis kelamin. Penelitian ini bertujuan untuk mengetahui penentuan jenis kelamin berdasarkan sidik hypothenar.
Metode : Penelitian cross sectional dengan 300 subjek penelitian mahasiswa kepaniteraan klinik Ilmu Kedokteran Forensik dan Medikolegal RSUP Dr. Kariadi Semarang periode Oktober-Desember 2017, usia 21-26 tahun, laki-laki (n=150) dan perempuan (n=150). Penilaian sidik hypothenar dengan cara mengukur rata-rata jumlah ridge telapak tangan pada bagian hypothenar sisi atas, tengah dan bawah dalam area masing-masing seluas 5 mm x 5 mm. Dilakukan uji beda Mann-Whitney untuk mengetahui perbedaan ridge hypothenar kanan dan kiri serta uji korelasi Spearmen untuk menganalisis hubugan antar sidik hypotenar dan jenis kelamin
Hasil : Pada laki-laki, rerata jumlah ridge hypothenar pada telapak tangan kanan adalah 10 (7-12)/25 mm2 sedangkan pada telapak tangan kiri 10 (7-13)/25 mm2. Pada perempuan, rata-rata jumlah ridge hypothenar pada telapak tangan kanan adalah 12 (8-16)/25 mm2, sedangkan pada telapak tangan kiri 12 (8-16)/25 mm2. Terdapat perbedaan bermakna dari ridge hypothenar tangan kanan (p = 0.008) dan ridge hypothenar tangan kiri (p = 0.017) antara laki-laki dan perempuan. Terdapat hubungan yang signifikan antara sidik hypothenar dengan jenis kelamin dengan nilai p=0.000.
Simpulan : Sidik hypothenar dapat digunakan dalam penentuan jenis kelamin, dimana perempuan memiliki ridge yang lebih banyak dan rapat dibanding laki-laki.
ФОРМУВАННЯ СОБІВАРТОСТІ ПРОДУКЦІЇ ТВАРИННИЦТВА ДЛЯ ПРИЙНЯТТЯ УПРАВЛІНСЬКИХ РІШЕНЬ
Authors: Тлучкевич Н.В., к.е.н., доцент  , Нужна О.А., к.е.н., доцент  , Писаренко Т.М., к.е.н., доцент  
Published: May 2020

В статті охарактеризовано значення собівартості при прийнятті управлінських рішень. Обгруновано, що cобівартість продукції є одним із ключових показників інформаційного забезпечення прийняття поточних та оперативних управлінських рішень.
Розглянуто методику обліку витрат та калькулювання собівартості сільськогосподарської продукції, зокрема тваринництва. Облік витрат тваринництва на сільськогосподарських підприємствах має певні особливості, які пов’язані із технологією вирощування біологічних активів тваринництва та продукції тваринництва, що впливають на методику обліку та розрахунку собівартості продукції (наявність живих організмів, тривалість операційних циклів, нерівномірність виходу продукції протягом року).
Обґрунтовано, що процес розрахунку собівартості продукції тваринництва та відображення його результатів в обліку здійснюється у два взаємопов’язані етапи: формування собівартості продукції за об’єктами обліку витрат та статтями витрат в тваринництві; калькулювання собівартості продукції тваринництва в розрізі об’єктів калькулювання та калькуляційних одиниць.
Запропоновано для потреб управлінського обліку застосовувати проміжну (розрахунково-фактичну) собівартість, яка складатиметься на основі фактичних прямих витрат і виходу продукції за місяць та розрахункової величини загальновиробничих витрат в поточному місяці. Для прийняття управлінських рішень рекомендовано застосовувати пряму (неповну) собівартість продукції (на основі прямих змінних витрат), що відповідає зарубіжній системі обліку собівартості за змінними витратами («директ-костинг»), яка може застосовуватися в управлінському обліку.
ФОРМУВАННЯ ДОСТУПНОГО СЕРЕДОВИЩА ІНКЛЮЗИВНОГО ТУРИЗМУ
Authors: Матвійчук Л.Ю, д.е.н., професор  , Чепурда Л.М., д.е.н., професор  
Published: May 2020

