bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH SENAM KAKI TERHADAP PERUBAHAN GLUKOSA PADA PASIEN DIABETES MELITUS TIPE 2 DI LINGKUNGAN STIKES SANTA ELISABETH MEDAN TAHUN 2017
Authors: Br. Karo Mestiana , Novitarum Lilis , Saragih Maria Uli Marselina
Published: March 2021

Gymnastics is a series of movements that require strength, regular speed, which is done independently or in groups with the aim of improving health in the body, and self-confidence. The type of exercise that can be recommended for someone who has a history of type 2 diabetes mellitus is foot gymnastics. Gymnastics is an activity or physical exercise to prevent injuries and help smooth blood circulation of legs and easy to do by many people, this leg aerobic aims to improve blood circulation, strengthen the small muscles in the legs, prevent foot and foot deformities can lower glucose.Goals : The purposed of this study to determine the effect of foot gymnastics on changes in glucose.Methods : The design of this research is pre experiment with one group pre post test designapproach. Sampling technique purposive sampling, with the number of samples of 10 respondents. Measuring tool used is observation sheet and SOP. Data analysis was performed by using Wilcoxon Sign Rank Test with p = 0,008 (<0,05).Result : This shows that there is influence of foot gym on glucose change in patients with type 2 diabetes mellitus in STIKes Santa Elisabeth Medan Environment.Conclution : It is hoped that diabetes mellitus type 2 can perform foot exercises anywhere and anytime as an effort to help improve blood circulation, keeping blood sugar always in a normal state.
GAMBARAN PENGETAHUAN IBU TENTANG PENTINGNYA PEMBERIAN IMUNISASI BOOSTER PADA BALITA DI KLINIK SALLY TAHUN 2019
Authors: Sinabariba Merlina
Published: March 2021

Infants healthycan be influenced by the environment in which infants are raised and the immunization they get is also important to do booster immunization at the age of 24 months. When children at Baduta agethey begin the second stage of immunization which is known as advanced immunization or immunization of Deuteronomy (Booster). Booster is important for boosting the immune response to vaccines which have decreased with age. If no booster is carried out, children are at risk of being unprotected when exposed to diseases that can be prevented, such as an outbreak of diphtheria. Goals : This study aims to obtain an overview of maternal knowledge about the importance of booster immunization in infants at Sally clinic 2019.The type of research is descriptive with accidental sampling techniques and data collection methods, namely primary data. Result : The results of this study indicate that from 30 respondents, having good knowledge are 8 people (26.7%), enough knowledge are 21 people (70.0%), and those with less knowledge amounted is 1 person (3.3%).Mother's knowledge of the importance of booster immunization in toddlers at Sally clinic 2019 is largely knowledgeable. Conculsion : Good information from health workers can increase maternal knowledge about booster immunization in children. Health workers are expected to be able to inform mothers, to be advised to do Booster immunization if the child has complete immunization, to increase immunity to the child's body.
GAMBARAN PENGETAHUAN MAHASISWA NERS TINGKAT III TENTANG CARING BEHAVIOUR DI STIKES SANTA ELISABETH MEDAN
Authors: M Karo , RE Sihite
Published: March 2021

Knowledge is the result of knowing, and this happens after people sensing a certain object. caring behavior is a basic form of nursing practice with patience, honesty, confidence, presence, touch, affection. In general Caring behavior is an action that is based on care, compassion, skills, empathy, responsibility, and support. The purpose of this research is to find out the description of the knowledge of third-level nurses about caring behaviour at STIKes Santa Elisabeth Medan in 2020. This study uses a qualitative method where the data collection is done by interviewing as many as 5 questions so as to be able to dig deeper about behaviour caring knowledge. The sampling technique uses simple random sampling of 5 participants. The data analysis technique used is thematic analysis. The results obtained: Caring is a form of caring, caring, actions towards others and others. Caring behavior is a behavior or habit of caring for others and others. Caring behavior is a way for someone to meet the needs of patients during treatment, both physical needs and emotional needs of patients. How to provide caring behavior in nursing practice by giving attention, affection, security and comfort both with touch, presence and action. Concerns when giving caring behavior in nursing practice in approaching patients, when speaking often feel less confident. The problems faced in nursing practice are ego, emotional attitude and lack of respeck from the patient which makes attitudes and actions more uncaring and less confident in taking action.
GAMBARAN TINGKAT PENGETAHUAN IBU NIFAS TENTANG TANDA- TANDA BAHAYA SELAMA MASA NIFAS DI KLINIK MARIANA SUKADONO TAHUN 2019
Authors: Siallagan Ermawaty Arisandi , Sinabariba Merlina , Hia Sri Handayani
Published: March 2021

Introduction: In Indonesia, in one hour, two mothers die from complications of pregnancy, childbirth and childbirth. Postpartum care is needed during this period because it is a critical period for both mother and baby. With close monitoring and care for mothers and babies during the postpartum period, it can prevent several deaths. This research aims to describe the knowledge of postpartum mothers about the danger signs during childbirth at the Mariana Sukadono clinic in 2019.Method: The method used in the study was a descriptive design and the sample in this study was 30 postpartum mothers who gave birth in this clinic with total sampling technique. The instrument used in this study was a questionnaire.Result: The results showed that the level of knowledge of mothers about danger signs during childbirth was more lacking (70.0%).Duscussion: Postpartum mothers are expected to know or seek information about danger signs during the puerperium during their spare time so that they are able to recognize danger signs during the postpartum period that might occur.
Gambaran Pengetahuan Dan Sikap Ibu Hamil Tentang Tanda Bahaya Selama Kehamilan Di Klinik Romauli
Authors: Sumardiani Lilis
Published: March 2021

