bluuebunny/crossref_metadata_2025 huggingface dataset:
TUGAS REVIEW PEMIKIRAN EKONOMI DAN BISNIS KP:A DISUSUN OLEH: GEOVANO,JERRY,TAUFIK,DICKY,ARIESKI “EVAMPLING THE SUPPLY CHAIN- OF FRUIT AND VEGETABLE IN EAST JAVA PROVINCE, INDONESIA”
Authors: Elvarett Geovano
Published: February 2020

Indonesia sebagai salah satu negara dengan sumber daya alam yang besar, membuat Indonesia terkenal sebagai salah satu negara penghasil buah dan sayur terbesar di Asia Tenggara. Indonesia juga memilki populasi penduduk yang terus bertambah, dan penduduk Indonesia sudah mulai meningkat sadar pada kesehatan, sehingga membuat permintaan akan makanan sehat seperti buah-buahan dan sayur terus meningkat tiap tahun. Namun, permintaan yang terus meningkat tidak di imbangi dengan bantuan ketersediaan pasokan dari pusat produksi yang menghasilkan buah-buahan dan sayur, yang di karenakan inovasi, teknologi yang masih kurang, informasi yang diperoleh para petani masih terbatas, dan juga dari pihak pemerintah. Permasalahan yang ada membuat harga buah-buahan dan sayur menjadi tidak stabil, dan menyulitkan konsumen.
Administrasi Peserta Didik Kelompok 9
Authors: Pratiwi Doni , Afriansyah Hade , ana selvia indri
Published: February 2020

The purpose of this article is to improving human resources in terms of quality about student administration through education. In the world of education life of students begins when entering school. And to maximeze service for student themselves, there is a system that regulates and covers all the scope needed by student to maximize their potential, which is called the administration of students. This article contains studiens from various sources of literature studies, both from books, journal and from order sources related to educational administration.
Penerapan Model POE2We Berbasis Blended Learning dengan Media Google Classroom
Authors: _ Novianti , Nana
Published: February 2020

The purpose of this paper is to describe the application of the Blended Learning-based POE2WE model with the Google Classroom median to improve student learning outcomes in physics learning. This writing is motivated by the lack of mastery of technology by educators as well as the lack of mastery of the material delivered by educators to students, so that learning has not been maximized. For this reason, there is a need for methods from educators to improve student learning outcomes, one of which is by using the blended learning method and the POE2WE learning model. So the results of this paper indicate that the application of the POE2WE model based on Blended Learning with Google Classroom media can be used as a solution of problems in teaching and learning in the classroom.
Administrasi Pendidik dan Tenaga Kependidikan
Authors: Lizana Ainay , Afriansyah Hade
Published: February 2020

This article is about the administration of educators and education personnel in order to know the administration of educators and education, knowing the scope and objectives of the administration of educators and education personnel. In this article, authors wrote the method of literature study by collecting literature (material materials) sourced from books, journals, and other science-related resources about the administration of learners. The education personnel themselves are members of the community who are devoted and appointed to support the implementation of education. Where the education personnel meet the requirements prescribed by applicable laws, appointed by the competent officer, are assigned a duty in a position and paid according to the prevailing rules.
Administrasi Hubungan Sekolah dengan Masyarakat (Husemas)
Authors: riska Seiski afrita , Afriansyah Hade
Published: February 2020

Administration of school and community relations is part of studying education administration and supervision. School is a formal educational institution, which can educate students in the supervision of an educator. One of the principles used is integrity, which means that all activities related to schools and communities must be conveyed clear information. This article is arranged systematically by gathering the study material in advance contained in book, journal and articles. The role of the teacher is very necessary in the implementation of community and school relations. Where teacher also must understand tehe existence of teacher’s code of ethics which are rules that must be implemented and must not be violated.
IMPLEMENTASI PENDEKATAN SAINTIFIK DENGAN MENGGUNAKAN MODEL POE2WE UNTUK MELATIH LITERASI SAINTIFIK DAN MENINGKATKAN HASIL BELAJAR SISWA DALAM DOMAIN KOMPETENSI PADA TOPIK GERAK LURUS
Authors: Risdianti Desty Annisa
Published: February 2020

Penelitian ini bertujuan untuk mengetahui dan menganalisis perbedaan antara siswa yang mendapatkan pembelajaran dengan pendekatan saintifik melalui model POE2WE ini dan menerapkan pendekatan saintifik untuk melatih literasi saintifik dengan siswa yang mendapatkan pembelajaran. Metode atau pendekatan yang digunakan dalam tulisan ini menggunakan metode atau pendekatan kepustakaan (library research), sedangkan pengumpulan data dilakukan dengan menelaah dan/atau mengekplorasi beberapa Jurnal, buku, dan dokumen-dokumen (baik yang berbentuk cetak maupun elektronik) serta sumber-sumber data dan atau informasi lainnya yang dianggap relevan dengan kajian. Temuan dalam kajian ini adalah pelaksanaan pembelajaran dengan menggunakan pendekatan saintifik melalui model POE2WE terlaksana dengan baik sehingga terdapat peningkatan hasil belajar pada siswa dalam materi gerak lurus yang dapat dilihat dari hasil nilai pre-test dan post-test siswa. Selain itu siswa juga mengalami peningkatan yang signifikan dengan menggunakan pendekatan saintifik karena dapat melatihkan siswa dalam literasi saintifik. Dengan demikian, desain pembelajaran yang dirancang pada penelitian ini dengan pendekatan saintifik untuk melatihkan literasi saintifik pada topik gerak lurus dapat ikut serta memperkaya kajian keilmuan pembelajaran Fisika di sekolah menengah.
Review Jurnal Evamping the Supply Chain of Fruit and Vegetable in East Java
Authors: Y. Amanda Dhia M.
Published: February 2020

paper ini menganai pembahasan tenting journal yang Siberian Pada mata kuliah pemikiran ekonomi yang berjudul Evamping the Supply Chain of Fruit and Vegetable in East Java
2019-nCoV 3C-Like Protease carries an activity-enhancing T285 /A variation which may contribute to its high infectivity
Authors: Song Jianxing
Published: February 2020

