bluuebunny/crossref_metadata_2025 huggingface dataset:
Nuevas tendencias en formación y desarrollo: Las carreras del mañana ganan protagonismo en base a la gestión del talento por competencias
Authors: Pazmiño Santos Ing. Wendy , Fiallos Ventimilla Hypatia Verónica
Published: August 2019

Decidir qué carrera se quiere estudiar no siempre es tarea fácil, ya que se está definiendo su futuro y a lo que se dedicará el resto de su vida La planificación de la plantilla se está convirtiendo en un factor clave para determinar las necesidades de talento futuras y hay un énfasis creciente en el desarrollo de procesos de evaluación del desempeño. Hemos de pasar de concebir el mundo laboral desde un lugar de esfuerzo a un espacio en el que utilicemos el juego y el desafío para aprender. Cuando se aplican estas técnicas, se logra alcanzar resultados, mejora el compromiso y se consiguen espacios más creativos e innovadores. Los acelerados de cambios en el mundo profesional y la creciente globalización están obligando a redefinir el desarrollo de carrera asegurado que el empleo para toda la vida ha muerto y que tenemos que prepararnos para pilotar nuestra propia carrera, senderos que nunca serán rectos sino helicoidales, con etapas en las que el movimiento será transversal y etapas en las habrá rotación y cambio pero no aumento salarial sino un equilibrio dinámico que representa una mayor complejidad y variabilidad.
Aprendizaje permanente, formación por competencias, para la empleabilidad de los estudiantes de la Universidad de Guayaquil
Authors: Bravo Bravo Orlando , Arzube Mayorga Mercedes Pola
Published: August 2019

La continua y rápida sucesión de cambios en la configuración del trabajo y en el contenido de las ocupaciones ha rebasado la respuesta tradicional de la formación profesional sustentada en cursos con un inicio y un fin determinado y certificaciones con validez permanente. Asimismo, la disponibilidad excesiva de información facultada por las TIC, ha trasladado el acento del qué y cómo enseñar, al qué y cómo aprender.Hoy las instituciones de formación profesional encuentran en el aprendizaje permanente un nuevo paradigma para su trabajo que está impulsado un nuevo ciclo de transformaciones, antes se podía medir el accionar formativo por el número de cursos abiertos y de cupos ofrecidos para participantes, con pocas excepciones, no retornaban jamás.Todas ellas deben apuntar a la alta calidad tanto para aportar al incremento de la competitividad en un mundo de productos y tecnologías cambiantes, rápida obsolescencia de los conocimientos y valorización de los aprendizajes logrados en los diversos ámbitos de actuación de las personas como para servir de instrumentos para mejorar las condiciones sociales y económicas generales, prevenir y luchar contra la exclusión social y la discriminación.
El sentido de la empleabilidad en el marco de los objetivos del desarrollo sostenible en las instituciones de educación superior
Authors: López Franco Melvin Leonardo , Suriaga Sánchez Marcos
Published: August 2019

Para una mejor contextualización de la situación a nivel Internacional, no sólo del empleo en particular sino de otros ámbitos de desarrollo sostenible, vamos a introducir las líneas maestras de lo que ha supuesto la reciente aprobación por parte de NNUU de los Objetivos de Desarrollo Sostenible (ODS), o Global Goals para el período 2015-2030.La Educación Superior a nivel mundial se encuentra sujeta a enormes presiones, tanto de factores exógenos como endógenos, lo cual origina conflictos administrativos y organizacionales de distinta índole generando desconfianza en algunos sectores sociales y productivos sobre la real capacidad de las instituciones de Educación Superior en la generación de conocimientos mediante los procesos educativos e investigativos y a su vez de la transferencia de tecnología orientada al desarrollo local, provincial y nacional, esta es una situación crítica pero no imposible de reducir la incidencia negativa que ocasiona en las instituciones de educación superior.Para hacer frente a la creciente demanda del mercado laboral en base a los objetivos de desarrollo sostenibles, la Secretaría Nacional de Educación Superior (Senescyt) junto con el Consejo de Educación Superior (CES), impulsa la revalorización de las carreras, y la reconversión de los Institutos de Educación Superior.
Propuesta de un complejo turístico en la Parroquia Chanduy, Provincia de Santa Elena
Authors: Olivero Sánchez Félix , Montesdeoca Peralta Marlene
Published: August 2019

La investigación tiene como objetivo proponer  un complejo Turístico en Chanduy, provincia de Santa Elena. Realizado el diagnostico situacional se pudo determinar que la Parroquia Chanduy, cuenta con elementos naturales y autóctonos para atraer turismo rentable y beneficioso, generando fuentes de empleo a los comuneros, en el primer capítulo denominado estudio de mercado muestra al lector el comportamiento de los clientes potenciales, la demanda y oferta del sector económico al cual pertenece la entidad, definir las condiciones que la organización debe tener para ser competente en el mercado y la estrategia comercial, el capítulo del estudio técnico permite determinar los recursos necesarios para el desarrollo del proyecto, sus respectivos costosoperacionales y la ubicación del complejo, estudios organizacionales y legales los cuales permitirán diseñar la estructura, políticas de la empresa teniendo en cuenta los demuestra la factibilidad del proyecto utilizando indicadores financieros tales como el VAN, TIR.
Cultivo de tilapia en jaulas en la represa San Vicente de Colonche
Authors: Marín Richard Duque , Cuenca Zambrano Mayra
Published: August 2019

