bluuebunny/crossref_metadata_2025 huggingface dataset:
Vitamin D3 levels in allergic rhinitis: a case control study from South Karnataka
Authors: Bhat Vinay S. , A. Anupama
Published: June 2020

Background: Allergic rhinitis (AR) is a common disorder seen in routine otolaryngology practice. There has been an increased interest in researchers worldwide regarding role of vitamin D3 in pathogenesis of allergy. This study intends to compare levels of vitamin D3 in patients with clinically diagnosed allergic rhinitis and subjects without allergic rhinitis. This study was conducted in rural South Karnataka where incidence of allergic rhinitis is on the rise. Main objective of this study was to assess vitamin D3 levels in patients with clinically diagnosed AR and compare it with vitamin D3 levels in control group where normal subjects were included.

Methods: Total of 100 patients were included in this study. Case group comprised of 50 patients clinically diagnosed as AR and control group comprised 50 subjects without any symptoms of AR. All the patients underwent serum vitamin D3 estimation. Other parameters such as age, gender, occupation (outdoor vs indoor) and region of residence (urban vs rural) were also compared between the groups.  

Results: This study did not find significant difference between two groups when all the parameters compared. Significant number of study subjects both in case and control group were found to be either deficient or inadequate in vitamin D3 levels.
Conclusions: we did not find significant difference in vitamin D3 levels between cases and controls. Further studies with bigger sample size and robust study design may throw more light on association of vitamin D3 with AR.
Bilateral sternocleidomastoid tumor of infancy: a rare diagnostic dilemma
Authors: Goel Sachin , Jain Neha , Narang Ekta , Roy Suparna
Published: June 2020

Sternocleidomastoid tumor of infancy (STOI) is a common cause of neck mass in the neonatal period. However, STOIs presenting bilaterally is a rare finding in medical literature. We herein report an unusual case of a bilateral STOI in a five-week infant. The child was given physical therapy which consisted of active and passive physical exercises, warm compresses and massage. Within 10 weeks the swellings reduced considerably in size. Bilateral, firm masses are often confused with lymphadenopathy and are inadvertently treated with antibiotics. Hence, STOI should be kept as an important differential diagnosis for neck mass in the neonatal period.
Antecedentes y herencias de la dictadura chilena en las ideas y legislación sobre la migración (1953-2018)
Authors: Aceituno  Silva David , Quinteros  Venegas José  Manuel
Published: June 2020

La situación migratoria de Chile se ha visto tensionada durante los últimos años por el ingreso masivo de extranjeros. Sin embargo, se ha puesto de manifiesto el poco interés por modificar una normativa que proviene de la Dictadura. Se propuso como objetivo analizar las herencias mismas de esta como las originalidades del modelo migratorio instaurado a partir de 1975. A través de un análisis interpretativo e histórico se contrastaron diversos archivos y fuentes legales desde mediados del siglo XX hasta nuestros días, los que fueron puestos en el contexto de las ideas políticas y sociales propias de los gobiernos y actores sociales referenciados. Entre los principales resultados pudimos apreciar la vinculación de la legislación con principios nacionalistas, geopolíticos, de seguridad interior y del neoliberalismo. Se hace necesaria una mirada a la historia reciente de Chile para comprender los pilares de la actual política migratoria.
THE ESTABLISHMENT OF CHARACTER FOR THE MILLENNIAL GENERATION THROUGH MORAL THERAPY: A STUDY OF THE NAZAM AZKIYA’ MANUSCRIPT
Authors: Kurnia Firmansyah Eka , Nurhayati Mamun Titin , Kosasih Ade
Published: June 2020

Purpose of the study: This research focused on the development of character for the millennial generation through moral therapy as can be found in the manuscript Nazam Azkiya’. Additionally, various teachings and guidance of the Wali were discussed in fostering the morals contained in the manuscript. This article also described the moral therapy and the form of teachings and guidance for peace seekers by exploring the values contained in these teachings and guidance.

Methodology: The method used in this research is detailed verification, using ex post facto and survey approaches employed to investigate the phenomena such that values ​​can be analyzed extensively.

Main Findings: The results of the data analysis show that the condition of moral values and character of the millennial generation are in the high category, so are the social, environmental, and religious conditions. Therefore, the character building of the Millennial generation by employing a system of moral therapy based on the teachings of the Wali in the Nazam Azkiya manuscript is by first, instilling religious norms from an early age. Second, teaching the importance of courtesy. Third, instilling family values since childhood. Fourth, sharpening their will and drive. Fifth, familiarising them in socializing.

Applications of the study: The findings of this research could be used as a form of study and particularly towards the development of knowledge on tasawuf manuscripts and moral education. Furthermore, this article is expected to be used as a reference for scholars in applying knowledge in social life and enrich insights that are useful for the development of science. The expected outcome of this moral therapy is a change in the millennial’s attitude and character towards a better and more responsible individual.

Novelty/Originality of the current study: This therapeutic system is the development of character for the Millennial generation, mainly in instilling intelligence, virtue and moral character, beneficial to others, can use gadgets and technology appropriately and according to their functions. Additionally, the Millennial generation should always be accompanied by religious teachings that can shape them into individuals with good disposition and morality.
Camplessness and the (non-)reception system: the emerging of migrant informality in northern Italy from a human rights perspective
Authors: Benedikt Sebastian
Published: June 2020

