bluuebunny/crossref_metadata_2025 huggingface dataset:
Simultaneous palmar-divergent dislocation of scaphoid and lunate associated with ipsilateral humeroradial joint dislocation and humerus shaft fracture:a rare case report and proposal of an additional subtype 
Authors: Feng Wan-Wen , Qian Yuan , Han Cheng-Xiang , Liu Yu-Ping
Published: March 2021

Simultaneous palmar dislocation of scaphoid and lunate is rare and currently classified into palmar dislocation as a unit and palmar-divergent dislocation. Up to now, nine cases of palmar-divergent dislocation of scaphoid and lunate have been reported, with one case associated with ipsilateral radial head fracture and another trapezium fracture. Here we presented a 31-year-old male who fell from a three-storey building and diagnosed as palmar-divergent dislocation of scaphoid and lunate associated with ipsilateral humeroradial joint dislocation and open humeral shaft fracture. To raise our awareness of concomitant dislocations or fractures resulting from the same violence transmission in the ipsilateral upper extremity and avoid missed diagnosis and thoroughly evaluate injuries severity, we proposed this injury should be an additional third subtype of palmar dislocation of scaphoid and lunate. Surgical sequence and options consider the location of concomitant dislocations or fractures. This report first performed debridement and internal fixation for humerus fracture and then close reduction for humeroradial joint dislocation. Finally, palmar-divergent dislocation of scaphoid and lunate was treated with open reduction and fixation by Kirschner's wires and only repaired the stronger palmar scapholunate ligament through a single volar approach. At a 3-year follow-up, the patient gained satisfactory wrist function and the humeral fracture healed without evidence of recurrent dislocations, collapse or avascular necrosis of scapholunate. We discussed the potential benefits of the stronger palmar scapholunate ligament repair through a single volar approach to treat palmar-divergent dislocation of scaphoid and lunate. In conclusion, we report a rare case of palmar-divergent dislocation of scaphoid and lunate associated with other ipsilateral dislocations or fractures originating from the same violence traveling and propose that these complex injuries should be subdivided into a third subtype in the modified classification of palmar dislocation of scaphoid and lunate. Once diagnosed, palmar-divergent dislocation of scaphoid and lunate is fit to receive an open reduction and fixation with Kirschner's wires and the stronger palmar scapholunate ligament repair through a single volar approach. A good outcome with an almost full range of motion and freedom from pain can achieve using this method.
Genetic variability of panicle architecture in traditional finger millets from Koraput valley of Eastern Ghats for crop improvement
Authors: Panda Debabrata , Tanty Amrita , Behera Prafulla K , Panda Aloukika , Lenka Kartik
Published: March 2021

Panicle phenotyping is most demanding targets in crop breeding programs as panicle is an important plant parts that influences the grain yield. Diversity of panicle traits were analyzed in 20 traditional finger millet genotypes and three hybrid varieties from Koraput valley of Eastern Ghats. Significant difference of panicle characteristics like panicle length, panicle number, panicle weight, flag leaf area, panicle angle and grain yield were observed in experimented finger millet genotypes. In regards to principal component analysis, the first two axis of principal component obtained 52.97% of total variation and reflected huge difference between explored genotypes. Highest positive loading was observed for leaf weight followed by panicle number, panicle weight and panicle length and leaf area and are the major determinant for phenotypic variability. All the studied traits showed maximized phenotypic coefficient of variation (PCV) over genotypic variation (GCV) and lower differences found among them. The genotypes showed maximum broad-sense of heritability value for grain yield (82.27%) and panicle weight (75.96%) compared to other traits. In addition, genetic advance as mean% (GAM) ranged from 11.01–29.26% and high GAM was recorded for panicle angle, leaf area, panicle weight, panicle number and yield. It revealed that these characters can be used as selection criteria in crop improvement program for improving grain yield. Traditional finger millet genotypes such as Bhadi, Murda, Telgu and Chilli recorded superior panicle traits and Limca and Kalia showed better grain yield at par with the hybrids, which can be utilized in future crop improvement program.
Does the guided online cognitive behavioral therapy for insomnia “i-Sleep youth” improve sleep of adolescents and young adults with insomnia after childhood cancer? (MICADO-study): Study protocol of a randomized-controlled trial
Authors: Peersmann Shosha , Straten Annemieke van , Kaspers Gertjan , Thano Adriana , Bergh Esther van den , Grootenhuis Martha , Litsenburg Raphaële van
Published: March 2021

Background: Adolescents and young adults who had childhood cancer are at increased risk for insomnia, due to being critically ill during an important phase of their life for the development of good sleep habits. Insomnia is disabling and prevalent after childhood cancer (26-29%) and negatively impacts quality of life, fatigue, pain and general functioning and is often associated with other (mental) health problems. Insomnia and a history of childhood cancer both increase the risk of adverse health outcomes, posing a double burden for adolescents who had childhood cancer. The first-line treatment for insomnia is cognitive behavioral therapy for insomnia (CBT-I). However, access to this type of care is often limited. The guided online CBT-I treatment “i-Sleep” has been developed to facilitate access via online care. i-Sleep is shown effective in adult (breast cancer) patients, but it is unknown if iCBT-I is effective in pediatric oncology. Methods/design: We developed a youth version of i-Sleep. Our aim is to evaluate its effectiveness in a national randomized-controlled clinical trial comparing iCBT-I to a waiting-list control condition at 3 and 6 months ( n =70). The intervention group will be also assessed at 12 months to see whether the post-test effects are maintained. Adolescents and young adults aged 12-30 years with insomnia, diagnosed with (childhood) cancer, currently at least 6 months since their last cancer treatment will be eligible. Outcomes include sleep efficiency (actigraphic), insomnia severity (self-report), sleep and circadian activity rhythm parameters, fatigue, health-related quality of life, perceived cognitive functioning, chronic distress, depressive- and anxiety symptoms and intervention acceptability. Discussion: Insomnia is prevalent in the pediatric oncology population posing a double health burden for adolescents and young adults who had childhood cancer. If guided iCBT-I is effective, guidelines for insomnia can be installed to treat insomnia and potentially improve quality of life and the health of adolescents and young adults who had childhood cancer. Trial registration: NL7220 (NTR7419; Netherlands Trial register), registered 02-August-2018
Toxicidad de zinc por exposición subletal en trucha arco iris (Oncorhynchus mykiss)
Authors: Nasri Fereshteh , Heydarnejad M. Saeed , Nematollahi Amin
Published: March 2021

