bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementation strategies, and barriers and facilitators for implementation of physical activity at work: a scoping review
Authors: Garne-Dalgaard Anne , Mann Stephanie , Bredahl Thomas Viskum Gjelstrup , Stochkendahl Mette Jensen
Published: October 2019

Background

Inactivity and sedentary lifestyle have led experts to recommend an increase in structured, workplace-based physical activity (PA) initiatives. Previous studies on workplace-based PA have only shown moderate and short-term effects. This has been attributed to the lack of clear implementation strategies and understanding of factors that may hinder or enable uptake of PA. To ensure long-term, sustainable outcomes, there is a need for a better understanding of implementation strategies, and barriers and facilitators to workplace-based PA.

Method

A scoping review of studies investigating implementation approaches and factors affecting uptake of workplace-based PA was conducted. Qualitative and quantitative articles published in MEDLINE, Embase, Scopus, or PsycINFO between 2008 and 2018 evaluating the implementation of PA were included. Data on study characteristics, evaluation, and implementation methods applied were systematically extracted. Two reviewers extracted, coded, and organised factors affecting uptake using the Theoretical Domains Framework (TDF).

Results

After dual, blinded screening of titles and abstracts, 16 articles reporting on eight studies were included in the review. Several different methods of implementation were applied, including information meeting, kick-off events, and “change agents” as the most common. A total of 109 factors influencing implementation were identified, consisting of 57 barriers and 52 facilitators. Barriers most often related to the TDF domainsEnvironmental Context and Resources(n = 34, 36.2%),Social influences(n = 13, 13.8%), andSocial/Professional Role and Identity(n = 8, 8.5%). Likewise, facilitators most often related to the TDF domainsSocial influences(n = 17, 19.5%),Environmental Context and Resources(n = 16, 18.4%), andSocial/Professional Role and Identity(n = 9, 10.3%).

Conclusion

Our review has highlighted the multilevel factors affecting the uptake of workplace-based PA and underpins the complexities in implementation of such initiatives. The published literature predominantly provides details from the employees’ perspectives on factors that need to be addressed and a lack of attention to these factors will cause them to hamper uptake of PA. The analysis of barriers and facilitators provides a theoretical foundation to guide future intervention design. However, further research is needed to fully understand the success or failure of implementation processes.
Impact of an ultrasound-driven diagnostic protocol at early intensive-care stay: a randomized-controlled trial
Authors: Pontet Julio , Yic Christian , Díaz-Gómez José L. , Rodriguez Pablo , Sviridenko Igor , Méndez Diego , Noveri Sylvia , Soca Ana , Cancela Mario
Published: October 2019

Background

Point-of-care ultrasound (POCUS) is a tool in increasing use, but there is still a lack of basics for its routine use and evidence of its impact in intensive care.

Objective

To measure the impact of POCUS on resource utilization, diagnostic accuracy, and clinical management in medical-surgical intensive care units (ICUs).

Methods

Prospective, controlled study, in two polyvalent ICUs. The patients were randomly assigned to POCUS or control group.

Interventions

POCUS patients received systematic ultrasound examination of optic nerve, lung/pleura, heart, abdomen, and venous system, performed at the bedside by trained intensivists. Control patients were treated by critical care specialists who do not perform ultrasound in their clinical practice.

Results

We included 80 patients, 40 per group. There were no significant differences in age, sex, APACHE II score, or admission diagnosis. POCUS group used fewer resources per patient in the first 5 days of hospitalization: chest radiography (2.6 ± 2.0 vs 4.1 ± 3.5, P = 0.01), additional ultrasound evaluations performed by a radiology specialist (0.6 ± 0.7 vs 1.1 ± 0.7, P = 0.002), and computed tomography studies (0.5 ± 0.6 vs 0.9 ± 0.7, P = 0.007). Time to perform any requested ultrasound evaluation after ICU admission was 2.1 ± 1.6 h versus 7.7 ± 6.7 h (P = 0.001). Systematic ultrasound evaluation led to better characterization of ICU admission diagnosis in 14 (35%) patients and change in clinical management in 24 (60%). POCUS group had lower fluid balance at 48 and 96 h after admission (P = 0.01) and spent less time mechanically ventilated (5.1 ± 5.7 days vs 8.8 ± 9.4, P = 0.03).

Conclusions

Systematic application of POCUS may decrease utilization of conventional diagnostic imaging resources and time of mechanical ventilation, and facilitate meticulous intravenous fluid administration in critically ill patients during the first week of stay in the ICU.

Trial registration ClinicalTrials.gov Identifier: NCT03608202.
Land use and urban sustainability assessment: a 3D-GIS application to a case study in Gozo
Authors: Morosini Rosa , Zucaro Floriana
Published: October 2019

Balancing urban growth and natural resource availability has been recognized as the main challenge of the 21st century from the strategic documents adopted by the recent World Summits. Agenda 21 advocates sustainable land use, as soil is a crucial natural resource to reduce urban vulnerability due e.g. to climate change, energy saving, and natural disasters. In this perspective, this paper aims at supporting local decision makers in identifying the portions and the buildings of an urban area most susceptible to transformation, in order to promote a sustainable land use according to physical and functional characteristics. The proposed methodology combines the 3D modeling of urban settlements and the adoption of the performance-based approach by the urban transformation government, in order to guarantee the satisfaction of the supply–demand ratio through a compatible balance between urban growth dynamics and the overall urban efficiency. The test area was Gozo island, where a significant urban transformation will occur as a consequence of the new Malta-Gozo tunnel construction.
Midpalatal suture maturation stage assessment in adolescents and young adults using cone-beam computed tomography
Authors: Jimenez-Valdivia Ludy Marileidy , Malpartida-Carrillo Violeta , Rodríguez-Cárdenas Yalil Augusto , Dias-Da Silveira Heraldo Luis , Arriola-Guillén Luis Ernesto
Published: October 2019

Background

The aim of this study was to evaluate the midpalatal suture maturation stages in adolescents and young adults using cone-beam computed tomography (CBCT).

