bluuebunny/crossref_metadata_2025 huggingface dataset:
A presença do acompanhante na urgência
Authors: Guarnieri Ana Carolina , Pio Danielle Abdel Massih
Published: September 2018

O paciente em situação de urgência enfrenta, além da dor física, o impacto emocional do adoecimento. Nesse contexto o paciente pode estar com um acompanhante, nem sempre bem acolhido pela instituição hospitalar. Este estudo teve por objetivo compreender o significado dado pelo paciente à presença do acompanhante na urgência e avaliar relações e práticas envolvidas neste cenário. Trata-se de uma pesquisa exploratória qualitativa realizada com doze pacientes de uma unidade de Pronto Socorro em um hospital escola. Para o tratamento das entrevistas utilizou-se o método da análise de conteúdo temática e referenciais teóricos de saúde pública, da Política Nacional de Humanização e da Psicologia Hospitalar. Os temas que emergiram possibilitaram discussão das dificuldades encontradas pelos usuários. Destaca-se o papel do acompanhante como fonte de suporte emocional, colocado pelo paciente como auxiliar na comunicação com a equipe. É enfatizada a importância do acolhimento ao paciente e acompanhante, porém conclui-se que ainda são muitos os desafios nos serviços de emergência, pela necessidade de adequação de sua estrutura para a assistência ocorrer de forma integral, resolutiva e humanizada.
A (in)visibilidade do direito sanitário na formação de profissionais da enfermagem e do direito
Authors: Dias Maria Socorro de Araújo , Gomes Diógenes Farias , Dias Thaís Araújo , Carneiro Neto Manoel De Castro , Coelho Brito Maria Da Conceição , Chagas da Silva Lielma Carla
Published: September 2018

Este artigo investiga o ensino do direito sanitário nos bacharelados em Enfermagem e em Direito. Construído numa interface exploratória, compreensiva, e documental, de natureza qualitativa, realizado no período de maio de 2015 a fevereiro de 2016. A coleta de informações pautou-se em duas unidades de análise, uma documental (Projetos Pedagógicos de Curso), e de docentes e discentes de Cursos Bacharelados de Direito e de Enfermagem de um estado do Nordeste brasileiro. Participaram 108 (57,2%) discentes e 81 (42,8%) docentes, que compreendeu um total de 189 participantes, para os quais foram enviados questionários online por meio do Survey Monkey. A análise do material coletado foi orientada pela Análise Temática. Os resultados identificados a partir dos Projetos Pedagógicos dos Cursos demonstram a incipiência na indução da formação para o campo do Direito Sanitário enquanto instrumento de operacionalização do direito à saúde, vinculada a escassas discussões que se dão, por vezes, em disciplinas/módulos optativos e direcionadas ao entendimento do direito à saúde. Resultado semelhante foi obtido com os docentes e discentes, no qual 100 participantes afirmaram a inexistência do ensino do direito sanitário e 89 que o direito sanitário é conteúdo associado há outras abordagens, não configurando uma disciplina específica, traduzindo uma inexpressividade do ensino daquele no estudo. Pondera-se que o ensino do direito sanitário nos cursos estudados evidencia que a formação em Enfermagem e Direito estão em descompasso com a tendência fenomenológica das situações jurídicas cada vez mais crescente na saúde.
Percepção dos profissionais da saúde sobre aspectos da gestão da informação no processo de planejamento do Sistema Único de Saúde.
Authors: Bergamini Vicentine Fernanda , Delatorre Thatiane , Laprega Milton Roberto , Braga Barros Ferreira Janise
Published: September 2018

O Sistema de Planejamento do Sistema Único de Saúde (PlanejaSUS) estabeleceu os instrumentos básicos do planejamento que têm por finalidade apoiar a gestão da saúde. Por sua vez, a construção desses instrumentos deve se basear em informações confiáveis. Para isso, a gestão da informação torna-se imprescindível, pois possibilita o desenvolvimento de ações oportunas e resolutivas. Este estudo teve como objetivo descrever e analisar a opinião de gestores e técnicos do setor saúde sobre a gestão da informação para o planejamento regional do SUS. Trata-se de uma pesquisa com abordagem qualitativa, na qual foram entrevistados 26 participantes, entre gestores e técnicos dos municípios e do estado que compõem o Departamento Regional Saúde XIII. Para análise dos dados, utilizou-se a vertente temática da Análise de Conteúdo. Encontrou-se certas limitações para o uso de informações, relacionadas à alimentação e ao uso dos sistemas de informação e à falta de compartilhamento de informações entre os responsáveis pelo planejamento. No entanto, o próprio processo de construção dos instrumentos de planejamento proporcionou o desenvolvimento de um olhar crítico sob a realidade locorregional. Conclui-se que os participantes reconheceram a importância da gestão da informação e de seus atributos, porém relataram inconsistências dos dados disponíveis. Nesse sentido, o PlanejaSUS pretendeu ser um sistema de informação para auxiliar na formalização da coleta, organização e disseminação da informação, colaborando com o melhor reconhecimento da realidade dos municípios, apesar das dificuldades para o seu uso no cotidiano da gestão.
Percursos de cuidado: pistas sobre itinerários terapêuticos em saúde mental
Authors: Souza Fabiola Ferreira de , Zambenedetti Gustavo
Published: September 2018

