bluuebunny/crossref_metadata_2025 huggingface dataset:
Non-use of Janani Avam Bal Suraksha Yojana in a district of Bihar: ensuring safe deliveries needs strategy modification
Authors: Mukherjee Madhumita , Singh Rashmi , Mukherjee Amrita , Bhattacharya Madhulekha
Published: July 2018

Background: India’s Janany Surakhsha Yojana (JSY) is the largest conditional cash transfer (CCT) program in the world in terms of the number of beneficiaries - covering about 9·5 million (36%) of 26 million women giving birth in India. Eleven States/UTs including Bihar, are still below the National estimate for institutional delivery of 78.9% (NFHS 4). In this study we attempted to find out the status of institutional and home deliveries in district Arwal of Bihar and reasons why in spite of cash incentives a proportion of mothers are opting for home delivery.Methods: A cross sectional descriptive design was used to interview 407 women, who had given birth to a child in previous one year. Focuss group discussions was held with community and health staff to corroborate the interview data.Results: Fifty nine percent of mothers were found to have preferred home delivery over institutional one. Reasons which came to light were home deliveries are cheaper (24.1%), unawareness about JSY (22%), unavailability of transport to reach hospital (22%) and better care being taken at home delivery (20.1%) variables. Older age, having a BPL card, and literacy of husband were found as favoring institutional delivery whereas dissatisfaction during a previous abortion or a livebirth in hospital were both associated with non-use.Conclusions: Better client awareness, strengthening of public health infrastructure, availability of skilled birth attendants at health subcentres (HSCs) and emergency transport in time can reduce number of home deliveries and lead to success of JBSY programme and subsequent reduction in maternal morbidity and mortality.
Discussões Envolvendo a Semipresencialidade na Formação do Professor de Física
Authors: Rosa Cleice T. Werner da , Vieira Bianca Stéfani , Dos Santos Antonio Vanderlei
Published: July 2018

O presente estudo investiga uma disciplina curricular operacionalizada na modalidade semipresencial, avaliando sua pertinência de acordo com os atores envolvidos. O foco centra-se na análise da percepção do professor e dos acadêmicos da disciplina e justifica-se pelo fato de que, ao mesmo tempo que essa modalidade se revela uma comodidade para os alunos, tem apresentado entraves que limitam sua utilização. A disciplina escolhida para análise apresenta 50% de sua carga horária em atividades na modalidade semipresencial e recorre à plataforma Moodle para desenvolver tais atividades. Para a coleta dos dados, utilizou-se entrevista semiestruturada com o professor da disciplina, além de questionário com os alunos que já cursaram a disciplina. Como resultado, o estudo apontou que, na percepção do professor, a modalidade se revela com dificuldade para os alunos que não têm o hábito de acessar os materiais no tempo correto e se mostram desorganizados para realizar as atividades. Em termos dos alunos, o estudo identificou que grande parte dos alunos tem familiaridade com o computador, mas que o uso da plataforma Moodle se mostra uma dificuldade nesse tipo de modalidade. Além disso, os alunos apontam problemas operacionais com a plataforma e a falta da presença do professor para auxiliar.Palavras-chave: Ensino semipresencial, Física, Formação de professores.  Discussions Involving Semipresenciality in Physical Teacher TrainingAbstractThe present study investigates a curricular discipline operationalized in a blended learning modality, evaluating its potentiality and challenges. The focus is the analyze of the teachers perception and of the disciplines academics and it is justified by the fact that, in the same time as the modality reveals to be a convenience to the students, it has presented hindrances that limit its use. The discipline chosen to be analyzed presents 50% of the workload in activities in blended learning mode and resort to the Moodle platform to develop such activities. For data collection, was used an half structured interview with the disciplines teacher and a quiz with the students that had already attended the discipline. As a result, the study points that in the teachers perception the modality reveals to be difficult to students that dont have the habit to access the materials in the correct time and show to be unorganized to realize the activities. In terms of the students, the study identified that most of the students have familiarity with the computer, but the use of Moodle Platform shows to be a difficulty in this type of modality. Besides that, students point a operational problem with the platform and the lack of presence of the teacher to help.Keywords: Blended learning, Physical, Teachers formation.
U Şekilli Betonarme Perdelerin Farklı Yatay Yük Etkileri Altında Doğrusal Olmayan Davranışı
Authors: ÇOLAKOĞLU Halit Erdem
Published: July 2018

Betonarme perde elemanlarının kayma
merkezlerinin belirlenmesi uygulanan kuvvetin kesitte burulma oluşturmadan sadece
eğilme meydana getirmesi bakımından önemlidir. Deprem bölgelerinde gerek
yapının güvenliğini sağlamak gerekse yer değiştirmeleri sınırlandırarak yapısal
olmayan elemanlarda meydana gelecek hasarları azaltmak  için perde elemanlara etkiyen yatay yüklerin
perdenin kayma  merkezlerinden
uygulanması burulma etkisini ortadan kaldırması bakımından önemlidir. Bu
çalışmada U kesitli betonarme perdenin, farklı 
yatay yük etkileri altında doğrusal olmayan analizleri  yapılarak, kayma merkezlerinin nonlineer değişimi
araştırılmıştır.
Five perils of the impact agenda in higher education
Authors: McCowan Tristan
Published: July 2018

