bluuebunny/crossref_metadata_2025 huggingface dataset:
Interrelated Processes toward Quality of Life in Survivors of Childhood Cancer: A Grounded Theory
Authors: Tsonis Miranda , McDougall Janette , Mandich Angela , Irwin Jennifer
Published: March 2021

Past research has not adequately addressed the quality of life (QOL) of survivors of childhood cancer. The purpose of this study was to understand how QOL is experienced for individuals who have survived childhood cancer. Specific research questions included: (a) How do childhood cancer survivors define the concept of QOL and (b) What processes do childhood cancer survivors go through regarding their QOL? Researchers used grounded theory to analyze in-depth interviews conducted with eight survivors. Survivors use a process of specific action strategies and intervening conditions to manage impacts and effects, resulting in life enjoyment, or good QOL. The identification of this process has led to an emergent theory titled Interrelated Processes toward Quality of Life Theory.
Understanding the Culture of Ahiska Turks in Wheaton, Illinois: A Case Study
Authors: Avci Omer
Published: March 2021

This study focuses on the cultural characteristics of Ahiska Turks in Wheaton, Illinois in the United States. By trying to understand the culture of the participants, I sought to shed light on how the Ahiska Turks managed to cope with the hardship they experienced and yet preserved their ethnic identities. In this multicase study, I interviewed six male Ahiska Turks. As a result of my analyses, eight themes emerged: family, religion (i.e., Islam), language (i.e., Turkish), communal life, endogamy, authoritarianism, oppression against the preservation of culture and identity, and education for upward mobility. The Ahiska Turks’ agrarian way of life, the preservation of their language, and their preference of integration to the larger society for acculturation make them who they are today.
Methodological Precision in Qualitative Research: Slavish Adherence or “Following the Yellow Brick Road?”
Authors: Cutcliffe John , Harder Henry
Published: March 2021

Qualitative research has withstood many challenges on its way to becoming a credible research paradigm, though it remains the case that the paradigm contains ongoing methodological debates. One such debate is, for want of a better expression, the necessity for methodological precision (fundamentalism or purity). While it is accurate that research methodologies are somewhat fluid in that they are refined over time, it is equally correct that some researchers fall into a trap in claiming such fluidity is the reason for their imprecise use of a research methodology. Given that scientific knowledge is inextricably linked to the practice of method (at the very least for those who subscribe to positivist, post-positivist and to some extent modernist views) and that method is prefaced and underpinned by methodology, if methodological slippage has occurred and there is resultant incongruity between methodology and method, then an argument can be made that the study is not a scientific study and consequently cannot make the claim that it has produced scientific knowledge. Even allowing for some movement from the abstract, idealization of a given methodology into the “real world” application of the method, it is essential to note that variation in or movement away from a method’s underpinning methodology and epistemological stances can and does occur in well-designed studies; but if such movement occurs purposefully and/or has an robust rationale, grounded in the method’s original methodology.
Critical Ethnography: A Useful Methodology in Conducting Health Research in Different Resource Settings
Authors: Oladele Dunsi , Richter Solina , Clark Alexander , Laing Lory
Published: March 2021

Over the years, many policies have been implemented across nations to prevent, reduce and tighten enforcement on smoking and tobacco use. However, despite all of the major initiatives, smoking related deaths and diseases still remain high and present a major challenge for many nations of the world. In this paper we argue that conducting a critical ethnography study in different settings, as this research sets out to do (in Nigeria) is a first step to understanding the tobacco control policies that will work effectively in different resource settings. As the act of smoking becomes global, it is beneficial to study the effect of specific methods, methodology and policies in addressing smoking in the population. This paper is one of three on the study of public health challenge of smoking in Nigeria, and explains the method used in collecting and analyzing data. The research was undertaken and analyzed through a critical ethnography lens using critical realism as a philosophical underpinning. In the study we relied upon the following components: original field work in Nigeria which includes participant observation of smokers, in-depth interviews and focus groups with smokers, and in depth interviews with health professionals working in the area of tobacco control in Nigeria.
Exploring the Links between Qualitative Inquiry and Global Crises: Some Answers and More Questions
Authors: Oplatka Izhar
Published: March 2021

Reading an edited book such as Denzin and Giardina’s 2011 Qualitative Inquiry and Global Crisis that comprises different chapters and authorship patterns may be challenging and evocative, let alone a book that focus on qualitative inquiry in an era of globalization, racism, privatization, and social injustice. To make the journey of reviewing this new book enjoyable, I posed a meaningful guiding question to me: what could a book that links between qualitative inquiry and global crisis contribute to our theoretical and practical knowledge about the qualitative paradigm? The answer is not yes or no but rather manifold; some papers shed light on innovative aspects of qualitative inquiry while others seem to reframe well-known scholarly forms or methods pertaining to the qualitative paradigm.
Interviewing the Interpretive Researcher: An Impressionist Tale
Authors: Frels Rebecca , Onwuegbuzie Anthony
Published: March 2021

In this manuscript, we describe the use of debriefing interviews for interviewing the interpretive researcher. Further, we demonstrate the value of using debriefing questions as part of a qualitative research study, specifically, one doctoral student’s dissertation study. We describe the reflexivity process of the student in her study and the debriefing data that were coded via qualitative coding techniques. Thus, we provide an exemplar of the debriefing process and the findings that emerged as a result. We believe that our exemplar of interviewing the interpretive researcher provides evidence of an effective strategy for addressing the crises of representation and legitimation for researchers and instructors of qualitative methods courses alike.
Teacher Educators as Role Models: A Qualitative Examination of Student Teachers’ and Teacher Educators’ Views towards Their Roles
Authors: Izadinia Mahsa
Published: March 2021

Teacher Education is considered to be the first and perhaps the most important stage in the professional development of student teachers (Wideen, Mayer-Smith, & Moon, 1998) as teacher educators who work with student teachers during these programs exert significant influence on who students are and will become (Caires, 2007; Chalies, Ria, Bertone, Trohel, & Durand, 2005). This article highlights the impact of language teacher educators’ ideas and beliefs with regard to Teaching English as a Foreign Language (TEFL) and their teaching practices on their student teachers’ beliefs and perceptions about their role as language teachers. 20 Iranian language student teachers and ten teacher educators teaching at five universities in Tehran were interviewed. The interviews were coded and analyzed in order to develop themes. Considerable similarities were found between student teachers and their teacher educators in terms of their ideas and beliefs about language teaching.
DETERMINANTS OF DIVIDEND PAYOUT RATIO: A STUDY OF KSE MANUFACTURING FIRMS IN PAKISTAN
Authors:   Business Economics University of engineering and technology, Lahore, Khan Rehab
Published: March 2021

