bluuebunny/crossref_metadata_2025 huggingface dataset:
Cardiac surgery in patients with chronic renal failure
Authors: Babovic-Stanic Ksenija , Dejanovic Jadranka , Vulin Aleksandra , Velicki Lazar , Redzek Aleksandar
Published: March 2017

Introduction/Objective. Patients with chronic renal failure (CRF) undergoing cardiac surgery are believed to have more postoperative complications and significantly higher mortality rate. The aim of the paper was to determine preoperative predictors of exacerbation of CRF and the outcome in patients with CRF submitted to cardiac surgery. Methods. A retrospective study included 169 patients hospitalized from 2012 to 2015 (age 67.71 ? 8.46 years, 72.3% male). The analysis included numerous perioperative characteristics. Results. Preoperative stage I CRF was present in 62 (37%), stage II in 77 (46%), and stage III?V in 30 (17%) patients. Exacerbation of CRF was registered in 37 (21.9%), and the lethal outcome in 16 (9.5%) patients. Stage II of CRF (odds ratio [OR] 4.76; 95% confidence interval [CI] 1.31?17.28; p = 0.018) and stage III?V of CRF (OR 11.39; 95% CI 2.87?45.14; p = 0.001) were designated as predictors for exacerbation of CRF following cardiac surgery. In patients with CRF stage I and II, multivariate analysis designated previous cerebrovascular insult (OR 3.36; 95% CI 1.04?10.93; p = 0.044) and ejection fraction ? 35% (OR 5.35; 95% CI 1.83?15.64; p = 0.02) as predictors for the exacerbation of CRF. The only predictor of postoperative dialysis requirement was higher stage of CRF (OR 5.81; 95% CI 1.22?27.81; p = 0.028). CRF stage III?V was a predictor of lethal outcome (OR 7.64; 95% CI 1.49?39.27; p = 0.015). Conclusion. Higher stage of CRF in patients submitted to cardiac surgery is a predictor of exacerbation of renal failure and the lethal outcome.
Lymphoproliferative disorder after kidney transplantation
Authors: Petrovic Lada , Djurdjevic-Mirkovic Tatjana , Mitic Igor , Bozic Dusan , Urosevic Ivana
Published: March 2017

Introduction. Post-transplant lymphoproliferative disorder (PTLD) is one of the most severe and often fatal complications observed after solid organ and bone marrow transplantations. Case outline. We present a case of a patient born in 1989 who underwent a living related donor renal transplantation at the age of 16. Induction therapy implied the administration of anti-thymocyte globulin and corticosteroids, and maintenance therapy encompassed a combination of three immunosuppressive agents ? tacrolimus, mycophenolate mofetil, and corticosteroid. The patient experienced first complications six months after transplantation, manifested as aggravation of tonsillitis symptoms and subsequent dysphagia. Histopathological and immunohistochemical finding of tonsillectomy specimens suggested polymorphic PTLD (with high expression of Epstein?Barr virus latent membrane protein antigen). Definitive diagnosis of diffuse large B-cell lymphoma (CD20+) was established upon analysis of oesophageal bioptate. Antiviral therapy was applied, along with rituximab and a combination of cyclophosphamide, doxorubicin (hydroxydaunomycin), vincristine, and prednisolone (CHOP therapy), whilst the dosage of basic immunosuppressive drugs was reduced. Complex diagnostic procedures confirmed the absence of disease recurrence and stable graft function five years after completing the PTLD therapy. Conclusion. The presented case of our patient, who developed PTLD after renal transplantation, demonstrated that appropriate early diagnosis, reduction of immunosuppressive regimens, and vigilant application of immunomodulatory and chemotherapy could result in complete disease remission, yet preserving and maintaining the stable function of the transplant.
Antivakcinalisti i njihovi argumenti u balkanskim zemljama
Authors: Kon Predrag
Published: March 2017

nema
Caracterización físico-química de pellets producidos a partir de mezclas 50/50 carbón bituminoso/madera residual
Authors: Atuesta Boada Luis Eduardo , Sierra Vargas Fabio
Published: March 2017

Los biocombustibles, demandan procesos de caracterización y transformación confiables que aseguren su adecuado proceso de fabricación para que los usuarios finales los utilicen sin riesgo alguno. Alrededor del 4,42% de los biocombustibles que se comercializan a nivel mundial se presentan como aglomerados o pellets. Teniendo en cuenta que Colombia es un país con altas reservas de carbón y que como país agrícola produce grandes cantidades de residuos orgánicos, se encontró que la mezcla de estos dos productos presenta beneficios desde el punto de vista energético y de combustión, facilitando su quema y disminuyendo emisiones tanto de material particulado como de gases con contenido de azufre. Se presentan los resultados de la caracterización según normas internacionales de pellets producidos en el Laboratorio de Energías Renovables de la Universidad Nacional de Colombia de mezclas 50/50 de carbón antracita y madera. La evaluación fisicoquímica se hizo aplicando parámetros de la norma Austriaca ONORM M7135, con el fin de evaluar cada uno de los ítems allí establecidos. Además, se dan a conocer los resultados de las pruebas y los análisis de la caracterización de estas mezclas, así como su poder calorífico según norma ASTM D5865 11a y su resistencia al impacto según norma ASTM D440-86. Adicionalmente se discuten las ventajas y desventajas desde el punto de vista ambiental que acarrea el uso de los biocombustibles aglomerados.
CONSTRUINDO ALTERNATIVAS PARA A FORMAÇÃO INICIAL DE PROFESSORES: A PERCEPÇÃO DE ESTUDANTES DE PEDAGOGIA SOBRE A ABORDAGEM CURRICULAR INTEGRADA
Authors: Keller-Franco Elize , Bessa Sonia
Published: March 2017

