bluuebunny/crossref_metadata_2025 huggingface dataset:
Facing the hidden wall in mesial extratemporal lobe epilepsy
Authors: Theys Tom , Decramer Thomas , Van Paesschen Wim , De Tiège Xavier , Minotti Lorella , von Lehe Marec , Chabardès Stephan , Kahane Philippe , Job Anne‐Sophie
Published: August 2019

Refractory extratemporal lobe epilepsy (ETLE) tends to have a less favourable surgical outcome in comparison to temporal lobe epilepsy. ETLE poses specific diagnostic and therapeutic challenges, particularly in cases where seizures develop from the midline. This review focuses on the diagnostic challenges and therapeutic strategies in mesial ETLE. The great diversity of interhemispheric functional areas and extensive connectivity to extramesial structures results in very heterogeneous seizure semiology. Specific signs, such as ictal body turning, can suggest a mesial onset. The hidden cortex of the mesial wall furthermore gives rise to specific diagnostic difficulties due to the low localizing value of scalp EEG. Advanced imaging, as well as targeted intracranial studies, can substantially contribute to depict the seizure onset zone since electroclinical findings are difficult to interpret in most cases. Surgical accessibility of the interhemispheric space can be challenging, both for the placement of subdural grids, as well as for resective surgery. When facing the hidden cortex on the mesial wall of the hemispheres, targeted intra‐ or extra‐operative intracranial recordings can lead to satisfactory outcomes in properly selected cases.
Clinical‐radiological‐pathological correlation in an unusual case of refractory epilepsy: a two‐year journey of whodunit!
Authors: Menon Deepak , Menon Ramshekhar N , Kesavadas Chandrasekharan , Mahadevan Anita , Radhakrishnan Ashalatha , Kannoth Sudheeran , Nair Pradeep P , Abraham Mathew , Thomas Bejoy , Thomas Sanjeev V
Published: August 2019

New‐onset refractory focal epilepsy poses significant challenges to the clinician in the absence of specific diagnostic biomarkers. Differential diagnoses based on imaging may be expanded by a veritable spectrum of peri‐ictal imaging findings that may mask the underlying substrate. We report a 13‐year‐old girl who presented with refractory focal seizures of left parieto‐occipital origin with cytotoxic gyral oedema noted over the same region on imaging. Despite an initial negative autoantibody profile, the patient was treated with immunosuppression, followed by serial relapses requiring immune‐modulation. Over the next year, her syndrome persisted as focal left posterior cortex epilepsy that necessitated occipital lobectomy, following a relapsing‐remitting radiological profile, consistent with peri‐ictal MRI changes. Histopathology was inconclusive for any definitive substrate. After a period of quiescence, she developed focal motor seizures of right hemispheric origin with progressive encephalopathy, at which point a repeat cerebrospinal fluid anti‐N‐methyl‐D‐aspartate receptor antibody profile returned positive. The patient was managed with steroids and rituximab with a good clinical outcome. We hypothesise that persistent or relapsing‐remitting focal gyral oedema in unexplained refractory focal epilepsy mandates consideration of focal encephalitis secondary to autoimmunity, and late appearance of intrathecal auto‐antibody synthesis correlates with evolution into a more diffuse disease.
Unilateral abdominal clonic seizures of parietal lobe origin: EEG findings
Authors: Aljaafari Danah , Nascimento Fábio A. , Abraham Alon , Andrade Danielle M. , Wennberg Richard A.
Published: August 2019

Unilateral abdominal clonic seizures represent a peculiar and rare manifestation of focal onset epilepsy. We present the case of a 26‐year‐old man with right‐sided abdominal clonic movements associated with seizures arising from the left parietal area. We show the ictal EEG correlates of these events, including source localization of early ictal spikes; findings that have not been demonstrated in previously reported cases. The electro‐clinical features in this patient suggested that clinical onset occurred after anterior propagation of ictal activity from a region posterior to the neck and trunk area of the sensory homunculus of the postcentral gyrus. [Published with video sequence onwww.epilepticdisorders.com].
Early‐onset epileptic encephalopathy with myoclonic seizures related to 9q33.3‐q34.11 deletion involving STXBP1 and SPTAN1 genes
Authors: Aravindhan Akilandeswari , Shah Kinal , Pak Jayoung , Veerapandiyan Aravindhan
Published: August 2019

We describe a 10‐month‐old boy with early‐onset epileptic encephalopathy who was found to have a hemizygous deletion in 9q33.3‐q34.11 involving STXBP1 and SPTAN1 genes. He presented at the age of 2.5 months with frequent upper extremity myoclonus, hypotonia, and facial dysmorphisms. Interictal EEG showed multifocal polyspike and wave during wakefulness and sleep. Ictal EEG revealed low‐amplitude generalized sharp slow activity, followed by diffuse attenuation. Metabolic testing was unrevealing. Brain MRI showed thinning of the corpus callosum with an absence of rostrum. This patient is the second reported case with 9q33.3‐q34.11 deletion involving STXBP1 and SPTAN1 genes associated with epileptic encephalopathy and myoclonic seizures. Larger case series are needed to better delineate this association.
Epileptic seizure semiology in different age groups
Authors: Fernandez‐Baca Vaca Guadalupe , Mayor Carlos L. , Losarcos Naira García , Park Jun T. , Lüders Hans O.
Published: August 2019

Aims. Seizure semiology provides information about the eloquent cortex involved during a seizure and helps to generate a hypothesis regarding the localization of the epileptogenic zone (EZ), a prerequisite for surgical management of epilepsy. We aimed to study the seizure semiology among all different age groups to better characterize semiological changes that occur with age.

Methods. We performed a retrospective review of video‐EEG data in paediatric and adult patients admitted to the Epilepsy Monitoring Unit over a three‐year period. Authors independently reviewed and classified the seizure semiology while blinded to clinical, EEG, and neuroimaging data. A total of 270 patients were included in the study.

