bluuebunny/crossref_metadata_2025 huggingface dataset:
Esterilización femenina ambulatoria por laparoscopia bajo anestesia local
Authors: López Escobar Gullermo , Cáceres Alvarez Eduardo , Muñoz Luis Armando
Published: July 2020

Se menciona la organización de dos seminarios de adiestramiento en Laparoscopia y el establecimiento de ella en dos centros hospitalarios, uno en un Hospital Universitario, de gran volumen y otro, en un Hospital de características regionales. Se presentan los primeros cien casos de Laparoscopia y esterilización tubárica en forma ambulatoria con anestesia local en el Instituto Materno Infantil de Bogotá. Se describe en detalle la técnica usada y se dan algunos resultados preliminares.En esta primera comunicación se han querido recalcar varios puntos:1.La importancia de poder hacer Laparoscopia en pacientes ambulatorias, con mínimos costos tanto para la paciente como para la Institución.2.El hecho de poder practicar el procedimiento bajo anestesia local y analgesia intravenosa concomitante con mínimos costos de derechos de sala de cirugía o de anestesia general.3.La pequeñísima incisión infraumbilical que prácticamente no deja cicatriz.4.La casi ninguna complicación del procedimiento SI SE HACE CON EL MAXIMO CUIDADO Y CON LA EXPERIENCIA DEBIDA.No debe terminar este trabajo sin agregar antes con Wheeless y Thompson (22) que la esterilización tubárica por Laparoscopia no es la respuesta final para el control permanente de la fecundidad. Sin embargo es un procedimiento efectivo no muy caro, de relativa fácil técnica, que puede ser efectuado con un alto porcentaje de seguridad cuando se hace con la debida técnica, experiencia, instrumentación y control apropiado.Claro está que la serie comentada de casos es muy pequeña pero únicamente se ha querido presentar un nuevo servicio y una pequeña guía para todos aquellos futuros laparoscopistas. La intención es continuar informando periódicamente sobre los resultados y el manejo en nuevas técnicas, indicaciones, contraindicaciones y fallas del procedimiento.
La psicoanalgesis con “Valium” “Roche”
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: July 2020

La psicoanalgesia con Valium Roche es una nueva técnica que permite al medico general o al especialista por sí mismo, entenderse con las llamadas de emergencia para intervenciones quirúrgicas para las cuales hubiera sido previamente necesaria la anestesia general.
La T dorada. - Estudio en comunidad de un nuevo dispositivo intrauterino en Colombia
Authors: Gartner Mario , Calle Mario , Estrada Alcides , Measham Anthony R.
Published: July 2020

A pesar de la efectividad y aceptabilidad comprobadas de dispositivos intrauterinos (DIUs) tales como el Lippes, durante mucho tiempo los investigadores han buscado modelos perfeccionados con tasas bajas de embarazo, retiro y expulsión.
Valium. Su aplicación en el parto
Authors: García Hernández Angel
Published: July 2020

Hemos controlado 48 parturientas, de las cuales 16 eran primíparas, 10 secundíparas, 8 tercíparas y 14 grandes multíparas, A todas ellas se les administró 'Valium' en los distintos períodos del parto.
Leiomiomas del ligamento ancho. - Presentación de 8 casos
Authors: Cantillo G. Jaime , Rojas R. Laura
Published: July 2020

En el embrión joven tanto macho como hembra, los mesonefrones y las gónadas se originan retroperitonealmente y forman una saliente en el celoma, rodeada de un pliegue de peritoneo. Los mesonefrones degeneran en forma más completa en la hembra que en el macho y su número decreciente hace que los pliegues peritoneales sean más delgados.
Efecto de la desamino-oxitocina bucal sobre la contractilidad uterina durante la inducción del parto
Authors: Rodríguez Aristarco , De Villamizar Mery , Cobo Edgar
Published: July 2020

La Desamino-Oxitocina (DAO) es un derivado sintético de la Oxitocina que presenta una potencia oxitócica superior a ésta. Su fórmula empírica es (C43 H65 O12 N11 S2), con un peso molecular de 992.2. Fué sintetizada por Du Vigneaud y col. (1). En la mujer produce una actividad uterina dos veces mayor que la inducida por la oxitocina.
Influence of the pore space structure and wettability on residual gas saturation
Authors: Khisamov Rais S. , Bazarevskaya Venera G. , Skibitskaya Natalia A. , Burkhanova Irina O. , Kuzmin Vladimir A. , Bolshakov Mikhail N. , Marutyan Oleg O.
Published: July 2020

A significant part of hydrocarbon deposits in Russia is in the late stage of development. The distribution of residual oil and gas reserves is determined by the properties of the holding rocks. Estimating of deposits’ residual gas saturation is an important scientific task. The allocation of zones with the maximum undeveloped gas reserves will allow to select areas in long-developed fields for the intensification of production in the most efficient way. To search for such “sweet” zones, it is necessary to determine the factors that provide the value of the residual gas saturation.
The reliance of the value of trapped in pores, residual gas saturation on such rock properties as pore space structure and wettability is studied in this article. The influence of formation pressure value and behaviour on making up of residual gas saturation during field development is not accounted in this work.
The study of a wide collection of core sampled from productive deposits of the Orenburg oil and gas condensate field, the Vuktylskoe oil and gas condensate field, oil and gas field of Orenburg region, and also three areas in the East Caucasian petroleum province confirmed that the value of structure-trapped oil and gas saturation of carbonate and terrigenous rocks is directly proportional to the ratio of pore diameters and channels connecting them. Herewith the angular coefficient of the regression equation for this relationship for carbonate rocks directly depends on the quantitative characteristics of the predominant (relative) wettability.
The obtained relationships make it possible to predict the value of residual gas saturation based on knowledge about the pore space structure and the surface properties of rocks.
Necesidad de protección a los conocimientos tradicionales. Especial mención a las expresiones culturales tradicionales
Authors: Ceballos Delgado José Miguel
Published: July 2020