The impact of higher education institutions on society has become the focus of significant policy attention in recent years, most prominently as part of research evaluation. This paper presents a theoretical exploration of the notion, identifying the key dimensions as source, form,
trajectory, intensity, timescale and destination. While acknowledging the importance of porosity between universities and society, and the need to address critical contemporary challenges, five dangers of the impact agenda are highlighted: the normative dimension; the linear relationship;
unpredictability; measurement; and instrumentalization. As a response to dominant conceptualizations, the paper proposes the notion of the generative intrinsic as a more robust basis on which to base the work of universities.
Migration and education: A narrative approach to the experience of foreign students in Portugal
Authors: Nada Cosmin Ionut , Araújo Helena Costa
Published: July 2018

Non-English-speaking countries are attracting burgeoning numbers of foreign students, yet research regarding these students' experiences remains rather scarce. In line with global tendencies, Portuguese universities are seeing substantial growth in foreign student enrolment. This paper
addresses the lived experiences of foreign students in the period following their arrival in a new cultural context, discussing the role that language and social support play in their adaptation. Rooted in a narrative approach, this paper is based on 41 indepth biographic interviews. The findings
indicate that the ways in which students deal with the challenges of living and studying in a foreign country are highly diverse. Nevertheless, a universal aspect of their narratives is the central role assumed by social support. Although social support has beneficial outcomes for foreign
students' adaptation, if provided inadequately it can lead to less positive outcomes and even to marginalization.
Do Socioeconomic Conditions Explain Ethnic Inequalities in Tooth Loss among US Adults?
Authors: Nazer Fatma W. , Sabbah Wael
Published: July 2018

Objective: To assess whether there are ethnic differences in tooth loss among adult Americans aged <40 years and whether socioeconomic position attenuates these differences if they exist.

Methods: Data were from the 2014 Behavioral Risk Factor Surveillance System, a health-related telephone cross-sectional survey of a nationally representative sample of US adults. Tooth loss (one tooth or more) was used as the outcome variable. Ethnicity was the main explanatory variable. Family income, education and health insurance were also used in the analysis. Logistic regression models for tooth loss were constructed adjusting for demographic (age, sex, and ethnicity), socioeconomic indica­tors (income and education), health insur­ance, dental visits, smoking and diabetes.

Results: A total of 76,273 participants were included in the analysis. The prevalence of tooth loss was highest among Blacks (33.7%). Hispanics and other ethnic groups had a higher prevalence of tooth loss than Whites, 29.1% (95%CI: 27.7-30.6), 22.0% (95%CI: 20.3-23.8), and 20.8% (95%CI: 20.2-21.4), respectively. Blacks had odds ra­tios (OR) 1.98 (95%CI: 1.81-2.16) for tooth loss compared with Whites. After adjusting for socioeconomic positions (SEP), the rela­tionship attenuated but remained significant with OR 1.71 (95%CI: 1.55-1.90).

Conclusions: Despite recent changes in the health care system in the United States, ethnic inequalities in tooth loss still exist. Income and education partially explained ethnic differences in tooth loss among Americans aged <40 years.

Ethn Dis. 2018;28(3):201-206; doi:10.18865/ ed.28.3.201
Insecticide Potential of Botanic Extracts Obtained from the Flora of the Brazilian North East Region
Authors: Soares Thayanne Nicolly de Araújo , Oliveira Vitor Leony Ferreira de , Dias Geovani Gonçalves , Lima Meridiana Araújo Gonçalves , Santos Carlos Alberto Batista
Published: July 2018

This article provides a literature review pointing out the relevance of plant extracts as an economically possible and ecologically sustainable alternative to the use of chemical compounds in the management and control of the insects in agriculture. The methodology was constituted in a literature review, through researches in Scielo and Lilacs, from 1990 to 2018. Organic farming is gaining importance in the Brazilian economy. The consumers are more and more conscious and demanding, choosing healthy foods, free from chemical residuals, deemed as harmful to the health. Botanic extracts can control insects and pathogens, providing no contamination for the soil, for the drinkable water sources, and leaving no toxic residuals in the environment. Studies focused on production and testing of these natural products deserve to be highlighted in the scientific literature. Only through the spreading of these studies, small producers and family farmers will access these informations.
Modelisation Hydraulique Mono Dimensionnel Par HEC RAS, Application Sur L’oued Aggay (Ville De Sefrou)
Authors: Lahsaini Meriam , Tabyaoui Hassan
Published: July 2018