TZinc (Zn), puede alterar diferentes procesos fisiológicos en peces, tales como, el crecimiento y los parámetros séricos. El objetivo de este estudio fue investigar la toxicidad de Zn en la exposición subletal de la trucha arco iris (Oncorhnychus mykiss). Los peces expuestos a niveles más altos de Zn crecieron más lentamente que los peces expuestos a niveles más bajos de Zn. El aumento de peso y la SGR (tasa de crecimiento específica) disminuyeron linealmente a medida que aumentó el nivel de Zn en el agua. El CF (factor de condición) de los peces cultivados en agua con una alta concentración de Zn, también disminuyó significativamente en comparación con la baja concentración de Zn, mientras que el índice de conversión de alimentos (FCR) aumentó con la concentración de Zn en el agua. Las actividades AST (Aspartate Transaminase) y ALT (Alanine Transaminase) fueron significativamente alteradas por el Zn y mostraron un patrón lineal y disminuyeron después de 30 días, mientras que los niveles de ALP (Fosfatasa Alcalina) mostraron un aumento notable desde un nivel medio de control. Este estudio sugiere que los parámetros bioquímicos de crecimiento y suero podrían usarse como biomarcadores importantes y sensibles para controlar la toxicidad de metales pesados en el estado de salud de los peces.
Relación genética entre toros de inseminación comercializados en Chile por distintas empresas proveedoras de semen: Un estudio de caso
Authors: Piñeira Vargas Jaime Enrique , Díaz Ortega Matías Alejandro , Cancino Lopez Olga Camila
Published: March 2021

La inseminación artificial (IA) es actualmente el manejo reproductivo preferido para la mayoría de los ganaderos que trabajan con razas de ganado internacionales como Holstein Friesian y Aberdeen Angus. En relación con esto, varios autores han descrito  que a lo largo de los años ha habido una alteración en parámetros de productivos, lo que se asociaría significativamente con un aumento en el grado de endogamia en los animales. Esta situación tendría su origen a nivel de los núcleos genéticos, en los que se llevan a cabo programas de mejora, debido al pequeño número de líneas familiares a las que pertenecen los animales seleccionados  como reproductores. Este estudio evaluó el grado de parentesco entre toros de inseminación Holstein Friesian y Aberdeen Angus comercializados en Chile por dos empresas de distribución de semen. Se estudiaron un total de 86 toros disponibles en catálogos hasta el año 2017. La información genealógica de cada toro se remonta hasta trastatarabuelo y luego se construyó un registro genealógico consolidado para cada raza. Este análisis consideró la estimación del porcentaje de endogamia (F) de cada toro y la construcción de una matriz de parentesco aditivo (A) entre los animales. Los resultados indicaron que el 99% de los toros Holstein y el 79% de los toros Angus están emparentados. Como resultado de lo anterior, se concluye que es esencial que en Chile se inicie un programa de gestión de información genealógica para controlar adecuadamente los niveles de endogamia y poder mitigar los problemas que puedan surgir a causa de este fenómeno.
PROFILE OF PRIMARY HEADACHE PATIENTS IN NEUROLOGICAL POLYCLINIC
Authors: Damayanti Yulia , Arisetijono Marhaendraputro Eko , Mardi Santoso Widodo , Rahmawati Dessika
Published: March 2021

Headache is the most common neurological disorder among all the symptoms of general health problems. Headaches are the most frequently complained of after back pain, which brings someone to the doctor and harms personal, family, social, quality of life, work, and finances. This study aims to find out the characteristics of primary headache patients in the neurological polyclinic, RSUD dr. Saiful Anwar Malang. The design of this research was an observational descriptive study of the filled headache questionnaire was to determine the characteristics of headache patients who visited the neurological polyclinic at dr. Saiful Anwar Malang with complaints of primary headache. The procedure of this research is to provide a questionnaire. The data analysis technique used is that the research variables will be presented in the frequency distribution table. The results of this research show that primary headache was more common in women as many as 19 people (61%) compared to male 12 people (39%). Most of the primary headache patients who came to the neurological clinic of Saiful Anwar Hospital were 30-60 years old. Tension-Type Headache (TTH) in this study had the highest percentage of 58%. In this study, cluster headache two patients all attacked women.
RPGs digitais educativos produzidos pelo grupo de pesquisa REDE-EDUCA: Uma breve descrição de suas metodologias e aplicabilidades
Authors: Santos Laura , Santos Filho Ivandson , Matta Alfredo
Published: March 2021

