bluuebunny/crossref_metadata_2025 huggingface dataset:
MOTIVASI KERJA DAN KINERJA ALUMNUS AKPER ADI HUSADA YANG BEKERJA DI RS ADI HUSADA UNDAAN WETAN SURABAYA
Authors: Rusmini Ni Putu
Published: May 2020

Education and development of the nurse is one of the activities to be carried out by the nursing managers to support the performance of nurses, that are expected to improve the quality of nursing care. The performance assessment is a tool that can be trusted in the control of human resources and productivity. The aim of this study was to identify the motivation to work and work performance of AKPER Adi Husada Surabaya ex-students  who worked at the Adi Husada Undaan Wetan Hospital and identify relationship between both factors. This study uses correlation design with cross sectional approach, using consecutive sampling technique and obtained a sample of 94 respondents. Data obtained by using questionnaires and result was tested with Spearman Rank test using computer software with a significance p=0.05. Statistical test results showed r = 0.443, it shows the null hypothesis was rejected so that there was a weak relationship between motivation and work performance AKPER Adi Husada Surabaya ex-students who worked at the hospital Adi Husada Undaan Wetan Surabaya. So motivation factor was not the main factor that causes an increase in performance, but the entire internal and external factors greatly affect the performance of individual nurses. Expected nurses can improve motivation and other factors related to the performance becomes more optimized and can improve the quality of nursing care.

Pembinaan dan pengembangan terhadap perawat merupakan salah satu kegiatan yang harus dilakukan oleh kepala ruangan atau manajer keperawatan untuk mendukung kinerja perawat, sehingga diharapkan mampu meningkatkan mutu pelayanan keperawatan. Penilaian kinerja merupakan alat yang dapat dipercaya dalam mengontrol sumber daya manusia dan produktivitas. Tujuan dari penelitian ini adalah untuk mengidentifikasi motivasi kerja, kinerja alumnus AKPER Adi Husada Surabaya yang bekerja di RS Adi Husada Undaan Wetan dan hubungan kedua faktor tersebut. Penelitian ini menggunakan desain korelasi dengan pendekatan potong lintang, menggunakan teknik consecutive sampling dan didapatkan sampel sebanyak 94 responden. Data diperoleh dengan menggunakan kuesioner kemudian diuji dengan Spearman Rank test menggunakan software computer dengan signifikansi p=0,05. Hasil uji statistic menunjukkan r= 0,443, hal tersebut menunjukkan hipotesis nol ditolak sehingga ada hubungan namun bersifat lemah antara motivasi kerja dan kinerja alumnus AKPER Adi Husada Surabaya yang bekerja di RS Adi Husada Undaan Wetan Surabaya. Faktor motivasi kerja bukan faktor utama yang menyebabkan peningkatan kinerja namun seluruh faktor internal maupun ekternal individu sangat mempengaruhi kinerja perawat. Diharapkan perawat dapat meningkatkan motivasi kerja dan faktor lain yang terkait sehingga kinerja menjadi lebih optimal dan dapat meningkatkan mutu pelayanan keperawatan.

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EFEKTIFITAS MINUMAN JAHE DALAM MENGURANGI EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I
Authors: Zakiyah, Emyk Windartik, Heri Tri Wibowo Ana
Published: May 2020

ABSTRAKKehamilan merupakan proses alami dan normal, namun pada umumnya ibu mengalami emesis gravidarum. Keluhan tersebut disebabkan oleh perubahan sistem endokrin yang terjadi selama kehamilan, terutama disebabkan oleh tingginya fluktuasi kadar Human Chorionic Gonadotrophin (HCG), keluhan tersebut biasanya terjadi pada 12-16 minggu pertama. Jahe adalah salah satu produk terapeutik yang diturunkan dari rhizoma, kandungan minyak atsiri yang bersifat aromatik dapat memberikan pengaruh langsung pada saluran gastrointestinal. Tujuan penelitian ini adalah mengetahui keefektifan pemberian minuman jahe pada ibu hamil yang mengalami emesis gravidarum. Desain penelitian ini adalah eksperimental one group pre test-post test design. Tehnik sampling yang digunakan adalah purposive sampling dengan jumlah 27 responden. Hasil analisis dengan wilcoxon sign rank test menunjukkan bahwa nilai p=0.00 (α<0.05). Pemberian minuman jahe dengan dosis yang tepat efektif dalam mengurangi emesis gravidarum pada ibu hamil trimester I karena kandungan minyak atsiri yang bersifat aromatik memberikan pengaruh langsung pada saluran gastrointestinal, sedangkan efek antiemetik pada jahe disebabkan oleh kerja antikolinergik dan antihistamin. Jahe menjadi salah satu alternatif untuk mengurangi gejala emesis gravidarum dengan berbagai jenis sediaan/kemasan sehingga lebih menarik tanpa mengurangi khasiat yang terkandung di dalamnya.

Kata kunci: jahe, emesis gravidarum, morning sickness

ABSTRACTPregnancy is a natural and normal process, but generally, women experience morning sickness. The complaints are caused by endocrine system changes that occur during pregnancy, mainly caused by fluctuations in the levels of HCG (human chorionic gonadotrophin), such complaints usually occur in the first 12-16 weeks. Ginger is one of the therapeutic products derived from rhizomes, atsiri oil content that is both aromatic can provide a direct influence on the channel gastrointestinal. Aim of this study was to determined the effectiveness of the provision of ginger ale in pregnant women who experience morning sickness. This is an experimental one group pretest-posttest design. Sampling technique used purposive sampling with 27 respondents. The results of the analysis with the wilcoxon signed rank test showed that the p = 0.00 (α< 0.05). Giving ginger drink with the right dose effective in relieving morning sickness in the first trimester pregnant women because it contains aromatic oils that are atsiri give direct effect on the gastrointestinal tract, whereas the antiemetic effect of ginger is caused by anticholinergics and anthistamin work. Ginger became one alternative to reduce the symptoms of morning sickness with various types of preparation/ packaging making it more attractive without reducing the benefits contained therein.