Despite the decrease of arrivals, the routes of migration to Europe are still open and hundreds arrive every month. Italy is overstrained with the migratory influx and informal settlements are emerging as alternative shelters. While boat crossings attract attention, silence prevails over what happens in northern Italy. This article sheds light into informality in northern Italian regions and analyses the living realities from a human rights perspective. For that, an ethnographic research was conducted on the Austrian and French borders. Migrants drop and step-out of the reception system due to the congestion and the deplorable living conditions. They are exposed to violence, criminality, repression and natural hazards; they are highly mobile and suffering increasing marginalization and vulnerability. The institutional answer consists in forced evictions and transfers, leading into a vicious circle of informality. The living realities migrants encounter in Italy are not in line with fundamental human rights and contradict international law.Received: 02 January 2020Accepted: 09 May 2020Published online: 26 June 2020
Cardiac damage in patients with COVID-19 coronavirus infection
Authors: Poteshkina N. G. , Lysenko M. A. , Kovalevskaya E. A. , Fomina D. S. , Samsonova I. V. , Parshin V. V. , Manchenko O. V. , Evsyukov O. Y.
Published: June 2020

The article reviews studies that confirm the relationship of a negative prognosis with the presence of risk factors for cardiovascular complications during respiratory infections, including novel coronavirus infection COVID-19. The article presents the relevant research results that provide evidence on the myocardial damage in coronavirus infection. We present a clinical case of a patient with confirmed diagnosis of COVID-19 and severe viral myocarditis, verified by histological and immunohistochemical studies.
COVID‑19 mathematical forecasting in the Russian Federation
Authors: Lakman I. A. , Agapitov A. A. , Sadikova L. F. , Chernenko O. V. , Novikov S. V. , Popov D. V. , Pavlov V. N. , Gareeva D. F. , Idrisov B. T. , Bilyalov A. R. , Zagidullin N. Sh.
Published: June 2020

A new coronavirus infection (CVI) is a challenge to the medical system of the Russian Federation and requires precise flow forecasting to take the necessary measures on time. The article provides an overview of modern mathematical tools for predicting the course of CVI in the world. The created CVI forecasting project office allowed to determine the most effective analysis tools in the Russian Federation — the ARIMA, SIRD and Holt–Winters exponential smoothing models. Implementation of these models allows for prediction of short-term morbidity, mortality and survival of patients with an accuracy of 99 % both in the Russian Federation in general and in the regions. In addition, the distribution of CVI was characterized. Particularly, Moscow and Moscow region have the maximum spread of infection, and other regions are lagging behind in the dynamics of the incidence by 1–3 weeks. The obtained models allow us to predict the course of the disease in the regions successfully and take the necessary measures in a timely manner.
Vitamin D deficiency as a factor for immunity stimulation and lower risk of acute respiratory infections and COVID-19
Authors: Karonova T. L. , Vashukova M. A. , Gusev D. A. , Golovatuk K. A. , Grineva E. N.
Published: June 2020

During the COVID-19 pandemic, the efforts of many researchers around the world are aimed at finding preventive and prophylactic measures as well as therapeutic agents against SARS-CoV-2. Recent studies have showed that vitamin D deficiency could be one of many factors associated with the development and severity of acute respiratory infections, and vitamin D could be used for prevention and treatment of these patients. This review summarizes data about the role of vitamin D in the pathogenesis and prevention of respiratory viral infections, including new coronavirus infection as well as mechanisms for reducing the risk of infection with vitamin D therapy. Probably, this review will be of interest for endocrinologists and other specialists.
Practical recommendations for physical rehabilitation in patients with severe COVID-19 in intensive care units
Authors: Demchenko E. A. , Krasnikova V. V. , Yanishevskiy S. N.
Published: June 2020

The article presents a literature review on physical rehabilitation (PR) in patients with the new coronavirus infection (COVID-19) of extremely severe, severe and moderate course in acute (in the intensive care unit, ICU) and subacute (immediately after transfer from the ICU) stage of the disease in a pandemic. The authors defined the aims and principles of medical rehabilitation assistance, the appropriate amount of PR exercises, and the mechanism of interaction between the rehabilitation staff and the ICU, in conditions of increased risk of infection of medical personnel. PR programs and therapeutic exercises complexes for different clinical situations (patient models) are proposed, depending on the severity of the patient’s condition, medical care conditions and the need for various respiratory support.
Krótka historia opodatkowania dochodu
Authors: Mariański Adam
Published: June 2020

W artykule przedstawiono krótką historię opodatkowania podatkiem dochodowym od osób fizycznych. Pokazano ideę opodatkowania dochodu, a następnie zwiększania stawek podatkowych oraz progresywnego opodatkowania osób o wyższych dochodach. Pozwoliło to na wskazanie źródeł zasady zdolności płatniczej, która współcześnie uznawana jest za podstawową ideę realizującą zasadę sprawiedliwego opodatkowania. Sprawiedliwość społeczna ma być realizowana poprzez redystrybucję dochodu. Prowadzi to jednak do coraz większego upolitycznienia podatków dochodowych.
Stałe miejsce prowadzenia działalności gospodarczej na gruncie niemieckiego podatku VAT i niemieckiej praktyki podatkowej
Authors: Sarnowski Jan , Selera Paweł , Bartosiak Anna
Published: June 2020

Celem opracowania jest analiza koncepcji stałego miejsca prowadzenia działalności gospodarczej na gruncie niemieckiej ustawy o VAT oraz wykładni tego pojęcia dokonywanej przez niemieckie sądy finansowe i organy podatkowe. Niemieckie sądy finansowe, dokonując oceny kryteriów pozwalających na przyjęcie istnienia stałego miejsca prowadzenia działalności gospodarczej za punkt wyjścia, słusznie przyjmują Rozporządzenie 282/2011 oraz orzecznictwo TSUE. Niemniej jednak w niektórych przypadkach sądownictwo dopuszcza występowanie stałego miejsca prowadzenia działalności gospodarczej na terytorium Niemiec nawet wówczas, jeśli podatnik korzysta z cudzego personelu albo nie dysponuje żadnym zapleczem personalnym. W opinii autorów jest to wykładnia zbyt daleko idąca, nieznajdująca uzasadnienia ani na gruncie prawa unijnego, ani orzecznictwa TSUE.
A RARE CASE OF INTESTINAL OBSTRUCTION CAUSED BY A FOREIGN BODY (HYDROGEL BALL) IN AN 11 MONTHS OLD CHILD
Authors: Smirnov A. N. , Pronichev M. A. , Kireeva N. B. , Ganyushkin N. M.
Published: June 2020

