bluuebunny/crossref_metadata_2025 huggingface dataset:
Legal Consequences on PPAT Deed Not Made in Accordance with the Provisions Case Study of Court Decision No.137 / PID.B / 2016 / PN.PBR
Authors: Nst Mhd. Mora Kamis , Danil Elwi , Benni Beatrix
Published: October 2019

The notary profession that can concurrently serve as a PPAT is one of the professions that has taken part in the process of law enforcement in Indonesia by providing certainty, order and legal protection in the community, especially in terms of the need for a binding evidence in addition to witness evidence, which is in the form of making authentic evidence. The notary profession is also required to be able to provide legal certainty to the parties, which means that anyone who holds the position of a notary must comply with statutory provisions, as well as PPAT in carrying out his position. But in reality what happens is that there is still a lot of work done by notaries or PPAT which ultimately has legal implications for the authority carried out by notaries or PPAT, so that the public, especially the parties involved in the deed, become confused in seeking legal certainty and in a manner indirectly can cause huge material losses to people who need justice. Research data were collected through field studies through interviews with resource persons to obtain primary data and literature studies to obtain primary data. The focus of this research is to find out and analyze how the legal consequences of the deed made not in accordance with the provisions of the case study court decision no.137 / pid.b / 2016 / pn.pbr. The results of the study showed that 1) PPAT which was proven to have committed a crime of counterfeiting was responsible for his sentence with a prison sentence of 1 (one) Year 8 (eight) Months. 2) The legal consequences of the deed made are not in accordance with the provisions of the legislation because it contains elements of forgery, the deed is null and void by law and for the certificate of transfer of land rights issued with the deed as the basis, then with the court's decision the judge has stated that the certificate the legal defect and cancellation can be requested to the local Office of the Land Agency.
The Relational Analysis of the term "Ḥaqq" in the Holy Quran
Authors: Seyyed Khorasani Raziyeh sadat , Fathi Ali , Dizachi Nayyer Zaki
Published: October 2019

The relational analysis is one of the well-known types of constructivist semantics, which considers the Sense explanation of vocabulary based on the inter-relations of linguistic units. The word Ḥaqq is one of the fundamental key concepts in the Qur'anic worldview, whose semantic domain discovery is very important in the Quran semantic network. Because by discovering the Sense relations of Ḥaqq, its synonym, hyponym and antonym field of vocabulary is drawn, and the position of this concept is determined in the Qur'anic worldview. This research, using descriptive-analytic method, based on the achievements of constructivist semantics, and with the help of semantic components of Ḥaqq, has explained its Sense relations and concluded that Ḥaqq in the holy Qur'an has a hyponym relation with some words such as the Prophet, the Book, and the promise and it has a synonym relation with some words like just and honesty; and it has a polysemy relation with some words like interest and benefit, wājib and tawḥīd. Void, false and obscene are in complementary opposition with Ḥaqq and suspicion, rebellion and oppression are in connotational opposition with the word Ḥaqq.
Policy Arena, Policy Network e Teoria de Campo Social no estudo da Gestão Pública de Turismo
Authors: Frade da Mata Gilberto Maurício , Pimentel Thiago Duarte , Emmendoerfer Magnus Luiz
Published: October 2019

O artigo parte do problema de como conceitos sociológicos de Bourdieu podem contribuir para uma análise de políticas públicas. Para tanto, os objetivos elegidos são: caracterizar a Policy Arena e Policy Network das políticas locais de turismo e caracterizar a partir dos conceitos de campo social e capital as relações que se estabelecem em torno da gestão municipal de turismo. A pesquisa é de cunho qualitativo, cujo método é análise de conteúdo. A Policy Arena é direcionada para políticas regulatórias. A Policy Network é caracterizada por fraca relações entre os membros e políticas regulativas que tem condicionado a menor interação dos membros da gestão local para a implementação de projetos. Na abordagem sociológica, o capital político é determinante nos resultados das decisões e os agentes possuem um baixo nível de capital social, dado que suas relações ocorrem principalmente durante as reuniões que são mensais, limitadas ao nível local. Conclui-se que a combinação da abordagem da ciência política e sociológica do estudo permitiu ampliar o enfoque e o nível de análise, permitindo ampliar a compreensão do fenômeno em estudo.Palavras-Chave: Policy Arena. Policy Network. Campo social. Turismo. Políticas Públicas.
O turismo rural pedagógico promovendo a multifuncionalidade da agricultura: análise de três experiências desenvolvidas no Brasil
Authors: Klein Angela Luciane , Elesbão Ivo , De Souza Marcelino
Published: October 2019

O objetivo da pesquisa foi analisar a função educativa desempenhada pela agricultura a partir do turismo rural pedagógico e suas relações com as funções social, ambiental, econômica, cultural e de saúde e segurança alimentar. Para tal, foram analisadas experiências nos estados de Santa Catarina e São Paulo e no Distrito Federal. Metodologicamente, utilizou-se abordagem qualitativa, a pesquisa bibliográfica e o uso de entrevistas semiestruturadas. Para a realização das entrevistas, definiu-se uma amostra intencional não probabilística onde foram entrevistados 22 empreendedores. Os resultados obtidos evidenciaram a multifuncionalidade na dimensão econômica ao possibilitar aos proprietários complementarem sua renda familiar; na dimensão social, com a melhoria da autoestima dos proprietários; na dimensão educativa ao possibilitar aos estudantes o contato com saberes e fazeres do meio rural; na dimensão ambiental por meio da educação ambiental, e, na dimensão de saúde e segurança alimentar, a partir do reconhecimento da origem dos alimentos. Conclui-se que a prática do turismo rural pedagógico pode se constituir em um instrumento importante para promoção da multifuncionalidade da agricultura.
Dénominations des maladies en langue populaire et argotique (de la ‘synonymite’ des noms de maladies)
Authors: Kacprzak Alicja , Goudaillier Jean-Pierre
Published: October 2019