The city of Sefrou, because of its geographical position, its cultural heritage and urban planning, than economically, is classified as one of the sites with a vulnerability particular to floods. Oued Aggay, the subject of this study, constitutes a danger potential because of the violence of its floods. In this perspective that comes this study that part of the creation and management of a spatial database on flood risk in the Sebou basin. It aims to spatialize the extent of the floods of Oued Aggay and propose solutions to protection the city of Sefrou against floods. The chosen approach goes through a hydrological study, the choice of profiles and the construction of onedimensional model from HEC RAS hydrology software. This study allowed us to simulate floods by statistical methods, identify flood zones and determine the different water levels in the flooded area for the Oued Aggay watershed.
Investigation of Diurnal Variation of Signal Strength Generated by FM Transmitter
Authors: Iwuji Prince Chigozie , Onuabuchi Victor Chukwuagozie
Published: July 2018

This paper focuses on the determination of the diurnal variation of signal strength generated by Orient 94.4 FM transmitter along six (6) selected route in Imo State, Nigeria. This was carried out with the aid of a constructed signal strength meter (SSM). Signal strength measurements were collected at different time, on different days, and in different months. The measurement was carried out at a constant distance of 20 Km. Arrangement was made with the management of the base station to ensure that the transmitting parameters were kept constant throughout the period of signal strength measurement. The average results of these measurements were taken. The data obtained from the measurements was plotted in a graph to establish the diurnal variation in signal strength along the different routes of signal strength measurement. It was observed from this research that transmission and reception of signals are dependent on the time of the day. High signal strength was noted between the hours of 8 am and 11 am, while low signal strength was recorded between the hours of 1 pm and 5 pm. Better signal strengths were recorded at night. The result of this study shows that signal strength generated by FM transmitter vary with time of the day and the prevalent weather conditions. Stronger signals are recorded mostly at night along the different routes of the study. The signal strength consequently drops in the afternoon and recovers in the morning hours.
Etat Oceanographique De La Lagune De Oualidia, Maroc (2011-2012)
Authors: Makaoui Ahmed , Idrissi Mohammed , Agouzouk Aziz , Larissi Jamila , Baibai Tarik , Ouehabi Zineb El , Laamel Mohamed Ait , Bessa Ismail , Ettahiri Omar , Hilmi Karim
Published: July 2018

The study of the Oualidia lagoon aims to establish the state of knowledge of the environment of this ecosystem after the construction of an inner dam in 2011 and the ecological functioning of the lagoon. For that, several campaigns were carried out between February 2011 and October 2012 and were the subject of a seasonal monitoring for the collection of the main biotic and abiotic parameters of the environment of this ecosystem. During the construction of the inner dam on 2011, a hydrological variability was marked in summer by low oxygen levels and maximum temperature variation between the two tides. Since the completion of the construction of the inner dam, there has been a significant increase in nutrients, mainly nitrogenous elements, and an increase in turbidity caused by an improvement in hydrodynamics, which has particularly increased of the sandpit modified the morphology and moved on south, creating a new main channel structure in 2011. This hydrodynamic was manifested on the upstream area by a decrease of the sedimentary organic matter due to the trapping of fine sediments in the inner dam. At the immediate level of the upstream area (Slikkes and Schorres), the hydrodynamic is relatively low, which has reduced the sedimentation rate on the upstream of the lagoon. The Oualidia lagoon is situated in a littoral zone influenced by the enrichment in deep cold waters loaded with nutritive salts, which invade it during the high tide, and would be, consequently after construction of the inner dam, protected from any confinement of the ecosystem.
Exploring Information Seeking Behavior of Farmers’ in Information Related to Climate Change Adaptation Through ICT (CHAI)
Authors: Tumbo Siza D , Mwalukasa Nicholaus , Fue Kadeghe G , Mlozi Malongo R. S. , Haug Ruth , Sanga Camilius
Published: July 2018

In Tanzania, agriculture sector is known for employing more than 70% of the total population. Agriculture sector faces many challenges including climate change. Climate change causes low productivity in agriculture; low productivity is caused due to poor implementation of agricultural policies and strategies. This poor implementation of policies has also caused many farmers to be not competent in climate change adaptation. Over the years, provisions of agricultural advice and extension were provided by various approaches, including training and visit extension, participatory approaches, and farmers’ field schools. However, provision of agricultural advisory and extension service is inefficient. Also, in most cases the usage of most agricultural innovations and technologies developed is limited. A literature review indicates that the main reasons given by Tanzanian farmers for not using improved technology are not lack of knowledge or skill, but rather that the technologies do not contribute towards improvements (e.g., the technologies are not profitable or they imply to high risk). Thus, agricultural extension service needs to be geared towards teaching farmers how to develop innovative and cost effective technologies that are contextualized. Limited numbers of agricultural extension staff and less interactivity of Information and Communication Technologies (ICTs), such as radio and television, have been mentioned to be among the factors limiting the provision of agricultural advisory and extension services to the majority of farmers in Tanzania. The advancements in ICTs have brought new opportunities for enhancing access to agricultural advisory and extension service for climate change adaptation. In Tanzania, farmers and other actors access agricultural information from various sources such as agricultural extension workers and use of various databases from Internet Services Providers. Also there are different web – and mobile – based farmers’ advisory information systems to support conventional agricultural extension service. These systems are producing bulk amounts of data which makes it difficult for different stakeholders to make an informed decision after data analysis. This calls for the need to develop a tool for data visualization in order to understand hidden patterns from massive data. In this study, a semi-automated text classification was developed to determine the frequently asked keywords from a web and mobile based farmers’ advisory system called UshauriKilimo after being in use for more than 2 years by more than 700 farmers.
Open and Distance Learning in French-Speaking Sub-Saharan Africa: A Literature Review
Authors: Béché Emmanuel
Published: July 2018

