bluuebunny/crossref_metadata_2025 huggingface dataset:
The Moderating Effect of Autonomy on Promotional Health Messages Encouraging Healthcare Professionals’ to get the Influenza Vaccine
Authors: Moon Karis , Riege Anine Heyerdahl , Gourdon-Kanhukamwe Amélie , Vallée-Tourangeau Gaëlle
Published: December 2020

Rates of flu vaccination among healthcare professionals often remain lower than recommended guidelines. We tested whether autonomy-supportive communication styles could improve the effectiveness of statements seeking to promote professionals’ flu vaccination uptake. A pilot study established that statements presented in an autonomy-supportive communication style (i.e., upholding freedom of choice) posed a significantly lower threat to freedom compared to equivalent statements presented in a controlling communication style (i.e., thwarting choice by implying obligation). The main experiment examined the impact of these two communication styles on healthcare professionals’ behavioural intentions to vaccinate against the flu. Results replicated the dampening effect of autonomy-supportive communication style on perceived threat to freedom. Crucially, only autonomy-supportive communication styles led to a significant increase of behavioural intentions to vaccinate. Furthermore, this effect was moderated by motivational regulations (measured by the TSRQ-flu scale): it was strongest for those who tended to see flu vaccination as unimportant and unconnected with their internal values (low autonomous regulation), those who tended not to see vaccination as an act that would give them pride or reduce guilt (low introjection) or who tended to be unwilling to act to get vaccinated (high amotivation). Implications for future policy or institution-led communication campaigns are discussed.
Sazan Balığı (Cyprinus carpio, L., 1758)’nın Yaş Tayininde 6 Farklı Kalsifiye Yapının Değerlendirilmesi
Authors: ARSLAN Zafer , YAZICI Ramazan
Published: December 2020

Bu araştırmada Çoğun Baraj Gölü’nde yaşayan Cyprinus carpio’nun en güvenilir kalsifiye yapısı belirlenmiştir. Yaş tayini amacı ile pul, omur, asteriskus, lapillus, operkül ve suboperkküller alınmıştır. Güvenilir kalsifiye oluşumu tespit etmek amacı ile yüzde uyum (YU), ortalama yüzde hata (OYH) ve değişim katsayısı (DK) hesabı yapılmıştır. Tekrarlı okumalar neticesinde tüm yapılarda 4 yıl sınıfı elde edilmiş olup en baskın yaş grubunun 5 yaş olduğu belirlenmiştir. Analiz sonuçlarına göre en yüksek yüzde uyum asteriskusta (%76.8) tespit edilirken en düşük yüzde uyum ise suboperkülde (%31.0) saptanmıştır. OYH ve DK değerleri en düşük asteriskusta (OYH= 2.79, DK= 3.94) tespit edilmiştir. Sonuç olarak türün yaş tayini için güvenilir kalsifiye yapı asteriskus olarak belirlenmiştir.
n-Tolilürenin (n= o, m, p) Yapısal, Spektroskopik ve Elektronik Özellikleri Üzerine DFT Analizleri
Authors: ÖZTÜRK Nuri
Published: December 2020

n-tolilüre (n = o, m ve p) moleküllerinin spektroskopik ve elektronik özellikleri titreşim (FT-IR ve Raman), 1H ve 13C NMR ve UV-Vis. spektroskopileri kullanılarak karakterize edilmiştir. Teorik geometri parametreleri (bağ uzunlukları ve açıları), titreşim dalgasayıları, NMR kimyasal kaymaları, sınır orbital enerjileri ve UV-Vis. parametreleri (dalgaboyları, uyarılma enerjileri, osilatör şiddeti), literatürden elde edilen deneysel sonuçlarla karşılaştırmak için DFT/B3LYP kuantum kimyasal yöntemi kullanılarak 6-311++G(d,p) baz setiyle hesaplanmıştır. VEDA 4 yazılımı kullanılarak Potansiyel Enerji Dağılımı analizi ile titreşim dalgasayılarının atamaları yapılmıştır. En yüksek işgal edilen moleküler orbital ve en düşük boş moleküler orbital analizleri, UV-Vis. elektronik absorpsiyon parametreleri ve Moleküllerin Moleküler Elektrostatik Potansiyel yüzeyi, elektronik geçişleri, molekül içi yük transferini ve moleküldeki etkileşim bölgelerini açıklamak için incelenmiştir. Elektrofilik ve nükleofilik bölgeler üre grubundaki oksijen atomu ve amin hidrojenleri üzerinde görülmüştür. N-aril bağlarının deneysel ve hesaplanmış burulma açıları arasındaki fark, moleküller arası ve molekül içi etkileşimlerin varlığını göstermiştir.
INTERPRETATION OF GENDER IN MERITOCRATIC DISCOURSE AT ACADEMIA: UKRAINIAN CASE
Authors: Zumrutdal I.
Published: December 2020

The paper aims to contribute to a better understanding of gender as a performative social construct within topical frameworks of critical discourse analysis. Our study considers meritocratic academic discourse as one which manifasts itself in a multitude of ways in communicative action including the binary possibilities that we encounter in language. The communication of a gender in academia involves not just a performativity but also its reception in the meritocratic academic discourse. The study is framed by the context of the current state of the university sector and is based on linguistic and sociological studies at two universities in Ukraine.
INTEGRATION OF THE PILOT INTO THE BRIDGE TEAM WHEN UNDER PILOTAGE
Authors: Shtyrkhunova N.
Published: December 2020

