bluuebunny/crossref_metadata_2025 huggingface dataset:
To the prevention of postpartum diseases
Authors: Fisher A.
Published: September 2020

Although very significant results have been achieved in the field of obstetric antiseptics in recent years, it cannot be denied that some aspects of this case still cannot be considered finally resolved; this should include mainly the questions about the importance of preventive disinfection and about the limitation of internal research of women in labor, which have been subject to lively discussion in recent years. The author, on the basis of the material of the Erlangen obstetric clinic, tries to approach the solution of these controversial practical issues closely related to the current state of our knowledge regarding the bacteriology of the internal genital organs of pregnant women and women in labor ("self-infection").
To prevent childbirth fever
Authors: Fisher A.
Published: September 2020

The authors, on the basis of the rich material of the Dresden clinic (in 1891 - 1487 childbirth), come to different conclusions than Frommet (see the previous abstract): with the abolition of vaginal douching in normal childbirth, the postpartum period improved.
The case of amenorrhea with galatorrhea
Authors: Fisher A.
Published: September 2020

A healthy, strong, very plump, married woman who did not give birth, 35 years of age, who always menstruated correctly (5 days after 4 weeks) from the age of 12, suddenly stopped for no apparent reason, and in both breasts appeared milk, which she had to express in view of the painful feeling of tension; about half a glass of milk was released from the right breast per day, and even a whole glass of milk from the left; the breasts did not noticeably increase.
Açık ve Uzaktan Öğrenmede Esneklik Ölçeğini Türkçe’ye Uyarlama Çalışması
Authors: KOKOÇ Mehmet
Published: September 2020

Bu araştırmanın amacı, “Açık ve Uzaktan Öğrenmede Esneklik” ölçeğini Türkçe’ye uyarlamak ve ilgili ölçeğin maddeleri ile ölçek genelinin psikometrik özelliklerini sınamaktır. Bergamin, Ziska ve Groner (2009) tarafından geliştirilen ve Bergamin Ziska, Werlen ve Siegenthaler (2012) tarafından revize edilen özgün ölçek, açık ve uzaktan öğrenme bağlamında öğrencilerin öğrenme ortamına ilişkin algılanan esneklik düzeylerini ölçmeyi hedeflemektedir. Araştırmanın iki farklı katılımcı grubu vardır. Ölçeğin faktör yapısının Türkiye örneklemi için nasıl örüntüleneceğini incelemek için 91 açık ve uzaktan eğitim öğrencisiyle açımlayıcı faktör analizi gerçekleştirilmiştir. Ortaya çıkan üç faktörlü ölçme modellerini sınamak ve hiyerarşik yapıyı incelemek için 141 açık ve uzaktan eğitim öğrencisinden veri toplanarak birinci ve ikinci düzey doğrulayıcı faktör analizleri gerçekleştirilmiştir. Yapı geçerliği için yakınsak geçerlik ve ayırt edici geçerlik teknikleri işe koşulmuştur. Elde edilen bulgular, ortaya çıkan ilişkili üç faktörlü modelin geçerliğinin ve güvenirliğinin sağlandığını kanıtlamaktadır. Bununla birlikte ilgili modelin, Avrupa örnekleminden toplanan verilerle geliştirilen özgün ölçeğin madde-yapı örüntüsüne benzer sonuçları işaret ettiği belirlenmiştir. Toplam dokuz madde ve üç faktörden oluşan ölçeğin, güvenilir ve geçerli bir ölçme aracı olarak, Türkiye’de öğrencilerin açık ve uzaktan öğrenme ortamlarına ilişkin algılanan esneklik düzeylerini ölçmek amacıyla kullanılabileceği sonucuna ulaşılmıştır.
BİLİŞİM ETİĞİYLE İLGİLİ KARAR VERME SİSTEMİNİN ÇEŞİTLİ YÖNTEMLERLE KULLANILABİLİRLİĞİNİN DEĞERLENDİRİLMESİ
Authors: DEMİRASLAN ÇEVİK Yasemin , TEPGEÇ Mustafa , MUMCU Filiz , SOMYÜREK Sibel , DAĞHAN Gökhan
Published: September 2020

Bu çalışmanın amacı, ortaokul öğrencilerinin Bilişim Etiği konusunda karar verme becerilerini geliştirmek amacıyla tasarlanan çevrimiçi öğrenme ortamının kullanılabilirliğini test etmektir. Bu süreçte çevrimiçi öğrenme ortamına ilişkin işlevsellik, arayüz ve kullanılabilirlik problemlerinin belirlenmesi hedeflenmiştir. Çalışmada hem otantik kullanıcı katılımına hem de uzman görüşüne dayalı kullanılabilirlik yöntemlerinden yararlanılmıştır. Otantik kullanıcı katılımına dayalı kullanılabilirlik değerlendirmesi için ortaokul 5-8. sınıflarda öğrenim gören 4’ü kız, 4’ü erkek olmak üzere 8 öğrenciye 6 otantik görev verilmiştir. Bu süreçte, gözlem notları tutulmuş, ekran kayıtları alınmış, katılımcı bilgi formu ile sistem kullanılabilirlik ölçeği uygulanmış ve son olarak öğrencilerle görüşmeler yapılmıştır. Uzman görüşüne dayalı kullanılabilirlik değerlendirmesi için ise, Nielsen (2005) tarafından geliştirilen 10 sezgisel kullanılmış ve bu süreç 3 alan uzmanı ile gerçekleştirilmiştir. Araştırmada veri toplama yöntemlerinin çeşitliliği sağlanmış ve çalışmanın iç geçerliği arttırılmaya çalışılmıştır. Araştırma bulguları, çevrimiçi öğrenme ortamının bazı kullanılabilirlik sorunları olduğunu ortaya koymuştur. Bu bulgulardan hareketle, öğrenme ortamında düzenlemelere gidilerek ortama son şekli verilmiştir.
EĞİTSEL ÇEVRİMİÇİ SOSYAL ÖĞRENME ORTAMI EDMODO’NUN FİZİKSEL AKTİVİTE KAVRAMLARINI ÖĞRENMEDE ERİŞİYE VE KALICILIĞA ETKİSİ
Authors: BULCA Yeşim , DEMİRHAN Gıyasettin
Published: September 2020

