bluuebunny/crossref_metadata_2025 huggingface dataset:
Hippocampo-Horn Percentage and Parietal Atrophy Score for Easy Visual Assessment of Brain Atrophy on Magnetic Resonance Imaging in Early- and Late-Onset Alzheimer’s Disease
Authors: Silhan David ,   for the Alzheimer’s Disease Neuroimaging Initiative, Pashkovska Olga , Bartos Ales
Published: October 2021

Background: Magnetic resonance imaging (MRI) visual scales of brain atrophy are important for differential diagnosis of dementias in routine clinical practice. Atrophy patterns in early- and late-onset Alzheimer’s disease (AD) can be different according to some studies. Objective: Our goal was to assess brain atrophy patterns in early- and late-onset AD using our recently developed simple MRI visual scales and evaluate their reliability. Methods: We used Hippocampo-horn percentage (Hip-hop) and Parietal Atrophy Score (PAS) to compare mediotemporal and parietal atrophy on brain MRI among 4 groups: 26 patients with early-onset AD, 21 younger cognitively normal persons, 32 patients with late-onset AD, and 36 older cognitively normal persons. Two raters scored all brain MRI to assess reliability of the Hip-hop and PAS. Brain MRIs were obtained from Alzheimer’s Disease Neuroimaging Initiative (ADNI) database. Results: The patients with early-onset AD had significantly more pronounced mediotemporal and also parietal atrophy bilaterally compared to the controls (both p < 0.01). The patients with late-onset AD had significantly more pronounced only mediotemporal atrophy bilaterally compared to the controls (p < 0.000001), but parietal lobes were the same. Intra-rater and inter-rater reliability of both visual scales Hip-hop and PAS were almost perfect in all cases (weighted-kappa value ranged from 0.90 to 0.99). Conclusion: While mediotemporal atrophy detected using Hip-hop is universal across the whole AD age spectrum, parietal atrophy detected using PAS is worth rating only in early-onset AD. Hip-hop and PAS are very reliable MRI visual scales.
Weighted ensemble with angular feature learning for facial expression recognition
Authors: Han Guojiang , Chen Caikou , Xu Zhixuan , Zhou Shengwei
Published: October 2021

Ensemble learning using a set of deep convolutional neural networks (DCNNs) as weak classifiers has become a powerful tool for face expression. Nevertheless, training a DCNNS-based ensemble is not only time consuming but also gives rise to high redundancy due to the nature of DCNNs. In this paper, a novel DCNNs-based ensemble method, named weighted ensemble with angular feature learning (WDEA), is proposed to improve the computational efficiency and diversity of the ensemble. Specifically, the proposed ensemble consists of four parts including input layer, trunk layers, diversity layers and loss fusion. Among them, the trunk layers which are used to extract the local features of face images are shared by diversity layers such that the lower-level redundancy can be largely reduced. The independent branches enable the diversity of the ensemble. Rather than the traditional softmax loss, the angular softmax loss is employed to extract more discriminant deep feature representation. Moreover, a novel weighting technique is proposed to enhance the diversity of the ensemble. Extensive experiments were performed on CK+ and AffectNet. Experimental results demonstrate that the proposed WDEA outperforms existing ensemble learning methods on the recogntion rate and computational efficiency.
Distinct and Recognisable Muscle MRI Pattern in a Series of Adults Harbouring an Identical GMPPB Gene Mutation
Authors: Siddiqui Shahyan , Polavarapu Kiran , Bardhan Mainak , Preethish-Kumar Veeramani , Joshi Aditi , Nashi Saraswati , Vengalil Seena , Raju Sanita , Chawla Tanushree , Leena Shingavi , Mathur Aradhana , Nayak Sushmita , Mohan Dhaarini , Shamim Uzma , Prasad Chandrajit , Lochmüller Hanns , Faruq Mohammed , Nalini Atchayaram
Published: October 2021

Background and Purpose: Mutations in the GMPPB gene affect glycosylation of α-dystroglycan, leading to varied clinical phenotypes. We attempted to delineate the muscle MR imaging spectrum of GMPPB-related Congenital Myasthenic syndrome (CMS) in a single-center cohort study. Objective: To identify the distinct patterns of muscle involvement in GMPPB gene mutations. Methods: We analyzed the muscle MR images of 7 genetically proven cases of GMPPB dystroglycanopathy belonging to three families and studied the potential qualitative imaging pattern to aid in clinico -radiological diagnosis in neuromuscular practice. All individuals underwent muscle MRI (T1, T2, STIR/PD Fat sat. sequences in 1.5 T machine) of the lower limbs. Qualitative assessment and scoring were done for muscle changes using Mercuri staging for fibro-fatty replacement on T1 sequence and Borsato score for myoedema on STIR sequence. Results: All patients were of South Indian origin and presented as slowly progressive childhood to adult-onset fatigable limb-girdle muscle weakness, elevated creatine kinase level, and positive decrement response in proximal muscles. Muscle biopsy revealed features of dystrophy. All patients demonstrated identical homozygous mutation c.1000G > A in the GMPPB gene. MRI demonstrated early and severe involvement of paraspinal muscles, gluteus minimus, and relatively less severe involvement of the short head of the biceps femoris. A distinct proximo-distal gradient of affliction was identified in the glutei, vasti, tibialis anterior and peronei. Also, a postero-anterior gradient was observed in the gracilis muscle. Conclusion: Hitherto unreported, the distinctive MR imaging pattern described here, coupled with relatively slowly progressive symptoms of fatigable limb-girdle weakness, would facilitate an early diagnosis of the milder form of GMPPB- dystroglycanopathy associated with homozygous GMPPB gene mutation.
Variants of benign paroxysmal positional vertigo in relation to head position during sleep
Authors: Shigeno Kohichiro , Ogita Hideaki , Funabiki Kazuo
Published: October 2021