The paper introduces an analysis of the pilot’s role in good communication, coordination and cooperation with the Master/Bridge Team in order to ensure the safety of a ship being piloted to the berth. The Bridge Resource Management training for pilots is considered as a way of preventing accidents involving ships under pilotage.
Le programme STAR : prise en charge addictologique théorico-clinique intégrée au parcours de soins en cancérologie
Authors: Stoebner-Delbarre A. , Gonzalez M.-L. , Gourlan M. , Huteau M.-E.
Published: December 2020

L’accompagnement addictologique des consommations de tabac et d’alcool est une exigence de la qualité de la prise en charge en cancérologie. Peu de programmes spécifiques sont proposés sur ce sujet. Cet article présente le programme STAR conçu à partir des besoins éducatifs de patients traités pour un cancer. Il repose sur les théories de l’autodétermination, de l’implémentation des intentions et le concept de perception du contrôle personnel issus des sciences humaines et sociales. Il comporte quatre modules éducatifs personnalisés et intégrés au parcours de soins en cancérologie.
A Neo-Orientalist Critique of 'Humanitarian Interventions' in Afghanistan in Rahman’s In the Light of What We Know
Authors: Atta-ul- Mustafa  , Murtaza Ghulam , Asif Muhammad
Published: December 2020

The study of Rahman's, In The Light of What We Know, explores how Neo-orientalist strategies of neocons subjugated South Asian neo-orients in the name of humanitarian help in war-afflicted Afghanistan. The global forces have reverted to the past binaric divisions of 'us' and 'them' in order to gain their economic and political interests. Using Steger (2003) and Howe's (2002) critique of the validity of Huntington's thesis of 'clash of civilizations' (1997), the study examines that in post 9/11 Afghan scenario Americans seem to be engaged in the projects of welfare and civilizing missions but are covertly securing their politico-economic motives in the region through humanitarian interventions of martial, cultural, political nature.
Metamorphosis of a Despondent Indian Woman: A Feminist Evaluation of Girish Karnad's Naga-Mandala
Authors: Khan Amara
Published: December 2020

The article engages with the feminist approach in Girish Karnad's Naga-Mandala (1988) in the framework of postcolonial gender analysis. Naga-Mandala (1988) addresses the continued uneven power relations between female and male gender. Karnad's female character, Rani, in Naga-Mandala, is primarily pitiable, downgraded and most importantly an object of patriarchal social and political dominance and authority. The paper postulates Rani as a site of theoretical transformations, engaging with issues of gender subjectivity, sexuality, and power positionality in relation to the patriarchal Indian state. It further argues that Rani situates a performative self in the text through an interrogatory narrative voice that succeeds in participating in the critique of patriarchal subjectivity and hegemonic feminist positioning while inserting a resistant feminist ideology into gender discourse to re-envision the role of Indian women in India's development. Naga-Mandala echoes a substantial constituent of feminism. The drama enquires the patriarchal ethical enigma which burdens women with fidelity to their husbands but not the loyalty of men to their wives.
Teachers' report on Status of Communication with Hearing Impaired Children in Special Schools of Punjab: An Evaluation of Current Linguistic Competence of HIC
Authors: Noor Hina , Choudhary Farkhunda Rasheed , Javed Tariq
Published: December 2020

Development of communication skills in children with hearing impairment (HIC) is one of the major goals of rehabilitation for these children. Information about current trends and communication status of HIC is a prerequisite for communication skill-building plan development. For the exploration of the current communication status of HIC studying in public special education institutes of Punjab, a survey was conducted. Two-stage cluster sampling was used to get data from teachers working in 30 randomly selected institutes. A self-developed questionnaire (Cronbach alpha, 0.8) was mailed to get data. SPSS was used for quantitative analysis of data obtained from 107 questionnaires containing information about 886 HIC studying in the special schools. Sign language was found as a common mode of communication. Those using an oral mode of communication were at the word level. The aural approach of teaching was getting acceptance from the teachers. Provision of hearing aid and improvement in speech therapy services were recommended.
State Purchasing Policy – A New Institution of Public Procurement Law
Authors: Czech Ewa Katarzyna , Panasiuk Andrzej
Published: December 2020

The state's purchasing policy is one of the new institutions of the Public Procurement Law. Influenced by the changes in the package of directives coordinating public procurement procedures in 2014, our national legislator has taken steps to use public procurement for purposes other than strictly purchasing. Therefore, the authors' considerations strive to define the concept of "purchasing policy of the state", outlining the role and scope thereof in the functioning of the modern state. Furthermore, the authors try to point out problems related to its implementation by the public authorities, stating finally that purchasing policy will only be effectively implemented if all participants of the public procurement market are aware of the policy objectives.
Harmonising Accessibility in the EU Single Market: Challenges for Making the European Accessibility Act Work
Authors: Drabarz Anna Katarzyna
Published: December 2020

In the last decade, accessibility has become a buzzword not only among actors of the civil society advocating for the rights of persons with disabilities but also among the legislators in the European Union. The EU has adopted a series of binding regulations aiming at approximating the common understanding of accessibility and Member States’ approach to operationalising the right. Being part of EU harmonised law, the European Accessibility Act has already been considered a milestone in the process. The choice of an approach / approaches will decide about a success of its transposition into Member States legal systems.
Pengaruh Model Pembelajaran Pakem Terhadap Prestasi Belajar Siswa SMPN 4 Batukliang
Authors: Hasanah Hasanah
Published: December 2020