La represa de San Vicente, está situada en la cuenca alta del río Javita al noroeste de la Provincia de Santa Elena. Es una represa de tierras de 25 m de altura que embalsa unos 40 Hm3que se distribuirá a través de canales para conducir el líquido vital por gravedad,  favoreciendo a las comunidades ubicadas en varios sectores como: Colonche, San Marcos, Bellavista, Manantial de Guangala, Manantial de Colonche, Jambelí, Palmar, Bambil Desecho, Rio Seco, Aguadita y Cerezal, se establece que serían 26.000 las hectáreas que se beneficiarían en la provincia de Santa Elena (CEDEGÉ, 1984). La Subsecretaría de Acuacultura, junto a los  representantes del Ministerio del Litoral,  Ambiente y los habitantes de las diferentes comunas de la Provincia de Santa Elena, presenciaron la siembra de  120.000 de los 500.000 alevines de tilapia donados por la compañía MODERCORP que fueron sembrados en la represa de San Vicente de Colonche. (SA, 2008). Las tilapias desde que fueron sembradas crecieron y se reproducen sin control alguno, generando una densidad poblacional alta, reduciendo el espacio de traslado de estos organismos en el cuerpo de agua.Como consecuencia de aquello las tallas han disminuido, afectando  la disponibilidad del recurso en tallas mayores que satisfagan a los consumidores locales. Las pocas oportunidades de trabajo en las comunidades rurales,  hace que se dediquen a otras actividades que la zona les brinda, teniendo como un complemento en el sustento diario la pesca en la Represa sin predecir o prevenir los riesgos que estos representan, es así que desde las primeras capturas de tilapias no han cesado ni han planificado su sustentabilidad.
HYDRATION LEVELS ON CONIDIAL PRODUCTION OF Metarhizium rileyi (Ascomycota) IN SOLID GROWING MEDIUM
Authors: Loureiro Elisângela de Souza , Pessoa Luis Gustavo Amorim , Dias Pamella Mingotti , Ribeiro Muller De Paula , Tosta Ricardo Alexandre De Souza , Teodoro Paulo Eduardo
Published: August 2019

This study aimed to evaluate the conidial production of Metarhizium rileyi in rice with different water volumes. The bioassay was composed by completely randomized design (CRD), with four treatments (20, 30, 40 and 50 mL of distilled water), being added 100 g of rice thin and long, making a total of 10 plastic bags per treatment, which were autoclaved for 15 minutes at 1.0 atm pressure, to 120 ºC. After the cooling of the rice, were added in each plastic bag, 2.0 mL of suspension containing 1 × 108 conidia mL-1. Then the bags were incubated for ten days in a germination chamber (BOD type) at 25 °C (±1 °C), 80% (±10%) relative humidity and 12h photoperiod to promote conidial germination and growth of the fungus, being performed a mild agitation every two days. The use of higher water volume resulted in greater conidial production and greater number of viable conidia. However, the highest rate of conidia germination was obtained with the use of 30 mL of water, is this the volume of water that corresponds to the best results.
EFEK PAPARAN GLUKOSA KONSENTRASI TINGGI TERHADAP PENINGKATKAN AKTIVITAS ISOZIM PROTEIN KINASE C (PKC)-ALPHA PADA KULTUR SEL STROMA PROSTAT
Authors: Purnomo Basuki B , Widharse I Wayan , Aulani’am Aulani’am
Published: August 2019

OBJECTIVE: To prove that glucose treatment in human prostatic stromal cells (HPSC) culture would increase PKC alpha isozyme activity. MaterialS & Methods: Primary cultures of HPSC were obtained from patients with bladder outlet obstruction caused by benign prostatic enlargement. The effects of various concentrations of glucose (5, 10, 15, 20, 25, 30, 35 micro-Mol) on PKC-alpha isozyme activity were examined quantitatively by spectrophotometry methods. ResultS: Spectrophotometry analysis, which is used to assess isozyme activity quantitatively, showed that exposures to various doses of glucose resulted in increased isozyme activity. The increment of activity is linear with the increment of glucose dose. There is a strong correlation between glucose doses and PKC-alpha activity, with R2 = 0,91. Conclusion: At different concentrations glucose increases PKC-alpha isozyme activity of HPSC.
PENGARUH VOLUME BULI-BULI TERHADAP PANJANG PROSTAT PADA PEMERIKSAAN ULTRASONOGRAFI TRANSABDOMINAL
Authors: Ali Zulfikar , Mochtar Chaidir A
Published: August 2019

Objective: To study the effects of different bladder volumes on the length of prostatic protrusion as measured by transabdominal ultrasonography. Materials & Method: We did an observational study on 48 patients with BPH and urinary retention in Urology outpatient clinic of Cipto Mangunkusumo Hospital Jakarta from 1 March 2006 to 28 February 2007. The bladder of each patient was filled with 50 ml normal saline and increased stepwise by 50 ml each time until either an urge to void or a volume of 500 ml was reached. Length of prostatic protrusion was measured by transabdominal ultrasonography at each volume of bladder filling in every patient. Results: The average length of prostatic protrusion in 50, 100, 150, and 200 ml bladder filling was 11,14; 11,42; 11,88; 10,20 mm respectively. There is no statistically significant difference in the length of prostatic protrusion with transabdominal ultrasonography in each bladder volume. Conclusion: Prostatic protrusion length can be measured with bladder volumes between 50 ml to 200 ml and shows no significant difference.
EFEK KATETER TERHADAP FUNGSI PSA SERUM SEBAGAI PREDIKTOR VOLUME PROSTAT PADA PASIEN YANG TERBUKTI BENIGN PROSTATIC HYPERPLASIA PADA PEMERIKSAAN HISTOPATOLOGIS
Authors: Tranggono Untung , Mochtar Chaidir A , Umbas Rainy
Published: August 2019