Çalışmanın amacı, ortaokul öğrencilerinin eğitsel çevrim içi sosyal öğrenme ortamı Edmodo’nun fiziksel uygunluk kavramlarını öğrenmede erişiye ve kalıcılığa etkisini araştırmaktır. Araştırma, Ankara ilinin Çankaya ilçesinde bulunan ve 6.sınıfta okumakta olan 192 (107 erkek, 85 kız) öğrenci üzerinde yürütülmüştür. Bu çalışmada, biri deney biri karşılaştırma grubu olarak basit seçkisiz örnekleme dayalı yöntemiyle iki grup seçilmiştir. Deney grubuna 6 hafta boyunca haftada bir gün, beden eğitimi ve spor dersinin ilk ders saatinde, bilişim dersliğinde o gün işlenecek konuda geçen kavramlar öğretilmiş; ikinci ders saatinde ise spor salonunda bu kavramların uygulamasına yönelik egzersizler yaptırılmıştır. Kontrol grubunda ise aynı kavramlar, eğitsel çevrim içi sosyal öğrenme ortamı Edmodo kullanılmadan anlatılarak öğretilmiş ve uygulama yapılmıştır. Veriler, “Çocuklar İçin Fiziksel Uygunluk Spor Bilgi Testi (ÇFUSBT)‟ kullanılarak uygulama öncesi ön test, uygulama sonrası son test ve uygulamadan 4 hafta sonra kalıcılık testi şeklinde toplanmıştır. Araştırmada elde edilen veriler, bağımsız gruplarda t testi, bağımlı gruplarda t testi ve tekrarlı ölçümler için iki faktörlü varyans analizi (2x2) ile istatistik teknikleri kullanılarak analiz edilmiştir. Araştırma ile fiziksel aktivite kavramlarının öğrenimini deney grubunda daha fazla gerçekleştiği sonucuna varılmıştır. Edmodo kullanımının ortaokul öğrencilerinin fiziksel aktivite kavramlarını daha iyi öğrenmelerinde etkili olduğu söylenebilir.
Why so Successful?
Authors: Pothou Eleni
Published: September 2020

The circulation of Turkish fictional television programs among different countries worldwide has been increased crossing over to wider audiences of different cultural regions. The last years there has been a rising production of Turkish series dealing with the foundation and the history of Ottoman Empire, militaristic series as well as drama series that go parallel to the country’s trade expansion in the region, foreign policies, Neo-Ottoman ideology and recent political events . This study deals with specific set of practices found in Turkish drama series that enable them to be cross-culturally consumed with the example of their success in Greece. The audience research presented in this paper indicates cultural proximity as a succorer for this consumption.
From the Western to the Kremlin and Back
Authors: Prati Elena
Published: September 2020

In the last years the arrival of international OTT providers and the development of national online digital platforms have deeply changed the Russian television environment. The constant need of both national self-affirmation and new contents has led to the development of different paths of content creation. In particular, foreign ready-made contents follow three paths: adaptation, localization and ‘Russification’, depending on their genre. The ‘Russification’ process is the most peculiar one and consists in the re-creation of a foreign product with local resources. The article will give the reader some key-concept to understand some of the most popular ‘Russification’ attempts, from the very first (The Nanny) to the most contemporary (Adaptation).
A Vicious Viewership
Authors: Kies Bridget
Published: September 2020

This paper uses the series Vicious (2013–2016), which aired on the British network ITV and the American noncommercial network PBS, as a case study in transatlantic reception for LGBTQ content. I draw on critical reception for the series, the star personae of lead actors Derek Jacobi and Ian McKellen, and studies of American perceptions of British masculinities. The varied reception for the series, understood through the networks’ economic models and cultural constructions of masculinities, reveals how notions of “quality” and “social progress” change as canned television travels to different national contexts.
Między ideą a konstrukcją. Projekty ołtarzy Jana Matejki
Authors: Ciciora Barbara
Published: September 2020