BACKGROUND: Patients with posterior- and lateral-(canal)-benign paroxysmal positional vertigo (BPPV)-canalolithiasis sleep in the affected-ear-down head position. Posterior-BPPV-canalolithiasis typically affects the right than left ear; sleeping in the right-ear-down head position may be causal. OBJECTIVE: To investigate the relationship between habitual head position during sleep and the onset of BPPV variants. METHODS: Among 1,170 cases of BPPV variants with unknown etiology, the affected ears, habitual head positions during sleep based on interviews, and relationships among them were investigated. RESULTS: Posterior-BPPV-canalolithiasis and lateral-BPPV-canalolithiasis-geotropic affected the right ear significantly more often. Significantly more patients with posterior-BPPV-canalolithiasis and lateral-BPPV-canalolithiasis-apogeotropic habitually slept in the right-ear-down head position. Patients with posterior- and lateral-BPPV-canalolithiasis and light cupula were more likely to sleep habitually in the affected-ear-down position than in the healthy-ear-down head position; no relationship was observed in patients with posterior- and lateral-BPPV-cupulolithiasis. In patients with posterior-BPPV-canalolithiasis and lateral-BPPV-canalolithiasis-geotropic, the proportion of right-affected ears in those sleeping habitually in the right-ear-down head position was significantly greater than that for the left-affected ear. CONCLUSIONS: A habitual affected-ear-down head position during sleep may contribute to BPPV-canalolithiasis and light cupula onset, but not BPPV-cupulolithiasis onset. However, habitual sleeping in the right-ear-down head position cannot explain the predominance of right-affected ears.
Leveraging virtual reality for vestibular testing: Clinical outcomes from tests of dynamic visual acuity
Authors: Holford Kenneth C. , Jagodinsky Adam E. , Saripalle Rishi , McAllister Poonam
Published: October 2021

BACKGROUND: Virtual reality (VR) use as a platform for vestibular rehabilitation is widespread. However, the utility of VR based vestibular assessments remains unknown. OBJECTIVE: To compare dynamic visual acuity (DVA) scores, perceived balance, and perceived dizziness when using traditional versus VR environments for DVA testing among healthy individuals. METHODS: DVA testing occurred for both a traditional clinical protocol and in a VR variant. Horizontal, vertical, and no head motion conditions were conducted for both clinical and VR test protocols. DVA scores, balance ratings, and dizziness ratings were obtained per condition. Two-way ANOVAs with repeated measures were used to assess differences in DVA scores, balance, and dizziness ratings. RESULTS: No differences in DVA results, balance or dizziness ratings were observed when comparing traditional clinical protocol versus the VR variant. Differences across head motion conditions were observed, with no motion trials exhibiting significantly higher DVA scores and perceived balance, and lower perceived dizziness compared to vertical and horizontal head motion. Vertical head motion exhibited this same trend compared to horizontal. CONCLUSION: DVA testing conducted in VR demonstrated clinical utility for each measure. Effects of head motion were similar across test variants, indicating DVA testing in VR produces similar effects on vestibular function than traditional clinical testing. Additional research should be conducted to assess the feasibility of VR assessment in individuals with vestibular disorder.
Workplace stress of occupational safety specialists in Croatia and Serbia
Authors: Nikolić Vesna , Taradi Josip , Petković Aleksandra Ilić
Published: October 2021

BACKGROUND: Numerous studies have shown that work often causes stress in employees and even in occupational safety experts. Occupational stress can lead to serious health consequences for employees. As the job of occupational safety experts is very responsible, they are more exposed to workplace stress and more vulnerable to its consequences. This study resulted with expertise on the work related stress of safety experts in Croatia and Serbia. OBJECTIVE: This study examined workplace stress of occupational safety experts in Croatia and Serbia. METHODS: Surveys were used to collect original data and statistical methods were used for data processing and analysis. RESULTS: There was a correlation between the level of stress on safety expert’s jobs and stress levels related to the status of safety experts as dependent variables and the organization profile related with safety experts’ employment as independent variables. Stress of safety experts related to activities and the status of safety experts were of medium level. CONCLUSION: There is a need for preventive protection from stress in this profession. Continuous education of safety experts plays a key role in stress prevention, not only for the safety experts but it also plays a key role in stress management throughout the organization.
Artificial Stone Silicosis: Accumulation of errors in the resurgence of an occupational disease: A qualitative study
Authors: Pérez-Alonso Aránzazu , González-Domínguez María Eugenia , Novalbos-Ruiz José Pedro , León-Jiménez Antonio , Córdoba-Doña Juan Antonio
Published: October 2021

BACKGROUND: Exposure to artificial stone machining, under the conditions in which marble workers work with this new product, can cause silicosis. OBJECTIVE: To examine the experiences of marble workers affected, both in workshop and during home installation of countertops, before diagnosis of silicosis. METHODS: Qualitative study in which 10 open-ended semistructured interviews were conducted with marble workers diagnosed with silicosis after machining artificial stone countertops in Cádiz, Spain. Interviews were recorded, transcribed, and coded using a directed content analysis. Codes were organized into themes. RESULTS: Interviews up to 120 minutes and transcript analysis revealed three themes: 1) Heavy exposure for piecework: construction boom in an environment of labor deregulation and high demand for the novel product; 2) Poor working conditions: dry machining of artificial stone without proper protection in the workshop and greater exposure during home installation of countertops; 3) Concatenated legal transgressions: deficiencies in prevention and health surveillance without safety conditions for the correct handling of artificial stone. CONCLUSIONS: The fight against an emerging occupational disease—artificial stone silicosis—should focus on detecting affected workers and avoiding new cases, forcing joint efforts to achieve rigorous compliance with health surveillance and protecting marble workers to achieve healthy and safe workplaces.
Safety culture maturity and resilience engineering in an oil drilling industry: A comparison study among government-owned and private companies
Authors: Jahangiri Mehdi , Zinat-Motlagh Kiarash , Ghaem Haleh , Zinat-Motlagh Fazel , Kamalinia Mojtaba , Banaee Sean
Published: October 2021

