bluuebunny/crossref_metadata_2025 huggingface dataset:
EVALUASI RUAS JALAN H. R. RASUNA SAID MENGGUNAKAN METODE IRAP UNTUK MENCAPAI STAR RATING 4 DAN 5
Authors: Yeputra Riadi Trihatmojo , Setyarini Ni Luh Putu Shinta Eka
Published: October 2021

Traffic accidents aren’t just individual tragedies, traffic accidents could make a negative impact to the economic growth for both developed countries and developing countries. In Jakarta, traffic accidents continues to increase every year due to the lack of signs on road and the lack of strictness from official authorities. Like the quality of signs and the lack of security in the area.  Traffic accidents could also be caused by the public who prefers using their own vehicle rather than public vehicle to travel. Therefore, traffic safety can’t be ignored because traffic accidents in theory can be predicted and preventable. To decrease the risk and frequency of traffic accidents, we have to use traffic safety methods to increase the safetiness of problematic roads. For example iRAP (International Road Assessment Programme) method which is still new in Indonesia. In this study it was discovered H. R. Rasuna Said Road possessed star ratings 3 for bicyclist on its roads. Therefore countermeasure is needed to increase its star ratings to 4 and 5 in order to increase its road safety.ABSTRAKKecelakaan lalu lintas bukan sekedar tragedi perorangan, namun bisa menjadi penghambat pertumbuhan ekonomi di negara maju maupun berkembang. Kecelakaan lalu-lintas di Jakarta setiap tahunnya terus meningkat dikarenakan fasilitas keselamatan jalan yang belum memadai. Seperti kurangnya rambu, marka, dan pengawasan yang kurang ketat. Tingginya kecelakaan lalu-lintas juga dapat disebabkan oleh pengguna jalan yang lebih memilih kendaraan pribadi dibandingkan kendaraan umum. Oleh karena itu peningkatan keselamatan jalan tidak dapat disepelekan, karena pada dasarnya kecelakaan lalu lintas bersifat predictable dan preventable. Untuk mengurangi resiko terjadinya kecelakaan, perlu dilakukan strategi peningkatan keselamatan jalan menggunakan metode yang ada. Seperti metode iRAP (International Road Assessment Programme) yang baru ini dalam masa percobaan untuk diterapkan di Indonesia. Pada penelitian ini ditemukan bahwa kondisi ruas Jalan H. R. Rasuna Said memiliki nilai star rating 3 untuk pesepeda. Maka dari itu perlu dilakukan countermeasure melalui opsi penanganan yang ada untuk meningkatkan star rating menjadi bintang 4 dan 5 untuk meningkatkan keselamatan jalan.
ANALISIS FAKTOR PERILAKU PEJALAN KAKI TERHADAP KESELAMATAN DI JALAN RAYA PADA WILAYAH JABODETABEK
Authors: Ananda Farah Rizkia , Putranto Leksmono Suryo
Published: October 2021

Pedestrian behavior that is not predictable and cannot be controlled effectively results in pedestrians not complying with traffic rules and may be ending up in accidents. This study aims to determine the factors formed and determine the influence of demographics on pedestrian behavior in Indonesia. The questions on the Indonesian PBQ (Pedestrian Behavior Questionnaire) are adapted from an international questionnaire that has been tested in several countries and confirmed by factor analysis. The results of the analysis showed that from the 23 variables of pedestrian behavior, 5 (five) variables are reduced until the remaining 18 variables. The 18 pedestrian behavior variables form 6 factors, namely violations, errors, lapses, aggressive behavior, positive behavior, and traffic light violations. Violations and lapses in Indonesia are mostly committed by young adults, non-private employees, and those who have expenses of less than four million five hundred rupiah per month. Those who in the adult group show positve behavior more oftenly. Those who walk more than once a week show errors and positive behavior more oftenly. Those who have been involved in accidents show violations and aggressive behavior more oftenly.ABSTRAKPerilaku pejalan kaki yang tidak mudah diprediksi dan tidak dapat dikendalikan secara efektif mengakibatkan pejalan kaki tidak mematuhi aturan lalu lintas sehingga terjadi kecelakaan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang terbentuk serta mengetahui pengaruh demografis terhadap perilaku pejalan kaki di Indonesia. Pertanyaan-pertanyaan pada Indonesia PBQ (Pedestrian Behavior Questionnaire) diadaptasi dari kuesioner Internasional yang telah diuji di beberapa negara dan dikonfirmasi dengan analisis faktor. Hasil analisis menunjukkan dari ke-23 variabel perilaku pejalan kaki tereduksi sebanyak 5 (lima) variabel hingga tersisa 18 variabel. Ke-18 variabel perilaku pejalan kaki tersebut membentuk 6 faktor yaitu violations, errors, lapses, perilaku agresif, perilaku positif, dan pelanggaran lampu lalu lintas. Pelanggaran violations dan lapses di Indonesia paling banyak dilakukan oleh kelompok dewasa muda, pekerjaan bukan pegawai swasta, dan yang memiliki pengeluaran kurang dari empat juta lima ratus rupiah per bulan. Mereka yang termasuk kelompok dewasa madya lebih sering menunjukkan perilaku positif. Mereka yang berjalan kaki lebih dari sekali dalam seminggu lebih sering menunjukkan kesalahan errors dan perilaku positif. Mereka yang pernah terlibat kecelakaan lebih sering menunjukkan perilaku violations dan agresif.
EVALUASI KONDISI PERKERASAN JALAN NASIONAL SERTA ALTERNATIF PENANGANANNYA (STUDI KASUS : JALAN DAAN MOGOT)
Authors: Soeseno Alpin Chayan , Tajudin Anissa Noor
Published: October 2021