The risk of maternal death is higher due to the delay factor, which is an indirect cause of maternal mortality. There are three risks of delay, namely being late in making decisions to be referred to (including being late in recognizing danger signs during pregnancy), being late to the health facilities during an emergency and being late in getting adequate services by health workers. The main causes of maternal deaths in Indonesia are bleeding (28%), eclampsia (24%), and infection (11%). The cause of maternal death can be prevented by adequate prenatal care. This study aims to describe the knowledge of attitudes of pregnant women about danger signs during pregnancy at Romauli ClinicMethod. This type of research is descriptive analytic with cross sectional approach. The total populations are all pregnant women who did the examination at Romauli Clinic from April to May are 120 pregnant women. The number of samples taken is a portion of the population, namely 25 pregnant women who are determined accidentally. The measuring instruments used are questionnaires and questionnaires. Data analysis uses 2x2 chi square test.Result. The results of this study indicate that there is an overview between knowledge and attitudes of pregnant women about danger signs duringElisabteh Health Journal : Jurnal Kesehatan, Vol. V No. 01 (Juni, 2020) : V-01 E-ISSN 2541-4992pregnancy by observing the results of statistical tests obtainead p = 0.003 <α 0.05. Because the significance value is smaller than the real level of 0.05,Duscussion. it can be concluded that there is an overview between the knowledge of the attitudes of pregnant women about danger signs during pregnancy at Romauli Clinic Marelan District Medan City.
PENGARUH EDUKASI MANAJEMEN DIRI TERHADAP DAN TEKANAN DARAH PASIEN HIPERTENSI DI RUANG RAWAT INAP RUMAH SANTA ELISABETH MEDAN
Authors: Rusmauli Rusmauli , Sianipar Connie M
Published: March 2021

Introduction: The risk for cardiovascular disorder caused by hypertension can be forestalled and controlled by applying healthy behavior such as exercises, cognitive symptom management, healthy diet, and blood pressure monitoring. In this case, education plays an important role in increasing the control of blood pressure. The objective of the research was to identify the influence of self-management education on healthy behavior and blood pressure in hypertension patients in the Hospital Elisabeth Medan Method: The research used quasi experiment and nonequivalent control group pre-post test design. The samples for this study were 60 hypertension patients as the respondents divided into two group, 30 in the intervention group and 30 in the control group taken by consecutive sampling technique. The data were gathered by using modification instruments from Stanford University; they were exercise behavior scale, cognitive symptom scale, questionnaires on healthy diet, and digital Omron tensimeter for measuring blood pressure Result: The data were gathered by using modification instruments from Stanford University; they were exercise behavior scale, cognitive symptom scale, questionnaires on healthy diet, and digital Omron tensimeter for measuring blood pressure. Data were analyzed using descriptive statistics, Wilcoxon and Mann Whitney test. The result of the research showed that there was no influence of self-management education on exercise (p-value = 1.00 > 0.05), there was the influence of self-management education on cognitive symptom (p-value = 0.00 < 0.05), there was the influence of self-management education on healthy diet (p-value = 0.00 < 0.05), and there was the influence of self-management education on systolic and diastolic blood pressure (p-value = 0.00 < 0.05).. Discussion: The conclusion of the research was that education could increase the application of healthy behavior and controlling blood pressure in hypertension patients. The result of the research could be an input for health care to maintain and increase education in hypertension patients so that they could control their blood pressure and forestall hypertension complication.
Assessing the ground waters of Bulgaria using a Water Quality Index
Authors: Vasileva Tanya
Published: March 2021

The study focuses on the quality of shallow groundwater in Bulgaria based on the content of major ions. To be safe for drinking purposes, their concentrations must not exceed the respective thresholds. The groundwater quality is assessed in terms of health hazard by a groundwater quality index (GWQI or WQI), and the respective map is presented. The results show that for the territory of Bulgaria, this index varies from 13 to 92. The highest values of this index (related to health hazard) are typical for the lower hypsometric zone of the country. The shallow groundwater in the zone of active water exchange is distributed as follows: waters of excellent quality, waters of good quality, waters of poor quality, and waters of very poor quality, covering 3%, 39%, 22%, and 31% of the whole area of the country, respectively. In this study, no estimates have been made for 5% of the territory of Bulgaria, which is characterized by the presence of very hard groundwater.
Mineralogical study of archaeological copper slags found in the area of Krushevets Village, SE Bulgaria
Authors: Tzankova Nikoleta , Stavrakeva Dobrinka
Published: March 2021

In this article, we present the results of our study on archaeological slags found near the village of Krushevets, Southeast Bulgaria. Chemical analyses of the slags show a high Fe2O3 (40.11–54.57%) and SiO2 (29.32–42.28%) content, increased CaO content (3.01–6.51%), as well as very low quantity of SO3 (from 0.20% to 0.52%) and P2O5 (between 0.23% and 0.30%). The unbound residual copper in the samples is in an amount of 0.41% to 1.07%. The main phases composition of the slags are as follows: fayalite-type silicate phases with impurities, kirschsteinite and laihunite; pyroxenes of the augite-type and amorphous hosted glass; iron-oxide phases (magnetite and maghemite); and copper-containing phases (drops of unbound copper, relicts of ore minerals such as bornite, chalcopyrite), as well as newly formed phases, such as chalcocite, and copper-containing spherical aggregates. The studied samples are a by-product of copper extraction metallurgical activity. The raw material used was of copper-sulfide type with impurities of manganese-, calcium-, magnesium- and aluminium-containing minerals.
ANALISIS PASAR VIRTUAL EVENT DI TENGAH PANDEMI COVID-19
Authors: Sasmita M. Tanggap
Published: March 2021

