scholarly journals Simulation of Groundwater Flow in an Aquiclude for Designing a Drainage System during Urban Construction: A Case Study in Madrid, Spain

2021 ◽  
Vol 13 (3) ◽  
pp. 1526
Author(s):  
Joaquín Sanz de Ojeda ◽  
Eugenio Sanz ◽  
Francisco Javier Elorza ◽  
Cesar Sanz Riaguas ◽  
Manuel de Pazos Liaño
Keyword(s):  
Conceptual Model ◽  
Drainage System ◽  
Fault Modelling ◽  
Hydrogeological Study ◽  
Water Tables ◽  
Recent Occurrence ◽  
Underground Flow

A detailed hydrogeological study was carried out due to the recent occurrence of unexpected problems associated with the flooding of the water table during excavations in the area of a major urbanization work in Madrid. The numerous exploratory drilling excavations carried out allowed for the development of a conceptual model of the complex hydrogeological functioning in clay formations in an urban area. The clays have very little natural recharge, and the underground flow is highly conditioned by the topography and a fold-fault. Modelling with MODDFLOW confirmed and quantified this conceptual model and also allowed for the design of an efficient network of 1.5 km-long drainage trenches. The design of this drainage network was influenced by the difficult balance that must be respected in order not to contaminate the water with sulphates from the nearby gypsum substrate. This is to guarantee the quantitative and qualitative sustainability of the groundwater. The follow-up and monitoring of the water tables and the quality of the groundwater for more than a year after the excavation of the drainage trenches guaranteed the results of the research.

Obesity management through Ayurveda - A Case Study

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Dheeraj Kumar Tyagi ◽  
Shivakumar .
Keyword(s):  
Clinical Findings ◽  
Dietary Habit ◽  
Unhealthy Lifestyle ◽  
Lifestyle Management ◽  
Before And After ◽  
Effect Of Treatment ◽  
And Control

Lifestyle disorders are one of the biggest threats for the population living unhealthy lifestyle. Sthoulya (Obesity) is one such disorder which creates lot of physical as well as mental disorder to the sufferer. Due to changing lifestyle, comforts and dietary habit lots of individuals changed their life totally. Obesity is a growing disease in developed and developing countries. Prevalence is drastically hike in past few years. Ayurveda, the science of life with which we can manage and control lots of lifestyle disorders. Focusing on dietary and lifestyle management along with treatment, we can overcome the hazards of obesity which is growing in a uncontrolled manner. The available data is based on the clinical findings only. Aim and objective: To assess the effect of “Guru Cha Atarpanam Chikitsa” in the management of Sthoulya. Setting: Swastharakshana evam Yoga, OPD and IPD, SDMCAH, Hassan. Method: Udwarthana, Parisheka, Shamana Aushadhis, Ahara, and Vihara was followed within the treatment duration and effect of treatment was assessed before and after treatment, advised for follow up. Results: The treatment adopted is effective in the management of Sthoulya and to improve the quality of life.

scholarly journals Quality Assessment of the Services Delivered by a Court, Based on the Perceptions of Users, Magistrates, and Court Officials

2021 ◽  
Vol 13 (2) ◽  
pp. 504
Author(s):  
Patrícia Moura e Sá ◽  
Maria João Rosa ◽  
Gonçalo Santinha ◽  
Cátia Valente
Keyword(s):  
Service Quality ◽  
Service Providers ◽  
Service Performance ◽  
Technological Equipment ◽  
Perceived Service Quality ◽  
Positive View ◽  
Depth Interview

This paper aims to measure the quality of the services delivered by a court by assessing the satisfaction of court users and service providers, i.e., magistrates and court officials. For that purpose, a case study was carried out and data were collected by means of a questionnaire based on the SERVPERF instrument, in which perceived service quality is measured, considering court users, magistrates, and court officials’ perceptions of post-service performance. One hundred and fifty-eight questionnaires were successfully returned. An in-depth interview was later conducted to the court administrator to gain a richer understanding of the results achieved and ask follow-up questions. Overall, findings revealed that court users, magistrates, and court officials clearly have a positive view of the services provided, although improvement is needed, particularly in the court’s facilities and technological equipment. The current research sheds some light on the potentialities and difficulties of assessing service quality in the judiciary and contributes to the validation of the SERVPERF instrument in this context.

scholarly journals Cost Of Treatment Tonsilektomi Di Instalasi Bedah Sentral Rsud Kajen Kabupaten Pekalongan Tahun 2015

2016 ◽  
Vol 4 (3) ◽  
pp. 232-241
Author(s):  
Imam Prasetyo ◽  
Sudiro Sudiro ◽  
Chriswardani Suryawati
Keyword(s):  
Clinical Pathway ◽  
Public Hospital ◽  
Unit Cost ◽  
Activity Based Costing ◽  
Type C ◽  
Rate Calculation