Methods

The sample comprised 200 CBCT scans of individuals aged 10 to 25 years old (95 males and 105 females) divided into three groups, adolescents (n = 48), post-adolescents (n = 52), and young adults (n = 100). The Planmeca ProMax 3D software was used for the midpalatal suture maturation stage evaluation according to Angieleri’s method, using cross-sectional axial slice. Two previously calibrated examiners analyzed the images and classified according to five different maturation stages. A, B, and C stages were considered with open midpalatal suture, and D and E were considered without open midpalatal suture. Association tests were performed using chi-square test also, and a binary logistic regression was evaluated (P < 0.05).

Results

The possibility to find open midpalatal suture in individuals of 10 to 15 years old was 70.8%, in subject aged 16 to 20 and 21 to 25 years old was 21.2% and 17%, respectively. Furthermore, this possibility in individuals older than 16 years was greater in males than in females.

Conclusions

The possibility to find open midpalatal suture in post-adolescents and young adults is greater than the orthodontists considered years ago. Furthermore, men are more likely to find midpalatal suture opening. These implications might be considered by the orthodontists when maxillary expansion is required. Besides, the ossification of the middle palatal suture is very variable, and therefore, the use of CBCT might be recommended to clarify this possibility.
A qualitative exploration of Bahrain and Kuwait herbal medicine registration systems: policy implementation and readiness to change
Authors: Alostad Azhar H. , Steinke Douglas T. , Schafheutle Ellen I.
Published: October 2019

Background

The Kuwaiti drug regulatory authority (DRA) lack a structured classification system for the assessment of imported herbal medicines (HMs), which leads to ambiguity in the registration process. This study aimed to examine the policy development and implementation process in an established HM registration system (Bahrain) and harness lessons to inform recommendations for a suitable HM classification system and explore implementation readiness in Kuwait.

Methods

A sequential study design was chosen, with data collected in Bahrain (case 1), recommendations formed and readiness for implementation explored subsequently in Kuwait (case 2). With ethics and DRA approval in place, data sources were documentary review of regulatory policies, direct observations of HMs registration processes, and semi-structured interviews with twenty three key officials involved in the HMs registration processes. Data from all three sources were analysed thematically and findings triangulated.

Results

The classification policy in Bahrain was found to be based on evidence and extensive stakeholder engagement, resulting in a clear and organised HM registration process. The availability of HMs classification policies in other DRAs, officials’ dedication and teamwork, and support by higher authority, were identified as the main facilitators in policy development and successful implementation. Barriers were the diversity of HM classifications worldwide, a lack of staff and resultant workload, and lack of training. Proposed recommendations for Kuwait were to adopt a clear definition of what constituted HMs, and to introduce a Traditional Herbal Registration based on this definition and the product’s characteristics. Interviews in Kuwait showed that almost all participants were in favour of the proposed recommendations and were in support of timely implementation. Interviewees anticipated that consistency in the HM registration process would be the main benefit, increasing reviewer’s confidence in making regulatory decisions. Interviewees also identified potential challenges which may impede successful implementation, including staff shortages, resistance to change by internal and external stakeholders, and the impact of cultural and traditional ways of working.

Conclusions

Insights into the HM policy development and implementation process in Bahrain, and exploration of Kuwait’s readiness to implement resultant recommendations informed an effective implementation process for a well-designed HMs policy for Kuwait and other Arab countries.
Adiponectin and human eating behaviour: a Mendelian randomization study
Authors: Awofala Awoyemi Abayomi , Ogundele Olusegun Emmanuel , Adekoya Khalid Olajide , Osundina Samuel Adesayo
Published: October 2019

Background

Adiponectin plays key roles in regulating appetite and food intake. Altered circulating adiponectin levels have been observed in human eating disorders such as anorexia nervosa, bulimia nervosa or binge eating. In addition, an association between circulating adiponectin levels and human eating behaviour (EB) has been reported. Interestingly, a disturbance in eating behaviour is the defining characteristic of human eating disorders. However, it is unknown whether adiponectin is causally implicated in human EB. We therefore aimed to investigate the causal effect of adiponectin on EB.

Results

Mendelian randomization (MR) analysis estimated the influence of blood adiponectin on EB by combining data on the association of adiponectin gene (ADIPOQ) variants with adiponectin levels and with three EB factors involving disinhibition, restraint and hunger. Using inverse-variance weighted (IVW) regression method and other complementary MR techniques (weighted median regression, MR Egger and weighted modal regression), the MR analysis revealed a broadly consistent evidence that higher blood adiponectin concentration was significantly associated with increased EB factor disinhibition (beta coefficient for IVW regression [βIVW], 3.05; 95% confidence interval [CI] 1.10, 5.00) but non-significantly associated with increased EB factor restraint (βIVW, 0.17; 95% CI − 1.85, 2.18), and increased EB factor hunger (βIVW, 1.63; 95% CI − 0.75, 4.01).

Conclusions

Overall, our findings indicate a causal role of adiponectin levels in eating disinhibition but not in eating restraint and hunger.
Transnasal Humidified Rapid-Insufflation Ventilatory Exchange for Elective Laryngeal Surgery During Pregnancy: A Case Report
Authors: Kowalczyk John J. , Carvalho Brendan , Collins Jeremy
Published: October 2019

Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) maintains oxygenation and blunts the partial pressure of carbon dioxide (Paco
2) rise in nonpregnant subjects during apnea. Physiologic changes of pregnancy may attenuate the utility of THRIVE. We present a nulliparous patient at 31 weeks’ gestation undergoing tracheal dilation requiring general anesthesia without intubation utilizing THRIVE. Our data confirms prior reports in nonpregnant patients showing markedly extended time to desaturation. However, Paco
2 rise more closely mirrors classic apneic oxygenation in nonobstetric patients. The Paco
2 elevation and subsequent acidosis may limit the utility of THRIVE for prolonged apnea in pregnant surgical patients.
Composite Tetraheteroarylenes and Related Higher Cyclic Oligomers of Heteroarenes Produced by Palladium-Catalyzed Direct Coupling
Authors: Fukuzumi Keita , Nishii Yuji , Miura Masahiro
Published: October 2019

