bluuebunny/crossref_metadata_2025 huggingface dataset:
El perfil del docente de física como factor en el desarrollo de las competencias del estudiante en el bachillerato
Authors: Gómez Jiménez Irene , Ramírez Díaz Mario Humberto , Arriaga Santos Carlos Adrián
Published: October 2020

La Escuela Preparatoria No. 7 del Sistema de Educación Media Superior (SEMS), perteneciente a la Universidad de Guadalajara (UdeG), cuenta con el modelo educativo Bachillerato General por Competencias, el cual plantea un proceso de enseñanza-aprendizaje  con una orientación constructivista, que busca que el estudiante desarrolle competencias mediante la aplicación del conocimiento tomando en cuenta el contexto y la realidad social. Dentro del perfil académico del docente que imparte la unidad de aprendizaje de Física II, se menciona la necesidad de relacionar las competencias técnico-pedagógicas y la experiencia en un campo disciplinar análogo, con el propósito de realizar planeaciones didácticas, diseño, evaluación de estrategias y actividades de aprendizaje orientadas al desarrollo de competencias. Sin embargo, al terminar el bachillerato e ingresar al nivel superior, los estudiantes no obtienen notas favorables. El presente trabajo busca determinar las competencias, habilidades y conocimientos que deberá poseer un docente que enseña física para lograr que el estudiante desarrolle las competencias necesarias según el perfil de egreso en la educación media superior. Para ello, se presenta un análisis histórico de los resultados de la evaluación por competencias mediante los exámenes transversales, el perfil de los docentes (disciplinar y pedagógico), así como una evaluación docente realizada por los alumnos, una entrevista al director del plantel, a los docentes y a los estudiantes. Con ello se identifican las estrategias de actualización y capacitación para los docentes que imparten clases en la unidad de aprendizaje de Física II en la Escuela Preparatoria No. 7.
Tempo na liturgia
Authors: Costa Valeriano dos Santos
Published: October 2020

Para analisar a relação entre tempo e liturgia é necessário se ter uma noção correta do que seja o tempo em seus processos constitutivos. O escopo deste artigo é teológico, pois a liturgia faz parte da sistemática da fé. No entanto a questão do tempo é antes de tudo metafísica. É por isso que recorremos à metafísica de Xavier Zubiri, na qual vamos buscar uma base consistente para falar do tempo litúrgico. Aqui não se trata, portanto, da teologia do tempo na liturgia, mas do tempo em si mesmo enquanto elemento constitutivo da celebração da fé. A metafísica zubiriana apresenta um horizonte que traz uma dimensão realmente nova e desafiadora para o pensamento e a vida humana. E na liturgia repercute de maneira significativa, pois a abordagem do tempo enquanto elemento litúrgico depende inevitavelmente do conceito de tempo em sua articulação com as coisas, considerando que aqui se trata da abordagem tempo e liturgia.
Ousadias teológicas no cuidado da espiritualidade do estudante de medicina
Authors: Ricetti Simoni Maria Teixeira , Souza Waldir
Published: October 2020

O cenário acadêmico vivenciado pelo estudante de medicina é permeado por crises de sentido. A falta de tempo para o cuidado de si marca a graduação de medicina diante de um curso com carga horária em tempo integral, alto nível de competitividade, ênfase na formação cognitiva em detrimento da formação humana. Transtornos alimentares, distúrbios do sono e depressão são apontados pelas pesquisas como um estresse decorrente na formação médica. Outros fatores são desencadeadores desse estresse: participar de procedimentos invasivos ou dolorosos, contato com a morte, morar longe da família, ter amizades somente dentro do círculo acadêmico e a não aplicação do conceito de qualidade de vida na própria vida. Diante desse quadro, o estudante de medicina passa a apresentar dores psíquicas. Dentro deste horizonte, o convite ao resgate do sentido da espiritualidade do estudante de medicina apresenta-se para além de um imperativo ético. Nessa perspectiva, o diálogo entre a Teologia e a Bioética revelam-se como uma possibilidade de propor novas formas de cuidado perante a fragilidade do estudante, pois ambas trabalham em defesa da vida. A espiritualidade na Bioética vai numa direção de responsabilidade, de proteção e de cuidado diante da vida. Com sua visão sistêmica que lhe é peculiar, a Teologia tem um modo de perceber o ser humano à luz da revelação, considerando todo o seu dinamismo histórico, estando aberta a assumir tematicamente os problemas que o momento suscita. O objetivo deste artigo é verificar a influência da teologia no cuidado da espiritualidade do estudante de medicina na perspectiva da bioética. A metodologia utilizada foi a de pesquisa qualitativa bibliográfica. Analisou-se o contexto do graduando do curso de medicina junto a ética do cuidado e a Teologia, como importante fonte de base moral a salvaguardar o valor da vida. Espera-se que o contexto da educação médica se abra ao diálogo com a Teologia na busca do cuidado da espiritualidade do estudante de medicina, uma vez que, ousadias teológicas são sempre um exercício do espírito humano.
Chemical and Toxicological Diagnosis of Acute Poisoning with Clozapine, Olanzapine, Quetiapine and Risperidone
Authors: Belova M. V. , Klyuyev E. A. , Melnikov E. S. , Poryadina M. N.
Published: October 2020

Relevance The large number of atypical antipsychotic drugs on the market , the breadth of their medical and non-medical use, and their relative affordability make atypical antipsychotics common causes of overdose, suicidal actions or non-medical use of drugs. At the same time, they remain insufficiently studied from the chemical and toxicological point of veiw.

Aim od study: creation of available express method of detection of clozapine, olanzapine, quetiapine and risperidone in the urine of patients with acute poisoning.