El presente texto pretende señalar el foco de atención que tiene la regulación local e internacional sobre conocimientos tradicionales, la cual se centra principalmente en aquellos conocimientos asociados a recursos biológicos, dejando de lado aquellos que no entran en esta categoría. Ello plantea un reto para los titulares de dichos conocimientos, y el sistema de propiedad intelectual, un reto concerniente a edificar un sistema particular y suficiente que blinde jurídicamente tales intangibles y sus titulares. Con tal fin, se presentará el estado del arte actual (normativa, conceptual y jurisprudencialmente), para luego observar algunos sistemas de protección sobre estos intangibles, la experiencia colombiana, las dificultades derivadas de la diversa cosmovisión de los titulares de estos conocimientos versus la regulación vigente, para finalizar a modo de conclusión con lo que a nuestro juicio habría de contener mínimamente un sistema de protección de estos conocimientos.
Trajectory experience of motherhood
Authors: Gajek Katarzyna
Published: July 2020

Motherhood, which includes the process of becoming and being a mother, is understood as an institution or as personal experience, and both these perspectives are interdependent. The institution of motherhood, which is necessary for the functioning of societies, shapes women’s living conditions, influences their choices, frames desirable behaviours, gives the highest priority to the social role of the mother, and limits women’s identity to a single dimension. The experience of women-mothers is juxtaposed with the idea of sacrificing oneself for the good of another human being. The stories of motherhood analysed for the purpose of this article were published on the fanpage Żałuję rodzicielstwa [I regret parenthood] and clearly indicate that being a mother can be a trajectory experience associated with overpowering suffering. Women’s experiences were inscribed in the subsequent phases of a trajectory process identified by F. Schütze and G. Reimann, and the reflection on those experiences leads, among other things, to the conclusion that both mothers who have undertaken biographical work on their own experiences, as well as those who have not done so, most often organise their further life with the trajectory in the background, without fundamentally changing their personal situation.
Senior citizens’ clothing in a “youthing” polish society. The perspective of elderly women and men
Authors: Kramkowska Emilia
Published: July 2020

The way the modern-day senior citizens dress may be determined by their functioning in a “youthing” society, together with the legacy of the Polish People’s Republic and the dress codes prevailing at that time. This article provides an analysis of the abovementioned issue in a gender context, as the described age-ordering of clothes in this text concerns women and men differently. The analysis was based on a diagnostic survey, conducted among people over sixty years old, who gave their opinions on their own and their peers’ dress sense. The responses given suggest that the trends characteristic for a “youthing” society contribute to rejuvenating the way Polish senior citizens dress. According to them, the elderly dress fashionably, tastefully and colorfully – which was stated more often by the women than the men. The survey results also confirm that the dress codes relevant to PPR times are deeply rooted in the seniors’ minds. This was reflected more often in men’s opinions than in women’s. The preliminary results presented in this article indicate that the way elderly people in Poland dress is beginning to be reshaped. The results require greater depth, and this could be facilitated through the use of qualitative techniques that might complement the collected material.
Voice recovery – paradigm shift in transgender research
Authors: Bieńkowska Małgorzata
Published: July 2020

The aim of the article is to show how scientific analyses of transsexuality have changed over recent years, and how the two types of discourses on transsexuality/ transgender, i.e. medical and social, clash with each other. The result of this clash is a departure from treating transsexuality as a purely medical phenomenon classified as a deviation from the norm. I will also consistently use a range of terms showing there has been a transformation in the approach to the phenomenon being described – from transsexualism, through transsexuality, to contemporary terms such as trans person/ people with transsexuality. The change in the terminology reflects a perceptible shift in the paradigm.
Ecuaciones alométricas para estimar tasas de crecimiento de Myroxylon balsamum, Minquartia guianensis y Otoba parvifolia en la Amazonía ecuatoriana
Authors: López-Tobar Rolando , Baque Renato , Solano Edison , Belezaca Carlos , Neill David , Torres Bolier
Published: July 2020

La evaluación del análisis de las tasas de crecimiento de las especies forestales Myroxylon balsamum (L.) Harms (Bálsamo) y Minquartia guianensis Aubl. (Guayacán negro) y Otoba parvifolia (Doncel) establecidas en rodales de investigación en la Estación Científica Jatun Sacha (ECJS), con una edad de 20 años, fue el motivo principal de esta investigación. De acuerdo a los resultados obtenidos se encontró que el Bálsamo necesita 59 años para alcanzar los 60 centímetros de Diámetro Mínimo de Corta (DMC), que está determinado por el Acuerdo Ministerial 039 del Ministerio del Ambiente, el Guayacán negro Huambula, necesita 69 años para llegar a los 40 centímetros de diámetro, mientras que el Doncel necesita 27 años para obtener 50 cm de diámetro.
Análisis de tres elementos de aforo para sistemas de riego en la provincia de Loja, Ecuador
Authors: Chamba Ontaneda María , Benavides-Muñoz Holger
Published: July 2020