Results. The most frequent EZ in patients who were one month to three years old was undetermined. Focal epilepsy became more frequent in patients older than 10 years. Among patients with focal epilepsy, a posterior quadrant EZ was most frequent in children younger than three years old, a temporal EZ between three and six years old, and a frontal EZ between six and 10 years old. The temporal lobe was the most frequent location for focal EZ in patients older than 18 years. Auras, automotor seizures, and generalized tonic‐clonic seizures were extremely infrequent in patients younger than 10 years old. The youngest patient with auras was 5.7 years old. The youngest patient with automotor seizures was 3.7 years old. We identified only three patients with generalized tonic‐clonic seizures who were younger than 10 years (aged six months, 6.6 years, and nine years, respectively). Patients younger than three years exhibited mostly generalized simple motor seizures and hypomotor seizures. Generalized epileptic spasms, generalized tonic seizures, and generalized clonic seizures were infrequent in patients older than 10 years.

Conclusion. Seizure semiology and electroencephalographic changes most likely reflect the maturation of cortical functions.
GAD65 antibody‐associated autoimmune epilepsy with unique independent bitemporal‐onset ictal asystole
Authors: D'Souza Caitlin E. , Feyissa Anteneh M.
Published: August 2019

Antibodies against the 65‐kDa isoform of the intracellular enzyme, glutamate decarboxylase (GAD65), have been found in patients with limbic encephalitis and drug‐resistant autoimmune epilepsy. We report a 22‐year‐old female who presented with new‐onset seizures and neuropsychiatric symptoms. Video‐EEG captured unique, independent bitemporal‐onset focal seizures with impaired awareness and ictal asystole. An autoimmune epilepsy panel revealed elevated GAD65 antibodies in the serum (225 nmol/l) and CSF (2.78 nmol/l), while [18F]‐fluoro‐deoxy‐glucose positron emission tomography showed bitemporal hypometabolism (left > right). The patient was diagnosed with GAD65 antibody‐associated autoimmune epilepsy. Our observation adds to the spectrum of neurocardiac syndromes associated with autoimmune epilepsy.
Patient satisfaction with epilepsy surgery: what is important to patients
Authors: Lunney Meaghan , Wahby Sandra , Sauro Khara M. , Atkinson Mark J. , Josephson Colin B. , Girgis Fady , Singh Shaily , Patten Scott B. , Jetté Nathalie , Sajobi Tolulope T. , Hader Walter , Wiebe Samuel
Published: August 2019

Aims. Patient satisfaction with therapeutic interventions is an important outcome of care. Although generic measures of patient satisfaction exist, there is no validated scale for measuring patient satisfaction with epilepsy surgery. We aimed to systematically obtain patient‐identified factors related to satisfaction with epilepsy surgery as a means of informing clinicians about the ways that patients evaluate outcomes of their treatment and as a conceptual basis for the future development of epilepsy surgery patient satisfaction scales.

Methods. Focus group discussions with epilepsy surgery patients (n=9) were conducted to identify themes relevant to patient satisfaction with epilepsy surgery and to draft initial items of importance. Consensus methodology (Delphi technique) was used to obtain expert opinion (n=13) to refine the items. Member‐checking with focus group participants was performed to ensure the identified items were relevant, clear, and inclusive.

Results. A list of 31 items embodied 12 themes related to patient‐reported satisfaction with epilepsy surgery. These included adverse effects, medical care or rehabilitation, seizure control, post‐operative recovery, anti‐seizure medication, independence, seizure worry, ability to drive, social relationships, self‐confidence, improved cognitive function, and improved physical health.

Conclusions. This study used a systematic approach to identify factors that are important to patients when assessing satisfaction with epilepsy surgery. This knowledge can assist clinicians caring for these patients and is also a critical step towards the validation of a formal scale to assess satisfaction with epilepsy surgery.
Diaper changing‐induced reflex seizures in CDKL5‐related epilepsy
Authors: Solazzi Roberta , Fiorini Elena , Parrini Elena , Darra Francesca , Bernardina Bernardo Dalla , Cantalupo Gaetano
Published: August 2019

Mutations in the CDKL5 (cyclin‐dependent kinase‐like‐5) gene are known to determine early‐onset drug resistant epilepsies and severe cognitive impairment with absent language, hand stereotypies, and deceleration of head growth. Reflex seizures are epileptic events triggered by specific stimuli and diaper changing is a very rare triggering event, previously described in individual cases of both focal and unclassified epilepsy, as well as in Dravet syndrome. Our aim was to describe diaper changing‐induced reflex seizures as one of the presenting features in a case of CDKL5‐related epilepsy, providing video‐EEG documentation and focusing discussion on hyperexcitability determined by the disease. [Published with video sequence on www.epilepticdisorders.com]
KCNQ2 mutation in an infant with encephalopathy of infancy with migrating focal seizures
Authors: Freibauer Alexander , Jones Kevin
Published: August 2019

A male neonate presented with seizures at 18 hours of life, characterized by tonic posturing with eye deviation to the right, apnoea, bradycardia, and oxygen desaturation. Initial structural, metabolic, and infectious work‐up was unremarkable. He continued to have seizures refractory to a variety of antiepileptic medications. A phenobarbital coma was trialled, leading to cessation of clinical seizures but continuation of electrographic status epilepticus. On EEG, ictal discharges originated from both the right and left hemispheres, migrating to the opposite hemisphere, consistent with encephalopathy of infancy with migrating focal seizures. At this time, he developed septic shock and was trialled on a ketamine infusion and ketogenic diet. Due to his poor prognosis, a goals of care discussion was carried out with the family, leading to withdrawal of care and his subsequent death at one month and seven days. A posthumous genetic panel revealed a de novo KCNQ2 p.Ser247Leu variant, considered likely to be pathogenic. This is the third reported case of a KCNQ2 mutation associated with an encephalopathy of infancy with migrating focal seizures phenotype. We discuss potential cellular mechanisms underlying this unique KCNQ2 phenotype, as well as future therapeutic considerations.
Improved decision‐making and psychophysiological responses in mesial temporal lobe epilepsy after anterior temporal lobectomy
Authors: Sandor Serra , Delil Şakir , Yağcı Selin , Korkmaz Bektaş , Yeni S. Naz
Published: August 2019

Aim. The somatic marker hypothesis is an influential model of human decision‐making postulating that somatic feedback to the brain enhances decision‐making in ambiguous circumstances, i.e. when the probabilities of various outcomes are unknown. The somatic feedback can be measured as autonomic responses, which are regulated by the amygdala. The failure to evoke this somatic feedback, which occurs in patients with amygdala lesions, impairs decision‐making. The purpose of this study was to investigate the decision‐making behaviour of mesial temporal lobe epilepsy patients with pre‐ and post‐epilepsy surgery to ascertain whether the decision‐making abilities of groups can be explained by means of the generation of somatic feedback responses.

