bluuebunny/crossref_metadata_2025 huggingface dataset:
From non-symbolic to symbolic proportions and back: a Cuisenaire rod proportional reasoning intervention enhances continuous proportional reasoning skills
Authors: Abreu-Mendoza Roberto A. , Coulanges Linsah , Ali Kendell , Powell Arthur B. , Rosenberg-Lee Miriam
Published: January 2021

The persistent educational challenges that fractions pose call for developing novel instructional methods to better prepare students for fraction learning. Here, we examined the effects of a 24-session, Cuisenaire rod intervention on a building block for symbolic fraction knowledge, continuous and discrete non-symbolic proportional reasoning, in children who have yet to receive fraction instruction. Participants were 34 second-graders who attended the intervention (intervention group) and 15 children who did not participate in any sessions (control group). As attendance at the intervention sessions was irregular (median = 15.6 sessions, range = 1-24), we specifically examined the effect of the number of sessions completed on their non-symbolic proportional reasoning. Our results showed that children who attended a larger number of sessions increased their ability to compare non-symbolic continuous proportions. However, contrary to our expectations, they also decreased their ability to compare misleading discretized proportions. In contrast, children in the Control group did not show any change in their performance. These results provide further evidence on the malleability of non-symbolic continuous proportional reasoning and highlight the rigidity of counting knowledge interference on discrete proportional reasoning.
La collection des sources du droit suisse à l’ère numérique, un outil formidable
Authors: Wyssbrod Adrien
Published: January 2021

Présentation des différents projets de la collection des sources du droit suisse et explication du fonctionnement de ces éditions numériques TEI/XML et de bases de données qui y sont liées.
Jacques-François Boyve et son examen d’un candidat : L’oeuvre officieuse d’un législateur
Authors: Wyssbrod Adrien
Published: January 2021

Au XVIIIe siècle, le juriste Jacques-François Boyve rédige un coutumier pour la principauté de Neuchâtel. Il ne parvient pas à le faire officialiser et en publie une adaptation sous forme de questions et réponses, tel un catéchisme. L’ouvrage donnant un accès facile au droit neuchâtelois connait un important succès.
Rewriting of the Past: Postmodern Intertextuality in The Peak by Sarubhakta
Authors: Pun Min
Published: January 2021

According to Linda Hutcheon, postmodern intertextuality desires to close the gap between past and present of the reader and desires to rewrite the past in a new context. The use of postmodern intertextuality in Sarubhakta’s The Peak [an English translation from his original Nepali version short novel Chulee] has some relation with a fictional work from the past. There are some visible links between Sarubhakta’s novel and Hemingway’s short novel The Old Man and the Sea as both novels revolve around the theme of adventure. The major objective of this paper, therefore, is to indentify Sarubhakta’s book as an adventure novel, having some intertextual connections with Hemingway’s book. As a number of books in this category are surprisingly large, in this paper, only Sarubhakta’s book has been studied making comparisons to Hemingway’s book. Sarubhakta’s novel is the text that adheres to postmodern intertextuality as it challenges the concept of originality and the question of whether rewriting another author’s text is not a good piece of writing.
Orientalist Representation of Nepali People, Culture and Landscape: A Critical Discourse Analysis of Kincaid’s Among Flowers: A Walk in the Himalaya
Authors: Bhat Shuv Raj Rana
Published: January 2021

Partly drawing on postcolonial rhetorics and partly drawing insights from critical stylistics and critical discourse analysis, this paper basically explores how Antigua-born-American writer Jamaica Kincaid rhetorically constructs Nepal in a disguised form of a travel writer through her travel narrative Among Flowers: A Walk in the Himalaya. Even though Kincaid is best known as an anti-imperialist, the way she longs for the Garden of Eden and represents Nepali landscape, people, and culture posits that her travel to Nepal is threaded with the rhetoric of Othering, metropolitan culture, and imperial politics. In particular, she looks at the travelled places and people with an imperial eye: nomination, surveillance, negation, debasement, and binary rhetoric.
A Case of Pericardial Tamponade Caused by Abdominal Knife Stab Injury
Authors: Cao Zhongping , Cao Zhongping
Published: January 2021

This paper reported a case of pericardial tamponade, caused by the blood from abdominal organ injury,
which flowed through the diaphragm and pericardial holes into the pericardium. Liver injury, gastric injury,
pancreatic injury, diaphragmatic break were found by the following laparotomy exploration.
Capacity Building for the Diagnosis and Management of Cardiac Arrhythmias in Africa
Authors: N Temgoua Mazou , N Temgoua Mazou , Boombhi Jérôme , Tochie Joel Noutakdie , Owona Amalia , Kingue Samuel
Published: January 2021

Cardiac Arrhythmias (CA) are major cause of death and disability worldwide. In Africa, a continent of poor
resources, there is lack of trained specialists for adequate management of these patients. In this article, we
propose a practical approach for capacity building of general practitioners to improve easy and timely
recognition and better management of CA in Africa.
Microstructural characteristics of ultra-high performance concrete by grid nanoindentation and statistical analysis
Authors: Hoan Pham Thai , Thuong Ngo Tri
Published: January 2021

In this study, grid nanoindentation and statistical deconvolution analysis were applied into a developed Ultra-high performance concrete (UHPC) to broaden the understanding of the microstructure phases and their mechanical properties. A total of 550 nanoindentation tests was carried out on UHPC and the mechanical properties, including indentation modulus and hardness of the indented material were extracted from nanoindentation load-depth curves. The statistical deconvolution analysis was then utilized to analyze the modulus and hardness spectra. The experimental and analysis results revealed that the modulus and hardness data obtained from nanoindentation tests can be used in the accurate and reliable identification of the microstructure phases and their properties in UHPC. For the present UHPC, the microstructure can be characterized into 6 phases with distinguishable mechanical properties, including micro porosity, Low Density Calcium Silicate Hydrates (LD CSH), High Density Calcium Silicate Hydrates (HD CSH), silica powder and sand, and residual cement clinker. The obtained modulus and hardness values of these phases were in the range of various reported ones for cement-based materials and UHPC.

