bluuebunny/crossref_metadata_2025 huggingface dataset:
SIGNIFIKANSI PROFESIONALISME GURU PAK TERHADAP KARAKTER SISWA
Authors: evimalinda rita
Published: November 2020

Tujuan penelitian ini untuk: (1) mengetahui bagaimana kecenderungan profesionalisme guru PAK (2) mengetahui bagaimana kecenderungan karakter siswa (3) mengetahui apakah terdapat pengaruh yang positif antara profesionalisme guru PAK terhadap karakter siswa. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan metode survey. Populasi dalam penelitian ini adalah seluruh siswa Kristen SMK Putera Jaya Batam kelas X-XII dengan sampel adalah semua anggota populasi berjumlah 39 siswa. Instrumen penelitian dengan menggunakan Angket (positif dan negatif). Instrumen tersebut dinyatakan telah memenuhi syarat validasi dengan koefisien reliabilitas sebesar 0,906 untuk Profesionalisme Guru PAK dan 0,941 untuk Karakter Siswa. Dari hasil analisis data menggunakan uji Kolmogorov-Smirnov diperoleh kedua data berasal dari populasi yang berdistribusi normal yaitu: nilai probabilitas atau nilai significance (sig.2-tailed)) data Karakter Siswa adalah 0,989 lebih besar dari α = 0,05. Nilai probabilitas atau nilai significance (sig 2-tailed).) data Profesionalisme Guru PAK adalah 0,464 lebih besar dari α = 0,05. Hasil uji linieritas Profesionalisme Guru PAK (X) atas Karakter Siswa (Y) diperoleh Ŷ= 37.312 +0.545 X, mempunyai hubungan yang linier pada taraf signifikansi 5%. Analisis data yang digunakan adalah koefisien korelasi product moment person. Berdasarkan hasil analisis diperoleh hasil penelitian yaitu: (1) Arah kecenderungan Profesionalisme Guru PAK (X) adalah pada kategori “Cukup Baik” secara signifikan pada α < 0,05. (2) Arah kecenderungan variabel Karakter Siswa (Y) adalah pada kategori “Cukup Baik” secara signifikan pada α < 0,05. (3) Pengaruh antara variabel Profesionalisme Guru PAK (X) terhadap Karakter Siswa (Y) yaitu ryx sebesar 0,634 adalah memiliki pengaruh positif
Spatial and action related modulating factors of virtual experiences: A mini survey
Authors: Pastor Alvaro
Published: November 2020

In recent years, Virtual Reality (VR) has experienced an unprecedented expansion, mostly fostered by a new wave of affordable and reasonably efficient hardware, which has motivated new VR applications in a diversity of fields, from entertainment systems and video games, educational and professional training, to behavioral studies and treatments. However, most of these systems have been created using methodologies which stem from non-VR application development, eluding the salient user embodiment and unique spatial affordances that characterize VEs. A substantial body of evidence from the Cognitive Sciences suggests that self-directed spatial exploration may be closely connected to the formation of episodic memories, composed by knowledge of data objects and their associated spatiotemporal contexts binded as coherent experiences, which in turn trigger recall and connection with other networked elements of memory. The translation of these distinct human cognitive abilities into design criteria for VR may help enhance user experience, engagement and sense of presence, efficiency of interaction and navigation, and overall system usability and application control. Nevertheless, the full set of interacting elements and behaviors, and the magnitude of these relationships are still unclear, thus the need for a literature review that provides insight on previous work on spatial and action-related modulating factors of VR experiences.
KONSEP PERENCANAAN KEPERAWATAN SEBAGAI BAGIAN DARI ASUHAN KEPERAWATAN
Authors: Tamara Josephine
Published: November 2020