Sejak akhir tahun 2019 dunia dilanda pandemi Covid-19 yang mengakibatkan perubahan terhadap kehidupan termasuk dunia pariwisata lebih khusus pada sector MICE dan event. Sektor MICE dan Event beradaptasi terhadap perubahan tersebut salah satunya dengan mengadakan virtual event. Virtual event semasa pandemic cukup berkembang dari webinar, conference, hingga performaces. Virtual event merupakan sesuatu hal yang baru dan perlu dianalisa mendalam, dalam penelitian ini virtual event dianalisis dari sudut pasarnya. Dengan menggunakan metode penelitian survey, dengan menyebarkan kuesioner daring pada 100 orang, ditemukan bahwa virtual event masih memiliki peluang untuk dapat terus diproduksi di masa yang akan datang dengan masih tingginya minat masyarakat untuk ikut berpartisipasi dalam kegiatan virtual event walaupun terdapat berbagai kendala dalam pelaksanaannya seperti durasi yang terlalu lama, monoton, dan waktu tayang yang tidak tepat
KAJIAN EMPIRIS PENENTU NIAT PEMUDA UNTUK BERWIRAUSAHA DI DESA WISATA JATILUWIH KABUPATEN TABANAN
Authors: Suastini Ni Made
Published: March 2021

Kewirausahaan sangat diperlukan untuk pertumbuhan ekonomi di Indonesia karena dalam kewirausahaan terkandung aspek inovasi, ide-ide baru, kreativitas serta penciptaan lapangan pekerjaan. Tujuan penelitian ini adalah untuk mengetahui bagaimana niat kewirausahaan pemuda di Desa Wisata Jatiluwih Kabupaten Tabanan, Bali. Variabel dalam penelitian ini juga diharapkan dapat membantu mengetahui dan menjelaskan faktor-faktor yang dipertimbangkan dalam niat berwirausaha sehingga diharapkan dapat membantu mengurangi angka pengangguran di Kabupaten Tabanan, Bali. Hasil analisis data penelitian ini menemukan bahwa variabel kebutuhan berprestasi, dukungan keluarga dan efikasi diri secara parsial berpengaruh positif dan signifikan terhadap niat berwirausaha.
Front Matter
Authors: Jenzen-Jones N.R.
Published: March 2021

Table of contents; Editor's Preface (N.R. Jenzen-Jones); From the CFM Curator (Danny Michael).
Book Reviews
Authors: Shanley Jack , Michael Danny , Senft Patrick
Published: March 2021

A History of the Small Arms Made by the Sterling Armament Company: Excellence in Adversity Reviewed by: Jack Shanley Peter Laidler, James Edmiston & David Howroyd. Barnsley: Pen & Sword, 2020. ISBN 978-15-26773-30-2. xv + 352 pp., 32 col. illus., 350 b. & w. illus. £40. Winchester Model 1895: Last of the Classic Lever Actions Reviewed by: Danny Michael Rob Kassab & Brad Dunbar. Boca Raton: Buffalo Cove Publishing, 2019. ISBN 978-0-578-46655-2. 432 pp., numerous col. illus. $89.99. Firearms of the Texas Rangers: From the Frontier Era to the Modern Age Reviewed by: Patrick Senft Doug Dukes. Denton: University of North Texas Press, 2020. ISBN 978-1-574-41810-1. 640 pp., 182 b. & w. illus. $45.
The Dutch Uzi: Service Variants of the Army, Navy & Air Force, 1957–1997
Authors: Willemsen Mathieu
Published: March 2021

The well-known Israeli Uzi sub-machine gun saw service with the Dutch Armed Forces between 1957 and 1997. Other than the Israel Defense Forces, the Netherlands were the first nation to adopt this weapon for their conventional military forces—and also the first to use the Uzi in combat. The Dutch Navy, Air Force, and Army all adopted the Israeli sub-machine gun, although each service selected a slightly different configuration, including variants with different stocks and modes of fire. This article presents a brief history of the Uzi in Dutch service, tracing the primary variants in service with all three branches of the armed forces and examining how this variety highlights a recurring small arms acquisition trend within the Dutch military.
Propuesta de protocolización para la práctica de la Terapia Electroconvulsiva en el Hospital de Clínicas de la Universidad Nacional de Asunción, Paraguay
Authors: Chávez María Emilia
Published: March 2021

La electroconvulsión básicamente consiste en provocar una crisis comicial generalizada de una determinada duración, mediante la aplicación de energía eléctrica sobre un paciente anestesiado, con una finalidad terapéutica. La mayoría de las nuevas teorías se enfocan en los cambios a nivel de neurotransmisores. Numerosos estudios investigan los cambios biológicos que produce la terapia electroconvulsiva, pero a causa de las graves dificultades metodológicas a las que deben enfrentarse no se ha podido concluir con exactitud cuáles de estos cambios son los responsables de la acción terapéutica. La terapia electroconvulsiva ha demostrado gran efectividad donde otros procedimientos han fallado. Inicialmente, la indicación principal era la esquizofrenia. En la actualidad continúa siendo la terapia de elección para el tratamiento de una gran variedad de enfermedades mentales, pero con mayor énfasis en los trastornos afectivos. La unidad de terapia electroconvulsiva se debe ubicar físicamente en el Hospital de Clínicas y depender del Servicio de Psiquiatría del citado hospital, debe constar de una sala de espera, una sala de tratamiento y una sala de recuperación, las cuales deben estar dotadas de los materiales y fármacos suficientes para inducir la anestesia, monitorizar las funciones fisiológicas y garantizar la ventilación y reanimación. Este artículo tiene por objetivo presentar una propuesta de protocolización de la práctica de la terapia electroconvulsiva en el Hospital de Clínicas de la Universidad Nacional de Asunción, Paraguay.

