bluuebunny/crossref_metadata_2025 huggingface dataset:
Creation of a Caring Protocol: Activities and Dissemination Strategies in Caring Research and Instruments
Authors: Wolf, Zane Robinson , Bailey, Denise Nagle , Keeley, Patricia A.
Published: September 2018

Few acute care healthcare agencies have tested the effect of a caring-focused program on the satisfaction of hospitalized, adult patients. Caring interventions need to be tested to document the effectiveness of nurse caring on a healthcare outcome, patient satisfaction. This study identified critical elements in interventional studies on nurse caring by determining patterns and caring activities in interventions (programs, protocols, or standards) to develop a caring protocol for a National Cancer Institute Comprehensive Cancer Center (NCICCC). Research, other published articles on caring programs, and instruments were analyzed for patterns and elements indicative of caring behaviors or activities representing nurse caring that could contribute to a caring intervention. Intervention dissemination strategies were also analyzed for incorporation into the program’s implementation in a nursing department of the NCICCC. Content analysis techniques identified patterns and activities in caring interventions and intervention dissemination strategies. Comments and written suggestions on the draft caring protocol were solicited from agency stakeholders (N = 22), including administrators, key nursing staff, and members of the Patient Family Advisory Council. The caring protocol/standard of practice and dissemination strategies were identified.
Evidence-based Choices: Conscious Caring for Mother Earth
Authors: Sattler Barbara
Published: September 2018

In healthcare, we ascribe to evidence-based practice to best serve our patients. Evidence of harm is now mounting about the state of our environment and its associated impact on human health. Our relationship to nature has evolved over time, particularly in modern cultures, and our relationship to Mother Earth is now sufficiently strained to preclude us from properly caring for her. This article explores evidence of harm to Mother Earth and its impact on humans, as well as a framework for caring for Mother Earth in an integrated and comprehensive way.
Expanding Our Green Horizons: Sustainability in Schools of Nursing
Authors: Shelley, Rebecca , Gilden, Robyn
Published: September 2018

Leading nursing and healthcare organizations across the nation are adopting a shared vision of a more environmentally sustainable healthcare sector that does not harm, but instead works to promote human and environmental health. In 2011, the American Association of Colleges of Nursing Task Force on Environmental Sustainability produced a report, Toward an Environmentally Sustainable Academic Enterprise: An AACN Guide for Nursing Education. The University of Maryland School of Nursing (UMSON) is implementing the recommendations of the AACN Task Force. The Sustainability Initiative will strive to educate all at UMSON to address the environment within the school, workplace, and profession.
Infusing Caring for the Environment with Our Children, Leaders of the Future
Authors: Jackman-Murphy Kathryn P.
Published: September 2018

Exposure to toxic chemicals contributes to lifelong health effects such as asthma, diabetes, and cancer. Children, one of the most vulnerable populations, are susceptible to the effects of toxic chemicals they may come in contact in the everyday environment. Children and their families are capable of promoting earth caring by simple activities every day. Teaching earth caring to children might instill habits for a lifetime that contribute to a healthier world and promote positive health for all.
Climate 911: A Call to Action for Health Professionals
Authors: Ring Wendy
Published: September 2018

A family doctor writes about her efforts to organize health professionals to educate and advocate for climate action and introduces Climate 911 and its Prescription for Climate Action.
Food Insecurity and Supermarket Service Gaps in South and Southwest Philadelphia
Authors: Guidry Marilyn M.
Published: September 2018

Food insecurity is an issue both globally and locally. In the United States, urban populations demonstrate enormous disparities in access to healthy foods. This study demonstrates that although healthy foods may be available within close proximity to urban neighborhoods, these resources may be inaccessible by segments of local populations, as demonstrated in south and southwest Philadelphia. The relative accessibility of supermarkets stocking fresh fruits and vegetables may be less than ideal for pedestrian populations. Supermarket service gaps or nutritionally underserved areas are demonstrated cartographically using geographic information systems (GIS). Neighborhoods vulnerable to poor food access tend to be less dense areas of less centrally located urban neighborhoods.
Topics Norwegian Nursing Students are Concerned with during Clinical Placement in an African Country: Analysis of Reflective Journals
Authors: Johannessen, Berit , Hovland, Olav Johannes , Steen, June J.
Published: September 2018

Many Norwegian nursing students participate in exchange programs in Africa. During their stay, they attend clinical placements and write reflective journals about their experiences. The purpose of this study is to gain knowledge of the topics these students were concerned with during their placement by analyzing their journals. The paper is based on text analysis of 350 reflective journals representing 197 students. The analysis reveals 7 main categories: lack of care, poor administration of work, inadequate communication, incompetence, positive experiences, inadequate hygiene, and poverty. The majority of the topics are negative descriptions of local nursing. This can be a result of the students’ lack of cultural competence as they have few reflections on cultural values but a clear tendency to be judgmental of the local nurses.
Perspectives of Dignity of Residents Living in Nursing Homes–Experiences of Family Caregivers
Authors: Råholm, Maj-Britt , Lillestø, Britt , Lohne, Vibeke , Caspari, Synnøve , Sæteren, Berit , Tolo Heggestad, Anne Kari , Aasgaard, Trygve , Lindwall, Lillemor , Rehnsfeldt, Arne , Høy, Bente , Slettebø, Åshild , Nåden, Dagfinn
Published: September 2018

