bluuebunny/crossref_metadata_2025 huggingface dataset:
Aprendizaje organizacional y su vinculación con la comunicación
Authors: Rueda Fierro Iván , Tamayo Grace Natalie , Acosta Andinco Byron , Cueva Brito Fabián , Idrobo Dávalos Paul
Published: October 2020

Esta investigación tiene como objetivo analizar el aprendizaje organizacional y su vinculación con la comunicación, mediante una revisión de sus fundamentos teóricos y la identificación de las variables más representativas de estos aportes en el contexto organizacional. Se concluye que la comunicación es reconocida como un factor crítico en los procesos de conocimiento y la interacción de los grupos, y se ha convertido en la principal fuente de ventaja competitiva para las organizaciones, cuya creación dependerá de las condiciones organizacionales presentes. Cuando una organización tiene una cultura organizacional basada en el aprendizaje, el conocimiento de los trabajadores se integra y genera soluciones para los problemas. Para este ciclo se requiere que los directivos de las organizaciones asuman con liderazgo el proceso de gestión del conocimiento, conjuntamente con el compromiso del personal y alineen la estrategia con la cultura organizacional. En consecuencia, bajo estas condiciones se permitirá la generación, difusión y transferencia del conocimiento. Es importante para las instituciones conocer y controlar la relación entre el estilo de comunicación usado y los procesos de conocimiento.
Topic of interest form middle upper level studentes: new spaces of opportunity
Authors: SESENTO Leticia , LUCIO Rodolfo
Published: October 2020

The present investigation shows the results of a study carried out in the development of the Fourth Tutoring Expo. The objective was to identify the topics of interest to the students attending the tutoring activities. The work was developed under a quantitative approach. To collect information, a survey was used in which the impression of the event on the students who attended was measured; They were asked to write the topic (s) they would like to see taught at the next event to train teachers. 152 attendees of the Fourth Tutoring Expo, of both sexes, were surveyed. It is a descriptive quantitative investigation. It was a survey designed by the coordination of tutorials to learn about the topic of interest to be addressed in the following events. 152 attendees of the Fourth Tutoring Expo were surveyed, through a simple random sampling of participants of the event of both sexes. The results show that the topics of greatest interest are: 11%, feminism, 11%, Study techniques, 11%, Contraceptive methods, 11%, Gender equality, 10% How to be a good tutor and learn, 7%, Infections sexually transmitted. It would be interesting to know the reasons why young students focus their attention on these topics to design a comprehensive action plan and thus clear up their doubts that lead us to adequately improve their development. Finally, it is important that teaching practices be re-signified from the tutorial activity, the institutional climate and collaborative work are the central aspects that are required to be contained in the development and training of this substantial instrument for young people.
A methodology for the analysis of communicative interaction in the forums of the Metacampus of the Virtual University System, Universidad de Guadalajara
Authors: MONTES-PONCE Daniel
Published: October 2020

The problem of communication is addressed in a virtual platform, in a communication space: forum, within the platform of the Virtual University System, of the University of Guadalajara, called Metacampus. The objective of the study was: To observe how social life is carried out from the interaction through a virtual medium, in the field of use of information technologies IV. In the methodological work, a mixed paradigm was used, to know what the development of activities is like having as a focus of study: interactive communication, identifying elements of a virtual learning environment. The methodology that was followed to measure the sample was due to the facilities that were presented for being an advisor on the subject of Use of Information Technology, with a sample of 60 students, which results in a representative sample with a level of confidence significant. The results of the analysis of the information worked on the subject Use of Information Technology IV are presented. A significant participation of the participants could be observed, with 590 messages, of which 475 corresponded to students, and 115 from advisers. A trend of Descriptive type messages was identified.
El potencial transformador del aprendizaje activo en la formación agroecológica universitaria
Authors: Peredo Santiago
Published: October 2020

En tiempos de modernidad líquida donde la precariedad ha generado un ambiente de devastación emocional -sobre todo en jóvenes- se requiere de agencias educativas capaces de hacer frente a la incertidumbre que caracteriza a las sociedades complejas. El enfoque agroecológico, como un nuevo paradigma, se ha instalado en las universidades para abordar, desde su perspectiva inter-epistémica, la complejidad de los sistemas socioecológicos. En sus inicios, la estrategia estuvo centrada en la incorporación de nuevos contenidos para luego diseñar curricula más complejos donde las metodologías de aprendizaje activo empiezan a cobrar mayor importancia. El objetivo de esta comunicación es establecer el potencial transformador de las metodologías de aprendizaje activo (Aprendizaje y Servicio, Transformacional, Basada en Proyectos) utilizadas en el Programa de Educación Continua en Agroecología (PECA). Para ello, en una primera parte, se aborda el marco teórico-conceptual del enfoque agroecológico como paradigma pertinente para el abordaje integral y transdiciplinario de la complejidad de los agroecosistemas como sistemas coevolutivos. Posteriormente, se aborda la institución educativa y sus contradicciones en su rol de transformación social. Finalmente, se presentan los principales resultados de evaluaciones realizadas, en los diferentes itinerarios agroecológicos, a los actores involucrados (docentes, estudiantes, comunidades) en el proceso de enseñanza-aprendizaje.
Debates Latinoamericanos y Pueblos indígenas: El sitial indígena en los márgenes de la globalización
Authors: Canales Tapia Pedro
Published: October 2020