Keywords:

ultra-high performance concrete; microstructures; micromechanical properties; nanoindentation; statistical analysis.
Environmentally friendly unburnt bricks using raw rice husk and bottom ash as fine aggregates: Physical and mechanical properties
Authors: Huy Ngo Si , Tan Nguyen Ngoc , Hang Mai Thi Ngoc , Quang Le Ngoc
Published: January 2021

In order to reduce the serious impacts of industrial and agricultural wastes on the environment, raw rice husk and bottom ash were used as fine aggregates, while fly ash was utilized as a binder material in the production of unburnt building bricks. Two group mixtures were designed with water-to-binder (W/B) ratios of 0.30 and 0.35. The rice husk was used to replace 0%, 3%, 6%, and 9% of bottom ash content by mass. An experimental program was carried out on the brick samples at different ages from 3-day to 28-day to determine the main physical and mechanical properties of brick, such as unit weight, compressive strength, water absorption, ultrasonic pulse velocity and thermal conductivity. The microstructure of brick material was captured using scanning electron microscope technique. The experimental results allow to identify the effects of rice husk, bottom ash content as well as W/B ratio on the properties of bricks. Brick samples produced in this study had a proper compressive strength meeting the practice requirement and were classified as Grade M3.5 and 5.0 based on TCVN 6477:2016. At the use of 9% rice husk, the unit weight and thermal conductivity of bricks were really low (1.06÷1.08 T/m3 and 0.201÷0.216 W/m.K), they are conformed to be used in temporary construction and insulation structures.

Keywords:

rice husk; bottom ash; fly ash; unburnt brick; ultrasonic pulse velocity; thermal conductivity.
Understanding the concept of urban village in Hanoi city, Vietnam: Social - Spatial - Economic interactions with surrounding urban areas
Authors: Hoa Ta Quynh , Hau Phan Tien
Published: January 2021

In cities throughout Asian countries, there is an increasingly ubiquitous presence of “urban villages” that reflects the transformation of traditional farming villages into urban places under the impact of rapid urbanization. Hanoi - one of the two biggest cities in Vietnam - has been witnessing the fast changes of rural settlements into urban built environments during the in-situ urbanization process since the 1990s. It is very important to have a comprehensive understanding of the urban village model in the urban development context of Hanoi city. Therefore, the major aims of this research are to examine the characters of the urban villages formed by the urban sprawl in peri-urban areas, to explore the interactions among urban villages and surrounding new urban areas in terms of socio-economic and spatial aspects, and to detect the gaps, if any, between the two models of development. Yen Xa urban village in Tan Trieu commune was chosen as a case study. Structured and semi-structured interviews with villagers and local authority’s representatives were conducted in the research. The first findings from research are expected to propose recommendations that will help bridge the gaps between the two urban settlement models in terms of legal, physical and psychological aspects towards sustainable development.

Keywords:

urban village; urbanization; socio-economic transformation; peri-urban; Hanoi city.
PEMBANGUNAN DASHBOARD BEASISWA DAN PINJAMAN PROGRAM STUDI INFORMATIKA UKDW
Authors: Walewowan Agustinus Rendi , Raharjo Willy Sudiarto , Virginia Gloria
Published: January 2021

Ketua program studi (kaprodi) memiliki banyak tugas dan tanggung jawab yang harus dilaksanakan dalam kegiatan akademik. Salah satu tugas dari seorang kaprodi adalah melaporkan seluruh pelaksanaan kegiatan di suatu prodi. Untuk itu, diperlukan suatu sistem yang dapatdigunakan untuk memantau kegiatan operasional sehari-hari dan memberikan laporan. Dashboard adalah sebuah tampilan panel informasi yang digunakan dalam suatu organisasi untuk mengevaluasi suatu masalah sehingga memudahkan seseorang untuk mengambil keputusan. Penelitian ini bertujuan melakukan perancangan sebuah dashboard beasiswa dan pinjaman dengan menggunakan metode prototyping. Prototyping adalah metode pengembangan perangkat lunak, yang berupa model fisik kerja sistem dan berfungsi sebagai versi awal dari sistem. [1]. Hasil rata-rata pengujian task success pada kedua iterasi, yaitu 96,66 sehingga sistem yang dibangun dapat dikatakan cukup efektif dalam menampilkan informasi beasiswa dan pinjaman serta mudah untuk dipelajari. Evaluasi desain antarmuka yang dilakukan menggunakan System Usability Scale (SUS) kepada 5 orang responden pada masing-masing iterasi dan menghasilkan skor SUS 75,2 pada iterasi I dan 76,6 pada iterasi II. Berdasarkan hasil tersebut diperoleh rata-rata skor SUS untuk kedua iterasi, yaitu 75,9. Dengan demikian, antarmuka sistem dinyatakan baik dengan grade scale bernilai C, adjective rating bernilai Good, dan acceptability ranges dapat diterima (acceptable).
Visualisasi Algoritma sebagai Sarana Pembelajaran K-Means Clustering
Authors: Suryadibrata Alethea , Young Julio Christian
Published: January 2021

