bluuebunny/crossref_metadata_2025 huggingface dataset:
The Canadian Partnership Against Cancer Rectal Cancer Project: Protocol for a Pan-Canadian, Multidisciplinary Quality Improvement Initiative to Optimize the Quality of Rectal Cancer Care
Authors: Pooni Amandeep , Schmocker Selina , Brown Carl , MacLean Anthony , Williams Lara , Baxter Nancy N , Simunovic Marko , Liberman Alexander Sender , Drolet Sebastien , Neumann Katerina , Jhaveri Kartik , Kirsch Richard , Kennedy Erin Diane
Published: January 2020

Background

Over the last 2 decades, the use of multimodal strategies, including total mesorectal excision (TME) surgery, preoperative chemotherapy, multidisciplinary case conference, pelvic magnetic resonance imaging, and pathologic assessment using Quirke method, has led to significant improvements in oncologic outcomes for patients with rectal cancer. Although the literature supports claims on the effectiveness of these multimodal strategies, the uptake of these multimodal strategies varies considerably among centers, suggesting that the best evidence is not always implemented into clinical practice.

Objective

This study aims to perform a quality improvement initiative to (1) identify existing gaps in care for these multimodal strategies and (2) implement knowledge translation (KT) interventions to close these gaps to optimize quality of care for patients with rectal cancer across high-volume centers in Canada.

Methods

Process indicators for the selected multimodal strategies to optimize rectal cancer care will be selected and prospectively collected for all patients with stages 1 to 3 rectal cancer undergoing TME surgery. KT interventions, including audit and feedback, opinion leaders, and community of practice, will be implemented to increase the uptake of these clinical strategies.

Results

The uptake of the process indicators over time and the effect of the uptake of the process indicators on short- and long-term oncologic outcomes will be evaluated for each multimodal strategy.

Conclusions

This quality improvement initiative will identify existing gaps in care for the selected multimodal strategies and implement KT interventions to close these gaps. The results of this study will inform further efforts to optimize rectal cancer care.

International Registered Report Identifier (IRRID)

DERR1-10.2196/15535
Preoperative Fasting Practices Across Three Anesthesia Societies: Survey of Practitioners
Authors: Merchant Richard Neville , Chima Navraj , Ljungqvist Olle , Kok Juliana Nai Jia
Published: January 2020

Background

Pulmonary aspiration of gastric contents is recognized as a complication of anesthesia. To minimize that risk, anesthesiologists advised fasting for solid foods and liquids for an often prolonged period of time. However, 30 years ago, evidence was promulgated that fasting for clear liquids was unnecessary to ensure an empty stomach. Despite a strong evidence base and the knowledge that fasting may be physiologically harmful and unpleasant for patients, the adoption of society guidelines recommending short fasting periods for clear fluids into clinical practice is uncertain.

Objective

This study aimed to determine the current practices of anesthetists with respect to fasting guidelines.

Methods

An electronic internet survey was distributed to anesthetists in Canada (CAN), Australia and New Zealand (ANZ), and Europe (EUR) during April 2014 to February 2015. The anesthetists were asked about fasting guidelines, their recommendations to patients for the consumption of clear fluids and solid foods, and the reasons and consequences if these guidelines were not followed.

Results

A total of 971 anesthetists completed the survey (CAN, n=679; ANZ, n=185; and EUR, n=107). Although 85.0% (818/962) of these participants claimed that their advice to patients followed current society guidelines, approximately 50.4% (476/945) enforced strict fasting and did not allow clear fluids after midnight. The primary reasons given were with regard to problems with a variable operating room schedule (255/476, 53.6%) and safety issues surrounding the implementation of clear fluid drinking guidelines (182/476, 38.2%).

Conclusions

Many anesthetists continue to follow outdated practices. The current interest in further liberalizing preoperative fluid intake will require more change in anesthesia culture.
Effects of Bluetooth-Enabled Desk Ellipticals on Office Work Performance: Rationale, Design, and Protocol for a Randomized Trial With Overweight and Obese Adults
Authors: Rovniak Liza S , Adams Marc A , Sciamanna Christopher N , Kong Lan , Sullivan Nicole , Costalas Sara , Bopp Melissa , Kuzmik Ashley
Published: January 2020

Background

Workplaces that provide opportunities for physical activity without requiring extra time for activity could help counteract the obesity epidemic. Desk ellipticals can contribute to activity-supportive workplace environments; however, the feasibility of engaging employees in pedaling ellipticals during simultaneous office work has not been well evaluated.

Objective

We aim to present the rationale and methods from an ongoing randomized trial with overweight and obese employees that will evaluate (1) the effects of pedaling a compact desk elliptical on work performance and (2) the influence of different incentive types and schedules on desk pedaling quantity.

Methods

Overweight and obese medical center employees are being recruited in dyads for a 2 (gift card type: healthier food vs Amazon) by 3 (gift card schedule: immediate incentive contingent on individual pedaling quantity; immediate incentive partially contingent on dyads’ joint pedaling quantity; and delayed noncontingent pedaling incentive) cluster randomized within-subjects factorial trial. All participants receive a Bluetooth-enabled desk elliptical for 4 weeks and access to a mobile app that provides real-time pedaling feedback. The primary aims are to assess (1) change in employee work performance from pre- to postelliptical installation via employee and supervisor ratings and (2) effects of gift card type and schedule on quantity of objectively measured desk pedaling completed.

