bluuebunny/crossref_metadata_2025 huggingface dataset:
Conclusive analysis and cause of the flyby anomaly
Authors: Guruprasad V.
Published: December 2019

JPL’s own data correlate to 1% NEAR and Rosetta trajectory discrepancies to an unexpected doubling of path times in phase locked tracking. NEAR’s radar residuals illustrate the doubling to 5σ. Analysis of these and other NASA-tracked flybys shows that a distance sensitive anomalous signal generally exists.

(Presented at IEEE NAECON 2019)
Slipstream Transcomputation of the Fast Fourier Transform
Authors: Leach Stephen , Anderson James A. D. W.
Published: December 2019

We have been designing and investigating a family of fine-grained architectures that exploits exception-free arithmetic to implement a statically assigned, systolic dataflow technique that we refer to as ‘slip-streaming’. In this paper, we report on the simulation of a slip-streamed implementation of the fast Fourier transformation, its properties and compilation challenges. The algorithm is extended to include dynamically computing a match against a fixed profile of weights.
THE INCIDENCE OF DERMATITIS IN FISHERMEN IN BONTANG CITY, EAST KALIMANTAN, INDONESIA
Authors: Setyowati Dina Lusiana , Risva Risva , Anwar Andi , Afiah Nurul
Published: December 2019

Background: Occupational skin diseases are the most common occupational diseases in many countries. Dermatitis has become one of the top 10 occupational diseases (PAK) based on the potential incidence, severity, and prevention ability. Fishermen are one of the oldest occupations and have a high risk of occupational accidents or occupational diseases, which one of the risks is dermatitis due to the exposure to sea water containing salt which is high enough to absorb the water from the skin.Objective: This study aims to determine the incidence of dermatitis, working duration, duration of exposure, history of skin diseases, use of personal protective equipment, and personal hygiene in the fishing communities in North Bontang.Methods: This study is an analytic observational study with a cross sectional study design. The population in this study was the fishing community in Loktuan Urban-Village, North Bontang. The samples were taken with the purposive sampling and a sample of 154 fishermen was obtained. The data were collected with a questionnaire that has been tested for the validity. The statistical analysis was conducted by Chi Square test with a significance level of 0.05.Results: The results showed that the history of skin diseases, the duration of exposure are related to the incidence of dermatitis in fishermen.Conclusion: Further research is needed to find out other risk factors that can cause dermatitis in fishermen.
INHIBITORY EFFECT OF ONION (ALLIUM CEPA LINN) AND SUGAR PASTE MIXTURE ON STAPHYLOCOCCUS AUREUS AND ESCHERICHIA COLI BY IN VITRO
Authors: Tahiruddin Tahiruddin , Indriastuti Diah
Published: December 2019

Background: Staphylococcus aureus and Escherichia coli are infection agents. The onion is known to have antibacterial properties. Meanwhile, sugar paste is effective to inhibit bacterial growth.Objective: This study aimed to identify the antibacterial activity of onion extract (Allium cepa Linn) and sugar paste mixture on staphylococcus aureus and Escherichia coli by in vitro.Methods: We used a post-test-only control group design with a completely random design. The onion extract with sugar paste mixture was divided into 4 concentrations; 25%, 50%, 75% and 100% with 3 repetitions. The data were analyzed by measuring inhibition zone diameter and tested using the One-Way Analysis of Variance (ANOVA) and Tukey test.Results: Findings showed that on average, the antibacterial activity of onion extract and sugar paste mixture on staphylococcus aureus was 14.57mm, 17.44mm, 18.36mm, and 22.28mm, respectively 25%, 50%, 75%, and 100% concentrations. Meanwhile, on Escherichia coli, it was 17.27mm, 19.67mm, 20.31mm, and 21.62mm.Conclusion: onion extract and sugar paste mixture can inhibit the growth of Staphylococcus aureus and Escherichia coli.
HOT BATH THERAPY FOR POSTPARTUM MOTHERS: THE ETHNOCARING PRACTICE IN THE MUNA TRIBE, SOUTHEAST SULAWESI, INDONESIA
Authors: Indriastuti Diah , Tahiruddin Tahiruddin
Published: December 2019

Background: Postpartum mothers are vulnerable to postpartum fatigue, delivery process fatigue, and role transition. The unknown fatigue can trigger stress and anxiety that will lead to postpartum blues and postpartum depression. The ethnocaring of the Muna tribe has a series of care that can prevent postpartum fatigue, including a hot bath.  Objective: To explore the ethnocaring practice on the postpartum care method in the Muna tribe using hot bath and analyze it scientifically. Methods: This study was a qualitative study with an ethnographic approach. The participants were 15 Muna’s indigenous midwives and 4 Muna’s mothers. Snowball sampling was employed to select the samples. The data were collected through in-depth interviews, focus group discussion and participatory observation. The data validity was made by completing the trustworthiness criteria process.Results: The results of the study were described into 3 themes, namely equipment, treatment, and prohibition. The equipment theme describes tools and materials. Conclusion: The ethnocaring therapy of a hot bath in Muna’s postpartum mothers has healthy benefits namely for relaxation, increasing the oxygen uptake, increasing concentration and revitalizing the reproductive organs.
PUBLIC HEALTH SIGNIFICANCE OF COASTAL COMMUNITIES
Authors: Tosepu Ramadhan
Published: December 2019

N/A
ВЛИЯНИЕ НОРМИРОВАННОГО КОРМЛЕНИЯ И ФИЗИЧЕСКОЙ НАГРУЗКИ НА ФИЗИОЛОГИЧЕСКОЕ СОСТОЯНИЕ СОБАК
Authors: Е.А. Козина
Published: December 2019