Pour ce qui est des diverses maladies pouvant être contractées par les êtres humains, on trouve de nombreuses appellations, aussi bien officielles que populaires et/ou argotiques. L’analyse tant d’un point de vue formel que sémantique d’un certain nombre de ces désignations a été effectuée à partir d’un corpus constitué de relevés écrits (dictionnairiques et littéraires). Il en apparaît une image de séries synonymiques de termes désignant certaines maladies. Cette « synonymite » de noms de maladies n’est pas certes gratuite : elle traduit un réel besoin langagier d’appeler le mal d’une manière spécifique selon l’usager et la situation de communication.
Les émotions et les procédés esthétiques dans la publicité sociétale
Authors: Woch Agnieszka
Published: October 2019

L’article traite des émotions dans la publicité sociétale. En s’appuyant sur les exemples relevés dans un corpus de campagnes sociétales francophones, italiennes et polonaises, l’auteur analyse les émotions et les procédés esthétiques auxquels ont souvent recours les spécialistes de la publicité en question en vue d’intéresser, de toucher ou de bouleverser le destinataire du message.
Les néologismes anglais sur les réseaux sociaux – analyse des verbes empruntés dans le langage polonais courant
Authors: Napieralski Andrzej
Published: October 2019

Ce travail est basé sur une enquête menée auprès des locuteurs de la langue polonaise, portant sur la connaissance des néologismes liés aux réseaux sociaux. Cette enquête avait pour but de montrer le degré d'assimilation des lexèmes anglais dans la langue polonaise chez des locuteurs d’âges, d’éducations et de niveaux sociaux différents. Les résultats fournis par l'enquête illustrent la situation des mots anglais qui s'intègrent dans la langue polonaise. Par le biais de mots connus du réseau social populaire Facebook, tels: like, post, featuring, hate, check, fake, nous avons pu fournir des conclusions intéressantes sur l'intégration des néologismes anglais dans la langue courante polonaise et sur leur utilisation par différents types de locuteurs.
Ampliando horizontes de investigación a través de la cooperación interdisciplinaria en filología: el caso de la pragmática histórica
Authors: Faya Cerqueiro Fátima , Vila Carneiro Zaida
Published: October 2019

Este artículo aborda cómo la cooperación entre especialistas de distintas áreas puede desembocar en estudios de gran interés en el campo de la filología. Se repasa la evolución de la pragmática histórica y se hace hincapié en los inconvenientes que plantea su estudio en estadios tempranos de la lengua. Teniendo en cuenta que los textos teatrales son uno de los géneros más apropiados para las investigaciones en esta disciplina, se muestra un ámbito de cooperación entre la crítica textual y la lingüística histórica; se ofrecen, así, dos ejemplos de estudio de tipo forma-función llevados a cabo en las obras de Calderón de la Barca, que conciernen a los marcadores pragmáticos hola y adiós.
Caves and cave art
Authors: Gurgen Gurcan
Published: October 2019

This paper aims to discuss the impact and importance of the karstic caves, which are effective on the emergence and development of cave art and the rocks that generate them. The origin of cave traces to 40 thousand years and the creation of many more works of art and the importance of the rocks to the present day is very important. In particular, carbonate rocks such as limestone and marble became important spaces and raw materials in terms of art history and development. Carbonate deposits placed in the large ocean bowls during geological periods have been elevated and altered land during orogenesis periods. The fact that the carbonate rocks are soluble due to environmental conditions has led to the formation of a large number of caves depending on the size and distribution of the masses forming them. These karstic caves, which constitute a significant part of the caves in the world, have been the habitat of old people for almost 1-1.5 million years. The caves have been very important shelters for life, which became difficult due to the cold climatic conditions during the glacial periods, which were effective during the last 2 million years (Pleistocene). Under the challenging conditions of the Paleolithic period, human societies have tried to survive on the one hand and, on the other hand, achieved their symbolic thinking skills with their developing brain capacities 100,000 years ago. In the following period, the human communities that continued to develop have left very important ruins, which dates back to 40-10 thousand years ago and are regarded as works of art. Structural features of the caves and the rocks forming them are of great importance in the emergence of these works, which are interesting in their techniques as well as their thought style. Karst caves are very suitable for processing in terms of scraping, embossing and various painting techniques depending on the mineral structure of limestone. Besides, since these caves are difficult to access and are prevented from external dangers and risks, they are of great importance for the emergence of this art and reaching to the present day.