BACKGROUND: Organizational factors including a proper safety culture are among the important contributors of major accidents in process industries OBJECTIVE: This study evaluates and compares the dimensions of safety culture maturity (SCM) and resilience engineering (RE) among 423 employees of government-owned drilling companies (GODC) and private drilling companies (PDC) located in Azar oilfield, Ilam province, southwest of Iran. METHODS: The maturity of safety culture was measured using the modified version of Hudson safety culture maturity questionnaire and RE performance was studied using the resilience analysis gird (RAG). The relationship between RE and the SCM was discussed according to Hollnagel conceptual model. RESULTS: The results showed that lowest and highest levels of SCM in all dimensions were observed in the pathological (11.75%) and reactive (28%) levels, respectively. However, high levels of SCM have not been established in any of the studied drilling companies. The status of SCM dimensions and levels as well as RE performance was better in PDC compared to GODC which is consistent with their safety performance lagging indicators. CONCLUSION: This study showed that RE abilities could be improved by establishment of high levels of safety culture maturity.
Occupational therapy fieldwork educators: Examining professional quality of life
Authors: Eddy Emily Z. , Tickle-Degnen Linda , Evenson Mary E.
Published: October 2021

BACKGROUND: Occupational therapy practitioners with the simultaneous working role of fieldwork educator support the growth of the profession by supervising students, but little is known about their reported burnout, compassion fatigue, and compassion satisfaction levels, and if specific work characteristics predict those levels. OBJECTIVE: The purpose of this research was to: 1) assess the current levels of compassion fatigue, compassion satisfaction, and burnout in occupational therapy fieldwork educators through The Professional Quality of Life Scale (ProQOL), and 2) to explore how professional characteristic variables correlate and predict the measured constructs of compassion fatigue, burnout, and compassion satisfaction. METHODS: A cross-sectional design was used, and participants were recruited from a convenience sample to complete the ProQOL and a work characteristic questionnaire. RESULTS: On the average, 117 fieldwork educators scored higher on the subscale of compassion satisfaction when compared to those of the normed group. Linear regression analyses revealed that a higher number of roles and greater years working predicted higher compassion satisfaction. CONCLUSIONS: This study contributes to understanding the experiences of fieldwork educators in multiple roles, their reported levels of compassion fatigue, compassion satisfaction, and burnout, and the potential for development of personal, educational and organizational resources to support professional quality of life indicators within the role of fieldwork educator.
EVALUATION OF CARDIOVASCULAR DYSREGULATION IN PATIENTS AFTER HEMORRHAGIC STROKE AS A COMPLICATION OF ESSENTIAL HYPERTENSION
Authors: Tkachyshyn Oleksandr
Published: October 2021

The aim of the study was to compare blood pressure and electrocardiogram indices, assessed by their daily monitoring, and anamnestic data on mild traumatic brain injury between a group of patients with essential hypertension ≥6 months after a hemorrhagic stroke and a group of patients with essential hypertension without complications. Materials and methods. The total number of examined patients was 198 people, who were divided into 2 groups: the main (n = 94; age – 54,4±8,8 years, M±σyears) and the control (n = 104; age – 53,7±8,9 years) one. Patients in the main group suffered a hemorrhagic stroke as a complication of essential hypertension ≥6 months ago. The control group included patients with essential hypertension, stage II. In both groups of patients, the parameters of 24-hour ambulatory blood pressure monitoring and electrocardiogram were determined. Results. The indices of 24-hour ambulatory blood pressure monitoring in the main group and the control group were the following ones, respectively:the mean daytime systolic blood pressure was 109,6±1,6 and 121,1±1,1 mm Hg, the minimal one was 74,4±2,0 mm Hg and 82,3±12,5 mm Hg, and the maximal one was 168,2±1,9 and 161,9±1,7 mm Hg, p<0,05. The daytime sigma systolic blood pressure (17,9±0,6) and its average real variability of (11,31±2,52 mm Hg) were bigger in the main group (p<0,05). The daytime index of the hyperbaric load of systolic blood pressure was bigger in the main group: it was 403,6±25,9 against 231,7±12,1 mm Hg×h in the comparison group (p<0,05). The mean, minimum and maximum heart rate at night were significantly lower in the main group (p<0,05). The QTcmin index was significantly lower in the main group in contrast to the control one – 286,28±43,34 and 336,69±22,55, and the QTvariance was greater – 232,56±44,55 –  in comparison to the control group(188,31±33,67) (p<0,05). From the anamnestic data of patients, a significantly higher prevalence of mild traumatic brain injurywas found in 37,4% (35 patients out of 94) in the main group relative to the control one – 13,5% (14 out of 104), p<0,05. Conclusions: The results of the study indicate the larger ranges of blood pressure variability in patients with essential hypertension complicated with hemorrhagic stroke, which can be caused by impaired autoregulation according to the QTc interval data. In combination with the disturbances of cerebral circulation, caused by the injury of the brain due to the hemorrhagic stroke alone or in combination with mild traumatic brain injury episode, such a situation may lead to the development of recurrent stroke.
AVAILABILITY OF DENTAL SERVICES FOR PEOPLE WITH HEARING IMPAIRMENTS: COMMUNICATION BETWEEN DOCTOR AND PATIENT
Authors: Lytovchenko Vitaly , Lytovchenko Svitlana
Published: October 2021