Material and methods Thin layer chromatography (TLC), gas chromatography with mass selective detection (GC-MS), and high performance liquid chromatography with mass selective detection (HPLC-MS/MS) were used. The preparation of intact urine samples with addition of standard solutions of clozapine, olanzapine, quetiapine, risperidone and urine samples of patients with symptoms of acute poisoning with given drugs was carried out by methods of liquid-liquid extraction at alkaline pH values for TLC chloroform, a mixture of ethyl acetate-diethyl ether (1:1) for GC-MS and acetonitrile for HPLC-MS/MS.

Results A TLC method has been developed to detect clozapine, olanzapine, quetiapine and risperidone, which allows its the presence to be quickly revealed in the patient’s urine at the preliminary examination stage and also distinguish them from each other in case of the same type of symptoms of poisoning. For confirmatory analysis, it is advisable to use the methods of HPLC-MS/MS and GC-MS. Compared to confirmatory methods, the developed TLC-screening technique is expressive, does not require the use of expensive high-tech equipment and allows clozapine, olanzapine, quetiapine and risperidone to be differentiated from other toxicologically significant psychoactive substances found in general screening.
The Choice of Vascular Implants in Accordance with Age-Related Vessel Changes
Authors: Lipatov V. A. , Grigoryev N. N. , Severinov D. A. , Sahakyan A. R.
Published: October 2020

Background Today, one of the problems of modern society in the health are the high rates of mortality from cardiovascular disease.

Aim of study Study of physico-mechanical properties of the vascular implants and aortic wall to support an adequate choice of the plastic material when performing reconstructive surgeries in patients of various age groups.

Material and methods As an object of study, sections of the anterior wall of the thoracic and abdominal aorta were taken from 30 corpses. Study groups: Group 1 - from 33 to 60 years, Group 2 - from 60 to 92 years. We also evaluated the physical and mechanical properties (finite length, plastic strain ratio, tensileuniaxial load (longitudinal)) of the three vascular implants made of polyethylene terephthalate and polytetrafluoroethylene. Kruskal–Wallis H test was used to determine the significance of differences.

Results The finite length of the aortic wall varies slightly in the study groups, while plastic strain rate of the abdominal aorta in Group 1 was 1.3 times higher than that in the chest. When assessing physical and mechanical properties of thoracic and abdominal aorta, values of “finite length” (1.4 times) and “plastic strain ratio” (1.5 times) were higher in Group 1, and the value of the tensile load indicator is higher in Group 2 compared to Group 1 (1.47 times). The tensile load of the thoracic aorta in Group 1 is 14 H and 27 H lower than the samples of Groups 1 and 3, respectively, but 1.6 times higher than the sample of Group 2. The tensile  load of the abdominal aorta of Group 1 is 13 H higher compared to the sample of Group 1 and twice higher compared to the sample of Group 2. The study Group 2 values of tensile load for thoracic aorta are 1.3 times, 2.4 times and 1.16 times higher than respective implant values (sample 1, 2 and 3, respectively).

Conclusion We used samples of Group 3 vascular implants for replacement of abdominal aorta and Group 1 implants for thoracic aorta. In study Group 2 vascular implants of Group 3 may be used for abdominal and thoracic aorta replacement due to the proximity of the values of the evaluated characteristics.
Emergency Medical Service to Psychiatric Patients
Authors: Tyavokina E. Y. , Barsukova I. M.
Published: October 2020

Abstract The issues of providing medical care to patients with mental disorders are of exceptional medical and social importance. The aim of the study was to analyze the current state of medical care for psychiatric patients under emergency medical care (EMC) conditions. We used regulatory, statistical and analytical methods. The gaps of the normative legal support of the activities of the teams in the provision of ambulance care for patients with mental disorders and behavioral disorders are considered. In order to improve legislation in the field of ambulance care, it was proposed to amend the Procedure for the provision of emergency, including specialized medical care, approved by the Order of the Ministry of Health of Russian Federation dated 06.06.2013 No. 388n “On the Approval of the Procedure for the Provision of Emergency Care, Including Specialized Medical Care”.
Organization of First Aid in the Arkhangelsk Region
Authors: Baranov A. V.
Published: October 2020

Background The development and implementation of widespread training for rules, techniques and methods of providing first aid to the widest possible range of people will significantly reduce the level of disability and mortality among victims of road traffic accidents (RTAs).

Aim of study To study the organization of first aid for the victims in the Arkhangelsk region.

Material and methods Part 1. The journals of registration of attendance at classes with a trained contingent in the educational-methodical department of the School of Disaster Medicine of the Territorial Center for Disaster Medicine of the Arkhangelsk Region for the period from 01.01.2012 to 12.31.2018 are analyzed. Part 2. We selected 906 medical records of patients (003/u) affected by an accident on the federal highway M-8 “Kholmogory” and treated in hospitals of Arkhangelsk region, admitted acutely in period from 01.01.2012 till 31.12.2018. The study was conducted according to the criteria of retrospective continuous documentary observation. As a criterion of statistical significance, the probability of a random error of less than 5% (p<0.05) was applied using the correction for multiple comparisons (Bonferroni correction).