El objetivo del estudio fue analizar los tres elementos típicos de aforo en pequeños canales y acequias para riego y generar modelos matemáticos que gobiernan su comportamiento hidrodinámico. Los dispositivos que se analizaron fueron la canaleta Parshall (CP), el aforador con cuello (AC) y el aforador sin cuello (AS). La investigación se desarrolló en tres fases. En las primeras etapas se determinó las descargas entre 0 L/s – 10 L/s, el número de mediciones fue de nueve por cada elemento, con un total de 54 medidas y finalmente en el banco hidráulico del laboratorio se generaron las ecuaciones de calibración y curvas características de los medidores de caudal. Los resultados obtenidos muestran una variación entre 0.001 L/s a 0.002 L/s para descargas menores a 2 L/s; y, de 0.008 L/s a 0.063 L/s para gastos entre 2 L/s y 10 L/s. Se establecieron las ecuaciones y curvas de calibración para la determinación del caudal en L/s en función de la altura del tirante en mm. La simulación del flujo en los aforadores obedeció a un comportamiento del flujo bajo régimen supercrítico.
Caracterización de Sistemas de Producción Agropecuarios en el proyecto de riego Guarguallá-Licto, cantón Riobamba, provincia de Chimborazo
Authors: Verdezoto Vargas Victor , Viera Pico Jorge
Published: July 2020

Esta investigación surge por la necesidad de identificar y caracterizar las tipologías campesinas y sistemas de producción agropecuarios predominantes en el proyecto de riego Guarguallá - Licto, ubicado en la parroquia Licto, cantón Riobamba, provincia de Chimborazo, cuyo objetivo general fue identificar los sistemas de producción agropecuarios, para la formulación de estrategias de intervención diferenciadas por sistema y tipología campesina, con lo cual se mejoraría los ingresos económicos de las comunidades. La población objetivo estuvo constituida por 900 familias campesinas, donde todas las unidades productivas agropecuarias (UPA) fueron escogidas al azar desarrollándose un muestreo aleatorio simple. Las encuestas, se aplicaron a 133 pequeños productores rurales de 14 comunidades, lo que permitió recopilar información relevante de 30 variables identificadas de las características agrosocioproductivas. Como resultado se obtuvo que el 87.22% de pequeños productores conforman el mayor grupo denominado Tipología 1, los mismos que se encuentran dentro del Sistema de producción 1. El 12.78% se distribuye entre pequeños grupos que pertenecen a la Tipología y Sistema de Producción 2. La propuesta de intervención para estos dos Sistemas de Producción se enfoca en la unificación de parcelas dispersas y prácticas de agricultura sostenible.
Evaluación de quitomax® en la emergencia, crecimiento y nutrientes de plántulas de tomate (Solanum lycopersicum L.)
Authors: Reyes Pérez Juan , Enríquez-Acosta Emmanuel
Published: July 2020

La aplicación de bioestimulantes del crecimiento vegetal es una alternativa muy promisoria para la obtención de plántulas vigorosas en un menor tiempo. En este trabajo se evaluaron el efecto de la aplicación a semillas de tomate (Solanum lycopersicum L.) var. Amalia de varias concentraciones de Quitomax® (1000, 2000 y 3000 mg•L-1) y un tratamiento control con agua destilada en la emergencia, el crecimiento y los contenidos de nutrientes de plántulas de tomate resultante, con 15 días de edad. Se evaluaron la emergencia de las plántulas en el tiempo, las variables de crecimiento: longitud de la raíz, longitud y diámetro del tallo, la masa fresca y seca de la raíz y de la parte aérea (tallo y hojas), así como, los contenidos de los nutrientes nitrógeno, fósforo, potasio, calcio y magnesio Se aplicó un diseño de bloques al azar con tres réplicas por tratamientos. Los resultados mostraron que las plantas provenientes de semillas tratadas con Quitomax® tuvieron una emergencia más rápida, mayores raíces y tallos así como superiores masas frescas y secas que el tratamiento control. También mostraron mayores contenidos de nitrógeno, fosforo, potasio, calcio y magnesio que el control, siendo Quitomax® a 1000 mg•L-1 el mejor tratamiento.
Flora del bosque pluvial montano y su relación con variables ambientales, en el Parque Nacional Turquino de Cuba
Authors: Rivero Herrada Marisol , Gutiérrez Rivero Eduardo , Rodríguez Sosa José
Published: July 2020

El trabajo se realizó en dos Unidades Zonales de Conservación del Parque Nacional Turquino de la región oriental de Cuba, con el objetivo de relacionar la presencia y distribución de la flora con las variables ambientales en el Bosque pluvial montano. Para ello, se establecieron 70 parcelas de 100 m2 distribuidas en siete sitios, bajo un muestreo aleatorio donde se registraron todos los individuos con más de 5 cm de diámetro normal. Para determinar la incidencia de variables ambientales en la distribución de la flora se determinó, en cada unidad de muestreo: materia orgánica, espesor de la capa de hojarasca, altitud, pendiente, pH, cobertura del dosel y antropización; asimismo, se realizó un Análisis de Correspondencia sin Tendencia como análisis exploratorio, y luego se realizó la ordenación directa mediante un Análisis de Correspondencia Canónica, para obtener la distribución de las especies con respecto a las variables ambientales. Para determinar la significación del análisis se aplicó la prueba de permutaciones Monte Carlos. Como resultados se obtuvo que en el gradiente altitudinal evaluado se reportan 74 especies de 66 géneros y 42 familias, destacándose la presencia cinco de los endemismos y siete especies amenazadas, además de nueve especies, de ocho género y siete familias, denotando una alta diversidad florística, así como que la flora del bosque responde a las variaciones del ambiente, siendo las variables descriptoras del relieve, acción del hombre y fertilidad del suelo las de mayor contribución, desde el punto de vista ecológico, a la segregación de la distribución de las especies.
Degradabilidad ruminal del rastrojo de arroz tratado con urea en rumiantes
Authors: GRIJALVA OLMEDO JORGE , Torres Ayala María , Hernández Silva Jaime
Published: July 2020