El siguiente trabajo se define como un aporte de corte historiográfico, cuyos elementos metodológicos y teóricos, confluyen desde un antecedente relevante en la historia de Latinoamérica: lo que se ha dado a llamar la emergencia indígena. De esta forma, esta propuesta se enfoca en el debate que se ha elaborado por parte de las ciencias sociales y otras áreas del pensamiento, respecto del rol de los pueblos indígenas en lo que se ha denominado la era de la globalización. En este sentido, este trabajo se sumerge en discusiones que vinculan aspectos referidos a identidad, a luchas sociales y a proyecciones históricas de sus discursos y proyectos, en un entramado dominado por la figura de los estados nacionales y sus políticas neoliberales de desarrollo y crecimiento. En este escenario, los pueblos indígenas para las ciencias sociales, se tornan como colectivos interculturales que tensionan las verdades históricas de las identidades nacionales, los relatos globales y las tradiciones de las repúblicas en su conjunto. De esta manera, este trabajo, invita a la reflexión de estos aspectos y la comprensión de proyectos futuros que encaminen en la construcción de nuevas sociales en América Latina.
Comparison of spectro-biophysical and yield parameters of cotton in irrigated lowlands of Amudaria River
Authors: Kenjabaev Shavkat , Conrad Christopher , Eshchanov Odilbek , Arifjanov Aybek , Abduraimova Dilbar , Voxidova Umida
Published: October 2020

This study aims defining the best predictors of biophysical parameters and yield with vegetation indices derived from Landsat 8 OLI surface reflectance data. The study was conducted in 2015 at five crop fields in Kulavat canal irrigation system in Khorezm province, Uzbekistan. The Environment for Visualizing Images (ENVI) ver. 4.5 and R programming software ver. 1.0.143 were used to process, calculate seven vegetation indices (VIs) and predict biophysical parameters and yield of cotton.

The trend analysis show that in-situ measured biophysical parameters for the whole growth stage of cotton follows the 3rd order polinomial curve (R2 = 0.96-0.99). The NDVI, SAVI, TVI and RVI had linear interrelationship between each other with strong positive correlation of R2>0.9 (highly significant with p-value=0). The VIs showed a logarithmic function relationship with crop height (crht), power function relationship with green biomass (gbm) and leaf area index (LAI), and linear function relationship with the fraction of photosyntetically active radiation below the plant canopy (FPAR) during the entire growing period of cotton. Among seven VIs tested in this study, the NDVI/SAVI and GCI explained 88 and 91 % of variation in crht, respectively. These three indices also well explained gbm variation (R2=0.86). The TVI was slightly better explained FPAR than NDVI and SAVI (all R2>0.87). The NDVI, SAVI and TCG explained 82 % of variation in LAI. Among all VIs, GCI, NDGI and RVI were found to be the best predictor of cotton yield during August, explaining 76-79 % variability (p<0.001).

Based on spectro-biophysical analysis, VIs derived from RS data on July and August (anthesis and peak growth stages of cotton) is more reliable to use for modeling cotton yield (seed and lint yields together). Therefore, field data collection is recommended to perform during these months taking into account in-field crop condition and remotely sensed data acquisition date. In addition, September 5-20 is the second important period (i.e., cotton pick-up) to conduct yield data collection for establishment of relationships between cotton yields with VIs (July-August).
Cardiac Monitoring to Aid in Diagnosis
Authors: Mitra Manu
Published: October 2020

Cardiac Monitoring refers monitoring heart activity to determine patient’s condition relative to their cardiac rhythm. The reason of having cardiac monitoring is to determine any unusual activity of heart; so that it can diagnosed before the severity condition of patient increases. There are many ways to determine condition of health of heart. There are many others, however, in this paper flexible and comfortable ways are discussed without inconvenience for the patient. For example – flexible device on the finger, flexible skin like monitor small enough size of a bandage, and self-powered cardiac pacemaker using nanogenerator.
Experimental and Cfd Analysis of Heat Transfer Rate in Multi Air Jet Impingement Over A Flat Plate and Pin-Fin Heat Sink
Authors:   M.Tech student, Department of Mechanical Engineering, Lakireddy Balireddy college of Engineering, Mylavaram, India., Babu SD. Unees , Kumar P. Vijay ,   Professor, Department of Mechanical Engineering, Lakireddy Balireddy college of Engineering, Mylavaram, India., Prasad K. Lakshmi ,   Assistant Professor, Department of Mechanical Engineering, Lakireddy Balireddy college of Engineering, Mylavaram, India.
Published: October 2020