Keywords: ginger, morning sickness, emesis gravidarum

 

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DUKUNGAN SOSIAL KELUARGA DAN PROSES REHABILITASI MOTORIK PASIEN STROKE
Authors: Wangsa Saputera, Maria Manuk, Yohanes Kurniawan Ariawan
Published: May 2020

ABSTRAKPenderita stroke dapat mengalami gangguan motorik. Setelah melewati masa akut, penderita stroke yang mengalami gangguan motorik diharapkan menjalani program rehabilitasi motorik. Proses rehabilitasi motorik penderita stroke membutuhkan dukungan keluarga karena dapat memotivasi dan meningkatkan kepatuhan pasien dalam menjalani program rehabilitasi. Penelitian ini bertujuan untuk menganalisa dukungan keluarga pada pasien stroke dalam menjalani rehabilitasi motorik. Sampel penelitian adalah pasien yang berkunjung ke Puskesmas Sidotopo Wetan yang menderita stroke dan sedang melakukan program rehabilitasi sebanyak 27 orang. Teknik pengambilan sampel menggunakan consecutive sampling. Pengumpulan data menggunakan kuesioner. Analisis data dalam penelitian ini menggunakan uji korelasi Pearson. Hasil uji korelasi Pearson menunjukkan nilai p = 0.496 (α<0.05) dan nilai r = - 0.137, dan dari hasil uji tersebut dapat disimpulkan bahwa tidak ada hubungan antara dukungan emosional, penghargaan, informatif, dan instrumental keluarga terhadap proses rehabilitasi motorik penderita stroke. Hal ini dikarenakan sebagian besar penderita tidak tinggal serumah dengan keluarga, sehingga hal ini membuat penderita tidak mendapatkan dukungan keluarga yang optimal. Bila penderita mendapatkan dukungan yang cukup dari keluarga, diharapkan penderita dapat termotivasi untuk merubah gaya hidup sehat secara optimal.

Kata kunci: dukungan keluarga, pasien stroke, rehabilitasi motorik

ABSTRACTStroke patients may experience physical motor impaired. After passing through the acute period, stroke patients with physical motor impaired must took a physical motor rehabilitation program. The process of physical motor rehabilitation program needed social family support because family could motivated and increased patient’s obedience. The aim of this study was to analyzed relationship between family social support with physical motor rehabilitation program of stroke patients. Samples were patient came to Sidotopo Wetan public health care who suffered a stroke and was conducting a physical motor rehabilitation program as many as 27 people. This study used consecutive sampling. Data was collected using questionnaire and analyzed using Pearson correlation test. Result of this study showed p = 0.496 (α<0.05) dan nilai r = - 0.137 so there was not a relationship between emotional, appreciation, informative, and instrumental family support with the patient physical motor rehabilitation process. This was because most patients did not stay together with their family, so this made patients did not get full family support. When patients get enough support from the family, the patient could be motivated to change healthy lifestyle optimally.

Keywords: family support, stroke patient, physical motor rehabilitation

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MOTIVASI BELAJAR DAN NILAI INDEKS PRESTASI MAHASISWA AKADEMI KEPERAWATAN ADI HUSADA SURABAYA
Authors: Handojo, Maria Sumiyenta Nuwa, Irawati Marga Ludy Hammami
Published: May 2020

ABSTRAKMotivasi adalah salah satu dari banyak hal yang dijadikan suatu batas kesuksesan seseorang dalam belajar. Tanpa adanya motivasi maka sangatah sulit bagi seseorang untuk mencapai prestasi yang optimal. Tujuan dari penelitian ini adalah untuk mengetahui adanya hubungan antara motivasi belajar dengan nilai indeks prestasi. Desain penelitian yang digunakan adalah korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 90 mahasiswa Akademi Keperawatan Adi Husada Surabaya, dengan jumlah sampel sebesar 67 responden yang memenuhi kriteria inklusi. Teknik sampling yang digunakan simple random sampling. Pengumpulan data menggunakan kuesioner untuk mengukur variable motivasi belajar dan untuk melihat nilai indeks prestasi yang telah diraih oleh mahasiswa selama satu semester dilakukan secara observasi. Hasil uji statistik menunjukkan p=0.00 (α<0.05) dan r=0.853 sehingga terdapat hubungan yang kuat antara motivasi belajar dengan nilai indeks prestasi. Motivasi belajar yang baik harus dapat ditimbulkan agar mahasiswa mampu melakukan proses pembelajaran dengna mudah dan dapat bersaing secara sehat dalam mepertahankan nilai-nilai yang telah diraih dalam setiap semester.Kata kunci: motivasi belajar, nilai indeks prestasi.ABSTRACTMotivation is one of the many things that made a limit a person's success in learning. Without the motivation it is difficult for a person to achieve optimal performance. The aim of this study was to determine the relationship between learning motivation and achievement index value. The study design used is a correlation with cross sectional approach. The population in this study were 90 students of the Academy of Nursing Adi Husada Surabaya, with a sample size of 67 respondents who met the inclusion criteria. The sampling technique used simple random sampling. Collecting data using questionnaires to measure variables of motivation to learn and to see the index value achievements that have been attained by students during a semester is done by observation. Statistical analysis showed p = 0.00 (α <0,05) and r = 0853 so that there is a strong relationship between learning motivation and achievement index value. Motivation to learn that both must be generated so that students are able to make the learning process easy and dengna can compete fairly in mepertahankan values that have been achieved in each semester. Keywords: learning motivation, grade point index

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Metaphysik der Metamorphose im Werk von Barbara Frischmuth
Authors: Issa Hoda
Published: May 2020