El rastrojo de arroz constituido por tallos y hojas, puede ser un importante subproducto de cosecha del grano de arroz para ser utilizado en la dieta de rumiantes, en razón de su abundante disponibilidad. El aumento de las regulaciones y restricciones sobre la quema de rastrojos, ha estimulado el interés por usar para otros propósitos, incluyendo la alimentación del ganado. La técnica de degradación in situ ha sido ampliamente adoptada para evaluar la tasa de degradación de alimentos en el rumen. El objetivo del trabajo fue evaluar mediante la técnica de degradación ruminal in situ, la degradabilidad de la materia seca (MS) del rastrojo de arroz tratado con seis niveles de urea: 0, 5, 10, 20, 30 y 40 g kg MS-1. Los sustratos secos fueron fragmentados en dos tamaños de partícula: una parte picada a 2 cm y otra parte molida a 2 mm, ambos tipos de sustratos fueron incubados en horno de aire forzado a 40 °C durante 10 días. Se utilizaron ocho vacas provistas de cánula ruminal para los ensayos de digestibilidad in situ, a 48 y 96 horas de incubación en rumen. Cuatro vacas recibieron una Dieta de Alta Actividad Ruminal (AAR) ajustada a consumo de 5 kg MS día-1 de heno de alfalfa (Medicago sativa L.) + heno de una mezcla forrajera (Pennisetum clandestinum Hochst. ex Chiov, Lolium perenne L. y Dactilys glomerata L.) ad libitum + 1.8 kg de concentrado, y cuatro vacas restantes recibieron una Dieta de Baja Actividad Ruminal (BAR) basada en heno de la misma mezcla forrajera y concentrado. Los datos fueron analizados mediante regresión múltiple por pasos sucesivos. Los resultados muestran aumentos en la degradabilidad de la MS con el incremento en el nivel de urea en dietas con AAR y a 96 horas de incubación. El tamaño de partícula no afectó la respuesta animal. Se concluye que este subproducto de cosecha tratado con urea puede ser una importante fuente de fibra para rumiantes en los trópicos
Enfoque interdisciplinar del discurso periodístico sobre la cultura española: un estudio del corpus en la prensa digital inglesa
Authors: Rodríguez Cuadrado Beatriz , Santos-Sopena Òscar
Published: July 2020

La relevancia en los medios de comunicación es un elemento poco cuestionado por la sociedad. En este estudio se analiza el poder que ejerce a la hora de determinar actitudes ante acontecimientos socioculturales. Para ello, se ha establecido una correspondencia entre las teorías lingüísticas y las comunicativas, tomando los postulados conversacionales de Grice (1975) y la teoría de la agenda setting (McCombs, 1992, 1994, 1996, 2006). Como corpus se han seleccionado las noticias culturales sobre España en la edición digital The Guardian (2013-2014), para comprobar si se ha producido algún mal uso de estas o si, por el contrario, se ha llevado a cabo una comunicación efectiva. Se ha realizado un análisis cuantitativo-cualitativo y los resultados dan a conocer la imagen, no siempre imparcial, que ofrece este medio durante un período de crisis. Este artículo contribuye a profundizar sobre las implicaciones del discurso y el posible efecto cognitivo de la cobertura temática.
Peningkatan Kemampuan Peserta Didik terhadap Baca Tulis Al-Qur’an melalui Guru Pendidikan Agama Islam
Authors: Winata Koko Adya , Fajrussalam Hisny , Syah Muhibbin , Erihadiana Mohamad
Published: July 2020

This study aims to examine the competence of Islamic Religious Education teachers in SMP Negeri 16 Kota Bandung in improving students' ability to read and write the Qur'an, factors that support and inhibit and solutions offered to improve the students' ability. The research method used is descriptive qualitative. Data collected through observation, documentation and interview methods. Interviews were conducted with PAI teachers in SMP Negeri 16 Kota Bandung, amounting to 3 (three) people. The results showed that 1) the competence of PAI teachers of SMP Negeri 16 Bandung was realized by making learning plans in accordance with government instructions using the 2013 curriculum form; 2) the learning method used is with the wahdah bil kitabah method and the iqra’ method; 3) supporting factors for the implementation of PAI learning consisting of teachers, students, and the school environment; 4) Obstacles faced are the time of learning to read and write the Qur'an which is only 2 hours short, the lack of learning media to read the Qur'an and the background of the students; 5) The solution offered is the method of learning to read and write the must consider the characteristics of students and implementation of audio-visual learning methods.Keywords: Teacher Competence; Al-Qur'an Reading Literacy; Islamic Religious Education
EFECTO DE SITIO EN TUXTLA GUTIÉRREZ, CHIAPAS, UN DETERMINANTE EN LOS DAÑOS HISTÓRICOS EN EDIFICACIONES
Authors: Gonzalez Herrera Raul , Mora Chaparro Juan Carlos , Aguirre González Jorge , Aguilar Carboney Jorge A.
Published: July 2020