This article is a literature review on open distance learnings (ODL) in Francophone Sub-Saharan Africa (FSSA). The state of research on this question highlights many topics, such as the supporting reasons for the creation of ODL systems and their potentials. Success, difficulties, and issues linked to their implementation also hold a crucial place in this research. Besides, this literature review shows that studies on ODLs in FSSA emphasize the representations, motivations, and identities of students and university managers, including the historical and cooperative aspects of these third-generation learnings. While most of the research in this field are descriptive or exploratory, others are critical. Beyond these results, research must further explore many perspectives, mainly those related to teaching and learning practices, evaluation, social and university transformations, and the hybrid forms of learning.
Grit and Intention: Why Do Learners Complete MOOCs?
Authors: Wang Yuan , Baker Ryan
Published: July 2018

In recent years there has been considerable interest in how many learners complete MOOCs, and what factors during usage can predict completion. Others, however, have argued that many learners never intend to complete MOOCs, and take MOOCs for other reasons. There has been qualitative research into why learners take MOOCs, but the link between learner goals and completion has not been fully established. In this paper, we study the relationship between learner intention to complete a MOOC and their actual completion status. We compare that relationship to the degree to which MOOC completion is predicted by other domain-general motivational factors such as grit, goal orientation, academic efficacy, and the need for cognition. We find that grit and goal orientation are associated with course completion, with grit predicting course completion independently from intention to complete, and with comparable strength.
Technology Matters – The Impact of Transactional Distance on Satisfaction in Online Distance Learning
Authors: Weidlich Joshua , Bastiaens Theo J.
Published: July 2018

Transactional distance (TD), the perception of psychological distance between the student and his peers, his instructor/teacher, and the learning content, has long been a prominent construct in research on distance education. Today, distance education primarily takes place over the internet, with technology mediating engagement and communication. Because transactional distance in online distance learning will always rely on technologically-mediated communication or interaction, we argue that in order to get the full picture, this aspect of technological mediation needs to be considered. For this purpose, we introduce a new scale for measuring transactional distance between students and the learning technology (TDSTECH), comprised of two interrelated dimensions. Reliability, convergent, and discriminant validity suggest a suitable scale. Preliminary inferential analyses are conducted with multiple linear regression and mediation analysis. Regression models show that TDSTECH is the single most important predictor of satisfaction in this population. This may have important implications for practitioners trying design and facilitate satisfying online distance learning experiences. Also, mediator analysis reveals that TDSTECH mediates the relationship between TD student-teacher and satisfaction, but not for TD student-content. Surprisingly, TD student-student shows no significant relationship with satisfaction. Implications for practice and further research are discussed.
A Playful Approach to Fostering Motivation in a Distance Education Computer Programming Course: Behaviour Change and Student Perceptions
Authors: Pilkington Colin
Published: July 2018

The central role of motivation to learn in distance education has been noted, and gamification has been proposed as one approach to promote student motivation. This study explores promoting motivation in a distance education, third-year computer programming course via a gamified approach to improve coursework participation and student experience. Motivation was examined from a Self-Determination Theory (SDT) perspective, as gamified approaches often rely on external motivation and the explicit use of competition to engender internal motivation leading to desired behaviours. The results of using gamification in education are mixed, and its use is controversial. Two cycles of action research on the introduction of eight playful elements are reported on, and data relating to student engagement with the course and a student questionnaire was gathered. There was little evidence that the intervention led to behaviour change or improved scores; however, students responded very positively to the intervention, although some negative themes emerged. The extent to which the playful approach supported the basic psychological needs of SDT is discussed and the intervention’s results critically considered, including whether the effort involved in such an approach was worth it. It was concluded that such playful approaches might have positive motivational effects.
When Human Rights are not Enough
Authors: Kurniawan Joeni
Published: July 2018

Juridically, there have been quite a lot of legal instruments existing in Indonesia to protect human rights. These legal instruments include the Indonesian Constitution, which has special articles regulating about human rights, the Human Rights Act (the Law Number 39 of 1999), the National Commission for Human Rights, etc. Thus, normatively, all those legal instruments should be adequate to protect human rights in Indonesia, including the protection of the minority groups. However, the facts don’t seem in line with such expectation. There have been a lot of cases happened in Indonesia that bring this country into a serious question in its ability to protect the minority groups. The persecutions over the Ahmadiyah and Shia sects, the rejections against non-Muslim worship place establishments, and as the most recent one, the case of Jakarta’s governor Basuki Tjahaja Purnama, are some of the long sad stories showing how Indonesia is really poor in its performance to protect the minority groups. Identity politics and even a sentiment of racism are re-escalating in Indonesia today, which seems affirming the research findings got by the Wahid Foundation showing that 59.9% of 1520 of respondents from 34 provinces in Indonesia said that they have hatred towards some groups of their fellow citizen, such as those who are non-Muslims, Chinese-descents, communists, etc (Hakim 2016). Among this 59,9% respondents, 92,2% of them said that they highly oppose a person coming from those groups to become a governmental leader, and 82,4% of this people even said that they don’t want to have a neighbor coming from those groups (Hakim 2016). Such re-emergence of identity politics and sentiment of racism, as well as a frightening fact of hatred among people, really give a serious question about why all the human rights instruments which already exist in Indonesia seem to fail in preventing all those things to happen. In this article, I will show my hypothesis that all that sad news that happened in Indonesia in regard to the minority group protection are due to the failure of multiculturalism approach implemented in Indonesia so far. Thus, I will also propose the interculturalism approach to be implemented in Indonesia as the critique and refinement of multiculturalism approach in dealing with the multicultural society, including in regard to the minority groups protection.
Rejecting Religious Intolerance in South-East Asia
Authors: Rogers Benedict
Published: July 2018