In this paper reports the results of investigation of heat transfer performance of in compression air jet impinging of heated surface over a flat plate & pin-fin heat sink. To mimic the computer processor of flat plate and pin fin dimensions are 120mm*75mm and pin height is 5cm and fin radius is 1cm and L/d ratios are 5,10,15respectively. By using this simulation in Ansys fluent software to perform the turbulent jet impingement on a surface. The bottom surface of the plate is supply constant heat flux and top surface of the plate is cooled by an impingement jet of air. It has two equations are used k-w model and shear stress transport to handle the turbulent jet. The result of flat plate heat sink is compare the Experimental and simulation is higher at 0.89% of experimental to compare numerical and Nusselt is higher at 3.35% of numerical to compare the experimental and heat transfer coefficient is higher at 4.51% of numerical to compare the Experimental and result of pin fin heat sink is compare the Experimental and numerical is higher at 0.23% of experimental to compare the numerical and Nusselt number is higher at 0.71% of numerical to compare the experimental and heat transfer coefficient is higher at 0.88% of numerical to compare the experimental. The effect of L/d ratios of jet impingement over a flat plate and pin fin heat sink on the heat transfer performance of the heated surface of investigated.
DesignandSimulation of High-Efficiency High Gain non Isolated Interleaved DC-DC Converter with Reduced Voltage Stress on the Devices
Authors:   M.Tech II year student of Power Electronics departmentat Poojya doddappa appa college of Engineering kalaburagi India., Fatima Azra , Aspalli M.S. ,   Professor of Power Electronics department at Poojyadoddappa appa college of Engineering kalaburagi India.
Published: October 2020

In this paper, a non-isolated two interleaved modified step up KY Converter is analyzed and designed, whose efficiency,the voltage conversion ratio is high. There are various types of non -isolated converters such as buck-boost, Cuk, SEPIC, ZETA converters, etc but the voltage gain of these converters is less compare to the proposed interleaved KY converters. The voltage gain, efficiency of the proposed converter is enhanced compared to the previous converters. The voltage stress on semi-conductor devices and the ripple in the input current is reduced because of this interleaving technique. Switches with low on-state resistance are used due to which the conduction losses are reduced. Steady-state analysis and the operating principle are studied in continuous conduction mode (CCM) at ideal conditions. Simulation is also carried out in MATLAB/Simulink for the proposed interleaved KY converter.
A Transformerless Buck-Boost Converter with Single Switch
Authors:   Department of Electrical and Electronics Engineering, PDA College of Engineering, Kalaburagi, Karnataka, India., Patil Channamma. S. , Aspalli Dr. M. S. ,   Department of Electrical and Electronics Engineering, PDA College of Engineering, Kalaburagi, Karnataka, India.
Published: October 2020

This paper introduces a modern, transformerless buck-boost dc-dc converter. In this topology, one active switch is used.The proposed buck-boost converter voltage gain is higher compared to the conventional buck-boost converter.With a moderate duty cycle, high voltage gain can be reached. The switch's voltage stress is minimal. As a consequence, the power switch's conduction loss is relatively low to improve efficiency. The converter is simple, hence it will be easy to control the proposed converter.
INTERSEX STATE WITH TESTICULAR FEMINIZATION SYNDROME: A CASE REPORT AND REVIEW OF LITERATURE.
Authors: Garg Parul , Tayal Ishwer
Published: October 2020

Intersex state is a state in which intermingling of characters of both sexes present to varying degrees, including physical form, reproductive organs and sexual behavior. Testicular feminization, or the androgen insensitivity syndrome, is a rare disease. Because of various abnormalities of the X chromosome, a male, genetically XY, has some physical characteristics of a woman or a full female phenotype.
Probabilistic Decentralised Control and Message Passing Framework for Future Grid
Authors: Herzallah Randa
Published: October 2020

In this paper, we propose a unified probabilistic decentralised control and message passing framework for real time control of the electrical grid which enables the development of the future smart grid. The key elements of the proposed framework are the design of local randomised controllers and probabilistic message passing methodology which enables the coordination between the designed local controllers to account for optimisation considerations on the system operation. Within the proposed framework, the electric grid is decomposed into a number of control areas. Additionally, since the frequency is the ubiquitous grid state variable, representing the balancing of active power generation and consumption, the proposed framework is demonstrated based on local Load Frequency Control (LFC). Simulation studies involving a six-area power system and three interconnection schemes are carried out to illustrate the applicability and effectiveness of the proposed approach.
CNN based Flood Management System with IoT Sensors and Cloud Data
Authors: Dr. S. Smys  , Dr. Abul Basar  , Dr. Haoxiang Wang
Published: October 2020

Water is one of the basic resource need for every human in the world. The improper management of water storage system can lead a human life to any extent. As a result of technology development, the proposed model is developed to manage the water storage systems like dam and lake through remotely placed sensor signals. The sensors which are placed in the storage places gives the strength and storage capacity of the dam and lakes. Similarly the sensors which are placed at the sender dam or lake are used to predict the incoming water level to the receiver lake. This improves the prediction rate of flood in the river paths and this prediction allows the incoming dam to send off some waters outside to allocate some space for incoming waters. The data which are generated by the connected dams are stored in a cloud space for analyzing the water flow management. The sensors connected in a lake or dam is connected with IoT platform to avoid wire connections. Hence this model avoids sudden floods during rainy conditions and it ensures the physical strength of the lake and dam by continuous monitoring process.
NEGLIGENCE OF WOMEN HEALTH IN INDIA:ROLE OF GENDER BIASNESS AND OTHER SOCIO-CULTURAL ISSUES
Authors: Shipra Shukla
Published: October 2020

