bluuebunny/crossref_metadata_2025 huggingface dataset:
Nutrition Self-Efficacy and Dietary Patterns among Older African American Women in Kansas
Authors: Nassim Grace , Redmond Michelle , Ofei-Dodoo Samuel , Benton Mary , Lu Kelsey
Published: October 2020

Introduction. Nutrition is the key contributor to disparities in many chronic diseases. However, little is known about the dietary habits and nutrition self-efficacy beliefs of older African American women with chronic diseases. This study looked at the relationship between nutrition self-efficacy and dietary patterns among older African American women.

Methods. A total of 115 African American women 55 years and older, with one or more chronic diseases such as hypertension, diabetes, and hyperlipidemia, were recruited from a midwestern city in Kansas. Participants completed a survey comprised of dietary intake items and the Physical Activity and Nutrition Self-Efficacy (PANSE) scale. Data were analyzed with descriptive statistics, Spearman correlation, and Wilcoxon rank sum test (Mann-Whitney U Test).

Results. There was a 79% (91/115) participation rate. Participants were confident in their ability to maintain healthy behaviors (57.67/72; SD = 11.22). The mean dietary score for fats and carbohydrate consumption was 32.67 ± 2.48 compared to 5.89 ± 3.52 for fruit and vegetable intake. A significant positive correlation was observed between fruit and vegetable intake and nutrition self-efficacy. A higher fruit and vegetable intake were observed among married women (mean = 7.35; SD = 4.45).

Conclusion. Our findings shed new light on older African American women’s perceptions of healthy eating and the confidence to eat heathy. Based on these results, older African American women met the daily fruit and vegetable recommendations; however, more work is needed to understand how to intervene to improve dietary behaviors regarding fat and carbohydrate consumption in this population. While more research is needed, the findings indicated behavioral theories such as nutrition self-efficacy may have utility in tailoring nutrition interventions in an older African American population.
NEB Instant Sticky-end Ligase Master Mix-CHEM 584 v1
Authors: Christensen Ken , Bien Harold
Published: October 2020

Taken directly from NEB's website, this is the protocol for using their optimized sticky-end ligation and transformation. For more information, see https://www.neb.com/products/m0370-instant-sticky-end-ligase-master-mix. Instant Sticky-end Ligase Master Mix is a ready-to-use 2X solution of T4 DNA ligase and a proprietary ligation enhancer in an optimized reaction buffer. Specifically formulated to rapidly ligate cohesive-end (2–4 bp) substrates and improve transformation, the mix simplifies reaction set-up and provides an optimized ratio of enzyme and buffer components. No thawing of the master mix is required as it maintains a liquid state during storage at -20°C* and no incubation time is necessary to achieve ligation efficiencies sufficient for successful sub-cloning of sticky-end substrates. Just add the master mix to DNA with compatible ends, mix and transform; thereby reducing the valuable time needed for routine ligations. Ligations for subcloning can be carried out in small volumes with low concentrations, allowing users to conserve precious DNA samples, and be used directly to transform many strains of chemically competent E. coli without dilution. * Freezers vary in their actual internal temperature. Our testing demonstrates that the master mix is liquid at -20°C. Freeze-thaw testing at -70°C has confirmed that the performance after 20 freeze/thaw cycles is close to the original mix. Product Source Purified from an E. coli strain containing a recombinant gene encoding T4 DNA Ligase. Reaction Volume Definition 1X Instant Sticky-end Ligase Master Mix with DNA substrates in a 10 μl reaction volume. A 10 μl reaction contains 1800 cohesive end units of T4 DNA Ligase.
Képzőművészeti alkotások felhasználása az idegennyelvoktatásban a drámapedagógia eszköztárának segítségével
Authors: Schmidt Katalin Ágnes
Published: October 2020

2012 óta tanítok a Magyar Képzőművészeti Egyetemen angol nyelvet, nyelvvizsgával még nem rendelkező hallgatók számára. Az ottani munkám során fogalmazódott meg bennem az igény, hogy a nyelvtanításban jól alkalmazható drámapedagógiai eszközöket olyan tartalmakhoz kössem, melyek az egyetem diákjai számára hasznosak lehetnek. Bár a kurzus célja, hogy a diákok minél közelebb kerüljenek a középfokú nyelvvizsga szintjéhez, mégis nagy hangsúlyt fektetek rá, hogy az óráimon képzőművészeti alkotásokkal is foglalkozzunk, hiszen elengedhetetlen a diákok jövője szempontjából, hogy angol nyelven is képesek legyenek megnyilvánulni a szakterületükről, különösen saját munkáikról. Diákjaim igényei és a munka során szerzett tapasztalatok kapcsán kezdett mindinkább foglalkoztatni a nyelvoktatás, a drámapedagógia és a művészetek határmezsgyéje. Bár alábbi meglátásaim felsőoktatási keretek között tartott nyelvórán születtek, a kipróbált módszerek természetesen az idegennyelvoktatás minden színterén (pl. közoktatás, nyelviskola) jól hasznosíthatók.
Notes on Frullania chilcootiensis (Frullaniaceae, Marchantiophyta) with a new synonym, lectotypification and an expanded distribution
Authors:   Missouri Botanical Garden, Atwood John J. , Mamontov Yuriy S. ,   Tsitsin Main Botanical Garden RAS,   Polar-Alpine Botanical Garden-Institute RAS
Published: October 2020