The article presents modern requirements for the provision of medical care in the context of a socio-cultural approach, in which restrictions are seen as the result of discrimination by society, not the human condition. The concept of "universal design" in all spheres of human life acquires special significance. The deaf community is seen as a linguistic and cultural minority with its own language (sign language) and culture (deaf culture), so it is very important to offer solutions and approaches to establish quality communication between sign language patients and doctors, junior medical staff and thus ensure an inclusive approach. in the field of health care. Given the urgency of the problem, the aim of the article is to analyze the theoretical and clinical aspects of the problem of accessibility of medical (dental) services for patients with severe hearing impairment (sign language) and identify effective methods to meet their special communication needs. Methods of theoretical analysis of literature sources and results of modern research presented in electronic scientific publications included in scientometric databases PubMed, Index Copernicus, Ulrich's Periodicals, Google Scholar, Web of Science, Scopus, Medline, etc .; examination, treatment and counseling of a sign language patient within the framework of surgical preparation for orthopedic prosthetics on the basis of the Department of Surgical Dentistry and Maxillofacial Surgery of NMU named after OO Worshipers. The results of the study give grounds to draw the following conclusions: analysis of professional literature, clinical cases indicate the urgency of the problem of communication of deaf (sign language) patients and dentists, setting benchmarks for reforming the health care system in accordance with modern socio-cultural approaches; the main methods of communication between a dentist and a patient with severe hearing impairment are characterized: through a sign language interpreter; by means of written speech; by using a jotting-algorithm with gestures required during standard dental manipulations; determined that the use of the jotting-algorithm promotes effective communication with sign language patients, taking into account the peculiarities of the dentist and the special communication needs of such patients.
Madrid at the center of the Spanish COVID-19 pandemic: the result of ill-advised political decision-making
Authors:   IIS-Fundación Jiménez Díaz UAM and School of Medicine, UAM, Madrid, Spain, Ortiz Alberto
Published: October 2021

In this issue of the Portuguese Journal of Nephrology and Hypertension, Deira et al report on the epidemiology of coronavirus disease 2019 (COVID-19) in Spanish dialysis units outside the largest cities. This unique viewpoint allows to further trace the spread of the pandemic from Madrid, which became the epicenter of COVID-19 in Spain as a consequence of successive ill-advised political decisions. Deira et al further observed a disconnect between general population infection rates and dialysis unit infection rates in several provinces, pointing to local factors that should be identified and corrected prior to the next pandemic. Although they did not provide specific data on the topic, prior studies from Spain characterized shared healthcare transport to and for dialysis units as a key contributor to infection rates among hemodialysis patients.
Collaborative Instructional Strategies and Attitudes toward Second Language Learning
Authors: Pardo-Tolentino Carolyn F. , Aggabao Rischelle G.
Published: October 2021

This paper examines the effectiveness of using collaborative instructional strategies in teaching second language and presents the attitudes toward using these collaborative strategies among Grade 8 students. To determine the results, the experimental research design was used to test the relationship between the variables. Findings revealed that five collaborative learning strategies namely think-pair-share, jigsaw puzzle, mind mapping, round robin, and send a problem were assessed as satisfactory by the respondents. Though the data show these collaborative strategies received the same assessment, “send a problem” has the highest average mean. With regard to the respondents’ performance in the pretest and posttest, students who belong in the experimental group show a slight increase in scores than those students in the control group. Students from both groups have the same perception in using these collaborative strategies. Thus, the researchers believe that using collaborative instructional strategies help learners understand better the second language.
Translation Strategies in Translating Toer’s Bumi Manusia
Authors: Amos Wedhowerti , Oentari Brigitta Sita , Setiajid Harris Hermansyah , Adji Susilawati Endah Peni
Published: October 2021

Translating Toer’s Bumi Manusia means translating Indonesian culture. As its translator, Lane has to provide English translation which is enjoyable, readable, and acceptable both culturally and linguistically. He solves the problem of non-equivalence by applying translation strategies. This research aims at finding out translation strategies Lane applies in translating Bumi Manusia into This Earth of Mankind. This research is qualitative in nature. There are five translation strategies Lane applies. The five strategies are translation by illustration, translation by cultural substitution, translation by using less expressive word, translation by omission, and translation by using a more general word. The research provides another perspective of how to deal with non-equivalence in translating Indonesian novel into English. In Lane’s case, he acts as a bridge connecting cultural gap between Indonesian and English. He uses English context to make his English translation readable.
Anxiety and Writing Ability of Filipino ESL Learners
Authors: Kabigting Ryan P. , Gumangan Allan S. , Vital Dhonna P. , Villanueva Ella Shiela V. , Mosuela Evelyn S. , Muldong Fernan B. , Pamintuan Katherine P. , Mallari Maramina R. , Sagum Mary Grace L.
Published: October 2021

The study aimed at describing how L2 anxiety of writing affected the Filipino English as Second Language (ESL) learners’ ability in writing. It also showed the anxiety rates, foremost type; then, the learners’ writing ability. Thirty-three grade 10 ESL learners participated in. The utilization of Second Language Writing Anxiety Inventory (SLWAI) which was proposed by Cheng, and a written test as one of the requirements of their subject was done for data collection. 82% of learners marked high anxiety in writing, 18% was moderate anxiety, and none was recorded low anxiety. The leading type of anxiety in writing was cognitive; then the somatic; lastly, the avoidance behavior.  In the writing ability, learners were satisfactorily rated and male and female writing ability did not significantly differ. A negatively low correlated, inverse relationship of SLWAI and performance was found between anxiety in writing and Filipino ESL learners’ ability in writing using a second or foreign language. This implies that the greater the learners were anxious in writing, the lesser the achievement that a learner may have.
Ideological Cynicism: Post-Marxist Analysis of Shakespeare's The Merchant of Venice
Authors: Al-Hilo Mujtaba , Kadhim Basim Jubair
Published: October 2021