Women health is one of most neglected issues in developing countries like India. Though in past few years there has
increase in awareness about rights of women and their health issues still we have long way to go. This paper talks the status
of women health in India and how they are unaware about their health and facilities they can acquire to improve on their
health. The women of India are not much concerned about their health; either we talk about physical health or mental
health. In this paper, I have also discussed about different socio-cultural causes that led to this condition of women health,
specially the role that gender biasness plays in poor condition of women health. This paper also talks about how such issues
can be addressed and resolved.
Analisis Pengaruh Brand Trust, Product Factor, dan Sales Promotion Terhadap Customer Loyalty Melalui Purchase Decision di Matahari Departement Store
Authors: Irwinsyah Harfian , Nurlatifah Hanny
Published: October 2020

Abstrak - Tujuan dari penelitian ini merupakan untuk mengetahui pengaruh kepercayaan merk, faktor produk, dan promosi penjualan terhadap loyalitas konsumen melalui keputusan pembelian studi kasus Matahari Departement Store. Metode analisis yang data yang digunakan adalah analisis deskriptif dan analisis jalur. Sampel pada penelitian ini merupakan orang yang pernah melakukan pembelian produk secara offline di Matahari Departement Store dalam kurun waktu 3 bulan terakhir di wilayah JABODETABEK. Dari hasil penelitian menggunakan analisis jalur pada variabel – variabel tersebut. Kepercayaan merk memiliki hubungan signifikan terhadap keputusan pembelian, faktor produk memiliki hubungan signifikan terhadap keputusan pembelian, promosi penjualan memiliki hubungan signifikan terhadap  keputusan pembelian, kepercayaan merek memiliki hubungan signifikan terhadap loyalitas konsumen, faktor produk memiliki hubungan signifikan terhadap loyalitas konsumen, promosi penjualan memiliki hubungan signifikan terhadap loyalitas konsumen, keputusan penjualan memiliki hubungan signifikan terhadap loyalitas konsumen.

Kata Kunci - Kepercayaan Merk, Faktor Produk, Promosi Penjualan, Keputusan Pembelian, dan Loyalitas Konsumen.

Abstract - The purpose of this study is to determine the effect of brand trust, product factors, and sales promotions on customer loyalty through the purchasing decision of the Matahari Department Store Store case study. The data analysis method used is descriptive analysis and path analysis. The sample in this study were people who had purchased products offline at the Matahari Department Store in the past 3 months in the Greater Jakarta area. From the results of the study using path analysis on these variables. Brand trust has a significant relationship to purchasing decisions, product factors have a significant relationship to purchasing decisions, sales promotion has a significant relationship to purchasing decisions, brand trust has a significant relationship to customer loyalty, product factors have a significant relationship to customer loyalty, sales promotion has a significant relationship on customer loyalty, sales decisions have a significant relationship to customer loyalty.

Keywords - Brand Trust, Product Factor, Sales Promotion, Purchase Decision, and Customer Loyalty
Membaca Film Sebagai Sebuah Teks: Analisis Isi Film “Nanti Kita Cerita Tentang Hari Ini (NKCTHI)”
Authors: Asri Rahman
Published: October 2020

Abstrak - Perkembangan dunia perfilman saat ini sudah berkembang pesat, tak terkecuali di Indonesia. Berbagai tema film telah diproduksi sebagai sarana hiburan maupun penyampaian pesan bagi khalayaknya. Penelitian ini bertujuan mendeksipsikan pesan (message) yang disampaikan dalam sebuah film dengan menganalisis isi (content analysis) secara kualitatif dalan paparan cerita film “Nanti Kita Cerita Tentang Hari INI (NKCTHI)” yang bergenre drama keluarga yang telah mendeskripsikan tentang kedudukan dan peran seorang lelaki, suami dan ayah dalam sebuah keluarga yang digugat oleh anak-anaknya sesuai perkembangan jaman mereka. Pesan cerita film NKCTHI ini menggugat dominasi laki-laki sebagai suami dan sekaligus ayah dalam latar belakang masyarakat yang masih patriarki, dimana otoritas dan pusat kekuasaan masih dominan pada laki-laki.       

Kata Kunci– film, analisis isi, kualitatif, komunikasi massa, media

Abstract – Expanded growth in film industry all over the worlds, include Indonesia to released many theme and variant genre of movies for entertaintment and delivered messages for target audiences. The Objective of this study to describe about story message from family drama movie “Nanti Kita Cerita Tentang Hari Ini (NKCTHI)”. This qualitative study used content analysis method with description about role and position a man as husband and father in traditional society with patriarchy, when a man handled authority and power dominantly, who sued by his lovely children in family.