Results

Data collection is ongoing. We expect to complete main outcome analyses in 2020.

Conclusions

This trial represents one of the earliest attempts to assess the effects of desk pedaling and pedaling-incentive types in real-world offices. It could help bridge the research-to-practice gap by providing evidence on whether desk pedaling can be sustained without compromising work performance.

International Registered Report Identifier (IRRID)

DERR1-10.2196/16275
MyStrengths, a Strengths-Focused Mobile Health Tool: Participatory Design and Development (Preprint)
Authors: Jessen Stian , Mirkovic Jelena , Nes Lise Solberg
Published: January 2020

BACKGROUND

People living with chronic illnesses are an increasingly large group. Research indicates that care and self-management should not only focus on the illness and problem-oriented aspects of these individuals’ lives but also support them in recognizing and leveraging their personal strengths in daily life.

OBJECTIVE

This paper presents the design and developmental process of MyStrengths, a mobile health (mHealth) app designed to help its users (people with chronic conditions) both find and make use of their personal strengths in their daily lives. Through 4 consecutive phases, this paper presents participant- and researcher-driven activities, discussions regarding design, and development of both the MyStrengths app and its content.

METHODS

During the 4 phases, we used a range of methods and activities, including (1) an idea-generating workshop aimed at creating ideas for strengths-supporting features with different stakeholders, including patients, caregivers, relatives, and designers (N=35); (2) research seminars with an international group of experts (N=6), in which the concept, theoretical background, and design ideas for the app were discussed; (3) a series of co-design workshops with people in the user group (N=22) aiming to create ideas for how to, in an engaging manner, design the app; and (4) in 4 developmental iterations, the app was evaluated by people in the user group (N=13). Content and strengths exercises were worked on and honed by the research team, the expert groups, and our internal editorial team during the entire developmental process.

RESULTS

The first phase found a wide range of stakeholder requirements to, and ideas for, strengths-focused mHealth apps. From reviewing literature during the second phase, we found a dearth of research on personal strengths with respect to people living with chronic illnesses. Activities during the third phase creatively provided numerous ideas and suggestions for engaging and gameful ways to develop and design the MyStrengths app. The final phase saw the output from all the earlier phases come together. Through multiple increasingly complete iterations of user evaluations testing and developing, the final prototype of the MyStrengths app was created.

CONCLUSIONS

Although research supports the use of strengths-focused mHealth tools to support people living with chronic illnesses, there is little guidance as to how these tools and their content should be designed. Through all activities, we found great support among participating users for strengths-focused apps, and we can consider such apps to be both appropriate and valuable. This paper illustrates how combining a range of user-, researcher-, literature-, and designer-based methods can contribute to creating mHealth tools to support people with chronic illnesses to find and use more of their own personal strengths.
The Representation of Sasak Society in the Text “Gugur Mayang”
Authors: HD Dharma Satrya , Muttaqin Zainul
Published: January 2020

This study examines the representation of Sasak society in the text “Gugur Mayang”. It aims to semiotically explain the significance and communication of the text in Sasak culture by applying Paul Ricoeur’s interpretation method. Analysis shows that the “Gugur Mayang” text represents Sasak society while highlighting the sadness, tragedy, and grief of a life that is full of danger and pain. By interpreting the text within sociocultural, spiritual, and literary context, the researchers have been able to obtain a transcendental (rather than empirical) understanding of Sasak society.
Postcolonial Discourse in Coogler’s Black Panther: A Multimodal Critical Discourse Analysis
Authors: Tallapessy Albert , Wahyuningsih Indah , Anjasari Riska Ayu
Published: January 2020

This article deals with the investigation of the existence of postcolonial discourse in Coogler’s Black Panther (2018). The study aims to reveal and examine the existence of social issues related to Bhabha’s notion of postcolonialism represented through visual and linguistic elements in the movie. Fairclough’s (1989,2001, 2010) Critical Discourse Analysis, Kress and van Leeuwen’s (2006) Reading Images, Halliday’s Systemic Functional Linguistics (2004) and Bhabha’s (1994) Postcolonialism are used to conduct this research. The result of the study shows that postcolonial discourse is proved represented in the movie. The findings imply that the post colonialism affects the characters in term of how they see and reflect themselves towards the dominance. They are also identified as possessing hybrid identity, ambivalence, and mimicry. It seems that the result of the research opposes the director’s intention to bring the theme of the movie. Theoretically, it is proved that the social irregularities representing black supremacy and exploitation of the citizen of Africa, Wakanda, is depicted in the movie. Empirically, the existence of nondemocratic social practices in black citizens is also seen in the movie.
The Great War in Poland-Lithuania from A Jewish Perspective: Modernization and Orientalization
Authors: Arndt Martin Ernst Rudolf
Published: January 2020