Purpose- Motive and cause of this study is pursuing to examine the determinants of dividend payout ratios of KSE listed companies in Pakistan. Design- This study used the data of ten sectors of cement industry and these companies are listed in Karachi stock exchange, and data is drives by 2003-2012, enlarge the current research on dividend payout policy. Panel regression model used to estimate the results. Corporate profitability has always been considered as a leading independent variable of dividend payout ratio. Findings- There are multitudinal factors other than corporate profitability that influence dividend decisions of the firm like taxes, cash flow and debt to equity, sales growth. This research analyzes that profitability, tax, and cash flow have a significant relation with dividend payout ratio. And debt to equity and sales growth has insignificant relationship with dividend payout ratio. Research Limitations- This research failed to collect the data of different sectors listed on KSE except Cement industry. And collect the data of only one sector (cement). There are other determinants exist that have a huge effect on payout ratio, than these which are included in the research.
Beurling’s Theorem for the Q-Fourier-Dunkl Transform
Authors: LOUALID EL MEHDI , ACHAK AZZEDINE , DAHER RADOUAN
Published: March 2021

The Q-Fourier-Dunkl transform satisﬁes some uncertainty principles in a similar way to the Euclidean Fourier transform. By using the heat kernel associated to the Q-Fourier-Dunkl operator, we establish an analogue of Beurling’s theorem for the Q-Fourier-Dunkl transform ℱQ on ℝ.
THE DAYA TERIMA DAN KANDUNGAN GIZI COOKIES TEPUNG SAGU KOMBINASI TEPUNG KACANG MERAH DENGAN PENAMBAHAN SARI BUAH MERAH
Authors: Ramdany Radeny , Kamaruddin Mustamir , Pongoh Ariani , Adelitha Suryani Eva
Published: March 2021

Cookies merupakan salah satu produk bakery yang populer di semua kalangan. Cookies pada umumnya terbuat dari tepung terigu yang merupakan komoditas import, olehnya itu untuk mengurangi ketergantungan penggunaan tepung terigu maka dapat disubtitusi dengan bahan lain seperti tepung sagu dan tepung kacang merah. Selain itu, dapat ditambahkan pula sari buah merah. Pemanfaatan tepung sagu, tepung kacang merah dan sari buah merah dalam pembuatan cookies diharapkan dapat meningkatkan kandungan gizi cookies dan mengangkat potensi pangan lokal. Tujuan penelitian adalah untuk menganalisis daya terima dan kandungan gizi cookies tepung sagu kombinasi tepung kacang merah dengan penambahan sari buah merah.

Desain penelitian adalah eksperimen murni dengan Rancangan Acak Lengkap (RAL). Sampel adalah produk cookies dengan  4 variasi yaitu P0 (tanpa penambahan sari buah merah), P1 (penambahan sari buah merah sebanyak 5 g), P2 (penambahan sari buah merah sebanyak 10 g), P3 (penambahan sari buah merah sebanyak 15 g). Variabel independent adalah variasi penambahan sari buah merah pada cookies dan variabel dependent adalah daya terima (rasa, aroma, warna, dan tekstur) dan kandungan gizi (energi, protein, lemak, dan karbohodrat). Penelitian ini menggunakan panelis agak terlatih sebanyak 30 orang. Pengumpulan data menggunakan formulir uji hedonik. Analisis daya terima menggunakan uji ANOVA dan analisis kandungan gizi dengan perhitungan manual berdasarkan data dari TKPI (Tabel Komposisi Pangan Indonesia) dan DKBM (Daftar Komposisi Bahan Makanan).

Hasil penelitian menunjukan bahwa daya terima cookies yang paling baik adalah pada sampel cookies P1. Penambahan sari buah merah tidak memberikan pengaruh terhadap rasa, aroma, warna, dan tekstur dari cookies. Kandungan energi, protein, lemak dan karbohidarat terbesar adalah pada cookies sampel P_3 dengan nilai 276.49 kkal, 4.41 gram, 6.07 gram, dan 50 gram. Semakin banyak penambahan sari buah merah maka semakin besar kandungan gizi dari cookies. Perlu adanya penelitian lanjutan tentang daya terima dan nilai gizi cookies tepung sagu kombinasi tepung kacang merah dengan formulasi yang berbeda dan dengan penambahan bahan pangan lokal yang lainnya.
Pengalaman Keluarga Merawat Pasien Kanker Di Kota Tanjung
Authors: Kurniawan Ahmad Rizqie , Ilmi Bahrul , Hiryadi Hiryadi
Published: March 2021

Penelitian ini bertujuan mengekplorasi pengalaman keluarga yang pernah merawat pasien kanker di kota Tanjung. Data kualitatif diperoleh melalui wawancara mendalam pada 5 anggota keluarga yang pernah merawat pasien kanker di rumah. Hasil penelitian menemukan 8 tema utama yaitu  Perawatan luka, Perawatan paliatif: aspek fisik (keluhan fisik berkurang), Upaya keluarga dalam pencarian pengobatan, Menjaga kualitas hidup klien, Pemenuhan kebutuhan dasar klien, Respon keluarga dalam melakukan perawatan klien, Keputusan pelaksanaan perawatan klien di rumah dan Manfaat bagi keluarga dalam merawat klien dengan kanker. Hasil penelitian ini menyimpulkan bahwa pentingnya peran keluarga dalam merawat pasien kanker dalam hal pemenuhan kebutuhan sehari-hari, pendampingan yang dilakukan keluarga dan dukungan keluarga agar meningkatkan kualitas hidup klien serta keluarga memilik respon yang bervariasi selama melakukan perawatan seperti  respon positif  dan respon negatif. Demikian keluarga juga mendapatkan manfaat setelah melakukan perawatan bagi klien itu sendiri maupun bagi keluarga itu sendiri
Gambaran Tingkat Pengetahuan Ibu Tentang Tumbuh Kembang Balita Di Desa Langke Kecamatan Gentuma Raya Provinsi Gorontalo
Authors: Runtu Andro Ruben , Rattoe Amelia , Kalalo Rosita Siska
Published: March 2021

