bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALYSIS OF RED BLOOD CELL DISTRIBUTION WIDTH VALUE TOWARDS FIBROTIC STAGE IN CHRONIC HEPATITIS B
Authors: Idris Fatma , Muhadi Darwati , Mutmainah Mutmainah
Published: April 2019

Chronic hepatitis-B is a liver disease caused by hepatitis B virus infection lasting for more than 6 months since the first appearance of signs and symptoms. Red Blood Cell Distribution Width (RDW) is more related to an inflammation process compared to the fibrotic stage. Increase in RDW value results from an increase in erythrocyte destruction or ineffective erythrocyte production caused by the inflammation process. The inflammation can suppress erythrocyte maturation and enable new reticulocytes to be released into blood circulation. Liver inflammation is the characteristic of chronic hepatitis B virus infection. This study aimed to know the RDW value towards the fibrotic stage in chronic hepatitis B patients. This study was a retrospective study conducted in the Dr. Wahidin Sudirohusodo Hospital Makassar. The data were taken from medical records of chronic hepatitis B patients in January 2015-July 2016. The research subjects were chronic hepatitis B patients who underwent routine blood examination for the first time when the patients had just hospitalized. The investigated was continued with fibroscan examination in Gastroenterohepathology Department of the Dr. Wahidin Sudirohusodo General Hospital. Statistical analysis was analyzed with Kruskal-Wallis test using SPSS ver.22. One hundred data of chronic hepatitis B patient consisted of 27 patients without fibrosis, 16 with moderate fibrosis and 11 with severe fibrosis were obtained in this study. Kruskal-Wallis test results showed no significant difference between RDW value with a fibrotic stage in chronic hepatitis B patient (p = 0.255). This study results showed no significant difference between RDW value and fibrotic stage in chronic hepatitis B patients. Red blood cell distribution width value cannot be used as a predictor of liver fibrosis. It is suggested to conduct further studies using larger sample size and more equally distributed sample based on fibrotic stage.
THE CORRELATION BETWEEN GALECTIN-3, CREATININE AND URIC ACID ON STAGE V CHRONIC RENAL FAILURE
Authors: S Indranila K , I Guruh A , H Meita
Published: April 2019

Chronic Renal Failure (CRF) is structural damage and function of the kidneys that cannot excrete toxins and waste products from the blood, characterized by the presence of protein in the urine and decreased glomerulus filtration rate. This study aimed to determine the correlation between Galectin-3 and markers of kidney function which are creatinine and uric acid. This study was being concluded on 33 CRF patients who were doing hemodialysis therapy. This study was conducted in the Dr. Kariadi Semarang Hospital and GAKI Laboratory of Diponegoro Medical Faculty from April to June 2018. The research method was analytical descriptive with cross-sectional approach. Galectin-3 was analyzed using ELISA method with an automatic analyzer, creatinine and uric acid using the colorimetric method with an automatic spectrophotometer. Statistical analysis used Shaphiro-Wilk normality test and Spearman correlation test. There is a weak positive correlation test of galectin-3 with creatinine (r = 0.381; p = 0.029) and galectin-3 with uric acid (r = 0.374; p = 0.048) in CRF – HD. It is concluded galectin-3 can be used as a marker of kidney function.
PRIMARY MYELOFIBROSIS
Authors: Irhamsyah Muhammad , Muhadi Darwati , Arif Mansyur
Published: April 2019

A 55-year-old male was admitted to hospital with chief complaint of abdominal distention since one year before admission, and it became more prominent than before. The physical examination showed splenomegaly with schuffner line S5, and it was confirmed with ultrasonography. The routine blood test showed a hemoglobin level of 9.2 g/L, leukocyte count of 14.690/µL and thrombocyte count of 115 x 103/µL. From the peripheral blood smear results, the suspected diagnosis of chronic myeloid leukemia with differential diagnosis of a leukemoid reaction was made. However, bone marrow aspiration revealed hypoplastic marrow of primary myelofibrosis. The patients with primary myelofibrosis need early diagnosis and treatment to manage the symptoms of splenomegaly, stop fibrosis process and extramedullary hematopoiesis. Early treatment, in this case, can decrease poor prognosis and mortality rate.
Impacto de la intervención del fisioterapeuta en fútbol profesional
Authors: Alfonso Mantilla JI
Published: April 2019

Actualmente, el fútbol es un deporte de alta competencia a nivel mundial y es por eso que diversas áreas del conocimiento trabajan con equipos deportivos alrededor del mundo. Los equipos deportivos, están conformados por diversos profesionales que buscan que el deportista esté a su máximo nivel. Por ejemplo, el equipo médico es vital en procesos de prevención y recuperación de jugadores profesionales de fútbol. Por tal motivo, el objetivo de este artículo es realizar un estudio cuasi-experimental utilizando un protocolo de prevención de lesiones, programa de recuperación y manejo de hidratación con el fin de observar índices estadísticos en relación a la morbilidad y producción del servicio médico de un equipo profesional de fútbol.
Torsemide versus furosemide and intermediate-term outcomes in patients with heart failure: an updated meta-analysis
Authors: Miles Jeremy A. , Hanumanthu Balaram K. , Patel Kavisha , Chen Michelle , Siegel Robert M. , Kokkinidis Damianos G.
Published: April 2019

Aims

Loop diuretics have become a mainstay of chronic heart failure management. Furosemide and torsemide are the two most common loop diuretics; nevertheless, there is inconsistent evidence regarding the optimal choice of loop diuretic with respect to clinical outcomes.

