bluuebunny/crossref_metadata_2025 huggingface dataset:
Mathematical Model of Kinetics of Antigens Accumulation in the Process of Periodical Submerged Cultivation of
Vibrio cholerae 569В Inaba with Limitation as Regards Carbonic Substrate
Authors: Komissarov A. V. , Nikiforov A. K. , Zadokhin S. N. , Eremin S. A. , Volokh O. A. , Aleshina Yu. A.
Published: July 2018

Presented is mathematical model of kinetics of the process of O-antigen and cholera toxin synthesis during periodical submerged cultivation of V. cholerae 569В Inaba with limitation as regards carbonic substrate. The proposed model is based upon analysis of experimental data on V. cholerae 569В Inaba biomass and antigens accumulation, rate of growth and antigens release, and glucose utilization. Using Mathcad 15.0 software calculated are coefficients of differential equations entering into the mathematical model. Comparison of predicted and experimental data demonstrates that relative error of determination of concentrations of the synthesized substances, glucose and cholera vibrio is between 5 and 20 %. The proposed model permits to determine maximum output of final products and specify the parameters of cultivation process performance at different initial conditions.
EVIDENT Smartphone App, a New Method for the Dietary Record: Comparison With a Food Frequency Questionnaire (Preprint)
Authors: Recio-Rodriguez Jose I , Rodriguez-Martin Carmela , Gonzalez-Sanchez Jesus , Rodriguez-Sanchez Emiliano , Martin-Borras Carme , Martínez-Vizcaino Vicente , Arietaleanizbeaskoa Maria Soledad , Magdalena-Gonzalez Olga , Fernandez-Alonso Carmen , Maderuelo-Fernandez Jose A , Gomez-Marcos Manuel A , Garcia-Ortiz Luis ,   EVIDENT Investigators
Published: July 2018

BACKGROUND

More alternatives are needed for recording people’s normal diet in different populations, especially adults or the elderly, as part of the investigation into the effects of nutrition on health.

OBJECTIVE

The aim of this study was to compare the estimated values of energy intake, macro- and micronutrient, and alcohol consumption gathered using the EVIDENT II smartphone app against the data estimated with a food frequency questionnaire (FFQ) in an adult population aged 18 to 70 years.

METHODS

We included 362 individuals (mean age 52 years, SD 12; 214/362, 59.1% women) who were part of the EVIDENT II study. The participants registered their food intake using the EVIDENT app during a period of 3 months and through an FFQ. Both methods estimate the average nutritional composition, including energy intake, macro- and micronutrients, and alcohol. Through the app, the values of the first week of food recording, the first month, and the entire 3-month period were estimated. The FFQ gathers data regarding the food intake of the year before the moment of interview.

RESULTS

The intraclass correlation for the estimation of energy intake with the FFQ and the app shows significant results, with the highest values returned when analyzing the app’s data for the full 3-month period (.304, 95% CI 0.144-0.434; P<.001). For this period, the correlation coefficient for energy intake is .233 (P<.001). The highest value corresponds to alcohol consumption and the lowest to the intake of polyunsaturated fatty acids (r=.676 and r=.155; P<.001), respectively. The estimation of daily intake of energy, macronutrients, and alcohol presents higher values in the FFQ compared with the EVIDENT app data. Considering the values recorded during the 3-month period, the FFQ for energy intake estimation (Kcal) was higher than that of the app (a difference of 408.7, 95% CI 322.7-494.8; P<.001). The same is true for the other macronutrients, with the exception g/day of saturated fatty acids (.4, 95% CI −1.2 to 2.0; P=.62).

CONCLUSIONS

The EVIDENT app is significantly correlated to FFQ in the estimation of energy intake, macro- and micronutrients, and alcohol consumption. This correlation increases with longer app recording periods. The EVIDENT app can be a good alternative for recording food intake in the context of longitudinal or intervention studies.

CLINICALTRIAL

ClinicalTrials.gov NCT02016014; http://clinicaltrials.gov/ct2/show/NCT02016014 (Archived by WebCite at http://www.webcitation.org/760i8EL8Q)
Service Use History of Individuals Enrolling in a Web-Based Suicidal Ideation Treatment Trial: Analysis of Baseline Data (Preprint)
Authors: Wong Quincy JJ , Werner-Seidler Aliza , Torok Michelle , van Spijker Bregje , Calear Alison L , Christensen Helen
Published: July 2018

BACKGROUND

A significant recent innovation is the development of internet-based psychological treatments for suicidal thinking. However, we know very little about individuals experiencing suicidal ideation who seek help through Web-based services and, in particular, their previous health service use patterns.

OBJECTIVE

We aimed to examine service use history and its correlates among adults experiencing suicidal ideation who enrolled in a Web-based suicidal ideation treatment trial.

METHODS

We used baseline data of 418 individuals seeking Web-based treatment for their suicidal ideation recruited into a randomized controlled trial of a 6-week Web-based self-help program. Participants at preintervention reported demographic information, clinical characteristics, and health service use over the previous 6 months.