Istilah tumbuh kembang sebenarnya mencakup dua peristiwa yang sifatnya berbeda, namun keduanya saling berkaitan sehingga sulit untuk dipisahkan. Stimulasi dalam tumbuh kembang pada balita merupakan hal yang penting untuk diperhatikan terutama oleh ibu sebagai orang terdekat dengan balita. Tujuan umum penelitian ini adalah mengetahui tingkat pengetahuan ibu tentang tumbuh kembang balita di desa Langke Kecamatan Gentuma Raya pada tingkat baik, cukup, dan kurang. Jenis penelitian ini adalah deskriptif, teknik pengambilan sampel dengan total sampling dengan jumlah sampel 35 responden, lokasi dan waktu penelitian di desa Langke Kecamatan Gentuma Raya pada bulan Juni-Juli 2020, instrument penelitian menggunakan kuesioner. Hasil penelitian dari 35 responden diperoleh hasil responden yang memiliki pengetahuan baik sebanyak 8 responden (22%), cukup sebanyak 23 responden (65,7%), kurang sebanyak 4 responden (11,4%). Berdasarkan pekerjaan hampir semua responden adalah Ibu Rumah Tangga (IRT) 29 responden (82,9%), mayoritas pendidikan terakhir SMA 18 responden (51,4%), dengan usia 17-23 dan 24-29 tahun. Berdasarkan hasil penelitian pengetahuan ibu tentang tumbuh kembang balita di Desa Langke Kecamatan Gentuma Raya masih di rentang cukup (65,7%), disarankan kepada ibu agar dapat mengikuti program di fasilitas kesehatan yang ada karena pengetahuan ibu akan menjadi penentu terhadap sikap dan perilaku dalam memberikan nutrisi, kasih sayang, dan frekuensi stimulasi yang diberikan kepada balita.
Gambaran Gangguan Respirasi Di Kabupaten Aceh Tenggara Tahun 2015-2019
Authors: Ramadani Mr Suci , Nurfitriani Nurfitriani , Maulanza Hady
Published: March 2021

aliran darah paru dan proses pertukaran gas yang dapat menyebabkan gagal napas dan kematian. Gangguan respirasi dapat dibagi menjadi beberapa penyakit infeksi maupun non-infeksi. Adapun penyakit infeksi misalnya Infeksi Saluran Pernafasan Akut (ISPA), pneumonia, TB Paru dan penyakit paru lainya, sedangkan penyakit non-infeksi dapat dibagi menjadi penyakit paru restriktif  dan obstruktif. Tujuan Penelitian ini adalah untuk mengetahui gambaran gangguan respirasi di Kabupaten Aceh Tenggara tahun 2015-2019. Metode penelitian yang dipakai adalah deskriftif restrospektif dengan pendekatan cross sectional. Sumber data yang digunakan adalah data sekunder yang diperoleh dari dinas kesehatan untuk mengetahui gambaran gangguan respirasi di Kabupaten Aceh Tenggara Tahun 2015-2019. Hasil penelitian gambaran tuberkulosis sebanyak 675 kasus, gambaran asma 17145 kasus, gambaran PPOK 2448 kasus, gambaran ISPA 95343 dan gambaran pneumonia anak dibawah 5 tahun 50 kasus
Studi Literatur Determinan Perilaku Pencegahan Pelecehan Seksual Pada Remaja
Authors: Ulfaningrum Hayu , Fitryasari Rizki , Mar’ah Mka Misbahatul
Published: March 2021

Pencarian jurnal atau artikel menggunakan database Scopus, Sciencedirect, CINAHL. The Joanna Briggs Institute (JBI) Critical Appraisal dan CRAAP test (Currency, Relevance, Authority, Accuracy and Purpose) digunakan dalam penilaian kualitas artikel. Kriteria inklusi dan eksklusi dalam studi literatur ini menggunakan format PICOS framework. Kriteria inklusi dalam studi literature ini antara lain remaja dengan usia 10 – 18 tahun, faktor pengetahuan, sikap, nilai, pendidikan seksual, keluarga, teman sebaya dan guru menggunakan desain studi randomized controlled trial, cross-sectional study, mixed-method design, grounded-theory design, school-based survey, retrospective study, qualitative study, quasi-experimental design dengan artikel berbahasa inggris dan tahun terbit 2016 – 2020. Jumlah artikel yang didapatkan berdasarkan kelayakan terhadap kriteria inklusi dan eksklusi sebanyak 14 artikel. Hasil: Faktor yang berhubungan dengan perilaku pencegahan pelecehan seksual pada remaja di negara maju dan berkembang yaitu pengetahuan dan sikap, pemberian pendidikan seksual, peran petugas kesehatan, faktor keluarga, dukungan guru, staff sekolah dan teman sebaya. Upaya pencegahan pelecehan seksual pada remaja telah banyak dilakukan, namun diperlukan adanya keterlibatan dan arahan yang jelas bagi petugas kesehatan serta perlu adanya perlindungan hukum secara jelas bagi para pelaku pelecehan seksual agar tidak semakin merajalela dan dianggap hal yang biasa bagi masyarakat
The Influence of Corporate Governance on Potential Financial Distress on Transportation Companies listed on the Indonesia Stock Exchange for the period 2013-2017
Authors: Elisabeth Juliana Lelu  , Thamrin Hakiman
Published: March 2021

This study aims to empirically examine the effect of characteristics corporate governance (managerial ownership, institutional ownership, board of commissioners, independent commissioners, board of commissioners, audit committee) on financial distress. This study uses data collection methods using the method of library research. In this study the type of secondary data used is in the form of financial statements from transportation companies listed on the Indonesia Stock Exchange in the period 2013-2017. Research data is data that is presented in time series. Data analysis was performed through descriptive statistical tests, followed by testing the feasibility of the regression model, testing the overall Fit Test model, the coefficient of determination test, and the classification matrix. Logistic regression analysis is used because the dependent variable used in this study is a dummy variable, which is a company with the possibility of financial distress. The results of this study indicate that: Managerial ownership has a significant effect on financial distress, Institutional ownership is proven to have a significant influence on financial distress, the Board of Commissioners is proven to have a significant influence on financial distress, independent commissioners is proven to have a significant influence on financial distress, The board of directors is proven to have a significant influence on financial distress and the Audit Committee is proven to have a significant effect on financial distress
Nghiên cứu tổ hợp chất chỉ điểm sinh học: vWF, VCAM-1, MCP-1, D-Dimer trong chẩn đoán và tiên lượng nhồi máu não cấp
Authors: Phan Long Nhơn , Hoàng Khánh , Huỳnh Văn Minh
Published: March 2021

