bluuebunny/crossref_metadata_2025 huggingface dataset:
A Case of Endocrine Mucin-Producing Sweat Gland Carcinoma: Is it Still an Under-Recognized Entity?
Authors: Murshed Khaled A. , Ben-Gashir Mohamed
Published: November 2020

Endocrine mucin-producing sweat gland carcinoma (EMPSGC) is a rare low-grade sweat gland carcinoma characterized by immunoexpression of neuroendocrine markers and mucin production. It occurs most frequently at the head and neck region with strong predilection to the eyelids. Up to 2013, only few cases have been reported. However, in the following years, the number of cases reported has increased significantly, which indicates an upsurge in awareness and increased recognition of this neoplasm. Herein, we describe another case of EMPSGC in a 78-year-old man who presented with a 6-mm skin lesion at the lower eyelid. We discuss the clinical, histopathologic and immunophenotypic features of the tumor with particular emphasis on molecular features and prognosis.
Total Platelet Transcriptomics and Its Network Analysis by RNA-Seq and miRNA-Seq and PCA Application in Essential Thrombocythaemia
Authors: Moon Kyung Chul , Gim Jeong-An , Kim Dae Sik , Choi Chul Won , Yoon Jung , Yoon Soo-Young
Published: November 2020

Differentiating the aetiology of thrombocytosis is limited yet crucial in patients with essential thrombocythaemia (ET). MicroRNAs (miRNAs) regulate haematopoiesis and lineage commitment; aberrant expression of miRNAs plays an important role in myeloproliferative neoplasms. However, the miRNA profile has been poorly explored in ET patients compared to patients with reactive thrombocytosis (RT). A total of 9 samples, including 5 ET patient samples, 2 RT patient samples, and 2 healthy control samples, were analysed in this study. We produced 81.43 million reads from transcripts and 59.60 million reads from small RNAs. We generated a comprehensive miRNA-mRNA regulatory network and identified unique 14 miRNA expression patterns associated with ET. Among the 14 miRNAs, miR-1268a was downregulated in ET and showed an inverse correlation with its 8 putative target genes, including genes associated with thrombus formation and platelet activation (CDH6, EHD2, FUT1, KIF26A, LINC00346, PTPRN, SERF1A, and SLC6A9). Principal component analysis (PCA) showed ET and non-ET groups well clustered in space, suggesting each group had a distinctive expression pattern of mRNAs and miRNAs. These results suggest that the significant dysregulation of miR-1268a and its 8 target genes could be a unique expression of platelet mi­RNAs and miRNA/mRNA regulatory network in ET patients.
Skin Cancer Development in Solid Organ Transplant Recipients in Switzerland (Swiss Transplant Cohort Study)
Authors: Stenz Nadja Angela , Stampf Susanne , Arnold Andreas W. , Cozzio Antonio , Dickenmann Michael , Gaide Olivier , Harms Mirjam , Hunger Robert E. , Laffitte Emmanuel , Mühlstädt Michael , Nägeli Mirjam , Hofbauer Günther F.L. ,   and the Swiss Transplant Cohort Study
Published: November 2020

Importance: Skin cancer, in particular squamous cell carcinoma, is the most frequent malignancy among solid organ transplant recipients with a higher incidence compared to the general population. Objective: To determine the skin cancer incidence in organ transplant recipients in Switzerland and to assess the impact of immunosuppressants and other risk factors. Design: Prospective cohort study of solid organ transplant recipients in Switzerland enrolled in the Swiss Transplant Cohort Study from 2008 to 2013. Participants: 2,192 solid organ transplant recipients. Materials and Methods: Occurrence of first and subsequent squamous cell carcinoma, basal cell carcinoma, melanoma and other skin cancers after transplantation extracted from the Swiss Transplant Cohort Study database and validated by medical record review. Incidence rates were calculated for skin cancer overall and subgroups. The effect of risk factors on the occurrence of first skin cancer and recurrent skin cancer was calculated by the Cox proportional hazard model. Results: In 2,192 organ transplant recipients, 136 (6.2%) developed 335 cases of skin cancer during a median follow-up of 32.4 months, with squamous cell carcinoma as the most frequent one. 79.4% of skin cancer patients were male. Risk factors for first and recurrent skin cancer were age at transplantation, male sex, skin cancer before transplantation and previous transplantation. For a first skin cancer, the number of immunosuppressive drugs was a risk factor as well. Conclusions and Relevance: Skin cancer following solid organ transplantation in Switzerland is greatly increased with risk factors: age at transplantation, male sex, skin cancer before transplantation, previous transplantation and number of immunosuppressive drugs.
Constant Current versus Constant Voltage: Clinical Evidence Supporting a Fundamental Difference in the Modalities
Authors: Kern Drew S. , Fasano Alfonso , Thompson John A. , Abosch Aviva , Ojemann Steve , Munhoz Renato P.
Published: November 2020

