bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of Iatrogenic Pneumothorax, following Transthoracic Needle Aspiration Biopsy
Authors: KARA H.volkan , ERŞEN Ezel , KILIÇ Burcu , SARBAY İsmail , BAKAN Selim , TURNA Akif
Published: August 2018

Purpose:Pneumothorax
is the most common complication following Trans Thoracic Needle Biopsy (TTNB).
The treatment plan choice is either conservative treatment with high flow (8-10
lt) nasal oxygen  and  surgical treatment with chest tube is
still varying. The aim of this study to evaluate the treatment plans for
pneumothorax after TTNB and efficacy different treatment approachesPatients and Methods:This
is a retrospective cross-sectional study. Patients with pneumothorax following
TTNB  between January 2016 and
December 2017 are evaluated. According to the size of the pneumothorax, we have
created 3 treatment protocols consisting of follow up with high flow (8-10 lt) nasal
oxygen and –or chest tube insertion . The results were analyzedResults:There
were 187 patients who had CT guided TTNB for diagnosis of a lung mass. Of those
24 patients (12,8%) had pneumothorax following the procedure. Overall 9
patients needed chest tube (37,5 %) The mean hospitalization for the whole
group was 3,2 days There was no mortality or morbidity in the study group.Conclusion:

Pneumothorax
following TTNB may be seen.Our algorithm of 3 protocols depending on the size
of pneumothorax is simple to use and results successful.There is a need for a
multidisciplinary teamwork, close follow up and preparation for urgent chest
tube insertion.
DETERMINATION OF THE RATIONAL LENGTH OF THE BLOCK ALONG THE STRIKE FOR EXPANSION TO PROVIDE SAFETY AND EFFICIENCY IN THE WORKING OF THE MEDIUM THICK IN-CLINED COAL SEAMS WITH THE ROOM AND PILLAR SYSTEM IN THE QUANG NINH COAL BASIN
Authors: Pham Duc Thang , Vitcalov Victor G.
Published: August 2018

An analysis of the constraints that apply the technology and the complexities of the mining and geological conditions of the Quang Ninh coal basin. The possi-bility and expediency of using the foreign experience of working out of the me-dium thick inclined coal seams in the mines of Vietnam. The scheme of prepara-tion and working out of the excavation area is given in view of the technological features in difficult mining and geological conditions, using the room and pillar system and determination of the rational length of the block along the strike.
PREVALENCE, RISK FACTORS AND CLINICAL PRESENTATIONS OF BACTERIAL VAGINOSIS AMONG GROUP OF PREGNANT WOMEN IN LABOR WORD AT MATERNITY TEACHING HOSPITAL IN SULAIMANI CITY
Authors: Faris Gona , Nasir Sallama
Published: August 2018

Background 

Bacterial vaginosis is a major cause of vaginitis during pregnancy and it results in complications like preterm labor and low birth weight. This may be as a result from excessive growth of anaerobic bacteria in the vagina where it either replaces or reduces normal vaginal flora. 

Objectives 

To detect prevalence, risk factors and clinical presentation of bacterial vaginosis among pregnant women in Sulaimani Maternity Teaching Hospital

Patients and Methods

A cross sectional, quantitative-non experimental descriptive design. Sampling technique used was non-probability convenient sampling. The data collection was carried out from 16th December 2016 to 16th April 2017. One hundred women were selected from labor ward and a high vaginal swab was used to obtain discharge from the vagina, then transfer it immediately to Pharma Gen laboratory. Bacterial vaginosis were confirmed by Nugent criteria.

Results

Prevalence of Bacterial vaginosis was 25%, it was more in the age group of more than 35 years. Most of them were secondary school graduates, housewives, barely sufficient in their economic status, living in urban and were female with 2-4 gravidity. No relation was found between abortion, and early neonatal death with bacterial vaginosis. Excessive vaginal discharge, pruritus, dysuria, white discharge, and fishy odor are common symptoms. Steroids, antibiotics and diabetes mellitus found to be risk factors.

Conclusion

One quarter of studied women were affected by bacterial vaginosis, common among multigravida and older age. Clinical feature of purities, excessive vaginal discharge, and fishy odor are highly characteristics of this infection. Diabetic women, prolong use of antibiotic or steroid found to be risk factors.
Prescription pattern of drugs in ENT outpatient department of tertiary care teaching hospital
Authors: Joshi Usha , Banjara Hansa , Hishikar Rajesh , Chandrakar Ravindra
Published: August 2018

Background: Diseases of the ear, nose and throat (ENT) are common among general population affecting all age groups and accounts for most of the drugs prescribed and used. The aim of the study is to assess the prescription pattern of drugs in ENT outpatient department in a tertiary care teaching hospital.Methods: A prospective observational study was conducted from December 2017 to May 2018 in the ENT OPD (Outpatient department) at Pt. J.N.M. Medical College and associated Dr. B.R. Ambedkar Memorial Hospital, Raipur. Data were collected in a proforma and evaluated.Results: A total of 313 prescriptions were analysed. Most of the patients (40.89%) belonged to 13 - 35 years age group.185 patients (59.10%) were male and 128 patients were females (40.90%). A total of 1003 drugs were prescribed. The average number of drugs per prescription was 3.2. Most common class of drugs prescribed was antimicrobials (24.42%), followed by H1 antihistaminics (18.84%), antiulcer drugs (15.55%) and nonsteroidal anti-inflammatory (NSAIDs) drugs (14.35%). The average number of antimicrobials per prescription was 0.78. One or two antimicrobials were prescribed in 202 prescriptions (64.53%). The most common prescribed antimicrobial was of Penicillin group (64.89%) followed by Fluoroquinolone (25.71%). The most common prescribed route of drug administration was oral route (81.35%). The most common prescribed dosage form was tablets (74.87%). FDC constituted 24.62% of prescribed drugs.Conclusions: The study revealed that the most common class of drug prescribed was antimicrobials followed by H1 antihistaminics, antiulcer drugs and NSAIDS.
The Value of SPECT CT in Patient Management of Osteoarthritis of the Temporomandibular Joint
Authors: Bonte Bernard , Muylle Kristoff , Matthews Nigel Shaun
Published: August 2018

