bluuebunny/crossref_metadata_2025 huggingface dataset:
Renal function is a major determinant of ICU-acquired hypernatremia: A balance study on sodium handling
Authors: van IJzendoorn Marjolein , de Vries Linda , van den Born Jacob , Buter Hanneke , Navis Gerjan , Boerma Christiaan
Published: October 2020

Background and Objectives

The development of ICU-acquired hypernatremia (IAH) is almost exclusively attributed to ‘too much salt and too little water’. However, intrinsic mechanisms also have been suggested to play a role. To identify the determinants of IAH, we designed a prospective controlled study.

Methods

Patients with an anticipated length of stay ICU > 48 hours were included. Patients with hypernatremia on admission and/or on renal replacement therapy were excluded. Patients without IAH were compared with patients with borderline hypernatremia (≥ 143 mmol/L, IAH 143) and more severe hypernatremia (≥ 145 mmol/L, IAH 145).

Results

We included 89 patients, of which 51% developed IAH 143 and 29% IAH 145. Sodium intake was high in all patients. Fluid balances were slightly positive and comparable between the groups. Patients with IAH 145 were more severely ill on admission, and during admission, their sodium intake, cumulative sodium balances, serum creatinine and copeptin levels were higher. According to the free water clearance, all the patients conserved water. On multivariate analysis, the baseline serum creatinine was an independent risk factor for the development of IAH 143 and IAH 145. Also, the copeptin levels remained significant for IAH 143 and IAH 145. Sodium intake remained only significant for patients with IAH 145.

Conclusions

Our data support the hypothesis that IAH is due to the combination of higher sodium intake and a urinary concentration deficit, as a manifestation of the renal impairment elicited by severe illness.
The Effects of Natural Paint on the Moisture Buffering Ability of Paper Plaster
Authors: Nutt N. , Kubjas A. , Nei L. , Ruus A.
Published: October 2020

The scope of the Nordtest method is to evaluate the moisture buffer value (MBV) of materials exposed to indoor air. The test is intended to simulate daily variations with relative humidity (RH) between 75 % during 8 hours and 33 % during 16 hours.

The specimens follow a recipe that consists of waste paper, glue and water. Specimens made of paper plaster were covered with different colours.

The results of the experiment showed that the type of paint used and the number of layers applied affected the MBV. Natural colours have a better moisture permeability than chemical paints, but the number of natural colour layers affects the MBV. The higher the number of layers, the lower the MBV.
The Various Models of Marketing Audit
Authors: Hadrian Piotr
Published: October 2020

This paper examines the problem of marketing control. The goal of the article is a scientific reflection on the model presentation of marketing audit. Review of the marketing literature on marketing audit presents various conceptual, structural or process models. Yet, these proposals did not play a role significant enough so that auditing would become a widely used marketing control tool. That is why, author presents an outline of the proprietary marketing audit model which (in conceptual and semantic approach), thanks to specifying the strategic nature of this control tool, can stimulate its popularization in marketing management practice. The conceptual model presents in an descriptive and graphic form the audit architecture, endogenous conditions (orientation, excellence, strategy, tactical and operational control), components of the audit activities and the planes of the assessment being carried out. The semantic model defines marketing audit as a logical and resulting system, which, by using the possibilities offered by specific control methods, allows for comprehensive, structured, regular, objective, independent and professional contextual assessment (preparation and implementation of marketing strategies). These models are a stimulus for discussion and further search for optimal ways of marketing control, both on a methodological and pragmatic level.
Seed Priming Significantly Affects Germination and Post Germination Early Seedling Growth in Okra
Authors: Rima Rima
Published: October 2020

Seed priming significantly affects germination and post germination emergence in seedling of plants. Okra is an important vegetable plays significant role in human nutrition. However, little information is available regarding effect of seed priming on germination and post germination early vegetative growth. Therefore, a pot experiment was conducted to find out the effect of seed priming on the emergence and seedling vigor in different okra varieties. Six local Bangladeshi okra varieties were primed in water for 24 hours and evaluated their germination and post germination emergence. The varieties were named as V1-V6 (V1 = Flash power, V2 = Durga, V3 = BARI dheros-2, V4 =Okra pornota, V5 =Dandy all green, V6 = Boishakhi). Post priming evaluation was done based on germination percentage, root-shoot length of seedlings, seedling height, and dry weight of seedlings, germination index and speed of germination at different days after sowing (5-15 DAS). Highest germination was observed in V3 (88.00%) and lowest was in V5 (25.33%). Root length was highest in V3 and V4 (8.77cm) and lowest was observed in V2 (5.15cm). Shoot length of the seedlings was highest in V3 (7.94cm) followed by V1 (7.33). Shoot length of the seedlings was lowest in V5 (5.12cm). Seedling height was highest in V3 (16.71cm) which was followed by V6 (16.26cm). The lowest seedling height was observed in V1 (12.50cm). Dry weight of the seedlings was highest in V3 (2.32g) which was followed in V1 (2.26g). The lowest dry weight was observed in V5 (1.99g). The variety V3 performed better in most of the evaluated parameters and suggested for commercial cultivation.
Consumer Perceived Risk by Online Purchasing: The Experiences in Hungary
Authors: Balogh Zita , Mészáros Katalin
Published: October 2020

The aim of this paper is to identify and categorize the perceived risks that Hungarian consumers connect with online purchasing. The research is based on empirical data collected via a questionnaire and analysed with statistical software. The applied exploratory factor analysis identified five risk categories connected to online purchasing: perceived after-sale risk, perceived data security risk, perceived delivery risk, and perceived product risk. The fifth risk factor seems the most characteristic to Hungarian customers, who are wary of the possibility of online vendors selling fake products on the Internet. The results offer valuable information to companies engaged in online vending concerning the risk factors Hungarian consumers associate with online shopping. One limitation of this study is that it does not evaluate risk-reducing strategies.
The Crisis of Democracy: An East-Central European Perspective
Authors: Wiatr Jerzy J.
Published: October 2020

