bluuebunny/crossref_metadata_2025 huggingface dataset:
Pancreatic panniculitis: case report
Authors: Camacho Cristina P. , Santos Eva , Pimentão Maria B. , Fraga Emília C. , Simões João M. , Almeida Ana , Amaral Maria J. , Sérgio Mário
Published: January 2020

Pancreatic panniculitis is a rare condition, affecting 2 to 3% of patients with pancreatic diseases, such as acute pancreatitis or pancreatic carcinoma. The clinical manifestations of panniculitis are painful erythematous nodules, predominantly affecting the lower limbs. From an anatomopathological point of view, the subcutaneous nodules are made of fat necrosis and vacuolated macrophages. The treatment consists in resolving the underlying diseases. We present the case of a 56-year-old female, admitted on the Emergency Department, who presented with acute abdominal pain and subcutaneous erythematous nodules. The combination of laboratory data, clinical and anatomopathological results confirmed the pancreatic panniculitis, in an underlying acute pancreatitis. The treatment focused on the resolution of the pancreatic disease.
¿Qué influye en la confianza en las instituciones? Evidencia empírica para Chile
Authors: Riffo Fabián , Pérez Daniela , Salazar Espinoza César Antonio , Acuña Duarte Andrés
Published: January 2020

Esta investigación estima un modelo probit ordenado con datos de la encuesta LAPOP de 2014, para explorar los factores que explican la confianza institucional en Chile. Los resultados indican mayor desconfianza desde los pueblos originarios hacia instituciones de seguridad, probablemente por el conflicto mapuche. Asimismo, se encuentra un efecto positivo de variables de democracia y desempeño, lo que revela diferencias en responsabilidades entre el ejecutivo y las municipalidades. Los resultados también dan soporte a la importancia de la participación ciudadana en los niveles de confianza y una evaluación positiva de las fuerzas armadas ante escenarios de corrupción. Finalmente, se evidencia que las personas a favor del aborto legal poseen niveles de confianza menores en la iglesia evangélica, lo cual puede ser atribuido a una posición más conservadora de esta religión.
Análisis comparativo de la red de flujos de conocimiento e información tecnológica en dos regiones líderes en el cultivo de camarón en México
Authors: León Balderrama Jorge I. , Gutiérrez López Lydia V. , Carrazco Escalante J. Crisóforo
Published: January 2020

El presente estudio tiene por objetivo “reconstruir” y comparar las redes de flujo de conocimiento e información tecnológica (RFCIT) en la industria acuícola, específicamente en el cultivo de camarón, de dos de las principales regiones productoras de camarón de cultivo en México: el municipio de Ahome, ubicado al norte del Estado de Sinaloa, y la región costera centro-sur del estado de Sonora. La investigación se basa en el enfoque del análisis de redes sociales y la información fue obtenida mediante la aplicación de una encuesta a una muestra de 91 empresas dedicadas al cultivo de camarón en las regiones mencionadas. Las conclusiones del estudio señalan que las características y la configuración de las RFCIT de la acuicultura de Sinaloa le han permitido a esta entidad tener una ventaja de competitividad frente a Sonora, para paliar los efectos de la crisis de los últimos años.
Comparison of Root Resorption in Endodontically and Non-Endodontically Treated Teeth in Patients with Fixed Orthodontic Treatment during 2009-2018
Authors: Esfandiar Mehri , Seidaie Maryam Sadat , Tabrizizade Mahdi , Aghili Hossein , Hoshyari Narjes
Published: January 2020

Introduction: Apical root Resorption is a common occurrence during fixed orthodontic treatment. This study used panoramic radiographs to compare the rate of root resorption in endodontically-treated and non-endodontically-treated roots.
Methods: In this descriptive-analytic study, panoramic radiographs of 20 patients aged 11-18 years with Class I Crowding and Class II Mild Skeletal malocclusions and with one or more endodontically-treated maxillary anterior teeth in one side and corresponding non-endodontically-treated teeth on the other side of the jaw were selected. They had presented to Dental School of Shahid Sadoughi University of Medical Sciences and private dental offices in Yazd. All panoramic radiographs of central and lateral maxillary incisors obtained before and after treatment were scanned and displayed on a large monitor with X2 magnification. In this way, the real magnitude of root degeneration was estimated by comparing the root heights in the pre- and post-treatment radiographs. The data were analyzed by SPSS 22 and T-test.
Results: The findings showed that the greatest rate of root resorption was observed in the upper maxillary lateral incisors of endodontically-treated teeth by 1 mm and in maxillary lateral incisors of the non-endodontically-treated teeth by 1.5 mm. The mean root resorption was 0.325 mm in the endodontically-treated teeth and 1.025 mm in the non-endodontically treated teeth with a statistically significant difference (P>0.001).
Conclusion: The results demonstrated that root resorption was smaller after treatment in endodontically-treated teeth than non-endodontically-treated teeth.
FACTORS INFLUENCING INCOME SMOOTHING PRACTICE IN THE OIL AND NATURAL GAS MINING COMPANIES DURING 2012-2016 PERIOD
Authors: Ernayani Rihfenti , Herianingrum Sri , Widiastuti Tika , Pudjut Harianto Rudy , Isradi Zainal Muhammad
Published: January 2020

Purpose of the study: This study aims to determine factors that influence the practice of income smoothing in a company.