A 30 year old female patient presented in 2009 with severe bilateral temporomandibular joint (TMJ) pain, restricted mouth opening and tenderness over the masseter muscles. She was initially diagnosed with Wilkes Stage IV of the right and left TMJ. A diagnostic arthroscopy performed bilaterally failed to releave her pain. She was diagnosed with an isolated spondyloarthropathy of TMJ based on a positive test for HLA B. Further medicamentous treatment was unsuccesfull over subsequent months and years. CBCT of the TMJ showed discrete sclerosis of the right TMJ. Based on an additional SPECT-CT with 99 Tcm hydroxymetylene diphosphonate with significant increased uptake of the tracer in the right TMJ, the right TMJ was considered as end stage disease and a right total joint replacement (TJR) using a Zimmer Biomet custom made prosthesis was performed. A left TJR was performed 3 years.
A relevância da concessão de títulos de propriedade aos povos e comunidades tradicionais
Authors: Cajueiro Josiane Neves
Published: August 2018

O referido trabalho irá tratar da relevância da concessão de títulos de propriedade aos povos e comunidades tradicionais. O texto nos mostrará que esta permissão tem por objetivo fundamental demonstrar a importância da regularização fundiária para grupos prioritários, ratificando a necessidade deste processo para o desenvolvimento agrário do país. O método de procedimento adotado será o artigo científico, utilizado para realizar uma análise detalhada referente ao tema proposto, levando em consideração os fins a que se destina. Os resultados deste estudo apontam as dificuldades encontradas para a efetivação da concessão de títulos de propriedade aos povos e comunidades tradicionais, assim como, os grupos que merecem prioridade no que tange a efetivação desta política, como também serão apresentados à importância da ação conjunta dos órgãos públicos na árdua tarefa de titular terras a quem está nesta, de forma irregular. Com a execução da política de concessão de títulos de propriedade aos povos e comunidades tradicionais, será conhecido todo o território brasileiro, a fim de se aplicar políticas públicas voltadas para a realidade de cada região.
Fatores geradores de estresse em policiais militares: revisão sistemática
Authors: Marinho Mayelle Tayana , Souza Marina Batista Chaves Azevedo de , Santos Mairana Maria Angelica , Cruz Maísa Alves de Albuquerque da , Barroso Barbara Iansã de Lima
Published: August 2018

Este estudo teve como objetivo identificar os fatores geradores de estresse mais recorrentes em policiais militares descritos nas produções científicas. Trata-se de uma revisão sistemática pelo método PRISMA, realizada através das bases de dados: Pubmed, Scielo e BVS, utilizando os descritores “Military Police” AND “Polícia militar” OR “Occupational hazard” AND “Risco ocupacional” OR “Occupational stress” AND “Estresse ocupacional”, realizado em abril de 2015.  Identificaram-se 4.490 trabalhos, dos quais 4.424 foram excluídos depois da leitura do título, por não serem elegíveis. Dos 66 estudos, 17 foram descartados por serem duplicados, restando 49 artigos. Na leitura dos resumos, foram excluídos 16, que não estavam disponíveis online de forma completa. Assim, restaram 17 estudos, com exclusão de 07 por critérios de elegibilidade. As mulheres são as mais afetadas pelo estresse no trabalho na Policia Militar. Nas questões referentes à idade ou ao tempo de serviço, os mais novos ou com menos tempo de profissão são os que menos sofrem com os problemas relacionados ao estresse no trabalho. A elevada carga de violência à qual são expostos é outro possível indutor dos altos índices nos estudos levantados.
A KELM-Based Ensemble Learning Approach for Exchange Rate Forecasting
Authors: Wei Yunjie , Sun Shaolong , Lai Kin Keung , Abbas Ghulam
Published: August 2018

In this paper, a KELM-based ensemble learning approach, integrating Granger causality test, grey relational analysis and KELM (Kernel Extreme Learning Machine), is proposed for the exchange rate forecasting. The study uses a set of sixteen macroeconomic variables including, import, export, foreign exchange reserves, etc. Furthermore, the selected variables are ranked and then three of them, which have the highest degrees of relevance with the exchange rate, are filtered out by Granger causality test and the grey relational analysis, to represent the domestic situation. Then, based on the domestic situation, KELM is utilized for medium-term RMB/USD forecasting. The empirical results show that the proposed KELM-based ensemble learning approach outperforms all other benchmark models in different forecasting horizons, which implies that the KELM-based ensemble learning approach is a powerful learning approach for exchange rates forecasting.
The Acceptability of Religious Terms Translation in the Complete Idiot’s Guide to Understanding Islam
Authors: Yulianita Nadia Gitya , Nababan Mangatur , Djatmika Djatmika
Published: August 2018

This research aimed to find out the used translation’s techniques and the acceptability of the translation. This was a descriptive qualitative research and an embedded-case study. Based on semantic and relevance theory, the researcher determined good translation. This research was conducted by listing the religious terms found in The Complete Idiot’s Guide to Understanding Islam. Then, the researchers compared the source language and target language to identify the translation techniques. Finally, the researchers and raters assessed the acceptability of the translation by conducting Focus Group Discussion (FGD). The result shows that the translator uses established equivalent, borrowing, literal, particularization, generalization, transposition, reduction, addition, explication, and discursive creation. Besides, the average rate for the acceptability of the translation is 2,8 out of 3. It means that the translation is mostly in accordance with the norm and rule of language in the target text.
Investigating the Influence of Think-Pair-Share Approach toward Students’ Reading Achievement
Authors: Sumekto Didik Rinan
Published: August 2018