Post-communist states of East Central Europe face the authoritarian challenge to their young democracies, the sources of which are both historical and contemporary. Economic underdevelopment, the retarded process of nation-building and several decades of communist rul made countries of the region less well prepared for democratic transformation than their Western neighbors, but better than former Soviet Union. Combination of economic and social tensions, nationalism and religious fundamentalism creates conditions conducive tom the crises of democracy, but such crises can be overcome if liberal and socialist forces join hands.
Advanced nurses’ practices related to pharmaceutical care in the Czech Republic
Authors: Heczková Jana , Dilles Tinne
Published: October 2020

Introduction. The use of pharmaceutical products is a very complex part of healthcare, where a variety of healthcare professionals collaborate. Unfortunately, the role of all professional groups does not seem to be entirely clear despite of the high regulation. Evidence suggests that the role of nurses can be much wider than expected and specified by the related policies.

Aim. The aim of the study was to explore nurses’, physicians’ and pharmacists’ perspectives of nurses’ practices related to pharmaceutical care (PC) in the Czech Republic.

Methods. A cross-sectional online survey was conducted. Qualified nurses (629), physicians (69) and pharmacists (39) were questioned about their views on the nurses’ involvement in various advanced activities related to PC.

Results. Participation on the advanced activities related to PC during the last month was high (providing information and patient education 80%; monitoring medication adherence 72%; monitoring medication effects 56% and participation on prescribing medication 19%). Nurses were most likely to see the investigated PC aspects as part of their nursing tasks when compared to the physicians’ or pharmacists’ point of view. However, a substantial part of participants believed in the positive impact of nurses’ involvement in activities related to PC. On the other side, interprofessional collaboration remains unsatisfactory and communication within an interprofessional team was rated as being very poor.

Conclusions. The need to increase the nurses’ involvement in PC exists. Optimising formal nurses’ competencies, revising the skills mix in different types of workplaces and revising the nursing curricula, as well as improving the interprofessional collaboration, could result in a positive effect on patient outcomes.
Technological aspects of synthesis of poly(ethylene glycol) mono-1-propenyl ether monomers
Authors: Urbala Magdalena
Published: October 2020

For the first time, the technological aspects of the highly productive and selective synthesis of UV-reactive poly(ethylene glycol) mono-1-propenyl ether monomers was developed. The solvent-free isomerization of model commercial available 2-allyloxyethanol and allyloxypoly(ethylene glycol) derivatives, type Allyl–[OCH2CH2]
n
–OH, n = 1–5, into a 1-propenyl derivative under the homogeneous catalysis conditions using the ruthenium complexes were evaluated. The effect of a various reaction conditions (i.e. the concentration of [Ru] complex, the reaction temperature, reaction gas atmosphere) together with trace amounts of allyl hydroperoxides formed via autoxidation reaction of allyl substrates on the productivity of catalyst was examined in detail. Moreover, the significant role of the allyl substrate structures on the catalytic activity of ruthenium catalysts were also recognized. The optimal parameters of the scaled-up synthesis together with productivity of catalyst were first established.
Influence of extraction technique on yield and antioxidant activity of extracts from Moringa oleifera leaf
Authors: Dzięcioł Małgorzata
Published: October 2020

The article presents research on the exploring of extraction process of biologically active substances from the leaves of the Moringa oleifera tree using ethanol. Ethanolic extracts were obtained using three different techniques: maceration with shaking, ultrasound-assisted extraction and extraction in Soxhlet apparatus, in different time variants: 1, 2 and 4-hours. After solvent evaporating and drying, the yields of dry extracts obtained in particular processes were calculated. The antioxidant activity of extracts was analyzed spectrophotometrically using DPPH radical scavenging method, and total phenolic content (TPC) was determined by Folin-Ciocalteu method. By means of gas chromatography with mass selective detector (GC-MS), 11 biologically active compounds present in ethanolic extracts were identified, among which α-tocopherol had the greatest share. Based on the results, the influence of the extraction technique and time on the yield and antioxidant activity of M. oleifera leaf extracts were discussed.
The dependence of inhomogeneity correction factors on photon beam quality index performed with the Anisotropic Analytical Algorithm
Authors: Akhtaruzzaman Md , Kukołowicz Paweł
Published: October 2020

Purpose: The purpose of the study was to investigate the dependence of tissue inhomogeneity correction factors (ICFs) on the photon beam quality index (QI).

Materials and Methods: Heterogeneous phantoms, comprising semi-infinite slabs of the lung (0.10, 0.20, 0.26 and 0.30 g/cm3), adipose tissue (0.92 g/cm3) and bone (1.85 g/cm3) in water, were constructed in the Eclipse treatment planning system. Several calculation models of 6 MV and 15 MV photon beams for quality index (TPR20,10) = 0.670±k*0.01 and TPR20,10 = 0.760±k*0.01, k = -3, -2, -1, 0, 1, 2, 3 respectively were built in the Eclipse. The ICFs were calculated with the anisotropic analytical algorithm (AAA) for several beam sizes and points lying at several depths inside of and below inhomogeneities of different thicknesses.

Results: The ICFs increased for lung and adipose tissues with increasing beam quality (TPR20,10), while decreased for bone. Calculations with AAA predict that the maximum difference in ICFs of 1.0% and 2.5% for adipose and bone tissues, respectively. For lung tissue, changes of ICFs of a maximum of 9.2% (6 MV) and 13.8% (15 MV). For points where charged particle equilibrium exists, a linear dependence of ICFs on TPR20,10 was observed. If CPE doesn’t exist, the dependence became more complex. For points inside of the low-density inhomogeneity, the dependence of the ICFs on energy was not linear but the changes of ICFs were smaller than 3.0%. Measurements results carried out with the CIRS phantom were consistent with the calculation results.