No contexto educacional brasileiro, os debates em torno da crise nos processos educativos e da necessidade de melhorias na educação básica vêm associados à premência de mudanças na formação inicial de professores, atribuindo a esses cursos um papel de centralidade na agenda das reformas. No enfrentamento dos desafios, está se desenvolvendo a compreensão de que as intervenções que tornam possível a inovação nos cursos de formação envolvem, inevitavelmente, a busca de novas abordagens curriculares. Nesse sentido, encontra-se no currículo integrado uma importante referência. O presente estudo tem como objetivo analisar as percepções e o significado que os estudantes de um curso de Pedagogia atribuem ao currículo integrado a partir das suas vivências como estudantes nesse modelo de currículo e levantar reflexões sobre as contribuições do currículo integrado para a formação inicial de professores. Trata-se de uma pesquisa de abordagem qualitativa. Os dados foram obtidos a partir de um questionário semiestruturado aplicado a 58 estudantes formandos da primeira e da segunda turma que participaram dessa modalidade de currículo em uma instituição de ensino superior localizada na região sul do município de São Paulo. Para análise dos dados, utilizamos o procedimento de elaboração de categorias proposto por Lüdke e André (2013). Os resultados revelaram uma percepção bastante positiva dos estudantes sobre a abordagem curricular integrada em seus processos formativos, o que nos permite apontar o currículo integrado como uma alternativa viável para a renovação do paradigma curricular tradicional e para ressignificação da formação inicial de professores.
APRENDIZAGENS NA DOCÊNCIA: PIBID E A FORMAÇÃO DE PROFESSORES
Authors: Frison Lourdes Maria Bragagnolo , Veiga Simão Ana Margarida , Cigales Juliana Ribeiro
Published: March 2017

Este artigo apresenta dois momentos de investigação realizados com dezoito acadêmicas do curso de Pedagogia que participaram, como bolsistas, do Pibid (Programa Institucional de Bolsas de Iniciação à Docência). Em uma das etapas do programa, foi realizada uma formação com as bolsistas, tendo como objetivos, no primeiro momento, identificar suas percepções acerca das próprias aprendizagens sobre as práticas de ensino desenvolvidas nas escolas, em decorrência da participação no Pibid; e no segundo momento, confrontar estas percepções com os depoimentos revelados na formação. Nesta ocasião, as bolsistas foram incentivadas a refletirem sobre suas práticas, alicerçadas ao construto da autorregulação da aprendizagem. A análise realizada mostrou que as pibidianas remodelaram seus discursos e práticas em relação aos registros feitos no primeiro momento. Ao estudarem o construto da autorregulação da aprendizagem, refletiram sobre suas práticas e perceberam a necessidade de investirem em estratégias autorregulatórias com as quais potencializaram suas aprendizagens e práticas de ensino realizadas nas classes de alfabetização em que atuaram.
CURRÍCULO ESCOLAR OFICIAL COMO EXPRESSÃO OBJETIVA DA RAZÃO SUBJETIVA
Authors: Furlan de Oliveira Marta Regina , Claro Piassa Zuleika Aparecida
Published: March 2017

O contexto do nascimento do campo do currículo escolar remete ao desenvolvimento do modelo industrial de sociedade nos Estados Unidos ao final do século XIX. Com base nos textos de Theodor W. Adorno e Max Horkheimer, este artigo pretende discutir a ideia de que o currículo escolar, oriundo desse contexto histórico, materializa na escola a razão subjetiva em detrimento da razão objetiva. O texto foi organizado em dois segmentos. No primeiro, denominado “Na esfera dos conceitos”, exploramos a ideia de razão objetiva e razão subjetiva, bem como a passagem de uma para outra no desenvolvimento histórico. Na segunda parte, exploramos como essas razões se materializam no currículo escolar, explorando apenas os elementos objetivos e conteúdos. Mesmo num caráter sintético, como supõe um artigo, o estudo vislumbra que o currículo escolar para as massas nasceu como um projeto social para alavancar o desenvolvimento econômico industrial e trouxe consigo as profundas marcas da razão subjetiva.
CURRÍCULO MÍNIMO DE MATEMÁTICA PROPOSTO PELA SEEDUC/RJ: PONTUAÇÕES ACERCA DO PROCESSO DE ELABORAÇÃO E INSTITUIÇÃO
Authors: Liao Tarliz , Albernaz Jussara Martins
Published: March 2017

Este artigo intenciona apontar para algumas das especificidades que permearam o processo de elaboração e instituição do Currículo Mínimo de Matemática, em nível de Ensino Médio, proposto pela Secretaria de Estado de Educação do Rio de Janeiro (SEEDUC/RJ), em 2011. Cabe ressaltar que diante de uma multiplicidade de materialidades curriculares, o enfoque dessa mudança ocorreu por meio de uma nova estrutura curricular, impactando uma rede com um milhão de alunos e doze mil professores de Matemática.  O currículo traz as ideias de seu tempo, o olhar da sociedade para questões humanas e outras ideias tacitamente políticas; além disso, ele traz em seu escopo toda uma trama de heranças históricas e a marca pessoal daqueles que se dedicaram à sua construção. E dessa forma, analisar as tramas de um currículo de Matemática é muito mais que olhar uma sequência de conteúdos linearmente organizados. É, sobretudo, entender, que aquela construção foi tecida de forma a sustentar um corpo de ideias que diz sobre seu tempo. Esse processo refletiu a inexistência de diálogo entre os diversos segmentos sociais e profissionais daquele campo. Interesses governamentais foram além das perspectivas educacionais e nesse ínterim subtraíram a democracia em ações de políticas públicas que se refletiram tão somente no ranking do Índice de Desenvolvimento da Educação Básica (IDEB). Foi evidente a percepção de que não houve clareza de ideias quando dessa elaboração, contrastando com a legislação vigente. A formatação do Currículo Mínimo negou a dialética educacional e a retórica da Matemática acadêmica enquanto disciplina escolar.
Proposta de atuação da Fonoaudiologia nos Cuidados Paliativos em pacientes oncológicos hospitalizados
Authors: Carro Cristina Zerbinati , Moreti Felipe , Marques Pereira Juliana Milena
Published: March 2017