Objective: To define the use of Prostate Specific Antigen (PSA) as a predictor of prostate volume in catheterized BPH patients. Material & methods: Data were collected from medical record of symptomatic BPH patients who underwent prostate biopsy at Cipto Mangunkusumo Hospital Urology Clinic since 1994 until 2006. Data of age, serum PSA, indwelling catheter, maximal flow, urine residue, and prostate volume were recorded as variables. Patients who had histopathological result of BPH with or without prostatitis were included; while who had prostate carcinoma, high grade prostatic intraepithelial neoplasm (HGPIN), and BPH with atypical small acinar proliferation (ASAP) were excluded. Subject were then divided into 2 groups, catheterized or not. Data were analyzed using Mann-Whitney test, analysis of variance, correlation test and linear regression test. Results: Of  2283 patients were performed prostate biopsy, 1036 patients had results of BPH with or without prostatitis, 766 patients had prostate carcinoma, while 581 patient’s biopsy result were not recorded. Of the 1036 patients, 347 were catheterized, 192 non-catheterized, and 457 were not recorded. In the catheterized group the average age were 67,04 years old, serum PSA 26,88 ng/ml, prostate volume 54,33 ml, PSA density 0,39. In non-catheterized group the average age were 66,32 years old, serum PSA 16,58 ng/ml, prostate volume 53,94 ml, PSA density 0,33. Regression test showed that serum PSA could be used as a predictor of prostate volume (F=12,830; p < 0,001); in non-catheterized group it was stronger (F=12,989; p<0,001) than in catheterized group (F=6,814; p<0,01). The accuracy of serum PSA as a prostate volume predictor based on Receiver Operating Curve (ROC) as indicated by Area Under the Curve (AUC), in the catheterized group was 0,678 - 0,725 (p<0,001); in non-catheterized group was 0,723 - 0,784 (p<0,001). Conclusion: Serum PSA could be used as a predictor of prostate volume in patients with BPH wether catheterized or not. This predictor function is stronger in non-catheterized patients. Catheter has the effect of lowering the function of serum PSA as a prostate volume predictor in patients with BPH.
PERBANDINGAN ANGKA BEBAS BATU PADA PASIEN BATU KALIK DENGAN PEMBERIAN DIURESIS DAN TANPA DIURESIS SELAMA ESWL
Authors: Budiyono Nur Budiyono , Soebadi Doddy M , P Widodo J
Published: August 2019

Objective: To compare effects of intravenous hydration, both with and without diuretics on the stone free rate of calyceal stones during ESWL. Materials and Methods: We analyzed 22 patients with calyceal stone, primarily treated with Sonolith Vision lithotripter, between June 2008 and October 2008. Patients were divided in 2 groups, the 11 patients in group 1 were injected with 500 ml normal saline for intravenous hydration, and 20 mg of furosemide for diuretic effect during ESWL; the 11 patients in group 2 were used as controls. The same energy settings for the shockwaves in one session were equally applied to all patients during ESWL, with a 1 Hz shockwave frequency, 100% power and 1000 shocks. After 2 weeks the stone free rate and residual fragments were evaluated on the post ESWL KUB and compared with the pre-ESWL KUB. Results: After a single ESWL treatment, the stone-free rate was 81,8% (9 of 11 patients) in group 1 and 63,3% (7 of 11 patients) in group 2. The stone free rates of group 1 was higher than that of group 2, but there was no statistical difference between groups 1 and 2. Conclusion: Intravenous hydration with normal saline with a furosemide injection for diuretic effect during ESWL would be same effective method to facilitate fragmentation and stone free of calyceal stones.
ANGIOTENSIN II TYPE-1 RECEPTOR (AT1R) DISTRIBUTION IN BPH, HIGH GRADE PIN AND ADENOCARCINOMA OF THE PROSTATE
Authors: Septiadi Isdianto , Sugandi Suwandi , Noegroho Bambang S , Tjahjodjati Tjahjodjati , Safriadi Ferry , Siregar Safendra , Adriansjah Ricky , Adi Kuncoro , Sihombing Aaron T , Pramod Sawkar V , Nasution Ramlan , Hernowo Betthy S
Published: August 2019

Objective: The aim of the study was to detect the differences in number and the distribution of angiotensin II type-1 receptor (AT1R) in BPH, high grade PIN, and adenocarcinoma of the prostate. Material & method: A prospective study was performed in RSHS, in collaboration with the Department of Anatomical Pathology. Prostate samples were taken by TUR of the prostate, and then divided into 5 groups. They were BPH, high grade PIN, adenocarcinoma of the prostate in 3 difference grades (well, moderate, and poorly differentiated). Kidney tissue for control. Immunohistochemical staining was done to determine the angiotensin II type-1 (AT1R) receptor distribution as primary antibody used was mouse monoclonal antibody AT1 (TONI-1): sc-57036, Santa Cruz Biotechnology Inc., CA. Results: Angiotensin II type-1 receptor was found in material of BPH, high grade PIN and adenocarcinoma of the prostate. The number and distribution of the receptors were not different. Conclusion: There are no significant differences in number and distribution of angiotensin II type-1 receptor on BPH, high grade PIN, and adenocarcinoma of the prostate.
ESTROGEN EFFECT ON WISTAR'S VAGINAL EPITHELIUM
Authors: Surur Abu , Sugandi Suwandi , Haroen Zulhardi , Noegroho Bambang S , Tjahjodjati Tjahdjojati , Safriadi Ferry , Siregar Safendra , Adriansjah Ricky , Adi Kuncoro , Hernowo Betthy S
Published: August 2019