Este artigo trata a metodologia, a aplicabilidade e a relevância dos jogos de RPG digitais produzidos pelo grupo de pesquisa REDE-EDUCA da Universidade do Estado da Bahia (UNEB). O seu objetivo é compreender estes recursos digitais educativos de maneira pedagógica e crítica, analisando-os desde a época em que o RPG foi criado. O diferencial desses jogos educativos está baseado nas teorias vigotskianas e nas abordagens metodológicas Design-Based Research (DBR) que possibilitam a formação de instrumentos lúdicos que mediam a resolução de problemas por intermédio de planejamento de ações e tomadas de decisões. Além disso, este estudo lista alguns dos RPGs desenvolvidos pelo grupo, trazendo à tona seus contextos e suas finalidades, na qual cada um traz enredos diferentes, mas com um mesmo propósito: desenvolver nos jogadores a reflexão e a criticidade sobre o tema abordado.
Зависимость скорости роста и структуры III-V нитевидных нанокристаллов от площади сбора адатомов на поверхности подложки
Authors: Дубровский В.Г.
Published: March 2021

A theoretical analysis is presented for the growth rate and structure of III-V nanowires depending on the collection area of group III adatoms on the substrate surface. An expression for the maximum possible nanowire vertical growth rate is obtained and different reasons are analyzed for its suppression in different technologies. It is shown that the maximum growth rate is proportional to the collection area and inversely proportional to the squared nanowire radius. It is demonstrated that self-catalyzed GaAs nanowires grow or shrink radially at large or small adatom collection areas, respectively, having the zincblende crystal phase in both cases. The wurtzite phase forms in GaAs nanowires growing only axially at the intermediate adatom collection areas.
Управляемая дисперсия постоянных распространения TE-=SUB=-2-=/SUB=--мод тонкой левоориентированной пленки на керровской подложке вблизи частот нуля групповой скорости
Authors: Литвинов М.Р. , Спиридонова А.С. , Литвинов Р.В. , Конкин Д.А.
Published: March 2021

The dispersion of the propagation constants of TE2-modes in a thin left-handed film on a substrate with the Kerr effect has been considered in a narrow frequency range near the zero of a group velocity of the mode. It is shown that such dispersion can be controlled by varying the intensity of the light field with a change in frequency. The conditions, under which the propagation constants remain constant when the frequency changes, have been determined. Soliton-like wave packets have been considered.
Use of an app in skin cancer screening in pomeran immigrant communities in the state of Espírito Santo: An observational study (Preprint)
Authors: Frasson Patrícia Henriques Lyra , Salomão Amanda Da Silva , Lima Gustavo Ribeiro , Krohling Renato A. , Pacheco André G. C. , Krohling Breno , Biral Igor Peixoto , Moulaz Isac Ribeiro , Santório Eric Rocha , Careta Renata Scarpat , Fortes Monique , de Souza Flaviana Matos Gaudio , Macedo Telma Lúcia S. G. , Canuto Tania Regina Povoa
Published: March 2021

BACKGROUND

Cancer occupies the second leading cause of death in the world, behind only cardiovascular diseases. Among cancers, skin cancer is the most frequent in Brazil and worldwide. The University Extension Program entitled Dermatological Assistance Program to Pomeranian Farmers in Espírito Santo (PAD) of the Federal University of Espírito Santo, has been promoting prevention, diagnosis, and adequate treatment in the Pomeranian population of Espírito Santo since 1986, through joint efforts of medical care. The result of these joint efforts represents, on average, 300 doctor’s appointments, 500 to 900 cryotherapies, and 100 surgeries per county where the visits occur, promoted once a month.

OBJECTIVE

Currently, there is no set of public cancer-related data in the literature that provides information about clinical images and medical histories of affected patients. In partnership with the Engineering and Computer Science Sectors, the Dermatological Analysis Software (SADE) was created to store data and images of the skin lesions of patients operated by the program. The goal of this study was to evaluate the scenario of skin cancer in the communities served by the PAD, based on data stored at SADE between 2018 and 2019, totaling 2,935 visits during this period.

METHODS

This is a retrospective study carried out from the database collected via the SADE platform (Dermatological Analysis Software). The data is collected using the smartphone application, which connects to the local internet server to store the data. The application was developed using a specific type of Deep Learning model known as Convolutional Neural Networks (CNN). This model is trained using clinical images and patient demographic data collected using the software described above.

RESULTS

In view of the neoplastic lesions, 1,201 lesions were removed, which after histopathological examination showed 593 basal cell carcinomas (BCC), 95 squamous cell carcinomas (SCC), 81 melanomas and 48 associated BCC and SCC.

CONCLUSIONS

The results highlight the potential of the software to compose an application in the future that will help doctors in remote locations who have no training in dermatology, optimizing the referral of patients with suspected skin lesions to the specialist, aiming at a faster treatment and suggesting differential diagnoses that may not have been considered. The application of technological instruments in the identification of cancer is an increasingly current reality and its use is already widely used.
Diakonie unter Spardruck
Authors: Kundert Lukas
Published: March 2021

Lukas Kundert zeichnet in seinem Beitrag «Diakonie unter Spardruck» den Weg nach, den die Evangelisch-reformierte Kirche Basel-Stadt eingeschlagen hat, um ihr Wirken – insbesondere auch das diakonische Handeln – trotz «Mitgliederrückgang und Restrukturierungen» in erneuterter Art und Weise zur Geltung zu bringen.Er kritisiert andere Kirchen dahingehend, dass sich diese nach wie vor an einem volkskirchlichen Paradigma orientierten, wobei der Begriff Volkskirche « ist in diesem Verständnis immer das Bestehende» meine und fördere und nur in geringem Masse fähig und willens seien, Erneuerung und Innovation zu fördern. Den Hauptmovens für diese Beharrenskraft sieht Lukas Kundert im bestehenden System der Gemeindefinanzierung gemäss den «Pro-Kopf-Finanzen», was er als «unbiblisches Allokationsdogma» erachtet.Er führt sodann aus, wie die Basler Kirche in dieser Hinsicht neue Wege eingeschlagen hat, indem ihre Synode unter inhaltlichen Vorgaben bestimme, «welche Gemeinden unter welchen Umständen welche Mittel erhalten» und gleichzeitig darauf hinarbeitet, «einerseits Charismen zu fördern und andererseits dort einzugreifen, wo Unnötiges gemacht wird». In diesem neuen Förderungsmodell folgen sie dem «Anspruch, etwas Neues zu kreieren, das nur Kirche kreieren kann» und fördern darin «Selbständigkeit und Eigenverantwortung».
Einblicke in den europäischen Diakonie-Dachverband Eurodiaconia
Authors: Luzi Roland
Published: March 2021