Frullania chilcootiensis Steph. and F. hattoriana J.D. Godfrey & G. Godfrey are two morphologically similar, little known species from northwestern North America. A Frullania specimen from Washington State, U.S.A. was recently discovered to have affinities with both species. The specimen’s shoots show variability in the length of the styli, as well as the number of cells composing them; two key morphological characters previously used to differentiate F. chilcootiensis from F. hattoriana. Based on this overlap and a detailed comparison of the branching and sexuality of the type specimens, F. chilcootiensis and F. hattoriana are here considered to be conspecific, with F. chilcootiensis having priority as the older name. The range of F. chilcootiensis is expanded into western Canada and the continental United States. A lectotype is designated for F. chilcootiensis from among the syntype specimens deposited in FH and G.
Possibilities of supportive therapy in patients with blood system tumors and malignant neoplasms
Authors: Larionova V. B. , Snegovoy A. V.
Published: October 2020

Finding opportunities to improve treatment outcomes of cancer patients remains a difficult and unresolved problem. Modern anticancer treatment due to the intensity and molecular biological orientation allows achieving higher efficiency and theoretically reducing the complications frequency. At the same time, the “increase in efficiency” in the modern oncology really exists, but a “decrease in the incidence of complications” is far from its solution. In many ways, the problems of diagnosis, treatment and monitoring of complications are associated with the impact on complex physiological processes in the body of an oncological patient. Timely implementation of modern and adequate programs for the prevention and treatment of these complications defines the concept of “supportive therapy”, which provides at least half of the effectiveness of anticancer treatment.

The Multinational Association of Supportive Care in Cancer (MASCC) was formed in 1990. The main tasks of the association were the creation of supportive care system, its popularization and accumulation of scientific data. The MASCC was used not only oncologists experience, but also of specialists working in almost all areas of medicine. Supportive therapy provides prevention and treatment of complications from the moment of malignant disease develops, at all stages of anticancer treatment, during the rehabilitation period, and in patients in the terminal phase.

An important stage in the development of maintenance care in Russia was the holding of annual conferences in Moscow with the support of MASCC. Russia is included in the European MASCC group and in working group on supportive therapy and palliative care of the Chemotherapists Society (ESMO). The Russian Society of Supportive care in Oncology (RASSC) was organized In Russia on June 1, 2017. In recent years, the main directions of supportive care have been developed in our country. Today, supportive therapy is an obligatory component of anticancer programs, which allows the patient to cope with severe but potentially reversible disorders of vital organs at all stages of treatment. This is a real way to increase the treatment efficacy and improve the quality of life of cancer patients.
Pediatric acute lymphoblastic leukemia treatment protocols improvement: emphasis on minimal residual disease
Authors: Shervashidze M. A. , Valiev T. T.
Published: October 2020

Treatment of acute lymphoblastic leukemia (ALL) in children during the last 50 years has changed significantly, which has increased the survival of patients from 10–15 % in the early 60s to 80–85 % by the mid-2000s. Such results have been achieved through the development of new polychemotherapy regimens, the introduction of neuroleukemia prophylaxis, the strengthening of standard chemotherapy by increasing the dose and / or frequency of chemotherapeutic drugs administration, and the definition of criteria for patient stratification into prognostic risks groups and the development of principles of risk-adopted therapy.

However, inspite of the overall success of pediatric acute lymphoblastic leukemia therapy, some variants of acute lymphoblastic leukemia associated with poor prognosis, especially acute lymphoblastic leukemia with BCR-ABL1 and MLL rearrangements. Besides the prolonged persistence of minimal residual disease is also an unfavorable prognostic factor requiring therapy intensification.

In the current issue we present the main steps in the evolution of programmed chemotherapy of children with acute lymphoblastic leukemia. Great attention was paid for modern risk-stratifying criteria with an emphasis on minimal residual disease.
Prognostic value of the modified multiple myeloma comorbidity index in real clinical practice
Authors: Skvortsova N. V. , Kovynev I. B. , Loginova A. B. , Halzov K. V. , Pospelova T. I.
Published: October 2020

Background. An increase in the number of patients with multiple myeloma (MM) necessitates the creation of reliable tools for assessing their somatic status (comorbidity) in order to personalize the optimal treatment regimen that helps to minimize its toxicity, improves survival and patients quality of life.

The objective of this study was to modify the MM comorbidity index (MCI) by adding an additional variable reflecting the biological properties of the tumor, and to determine the informativeness of the new scale – a modified MM comorbidity index (M-MCI), to predict the outcome and select personalized therapy in patients with MM in real clinical practice.

Materials and methods. From January 2012 to December 2017 the study included 369 patients with newly diagnosed MM (134 men and 235 women) who were hospitalized in the hematology department of the City Clinical Hospital No. 2, Novosibirsk. The median age of the patients was 67 (32–82) years. The prognostic value of concomitant diseases and individual prognostic factors in relation to the overall survival of patients with MM was evaluated.

Results. Cox multivariate analysis showed that the most significant predictors of reduced overall survival of patients with MM are impaired renal function (glomerular filtration rate <30 ml / min / 1.73 m2 (according to the CKD-EPI formula), general condition according to the Karnowski scale ≤70 %, chronic obstructive pulmonary disease with moderate (50 % ≤ forced expiratory volume in 1 second <80 %) and severe (30 % ≤ forced expiratory volume in 1 second <50 %) severity of bronchial obstruction and the ratio κ / λ free light chains <0.04 or >65. These factors were combined into a weighted 5‑point scale M-MCI. A comparative analysis of survival depending on the value of the M-MCI allowed us to distribute patients with MM into groups of high (M-MCI 3–4 points) and standard (M-MCI 0–2 points) risk with significantly different indicators of overall survival (median overall survival amounted to 15.5 months in the high and 60 months in the standard risk group; χ2 = 58, p <0.016) and confirm the prognostic value of M-MCI in relation to the outcome of MM.