Palabras clave: Terapia electroconvulsiva; Psiquiatría; Protocolización; Paraguay.
Fundamentos de Psicoterapia
Authors: Torales Julio , Brítez-Cantero José
Published: March 2021

La psicoterapia es entendida como un procedimiento destinado a aliviar el sufrimiento humano por medio de recursos psicológicos. Se basa en la relación profesional y humana de un paciente con un terapeuta experto, que utiliza determinados procedimientos psicológicos y conocimientos sobre el psiquismo, para promover el cambio psíquico, aliviar un sufrimiento o favorecer el desarrollo de la persona y de sus vínculos. La psicoterapia se ha convertido en un recurso innegable en el campo de la salud: como medio de tratar los trastornos mentales, de aliviar el sufrimiento y/o de lograr cambios conductuales. Además, su campo de acción se ha extendido a enfermedades físicas o disfunciones sociales que están vinculadas a trastornos psicológicos. En este artículo se presentarán los conceptos generales de psicoterapia, sus características comunes, los enfoques psicoterapéuticos predominantes y su eficacia basada en la evidencia. Se expondrán, además, algunas apreciaciones acerca de la psicoterapia en población pediátrica y en adultos mayores.

Palabras clave: Psicoterapia; Eficacia; Salud Mental; Enfoques psicoterapéuticos.
Farmacoterapia de la Demencia
Authors: Lird Melissa , Ruíz Díaz Noelia
Published: March 2021

La demencia es un síndrome, generalmente de naturaleza crónica o progresiva, caracterizado por el deterioro de la función cognitiva (es decir, la capacidad para procesar el pensamiento). Afecta a la memoria, el pensamiento, la orientación, la comprensión, el cálculo, la capacidad de aprendizaje, el lenguaje y el juicio. La conciencia no se ve afectada. La demencia es una enfermedad muy prevalente, que representa una carga dramática para los pacientes, para sus familias y la sociedad toda. El presente comentario hace un breve resumen sobre el tratamiento farmacológico de la demencia causada por la enfermedad de Alzheimer y otras etiologías.

 Palabras clave: Demencia; Deterioro cognitivo; Tratamiento farmacológico.
Agradecimiento al Consejo Editorial y pares revisores, año 2017
Authors: Editorial Consejo
Published: March 2021

La Revista MEDICINA CLÍNICA Y SOCIAL agradece a los integrantes del Consejo Editorial y a los pares revisores que han participado en el proceso de evaluación de los tres primeros números de la revista, en su primer año de vida institucional.

Los integrantes del Consejo Editorial y los pares revisores –presentados en orden alfabético– se listan a continuación:

Ayala, Ana (Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud, Paraguay).

Barrios, Iván (Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Paraguay).

Castaldelli-Maia, João (Universidad de São Paulo, Departamento de Psiquiatría, Brasil).

Chaux, Alcides (Universidad del Norte, Dirección de Investigaciones, Paraguay).

Ferro, Esteban (Universidad Nacional de Asunción, Facultad de Ciencias Químicas, Paraguay).

Flores, Jorge (Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Paraguay).

Giménez Rolón, Elvira (Universidad Nacional de Caaguazú, Facultad de Ciencias de la Salud, Paraguay).

González, Israel (Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Paraguay).

Real Delor, Raúl (Universidad Nacional de Itapúa, Facultad de Ciencias Médicas, Paraguay).

Rodríguez, Ingrid (Universidad Nacional de Asunción, Revista An. Fac. Cien. Méd., Paraguay).

Rodríguez-Morales, Alfonso (Universidad Tecnológica de Pereira, Facultad de Ciencias de la Salud, Colombia).

Rojas de Arias, Antonieta (Centro para el Desarrollo de la Investigación Científica, Paraguay).

Samudio, Margarita (Universidad Nacional de Asunción, Revista Mem. Inst. Investig. Cienc. Salud, Paraguay).

San Miguel, Cristina (Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Paraguay).

Ventriglio, Antonio (Universidad de Foggia, Departamento de Medicina Clínica y Experimental, Italia).

Villalba Arias, Jorge (Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Paraguay).
Síndrome de West: reporte de un caso.
Authors: Ríos-González Carlos Miguel
Published: March 2021

Introducción: es una encefalopatía epiléptica dependiente de la edad caracterizada por la tríada electroclínica de espasmos epilépticos, retardo del desarrollo psicomotor y patrón electroencefalográfico de hipsarritmia en el electroencefalograma.Objetivo: Reportar un caso de síndrome de West en paciente ecuatoriano.Caso clínico: Paciente de sexo masculino de 6 meses de edad, consulta por manifestar 3 crisis convulsivas en menos de 24 horas con breve pérdida de la conciencia de aproximadamente 3 minutos y revulsión ocular, acompañadas de espasmos que se caracterizan por la contracción bilateral, brusca y simétrica de músculos cervicales, tronco y miembros. Se evidencia alteración en el desarrollo motor al no concordar con su edad cronológica. En el EEG se evidencia un patrón de hipsarritmia con lo cual se llega a un consenso diagnóstico del síndrome de West con espasmos en extensión, hipotonía e hipoactividad, asimismo en el EEG se evidenció frecuentes descargas epileptiformes focales con ondas lentas y complejos de puntas.Discusión: Es importante para profesionales en salud considerar como diagnóstico de SW en pacientes que presenten el cuadro clínico mencionado, para alcanzar un mejor pronóstico, ya que al no ser manejado de manera adecuada y oportuna tendrá graves repercusiones en el paciente
Asociación entre Síndrome de Burnout y funcionalidad familiar en médicos residentes
Authors: Marecos-Bogado Sandra , Moreno Martín
Published: March 2021