Conclusions: A negligible dependence of the ICFs on energy was found for adipose and bone tissue. For lung tissue, in the CPE region, the dependence of ICFs on different beam quality indexes with the same nominal energy may not be neglected, however, this dependence was linear. Where there is no CPE, the dependence of the ICFs on energy was more complicated.
Electrodermal Activity and Stress Assessment
Authors: Pop-Jordanova Nada , Pop-Jordanov Jordan
Published: October 2020

Stress, as a kind of emotion, is inevitable in everyday life. In psychosomatic medicine stress represents a powerful link in the pathophysiological chain of disorder. Having evidence about the power of stress on the body, the interest in medicine was how to measure it in appropriate, fast way and with minimal cost. Electrodermal activity seems to be available for this purpose.

The galvanic skin response (GSR) is an objective, transient indication of autonomic nervous system arousal in response to a stimulus. It refers to changes in sweat gland activity that are reflective of the intensity of our emotional arousal.

In this article we discuss physiological specifics of skin conductance/resistance and how it is measured in practice. The most used application of GSR is in biofeedback methodology. Biofeedback assessment and training exactly uses skin reaction to different stimuli and aims to gain voluntary control over this autonomic response. The aim of this article is to show effectiveness of this method in paediatric practice.
Alectinib Treatment of ALK Positive Non Small Cell Lung Cancer Patients with Brain Metastases: Our Clinical Experience
Authors: Crvenkova Simonida
Published: October 2020

Summary: Anaplastic lymphoma kinase (ALK) rearrangement is identified in approximately 3-7% of all metastatic non-small cell lung cancer (NSCLC) patients, and ALK tyrosine kinase inhibitors (TKIs) have revolutionized the management of this subset of lung cancer cases.

Purpose: This study aims to show alectinib (TKI) effectiveness and safety with focus on alectinib intracranial efficacy for ALK+ NSCLC patients.

Case presentation: Patient 1 was a 46-year-old woman diagnosed with non-small cell lung cancer with an echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase fusion gene (ALK+). She presented with intracranial and liver metastases and poor performance status of ECOG 3. Alectinib was initiated as a second line therapy, after whole brain irradiation and discontinuation of first line chemotherapy after two cycles, due to the central nervous system progression and liver metastases. Good response was consequently achieved, characterized with improved overall performance and without significant adverse events.

Patient 2 was a 53-year old man with left sided lung adenocarcinoma surgically treated in 2017. Post-operative pTNM stage was IIB with a positive resection margin- R1. He received adjuvant chemotherapy and radiotherapy. In 2019, after two and half years of being disease free, he presented with severe cerebral symptoms leading to poor performance status. CT scan of the brain showed multiple brain metastases. He was treated with first line alectinib after completion of whole brain radiotherapy. In 5 months period he got significantly better and able for work again.

Conclusions: We recommend alectinib as a first and second line treatment approach for ALK+ NSCLC patients, in particular the ones with brain metastases at the time of diagnosis and poor PS.
Main Needs and Challenges of Parents of Children with Autism Spectrum Disorder
Authors: Zorcec Tatjana , Pop-Jordanova Nada
Published: October 2020

Autism spectrum disorder (ASD) comprises a group of complex lifelong neurodevelopmental disorders, characterized with symptoms related to the difficulty of communication and interaction with other people, as well as restricted interests and repetitive behaviors. These symptoms affects the person’s ability to function properly in school, work, and other areas of life.

For better understanding the needs and challenges of families the survey developed by Autism Speaks in collaboration with the National Coordinators for Autism from nine Balkan countries was established. The aim of this research is to obtain an overview of some important data for children with some form of autistic disorder.

The same questionnaire was used in two different periods of time (during 2015 and at the beginning of 2020) including samples of 60 and 140 parents respectively.

The questionnaire comprises 57 questions in the following four domains: demographic characteristics, index child characteristics, service encounters and parent/caregiver perceptions. Results are compared and discussed.

The survey results underscore that parents and families of children with ASD in our country carry a heavy burden. They face significant financial difficulties and need improved services from the health, educational and social sectors.

It was concluded that there is a critical need to strengthen national capacity in caring for children, young people and adults with ASD and other neurodevelopmental disorders.
Parents and Educators’ Perceptions on Recreational Sporting Activities’ Practice and Its Effects on Down Syndrome Children’s
Authors: Harbach Brahim , Djourdem Bendehiba , Mokrani Djamel
Published: October 2020

The aim of the current study is to explore the importance of recreational sporting activities’ practice in developing social interactions of children with Down syndrome, and in maintaining communication, participation, teamwork, and socialization from parents and educators’ perceptions. A descriptive approach has been deployed and a sample of 45 parents and 30 educators of children with Down syndrome were randomly selected from the psychological and pedagogical centre for children with mental disabilities, and from the association of El-Wafaa and scholastic and professional integration for trisomy 21 and autism children in Algeria. The results revealed that there is a statistical significance for recreational sports activities’ practice. The results suggest that the practice of recreational sports activities has a positive effect on the social interactions of children with Down syndrome, as confirmed by parents and educators.
The Importance of Creativity in Foreign Language Acquisition
Authors: Morar Lucia-Larissa , Boștină-Bratu Simona , Negoescu Alina
Published: October 2020