Methodology: Method of analysis applied logistic regression. This study employed a logistic regression analysis. The use of logistic regression is because the dependent variable is a dummy variable.

Main Findings: Results of the test results show that company size significantly influences the income smoothing practice; while for variables of financial leverage, profitability, and public ownership partially give no effect on the practice of income smoothing.

Applications of this study: Observations were done in oil and natural gas mining companies during 2012-2016.

Novelty/Originality of this study: The results of this study show that the size of the company affects the practice of income smoothing in the oil and natural gas mining companies listed in Indonesia Stock Exchange during the 2012-2016 period. Meanwhile, the financial leverage, profitability, and public ownership partially have an insignificant influence on the practice of income smoothing.
Polityczne aspekty metodologii jakościowej w perspektywie krytycznej. W stronę partycypacyjnych badań-działań
Authors: Granosik Mariusz
Published: January 2020

By adopting the basic assumptions of a “knowledge-based society”, the methodology of scientific research can be considered as a kind of political system. It provides procedures for determining who (sampling) and to what extent (the method of data interpretation) has the right to co-create knowledge and therefore society. In this perspective, all research activities, and in particular social research, have a political character. In the text, methodological assumptions and qualitative research procedures are discussed from the perspective of their political consequences. This issue seems to be so important that, as a result, there is an uneven participation in the production of knowledge of representatives of various social classes. The chapter ends with a proposal for a change in the paradigm of qualitative research towards their “full participation”.
Work inspections as a control mechanism for mitigating work accidents in Europe
Authors: Lafuente Esteban , Daza Viviana
Published: January 2020

This study analyzes the relationship between work inspections—which are a relevant control mechanism of countries’ safety function—and the rate of work accidents in Europe. The empirical application is based on fixed-effects regression models on a sample of 24 European countries for the period 2008-2015. The results confirm the pro-cyclical relationship between the rate of work accidents and economic activity (GDP) among the sampled countries. Additionally, the findings reveal that work inspections are an important control mechanism that significantly contributes to alleviate the rate of work accidents. In line with increased awareness of occupational health and safety (OHS) as a relevant dimension of territories’ productive structures, policy implications and future research avenues are discussed.
Motivos para la internacionalización y resultados de la empresa de base tecnológica: construyendo una agenda de apoyo institucional
Authors: García Cabrera Antonia Mercedes , García Soto María Gracia
Published: January 2020

Dado que la empresa de base tecnológica (EBT) debe acometer una inversión constante en actividades de I+D+i para ser competitiva, la recuperación de tal inversión es prioritaria para garantizar la continuidad del proyecto empresarial. Tal recuperación en ocasiones es solo posible si la empresa amplía el alcance de su actividad al introducirse en mercados internacionales. Ahora bien, muchas EBT no acometen tal expansión, o cosechan resultados negativos al hacerlo. En este contexto, el presente trabajo se plantea como objetivo analizar los motivos que llevan a la EBT a internacionalizarse y su incidencia en los resultados. Las hipótesis formuladas se prueban empíricamente, a través de técnicas estadísticas paramétricas y no paramétricas, con una muestra de fundadores y directivos de EBT en España, consultadas en dos momentos, en el año 2009 (175 empresas) y en el 2016 (53 de las 175 empresas anteriores). Los resultados muestran que: 1) las EBT internacionalizadas alcanzan mejores resultados que las no internacionalizadas en términos de ingresos de explotación y resultados ordinarios; 2) los motivos ofensivos que impulsan a los directivos de la EBT a acometer la internacionalización resultan ser más relevantes en la adopción de esta decisión que los defensivos; y 3) la decisión de internacionalización adoptada por motivos ofensivos se asocia a mayores ingresos de explotación o resultados ordinarios de la EBT, mientras que la adoptada por motivos defensivos se asocia a menor rentabilidad económica de la empresa. Estos resultados son de utilidad en la construcción de una agenda de apoyo institucional a la internacionalización de la EBT.
The Effects of Childbirth Education on Maternity Outcomes and Maternal Satisfaction
Authors: Mueller Colleen G. , Webb Pamela J. , Morgan Stephanie
Published: January 2020

Past evaluation of the effectiveness of childbirth education classes related to obstetric outcomes and satisfaction with the birth experience have not shown consistent results. This study explored the relationship between attendance of set curriculum childbirth education class and the labor and birth process, as well as maternal satisfaction with the birth experience. Participants were 197 low-risk, primiparous women, self-selected into two groups consisting of 82 women who attended a childbirth class and 115 women who did not. Data were collected from medical records and a postpartum satisfaction survey was completed by each participant. The authors designed the Likert-type satisfaction survey based on “control” as a key factor in satisfaction. Data analysis revealed that women who took a class were less likely to be induced and had lower use of analgesics during labor. A logistical regression model showed that an increase in the number of interventions increased the risk for cesarean surgery for all women. Labor interventions were used significantly less in women who took a childbirth class. No statistical difference was seen in the perception of control or overall satisfaction of the birth experience. Childbirth education may help women prepare for what to expect in birth and minimize the use of medical interventions.
The Birth Education Starts Today Video on Birth Care Options: Evaluation With University Students
Authors: Soliday Elizabeth , Ord Gina
Published: January 2020