Introducción: el síndrome de Burnout representa un problema de salud con gran impacto actualmente, sobre todo en la profesión médica, a causa de la gran cantidad de horas de trabajo y el estrés que genera la responsabilidad de tomar decisiones que comprometen la vida de los pacientes. Objetivo: determinar la asociación entre síndrome de Burnout y funcionalidad familiar en médicos residentes del Hospital de Clínicas de la Universidad Nacional de Asunción, Paraguay (año 2017). Metodología: estudio observacional, analítico, de corte transversal. Se incluyó a médicos residentes del Hospital de Clínicas de especialidades troncales. Para la recolección de datos se utilizó un cuestionario que incluyó datos sociodemográficos, el cuestionario de “Maslach Burnout Inventory” para medir síndrome de Burnout y el test de Apgar familiar. Resultados: se incluyó a 104 médicos residentes con una edad promedio de 28,86±1,89 años; 60,6% fueron de sexo femenino; 40,4% internistas; 33,7% fueron de primer año. La frecuencia de síndrome de Burnout fue del 24%; 19,2% presentaron disfunción familiar leve. No se encontró asociación significativa entre síndrome de Burnout y las variables edad, sexo, estado civil. Se encontró asociación significativa entre síndrome de Burnout y disfunción familiar leve y moderada (<0,05). Discusión: la frecuencia de síndrome de Burnout fue elevada, constatándose asociación significativa con disfunción familiar. En ese sentido, es recomendable crear un sistema de evaluación psicológica previo al inicio de las funciones como médico residente, de manera a determinar el impacto real que tiene este rol sobre la salud mental. Asimismo, sería adecuado contar con un departamento que vele por los derechos y obligaciones del médico residente, estandarizando las horas de trabajo y descanso, e implementando actividades de ocio y recreación.

Palabras clave: Médicos residentes; Síndrome de Burnout; Funcionalidad familiar.
Desempeño del docente instrumentador en el campo de práctica desde la perspectiva de los estudiantes
Authors: Aquino Marcela
Published: March 2021

Introducción: Reconocer el desempeño del docente instrumentador/a en el campo de práctica, desde la perspectiva de los estudiantes. Objetivo: Analizar el desempeño del docente instrumentador/a en el campo de práctica, desde la perspectiva de los estudiantes de la Carrera de Instrumentación y Área Quirúrgica de la Facultad de Ciencias Médicas de la Universidad Nacional de Asunción. Metodología: El nivel de la investigación científica se ubicó en descriptivo, de corte transversal, dado que se realizó una encuesta para la recolección de la información de fuente primaria y análisis con métodos descriptivos. Con enfoque cuantitativo. Resultados: El 90% de los encuestados indica que el docente debe acompañar en Todas las áreas de desempeño. El desempeño docente ha sido calificado por parte de los encuestados, con un 44% que ha indicado Bueno. Encontrándose que tanto el criterio Excelente con 16%, Muy buena 24%, sumados estas tres cifras numéricas nos da un 84% de gestión positiva para la formación de profesionales, frente a un 16% que se ubica en la categoría de Regular. Discusión: Es indispensable que el docente instrumentador esté preparado para poder brindar solución al estudiante y respuesta ante un interrogante al menos intentar disipar las dudas y bridar la respuesta que están esperando. Palabras clave: docente; instrumentador.
Alteraciones cognitivas en pacientes operados de aneurismas cerebrales en el Hospital de Clínicas
Authors: Moguilner Gabriela , Frutos Fabrizio , Riquelme Ana , Arce Kevin , Flecha Italo , Díaz Dario
Published: March 2021

Introducción: la hemorragia subaracnoidea por sí misma puede dar lugar a un daño cerebral, por esto, en pacientes sin complicaciones los trastornos cognitivos pueden estar presentes. Objetivos: analizar las alteraciones neuropsicológicos en los pacientes operados de aneurismas cerebrales y los factores que se asocian a su desarrollo. Metodología: estudio analítico, observacional, ambispectivo, 2013 - 2020, que incluyó pacientes operados de aneurismas cerebrales rotos en el Hospital de Clínicas.  La evaluación cognitiva se realizó con el mini examen cognitivo de Lobo. Se consideró alterado cuando la puntuación fue menor a 27.  Se analizaron 12 variables asociando las mismas con el tema de estudio. Los datos fueron analizados con Epi-info 7.2. Resultados: La edad mayor a 60 años se asoció al déficit cognitivo de forma significativa, así como también la lateralidad a izquierda, el uso de clipado temporario durante la cirugía, la ruptura del aneurisma en el intraoperatorio, el vasoespasmo y la hidrocefalia. No se asoció significativamente con el desarrollo de un trastorno cognitivo; el sexo, el nivel de escolaridad, la cantidad de sangre cisternal, la localización del aneurisma, el Glasgow de ingreso ni la fase en la cual se realzó la cirugía. Discusión: en general los hallazgos coinciden con la literatura. Llamó la atención que la escala de Fisher en la muestra estudiada no demostró tener una asociación significativa con el trastorno cognitivo, sin embargo, hay datos en la literatura que sostienen que la cantidad de sangre cisternal al ingreso es un fuerte predictor del estado cognitivo del paciente al alta.
Desnutrición en pacientes con enfermedad renal crónica hemodializados en el Hospital Regional de Coronel Oviedo
Authors: Rodríguez Castro Aldo Ismael , Ríos González Carlos Miguel , Riveros Caballero Laura Mabel
Published: March 2021