 

Keywords: Cave, Karstic rock, Cave art
Academic writing - A challenge in translator training
Authors: Kovacs Gabriella
Published: October 2019

Studies and articles presenting new discoveries, scientific results are usually published in a world language, most often in English, therefore there is a great need to translate these articles in other languages, so that representatives of different professions may keep up with international development. In many cases, these translations are done by specialised translators. Translating academic writing can be challenging in several respects, as it is an accurate, standardised, normative language form, the use of which requires thorough knowledge and experience from the part of the translator. In our study, we examine whether translator trainees at Sapientia Hungarian University of Transylvania are aware of the characteristics of academic writing and are prepared to write academic text, discussing the eventual difficulties that should be addressed in the training process.

Keywords: Academic writing, translator training, style, paraphrasing, proof-reading.
Stress Reduction in the Prevention of Left Ventricular Hypertrophy: A Randomized Controlled Trial of Transcendental Meditation and Health Education in Hypertensive African Americans
Authors: Schneider Robert H. , Myers Hector F. , Marwaha Komal , Rainforth Maxwell A. , Salerno John W. , Nidich Sanford I. , Gaylord-King Carolyn , Alexander Charles N. , Norris Keith C.
Published: October 2019

Background: African Americans have dis­proportionately high rates of cardiovascular disease (CVD). Left ventricular hypertrophy (LVH) is an independent risk factor for CVD and may contribute to this disparity. Psycho­logical stress contributes to LVH in African Americans and other populations.Objective: This study evaluated the effects of stress reduction with the Transcendental Meditation (TM) technique on prevent­ing LVH in African American adults with hypertension.Setting: Martin Luther King Hospital - Charles R. Drew University of Medicine and Science, Los Angeles, CA.Method: In this trial, 85 African American adults (average 52.8 years) were randomly assigned to either TM program or health education (HE) control group and completed posttesting. Participants were tested at base­line and after six months for left ventricular mass index (LVMI) by M-mode echocardiog­raphy, blood pressure, psychosocial stress and behavioral factors. Change in outcomes was analyzed between groups by ANCOVA and within groups by paired t-test.Results: The TM group had significantly lower LVMI compared with the HE group(-7.55gm/m2, 95% CI -14.78 to -.34 gm/m2, P=.040). Both interventions showed sig­nificant within group reductions in BP, (SBP/ DBP changes for TM: -5/ -3 mm Hg, and for HE: -7/-6 mm Hg, P=.028 to <.001) although between group changes were not significant. In addition, both groups showed significant reductions in anger (P=.002 to .001). There were no other changes in lifestyle factors.Conclusions: These findings indicate that stress reduction with TM was effective in preventing LVMI progression and thus may prevent LVH and associated CVD in high-risk African American patients. Ethn Dis. 2019;29(4):577-586; doi:10.18865/ ed.29.4.577
Black-White Differences in 20-year Trends in Cardiovascular Risk in the United States, 1990-2010
Authors: Mitchell Uchechi A. , Ailshire Jennifer A. , Kim Jung Ki , Crimmins Eileen M.
Published: October 2019

Objective: Improvements in the Black- White difference in life expectancy have been attributed to improved diagnosis and treatment of cardiovascular diseases and declines in cardiovascular disease mortal­ity. However, it is unclear whether race differences in total cardiovascular risk and the prevalence of cardiovascular risk factors have improved in the United States since the 1990s.Design: Serial cross-sectional design.Setting: Data from the 1988-1994, 1999- 2002, and 2009-2012 National Health and Nutrition Examination Survey (NHANES).Methods: We estimated total cardiovascu­lar risk levels, the prevalence of high-risk cardiovascular risk factors and the use of antihypertensive and lipid-lowering drugs among US Black and White men and women to determine whether differential changes occurred from 1990-2010.Results: Total cardiovascular risk declined for all races from 1990-2010. The Black- White difference was only significant in 2000 and sex-specific analyses showed that trends seen in the total population were driven by changes among women. Black and White men did not differ in risk at any time during this period. Conversely, Black women had significantly higher risk than White women in 1990 and 2000; this dif­ference was eliminated by 2010. Improved diagnosis and treatment of high blood pres­sure and high cholesterol reduced risk in the total population; improved blood pressure and lipid profiles among Black women and increasing obesity prevalence among White women specifically contributed to the nar­rowing of the Black-White difference in risk among women.Conclusion: Cardiovascular risk and racial disparities in risk declined among US Whites and Blacks due to greater use and effective­ness of lipid-lowering and antihypertensive medications.Ethn Dis. 2019;29(4):587-598; doi:10.18865/ed.29.4.587
Race/Ethnicity Matters: Differences in Poststroke Inpatient Rehabilitation Outcomes
Authors: García James J. , Warren Karlita L.
Published: October 2019