This article is going to discuss religious intolerance in Myanmar and Indonesia. Religious intolerance in these two countriesis driven by extreme ideologies which reject tolerance and diversity. These ideologies influence society and generate a culture of discrimination. In Myanmar, Muslims and Christians face a campaign of hatred led by a militant ultra-nationalist Buddhist movement which has resulted in several outbreaks of violence in the past five years. The predominantly Muslim Rohingya people have been the most severely victimized, enduring grave human rights violations which some international experts describe as ‘ethnic cleansing’, ‘crimes against humanity’ and potentially genocide.In Indonesia, a country with a tradition of religious tolerance, radical Islamism has become an increasing threat to non-Sunni Muslim minorities, particularly the Ahmadiyya and Shi’a communities, as well as Christians and other religions and to Sunni moderates who work to preserve Indonesia’s pluralism. To challenge the pervasive influence of intolerance, a variety of imaginative strategies are necessary.Recommendations will call state actors, media and civil society to work together to combat hate speech narratives through all available channels: education, the judiciary, campaigning platforms, the media, legislation and international diplomacy.
Estratégia como prática para o enfrentamento da crise hídrica: Um olhar para os praticantes
Authors: Cruz Ivan Fernandes da , Carmo Luana Jéssica Oliveira , Ribeiro João Eduardo , Assis Lilian Bambirra de
Published: July 2018

O objetivo deste artigo é analisar, por meio de um estudo de caso, as estratégias implementadas pelos praticantes na Usina Hidrelétrica de Energia (UHE) Três Marias durante o período de agravamento da crise hídrica, sob a ótica da estratégia como prática. Para tanto, coube explanar sobre o conceito de estratégia como prática e seus elementos: prática, práxis e praticantes no referencial teórico.  O trabalho se constitui em um estudo de caso feito na Usina Hidrelétrica de Energia (UHE) Três Marias, localizada no Estado de Minas Gerais. Para a coleta de dados foram feitas entrevistas semiestruturadas. Obteve-se acesso a documentos como relatórios que também foram úteis à análise. Dentre os principais resultados verifica-se o relacionamento entre as ações implementadas e a teoria analisada, destacando os elementos da estratégia como prática. Além disso, percebeu-se que a tomada de decisão coletiva, a práxis, representou um atraso para as ações de enfrentamento da crise hídrica devido a interesses divergentes dos praticantes.
Magnesio, un electrolito algo olvidado
Authors: Miyahira Juan
Published: July 2018

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Efecto de la fisioterapia en un paciente con neurofibromatosis tipo II. Reporte de un caso
Authors: Granados Carrera Julio César , Espinoza Castillo Javier , Mego Vásquez Jimmy Alexander , Guzmán Huamán Eduardo
Published: July 2018

La fisioterapia en pacientes con lesión neurológica degenerativa puede mejorar la capacidad funcional permitiéndole una participación social activa y una mejor calidad de vida mientras la evolución de la enfermedad lo permita. Se describe los efectos de la fisioterapia en un paciente con lesión medular secundaria a Neurofibromatosis tipo II. La intervención se basó en terapias cardiorrespiratoria, funcional y deportiva. Se obtuvo en el paciente mayor funcionalidad para caminar, mejor autoestima y capacidad física para trabajar.
Más allá del aprendizaje electrónico
Authors: Orellano Carlos
Published: July 2018

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Physical Function–Tardive Dyskinesia (PATD) on Critical Patients in Intensive Care Unit
Authors: Suwardianto Heru , Richard Selvia David , Prasetyo Awal , Utami Reni Sulung
Published: July 2018