During the past decades scientific research caused major changes in the perception of students’ learning styles. Empirical findings show that learning styles are neither innate nor unchangeable. On the contrary, students themselves adapt their learning behaviour to the task at hand and aim at trying out different learning styles using their creativity. Therefore, teachers have to plan and propose activities that invite their students to recur to a number of learning strategies. The aim of this paper is to emphasize the importance of the students’ creativity in foreign language acquisition.
Newly Discovered Gold Does Not Distort the Economy; It Is Not A Market Failure
Authors: Block Walter E. , Barnett William
Published: October 2020

We wish to “quibble” with Murphy (2019). We mean this literally. That is, we are in strong and enthusiastic agreement with virtually everything he writes therein, except for one point: we think him guilty of allowing the cloven hoof of market failure into the Austrian tent. Our purpose in the present essay is to banish market failure from praxeological premises. To wit, he maintains that pure market processes such as a gold discovery can “distort” prices and interest rates, and we argue to the contrary.
Financial Literacy, Behaviour and Well-Being of Millennials in Poland Compared to Previous Generations: The Insights from Three Large-Scale Surveys
Authors: Cwynar Andrzej
Published: October 2020

There are many concerns about financial competences of Millennials. Initial research on this generation suggests that it is less financially knowledgeable and exhibits less healthy financial behaviours compared to other generations. The goal of the article is to compare Millennials to non-Millennials as a whole, as well as to other generations treated in isolation, to check whether Millennials diverge in terms of financial literacy, behaviour and well-being. To that end, this study uses three distinct datasets from three surveys conducted in 2017 and 2018 on different samples of Poles. The applied statistic tests of significant differences do not confirm that Millennials diverge from other generations with respect to financial literacy as well as behaviours related to cash management, saving and investment. However, the surveyed Millennials perform significantly less healthy credit management and insurance behaviours compared to non-Millennials. We also found that Millennials report significantly higher levels of financial well-being compared to all previous generations.
Automated Verification of Building Components Using BIM Models and Point Clouds
Authors: Honti Richard , Erdélyi Ján , Bariczová Gabriela , Funtík Tomáš , Mayer Pavol
Published: October 2020

One of the most important parts of construction work is the verification of the geometry of the parts of structures and buildings constructed. Today this procedure is often semi- or fully automated. The paper introduces an approach for the automated verification of parts of buildings, by comparing the design of a building (as-planned model), derived from a Building Information Model (BIM) in an Industry Foundation Classes (IFC) exchange format to a terrestrial laser scanning (TLS) point cloud (as-built model). The approach proposed has three main steps. The process begins with the acquisition of information from the as-planned model in the IFC exchange format; the second step is the automated (wall) plane segmentation from the point cloud. In the last step, the two models mentioned are compared to determine the deviations from the design, and the as-built wall flatness quantification is also executed. The potential of the proposed algorithm is shown in a case-study.
Tracing Patterns of Intra-Speaker Variation in Early English Correspondence: A Change from Above in thePaston Letters
Authors: Hernández-Campoy Juan M. , Conde-Silvestre J. Camilo , García-Vidal Tamara
Published: October 2020

The aim of this paper is to explore the impact of social and context factors on the diffusion of a linguistic change from above, namely the deployment of the spelling innovation  in fifteenth-century English, and especially in some letters from the well-known Paston collection of correspondence. We particularly focus on the socio-stylistic route of this change from above, observing the sociolinguistic behaviour of some letter writers (members of the Paston family) in connection with the social-professional status of their recipients, the interpersonal relationship with them, as well as the contexts and styles of the letters. In this way, different dimensions of this change from above in progress in fifteenth-century English can be reconstructed.
HUBUNGAN KEMAMPUAN KOGNITIF DENGAN KECEPATAN WAKTU REAKSI AUDITORI PADA REMAJA TINGKAT SEKOLAH MENENGAH ATAS NEGERI DI DENPASAR TIMUR
Authors: Utami Ni Putu Ayu Dika , Antari Ni Komang Ayu Juni , Tianing Ni Wayan , Saraswati Putu Ayu Sita
Published: October 2020

Masa remaja merupakan masa seorang remaja mulai belajar bertanggung jawab atas keputusannya sendiri dan bisa menyelesaikan masalah dengan baik sehingga memerlukan kemampuan kognitif dan waktu reaksi auditori yang baik. Tujuan penelitian ini untuk mengetahui hubungan kemampuan kognitif dengan kecepatan waktu reaksi auditori pada remaja tingkat sekolah menengah atas negeri di Denpasar timur. Penelitian ini merupakan penelitian analisis observasi dengan desain studi cross sectional. Penelitian ini dilakukan pada bulan Februari 2019 di SMAN 3 Denpasar dengan jumlah sampel 51 siswa dengan menggunakan metode cluster sampling. sampel diukur dengan menggunakan cognitive failure questionnaire (CFQ) lalu menggunakan tes waktu reaksi auditori yaitu millisecond software (simple auditory reaction time). Anilisis yang digunakan adalah analisi bivariat dengana uji pearson. Hasil analisis bivariat menunjukkan nilai p= 0,017 dan r= 0,334 artinya bahwa adanya hubungan yang signifikan antara kemampuan kognitif dengan kecepatan waktu reaksi auditori pada remaja tingkat sekolah menengah atas negeri di Denpasar timur namun memiliki hubungan yang rendah atau lemah

Kata kunci: kognitif, waktu reaksi, auditori, remaja
THE DIFFERENCES OF GAIT PARAMETERS AMONG TYPE OF FOOT ARCH (NORMAL FOOT, FLATFOOT, AND CAVUS FOOT) IN CHILDREN AGED 10-12 YEARS AT ELEMENTARY SCHOOL IN WEST DENPASAR
Authors: Dewi Komang Githa Pradnyamitha , Dewi Anak Ayu Nyoman Trisna Narta , Antari Ni Komang Ayu Juni , Indrayani Agung Wiwiek
Published: October 2020

Growth and development in children are important. One of these is the development of walking or gait. Some parents often feel worried when their child’s gait pattern looks abnormal, which can be caused by the presence of abnormalities in the type of foot arch. The type of foot arch consists of normal foot, flat foot, and the cavus foot. The foot arch can affect the gait pattern; the gait pattern can be measured with gait parameters. Basic gait parameters which were often used; the cadence, stride length, step length, and speed. The purpose of this research is to analyze the existence of differences in gait parameters in each type of foot arch at elementary school children between aged 10-12 years in West Denpasar.