In children, foreign bodies of the gastrointestinal tract (GIT) are common, 80-90% of them pass through the GIT without any problem. However, in some cases the clinical picture of peritonitis, intestinal obstruction, bleeding develops, which requires surgical treatment. Described in the article the clinical observation of acute intestinal obstruction in an 11-month-old child, after he has swallowed a hydrogel ball, will be useful for practicing pediatric surgeons.
THE CASE OF THE CONGENITAL LIVER CYST IN THE INFANT
Authors: Mashkov A. E. , Filyushkin Y. N. , Pykhteev D. A. , Elin L. M.
Published: June 2020

A congenital liver cyst is a rather rare pathological condition in most cases failing to manifest itself clinically. True liver cysts are an indication for surgical treatment. A newborn baby with a congenital true liver cyst admitted the Department of Pediatric Surgery of the M.F. Vladimirsky Moscow Regional Clinical and Research Institute for the treatment. Lack of knowledge about this pathology and diagnostic errors can lead to incorrect surgical tactics.
SYNDROME OF THE ACUTE DAMAGE TO THE STOMACH IN THE CRITICAL PERIOD OF SEVERE MECHANICAL INJURY IN CHILDREN
Authors: Kharitonova A. Yu. , Karaseva O. V. , Shavrov A. A. , Kapustin V. A. , Gorelik A. L. , Leonov D. I. , Timofeeva A. V. , Utkina K. E.
Published: June 2020

Introduction. Severe injury is referred to as types of child injury with a high mortality rate. One of the causes of fatal outcomes is bleeding from acute ulcers of the gastrointestinal tract. Bleeding from acute ulcers of the upper gastrointestinal tract is considered to be both not only the cause of deaths and also a factor in secondary hypoxic damage to organs and systems, leading to a complicated course of the post-traumatic period. Aim of the study. To substantiate the protocol of endoscopic monitoring of the state of the upper GI tract in the critical period of severe trauma in children. Material and Methods. 124 children aged from 0 to 18 years were examined. The severity of injury according to an ISS scale was 27.5 ± 10.1 scores. All patients were divided into 6 groups on the basis of leading damage. Esophagogastroduodenoscopy with the examination of the initial segments of the jejunum was performed on the 7-10th day of the post-traumatic period. In children with a severe spinal injury, esophagogastroduodenoscopy was performed on the 1-2nd day. The presence of pathological impurities, the condition of the mucous membrane, and peristaltic activity was evaluated. In the diagnosis of bleeding, combined endoscopic hemostasis was performed. Results. Erosions and ulcers were identified as the main endoscopic pathology in groups of children with leading skeletal and abdominal trauma, as well as with combined trauma with competing injuries. The group with abdominal trauma was leading in the number of gastrointestinal bleeding. Conclusion. Destructive changes in the upper GI tract are typical for the critical period of severe injury. It determines the mandatory planned conduct of esophagogastroduodenoscopy in the monitoring mode.
STRATIFICATION OF RISK FACTORS FOR THE DEVELOPMENT OF NECROTIZING ENTEROCOLITIS IN NEWBORNS
Authors: Karpova I. Yu. , Parshikov V. V. , Novopoltseva E. G. , Pyatova E. D. , Molchanova D. V.
Published: June 2020

In the clinic of the Volga Research Medical University on the basis of Nizhny Novgorod Regional Children’s Clinical Hospital” and “Children’s City Clinical Hospital № 1” from 2014 to 2018 82 newborns including 53 boys (65%) and 29 girls (35%) at the various stages of necrotizing enterocolitis were observed. There were 15 full-term infants (18%), and 67 premature newborns (82%). Symptoms of the disease were manifested in terms from 1 day to 25 days of life. During hospitalization, children were examined by neonatologists and hospital surgeons with the following by instrumental examinations (radiography, ultrasound). The severity of the condition and severity of the process were determined accordingly to the classification by to M.J. Bell (1978). The correlation between the clinical and epidemiological characteristics of newborns and the development of the pathological process was studied using the coefficient of conjugation of characters (φ), on the Wilcoxon, Van der Warden criteria and the sign criterion. Using mathematical analysis, conditionally “weak”, “medium” and “strong” risk factors for the development of NEC are identified. When assessing the occurrence of predictors in different stages of the disease, somatic diseases of the mother, chronic fetal hypoxia, fetal infections (IUI), chronic placental insufficiency (HFPN), weakness of labor, a body weight of the child
LYMPHANGIOMA AS A CAUSE OF ILEUS
Authors: Karaseva O. V. , Kapustin V. A. , Agayants A. O. , Gorelik A. L. , Kislyakov A. N.
Published: June 2020