This research aimed at investigating the influence of think-pair-share approach on the performance of ninth-grade students’ reading achievement. This classroom action research involved 35 public secondary school students in Pandowoharjo, Sleman, Special Region of Yogyakarta. They were selected by purposive sampling method. Data collection used the naturalistic observation technique and narrative reading text in the selected meetings. After a series of reading activity, a twenty-numbers multiple choice test was given to all respondents. Data were analyzed by using mixed analysis; self-reflective spiral model and descriptive statistics. Think-pair-share stimulated students’ participation and performance in reading, in which it increased the functional communication, discussion, decision taking, and conflict reduction in groups learning. The finding also showed that students’ mean of readed performance was 63,85 in the first cycle and increased to 66,00 in the second cycle. These cyclical outputs fulfill the minimal passing grade criteria. This research concludes that applying think-pair-share as a suitably alternative learning approach that helps the students develop their collaborative skills.
The influence of G and T on the course of aggregation in treatment of medium polluted surface water
Authors: Mutl S. , Polasek P. , Pivokonsky M. , Kloucek O.
Published: August 2018

This paper summarises the preliminary results from the research into the influence that conditions of agitation have on the progression of the aggregation process and on some of the properties of formed aggregates affecting the efficiency of separation processes. These results show that the applied velocity gradient G, the period of its action T and the distribution of a velocity field in the agitated volume of water influence the number of aggregates, their size and shape in a significant manner. Smaller and denser aggregates of a homogeneous size that are more resistant to breaking up are formed with higher velocity gradient.
A novel chemical sensor with multiple all-solid-state electrodes and its application in freshwater environmental monitoring
Authors: Zhou Yifan , Mur Luis Alejandro , Edwards Arwyn , Davies John , Han Jiwan , Qin Huawei , Ye Ying
Published: August 2018

Freshwater quality detection is important for pollution control. Three important components of water quality are pH, ammonia and dissolved H2S and there is an urgent need for a high-precision sensor for simultaneous and continuous measurement. In this study, all-solid-state electrodes of Eh, pH, NH4+ and S2− were manufactured and mounted to a wireless chemical sensor with multiple parameters. Calibration indicated that the pH electrode had a Nernst response with slope of 53.174 mV; the NH4+ electrode had a detection limit of 10−5 mol/L (Nernst response slope of 53.56 mV between 10−1 to 10−4 mol/L). Ag/Ag2S has a detection limit of 10−7 mol/L (Nernst response slope of 28.439 mV). The sensor was cylindrical and small with low power consumption and low storage demand to achieve continuous in-situ monitoring for long periods. The sensor was tested for 10 days in streams at Trawsgoed Dairy farm in Aberystwyth, UK. At the intensively farmed Trawsgoed, the concentration of NH4+ in the stream rose sharply after the application of slurry to adjacent fields. Further, the stream was overhung with extensive vegetation and exhibited changes in pH, which correlated with photosynthetic activity. Measurements of S2− were stable throughout the week. Our data demonstrate the applicability of our multiple electrode sensor.
A bioflocculant-supported dissolved air flotation system for the removal of suspended solids, lipids and protein matter from poultry slaughterhouse wastewater
Authors: Dlangamandla C. , Ntwampe S. K. O. , Basitere M.
Published: August 2018

In this study, two previously identified isolates, i.e. Comamonas aquatica (BF-3) and Bacillus sp. BF-2, were determined to be suitable candidates to utilise in a bioflocculant-supported dissolved air flotation (Bio-DAF) system as a pretreatment system for poultry slaughterhouse wastewater (PSW). A 2% (v/v) (bioflocculant:PSW) strategy was used for the DAF to reduce total suspended solids (TSS), lipids and proteins in the PSW, by supplementing the bioflocculants produced and the co-culture (C. aquatica BF-3 and Bacillus sp. BF-2) directly into the DAF. The Bio-DAF was able to reduce 91% TSS, 79% proteins and 93% lipids when the DAF system was operating at steady state, in comparison with a chemical DAF operated using 2% (v/v) alum that was able to only reduce 84% TSS, 71% proteins and 92% lipids. It was concluded that the Bio-DAF system worked efficiently for the removal of suspended solids, lipids and proteins, achieving better results than when alum was used.
Peningkatan kapasitas kader dalam penerapan pemantauan pertumbuhan balita di Posyandu Padukuhan Sembung
Authors: Rubai Windri Lesmana
Published: August 2018

Permasalahan yang diteliti yaitu adakah perbedaan pengetahuan dan keterampilan kader terkait pelaksanaan posyandu balita sebelum dan sesudah diberikan pelatihan. Tujuan penelitian adalah mengetahui pengaruh pelatihan terhadap peningkatan pengetahuan dan keterampilan kader dalam menerapkan pemantauan pertumbuhan balita di posyandu sebelum dan sesudah pelatihan di wilayah Padukuhan Sembung, Desa Purwobinangun, Kecamatan Pakem, Sleman. Penelitian ini menggunakan dua metode berupa  eksperimen-semu dengan rancangan one group pre dan post test design dengan subjek berjumlah 11 kader dan semi-wawancara terstruktur pada 5 perwakilan kader. Variabel yang diteliti yaitu pengetahuan dan keterampilan sebelum dan sesudah intervensi serta pendapat kader tentang sikap dan lesson learn yang diperoleh selama mengikuti pelatihan. Skor pengetahuan diukur dua kali yaitu pre-test dan post-test. Dengan uji Wilcoxon didapatkan adanya perbedaan bermakna pada pengetahuan kader tentang pemberian makanan sehat bayi dan balita dengan nilai p=0,01 (p<0,05); perbedaan bermakna pada pengetahuan komunikasi dasar dan teknik penyuluhan dengan nilai p=0,01 (p<0,05); namun tidak ada perbedaan bermakna pada pengetahuan kader terkait prosedur umum posyandu. Untuk peniliaian praktik antropometri menggunakan lembar cheklistdidapatkan hasil bahwa kader menjadi lebih paham tentang prosedur penimbangan berat badan, pengukuran panjang badan dan tinggi badan, pengukuran LiLA dan lingkar kepala pada bayi dan balita. Lima perwakilan kader yang diwawancarai mengungkapkan bahwa mereka senang dengan adanya pelatihan yang diberikan karena membuat mereka lebih memahami  prosedur posyandu yang baik dan tepat, serta berharap kegiatan semacam ini dapat berkesinambungan. Intervensi pelatihan dapat meningkatkan pengetahuan dan keterampilan kader dalam menerapkan pemantauan pertumbuhan balita.
Kurikulum pendidikan kesehatan di sekolah sebagai upaya meningkatkan kesadaran hidup sehat sejak dini
Authors: Dila Afifah Nasyahta
Published: August 2018