RESULTS

Participants had a high rate of service use in the 6 months before enrolling in the treatment trial (404/418, 96.7% of participants had contact with services). The two most common contact points were general practitioners (385/418, 92.1% of participants) and mental health professionals (295/418, 70.6% of participants). Notably, those with a previous single suicide attempt had lower odds of contact with any service than those with no attempt (odds ratio [OR] 0.21, 95% CI 0.05-0.86; P=.03). Those living in rural or remote areas had lower odds of contacting general practitioners (OR 0.35, 95% CI 0.13-0.91; P=.03) or mental health professionals (OR 0.44, 95% CI 0.23-0.83; P=.01) than those living in metropolitan areas.

CONCLUSIONS

Individuals enrolling in an electronic health intervention trial have often received treatment from general practitioners or mental health professionals. These services can therefore play an important role in preventing the escalation of suicidal thinking. Enrollment in our Web-based treatment trial suggested, though, that face-to-face health services may not be enough. Our study also highlighted the need to improve the provision of coordinated and assertive care after a suicide attempt, as well as health service availability and utilization for those living in rural and remote areas.

CLINICALTRIAL

Australian New Zealand Clinical Trials Registry ACTRN12613000410752; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364016 (Archived by WebCite at http://www.webcitation.org/6vK5FvQXy); Universal Trial Number U1111-1141-6595
Enquadramentos teórico-conceituais sobre o fracasso da ALCA: uma análise a partir da atuação brasileira durante o Governo FHC (1995-2002)
Authors: Medeiros Klei , Lopes Ícaro Faustino , Campos Tales De Paula Roberto de
Published: July 2018

Este artigo objetiva revisitar o processo de regionalização proposto pelos EUA para a América Latina e a forma pela qual o governo brasileiro, sob a presidência de Fernando Henrique Cardoso (1995-2002), levou a cabo as negociações de modo a prevenir sua concretização e consolidar um polo de poder econômico independente na região: o MERCOSUL. O artigo apresenta distintas perspectivas teóricas para interpretar esse fenômeno: a regionalização econômica de Balassa (2013); a teoria dos jogos (AXELROD & KEOHANE, 1985; PUTNAM, 2010) e as abordagens sobre Governança Econômica Global (WOODS, 2006). Ao fim, concluímos sobre quais aspectos teórico-conceituais predominaram na posição do governo FHC de não aceitar o Acordo de Livre Comercio das Américas. Um dos aspectos fundamentais fora o modo de negociação levado à cabo por FHC junto aos EUA: o que aqui denominamos “jogo de três níveis”. Ademais, o presidente visava consolidar o país como um dos polos econômicos de poder em meio à integração macroeconômica e financeira com o Cone Sul.
Posconflicto y reforma militar: reflexiones y rcomendaciones a propósito del caso colombiano tras los acuerdos de la habana
Authors: Arciniegas Alexander
Published: July 2018

Este artículo propone algunas sugerencias puntuales en relación con la reforma de la fuerza pública en Colombia de cara al posconflicto. Para ello parte del concepto de Reforma del Sector Seguridad y de su horizonte normativo. Posteriormente, se revisan los aspectos esenciales de la reforma militar emprendida en la década de 2000 tanto en sus fortalezas en el debilitamiento de las FARC como en sus deficiencias en términos de control civil democrático y de respeto de los DDHH. Finalmente, en el camino de superar tales deficiencias y de atender a las necesidades de seguridad del nuevo escenario estratégico resultado de los acuerdos de La Habana, se proponen algunas recomendaciones en el corto y largo plazo para avanzar en un posconflicto más estable y construir una paz duradera.
Intususcepción idiopática en el adulto: presentación de caso clínico, diagnóstico y tratamiento
Authors: Castro Medina Carlos Alberto , Conrado Jiménez Héctor , Cardona Sandra Marcela
Published: July 2018

La intususcepción intestinal es una patología infrecuente en el adulto causante de 1%-5% de obstrucciones intestinales, se asocia con frecuencia a patologías de origen neoplásico o alteraciones estructurales del tracto gastrointestinal, sin embargo hasta en el 10% de los casos es idiopática. En la mayoría de los casos el diagnóstico se realiza después de la intervención quirúrgica, pero con el desarrollo de técnicas de imagen, en la actualidad, se puede llegar a la presunción diagnóstica previa intervención. Se presenta un caso clínico en el cual el diagnóstico se realiza de manera preoperatoria por medio de tomografía computarizada y la revisión de literatura correspondiente.
Radionuclide X-ray fluorescence spectrometry of medical plant samples
Authors: Lukačovičová Oľga
Published: July 2018

The method of samples processing and subsequent their analysis using Radionuclide X-ray Fluorescence Spectrometry for medical plant samples and drugs has been developed. Technical aspects of the measurement such as mutual geometrical arrangement of tablets (of various size and mass), semiconductor Si/Li detector and the primary source of radiation, 238Pu, are discussed. Technique of Radionuclide X-ray Fluorescence Spectrometry (RXFS) has been applied on samples of medical products and medicines used to treat liver diseases. Medicinal herbs, teas in infusion bags and the drug from this group, were analysed in the solid state (in the form of tablets) or as the leachate, applied to the ion exchanger resin. Chelating Extraction Disks EmporeTM have proven the ability to extract elements from liquid samples under certain conditions and thus to prepare samples for RXFS analysis and evaluation. To ensure correct results, an optimal pH environment has been found. The detection limits of selected elements (Cr, Mn, Fe, Ni, Cu, Zn and Pb) have been calculated for both solid and liquid state samples. Standard addition method and calibration curve parameters have been used to evaluate the concentration of each element in studied samples. Determined concentrations of the examined elements were compared with permissible contaminant limits for the relevant food law in Slovak Republic.
Giant Basal Cell Carcinoma: A Case Report
Authors: Popović Danijela , Jović Andrija , Tiodorović Danica , Vidović Nataša , Graovac Ivana
Published: July 2018