Conclusion. In terms of its prognostic significance in predicting an adverse outcome, the proposed M-MCI scale is superior to its prototype – the MCI. The median overall survival in the high-risk group according to the M-MCI was 15.5 months compared to 20 months according to the MCI; the median overall survival in the group the standard risk was 60 and 50 months, respectively (χ2 = 58 (M-MCI) versus χ2 = 42 (MCI); p <0.001). The advantages of M-MCI are also its more accurate assessment of the physical condition of patients with MM and its simple clinical applicability.
Drug-induced liver injury in cancer patients
Authors: Ivashkin V. T. , Raikhelson K. L. , Palgova L. K. , Maevskaya M. V. , Gerasimova O. A. , Kondrashina E. A. , Marchenko N. V. , Baranovsky A. Yu.
Published: October 2020

This review includes information about epidemiological data, development feature, phenotypes, principles of classification, diagnosis, and prognosis for drug-induced liver injury (DILI). Actual clinical recommendations regarding management of the DILI arising in the chemotherapy of cancer discussed. Drugs that can influence on individual pathogenetic mechanisms of growth and symptoms DILI are considered. Clinical studies for the prophylaxis and treatment of DILI associated with anticancer chemotherapy analyzed in detail. The prevention and treatment regimens for DILI in patients receiving chemotherapy and immunotherapy various localizations of cancer given both in research and in practical recommendations.
Modern e-learning technologies: analysis of the impact of gamification methods on student engagement in the educational process
Authors: Ermakov S.S.
Published: October 2020

The article presents the factors influencing the learning outcomes in distance format, modern types of e-learning and factors that affect the educational motivation of users in online courses. The features of educational motivation are considered and the process of motivational design in e-learning is presented. As a key method of increasing motivation and involvement in the educational process of online courses, the article describes the technology of gamification. The paper also presents the «Octalize» method, developed and applied for the balanced and effective use of gamification techniques, assessment of the main motivational factors, as well as for the analysis and design of optimal conditions for the presence of game elements in the educational process.
Pancreatic window and open necrosectomy; a surgical alternative for walled-off pancreatic necrosis in a second level hospital in Mexico
Authors: Alvarado-Bahena Pedro A. , Chavez-Serna Enrique , Salgado-Vives Jonatan , Hernandez-Bustos Uraik F. , Saldivar-Vera Dante A. , Mendoza-Morales Landy L. , Espinosa de los Monteros-Moranchel Pedro A.
Published: October 2020

Walled-off pancreatic necrosis is defined as a necrotic collection with a defined wall, which generally occurs in 15% of patients in the fourth week after acute pancreatitis. Actually, open surgery is reserved for selected cases, with minimally invasive treatments such as image-assisted percutaneous drainage or endoscopic ultrasound being the procedures of choice. However, in developing countries the open approach continues to be an effective therapeutic alternative. We present the case of a 47-year-old male patient with no significant history who developed severe acute pancreatitis secondary to hypertriglyceridemia and who later developed walled-off pancreatic necrosis as a late complication. As a treatment, a debridement of the necrotic tissue with marsupialization was performed using the bradley III technique, secondary to the procedure, a pancreatic fistula was developed. After 8 weeks of hospitalization, in which he had a favourable response to surgical treatment, with spontaneous closure of the fistula without complications. Surgical management of late complications of acute pancreatitis remains controversial. Although minimally invasive procedures are the first option nowadays, in developing countries, open necrosectomy remains a good option for the treatment of these types of complications.
A comparative study on bowel habits among the rural and urban school going adolescents of Puducherry
Authors: V. Shiyam , N. Nishanthini , R. Niranjjan , A. Lokeshmaran
Published: October 2020

Background: Adolescence stage the most challenging periods and critical period in one’s life. Bowel habit an important process in day to day life which also shows changes in its pattern from daily life. These changes need to be evaluated for the cause and to prevent certain diseases involving colon and rectum. Objectives was to determine and compare the bowel habits among school going adolescents in rural and urban areas of Puducherry.Methods: A cross sectional study was conducted from Jun 2019 to Aug 2019. School students from 6th to 12th standard were selected by multistage random sampling method. A semi structured self-administered questionnaire was used to collect the data. Data were analyzed by SPSS version 20.Results: A cross sectional school-based study was conducted among 1350 school going adolescence, among them 618 students from rural area and 732 students from urban area participated in the study. Prevalence of constipation was higher among school going adolescents of urban area (21.9%) compared to that of rural area (19.2%). Prevalence of diarrhoea was higher among the school going adolescents of rural area (6.2%) compared to that of urban area (4.1%). Open field defaecation practice was high among the rural adolescents (26.9%) compared to that of urban adolescents (7.4%). Type 3 stool form was the predominant type in both rural (50.03%) and urban (51.8%) school which is the normal stool form in bristol stool chart.Conclusions: Total 87.2% of rural and 87% of urban school going adolescents have a normal bowel habit. Open field defaecation practice was high among the rural adolescents compared to that of urban adolescents.
Геополитический аспект информационного противостояния РФ и США
Authors: Медовкина Лина Юрьевна
Published: October 2020