Intervensi kesehatan terkait PHBS harus semakin berkembang terutama pada anak dan remaja selaku aset bangsa. Permasalahan perilaku tidak sehat terkait personal hygiene, kebiasaan sehat dan asupan gizi belum teratasi secara sempurna. Dinas Kesehatan Kabupaten Lumajang berupaya mengatasi masalah PHBS dan merokok pada anak melalui program Buku Harian Anak Terhebat (BHAT). Namun program ini hanya menjangkau siswa kelas 4 dan 5 SD serta belum menentukan strategi sustainabilitas program dan pencapaian harapan. Sedangkan masalah kesehatan bagi anak dan remaja semakin meluas. Kebiasaan merokok, pesta miras, penyalahgunaan narkoba, perilaku seks bebas, balapan liar hingga penggunaan media sosial yang menyimpang merupakan ancaman bagi anak dan remaja di Kabupaten Lumajang. Pemerintah seharusnya mulai merancang intervensi kesehatan untuk mencegah perilaku menyimpang dan tidak sehat bagi seluruh tingkat pendidikan di Lumajang. Salah satu upaya yang dapat dilakukan Pemerintah Kabupaten Lumajang untuk menciptakan kota ramah anak melalui pembentukan kurikulum pendidikan kesehatan. Pemerintah Kabupaten Lumajang dapat memanfaatkan lingkungan sekolah sebagai media penyampaian intervensi kesehatan karena berpotensi tinggi untuk diterima secara berkelanjutan oleh anak dan remaja dari berbagai etnis dan tingkat sosial ekonomi. Intensitas penyampaian intervensi kesehatan di sekolah mempengaruhi efektifitas dari pesan kesehatan, sehingga jika setiap minggu siswa menerima pendidikan kesehatan selama 1 jam pelajaran dan diberikan sejak tingkat SD hingga SMA maka upaya meningkatkan pengetahuan, sikap dan perilaku hidup bersih dan sehat sejak dini telah tercapai secara sustainabilitas. Pembuatan kurikulum pendidikan kesehatan membutuhkan kolaborasi lintas sektor. Dinas Kesehatan berperan sebagai middle manager melakukan lobbying terhadap Bupati untuk menyetujui program tersebut serta meminta dukungan lintas sektor. Dinas Pendidikan dan Kementerian agama sebagai technostructure merancang kurikulum pendidikan kesehatan di SD hingga SMA. Dinas Kesehatan juga memberikan sosialisasi dan capacity building bagi operating core yaitu Puskesmas dan sekolah terkait penyampaian pesan kesehatan yang efektif kepada anak dan remaja.
Dukungan keluarga dalam pemeriksaan inspeksi visual asam asetat (IVA) di wilayah kerja puskesmas Sukorame Kediri
Authors: Purnamasari Vivien Dwi , Artikasari Tiara
Published: August 2018

Kanker serviks sampai saat ini masih merupakan masalah kesehatan wanita di seluruh dunia baik di negara maju maupun berkembang. Pada tahun 2010 Kasus kanker serviks di Jawa Timur sebesar 1844. Salah satu deteksi dini dari kanker serviks yaitu terdapatnya pemeriksaan IVA di Puskesmas. Upaya yang dilakukan untuk meningkatkan pelaksanaan deteksi dini kanker serviks salah satunya dengan meningkatkan dukungan keluarga. Tujuan penelitian adalah menganalisis hubungan dukungan keluarga dengan pemeriksaan Inspeksi Visual Asam Asetat (IVA) di wilayah kerja Puskesmas Sukorame Kediri. Desain penelitian yang digunakan adalah survei analitik dengan menggunakan desain cross sectional. Populasi penelitian adalah wanita berusia 30-50 tahun berjumlah 18.245, sedangkan sampel dalam penelitian sejumlah 100 responden dengan teknik Accidental Sampling. Hasil penelitian diperoleh dukungan keluarga mendukung sebesar 60%, serta pemeriksaan IVA sebesar 79%. Kesimpulan penelitian ini ada hubungan dukungan keluarga dengan pemeriksaan IVA di wilayah kerja Puskesmas Sukorame Kota Kediri dengan p=0,000.Saran bagi fasilitas kesehatan untuk lebih meningkatkan keterjangkauan masyarakat terhadap pelayanan IVA dan meningkatkan frekuensi penyuluhan kesehatan kepada masyarakat mengenai pentingnya pemeriksaan IVA sehingga dapat meningkatkan kunjungan pemeriksaan IVA di Puskesmas Sukorame Kediri.
Efectos tóxicos del paracetamol en la salud humana y el ambiente
Authors: Acevedo-Barrios Rosa Leonor , Severiche-Sierra Carlos Alberto , Jaimes Morales Jose Del Carmen
Published: August 2018

En este artículo se detallan los efectos tóxicos del paracetamol en la salud humana y el ambiente, detallando las generalidades del paracetamol APAP. El metabolismo del APAP y factores potenciales que influyen en su toxicidad, pasando por estudios de toxicidad y por último el destino ambiental. El paracetamol es un analgésico de uso común, presenta alta hidrosolubilidad, eliminándose hasta un 90% por gluconación o sulfación; pero su metabólito N-acetil-para-benzoilquinoneimina en ocasiones se expulsa por medio de las heces y orina, volviéndose un compuesto toxico persistente. Se observan efectos crónicos principalmente en organismos acuáticos, a través de la exposición a diferentes concentraciones de APAP durante un prolongado período de tiempo.
Empleo del estropajo común (Luffa cylindrica) en la remoción de contaminantes.
Authors: Pereira-Martínez Ricardo Ignacio , Muñoz-Paredes Juan Fernando , Peluffo-Ordoñez Diego Hernán
Published: August 2018