Objective: To evaluate the effect of estrogen on wistar’s vaginal epithelium. Material & method: We divided 30 female wistars into three groups, ten wistars underwent bilateral ovariectomy, 10 wistars underwent bilateral ovariectomy, and estrogen replacement and 10 wistars as control. The second group received estradiol 1 mg/kg/day, directly after ovariectomy. After 4 weeks the vagina was then harvested and stained with hematoxylin-eosin to evaluate the thickness of epithelial layer of vagina. A pair T-test was use for statistical analysis. Results: Estrogen ablation decreased the thickness of epithelial layer in wistar’s vagina. The mean thickness of epithelial layer in vagina were 3, 5, and 10 for each group respectively. The mean epithelial layer of the first group as well as the second group showed significant difference compared to control group (p>0,05), while the first group showed insignificant difference compared to the second group. Conclusion: Estrogen ablation seems to decrease the thickness of vaginal epithelium, while estrogen replacement revealed insignificant effect.
EFFECT OF TESTOSTERONE DEPRIVATION ON SMOOTH MUSCLE COLLAGEN RATIO IN BLADDER WALL OF WISTAR RATS
Authors: Rachman Wendi
Published: August 2019

Objective : To evaluate the smooth muscle-collagen fibers ratio in the bladder wall of castrated male wistar rats.

Material & Method : Sixteen wistar rats were equally assigned to castrated group (n=8) and sham group (n=8). All wistar rats were subjected to a one-week acclimatization period before undergoing treatment. After 60 days, cystectomy was performed in all rats in both groups and subsequent specimens of the bladder were taken to semi quantitative pathology analysis using haematoxylineosin (HE) staining under Olympus CX20 microscope by a uropathologist. Results were then grouped into parametric data and analyzed using independent T-test. Results: Smooth muscle fibers were significantly lower in the castrated group 0,615±0,13 (p=0,01). There was higher amount of collagen fibers in the castrated group 0,385±0,18 (p=0,04). Smooth muscle to collagen ratio in the castrated group was also significantly lower compared to the control group 1,597±0,25 (p=0,03). Conclusion : Testosterone deprivation significantly reduces the smooth muscleand smooth muscle to collagen fibers ratio in bladder wall of castrated rats.
EVALUATION OF COSMETIC AND SATISFACTION RATE AFTER URETHROPLASTY PROCEDURE USING PPPS
Authors: Hapsari Edhi , Wahyudi Irfan , Rodjani Arry
Published: August 2019

Objective: To evaluate patients or parents cosmetic satisfaction rate after urethroplasty procedures in patients with hypospadia. Material & Method: We prospectively collected data from parents whose children underwent urethroplasty procedures in Cipto Mangunkusumo Hospital since early 2001 until mid 2009, within 18 years old age. Data collected were age, first and last time of operation, type of hypospadia, characteristic of hypospadia, technique used for urethroplasty and time of operation. We also asked questionnaire about parental background and Pediatric Penile Perception Score (PPPS) questions, which contains (1) Satisfaction in shape and position of the urethral meatus, (2) Satisfaction in penile glans appearance, (3) Satisfaction in penile skin appearance, (4) Satisfaction in overall penile appearance. Each question has 4 types of score: very satisfied is 3, satisfied is 2, unsatisfied is 1, and very unsatisfied is 0. Using Kruskal Wallis and Mann Whitney statistical analysis, we analyzed the association between parental background, type of hypospadia, and technique used for urethroplasty with PPPS. Results: From 178 patients, 76 can be contacted. Mean age of first operation is 5,67 ± 3,66; mean PPPS for meatal appearance is 1,88 ± 0,46; mean PPPS for glans is 2,02 ± 0,32; mean PPPS for penile skin is 1,95 ± 0,39; mean PPPS for general appearance is 1,89 ± 0,45 and mean PPPS is 7,75 ± 1,31. Total PPPS based on type of hypospadia: distal hypospadia 8,1 ± 1,19; medial hypospadia 7,31 ± 1,10 and for proximal hypospadia 7,75 ± 1,32. Total PPPS based on operation technique: TIP 7,72 ± 1,17; Duckett 7,14 ± 1,35 and Onlay Island Flap 8,4 ± 1,8. Using Kruskal Wallis statistic analysis, parents satisfaction rate is significantly associated with monthly income and type of hypospadia (p
DIFFERENCE IN SERUM PSA LEVEL AND IIEF-5 BEFORE AND AFTER TURP IN BPH PATIENTS WITHOUT URINARY RETENTION
Authors: Hasibuan Zulfian , Wirjopranoto Soetojo , Djatisoesanto Wahjoe , Pujiraharjo Widodo J
Published: August 2019