Background: Deep brain stimulation (DBS) is an effective surgical treatment for movement disorders. Early versions of implantable systems delivered stimulation with constant voltage (CV); however, advances in available and newer platforms have permitted programming in constant current (CC). From a treatment management perspective, there are theoretical advantages of CC stimulation. In this case series, we present clinical evidence supporting the maintenance of current regardless of changes to impedance. Materials and Methods: This case series included 3 patients with Parkinson’s disease status post-bilateral subthalamic nucleus DBS. Patients in this series self-reported intermittent diplopia with pressure applied to the scalp. Patients were subsequently examined and converted from CV to CC and re-examined. Impedances were checked prior to and after conversion from CV to CC as well as while applying pressure to the scalp that induced the adverse effects. Results: Across patients, we observed that compression of the scalp overlying the connector, while patients were maintained in CV, consistently and objectively induced unilateral adduction of an eye. In addition, during scalp compression, while in CV, impedance was reduced, which would increase current delivery. Converting the patients to CC stimulation without changing other stimulation parameters eliminated diplopia and objective findings of eye deviation with compression of the scalp overlying the hardware despite changes in impedance. Conclusions: In this case series, we provide clinical support for the principal differences between CV and CC stimulation.
Biomarker Testing: Piercing the Fog of Alzheimer’s and Related Dementia
Authors: Horgan Denis , Nobili Flavio , Teunissen Charlotte , Grimmer Timo , Mitrecic Dinko , Ris Laurence , Pirtosek Zvezdan , Bernini Chiara , Federico Antonio , Blackburn Daniel , Logroscino Giancarlo , Scarmeas Nikos
Published: November 2020

Alzheimer’s disease (AD) and related dementia is one of the growing threats to the sustainability of health and care systems in developed countries, and efforts to find therapies have had scant success. The main reasons for this are lack of efficient therapy, which is linked to too late discovery of the disease itself. With this in mind, biomarkers are recognised as an element which can bring a major contribution to research, helping elucidate the disease and the search for treatments. They are also playing an increasing role in early detection and timely diagnosis, which are considered the principal hopes of effective management in the absence of an effective drug. The current arsenal of biomarkers could already, if more widely deployed, provide an effective minimum service to patients and health systems. A concerted action by policy makers and stakeholders could drive progress in access to AD biomarker testing to provide an optimum service in the medium term. This paper discusses how to improve the use of and access to biomarker testing in the detection and diagnosis of AD and other diseases featuring dementia, and how EU healthcare systems could benefit. It outlines the challenges, lists the achievements to date, and highlights the actions needed to allow biomarker testing to deliver more fully on their potential in AD.
Genetics-Related Activities in Everyday Practice of Family Physicians in Slovenia
Authors: Cerovic Metka , Peterlin Borut , Klemenc-Ketis Zalika
Published: November 2020

Introduction: Development of genomic technologies has an important impact on patient management in medicine. Nevertheless, translation of new advances of genomic medicine in primary care is challenging and needs to be adapted to the needs of health systems. Objective: The objective of this study was to analyze the current state of the use and the level of confidence in genetic management activities in everyday clinical practice of family practitioners (FPs) in Slovenia. Methods: We used a cross-sectional observational study design. The dataset was obtained through a questionnaire containing demographics, questions about the use of genetics in everyday practice, and a scale for measuring the responders’ confidence in their ability to carry out basic genetic activities during patient treatment. The questionnaire was sent by regular mail to every FP in Slovenia (N = 950). Results: The questionnaire was completed by a total of 271 physicians (response rate 28.5%), with an average physicians’ age of 45.5 ± 10.6 years. In their everyday clinical practice, the majority of Slovenian FPs report to encounter genetic conditions more than once a month (241, 91.2%). Family medical history is the most commonly used among all activities related to genetic management of patients. Only 5.9% of Slovenian FPs are confident in their ability to carry out basic activities related to genetic patient management. Most of them believe they are only competent enough to obtain family medical history and identify a positive family history. The FPs who reported a lower degree of confidence are those with the lowest level of education in the field of medical genetics and older physicians (age >50 years). Conclusions: Slovenian family physicians commonly encounter patients with genetic conditions but are not confident in their ability to carry out basic medical genetic tasks. Therefore, additional education is necessary.
Radiological and Immunostaining Characteristics of H3.3 G34R-Mutant Glioma: A Report of 3 Cases and Review of the Literature
Authors: Onishi Shumpei , Amatya Vishwa Jeet , Karlowee Vega , Takeshima Yukio , Sugiyama Kazuhiko , Kurisu Kaoru , Yamasaki Fumiyuki
Published: November 2020