Introduction: Critical patients are patients who potentially get reversible dysfunction in one or more life-threatening organs and require care in the Intensive Care Unit (ICU).Methods: The objective of this research is to analyse the physical function-tardive dyskinesia in critical patients with sedation in the ICU. The design of this research is cross-sectional. The population is all of the critical patients in the ICU of the Baptist Hospital in Kediri. The purposive sample population was 41 respondents based on the inclusion and exclusion criteria. The variables are ‘giving the sedation’ and ‘physical function-tardive dyskinesia’. The data was collected using a Motor Activity Assessment, and the Sedation Scale for Critically Ill Patients and Tardive Dyskinesia Screening.Results: The results showed that giving sedation can slow physical function in the form of motor activity; the response of noxious stimuli (7.3%), response to touch or calling name (19.5%) and an increasing score of agitation and co-operative (4.9%). Symptoms of tardive dyskinesia increased after sedation in the form of tongue protrusion (4.9%), lip-smacking, puckering and pursing (2.4%), and rapid movements of the arms and legs. The administration of sedation in the first 24-hours in ICU patients affects the physical function of the critical patients (p = 0.005). Conclusion: Giving sedation affects the patients’ physical functions. Therefore, the prevention of the effects of sedation and treatment during ICU is needed in order to avoid a decrease in the physical function of critical patients.
Development of Supervision Model based Experiential Learning for the Implementation of Patient Safety Goals at Teaching Hospital in Surabaya
Authors: Maulidiawati Ita , Nursalam Nursalam , Nihayati Hanik Endang
Published: July 2018

Introduction: Patient safety is one of the demand of people who need health services. The hospital is required to fulfill the patient's safety goals. Nurses as health care providers have a risk of making mistakes and it can result in harm to the patient. The purpose of this research was to develop model of supervision based on experiential learning in the implementation of patient safety goals.Method: This research used explanatory survey. The samples were some of nurses who assigned to the ward of UNAIR hospital. The samples were selected by using stratified random sampling technique with total of 100 respondents. The variables in this research are supervision based on experiential learning and the implementation of patient safety goals. The data collection used questionnaires. The data were analyzed by using Partial Least Square (PLS).Result: The results of this study indicate that organizational characteristics and individual characteristics influence supervision based on experiential learning. Characteristics of the organization contruct by two indicators namely rewards and leadership systems. For individual characteristics, there are also two indicators that contribute on it, they are the ability and motivation. Supervision based on experiential learning affects the implementation of patient safety goals.Discussion: Supervision based on experiential learning uses four stages: concrete experience, reflective observation, abstract conceptualization and active experimentation. Supervision affects the implementation of patient safety goals by nurses in the hospital.
Protective Effects of Catechins Isolate From GMB4 Clone Green Tea Against EPC In Type 2 Diabetes Mellitus
Authors: Peristiowati Yuly
Published: July 2018

Introduction : This study aimed to evaluate the role of catechins isolates from GMB4 clone green to in the dynamics of endothelial progenitor cells (EPC) in type 2 diabetes mellitus (DM).Methods: 25 Wistar rats, were divided into 5 groups, including control group, type 2 diabetes mellitus group, treated daily administration of extracts of catechins isolate from GMB4 clones green tea at 20; 40; and 60 mg /kgBB doses for 6 weeks. EPCs analysis was performed by flow cytometry,levels of NO was performed using a spectrophotometer, serum levels of SDF-1a was performed with ELISA technique. Analysis of the expression of SDF-1 and CXCR-4 was performed using immunohistochemistry techniques.Results : The CD34+ and CD133+ count is lower in the DM group compared to the control group (P < 0.05). Of the three doses of catechins, only the highest dose were able to significantly increase CD34+ count compared to rats in the diabetes mellitus group (P < 0.05), Serum NO level is significantly higher in the DM the control group (P < 0.05). All three doses of catechins were able to significantly increase the expression of SDF-1a and CXCR4 in the aorta compared to the DM group or the control group (P < 0.05).Discussion :  It can be concluded that high dose cathecin isolate from GMB-4 clone green tea (60 mg/kgBB) may trigger the proliferation and maturation of EPCs in rats with type 2 DM in environment with high level of NO, involving the interacton between SDF-1a and CXCR4 in the aorta.
Quality of Life and Characteristics of Colostomy Patients
Authors: Ibrahim, SKp., MNS., PhD Kusman , Priambodo Ayu Prawesti , Nur’aeni Aan , Hendrawati Sri
Published: July 2018

Introduction: Colostomy imposed multiple impacts on the patient’s life including physical, psychological, social, and spiritual. This study aims to identify the level of quality of life as well as to examine the differences of quality of life among colostomy patients with regards to certain demographic characteristics.Methods: This study used a cross-sectional and descriptive analytical approach. Seventy-one colostomy patients were recruited purposively to participate in the study. The studied variables included quality of life and demographic characteristics. The data was collected by using the WHO Quality of Life – BREF instrument. One-way ANOVA and an independent t-test were employed to analyse the differences in quality of life with regards to certain demographic characteristics.Results: The study found that the majority of subjects perceived that their level of quality of life ranged between very low to moderate (77.4%). Satisfaction with support from friends was rated as the highest item of quality of life, whereas satisfaction with sexual relationships was rated as the lowest item of quality of life. There was no significant difference in the patients’ quality of life with regards to age group, educational background, occupation, length of being ostomate, sex, and other health problems.Conclusions: The study implied that nurses need to realise and pay attention to multiple aspects of stoma patient’s quality of life. Nursing care should not merely focus on stoma care but also holistically consider on meeting sexual needs, as well as the psychological, social, and spiritual needs of the patients.
Relationship Between Proactive Coping and Self-Care Management in Patient with Pulmonary Tuberculosis
Authors: Sukartini, M.Kes. Dr. Tintin , S.Kep Febrina Ramadhani , Hidayati, M.Kep Laily
Published: July 2018