Tariff of services at Kajen Public Hospital charged on general patients was calculated based on operational costs like cost of medical services, consumables, medicines, treatment class, and rental cost of surgery room. Unfortunately, all components of costs for tonsillectomy treatment had not been included. Determination of the tariff had not calculated indirectly costs. Tariff of tonsillectomy treatment at the Kajen Public Hospital at inpatient room based on a local regulation Number 1 year 2012 was Rp 3,275,000 for class 3 whereas tariff for claim of BPJS at the same class at a regional hospital type C was Rp 1,767,900. In this case, there was any difference between costs that had to be spent for tonsillectomy treatment and claim from BPJS. Each cost must be calculated in accordance with clinical pathway to determine unit cost in order to provide high-quality of services. The aim of this study was to figure out amount of unit cost based on clinical pathway on tonsillectomy diagnosis at the Kajen Public Hospital. This was an observational analytic study by conducting a case study at the Kajen Public Hospital. Clinical pathway was arranged through meeting of a drafting team. A calculation of unit cost was performed using a method of Activity Based Costing (ABC), determination of exceeding cost. The results of clinical pathway arrangement showed that steps of tonsillectomy diagnosis pathway were as follows: admission, diagnostic, therapy, and follow up. Unit cost of tonsillectomy diagnosis based on the ABC calculation was Rp 2,717,662. The results of cost recovery rate calculation demonstrated that CRR among general patients was 121% whereas among BPJS patients was 65%. It means that each general patient of the Kajen Public Hospital obtained surplus as many as 21% otherwise each BPJS patient obtained minus as many as 35%. Arrangement of clinical pathway and implementation of final clinical pathway could be used as quality control of the Kajen Public Hospital. The hospital management needs to trace costs, to monitor, and to evaluate the obedience of clinical pathway.

scholarly journals PERAN PENGAWAS PENDIDIKAN DALAM PENINGKATAN MUTU PENDIDIKAN SMP DI KABUPATEN BIMA PROVINSI NUSA TENGGARA BARAT

2017 ◽  
Vol 9 (2) ◽  
pp. 179
Author(s):  
Dedi Iskandar
Keyword(s):  
Secondary Schools ◽  
Geographical Area ◽  
Education Quality ◽  
Case Study Method ◽  
Educational Supervisor ◽  
Objective Description

AbstrakPenelitian ini bertujuan untuk memperoleh gambaran objektif dan komprehensif tentang proses perekrutan pengawas pendidikan dan peran pengawas pendidikan, serta mengetahui faktor-faktor penghambat dan pendukung peran pengawas untuk meningkatkan mutu pendidikan SMP di Kabupaten Bima Provinsi Nusa Tenggara Barat. Penelitian ini menggunakan pendekatan penelitian kualitatif dengan metode studi kasus. Data dikumpulkan melalui wawancara, observasi dan studi dokumen. Tahapan analisis data menggunakan model interaktif dan analisis komponensial. Hasil penelitian menemukan: (1) proses perekrutan pengawas pendidikan belum sepenuhnya sesuai dengan peraturan pemerintah dan undang-undang. (2) pemantauan pelaksanaan program sekolah yang dilakukan pengawas pendidikan belum terlaksana dengan optimal. (3) supervisi yang dilakukan pengawas pendidikan belum terlaksana dengan optimal. (4) evaluasi program kerja sekolah yang dilakukan pengawas pendidikan sudah terlaksana dengan baik. (5) pembuatan laporan hasil pemantauan, supervisi, dan evaluasi yang dilakukan pengawas pendidikan terlaksana dengan baik. (6) Tindak lanjut yang dilakukan pengawas pendidikan belum optimal. Selanjutnya yang menjadi (7) faktor penghambat adalah: (a) letak geografis, (b) akses jalan, (c) fasilitas, (d) penguasaan teknologi, (e) sumber daya manusia; dan (8) faktor pendukung adalah: (a) dana operasional tambahan dari Pemerintah Daerah, (b) ketersediaan motor dinas, (d) pelatihan, (e) keterlibatan masyarakat, (f) tempat domisili pengawas pendidikan, (g) siswa, (h) semangat dalam diri pengawas pendidikan.Kata kunci: pengawas pendidikan, mutu pendidikan, Kabupaten BimaTHE ROLE OF EDUCATIONAL SUPERVISOR IN IMPROVING EDUCATION QUALITY OF SECONDARY SCHOOLS IN BIMA, WEST NUSA TENGGARA PROVINCEAbstractThis study aims to analyze and obtain comprehensive and objective description of recruiting process of educational supervisor, the role of educational supervisor, also to know the obstacles and supporting factors of educational supervisor roles to improve the education quality of secondary schools in Bima, West Nusa Tenggara. This is a qualitative approach with case study method. The data were collected through interviews, observation and document study. The phase of data analysis used by interactive model and componential analysis. The results showed: 1) the recruitment process of educational supervisor in Bima was not based on goverment rules and law. 2) monitoring of scholl programmes implementation by educational supervisor ran less optimal. 3) supervising by educational supervisor ran less optimal. 4) evaluating of school programmes undertaken by educational supervisor has ran well. 5) reporting about the results of monitoring, supervising, and evaluating, was done well. 6) the follow up of the results of supervision was not optimal. 7) some obstacles factors are: a) geographical area, b) highway access, c) facilities, d) mastery of information and technology, e) human resources. Then, some supporting factors are: a) operational funds form local government, b) vehicle, c) coaching, d) the involvement of communities, e) educational supervisor domicile, e) students, f) spirit of the educational supervisor itself.Keywords: Educational supervisor, education quality, Bima