Objective: Determine change in serum prostate-specific antigen (PSA) and International Index of Erectile Function (IIEF-5) following transurethral resection of the prostate (TURP). Material & Method: Eighteen men with age range of 50 – 69 years, were divided in two groups, group I 50-59 years (mean 56,5) and group II 60-69 years (mean 67,2). Both groups underwent measurement of serum PSA and IIEF-5 pre-operative, and repeated at 30, 60, and 90 days after TURP. Results: Level of serum PSA after TURP is decreased in most patients after 30, 60, and 90 days (72%, 72% and 78%). Mean value of PSA pre-operatively is 5,3 ± 3,3 ng/ml. After TURP, serum PSA level was 3,5 ± 3,0 ng/ml (30 days); 2,9 ± 2,9 ng/ml (60 days) and 1,8 ± 1,3ng/ml (90 days). Pre-operative PSA level was significantly decreased in Group I during the 60 and 90 days post TURP, while in Group II pre-operative PSA level was significantly decreased only in 90 days of observation. Overall there is no significant difference in PSA levels in both groups (p > 0,05). The decrease of PSA per gram resected in 30, 60, and 90 days were 0,10 ng/ml; 0,16 ng/ml and 0,24 ng/ml consecutively. There is no change in normal IIEF-5 score. Decrease of the IIEF-5 score in group I was measured at 30 days, but the score increased after 60 and 90 days. Meanwhile Group II showed decrease of IIEF-5 score. Pre-operative IIEF-5 score compared to the 30 days post TURP was significantly different but not significantly different compared with to score at 60 and 90 days. In Group I IIEF-5 score was significantly higher compared to Group II (p < 0,05). Prostatitis was found in 8 patients, but there is no difference in serum PSA level decrease between patients with or without prostatitis. Conclusion: There was significant decrease in serum PSA after TURP in BPH patients with LUTS at every measurement at 30, 60, and 90 days. PSA level after TURP depends on various factors, including pre-operative PSA, pre-operative prostate volume and prostate volume resected. Incidence of erectile dysfunction post TURP was low.

Keywords: Prostate-specific antigen, benign prostatic hyperplasia, transurethral resection of the prostate, erectile dysfunction.
EFFECT OF TESTICULAR TORSION ON SPERMATOZOA IN CONTRALATERAL EPIDIDYMIS
Authors: Pramod Sawkar Vijay , Sugandi Suwandi , Sihombing Aaron Tigor , Tan Marselina
Published: August 2019

Objective: To determine the abnormality of spermatozoa in the contralateral epididymis after unilateral testicular torsion. Material & method: Twenty wistar rats were divided into two groups i.e. Group B (sham procedure) Group A (torsio and orchiectomy 24 hours later), and contralateral epididymectomy was performed a month later. Spermatozoa in the contralateral epididymis are extracted and analyzed by an experienced biologist. Data were analyzed using Chi-square or Fischer exact test. Results: Sperm morphology changes in group B is higher than Group A (6,6% vs 0,5%, p = 0,009). Conclusion: Unilateral testicular torsion causes sperm abnormal morphology in the contralateral epididymis.

Keywords: Unilateral testicular torsion, contralateral epididimal spermatozoa.
MANAGEMENT OF URETER STONES USING ESWL COMPARED TO URS
Authors: Rusydi Muhammad Omar , Rahardjo Djoko
Published: August 2019

Objective: To evaluate the management of ureterolithiasis using Extracorporeal Shock Wave Lithotripsy (ESWL) EDAP Sonolith Technomed compared to ureteroscopy (URS) with holmium:YAG laser lithotripsy. Material & Method: Research was conducted at Central Pertamina Hospital Jakarta by comparative analysis. The data was taken from patients’ medical records diagnosed with ureterolithiasis who had been treated from January to Desember 2009.Results: Central Hospital Pertamina Jakarta had treated 127 patients with urolithiasis from January to December 2009. Most frequent therapeutic modality was URS, which was followed by ESWL.Double J stents were used in 19,8% of the treatmentin combination with URS, more common than ESWL. Stone free rate in urolithiasis was not significantly different between treatment with URS and ESWL, although stone free rate of URS was higher than ESWL.Use of DJ stent didn’t affect stone free rate of urolithiasis from two of these modalities.Conclusion: Stone free rate of these modalities was below of stone free rate at literatures published, because evaluation from stone free rate of this research was taken after the treatment or 1-2 days after the treatment with imaging of KUB and USG.Keywords: Urolithiasis, extracorporeal shock wave lithotripsy, ureteroscopic,DJ stent, stone free rate.
Internal factors affecting vegetable and fruit export performance of Vietnamese firms
Authors: Buu Le Tan , Y Pham Ngoc
Published: August 2019

The paper aims at defining and measuring key internal factors which impact on export performance of vegetable and fruit export firms in Ho Chi Minh City, Lam Dong, Dong Nai, Binh Duong, Vung Tau, Binh Phuoc, Tay Ninh, Long An và Tien Giang province. The study uses resource-based theory (RBV) to explain the internal factors affecting the export performance by applying qualitative and quantitative methods. The qualitative method is carried out through in-depth interviews of 10 chief executive officers, while the quantitative one is conducted through direct interviews with 228 managers of vegetable and fruit companies. Export performance are measured under the subjective perspective to collect information from firms, considering the perception or satisfaction of firms on export activities. The results show that firm's export performance is under the direct influences of four internal factors including: (1) International experience; (2) export commitment; (3) product characteristics; (4) technology orientation. The study measures export performance and internal factors affecting export performance, thereby suggesting management implications that help businesses improve export performance of Vietnamese fruit and vegetable firms.
Effect of Fluorine doping on the Optical properties of NiO thin Films deposited by Spray Pyrolysis
Authors: Ahmed Hussin Hadi
Published: August 2019

Thin films of undoped Nickel oxide and fluorine doped Nickel oxide have been deposited utilizing easy and cheapest technique, which is chemical spray pyrolysis. Absorbance and transmittance spectra were achieved by double beam spectrophotometer in the wavelength range (300-900) nm. Direct electronic transition for the deposited films, the optical energy gap was evaluated to be increase as the doping ratio increase. All the optical constants such as reflectance and refractive index, are affected by increase their value with the increase in F content. The calculated skin depth was found to decrease upon the increase of fluorine.
Clinical and endocrinological profile of children with precocious puberty at a tertiary care center
Authors: Patel Yesha Sunil , Jahagirdar Rahul , Deshpande Ruma
Published: August 2019