Im Anfang war die Ur-Masse oder das Ur-Wasser, bis die einzelnen Geschöpfe daraus hervortraten. Darüber sind sich bisher mindestens Evolutionisten und Mythologen einig. ,,Der Kosmos war nach ägyptischer Vorstellung nicht aus dem Nichts, sondern aus dem Eins, der undifferenzierten
Ur-Einheit, dem Nun, entstanden.“1 Die Schöpfung erscheint somit zunächst als ein Akt der Grenzsetzung, damit die verschiedenen Geschöpfe entstehen konnten. Die Grenzsetzung war in diesem Zusammenhang ein kreativer Akt. Weil jedoch Kreativität kein Zustand,
sondern ein fortlaufender Prozess ist, musste die initiale Grenzsetzung für die Entwicklung kompatibel gemacht werden, damit die Schöpfung nicht in einem Zustand erstarrt, d.h. damit sie als Leben weiterbestehen kann. So wurde die Metamorphose gleichsam als Fortbestandskomponente,
als fortgesetzter Schöpfungsakt eingebaut, und so hat die Schöpfung ihren innigen Bezug zur Kreativität behalten. Wiederholte Hinweise u.a. auf Ernst Haeckels Kunstformen der Natur und Karl Blossfeldts Urformen der Natur in Barbara Frischmuths Werk verbriefen diese
ursprüngliche Einheit von Leben und Kreativität, die in Woher wir kommen im Kapitel ,,Ada“ die Künstler grübeln und über das Verhältnis von Kunst, Natur, Leben und Kreativität um- und neu nachdenken läßt.2 Barbara Frischmuth
sieht diese Einheit jedoch auch im Bereich der Mythologie wirksam, deren Formen sie bis in die Mystik weiterverfolgt.
Zarte Empirie, Schreiben mit grüner Tinte und die agenziellen Kräfte der Natur: Klaus Modicks Novelle Moos
Authors: Braunbeck Helga G.
Published: May 2020

Pflanzen hatten es nie leicht in der Geschichte, die von der Spezies Mensch aus logozentrischer Perspektive geschrieben wurde. Obwohl manch großer Denker, Schriftsteller oder Naturwissenschaftler die Intelligenz dieser Lebewesen – die 99,7% der Biomasse der Erde ausmachen
– beschrieb, dokumentierte und theoretisierte, wurden sie von den meisten Menschen aufgrund ihrer wahrgenommenen Immobilität, ,,Passivität“ und angenommenen Gefühllosigkeit in die Nachbarschaft des Inorganischen und Seelenlosen gerückt.47 Dann stellte
der britische Naturwissenschaftler Charles Darwin diese Auffassung auf den Kopf, indem er einer Publikation seines Alterswerks den aufreizenden Titel The Power of Movement in Plants (1880) gab und darlegte, was er – laut Stefano Mancuso und Alessandra Viola – von Pflanzen
hielt: ,,Darwin hat mehrfach erklärt, er halte Pflanzen für die außergewöhnlichsten Lebewesen, die ihm je begegnet seien: ,Mit großer Freude habe ich in der Hierarchie der Lebewesen stets die Pflanzen gerühmt.‘“48
fleurs: Friederike Mayröckers Blumensprache
Authors: Thums Barbara
Published: May 2020

Charles Baudelaire hat mit seinen Fleurs du mal (1857) die Lyrik der Moderne begründet. Kennzeichnend für seine Neubegründung lyrischen Sprechens ist unter anderem die Entfaltung einer modernen und hässlichen, von pflanzenlosen Steinschluchten und künstlicher
Beleuchtung geprägten Großstadtwelt, in welcher die Haussmanisierung306 anklingt und die Sünden ebenso Raum bekommen wie die Einsamkeit der im Gewimmel der Vielen untergehenden individuellen Existenz. Die Hässlichkeit und Armseligkeit, der Verfall und Kehricht
der Großstadt, das Künstliche und Anorganische wird Baudelaire zum Bezugspunkt einer Dichtung, die in ihrer Aufstiegsbewegung Anklänge an die mystische Tradition aufweist und in der sich der Duft von Blumen sowie der Duft von Teer ebenso vereinen können wie der Abendhimmel
und das künstliche Gaslicht. Das Nebensächliche und Banale erfährt im Spannungsfeld von ,,Spleen“ und ,,Ideal“, Niederem und Hohem sowie Aufschwung und Fall eine Nobilitierung und kontert so im Raum der Kunst die Banalität des Alltags. Das Gedicht Élévation
ist ein besonders anschauliches Beispiel für dieses poetische Verfahren, in dem die Blume für jene über die Abstraktion vom Materiellen gewonnene Schönheit steht. Seine letzte, diesen Vorgang reflektierende Strophe findet dafür den Ausdruck ,,Le Langage des fleurs
/ Die Sprache der Blumen“:
Einleitung: Das literarische Leben der Pflanzen: Poetiken des Botanischen
Authors: Jacobs Joela , Kranz Isabel
Published: May 2020

Pflanzen sind der blinde Fleck der Literatur- und Kulturwissenschaften. Damit befinden sich diese Disziplinen in guter Gesellschaft, denn laut einer Studie von James H. Wandersee und Elisabeth E. Schussler aus dem Jahr 2011 ist Pflanzenblindheit selbst bei angehenden BiologInnen weit
verbreitet.1 Die fehlende Wahrnehmung von vegetabilen Lebensformen verstärkt ihre Geringschätzung und Einordnung als passive, ornamentale Objekte. Es ist daher mittlerweile fast schon ein Gemeinplatz, wenn es in neueren Publikationen der sogenannten Plant Studies oder
Pflanzenstudien, die je nach methodologischem Vorgehen mit den Adjektiven critical (d.h. philosophisch), literary oder cultural versehen werden, heißt, Pflanzen gälten gemeinhin als ,,überflüssige[r] Klimbim“2 oder bevölkerten
,,the margin of the margin, the zone of absolute obscurity undetectable on the radars of our conceptualities“3.
“Beweglich und bildsam”: Goethe, Plants, and Literature
Authors: Holmes Tove
Published: May 2020