Daan Mogot street is part of the National Road Route One (1). Daan Mogot street (Section Number: 2000111) under study is a 2.5 KM two-way four-lane flexible pavement road, with a lane width of 3.5 m. The location chosen is the point of the worst congestion on Daan Mogot street, with the most road damage conditions. The purpose of this study is to analyze the condition of the road pavement and what treatment should we do for the damage on Daan Mogot street. The stages in this road pavement research are divided into 2 stages, firstly calculating the damage on the road, and choose alternative treatment using existing methods. The method used is the Pavement Condition Index (IKP) method and evaluates the handling of damage in the last 3 years. The result of the research is that the most damage is patch and hole damage, and the IKP value for each research unit can be seen that the pavement quality varies, from the level of Very Poor, Poor, Fair, Satisfactory, to Good. The average IKP value on Daan Mogot street in the direction of Tangerang from KM +14,000 to KM+16,500 is 87.09 with a Good condition class. ABSTRAKJalan Daan Mogot merupakan bagian dari Jalan Nasional Rute Satu (1). Jalan Daan Mogot (Nomor Ruas : 2000111) yang diteliti merupakan jalan dengan perkerasan lentur sepanjang 2,5 KM dua arah empat lajur, dengan lebar perlajur 3,5 m. Lokasi yang dipilih merupakan titik kemacetan terparah di Jalan Daan Mogot, dengan kondisi kerusakan jalan terbanyak. Tujuan penelitian ini untuk menganalisis kondisi perkerasan jalan dan penanganan apa yang harus kita lakukan terhadap kerusakan yang terjadi di Jalan Daan Mogot. Tahapan dalam penelitian perkerasan jalan ini dibagi menjadi 2 tahapan yaitu, pertama menghitung kerusakan yang ada di jalan tersebut, dan menentukan alternatif penanganan yang tepat dengan menggunakan metode-metode yang ada. Metode yang dipakai adalah metode Indeks Kondisi Perkerasan (IKP) dan melakukan evaluasi penanganan kerusakan dalam 3 tahun terakhir. Hasil penelitian yang diperoleh adalah kerusakan terbanyak ada pada kerusakan tambalan dan lubang, serta nilai IKP untuk masing masing unit penelitian dapat diketahui kualitas perkerasan beragam, dari tingkat Sangat Parah, Parah, Sedang, Baik, hingga Sangat Baik. Hasil rata-rata nilai IKP Jalan Daan Mogot arah Tangerang dari KM +14,000 s/d KM+16,500 adalah 87,09 dengan kelas kondisi Sangat Baik.
Wybrane metody badań i oceny jakości atrakcji turystycznych
Authors: Czapiewska Gabriela
Published: October 2021

Wśród różnorodnych uwarunkowań rozwoju współczesnej turystyki kluczową rolę odgrywają atrakcje turystyczne, będące jednym z ważniejszych elementów składowych systemu turystyki. Celem opracowania jest zaprezentowanie wybranych metod badania i oceny jakości atrakcji turystycznych. Artykuł ma charakter przeglądowy. W pracy uwypuklono normy definicyjne atrakcji turystycznych, a także doro- bek badawczy w tym zakresie. Zastosowano analizę krytyczną literatury krajowej i zagranicznej z zakresu podjętej problematyki badawczej. Badania nad atrakcjami turystycznymi mają nie tylko aspekt teoretyczny, ale również praktyczny (rynkowy). Przeprowadzona analiza metod badań atrakcji turystycznych i oceny ich jakości wykazała istnienie kilku obszarów analiz naukowych: systematyki i typologii atrakcji, jakości atrak- cji oraz usług turystycznych, poziomu satysfakcji zwiedzających atrakcje turystyczne, a także zarzadzania atrakcjami.
Rozwój turystyki na ziemi kłodzkiej ze szczególnym uwzględnieniem turystyki na terenach przemysłowych i poprzemysłowych na tle aktualnych przemian społeczno-gospodarczych regionu
Authors: Sikorski Dominik
Published: October 2021

Artykuł przedstawia rozwój turystyki na ziemi kłodzkiej w latach 2004–2016 ze szczególnym uwzględnieniem rozwoju turystyki na terenach przemysłowych i poprzemysłowych. Tłem opisu jest charakterystyka współczesnych procesów i przemian społeczno-gospodarczych występujących na badanym obszarze. Analizy opierają się na danych statystycznych pochodzących z bazy Banku Danych Lokalnych i REGON oraz na podstawie badań terenowych. W artykule wykazano, że na tle innych działalności gospodarczych turystyka na ziemi kłodzkiej cechuje się stabilnym rozwojem i ma duże znaczenie dla wybranych obszarów badanego regionu. Dzięki unikatowym walorom antropogenicznym związanym z historią gospodarczą ziemi kłodzkiej, na tym terenie intensywnie rozwija się obecnie turystyka industrialna i postindustrialna. Potencjał rozwojowy tej formy turystyki na tym obszarze nie jest jeszcze w pełni wykorzystany i w przyszłości może stanowić istotny walor turystyczny regionu.
Znaczenie turystyki w kształtowaniu warunków i jakości życia w małym mieście na przykładzie Helu w opinii jego mieszkańców
Authors: Kulawiak Anita , Smętkiewicz Karolina
Published: October 2021