This study describes different perspectives of dignity in the care of residents experienced by family caregivers. Both patients and family caregivers express existential concerns about dignity in care, but differences between these experiences are out of phase with each other. Individual interviews with 28 family caregivers were conducted between January and February 2010. Data were analyzed using the philosophical hermeneutic method; reflection, preunderstanding, interpretation, and new understanding played an important role in the ongoing process of analysis. The findings describe the family caregivers’ experiences in daily life to receive dignifying care for their relatives and also how struggling with their own vulnerability opens up the existential dimension of dignity.
Embracing the Difference Caring Makes: Implementing Caring Groups in a New Graduate Orientation Program
Authors: Wilson, Carol B. , Martin, Kenzie , Esposito, Janice
Published: September 2018

New graduate nurses face many obstacles as they enter a rapidly changing healthcare environment. Newly licensed registered nurses are expected to assume the role of professional nurse while giving excellent care to patients and their families. To decrease their stress and decrease the cost of turnover, a hospital within a large healthcare system in the southeast implemented a residency program. The program encompassed caring groups to provide mentorship and collegial support and to facilitate a smooth transition into nursing practice. An interpretive phenomenological approach analyzed experiences of new graduates participating in caring groups. The findings support caring groups to assist new graduates’ entrance into the role of professional nurse. Results may provide guidance for healthcare institutions in implementing similar programs.
Exploring Students’ Perceptions and Understanding of Life-Altering Suffering: An Interview Project
Authors: Braband, Barbara J. , Gaudino, Rebecca , Rogers, Anissa
Published: September 2018

Learning how to respond to others’ suffering is a significant challenge for undergraduate students in caregiving professions. An interprofessional-directed interview project related to suffering was implemented. Students (N = 247) completed a post project survey. Descriptive statistics indicated that students rated their interview-based learning experiences highly. Narrative theme analyses generated 4 main themes: a) developing self-awareness, b) expanding views of suffering, c) grasping spiritual aspects of suffering, and d) learning compassionate and supportive presence. From these preliminary findings has emerged a potential pedagogical model of suffering to prepare students to compassionately support those who suffer.
Nurses’ and Patients’ Perceptions on the Importance of Nurse-Caring Behaviors: A Study at the Surgical Wards of Kenyatta National Hospital, Nairobi
Authors: Ogugu, Everlyne , Odero, Theresa , Ong’any, Antony , Wagoro, Miriam
Published: September 2018

A cross-sectional descriptive study was done at surgical wards of Kenyatta National Hospital to compare nurses’ and patients’ perceptions on importance of nurse-caring behaviors. Data were collected from 182 adult patients and 127 nurses. The most important nurse-caring behaviors as ranked by patients were give me treatments and medications on time and help me with my care until am able to do it for myself. Nurses ranked treat the patient as an individual and know how to give injections as the 2 most important nurse-caring behaviors.
The Effect of Compassionate Nursing on Non-English-Speaking Patients
Authors: Phan Julie , Dean, Patrick
Published: September 2018

The purpose of this article is to examine, through a literature review, the relationship between compassionate nursing and patient satisfaction in non-English-speaking patients. Research suggests that compassionate nursing may increase patient satisfaction in non-English-speaking patients and suggests that uncompassionate nursing decreases patient satisfaction. Most studies remained inconclusive in their demonstration of negative effects of uncompassionate nursing on English and non-English-speaking patients. Some studies conclusively demonstrated positive effects of compassionate nursing on English-speaking patients. Current research recommends nurses practice and advocate compassion for all. However, more outcome-based research is needed to demonstrate how compassionate nursing affects patient satisfaction in non-English-speaking patients.
Persons who Dependent Upon Technologies for Care: Lived Experience of Being Cared for Following Lower Limb Amputation
Authors: Koszalinski, Rebecca S. , Locsin, Rozzano C.
Published: September 2018

The purpose of this study was to describe the experience of persons who were being cared for while dependent upon technologies for human care. Eight participants who met the inclusion criteria were interviewed. Following van Manen’s (1990) hermeneutic phenomenological approach, 4 thematic experiential descriptions were revealed. The lived experience of being cared for is an expression of independence in finding meaning and acceptance, while being mindful of recovery with existing technological use of configured space. Understanding the meaning of being cared for with technologies enhances human caring in community living. Engaging in understanding shared lived experiences of persons being cared for with technologies is expected.
Emerging Innovations: Caring in Action
Authors: Werner, Joan Stehle , Frost, Marlene Hanson , Barnfather, Janet S. , Lyon, Brenda L.
Published: September 2018

The purpose of this paper is to present the methods one group of nursing scholars used to systematically review nursing research in a circumscribed area, synthesize the knowledge embedded in the studies examined, and disseminate this synthesized knowledge to the discipline. The area of nursing knowledge was stress and coping. This project was planned and implemented by the Stress and Coping Research Section of the Midwest Nursing Research Society. The paper begins with a general overview of the entire scope of the project, including steps of the process used. Next, it details specific aspects of the process, addressing two phases of the overall undertaking. Finally, it concludes with a specific example of how one “construct” team approached and implemented their synthesis.
The Value of Caring Experienced in Nursing
Authors: Schoenhofer, Savina O. , Boykin, Anne
Published: September 2018

Outcomes of caring in nursing are key indicators of the personal and social value of nursing. Trends in health care economics make it imperative that nurses specify the value added to health care situations from nursing. Current efforts to achieve this goal have resulted in language that fails to communicate the richness of caring in nursing. This research-based paper proposes a framework and approach to the specification of outcomes of caring in nursing, reconceptualized as the value experienced in a nursing situation.
Using Mentaphor to Explore Concept Synthesis
Authors: Wendler, M. Cecilia
Published: September 2018

Conceptual synthesis is a creative, iterative process which allows nurse theorists to rigorously clarify the boundaries, nature, and attributes of a phenomenon. This challenging process is difficult and may be hindered if a linear approach is taken. Using metaphor as the lens through which conceptual synthesis is viewed, a cognitive whole among related ideas is seen. The purpose of this paper is to describe the use of metaphor as an enhancement to a traditional conceptual synthesis process to facilitate discovery. A case study and personal reflections illuminate the process and product. Implications for nursing practice, research, and theory construction are presented.
Emerging Innovations: Caring in Action
Authors: Martin, Margi
Published: September 2018