In 2019, a mysterious outbreak of pneumonia occurred in Wuhan, China, which then rapidly spread over the world. Now it was identified to be associated with a new coronavirus “2019-nCoV”. Noticeably, 2019-nCoV appears to have much higher infectivity than SARS-CoV but the underlying mechanisms still remain unknown. Here, we found that despite the relatively low identity at nucleotide level, the 2019-nCoV and SARS CoV have almost identical 3C-like proteases in both sequence and structure. Most unexpectedly, the 2019-nCoV 3C-like protease carries the Thr285Ala variation we previously constructed and showed to enhance the enzymatic activity. This finding may partly explain its observed high infectivity and certainly needs to be studied experimentally and computationally.
Sex and reproduction: a theoretical analysis
Authors: XU ZHONGNENG
Published: February 2020

Sex in some organisms is a continuous spectrum. Sometimes sexual differences in an individual’s organs are contradictory and determined by physiological, pathological, and environmental factors, leading to debate over the definitions of sex in individuals. This study indicates that the essence of sex is distinguishing between reproductive subjects and that the unit of reproduction is not the individual but the reproductive cell. To properly supplement the existing sex definitions, a definition of in which only reproductive cells have sexes was herein addressed, focusing on material contributions to reproduction and the formation of zygotes by reproductive cells. Equations to describe sexes were proposed, as well as equations to make this only reproductive-cell sex definition compatible with the individual sex definition based on the quantitative proportions of different reproductive cells. The explanation of sex determination, sex differences, and sex competition by the definition of only reproductive-cell sex was discussed.
MELIHAT POLA YESUS DALAM MENGHADAPI KEMATIAN DALAM MATIUS 26:36-46
Authors: Pasaribu Ferdinan
Published: February 2020

Pada hakekatnya manusia tidak diciptakan untuk mati, tetapi untuk hidup, sebab Allah menciptakan manusia dalam keadaan yang teramat sangat baik (sempurna). Dalam keadaannya yang sempurna, manusia sesungguhnya dapat hidup selamanya, tidak mengenal sakit-penyakit dan kematian. Tetapi karena dosa sifat manusia menjadi mortal (bisa mati), berbeda dengan Malaikat yang adalah makhluk roh (immortal) atau tidak bisa mati. Kematian jasmani merupakan hukuman Allah yang adil dan tak terelakkan terhadap dosa manusia. Hal ini diungkapkan dengan tegas oleh rasul Paulus dalam surat Roma 6:23, bahwa: ”upah dosa adalah maut” (kematian jasmani), yang mengakibatkan semua orang untuk tunduk pada kematian ”transmisi dosa atau universalitas”. Kehidupan dan kematian adalah dua realitas eksistensial yang harus dijalani oleh setiap orang (2 Sam. 1:23; Ams. 18:21). Kematian dirumuskan hakekatnya sebagai penarikan kebali nafas kehidupan atau Roh Allah dari dalam kehidupan manusia (Ayb. 34:14-15). Manusia dianggap sudah mati ketika nafas kehidupan sudah tidak ada lagi dalam tubuh (1 Raj. 17:17). Kenyataan tentang kematian ini secara tegas dituliskan dalam kitab Pengkhotbah, bahwa setiap makhluk atau manusia sama di hadapan kematian (Pkh. 2:16).
How often do leading biomedical journals use statistical experts to evaluate statistical methods? The results of a survey.
Authors: Hardwicke Tom Elis , Goodman Steve
Published: February 2020

Scientific claims in biomedical research are typically derived from statistical analyses. However, misuse and misunderstanding of statistical procedures and results permeates the biomedical literature, affecting the validity of those claims. One approach journals have taken to address this issue is to enlist expert statistical reviewers. How many journals do this, how statistical review is incorporated, and how its value is perceived by editors is of interest. Here we report an expanded version of a survey conducted more than 20 years ago by Goodman and colleagues (1998) with the intention of characterizing contemporary statistical review policies at leading biomedical journals. We received eligible responses from 107 of 364 (28%) journals surveyed, across 57 fields, mostly from editors in chief. 34% (36/107) rarely or never use specialized statistical review, 34% (36/107) used it for 10-50% of their articles and 23% used it for all articles. These numbers have changed little since 1998 in spite of dramatically increased concern about research validity. The vast majority of editors regarded statistical review as having substantial incremental value beyond regular peer review and expressed comparatively little concern about the potential increase in reviewing time, cost, and difficulty identifying suitable statistical reviewers. Improved statistical education of researchers and different ways of employing statistical expertise are needed. Several proposals are discussed.
Pengertian, dan Proses Administrasi Kurikulum
Authors: putri Elza dwi
Published: February 2020

