THE POLICY MODEL OF DIGITAL-BASED MICRO-BUSINESS ASSISTANCE FOR ECONOMIC RECOVERY DURING THE PANDEMIC

Micro-businesses have an essential role in driving an economic revival in Indonesia. However, they are particularly vulnerable during the pandemic. The COVID-19 pandemic has significantly impacted the long-term viability of micro, small, and medium-sized enterprises (MSMEs) in the financing, production, distribution, and market demand. This paper argues that an assistance policy model for micro-businesses accelerating the economy during a pandemic is needed. It also raises the question of how government policies in developing micro-businesses. The library method, which relied on secondary data, was used to conduct the research. The result suggests that the ideal assistance model policy for MSMEs in accelerating the regional economy is by using platform-based digital technology so that the flexibility of purchasing raw materials to sales can be integrated into one and reach all consumers around the world. Government policies in developing MSMEs in the new normal era include launching the National Economic Recovery Program, as mandated by Government Regulation Number 23 of 2020, implementing stimulus programs for MSMEs such as interest subsidies and restructuring.

HANDBALL PLAYER’S RECOVERY AFTER THE INJURY OF THE ANTERIOR CRUCIATE LIGAMENT

In this study, we have tried to make a recovery treatment with kinetic exercises, for the postoperative recovery of the rupture of the anterior cruciate ligament and its reconstruction by ligamentoplasty, of a performance handball player, active for 13 years, male, 24 years old, in helping him return to his sporting life and the active life he has, in the shortest possible time. Thereason why I chose to do this study is obvious in the foreground being my personal recovery after ligamentoplasty, also to improve my theoretical and practical knowledge about this condition, and as a physiotherapist to be able to help other athletes, colleagues, who face the problem of returning to the sports field as soon as possible, and to have the same performance as before the surgery. The duration of the kinetic recovery program was 5 weeks, starting from the first day after the intervention. This program began with an initial assessment by joint testing and muscle testing on the first day, before starting the proposed recovery program. The physiotherapy program consists of 26 exercises, which can be done in a physiotherapy room, with the help of a physiotherapist. This program was applied twice a day to theresearch subject, obtaining positive results.

REVIEW STUDY ON THE EFFICIENCY OF THE USE OF KINESIOLOGICTAPE IN PERFORMANCE ATHLETES

Introduction. In Asia, in the early 1970s, a new concept was developed -kinesiological tape.Physiotherapists use the kinesiological band in both performance or amateur athletes and patients who are in a kinetic recovery program. The exact mechanisms by which the kinesiological band acts on the body have not yet been fully elucidated .Aim. The aim of the study was to identify in the literature the information about the potential positive or negative effects offered by the use of kinesiological tape inperformance athletes that had suffered injuries and also to identify potential prophylactic effects inhealthy athletes.Material and method. The selection of articles was made using the Google Scholar search engine, where 98 studies were found in the databasesof ResearchGate, PubMed, MinervaMedica, Journal of Athletic Training, Journal of Orthopedic & Sports Physical Therapy. Only studies on groups of performance athletes were included.Results. Of the 28 selected articles, 12 studies showed results in which there were increases in performance and improvements in some parameters, in 12 studies it was concluded that there were no beneficial or significant effects, and in 4 articles the results of applying the bands kinesiological and placebo effect had relatively similar positive effects.Conclusions.Kinesiology tapes do not seem to bringmajor benefits in terms of the performance inhealthy athletes. Regarding the potential prophylactic effect of kinesiological bands, several complex and longer studies need tobe performed. But the kinesiological bands could be considered as an adjuvant method in rehabilitation.

Resilient Organizations for River Restoration: The Case of Two Colorado River Sub-Basin Recovery Programs

This study characterizes the resilience of organizations undertaking river basin governance and recovery. The Upper Colorado River Endangered Fish Recovery Program (UCREFRP) and the Lower Colorado River Multi-Species Conservation Program (LCR-MSCP) are defined in this study as polycentric organizations nested within larger institutional mechanisms governing the Colorado River Basin. This study utilizes an environmental disturbance-organizational response framework to characterize organizational resilience—and uses attitudinal diversity (characterized by attitudes toward agendas) as the measurable metric. Environmental disturbances are defined as either press or pulse and categorized as either institutional or biophysical in nature. Four types of attitudinal diversity metrics are utilized—supportive, clarifying, conditional, and critical. Results indicate that institutional press and pulse events generated anticipatory resilience capabilities along with some adaptive capabilities for the organizations. However, the biophysical press and pulse events only reveal coping capabilities and very little adaptive capabilities. With the recent Colorado River shortage declaration, it is critical for the programs to build anticipatory as well as adaptive capabilities for optimal response to biophysical press events.