O objetivo deste trabalho é compreender como o conceito de itinerário terapêutico vem sendo utilizado no campo da saúde e, mais especificamente, na saúde mental. Foi realizada uma revisão de literatura, utilizando-se a base Scielo e Pepsic para a busca de artigos, sem restrição de ano de publicação. Foram encontrados 40 artigos abordando o itinerário terapêutico em diferentes campos da saúde, sendo 5 artigos relacionados ao campo da saúde mental. A utilização do itinerário terapêutico como conceito-ferramenta de pesquisa demonstra potencialidades, na medida em que considera a experiência das pessoas que passam pelo processo de adoecimento. Os estudos demonstram que é possível, através dos itinerários, localizar falhas e potencialidades das redes formais e informais de cuidado, bem como o atravessamento de aspectos culturais no processo de busca de terapêutica para um adoecimento/sofrimento. Apesar disso, é um conceito ainda pouco empregado em pesquisas em saúde mental, indicando um caminho profícuo para a realização de pesquisas.
Penerapan Model Pembelajaran Cooperative Learning untuk Meningkatkan Hasil Pembelajaran Pada Materi Microsoft Excel 2007 Mata Pelajaran TIK Kelas XI Semeseter 2 di Madrasah Aliyah SMIP 1946 Banjarmasin Tahun Pelajaran 2016/2017
Authors: Arief Karlianor
Published: September 2018

The problem is the low of student’s achievement. This study aims to determine the improvement of learning outcomes and student activities through STAD type cooperative learning model on the subject matter introduction of Microsoft Excel 2007 program subjects ICT students class XI semester. This research used Class Action Research method (PTK). This classroom action research is divided into three cycles, each cycle encompassing planning, action, observation, and reflection activities. The place of research is in Madrasah Aliyah SMIP 1946 Banjarmasin, which was held on January 13, 2016 until the date of March 10, 2017 semester Even academic year 2016/2017. The subjects of the study were the students of class XI IPS Madrasah Aliyah SMIP 1946 Banjarmasin on the subject of Communication Technology and Informasin (ICT). The result showed that learning with STAD type cooperative model can improve learning achievement and student activity on the subject matter of introduction of Microsoft Excel 2007 program of ICT Class XI semester 2. The improvement of this learning achievement can be seen in the first cycle with the percentage of complete students of 78.26%, cycle II with the percentage of students completed by 82.61%, and cycle III with the percentage of students who complete 95.65%. Student learning activity on cycle I with average amount 73,00%, cycle II with average amount 85,00% and in cycle III with average amount 92,00%.
Peningkatan Kompetensi Mata Pelajaran Matematika dengan Materi Pola Barisan dan Deret Menggunakan Model Discovery Learning Pada Siswa Kelas XI IIS 1 di MAN 1 Banjarmasin Tahun Pelajaran 2016/2017
Authors: Dewi Yusfita Kumala
Published: September 2018

Discovery learning is a teaching method that emphasizes the importance of helping students to understand the structure or key ideas of a discipline. The purpose of this study is to know the use of discovery learning method in improving students' competencies cognitive and affective aspects in understanding the material Pattern Barisan and Series in class XI IIS 1 MAN 1 Banjarmasin Year 2016/2017. The type of research is Classroom Action Research (PTK). Consisting of 2 Cycles that each cycle in this study was held for 3 meetings. The study was conducted in class XI IIS 1 MAN 1 Banjarmasin in January-April 2017 with a population of 35 students. Data analysis in this classroom action research is done through the first three stages of data reduction, the two describe the data and the three make a conclusion. The average value of the class has increased from 76.43 in the first cycle to 80.57 in postes cycle II. While the percentage of classical completeness rose by 67.24% in the first cycle to 85.71% in cycle II. The affective aspect is increased from cycle I to cycle II. In the first cycle of affective percentage of 71.43% categorized Enough whereas in cycle II there is not enough categorized and in cycle I good category of 28.57% rose to 100% categorized well on cycle II.
Peningkatan Kompetensi Guru dalam Pengembangan RPP Kurikulum 2013 Melalui Asistensi di MAN Pugaan Tahun 2016
Authors: Mairi Nana Mairi
Published: September 2018

Learning planning is incorporated into the Lesson Plans (RPP) or some other terms such as instructional design, learning scenarios. RPP contains KI, KD, indicators to be achieved, materials to be learned, learning steps, learning media, and learning resources and assessment. Problems that happened many teachers who have not understood and motivated in preparing the Curriculum Learning Implementation Plan 2013 completely. Most teachers did not received training in curriculum development in 2013. This research aims to improve teacher competence in preparing the Learning Implementation Plan through assistance in MAN Pugaan (KabupatenTabalong). Method used in this research is School Action Research that conducted through two cycles. Subjects are teachers of MAN Pugaan amounted to 27 teachers of civil servants and non-civil servants. The results is in cycle I the mean value of RPP component was 69% and in cycle II 83%. So, there was an increase of 14% from cycle I.
Penerapan Model Problem Based Learning terhadap Peningkatan Aktivitas dan Hasil Belajar Fisika Siswa Kelas X MIA 1 MAN 1 Banjarmasin pada Konsep Optik Geometri
Authors: Hasanuddin Hasanuddin
Published: September 2018

The aims of study are to determine the effect of Problem Based Learning model in an effort to improve students' physics learning outcomes on the subject of Pressure. The method used in this research is Classroom Action Research (Classroom Action Research). This study was conducted in MAN 1 Banjarmasin academic year 2016/2017. The subjects of the study were students of class X MIA 1 MAN 1 Banjarmasin as many as 26 students. The instrument used in this research is an objective test of multiple choice type with four options (option) used to find out the improvement of students' physics learning outcomes, observation sheet to know the process of learning in the classroom, and questionnaire to know the student response to the model of Problem Based Learning. From the results of this study can be concluded that the application of learning models based on problems can improve student physics learning outcomes class X MIA 1 MAN 1 Banjarmasin.
TINDAK PIDANA PENISTAAN AGAMA PERSPEKTIF HUKUM ISLAM DAN HUKUM POSITIF INDONESIA
Authors: Septiani Rina
Published: September 2018