The suffering of the Jews in Shakespeare’s time was not ideological in the classical Marxian definition (they do not know it, so they are doing it) but people’s attitudes towards the Jews underwent Zizek’s upgraded understanding, that of ideological cynicism (they know it, yet they are doing it). This new historical reading of Shakespeare’s The Merchant of Venice proposes that anti-Semitism, as a prevailing ideology, is multi-layered, because they do not believe in the Jews as proper sources of harm and threat, but as a minority who are easy to be blamed because of the society’s deteriorating factors. This paper depends on the post-Marxist theories of Slavoj Zizek, who proposes his theories depending on his Hegelian, Marxian, Freudian, and Lacanian readings. This topic is important to be further investigated because the majority of researchers neglect this cynical conditions in the ideology of the text. They take the ideology of the text seriously without looking beyond the borders of the text or intention of the writer. However, historical sources lack sufficient information concerning the cynical attitude of the people of the time towards the dominant ideology. This is reflected in the text. This paper compensated this lack with what is found in Shakespeares text regarding this issue. This paper seeks to find justifications to anti-Semitism ideology in Shakespeares text, which was falsely attached to the play.
The Impact of Using Small Group Discussion Technique on Enhancing Students’ Performance in Speaking Skill: A Case Study of Benghazi University
Authors: Al Jawad Ahmed Sanoussi Himeda , Abosnan Salem Hamed
Published: October 2021

This study aims to investigate the impact of using small group discussion technique on enhancing students’ speaking skill in English language department at Faculty of Arts and Science Kufrah –Benghazi University. The review of relevant literature revealed that previous researchers presented the advantages of small group discussion technique in teaching English around the world. So, the researcher believed that the use of small group discussion technique might promote students’ performance in speaking skill. The review of literature undeniably revealed that large group discussion technique mostly used by EFL lecturers to teach speaking skill were not solid enough. The advantage of the small group discussion technique over the large group discussion technique was investigated by testing the hypotheses and research questions set after conducting the literature review. The quasi-experimental research design as used in this study. English language department at Faculty of Arts and Science Kufrah was chosen for experimental study with 30 students. A teacher- made task was used as an instrument of the study. The results proved that, the mean performance of the students exposed to small group discussion technique is higher than that of those exposed to the large group discussion. Based on the results, recommendations were made on the need to adopt small group discussion to ameliorate students’ performance in speaking skill in Libyan universities.
Dystopian World of Ray Bradbury's Fahrenheit 451
Authors: Gebreen Hayder Ali Kadhim
Published: October 2021

Ray Bradbury explores in his dystopian novel Fahrenheit 451 (henceforth F451), the destructive side of technology and totalitarianism, which can deny individuals of their basic rights. This article gives a critical, contextual analysis of F451(1953) by Ray Bradbury. It investigates the dystopian elements to show how an authoritarian government projected in the novel that blocks mind and awareness. The protagonist of the novel is Guy Montag who takes a key role in revealing the tyrannical system and the potential consequences of disobedience. This article examines the manipulation and control of the state and its ill use of technology and its banning of books to shackle knowledge and mind. However, this article aims to show the effect of autobiographical elements, McCarthyism's censorship and the fear of communism during the postwar era and their effects on writing the novel. It also shows how in this dystopian world, an oppressive government is not successful in controlling all citizens. There are opposing characters whose consciousness is awakened and they are successful to show the failure of the system although they are becoming lonely outsiders by that system. The literature review has paved the way by providing the theoretical basis for the analysis of the novel. Thus, this short study sheds the light on how the totalitarian state affects Montag’s change, but it is demonstrating the dystopian world of the novel.
The Struggles of Attending Introductory English Courses in Bangladeshi Universities
Authors: Md. Akteruzzaman  , Sattar Shaila Binte
Published: October 2021

Considering the recent economic milestone achieved by Bangladesh, a downright reformation has emerged as obligatory which is a sustainable and all-round delivery of English throughout the academic journey of all the learners. Still, students are found struggling with the elementary language skills while attending introductory English courses at the universities. This study, conducted in mixed-mode, recounts the findings based on the data collected from twenty-one universities. Through this investigative work, the researchers have tried to diagnose the reasons behind the struggles faced by the learners and attempt to explain such outcomes from the perspectives of the gaps between policy and practice, attitude towards English, and the state of ELT in Bangladesh. Findings suggest that the issue of maintaining the synergy between separate levels of education is ignored by the stakeholders as well as the policy makers since the policy itself fails to uphold the significance of English as an international language. In addition, faulty application of CLT in the learners’ secondary levels create a fearful image of English in their minds hindering them from conceptualising English as an international language as well as a tool for their future academic success.
Improved Yorùbá Language Option of the Automated Teller Machine using Translation Equivalence Model
Authors: Oyebade, F. O.  , Aranuwa, F.O  , Amos Adéjùmọ̀, J. A
Published: October 2021

