bluuebunny/crossref_metadata_2025 huggingface dataset:
Health beliefs about hypertension among hypertensive elderly people in Khammam urban locality: health belief model
Authors: Veerapu Nagapraveen , Kumar Baer Philip Ravi , Kudumula Meghana
Published: September 2020

Background: Increased globalization, urbanization, improvements in science and technology, information technology made life style changes; prone to increased risk of non communicable diseases. Beliefs about hypertension determine behaviour of the hypertensive people towards hypertension and its complications. Health beliefs about hypertension can be studied by health belief model. The objectives were to know the socio-demographic characteristics and to quantify the health beliefs among elderly hypertensive people in the light of Health belief model.Methods: A cross sectional study was done for a period of 6 months from January 2018 to June 2018 among people aged 50 years and above who were hypertensives in Khammam urban locality. Randomly 160 people were selected for the study. Data was collected by using a semi-structured questionnaire. Analysis will be done using proportions.Results: The average number of years the individuals known to have hypertension was 6.38 years. The current systolic blood pressure in most of the elderly was in between 140-149 mm of Hg. The current diastolic BP in most of the elderly was 81-90 mm of Hg was followed by less than 80 mm of Hg. In the study, health beliefs were quantified. More than half of elderly had perceived threat of hypertension (54.6%). The health beliefs of perceived benefits were 44%. Perceived threats of barriers were 62.7%.Conclusions: The information obtained will be useful for planning the health education or health promotion programs based on the needs and deficiencies of the people.
Three-year follow-up in advanced pediatric keratoconus: thin corneas may not have pachymetry properly assessed after crosslinking
Authors:   Hospital das Clínicas, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14049-900, Brazil, Antunes-Foschini Rosalia , Faria-e-Sousa Sidney Júlio ,   Department of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14049-900, Brazil
Published: September 2020

"AIM: To analyze the crosslinking (CXL) effects in pediatric keratoconus, and to identify the patients’ corneal characteristics whose pachymetry could not be adequately evaluated by Scheimpflug method after procedure. METHODS: Consecutive pediatric patients with progressive keratoconus underwent CXL were included. Best-corrected visual acuity (BCVA) and spheric equivalent (SE) were measured before and after CXL. After CXL, groups 1 and 2 were divided based on the posterior surface Pentacam quality specifications (QS): “OK” (Group 1) and “not OK” (Group 2). The mean (RmF and RmB) and minimum (RminF and RminB) radius of curvatures of the anterior and posterior corneal surfaces, and the thinnest pachymetry (Pmin) were measured preoperatively at 3, 6, 12, 24, and 36mo. Haze was annotated. RESULTS: Twenty-six patients (14 men, mean age 14±1.8y) and median Kmax of 59.9 D initially and 61.4 D preoperatively were treated. BCVA was not different before and 24mo after CXL. Group 2 statistically differed to group 1 in that SE was more myopic before and with no difference 24mo after CXL; RmF and RmB were steeper and Pmin was thinner pre-surgically. Group 2, in which pachymetric changes could not be adequately evaluated after surgery, presented with significant RmF flattening, a shift to hyperopia, and more haze after CXL. CONCLUSION: Patients whose pachymetry could not be adequately evaluated after CXL had steeper and thinner corneas before surgery. The predictive factors for impaired QS after CXL are RmF, RmB, and Pmin. In advanced keratoconus, alternative methods to analyze pachymetry and the posterior surface should be considered."
Kant's "Idea [project] of Transcendental Philosophy"
Authors: Katrechko Sergey
Published: September 2020

At the present time, there are several interpretations and modes of Kant’s transcendental philosophy (TP). Which of these interpretations and modes of transcendentalism most adequately express the spirit of TP, i.e. can claim the title of the transcendental ones? For the explication of the ‘idea of transcendental philosophy’ [KrV, A1], here I distinguish two transcendental shifts: methodological and metaphysical ones, which in their totality predetermine the essence and set the specificity of Kant’s transcendental idealism. The methodological transcendental shift that Kant postulates in his definitions of TP in the Critique of Pure Reason [KrV, A11; B25] represents a shift from studying of objects to the analysis and justification of our mode of cognition of objects. This shift sets a fairly wide range of a la Kantian a priori doctrines and predetermines the transcendental turn (Re–Transcendentalising) of modern philosophy. The metaphysical transcendental shift that can be correlated with “the altered method of our way of thinking [in metaphysics]” [KrV, BXVIII], is associated with the splitting of the “thing” into the actual object (or Kantian thing-in-itself) and object of experience (or Kantian appearance), and involves a transition from the study of thing-in-itself to the analysis of the appearance. More precisely, this shift finds its expression in the transcendental triad “object (thing-in-itself; Ding an sich) – appearance (Erscheinung) – representation (Vorstellung)”, which determines the ‘idea’ (essence) of transcendental idealism/metaphysics.
Kant's Project of Descriptive Metaphysics and Husserl's Transcendental Phenomenology
Authors: Shiyan Anna
Published: September 2020