Artykuł poświęcony jest specyficznym uwarunkowaniom i wielostronnej recepcji średniowiecznych retabulów ołtarzowych przez najwybitniejszego polskiego malarza historycznego Jana Matejkę. Recepcja polegała na kreowaniu nowych dzieł w oparciu o formy historyczne (ale nie stylowe), czerpane z realnych zabytków, nie zaś ze współczesnych wzorników architektonicznych lub rekonstrukcji dokonywanych według imaginowanej wizji stylu, co proponowali konserwatorzy tacy, jak Carl Heideloff lub Eugène-Emmanuel Viollet-le-Duc. Matejce pomocna była wiedza o wyglądzie realnych ołtarzy nabyta w czasie podróży krajowych i zagranicznych, odbywanych w latach młodości, oraz udział w restauracji średniowiecznych zabytków, przede wszystkim ołtarza Wita Stwosza w kościele Mariackim w Krakowie, który umożliwił mu poznanie budowy i konstrukcyjnych zagadnień związanych z budową ołtarza, szczegółów wyglądu średniowiecznych typów postaci, ich strojów, narzędzi, broni, rzemiosła, a także cech stylistycznych, zagadnienia słabo znanego środowisku dokonującemu konserwacji krakowskich zabytków. Doświadczenia te weryfikowały typ filozoficznej i emocjonalnej recepcji średniowiecza, charakterystycznej dla epoki romantyzmu, propagowany przez krakowskiego filozofa i miłośnika sztuki Józefa Kremera oraz typ oceny krytycznej względem plastyki i zagadnień typowo artystycznych, który prezentował artysta, konserwator i jeden z pierwszych historyków sztuki Władysław Łuszczkiewicz. Matejce projektowanie utrudniały niespójne poglądy konserwatorskie krakowskiego środowiska, przede wszystkim spór toczony między zwolennikami przywracania jedności stylowej zabytków (Józef Łepkowski, Władysław Łuszczkiewicz), a ich przeciwnikami, twierdzącymi, iż kryterium rozstrzygającym o poprawności restauracji jest substancja pierwotna obiektu, włącznie z nawarstwieniami stylowymi różnych epok (Piotr Michałowski, Paweł Popiel, Stanisław Tomkowicz). Twórczość Matejki lokowała się zatem pomiędzy weryfikacją idei konserwatorskich, modeli pisania o sztuce i poglądów na stylistykę zabytków minionych epok, a szczegółowymi badaniami wyglądu i cech konstrukcyjnych lokalnych obiektów. Jego wiedza i doświadczenie zdobyte na podstawie wnikliwych i krytycznych obserwacji i porównań dawnych dzieł sztuki i rzemiosła, ale pozbawione oparcia w autorytecie teorii konserwatorskiej wypracowanej przez zagranicznych historyków sztuki i architektury – podobnie jak tworzone na tej podstawie projekty – nie zdobyły uznania środowiska skoncentrowanego na teoretycznym poznawaniu postaw konserwatorskich oraz idei dotyczących rozpoznania form i znaczenia krakowskich zabytków, za to wykorzystującego koniunkturalnie autorytet Matejki, jako artysty.
Postfigurationen der Shoah im gegenwärtigen Flüchtlingsdiskurs anhand von Jenny Erpenbecks Roman Gehen, ging, gegangen (2015)
Authors: Rutka Anna
Published: September 2020

Postfiguracje Szoah we współczesnym dyskursie uchodźczym w powieści Jenny Erpenbeck Gehen, ging, gegangen (2015)Powieść Jenny Erpenbeck Gehen, ging, gegangen, która poświęcona jest współczesnej migracji, ukazuje poprzez zmieniającą się konstrukcję głównego bohatera oraz jego zaangażowanie w pomoc uchodźcom komplementarną relację między narracją o Szoah a aktualnym dyskursem migracyjnym w Europie. Emerytowany profesor klasyki poszukuje w obliczu nieprzestrzegania praw człowieka wobec współczesnych uchodźców narracyjnego ratunku w metonimicznych odniesieniach do kolonializmu i Szoah. Paradoksem zastosowania transfiguracji Zagłady jest w tym kontekście fakt, że niewyrażalność doświadczenia Szoah służy literackiej krytyce i obnażeniu degeneracji europejskiego prawodawstwa, u którego podstaw leży zasadzająca się na pamięci Holocaustu światowa Deklaracja Praw Człowieka z 1948 r.
Neden Tarkovski Olmak İstiyoruz? 2000 Sonrası Türkiye Sinemasındaki Ruhani Eğilimler Üzerine
Authors: KÖPRÜ Mehmet
Published: September 2020

2000’li yıllar sonrası Türkiye sanat sinemasında ismine ve filmlerine en fazla gönderme yapılan yönetmenlerden biri Rus yönetmen Andrey Tarkovski’dir. Tarkovski’nin son filmini çektikten yıllar sonra başka bir ülkenin sinemacıları tarafından bu kadar ilgi görmesi ve bunun nedenleri, tartışılması gereken bir konudur. Tarkovski gibi film çekmenin arkasındaki sanatsal motivasyonların bir kısmı daha bireysel, dağınık ve bulanık iken diğer bir kısmı düşünsel arka planı olan daha sistematik bir yapıya işaret etmektedir. Çalışmada her ikisinden de bahsedilmesine karşın ikincisine daha fazla ağırlık verilmektedir. Savunucuları tarafından “hakikat sineması” olarak isimlendirilen bu eğilim, inanç ve iman odaklı öykülerle ön plana çıksa da mistik görünümleri, tasavvufi içerikleri, didaktizimden kaçınma çabaları, sanatsal kaygıları, şiirsel üslupları ve dingin sinematografileriyle önceki dönemin din temalı filmlerinden de ayrılmaktadırlar. Bu ayrışmada; kültürel, ekonomik, toplumsal ve siyasal konjonktürdeki değişimlerin yanında Tarkovski’nin 2000’ler sonrası Türkiye sinemasındaki etkisinin de payı vardır. Film çalışmalarındaki felsefi okumalarla da etkileşim halinde olan bu eğilim, bir taraftan yapımların görsel niteliğini ve sinematik dillerini değiştirirken diğer taraftan güncel toplumsal gelişmelerden uzak ve politik meseleler konusunda da mesafeli duran apolitik bir sinemanın da gerekçesi haline gelmiştir. Bu tartışmalar etrafında kurulan çalışmada, farklı yapımların adı geçse de merkezdeki örnek Semih Kaplanoğlu'nun Buğday (2017) filmi olacaktır.
Platon’un Filozof Kral’ı Bağlamında Deli Deli Küpeli Filmindeki Kaymakam Karakterinin Değerlendirilmesi
Authors: ERTÜRK Onur
Published: September 2020