Basal cell carcinoma (BCC) is the most common type of skin cancer and the most common type of tumor in the human population in general. Clinical variants of BCC include nodular, superficial, pigmented, morpheaform, cystic, metatypical types and fibroepithelioma of Pinkus. Giant BCC is a rare type of carcinoma, accounting for less than 1% of all cases of BCC. Most often they occur on the trunk. BCC belongs to the group of aggressive tumors, leading to the invasion of deeper tissues, and examples of metastasis of this type of tumor can be found in the reference literature. In this case report, we present a case of a 76-year-old female patient with a giant ulcerous form of basal cell carcinoma on the back.
Dihydroxyacetone as a definitive treatment for aluminium phosphide poisoning in rats
Authors: Ahmadi Jafar , Joukar Siyavash , Anani Hussein , Karami-Mohajeri Somayyeh
Published: July 2018

Aluminium phosphide (AlP), a very toxic pesticide also known as the rice tablet, releases phosphine gas upon contact with water, moisture, or gastric acid. Its mortality rate in humans is 70-100 % due to cardiogenic shock and refractory hypotension. Dihydroxyacetone (DHA) is a simple ketonic carbohydrate, mainly used for sunless skin tanning. It also plays a beneficial role in the treatment of hypotension and cardiogenic shock by restoring blood volume and cellular respiration. The aim of this study was to investigate the its effect on the haemodynamics and electrocardiogram (ECG) in male rats poisoned with AlP. The animals were divided into the following groups: control (received 1 mL corn oil, orally), AlP (received 15 mg kg−1 AlP solved in corn oil, orally), AlP plus DHA (treated with 50 mg kg−1 of DHA 30 min after receiving AlP), and AlP plus N-acetyl cysteine (NAC) (treated with 200 mg kg−1 of NAC 30 min after receiving AlP). The animals were then anaesthetised and ECG, blood pressure, and heart rate were recorded for 120 min. Treatment with AlP alone and in combination with NAC was associated with progressive hypotension, tachycardia, and ECG disturbances in rats, resulting in 100 % mortality 3 h after poisoning. However, DHA achieved 100 % survival in the poisoned rats and prevented AlP-induced ECG and haemodynamic abnormalities. The main mechanism of DHA in the treatment of AlP poisoning is unclear, but the findings suggest the promising therapeutic potential of DHA against AlP poisoning.
Aspects of Forest Management in the Maintaining of Forest Environment
Authors: Jaszczak Roman , Gołojuch Piotr , Wajchman-Świtalska Sandra , Miotke Mariusz
Published: July 2018

Forest management is a scientific discipline designed to develop methods of maintaining forest areas and to ensure the sustainable development of forest resources in terms and conditions of multifunctional forestry. This is a branch of practical forestry which deals with inventorying and assessing the state of forests, defines economic tasks and draws up a program of nature conservation for forest districts. The paper presents legal conditions related to the concept of forest management plan, as well as issues related to the area division, planning economic indications and their role for the forest environment. Authors present a forecast of impact of a forest management plan on the forest environment and the Natura 2000 sites.
State of the Art in Technologies of the Biogas Production Increasing During Methane Digestion of Sewage Sludge
Authors: Wiśniowska Ewa , Włodarczyk-Makuła Maria
Published: July 2018

At present many WWTPs are focused on increasing quantity of biogas generated during sewage sludge processing. Various disintegration methods can be used for this purpose - thermal heating, ultrasonic disintegration, chemical treatment. The limiting step in sewage sludge digestion is hydrolysis, increasing the rate of this process allows for shortening solids retention time in digester, increasing soluble COD concentration in the reject water and as a result also biogas production. In technical scale ultrasonic and thermal disintegration are used. The most effective are ultrasounds below 100 Hz. In thermal conditioning various technological parameters are applied (from 60 - 80 °C to even 250°C, retention times from 15 min. to 2 hours). Effectiveness of the processes can be increased by using combined processes, e.g. thermal treatment and chemical stabilization. Chemical methods are at present mainly applied in laboratory scale. They include alkaline and acidic pretreatment or advanced chemical oxidation methods.
Tectonic and Glaciotectonic Deformations in the Areas of Polish Lignite Deposits
Authors: Widera Marek
Published: July 2018