Perencanaan keperawatan merupakan bagian dari asuhan keperawatan yang merupakan petunjuk tertulis untuk menggambarkan secara tepat mengenai rencana tindakan yang akan dilakukan kepada pasien sesuai dengan diagnosa keperawatan yang muncul. Tujuan dari perencanaan asuhan keperawatan ini adalah menyusun strategi untuk mengatasi hambatan atau masalah pasien. Dalam menyusun rencana asuhan keperawatan terdapat beberapa faktor yang harus diperhatikan seperti antara lain kekuatan dan kelemahan klien, nilai dan kepercayaan klien, batasan praktik keperawatan, peran dari tenaga kesehatan lainnya, kemampuan dalam memecahkan masalah, mengambil keputusan, menulis tujuan serta memilih dan membuat strategi keperawatan yang aman dalam memenuhi tujuan, menulis instruksi keperawatan serta kemampuan dalam melaksanakan kerja sama dengan tingkat kesehatan lain. Setelah membuat rencana keperawatan, perawat harus mengimplementasikan rencana tersebut sesuai dengan apa yang sudah ditulis dan dokumentasikan sesuai dengan apa yang sudah dilakukan.
PENGECETAN HATINYA PKK
Authors: Weni Amelia
Published: November 2020

Pengecetan hatinya PKK di lakukan di Desa Balangloe Tarowang sebanyak 2 Buah. Tujuannya agar para wanita atau khususnya ibu-ibu PKK mengetahui ada berapa poin hatinya PKK dan apa saja.
Trastuzumab treatment is associated with elevated transforming growth factor beta gene expression.
Authors: Mamoor Shahan
Published: November 2020

The transforming growth factor beta superfamily, as its name implies, is critical for oncogenesis in multiple cellular contexts (1-8). We found, through mining published microarray and multiplexed gene expression data (9-11), that administration of trastuzumab was associated with increased expression of TGFBR1 and TGFBI. These data serve as one piece of evidence arguing against the use of trastuzumab in human breast cancer, a patient population already prone to difficult-to-treat metastases (12-15).
Laporan Harian/Bulanan Ayyub
Authors: Ayyub Muh.
Published: November 2020

KKLP adalah suatu kegiatan perkuliahan yang bersifat intrakurikuler dalam bentuk pengabdian pada masyarakat yang dilakukan oleh mahasiswa dalam jangka waktu tertentu.
Modelling of fibre steered plates with coupled thickness variation from overlapping continuous tows
Authors: Vertonghen Lander , Castro Saullo G. P.
Published: November 2020

Previous research has hinted on further improvements of the buckling behaviour of variable-stiffness laminates by incorporating overlaps, resulting in a variable thickness profile that is non-linearly coupled to the steering angles. The present study compares two modelling strategies to consider the variable thickness distribution: 1) as manufactured with discrete thicknesses; and 2) smoothed with a continuous thickness distribution. The as-manufactured discrete thickness created by overlapping tows is obtained by means of virtually manufactured laminates. The smeared approximation is much simpler to implement, whereby the local thickness is a non-linear function of the local steering angle. Linear buckling analyses are performed by means of fast semi-analytical models based on the Ritz method using hierarchical polynomials and classical plate formulation. By assuming a smooth manufacturing mould on one side, a one-sided thickness variation is produced, resulting in non-symmetric laminates for which the mid-plane surface is varied accordingly. Modelling guidelines are provided regarding the use of the smeared model in a study covering a wide range of geometries, loading and boundary conditions. With these guidelines, one can apply the smeared thickness technique in semi-analytical models to reach a correlation within ±5% compared to a costly discrete-thickness finite element model.
Making it less WEIRD: The landscape of Brazilian female evolutionary psychology
Authors: Dutra Natalia Bezerra , da Silva Phiética Raíssa Rodrigues , Vaz Aline Melina
Published: November 2020

Evolutionary psychology has been criticised regarding its limited samples and authorship, which are mainly represented by people from North America. Conversely, the discussion on gender imbalance in authorship in evolutionary theories has ignored the representation of female authors from other countries. Here we assessed the presence of Brazilian female researchers in evolutionary psychology (EP) journals and the Human Behavior and Evolution Society (HBES) conference, as well as in Brazilian publications in the field and meetings sponsored by HBES. We found that Brazilian women published 0.6% (compared to 0.8% of Brazilian men) of the papers in EP journals. Brazilian women (and men) were 0% of the invited speakers at HBES conference, versus 24% female (vs 0% male) speakers at the Brazilian sponsored meetings. This is striking considering the prominent roles Brazilian female evolutionary psychologists have had within the country in the past decades, which includes leading the publication of two books and one special issue on the topic. We highlight the similarities and differences between Brazilian and overall female representation in evolutionary psychology, based on our data. We propose that including more culturally diverse female authors in evolutionary psychology journals and meetings can generate a positive impact in the field.
Verbal statistical learning: Prior knowledge impacts word identification but not metacognition
Authors: Zmuda Laetitia , Baey Charlotte , Mairano Paolo , Basirat Anahita
Published: November 2020