The article presents views of Eastern Judaism, especially in Lithuania, in the Jewish press around the Great War. It is based on a close research of journals, newspapers and book-publications written in the German language. It evidences the global implications of the Great War due, among others, to forced and voluntary migrations that involved cultural encounters, confrontations and challenges. The Other, signifying a collective excluded from the social whole, in those days perceived in the Eastern Jew, meant an embarrassment to the Western Jews (Albanis: 30) and served the function of constructing self-identity, involving them in conflicts or making them develop a dual allegiance (Moshe Gresser; Albanis). Should Jews, if they were to become proper Europeans, not decisively shed their Asian being and carriage and thus de-orientalize themselves? The paper also demonstrates that this historical phase of Jewish history, as it deeply involves the problem of secularization, is connected to intricate problems of identity. It can also illustrate a certain openness and fluidity of identitarian possibilities. The issues involved have a clear relevance for contemporary societies, centred around the question if modernity requires minorities to surrender their particularism, or if is there a suble dialectic between universalism and particularism. Implicitly the core issue also raises the question of a common history of Islam and Judaism and the current problem if antisemitism, as targeted at the Eastern Jews, is comparable to contemporary Islamophobia.
Confronting Cultural Barriers in Public Speaking through Multiple Learning Strategies: A Case of Indonesian EFL Learners
Authors: Mbato Concilianus Laos
Published: January 2020

Cultural barriers, anxiety and lack of English competence may lead to EFL students’ failures in public peaking. Conducive learning environments, right coaching and learning strategies are likely to increase the possibility of students’ success. This research aimed to investigate whether the implementation of multiple learning strategies empowered Indonesian EFL students’ public speaking skills. 56 students enrolled in three public speaking classes of Sanata Dharma University, Yogyakarta in the academic year 2017-2018 participated in the research. One overriding research question was postulated, i.e., to what extent does the implementation of multiple learning strategies empower students’ public speaking skills? To answer the question, classroom mixed-methods research was employed where students filled out four different questionnaires and submitted focus group discussion (FGD) results at the end of the semester. Quantitative and qualitative data analyses indicated that students had very high perceptions about the use of and the combinations of reflections, peer-, teacher-, and self-assessments, independent learning plans and activities. They believed that multiple learning strategies implemented in the Public Speaking Class enabled them to be independent, responsible, and better learners. They also acknowledged becoming more confident and better public speakers. This study contributes to the body of knowledge in public speaking in two important ways. First, learning to speak in public for non-native speakers of English should begin with raising their awareness about cultural barriers that might inhibit the development of the necessary skills in public speaking. Second, teaching public speaking to EFL students requires the adoption of multiple learning strategies including strategies to confront imminent cultural barriers. This research, therefore, urges public speaking trainers and teachers in EFL settings to include intercultural understanding and multiple learning strategies in their public speaking classes in order to empower students’ public speaking skills
Effect of freeze-drying process of collagen-activated platelet-rich plasma on transforming growth factor-β1 level
Authors: Murdiastuti Kwartarini , Yuniawati Fitri , Herawati Dahlia , Purwanti Nunuk , Oktarina Dyah Ayu Mira
Published: January 2020

Periodontal tissue damage requires regenerative material to repair the damage. Platelet-rich plasma (PRP) is known as a regenerative material from blood which contains high level of growth factor that plays a role in wound healing and tissue remodeling. However PRP has a weakness, i.e. it is too watery so it is easily dissolved in the oral cavity, and should be used immediately after preparation. Therefore PRP storage method is needed to increase the benefits of PRP. The addition of collagen to PRP serves as a scaffold as well as an activator that stimulates the release of growth factors. One method of storing PRP is by freeze-drying process. The purpose of this study was to analyze the effect of freeze-drying process of collagen-activated PRP (PRP+C) on transforming growth factor-β1 (TGF-β1) levels. Transforming growth factor-β1 is a cytokine content in PRP, that plays a role in bone remodeling and is an important stimulator for osteoblast formation, causing chemotaxis, osteoblast proliferation and differentiation. In this study, PRP was produced from peripheral blood probandus. Platelet-rich plasma was then activated with collagen (PRP+C), and divided into two groups: freeze-dried PRP collagen (FD PRP+C); and non freeze-dried PRP+collagen (PRP+C). Transforming growth factor-β1 levels were measured using the ELISA method, followed by independent t-test. The TGF-B1 level of FD PRP+C group was significantly higher than PRP+C group (p<0.05). From this study it can be concluded that freeze-dried collagen-activated PRP has an effect to increase TGF-β1 level.
Quality of dental care services and satisfaction of patients visiting dental treatment center of Kahuripan public health center, Tawang sub district, Tasikmalaya city
Authors: Anang Anang , Haryanti Fitri , Meliala Andreasta Meliala
Published: January 2020

Patients, especially those who use health insurance have felt that the quality of primary care services tends to be less satisfying in terms of both public services and dental care services. Based on the results of the annual report at the Kahuripan Health Center, the number of patient visits to BPG decreased from 2016 to 2017 by 802 people. This study aimed to determine the quality of dental care services and the satisfaction of patients visiting BPG Kahuripan Health Center. This case study used a qualitative method and an explanatory research design. The sample in this study consisted of 40 patients as the respondents responding to the questionnaires about service quality and patient satisfaction, and 12 people were interviewed. The results showed that all dimensions of the quality of dental care services at the Kahuripan Health Center were categorized as very good i.e. real dimensions (82.71%), reliability (83.21%), responsiveness (87.12%), assurance (84.93%), and empathy (83.54%). As for patient satisfaction, three stages of patient satisfaction were categorized as very satisfied, namely the anamnesis and diagnosis stage (83.02%), action (83%), and completion of action (82.62%). The stages categorized as satisfying were the registration and waiting room stage (78.87%), and the stage of preparation of treatment (72.50%). The result of interview showed that the average respondents stated that the quality of dental care services was very good. All the five dimensions of the quality of dental care services were categorized as very good. Patients who visited BPG expressed satisfaction with the five stages, namely they were very satisfied with the three stages and satisfied with the other two stages.
BODY MASS INDEX AND MOTOR COORDINATION OF BOYS AND GIRLS AGED 7 TO 9
Authors: Batez Maja , Milošević Živan , Simić Marijana , Obradović Jelena
Published: January 2020