Despite evidence indicating that midwife-attended birth is safe and satisfactory, few U.S. families have credentialed midwives as their birth care providers. In the context of person-centered health care and improving maternity care, we evaluated how an author-constructed video featuring evidence and personal narratives on midwifery care affected attitudes and care preferences/intentions for a hypothetical future birth among university students who had not become parents. Students (114 women, 30 men) completed care attitude and preference items before and after viewing the video. Significant (p < .001) changes indicated significantly improved attitudes toward midwives and out-of-hospital birth and related preferences. We discuss the educational framework of the video and plans to determine whether short-term effects translate into care-seeking behavior across diverse populations.
SLIKOVNE SHEME U POSLOVICAMA KOJE SADRŽE SOMATIZME U ENGLESKOM I SRPSKOM JEZIKU: IZ KOGNITIVNOLINGVISTIČKE PERSPEKTIVE
Authors: Mandić Slađana D.
Published: January 2020

Predmet istraživanja u ovom radu su slikovne sheme SADRŽATELJ, SILA, RAVNOTEŽA, CENTAR–PERIFERIJA, GORE–DOLE, i PREDMET (Johnson 1987: 126) u poslovicama koje sadrže somatizme u engleskom i srpskom jeziku poput, Place one’s head in the lion’s mouth / Staviti glavu na kocku. U istraživanju je korišćen korpus sačinjen od 30 poslovica engleskog i istog broja poslovica srpskog jezika. Cilj istraživanja jeste da se definišu metaforički pojmovni obrasci kojima je motivisana upotreba somatizama u posmatranim poslovicama, kao i da se predstave slikovne sheme kroz princip utelovljenja kao univerzalne kategorije. Kognitivnolingvističkom analizom pojmovnih obrazaca stiče se uvid u stepen sličnosti načina na koji govornici engleskog i srpskog jezika konceptualizuju apstraktne pojmove polazeći od delova ljudskog tela kao izvornih domena.
ЖЕНСКИ ЛИКОВИ У ОСМАНУ ЏИВА ГУНДУЛИЋА И ЊИХОВА СУДБИНА У МАЖУРАНИЋЕВОЈ ДОПУНИ
Authors: Никић Љиљана Ж.
Published: January 2020

У раду се анализирају женски ликови у Осману Ивана Гундулића. Пажња је посвећена оним јунакињама које су носиоци радњи романтичних епизода, али и јунакињама које су само споменуте у делу, а које су истовремено познате историји. Посебна пажња посвећена је допуни Ивана Мажуранића и 14. и 15. певању. Циљ овог рада јесте да, применом компаративне методе и критичко-интерпретативног поступка, укаже на међусобну повезаност и сличност између јунакиња романтичних епизода, указујући на значај осталих женских ликова, али и на значај Мажуранићеве допуне у којој су приказане њихове судбине.
ФУНКЦИЈА И ЗНАЧЕЊЕ ФЕМИНИНОСТИ У ДРАМАМА МАСКА, ВУЧЈАК И ПРОЛЕЋЕ СЕ ВРАЋА
Authors: Маринков Јелена И.
Published: January 2020

У раду ће бити размотрени модуси функционисања фемининости у трима драмама: Маски Милоша Црњанског, Крлежином Вучјаку и драми Пролеће се враћа Душана Васиљева. Време настанка ових драма обележено је зачецима промене односа у патријархално устројеним друштвеним структурама, што се манифестује и у авангардним покретима, које одликује полемички став спрам свих формално и неформално утврђених институционализованих категорија, стога и отвореност ка демаргинализовању феминине позиције. Иако се веома разликују по својим формалним карактеристикама, ове драме повезане су на тематском плану – на афирмативан начин тематизују проблем „бивања женом“ у контексту ригидности патријархата. Испитивањем различитих репрезентација фемининог – кроз феноменологију двојништва, аспекат женске телесности и заузимање „мушке“ позиције – показује се да анализа ових драма може бити веома инспиративна за истраживање формирања слике женског у култури и друштву.
РЕКОНСТРУКЦИЈА МИТА О ЛИЛИТ НА ПРИМЈЕРУ РОМАНА ПОВРАТАК ФИЛИПА ЛАТИНОВИЋА МИРОСЛАВА КРЛЕЖЕ
Authors: Топић Кристина Н.
Published: January 2020

У овом истраживачком раду ћемо одредити особине демонског бића Лилит. У којим облицима се оно јавља од најранијих почетака па све до примјене лилитовских мотива у савременој књижевности, тј. конкретно у роману Повратак Филипа Латиновића Мирослава Крлеже. Коришћењем инструмената психоанализе и фолклористичког метода представићемо како фатална, лилитовска жена дјелује на јунаке романа, превасходно на Филипа Латиновића. Главне особине које ћемо интерпретирати путем ова два метода јесу прождирање и завођење. Прождирање je схваћено у дословном и пренесеном значењу будући да долази до растројстава у личности главног лика које се емитује на плану конкретног и апстрактног. Завођење је схваћено као резултат неконтролисаних тјелесних прохтјева свих јунака у роману. Методом пажљивог читања (engl. close reading) издвојићемо најважније дијелове романа у којима се очитују ове особине и показати да из њих произилазе и друге карактеристике које се доводе у везу са лилитовским демоном – раздор, тама, лудило, еротско, агресивност, декаденција и сл.
POJMOVNI MEHANIZMI NASTANKA PROŠIRENIH ZNAČENJA GLAGOLA JEDENJA I PIJENJA U ENGLESKOM JEZIKU I NJIHOVI EKVIVALENTI U SRPSKOM
Authors: Biljetina Jelena Lj.
Published: January 2020