Platon, hocası Sokrates’in ölümünün ardından ve bir anlamda Sofist gelenekten koparak ve soru sorma-mevcut yanlışları ortaya çıkarma pratiğini geride bırakarak “İdeal bir toplum düzeni ve devlet nasıl var olabilir?” sorusunun peşine düşmüştür. Sokrates’in meşhur “Bildiğim tek şey, hiçbir şey bilmediğimdir” cümlesi yerini, Platon’da, “Biliyorum, öyleyse dinleyin”e bırakmıştır. Platon, ideal devletini ve toplumunu anlatırken nihayetinde sözü filozof kral ya da kral filozofa getirerek ideal düzenin onlar eliyle sağlanacağını ve dolayısıyla filozof kralların toplumun ve yasaların üzerinde bir konuma sahip olması gerektiğini savunmuştur. Bu çalışmada Platon’un hem ideal devleti hem de yeryüzünde toplumsal olarak kurulabilir en iyi ikinci devleti ile onun bekasını emanet ettiği ve detaylı şekilde tasarlayıp anlattığı filozof kral ya da kral filozofu tanımlanmış; ardından filozof kral, yönetmenliğini Kartal Tibet’in üstlendiği, 1986 yapımı Deli Deli Küpeli filmindeki Deli Kaymakam karakteri ile karşılaştırılmıştır. Akıl hastanesinden kaçan iki delinin kar ve soğuk nedeniyle dünya ile irtibatı kesilen bir kasabaya gelmesi ve rastlantı sonucu kasabada kaymakam ve hâkim olarak karşılanmasının anlatıldığı filmin kaymakam karakterini filozof kralla karşılaştırmak için betimsel analiz ve metin analizi yöntemi kullanılmıştır. Kaymakam karakteri; siyasal erkinin kaynağı, siyasal gücü kullanma biçimi, toplumdaki kurtarıcı figürü olarak konumu, yasalara karşı tutumu, sahip olduğu erdemler ve değişime kapalı olma kategorileri kapsamında filozof kral ile karşılaştırılmıştır. Çalışma sonucunda Deli Kaymakam ve filozof kral arasında benzerlikler ve paralellikler bulunduğu ortaya konulmuştur.
In Greyhounds with paw pad corns, is surgical excision more effective at resolving lameness than extirpation?
Authors: Kenny Dan
Published: September 2020

PICO question

In Greyhounds (and Sighthounds) with recurring pedal corns, is surgical excision in comparison to corn extirpation more effective at resolving lameness?

 

Clinical bottom line

Category of research question

Treatment

The number and type of study designs reviewed

Three case series were included, all three were retrospective, one included a prospective component. There was one opinion-based narrative review and one opinion-based article.

Strength of evidence

Weak

Outcomes reported

Extirpation allows only a short palliation of lameness and repeated treatment is required at variable intervals. Surgical excision may provide good rates of short-term resolution however, in the long-term recurrence rates are still moderate. It should also be born in mind that further corns may develop in different digits.

Conclusion

In Greyhounds (and Sighthounds) with recurring pedal corns, surgical excision of the corn is more likely to provide long-term resolution of lameness in comparison to extirpation. However, the current level of evidence on this topic is weak.

 

How to apply this evidence in practice

The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.

Knowledge Summaries are a resource to help reinforce or inform decision-making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
Congenital Cytomegalovirus—History, Current Practice, and Future Opportunities
Authors: Thigpen Jim
Published: September 2020

Cytomegalovirus (CMV) was first identified in the 1950s and noted to cause newborn disease in the 1960s. It is now known to be the most common cause of congenital infection in the world, leading to various central nervous system sequelae, the most common being hearing loss. Cytomegalovirus is a ubiquitous pathogen that affects nearly 30,000 infants annually in the United States, leading to 3,000–4,000 cases of hearing loss. Prevention through vaccination has proved unreliable, as has the use of immune globulin. Prevention through education has been shown to be the most effective method of minimizing infection. Antiviral therapy is effective at reducing the impact of infection on newborns. Continued global efforts will hopefully provide more solutions for this opportunistic infection.
Evidence-Based Practice Competencies for RNs and APNs: How Are We Doing?
Authors: Bell Susan Givens
Published: September 2020

As we approach the end of 2020, the Year of the Nurse and Nurse Midwife, it is a good time to reflect on our evidence-based practice (EBP) competencies through a review of a recent study by Melnyk and colleagues. Before describing these competencies, our progress in achieving EBP competency, and the effect competency status has on health care quality, safety, and patient outcomes, this column reviews the definition of EBP and provides a high-level overview of the steps of EBP as defined in Melnyk and Fineout-Overholt.
A Consideration of Benefits for Midwives Employed in Public Health Systems and Private Midwifery Practices
Authors: Sipe Theresa Ann , Schuiling Kerri D. , Fullerton Judith T.
Published: September 2020

BACKGROUND

Benefits add to the total compensation received by midwives for their professional work in global settings. Some benefits are commonly offered as a package by employers as components of employment contracts. Some benefits may be individually negotiated or may be self-funded by midwives who own their own businesses.

PURPOSE

Identify benefits associated with midwifery employment.

METHODS

Benefits data available to certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States were collected in online surveys conducted in 2004, 2007, 2010, and 2014. Benefits types received and benefits cost-sharing for midwives and their families were compared descriptively.

RESULTS

More than 90% of respondents employed full-time in 2014 reported that they received at least 1 of 16 types of benefits in their midwifery-related employment. Professional liability insurance, paid vacation (paid holiday), and paid time off for continuing education were the only benefits reported by 75% or more of respondents in each of 4 survey years. Trends over time reported by U.S. CNMs/CMs employed full-time suggest a decrease in employer contributions to benefit costs. Nearly half of all CNM/CM respondents reported not knowing the basis for calculation of their salary and compensation package.