O objetivo deste trabalho é apresentar uma proposta de atuação fonoaudiológica para os aspectos de segurança da deglutição e facilitação comunicativa em pacientes oncológicos internados em ambiente hospitalar e em cuidados paliativos. Diariamente, os pacientes caracterizados como em Cuidados Paliativos hospitalizados recebem a visita fonoaudiológica e passam por avaliação profissional sobretudo se observados sinais preditores de risco para broncoaspiração ou queixas que lhes ofereçam desconforto no processo de alimentação.  Após a avaliação fonoaudiológica completa, se inferida a Disfagia orofaríngea, os pacientes são acompanhados pelo Fonoaudiólogo com condutas que visem a reabilitação e/ou a minimização dos riscos de broncoaspiração, de acordo com o quadro clínico, das necessidades e desejos tanto do paciente quanto da família, da evolução em que se encontra e a possibilidade de antever e prevenir desconfortos relacionados à alimentação e/ou comunicação desse paciente. Assim, conclui-se que Fonoaudiólogo pode contribuir ativamente dentro da equipe multiprofissional de cuidados paliativos ao paciente oncológico internado em ambiente hospitalar, avaliando, prevenindo, reabilitando e mantendo uma deglutição de forma segura e prazerosa ao indivíduo, quando possível, gerenciando os riscos de broncoaspiração e melhorando sua qualidade de vida relacionada à alimentação via oral e comunicativa.
A prevalência de hábitos orais em pré-escolares
Authors: Matos Géssica Calazans de , Santos Jaqueline Carvalho dos , Granzotti Raphaela Barroso Guedes , Silva Kelly Da , Baldrighi Silvia Elaine Zuim de Moraes , César Carla Patrícia Hernandez Alves Ribeiro
Published: March 2017

Objetivo: estimar a prevalência de hábitos orais em crianças frequentadoras de pré-escolas do centro sul de Sergipe. Métodos: a amostra foi determinada após análise de cálculo amostral e constituída por 208 pré-escolares (104 do sexo feminino e 104 do masculino) frequentadores de duas pré-escolas do Centro-Sul de Sergipe (uma pública e outra privada), com idades entre dois e cinco anos. Por meio de formulário próprio entregue aos familiares, foi verificada a quantidade de pré-escolares que apresentam hábitos orais (chupeta, mamadeira, dedo, apertamento dentário, sucção de língua, bruxismo, umidificar lábios, onicofagia, morder mucosa oral e objetos), para posterior estimativa da prevalência desses hábitos. Os dados obtidos foram submetidos aos Testes de Igualdade de Proporções e Qui-quadrado, adotando-se nível de significância de 5%. Resultados: houve alta prevalência de hábitos orais (87,02%), sendo o uso da mamadeira o de maior ocorrência.  O hábito de morder objetos foi mais comum no sexo feminino em pré-escolares do ensino público, não sendo reveladas diferenças estatisticamente significantes em relação aos demais hábitos com o sexo. A sucção digital esteve associada a faixas etárias menores (dois e três anos) e o bruxismo, às maiores (quatro e cinco anos). Conclusão: a alta prevalência de hábitos orais deletérios em pré-escolares justifica a ação interdisciplinar o mais precoce possível, a fim de que não haja impacto negativo no desenvolvimento do complexo crânio-oro-cervical e, consequentemente, nas funções orais.
Középső-triász dolomitok képződésének története és töréses deformációja a Szegedi-medence területén
Authors: Garaguly István , Raucsik Béla , Varga Andrea , Schubert Félix
Published: March 2017

A Pannon-medence aljzatának egyik részmedencéje a Szegedi-medence, mely szénhidrogén-földtani szempontból hazánk egyik kiemelt fontosságú területe. A prekainozoos aljzat legelterjedtebb mezozoos képződményei a középső-triász dolomitok, melyek fontos szerepet töltenek be a terület szénhidrogén-rendszerének felépítésében. Jelen tanulmány célja, hogy az évtizedek óta nem vizsgált képződmények képződéséről és deformációtörténetéről új, korszerű leírást nyújtson. Értelmezésünket általános petrográfiai leírásra, fluoreszcens és katódlumineszcens vizsgálati módszerekre, valamint a területről szóló szakirodalomra alapozzuk.A vizsgált anisusi képződmények változatos partszegélyi, sekélytengeri környezetben ülepedtek le. Ezek a leülepedést követő süllyedés következtében, a sekély és közepes betemetődés után, a kora-krétára juthattak a mély betemetődési diagenezis zónájába. Ezen zónákban a képződmények feltehetően többfázisú, részben szövetmegőrző, részben szövet -romboló dolomitosodási folyamatokon mentek keresztül. A petrográfiai alapon elkülönített dolomit típusok közülközepes vagy mély betemetődési környezetet jeleznek a porfirotópos és cukorszövetű dolomitok, valamint a póruskitöltő nyeregdolomit, de ezek szerepe alárendelt a korábbi dolomitosodási folyamatokhoz viszonyítva. A középső-miocént megelőzően a kőzeteket többször is töréses deformáció érte, melynek hatására breccsa, ezt követően pedig üreg- és repedéskitöltő nyeregdolomit képződött. A nyeregdolomit kristályai több esetben kőolajtartalmú fluidumzárványokat csapdáztak. A dolomittestek felszínközeli helyzetét középső-miocén, abráziósparti kör -nyezetben leülepedett fedőkőzetek jelzik, továbbá dedolomitosodás is kapcsolódhat ehhez a szakaszhoz. A Pannon-medence kialakulásával párhuzamos süllyedés és eltemetődés hatására a képződmények ismét nagy mélységbe kerültek, mely során újabb töréses deformáció és cementáció folyt. A legfiatalabb repedéskitöltő ásványegyüttest fluoreszcens tulajdonságú dolomit, valamint pirit és szilárd bitumen alkotja.A vizsgált dolomitok többfázisú diagenezis- és deformációtörténetéhez többfázisú szénhidrogén-migrációs események kapcsolhatóak, melyek pontosabb megismerése és elhelyezése a medence fejlődéstörténetében kulcsfontosságú. Az erősen átalakult nyeregdolomit tartalmú minták további vizsgálata rezervoárgeológiai szempontból a jövőben szintén fontos feladat.
Az Endrődi Formáció kőzettani és palinológiai vizsgálata a Hódmezővásárhely–I fúrásban (Makói-árok) — őskörnyezeti és diagenezis-történeti értékelés
Authors: Varga Andrea , Baranyi Viktória , Raucsik Béla , Schubert Félix
Published: March 2017

