bluuebunny/crossref_metadata_2025 huggingface dataset:
iOAT in the ED – Lessons Learned
Authors: Whitman Stacey , Zaganelli Cristina , Luzny Sharleen
Published: June 2020

Emergency Strategic Clinical NetworkTM

Quality and Innovation Forum Presentation Proposal

Name: xx

Position (e.g. patient care manager, professor): Manager

Primary Affiliation: (AHS) Other: AHS

Project Title: iOAT in the ED – Lessons Learned

Hospital: All adult sites in Calgary

Location: Calgary

Team Members: xx & xx

Background

Deaths related to opioid poisoning have continued to climb over the last few years. The Injectable Opioid Agonist Treatment program (iOAT) provides injectable hydromorphone to those individuals with moderate to severe opioid use disorder and a history of injection drug use who have been unsuccessful with oral OAT and continue to be at high risk for opioid poisoning. Working with the emergency departments (ED) was identified as a critical step in the initial roll out of iOAT.

Implementation 

The iOAT program began operating in October 2018. The clinic provides prescribed hydromorphone to clients within the program. Additionally, the team is comprised of physicians, nurse practitioners, nurses, social worker, peer support workers and administrative support to provide comprehensive wrap around care to every client that is registered to the program. It was recognized early on that the clients that were being served by iOAT were also high users of the ED and UCCs. Being part of iOAT became a factor that needed to be considered when these clients presented to the ED due to their prescription of hydromorphone. Working with management, medical leadership, and nurse educators, support and education were provided to ensure that iOAT clients were provided with optimal care when in the ED. Ongoing communication has been the primary strategy that has been used.

Evaluation Methods 

The evaluation for this project has been informal and ongoing. The medical team at iOAT has worked with the medical team for the Calgary EDs to develop a detailed treatment plan that is visible on SCM. Telephone and emails have been the primary mode of feedback for both parties, and the plan is adjusted as necessary along the way.

Results

Improving the knowledge and understanding for all staff involved to understand iOAT and the role of the ED has been demonstrated to be effective when clients stay in the ED and don’t leave against medical advice, which likely occurred before. Additionally, the trust that is built within the iOAT clinic is maintained when the ED is a partner in care and as appropriate, provides them with the dosing that they would normally receive at iOAT.

Advice and Lessons Learned

1)      Involve the emergency department management in planning or initial implementation

2)      Communicate, Communicate, Communicate

3)      Use continuous feedback to adjust to find the best strategies to provide patient care
A tulajdonnevek fordítása – funkcionális, névelméleti megközelítésben I.
Authors: Slíz Mariann
Published: June 2020

The translation of proper names – a functional, onomastic theoretical approach I. Features of names as factors influencing translation

The paper examines the questions surrounding the translation of proper nouns from an onomastic viewpoint blended with the results of translation studies, following a functional-communicational approach. Its goal is to create a model, which contains not only the applicable methods available to translators, but the (pragmatic and communicational) aspects and factors that could affect choosing between these. The novelty of the study is that it takes the meaning (denotation and connotation), the category (e.g. personal name) and sub-category (e.g. family name) of proper nouns into consideration, following the practices of prototype theory. Another innovative approach is the emphasise lain on the influence of composition on the translation of names. According to this, names consisting of several words should not be handled as single units, as earlier studies have consid-ered them, but following a two-step method: first holistically (e.g. the Eng. Flint Cliffs : Hung. Flint-sziklák, a place name), and then morphologically, while defining the categories of the name elements (e.g. Flint is a family name, cliffs is a common noun). This shows that translators are not completing a single operation but a combination of operations (transference in the case of the given name, and translation in the case of the common noun). Translations previously deemed ununderstandably heterogenous can thus be explained by applying this methodology.
Hubungan Kecemasan dengan Pemahaman Konsep Matematika dan Siswa
Authors: Munasiah Munasiah
Published: June 2020

Understanding mathematical concepts are the first key in understanding the material because there is a link between one concept with another concept. The implementation of learning is expected to link mathematical concepts in everyday life. Internal and external factors of students are very influential in mathematics learning, one of them is mathematics anxiety. Mathematics anxiety that is processed by students well can make these students enthusiastic to learn mathematics, but conversely, if students are not able to process mathematics anxiety properly it will negatively affect mathematics learning outcomes. The purpose of this study was to determine how much influence mathematics anxiety has on understanding mathematical concepts. This research is a descriptive quantitative research.  The method used in this study is a survey method using questionnaires and questions in collecting data. The results of this study indicate that mathematics anxiety harms understanding mathematical concepts, with low chorea values. It can be interpreted that in this case, the respondent has not been able to process mathematics anxiety into motivation to continue learning to understand mathematical concepts. So anxiety has a significant effect on understanding mathematical concepts. From this research it is hoped that it can be used as a teacher's reference in carrying out mathematics learning, teachers can help reduce student anxiety by using learning models that are fun and effective, and teachers can provide motivation to students who experience mathematics anxiety.
Colonoscopy to diagnose chronic ulcerative colitis in an 11-years-old Maltese
Authors: Murtiningrum Fitria Senja , Noviana Deni
Published: June 2020

An 11-year-old castrated male Maltese was examined for increased frequency of defecation, mucus in feces, and chronic diarrhea with hematochezia. The dog was referred to Veterinary Teaching Hospital, Faculty of Veterinary Medicine, IPB University for further evaluation. Ultrasonography and colonoscopy were performed to further diagnose. Abdominal ultrasonography was taken using a linear probe with frequency 6-11 MHz. Colonoscopy was performed using colonoscope with tube length 700 mm and diameters 10 mm under anesthesia. Abdominal ultrasonography showed that the dog had a mucocele gall bladder, cholecystitis, hepatitis, slight-mild splenitis, nephrolithiasis, urolithiasis and thickened of the duodenal wall due to inflammatory bowel diseases. Colonoscopy showed ulceration and hemorrhage along the surface of the colon, whereas hyperemia only seen on the ascending colon. Based on endoscopic examination, the dog was diagnosed with severe and chronic ulcerative colitis. The authors recommended that the colonic biopsy should be undertaken in the dog presented with chronic ulcerative colitis.
Insidensi dan penanganan hernia diafragmatika di Rumah Sakit Hewan Pendidikan Fakultas Kedokteran Hewan IPB
Authors: Adistya Erly Rizka , Diana Fitri Arni
Published: June 2020