Introduction. Lymphangiomas are mature benign tumors emanating from the lymphatic vessels making up 9-10% of all benign neoplasms in pediatric oncology. In our practice, we have encountered a rare complication of the lymphangioma of the abdominal cavity - an ileus Objective: To present a clinical picture, diagnostic and surgical tactics in a rare clinical observation of mesenteric lymphangioma, complicated by ileus. Material and methods. Boy aged of 6 years 4 months. He was taken to the emergency department of the Research Institute of NDHiT by an ambulance team (SMP) with suspected acute appendicitis 6 hours after the onset of the disease. Results. According to the results of clinical, laboratory and echographic examination, a child with a clinical picture of “acute abdomen” was suspected of an abdominal lymphangioma. For the purpose of the differential diagnosis of a complicated course of the lymphangioma of the abdominal cavity with complicated destructive appendicitis, 2 hours after hospitalization, laparoscopy was performed and there was confirmed lymphangioma of the ileum mesentery, complicated by the twisting of the latter. After elimination of the torsion, a section of the ileum with a tumor was resected with an end-to-end anastomosis. Histologically, the diagnosis of lymphangioma was confirmed. Conclusion. The cause of “acute abdomen” may be the development of complications of the mesenteric lymphangioma. Timely hospitalization of the child in a specialized hospital allows making a diagnosis in a timely manner, select the optimal surgical tactics and prevent life-giving complications
ОСЛОЖНЕННОЕ ТЕЧЕНИЕ ПОСЛЕОПЕРАЦИОННОГО ПЕРИОДА ПРИ БОЛЕЗНИ ГИРШПРУНГА У РЕБЕНКА 12 ЛЕТ ПОСЛЕ НАЛОЖЕНИЯ АППАРАТНОГО КОЛО-РЕКТАЛЬНОГО АНАСТОМОЗА
Authors: Mashkov A. E. , Nalivkin A. E. , Pykhteev D. A. , Elin L. M. , Slesarev V. V. , Gatsutsyn V. V. , Filyushkin Yu. N. , Fedulov A. V.
Published: June 2020

This article presents the experience of treating a child with stenosis of a colo-rectal instrumental anastomosis imposed due to Hirschsprung’s disease.
BİLGİ PAYLAŞIMI VE ÖRGÜTSEL GÜVENİN, YENİLİKÇİLİK DAVRANIŞI VE BİREYSEL PERFORMANSA ETKİSİ, MESLEK LİSESİ ÖĞRETMENLERİ ÜZERİNE BİR ARAŞTIRMA
Authors: ERAT Serhat
Published: June 2020

Bu araştırmada bilgi paylaşımı ve örgütsel güvenin, yenilikçilik davranışı ve bireysel performansa etkisi incelenmiştir. Araştırmanın örneklemini Milli Eğitime bağlı meslek liselerinde görev yapan 333 personel oluşturmaktadır. Araştırmanın amacı, bilgi paylaşımı ile örgütsel güvenin, çalışanların yenilikçilik davranışı ve bireysel performansları üzerine olan etkisini ortaya koymak ve literatürde bu alanda ki boşluğu doldurmaktır. Araştırmada veriler yüz yüze anket yöntemiyle elde edilmiştir. Elde edilen veriler SPSS paket programı yardımıyla analize tabi tutulmuş ve faktör analizi, korelasyon analizi ve regresyon analizleri ile test edilmiştir. Araştırma elde edilen bulgulara göre, bilgi paylaşımı ile yenilikçilik davranışı ve bireysel performans arasında istatistiksel açıdan anlamlı bir ilişki olduğu görülmüştür. Aynı şekilde örgütsel güven boyutları ile yenilikçilik davranışı ve bireysel performans arasında da anlamlı bir ilişkinin varlığı belirlenmiştir. Bu araştırma ile ortaya koyulan sonuçlar ile bu alanlarda yapılacak araştırmalara ve literatüre önemli katkılar sağlayacağı düşünülmektedir.
Teachers’ role in curriculum implementation at primary and secondary schools of Addis Ababa, Ethiopia
Authors: Kelkay Asrat Dagnew
Published: June 2020

The purpose of this study is to investigate teachers' role in curriculum implementation at primary and secondary school of Addis Ababa. Descriptive survey study was carried out at primary and secondary schools.64 department heads and 64 teachers were randomly selected in the schools. Mixed approach of quantitative and qualitative study was employed.  A sample of four primary schools and four secondary schools were selected at random from Addis Ababa. Through the use of questionnaire data were collected from members of the curriculum committee and teachers in the respective schools. The findings from the data revealed that the role of teachers in curriculum implementation is ineffective due to various reasons among which shortage of materials and studentsâ€™ problems are worth noting. Lack of adequate curriculum materials have encountered teachers to bring about the required changes in the behavior of students through the provision of various activities and experiences. On the basis of the finding, it was recommended to combat the problem by providing the means and materials for schools. The school should develop the culture of organizing the efforts of teachers and students to generate fund and promote self-sufficiency in the long run. Further, deep investigation was recommended to screen out the essence of the problem from its root.
Keywords: Curriculum implementation, primary school, secondary school, teachers
Trend of income inequality in Asia and effects of education
Authors: Park Kang
Published: June 2020

This study considers how education and globalization affect income inequality in Asia, with the unbalanced panel data. The evidence supports the validity of Kuznets inverted-U hypothesis for the connection between the income level and income inequality. However, when more variables are integrated into the model, the consistency of inverse U-shaped curve becomes weaker. The empirical results suggest that educational variables are highly influential in affecting income distribution. Our analysis indicates that a higher level of education achieved by the population aged 15 and over has improved income distribution in Asia, while educational inequality, measured by the educational Gini, has a negative effect on income distribution. Higher levels of globalization are correlated with higher levels of income inequality, while freedom, either political or economic, has marginal effects on the level of inequity in income distribution.