Introduction: Puberty is said to be precocious if it appears before chronological age of 8 years in girls and 9 years in boys. Untreated early puberty leads to early sexual maturation with growth and bone age advancement with early fusion, leading to the paradox of tall stature in childhood but short adult final height. Objective: The objective of this study was to study the profile of precocious puberty in children with respect to clinical and endocrinological outcome. Materials and Methods: This was a prospective study of 28 children (23 girls) who presented with precocious puberty in pediatric endocrine outpatient department. Presenting complaints, clinical findings including anthropometry, investigations (biochemical and radiological), treatment, and outcome with follow-up visits (every 3 monthly), were recorded. Results: Age at the presentation was 5.4±2.6 years. Most common presentation in girls was breast development (82.6%) followed by axillary hair development (39.13%), pubic hair development (30.43%), vaginal bleeding (13%), and clitoral hypertrophy (4.3%). History of recent height spurt was reported in 69.57% of girls. Boys presented with pubic hair growth and increased penile length (100%), change in voice (40%), seizures, or behavioral issues including aggressiveness. Etiology varied with the idiopathic cause constituting majority of the cases in girls (43.5%) with other causes being ovarian tumor (4.3%), adrenal adenoma (4.3%), and thelarche variant (4.3%). In boys, hypothalamic hamartoma (60%) was the most common cause followed by sex cord tumors (40%). The mean advancement in bone age on presentation was 3.4 years. Baseline luteinizing hormone (LH) was found to be high in patients with central causes like hypothalamic hamartomas than in children with other cause. Gonadotropin-releasing hormone (GnRH) stimulation test was positive (maximal stimulated LH after aqueous GnRH analog >3 mIU/ml by chemiluminescence immunoassay) in 61.5% of patients. Height velocity post-treatment showed a declining trend as compared to previous records before the onset of treatment and bone age advancement also slowed down. Conclusions: Increasing trend of precocious puberty and its adverse effect on final height and psychological profile of patients mandates the need for early referral and diagnosis and appropriate management.
Screen time evaluation, association with obesity, and cardiorespiratory fitness among children aged 10–12 years
Authors: Agre Sharayu , Agrawal Ronika , Alirajpurwala Arwa
Published: August 2019

Background: Screen time (ST) is defined as the viewing or use of anything with a screen including TV, DVDs, video games, and computers. They reduce time for outdoor activities resulting in less physical work. Thus, it is necessary to establish a relationship between ST and obesity and its association with cardiorespiratory illnesses. Objective: The objective of this study was to determine the correlation of ST with obesity and cardiorespiratory fitness (VO2 max) among children aged 10–12 years. Materials and Methods: Body mass index (BMI), waist–hip ratio (WHR), and VO2 max of each child were calculated. The children were also given a questionnaire consisting of 45 activities categorized into moderate- and vigorous-intensity physical activities and leisure activities which they usually perform in the entire week. Thus, total duration for all activities performed in a day was summed. Data were analyzed for correlation. Results: The average age of students was 11.09 years. Average BMI of males was 16.52±3.67 kg/m2. Average BMI for females was 17.12±2.46 kg/m2. Average VO2 max for students was 35.83 ml/kg/min. ST for students was ranging from 40 min to 190 min. Positive correlation between ST and BMI of children was r=0.66 which suggests as ST increases BMI increases. Similar trend was seen with WHR and VO2 max, suggesting that as ST increases endurance decreases and risk for cardiorespiratory disease increases. Conclusion: Increased ST in children increases the chances of obesity and reduces the level of cardiorespiratory fitness.
Clinical profile of Wilson disease in children between 1 and 12 years of age admitted at a tertiary care center
Authors: Sanikam Hareesh , Bheeman Basavaraj
Published: August 2019

Background: Wilson disease (WD) is a rare autosomal recessive disorder characterized by the accumulation of copper in the liver, brain, cornea, and kidneys. Asymptomatic nature of disease at earlier stages leads to diagnostic enigma. Objective: The objective of this study was to study the clinical, biochemical, and histological profile of WD in children between 1 and 12 years of age. Methodology: It was a hospital-based descriptive study. All children between 1 and 12 years of age who were admitted with symptoms of liver disease and neuropsychiatric symptoms were screened for WD. Low serum ceruloplasmin (<20 mg/dl) and presence of Kayser–Fleischer rings in cornea were the parameters for diagnosis of WD in the study. Clinical and laboratory data were collected from 32 children diagnosed with WD. Evaluation included detailed history and physical examination, ultrasound abdomen, upper endoscopy, laboratory examination, and liver biopsy. Results: The mean age of presentation was 9.2 years. Hepatic manifestations (53%) were the main presentation followed by neurologic (25%) and hepatocerebral (18.7%) manifestations. Predominant symptom was jaundice in 64.7% of children with hepatic manifestations. Speech disturbance was found to be the most common symptom in neurologic presentation. Ultrasound abdomen showed features of portal hypertension in 11 (34.7%) children. Different grades of esophageal varices were noted in 13 (40.5%) children. Histopathology of biopsied samples showed evidence of cirrhosis in 18 (56.2%) children and features of chronic active hepatitis in 14 (43.7%) children. Conclusion: Diagnosis of WD in children is obscure and this may invariably decelerate the diagnosis and prognosis of this malady. Therefore, children presenting with any form of liver disease and/or neuropsychiatric features, WD must be suspected and further investigations should be carried out.
Prevalence of comorbidities and their relationship to functional status of children with cerebral palsy
Authors: Rameshan Sruthi , Buch Pankaj M
Published: August 2019