Tulisan ini melaporkan kejadian dan penanganan kasus hernia diafragmatika di Rumah Sakit Hewan Pendidikan FKH IPB tahun 2018-2019. Adapun dari beberapa kasus yang ditemukan hanya dua kasus yang dilakukan penanganan dengan cara operasi. Operasi hernia diafragmatika pada kasus ini salah satunya terjadi pada seekor kucing jantan bernama Boy, ras domestic short hair, berumur 8 bulan dengan sejarah kecurigaan trauma akibat ditabrak kendaraan. Hasil pemeriksaan kucing didiagnosa mengalami hernia diafragmatika yang ditandai dengan gejala klinis shock, depresi, dehidrasi, mukosa pucat, dyspnea, abdominal breathing, takikardia, anoreksia, dan muntah. Diagnosa untuk kasus ini diperkuat dengan diagnosa penunjang radiografi yang menunjukkan batas diafragma masih terlihat namun posisi organ-organ bagian abdomen tampak berpindah masuk ke dalam rongga thoraks sehingga marginasi menjadi lebih ke kranial. Proses operasi dilakukan sesuai dengan standar prosedur operasi hernia diafragmatika dengan tetap menjaga tekanan rongga thoraks selama berlangsung pejahitan otot diafragma. Hasil penanganan pada kasus ini berhasil dengan proses persembuhan kurang lebih selama dua bulan sampai kucing tersebut bisa beraktifitas kembali dengan normal
Perawatan luka pada anjing penderita demodekosis di Klinik Hewan Bogor Pet Center Bogor
Authors: Anggraeni Henny Endah , Komara Wily Widya , Gulo Feni Dwi Kartika , Hidayanti Mustika
Published: June 2020

Demodecosis is a skin disease caused by mites Demodex sp. The mites can cause itching and made scratching reflex and made skin damage or wound. Wound is a damage conditions in the skin tissues. Wound care for demodecosis of Pitbull mix dog at Bogor Pet Centre Clinic began with treatment the myiasis and clean the wound 2 times a day and the treatment continues until 19 days topically and orally. Wound healing works well
Blood AST and ALT profile of Sumba Ongole cattle
Authors: Gaina Cynthia Dewi , Sanam Maxs U.E. , Nalley Wilmientje M.M. , Benu Imanuel , Saputra Agus
Published: June 2020

A study was carried out in one of Indonesia native cattle, Sumba Ongole (SO) Cattle for determination of statuses of various biochemical parameters, aspartate aminotransferase (AST or SGOT) and alanine aminotransferase (ALT or SGPT). Apparently blood from randomly selected cattle (n= 36) were collected aseptically. Biochemical analysis of AST and ALT was performed on UPT. Laboratorium Kesehatan, Kupang, NTT. The results showed that the variations of parameters were not significant (p>0.05) between male and female SO cattle. The AST/SGOT (142.56±20.55 U/l) was slightly higher in female compared with the male (137.00±16.24 U/l), while level of ALT/SGPT were 46.44±10.99 U/l in male and 46.41 ± 10.23 U/l in female. Although, the result was not significant (p>0.05), level of AST and ALT in SO cattle was higher compared to standard which is 60-125 U/l for AST and 6.9-35 U/l for ALT. Results showed possibility of seasonal effect on AST/ SGOT and ALT/SGPT level in male and female SO cattle.
Third-line tigecycline antibiotic for Acinetobacter Baumannii infection in feline pyothorax
Authors: Fadhlillah Zulfa Ichsanniyati R. Ciwi , Zaenab Siti , Noviana Deni , Arifah Sukmasari
Published: June 2020

A one-year-old domestic shorthair male cat was presented to the clinic with severe dyspnoea. The cat has a history of recurrence bronchial disease with coughing as a major clinical sign. The cat never be  hospitalized and clinical symptoms will disappear after antibiotic and glucocorticoid administration within a few days. On physical examination, the cat was dehydrated and apathetic. Dullness thoracic percussion was detected. Other organs out of thorax did not show abnormality. Thoracic radiography revealed pleural effusion. Purulent fluid was obtained by thoracocentesis and cytologic examination result was septic exudates. Hematological result was marked leukocytosis (59.69x10ˆ9 g/l). Enrofloxacin was given as empirical antibiotic until culture results released. On the 7th day of Enrofloxacin administration, there was only a slight decrease in leucocyte count. Bacterial culture results was Acinetobacter baumannii (A. baumanii) that are sensitive to Meropenem and Tigecycline from antibiotic resistance test. Previous antibiotic was stopped and replaced with intravenous Meropenem. Moderate decrease of leucocytes count (28.03x10ˆ9 g/l) obtained on day 18th of Meropenem treatment and patient shows good clinical sign progress. Meropenem resistancy were considered when leucocytes count increased on the 20th day as A. baumanii is extremely multi-resistant organism. Third-line Tigecycline was administered as the last choice use of antibiotic and stop after leucocyte returned to normal on the 7th day of the treatment. The cat is fully recovered from Acinetobacter Baumannii infection pyothorax treated using third-line Tigecycline antibiotics.
Blok atrioventrikular komplit pada anjing Pomeranian
Authors: Fitri Arni Diana , Nefia Elma , Noviana Deni
Published: June 2020

