bluuebunny/crossref_metadata_2025 huggingface dataset:
Developing a Center for Education Research and Scholarship in a Department of Pediatrics
Authors: Nicklas Daniel , Treitz Meghan , Daniels Stephen , Hanson Janice
Published: August 2020

This article was migrated. The article was marked as recommended. Background The skills needed to engage in scholarship in medical education are not part of the training that all physicians acquire. To build skills and promote scholarship, we developed a Center for Education Research and Scholarship (CERS) in the Department of Pediatrics at the University of Colorado. In this paper, we offer recommendations for others who seek to establish departmental-level efforts to support education. Approach and Lessons Learned CERS provides an "education home" for those interested in education scholarship, supplementing campus-wide efforts such as an Academy of Medical Educators. Mentorship from two experienced leaders in medical education provided a foundation for other faculty in the department and helped to build scholarship efforts more broadly. Through a weekly meeting and an annual departmental retreat, CERS provides opportunities for community among educators, faculty development in the skills needed to engage in education research, and a forum for generating ideas and planning projects.Essential resources for success include at least one leader with expertise in educational research, an administrative and/or research assistant, and some funding for faculty time and initiation of projects. Mentors with experience in education research and scholarship are also needed, although a group of mentors quickly grows as more individuals engage. Results Benefits to the department include peer-reviewed presentations and publications in medical education, with regional, national, and international recognition. Faculty members can focus on medical education as a key component of their careers, and the quality of education programs is enhanced. Conclusions While it takes time to fully develop a departmental center for education scholarship, it is possible to start small and grow. One or two leaders in education with vision can begin the effort and engage others, and the faculty will begin to experience the satisfaction of collaborative projects in education, successful innovation, and dissemination of scholarship.
Repositioning Psychiatry in Medical School Curricula: a study of medical students’ attitudes
Authors: Quinn Carol , Hegde Rekha , Langan-Martin Julie
Published: August 2020

This article was migrated. The article was not marked as recommended. Amidst the ongoing global recruitment crisis in psychiatry there are compelling reasons to rethink the approach to, and the content and structure of, educational and experiential opportunities for medical students and foundation doctors. Medical students' attitudes to mental illness and psychiatry have been a topic of interest for many decades. The literature identifies the undergraduate years as pivotal in the formation of attitudes towards psychiatry and it has been suggested that medical students' attitudes towards psychiatry worsen as they progress through undergraduate education. The aim of this study was to explore University of Glasgow medical students' attitudes towards psychiatry and possible reasons for not choosing psychiatry as a viable career option. An electronic survey was emailed to all medical students in October 2017. A response rate of 24.5% (N=324) was achieved which was representative across year groups one to five. The findings identified generally positive attitudes towards psychiatry as a specialty. However, year group analysis demonstrated a declining level of interest in pursuing psychiatry as a career choice. Negative attitudes towards psychiatry clustered in common themes, namely: stigmatised views about psychiatry and people with mental illness; perceived limited exposure to psychiatry in the curriculum and for experiential learning opportunities. This paper proposes that enhanced coverage of, and exposure to, psychiatry in undergraduate and postgraduate training may provide avenues into reducing negative attitudes towards psychiatry within medicine. This in turn may support national campaigns to 'rebrand' psychiatry and reinvigorate the psychiatry core trainee (CT) supply chain.
Efeito da atividade física em ambiente enriquecido sobre o músculo esquelético de camundongos com caquexia associado ao melanoma cutâneo
Authors: Dos Santos Karen Layane , De Oliveira Tayrine Resende , Nunes Lopes João Vitor , Freitas Alex Sander , Mendes Vieira Magda , De Oliveira Sousa Berenilde Valéria , Rocha Alves Mariana , Rodrigues Vinicius Dias
Published: August 2020

OBJETIVO: O objetivo deste estudo foi verificar os efeitos da atividade física em ambiente enriquecido sobre histomorfometria do músculo quadríceps femoral de camundongos C57BL/6 com caquexia associada ao modelo tumoral singênico de melanoma cutâneo. MÉTODOS: Foram utilizados camundongos fêmeas da linhagem C57BL/6 que foram distribuídos aleatoriamente em dois grupos: controle CRC (n=11), que não realizou nenhum tipo de intervenção, o segundo grupo foi o experimental (CRC-ATF) (n=15), que realizou atividade física organizada em ambiente enriquecido de 60 cm de comprimento, 30 cm de largura e 45 cm de altura. Ocorreu indução tumoral de células B16-F10 da linhagem de melanoma cutâneo em todos os animais desse estudo. Após dez dias da indução tumoral, todos os animais já apresentavam quadro de caquexia, assim o grupo experimental iniciou a atividade física em ambiente enriquecido com duração de 30 minutos com intervalos de 48 horas. Após 26 dias do início da intervenção, os animais sobreviventes foram eutanasiados e foi realizada a coleta do músculo quadríceps femoral para análise histomorfométrica. RESULTADOS: Analisando a intervenção realizada, percebemos que o grupo CRC-ATF apresentou a área da fibra muscular maior que o grupo CRC, mas esse resultado não mostrou diferença significativa (p?0,05) entre os grupos. CONCLUSÃO: Os resultados mostram que é possível preservar a estrutura muscular, pois os melhores resultados foram encontrados com os animais que participaram da atividade física em ambiente enriquecido.
Posição prona em pacientes em ventilação espontânea com insuficiência respiratória por COVID-19: relato de caso
Authors: Dos Anjos Jorge Luis Motta , Santos Junior Frederico Lopes , Pires Thiago Queiroz , Rocha Gustavo Azevedo , Moreira Pedro Diogenes Freire , Durães Andre Rodrigues
Published: August 2020