The introduction of the Automated Teller Machine (ATM) by financial institutions has changed the face of banking globally, Nigeria inclusive. The mechanism has provided a kind of collective sigh-of-relief to both the bank and their customers, offering convenient, speedy and round the clock services. However, it is not without some inherent challenges as many bank customers who are not proficient in English language found the ATM cumbersome and unfriendly. Attempting to provide solution to these challenges, some banks in Nigeria have developed and introduced the indigenous language version of the Automated Teller Machine options. Yet, user’s response did not reflect the anticipated level of enthusiasm as a result of operational complexities and translation equivalence challenges especially for the Yoruba menu option. In view of this, this work makes an attempt to present an improved translation model introducing Yoruba tone marking to assist those who do not understand the English language, but are monolingual only in Yoruba language to effectively interact with the system. Specifically, an attempt is made to translate the menu option of Automated Teller Machine in conformity with the phonological and morphological processes in Yorùbá, following the natural strategy of lexical expansion in the Yorùbá language itself. Phrases and sentences of translation were conducted, employing equivalent model. The data (content) considered were arranged bearing in mind the principle of relatedness for proper reference and analysis. During translation, the strategies of morphological processes of semantic extension, borrowing, nominalization, indigenization and composition were used. The system framework designed to test the model was found to reflect the anticipated level of user’s enthusiasm. The research work does not only assist those who are not proficient in English language to effectively interact with the system, but also overcomes the challenges of the present design and consequently widens the scope of ATM usage in the interior parts of the country.
ANALISIS DUKUNGAN KELUARGA TERHADAP TINGKAT KEKAMBUHAN ORANG DENGAN GANGGUAN JIWA (ODGJ) DI WILAYAH KERJA PUSKESMAS GENENG KABUPATEN NGAWI
Authors: Ekayamti Endri
Published: October 2021

Gangguan jiwa memerlukan proses yang panjang didalam pemulihan dan penyembuhanya. Proses tersebut memerlukan dukungan yang penuh dari keluarga, karena keluarga adalah tempat yang paling tepat untuk orang dengan gangguan jiwa (ODGJ) belajar berinteraksi setelah mereka keluar dari rumah sakit. Dukungan keluarga yang baik akan membantu mempercepat proses pemulihan dan dapat menjegah terjadinya kekambuhan. Apabila orang dengan gangguan jiwa mengalami kekambuhan hal ini akan memperparah penyakit dan kemungkinan untuk sembuh menjadi lebih sulit. Tujuan penelitian ini untuk menganalisis hubungan antara dukungan keluarga yang meliputi dukungan penilaian, dukungan emosional, dukungan informasional dan dukungan instrumental dengan tingkat kekambuhan pada ODGJ. Populasi dalam penelitian ini adalah keluarga dengan angota keluarga yang mengalami gangguan jiwa yang berada diwilayah kerja Puskesmas Geneng Kabupaten Ngawi dengan jumlah sampel sebesar 80 responden dan tehnik pengambilan sampel dengan purposive sampling. Pengumpulan data menggunakan kuesioner pada setiap variable dan kemudian dilakukan uji statistic dengan chi square. Hasil penelitian didapatkan terdapat hubungan yang bermakna pada dukungan penilaian terhadap  tingkat kekambuhan dengan nilai p=0,001 (p<0,05), dukungan emosional dengan nilai p=0,001 (p<0,05), tidak terdapat hubungan antara dukuangan instrumental terhadap tingkata kekambuhan ODGJ dengan niali p=0,131 (p>0,05), dan terdapat hubungan yang signifikan antara dukuangan informasional terhadap tingkat kekambuhan ODGJ dengan nilai p=0,003 (p<0,05). Kesimpulan hasil penelitian bahwa dukungan keluarga sangat berpengaruh terhadap tingkat kekambuhan pada ODGJ, dimana semakin baik dukungan yang diberukan keluarga tingkat kekambuhan berulang pada ODGJ dapat dihindari
EVALUASI KEJADIAN DAN KLASIFIKASI ULKUS DIABETIKUM MENURUT WAGNER PADA PENDERITA DIABETES MELLITUS
Authors: Nisak Raudhotun
Published: October 2021

Diabetes melitus (DM) merupakan salah satu penyakit kronis yang ditandai adanya hiperglikemia. Hiperglikemia yang terjadi dalam kurun waktu lama dan tidak terkontrol dapat menyebabkan kerusakan sistem vaskuler dan saraf (neuropati) sehingga dapat memicu terjadinya ulkus diabetikum. Evaluasi terhadap ulkus diabetikum penting dilakukan untuk mengetahui derajat ulkus sehingga dapat mengetahui grade ulkus dan menentukan terapi dan tindakan yang sesuai. Klasifikasi ulkus diabetikum berdasarkan klasifikasi Wagner merupakan instrumen yang paling sering digunakan untuk menentukan grade ulkus. Tujuan dari penelitian ini adalah untuk mengevaluasi kejadian dan klasifikasi ulkus diabetikum menurut Wagner pada penderita Diabetes Mellitus. Penelitian ini merupakan penelitian deskriptif dengan pendekatan crossectional dengan populasi penderita DM di Wilayah Kerja Puskesmas Teguhan Kabupaten Ngawi. Jumlah sampel sebanyak 73 responden dengan metode pengambilan accidental sampling dengan instrumen penelitian kuesioner dan lembar observasi. Hasil penelitian ini menunjukkan bahwa jumlah responden yang mengalami ulkus diabetikum yaitu sebanyak 31,5% dengan distribusi pada grade 1 sebanyak 7 responden (30,4%), grade 2 sebanyak 14 responden (60,9%), dan grade 3 sebanyak 2 responden (8,7%). Sedangkan 68,5 % responden tidak mengalami ulkus diabetikum. Kesimpulan penelitian ini bahwa sebagian kecil responden mengalami ulkus diabetikum dengan distribusi terbanyak pada grade 2. Penderita DM perlu meningkatkan pemahaman penderita DM tentang ulkus diabetikum sebagai bentuk komplikasi dari penyaki DM serta cara pencegahan dan penatalaksanaan yang benar.