This study addresses the complex geology caused mainly by tectonic and glaciotectonic processes in lignite-bearing areas of Poland. Tectonics played a dominant role in the deformation of peat/lignite seams during their deposition. This is especially true for deep grabens where the thickest lignite seams were deposited (e.g., Bełchatów). Conversely, glaciotectonics led to the post-depositional deformation of other deposits (e.g., Sieniawa). The effects of tectonic and glaciotectonic processes in this region are investigated using both simplified geological cross-sections and photography. The size, depth and architecture of the glaciotectonic structures verified in this study demonstrate the importance of their consideration during the exploration and exploitation stages of such lignite deposits, as well as the planning of construction projects in areas strongly transformed by glaciotectonics.
Use of a new LC-MS method for the determination of pyrrolizidine alkaloids in feeds
Authors: Kowalczyk Ewelina , Kwiatek Krzysztof
Published: July 2018

Introduction

Pyrrolizidine alkaloids (PAs) are secondary metabolites produced by many plant species. Due to their toxicity PAs can pose a risk to human and animal health. To detect the toxic compounds in feed materials a sensitive method based on liquid chromatography coupled with mass spectrometry has been developed.

Material and Methods

PAs were extracted with sulphuric acid and purified with cation exchange cartridges. A newly developed solvent mixture consisting of ethyl acetate, methanol, acetonitrile, ammonia, and triethylamine was used to wash alkaloids from the cartridges. After evaporation the residues were reconstituted in water and methanol mixture and subjected to LC-MS analysis.

Results

The developed method was validated according to SANTE/11945/2015 guidelines. The recovery was from 84.1% to 112.9%, the repeatability ranged from 3.0% to 13.6%, and the reproducibility was from 4.8% to 18.9%.

Conclusions

A sensitive and selective method for determination of PAs in feed materials has been developed and validated. All evaluated validation parameters were in accordance with EU Reference Laboratories document no. SANTE/11945/2015. Almost 41% of the analysed feed samples were positive for the presence of at least one PA.
GLP-1 localisation and proglucagon gene expression in healthy and diabetic mouse ileum
Authors: Taşçı Serap Koral , Bingöl Seyit Ali
Published: July 2018

Introduction

Glucagon-like peptide-1 (GLP-1) is a polypeptide that is mainly produced by intestinal L cells and is encoded by the proglucagon gene. In this study, GLP-1 localisation was investigated in the ileum of healthy and diabetic mice by immunohistochemistry and proglucagon gene expression was assayed by reverse transcription-polymerase chain reaction.

Material and Methods

This study included 18 male Balb/c mice that were divided into diabetic, sham, and control groups. Mice in the diabetic group received 100 mg/kg of streptozotocin. Immunohistochemical expression of GLP-1 was determined using the avidin–biotin–peroxidase complex technique, and proglucagon gene expression was determined by RT-PCR.

Results

Analysis of GLP-1 immunohistochemical localisation showed that GLP-1-immunopositive cells (L cells) were present between epithelial cells in the intestinal crypts. The intensity and localisation of GLP-1 immunoreactivity were similar among the mice in all the groups. Proglucagon gene expression levels were also statistically similar among the mice in all the groups.

Conclusion

No difference was demonstrated among the mice in the diabetic, sham, or control groups with respect to proglucagon gene expression and GLP-1 localisation in the ileum, suggesting that diabetes does not affect proglucagon gene expression in the ileum.
Propagation of Ship-Generated Noise in Shallow Sea
Authors: Kozaczka Eugeniusz , Grelowska Grażyna
Published: July 2018

Contamination of sea environment by noise and any energy radiated to water constitutes today a problem to which more and more attention is paid, in view, a.o., of consequences of an impact of these factors onto marine fauna. European Union has introduced a directive by which EU countries are made responsible to undertake efforts aimed at reaching a good envirenmental status of European seas by 2020. A main source of underwater noise is sea transport of any kind. Propagation of underwater acoustic disturbances in the Baltic Sea highly differs from the course of the phenomenon in a deep sea. Model of spherical propagation cannot be applied to this case in view of water environment limitation by seabed and free water surface, i.e. a reduction of the problem to wave propagation in a water layer of the depth comparable with acoustic wave length. This paper is aimed at demonstration of possible assessment of range of acoustic disturbances generated by a ship sailing in shallow sea, by using a method described in the work [13]. The research was made on the basis of results of own measurements of underwater noise produced by ships in the Gdansk Bay area. An important factor which decIdes on a range of underwater disturbances is a kind of seabed sediments. In this paper there are presented results of numerical investigations based on real data dealing with noise produced by a selected floating unit (ship) for selected characteristic spectral components. The simulations were conducted for the shallow sea model of definite physical parameters such as acoustic wave propagation velocity, geometrical dimensions (water depth) and seabed acoustic parameters as well.
Experimental and Numerical Validation of the Improved Vortex Method Applied to CP745 Marine Propeller Model
Authors: Król Przemysław , Tesch Krzysztof
Published: July 2018

The article presents a numerical analysis of the CP745 marine propeller model by means of the improved vortex method and CFD simulations. Both numerical approaches are validated experimentally by comparing with open water characteristics of the propeller. The introduced modification of the vortex method couples the lifting surface approach for the propeller blades and the boundary element method for the hub. What is more, a simple algorithm for determination of the propeller induced advance angles is established. The proposed modifications provide better results than the original version of the vortex method. The accuracy of the improved method becomes comparable to CFD predictions, being at the same time a few hundred times faster than CFD.
EVALUASI HASIL INTEGRASI BERBAGAI KETELITIAN DATA MODEL ELEVASI DIGITAL
Authors: Mukti Fanny Zafira , Harintaka Harintaka , Djurdjani Djurdjani
Published: July 2018