INTRODUÇÃO: A Posição Prona (PP) geralmente é utilizada em casos de Insuficiência Respiratória Aguda (IRpA) grave, em pacientes com Síndrome da Angústia Respiratória Aguda (SARA) e em ventilação mecânica invasiva, com o objetivo de melhorar a oxigenação. Entretanto, pode ser útil em casos de IRpA leve secundária ao COVID -19 reduzindo a necessidade de ventilação mecânica invasiva e as complicações associadas ao ventilador. OBJETIVO: Descrever o relato de caso do uso da posição prona (PP) em pacientes em ventilação espontânea com Insuficiência Respiratória Leve secundária ao COVID-19. MÉTODO: Trata-se de um relato de caso de um paciente com diagnóstico de COVID-19, com IRpA leve, com dispneia, tosse, hipoxemia e dessaturação, que dentre as técnicas de tratamento utilizou um protocolo de posição prona por períodos de duas horas, duas vezes ao dia, durante todo o período de internação. RESULTADOS: O paciente apresentou hipoxemia (SPO2 -94% e PO2- 62,9), associada a dispneia (Borg 6) na admissão, tendo apresentado melhora na dispneia (Borg 4) e saturação na oximetria de pulso de 96% após 24 horas de início do protocolo.  Após 48 horas apresentou melhora gasométrica com valores e SPO2 e PO2 de 96,5% e 80,6 mmHg respectivamente. CONCLUSÃO: A posição prona em pacientes em ventilação espontânea, com insuficiência respiratória leve secundária ao COVID-19 é segura e pode ser utilizada como terapia adjuvante ao tratamento desse perfil de pacientes.
Bem-estar e comprometimento motor facial em pacientes com paralisia facial periférica: um estudo transversal
Authors: Dantas de Medeiros Sarah Fernanda , Da Silva Rita de Cássia Souza , De Medeiros Cirne Gabriele Natane , Cavalcante de Carvalho Ana Beatriz , Vieira Lima Núbia Maria Freire , De Azevedo Cacho Enio Walker , Cacho Roberta de Oliveira
Published: August 2020

INTRODUÇÃO: A Paralisia Facial Periférica (PFP) é resultante da disfunção do nervo facial. A incapacidade de mover o rosto tem consequências sociais e funcionais para o paciente. OBJETIVO: Analisar a relação entre comprometimento motor facial e bem estar em pacientes com PFP. MÉTODO: Trata-se de uma pesquisa de caráter descritivo, observacional, do tipo transversal. Os critérios de elegibilidade consistiam em ter diagnóstico de paralisia facial e estar sendo atendido na clínica escola de Fisioterapia da FACISA. A amostra foi constituída por 20 pessoas com PFP. Os pacientes  foram avaliados por uma ficha de avaliação sociodemográfica e pelos instrumentos: Escala de House-Brackmann (HB) e o Índice de Incapacidade Facial (IIF).Utilizou-se o coeficiente de correlação de Spearman para analisar o grau de correlação entre HB, IF e o tempo de lesão. RESULTADOS: Os participantes foram 65% do sexo feminino, a mediana da idade foi de 50,5 anos, o tempo de lesão foi de 3 a 331 dias (mediana 17,5 dias), a etiologia predominante foi idiopática 65%, e ambas hemifaces foram acometidas em igual proporção (50%). Quanto as características clínicas da PFP, o nível de comprometimento motor facial graduado pela escala de HB obteve mediana 4, o IFF-física obteve mediana 60. IFF-função social obteve mediana 38. Nas correlações entre HB, tempo de lesão e IFF, foi observado que os valores obtidos indicaram que não houve correlações estatisticamente significantes. CONCLUSÃO: Mesmo que o nível de comprometimento motor facial esteja acentuado, não houve correlação com o bem-estar dos participantes.
Efeito da dança em ambiente aquático na fibromialgia
Authors: Regra Giovanna , Salerno Gisela Rosa Franco , Ressurreição Kamila Santos , Rodrigues Étria
Published: August 2020

INTRODUÇÃO: A fibromialgia é uma das doenças reumatológicas mais frequentes e com incidência maior na população feminina. A fisioterapia é um dos tratamentos mais procurados para minimizar os sintomas, e a terapia aquática tem apresentado melhores resultados”. OBJETIVO: Avaliar a dor, qualidade de vida, fadiga, pressão arterial (PA) sistólica, diastólica e distância total percorrida de mulheres com fibromialgia (FM), antes e após terapia com dança do tipo jazz dance em ambiente aquático. MÉTODOS: Foi realizado um estudo longitudinal com amostra semiprobabilística após aprovação da comissão de ética da Universidade Presbiteriana Mackenzie, por meio da plataforma Brasil. Participaram 10 voluntárias, com idade entre 40 e 70 anos, submetidas a 22 sessões, 2 vezes por semana, com 20 minutos inicias de alongamento, 30 minutos de dança e 10 minutos finais de relaxamento. Para a coleta de dados foi utilizado o Questionário de impacto da Fibromialgia (QIF), Escala Borg (Fadiga), Teste de caminhada de 6 minutos (TC6) e escala análoga de dor (EVA). Os dados obtidos foram inicialmente submetidos ao teste de KS para a verificação da normalidade da amostra, em seguida analisados por testes estatísticos Wilcoxon e T-Student, com nível de significância p?0.05. RESULTADOS: Houve diferença significativa importante quando comparado o EVA inicial com o EVA final, com p=0,000. Em relação ao QIF não houve diferença significativa quando comparado o inicial com o final, sendo p=0,241. Assim como no TC6 nas variáveis pressão arterial sistólica (p=0,780), pressão arterial diastólica (p=0,257), escala Borg (p=0,435) e distância total percorrida (p=0,765). CONCLUSÃO: A dança como exercício aeróbico em ambiente aquático proporcionou melhora na dor, não apresentando alteração significante nas outras variáveis.
Olumsuz Güncel Gelişmelerin ve Krizlerin Türk Turizmine Etkileri: Profesyonel Turist Rehberlerinin Değerlendirmeleri ve Sektörel Çözüm Önerileri
Authors: ŞAHİN İlker , GÜZEL F. Özlem
Published: August 2020