Mục tiêu: Khảo sát nồng độ, đánh giá giá trị chẩn đoán và tiên lượng của tổ hợp chất chỉ điểm sinh học vWF, VCAM-1, MCP-1, D-Dimer ở bệnh nhân nhồi máu não cấp. Đối tương và phương pháp: Một nghiên cứu mô tả cắt ngang, có so sánh và đối chiếu nhóm chứng  của 50 bệnh nhân NMN và 40 người chứng khỏe mạnh. Kết quả: 1. Nồng độ trung bình vWF, VCAM-1, MCP-1, D-Dimer của bệnh nhân NMN giai đoạn cấp và nhóm chứng lần lượt là: vWF bệnh 177,80±6,90 Mu/ml, chứng 148,98±19,04 Mu/ml; của VCAM-1 bệnh 53,79±3,33 ng/ml, chứng 43,38±4,56 ng/ml; của MCP-1 bệnh 357,37±111,03 pg/ml, chứng 190,80±51,65 pg/ml và của D-Dimer bệnh 1016,72±524,06 ng/ml, chứng 329,40±90,16 ng/ml, P<0,001. 2. Tổ hợp chất chỉ điểm sinh học  vWF, VCAM-1, MCP-1, D-Dimer có giá trị cao trong chẩn đoán nhồi máu não cấp với độ nhạy 95,38%, độ đặc hiệu 91,52%, giá trị dự báo dương tính 93%, giá trị dự báo âm tính 94,37%. 3. Tổ hợp vWF, VCAM-1, MCP-1, D-Dimer có giá trị cao trong dự báo tiên lượng mức độ nặng lâm sàng khi vào viện và diễn tiến nặng lâm sàng sau 48 giờ của nhồi máu não cấp. Gía trị dự báo tiên lượng diễn tiến nặng lâm sàng là cao nhất với độ nhạy 78,05%, độ đặc hiệu 76,27%, giá trị dự báo dương tính 69,57%, giá trị dự báo âm tính 83,33%, p<0,001, OR=11,42. giá trị dự báo tiên lượng mức độ nặng lâm sàng lúc vào viện thấp hơn, với độ nhạy 70,33%, độ đặc hiệu 81,65%, giá trị dự báo dương tính 76,19%, giá trị dự báo âm tính 76,72%, OR=10,84, p<0,001. Kết luận: Nồng độ các chất vWF, VCAM-1, MCP-1, D-Dimer tăng cao ở bệnh nhân NMN giai cấp và tổ hợp chất chỉ điểm sinh học: vWF, VCAM-1, MCP-1, D-Dimer rất có giá trị trong chẩn đoán và tiên lượng nhồi máu não cấp.
Nghiên cứu mật độ khoáng xương và loãng xương ở bệnh nhân đái tháo đường type 2
Authors: Ngô Đức Kỷ
Published: March 2021

Mục tiêu: Khảo sát mật độ khoáng xương và tỷ lệ loãng xương và mối liên quan của chúng với một số đặc điểm ở bệnh nhân đái tháo đường type 2. Phương pháp nghiên cứu và đối tượng nghiên cứu: Nghiên cứu mô tả cắt ngang có phân tích. Tất cả 151 bệnh nhân được chẩn đoán đái tháo đường type 2 có độ tuổi từ 36 – 81 khám và điều trị tại Bệnh viện hữu nghị đa khoa Nghệ An. Các xét nghiệm glucose, HbA1c, insulin, c – peptid được làm tại Khoa Hóa sinh bằng hệ thống tự động máy Cobas 6000 và Cobas e 601 của hãng Roche. Glucose máu huyết tương lúc đói bằng phương tham chiếu sử dụng men hexokinase, HbA1c dựa trên xét nghiệm miễn dịch ức chế đo độ đục (TINIA) cho máu toàn phần ly giải, insulin và c – peptide đo bằng phương pháp miễn dịch hóa phát quang (electro-chemiluminescence immunoassay: điện hóa phát quang). Đo mật độ xương toàn thân bằng máy Hologic Discovery QDR series 4500A/SL, DELPHI của Mỹ. Tính các chỉ số HOMA2-IR và HOMA2-%Beta theo phiên bản phần mềm HOMA Calculator v2.2.3 của Đại học Oxford – Anh. Xử lý số liệu bằng phần mền SPSS 16.0. Kết quả: Tuổi trung bình của nhóm nghiên cứu 62,12 ± 8,99 tuổi. Trung bình BMI 22,96 ± 2,98 kg/m2. Sự khác biệt của hai giới về các chỉ số tuổi, BMI, HOMA2-IR, và HbA1c không có ý nghĩa thống kê với p > 0,05. Mật độ khoáng xương toàn thân, cổ xương đùi và xương cột sống thắt lưng từ L1 – L4 ở nữ giảm hơn so nam có ý nghĩa thống kê với p < 0,001. Tỷ lệ loãng xương chung là 31,1%, trong đó nam là 8,6% và nữ 22,5%. Nguy cơ loãng xương của phụ nữ cao gấp 2,96 lần so với nam giới và sự khác biệt này có ý nghĩa thống kê với p < 0,01. Có mối liên quan giữa mật độ khoáng của xương với chỉ số HbA1c ở bệnh nhân ĐTĐ týp 2 (p < 0,01) và ngược lại không có mối tương quan giữa mật độ khoáng xương với BMI và chỉ số đề khoáng insulin HOMA2-IR. Kết luận: Ở những bệnh nhân đái tháo đường týp 2 kiểm soát glucose máu tốt thì làm tăng mật độ khoáng của xương.
Tỉ lệ và đặc điểm rối loạn lipid máu ở bệnh nhân hội chứng vành cấp điều trị tại Bệnh viện Đa Khoa vùng Tây Nguyên năm 2019
Authors: Huỳnh Lê Thái Bão , Nguyễn Sinh Huy
Published: March 2021