Substantial research interests have been focused on cyclic π-conjugated molecules owing to their unique chemical and physical properties. By constructing hybrid aromatic arrays within these cyclic systems, new series of composite macrocycles would be provided. Our group has been studying the construction of such hybrids by adopting the palladium-catalyzed direct coupling of heteroaromatics. We herein report the synthesis and characterization of thiophene-thiazole composite macrocycles. X-ray diffraction analyses revealed that some of these coupling products exhibit characteristic helical assemblies in the solid state. Additionally, we synthesized a heteroarene-fused cyclooctatetraene composed of four different heteroaryl fragments.
PET imaging of a 68Ga labeled modified HER2 affibody in breast cancers: from xenografts to patients
Authors: Xu Yuping , Wang Lizhen , Pan Donghui , Yu Chunjing , Mi Baoming , Huang Qianhuan , Sheng Jie , Yan Junjie , Wang Xinyu , Yang Runlin , Yang Min
Published: October 2019

Objective:

Overexpression of human epidermal growth factor receptor-2 (HER2) in breast cancers provides promising opportunities for imaging and targeted therapy. Developing HER2 targeted positron emission tomography (PET) probes might be benefit for management of the disease. Small high-affinity scaffold proteins, affibodies, are ideal vectors for imaging HER2 overexpressed tumors. Despite of the initial success on development of 18F labeled ZHER2:342 affibody, the tedious synthesis producers, low yields and unfavorable pharmacokinetics may hinder the clinical use. 68Ga is an attractive positron emitter for PET imaging. A simple preparation of 68Ga labeled ZHER2:342 analog, 68Ga-NOTA-MAL-Cys-MZHER2:342, was reported in the study. The in vivo performances of the tracer for assessing HER2 status in breast cancers were also evaluated.

Methods:

NOTA-MAL conjugated Cys-MZHER2:342 was radiolabeled with 68Ga. The probe was evaluated by in vitro tests including stability and cell binding studies in breast cancer cells with different HER2 levels. In vivo evaluation was performed in mice bearing tumors using microPET imaging and biodistribution experiments. A PET/CT imaging study was initially performed in patients with breast cancers.

Results:

The tracer was synthesized in a straightforward chelation method with satisfactory non-decay corrected yield (81±5%) and radiochemical purity (>95%). In vivo micro-PET imaging showed that HER2 high levels expressed BT474 xenografts were more clear visualized than HER2 low levels expressed MCF-7 tumors (16.12 ± 2.69 ID%/g vs 1.32 ± 0.19 ID%/g at 1 h post-injection). The outcome was consistent with the immunohistochemical analysis. No significant radioactivity was accumulated in healthy tissues (less than 2% ID/g) except kidneys. In a preliminary clinical study, 68Ga-NOTA-MAL-Cys-MZHER2:342 PET imaging allowed more high-contrast detection of HER2 positive primary tumors (maximum standardized uptake value = 2.16±0.27) than those in HER2 negative primary focus (maximum standardized uptake value = 0.32±0.05). No detectable side-effects were found.

Conclusion:

In summary, this study indicates the significant efficiency of the 68Ga labeled HER2 affibody. Preclinical and clinical studies support the possibility of monitoring HER2 levels in breast cancers using 68Ga-NOTA-MAL-Cys-MZHER2:342.

Advances in knowledge:

The research investigated the feasibility of a 68Ga labeled HER2 affibody modified with a hydrophilic linker for breast cancer PET imaging. Favorable outcomes showed that the probe might be valuable for determining HER2 status of the disease.
Factors affecting spirometry reference range in growing children
Authors: Sadiq Sara , Rizvi Nadeem Ahmed , Soleja Fahad Khalid , Abbasi Muaz
Published: October 2019

Objectives: To find out the association of weight, height and age with spirometry variables and to generate a regression equation by taking weight as an independent variable beside age and height among children and adolescents of Karachi.

Methods: A modified form of ISSAC questionnaire was used. The spirometry variables recorded were Forced vital capacity (FVC), Forced expiratory volume in 1 second (FEV1), FEV1/FVC, Peak expiratory flow rate (PEF), Forced expiratory flow between 25% and 75% expired volume (FEF25-75). A person’s correlation coefficient among boys and girls were calculated for all spirometry variable considering age, height and weight as independent variables. The linear regression models were calculated.

Results: The results reported a linear correlation of lung function variables with all three independent variables (i.e. p-value = 0.000), in which age and height manifested a strong positive correlation while weight reported a moderately significant correlation. All spirometry variables such as FVC, FEV1, PEF and FEF25-75 reported a significant coefficient of dependency and coefficient of correlation individually with age, height and weight.

Conclusion: It is concluded that beside age, height and weight both also have significant correlation with lung volumes so these should be taken into account when using spirometry as a diagnostic test.

doi: https://doi.org/10.12669/pjms.35.6.1212

How to cite this:Sadiq S, Rizvi NA, Soleja FK, Abbasi M. Factors affecting spirometry reference range in growing children. Pak J Med Sci. 2019;35(6):1587-1591. doi: https://doi.org/10.12669/pjms.35.6.1212

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Pathological discrepancy between colposcopic directed cervical biopsy and conisation results: A five years experience of a single center in Turkey
Authors: Aydoğmuş Hüseyin , Sen Serhat , Aydogmus Serpil
Published: October 2019

Objective: To analyze the clinical outcomes and treatment strategies of patients who underwent conisation in a tertiary hospital clinic

Methods: The study was designed as a retrospective cohort study. Retrospective data’s of 176 patients who underwent conisation due to detection of dysplasia via colposcopic biopsy or cytology-histology discrepancy between 2012 and 2017 were collected. Colposcopy guided biopsies were performed according to HPV positivity and/or abnormal smear results in Izmir Katip Celebi University Ataturk Research and Training Hospital.