Munkánkban a Hódmezővásárhely–I fúrás 35. és 40. magfúrási szakaszaiból (5167,0–5183,0 m, illetve 5468,0–5486,0 m) kiválasztott, az Endrődi Formációba sorolt kőzeteket (Tótkomlósi Tagozat, mészmárga és homokkő) vizsgáltuk. A minták általános jellemzője, hogy mikrites–mikropátos kalcitot, agyagásványokat, továbbá kőzetliszt–homok méretű, szögletes törmelékszemcséket (monokristályos és polikristályos kvarc, muszkovit, biotit, klorit; karbonát törmelék, metamorf kőzettörmelék) tartalmaznak. A polimikt, éretlen üledékanyag lokális forrást jelez, ami a környező aljzatmagaslatok kőzeteinek eróziójára hívja fel a figyelmet. A fúrás válogatott mintáin palinológiai vizsgálatok készültek az egyes magszakaszok biosztratigráfiai és őskörnyezeti értékelése céljából. A vizsgált mintákból két biozónát:  az idősebb Spiniferites bentorii oblongus és a fiatalabb Spiniferites paradoxus Zónát lehetett kimutatni. A Spiniferitesbentorii oblongus Zónára jellemző dinociszta-együttes egy a parthoz közelebbi környezetet és/vagy nagyobb tápanyagbeáramlást jelez, míg a fiatalabb együttesben több olyan alak található, ami disztális környezetre, a vízszint meg növekedésére és/vagy a szárazföldi eredetű törmelékbehordódás csökkenésére utalhat. A membrános dinociszták jelenléte a felszíni vizek ingadozó sótartalmára és bizonyos dinoflagellaták esetén a holoplankton életmódra való áttérésre utal, amit a vízoszlopban bekövetkező ideiglenes oxigényszegény állapotok tehettek szükségessé. Mindkét zónaegyüttes regionális, az egész Pannon-medencére kiterjedő előfordulása alapján a planktonközösségekben lejátszódó regionális folyamatokra és a víztestek kommunikációjára lehet következtetni. A palinomorfák falának színe és megtartása a bete -metődés során bekövetkező jelentős hőmérsékleti hatásra, valamint az üledékes szerves anyag nagyfokú érettségére utal. Az intenzív diagenetikus átalakulási folyamatokat mind az ásványtani, mind a petrográfiai vizsgálatok meg erő sítették. A korai diagenezis során bakteriális szulfátredukcióra utaló pirit, majd vasmentes kalcitcement vált ki, amit Fe-dolomit/ankerit továbbnövekedési cement követett. A laza szemcseilleszkedés a mechanikai kompakció alárendelt szerepét jelzi, a vázszemcsék korai mechanikai átrendeződésével, rotációjával párhuzamosan a karbonátos cementáció a rendelkezésre álló pórustérfogatot szinte teljes egészében redukálta (a vizsgált kőzetek makro- és mikroporozitása elhanyagolható). A mély betemetődési diagenezis során elkülönített események a kémiai kompakció (szerves anyagos/pirites nyomási oldódási filmek megjelenése), az agyagásványok illitesedése, dolomithelyettesítés a kalcitcementben, valamint késői pirit megjelenése.
Optimization of Soda Ash/Lime Dosage for Underground Water Treatment in Makurdi
Authors: Utsev Terlumun Joseph , Okah Peter
Published: March 2017

The research work is on determination of optimum dosage of soda ash and lime in treating underground water in Makurdi metropolis. In carrying out the work, samples of borehole and well water from five different locations of the study area were analyzed to ascertain the level of hardness and subsequently, determine the optimum values of soda ash (Na2CO3) and lime (Ca(OH)2) that will reduce the water hardness. The locations were, North Bank, Wurukum, Wadata, High Level and Kanshio. The raw water hardness level range from 80mg/l to 200mg/l averagely, which is above WHO (2005) drinking water standards of 75mg/l to 100mg/l. After treatment, the pH was found to range between 6.8 - 7.8, while the hardness obtained ranged from 76mg/l to 100mg/l and 20mg/l to 80mg/l for borehole and well water respectively, which is slightly within the WHO (2005) standard.  The optimal dosage of Na2CO3 and Ca (OH)2 were determined to be 2.4 ml each with a positive correlation of 0.90. It is recommended that, soda ash be used for the treatment of underground water hardness for safe drinking, while lime be used for other domestic purposes for cost effectiveness.
Suitability of Lemna Trisulca (Duckweed) in Water Purification
Authors: Utsev Terlumun Joseph , Jude Uungwa Shachia , Okah Peter
Published: March 2017

The research was aimed at studying the effectiveness of duckweed as a coagulant/disinfectant in the treatment of water and wastewater. Water sample was obtained from River Benue and duckweed was harvested near a residential area in Makurdi Town, Nigeria. Laboratory experiments were carried out using dosage, pH, temperature, initial concentration and Flocculating Speed as variables for both disinfection and coagulation. Results obtained revealed that, the optimum conditions with respect to disinfection (bacteria load removal) were; Dosage=0.4ml, pH=9, Temperature=30°C, Initial concentration=300µm and Flocculating speed=90rev/min, with highest percentage removal of 91% and 82% for the filtrate and powder respectively. For coagulation (turbidity and suspended solid removal), the optimum conditions were; Dosage=0.2ml, pH=5, Temperature=30°C, Initial concentration=633FTU and Flocculating Speed=90rev/min with the highest percentage removal at 84.3% and 80.4% for duckweed filtrate and powder respectively. It is recommended that, duckweed filtrate and powder should be used in water purification for drinking and greywater respectively.
Haar Wavelet Implementation to Various Partial Differential Equations
Authors: Mredula K. P. , Vakaskar D. C.
Published: March 2017

The article brings together a series of algorithms with the modification in formulation of solution to various partial differential equations. The algorithms are modified with implementation of Haar Wavelet. Test examples are considered for validation with few cases. Salient features of multi resolution is closely compared with different resolutions. The approach combines well known finite difference and finite element method with wavelets. A detailed description of algorithm is attempted for simplification of the approach.
Association between prenatal care and small for gestational age birth: an ecological study in Quebec, Canada
Authors: Savard N. , Levallois P. , Rivest LP. , Gingras S.
Published: March 2017

Introduction

In Quebec, women living on low income receive a number of additional
prenatal care visits, determined by their area of residence, of both multi-component and
food supplementation programs. We investigated whether increasing the number of
visits reduces the odds of the main outcome of small for gestational age (SGA) birth
(weight o 10th percentile on the Canadian scale).