Introduction: H3.3 G34R/V mutation is predominantly identified in the supratentorial nonmidline tumors. However, this tumor is not yet categorized as an entity in 2016 WHO CNS classification. More information is necessary to further determine the characteristics of this tumor. Case Presentation: Three cases of adolescent hemispheric glioma were treated in our institution. All tumors showed the characteristics of huge tumor size with mild peritumoral edema on T2WI/FLAIR, hyperintense on DWI, and slight partial enhancement by gadolinium. The single-voxel proton MR spectroscopy revealed characteristics of high choline peak, marked decrease in N-acetyl aspartate peak, and small lactate peak. The histopathological diagnosis, based on 2007 WHO CNS classification, was high-grade glioma in 2 cases and a PNET. Immuno­staining revealed that the tumor cells were positive against H3.3 G34R, H3K27me3, and p53 antibodies and negative against H3K27M, IDH1-R132H, ATRX, and Olig2 antibodies. Pyrosequencing analysis confirmed H3.3 G34R mutation, IDH-wildtype, and BRAF-wildtype. Conclusion: Radiological and immunostaining findings are characteristic in our 3 cases of H3.3 G34-mutant glioma. It is essential to consider H3.3 G34-mutant glioma as a differential diagnosis particularly in pediatric and adolescents and young adult hemispheric tumors.
Endurance of Short Pulse Width Thalamic Stimulation Efficacy in Intention Tremor
Authors: Wirth Thomas , Dayal Viswas , de Roquemaurel Alexis , Ferreira Francisca , Vijiaratnam Nirosen , Akram Harith , Zrinzo Ludvic , Foltynie Thomas , Limousin Patricia
Published: November 2020

The benefit of short pulse width stimulation in patients suffering from essential tremor (ET) refractory to thalamic deep brain stimulation remains controversial. Here, we add to the minimal body of evidence available by reporting the effect of this type of stimulation in 3 patients with a persistent and severe intention tremor component despite iterative DBS setting adjustments. While a reduction in pulse width to 30 μs initially showed promise in these patients by improving tremor control and mitigating cerebellar side effects arguably by widening the therapeutic window, these benefits seemed to dissipate during early follow-up. Our experience supports the need for measuring longer-term outcomes when reporting the usefulness of this mode of stimulation in ET.
Recurrence of Proliferative Glomerulonephritis with Monoclonal Immunoglobulin G Deposits with a Striated Ultrastructure
Authors: Namba-Hamano Tomoko , Hamano Takayuki , Imamura Ryoichi , Yamaguchi Yutaka , Kyo Masahiro , Yonishi Hiroaki , Takahashi Atsushi , Kawamura Masataka , Nakazawa Shigeaki , Kato Taigo , Abe Toyofumi , Kyakuno Miyaji , Takabatake Yoshitsugu , Nonomura Norio , Isaka Yoshitaka
Published: November 2020

A 64-year-old man with nephrotic syndrome was admitted to another hospital where his renal biopsy revealed membranoproliferative glomerulonephritis (MPGN) with monoclonal immunoglobulin (Ig) G, subclass 1, κ light chain (IgG1κ) deposition on immunofluorescence (IF). Proliferative glomerulonephritis with monoclonal IgG deposits (PGNMID) was suspected due to monoclonal IgG1κ deposits and the absence of hematological abnormalities. However, the typical PGNMID phenotype was not observed by electron microscopy. Instead, an organized and striated muscle-like structure was observed in the subendothelial space. Since a 2-year treatment with immunosuppressants did not improve his proteinuria, a second biopsy was performed at our hospital. It showed an MPGN-like phenotype; however, monoclonal Ig deposits on IF were no longer observed. One year after the second biopsy, he developed ESRD. Thus, he underwent living kidney transplantation from his wife. Allograft biopsy was performed as proteinuria was observed 3 months after transplantation, which again showed an MPGN-like phenotype with monoclonal IgG1κ deposits. The observed electron-dense deposits were similar to those in the native biopsies. Accordingly, the patient was diagnosed with recurrent MPGN. Adding methylprednisolone pulse therapy to conventional immunosuppressants did not improve the patient’s renal function or proteinuria. He died of Legionella pneumonia 8 months after transplantation. Considering the patient’s histological findings of MPGN with monoclonal IgG1κ deposits and early recurrence of glomerulonephritis after transplantation, he was diagnosed with PGNMID with novel electron-dense deposits.
The role of parent-child relationship, school climate, happiness, and empathy to predict cyberbullying behavior
Authors: Safaria Triantoro , Suyono Hadi
Published: November 2020

The lack of research on cyberbullying among Indonesian adolescents has become one of the critical arguments of this research. This study aimed to discover the factors that contribute to cyberbullying. This study took samples of students from three schools. The sample was 112 junior to senior high school students. The findings of this study indicate that school climate, parent-child relationship, and empathy have a significant role that encourages cyberbullying.
A new learning model of software engineering in vocational education
Authors: Nofriansyah Dicky , Ganefri Ganefri , Ridwan Ridwan
Published: November 2020

This research focused on the development a new learning model in Vocational Education to answer the challenges of this Industrial Revolution 4.0 era. The problem identified was the lack of learning outcomes, especially subjects oriented to software engineering for information systems students in particular and other computer science seen in the phenomenon of the inability of students to produce intelligent systems. From a series of validity, practicality, and effectiveness test results, use content validity with Aiken'V and construct validity with CFA (Confirmatory Factor Analysis) states that the model resulting from this study is stated, valid, practical and effective. This study also produced a new learning model with five syntaxes, namely (1) Define Problem and Design a Plan Project, (2) Interaction with Support System, (3) Create a Project, (4) Keep control and Monitoring Project, (4) Yield and Assessment of Project. And based on the test of the validity of the syntax of this model stated goodness-of-fit or valid.
Pre-service teachers’ application of understanding by design in lesson planning
Authors: Lumbreras, Jr. Ricardo , Rupley William H.
Published: November 2020