Indonesia merupakan negara yang  memiliki lima agama yang diakui dan setiap agama memiliki tuntunan acuan serta aturan yang harus ditaati oleh setiap pemeluk agamanya, di dalam agama Islam terdapat beberapa pedoman yang harus ditaati yaitu Al-quran dan Hadits serta ijma ulama.Islam merupakan agama rahmatan lil alamin yang didalamnya mengatur bukan hanya mengenai ibadah dengan sang khalik (Hablumminallah) tapi juga diatur mengenai hubungan dengan sesama manusia (hablumminannas), hubungan antar sesama pemeluk agama Islam maupun dengan pemeluk agama lain. Ketika bersinggungan dengan agama lain tertutama mengenai ajaran agama.Islam memiliki aturan tertentu di dalam Al-quran yaitu lakum dinukum waliadin (untukmu agamamu dan untukku agamaku), berdasarkan hal tersebut maka terdapat aturan mengenai suatu perbuatan seseorang muslim yang pada awalnya sudah menyatakan beriman kepada ajaran Allah SWT dan Rasul Nya, serta taat kepada perintah dan menjauhkan laranganNya, setelah itu dia keluar dari Agama Islam kepada kekafiran baik dengan niat, perbuatan dan ucapan yang menyebabkan kekafiran maka  hal tersebut didalam islam dinamakan dengan riddah.
Usia Anak dan Remaja Dalam Perbuatan Perdata dan Pidana Menurut Hukum Islam dan Hukum Positif
Authors: Nurwahidah Nurwahidah
Published: September 2018

Abstract: This paper describes the actions of civil and criminal committed by children or adolescents under the age of 18 years. The issues discussed are how the theories of Islamic Law and Positive Law about the punishment imposed on children or adolescents who commit a civil or criminal act containing legal consequences, and how the views of Islamic Law and Positive Law against some civil and criminal cases involving children or adolescents as the culprit. Based on the results of the study can be concluded, when children or adolescents do civil acts, especially underage marriages in two cases studied, then according to Islamic law the law is valid if it meets harmonious and conditions and age men or women have baligh. But according to the Positive Law the marriage is unlawful if the age of one or both partners is under 16 years for women and 19 years for men. When a child or teenager commits a criminal offense, in four cases examined, according to Islamic Law may be subject to the punishment of ta'zir, and according to the Positive Law shall be punished with minus one third of the principal verdict or returned to the parent or fostered in a government-private.Keywords: child, civil, criminal            Abstrak: Tulisan ini memaparkan tentang perbuatan perdata dan pidana yang dilakukan oleh anak atau remaja yang berusia di bawah 18 tahun. Permasalahan yang dibahas adalah bagaimana teori Hukum Islam dan Hukum Positif tentang hukuman yang dijatuhkan kepada anak atau remaja yang melakukan sesuatu perbuatan perdata atau pidana yang mengandung konsekuensi hukum, dan bagaimana pandangan Hukum Islam dan Hukum Positif terhadap beberapa kasus perdata dan pidana yang melibatkan anak atau remaja sebagai pelakunya. Berdasarkan hasil kajian dapat disimpulkan, ketika anak atau remaja melakukan perbuatan perdata, khususnya perkawinan di bawah umur pada dua kasus yang dikaji, maka menurut Hukum Islam hukumnya sah jika sudah memenuhi rukun dan syaratnya dan usia pria atau wanitanya sudah baligh. Namun menurut Hukum Positif perkawinan tersebut melanggar hukum jika usia salah satu atau kedua pasangan di bawah 16 tahun bagi wanita dan 19 tahun bagi pria. Ketika anak atau remaja melakukan perbuatan pidana, dalam empat kasus yang dikaji, maka menurut Hukum Islam dapat dikenakan hukuman ta’zir, dan menurut Hukum Positif dikenakan hukuman dengan dikurangi sepertiga dari vonis pokoknya atau dikembalikan kepada orang tua atau dibina di suatu lembaga milik pemerintah atau swasta.Kata kunci: anak, perdata, pidana
FIKIH BAGI PEMULA (Studi Strategi Pembelajaran Kitab Fikih Melayu Rasam Parukunan)
Authors: Syairazi Abdul Hafiz
Published: September 2018

Fikih memuat hal yang cukup banyak diingat ketika akan dipraktikkan. Hal ini bisa menyulitkan bagi seseorang yang baru belajar fikih. Misalnya ketika akan salat, minimal ia harus mengetahui dan mengingat syarat sah salat, rukun salat dan hal-hal yang membatalkan salat. Kalau tiga hal tersebut tidak ia ketahui dan tidak ia ingat ketika salat, maka bisa jadi salatnya tidak sah karena lalai salah satunya. Untuk itu perlu suatu strategi dalam pembelajaran fikih agar orang yang baru belajar dapat mengingat tigal hal dengan mudah. Kitab Rasam Parukunan yang beraksara Arab dan berbahasa Melayu ini memberikan solusi terhadap problematika di atas. Kontribusi ini sangat penting untuk dikaji, karena strategi ini terbilang langka pada kitab-kitab sejenis, termasuk dalam kitab-kitab klasik sekalipun. Rasam Parukunan disusun oleh Abdurrahman bin Muhammad Ali dari Amuntai, Kalimantan Selatan. Strategi yang beliau terapkan dalam kitab tersebut adalah dengan pembahasan yang ringkas, pemberian garis pada tema dan/atau subtema, pembuatan akronim, dan pembuatan skema.
Synthesis and characterization of Ti-/Zr-diphenylpropanedione complexes and their application in the ring opening polymerization of Ɛ-caprolactone
Authors: GÖKALP Yagmur , KAYAN Asgar
Published: September 2018