Успешное восстановление собак с ортопедическими проблемами в послеоперационный период возможно при нормированном кормлении и физической нагрузке. Основные задачи исследований – изучение кормления собак в зависимости от физиологического состояния, особенностей восстановления собак при дисплазии тазобедренного сустава (ТБС), динамики восстановления мышечной массы. В послеоперационный период резекции бедра опытным животным скармливали в составе основного рациона витаминный комплекс «Страйд», а также проводили восстановительные физические занятия. В первый месяц начинали занятия с массажа. Далее проводили электростимуляцию мышц, затем занятия в бассейне. В течение 2-го месяца восстановления собаки занимались в бассейне, а в 3-й месяц дополнительно чередовали занятия на беговой дорожке и балансировочном оборудовании. На 4-м месяце 1 раз в неделю собаки занимались в бассейне и 2 раза на специализированном фитнес-оборудовании. Отдыхали собаки в течение 5-го месяца опытного периода, а в 6-м месяце по одному занятию в неделю проводили в бассейне и на фитнес-оборудовании. В начале и конце опыта у собак брали промеры. За 6 месяцев объем мышечной массы увеличился значительно, а масса тела – на 2 кг. Одна из собак опытной группы через 8 месяцев после операции участвовала в выставке собак, где оценена на отлично, отмечен хороший толчок задних конечностей. По окончании опыта собаки контрольной группы, которые получали только основной рацион, хромали и у них конечность – с непрямолинейными движениями, у животных опытной группы хромота не заметна, движения прямолинейные. Таким образом, применение витаминного комплекса «Страйд» и восстановительных занятий является целесообразным.
ВЛИЯНИЕ НОРМЫ ВЫСЕВА НА СЕМЕННУЮ ПРОДУКТИВНОСТЬ ЛЮЦЕРНЫ ГИБРИДНОЙ В УСЛОВИЯХ КРАСНОЯРСКОЙ ЛЕСОСТЕПИ
Authors: Л.П. Байкалова , Т.С. Власова , Е.В. Коваленко
Published: December 2019

Цель – выявить влияние нормы высева на семенную продуктивность люцерны гибридной. Задачи: определить возможность управления зимостойкостью и сохранностью растений к уборке путем изменения норм высева семян; установить оптимальную структуру стеблестоя, позволяющую наиболее полно реализовывать биологический потенциал культуры; оценить агрофитоценозы люцерны гибридной по количеству семян; определить урожайность семян в зависимости от нормы высева. Методы исследования: закладка опытов и наблюдения проводились согласно методике ВНИИ кормов и методике государственного сортоиспытания в 2017–2019 гг. В качестве объекта исследования выступили нормы высева люцерны гибридной 5, 10 и 20 кг/га. Контролем выступала норма высева, рекомендованная для лесостепной зоны Красноярского края при рядовом посеве, – 15 кг/га. По сумме осадков вегетационного периода 2017 г. соответствовал норме, 2018 г. был засушливым, 2019 г. превышал норму. Во все годы распределение осадков было крайне неравномерным: в июне 2018 г. осадков выпало в 1,6 раза меньше нормы, в июне 2019 г. – в 2,3 раза больше. Годы исследований имели более высокую теплообеспеченность в сравнении со средней многолетней величиной. Полевая всхожесть при высеве с нормой 10 кг/га была низкой, максимальное значение (77 %) было при норме высева 5 кг/га. Число стеблей люцерны зависело от площади питания и погодных условий лет исследований. Зимостойкость в зависимости от нормы высева меняется слабо, она была высокой при 15 кг/га, 5 и 10 кг/га и средней при 20 кг/га. Сохранность растений к уборке в зависимости от нормы высева меняется значительно, лучшую сохранность растений к уборке обеспечивают разреженные посевы, лучшую сохранность стеблей на единице площади – загущенные посевы. Наибольшее количество семян на единице площади получено при высеве с нормой 20 кг/га – 24,55 тыс. шт/м2. Высев рассматриваемой культуры с разреженными нормами и 10 кг/га тоже обеспечивал прибавки к контролю – 2,85 и 2,03 тыс. шт/м 2. Получены достоверные прибавки урожайности семян к контролю 15 кг/га при всех изучаемых нормах. Посев с нормами 20, 5 и 10 кг/га обеспечивал дополнительный сбор семян 0,77, 0,57 и 0,40 ц/га соответственно. Внедрение научных разработок в практику позволяет повысить семенную продуктивность люцерны гибридной на 10–19 % за счет оптимальной структуры стеблестоя.
СТРОЕНИЕ, ФУНКЦИИ И ОСОБЕННОСТИ НАКОПЛЕНИЯ ТЯЖЕЛЫХ МЕТАЛЛОВ И МИКРОЭЛЕМЕНТОВ В ВОЛОСЯНОМ ПОКРОВЕ ЛОСЕЙ РАЗНЫХ ВОЗРАСТНЫХ ГРУПП
Authors: В.Ф. Позднякова , М.В. Степанова , Е.А. Пивоварова , Е.Н. Оленчук
Published: December 2019