Roland Luzi pflegt seit mehreren Jahren Beziehungen zum europäischen Diakonie-Dachverband Eurodiaconia und berichtet in seinem Beitrag «Einblicke in den europäischen Diakonie-Dachverband Eurodiaconia» von dessen unterschiedlichen Tätigkeitsschwerpunkten im Berichtsjahr. Aus dem vielfältigen Wirken, das rund 50 Mitgliedsorganisationen in 32 Ländern des europäischen Kontinents umfasst, hebt er drei Aspekte hervor:

- Die jährliche Generalversammlung stand im Zeichen eines angemessenen Umgangs mit «Fake News». Der Dachverband hielt fest, dass mediale Desinformation nicht allein die politischen Institutionen betreffe, sondern in der Folge auch die Glaubwürdigkeit der zivilgesellschaftlichen und sozialen Organisationen in Mitleidenschaft ziehe. In einer Erklärung bekräftigen die Mitgliederorganisationen, sich dadurch nicht einschüchtern zu lassen, sondern weiterhin in öffentlichen Diskursen die Stimme zu erheben für die Verteidigung der Rechte von Schwachen und Benachteiligten.

- Eine Studie des Dachverbands hat die Lebenssituation von Roma in Europa untersucht und verschiedene Herausforderungen eruiert (gesundheitliche Versorgung, Wohnsituation, Armut); die im Bericht gestellte Forderung nach einem verstärkten Einbezug der Roma in die gesellschaftliche Entwicklung betrifft gemäss Luzi auch die Schweizer Politik und die beteiligten zivilgesellschaftlichen Organisationen.

- Ein Treffen des «European Migration Networks» im Berichtsjahr hat sich genderspezifischen Aspekten der Migration gewidmet und festgehalten, dass für Migrantinnen besondere Herausforderungen bestehen, denen Unterstützungsorganisationen besonderes Augenmerk widmen müssen. Ein entsprechender Leitfaden mit Richtlinen für einen geschlechtersensiblen Zugang für Migrantinnen wurde daraufhin erstellt.
A Brief History of Sir Hugh Cairns and His Helmet Creation
Authors: Nunes Rabelo Nicollas , Mariana Rosa Lara , Umberto Pereira Carlos
Published: March 2021

Introduction: Sir Hugh Cairns was an Austrian physician who contributed much to neurology and neurosurgical practices. He created the anti-impact helmet for motorcyclists, which led to a significant reduction in mortality due to head injury. Besides, he performed tests and antibiotic treatments on neurological infections. He has made many publications on neurosurgical techniques that are used to this day. Method: This article discusses his biography and its several discoveries and contribution to medicine and society. Conclusion: Hugh Cairns was the inventor of the anti-impact helmet responsible for reducing head injuries from motorcycle accidents. He was a founder of the neurosurgery specialty at Oxford University. His surgical techniques and studies are widely used in surgical and student practices nowadays.
Estimulação Cerebral Profunda. Perspectivas da neuromodulação em desordens neuropsiquiátricas
Authors: Luis Novak Filho Jorge , Paula Bacchi de Meneses Ana , Sousa de Meneses Murilo
Published: March 2021

Introdução: A estimulação cerebral profunda (DBS – Deep Brain Stimulation) vem sendo empregada desde a década de 80 no tratamento de doenças motoras. Recentemente, suas aplicações em transtornos neuropsiquiátricos têm sido estudadas. Objetivos: Analisar a literatura recente quanto à aplicação de DBS no manejo de desordens psiquiátricas, tais como depressão maior, transtorno obsessivo compulsivo (TOC), depressão maior (DM), transtorno bipolar de humor (TBH) e síndrome de Tourette (ST). Metodologia: Buscou-se nos bancos de dados Scielo, Medline e PubMed os descritores “Deep Brain Stimulation”, “Depression”, “Obsessivecompulsive disorder”, “Bipolar Disorder” e “Neuromodulation”. Foram considerados trabalhos de estudos de série de casos, coorte, revisão sistemática e de metanálise publicados entre os anos de 1999 a 2019. Resultados: Foi realizada uma revisão de parte da literatura, levantando 43 artigos, dos quais 29 foram utilizados para a redação desse trabalho, somado a 3 capítulos de livro para uma breve descrição da técnica de DBS. Discussão: As normas para tratamento cirúrgico em doenças psiquiátricas, inclusive por DBS, são: doença primária, sintomas severos ou incapacitantes e refratariedade às demais formas de tratamento disponíveis. Trabalhos envolvendo pequenos ensaios clínicos randomizados apontam que DBS pode reduzir os sintomas do TOC, havendo melhora significativa na qualidade de vida a longo prazo, bem como redução de sintomas depressivos. Na DM, resultados satisfatórios foram obtidos em diferentes trabalhos. Ao analisar a resposta de pacientes submetidos ao DBS ao longo de 8 anos, houve efeito antidepressivo sustentado durante o seguimento. Em relação ao TBH, existem poucos trabalhos disponíveis com o uso do DBS. Em um estudo prospectivo de 2 anos, 7 pacientes com TBH foram submetidos a DBS e apresentaram relativa melhora dos sintomas depressivos. Nenhum deles apresentou episódios de mania ou hipomania. Na ST, observou-se melhora clínica utilizando o núcleo centro medial do tálamo e o globo pálido medial como alvos. Não foi encontrada uma padronização entre as desordens psiquiátricas tratadas por DBS e os diferentes alvos estereotáxicos. Conclusões: A introdução de DBS como alternativa terapêutica para distúrbios psiquiátricos ainda é relativamente recente na literatura médica, sendo necessária a realização de mais trabalhos para concluir sua real eficácia. Entretanto, os resultados revisados parecem promissores.
Aplasia Cutis Congenita. Case report and literature review
Authors: Isaac Cohen Moysés , Travessa Ribeiro Jefferson , De Almeida Costa Cleinaldo , Luís Westphal Fernando
Published: March 2021