Arap Baharı neticesinde geçtiğimiz yıllarda siyasi, ekonomik ve sosyolojik açıdan büyük değişimler yaşayan Ortadoğu ülkelerine coğrafi ve kültürel yakınlığı bulunan Türkiye, 2020 yılında Çin-Vuhan kentinden dünyaya yayılan ölümcül yeni tip koronavirüs (COVID-19) salgınıyla mücadele etmiştir. Son dönemde meydana gelen güncel gelişme, pandemi ve krizler başta turizm olmak üzere birçok sektörü olumsuz etkilemiştir. Bu noktadan hareketle, araştırmanın temel amacı kokartlı turist rehberlerinin olumsuz güncel gelişmeler karşısında turizmin karakteristik özelliklerini nasıl değerlendirdiklerini ve hangi alternatif çözüm önerilerini sunduklarını ortaya çıkarmaktır. Keşifsel bakış açısını benimseyerek bütüncül çoklu durum deseninde tasarlanan bu çalışmada nitel araştırma yöntemi kullanılmıştır. Bu amaç doğrultusunda ülke imajının turistler nezdinde şekillenmesine büyük rol oynayan turist rehberleri nitel araştırmanın örneklemini oluşturmaktadır. 65 profesyonel turist rehberinden görüşme tekniğiyle elde edilen veriler, kodlama metodu kullanılarak betimsel analize tabi tutulmuştur. Bulgulara göre, olumsuz güncel gelişmeler ve krizler karşısında turizmin “kırılgan yapı, rekabetçi yapı, ikame edilebilirlik özelliği ve ülke imajının zedelenmesi” olmak üzere dört yapısal özellik gösterdiği ortaya çıkmıştır. Rehberlerin turizm sektöründe alınması gereken önlemlere ilişkin “güvenlik vaadi, tanıtım faaliyetleri, destinasyon markalaşması ve hedef pazar çalışmaları” başta olmak üzere toplam 14 ana tema ile bunlara bağlı 64 alt temada uygulamaya dönük sektörel çözüm önerileri sundukları ortaya çıkmıştır.﻿
Antalya’nın EXPO 2016 Tecrübesi ve Organizasyon Mirasının Değerlendirilmesi
Authors: BATUHAN Tuna
Published: August 2020

Bu çalışmada, 2016 yılında Botanik EXPO’suna ev sahipliği yapan Antalya’nın organizasyona adaylık, hazırlık ve planlama süreci ayrıntılı olarak incelenmiştir. EXPO, büyük ölçekli organizasyonlar içinde ev sahibi kente kısa, orta ve uzun vadede katkı sağlama potansiyeli ile ön plana çıkan önemli ve saygın organizasyonlardan birisidir. Bu çalışmada Antalya’nın EXPO tecrübesi, EXPO organizasyonunun sahip olduğu avantajlar ve EXPO’nun ev sahibi şehre bırakması beklenen diğer miraslar (altyapı ve ulaşım, parklar ve yeşil alanlar, alan ve mekan mirası, sosyal ve örgütsel kapasite ve uluslararası ilişkiler vb.) kapsamında incelenmiş ve Antalya’nın EXPO tecrübesinin olumlu ve olumsuz yönleri ayrıntılı olarak analiz edilmiştir. EXPO, ev sahibi kente önemli miraslar bırakabilecek ölçekte bir organizasyondur ve bu organizasyondaki başarı gelecekte düzenlenmesi muhtemel benzer organizasyonların planlanmasında önemli bir referans noktasıdır. Bu çalışma kapsamında elde edilen verilerin, benzer büyük ölçekli organizasyonların adaylık ve sahnelenmesi süreçleri ile ev sahibi şehirlerin geleceğine etkilerinin planlanması aşamalarında yol gösterici olması amaçlanmaktadır.
Kurumlar, Cinsiyet ve Yolsuzluk İlişkisi: Merkezi ve Doğu Avrupa Ülkeleri Üzerine Panel VAR Analizi
Authors: ÇUHADAR Pınar
Published: August 2020

Yolsuzluk, özel çıkarlar elde etmek için kamu makamlarının bir birey veya grup tarafından suiistimal edilmesidir. Literatürde kadın ve erkeklerin cinsiyetlerine özgü davranış kalıplarına sahip olduğu ve bu davranış kalıplarının yolsuzluk yapmaya eğilimi etkilediği tartışılmaktadır. Bu çalışmanın amacı sosyalist yönetim döneminde yolsuzluğun yüksek düzeylere eriştiği ve rejim değişimi sonrası geçmiş kurumların etkisinin sürdüğü Merkezi ve Doğu Avrupa ülkelerinde liberal demokratik kurumlar, cinsiyet ve yolsuzluk arasındaki ilişkiyi incelemektedir. Çalışmada kadınların güçlendirilmesi, parlamentodaki kadınların temsil oranı ve liberal demokratik kurumların kamudaki yolsuzlukla ilişkisi panel VAR analizi araştırılmıştır. Analiz neticesinde Merkezi ve Doğu Avrupa ülkelerinde cinsiyet ve yolsuzluk arasında Granger nedensellik bulunamazken, bulgular liberal demokratik kurumlarla yolsuzluklar arasında ilişki olduğunu desteklemektedir.
Çevre Etiğinde Özgün Bir Yaklaşım: Ricardo Rozzi ve Biyokültürel Etik
Authors: ARTUÇ Murat
Published: August 2020