В работе проведен анализ протекания информационного конфликта с геополитической точки зрения между двумя ведущими акторами международных отношений: Россией и США. В рамках проводимого исследования отдельно изучена теоретическая составляющая вопроса, а также подходы некоторых американских и российских ученых кведению информационных войн. На основе теоретических сведений проведен анализсовременного состояния российско-американского информационного конфликта с привязкой к геополитическим устремлениям обоих государств. Практической базой для исследованияпослужил украинский кризис, который стал катализатором медийной агрессии стран Запада в отношении России. Другим примером стала Сирия, где информационное противоборство междурассматриваемыми странами также имело ожесточенный характер, так как помимо СМИ в противоборстве принимали участие и различного рода прозападные организации. В исследовании сделан вывод о том, что преобладающим фактором в информационном противостоянии между Россией и США является геополитическая сфера, обусловленная обоюдным стремлением двух государств превзойти друг друга.
Реализация внешнеполитических установок Турецкой Республики в отношении государств Черноморского региона: сферы сотрудничества и конфликта
Authors: Демирель Нури
Published: October 2020

В статье рассматриваются направления реализации внешнеполитических установок Турции в отношении государств Черноморского региона. Выделены три главные сферы, выступающие одновременно основой для сотрудничества и конфликта в регионе, – это международная безопасность, экономические программы и культурные аспекты взаимодействия, включающие этнические, религиозные, образовательные и другие вопросы. Субъектами взаимодействия Турецкой Республики выступают все государства Причерноморья (Россия, Украина, Азербайджан, Грузия и пр.), в том числе наиболее сложная для реализации турецкой политики Армения. Работа по каждому из трех направлений с государствами Причерноморья, реализуемая преимущественно в формате двусторонних отношений, обеспечивает реализацию амбиций Турции на статус регионального лидера, однако не исключает комплекс проблем, остающихся актуальными для участников диалога.
A 6-year experience of the Ross procedure in children with congenital aortic valve disease
Authors: Akatov D. S. , Belov V. A. , Khomich D. E. , Bukhareva O. N. , Makarov A. A. , Kotov S. N. , Schneider Yu. A.
Published: October 2020

Background: The choice of an optimal method for correction of aortic valve stenosis or insufficiency remains the matter of debate. Some clinicians prefer transluminal balloon angioplasty, some would perform an open type commissurotomy, or aortic valve replacement, or to valve leaflets repair with various materials, while others opt for the Ross procedure. Each of these techniques has its advantages and disadvantages both in the early postoperative period and in the long-term.

Aim: To assess the results of the Ross procedure, its complications, survival, and probability of reoperations in the long-term.

Materials and methods: We retrospectively analyzed the results of 32 Ross procedures performed from the end of 2012 to the beginning of 2019 in children aged from 3 days to 18 years. Eight children were below 1 year of age, including one newborn. A pulmonary autograft was placed into the aortic position in all children. In 31 children, a homograft was placed into the pulmonary artery. In one patient, an aortic autograft was implanted instead of the pulmonary artery valve. The mean patient age was 6.8 years, mean bodyweight 27.7 kg (range, 3.9–74.6 kg).

Results: Two patients died in the early postoperative period (mortality 6.25%). We examined 26 patients at the follow-up, with its mean duration of 2.5 years. There were no indications for replacement of the homograft during the follow-up. One patient, in whom we had implanted an aortic autograft into the pulmonary position, required its replacement after 4.5 years. We have no data on death rates in the long-term.

Conclusion: The Ross procedure provides satisfactory results in the early and intermediate postoperative period. Continuous follow-up is needed to determine the time points and the proportion of repeated interventions with a pulmonary homograft and aortic valve.
Predicting Pharmacokinetic Profiles of Sunflower’s (Helianthus annuus L.) Active Compounds using in Silico Approach
Authors: Firdausy Alif Firman , Muti'ah Roihatul , Rahmawati Eka Kartini
Published: October 2020

Introduction: Sunflower (Heliantus annuus L.) widely known as medicinal plant for treating several diseases, such as hypertension, allergy, pain, inflammation, and cancer. It contains various bioactive compounds which some of them were hellianuols. Hellianuols are a sesquiterpene lactones which marked by benzene fused 6- to 8-membered cyclic ether ring structure. To make sure that hellianuols were adequate for development as a new chemical entities, we predicted some pharmacokinetic parameters of several hellianuols compounds (A to L) through in silico approach.Methods: We constructed 3 dimensional structures of hellianuol A, B, C, D, E, F, G, H, I, J, K and L then generated the SMILE codes of each compound. These codes then used as main material for running pkCSM online tool to predict absorption, distribution, metabolism, and excretion profile of each compounds.Results: Helianuols predicted to be well absorbed in intestine (90,793% to 95,384% permeability), skin (Log Kp: -2,662 to -3,570), and high permeability against monolayer Caco-2 cell lines (LogPapp: 1,186 to 1,341 ×10-6cm/s). Unfortunately, it had been predicted that hellianuols does not well distributed in the body based on volume of distribution at steady state (VDSS: 0,094 to 0,317) value. But its also predicted that most of hellianuols had a capability to pass through blood-brain barriers (LogBBB: up to 0,389) and penetrated into central nervous system as well. Only hellianuol G, H and K predicted to be metabolized by CYP1A2 inhibitor and only hellianuol A, B, D, E and K metabolized by CYP2C19. Also predicted that hellianuols were excreted in around 0,719 to 1,082 mg/kg/day.Conclusion: Hellianuols contained in leaf aqueous extract of sunflower predicted to be a good new pharmaceutical entities candidate based on its pharmacokinetic profiles.Keywords: Hellianuol, sunflower, pharmacokinetic profie, pkCSM online tool
AKUPUNKTUR TITIK SISHCENCHONG PADA PENDERITA INSOMNIA PADA LANJUT USIA DI YAYASAN DIAKONIA GPIB RUMAH ASUH ANAK & LANSIA (RAAL)
Authors: Mahadini Chantika
Published: October 2020