Results: Indications for colposcopic biopsies were HPV positivity in 51 patients (29.1%), abnormal smear results in 125 patients (70.9 %). Distribution of abnormal smear results were ASCUS, ASC-H, LSIL, HSIL in 6 (4.8 %), 21 (16.8 %), 24 (19.2%), 74 (59.2%) patients respectively. According to biopsy results, 8 patients (4.4 %) showed no dysplasia where two (1.1%) and 162 (91.5 %) patients were with LSIL and HSIL respectively. Only two were diagnosed with in situ carcinoma. Among 162 patients with HSIL in colposcopic biopsy, 45 showed no dysplasia where four were diagnosed with invasive carcinoma.

Conclusions: To detect high grade cervical lesions colposcopy guided biopsy is gold standard. Although cone biopsy should be performed related to severity of dysplasia in order to sustain the diagnosis and treatment. Contradictory results between colposcopic and cone biopsies should be considered during decision-making process.

doi: https://doi.org/10.12669/pjms.35.6.408

How to cite this:Aydogmus H, Sen S, Aydogmus S. Pathological discrepancy between colposcopic directed cervical biopsy and conisation results: A five years experience of a single center in Turkey. Pak J Med Sci. 2019;35(6):1627-1630. doi: https://doi.org/10.12669/pjms.35.6.408

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Επισκόπηση ψυχομετρικών εργαλείων για την ανίχνευση προβλημάτων συμπεριφοράς και συναισθήματος παιδιών προσχολικής ηλικίας
Authors: Δώνη Ελένη , Γιώτσα Αρτεμις
Published: October 2019

Η παρούσα εργασία αποτελεί μία βιβλιογραφική ανασκόπηση για τον εντοπισμό και την καταγραφή των ψυχομετρικών εργαλείων που στοχεύουν στην ανίχνευση προβλημάτων συμπεριφοράς και συναισθήματος παιδιών προσχολικής ηλικίας. Τα εργαλεία αυτά έχουν κατασκευαστεί από Έλληνες ερευνητές ή έχουν μεταφραστεί και προσαρμοστεί στα ελληνικά. Μέσα από εκτενή βιβλιογραφική έρευνα εντοπίστηκαν και καταγράφηκαν είκοσι ένα (21) ψυχομετρικά εργαλεία τα οποία είναι διαθέσιμα στην Ελλάδα για την ανίχνευση συμπεριφορικών και συναισθηματικών προβλημάτων. Τα περισσότερα από αυτά έχουν τα χαρακτηριστικά των κλιμάκων εκτίμησης και απευθύνονται κατά κύριο λόγο σε εκπαιδευτικούς προσχολικής αγωγής, ενώ τα μισά περίπου χορηγούνται με στόχο την αξιολόγηση της γενικότερης αναπτυξιακής κατάστασης του παιδιού σε διάφορους τομείς (γνωστικός, ψυχοσυναισθηματικός, κινητικός, ακαδημαϊκός) και όχι αποκλειστικά την ανίχνευση προβλημάτων συμπεριφοράς και συναισθήματος. Η συγκέντρωση και παρουσίαση των ψυχομετρικών αυτών εργαλείων αλλά και η κατηγοριοποίησή τους ως προς το είδος, το περιεχόμενο και το πρόσωπο ή τα πρόσωπα που χορηγούν το εργαλείο κρίνεται ιδιαίτερα σημαντική, διότι θα διευκολύνει τον εκπαιδευτικό, τον γονέα αλλά και τον ερευνητή στην επιλογή του κατάλληλου ψυχομετρικού εργαλείου για την πρώιμη ανίχνευση προβλημάτων συμπεριφοράς και συναισθήματος σε παιδιά προσχολικής ηλικίας.
Ιατρικός τουρισμός σε φιλικά περιβάλλοντα για ασθενείς με άνοια
Authors: Ιακώβου Κωνσταντίνα Βασιλική , Αντωνιάδου Ελένη , Τσολάκη Μάγδα
Published: October 2019

Η παρούσα επισκόπηση διερευνά ένα νέο πεδίο για την ανάπτυξη ενός νέου είδους τουρισμού στον ελληνικό χώρο. Οι ιατρικές υπηρεσίες που παρέχονται στην Ελλάδα είναι υψηλού επιπέδου. Επίσης, η Ελλάδα διαθέτει ένα αξιόλογο τουριστικό προϊόν προς εκμετάλλευση, προσφέροντας ποικιλία δραστηριοτήτων, πολιτιστικών δρώμενων, ξενοδοχειακών υποδομών και τοπίων, ικανοποιώντας κάθε ηλικιακή ομάδα. Επιπλέον, η αύξηση του προσδόκιμου ζωής έχει δημιουργήσει μια νέα προοπτική για τουρισμό που αφορά σε ηλικιωμένους, ακόμα και ιατρικό τουρισμό, τομέας που επιδρά θετικά στην υγεία τους. Το φαινόμενο της γήρανσης έχει άμεση σχέση με τη νοητική έκπτωση των νοnτικών λειτουργιών των ηλικιωμένων και άρα άμεσα σχετιζόμενες με αυτή ασθένειες, όπως η άνοια, οι οποίες θα εμφανίζονται όλο και συχνότερα.Λαμβάνοντας αφορμή αφενός τον τουριστικό πλούτο της χώρας μας και αφετέρου τις ανάγκες των ασθενών με άνοια, διερευνούμε στη συγκεκριμένη εργασία, τη δημιουργία τουριστικών προϊόντων φιλικών προς τους ασθενείς. Λόγω των εξειδικευμένων αναγκών των ασθενών, προτείνεται η ένταξη όλων αυτών των δραστηριοτήτων σε κοινότητες φιλικές προς την άνοια, και ειδικότερα με την παροχή κατάλληλων υπηρεσιών και υποδομών.Καθώς στη διεθνή βιβλιογραφία γίνεται εκτενής αναφορά σε φιλικές υπηρεσίες σε ασθενείς με άνοια, διερευνήθηκε ως επί το πλείστον η φιλικότητα των κτιριακών υποδομών, με γνώμονα τον εύκολο προσανατολισμό σε νέα περιβάλλοντα (ξενοδοχεία, ιατρικές υποδομές). Ειδικότερα, παρατίθενται συνοπτικά προδιαγραφές από εφαρμοσμένα παραδείγματα στο εξωτερικό για τη διαμόρφωση τόσο των εξωτερικών όσο και των εσωτερικών τους χώρων. Τέλος, και με στόχο να μπορεί ο ασθενής να μετακινείται αυτόνομα και εκτός των συγκεκριμένων χώρων, παρατίθεται και η έννοια της φιλικότητας των πόλεων.
Η επίδραση της έκθεσης σε εικόνες προτύπων ελκυστικών ανθρώπων στην εικόνα σώματος των μεσηλίκων
Authors: Παράσχου Στεργιανή , Μωραΐτου Δέσποινα
Published: October 2019