Algorithm Visualization (AV) is often used in computer science to represents how an algorithm works. Educators believe that visualization can help students to learn difficult algorithms. In this paper, we put our interest in visualizing one of Machine Learning (ML) algorithms. ML algorithms are used in various fields. Some of the algorithms are used to classify, predict, or cluster data. Unfortunately, many students find that ML algorithms are hard to learn since some of these algorithms include complicated mathematical equations. We hope this research can help computer science students to understand K-Means Clustering in an easier way.
Ulasan Literatur: Faktor-Faktor yang Mempengaruhi Adopsi Mobile Cloud Computing pada Mahasiswa
Authors: Najwa Nina Fadilah , Furqon Muhammad Ariful , Saputra Eki
Published: January 2021

Mobile Cloud Computing provides cloud storage services to users inside a cloud. This study focuses on the factors that influence the adoption of mobile cloud storage usage in the higher education. The research methods used in this study include: (1) problem formulation; (2) literature search; and (3) formulation of factors for adopting mobile cloud computing (4) validation and reliability test. The results obtained is a conceptual model that can be tested empirically. The main five factors are: (1) knowledge sharing variables; (2) Perceived usefulness variable (3) trust variable; (4) the attitude towards variable; and (5) the variable of behavioral intention of use. Each variable formulated in the conceptual model will be developed into items that are measurement indicators. The research contribution is in the form of a research model that is useful for empirical research on the factors of adoption of the use of Mobile Cloud Computing in the education sector.
Eine Frage der praxeologischen Balance: Fallinterpretationen zwischen qualitativer Forschung und professionsbildender Anwendung
Authors: Otten Matthias
Published: January 2021

Die von Frank Beier, Franziska Wyßuwa und Elisa Wagner zur Diskussion gestellte Relation der wissenschaftlichen und pädagogischen Funktion von Fallinterpretationen wird in diesem Beitrag aus praxeologischer Perspektive vertieft. Der Sorge vor überbordenden Normativitäts- und Nutzenerwägungen in Bezug auf die Fallmethode wird mit einem Plädoyer für eine gelassenere Balance zwischen qualitativer Forschung und Professionsbildung begegnet. Ein möglicher Nutzen von Fallinterpretationen in derErwachsenenbildung erklärt sich dann aus der systematischen Kopplung empirischer und lerntheoretischer Funktionen.
Pola-Pola Sosialisasi Perbankan Syariah Melalui Masjid
Authors: Harahap Soritua Ahmad Ramdani , Irsyamuddin Dadang , Azmi Muhammad Ulul
Published: January 2021

Islamic banking is a banking that holds firm commitments to the principles of sharia in all its activities. However, there are still many people who think that there is no difference between the Islamic banking and conventional banking. This study aims to determine the pattern of sharia banking socialization through mosques in Jogyakarta. This study used qualitative research methods. The results of this study indicate that the mosque is a good place to explain the understanding of Islamic economics, especially the use of Islamic banking to the public. This is because the mosque is the main center of worship for all Muslims. In addition, it is necessary to have innovations and creations from academics and practitioners to jointly introduce Islamic banking to the public through ways that are easily accepted by the public so that the public has a good understanding and understanding of the nature of Islamic economics and the use of Islamic banking.
Penentu Struktur Modal: Bukti dari Perusahaan Syariah di Indonesia
Authors: Nur Habibur Rachman
Published: January 2021

Abstract: Capital structure decisions are one of the most important issues in financial management that can contribute to maximizing corporate value. Likewise, capital structure decisions affect capital costs and capital budgeting decisions. The purpose of this study is to examine the effect of selected variables on leverage in accordance with the empirical investigation of Özde Öztekin, most determinants of companies, industries, and macroeconomics are company size, tangibility, industrial leverage, profit, and inflation that connect structure theory capital based on corporate financing in sharia companies in Indonesia using multiple regression analysis. Samples used from companies that consistently registered in the Jakarta Islamic Index (JII) during the period 2016 to 2018 were 18 companies. The results show that industrial leverage variable has a significant positive relationship with leverage in accordance with the trade off theory, the greater the industry leverage, the higher the debt financing. And there is a significant inverse relationship between earnings and leverage based on the pecking order theory, the more profits a company gets the less debt it uses
Keywords: Capital structure, Sharia Companies, Jakarta Islamic Index, Indonesia.
Analisis Rasio Keuangan terhadap Struktur Modal (Perusahaan Makanan dan Minuman di BEI 2015-2018)
Authors: Sari Melia
Published: January 2021

Capital structure is a picture of a company's finances that is a source of discussion within the company. This study discusses to analyze and analyze the financial ratio analysis of the Capital Structure of the food and beverage subsector companies listed on the Indonesia Stock Exchange (BEI) in 2015-2018. The population in this study are food and beverage companies listed on the Indonesia Stock Exchange (BEI) in 2015-2018 using purposive sampling techniques, obtained 12 companies that meet the sample criteria. The method used is multiple linear regression. The results of this study indicate that profitability, liquidity, and asset structure affect the capital structure. While company size, company growth, and business risk did not increase on capital structure.
Influence of Stakeholders’ Participation on Performance of County Governments in Kenya
Authors: WAIKENDA MACHEL
Published: January 2021