Latar Belakang: Insomnia pada lansia merupakan keadaan dimana individu mengalami suatu perubahan dalam kuantitas dan kualitas pola istirahat yang menyebabkan rasa tidak nyaman atau mengganggu gaya hidup yang di inginkan. Gangguan tidur pada lansia jika tidak segera ditangani akan berdampak serius dan akan menjadi gangguan tidur yang kronis. Secara fisiologis, jika seseorang tidak mendapatkan tidur yang cukup untuk mempertahankan kesehatan tubuh dapat terjadi dampak-dampak seperti pelupa, gelisah dan disorientasi (Asmadi, 2008). Tujuan: untuk mengetahui pengaruh akupunktur titik Sisenchong terhadap insomnia pada lansia. Metode: Metode penelitian menggunakan quasi eksperimen dengan penelitian pre test dan post tes design with control group. Jumlah sampel adalah 20 orang terdiri dari 10 orang kelompok eksperimen dan 10 orang kelompok kontrol. Hasil: menunjukkan pada kelompok eksperimen terdapat perbedaan signifikan antara skor post test dan pretest (p=0,005), kelompok kontrol diperoleh nilai p= 0.008 yang berarti tidak ada  perbedaan yang signifikan antara skor pretest dan posttest. Kesimpulan: akupunktur pada titik sisenchong berpengaruh terhadap insomnia pada lansia di yayasan DIAKONIA GPIB Rumah asuh anak dan lansia (RAAL).
HUBUNGAN PERSEPSI TERHADAP LINGKUNGAN PEMBELAJARAN DENGAN HASIL BELAJAR MAHASISWA PENDIDIKAN DOKTER FKIK UIN MAULANA MALIK IBRAHIM MALANG
Authors: Sp.OG Nurfi Indriana , Novianto Muhammad Rizal
Published: October 2020

Lingkungan pembelajaran suatu institusi pendidikan menjadi bagian penting dalam meningkatkan kualitas pendidikan. Persepsi mahasiswa terhadap lingkungan pembelajaran dapat menggambarkan iklim belajar yang dimiliki suatu institusi pendidikan. Persepsi mahasiswa terhadap lingkungan pembelajaran inilah yang menentukan perilaku dari mahasiswa sehingga dapat mempengaruhi hasil belajar. Tujuan penelitian ini ingin melihat bagaimana persepsi terhadap lingkungan pembelajaran memberikan pengaruh hasil belajar mahasiswa pendidikan dokter UIN Maulana Malik Ibrahim Malang. Survei cross-sectional dilakukan kepada seluruh mahasiswa pendidikan dokter (n=148) untuk mengukur persepsi mahasiswa terhadap lingkungan pembelajaran menggunakan instrumen John Hopkins Learning Environment Scale (JHLES) yang tersusun dari 7 komponen. Setiap komponen dianalisa hubungannya dengan hasil belajar mahasiswa menggunakan metode Structural Equation Modeling-Partial Least Square (SEM-PLS). Dari 145 responden yang mengisi kuesioner secara lengkap (98%) didapatkan hasil bahwa hubungan mahasiswa dengan dosen, mentoring, iklim pendidikan, pelibatan mahasiswa, inklusi dan rasa aman serta interaksi antar mahasiswa memiliki pengaruh positif terhadap hasil belajar mahasiswa. Sedangkan lingkungan fisik tidak berpengaruh terhadap hasil belajar. Dapat disimpulkan bahwa faktor non fisik dari lingkungan pembelajaran lebih memberikan pengaruh terhadap hasil belajar mahasiswa kedokteran dibandingkan dengan lingkungan fisik.Kata kunci : lingkungan pembelajaran, hasil belajar, pendidikan kedokteran
PENGARUH AKUPUNKTUR JIN’S 3 NEEDLE TERHADAP PENURUNAN INTENSITAS NYERI DIABETIC NEUROPATHY PERIFER
Authors: Kurniawan Leny Candra , Abdullah Ikhwan
Published: October 2020

Diabetic Peripheral Neuropathy is a type of nerve damagethat occurs due to diabetes. High blood sugar levels in thelong term can cause damage to nerve fibers throughout thebody, such as legs, feet, blood circulation, heart, digestivesystem, and urinary tract. Diabetic Peripheral Neuropathy isa serious complication of diabetes that often causes pain inthe limbs. Pain management Diabetic Peripheral Neuropathyis usually by administering pain medication for a long periodof time. These medicines will have side effects. The use ofacupuncture as an alternative to help reduce the intensity ofpain in peripheral diabetic neuropathy has proven to beeffective and relatively without side effects. The advantage ofacupuncture therapy is that it has relatively no side effects.The general aim of this study is to reduce the intensity of painin peripheral neuropathy. The research design usesquantitative methods. The study population was all patientswith peripheral neuropathy who visited the Harmoni HealthyClinic in March-May 2019. The sampling method used wasaccidental sampling. The benefits of this study provide analternative for DM sufferers to reduce the intensity ofneuropathic pain naturally with acupuncture without fear.side effects. From the results of this study it is known thatthere is an influence of Jin’s Three Needle acupuncture inreducing the intensity of pain in Peripheral Neuropathy.Calculations using statistical SPSS 21 with paired sample ttest obtained significant results (0.00) from the value of α(0.05), then H1 is accepted. So with a significance level of5%, it can be concluded that Jin's Three Needle acupuncturecan reduce the intensity of pain in diabetic peripheralneuropathy
Cognitive Function Assessment of a Patient With PTSD Before and After EMDR Treatment
Authors: Camacho-Conde José Antonio
Published: October 2020