Methods

In this ecological study, births were identified from Quebec’s registry of
demographic events between 2006 and 2008 (n ¼ 156 404; 134 areas). Individual
characteristics were extracted from the registry, and portraits of the general population
were deduced from data on multi-component and food supplement interventions, the
Canadian census and the Canadian Community Health Survey. Mothers without a high
school diploma were eligible for the programs. Multilevel logistic regression models were
fitted using generalized estimating equations to account for the correlation between
individuals on the same territory. Potential confounders included sedentary behaviour
and cigarette smoking. The odds ratios (ORs) were adjusted for mother’s age, marital
status, parity, program coverage and mean income in the area.

Results

Mothers eligible for the programs remain at a higher odds of SGA than noneligible
mothers (OR ¼ 1.40; 95% confidence interval [CI]: 1.30–1.51). Further, areas
that provide more visits to eligible mothers (4–6 food supplementation visits) seem more
successful at reducing the frequency of SGA birth than those that provide 1–2 or 3 visits
(OR ¼ 0.86; 95% CI: 0.75–0.99).

Conclusion

Further studies that validate whether an increase in the number of prenatal
care interventions reduces the odds of SGA birth in different populations and evaluate
other potential benefits for the children should be done.
Lien entre les soins prénataux et le faible poids pour l’âge gestationnel à la naissance : une étude écologique au Québec (Canada)
Authors: Savard N. , Levallois P. , Rivest LP. , Gingras S.
Published: March 2017

Introduction

Au Québec, les femmes vivant avec un faible revenu reçoivent un certain nombre de visites de soins prénataux supplémentaires, en fonction de leur
lieu de résidence, dans le cadre d’un programme à multiples composantes et d’un programme d’intervention comprenant des suppléments alimentaires. Nous avons examiné
si l’augmentation du nombre de visites réduisait le risque de faible poids pour l’âge gestationnel à la naissance (poids inférieur au 10e percentile sur l’échelle canadienne).

Méthodologie

Pour cette étude écologique, nous avons sélectionné les naissances dans le registre des événements démographiques du Québec entre 2006 et 2008 (n = 156 404; 134 secteurs).
Les caractéristiques individuelles ont été extraites du registre des naissances alors que les portraits de la population générale ont été déduits de données sur l’intervention à
multiples composantes et du programme d’intervention comprenant des suppléments alimentaires, ainsi que des recensements canadiens et des Enquêtes sur la santé dans les
collectivités canadiennes. Ont été considérées comme admissibles aux programmes les mères sans diplôme d’études secondaires. Les modèles de régression logistique multiniveaux ont
été ajustés à l’aide d’équations d’estimation généralisées pour tenir compte de la corrélation entre les individus vivant sur un même territoire. Les principaux facteurs
confusionnels potentiels étaient la sédentarité et le tabagisme. Les rapports de cotes (RC) ont été ajustés en fonction de l’âge, de l’état matrimonial et de la parité de la mère
ainsi que de la couverture du programme et du revenu moyen dans le secteur.

Résultats

Les mères admissibles aux programmes se sont révélées plus à risque de donner naissance à un bébé de faible poids pour l’âge gestationnel à la naissance
que les autres mères (RC = 1,40; intervalle de confiance [IC] à 95 % : 1,30 à 1,51). De plus, les secteurs offrant un plus grand nombre de visites aux mères admissibles (4 à 6 visites
dans le cadre du programme d’intervention comprenant des suppléments alimentaires) semblent mieux réussir à réduire la fréquence du faible poids pour l’âge gestationnel à la
naissance que ceux offrant soit 1 ou 2 visites, soit 3 visites (RC = 0,86; IC à 95 % : 0,75 à 0,99).

Conclusion

Il est nécessaire de conduire des études supplémentaires pour valider qu’une augmentation du nombre d’interventions en soins prénataux réduit le risque de faible
poids pour l’âge gestationnel à la naissance au sein de différentes populations et pour en évaluer d’autres avantages potentiels pour les enfants.
Caractéristiques des utilisateurs de cigarettes électroniques et
leurs perceptions des avantages, des dangers et des risques de la
cigarette électronique : résultats d'un sondage auprès d'un
échantillon de commodité à Ottawa (Canada)
Authors: Volesky K. D. , Maki A. , Scherf C. , Watson L. M. , Cassol E. , Villeneuve P. J.
Published: March 2017

Introduction

Bien que l’utilisation de la cigarette électronique (« vapotage ») soit en hausse au Canada, peu d’efforts ont été consacrés à la description des
utilisateurs de cigarettes électroniques (« vapoteurs »). C’est dans ce contexte que nous avons mené une étude à Ottawa (Canada) afin de décrire les perceptions qu’ont
les utilisateurs de cigarettes électroniques des avantages, des dangers et des risques de ces dernières. Nous avons également recueilli de l’information pour savoir pourquoi,
comment et où ils utilisent la cigarette électronique ainsi que sur les effets secondaires.

Méthodologie

Un sondage en ligne de 24 questions a été soumis à des personnes ayant acheté des cigarettes électroniques ou des fournitures connexes dans l’un des 17 commerces
de cigarettes électroniques à Ottawa. On a caractérisé les répondants au moyen d’analyses descriptives, puis nous avons appliqué des modèles de régression logistique pour évaluer
la relation entre ces caractéristiques et la perception par les répondants des dangers de la cigarette électronique.

Résultats

L’âge moyen des 242 répondants était de 38,1 ans (plage : 16 à 70 ans) et, de ce nombre, 66 % étaient des hommes. Près de la totalité (97,9 %) des répondants
avaient fumé 100 cigarettes ou plus au cours de leur vie. Plus de 80 % des répondants ont indiqué que la volonté d’arrêter de fumer constituait l’une des principales raisons
de recourir à la cigarette électronique, et 60 % ont mentionné qu’ils avaient l’intention de cesser l’utilisation de la cigarette électronique un jour. Environ 40 % des
répondants ont fait état d’effets secondaires au cours des 2 heures suivant l’utilisation des cigarettes électroniques. Les répondants ayant signalé n’avoir ressenti aucun des
effets secondaires énumérés étaient environ 3,2 fois plus nombreux à ne percevoir aucun danger dans la cigarette électronique que les personnes ayant signalé des effets secondaires
(rapport de cotes = 3,17; intervalle de confiance à 95 % : 1,75 à 5,73).