scholarly journals Akuntabilitas Publik Anggota DPD RI dalam Menindaklanjuti Aspirasi Daerah (Studi Kasus Layanan Kesehatan Gratis Masyarakat Banten)

2020 ◽  
Vol 6 (2) ◽  
pp. 96
Author(s):  
Nurul Agustin ◽  
Arief Maulana
Keyword(s):  
Local Governments ◽  
Case Study Approach ◽  
Study Approach ◽  
The Social ◽  
The Republic ◽  
Regional Interests ◽  
Political Decisions

In the constitutional arrangement of Indonesia, the House of Regional Representative of the Republic of Indonesia (DPD RI) becomes a representative institution that has the task to accommodate regional interests in political decisions. One form of public accountability for members of the DPD RI is to follow up regional aspirations. The problem of the free health service program in Banten Province, which is considered to be in conflict with Law Number 24 of 2011 concerning the Social Security Organizing Agency, examines the quality of the representative functions of DPD RI members as people's representatives in the regional context with the orientation of regional interests. This study aims to explain the roles and obligations of DPD RI members in following up on their regional aspirations. This research was conducted using qualitative methods with a case study approach. The results of this study indicate that the success of DPD RI members' accountability depends on their ability to establish good relationships with executive institutions and local governments. The accountability of DPD RI members is proven in this case because the Ministry of Health is now supporting the Banten Provincial Government's policy to fill a vacancy before all Banten people are registered as National Health Insurance participants.

scholarly journals Telepractice for Pediatric Dysphagia: A Case Study

2014 ◽  
Vol 6 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Georgia A. Malandraki ◽  
Melissa Roth ◽  
Justine Joan Sheppard
Keyword(s):  
Quality Of Life ◽  
Pediatric Patient ◽  
Oropharyngeal Dysphagia ◽  
Program Completion ◽  
Post Intervention ◽  
Family Interview ◽  
Interview Analysis

A closed-ended intensive pediatric swallowing telepractice program was developed and piloted in one pediatric patient with Opitz BBB/G and Asperger’s Syndromes, oropharyngeal dysphagia and aerophagia. The present study is a case report. Outcome variables included behavioral, swallowing and quality of life variables, and were assessed at baseline and at the end of the four-week program. Selective variables were also assessed at a follow-up family interview four weeks post program completion. Over the four-week intervention period, the patient demonstrated substantial improvements in: oral acceptance of eating-related objects and a variety of foods (behavioral variable), timing of voluntary saliva swallows and aerophagia levels (swallowing variables) and quality of life. Follow-up interview analysis showed that most skills were retained or improved one-month post intervention. This intensive telepractice program proved to be feasible and effective for this pediatric patient with dysphagia.

scholarly journals Assessment of Storm Water Quality in Grass Swale by Using Sand Filter Media: a Case Study at UTHM Campus

2018 ◽  
Vol 7 (4.30) ◽  
pp. 176
Author(s):  
Mohd. Azlan B. Mohd Yusoff ◽  
Adel Al- Gheethi ◽  
Daniel Aizat B. Dzain
Keyword(s):  
Water Quality ◽  
Natural Habitat ◽  
Drainage System ◽  
Quality Parameters ◽  
Storm Water ◽  
Water Runoff ◽  
Sand Column ◽  
Storm Water Runoff

Urbanization in Malaysia has contributed to the increased of volume runoff to the drainage system. SUDS (Sustainable Urban Drainage System) / MSMA (Manual Saliran Mesra Alam) has been implement in Malaysia within several of components. Hence, swale is one of the designed and suggested by SUDS or MSMA in order to control the quantity and quality storm water runoff. The present study aimed to determine the quality of storm water runoff in swale and to analyse storm water runoff treatment using sand column as a part of filtration process.  Water quality parameters tested included COD, BOD5, DO and TSS. The samples was test with sand column on D30, D60, D90 and DMIX. The results revealed that sand column improved the water quality by 4% to 80%. In conclusion, the sand column can be used to improve the storm water quality and can enhance the natural habitat.