Rozwój funkcji turystycznej, w świetle aktualnej literatury przedmiotu, może mieć dwojakiego rodzaju wpływ na miejscowość, w której funkcja ta się rozwija. Najczęściej jest ona źródłem wielu pozytywnych zmian, które można zaobserwować zarówno w sferze społecznej, jak i ekonomicznej, ale nie brakuje dowodów, że nadmierna koncentracja ruchu turystycznego przynosi również i negatywne skutki, choćby w postaci nadmiernej komercjalizacji i degradacji atrakcyjnych i unikatowych przestrzeni. W kontekście zaobserwowanych dysproporcji w artykule podjęto problem określenia relacji, jaka zachodzi między rozwojem funkcji turystycznej, a wybranymi elementami warunków i jakości życia mieszkańców jednej z najbardziej popularnych miejscowości w Polsce, jaką jest Hel. Podstawowym źródłem danych był wywiad kwestionariuszowy, który przeprowadzono na grupie 327 mieszkańców miasta (10% ogółu populacji), w miesiącach maj i lipiec 2018 roku. Celem badań była z jednej strony identyfikacja opinii mieszkańców na temat warunków i jakości życia w miejscowości Hel, z drugiej zaś próba odpowiedzi na pytanie, czy funkcja turystyczna wpływa przede wszystkim na aktywizację zawodową ludności, fizjonomię i ogólną atrakcyjność miasta. Uzyskane wyniki pozwoliły zauważyć, że w przypadku Helu turystyka pozytywnie oddziaływuje na większość z wymienionych cech i w oczach mieszkańców jest ona źródłem wielu korzystnych zmian dla miasta.
Trans border recreational tourism complexes (TBRTC) as a result of international collaboration
Authors: Buchko Zhanna
Published: October 2021

The paper discusses the notion of a transborder recreational tourism complex (TBRTC) as a geographic and as a wider multidisciplinary concept and describes such complexes within transborder tourism regions in Western Ukraine. A TBRTC is introduced as a spatial formation that arises within tourism-specific transborder collaboration. A TBRTC combines three necessary components: the entirety of all tourism-attracting resources in a specific transborder region; the travel-enabling infrastructure, including transborder-specific features like border-crossing checkpoints; and informational and coordination resources such as tour operating services and defined tourist routes. The paper explains basic terminology and key principles for formation and existence of TBRTCs. The authors start by explaining the unique characteristics of transborder tourism in Europe and in tourism-oriented formations called Euro-zones. A principal model of TBRTC is proposed, including the list of factors necessary for its formation, the key structural modules of a complex; and the causal connectivity map between these modules applied to different types of tourism. The concept of a TBRTC is illustrated using the example of the TBRTC forming in Bukovina-Bessarabia transborder region along part of Ukraine-Romania-Moldova border. This region offers multiple types of tourism activities, which translates into the emergence of a robust transborder tourism recreation complex that started forming in the late 1990s and continues to be shaped until this time.
Zastosowanie metody studium przypadku w analizie kształtowania produktu turystycznego na przykładzie Szlaku Architektury Drewnianej
Authors: Zdon-Korzeniowska Małgorzata
Published: October 2021

W naukach ekonomicznych studium przypadku jest uznaną metodą wykorzystywaną w dydaktyce już od ponad wieku. Od kilku dekad zaobserwowować można również znaczący wzrost zainteresowania tą metodą w nauce jako metodą badań jakościowych. Celem niniejszego artykułu jest przedstawieniemetody studium przypadku jako metody badawczej oraz przykładu jej zastosowania w turystyce w odniesieniu do analizy procesu kształtowania produktu turystyczego jakim jest Szlak Architektury Drewnianej. Turystyka jako dziedzina badań naukowych, ale również jako dzidzina gospodarcza, charakteryzuje się szczególnie dużą interdyscyplinarnością, złożonością i unikatowością. Zatem wykorzystanie metody studium przypadku z powyższych względów wydaje się być tu szczególnie pożądane.
Ekşi Maya Fermantasyonu ile Üretilen Ekmeklerdeki Biyoaktif Bileşenlerin In Vitro Biyoerişilebilirliği ve Sağlık Üzerine Etkileri
Authors: Çağındı Özlem , Köse Ergun , İnce Ceren
Published: October 2021

Sourdough bread is a traditional product, which is produced by mixing wheat, rye or other grain flours with water and lactic acid fermentation. The supposed mechanisms for the effect of foods produced by sourdough fermentation on health were probiotic effect of microorganisms, production of bioactive peptides and organic acids (acetic acid, butyrate, propionic acid), decreased amount of anti-nutrients (phytic acid, etc.), digestibility of starch and protein, increased bioaccessibility of phenolic compounds and bioavailability of minerals, degradation of gluten, new product to celiac patients. It was reported to have effects on nutrition, such as product development. In this review, the effect of sourdough fermentation on the ingredients in bread, in vitro bioaccessibility and health benefits are examined.
Hayvan Besleme Stratejileri ile Metan Emisyonunun Azaltılması
Authors: Kılıç Hatice Nur , Boga Mustafa
Published: October 2021