Keywords – film, content analysis, qualitative, mass communication, media
Environmental Journalists Perspective on the Coverage of Environmental Issues in Media of Pakistan
Authors: Ahmed Masroor , Minhas Dr. Shahid , Hussain Dr. Tasaduq
Published: October 2020

Pakistan is facing serious environmental issues which is becoming a risk for the citizens of the country. This study is designed to focus on the Environmental journalist’s perspective on the coverage of environmental issues in the Media of Pakistan. Survey research method was used and a structured questionnaire was distributed to collect data from environmental journalists in Pakistan. A non-probability sampling method, snow ball sampling was applied to collect data from the journalists on the specified issues. The questionnaire was sent to 20 journalists covering environmental beats, in which 18 responded. All major issues prevailing in the context of environment (globally/locally) were incorporated in the questionnaire.
The results showed that, according to the environmental journalists, the coverage of environmental issues in the media of Pakistan is not satisfactory, even considerable low, print and electronic media were the only major channel of communications that covered environmental issues, while these issues have significance and also audiences have some sort of interest in these issues, but journalists noted that there is no such options to highlight in the media due to some major reasons except a little coverage in the media.
Peran Pendidikan Kewirausahaan dan Motivasi Berwirausaha dalam Mempengaruhi Minat Berwirausaha Mahasiswa
Authors: Perkasa Didin Hikmah , Triansah Fedri , Iskandar Donant Alananto
Published: October 2020

Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kewirausahaan dan motivasi berwirausaha terhadap minat berwirausaha mahasiswa, pengambilan sampel dalam penelitian ini berjumlah 66 responden yang diambil dengan menggunakan teknik total sampling. Metode analisis data dalam penelitian ini menggunakan analisis regresi linier berganda (SPSS 2.3). Hasil penelitian ini menunjukkan bahwa variabel pendidikan kewirausahaan berpengaruh positif dan tidak signifikan terhadap minat berwirausaha mahasiswa fakultas ekonomi dan bisnis reguler 2 angkatan 2013 dan variabel motivasi berwirausaha berpengaruh positif dan signifikan terhadap minat berwirausaha perguruan tinggi. Mahasiswa Mercu Buana Fakultas Ekonomi dan Bisnis Reguler 2 angkatan 2013.
Self-Care Practices among Hypertensive Patients of all Aged Group in Tsum- Nubri Rural Municipality of Gorkha District
Authors: Lama Sonam Dickey , Baskota Swechhya , Poudel Lisasha , Rajbhandari Bibek , Mali Prajita , Lama Tashi
Published: October 2020

Introduction: Hypertension is now becoming an increasingly important cause of morbidity and mortality in developing countries which leads to a major public health problem. It is necessary for an assessment of an individual’s hypertension self-care behavior and its associated factors in order to provide clinicians about important information regarding how to better control hypertension. Thus, the objective of this study was to assess the self-care practices among hypertensive patients of all age group and to understand the factors associate with it.

Methods: A community-based cross-sectional study was conducted in Tsum-Nubri Rural Municipality of Gorkha district among 68 hypertensive patients. Self-care activities were measured using a semi-structured questionnaire with the H-hypertension self-care activity level effects (H-SCALE) and the data was entered and analyzed in SPSS version 16. Uni-variate analysis was done and was presented through frequency and percentage whereas, bivariate analysis was by using chi-square test where P value <0.05 was considered to be association between dependent and independent variables

Results: Adherence to the recommended levels of medication was reported to 25%; only 8.8% followed the physical activity level guidelines. None of the participants showed adherence to weight management and low- salt diet recommendation. 51.5% of them were adherence to non-smoking and alcohol abstinence. Marital status (0.005), education level (0.003) and monthly household income (0.003) were significantly associated with adherence to non-smoking. Also, body mass index (0.001) was significantly associated with the physical activity.

Conclusions: Based on study findings, life style modification and regular monitoring must be considered in order to increase good self-care practice
Use of Intravenous Furosemide to Prevent Febrile UTI Following Flexible Ureterorenoscopic Laser Lithotripsy
Authors: Basnet Robin Bahadur , Shrestha Sanjay Bikram , Shrestha Jitendra , Shrestha Bipin
Published: October 2020

Introduction: Flexible ureterorenoscopic laser lithotripsy is the preferred management option for renal stones less than 2 cm. However, flexible ureterorenoscopic laser lithotripsy is not without complications and urinary tract infection is the most common reported complication. Prophylactic antibiotic use, access sheath, low pressure irrigation are few methods to reduce incidence of urinary tract infection. We have studied whether routine use of intravenous furosemide reduces the incidence of febrile urinary tract infection.

Methods: A total of 70 patients were randomized into two groups where one received intravenous furosemide at the beginning of the procedure and another did not. Flexible ureteroscopic holmium laser lithotripsy was done and patients were followed up for development of febrile urinary tract infection within one week of the procedure.

Results: 14% of patients who received furosemide and 20% of patients who did not receive developed post- operative febrile urinary tract infection within one week. Two patients in each group had bacteriuria.

Conclusions: Although the incidence of febrile UTI is lesser with routine use of intravenous furosemide during flexible ureterorensocopic laser lithotripsy, statistical significance could not be proved.
Analysis of Total Number of Dengue Screening Test sent using Standard Versus Modified Protocol
Authors: Shrestha Ashis , Bajracharya Sumana
Published: October 2020

Introduction: Patan Academy of Health Sciences (PAHS) emergency department adopted a standard protocol for case management which was further modified to sustain the influx of patient. In standard protocol dengue test was sent for all patient while in modified protocol the test was sent in limited patients. This study was designed to predict the number of investigations that would have been sent using these protocol during the outbreak.