The article discusses the features of Kant's project of descriptive metaphysics and its development in Husserl's transcendental phenomenology. Kant's project of descriptive metaphysics can be seen in three senses: as a transcendental philosophy in General, which deals with the study of cognition, as a metaphysics of experience, aimed at studying the first principles of world experience, and as revealing the structure of our thinking about the world. All these variants of descriptive metaphysics were developed in Husserl's transcendental phenomenology. The author pays special attention to the analysis of the phenomenological doctrine of consciousness, since in Husserl's approach one can see the development of the project of descriptive metaphysics in all three senses Husserl understands consciousness as cognizing consciousness, that is, as cognition; the phenomenological understanding of consciousness also includes a mode of thinking about the world; consciousness is considered by Husserl as a real everyday experience.
THE CONNECTING QUANTITIES PROCESS TO SOLVE FRACTION MATHEMATICAL PROBLEMS OF MIDDLE SCHOOL STUDENTS
Authors: Syarifuddin Syarifuddin , Bayu Nugroho Purna , Mutmainah Mutmainah , Merdekawati Hadi Arnasari , Sriaryaningsyih Sriaryaningsyih
Published: September 2020

Purpose of the study: The concept of student fraction, in general, is to understand a small part of an intact part so that students' understanding of fractions as quantities needs to be considered in the context of quantitative reasoning. This study aimed to explore and describe the reasoning of junior high school students in Bima, Indonesia, in understanding the relationship of quantities as a fraction.

Methodology: Research was conducted with qualitative research, which was descriptive exploratory with the stages of giving the Fraction Problem Task (FPT) and task-based interviews. The subjects in this study were 4 students selected from grades 8 and grade 9, who had studied fraction material and were chosen based on the categorization shown by students on the answer sheet.

Main Findings: The results of this study described that there were two forms of student reasoning approaches, namely the variable and the non-variable approach. In the variable approach, students used multilevel variables, namely level one and level two, whereas, in a non-variable approach, students connected quantities directly, without involving variables.

Applications of this study: The process of connecting quantities involved quantitative reasoning with different quantitative operations, such as the quantity combination in the form of multiplication, addition, and concurrent combination of multiplication and addition.

Novelty/Originality of this study: In the process of linking quantities, students were connecting composite units with intact units directly, and students were connecting composite units, continuous units, and then connecting to intact units.
The Impact of Immigrate Population on the Housing Rental Market in Beijing
Authors: Hu Wenqiong
Published: September 2020

In recent years, rents of apartments in Beijing have been rising rapidly. A survey shows that Beijing, as a central city, has a large number of population changes due to the concentration of various high-quality resources. Besides, the immigrate population is an important reason for the increase of urban housing demands and the further increase of housing prices. At the same time, the problem of household registration system makes a large number of immigrate population still choose to buy houses in the original place, which further aggravates the spatial mismatch of housing demands in China. To find out the changes law of rent with the immigrate population, further help the government to perfect the policy for rental market, and help the people to get suggestions for rent, this article uses Saiz model for reference to build a theoretical model of the impact of immigrate population on housing prices to studies the relationship between immigrate population and rent changes in Beijing during the past eight years, and makes reasonable suggestions for residents and the government.
La psicofisiología y el desarrollo de la psicología clínica
Authors: Beteta Pacheco Edmundo
Published: September 2020

Se presentan los avances en Psicofisiología, destacando los estudios anatómicos y bioquímicos de los mecanismos cerebrales que intervienen en la conducta. Estas investigaciones permiten ampliar el campo de la Psicología Clínica, tanto en la prevención como en el diagnóstico y terapéutica de los desórdenes de la conducta. En este objetivo, el psicólogo clínico podrá realizar estudios de investigación en la comunidad con la metodología de correlacionar factores de riesgo epidemiológicos, tests neuropsicológicos y estudios por imágenes.
La depresión y los trastornos de la alimentación en la mujer
Authors: Zusman Lillyana
Published: September 2020

El incremento del síndrome depresivo y de los trastornos de alimentación en las mujeres es alarmante. Las variaciones del rol tradicional femenino en lo que se refiere a la maternidad y a la función cuidadora de los afectos familiares, su identificación con una pasividad aprendida desde la temprana infancia y la transformación de la estereotipia de los cuerpos femeninos ha determinado la posibilidad de establecer una asociación entre la depresión y los trastornos alimenticios. El artículo plantea el silenciamiento de la voz como una estrategia aprendida desde la infancia y reforzada en la adolescencia para acallar, reprimir y escindir los despertares a las sensaciones que emanan del cuerpo, al deseo y al goce sexual. El cuerpo se propone como un lenguaje alternativo de características somáticas a través del cual se intenta tramitar la escisión del n1ensaje emocional.
Situación actual de la enseñanza del psicodiagnóstico de Rorschach y los métodos proyectivos en el Perú
Authors: Ráez de Ramírez Matilde
Published: September 2020

Se presenta una breve historia sobre el origen y desarrollo de las pruebas psicológicas proyectivas en el Perú. Se administró una encuesta a profesores universitarios y a miembros de la Sociedad Peruana de Rorschach y Métodos Proyectivos, con el propósito de conocer la situación actual de la enseñanza de pruebas. Los resultados demuestran que existe una corriente de apertura hacia el pensamiento científico, con énfasis en la investigación y en el empleo de pruebas estandarizadas. Asimismo se muestra que el marco conceptual de trabajo está basado en los cambios actuales en psicología.
Estrategias asistenciales e investigación sobre conductas violentas en niños entre 6 y 12 años
Authors: Cerdone Nélida , Cerdone Nélida , Luzzi Ana María , Passalacqua Alicia , Menestrina Norma , Simonotto Teresa , Padawer María , Ramos Laura , Rodríguez Nuñez María Victoria , Nuñez Rodríguez Ana María
Published: September 2020