Biyokültürel etik başlığı altında Ricardo Rozzi; çevre etiğine özgün bir bakış getirmektedir. Biyokültürel etik; bilimsel ekolojik bilgiyi ana akım Batı felsefesi dışında kalan felsefe ve dünya görüşleri ile birleştirmeyi amaçlamıştır. Modern bilim ve felsefe tüm dünyayı kapsamakta ve yerel unsurları görmezden gelmektedir. Biyokültürel etik ise bu tutuma karşı yerel değer, bilgi ve felsefenin önemine vurgu yaparak insan ve doğanın özellikle aydınlanma sonrası gelişen felsefe ve bilimden ancak biyokültürel çeşitlilikle korunabileceğini ifade etmektedir. Rozzi; Aldo Leopold ve Luisa Maffi gibi düşünürler yanında And Dağları’ndaki yerli toplumların ekolojik bilgi ve kültürlerinden de etkilenmiştir. Ayrıca F. S. Chapin’in “Yeryüzü Naipliği” yaklaşımının da biyokültürel etiğin önemli bir parçası veya bir öncülü olduğunu söylemek mümkündür. Bu makalede Rozzi’nin Biyokültürel Etik yaklaşımı ele alınmaktadır. Makalenin yazımı sürecinde literatür taraması yoluyla elde edilen veriler kullanılmaktadır.
The Multidimensional Effects of Financialization on the Growth of Income Inequality: New Empirical Evidence for 97 Countries
Authors: ÖZDEMİR Onur
Published: August 2020

Increasing financial relations and transactions, which constitute one of the important components of income inequality, is the leading factor that should be considered in analyzing the transformations of internal dynamics of current economies. In this sense, the linkage of the changes in financial sector, which is examined under the concept of financialization, with income inequality is the basis of this study. The financialization-income inequality nexus deals with the period of 1991-2014 for 97 countries by way of analyzing with the fixed effects method. According to the empirical results, which include labor market variables as well as economic variables, there is a positive correlation between financialization and income inequality. In other words, increasing the scale of financial relations and transactions has a positive effect on income inequality. The empirical outputs point out that this fact mainly depends on the current transformation in the labor markets. The reduction in the bargaining power of labor is assumed to have an increasing effect on the level of income inequality within the framework of financialization.
Dördüncü Endüstri Devriminin (Endüstri 4.0) Neresindeyiz?
Authors: ANNAÇ GÖV Sabiha , ERDOĞAN Dilek
Published: August 2020

2011 yılından beri gündem olan endüstri 4.0 devrim niteliğinde uygulamalarla bilinmektedir. Bu uygulamalar nesnelerin interneti, bulut bilişim, büyük veri, otonom robotlar, simülasyon, akıllı fabrikalar, 3D yazıcılar ve ileri analitik teknikler gibi kilit teknolojilerden oluşur. Teknoparklar genellikle bahsedilen ileri teknoloji yöntemlerini kullanan işletmelerden oluşur. Bu çalışmanın amacı teknopark işletmelerinin Endüstri 4.0 uygulamalarına bakış açılarını ortaya koymaktır. Bu kapsamda Gaziantep Teknopark’ta faaliyet gösteren on işletme yöneticisine yarı yapılandırılmış görüşme tekniği uygulanmıştır. Elde edilen verilerin analizinde Nvivo nitel araştırma yazılımından yararlanılmıştır. Çalışma sonucunda konuyla ilgili önemli temalar ve kodlar elde edilmiştir. Bu temalar arasında Endüstri 4.0 kavramının tanımı, kullanımı, uygulamaları, bu teknolojiyi kullanmanın zorlukları, Endüstri 4.0 gereklilik sorunsalı, Alıcıların endüstri 4.0 farkındalık düzeyi, endüstri 4.0 alıcılarında karşılaşılan sorunlara neden olan faktörler ve Endüstri 4.0 farkındalığının artırılması için öneriler mevcuttur. Elde edilen veriler ışığında Endüstri 4.0 uygulamalarının ilgili sektörlerdeki farkındalığının artırılması için çeşitli öneriler sunulmaktadır.
TERUMBU KARANG SEBAGAI IDE INSPIRASI PEMBUATAN KERAJINAN KERAMIK HIAS
Authors: Febriari Febriari , Ponimin Ponimin
Published: August 2020

Terumbu karang merupakan ekosistem marine berupa masif kalsium karbonat (CaCO3). Terumbu karang sebagian besar terdapat di triangle coral reef yaitu di perairan Indo-Pasifik salah satunya di kepulauan Indonesia. Oleh karena itu, terumbu karang adalah kekayaan hayati Indonesia yang harus tetap dijaga. Hal ini menjadi sumber inspirasi dalam mewujudkan ide dan gagasan, sehingga tertuang ke dalam bentuk karya keramik hias. Proses penciptaan karya keramik ini mengadaptasi dari metode perancangan SP. Gustami (2004). Tahap pertama adalah ekplorasi mencangkup meditasi, penelusuran, pengalian, pengumpulan data dan referensi mengenai sumber ide tentang terumbu karang di Indonesia. Tahap kedua meliputi: (1) perencanaan, melakukan eksplorasi bentuk dan teknik; (2) visualisasi gagasan, menjadikan sketsa terpilih sebagai bentuk model prototipe. Tahap ketiga meliputi: (1) perwujudan, melakukan pengembangan/ penyempurnaan sketsa terpilih yang akan digunakan sebagai rekabentuk dalam proses berkarya; (2) mengadakan penilaian dan evaluasi hasil karya. Hasil karya yang divisualisasikan sebanyak 7 karya seni keramik dengan bentuk 2 dimensi (relief) dan 3 dimensi. Diharapkan dengan penciptaan ini menjadi referensi masyarakat mengenai mengembangkan sektor alam sebagai sumber inspirasi produk kerajinan khas daerah pesisir Indonesia, serta membantu kecintaan masyarakat terhadap terumbu karang dan konservasi terumbu karang di Indonesia.
POLA INTERAKSI SOSIAL ANTAR PEDAGANG BUKU DI PASAR WILIS KOTA MALANG
Authors: Arofah Syamrotul Mu
Published: August 2020