This paper presents reflections, consideration and contemplation on the issue of survival with people who are themselves challenged to survive life threatening illness. When people are forced by their circumstance to create a new story for their life, the point of beginning might be a question such as ‘what is love’? This paper presents an exploratory narrative based on a conversation in a garden one day in the summer of a long drought.
Using Story Theory to Guide Nursing Practice
Authors: Liehr Patricia
Published: September 2018

Attentively embracing story, a middle range nursing theory, is presented and its use in practice is discussed. The relevance of story path, represented by story-line and markings, is made explicit in the practice application, which describes using the theory with a person who has heart disease. The healing potential embedded in the human story is made explicit through the theory of attentively embracing story. Practicing with the theory is a healing art that promotes the transformational and self-transcendent potential of people.
On Calling and Character: Caring as Archetypal Act
Authors: Gaydos, H. Lea
Published: September 2018

This paper explores caring as an archetypal act. The great archetypal myth of the hero’s journey, considered in light of the great stories of feminine archetypes, provides a framework for understanding the relationship between calling, character, and caring. Excerpts from the personal narratives of contemporary female healers, as explored in a qualitative research study, reveal how caring can be understood as an enactment of an archetypal reality.
“What You Need To Know!”: Artful Caring Pedagogy in Health Assessment
Authors: Gramling, Kathryn L. , Smith, Marlaine C.
Published: September 2018

This article illustrates the pedagogical specification of Jean Watson’s theory of human caring in the design and implementation of a module in health assessment. The module, “What You Need to Know!” was developed to engage students in a process of understanding cultural assessment within the context of the patient’s personal life and values. A PowerPoint presentation was paced to contemporary music to engage students in a reflective and aesthetic experience that explored cultural concepts. The ensuing dialogical process allowed students to examine and internalize a holistic understanding of the person.
Intentionality: A View Through a Rogerian and a Newman Lens – Lightly
Authors: Zahourek, Rothlyn P.
Published: September 2018

Intentionality has been a poorly defined term associated with healing and caring. Exploring a conceptualization from within the unitary-transformative theories of Martha Rogers and Margaret Newman enriches one’s perspective and yields implications for practice and research.
A Journey into Caring as Experienced by Nurse Managers
Authors: Turkel, Marian C.
Published: September 2018

The purpose of this phenomenological research was to capture the meaning of caring as experienced by nurse managers during interactions with staff nurses. Data analysis was guided by the phenomenological method (Ray, 1985; van Manen, 1990). Essential themes of growth, listening, support, intuition, receiving gifts, and frustration were described by participants. Variant themes of touch, humor, flexibility, counseling, limitations, and competency also emerged. Interpretive themes of nurses’ way of being, reciprocal caring, and caring moment as transcendence were identified. The unity of meaning, which unfolded, is presented as a poetic expression. Implications for transforming nursing administration into a practice grounded in caring are presented.
Life in a Pill Bottle: The Experience of Taking HIV Medications
Authors: Jones, Sande Gracia
Published: September 2018

The purpose of this phenomenological study was to describe the experience of taking HIV medications (HAART) and identify factors affecting adherence. Participants were 10 middle-aged and older (35 to 58) HIV-positive adults (four homosexual men and six women with a history of substance abuse) who were asked to describe the daily experience of taking HAART. The metaphor that emerged from the data was Life In a Pill Bottle, which reflected the central focus of HAART in participants’ lives and also described the complex relationships that evolved between and among the person, the medications, and the virus. Three themes comprised the experience: commitment versus perseverance, feeling bad, and healing helpers. Similarities and differences were noted between men and women.
Aesthetics and Evidence-Based Practice in Nursing: An Oxymoron?
Authors: Freshwater Dawn
Published: September 2018

Nursing theory and differing sources of nursing knowledge have focused the argument that nursing theory and nursing practice must be founded on a scientific base. The phrase “evidence based” is increasingly entering the discourse around nursing effectiveness and has captured the attention of managers, because of its seeming potential to rationalize costs in healthcare provision, and researchers, because of its association with problems related to lack of adoption of research findings in nursing. A potential exists to broaden the chasm between the art and the science of nursing, when the art of nursing is gaining credibility. This paper challenges the current of evidence-based practice. It argues that the two concepts, when viewed through the postmodern lens, are not necessarily an oxymoron.
Friendship and Caring Communion: The Meaning of Caring Relationship in District Nursing
Authors: Andrée Sundelöf Els-Marie
Published: September 2018

The aim of this study was to illuminate the meaning of caring relationship directed to the elderly as experienced by district nurses. Twelve district nurses were interviewed in the form of a dialogue. The interviews were audiotaped and transcribed. The text was analyzed using a phenomenological-hermeneutic approach inspired by Paul Ricoeur who describes the interpretation of a text as a dialectical movement between understanding and explanation. The interpretation of the text reveals that the meaning of caring relationship is friendship and caring communion that is founded in the local community.
Descriptions of Caring Uncovered in Students’ Baccalaureate Program Admission Essays
Authors: Sadler Judith J.
Published: September 2018

Early nurse leaders identified compassion as a characteristic of a “good” nurse, while contemporary nurses identified caring as the single most important attribute of a nurse. If nursing accepts this premise, it is important to gather baseline data from applicants. Admission essays were analyzed for themes to determine how students described caring and compared to Sadler’s (1997) concept analysis of caring. Students described beginning levels of caring and drew relationships between caring and nursing. Essays may provide one method to garner baseline data, which can be used to facilitate the development of caring in students.
Expressions of Caring as Lived by Nursing Home Staff, Residents, and Families
Authors: Touhy, Theris A. , Strews Wendy , Brown Cynthia
Published: September 2018