В условиях постоянного антропогенного загрязнения биосферы особую значимость приобретает вопрос изучения возможности жизнедеятельности организмов в условиях среды техногенного загрязнения и поиска порога, вызывающего необратимые изменения биологических систем. Животные в ходе эволюции приобрели целый комплекс компенсаторных реакций, которые позволяют им поддерживать постоянство внутренней среды в субтоксических условиях окружающей среды. Волосяной покров тела животного служит защитой организма от внешних воздействий, участвует в регулировании теплообмена и в восприятии различных раздражителей из окружающей среды. В статье приводятся результаты исследования волосяного покрова лосей разных половых и возрастных групп, содержащихся в условиях государственного природного заказника «Сумароковский» Костромской области. В связи с приручением и одомашниванием лосей встает вопрос по всестороннему изучению строения, функций и особенностей накопления тяжелых металлов и микроэлементов в волосяном покрове лосей разных половых и возрастных групп. Отличительной чертой лосей является уникальное строение их волосяного покрова, которое помогает им жить в достаточно суровых условиях при низких температурах. Волосяной покров лосей состоит в основном из остевых волос, пуховые волосы более тонкие, встречаются редко и в основном на нижней части живота. Волосяной покров лося грубый, толстый, слегка волнистый, достигает длины на холке в зимний период до 18 сантиметров. Линька проходит один раз в год. Микроскопические исследования показали, что чешуйки на поверхности ости располагаются очень плотно в виде черепицы или плиток. Микроэлементный анализ шерсти животных показал высокие кумулятивные способности биосубстрата, составлен ранжированный ряд элементов, установлены основные закономерности их накопления. Данные исследования дополняют теоретические знания по изучению волосяного покрова лосей и имеют практическое значение.
PENINGKATAN KETERAMPILAN BERBICARA BAHASA INGGRIS DENGAN MEDIA PERMAIAN ULARTANGGA
Authors: Wahya I Ketut
Published: December 2019

According to the Curriculum Based Competency, the objective of learning English is to master the communication competence, it means that the students should be able to express their idea and their feeling in communication activities even in oral or in written.  So, English teacher should be able to assist their students to become effective participants in real life communication. We need to help them in any ways that motivate them to use the language as many times as possible. The main goal of teaching English to the secondary school  is to developed their language skills; listening, speaking, reading and writing. Based on experience as English teacher at secondary school (SMP Negeri 1 Bangli), most students still poor using the language in communication even in oral or in written. This problem appear because of some factors like; lack of vocabulary, poor in grammar, lack of practicing use the language, and boring because the teacher’s strategy in teaching is monotone, and never use media. To solve those problems, the writer try to do the Classroom Action Research. The research focus on developing speaking skill using media Snake and Ledger game.
IMPROVING STUDENTS’ SPEAKING SKILL THROUGH JIGSAW TYPE COOPERATIVE LEARNING OF CLASS XI IA2 STUDENTS OF SMA N 1 BLAHBATUH
Authors: Joni Dewa Ayu Ari Wiryadi , Martini Ida Ayu , Anggarini Cok Istri W.
Published: December 2019

This study was purposed to improve students’ speaking skill of eleventh grade students of SMA N 1 Blahbatuh. There were 36 students consisting of 18 female students and 18 male students. The study belonged to classroom action research which was conducted to overcome the students’ problem in mastering speaking skill. Moreover, the result of study showed that the Jigsaw Type Cooperative Learning could efficiently improve students’ achievement in speaking skill. This study was applied in two cycles in which each cycle consisted of four interconnected sessions. The required data were collected through three kinds of instruments, namely pre-test (Intial Reflection), post-tests (Reflection) and questionnaires. It was found that the mean figure of IR (Xo) was 40.89. This figure clearly showed that the students’ achievement in speaking skill of the class XI IA2 students of SMA N 1 Blahbatuh was considered low. The scores obtained by the subjects under study in cycle I revealed the progressing mean figures of 41.84, 48.00, 52.72 and 58.39 for S1, S2, S3 and S4. The grand mean of cycle I (XI) was 50.23. the figures gained by the subjects under study in cycle II also showed the succeeding mean figures of 62.22, 66.50, 72.33 and 77.67 for S5, S6, S7 and  S8. The grand mean of cycle II (XII) was 69.68. The different between grand mean of cycle I (XI) and grand mean of cycle II (XII) was 19.45. The established mean figure for each session in each cycle was much higher than the IR mean figure. The mean figures from S1 until S8 were progressed and increased significantly. However, this result proved the effectivenenss of Jigsaw Type Cooperative Learning in increasing students’ speaking skill. In addition, the result of the questionnaires showed the comparative percentage figures of 65.52%, 27.62%, 6.84% and 0% for the respective total responses of item A, B, C and D. These findings obviously confirmed that the students’ attitudes, behavior and motivation were changed positively.
UPAYA MENINGKATKAN APRESIASI SASTRA MURID KELAS V SD NEGERI 4 SESETAN DENPASAR PADA BACAAN CERITA MELALUI LOKAKARYA MEMBACA
Authors: Putra I Ketut Adnyana
Published: December 2019

This class action research's objective is to develop the students literature appreciation year 5, to the  story reading through reading workshop which focus on the de­veloping of emotive response to the content of the story and the developing response at the character and event in the story. This research took place at SD 4 Sesetan Denpasar in two cyclus, in every cycle hare are two meeting. This subject research is year 5 teacher. The research data is collected using observation, interview, and document analyzing technique. The data is analyzed qualitatively which refers to ongoing analysis principle. The  result of the research Indicates  that  through reading  workshop  activity, rind the. procedure  (1)  mini lessons,  that is introduction of the story book, selec­tion of the story books based on the student’s interest, (2)  continued to the silent residing, (3) making dialogue journal, and at last (4) sharing, literature  appreciation students  year 5 elementary school to the  story  reading covers emotive response to the story contents, and the response to the character and event at the story develop.
ANALISIS PERTANYAAN GURU DALAM INTERAKSI BELAJAR-MENGAJAR BAHASA INDONESIA PADA SISWA KELAS V SEKOLAH DASAR NEGERI 7 SUSUT, BANGLI TAHUN PELAJARAN 2007/2008
Authors: Diarta Ni Nyoman
Published: December 2019

Teachers who do not have the skills in asking questions, who do not develop an attitude like to ask question, and who do not ask questions when carrying out the teaching-learning process, will get difficulty in directing the process of student learning. To improve the quality of the questions in the process of teaching and learning Indonesian language in elementary school is required data and information through scientific research. Therefore, this study was conducted to assess the problem as follows: (1) the type of teacher questions in the interaction of teaching and learning the Indonesian language, (2) the cognitive level of teacher questions in the interaction of teaching and learning the Indonesian language, and (3) functions of teacher questions in the interaction of teaching and learning Indonesian language.