Introducción:  Existe una estrecha relación entre la desnutrición y pacientes con enfermedad renal crónica en tratamiento con hemodiálisis. Objetivo: determinar la frecuencia de desnutrición en pacientes con enfermedad renal crónica hemodializados del Hospital Regional de Coronel Oviedo, durante el mes de septiembre del año 2019. Metodología: estudio observacional, descriptivo de corte transversal con muestreo no probabilístico. Se seleccionaron todos los pacientes hemodializados del Servicio de Nefrología del Hospital Regional de Coronel Oviedo, durante el mes de septiembre del año 2019 que en total fueron 59 pacientes. Resultados: la frecuencia de desnutrición fue del 32 % relacionando el peso seco actual con el peso ideal de cada uno de los pacientes. Utilizando el IMC, el 45,8 % tuvo estado nutricional normal, el 28,8 % corresponde a sobrepeso. El 3,4 % presentó desnutrición. La albúmina sérica estaba por debajo de 3,5 g/dl en el 27,1 %. Conclusión: En este estudio se demostró que la frecuencia de desnutrición en los hemodializados se encuentra en un rango bastante amplio dependiendo de los parámetros utilizados. La frecuencia varía con cada parámetro utilizado, y el resultado es más fidedigno si se utilizan diferentes parámetros. Palabra clave: desnutrición; enfermedad renal crónica; hemodiálisis.
Folie imposée en dos hermanas gemelas: reporte de un caso
Authors: O'Higgins Marcelo , González Sandra , Torales Julio
Published: March 2021

Folie imposée (trastorno de ideas delirantes inducidas) es una entidad poco frecuente en psiquiatría clínica. Este es un reporte de caso de dos hermanas gemelas, que requirieron internación en un servicio de psiquiatría tras la aparición de ideas delirantes de perjuicio y de contenido místico que, tras una intervención adecuada y separación de la paciente sin antecedentes de cuadros similares, recuperaron su funcionalidad previa. El trastorno de ideas delirantes inducidas tiene diferentes subtipos clínicos que se diferencian en el modo en que inician su efecto en la persona inducida. El tratamiento involucra enfoques farmacológicos y psicoterapéuticos, al igual que una importante psicoeducación sobre el cuadro.
Síndrome de Burnout en médicos residentes de un hospital público de la ciudad de Aregua en el año 2020
Authors: Torres Romero Anthon Daniel , Alcaraz Romero Ivana Araceli
Published: March 2021

Introducción: El estrés merece especial atención dentro de lo que sería la salud mental, teniendo en cuenta que estados prolongados de estrés podrían acarrear estados depresivos o de ansiedad severos. Las labores hospitalarias son uno de los trabajos de fuente innata para el estrés, este trabajo se enfocará en el estrés en médicos residentes. Objetivo: Determinar el síndrome de Burnout en médicos residentes de un hospital público de la ciudad de Areguá en el año 2020. Material y Método: Estudio observacional descriptivo, de corte transversal, muestra no probabilístico por conveniencia, desde junio hasta agosto de 2020, de 24 encuestas, en el Hospital Nacional del Cáncer (Aregua). Se aplicó Cuestionario de Maslach Burnout Inventory- Healt Service Survey (MBI-HSS). Resultados: Se analizaron 24 encuestas. Edades comprendidas entre 24 y 34 años (28,875±3,0405).  Se reportan a 12 residentes con Síndrome de Burnout, equivalente al 54,2% de la muestra. Realización personal baja con 66,7% (16); Agotamiento emocional alto 45,8% (11); Despersonalización alta 50% (12). Discusión: En la presente investigación se encontró que el 54,2% de los residentes encuestados son categorizados con Sindrome de Burnout. Se resalta la investigación de Jacome et al donde el 47,5% de los residentes fueron categorizados con Síndrome de Burnout; mientras que, en el estudio de Estigarribia et al se encontró una baja prevalencia del Sindrome de Burnout, equivalente al 22%; esta diferencia se puede deber al instrumento que fue utilizado en ambos estudios, tratándose del MBI.
Machine Learning and statistic predictive modeling for road traffic flow
Authors: Slimani Nadia , Slimani Ilham , Sbiti Nawal , Amghar Mustapha
Published: March 2021

Traffic forecasting is a research topic debated by several researchers affiliated to a range of disciplines. It is becoming increasingly important given the growth of motorized vehicles on the one hand, and the scarcity of lands for new transportation infrastructure on the other. Indeed, in the context of smart cities and with the uninterrupted increase of the number of vehicles, road congestion is taking up an important place in research. In this context, the ability to provide highly accurate traffic forecasts is of fundamental importance to manage traffic, especially in the context of smart cities. This work is in line with this perspective and aims to solve this problem. The proposed methodology plans to forecast day-by-day traffic stream using three different models: the Multilayer Perceptron of Artificial Neural Networks (ANN), the Seasonal Autoregressive Integrated Moving Average (SARIMA) and the Support Machine Regression (SMOreg). Using those three models, the forecast is realized based on a history of real traffic data recorded on a road section over 42 months. Besides, a recognized traffic manager in Morocco provides this dataset; the performance is then tested based on predefined criteria. From the experiment results, it is clear that the proposed ANN model achieves highest prediction accuracy with the lowest absolute relative error of 0.57%.
Unbounded Spatial Data Stream Query Processing using Spatial Semijoins
Authors: Osborn Wendy
Published: March 2021