Nursing as caring (Boykin & Schoenhofer, 1993, 2001) was utilized as the framework for design of a model of healthcare delivery in a nursing home that is intentionally grounded in caring. The article presents themes emerging from a qualitative analysis of interview data in which participants were asked what was most important when caring for a resident or family member and to share an experience that best represented caring. Suggestions are offered for creating a model of culture change in nursing homes that honors and values expressions of caring as lived by staff, families, and residents.
Yaşlılarda yeti yitimi ve aleksitimi
Authors: YİĞİTBAŞ Çağla , DEVECİ S. Erhan
Published: September 2018

Amaç: Yaşlılık döneminde yeti yitimi ve aleksitimi kişilerin sağlık ve sosyal durumlarına etkili olabilen önemli kavramlardır. Bu çalışmada, Gümüşhane İl Merkezinde evde yaşayan yaşlılarınyeti yitimi ve aleksitimi özelliklerinin değerlendirilmesi amaçlanmıştır. Yöntem: Kesitsel tipte olan araştırma, Gümüşhane İl Merkezinde bulunan 14 aile hekimliği birimine kayıtlı nüfustan sistematik örnekleme ile seçilen 65 yaş ve üzeri 437 kişi ile yürütülmüştür. Örnekleme alınan yaşlılara, içerisinde Kısa Yeti Yitimi Anketi ve Toronto Aleksitimi Ölçeği-20 (TAÖ-20)’nin de yeraldığı bir anket yüz yüze görüşme ile uygulanmıştır. Tanımlayıcı veriler sayı, yüzde, ortanca ve min-max olarak gösterilmiştir. İstatistiksel analizlerde, p<0.05 değerleri anlamlı olarak kabuledilmiştir. Bulgular: Araştırma kapsamına alınan yaşlıların yaş ortalaması 74.3±7.15 yıl (min:65, max:100) olup, %63.4’ü kadın, %36.6’sı erkektir. Yaşlıların Kısa Yeti Yitimi puan ortalaması 10.25±5.03 (min:0, max:22), TAÖ-20 puan ortalaması ise 49.28±9.58 (min:25, max:85)’dir. Yaşlıların %86’sında çeşitli derecelerde yeti yitimi saptanmıştır. Kadın olmanın, dul/boşanmış olmanın, düşük eğitim düzeyine sahip olmanın, herhangi bir ruhsal sorun yaşamanın, mobilizasyonda kısıtlılık artışının, egzersiz yapmamanın, genel-fiziksel-zihinselduygusal ve sosyal sağlık düzeylerinde kötü sağlık algısına sahip olmanın TAÖ-20 puan ortalamasını arttırdığı saptanmıştır (p<0.05). Hayatı boyunca herhangi bir şiddet türüne maruz kalmış olanların şiddet görmeyenlere, aile içinde kendini ifade edemeyenlerin ya da kısmen ifade edenlerin böyle bir sorun yaşamayanlara göre aleksitimi toplam puanları daha yüksek bulunmuştur (p<0.05). Sonuç: Bu araştırmada, yaklaşık olarak her beş yaşlıdan dördünde yeti yitimi bulunmuştur. Ortalama aleksitimi puanı ise ölçeğin maksimum puanın yarısının altındabulunmuştur. Yaşlılarda yeti yitimi ve aleksitimiyi etkileyen faktörlere yönelik iyileştirici yönde çalışmalar planlanmalı ve uygulanmalıdır.
Single-Atom Catalysis: A Practically Viable Technology?
Authors: Ciriminna Rosaria , Ghahremani Mina , Karimi B , Pagliaro Mario , Luque Rafael
Published: September 2018

Recent advances in single-atom catalysis resulted in readily accessible materials whose application in most catalytic reactions mediated by conventional nanoparticle-based catalysts often results in higher activity and selectivity. Can we expect catalysis by atomically dispersed atoms to find practical applications? Which are the hurdles to be overcome prior to widespread uptake of atomically dispersed metals in industrial synthetic processes and in hydrogen fuel cells?
Efecto de la frecuencia y horario de alimentación sobre la termogénesis inducida por la dieta en humanos, una revisión sistemática
Authors: Vázquez Cisneros Lucía Cristina , López-Espinoza Antonio , Martínez Moreno Alma Gabriela , Navarro Meza Mónica , Espinoza-Gallardo Ana Cristina , Zepeda-Salvador Ana Patricia
Published: September 2018

El gasto energético total (GET) tiene tres componentes: el gasto basal, el gasto por actividad física (GAF) y la termogénesis inducida por la dieta (TID). Este último, aunque representa alrededor del 10% del GET, al ser alterado, podría tener efectos a largo plazo sobre el peso corporal. Diferentes factores han mostrado influir sobre la TID, entre ellos la composición de la dieta. Sin embargo, otros factores como la frecuencia y los horarios de alimentación han sido investigados por su papel en la alteración de la TID. Esta revisión sistemática analiza las investigaciones respecto a la frecuencia y los horarios de alimentación y su efecto sobre la TID en humanos. Se realizó una búsqueda en las bases de datos PubMed y Web of Science, que dio como resultado un total de 542 artículos potenciales. De ellos, se excluyeron 528 en concordancia con los criterios de inclusión, utilizando 14 artículos para esta revisión sistemática. Aunque los resultados son aún incipientes, destacan el efecto de los ritmos circadianos con un incremento de la TID en respuesta a las ingestas matutinas en comparación con las nocturnas, un incremento en la TID posterior a la implementación de frecuencias regulares de alimentación y disminución de la TID posterior a las frecuencias variables. Por último, se observó una tendencia a incremento en la TID cuando los periodos interprandiales son iguales o mayores a dos horas y a disminución cuando son menores. Estos resultados señalan un área de investigación con potencial terapéutico en la prevención y el control del sobrepeso y la obesidad.
Optimización del cribado nutricional CIPA: ¿son necesarios dos parámetros proteicos?
Authors: Mendoza Alejandra Mora , Suárez Llanos José Pablo , Delgado Brito Irina , Pereyra-García Castro Francisca , López Travieso Ruth , Pérez Delgado Nayra , García Núñez María Araceli , Benítez Brito Néstor , Palacio Abizanda Enrique
Published: September 2018