Educational programs administration may be a framework of educational modules administration that's cooperative, comprehensive, systemic, and efficient in arrange to realize the achievement of educational modules goals. A great educational programs could be a educational modules that follows the advancement of science and innovation based on society. The administration of a educational modules decides victory and disappointment in instruction. Therefore, the obligation of instructive teach and all instruction stakeholders ought to have the same vision in arranging, organizing, implementing and assessing a curriculum.
"The Legal Basis for the Exercise of Jurisdiction by the International Criminal Court and the Preparatory Work of the Rome Statute (V)," Journal of International Relations and Comparative Culture, Vol. 18, No. 2 (March 2020), pp. 37-48.
Authors: Kitano Yoshiaki
Published: February 2020

This paper aims to discuss the legal basis for the exercise of jurisdiction by the International Criminal Court while viewing the topic as one of the issues demonstrating the current status of general international law concerning the creation of obligations for non-party states. The table of contents included in this part 5 is as follows: Chapter 3 Examination of the Preparatory Work of the Statute (Continued) (Section 2 Analysis of the Relevant Discussions Conducted in the Preparatory Work of the Statute (Continued) (2. Discussions on the State-Consent Requirements and Legal Basis for the Proposed ICC’s Exercise of Jurisdiction ((A) Exercise of Jurisdiction in the Cases of the State Parties’ Referral or Prosecutor’s Initiative))).
Hypocognition and the Invisibility of Social Privilege
Authors: Wu Kaidi , Dunning David Alan
Published: February 2020

Are members of socially dominant groups aware of the privileges they enjoy? We address this question by applying the notion ofhypocognition to social privilege. Hypocognition is defined as lacking a rich cognitive or linguistic representation (i.e., a schema) of a concept in question. By social privilege, we refer to advantages that members of dominant social groups enjoy because oftheir group membership. We argue that such group members are hypocognitive of the privilege they enjoy. They have little cognitive rep- resentation ofit. As a consequence, their social advantage is invisible to them.
Children’s Discrete Proportional Reasoning Is Related to Inhibitory Control and Enhanced by Priming Continuous Representations
Authors: Abreu-Mendoza Roberto A. , Coulanges Linsah , Ali Kendell , Powell Arthur B. , Rosenberg-Lee Miriam
Published: February 2020

Children can successfully compare continuous proportions as early as age 4, yet struggle to compare discrete proportions least to age 10, especially when the discrete information is misleading. This study examined whether inhibitory control contributes to individual differences in discrete proportional reasoning and whether reasoning could be enhanced by priming continuous information. Forty-nine second-graders completed two tasks. In the Hearts and Flowers (H&F) task, a measure of inhibition, children pressed either on the corresponding or opposite side depending on the identity of the displayed figure. In the Spinners task, a measure of proportional reasoning, children chose the spinner with the proportionally larger red area, across continuous and two discrete formats. In the discrete adjacent format, the continuous stimuli were segmented into sections, which could be compatible with the proportional information or misleading; the discrete mixed format interspersed the colored sections from the discrete adjacent conditions. Finally, two priming groups were formed. Children who saw the continuous immediately before the discrete adjacent format formed the Continuous-priming group (n =26). Children who saw discrete mixed immediately before the discrete adjacent format formed the Discrete-priming group (n =23). Our results showed that children who performed better in the H&F task also had better performance on the discrete counting misleading trials. Furthermore, children in the Continuous-priming group outperformed children in the Discrete-priming group, specifically in contexts where discrete information was misleading. These results suggest that children’s proportional reasoning may be improved by fostering continuous representations of discrete stimuli and by enhancing inhibitory control skills.
What’s hidden in my filedrawer and what’s in yours? Disclosing Non-published Findings in the Cognitive Science of Religion
Authors: van Elk Michiel
Published: February 2020

In this short report I present an overview of different unpublished studies that we conducted in my lab over the past years. Across the different studies we observed consistent effects of our experimental manipulations or variables of interest on self-report measures, but less so on behavioral and neurocognitive measures. For instance, religious people said they were more prosocial but did not donate more money (Study 1 & 2); participants experienced awe but this did not affect their body and self perception (Study 6 & 7); participants had mystical-like experiences but this did not affect the perception of their peripersonal space (Study 8 & 9); and self-reported magical thinking was unrelated to superstitious behavior (Study 11). In other studies, the hypothesized effects did not bear out as expected or were even in an unexpected direction. Participants perceived more agency in threatening pictures and scenarios, but this was not related to their supernatural beliefs (Study 3-5) and a death priming manipulation reduced rather than increased participants’ religiosity (Study 10). Opening the filedrawer through the publication of short reports like this one, will hopefully further increase transparency and will help other researchers to learn from our own trials and errors.
Linking Service Provision to Material Cycles – A New Framework for Studying the Resource Efficiency-Climate Change Nexus (RECC)
Authors: Pauliuk Stefan , Fishman Tomer , Heeren Niko , Berrill Peter , Tu Qingshi , Wolfram Paul , Hertwich Edgar
Published: February 2020