The devolved system of governance was adopted to ensure development in all regions and effectiveness in service delivery for all Kenyans. This purpose of the study was to evaluate the influence of inclusiveness of stakeholders’ participation on performance of county governments in Kenya. The design methods used include the descriptive and explanatory cross-sectional survey method. The unit of analysis was the county governments. The unit of observation was county officials who included Governors, deputy Governors, County executive committee members, County secretaries, deputy County secretaries and MCAs. For this study, a sample of 354 was arrived at. Simple random sampling method was adopted for the selection of the study participants. The study used a questionnaire for collection of primary data. Data analysis was done using SPSS. Frequencies and descriptive statistics were obtained for the study’s variables and this information was presented in graphs and frequency tables. Both descriptive and inferential statistics were used. Inferential statistics included regression analysis that was used to test the significance between dependent and the independent variables. The study established that stakeholder’s participation had a significant influence on the performance of county governments in Kenya. The study concluded that inclusiveness influences the performance of county governments in Kenya significantly and positively. The study recommends that there is a need for county governments to set effective regulations through the Public Procurement Regulatory Authority so as to regulate and shape the county’s procurement procedures. This will ensure that no financial resources are unaccounted for.
The Outcome of Celebrity Endorser
Authors: WIDYAWATI SRI UTAMI
Published: January 2021

The purpose of this research was to find out the influence of expertise, attractiveness, trustworthiness and match up congruence whose BTS as Tokopedia’s Endorser towards brand image and purchase intention. The data in this study were use primary data, obtained by distributing 293 questionnaires to customers knows that BTS as Tokopedia’s Endorser. Data anaysis method used was Structural Equation Modelling (SEM) using AMOS 7. Based on the data analysis, it can be concluded that (1)Celebrity expertise has a positive influence on brand image, (2)Celebrity attractiveness has no positive influence on brand image, (3)Celebrity trustworthiness has a positive influence on brand image, (4)Celebrity match-up has no positive influence on brand image, (5)Celebrity expertise has a positive influence on purchase intention, (6)Celebrity attractiveness has no positive influence on purchase intention, (7)Celebrity trustworthiness has no positive influence on purchase intention, (8) Celebrity match-up has a positive influence on purchase intention, (9)Brand image has a positive influence on purchase intention.
The impact of Project-based organization on competence management practices: Case of Tunisian companies
Authors: HEDHILI MOHAMED ALI , BOUDABBOUS SAMI
Published: January 2021

The present article aimed at studying the relationship between project-based organization and competence management practices (recruitment, assessment, training, compensation and career management). The central question of our research is formulated as follows: To what extent does project-based organization influence competence management practices? To answer this question, we adopted a quantitative study. A total of 156 Tunisian project managers participated in our survey. We tested our hypotheses through a linear regression analysis. The results show that the majority of competence management practices, namely recruitment, evaluation and training, are more relevant to project-based organizations and thus the three first hypotheses are confirmed. However, other practices, like remuneration and career management, are insensitive to project activities.
ANALISIS ATAS TEMUAN BERULANG BANTUAN KEUANGAN PARTAI POLITIK DI KABUPATEN TEMANGGUNG
Authors: Aprimulki Endah , Halim Abdul
Published: January 2021

This research aims to provide an overview of the accountability process for thefinancial assistance from political party (banparpol) in Temanggung, analyzing thecause of repeated findings in the report of Banparpol in the respective district,also identifying the efforts made by the recipients in respond to the repeated findings.This research employs qualitative approach and case study as the research design,with two political parties, A and B, as the object of the research. The data wascollected by documentation and interview. It involved the chairperson of the party,the treasurer, and parts of the party’s organization as participants.The result shows that the reporting process of financial assistance in both parties,A and B, was conducted by forming a committee for every activity related to thefunding of Banparpol. Each committee reported all of the activities fromimplementation of the event, collecting evidence and documentation of the event,and made event summary. After this report is completed, the treasurer will verifyand compile everything which will then become Banparpol’s report. The factorcausing repeated finding on the respective policial parties’ report were the humanresources’ lack of understanding upon administrative process, the inconsistenciesof political party’s regulation, budget disburstment which is processed in the endof the year, lack of motivation and the inability to obey the regulation. Furthermore,different judgement among the examiner also becomes influencing factor. Anothercaus is cultural dimensions that appear in political party B, which are disobedienceand subborness. Efforts made by political party A to avoid the repeated findingsare choosing a regular place which has already had a well structured administrationand conductiong revisions based on the recommendation of the Audit Board (BPK).The first strategy is also performed by political party B, in addition to recruiting LOto provide assistance in understanding political party’s accountability rules andconsulting to Kesbangpol.This research uses Stewardship theory and compliance theory in identifying factorscontributing to the repeated findings in Banparpol’s acountability report inTemanggung district.
An implementation of lean manufacturing technology in enhancing efficiency in garment manufacturing industry with small and medium size
Authors: Đỗ Hiền Ngọc , Lê Quỳnh Lam Ngọc
Published: January 2021

Lean manufacturing technology has been applied in industry to eliminate wastes, enhance efficiency and increase competition ability. While some case studies were evaluated successfully, others faced with big challenges. Actually, lean was applied in different ways due to types and size of industry or organization. This paper would present an lean implementation process, in which lean tools are integrated in simultaneously. Requirements on system manufacturing capacity should be met, so necessary resources would be determined. Manufacturing layout and work flows would be created smoothly. The lean implementation process was applied in some case studies in garment industry with small and medium size, which show the efficiency and effectiveness of the lean technology in the practice systems. The research shows the good results on some performance key indexes such as productivity, ability to satisfy the orders and good working environment.
Implementação de um Protocolo Fisioterapêutico em Pacientes Hemato-Oncológicos
Authors: Longaray Stephanie Roberta Monteiro , Oliveira Dionéia , Forgiarini Soraia Genebra Ibrahim , Silva Vanessa Giendruczak da
Published: January 2021