Se describen las actividades de un Servicio de Psicología Clínica de Niños, las características demográficas y psicopatológicas de la población asistida y se informan resultados del trabajo de investigación realizado en colaboración entre dos cátedras de la Facultad de Psicología de la U. B.A. Se analizaron los protocolos de diagnóstico de 75 niños entre 6 y 12 años de edad que reciben asistencia psicoterapéutica en el Servicio, derivados por escuelas y juzgados en razón de problemas de conducta. Se seleccionaron indicadores que permitan diferenciar las manifestaciones de violencia según respondan a trastornos del carácter, a expresiones de rasgos psicóticos y a síntomas neuróticos como respuestas a situaciones traumáticas del ambiente (situaciones de pérdida). Se buscó, asimismo, detectar indicadores de riesgo suicida en esa población. Los resultados preliminares indican que en la población asistida, proveniente de hogares carenciales de sectores populares del Gran Buenos Aires, predominan conductas violentas como expresión de trastornos del carácter (trastorno disocial de inicio infantil, DSMIV); en menor proporción se registran las manifestaciones de desestructuraciones psicóticas y de síntomas neuróticos. Se observó riesgo potencial de acting out y de conductas autodestructivas inquietantes en los dos primeros casos.
La creación progresiva del vínculo madre-niño
Authors: Traverso Koroleff Pierina
Published: September 2020

Una de las líneas de investigación en salud materno-infantil se ha interesado en investigar cuáles son los indicadores del funcionamiento psicológico de las madres que llevarían a un desarrollo posterior perturbado del infante. La perspectiva del presente trabajo se distancia de esta línea de investigación. La observación natural de un infante durante el primer año de su vida, nos permite sugerir que el vínculo temprano entre una madre y su bebé se va gestando y consolidando progresivamente,más allá que el funcionamiento de la madre no sea del todo adecuado. Se sugiere además que en este vínculo afectivo temprano, la madre y el bebé se retroalimentan mutuamente.
Depresión en personas que viven con VIH
Authors: Fasce Cayo Ninoshka
Published: September 2020

El estudio investiga la depresión en un grupo 55 adultos (14 mujeres y 41 hombres) que viven con VIH, entre 18 y 58 años, de nivel socio económico bajo y medio bajo que acuden a centros de salud estatales, ONG y grupos de ayuda mutua (GAM) de Lima. Se uso el Inventario de Depresión de Beck para estudiar el nivel de depresión. así como los cinco factores encontrados en esta población. Se correlacionaron los resultados descriptivos con las siguientes variables demográficas: edad, sexo, tiempo de diagnóstico, presencia o no de síntomas asociados al VIH, participación o no en un GAM, orientación sexual y sexo. Los resultados indicaron que la depresión varía según la persona pertenezca o no a un GAM, el sexo y la orientación sexual.
Fuentes de felicidad: ¿Qué hace feliz a la gente?
Authors: Alarcón Reynaldo
Published: September 2020

Se comunican los resultados de una investigación que tuvo los siguientes objetivos: (a) identificarlos objetos preferidos para alcanzar la felicidad, y, (b) determinar si los objetos preferidos están asociados con el género, el estado conyugal y la edad. La muestra estuvo integrada por 163 personas: 81 hombres y 82 mujeres, de clase media de la ciudad de Lima. Se solicitó a los sujetos que seleccionaran, de una lista de 15 ítems, tres objetos que consideraban los más importantes para su felicidad. Los resultados señalan que los objetos preferidos fueron: "gozar debuena salud"; "estar bien con Dios" y "tener buena familia". No se encontraron diferencias significativasen la elección de los objetos según el género, aunque sí según la edad y el estado conyugal. El análisis de regresión múltiple indicó que los tres objetos considerados más importantes explican el 66 % de la varianza de la variable felicidad. Se discuten los hallazgos y se hacen comparaciones con trabajos similares.
Mecacci, L. (1999). Psicología moderna e postmoderna. Roma - Bari: Editori Laterza, 192 p.
Authors: León Ramón
Published: September 2020

Libro de denso contenido, pero de estilo accesible al lector medianamente informado; obra de pequeño formato y dedicada a temas de amplio alcance: esas son apreciaciones que surgen tras la lectura de Psicología moderna e postmodema.Su autor, Luciano Mecacci, poco conocido en el mundo de habla hispana, es probablemente el más prolífico autor de la psicología italianade nuestros días. Su último libro - posterior al que comentamos,dedicado a los "desastres del psicoanálisis"- , es una ácida pero muybien fundamentada crítica a las ideas de Freud como práctica psicoterapéutica
Integrasi Pendidikan Karakter dalam Pembelajaran Akidah Akhlak
Authors: Mulia Harpan Reski
Published: September 2020

In recent time, character education is viewed as important thing in education, even it has been applied in all education institutions.  In this writing, the approach of integration theory is used to analyze the integration of character education in learning process of study at school, especially the learning process of Akidah Akhlak. It is because akidah akhlak has a big role in teaching the value of Islam to the students. The objective of this research is to know the process of integration of character education in learning process of Akidah Akhlak. This research used descriptive qualitative method by using phenomenological approach, the phenomenology approach used to  understand the phenomenon by looking directly how is the integration of character education in learning process of Akidah Akhlak which is being taught by teachers in class rooms of MIN 11 Aceh Tenggara, based on observation, interview and documentation.  The result of this research shows that the integration of character education in learning process of Akidah Akhlak is done through the main competence, the objectives of study and the learning method used by akidah akhlak’s teachers.
Analisis Lemak Babi pada Bakso menggunakan Spektrofotometer Fourier Transform Infrared (FTIR)
Authors: Islami Millen Nur , Fatahillah Raden , Suriana Selpi , Wati Ambar , Aini Syafiana Khusna
Published: September 2020