Data DEM yang dapat diakses dan digunakan dengan gratis antara lain adalah Shuttle Radar Topography Mission (SRTM) dan Advanced Spaceborne Thermal Emission and Reflection Radiometer Global DEM (ASTER GDEM). Kedua data tersebut mencakup seluruh wilayah di Indonesia, namun ketelitian dan resolusinya rendah, serta masih mengandung kesalahan tinggi. Selain data DEM global, data DEM dapat diperoleh dari hasil perekaman sensor Radio Detection and Ranging (RADAR), Light Detection and Ranging (LIDAR), maupun hasil stereoplotting foto udara dan citra satelit. Masing-masing data tersebut memiliki karakteristik seperti terdapatnya pit dan spire, diskontinuitas pada daerah sambungan dan ketelitian data yang bervariasi. Keberagaman karakteristik pada masing-masing sumber data tersebut dapat menyebabkan inkonsistensi nilai ketinggian antar sumber data. Pada penelitian ini dilakukan pembuatan DEM dengan data DTM Rupa Bumi Indonesia (RBI) skala 1:50.000 dan data DTM Interferometric Synthetic Aperture Radar (IFSAR) di Pulau Kalimantan yang dapat mengatasi inkonsistensi ketinggian tersebut. Metode yang digunakan adalah integrasi dan fusi DEM pada mozaik data-data ketinggian. Pada daerah yang bertampalan, dilakukan dua skenario mozaik yaitu mozaik tanpa bobot dan mozaik berbobot. Uji akurasi vertikal dilakukan dengan menggunakan standar Peraturan Kepala BIG Nomor 15 Tahun 2014 tentang Pedoman Teknis Ketelitian Peta Dasar. Penelitian ini menghasilkan mozaik data DTM yang seamless dan smooth menggunakan metode mozaik berbobot dengan akurasi vertikal sebesar 2,065 meter. Hasil mozaik tanpa bobot masih memiliki beberapa daerah yang tidak seamless dan smooth dengan akurasi vertikal sebesar 2,257 meter. Berdasarkan Tabel Ketelitian Geometri Peta RBI dalam PerKa BIG Nomer 15 Tahun 2014, kedua hasil mozaik tersebut masuk dalam skala 1:10.000.

Kata kunci: model elevasi digital, mozaik, integrasi, fusi DEM
QUALITY LIFE OF WOMEN WITH HIV/AIDS BASED ON CD4 AND DISCLOSURE HIV STATUS IN BANDUNG AND CIMAHI
Authors: Safarina Lina , Oyoh Oyoh
Published: July 2018

Introduction: Women become most vulnerable groups of contracting HIV from a partner or husband. This study aimed to explore the different of quality of life of women with HIV/AIDS based on CD4 levels and exposure status. Method:Sampling technique with purposive sampling, 60 samples were obtained according to criteria. Variable data using the WHO Quality of life (QOL), CD4 levels of data using secondary data and data disclosure using the status of closed questions. Univariate analysis of the frequency distributions and bivariate analysis used t tests. Results: The average of quality of life of respondents with HIV is 82.92 (SD = 4,534), while for respondents with AIDS is 80.45 (SD = 4284).There was statistically significant difference between average quality of life of respondents with HIV with respondents with AIDS (P value = 0.043). Averagequality of life of respondents who did not open status disclosure is 81.07 (SD 4,128), while the open status of respondents openness average quality of life was 85.14 (SD = 4,688). There was statistically significant difference between average quality of life of respondents who openness status is not open to the respondent that the openness of the open status (P value = 0.003). Discussion: Suggestions for nurses were to increase the role in providing motivation for PLHIV women to regularly check the levels of CD4, to assist PLWHA in ARV consumption through home care, as a health educator for PLWHA families and communities and as a researcher in identify measures that can improve the quality of life of women with HIV/AIDS. Keywords: HIV/AIDS, CD4, disclosure of status, Quality of life
STUDENT NURSES’ EXPERIENCES OF CARING FOR BASIC NURSING SKILLS DURING CLINICAL PRACTICE IN RAJAWALI HOSPITAL BANDUNG
Authors: Harini Mira , Kusmran Eny
Published: July 2018

Introduction. Clinical teaching is the means by which student nurses learn to apply the theory of nursing, facilitating integration of theoretical knowledge and practical skills in the clinical setting which becomes the art and science of nursing. Caring is values essential to professional practice and become socialized into the nursing profession. The purpose of this study was to explore nursing students’ experiences of caring for basic nursing skills during clinical practice in Rajawali hospital Bandung. Method. A qualitative research design was used and data were collected by in-depth interview. Six students from third semester who had completion of their fundamental of nursing clinical practice experience. Two instructors as key informants. Result. Analysis of collected information suggested that students do learn about caring in the clinical areas. Information analysis also revealed several common, such as feel fear and anxious, feel disgusted when helping defecation or bathing. Most students get the positive experience such as learning and respect of patients and their families. Most students were afraid to take nursing skills, poor theory-practice integration and feared looking foolish, had difficulty communicating and poor interpersonal relationships with the patients. The professional nurse challenges were to provide the best services and respect to the patients needs. Discussion. The results of the information analysis suggest some implications for nurse educators. Positive learning environments should be developed that enable students to retain clear caring values and to realize the potential of caring practice. Students require time to reflect about their clinical experience in order to integrate the experience with practicing sense of caring professional. Keywords: student nurses, caring, clinical practice
THE INCREASE IN COLOSTRUM SECRETION ON EARLY SKIN-TO-SKIN CONTACT ON POSTPARTUM MOTHER
Authors: Yuliatun Laily , Choiriyah Muladefi , Riza Yulaily
Published: July 2018