Conclusion

D’après nos constatations, la majorité des utilisateurs de cigarettes électroniques ont recours à ces dernières pour réduire ou cesser leur consommation de
tabac et ils les perçoivent comme inoffensives. Étant donné que nous avons utilisé un échantillonnage de commodité, le lecteur doit faire preuve de prudence dans la généralisation
de nos constatations à tous les utilisateurs de cigarettes électroniques au Canada.
A Critical Reflection of Ethical Issues in Research
Authors: McNeill Hinematau
Published: March 2017

This article uses the concept of matauranga as a starting point as a device for exploring concepts of Maori mental wellness. Issues of the role of culture are explored in depth, both from theoretical and application perspectives. The iwi of Tuhoe are the focus of attention in the examination of these themes.
Raupatu: A Waikato Perspective
Authors: Mahuta Dean
Published: March 2017

This article discusses the concept of raupatu – land confiscation – and its consequences in both cultural and material senses. It also examines the significance of this event to the Waikato people. The lead up to the Crown’s massive confiscations is provided, as is the subsequent history, and some of the intricate cultural aspects surrounding the ensuing settlement.
The Role of Marae in Tertiary Education Institutions
Authors: Ka'ai Tania
Published: March 2017

This article explores the notion of the role of a marae in tertiary education institutions, from the experience of advocating for a new building for what was initially simply Maori Studies at Otago, which is the primary case study used in this analysis. Issues of the growth and expansion of the programmes, and the cultural argument for the type of space staff wanted and required to deliver their programmes more effectively are explored, as is the consideration of educating the broader staff network in a tertiary institution for the requirement for such a facility.
Hawai'i-nui-akea Cousins: Ancestral Gods and Bodies of Knowledge are Treasures for the Descendants
Authors: Kame'leihiwa Lilikala
Published: March 2017

This article surveys elements of Polynesian mythology, and how it threads through several cultures in the Pacific, and brought about as common perception of understanding among the various indigenous cultures of the region.
Matariki 2010
Authors: Cleave Peter
Published: March 2017

The purpose of this article is to examine various aspects of Matariki, with a focus on the way in which it was commemorated at Te Papa Museum in 2010 through dance performances.
‘Race’ and the Politics of Land Loss: Colonising Discourses for Patuheuheu and Ngāti Haka
Authors: Rangiwai Byron
Published: March 2017

This article argues that the racial discourses of the nineteenth century had an adverse impact on the ways in which Māori were treated and indeed, informed and justified colonial methods for separating Māori from their land. As a consequence of Pākeha representations of Māori as Other, Patuheuheu and Ngāti Haka - two closely related clans from the Tūhoe tribe - were subjected to oppressive practices which made it easy for Pākeha to unjustly procure land to the detriment of Patuheuheu and Ngāti Haka identity and wellbeing. This article examines Māori, Patuheuheu and Ngāti Haka land loss using multiple and interdisciplinary theoretical lenses, and posits that these losses were caused, in part, by Pākeha racism.
Nākahi: The Matarahurahu Cult of the Snake
Authors: Moon Paul
Published: March 2017

Throughout the nineteenth century, various Māori fusion religions flourished, combining elements of traditional Māori religion with those gleaned from the missionaries. One of the earliest of these was the Nākahi sect, which had its origins in the Ngāpuhi hapū of Matarahurahu.  This paper focuses on the Matarahurahu form of the sect. t assesses its main tenets, the role of personalities in leading the sect, and follows its development through to its demise.
Māori in video games - A digital identity
Authors: Mahuta Dean
Published: March 2017

The indigenous image is becoming more present in the world of gaming. For many years, the ‘native’ has been cast in video games, typically playing the ‘barbaric enemy hoard’, or the ‘simple, nature-loving’ people who are only too eager to be ‘saved’ by the ‘fairer’ races. In the early years of video games, Native American images played the biggest part, in games such as, Custers Revenge, Mortal Kombat and Banjo Tooie. Recently, in an effort to teach people about Africa’s history, an online game, Africa, was created, where users were set in a 13th century African civilisation.  In 2003, Māori culture first appeared in the game, Mark of Kri, and more recently in Brink, a post-apocolyptic reality of Earth, where ‘kirituhi’ (a traditional form of body art revived by modern practitioners of ‘tā moko’, the traditional form of tattoing was an option during the character creation process.

As the gaming industry becomes larger, gaming companies continue to search the globe for new and ‘exciting’ inspiration.  The Māori image, it seems, has inevitably been sucked into a digital space that, if left unchecked, will create an identity they have no say over.  In order for Māori to maintain a sense of ‘digital identity’, Māori must start participating and appropriating digital spaces, “. . . before the technologies are applied to them, and their culture, by another group” (Brown, 2007).
Links between Maori cultural well-being and participation in sports: A literature review
Authors: Moon Paul
Published: March 2017

This literature review explores various dimensions of the relationship between participation by Maori in sports, the creation and maintenance of sustainable cultural infrastructures, and the contribution of these elements to an enhanced sense and practice of cultural identity.  This is achieved through undertaking a qualitative survey of the present domestic literature on the topic, as well as drawing on the more extensive corpus of international research which addresses these types of topics, themes, and links.
Deep impact and the tail of colonialism
Authors: Anaru Nomana
Published: March 2017