The purpose has been to achieve a controlled ring-opening polymerization of ɛ-caprolactone, resulting in polymers with desirable properties such as high molecular weight, low polydispersity index, and highly regio-/stereo regular forms. Therefore, it is important to synthesize single site or reduced number of active site metal alkoxide compounds as catalysts. Ti(IV)/Zr(IV) diphenylpropanedione complexes were synthesized by reactions of titanium or zirconium alkoxides with diphenylpropanedione (dion)  ligand. The obtained complexes were characterized by nuclear magnetic resonance (1H-, 13C-NMR), high resolution mass (HRMS), Fourier transform infrared (FTIR) spectroscopies and elemental analysis. These compounds were tested as catalysts for the ring opening polymerization of Ɛ-caprolactone. The structure of poly-caprolactone (PCL) was analyzed by some spectroscopic techniques (NMR, FTIR) and gel permeation chromatography (GPC). In this work, all Ti-/Zr-complexes were effective over polymerization of Ɛ-caprolactone in solventless environment. Consequently, Ɛ-caprolactone polymers were obtained different average molecular weights between 7000-34000 Da with the PDI values of 1.14-1.60.
Minimização de Capacitância em Luminárias à Led Baseada na Conexão Otimizada de Conversores Estáticos
Authors: Camponogara Douglas , Vargas Diogo Ribeiro , Costa Marco Antônio Dalla , Campos Alexandre , Marchesan Tiago Bandeira , Alonso José Marcos
Published: September 2018

Este artigo apresenta uma estrutura de conversor estático, utilizando processamento parcial de energia, para minimizar capacitâncias em luminárias à base de LEDs aplicadas na iluminação pública, onde potências maiores que 70 W geralmente são requisitadas. A estrutura da topologia é baseada em dois conversores, conectados de maneira que o segundo conversor processe apenas uma pequena parcela da potência total enviada à carga. Além disso, com o intuito de diminuir a capacitância do primeiro estágio, uma estratégia de controle é utilizada com o objetivo de compensar ativamente essa ondulação. Os conversores utilizados, a modelagem matemática e a estrutura do controle são mostrados em detalhes. Um protótipo foi montado, com 75 W de potência para 220 Vrms de tensão de entrada, a fim de demonstrar a funcionalidade da ideia e suas principais características.
Microinversor Integrado ao Módulo Fotovoltaico para Sistemas Conectados à Rede Elétrica utilizando Controlador Ressonante
Authors: Gazoli J. R. , Villalva M. G. , Brandão D. I. , Marafão F. P. , Ruppert E.
Published: September 2018

Este artigo apresenta a modelagem e o controle de um microinversor monofásico em ponte completa com transformador de alta frequência que pode ser utilizado como parte de um inversor de dois estágios de conversão sem transformador no estágio CC-CC, ou como um inversor de estágio unitário (simples conversor CC-CA) para conexão de sistemas fotovoltaicos à rede elétrica. O inversor é modelado com o objetivo de se obter a função de transferência de pequenos sinais utilizada no projeto do controlador de corrente proporcional-ressonante (P+Res). O microinversor proposto tem um conversor CC-CC em ponte completa com um transformador elevador de alta frequência e uma célula inversora CC-CA de baixa frequência. Esta topologia permite reduzir o nível de tensão sobre os semicondutores do conversor CC-CC e melhorar a eficiência do sistema, uma vez que o estágio CC-CA comuta na frequência da rede. Resultados de simulação e de testes experimentais com um protótipo de 200 W são apresentados.
Sistema de Iluminação Pública para Alimentar Leds sem Consumo de Energia Durante o Horário de Ponta Empregando Conversores Integrados
Authors: Pinto Rafael A. , Roncalio João G. , Cosetin Marcelo R. , Marchesan Tiago B. , Costa Marco A. Dalla , Alonso J. Marcos , Do Prado Ricardo N.
Published: September 2018

Este artigo apresenta duas topologias para um sistema de iluminação pública com alto fator de potência baseado em diodos emissores de luz (LEDs). O diferencial deste trabalho está na possibilidade de alimentar os LEDs por baterias durante o horário de ponta. O horário de ponta é considerado um período no qual a demanda de energia da rede é máxima e, portanto, a geração de energia e as linhas de transmissão devem ser capazes de atender essa demanda. Neste trabalho, um conversor flyback com duas saídas é utilizado para alimentar os LEDs pela rede e ainda realizar a carga da bateria. Uma topologia utiliza um enrolamento auxiliar para alimentar os LEDs pela bateria enquanto a outra utiliza o mesmo enrolamento primário para alimentar os LEDs pela bateria ou pela rede. Além disso, um conversor buck é utilizado para o estágio de correção de fator de potência (PFC). A integração desses conversores é realizada com o objetivo de reduzir o número de componentes, o custo e consequentemente o volume do circuito. O circuito foi implementado e os resultados experimentais são mostrados a fim de comprovar a metodologia de projeto e comparar ambas as topologias.
Structures of Single-stage and High Power Factor Electronic Ballasts Integrating the Boost and Ballast Inductors
Authors: Nascimento Claudinor B. , Martins Marcos A. I. , Kaster Mauricio S. , Perin Arnaldo J.
Published: September 2018