Background: Cerebral palsy (CP) is the most common motor disorder in children. Associated comorbidities are very common. Gross motor functional classification system (GMFCS), manual ability classification system (MACS), and communication function classification system (CFCS) are used to decide functional ability. Functional ability and comorbidities have the greatest impact on the child with CP. There is a paucity of data regarding the functional level and their correlation with comorbidity. Objective: The aim of the study was to find the prevalence of comorbidities in CP and their correlation to functional status in children. Materials and Methods: A total of 154 consecutive children with CP attending district early intervention center and pediatric department from the period of January to December 2018 were enrolled. Cases were evaluated by history, clinical examination, and investigations. CP was classified in subtypes. Cases were screened for comorbidities. Functional assessment was done as per GMFCS-ER, MACS, and CFCS. Results: Study showed that 76% of children had spastic CP, 7% dyskinetic, 6% hypotonic/ataxic, and 11% of them had mixed CP. Mean age was 4 years. Perinatal asphyxia was the most common insult. Comorbidities were intellectual disability (81%), epilepsy (50%), visual problems (70%), hearing problems (12%), malnutrition (36%), and drooling (61%). About 63% were having GMFCS level ?3. About 60% had MACS and CFCS level ?3 with significant correlation. Comorbidities were dichotomously distributed across GMFCS levels. There was a strong correlation between comorbidity burden and GMFCS level. Conclusion: Comorbidities were significantly observed and disproportionally distributed across GMFCS levels. The burden of comorbidities was more in higher levels of GMFCS.
Impact of family-related factors on mental health and adjustment of adolescents
Authors: Gajendran Rajkumar , Thiruvannamalai Sivabalan
Published: August 2019

Background: Adolescence is believed to be a period of great stress and storm, as rapid physical and mental changes occur during this period with a lot of problems in adjustment of children. Objective: The objective of this study was to assess the impact of family-related factors on mental health and adjustment in adolescents. Materials and Methods: This is a cross-sectional study involving 175 school-going boys and girls of age 14–17 years. The students were administered a sociodemographic pro forma, general health questionnaire-28 (GHQ-28), and adjustment inventory for school students (AISS) by one-to-one interview method. Family-related factors such as maternal education and occupation, relationship of the primary caregiver, type of family, and number of siblings were analyzed with the scores of GHQ and AISS by Student’s Mann–Whitney U-test and Kruskal–Wallis test using the SPSS 20.0. Results: Poorer maternal education is associated with greater anxiety and insomnia than those of mothers with better education (p=0.008), while maternal occupation had a negative impact on overall adjustment scores (p<0.0001). Children from nuclear family and children reared by grandparents showed significantly greater social dysfunction (p<0.0001). Emotional adjustment, educational adjustment, and overall adjustment scores were significantly higher in children from nuclear family. Significant increase in the educational adjustment scores is seen in children brought up by parents. Social dysfunction was more among students who had two siblings when compared to children with one sibling (p=0.01). Conclusion: Family-related factors significantly affect the mental health and coping nature of the adjustment-related problems.
Head nodding: An unusual presentation of congenital brain tumor
Authors: Bhalla Kapil , Mehra Shuchi , Gupta Ashish , Nanda Sanjiv
Published: August 2019

Congenital brain tumors (CBTs) in neonates are defined as tumors presenting within 60 days after birth. Teratoma is the most common type of CBT. A 37-day-old baby was presented to pediatric emergency with complaints of difficulty in breathing, refusal of feed, and lethargy. The baby had continuous head nodding, drooling of saliva, and slight hypotonia of lower limbs which mother, then confirmed, was present since birth. There was a history of admission to another hospital with similar complaints at day 15 of life, where the child was discharged after 5 days of hospitalization with a diagnosis of nasal block. Magnetic resonance imaging brain showed a large mass located centrally suggestive of either pilocytic astrocytoma or medulloblastoma. The patient expired after 6 months in a private hospital. The present case report aims to focuse the importance of an early diagnosis based on the clinical presentation and imaging studies followed by timely intervention which is critical as the prognosis is very poor.
MARKETING COMPETENCE OF DIRECTORS IN COMPETITIVENESS PROVISION OF VOCATIONAL TRAINING INSTITUTIONS AT THE EDUCATIONAL SERVICES MARKET
Authors: Загіка Олена
Published: August 2019

The author considers the marketing approach to managing the competitiveness of the educational institution on the basis of studying the trends of the economy and the labor market, the needs and interests of consumers of educational services; he determines the criteria of competitiveness of the educational institution. It is determined that the creation of a scientific basis for the development of marketing competence of the directors is necessary for the adaptation provision of the educational proposal to the needs of the labor market, the introduction of modern information and analytical tools for the effective planning and management of vocational training institutions. The conceptual foundations of competence, systemic, adaptive, informational approaches are analyzed, which are the methodological substratum for determining the content and formation of the system of development of marketing competence of directors, search of ways to increase the efficiency of making managerial decisions on the activities and development of institutions of vocational education and training.
PROFESSIONAL ORIENTATION OF MATHEMATICAL TRAINING OF THE BACHELOR IN NAVIGATION
Authors: Черкас Олена , Биковець Наталя , Чумаченко Марія
Published: August 2019

The article discusses the competences in Mathematics of a prospective Bachelor in Navigation. Mathematical competence is defined as a function of competencies: general and subject-specific. It’s manifested that mathematics acts as a fundamental discipline for the further mastering of specialized disciplines. The article suggests the competence approach to mathematical education based on the analysis of professional requirements as the methodology of the research.