Pemalsuan produk makanan dengan bahan non-halal mulai menjadi masalah baru disekitar masyarakat Indonesia yang mayoritas beragama Islam. Sebagian besar komponen non-halal yang ditemukan di pasar adalah daging babi, lemak babi, gelatin babi dan produk berbasis babi. Pencampuran daging sapi dengan daging babi dalam pembuatan bakso adalah solusi efektif untuk menurunkan harga produksi pembuatan bakso. Proses penelitian ini meliputi proses ekstraksi sokletasi dan kemudian menganalisis kandungan lemak babi menggunakan metode spektroskopi FTIR. Studi penggunaan spektrofotometri Fourier Transform Inframerah (FTIR) dapat digunakan untuk mengidentifikasi adanya daging babi hutan pada bakso sapi secara kualitatif.
Motif Pemilih Muslim dalam Memilih Calon Presiden 2019-2024 (Studi Fenomenologi dalam Kontestasi Pemilihan Presiden di Sumatera Selatan)
Authors: Ginting Eraskaita
Published: September 2020

Penelitian ini berangkat dari keingintahuan peneliti terkait dengan motif pemilih muslim dalam melihat calon presiden. Banyak alasan dan yang melatarbelakangi seorang pemilih untuk memilih presiden yang dianggap layak untuk memimpin Indonesia. Sebelum memilih dan memutuskan pilihannya biasanya pemilih akan mendapatkan informasi baik dari orang lain, media massa maupun media sosial, tetapi masalahnya banyak pemilih yang hanya melihat calon kandidat secara mendasar dan sisi yang terlihat dari luar. Padahal idealnya banyak yang harus diperhatikan dan diketahui sehingga seorang pemilih mendapatkan informasi yang benar. Selanjutnya dengan melihat kandidat yang akan dipilihnya secara detail, pemilih dapat mengenal lebih dalam dan kesalahan memilih calon kandidat dapat diminimalisir. Penelitian ini difokuskan kepada motif pemilih muslim dengan menggunakan teori motif guna mempertajam analisis motif pemilih muslim dalam menentukan calon presiden yang akan dipilih.Selain wawancara dan observasi, angket jugamenjadi alat pengumpulan data. Hasil penelitian didapati motif utama pemilih muslim memilih Jokowi-Ma’aruf adalah karena mereka sangat mencintai rakyat kecil, Selanjutnya, alasan bijaksana, cerdas dan sederhana. Simbol keberhasilan pembangunan infrastruktur pada masa kepemimpinan Jokowi sebelumnya juga mempengaruhi pemilih muslim memilih pasangan ini. Sementara itu, motif pemilih muslim terhadap calon kandidat Prabowo-Sandi yaitu dinilai memiliki karakter tegas, gagah dan berwibawa. Kemudian pemilih tertarik dengan visi misi pasangan ini, selanjutnya karena pasangan ini didukung oleh ulama, merakyat dan dari militer.
Semi Presidensil:Paradoks sistem pemerintahan di Indonesia
Authors: Zalpa Yulion
Published: September 2020

Abstrak

Tulisan ini bertujuan untuk mengurai dan menjelaskan dinamika sistem politik dan pemerintahan di indonesia dari masa orde lama sampai reformasi. Pasca kemerdekaan, indonesia terus mencari format sistem pemerintahan dalam rangka mewujudkan tata kelola pemerintahan yang demokratis.  Indonesia sebagai negara telah melakukan ‘bongkar-pasang” sistem pemerintahan, seperti presidensil, parlementer bahkan menerapkan sistem ”semi presidensil”.

Penelitian ini merupakan penelitian kepustakaan dengan metode analisis deskriptif. Sistem presidensil yang diterapkan saat ini yang diikuti  penerapan sistem multipartai terlihat paradoks, sehingga menyebabkan banyak kekacauan dan menimbulkan masalah masalah baru dalam tata kelola kebijakan di indonesia.

Sistem semi presidensil yang berafiliasi dengan sistem multipartai melemahkan kelembagaan dan kewenangan presiden sebagai pemimpin kekuasaan eksekutif. Sistem multipartai membuat presiden tidak mandiri dalam menegaskan keputusan-keputusan politik. Lebih jauh lagi, sistem multipartai di parlemen sarat dengan pelbagai kepentingan politis yang membuka ruang luas untuk menginterupsi keputusan dan kebijakan presiden. Kehadiran multipartai ini juga semakin memperpanjang mekanisme pengambilan keputusan

Key words : semi presidensil, multipartai, sistem politik dan pemerintahan.
Epidemiology of Intra-Cerebral Hemorrhage in Young Adult Patients
Authors: Melisa Melisa , Fauzi Asra Al , Sensusiati Anggraini Dwi
Published: September 2020

Introduction: This study aimed to define the CT scan imaging of young adult intracerebral hemorrhage (ICH) patients in Dr. Soetomo General Hospital, Surabaya.Methods: This was an observational descriptive study. The data were collected retrospectively with medical records of 18 to 45 years old ICH patients who were treated in Dr. Soetomo General Hospital, Surabaya between 2014 and 2017. The collected data were then presented into tables.Results: 207 patients were identified in this study. The locations of the ICH were basal ganglia (45.89%), lobar (41.55%), thalamus (10.63%), brainstem (8.7%), cerebellum (4.83%), and others (3.86%). The volume of ICH varied from less than 30 cc (66.67%), 30 to 59 cc (27.54%), and more than 60 cc (5.8%).  Conclusion: The CT scan imaging of young adults ICH mainly had hematoma volume less than 30 cc and was mostly located in basal ganglia area then followed by lobar area.
The discourse of NKRI (The Unitary State Republic of Indonesia) and caliphate in the Indonesian context
Authors: Kholifah Siti
Published: September 2020