Conclusion 1. The educational activities of the TCDH of the Arkhangelsk Region over a seven-year period are characterized by a significant increase in the total number of trained cadets (p<0.001); 2-fold increase in the number of trained motor vehicle drivers (p<0.001) and employees of Ministry of Emergency Situations and Russian Interior Ministry (p<0.001). 2. The first aid to injured in an accident on the federal highway M-8 Kholmogory in the Arkhangelsk Region was provided in 65 cases (7.2%); in almost 90% of cases, first aid was recorded in the Arkhangelsk and Severodvinsk medical districts of the Arkhangelsk region (p<0.001).
Peritoneal Laser Doppler Flowmetry in Predicting and Diagnosing Tertiary Peritonitis
Authors: Parshin D. S. , Topchiyev M. A.
Published: October 2020

Relevance. The article is devoted to one of the most difficult and controversial problems in the treatment of intra-abdominal infection, the prediction and diagnosis of tertiary peritonitis. The technique of peritoneal laser Doppler flowmetry (PLDF) makes it possible to assess the degree of visceral microcirculation disorders in various diseases of the abdominal organs.

Aim of study. To identify early, trigger indicators of peritoneal microcirculation in tertiary peritonitis, obtained by the PLDF method.

Material and methods. A retrospective analysis of the results of treatment of 48 patients operated on for secondary diffuse purulent peritonitis in the clinic of general surgery of the Astrakhan State Medical University in the period from 2015 to 2019 was carried out. All patients were divided into two equal groups: the main group with subsequently developed tertiary peritonitis, and the comparison group with arrested peritonitis. The study of peritoneal microcirculation was performed at the time of laparotomy, after debridement, 24 and 48 hours later. A total of 768 scans were performed. Evaluation was carried out using the APACHE II scales , abdominal index and SOFA scale. Spearman’s rank correlation test was one of the main statistical methods.

Results. Twenty-four hours after the primary operation, the values of the percentage of microcirculation, standard deviation and coefficient of variation showed a direct correlation with the development of tertiary peritonitis. According to Spearman’s criterion, the closeness of the relationship according to these indicators was: r=0.71, r=0.55, r=0.63, respectively, at p≤0.05. After 48 hours, all the studied values of microcirculation made it possible to diagnose tertiary peritonitis. The data obtained correlated with the data obtained by the systems for assessing the severity of the patient’s condition.

Conclusion. 1. The generally accepted scales for assessing the severity of patients’ condition (APACHE II, abdominal index and SOFA) used in patients with diffuse purulent peritonitis do not allow predicting the risk of tertiary peritonitis 24 hours after surgery. The data obtained as a result of the scoring on the above scales becomes representative 48 hours after the initial intervention. 2. The percentage of microcirculation, standard deviation and coefficient of variation can be used as early screening indicators of peritonetal laser Doppler flowmetry to predict tertiary peritonitis 24 hours after primary surgery. 3. The whole range of indicators of peritoneal laser Doppler flowmetry allows the degree of impairment of the tissue microcirculation in patients with peritonitis to be objectively assessed even 48 hours after the initial operation and to be diagnostic criteria of tertiary peritonitis.
The Role of Moderate and Virulent Endogenous Bacteriophages in the Treatment of Pyoinflammatory Infections in Intensive Care Unit Patients
Authors: Lazareva E. B. , Chernenkaya T. V. , Shabanov A. K. , Yevdokimova N. V. , Zhilenkov E. L. , Godkov M. A. , Petrikov S. S.
Published: October 2020

Abstract. In connection with the growth of resistance of pathogens of pyoinflammatory infections (PII) to antibiotics, physicians began to use bacteriophages, which are widespread where there are homologous bacteria. They are also found in the human body, possibly protecting against PII. It was found that mortality in patients with bacteriophages was lower than in patients without homologous endogenous bacteriophages. The most common were mild bacteriophages, which “protected” patients from infection, although it is believed that only virulent bacteriophages may do this.

Aim of study. To study the effect of virulent and moderate endogenous bacteriophages on the course of pyoinflammatory infections in intensive care units (ICU) patients.

Material and methods. The study included 33 patients with positive blood culture who were treated in the ICU. Of these, 12 (36.4%) had endogenous bacteriophages (10 men, 2 women).We isolated 16 strains of various bacteria. Bacteriological blood tests were performed using an automatic blood culture analyzer Bactec-9050. Identification of isolated microorganisms was carried out using an automatic microbiological analyzer WalkAway 40. Traditional virological methods on the basis of LLC SPC MicroMir were used for work with bacteriophages.

Results and discussion. From 16 positive blood cultures, the following were isolated: Klebsiella pneumoniaе — in 7 samples, Acinetobacter spр. — in 4 samples, Staphylococcus spp. — in 2 samples, and one strain in each sample: Pseudomonas aeruginosa, Staphylococcus aureus and Enterococcus faecalis. Endogenous phages were isolated in 36.4% of patients, which were detected in all blood cultures. The exception was K. pneumoniae strains, for which in 42.9% of cases (3 cases out of 7) bacteriophages were absent.Out of 12 patients with isolated bacteriophages, 6 had positive treatment outcomes.Of 14 blood samples, 11 moderate bacteriophages were isolated, which amounted to 78.6%, virulent — 21.4%. Despite this, the protective effect of bacteriophages was noted.