This paper presents a new family of high power factor for electronic ballasts applied to fluorescent lamps. From the proposed structures, two topologies are presented without the ballast inductor, because the boost inductor, in addition to performing power factor correction, also has the function of limiting and stabilizing the lamp current, besides making it to start. The main characteristics of these topologies are the reduction in the production costs owing to fewer components, the low harmonic distortion in the input current, the lower current in the switches, and the lower DC bus voltage. To verify the proposed design methodology and to provide the condition of unity power factor and stabilization of the lamp current, the experimental results of one prototype is presented.
Reator Eletrônico Auto-oscilante com Tensão de Entrada Universal e Correção de Fator de Potência
Authors: Lopes Juliano de P. , Menke Maikel F. , Venturini William A. , Bisogno Fábio E. , Seidel Álysson R.
Published: September 2018

Neste trabalho é apresentado um reator eletrônico auto-oscilante com tensão de entrada universal (100 Vrms – 240 Vrms) e correção de fator de potência para alimentar lâmpadas fluorescentes. O estágio de correção de fator de potência consiste de um conversor sepic operando no modo de condução descontínua de corrente e a alimentação da lâmpada é realizada por um inversor meia-ponte com filtro ressonante LCC. A utilização do circuito de comando auto-oscilante nos estágios de correção de fator de potência e inversor, com o acréscimo de um circuito auxiliar que atua na razão cíclica do conversor sepic, permite que o reator eletrônico seja alimentado com tensão de entrada universal. Equações de projeto e resultados experimentais são apresentados para validar o funcionamento do reator eletrônico proposto.
A Led Street Lighting System Supplied By Mains Or Battery With An Integrated Control And Monitoring Network
Authors: Barriquello Carlos H. , Denardin Gustavo W. , Pinto Rafael A. , Bolzan Priscila E. , Campos Alexandre , Do Prado Ricardo N.
Published: September 2018

This paper presents a LED street lighting system designed for applications where it is important to remove the lighting energy consumption from the mains during the Peak Load Time (PLT) or to implement a street lighting system capable of maintaining the lighting during mains fault. The proposed system consists of only one flyback converter capable to supply the LEDs by mains or by battery and a control network. A design methodology of the proposed system is presented aiming high power factor, so that the same converter can be used in the power factor correction stage. Such converter is also used to recharge the battery. The complete circuit was implemented and experimental results are shown in order to validate the design methodology, which complies with the IEC 61000-3-2 standard. The control network enables disconnection of the street lighting system from the mains during peak load time, reducing its impact in the distributed power system automatically at overload conditions. It also allows to reduce the power consumption, decrease the management cost and monitor the status information of each street lighting unit. In order to meet the system requirements, a wireless sensor network is employed. Field tests have been performed on IEEE 802.15.4-compliant wireless control units. The obtained experimental results show that the proposed distributed control network is able to meet the requirements of a LED street lighting system.
Evaluation of bone mineral density as an indicator of possible osteoporosis in patients with rib fracture
Authors: YILDIRAN Hüseyin
Published: September 2018

Aim: The
most common pathology after thoracic trauma is rib fracture. In this study, it
was aimed to determine whether there is a correlation between characteristics
of fractures and bone mineral densities of patients treated with rib fracture
after trauma. Material and Methods: All
patients were classified into the following two categories: i) Major trauma
(traffic accident, stomping, and fall from height) and minor trauma (falls on a
single level, after coughing, and after chopping wood); ii) Patients were also
divided into two groups, single rib fracture and multiple rib fractures. In all
patients, bone Hounsfield Unit (HU) measurements of L1, L2, and L3 corpuscles
entering the thoracic tomography crosssections were performed and their average
was recorded. The results were statistically analyzed using the t-test. Results: Of
the 23 patients included in the study (4 women, 19 men), all were over 18 years
of age and the mean age was 52.1 (32-89) years. There were 12 patients with
major trauma, 11 patients with minor trauma. There were only one rib fracture
in 7 patients and multiple rib fractures in 16 patients. The mean bone density
of all patients was 177.82.

Conclusion: The
detection of significantly lower densities in a single rib fracture suggests
that an injury that may not cause fracture in normal bone densities is likely
to cause a single rib fracture in these patients. Patients whose bone mineral
density average was lower than 160 were more likely to have rib fractures with
minor trauma.
ISTIHDAAMU MUSYAGHILAAT AL WASAITH 3 (MP3) LITANMIYATI MAHAARAH AL ISTIMA’
Authors: Rifqi Abqoriya
Published: September 2018

We desperately need a good hearing in this life, because if we have a hearing disorder or just a little hearing loss then we will have difficulty in communicating with others. Many language teachers, especially Arabic, ignore the skill of listening lesson.With this research, can be known how far the effectiveness of MP3 usage in learning listening skills of Arabic language, to distinguish the sound of that language. By using the media players 3 (MP3), the researcher can carry out learning listening skill with a nice and fun with the evidence of the students who are more enthusiastic when following the lesson. This medium can only be effective for advanced students with 6% increase in outcomes, but for notice students who have the ability to think slowly it will be ineffective, as evidenced by a decline in value of -6,5%. It is due to the lack of students ability to listen to the voice of native speakers who tend to be fast, and also the dialect used by native speakers is different from the dialect they use every day.
BENTUK INTERFERENSI SINTAKSIS BAHASA INDONESIA DALAM BERBAHASA ARAB
Authors: Rahmawati Ana
Published: September 2018