Objective: To examine racial/ethnic differ­ences in poststroke inpatient rehabilitation outcomes.Design: Cross-sectional and retrospective study of administrative data across 2002- 2018.Setting: An inpatient rehabilitation facility in Southern California.Participants: 3,876 racial/ethnic people aged ≥ 18 years.Main Outcome Measures: Functional In­dependence Measure (FIM®) and discharge disposition.Results: Participants were non-Hispanic Whites (NHWs, 68.5%), Hispanics (17.1%), non-Hispanic Asians (NHAs, 7.4%), and non-Hispanic Blacks (NHBs, 6.4%) aged 18-102 years (Mage = 68.47±14.66 years; MLOS = 19.47±10.05 days). Above and beyond covariates, multivariate hierarchical regression analyses showed race/ethnicity significantly predicted admission, motor efficiency, and discharge FIM® scores. Compared with NHWs, the Hispanic and NHA groups were associated with lower cognitive, motor, and total FIM® scores at admission; the NHB group was associated with lower motor efficiency, lower discharge motor and total FIM® scores, whereas the Hispanic group was associated with higher discharge total FIM® scores. Lastly, Hispanics had higher odds of a discharge home compared with NHWs.Conclusions: Findings suggest racial/ethnic differences exist in poststroke rehabilitation outcomes. Ethn Dis. 2019;29(4):599-608; doi:10.18865/ed.29.4.599
Patterns of Health Care Utilization Before First Episode Psychosis in Racial and Ethnic Groups
Authors: Coleman Karen J. , Yarborough Bobbi Jo , Beck Anne , Lynch Frances L. , Stewart Christine , Penfold Robert S. , Hunkeler Enid M. , Operskalski Belinda H. , Simon Gregory E.
Published: October 2019

Objective: To compare patterns of health care utilization associated with first presen­tation of psychosis among different racial and ethnic groups of patients.Design: The study was a retrospective observational design.Settings: The study was conducted in five health care systems in the western United States. All sites were also part of the Nation­al Institute of Mental Health-funded Mental Health Research Network (MHRN).Participants: Patients (n = 852) were aged 15 – 59 years (average 26.9 ± 12.2 years), 45% women, and primarily non-Hispanic White (53%), with 16% Hispanic, 10% non-Hispanic Black, 6% Asian, 1% Native Hawaiian/Pacific Islander, 1% Native Ameri­can/ Alaskan Native, and 12% unknown race/ethnicity.Methods: Data abstracted from electronic medical records and insurance claims data were organized into a research virtual data warehouse (VDW) and used for analysis.Main Outcome Measures: Variables exam­ined were patterns of health care utilization, type of comorbid mental health condition, and type of treatment received in the three years before first presentation of psychosis.Results: Compared with non-Hispanic Whites, Asian patients (16% vs 34%; P=.007) and non-Hispanic Black patients (20% vs 34%; P=.009) were less likely to have a visit with specialty mental health care before their first presentation of psychosis.Conclusions: Early detection of first episode psychosis should start with wider screening for symptoms outside of any indicators for mental health conditions for non-Hispanic Black and Asian patients. Ethn Dis. 2019;29(4):609-616; doi:10.18865/ ed.29.4.609
THE UTILITY OF ASSESSING MUSICAL PREFERENCE BEFORE IMPLEMENTATION OF NONCONTINGENT MUSIC TO REDUCE VOCAL STEREOTYPY
Authors: Lanovaz Marc J. , Rapp John T. , Ferguson Stéphanie
Published: October 2019

We conducted a modified paired‐choice preference assessment and used a multielement design to examine the effects of noncontingent access to high‐ and low‐preference music on vocal stereotypy exhibited by children with autism. For 3 of the 4 participants, high‐preference music (a) produced lower levels of vocal stereotypy than low‐preference music and (b) reduced vocal stereotypy when compared to a no‐interaction condition. Results underscore the potential importance of assessing musical preference prior to using noncontingent music to reduce vocal stereotypy.
Karakteristik Organisasi Perempuan Persatuan Islam Istri (Persistri)
Authors: Isnaeniah Erni
Published: October 2019

Penelitian ini bertujuan untuk mendeskripsikan tentang karakteristik Persatuan Islam Istri yang biasa disebut Persistri. Juga untuk mengungkap ciri khas dan perbedaaan Persistri dengan organisasi perempuan Islam lainnya. Metode penelitian yang digunakan adalah metode deskriptif analisis dengan pendekatan sosiologis. Penelitian ini menyimpulkan bahwa ciri khas utama Persistri adalah organisasi perempuan Islam dengan warna puritan, yaitu sebuah jemaah yang berikhtiar memurnikan kaum perempuan Islam dari seluruh ajaran yang mengandung takhayul, bidah dan khurafat. Tradisi keagamaan Persistri bersumber kepada pemikiran-pemikiran A. Hassan sebagai guru utama, adalah ciri khas lainnya yang melekat kuat sebagai otonom Persatuan Islam (Persis). Anggota dan kader Persistri didominasi oleh ibu-ibu yang awalnya masuk karena suami, ayah dan atau anggota keluarga lainnya telah lebih dahulu masuk menjadi aktivis di Persistri. Sebagai jemaah yang berorientasi kepada gerakan dakwah adalah seluruh program kerja sebagai rencana jihad Persistri. Persistri seperti juga Persis, menyebut organisasinya dengan jemaah, yang memiliki Qanun Asasi dan Qanun Dakhili sebagai panduan perjuangan jemaah, dengan tujuan utamanya dalam bidang dakwah yaitu menegakkan amar makruf nahi mungkar dan sekaligus menghancurkan kebatilan.
Factores de riesgos psicosociales y estrés percibido en docentes universitarios
Authors: Tacca Huamán Daniel Rubén , Tacca Huamán Ana Luisa
Published: October 2019

Los docentes universitarios están involucrados en un ámbito laboral donde interactúan con personas (jefes, colegas, estudiantes, etc.) y situaciones que pueden causar estrés. La presente investigación tuvo como objetivo central conocer la relación entre los factores de riesgos psicosociales y el estrés percibido por los docentes universitarios. El enfoque del trabajo fue cuantitativo, el diseño fue correlacional y transversal; la muestra estuvo constituida por 117 docentes universitarios de Lima, Perú. Los resultados indicaron que el estrés percibido se relaciona positivamente con las exigencias psicológicas, trabajo activo, compensaciones y doble presencia del docente; sin embargo, se encontró una relación inversa entre el estrés y el apoyo social recibido. Los datos muestran que los docentes contratados presentan mayor nivel de estrés y que los principales síntomas experimentados son el cansancio, no poder dormir, dolores de cabeza, poca concentración y variación del apetito. No se encontraron diferencias relevantes en cuanto a la edad y sexo.