Conclusion. 1. All blood cultures contained homologous bacteriophages, except K. pneumoniaе strains, which had no endogenous bacteriophages in 42.9% of cases. 2. Most of the isolated endogenous bacteriophages (78.6%) were moderate. 3. In the absence of homologous bacteriophages in the blood of ICU patients, the likelihood of death increases (66.7%) compared to patients with bacteriophages (33.3%).
Aplicación de redes neuronales para la reconstrucción de series de tiempo de precipitación y temperatura utilizando información satelital
Authors: Muñoz Herrera Wilmer , Bedoya Oscar Fernando , Rincón Mauricio Edilberto
Published: October 2020

Las técnicas de inteligencia artificial como las redes neuronales artificiales (RNA) permiten resolver una gran variedad de problemas relacionados con diferentes áreas del conocimiento tales como la medicina, la Bioinformática e incluso las telecomunicaciones. En muchos casos, las redes neuronales se utilizan para predecir el comportamiento de una variable con base en datos históricos previos y en un conjunto de variables predictoras. En este artículo se aborda el problema particular de la reconstrucción de información faltante de las estaciones meteorológicas utilizando RNAs. La falta de este tipo de información afecta principalmente los estudios climáticos en los que se utiliza información meteorológica. Estos estudios pueden permitir evitar las amenazas significativas en el desarrollo sustentable de nuestra sociedad, los recursos naturales, especies y la misma vida del ser humano. En este artículo se proponen modelos basados en redes neuronales artificiales e información satelital para el llenado de datos faltantes en las estaciones meteorológicas y reconstrucción espacial de las variables de precipitación y temperatura para la región de Departamento de Valle del Cauca, Colombia. Los resultados obtenidos alcanzan los coeficientes de correlación de alrededor de 0.9, con errores más pronunciados en cerca de 50 mm/mes en precipitación y 2 °C en temperatura.
Los expedientes de regulación temporal de empleo por COVID-19
Authors: Cavas Martínez Faustino
Published: October 2020

La legislación social derivada del estado de alarma tiene como finalidad minimizar el impacto del COVID-19 en el tejido empresarial y en el empleo. En este contexto de crisis sanitaria, social y económica, se ha registrado una producción normativa aluvional, con una sucesión de disposiciones de distinto rango y procedencia que introducen nuevas medidas o amplían, modifican o reinterpretan otras previamente adoptadas, para adaptarse a las cambiantes exigencias derivadas de la situación de emergencia provocada por el coronavirus.

En el presente trabajo se analiza la figura del expediente temporal de regulación de empleo por fuerza mayor y por causas objetivas relacionadas con el Covid-19, eje o pieza central del Derecho social generado durante la pandemia, dejando fuera del estudio el tratamiento de la protección por desempleo de la que se benefician las personas trabajadoras afectadas por dichos expedientes.
Medidas sociales de reactivación del empleo y protección del trabajo autónomo y de competitividad del sector industrial
Authors: Rueda Monroy José Antonio
Published: October 2020

El impacto de la COVID-19 se ha hecho sentir bruscamente y sin previo aviso en el empleo. Desde el inicio de la crisis se pusieron en marcha con el Real Decreto-ley 8/2020 mecanismos urgentes para la contención del empleo y la continuación de la actividad productiva (modificaciones en los ERTES, exoneraciones de cuotas, prestación extraordinaria de desempleo, cese extraordinario de actividad…). Los mismos, durante el paso de la pandemia, han tenido que ir siendo modulados y prorrogados. Aspira a ello el RDL 24/2020 de 26 de junio, el cual surge en gran medida del dialogo social. Las medidas que en él se contienen tienen la ardua labor de conectar un periodo extraordinariamente tortuoso con la normalidad, sin embargo los índices actuales indican que ese escenario propicio tardará algo más en llegar e irremediablemente se precisarán de otras nuevas.
Reseña de “Estudios sobre la mujer trabajadora y su protección jurídica”. (Gómez Salado, M.Á. (Director); Aragüez Valenzuela, L. D, Macías García, M. C., Ordoñez Casado, M.I., Ruiz Santamaría, J.L. y Vigo Serralvo, F. (Coordinadores), Ediciones Laborum, M
Authors: Baquero Aguilar Jorge
Published: October 2020

Reseña bibliográfica.
Reseña de “Acción de impugnación judicial, calificación y efectos de la extinción del contrato de trabajo por circunstancias objetivas” (Guindo Morales, S., Laborum, Murcia, 2020)
Authors: Muros Polo Alejandro
Published: October 2020

Reseña bibliográfica.
Concealed Affair Of Allergic Rhinitis And Somnambulism Through A Middle Man
Authors:   MOSC Medical Mission Hospital, Paul Akhil
Published: October 2020

Obstructive Sleep Apnoea is common in children as well. It is strongly associated with parasomnias, including sleep terror, sleep walking etc. In this case report, we are discussing about a boy who was referred to us for the evaluation and management of sleep walking. Enlarged adenoid and tonsil, secondary to allergic disease was found to be causing Obstructive Sleep Apnoea in him, causing a trigger for the sleep walking. Here we are highlighting the importance of controlling the allergic disease in such children, which can even result in the avoidance of invasive surgical interventions like adeno-tonsillectomy.
The Relationship between Exclusive Breastfeeding with Foods Intake and Nutritional Status of 6-to-12-Month-Old Children in Working Area of Hamadi Primary Health Care in the City Jayapura
Authors: Youwe Ribka Fransiska , Dary Dary , Tampubolon Rifatolistia , Mangalik Gelora
Published: October 2020