Interferensi sering terjadi pada pembelajar bahasa asing karena adanya dominasi gramatikal bahasa pertama pada diri pembelajar ketika mereduksi makna ke dalam bahasa target atau bahasa kedua. Interferensi dapat diidentifikasi dengan dua pendekatan, yaitu; analisis kontrastif dan analisis kesalahan berbahasa. Tujuan dari hasil studi dan analisis yang telah dilakukan, untuk mengetahui beberapa struktur bahasa Indonesia sebagai bahasa pertama yang masuk dan mendominasi dalam struktur bahasa arab. Hal ini tampak jelas pada beberapa kesalahan yang dilakukan oleh pembelajar bahasa dalam berbahasa Arab dalam ragam bahasa tulis  (insya’) ataupun lisan (mukhadatsah), dan kesalahan tersebut ditemukan pada beberapa pola dan struktur kalimat dalam mengungkapkan sebuah makna (ta’bir) atau makna yang diungkapkan oleh pembelajar dengan bahasa yang digunakannya.Terdapat beberapa unsur sintaksis bahasa Indonesia (L1) yang mendominasi dalam pola struktur bahasa Arab pada ragam bahasa tulis ataupun lisan yang digunakan oleh pembelajar bahasa Arab (L2), dan dominasi bahasa pertama tampak jelas dan ditemukan pada beberapa kesalahan pada bahasa kedua, diantaranya yaitu; 1) Pola kalimat P+O+S dengan kata kerja transitif. 2) Pola kalimat P+S+O dengan kata kerja transitif. 3) Pola kalimat D + M dengan menggunakan kata tugas (Jar). 4) Subjek dengan menggunakan an + Fi’il mudhorik. 5) Kalimat pola D + M dengan variasi Kaana wa akhowatuha. 6) Penggunaan kata sifat (tarkib bayani). 7) Penggunaan sifat berbentuk kalimat. 8) Penggunaan penghubung antar kata. 9) Penggunaan bilangan dalam kalimat. Kata kunci: interferensi bahasa, sintaksis, bahasa Arab, metode deskriptif kualitatif.
Implementing Standardized Feeding Guidelines, Challenges, and Results
Authors: Olsen Steven L. , Park Nesha D. , Tracy Kelly , Younger Darian , Anderson Betsi
Published: September 2018

Purpose

The purpose of this article was to develop standardized nutritional guidelines that would promote increased growth velocity (GV) in premature infants.

Design

Evidence-based standardized nutritional guidelines were developed. Guidelines included total parenteral nutrition advancement; enteral feeding advancement; and a bedside nurse gastric residual management algorithm. Staff education was given. Guideline compliance was measured. Nutritional intake and daily weights were recorded.

Sample

Infants of birth weight <1,500 grams who were admitted to the NICU before day of life four.

Main Outcome Variable

Increase in GV from 12 to 15 g/kg/d.

Results

Growth velocity was unchanged. Compliance to the nutritional guidelines was 70 percent. No difference was seen in length of stay. Rate of necrotizing enterocolitis was decreased.
Real Awareness in the NICU and Through the Lifespan
Authors: Discenza Deborah
Published: September 2018

Awareness of prematurity goes well beyond the birth and the NICU stay. It is a life span matter, one that the neonatal field needs to re-think in terms of helping better the outcomes in babies. Deb Discenza tells the all-too-real scenario of her daughter’s fate and how that is driving her passion of advocating for preemies and their families to a whole new level.
Gestational Alloimmune Liver Disease: A Case Study
Authors: Kasko Oksana , Klose Erica , Rama Ganapathy , Newberry Desi , Jnah Amy
Published: September 2018

Gestational alloimmune liver disease (GALD) is initiated by maternal antibodies that attack fetal hepatocytes. The fetal immune response to the antibodies causes liver damage. The incidence of GALD is four per 100,000 live births in the United States. Frequently, liver injury leads to fetal loss or neonatal demise; nonetheless, the presentation of GALD has a wide range of severity. Survival rates have increased from 20 to 80 percent changes in treatment and understanding of GALD. Current treatment is focused on supportive care with intravenous immunoglobulin (IVIG) and exchange transfusions. Mortality risk is positively associated with the timing of diagnosis. Although there has been an increase in understanding this disease, the discovery of the specific alloantigen is still needed. Relevant embryology, pathophysiology, clinical manifestations, diagnosis, medical treatment, and prognosis are discussed to aid health care professionals in the early identification and treatment for the neonate and family unit.
Atrioventricular Canal and Dextrocardia: A Case Report with Implications for Community-Based Providers
Authors: Clevenger Lisa , Jnah Amy , Newberry Desi , Heling Andrew
Published: September 2018

Congenital heart defects (CHD) are the most common congenital malformation reported in the literature, with a global incidence of eight per every 1,000 live births. In the United States approximately 40,000 infants are born each year with a CHD. Of the infants diagnosed with a CHD, one in every four heart defects are life threatening in origin. Early identification and treatment of congenital heart lesions, beginning with a comprehensive physical assessment after birth, are critical. For infants delivered at community-based hospitals, the importance of the physical assessment, timing of diagnostic strategies, anticipatory planning, and interprofessional collaboration among referring and accepting centers cannot be understated. This article presents a rare case of an infant with atrioventricular canal complicated by dextrocardia. Embryology, pathophysiology, epidemiology, symptomology, cardiac assessment, diagnostics, treatment, and nursing strategies for facilitating transfer of care from community-based hospitals to tertiary medical centers are discussed.
Adopting Braden Q in the NICU to Identify Neonates at Risk of Developing Pressure Injuries
Authors: Wacek Michelle , Ecklund Margaret
Published: September 2018