CONCLUSION

Changes appear to indicate increasing employee cost-sharing of benefits packages in recent years for U.S. midwives. Similarities and differences identified for midwives in global settings are discussed, although information on benefits in global settings was limited. Midwives in all settings may gain from education about strategies for negotiation of salary and compensation packages.
Factors Affecting Paternal Fetal Attachment
Authors: Topal Sümeyra , Çaka Sinem Yalnızoğlu , Yuvacı Hilal Uslu , Çınar Nursan
Published: September 2020

AIM

There are very few studies examining how the prenatal attachment of the father to the fetus affects father–infant attachment, while there are numerous studies on maternal–fetal, maternal–infant attachment. The pregnancy period is a potential opportunity to increase the paternal attachment of fathers whose wives are expecting a baby. The aim of this study was to determine paternal–fetal attachment and the factors with an effect.

METHODS

The sample group of this descriptive (comparative) study consisted of expectant fathers accompanied by their wives at 24–36 weeks of pregnancy (n = 182). Ethics committee approval and the necessary permissions were obtained from the relevant institution. The data were collected by the researchers using the Question Form and Paternal Fetal Attachment Scale. The data collected were analyzed using percentage distribution, the Independent samples t test and the one-way analysis of variance (ANOVA) test.

RESULTS

The results of the study showed that the participants who experienced fatherhood for the first time and felt ready to be a father had higher paternal attachment scores than experienced fathers.

CONCLUSION

For the establishment of healthy attachment starting in the prenatal period and continuing thereafter, there are important tasks for healthcare professionals to ensure that fathers can cope with the new roles and responsibilities just as well as the mothers.
Uterine Activity Impacts Fetal and Neonatal Outcomes
Authors: Murray Michelle L.
Published: September 2020

Uterine activity impacts fetal and neonatal outcomes. The value of analysis of contraction frequency and the duration of the resting interval were underappreciated until the last two decades. Misconceptions about electronic fetal monitoring and the cesarean section rate may be related to the lack of early research on the significant impact of abnormal uterine activity.
Australian Midwives' Recognition of and Response to Maternal Deterioration: A Literature Review
Authors: Ebert Lyn Maxine , Guilhermino Michelle , Flenady Tracy , Dwyer Trudy , Jefford Elaine
Published: September 2020

BACKGROUND

Confidential inquiries into maternal deaths have reported that recognition and timely interventions can reduce maternal morbidity and mortality. Although research has been undertaken that examines factors impacting registered nurses recognition of and response to the deteriorating patient, there is less literature identifying the factors impacting midwives' recognition of and response to the deteriorating maternal patient in the clinical context.

OBJECTIVE

To identify, summarize, and critically evaluate peer-reviewed studies that explored factors impacting clinical practice of Australian midwives in relation to maternal deterioration.

DESIGN

Reviewers searched Maternity and Infant Care, EBSCOhost, Medline, CINAHL, SCOPUS, EMCARE, and EMBASE for published literature reporting on factors impacting Australian registered midwives' ability to recognize and respond to maternal deterioration.

FINDINGS

Of the articles identified and screened (n = 2,412), no studies met the inclusion criteria. This review revealed a lack of published research examining factors impacting Australian midwives' capability to recognize and respond to the deteriorating maternal patient.

CONCLUSION AND IMPLICATIONS FOR PRACTICE

While research shows, for registered nurses, that high workloads and poor skill mix can negatively impact capability to respond to the deteriorating patient, little is known of registered midwives' capability during similar health events. This review highlights a major gap in current knowledge regarding Australian registered midwives' experiences surrounding the recognition of and response to the deteriorating maternal patient. Increasing understanding in this area can inform and support the Australian midwifery education, practice, and National health policies to improve health outcomes for childbearing women. Further research in this area is therefore required.
Explaining Symmetry Across Sex in Intimate Partner Violence: Evolution, Gender Roles, and the Will to Harm
Authors: Hamel John
Published: September 2020

Intimate partner violence (IPV) is regarded by key stakeholders involved in shaping arrest and intervention policies as a gendered problem. The prevailing assumptions guiding these policies, centered on patriarchal social structures and men's motivation to dominate their female partners, have collectively been called thegender paradigm. When states started to enact laws against domestic violence in the late 1970s, it was due to the efforts of battered women and their allies, including second wave feminists fighting for the political, social, and economic advancement of women. The focus was on life-threatening forms of abuse in which women represented, and continue to represent, the much larger share of victims. Since then, IPV has been found to be a more complex problem than originally framed, perpetrated by women as well as men, driven by an assortment of motives, and associated with distal and proximate risk factors that have little to do with gender. Nonetheless, the gender paradigm persists, with public policy lagging behind the empirical evidence. The author suggests some reasons why this is so, among them the much higher rates of violent crimes committed by men, media influence and cognitive biases, political factors, and perpetuation of the very sex-role stereotypes that feminists have sought to extinguish in every other social domain. He then critically reviews two theories used in support of the paradigm, sexual selection theory and social role theory, and explores how empirically driven policies would more effectively lower IPV rates in our communities, while advancing core feminist principles.
RESISTANCE PATTERN OF Escherichia Coli AGAINTS ANTIBIOTICS IN URINARY TRACT INFECTION PATIENTS IN RSUD DR. SOETOMO SURABAYA
Authors: Ariana Novi , Pestariati Pestariati , Sasongkowati Retno , Kusumaningrum Debby
Published: September 2020