The current case study investigates whether successful psychotherapy for posttraumatic stress disorder (PTSD) symptoms will also ameliorate cognitive deficits. We describe the treatment response of a 37-year-old woman diagnosed with PTSD who received eight weekly EMDR sessions. At pre-treatment, the patient reported emotional disturbance on the Beck Depression Inventory-II, and problems with anxiety and sleep. Testing showed high scores on the State-Trait Anxiety Inventory and the Symptoms Scale of Post-traumatic Stress Disorder Scale-Revised. An evaluation of her attention profile and other executive functions was conducted with dual execution tasks using a virtual reality program, Nesplora Aquarium. The attention testing data indicated attention-deficit disorder. At the end of the therapy, testing showed improvements in sleep problems and in emotional disturbance and anxiety symptoms on all measures. The attention testing revealed normal scores for her age range in the Nesplora Aquarium test. A follow-up assessment was carried out at 1 month, and it was observed that the patient maintained the improvement achieved. We discuss the relationship between PTSD and cognitive impairment and the value of the Nesplora Aquarium test for cognitive assessments. Our results suggest attentional deficits in this case when performing a continuous execution test with dual execution components that involve the participation of the central executive system of working memory.
Examining the Influence of Interactions Between Early Reading Skills and Executive Functioning on Second Grade Reading Achievement
Authors: Mariotti Emily C. , Fillauer J. Parks , Martin McKenzie , Bolden Jennifer
Published: October 2020

Questions still exist about the interplay between foundational literacy components and budding cognitive structures that are thought to influence advanced reading abilities. Understanding interactions between executive functions (EFs) and specific early reading skills could contribute to our understanding of later reading achievement. The present study used multilevel modeling to examine whether EFs (i.e., working memory, cognitive flexibility, and inhibition) moderate the relation between various early reading skills in kindergarten and second grade reading achievement in a sample of 18,174 participants from the ECLS: K-2011 database. Our findings suggested that early teacher-rated reading skills are related to second grade reading abilities. Both working memory and inhibition were important moderators for reading independently in kindergarten and are associated with later reading achievement in second grade. Research implications and the importance of understanding the intersection of cognitive processes and learning in early childhood are discussed.
Sexual Orientation and Hypertension Risk Reduction Behaviors Among Adults With High Blood Pressure
Authors: Veliz Philip T. , McCabe Sean Esteban , Hughes Tonda L. , Everett Bethany G. , Caceres Billy A. , Arslanian-Engoren Cynthia
Published: October 2020

Introduction

Hypertension is a significant modifiable risk factor for cardiovascular disease (CVD), the leading cause of death in the United States. Evidence is emerging showing disparities in CVD risk between sexual minorities and heterosexuals. Engagement in CVD risk reduction behaviors may account for differences. We examined CVD risk reduction for hypertension between sexual minorities and heterosexuals using data from the 2017 Behavioral Risk Factor Surveillance System.

Methods

Using bivariate and multivariable logistic regression analyses, we compared medical advice and actions taken (taking medicine, changing eating habits, cutting down on sale, reducing alcohol, and exercising) to control blood pressure in sexual minority and heterosexual respondents. Analyses were conducted in 2019.

Results

Approximately 35% of the sample indicated being told by a health professional they had high blood pressure. Sexual minorities were less likely to report reduced alcohol intake to lower their blood pressure (AOR = .52, 95% CI = .30, .88). One sex-specific difference between sexual minority women and heterosexual women was found; sexual minority women were less likely to indicate being advised by a health professional to take medications to lower blood pressure when compared to heterosexual women.

Conclusions

Strategies are needed to reduce alcohol consumption in sexual minority individuals. Uncovering the reasons for the lack of adherence by both sexual minority patients and healthcare providers can guide future interventions to improve adherence and reduce hypertension as a CVD risk.
De la paz imperfecta a la agencia pacifista
Authors: Jiménez Arenas Juan Manuel
Published: October 2020

El objetivo del estudio es contribuir, desde la doble perspectiva de la paz imperfecta y del giro epistemológico, a revisar críticamente el concepto de poder como base para la agencia pacifista. Originalidad: este trabajo se centra, por primera vez, en la agencia como posibilidad para que la paz ocupe cada vez un mayor espacio personal, público y político. Método: es un trabajo de investigación cualitativa que, desde una perspectiva compleja, parte del concepto de paz imperfecta y del giro epistemológico, empleando las estrategias del análisis crítico de textos de investigación para la paz y escritos que versan sobre el concepto de poder, especialmente de Hannah Arendt, Michel Foucault, Michael Mann, Kenneth Boulding y John Holloway, entre otras/os. Este diálogo nos permite concluir que el poder también puede ser considerado como la capacidad que tenemos todos de actuar de manera coordinada para promover el desarrollo de las capacidades humanas deseables. Entendido de esta forma, el poder genera paz, la cual debe ocupar el mayor espacio personal, público y político. Así las cosas, esta extensión capilar de la paz no debe valorarse solo como una medida del empoderamiento pacifista, sino una consecuencia de la agencia pacifista.
Handwashing Compendium for Low Resource Settings: A Living Document, Edition 3
Authors: Coultas Mimi , Iyer Ruhil , Myers Jamie
Published: October 2020