Aplasia Cutis Congenita (ACC) is a rare condition characterized by congenital absence of epidermis, dermis and, in some cases, like this one, subcutaneous tissue and bone. It usually involves the scalp vertex. The estimated incidence is 3 in 10,000 births resulting in a total number of 500 reported cases till nowadays. The lesion can occur on everybody surface, but scalp is the most affected region (70% of the cases). In about 20% of cases there is bone lesion. ACC can occur as an isolated defect or can be associated with a number of other congenitally anomalies such as limb anomalies or embryologic malformations. In patients with large scalp and skull defects, there is increased risk of infection and bleeding along with increased mortality and therefore prompt and effective management is advised. Case presentation: We describe a child with ACC involving almost all skull, where it could be seen the brain only with arachnoid membrane. At presentation there was no Cerebral Spinal Fluid (CSF) leakage. And it was managed surgically. The child was operated on one time. It was covered with non-absorbable matrix and the skin was approached. Conclusion: There are multiple treatments for this condition. But there is no consensus on treatment strategies. Conservative treatment can be tried, especially when there is no bone lesion. The treatment must be individualized for each case.
Evaluasi Proses Implementasi Posbindu PTM Di Wilayah Kerja Puskesmas Simpang Sungai Duren Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi Tahun 2017
Authors: Putri Ramadhani Eka , . Hubaybah , . Asparian
Published: March 2021

Data Dinas Kesehatan Kabupaten Muaro Jambi tahun 2017 terlihat bahwa Puskesmas Simpang Sungai Duren merupakan Puskesmas terbanyak yang berhasil membentuk Posbindu PTM di Kecamatan Jambi Luar Kota. Persentase terbentuknya Posbindu PTM 77,8% berarti tujuh Posbindu PTM terbentuk di tujuh desa dari sembilan desa wilayah kerja serta ada lima Posbindu PTM yang aktif mengimplementasikan Posbindu PTM selama minimal satu tahun terakhir. Tujuan penelitian ini yaitu mengetahui proses implementasi Posbindu PTM di Wilayah Kerja Puskesmas Simpang Sungai Duren Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi. Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan studi kasus. Pengumpulan data melalui metode wawancara mendalam dan dokumentasi. Pemeriksaan keabsahan data memanfaatkan teknik triangulasi sumber, metode dan teori. Hasil evaluasi proses implementasi yaitu Posbindu PTM di Wilayah Puskesmas Simpang Sungai Duren telah melaksanakan pelayanan sistem lima meja. Pada masing-masing kategori implementasi terdapat beberapa kendala yaitu belum memiliki tempat khusus pelaksanaan Posbindu PTM, peran kader belum optimal, kurangnya jumlah kader, minimnya sumber dana, kurangnya koordinasi hasil kegiatan dengan pemangku kepentingan dan kader belum mampu memberikan edukasi KMS-FR serta pelaporan dengan sistem online. Ada perbedaan antara proses implementasi Posbindu PTM yang telah dilaksanakan dengan Standar Operasional Prosedur (SOP) pada pedoman implementasi Posbindu PTM.
Analisis Manajemen Pengelolaan Sistem Rekam Medis Pada Puskesmas Paal X Kota Jambi
Authors: . Hubaybah
Published: March 2021

Rekam medis merupakan salah satu dasar penilaian mutu pelayanan medik dari sebuah rumah sakit atau puskesmas. Petugas rekam medis mempunyai tugas dan tanggung jawab yang besar dalam menjaga keutuhan sebuah rekam medis. Petugas rekam medis diharapkan benar-benar mengetahui seluk beluk dari rekam medis secara luas dan mendalam. Tujuan penelitian ini adalah untuk mengetahui manajemen pengelolaan sistem rekam medis di Puskesmas Pal X Kota Jambi dalam rangka peningkatan mutu pelayanan Puskesmas kedepan. Penelitian ini dilakukan dengan metode penelitian kualitatif dengan wawancara mendalam  kepada informan. Subyek pada penelitian ini adalah petugas rekam medis, kepala puskesmas, dokter dan perawat.  Hasil penelitian menunjukkan bahwa petugas rekam medis yang ada di Puskesmas Pal X masih belum memenuhi standar, baik dari segi kualitas maupun kuantitas, tetapi dari segi pemahaman, petugas rekam medis di Puskesmas Pal X sudah memiliki pemahaman tentang rekam medis dengan cukup baik. Sarana dan prasarana yang ada di bagian rekam medis juga belum lengkap dan terbatas. Dalam pelaksanaan kegiatan, sudah dilakukan sesuai SOP yang ada, sehingga kerjasama antara petugas loket pembayaran dan upaya kesehatan perorangan juga dirasa sudah baik, begitu pula dengan alur rekam medis, sudah berjalan sesuai dengan SOP.
Analisis Kebutuhan Tenaga Administrasi Berdasarkan Beban Kerja Dengan Teknik Work Sampling Menggunakan Metode WISN Dalam Rangka Meningkatkan Mutu Pelayanan Unit Rawat Jalan Rs. Dr. Bratanata Jambi Tahun 2018
Authors: Wanri Arwansyah , Rahayu Sri , Trigono Abdun
Published: March 2021