 

Kata Kunci: ulkus diabetikum, diabetes mellitus, klasifikasi Wagner
PENGARUH PEMBELAJARAN KEPERAWATAN ANAK DENGAN VIDEO FOTOTERAPI TERHADAP TINGKAT PENGETAHUAN
Authors: Widayanti Marcel , Prastyawati Irine Yunila , Natalia Agnes Putri
Published: October 2021

Pembelajaran pada masa pandemi, mayoritas menggunakan metode daring, demikian pula dengan kegiatan pembelajaran praktik dilaboratorium. Salah satu cara yang digunakan sebagai pengganti adalah dengan pembuatan video ketrampilan memasang fototerapi, dengan harapan mahasiswa mendapat gambaran tentang prosedur dari ketrampilan tsb, sehingga mampu mendapatkan hasil belajar yang maksimal, untuk mengingat Kembali video tsb dapat diputar ulang

Desain dalam penelitian ini adalah pra – experiment, dengan populasi mahasiswa semester V Prodi Ilmu Keperawatan STIKES Katolik St.Vincentius a Paulo Surabaya, pengambilan data, menggunakan sampling jenuh, semua mahasiswa digunakan sebagai sampel jumlahnya 35 responden, Variabel bebas dalam penelitian adalah pembelajaran menggunakan video, variable terikat yaitu tingkat pengetahuannya dalam memasang fototerapi. Data dikumpulkan menggunakan kuesioner sebelum dan setelah melihat video.

Hasil dari ASDPP didapatkan sebelum melihat video Sebagian besar (51,43%) hasil belajarnya masuk kategori tingkat pengetahuan cukup, setelah melihat video pembelajaran mayoritas (91,43%) tingkat pengetahuannya adalah baik, dari uji statistic Wilcoxon dengan tingkat signifikan ? = 0.05 dan didapatkan harga p = 0.005 maka p < ? maka H1 diterima , artinya ada pengaruh tingkat pengetahuan mahasiswa sebelum dan setelah pembelajaran menggunakan video memasang fototerapi.

Berdasarkan hasil diatas maka selama pembelajaran daring, sebagai pengganti praktik dilaboratorium dapat menggunakan video untuk membantu mahasiswa belajar mengenai ketrampilan, walaupun tidak diterapkan, sehingga mahasiswa mempunyai gambaran tentang prosedur yang seharusnya dipraktikkan.
EFEKTIVITAS MEDIA FILM PENDEK DALAM MENINGKATKAN SELF-RELIANCE PADA MAHASISWA KEPERAWATAN
Authors: Rohmani Ngatoiatu , Azizah Fajriyati Nur
Published: October 2021

Pendahuluan: Perawat profesional tidak hanya membutuhkan pengetahuan dan keterampilan tetapi juga harus didukung oleh karakteristik pribadi yang baik seperti kemandirian untuk menjamin kenyamanan dan keselamatan pasien. Pendidikan karakter ini dapat diajarkan kepada mahasiswa keperawatan sejak mereka berada di tingkat akademis dengan memanfaatkan teknologi melalui film pendek.  Tujuan: Mengetahui keefektifan media film pendek untuk menumbuhkan perilaku self-reliance pada mahasiswa keperawatan Universitas Jenderal Achmad Yani Yogyakarta. Metode: Penelitian ini merupakan penelitian kuantitatif dengan rancangan pre experimental one grup pretest-posttest. Responden adalah mahasiswa keperawatan semester I sejumlah 38 orang yang diambil melalui teknik simple random sampling. Perlakuan dilakukan dengan memutar film pendek berjudul ASA, 1x sehari selama 2 hari berturut-turut. Data pengetahuan dan perilaku diambil menggunakan kuesioner yang dikembangkan oleh peneliti yang kemudian dianalisis menggunakan uji Wilcoxon dan dependent t-test. Hasil: Hasil penelitian ini menunjukkan adanya perbedaan nilai mean pada variabel pengetahuan dan perilaku sebelum dan setelah intervensi. Berdasarkan hasil uji Wilcoxon mengindikasikan bahawa film pendek ASA efektif untuk meningkatkan pengetahuan mahasiswa (p=0.006). Sedangkan pada variabel perilaku, film pendek ASA belum dinilai efektif untuk meningkatkan perilaku self-reliance mahasiswa keperawatan (p>0.05). Kesimpulan: Pemilihan media pembelajaran yang menarik dan inovatif dapat meningkatkan minat mahasiswa untuk melihat sehingga tujuan dapat tersampaikan dengan baik yang berdampak pada peningkatan pengetahuan mahasiswa
FAKTOR YANG MEMPENGARUHI TINGKAT KEPUASAN MAHASISWA TAHAP PROFESI STASE ANAK STIKES WIRA MEDIKA BALI
Authors: Sari Niken Ayu Merna Eka , Laksmi I Gusti Ayu Putu Satya
Published: October 2021

Pendidikan Ners merupakan lanjutan dari tahap akademik, namun kenyataannya masih banyak mahasiswa yang tidak melanjutkan sampai tahap profesi. Berdasarkan data dari Program Studi Ners STIKes Wira Medika jumlah mahasiswa yang mengikuti tahap profesi tahun 2015 sejumlah 242 dari total 245 mahasiswa, tahun 2016 sejulah 217 dari otal 221 dan tahun 2017 sejumlah 172 dari total 175 mahasiswa. Berbagai factor yang mempengaruhi hal tersebut salah satunya adalah pelayanan akademik. Pelayanan akademik yang berkualitas akan memberikan dorongan bagi mahasiswa untuk menjalin ikatan yang saling menguntungkan dalam jangka panjang. Tujuan Penelitian: menganalisa factor apa saja yang berpengaruh terhadap tingkat kepuasan mahasiswa tahap profesi stase anak. Metode: Penelitian ini merupakan jenis penelitian kuantitatif yang menggunakan desain penelitian deskriptif. Hasil: uji chi Square menunjukkan nilai p value 0,000 pada ke empat faktor yang mempengaruhi kepuasan mahasiswa sehingga dapat dinyatakan bahwa terdapat hubungan yang signifikan antara kemampuan komunikasi CT, kemampuan interpersonal CT, kemampuan professional CT dan perilaku mengajar CT terhadap tingkat kepuasaan mahasiswa. Simpulan: kemampuan komunikasi CT, kemampuan interpersonal CT, kemampuan professional CT dan perilaku mengajar CT sangat berpengaruh terhadap tingkat kepuasaan mahasiswa.
PENGARUH SENAM TAI CHI TERHADAP PENINGKATAN KESEIMBANGAN DINAMIS PADA LANJUT USIA
Authors: Swandari Atik , Rahayu Putri Sukma , Qoriapsari Alya
Published: October 2021