This study’s primary focus is to examine the discourse of the NKRI (Unitary State of the Republic of Indonesia) and that of the caliphate that has been developing on social media. It involves essential issues because Indonesia’s state and religion have had a dynamic relationship since the New Order era. The debatable issue related to the state and religion shows that religion is a crucial subject used to maintain the state. As a state, Indonesia emphasizes multicultural values; however, some people or organizations have an intolerance of Indonesia’s plurality promoted on social media. Using Foucault’s theory on discourse, power, and knowledge, this study was conducted by applying big data to Social Network Analysis (SNA) through the netlytic program. Big data is a new method developed to analyze the social phenomena that happen in the digital era. This study examines the assumption that the discourse of the NKRI is not a single discourse in the Indonesian context. It is in addition to the caliphate’s discourse, although the NKRI is still the dominant discourse. The debatable issue within the discourse of the NKRI and the caliphate is related to dynamic religious organizations that are not based on cultural values. They tend to be either puritan (seeking to purify the doctrine) or radical. This situation is also related to the political context where the caliphate’s discourse is developing related to Jakarta’s local election. There is also the issue of the religious defamation conducted by Basuki Tjahaja Purnama (Ahok). This situation explains the increase in Islamic political roles that are not affected by the sociological context. The roles are more impacted by political elites who are using religion as a political vehicle.
Loss of Dugong Grass [Halophila Ovalis (R. Brown)] Population Structure Due to Habitat Disturbance in an Island Ecosystem
Authors: Mishra Amrit Kumar , Narayana Sumantha , Apte Deepak
Published: September 2020

Seagrass ecosystems are lost due to habitat disturbance, coastal development and human pressure. We assessed the impact of boat anchors from traditional fishing and recreational activities on the seagrass Halophila ovalis from the Andaman and Nicobar Isalnds of India. The plant density, biomass, morphometrics, canopy height and percentage cover were estimated from two sites of Govind Nagar beach of Andaman and Nicobar Islands. The shoot density of H. ovalis was reduced by physical damage caused by boat anchors. The morphometrics of H. ovalis, such as number of leaves per ramet, leaf length, width and horizontal rhizome length were significantly reduced when impacted by boat anchors. Seagrass canopy height and percentage cover were reduced by 41% and 47% respectively. Though the impact of boat anchors reported here is on small-scale, it may impact feeding grounds of locally endangered dugongs. Therefore, proper management and preventive measures should be implemented to prevent the loss of dugong grass habitats from tourism, recreational and fishing activities.
Self-Attention and Adversary Guided Hashing Network for Cross-Modal Retrieval
Authors: Chen Shubai , Wang Li , Wu Song
Published: September 2020

Recently deep cross-modal hashing networks have received increasing interests due to its superior query efficiency and low storage cost. However, most of existing methods concentrate less on hash representations learning part, which means the semantic information of data cannot be fully used. Furthermore, they may neglect the high-ranking relevance and consistency of hash codes. To solve these problems, we propose a Self-Attention and Adversary Guided Hashing Network (SAAGHN). Specifically, it employs self-attention mechanism in hash representations learning part to extract rich semantic relevance information. Meanwhile, in order to keep invariability of hash codes, adversarial learning is adopted in the hash codes learning part. In addition, to generate higher-ranking hash codes and avoid local minima early, a new batch semi-hard cosine triplet loss and a cosine quantization loss are proposed. Extensive experiments on two benchmark datasets have shown that SAAGHN outperforms other baselines and achieves the state-of-the-art performance.
Interpolasi Konsentrasi Polutan Timbal di DKI Jakarta Menggunakan Kriging Bayesian
Authors: Adina Astasia  , Sihombing Pardomuan
Published: September 2020

Jakarta merupakan salah satu kota paling tercemar di Asia Tenggara. Pertumbuhan polusi di Jakarta pun cukup tinggi seiring dengan pertumbuhan volume kendaraan bermotor. Salah satu zat pencemar yang berbahaya sebagai hasil pembakaran tidak sempurna mesin kendaraan adalah Timbal (Pb). Timbal berbahaya bagi kesehatan terutama pada anak-anak dan ibu hamil. Mengingat pentingnya pengukuran kualitas udara, termasuk Timbal (Pb) maka BPLHD (Badan Pengelola Lingkungan Hidup Daerah) Provinsi DKI Jakarta melakukan pemeriksaan kualitas udara secara berkala agar dapat menjamin kualitas udara di Jakarta. Namun, mahalnya biaya pemantauan kualitas udara ini menyebabkan kualitas udara hanya diukur pada beberapa titik lokasi pengamatan. Oleh karena itu, makalah ini bertujuan untuk melakukan interpolasi kualitas udara pada titik-titik yang tidak tersampel menggunakan teknik interpolasi spasial atau kriging. Kriging dilakukan dengan metode Bayesian untuk mempertimbangkan ketidakpastian parameter dalam variogram. Hasil penelitian menunjukkan Jakarta bagian barat berpotensi memiliki polutan timbal yang tinggi dibandingkan wilayah pusat dan timur. Selain itu, dilakukan perbandingan antara metode kriging konvensional dan bayesian, dengan hasil kriging bayesian memiliki varians yang lebih kecil dibandingkan kriging konvensional.
Analisis Komparasi dan Determinan Sosial Demografi Terhadap Penggunaan Kontrasepsi Wanita Usia Subur (WUS) di Provinsi Nusa Tenggara Timur dan Jawa Timur
Authors: Ni Luh Putu Yayang Septia Ningsih  , Dwi Cahyo Firmansyah  , Fathin Nadillah  , Firza Refo Adi Pratama
Published: September 2020