This study focused on preservice secondary teacher’s use of the Understanding by Design (UbD), framework to create effective, engaging lessons for their future secondary level students. The subjects consisted of 69 secondary pre-service secondary education majors at a Texas University who were enrolled in a required course for admission into the teacher education program. Pre-posttest surveys of lesson knowledge design were administered to all subjects. Comparing pre- posttest results revealed that knowledge of lesson design showed improvement and knowledge gain in the following areas: concepts and vocabulary; unpacking standards; use of verbs from the standards; rigor; content objectives; formative assessment and summative assessment. The analyses made use of descriptive statistics and descriptions.
Validation of a digital tool for diagnosing mathematical proficiency
Authors: Junpeng Putcharee , Marwiang Metta , Chinjunthuk Samruan , Suwannatrai Prapawadee , Chanayota Kanokporn , Pongboriboon Kissadapan , Tang Keow Ngang , Wilson Mark
Published: November 2020

This study was aimed to validate a digital tool for diagnosing mathematical proficiency in the Number and Algebra strand of 1,504 Thai seventh-grade students. Researchers employed a multidimensional approach, an extension of the Rasch model to measure its quality. A design-based research method was adopted to create the diagnostic tool which consists of four components, namely register system, input data, process system, and diagnostic feedback report. The diagnostic framework consists of 18 tasks encompassing 11 and 7 tasks in the Mathematical Procedures Dimension and Structure of the Observed Learning Outcome dimension, respectively. The results revealed that there is internal structure evidence of validity based on the comparison of model fit and the Wright map. The results also indicated that the reliability evidence and item fit are compliant with the quality of the digital tool as shown in the analysis of standard error of measurement and infit and outfit of the items. In conclusion, the developed digital tool can diagnose seventh-grade students’ multiple mathematical proficiencies in terms of accuracy, consistency, and stability. This implies that the digital tool can provide fruitful information, particularly to those intermediate and high mathematical proficiency levels because the error for estimating proficiency in each dimension was at the lowest value for those students.
Supervisory feedback in the principal evaluation process
Authors: Alkaabi Ahmed Mohammed , Almaamari Suhair Ali
Published: November 2020

The purpose of this qualitative study is to understand how school principals perceive their supervisors’ feedback in the formative principal evaluation process. It spotlights the benefits of supervisors giving effective feedback to school principals as a key component in formative evaluations. In addition, it uses a qualitative case study design situated within the context of the Al-Ain school district, which is supervised by the Abu Dhabi Education Council in the United Arab Emirates. The data was collected using several data collection methods, namely interviews, documents, and field notes. Six school principals participated in the study, and a thematic analysis of their comments and other information that they provided yielded four themes that reflected the quality of feedback they received: (1) feedback in absentia, (2) superficial or irrelevant feedback, (3) negative or judgmental feedback, and (4) constructive and individualized feedback. The evidence concludes that feedback aimed at improving the leadership practices of principals is limited, and there is no embedded professional learning dialogue wherein such feedback exists. This study adds to the body of leadership literature and sets forth implications for enhancing and redesigning feedback delivery in the formative evaluation process to improve principals’ practices and support their professional growth.
Modification level and test of scientific argumentation skill: Development and validity
Authors: Perdana Riki , Riwayani Riwayani , Jumadi Jumadi , Rosana Dadan
Published: November 2020

This study focuses on developing the new level of scientific argumentation skills and new items that are feasible and valid for used. There are 195 science students at Islamic State School 1 (MAN 1) Yogyakarta as participant in this study. Random sampling technique was used from the three schools of Islamis State School (MAN) in Yogyakarta, Indonesia. There are seven experts (3 Professor, 2 teachers, and 2 graduate students) reviewed 14 items for the first phase of this study. For the second phase, 98 students answered 14 questions which each questions contain five point (claim, data, backing, warrant and rebuttal). For the third phase, after choosed the best five 5 questions, We asked the others (97 students) to answer those questions. The modification of the level of scientific argumentation skills indicates the ability of students is still low. At level 1 (claims) there were only 38.9% students, level 2 (data) were 21.6% students, level 3 (warrants) 16.6% students, level 4 (backing) 16.2% while level 5 (rebuttal) is the most difficult, for students’ users only by 4.2%. Based on the findings, the test can measure and show with a separate level of students' scientific argumentation skill in this school.
Types of mathematical tasks used in secondary classroom instruction
Authors: Berisha Valbona , Bytyqi Ruzhdi
Published: November 2020