Johann Wolfgang von Goethe’s engagement with plants was a life-long pursuit, as he lays out in the essay Der Verfasser teilt die Geschichte seiner botanischen Studien mit (1817/1831). Written, as he explains in closing, to push back against the notion that his theory of
morphology came to him in one brilliant flash of inspiration or unusual sagacity, the essay emphasizes his “folgerechtes Bemühen” (24:752), i.e. the persistent efforts of the author and gradual development of his theory of plant morphology over time. The narrative centers
on themes that are paradigmatic for Goethe’s natural scientific thinking as well as for the construction of knowledge around 1800, namely that 1) ideas such as morphology are to be understood in the context of the “Geschichte” or history/story of their coming into being,
2) are intimately bound up with their means and media of representation, and 3) arise as a sort of collaboration and unfinished process involving an active subject and dynamic object over time. In a strikingly modern conception of science, Goethe believed “die Geschichte der Wissenschaft
[ist] die Wissenschaft selbst” (23:16), emphasizing that every idea develops and continues to exist in relation to a natural-scientific and cultural archive. It was also Goethe’s conviction that knowledge cannot be transmitted in a finished state, but must be continually formed
anew. The narrative documenting his time-bound pursuit of knowledge about plants can thus be understood as a way to share this process with readers in multiple senses of the word “mitteilen,” by encouraging them to become more receptive to vegetal life by vicariously following
his development and relating it to their own experience.
Giant Gartner duct cyst: complications and management.
Authors: Martínez Martínez C , Láinez Ramos-Bossini AJ , Mirón Pozo B
Published: May 2020

La persistencia del quiste del conducto de Gartner es una entidad bastante infrecuente que consiste en la persistencia de un remanente del conducto de Wolff o mesonéfrico. Suelen estar localizados en el aspecto anterolateral de la vagina, pero pueden hallarse en cualquier localización de la pared vaginal. Pueden estar asociados a malformaciones nefrourológicas como uréter ectópico o agenesia o hipoplasia renal unilateral. Con frecuencia, los quistes del conducto de Gartner son pequeños y asintomáticos, pero si son lo suficientemente grandes pueden producir síntomas como dolor pélvico o dispareunia.

La ecografía y la tomografía computarizada (TC) muestran una lesión de aspecto quístico, siendo la resonancia magnética (RM) la prueba de imagen de elección para caracterizar mejor la lesión y su extensión, así como las anomalías urológicas asociadas. La escisión del quiste de conducto de Gartner está indicada cuando presenta un gran tamaño, aunque también puede realizarse tratamiento conservador mediante drenaje del mismo.
As estratégias de sobrevivência dos pequenos produtores:
Authors: Menezes Marilda Aparecida de
Published: May 2020

Sem resumo.
Controvérsias sobre a new economic history
Authors: Melo Josemir Camilo de
Published: May 2020

Sem resumo.
Agroindústria no Nordeste
Authors: Carvalho Maria Lúcia Gonçalves de
Published: May 2020

Sem resumo.
Administração do trabalho
Authors: Mota Isabel Lausanne Carneiro
Published: May 2020

Sem resumo.
Novas tecnologias, distribuição de renda e emprego
Authors: Alves Francisco José da Costa
Published: May 2020

Sem resumo.
Sociedade e reforma agrária no Brasil
Authors: Andrade Manuel Correia de
Published: May 2020

Sem resumo.
A note on the generalized nilpotent elements of a module
Authors: Purkayastha Saugata , Saikia Helen K.
Published: May 2020

In this paper, we introduce the notion of the generalized nilpotent element of a module. In \cite{Groenewald}, the notion of nilpotent element of a module is introduced in the following sense: a non-zero element $m$ of an $R$-module $M$ is said to be nilpotent if there exists some $a\in R$ such that $a^k m=0$ but $am\neq 0$ for some $k\in \mathbb N$. In our present work we aim to generalize this notion. We have extended this notion to the strongly nilpotent element of a module.
Intuitionistic Fuzzy Translation on INK-Algebra
Authors: Kaviyarasu M. , Indhira K. , Chandrasekaran V. M.
Published: May 2020

In this article, We introduced intuitionistic fuzzy translation and intuitionistic fuzzy multiplication on INK-algebras and derived some results to get the structure of intuitionistic fuzzy INK-subalgebra.
ARCTIC GEOPOLITICS: RISK MANAGEMENT OF LIFE SAFETY SYSTEM
Authors: Artamonov V , MUSIENKO T
Published: May 2020

The article actualizes the problem of developing an effective geopolitical strategy for integrated security of Russia in the Arctic aimed at minimizing the threats to the region’s sustainable development. It is stressed that an important role in the implementation of a strategy formation of an integrated security system in the Arctic belongs to an effective system of protection of population and territory, critical and potentially dangerous objects in the Arctic zone of the Russian Federation from emergency situations of natural and technogenic character.
Metodologías de enseñanza para millennials. El caso de Tecnun
Authors: Santos Javier , Muñoz-Villamizar Andrés , Sarriegi Josemari , Labaka Leire
Published: May 2020

La exposición temprana y creciente a la tecnología de los llamados millennials hace que, como alumnos universitarios, tengan preferencia por enfoques de aprendizaje interactivos y experienciales. En este contexto, se han desarrollado nuevas metodologías de enseñanza que mejoran el compromiso, la motivación y el rendimiento de los alumnos utilizando estrategias que incorporan elementos y mecánicas de juego, y que hacen, a priori, más atractivo el proceso de aprendizaje. Analizando la literatura se constata que no existe una definición clara de las estrategias más extendidas: simulación, aprendizaje basado en juegos, gamificación o serious games. En este trabajo se propone una definición para cada estrategia y, a modo de ejemplo, se aplican las definiciones a las estrategias pedagógicas llevadas a cabo en el grado de Ingeniería de Organización y del Máster en Dirección de Producción de Tecnun.Palabras clave: Enseñanza; Ingeniaría de Organización; Serious Games; Gamificación; Simulación; Millennials
Morphological and force spectroscopy characterizations for indentification of surface nanobubbles from nanodroplets and blisters
Authors: Li Xiaolai , Zeng Binglin , Ren Shuai , Wang Yuliang
Published: May 2020