Στόχος της μελέτης ήταν να εξετάσει πώς τα άτομα της Μέσης Ηλικίας αντιλαμβάνονται την Εικόνα Σώματός τους. Το δείγμα αποτελούνταν από 20 άτομα και των δύο φύλων, ισοκατανεμημένα σε δύο ομάδες, πειραματική και ελέγχου. Η πειραματική εκτέθηκε σε εικονικά ερεθίσματα που απεικόνιζαν ελκυστικούς κατά τα ιδανικά πρότυπα της εποχής ανθρώπους, τους οποίους παρουσιάζουν τα Μ.Μ.Ε. Η ομάδα ελέγχου εκτέθηκε σε ελκυστικούς -αλλά όχι σύμφωνα με τα ιδανικά πρότυπα της εποχής- ανθρώπους της «καθημερινής ζωής». Σε όλους τους συμμετέχοντες χορηγήθηκαν ερωτηματολόγια πριν και μετά την έκθεσή τους στις εικόνες, τα οποία μετρούσαν την αυτοεκτίμηση και την τρέχουσα συνολική εικόνα για το σώμα τους. Τα αποτελέσματα έδειξαν πως οι μεσήλικες επηρεάζονται αρνητικά ως προς την ικανοποίηση από την εικόνα σώματός τους, μετά την έκθεσή τους σε εικόνες ελκυστικών ατόμων, ανεξαρτήτως αν το περιεχόμενό τους συμφωνεί με τα ιδανικά πρότυπα της εποχής ή όχι. Ωστόσο, η αυτοεκτίμηση επηρεάστηκε  αρνητικά μόνο για τα άτομα που εκτέθηκαν σε εικόνες που προβάλλουν τα ιδανικά πρότυπα της εποχής. Αντιθέτως, στην περίπτωση της έκθεσης σε εικόνες «καθημερινών» ελκυστικών ατόμων, η αυτοεκτίμηση ανέβηκε.
Τα συνωνυμικά ζεύγη της Νέας Ελληνικής και η συστηματική αξιοποίησή τους για τον εμπλουτισμό του λεξιλογίου των μαθητών
Authors: Τσιτσανούδη Μαλλίδη Νικολέττα , Μήτση Αντωνία
Published: October 2019

Η νέα ελληνική γλώσσα εμφανίζει μια σειρά ιδιαίτερων χαρακτηριστικών που οφείλονται τόσο στη μεγάλη ιστορική της διαδρομή όσο και σε μια σειρά κοινωνικών εξελίξεων και ειδικών συνθηκών που συνέβαλαν στη συντηρητική της φύση, γεγονός που είναι ιδιαίτερα εμφανές  στον λεξιλογικό τομέα, όπου η συγχρονία συμπλέκεται οργανικά με μια σειρά στοιχείων διαχρονικής μορφής τα οποία μάλιστα είναι σε μεγάλο βαθμό λειτουργικά και παραγωγικά. Οι διαπιστώσεις αυτές, σύμφωνα άλλωστε και με τις απόψεις πολλών ειδικών,  επιβάλλουν για τους μαθητές του δημοτικού σχολείου μια πρώτη επαφή με τη διαχρονία της γλώσσας σε λεξιλογικό επίπεδο, διαδικασία η οποία θα εντάσσεται στη συγχρονική εξέταση και λειτουργία της γλώσσας. Στην παρούσα εργασία παρουσιάζουμε τα αποτελέσματα μιας πειραματικής διδασκαλίας που έγινε σε μαθητές της Γ΄ Δημοτικού και είχε ως στόχο τη δημιουργική εκμετάλλευση συνωνυμικών ζευγών του τύπου λαϊκό-λόγιο.
The Phantasm of an University: Imagining New Landscapes in Post-Revolutionary Britain and Ireland
Authors: Whyte William
Published: October 2019

The Phantasm of an University: Imagining New Landscapes in Post-Revolutionary Britain and Ireland
Determination of the Most Effective Ways of Implementing Sustainable Development Projects in Companies of the IT Industry
Authors: Телков Олег , Telkov Oleg
Published: October 2019

The paper presents the determination of the most effective ways of implementing sustainable development projects in companies of the IT industry. The main result of the work is a list of practical recommendations in the field of determining the optimal focus for the implementation of sustainable development projects. The list of recommendations is formed on the basis of regression analysis of the dependence of financial performance of companies on various factors in the field of sustainable development and case study of the features of sustainable development projects in various companies in the it industry and its relationship with financial and economic indicators and the overall level of sustainable development of the company.
Investigation and treatment of lead toxicity in a galah (Eolophus roseicapilla)
Authors: Temple Victoria Caroline
Published: October 2019