Pathogenic bacteria cause Urinary Infection imore or lessi about 85 - 95% are bacteria Escherichia coli. The treatment of Urinary Tract Infection (UTI) requires adequate supportive therapy and antibiotics, but antibiotic resistance is an obstacle in UTI treatment. This study aims to determine the types of antibiotics that are resistant to Escherichia coli in patients with UTI. This is an observational study with a descriptive method to determine the type of antibiotic-resistant to Escherichia coli in patients with UTI in the Laboratory of Clinical Microbiology RSUD Dr. Soetomo. Antibiotics that were resistant to Escherichia coli in UTI patients were cefazolin (80.49%), Amoxicillin Clavulanic Acid (73.17%), Ampicillin (73.17%), Tetracycline (68.29%), while antibiotics that were resistant to Escherichia coli ESBL was Amoxicillin Clavulanic Acid (100%), Ampicillin (100%), Cefazolin (99.7%), Aztreonam (99.7%), Ceftazidime (99.7%). The prevalence of Escherichia coli in UTI patients was 27.5%, while Escherichia coli ESBL was 72.5%. Based on the results of the research that has been obtained, it is better to do research on antibiotic resistance patterns periodically.
DESCRIPTION OF RISK LEVELS OF GADGET ADDICTION, BULLYING BEHAVIOR, AND DRUG ABUSE IN ADOLESCENTS
Authors: Anandayudha Rama Bagus , Noveriana Calseries Rizki , Wulandari Ewin , Tjahjono Felicia Alvita , Wisnawa I Wayan Weda , Tiara Zahra Fadhilazka , Sari Laprianika Retha Haphita , Dewi Nurin Kusuma , Alkausar M. Ramadhan , Augustya Binnari , Dewayani Anisa Rahma , Karimah Azimatul
Published: September 2020

Gadgets can be interpreted as a tool that can easily be connected to the internet. If the use of gadgets can be done wisely, humans will get many benefits from using gadgets. But if the use of gadgets cannot be controlled, it will have a negative impact. One of the negative effects obtained is dependence or addiction to the gadget itself. Apart from the use of gadgets, bullying is also common today. Approximately three million teenagers become drug abusers in Indonesia. The data was collected using primary data in the form of a questionnaire to collect data on gadget addiction, bullying behavior, and drug abuse among junior high school adolescents at MTs Nahdlatul Wathon Licin. This was a descriptive observational study. The population was students in 8th-9th grades at MTs Nahdlatul Wathon Licin. Sampling was done by total sampling. The number of samples obtained was 93 people. Data were analyzed using descriptive statistical methods which are presented in the form of frequency distribution tables. It was found that 8.6% of respondents had a high risk of gadget addiction, 48.4 % of respondents have a high level of bullying behavior, and 2.2% of respondents are addicted to drugs.
THE DIFFERENCES OF THE DURATION OF FAMILY PLANNING PROGRAM REPORT BETWEEN USING GOOGLE SHEETS MEDIA AND MANUAL COUNTING METHOD AT PUSKESMAS SONGGON, SONGGON DISTRICT, BANYUWANGI REGENCY
Authors: Erlangga Wildan Anugrah , Septiana Fitri Nurina , Arrianti Emilia Eka , Qualisa Prafidina , Hakim Lukman , Meitavany Estya Nadya , A'yunin Ulinnuha Qurrota , Lamara Ariikah Dyah , Fatimah Niswah Silmi , Adi Pandu Satriya , Dewanti Linda
Published: September 2020

Based on the results of interviews with the coordinator of the family planning program at the Puskesmas Songgon, their data collection system was still written manually in the Kohort book which must then be classified and processed further to obtain processed data that describes the situation and conditions of the family planning program application in Songgon District. The aims of this research to determine the effectiveness and efficiency of the family planning program report duration between the use of Google Sheets media and the manual counting method at the Puskesmas Songgon. The implementation of the program were 23 May 2019 at Puskesmas Songgon Hall. This program was designed based on the needs of the field of family planning management at the Puskesmas Songgon. This program was created using a computer, the Google Sheets application, which is an application that resembles Microsoft Excel, but is managed by Google and accessed via a browser. It creates two types of formats, namely forms for data entry and automatic calculation reports. The results of this study, it can be seen that the program used by group 2 is 10 times more efficient in calculating the achievements of the family planning program.
THE ROLE OF FAMILY INTERVENTION IN EARLY DETECTION OF CONGENITAL DEAFNESS: A CASE STUDY
Authors: Sholehen Alif , Pralampito Fajrinka , Galih Antonius , Ghaus Akbar , Airina Andi , Purnami Nyilo
Published: September 2020

Congenital deafness is a hearing loss disorder that occurs at birth and is one of the disorders that can cause complications when it is not treated.1 Children with hearing loss will face difficulties such as poor development outcomes, including poor speech and language skills and face difficulties with cognition and social-emotional interactions. Early intervention has been proven to be one of the most important factors leading to good outcomes for children with congenital hearing loss.2 This case study is intended to highlight the importance of early case detections, early interventions and how family support plays a crucial role in the development of children with hearing loss. With the support of her family, Ms. DRP has gone through several speech and hearing therapies since her surgery and has proven to have an above-average linguistic abilities, showing that early problem detection does not hinder the development and achievement of children with congenital hearing loss.
Fluid Acoustic Properties of Improved Hydraulic Mufflers with Extended Necks
Authors: Yang Fan , Deng Bin
Published: September 2020

The acoustic properties of three improved hydraulic mufflers with extended necks are investigated theoretically and experimentally. The effect of length and slope of the conical tube, and the perforations on the extended tube is studied on the resonance frequency and the insertion loss. The plane wave approach is used for the constant and the variable area tubes, while Sullivan and Peat's method is applied for the perforation tube unit. Theoretical predictions are compared with experiments for these three different hydraulic noise suppressors, which are fabricated. It is shown that the resonance frequency and the insertion loss characteristics may be controlled by the length and the slope of the conical tube and perforation porosity of the extended tube without changing the expansion chamber volume. Finally, the effect of the cross-sectional shape of the expansion chamber is investigated.
Static and Dynamic Stability Analysis of an Asymmetric Rotating Tapered Sandwich Beam Subjected to Pulsating Axial Load with Thermal Gradient
Authors: Pradhan Madhusmita , Dash Pushparaj
Published: September 2020