Interesa a la ingeniería, el desarrollo biotecnológico de técnicas de tratamiento de agua para la remoción de contaminantes, aprovechando las propiedades de las fibras de Luffa cylindrica (FLc). Así lo exponen los argumentos explicados en varias investigaciones realizadas en todo el mundo en las que se describe un sugestivo escenario de razones válidas para considerar a la fibra del estropajo, como un material industrialmente promisorio y sostenible, apto para la realización de tratamientos de remoción de contaminantes y en la separación de sustancias inmersas en matrices fluidas. También explican la utilización de las fibras como matriz inmovilizadora para sostener comunidades microbianas activas implantadas con fines específicos; incluso, al comprender la arquitectura y las propiedades mecánicas de las FLc, se explora su utilización como agregado en la obtención de materiales compuestos, en la producción de nuevas sustancias y su capacidad para retener humedad. El presente artículo se refiere a la descripción de los procesos de adsorción e inmovilización en los que se ha involucrado a las FLc haciendo una revisión de experiencias investigativas. A la vez se estudian, los razonamientos que han permitido describir las técnicas y que posibilitan el aporte de soluciones al problema de la remoción de contaminantes y del tratamiento de agua.
Percepción local del componente arbóreo en fincas agropecuarias de la zona seca del norte del Tolima, Colombia
Authors: Sierra Ramírez Erika , Andrade Castañeda Hernán Jair , Segura Madrigal Milena Andrea
Published: August 2018

Se recopiló la percepción local de productores agropecuarios de seis municipios de la zona seca del norte del Tolima, Colombia, en relación con los árboles que mantienen en las fincas y sus interacciones con el ganado, suelo y biodiversidad; identificando diferencias entre fincas de tamaño mediano y grande. Se realizó un estudio descriptivo, para la compilación y representación del conocimiento agroforestal. Se hicieron entrevistas semiestructuradas a 14 productores por cada tamaño de finca. Los análisis descriptivos reconocieron los árboles representativos en la zona resaltando la presencia de la especie por tener características específicas, por ejemplo, más de 80% de los encuestados (>80%) dice que el Iguá (Pseudosamanea guachapele) presenta características para madera fina (82%), sombra (54%), estructura paisajística (36%) y forraje (11%). El uso del suelo presenta diferencias significativas en las áreas destinadas las actividades agropecuarias; sin embargo, no hay diferencias en las áreas destinadas a bosques y lotes de reforestación. La agricultura es la principal actividad en fincas medianas y grandes (72,9 ha ± 16,5 y 247,4 ± 53,0 ha, respectivamente). Los pobladores de la zona conocen las características de los árboles y su importancia; sin embargo, es necesario implementar prácticas de manejo para mantener e incrementar la sostenibilidad.
Acuerdos de pesca en los lagos de Tarapoto: Alternativa de gestión para los bienes comunes en la Amazonia colombiana
Authors: Trujillo Osorio Catalina , Escobar Liseth Johanna , Trujillo González Fernando
Published: August 2018

Se presentan las experiencias de gestión de recursos pesqueros en resguardos indígenas del Amazonas colombiano y los resultados y limitaciones del proceso adelantado para la construcción de acuerdos comunitarios de pesca. Se usó la metodología de investigación-acción-participación respondiendo al objetivo de crear estrategias para contrarrestar los problemas de agotamiento del recurso pesquero de los lagos de Tarapoto en el resguardo Ticoya y consolidar estrategias propias para fortalecer la capacidad de gobernanza interna del recurso pesquero dentro del territorio indígena. Se encontró que los acuerdos de pesca actúan como instituciones que regulan y optimizan el uso de bienes comunes de libre acceso, y consolidan la capacidad de gobernanza en territorios indígenas. Se concluye que la consolidación de un sistema propio de gestión debe ir más allá del control del recurso, evidenciando los esfuerzos locales por adoptar sistemas de manejo alternativo que se integren al modo de vida indígena y a los modelos de producción tradicional.
The Legacy Effect in Type 2 Diabetes: Impact of Early Glycemic Control on Future Complications (The Diabetes & Aging Study)
Authors: Laiteerapong Neda , Ham Sandra A. , Gao Yue , Moffet Howard H. , Liu Jennifer Y. , Huang Elbert S. , Karter Andrew J.
Published: August 2018

OBJECTIVE

To examine for a legacy effect of early glycemic control on diabetic complications and death.

RESEARCH DESIGN AND METHODS

This cohort study of managed care patients with newly diagnosed type 2 diabetes and 10 years of survival (1997–2013, average follow-up 13.0 years, N = 34,737) examined associations between HbA1c <6.5% (<48 mmol/mol), 6.5% to <7.0% (48 to <53 mmol/mol), 7.0% to <8.0% (53 to <64 mmol/mol), 8.0% to <9.0% (64 to <75 mmol/mol), or ≥9.0% (≥75 mmol/mol) for various periods of early exposure (0–1, 0–2, 0–3, 0–4, 0–5, 0–6, and 0–7 years) and incident future microvascular (end-stage renal disease, advanced eye disease, amputation) and macrovascular (stroke, heart disease/failure, vascular disease) events and death, adjusting for demographics, risk factors, comorbidities, and later HbA1c.

RESULTS

Compared with HbA1c <6.5% (<48 mmol/mol) for the 0-to-1-year early exposure period, HbA1c levels ≥6.5% (≥48 mmol/mol) were associated with increased microvascular and macrovascular events (e.g., HbA1c 6.5% to <7.0% [48 to <53 mmol/mol] microvascular: hazard ratio 1.204 [95% CI 1.063–1.365]), and HbA1c levels ≥7.0% (≥53 mmol/mol) were associated with increased mortality (e.g., HbA1c 7.0% to <8.0% [53 to <64 mmol/mol]: 1.290 [1.104–1.507]). Longer periods of exposure to HbA1c levels ≥8.0% (≥64 mmol/mol) were associated with increasing microvascular event and mortality risk.