Investigation of the Internal Blowout Accident Involving Overpressured Reservoirs: Case of CI-11 Well, Southern Tunisia

Summary This study consists of an assessment of the ecological accident implicating the Continental Intercalaire-11 (CI-11) water well located in Jemna oasis, southern Tunisia. The CI-11 ecological accident manifested in 2014 with a local increase of the complex terminal (CT) shallow water table salinity and temperature. Then, this phenomenon started to spread over the region of Jemna, progressively implicating farther wells. The first investigation task consisted of logging the CI-11 well. The results revealed an impairment of the casing and cement of a huge part of the 9⅝ in. production casing. Historical production records show that the problems seem to have started in 1996 when a sudden production loss rate occurred. These deficiencies led to the CI mass-water flowing behind the casing from the CI to the CT aquifers. This ecological accident is technically called internal blowout, where water flows from the overpressurized CI groundwater to the shallower CT groundwater. Indeed, the upward CI hot-water flow dissolved salts from the encountered evaporite-rich formations of the Lower Senonian series, which complicated the ecological consequences of the accident. From the first signs of serious water degradation in 2014 through the end of 2018, several attempts have been made to regain control of annular upward water flow. However, the final CT groundwater parameters indicate that the problem is not properly fixed and communication between the two involved aquifers still persists. This accident is similar to the OKN-32 case that occurred in the Berkaoui oil field, southern Algeria, in 1986, and included the same CI and CT aquifers. Furthermore, many witnesses claim that other accidental communications are probably occurring in numerous deep-drilled wells in this region. Concludingly, Jemna CI-11, Berkaoui OKN-32, and probably many other similar accident cases could be developing regional ecological disasters by massive water resource losses. The actual situation is far from being under control and the water contamination risk remains very high. In both accidents, the cement bond failure and the choice of the casing point are the main causes of the internal blowout. Therefore, we recommend (1) a regional investigation and risk assessment plan that might offer better tools to predict and detect earlier wellbore isolation issues and (2) special attention to the cement bond settlement, evaluation, and preventative logging for existing wells to ensure effective sealing between the two vulnerable water table resources. Besides, in the CI-11 well accident, the recovery program was not efficient and there was no clear action plan. This increased the risk of action failure or time waste to regain control of the well. Consequently, we suggest preparing a clear and efficient action plan for such accidents to reduce the ecological consequences. This requires further technical detailed study of drilling operations and establishment of a suitable equipment/action plan to handle blowout and annular production accidents.

Associations between PACS symptoms and risk factors among Long Haulers in the Rutgers Post-COVID Recovery Program

At least 2/3 of people with mild to moderate COVID-19 infection will experience long-haul COVID symptoms that persist for weeks or months, however, risk factors that modify the likelihood that one develops these symptoms are unknown. Patients referred to the Post-COVID Recovery Program at Rutgers in New Brunswick (n= 108) through primary care referral or self-submitted online request and experiencing a wide variety of Post-Acute COVID-19 Syndrome (PACS) symptoms were stratified by those without self-reported cognitive complaints (n=54), those with self-reported cognitive complaints who scored well on cognitive testing (n=29), and those with self-reported cognitive complaints who scored poorly on cognitive testing (n=25). Comparisons between groups were made using ANOVAs and Chi Squared: for COVID-19 disease severity, COVID-19 disease treatment, comorbid COVID-19 symptoms during infection, comorbid PACS symptoms post-infection, pre-existing health conditions, levels of depression and anxiety, level of fatigue, and social determinants of health (access to healthcare, economic stability, housing stability). Preliminary analyses indicated that whereas people without complaints were normally distributed according to age (p>0.200 for Kolmogorov–Smirnov test), people with complaints and deficits were skewed towards the older age group (p<0.001 for K-S test) suggesting age to be a risk factor for cognitive impairment in PACS. Participants that reported cognitive complaints also reported increased symptoms of depression, anxiety, and fatigue, compared to participants without cognitive complaints. These data provide insight into associations between PACS symptoms and risk factors relevant in understanding this novel disease.

Impact of Enhanced Recovery Program (ERP) on Clinical Outcomes After Elective Colorectal Surgery in a Rural Hospital: A Prospective Cohort Study with Retrospective Control.

Introduction: The main purpose was to determine the impact on postoperative outcome of a standardized enhanced recovery program (ERP) for elective colorectal surgery in a rural hospital. Methods A prospective series of patients (N = 80) undergoing elective colorectal resection completing a standardized ERP protocol in 2018–2020 (ERP group) was compared to patients (N = 80) operated at the same rural hospital in 2013–2015 (pre-ERP group), before the implementation of the program. The exclusion criteria for both groups were: ASA score IV, TNM stage IV, inflammatory bowel disease, emergency surgery, and rectal cancer. The primary outcome was hospital length of stay (LoS) which was used as an estimate of functional recovery. Secondary outcomes included 30-day readmission and mortality rates as well as factors predicting both postoperative complications and prolonged hospital LoS. Results Baseline characteristics were comparable in both groups. Laparoscopic approach was performed in 95% of patients in the ERP group versus 0% in pre-ERP group. The median adherence to ERP protocol elements was 68% as opposed to 12% in the retrospective control group. The median hospital LoS in the ERP-group was significantly lower than in the pre-ERP group (5 vs. 10 days) with no increase in 30-day readmission and mortality rates. The Body Mass Index ≥ 30 and the traditional perioperative protocol were the independent predictive factors of postoperative complications, while following a traditional peri-operative protocol was the only factor predicting a prolonged hospital LoS. Conclusions Although limited hospital resources are perceived as a barrier to ERP implementation, the current experience demonstrates how adopting an ERP program in a rural area is feasible and effective, despite it requires greater effort. For patients in such areas, colorectal ERP in elective surgery may also reduce time to functional recovery, postoperative hospital LoS and complications, with no increase in mortality and 30-day re-admissions.