Інклюзивний туризм достатньо новий напрямок дослідження, у порівнянні з рекреаційним чи пізнавальним туризмом. Проте, трактування та значення понять, які визначають зміст дефініції «інклюзивний туризм», є предметом наукових дискусій. Аналіз світового досвіду засвідчив, що туристи з особливими потребами займають важливий сегмент туристичного ринку. Інклюзивний туризм є необхідним видом туризму у кожному туристичному регіоні різних рівнів. Це один з найбільш інтенсивно розвиваючих видів туризму.
Детального аналізу потребує визначення змісту інклюзивного туризму, теоретичних та прикладних аспектів формування доступного середовища зазначеного виду туризму зважаючи на його специфіку.
В статті проаналізовані підходи вчених до трактування поняття «інклюзивний туризм», визначено ключові критерії змістовного наповнення досліджуваного виду туризму (адаптивність, комунікативність, доступність, відповідність, безпека, інфраструктура та раціональність). Проведено аналіз змісту та значення доступного середовища інклюзивного туризму, доведено доцільність його формування, визначено ключові компоненти такого середовища (інституційні, просторові, інформаційні, комунікативно-організаційні). Доведено, що в інклюзивному туризмі, ключову роль відіграють туристичні суб’єкти – туристи, для якого надаються туристичні послуги та фахівці – які надають зазначені туристичні послуги або продають туристичні продукти. Визначено власне бачення поняття «інклюзивний туризм» як специфічний (безпечний) вид туризму, основною метою якого є безбар’єрний доступ до усіх туристичних ресурсів, позитивний психологічний клімат, рівність можливостей усіх туристів, повномасштабне інформування людей з особливими потребами про можливості того чи іншого туристичного об’єкту, а також передбачає швидку здатність суб’єктів туризму перелаштовуватись відповідно до запитів людей з особливими потребами.
TINGKAT PARTISIPASI KELOMPOK TANI TERHADAP PROGRAM HUTAN KEMASYARAKATAN (HKm) DI DESA TEBAT PULAU KECAMATAN BERMANI ULU KABUPATEN REJANG LEBONG
Authors: Firdha Rahabillah , - Herlina , Fariadi Herri 
Published: May 2020

Forestry development in Indonesia is regulated by a system of laws and regulations in orderto mememenuhi pattern of sustainable forestry development with reference to Law 41 then was issued a government policy which began to provide space and public access around the forest to forest. Government policy in the form of the issuance of the Minister of Forestry Regulation. P.37/Menhut-II/2007 on community forestry, which is subsequently followed by the changes and improvements (Permenhut No.P.18/Menhut-II/2009, No. Permenhut. P.13/Menhut-II/2010, until Permenhut No.P52/Menhut-II/2011). The method used in the sampling done by purposive sampling. The data used is primary data from respondents to the structured interview, questionnaire (Questionnaire), and observation. Secondary data from various agencies such as, Government, stakeholders and supporting literature. Then analyzed using descriptive analysis with a qualitative and quantitative approach, in which the results of this study are described in detail in providing a clear and comprehensive picture of people's participation in community forestry. The results showed the level of participation in community forest farmer groups dam village in the island of socialization (98.57%), monitoring (82.86%) and evaluation (86.43%) is high, whereas at the level of group participation in work planning and implementation of community forestry programs are being (58.81%). While the overall participation recapitulation is 81.67% higher.Keywords: Participation, Farmer Groups, Community Forestry Program
SUBTITUSI TEPUNG UBI JALAR DALAM PEMBUATAN BOLU GULUNG
Authors: Ketra Anton Ramadhan , Wulandra Okta 
Published: May 2020