First nutritional intake supplied to newborn infants is exclusive breast milk because it contains a lot of nutrients and it is supplied for 6-month-old children without adding weaning foods. Global Nutrition Report (GNR) report in 2014 stated that Indonesia was included in 117 countries that had three highest nutritional problems in children, namely stunting (37.2%), wasting (12.1%), and overweight (11.9%). The result of Riskesdas prevalence in 2013 regarding to nutritional status of children in Papua Province was undernutrition (21.9%) while in Jayapura there were malnutrition (3.4%) for toddlers and undernutrition (17.8%). The purpose of the research was to analyze the relationship between exclusive breastfeeding with foods intake and nutritional status of 6-to-12-month-old children in the working area of Hamadi Primary Health Care in the city of Jayapura. Quantitative research methods with cross sectional study design using the spearman rank test were done which exclusive breastfeeding as independent variable, food intake and nutritional status as dependent variables. Statistical test results showed that there was no relationship between exclusive breastfeeding and nutritional status with parameter p = 0.658, there was no relationship between exclusive breastfeeding and food intake (TKE p = 0.335), (TKP p = 0.626), (TKL p = 0.715), (TKK p = 0.980), there was a relationship between food intake and nutritional status (TKE p = 0.050), (TKP p = 0.041), (TKL p = 0.032), (TKK p = 0.049). The conclusion of this research is either exclusive or non-exclusive breastfeeding children have the same nutritional status and food intake, while children's food intake affects nutritional status of children.
Novyi Mishor – first country-style resort on the South Coast of Crimea (1898-1920): reconstruction of sociocultural history
Authors: Karagodin Andrey Vasil'evich , Petrova Mariya Mikhailovna
Published: October 2020

The subject of this research is the history of the first of country-style resort appeared on the South Coast of Crimea at the turn of the XIX – XX centuries on the lands of country estates of New Mishor belonged to Shuvalov-Dolgorukov family. The phenomenon of country-style construction on the South Coast of Crimes, which starting point was the foundation of the Novyi Mishor, is viewed in the context of the processes of economic and sociocultural modernization of Russian society, formation of self-identification mechanisms of the emerging “middle class”, and new urban culture. Special attention is given to the period from 1917 to 1920, when the cultural figures left the capital and resided in the villages of Novyi Mishor. Based on examination the body of historical sources, many of which introduced to the scientific discourse for the first time, the author formed the database of villages and countryside residents of Novyi Mishor. A vast array of archival funds, reference literature, sources of personal provenance (memoirs, correspondence), and visual sources was attracted in the course of research. The novelty of consists in establishment of identities and social status of the residents of country resort of Novyi Mishor, determination of a range of sources for its further research, reconstruction of chronology of the development of this resort, details of everyday life and mentality traits of the residents, among which were the prominent figures of culture and art of Russia of that time – writers, actors, painters, scholars, and philanthropists.
Factors of visual communication as understanding of the processes of designing cultural artifacts
Authors: Kalina Natalia Dmitrievna
Published: October 2020

The subject of this research is visual communication. The goal of this research is to demonstrate the theory of designing visual culture artifacts in the images that possess communicative potential. Images are structured within a system of interrelated meanings that form holistic mages vividly illustrate semantic models to the people, which is the condition for easier visual perception of the form and content of the artifacts. The theory includes the three factors of visual communication: structuring of aesthetically expressive forms within the system of conventional meanings of the content; design of the spatial structure of artifacts using the universal cultural geometric language and artistic interpretations; creation of culturally significant information in the images using cognitive, artistic and symbolic signs of cultural languages. The novelty of consists in application of constructivist approach towards discrete encoding of the artifacts of visual culture within the system of meanings that represent content through the synthesis of shape of an aesthetically expressive image. Design education carries out a research of application of constructivist approach towards design of visual artifacts. The research results depended on the exhibition of the joint works of students from experimental and other students. The exhibition demonstrated that the works performed in architectonic style attract attention of the audience more than the works of other students. A constructivist approach towards design education contributes to optimization of visual communication with people.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP KELUARGA TENTANG PERAWATAN ARTHRITIS RHEUMATOID PADA LANSIA DI DESA PAMALAYAN KECAMATAN CIJEUNGJING KABUPATEN CIAMIS.
Authors: Wibowo Daniel Akbar , Zen Dini Nurbaeti
Published: October 2020

ABSTRAK Penelitian ini dilatarbelakangi oleh permasalahan yang sering terjadi pada lansia yaitu arhtritis rheumatoid. Dampak bagi keluarga akan terganggu dan keluarga sebagai orang terdekat harus mampu menjalankan tugasnya di bidang kesehatan. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia di Desa Pamalayan Kecamatan Cijeungjing Kabupaten Ciamis. Pengetahuan merupakan hasil tahu dan ini terjadi setelah orang melakukan penginderaan terhadap suatu objek tertentu. Sikap merupakan reaksi atau respon yang masih tertutup dari seseorang terhadap suatu stimulus atau objek. Jenis penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah kaluarga yang terdapat lansia dengan arthritis rheumatoid sebanyak 125 orang dengan menggunakan teknik pengambilan sampel secara purposif sampling. Instrumen yang digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa terdapat hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia dengan p-value = 0,000. Saran bagi keluarga adalah harus memiliki pengetahuan yang cukup tentang arthritis rheumatoid dan upaya pencegahannya
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEMANDIRIAN PERAWATAN DIRI ANAK RETARDASI MENTAL RINGAN-SEDANG DI SLB CICALENGKA
Authors: Maidartati Maidartati Akbar , Aminah Eva Siti
Published: October 2020