Introducción: el cribado nutricional CIPA (control de ingestas, proteínas, antropometría) preliminar es positivo cuando se cumple uno de los siguientes parámetros: control de ingestas (CI) 48-72 h < 50%, albúmina < 3 g/dl, proteínas totales < 5 g/dl, índice de masa corporal (IMC) < 18,5 kg/m2 o circunferencia del brazo (CB) ≤ 22,5 cm (cuando el paciente no se puede pesar/tallar). El uso de dos parámetros proteicos aumenta costes y complejidad, pudiendo suprimirse uno de ellos sin afectar su validez.Objetivos: evaluar la efectividad del cribado CIPA tras exclusión de proteínas totales.Métodos: estudio prospectivo de pacientes hospitalizados valorando prevalencia o riesgo de desnutrición a través de CIPA y valoración global subjetiva (VGS). Análisis de desnutrición hospitalaria según el cribado CIPA completo (con proteínas totales y albúmina, CIPAc) y sin proteínas totales (CIPAs/p), y análisis de la concordancia entre ambos métodos. Estudio de la asociación del resultado positivo del cribado con factores pronósticos.Resultados: se analizaron 343 pacientes. Prevalencia de desnutrición: CIPAc 38,19% (33,02-43,36), CIPAs/p 37,32% (32,17-42,46), VGS 29,15% (24,32-33,99). Índice de correlación Kappa: 0,981 entre ambos CIPA, p < 0,001. Tanto las dos versiones de CIPA como la VGS detectan pacientes con mayor mortalidad hospitalaria y al mes del alta. Reingreso precoz: mayor en CIPA positivo, estadísticamente significativo en CIPAs/p (cribado positivo 21,88% vs. negativo 13,49%, p = 0,044), VGS 20,01% vs. 15,23%, p = 0,28. Estancia media: superior en pacientes con cribado positivo en las dos variantes de CIPA y en VGS.Conclusiones: CIPAs/p es igual o más eficaz que CIPAc validado previamente, por lo que puede sustituir a este último ahorrando costes. La prevalencia de desnutrición es elevada en ambas variantes y son capaces de identificar al paciente con peor pronóstico clínico.
Importancia del desayuno en la mejora nutricional y sanitaria de la población
Authors: López-Sobaler Ana M.ª , Cuadrado-Soto Esther , Peral Suárez África , Aparicio Aránzazu , Ortega Rosa M.ª
Published: September 2018

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Estrategias nutricionales que mejoran la función cognitiva
Authors: Martínez García Rosa María , Jiménez Ortega Ana Isabel , López Sobaler Ana María , Ortega Anta Rosa María
Published: September 2018

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Patología neurológica por déficit de vitaminas del grupo B: tiamina, folato y cobalamina
Authors: Hernando-Requejo Virgilio
Published: September 2018

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Deficiencias subclínicas asociadas al padecimiento de síndrome metabólico
Authors: Jiménez Ortega Ana Isabel , Martínez García Rosa María , Velasco Rodríguez-Belvis Marta , Ruiz Herrero Jana , Salas González M.ª Dolores , Ortega Anta Rosa María
Published: September 2018

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Pengaruh Media Pembelajaran Berbasis Animasi Terhadap Hasil Belajar Siswa pada Materi Pelajaran Menggambar Bentuk Bidang Kompetensi Keahlian Teknik Gambar Bangunan di SMK 4 Tangerang Selatan
Authors: Lestari Dila , Rochadi Doddy , Maulana Arris
Published: September 2018

Penelitian ini bertujuan untuk mengetahui pengaruh media animasi terhadap hasil belajar siswa pada materi menggambar bentuk bidang siswa SMKN 4 Tangerang Selatan kompetensi keahlian teknik gambar bangunan kelas X setelah menggunakan media animasi pada materi pelajaran menggambar bentuk bidang.

Penelitian ini dilaksanakan pada bulan Agustus sampai dengan Desember 2016. Sampel dalam penelitian ini adalah siswa kelas X Teknik Gambar Bangunan yang berjumlah 69 siswa yang dibagi kedalam 2 kelompok kelas, yaitu kelas kontrol (kelas yang menggunakan media konvensional) dengan jumlah 35 siswa dan kelas eksperimen (kelas yang menggunakan media animasi) yang berjumlah 34 siswa. Teknik analisis data yang digunakan adalah teknik kuantitatif dengan menggunakan metode quasi eksperimen. Pengujian persyaratan hipotesis menggunakan uji normalitas, teknik uji normalitas menggunakan teknik analisis chi-kuadrat. Validitas instrument soal tes dilakukan dengan judgement expert dan uji coba instrumen, hasil dari uji validitas menunjukkan terdapat 25 soal valid dan 5 soal tidak valid dari 30 soal yang disajikan. Reliabilitas instrument tes dihitung dengan rumus Kuder-Richardson (KR-20) diperoleh harga r = 0,810 dengan soal pilihan ganda.