Blok atrioventrikular komplit (AV blok III) merupakan kelainan jantung yang disebabkan oleh blok hampir semua impuls listrik jantung pada AV junction ditandai dengan ketidaksamaan denyut di atrium dan ventrikel. Tulisan ini melaporkan kasus pada pasien yang dirujuk ke Rumah Sakit Hewan Pendidikan Fakultas Kedokteran Hewan Institut Pertanian Bogor. Anjing Pomeranian betina, usia 3 tahun, bobot badan 1,53 kg dirujuk dengan keluhan pembesaran jantung untuk dilakukan ekhokardiografi di cardiology center service. Pemeriksaan lain yang dilakukan adalah pemeriksaan fisik, radiagrafi thoraks dan elektrokardiograf (EKG) serta ekhokardiografi. Pemeriksaan fisik menunjukkan hewan kurus dengan body condition score 3/9, lemah, suhu 39,4°C, freksuensi nafas 99 kali/menit, frekuensi jantung 84 kali/menit. Pemeriksaan EKG menunjukkan jantung hewan mengalami AV blok III ditandai dengan beberapa gelombang P tidak muncul, gelombang Q dan gelombang R terlalu tinggi serta gelompang T abnormal. Radiografi thoraks menunjukkan adanya kardiomegali dan ekhocardiografi menunjukkan detak jantung irregular, otot jantung menebal, ejection time 0,18 detik, fractional shortening 45%, ejection fraction 83% dan perbandingan diameter aorta dan lumen atrium 2:1. Pemeriksaan color Doppler terlihat adanya turbulensi aliran darah pada katup atrioventrikular dan katup semilunar.
Exploring the Direction of High School Mathematics Education Based on IB DP Curriculum
Authors:   The Korea Society Of Educational Studies In Mathematics, Kim Sun Hee , Lee Eun Jung , KIM SUMIN
Published: June 2020

International Baccalaureate (IB) is a well-known international curriculum developed by the International Baccalaureate Organization (IBO) in 1968. IB’s purpose is to nurture global talent with creativity and international minds and so many countries globally such as France, Spain, and Japan have adopted the IB curriculum. This study analyzed mathematics contents and teaching and learning approaches of the IB DP which is a high school level curriculum and interviewed a mathematics teacher working for an IB DP school. As a result, the IB DP comprises a higher level of mathematics contents compared with the Korean mathematics curriculum, but guides teachers to provide conceptually-focused lessons by controlling the difficulty level of assessment items Additionally, the IB DP emphasizes inquiry-based teaching and learning approaches, use of technology, connections of mathematics and other subjects, and the consistency of teaching and learning and assessment. Based on the results, we suggest the direction of high school mathematics education in regard to mathematics contents, teaching and learning methods, and the consistency of teaching and learning methods and assessments.
Creencias, estereotipos y prejuicios del adulto mayor hacia el envejecimiento
Authors: Velasco Victor Manuel , Suárez Gabriel Gerardo , Limones María de Lourdes , Reyes Hugo , Delgado Viviana Elisabeth
Published: June 2020

La discriminación hacia el adulto mayor por su edad, fundamentada en creencias, actitudes y prejuicios negativos es frecuente pero poco aceptada y reportada El objetivo es conocer tipos y frecuencia de creencias, estereotipos y prejuicios hacia el envejecimiento por parte de adultos mayores de la Ciudad de Torreón, Coahuila, México y su asociación con aspectos personales, sociales, familiares y laborales. El material y el método empleado son un estudio transversal, 572 adultos mayores seleccionados aleatoriamente de la población. Previo consentimiento informado se aplicó la Escala sobre el Prejuicio hacia la Vejez y el Envejecimiento y el Cuestionario de Estereotipos Negativos hacia la Vejez. Se analizó en SPSS 20. Los resultados obtenidos han sido: en la esfera afectiva (sentir y prejuicios), las dimensiones más negativas son ser políticamente correcto, aislamiento social y autoestima. Los ítems más negativos son ser lento, antiguo, enfermo, fatigado y aburrido. En la esfera cognitiva el 87.2% refieren creencias y estereotipos negativos hacia el envejecimiento, y se asocian con tener disfunción familiar, dificultades en su cuidado personal y más de 75 años. En los adultos mayores la frecuencia de creencias, estereotipos y prejuicios negativos a la vejez es elevada y se asocia con factores familiares y de salud.
¿Son necesarias las sujeciones físicas en personas mayores como medida de prevención de caídas?
Authors: Sánchez-Prieto Lidia , Coll María Teresa , Orte María del Carmen , Vives Margarita , Da Gama Joana
Published: June 2020

En los últimos años se está apostando por medidas alternativas a las sujeciones físicas como medidas preventivas de las caídas en personas mayores. El motivo principal es que las consecuencias de las sujeciones físicas son severas, tanto a nivel físico como psicológico en las personas mayores. Además, se postula que la retirada de sujeciones no implicará tantas caídas o efectos negativos como se ha ido defendiendo hasta la actualidad. Por consiguiente, se estudió la afectación que implicará la retirada de sujeciones en las personas mayores del centro residencial de Ferrerías, gestionado por INTRESS. La muestra se compuso de un total de 19 usuarios, de los que se realizó un seguimiento durante 12 meses desde la retirada de las sujeciones físicas. El estudio recoge el número de caídas de los usuarios, las consecuencias y los motivos de las caídas. Además, explica las medidas alternativas establecidas por el centro residencial y que son defendidas como las estrategias adecuadas para la prevención de caídas. La futura normativa y legislación debe apostar por la eliminación de las restricciones físicas, desarrollando medidas que respeten la calidad de vida de la persona y su bienestar emocional.
Variables neuropsicológicas en pacientes con trastornos de la conducta alimentaria
Authors: Mata Beatriz , Baena Rafael , Asensio Leonor , Nuevo Laura , Muñoz Victoria , Díaz Irene
Published: June 2020