Rad se bavi analizom glagola jedenja i pijenja u engleskom i srpskom jeziku sa aspekta kognitivne lingvistike kako bi se utvrdilo koji pojmovni mehanizmi dovode do proširenih značenja ovih glagola. Korpus čine glagoli jedenja i pijenja uzeti iz romana Hari Poter, odnosno iz engleskih izvornika i njihovih srpskih prevoda. U radu se vrši analiza engleskih glagola koji se u svom primarnom značenju odnose na jedenje i pijenje, a koji proširuju svoja značenja na neki od drugih pojmova. Cilj analize je utvrđivanje pojmovnih mehanizama koji utiču na stvaranje proširenih značenja ovih glagola. Tokom procesa analize engleski glagoli se kontrastiraju sa prevodnim rešenjima u srpskom jeziku kako bi se utvrdilo u kojoj meri se pojmovni mehanizmi u ova dva jezika preklapaju. Analiza je pokazala da glagoli proširena značenja ostvaruju najčešće putem pojmovne metafore, ređe i putem pojmovne metonimije, kao i da za gotovo sve engleske glagole postoje i prevodni ekvivalenti na srpskom, koji putem istovetnih kognitivnih mehanizama izražavaju istovetne pojmove. Može se zaključiti da preklapanja u pogledu leksikalizacije i konceptualizacije pojmova jedenja i pijenja u engleskom i srpskom jeziku, kao i u pogledu mehanizama njihovog nastanka, odražavaju biološku uslovljenost i univerzalnost samih procesa jedenja i pijenja.
A CROSS-CULTURAL ANALYSIS OF THE CONCEPTUAL METAPHORS OF BREXIT: EVIDENCE FROM ENGLISH, GERMAN AND SERBIAN
Authors: Peterke Katharina
Published: January 2020

Conceptual metaphor has long been recognised to reflect our human emotional and cognitive world. Its ability to evoke emotional response and influence attitudes makes conceptual metaphor ideal for the use in political content. A recent controversial political issue is Brexit. The objective of the present paper is to compare the metaphor use in the British Brexit discourse to the metaphor use in the media of other language areas. The chosen languages are German, as language of another EU country and Serbian as the language of a country that is not in the European Union and is therefore not directly affected by Brexit so far. The data is taken from reliable online media sources of Britain, Germany and Serbia. Metaphors have been identified using the MIPVU procedure in 20 articles for each language. In a total of 259 metaphors, the three languages show interesting differences in the use of conceptual metaphors in the context of Brexit.
ANTHROPOMETRIC PROFILE OF CHILDREN WITH CYANOTIC AND NONCYANOTIC CONGENITAL HEART DISEASE
Authors: Rahman Mahrus , Utamayasa I Ketut Alit , Hidayat Taufiq , Irawan Roedi , Elizabeth Rina
Published: January 2020

Impaired nutritional status is a frequent complication of congenital heart disease (CHD). Non cyanotic congenital heart disease (NC-CHD) have problem with lung overfl ow and heart failure. Consequences of Cyanotic congenital heart disease (C-CHD) are decrease pulmonary blood fl ow and prolong hypoxia. These conditions can have eff ect on nutritional status and outcome of surgery. This study aimed to compare anthropometric profi les of children with C-CHD and NC-CHD. Cross-sectional study conducted in 66 children, age 3 months until 5 years old who met inclusion criteria in Pediatric Cardiology Outpatient Unit Dr. Soetomo Hospital Surabaya in November 2012. A total of 66 children, consisted of 26 children with C-CHD and 40 children NC-CHD included in study. We measure weight, length/height, head circumference, upper arm circumference, and skin fold thickness. We used Chi Square test for statistical analysis with Confi dence Interval 95%. Mean age of both groups was 27.82 ± 16.63 months. Majority of NC-CHD was Ventricular Septal Defect (28.6%) and C-CHD was Tetralogy of Fallot (21.4%). There were no signifi cant diff erence from weight for age, length for age weight for length, head circumference for age, mid upper arm circumference for age, mid upper arm circumference for age, and skin fold thickness for age between children with C-CHD and NC-CHD (p= 0.80; 0.98;0.54 0.29; 0.80; 0.53 respectively). There were no diff erence in anthropometric profi les among children with cyanotic congenital heart disease and non-cyanotic congenital heart disease in this study.
KERAGAMAN KONSUMSI PANGAN PADA BALITA STUNTING DI WILAYAH PEDESAAN DAN PERKOTAAN KABUPATEN PROBOLINGGO
 [Dietary Diversity among Stunting Toddlers in Rural and Urban Areas of Probolinggo Regency]