Methods

Medline and Cochrane Databases were systemically reviewed for randomized and observational studies comparing patients with chronic heart failure on oral torsemide versus oral furosemide and their association with intermediate-term outcomes (5–12 months) through May 2018. Odds ratios with corresponding 95% confidence intervals (CIs) were used for outcomes. A random effect model was used to account for heterogeneity among studies. Heterogeneity was assessed with the Higgins I-square statistic.

Results

A total of 8127 patients were included in the analysis from a total of 14 studies (10 randomized, four observational); 5729 patients were prescribed furosemide and 2398 were given torsemide. There was no significant difference in intermediate-term mortality among heart failure patients on furosemide compared with torsemide [odds ratio (OR) 1.01, CI 0.64–1.59, I
2 = 65.8%]; however, furosemide was associated with an increased risk of heart failure readmissions (OR 2.16, CI 1.28–2.64, I
2 = 0.0%). Heart failure patients taking torsemide were more likely to have an improvement in New York Heart Association class compared with those on furosemide (OR 0.73, CI 0.58–0.93, I
2 = 19.6%).

Conclusion

Torsemide is associated with a reduction in intermediate-term heart failure readmissions and improvement in New York Heart Association class compared with furosemide but is not associated with a reduced mortality risk. Additional randomized trials are needed to examine the impact of loop diuretics on clinical outcomes in patients with heart failure.
Prevalence and prognosis of lead masses in patients with cardiac implantable electronic devices without infection
Authors: Golzio Pier Giorgio , Errigo Daniele , Peyracchia Mattia , Gallo Elisa , Frea Simone , Castagno Davide , Budano Carlo , Giustetto Carla , Rinaldi Mauro
Published: April 2019

Background

Finding of intracardiac lead masses in patients with cardiac implantable electronic devices remains controversial, as such masses have been observed in cases of exclusively local infections whereas they have not been recognized in patients with positive cultures of intravascular lead fragments. In this study, we aim to describe the prevalence of intracardiac lead masses in true asymptomatic patients with cardiac implantable electronic devices, to identify their predictive factors and to define their prognostic impact at long-term follow-up.

Methods

Seventy-eight consecutive patients admitted over a 6-month period for elective generator replacement without clinical evidence of infection were evaluated by transthoracic and transesophageal echocardiography and prospectively followed at in-clinic follow-up visits.

Results

Lead masses were found in 10 patients (12.8%). These patients had more frequently right ventricular dysfunction at univariate analysis (OR 2.71, P = 0.010) and after baseline variables adjustment (hazard ratio 6.25, P = 0.012). At 5-year follow-up without any specific therapy, none of the patients suffered from any cardiac device infections, or developed clinical signs of infections.

Conclusion

There is an evidence of clinical lead masses in asymptomatic patients with cardiac implantable electronic devices. The value of these findings is still debated for aetiological interpretation and for therapeutic strategy, but they are not necessarily associated with an infection.
Clinical and prognostic association of total atrial conduction time in patients with heart failure: a report from Studies Investigating Co-morbidities Aggravating Heart Failure
Authors: Nuzzi Vincenzo , Pellicori Pierpaolo , Nikolaidou Theodora , Kallvikbacka-Bennett Anna , Torromeo Concetta , Barilla’ Francesco , Salekin Damien , Kaur Kuldeep , Monzo Luca , Cleland John G.F. , Clark Andrew L.
Published: April 2019

Background

The total atrial conduction time can be measured as the time from the onset of the P wave on the ECG to the peak of the A wave recorded at the mitral annulus using tissue Doppler imaging (A′; P-A′tdi); when prolonged, it might predict incident atrial fibrillation.

Methods

We measured P-A′tdi in outpatients with heart failure and sinus rhythm enrolled in the SICA-HF programme.

Results

P-A′tdi measured at the lateral mitral annulus was longer in patients with HF with reduced [LVEF<50%, N = 141; 126 (112–146) ms; P = 0.005] or preserved left ventricular ejection fraction [LVEF>50% and NT-proBNP > 125 ng/l, N = 71; 128 (108–145) ms; P = 0.026] compared to controls [N = 117; 120 (106–135) ms]. Increasing age, left atrial volume and PR interval were independently associated with prolonged P-A′tdi. During a median follow-up of 1251 (956–1602) days, 73 patients with heart failure died (N = 42) or developed atrial fibrillation (N = 31). In univariable analysis, P-A′tdi was associated with an increased risk of the composite outcome of death or atrial fibrillation, but only increasing log [NT-proBNP], age and more severe symptoms (NYHA III vs. I/II) were independently related to this outcome. Patients in whom both P-A′tdi and left atrial volume were above the median (127 ms and 64 ml, respectively) had the highest incidence of atrial fibrillation (hazard ratio 6.61, 95% CI 2.27–19.31; P < 0.001 compared with those with both P-A′tdi and LA volume below the median).