Parecen existir alteraciones en algunas variables neuropsicológicas en pacientes con trastornos de conducta alimentaria (TCA). El objetivo fue analizar las dimensiones neuropsicológicas atención sostenida e inhibitoria, velocidad de procesamiento, funciones ejecutivas y memoria de trabajo en pacientes con TCA. Se reclutaron 63 pacientes que acudieron a consultas. La distribución por subtipos de TCA fue 33% bulimia nerviosa (BN) purgativa, 24% anorexia nerviosa (AN) purgativa, 13% AN restrictiva incompleta, 19% AN restrictiva, 11% trastorno por atracón, 5% AN purgativa incompleta, 5% BN purgativa incompleta, 2% BN no purgativa y 2% ingesta compulsiva. Se administraron los tests: Stroop, Letter Number Sequencing (LNS), Symbol Digit Modalities (SDMT) y Figura de Rey. En el LNS la media fue 18,03, SpanLN 4,87; la interferencia fue 4,4 de media; el baremo de SDMT dio como resultado bajo- normal de media; el tiempo de media de la copia de la figura de Rey fue 2,81, con un centil 45 cuantitativo de memoria. Según subtipos de TCA del Diagnostic and Statistical Manual of Mental Disorders parece existir una distribución similar entre trastornos, con desviaciones de la población de referencia en el SDMT, la interferencia y la puntuación cuantitativa de la reproducción de memoria de la figura de Rey.
Engagement académico e Inteligencia Emocional en adolescentes
Authors: Tortosa Begoña , Pérez-Fuentes María del Carmen , Molero María del Mar , Soriano José Gabriel , Oropesa Nieves Fátima , Simón María del Mar , Sisto María , Gázquez José Jesús
Published: June 2020

El compromiso por los estudios, la dedicación y la satisfacción académica, entre otras variables, pueden ser desencadenantes del engagement, un estado positivo vinculado con el estudio o trabajo. Sin embargo, si prestamos atención a los adolescentes, existen otras variables que pueden preceder al engagement académico. Desde hace unos años, hay una gran cantidad de investigadores que han mostrado una tendencia a estudiar el tema del engagement académico y la Inteligencia Emocional (IE) debido a su relevancia. Por este motivo, la presente revisión pretende analizar la investigación previa sobre la relación entre estas variables. El objetivo principal es analizar si existe o no relación entre las variables de engagement académico e Inteligencia Emocional en adolescentes. Los estudios revisados muestran resultados que indican la existencia de correlaciones entre las variables de engagement académico e IE en los adolescentes. Finalmente, hay que hacer hincapié en la relación existente entre el engagement académico y la inteligencia emocional para conseguir que los adolescentes desarrollen habilidades emocionales y, consecuentemente, se sientan satisfechos académicamente.
Thematic Herbal Applications In Touristic Facilities “The Land of Legends”
Authors: GÖKÇEK Fatime Kübra , DÖNMEZ Şirin
Published: June 2020

Günümüzde tatil anlayışı kaliteli konaklamanın yanı sıra farklı deneyimler elde etme, farklı alanları görme ve eğlence odaklı tatil anlayışını geliştirmiş, turizm tesislerinde farklılaşmayı sağlamıştır. Farklılaşmanın tatil anlayışını ve kullanıcının farklı deneyimler edinimini nasıl etkilediğini ortaya koymak amacıyla The Land of Legends üzerinde incelemelerde bulunulmuştur. Ayrıca turizme farklı bir bakış açısı getirme noktasında, yatırımın peyzaj planlama ve tasarımda otellerin konsept oluştururken katetmiş olduğu yer incelenmiştir. Alanın kullanıcılar açısından görüşleri, sosyo-ekonomik durumlarına ilişkin verileri anket çalışmalarıyla sağlanmıştır. Anket değerlendirmesinde Khi-kare yöntemi kullanılmıştır. Çalışma sonucunda tropikal bitkilerin kullanımı, yapay tepelerin yüksekliğine dikkat edilmesi gerektiği, kullanıcının ilgisini canlı tutan aktivitelerin olması, drenaj sisteminin önemi gibi planlamalara ilişkin sonuçlar ortaya konularak çözüm önerilerinde bulunulmuştur. Anket sonuçları peyzaj mimarlığı açısından projelere getirilen yenilikler, eksik kalan kısımlar değerlendirilmiştir.
Denizli Governor Recep Yazıcıoğlu (İncilipınar) Examined in the Context of Park Planning and Desing of Universal
Authors: SEÇME Mustafa , KÜÇÜK Volkan
Published: June 2020

Kent parklarının planlama ve tasarımlarının evrenselliği büyük önem taşımaktadır. Bu çalışma kent parklarının kullanımında insanların karşılaştığı sorunların altını çizmeyi ve bu sorunlara evrensel planlama ve tasarım bağlamında çözüm sunmayı hedeflemiştir. Bu çalışmasının ana materyalini; Denizli İli İncilipınar Mahallesi sınırları içerisinde yer alan Vali Recep Yazıcıoğlu Parkı oluşturmaktadır.Yapılan bu çalışmada Vali Recep Yazıcıoğlu Parkı ve konu ile ilgili literatürler (tezler, kitaplar, makaleler, projeler, çalışmalar, internet siteleri vb.) araştırılmıştır. Arazi gözlem ve ölçümler yapılarak dış mekân için düzenlenmiş unsurların (girişler, rampalar, merdivenler, yürüme yolları, vb.) ulusal ve uluslararası standartlara olan uygunlukları analiz edilmiştir.
Evaluation of Recreational Ecosystem Services in an Example of Antalya Atatürk Cultural Park
Authors: AKBULUT Zeynep , TOPAY Mehmet
Published: June 2020