Methods. The preoperative group comprised 32 patients with mesial temporal lobe epilepsy due to hippocampal sclerosis, while the postoperative group comprised 23 patients who had undergone anterior temporal lobectomy. The age and gender‐matched control group consisted of 30 healthy participants. Decision‐making performances were assessed and skin resistance responses were measured simultaneously.

Results. The findings of this study reveal that the decision‐making performance of preoperative patients with unilateral mesial temporal lobe epilepsy was impaired under conditions of ambiguity, i.e. they did not generate somatic feedback responses before making decisions around ambiguous outcomes, and produced significantly poor scores overall based on a decision‐making task. In addition, the resection of epileptogenic limbic structures positively affected the generation of somatic feedback responses, as demonstrated by the significant difference between the magnitudes of autonomic responses of the pre‐ and post‐operative groups.

Conclusions. The findings of the study validate the contribution of mesial temporal lobe structures to decision‐making behaviour, and also point to the importance of examining the connectivity patterns between the neural structures involved in the decision‐making network.
Suriyeli Mülteci Çocuklara Yabancı Dil Olarak Türkçe Öğretenlerin Yaşadıkları Durumlara İlişkin Görüşleri
Authors: BOYLU Emrah , ÇAL IŞIK Pınar
Published: August 2019

Türkçeyi yabancı dil olarak öğrenen hedef kitleye
Mart 2011’de Suriye’de baş gösteren kaosla birlikte Suriyeli mülteciler de
eklenmiştir. Bu kapsamda ülkelerindeki savaş ortamından kaçan yaklaşık üç
milyon mülteci Türkiye’ye sığınmıştır. İlgili mültecilerin büyük bir
çoğunluğunu da eğitim çağındaki çocuklar oluşturmaktadır. Bu nedenle mülteci
çocukların Türkiye’de eğitimlerine devam edebilmeleri için Millî Eğitim
Bakanlığı tarafından PICTES projesi hayata geçirilmiştir. İlgili proje
kapsamında Türkiye’nin çeşitli illerinde Suriyeli mülteci çocuklara Türkçe
öğretimi yapılmaktadır. Bu kapsamda bu çalışmanın amacı Suriyeli mülteci
çocuklara yabancı dil olarak Türkçe öğretenlerin yaşadıkları durumları tespit
etmek ve çözüm önerileri sunmaktır. Çalışmada, nitel araştırma yöntemlerinden
durum çalışması ve amaçlı örnekleme yöntemlerinden kolay ulaşılabilir durum
örneklemesi kullanılmıştır. Araştırmanın verileri araştırmacılar tarafından
hazırlanan yarı yapılandırılmış görüşme formu ile toplanmıştır. Toplanan
veriler betimsel analiz yapılarak çözümlenmiş ve yorumlanmıştır. Elde edilen
verilerden hareketle çocukların Türkiye’ye hâlâ uyum sağlayamadıkları, bazı
ailelerin çocuklarının Türkçeyi öğrenmelerini istememeleri, sınıfların
çoğunluğunun dil öğretimine uygun olmadığı, öğrencilerin Türkiye’yi sadece
geçici bir yer olarak algıladıkları, aynı sınıfta farklı dil seviyelerine ait
öğrencilerin olduğu, projede çalışan öğretmenlerin akademik donanımlarının
yetersiz olduğu, kullanılan müfredat ile ders kitaplarının uyumsuz olduğu,
Türkçe öğretimine ayrılan sürenin az olduğu vb. sonuçlara ulaşılmıştır.
Mikro-Yansıtıcı Öğretim Uygulamalarının Fizik Öğretmen Adaylarının Yansıtıcı Düşünme Eğilimlerine Etkilerinin Belirlenmesi
Authors: BATMAN Demet , SAKA Ahmet Zeki
Published: August 2019

Bu çalışmanın amacı, mikro-yansıtıcı öğretim uygulamalarının fizik
öğretmen adaylarının yansıtıcı düşünme eğilimlerine etkilerini belirlemektir. Araştırma,
ön test-son test tek gruplu basit deneysel desende tasarlanmıştır. Basit
deneysel desenin sınırlılıklarından dolayı araştırma kapsamında özel durum
yöntemi de kullanılmıştır. Video kayıtlarına dayalı yansıtıcı günlükler ve
YANDE (Yansıtıcı Düşünme Eğilimlerini Belirleme) ölçeği ile veri toplanan
çalışmanın örneklemini, Fatih Eğitim Fakültesi Fizik Öğretmenliği Programı 4.
sınıfında öğrenim gören 13 öğretmen adayı oluşturmaktadır. 2013-2014
eğitim-öğretim yılının bahar yarıyılında ve 2014-2015 eğitim-öğretim yılının
güz ve bahar yarıyıllarında sürdürülen uygulamalar, Özel Öğretim Yöntemleri-II
dersinin uygulama saatinde, Okul Deneyimi ve Öğretmenlik Uygulaması derslerinin
de fakültedeki ders saatlerinde yürütülmüştür. Uygulamalar kapsamında her aday
beşer kez mikro-yansıtıcı öğretim uygulaması yapmıştır. YANDE ölçeğinden elde
edilen veriler Wilcoxon işaretli sıralar testi kullanılarak, yansıtıcı günlüklerden
elde edilen veriler de yorumsal analize dayalı olarak çözümlenmiştir. YANDE
analizlerinde, sürekli ve amaçlı düşünme, sorgulayıcı ve etkili öğretim,
öğretim sorumluluğu ve bilimsellik, araştırmacı, öngörülü ve içten olma alt
boyutlarında uygulama öncesi ve sonrasında anlamlı bir farklılık olduğu, açık
fikirlilik ve mesleğe bakış alt boyutlarında anlamlı bir farklılık olmadığı
görülmektedir. Bu bulgularla birlikte, YANDE ölçeği toplam puan analizleri de
dikkate alındığında, mikro-yansıtıcı öğretim uygulamalarının öğretmen
adaylarının yansıtıcı düşünme eğilimlerini geliştirmede büyük ölçüde etkili
olduğu sonucuna ulaşılmıştır.
Üniversitelerde Örgüt Kültürü Üzerine Karşılaştırmalı Bir İnceleme
Authors: KÖSE Mehmet Fatih , KORKMAZ Mehmet
Published: August 2019