It is well-known that individuals can identify novel words in a stream of an artificial language using statistical dependencies. While underlying computations are thought to be similar from one stream to another (e.g. transitional probabilities between syllables), performance are not similar. According to the “linguistic entrenchment” hypothesis, this would be due to the fact that individuals have some prior knowledge regarding co-occurrences of elements in speech which intervene during verbal statistical learning. The focus of previous studies was on task performance. The goal of the current study is to examine the extent to which prior knowledge impacts metacognition (i.e. ability to evaluate one’s own cognitive processes). Participants were exposed to two different artificial languages. Using a fully Bayesian approach, we estimated an unbiased measure of metacognitive efficiency and compared the two languages in terms of task performance and metacognition. While task performance was higher in one of the languages, the metacognitive efficiency was similar in both languages. In addition, a model assuming no correlation between the two languages better accounted for our results compared to a model where correlations were introduced. We discuss the implications of our findings regarding the computations which underlie the interaction between input and prior knowledge during verbal statistical learning.
Predictive modeling of the influence of parafoveal information processing on eye guidance in reading
Authors: Engbert Ralf , Seelig Stefan Alexander , Risse Sarah
Published: November 2020

Skilled reading requires information processing of the fixated and the not-yet-fixated words to generate precise control of gaze. Over the last 30 years, experimental research provided evidence that word processing is distributed across the perceptual span, which permits recognition of the fixated (foveal) word as well as preview of parafoveal words to the right of fixation. However, theoretical models have been unable to differentiate the specific influences of foveal and parafoveal information on saccade control. Here we show how parafoveal word difficulty modulates spatial and temporal control of gaze in a computational model to reproduce experimental results. In a fully Bayesian framework, we estimated model parameters for different models of parafoveal processing and carried out large-scale predictive simulations and model comparisons for a gaze-contingent reading experiment. We conclude that mathematical modeling of data from gaze-contingent experiments permits the precise identification of pathways from parafoveal information processing to gaze control, uncovering potential mechanisms underlying the parafoveal contribution to eye-movement control.
The role of human fallibility in psychological research: A survey of mistakes in data management
Authors: Aczel Balazs , Kovacs Marton , Hoekstra Rink
Published: November 2020

Errors are an inevitable consequence of human fallibility and researchers are no exception. Most researchers can recall major frustrations or serious time delays due to human errors while collecting, analyzing, or reporting data. The present study is an exploration of mistakes made during the data management process in psychological research. We surveyed 464 researchers regarding the type, frequency, seriousness, and outcome of mistakes that have occurred in their research team during the last 5 years. The majority of respondents suggested that mistakes occurred with very low or low frequency. Most respondents reported that the most frequent mistakes led to insignificant or minor consequences, such as time loss or frustration. The most serious mistakes caused insignificant or minor consequences for about a third of respondents, moderate consequences for almost half of respondents, and major or extreme consequences for about one-fifth of respondents. The most frequently reported types of mistakes were ‘ambiguous naming/defining of data’, ‘incorrect data processing/analysis’, and ‘version control error’. Most mistakes were reportedly due to poor project planning or management and/or personal issues (physical or cognitive constraints). These initial exploratory findings lay the groundwork for a systematic investigation of human fallibility in research data management and the development of solutions that may reduce errors and mitigate their impact.
PERCEPTIONS OF THE ACADEMICS FROM FACULTY OF SCIENCE, PALACKÝ UNIVERSITY OLOMOUC TOWARDS SELECTED ASPECTS RELATED TO THE COURSE OF THE COVID-19 PANDEMIC IN THE CZECH REPUBLIC AS AN EXAMPLE OF A SUCCOUR FOR THE STRATEGY AND POLICY MAKERS
Authors: Rušar Pavel , Kapavík Radim
Published: November 2020