Introdução: Os cânceres hematológicos afetam o organismo com diversas disfunções, e a fisioterapia tem o intuito de auxiliar na prevenção e no tratamento, proporcionando uma melhor qualidade de vida. Objetivo: Verificar os efeitos de um protocolo fisioterapêutico em indivíduos com câncer hematológico. Método: Trata-se de um estudo quase-experimental, com participantes de 18 a 50 anos de idade, de ambos os sexos, realizado no Complexo Hospitalar da Santa Casa de Misericórdia de Porto Alegre. Aplicou-se um protocolo fisioterapêutico por quatro semanas, conforme o estágio hematológico individual, no qual foram avaliados força, bem-estar geral e performance, além de fadiga, respectivamente, com as escalas: Medical Research Council (MRC), Karnofsky, Eastern Cooperative Oncology Group Performance Status (ECOG) e Multidimensional Fatigue Inventory (MFI) 20 - versão brasileira. Resultados: Foram incluídos 11 indivíduos. Verificou-se um aumento significativo da força muscular (p=0,024). Na avaliação do bem-estar geral e performance, não houve diferença significativa (p=0,192) e (p=0,368), assim como nos exames sanguíneos (p>0,05). Na análise dos sinais vitais, apenas a frequência respiratória apresentou aumento significativo no pré e pós-protocolo (p=0,04). Houve correlações significativas entre as escalas de Karnofsky e ECOG (r=-0,81;), MFI e ECOG (r=0,64) e MFI e de Borg (r=0,67), com p<0,05. Conclusão: Os resultados mostraram que é possível utilizar um protocolo fisioterapêutico que se adapte ao perfil hematológico e às condições clínicas do paciente nessa área, existindo correlações entre diversas variáveis funcionais avaliadas, contudo mais estudos são necessários.
A conciliação e mediação no Direito Previdenciário
Authors: Freitas Neusa Aparecida de Morais , Santos Lucineia Rosa Dos , Reis Elisa Da Penha De Melo Romano , Gonçalves Ionas Deda
Published: January 2021

O presente artigo objetiva estudar as formas de concretização da providência jurisdicional, pela ótica dos procedimentos de mediação atrelados aos procedimentos do processo civil e previdenciário. Analisar-se-á a efetividade dos métodos de soluções de conflitos consensuais no Campo do Direito Previdenciário, tendo como suporte a dogmática do fenômeno jurídico processual, a partir dos ditames constitucionais e dos princípios norteadores da Lei de Mediação, e com especial preocupação no novo cenário infraconstitucional trazido com a edição do CPC de 2015.
Uterine Fibroid in Breast Cancer Patients receiving Tamoxifen Therapy
Authors: Tambunan Rismawati , Fahriatni  , Hasanuddin
Published: January 2021

Abstract

Objective: Selective estrogen receptor modulators (SERMs) such as tamoxifen play a role in increasing the risk of developing uterine Fibroid.Methods:  Case reportCase: Mrs. 47 years old, Para 6, presented with chief complaints of vaginal bleeding since a year ago. The patient was diagnosed with breast carcinoma 4 years ago and has had a right mastectomy followed by 6 cycles of chemotherapy which is  then continued with tamoxifen treatment for 4 years, USG examination revealed uterine myoma to which we performed bilateral salphingoophorectomy hysterectomy, with anatomic pathology results of a uterine Fibroid and chronic endometritis.Conclusion: Selective estrogen receptor modulators (SERMs) such as tamoxifen exhibit antagonistic reactions in breast tissue which makes it appropriate to be used in the treatment of breast cancer. However, they can also be potentially agonistic on estrogen receptors in the uterus, which can cause the growth of uterine Fibroid. Nevertheless, the benefits of adjuvant tamoxifen for breast cancer outweighs its potential for developing uterine Fibroid and endometrial carcinoma, because metastatic breast cancer will always be fatal, whereas uterine myoma and endometrial cancer caused by the effects of tamoxifen can be prevented by regular evaluation and total hysterectomy.Keywords: breast cancer,tamoxifen, uterine fibroid,

 

Abstrak

Tujuan: Selektif estrogen reseptor modulator (SERMs) seperti tamoksifen berperan dalam meningkatkan risiko mengembangkan mioma uteri. Metode: Laporan KasusKasus: Ny 47 Thn Para 6, datang dengan keluhan perdarahan dari jalan lahir yang dirasakan ibu selama 1 tahun ini, pasien telah menderita kanker payudara 4 tahun yang lalu dan telah dilakukan mastektomi mammae dextra dilanjutkan kemoterapi 6 siklus kemudian dilanjutkan dengan pengobatan tamoksifen selama 4 tahun ini, dari pemeriksaan USG didapatkan adanya mioma uteri kemudian dilanjutkan dengan tindakan histerektomi salphingooforektomi bilateral, dengan hasil patologi anatomi suatu mioma uteri dan endometritis kronis.Kesimpulan: Selektif estrogen reseptor modulator (SERMs) seperti tamoksifen merupakan reaksi antagonis reseptor estrogen pada jaringan payudara yang digunakan dalam pengobatan kanker payudara, tetapi dapat berpotensi agonis pada reseptor estrogen pada uterus sehingga dapat menyebabkan pertumbuhan mioma uteri. Tetapi penggunaan tamoksifen  ajuvan untuk kanker payudara lebih bermanfaat dibandingkan dengan potensinya untuk mengembangkan mioma uteri dan karsinoma endometrium, karena  kanker payudara metastatik akan selalu berakibat fatal, sedangkan mioma uteri dan kanker endometrium yang ditimbulkan oleh efek tamoksifen dapat dicegah dengan evaluasi teratur dan dilakukan tindakan total histerektom.Kata kunci: kanker payudara, mioma uteri, tamoksifen
Identification of Bacteria on Postcesarean Section Patient’s Wound Operation
Authors: Aditya Renny , Dirgagita Risa
Published: January 2021