Kentsel açık ve yeşil alanların önemli bir bileşeni olan kent parkları, kent insanına ve kent ekosistemine çok yönlü hizmet ve katkılar sağlamaktadır. Bu çalışmanın amacı, Antalya Atatürk Kültür Parkının sağladığı rekreasyonel ve ekosistem hizmetlerine yönelik kullanıcı görüşlerinin belirlenmesidir. Bu kapsamda öncelikle kent parkının mevcut durumu ortaya koyulmuştur. Parktaki rekreasyonel ekosistem hizmeti sağlama potansiyelinin değerlendirilmesi için 400 katılımcıya yüz yüze anket çalışması uygulanmıştır. Anket sonuçlarına göre; görsel çekicilik ve estetiği açısından tercih ettikleri (%18,3), en çok yaya gezinti alanlarını kullandıkları (%17,6) ve temiz hava almak ve stresten uzaklaşmak (%25,5) amacı ile kullanmakta oldukları belirlenmiştir.
Kaplıca Tedavisinin Romatizmal Hastalıklarda İlaç Terkine Olan Etkileri
Authors: NACAKOĞLU İlgaz , KAYA Ertuğrul
Published: June 2020

Romatizmal hastalıklar, her toplumda genç yaşta başlayarak özellikle ileri yaşlarda görülme sıklığı ve şiddeti artan ve hastaların neredeyse bir ömür boyu ilaç tedavisine ihtiyaç duydukları bir hastalık grubudur. En sık görülen semptomu ağrı olan bu grupta uzun yıllar tek veya kombine ağrı kesiciler kullanılmaktadır. Kaplıca tedavisi sayesinde geçici bir süre veya kalıcı olarak ilaç tedavisinin bırakılması, gerek ilaçların yan etkilerinden kurtulmada gerekse ekonomik açıdan fayda sağlamaktadır. Bu derlemenin hazırlanmasının amacı; ülkemizde ve tüm dünyada romatizmal hastalıkların tedavisi sırasında kaplıca kürü sonrası ilaç terkini ve bunun insan sağlığına ve ülke ekonomisine kazandırdıklarını tespit etmektir. Bu makalede yerli ve yabancı dergilerde ilgili konularda yayınlanmış bilimsel çalışmalar ve makaleler yanında resmi kurumların istatistiki verilerinden de yararlanılmıştır.İncelenen araştırmalar sonucunda; kaplıca kürü sonrasında romatizmal hastalıkların tedavisinde kullanılan ilaçların anlamlı miktarda azaltıldığı veya tamamen terkedildiği tespit edilmiştir. Kaplıca tedavisinin romatizmal hastalık tedavisi gören hastalara faydalı olacağı kanaatine ulaşılmaktadır.
Bir Erişkin Psikiyatri Servisinde Yatan Ergen Hastaların Değerlendirilmesi: 2015-2018 Yılı Verileri
Authors: EĞİLMEZ Oğuzhan Bekir , ÖRÜM Mehmet Hamdi
Published: June 2020

Amaç: Bu çalışmanın amacı bir erişkin psikiyatrisi servisinde yatan ergen hastaların sosyodemografik değişkenlerinin ve hastalık ile ilişkili karakteristiklerinin değerlendirilmesi ve cinsiyetlere göre karşılaştırılmasıdır.Yöntem: Hastanemizin erişkin psikiyatrisi servisinde 1 Ocak 2015-31 Aralık 2018 tarihleri arasında yatan 18 yaş altı tüm hastalar çalışmaya dâhil edildi. Sosyodemografik veriler ve hastalık değişkenleri kaydedildi.Bulgular: Çalışmada, 27 kız (%51,9), 25 erkek (%48,1) vardı (p=0,782). Ortalama yaş 16,50±0,70 yıldı. Alkol-madde kullanımı erkeklerde anlamlı olarak daha yüksekti (p=0,01). En sık yatış nedenleri intihar girişimi, psikotik alevlenme, madde ile ilişkili durumlar, disosiyatif durumlar ve davranış sorunlarıydı. En sık psikiyatrik tanılar konversiyon bozukluğu, davranım bozukluğu ve madde kullanım bozukluğuydu. Mevcut yatış süresi ortalama 10,53±14,95 gündü. Kızların %51,85’i, erkeklerin %72’si şifa veya kısmi şifa ile taburcu edilirken geriye kalan hastalar kendi ve/veya ailelerinin istekleri ile taburcu edildi (p=0,13). Hastaların 29 (%55,8)’i antipsikotik (AP)+antidepresan (AD) kombinasyonuyla, 8 (%15,4)’ü sadece AP’le, 5 (%9,6)’sı AP+duygudurum düzenleyici (DDD) kombinasyonuyla, 5 (%9,6)’sı AP+AD+DDD kombinasyonuyla, 4 (%7,7)’si sadece AD ile 1 (%1,9)’u ilaçsız olarak taburcu edildi.Sonuç: Bu çalışma, ilimizdeki bir erişkin psikiyatri servisinde yatarak tedavi gören ergen hastalarla ilgili ilk çalışma olması açısından önemlidir. Bu bulguların, çocuk ve ergen psikiyatrisi alanındaki müdahalelere yol gösterebileceği düşünülmektedir.
Bireysel ve Takım Sporlarıyla Uğraşan 9-11 Yaş Grubu Sporcuların Motor Özelliklerinin İncelenmesi
Authors: BAYAZIT Betül , KESKİN Murat Can , TAHTALI Mahmut Hasan
Published: June 2020