Anak  dengan retardasi mental memiliki keterlambatan salah satunya dalam perawatan diri misalnya dalam hal makan, ke kamar mandi, mencuci, membersihkan gigi, memakai pakaian dan lain sebagainya. Salah satu faktor yang mempengaruhi kemandirian perawatan diri adalah dukungan keluarga. Adapun tujuan penelitian ini untuk mengetahui adakah hubungan antara dukungan keluarga dengan kemandirian  anak retradasi mental ringan-sedang usia 6-13 tahun di Kecamatan Cicalengka Kabupaten Bandung. Jenis penelitian ini kuantitatif dengan korelasi. Sampel dalam penelitian ini adalah orang tua yang memiliki anak retardasi mental ringan-sedang usia 6-13 tahun yang berjumlah 40 responden . Teknik sampling yang digunakan adalah  teknik total sampling .Pengumpulan data menggunakan kuisioner. Selanjutnya data di analisa univariat menggunakan presentase dan analisa bivariat menggunakan rumus Chi square. Hasil penelitian menunjukan  sebagian besar responden (72,5%) mendukung. Sementara itu sebagian besar responden (65%) memiliki kemandirian dalam kategori mandiri. Hubungan dukungan keluarga dengan kemandirian perawatan diri anak retardasi mental dengan p-value 0,000 <0,05 yang artinya terdapat hubungan antara dukungan keluarga dengan kemandirian. Perawat sebagai care giver  diharapkan dapat memberikan penyuluhan dan pelatihan kepada keluarga siswa atau siswi penyandang retardasi mental terkait bagaimana cara mencuci tangan, mandi, makan dan lain sebagainya yang mencangkup perawatan diri.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN BEROBAT PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS CIAMIS TAHUN 2019
Authors: Pamungkas Riyanto Agung , Rohimah Siti , Zen Dini Nurbaeti
Published: October 2020

Compliance with hypertension treatment is the main aspect in treating hypertension. One of the factors that can influence medication adherence is family support. The purpose of this study was to determine the relationship between family support and adherence to treatment in patients with hypertension in the work area of Ciamis Health Center.The design of this study uses correlational design. The population in this study were patients with hypertension in the work area of Ciamis Health Center, which were 13,273 people and the study sample used purposive sampling so that the samples obtained were 99 people. Data collection techniques used were questionnaires and observations. The results showed a relationship between family support and adherence to treatment in hypertensive patients in the Ciamis Community Health Center work area. Based on the results of the Kendal-Tau analysis with a 95% confidence level and a 5% error level, the correlation coefficient value of family support with treatment compliance is equal to r = 0.526 with a significance level of p value of 0.049 < α 0.05. That is, the higher the family support given to hypertension sufferers, the higher the compliance.Suggestions for further researchers are expected to conduct further research on the importance of family support to further improve adherence to treatment in patients with hypertension, because in this study most of the family support provided moderate support. Or examine other factors that can improve the compliance of hypertensive patients in treatment. Keywords: Family Support, Compliance with Hypertension TreatmentReferences: 31 (2002-2018)
PENGARUH PENYULUHAN DAN PENGETAHUAN TENTANG IMUNISASI TERHADAP SIKAP IBU MEMBAWA ANAKNYA KE POSYANDU DI WILAYAH KERJA PUSKESMAS RANCAH
Authors: Yamin Ahmad
Published: October 2020

Pencapaian program imunisasi di Puskesmas Rancah Kabupaten Ciamis pada tahun 2019 sudah cukup tinggi sebesar 86%. Keberhasilan cakupan imunisasi tersebut tentunya berkat kiat kiat yang dilakukan tenaga kesehatan diantaranya dengan langsung mengadakan kunjungan ke rumah rumah masyarakat yang merupakan sasaran imunisasi.Metode penelitian yang digunakan adalah desain penelitian Rancangan Pretes-postest dengan kelompok control (Prestest-Postest with control Group). Dalam rancangan ini dilakukan randomisasi, artinya pengelompokkan anggota-anggota kelompok control dan kelompok eksperimen dilakukan berdasarkan acak atau random. Hasil penelitian Uji statistik didapatkan bahwa penyuluhan (p=0,000)  pengetahuan (p=0,000), sikap (p=0,000) yang berpengaruh terhadap sikap ibu membawa anaknya ke Posyandu di Wilayah Kerja Puskesmas Rancah Kabupaten Ciamis. Berdasarkan hasil penelitian diharapkan petugas kesehatan lebih memberikan Kata Kunci : Pretes-postest, penyuluhan, pengetahuan, sikap, imunisasi
HUBUNGAN POLA MAKAN DENGAN KEJADIAN KOLESTROL PADA LANSIA DI WILAYAH KERJA PUSKESMAS TAMBAKSARI
Authors: Suarsih Cicih
Published: October 2020

Pembangunan nasional jangka panjang menitik beratkan pada kualitas hidup sumber daya manusia yang prima. Sehingga generasi muda dewasa ini yang memerlukan asuhan dan perlindungan terhadap penyakit yang mungkin dapat menghambat tumbuh kembangnya menuju masa dewasa yang berkualitas tinggi, guna meneruskan pembangunan nasional dengan masyarakat yang sehat, sejahtera dan bahagia. Badan Kesehatan Dunia (WHO) memperkirakan jumlah kasus kolestrol tinggi di seluruh dunia mencapai 16-33 juta Insiden kolestrol tinggi (Hypercholestrolomia) di Indonesia diperkirakan paling tinggi di dunia yaitu 350-810 kasus per 100.000 penduduk.Data yang dirilis oleh Yayasan Kolestrol Indonesia sungguh membuat kita khawatir. Dinyatakan bahwa kasus kolestrol tinggi di Indonesia menunjukkan kecenderungan terus meningkat dari tahun ke tahun. Setelah tahun 2000 kasus kolestrol tinggi  yang terdeteksi terus melonjak. Pada tahun 2004, beberapa penelitian di sejumlah rumah sakit menemukan berjumlah 23.636 orang sampai dengan tahun 2016 melonjak menjadi 100.231 orang.Metode atau desain yang digunakan dalam penelitian ini adalah desain penelitian potong lintang (cross sectional).  Hasil penelitian Uji statistik didapatkan bahwa Ada hubungan Pola makan dengan kejadian hiperkolestrol di Posbindu Karangpaningal dengan p-value sebesar 0.000.Kata Kunci : cross sectional, pola makan, kolesterol
Conhecimentos de adolescentes antes e após uma ação educativa sobre HIV/Aids
Authors: Monteiro Wagner Ferreira , Grangeiro Walter Junio Bentes , Sabino Aderlaine da Silva , Cardoso Grace de Lourdes , Alves Eliane Campos , Ferreira Darlisom Sousa , Teixeira Elizabeth , Andrade Lucas Lorran Costa de
Published: October 2020