The static and dynamic stability of an asymmetric rotating tapered sandwich beam subjected to pulsating axial load in temperature environment is studied under two different boundary conditions. The non-dimensional equations of motion and the boundary conditions are derived by applying Hamilton's energy principle. A coupled Hill's equations with complex coefficients are derived from the non-dimensional equations of motion by the application of the generalized Galerkin method. By the application of the Saito-Otomi conditions, zones of instabilities are obtained and presented graphically. For the calculation of the Young's module for the elastic layers, the effect of temperature has been taken in to consideration by means of a uniform thermal gradient along the longitudinal axes for both the upper and lower elastic layers. The effects of the taper parameter, core loss factor, thermal gradient, rotational speed, hub radius, and core density parameter on the static buckling loads and the regions of instability are investigated.
Mixed Kalman-Fuzzy Sliding Mode State Observer in Disturbance Rejection Control of a Vibrating Smart Structure
Authors: Oveisi Atta , Nestorovic Tamara
Published: September 2020

In the controllers that are synthesized on a nominal model of a nonlinear plant, the parametric matched uncertainties and nonlinear/unmodelled dynamics of the high order nature can significantly affect the performance of the closed-loop system. On this note, owing to the robust characteristic of the sliding mode observer against modelling perturbations, measurement noise, and unknown disturbances and due to the non-fragile behaviour of the Kalman filter against process noise, a mixed Kalman sliding mode state-observer is proposed and later enhanced by the addition of an intelligent fuzzy agent. In light of the proposed technique, the chattering phenomena and the conservative boundary neighboring layer of the high gain sliding mode observer are addressed. Then, a robust active disturbance rejection controller is developed by using the static feedback of the estimated states using a~direct Lyapunov quadratic stability theorem. The reduced order plant for control design purposes is subjected to some simulated square-integrable disturbances and is assumed to have mismatched uncertainties in the system matrices. Finally, the robust performance of the closed-loop scheme with respect to the mentioned perturbation signals and modelling imperfections is tested by implementing the control system on a mechanical vibrating smart cantilever beam.
On the Region for the Application of Passive Damping Treatment and Loss Factor Enhancement
Authors: Joseph Thomas K. , Renji K. , Venkatraman Kartik
Published: September 2020

The loss factor of a structure is significantly improved by using constrained damping treatment. For a mass efficient design, the damping material is to be applied at suitable locations. The studies reported in literature use the modal strain energy distribution in the viscoelastic material or the strain energy distribution in the base structure as tools to arrive at these suitable locations for the damping treatment. It is shown here that the regions identified through the above criteria need not be suitable for certain bending modes of vibration. A new approach is proposed in which the strain in the viscoelastic material and the angle of flexure are shown to be more reliable in arriving at the locations for the damping treatment. Providing damping layers at identified locations using these parameters results in significant loss factors with minimal added mass.
Why Balloons Make a Loud Noise When They Pop
Authors: Ross Edward , Panda Jayanta , Ross James C. , Kushner Laura K.
Published: September 2020

Measurements of balloon loudness and pressure signatures are presented for a variety of balloon shapes. The loudness and recordings were made 3.2 meters from the popped balloons. The balloons were of 3 types: round, long, and extremely long (the same type that is used to make balloon animals), filled with 3 gases, and inflated to multiple sizes. The data indicates that all 3 types of latex balloons share similar peak frequencies and acoustic signatures in spite of differences in shape and diameter or length when inflated. The data also shows a correlation of loudness to the ratio of specific heats of the gas and inflated diameter of the balloons. The data does not support some of the common hypotheses of balloon popping noise generation. It appears that the sound is generated by the vibration of the balloon surface and the ruptured edge of the latex. This explanation is consistent with the current acoustic measurements and shadowgraph videos, and the hypothesis of Patynen, et al.
Stochastic Minimax Vibration Control for Uncertain Nonlinear Quasi-Hamiltonian Systems with Noisy Observations
Authors: Ying Zu-guang , Hu Rong-chun , Huan Rong-hua
Published: September 2020

A stochastic minimax control strategy for uncertain nonlinear quasi-Hamiltonian systems with noisy observations under random excitations is proposed based on the extended Kalman filter and minimax stochastic dynamical programming principle. A structure system with smart sensors and actuators is modeled as a controlled, excited and dissipative Hamiltonian system with noisy observations. The differential equations for the uncertain nonlinear quasi-Hamiltonian system with control and observation under random excitation are given first. The estimated nonlinear stochastic control system with uncertain parameters is obtained from the uncertain quasi-Hamiltonian system with noisy observation. In this case, the optimally estimated state is determined by the observation based on the extended Kalman filter. The dual dynamical programming equation for the estimated uncertain system is then obtained based on the minimax stochastic dynamical programming principle. The worst-case disturbances are determined for bounded uncertain parameters and the optimal control law is determined for the worst case by the programming equation. The proposed minimax control strategy is applied to two uncertain nonlinear stochastic systems with controls and noisy observations. The control effectiveness for the stochastic vibration response reductions of the systems is illustrated with numerical results. The proposed minimax control strategy is applicable to general uncertain nonlinear multi-degree-of-freedom structure systems with noisy observations under random excitations.
Field Test Research and Numerical Simulation on Aerodynamic Deloading Characteristics of V-Shaped Noise Barrier
Authors: Zhao Ji , Zhi Ning , Ming Lu
Published: September 2020