Abstract

Objective: To determine the type of bacteria in post-cesarean surgical patient wounds obtained through the patient's surgical wound swab in the Ward Obstetrics and Gynecology RSUD Ulin Banjarmasin in the period August-October 2019.Methods: This study was a descriptive study with a cross-sectional approach. A total of 36 samples were taken using a purposive sampling method, but only 32 bacterial isolates were obtained. Samples in the form of clean operating wound contaminated post-cesarean patients were planted on growth media and identified microscopically to be further classified based on responses to biochemical tests.Results: Descriptive analysis shows that there are three types of bacteria, namely Staphylococcus aureus as much as 59.3%, Staphylococcus epidermidis as much as 25.0%, and Escherichia coli as much as 15.6%.Conclusion: Obtained 3 types of bacteria in the results of surgical wound swab in post-cesarean section patients who were hospitalized in the Ward and Obstetrics Hospital of Ulin Hospital Banjarmasin, namely Staphylococcus aureus, Staphylococcus epidermidis, and Escherichia coli.Keywords: cesarean section, contaminant bacteria, surgery wound swab.

 

Abstrak

Tujuan: Mengetahui gambaran jenis bakteri pada luka operasi pasien pascaseksio sesarea yang didapat melalui swab luka operasi pasien di Bangsal Kandungan dan Kebidanan RSUD Ulin Banjarmasin dalam periode Agustus-Oktober 2019.Metode: Penelitian ini merupakan studi dekskriptif dengan pendekatan potong lintang. Sebanyak 36 sampel diambil menggunakan metode purposive sampling, tetapi hanya didapatkan 32 isolat bakteri. Sampel swab luka operasi bersih terkontaminasi pasien paska seksio sesarea ditanam pada media pertumbuhan dan diidentifikasi secara mikroskopis untuk selanjutnya diklasifikasikan berdasarkan respon terhadap uji biokimia.Hasil : Analisis secara deksriptif menunjukkan bahwa terdapat tiga jenis bakteri, yaitu Staphylococcus aureus sebanyak 59,3%, Staphylococcus epidermidis sebanyak 25,0%, dan Escherichia coli sebanyak 15,6%.Kesimpulan : Didapatkan 3 jenis bakteri pada hasil swab luka operasi pasien pascaseksio sesarea yang dirawat inap di Bangsal Kandungan dan Kebidanan RSUD Ulin Banjarmasin, yaitu Staphylococcus aureus, Staphylococcus epidermidis, dan Escherichia coli.Kata kunci: seksio sesarea, bakteri kontaminan, swab luka operasi.
Efektifitas Penggunaan Kalender Pengelolaan Cairan dan Mobile Phone terhadap Interdialytic Weight Gain pada Pasien Gagal Ginjal Kronik di Ruang Hemodialisa
Authors: Riswanda Vendi , Wijayanti Gusti Ayu Sri Puja Warnis
Published: January 2021

Kalender pengelolaan cairan dan mobile phone merupakan media yang dapat mengontrol interdialytic weight gain (IDWG).Pengontrolan IDWG dapat juga dilakukan melalui layanan pesan singkat pada mobile phone pasien. Penelitian ini bertujuan untuk mengetahui efektifitas penggunaan kalender pengelolaan cairan dan mobile phone terhadap interdialytic weight gain pada pasien gagal ginjal kronik. Penelitian ini merupakan penelitian quasy experiment dengan rancangan pretest-posttest without control. Populasi peneletian seluruh pasien yang menjalani hemodialisa pada periode Juli-September 2019. Sampel diambil dari populasi dengan teknik purposive sampling sebanyak 40 orang. Data yang dikumpulkan adalah karakteristik umum responden dan data berat badan antar dua waktu dialysis sebelum dan sesudah dilakukan intervensi. Analisa data dengan uji Wilcoxon Signed Rank Test dan uji Mann Whitney Test. Hasil menunjukkan adanya penurunan interdialytic weight gain pada pasien setelah intervensi kontrol cairan menggunakan kalender pengelolaan cairan, dengan p-value= 0,006 (p < α=0,05). Ada penurunan interdialytic weight gain pada pasien setelah intervensi kontrol cairan menggunakan mobile phone dengan p value = 0,000 (p < α=0,05). Hasil uji Mann Whitney U Test menunjukkan tidak ada perbedaan efektifitas penggunaan kalender pengelolaan cairan dan mobile phone terhadap interdialytic weight gain pada pasien gagal ginjal kronik (p value= 0,328 atau p>0,05). Penggunaan kalender pengelolaan cairan dan mobile phone sama-sama efektif terhadap penurunan interdialytic weight gain pada pasien gagal ginjal kronik
Analysis of Employee Performance Based on Competence and Work Climate in Lubuklinggau Barat I District at Indonesia
Authors: Richset Riwukore Jefirstson , Susanto Yohanes , Walyusman Walyusman , Riance Astri , Zubaidah R. A. , Habaora Fellyanus
Published: January 2021