Mục tiêu nghiên cứu: Xác định tỉ lệ và đặc điểm rối loạn lipid máu ở bệnh nhân mắc hội chứng vành cấp điều trị tại bệnh viện đa khoa vùng Tây Nguyên từ tháng 1 năm 2019 đến tháng 8 năm 2019. Phương pháp nghiên cứu: Sử dụng phương pháp mô tả cắt ngang với phương pháp chọn mẫu thuận tiện. Nghiên cứu trên 216 bệnh nhân được chẩn đoán xác định hội chứng vành cấp. Bệnh nhân được thăm khám lâm sàng, chỉ định các cận lâm sàng, được phỏng vấn với bộ câu hỏi được soạn trước. Rối loạn lipid máu (RLLPM) được chẩn đoán xác định bằng xét nghiệm các thông số lipid khi có một hoặc nhiều rối loạn như sau: Cholesterol máu > 5,2 mmol/L (200 mg/dL),  Triglycerid > 1,7 mmol/L (150 mg/dL), LDL-cholesterol > 2,58 mmol/L (100 mg/dL),  HDL-cholesterol < 1,03 mmol/L (40 mg/dL). Tiến hành xác định tỉ lệ và đặc điểm rối loạn lipid máu ở bệnh nhân mắc hội chứng vành cấp. Kết quả: Tỉ lệ rối loạn lipid máu ở bệnh nhân mắc hội chứng vành cấp điều trị tại Bệnh viện đa khoa vùng Tây Nguyên từ tháng 1 năm 2019 đến tháng 8 năm 2019 là 70,83%. Trong đó, tỉ lệ các thông số lipid bị rối loạn lần lượt là tăng Cholesterol 18,98%, tăng Triglycerid 32,41%, giảm HDL-C 36,57%, tăng LDL-C là 41,2%. Có sự khác biệt có ý nghĩa thống kê giữa tỉ lệ RLLPM giữa hai giới: nam 78,42% và nữ 57,14% với p < 0,01. Có sự khác biệt có ý nghĩa thống kê giữa tỉ lệ RLLPM giữa các thể của hội chứng vành cấp: cơn đau thắt ngực không ổn định 54,95%, nhồi máu cơ tim không ST chênh 70% và nhồi máu cơ tim ST chênh 88,24% với p < 0,05.
Nghiên cứu mối liên quan của nồng độ BNP huyết thanh và hs-cTnI với biến cố tái nhập viện sau can thiệp động mạch vành
Authors: Đoàn Văn Chung , Hoàng Anh Tiến , Hồ Anh Bình
Published: March 2021

Phân tầng nguy cơ sớm để có chiến lược can thiệp động mạch vành sớm. Một số nghiên cứu gần đây cho biết peptide lợi niệu típ B (B type natriuretic peptide: BNP) là một dấu ấn sinh học có nồng độ cao trong huyết thanh của bệnh nhân hội chứng vành cấp và nồng độ Troponin I tim mạch độ nhạy cao (High-sensivity cardiac Troponin I: hs-cTnI) cũng có vai trò rất quan trọng trong chẩn đoán và tiên lượng bệnh ĐMV với độ nhạy cao, cũng như việc khảo sát kết hợp cả hai nồng độ nồng độ BNP và hs-cTnI huyết thanh với thang điểm PCI Risk Assessmet trong dự báo tiên lượng ngắn hạn biến cố tim mạch tái nhập viện trong 30 ngày theo dõi. Mục tiêu: Đánh giá mối liên quan của nồng độ BNP huyết thanh và hs-cTnIvới biến cố tái nhập viện sau can thiệp động mạch vành. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, theo dõi dọc trong 30 ngày trên 78bệnh nhân có hội chứng vành cấp nhập viện được chụp và can thiệp động mạch vành  tại Bệnh viện Đa khoa tỉnh Phú Yên từ tháng 4 năm 2017 đến tháng 8 năm 2018. Kết quả: Sử dụng công cụ PCI Riskđể dự báo biến cố bệnh nhân tái nhập viện trong 30 ngày theo dõi  có gía trị tốt (AUC= 0,795, 95% KTC= 0,68 - 0,87, p<0,001). Có mối liên quan dự báo khả năng tiên lượng ngắn hạn biến cố tái nhập viện trong 30 ngày theo dõi giữa nồng độ BNP huyết thanh, hs-cTnI với thang điểm PCI Risk bằng 03 đường cong ROC thì thang điểm PCI Risk dự báo tiên lượng tốt hơn so với nồng độ hs-cTnI với AUC= 0,795, 95% KTC= 0,68 - 0,87, (p<0,001). Kết luận: Kết hợp nồng độBNP huyết thanh, hs-cTnI với thang điểm PCI Risk có thể được sữ dụng để dự báo biến cố tái nhập viện sau 30 ngày ở BN hội chứng vành cấp đượ can thiệp ĐMV.
Influence of Ph on The Lethal Toxicity of Phenol, Para Chlorophenol And Pentaclorophenol to Freshwater Fish Gambusia Affinis
Authors:   Department Of Zoology ,M.E.S College Of Arts, Commerce And Science,Malleshwaram,Bangalore, Sangli Asheera Banu
Published: March 2021

Phenol and Phenolic compounds has several sources including industrial wastes, coal , wood distillation, road tars, petroleum refining, chemical and plastics manufacture, domestic sewage discharges, natural sources such as plant material decay and leaching from coal and oil deposits enter natural water system and affect the fish and other aquatic organisms , So the static renewal bioassays were done to study the influence of pH on the lethal toxicity of phenol, para chlorophenol and pentachlorophenol to the freshwater fish Gambusia affinis. The studies shows that phenol, para chlorophenol and pentachlorophenol decreased their toxicity as the pH increased to the said fish .The24,48,72 and 96 hours LC50 values were found to be 48.0,45.0, 43.0 and 41.0 mg/l at pH 6.0 and at pH 7.5 the 24,48,72 and 96 hours LC50 values were 50.0, 48.0, 46.0 and 44.0 mg/l respectively for the fish exposed to phenol, And at pH 6.0 the 24,48,72 and 96 hours LC 50 values were 24.0, 21.0, 19.0, 17.0 mg/l and at pH 7.5 the 24, 48, 72 and 96 hours were 30.0, 28.0, 25.0 and 22.0 mg/l respectively for the fish exposed to para chlorophenol .The LC50 values at 24,48,72 and 96 hours at pH 6.0 were 0.12, 0.10, 0.09 and 0.07 mg/l respectively and at pH 7.5 The LC50 values were 1.23, 1.19, 1.15 and 1.11 mg/l respectively for the fish Gambusia affinis.
The Unity of Theory and Practice In the Innovative Transformation of the Educational Space
Authors:   Senior Lecturer, Navoi State Mining Institute Uzbekistan, Navoi, Sunnatov Nurali Bekmurodovich
Published: March 2021