The methods applied for yield increases per unit animal are also progressing rapidly, along with the rapid progress of agricultural and animal production in parallel with the rapidly developing population and the food demand. The increase in animal products increases the environmental impacts per unit of animal product. With the increase in animal wastes in recent years, greenhouse gas emissions have increased even more, thus negatively affecting the environment and animal health. In order to prevent this negative effect, sustainable methods and strategic measures related to animal feeding and care are important in order to reduce the emission of harmful greenhouse gases. Methane, which is the second most important greenhouse gas, is found in large amounts in the atmosphere as a molecule, the accumulation of this gas in the atmosphere more than CO₂ increases the interest in this subject. Different practices related to the nutrition of ruminant animals (use of feed additives, feeding strategies) in order to optimize rumen conditions and increase productivity per unit animal is a developing area. Sharing this information with animal breeders will also benefit the environment, and therefore human and animal health, in terms of reducing both methane and nitrogen emissions. In ruminant animals, it can cause a loss of 2-12% of the gross energy taken with the feed so that the methane gas can be removed from the body. There are many studies on feeding to reduce nitrogen losses in faeces and urine, which cause methane emissions for ruminants, and many of these studies still do not reach a permanent conclusion. The reduction in enteric CH₄ emissions to be made must be tailored to the specific needs of farmers and livestock, and to be cost-effective. In our study, it is aimed to compile animal feeding strategies and reduction of methane emissions under different conditions.
Türkiye’de Sürdürülebilir Mera Islahı Olanakları
Authors: Hatipoğlu Rüştü , Çınar Selahattin , Avcı Mustafa
Published: October 2021

Forage produced from can notTurkey's current native pasture and meadow cattles areas as sheeps well as from forage crop production areas cannot meet the requirement of 73.7 million cattle and sheep. There are 14.6 million hectares of native meadow and pasture areas in Turkey. A significant amount of these areas need to be improved in order to increase the yield and quality of forage and ensure its sustainability. It has been calculated that a total budget of 45.6 billion TL is needed for the improvement of the native meadow and pasture areas and an average of 4 billion TL for annual maintenance. With the adoption of the Pasture Law No. 4342, the pasture areas that has been rehabilitated with Pasture Improvement and Management Projects are quite insufficient. In addition, due to non-compliance with the technical rules of pasture management in the improved areas, the process is not sustainable. Due to the insufficiency of available budget resources and the fact that pasture improvement by state facilities will take many years, there is a need for a new perspective and policy change in sustainable pasture improvement. In this article, some improvement and utilization models for the effective improvement and sustainable use of Turkey's pasture lands are discussed. With the proposal made, it has been suggested that rangelands larger than 1000 decares and pastures lager than 500 decares should be leased to the private sector and rehabilitated with the "improve and operate" system. It has been suggested that ¾ of the reclaimed area should be used by the private sector, and ¼ by the animal owners in the village where the pasture is allocated. In addition, it has been proposed that the rangelands with an area of less than 1000 decares and pastures with less than 500 decares must be leased to the Pasture Management Unions in the settlement where they are allocated, to ensure their rehabilitation and sustainable use. In cases where Pasture Management Unions are not willing to rent for improvement purposes, it has been suggested that these rangeland and pastures must be leased to the private sector regardless of the size of the area.
Nigeria Zero Hunger/IITA Policy Brief No. 3: Nigeria Zero Hunger Strategic Review – Nutritional Status of Children under the Age of 5 in Ogun State, Nigeria
Authors:   International Institute Of Tropical Agriculture Iita, Okike Iheanacho
Published: October 2021

The “2030 Agenda for Sustainable Development” (also known as Sustainable Development Goals - SDGs), has 17 goals [1], to which the Federal Republic of Nigeria committed to achieving in September 2015
Nigeria Zero Hunger/IITA Policy Brief No. 4: Nigeria Zero Hunger Strategic Review – Nutritional Status of Children under the Age of 5 in Sokoto State, Nigeria
Authors:   International Institute Of Tropical Agriculture Iita, Okike Iheanacho
Published: October 2021

The United Nations’ “2030 Agenda for Sustainable Development” (also known as Sustainable Development Goals - SDGs) has 17 goals [1], to which the Federal Republic of Nigeria committed to achieving.
Field infestation level of Zaprionus indianus Gupta and Drosophila suzukii (Matsumura) (Diptera: Drosophilidae) in Ficus carica L. (Rosales: Moraceae) and Rubus idaeus L. (Rosales: Rosaceae) in the Northeast of Buenos Aires province
Authors:   SANTADINO, COVIELLA,  RIQUELME VIRGALA, Dettler María A. , Barrientos Gualterio N. , Martínez Emilia , Ansa María A. , Santadino Marina V. , Coviella Carlos E. , Riquelme Virgala María B.
Published: October 2021

Two exotic fruit flies species, Zaprionus indianus Gupta and Drosophila suzukii (Matsumura), were detected in Argentina in recent years. In this note, the southernmost detection of Z. indianus in Argentina and an estimation of the field infestation level caused by both drosophilid species on figs (Ficus carica L.) and raspberries (Rubus idaeus L.) are reported.
DIREITO À DIVERSIDADE: A PROTEÇÃO JURÍDICA E AS POLÍTICAS PÚBLICAS PARA CRIANÇAS E ADOLESCENTES COM TRANSTORNO DO ESPECTRO AUTISTA
Authors: Boff Rogers Alexander , Barbosa Valéria Koch
Published: October 2021

Este trabalho aborda o Transtorno do Espectro Autista (TEA) e objetiva analisar algumas políticas públicas brasileiras alicerçadas nos diplomas legais que asseguram proteção integral a crianças e adolescentes. O estudo consiste em pesquisa descritiva, cujo procedimento é a pesquisa bibliográfica na legislação e na doutrina, tendo como amparo o método dedutivo. São apresentados aportes teóricos sobre o Transtorno do Espectro Autista e, na sequência, tem-se a análise de políticas públicas voltadas a pessoas autistas, sob a égide do ordenamento jurídico brasileiro. Como resultado, verificou-se que, embora seja farta a legislação direcionada a proteger essas pessoas, as políticas públicas, por sua vez, nem sempre são eficazes e aptas a promover a efetiva inclusão desses indivíduos na sociedade. Diante de lacunas e da violação de direitos constitucionalmente assegurados, a concretização de tais políticas implica mais comprometimento e ações interdisciplinares, para atender, de forma efetiva, às necessidades de crianças e adolescentes com Transtorno do Espectro Autista em consonância com os Princípios da Dignidade da Pessoa Humana e da Proteção Integral.
DESIGN CENTRADO NO USUÁRIO E TECNOLOGIAS DE PROTOTIPAGEM RÁPIDA APLICADOS NO DESENVOLVIMENTO DE SOQUETE PARA PRÓTESE TRANSRADIAL: UM ESTUDO DE CASO
Authors: Da Silva Bruno Borges , Andrade Emilene Zitkus de , Medola Fausto Orsi , Paschoarelli Luis Carlos
Published: October 2021