Frequent and proper handwashing with soap is vital to prevent the spread of COVID-19. In response, the Sanitation Learning Hub at the Institute of Development Studies has developed this Handwashing Compendium for Low Resource Settings. Bringing existing information from different organisations into one place, the compendium provides guidance, local examples of and further resources on accessible low-cost handwashing facilities, environmental cues and physically distanced hygiene promotion. The compendium is a living document which will be updated regularly as learning emerges. It has been developed and disseminated quickly so immediate, relevant and timely actions can be taken. Please share feedback and contributions via email (SLH@ids.ac.uk) or Twitter (@SanLearningHub). For those with limited internet access, individual sections of the compendium can also be sent upon request.
CORRELATION BETWEEN MENARCHEAL AGE WITH MENSTRUAL HEALTH AWARENESS AMONG COLLEGE STUDENTS IN A PRIVATE UNIVERSITY
Authors: Samaria Dora , Theresia Theresia , Doralita Doralita
Published: October 2020

Adolescent females who had their menarche experience cognitive and psychological development. In that period, it takes adolescents’ awareness of menstrual health in order to behave appropriately and maintains the quality of health. This study aims to identify the correlation between menarcheal age and menstrual health awareness. This research used cross-sectional design done to 117 female students of Economic Education Study Program in Universitas Pelita Harapan from October to November 2017. This research used purposive sampling method. Data were analyzed using Spearman Correlation Test. The results showed that there was a significant correlation between menarcheal age and menstrual health awareness. It can be concluded that adolescents female who had their menarche at normal age (12-14 years) had increased menstrual health awareness. It is recommended for future research to use quasi-experimental or randomized controlled trial study on larger sample size.
Modélisation de la distribution potentielle de Cedrus atlantica Manetti au Maroc et impacts du changement climatique
Authors: Moukrim Said , Lahssini Said , Rifai Nabil , Menzou Kamal , Mharzi-Alaoui Hicham , Labbaci Adnane , Rhazi Mouhssine , Wahby Imane Wahby , El Madihi Mohammed , Rhazi Laïla
Published: October 2020

Le changement climatique constitue un grand défi à relever par les politiques publiques et les gestionnaires des espaces naturels. La compréhension de ses impacts sur les écosystèmes forestiers constitue un préalable nécessaire à toute réflexion visant leur conservation et le maintien des services écosystémiques qu’ils offrent. Cette étude s’est intéressée à la modélisation de la distribution potentielle de Cedrus atlantica Manetti, à l’identification des variables environnementales conditionnant sa distribution, et à la définition de l’étendue géographique des aires qui sont favorables à sa présence sous les conditions climatiques passées, actuelles et futures. Ce travail a été réalisé en se basant sur le principe d’entropie maximale. La cartographie des aires potentielles révèle la sensibilité du cèdre aux changements climatiques passés et suggère une grande étendue (quadruple de la surface d’occurrence actuelle de l’espèce) des zones bioclimatiquement adaptées au développement de cette espèce sous les conditions climatiques actuelles. Cependant, les distributions potentielles futures semblent être dépendantes de certains sites spécifiques et risquent d’être affectées négativement par le climat futur. Ces résultats mettent en évidence l’ampleur des régressions projetées des superficies du cèdre dans le futur, ce qui pourrait impacter considérablement les fonctions et services de cet écosystème et augmenter les risques d’extinction locale. Ils constituent par ailleurs un bon outil de prise de décision pour les gestionnaires du territoire quant à la conservation de ce précieux écosystème forestier, afin d’éviter toute extinction de ce foyer de biodiversité marocaine.
Pompa Air Harapan: Upaya Penanggulangan Kekeringan dan Pengembangan Usaha Mandiri Masyarakat Desa Kwadungan Lor, Kabupaten Ngawi
Authors: Sari Churnia , Fandidarma Bayu , Solikin Nur
Published: October 2020

Ngawi adalah salah satu kota di Jawa Timur yang terletak di dataran rendah dan merupakan satu dari lima kota pemasok padi terbanyak. Sehingga nilai lahan di Kabupaten Ngawi menjadi sangat penting, sebagai penunjang ekonomi masyarakat. Namun berdasarkan observasi dan pemberitaan pada media elektronik, beberapa lahan di Ngawi tidak dapat diolah secara maksimal ketika musim kemarau, dan belum ada solusi yang ditawarkan terkait masalah tersebut. Program pendistribusian air dari Pemerintah Kabupaten (Pemkab) Ngawi sudah dijalankanetapi belum merata di seluruh wilayah terutama desa-desa yang secara geografis cukup sulit untuk dijangkau. Alasan ini mendasari Pengabdian Masyarakat dilaksanakan di Kabupaten  Ngawi. Dari hasil observasi, dipilih desa Kwadungan Lor sebagai lokasi Pengabdian Masyarakat. Dengan adanya Program Pompa Air Harapan, masyarakat Kwadungan Lor menjadi lebih semangat dalam mengelola lahannya sekaligus bisa memperoleh keuntungan dari hasil bercocok tanam.
Edukasi Perawatan Motor Diesel Kapal Nelayan Desa Pelintung Kota Dumai
Authors: Yaqin Rizqi Ilmal , Ziliwu Boby Wisely , Demeianto Bobby , Siahaan Juniawan Preston , Musa Iskandar , Priharanto Yuniar Endri , Efendi Rudi , Rozaki Muhammad Ali , Hasibuan Nirmala Efri , Arkham Muhammad Nur
Published: October 2020