To achieve this goal, this study uses a qualitative descriptive design. It is assigned one teacher to teach Indonesian language to fifth grade students of SD Negeri 1 Susut, Bangli. The research data collected by observation method (aided by the recording process of teaching and learning) and interview. Data analysis is done with a series of processes, namely data reduction, data presentation, and drawing conclusions.

The results of this study reveal that the teacher ask questions in the teaching-learning interaction. In terms of type, the type of narrow questions as many as 62 questions = 62.62% and the type of broad questions as much as 37 questions = 37.37%. In terms of cognitive level, the knowledge questions as much as 40 questions = 43.01% , the understanding questions as much as 42 questions = 45.16%, the application questions as much as 2 questions = 2.15% , the analysis questions as much as 1 question = 1.07%, synthesis question as much as  4 questions = 4, 30%, evaluation question as much as 4 questions= 4.30%. In terms of the function, the teacher’s question is inappropriate with the function of the question in teaching-learning process.
PENGARUH PEMBELAJARAN RECIPROCAL TEACHING DIPADUKAN THINK PAIR SHARE TERHADAP PENINGKATAN KEMAMPUAN METAKOGNITIF BELAJAR BIOLOGI SISWA SMA BERKEMAMPUAN AKADEMIK BERBEDA DI KABUPATEN SIDOARJO
Authors: Effendi Nur
Published: December 2019

In the globalization era, the world is developed without the boundary, the development of the sciences and technologies have been needed by people in the nation, to increase the quality of education. In the biology (sciences) has been needed to adapt student-centered learning paradigm than the teacher-centered. The purposes of the study are to apply the Reciprocal Teaching (RT), Think Pair Share (TPS), Reciprocal Teaching Plus Think Pair Share (RT+TPS) learning strategic to increase the metacognitive ability in learning biology for the senior high school students in Sidoarjo with different academic capability. The study is a quasi experiment. The research design is pre-post test non-equivalent control group design with the 4x2 factorial pattern. The total sample is 240 students. Data are subjected to the ANACOVA statistic and followed by the LSD test with 0.05 significance degree. The result of inferential analysis indicates that the learning strategy and academic capability influenced the metacognitive ability students. The average score metacognitive ability remarks in the RT+TPS with remarks 77.73 and the higher 1.65% than TPS with remarks 76.44, but the really different and the higher 2.92% than RT with remarks 75.45, 4.33% than the Conventional with remarks 74.36. The average score met cognitive ability remarks Up students academic capability performs is 76.53 is the really different and the higher 1.39% than the Down student academic capability performs is 75.46. The average score RT+TPS strategy learning in the Up academic capability with the remarks 78.93 and the higher 1.42% than TPS-Up academic with remarks 77.82, but the really different and the higher 4.86% than RT-Up academic with remarks 75.10, 5,91% than the Conventional-Up academic with remarks 74.27. The average score metacognitive ability strategy learning RT+TPS-Up academic is really different and higher 3.05% than RT+TPS-Down academic with remarks 76.53. The RT+TPS strategy learning application have the best result to increase the metacognitive ability in learning biology if it is compared with the RT, TPS, or Conventional strategy learning on the Up or Down students academic capability performs. This strategy can be used for the largest biology learning and as the alternative to manage the instruction learning in the class, the factor fundamental to make decision for the stake holders, and the first research for the references continuous research.
THE USE OF E-LEARNING BASED READING MATERIALS TO IMPROVE THE READING COMPREHENSION OF THE TENTH YEAR MULTIMEDIA STUDENTS OF SMK N 3 SINGARAJA IN THE ACADEMIC YEAR 2012/2013
Authors: Ana I Ketut Trika Adi
Published: December 2019

Membaca adalah salah satu kemampuan yang harus dikuasai oleh pembelajar bahasa asing. Berdasarkan observasi awal yang telah dilaksanakan, siswa kelas X jurusan multimedia SMK N 3 Singaraja memiliki permasalahan dalam memahami bacaan. Hal tersebut dibuktikan dengan ditemuikannya permasalahan yang dialami oleh siswa dalam memahami isi bacaan karena materi membaca yang diberikan oleh guru bahasa Inggris diluar pengetahuan siswa. Oleh karena pentingnya pengetahuan awal dalam aktivitas membaca, materi membaca yang mengacu pada e-learning yang secara khusus telah dikembangkan sesuai dengan kebutuhan dari siswa kelas X jurusan multimedia kemudian digunakan untuk mengajar para siswa. Artikel ini akan menjelaskan hasil dari penelitian tindakan kelas ini, meliputi: (1) peningkatan pemahaman siswa dalam membaca selama penerapan pengembangan materi membaca yang mengacu pada e-learning dan (2) masalah-masalah yang muncul pada pengaplikasiannya.
PELAKSANAAN PRINSIP KERJA SAMA DALAM PERCAKAPAN GURU DAN SISWA SERTA DAMPAKNYA TERHADAP PEMBELAJARAN BAHASA INDONESIA DI KELAS XI SMAN I KEDIRI
Authors: Sari Ni Wayan Eminda
Published: December 2019