 
El Mobbing en trabajadores universitarios: Una revisión sistemática
Authors: Rojas-Solís José Luis , García-Ramírez Brandon Enrique Bernardino , Hernández-Corona Manuel Edgardo
Published: October 2019

Una gran variedad de estudios sobre acoso laboral han abordado diversos grupos laborales debido a que cada uno de ellos presenta condiciones organizacionales e individuales que facilita el desarrollo de esta problemática, por ello el presente trabajo realiza una revisión sistemática de investigaciones científicas sobre el acoso laboral en trabajadores universitarios, ocupando como herramienta de recolección las bases de datos; La Referencia, EBSCO, Web of Science, Scielo y SCOPUS considerando la información publicada en el periodo compuesto entre los años 2000 a 2019. Los estudios analizados fueron de enfoque cuantitativo y mixto, con diseño no experimental y transversal con un alcance correlacional y descriptivo. Con respecto a los instrumentos se resalta la importancia de la actualización teórica y de la validación, así como la necesidad de implementar y crear nuevos instrumentos para la medición de este fenómeno, del mismo modo se invita a realizar investigaciones del acoso laboral en trabajadores universitarios, considerando el análisis de diferencia por sexo y las conductas de acoso.
Malestar docente: reflexiones frente al bajo rendimiento académico en estudiantes universitarios
Authors: Vértiz-Osores Jacinto Joaquín , Vílchez Ochoa Guillermo Lorenzo , Vértiz-Osores Ricardo Iván , Damián-Núñez Edgar , Chico Tasayco Héctor , Rodríguez-Fuentes Antonio
Published: October 2019

La investigación examinó reflexivamente las causas del malestar del docente vinculadas a los resultados negativos del rendimiento estudiantil. Se realizó bajo un enfoque cualitativo con diseño de estudio de casos múltiples usando entrevistas en profundidad a 10 docentes universitarios. Los resultados se desagregaron en las categorías siguientes: predominio de sentimientos contradictorios; incapacidad para soportar la ansiedad; inhibición; depreciación del yo; ansiedad como rasgo dominante y equilibrio; aceptación del conflicto como realidad objetiva. Se concluyó que los entrevistados concordaron en una contradicción entre el sistema educativo superior para impulsar la calidad y la provisión real de las herramientas y condiciones para hacerlo en la praxis. Manifestaron posiciones de aletargamiento condicionado por la necesidad del trabajo para su provisión de recursos, pero con la consciencia de la relevancia de su rol social como educador de una generación de estudiantes que requieren de metodologías que desafíen y fomenten la creatividad en el contexto de la educación digital.
Desgaste ocupacional en docentes universitarios mediante el modelo factorial confirmatorio
Authors: Fuster-Guillén Doris , Jara-Jara Nolan , Ramírez-Asís Edwin , Maldonado-Leyva Hugo , Norabuena Figueroa Roger Pedro , García Guzmán Antonio
Published: October 2019

La investigación aborda el desgaste ocupacional en docentes universitarios, entendida como pérdida progresiva de energía, cansancio emocional, fatiga, irritabilidad, actitudes negativas y sentimientos de insatisfacción. El propósito del estudio fue comparar la presencia de desgaste ocupacional en docentes de la Facultad de Educación e Ingeniería Electrónica de una Universidad Pública del Perú; se desarrolló según principios del enfoque cuantitativo, diseño no experimental transaccional, tipo de investigación sustantivo, descriptivo-comparativo y la muestra estaba constituida por 125 docentes de ambas facultades a los que se administró la Escala de Desgaste Ocupacional- EDO, dicho instrumento presentó validez y fiabilidad requerida. Los resultados a través del modelo factorial confirmatorio de ecuaciones estructurales, estimados mediante el método de distribución libre asintótica, permite concluir que los docentes de la Facultad de Educación presentan mayor desgaste emocional que los docentes de la facultad de ingeniería.
Síndrome de Burnout en profesores de escuela y universidad: un análisis psicométrico y comparativo en la ciudad de Arequipa
Authors: Arias Gallegos Walter L. , Huamani Cahua Julio Cesar , Ceballos Canaza Karla D.
Published: October 2019