Kota Dumai merupakan salah satu kota yang berada di provinsi Riau yang memiliki garis pantai yang Panjang. Beberapa daerah di Kota Dumai masyarakatnya memiliki mata pencarian sebagai nelayan. Kelompok Usaha Bersama Bunga Mawar yang terletak di Desa Pelintung Kota Dumai adalah salah satu kelompok nelayan. Namun, kebanyakan nelayan belum banyak mengetahui pentingnya perawatan motor diesel pada kapal. Beberapa permasalahan yang ada di motor diesel diangkat menjadi suatu kegiatan pelatihan yang berbasis edukasi. Pelatihan perawatan motor diesel pada nelayan Kelompok Usaha Bersama Bunga Mawar yang terletak di Desa Pelintung Kota Dumai terdiri dari tiga tahapan yaitu tahapan pendekatan kerangka masalah dengan survey lokasi, tahapan sosialisasi secara teoritis dan praktik, dan tahapan monitoring. Hasil pelatihan perawatan motor diesel kapal yang diikuti 15 nelayan yaitu nelayan sangat setuju adanya pelatihan tersebut. Sehingga perlu adanya pelatihan-pelatihan di bagian motor diesel lainnya agar lebih mendalam lagi. Pemberian angket kepuasan ditunjukkan guna mendapatkan masukan tentang kegiatan yang sudah dilakukan. Tingkat kepuasan peserta pelatihan ditunjukkan dengan adanya grafik yang sudah diolah dan disajikan. Harapan setelah pelatihan ini agar nelayan di Kelompok Usaha Bersama Bunga Mawar yang terletak di Desa Pelintung Kota Dumai dapat mandiri mengatasi masalah dan dapat merawat motor diesel pada kapal yang digunakan sebagai alat untuk operasi penangkapan ikan.
Formation of scientific research competence in students of nonlinguistic universities
Authors:   Ural state university of railway transport (USURT), Drutsko N. A.
Published: October 2020

The article considers issues related to the formation of scientific and research competence in students of nonlinguistic universities by means of a foreign language. Using a foreign language as a tool for obtaining information of a scientific or professional nature is particularly relevant in the current labour market. The distinctive feature of the new federal standard of higher professional education is its focus not only on the accumulation of knowledge, but also on the formation of the ability to apply knowledge in practice, on the development of certain competences. Therefore, it is necessary to switch from the content to the effectiveness of the educational process. Scientific research work is becoming an important part of a student ‘s professional training. This is one of the key factors of development and active formation of the qualities essential for a would be railway specialist. Creation of knowledge-intensive industries in the field of railway transport changes the requirements to the skills of university graduates. Skills in selecting and analyzing of information, applying it creatively, identifying problems and making management decisions are in demand. Project technology is offered as a tool for forming the research competence among students of railway specialties. The feasibility of this method as an effective way of organizing research activities of students of railway and economic specialties is justified.
Difficulties in training students of transport university
Authors:   Ural state university of railway transport (USURT), Moskvina Yu. A.
Published: October 2020

A foreign language teacher can face a number of difficulties in training students of a transport university. Peculiarities of linguistic training dictate the list of professional competences formed in students. Thus, proceeding from Federal Educational Standard and employers’ requirements, it is possible to speak about the need to form students’ foreign-language communicative competence (linguistic competence, in particular) studying English at the level of professional communication. However, before defining the best strategy of teaching a foreign language, students’ personal qualities must be studied. The present article considers diagnostics and subsequent analysis of personal and motivational characteristics of students. The study was based on the following hypothesis: transport university students, regardless of their age, have similar leading personal characteristics. Taking into account the objective, subject and hypothesis, the methodology by A.G. Gretsov «Big Five» of personal qualities» was chosen for the study. It is based on the personality model by R. McCray and P. Cost (1983-1985). A large number of variations in the diagnostics techniques for the «big five» personality features in different languages make it possible to suggest that the «big five» (extroversion, neuroticism, openness, consciousness, benevolence) does contain universal key characteristics that provide an opportunity to «see» the personality and predict its behavior. Having considered the information obtained after the analysis of the results of the «Big Five» test, we can note that students of the studied training program are distinguished by two leading characteristics which are openness to new experience and neuroticism. It may be also noted that, growing older, students become more emotionally stable. Over time, such characteristic as neuroticism decreases, but the increase in the amount of students with such characteristic as consciousness is also recorded.
Import substitution of software on russian railway transport
Authors:   Ural state university of railway transport (USURT), Medovshchikov I. A.
Published: October 2020

During various periods of their development, many countries pursued import substitution policies (Russia-since 2014). The theoretical construction «industrialization of import substitution» is based on theories of national economy, national wealth, and dependence and the conflicting theory of comparative advantage of national economy. Russian scientists’ publication activity on the topic «import substitution» [1], %: «import substitution in the region» - 11,8 of the total number of 21427 publications for 2014-2019, «import substitution industry» - 10, «import substitution of agro-industrial complex» - 6,6. On the topic «Software on railway transport» in 2014-2019 there was the only one (!) publication [2]. By target indicators it is planned that JSC «Russian Railways» will have finished transition to the domestic software (S) by 2024. The analysis of the features of modern use of the software on JSC «Russian Railways» allowed formulating and disclosing external and internal risks at achievement of еру target indicators.