Authors: Astuti Dhita Kusuma , Sumarmi Sri
Published: January 2020

One of the main nutritional problems faced by developing countries is stunting. Probolinggo Regency is one of the government priority to overcome stunting problem in Indonesia with prevalence of stunting up to 49.43%. Rural area have higher prevalence of stunting compare to urban area. Dietary diversity associate with stunting. This study aimed to analyze the diff erences of dietary diversity among stunting toddlers in rural and urban area of Probolinggo Regency. A cross sectional study design was used with total sample as much as 44 stunting toddlers aged 12-59 months in rural and 44 stunting toddlers with the same age in urban area. Sample was determined by multistage cluster sampling. Data were collected using IDDS instrument and rated twice with minimum consumption of 10 grams. Data were analyzed using T-test. Result showed that there were no signifi cant diff erences on dietary diversity (p=0.106) among stunting toddlers in rural and urban area. Dietary diversity among stunting toddlers in urban area are slightly better than rural area. Based on 9 food groups, stunting toddlers both in rural and urban area were not consuming organ meat. It was concluded that dietary diversity among stunting toddlers in rural area was not diff erent from dietary diversity among stunting toddlers in urban areas. Mother should give more diverse food to their children, especially fruits, vegetables, nuts and seeds, milk and milk products, and introduce organ meat such as chicken liver.
ENERGI, MAKRONUTRIEN, DAN CAROTID INTIMA-MEDIA THICKNESS (CIMT) PADA REMAJA OBESITAS
[Energy, Macronutrients, and Carotid Intima-Media Thickness (CIMT) in Obese Adolescents]

Authors: Widjaja Nur Aisiyah , Irawan Roedi , Ardiana Meity , Hanindita Meta Herdiana , Prihaningtyas Rendi Aji
Published: January 2020

Obesity prevalence is increasing in adolescents. Subclinical chronic infl ammation in obesity causes complication, such as atherosclerosis. Cardiovascular disease is one of the complications of obesity that causes premature death. Carotid intima-media thickness (CIMT) is a subclinical marker of atherosclerosis which easily performed and noninvasive. Early detection of atherosclerosis can improved outcome. Healthy diet have a negative correlation with CIMT meanwhile high calori diet increase CIMT. This study aimed to examine the eff ect of energy and macronutrients intake on CIMT in obese adolescents. A cross sectional study was conducted on 59 adolescents aged 13-16 years old with obesity in pediatric clinic of Dr. Soetomo General Hospital using consecutive sampling method. Dietary intake was obtained through 1 x 24 hours food recall. Anthropometric measurements include body height and weight. Body Mass Index (BMI) was calculated. Obesity is defi ned as BMI higher than 95th percentile based on age and gender (CDC 2000 curve). CIMT examination was performed using B mode ultrasonography on the neck. Statistical analysis was perfomed using mutiple linear regression to analyze the eff ect of total energy, fat, and carbohydrate on CIMT. There were 59 obese adolescents included in this study, consist of 27 (45.8%) female adolescents and 32 (54.2%) male adolescents. No eff ects of total energy, carbohydrate, and fat on CIMT was found in obese adolescents (p>0.05). Further research with more subjects and at least 2x24 hours food recall are needed to assess the eff ect of calories and macronutrients on CIMT in obese adolescents.
PARENT’S STRATEGY TO ATTRACT CHILDREN TO EAT, FEEDING DURATION, AND ITS RELATION TO WEIGHT FOR AGE Z-SCORE IN CHILDREN
Authors: Polanunu Masayu Ramadhani , Hudawarrahmah Nanda , Hartojo Hartojo , Hanindita Meta Herdiana , Wijaya Nur Aisiyah , Hidayati Siti Nurul , Irawan Roedi , Hidajat Boerhan
Published: January 2020

Appropriate feeding practices are critical for gaining and maintaining nutrition and development in children. Previous study in feeding practices indicated that inappropriateness in feeding practices had consequences in children’s growth and development. This study aimed to determine corelation between parents strategy to attract children to eat and feeding duration to weight for age z-score in children. This was a simple random sampling, cross-sectional study and held on April to June 2016 in Dr. Soetomo Hospital and Husada Utama Hospital, Surabaya, Indonesia. Subjects in this study were children from 6 to 24 months. Feeding practice determined by interview with children’s parents which consisted parent’s strategy to attract children to eat, feeding duration, and then children were measured weight for age z-score using WHO chart. Statistical analysis used Spearman correlation test. Thirty children were enrolled, 50% were male, with median age 16.5 months (6-24 months). Parents strategy to attract children to eat (53.3% talking, 30% playing and 16.7% watching television) had correlated signifi cantly with weight for age (r= 0.35, p= 0.028). Meanwhile, 56.7% children with feeding duration more than 30 minutes and 43.3% children with time feeding duration less than 30 minutes. Feeding duration had no correlation with weight for age in children (r=-0.32, p=0.43). We conclude from this study that parents strategy to attract children to eat had signifi cant correlation to weight for age but feeding duration had no correlation with weight for age. This study implied that strategy to attract children to eat is necessity in children physical development. Meanwhile, feeding duration has no signifi cant implication. We recommended children must be persuaded as part of parents strategy in order to attract them to eat.
PERBEDAAN KONSUMSI ENERGI DAN ZAT GIZI MAKRO BERDASARKAN STATUS GIZI MAHASISWA FAKULTAS KESEHATAN MASYARAKAT UNIVERSITAS AIRLANGGA
[Diff erence of Energy and Macronutrients Consumption Based on Nutritional Status among Student of Faculty of Public Health Universitas Airlangga ]

Authors: Poetry Mulki Auly , Nindya Triska Susila , Buanasita Annas
Published: January 2020