This article examines the scientific and practical significance of research results, the basic rules of analysis and modeling methods, competence and creativity, as well as the analysis of innovative changes in education, the basic rules. They are analyzed based on different theories, approaches, positions.
Kerelevanan Aplikasi Kaedah Protokol Pemikiran Verbal (Think-Aloud Protocols) dalam Terjemahan: Analisis Corak Kajian Lepas
Authors: Abd Rahman Lubna , A.Bakar Arnida
Published: March 2021

Protokol Pemikiran Verbal atau Think-Aloud Protocols (TAPs), merupakan salah satu kaedah saintifik yang lazimnya diguna pakai dalam kajian yang melibatkan proses kognitif atau pemikiran manusia yang bertujuan untuk mengenal pasti apa yang berlegar dalam minda subjek kajian apabila diberikan tugasan tertentu berkaitan tajuk kajian. Subjek akan menyuarakan pendapat atau pemikiran mereka secara verbal semasa tugasan tersebut dilakukan atau setelah selesai tugasan. Melalui TAPs, data atau rumusan mengenai isu yang ditimbulkan dalam kajian dapat dikenal pasti. Kaedah ini dilihat sesuai diaplikasikan dalam bidang terjemahan terutamanya apabila mengkaji proses terjemahan. Kajian ini menggunakan kaedah penyelidikan kualitatif. Data dikumpulkan daripada aplikasi carian Google dan Google Scholar melalui kaedah ‘Systematic Literature Review’ dengan melakukan analisis ke atas bahan literatur iaitu artikel jurnal antara tahun 2011-2020 bagi menyoroti kajian lepas mengenai aplikasi TAPs dalam terjemahan. Hanya 32 artikel penulisan didapati bertepatan dengan tujuan dan kaedah kajian ini. Data yang diperoleh dianalisis secara deskriptif dengan melihat kepada objektif kajian bagi menghasilkan suatu gambaran yang menyeluruh berkaitan penggunaan TAPs dalam kajian terjemahan. Kajian ini mengklasifikasikan data kepada tiga corak kajian yang mengguna pakai kaedah TAPs untuk mengkaji pelbagai isu terjemahan seperti isu proses dan strategi terjemahan, proses kognitif, tingkah laku dan kecekapan dalam terjemahan serta isu-isu lain. Hasil dapatan ini menunjukkan bahawa aplikasi TAPs dilihat masih relevan dan menjadi pilihan penyelidik untuk mengkaji isu yang melibatkan proses pemikiran, meski pun terdapat sesetengah pihak yang meragui ketepatan aplikasi kaedah ini dalam mengkaji pemikiran manusia.
Tahap Penggunaan dan Kefahaman Murid dalam Penggunaan Gabungan Pakej Bahan Bantu Mengajar Multimedia dalam Pengajaran dan Pembelajaran Sejarah
Authors: Sarabani Sulaiman Bin
Published: March 2021

Kajian ini bertujuan untuk mengenal pasti tahap penggunaan dan tahap kefahaman murid dalam penggunaan gabungan pakej bahan bantu mengajar multimedia dalam pengajaran dan pembelajaran Sejarah. Pengajaran dan pembelajaran sejarah dewasa ini memerlukan inovasi dan kreativiti agar dapat membantu menaikkan pencapaian pelajar. Gabungan pakej multimedia diharap dapat mencapai tujuan untuk mendapatkan pengajaran dan pembelajaran yang lebih sistematik dan efisien. Responden kajian dan sampel kajian adalah seramai 66 orang murid tahun empat, tahun lima dan tahun enam di Sekolah Kebangsaan Biah Batu 65, Daerah Beaufort. Negeri Sabah. Responden yang dipilih seramai 66 orang murid daripada 88 populasi murid. Dapatan kajian mendapati bahawa tahap penggunaan gabungan pakej bahan bantu mengajar multimedia dalam pengajaran dan pembelajaran Sejarah adalah tinggi dan turut mempengaruhi tahap kefahaman murid dalam mata pelajaran Sejarah.
Writing Lyrics in English to An Indigenous Iban Song-Towards The Efficacy of Culturally Responsive Pedagogy
Authors: Sabuk Bethrace Sylvester , Abdul Aziz Azlina
Published: March 2021

The main purpose of this study was to examine the use of Indigenous Iban song in enhancing the level 2 pupils’ writing skills. Culturally responsive pedagogy is a progressive approach that shapes the future learning process This research was conducted in a rural school of the Limbang district in Sarawak. The participants of this research comprised of 20 pupils from Year 4 until Year 6. Year 6 pupils were included as they were not sitting for UPSR due to Pandemic. Action Research with the model Kemmis & McTaggart employed in this study. The findings from the questionnaires indicated a high level of agreement from the participants on implementation of writing lyrics in English to an indigenous Iban song.
Pengetahuan Penjaga Terhadap Amalan Penjagaan Ulser Tekanan Warga Tua Terlantar di Rumah
Authors: Riza Normala Binti , Mohamad Lukman @ Zawawi Bin
Published: March 2021

Tujuan kajian ini dijalankan adalah untuk mengenal pasti tahap pengetahuan penjaga terhadap amalan penjagaan ulser tekanan warga tua terlantar di rumah. Seramai 127 orang penjaga telah dipilih sebagai responden dalam kajian ini. Kaedah kajian ini menggunakan kajian tinjauan dan instrumen yang digunakan ialah borang soal selidik. Data dalam kajian ini diuji dengan menggunakan statistik deskriptif yang melibatkan skor min dan sisihan piawai. Data dianalisis menggunakan perisian Statistical Package Social Science (SPSS) versi 22. Hasil kajian mendapati tahap pengetahuan penjaga terhadap amalan penjagaan ulser tekanan warga tua terlantar adalah rendah. Implikasi kajian ini adalah mencadangkan pembinaan satu amalan baik penjagaan ulser tekanan yang boleh diguna pakai oleh penjaga.
IDENTIFICAÇÃO DE FORMAS PARASITÁRIAS EM VEÍCULOS DE TRANSPORTE PÚBLICO DA CIDADE DE SÃO MATEUS, ESPÍRITO SANTO, BRASIL
Authors: Miossi Jamille Santos , Barros Rafaela Souza , Andrade de Souza Marco Antônio
Published: March 2021