This analytical study was used a cross-sectional study design that was held on March 2019. The number of samples in the study were 113 people (58 men, 55 women) between aged 10-12 years. The type of foot arch measured the independent variable by doing the footprint, and the classification used Clarke's Angle. Measurements of the dependent variables using the different way. Cadence is measured by asking the persons to walk for a minute and then counted the number of their steps in a minute. Measurement of stride length and step length by doing the footprint on the long cover paper. Speed is calculated using the formula of results cadence and stride length.

After obtaining the data, the normality test used Kolmogorov Smirnov Test and homogeneity test by Levene's had been done. The analysis used the Kruskal Wallis Test to find out significant mean difference among the group (p = 0.000).

Based on this study, it was concluded that there are different gait parameters among normal foot, flat foot and cavus foot in children aged 10-12 years at elementary school in West Denpasar.
HUBUNGAN ANTARA DURASI DUDUK DAN POSISI DUDUK DENGAN FLEKSIBILITAS OTOT HAMSTRING PADA PEGAWAI KANTOR INSTANSI PEMERINTAH SEWAKA DHARMA KOTA DENPASAR
Authors: Miucin Putri , Dewi Anak Ayu Nyoman Trisna Narta , Sundari Luh Putu Ratna , Sugiritama I Wayan
Published: October 2020

Gerakan fungsional sering mengalami gangguan yang mengakibatkan terjadinya keterbatasan dalam bergerak. Hal tersebut dapat diakibatkan oleh beberapa faktor dan penyebab salah satu terganggunya komponen biomotorik yaitu fleksibilitas pada otot hamstring. Faktor pemicu utamanya adalah durasi duduk dan posisi duduk saat bekerja. Desain penelitian ini yaitu analitik cross sectional. Jumlah sampel sebanyak 67 orang pekerja laki-laki dan perempuan yang berusia 35- 55 tahun. Variabel bebas yang diukur adalah durasi duduk dan posisi duduk sedangkan variabel terikatnya yaitu fleksibilitas otot hamstring. Hasil penelitian menunjukkan bahwa durasi duduk dan posisi duduk memiliki hubungan yang signifikan dengan risiko terjadinya penurunan fleksibilitas otot hamstring (p<0,05). Kesimpulan dari penelitian ini yaitu semakin lama dan semakin tinggi resiko posisi duduk semakin rendah fleksibilitas otot hamstring pada pegawai kantor.
HUBUNGAN POSISI KERJA TERHADAP KEJADIAN NYERI PUNGGUNG BAWAH NON SPESIFIK PADA PENGRAJIN UKIRAN KAYU DI UD. MURJAYADI STYLE/UKIR KAYU STIL BALI KABUPATEN GIANYAR
Authors: Kawi I Komang Riskita Sabda Prama , Saraswati Putu Ayu Sita , Primayanti I Dewa Ayu Inten Dwi
Published: October 2020

Pengrajin ukiran kayu adalah pekerjaan yang dominan diterapkan dengan posisi kerja yang tidak ergonomis dan rentan menyebabkan terjadinya gangguan musculoskeletal disorders (MSDs), salah satunya yaitu nyeri punggung bawah non spesifik. Tujuan dari penelitian ini adalah untuk mengetahui hubungan posisi kerja dengan nyeri punggung bawah non spesifik pada pengrajin ukiran kayu di UD. Murjayadi Style/Ukir Kayu Stil Bali Kabupaten Gianyar. Penelitian ini adalah analitik cross sectional yang dilakukan pada bulan April - Mei 2019. Pengambilan sampel dilakukan dengan mengambil keseluruhan populasi berjumlah 38 orang. Variabel dependen pada penelitian ini adalah nyeri punggung bawah non spesifik yang diukur menggunakan form assesment fisioterapi dan kuisioner Rolland Morris. Variabel independen adalah posisi kerja yang diukur dengan Rapid Entire Body Assesment (REBA). Uji Spearman rho digunakan untuk menganalisis hubungan antar variabel. Hasil penelitian menunjukan usia 35-44 tahun merupakan usia terbanyak dengan jumlah 18 (47,4%). Berdasarkan durasi kerja mendapatkan hasil bahwa durasi kerja 8 jam merupakan durasi kerja terbanyak dengan jumlah 22 (57,9%). Posisi kerja berisiko tinggi merupakan posisi kerja terbanyak berjumlah 8 (47,4%). Berdasarkan kejadian NPB non-spesifik mendapatkan hasil sebanyak 31 (81,6%) mengalami NPB non-spesifik dan 7 (18,4%)  tidak mengalami NPB non-spesifik. Selanjutnya, hasil p = 0,000 (p < 0,05 ) dan hasil koefisien korelasi sebesar 0,603. Berdasarkan hasil penelitian tersebut dapat disimpulkan bahwa terdapat hubungan yang signifikan antara posisi kerja dengan nyeri punggung bawah non spesifik pada pengrajn ukiran kayu di UD. Murjayadi Style/Ukir Kayu Stil Bali Kabupaten Gianyar.
SYSTEM OF CONTINUOUS MEDICAL EDUCATION FOR THE EMERGENCY MEDICAL SERVICE MEDICAL PERSONNEL PERFORMED BY ELECTRONIC EDUCATIONAL TECHNOLOGIES. THE ROLE OF THE PROJECT DURING THE COVID‑19 PANDEMIC
Authors: Plavunov N. F. , Logvinova O. V. , Khisamov A. B. , Kolesnik A. V. , Buzin A. G.
Published: October 2020