Birds can be exposed to oral toxins either inside or outside of their main enclosures. The psittacine beak is adapted not only for grasping and processing food but also for climbing, therefore toxin exposure can be either deliberate (by active ingestion), or accidental. A 1-year-old male galah (Eolophus roseicapilla) was presented with a 4-day history of neurological signs including loss of balance and seizures. The bird had access to a garage and was thought to have been chewing on lead sheeting. Radiodense particles were identified in the ventriculus and high lead levels were confirmed on toxicology. Treatment was instigated with calcium disodium edetate and a full recovery was made. This case study details the investigation and treatment for a typical presentation of lead poisoning in a psittacine.
Salutogenesis: the case for a holistic tool for paramedic assessment of wellness
Authors: Cockrell Krista , Reed Buck , Agarwal Gina , Wilson Leigh
Published: October 2019

Sense of coherence (SOC), the capacity to muster, believe in and value resources to support resilience, is a central component of the salutogenic approach to wellness. Assessing patients' SOC in a salutogenic model may be useful to paramedics as an adjunct to effective referral to care pathways other than via the emergency department and for predicting patient engagement. A tool to help direct practitioners in the prehospital environment towards the most appropriate resources for each patient's unique situation appears to be lacking. This article examines the literature around salutogenic and SOC theories and provides an overview of how a salutogenic assessment tool could be used in paramedic practice. Taking a multifactorial approach to determining health status and predicating patient capacity for adaptive coping may make health professionals better able to assist patients in overcoming health events and build health resilience to improve their future health outcomes.
Occupational therapy outcomes in patients with Parkinson's disease
Authors: Jackson Amelia
Published: October 2019

People living with this degenerative condition can benefit greatly from occupation therapy, explains Amelia Jackson. This therapy needs to be embedded in the treatment approach for all patients living with this condition, and practice nurses are well placed to direct care

This article considers whether occupational therapy can improve the treatment experience and quality of life for patients living with Parkinson's disease. It also discusses whether occupational therapy has a direct correlation with improved treatment outcomes. This article will examine how this treatment should be provided and what treatment provision is available. Published literature was used to gain evidence and the findings were that integrated occupational therapy can improve both quality of life and treatment outcomes with this patient population. This article emphasises the need for occupational therapy to be embedded in the treatment approach to address non-motor symptoms which have the greatest impact on patient-reported reduced quality of life.
FGM: raising awareness in community-based health practice
Authors: Bagness Carmel
Published: October 2019

FGM occurs in the UK, therefore every health professional working with women must be aware of this illegal practice and the effects it has on survivors. Carmel Bagness explains how professional curiosity and cultural competence are necessary skills

Female genital mutilation (FGM) causes major challenges for many girls and women wishing to live a normal and fulfilled life. The physical, psychological and/or psychosexual damage can adversely impact their ability to live a healthy life. Health professionals have an important role to play in caring for girls and women who have experienced FGM. Exercising their professional curiosity and cultural competence can help to eradicate this violation of human rights that many girls and women continue to experience across the UK.
Research Roundup
Authors: Winter George
Published: October 2019

George Winter provides an overview of recently published articles that may be of interest to practice nurses. Should you wish to look at any of the papers in more detail, a full reference is provided.
Singing, Laughing, and Napping: Foster Care Babies Making Music in Brazil
Authors: Madalozzo Vivian , Madalozzo Tiago
Published: October 2019

After years of working as teachers in a private music school in Curitiba, southern Brazil, we created a project in 2016 involving babies in foster care homes. Amongst dozens of foster care homes, Lar Dona Vera is one in the city of Curitiba that shelters about 20 children, aged 0 to 9, who are taken away from their families due to reports of domestic violence and abuse. These children live at Lar Dona Vera while they wait to be reunited with their biological families or until they are directed toward adoption (LAR, 2018). In the last 2 years, this institution, especially the unit that shelters babies aged 0 to 2, has been involved in a project with the music school Alecrim Dourado Formação Musical, where a group of six to eight babies go every Friday morning to participate in musical activities.
Unsettling the ‘New’? Apartheid Did Not Die (Lowery, 1998)
Authors: Modisane Litheko
Published: October 2019

The documentary film Apartheid Did Not Die (Lowery, 1998) raises a theoretical problematic concerning the nature of historical change. In this article, an attempt is made to understand how the film represents the ‘post’ in the post-apartheid era, particularly with regard to its premises about historical change in societies that have recently emerged from an oppressive past, and the responses that the film occasioned. I show that through narrative and documentary strategies, Apartheid Did Not Die institutes a singular temporal rhythm for South Africa and is as such a metanarrative. Yet, it is as a metanarrative that the film occasioned a wide array of public engagements. Though powerful and provocative, the film’s arguments point to the limits of generalizing analyses and polemical modes of representation. However, its generalizing tone also shows the productivity of polemic as occasioned by the public responses it brought into being. Considering the theoretically problematic elements of the documentary form offers a critical perspective on the responses the film elicited in the public sphere.
Resistance documentaries in post-apartheid South Africa: Dear Mandela (Kell and Nizza, 2012) and Miners Shot Down (Desai, 2014)
Authors: Moyer-Duncan Cara
Published: October 2019

During apartheid, a documentary film movement emerged, capturing ordinary people taking on the oppressive government and the exploitative capitalist industry. People were shown at work and in their communities organizing strikes, protesting against repression, and being subjected to violence. This grassroots film movement, which has been described as a cinema of resistance, served as a tool to educate viewers, document violence and inequality, and mobilize support against the apartheid regime. Two decades after the end of apartheid, a similar set of resistance films has begun to emerge – with the difference that these films are holding the democratically elected government accountable. These documentaries give voice to the disenfranchised masses for whom the multiracial democracy has not brought substantial change. The African National Congress-led government has sanctioned actions echoing those that occurred under apartheid, including forced removals and the massacre of protestors.