En el presente estudio se analizaron comparativamente las manifestaciones del síndrome de burnout en profesores de escuela y de universidad, radicados en la ciudad de Arequipa. Se evaluó a un total de 413 profesores, que fueron seleccionados de manera intencional, y se les aplicó el Inventario de Burnout de Maslach, que arrojó adecuados niveles de confiabilidad para nuestra muestra y tres factores obtenidos mediante análisis factorial confirmatorio, que confirman la teoría de Maslach y Jackson (1981). Se encontró que existen diferencias significativas en función del sexo, el estado civil y el nivel de enseñanza de los profesores, resultando en mayores niveles de agotamiento para las profesoras de nivel escolar y niveles moderados de despersonalización para los profesores universitarios, en quienes se obtuvieron correlaciones negativas con el número de hijos y el síndrome de burnout.
Análisis de la producción científica latinoamericana sobre estrés docente (2010 – 2018)
Authors: Luy-Montejo Carlos Augusto Luy-Montejo , Teves Quispe Julia , Rojas Rivera Wilfredo , Ramos Quispe Teresa , Lazo de la Vega Ramos Alan Daniel , Arias Chávez Dennis , Aguinaga-Villegas Dante , Gálvez-Suarez Eric
Published: October 2019

La presente investigación tuvo como objetivo evaluar la producción científica sobre estres docente. Es un estudio descriptivo transversal de los artículos publicados en revistas indizadas en la colección SciELO entre los años 2010 y 2018. Se analizó estimación de publicaciones por año, revistas, afiliaciones institucionales y temáticas de publicación. Se encontró que entre los años mencionados se han publicado 60 artículos sobre la temática, de los cuales los años de mayor producción fluctuan entre 2014 a 2018, las principales revistas de publicación sobre este tópico son: Actualidades Investigativas en Educación, Revista Salud Uninorte y Revista de Ciencias Médicas de Pinar del Río; además Brasil, Colombia y Cuba son los afiliaciones a instituciones de estos países con mayor cantidad de artículos publicaods. Podemos concluir que el estres docente como variable de investigación viene siendo estudiado de a poco en países latinoamericanos; sin embargo, es necesario seguir fortaleciendo estos estudios en demás bases de datos.
Estrés docente y factores psicosociales en docentes de Latinoamérica, Norteamérica y Europa
Authors: Alvites-Huamaní Cleofé Genoveva
Published: October 2019

En un mundo acelerado como el de estos tiempos, en el que la información y el conocimiento cambia en milésimas de segundos y por ende la educación a todo nivel debe adaptarse a ella, esta como centro el docente, quien debe realizar todas sus actividades con urgencia por presión mediática que tiene de su entorno, autoridades, pares y hasta de sus estudiantes, lo cual en el transcurso del tiempo le puede generar estrés,  por tanto esta investigación se centró en relacionar el estrés y los factores psicosociales en docentes de Latinoamérica, Norteamérica y Europa, en una muestra no probabilística n= 81 docentes de diferentes países, del nivel de educación básica y universitaria, para la recolección de datos se utilizaron la Escala Docente (ED-6 α=0.932) y Cuestionario de Factores Psicosociales en el Trabajo Académico (FPSIS α=0.916), con un diseño no experimental, correlacional, transversal de enfoque cuantitativo. Los resultados obtenidos indican que existe correlación significativa entre el estrés docente y los factores psicosociales, (p=.000), prevaleciendo en su mayoría el nivel de estrés por ansiedad, depresión, creencias desadaptativas que se correlacionan con los factores psicosociales.
Effectiveness of Rice Husk and Bagasse Fly Ash as Adsorbent of Cr Metal on Batch System
Authors: Sangandita Kharisma Resti Kurnia Diah , Utami Budi
Published: October 2019

This study aimed to utilize rice husk and bagasse fly ash as Cr metal adsorbent. In this study, the adsorption used batch system. The steps of research were preparation of materials, activation of materials with HCl and NaOH solutions, characterization test using SEM, FTIR and AAS. Determination of optimum condition of Cr metal adsorption on variation of adsorbent composition, adsorbent mass, adsorbate concentration and isotherm adsorption study. The result showed that the adsorbent of rice husk and bagasse fly ash can be used as adsorbent because there were pores that is based on SEM analysis, based on FTIR results that there were a –OH (hydroxyl) functional group at wavenumber 3424.76 cm-1 and Si-O from Si-O-Si (siloxane) functional group at wavenumber 1048.36 cm-1 in the combination of rice husk and bagasse fly ash adsorbent, based on AAS results it was found that the optimum composition ratio of rice husk and bagasse fly ash adsorbent was 1:2 with the percentage of Cr adsorbed 98.90%, the optimum adsorbent mass at 0.2 g with the percentage of Cr adsorbed 99.77% and the optimum adsorbate concentration at 20.645 mg/L with the percentage of Cr adsorbed 99.63%. The pattern of adsorption isotherm tends followed the Langmuir isotherm which means the adsorption process chemically.
Disseminating Evidence-Based Interventions in Small, Low-Wage Worksites: A Randomized Controlled Trial in King County, Washington (2014–2017)
Authors: Hannon Peggy A. , Hammerback Kristen , Kohn Marlana J. , Kava Christine M. , Gary Chan Kwun C. , Parrish Amanda T. , Allen Claire , Helfrich Christian D. , Mayotte Caitlin , Beresford Shirley A. , Harris Jeffrey R.
Published: October 2019

Objectives. To determine whether (1) participating in HealthLinks, and (2) adding wellness committees to HealthLinks increases worksites’ evidence-based intervention (EBI) implementation.