Key words: Education inequality, globalisation, income inequality
Revista IDI+ Volumen 2. Número 2. 2019
Authors: Mora Guzmán Katherine , González-Quirós Josué , Hidalgo-Arce Felipe , Navarro-Morera Karin , Ríos-Hidalgo María Fernanda , Estrada-Ortiz Elia , Gamboa-Salas Tiffany , Szternberg Denise , Warrin-Browxn Antonia , Hurtado-Aguirre Esteban , Moya-Ortiz Gabriel , Rodríguez-Vivas Adán , Ramírez-Ramírez Camilo , Bermúdez-Koumineva Emilio , Cantillo-Pérez Marco Antonio , Montealegre-Aguilar Gloriana , Rojas-Villafuerte Stephanie , Ulloa-Ovares Eduardo , Barrantes-Gamboa Pilar , Linares-Ramírez Maricruz , Berman-Fernández Lior
Published: June 2020

Revista IDI+ Volumen 2 Número 2

Número completo
BIOCOM, diseño de una solución eco amigable e inteligente para el manejo de residuos orgánicos en el hogar
Authors: Estrada-Ortiz Elia , Gamboa-Salas Tiffany , Szternberg Denise , Warrin-Browxn Antonia
Published: June 2020

BIOCOM es un proyecto que consiste en la creación de un sistema de productos ecoamigables, asistido por la tecnología, que acompañan a los usuarios en la realización de actividades de compostaje y microplantaciones en el interior de sus hogares.

Para ambos sistemas inteligentes se construyó un prototipo; cada uno cuenta con recursos tecnológicos, como sensores de temperatura y humedad, alertas, iluminación guiada por el fotoperiodo y mecanismos automatizados para la realización de la composta.

BIOCOM utiliza el método de compostaje Takakura, el cual se basa en la descomposición de residuos orgánicos por medio de microorganismos; dichos residuos se pueden destinar a la agricultura para enriquecer el suelo. A través de los prototipos se buscó brindar una solución práctica a la actual problemática del posuso de los residuos orgánicos que afectan de manera negativa al medio ambiente.
Long-Term Follow-up of Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder: Symptom Severity and the Role of Exposure 8–10 Years After Inpatient Treatment
Authors: Külz Anne Katrin , Landmann Sarah , Schmidt-Ott Magdalena , Zurowski Bartosz , Wahl-Kordon Andreas , Voderholzer Ulrich
Published: June 2020

Obsessive-compulsive disorder (OCD) can be effectively treated by cognitive behavioral therapy (CBT) with exposure and response prevention (ERP). Yet, little is known about the long-term effects of inpatient CBT up to one decade after treatment. Thirty patients who had been treated with 12 weeks of intensive inpatient CBT with ERP were examined 8–10 years after their stay in hospital with regard to obsessive-compulsive symptoms, secondary outcomes, and use of healthcare services. Significant (p < .001) improvements in OC symptoms with medium and large effects compared to baseline on the Yale-Brown-Obsessive-Compulsive Scale (Y-BOCS) and on the Obsessive-Compulsive Inventory (OCI-R) could still be observed, with 20% of the patients reaching remission status. Continuation of exposure exercises after the inpatient stay was the sole significant factor for improved scores at follow-up. The results suggest that OCD does not necessarily take a chronic course. However, maintenance of exposure training seems to be crucial for sustained improvement.
Fear Over Facts: When Fellow Clinicians Become a Barrier to Dissemination of Exposure and Response Prevention for Obsessive-Compulsive Disorder—A Clinical Response to Licensing Board Investigation of Exposure and Response Prevention
Authors: Lokers Laura M.
Published: June 2020

In 2018, a graduate level student filed a complaint regarding the use of exposure-based therapy for persons with obsessive-compulsive disorder (OCD) experiencing violent obsessions. In the investigation, the licensing board expressed concern about safety of us of exposure and response prevention (ERP) with children and in public venues. The licensing board also struggled with accurate assessment of a clinician's efficacy in following the gold-standard treatment for OCD. Despite extensive research demonstrating ERP is a safe, effective treatment for OCD, stigma against exposure based treatments remain strong, even among clinicians. This commentary article discusses the specific licensing investigation and implications for change throughout the field of psychotherapy.
Childhood Avoidant/Restrictive Food Intake Disorder: Review of Treatments and a Novel Parent-Based Approach
Authors: Shimshoni Yaara , Lebowitz Eli R.
Published: June 2020

Avoidant/Restrictive food intake disorder (ARFID) is characterized by dietary restrictions that are not based on weight or shape concerns but that result in marked interference in feeding, growth, or psychosocial functioning (American Psychiatric Association, 2013; Eddy et al., 2019). The aim of the current article was to review available reports of treatment for childhood ARFID published since its inclusion in the 5th edition of theDiagnostic and Statistical Manual of Mental Disorders(DSM), and to introduce a novel parent-based treatment for child ARFID through a case presentation. Empirical support for psychosocial treatments for child ARFID currently stems from two small-scale pilot randomized control trials, one pilot open trial, case reports, case series, and retrospective chart reviews. Treatment approaches for outpatient care generally apply family-based therapy, child-centered cognitive behavioral therapy, or parent-based behavioral approaches. SPACE-ARFID is a novel outpatient parent-based treatment that focuses on parental responses to child problematic eating habits. SPACE-ARFID aims to promote flexibility and adjustment in food related situations. The treatment helps parents to systematically reduce family accommodation, or changes that they make to their own behavior to help their child avoid or alleviate distress related to the disorder, while increasing supportive responses to the child's symptoms.
Alteridad de la educación para impulsar y valorar la sustentabilidad
Authors: Cantú-Martínez Pedro César
Published: June 2020

La presente revisión teórica se sustenta en el reconocimiento de la necesidad de plantear un nuevo tipo de desarrollo que garantice la continuidad del ser humano y de todo cuanto le rodea. Por lo tanto, al acoger la sustentabilidad como concepto integrador de los aspectos económicos, sociales y ambientales, se pueden construir valores y actitudes que permitan lograr nuevos modos de vida. En ese sentido, la educación se presenta como el instrumento social que nos permite orientar la conducta humana a través de la transmisión del conocimiento. Nuestro objetivo ha sido internalizar con esta temática y destacar el papel que tiene la educación, como las instituciones educativas, para promover la sustentabilidad desde el marco de los Objetivos del Desarrollo Sustentable. Para ello se estableció un marco metodológico empírico analítico para destacar que la educación se erige como un proceso de humanización que nos conduce a una nueva visión del mundo y del propósito de vida. De tal manera, las instituciones de educación tienen un papel relevante: resignificar los imaginarios simbólicos y sortear las visiones que deterioran el ambiente y al ser humano en la tarea de construir una ciudadanía alfabetizada a partir de la sustentabilidad.
Dirección por valores y responsabilidad social en universidades estatales chilenas
Authors: Gaete Quezada Ricardo
Published: June 2020