In this paper, the problem of query processing in spatial data streams is explored, with a focus on the spatial join operation. Although the spatial join has been utilized in many proposed centralized and distributed query processing strategies, for its application to spatial data streams the spatial join operation has received very little attention. One identified limitation with existing strategies is that a bounded region of space (i.e., spatial extent) from which the spatial objects are generated needs to be known in advance. However, this information may not be available. Therefore, two strategies for spatial data stream join processing are proposed where the spatial extent of the spatial object stream is not required to be known in advance. Both strategies estimate the common region that is shared by two or more spatial data streams in order to process the spatial join. An evaluation of both strategies includes a comparison with a recently proposed approach in which the spatial extent of the data set is known. Experimental results show that one of the strategies performs very well at estimating the common region of space using only incoming objects on the spatial data streams. Other limitations of this work are also identified.
The influence of adsorbed atoms concentration on the temperature coefficient of resonant frequency of the quasi-Rayleigh wave
Authors: Seneta M.Ya. , Peleshchak R.M. , Nesterivskyi A.I. , Lazurchak N.I. , Guba S.K.
Published: March 2021

Within the model of self-consistent connection of quasi-Rayleigh wave with adsorbed atoms, a method of constructing a new class of radiometric sensors of the temperature and concentration of adsorbed atoms on the surface acoustic waves is proposed. Based on the developed theory of the dispersion and acoustic mode width of a quasi-Rayleigh wave on the adsorbed surface of monocrystals with a Zinc blende structure, the temperature coefficient of the resonant frequency of the surface acoustic wave is calculated depending on the temperature and on the concentration of adsorbed atoms.
First principle study of structural, elastic, electronic and optical properties of Pb0.5Sn0.5TiO3 and Pb0.5Sn0.5Ti0.5(Zr0.5)O3
Authors: Kuma S.G. , Woldemariam M.M.
Published: March 2021

The structural, electronic, elastic and optical properties of tetragonal (P4mm) phase of Pb0.5Sn0.5TiO3 (PSTO) and Pb0.5Sn0.5Ti0.5(Zr0.5)O3 (PSTZO) are examined by first-principles calculations based on the density functional theory (DFT) using the pseudo-potential plane wave (PP-PW) scheme in the frame of generalized gradient approximation (GGA). We have calculated the ground state properties such as equlibrium lattice constants, volume, bulk modulus and its pressure derivative. From elastic constants, mechanical parameters such as anisotropy factor, elastic modulus and Poisson's ratio are obtained from the Voigt-Reuss-Hill average approximation. Rather than their averages, the directional dependence of elastic modulus, and Poisson's ratio are modelled and visualized in the light of the elastic properties of both systems. In addition, some novel results, such as Debye temperatures, and sound velocities are obtained. Moreover, we have presented the results of the electronic band structure, densities of states and charge densities. These results were in favourable agreement with the existing theoretical data. The optical dielectric function and energy loss spectrum of both systems are also computed. Born effective charge (BEC) of each atoms for both systems is computed from functional perturbation theory (DFPT). Finally, the spontaneous polarization is also determined from modern theory of polarization to be 0.8662 C/m2 (PSTO) and 1.0824 C/m2 (PSTZO).
Prediction of electronic and half metallic properties of Mn2YSn (Y = Mo, Nb, Zr) Heusler alloys
Authors: Zeffane S. , Sayah M. , Dahmane F. , Mokhtari M. , Zekri L. , Khenata R. , Zekri N.
Published: March 2021

We investigate the structural, electronic and magnetic properties of the full Heusler compounds Mn2YSn (Y = Mo, Nb, Zr) by first- principles density functional theory using the generalized gradient approximation. It is found that the calculated lattice constants are in good agreement with the theoretical values. We observe that the Cu2MnAl-type structure is more stable than the Hg2CuTi type. The calculated total magnetic moments of Mn2NbSn and Mn2ZrSn are 1 μB and 2 μB at the equilibrium lattice constant of 6.18 Å and 6.31 Å, respectively, for the Cu2MnAl-type structure. Mn2MoSn have a metallic character in both Hg2CuTi and Cu2MnAl type structures. The total spin magnetic moment obeys the Slater-Pauling rule. Half-metal exhibits 100% spin polarization at the Fermi level. Thus, these alloys are promising magnetic candidates in spintronic devices.
Gifted Education Through the Lens of Religion
Authors: Almutairi Nasser M. , Round Penny N. , Casinader Niranjan R.
Published: March 2021

This paper aims to understand the influence of Islamic religious philosophy on the application of gifted education in schools. To date, little attention has been paid to the influence of religion, particularly Islam, on how giftedness or areas of talent are viewed and accommodated in the education system. The article considers that Islamic culture pays more attention to areas of talent, such as religious studies, leadership, wisdom and morality, with much emphasis on highly able people with spiritual, social and emotional needs. While in the West, religion may have less impact on gifted education which could be because of separating religion from the state. Therefore, a number of areas of giftedness/talent may be admired or ignored due to the influence of religion when it comes to educational practices. This paper gives an example of how Islam influences some areas of giftedness/talent such as music, art, sports and leadership.
Konflikt: Quelle oder Gefährdung gesellschaftlichen Zusammenhalts?
Authors: Deitelhoff Nicole
Published: March 2021

Pluralistische Gesellschaften müssen aus Differenzen Gemeinsamkeiten erwirtschaften, die ein friedliches politisches Zusammenleben ermöglichen. Sie tun dies, indem sie diese Differenzen immer wieder zur Disposition stellen, d. h. im und durch Konflikt. Demokratie erweist sich dabei als diejenige Herrschaftsform, die in besonderer Weise geeignet ist, Konflikte zu ermöglichen und sie zugleich so einzuhegen, dass sie Zusammenhalt produzieren und nicht nur verbrauchen.
Perceived justice and service recovery satisfaction in a post-transition economy
Authors: Gidaković Petar , Čater Barbara
Published: March 2021