Surface nanobubbles (NBs) play an important role in various practical applications, such as mineral flotation and separation, drag reduction, and nanostructured surface fabrication. Until now, it still remains as a challenge to identify surface NBs from other spherical-cap-liked nano-objects, like blisters and nanodroplets (NDs). Here we focus on the distinctions of NBs from NDs and blisters using an atomic force microscopy. It is implemented through morphological characterization, high load scanning, and force spectroscopy measurement. In the morphological characterization experiment, contact angles of the three types of nano-objects were compared. In the high load scanning experiment, the response of the nano-objects to high scanning loads was studied. The mobility, deformability, and volume change of the nano-objects during the high load scanning were investigated. At last, the force spectroscopy measurement was implemented. Due to the existence of the three-phase contact lines on both tip-NB and tip-ND interactions, force-distance curves exhibit the similar behaviors on both NBs and NDs. However, quantitative analysis shows that the extracted parameters from force-distance curves can be used to distinguish one from the other. This study developed a systematic way to distinguish surface NBs from others nano-objects, which is crucial for surface nanobubble community.
CPEC and Healthcare Benefits
Authors: Irshad Muzammil
Published: May 2020

China-Pakistan Economic Corridor (CPEC) is a bond of bilateral cooperation between China and Pakistan to enhance economic growth of both the countries. As far as Pakistan is concerned, CPEC is one of the supreme strategies to modernize Pakistani infrastructure and to empower Pakistani economic growth in terms of transportation, energy, and numerous industrial reforms. Economic growth is considered a determinant of population health. It has been noted, “Wealthier nations are healthier nations” as they spend more on preventive medicine and on healthcare delivery. Hence, economic gains from CPEC development can flow into health gains as well.
Frequency of Diabetes Mellitus in Pulmonary Tuberculosis Patients
Authors: Rubab Taslim , Hanif Asif , Rehman Abdur
Published: May 2020

Background: Diabetes Mellitus is an important risk factor for Pulmonary Tuberculosis (PTB). Diabetes and Tuberculosis often present together and complicate each other at many levels. There is inadequate data on the frequency of diabetes mellitus in TB patients in Pakistan. Implementation of bidirectional screening for both diseases in patients with tuberculosis will not only ensure early case detection but also better management of diabetes at the same time. The study was conducted to assess the frequency of diabetes in patients presenting with pulmonary tuberculosis.Material and Methods: In this cross-sectional study, 137 sputum positive TB patients were selected by non-probability (purposive) sampling technique and data was collected using a questionnaire. All cases of tuberculosis, more than 18 years of age, were screened for diabetes. Diabetes was confirmed by determining fasting blood sugar level using cut-off value of 126mg/dl.Results: The frequency of diabetes among pulmonary T.B patients in this study is was found to be 34.3% of which 29.9% were known DM cases and 4.4% were newly diagnosed.Conclusion: This study concludes high frequency of Diabetes mellitus in pulmonary tuberculosis. Diabetes is a common co-morbidity in people with TB, screening TB patients with fasting blood sugar estimation will help in early detection of diabetes.
Cardiovascular Disease and Its Risk Factors Among Employees of Sindh Government; A Cross Sectional Survey from Karachi, Pakistan
Authors: Shafi Madiha , Mehmood Humaira , Afsar Saeed , Bokhari Zoaib Raza , Abbasi Saleem
Published: May 2020

Abstract:
Introduction:  Globally it is documented that CVD has multi-factorial aetiology and many factors like increased BMI, hypertension (HTN), stress and diabetes determine the risk of CVD. The prevalence of risk factors for cardio vascular disease (CVD) is on increase in the developing nations of the world.
Objectives: The purpose of the study was   to find out the prevalence of cardiovascular disease and its risk factors among employees of Sindh Government in Karachi, Pakistan.Method: It was hospital based cross sectional study. A total of 150 subjects (govt employees of Sindh Government) were interviewed by using consecutive sampling technique. Data on serum cholesterol, BMI, blood pressure, history of hypertension, diabetes and cardiovascular diseases was collected, in addition to demographic data.
Results: Out of 150 subjects interviewed, 20.6% reported to have CVD. The most prevalent risk factor was hypertension, found in 58% respondents. Other risk factors were diabetes (45%), sedentary life style (50%), obesity (28%), dyslipidaemia (30%), smoking (20%), positive family history (26%). In 6% of subjects, three major risk factors were present. The risk factors, strongly associated with CVD in our study were diabetes (p<0.01), hypertension (p<0.001) and family history of CVD (p<0.02). There is strong association of increasing age on risk of developing CVD (p< 0.001).
Conclusion: The results show that there is high frequency of CVD risk factors in employees of health department in Karachi. The high prevalence of risk factors, especially hypertension, sedentary life style, obesity and diabetes should be of great concern.
Görme Yetersizliği Olan Öğrenciler İçin Genişletilmiş Çekirdek Müfredat ve Dinleme Becerileri
Authors: YALÇIN Gülistan , ALTUNAY Banu
Published: May 2020