With the rapid development of the high-speed railway in China, the problems of the noise pollution induced by passing trains emerge. Theoretically, the V-shaped noise barrier is of pretty good performance of noise-reduction and load-shedding. To assess the practical aerodynamic deloading characteristics of the V-shaped noise barrier, a full-scale field test was carried out at three measuring-sections equipped with noise barriers of different heights. In order to quantify the research work, the impact strength and deloading rate were selected as indicators. The effects of train speeds, train types and barrier heights are studied. This study includes the variations of impact strength and deloading rate in vertical directions. Meanwhile, 2D numerical simulation research is conducted to analyze the experimental results from the angle of mechanism. It is observed that the aerodynamic load acting on the surface of the V-shaped noise barrier was weaker and more uniform compared with conventional barrier. The flow field distribution influenced the deloading characteristics of the V-shaped noise barrier significantly. Moreover, the load-shedding effect of V-shaped noise barrier, when CRH380AM passed by, was slightly better than CRH380A. The deloading rate improved with the increasing of the noise barrier height in general.
Oversampled Modal Approach of a Turbocharger Rotor from the Experimental Lateral Vibrations
Authors: Montoya Luis Alvaro , Rodríguez Eloy Edmundo , Zúñiga Helen Janeth , Mejía Israel
Published: September 2020

The elements of rotors have inherent characteristics as geometry and material composition, which causes natural vibrations at frequencies that, due to the rotor unbalance, may coincide with the harmonics of the shaft speed, increasing stress and the probability of fractures even in transient conditions. Therefore, in this work, a theoretical-experimental hybrid method for calculating the natural frequencies and the mode shapes, at rest and non-supported conditions, of a turbocharger rotor is proposed. Firstly, a discrete model of low number of degrees of freedom is considered, and from an oversampled modal approach (OSMA) based on the axial oversampling, sectioning and coupling of the rotor, it is possible to use the oversampled mode shapes to increase the degrees of freedom of the system without major complications in the model. This spatial oversampling criterion is based on the Nyquist-Shannon theorem, and it is used to reduce the error in the estimates of the natural frequencies and to get a first approximation of the mode shapes. The natural frequencies were estimated by the transfer matrix method (TMM) and finite element method (FEM) in order to compare the proposed model results with well-founded numerical methods.
Novi oblici političke participacije
Authors: Mikašinović-Komšo Matej
Published: September 2020

U radu se analizira i kritički razmatra politička kampanja korisnika internetskog foruma 4chan – specifičnije, s podforuma /pol/ (Politically Incorrect), u svrhu utvrđivanja predstavlja li ona novi oblik političke participacije. Kroz prikaz relevantne literature o političkoj participaciji te kroz prikaz povijesti, organizacije i koncepcije foruma 4chan, uspostavljaju se temelji na kojima se razrađuje kvalitativna analiza studije slučaja političke kampanje korisnika /pol/-a. Glavni nalazi analize odabrane političke kampanje pokazuju da je ona kolektivna, subverzivna, da koristi troll strategije radi realiziranja konzervativnih ciljeva te da sudjelovanje korisnika u njoj, zbog političke motiviranosti djelovanja, predstavlja oblik političke participacije. takva politička participacija se također, zbog naglaska na djelovanju manjeg broja pojedinaca iz cijelog svijeta, nedostatka organizacijske hijerarhije te drugačije logike upotrebe društvenih mreža za dijeljenje materijala, može smatrati novim oblikom političke participacije.
Validation of Airborne Sensor Photogrammetric Digital Terrain and Global Digital Elevation Models around Mekelle City, Ethiopia
Authors: Biryhane Hareya , Bedada Tulu B. , Gessesse Berhan , Vermeer Martin
Published: September 2020

The quality of photogrammetric-based derived products like orthophotos, digital terrain models (DTMs) and digital line maps as well as the global digital elevation models (DEM) are rigorously dependent on the accuracy of image orientation. This paper evaluates the vertical accuracy of aerial photogrammetric Digital Terrain Model (DTM), Shuttle Radar Topography Mission (SRTM), Advanced Spaceborne Thermal Emission and Reflectance Radiometer (ASTER), and TerraSAR-X's twin satellite of TanDEM-X (TDX) datasets against in-situ orthometric heights computed from ellipsoidal heights and the 2008 Earth Gravitational Model (EGM2008) derived geoid heights in Ethiopia. The quality of the four global digital elevation models was also validated against the aerial photogrammetric DTM measurements. Besides, the accuracies of the photogrammetric DTM and the four DEM products were checked for their compliance to the American Society for Photogrammetry and Remote Sensing (ASPRS) standards as well as the Ethiopian national vertical data evaluation standards. The study showed that the photogrammetric DTM is in a good agreement with the reference orthometric heights compared to SRTM, ASTER and TDX datasets. More precisely, the result has an absolute accuracy of 1.67 m at Linear Error (LE) 95% confidence level, while the absolute accuracy of SRTM3 arc seconds (SRTM3) at LE 90% (11.91 m) is better than its product specification (16 m). The absolute accuracy of SRTM1 arc second (SRTM1) (7.70 m at LE 90%) surpasses that of SRTM3, whereas the absolute accuracy of ASTER DEM is somehow below its product specification. TDX also has the same vertical accuracy (10.29 m at LE 90%) compared to its product specification (10 m). Furthermore, the vertical accuracy of the photogrammetric DTM meets the100 cm vertical accuracy of the 2015 ASPRS standard. However, it does not meet the Ethiopian national vertical data accuracy requirement standard, i.e., RMSEz of ± 0.45 m. In general, the photogrammetric DTM, SRTM1, and TDX have been proven a superior product over the SRTM3 and ASTER DEMs, and better to use these products for high-level precision and accuracy required applications.