Methods: This was a cross sectional study conducted at emergency department of PAHS, during a dengue outbreak (September 2019). Patients with a screening test sent and those with a positive screening test were analyzed using regression for the number of dengue screening test sent using standard and modified protocol.

Results: Total of 10,773 patients visited emergency department from 15 August to 14 October 2019. Suspected dengue was 2567 (23.8%), out of which dengue screening test was positive in 658 patients. Standard protocol was used in phase 1, the median test sent per day was 95.5, if modified protocol had been used the median test would have been 89.0, this was statistically significant. In phase 2 median test sent per day using modified protocol was 60.5, if standard protocol had been continued median test would have been 61.0 per day. It was not statistically significant.

Conclusions: Modifying protocol according to surge of patient during epidemic is helpful if it is sent early during outbreak. Case management protocols need to be dynamic to manage the surge of patient.
Determinants of Unintended Pregnancy and Induced Abortion among Female Youths in Western Regional Hospital, Nepal
Authors: Sen Manisha , Neupane Ram Prasad , Shrestha Tirtha Man
Published: October 2020

Introduction: Youth are more susceptible to unwanted pregnancies; this may be explained by the fact that youths are facing various problems with regards to their reproductive health needs including age at marriage, contraceptive use, social, cultural and economic barriers in accessing the family planning services, their educational level as well as occupational opportunities. The study assessed the determinants of unintended pregnancies and induced abortion among female youths aged 15-25 years in Western Regional Hospital, Pokhara.

Methods: A cross sectional hospital-based study was conducted among 125 female youths visiting Western Regional Hospital, Pokhara. Ethical approval was taken before starting data collection. The respondents were interviewed using semi structured questionnaire. All the data collected in the proformas were entered and assimilated using SPSS 21, statistical analysis software. Descriptive statistics including chi square and p-value was applied.

Results: Among 125 female respondents, 72.8% of the respondents had unwanted pregnancy and 24% had history of abortion. Out of all the unwanted pregnancies, 86.7% had induced abortion with p-value <0.05, x2 = 67.41. The financial problems of the respondents were found to be the prime determinant ofunwanted pregnancy and induced abortion, proportion being 52.8% and 55.2% respectively, whereas to keep gap between the births (12.8%) was also associated. The association between use of contraceptive methods and unwanted pregnancy was not found to be statistically significant with the p-value of >0.05.

Conclusions: The prevalence of unintended pregnancy and induced abortion were high and most of the induced abortion was the result of unwanted pregnancy. The economic problem of the respondents was the prime factor associated with induced abortion.
Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality
Authors: Karanjit Punam , Mali Prajita , Khadka Rakshya , Poudel Lisasha
Published: October 2020

Introduction:  For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme.

Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the outcome variables.

Results: Almost half of the general population (42.4 %) were utilizing social health insurance scheme and reason for not utilizing includes lack of confidence in the scheme and the services of the scheme, followed by high premium cost. Age (p=0.044), occupation (p= 0.049), wealth quintiles (p=<0.001) were found to be significantly associated with utilization of social health insurance. Logistic regression analysis showed that the odds of enrollment among very rich population group were lower than the medium (AOR 0.550, 95% CI 0.305-0.993) and rich population (AOR 0.557, 95% CI 0.316-0.981).

Conclusions: Multiple factors were found to be associated with the utilization of the health insurance scheme which includes age of the household head, occupation of the household head, economic status, availability of the drugs and charge paid during their visit in the health care services, behavior showed by the health care provider, confidence in the scheme, satisfaction in the services that have been providing and source of the information.
Evaluation of postural balance in children with normal hearing using
Wii Balance Board
Authors: Lutsenko Viktor , Situkho Maxim , Antonov Yuri
Published: October 2020

Posturography provides valuable information about the balance. Wii Balance Board is inexpensive and when used with specially designed software is a potentially effective tool for instrumental balance assessment.
Objective: To study the main outcome variables of postural balance in healthy children using the Wii Balance Board platform.
Methods: Postural balance parameters of 38 children with normal hearing and without vestibular complaints were recorded using Wii Balance Board and Wii Posturografie software. Way, Area, Lat, Ant-Post, AP/Lat parameters in position with eyes opened and closed were measured. Romberg Way, Romberg Area parameters were calculated.
Results: Numerical values of postural balance in children significantly increased with closed eyes position. The parameter Area, obtained during the study in open eyes, was improving with increasing the children age. The parameters of postural balance Way, Area, AP, obtained during the study with eyes closed, were likely to be decreased with increasing age of a child.
Conclusion: This paper describes the quantitative data of postural balance in healthy children obtained with the Wii Balance Board platform and Wii Posturografie software.
Development of ukrainian speech discrimination tests for children
(phase of formation of tables with words)
Authors: Zabolotny Dmitry I. , Lutsenko Viktor I. , Belyakova Irina A. , Svitlychna Yeugenia I. , Berestova Alla A. , Kholodenko Tetiana Yu. , Hradiuk Nataliya N.
Published: October 2020