Amaç: Bu araştırmada, 9-11 yaş aralığındaki bireysel ve takım sporlarında faaliyet gösteren sporcuların motorik özelliklerinin karşılaştırılması ve branşlar arasında farklılık olup olmadığının ortaya konulması amaçlanmıştır. Yöntem: Araştırmaya 2019 yılında 23 Nisan Spor Kulübü’nde aktif olarak basketbol branşında faaliyet gösteren 12 erkek çocuk ve Kocaeli Mercan Spor Kulübü’nde aktif olarak yüzme branşında faaliyet gösteren 12 çocuk (6 kız / 6 erkek) toplam 24 çocuk araştırmaya katılmıştır. Araştırmaya katılan her iki branşa boy, vücut ağırlığı, vücut kitle indeksi, dikey sıçrama, flamingo denge, kol hareket sürati, otur eriş, durarak uzun atlama, mekik testleri uygulanmıştır. Bulgular: Elde edilen bulgular sonucunda, araştırma gruplarının parametreleri karşılaştırıldığında boy, vücut ağırlığı, dikey sıçrama, kol hareket sürati, durarak uzun atlama ve vücut kitle indeksi parametrelerinde istatistiksel anlamlı farklılık bulunamamıştır (p>0,05). Flamingo denge, otur eriş ve mekik parametrelerinde istatistiksel anlamlı farklılık bulunmuştur (p<0,05). Sonuç: Bireysel ve takım branşlardaki sporcuların dikey sıçrama, kol hareket sürati, durarak uzun atlama parametrelerinde benzerlik göstermesine rağmen flamingo denge, otur eriş ve 30 saniye mekik testlerinde farklılıklar olduğu görülmektedir (p<0,05). Bu yaş grubu sporcuların gelişimlerini olumlu yönde etkilemesi amacı ile antrenörlere farklı branşların antrenman yöntemlerinden faydalanmaları tavsiye edilebilir.
Herbart meets Schleiermacher
Authors: Böhm Winfried
Published: June 2020

Herbart meets Schleiermacher

Herbart and Schleiermacher are considered to be the decisive founders of educational science. The former in terms of empirical science, the latter in terms of the humanities (›Geisteswissenschaften‹). The author discusses both this differentiation as also the development of the concept of ›Geisteswissenschaftliche Pädagogik‹ in the 20th century.
Kontinuität und Traditionsbrüche in der Pädagogik
Authors: Aßmann Alex
Published: June 2020

Continuity and Breaks in Tradition in Pedagogy. The Cultural Turnaround of Klaus Mollenhauer, the Self-Historicization of Educational Science and the Posthistoire

This essay examines the question of whether Klaus Mollenhauer’s cultural turn should be interpreted as a development of Geisteswissenschaftliche Pädagogik. Therefore, historical processing of experience, such as this that occurred within the paradigm, should be reflected against the background of historical upheavals that occurred on a larger scale.
Coherence of probability judgments from uncertain evidence: Does ACH help?
Authors: Karvetski Christopher W. , Mandel David R.
Published: June 2020

Although the Analysis of Competing Hypotheses method (ACH) is a structured analytic technique promoted in several intelligence communities for improving the quality of probabilistic hypothesis testing, it has received little empirical testing. Whereas previous evaluations have used numerical evidence assumed to be perfectly credible, in the present experiment we tested the effectiveness of ACH using a judgment task that presented participants with uncertain evidence varying in source reliability and information credibility. Participants (N = 227) assigned probabilities to two alternative hypotheses across six cases that systematically varied case features. Across multiple tests of coherence, the ACH group showed no advantage over a no-technique control group. Both groups showed evidence of subadditivity, unreliability (which was significantly worse in the ACH group), and overly conservative non-Bayesian judgments. The ACH group also showed pseudo-diagnostic weighting of evidence. The findings do not support the claim that ACH is effective at improving probabilistic judgment.
Evaluating Selection for Sexually Violent Predator Commitment: A Comparison of Those Committed, Not Committed, and Nearly Committed
Authors: Perillo Anthony , Calkins Cynthia , Jeglic Elizabeth
Published: June 2020

We examined state-wide data of persons evaluated for Sexually Violent Predator (SVP) commitment and compared risk-relevant data of three groups: those committed as SVPs ( n = 374), those not recommended for commitment ( n = 2,707), and those nearly committed (recommended for commitment but ultimately not committed; n = 117). Consistent with legal language for SVP commitment, binary and multinomial regression analyses revealed risk scores predicted SVP commitment recommendations in addition to some historical factors (e.g., psychiatric history, never being married, prior sex offenses). For those recommended for commitment, prior sexual offenses predicted ultimate commitment. Those nearly committed had significantly higher sexual recidivism rates than others who were not committed; however, these recidivism rates were still low (11.5%). Findings suggest evaluators’ SVP decisions incorporate risk data and follow empirically supported trends; however, the observed recidivism rates of a subset of those SVP commitment appears to target suggests SVP commitment’s potential for reducing sexual recidivism effectively and efficiently appears to have a low ceiling.
Informational goals, sentence structure, and comparison class inference
Authors: Tessler Michael Henry , Tsvilodub Polina , Snedeker Jesse , Levy Roger Philip
Published: June 2020

Understanding a gradable adjective (e.g., big) requires making reference to a comparison class, a set of objects or entities against which the referent is implicitly compared (e.g., big for a Great Dane), but how do listeners decide upon a comparison class? Simple models of semantic composition stipulate that the adjective combines with a noun, which necessarily be- comes the comparison class (e.g., “That Great Dane is big” means big for a Great Dane). We investigate an alternative hypothesis built on the idea that the utility of a noun in an adjectival utterance can be either for reference (getting the listener to attend to the right object) or predication (describing a property of the referent). Therefore, we hypothesize that when the presence of a noun N can be explained away by its utility in reference (e.g., being in the subject position: “That N is big”), it is less likely to set the comparison class. Across three pre-registered experiments, we find evidence that listeners use the noun as a cue to infer comparison classes consistent with a trade-off between reference and predication. This work highlights the complexity of the relation between the form of an utterance and its meaning.
“Saving lives, protecting livelihoods, and safeguarding nature”: risk-based wildlife trade policy for sustainable development outcomes post-COVID-19
Authors: Booth Hollie , Arias Melissa , Brittain Stephanie , Challender Daniel W. S. , Khanyari Munib , Kupier Timothy , Li Yuhan , Castro Alegria Olmedo , Oyanedel Rodrigo , Pienkowski Tom , Milner-Gulland E.J.
Published: June 2020