Abstrak: Penelitian ini bertujuan untuk mengetahui karakteristik serta pola interaksi sosial antar pedagang di pasar Wilis, sekaligus untuk mengetahui faktor pendukung dan penghambat interaksi tersebut. Penelitian ini merupakan penelitian kualitatif. Teknik yang digunakan untuk mengumpulkan data dalam penelitian ini adalah observasi, wawancara, dan dokumentasi. Analisis data dalam penelitian ini mengacu pada model analisis interaktif yang diajukan Miles dan Huberman dengan tahapan: reduksi data, penyajian data, dan verifikasi data. Berdasarkan hasil penelitian, pola interaksi sosial antar pedagang yang terlihat berupa kerjasama, persaingan, konflik, dan akomodasi. Kerjasama perdagangan tersebut terjadi secara spontan baik dalam kegiatan sosial dan juga ekonomi. Sedangkan bentuk persaingannya adalah atas dasar persaingan ekonomi. Konflik yang ada juga bersifat pribadi dan juga tidak sampai anarkis. Akomodasi yang dilakukan oleh para pedagang juga tidak sampai pada pihak ke tiga. Faktor yang mendorong pola interaksi sosial antar pedagang di wilayah Ampel adalah (1) adanya tujuan; (2) dan situasi sosial. Sedangkan faktor yang menghambatnya adalah (1) hambatan sosiologi (2) hambatan antropologis (3) hambatan psikologis, dan (4) hambatan ekologis.Kata Kunci: interaksi sosial, pedagang.
PENGEMBANGAN DESAIN WEB INTERAKTIF KULINER NUSANTARA BERBASIS KEARIFAN LOKAL KEDAERAHAN (STUDI KASUS KULINER KHAS KABUPATEN KUDUS)
Authors: Setiawan Agus , Bastian Henry
Published: August 2020

Development of Interactive Archipelago Culinary Web Design Based on Local Wisdom of Regionalism (Case Study of Typical Culinary of Kudus Regency). This study seeks to inventory, describe and package local cultural values related to the typical Kudus culinary, as an ingredient to be further developed in a learning model and strengthening the creative economy of UMKM in Kudus Regency. How about interactive web media about Kudus special culinary to support the UMKM creative economy in Kudus Regency. So that they know and understand interactive web media about Kudus's unique culinary efforts to support the creative economy of UMKM in Kudus Regency.Contributions to making cultural values the main attraction in the creative culinary economy can be identified local cultural values in the culinary destination. With this study, the packaging of cultural values combined with a creative economy in the culinary field is expected to boost the tourism activities sector which has a positive impact on the social, economic and cultural fields. The research method uses more concrete qualitative methods looking at the aspects studied and expected outcomes. Outputs of the Study are Nusantara Culinary Interactive Web Media Based on Local Wisdom of the Region (Typical Culinary Case Study of Kudus Regency)
Heritage of East Java: Konsep Visual pada Buku Ilustrasi Anak Tentang Pengenalan Pariwisata di Jawa Timur
Authors: Kusumawati Yudhistya Ayu , Abednego Victor Adiluhung
Published: August 2020

Abstract: Tourism in Indonesia, especially East Java, has huge potential. For this reason, it needs to be introduced to the wider community. Introduction of tourism can be done early on through learning activities both formal and informal. Therefore, we need media that can be utilized and can be reached by all groups. One alternative media that can be applied is through illustration books. Books are media that can be interesting for children, especially because they are equipped with interesting illustrations. This research method uses descriptive qualitative method to explain the Heritage of Java design process. It is hoped that this book can increase user knowledge of tourism in East Java.Key Words: children book, illustrations, tourism, east java
Oe3r Strategy Implementation as an Innovation on Inquiry Based Learning toward Redox Reaction Mastery
Authors: Imas Ahmad Fariq , Sutrisno Sutrisno , Widarti Hayuni Retno Widarti Retno
Published: August 2020

The Oe3r strategy is an effort to develop a learning model based on inquiry. Oe3r strategy consists of orientation, exploration, explanation, elaboration, and reflection. This study aims to describe the implementation of the Oe3r strategy on the chapter redox reaction and obtain student responses on it. The research used a quantitative descriptive method. Implementation description is derived from observations on the learning process, while student responses are obtained by capturing responses through questionnaires. The implementation of the Oe3r strategy was carried out in High school students with 35 students. The results of this research indicate that students give good to respond, felling meaningful on the learning process and expect the Oe3r strategy can be applied in other chapters.
The Pattern of Information Structure in Junior High School Students in Informal and Formal Conversations
Authors: Rosmarie Aprilia
Published: August 2020

Since language as a communication tool, that’s why information structure is really important in language system and in the communication process. This research is aimed to find out the pattern of information structure in junior high school students, in one of junior high school in the private school in Semarang. The researcher focused on informal and conversations between student-student and teacher-student or student-teacher. The researcher got thirty six conversations of informal and formal conversations. This was a qualitative research and the researcher focused on Topic and Focus of each conversations, since topic and focus are important constructions in giving the information or constructing the sentence. As the result, in formal conversation, both of speakers (teacher or students) tended to eliminate the subject, or the TOPIC (47 %), while only 33 % of eliminating the predicate or the FOCUS, and the rest is only 20% showed that there was no any elimination in the conversations. Meanwhile, in the informal conversation, both of speakers (teacher or students) tended to eliminate the subject, or the TOPIC (60%), while only 27% of eliminating the predicate or the FOCUS, and the rest is only 13% showed that there was no any elimination in the conversations.
COMPÓSITOS PEAD/BAGAÇO DE CANA-DE-AÇÚCAR: INFLUÊNCIA DO PROCESSAMENTO E FONTE DE PEAD
Authors: Pereira Patricia Soares da Costa , Líbano Elaine Vidal Dias Gomes , Bastos Daniele Cruz , Coelho Karolina Vieira de Souza , Santana Jackson Cesar Lopes de
Published: August 2020