Total Fertility Rate (TFR) merupakan salah satu indikator untuk melihat pertumbuhan penduduk di suatu daerah. Sedangkan tinggi rendahnya TFR disuatu daerah selalu berhubungan dengan Contraceptive Prevalence Rate (CPR), yaitu ukuran untuk melihat persentase pengguna alat kontrasepsi Pasangan Usia Subur (PUS). Di Indonesia, provinsi dengan TFR tertinggi yaitu Provinsi Nusa Tenggara Timur dan provinsi dengan TFR terendah yaitu Provinsi Jawa Timur. Oleh sebab itu, peneliti tertarik untuk meneliti mengenai faktor-faktor sosial demografi yang memengaruhi penggunaan alat kontrasepsi di kedua provinsi yang memiliki TFR tertinggi dan terendah tersebut lalu membandingkan hasilnya. Analisis yang digunakan yaitu analisis inferensia dengan regresi logistik biner dan analisis deskriptif. Hasil penelitian menunjukkan bahwa faktor-faktor sosial demografi yang berpengaruh signifikan terhadap penggunaan kontrasepsi pada wanita usia subur (WUS) di Provinsi Nusa Tenggara Timur adalah usia, status perkawinan, pendidikan terakhir dan jumlah anak yang pernah dilahirkan. Sedangkan faktor-faktor sosial demografi yang berpengaruh signifikan terhadap penggunaan kontrasepsi pada wanita usia subur (WUS) di Provinsi Jawa Timur adalah usia, status perkawinan, pendidikan terakhir, status pekerjaan dan jumlah anak yang pernah dilahirkan. Secara umum, sebagian besar wanita usia subur (WUS) yang menggunakan alat kontrasepsi di kedua provinsi tersebut adalah wanita usia subur (WUS) yang berumur 35-39 tahun, berstatus kawin, bekerja disektor pertanian, memiliki anak lebih dari dua, serta pendidikan tertinggi yang ditamatkan adalah SD/sederajat. Dengan kata lain, tidak terdapat perbedaan karakteristik diantara kedua provinsi dengan TFR tertinggi dan terendah tersebut.
“It Is This Very Knowledge That Makes Us Doctors”: An Applied Thematic Analysis of How Medical Students Perceive the Relevance of Biomedical Science Knowledge to Clinical Medicine
Authors: Dickinson Bonny Lynn , Gibson Kristine , VanDerKolk Kristi , Greene Jeffrey , Rosu Claudia A , Navedo Deborah D , Porter-Stransky Kirsten A , Graves Lisa E
Published: September 2020

Background
Intensive study of the biomedical sciences remains a core component of undergraduate medical education with medical students often completing up to two years of biomedical science training prior to entering clerkships. While it is generally accepted that biomedical science knowledge is essential for clinical practice because it forms the basis of clinical reasoning and decision-making, whether medical students perceive an expanded role for their biomedical science knowledge remains to be examined.

Methods
We conducted a qualitative research study to explore how medical students in the first clerkship year perceived the relevance of biomedical science knowledge to clinical medicine during this pivotal time as they begin their transition from students to physicians. To identify previously unidentified perspectives and insights, we asked students to write brief essays in response to the prompt: How is biomedical science knowledge relevant to clinical medicine? Ten codes and four themes were interpreted through an applied thematic analysis of students’ essays.

Results
Analysis of students’ essays revealed novel perspectives previously unidentified by survey studies and focus groups. Specifically, students perceived their biomedical science knowledge as contributory to the development of adaptive expertise and professional identity formation, both viewed as essential developmental milestones for medical students.

Conclusions
The results of this study have important implications for ongoing curricular reform efforts to improve the structure, content, delivery, and assessment of the undergraduate medical curriculum. Identifying the explicit and tacit elements of the formal, informal, and hidden curriculum that enable biomedical science knowledge to contribute to the development of adaptive expertise and professional identity formation will enable the purposeful design of innovations to support the acquisition of these critical educational outcomes.
Professional oral care in end-of-life patients with advanced cancers in a hospice ward: Improvement of oral conditions
Authors: Wu Ting-Ying , Liu Hsiu-Yueh , Wu Chien-Yi , Chen Hung-Cheng , Huang Shun-Te , Chen Ping-Ho
Published: September 2020