The aim of this paper is to examine the differences in the overall level of motor coordination between groups of children with different nutritional status. In total, 418 participants of both sexes, aged 7-9, took part in the study. The participants were classified based on their nutritional status into one of four groups: underweight, normal weight, overweight, and obese, according to the International Obesity Task Force. The motor coordination of the participants was assessed using the KTK (Körpercoordination test für Kinder) battery of tests and total point scores were calculated for each age category. The Kruskal-Wallis test was used to examine the differences in the overall motor coordination between groups of participants. Statistical significance was set at the p≤.05 level. The results revealed statistically significant differences in the overall level of motor coordination between all the examined groups of boys with different nutritional status aged 7, 8 and 9. The results of the Mann-Whitney test showed statistically significant differences between all three age groups of boys (7-, 8- and 9-year-olds) in favor of the normal weight groups. The Kruskal-Wallis test revealed no statistically significant differences in the case of the girls. The results of the Mann-Whitney test revealed statistically significant differences between all three age groups of girls (7-, 8- and 9-year-olds) in favor of the normal weight groups. The obtained results showed statistically significantly poorer motor coordination in boys and girls with higher values of body mass index compared to boys and girls with normal body weight across all age groups.
QUANTITATIVE ANALYSIS OF THE RESULTS OBTAINED BY THE FUNCTIONAL TESTING WITH THE SWAYTM BALANCE APPLICATION IN RELATION TO NORMS FOR APPROPRIATE GENDER AND AGE
Authors: Nedović Nenad , Adamović Milosav , Sretenović Ivana
Published: January 2020

The Balance Error Scoring System (BESS) is a common balance test relying on assessment tools such as the SwayTM Balance application for IOS mobile, encompassing the tri-axial accelerometers and movement sensors to measure bodily sway. Given that age and gender are important factors when using this methodology, suitable normative score sets were determined. The main aim of this study was a quantitative analysis of the ability of healthy, 21-year-old participants of both genders to maintain postural balance using the aforementioned normative values. The postural balance scoring was done by the co-application of the modified BESS test and SwayTM Balance software during a protocol organized in three-week double-scoring sessions. In order to assess the participants’ age- and gender-dependent abilities, the average balance score medians were contextualized with the appropriate normative values. All of the participants showed average results, with scores ameliorating during the procedure, and the female participants showed generally better results than the males. Focusing solely on the first-session scores revealed, however, that men had scored at the low average cut-off point, while women scored below average age- and sex-dependent cut-off points. However, in the last session both genders scored deeply within the average. This study showed average abilities of the studied participants according to the normative values, as well as a generally better performance of the women compared to the men, but it has also pointed out that, due to subject adaptation, the chosen combination of protocol and technology is of limited usefulness for balance assessment in the general population, indicating the need for protocol adjustments in future studies.
CORRIGENDUM
Authors: Team Editorial
Published: January 2020

The Editor-in-Chief has been informed that in the article ‘The effects of different shooting programs on handgun accuracy’, FACTA UNIVERSITATIS, Series Physical Education and Sport Vol. 16, No 2, 2018, pp. 463-476, DOI: https://doi.org/10.22190/FUPES170116041V, , the wrong text of Acknowledgements has been published. After further discussion with the corresponding author, the Editor-in-Chief has decided to publish a corrigendum for this article.The correct text of  Acknowledgements reads:Acknowledgements: This study was conducted under the project “Effects of applied physical activity on locomotor, metabolic, psycho-social and educational status of the population of the Republic of Serbia” No. III47015, funded by the Ministry of Science and Technology of the Republic of Serbia – The 2011-2019 cycle of scientific projects.Link to the corrected article - https://doi.org/10.22190/FUPES170116041V
STEADY STATE CONDITION PREDICTION OF ECONOMIC GROWTH IN EAST JAVA REGION
Authors: Sutikno Sutikno
Published: January 2020

The quality of development of a country or region is not only seen from the high level of economic growth, but also the higher level of economic growth produced by people in a country or region. One of the economic development debates in East Java in the last few decades is the imbalance of development between regions. This article focuses its analysis on the value of "stable conditions" districts / cities in East Java in reducing income disparity between regions. The analysis in this study is a convergence analysis conducted in East Java Province using a conditional convergence test with observations of all districts and cities in East Java. Variable interest is income per capita. Variable gross fixed investment, net exports, labor force, capital expenditure, human development index. The success variable is the average economic growth in 2010-2018. Whereas the theory underlying all these variables is the Solow-Swan classical economic growth model. The convergence speed results explain the convergence speed in East Java Province by 4.8 percent. Regarding income per capita in developing countries which must grow at least 4.8 percent per year for the Java economy to reach a stable point. The amount of time needed to cover half of the initial period (half-life of convergence) is 6.2 years
Cuestionario de Riesgo de Autolesión (CRA): propiedades psicométricas y resultados en una muestra de adolescentes
Authors: Solis Espinoza Modesto , Gómez-Peresmitré Gilda
Published: January 2020