 Hasil belajar sebelum dilakukan pembelajaran menggambar bentuk bidang menunjukkan bahwa hasil belajar kelas kontrol memiliki nilai 52-96 dengan rata-rata 77. Hasil belajar kelas eksperimen memiliki nilai 52-88 dengan rata-rata 70,470. Sedangkan hasil belajar setelah dilakukan pembelajaran menggambar bentuk bidang menunjukkan bahwa hasil belajar kelas kontrol memiliki nilai 60-100 dengan rata-rata 87,889. Hasil belajar kelas eksperimen memiliki nilai 52-100 dengan rata-rata 84,235. Hasil data yang didapat kemudian diolah dengan uji â€“ t yang menghasilkan nilai thitung = 7,963 dan ttabel = 2,037, sehingga dapat disimpulkan bahwa niai thitung â‰¥ ttabel atau 7,963 > 2,037 yang berarti terdapat perbedaan hasil belajar antara pretest dan posttest setelah menggunakan media animasi. Sedangkan uji linieritas menunjukkan nilai Fhitung = 7,758 dan Ftabel = 4,150. Karena nilai Fhitung â‰¥ Ftabel atau 7,758 > 4,150 maka regresi tersebut linier.
Hubungan Efikasi Diri Terhadap Kemampuan Berpikir Tingkat Tinggi Siswa SMK Program Keahlian Teknik Bangunan Pada Mata Pelajaran Mekanika Teknik
Authors: Basito Martin Daniel , Arthur Riyan , Daryati Daryati
Published: September 2018

Penelitian ini bertujuan untuk mengetahui hubungan efikasi diri terhadap kemampuan berpikir tingkat tinggi siswa sekolah menengah kejuruan program keahlian teknik bangunan. Permasalahan yang dibahas dalam penelitian ini adalah apakah ada hubungan antara efikasi diri terhadap kemampuan berpikir tingkat tinggi siswa Sekolah Menengah Kejuruan (SMK), dalam hal ini program keahlian teknik bangunan.
Tempat penelitian yang dilakukan di SMK Negeri 4, SMK Negeri 26, SMK Negeri 56 Jakarta ini melibatkan 90 siswa kelas XI program keahlian Teknik Bangunan yang terdiri dari 3 kelas yaitu: kelas XI TKBB SMK Negeri 4, XI TGB SMK Negeri 26, XI TGB SMK Negeri 56 dengan sampel penelitian berjumlah 30 siswa. Metode yang digunakan dalam penelitian ini adalah metode survey dengan pendekatan kuantitatif. Teknik analisis data yang digunakan adalah teknik analisis regresi dan analisis korelasi.
Hasil penelitian menunjukan bahwa : Terdapat hubungan antara efikasi diri terhadap kemampuan berpikir tingkat tinggi siswa yang dibuktikan dengan nilai thitung lebih besar dari ttabel sebesar 2,395 > 1,671 dan signifikansi koefisien korelasi sebesar 0,300, dalam artian memiliki kontribusi tergolong rendah
Pengaruh Media Pembelajaran Visual Tiga Dimensi (Sketch Up) Terhadap Hasil Belajar Siswa pada Materi Pelajaran Macam-Macam Pekerjaan Konstruksi Kayu
Authors: Ramadhan Rizky , Maulana Arris , Rochadi Doddy
Published: September 2018

Penelitian ini bertujuan untuk mengetahui pengaruh media visual tiga dimensi terhadap hasil belajar siswa pada materi macam-macam pekerjaan konstruksi kayu siswa SMKN 56 Jakarta kompetensi keahlian teknik gambar bangunan kelas X dan media pembelajaran visual tiga dimensi membantu siswa dalam memahami materi macam-macam pekerjaan konstruksi kayu dalam mata pelajaran konstruksi bangunan.

Penelitian ini menggunakan teknik analisis kuantitatif dengan menggunakan metode quasi eksperimen. Sampel dalam penelitian ini adalah siswa kelas X Teknik Gambar Bangunan yang berjumlah 56 siswa yang dibagi kedalam 2 kelompok kelas, yaitu kelas kontrol (kelas yang menggunakan media powerpoint) dengan jumlah 28 siswa dan kelas eksperimen (kelas yang menggunakan media visual tiga dimensi) yang berjumlah 28 siswa. Analisis data digunakan uji â€“ t dua pihak sampel independen.

Hasil belajar sebelum dilakukan pembelajaran macam-macam pekerjaan konstruksi kayu menunjukkan bahwa hasil belajar kelas kontrol memiliki nilai 45-95 dengan rata-rata 73,03. Hasil belajar kelas eksperimen memiliki nilai 50-95 dengan rata-rata 71,96. Sedangkan hasil belajar setelah dilakukan pembelajaran macam-macam pekerjaan konstruksi kayu menunjukkan bahwa hasil belajar kelas kontrol memiliki nilai 50-95 dengan rata-rata 75,17. Hasil belajar kelas eksperimen memiliki nilai 65-95 dengan rata-rata 85,17. Hasil data yang didapat kemudian diolah dengan uji â€“ t yang menghasilkan nilai thitung = 3,595 dan ttabel = 2,056, sehingga dapat disimpulkan bahwa niai thitung â‰¥ ttabel atau 3,595 > 2,056 yang berarti terdapat perbedaan hasil belajar yang signifikan antara kelas kontrol dan kelas eksperimen. Maka dapat disimpulkan media pembelajaran visual tiga mempengaruhi hasil belajar materi macam-macam pekerjaan kontruksi kayu kelas X di SMK Negeri 56 Jakarta.
Planning Considerations for State, Local, Tribal, and Territorial Partners to Receive Medical Countermeasures From CDC’s Strategic National Stockpile During a Public Health Emergency
Authors: Bhavsar Tina R. , Esbitt Deborah L. , Yu Patricia A. , Yu Yon , Gorman Susan E.
Published: September 2018

The Centers for Disease Control and Prevention’s Strategic National Stockpile is a national repository of potentially life-saving medical countermeasures including pharmaceuticals and medical supplies for use in a public health emergency severe enough to cause local, regional, and state supplies to run out.