Conclusion

Measuring P-A′tdi interval identifies patients with chronic heart failure at higher risk of dying or developing atrial fibrillation during follow-up.
ECG in dilated cardiomyopathy: specific findings and long-term prognostic significance
Authors: Merlo Marco , Zaffalon Denise , Stolfo Davide , Altinier Alessandro , Barbati Giulia , Zecchin Massimo , Bardari Stefano , Sinagra Gianfranco
Published: April 2019

Objective

The objective was to provide an exhaustive characterization of ECG features in a large cohort of dilated cardiomyopathies (DCMs) and then investigate their possible prognostic role in the long term.

Background

ECG is an accessible, reproducible, low-cost diagnostic and prognostic tool. However, an extensive description of ECG features and their long-term prognostic role in a large cohort of DCM is lacking.

Methods

All available baseline ECGs of DCM patients enrolled from 1992 to 2013 were systematically analysed. Patients underwent to a complete clinical-laboratory evaluation. The study outcome measures were death or heart transplant (D/HT) and sudden death or malignant ventricular arrhythmias (SD/MVA).

Results

Four hundred and fourteen DCM patients were enrolled. During a median follow-up of 125 months, 55 and 57 patients experienced D/HT and SD/MVA, respectively. At multivariate analysis, left ventricular hypertrophy (P = 0.017), heart rate (HR, P = 0.005) and anterolateral T-wave inversion (P = 0.041) predicted D/HT. Regarding SD/MVA, S wave amplitude in V2 (P = 0.008), R wave amplitude in DIII (P = 0.007), anterolateral T-wave inversion (P = 0.017) emerged as predictors. At receiver-operating curve analyses, the addition of ECG models to the clinical-laboratory evaluation significantly increased the area under the curve both for D/HT (from 0.68 to 0.74, P = 0.042) and SD/MVA (from 0.70 to 0.77, P = 0.048).

Conclusion

The exhaustive systematic evaluation of ECG has an incremental impact in the prognostication of a large cohort of DCM patients, also regarding the arrhythmic stratification.
Student-centered approach and alternative assessments to improve students’ learning domains during health education sessions
Authors: Zulkifli Ahmad Fahim
Published: April 2019

Study aim: The purpose of this study was to evaluate the effects of astudent-centered approach and alternative assessments on students’ learning domains (i.e., cognitive, affective, psychomotor) during health education learning sessions.

Material and methods: Four groups totaling 65 mixed-gender undergraduate students (ages 20–25) of physical and health education participated in this study of alternative assessments’ effects on students’ learning once per week (3 hours) in their respective classrooms for seven weeks at a central Malaysia university. Students’ knowledge on the lesson contents was gathered using a series of quizzes. Students’ self-efficacy was assessed using the modified Traits Sport-Confidence Inventory (TSCI), and students’ levels of physical activity were assessed using a mobile pedometer. Data were analyzed using descriptive statistics and t-tests to evaluate pre/post differences.

Results: The students’ perception and knowledge on health education improve across interventions with greater efficacy (7.64± 0.97) at the post-test compared to the pre-test (7.30± 1.38). Students’ recorded improvement in step counts between week two and week five. A slight reduction during weeks six and seven may be due to the end of the semester and preparation for the final examinations.

Conclusions: This study demonstrated that astudent-centered approach and alternative assessment of learning were effective to engage students with contents and developing whole learning domains within the classroom.
The CAD 3D course improves students’ spatial skills in the technology and design education
Authors: János Katona , Kem Gyula Nagy
Published: April 2019

The nature of 3D ability is deeply considered, but little is known about students’ learning and understandings of technology and about the meaning to become more technologically capable. We considered the spatial intelligence of first-grade engineering students, how much that improved to the effect of 18 times 45 minutes course of computer-aided 3D modeling. We consider the success of our 3D course in spatial intelligence. According to the result of the tests, one-third of the engineer candidates has good spatial intelligence. We introduce some useful problems in 3D education; the presented problems help the students in learning how to solve technology problems, and how to design objects. We offer the intellectual pleasure of problem solving through 3D problems. Our CAD course excellently improves the spatial skills of the middle third of the students. Computer-aided 3D modeling also bridges the gap for students with worse spatial ability. Dealing with students in a more differentiated way about CAD modeling would be advisable.
Left main stenting induced flow disturbances on ascending aorta and aortic arch
Authors: Rigatelli Gianluca , Zuin Marco , Fong Alan , Tai Truyen TTT , Nguyen Thach
Published: April 2019

Background and Objective

Ostial LM stenting potentially induces turbulence in the aortic wall near the LM ostium, which might be correlated with aorta dilation and dissection. We investigated through a computational fluid dynamic analysis (CFD), the presence and potential consequences of flow turbulences both in the ascending aorta and arch after a stenting left main (LM) mid shaft or distal disease.

Methods

The model of the ascending aorta and left coronary artery was reconstructed reviewing both angiographic and echocardiographic measurements of 80 consecutive patients (43 males, mean age 75.1 ± 6.2 years) with significant LM mid shaft or distal disease treated in our institution. For stent simulation, a third-generation everolimus-eluting stent was reconstructed. Two stenting procedures (lesion 1:1 or ostial coverage) were investigated.