This paper aims to improve the understanding of outcomes of service recovery in a post-transition context by examining the relationships between four dimensions of perceived justice and service recovery satisfaction (SRS), positive word of mouth (PWOM) and repurchase intentions. Results from a survey of 217 Slovenian telecommunications customers with actual recovery experiences reveal that distributive, informational and interpersonal (but not procedural) justice are positively related to SRS, which acts as a mediator between these three justice dimensions and repurchase intentions and PWOM. Further analysis indicates that duration of customer-firm relationship negatively moderates the link between interpersonal justice and SRS. These findings provide a theoretical explanation of inconsistent findings in previous studies regarding the importance of interactional justice. For managers, our findings indicate that service providers should always pay attention to providing fair compensation, truthful information and fair interpersonal treatment to complainants, while the interpersonal treatment during service recovery matters even more to customers whose relationships with the provider are in the development phase.
Key success factors of engineering company (Case of Czech engineering industry)
Authors: Kubíčková Lea , Chudá Barbora
Published: March 2021

The definition of a successful company is not uniform in the scientific literature, and the determinants of a company’s success can vary from one business sector to another. Based on a study of 16 Czech engineering companies, this paper defines the success of an engineering company as a state when the company achieves the satisfaction and stability of external and internal interest groups (especially employees), contributing to its healthy development, technological expansion and long-term sustainability through marketable products or services and sufficient resources to finance that state. This definition is consistent with the results of studies such as Fortune and White (2006), Zarina et al. (2014), Arcić (2018), Mahanti (2018) or Amuda-Yusuf (2018). In the Czech engineering environment, marketing can generally be considered a key factor, and within the marketing mix, pricing policy and especially product. The breadth and depth of the products provided and their high quality also play a significant role. Furthermore, human resources are a key factor in the success of the Czech engineering company, where the emphasis is placed on the stability and loyalty of employees and their positive attitude to work, and research, development and innovation are mentioned as another key success factor. Surprisingly, financial factors were not listed as the main determinants of success.
Engaging Philosophically with Immaterial Poverties
Authors: McCormick Peter ,   Philosophy Documentation Center
Published: March 2021

This article focuses on the extremely poor, on those who, if they are to live decent lives, are most in need of assistance. Like those suffering today from extremely severe famine in Yemen and elsewhere, very many of those suffering from extreme poverty will die not only prematurely; probably they will die before the end of the year. They will die if, among many others, thoughtful and resourceful persons including some philosophers continue to fail to engage themselves to assist them. My aim is to underline several of the philosophical elements in some recent discussions of both monetary and non-monetary extreme poverty. With these elements freshly in view, I would then like to examine critically yet constructively the most salient ones from the perspective of a certain understanding of the cardinal notion of ethical engagement. I will conclude with a summary of the main argument and a formulation of several key questions which still need further reflective discussion today.
An enigmatic specialized new eutherian mammal from the Late Cretaceous of Western Europe (Northern Pyrenees)
Authors: GHEERBRANT Emmanuel , TEODORI Dominique
Published: March 2021

We report the discovery of a new Late Cretaceous eutherian mammal, Azilestes ragei n. gen., n. sp. from the Mas-d’Azil northern Pyrenean site (France), which is among the largest known. It is only known from a broken lower jaw found in uppermost levels of the Grès de Labarre Formation (early Maastrichtian). Despite its poor preservation, it displays distinctive specialized features with respect to known Cretaceous eutherians. This includes a reduced premolar formula and shortened and robust jaw, an incipient hypolophid, and a cingular-like postcristid and hypoconulid. The phylogenetic analysis suggests indeed a possible stem relationship between Azilestes n. gen. and some clades of herbivorous Cenozoic placentals, but with weak support. Several molar features reminiscent of the Zhelestidae, especially Valentinella Tabuce, Vianey-Liaud & Garcia, 2004, support instead that Azilestes n. gen. is a basal eutherian showing early specialization in a herbivorous diet convergent with some crown placentals. Whatever the suprageneric position of Azilestes n. gen., which remains to be clarified with additional material, its discovery highlights a significant diversity of European Cretaceous eutherians in contrast to their very poor fossil record.
The Impact of Photo Overlap, the Number of Control Points and the Method of Camera Calibration on the Accuracy of 3D Model Reconstruction
Authors: Róg Marta , Rzonca Antoni
Published: March 2021

This research attempted to determine the optimal photo overlap, number of control points and method of camera calibration for a photogrammetric 3D model reconstruction of an object of cultural heritage value. Terrestrial images of the object were taken with a hand‑held digital camera and processed in the ContextCapture software using the Structure‑from‑Motion (SfM) algorithm. A total station was used to measure ground control points (GCPs) and check points.  Here, the research workflow, methodology, and various analyses concerning different configurations of the aforementioned factors are described. An attempt to assess the parameters which should be implemented in order to provide a high degree of accuracy of the model and reduce time‑consumption both during fieldwork and data processing was taken. The manuscript discusses the results of the analyses and compares them with other studies presented by different authors and indicates further potential directions of studies within this scope. Based on the authors’ experience with this research, some general conclusions and remarks concerning the planning of photo acquisition from the terrestrial level for the purpose of 3D model reconstruction were formulated.
CATHARSIS IN PHAEDO AND REPUBLIC OF PLATO
Authors: Pawłowski Kazimierz
Published: March 2021

The article takes up the topic of mystical motif of catharsis present in Plato’s dialogues Phaedo and Republic as well as their links with the mysticism of the Ancient Greek mysteries. The philosophical catharsis is a result of touching the divine, transcendent Truth.