El 7 de septiembre del año 2017 ocurrió el último sismo que generó daños en la ciudad de Tuxtla Gutiérrez, Chiapas. Al analizarlo en conjunto con los sismos históricos más importantes en la región (7 de abril de 2011, 21 de octubre de 1995 y 23 de septiembre de 1902), y localizando los daños mediante un Sistema de Información Geográfica, se observó que -no obstante que los sistemas estructurales asociados a las construcciones dañadas están presentes a lo largo de la mancha urbana- los daños se concentraron en zonas específicas de la ciudad. La presente investigación tiene como objetivo explicar las causas de los daños por sismo, encontrándose que la causa más determinante de éstos es el efecto de sitio presente en los suelos del valle de Tuxtla, los cuales presentan amplificaciones hasta tres veces la aceleración del sismo en roca determinada mediante los registros de los sismos históricos.
El derecho a la educación de jóvenes y adultos: Formación, Políticas Educativas y Organizaciones Populares
Authors: Evangelina Patagua Patricia
Published: July 2020

En el presente artículo se comparten reflexiones de un proyecto de investigación en curso, cuyo campo de indagación es la formación de jóvenes y adultos en espacios educativos de organizaciones populares en la provincia de Jujuy-Argentina.

Por un lado, se indaga sobre el potencial de la educación para la formación de tipos de sociedades, a partir de considerar que, conforme fue ganando lugar el discurso de la educación como derecho, en la sociedad civil las condiciones para su efectivo cumplimiento se fueron cercenando. En Argentina, la sanción de la Ley de Educación 26.206, estableció, entre otros aspectos universalización de la educación, sin embargo, esta extensión se dio en el marco de crecientes procesos de segmentación y diferenciación social; y en la actualidad del debilitamiento de la democracia.

Por otro lado, en Argentina y Jujuy, es significativa la presencia de organizaciones populares, especialmente a partir de la crisis del 2001, éstas ubicaron a la educación como eje central de sus programas formativos. Con la intención de caracterizar la relación entre formación y organizaciones populares, se describe tres propuestas educativas de nivel secundario gestadas por el Movimiento Social Tupaj Katari, el Gremio de empleados municipales y el colectivo de educadores de Maimara. Se apela al análisis de tres aspectos de sus producciones culturales, que podrían considerarse como alternativas a los modelos de educación-formación- dominantes: demanda social educativa, autonomía y democratización pedagógica-organizacional
Zaręczyny Františka Nádašdyego i Elżbiety Batory jako wydarzenie społeczne i fakt literacki XVI wieku
Authors: Okoličányová Vlasta , Deverová Katarína , Žibritová Gabriela
Published: July 2020

The article deals with an occasional publication by Benedikt Ilošvai (Benedictus Ilosvanus), printed in 1571 in Mateusz Siebeiecher’s printing house in Kraków to mark the betrothal of Elizabeth Báthory to František Nádašdy. The authors discuss its historical context associated with the figures of the two spouses, circumstances of the publication, its content as well as editorial layout (with illustrations probably by Jörg Brückner).
Działalność kulturalno-oświatowa chińskich bibliotek publicznych na przykładzie bibliotek w Szanghaju, Xichang i Chengdu
Authors: Sulikowski Dawid
Published: July 2020

The aim of the article is to present to Polish readers a general picture of the cultural and educational activities of public libraries in the People’s Republic of China. The author uses as his examples the Eastern Branch of the Shanghai Public Library, Public Library in Xichang and the Library of the Sichuan Province in Chengdu. The main sources of information for the article are the websites of the analysed libraries, books and other publications devoted to librarianship in China as well as individual interviews with library staff members and curators. The author examines the dynamic development of libraries in China, their new functions and various forms of activity.
Toleration: Conflict Resolution Method in Pluralist Societies or a Tool of Discrimination?
Authors: Jarymowicz Tomasz
Published: July 2020

The article is an extended argument for a positive conception of toleration. First, it examines and ultimately rejects reductive interpretations of toleration proposed by David Heyd and Wendy Brown that stem from deflationary and deconstructive readings respectively. It is argued that deconstructive reading is not satisfactory because it perpetuates and amplifies rather than solves paradoxes of toleration, whereas Heyd’s reading does not recognise the importance of toleration for political processes. The author advocates a normative conception of toleration proposed by Rainer Forst, instead. Such a regime of toleration is based on the right to justification in which everyone affected should participate in delineating its limits as free and equal citizens. This conception not only solves the paradoxes of toleration but also does justice to its political importance.
Pojęciowa treść percepcji a realizm epistemologiczny. Zarys problemu
Authors: Sikora Paweł
Published: July 2020

The author claims that the conceptual content of perception can serve as an argument in favour of epistemological realism. He argues on behalf of the main theses of conceptualism in philosophy of perception, and explores the relational aspects of perceptual objects which make up the general conditions determining their reality. The relational aspects are as follows: the unity of quantitative and qualitative contents, their concomitance and inherence property in relation to an object. These general aspects are essential for epistemological realism and establish the correlates of the conceptual identification of objects of perception.
The Role of Locoregional Anesthesia in the Covid-19 Pandemic
Authors: Mendes Ângela Barbosa , Penedos Constança , Rodrigues Luísa Vaz , Varandas Joana , Lages Neusa , Machado Humberto
Published: July 2020