Daily consumption could aff ect nutritional status. Overconsumption lead to overweight, while less consumption lead to underweight, that could happens to college student who started early adult phase. Aim of this research was to investigate the diff erence of energy and macronutrients consumption among students of Faculty of Public Health Universitas Airlangga. This was an observational analytic research using cross sectional design. Sample was randomly chosen as much as 72 students. Data was collected using height and weight anthropometric measurement to determine nutritional status and 3x 24h food recall. Statistical test used was one way Anova for energy and carbohydrate consumption variables and Kruskall Wallis test for protein and fat consumption variables. The result indicated prevalence of underweight, normal, and overweight students were 16.7%, 45.8%, and 37.5% consecutively. Overweight students tend to have higher average of energy and carbohydrate consumption. However, most of students consumed enough protein and fat. There were diff erences of energy (p=0.008) and carbohydrate consumption (p=0.047) based on nutritional status among students. Overweight students need to reduce energy and macronutrient consumption as an eff ort to achieve normal nutritional status.
Pollutant Concentration and Trajectory Patterns of PM2.5 including Meteo Factors in Jakarta City
Authors: Gusnita Dessy , Cholianawati Nani
Published: January 2020

PM2.5 particulate monitoring has been carried out in South Jakarta. The research objective is to examine the effect of meteorology and pollutant trajectories on PM2.5 conditions based on daily and seasonal patterns from January 2016 to December 2017. The sources of PM2.5 data come from DKI Jakarta BPLHD. The data analysis method uses excel to obtain daily and seasonal PM2.5 patterns (rainy season, transition season and dry season). PM2.5 pollutant trajectory patterns were obtained using a single-Particle Lagrangian Integrated (HYSPLIT) forward trajectory derived from NOAA (National Oceanic and Atmospheric Administration). Then the correlation between PM2.5 with meteorological parameters during 2016-2017 was analyzed. The results showed the maximum concentration of PM2.5 in 2016 occurred in the dry season (June-August) of 57.43 µg/m3 and decreased for 2017 by 50.84 µg/m3. Meanwhile, minimum PM2.5 concentration occurs during the rainy season (December-February) which is equal to 20 µg/m3 in 2016, in 2017 PM2.5 decreases to 15.5 µg/m3. The results of running model (HYSPLIT) forward trajectory of PM2.5 pollutants show when dry season pollutant leads to the western part of Jakarta city while the PM2.5 pollutant in rainy season moved from Jakarta city leads to the eastern region.
Development of Computerized Testlet to Measure Science Process Skill on Stoichiometry
Authors: Kristiyanto Stefanus , Ashadi Ashadi , Yamtinah Sri , Mulyani Sri
Published: January 2020

This research aims to develop a computerized testlet assessment to measure science process skills on stoichiometry material in terms of validity, reliability, difficulty level, distinguishing features and deception indexes that meet the criteria as good assessment instruments, and can display individual profiles of science process skills students. The subject of the research trial was a grade X student of Senior High School in Boyolali. Validity test is done by content validity, criteria, and expert validation. Reliability test is done by finding the price of the reliability coefficient r. Characteristics test is done by determining the level of difficulty, distinguishing features and deception index. The profile of science process skills is determined by measuring students' mastery of the science process. The results of the research and development was declared feasible and met the criteria as a good question with a validity of questions more than 0.79 (valid), has a test reliability on the main field trials of 0.643 and 0.610 on the trial the implementation of the field is relatively high, has a distinguishing power with a percentage of 10% bad, 66.7% is sufficient, and 23.3% is good, has a difficulty level with a percentage of 20% difficult, 53.3% moderate and 26.7% easy.
Vector analysis of Contoura Vision for the correction of myopia and myopic astigmatism
Authors: Author) Ying Lin(Former Corresponding , Huanjun Su , Jianbin Wu , Xia Zhang , Author) Yuan Muzhi(New Corresponding
Published: January 2020

Objective: To evaluate the visual outcomes of Contoura Vision with automatic eye tracking system in eyes with myopia and myopic astigmatism.
Methods: In this prospective study, 40 consecutive patients (80 eyes) with moderate myopia and irregular astigmatism were included from January to August 2018 at Liuzhou Worker’s Hospital. Subjects were randomly divided into an experimental group (40 eyes) that underwent Contoura Vision FS-LASIK and a control group (40 eyes) that underwent wavefront-optimized FS-LASIK. Target refractions of all subjects were plano. Visual outcomes and astigmatic vector analysis were evaluated and compared between preoperatively and 3 months post-operatively.
Results: The preoperative spherical and cylindrical refractive errors were similar in both groups (P>0.05). At 3 months postoperatively, cumulative uncorrected distance visual acuity (UDVA) was 20/16, 20/20, or 20/25 in 30 %, 95%, 100 % of patients in the experimental group, respectively. The experimental group was better than the control group in predictability of astigmatism correction at 3 months after operation. In the experimental group, 80% of eyes had deviation of astigmatic axis within 15° and 35% of eyes had deviation of astigmatic axis within 5°, both were better than those in the control group. The number of eyes with residual astigmatism within 0.5D were higher in the experimental group (60%, 24 eyes) than the control group (50%, 20 eyes). Compared with the preoperative, C7 significantly reduced to 0.056±0.030 in the experimental group at 3 months after the procedure (P<0.05), and were significantly lower than those in the control group (P<0.05).
Conclusion: Contoura Vision with automatic eye tracking system was safe and effective for the correction of myopia and myopic astigmatism.
Predicting the need for supportive services after discharged from hospital: a systematic review
Authors: Kobewka Daniel , Mulpuru Sunita , Chassé Michaël , Thavorn Kednapa , Lavallée Luke , English Shane , Neilipovitz Benjamin , Neilipovitz Jonathan , Forster Alan , McIsaac Daniel
Published: January 2020