The article states the principal provisions of the competence approach in terms of the Tuning methodology; classification of the general and subject-specific competencies of the Bachelor in navigation required for successful professional activities; analysis of the structure and content of the mathematical training of the prospective Bachelor in Navigation in some Higher Maritime Educational Institutions in Ukraine and Europe. In accordance with the IMO (International Maritime Organization, 2014) standards, the requirements for teaching mathematics to the undergraduate students are presented. The analysis of the determined tasks as well as cooperation with the lecturers of the specialized disciplines allows to formulate the content of the Higher Mathematics course paying sufficient attention to those sections of mathematics that are necessary for vocational training of the navigators; the contribution of the mathematical competence to the integral, general and special competencies indicated in the profile of a higher educational institution is manifested.

The article suggests that the tools and approaches of the Tuning project provide effective monitoring, evaluation and improvement of the curriculum for achieving the object and making pertinent changes in the relevant subject areas.
PEDAGOGICAL CONDITIONS OF THE FORMATION OF THE INDIVIDUAL STYLE OF PROFESSIONAL ACTIVITY OF FUTURE PHYSICAL CULTURE TEACHERS IN THE PROCESS OF PEDAGOGICAL PRACTICE
Authors: Бугаєнко Тетяна
Published: August 2019

The scientific substantiation of the pedagogical conditions of the formation of the individual style of professional activity of future physical culture teachers in the process of pedagogical practice is outlined. This phenomenon is presented as a set of specially created circumstances that take into account the peculiarities of the professional training of future physical culture teachers and are realized in the institution of higher education; provide the solution of the problem, leading to innovative improvement of higher physical education. Internal positive motivation ensures encouraging attitude of students towards the development of an individual style of professional activity in the process of pedagogical practice and the improvement of the content of professional training – its content integrity. It has been found that the use of innovative technologies and techniques in the process of practical training contributes to the disclosure of individual and personal qualities, the development of cognitive and creative activity of future physical culture teachers in acquiring professional and pedagogical knowledge, skills and methods of healthcare-saving activity, determining their personal trajectory of professional growth. The development and implementation of a complex of search-situational tasks enables the gradual formation of the individual style of professional activity of future physical culture teachers, develops their non-standard, non-stereotypical thinking and promotes self-development of their individuality in practical activity through the system of original methodical techniques of the organization of physical culture and health, sports-mass and health-development process in educational institutions.
FORMATION OF THE READINESS OF FUTURE TEACHERS OF PHYSICAL CULTURE FOR PROFESSIONAL ACTIVITY
Authors: Курнишев Юрій , Палагнюк Тарас , Гауряк Олена , Осадець Микола
Published: August 2019

The theoretical study reveals professional training as a dynamic process in which the goals of education and the formation of competencies, application of the received social experience are realized. In this aspect, education involves the creation of a holistic system of lifelong learning, development and upbringing of a person that provides training in various spheres of educational activity in accordance with the educational needs of the subjects of the pedagogical process.
The training of the specialist, in particular a teacher, has its own peculiarities depending on the chosen specialty. Therefore, it is appropriate to consider the peculiarities of the preparation of the future teacher of physical culture at the pedagogical institution of higher education.
The contents of the preparation of the teacher of physical culture for professional activity in a comprehensive educational institution, that is, the implementation of the holistic pedagogical process of upbringing the physical culture of the person, is based on the expanded interpretation of the content of pedagogical education.
In the structure of readiness for the professional activity of the future teacher of physical education, we distinguish the motivational, theoretical and practical-creative components, each of which has specific target functions and in this sense relatively independent. This structure of the components of professional preparedness provides its containing basis, which determines the possibility of implementing various types of vocational and pedagogical activities in full.
AN INNOVATIVE EDUCATIONAL ENVIRONMENT FOR FORMING PROFESSIONAL COMPETENCY IN FUTURE SKILLED WORKERS
Authors: Пятничук Тетяна
Published: August 2019

The article analyzes the essence of such a concept as “an innovative educational environment” and defines its content for vocational education institutions. It illustrates the work experience of teaching staff in educational institutions in creating an innovative educational environment and forming professional competency in future workers. It also describes the main approaches to creating an innovative educational environment in vocational education institutions for vocational training of future skilled workers. They include humanistic approaches (anthropocentrism, relationship harmony, forming intellectual culture); systemic approaches (improving an educational environment as a holistic developing system); informational approaches (a sufficient level of information culture); innovative approaches (creative interaction, forming readiness for future professional activity).

Based on the practical experience of vocational education institutions in Ukraine, pedagogical conditions for creating and maintaining an informational educational environment in educational institutions were singled out: partnership cooperation, respect and trust of all participants in the educational process; focus on development and self-development of every individual; creative activity; an effective use of scientific and methodological, material and technical capabilities and human resources of educational institutions; employment of personality-oriented innovative pedagogical technologies.

The emphasis is placed on the importance of implementing personality-oriented pedagogical technologies in the educational process. It is shown that vocational education teachers have different views on the approaches to creating an innovative educational environment. However, it is agreed that the process of creating an innovative educational environment significantly influences the processes of forming and developing professional skills in teachers, strengthening professional relations between them, facilitating pedagogical innovations.