O design de próteses para pessoas com amputação ou má-formação de membros é uma das aplicações em Tecnologia Assistiva (TA) expressivamente beneficiadas pelos avanços tecnológicos em processos, sistemas e materiais. Entretanto, muitos aspectos deste produto ainda representam problemas ergonômicos que comprometem o conforto e usabilidade, tais como a interface entre o coto e soquete. Este estudo teve como objetivo descrever, por meio de um estudo de caso, a aplicação dos princípios do Design Centrado no Usuário (DCU) associado às Tecnologias de Prototipagem Rápida (TPR) no desenvolvimento de um soquete para uma prótese transradial. O processo envolveu a participação de um adulto do gênero masculino e com má-formação congênita do membro superior esquerdo. Foram desenvolvidas e avaliadas quatro alternativas de soquete e, após avaliação com o usuário, foi desenvolvido um liner a partir da última alternativa, que foi considerada segura e confortável pelo participante. Portanto, observou-se que a integração entre DCU e TPR permitiu o aprimoramento dos aspectos ergonômicos do design da interface, demonstrando assim potencial para contribuir para o aperfeiçoamento de outras TA.
LUCHAR CONTRA LA CORRIENTE
Authors: Schwamberger Cintia
Published: October 2021

Este articulo presenta avances de investigación cualitativa acerca de procesos de inclusión en tiempos de Covid-19. El objetivo es explorar la materialidad de las prácticas en las dinámicas de escolarización de estudiantes con discapacidad en el nivel secundario. La metodología se basa en entrevistas en profundidad realizada a 5 docentes de escuelas secundarias públicas emplazadas en la Región Metropolitana de Buenos Aires. Se propone como hipótesis que las materialidades precarias en que se desarrolla la escolaridad, en contextos de pobreza urbana, supone la gestión de la inclusión, a la vez, que, impacta en los procesos de subjetivación docente. Los resultados más significativos, en relación a las dinámicas de escolarización, muestran que más de la tercera parte del grupo de estudiantes ha visto interrumpida su continuidad pedagógica. Como contracara cruel de esta situación, más de la tercera parte del cuerpo docente señala que su función se vio múltiplemente recargada y altemente desacreditada. Luchar contra la corriente, entonces, se vuelve parte de las lógicas biopolíticas del destino de esta población. Surge entonces la pregunta por los desafíos futuros para problematizar las deudas contemporáneas de la educación obligatoria en estos contextos.
Has Reporting on Physical Therapy Interventions Improved in 2 Decades? An Analysis of 140 Trials Reporting on 225 Interventions
Authors: McCambridge Alana B. , Nasser Anthony M. , Mehta Poonam , Stubbs Peter W. , Verhagen Arianne P.
Published: October 2021

Objectives

To investigate the completeness of reporting of physical therapy interventions in randomized controlled trials before and after publication of the Template for Intervention Description and Replication (TIDieR) checklist (a reporting guideline for interventions).

Design

Meta-research.

Methods

We searched 6 journals for trials using physical therapy interventions that were published in 2000 and 2018. Two independent assessors scored the TIDieR checklist and extracted descriptive information, including Physiotherapy Evidence Database (PEDro) scale scores. We identified control or treatment interventions, exercise-based interventions, and area of physical therapy. We performed a descriptive analysis and defined a priori a 20% difference between studies published in 2000 and 2018 as meaningful. We assessed correlations between TIDieR and PEDro scale scores for all interventions.

Results

In total, 140 articles that met selection criteria evaluated 225 interventions (2000, n = 61; 2018, n = 164). Mean ± SD TIDieR score (2000, 7.52 ± 2.62; 2018, 8.26 ± 2.26) did not show a meaningful difference between years for all interventions (+5%), controls (+6%), treatment interventions (+6%), exercise-based interventions (+9%), or musculoskeletal (+4%) or neurological (+7%) physical therapy. For exercise interventions, number of sessions was reported more (+21%) in 2018 than in 2000. For musculoskeletal trials, 2 items were reported more completely in 2018 than in 2000 (materials, +29%; individual versus group, +22%) and 3 items were reported more completely in neurological trials (mode of delivery, +20%, [item 8.1] when +45%, and assessment of fidelity, +20%). The item “Who delivered the intervention?” was reported less completely (−23%) in 2018 than in 2000 in neurological trials. We found no correlation (r = 0.12) between PEDro scale score and TIDieR score.