El objetivo de este artículo es examinar los valores organizacionales, desde la perspectiva de la Dirección por Valores y la Responsabilidad Social Universitaria, declarados por 18 universidades estatales chilenas. Se utiliza un diseño de investigación mixto, mediante un análisis de contenido de planes estratégicos y páginas web institucionales. Los resultados muestran una mayor frecuencia del pluralismo, la democracia y la equidad, mientras que respecto del comportamiento socialmente responsable se destacan la integridad, la excelencia y la libertad. El estudio concluye que las universidades analizadas poseen una identidad corporativa explícita e inteligible, que no incluye mayormente valores y principios de la responsabilidad social universitaria.
Empatía y respeto entre otros valores: análisis de experiencias docentes de colaboración con organizaciones sociales
Authors: Flores Águila Melissa Andrea
Published: June 2020

En este artículo se analizan cuatro experiencias de aprendizaje y servicio (ApS) desarrolladas entre los años 2016 y 2019, con el objetivo de identificar las implicancias de esta estrategia educativa, en la formación valórica de futuros profesionales. A través de una metodología cualitativa, que incorporó como instrumentos de recolección, el análisis documental y grupos focales de discusión, se identificaron las percepciones de 3 estudiantes y 4 docentes de la carrera de Terapia Ocupacional que participaron de dichas experiencias. Se identifica que, en el contexto, es donde ocurre la consolidación de valores fundamentales para ejercer la futura profesión, siendo el agente comunitario un actor fundamental en el proceso formativo. La intervención territorial permitió fortalecer la promoción de valores como empatía, respeto, igualdad y equiparación de oportunidades. El proceso formativo cobra sentido si se realiza en colaboración con el contexto, identificando problemáticas y buscando soluciones para superarlas, generando así corresponsabilidad y ética social.
Analisis Biaya Pengobatan Pasien Diagnosa Demam Tifoid di Instalasi Rawat Inap RSUD Dr Soedarso Pontianak Tahun 2018
Authors: Puspasari Heny , Suryaningrat Dani , Rizky Muhammad
Published: June 2020

Pendahuluan: Demam Tifoid merupakan penyakit saluran pencernaan yang endemik di Indonesia. Hal ini karena biaya perawatan kesehatan, terutama biaya obat-obatan telah meningkat tajam dalam beberapa dekade terakhir, sehingga penting untuk dilakukan studi biaya penyakit ini untuk memperbarui informasi terkait biaya kepada penyedia layanan kesehatan dan pembuat kebijakan. Tujuan: Penelitian ini untuk mengetahui jenis obat, lama waktu pengobatan, dan biaya pengobatan pasien demam tifoid di instalasi rawat inap RSUD Dr. Soedarso. Metode: Penelitian analisis deskriptif biaya langsung (direct cost) dengan pengambilan data retrospektif dilakukan berdasarkan data rekam medik dan catatan pembiayaan pasien. Hasil: Penelitian menunjukkan bahwa jenis obat yang paling banyak digunakan adalah golongan antibiotik tiamfenikol (8 pasien atau 19,51%) dan cefiksime (6 pasien atau 14,63%) dari 41 pasien.  Kebanyakan pasien mendapat perawatan dengan lama 6 hari (26,87% dari 11 pasien), dan waktu rawat inap terlama 9 (4,87 % dari 41 pasien). Komponen biaya terbesar adalah biaya rawat inap yaitu Rp. 37.400.300 dengan persentase 41,90 % dari total biaya  Rp. 89.262.145 dan biaya terkecil yaitu biaya administrasi yaitu Rp. 5.323.000 dengan persentase 5,97% dari total biaya. Rata-rata biaya pengobatan per pasien BPJS Rp. 2.179.380 dan rata-rata biaya per pasien umum Rp. 2.228.669. Kesimpulan: Biaya pengobatan masih terbilang lebih murah dibandingkan dengan biaya pengobatan berdasarkan tarif dari pemerintah untuk klaim BPJS. Pengobatan yang digunakan juga sudah sesuai dengan algoritma terapi.
Analisis Dampak Ekologis Proyek ODA Jepang di Indonesia dalam Mendukung Pembangunan Dunia Berkelanjutan (2012-2018)
Authors: Dewi Ni Made Citra Kusuma
Published: June 2020

Japan is the biggest donor for Indonesia. Under bilateral cooperation, Japan has actively sent foreign aids to Indonesia within the framework of Official Development Assistance (ODA) since 1960s. By receiving assistance worth 45% of the total foreign aid received by Indonesia, Japan is also considered important in various Indonesian national development programs. Along with the commitment to support Sustainable Development Goals, Japan also contributes in funding various projects which aim to increase the environmental quality and sustainability of Indonesia. Although not all Japanese assistance to Indonesia is specifically aimed at addressing environmental issues, it cannot be denied that every Japanese ODA project has its own ecological impact on Indonesia.Departing from the case, the author will analyze the extent to which Japanese foreign aid to Indonesia has an impact on environmental conditions in Indonesia. The author groups Japanese ODA projects in five categories, namely: (1) environmental strictly defined (ESD); (2) environmental broadly defined (ESD); (3) neutral (N); (4) dirty broadly defined (DBD); and (5) dirty strictly defined (DSD). Based on the data collected, the authors found that the Japanese ODA project had varied ecological impacts for Indonesia. Therefore, the authors argue that Japanese ODA projects in Indonesia not only have positive implications, but also negative implications for the environment.
PENINGKATAN KETERAMPILAN PERAWAT DALAM MEMBERIKAN ASUHAN KEPERAWATAN JIWA PADA ANAK DAN REMAJA
Authors: Tristiana RR Dian , Yusuf Ah , Fitryasari Rizki , Nihayati Hanik Endang
Published: June 2020