Material production accounts for 23% of all greenhouse gas emissions. More efficient use of materials – through decoupling of services that support human wellbeing from material use – is imperative as other emissions mitigation options are expensive. An interdisciplinary scientific assessment of material efficiency and its links to service provision, material cycle management, and climate policy is needed to identify effective strategies and help design the policy framework required for their implementation. We present RECC, the Resource Efficiency-Climate Change mitigation framework, a first step towards such a comprehensive assessment. RECC is based on dynamic material flow analysis and links the services provided (individual motorized transport and dwelling) to the operation of in-use stocks (passenger vehicles and residential buildings), to the expansion and maintenance of these stocks to their material cycles (major materials like steel and cement), and to energy use and climate impacts. A key innovation of RECC is the up-scaling of detailed descriptions of future product archetypes with different degrees of material and energy efficiency, which are simulated with engineering tools.We utilize RECC with augmented storylines of the shared socioeconomic pathways (SSP) to describe future service demand and associated material requirements. Ten material efficiency strategies at different stages of the material cycle can be assessed by ramping up their implementation rates to the identified technical potentials. RECC provides scenario results for the life cycle impacts of ambitious service-material decoupling concurrent with energy system decarbonization, giving detailed insights on the resource efficiency-climate change mitigation nexus to policy makers worldwide.
The Effect of Peer-to-Peer Risk Information on Potential Migrants - Evidence from a Randomized Controlled Trial in Senegal
Authors: Tjaden Jasper , Dunsch Felipe
Published: February 2020

In response to mounting evidence of the dangers of irregular migration from Africa to Europe, the number of information campaigns designed to raise awareness of the potential risks has rapidly increased. Governments, international organizations and civil society organizations implement a variety of campaigns to counter misinformation spread by smuggling and trafficking networks. The evidence on the effects of such information interventions on potential migrants remains limited and largely anecdotal. More generally, the role of risk perceptions for the decision-making process of potential irregular migrants is rarely explicitly tested while the concept of risk pervades conventional migration models, particularly in the field of economics. We address this gap by providing causal evidence of the effects of a peer-to-peer information intervention on the perceptions, knowledge and intentions of potential migrants in Dakar, Senegal, using a randomized controlled trial design. The results show that – three months after the intervention – peer-to-peer information events about risks increased potential migrants’ subjective information levels, raised risk perceptions; and reduced intentions to migrate irregularly. We found no substantial effects on factual migration knowledge. We discuss how the effects may be driven by the trust and identification-enhancing nature of peer-to-peer communication.
Antioxidant activity, total phenolic and flavonoid content determination of some selected medicinal plants from Kavre District of Nepal
Authors: Kharel Rupak , Sharma Khaga Raj
Published: February 2020

Available with fulltext.
Helminth Parasites of Pigs and Development of Suitable Strategy for Its Control
Authors: Baskota N. , Shrestha S. P.
Published: February 2020

The study aimed to formulate the suitable development strategies to control helminthiasis in pig by understanding the nature of the epidemiological pattern that is yet to exploit to further enhance its productivity. A longitudinal study was done to find the general prevalence pattern of helminth parasites from June/ July 2017 to May/June 2018 in the research farm of Swine and Avian Research Program, Khumaltar. A total of 50 animals of different age groups were considered for the study and they were deprived of antihelminthic treatment throughout the study period. The fecal samples were collected at 3-4 months interval and EPG was done as per the standard protocol. Three different groups of antihelminthic were used including a control group as different treatments and they were assigned as T1- Pyrantel pamoate, T2- Benzimidazoles, T-3 Imidazothiazole, and T-4 Control. The EPG was done for at least 3-week post-treatment. The result of this study showed the significant effect of the season (p<0.05) as a high prevalence of roundworms especially Ascaris (60%) and Strongylus (40%) during June/ July with more than 30 cases. However, a slight increase in parasitic prevalence was seen in September/October and Jan/Feb too. Similarly, all the antihelminthics used were 100% effective (p>0.05) against these roundworms. The female and young groups of animals showed remarkable symptoms of parasitic infections compared to the male ones. In conclusion, the different groups of drugs demonstrated very satisfactory performances in terms of the removal of parasites for good health of pigs and these should be given at 3-4 months interval as routine deworming schedule.
Boris de Schloezer: A translator’s paradox
Authors: Bisson B. J.
Published: February 2020

Russian born Boris de Schloezer (1881–1969) is mainly known as one of the first translators-cum-philosophers who contributed to spreading Leo Shestov’s ideas and to introducing the European audience to some of new musical forms invented by the Russian émigré composers and musicians. Schloezer is widely acclaimed as one of the greatest translators of Russian literature into French in the 20th c. He proposed his own way of translating Russian classics and among the authors he translated are Leo Tolstoy and Fyodor Dostoyevsky, but also the philosopher Leo Shestov. In the foreword ‘En marge d’une traduction’ to his 1960 translation of War and Peace [ Voyna i mir ] Schloezer explicated his principles of literary translation and author’s language. This text was not only a major landmark of his career as a translator but his final achievement in this matter. More than twenty years later this text was reedited in Paris in a special issue with different texts written by Schloezer and other majors French authors about Schloezer’s works. This publication makes this text accessible to the Russian readers for the very first time.
Personal time. Lyubishchev’s system, Daniil Granin’s recommendations
Authors: Trimoruk E.
Published: February 2020