Topicality: The speech audiometry is an essential diagnostic method which allows to fully assess the effectiveness of the cochlear implantation and hearing aids, to identify the central auditory processing disorders among the patients. Ukrainian audiologists have all necessary tools to perform classical speech audiometry and determine speech discrimination in the difficult acoustic conditions in adults. But it should be said that Ukrainian speech tests for children haven’t been developed yet.
Aim: to develop and implement the Ukrainian speech discrimination tests for children.
To solve the problem of speech audiometry in Ukraine it was decided to develop several speech discrimination tests for children of different ages and needs. At the first stage the authors have formed the groups with Ukrainian words for speech audiometry in children (starting from preschool age) and made a studio recording of the test that should be tested and validated futher.
The formed word groups meet with all the requirements for phonetically balanced speech discrimination tests taking into consideration the peculiarities of children’s audiometry. The following principles were adhered in each group: the presence of all Ukrainian vowel phonemes in the stressed syllable and consonants with different frequency; the presence of words with different numbers of syllables; taking into consideration the rhythmic structure of the word (stress place); keeping a constant ratio of vowels and consonants.
The article presents the primary (not yet valid) version of the Ukrainian speech discrimination test for children’s audiometry. Studio recording of this test will be tested in children with normal and impaired hearing as well as in users of hearing aids and cochlear implants.
Conclusions: For the first time in Ukraine the tables with words have been formed in the native language for the audiometry in children (starting from the preschool age). The studio recording of the speech discrimination test was done with the female voice. Hence the next phase of development of the Ukrainian speech tests for children is planned the sence of which will be to approbate and validate.
PSYCHO-CORRECTIVE PROGRAMS OF CORRECTIONAL INSTITUTIONS AIMED AT FOSTER SOCIAL REINTEGRATION OF THE RELEASED PERSONS FROM CORRECTIONAL INSTITUTIONS
Authors: Скобелева Оксана Олеговна , Дворецкая Екатерина Андреевна
Published: October 2020

В данной статье рассматриваются программы исправительных учреждений, направленные на исправление лиц, осужденных за совершение преступлений террористического характера и экстремистской направленности, их отказ от насилия. Рост количества осужденных за данные преступления требует выработки путей совершенствования организации и проведения с ними воспитательной работы. Для реализации мер, направленных на поддержание общественной безопасности, пенитенциарная система должна, во-первых, обеспечить надежную защиту тюрем от различного рода посягательств как внутренне, так и извне, а во-вторых, сформировать комплекс мер, направленных на планируемую в будущем реинтеграцию осужденных за экстремизм и террористические действия в общественную жизнь. В статье проведен анализ разработанных психолого-педагогических мероприятий работы с лицами, совершившими преступления террористического характера и экстремистской направленности, которые предполагают тщательный анализ и учет личностных, демографических, национальных и других особенностей осужденных и направлены на отказ от насилия, устранение установок, убеждений и представлений, которые позволили им совершить преступление. Реализуемые программы сосредоточены на сокращении уровня вовлеченности осужденного в идеи терроризма и экстремизма до уровня, при котором осужденное лицо в дальнейшем откажется от намерений совершать насильственные действия.

This article discusses the programs of correctional institutions aimed at correction of persons convicted of terrorism and extremism crimes, their repudiation of violence. The increase in the number of convicts for these crimes requires the development of directions for improving the organizational and educational work with them. To implement measures aimed at maintaining public security, the penitentiary system should, on the first hand, provide reliable protection of prisons from various kinds of disorders both internal and external and, on the second hand, form a set of measures aimed at the reintegration in future of convicts committed terrorism and extremism crimes in public life. The article analyzes the developed psychological and pedagogical measures for persons committed terrorism and extremism crimes, which require a thorough analysis and consideration of the personal, demographic, national and other specific features of the convicts and directed to repudiation of violence, elimination of attitudes, beliefs and ideas that were the causes of their crimes. These programs are focused on decrease of level of involvement of the convicted persons with the ideas of terrorism and extremism to the level when the convicted person further renounces intentions to commit violent acts.
The fidelity of compressed and interpolated medical images
Authors: Urbaniak Ilona Anna , Wolter Macin
Published: October 2020

Due to the amount of medical image data being produced and transferred
over networks, employing lossy compression has been accepted by worldwide
regulatory bodies. As expected, increasing the degree of compression leads
to decreasing image fidelity. The extent of allowable irreversible compression
is dependent on the imaging modality and the nature of the image pathology
as well as anatomy. Interpolation, which often causes image distortion, has
been extensively used to rescale images during radiological diagnosis. This
work attempts to assess the quality of medical images after the application
of lossy compression followed by rescaling. This research proposes a fullreference objective measure of quality for medical images that considers
their deterministic and statistical properties. Statistical features are acquired
from the frequency domain of the signal and are combined with elements of
the structural similarity index (SSIM). The aim is to construct a model that is
specialized for medical images and that could serve as a predictor of quality.
Recognizing Emerging Roles: Effective Delegation to and Supervision of Pharmacy Technicians for a More Efficient and Effective Pharmacy Organization
Authors: Sultani Mustafa , Pournezhad Sam , Desselle Shane , Alshari Bushra , Saied Muhamod , Hoh Ryan
Published: October 2020

Purpose

To describe current and emerging roles of technicians, including advanced roles that might help free up pharmacists' time to participate in direct patient care; discuss the supervision of technicians as knowledge workers who recognize their own aspirations for self-development; and discuss maximizing the effectiveness of the pharmacy workforce support team to advance care for patients and help ensure longevity of this workforce for the organization and for the profession.