Colonialism hit the indigenous world with the destructive force of a massive comet, and its impact will be forever etched in the cultural memories of its entire people. The impact has left a crater, within the indigenous world, so deep and enormous that indigenous peoples are still fighting to ascend from the crater floor. Despite their best efforts, to ascend, they are being hampered by the tail (residual colonialism) of the comet which continues to distribute its toxic elements within the environment of the indigenous world. While the impacts of this catastrophic event are profuse, these impacts must be individually identified and defined by indigenous peoples, to help them ascend. The intention of my research is to analyse the impacts of colonisation on te reo Māori (The Māori Language) and Māori ideology. This will be achieved, in part, through an examination of the whakapapa (genealogy) of te reo Māori. The second part of my research is to apply the critical theories of thirteen chosen kaiariā (theorists), to further define the impacts of colonialism on te reo Māori and Māori ideology. For example, Niccolo Machiavelli’s theories of leadership define the rules of encounter when colonising a people. Machiavelli’s notion that the end justifies the means, is one illustration of how colonialism has and continues to be justified. Antonio Gramsci’s theory of Hegemony describes a colonising tool that is invasive and attacks the fundamental nature of indigenous ideology.
KONSELING BAGI POPULASI TRANSGENDER
Authors: Lestari Indah , Sefitri Siti
Published: March 2017

?Perubahan dinamika kehidupan masyarakat modern saat ini telah menciptakan persepsi atau pemikiran sejumlah konsep, istilah dan teori baru yang disebabkan oleh gaya hidup di era globalisasi. Fenomena lesbian, gay, biseksual dan transgender atau biasa disebut LGBT merupakan salah satu gaya hidup modern yang memberikan dampak positif maupun negatif pada beberapa masyarakat terutama dalam kalangan remaja di Indonesia. Hal tersebut menciptakan berbagai masalah yang tidak hanya pada remaja saja, namun juga keluarga, dan lingkungan konseli. Masalah-masalah yang timbul dalam konteks ini adalah belum adanya langkah tepat untuk koselor dan psikiater menolong konseli dengan latar belakang lesbian, gay, biseksual dan transgender. Tujuan artikel ini untuk mengetahui persoalan-persoalan khususnya masalah penerimaan diri transgender serta layanan bimbingan dan konseling terhadap persoalan tersebut.
PENGEMBANGAN PROGRAM BIMBINGAN KELOMPOK UNTUK MENINGKATKAN KEMAMPUAN SISWA DALAM MENGELOLA STRES
Authors: Mahardika Nur
Published: March 2017

Tujuan penelitian ini adalah untuk mengembangkan program bimbingan kelompok untuk meningkatkan kemampuan siswa dalam mengelola stress. Stres merupakan gejala harian yang wajar dan pasti dialami oleh setiap individu, yang dapat berdampak baik terhadap aspek fisik maupun psikis. Stres dapat mempengaruhi perilaku seseorang, tergantung bagaimana ia menghadapi kondisi yang menimbulkan stres. Dengan demikian, stres dapat menimbulkan reaksi yang berbeda pada tiap individu. Bimbingan kelompok dengan teknik mind mapping patut diduga bahwa kemampuan mengelola stres siswa akan meningkat. Hal ini disebabkan karena peta pikiran memungkinkan penggunaan unsur-unsur kreativitas seperti gambar, bentuk, warna, dan lainnya dalam membentuk representasi mental. Sebagai contoh, catatan materi bimbingan kelompok yang dimiliki siswa dapat dituangkan ke dalam mind mapping melalui gambar, simbol, warna.
KONSELING KELOMPOK DENGAN MEDIA ANIMASI UNTUK MENINGKATKAN PENYESUAIAN DIRI SISWA SEKOLAH DASAR
Authors: Sucipto Sucipto
Published: March 2017

Penyesuaian diri amat berhubungan erat dengan sikap sosial individu. Kemampuan dalam menyesuaikan diri dengan baik tentunya juga akan menampakkan sikap sosial yang baik pula. Sikap sosial yang baik akan membuat individu lebih nyaman dalam berinteraksi dengan orang lain. Sikap itu diwujudkan dari pembiasaan atau yang dilakukan berulang-ulang. Berdasarkan pengumpulan data yang peneliti peroleh, baik dari wawancara dengan guru kelas, melalui observasi dengan siswa-siswa tersebut, diketahui bahwa siswa kelas IV Sekolah Dasar Negeri 4 Rendeng Kudus masih mengalami kesulitan dalam hal menyesuaikan diri dan bersikap sosial yang baik, terutama dengan sesama teman. Oleh karena itu peneliti memustuskan untuk melaksanakan layanan konseling kelompok dengan media animasi untuk dapap meningkatkan penyesuaian diri siswa. Penelitian ini menggunakan penelitian tindakan bimbingan konseling dengan dua siklus. Dan pada siklus kedua diperoleh peningkatan yang signifikan setelah diberikan layanan konseling kelompok dengan media animasi. Berdasarkan analisis data diperoleh hasil bahwa sebanyak 5 siswa (41,7%) dalam kategori sangat tinggi, dan 7 siswa (58,3%) dalam kategori Tinggi.
MENINGKATKAN PERCAYA DIRI SISWA MELALUI LAYANAN INFORMASI BERBANTUAN AUDIOVISUAL
Authors: Aristiani Rina
Published: March 2017

Percaya diri merupakan aspek yang sangat penting bagi seseorang untuk dapat mengembangkan potensinya. Jika seseorang memiliki bekal percaya diri yang baik, maka individu tersebut akan dapat mengembangkan potensinya dengan mantap. Namun jika seseorang memiliki percaya diri rendah, maka individu tersebut cenderung menutup diri, mudah frustasi ketika menghadapi kesulitan, canggung dalam menghadapi orang, dan sulit menerima realita dirinya. Memiliki percaya diri yang tinggi dalam diri siswa dapat membantu mencapai prestasi dan hasil belajar yang lebih baik lagi. Dengan begitu akan terjadi proses perubahan dalam diri siswa bukan hanya pada hasil belajar tetapi juga pada perilaku dan sikap siswa, yaitu keberanian, keaktifan, dan aktualisasi diri siswa saat proses belajar mengajar. Latar belakang penelitian adalah pelaksanaan layanan informasi masih belum optimal karena belum menggunakan media yang tepat.
PENGARUH MODEL PEMBELAJARAN VALUE CLARIFICATION TECHNIQUE TERHADAP PEMAHAMAN NILAI TRADISI SEJARAH DITINJAU DARI KECERDASAN EMOSIONAL PADA SISWA KELAS X SMA NEGERI DI KABUPATEN KUDUS TAHUN PELAJARAN 2011/2012
Authors: Purbasari Imaniar
Published: March 2017