Abstract:  The purpose of this study was to determine the effect of pakem learning models on students' learning achievements in mathematics subjects, the subject matter of linear equations one variable in grade VII SMPN 4 Batukliang.  This research uses a quantitative approach. The type of research used is Class Action Research (PTK). The population in this study was 190 students of SMPN 4 Batukliang. The instruments used in this research are about tests, observations and documentation. The analysis used is statistical data analysis with average different test using t-test. The results of the study obtained a score of t_ (calculate ) of 7.59, while the value of t_tabel of 2,000 with dk = 59 and the level of significance of 0.05 this indicates that Ho was rejected and Ha was accepted so that it can be concluded that there is an influence of PAKEM learning model on student learning achievement in mathematics subjects linear equations one variable in grade VII SMPN 4 BatukliangAbstrak: Tujuan penelitian ini adalah untuk mengetahui pengaruh model pembelajaran PAKEM terhadap prestasi belajar siswa pada mata pelajaran matematika materi pokok persamaan linier satu variable di kelas VII SMPN 4 Batukliang.  Penelitian  ini  menggunakan pendekatan kuantitatif. Adapun jenis penelitian yang digunakan adalah Penelitian Tindakan Kelas (PTK). Adapun populasi dalam  penelitian  ini  yaitu  siswa SMPN 4 Batukliang sebanyak 190 siswa. Adapun instrumen yang digunakan dalam penelitian ini adalah soal tes, observasi dan dokumentasi. Analisis yang digunakan adalah analisis data statistik dengan uji beda rata-rata menggunakan uji- t. Hasil penelitian diperoleh nilai sebesar 7,59, sedangkan nilai  sebesar 2,000 dengan dk=59 dan taraf signifikansi 0,05 hal ini menunjukkan bahwa Ho ditolak dan Ha diterima sehingga dapat disimpulkan ada pengaruh model pembelajaran PAKEM terhadap prestasi belajar siswa pada mata pelajaran matematika materi pokok persamaan linier satu variabel di kelas VII SMPN 4 Batukliang
PREVALENCE OF SARCOMATOID CARCINOMA OF URINARY BLADDER IN NORTH WEST RAJASTHAN: A FIVE YEARS RETROSPECTIVE STUDY AT OUR INSTITUTE
Authors: Kumari Sunita , Vyas S.P. , Fatima Qadir , Varshney Mradul
Published: December 2020

Background: Sarcomatoid carcinoma is an uncommon malignancy, represents only 0.1% to 0.3% of carcinomas.

Methods: The medical records of all the patients who underwent consecutive cystectomy and the TURBT specimen sent to pathology department of Sardar Patel Medical College, Bikaner, were retrospectively analysed. Detailed medical history was noted age, gender, indication for surgery, surgical procedure, tumour localization in the urinary bladder, diameter of the lesion after fixation with 10% formalin, and overall incidence of tumour reviewed in detail.

 Results: Out of the total 541 patients, 41 were found to have histological evidence of benign lesions of the urinary bladder, hence not included in the study. Out of 500 patients of urinary carcinoma 1 patient was found to have histological evidence of sarcomatoid carcinoma which was further confirmed by immunohistochemistry. The patient was 29 years old male. Gross haematuria was the clinical presentation. Radical cystectomy was performed. The tumour was polypoid, located on left posterolateral wall of the bladder with dimension of 10X7X6 cm.

Conclusion: Sarcomatoid carcinoma is a rare variant with different therapeutic and diagnostic implications, presenting with gross haematuria. Sarcomatoid carcinoma was diagnosed on histological and immonohistological staining.
Information Systems Audit Framework to Improve the Quality of Audit in Higher Education in East Africa
Authors: Onunga Jeremiah Osida
Published: December 2020

There are some similarities between Financial Statement Audit (FSA) and Information System Audit (ISA). FSA is an examination of the reliability and integrity of financial statement records whereas ISA is a review and evaluation of the controls, risks, and system development within an Information system infrastructure to determine if the information systems are safeguards to protect against abuse, safeguards assets, maintains data integrity, and operates effectively to achieve the organization's going concern objective. Decision makers need to ensure that the process of collecting and evaluating evidence of an organization's information systems, practices, and operations are reliable. Data manipulation can be caused by external or internal threat. Internal manipulation threat is the most dangerous one because it is committed by authorized personnel which make it very difficult to be detected. In particular, the framework introduces an anomaly detection technique, one of the data mining methods, to determine the suspected transactions arise from both internal and external threat. Once the suspected transactions are identified, procedures and monitoring control will be in place to minimize each threat. The proposed framework is expected to help both universities and ministry of higher education managers at all levels to make a vital decision based on reliable and accurate information in East Africa.
Images of War in Opera
Authors: Siopsi Anastasia
Published: December 2020

The main aim of this article is to raise questions with wars seen as part of cultural history attempting, thus, to provide a cultural reading. As such, I attempt to show operatic responses to war, to the meaning of violence, and to the ways they illustrate emotions that are at the core of such destructive activities (that is, patriotism, heroism and so forth) and depict wartime ideologies, practices, values and symbols. This paper is a critical and selective overview of images of war in opera mainly up to the twentieth century. There is no aspect in human activities which is not related, more or less, with the issue of war. War has been part of the total human experience. Subsequently, my paper is about the various ways of projecting images of war in opera. In more detail, it is about the ways that opera, since the era of its birth, responds to human conflicts, named wars, and bring on stage an interpretation: an illustration of a hero, a context of values related to the necessity or the avoidance of war, a message to humanity to make us look at our civilization in either positive or negative ways. A cultural contemplation is not about “truths” of the war but raises the question as to how different “truths” inhabit the political and cultural Western European world by means of the total work of art of opera. Opera has had a fundamental role in privileging some ideals of “truths” from others. The main aim is to raise questions with wars seen as part of cultural history attempting, thus, to provide a cultural reading. As such, I attempt to show operatic responses to war, to the meaning of violence, and to the ways they illustrate emotions that are at the core of such destructive activities (that is, patriotism, heroism and so forth) and depict wartime ideologies, practices, values and symbols.
Ochronosis, the Rare Cause of Herniation of a Disc: A Case Report
Authors:   Department of Neurosurgery, Alborz University of Medical Sciences, Karaj, Iran, Baradaran Bagheri Ali , Biglari Farsad ,   Department of Orthopedics, Alborz University of Medical Sciences, Karaj, Iran, Soroureddin Somayeh ,   Department of Internal Medicine, Alborz University of Medical Sciences, Karaj, Iran, Azarsina Salman ,   Department of Orthopedics, Alborz University of Medical Sciences, Karaj, Iran, Kamangar Mohammad ,   Department of Neurosurgery, Alborz University of Medical Sciences, Karaj, Iran
Published: December 2020