This study examined the quality and types of mathematical tasks used for classroom instruction in an upper secondary school – gymnasium. All the mathematical tasks presented in nine different school classrooms during the first semester of the school year 2018/2019 were analysed against a 5D analytical framework. The dimensions of the individual task analysis were contextual features; the answer forms required; forms of presentation; types of required mathematical activity and cognitive demands involved. Performed analysis gived perspective on the learning opportunities offered in classroom instruction for building mathematical competencies specified in the current state education curriculum. The results indicate that the selection of tasks was not in accordance with the curriculum requirements. Mostly, teachers used close-ended, non-applicative, lower-level cognitive tasks presented in symbolic form, promoting operations and calculations as a central activity. These types of tasks are usually associated with knowledge and skills of lower orders. In this case, classroom instruction had low potential and very little room left to build a significant portion of competencies and learning outcomes of higher orders.
An analytic hierarchy process for quality action researches in education
Authors: Barcelona Alvin Bersabal
Published: November 2020

Teachers are expected to engage in the praxis of educational reform, and one of the resurgent interests in the field of education is the conduct of action researches. In the Philippines and in many parts of the world, teachers are encouraged to perpetuate a culture of conducting action researches to improve the teaching and learning process. Considering the scant literature towards evaluation criteria for quality action researches, this exploratory-sequential mixed method study aims to determine the qualities that research experts perceive to be useful in evaluating action researches. Using Analytic Hierarchy Process, which is a multiple decision-making algorithm, research experts asserted that among the identified evaluation criteria, quality action researches should underscore its contribution to theory and practice, and require actionability and reflexivity among researchers and participants. The findings of this study may be of considerable interest and use to teachers, research authorities, and organizations who would like to ensure that teachers produce quality action research to improve educational practices.
Mathematical communication skills based on cognitive styles and gender
Authors: Kamid Kamid , Rusdi M. , Fitaloka Olva , Basuki Fibrika Rahmat , Anwar Khairul
Published: November 2020

This research aimed to determine the differences of mathematical communication skills based on cognitive styles and gender. This research was a mixed-method with sequential explanatory design. The population was grade XI students at Senior High School in Jambi City consisting of 53 male and 72 female students. The study used a total sampling. The key informant consisted of four field independent and four field dependent. The instruments were used cognitive style test, mathematical communication test, and interviews. The differences of mathematical communication skills were analyzed using Mann-Whitney U-Test. Qualitative data were analyze descriptively using Miles and Huberman model. The results of this study showed that there was a significant difference of Field Independent (FI) and Field Dependent (FD) students in mathematical communication skills. FI can explain the information on the question well, using the mathematical model appropriately, explaining the problem-solving strategy very clear and structured, and being able to evaluate clearly and accurately. FD able to describing the information on the matter, but less complete, using the mathematical model appropriately, explaining the problem-solving strategy, but less complete, and being able to evaluate it quite clearly. The mathematical communication skills of male and female students were not significant differences. Male students are able to explain the strategy and the steps of solving the problem quite clearly, but less structured. Female students are able to explain the strategy and steps to resolve the problem clearly and structured.
Development of an assessment tool for mathematical reading, analytical thinking and mathematical writing
Authors: Kesorn Nuttida , Junpeng Putcharee , Marwiang Metta , Pongboriboon Kissadapan , Tang Keow Ngang , Wilson Mark
Published: November 2020

The main objective of this research was to develop and validate the quality of an assessment tool for evaluating the mathematical reading, analytical thinking, and mathematical writing skills of fourth-grade students. We randomly selected 222 fourth grade students across multiple schools of varying sizes to take the assessment. Multidimensional Random Coefficients Multinomial Item Response Model was applied to validate the quality of the developed assessment tool. A design-based research methodology was adopted to develop the assessment tool encompassing four phases as follows: 1) analyze how students solve mathematical problems; 2) develop the assessment tool; 3) validation of the tool; and 4) reflection. The results of this research indicate that the assessment tool consisting of 19 items and two dimensions is a reliable and valid metric to measure mathematical reading, mathematical writing and analytical ability of fourth graders. The Likelihood-Ratio test showed that the multidimensional model fits better in comparison to the unidimensional model. It can be concluded that each item is qualified to assess the students and relevant to the developed dimensional examination structure.
Developing an assessment framework of multidimensional scientific competencies
Authors: Intasoi Sasima , Junpeng Putcharee , Tang Keow Ngang , Ketchatturat Jatuphum , Zhang Yidan , Wilson Mark
Published: November 2020

The study aimed to develop and validate an assessment framework of multidimensional scientific competencies for seventh-grade students in the northeastern region of Thailand. A total of 289 samples with three different scientific competency levels were randomly selected to participate as testtakers. The design-based research encompassing four phases of the construct modelling approach, namely construct maps, item design, outcome space, and Wright map. Multidimensional Random Coefficient Multinomial Logit model was employed to examine the quality of the created assessment framework of multidimensional scientific competencies. The results showed that scientific competence is comprised of three dimensions, namely explain phenomena scientifically, evaluate and design scientific inquiry, and interpret data and evidence scientifically. Each dimension can be further categorized into four levels. The assessment framework consists of 16 items. The results revealed that there is validity evidence regarding internal structure based on the comparison of the model fit and Wright map. Moreover, results also indicated that the reliability evidence and item fit are compliance with the quality of the assessment framework as revealed in the analysis of standard error of measurement and infit and outfit of the items. It can be concluded that the assessment framework is currently prevalent to assess the scientific competencies of seventh-grade students.
Digital-based instruction: Chances and challenges in English language teaching context
Authors: Argawati Ningtyas Orilina , Suryani Lilis
Published: November 2020