Background: In end-of-life patients with advanced cancers, oral examination, oral care, and oral re-examination are crucial. Although oral symptoms are among the major complaints of end-of-life patients, few studies have focused on oral care in these patients. In this study, the association between oral symptoms and oral dryness among end-of-life patients was examined, and improvement of oral conditions after oral care interventions by a professional dentist was quantified.Methods: This prospective intervention study included 27 terminally ill patients with advanced cancers in a hospice ward. Professional oral care was administered every morning, and the improvement of oral conditions was assessed by comparing oral conditions before and after the intervention. Oral assessment was performed using the Oral Health Assessment Tool (OHAT) and Oral Assessment Guide. Oral dryness was evaluated through Clinical Diagnosis Classification of oral dryness and an oral moisture device. Oral cleanliness was evaluated using a bacterial counter, and tongue smears were collected for Candida examination; furthermore, oral function was recorded.Results: The presence of oral mucositis was closely associated with severe oral dryness (odds ratio [OR] = 14.93; 95% confidence interval [CI]: 1.95–114.38). The level of oral debris retention was significantly related to the degree of oral dryness (OR = 15.97; 95% CI: 2.06–123.72). The group with higher scores (OHAT > 8), which represent poor oral conditions, showed severe oral dryness (OR = 17.97; 95% CI: 1.45–223.46). Total OHAT scores (median: 7 vs 2) and those of other subgroups (lip, tongue, gums and tissues, saliva, and oral cleanliness showed a significant decrease after the intervention. Furthermore, the occurrence of mucositis (47.1% vs 0%), candidiasis rate (68.8% vs 43.8%), oral dryness self-sensation (63.6% vs 9.1%), and severe oral debris (52.9% vs 11.8%) decreased significantly.Conclusions: Proper oral care can improve oral health and hygiene, reduce the rate of mucositis, reduce the sensation of oral dryness, increase oral moisture, and reduce the chances of oral infections among end-of-life patients. Daily oral care is necessary and can alleviate oral discomfort, increase food intake, and increase the chances of communication between end-of-life patients and their families.
Contraceptive Use among sexually active reproductive age HIV Positive Women Attending ART Clinic at Felege Hiwot Referral Hospital, Northwest Ethiopia: A cross-sectional study 
Authors: ayalew tilksew , Tewabe Tilahun , Abdanur Abdulhakim , Jenbere Demoze , Ayehu Mastewal , Talema Girma
Published: September 2020

Background: Contraception helps prevent unintended pregnancies and mother to child Human Immune Virus (HIV) transmission among human immune virus positive women. Ethiopia has made remarkable progress in increasing contraceptive use rate but there is still a disparity of contraceptive use in the country. Understanding the extent of and barriers of contraceptive use among HIV positive women in Ethiopia is important for learning how to best improve level of contraceptive use among this group of population. Therefore, this study aimed to determine contraceptives use and associated factors among HIV positive sexually active women at anti-retroviral therapy clinic at Felege Hiwot Referral Hospital ART clinic in Bahir Dar, Ethiopia.Method: A facility-based cross-sectional study was conducted from June 01-30, 2018 among (n=308) randomly selected HIV positive women at Felege Hiwot Referral Hospital. Data were collected using a pretested interviewer-administered questionnaire and analyzed using SPSS version20. Logistic regression analysis was employed to identify determinants of contraceptive use. Statistical significance was declared at p-value <0.05.Results: Out of three hundred eight participants, 118(38.3%) reported contraceptive use at the time of the study. Injectable is the most preferred (43.5%) contraceptive method. Participants with age 15-34 years (AOR =3.09, 95%CI: 1.59-5.99), disclosed their status to sex partner, (AOR=2.7, 95%CI: 1.14-6.66), had history of contraception use; (AOR=3.36, 95%CI: 1.68-6.74), were sexually active in the last six months (AOR=5.45, 95%CI: 2.72-10.91) had higher odds of contraceptive use. However, participants who had drinking habit (AOR=4.35, 95%CI: 1.82-10.38) had lower odds of contraceptive use.Conclusion: A significant proportion of HIV positive women had low level of contraceptive use that was lower than the national recommended level. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase contraceptive use in the HIV positive women. Emphasis should be given for HIV positive women who have drinking habit and older age women.
Support Vector Machine Based Feature Extraction for Gender Recognition From Objects Using LASSO Classifier
Authors: Galla Damodara Krishna Kishore , Mukamalla BabuReddy , Chegireddy Rama Prakasha Reddy
Published: September 2020

Object detection and gender recognition are the two different categories to be classified in a single section is a complicated task and needs to support the blind people. In this paper, our method to the better sensation of blind persons by conversion of visualized data to audio data. Therefore the artificial intelligence model requires to detect the objects as well as human face recognition with gender classification algorithms. This model processed with feature extraction and classification models. The feature extraction was comprised with multi scale-invariant feature transform ( MSIFT), with feature optimization with support vector machine algorithm then classified using LASSO classifier. For better performance identification, three different classification models were implemented and tested too. Feature selection helps in making tests early to detect the objects and recognizing human actions using image processing approach. This approach can be applied for both offline and online modes. But in this scenario, an offline mode was implemented and was tested with a combination of different databases. For this process of classification ridge regression (RR), elastic net (EN), lasso regression(LR) and LASSO regression were implemented. The final classification results with accuracy are as follows for RR- 89.6%, EN- 93.5%, LR-93.2% and proposed approach(LRGS) with 98.4% accurate detection rate with prediction name of classes.
Masculinity and Mental Health Treatment Initiation for Former Political Prisoners in Yangon, Myanmar – A Qualitative Investigation
Authors: Lakin Daniel Paul , Win Kyaw Soe , Aung Htin , Soe Khin Nyein Chan , Kyi Bo , Marcell Arik V. , Tol Wietse A , Bass Judith K
Published: September 2020