CONCLUSIONS

Among patients with newly diagnosed diabetes and 10 years of survival, HbA1c levels ≥6.5% (≥48 mmol/mol) for the 1st year after diagnosis were associated with worse outcomes. Immediate, intensive treatment for newly diagnosed patients may be necessary to avoid irremediable long-term risk for diabetic complications and mortality.
More Similarities Than Differences Testing Insulin Glargine 300 Units/mL Versus Insulin Degludec 100 Units/mL in Insulin-Naive Type 2 Diabetes: The Randomized Head-to-Head BRIGHT Trial
Authors: Rosenstock Julio , Cheng Alice , Ritzel Robert , Bosnyak Zsolt , Devisme Christine , Cali Anna M.G. , Sieber Jochen , Stella Peter , Wang Xiangling , Frías Juan P. , Roussel Ronan , Bolli Geremia B.
Published: August 2018

OBJECTIVE

To compare insulin glargine 300 units/mL (Gla-300) versus insulin degludec 100 units/mL (IDeg-100) in this first head-to-head randomized controlled trial.

RESEARCH DESIGN AND METHODS

BRIGHT (NCT02738151) was a multicenter, open-label, active-controlled, two-arm, parallel-group, 24-week, noninferiority study in insulin-naive patients with uncontrolled type 2 diabetes. Participants were randomized 1:1 to evening dosing with Gla-300 (N = 466) or IDeg-100 (N = 463), titrated to fasting self-monitored plasma glucose of 80–100 mg/dL. The primary end point was HbA1c change from baseline to week 24. Safety end points included incidence and event rates of hypoglycemia.

RESULTS

At week 24, HbA1c improved similarly from baseline values of 8.7% (72 mmol/mol) in the Gla-300 group and 8.6% (70 mmol/mol) in the IDeg-100 group to 7.0% (53 mmol/mol)—least squares mean difference −0.05% (95% CI −0.15 to 0.05) (−0.6 mmol/mol [−1.7 to 0.6])—demonstrating noninferiority of Gla-300 versus IDeg-100 (P < 0.0001). Hypoglycemia incidence and event rates over 24 weeks were comparable with both insulins, whereas during the active titration period (0–12 weeks) the incidence and rate of anytime (24-h) confirmed hypoglycemia (≤70 and <54 mg/dL) were lower with Gla-300. Both insulins were properly titrated and exhibited no specific safety concerns.

CONCLUSIONS

Gla-300 and IDeg-100 provided similar glycemic control improvements with relatively low hypoglycemia risk. Hypoglycemia incidence and rates were comparable with both insulins during the full study period but lower in favor of Gla-300 during the titration period. The choice between these longer-acting basal insulins may be determined by factors such as access and cost, alongside clinical considerations.
A Somaestética e a filosofia pragmatista de Richard Shusterman: uma entrevista
Authors: Shusterman Richard , Azevedo Marques Estevez André , Velardi Marília
Published: August 2018

Richard Shusterman é professor de Filosofia na Florida Atlantic University. Sua filosofia é fortemente influenciada pela obra de William James e John Dewey e o estudo desses autores, somados à sua experiência com Educação Somática e outras práticas corporais, fizeram com que o filósofo desenvolvesse uma nova proposta: a Somaestética. A Somaestética é um campo interdisciplinar dedicado ao estudo das possibilidades e capacidades de percepção e apreciação estética do corpo, ou melhor, do soma. Buscando compreender como sua história se relaciona com o desenvolvimento da sua teoria e quais os rumos que a Somaestética tem tomado, especialmente na sua conexão com as artes, realizamos a entrevista que traduzimos para o português e disponibilizamos a seguir. As duas últimas questões referem-se ao universo do canto, por ser essa a área de estudo na qual nós nos centrávamos naquele momento. No entanto, acreditamos que o comentário do filósofo sobre o assunto pode ser esclarecedor e enriquecedor para questões que estejam para além dessa área específica.
Indivíduos e heróis, paixão e razão na história hegeliana
Authors: Bavaresco Agemir
Published: August 2018

A figura do herói aparece ao longo da trajetória intelectual de Hegel. Ele apresenta muitas figuras de heróis que atravessam a história, desde a antiga Grécia até a modernidade. Para compreender quem são os heróis, é preciso levar em conta a teoria da ação que justifica o agir do herói na história. Os indivíduos realizam seus interesses movidos por paixões particulares, porém, eles são aliados do universal, pois o resultado da atividade particular efetiva o universal. Ou seja, na ação de um indivíduo, o interesse particular e universal é inseparável do histórico universal. Hegel pensa a história conforme o princípio da liberdade que funciona como critério evolutivo da humanidade, ou seja, os povos que concebem a liberdade em grau mais elevado é que evoluem na história. O herói ou o grande homem estão inseridos dentro deste princípio da liberdade, agindo para implementar o espírito de seu tempo e o Espírito do mundo. Aqueles indivíduos que sabem combinar sua paixão pelos interesses subjetivos e sua paixão pelos interesses universais são os grandes homens da história.
Aula de Filosofia, na vaga crítica do esclarecimento
Authors: Valverde Antonio José Romera , Esteves Anderson Alves
Published: August 2018