Introdução. Uma das grandes preocupações dos órgãos de saúde pública é a incidência de parasitoses, principalmente em países em desenvolvimento, como o Brasil. Essas doenças estão associadas com diversos fatores como deficiência de conhecimentos da população no que diz respeito à educação sanitária, destino incorreto de lixos, falta de saneamento básico e inúmeros processos de contaminação ambiental. Objetivo. Avaliar a contaminação por formas de enteroparasitos em rotas de ônibus na cidade de São Mateus. Material e Métodos. O método de escolha foi o de Graham, com modificações, que consiste na aposição de fita adesiva em suportes de apoio táteis, catracas, entradas e saídas dos ônibus, todas em alturas médias estimadas ao alcance das mãos, e posterior deposição da fita em lâminas de vidro por contato direto. O material obtido foi analisado no Laboratório de Parasitologia e Hematologia Clínica da Universidade Federal do Espírito Santo, campus São Mateus, em microscópio de luz (10X e 40X), sem qualquer adição de corantes. Resultados. Foram analisadas setenta e duas amostras, distribuídas entre as oito linhas de transporte público selecionadas no estudo. Os resultados indicaram a contaminação de 50% dos veículos analisados e os principais parasitos e comensais encontrados foram Balantidium coli, Iodamoeba butschlii e Entamoeba coli. Conclusões. Os ônibus de transportes públicos da cidade de São Mateus apresentam potencial para a contaminação humana e podem gerar riscos para a população que utiliza este serviço.
STRATEGIC MANAGEMENT PRACTICES AND PERFORMANCE OF HEALTH NON-GOVERNMENTAL ORGANIZATIONS IN NAIROBI CITY COUNTY, KENYA
Authors: Odhiambo Emmaculate , Njuguna Reuben
Published: March 2021

Introduction: The contemporary business environment in which organizations operate is increasingly becoming uncertain and unpredictable, and it has been established that little is known of the implementation of strategic planning practices among not-for-profit organizations in developing countries, despite increased inability to meet estimated project timelines, quality and budget allocation.

Purpose: This study aimed to examine how strategic management practices influence health NGOs' performance in Nairobi City, Kenya.

Methodology: The study was grounded on theories that include: Ansoff's strategic success theory and stakeholder theory. The study was grounded on positivism research philosophy with a descriptive research design guiding the research. The study targeted the senior managers of the 98 health NGOs operating in Nairobi County. Stratified random sampling was used in the selection of the desired respondents.  The sample participants for the research were 131 employees from health NGOs. The study relied on frequencies, means and standard deviation in presenting descriptive results. The inferential statistics used were correlation analysis, regression analysis and analysis of variance.

Findings: The study results showed a positive and significant correlation between strategic planning, strategy evaluation and monitoring, and health non-governmental organizations' performance. The study concluded that strategy formulation as well as strategy evaluation and monitoring have a positive relationship with the performance of health NGOs.

Recommendations: The study recommends that NGOs improve their strategic management practices by strengthening their collaborations with stakeholders, reviewing threats and opportunities and involving employees in strategic planning and implementation. The study recommends for further research work be conducted to review the influence of internal organization environment on NGOs' performance in Kenya.
Peace Process in the Middle East after 9/11
Authors: Novàk Sara
Published: March 2021

The Middle East occupies a unique geographical and strategic position. Hence, it is not a coincidence that every great power in history has sought to advance its interests in the region. In addition to its geographical and strategic uniqueness, the Middle East is the birthplace and spiritual center of the three most important monotheistic religions, namely Christianity, Judaism and Islam, as well as the greatest single reserve of oil. Last, but not least, due to its geopolitical importance, any inter- and intra-state conflict in the Middle East has the potential not only of destabilizing the region as a whole or upsetting the regional balance of power but also affecting global stability. For these reasons, the Middle East has been a major center of world affairs; an economically, politically, and culturally sensitive area. The purpose of this volume is to provide an account of international relations in the contemporary Middle East. To address the question of regional order, attention will focus on the policies of external actors – such as the United States (US), Russia, China, the European Union, and the United Nations – as well as on regional hegemonic aspirations and resulting rivalries.
Correlation between Demographic, Socio-economic, and Cancer-specific Factors with Quality of Life Scores among Newly-Diagnosed Cancer Patients of the Medical Oncology Clinics of the Philippine General Hospital Cancer Institute
Authors: Manalo Mary Ondinee U. , Ngelangel Corazon A.
Published: March 2021

...
Knowledge, Attitudes and Practices of Health Care Providers in the Philippine General Hospital towards In-Patient Hypoglycemia and its Management
Authors: Isnani Sarah-Laida J. , Macalalad-Josue Anna , Jimeno Cecilia A.
Published: March 2021

Objectives. To determine the knowledge, attitudes and practices (KAP) of health care providers at the Philippine General Hospital towards hypoglycemia among non-critically ill patients using a validated, self-administered survey tool.

Methods. This study covered two phases out of a three-phased project: (1) development and validation of a 43- item KAP survey tool and (2) assessment of KAP among nurses and residents using the tool. Phases 1 and 2 are analytic cross-sectional studies. Data for the KAP survey was collected using the developed tool and focused group discussions (FGDs). Results of this study will be the framework for Phase 3, which is the development of an in-patient hypoglycemia protocol.

Results. The validated KAP survey tool yielded a low overall mean score of 12.56 ± 2.11 in the knowledge domain although high scores (4.88 ± 1) were noted for knowledge on management of hypoglycemia. In terms of attitude, majority (99.31%) of respondents believed that fewer hypoglycemia events correlates to better clinical outcomes and are willing to adopt a nurse-driven protocol. Most respondents (52.8%) employed correct practices in hypoglycemia management. The FGDs identified the perceived facilitators and barriers to hypoglycemia management.