La autolesión tiene una alta frecuencia en adolescentes, por lo que son necesarios instrumentos adecuados para su medición y acciones preventivas. El objetivo de este estudio fue elaborar un instrumento válido y confiable que explorara la presencia de autolesión y aspectos muy poco abordados, como dificultad para dejar de lesionarse y el factor de riesgo denominado contagio social. De una muestra total (N = 629) no probabilística se obtuvo una muestra con distribución normal con N = 241 estudiantes de secundarias públicas del sur de la Ciudad de México, 89 hombres y 152 mujeres, con M = 12.37 años (DE = 2.28) y rango de 11-15 años. Los ítems del instrumento se elaboraron con base en la literatura y se sometieron a procedimientos de validación de contenido (evaluación de expertos), laboratorios cognoscitivos (para asegurar comprensión/significado de los ítems), validez de constructo, análisis factorial exploratorio (AFE) y confirmatorio (AFC), y consistencia interna (coeficientes alpha y omega). El AFC proyectó un modelo con tres factores (frecuencia, efecto adictivo y contagio social) con índices de bondad de ajuste adecuados y consistencia interna aceptable (alpha y omega = 0.94). Los resultados indican que el cuestionario es útil para evaluar aspectos relevantes de la autolesión; se discute la necesidad de complementar la información con entrevistas y de ahondar en el contagio social y la intención de autolesionarse.
Ansiedad, depresión y actividad autónoma en estudiantes de enfermería, en el estado de Guanajuato, México
Authors: Ruvalcaba Palacios Gerardo , Galván Guerra Andrea , Ávila Sansores Grever María , Gómez Aguila Patricia Isolina del Socorro
Published: January 2020

Nuestro objetivo fue estudiar las relaciones entre actividad autonómica, ansiedad y depresión de estudiantes de enfermería, siguiendo un diseño correlacional y un muestreo intencional; se aplicaron los inventarios de ansiedad y depresión de Beck, así como el perfil psicofisiológico del estrés. Fueron incluidas 133 personas de primero, tercero y quinto semestre de una universidad de Guanajuato, México. El índice promedio de ansiedad fue de 23.17 (nivel moderado). La media de depresión fue de 7.9 (nivel mínimo). No se encontraron relaciones significativas entre ansiedad y depresión (rs = 0.077, p = 0.380), ni entre estas emociones y el nivel de actividad autonómica (p = 0.05). En el perfil psicofisiológico se encontraron correlaciones entre los índices obtenidos en la primera condición y los de la última (rs = 0.844, p < 0.05). La ansiedad y la depresión son muy prevalentes, pero son necesarios más estudios para clarificar las relaciones que hay entre ellos y la actividad autonómica de estudiantes universitarios.
El Mindfulness y ansiedad en pacientes con obesidad mórbida
Authors: Tovar Garza Erin Yaqueline , Orozco Ramírez Luz Adriana , Ybarra Sagarduy José Luis
Published: January 2020

El deterioro en la salud y discriminación consecuentes a la obesidad contribuyen a que aparezcan trastornos de ansiedad. Una técnica que ha mostrado su efectividad en la ansiedad es el Mindfulness, la cual consiste en la aceptación de emociones, cogniciones y sensaciones, mas no su modificación. El propósito del presente estudio es explorar las asociaciones entre las facetas de mindfulness y las dimensiones de la ansiedad en población adulta con obesidad mórbida. Es un estudio exploratorio ex post facto retrospectivo de un grupo con múltiples medidas. La muestra fue no probabilística por cuota, con siete pacientes de una clínica de obesidad en Ciudad Victoria. Los resultados mostraron una importante correlación negativa entre la faceta de mindfulness no reactividad ante las experiencias y la respuesta de ansiedad motora, al igual con las situaciones ansiógenas de evaluación, interpersonal y de la vida cotidiana. Estos datos sugieren que en intervenciones basadas en mindfulnees para pacientes con obesidad sea importante considerar estrategias del control de la no reactividad y la ansiedad.
Corrupción en el ámbito policial. Significados construidos por policías preventivos de México
Authors: Yam-Chalé Hugo Alberto , Clairgue Caisero Erika Nayeli
Published: January 2020

La corrupción es un fenómeno complejo presente en las corporaciones policiales. Los mexicanos califican a sus policías preventivos como corruptos (INEGI, 2018), y la posición de México en la escala internacional de corrupción es de las peores (Transparency International, 2018). Estos datos no consideran las percepciones de los policías. El objetivo de este estudio fue identificar desde el construccionismo social, los significados que los policías preventivos de México construyen en torno a la corrupción policial. El estudio fue cualitativo de tipo fenomenológico; para la recolección de datos se realizaron grupos focales con policías de Tijuana y de la Ciudad de México; y entrevistas semiestructuradas a policías de Mérida. De acuerdo con las narrativas la corrupción ocurre en dos ámbitos: (1) dentro de la institución policial, por el influyentismo y los arrestos disciplinares arbitrarios; y (2) en la interacción policías-ciudadanía, debido a la normalización, la racionalización, y los salarios bajos. Se perciben efectos de la corrupción como insuficiencia de personal, equipamiento deficiente y problemas económicos. Los significados que los policías construyen en torno a la corrupción favorecen al mantenimiento de esta práctica; aunque no son el único factor, resulta importante comprenderlos con el fin de deconstruirlos y favorecer a su disminución.
Presentación del Volumen 6 Número 1
Authors: Becerra Ramírez J. Jesús , Quezada Mirna Elizabeth
Published: January 2020