Pendahuluan: masih banyak perawat yang belum berpengalaman dalam merawat anak dengan gangguan psikiatri serta belum memiliki keterampilan yang memadai dalam melakukan asuhan keperawatan pada kasus jiwa anak dan remaja.Metode: Metode yang digunakan dalam program pengabdian masyarakat ini adalah dengan memberikan pelatihan keterampilan perawat dalam memberikan asuhan pada kasus psikiatri anak dan remaja.Hasil: Hasil kegiatan pelatihan didapatkan peningkatan pengetahuan tentang asuhan jiwa pada anak dan remaja.Kesimpulan: Implikasi dari hasil pengabdian masyarakat ini adalah perlunya dilakukan pelatihan terkait pengetahuan dan keterampilan perawat dalam melakukan asuhan keperawatan jiwa pada anak dan remaja dengan mempertimbangkan aspek dukungan finansial dari tempat kerja untuk mendorong stafnya mengikuti training atau workshop asuhan keperawatan jiwa pada anak dan remaja terutama pada perawat yang bekerja di unit anak dan remaja.
PEMBERDAYAAN GURU, STAF DAN ORANG TUA KB TK KHADIJAH DALAM PERTOLONGAN PERTAMA PADA KECELAKAAN DENGAN PELATIHAN BLS DAN AMBULASI
Authors: Wahyuni Erna Dwi , Kurniawati Ninuk Dian , Laily Nadia Rohmatul , Dewi Yulis Setiya , Qona'ah Arina
Published: June 2020

AbstrakThe jurisdiction of Polrestabes Surabaya was ranked in the top 3 contributors to the number of traffic accidents of 39 Polres in the East Java Regional Police in 2017. KB Khadijah Kindergarten is in the middle of Surabaya and an area with heavy traffic, so there is a high risk of traffic accidents, but the school has never received material and information about first aid in an accident so that if there is an accident the teacher and staf are not ready and unable to provide help properly. The purpose of this community service is to provide knowledge and abilities to teachers, staff, and parents to be able to do first aid in an accident. The method used in this empowerment is lectures and demonstrations about first aid in accidents which include Basic Life Support (BLS), splinting & Bandaging, and ambulation/transportation and also using leaflet media. As many as 47 people consisting of teachers, staf and parents participated in this activity and also carried out an evaluation of knowledge and self efficacythrough pre-test and post-test. The results achieved through this activity is that there is an increase in knowledge and self-efficacy in conducting first aid in an accident. This is because the lecture, simulation, and also leaflet methods can provide a technically clear description so that participants know and can practice relief assistance in accidents. Subsequent community service activities are expected to achieve wider goals and diverse communities.
PENGENALAN DAN PENDAMPINGAN UKS DI TK DHARMA WANITA PERSATUAN 09 DUKUH GAMPINGAN, PAGAK, KABUPATEN MALANG
Authors: Setyowati Lilis , Kurnia Anggraini Dwi
Published: June 2020

Pendahuluan: Taman kanak-kanak adalah ujung tombak pendidikan paling dasar bagi anak-anak, dengan pengenalan kesehatan sedini mungkin dengan program UKS. Tujuan dari pelaksanaan pengabdian ini adalah untuk memberikan penjelasan UKS Sejak Dini Anak Usia Dini Tk Dharma Wanita Persatuan 09, Pagak, Kabupaten Malang. Metode: Metode implementasi yang dilakukan dalam program pengabdian ini adalah: 1) peningkatan dan pemahaman UKS untuk guru dan siswa. 2) pelatihan untuk menjadi perawat kecil, pendampingan untuk meningkatkan efektivitas manajemen UKS untuk meningkatkan kesehatan siswa. 3) pengenalan PHBS untuk siswa. Kegiatan itu diadakan tiga pertemuan. Hasil: Hasil kegiatan ini menambah pengetahuan dan antusiasme guru dan siswa dalam melakukan kegiatan UKS. Kegiatan ini menghasilkan data dari siswa tentang kesehatan dan kebersihan telinga, kuku, dan identifikasi gizi siswa. Data diperoleh dari 20 siswa yang terdiri dari TK A 6 siswa, dan TK B 14, 65% siswa TK A dan B dengan status normal, 25% obesitas, dan 10% hampir kekurangan gizi. Kondisi kebersihan telinga dan kuku adalah 75% bersih, sedangkan sisanya tidak menyadari untuk membersihkan telinga dan kuku mereka. Kesimpulan: Kegiatan pendampingan dan pelatihan ini merupakan kegiatan preventif yang dapat memberikan bekal yang cukup bagi kader Percil saat dihadapkan dapat diaplikasikan pada kehidupan sehari-hari.
Diplomasi Lingkungan Hidup Indonesia-Norwegia Melalui REDD+ Agreement
Authors: Ningsih Pramesti Cahyani Hedhi
Published: June 2020