Results

The net area averaged WSS of the model resulted higher when the stent covered the lesion 1:1 compared to the ostial coverage (3.68 vs. 2.06 Pa, P=0.01 and 3.97 vs. 1.98 Pa, P < 0.001, respectively). LM ostial coverage generates more turbulences in the LM itself, in the aortic wall at ostium level, and at the sino-tubular junction compared with the stenting of the lesion 1:1. Conversely, in the ascending aorta, the WSS appears lower when stenting the lesion 1:1.

Conclusion

Extending the stent coverage up to the ostium, when the ostial region is not diseased, might induce unfavorable alterations of flow; not only both at the level of the LM lesion and ostium sites, but also in the ascending aorta and aortic arch, potentially predisposing the aortic wall to long-term damage.
Short course of high-dose steroids for anaphylaxis caused flare up of tuberculosis: A case report
Authors: Patil Shital , Jadhav Anil
Published: April 2019

A 25-year-old male patient received high-dose intravenous steroids for life-threatening anaphylaxis because of bee sting only for 4 days resulted in reactivation of latent tuberculosis infection (LTBI). Clinical presentation is acute form of progressive pulmonary tuberculosis with pleural efusion that can be misdiagnosed as a community-acquired pneumonia. High index of suspicion with adequate evaluation is must in all cases to have satisfactory treatment outcome. Bronchoscopy is crucial in evaluation with histopathology expertise is must while managing such cases.
Multioptionalität: Ein neuer („alter“) Terminus in der Alltagsmobilität der modernen Gesellschaft?
Authors: Groth Sören
Published: April 2019

In this paper, the sociological term multioptionality is translated into the field of transport and mobility research. The aim is to stimulate a change of perspective from actual to potential mode choice by conceptualising multioptionality as a precondition for multimodal behaviours. The intention is to criticise the largely positive debate concerning transition from the automobile to the multimodal society. Multimodality discourse assumes a shift from the largely exclusive use of private cars to the flexible use of several transport modes. In this respect, the paper discusses the critical role of the concept of multioptionality in the transitional debate in three steps. i) The paper argues that structural developments such as interconnected mobility services legitimise the assumption of potentially "more" options, which increases opportunities for realising multimodal behaviours in everyday mobility, ii) Regressive tendencies in modern society lead to the assumption that mode options are, however, increasingly unequally distributed. In this sense, the emergence of multioptionality can be classified as a socially selective trend. iii) A concept proposal is put forward according to which the term multioptionality can be incorporated into empirical studies on multimodality in order to take a critical view of the uneven preconditions of options for the realisation of multimodal behaviours.
Family Foundation, Is It An Innovative Strategy? The Case of Cultural Heritage Tourism in Toraja, Indonesia
Authors: Junaid Ilham , Widjadja Herry Rachmat , Hanafi Hamsu
Published: April 2019

Toraja has been considered as the icon of tourism in South Sulawesi province, Indonesia. As the number of tourist decreases and one tourism attraction belongs to many members of family, there is an expectation from stakeholders that innovative strategies should be implemented to develop tourism. To achieve this goal, yayasan keluarga (family foundation) has been established to manage tourism in Toraja. The study reveals that although family foundation has been the option to develop tourism and is an innovative strategy in managing tourism attractions, stakeholders believe that Toraja tourism should be developed together with the existence of the family foundation based on the principle of collaborative work. High demand on the role of the regional government in developing tourism exists although the family foundation is the main organizer of tourism attractions. Similarly, the regional government believes that the family foundation is a choice from the community and thus, it is the role of the family foundation to implement activities for tourism development in Toraja. This paper suggests that cultural heritage tourism in Toraja can be developed if the family foundation implements innovative strategies as well as strengthens relationship (synergy) and collaborative work with other stakeholders in Toraja.
Balanced Scorecard Implementation in Restaurant Management
Authors: Abdillah Fitri , Wira Diana Ida Bagus  Putu
Published: April 2019

Balanced scorecard (BSC) is tools that are widely used to measure company performance including in the hospitality industry. It’s widely applied because it’s simple, easy, and effective especially in startup business. The objective of this research is to measure the restaurant performance by using BSC. Data observed by participant observation, unstructured interviews, and documentation that produced three measurement models. This data analyzed by descriptive analysis and simple linear correlation to prove the relationship between each perspective of BSC. This study proposed three correlative models that designed from selected indicator of four BSC perspectives. The results show (i) The first model: employee absentee rate is positively correlated with customer complaints 0.417, customer complaints are positively correlated with labor cost percentage of 0.387, and labor costs are negatively correlated with net profit margin of -0.395; (ii) The second model: the percentage of foodstuff price are negatively correlated with total number of customers -0.607, total number of customers are negatively correlated with food loss -0.916, food loss are negatively correlated with employee trained percentage -0.378; and (iii) The third model: revpash are positively correlated with average check of 0.994, average check are positively correlated with cover per labor hour of 0.800, and cover per labor hour is positively correlated revenue per employee with of 0.837. The all result indicates that BSC models could be implemented to measure restaurant performance by selecting indicator of each perspective. It means that a change in one perspective leads to disruption of other perspectives, so that the restaurant management must consider various factors if it has to make a decision or strategies. The BSC model can help the management in formulating strategies to improve restaurant performance.