Introduction: Patient with pulmonary tuberculosis not only experience physical problems but also face psychosocial problems and it can get worse during the treatment phase that gives impact on patients’ self-care. In order to prevent further impacts on patients, proactive coping is needed.  This study was aimed to identify the relationship between proactive coping and self-care management in pulmonary tuberculosis patients.Methods: This study was a cross-sectional research. As many as 105 respondents taken with consecutive sampling technique. The inclusion criteria of respondent were pulmonary tuberculosis patients both in intensive and continuous phase. This research was conducted in three primary public health care center in Surabaya, East Java, Indonesia. The variables were proactive coping that was measured by Proactive Coping Inventory (PCI) and self-care management that was measured by Self-care Management questionnaire. The data was analyzed using Spearman test.Results: This study showed that proactive coping had a positive correlation with self-care management in patients with pulmonary tuberculosis (p= 0.000; r= 0,848).Conclusion: This study shows a strong correlation between the variables, whereas the higher the level of proactive coping, the better the self-care management in pulmonary tuberculosis patients. Further research can find out the factors that influence the proactive coping in pulmonary tuberculosis patients thus can improve the self-care behavior.
Development of Leadership and Communication Skill Model on Midwifery Students in Physiological Delivery Practice
Authors: Utami Sri , Susilaningrum Rekawati , Susilorini Susilorini
Published: July 2018

Introduction: Currently there is a tendency for students only prioritising hard skills without improving their soft skills. This is indicated by the negative attitudes and actions such as delay task submission, bad time management, and a lack of commitment towards a task. The purpose of this research is to find out the model of leadership skill development and communication skill of the vocational Midwifery course.Methods: This study consists of two stages. The research type was observational and explanatory. The first stage used a cross-sectional design and the second stage was quasi-experimental. The subjects of the study for the first stage was 130 respondents, calculated by “rule of the thumb” and by purposive sampling. The second stage consisted of 38 respondents taken by random sampling. The exogenous variables are motivation, self-leadership strategies, job satisfaction, psychological empowerment, self-efficacy, and task commitment. The endogenous variables are leadership skill and communication skills. In the first stage, the data were analysed using PLS and the second stage used a Wilcoxon test with α = 0,05.Results: The variables of motivation, self-leadership and job satisfaction could improve communication skills. In stage 2 (after training), all of the variables increased significantly with p <0,05.Conclusions: Training using the self-leadership module can improve the ability of motivation, self-leadership strategies, job satisfaction, self-efficacy, psychological empowerment, task commitment, communication and student leadership skills.
Improving Nursing Work Services through Development Model of Quality of Nursing Work Life
Authors: Pujiyanto Tri Ismu , Suprihati Suprihati , Nursalam Nursalam , Ediyati Anastasia
Published: July 2018

Introduction: The performance of nurses in a hospital is influenced by the mental and emotional state of the nurse; the higher the workload, the greater the work stress of the nurse. It is a necessity to conduct research to explain a quality of nursing work life model based on the context of Indonesian nurses.Methods: The research process consisted of two stages: observational analytic and model trial. The first phase used cross-sectional design with cluster random sampling technique and obtained 102 samples. The second stage used a quasi-experiment design with pre-post test with control group design and obtained 33 samples. The data was analysed by Partial Least Squares and paired t-test analysis.Results: It was found that the number of the nurses with Burnout Syndrome in the hospital was 67.6%. The depersonalisation indicator in the low category was 73.5%, and the high category of self-achievement indicators had 89.2%.Conclusion: It can be concluded that improving the performance of care services is more effective through improving the quality of nursing work life. This study found that the nurses’ quality of life affected the increased nursing work service because their working scope involves interacting with other professions and the environment.
The Elderly’s Satisfaction with the Service Quality of a Community Geriatric Health Programme in Indonesia: a Cross-Sectional Study
Authors: Nursalam Nursalam , Hanafi Mochamad Cholid , Ulfiana Elida
Published: July 2018

Introduction: The achievement of the geriatric health programme is still under a number of government targets and the research about the satisfaction of elderly in contributing to this program still limited. This study aims to identify the correlation between the service quality of a geriatric health programme in the community with the satisfaction of older adults.Methods: The research design was cross-sectional and involved 277 elderly people as the respondents. The service quality was measured using a service quality (SERVQUAL) questionnaire with three different sub-variables of input, process and outcome. The elderly people’s satisfaction was examined using several parameters including reliability, assurance, tangibles, empathy and responsiveness (RATER). The data obtained from the questionnaires was analysed using the Spearman Rho test with a significance level of <0.05 to determine the correlation between the variables.Results: Good service quality provided satisfaction among the elderly. The Spearman Rho test result for input quality was p = 0.000 with a correlation coefficient of 0.705, while the test result for process quality was p = 0.000 with a correlation coefficient of 0.750. The outcome quality was p = 0.000 with a correlation coefficient of 0.766. The results showed that there is a relationship between the independent and dependent variables.Conclusions: Good service quality regarding the input, process and output of the service can enhance the satisfaction levels of the elderly. This study can be referred to as a parameter and evaluation for the PHC to maintain and improve the service quality standards for the elderly.
PERTANGGUNGJAWABAN ADVOKAT SEBAGAI GATEKEEPER DALAM KAITANNYA DENGAN TINDAK PIDANA PENCUCIAN UANG
Authors: Septia Yuristara Rendy Ardy
Published: July 2018