Introduction. Colostrum contains a large number of protective factors providing passive and active protection to a wide variety of known pathogens. Its production could be stimulated by early skin-to-skin contact between mother and baby. Hence, this study aimed to investigate the effect of early skin-to-skin contact on the onset of colostrum secretion in postpartum mother. Methods. This study was cross sectional. The data were analyzed by Mann–Whitney test. Literate postpartum mothers, underwent pervaginam delivery in >37 weeks of gestational age with clear amniotic fluid, having baby with > 2500 gr of weight, Apgar score 6 – 8, and no congenital defects were included in this study. The onset of colostrum secretion was measured through observation sheet. 26 samples were recruited in this study. Results. The onset of colostrum secretion was faster in mother underwent early skin-to-skin contact (p=0.002). Discussion. Thus, this study suggested that early skin-to-skin contact enhanced the onset of colostrum secretion.  Keywords: Early skin-to-skin contact, Colostrum, Postpartum
COGNITIVE THERAPY GROUP DYNAMICS MODEL FOR REDUCING THE LEVEL OF DEPRESSED PATIENTS IN MENTAL HOSPITAL
Authors: Pratiwi Arum
Published: July 2018

Introduction. The worst impact of depression is suicide, it need comprehensive management. Model of cognitive therapy through group dynamics try to break the chain, so, that the body does not respond to stimuli that lead to increased serotonin. The purpose of this study was create a new model of nursing care, describe the personal characteristics of depressed patients, describe of the level of depressed patients and compare depressed patients between the control group and the treatment group. Method. The design of this study was quasi experiments with pre test and post test control group. The sample study used purposive sampling strategies, that was patients in mental hospitals and selected with screening and than they were chosen with mild and moderate categories. The samples were 32 patients, 16 patients were a control group and 16 patients were a treated group. Patients were given a therapy model for one month which is 2 times a week. After that the level of depression were measured by BECK questionnaires. The data were analyzed by using independent t test. Result. The results showed that the distribution of the level of depression at pretest, 62.5% of mild depression in the treatment group and 62.5% of moderate depression in the control group. The result of post test, the mild depression decreased to 25%, and the moderate depression to 37.5%. The t test results concluded that the two groups there was difference in rates of depression between the control group and the treated group with t value significance 7.000 and 0.000. Discussion. In future studies it would be better if the treatment done in the longer term and depression levels were analyzed periodically. Keywords: Cognitive Therapy, Group Dynamics, Depressed Patients
LEARNING MODEL OF HOSPITAL CLINICAL PRACTICE FROM STUDENT AND CLINICAL EDUCATOR POINT OF VIEW: A QUALITATIVE STUDY
Authors: Kamaryanti Ni Putu , Susanti Ni Luh Putu Dina , Darmini Anak Agung Ayu Yuliati
Published: July 2018

Background and Purpose: Qualified education is characterized by qualified teaching and learning in the classroom, laboratory, and clinical practice. Producing nurses who are able to provide professional nursing care for patients requires learning process in practice by using learning models. The purpose of this study was to explore the experience and expectation of students and clinical instructors on practices learning model in Ners Program of STIKES Bali.Method: This study used qualitative design with phenomenology approach. There were 8 participants from students and clinical instructors selected by purposive sampling. Data were collected by in-depth interviews. Data was transcribed and analyzed using thematic analyses. Results: Findings indicated that there were five themes related to student and clinical instructor’s experience and expectation about practices learning model. The themes were supporting from institution and clinic, bed side teaching (BST), conference, lack of time of clinical instructor in supervising, and case study. BST, conference, and case study were some of learning models implemented in clinical practices. These methods will run properly if there are good supporting and optimal supervising. Conclusion and Recommendation: BST, conference, and case study are appropriate methods for clinical teaching. Lack of time in supervising is one of barriers found. It is essential for clinical instructors to spend sufficient time to supervise students in clinical practice.
INTERPROFESSIONAL ATTITUDES INFLUENCE THE READINESS OF HEALTH CARE PROFESSIONS STUDENTS FOR INTERPROFESSIONAL LEARNING
Authors: Wijayanti Catharina Dwiana , Lisum Kristina
Published: July 2018