scholarly journals STRATEGI KOMUNIKASI PEMASARAN OPPO BENGKULU “Studi Deskriptif TSPV dalam Berkomunikasi dengan Promotor OPPO Cabang Bengkulu”

2020 ◽  
Vol 7 (1) ◽  
pp. 34-42
Author(s):  
Putri Ning Rahayu
Keyword(s):  
Internal Communication ◽  
Communication Strategy ◽  
Persuasive Communication ◽  
Marketing Communication ◽  
Research Subjects ◽  
Marketing Process ◽  
Marketing Activities

Marketing Communication is a form of strategy intended to improve the quality of the company and the limited company's  goals. In addition, marketing communication activities are activities that are designed to create structured management and reach the quality of work in company. The research was conducted to find out how the Marketing Communication Strategy for marketing activities in the OPPO Bengkulu Company. The object of this study was carried out to study marketing strategies in marketing activities at the OPPO Bengkulu company. While the research subjects were the OPPO Bengkulu Company which was stationed in Bengkulu and chosen by this company because of its position as TSPV manager in the field of discussing and improving the quality of the company (promoter). The theory used in this research is the theory of Internal Communication according to Lawrence D. Brennan which supports two things, namely vertical and horizontal communication. The research  has revealed the marketing process itself by establishing a feed on activities as well as the marketing process. The results showed that team management and knowledge control were very important in increasing sales and customer satisfaction found in the case study. Based on the analysis, it is concluded that the marketing communication strategy of OPPO Bengkulu company uses the activities of the TSPV management team consisting of training products, follow-up, persuasive communication and impact management. Many marketing activities are supported by TSPV team activities towards promoters (employees) in increasing sales figures. Keywords : strategy, marketing communication, marketing activities.

scholarly journals Lian Gong for treatment of fibromyalgia – a case study

2021 ◽  
Vol 19 (2) ◽  
pp. 179-185
Author(s):  
Nathália Aparecida Ileck ◽  
Keyword(s):  
General Health ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Health Benefit ◽  
Sf 36 ◽  
Global Perception ◽  
Therapy Treatment

Introduction. As a Complementary Integrative Practices (CIPs), Lian Gong has been increasingly used in the practice of Physiotherapy. Aim. This study aims to verify the effects of Lian Gong in a patient with fibromyalgia. Description of the case. In this case study the patient (one patient is evaluated) was diagnosed with fibromyalgia 29 years ago and sought care following discontent with previous treatments. Pain intensity was assessed with a visual analog scale (VAS), quality of life with SF-36, and the pressure pain threshold algometer (PPT). There were 16 visits with two weekly 60-minute sessions. When the patient was reevaluated, a Global Perception of Change (GPC) scale was added to assess general health. A folder was submitted to the patient for follow-up of exercises at home and asked to return after 4 weeks (follow-up period). Conclusion. The results indicate improvement in pain, functional capacity and general health. As a first therapy treatment, Lian Gong proved promising results in one case of fibromyalgia. The possible benefits when combined with other forms of care should be explored by clinical trials to expand knowledge of health benefit potential.

Rotationplasty in adult cancer patients: what is the rehab strategy and what results can be expected? A case study

2016 ◽  
Vol 41 (5) ◽  
pp. 517-521 ◽  
Author(s):  
Mattia Morri ◽  
Cristiana Forni
Keyword(s):  
Quality Of Life ◽  
Functional Performance ◽  
Rehabilitation Program ◽  
Successful Outcome ◽  
Mental Health Score ◽  
Adult Age ◽  
One Year

Background and aim:Rotationplasty is an important and demanding challenge for physiotherapists. The aim of this paper is to describe the functional outcome achieved by a patient undergoing rotationplasty in adult age following osteosarcoma.Case description and Methods:The patient was followed throughout the rehabilitation course and the results achieved were recorded at 6, 9 and 12 months after surgery.Findings and outcomes:The results progressively improved in terms of function, functional performance and quality of life. The MSTS and TESS scales showed an improvement respectively of 20 and 23 percentage points, reaching levels of 80% and 87%. The quality of life perceived by the patient increased in the three assessments, the mental health score at one-year follow-up is higher than that expected for the population.Conclusions:Rotationplasty, even in adult age, produces good results and in the treatment of tumours in adults this operation should be taken into consideration.Clinical relevanceRotationplasty in adult age following osteosarcoma combined with a rehabilitation program enabled a patient to reach a successful outcome in terms of functional performance and quality of life.

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