The use of Digital Based Instruction (DBI) nowadays seems to have many obstacles and difficulties. It is due to lack of digital literacy both lecturers and students. Meanwhile, many advantages also emerge through the use of DBI. It becomes the reason for the lecturers to keep on trying to develop their digital literacy to occupy the need of DBI to their English Language Teaching (ELT) class. This study aimed at revealing the chances and challenges of the implementation of DBI. Descriptive qualitative was employed in this study which involved the use of observation and interview as the instruments. The participants of this study were five English lecturers and 200 students. The findings showed that the chances of applying DBI cover activating students, elevating digital literacy, provoking students’ creativity, and creating new application. While some challenges are also emerged. It is due to limited devices and access, and limited digital literacy. The implementation of DBI could provoke the elevation of digital literacy and creativity if we could handle the challenges.
Developing the scale on discipline expectations of students: A validity and reliability study
Authors: Özcan Gülsen , Aktağ Işıl , Gülözer Kaine
Published: November 2020

The study aimed to develop a valid and reliable scale to measure the expectations of students from the discipline program implemented in their schools. The study was conducted with students studying in seven different high schools in fall semester of 2019-2020 school year. As a result of the Confirmatory Factor Analysis (CFA), a 5-point Likert scale with 3 dimensions and 22 items was established. It was revealed that the fit index values for the final form of the scale are χ2 = 360.92, df = 206, P = 0.00, RMSEA = 0.062, GFI = 0.86, AGFI = 0.82, CFI = 0.93, RMR = 0.063; NNFI = 0.92. Cronbach Alpha reliability test was used to test the reliability of the ultimate scale and test retest reliability value was used to measure the stability of the test. Reliability value for the whole test was determined as .823, for the factor of Effective Teaching Discipline Expectation as 717, for the factor of Behavioral Discipline Expectation as 596, and for the factor of Social Discipline Expectation as .636. Test retest reliability of the test was determined as .763. Upon the evaluation of the analyses made, it was concluded that scale on discipline expectations of students is a valid and reliable scale to measure the discipline expectations of the students studying in secondary education institutions in Turkey.
Community participation in waste management
Authors: Tarigan Lidia Br , Rogaleli Yuanita C. , Waangsir Ferry W.F
Published: November 2020

Improper management of waste can be a source of health and environmental problems. Community participation contributes to effective waste management. The study was aimed at analyzing community participation in waste management at Liliba Village in Kupang City. This research is an analytic study with cross sectional study approach. The population was the entire population of Liliba Village in Kupang City. There were 133 respondents participated in this study. The data were analyzed using the structural equation model test. Education and occupation had strong correlation and significant influence to community participation. Community participation had strong relation and significant effect on waste production. Population had weak correlation and insignificant effect on waste production. It is recommended that interventions should be done for invalid indicator such as of waste utilization in the form of counseling or training on waste recycling.
Risky sexual behavior and associated factors among preparatory school students in Arsi Negelle Town Oromia, Ethiopia
Authors: Megersa Nega Degefa , Teshome Girum Sebsibe
Published: November 2020

Risky sexual behavior remains the major public concern commonly affecting youths. These behaviors lead to undesirable health outcomes including sexually transmitted infections, unplanned pregnancy and abortion for female. This study was intended to assess risky sexual behavior and associated factors among preparatory school students in Arsi Negelle Town. Institution-based cross-sectional study was conducted among 300 preparatory school students. Data was collected using a structured and pre-tested questionnaire. Bivariate and multivariable analysis was conducted to identify the association between variables. Statistical significance was declared at p<0.05. The prevalence of risky sexual behavior was, 32. % (95% CI: 24.3, 40.9). It was significantly associated with students grade level (AOR: 5.77; 95% CI: 1.49, 22.28), having no discussion on sexual and reproductive health (AOR: 11.28; 95% CI: 1.8, 77.49), poor knowledge on HIV/AIDS (AOR: 4.86, 95% CI: 1.38, 17.11), not watching porn movies (AOR: 0.01; 95% CI: 0.001, 0.26), having pocket money (AOR: 0.10; 95% CI: 0.03, 0.39) and having peer influence (AOR: 0.07; 95% CI: 0.02, 0.28). Significant number of students engaged in at least one risky sexual behavior. The behavior was commonly seen among students with poor knowledge about HIV, no discussion on sexual and reproductive health, lower grade level, having pocket money, having peer influence and watching pornographic movies.
The resilience among suicide attempt survivor
Authors: Tentama Fatwa , Sukesi Tri Wahyuni , Mulasari Surahma Asti , Sulistyawati Sulistyawati
Published: November 2020