The article offers an analytical review of D. Granin’s This Strange Life [ Eta strannaya zhizn ]. The author focuses on the practical application of the system devised by the protagonist, Lyubishchev, and examines the effects of time tracking on everyday life. The author focuses on various time-consuming activities: learning and education, personal needs, entertainment, and drafting of a report ‘to Time about time expenditure’. The paper highlights examples showing usability of Professor Lyubishchev’s time management system. Along with a description of the time tracking principles, the author comments on Granin’s depiction of Lyubishchev’s character, his attitude towards the protagonist, and describes Granin’s own diaries practice as productive. Therefore, the article provides a twofold vision of time: both as an object and a subject. The author comes to a conclusion that Granin’s treatment of time in his text is paradoxical.
Uralsky, M. (2018). Gorky and the Jews. St. Petersburg: Aleteya; Uralsky, M. (2018). Bunin and the Jews. St. Petersburg: Aleteya
Authors: Scherr B. P.
Published: February 2020

The two books by Mark Uralsky discussed in this review bring together vast amounts of information about the relationships that two leading Russian writers of their day had with Jewish figures. The topic ‘Bunin and the Jews’ is the less expected, since Bunin had very little connection with Jews before the Revolution. However, afterward — first in Odessa and then in France — he was in regular contact with a number of figures who offered him support in various ways, while he in turn provided protection to several Jews during World War II. The general outlines of Gorky’s extensive interest in Judaism and in Jewish writers are better known, but here too Uralsky makes accessible materials that were either widely scattered or not previously published. Both books suffer somewhat from a seeming haste in their preparation, resulting in minor errors and some structural awkwardness, but these factors do not seriously detract from their value.
Diagnosis and Clinical Management of Neuroendocrine Tumor of the Breast: Report of Six Cases and Systematic Review of Existing Literature
Authors: Tinterri Corrado , Bottini Alberto , Luca Alessandro De , Sagona Andrea , Tinterri Corrado , Marrazzo Emilia , Barbieri Erika , Frusone Federico , Puliani Giulia , Canavese Giuseppe , Gatzemeier Wolfgang
Published: February 2020

Introduction: Neuroendocrine neoplasm of the breast (bNENs) are considered a rare disease, even if in
WHO data they represent about 2-5 % of all breast cancer. The last WHO classification includes: welldifferentiated neuroendocrine tumor (bNET), neuroendocrine carcinoma (NEC) and invasive carcinoma
with neuroendocrine differentiation. The current knowledge on clinical management of bNENs is poor and
patients are usually treated according to non-endocrine tumor components guidelines.
Materials and Methods: We presented our experience of six cases of bNENs. Moreover, we conducted a
systematic review of published data on diagnosis, treatment and outcome of this kind of tumors.
Results: bNENS usually presented as palpable breast masses, classically appearing as irregular hypoechoic
lesions at US examination and as hyperdense masses at mammography. Usually pre-operative tumor biopsy
is not able to recognize the neuroendocrine components and the final diagnosis is performed only on
definitive histopathological assessment. The most frequent subtype seems to be neuroendocrine carcinoma
and synaptophysin is positive in most specimens. Treatment strategies, including surgical treatment,
radiotherapy and medical treatment are nowadays based on current non-endocrine breast cancer guidelines,
independently from neuroendocrine components, even if some studies have proposed the use of somatostatin
analogues for bNET and cisplatin-etoposide for NEC. Prognosis of all bNENs, especially of poorly
differentiated neoplasia, seems worse compared to non-neuroendocrine breast cancer and stage and
morphology seem the best predictor of tumor outcome.
Conclusions: We provide an algorithm for clinical management of bNETs, basing on available data. More
studies are necessary for confirming the best treatment strategy for these patients, in order to improve
clinical outcome
Adult Medulloblastoma Presenting with Extensive Supratentorial Metastasis with Radiographically Occult Infratentorial Disease: Case Report and Review of the Literature
Authors: Seaman Scott , Jones Karra , Seaman Scott , Abel Taylor , Moritani Toshio , Monga Varun
Published: February 2020

This case represents the unique occurrence of supratentorial dissemination of medulloblastoma in the
absence of overt cerebellar disease. The authors present the case of a 64-year-old man who presented with
headaches and intractable nausea with imaging abnormality seen only in the bilateral caudate. Follow-up
imaging studies revealed a cerebellar lesion later confirmed by biopsy to be medulloblastoma. Subsequent
biopsy of the originally evaluated caudate lesion demonstrated histologically identical medulloblastoma.
Medulloblastoma should be considered in cases of supratentorial masses of unclear origin and should
prompt careful inspection of the posterior fossa.
Liver Needle Biopsies are Poor Predictors of Histologic Tumor Grade for Midgut Neuroendocrine Tumors
Authors: Ramirez Robert A. , Wang Yi-Zarn , Voros Brianne , Beyer David T. , Woltering Eugene A. , Kokodis Ioni , Oliva Irma , Boudreaux J. Philip , Ricks M. Jennifer , Thiagarajan Ramcharan , Ramirez Robert A. , Mattison Yvette Bren
Published: February 2020