Background and Purpose: Collaboration among health care profession is required to create synergism in delivering health care at various clinical setting. This collaboration should be initiated at the academic setting through interprofessional learning.  The Purpose of this research was to identify the influence of interprofessional attitudes to readiness of health care professions students for interprofessional learning.Method: Research method used quantitative with descriptive comparative design and cross sectional approaches. RIPLS and IPAS survey were completed by 180 medical and nursing students. Results:  The majority of respondents were 20 years old, 134 were female and 53 respondents were in second year level.  From Chi square statistic analysis, it was found that that there were no relationship between age, gender and level of academic with readiness for interprofessional learning (pvalue >.05).  However, there was a significant relationship between interprofessional attitude of medical (p=.000; α=.05) and nursing students (p= .001 α=.05) with readiness for interprofessional learning. Conclusion and recommendation: It was suggested that interprofessional attitudes of health care professions students should be develop properly in the academic settings, thus it will bridge the gap between others health care professions.
INCREASING SELF EMPOWERMENT AND QUALITY OF LIFE OF PATIENTS WITH TYPE 2 DIABETES MELLITUS WITH DIABETES EMPOWERMENT EDUCATION BASED ON HEALTH PROMOTION MODEL
Authors: Nuari Nian Afrian
Published: July 2018

Introduction. Diabetes Mellitus (DM) is a chronic disease that requires individual ability of patients to adhere treatment of the disease recommended by doctors. The purpose the study was to analyze the effect of diabetes empowerment education to self empowerment and quality of life of patients with type 2 DM.Method. This study used quasy experiment design with non randomized control group pretest posttest design. Total sampel was 32 respondents divided into control group and experiment group, sample recruited by purposive sampling. Data were collected using questionnaire with DES (Diabetes Empowerment Scale) and DQoL (Diabetes Quality of Life). Data were then analyzed using Wilcoxon Sign rank test and Mann Whitney with level of significance of 0,05.Result. The results showed that there were differences in self empowerment and quality of life of patients with type 2 DM after intervention. Mann Whitney analysis result`s showed that there are differences in self empowerment between control and experiment groups (p = 0,029) and there was a difference in the quality of life between control and experiment groups (p = 0,022). It can be referred from it that DEE influences self empowerment and quality of life of type 2 DM patients.Discussion. It can be concluded that diabetes empowerment education increasing selfempowerment and quality of life of patients with DM type 2. Keywords: diabetes, education, self empowerment, quality of life, DEE, HPM
The Experience of Sexual Needs Fulfilment for People Who Life With HIV/AIDS Partners
Authors: Supartha I Gede Nyoman Ardi , Surka I Wayan , Agus Dwi Putra I Gusti Kadek
Published: July 2018

Introduction: People with HIV/AIDS infected partners does not mean they should stop their sexual activities. Sexual needs fulfilment required commitment and support from their partners consider that the need of the willingness to gained the intimacy. The aim of the research to describing the people experienced in the sexual fulfilment with HIV/AIDS partners. Methods: This research applied descriptive phenomenology qualitative as the method, with in-depth interviews of 8 people with HIV/AIDS partners at Spirit Paramacitta Foundation, Denpasar. Results: Through the thematic analysis with the Colaizzi procedure, found 4 themes that illustrate the experience of fulfilling the sexual needs. The themes are: (1) The Declining of Sexual Relations Quantity and Quality as the Impact of The Changes of Partners Positive HIV Status, (2) Internal Conflicts Emerging in Responding to Sexual Assault, (3) Form of Sexual Activities Adaptation as the Impact of The Changes of Partners Positive HIV Status, (4) The Efforts to Increasing Sexual Quality. Conclusions: The role of the counselor in providing information related to safe sexual relationships is a solution that can overcome the fears and doubts of serodiscordant couples for sexual intercourse.
THE ETHNOGRAPHIC STUDY OF MOTHER’S MADURESE ETHNIC ON SUPPLEMENTARY BREASTFEEDING
Authors: Noviawati Ely , Chrisnawati Chrisnawati , Maratning Anastasia
Published: July 2018

Introduction: Madurese mothers a few hours after the baby is born, they begin to provide supplementary food, other than breast milk to their babies. The purpose of this study was to explore the perception of ethnic Madurese mothers on supplementary breastfeeding through the perspective of Transcultural Theory Madeleine Leininger in the Kelayan Selatan Banjarmasin. Methods. This study used a qualitative approach to the design ethnography. Data collected by in-depth interviews and observation. Informants in this study were fi ve mothers from the ethnic Madurese using purposive sampling method. Data were analyzed using qualitative data reduction, data display and drawing or verifi cation conclucion. Results. Perception of madurese ethnic mother’s on early supplementary food for breastfeeding it due to babies crying indication that babies are hungry. They are closely linked and attached to their culture. Discussion. Need to be increased public knowledge about supplementary breastfeeding especially early age to provision supplementary breastfeeding with empirical evidence to convine the public.Keyword: Perception, Ethnic Madurese mothers, Supplementary breastfeeding, Ethnography
MOTHER’S FIRST EXPERIENCE IN ASSISTING CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA WHO IS UNDERGOING CHEMOTHERAPY
Authors: Novrianda Dwi , Anita Fini Alfi
Published: July 2018