Two films, Dear Mandela (Kell and Nizza, 2012) and Miners Shot Down (Desai, 2014), capture this and are indicative of a new wave of resistance documentaries.
Unravelling Pretville (Korsten, 2012) and encountering Marikana: The superfluous cheer of the Afrikaner volksiel
Authors: Steenekamp Emelia
Published: October 2019

Drawing on the thought of Achille Mbembé and Jacques Rancière, I observe the spatiotemporal proximity of the Marikana massacre and the production of an Afrikaans musical called Pretville (‘Funville’), attempting to understand the intricate dialectics of othering. I specifically consider the persistence of this mechanism in the ‘Afrikaner volksiel’, a metaphysical construct ostensibly uniting white Afrikaans speakers. To this end, I contextualize Pretville within the larger Afrikaner cultural project before maintaining that the text exhibits a fervent forgetfulness of the South African socio-political landscape. It is thus an aporetic text in that it deconstructs itself through the presences implied in their very invisibility, particularly the present-absence of the racialized labour exploitation buttressing an affluent neo-liberal society. I conclude that, through this entanglement, the world of Marikana is inseparable from the world of Pretville.
Reviews
Authors: Dovey Lindiwe , Frassinelli Pier Paolo
Published: October 2019

Gaze Regimes: Film and Feminisms in Africa, Jyoti Mistry and Antje Schuhmann (eds) (2015) Johannesburg: Wits University Press, 264 pp., ISBN-10 186-8-14856-4, p/bk, $26.87

Contemporary Cinema of Africa and the Diaspora, Anjali Prabhu (2014) Malden, MA and Oxford: Wiley Blackwell, ISBN 978-1-40519-303-0, 261 pp., p/bk, $40.95
Film Review
Authors: Macintyre Sandy
Published: October 2019

Noem my Skollie: Call me Thief (DIR. Daryne Joshua, August 2016) South Africa: Maxi-D TV Productions
Meditation on realism
Authors: Betancourt Michael
Published: October 2019

Blow-Up entails rhetorical doublings of action and medium that attend to the material processes of cinema: sampled images, re/photography, editing, the re/animation of 'life' on-screen by using found footage separated from its original function in a meditative demonstration of the realist assumption that lies at the foundation of motion pictures.
Ballardian strategies in Blow-Up
Authors: Stevenson Simon
Published: October 2019

This film shares a fascination with the pornography of abstraction that characterizes the 'condensed novels' of J. G. Ballard's The Atrocity Exhibition (1970). Read together, what could be said about a structuralist erotics, the latent content of medical demonstrations, the libidinal economies of the inorganic, the quantifying function of the blow-up?
Emotional visualization in Remembrance
Authors: Mazzarotto Marci
Published: October 2019

This article argues that the film’s contrasting lighting techniques and its accompanying bold colour scheme are effectively used not only to set the narrative tone but also to capture and visualize Alfred’s synaesthetic sensory experiences.
SELEKSI BERBANTUKAN MARKA MOLEKULER UNTUK PEMBENTUKAN CALON VARIETAS PADI TURUNAN ESENSIAL SITU PATENGGANG
Authors: Yuriyah Siti , Utami Dwinita Wikan , Nurani Siti , Nasution Anggiani , Lestari Puji , Dadang Ahmad , Suwarno Suwarno
Published: October 2019

The utilization of molecular marker technology for Blast (Pyricularia grisea) resistance in rice breeding could accelerate and improve the precision of selection. This study aimed to identify and to select the BC3F2 progenies from Situ Patenggang and the opted Blast Monogenic Lines based on their resistance to blast disease in green house and field using molecular characterization. A total of 200-300 BC3F2 population strains resulted in 4 crosses between Situ Patenggang varieties and Monogenic Varieties IRBLta2-Re, IRBLkp-k60, IRBLi-F5 and IRBLa-A were used as total genetic material in the study. Blast resistance assay was initially carried out in a greenhouse and further selection was conducted in the endemic blast area, Sukabumi. The selected Molecular marker  was STS (Sequence Taq Sites) marker for foreground selection and 384-SNPs (Single Nucleotide Polymorphism) chip for background selection. The number of lines from each cross was selected by greenhouse assay i.e: 25 lines derived from Situ Patenggang/IRBLta and Situ Patenggang/IRBLkp, 21 plants for crossing Situ Patenggang/IRBLi, and 22 plants for Situ Patenggang/IRBLa-A. The results of field  experiment revealed that blast resistance response of the selected lines was varied from  0 to 5. Lines of foreground were successfully selected using STS markers specified for Pii, Pita, Pikp and Pia genes. As for the background selection by SNPs markers, some lines carried the recurrent parent genetic background, Situ Patenggang. Overall, 20 resistance lines that harbored the target genes and Situ Patenggang background were obtained. Further observation was entailed to these twenty selected lines in order to attain promising lines candidate for blast resistance.
PREFERENSI PERTUMBUHAN BIBIT GEMBILI [Dioscorea esculenta (Lour.) Burkill] ASAL BAHAN TANAM DAN TEKNIK PENANAMAN BERBEDA
Authors: Utami Ning Wikan , Lestari Peni , Wawo Albert Husein
Published: October 2019