This study aimed at gathering illustrations and explanation about (1) learning context as a field of the implementation for cooperative principle in a classroom learning, (2) the cooperative principle conducted by the teacher, (3) the implementation of cooperative principle conducted by the students, (4) the effects of cooperative principle which is conducted by teacher and students upon Indonesian learning in the class XI SMAN 1 Kediri. In order to achieve these goals, this study uses the descriptive-qualitative design. The subject of the study is the students and Indonesian teacher at the class XI SMAN 1 Kediri. The data gathering is conducted by the methods of recording, observation, and interview. The data gained then was analyzed qualitatively descriptive that covers four phases, namely data gathering, data reduction, data presentation, verification, and conclusion making. The results of this study shows that learning context as the field of cooperative principle implementation in the classroom, dominantly appears in formal situation, and appears also in semi-formal and non-formal situation. The cooperative principle conducted by the teacher is marked by teacher’s speech that obeyed the maxim of quantity, maxim of quality, maxim of relevance, and maxim of manner. The implementation of cooperative principle conducted by the students is marked by teacher’s speech that obeyed the maxim of quantity, maxim of quality, maxim of relevance, and maxim of manner. The effects that appear due to the implementation of cooperative principle upon Indonesia is that the situation of the learning in the classroom become conducive and comfortable, students’ activity is developed, the learning runs well without any disturbances, and the goals of the teaching can be achieved effectively. Based on the result of this study, the readers expected to realize that in the use of speech, cooperative principle needs to be considered so that the conversation can be more effective and efficient.
IMPROVING SPEAKING SKILL AND DEVELOPING CHARACTER OF THE STUDENTS THROUGH COLLABORATION OF THINK-PAIR-SHARE AND THE CONCEPT OF TRI KAYA PARISUDHA
Authors: Budiarta I Komang , Krismayani Ni Wayan
Published: December 2019

Keterampilan berbicara merupakan salah satu keterampilan yang harus selalu dilatih agar mereka dapat berkomunikasi dengan baik.Di samping itu, karakter juga merupakan salah satu hal yang sangat penting karena orang yang sukses bukan hanya karena hard skill tetapi juga soft skill.Penelitian ini ditujukan untuk mengatasi permasalahan yang dihadapi oleh mahasiswa semester tiga Program Studi Pendidikan Bahasa Inggris yaitu keterampilan berbicara dan karakter.Penelitian dilaksanakan dalam beberapa siklus penelitian tindakan kelas dengan menerapkan model pembelajaran kolaborasi think-pair-share dengan konsep tri kaya parisudha. Setelah beberapa siklus, hasil penelitian menunjukkan terjadinya peningkatan dari pra siklus sampai siklus IV.Hal ini menunjukkan bahwa model pembelajaran yang diterapkan telah berhasil meningkatkan keterampilan berbicara dan mengembangkan karakter disiplin, jujur, kooperatif, kreatif dan saling menghormati.
EFEKTIVITAS MODIFIED COLABORATIVE STRATEGIC READING DALAM READING CLASS ACTIVITY
Authors: Dharmayanti Putu Ayu Paramita , Joni Dewa Ayu Ari Wiryadi
Published: December 2019

The study aimed at improving the students’ reading comprehension by implementing Modified Collaborative Strategic Reading (MCSR) technique. The subject was grade eleven students of SMA (SLUA) Saraswati 1 Denpasar, in which the amount was thirty students. There were two cycles (eight meetings), in this Classroom based Action Research. There were three instruments used: test, questionnaire, and diary. From the result of the post-test and analyzed questionnaire, it is shown that there is an increase in every meeting. This can be concluded that MCSR is effective in improving the students’ reading comprehension.
BAJRA SANDHI: MONUMEN PERJUANGAN RAKYAT BALI SUMBANGAN TERHADAP TEGAKNYA KEDAULATAN NEGARA KESATUAN REPUBLIK INDONESIA
Authors: Brata Ida Bagus
Published: December 2019

Bali as one of the battle ground against the colonizer holds many historic value. To commemorate the patriots’ virtue that was given for Indonesia, a monument called Bajra Sandhi was built. There are archieves about the virtues of Balinese patriots before and after the Independence Day. The monument is expected to give benefits for the sake of improving appreciation of the young generations in experiencing patriotic values that are inherited. The monument is the identity and the symbol of togetherness and as a media of communication between the post generations to the next generation. The track records of the patriots that are documented are a kind of guidance in developing and preserving the unity of the nation for the future.
MENYIKAPI KEBERTAHANAN BAHASA INDONESIA DALAM MENGHADAPI GLOBALISASI DI BALI
Authors: Rustini Ni Ketut Pola , Diarta I Nyoman
Published: December 2019

Indonesian is the official language of Indonesia in which the existence should be preserved by its own users because it is a part of living culture. Indonesian is a symbol of social and cultural value which bond to its society. It is one of the cultural treasures which can be developed to set the standard of national language. Seeing the rapid development in Bali to a more modern community, the people tend to be multilingual. Therefore there is a challenge for the existence of Indonesian in Bali especially in this global era. Ways to cope with this challenge is for the users to have positive attitude that is to be proud using Indonesian in speaking, to be loyal in using Indonesian and to be responsible in using the language appropriate with the context of the usage.
АНАЛІЗ СУЧАСНОГО СТАНУ РИНКУ ПУБЛІЧНИХ ЗАКУПІВЕЛЬ У СФЕРІ БУДІВНИЦТВА НА ПРИКЛАДІ ЗОВНІШНІХ МЕРЕЖ ТЕПЛОПОСТАЧАННЯ
Authors: Мацапура О. В.
Published: December 2019