Seiring meningkatnya kesadaran masyarakat dunia, isu lingkungan hidup menjadi salah satu isu yang penting untuk dibicarakan di tingkat internasional. Deforestasi dan degradasi lahan yang diakibatkan oleh aktivitas manusia, merupakan salah satu isu penting dalam lingkungan. Indonesia merupakan negara yang memiliki hutan tropis yang sangat luas menunjukkan komitmennya untuk menekan emisi yang dihasilkan. Komitmen Indonesia dilihat strategis oleh Norwegia sebagai negara yang peduli akan lingkungan hidup sehingga disepakati kerja sama internasional antara melalui REDD+ agreement. REDD+ memiliki tujuan untuk mengurangi emisi yang dihasilkan oleh deforestasi dan degradasi hutan. Penelitian ini menggunakan metode kualitatif dan melihat bagaimana diplomasi lingkungan hidup Indonesia-Norwegia, yang dikaji menggunakan 6 kunci elemen diplomasi. Hasil penelitian menunjukkan bahwa kerja sama REDD+ Indonesia-Norwegia berjalan dengan baik, atas dasar kepentingan nasional kedua negara dan dilihat bahwa REDD+ mengalami keterlambatan dalam mencapai target yang seharusnya dipenuhi pada tahun 2016, hal ini dikarenakan oleh Indonesia belum mampu memenuhi syarat yang diberikan Norwegia untuk mendirikan institutional set up. Namun, Indonesia dan Norwegia tetap melanjutkan kerja sama untuk mencapai target yang telah disepakati.
Potential Role of Cathepsin K in Regulation of Micro Tumor Environment, Onset and Progression of Cancers in Human- A Review
Authors: Cooray Ruwini , Madubashetha Hasanka , Wickramasinghe Sachith , Warnakula Lakshan , De Silva Nimali
Published: June 2020

The effect of proteolytic enzymes including Cathepsin K, a cysteine cathepsin, in onset and progression of cancers in human has been research intensive. Cathepsin K involves in many aspects and stages of cancers including apoptosis, cell proliferation, cancer immunology, inflammatory cell recruitment to tumors and aiding in the process of mobilization of normal healthy cells from their tissue compartments assisting in metastasis and angiogenesis. The objective of this review is to collect together and summarize and analyze the biochemical and physiological pathways of how cathepsin K is involved in onset and progression of cancers with more emphasis on breast and prostate cancers and cathepsin K regulated mechanisms underlying metastasis of such cancers to bones. Information for the review was gathered through published literature from global databases such as Google Scholar, PUBMED and NCBI on different studies on physiological interactions between enzymatic activity of cathepsin K with cancers and metastasis to bones. Analysis of published studies reveal that immunohistochemical studies of breast cancer cells indicate that they overexpress cathepsin K resulting in induction of aberrant mechanisms of cell signaling in breast cancers, creating a higher tendency for their metastasis to bones. Immunohistochemical, immunoprecipitation and fluorgenic assays of several studies done on the association of the same enzymatic activity on prostate cancers shows elevated levels of cathepsin K. Lesions derived from prostate cancer cell masses were observed to undergo increased bone formation and resorption levels. Such resorption levels cause secretion of biological factors promoting tumor expansion. In addition, studies indicate that Cathepsin K was observed to be a key component promoting higher bone resorption levels in patients suffering from cancer. Authors suggest that, to completely understand the association of cathepsin K on cancerous cells and their mechanism in metastasis, distributary patterns of cathepsin K in healthy human tissues needs to be extensively studied initially. It is also suggested that metastasis of breast and prostate cancers to bone could be terminated and overcome by successful production of efficient and precise inhibitory therapeutics targeting the enzymatic activity of Cathepsin K with minimum unintended adverse health effects.
Veridical Causal Inference for Comparative Effectiveness Research Using Medical Claims
Authors: Ross Ryan , Shi Xu , Caram Megan , Tsao Pheobe , Lin Paul , Bohnert Amy , Zhang Min , Mukherjee Bhramar
Published: June 2020

Medical insurance claims are becoming increasingly common data sources to answer a variety of questions in biomedical research. Although comprehensive in terms of longitudinal characterization of disease development and progression for a potentially large number of patients, population-based studies using these datasets require thoughtful modification to sample selection and analytic strategies, relative to other types of studies. Along with complex selection bias and missing data issues, claims-based studies are purely observational, which limits effective understanding and characterization of the treatment differences between groups being compared. All these issues contribute to a crisis in reproducibility and replication of comparative findings. This paper offers some practical guidance to the full analytical process, demonstrates methods for estimating causal treatment effects on several types of outcomes common to such studies, such as binary, count, time to event and longitudinally varying repeated measures outcomes, and aims to increase transparency and reproducibility. We provide an online version of the paper with readily implementable code for the entire analysis pipeline to serve as a guided tutorial for practitioners. The online version can be accessed at https://rydaro.github.io/. The analytic pipeline is illustrated using a sub-cohort of patients with advanced prostate cancer from the large Clinformatics TM Data Mart Database (OptumInsight, Eden Prairie, Minnesota), consisting of 73 million distinct private payer insurees from 2001-2016.
Socio-Economic Characterisation of Resettled Smallholders in Rural Zimbabwe
Authors: Ndhlovu Emmanuel
Published: June 2020

The analyses of the socio-economic consequences of the 2000s land redistribution in Zimbabwe have always been biased towards the analyses of the ‘production’ and ‘redistributive’ aspects while other equally important features such as ‘social cohesion’, ‘cooperation’, ‘protection’, and ‘accumulation’ amongst beneficiaries are neglected. Using the Sangwe farm in Chiredzi as a case study, this article departs from the conventional use of the political economy, sustainable livelihoods, human rights-based and neo-patrimonial approaches. It experiments with the transformative social policy approach positing that this approach includes the features which are ignored in dominant analyses. Using both quantitative and qualitative data in an exploratory research design, the article shows that viewed from this social policy perspective, the 2000s land reform was not a mere resounding success nor was it a complete disaster. The programme actually produced mixed results. There is therefore, the need to deploy eclectic approaches in the analysis of its consequences.