Making rollscakewithsweetpotatofloursubstitution hasbeen done.Thisstudyaimedto analyzethelevelofpanelistpreferenceforcolor,flavorandtextureofsweetpotatorollscake.Thisstudyusedavariationofthetreatmentformulationsflourand sweetpotatowiththreetreatments,iecomparisonofsweetpotatoflour:wheatflour750grams:250grams ;500grams:500grams;250grams:750grams.Parametersmeasuredwerepanelistspreferencelevelofthecolor,flavorandtexture.Theresultsshowedthatthesweetpotatoflourrollsinlikemostconsumersistheformulationofsweetpotatoflour500gramsand 500gramsofwheatflour.Keywords:rollscake,flour,sweetpotatoflour Making rolls cake with sweet potato flour substitution has been done . This study aimed toanalyze the level of panelist preference for color , flavor and texture of sweet potato rollscake. This study used a variation of the treatment formulations flour and sweet potato withthree treatments, ie comparison of sweet potato flour : wheat flour 750 grams : 250 grams; 500 grams : 500 grams ; 250 grams : 750 grams . Parameters measured were panelistspreference level of the color, flavor and texture . The results showed that the sweet potatoflour rolls in like most consumers is the formulation of sweet potato flour 500 grams and500 grams of wheat flour .Keywords : rolls cake , flour , sweet potato flour
PARTISIPASI MASYARAKAT DALAM PENGELOLAAN SAMPAH (Studi Deskriptif Kec. Curup Tengah, Kab. Rejang Lebong, Bengkulu)
Authors: Panji Aji Bayu 
Published: May 2020

The increasing rate of population growth and economic development occurring in the Curup Tengah District, Kab. Rejang Lebong, Bengkulu has led to the increasing waste generated. This can lead to declining environmental quality in the region, especially the situation is aggravated by inadequate handling and waste management systems are implemented by the Regional Government. Therefore, the required real effort in resolving the existing problems of waste such as by increasing community participation in waste management. This study aims to determine how community participation in waste management in the Curup Tengah District. This participation may take the form pasrtisipasi community in local government policy decisions about waste management. Pasrtisipasi other forms of society can be seen by taking out the trash in the space provided, do not throw garbage in open dumps, as well as by not burning waste not in accordance with the technical requirements for waste management. Results of analysis showed that public participation in policy-local government on waste management in the Curup Tengah District, Kab. Rejang Lebong, Bengkulu was well with the average value of respondents' answers to the questionnaire was 3.83, Participation of the community by removing trash in places that have been prescribed or provided in the Curup Tengah District, Kab. Rejang Lebong, Bengkulu was well with the average value of respondents' answers to the questionnaire was 3.91, with community participation does not throw garbage in the open field in the Curup Tengah District, Kab. Rejang Lebong, Bengkulu was well with the average value of respondents' answers to the questionnaire is 3.77, and the participation of the community by not burning waste not in accordance with technical requirements for waste management in the Curup Tengah District, Kab. Rejang Lebong, Bengkulu was well with the average value of respondents' answers to the questionnaire was 3.69. This shows that the general public's Participation in the Waste Management at Curup Tengah District, Kab. Rejang Lebong, Bengkulu was well with the average value of the respondent's answer was 3.8. Keywords: participation, community, garbage
PENENTUAN KORELASI TINGKAT KEMATANGAN BUAH ALPUKAT (Persea americana mill) TERHADAP GRAVITASI SPESIFIK
Authors: Wahyudi Jusuf , Herdian Saputra Roni 
Published: May 2020

Social community need to food in general and horticulture in particular from year to year continues to increase along with the growth of population too. This will result an increased need for nutrition and consumption patterns including avocado fruit contains many nutrients needed by human. In this study, 36 ( Thirty six ) Pleces of avocado which each take the data GSp is left at room temperature and then contolled every day to find pleces that correspond to each code. After a long day and that all avocado fruit over ripe the find corelation value ( r ) between GSP value ( Variable Xi ) with ripening time ( Variable Yi ). From this study obtainable correlation value between GSp value avocado fruit (Variable Xi) with ripening time ( Variable Yi ), r = 0,71. From this value r get t aritmetic = 5,336. In the real level a = 0,05 and dk = 30-2 = 3428 get ttable = 2, 048 it turs out t aritmetic > t table 5,336,1 > 2,048 so that Ha accepted and Ho benied or correlation between specific gravity value with increase avocado fruit maturity significant. Key words : Avocado Fruit, Specific Gravity, correlation, Maturity Level.
IDENTIFIKASI MUTU NATA KULIT BUAH NAGA (Hylocereus undatus) DENGAN VARIASI KONSENTRASI SUKROSA
Authors: Nur'aini Hesti , Ramalia Sari Eva 
Published: May 2020