Background and Importance: Alkaptonuria is a rare genetic disorder due to homogentisic acid oxidase deficiency which eventuates in the reposition of homogentisic acid in different parts of the body and multi-organ involvements. The characteristic bluish-black discoloration of the skin and cartilage tissue is known as ochronosis. Case Presentation: Herein, we reported a 45-year-old woman with chronic pain in the lumbar area and radicular pain in her left leg, aggravating gradually during the previous six months before the operation. She also suffered from progressive muscle weakness in her left lower extremity. The patient was operated for prolapsed disc herniation. Macroscopically, no abnormality of the skin, muscles, or ligaments was observed during surgery. After incision of the annulus in level L3-L4, surprisingly the excised nucleus pulposus was black. The alkaptonuria was diagnosed after histopathological examination of the black disc material and confirmed by urinalysis. Conclusion: The postoperative course was uneventful and the patient was free from low back pain and leg pain after surgery. In patients without any manifestations of alkaptonuria or ochronosis such as our case, timely diagnosis of this pathologic condition is momentous for investigation, treatment, and prevention of other organs’ involvement.
Risk Factors of Neural Tube Defects in a Sample of Iranian Population From Southern Iran: A Hospital-based Investigation
Authors:   Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran, Masoudi Mohammad Sadegh , Hadi Negin ,   Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Ghaffarpasand Fariborz ,   Neuromodulation and Pain Research Center, Shiraz University of Medical Sciences, Shiraz, Iran, Askarpour Mohammadreza ,   Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Ershadi Faeze ,   Student Research Committee, Department of Community Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, Sadeghpour Tayebeh ,   Department of Pediatric Neurosurgery, Namazi Hospital, Shiraz, Iran
Published: December 2020

Background and Aim: The risk factors of the Neural Tube Defects (NTD) have been previously described but there are ethnic and geographical variations. Data from the Iranian population is still scarce. The objective of the current study was to investigate the NTDs risk factors in a large sample of Iranian patients admitted to a single center.  Methods and Materials/Patients: This case-control study was performed within five years from 2012 to 2017 in Namazi Hospital of Shiraz, a tertiary referral center for neonatal anomalies in the south of Iran. One hundred newborns with NTDs were included in the study as the case group and 200 healthy newborns as the control group. We recorded the baseline characteristics including the maternal variables (age, weight, height, previous pregnancy and gravidity, gestational age), newborn information (birth weight, clinical diagnosis, clinical findings in the examination, and clinical findings in radiologic test) and medical history of the perinatal period. Results: The baseline characteristics of the mothers were matched in both groups. NTDs were associated with lower folic acid intake during pregnancy (66% vs. 78%; P=0.030; OR 95% CI=1.82) and before pregnancy (P=0.002; OR95% CI=2.36). The prevalence of NTD was significantly higher in patients who lived in hot climates (P=0.001). Conclusion: Taking adequate folic acid supplements before and during pregnancy can reduce the risk of NTDs in the Iranian population. Hot climate zones were associated with an increased risk of NTDs in Iran.
Liponeurocytoma of the Cerebellopontine Angle: An Interesting Case Report and Literature Review
Authors:   Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Mousavinejad Seyed Ali , Jabbari Ahmad ,   Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Dehghan Mahmoud ,   Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Ira, Ebrahimzadeh Kaveh ,   Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Ira, Amin Kazemi Kasra ,   Department of Neurosurgery, Ayat Allah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran, Taheri Talesh Jouan ,   Department of Neurosurgery, Ayat Allah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran, Rezaei Omidvar ,   Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Published: December 2020

Background and Importance: Liponeurocytoma is a rare tumor of the CNS. Some of its prominent features include low neuronal proliferation with foci of lipomatous differentiation. So far, 70 reports on cases of brain liponeurocytoma have been published. Most of them were located in the cerebellar hemisphere, but only 7 cases of primary Cerebellopontine Angle (CPA) liponeurocytoma have been reported. Case Presentation: We presented a 27-year-old woman with a 6-month progressive headache and dizziness. More recently, she developed progressive hearing loss and ataxia. Pre-operative MRI of the brain demonstrated a heterogeneous solid extra-axial lesion in the right CPA with hydrocephalus. The operation was performed via the retro sigmoid approach. Histopathological diagnosis was confirmed as liponeurocytoma. No radiotherapy was performed. The patient was followed up for two years. There were no signs of recurrence. Conclusion: Liponeurocytoma is a rare tumor. In most of the cases, it is presented in the cerebellum, and the CPA as the primary location of this tumor is extremely uncommon. Typically, surgery is the treatment of choice for these lesions. If the tumor is subtotal, radiotherapy after operation and resection can also be advantageous.
Aspergillus Spondylodiscitis After Spinal Stenosis Surgery: A Case Report
Authors:   Department of Neurosurgery, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran, Aghapoor Mohsen , Alijani Babak Alijani ,   Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran, Pakseresht-Mogharab Mahsa ,   Department of Neurosurgery, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Published: December 2020