There are numerous factors placing neonates at increased risk of developing pressure injuries while hospitalized. Prevention of hospital-acquired pressure injuries in this vulnerable patient population requires early risk identification. Unfortunately, identifying neonates who are at risk of developing pressure injuries is complicated because of the lack of pressure injury risk assessment tools validated for use in neonates. The Braden Q risk assessment scale was adopted by two NICUs within a health care system to aid in identifying neonates at risk of developing a pressure injury. Additionally, the electronic health record was adapted to assist nurses in implementation of appropriate interventions to prevent pressure injuries based on Braden Q subscores.
Life Events and Portfolio Rebalancing of the Family Home
Authors: West Tracey , Worthington Andrew C.
Published: September 2018

This article investigates the impacts of financial shocks on the role of the family home in asset portfolios of Australian households using longitudinal data from the Household, Income, and Labour Dynamics in Australia (HILDA) survey. The life events considered are serious illness or injury, death of a spouse, fired or made redundant, and separation from a spouse. We use a static and dynamic Tobit models to assess the impact and duration of the life events on the portfolio share of the family home. The insights gained from this study may be important for financial planners, as adverse wealth outcomes may be hedged through better financial education, insurance products, or general financial preparedness.
The Financial Counseling Industry: Past, Present, and Policy Recommendations
Authors: Lander David
Published: September 2018

Financial counseling plays an important role for low- and moderate-income Americans and deserves more attention from leaders in the field. As financial counseling has evolved, the providers have been challenged to find a model that is both borrower centered and sustainable. This article provides a diagnosis of the failures and challenges in the financial counseling field, as well as a discussion of steps through which the providers could optimally serve families in need. These steps include (a) enhanced funding of the industry as a result of a recognition by financial stakeholders that it would be beneficial for them if the counseling industry was markedly improved; (b) stronger training for counselors; (c) implementation of enhanced measurement tools so that both funders and consumer borrowers could choose their providers from an informed position; and (d) assertion of leadership by consumer advocates and the Consumer Financial Products Bureau in improving this industry.
Financial Status and Body Mass Index of Middle-Aged and Older Men and Women
Authors: Lee Yoon G.
Published: September 2018

Using data from the 2014 Health and Retirement Study (HRS), this study examined the association of financial status and body weight for retirement-aged men and women. The descriptive results show that more men (80.3%) were overweight or obese than women (77%). However, the prevalence of obesity was higher for women (46.3%) than men (39.2%), and obese women had significantly lower levels of income and net worth than those of normal weight and overweight women. The multivariate results indicate that poor financial status was significantly associated with high body mass index (BMI) for both men and women; however, poor health conditions played an even more important role than financial status in determining high BMI for men and women aged 51–64.
Self-Reported Health Status and Medical Debt
Authors: Richard Patrick , Patel Nilam , Lu Yuan-Chiao , Alexandre Pierre
Published: September 2018

This paper examines the relationship between self-reported health status and medical debt outcomes using data from the 2013 Panel Study of Income Dynamics. There were two outcomes of interest: (a) the likelihood of having any medical debt, which included 4,227 households and (b) the amount of medical debt (medical debt > 0), which included 631 households. The results from the multivariate models showed that fair/poor health status increased the likelihood of having any medical debt by 73% and was associated with an increase in the amount of medical debt among those with medical debt by about 77% (p < .001) compared to those who reported better health. Poor health status appears to impose a financial burden on some households.
Associations of Health and Financial Resources With Stress: Applying the Theory of Conservation of Resources
Authors: Tibbetts Racquel Heath , Lutter Sonya B.
Published: September 2018

Health and financial resources are two important resources when individuals experience stress. The conservation of resources (COR) theory was used to view how health and financial resources relate to stress. The purpose of this study was to test how the perceived accumulation and loss of financial and health resources influences general life stress and financial stress. Participants were recruited through Facebook and LinkedIn pages of the primary investigator and paper flyers posted in the breakroom of a New England financial institution. Additional participants were purchased through Qualtrics, a research panel provider, in order to increase the sample size. The sample consisted of individuals between the ages of 19 and 65 years. The data analysis explored the association between financial stress, general life stress, resources, and several demographic variables using the Statistical Analysis Software (SAS) program. Respondents were primarily White, female, and averaged less than two dependents. Annual household income ranged between $50,000 and $100,000. Results indicate that health resources, along with being White, make significant contributions to the variance in general life stress. Financial resources, success resources, being White, and level of household income make significant contributions to the variance in financial stress.
Right on Time—Quinn’s Birth
Authors: Cutler Kacy
Published: September 2018

In this column, Kacy shares the birth story of her daughter, Quinn. Through using comfort measures for labor that she learned in her exposure to Lamaze Childbirth Educators and Doulas, and by listening to her intuition, Kacy was able to have the hospital birth she desired.
Cognitive Breastfeeding Counseling: A Single Session Helps Improve LATCH Score
Authors: Sreekumar Kavita , D’Lima Annely , Silveira M. P. , Gaonkar Riddhima
Published: September 2018