The review paper presents experience of implementation of an educational project - the permanent education system of a large medical facility of Moscow city emergency medical system. Basic project features are given regarding it’s usage and role in pandemic period. We suppose the information given in the paper to be useful for specialists in the spheres of healthcare management in public administration, management of medical organizations and professional medical education.
Funcionalidades de la gamificación: Classcraft y Moodle en el marco de Octalysis
Authors: Sánchez-Pacheco Carlos Luis
Published: October 2020

La gamificación es una técnica reciente que consiste en aplicar elementos del juego en contextos ajenos al juego. Existen marcos teóricos que sugieren un modelo para aplicar estos elementos en la implementación de soluciones concretas. En este artículo se analiza dos sistemas de gestión de aprendizaje, Classcraft y Moodle, bajo la lente del marco de Octalysis. A pesar de que las dos plataformas proporcionan varios elementos del juego, que combinados entre sí buscan aumentar la motivación de los estudiantes.
El proceso de construcción participativa del Plan de Desarrollo Municipal La Paz- Santander
Authors: Corzo Arévalo Daniel Hernando , Cuadra Renzo
Published: October 2020

El objetivo de esta investigación fue elaborar el Plan de Desarrollo Municipal de La Paz, Santander para el cuatrienio 2020-2023, aplicando el Kit de Planeación Territorial (KPT) creado por el Departamento de Planeación Nacional de Colombia (DNP). El proceso contó con la realización de cuatro talleres participativos, identificándose por medio de cartografía social las problemáticas actuales y el diseño de alternativas de solución. El proceso priorizó cinco ejes estratégicos alineados a las cinco esferas del Programa de las Naciones Unidas para el Desarrollo (PNUD): Desarrollo, Equidad y Bienestar, Prosperidad, Sostenibilidad y Alianzas.
Atajar borrachos, esculcar gringos. Los tragos amargos de las culturas locales en San Agustín
Authors: Polanco Olmedo
Published: October 2020

A propósito del conflicto social contemporáneo en el municipio de San Agustín (Huila) generado por el Instituto Colombiano de Antropología e Historia ICANH de exhibir 20 esculturas en el Museo Nacional de Bogotá, este documento propone una aproximación a las prácticas sociales que durante los últimos años del periodo histórico del Frente Nacional, formaron la mentalidad local a partir de relaciones de poder simbólico entre las instituciones sociales (gobierno, partidos políticos y especialmente la radio clerical) así como las comunidades urbanas y rurales en el municipio de San Agustín.
Evaluación del potencial de aprendizaje en niños, y adolescentes con discapacidad intelectual
Authors: Ríos Gallardo Ángela Magnolia , Murcia Paredes Lina Marcela
Published: October 2020

El presente estudio tiene el objetivo de evaluar el potencial de aprendizaje de un grupo de 17 niños, niñas y adolescentes (NNA) de edades comprendidas entre los 8 y 18 años, diagnosticados con discapacidad cognitiva, pertenecientes a la fundación síndrome de Down y al colegio Utrahuilca de la ciudad de Neiva. El enfoque es cuantitativo con un diseño pre – experimental pretest y postest a grupo único. Inicialmente se procedió a la aplicación del Test de Inteligencia No Verbal TONI-2 para identificar dicho coeficiente de inteligencia. Este coeficiente se tiene en cuenta para tratar de ubicar a cada uno de los participantes en un nivel de inteligencia, debido a que todas las pruebas utilizadas en el estudio son no verbales. Posteriormente se administró el test de matrices progresivas Raven, series A, Ab y B, tanto en el pre-test como en el pos-test para evaluar el potencial de aprendizaje. En el intermedio entre pretest y postest se aplicó la Evaluación del Potencial de Aprendizaje EPA-2 con la metodología de la evaluación dinámica, tal como lo propone dicha prueba. Este test sirvió como entrenamiento para conocer el grado de modificabilidad cognitiva de los participantes y las estrategias utilizadas en la ejecución de la tarea propuesta.Los resultados evidenciaron que para algunos participantes hubo una ganancia significativa, observado en los resultados favorables en el aprendizaje de una serie de procesos y operaciones ejecutivas requeridos en la resolución de este tipo de problemas. Mientras que otros sujetos, los cuales por su compromiso cognitivo moderado que involucra dificultad en la flexibilidad mental y capacidad de inhibición, además de dificultades atencionales y factores motivaciones, no se vieron beneficiados de este entrenamiento, sin embargo, esto no descarta que la incorporación de estrategias específicas y con un entrenamiento más amplio se logre estimular otras áreas y habilidades intelectuales.
FAKTOR - FAKTOR PENENTU KUALITAS PELAYANAN JASA PENGIRIMAN TERHADAP KEPUASAN PELANGGAN DI KOTA SURABAYA (STUDI KASUS PADA J&T EXPRESS WILAYAH SEMOLOWARU KECAMATAN SUKOLILO SURABAYA)
Authors: Firdaus Firdaus , Yunita Sari Natasya Retno
Published: October 2020