Conclusion

There were few meaningful improvements in how physical therapy interventions were described after publication of the TIDieR reporting guideline. J Orthop Sports Phys Ther 2021;51(10):503–509. doi:10.2519/jospt.2021.10642
O uso do Ecomapa na saúde como ferramenta pedagógica: um relato de experiência
Authors: Mihaliuc Domitília Bonfim de Macêdo , Silva Bárbara Louise Moreira , Fonseca Lúcia Helena Bueno da , Santos Walterlânia Silva
Published: October 2021

Objetivo: Relatar a experiência docente na utilização do ecomapa, outrora empregado no âmbito da saúde, como ferramenta pedagógica de autoavaliação discente. Relato de experiência: Trata-se de um relato de experiência, liderado por uma docente atuante de uma faculdade pública do Distrito Federal sobre a autoutilização do ecomapa em sala virtual com 47 discentes, de ambos os sexos, os quais cursavam o último ano de graduação em Enfermagem. Assim, a docente orientou a realização de uma atividade, para que os estudantes elaborassem dois ecomapas individuais. O primeiro retrataria suas relações antes do ensino remoto emergencial, já o segundo, o momento presente. Após isso, a docente refletiu sobre a ferramenta para compreender os vínculos dos discentes, e nortear suas práticas pedagógicas; sendo que a maioria tem fragilidades ou rompimento de vínculos. Considerações finais: Há a possibilidade de transferência de aplicação do ecomapa do setor da saúde para o acadêmico, como instrumento alternativo e inovador à reorganização docente no processo de desenvolvimento de conexões interpessoais no modelo de ensino virtual.
Aromatherapy in patients undergoing coronary artery bypass surgery: A systematic review of clinical trials
Authors: Moradifar Nasrollah , Shahijan Mohammad Kalantari , Bakhtiari Navid , Tavakoli Mojdeh , Amin Arash
Published: October 2021

In recent years, various investigations have been conducted on the aromatherapy with some essential oils as a non-invasive nursing intervention in various conditions, such as the improvement of anxiety in patients with cardiovascular diseases. The current study aims to systematically review and determine the effects of aromatherapy with various herbs in patients undergoing coronary artery bypass surgery. Five English databases, including Web of Science, Scopus, PubMed, EMBASE, and Google Scholar, were used to find all published clinical papers related to the effects of aromatherapy on the patients with coronary artery bypass surgery without time limitation. All searches were based on the 06- PRISMA guideline and registered in the CAMARADES-NC3Rs Preclinical Systematic Review and Meta-Analysis Facility (SyRF) database. Out of 1835 papers, 13 papers up to 2021, met the inclusion criteria for discussion in this systematic review with the data extracted. The most studies were carried out on effect of aromatherapy on anxiety of patients with coronary artery bypass graft (CABG) surgery (8 papers, 61.5%). The most common used essential oil was belonged to lavender essential oil (11 papers, 84.6%). The findings of the present investigation demonstrated that aromatherapy particularly with lavender is able to significantly decrease anxiety, pain, nausea and vomiting, Sleep quality, Hemodynamic Indices, blood pressure, and extubation time in patients with CABG surgery. However, more studies are required to confirm the accurate mechanisms and side effects of the alternative treatment.
Successful Treatment of Inguinal Lymphocele After Angiomyomatous Hamartoma Resection During Inguinal Hernia Repair
Authors: Parrado Raphael , Thomas Christopher , Countryman David
Published: October 2021

Introduction. Lymphocele is a relatively common complication following lymphadenectomy of the inguinal lymph nodes; however, it is less common after open inguinal hernia repair. Postoperative lymphocele is usually caused by unrecognized injury to lymphatic vessels during surgical dissection and commonly requires reoperation to ligate the leaking lymphatics. Angiomyomatous hamaromas are rare lymphatic formations of unknown cause that can be treated with aspiration, sclerotherapy, and drain placement, but surgical intervention is often required. This finding is associated with replacement of parenchymal lymph tissue with vascular and smooth muscle cells. Case Report. The authors report the case of a 59-year-old African American male who underwent open inguinal hernia repair and was found to have incidentally an angiomyomatous hamartoma, which was excised but complicated with a postoperative lymphocele. The patient was successfully treated with the aid of negative pressure wound therapy. Conclusions. Negative pressure wound therapy has rarely been used to treat postoperative lymphocele. To the authors’ knowledge, this case is the first to document use of negative pressure wound therapy for lymphocele following angiomyomatous hamartoma excision.
Malignant Transformation in Chronic Stage IV Sacral Pressure Ulcer: A Case of Marjolin Ulcer
Authors: Simman Richard , Abbas Fuad , Singh Surendra
Published: October 2021

A Marjolin ulcer (MU) is a rare type of skin cancer that most commonly occurs in burns and other traumatic scars, and it also may arise in chronic, poorly healing wounds. Typically, MU presents as a squamous cell carcinoma and has a high rate of metastasis resulting in poor prognosis. The mechanism of the aggressive and metastatic potential of MU has not been clearly defined. This malignancy is more common in patients who are elderly or immunocompromised and has also been characterized as a disease of economically developing nations in which health care resources are less abundant and treatment is delayed. Marjolin ulcer is a challenging, although rare, disease. This article presents a case of MU that arose in a chronic sacral pressure ulcer. This was a rare, multifactorial case; the patient’s many comorbidities required coordinated efforts by wound care, oncology, and infectious disease specialists. As seen in this case, MU can be insidious and may not become apparent until considerable progression has occurred. This article discusses the multidisciplinary treatment measures undertaken for this patient, the strategies for prophylaxis and early detection of MU, and ultimately, the poor prognosis of MU in such a scenario where diagnosis is delayed.
Biomechanical evaluation of the pedicle screw insertion depth and role of cross-link in thoracolumbar junction fracture surgery: a finite element study under compressive loads
Authors: Nekhlopochyn Oleksii S. , Verbov Vadim V. , Karpinsky Michael Yu. , Yaresko Oleksandr V.
Published: October 2021