Keyword: balanced scorecard, restaurant performance indicator
English Communication Strategies in Tourism
Authors: Sari Angela Bayu Pertama
Published: April 2019

The advance development in tourism industry is established through interrelated systems. One of which is the online booking platform. Not only for booking, but the online website also becomes the platform for giving reviews that portrays guests’ compliments or even complaints. Those compliments are powerful to give the guests positive image about the accommodation; however, the complaints will do in the contrary way. It may lead the accommodation into negative image. Accordingly, it is necessary for the accommodation providers to handle the complaints by giving the responses or reply of the guests’ reviews. That action will become the effort to turn the guests’ disappointment into satisfaction.

In order to achieve it, several English communication strategies in handling complaints were executed. This research takes the responses of 8 accommodation providers towards the guests’ review as the subject of the research. It is conducted by using content analysis method. The results yields 4 strategies that exists in the responses, namely: attentiveness that correlates with the hospitality in communication appears 100% of the total responses; explanation that presents the clarification and elaboration appears in 79% of the total responses; effort, that is the presentation of the promising action in the future, exists in 46% of the total responses and the least is apology, that is the action of saying sorry, exists in 25% of the total responses.
Development of Tenun Ikat Troso Industrial Center as a Tourist Village in the District of Jepara
Authors: Asshofi Izza Ulumuddin Ahmad , Mukti Artin Bayu
Published: April 2019

Troso is a village that was developed by the government of the district of Jepara to be a tourist village. It has the potential of home-based crafts such as weaving which could be developed into industrial centers. However, not all community members realize the potential. The community members don?t recognize that Troso is going to be developed as a tourist village. On the other hand, the way the community member doing their business is very ineffective. There is no coordination with other businessmen to accommodate and to control the business. Each entrepreneur is working on their tradition to enrich their own business. One entrepreneur to another is a competitor. For these reasons, the village needs to be developed in order to be efficient for the welfare of all people in Troso. Purpose of this research is to understand the existence of Tenun Ikat Troso industrial center and to evaluate development strategy of Tenun Ikat Troso industrial center as a tourist village in the district of Jepara. SWOT. The results show that (i) Strength – Opportunity strategy was focusing on digging deeper of the potency and then wrap them up in a specific brand which will impact on economic sector, (ii) Strength – Threat strategy was focusing on offering the potency of the village to investor to create added value of the village to attract tourists, (iii) Weakness – Opportunity strategy was focusing on building the community awareness of a tourist village plan and the importance of Troso weaving industry association, and (iv). Weakness – Threat strategy was focusing on identifying existing weaknesses of the Troso tourist village and then inviting other stakeholders to get involved in developing the village.

Keywords: development; tenun ikat Troso; tourist village
The Relationship Among Community Based Tourism Application, Community Attitude, Community Empowerment and Community Life Satisfaction
Authors: Piartrini Putu Saroyini
Published: April 2019

Tourism involves the movement of individuals from one region to another, which are sometimes of different cultures. The interaction between tourists and local communities in tourist destinations is social interaction. The community does not always react positively to the development of certain destinations or attractions. Public attitudes that are not always beneficial to tourism have various causes, such as the well-being differences that appear so starkly between wealthy tourists and poor local communities and  conflict over limited resources such as water, land and cultural resources. This condition needs to be addressed because frequent demonstrations at various tourist attractions in Bali may jeopardize the security and comfort of tourists and affect the image of Bali as an international tourist destination. This study aims to: 1) To evaluate local government policies in community empowerment; 2) To measure perceived community-based tourism implemented   in the destination areas 3) To measure thelife satisfaction of the people in tourist destinations; 3)To measure individual   attitude toward toursm develoment  in Destinations. The results of this study are expected to be useful as input in the formulation of regional tourism policies  to realize tourism development goals effectively. This study is different from previous tourism studies because it examines the impact of tourism development from an integral perspective of sustainable tourism and community-based tourism.

 

Keywords: community attitude, community-based tourism, community empowerment, community life satisfaction.
Influence of Achievement Goals and Academic Self-efficacy on Academic Achievement of Thai Undergraduate Students: Across Non Procrastinators and Procrastinators
Authors: Ratsameemonthon Leelie , Ho Robert , Tuicomepee Arunya , Blauw Jon N.
Published: April 2019