J&T Express adalah perusahaan yang bergerak dalam bidang jasa kurir pengiriman dan logistik. Jasa dapat diartikan tindakan yang dapat diberikan pada satu pihak kepada pihak lainnya. Jasa perlu memiliki kualitas pelayanan yang baik agar memiliki nilai plus sehingga dapat memberikan kepuasan pelanggan.Adapun tujuan penelitian ini adalah untuk menganalisis faktor-faktor apakah yang menjadi penentu terhadap kepuasan pelanggan pada  perusahaan jasa kurir J&T Express dan untuk menganalisis faktor yang dominan yang menjadi penentu terhadap kepuasan pelanggan pada jasa kurir J&T Express.Dari hasil penelitian yang dilakukan, diperoleh kesimpulan bahwa faktor Tangible, Reliability, Responsiveness secara serempak memiliki pengaruh dan signifikan terhadap kepuasan pelanggan. Dalam hal ini faktor Tangible merupakan faktor yang paling dominan dalam faktor yang mempengaruhi kepuasan pelanggan pada J&T Express Surabaya.
IMPLEMENTASI TECHNOLOGY READINESS USAHA MIKRO KECIL MENENGAH DI ERA REVOLUSI INDUSTRI 4.0 (STUDI PADA KOMUNITAS PERHIMPUNAN MAKANAN MINUMAN KABUPATEN JOMBANG)
Authors: Rofiah Chusnul
Published: October 2020

Persepsi para pelaku UMKM di Kabupaten Jombang yang tergabung dalam komunitas Pengusaha Makanan dan Minuman (PERMAMIN) sangat positive tercermin dari penerapan teknologi yang mereka gunakan yang ditunjukan dengan peralihan alat produksi yang menggunakan mesin dengan kapasitas besar dan canggih, serta penggunaan media social sebagai alat promosi yang digunakan oleh para pelaku usaha tersebut, namun di balik hal positive tersebut menyisakan beberapa kendala, dengan adanya teknologi maka dibutuhkan modal yang besar, gampangnya para pesaing untuk meniru produk serta Sumber daya Manusia yang cakap dan terampil dalam mengaplikasikan teknologi tersebut
Management Analysis of Pharmacy Supplies at Bhayangkara Hospital Third Class Pekanbaru Pharmacy Installation in Riau Regional Police 2018
Authors: Wahyuni Vatri
Published: October 2020

Supplies are a number of materials or goods provided by the Hospital, both in the form of finished goods, raw materials, or all related items for the smooth running of the Hospital to meet patient requests. The aim of the study was to analyze the process of managing pharmaceutical supplies in the Pharmacy Installation of Bhayangkara TK III Pekanbaru Polda Riau Hospital. This type of research is a descriptive study with a qualitative method approach, carried out at Bhayangkara Hospital, Riau Regional Police with a total of 7 informants. This research was conducted by conducting in-depth interviews and field observations and document review, and data processing was done by data triangulation. From the results of the study it was found that the selection, planning, procurement, receipt, storage, distribution, control, deletion and administration of drug supplies in general has not gone well, but some obstacles experienced were in the selection of drugs determined by doctors, drugs often used by doctors drugs that are not available in the hospital or outside the formulary due to lack of human resources, preparation of drugs not in accordance with alphabet, found there is an error in distributing drugs to rooms, PJ Room that does not want to return drugs that are not used so that there is a buildup of drugs that expire in the room and not returned to the drug warehouse, there was no special team for drug management so that when the drug stock was lacking, the pharmacists bought it at a nearby pharmacy located near the hospital. For this reason, the management of pharmaceutical supplies is given more attention, especially in the field of pharmacy, in accordance with alphabets, drugs are always available and used by doctors, expired drugs are reduced every year and stock cards are filled every day
ANALISIS PELAKSANAAN KETEPATAN IDENTIFIKASI PASIEN BERDASARKAN STANDAR SASARAN KESELAMATAN PASIEN DI RUMAH SAKIT SURYA INSANI PASIR PENGARAIAN
Authors: Mawardi Ahmed , Asriwati Asriwati , Jamaluddin Jamaluddin
Published: October 2020

Identifikasi pasien merupakan salah satu sasaran keselamatan pasien di rumah sakit. Penelitian ini merupakan penelitian deskriptif kualitatif, bertujuan untuk menganalisis pelaksanaan ketepatan identifikasi pasien di Rumah Sakit Surya Insani. Pengumpulan data dilakukan dengan wawancara, observasi, dan telaah dokumen. Informan yang menjadi narasumber yaitu tim keselamatan pasien, manajer keperawatan, kepala ruangan, petugas pendaftaran, perawat, bidan, pasien dan pendamping pasien. Hasil penelitian menunjukkan bahwa pelaksanaan identifikasi pasien di Rumah Sakit Surya Insani sudah berjalan tetapi belum sesuai standar. Pengetahuan petugas kesehatan masih kurang; petugas tidak melakukan verifikasi data pasien; dan pasien tidak teredukasi dengan baik terkait pelaksanaan identifikasi pasien. Pelaksanaan identifikasi pasien tidak berjalan dengan baik karena karyawan yang sering berganti, kurangnya sosialisasi yang diberikan kepada petugas, kepatuhan petugas pada SPO masih kurang, dan tidak ada pelaporan pelaksanaan identifikasi pasien. Beberapa saran yang direkomendasikan dalam penelitian ini adalah rumah sakit perlu melakukan pengendalian dan pencegahan terhadap turnover intention karyawan; tim keselamatan pasien rumah sakit perlu melakukan sosialisasi prosedur identifikasi pasien; melakukan pencatatan dan pelaporan pelaksanaan ketepatan identifikasi pasien; dan perlunya menekankan tanggung jawab petugas dalam menjelaskan pentingnya identifikasi pasien dan kegunaan gelang identitas pada saat pemasangan gelang identitas.
Quantum Dots Ceramic Nano Membrane for Copper Mining Water Treatment, Turning Na2SO4 to NaOH and Pretreatment for Seawater Desalination
Authors: Wang Zhiqiang , Wang Tian Cheng
Published: October 2020