Görme
yetersizliği olan bireyler, toplumda bağımsız bir yaşam sürdürebilmek için bazı
becerilerin öğretimine ihtiyaç duyarlar. Hatlen (1996) görme yetersizliği olan
bireylerin ihtiyaç duydukları tüm bu becerileri kapsayan Genişletilmiş Çekirdek
Müfredat’ı tanımlamıştır. Bu müfredat genel eğitim okullarında takip edilen
müfredata ek olarak öğrencilerin ihtiyaçlarına yönelik alan uzmanları
tarafından sunulmaktadır. Genişletilmiş Çekirdek Müfredat dokuz alandan
oluşmaktadır. Bu alanlardan biri de tamamlayıcı akademik becerilerdir.
Tamamlayıcı akademik beceriler, çalışma becerileri, dinleme becerileri, kavram
öğretimi, yön bilgisi, kabartma yazı, önceden kaydedilmiş materyallerin
kullanımı, konuşma kartları veya iletişim için geliştirilen cihazların
kullanımı gibi pek çok beceriyi kapsamaktadır. Bu becerilerin her biri görme
yetersizliği olan öğrencilerin eğitiminde ve günlük yaşamında son derece önemli
bir yere sahiptir. Ancak dinleme becerisi, görme yetersizliği olan bireylerin
yaşamları boyunca en sık başvurduğu beceridir. Bebeklik döneminde görme
duyusunu kullanamayan bebekler, sesleri dinleyerek ebeveynleri ile iletişim
kurmakta, bireylerin ve nesnelerin yerlerini tayin etmekte ve bu şekilde dış
dünyaya ilişkin bilgi toplamaktadırlar. Okul döneminde ise görme yetersizliği
olan öğrenciler, dersleri takip etmede, ödev hazırlamada, sınavlara
hazırlanmada yine sıklıkla dinleme becerisini kullanmaktadırlar. Bu çalışmanın
amacı da pek çok ülkenin eğitim programı içerisinde yer alan Genişletilmiş
Çekirdek Müfredat’ı tanıtmak ve görme yetersizliği olan bireylerin yaşamında
dinleme becerilerinin önemini tartışmaktır. Bu amaçla çalışmada, öncelikle
Genişletilmiş Çekirdek Müfredat ve alanları tek tek tanıtılmış, görme
yetersizliği olan bireylerin eğitiminde dinleme becerilerinin önemi açıklanmış
ve alan uzmanlarına/öğretmenlere ve ebeveynlere önerilerde bulunulmuştur.
Pulmonary Embolism in a Post Covid-19 Patient - A Case Report
Authors: Rahimzadeh Mana , Pooprasert Pakinee
Published: May 2020

We report a case of a 61-year-old male who had recently been discharged home after contracting COVID-19 during an extended hospital admission. He presented to the emergency department after episode of sudden onset central chest pain and D-dimer was 390 mcg/L on admission. The patient was initially managed for acute coronary syndrome, however within twenty-four hours of admission the patient desaturated to 74% on room air and required 15L oxygen. CT Pulmonary Angiogram showed right lower lobe segmental pulmonary emboli and extensive COVID-19 lung changes. Subsequently, acute coronary syndrome treatment was stopped, and the patient treated for pulmonary embolus. Following this, his oxygen requirement improved significantly, and the patient stabilised within one week.

Emerging data and clinical evidence suggests an increased risk and prevalence of venous thromboembolic events in COVID-19, particularly in patients with more severe disease. It is currently unclear how long this increased risk persists. This case report highlights the importance of risk stratification of patients on discharge from hospital, to determine who requires extended thromboprophylaxis on discharge. Going forward, clinical trials are needed to evaluate the duration and dose of thromboprophylaxis in high-risk patients, and aid the formation of clearer guidelines for clinicians.
ACCELERATING SMALL FIRMS’ PRODUCTION PROCESS IMPROVEMENT THROUGH INTERNATIONAL MARKET KNOWLEDGE AND VALUABLE,
RARE, INIMITABLE, AND ORGANIZED RESOURCES AND CAPABILITIES
Authors: Kaukab M. Elfan , Adawiyah Wiwiek Rabiatul , Setyanto Refius Pradipta , Suroso Agus
Published: May 2020

This article aims to explore the factors influencing MSMEs – Micro, Small, and Medium Enterprises production
process improvement using variables of VRIO (Value Rarity, Inimitability, and Organization) resources and capabilities, foreign market
knowledge, and internationalization. This research is conducted in 150 exporting-MSMEs samples in Central Java, Indonesia. The main
analysis applied in this research is multiple regressions. The result shows that VRIO resources and capability, foreign market knowledge,
and internationalization, significantly influenced production process improvement. It emphasizes that degree of internationalization only
weakly influencing process improvement. The more important factors are internal factors like knowledge, resources, and capability. The result
obtained can be used as the basis to develop the strategy of capability improvement for MSMEs in designing internationalization strategy.
The strategy will closely relate to MSMEs’ process improvement to compete in international market. This research provides two contributions.
First, the internationalization of handicraft MSMEs does not strongly define MSMEs production process improvement. Second, process improvement
can be accelerated by gaining market knowledge and exploiting valuable, rare, inimitable, and organized resources and capabilities.
FIRMS PURSUIT OF INNOVATIONS THROUGH INTERNATIONALIZATION: A TREATMENT EFFECT ESTIMATION
Authors: Odei Samuel Amponsah , Stejskal Jan
Published: May 2020

Firms participations in international markets is known to stimulate innovations as well as expose
them to both international and domestic partners that can influence their innovation prospects and activities. Countries
with weaker innovation potentials acquire advanced knowledge, technologies and innovations when they interact and collaborate
with partners in the international ecosystem. The focus of this paper is to explore the linkage between firm’s decisions
to internationalize and its additionality effects on firm-level innovations. Our results show a positive and significant
correlations between these firms’ participation in international markets and their product, process, research and development
and acquisition of external knowledge. We also find that, the foreign enterprise group, foreign clients and customers from
the private sector as well as foreign consultants were vital for firms’ innovation. In contrast we find that there is no
relationship between foreign ownership and firms’ innovations as can be seen from the insignificant coefficients results.
The ATE results show that the extent of internationalizations increased the probabilities of stimulating product, process
innovations and R&D on average by 21, 14 and 9 percentage points in comparison with firms that didn’t internationalize.
Implications and suggestions for future research are discussed.
SĖKMINGAS ORGANIZACINIŲ POKYČIŲ VALDYMAS
Authors: Petrauskaitė Karolina , Korsakienė Renata
Published: May 2020