Introduction. Procrastination is a very interesting topic because even if procrastinators could anticipate the negative consequences, they still intentionally do necessary tasks with delay. This may be because some procrastinators receive positive outcomes referred to active procrastinator, but some are not called passive procrastinator. Verifying the motivational belief moderates these two different types of procrastination; therefore, this study evaluates consistency of two different configurations. Model 1 is based on achievement goal theory integrated factors between academic self-efficacy and achievement goal (achievement goals1.->academic self-efficacy->academic achievement). Model 3 is based on social cognitive theory of motivation separated factors between achievement goal and academic self-efficacy (academic self-efficacy, achievement goals1.->academic achievement) across the three groups of procrastinators (non-procrastinators, active-procrastinators, and passive procrastinators). Moreover, this study investigated the different patterns of structural relations (including both direct and indirect relationship) between the achievement goals, academic self-efficacy and academic achievement. Method. The sample consisted of 988 Thai undergraduate students with an average age of 20 (SD = 0.99) ranging from 18 to 27 years. Structure equation model was employed to test the path model and Multi-group path analyses were used to verify differences in the path coefficients across the three types of procrastinators. Results. The finding confirmed that with Model 1there were a higher number of significant relationships that integrated achievement goals and academic self-efficacy pertaining to academic achievement than with the Model 3 which separated achievement goal and academic self-efficacy relative to academic achievement, as well as across the three types of procrastinators. Discussion and Conclusion. There was a substantial result of the importance of integration between academic self-efficacy and achievement goals for passive procrastinators showing in Model 1 that academic self-efficacy mediated relationships between achievement goals and academic achievement for the passive procrastinators but not the active-procrastinator or non-procrastinator groups. The implications of the findings across the three groups of procrastination are discussed.
Self-Regulated Learning Strategies of Active Procrastinating Pre-University Students
Authors: Sundaramoorthy Jeyavel
Published: April 2019

Introduction. A common impediment to any student’s academic achievement and well being is the phenomenon of procrastination. Procrastination has typically been defined as a trait or behavioural disposition to postpone or delay performing a task or making decision. It is voluntary yet irrational delay of an intended course of action and frequently results in unsatisfactory, performance and emotional upset. Whereas, active procrastination is one’s intentional decision to procrastinate in order to cope and focus attention on other tasks at hand and to experience performance pressure.Method. This study attempted to explore pre-University college (PUC) students’ active procrastination in relation to their self-regulated learning. 120 PUC students were selected from four different schools of Gulbarga town in Karnataka state of India through multistage random sampling. With the demographic details of students, they were administered Active procrastination scale and Self-regulated learning measure.Results. Students of Educated parents and boys have higher active procrastination. Urban and rural students do not differ in their active procrastination. Goal setting & planning, seeking information, keeping records and rehearsing & memorizing strategies are significantly related to active procrastinationDiscussion and Conclusion. Urban students have higher organizing & transforming, rehearsing& memorizing and seeking social assistance SRL strategies. Students who engage in more than one hobby have better goal setting & planning, information seeking & total SRL. Active procrastination has significant relation with goal setting & planning, seeking information, keeping records, rehearsing & memorizing SRL strategies.
Agresión y victimización: la percepción del alumnado y factores asociados
Authors: García-Fernández Cristina Mª , Romera-Félix Eva Mª , Córdoba-Alcaide Francisco , Ortega-Ruiz Rosario
Published: April 2019

Introducción. La investigación sobre el bullying, así como de los factores protectores o de riesgo que se presenten en la escuela continúa siendo un área de estudio relevante en investigación educativa y también en la práctica escolar. Determinadas características personales y contextuales se han considerado claves para la prevención de la violencia escolar.Método. El presente trabajo trata de examinar la relación existente entre la victimización y la agresión y el impacto que en ambos procesos psicológicos tienen ciertas variables del contexto directo de los escolares. Para ello se encuestó a 1278 escolares (47.7% chicas) del sur de España (Andalucía), de edades comprendidas entre los 10 a 14 años (M = 11.11; DT = 0.754).Resultados. Análisis de regresión lineal mostraron el poder explicativo de factores protectores como el ajuste social o el ajuste a las normas ante ambos, la percepción de victimización y agresión injustificada. Factores individuales, como el género y personales como la autoestima marcan diferencias en la percepción de implicación en ambos roles, junto a otros.Discusión y conclusiones. El foco de este artículo se pone en el papel de los factores de contexto inmediato.
Práctica de actividad física, conducta prosocial y autoconcepto en adolescentes: conexiones en el contexto escolar
Authors: Martínez Martínez Francisco Daniel , González-Hernández Juan
Published: April 2019

Introducción. La investigación tiene dos objetivos: (1) establecer diferencias entre variables internas (autoconcepto y prosocialidad) y externas (frecuencia de actividad física) que rodean al adolescente en el contexto escolar, según condiciones sociales (sexo, tipo de práctica de actividad física y edad. (2) Proponer relaciones de causalidad y predictibilidad entre las diferentes dimensiones del autoconcepto y conducta prosocial hacia la práctica de actividad física en una muestra de adolescentes.Método. Se trata de un estudio de carácter descriptivo y de asociación lineal, cuya muestra está formada por 409 participantes de ESO y Bachillerato. Se ha utilizado un cuestionario sociodemográfico, el Cuestionario de Autoconcepto (AF-5), la Escala de prosocialidad en adolescentes y adultos, y la Escala de Dificultades de Socialización de Cantoblanco (SOC).Resultados. El principal ámbito donde se fomentan las relaciones sociales en la adolescencia es en el de los amigos (42.3%), seguido de la escuela (34%), señalando el deporte como el entorno menos propicio para fomentar sus relaciones sociales (42.1%). La práctica de actividad física, se relaciona positivamente con las dimensiones de autoconcepto, excepto con el emocional, contemplando una relevante influencia de la condición de estar federado, para tal relación negativa. Además, se confirma la relación entre autoconcepto y conducta prosocial para una respuesta adaptada psicosocialmente, de cara al aumento de la frecuencia de práctica de actividad física en la adolescencia.Discusión y Conclusiones. La práctica de actividad física provoca que los adolescentes tengan una mejor percepción de sus propias condiciones personales, aumentando así su confianza para establecer relaciones sociales con compañeros y docentes, en el desarrollo de actitudes de búsqueda de experiencias sociales positivas. Todo ello contribuyendo al aumento de la frecuencia de la práctica deportiva, mediada por el entendimiento y comprensión de su bienestar ante las conductas prosociales.
Revisores y Meta-Datos
Authors: 2018 EJREP
Published: April 2019