Neste trabalho, compósitos poliméricos foram produzidos utilizando como matriz polietileno de duas fontes diferentes, o polietileno de alta densidade virgem (PEADv) e o pós-consumo (PEADpc), e como carga, fibras de bagaço de cana-de-açúcar (BCA). Para testar a influência do tipo de processamento, compósitos PEADv/Fibra e PEADpc/Fibra na proporção 90/10 (porcentagem mássica) foram processados em dois equipamentos diferentes: extrusora mono-rosca e extrusora dupla-rosca co-rotatória. Após os processamentos, corpos de prova foram obtidos por compressão e caracterizados por análises de densidade, dureza shore D, índice de fluidez (MFI), absorção de umidade, análise termogravimétrica e calorimetria exploratória diferencial. Os resultados mostram que é possível reduzir a quantidade de polímero oriundo do petróleo, com a inserção de 10 % de um resíduo, que é o bagaço de cana-de-açúcar, sendo os melhores resultados obtidos para compósitos utilizando o 90 % do polímero virgem em extrusora dupla-rosca
CARACTERIZAÇÃO DO RESÍDUO DE CORTE DE MÁRMORE E GRANITO DE MARMORARIA E ANÁLISE DA VIABILIDADE DE SUBSTITUIÇÃO PARCIAL DO CIMENTO PORTLAND PARA PRODUÇÃO DE PAVERS
Authors: Da Cruz Andréa Cristina Félix , Cabral Ricardo de Freitas , Bandeira Cirlene Fourquet , Montoro Sérgio Roberto
Published: August 2020

O acondicionamento final dos resíduos de corte de mármore e granito de marmoraria no Brasil, geralmente é feito de forma incorreta. Dessa forma, novas práticas educativas devem ser estudadas em busca de propostas que ofereçam possibilidades de mudanças, tanto pela sociedade quanto pelas empresas geradoras de tais resíduos. Nesse entendimento, vale destacar que resíduos sólidos como estes tendem a crescer em grandes proporções, o que torna necessário minimizar os prejuízos que causam. O objetivo do presente estudo foi avaliar a possibilidade de reciclar e reutilizar resíduos de mármore e granito substituindo parcialmente o cimento Portland na produção de pavers - pisos intertravados, trazendo benefícios para o meio ambiente, além de produzir peças que garantam a permeabilidade do solo, em conformidade com as normas vigentes. Para tanto, foi utilizado como matérias-primas, o RCMG de marmoraria, cimento, areia e água para desenvolver esse estudo, e normas brasileiras – NBRs como fonte de orientação. Foram confeccionados corpos de prova para ensaios de resistência à compressão, absorção de água e microscopia eletrônica de varredura. Os ensaios foram realizados nos Laboratórios do UniFOA. Investigou-se a viabilidade técnica para fabricação de pavers com substituição parcial de 10% e 20% do cimento Portland por resíduos de mármore e granito. Os resultados obtidos demonstraram que foi viável a aplicação, pois apresentaram aumento da resistência mecânica com a substituição do cimento por RCMG - resíduo do corte de mármore e granito - na proporção de 10%.
Assessment of medication adherence using medication adherence rating scale-5 in patients with major non-communicable diseases at tertiary care hospital
Authors: Andavar Marina , Natarajan Mahalakshmi , Selvam Mahendravarman Paneer
Published: August 2020

Background: To assess the medication adherence using medication adherence rating scale (MARS-5) for achieving good clinical outcomes in patients with major non-communicable chronic diseases who are undergoing long-term therapy and to compare the adherence between adult and geriatric patients based on patient counselling.Methods: A Prospective observational study was conducted in the Department of Medicine, Raja Muthiah Medical College Hospital (RMMCH), Chidambaram, India over a period of 6 months. Patient details were collected using self-designed patient proforma. Patients’ medication adherence was assessed using MARS-5 and patients were counselled regarding drug use with the help of pictograms and daily monitoring sheet.Results: A total of 150 patients were enrolled in the study out of which 77 were adults and 73 were from the geriatric population. 65.33% were affected with comorbid conditions. Non-compliance was mainly due to forgetfulness, lack of assistance in the elderly population, polypharmacy and also due to failing to refill prescriptions. Nearly half of the population about 40% showed poor adherence before patient counselling and was reduced to 13.33% after proper patient counselling. And the medication adherence was found to be more among the adults 90.90% when compared to the geriatric population 82.19%.Conclusions: A new approach through pharmaceutical care was implemented; it mainly aims in delivering information regarding the importance of therapy in non-communicable chronic illness and also on the non-therapeutic considerations. It also focuses in conveying the importance of their lives to their families and to the society, thereby improving the adherence to medicine.
The impact of vitamin D3 supplementation on glycemic control in type-2 diabetes mellitus at a tertiary care hospital
Authors: Banzal Neeta , Desai Anupama
Published: August 2020

Background: It has been estimated that at least one billion people worldwide have vitamin D3 deficiency. Type 2 diabetes mellitus has consistently been shown to be prevalent in individuals with vitamin D3 deficiency. This study focuses on exploring if there is any association between vitamin D3 deficiency, type 2 diabetes mellitus and glycemic control, by measuring HbA1c levels, after vitamin D3 supplementation.Methods: 77 patients with confirmed type II diabetes mellitus were enrolled during the study. Pre and post treatment (after 3 month) laboratory investigations - FBS, PPBS, HbA1c and serum vitamin D3 levels were done in all the patients. Patients were classified into two groups. Group 1 - vitamin D3 < 30 ng/ml (n=41) and group 2 - vitamin D3 ≥30 ng/ml (n=36). Group 1 was given 60,000 IU of calcitriol sachet weekly for 8 weeks followed by 60,000 IU once a month. No vitamin D3 supplementation was given to group 2.Results: Vitamin D3 supplementation in group 1, has resulted in number of patients with control on HbA1c (< 7%) increased from 8 to 17 (a more than 100% increase). Number of patients with control on FBS (<130 mg/dl) increased from 14 to 23 (64% increase). Conclusions: There is a positive association between vitamin D3 status and glycemic control in type 2 diabetic mellitus patients. Vitamin D3 supplementation in deficient group has resulted in significant reduction in HbA1c level (p<0.001).
The spontaneous motor activity of aqueous extract of Withania coagulans fruits in Swiss albino mice by actophotometer
Authors: Gosavi Devesh D. , Kamdi Amit S. , Kalambe Suvarna M. , Bohra Pankaj N.
Published: August 2020