Background
Some patients admitted to acute care hospital require supportive services after discharge. The objective of our review was to identify models and variables that predict the need for supportive services after discharge from acute care hospital.
Methods
We performed a systematic review searching the MEDLINE, CINAHL, EMBASE, and COCHRANE databases from inception to May 1st 2017.
We selected studies that derived and validated a prediction model for the need for supportive services after hospital discharge for patients admitted non-electively to a medical ward. We extracted cohort characteristics, model characteristics and variables screened and included in final predictive models. Risk of bias was assessed using the Quality in Prognostic Studies tool.
Results
Our search identified 3362 unique references. Full text review identified 6 models. Models had good discrimination in derivation (c-statistics >0.75) and validation (c-statistics >0.70) cohorts. There was high quality evidence that age, impaired physical function, disabilities in performing activities of daily living, absence of an informal care giver and frailty predict the need for supportive services after discharge. Stroke was the only unique diagnosis with at least moderate evidence of an independent effect on the outcome. No models were externally validated, and all were at moderate or higher risk of bias.
Conclusions
Deficits in physical function and activities of daily living, age, absence of an informal care giver and frailty have the strongest evidence as determinants of the need for support services after hospital discharge.
Trial Registration: This review was registered with PROSPERO #CRD42016037144
Challenges with Scale-up of GeneXpert MTB/RIF® inUganda: a Health Systems Perspective
Authors: Nalugwa Talemwa , Shete Priya B. , Nantale Mariam , Farr Katherine , Ojok Christopher , Ochom Emma , Mugabe Frank , Joloba Moses , Dowdy David W. , Moore David A.J. , Davis J. Lucian , Cattamanchi Adithya , Katamba Achilles
Published: January 2020

Background: Many high burden countries are scaling-up GeneXpertÒMTB/RIF (Xpert) testing for tuberculosis (TB) using a hub-and-spoke model. However, the effect of scale up on reducing TB has been limited. We sought to characterize variation in implementation of referral-based Xpert TB testing across Uganda, and to identify healthsystem factors that may enhance or prevent high-qualityimplementation of Xpert testing services. Methods: We conducted a cross-sectional study triangulatingquantitative and qualitative data sources at 23 community health centers linked to one of 15 Xpert testing sites between November 2016 and May 2017 to assess health systems infrastructure for hub-and-spoke Xpert testing. Data sources included a standardized site assessment survey, routine TB notification data, and field notes from site visits. Results: Challenges with Xpert implementation occurred at every step of the diagnostic evaluation process, leading to low overall uptake of testing. Of 2,192 patients eligible for TB testing, only 574 (26%) who initiated testing were referred for Xpert testing. Of those, 54 (9.4%)were Xpert confirmed positive just under half initiated treatment within 14 days (n=25, 46%). Gaps in required infrastructure at 23 community health centers to support the hub-and-spoke system included lack of refrigeration (n=14, 61%) for sputum testing and lack of telephone/mobile communication (n=21, 91%). Motorcycle riders responsible for transporting sputum to Xpert sites operated variable with trips once, twice, or three times a week at 10 (43%), nine (39%) and four (17%) health centers, respectively. Staff recorded Xpert results in the TB laboratory register at only one health center and called patients with positive results at only two health centers. Of the 15 Xpert testing sites, five (33%) had at least one non-functioning module. The median number of tests per day was 3.57 (IQR 2.06-4.54), and 10 (67%) sites had error/invalid rates >5%. Conclusions: Although Xpert devices are now widely distributed throughout Uganda, health system factors across the continuum from test referral to results reporting and treatment initiation preclude effective implementation of Xpert testing for patients presenting to peripheral health centers. Support for scale up of innovative technologies should include support for communication, coordination and health systems integration.
Establishing a Normative Database for Quantitative Pupillometry in the Pediatric Population
Authors: Shah Sanket S , Ranaivo Hantamalala Ralay , Mets-Halgrimson Rebecca B , Rychlik Karen , Kurup Sudhi P
Published: January 2020

Background Pupillary evaluation is a crucial element of physical exams. Noting size, reactivity, and consensual response is critical in assessing for optic nerve dysfunction. We aim to establish normative data for scotopic pupillary size and function in the pediatric population in a clinical setting. Methods Pupillometry was obtained prospectively for consecutive, normal patients <18 years old being evaluated by Lurie Children’s Ophthalmology. Quantitative data included maximum (MAX) and minimum (MIN) diameters, constriction percentage (CON), latency (LAT), average (ACV) and maximum (MCV) constriction velocities, average dilation velocity (ADV), and 75% recovery time (T75). Iris color was noted as light, intermediate, or dark. Results 196 eyes of 101 participants (42.6% male, ages 1–17 years, average age 10.3 years) were analyzed. Mean MAX was 6.6 mm (5.1–8.1 mm 95% CI); MIN was 4.7 mm (3.1–6.1 mm 95% CI); CON was 30% (17–42% 95% CI); LAT was 230 milliseconds (160–300 ms 95% CI); ACV was 3.70 mm/sec (2.21–5.18 mm/sec 95% CI); and ADV was 0.88 mm/sec (0.38–1.38 mm/sec 95% CI). Age had a positive correlation with MAX, MIN, and CON. 84.2% and 95.8% of participants showed resting pupil asymmetry of ≤0.5 mm and ≤1.0 mm, respectively. Conclusions Quantitative pupillometry can be a useful tool for screening pediatric patients. We sought to establish normative data in this group. We found males to have significantly greater MCV and CON than females (p < 0.05). Also, age had a positive correlation with MAX, MIN, and CON.
360-Degree Delphi: addressing sociotechnical challenges of healthcare IT
Authors: Waldmueller Heiko Dominik , Spreckelsen Cord , Rudat Hannah , Krumm Norbert , Rolke Roman , Jonas Stephan Michael
Published: January 2020