Background Men living in low- and middle-income countries are unlikely to seek mental health care, where poor healthcare infrastructure, differences in illness conceptualization, and stigma can impact treatment seeking. Vulnerable groups, such as former political prisoners, are more likely than others to experience potentially traumatic events that may lead to negative mental health outcomes. To improve the likelihood of successful engagement of vulnerable men in psychotherapy, it is necessary to identify factors that influence treatment adherence, and to better understand men’s attitudes surrounding decisions to seek and initiate care. The purpose of this investigation was to explore themes of masculinity, treatment seeking, and differences between male former political prisoners who accepted and declined therapy in an urban low-income context. Methods We conducted a qualitative, interview-based investigation with 30 former political prisoners in Yangon, Myanmar who were eligible to receive mental health counseling provided by the non-governmental organization (NGO), Assistance Association for Political Prisoners. Men were initially screened using a composite questionnaire with items related to depression, anxiety, and posttraumatic stress symptom severity. After screening, if potential clients were identified as having probable mental health problems, they were asked if they would like to participate in a multi-session cognitive behavioral therapy program. Semi-structured, open-ended interviews were conducted with 15 participants who accepted and 15 participants who declined therapy. Interviews were transcribed and translated by local partners and thematically coded by the authors. We used thematic analysis to identify and explore differences in treatment-seeking attitudes between men who accepted and men who declined the intervention.Results Men described that being a community leader, self-reliance, morality, and honesty were defining characteristics of masculinity. A focus on self-correction often led to declining psychotherapy. A general lack of familiarity with psychological therapy and how it differed from locally available treatments (e.g. astrologists) was connected to stigma regarding mental health treatment.Conclusions Masculinity was described in similar terms by both groups of participants. The interpretation of masculine qualities within the context of help-seeking (e.g. self-reliance as refusing help from others versus listening to others and applying that guidance) was a driving factor behind men’s decision to enter psychotherapy.
Short-Term Changes in the Anterior Segment and Retina after Small Incision Lenticule Extraction
Authors: Chen Yanwei , Liao Huaping , Sun Yue , Shen Xi
Published: September 2020

Background: To analyse short-term changes in the anterior segment and retina after small incision lenticule extraction (SMILE). Methods: Patients with myopia scheduled for SMILE were recruited from Ruijin Hospital, Shanghai, China. Basic patient information such as age, sex, and refractive errors was recorded. Ocular measurements were taken before surgery, and 1 day and 1 week after surgery; they included axial length (AL), central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT), white to white (WTW), pupil diameter (PD), macular thickness (MT), ganglion cell layer thickness (GCL), retinal nerve fiber layer thickness (RNFL), choroidal thickness (CT), macular vessel density, and optic disc vessel density. Results: Sixty-one eyes of 31 patients were selected for this study. AL, CCT, ACD, and postoperative PD were significantly reduced (p<0.05), while LT was thickened after surgery (p<0.05). MT at the fovea decreased 1 day and 1 week after surgery (p<0.05). GCL showed no significant changes after surgery. RNFL was unchanged 1 day after surgery, but the inferior sector was thickened 1 week after surgery. CT was thicker at the fovea 1 day after surgery and 1.0 mm from the fovea in the nasal sector 1 week after surgery. Macular vessel density was significantly decreased 1 day after surgery and most recovered in 1 week. Optic disc vessel density decreased at the peripapillary part 1 day after surgery and recovered after 1 week. 𝜟ACD and 𝜟LT showed no significant correlation 1 day after surgery. 𝜟ACD was negatively correlated with 𝜟LT and sphere 1 week after surgery (r=-0.847, p<0.000; r=-0.398, p=0.002). 𝜟LT was positively correlated with the sphere 1 week after surgery (r=0.256, p=0.048). Conclusion: The anterior segment was the most affected, while the retina also underwent changes with regard to MT, RNFL, CT, macular vessel density, and peripapillary vessel density.
The awareness, visibility and support for young carers across Europe: a Delphi study
Authors: Nap Henk Herman , Hoefman Renske , de Jong Nynke , Lovink Lieke , Glimmerveen Ludo , Lewis Feylyn , Santini Sara , D’Amen Barbara , Socci Marco , Boccaletti Licia , Casu Giulia , Manattini Alessandra , Brolin Rosita , Sirk Karina , Hlebec Valentina , Rakar Tatjana , Hudobivnik Tjasa , Leu Agnes , Berger Fabian , Magnusson Lennart , Hanson Elizabeth
Published: September 2020

Background Across Europe, young carers (YCs) and their need for support receive limited attention in the media, policy and empirical research, even though, similar to adult carers, they also provide care to ill family members. The Delphi study, a qualitative research methodology, which provides the focus for this article, had the overall aim of exploring existing successful strategies to support YCs. Compared to YCs, even less is known about adolescent young carers (AYCs), a group that is in a critical life transition phase. The study forms part of an EU Horizon 2020 funded research project on AYCs aged 15-17 years old. Methods A two-round Delphi study was conducted with 66 experts on YCs from 10 European countries. Topics included: (i) visibility and awareness-raising of YCs at local, regional, and national levels, (ii) current interventions to support YCs, and (iii) future strategies to support YCs. Results Experts reported a lack of visibility and awareness about YCs in general, and AYCs in particular. Although awareness is slowly increasing in most countries, with the UK ranked highest, experts acknowledged that it remains challenging to identify YCs in many countries. Furthermore, the level and type of support available for YCs differs, with most countries mainly offering support on a local level. Diverse views were expressed regarding future strategies to support YCs. Experts highlighted the importance of specific legislation to formalise the rights of YCs, and the issue of whether young people should be safeguarded from caregiving or if this should be considered part of regular family life. They also emphasised the relevance of available integrated support services for YCs, including schools, family, health and social care.Conclusion(s) with key message In most European countries, there is a lack of awareness and visibility on YCs. Identification of YCs is a crucial first step and there is need for a common definition of YCs, together with greater opportunities for young adults to identify themselves as YCs.Statement Identification alone is not sufficient, rather recognition of YCs by society is needed, combined with the necessary resources to ensure integrated YC-friendly support services.