Se ofrece listado de revisores y los meta-datos del Electronic Journal of Research in Educational Psychology del año 2018
Improving Teaching and Learning of Ethics and Human Rights in the Radiography Undergraduate Programme with the HECAF Model
Authors: Kekana Ramadimetja Mable , Steenekamp Karen
Published: April 2019

Education for healthcare professionals, including radiography, is focused on cognitive, affective and psychomotor learning. The aim of this article is to present and argue for the consideration of the HECAF model, which is designed to improve the teaching and learning of Ethics and Human Rights in the radiography undergraduate programme. This model was developed as a result of a qualitative study using action research as a research design. There were two phases, namely situation analysis and appreciative inquiry. The study used multiple data collection tools. Quantitative data was collected during phase one and qualitative data was collected in phase two. Content analysis was appropriate because it could be used for both quantitative and qualitative data. Participants were facilitators of learning, third-year radiography students and clinical supervisors from the eight higher education institutions that offer radiography education and training in South Africa. Ethical approval was granted. The HECAF model is presented as a strategy that can improve the teaching and learning of Ethics and Human Rights in the undergraduate radiography programme. HECAF is as an acronym for humanness, environment, core curriculum, assessment and feedback. It is argued in this article that the HECAF model can contribute to enhancing professional conduct and ethical behaviour in the clinical radiography environment.
Analysis of risk factors and postoperative predictors for recurrent lumbar disc herniation
Authors: Dobran M. , Nasi Davide , Paracino R. , Gladi M. , Costanza M. Della , Marini A. , Lattanzi S. , Iacoangeli M.
Published: April 2019

Background:

This study identified risk factors and postoperative indicators for recurrent lumbar disc herniations (rLDH) following microdiscectomy.

Methods:

We retrospectively reviewed the 1-year recurrence rate for LDH in 209 consecutive patients undergoing microdiscectomy (2013–2018).

Results:

Utilizing a multivariate analysis, higher body mass index (BMI) and postsurgery Oswestry disability index (ODI) were significantly associated with an increased risk of rLDH.

Conclusion:

Elevated postsurgery ODI and higher BMI were significantly associated with increased risk of rLDH.
Subgaleal and brain abscesses due to Salmonella enteritidis following craniotomy for giant cell glioblastoma multiforme: A case report and literature review
Authors: Akhaddar Ali , Hall Walter , Boucetta Mohammed
Published: April 2019

Background:

Cranial surgical site infections due to Salmonella species are rarely reported. Only eight cases of Salmonella enteritidis infection following intracranial surgery for brain tumor have been reported to date. We describe a unique case of both subgaleal and brain abscesses caused by S. enteritidis following craniotomy for a parafalcine giant cell glioblastoma multiforme. A literature review of the previously published cases is also provided.

Case Description:

A 36-year-old previously healthy man presented with a posterior parietal parafalcine giant cell glioblastoma multiforme. 5 weeks after craniotomy for tumor resection, the patient presented with worsening headache and painful swelling at the cranial operative site. Head computed tomography and magnetic resonance imaging scans revealed both scalp and brain abscesses in the previous surgical site. He was treated with aspiration of the subgaleal abscess and ciprofloxacin antibiotic therapy; he made a full recovery. Cultures of the aspirate identified S. enteritidis, although the primary site of infection was not detected.

Conclusions:

Although postoperative S. enteritidis infections are rare, the large numbers of patients with malignant brain tumors who require tumor resections and receive corticosteroids are at great risk. Adequate drainage (if possible), early isolation of the pathogens, and control of the infection by antibiotic therapy guided by antimicrobial susceptibility testing are vital components to prevent this potentially fatal condition.
Foramen magnum decompression without bone removal: C1–C2 posterior fixation for Chiari with congenital atlantoaxial dislocation/basilar invagination
Authors: Salunke Pravin , Karthigeyan Madhivanan , Malik Puneet
Published: April 2019

Background:

Atlantoaxial dislocation (AAD) and basilar invagination (BI) may coexist with Chiari malformations (CM) and a small posterior fossa volume. These are typically treated with craniovertebral junction fusion and foramen magnum decompression (FMD). Here, we evaluated whether C1–C2 posterior reduction and fixation (which possibly opens up the ventral foramen magnum) would effectively treat AAD and CM without additionally performing FMD.