Background: Our group has previously shown than neuroendocrine tumors (NETs) are heterogeneous
neoplasms having histologic and functional differences between their primary tumor, lymph node, and
hepatic metastases. Due to the heterogeneity of these malignancies, we hypothesized that there would be
discordance between the histologic grade of surgical specimens and that predicted by preoperative biopsies.
Methods: Twenty consecutive patients diagnosed with NETs of the ileum and hepatic metastasis were
included. Ki-67 proliferative index and WHO 2010 histologic grade were recorded for preoperative hepatic
needle biopsy and subsequent tissue-matched surgical specimens. Concordance between sample values was
determined.
Results: Ten males and 10 females were included in this analysis. Five and 15 patients had fine-needle
aspirate (FNA) and core needle biopsies, respectively. Preoperative biopsies predicted the histologic grade
of subsequent tissue-matched surgical specimens in only 65% of samples (13/20). Of the 7 values that
changed grade (7/20, 35%), 4 went from intermediate (G2) to low (G1) grade [1 FNA and 3 core biopsies]
and 3 went from low (G1) to intermediate (G2) grade [1 FNA and 2 core biopsies]. The corresponding interrater agreement statistic (K) was 0.251±0.230 (95% CI: -0.199-0.702), with 0.21<K<0.40 indicating fair
strength of agreement.
Conclusion: Preoperative fine-needle aspirates and core needle biopsies of hepatic metastasis have a 35%
error rate in predicting the histologic grade from subsequent tissue-matched surgical NET specimens.
Clinicians should be cognizant of this error rate when making decisions on systemic treatment and consider
repeat needle biopsy or open biopsy if the actual clinical course does not match predicted behaviour.
Oral Manifestation in a Patient with Bilateral Duane Syndrome: A Case Report
Authors: Sicurezza Edoardo , Sicurezza Edoardo , Palazzo G. , Mattina T. , Nicotra V.
Published: February 2020

Duane syndrome is a rare retraction anomaly characterized by congenital non-progressive horizontal
ophthalmoplegia and other systemic signs. No data has been yet registered about oral manifestation of
Duane syndrome. In this article we present a six years old male patient was diagnosed as having Duane
retraction syndrome. He presented skeletal Class III with both maxillary and mandibular protrusion,
counter clock-wise mandibular rotation, lingualized maxillary and mandibular incisors, first mandibular
molar agenesis, asymmetric morphology of the mandibular condyles and multiple decay lesions. Posteroanterior x-ray showed an asymmetrical craniofacial structure. The aim of this case report was to describe
the oral signs of a patient affected by DRS.
Instrument Separation Outside the Root Canal: Handling Methods and Difficulties
Authors: Song Zhifeng , Chen Bo , Liu Haijiang , Yi Min , Wu Mingtao , Wang Xiaoping , Song Zhifeng
Published: February 2020

In endodontics, fracturing of the instrument in the root canal can arise as an inevitable problem for the
dentist, especially during the application of the metal-nickel-titanium devices to the root canal. What is
more, the broken parts of the instruments may be beyond the point of the apex, which can produce a range
of symptoms and cause additional physical and mental pain to the patients that must be relieved as fast as
possible. A few cases are available, in which the separated endodontic instruments beyond the apex are
addressed with surgical approaches, indicating that some cases can be resolved by surgical management.
However, it is difficult to achieve the ideal results often due to bleeding, a lack of clinic experience, and an
inability to accurately comprehend soft tissue activities. The best way, then, is to prevent the occurrence
entirely if possible.
Amino Acid Plasma Profile in Children with Type 1 Diabetes
Authors: Durá-Travé Teodoro , Ahmed-Mohamed Lotfi , Gallinas-Victoriano Fidel , Malumbres-Chacón María , Urretavizcaya-Martinez María , Moreno-González Paula , Durá-Travé Teodoro
Published: February 2020

Background: Insulin deficiency inhibits protein synthesis and stimulates protein degradation, and
therefore amino acid metabolism could be altered in diabetes mellitus.
Objective: To analyze amino acid plasma profile in a group of children with type 1 diabetes, and to
evaluate its potential application as a marker of metabolic control for the disease.
Methods: A clinical assessment and metabolic study (amino acid plasma concentrations) was performed
in a group of 49 children diagnosed with type 1 diabetes, aged 8.6 to 14.3 years, and a group of 48 healthy
children (control group), aged 7.4 to 14.8 years.
Results: Plasma concentrations of ARG, GLN, ILE, PHE, THR, TYR, VAL and TAU were significantly
higher (p<0.05) within the diabetic group with respect to the control group. Likewise, plasma
concentrations of branched-chain (347.65±58.76 vs. 285.20±45.20 nmol/ml), glucogenic
(1252.74±236.82 vs. 1053.69±211.19 nmol/ml) and ketogenic amino acids (441.62±57.09 vs.
354.13±53.45 nmol/ml) were significantly higher (p< 0.05) in the diabetic group with respect to the
control group. There was no correlation between the single amino acid (or amino acid groups) plasma
levels and the evolution of the disease (years) or HbA1c levels.
Conclusion: The study of changes in amino acid plasma profile in the young diabetic, probably as a
consequence of insulinopenia, could have interest as a marker of metabolic control for the disease
Outcomes of Weight Loss, Diabetes, Hypertension and Obstructive Sleep Apnoea after Bariatric Surgery in Patients with Super Morbid Obesity
Authors: Abualsel Abdulmenem , Abualsel Abdulmenem , Mhatre Ashish , Mathur Nalin , Dovey Susan
Published: February 2020