Background and Importance: Spondylodiscitis is an inflammatory disease of the body of one or more vertebrae and intervertebral disc. The fungal etiology of this disease is rare, particularly in patients without immunodeficiency. Delay in diagnosis and treatment of this disease can lead to complications and even death. Case Presentation: A 63-year-old diabetic female patient, who had a history of spinal surgery and complaining radicular lumbar pain in both lower limbs with a probable diagnosis of spondylodiscitis, underwent partial L2 and complete L3 and L4 corpectomy and fusion. As a result of pathology from tissue biopsy specimen, Aspergillus fungi were observed. There was no evidence of immunodeficiency in the patient. The patient was treated with Itraconazole 100 mg twice a day for two months. Pain, neurological symptom, and laboratory tests improved. Conclusion: The debridement surgery coupled with antifungal drugs can lead to the best therapeutic results.
Revisiting the Urge to Operate: One-year Neurophysiological Follow-up in Severe CTS
Authors:   MD., Professor, Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran., Ashraf Alireza , Hooshanginezhad Zahra ,   MD., Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran., Vasaghi Attiyeh ,   MD., Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran., Derakhshan Nima ,   Assistant Professor, Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Published: December 2020

Background and Aim: Several approaches have been proposed for the treatment of Carpal Tunnel Syndrome (CTS) based on its severity. The aim of this study is to determine the optimal management for severe CTS. Methods and Materials/Patients: This cross-sectional study was conducted for 22 months from August 2017 to June 2019 in a referral rehabilitation clinic in southern Iran. A total of 117 hands diagnosed with severe CTS were included in 78 patients according to Electrodiagnostic Study (EDX) reports (considering Sensory Proximal Latency (SPL) >3.6 msec, Sensory Distal Latency (SDL) >5.3 msec, Sensory Nerve Conduction Velocity (SNCV) <30 m/sec, Distal Motor Latency (DML) >6.5 msec as being severe) who refused to undergo surgery. Boston questionnaire was filled out and conventional EDX was carried out at the first and the 1-year follow-up visits. Results: In patients with a detectable Sensory Nerve Action Potential (SNAP), motor amplitude (P<0.002) and latency (P<0.01), SPL (P<0.003) and SNCV (P<0.006), and Boston parameters improved significantly in the one-year follow-up visit compared with the results at the first visit. However, improvement in patients with absent or low amplitude SNAP at the first visit was only observed in proximal sensory latency (P<0.005) and amplitude (P<0.003). Conclusion: There is a considerable chance for non-surgical improvement of patients with severe CTS in terms of symptom relief, hand function, and EDX parameters in those with detectable SNAP at the first visit; however, patients with undetectable SNAP have little, if any, the chance for improvement with conservative measures.
A petrochemical study of Mughal plasters of Quila-I-Ark, Aurangabad with respect to technology and repair
Authors: Bakshi Sneha , Singh Manager Rajdeo
Published: December 2020

This paper reports the mineralogical composition of western India's 16-17th century Mughal plasters of Quila-I-Ark, Aurangabad to prepare compatible repair mortar and document ancient Indian lime technology. Analytical studies were undertaken for aggregate grain size distribution, thin section analysis, Fourier Transform Infrared Spectrometer (FTIR), X-ray diffraction (XRD), and chemical composition of the plasters by x-ray fluorescence (XRF analysis). The analysis revealed the inclusion of large size basaltic aggregate grains mostly sourced from the water channel of nearby Harsullake. Some of the plaster works show prominent inclusion of small size grains pointing different periods of construction. Creamy white zeolites were found specifically added in the mortar mix to maintain a certain level of humidity during the dry season. The zeolite is highly porous and breaks easily both in dry and wet conditions. The calcite rich limestone with traces of magnesium was sourced as raw material for the plasters. Based on mineralogical composition and binder/aggregate ratio, three phases of historical constructions were documented. FTIR and thin section analysis showed the mixing of some proteinaceous adhesive juice in the lime for improvement in rheological and waterproof properties. The high quantity of large size aggregate grains ensured better carbonation of lime and the source of aggregates remained the same for all phases of historical constructions. The cementation index (C.I.) and hydraulicity index (H.I.) vary between 0.10 to 0.96 and 0.20 to 3.43, respectively showing the plaster is aerial lime with traces of magnesium. The plaster is feebly hydraulic as the hydraulic component calculated varies between 0.88 to 6.10 percent in different samples. A moderate strength plaster with a lime/silica ratio close to 0.33 was prepared for most phases of construction except a few isolated locations. The analytical data will now help to prepare compatible mortar with identical additives for a major repair.
Motorcycle MT10-36 as a landmark of science and technology
Authors: Luparenko Hryhorii
Published: December 2020