Organizacijos nuolat susiduria su pokyčiais bei jų valdymu. Pokyčių metu pasitaiko daug pasipriešinimo veiksnių bei
didelė dalis pokyčių įgyvendinami nesėkmingai. Šiame straipsnyje nagrinėjama organizacinių pokyčių samprata bei valdymo modeliai, identifikuojami
organizacinių pokyčių valdymo sėkmės veiksniai, atliekama požiūrių sėkmingo pokyčių valdymo klausimais lyginamoji analizė. Šios analizės pagrindu
atliekamas ekspertų anketavimas, kuriuo siekiama identifikuoti sėkmės veiksnius taikomus organizacijose. Tyrimo metu nustatyta, kad svarbiausi
sėkmės veiksniai, ekspertų nuomone, yra vizijos bei strategijos iškėlimas, tarpusavio komunikacija bei komandinis darbas.
GROŽIO IR SVEIKATOS PREKIŲ VARTOTOJŲ LOJALUMO VERTINIMAS SOCIALINIŲ TINKLŲ ERDVĖJE
Authors: Peleckienė Valentina , Leišytė Vilmantė
Published: May 2020

Straipsnyje siekiama ištirti, kaip galima pasiekti ir išlaikyti vartotojų lojalumą grožio ir sveikatos prekėms
per socialinių tinklų prizmę. Nors yra nemažai tyrimų apie vartotojų lojalumą, tačiau tyrimų kiekis vertinant vartotojų lojalumą per
socialinių tinklų erdvę yra labai ribotas. Ištirtoje literatūroje aptariama, kad vien klientų pirkimas nėra geriausias ilgalaikės sėkmės
būdas, taip pat svarbu sukurti vertę vartotojams. Šiame tyrime pateikiami vartotojų lojalumo santykiai su įmone per socialinių tinklų erdvę,
nagrinėjamas vartotojų elgesys ir prekės ženklo naudojimosi internete priežastys. Tyrimui naudojami ekspertinio vertinimo ir TOPSIS metodai.
Tyrimų rezultatais aktyvus įmonės sekimas socialiniuose tinkluose stimuliuoja vartotojų lojalumą, pasitikėjimą ir pajamų apyvartą. Tyrime yra
neišvengiami apribojimai. Apibendrinti rezultatai ateityje gali tapti nesvarbūs dėl technologijos pokyčių. Atsižvelgiant į tai, kad socialinių
tinklų svetainės yra naujas reiškinys, galimi tolesni tyrimai.
FACTORS INFLUENCING POSITIVE CUSTOMER EXPERIENCES ONLINE
Authors: Smaliukienė Rasa , Kregždė Dominykas
Published: May 2020

The main purpose of this article is to identify factors and measure their influence on creation of positive
customer experiences online. Methods that are used in this article are literature analysis for factor identification and Analytic
Hierarchy Process, Kendall coefficient of expert competence and TOPSIS method to assess the influence that identified factors have
on creation of positive customer experience online. For the conducted research, two groups of respondents were used. One group
consisted of experts from fields related to the topic of this article and another was a group of target audience who responded
to given questions. Research revealed how each factor influences creation of positive customer experiences online. In addition
to this, companies from a similar business field were ranked using TOPSIS method based on how each factor affects each company.
APPLICATION OF INNOVATIVE TECHNOLOGIES OF WATER QUALITY TREATMENT AND SUSTAINABLE DEVELOPMENT OF WATER RESOURCE MANAGEMENT
Authors: Akcer Batuhan , Dzemydiene Dale
Published: May 2020

With the additional conditions influencing the climate change and the population growth, it has added more pressure to the problems of sewage management systems and innovative cleaning technologies. Some different approaches for more effective management of water resources are analysed in this paper. The solutions can be tested whether they have led to the sustainable development of the countries such as Turkey, by taking more attention for best practices of EU countries (for example as Netherlands). By evaluating requirements of sustainable development we are trying to extract different criteria which help to evaluate the situation in water management sector. A case study of water treatment facilities in one enterprise (the Fertiliser Complex in Turkey) is analysed. Results show how some methods such as the highest consumption of wastewater evaluation and TOPSIS can help in situation evaluation process. The most wastewater consuming production zones are determined in the Fertiliser Complex and some pollution factors are determined according to the TOPSIS method.
Particle Acceleration and Transport during 3D CME Eruptions
Authors: Xia Qian , Dahlin Joel T. , Zharkova Valentina , Antiochos Spiro K.
Published: May 2020

We calculate particle acceleration during coronal mass ejection (CME) eruptions using combined magnetohydrodynamic and test-particle models. The 2.5D/3D CMEs are generated via the breakout mechanism. In this scenario a reconnection at the “breakout” current sheet (CS) above the flux rope initiates the CME eruption by destabilizing a quasi-static force balance. Reconnection at the flare CS below the erupting flux rope drives the fast acceleration of the CME, which forms flare loops below and produces the energetic particles observed in flares. For test-particle simulations, two times are selected during the impulsive and decay phases of the eruption. Particles are revealed to be accelerated more efficiently in the flare CS rather than in the breakout CS even in the presence of large magnetic islands. Particles are first accelerated in the CSs (with or without magnetic islands) by the reconnection electric field mainly through particle curvature drift. We find, as expected, that accelerated particles precipitate into the chromosphere, become trapped in the loop top by magnetic mirrors, or escape to interplanetary space along open field lines. Some trapped particles are reaccelerated, either via reinjection to the flare CS or through a local Betatron-type acceleration associated with compression of the magnetic field. The energetic particles produce relatively hard energy spectra during the impulsive phase. During the gradual phase, the relaxation of magnetic field shear reduces the guiding field in the flare CS, which leads to a decrease in particle energization efficiency. Important implications of our results for observations of particle acceleration in the solar coronal jets are also discussed.
A Multistate Low-dissipation Advection Upstream Splitting Method for Ideal Magnetohydrodynamics
Authors: Minoshima Takashi , Kitamura Keiichi , Miyoshi Takahiro
Published: May 2020