Several planning considerations can assist state, local, tribal, and territorial jurisdictions in preparing to receive, distribute, dispense, and administer medical countermeasures from the Strategic National Stockpile. These considerations include, but are not limited to, issues surrounding regulatory requirements, controlled substances, cold chain management, and ancillary supply needs.

Multiple aspects to consider for each of these functions are discussed here to assist partners in their planning efforts.
Performance of Point of Dispensing Setup Drills for Distribution of Medical Countermeasures: United States and Territories, 2012–2016
Authors: Pagaoa Melissa , Leblanc Tanya Telfair , Renard Paul , Brown Suzette , Fanning Michael , Avchen Rachel Nonkin
Published: September 2018

Objectives. To describe results of points of dispensing (POD) medical countermeasure drill performance among local jurisdictions.

Methods. To compare POD setup times for each year, we calculated descriptive statistics of annual jurisdictional POD setup data submitted by over 400 local jurisdictions across 50 states and 8 US territories to a Centers for Disease Control and Prevention (CDC) program monitoring database from July 2012 to June 2016.

Results. In data collected from July 2012 to June 2015, fewer than 5% of PODs required more than 240 minutes to set up, although the proportion increased from July 2015 to June 2016 to almost 12%. From July 2012 to June 2016, more than 60% of PODs were set up in less than 90 minutes, with 60 minutes as the median setup time during the period.

Conclusions. Our results yield evidence of national progress for response to a mass medical emergency. Technical assistance may be required to aid certain jurisdictions for improvement.

Public Health Implications. The results of this study may inform future target times for performance on POD setup activities and highlight jurisdictions in need of technical assistance.
Contraception as a Medical Countermeasure to Reduce Adverse Outcomes Associated With Zika Virus Infection in Puerto Rico: The Zika Contraception Access Network Program
Authors: Romero Lisa , Koonin Lisa M. , Zapata Lauren B. , Hurst Stacey , Mendoza Zipatly , Lathrop Eva ,   Z-CAN Program Development Working Group
Published: September 2018

The Zika Contraception Access Network established a network of 153 physicians across Puerto Rico as a short-term emergency response during the 2016–2017 Zika virus outbreak to provide client-centered contraceptive counseling and same-day contraception services at no cost for women who chose to prevent pregnancy. Between May 2016 and August 2017, 21 124 women received services. Contraception was used as a medical countermeasure to reduce adverse Zika-related reproductive outcomes during the outbreak and may be considered a key strategy in other emergencies.
Individualized employee engagement or collaborative employee relations: insights on leadership strategies to manage employees in the UK market
Authors: Mohanty Sourav
Published: September 2018

Leadership can be defined as the ability of an individual to lead or guide other people, teams or organizations. There have been many theories related to this topic including the characteristics of leaders, their situational communication, purpose, performance, authority, vision and mission, charm and presence of mind. The main types of employee engagement discussed in this study are individualized employee engagement and collaborative employee engagement in the context of the UK. This study mainly seeks to investigate the insights of employees and leaders on different leadership strategies to manage employees in the UK-based MNCs. Descriptive and inferential analysis was performed so as to ascertain the influence of two different leadership strategies – Individualized Employee Engagement (IEE) and Collaborative Employee Relations (CER) – on effective employee management. It was validated from findings in this study that employees and leaders both prefer and believe that individualized employee engagement leads to better and effective employee management.
Calreticulin is Differentially Expressed in Invasive Ductal Carcinoma: A Comparative Study
Authors: Tariq Asma , Mateen Rana Muhammad , Fatima Iram , Akhtar Muhammad Waheed
Published: September 2018

Objective: The aim of the present study was to build protein profiles of untreated breast cancer patients of invasive ductal carcinoma grade II at tissue level in Pakistani population and to compare 2-D profiles of breast tumor tissues with matched normal tissues in order to evaluate for variations of proteins among them.

Materials & Methods:

Breast tissue profiles were made after polytron tissue lysis and rehydrated proteins were further characterized by using two-dimensional gel electrophoresis. On the basis of isoelectric point (pI) and molecular weight, proteins were identified by online tool named Siena 2-D database and their identification was further confirmed by using MALDI-TOF.

Results:

Among identified spots, 10 proteins were found to be differentially expressed i.e.; COX5A, THIO, TCTP, HPT, SODC, PPIA, calreticulin (CRT), HBB, albumin and serotransferrin. For further investigation, CRT was selected. The level of CRT in tumors was found to be significantly higher than in normal group (p < 0.05). The increased expression of CRT level in tumor was statistically significant (p = 0.010) at a 95% confidence level (p < 0.05) as analyzed by Mann-Whitney. CRT was found distinctly expressed in high amount in tumor tissue as compared to their matched normal tissues.

Conclusion:

It has been concluded that CRT expression could discriminate between normal tissue and tumor tissue so it might serve as a possible candidate for future studies in cancer diagnostic markers.
Immunology Behind Tumors: A Mini Review
Authors: Hurkat Pooja , Jain Sourabh , Jain Richa , Jain Aakanchha
Published: September 2018

Background::

The immune system is designed with great care to distinguish self from non-self, as exhibited by immune responses to different pathogens. Furthermore, the immune system has the capacity to distinguish between self from altered self in case of autoimmune diseases like cancer. Developing tumors bypass the immune system mechanism which restrains selfreactive responses. Immunotherapy is a coherent means since the immune system can eliminate a number of antigens derived from the genetic constitution of B and T lymphocytes. Our understanding of the immune system has developed a great deal.