Introduction. The thoracolumbar junction is one of the most frequently damaged parts of the human spine when exposed to a traumatic factor. Corpectomy in combination with posterior decompression and restoration of the spinal support function is often performed using an interbody implant and posterior transpedicular stabilization to achieve adequate decompression and stabilization in severe traumatic injuries of this level.
The surgery of this type is characterized by significant instability of the operated segment and determines increased requirements for the rigidity and reliability of posterior fixation. We have modeled the situation of a two-level corpectomy with subsequent replacement of bodies with a mesh implant and posterior transpedicular stabilization with 8 screws.
Objective. To study the stress-strain state of the thoracolumbar spine model after resection of the Th12-L1 vertebrae with different variants of transpedicular fixation under the influence of a compressive load.
Materials and methods. A mathematical finite element model of the human thoracolumbar spine has been developed, the components of which are the Th9 ‒ Th11 and L2-L5 vertebrae (vertebrae Th12-L1 are removed), as well as elements of hardware - interbody support and transpedicular system. Four variants of transpedicular fixation were modeled: using short screws and long screws passing through the cortical layer of anterior wall of vertebral body, as well as two cross links and without them. The stress-strain state of the models was studied under the influence of a vertical compressive distributed load, which was applied to the body of the Th9 vertebra and its articular surfaces. The load value was 350 N, corresponding to the weight of the upper body.
Results. d It was found that transpedicular fixation of the thoracolumbar vertebrae with the use of long screws reduces the level of tension in the bone elements of the models. In the area of screw entry into the pedicle of the T10, T11, L2 and L3 vertebral arch, the load when using short screws was 3.1, 1.7, 3.9 and 12.1 MPa, respectively, when using bicortically installed screws - 2.9, 1.8, 3.8 and 10.6 MPa. The addition of two cross-links also reduces the maximum load values in critical areas of the model to a certain extent. In case of short screws combination and two cross-links, the load in these areas was 2.8, 1.7, 3.6 and 11.5 MPa, when using bicortical screws and cross-links - 2.8, 1.6, 3.3 and 9.3 MPa. The study of the stress-strain state of other parts of the model revealed a similar trend.
Conclusions. The use of long screws with fixation in the cortical bone of anterior part of the vertebral bodies reduces the level of tension in the bone elements of the models. The use of cross links provides greater rigidity to the transpedicular system, that also reduces the tension in the bone tissue.
Rigid endoscopic surgery of brainstem cavernous malformation on the cerebral aqueduct. Case report
Authors: Palamar Orest I. , Huk Andriy P. , Teslenko Dmytro S. , Okonskyi Dmytro I. , Aksyonov Ruslan V.
Published: October 2021

Cavernous angiomas (malformations) of the brain occur in 0.5% of the population. Most of them are asymptomatic, but due to their anatomical features, namely escape of blood into surrounding tissues, significant neurological symptoms can occur. The deep location of cavernous angiomas in the area of cerebral aqueduct makes surgical intervention difficult.
Microsurgical approaches are the gold standard in removal of cavernous angiomas, but they are associated with certain surgical risks in the formation of the surgical corridor. Cavernous malformations in the cerebral aqueduct are a rare subtype. Due to anatomical localization and concomitant obstructive hydrocephalus ІІІ and lateral ventricles, they can be removed by endoscopic frontal transcortical transventricular approach.
A 59-year-old patient was diagnosed with cavernous angioma of the brainstem (in the area of cerebral aqueduct) with hemorrhage and the formation of obstructive hydrocephalus ІІІ and lateral ventricles. The operation was performed: removal of the cavernous angioma in the area of cerebral aqueduct by endoscopic frontal transcortical transventricular approach on the right. Additionally, a triventriculocisternostomy was performed. Osteoplastic trepanation with centering at the Kocher’s point in size of 4 × 4 cm and the formation of a free bone flap was performed. The dura mater is cut in an H-shape. Approach to the anterior horn of the right lateral ventricle was performed. An intracerebral retractor was inserted into the anterior horn of the right lateral ventricle. Transforaminal approach to the tuber cinereum was performed - a triventriculocisternostomy was performed. Transforaminal approach to the cerebral aqueduct was performed and the cavernous angioma of the brainstem was removed.
In the postoperative period, the patient had a slight deterioration in short-term memory, which regressed 2 weeks after surgery, an increase in oculomotor disorders, in particular persistent diplopia due to moderate paresis of the left oculomotor nerve. Three months after the operation, magnetic resonance imaging of the brain with intravenous contrast enhancement was performed. There are no signs of cavernous angioma. After the operation of frontal transcortical transventricular removal of cavernous angioma in the area of cerebral aqueduct, the compression of the latter was eliminated. Occlusive hydrocephalus regressed, the size of the ventricles decreased.
Endoscopic frontal transcortical transventricular approach allows reaching the area of cerebral aqueduct in a less traumatic and minimally invasive manner. This technique is effective due to the low risk of surgical approach complications.
Cell transplantation: history of development, bioetic and legal aspects, prospects for treatment traumatic brain injury
Authors: Pavlov Andrii I. , Kadzhaya Mykola V. , Hotin Oleksandr S.
Published: October 2021