Methods:

This is a retrospective analysis of 38 patients with BI, AAD, and CM who underwent C1–C2 posterior reduction and fusion without FMD. Baseline and follow-up clinical, demographic, and radiological data were evaluated.

Results:

The vast majority of patients (91.9%) improved both clinically and radiographically following C1–C2 fixation alone; none later required direct FMD. Notably, AAD was irreducible in 25 (65.8%) patients. Preoperatively, syringomyelia was present in 28 (73.7%) patients and showed resolution. In 3 (8.1%) patients, resolution of syrinxes did not translate into clinical improvement. Of interest, 5 patients who sustained inadvertent dural lacerations exhibited transient postoperative neurological worsening.

Conclusions:

Posterior C1–C2 distraction and fusion alone effectively treated AAD, BI, accompanied by CM. The procedure sufficiently distracted the dens, reversed dural tenting, and restored the posterior fossa volume while relieving ventral brainstem compression making FMD unnecessary. Surgeons should, however, be aware that inadvertent dural lacerations might contribute to unwanted neurological deterioration.
Reconstruction of the spinal cord of spinal transected dogs with polyethylene glycol
Authors: Ren Shuai , Liu Zehan , Kim C. Yoon , Fu Kuang , Wu Qiong , Hou Liting , Sun Linlin , Zhang Jian , Miao Qing , Kim Jin , Bonicalzi Vincenzo , Guan Xiangchen , Zhang Mingzhe , Zhang Weihua , Xu Junfeng , Canavero Sergio , Ren Xiaoping
Published: April 2019

Background:

Our study shows that a membrane sealant/fiber fusogen polyethylene glycol (PEG) applied immediately on a sharp section of the spinal cord can mend the cord and lead to exceptional levels of motor recovery, with some animals almost normal.

Materials and Methods:

Before deploying such technology in man, long-term data in large mammals that exclude delayed complications (e.g., central pain), confirm the stability of motor recovery, and provide histological evidence of fiber regrowth are necessary. Here, we provide such evidence in dogs followed up over 6 months and in 2 cases up to 1 year along with imaging and histologic data.

Results:

We show that dogs whose dorsal cord has been fully transected recover locomotion after immediate treatment with a fusogen (PEG). No pain syndrome ensued over the long term. Diffusion tensor imaging magnetic resonance and histological, including immunohistochemical, data confirmed the re-establishment of anatomical continuity along with interfacial axonal sprouting.

Conclusions:

This study proves that a form of irreversible spinal cord injury (SCI) can effectively be treated and points out a way to treat SCI patients.
Management of oculomotor nerve schwannoma: Systematic review of literature and illustrative case
Authors: Muhammad Sajjad , Niemelä Mika
Published: April 2019

Background:

Oculomotor nerve schwannoma (ONS) is an extremely rare intracranial benign tumor. Till date, there is no standard treatment of oculomotor schwannoma. Here, we present an illustrative case report of ONS, perform a systematic review of literature on surgically and radiosurgically treated cases and morbidity related to both treatment modalities.

Methods:

We performed a systematic review of literature for cases with ONS treated with surgery or radiosurgery using PubMed/Ovid Medline.

Results:

Till date, there are 60 reported cases of ONS (45 treated surgically and seven radiosurgically) with the dominance of female gender (53%) and mean age of 35.2 years (Range 1–66). In 8% of the cases, there was no involvement of cranial nerve (CN) III and 92% of the cases CN III alone or together with CN II, IV, V, and VI. In 67% of the cases a complete resection and 33% a partial resection performed. In 73% of the cases, postoperative third nerve palsy was documented, 22% improved after surgery and in around 5% of cases, the outcome was not described. In the radiosurgically treated cases of nonvestibular schwannoma including ONS, the progression-free interval of approximately 2 years was above 90%.

Conclusion:

Due to the high rate of postoperative complete oculomotor nerve palsy, a subtotal resection avoiding the nerve injury seems to be a feasible option. Radiosurgery is another option to treat small size schwannoma. A combined treatment with microsurgery followed by radiosurgery may allow effective treatment for large size oculomotor schwannoma.
Extradural en-plaque spinal lipomatous meningioma: A case report and literature review
Authors: de Eulate-Beramendi Sayoa Alvarez , Piña-Batista Kelvin Manuel , Rial-Basalo Juan Carlos
Published: April 2019

Background:

Extradural spinal meningiomas are rare, and few appear as lipomatous meningiomas in an “en-plaque” form. The transitional fibroblastic subtype, with lipid accumulation within the tumoral cells, is typically more aggressive and surgically challenging to resect.

Case Description:

A 42-year-old male presented with neck pain and progressive paresthesias in both upper extremities. Based on the radiological findings, the tentative preoperative diagnosis was lymphoma. However, the biopsy confirmed a meningioma. The patient underwent a combined extradural anterior and posterior approach, resulting in full tumor resection. Histopathologically, the final report documented a lipomatous meningioma.

Conclusion:

Extradural spinal lipomatous meningiomas (i.e., “en-plaque”) are rare and typically result in rapid clinical deterioration. The radiological diagnosis may be difficult, while ultrasonography helps to define their extradural location facilitating planning for gross total anterior/posterior excision where indicated.