Lesser yam (Dioscorea esculenta (Lour.) Burkill) tubers have two important roles in conventional cultivation, as the food as well as the propagation material. The stem cuttings technique is reported can not produce tubers, while micropropagation is less efficient due to the need of large capital, experts, and specific tools. The other hand, farmers are less interested in cultivating this commodity. It has been reported that mini tuber sett can be used for propagation, but it has not been able to explain the growth preferences in each part of the tuber and its effect on yield. The research aims to provide information about the growth preference of lesser yam seedlings from different planting materials and planting techniques and their effects on yields. The research was carried out in Research Center for Biology, LIPI, Cibinong. The experiment was arranged based on split plots with tubers (apical and basal parts) as the main plot and planting position (vertical and horizontal) as subplots. Each treatment was replicated 3 times, with 5 samples for each replication. The results revealed that the apical part produced better shoots and roots than the basal section. The apical dominance of the lesser yam tuber was very high. It is herefore buds that form in the apical tended to grow faster. This section also produced tuber with a better character. With this information, farmers recommended to use planting materials from the apical part of the tuber with horizontal planting position.
KARAKTERISASI BIOMETRIK IKAN LELE DUMBO PERBANDINGAN DENGAN IKAN LELE AFRIKA (Clarias gariepinus BURCHELL, 1822)
Authors: Iswanto Bambang , Imron Imron , Suprapto Rommy , Marnis Huria
Published: October 2019

Lele Dumbo was used to be a superior clariid catfish ardely cultured in Indonesia. Despite its aquaculture success, there was uncertainty about its taxonomic identity, whether it belongs to an African catfish (Clarias gariepinus Burchell 1822) or a hybrid resulted from a hybridization between African catfish C. gariepinus and an Asian catfish C. fuscus. Though lele Dumbo was no longer popular, the genetic improvement program has successfully developed lele Sangkuriang strain, and that have recently been extensively cultivated in Indonesia. As a lele Dumbo strain, the identity of lele Sangkuriang is also uncertain, thus need to be verified. The present study aimed to investigate the similarity of lele Dumbo through morphometric and meristic characterizations using samples of lele Sangkuriang (collected from BBPBAT Sukabumi, BPBAT Cijengkol and PT STP) compared to those of African catfish C. gariepinus introduced from Thailand and Kenya. The characterizations were carried out through measurement of 20 standard morphometric characters and five meristic characters the data obtained were then analyzed using principal component analysis. The results suggested that the values of morphometric and meristic characters of all three samples of lele Sangkuriang were not different from those of African catfish C. gariepinus. Likewise, the results of principal component analysis performed on morphometric and meristic characters also revealed that morphometric and meristic characteristics of all three samples of lele Sangkuriang were not different from those of African catfish C. gariepinus. Those results revealed that biometric characteristic of both lele Dumbo and African catfish C. gariepinus was not different, thus they seem belong to the same species.
Trilepisium madagascariense fruit-wastes as cheap feedstock for bioethanol production
Authors: Ademakinwa Adedeji Nelson , Agunbiade Mayowa Oladele , Agboola Femi Kayode
Published: October 2019

Trilepisium madagascariense fruits are carbohydrate-rich and this study directly fermented the fruit wastes into bioethanol without the need for nutrient supplementation. The total reducing sugar (TRS) present in the mesocarp and seed of T. madagascariense fruit wastes (Tmfw) was fermented to bioethanol using Aureobasidium pullulans. Bioethanol production by A. pullulans was also optimized using Box-Behnken response surface methodology (RSM). The TRS in the mesocarp and seed of Tmfw were 11.2 ± 0.8 and 17.1 ± 1.2 g/L, respectively and further hydrolysis with cellulase resulted in increased TRS indicating the presence of cellulose. Pre-optimization, the bioethanol yield (Yps) and volumetric productivity (Qp) obtained from the fermentation of the seed by A. pullulans were 0.57 ± 0.03 g/g and 0.21 ± 0.02 g/L-1h-1, respectively. The optimum conditions for maximum bioethanol production were pH (5.95), time (24 h) and substrate concentration (5 g/L) resulting in Yps, Qp of 0.66 ± 0.06 g/g and 0.27 + 0.01 g/L-1h-1, respectively after model validation. Tmfw served as a suitable, cheap, non-toxic and readily available substrate especially in Nigeria to produce bioethanol while A. pullulans is a fungus that might be utilized for large-scale industrial bioethanol production.
Korelasi antara Kadar Neutrophil Gelatinase Associated Lipocaline Urin dengan Laju Filtrasi Glomerulus pada Variasi Waktu untuk Mendeteksi Dini Gangguan Ginjal Akut pada Anak Sepsis
Authors: Mardhika Anggun Sri , Somasetia Dadang Hudaya , Wulandari Diah Asri
Published: October 2019

Latar belakang. Sepsis dapat menimbulkan gangguan fungsi ginjal. Neutrophil gelatinase associated lipocaline urine (NGALu) merupakan penanda biologis baru lebih cepat dibandingkan laju filtrasi glomerulus (LFG) untuk deteksi dini gangguan ginjal akut (GgGA). Kadar NGALu pada anak sepsis dapat meningkat pada jam ke-0, 12, 24, dan 48. Belum ada penelitian mengenai korelasi antara kadar NGALu dengan LFG pada variasi waktu untuk mendeteksi dini GgGA pada anak sepsis.Tujuan. Mengetahui korelasi kadar NGALu dengan LFG pada variasi waktu untuk mendeteksi dini GgGA pada anak sepsis.Metode. Metode penelitian potong lintang. Subjek penelitian anak sepsis di unit gawat darurat, instalasi rawat inap, High Care Unit (HCU), dan Pediatric Intensive Care Unit (PICU) Rumah Sakit Dr. Hasan Sadikin bulan Mei 2017-Februari 2018. Pemeriksaan kreatinin dan NGALu dilakukan pada variasi waktu jam ke-0, 12, 24, dan 48. Analisis bivariabel menggunakan uji korelasi Spearman. Hasil. Penelitian mengikutsertakan 23 anak sepsis. Pada jam ke-24 nilai NGALu dan LFG berturut-turut 60,30 ng/ml, 128,33 ml/min/1,73m2. Terdapat korelasi yang bermakna antara NGALu dengan LFG pada variasi waktu jam ke-24 dengan nilai p=0,000 dan korelasi negatif sedang dengan r=-0,668. Kesimpulan. Terdapat korelasi antara kadar NGALu dengan LFG pada variasi waktu jam ke-24 untuk mendeteksi dini GgGA pada anak sepsis.