Conclusion::

This review is focused not only on the mechanism by which the immune system protects us but also on the ways in which it can inflict the body and how to modulate it with therapy. Thus, understanding the interaction of a tumor with the immune system provides insights into mechanisms that can be utilized to elicit anti-tumor immune responses. Here, we have recapitulated the function of the tumor microenvironment and immune checkpoints.
A Model for Heterogeneous Brain Tumor Cells that Cause Dizziness
Authors: Farnush Mohammad
Published: September 2018

Background::

Various models are used for brain tumors modeling. To our knowledge,
no earlier work has been done on modeling the heterogeneous brain tumor that causes dizziness.
However, specifying a cell using a model is not new. Unlike all earlier works in this regard, which
consider analog or analog-CPU computers in the cell model, the model presented in this work
fully utilizes processor computers.

Materials and Methods::

The purpose of this study is to offer a comprehensive approach for
heterogeneous modeling of brain tumor cells. The model uses a brain tumor cell in Matlab and
Simulink 3D software. Two heterogeneous models are presented for brain tumor cells: the imagebased
cell model and computer-generated cell model. The image-based cell model is obtained
through the figure altering on X-ray or ocular figures by recognizing the dissimilar states in the
tumors.

Results::

The computer-generated cell model works based on locating computer produced aggregate
cells into tumors. Some subdivisions for both the image-based and computer-generated cell
models are presented as well.

Conclusion::

The positive and negative points of the image-based cell models and computergenerated
cell models some scientific advices are presented in this work. Generally, the imagebased
cell models could offer analytical facts for each state, but they are expensive and timeconsuming;
besides, their performance is heavily influenced by deformation techniques. The
computer-generated cell model, on the other hand, provides a higher cost of production and simplicity,
but its main contribution is the overall performance and accuracy.
Hyperbaric Oxygen Therapy in Ischaemic Foot Ulcers in Type 2 Diabetes: A Clinical Trial
Authors: Perren Sarah , Gatt Alfred , Papanas Nikolaos , Formosa Cynthia
Published: September 2018

Background and Aims:

Several treatment modalities and protocols for ischaemic foot ulcers are available. However, little consensus exists on optimal treatment. The aim of this study was to compare Standard Wound Care (SWC) alone vs. SWC with adjunct hyperbaric oxygen therapy (HBOT) in the treatment of ischaemic Diabetic Foot Ulcers (DFUs).

Patients and Methods:

Twenty-six patients with Type 2 Diabetes Mellitus (T2DM) presenting with a newly diagnosed ischaemic foot ulcer were included. These were divided into group A (SWC with adjunct HBOT) and group B (SWC only). Participants were followed every week for 4 weeks and their ulcers were measured for their surface area and depth to assess any change in wound size.

Results:

Both treatment arms succeeded in reducing ulcer area and depth (p<0.001). However, ulcer area (p<0.001) and depth (p<0.001) exhibited superior improvement in group A.

Conclusion :

Adjunctive HBOT appears to improve wound healing in ischaemic DFUs and merits further study.
Elevated Tumor Necrosis Factor-α and Transforming Growth Factor-β in Prostatic Tissue are Risk Factors for Lower Urinary Tract Symptoms after Transurethral Resection of the Prostate in Benign Prostatic Hyperplasia Patients with Urinary Retention
Authors: Duarsa Gede W.K. , Oka Anak A. G. , Maliawan Sri , Soebadi Doddy M. , Astawa Putu , Bakta Made , Sukrama Dewa M. , Manuaba Ida B. P. , Astawa Nyoman M.
Published: September 2018

Background:

Lower Urinary Tract Symptoms (LUTS) after Transurethral Resection of the Prostate (TURP) occur in one-third of Benign Prostatic Hyperplasia (BPH) patients, may be caused by persistent prostatic inflammation and fibrosis.

Objective:

This study aims to evaluate the role of inflammation and fibrosis in pathological mechanism of LUTS among patients with BPH who underwent TURP by assessing their PSA, TNF-α, and TGF-β level.

Design, Setting, and Participant:

Data in this study were analyzed with the 2-way hypothesis. The study used odds ratio to define the risk factors of LUTS after TURP. The samples of the study are BPH patients after TURP aged 50-80 years old.

Interventions:

No intervention(s).

Outcome Measurements and Statistical Analysis:

The data analyzed using SPSS version 21.0 for Windows.

Results and Limitations:

There were 34 cases of LUTS and 42 controls without LUTS. We found that there were an increased levels of TNF-α (> 46.95 pg/ml) (OR 55.6, 95% Confidence Interval [CI] 11.1-278.4, p=0.00) and TGF-β (> 207.63 pg/ml) (OR 16.7, 95%CI 5.3-52.8, p=0.00). The result of multiple linear logistic regression analysis obtained equation Y= 0.033 x TNF-α + 0.031 x TGF-β. Population Attributable Risk (PAR) % TNF-α is 60%, PAR % TGF-β is 53%.

Conclusion:

Combination of elevated levels of TNF-α (>46.95 pg/ml) and TGF-β (>207.63) in prostate tissue is the risk factors for the occurrence of LUTS after TURP.

Patient Summary:

In this study, we enrolled 76 patients who were diagnosed with BPH and urinary retention. After TURP, there were 34 cases of LUTS and 42 controls without LUTS. We found that the levels of TNF-α and TGF-β between cases and controls were significantly different. We conclude that the combination of elevated levels of TNF-α and TGF-β in prostate tissue is the risk factors for the occurrence of LUTS after TURP.