Methods. We developed HealthLinks to disseminate EBIs to small, low-wage worksites. From 2014 to 2017, we conducted a site-randomized trial in King County, Washington, with 68 small worksites (20–200 employees). We assigned worksites to 1 of 3 arms: HealthLinks, HealthLinks plus wellness committee (HealthLinks+), or delayed control. At baseline, 15 months, and 24 months, we assessed worksites’ EBI implementation on a 0% to 100% scale and employees’ perceived support for their health behaviors.

Results. Postintervention EBI scores in both intervention arms (HealthLinks and HealthLinks+) were significantly higher than in the control arm at 15 months (51%, 51%, and 23%, respectively) and at 24 months (33%, 37%, and 24%, respectively; P < .001). Employees in the intervention arms perceived greater support for their health at 15 and 24 months than did employees in control worksites.

Conclusions. HealthLinks is an effective strategy for disseminating EBIs to small worksites in low-wage industries.

Public Health Implications. Future research should focus on scaling up HealthLinks, improving EBI maintenance, and measuring impact of these on health behavior.
Coverage Expansions and Utilization of Physician Care: Evidence From the 2014 Affordable Care Act and 1966 Medicare/Medicaid Expansions
Authors: Gaffney Adam , McCormick Danny , Bor David , Woolhandler Steffie , Himmelstein David
Published: October 2019

Objectives. To evaluate the effects of the 2 major coverage expansions in US history—Medicare/Medicaid in 1966 and the Affordable Care Act (ACA) in 2014—on the utilization of physician care.

Methods. Using the National Health Interview Survey (1963–1969; 2011–2016), we analyzed trends in utilization of physician services society-wide and by targeted subgroups.

Results. Following Medicare/Medicaid’s implementation, society-wide utilization remained unchanged. While visits by low-income persons increased 6.2% (P < .01) and surgical procedures among the elderly increased 14.7% (P < .01), decreases among nontargeted groups offset these increases. After the ACA, society-wide utilization again remained unchanged. Increased utilization among targeted low-income groups (e.g., a 3.5-percentage-point increase in the proportion of persons earning less than or equal to 138% of the federal poverty level with at least 1 office visit [P < .001]) was offset by small, nonsignificant reductions among the nontargeted population.

Conclusions. Past coverage expansions in the United States have redistributed physician care, but have not increased society-wide utilization in the short term, possibly because of the limited supply of physicians.

Public Health Implications. These findings suggest that future expansions may not cause unaffordable surges in utilization.
Healthy Teaching Kitchen Programs: Experiential Nutrition Education Across Veterans Health Administration, 2018
Authors: Black Marissa , LaCroix Robin , Hoerster Katherine , Chen Sunny , Ritchey Katherine , Souza Melanya , Utech Anne , Thielke Stephen
Published: October 2019

Traditional clinical interventions yield few positive effects on diet. The Healthy Teaching Kitchen (HTK) program implemented by the Veterans Health Administration at sites across the United States delivers interactive nutrition and culinary education, guided instruction, and social opportunities for patients and caregivers. We report HTK outcomes of veterans’ self-reported acceptability, self-efficacy for dietary change, and dietary and cooking habits. The HTK program is acceptable and feasible and may empower participants to improve health.
Alternatives to SNAP: Global Approaches to Addressing Childhood Poverty and Food Insecurity
Authors: Fernald Lia C. H. , Gosliner Wendi
Published: October 2019

The Supplemental Nutrition Assistance Program (SNAP) in the United States is a key element of the nation’s safety net. Yet, 12.5 million US children live in households that experience food insecurity, despite national spending of $65 billion on SNAP alone.

In analyses integrating data from the 36 Organisation for Economic Co-operation and Development (OECD) countries, we found that child poverty and food insecurity are much higher in the United States than in most of the other OECD countries. The United States has higher total social spending than other OECD countries, but a lower rate of spending on children and families. This international comparison suggests that potentially effective solutions implemented in other countries might help further alleviate US childhood poverty and food insecurity.

Broadly, we recommend increasing investments in families with children, particularly low-income families. Our specific recommendations include increasing SNAP benefits, establishing additional benefits to support low-income families with young children, and implementing a universal child allowance. Achieving substantial reductions in child poverty and food insecurity will require overcoming many challenges, including the current US political climate, a national history of underinvestment in social programs, a lack of political will, and a culture of structural racism.
Identifying Technical Procedures in Orthopaedic Surgery and Traumatology That Should Be Integrated in a Simulation-Based Curriculum
Authors: Gustafsson Amandus , Viberg Bjarke , Paltved Charlotte , Palm Henrik , Konge Lars , Nayahangan Leizl Joy
Published: October 2019

Background:

Simulation-based training is emerging within the orthopaedic field to alleviate the challenges that trainees face such as work-hour restrictions, limited exposure to procedures, and increasing pressures to reduce risk to patients. This training modality has grown increasingly popular over the last 2 decades. However, integration into the curriculum often fails to follow a structured educational plan. The development of simulation-based curricula should follow a structured and stepwise approach that starts with a general needs assessment. This study aimed to identify and prioritize procedures within orthopaedic surgery to be included in a simulation-based curriculum on a national basis.