Bu çalışma, Cumhuriyet’in ilk üniversiteleri arasında yer
alan ve 2017 yılında Yükseköğretim Kurulu tarafından araştırma üniversitesi
olarak tanımlanan, Ankara’daki dört büyük devlet üniversitesinin örgüt
kültürünü karşılaştırmalı olarak değerlendirmeyi amaçlamaktadır. Araştırmanın
örneklemini dört farklı üniversitede görev yapan 647 akademik personel
oluşturmuştur. Araştırmada ölçme aracı olarak Örgüt Kültürü Değerlendirme
Ölçeği kullanılmıştır. Araştırmanın temel sonuçları, rekabetçi değerler
çerçevesinde üniversitelerde; yenilikçi takım kültürü, rekabetçi kültür ve
hiyerarşik kültür olmak üzere üç farklı örgüt kültürü tipi görüldüğünü, örgüt
kültürünün üniversite ve fakülte değişkenine göre farklılaştığını, cinsiyet ve
akademik görev değişkenlerinin ise farklılık ortaya koymadığını göstermektedir.
Beden Eğitiminde Temel Psikolojik İhtiyaçlar Ölçeğinin Türkçeye Uyarlanması
Authors: TURKAY Hikmet , MUMCU Hasan Erdem , ÇEVİKER Abdulkerim , GÜNGÖZ Esengül , ÖZLÜ Kurtuluş
Published: August 2019

Bu çalışmanın amacı, Vlachopoulos, Katartzi ve Kontou (2011) tarafından
geliştirilen
Beden Eğitiminde Temel Psikolojik İhtiyaçlar Ölçeği’ni (The Basic Psychological Needs in
Physical Education Scale BPN-PE) Türkçeye uyarlamak ve psikometrik
özelliklerini incelemektir. Orijinal
ölçek İngilizcedir ve üç faktörlü toplam 12 ifadeden oluşmaktadır. Türkçeye
çevrilen ifadelerin Türkçeye uygunluğu, anlam bütünlüğü ve dil geçerliliğini
sağlamak için İngilizce dil uzmanlarının görüşleri alınarak ölçeğe son şekli
verilmiştir. Ölçeğin Türkçe formu 405 ortaokul ve 412 lise öğrencisine
uygulandıktan sonra ölçeğin yapı geçerliği faktör analiziyle yapılmış ve analiz
sonucunda Türkçeye çevrilen ölçeğin de 12 ifadeden oluşacağı
kararlaştırılmıştır. Ölçeğin iç tutarlılığını belirlemek için ölçeğin her bir
faktörü (ortaokul için 0,67 ile 0,75 ve lise
için 0,66 ile 0,76 arasında)
ve ölçeğin tümü için Cronbach Alpha güvenirlik katsayılarının yeterli olduğu
sonucuna varılmıştır. Yapılan analizlerin sonuçlarına göre; Beden Eğitiminde Temel Psikolojik İhtiyaçlar Ölçeği’nin üç faktörlü
yapısının hem ortaokul hem de lise öğrencileri için Türk kültürüne güvenilir ve
geçerli bir şekilde uyarlandığı yorumu yapılabilir.
Uzaktan Tezsiz Yüksek Lisans Programlarının Tercih Gerekçelerinin İncelenmesi
Authors: USTA İlker
Published: August 2019

Bu araştırmanın amacı çevrimiçi tezsiz yüksek lisans programlarında öğrenim gören bireylerin programları tercih gerekçelerinin Maslow’un ihtiyaçlar hiyerarşisi aşamalarına göre sınıflamasını yapmaktır. Bu araştırmada betimsel analiz yöntemi kullanılmıştır. Araştırmaya altı farklı programda öğrenim gören 115 öğrenci katılmıştır. Araştırmada öğrencilerin çeşitli demografik bilgilerinin ve ilgili programı tercih etme gerekçesinin sorulduğu bir veri toplama aracı kullanılmıştır. Araştırmada öğrenciler tercih gerekçelerini programın çevrimiçi olmasına göre ve öğrenim gördükleri programa göre yanıtlamışlardır. Araştırmaya katılan öğrenciler 163 gerekçe sunmuşlardır. Öğrencilerin öğrenim gördükleri programı tercih gerekçeleri içerisinde ilk sırayı statü kazanma sonra sırasıyla merakını giderme, güvenlik, ait olma ve sevgi ile estetik gerekçe olarak belirlemişlerdir.
Türkiye’de Okuduğunu Anlamayı Geliştirmeye Dönük İlkokul Düzeyindeki Çalışmaların Sistematik İncelenmesi
Authors: YILDIZ Mustafa , ÇOBAN SURAL Ülkü , BOZ İsa
Published: August 2019