Background: The impact of the COVID-19 illness all around the world is enormous and as such is a subject of study for not only medicine but also geography, economics, society, psychology and media. Information, data and materials which are the basis for decisions made by policy and strategy makers are acquired from a vast and chaotic mixture of sources. Those are produced based on opinions of experts from diverse fields, results of statistical or clinical studies, official or covert economic interests, political opinions or media pressure and many more inputs. This study presents a concrete example of a possible instrument for correction for the influence of the potentially misleading view in media or society.Methods: Using a questionnaire, this study heuristically quantifies the perceptions of a selected group of Faculty of Science, Palacký University Olomouc employees towards the development of the COVID-19 pandemic in the Czech Republic. We presume that overall they possess more experience with critical analysis and recognizing the relevance of the data than the general population.Results: The respondents assume that based on the data they believe to be relevant COVID-19 is less than or comparably dangerous as seasonal flu (34.1 %) or several times or by an order of magnitude more dangerous (54,1 %); implementing wearing face covering inside is in total for the population rather beneficial (83,8 %), or disadvantageous or without any significance (7,5 %), the daily count of infected is relevant (49,7 %), or irrelevant (42,2 %); the exposure rate in the population is relevant (55,2 %), or irrelevant (34,0 %); the percentage of the Czech population that has already been exposed to the virus is 5% or less (46,5 %), or 6% or more (29,2 %). The respondents view the government measures as relevant and sufficient or insufficient (58,9 %), or relevant but excessive (20,0 %), or irrelevant and excessive or absurd (9,2 %). A significant amount of further data has been derived from the results presented in this study.Conclusion: Certain results of the perceptions quantification reflect the predominant media discourse (such as the question of the benefit of wearing face coverings inside), other seem to differ or contradict the discourse (such as the comparison with seasonal flu or the preference for the exposure data over the daily infected count). As a conclusion, it can be ascertained that when correctly implemented a verified survey of a predefined closed group of respondents can be an applicable instrument for a potential correction for the prevailing public and media paradigm.
The demographic window of opportunity and economic growth at sub-national level in 91 developing countries
Authors: Crombach Lamar Gerard Alfons , Smits Jeroen
Published: November 2020

Data for 91 low- and middle- income countries (LMICs) are used to investigate the effect of the demographic transition on economic growth at sub-national level. We introduce a detailed classification of demographic window (DW) phases, determine how these phases are distributed among and within LMICs, and analyze the relationship between the DW and economic growth for 1,921 urban and rural areas of sub-national regions. Many regions in Asia, Latin America and the Middle East have entered the window, but most of sub-Saharan Africa is still in the traditional or pre-window phase. Multilevel analyses reveal higher growth rates in areas with lower and decreasing dependency ratios. Demographic effects are stronger in rural, more developed and more educated regions. Findings indicate that, in the coming years, the DW might strengthen economic growth in rural areas of LMICs, and particularly if accompanied by investments in education and rural development.
Politik hukum Indonesia : teori dan praktik
Authors: Setiawan Adam , Asyikin Nehru , Firmansyah Rheza , Sukananda Satria , Hidayati Fatma , Anggreini Reni Ratna , Harmi Rivaldhy , Putra Ade Riyanda Prasetia
Published: November 2020

Buku yang hadir di hadapan pembaca dengan judul "Politik Hukum Teori dan Praktik" adalah karya intelektual muda yang sangat concern dengan perkembangan hukum di Indonesia, dalam kajian berbagai cabang ilmu hukum yang diulas secara kritis. Pilihan fokus kajian dan analisis terhadap problematika hukum di Indonesia dalam perspektif politik hukum setidaknya menyiratkan penilaian terhadap hukum yang sekarang berlaku dan tawaran solusi ke depan terhadap problematika yang dikaji. Buku ini menarik karena beragam kajian cabang ilmu hukum dibedah dalam perspektif politik hukum.
SEISMIC EVALUATION AND RETROFIT ON AN EXISTING HOSPITAL BUILDING
Authors: K. Jarallah Husain , K. Paul D. , Singh Yogendra
Published: November 2020