Penelitian Pengaruh Model Pembelajaran VCT (Value Clarification Technique) terhadap Pemahaman Nilai Tradisi Sejarah Siswa Kelas X Sekolah Menengah Atas Negeri Kabupaten Kudus Tahun Pelajaran 2011/2012 Ditinjau dari Kecerdasan Emosional bertujuan untuk mengetahui: (1) Perbedaan pengaruh antara model pembelajaran VCT (Value Clarification Technique) dan Ekspositori terhadap Pemahaman Nilai Tradisi Sejarah pada siswa kelas X SMA Negeri di Kabupaten Kudus, (2) Perbedaan pengaruh antara siswa yang memiliki kecerdasan emosional rendah dan tinggi terhadap Pemahaman Nilai Tradisi Sejarah pada siswa kelas X SMA Negeri di Kabupaten Kudus, (3) Interaksi antara model pembelajaran dan kecerdasan emosional terhadap Pemahaman Nilai Tradisi Sejarah pada siswa kelas X SMA Negeri di Kabupaten Kudus. Metode yang dipergunakan dalam penelitian ini adalah kuantitatif eksperimen. Populasi penelitian adalah siswa SMA Kelas X di Kabupaten Kudus semester 1 Tahun Pelajaran 2011/2012. Teknik pengambilan sampel yang digunakan adalah multistage cluster random sampling, dengan rincian: siswa SMA N 1 Bae Kudus sebagai kelompok eksperimen, siswa SMA N 2 Kudus sebagai kelompok kontrol, dan siswa SMA N 2 Bae Kudus sebagai kelompok uji coba. Teknik pengumpulan data menggunakan angket untuk mengumpulkan data tentang kecerdasan emosional dan tes untuk mengumpulkan data tentang Pemahaman Nilai Tradisi Sejarah. Analisis hasil penelitian menggunakan teknik Analisis Varians (ANAVA) dua jalur (2 x 2). Hasil uji hipotesis penelitian menunjukkan: (1) Terdapat perbedaan pengaruh antara model pembelajaran VCT (Value Clarification Technique) dan Ekspositori terhadap Pemahaman Nilai Tradisi Sejarah pada siswa kelas X SMA Negeri di Kabupaten Kudus dengan Fhitung = 155,765 > F tabel (? = 0,05) = 3,11 taraf signifikansi 0,05, hal ini berarti Ho ditolak; (2) Tidak terdapat perbedaan pengaruh antara siswa yang memiliki kecerdasan emosional rendah dan tinggi terhadap Pemahaman Nilai Tradisi Sejarah siswa kelas X SMA Negeri di Kabupaten Kudus dengan Fhitung = 0,610 < F tabel (? = 0,05) = 3,11 taraf signifikansi 0,05, hal ini berarti Ho diterima; (3) Tidak terdapat interaksi antara model pembelajaran dan kecerdasan emosional terhadap Pemahaman Nilai Tradisi Sejarah siswa kelas X SMA Negeri di Kabupaten Kudus dengan Fhitung = 0,82 < F tabel (? = 0,05) = 3,11 taraf signifikansi 0,05, hal ini berarti Ho diterima.
PERAN KONSELOR SEKOLAH DALAM MENINGKATKAN KONSENTRASI PADA SISWA HIPERAKTIF (ADHD)
Authors: Hidayati Richma
Published: March 2017

Gangguan pemusatan perhatian sering disebut ADHD (Attention Deficit Hyperactive Disorder), gangguan ini ditandai dengan ketidak mampuan anak untuk memusatkan perhatiannya pada sesuatu yang dihadapi, sehingga rentang perhatiannya sangat singkat waktunya dibandingkan dengan anak lain yang seusianya. Siswa hiperaktif bukan karena kesengajaan, melainkan karena ketidakmampuan fisik diri. Siswa hiperaktif jika dibiarkan dalam jangka panjang dan tanpa penanganan khusus, maka gangguan tersebut dapat menjadi faktor penghambat bagi terbentuknya kepribadian yang matang pada usia dewasa. Selain itu juga dapat mengalami kesulitan untuk melakukan proses belajarnya. Hal ini bisa terjadi karena siswa cenderung bersikap tidak sewajarnya dan semaunya sendiri sehingga tidak ada motivasi untuk belajar dan akan mengalami kesulitan dalam memusatkan perhatian dan konsentrasi belajarnya. Tidak menutup kemungkinan katika seorang konselor dalam menjalankan kewajiban dan tanggung jawabnya di sekolah, konselor sekolah akan mengahadapi siswa hiperaktif. Konselor sangat berperan penting dalam membantu siswa ADHD khususnya dalam meningkatkan konsentrasi belajarnya supaya siswa tersebut tidak menemui permasalahan dalam belajarnya dan mampu memperoleh hasil pembelajaran yang maksimal.
PENGEMBANGAN MEDIA BIMBINGAN DAN KONSELING BERBASIS ISLAMI UNTUK MEMBENTUK KARAKTER MANDIRI ANAK USIA DINI
Authors: Lestari Indah
Published: March 2017

Pelayanan bimbingan dan konseling di lembaga pendidikan anak usia dini dilaksanakan terintegrasi dengan kegiatan pengembangan yang dilakukan oleh pendidik anak usia dini yang ditandai dengan adanya pemahaman yang menyeluruh terhadap karakteristik anak dengan segenap potensinya melalui media permainan. Inovasi media pelayanan bimbingan dan konseling yang sarat akan nilai sangat diperlukan untuk menyeimbangkan permainan-permainan yang sekarang sudah marak beredar di zaman serba teknologi ini yang kurang memberikan penanaman moral kepada anak usia dini,salah satu aspek yang dapat mendorong percepatan meningkatnya moral anak melalui sentuhan nilai-nilai agama. Hal ini mendasari peneliti untuk mengembangan media bimbingan dan konseling berbasis islami untuk membentuk karakter mandiri anak usia dini kabupeten kudus Tujuan penelitian adalah untuk mendapatkan media yang tepat dan berhasil guna, jenis penelitian yang digunakan adalah design reseach. Hasil penelitian ini menunjukkan bahwa media yang dikembangkan dapat merangsang dan meningkatkan kemandirian siswa dalam suasana bermain yang menyenangkan.