У статті проаналізовано сучасний стан ринку публічних закупівель зовнішніх мережтеплопостачання,виявлено що з кожним роком закупівель на будівництво трубопроводів, лінійзв’язку та електропостачання стає дедалі більше. Це пояснюється зношеністю мереж трубопро-водів та потребує їх негайної заміни. Проаналізовано вартість прокладання зовнішніх мереж те-плопостачання та виявлено, що ціна збільшується зі збільшенням довжини мережі та зменшу-ється зі збільшенням діаметру труби. Статистичний аналіз виявив, що учасникам закупівель вигі-дніше брати участь у закупівлях на великий об’єм робіт – це більш економічно вигідно для підпри-ємства у разі перемоги. Проведений аналіз дав змогу виявити, що питання оптимізації механізмівздійснення публічних закупівель відповідно до цілей такої політики уявляється актуальним напря-мом для подальших досліджень.
ПЕРЕДУМОВИ СТВОРЕННЯ МЕХАНІЗМУ АНТИЦИКЛІЧНОГО РЕГУЛЮВАННЯ ФІНАНСОВОЇ СТІЙКОСТІ БУДІВНИЦТВА
Authors: Моголівець А. А.
Published: December 2019

Уточнено економічну сутність понять "економічний цикл", "індикатори зміни фазекономічного циклу", "антициклічне управління", "механізм управління фінансовою стійкістюбудівництва в умовах економічної циклічності". На основі аналізу літературних джерел встановлено, що економічний цикл це періодичне коливання ділової активності, який має піки та спади,а антициклічне управління процес планування, організації, приведення в дію та контролю діяльності будівельного підприємства з метою пом'якшення негативної дії циклічності під часспаду, та виявлення потенційних можливостей під час підйому економіки. Даний підхід є теоретичною основою для побудови механізму управління фінансовою стійкістю будівництва в умовах економічної циклічності як сукупності засобів і методів, які використовуються в процесіантициклічного управління та спрямовані на створення умов підвищення фінансової стійкостів умовах коливань ділової активності.
Can a two-hour lecture by a pharmacist improve the quality of prescriptions in a pediatric hospital? A retrospective cohort study
Authors: Carceller-Blanchard Ana , Vairy Stéphanie , Corny Jennifer , Jamoulle Olivier , Levy Arielle , Lebel Denis
Published: December 2019

Background: A high rate of prescription errors exists in pediatric teaching hospitals, especially during initial training.Objectives: To determine the effectiveness of a two-hour lecture by a pharmacist on rates of prescription errors and quality of prescriptions.Methods: A two-hour lecture led by a pharmacist was provided to 11 junior pediatric residents (PGY-1) as part of a one-month immersion program. A control group included 15 residents without the intervention. We reviewed charts to analyze the first 50 prescriptions of each resident.Results: Data were collected from 1300 prescriptions involving 451 patients, 550 in the intervention group and 750 in the control group. The rate of prescription errors in the intervention group was 9.6% compared to 11.3% in the control group (p=0.32), affecting 106 patients. Statistically significant differences between both groups were prescriptions with unwritten doses (p=0.01) and errors involving overdosing (p=0.04). We identified many errors as well as issues surrounding quality of prescriptions.Conclusion: We found a 10.6% prescription error rate. This two-hour lecture seems insufficient to reduce prescription errors among junior pediatric residents. This study highlights the most frequent types of errors and prescription quality issues that should be targeted by future educational interventions.
Watering CanMEDS flowers
Authors: Voll Sarah , Valiante Taufik
Published: December 2019

We expand on the discourse related to nature surrounding Canadian medical training and the CanMEDS flower. We advance the notion that a major contributor to burnout is the increasing complexity and segregation of not only the medical profession, but society as a whole, leading to choice overload and an overemphasis on complex, data driven, rational decision making. We then propose that the key to watering CanMEDS flowers and preventing physician burnout lies in getting back to the basics of human behaviour.
A needs assessment on addressing environmental health issues within reproductive health service provision: Considerations for continuing education and support
Authors: Williamson Linzi , Sangster Sarah , Bayly Melanie , Gibson Kirstian , Clark Megan , Lawson Karen
Published: December 2019

Background: This needs assessment was initially undertaken to explore the beliefs and knowledge of nurses and physicians about the impact of environmental toxicants on maternal and infant health, as well as to describe current practice and needs related to addressing environmental health issues (EHI).Methods: One hundred and thirty-five nurses (n = 99) and physicians (n = 36) working in Saskatchewan completed an online survey. Survey questions were designed to determine how physicians and nurses think about and incorporate environmental health issues into their practice and means of increasing their capacity to do so.Results: Although participants considered it important to address EHIs with patients, in actual practice they do so with only moderate frequency. Participants reported low levels of knowledge about EHIs’ impact on health, and low levels of confidence discussing them with patients. Participants requested additional information on EHIs, especially in the form of online resources.Conclusion: The results suggests that while nurses and physicians consider EHIs important to address with patients, more education, support, and resources would increase their capacity to do so effectively. Based on the findings, considerations and recommendations for continuing education in this area have been provided.
Students’ satisfaction with general practitioners’ feedback to their reflective writing: a randomized controlled trial
Authors: Kiss Alexander , Steiner Claudia , Grossman Paul , Langewitz Wolf , Tschudi Peter , Kiessling Claudia
Published: December 2019