Based on the source and comparative analysis of the history of creation, design, and production of the Kyiv Motorcycle Works’ motorcycles, the value of the MT10-36 motorcycle as the landmark of science and technology has been determined. It has been shown that the development of a new engine and MT10-36 motorcycle was, first of all, the initiative of the plant’s engineers. Ovcharenko M. completed the development of a 650 cubic capacity boxer engine. The design of new units and a vehicle outpaced the technological capabilities of the plant. This led to a delay in introducing new technology into production. The involvement of the Foundry Department of the Kyiv Polytechnic Institute under the leadership of K. Vashchenko made it possible to improve the production technology of the motorcycle engine. The reliability of the engine has increased. The design of the engine of the Kyiv Motorcycle Works was in line with the tendencies of the world motorcycle industry. On the basis of a comparative analysis of the MT10-36 motorcycle design and the Ural motorcycle of the Irbit plant (Russian Federation), the strengths and weaknesses of the vehicle design have been determined. Selected episodes of sales of the Kyiv Motorcycle Plant’s motorcycles within the country and abroad have been highlighted. It has been highlighted that the motorcycle was operated in conditions that did not reveal its speed and transport capabilities. The motorcycle’s design outpaced the pace of development of transport infrastructure (highways). The basic principles of museification of motor vehicles have been considered. It has been noted that one of the valuable qualities of the landmark of technology is the reflection of the peculiarities of the use of the object and its change after leaving the plants’ shop. Some aspects of the principles of technique restoration as a material historical source with the optimal preservation of the landmark and the information reflected in it have been considered. It has been concluded that the MT10-36 motorcycle meets the criteria of the landmark of science and technology in the broad sense of this concept. The motorcycle embodies the original technical solutions of native engineers, reflects the level of development of domestic technology and illustrates the practice of operating motorcycle technology.
The birth of a science
Authors: Nasution Mahyuddin Khairuddin Matyuso
Published: December 2020

Physics, biology, chemistry, for example, do not already only study programs in many universities but are at the forefront of the development of science, and that is science itself. The development of the basic foundation becomes the mother of science, such as mathematics, as a suspicion of the birth of new sciences. The interests related to the life and welfare of humans always invites the possibility of the birth of science in concepts, but mathematics confirms it. In certain cases, as an application, or it gives birth to answers in technology form, which is distorted according to the social demands of society. Every science has its methodology, which is based on the logic that helps to reason. A natural model is an approach to generating methods, as well as the principles that develop in artificial intelligence based on mathematics. This principle not only changes the way of perceiving data, but it also establishes new definitions of data, and changes statistics, optimization, and other fields. Each science also has implications for other sciences but also has applications that are also related to other sciences. Every science supports technology to improve social welfare. Historically, century by century, many new scientific fields were born, and it has evidence from the publication of scientific works to books as scientific standards. Then, the teaching curricula supported its initial dissemination and its development through research with evidence of scientific publications either through papers in proceedings of scientific meetings or articles in the journals. A study program about science in the related faculty is mandatory, and it is as the spearhead in further scientific and technological development. So everything starts and ends at one point, namely the birth of new science, as the birth of data science. This paper describes the birth of science by involving historical traces. The reflection of scientific development is starting from the foundation to become a scientific field, namely data science. It also illustrates the roadmap of a scientific indirectly.
Professor V. Ye. Timonov – the formation of the scientific worldview
Authors: Soloviova Liubov , Hurinchuk Svitlana , Berdnychenko Yuliia , Strelko Oleh
Published: December 2020

The name of Vsevolod Timonov, an outstanding scientist-engineer, teacher, public figure, and popularizer of science, doctor of technical sciences, Honored worker of science and technology of the RSFSR, professor, is well known to a wide range of domestic and foreign scientists and technicians. Nowadays, the creative worky of the extraordinary personality of the scientist is particularly interesting to researchers for its inexhaustibility and versatility. In his activity, V. Ye. Timonov showed the features of a talented researcher, experimenter, organizer of science, an innovator in solving important theoretical and applied problems of hydraulic engineering. The article covers his early life and activities. This period of life of V. Ye. Timonov allows us to understand and reflect the conditions of the formation of the scientists’ worldview, the factors that influenced the formation of his creative personality, and to analyze the main directions of his activity. And let us note that his 60 years of scientific, pedagogical, and social activity is characterized by exceptional versatility and depth. The outstanding scientist boundlessly devoted to science until the last day, V. Ye. Timonov is the author of more than 700 scientific papers. Among his works are a number of textbooks, manuals, and monographs, which have received wide recognition of scientists of our country and foreign researchers. Several finely written books showcase his multifaceted talent as a memoirist. For more than 50 years V. Ye. Timonov was engaged in pedagogical work at high school. His lectures (at institutes, universities, and in the general public) have always been a huge success. He brought up a whole galaxy of scientists. Vsevolod Yevhenovych devoted a lot of effort and time to the promotion of science, active, purposeful struggle with anti-scientific concepts in hydrobiology, hydrography, hydraulic engineering. Timonov's scientific and organizational activity was also fruitful. A man of great and versatile culture, an eager admirer, and a deep connoisseur of poetry and literature, V. Ye. Timonov himself was a gifted promoter of scientific knowledge.
Nombre de cas confirmés de syphilis chez les femmes enceintes au Brésil entre 2009 et 2013
Authors: Barros Yara Lorrane Souza de , Fecury Amanda Alves , Olivera Euzébio de , Dendasck Carla Viana , Araújo Maria Helena Mendonça de , Souza Keulle Oliveira da , Dias Claudio Alberto Gellis de Mattos
Published: December 2020