As a byproduct of the dragon fruit (Hylocereus undatus) consumption, dragon fruit peel still contains nutritional components that potential to be a material of food processing. In nata processing, sugar was used as a carbon source for Acetobacter xylinum bacterial growth. The purpose of this study was to characterize the physical, chemical and organoleptic nata of dragon fruit peel. The experiment was done with two steps : processing of nata of dragon fruit peel with sucrose treatment (2 %, 4 %, 6 %, 8 % and 10 %), then the physical analysis (thick pellicle, pellicle weight and texture), the analysis of chemical properties (fiber content) and analysis of organoleptic to determine the level of hedonic scale for appearance, taste and texture, using 20 trained panelists. The analysis showed that the pellicle weight ranges from 478 g - 752 g, thick pellicle ranges from 0.61 cm - 1.13 cm, the fiber content ranges from 3.63 % - 4.44 % and textures ranges from 3.62 mm/g.second - 3.93 mm/g.second with panelists preference level generally not significantly different for all parameters (except the 4 % sucrose treatment) with the grading scale rather like until like. Keywords : Nata, sucrose, dragon fruit peel
ANALISIS SUBSTITUSI USAHATANI KOPI KE USAHATANI KAKAO DI DESA BUKIT MENYAN KECAMATAN BERMANI ILIR KABUPATEN KEPAHIANG
Authors: Astira Novika 
Published: May 2020

Lahan tanaman kakao berkembang rata-rata hampir 10% per tahun selama lima tahun terakhir dan hal tersebut merupakan suatu tingkat pertumbuhan yang sangat besar. Hal ini memacu terjadinya perubahan-perubahan yang terjadi dalam masyarakat petani kopi yang dianggap sebagai dinamika yang terjadi pada masyarakat petani yang pada dasarnya untuk memaksimalkan pendapatan. Tujuan penelitian ini, mengetahui faktor yang menjadi alasan petani melakukan substitusi usahatani, seberapa luas lahan petani kopi yang disubstitusikan, berapa besar pendapatan usahatani kopi sebelum dan setelah disubstitusikan. Metode penelitian ini meliputi metode penentuan lokasi dan waktu penelitian yaitu di Desa Bukit Menyan Kecamatan Bermani Ilir Kabupaten Kepahiang, metode pengumpulan data yaitu data primer dan data sekunder, metode pengambilan sampel yaitu metode sampling total sebanyak 57 orang. Penelitian dianalisis melalui analisis deskriptif, dan analisis pendapatan.
Alasan petani melakukan substitusi usahatani disebabkan oleh 3 (tiga) faktor yaitu jumlah tanggungan keluarga, penerimaan usahatani kopi, dan faktor lain-lain (meniru petani lain, meningkatkan taraf hidup, harga kakao lebih mahal, frekuensi panen lebih banyak). Alasan karena jumlah tanggungan keluarga adalah sebanyak 14 orang atau sebanyak 24.50%. Sedangkan alasan petani karena penerimaan usahatani kopi adalah sebanyak 29 orang atau sebanyak 50.87%, dan untuk alasan faktor lain-lain adalah sebanyak 14 orang atau sebanyak 24.50%. Luas lahan petani yang disubstitusikan memiliki rata-rata 75.07 % dari total luas lahan yang dimiliki oleh petani. Pendapatan rata-rata petani kopi sebelum melakukan substitusi usahatani adalah sebesar adalah sebesar Rp 15.829.000 per tahun Pendapatan rata-rata petani kopi sesudah melakukan substitusi usahatani adalah sebesar Rp 23.248.000 per tahun.

Kata Kunci: Substitusi, usahatani kopi, usahatani kakao