El nombre del presente número es “La investigación para la acción y el cambio social”, decidimos titularlo de esa manera porque consideramos de fundamental interés destacar la importancia que ha adquirido el trabajo científico desarrollado por los profesionales de distintas disciplinas para favorecer a la población que atienden respectivamente, pues en los trabajos presentados se muestra una excelente articulación entre la teoría y la práctica, poniendo en evidencia que se parte de una concepción social y científica, holística, pluralista e igualitaria.
POTENSI VEGETASI HUTAN KOTA DALAM REDUKSI EMISI KARBONDIOKSIDA (CO2) DI KOTA JAMBI
Authors: Handika Rizki Andre , FITRADA WATHRI , RODHIYAH ZULI
Published: January 2020

Abstrak, Hutan kota adalah salah satu ruang terbuka hijau masyarakat yang mengontrol pencemaran atmosfer, air dan tanah Karbon dioksida (CO2) merupakan suatu substansi yang paling utama dari gas-gas rumah kaca dimana peningkatannya dapat terjadi dikarenakan penggunaan bahan bakar dan gas yang dapat menyebabkan berbagai penyakit seperti infeksi-infeksi saluran pernapasan bagian atas, sakit di bagian hati, kanker dan lain sebagainya. Oleh karena itu, merupakan hal yang penting untuk mengurangi emisi-emisi CO2 yang salah satunya dapat dilakukan melalui pemanfaatan ruang terbuka hijau publik, khususnya adalah hutan kota. Kota Jambi sebagai sebuah kota besar di Indonesia tentunya memiliki potensi emisi CO2 yang juga besar. Tujuan dari riset ini adalah untuk memprediksi potensi dari vegetasi pohon di hutan kota yang dimiliki oleh Kota Jambi dalam mengurangi emisi gas CO2. Riset ini dilakukan di tiga lokasi: hutan kota Bagan Pete, hutan kota Muhammad Sabki, dan hutan pinus Kenali. Analisis vegetasi dilakukan dengan metode kuadran dimana plot observasi pada 10 x 10 m dilakukan untuk mendapatkan area basal secara acak. Pada setiap lokasi kemudian dideterminasi potensi pengurangan emisi CO2 masing-masing. Area basal dari vegetasi pohon-pohon di tiap lokasi didapatkan seluas 72,72 m2/Ha untuk hutan kota bagan Pete, 25,45 m2/Ha pada hutan kota Muhammad Sabki, dan 5,12 m2/Ha untuk hutan pinus Kenali. Sedangkan pengurangan CO2 dari vegetasi pohon di hutan kota pada tiap lokasi secara berurutan adalah 41.386 Ton/Ha/Tahun, 14.482,93 Ton/Ha/Tahun, 2.916,94 Tons/Ha/Tahun. Berdasarkan penelitian ini, hutan kota Bagan Pete memiliki potensi tertinggi dari ketiga hutan kota yang dimiliki oleh kota Jambi, dan total pengurangan emisi karbon dioksida di kota Jambi dari keberadaan hutan-hutan kota yang ada adalah sebesar 58.785,87 Ton/Ha/Tahun.
Definição de termos utilizados no portal do Sistema Nacional de Juventude
Authors: Oliveira Frederico Ramos , Torres Schiessl Ingrid , Da Veiga de Mêneses Raíssada Veiga de Mêneses , Crisafulli Rodrigues Ricardo , Aracain Riccetto Pedro Henrique
Published: January 2020

Apresenta os procedimentos metodológicos para definição de termos relacionados à juventude adotados dentro do portal de informações do Sistema Nacional de Juventude (Sinajuve). Em um primeiro momento, deu-se a seleção e classificação dos termos, por meio da consulta à literatura nacional e internacional sobre adolescência e juventude e de sistemas de classificação, como a Classificação Decimal Universal (CDU). No segundo momento, buscou-se a definição de tais termos na literatura analisada. O artigo apresenta ainda um excerto do vocabulário produzido, destacando os principais termos utilizados. Por fim, destaca a importância do relato desses procedimentos a fim de garantir o desenvolvimento de políticas públicas eficientes dentro do Sinajuve.
Prediksi Tingkat Pertumbuhan Ekonomi Provinsi Sulawesi Tengah Menggunakan Metode Backpropagation
Authors: Jafaar I M , Sahari A , Lusiyanti D
Published: January 2020