Background: People spend about one third of their time in sleep every day. The various sedative and hypnotic medications used today have numerous side effects. In the late seventies a very little work was done on the Withania coagulans - a vulnerable species that is found scattered in the world. Therefore, it was essential to discover the CNS depressant activities of aqueous extract of Withania coagulans fruits in swiss albino mice by using actophotometer.Methods: The spontaneous locomotor activity was evaluated by using the actophotometer. The CNS depressant drugs decrease the locomotor activity in mice as they impair the motor coordination so that mice stay at one place for the longer time. Therefore, there is less disruption of the beams of light. This spontaneous locomotor activity time is statistically correlated among the control, standard and the test drugs.Results: There was statistically highly significant (p value <0.001) association observed between aqueous extract of Withania coagulans fruits with spontaneous locomotor activity in swiss albino mice on the actophotometer.Conclusions: The aqueous extract of Withania coagulans fruits demonstrated the CNS depressant activity in swiss albino mice by actophotometer.
Human influenza viruses in South-East and East Asia: a systematic review of seasonal patterns, viral types/subtypes, and antiviral susceptibility pattern in the past two decades
Authors: Iribhogbe Osede Ignis , Samuel Sunday Olowo , Ohaju-Obodo John O.
Published: August 2020

The study aims to evaluate influenza seasonality pattern and identify influenza viral types/subtype as well as their antiviral susceptibility pattern in South-East (SE) and East Asia (E-Asia) with the view of providing useful information for public health action. The study is a systematic review of existing literature involving the use of search engines such as Google Scholar, PubMed and EBSCOHOST. The search was conducted using a multi-stage approach which yielded 66 articles after screening for relevance to the subject using specific inclusion and exclusion criteria. A total of 60 articles were eventually analyzed and the findings were presented in tables and bar charts. The study showed that the influenza virus was more prevalent in the 6-20 years age group (SE: 53.3% and E-Asia: 44.8%) and also occurred commonly in the age of 61-90 years age group (SE: 15.6% and E-Asia: 24.1%). Seasonal peaks were reported more in the winter period with influenza A (H1N1) pdm09 (22.37%; 24.14%), seasonal influenza A (H1N1) (6.58%; 17.24%), A (H3N2) (11.84%; 17.24%), and influenza B Victoria/Yamagata (5.26%; 20.69%) being the predominant viral type/subtypes. The pathogenic avian influenza strains; AH5N1 (7.89%) and A (H7N9) (6.90%) was also reported in SE and E-Asia respectively. Oseltamivir (37.5%) and peramivir (37.04%) were the most frequently used anti-influenza agents in SE and E-Asia respectively. However, an H55Y+I436N combined mutation 4 (12.5%) and an H274Y amino acid substitution 5 (18.5%) in the neuraminidase gene of influenza A (H1N1) pdm09 was associated with decreased sensitivity to neuraminidase inhibitors. The study has shown that influenza A (H1N1) pandemic and seasonal strain, A (H3N2), and B Victoria/Yamagata remains the predominant circulating virus in SE and E-Asia. However, the dynamic antigenic and genetic evolution of the virus calls for more frequent surveillance in the region.
An overview of carbapenem, its resistance and therapeutic options for infections caused by carbapenem resistant bacteria
Authors: Nepal Hari P. , Paudel Rama
Published: August 2020

Carbapenems are beta-lactam drugs that have broadest spectrum of activity. They are commonly used as the drugs of last resort to treat complicated bacterial infections. They bind to penicillin binding proteins (PBPs) and inhibit cell wall synthesis in bacteria. Important members that are in clinical use include doripenem, ertapenem, imipenem, and meropenem. Unlike other members, imipenem is hydrolyzed significantly by renal dehydropeptidase; therefore, it is administered together with an inhibitor of renal dehydropeptidase, cilastatin. Carbapenems are usually administered intravenously due to their low oral bioavailability. Most common side effects of these drugs include nausea, vomiting, diarrhea, skin rashes, and reactions at the infusion sites. Increasing resistance to these antibiotics is being reported throughout the world and is posing a threat to public health.  Primary mechanisms of carbapenem resistance include expulsion of drug and inactivation of the drug by production of carbapenemases which may not only hydrolyze carbapenem, but also cephalosporin, penicillin, and aztreonam. Resistance especially among Gram negative bacteria is of much concern since there are only limited therapeutic options available for infections caused by carbapenem resistant Gram-negative bacterial pathogens. Commonly used drugs to treat such infections include polymyxins, fosfomycin and tigecycline.
Epidemiologic study of chronic osteomyelitis in Paktya and Kabul, Afghanistan
Authors: Walikhan Oryakhil , Bismellah Nejrabi
Published: August 2020