Introduction: There is currently a high prevalence of obesity in the Arabian Gulf yet relatively little
research on bariatric surgery. In this study we investigate the efficacy of bariatric surgery in patients with
super morbid obesity, defined as a Body Mass Index (BMI) of ≥ 50 kg/m2
.
Methods: All records of bariatric surgery at a single centre were examined. Outcomes measured include
Body Mass Index (BMI), percentage Excess Weight Loss (%EWL), Obstructive Sleep Apnoea (OSA),
Hypertension (HTN) and Type 2 Diabetes Mellitus (T2DM). Statistical relationships between %EWL
against age, type of surgery and gender were analysed.
Results: 144 patients were found to meet the inclusion criteria. Mean pre-operative BMI was 56.9 ± 6.1
kg/m2
. 90 (62.5%) patients underwent sleeve gastrectomy, 24 (16.7%) had one anastomosis gastric bypass,
16 (11.1%) had biliopancreatic diversion (Scopinaro’s procedure), and 14 (9.7%) had sleeve gastrectomy
with transit loop bipartition. 12 months post-operatively, mean BMI was 37.7 ± 7.5 kg/m2
, with a mean
%EWL of 62.9% ± 17.9%. There was 100% OSA resolution, 95.3% HTN resolution, and 79.4% T2DM
resolution. %EWL was found to decrease slightly with increased age, however no difference in %EWL was
found between types of surgery or genders.
Conclusion: Bariatric surgery is effective and may be justified in patients with super morbid obesity,
including the elderly population. However, there is a great need for larger, longitudinal studies. This would
be made possible by hospitals employing more regular and systematic reporting of data, and encouragement
of patients to follow up.
Torsional Stability of a Chevron Interface for Intercalary Allograft Fixation of the Femur
Authors: Wang Mei , Zebroski Jeremy P , Jr Donald A Hackbarth , Wang Mei , Tracy Sean C
Published: February 2020

Intercalary allografts are frequently used for diaphyseal long bone reconstruction following tumor resection.
Torsional stability between allograft and host bone is an important factor in achieving osseous union at the
interface and reducing fracture risk of the allograft. The purpose of this study was to evaluate the torsional
stability of an intercalary allograft construct using a new chevron type of osteotomy. The torsional load of
up to 4.0 Nm in both directions were applied to six matching pairs of fresh frozen cadaveric femurs,
reconstructed using either a 60-degree chevron or a modified step-cut interface. The torsional stiffness of
the construct and the interface rotation were compared between the two groups. The results showed that a
construct with a 60-degree chevron interface had comparable interface rotations and stiffness as those with
the modified step-cut interface. However, the large inter-specimen variations observed in rotation results of
the modified step-cut suggest higher technical requirements associated with this procedure. The study also
revealed a trend towards improved torsional stiffness with increased axial load of the chevron construct,
combined with its 55% more surface area across the graft-host interface over the modified step-cut, which
prove that 60-degree chevron interface may serve as a good alternative in intercalary allograft fixation.
Is Preoperative Sarcopenia a Good Predictor of Postoperative Complications and Outcomes after Pelvic Exenteration Surgery?
Authors: Hogan Sophie , Rangan Anna , Ritorni Felicity , Solomon Michael , Carey Sharon , Lai Simon , Hogan Sophie , Chan Virginia
Published: February 2020

Background: Sarcopenia is common in oncology patients and has been found to be associated with poorer
outcomes after surgery. Pelvic exenteration is a major surgery associated with high rates of morbidity. The
aim of this study was to determine if preoperative sarcopenia is associated with postoperative complications
and outcomes after pelvic exenteration surgery.
Methods: A retrospective study was conducted including 64 oncology patients who had undergone pelvic
exenteration surgery between August 2015 and January 2018 and had available preoperative lumbar CT
images. Skeletal muscle index (SMI) was calculated by analysing CT images using body composition
software. Sarcopenia was determined by using previously published SMI sex-specific cut-offs. Preoperative
nutritional status, nutritional indicators and other clinical factors were also collected.
Results: There was no association between preoperative sarcopenia and outcomes after pelvic exenteration
surgery, however, increased weight (p=0.027) and BMI (p=0.025) were associated with a greater number
of total complications. Increasing age was also significant (p=0.001) in explaining the greater number of
complications. Greater complexity of surgery itself was associated with greater postoperative complications
(p=0.014) and increased length of hospital stay (p=0.001).
Conclusion: Preoperative sarcopenia, using dichotomous cut-off points, is not sensitive enough to predict
postoperative complications and outcomes in oncology patients undergoing pelvic exenteration surgery;
however, other preoperative factors such as weight, BMI and age, and the complexity of surgery, do affect
outcomes. Assessment tools that incorporate several clinical and physical factors, such as frailty
assessments, should be used in future studies to identify risk factors in such major surgeries.
Endoscopic Calcaneoplasty in an Elite Runner
Authors: Labib Sameh A , M. Pendelton Albert , Y. Labib Jessica , Labib Sameh A
Published: February 2020

Haglund’s syndrome is a triad of postero-superior calcaneal prominence, retro-calcaneal bursitis and
insertional Achilles tendinopathy. Endoscopic treatment of patients with this triad allows for earlier weight
bearing, direct visualization of the Achilles insertion and less soft tissue disruption. In addition, it allows
excellent visualization of the pathology. We report a case of an elite runner that underwent Endoscopic
Calcaneoplasty done in the prone position. Prospective analysis of his performance before and after the
surgical intervention as well as post-operative rehabilitation is detailed. Prone positioning allows for easier
accessto the Haglund’s deformity, a more logical view on the monitor and a more ergonomic hand position.
Pirogoff Amputation with a Disappointing Outcome: A Case Report
Authors: Vegt Annelies van der , Vegt Annelies van der , H.B. Geertzen Joannes , A. Paping Maria
Published: February 2020