La syphilis est une maladie bactérienne transmise sexuellement des femmes enceintes atteintes de syphilis au fœtus. Le diagnostic de syphilis chez les femmes enceintes est confirmé par l’examen VDRL. L’objectif de ces travaux est de montrer le nombre de cas confirmés de syphilis chez les femmes enceintes au Brésil, comme une année de diagnostic, groupe d’âge, régions du Brésil, zone résidentielle, type de test, classification et évolution entre 2009 et 2013. Des données secondaires ont été utilisées par le département informatique de SUS – DATASUS (http://datasus.saude.gov.br). Le plus grand nombre de tests permet un meilleur traitement et une réduction du nombre de cas. Cependant, l’absence de soins préventifs pendant la relation sexuelle induit une augmentation des cas, en particulier chez les femmes en âge de procréer. Les régions où la population est plus importante ont un plus grand nombre de cas. La forte variation des partenaires dans ces domaines entraîne une contamination accrue. Le type de test influence les nombres. Des tests moins spécifiques et plus généraux trouvent des anticorps spécifiques et non spécifiques pour la bactérie. Cela peut modifier les nombres réels. Les soins de santé féminins font à la fois le diagnostic tôt, facilitant le traitement. La syphilis n’est pas directement responsable du nombre plus élevé de décès chez les femmes enceintes.
Formulasi Sediaan Krim Pelembab Ekstrak Kulit Buah Delima (Purica Grantum L)
Authors: Dao Titisan Airmata , Syamsul Darwin
Published: December 2020

Pendahuluan: Kosmetik adalah bahan atau sediaan yang dimaksud untuk digunakan pada bagian luar tubuh manusia (epidermis, rambut, kuku, bibir dan organ genital bagian luar” gigi dan rongga mulut untuk membersihkan, menambahkan daya tarik, mengubah penampilan, melindungi supaya dalam keadaan baik, memperbaiki bau badan tetapi tidak dimaksudkan untuk mengobati atau menyembuhkan penyakit. adapun tujuan dari penelitian ini adalah untuk mengetahui apakah  kulit buah delima(purica granatum L.) dapat di formulasikan kedalam sediaan krim pelembab. Tujuan: untuk  menguji kestabilan fisik  produk krim dari ekstrak kulit buah delima dimana berdasarkan parameter yang sudah ditentukan. Metode: Penelitian yang dilakukan adalah metodel eksperimental di laboratorium,dengan cara mengeringkan kulit buah delima.  kemudian dilanjutkan dengan membuat formulasi sediaan krim pelembab dari kulit buah delima. penelitian ini  dilakukan di Laboratorium STIKes Helvetia Medan dengan menggunakan konsentrasi  2%, 4%, 6% dengan cara pemeriksaan homogenitas, uji iritasi, uji organoleptik, dan uji pH sediaan. Hasil: Konsentrasi 2%, 4%, 6% kulit buah delima dalam sediaan krim pelembab tidak terjadi iritasi, gatal dan kemerahan pada kulit. sediaan krim pelembab yang dihasilkan semua homogen, memiliki pH 6,5. dari hasil uji iritasi sukarelawan sampel yang dioleskan pada bagian belakang telinga tidak terjadi iritasi. Kesimpuulan: Berdasarkan hasil dapat disimpulkan bahwa kulit buah delima dapat diformulasikan kedalam sediaan krim. disarankan kepada peneliti selanjutnya agar dapat membuat sediaan krim yang lebih menarik lagi dari  kulit buah delima.
Tingkat Kepuasan Pasien terhadap Pelayanan Kefarmasian di Apotek Global Medan
Authors: Sari Fitri Mayang , Suprianto Uprianto
Published: December 2020

Pendahuluan; Apotek merupakan tempat di lakukan pekerjaan dan pelayanan sediaan farmasi, perbekalan kesehatan lainnya kepada masyarakat dan juga tempat yang di jadikan transaksi jual dan beli atau pelayanan produk dari farmasi, didalam apotek juga telah disediakan tenaga kefarmasian yang di sebut dengan apoteker. Tujuan; Untuk mengetahui persentase pelayanan kefarmasian yaitu dengan melakukan sebuah penelitian. Metode; penelitian ini adalah bersifat korelatif. Jenis penelitan yang digunakan adalah surve dengan metode deskriptif. Penelitian ini dilakukan di Apotek Global Medan pada bulan April – Mei 2016. Hasil; penelitian tahap awal dengan mewawancarai 15 pasien yang berkunjung ke apotek Global, Hasil wawancara dari lima belas pasien diperoleh, tujuh pasien mengatakan pelayanan yang diberikan asisten apoteker kurang baik kerena terlalu lama menunggu, lima pasien mengatakan asisten apoteker tidak menjelaskan cara pemakaian obat bagi pasien yang belum mengerti cara pemakaian obat, dan tiga pasien mengatakan asisten apoteker tidak ramah dengan wajah yang kurang menyenangkan. Kesimpulan; Secara keseluruhan, tingkat kepuasan pelayanan yang diberikan oleh apoteker di apotek global masih kurang memuaskan.
Penggunaan Obat pada Pasien Diabetes Mellitus Tipe II Rawat Jalan di Rumah Sakit Umum Haji Medan Pemprovsu
Authors: Kurniawati Murni , Afriadi Afriadi
Published: December 2020