This approach uses the strong advantages a Delhi study has, identifies the disadvantages of traditional Delphi techniques and aims to introduce and evaluate a modified approach called 360-Degree Delphi. Key aspects of 360-Degree Delphi are tested by applying the approach to the needs and requirements analysis of a system for managing patients’ advance directives and living wills. 360-Degree Delphi, as a modified Delphi process, is specified as a structured workflow with the optional use of stakeholder groups. Consensus is created within individual stakeholder groups, but is also communicated between groups, while the iterative structure of the Delphi process remains unchanged. We hypothesize that (1) 360-Degree Delphi yields complementary statements from different stakeholders, which would be lost in classical Delphi; while (2) the variation of statements within individual stakeholder groups is lower than within the total collective. A user study is performed that addresses five stakeholder groups (patients, relatives, medical doctors, nurses and software developers) on the topic of living will communication in an emergency context. About 25% of the invited experts (stakeholders) agreed to take part in the Delphi round 0 (three patients, two relatives, three medical doctors, two qualified nurses and three developers), forming a structured panel of the five stakeholder groups. Two raters created a bottom-up coding, and 238 thematic codes were identified by the qualitative text analysis. Based on a consented coding list, a quantitative online-questionnaire was developed and send to different stakeholder groups. With respect to the hypotheses, Delphi round 0 had the following results: (1) doctors had a completely different focus from all the other stakeholder groups on possible channels of communications with the patient; (2) the dispersion of codes within individual stakeholder groups and within the total collective was approximately 28% higher in the total collective than in the sub-collectives, but without a marked effect size. With respect to the hypotheses, Delphi round 1 had the following results: different stakeholder groups had highly diverging opinions with respect to central questions on IT-development. In comparison, the total group would not be representative of either of these individual stakeholder needs (mean 4,344, stdev +/- 1,870)
The Roles of Lumbar load thresholds in lifetime cumulative lifting exposure to predict disk protrusion in an Asian Population
Authors: Hung Isabella Yu-Ju , Shih Tiffany Ting-Fang , Chen Bang-Bin , Ho Ing-Kang , Liou Saou-Hsing , Guo Yue Leon
Published: January 2020

Background: The purpose of this study was to determine whether a specific threshold per lifting movement, the accumulation above which best predicts lumbar disk protrusion, exists or the total lifting load should be considered. Methods: This was a retrospective study. Subjects with various lifting exposures were recruited. Disk protrusion was assessed by magnetic resonance imaging. The cumulative lifting load was defined as the sum of the time-weighed lumbar load for each job and was calculated using a biomechanical software system. The effectiveness of accumulation above different thresholds in predicting disk protrusion were compared using four statistical methods. Results: A total of 252 men and 301 women were included in the final analysis. For the men, 3000 Newtons for each lifting task was the optimal threshold for predicting L4-S1 disk protrusion, whereas for the women, 2800 Newtons was optimal. Conclusions Our findings suggested that for cumulative lifting exposure, including the total lifting load without defining a minimal exposure limit might not be the optimal method for predicting disk protrusion. The NIOSH 3400 Newton recommended limits do not appear to be the optimal thresholds for preventing disk protrusion. Different lifting thresholds might be needed for men and women in the workplace for their safety.
Retrospective analysis of cases of intraoperative awareness in a large multi-hospital health system reported in the early postoperative period
Authors: Deis Amanda S. , Schnetz Michael P. , Ibinson James W. , Vogt Keith M
Published: January 2020

Background : Awareness with recall under general anesthesia remains a rare but important issue that warrants further study. Methods : We present a series of seven cases of awareness that were identified from provider-reported adverse event data from the electronic anesthesia records of 647,000 general anesthetics. Results : The low number of identified cases suggests an under-reporting bias. Themes that emerge from this small series can serve as important reminders to anesthesia providers to ensure delivery of an adequate anesthetic for each patient. Commonalities between a majority of our identified anesthetic awareness cases include: obesity, use of total intravenous anesthesia, use of neuromuscular blockade, and either a lack of processed electroencephalogram (EEG) monitoring or documented high depth of consciousness index values. An interesting phenomenon was observed in one case, where adequately-dosed anesthesia was delivered without technical issue, processed EEG monitoring was employed, and the index value suggested an adequate depth of consciousness throughout the case. Conclusions : Provider-reported adverse event data in the immediate post-operative period are likely insensitive for detecting cases of intraoperative awareness. Though causation cannot firmly be established from our data, themes identified in this series of cases of awareness with recall under general anesthesia provide important reminders for anesthesia providers to maintain vigilance in monitoring depth and dose of anesthesia, particularly with total intravenous anesthesia.