Bu araştırmanın amacı, Türkiye’de 2000-2018 yılları arasında okuduğunu anlamayı geliştirmek amacıyla gerçekleştirilen çalışmaları belirli ölçütlere göre incelemek ve alandaki genel eğilimi belirlemektir. Çalışma betimsel tarama modeline göre yürütülmüştür. Literatür taraması sonucunda dâhil etme ölçütlerine uyan 51 çalışma incelenmiştir. Araştırmaya dâhil edilen çalışmalar, araştırmacılar tarafından hazırlanan bilgi formu kullanılarak analiz edilmiştir. Çalışmada sistematik inceleme yaklaşımı türlerinden betimsel içerik analizi kullanılmıştır. Araştırma sonucunda okuduğunu anlamayı geliştirmeye dönük çalışmaların çoğunlukla yüksek lisans tezlerinden oluştuğu, örneklem grubunun 4. sınıf düzeyinde yoğunlaştığı, deneysel araştırma modeli ile yürütüldükleri, uygulanan strateji, yöntem ve tekniklerin çeşitlilik gösterdiği ve çoğunlukla okuduğunu anlama becerisinin gelişmesine olumlu etki ettiği görülmüştür. Bunlara ek olarak, katılımcı sayıları ve araştırma sürelerinin kullanılan metodolojiye uygun olduğu, veri analizinde çoğunlukla çıkarımsal analiz yöntemlerine başvurulduğu ve veri toplama araçlarının araştırmacıların kendileri tarafından geliştirilen açık uçlu veya çoktan seçmeli sorulardan oluştuğu sonucuna ulaşılmıştır.
Impacto da capacidade funcional na mortalidade seis meses após alta em idosos internados em UTI
Authors: Da Rocha Julio David Nascimento , Gaspar Ludmilla Campos , Gomes Yasmin Silva , Dos Santos Marilúcia Reis , Santos Gilmara , Dos Anjos Jorge Luis Motta
Published: August 2019

INTRODUÇÃO: O envelhecimento é um processo natural de redução progressiva da reserva funcional dos indivíduos e o fator que determina saúde dos idosos é a independência nas suas atividades habituais, que consiste em sua funcionalidade e quando acometidos por alguma enfermidade tendem a ter uma recuperação mais lenta, em comparação aos pacientes jovens, devido ao declínio funcional inerente ao processo de senescência, o que pode resultar em maior risco de morte. OBJETIVO: Avaliar o impacto da capacidade funcional  na mortalidade de idosos após seis meses de alta  da Unidade de Terapia Intensiva. MÉTODOS: Trata-se de um estudo de coorte, ambispectivo, realizado em uma Unidade de Terapia Intensiva de um hospital público de grande porte, localizado na cidade de Salvador, Bahia em 2018. A amostra foi composta por pacientes idosos admitidos na UTI, com idade igual ou superior a 60 anos, onde foram aplicadas as Escalas de Mobilidade em UTI (EMU) e Estado Funcional (FSS) para avaliar a capacidade funcional no dia da alta da UTI e através de contato telefônico, foi observado a ocorrência de óbito após 6 meses da alta. Foram excluídos pacientes com instabilidade hemodinâmica, desordens congnitivas.  e aqueles onde houve impossibilidade de contato telefônico. Para análise estatística dos dados de variáveis contínuas foram avaliados com medidas de tendência central e dispersão, variáveis categóricas avaliadas com medidas de frequência e para relacionar a capacidade funcional e mortalidade foi utilizado o teste não paramétrico de Mann-Whitney com o uso do software SPSS.  RESULTADOS: A amostra foi composta por 30 pacientes, sendo a maior parte composta por indivíduos do sexo masculino (60,0%), com média de idade 68,0(±6,7) anos, com perfil diagnóstico predominantemente clínico (70,0%), média de tempo de internamento de 3,2 (±1,8) dias, capacidade funcional aferida pela escala do estado funcional (FSS) da alta de 29,3(±8,5) e pela escala de mobilidade em UTI (EMU) da alta de 8,8 (± 2,6) . Dos pacientes inicialmente avaliados, 08 (21,1%) foram excluídos por impossibilidade de contato por telefônico após a alta, tendo completado o estudo com 30 pacientes, destes 11 (28,9%), evoluíram a óbito em até seis meses após a alta da UTI. Um dado que chama atenção é a taxa de mortalidade nos pacientes estudados, que chegou a 36,6% CONCLUSÃO: O status funcional, de pacientes idosos, no momento da alta da UTI está relacionado com uma maior taxa de mortalidade em seis meses após a alta da unidade de terapia intensiva.
CHINESE – UKRAINIAN COOPERATION UNDER THE FRAMEWORK OF THE BELT AND ROAD INITIATIVE
Authors: Bordilovska O. , Ugwu V.
Published: August 2019

The current state of development of geopolitical processes marked a tendency towards a bipolarization of the world order. Global economic processes are evidence of China’s aspiration for wider representation in global politics and trade, if not the economic expansion. In this context, the implementation of the One Belt, One Road strategy opens up new opportunities not only for China itself, but also for its strategic partners. In the course of study of the prospects of Chinese-Ukrainian relations, it was established that there are a number of important prospects of Ukraine’s involvement in this geo-economic project. Analysis of the dynamics of foreign trade in goods between Ukraine and China revealed the need to intensify domestic industrial production. As a result of study of the prospects for expanding Ukraine’s participation in the One Belt, One Road project, not only the need to increase export earnings to China, but also identify opportunities for expansion into new markets in eastern direction was established. An important conclusion of the study was that the main emphasis in the further development of Chinese-Ukrainian relations should be directed at active attraction of the Chinese investment in domestic infrastructure projects. Special attention is also paid to the Ukraine’s initiative regarding the expansion of the New Silk Road in the direction of the Danube shipping, which will make it possible to more fully realize the trade and infrastructure potential of Ukraine.
La incorporación de tecnicismos mineros a la lexicografía académica decimonónica
Authors: Puche Lorenzo Miguel Ángel
Published: August 2019

La incorporación de tecnicismos mineros a la lexicografía académica decimonónica.
¿El fin de los diccionarios referenciales? ¿El principio de los diccionarios integrales?
Authors: Ávila Raúl
Published: August 2019

¿El fin de los diccionarios referenciales? ¿El principio de los diccionarios integrales?
Complex Recycling of Crushed Aggregates Waste
Authors: Samukov A.D.
Published: August 2019