Background: Reflective Writing (RW) is increasingly being implemented in medical education. Feedback to students’ reflective writing (RW) is essential, but resources for individualized feedback often lack. We aimed to determine whether general practitioners (GPs) teaching students clinical skills could also provide feedback to RW and whether an instruction letter specific to RW feedback increases students’ satisfaction.Methods: GPs were randomized to the two study arms using block randomization. GPs in both groups received an instruction letter on giving students feedback on clinical skills. Additionally, intervention group GPs received specific instructions on providing feedback to students’ RW. Students completed satisfaction questionnaires on feedback received on clinical skills and RW. T-tests were employed for all statistical analysis to compare groups.Results: Eighty-three out of 134 physicians participated: 38 were randomized to the control, 45 to the intervention group. Students were very satisfied with the feedback on RW and clinical skills regardless of tutors’ group allocation. A specific instruction letter had no additional effect on students’ satisfaction.Conclusion: Based on student satisfaction, GPs who give students feedback on clinical skills are also well suited to provide feedback on RW. This approach can facilitate the introduction of mandatory RW into the regular medical curriculum.
Evaluating pediatrics residents’ ethics learning needs using multisource interprofessional feedback
Authors: MacPherson Peter , Emberley Julie
Published: December 2019

Background: Ethics education is a required component of pediatric residency training. Limited instructional time requires educators to identify and prioritize learning needs. This is the first study to identify pediatric residents’ ethics learning needs using a multisource (360 degree) assessment. We hypothesized that pediatricians or allied health care professionals would identify unperceived ethics learning needs.Methods: Pediatric residents, pediatricians, respiratory therapists (RTs), and registered nurses (RNs) working at a university children's hospital rated the importance of twelve ethics themes as learning needs for trainees using a Likert-type scale. One-way ANOVA was used to determine differences between the groups, followed by post-hoc testing.Results: Response rates were 65%, 70%, 57%, and 47% for residents, pediatricians, RTs, and RNs, respectively. Themes were categorized into three priority groupings based on mean importance ratings. Where significant differences existed between residents and other respondent groups, pediatric residents rated the theme as being more important. Conclusion: This study provides an interprofessional assessment of pediatric residents’ perceived ethics learning needs. High priority ethics topics were identified, allowing for targeted teaching. Pediatricians and allied HCPs did not rate any ethics themes higher than residents. Medical educators may consider using methods inspired by multisource feedback for program evaluation.
Time is of the essence: an observational time-motion study of internal medicine residents while they are on duty
Authors: Leafloor Cameron , Liu Erin (Yiran) , Code Cathy , Lochnan Heather , Keely Erin , Rothwell Deanna , Forster Alan , Huang Allen
Published: December 2019

Background: The effects of changes to resident physician duty hours need to be measureable. This time-motion study was done to record internal medicine residents’ workflow while on duty and to determine the feasibility of capturing detailed data using a mobile electronic tool.Methods: Junior and senior residents were shadowed by a single observer during six-hour blocks of time, covering all seven days. Activities were recorded in real-time. Eighty-nine activities grouped into nine categories were determined a priori.Results: A total of 17,714 events were recorded, encompassing 516 hours of observation. Time was apportioned in the following categories: Direct Patient Care (22%), Communication (19%), Personal tasks (15%), Documentation (14%), Education (13%), Indirect care (11%), Transit (6%), Administration (0.6%), and Non-physician tasks (0.4%). Nineteen percent of the education time was spent in self-directed learning activities. Only 9% of the total on duty time was spent in the presence of patients. Sixty-five percent of communication time was devoted to information transfer. A total of 968 interruptions were recorded which took on average 93.5 seconds each to service.Conclusion: Detailed recording of residents’ workflow is feasible and can now lead to the measurement of the effects of future changes to residency training. Education activities accounted for 13% of on-duty time.
The physician as person framework: How human nature impacts empathy, depression, burnout, and the practice of medicine
Authors: Liao Lester
Published: December 2019

Troubling trends of depression, burnout, and declines in empathy have been demonstrated amongst residents. I argue that while interventions in medical education are helpful, a new perspective on the issue requires a more fundamental understanding of this problem. Rather than training physicians to act in certain ways, we must first recognize that physicians are first and foremost people. This core principle forms the basis of the framework that educators can use to help learners. Five areas of humanity with implications for physicians are discussed: 1) Physicians and patients share their humanity; 2) People are self-integrated in both personal and professional lives; 3) People are dynamic, thoughtful, and emotional; 4) People are finite; and 5) People are moral beings.  Recognizing these can mitigate various factors contributing to current struggles.  I also discuss practical implications of this framework to help residents flourish.
Accuracy of Peak Systolic Velocity of Radial Artery as Predictor of Maturation of Radiocephalic Arteriovenous Fistula in Cipto Mangunkusumo Hospital
Authors: Pratama Dedy , Limen Richard Yehuda , Muradi Akhmadu
Published: December 2019

Introduction: Hemodialysis is an essential treatment in patients with stage 5 chronic kidney disease (CKD) or End-Stage Renal Disease (ESRD). The maturity of arteriovenous fistulas determines the success of hemodialysis. FAV maturity depends on preoperative preparation. The study aims to examine the preoperative and intraoperative peak systolic velocity (PSV) of the radial artery as a predictor of the successful maturation of the radiocephalic FAV.

Method: This study used an analytic cross-sectional design to obtain the relationship of FAV maturation with preoperative and intraoperative PSV. Subjects were those who will undergo radiocephalic FAV surgery with preoperative ultrasound mapping. Shortly after anastomosis, PSV was measured. After 6 weeks, FAV was assessed for its maturity.