Metode Workload Indicators of Staffing Need (WISN) merupakan salah satu cara dalam menghitung kebutuhan tenaga berdasarkan beban kerja nyata yang dilaksanakan oleh tenaga kerja. Penelitian dilaksanakan Dr.Bratanata Jambi, digunakan Teknik work sampling dan berlangsung Bulan Mei sampai Juni 2018. Penelitian ini menggunakan pendekatan kualitatif dengan metode work sampling. Penggunaan waktu kerja tenaga administrasi untuk aktivitas produktif sebesar 81.78 %, karena dibuat guna melaksanakan kegiatan yang berhubungan langsung dengan pelayanan, kegiatan non produktif ditemukan penggunaan waktu sebesar 4.621% dan kegiatan pribadi ditemukan penggunaan waktunya sebesar 13.58%. Waktu yang dipertimbangkan untuk pelayanan utama unit rawat jalan RS.Bratanata adalah pagi dan siang. Hasil penghitungan tenaga dengan metode WISN diperoleh tenaga administrasi berjumlah 4 orang, masih kekurangan tenaga sebanyak 2 orang dan beban kerja yang ada cukup tinggi. Disarankan untuk memilih tenaga administrasi yang berkompeten dibidang administrasi dan mengadakan pelatihan berkala untuk memaksimalkan mutu pelayanan.
Pola Perkawinan, Pola Konsumsi Dan Status Gizi Balita Orang Rimba Di Sungai Terap Dan Hajran
Authors: Kalsum Ummi , Halim Rd. , Fitri Adelina
Published: March 2021

Salah satu suku minoritas di Jambi yang hidup nomaden dan marginal adalah Orang Rimba. Hutan yang menjadi sumber penghidupan yang saat ini jauh berkurang membuat Orang Rimba semakin tak berdaya dan berakibat pada kematian karena kekurangan gizi, serta penyakit infeksi. Penelitian bertujuan untuk mengetahui gambaran pola perkawinan, pola konsumsi dan status gizi balita Orang Rimba dengan menggunakan disain penelitian kualitatif. Penelitian dilaksanakan dari bulan April sampai Oktober 2018. Hasil dari penelitian ini didapatkan sebesar 21,7% balita pendek dan 24% balita gizi kurang. Pola perkawinan kebanyakan dilakukan diantara keluarga atau memiliki hubungan kekerabatan. Pola konsumsi tinggi lemak, rendah sayur dan buah serta asupan energi bersumber dari ubi dan beras. Peningkatan aksesibilitas terhadap layanan kesehatan utamanya upaya promotif dan preventif dapat diberikan secara lebih paripurna dan berkelanjutan pada Orang Rimba.
Pengaruh Media Sosial Dalam Peningkatan Pengetahuan Dan Sikap Siswa Perokok Terhadap Pencegahan Stain Gigi Di SMA Negeri 1 Sei Lepan Kabupaten Langkat Tahun 2019
Authors: Prasetya Adi Wika , Rochadi Kintoko , Lumongga Namora
Published: March 2021

Dalam hal  mencegah perilaku merokok pada remaja dapat dilakukan tindakan promotif melalui pendidikan kesehatan dengan menggunakan media sosial. Stain gigi adalah noda coklat pada permukaan gigi dan merupakan salah satu masalah estetik. Tujuan penelitian untuk menganalisis pengaruh media sosial dalam peningkatan pengetahuan dan sikap siswa perokok terhadap pencegahan stain gigi di SMA Negeri 1 Sei Lepan, Kabupaten Langkat. Jenis penelitian adalah quasi experiment dengan rancangan pretest dan posttest. Penelitian dilaksanakan di SMA Negeri 1 Sei Lepan Kabupaten Langkat, total keseluruhan sampel dalam penelitian ini adalah 76 orang, yaitu kelompok intervensi dan kontrol dengan kuesioner. Hasil penelitian menunjukkan media sosial secara signifikan (p<0,05) memberikan pengaruh terhadap tingkat pengetahuan dan sikap siswa perokok terhadap pencegahan stain gigi, dibandingkan remaja yang tidak dilakukan intervensi dengan media sosial. Media sosial lebih efektif meningkatkan pengetahuan dan sikap siswa perokok terhadap pencegahan stain gigi. Disarankan kepada orang tua untuk menghindari perilaku merokok didepan anak dan memberikan edukasi tentang bahaya merokok yang dapat merusak gigi, pihak sekolah meningkatkan kerja sama dengan orang tua untuk membicarakan perkembangan akademik dan perilaku siswa.

Kata Kunci: Media Sosial, Merokok, Stain gigi
Analisis Tingkat Kepuasan Di Puskesmas Pakuan Baru Kota Jambi Tahun 2020
Authors: Rosnardi Ririn , Sugiarto Sugiarto , Hafiz Aidil
Published: March 2021

Kepuasan pasien pada salah satu penyedia layanan kesehatan di negara ASEAN tahun 2016 adalah sebesar 79% dan hal ini masih dibawah standar yang telah ditetapkan, dimana kepuasan pasien harus melebihi 80%. Mutu pelayanan kesehatan di Indonesia sendiri masih rendah dibuktikan dengan peningkatan angka kesakitan di Indonesia khususnya di Indonesia bagian timur yang mencapai 40%. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan teknik pengambilan sampel secara accidental sampling dan teknik analisis menggunakan Importance Performance Analysis (IPA) dengan diagram kartesius. Tingkat kepuasan pasien berdasarkan seluruh dimensi (tangible, responsiveness, reliability, assurance dan empathy) di Puskesmas Pakuan Baru Kota Jambi Tahun 2020 adalah sebesar 98,6%. Kepuasan pasien terhadap pelayanan di Puskesmas Pakuan Baru Kota Jambi berdasarkan seluruh dimensi kualitas pelayanan termasuk kedalam kategori sangat baik.