O ensaio reflete acerca das possibilidades de uma aula de filosofia, voltada ao interesse do aluno de Ensino Médio, circunscrita pelas premissas do Esclarecimento: emancipação humana. Para tanto, desenha, criticamente, a ainda pontual necessidade de emancipação, para além das fronteiras ideológicas do Iluminismo, cujo florescimento esteve demarcado pelo nexo causal com as condições materiais, históricas e sociais de parte da Europa, do Século XVIII. O ensaio centra-se no artigo de Kant, “Resposta à pergunta: O que é Esclarecimento?” Porém, trata-o referencialmente, abrindo espaço para a reflexão acerca da aula de filosofia - a partir do texto kantiano e dos entornos filosóficos. Para tanto há indicações de passagens de Kant extraídas de outros escritos, que antecedem e balizam o núcleo central da reflexão do Prussiano. A par de inventariar, de modo circunstancial, a produção filosófica nacional acerca do Esclarecimento, em Kant. Além de motivações de como ler um texto de filosofia em sala de aula e as prováveis atividades desde outros textos e contextos.
Otel Çalışanlarının Tükenmişlik Düzeyinin Yaşam Doyumuna Etkisi
Authors: Şahin Seda , Şad Berna
Published: August 2018

Bu çalışmada, hem
bireysel hem de örgütsel anlamda sorun teşkil eden ve işletmelerde maliyeti
artıran tükenmişliğin otellerde incelenmesi
ile bu durumun çalışanların yaşam doyumuna etkisinin belirlenmesi amaçlanmıştır.
Bu amaçla Antalya ve İstanbul otellerinde çalışan 418 bireye anket
uygulanmıştır. Araştırma sonucunda; kadınların erkeklere göre daha fazla
tükenmişlik yaşadığı tespit edilmiştir. Ayrıca otelin konumuna göre tükenmişlik
ve yaşam doyum düzeylerinin farklılaştığı ve sayfiye bölgesindeki otellerin
daha fazla tükenmişlik ile daha az yaşam doyumuna sahip olduğu belirlenmiştir.
Araştırma sonunda otel çalışanlarının duygusal
tükenme, duyarsızlaşma, düşük kişisel başarı hissi ve genel tükenmişlik
düzeyleri arttıkça yaşam doyumunun azaldığı ortaya çıkmıştır.
Pembuatan Tabloid Dinamis Oleh Bagian Humas Setda (Sekretariat Daerah) Kabupaten Ciamis
Authors: Herdiansah Deni , Setianti Yanti
Published: August 2018

Penulisan artikel ini bertujuan untuk mengetahui  perencanaan, pelaksanaan dan evaluasi dari pengelolaan Tabloid Dinamis yang dilaksanakan oleh bagian Humas Sekretariat Daerah Kabupaten Ciamis. Metode penulisan yang digunakan adalah metode deskriptif dengan teknik pengumpulan data observasi, wawancara dan studi pustaka. Objek penelitian adalah Tabloid Dinamis. Tabloid Dinamis merupakan sebuah media komunikasi internal pemerintahan Kabupaten Ciamis untuk publiknya sebagai penyampai informasi pembangunan Kabupaten Ciamis. Proses pembuatan Tabloid Dinamis dibagi menjadi beberapa tahap, yaitu: tahap sebelum produksi Tabloid Dinamis meliputi perencanaan isi dan rubrikasi, pengumpulan informasi Tabloid Dinamis dan proses desain dan layout. Tahap produksi Tabloid Dinamis meliputi frequency, quantity dan proses percetakan Tabloid Dinamis. Tahapan setelah Produksi Tabloid Dinamis meliputi proses peliputan dan evaluasi. Kesimpulan dari penelitian ini adalah Humas Setda (Sekretariat Daerah) Kabupaten Ciamis dalam “Pengelolaan Tabloid Dinamis sudah melakukan tahapan-tahapan pengelolaan media dengan baik yaitu meliputi tahap sebe;um produksi, tahap produksi dan tahap setelah produksi. Saran dalam penelitian ini adalah agar lebih efektif sebaiknya memanfaatkan keadaan yang ada seperti pada saat peliputan acara pasti ada protokoler atau staf dari bagian lain yang hadir, lebih  baik bekerjasama dengan staf lain untuk proses peliputan sehingga berita tetap didapatkan meskipun tim peliput tidak ada di lokasi yang sama perlu dibuatnya rubrikasi yang pasti dan baik agar informasi yang disajikan dapat terpilah dan pembaca dapat mencerna dan mencari informasi dengan lebih baik.
Aktivitas Inhibitor Alfa-Amilase Beberapa Tumbuhan Obat Indonesia
Authors: Rijai Akhmad Jaizzur , Suganda Asep Gana , Iskandar Elin Yulinah
Published: August 2018

Diabetes and its complication was major causes of death in most countries compared HIV/AIDS, tuberculosis and malaria. One approach in the treatment of diabetes is by slowing down the glucose absorption in the gastrointestinal tract, its can be achieved by inhibition of hydrolizing enzymes such as ?-amylase so the absorption of glucose becomes slow. This research aim was to determine the ?-amylase inhibitor activity from aqueous extract from some tradicional medicine plant such as daun insulin (Smallanthus sonchifolius (Poepp.) H.Rob), kembang bulan (Tithonia diversifolia (Hemsl.) Gray), bodhi leaf (Ficus religiosa L.), and Mahogany seeds (Swietenia mahagoni (L.) Jacq.). Extraction was done by reflux method using aquadest as a solvent. Extracts were obtained by freeze drying and tested for ?-amylase inhibitory activities. The IC50 value of daun insulin (EADI), kembang bulan leaf (EADKB), bodhi leaf (EADB) mahogany seeds (EABM) aqueous extract and acarbose as reference were 282,53; 473,85; 423,01; 220,91; and 3,42 ?g / mL, respectively.