Introduction. Acute Limfoblastic Leukemia (ALL) is a malignant disease which mostly found in children. The main treatment of ALL is chemotherapy for a long time, so it affects their mother life as the primary caretaker. This research aimed to explore, understand, and give the meaning of mother’s fi rst experience in assisting children with ALL that was undergoing chemotherapy: the induction phase. Method. This research was a qualitative research by using phenomenological. Six participants were taken by using purposive sampling that participated in interview. In-depthinterviews and fi eld note were used to collect data. The result of the interview was transcribed verbatimly and analyzed by Collaizi method. Results. There was six main themes that found in this research including:1) undergoing emotional response, 2) undergoing physical impaired, 3) seeking information, 4) undergoing a spiritual experience, 5) undergoingan economic burden, and 6) the importance of support. Discussion. It suggests that nurses provided nursing care to mother that assisting the children in chemotherapy at the fi rst time like giving intervention concerned emotional problem, physical, and spiritual. It also gives earlier information for mother about chemotherapy.Keywords: mother’s fi rst experiences, chemotherapy, induction phase, acute lymphoblastic leukemia’s children
PHENOMENOLOGICAL STUDY: QUALITY OF LIFE OF ADOLESCENT WITH CANCER
Authors: Aggraeni Lina Dewi , Indiyah E. Sri , Kusumaningsih Indriati
Published: July 2018

Introduction. Adolescent is a period growth and development between children and adult. Cancer diagnosed at adolescent age can made them under pressure and full of stress. The aim of the study was to explore a deeper description about quality of life of adolescent with cancer. Method. The study used phenomenology descriptive design with purposive sampling. In-depth interview was held on six adolescent with cancer. Transcript verbatim was analyzed using Colaizzi. Result. The themes were dimension of physical, cognitive, psychology, social, adaptive coping mechanism, and hope. The study concluded that adolescent with cancer dealing with many changing on quality of life but some can build adaptive coping mechanism with their condition and increased their quality of life. Discussion. Child nurse have a big role to increase quality of life of adolescent with cancer by giving a holistic and comprehensive nursing care.Keyword: adolescent, cancer, quality of life, phenomenology
GERIATRIC GYMNASTIC TO QUALITY OF SLEEP IN PTSW SENJARAWI BANDUNG
Authors: Meilirianta Meilirianta , Maspupah Maspupah
Published: July 2018

Introduction. Elderly has decreased in many body system including the impact on sleep disorder. The purpose of this study was to analize effect of geriatric gymnastic on sleep quality of the elderly. Methods. This research used quasy experiment methods with pre and post test only non equivalent control group design. The population in this study was the elderly as many as 82 people. Sample in this research was 30 participants that are defi ned with total sampling method who was appropriated with the criteria. Sampel was devided into two groups which are 15 people of intervention group and 15 people of control group. Data instrument in measuring the quality of sleep used PSQI (Pittsburgh Sleep Quality Index) by observation. Result. There was a signifi cant effect of geriatric gymnasticon sleep quality of the elderly at Tresna Werdha Senjarawi Social Home Bandung with t-test, p-value 0.000 or < 0.05. Discussion. The geriatric gymnastics can be designed more interest the elderly to follow this activities regulary so can overcome sleep disorders in the elderly.Keywords : Quality of Sleep, Geriatric Gymnastic, Elderly
Assessment of Dukan Landslides, West of Sulaimani City, the Kurdistan Region, Northeast Iraq
Authors: Siakian Varoujan K. , Omer Sarhang A. , M.Khalil Diyar Salah
Published: July 2018

Four landslides of different sizes had occurred in 2012 along the main paved road between Dukan – Surdash. The landslides are within the Kometan Formation, which consist mainly of well bedded and jointed marly limestone. The landslides are located in a narrow syncline trending NW – SE in between Khalikan and Kalo anticlines. The main reason of the landslides is the haphazard road cuts during the road construction and widening of the road latter on. Another reason that had accelerated the landslide is the fluctuation of water level in Dukan reservoir. The water level reaches the down slope area of the landslides. Satellite imagery was used to study the parameters of the landslides and have performed a field work to confirm the acquired parameters and deduced other indications of the landslides, besides checking their stability. Landslide Possibility Study was performed using Landslide Possibility Index at each landslide area and have found that the whole area is unstable showing High possibility of re-failure. Sereographic presentation for the three landslides was used to show the relation between bedding and joint planes as well the road cuts trends.  It was concluded that in next rainy season, the whole area may form a severe geological hazard if necessary precautions are not considered. Therefore, urgent precautions were recommended to keep the slopes alongside the road cur as stable as possible.
Improving Kurdish Web Mining through Tree Data Structure and Porter’s Stemmer Algorithms
Authors: Saeed Ari M. , Rashid Tarik A. , Mustafa Arazo M. , Fattah Polla , Ismael Birzo
Published: July 2018

Stemming is one of the main important preprocessing techniques that can be used to enhance the accuracy of text classification. The key purpose of using the stemming is combining the number of words that have same stem to decrease high dimensionality of feature space. Reducing feature space cause to decline time to construct a model and minimize the memory space. In this paper, a new stemming approach is explored for enhancing Kurdish text classification performance. Tree data structure and Porter’s stemmer algorithms are incorporated for building the proposed approach.  The system is assessed through using Support Vector Machine (SVM) and Decision Tree (C4.5) to illustrate the performance of the suggested stemmer after and before applying it. Furthermore, the usefulness of using stop words are considered before and after implementing the suggested approach.