Coronavirus disease 2019 (COVID-19) refers to the respiratory tract infection caused by the newly emergent coronavirus SARS-CoV-2. The present pandemic, declared on the 11th of March 2020, was first recognized in Wuhan city, and rapidly spread throughout China and other countries, including Portugal. Regional anesthesia should be considered whenever surgery is planned for a patient with suspected or confirmed COVID-19, as it minimizes not only airway management, the intervention with the highest risk of aerosolization, but also potential personnel contamination and patient recovery time, while maximizing operation room efficiency. Anesthesia techniques should be aimed at preventing airway manipulation such as endotracheal intubation, which is associated with a higher risk of pulmonary complications in infected patients. These recommendations are structured in pre-, intra-, and post-operative management in suspected or confirmed infected patients with SARS-CoV-2, based in local hospital infection committee recommendations and the most recent literature available regarding regional anaesthesia. They are aimed at anesthesiology personnel, with the main goals being both teamand patient safety. The SARS-CoV-2 virus will be not the last novel virus to trigger global pandemics, so having a well-structured regional anesthesia plan to manage this kind of cases will ensure the best outcome possible to both patients and the perioperative team.
EKSPLORASI PENGETAHUAN KEARIFAN LOKAL (ETNOMEDICHINE) DALAM MENANGANI MASALAH KEGAWATDARURATAN SEHARI-HARI MASYARAKAT DI WILAYAH KOTA TERNATE
Authors: Nugroho Wasis
Published: July 2020

Modernization and acculturation of regional culture can affect community knowledge in the use of local resources as a source of treatment, including in emergencies that occur on a daily basis. Local resources need to be studied in detail regarding the benefits, methods of use and side effects. This study aims to explore community knowledge about local wisdom (ethnomedicine) in handling daily emergency problems in the people of Ternate. The research method uses descriptive with purposive sampling technique. The total sample was 40 people who experienced using local wisdom in handling daily emergencies. Data obtained through questionnaire, interview, observation and documentation. The results showed that there were 11 emergency problems occurred that dealt with using 108 herbs. From this herb, 22 types of medicinal plants were identified. The need for educative improvement on daily emergency problems that occur in the community and how the use of local wisdom as an alternative to the first treatment is done. Related agencies need to provide support for the preservation of family medicinal plants which in addition to this beauty are also saved many benefits.
HUBUNGAN DUKUNGAN KELUARGA DAN KEPATUHAN REHABILITASI DENGAN KEMANDIRIAN PASIEN PASCA STROKE
Authors: Nur Firdaus Abyan Shafly , Harmayetty Harmayetty , Ni’mah Lailatun
Published: July 2020

Introduction: Families who do not support patients can influence the level of rehabilitation adherence, which in turn will reduce the level of independence of patients after stroke. The purpose of the study was to explain the relationship between family support and rehabilitation adherence with the independence of stroke patients. Methods: This study used a cross-sectional type with a sample size of 73 post-stroke patients out of a total of 126 people. Samples were taken by consecutive sampling technique. The independent variable is the level of family support and the level of rehabilitation compliance. The dependent variable is the level of independence of patients after stroke. The research data obtained were analyzed with Spearman's Rho α ≤0.05. Results and Analysis: There was a relationship between family support and the independence of post-stroke patients with a value of α≤0.05, p = 0.001 and r = 0.384. There is a relationship between rehabilitation adherence with the independence of post-stroke patients with a value of α≤0.05, p = 0.000 and r = 0.473. Conclusion: Family support and good rehabilitation adherence do not affect post-stroke patients with severe degrees of disability and cognitive changes.
Fear of Falling Among the Elderly in a Nursing Home: Strongest Risk Factors
Authors: Anggarani Anastasia Putu Martha , Djoar Raditya Kurniawan
Published: July 2020

Introduction: The aging process causes a decrease in physical abilities which can cause fall events. Fall events are influenced by fear of falling. Some risk factors of fear of falling were age, gender, balance while walking, use of a walker, depression and a history of previous falls. This study aim was to identify risk factors related to fear of falling among the elderly in nursing home.Methods: A cross-sectional study was used in this study. Respondents were elderly   aged ≥60 years, can communicate well, able to read and write and not being sick which causes balance disorders and pain when walking. Respondents totaled 155 obtained by proportional random sampling. A questionnaire was used to retrieve data such as age, gender, use of a walker, depression, previous fall history and balance walking. Results: The results showed a significant relationship between all of these risk factors with the fear of falling (p <0.05) and the power of significance for each variable was different. The age variable was power significance 0.228, gender C = 0.2, previous fall history C = 0.374, use of a walker C = 0.367, balance walking C = 0.355 and depression rs = 0.196. There are three risk factors most closely associated with fear of falling in terms of balance walking (B = 1.424 Exp(B) = 4,153), use of a walker (B = 1,365 Exp(B) = 3,914) and previous fall history (B = 1.425 Exp(B) = 4.159). These factors had strength of 27%.   Conclusion: Balance walking, use of a walker and previous fall history were the strongest risk factors.
The Effects of Acceptance and Commitment Therapy (ACT) on Depression in TB-HIV Co-infection Patients
Authors: Maria Avin , Sujianto Untung , Kusumaningrum Niken Safitri Dyan
Published: July 2020