The COVID‐19 pandemic has caused huge loss of life, and immense social and economic harm. Wildlife trade has become central to discourse on COVID-19, zoonotic pandemics, and related policy responses, which must focus on “saving lives, protecting livelihoods, and safeguarding nature”. Proposed policy responses have included extreme measures such as banning all use and trade of wildlife, or blanket measures for entire Classes. However, different trades pose varying degrees of risk for zoonotic pandemics, while some trades also play critical roles in delivering other aspects of sustainable development, particularly related to poverty, hunger, decent work, responsible consumption and production, and life on land and below water. Here we describe how wildlife trade contributes to the UN Sustainable Development Goals (SDGs) in diverse ways, with synergies and trade-offs within and between the SDGs. In doing so, we show that prohibitions could result in severe trade-offs against some SDGs, with limited benefits for public health via pandemic prevention. This complexity necessitates context-specific policies, with multi-sector decision-making that goes beyond simple top-down solutions. We encourage decision-makers to adopt a risk-based approach to wildlife trade policy post-COVID-19, with policies formulate via participatory, evidence-based approaches, which explicitly acknowledge uncertainty, complexity and conflicting values across different components of the SDGs. This could help to ensure that future use and trade of wildlife is safe, environmentally-sustainable and socially-just.
Predictors of engaging in voluntary work during the Covid-19 pandemic: analyses of data from 31,890 adults in the UK
Authors: Mak Hei Wan , Fancourt Daisy
Published: June 2020

Background. As the Covid-19 pandemic has grown internationally, there has been an increased need for volunteers. This study aimed to identify the predictors of volunteering including demographic backgrounds, socio-economic characteristics, personality and psychosocial factors.Methods. Data were analysed from 31,890 adults in the UK COVID-19 Social Study run by University College London; a longitudinal study focusing on the psychological and social experiences of adults living in the UK during the Covid-19 pandemic. Tetrachoric factor analysis was applied to identify latent categories of voluntary work. Multivariate logistic regression was used to identity predictors for volunteering and change in volunteering behaviours since before lockdown.Results. Three types of volunteering during the pandemic were identified: formal volunteering, social action volunteering, and neighbourhood volunteering. Regression analysis showed that the pattern of voluntary work was structured by demographic backgrounds, socio-economic factors, personality and psychological factors.Conclusion. The predictors of volunteering during the pandemic may be slightly different from other non-emergency period.
Antimicrobial Sensitivity Pattern in the Mixed Intensive Care Unit in a Tertiary Care Hospital of Eastern Nepal
Authors: Keyal Niraj Kumar , Shrestha Mahendra , Ghimire Partima Sigdel
Published: June 2020

Background: Empirical antibiotics are used in the intensive care unit based on developing countries’ guidelines due to a lack of a bacteriological profile of individual ICU and institution policy. Therefore, this study was conducted to know the antibiogram of the intensive care unit and to make institution policy for antibiotic use in ICU.

Materials and methods: It was a prospective descriptive cross-sectional study conducted in the mixed surgical and medical intensive care unit of a tertiary care hospital for one year in 625 patients. Various clinical samples were collected aseptically and organisms were identified by the cultural characteristics, morphology, gram stain, and different biochemical test. Antimicrobial susceptibility was done with a disc diffusion test. Data collection was done in a preformed sheet that included all tested antibiotic and demographic variables. Statistical analysis was done by using statistical package for the social sciences. The result was presented as frequency and percentage.

Results: Out of 625 samples, 135(22%) showed growth in culture. Among them, 96(71%) and 39(29%) were gram-negative bacilli and gram-positive cocci respectively. The tracheal aspirate was the most common type of specimen which comprised 49(36.29%) isolates. The most common organism was Staphylococcus aureus which accounts for 27(20%) isolates, followed by Acinetobacter baumanni 25(18.51%), Klebsiella pneumoniae 22(16.29%) and Pseudomonas aeurignosa 21(15.55%). The incidence of multidrug-resistant and extended drug resistance was 44(32.5%) and 45(33%) respectively. Meanwhile, the incidence of methicillin-resistant staphylococcus aureus was 70%. However, in the case of Acinetobacter baumannii and Enterobacteriaceae, all were sensitive to polymyxin B and meropenem.

Conclusion:Antibiotics should be prescribed based on the antibiogram of individual intensive care units that can decrease antibiotic resistance. Polymyxin B and meropenem can be prescribed for gram-negative bacilli and vancomycin for Staphylococcus aureus.
Epidemiological Study of Bell's Palsy in patients From Western Nepal
Authors: Koirala Krishna Prasad
Published: June 2020

Background: Bell's palsy is defined as idiopathic, sudden onset, unilateral lower motor neuron facial paralysis. The etiology of Bell's palsy is unclear. It affects all age ranges with complete recovery in most cases. However, few patients are left with a considerable permanent functional deficit. The disease has variable progression ranging from few hours to days. Diagnosis is usually made when a patient presents with sudden onset unilateral lower motor neuron facial paralysis without an obvious cause. Different medical therapies such as steroids, antivirals, physiotherapy, acupuncture, etc. have been used to enhance the recovery of Bell's palsy. This study aims to find out the common age of presentation of people with Bell's palsy, and also to report their outcome with the use of steroids.