Pendahuluan; Diabetes Mellitus (DM) atau kencing manis adalah salah satu penyakit atau kelainan metabolisme yang disebabkan kurangnya produksi insulin. Untuk Indonesia WHO memprediksi kenaikan jumlah pasien dari 8,4 juta pada tahun 2000 menjadi sekitar 21,3 juta pada tahun 2030 dan Indonesia menempati peringkat keempat dari sepuluh penyakit tidak menular di Indonesia. Tujuan; penelitian ini untuk mengetahui penggunaan obat berdasarkan resep pasien Diabetes Mellitus Tipe II rawat jalan di RSU Haji Medan Pemprovsu. Metode; Penelitian ini merupakan penelitian non eksperimental. Jenis penelitian yang digunakan adalah survey dengan metode deskriptif. Penelitian ini dilaksanakan di RSU Haji Medan Pemprovsu, pada bulan Maret - Mei 2016. Hasil; Hasil penelitian menunjukkan pada pasien A, B, C, D, E, F, G, dan H  dapat dilihat bahwa obat-obat yang digunakan dalam resep sudah sesuai yaitu : tepat indikasi, tepat dosis, tepat obat, dan tepat pasien. Kesimpulan; Secara keseluruhan data penggunaan obat pada pasien Diabetes Mellitus Tipe II diperoleh obat-obat yang digunakan dalam resep dari pemakaian, jumlah obat, dan umur pasien sudah sesuai yaitu : tepat indikasi, tepat dosis, tepat obat, dan tepat pasien.
Formulasi Sediaan Gel Hand Sanitizer Kombinasi Ekstrak Etanol Daun Kemangi (Ocimum basilicum L.) dan Biji Pepaya (Carica papaya L.)
Authors: Dolok Saribu Bellina Elizabeth , Fitri Khairani
Published: December 2020

Pendahuluan: Daun kemangi dan biji pepaya memiliki potensi untuk dikembangkan sebagai antiseptik tangan. Kandungan kimia yang terdapat didalam daun kemangi dan biji pepaya adalah saponin, flavonid, fenol, alkaloid dan minyak atsiri. Ekstrak daun kemangi (Ocimum basilicum L.) dan biji papaya (Carica papaya L.) telah terbukti memiliki aktivitas antibakteri. Tujuan: Untuk mengetahui daun kemangi (ocium Basilicum L) dan biji papaya  (Carica Papaya L)dapat diformulasikan kedalam sediaan gel hand sanitizer.  Metode: Penelitian ini adalah penelitian eksperimental laboratorium, dibuat dengan menggunakan ekstrak etanol daun kemangi dan biji pepaya yang diformulasikan kedalam bentuk sediaan gel hand sanitizer. Formulasi sediaan gel hand sanitizer dibuat  dengan  variasi konsentrasi ekstrak yaitu  10%, 15%, dan 20%. Pengujian karakteristik sediaan gel hand sanitizer meliputi: uji organoleptis, uji homogenitas, uji pH dan uji hedonik. Hasil: Hasil penelitian ini menunjukkan bahwa sediaan gel hand sanitizer ekstrak daun kemangi dan biji pepaya memenuhi persyaratan karakteristik sediaan gel. Sediaan gel yang dihasilkan memiliki tekstur kental setengah padat dan sediaan terlihat homogen saat dioleskan pada kaca transparan. Warna yang dihasilkan adalah coklat dan aroma khas ekstrak. pH yang dihasilkan dari sediaan gel hand sanitizer ini berkisar antara 6,3- 6,5.  Kesimpulan: Ekstrak daun kemangi dan biji pepaya dapat diformulasikan kedalam bentuk sediaan gel hand sanitizer. Disarankan kepada peneliti selanjutnya untuk melakukan uji efektivitas antibakteri pada sediaan gel hand sanitizer ekstrak daun kemangi dan biji pepaya.
Persepsi Konsumen terhadap Pelayanan Kefarmasian Apotik di Jemadi Natural
Authors: Bustami Bustami , Fitri Khairani
Published: December 2020

Pendahuluan: Masyarakat Indonesia saat ini membutuhkan pelayanan kesehatan yang bermutu berdasarkan lima dimensi yaitu tingable (bukti nyata), reliability (kehandalan), responsiveness (ketanggapan), assurance (jaminan) dan empathy (perhatian). Tujuan: untuk mengetahui bagaimana persepsi konsumen terhadap pelayanan kefarmasian yang diterapkan di Apotek Jemadi Natural Tahun 2017. Metode: Penelitian ini dilakukan menggunakan penelitian deskriptif. Jumlah sampel 172orang. Hasil penelitian dianalisis menggunakan analsis univariat. Hasil: penelitian pelayanan kefarmasian adalah Tingible (bukti nyata) konsumen yang mengatakan tidak baik sebanyak 24 orang (14%), cukup baik sebanyak 18 orang (10,5%), baik sebanyak 97 (56,3%), dan sangat baik 33 (19,2%).Reliability (kehandalan)konsumen yang mengatakan tidak baik tidak ada, cukup baik sebanyak 11 orang (6,4%), baik 61 orang (35,5%), dan sangat baik 100 orang (58,1%).Responsiveness (Ketanggapan)konsumen yang mengatakan tidak baik tidak ada, cukup baik sebanyak 16 orang (9,3%), baik 99 orang (57,6%), dan sangat baik 57 orang (33,1%).Assurance (Jaminan) konsumen yang mengatakan tidak baik tidak ada, cukup baik sebanyak 14 orang (8,1%), baik 60 orang (34,9%), dan sangat baik 98 orang (57%).Empathy (Perhatian) konsumen yang mengatakan tidak baik sebanyak 1 orang (0,6%), cukup baik sebanyak 9 orang (5,2%), baik 95 orang (55,2%), dan sangat baik 97 orang (39%). Kesimpulan: penelitian ini yaitu persepsi konsumen pelayanan kefarmasian di apotekJemadi Natural lebih banyak mengatakan baik dalam arti pelayanan kefarmasian sudah lebih memperhatikan kekurangan fasilitas salah satunya parkir,  ruang tunggu, pelayanan, buktinyata, kehandalan, ketanggapan, jaminan, danperhatiandi apotekJemadi Natural.