Objetivo: Avaliar conhecimentos de adolescentes antes e após ação educativa acerca do HIV/Aids. Métodos: Trata-se de pesquisa descritiva com abordagem quantitativa viabilizada por meio de uma intervenção educativa com pré-teste e pós-teste realizado com 230 adolescentes de uma escola da rede pública da cidade de Manaus. A coleta ocorreu em 3 momentos: no primeiro, instrumento para caracterização do perfil e pré-teste; no segundo, ação educativa sobre HIV/Aids; no terceiro, pós-teste. Resultados: quanto ao perfil: 61,8% havia iniciado a vida sexual, 34% pertenciam ao sexo masculino; 33,1% e 46,5% não usaram preservativo na sexarca, nem na última relação, respectivamente. Quanto ao pré-teste, a média de acerto foi 49,1%. Quanto ao pós-teste, obteve-se 86,6%, o que representa um salto de 37,5% em relação ao pré-teste. Foram aplicadas três dinâmicas grupais durante a ação educativa. Conclusão: Conclui-se que os conhecimentos dos adolescentes após a ação educativa acerca do HIV/Aids foram potencializados e fortalecidos.
PET-Saúde Interprofissionalidade, intervenções na atenção primária: um relato de experiência
Authors: Da Silva Wellington Manoel , Da Silva Maria Eduarda , Costa Thuani Lamenha , Silva Millena Maria Nascimento , Oliveira Geraldo José Santos , De Freitas Maria Angélica Álvares , Da Costa Nayara Ranielli , De Lima Ana Wladia Silva , Gouveia Viviane de Araújo , De Arruda Silvana Gonçalves Brito
Published: October 2020

Objetivo: Relatar a experiência da intervenção interprofissional em saúde, destinada à uma família de alto risco social. Relato da Experiência: Trata-se de um estudo descritivo do tipo relato de experiência, realizado com a participação dos estudantes do projeto “Programa de Educação Tutorial em Saúde – Interprofissionalidade” de uma Universidade pública de um município de Pernambuco, Brasil. A amostra do estudo foi composta por uma família, escolhida de forma intencional e não-probabilística. Os dados foram obtidos a partir de visitas domiciliares realizadas à família. Foram utilizados instrumentos como, Escala de estratificação de Risco de Coelho e Savassi, Genograma, Ecomapa e Projeto Terapêutico Singular (PTS). A família apresentou um alto grau de vulnerabilidade social, desta forma foi executado um PTS amplo e holístico, na tentativa de alcançar uma melhora tanto no aspecto de saúde da família quanto no âmbito social. Considerações finais: Os resultados evidenciam que o espaço do Projeto permite aos alunos o aprendizado prático, baseado na diversidade de atividades e nas reflexões sobre a importância do trabalho colaborativo da equipe.
Development and Testing of an All-Atom Force Field for Diketopyrrolopyrrole Polymers with Conjugated Substituents
Authors: Sundaram Vivek , Lyulin Alexey V. , Baumeier Björn
Published: October 2020

We develop an all-atom force field for a series of diketopyrrolopyrrole polymers with two aromatic pyridine substituents and variable number of pi-conjugated thiophene units in the backbone, used as donor material in organic photovoltaic devices. Available intra-fragment parameterizations of the individual fragment building blocks are combined with inter-fragment bonded and non-bonded parameters explicitly derived from density-functional theory calculations. To validate the force field we perform classical molecular dynamics simulations of single polymer chains with 1, 2, and 3 thiophenes in good and bad solvents, and of melts. We observe the expected dependence of the chain conformation on the solvent quality, with the chain collapsing in water, and swelling in chloroform. The glass transition temperature for the polymer melts is found to be in the range of 340K to 370K. Analysis of the mobility of the conjugated segments in the polymer backbone reveals two relaxation processes: a fast one with a characteristic time at room temperature on the order of 10ps associated with nearly harmonic vibrations and a slow one on the order of 100 associated with temperature activated cis-trans transitions.
Correlating Experiment and Theory for Electron Paramagnetic Resonance and Substrate Binding in a Lytic Polysaccharide Monooxygenase
Authors: Theibich Yusuf A. , Sauer Stephan P. A. , Hedegård Erik , Lo Leggio Leila
Published: October 2020

Lytic polysaccharide monooxygenases (LPMOs) are enzymes that binds polysaccharides followed by an (oxidative) disruption of the polysaccharide surface, thereby boosting depolymerization. The binding process between LPMO and polysaccharide is key to the mechanism and recent investigations have established structure-function relationships for this binding, employing hyperfine coupling constants (HFCs) from EPR spectroscopy. Unfortunately, EPR does not provide direct structural data and therefore the experimental EPR parameters have been supported with parameters cal-culated with density functional theory. Yet, calculated HFCs are extremely sensitiveto the employed computational setup. Using the LPMO Ls(AA9)A, we here quantifythe importance of several choices in the computational setup, ranging from the useof specialized basis, the underlying structures, and the employed exchange–correlationfunctional. We compare our results to both X-ray structures and experiment (EPR spectra) for Ls(AA9)A as well as to recent experimental/theoretical results for another(AA10) family of LPMOs.
Interfacial Reactivity and Speciation Emerging from Namontmorillonite Interactions with Water and Formic Acid at 200°C: Insights from Reactive Molecular Dynamics Simulations, Infrared Spectroscopy, and X-ray Scattering Measurements
Authors: Muraleedharan Murali Gopal , Asgar Hassnain , Hahn Seung Ho , Dasgupta Nabankur , Gadikota Greeshma , C.T. van Duin Adri
Published: October 2020