Materials and methods: This study is a prospective observational study carried out in the department of ENT and Head and neck surgery at Manipal College of Medical Sciences, Pokhara, Nepal. Patients of all ages and both sex with the diagnosis of Bell's palsy meeting the inclusion criteria were studied from 1st Jan 2015 to 31st Dec 2018. Data were taken and analyzed with the help of SPSS software and results were published.

Results: Out of 45 patients of Bell's palsy enrolled in the study, females outnumbered the males. Bell's palsy was more commonly seen in young adults There was a significant short-term improvement in Bell's palsy with the use of steroids (p=0.00001). There was no difference in early recovery after Bell's palsy regardless of the time of presentation within a week or age of the patient at presentation.

Conclusion: Bell's palsy is more common in young adults. Steroids have a definite role in the short-term improvement of facial nerve function. People presenting within a week of facial nerve palsy can be treated with steroids. People of all ages can equally improve with steroid treatment.
Scalp Reconstruction among Neurotrauma Patients: Presentation, Management and Outcome- Single Center Study
Authors: Thapa Dinesh Kumar
Published: June 2020

Background: Scalp laceration is common findings among patients with head injury. It may present with simple laceration, laceration with loss of tissue or degloving type of injury. This study was conducted to observe the different techniques or wound management and fate of thus reconstructed scalp lacerations.

Methods and materials: This is a cross-sectional analytical study which was conducted in B&C Medical College Teaching Hospital, Jhapa, Nepal. Patients presented with major scalp lacerations needing repair in Operation Theatre between June 2017 to May 2019 were included. Age, gender, mode of injuries, severity of the injury, various types of management and complicationswere studied and thus collected data were analyzedin IBM SPSS version 23.

Results: There were 53 cases of scalp injuries with male(75%) predominance and mean age of 31.51 (SD 15.218) yearsin this study. Road traffic accident was the major cause of injury 28(53%), followed by physical assault 16(30%), fall injury 7(13.2%) and burn injury 2(3.7%).Primary closure was possible in 29(54.7%), advancement flap in15(28.3%), flap rotation in 7(13.2%) and split thickness skin graft was in 2(3.8%) patients. Wound infection was seen among 6(11.3%) patients, wound break down in 2(3.7%) and flap failure with dehiscence was observed in 1(1.9%) patient needing secondary healing and closure.

Conclusion: Scalp laceration is commonly seen in neurotrauma patients with or with-out intracranial injury. Road traffic accidents top the chart in our part of world.All kinds of scalp laceration can be managed well with different types of surgical techniques.
Incidence of Dural Injury during Craniotomy - a Single Center Study
Authors: Limbu Punam , Dhimal Kaushila , Biswakarma Pushpa
Published: June 2020

Background: During a craniotomy, there is a high chance of unintentional dural tear and may occur in both layers or only in the outer layer.ith the objective to see the incidence of dural tear during craniotomy using high-speed craniotome, this study was performed.

Materials and methods: This is a prospective analytical study collected over the duration of 4 months. Cases of craniotomy done using the craniotome were collected. Age was presented as mean and standard deviation (S.D). Gender, diagnosis, and dural tear were presented in frequencies and percentages. Analysis of gender, diagnosis categories, and age categories with a dural tear was done using the Fischer exact test. Similarly, Pearson's correlation was done between the number of burr holes made and dural tear in SPSS20.

 Results: There were a total of 25 craniotomies performed during the study period using craniotome. The mean age of presentation was 43.32 (17.65) years. The incidence of the dural tear was noted in 20% of the cases which includes a single layer or both the layers of the dura. There was a significant association between different age categories and dural tear; where elderly patients seem to have more percentage of the dural tear.

Conclusion: There was a 20% incidence of dural tear during craniotomy with a significantly higher incidence in the elderly population.
Choroidal Fissure Cyst Presenting as Hemi-Orofacial Sensory Loss
Authors: Karki Karuna Tamrakar , Kandel Govinda
Published: June 2020

Not available.
Influence of Buddhism and Vedism in Nepalese Co-operatives
Authors: Acharya Sushma
Published: June 2020

The universal definition of co-operatives is an autonomous association of persons united voluntarily to meet their common economic, social, and cultural needs and aspirations through a jointly-owned and democratically-controlled enterprise. Co-operatives are the community based member oriented and controlled organizations. It based on values of self-help, self-responsibility, equality, equity, democracy and solidarity. Empowerment, reinvesting and upliftment in economic status of people are the main purpose of co-operatives. The main objective of the study is to investigate how co-operatives can act as agents towards sustainable community development and economic development of Nepal through Vedic and Buddhism perspective. Methodologically, it is a comprehensive interpretive analysis through literature review. In conclusion Nepalese co-operatives do not have impacts or influences of godly philosophies neither Vedism nor Buddhism.
Historical Analysis of Bauddha Stupa, Kassap Buddha and Shringa Rishi
Authors: Dhakal Devraj
Published: June 2020

The historical Analysis of Baudha Stupa and Kassap Buddha is the study of the history of Baudha stupa of Baudha Kathmandu Nepal. The main objective of the study is to analyze the historical importance of Boudhanath Stupa and Kasyap Buddha. Comparative Historical Analysis (CHA) method has been applied to analyze the collected facts and information. The story of Nalanika (Nalanika Jatak Katha) claims that Shringa (Having a horn in head) sage was the grandson of Kassap and son of Vibhandak sages was born in Mahalaxmi municipality, Lankuri Bhanjyang Shringa Rishi Ashram. Therefore, Kassap Buddha had visited and settled few times in the municipality. Thus Baudha Stupa – made by relics of Kassap Budha- Baudha Kathmandu has clear relation with Shringa Rishi Ashram of Lalitpur.