Kata Kunci: Kepuasan pasien, kualitas pelayanan
A NEW ALTERNATIVE SELECTION CRITERION FOR FAMILY OF SOME TRANSMUTED DISTRIBUTIONS BASED ON EXPONENTIAL DISTRIBUTION
Authors: TANIŞ Caner , AKDOĞAN Yunus , KARAKAYA Kadir , ÖZKAN Egemen
Published: March 2021

Although Akaike information criterion is the most popular selection criterion in the literature, it gives inconsistent results in determining the correct model according to other selection criteria in transmuted distribution families. We motivate a new extension of the Akaike information criterion in the solution of this problem. In this paper, we suggest a new selection criterion as an alternative to the Akaike information criterion for the family of transmuted distribution. We discuss special cases of this family based on exponential distribution. A Monte Carlo simulation study is considered to compare the performances of this new criterion with the Akaike information criterion. Also, a numerical example is presented.
Iatrogenic Coronary Arteriovenous Fistula From Contrast Induced Coronary Dissection of Chronically Occluded Right Coronary Artery.
Authors: Tahir Hassan , Fogelson Benjamin , Livesay James , Baljepally Raj , Hirsh Jeffrey
Published: March 2021

Iatrogenic Coronary arteriovenous fistula (CAVF) is a rare complication
of coronary intervention. Although acquired CAVF during percutaneous
coronary intervention (PCI) of chronic total occlusion (CTO) has been
reported, CAVF resulting from contrast injection into a right coronary
artery (RCA) CTO during diagnostic coronary angiography is very rare.
Lecturer Perceptions of General Education in Enhancing Self-Efficacy of Accounting Students
Authors: Naidoo Suntharmurthy Kristnasamy , Govender S.
Published: March 2021

The research paper aims to obtain the perceptions of lecturers on the influence of General Education in enhancing the Self-efficacy of accounting learners. Interviews with lecturers from Durban University of Technology (DUT) and Mangosuthu University of Technology (MUT) were conducted to tap into their views on the aspect of General Education and establish y impact on learners’ Self-efficacy. The researcher has observed, over many years of lecturing experience at the university that some learners are eager to learn and can address new tasks, while others appear uninterested or unmotivated. Many learners display a high degree of faith in their skills, while others appear uncertain of themselves. The question then arises: What strategies can a classroom teacher or lecturer use to increase learners’ confidence to learn new material? There is an opportunity for the improvement of General Education skills that can enhance learner performance. Hence, the main strategy would be to incorporate General Education Modules into the curriculum. Similar to General Education skills, there is also a lack of Self-efficacy in current learners. Further attention must be devoted to General Education skills, as these are essential. Moreover, these skills appear to be very poor amongst current learners and respondents believed that Self-efficacy could have a positive effect on the academic performance of learners. Methods for enhancing Self-efficacy reveal that the main strategies should revolve around innovative teaching, learning and research methods; increasing skills development such as critical thinking and computer skills; and promoting more Self-efficacy based workshops and programs.
Grupo terapêutico fonoaudiológico de linguagem: revisão de literatura integrativa
Authors: Silva Cinthia Procópio da , Jacob Regina Tangerino de Souza , Freire Thais , Crenitte Patrícia Abreu Pinheiro , Costa Aline Roberta Aceituno da
Published: March 2021

Objetivo: investigar os efeitos do grupo terapêutico em linguagem descritos em estudos brasileiros. Estratégia de pesquisa: a pesquisa foi realizada nas bases eletrônicas Biblioteca Virtual em Saúde (BVS – Bireme) e SciELO. Critérios de seleção: artigos de intervenção em linguagem, realizados em grupo; artigos disponíveis na íntegra e em língua portuguesa; população-alvo abrangendo pré-escolares, escolares, adultos e idosos; artigos publicados no período de 1980 a janeiro 2018; artigos de terapia direta. Critérios de exclusão: artigos de revisão de literatura; artigos repetidos entre as bases eletrônicas; artigos envolvendo terapias individuais ou terapia indireta. A partir dos critérios de inclusão e exclusão, dez estudos foram considerados e analisados. Foram realizadas análises descritivas dos estudos, considerando: ano de publicação, objetivo do estudo, amostragem, método de avaliação pré- e pós-intervenção, estruturação das sessões terapêuticas, referencial teórico e principais resultados. Resultados: verificou-se diversidade de objetivos terapêuticos, de estruturação dos atendimentos e faixa etária dos participantes, 40% dos autores descreveram o referencial teórico. Os instrumentos de avaliação foram relatados em 70% dos estudos. Portanto, constatou-se escassez de estudos que exploram os efeitos da terapia coletiva de linguagem. Conclusão: destaca-se a necessidade de maiores investimentos na realização e estruturação das terapias fonoaudiológicas em grupo e a divulgação dessas informações.
The Hermeneutical Value of Bodily Experiences for Art History Research
Authors: Idrobo Carlos
Published: March 2021

What does the observation of people walking have to do with interpreting paintings or other artworks, past or present? Can an old painting be ‘activated’ or invite the viewer to participate and experience it more actively? In this paper, I discuss some examples in which my own art research practice has found in bodily movements unexpected sources and ways to interpret paintings of the nineteenth and twentieth century, useful for expanding the analysis and understanding of the events in images. In this sense, I challenge the contemporary idea of an explicit viewer activating an artwork by exploring its utility when engaging art pieces of other time periods. I argue, without proposing a formula valid for every form of art, that bodily experiences like walking, observation exercises of bodies in motion, and even dance, might have a hermeneutical value when interrogating artworks. This approach offers new challenging ways of practicing art historical research and it encourages researchers to recognise these bodily experiences within the frame of their academic discourse.
Teachers’ Perspective on Student’s Right to Participation in Classroom Management
Authors: Thoyibi Muhammad , Hikmat Mauly Halwat , Prasetyarini Aryati
Published: March 2021