We develop a new numerical scheme for ideal magnetohydrodynamic (MHD) simulations, which is robust against one- and multidimensional shocks, and is accurate for low Mach number flows and discontinuities. The scheme belongs to a family of the advection upstream splitting method employed in computational aerodynamics, and it splits the inviscid flux in MHD equations into advection, pressure, and magnetic tension parts, and then individually evaluates mass, pressure, and magnetic tension fluxes at the interface of a computational cell. The mass flux is designed to avoid numerical shock instability in multidimensions, while preserving contact discontinuity. The pressure flux possesses a proper scaling for low Mach number flows, allowing reliable simulations of nearly incompressible flows. The magnetic tension flux is built to be consistent with the HLLD approximate Riemann solver to preserve rotational discontinuity. We demonstrate various benchmark tests to verify the novel performance of the scheme. Our results indicate that the scheme must be a promising tool to tackle astrophysical systems that include both low and high Mach number flows, as well as magnetic field inhomogeneities.
Hand Dominance and Walking Aid Use – Pre-determinants for Hip Fracture in the Elderly?
Authors: Hannah Andrew , Chadwick Carolyn , Bruce Andrew
Published: May 2020

AIM: Left handedness has previously been associated with an increased risk of fracture for a number of sites but to the best of our knowledge no association between handedness and hip fracture has previously been reported.
MATERIALS AND METHODS: Two separate 6-month prospective reviews of hip fracture patients aged over 65 years of age were conducted at two different hospitals, with the second review focusing on walking aid use. The patients with a neurological condition or contralateral hip prosthesis were excluded due to increased balance problems and falls risk.
RESULTS: Hand dominance was recorded for 339 patients; 304 right and 35 left. A total of 91 patients were excluded from the study. Of the remaining 248 patients, 2.06 times as many fractured their hip on the side of their non-dominant hand. For the left-handed individuals this increased to 4.6 times. Walking aid use was recorded for 102 patients. Equal numbers of the right and left hip fractures were sustained for patients using no walking aids, a Zimmer frame or two walking sticks; while 97.7% of patients using one walking stick did so in their dominant hand, sustaining 84% contralateral hip fractures.
CONCLUSION: The direction in which people fall and the causes of hip fractures is clearly multifactorial. However, we did find an association between hand dominance and hip fracture, especially when using a single walking aid. By being aware of this association, it may be possible to target both patient education and physiotherapy potentially reducing the number of patient falls and associated hip fractures.
Evaluation of Hepatocyte Growth Factor in Iraqi Patients with Acute Myeloid Leukemia: Its Correlation with Clinical Parameters and Response to Induction Therapy
Authors: Al-Bayaa Israa M. , Al-Rubaie Haithem Ahmed , Al-Shammari Haider Hasan
Published: May 2020

BACKGROUND: Hepatocyte growth factor (HGF) is a proangiogenic factor that exerts different effects over stem cell survival growth, apoptosis, and adhesion. Its impact on leukemogenesis has been established by many studies.
AIM: This study aimed to determine the effect of plasma HGF activity on acute myeloid leukemia (AML) patients at presentation and after remission.
PATIENTS AND METHODS: This was a cross-sectional prospective study of 30 newly-diagnosed, adult, and AML patients. All patients received the 7+3 treatment protocol. Patients’ clinical data were taken at presentation, and patients were followed up for 6 months to evaluate the clinical status. Plasma HGF levels were estimated by ELISA based methods in the patients at two intervals first at diagnosis and the 2nd time after remission of disease. Plasma HGF levels were only measured once in twenty healthy control individuals.
RESULTS: A statistically significant lowering in the median levels of HGF after remission induction therapy has been found when compared with those before treatment (p = 0.006) and in the group of patients who achieved complete remission in comparison with those before treatment (p = 0.005). Furthermore, a significant reduction was also demonstrated after treatment in patients presenting with extramedullary involvement (p = 0.003) and in the alive group (p = 0.001).
CONCLUSION: Plasma HGF estimation can be a useful parameter in predicting treatment outcomes in patients with AML, and it can add potentially useful information to risk stratification parameters.
Structure formation by hot extrusion of thermoelectric bismuth chalcogenide solid solution rods
Authors: Bublik Vladimir T. , Lavrentev Mikhail G. , Osvenskii Vladimir B. , Parkhomenko Yuri N. , Tabachkova Nataliya Yu.
Published: May 2020

Major advantage of extruded Bi2Te3 based thermoelectric materials is high mechanical strength compared with that of melt-crystallized materials. Mechanical properties are of special importance for thermogenerator module applications where thermogenerator branches may undergo elevated thermal stresses due to large temperature differences at the modules. Since extrusion is typically a high-temperature process the structure of extruded materials is controlled by the plastic deformation in multiple slip systems resulting in the formation of a final deformed structure. The grain orientations are predominantly such that the most probable cleavage plane orientation is parallel to the extrusion axis. Recovery processes occur simultaneously and different recrystallization stages may take place. In the latter case the deformed texture may be destroyed.

Structure evolution along the extruded rod of Bi2Se0.3Te2.7 ternary solid solution was studied with metallography and X-ray diffraction. Extrusion was interrupted for the study and so the specimen was a whole rod the initial part of which was the extrusion billet and the final part was the as-extruded material. The structure of the material is formed by competitive processes of dislocation generation and annealing. The plastic deformation energy is the highest in the extruder zone of the rod. Both the hardening processes and the texture are controlled by the plastic deformation mechanism. Plastic deformation is accompanied by generation of defects that are most likely vacancy type ones.