This paper reports on performance of ceramic nanofiltration membrane to treat copper mining water, waste salt recycling and purification of seawater. The ceramic filters have α-Al2O3 flat-sheet supporter, with sintered TiO2, Fe2O3, or ZrO2nanoparticles as membrane on the surface of supporter. The membrane has photoluminescence phenomenon when irradiating with UV lamp. It indicates that they are quantum dots material, whose sizes may be between 2-10nm. The Nanofilter can remove more 90% contaminants from copper mining water. It shows good functional stability in the corrosive mining water. It is also able to turn Na2SO4 to NaOH by adding Ca(OH)2. This provides a novel technology to reuse waste salt. The ceramic nanofilter can remove all suspended solid from seawater to ease the subsequent desalination of seawater with reserve osmosis membrane.
NiH-Catalyzed Asymmetric Hydroarylation of N-Acyl Enamines: Practical Access to Chiral Benzylamines
Authors: He Yuli , Song Huayue , Zhu Shaolin
Published: October 2020

The enantio- and regioselective reductive hydroarylation of N-acyl enamines has been achieved with a NiH catalyst and a chiral bis-imidazoline ligand. A broad range of structurally diverse, enantioenriched benzylamines, a moiety found in many pharmacologically active molecules, have been synthesized efficiently under mild, operationally simple reaction conditions.
Non-targeted tandem mass spectrometry enables the visualization of organic matter chemotype shifts in coastal seawater
Authors: Petras Daniel , Minich Jeremiah J. , Cancelada Lucia B. , Torres Ralph R. , Kunselman Emily , Wang Mingxun , White Margot E. , Allen Eric E. , Prather Kimberley A. , Aluwihare Lihini I. , Dorrestein Pieter C.
Published: October 2020

Urbanization along coastlines alters marine ecosystems including contributing molecules of anthropogenic origin to the coastal dissolved organic matter (DOM) pool. A broad assessment of the nature and extent of anthropogenic impacts on coastal ecosystems is urgently needed to inform regulatory guidelines and ecosystem management. Recently, non-targeted tandem mass spectrometry approaches are gaining momentum for the analysis of global organic matter chemotypes including a wide array of natural and anthropogenic compounds. In line with these efforts, we developed a non-targeted liquid chromatography tandem mass spectrometry workflow that utilizes advanced data analysis approaches such as feature-based molecular networking and repository-scale spectrum searches. This workflow allows the scalable comparison and mapping of seawater chemotypes from large-scale spatial surveys as well as molecular family level annotation of unknown compounds. As a case study, we visualized organic matter chemotype shifts in coastal environments in northern San Diego, USA, after significant rain fall in winter 2017/2018 and highlight potential anthropogenic impacts. The observed seawater chemotype shifted significantly after a major rain event. Molecular drivers of this shift could be attributed to multiple anthropogenic compounds, including pesticides (Imazapyr and Isoxaben), cleaning products (Benzyl-tetradecyl-dimethylammonium) and chemical additives (Hexa(methoxymethyl)melamine) and potential degradation products. By expanding the search of identified xenobiotics to other public tandem mass spectrometry datasets, we further contextualized their possible origin and show their importance in other ecosystems. The mass spectrometry and data analysis pipelines applied here offer a scalable framework for future molecular mapping and monitoring of marine ecosystems, which will contribute to a deliberate assessment of how chemical pollution impacts our oceans.
Problematic aspects of pulmonary hypertension due to left heart disease: focus on combined postcapillary and precapillary pulmonary hypertension
Authors: Aleevskaya A. M. , Vyborov O. N. , Gramovich V. V. , Martynyuk T. V.
Published: October 2020

Рulmonary hypertension (PH) is a common complication of left heart diseases. In addition to a passive increase of pressure in the venous bed of the pulmonary circulation, leading to an increase of mean pulmonary pressure, signs of precapillary PH could be detected in some patients. Since 2013, a hemodynamic subtype of PH due to left heart diseases combined post/precapillary PH has been identified, with a more unfavorable prognosis and high mortality.
Hypertrophic cardiomyopathy in elderly: causes, diagnostic and treatment approaches
Authors: Chumakova O. S.
Published: October 2020

Hypertrophic cardiomyopathy is the most common inherited heart disorder with high clinical heterogeneity. Every fifth patient is older than 60 years at first diagnosis. This review discusses the possible causes for the late onset of hypertrophic cardiomyopathy, the diagnostic and treatment approaches in the elderly.
Modulation of cardiac contractility in patients with chronic heart failure and atrial fibrillation
Authors: Uskach T. M. , Safiullina A. A. , Sapel’nikov O. V. , Amanatova V. A. , Nikolaeva O. A. , Grishin I. R. , Nazarov B. M. , Tereshchenko S. N.
Published: October 2020

Aim.to evaluate the effectiveness of cardiac contractility modulation (MSS) in patients with chronic heart failure (CHF) and atrial fibrillation (AF).
Materials and methods.The following studies were performed in 40 patients with CHF and AF before implantation of the MSS device and after 2 and 6 months of follow-up: 12-channel ECG, transthoracic EchoCG, 6-minute walk test, determination of the level of Pro-natriuretic N-terminal peptide (NT-proBNP), daily ECG monitoring, and a questionnaire based on the Minnesota quality of life questionnaire for patients with CHF (MHFLQ). All patients received long-term optimal drug therapy for CHF before surgery.
Results.The results obtained indicate a statistically significant positive effect of the use of MSS in patients with CHF and AF on LV FV, the functional class of CHF, and levels of NT-proBNP regardless of the etiology of CHF.
Conclusion.The use of MSS may be promising for the treatment of heart failure in patients with CHF and AF.