Results: As many as 71 patients were undergone radiocephalic FAV surgery and followed for six weeks. The mean preoperative PSV of mature fistula was significantly higher than immature (54.6 ± 11.7 cm/s and 26.7 ± 7.7 cm/s; p <0.001). The mean intraoperative PSV of mature fistula was significantly higher than immature (57.9 + 12.6 cm/s and 27.1 + 8.1 cm/s; p <0.001). The mean PSV difference in mature fistulas was significantly higher than immature (3 cm/s and 0 cm/s; p <0.001). Preoperative PSV with a cut-off of 40 cm/s, intraoperative with a cut-off of 42 cm/s, and a difference of PSV with a cut-off of 42 cm/s all had 92.9% accuracy as a predictor of FAV maturation compared to “rule of 6” as a reference standard.

Conclusion: Preoperative PSV >40 cm/s and intraoperative PSV >42 cm/s had a good predictor value for radiocephalic FAV maturation.

Keywords: peak systolic velocity, maturation, arteriovenous fistula, radial artery
Correlation of Spectral Doppler USG of Limb with PEDIS Score on Diabetic Foot Ulcers
Authors: Ibrahim Hilman , Muljono Willy , Kekalih Aria
Published: December 2019

Introduction: Diabetic foot ulcer is one of the most severe complications in a patient with diabetes mellitus because it will lead to with amputation, which results in disability and death. Doppler ultrasound is an easily available and non-invasive modality for evaluating lower limb arteries and can detect the severity of blood flow disorders or peripheral arterial disease (PAD). WHO recommends the classification of perfusion, extent/size, depth/tissue loss, infection, and sensation (PEDIS) as a tool for establishing the diagnosis and helping determine the management of diabetic foot. This study aims to see the correlation of PEDIS scores in assessing impaired lower limb arterial flow with Doppler ultrasound in patients with diabetic foot ulcers.

Method: This was a cross-sectional study with subjects who has diabetic foot ulcer treated in the Division of Vascular and Endovascular Surgery, Cipto Mangunkusumo Hospital, Jakarta, Indonesia. The data of PEDIS scores and spectral ultrasound in the femoral artery, popliteal artery, dorsalis pedis artery, and posterior tibial artery were taken.

Results: As many as 81 subjects participated in this study, with 52 people (64%) were male, 29 people (36%) were female, and an average age of 59.8 ± 10.5 years. Pedis cut-off scores were obtained using ROC (receiver operating characteristic) curves, with popliteal arteries scores of >10, dorsalis pedis arteries, and posterior tibial arteries scores of >8 had the best values as diagnostic tools compared to USG as reference standards.

Conclusion: PEDIS score could be use as assessment for impaired lower limb arterial flow, compare to Doppler ultrasound.

Keywords: PEDIS score, Doppler ultrasound spectral, diabetic foot ulcer
Pancytopenia and Massive Gastroesophageal Bleeding Due to Hypersplenism Treated with Partial Splenic Embolization
Authors: Muradi Akhmadu , Waznan Fadhli , Jasirwan Cynthia , Pratama Dedy , Suhartono Raden
Published: December 2019

Introduction: Portal hypertension may cause gastrointestinal complications; one of the most serious is a ruptured esophageal varices. Portal hypertension is also the main cause of hypersplenism, which in turn could lead to pancytopenia. Despite adequate therapy, some cases of hypersplenism could not be resolved. Partial splenic embolization (PSE) is an effective alternative method to treat this condition.

Method: We reported two cases of hypersplenism treated with PSE. The first case was a 10- year-old girl with pancytopenia and a history of recurrent esophageal ligation. The second case was a 32-year-old man with recurrent episodes of hematemesis for two years before admission.

Results: After the PSE procedure, the first patient’s white blood cell and platelet doubled in one month after procedure and stable at follow-up three months later, with no complaint of hematemesis. The second patient’s platelet doubled five days after the procedure. The first patient developed a complication of a splenic abscess, but after antibiotic administration and pus drainage, the condition was resolved.

Conclusion: PSE is an effective method to treat hypersplenism secondary to the hypertensive portal. Treatment goals successfully achieved include improvement in blood count and control of bleeding. There are risks following PSE, but with adequate treatment, it can be overcome.

Keywords: hypersplenism, partial splenic embolization, portal hypertension, pancytopenia
Levels of paraoxonase, high-density lipoprotein and total sialic acid levels in patients with polycystic ovary syndrome
Authors: DEVECİ Haci Ahmet , NUR Gökhan , ALPAY Merve , ÖZMERDİVENLİ Recep
Published: December 2019

Paraoxonase (PON1) have been considered to have a role in various
pathological processes, including inflammatory response, cardiovascular disease
and recently also in ovarian dysfunction. We aimed to evaluate relation high
density lipoprotein cholesterol (HDL) levels and PON1 activity and total sialic
acid status (TSA) levels in serum of patients with polycystic ovary syndrome
(PCOS) and healthy individuals.

Twenty PCOS patients (PCOS group) and 20 healthy nonhyperandrogenic women
(control group) were studied in the current study. Levels of HDL, TSA, and
activity of PON1 were measured in serum of PCOS patients.

Levels of PON1 activity and level of HDL were significantly lower in the
PCOS group than in the control group. TSA levels were higher in the PCOS group
than the control group. There was also a significant correlation between the parameters
and syndrome initiation.

In conclusion, patients with PCOS had high level of PON1. It might be
hypothesized that elevated serum TSA, HDL and PON1 may be associated with
increased cardiovascular risk in PCOS and/or menstrual irregularities
associated with this syndrome.