Advocates are the most vulnerable professions to be Gatekeepers in money laundering. Indeed, the advocate profession is part of the law enforcement apparatus that can contribute better in preventing money laundering activities to develop. Affirmation about the role of advocate that can suppress the occurrence of money laundering crime, that is with the issuance of PP. 43 of 2015, which places advocates as one of the reporting parties in the agenda of eradicating money laundering crime. However, the substance of the rule draws criticism from some misguided advocates in interpreting the intent and purpose of the arrangement. Moreover there are some advocates who consider that the rule is against the rules that regulate immunity rights in the profession advocate. The misinterpretation of some advocates related to the immunity rights inherent in the profession, causing the work of the advocate profession to be considered irrelevant, and not worthy of being called the nobleprofession (OfficiumNobile), But as a bad profession in integrity and promoting commercialization. In fact, the basic purpose of the arrangement of PP. 43 of 2015, which places the advocate profession as one of the reporting parties on the eradication agenda of money laundering, is a form of respect for the profession of advocate who is a noble profession, by prioritizing his professional responsibilities to the state, society and God, as well as his obligations as part of The legal profession to uphold the law and uphold the value of human rights while on duty.
KONSTITUSIONALITAS MODEL PENGISIAN JABATAN WAKIL KEPALA DAERAH DALAM PENYELENGGARAAN PEMILIHAN KEPALA DAERAH (PILKADA)
Authors: Prihatiningtyas Wilda
Published: July 2018

The local government is very important in the context of unitary state according to Indonesia Constitution (UUD NRI 1945). There is no constitution in the world that does not regulate important thing regarding to local government or state government explicitly. Therefore formulations charging a place on local government may be related parameter early governance in the region. There are 2 (two) important issues relating to constitutionality of model charging office deputy head of the regions in the regional head election. First, standing of deputy head based on the laws. Second, constitutionality of model charging office deputy head of the regions based on Law No. 1/2015 jo Law No. 8/2015. In this paper, there are 2 (two) models in placing the position of deputy head of region. First, the position is hierarchical under the head of the region with the argument that the deputy head of the region appointed by the head of the region. And second, the position of the deputy head of the region is considered parallel to the regional head because both are directly elected by the people in a package.
On Predicting Animal Evolution
Authors: Norman Stuart
Published: July 2018

The origination of most free-living animal species is predictable. ‘Light’ order in the producer trophic levels below is the key. Absent from the abiotic environment (pre-biotic level) and prokaryotes, ‘light’ order consists of differences in species composition between developed species-packed communities in which extinction may be the precursor of speciation, particularly ecologically comparable tropical lowland ones of Africa, Australia, India, and South America. Based on but not itself of matter and non-burnable, nil waste heat content ‘compensates’ for burned-up food energy. Where the amounts on pre-apical levels form an inverted pyramid like waste heat’s, occupancy of consumer levels from primary to apical is predictable (variation and selection assumed). Terminal non-inversion predicts post-apical vacancy. Examined communities were from grasslands (large carnivores, large grazing mammals, grasses) and woodlands (raptorial birds, insect-eating birds, butterflies, woody plants). Comparisons with Darwin’s and Lyell’s non-predictive theories of change are made. Implication for Gladyshevian thermodynamics v. Prigoginean dynamics is discussed. Linnaeus’s classificational system turns out to be rich with new and unsuspected content.
Disposable Optical Stretcher Fabricated by Micro Injection Moulding
Authors: Trotta Gianluca , Martínez Vázquez Rebeca , Volpe Annalisa , Modica Francesco , Ancona Antonio , Fassi Irene , Osellame Roberto
Published: July 2018

Micro Injection molding combined with the use of removable inserts is one of the most promising manufacturing process for microfluidic devices, such as Lab-on-a-chip, that have the potential to revolutionize the healthcare and diagnosis system. In this work we have designed, fabricated and tested a compact and disposable plastic optical stretcher. To produce the mould inserts, two micro manufacturing technologies have been used. Micro Electro Discharge machining was used to reproduce the inverse of the capillary tube connection characterized by high aspect ratio. Thanks to the high accuracy of femtosecond laser machining, instead, we manufactured insert with perfectly aligned microfluidic channels and fiber slots, facilitating the final composition of the optical manipulation device. The optical stretcher operation is tested using microbeads and red blood cells solutions. The prototype presented in this work demonstrates the feasibility of this approach that should guarantee a real mass production of ready-to-use- Lab-on-a-chip.