The problem of the formation and processing of waste in the production of crushing stone for road construction is considered. An integrated approach is proposed, which implies both a reduction in the amount of waste generated and its subsequent processing to obtain products in demand on the market. The technologies based on the use of vibration equipment and allowing to obtain qualified products from crushing screenings are described: cubical crushed aggregates, high-quality fractionated artificial sand and vibro pressed products based on it. The possible options for recycling the dust-like component of the waste with the production of lightweight aggregate for concrete and mineral wool are given. An estimate of the predicted environmental effect of preventing the disposal of waste from the production of crushing stone for road construction, subject to the application of the proposed technologies, is given.
Man-Made Waste as a Raw Material Base for the Production of Modern Construction Composites
Authors: Saydumov M.S. , Murtazaev S.-A.Y. , Alaskhanov A.Kh. , Dagin I.S. , Nakhayev M.R.
Published: August 2019

The results of tests of secondary construction materials derived from man-made materials are presented. The granulometric and chemical compositions of secondary products from technogenic raw materials are investigated. The analysis of local natural and man-made raw materials base of the Chechen Republic. The possibilities of using local natural raw materials (crushed stone from gravel, natural sand, gravel, gypsum, cement, etc.) in the technology of building composite materials are shown. The suitability and efficiency of the use of technogenic raw materials in concrete and mortar technology, justified by the complex economic and environmental effect of its use in the practice of building materials science, have been experimentally proved. It has been established that with the introduction of advanced innovations in the field of concrete science it is possible to produce competitive products that are not inferior to foreign analogues.
Innovative Crushing and Grinding equipment of Vibration Action
Authors: Vaisberg L.A. , Safronov A.N.
Published: August 2019

Based on the vibration method of disintegration, new crushing and grinding machines have been created, in which the intra-layer dynamic destruction of the material is realized by a combined vibration-pulse compression with a shift. The design and technological features of vibration crushers are considered, as well as the experience of their industrial use in the processing of various types of raw materials, including industrial waste. It is shown that vibration disintegration provides efficient processing of production wastes and higher technical and economic indicators in comparison with traditional technologies. The sufficiently long operating experience of the created vibration machines proves a real reduction in energy consumption by up to 30%, especially for highly hard materials.
The Effect of Thermal Activation of Glauconite on its Water-Retaining and Oil Capacity
Authors: Niftaliyev S.I. , Peregudov Yu.S. , Mokshina N.Ya. , Mezhri R. , Saranov I.A.
Published: August 2019

The results of the study of the efficiency of heat treatment of samples of glauconite are presented. Estimated ability of the sorbent to water absorption and retention of petroleum products. It was established by the method of differential scanning calorimetry that thermally activated glauconite samples are practically not saturated with water vapor. Oil capacity decreases after heat treatment of glauconite at 600°C and increases at 1000°C compared with the original sample, which is explained by various structural changes.
Valuation and Prognosis of Ecologic-Sanitary State for the Voronezh Water Basin in 2018–2019
Authors: Petrosyan V.S. , Antsiferova G.A. , Akimov L.M. , Kulnev V.V. , Shevyrev S.L. , Akimov E.L.
Published: August 2019

The paper considers the issue of changing the quality of water in the Voronezh reservoir due to its contamination with cyanotoxins. The authors give a forecast of the ecological and sanitary state of the aquatic environment and propose preventive environmental measures.
Designing in Context: Reaching Beyond Usability in Learning Analytics Dashboard Design
Authors: Ahn June , Campos Fabio , Hays Maria , Digiacomo Daniela
Published: August 2019

Researchers and developers of learning analytics (LA) systems are increasingly adopting human-centred design (HCD) approaches, with growing need to understand how to apply design practice in different educational settings. In this paper, we present a design narrative of our experience developing dashboards to support middle school mathematics teachers’ pedagogical practices, in a multi-university, multi-school district, improvement science initiative in the United States. Through documentation of our design experience, we offer ways to adapt common HCD methods — contextual design and design tensions — when developing visual analytics systems for educators. We also illuminate how adopting these design methods within the context of improvement science and research–practice partnerships fundamentally influences the design choices we make and the focal questions we undertake. The results of this design process flow naturally from the appropriation and repurposing of tools by district partners and directly inform improvement goals.
Chondroid metaplasia: a rare subtype of metaplastic breast carcinoma
Authors: DEMİRLİ ATICI Semra , SALİMOĞLU Semra , KIRMIZI Yasemin , KUZUKIRAN Dilek , AYDIN Cengiz
Published: August 2019

Metaplastic breast carcinoma (MBC)
is a subtype of breast malignant lesions which is very rare seen. Clinically,
MBC is more aggressive and has worse prognosis than other subtypes of breast
cancers. A 61-year-old female patient who had a rapidly enlarging and palpabl  mass on the left breast applied. Core biopsy
was performed and pathology was reported as  invasive ductal carcinoma. The patient who had
been diagnosed with breast cancer was  operated
and postoperative course was unremarkable. She was discharged postoperative
third day with no complication. Postoperative specimen pathology was reported as a rare
type of  breast metaplastic carcinoma
which was chondroid metaplasia. Here we aimed to report, a case of chondroid
metaplasia which is a rare type of metaplastic breast carcinoma with the
literature.
Social Problems and the Contextual Compromise: Subjectivity, Objectivity, and Knowledge in Everyday Life
Authors: Hier Sean P.
Published: August 2019

This article builds on recent sociological debates about the explanatory importance of claims-making contexts and the continuing challenges associated with subjectivism and objectivism in social problems research. The sociology of knowledge is used to illustrate how the contextual compromise that has sustained social problems theory and method for at least two decades is based on a number of erroneous assumptions about subjectivity and objectivity in the tradition of phenomenological analysis. To strengthen recent discussions about the contextual dimensions of claims-making activities and framing techniques, the article critically assesses the curious neglect and continuing misrepresentation of the sociology of knowledge in constructionist analyses of social problems.
An Analysis of Biographies in Collective Memory Research: The Method of Socio-Historical Analysis
Authors: Karacan Elifcan
Published: August 2019