The study aimed at exploring the teachers’ perspective on the right of the child to participate in the seating arrangement and how the teachers resolved when values and norms were in conflict. The data were collected through questionnaires by accidental sampling technique from seven regencies in Central Java and East Java, Indonesia. The participants of the research were teachers at Junior High Schools and Senior High Schools. The results of the study showed the following findings. Firstly, 81% of the teachers stated that the students had the right to choose their own seats. However, half of the teachers excluded the rights of the students to choose with whom they sat. Secondly, practices in different schools, especially private and Islamic schools, demonstrated that religious norms played such a significant role in the school and classroom management that the values derived from the legal sources were subject to the aim of complying with the religious norms.

Keywords: Child Right to Participation, Classroom Management, Seating Arrangement, Teachers’ Perspective.
Professional and Public Accreditation as An Assessment of Agricultural Educational Program Quality in Russia
Authors: A. Medvedeva Natalya , G. Malkov Nikolay , L. Prozorova Marina
Published: March 2021

The aim of the study is to substantiate methodological approaches to the agricultural educational program development on the basis of a modular-competence-based approach, which provides training for the experts of the agricultural industry, capable of implementing a federal scientific and technical program in the future for the development of agriculture in Russia, taking into account the requirements of professional standards. Professional and public accreditation of agricultural educational programs will allow for an external examination of the educational program implementation level and quality in accordance with approved professional standards and develop recommendations aimed at student training level improvement. The study defines the role of professional and public accreditation provision in the interaction between the labor market and the vocational education system. The authors substantiated the modular-competence-based approach to the development of educational programs that contributes to human capital quality improvement in agriculture. In this paper, an algorithm has been developed to expert training quality improvement.In general, the result of the work will contribute to the training of personnel for the industry and will ensure the achievement of a balance of qualifications between the labor market and agricultural education.

 

 

Keywords: Accreditation, Agriculture, Education quality, Educational programs, Professional qualifications.
Conversational Mental Verbs In English Song Lyrics
Authors: Goyak Flora , Muhammad Mazura Mastura , Mohd Khaja Farah Natchiar , Zaini Muhamad Fadzllah , Mohammad Ghada
Published: March 2021

This corpus-driven study explores the linguistics phenomenon of mental verbs in English song lyrics from 1960s until 2000s. This study aims to identify the frequency distributions of lexical verbs, mental verbs, and to analyze the language uses of mental verbs in the Diachronic Corpus of English Song Lyrics (DCOESL). Quantitative and qualitative methods of analysis were implemented to complement each other. First, quantitative data covering frequency distributions of general verbs was produced via LancsBox. Top three mental verbs in song lyrics were selected for analysis and discussion. The frequency distributions of mental verbs and collocations were produced via LancsBox. Collocational patterns are illustrated through collocational graphs constructed via LancsBox. Frequency distributions of mental verbs were compared to reference corpus Contemporary Corpus of American English (COCA) for the purpose of generalizing the findings from this study as representative of English language. The statistical data were submitted for four statistical tests of significance namely Chi-square, Mutual Information, Log-likelihood, and t-score. Second, qualitative data are composed of corpus annotations. Corpus annotations were conducted via CLAWS for assigning part-of-speech C7 tagset to identify verbs. Semantic categories of mental verbs were identified via UCREL Semantic Analysis System (USAS). Findings uncovered the significantly high frequencies of mental verbs know, want, and love in English song lyrics through 1960s until 1990s. These three mental verbs possess high inclination to occur alongside personal pronouns I and you, depict social actions, high predilection for simple present tense, and simple sentence structure. These attributes illuminate that song lyrics emulate spoken English, predominantly the informal conversation register.

 

Keywords: Corpus Linguistics, Corpus Driven, Computational Corpus Linguistics, Mental Verbs, Song Lyrics.
Smart Phone Use among University Students
Authors: Yuen Fook Chan , Narasuman Suthagar , Abdul Aziz Norazah , Syed Mustafa Sharifah Muzlia , Tau Han Cheong
Published: March 2021

Smartphone users have increased to over two and a half billion people and it is predicted to rise to five billion by the year of 2020. These smartphone users have been spending an increasing amount of time and indicating an obsession with a virtual world. Obviously, smartphone users include students from secondary school to tertiary levels. Their constant engagement with mobile phones has raised questions of whether it has developed into an addiction that may have negative consequences on academic performance. With regards to these issues, the present study aims to examine problematic smartphone use, hours spent, factors and activities involved and possible risk of phone addiction among the university students in the Malaysian context. This study employs a descriptive research design to collect data. Data analysis was conducted using descriptive statistics such as mean, standard deviation, and frequency and percentage. Fifty-five out eighty students responded to a survey which was applied randomly among students from a public higher learning institution. The findings indicated that most of the students somewhat agreed that they used smartphones without any compelling reasons at very hour and that it induces emotional stability. The findings indicated that most of the students somewhat agreed that they used smartphones without any compelling reasons at very hour and that it induces emotional stability. The findings also imply that students were somewhat addicted to smartphone but at the same time they did use their smartphone for academic purposes. Consequently, it is expected that the findings from this study will help higher learning institutions to better understand the pattern of smartphone usage among university students and to reduce or control academically disruptive smart phone addiction behavior.

 

Keywords: Addiction, Mobile Addiction, Mobile Phone, Smartphone, University Students