ABSTRACTEconomic growth in the region is the regional economy conditions change continuously towards a better State fora certain period. The slow economic growth became the latest leading indicator an area to develop. Indicators thatcan be used for example, GDP and inflation. On the research of these indicators will be used to predict the growthrate of the economy of Central Sulawesi province using the Backpropagation Neural Network Methods. Simulationof the program in the form of input data is represented 𝑥1 and 𝑥2 and biased 𝑏1 dan 𝑏2 symbolized. With hiddenlayers comprising 𝑧1, 𝑧2, 𝑧3, 𝑧4, … , 𝑧17 . and y as output. Based on the results and discussion has been done, can bedrawn the conclusion of process Neural Network prediction of Backpropagation with 1 hidden layer neurons andthe number 17 against 26 data represents data inflation and GDP of the year 2010 up to 2016 with sigmoid activationfunction binner was able to predict the rate of economic growth with a prediction error of 16.66%.Keywords : ANN, Backpropagation Method, Inflation, PDRB.
Penerapan Sistem Antrian Sebagai Upaya Mengoptimalkan Pelayanan Pembayaran Pajak Kendaraan Bermotor Di Kantor Samsat Kota Palu
Authors: Serlyng  , Jaya A I , Sahari A
Published: January 2020

ABSTRACTOne phenomenon that often occurs in daily life is a queue phenomenon. When queue is too long, it will harm the customer, therefore improving system servicing and optimizing the number of servers expected to reduce the queue, so the process of waiting does not happen too long. In the process of payment of motor vehicle tax at SAMSAT Palu City, it has been known that the queuing system using model Multi Channel- Multi Phase. Thissystem occurs if there are two or more facilities serving with services more than one phase. The ains of thisreseareh are to determine the characteristics of quene system and to know the number of person that required in the process of rehiele tax payment so that the service becomes optimal. The results stated that each phases of 1,2,3 and 4 is consist of 2 person, and motor vehicle tax payment servises in SAMSAT Palu is 108,9 minutes forone customer. Once optimized, an alternative solution to queue problem in SAMSAT Palu city is added person.The addition of 3 person at phase 1, 4 person phase 2, 5 person at phase 3 and phase 4. Will shorten the queuelength from (108,9) minutes to (29,76) minutes for one customer.Keywords : Model Multi Channel- Multi Phase, Samsat Queue.
Perfil do consumo de antimicrobianos em três unidades de terapia intensiva em um hospital de ensino
Authors: Silva Mascarenhas Ana Mercia , Silva Lopes Diana , Borges Santana Tamiles Daiane , Souza Dos Santos Nara Jacqueline , Rivelli De Carvalho Almeida Bruna , Teles De Oliveira Vanessa , Alves Barros Indira , Da Silveira Lemos Gisele
Published: January 2020

Introdução: Os antimicrobianos são uma das principais drogas utilizadas em unidade de terapia intensiva (UTI), porém seu uso indiscriminado e por tempo prolongado é um dos principais fatores envolvidos no surgimento de bactérias multirresistentes. Uma das maneiras de reduzir o surgimento de cepas resistentes, sobretudo nas UTI, é por meio de estratégias de uso racional dos antimicrobianos. Infelizmente, não há protocolos que orientem qual a melhor associação de antimicrobianos de acordo com cada sítio de infecção. Por isso a associação empírica de antibióticos ocorre de acordo com a epidemiologia local, o quadro clínico e os fatores de risco do paciente. Objetivo: Caracterizar o perfil de consumo de antimicrobianos de três Unidades de Terapia Intensiva em um Hospital de ensino. Métodos: Estudo descritivo comparativo, realizado em um hospital geral de ensino, que atende pacientes de média e alta complexidade em Jequié – BA que conta com 276 leitos. Foram coletados os dados de consumo mensal de antimicrobianos utilizados no período de janeiro a maio de 2019, nas três Unidades de Terapia Intensiva (UTI) (01, 02, 03) deste hospital possuindo 29 leitos. Os dados foram coletados através do sistema eletrônico disponível no hospital. Foram identificados 27 antimicrobianos utilizados nas UTI 01 e 02, e 30 antimicrobianos utilizados na UTI 03. Resultados: O consumo de antimicrobianos neste período totalizou 13.982 unidades. Os cinco antimicrobianos mais utilizados foram: Piperacilina + Tazobactam (1042), Meropeném (633), Ceftriaxona (558), Clindamicina (553) e Vancomicina (307) totalizando 69% do consumo geral. Dentre estes, o mais consumido nas três UTI foi Piperacilina 4 g + Tazobactam 500 mg (3.127 unidades), gerando um gasto de R$ 83.655,08 para as três UTI, sendo 41,7% do total gasto no período com todos os antimicrobianos. Apesar de não haver um padrão de especialidades entre as UTI, houve variação no perfil de consumo dos antimicrobianos, assim como nas quantidades utilizadas. Na UTI 03 foram identificados entre os mais utilizados, dois antimicrobianos (Sulfadiazina e Polimixina B) que obtiveram baixo ou nenhum consumo nas demais UTI no período. A UTI 02 foi a que gerou menos custos com antimicrobianos no total, enquanto a UTI 03 gerou maior custo. A média do gasto total das três UTI foi de R$ 66.755,15. Conclusão: A diferença no padrão de consumo de antimicrobianos durante o período em estudo nas UTI pode ser resultado da ausência de uma política de protocolos de utilização de antimicrobianos, propiciando a variação nas prescrições e aumento dos custos para o hospital.
Prevalência de prescrição de medicamentos potencialmente inapropriados para idosos
Authors: Dos Santos Gomes Milena , Wildes Amorim Welma , Santos Oliveira Brunna , Dourado Teixeira Freitas Giovanna Isabel , Alves De Santana Regiane , Galvão Guimarães de Oliveira Márcio , Carvalho Bilac Mariana
Published: January 2020