Introduction: Many elderly people experience a decrease in dynamic balance, a condition which increases the risk of falling.  Tai chi is a renowned exercise that can improve the dynamic balance in elderly people. Purpose of the study: In order to prove the effect of Tai chi on the increase of dynamic balance in the elderly. Methods of the study: One group pretest posttest design with 23 subjects of elderly people aged 60-75 years old and given Tai chi twice a week for 30 minutes within one month (8 times). Measurement: Functional Reach Test (FRT) and Time Up and Go Test (TUG). Analysis: Normality test by Saphiro Wilk as well as pretest-posttest different test with paired T-test. Result: Based on the analysis of normality test by Saphiro Wilk on the pretest and posttest, the obtained result is p>0.05 which means the data is normally distributed. In the meantime, the analysis of pretest-posttest difference test with paired T-test results in dynamic balance value before and after Tai chi as much as p<0.05 (p=0.000); and, it also generates the dynamic balance value before and after Tai chi with TUG as much as p<0.05 (p=0.000). This means there is a significant difference between before and after the treatment when measured by Functional Reach Test (FRT) and Time Up and Go Test (TUG). Conclusion: Tai chi improves the dynamic balance in the elderly.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETERLAMBATAN PENANGANAN KANKER PAYUDARA STADIUM III &IV DI POLIKLINIK ONKOLOGI RSUD PROVINSI NTB 2018
Authors: Mulianingsih Misroh , Ilham Ilham , Hadi Irwan , Yusron Meyka Aris , Zuliardi Zuliardi , Citta P Dwitya , Hayana Hayana
Published: October 2021

ABSTRACT The breast is the most common organ for cancer in women. This study aims to determine the factors associated with managing treatment delays in patients with breast cancer stage III & IV at the NTB Provincial Hospital in 2018. The study design was a retrospective correlational analysis with a sample size of 35 people. They conducted at the Oncology Polyclinic of the NTB Provincial Hospital in January 2019 by using a questionnaire. Based on the study results, know that delays occurred in respondents with elementary education as many as 11 (31.4%) with 21 (60%) socio-economic incapacity criteria. Respondents who had sufficient psychology were 29 (82.8). Respondents who received referrals ? 30 days from the examination were 18 (51.4%), and respondents who received a diagnosis of ? 30 days were 25 (71.4%). Respondents who received referrals ? 30 days from the examination were 21 (60%), respondents who received first chemotherapy ? 20 days from diagnosis were 29 (82.9%), and respondents who received time ranges from first chemotherapy to second chemotherapy ? 30 days were 26 ( 74.3%). Recommendations that can give are to do socialization/counselling to the public about this breast cancer.
PENGARUH STIMULASI SOMATOSENSORIK PADA KAKI TERHADAP PERUBAHAN KESEIMBANGAN DINAMIS LANSIA
Authors: Abdullah Khabib , Ardi Yasin Galih , Tsabita Jihan
Published: October 2021

Pendahuluan : Stimulasi somatosensorik pada kaki adalah salah satu metode untuk meningkatkan keseimbangan. Dari penelitian terdahulu, stimulasi tersebut mampu meningkatkan keseimbangan dinamis pada pasien diabetes melitus. Sampai saat ini belum diteliti pengaruh stimulasi somatosensorik pada kaki terhadap perubahan keseimbangan dinamis pada lansia. Tujuan: Untuk mengetahui pengaruh stimulasi somatosensorik pada kaki dalam meningkatkan keseimbangan dinamis pada lansia. Metode: Penelitian quasy eksperimental, sampel 20 lansia usia 60-68 (63,9±2,1 tahun)dibagi secara acak 2 kelompok (kelompok 1/perlakuan dan kelompok 2/kontrol). Stimulasi somatosensorik diberikan pada kaki lansia selama 30 menit, setiap hari selama 6 hari. Pengukuran keseimbangan dinamis (dengan timed up and go test/TUG dalam satuan detik), dilakukan pada pra dan paska perlakuan. Uji statistik menggunakan uji t berpasangan dan uji Wilcoxon. Hasil: Kelompok perlakuan, TUG berbeda bermakna p=0,02 (12,9±0,9 menjadi 11,1±1,3 detik), sedangkan kelompok kontrol, TUG tidak berbeda bermakna p=0,317 (12,4±1,5 menjadi 12,3±1,6 detik). Kesimpulan: Stimulasi somatosensorik pada kaki meningkatkan keseimbangan dinamis pada lansia. Stimulasi ini akan meningkatkan input taktil telapak kaki dan proprioseptif sendi-sendi kaki yang berdampak pada kewaspadaan gerak yang meningkat saat berjalan. Beberapa gerakan pada stimulasi ini dapat dilakukan secara mandiri oleh lansia dan beberapa gerakan harus dikerjakan oleh fisioterapis, sehingga pelaksanaan diluar penelitian harus menyesuaikan