Case Presentation: A 53-year-old motorcyclist suffered trauma with an extensive foot injury. A Pirogoff
amputation was performed. A hindfoot amputation might be considered as an alternative option rather than
directly proceeding to a trans-tibial amputation.
Results: A Pirogoff amputation was performed with a disappointing course afterward. Subsequently, we
performed a literature search on the Pirogoff amputation.
Conclusion: Further research is needed concerning the optimal amputation level for patients who need a
hindfoot amputation since good studies are lacking. In general, a major advantage of the Pirogoff amputation
is the possibility of some barefoot mobility. The disadvantages are fitting problems due to a bulbous stump
and limited installation height for the incorporation of a prosthesis. A trans-tibial amputation might be
considered in young and healthy patients because of the extensive possibilities for prosthetic fitting. The
final decision of the amputation level should be made by an experienced surgical and rehabilitation team
discussing the advantages and disadvantages with the patient involved. Currently, evidence from the
literature is too limited to guide this discussion and the decision-making process.
Motivasi Mahasiswa Memilih Jurusan Pendidikan Luar Biasa (PLB)
Authors: Sukmawati Bhennita
Published: February 2020

The purpose of this study, to determine the motivation of students choosing the PLB majors, so that the factors behind the motivation obtained, including intrinsic factors related to desires or desires and ideals in themselves and extrinsic factors which are factors of support for parents and friends . The research method uses qualitative descriptive methods that aim to reveal actual field data regarding the current objective conditions. The results of the study showed that the motivation of students to choose the PLB department was 28% because of intrinsic factors related to the desire or desire to become a PLB teacher and 27% chose because of the aspirations so that many students were very enthusiastic in learning and understanding ABK lessons. In addition, in extrinsic factors as many as 24% chose the PLB department because of the support of parents and accepting parental advice and 21% of students chose the PLB department because of the encouragement of friends whose friends chose the PLB major. Conclusion, more intrinsic factors are taken into consideration in choosing PLB majors than extrinsic factors.

Keywords: Motivation, Extraordinary Education (PLB), Students
Sikap Guru terhadap Anak Berkebutuhan Khusus di Sekolah Inklusi
Authors: Udhiyanasari Khusna Yulinda
Published: February 2020

This study aims to find out how the characteristics of ABK in general, how the role of inclusive schools for ABKs, how the attitudes of teachers and ABK in inclusive schools and how the attitudes of teachers towards ABK in inclusive schools. The research method used a descriptive method by analyzing the characteristics of ABK in general, the role of inclusion schools for ABK, the attitudes of teachers and ABK in inclusive schools and the attitudes of teachers towards ABK in inclusive schools. The results showed that the attitudes of inclusive school teachers (SD Kebonsari 5, Jember) had a bad attitude towards ABK. This result is obtained from the teacher's attitude that lacks respect for the handling of ABK and can also be known from the analysis of the resource person, one of the 10-year-old elementary school students (TM). Conclusion, based on the research findings, it is better if teachers in inclusive schools are expected to be able to improve their ability to handle ABK through trainings organized by the government, school committees can optimize the role of inclusive schools for ABK, related parties participate in assisting the government's role in improving The teacher's ability and understanding of inclusive education is very much needed so that the goal of inclusive education, which is to provide equal and equitable education to ABK, can run well.

Keywords: Teacher Attitudes, Inclusion Schools, Children with Special Needs.
Penerapan Media Pembelajaran Flash Card untuk Meningkatkan Perkembangan Bahasa Anak
Authors: Pradana Pascalian Hadi , Gerhni Febrina
Published: February 2020

This study aims to apply flash card learning media to improve children's language development. The method that I use to determine the research area is a purposive sampling. The function of the respondents is through the observation method, supplemented by interview methods and documentation. The results of the study, flash card learning media including attractive card images, easy to play so that children can respond and learn more actively. Flash card media is a teacher's tool for children to play and learn, can also be used at home with their playmates. The results of the school taught by the teacher are very good so that the results of children's language development are good, children can carry out 2-3 simple commands, can imitate sentences that are conveyed and can respond to questions well. Child language development can clearly state words, vocabulary is good and can speak well after the child enters school. Conclusion, the application of flash card learning media can improve children's language development.

Keywords: Flash Card Media, Development, Children's Language
Proses Komunikasi Instruksional dalam Pembelajaran Vokasional
Authors: Thadi Robeet
Published: February 2020

The purpose of this study was to see how the instructional communication process in vocational learning in SMK 1 Kota Bengkulu. This type of research is qualitative research with a tradition of symbolic interactionism. So, with this method the researcher obtains a description of the research based on the experience of the subject itself. Data collection techniques used were observation and in-depth interviews. The data analysis technique uses qualitative data analysis. The results of this study are instructional communication applied in teaching vocational students is verbal and non verbal communication. Verbal communication in the form of simple words. Non-verbal communication is carried out in the form of body movements. In addition, interpersonal communication was also found. Conclusion, the instructional communication process applied in teaching vocational students at SMKN 1 Kota Bengkulu is verbal and non verbal communication.

Keywords: instructional, learning, vocational communication.