This article explores the use of biographies in qualitative research about collective memory. It is argued that commemorative ceremonies, as well as changes appearing in macro-level structures within the time-span of individuals’ life histories need to be included when analyzing biographies in collective memory studies. The article suggests enhancement of the biographical case reconstruction method (Rosenthal 1993; 2004) with two additional stages: analysis of the experienced past with more emphasis on socio-historical transformations; and inclusion and analysis of the ethnographical data collected from collective mnemonic practices. By providing empirical data from the research conducted with political exiles in Germany, these analytical steps of the method of socio-historical analysis are demonstrated in detail.
Isolation and Antibacterial Activities of Actinomycetes from Rhizosphere Plant Cane (Saccharum officinarum) on Escherichia coli and Staphylococcus aureus
Authors: Sulistyanto Wahyu Nur , Trimulyono Guntur
Published: August 2019

The phenomenon of increasing human bacterial infections and increased resistance to antibiotics encourages the exploration of more antibiotic producers. One source of antibiotics comes from the Actinomycetes bacteria, the source of isolation comes from the rhizosphere of sugarcane plants because it is known in the rhizosphere to produce exudates that are beneficial to bacteria. The purpose of this study was to obtain Actinomycetes isolates and determine the antibacterial abilities of selected isolates. Initial isolation was carried out using Starch Casein Agar (ScA) media, then color grouping, Gram test and cell morphology observation. The next stage is testing the antibacterial activity carried out using the well method. Data obtained in the form of basic characters Actinomycetes, inhibition zone diameter and antibacterial activity count. The results showed that 4 isolates had antibacterial ability against test bacteria, among others, ACB34a isolates, ACB44c isolates, ACB44c isolates and ACB55c isolates. Based on the results of measurement and calculation of antibacterial activity against E. coli, it can be known in succession, among others, ACB44c isolates (9.62 mm2 / 10µl) and ACB54c (0.38 mm2 / 10µl), then antibacterial activity against S. aureus. among others, ACB44c (27.33 mm2 / 10µl), ACB54c (26.41 mm2 / 10µl), ACB55c (8.04 mm2 / 10µl), and ACB34a (8.04 mm2 / 10µl).
The Effect of Cocoa Leaf Extract (Dendrophthoe pentandra (L.) Miq.) on The Growth of Shigella dysenteriae and Salmonella typhi
Authors: Yunita Della Mahda , Waluyo Joko , Murdiyah Siti
Published: August 2019

Cocoa parasite leaves (Dendrophthoe pentandra (L.) Miq) belong to parasitic plants against hosts which are potentially used as traditional medicinal ingredients. However, the efficacy of cocoa parasite leaves is still not widely known by the public. One of the properties from cacao parasitic leaves is able to treat mild diseases such as smallpox, hookworm, flu, cough and diarrhea as well as being able to be used as a treatment for serious diseases such as tumors and cancer. The bacteria causing infection generally come from gram negative bacteria, namely Shigella dysenteriae and Salmonella typhi which refer to enteropathogenic bacteria causing infection to the host. The existing controls still use antibiotic drugs that are used less procedurally and causing bacteria more resistant. Cocoa parasite leaf extract contains active compounds in the form of alkaloids and saponins which play a role in inhibiting bacterial growth. This study aims to determine the effective concentration on the effect of cocoa parasite leaf extract to the growth of Shigella dysenteriae and Salmonella typhi bacteria. The research method was by using diffusion so that by using wells with 5 repetitions. The concentration used was 8%, 10%, 12%, 14%, 16%. Data were analyzed by using ANOVA analysis to determine the effective concentration on the effect of extracts to the inhibition of bacterial growth. The significant values were indicated at 0,000 against Shigella dysenteriae and 0.042 bacteria against Salmonella typhi (<0,05). The data revealed that cocoa parasite leaf extract has the potential to inhibit the growth of Shigella dysenteriae and Salmonella typhi bacteria.
PENINGKATAN HASIL BELAJAR PADA MATERI PETA DENGAN MODEL PEMBELAJARAN NUMBERED HEADS TOGETHER SISWA KELAS VII - B DI SMP N 1 SUMBERPUCUNG KABUPATEN MALANG
Authors: Putra Aris
Published: August 2019

Berdasarkan observasi yang dilakukan di SMP Negeri 1 Sumberpucung Kelas VII-B, diketahui bahwa pelaksanaan pembelajaran Geografi sebagian besar masih menggunakan metode konvensional. Siswa tidak dibebaskan untuk belajar sesuai dengan minatnya sehingga belajar menjadi membosankan kebanyakan siswa hanya duduk, diam, mendengarkan,  mencatat serta sibuk dengan pekerjaannya yang lain. Hal tersebut sangat berpengaruh pada hasil belajar siswa. Oleh karena itu, Numbered-Heads Togther mengajak siswa untuk menemukan gaya belajarnya dan mendapatkan pengalaman baru dalam belajar sehingga akan terjadi interaksi antar siswa. Penelitian ini menggunakan Penelitian Tindakan Kelas (PTK) yang dilaksanakan dalam 2 siklus. Siklus I membahas mengenai materi tentang peta umum yaitu peta yang berisi berbagai kenampakan secara umum misalnya peta dunia. Sedangkan siklus II membahas materi Atlas dan globe. Penelitian ini menggunakan pendekatan kualitatif dengan jenis Penelitian Tindakan Kelas (PTK) yang terdiri dari 2 siklus. Setiap siklus terdiri dari perencanaan, pelaksanaan, observasi dan refleksi. Tujuan penelitian ini yaitu untuk Mendeskripsikan  peningkatan hasil belajar pada materi peta dengan model pembelajaran numbered Heads Together (NHT) Siswa kelas VII- B di SMPN 1 Sumberpucung Kabupaten Malang Penelitian dilaksanakan pada semester genap tahun pelajaran 2013/2014 di kelas VII-B SMP Negeri 1 Sumberpucung. Subjek dalam penelitian ini berjumlah 38 siswa yang terdiri dari 18 siswa laki-laki dan 20 siswa perempuan. Dalam hal ini, peneliti menerapkan model pembelajaran Numbered-Heads Together untuk meningkatkan hasil belajar  siswa kelas VII-B SMP Negeri 1 Sumberpucung. Model pembelajaran Numbered-Heads Together terdiri dari 4 tahap dengan langkah-langkah sebagai berikut ; 1.Tahap penomoran,2.Tahap pengajuan Pertayaan,3.Tahap Berfikir,4. Berdasarkan penelitian ini dapat disimpulkan bahwa penerapan pembelajaran dengan menggunakan model pembelajaran Numbered-Heads Together dapat meningkatkan hasil belajar pada mata pelajaran Geografi siswa kelas VII-B SMP Negeri 1 Sumberpucung
PENGARUH PENGETAHUAN KEBENCANAAN TERHADAP SIKAP KESIAPSIAGAAN DALAM MENGHADAPI BENCANA PADA MAHASISWA PROGRAM STUDI PENDIDIKAN GEOGRAFI UNIVERSITAS KANJURUHAN MALANG
Authors: Kurniawati Dwi , Suwito Suwito
Published: August 2019