Suicide incidents in Gunungkidul, Indonesia have increased from year by year. This phenomenon is of great importance to study to find a proper solution. Based on the data it has been found that people who have committed suicide but have been saved (survived). To date, they have managed to survive and carry out their daily activities well. The majority of suicide attempts are caused by unpleasant experiences in the past. The purpose of this study was to assess the resilience of suicide survivors who can be used to motivate people who intend or who survived suicide to get back up. This research used a qualitative approach with a phenomenological method. The location of this research was in Gunungkidul Regency. The subjects of this study were four people who were obtained by using purposive sampling technique. Several in-depth interviews were carried out to collect the data from the respondent.  The results show that the factors supporting the resilience of survivors to suicide were the ability to control emotions and impulses, self-efficacy and optimism, the ability to analyze the causes of problems, empathy, and the ability to achieve what was desired.
Model to assess the factors of 10-year future risk of coronary heart disease among people of Framingham, Massachusetts
Authors: Rahman Azizur , Tabassum Arifa
Published: November 2020

In earlier decade, heart disease was the most common cause of death in the US. Among the many important risk factors such as age, number of cigarettes smoke could help in determining the odds of having corona heart disease (CHD) when modeling with other important factors. We analyzed ongoing cardiovascular study on residents of the town of Framingham, Massachusetts, US to predict the 10-year risk of future CHD. We applied the Binary logistic regression model to assess the strength of the association of factors (such as gender, age, number of cigarettes smoke, total cholesterol level) in predicting the odds of having CHD in study population. Results showed that gender, age, number of cigarette smoke, systolic blood pressure were statistically significant and the increased age and cigarettes per day increase the odds of having 10-year risk of CHD. However, the noticeable finding was that patients with Diabetes at higher glucose level have the higher odds of having 10-year risk of CHD than with low level of glucose concentration among the residents of Framingham study.
The knowledge of dentists for preventive influence of the caries process
Authors: Damyanova Dobrinka Mitkova , Velikova Valentina
Published: November 2020

The line of knowledge runs from the general social, legal, financial and managerial framework. It is necessary to present the object of professional activity, the peculiarities of professional work and the methods for its optimization. Subjects of the survey were 100 dentists who perform treatment of deciduous teeth from the city of Varna, Bulgaria. The individual addressed anonymous survey was fulfilled during educational, clinical and organization meetings at the Faculty of Dental Medicine-Varna and on the territory of the city of Varna. The interviewed dentists encounter difficulties with the diagnosis of the initial dental caries in primary dentition. The dentists included in the survey rely mainly on their theoretical and practical experience and routine clinical methods for non-invasive treatment of the initial dental caries. Work experience and the specialty do not have a significant impact on the awareness of dentists about the new criteria related to the diagnosis and prevention of dental caries in the primary dentition. The age, work experience and specialty of dentists are factors for their awareness of the new approaches to treatment of children, as doctors up to 30 years of age, with a recognized specialty and work experience up to five years are more informed.
Correlation of body mass index on waist circumference and blood pressure
Authors: Astuti Yoni , Jenie Ikhlas Muhammad
Published: November 2020

The increasing number of elderly on these recent days demands an improved quality of health for the elderly. Independence of the elderly is important in order to be happy and not to be a burden on their families. Health monitoring continuously is an effort to prevent disruption on the health conditions of the elderly. The health status of elderly people is important to know to follow up on prevention programs for the emergence of certain diseases in the elderly. This study aims to look for potential health problems for elderly people in Gamping, Sleman, DIY, Indonesia. The method of this research was cross sectional analysis using secondary data. Sample collection is consecutive subjects. Subjects were 158 people with a mean age of men (67.8 ± 7.1) years while women were 67.5 ± 7.3 years. The data was analyzed using the bivariate correlation test with CI 99%. The results of the analysis showed that the average body mass index with an average waist circumference was positively correlated (r= 0.66; p: 0.000), but did not correlate with systole pressure (r= -0.009; p= 0.97) diastole (r= 0.093; p= 0.477), age (-0.05; p= 0.71), and gender (r= -0.146; p= 0. 27). The potential health problems among the elderly is the risk of high BMI due to the larger waist circumference
Mothers’ perception and management preference of acute diarrheal disease
Authors: Keto Terefe , Alemu Yalfal , Mamo Aklilu
Published: November 2020

Globally, diarrheal disease is one of the leading causes of morbidity and mortality among under-five years of children. Every day, approximately 2195 children die due to diarrheal diseases, which accounts for 1 in 9 child deaths worldwide. Many interventions that attempt to reduce childhood diarrhea are often fail because they are programed without understanding the problem in the target community and are culturally unsuitable. Therefore, this study aimed to assess perception and management preference of acute diarrheal disease among mothers who attend under five clinics. An institution based descriptive cross sectional study was conducted from May 1-May 30/2019. A total of 276 respondents were included in the study and consecutive sampling technique was used to identify the study participants. The results show that 47% of respondents perceive childhood diarrhea is caused by teething, 47.8% of the respondents perceive that diarrhea cannot be transmitted from one child to other. Majority of care givers prefer to give home remedies to their child, and also a substantial proportion of mothers and caregivers were not adequately knowledgeable on the use of oral rehydration salt which resulted in many of them using traditional medicine. There is need for increased health education focused on increasing caregivers‟ knowledge about the cause of diarrhea and enhancing adoption of appropriate prevention practices of diarrhea among children under five years.
Emergency nurse’s perceptions of hospital facility support and disaster preparedness
Authors: Sanjaya Putra Dewa Gede , Rusca Putra Kuswantoro , AS Noorhamdani
Published: November 2020