Antenatal counseling improves the rate of exclusive breastfeeding. But routine antenatal counseling may not be effective in achieving this. Cognitive behavioral therapy derived techniques may be more useful in improving breastfeeding outcomes. We did this study to test the effectiveness of a single session of cognitive counseling compared to routine counseling in the third trimester for improving LATCH score. Fifty mother–baby dyads were enrolled. Twenty-six mothers underwent cognitive counseling and 24 mothers underwent routine counseling. After birth, the LATCH scores were assessed within the first 24 hours in the newborn. A single session of cognitive breastfeeding counseling in the third trimester is effective in significantly improving the LATCH scores in the immediate newborn period.
Traumatic Childbirth and Its Aftermath: Is There Anything Positive?
Authors: Beck Cheryl Tatano , Watson Sue , Gable Robert K.
Published: September 2018

Up to 45% of new mothers have reported experiencing birth trauma. For some individuals who have experienced a traumatic event, there can be a positive legacy called posttraumatic growth. Using Tedeschi and Calhoun’s Posttraumatic Growth Model as the theoretical framework, the purpose of this pilot study was to determine levels of posttraumatic stress, core beliefs disruption, and posttraumatic growth in women who have experienced traumatic childbirth. Thirty mothers completed the Posttraumatic Stress Disorder Symptom Scale-Self Report, Core Beliefs Inventory, and Posttraumatic Growth Inventory. Type of birth and length of time since the traumatic birth occurred predicted 38% of the variance in posttraumatic growth. In order to help mothers, childbirth educators need to understand the process involved in posttraumatic growth.
Validating the Functional, Communicative, and Critical Health Literacy Scale Using Rasch Modeling and Confirmatory Factor Analysis
Authors: Finbråten Hanne Søberg , Guttersrud Øystein , Nordström Gun , Pettersen Kjell Sverre , Trollvik Anne , Wilde-Larsson Bodil
Published: September 2018

Background and Purpose:

The functional, communicative, and critical health literacy (FCCHL) scale is widely used for assessing health literacy (HL) in people with chronic diseases, such as type 2 diabetes (T2DM). Despite related subscales, researchers continue to apply a consecutive modeling approach, treating the three subscales as independent. This article studies the psychometric characteristics of the FCCHL by applying multidimensional modeling approaches.

Methods:

Rasch modeling and confirmatory factor analyses were applied to responses (paper-and-pencil) from 386 adults with T2DM.

Results:

Using a six-point rating scale and a three-dimensional Rasch model, this study found that a 12-item version of the FCCHL reduced within-item bias and improved subscale reliability indexes.

Conclusion:

This study suggests a parsimonious 12-item version of the FCCHL. The data fit a three-dimensional Rasch model best.
RETRACTED: Persian Version of VEINES-QOL/Sym Questionnaire in Iranian Patients With Deep Venous Thrombosis: Cross-Cultural Adaptation and Psychometric Properties
Authors: Goudarzian Amir Hossein , Jafarpour Hamed , Tajik Pantea , Taebi Mozhgan , Shafizad Misagh , Gorji Alimorad Heidari , Hatkehlouei Mahdi Babaei , Yazdani Pooneh , Heidari-Soureshjani Reza
Published: September 2018

RETRACTION NOTICE

Retraction notice for this article available at

Background and Purpose:

The present study was done to assess the cultural adaption and psychometric properties of Persian version of VEINES-QOL/Sym questionnaire in Iranian patients with deep venous thrombosis (DVT).

Methods:

This cross-cultural psychometrics study was conducted in 2016. About 270 DVT patients completed a Persian version of the VEINES-QOL/Sym questionnaire. The face, content, and construct validity were assessed. Internal consistency, test–retest, and construct reliability (CR) were used to assess reliability.

Results:

Three-factor solution was extracted that explaining 71.373% of the total variance. Goodness-of-fit indices (GFI; χ2(68) =332.037, p < .05, χ2/df = 4.882, GFI = .862, CFI = .928, NFI = .914, IFI = .928, RMSEA (90% confidence interval) =.091 [.081, .110]) in the final VEINES-QOL/Sym questionnaire structure demonstrated the adequacy of the three-domain structure. The reliability was greater than .70.

Conclusions:

The VEINES-QOL/Sym questionnaire was found to be a valid and reliable assessment tool for quality of life in Iranian patients with DVT.
Building Transformative Global Nursing Partnerships
Authors: Upvall Michele J.
Published: September 2018

Background and Purpose:

Global nursing is a relatively new term identifying nurses contributing to global health. While personally and professionally rewarding, global health projects present unique challenges to global nurses that impact partnerships. The aim of this article was to describe the role of global nursing, and focus on relational–cultural theory as the foundation of transformative partnerships.

Methods:

This article is based upon a review of literature related to global health and relational inquiry. Peer-reviewed papers and research articles published within the past 10 years were used to support this discussion. Publications considered to be classics in the field of relationship inquiry were also utilized.

Results:

Global nursing is a relatively recent conceptualization in describing the role of nursing. Global nursing practice based upon relational–cultural theory and mediated by cultural humility provides a strong foundation for the development of transformative global nursing partnerships.

Implications for Practice:

This article provides a theoretical foundation for global nurses practicing in local and global contexts with diverse populations. Nursing partnerships in both local and global contexts can be challenging to initiate and manage, but global nurses are responsible for creating partnerships which are ethically sound, based on theory, and transformative in nature. Cultural humility plays a central role in the ongoing process of disconnecting and re-connecting for transformational partnerships with individuals, communities, and other health-care providers.