Introduction: The most common psychological problem in TB-HIV coinfection patients is depression. Acceptance and Commitment Therapy (ACT) is an intervention that encourages participants to change their relationships with their thoughts and physical sensations through mechanisms of acceptance and value-based action. This present study has been carried out to investigate the effectiveness of ACT in treating TB-HIV coinfection patients.Methods: This research was a quasi-experiment. This study involved 62 respondents diagnosed TB-HIV coinfection by doctor, experienced mild depression to severe depression, able to communicate well and have not hearing loss. ACT was given by a researcher with six sessions) one session per day) held in the intervention group. Data were collected using Beck Depression Inventory (BDI) questionnaires. Data analysis use paired t-test   to determine the differences in value of depression on pre-test and post-test in each group. Data were analyzed using the independent t-test to determine the effect of ACT on depression.Results: The majority of respondents were male (66.1%). Most of the early adult and older adult respondents had moderate depression, while middle-aged adult mostly had severe depression (50%). The fully unemployed respondents had severe depression (100%). The analysis results showed that there was a more significant decrease in depression in the intervention group given ACT compared to the control group (p value =0.00).Conclusion: ACT has an effect on reduce depression of TB-HIV coinfection patients. ACT is recommended to be developed as a nursing intervention that can be given to patients who are depressed.
Hypnotherapy and Yoga Combination Decrease the Anxiety of Patients in Elective Preoperative
Authors: Basir Basir , Awaludin Sidik , Hidayat Arif Imam
Published: July 2020

Introduction: Surgery is an experience that can cause anxiety, which, if not treated well, will cause some side effects. One of the forms of non-pharmacological therapy is hypnotherapy and yoga combination therapy. This study aimed to determine the effect of hypnotherapy and yoga combination therapy on anxiety scores in elective preoperative patients.Methods:This study used a quasi-experimental pretest and posttest with control group design. This study involved 17 respondents in the intervention group and 17 respondents in the control group. The sampling technique used consecutive sampling. Data collection used the instruments of The Amsterdam Preoperative Anxiety and Information Scale (APAIS). The statistical test used was the Mann-Whitney test.Results: The average age of respondents was 36.65 years old. In a majority, they were junior high school graduates who worked as employee. The major type of operation was tumor excision. The average anxiety scores before treatment in the intervention group were 14.71 (moderate anxiety) and decreased after being given hypnotherapy and yoga combination therapy to 9.47 (mild anxiety). The average anxiety scores before treatment in the control group were 15.71 (moderate anxiety) and decreased after deep breathing therapy to 13.76 (moderate anxiety). The difference test in anxiety scores of the intervention and control groups obtained p-value 0.015.Conclusion:Hypnotherapy and yoga combination therapy can reduce anxiety scores in elective preoperative patients.
Self-Efficacy of Exercise in Older Adults with Diabetes: A Concept Analysis
Authors: Thojampa Somsak , Sarnkhaowkhom Chawapon , Khankhajhon Sirikanok , Boonpracom Roongtiva , Puraya Amaraporn , Sahattecho Wuttichai
Published: July 2020

Introduction: Self-efficacy is defined as a person’s own judgment of their capabilities to perform a specific activity to attain a particular outcome. The concept of self-efficacy of exercise in older adults with diabetes may still be unclear, so it is essential to elucidate its meaning for better understanding in this concept. This paper aims to explore the meaning of self-efficacy with regard to exercise in older adults with diabetes.Methods: Using the Walker and Avant concept analysis, it discusses cases showing diabetic Thai people and how they manage their health behavior changes, such as with exercise.Results: Analysis of the concept of self-efficacy in terms of its defining attributes, antecedents, consequences, and empirical referents provides information related to clinical usefulness. It helps healthcare professionals communicate the same notion when discussing self-efficacy and can distinguish this concept from other related concepts.Conclusion: Analysis of the concept of self-efficacy provides information related to exercise in older adults and can assist healthcare professionals in communicating the same notion when discussing the concept.
Social Care in Improving Self-Concept of Leprosy Patients
Authors: Hamim Nur , Mariani Mariani , Sismulyanto Sismulyanto
Published: July 2020

ABSTRACTIntroduction: Many infectious diseases occur in developing countries with low socioeconomic conditions. One such is leprosy. Leprosy is common in developing countries as a result of the country's limited ability to provide adequate services, including among some health workers. Such health workers are lacking knowledge and understanding of the false beliefs of leprosy and its resulting disabilities. The purpose of this research is to formulate a social care model in improving self-concept of leprosy patients in Probolinggo District.Methods: This research used explanatory research survey method with a cross-sectional approach. The sample was 56  respondents. The variables were family support, social care and self-concept. The data were collected using a questionnaire modelled on  Liandi,  Richard H's concept and The Tennessee Self-Concept Scale. The data were then analyzed by Partial Least Squares (PLS)  to test the hypothesis and form the empirical model.Results: The results showed  social care was able to improve the self-concept of leprosy patients (T=5.800, T >1.96).Conclusion: Therefore, it is expected that nurses continuously  synergize in maintaining social care conditions with the community in order to improve the self-concept of leprosy patients.
TABLE OF CONTENT
Authors: Content JoViN
Published: July 2020