Introdução: O envelhecimento é um processo natural no qual ocorre um declínio progressivo da reserva funcional que implica em aumento do risco para o desenvolvimento de determinadas desordens clínicas. Além disso, essa condição, contribui para o aparecimento de comorbidades, sendo a prescrição de medicamentos um dos principais recursos terapêuticos utilizados. Assim, os idosos, muitas vezes são expostos a tratamentos com medicamentos considerados potencialmente inapropriados. Objetivos: avaliar a prevalência de prescrição medicamentos potencialmente inapropriados para idosos em unidades de saúde da família da zona urbana de Vitória da Conquista-BA. Métodos: O estudo incluiu indivíduos com idade ≥60 anos atendidos em unidades de saúde do município e que saíram da consulta médica com prescrição. A coleta de dados foi realizada em duas fases, antes e após a realização de uma intervenção com os prescritores com o objetivo de reduzir prescrições inapropriadas para idosos. Para a classificação dos MPIs foi utilizado o Consenso Brasileiro de MPI para Idosos. Os pacientes foram entrevistados antes e após a consulta médica em cada fase do estudo. O Termo de Consentimento Livre e Esclarecido foi previamente assinado pelos participantes da pesquisa. Resultados: Os dados coletados após a intervenção com os prescritores estão sendo analisados e por esse motivo os Resultados:, dessa fase do estudo, ainda não foram divulgados. Na etapa pré-intervenção, 386 pacientes idosos foram avaliados. A idade média da população foi de 70 anos (DP = 7,17). Destes, 67,9% eram mulheres e 65,3% tiveram evidências de declínio cognitivo. Quase um terço (31,3%) recebeu prescrição de MPI independente de condição clínica. Conclusão: Os dados apresentados mostram uma considerável quantidade de prescrições contendo MPI. Diante disso, as alterações biológicas e fragilidade do organismo humano decorrentes do avançar da idade contribui para o surgimento de reações adversas a medicamentos (RAM), muitas vezes evitáveis por meio da identificação e prevenção do uso de MPI. Deste modo, é relevante a adoção de estratégias que sinalizem os medicamentos inadequados para idosos, bem como, proporcione a melhoria da qualidade da prescrição nas unidades de saúde, colaborando para prevenção da ocorrência de RAM, hospitalização e mortalidade nesse estrato etário.
Uso medicinal da cannabis no Brasil: o instituto do fumus boni iuris garantindo o direito a saúde
Authors: Tavares Pereira Marcelo , Santos Paz Odailson
Published: January 2020

Introdução: Há situações clínicas em que os medicamentos disponíveis são ineficazes, ocorrendo a prescrição de drogas importadas e/ou não registradas na Anvisa. O canabidiol (CDB), substância presente no óleo da Cannabis sativa conhecida popularmente como maconha, é um destes produtos que vem sendo atualmente utilizado para diversos fins terapêuticos. Devido a fatores econômicos, legais e sanitários pacientes e/ou familiares vem buscando a justiça para garantir o direito a importar sementes, cultivar a planta Cannabis sativae extrair o seu óleo, rico em CBD, para uso terapêutico em diversas condições clínicas, que vem proferindo decisões amparadas pela fumus boni iuri. Objetivo: Caracterizar a judicialização da cannabis para uso medicinal no Brasill entre 2016 e 2019, quanto à instância judicial, local, ano da sentença e patologia. Métodos: os dados foram coletados das sentenças disponíveis no Portal JusBrasil bem como de outras fontes secundárias como portais de notícias. Resultado: foram encontradas 17 sentenças proferidas pela justiça federal autorizando o cultivo da cannabis para fins medicinais, sendo 16 sentenças individuais e 1 coletiva. Nas ações individuais os pacientes tinham diagnostico de adenoma cerebral hipofisário, síndrome de Silver Russel, autismo, epilepsia, hérnia de disco, depressão, Parkinson, síndrome de West, síndrome de Dravet, retinose pigmentar e dor neuropática, sendo 9 pacientes com idade entre 4 e 16 anos, 5 com idade entre 32 a 60 e 3 com idade indeterminada. As sentenças foram proferidas pelos Tribunais Federais dos estados do Acre, Bahia, Ceará, Paraíba, Rio de Janeiro, Rio Grande do Norte, Rio Grande do Sul, São Paulo e do Distrito Federal. Conclusão: ao ser provocado, o Poder Judiciário, instituído pela fumaça do bom direito, vem quebrando barreiras legais para garantir o direito à saúde. Chama atenção para o fato que as decisões também abordam aspectos sanitários tais como: número de plantas autorizada ao cultivo, posologia do uso, declaração de instituições científicas sobre a possibilidade de uso de seus laboratórios para parametrização do medicamento produzido, já apontado contornos para uma futura regulamentação legal e sanitária. Em 2015 a Anvisa retirou o CBD da lista de substâncias proscritas e a incluiu na lista de controle especial, e mais recentemente aprovou a realização de duas consultas públicas relacionadas à regulamentação do cultivo controlado de cannabis sativa para uso medicinal e científico e do registro de medicamentos produzidos com princípios ativos da planta. Com isso abre-se espaço para a sociedade na construção de uma regulação clara, transparente, que atenda aos interesses dos pacientes sobre o cultivo da cannabis para uso medicinal e até mesmo para a inserção de medicamentos à base de canabióides no SUS.