Reactive organic fluid - mineral interactions at elevated temperatures contribute to the evolution of planetary matter. One of the less studied but important transformations in this regard involves the reactions of formic acid with naturally occurring clays such as sodium montmorillonite. To advance a mechanistic understanding of these interactions, we use ReaxFF reactive molecular dynamics simulations in conjunction with infrared (IR) spectroscopy and X-ray scattering experiments to investigate the speciation behavior of water-formic acid mixtures on sodium montmorillonite interfaces at 473 K and 1 atm. Using a newly developed reactive forcefield, we show that the experimental IR spectra of unreacted and reacted mixture can be accurately reproduced by ReaxFF/MD. We further benchmark the simulation predictions of sodium carbonate and bicarbonate formation in the clay interlayers using Small and Wide-Angle X-ray Scattering measurements. Subsequently, leveraging the benchmarked forcefield, we interrogate the pathway of speciation reactions with emphasis on carbonate, formate, and hydroxide groups elucidating the energetics, transition states, intermediates, and preferred products. We also delineate the differences in reactivities and catalytic effects of clay edges, facets, and interlayers owing to their local chemical environments, which have far reaching consequences in their speciation behavior. The experimental and simulation approaches described in this study and the transferable forcefields can be applied translationally to advance the science of clay-fluid interactions for several applications including subsurface fluid storage and recovery and clay-pollutant dynamics
Synergetic Enhancement of Fluorescence and Magnetic Resonance Signals Assisted by Albumin Cage
Authors: Wang Lirong , Wan Qing , Zhang Rongyuan , Situ Bo , Ni Kaiyuan , Gao Jinhao , Wang Zhiming , Qin Anjun , Tang Ben Zhong
Published: October 2020

Bimodal fluorescence and magnetic resonance imaging (FLI/MRI) is important for early diagnosis of malignant tumors. Yet, facile and opportune strategies to synergistically enhance fluorescence intensity and magnetic resonance (MR) contrast effect have been rarely reported. Here, a facile albumin cage (AC) strategy is provided to synergistically enhance the fluorescence intensity by aggregation-induced emission (AIE) and MR contrast with prolonged rotational correlation time (τR) of Gd(III) chelates and diffusion correlation time (τD) of surrounding water molecules. The amphiphilic bimodal FLI/MRI probe of NGd, could be facilely loaded into ACs to generate supramolecular structure of NGd-albumin cages (NGd-ACs), which show excellent biocompatibility and biosafety, and exhibit superior fluorescence quantum yield and r1 over NGd with 6- and 8-fold enhancement, respectively. Moreover, compared with clinical MRI contrast agent of Gd-DOTA, r1 of NGd-AC shows 17-fold enhancement. As a result, NGd-ACs successfully elicit high-performance bimodal FLI/MRI in vitro and brighter MR signals are observed in liver and tumor after intravenous injection of NGd-ACs with a dosage of 6 μmol Gd(III)/kg body weight. This strategy is generic and feasible, and successfully realizes a “1+1>2” effect for dual-modal FLI/MRI.
Synthesis of High-Purity Solid SiO2 Nanodumbbells via Induced Aggregation
Authors: Deng Yu-Hao
Published: October 2020

Optically levitated nanodumbbells in vacuum are excellent candidates for thermodynamics, macroscopic quantum mechanics, precision measurements, and quantum sensing. Silica (SiO2) material, with extremely low absorption of near-infrared light and rubust mechanical strength, has been the most potential material for this system. Here we synthesized high-purity solid SiO2 nanodumbbells by introducing acetone for the induced aggregation of SiO2 nanospheres. The nanodumbbells show high uniformity and the sizes are tunable. Previous experimental results demonstrated that the synthetic nanodumbbells can be applied in GHz nanomechanical rotors and can withstand the tensile strength of over 13 GPa. This work engineers a new material platform to advance levitated optomechanics.
Imputation of Missing Gas Permeability Data for Polymer Membranes using Machine Learning
Authors: Yuan Qi , Longo Mariagiulia , Thornton Aaron , McKeown Neil B. , Comesana-Gandara Bibiana , Jansen Johannes C. , Jelfs Kim
Published: October 2020

Polymer-based membranes can be used for energy efficient gas separations. Successful exploitation of new materials requires accurate knowledge of the transport properties of all gases of interest. An open source database of such data is of significant benefit to the research community. The Membrane Society of Australasia (https://membrane-australasia.org/) hosts a database for experimentally measured and reported polymer gas permeabilities. However, the database is incomplete, limiting its potential use as a research tool. Here, missing values in the database were filled using machine learning (ML). The ML model was validated against gas permeability measurements that were not recorded in the database. Through imputing the missing data, it is possible to re-analyse historical polymers and look for potential “missed” candidates with promising gas selectivity. In addition, for systems with limited experimental data, ML using sparse features was performed, and we suggest that once the permeability of CO2 and/or O2 for a polymer has been measured, most other gas permeabilities and selectivities, including those for CO2/CH4 and CO2/N2, can be quantitatively estimated. This early insight into the gas permeability of a new system can be used at an initial stage of experimental measurements to rapidly identify polymer membranes worth further investigation.