This study aims to see the magnitude of commitment and employee work discipline effect on the employees’ performance at Lubuklinggau Barat I District, in Lubuklinggau Indonesia. This study uses quantitative associative methods, which aim to explain the relationship between the independent variables with the dependent variable. This research was conducted by distributing questionnaires to employees at Lubuklinggau Barat I District, with a total sample of 93 respondents. The sampling technique was conducted by the saturated sample technique. Data were analyzed by using multiple linear regression analysis methods and hypothesis testing. Statistical testing using the SPSS 24.0 application. The results of this study indicate that partially Employee Placement has a positive effect on employee performance, and Work Climate also has a positive effect on employee performance. Simultaneously, Employee Placement and Work Climate have a positive effect on employee performance at Lubuklinggau Barat I District, in Lubuklinggau. With an influence of 65.7% and the remaining 34.3% is influenced by other factors that are not examined. Researchers limit the focus of the problem on employee placement and work climate on employee performance. Performance is also influenced by other variables such as: leadership, work environment, placement, etc. which are still open for in-depth study in subsequent studies. This study comes from the actual problems faced by employees at Lubuklinggau Barat I District, in Lubuklinggau, due to the low quality and quantity of existing employee performance. This study is not merely looking for a relationship between the independent and dependent variables and the magnitude of their effect on performance, but it further links the research results and managerial impacts that arise after the research results are obtained.
Agro-economic efficiency of technologies for the development of shrubby idle lands
Authors: Ivanov Aleksey , Ivanova Zhanna , Sokolov Ivan
Published: January 2021

The idle lands of the Non-Chernozem zone of Russia are quickly overgrown with tree and shrubby vegetation (TSV). Their active development under modern conditions needs a comprehensive justification of the available technological options for removal and processing of TSV. To evaluate their agro-economic efficiency, a comprehensive study was carried out at Sofia LLC in the Tosnensky District of the Leningrad Region. Its methodological basis was model-field and production experiments, laid out in weakly and medium-cultivated sod-podzolic gleyey soils of heavy loamy granulometric composition. They studied the agroeconomic efficiency of application of traditional ameliorants (milled raw dolomite and poultry manure supplemented with potassium fertilizer) and TSV processing products (wood chips, wood chaff, biochar and ash). The study determined the negative impact of products of TSV processing embedded in the soil on crops; the lack of a direct correlation between agroecological and economic efficiency of development technologies; an irreplaceable positive role of a complex of chemical ameliorants. The level of profitability of its use varied in experiments from 7–15 % for cultures and varieties undemanding of fertility to 48–56 % for demanding ones. On its basis, radical improvement of the soil properties was ensured, which made it possible to increase the productivity of the crop rotation link against the background of the embedded wood chips from 13.3 to 19 tons of forage units (FU) per hectare, of wood chaff – from 10.5 to 19.2 t FU/ha, biochar – from 16.1 to 21.4 t FU/ha, ash – from 15.6 to 21.2 t FU/ha while improving product quality.

The profitability parameters of technologies for the development of the shrubby idle land based on the data on the cost of yield increase (21–52 %) are 8.8–9.1 times lower than for the additionally produced and sold dairy products (191–459 %). Due to our production and direct sale of high-quality dairy products, the average annual net income from the development of 1 hectare of lightly and heavily shrubby idle land increases from 21 to 205.7 thousand roubles and from 9.7 to 80.5 thousand roubles respectively. With the re-processing of TSV to Eurowood, these indicators increase by 159.2 thousand roubles/ha per year.

Due to the relatively high cost of biochar production, the «biochar + complex of ameliorants» option, the best in terms of agronomic and environmental efficiency, is significantly (1.7 times) inferior to agronomically less efficient technologies in short-term studies in terms of profitability (132 % versus 230 %). Less efficient technologies include embedding of crushed TSV in the soil with modern milling machines. The full payback period of biochar technology when calculating income for feed is 3.1 years, for milk and dairy products – 1.3 years.
Síntomas compresivos y asociación con el volumen de los especímenes quirúrgicos en pacientes con bocio
Authors: Fernández Delgado Alberto , Osorio Covo Carlos , Herrera Sáenz Francisco
Published: January 2021

Introducción: es imperativa la necesidad de efectuar estudios que evalúen y describan si existe una asociación entre las características morfológicas del bocio, en especial el volumen y la manifestación de síntomas como ortopnea, disfagia y fonastenia. Objetivo: evaluar en pacientes con bocio la prevalencia de síntomas compresivos (SC)y su asociación con el volumen de los especímenes quirúrgicos.Materiales y métodos: mediante una entrevista realizada en el acto prequirúrgico, fueron evaluadas las manifestaciones de SC en pacientes con bocio y posteriormente, se calculó el volumen de cada espécimen quirúrgico. Se determinó la asociación existente entre SC y el volumen de los especímenes quirúrgicos.Resultados: la población de estudio estuvo conformada por 92 pacientes, 86 (93.5%) mujeres y 6 (6.5%) varones. Edad promedio 46.1±14.9 años. La prevalencia de síntomas fue: disfagia (41.3%), ortopnea (39.1%) y fonastenia (12.0%). Tanto la ausencia de SC y el hallazgo ocasional se asociaron a volúmenes menores de 50 mililitros (p<0.001). El hallazgo simultáneo de ortopnea y disfagia se asoció a volúmenes entre 50 y 99 mililitros (p<0.001), por último, el hallazgo de fonastenia asociada a disnea y disfagia se asoció a volúmenes superiores a 100 mililitros (p<0.001).Conclusión: el volumen del espécimen quirúrgico estuvo asociado con el hallazgo de SC en el paciente con bocio. Rev.cienc.biomed. 2015;6(2):259-264
La matriz extracelular: una red dinámica implicada en la regulación de las células madre
Authors: Lambis Anaya Lina , Suárez Causado Amileth
Published: January 2021