Conclusion

Technicians are a key part of the pharmacy team. Their education and training has lacked standardization; however, this is beginning to change as the result of stricter state licensing requirements and newer laws that better define and expand the technician's responsibilities. These newer and expanded technician responsibilities and the education required will only further enhance their value to the pharmacy organization. These newer roles and responsibilities should endeavor a win-win-win for pharmacists, technicians [and other support staff], and patients.
Linfangiectasia intestinal primaria: Ascitis quilosa como forma de presentación
Authors: Coronado Ana Karina , Sánchez Analissa , Chanis Ricardo A , McCalla Ricardo , Rodríguez Geneva
Published: October 2020

Presentamos el caso de lactante de 6 meses de edad referido por aumento progresivo de perímetro abdominal. A la valoración con datos de ascitis. La paracentesis diagnóstica muestra líquido ascítico quiloso. El diagnóstico de linfangiectasia se realizó a través de endoscopia digestiva alta, con biopsia intestinal Abstract We present the case of 6-month-old infants referred for ascites. The paracentesis shows uid of chilosas characteristics. The diagnosis of lymphangiectasia was made through upper digestive endoscopy, with intestinal biopsy
Manifestaciones gastrointestinales en Lupus Eritematoso Sistémico: un espectro diferente
Authors: Coronado Ana Karina , Sánchez Analissa , Stichweh Dorothee , Espino Moisés
Published: October 2020

Presentamos el caso de escolar femenina, que debuta con colecistitis y pancreatitis aguda como manifestación inicial del lupus eritematoso sistémico. Consulta por ebre de origen por determinar e hiporexia. Por la persistencia de la fiebre, pérdida de peso y manifestaciones sistémicas se sospecha de una Enfermedad Autoinmune, con rmando el diagnóstico de LES con ANA y antiDNA positivos
Colistina intraventricular en infección postoperatoria por Pseudomonas aeruginosa multiresistente:Reporte de un caso
Authors: Chávez-Solórzano Nely , Alcívar-Molina Isis , Chavarría-González María Fernanda , Pinto-Mejía Yoel , Pinos-Gavilanes Mario , Miño-León Greta
Published: October 2020

Introducción: El surgimiento de bacterias Gram negativas multirresistentes y la aparición de infecciones post quirúrgicas, ha representado un desafío en el manejo antimicrobiano. Las características estructurales de estas bacterias, la formación de biofilms en los dispositivos internos y la presencia de infecciones en órganos de difícil acceso antimicrobiano como el sistema nervioso central, ha obligado a retomar el uso de antibióticos como Colistina por vías de administración poco utilizadas.
Caso clínico: Presentamos el caso clínico de un paciente de 2 años de edad con meningo-ventriculitis postquirúrgica causada por Pseudomonas aeruginosa multirresistente manejado con tratamiento combinado de Colistina intraventricular e intravenoso, resultando en éxito terapéutico para el paciente. No se reportó ninguna reacción adversa a la medicación local ni sistémica. Tampoco se reportó recaídas infecciosas posterior al alta.
Conclusiones: Los aspectos claves en el manejo de este tipo de infecciones deben ser consideradas: eliminación de la derivación ventrículo peritoneal infectada, óptima cobertura antimicrobiana y elección de la vía de administración más efectiva.
Presentación inusual de un caso de infección por parvovirus B19: encefalitis, nefritis y anemia aplásica
Authors: Ferrer Mellor Tessie , Levy Zafrani Jacquelin , Estripeaut C Dora , Miguelena Dayra
Published: October 2020

La infección por parvovirus B19 cursa clásicamente con un cuadro exantemático, anemia aplásica en paciente con trastornos hematológicos o hidrops fetal. Hay descritas otras manifestaciones clínicas cuya asociación no está del todo establecida debido a la escasez de casos clínicos, desconocimiento de la etiopatogenia y dificultades con las técnicas diagnósticas. Presentamos un caso con clínica de encefalitis, crisis aplásica, artralgias y nefritis, diagnosticado por PCR en liquido cefalorraquídeo (LCR) y en suero.
La paciente precisó tratamiento antihipertensivo, transfusión de hemoderivados y plaquetas. Recibió tratamiento con inmunoglobulina IV con buena evolución clínica. La asociación de clínica clásica con sintomatología menos descrita y la detección de PCR a parvovirus B19 en LCR y suero nos orienta a una mayor causalidad en la asociación entre infección por parvovirus B19 y encefalitis y síndrome nefrítico. La literatura revisada recomienda el despistaje de infección por parvovirus B19 en pacientes con encefalitis.