Background: Osteomyelitis is an infection of the bone that can occur from direct or indirect invasion by a pathogens, both of these types can potentially progress to subacute and chronic osteomyelitis that lasts longer than 4 weeks. This disease has important characteristics such as long-term clinical course, long periods of silence, the treatment of the recurrence of serious complications of the disease is difficult financially and it takes a lot of money epidemiology of chronic osteomyelitis in the Afghanistan is largely unknown. The aim of this study was epidemiologic study of chronic osteomyelitis in adult clients of Paktya city regional hospital and Wazir Akbar Khan Hospital in Kabul city of Afghanistan.Methods: This descriptive cross-sectional study was performed in patients' with chronic osteomyelitis who referred in this two hospitals in Paktya city regional hospital and the Wazir Akbar Khan hospital in Kabul During the March 2019 to March 2020, 70 patients were identified with chronic osteomyelitis. The information required for the study, such as general information, underlying diseases of the patients collected from these two medical centers. After encoding, the necessary information was entered into the computer and analyzed.Results: According to the findings of this study the prevalence of chronic bone infections in male were 64% (n=45) in female were 36% (n=25), current findings showed 44.3% of all patient involved with tibial (n=31) chronic osteomyelitis and the most common underlying disease causing chronic osteomyelitis is the direct entry of infection as a result of trauma.Conclusions: Our study showed the chronic osteomyelitis is higher in the male population than in the female population and highest incidence of chronic osteomyelitis site was tibia result of trauma because of humid climate, poor personal and hospital environmental health status and relatively poor medical facilities in Afghanistan may contribute to higher morbidity.
Incidence, characteristics, pattern and management of ovarian cancer in Abuja, Nigeria
Authors: Ayogu Malachy Emeka , Abdullahi Habiba Ibrahim , Eze Innocent O.
Published: August 2020

Background: The prevalence of ovarian cancer is thought to be increasing with huge burden of the disease with no comprehensive cancer center that can offer appropriate care in developing countries. However, little is known about the incidence, pattern and outcome of this disease in Abuja, Nigeria. Therefore, the aim of this study was to review the pattern of care offered to patients with ovarian cancer in our center and to evaluate patients’ outcome.Methods: This was a retrospective review of all the patients with histologically confirmed ovarian cancers admitted to the gynecological ward of the hospital over a period of 5 years. Relevant information was extracted from the ward register and patients medical case records. Data were analyzed using statistical package for social science version 23 and results were then presented in tables and chart.Results: Ovarian cancers constituted 19.6% and 5.6% of all gynecological cancers and all gynecological admissions respectively. The mean age at presentation was 50.2±8.5 years and premenopausal 32 (55%) constituting the majority. A large proportion 43 (74.1%) of the patients were parous. The commonest symptoms at presentation were abdominal swelling (86.2%), and abdominal pain (53.4%) with the majority 38 (65.5%) presenting in an advanced stage. The commonest histological type of ovarian cancers was epithelial accounting for 30 (51.7%) of all ovarian cancers. Common treatment modality was surgery and chemotherapy and majority 32 (55.3%) of the patients had cytoreductive surgery with 19 of them having optimum cytoreduction and 33 (57%) benefitted from chemotherapy. Lost to follow- up was significantly high (55%) and mortality rate was 15.5%.Conclusion: Cases of ovarian cancers are on the increase. Women presented at an advanced stage of the disease, which resulted in short survival times. Failure of optimal management was also worsened by poor compliance to treatment with high patients' default rate.
A randomized study of comparison of intravenous dexmedetomidine and intravenous esmolol to attenuate the cardiovascular responses to laryngoscopy and endotracheal intubation
Authors: Chodankar Ninad Deepak , Shivde Bhagyashree
Published: August 2020

Background: The objective of this study was to compare the efficacy of intravenous dexmedetomidine and esmolol in attenuating the cardiovascular pressor responses to laryngoscopy and endotracheal intubation.Method: Study was done on 60 adults, American society of anesthesiologists (ASA) grade I or II normotensive patients, undergoing elective surgery under general anesthesia and willing to participate. These patients were randomly allocated to either group E (esmolol) or D (dexmedetomidine). Group ‘D’, patients were given intravenous dexmedetomidine infusion 1 mcg/kg over 10 minutes, 3 minutes before start of laryngoscopy. Group ‘E’, patients were given intravenous esmolol 1.5 mg/kg 2 minutes before start of laryngoscopy. All patients were premedicated, induced and intubated using thiopentone and succinyl choline as per the protocol. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at baseline (taken half an hour prior to anesthesia), before sedation, after induction but before intubation, immediately after endotracheal intubation and thereafter at 1, 2, 3, 4, 5 and 10 minutes.Results: Immediately after intubation, HR was similar in group D and group E, thereafter HR remained higher in group E as compared to group D, and difference was statistically significant. SBP, DBP and MAP recorded was higher in group E as compared to group D, and difference was statistically significant.Conclusion: Authors conclude that intravenous dexmedetomidine 1 ug/kg is better drug to attenuate hemodynamic response to laryngoscopy and intubation as compared to intravenous esmolol 1.5 mg/kg.
Clinical and demographic profile of patients treated with electro convulsive therapy from a tertiary care psychiatry hospital in North India
Authors: Ismail Haamid , Roub Fazle , Kour Sanjeet , Zargar Waris Ahmad
Published: August 2020

Background: Electro-convulsive therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. This study was undertaken with the aim of exploring the clinical and demographic profile of patients treated with ECT from a tertiary care psychiatry hospital in north India.Methods: It was a retrospective descriptive study of patients who were treated with ECT after admission in the inpatient psychiatry unit of Institute of mental health and neurosciences Kashmir during a period of one year (March 2017 to February 2018).Results: A total of 70 patients received ECT during the course of one year. About 72.85% of the patients belonged to 20-39 years age group. Female patients constituted more than half of the subjects (55.71%). Review of diagnostic profile showed that majority of patients receiving ECT were suffering from Schizophrenia (35.71%), followed by bipolar affective disorder (28.57%), depressive disorder (28.57%), schizoaffective disorder (4.28%) and substance induced mood/psychotic disorders (2.85%). A significant majority of subjects (57.13%) received about 7-9 ECT sessions. No any major complications were noted during ECT treatment.Conclusions: This study suggests that ECT, use as a treatment modality is common in adults between 20 to 39 years of age and females with Schizophrenia being the most common indications.