In the modern world, a doctor of any specialty knows about a relatively new direction in the treatment of severe and previously untreatable diseases - stem cell (SC) transplantation. A scientific discussion around this is an actively developing direction. At present time laboratory studies of the cell therapy have gone beyond the limits of the experiment and began to actively find their application in practical medicine, which gives rise to scientific, ethical, legal and legislative problems. Thousands of laboratory experiments and clinical studies are carried out around the world, hundreds of stem cell culture laboratories and clinics are opened that use cell transplantation for the treatment of a wide range of diseases. The world governments start introduce SC transplantation into the medical system.
The classical dogma that CNS cells are unable to regenerate has been challenged in recent decades by studies demonstrating new mechanisms of stem cell migration in the brain in trauma models.
One of the most popular and promising areas for using cell therapy is treatment of nervous system diseases. Today, the actual problem for society is the cost of treating the consequences of moderate and severe traumatic brain injury, due to the wide prevalence (30-40% of all types of traumas), high disability rate in the working-age population and the global trend increase number of TBI cases by constant development of the technogenic environment.
The review provides information on the history of development, legal, bioethical aspects, the prospects for the use of SC in the treatment of TBI.
Effect of using a multi-intelligence strategy on acquiring national concepts in the subject of national and civic education among students of basic sixth education in Jordan: أثر استخدام استراتيجية قائمة على الذكاءات المتعددة في اكتساب المفاهيم الوطنيّة في مبحث التّربية الوطنيّة والمدنية لدى طلاب السادس الأساسي في الأردن
Authors: Khaled Muhammad Al-Khashashneh Khaled Muhammad Al-Khashashneh
Published: October 2021

The current study aimed at identifying the effect of using a multi-intelligence strategy on acquiring national concepts in the subject of national and civic education among students of basic sixth education in Jordan. The researcher used the semi-experimental approach to identify the effect of using a strategy based on multiple intelligences on acquiring national concepts. The researcher prepared a test to measure national concepts for the study sample, which consisted of (70) students in two groups (control- experimental). The study reached several results, the most important of which is the effect of a strategy based on multiple intelligence in acquiring national concepts in the subject of national and civic education among students of the basic sixth, where the students of the experimental sample outperformed the students of the control sample. The study recommended the necessity of using the teaching strategy based on multiple intelligences in all social education units.
The challenges of employing one of the techniques of the Fourth Industrial Revolution (augmented reality) in teaching science from the point of view of female teachers the second field in Sharqiyah South Governorate: تحديات توظيف إحدى تقنيات الثورة الصناعية الرابعة (الواقع المعزز) في تدريس العلوم من وجهة نظر معلمات المجال الثاني بمحافظة جنوب الشرقية
Authors: Basma Nasser Mohammed Al-Mashaikhi, Mohammed Y.M. Mai Basma Nasser Mohammed Al-Mashaikhi, Mohammed Y.M. Mai
Published: October 2021

The present study aimed to reveal the challenges that face female teachers in the second field in applying one of the techniques of the Fourth Industrial Revolution (augmented reality). The study included teachers in the second field of schools in the South Sharqiyah Governorate, and the study relied on the descriptive survey approach in obtaining information, and the questionnaire was used as a tool to collect data using Google Forms. The study sample, which was chosen randomly, consisted of 196 teachers. The results of the study showed the existence of organizational challenges. On the other hand, the material and technical challenges came with a very high degree to apply (augmented reality) technology. In light of the results, the study recommends the need to guide the teacher using Techniques of the Fourth Industrial Revolution (Augmented Reality) by building curricula that support the employment of technology, preparing schools with devices and the Internet to keep pace with modern technologies, and developing the performance of second field teachers by attaching They are taking intensive training courses on the techniques of the Fourth Industrial Revolution (Augmented Reality).
The Deixis in Ali Ebn Gahmm,s Blame to Abi hamaziat Tammam: الإشاريات الزمانيةُ في هَمَزِيَّةِ عِتَابِ عَلِيِّ بنِ جَهْمٍ لأبي تمَّام
Authors: Awad bin Baiq al-Shammari Awad bin Baiq al-Shammari
Published: October 2021

This study aimed to identify the importance of Deixis and their various connotations, to reveal Deixis in the poem attab- the subject of research, and to shed light on the most prominent type of Deixis contained in the poem - the subject of research The study relied on the deliberative approach, as the consultants fell under deliberative framework, with the benefits of description, analysis and statistics mechanisms, as needed. The study has reached several results, the most important of which are: the richness of Hamzia Ali ibn Jahm in Abu Tammam's reproach of Deixis, and the link between cosmic and grammatical time in the verses of the poem, and the roses of temporal compositions unlike its origin, to indicate certain contextual implications. The study recommends the importance of expanding the study of Deixis and applying them to prose texts among Arabs.
Improving Students' Score in the General Aptitude Test with Test Repetition without the Need of Professional Training: تحسّن درجة الطالب في اختبار القدرات العامة بتكرار أخذه للاختبار ولو بدون تدريب احترافي
Authors: Mohammad Saleh Al-Johani, Ali Ahmad Al-Subaihi Mohammad Saleh Al-Johani, Ali Ahmad Al-Subaihi
Published: October 2021

This study aimed to identify the extent to which students' score on the General Aptitude Test (GAT) improved when taking the test more than once. The semi-experimental approach was applied for its relevance to the objectives of the current study to follow up on the experience of repeating the GAT several times by the target students. The study sample consisted of (40) high school students who took the GAT (once, twice, three times, four times). The results of the study showed statistically significant differences between students’ scores on the GAT according to the difference in the number of times they took the test; the students’ score improved when they took the test more than once. Besides, the study showed that there were no statistically significant differences at the level of significance (0.05) between the average score on the GAT in the second time and the average score in the third time; there is no improvement in their grades the third time compared to their scores the second time. The study recommended educating students to take the test more than once, in order to achieve the best possible result. The study concluded that taking the test more than once has positive effects on the student and their families and mitigate worrying about the process of repeating the test. Finally, in light of the results, the study suggested conducting some studies with the aim to investigate the students’ reluctance to repeat the test four times and a study to identify the forms of professional training necessary for students to test and study the training's impact on students' psychology and their future aspirations.