Methods:

A national needs assessment was conducted using the Delphi method. Ninety-five experts who are involved in the training of orthopaedic surgeons from all orthopaedic departments in Denmark were selected to participate in the assessment. Round 1 was a brainstorming phase to identify technical procedures that are relevant for orthopaedic surgeons in training. Round 2 was performed on a departmental basis; it explored the frequency of procedures, the number of surgeons performing each procedure, the risk and/or discomfort to patients, and the feasibility for simulation-based training to prioritize and eliminate some of the procedures that were determined in round 1. During round 3, the experts eliminated and reprioritized procedures from round 2 to produce a final prioritized list.

Results:

During the first round, 194 procedures were identified. These were reduced to 62 in round 2, and the final list after round 3 consisted of 33 prioritized procedures that are relevant for simulation-based training in orthopaedic surgery. The response rates were 63 of 95 physicians for round 1, 26 of 26 departments for round 2, and 64 of 97 physicians for round 3. The highest prioritized procedures were basic surgical techniques and principles for osteosynthesis, osteosynthesis of proximal femoral fracture, and surgical exposure of the upper and lower extremities.

Conclusions:

The prioritized list of technical procedures in orthopaedic surgery that are suitable for simulation-based training can aid in the development of a simulation-based curriculum.

Clinical Relevance:

This article offers insights into needs assessment and curriculum development of simulation-based training in orthopaedic surgery and traumatology.
Adhering to Radiographic Clinical Practice Guidelines for Distal Radial Fracture Management Is Associated with Improved Outcomes and Lower Costs
Authors: Giladi Aviram M. , Giberson-Chen Carew C. , Parker Amber M. , Desale Sameer , Rozental Tamara D.
Published: October 2019

Background:

The American Academy of Orthopaedic Surgeons Clinical Practice Guideline on the Treatment of Distal Radius Fractures has not been evaluated in clinical practice. We hypothesized that adhering to the distal radial fracture radiographic clinical practice guideline (CPG) improves outcomes and reduces costs.

Methods:

We reviewed 266 patients with distal radial fractures treated at 1 institution. Based on CPG radiographic parameters (Recommendation 3), care was rated as “appropriate” or “inappropriate.” QuickDASH (an abbreviated version of the Disabilities of the Arm, Shoulder and Hand [DASH] questionnaire) scores were collected. The direct costs of distal radial fracture care were determined. Descriptive statistics and nonparametric tests were used to evaluate demographic characteristics and outcomes across groups. QuickDASH scores, grouped by postoperative time interval, were analyzed using linear mixed effect models to predict outcome trends.

Results:

In this study, 145 patients in the operative treatment group and 121 patients in the nonoperative treatment group were included. Of the 145 patients in the operative treatment group, 6 underwent an inappropriate surgical procedure, limiting any analyses of that group. Of the 121 patients in the nonoperative treatment group, 68 were treated inappropriately. For the patients in the nonoperative treatment group, appropriate care provided a significant outcome benefit by 1 year; the median QuickDASH score was 10.1 points for the appropriate treatment group and 19.5 points for the inappropriate treatment group (p = 0.05). The total direct costs for inappropriate nonoperative treatment were, on average, 60% higher than appropriate nonoperative treatment. In predictive models, patients with appropriate care in the operative treatment group and the nonoperative treatment group had better outcomes than patients with inappropriate nonoperative treatment at all time points after 29 days.

Conclusions:

When nonoperative distal radial fracture management was aligned with radiographic CPG criteria, patients in our cohort had improved patient-reported outcomes with lower costs.

Level of Evidence:

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Graft Diameter and Graft Type as Predictors of Anterior Cruciate Ligament Revision
Authors: Snaebjörnsson Thorkell , Hamrin-Senorski Eric , Svantesson Eleonor , Karlsson Louise , Engebretsen Lars , Karlsson Jon , Samuelsson Kristian
Published: October 2019

Background:

It is important to investigate and compare graft diameters as well as graft types to identify risk factors for revision after an anterior cruciate ligament (ACL) reconstruction. We performed the current study in order to analyze the early ACL revision rate among patients treated with hamstring tendon (HT) autografts or patellar tendon (PT) autografts of different diameters. Our hypothesis was that an increase in both HT and PT autograft diameters would reduce the risk of early ACL revision.

Methods:

This retrospective study was based on prospectively collected data from the national knee ligament registries of Norway and Sweden and included patients who underwent primary ACL reconstruction during the period of 2004 through 2014. The primary end point was the 2-year incidence of ACL revision. The impact of graft type and diameter on the incidence of revision surgery was reported as relative risks (RRs) with 95% confidence intervals (CIs), estimated by using generalized linear models with a binomial distribution and log-link function.

Results:

Of 58,692 patients identified, a total of 18,425 patients were included in this study. The 2-year rate of ACL revision was 2.10% (PT autografts, 2.63%; HT autografts, 2.08%; RR = 0.93 [95% CI = 0.60 to 1.45]). There was an increased risk of ACL revision among patients treated with HT autografts with a diameter of <8 mm compared with larger HT autografts (RR = 1.25 [95% CI = 1.01 to 1.57]). Patients treated with HT autografts with a diameter of ≥9.0 mm or ≥10.0 mm had a reduced risk of early ACL revision compared with patients treated with PT autografts.

Conclusions:

Patients treated with larger-diameter HT autografts had a lower risk of early ACL revision compared with those treated with HT autografts of <8 mm. Patients treated with HT autografts of ≥9 or ≥10 mm had a reduced risk of early ACL revision compared with patients treated with PT autografts.

Level of Evidence:

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.