-
RELATIONSHIP BETWEEN COPING STRESS STRATEGIES AND STRESS LEVELS IN POST DIVORCE WOMEN IN TUBAN RELIGIOUS COURTS
Authors: Safaah Nurus , Saidah Faridatus
Published: July 2020

Introduction: Divorce is a complex problem for  woman because it is an event that can cause psychological problems that have an impact on daily life causing stress. One way to deal with stress is to use the right coping stress strategy. The purpose of this study was to determine the relationship of coping stress strategies with stress levels in post-divorce women in the Tuban religious court. Methods : The study design uses correlation analytic with cross sectional time approach. The study population numbered 50 post-divorce women in the Tuban religious  according to inclusion and exclusion criteria, the research sample used simple random sampling totaling 42 respondents. The independent variable is the stress coping strategy, while the dependent variable is the stress level. The instruments used ware the revised Way of Coping Questionnaire (WOCQ) and (Depression Anxiety Stress Scales) DASS 42 questionnaire. Results : The results of study were almost 14 (33.3%) post-divorce women using  problem focused coping (PFC) coping strategies experienced mild levels of stress and a small percentage of 1 (2.4%) respondents used emotion focused coping (EFC) coping strategies severe stress level. Contingency coefficient test results obtained p = 0.004 if the value of α = 0.05, then p <α with moderate accuracy (c = 0.494). Conclusion : Based on the description, it can be concluded that there is a relationship between coping stress strategies and the level of stress in women after divorce in the Tuban religious court. Choosing the right coping stress strategy is very important to deal with stress levels in post-divorce women.
THOUGHT STOPPING ENHANCING SELF-ESTEEM OF PEOPLE WITH SCHIZOPHRENIA
Authors: , Sulastri , Thahir Andi , , Rohayati
Published: July 2020

Introduction: A person who has low self-esteem sees the environment in a negative way and considers it a threat. Schizophrenias patients with negative symptoms generally show a feeling of inferiority, this condition is a problem because of the cause of other problems, such as social isolation. The purpose of this research was to analyze the effect of giving thought stopping to self-esteem people with schizophrenia. Methods : This research uses quantitative approach the method used was the experimental design of pretest-posttest with control design. The population is the patient who was treated at the Custody. Sampling method in this research is by purposive sampling. Total sample is 90 respondents, divided into two groups, Intervention group 30 and control group 60 respondents. Measurement of data with client's self-esteem observation sheets before and after therapy. Results : The result of bivariate analysis was done using t-test obtained by p-value <0,005.  There is a significant difference in patient self-esteem in the control group and intervention group after thought stopping. Conclusion: These results suggest there is influence of thought stopping with patient self esteem. Sex, length of illness and treatment history are not confounding factors. It is recommended to use thought stopping as one of the actions of nursing, especially on clients with self esteem problems.
RELATIONSHIP OF FOOD CONSUMPTION PATTERNS WITH INCREASING BLOOD PRESSURE IN ADULTS
Authors: Harianto Susilo
Published: July 2020

Introduction: A healthy diet is a way or effort in regulating the number and type of food with certain intentions such as maintaining health, nutritional status, preventing or helping to cure disease. Blood pressure is the power caused by the heart that contracts like a pump, so that blood continues to flow in the blood vessels. A person's blood pressure can be more or less than the normal value limit. The trigger factor for changes in blood pressure is one of them about food consumption patterns, such as consuming excess salt. Methods: The purpose of this study was to determine the relationship of food consumption patterns with increased blood pressure. The design of this study uses analytics using the Case Control and sampling approach that is used is a non probability sampling with a number of 60 people and the number of samples taken by 36 respondents. Data collection used questionnaires coded, scored, tabulated and analyzed using the Chi-Square test. Results: The results of the study were 20 respondents (56%) with dietary patterns that did not fit the diet, 20 respondents (56%) with high blood pressure, from the Chi-Square analysis of 0,000 showed a significant value, meaning H0 was rejected or there was a relationship between consumption patterns food with increased blood pressure. Conclusion: Based on the results of the study, it can be concluded that there is a relationship between food consumption patterns and an increase in blood pressure.
THE EFFECT OF PHALERIA MACROCARPA ETHNIC FOOD COMPLEMENTARY TO DECREASE BLOOD PRESSURE
Authors: Rizal Muhammad Fathur , Haryanto Joni , Has Eka Mishbahatul Mar’ah
Published: July 2020

Introduction: Hypertension is one of degenerative disease that is often found in the elderly group. Many studies have been developed to reduce blood pressure, including complementary therapies. One of the complementary therapies is by utilizing Phaleria Macrocarpa. This study was aimed to explain the effect of Phaleria macrocarpa ethnic food complementary to decrease blood pressure of elderly with hypertension. Methods : Design used in this study was quasy experiment design. The population was the elderly with hypertension in UPT PSTW Blitar (in Blitar and Tulungagung). Total sampel was 40 respondens, taken according to inclusion criteria. The independent variabel was Phaleria macrocarpa ethnic food complementary. The dependent variabel was blood pressure. Data were collected using measurement blood pressure and made ethnic food complementary with Standart Operational Procedure. Data were analzed using paired t-test and ANOVA with level of significance of ≤ 0,05. Results : The Results showed that there were effect of giving intervention by ethnic food complementary with phaleria macrocarpa fruit, leaf, or mixed (fruit and leaf) to  decrease blood pressure (systolic, diastolic, and MAP). Conclusion : This intervention can be used as a complementary therapy herbal to decrease high blood pressure.