Pengetahuan merupakan faktor utama dan menjadi kunci untuk kesiapsiagaan. Pengetahuan yang dimiliki dapat mempengaruhi sikap dan kepedulian untuk siap siaga dalam mengantisipasi bencana. Pentingnya kesiapsiagaan merupakan salah satu elemen penting dari kegiatan pencegahan pengurangan risiko bencana yang bersifat pro-aktif sebelum terjadinya suatu bencana. Penting bagi mahasiswa program studi pendidikan geografi Universitas Kanjuruhan Malang memiliki pengetahuan kebencanaan serta kesiapan bencana yang baik. Tujuan penelitian ini antara lain: 1) Mengetahui tingkat pengeta-huan kebencanaan pada mahasiswa program studi pendidikan geografi Universitas Kanjuruhan Malang. 2) Mengetahui sikap kesiapsiagaan dalam menghadapi bencana pada mahasiswa program studi pendidikan geografi Universitas Kanjuruhan Malang. 3) Mengetahui pengaruh pengetahuan kebencanaan terhadap sikap kesiapsiagaan dalam menghadapi bencana pada mahasiswa program studi pendidikan geografi Universitas Kanjuruhan Malang. Rancangan penelitian ini menggunakan rancangan deskriptif kuantitatif. Desain penelitian cross sectional, yaitu hanya mengkaji masalah atau keadaan objek pada waktu penelitian berlangsung untuk melihat pengaruh tingkat pengetahuan kebencanaan terhadap sikap kesiapsiagaan mahasiswa. Proses pengumpulan dan pengukuran variable-variabelnya dilakukan pada waktu yang bersamaan. Populasi dalam penelitian ini adalah seluruh mahasiswa Prodi Pendidikan Geografi Universitas Kanjurahan Malang yang berjumlah 178. Teknik sampling dalam penelitian ini adalah Proportional random sampling, yakni sampel diambil  30% dari 178 mahasiswa sehingga diperoleh 53 mahasiswa. Berdasarkan hasil penelitian tingkat pengetahuan kebencanaan mahasiswa berada dikategori tinggi. Sikap kesiapsiagaan mahasiswa dalam menghadapi bencana berada dikategori sangat tinggi. Hasil pengujian hipotesis dengan uji t dan uji koefisien determinasi, maka ada pengaruh positif pengetahuan kebencanaan terhadap sikap kesiapsiagaan mahasiswa dalam menghadapi bencana. Hal ini berarti semakin tinggi pengetahuan kebencanaan maka akan semakin tinggi pula sikap kesiapsiagaan mahasiswa dalam menghadapi bencana.
Penerapan Model Pembelajaran Problem Solving Untuk Meningkatkan Hasil Belajar Siswa pada Tema Keadaan Alam dan Aktivitas Penduduk Indonesia Kelas VII D SMP Islam Ma’arif 02 Malang
Authors: Nawira Siti , Meviana Ika
Published: August 2019

Hasil pengamatan yang dilakukan di kelas VII D SMP Islam Ma’arif 02 Malang dijumpai beberapa permasalahan yaitu siswa kurang merespon apa yang dijelaskan oleh guru, kurang antusiasnya siswa saat pembelajaran, dan kurangnya komunikasi yang baik antar siswa sehingga menyebabkan hasil belajar siswa rendah. Bukti rendahnya hasil belajar dilihat dari persentase ketuntasan 33% dengan kategori kurang baik pada mata pelajaran IPS.Problem solving merupakan model pembelajaran yang melakukan pemusatan pada pengajaran dan keterampilan pemecahan masalah yang diikuti dengan penguatan keterampilan. Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa IPS pada tema keadaan alam dan aktivitas penduduk Indonesia kelas VII D SMP Islam Ma’arif 02 Malang melalui model pembelajaran problem solving. Rancangan penelitian ini menggunakan penelitian tindakan kelas model Kemmis dan Mc Taggard. Penelitian ini dilaksanakan di SMP Islam Ma’arif 02 Malang siswa kelas VII D tahun pelajaran 2017/2018 yang terdiri dari 27 siswa yaitu 15 siswa laki-laki dan 12 siswa perempuan. Instrumen yang digunakan dalam penelitian ini adalah tes, lembar observasi keterlaksanaan, dan catatan temuan lapangan.Berdasarkan hasil penelitian yang sudah dilaksanakan menunjukkan bahwa siklus I persentase hasil belajar siswa 59% dengan nilai rata-rata 71 dengan kategori kurang baik. Sedangkan pada siklus II persentase hasil belajar siswa 81% dengan nilai rata-rata 77,07 dengan kategori sangat baik. Maka dapat disimpulkan bahwa penerapan model pembelajaran problem solving dapat meningkatkan hasil belajar siswa. Meningkatnya hasil belajar siswa diduga karena; 1) diskusi kelompok, 2) tanggung jawab pembelajaran, 3) motivasi belajar, dan 4) tanya jawab.Berdasarkan hasil penelitian, disarankan kepada guru IPS SMP Islam Ma’arif 02 Malang agar dapat menerapkan model pembelajaran problem solving dalam upaya meningkatkan hasil belajar siswa. Hasil penelitian ini dapat digunakan sebagai; 1) referensi untuk dapat menerapkan model pembelajaran problem solving dengan tujuan untuk meningkatkan hasil belajar siswa, 2) pembelajaran diharapkan dapat dilakukan dengan baik agar mendapatkan hasil yang optimal.