Disasters cause material losses, morbidity, and deaths. Support for the role of hospitals and health workers, especially nurses, is needed to reduce the number of victims in each disaster. Using a cross-sectional survey design, this study aims to analyze the relationship between nurse’s perceptions of hospital facility support and disaster preparedness. One hundred sixty seven respondents were selected using proportional random sampling. Disaster preparedness evaluation tool (DPET) was used to assess the participants’ readiness, and the Health Sector Self-Assessment Tool for Disaster Risk Reduction was used to assess nurse’s perceptions of hospital facility support. The final results of the analysis using the Spearman Rank test showed a significant correlation between hospital infrastructure support and emergency nurse’s preparedness in disaster preparedness with a p-value (0.00). The higher the nurse’s perceptions of hospital facility support, the higher their preparedness in disaster management is. Strengthening guidelines of disaster planning in hospitals, especially regarding the ability of hospitals to overcome the impacts of disasters, will provide optimal support for emergency nurses during a disaster crisis.
Potential use of personal protection online search during COVID-19 pandemic for predicting and monitoring public response
Authors: Chandra Michael , Syakurah Rizma Adlia
Published: November 2020

COVID-19 has become a global public health emergency in almost all over the world, including in Indonesia. Effective risk communication becomes an emergency response to increase awareness and determine appropriate interventions. The study aimed to assess the success of risk communication monitoring using Google Trends during the COVID-19 pandemic in Indonesia. Quantitative and qualitative research uses time-series data (31 December 2019-2 May 2020). The relative search volume (RSV) of keyword „masker‟ (mask) and „cuci tangan‟ (handwashing) from Google Trends (GT) and the number of COVID-19 daily cases were collected. Analyzed qualitatively. RSV search data and daily case comparisons were performed based on Pearson correlation analysis and time lag correlation with significance <0.05. The keyword „masker‟ has four peaks and „cuci tangan‟ has three peaks with fluctuations due to the increase in mask prices, government policies, news, and official WHO recommendations. Validation using time-lag correlation shows the significant results between RSV keywords related to personal protection and the number of COVID-19 cases. The highest correlation was achieved by the keyword „masker‟ three days before the number of COVID-19 cases. Google Trends can potentially be used as a complement and support for early warning systems in the surveillance system and improve public health responses in Indonesia.
Prototype development of tethered underwater robot for underwater vessel anchor release
Authors: Chukwunazo Joseph Ezeofor , Oyengiye Moses Georgewill
Published: November 2020

Tethered underwater robot (TUR) for underwater vessel anchor release is presented. In off-shore oil and gas enviromnment, there has been series of reported cases on stuck vessel anchors after mooring operations and divers are sent to release these anchors for the vessels to be in motion. The use of divers to perform such function is very risky because of human limitation and some divers have been reported dead on the process due to high pressure underwater or being attacked by underwater wide animals. This has caused very serious panic to the vessel owners and hence, this work is aimed to develop TUR that would be used by the vessel operators instead of divers to release the stuck anchor without loss. The underwater robot system comprises of three basic sections namely graphical user control interface (GUCI) that would be installed in the operator’s laptop, the WiFi LAN router for network connection, and TUR system hardware and software. Each of these sections was strictly designed. Various high-level programming languages were employed to design the GUCI and code the interface buttons, robot controller program codes etc. The implementation carried out and the prototype system tested in the University of Port Harcourt’s swimming pool of 6m depth for validation. The robot performed extremely good in swimming and release of constructed anchor underwater.
Steam turbine controllers design based on soft-computing techniques
Authors: Alawaad Nasir Ahmed
Published: November 2020

Steam turbine is viewed as a standout among hotspots for control age in the most recent decades, its elements examination end up being dynamically more basic. For this investigation, the model chose is of turbine speed control framework. The purpose behind this is that model is regularly experienced in refineries in a type of steam turbine that utilization hydraulic governor to control the speed of the turbine. To suit plan prerequisites, a mathematical model for the turbine was determined in light of transfer function and state space definition. There are two sorts of controllers for steam turbines which are traditional and modern controllers. Internal mode control with proportional integral derivative (IMC-PID) and linear quadratic controller (LQR) are classical type. Fuzzy logic controller (FLC) and intelligent optimization techniques like, ant colony algorithm (ACOA) and genetic algorithm (GA) are modern type. The proposed work centers on classical verses modern controllers. Results got demonstrate that embracing such a controller (GA) improves the design requirements and transient stability. The system control was actualized in simulation utilizing MATLAB/Simulink.