 

Keywords: alfa-amylase, traditional medicine plant, diabetes, IC50 and aqueous extract.
INSTAGRAM USE TO ENHANCE ABILITY IN WRITING DESCRIPTIVE TEXTS
Authors: Soviyah Soviyah , Etikaningsih Diana Rahayu
Published: August 2018

Technology is changing the world we live in. It affects the way people see, think, and learn their environment and communicate with others. In the educational field, there have been previous studies revealing the positive attitudes toward the use of mobile devices and applications. However, the empirical studies of the practice of how to use a specific mobile device and application effectively are done in a limited scale. Taking the experimental research method, this study investigated the effectiveness of the use of Instagram application on the students� performance in writing descriptive texts. The main research question was centred around whether there was significant difference in the ability of writing descriptive text between students who were taught using Instagram and those who aren�t. Involving random sampling technique, this study involved 50 students of a private high school in Yogyakarta as the research sample.� The empirical data were collected through pre and post tests. The data were analyzed quantitatively applying t-test computation and descriptive analysis. Results of the study indicate that there is significant difference in students writing score between those taught using Instagram and those who aren�t. In conclusion, teaching students writing by using Instagram pictures are more effective than teaching without using Instagram pictures. In other words, the use of Instagram is effective in teaching writing descriptive texts. �Keywords: technology; Instagram; experimental research; writing descriptive text.
PROBLEMS IN USING LANGUAGE LABORATORY IN ENGLISH LISTENING INSTRUCTION
Authors: Akhdiyati Feby
Published: August 2018

This study is aimed at describing problems faced by both teachers and students in learning listening using language laboratory in SMA Sandikta, Bekasi and providing solutions to overcome those problems. The participants of the study are the eleventh-grade students of SMA Sandikta. The results of the analysis showed that there are some problems faced by the teacher and the students. The problems faced by the teacher include (1) the problems related to the teacher�s proficiency like being unable to identify the error of machine, (2) insufficient collection of master tapes which makes problem for the teacher to accommodate the material, (3) too long material make the students bored, the teacher has difficulties to select of material, and (4) the attitude of the teacher and students toward language lab. On the other hand, the problems faced by the students are (1) students� lack of vocabulary, (2) physical aspects of students like boredom, and (3) the teacher did not give the tapescript, the students just memorize the dialog. For that reason, it was suggested to all parties to improve the knowledge in optimalizing the language laboratory.Keyword: ability; language laboratory; listening; action research.
IMAGE BUILDING THROUGH EFL TEXTBOOK �MY PALS ARE HERE� TO STUDENTS IN KUPANG, EASTERN INDONESIA
Authors: Jonathans Peggy
Published: August 2018

English textbook is supposed to display society traditions and civility to encourage intellectual conversation among students. Even at earliest stage, young students can grow thoughtful principles of living in diversity and respectful among multicultural and religious community. The heart of moral values in students� English book is expected to effectively address social and moral problems of society and to maintain the harmony of living. �My Pals are Here� English textbooks for primary schools, presents EFL/ESL Asia themes. This motivates one private primary school in Kupang, eastern Indonesia to use this book believing that their students are part of international and wider community and engaging them in more Asia perspectives with attractive and colorful world teaching them many good values. By elaborating humanistic approach in the book content, this book achieves to deliver daily issues encountered by Asian children living more progressively with the introduction of many discourses in Asia and beyond without such pigeon holed the context of the book to very narrow scope. This discussion paper therefore aims to look at and discuss the input established within the book through the language and topic contents, as well as social and cultural values underlying the content, and the virtues addressed to the children. Images built within this book depicted through illustrations, figures, negotiation of meanings and interaction which extensively encouraged and performed from tasks given. The textbook succeeds to show self-identity of Asia throughout the content. Keywords: Language Content; Subject Content; Moral Values; Images.
CULTIVATING CRITICAL THINKING ABILITY IN BTI IN CHINA
Authors: Wei Yuehong
Published: August 2018

It is very vital for students in BTI to grasp the critical thinking ability, but how to cultivate this ability in the fundamental courses is a big problem to be solved. This study is to employ the teamwork, such as group discussion and group representation, and reflection log in the teaching process, investigating the dynamic situation through questionnaires. The results showed that group discussion, group presentation and reflection log are the effective ways to promote students� critical thinking skills; however it cannot improve the critical thinking promptly in such a short time and it will be a successive process. Therefore, carrying out some class activities can enhance students� critical thinking skills in English reading class.Keywords: BTI, English reading, critical thinking, teamwork, reflection log
Highly Enantioselective Hiyama Cross-Coupling via Rh-Catalyzed Allylic Arylation of Racemic Allyl Chlorides
Authors: Gonzalez Jesus , Schäfer Philipp , Fletcher Stephen P.
Published: August 2018

Highly enantioselective Hiyama cross-coupling reactions have been achieved through rhodium(I)-catalyzed dynamic kinetic asymmetric transformations between aryl siloxanes and racemic allyl halides. This process affords valuable enantiomerically enriched allyl arenes and is compatible with heterocyclic allyl chloride electrophiles.
Pengaruh Modal Sendiri dan Kredit Usaha Rakyat (KUR) Terhadap Pendapatan Usaha (Studi Pada UMKM di Desa Platihan Kidul Kec. Siman)
Authors: Riawan Riawan , Kusnawan Wawan
Published: August 2018

Perusahaan dalam menjalankan usahanya, ada beberapa tujuan yang harus dicapai yang salah satunya adalah memaksimalkan keuntungan yang sebesar-besarnya. Keuntungan yang diperoleh tersebut akan dapat meningkatkan kesejahteraan bagi pemilik usaha dan dapat dipergunakan untuk kebutuhan operasi selanjutnya. Teknik pengambilan sampel pada penelitian adalah menggunakan porposive sample dengan menggunakan data primer yaitu membagikan kuesioner pada pelaku usaha UMKM di Desa Platihan Kidul Kec. Siman. Tujuan dalam penelitian ini adalah untuk menguji pengaruh modal sendiri (X1) dan Kredit Usaha Rakyat (X2) terhadap Pendapatan Usaha pada Usaha Mikro Kecil dan Menengah. Hasil penelitian ini menunjukan bahwa modal sendiri dan KUR berpengaruh signifikan terhadap pendapatan usaha disektor UMKM. Hal ini dapat dilihat dari nilai uji T-statistik berada dibawah 0,5. Dengan demikian besar kecilnya modal usaha, sangat mempengaruhi pendapatan usaha. Dimana penggunaan modal kredit sangat membantu para pelaku usaha untuk menambah modal usahannya.