Conclusion. There is a gap in knowledge and practices in managing hypoglycemia among health care providers which needs to be addressed further with education and training. Nevertheless, health care providers have a positive attitude towards having a standard hypoglycemia protocol that will contribute greatly to its implementation in the clinical area.
A PRODUÇÃO ACADÊMICA SOBRE USO PÚBLICO EM UNIDADES DE CONSERVAÇÃO NAS REVISTAS ELETRÔNICAS DE GEOGRAFIA FLUMINENSE DE 2010 A 2020
Authors: Laplace Flavio
Published: March 2021

O objetivo deste trabalho é fazer um levantamento quantitativo sobre a produção acadêmica envolvendo o tema ‘uso público em unidades de conservação’. A gestão, a visitação e a prestação de serviços nas unidades de conservação (UC) foram importantes referências para o tema, pois estes estudos são relevantes como fator de proteção dessas áreas em relação aos impactos ambientais e sua preservação, em geral. Foram eleitas quatro revistas eletrônicas do Estado do Rio de Janeiro no período de 2010 a 2020 (11 anos), considerando suas relevâncias editoriais em cursos de graduação e pós graduação de Geografia. Foi realizado um levantamento da produção de artigos nos periódicos supracitados elaboração de gráficos com o intuito de evidenciar os possíveis padrões na produção fluminense a respeito do tema. Como objetivo secundário, foram pesquisadas as produções onde as UC foram objetos principais ou como referência de uma área de estudo. Após analisar os dados obtidos, observou-se uma baixa taxa de publicações ao longo do recorte temporal escolhido, inferior a 4% do total. Todas as revistas tiveram publicações sobre UC, mas somente duas apresentaram artigos mais específicos sobre ‘uso público’.
LAGOA DO SÃO BENTO
Authors: Pontes Jorge Antônio Lourenço , Giannini Márcia Cristina Moraes , Mello Flávio Augusto Pereira , Barros Ana Angélica Monteiro de , Silva Davi Nepomuceno da , Marques Pedro Ricardo Barros
Published: March 2021

A Lagoa de São Bento com seus 6,9 ha é o resquício de um antigo alagado que cobria boa parte da restinga de Itaipuaçu, Maricá, estado do Rio de Janeiro. Apesar da urbanização do entorno, a área abriga uma elevada riqueza de espécies da fauna e flora, algumas ameaçadas de extinção. A Lagoa presta serviços ecossistêmicos que representam economia de verbas públicas, além de ser local usado em pesquisas e com potencial turístico, mas sofre diversos impactos pela falta de divulgação, proteção e não recebe a devida atenção do governo municipal. Devido as suas características ecológicas, importância econômica e socioambiental regional, propomos sua transformação em uma unidade de conservação da natureza como refúgio de vida silvestre municipal, juntamente com elementos necessários para sua conservação, manejo inicial, ecoturismo e infraestrutura verde do entorno. Desta forma, associamos a preservação da Lagoa do São Bento com o desenvolvimento urbano sustentável regional.
Study of Inverse Creep in Cotton Textile Yarns
Authors: Patil Pratap G.
Published: March 2021

Creep has been known and studied for textile materials for decades. In comparison, a newly observed phenomenon of inverse creep seems not to have received much attention. A new instrument has been fabricated to measure creep and inverse creep in textile materials particularly yarns. Creep and Inverse creep measurements of few of the textile yarns of Cotton yarn at different levels of stress have been studied, using the new instrument and results are reported in the present paper.
Fishery, I.T.D.P., Mat Industry Development by Panchayat in Midnapore District
Authors: Patra Debasis
Published: March 2021

Midnapur one of the most important districts of W.B. In all the block of all districts all types of development have done through Panchayet administration. Especially in case of horticulture, poultry, forest, roadways, animal husbandry, cottage industry etc of the rate of development has been increased. In this respect the projects based on fishery, mat industry, ITDP etc are discussed in details below.
A Research Study on Digital Transformation Inevitable In Post COVID Era - The New Normal in India
Authors: Trivedi Krishna Kulin
Published: March 2021

The whole world fights against the Corona Virus Disease which is also known as “COVID-19”. This new virus is an infectious disease which spreads through the droplets from the person infected with this virus coughs or sneezes, thus a person has to protect himself by wearing face mask, wash the hands frequently and maintain social distancing to stop the spread of this newly discovered virus corona virus. The infection is continuously increasing at a very fast pace and thus different countries according to the number of cases imposed complete lockdown where only emergency services like medical, and essentials like food, vegetables and milk was made available. The disease has been declared as the Pandemic by the world health organization due to the spread of the disease in the whole world. Thus, digital transformation was inevitable to adopted by all for the continual existence and control the spread of the disease of business and academic activities. This article is a research study on digital transformation which is inevitable in post Covid era which is the new normal in India.
A Retrospective Descriptive Study of Adverse Drug Reaction Monitoring in Tertiary Care Hospital
Authors: Gupta Ajay K
Published: March 2021

Introduction

An adverse drug reaction (ADR) is any undesirable effect of a drug to the patient beyond its anticipated therapeutic effects while used clinically.

Aims and objective

To analyze the incidence of ADRs in a tertiary care hospital reported from April 2015 till December 2017.

Materials and methods

Two hundred ADR forms were included in the study and analyzed. These were codified into various drug classes according to anatomical therapeutic chemical (ATC) classification based on WHO–ATC Index 2019 besides categorized into preventable or not modified Schumock and Thornton scale. Severity was assessed based on a scale by Hartwig et al. Also, the ADRs were classified based on MedDRA 13.01 to system organ class (SOC) and preferred terms (PT) falling under respective SOC.

Results

Maximum ADRs were reported by dermatology. Most commonly, it involved gastrointestinal system (GIT) followed by skin. Antibiotics and anti-cancer drugs caused maximum ADRs. About two-thirds were classifiable as moderate to severe, whereas about one-third were preventable. About 10% of cases were such that left deep impact of sequelae or were not recovered and one case was fatal.

Conclusion

Extreme vigilance by clinicians is of utmost crucial virtue in detecting, diagnosing, and reporting such ADR for continued drug safety monitoring.

How to cite this article

Gupta AK. A Retrospective Descriptive Study of Adverse Drug Reaction Monitoring in Tertiary Care Hospital. J Med Acad 2020;3(2):54–58.