The nonlinear pushover analysis was used to evaluate an existing 8-storey reinforced concrete framed hospital building under seismic force and presented in this manuscript. The ‘Guru Teg Bahadur Hospital' is one of the important hospitals at Delhi-India, it was selected for this research. The three-dimensional frame model was used to model the building with a fixed base. The beams and columns were modeled by using three-dimension line frame elements with the centre lines joined at nodes. Diagonal strut elements were used to model the brick masonry infills. The slabs were considered as rigid diaphragms. The plastic hinge rotation capacities as per Federal Emergency Management Agency 356 (FEMA 356) with Performance Levels were adopted in this study, considering the axial force-moment and shear force-moment interactions. The nonlinear pushover analysis of the selected building was done with infills and it was observed that the infills (due to their small number in the considered building) do not make any appreciable effect on the performance level, except their failure at an early stage. The Capacity Spectrum Method (CSM) and Displacement Coefficient Method (DCM) were used to estimate the performance point of the building. The values of various coefficients as per Federal Emergency Management Agency 440 (FEMA 440) were adopted. The DCM was observed to give slightly higher target displacements, as compared to CSM. It was observed in the nonlinear pushover analysis that the unreinforced masonry (URM) infills collapse before the performance point of the building for the Maximum Considered Earthquake (MCE). As the intervention inside the functioning hospital is extremely difficult, it was explored whether it is possible to safeguard the infills by stiffening the building by providing external buttresses. Two cases of retrofitting schemes with 1.2m wide and 3m wide buttresses in transverse direction were used and analysed. It was found that this is not a practicable approach, as the infills collapse even with 3m wide buttresses.
A WEB BASED APPLICATION FOR CLINICAL LABORATORY INFORMATION MANAGEMENT SYSTEM
Authors: Jaffar Mohamed Ameen Zinah , Salam Samaan Sama
Published: November 2020

Continuous progressive wheel resulted in scattered plans of the major objective to climb the ladder of success within a very short period of time. Within past years, Electronic Health Records (EHR) have been realized due to the growing number of hospitals worldwide. EHR systems can be in different forms, that refer to a wide range of electronic information systems used in healthcare. Medical institutions that might use EHRs are hospitals, pharmacies, general surgery practices, and other health care professionals. Clinical or medical coding is an important process to transform medical documents such as laboratory or radiologic results beside physician notes into universal alphanumeric codes that represents the medical diagnosis, procedure, service, or equipment. As archiving process is an important part of the clinical lab, besides searching for related information or previous tests’ results are boring work and in order to make this process easier, faster and accurate, this paper proposed the design and implementation of a web-based clinical laboratory management system, in which only authorized systems’ users such as lab assistant or physician can access patients’ records in order to ensure that the whole process is secure, accurate and reliable. This system is developed using MySQL for database design and PHP, html, CSS and JavaScript for user interfaces.
PERFORMANCE ENHANCEMENT FOR ROTARY AIR PREHEATER OF A THERMAL POWER PLANT
Authors: Mazin Hazim Sinan , H. Alhamdo Mohammed
Published: November 2020

The corrosion phenomenon is considered the main problems for air preheater in thermal power plant. The boiler flue gas contamination leads to decrease the air preheater performance and increases the maintenance cost, which causes the degradation of the cold end heating elements and thus leads to decrease the heat recovery rate. In this study, an experimental investigation was done for the transient thermal behavior and the pressure drop of the standard regenerative air preheater (Pmatrix) model, evaluating the performance factor, then modifying the air preheater (P+CG) model by changing the plates at the cold end last basket to the coarse gravel media. Since the gravel media have low thermal conductivity and predicted to give a high pressure drop, a new technique was done for the modified air preheater to compensate the low heat transfer rates and reduce the pressure drop in the gravel media by inserting bypass tubes at ratios (i and s), Which, the (i) model represents the inner aperture of tubes for the hot baskets facing to the inner aperture of tubes for the cold basket. While (s) model the insertion the tubes of the hot baskets as a staggered distribution with the tubes for the cold basket. The experimental investigation was carried out for the Reynolds number based on the test duct hydraulic diameter at a range of 24500.
A Case Report of Airway Stenting in Tracheal Compression Secondary to Right Subclavian Artery Pseudo-aneurysm
Authors: Abdul Azih Muhammad Naimmuddin , Ibrahim Aishah , Hin How Soon , Chunn Kuan Yeh
Published: November 2020