Introducción: la matriz extracelular (MEC) es una red multifuncional, dinámica y compleja con propiedades biofísicas, mecánicas y bioquímicas específicas para cada tejido que, le confieren la capacidad de regular el comportamiento celular. Las células madre tienen un papel clave en el mantenimiento y regeneración tisular, se hallan en un microambiente específico, definido como nicho, en el que la MEC puede modular su proliferación, autorenovación y diferenciación.Objetivo: resaltar la función de la MEC en la regulación del comportamiento de las células  madre y la labor de la interacción MEC-células madre en las propiedades y homeostasis del nicho en el que residen.Materiales y métodos: búsqueda electrónica en las bases de datos: PubMed, ScienceDirect, Scopus y Medline de artículos originales y de revisión en su mayor parte publicados entre 2008 y 2015.Resultados: se obtuvieron 150 artículos, de los que se utilizaron 44 documentos a conveniencia incluyendo artículos de revisión y artículos originales.Conclusión: la MEC es una red fundamental que orienta la diferenciación, proliferación y autorenovación de las células madre, al tiempo que ejerce una interacción de estas con los nichos donde residen. La función esencial de la MEC en la interrelación de las células madre con su nicho ha llevado al surgimiento de herramientas de la bioingeniería que abren posibilidades en la terapéutica, reparación y regeneración fisiológica de órganos. Rev.cienc.biomed. 2015;6(2):333-339
Manejo de la infección de vías urinarias multirresistente en pediatria
Authors: Brochet Bayona Carlos , Pinzón Consuegra Jorge , Aguilar Schotborgh Miguel
Published: January 2021

Introducción: la infección de vías urinarias (IVU) constituye un problema clínico común en los hospitales pediátricos, representa una de las enfermedades más frecuentes en la infancia, su diagnóstico se fundamenta en el cultivo de orina, donde el principal patógeno aislado es Escherichia coli. Convencionalmente, la decisión de manejo se basa en cuatro factores: la bacteria y su sensibilidad, la localización de la infección, el estado clínico y la edad del paciente. Sin embargo, este tratamiento debe iniciarse mucho antes de conocer el germen y su perfil de susceptibilidad. La creciente incidencia de patógenos gramnegativos, resistentes a los fármacos antimicrobianos comunes ha llevado a serias dificultades en relación a su tratamiento, dejando a un lado el uso de antibióticos clásicos o de primera línea, ante la sospecha de multirresistencia.Objetivo: realizar revisión temática para identificar conceptos referentes a mecanismosde resistencia de los gérmenes gramnegativos, especie de gérmenes multirresistentes yterapéuticas para IVU multirresistente.Metodología: se efectuó revisión en las bases de datos MEDLINE (1990 a mayo de 2015), CLINICAL KEYS (2001 a marzo 2015), PUBMED (sin fecha límite) y en las listas de referencias de los artículos. La búsqueda bibliográfica arrojó 43 posibles trabajos deinvestigación, de los cuales se tuvieron en cuenta veinte para desarrollar la presenterevisión. Selección a conveniencia.Resultados: los carbapenémicos como el imipenem, meropenem y ertapenem se convierten en la primera línea para el tratamiento de infecciones debidas a bacterias productoras de betalactamasas de espectro extendido (BLEE). Sin embargo, se ha visto que las quinolonas y los aminoglicosidos pueden mostrar resultados comparables.Desafortunadamente, la resistencia a estos grupos es mayor.Conclusión: con el pasar del tiempo, las bacterias gramnegativas han logrado expresar nuevos y más eficaces mecanismos de resistencia, conllevando a la aparición de IVUs cada vez más resistentes a la terapia convencional. Por lo que es importante  individualizar el manejo de cada paciente según la epidemiología local de cada población. Rev.cienc. biomed. 2015;6(2):340-347
Aportes del proyecto “escuela nueva” a la educación universitaria en colombia
Authors: Redondo De Oro Katherine , Redondo Bermúdez César , Martínez Saravia Víctor
Published: January 2021

El proyecto Escuela Nueva fue iniciado en Colombia en 1975 en las escuelas rurales del altiplano cundiboyacence, impulsado por la UNESCO como propuesta de solución a la problemática de alta deserción, repitencia de los estudiantes y desmotivación de los docentes, ofreciendo enormes ventajas y resultados impactantes en la superación de los mismos. Analizando sus aportes es pertinente, teniendo en cuenta la problemática de las instituciones universitarias, seleccionar sus beneficios y herramientas y ponerlas en prácticas como recomendaciones en un ambiente académico de educación superior. Rev.cienc.biomed. 2015;6(2):390-393.
Meningioma intraventricular: características clínicas e imagenológicas
Authors: Segovia Fuentes Javier , Rueda Tamayo Leidy , Sierra Tamayo Astrid Lorena
Published: January 2021

Introducción: los meningiomas intraventriculares (MIV) son poco frecuentes. Representan solamente del 0.5-3.0% de todos los meningiomas. Sus manifestaciones clínicas pueden ser tardías y generar hidrocefalia obstructiva, que puede amenazar la vida del paciente.Caso clínico: paciente de 29 años, con 8 meses de evolución de cefalea holocraneana, que ha empeorado las últimas semanas, sin mejoría con ingesta de analgésicos. Presencia de vómito en proyectil. Pupilas isocoricas reactivas. Se aprecia edema papilar bilateral en el estudio del fondo de ojo. Ausencia de rigidez de nuca. Marcha lenta. Sin déficit neurológico y pares craneales conservados. Fuerza muscular y trofismo normales. Después de realizado el diagnóstico imagenológico de MIV fue remitida al servicio de neurocirugía para manejo y seguimiento.Conclusión: Los MIV son una entidad poco frecuente en la población adulta joven. Los hallazgos imagenológicos son fundamentales para el diagnóstico y el abordaje terapéutico. Rev.cienc.biomed. 2015;6(1):165-169