We report a 55-year old lady with the presentation of stridor and type II respiratory failure requiring tracheal intubation. She had right Horner’s syndrome associated with pleural effusion. Her chest radiograph revealed right upper zone lobulated opacities and therefore right Pancoast tumor was the initial diagnosis. However, her CECT thorax revealed a huge right subclavian artery pseudoaneurysm with severe tracheal compression. This rare condition imposed a significant diagnostic as well as therapeutic challenge. Vascular surgery is the definitive treatment but it is associated with high risks. The exact role of rigid bronchoscopy for airway stenting is unknown due to limited evidence available. Indeed, this form of central airway obstruction may benefit from temporary tracheal stenting whilst the surgical repair of the lesion is planned. It may facilitate early weaning and allows less complicated airway control.
Abdominal Obesity and High-sensitivity C-reactive Protein Level among Malay Obese Adults in Kuantan, Malaysia
Authors: Shahadan Siti Zuhaidah , Daud Azlina , Md. Isa Muhammad Lokman , Mohd Rasani Ali Aminuddin , Ibrahim Muhammad , Deraman Samsul
Published: November 2020

Introduction: Abdominal obesity and inflammation are two independent risk factors for cardiovascular disease. However, the inter-relationship between these two factors among Malay population is fragmented. The purpose of this study is to determine the association between waist circumference as a measure of abdominal obesity and high-sensitivity C-reactive protein as an indicator of inflammation status among Malay obese adults in Kuantan, Pahang. Materials and Methods: Ninety-three apparently healthy obese adults (BMI between 27.5 and 39.9 kg/m2 ) aged between 20 to 62 years old were recruited in this study (68% men and 32% women). Circumference tape was used to measure the waist circumference and fasting venous blood was obtained to determine the high-sensitivity C-reactive protein level. Results: On average, the waist circumference of obese men and women was 103 cm (SD = 8.7) and 94 cm (SD = 7.0), respectively. The median (IQR) of the hs-CRP level of the study participant was 3.80 mg/L (1.5, 10.1). The Kendall’s Tau correlation reveals that there is a significant positive linear correlation between waist circumference and hs -CRP level in obese men (r (30) = 0.355, p = 0.006) and women (r (63) = 0.177, p = 0.043). Conclusion: There is a significant inter-relationship between waist circumference and hs-CRP level among apparently healthy obese adults in Kuantan, Pahang. This study suggests that assessment of hs-CRP level is beneficial to predict the risk for future cardiovascular disease event and facilitate the management of obesity in this population. A prospective clinical study is recommended to confirm the findings.
Hormone Consumption among Mak Nyahs in Kuantan Town: A Preliminary Survey
Authors: S Draman , S Maliya , A Farhan , S Syazwan , A Nur ‘Atikah , Abd Aziz KH
Published: November 2020

Introduction: Mak nyahs (male-to-female transgenders) often consume feminizing hormones to achieve and maintain the female physical appearance. They do it without professional prescription/advise, and often take excessive doses. This renders them at risk of developing complications of hormone consumption. This paper provides some quantitative data on hormone consumption among mak nyahs in Kuantan, Pahang, in Malaysia. Materials and Methods: A cross-sectional study was carried out from July to August in 2015 among 35 mak nyahs. Convenience sampling was used. Participants who gave consent answered an interview-guided questionnaire which documents socio-demographic profile, hormone usage, and morbidities as a result of hormone consumption. Data was analysed using SPSS, Version 16.0. (version 16). Results: Majority of the subjects were Malays (91.4%) and Muslims (97.1%), their median (IQR) age being 31 (±17) years, more than half (57.1%) were between 20 to 40 years old. Most (80.0%) of them are sex workers. Oral hormone was most commonly used (88.6%), while more than half (67.7%) of them added hormone injections. Almost all subjects purchased hormones over the counter from local pharmacies (94.2%). However, many received information on hormone from non-professional sources. Possible adverse effects of hormones reported among subjects were hypertension, ischemic heart disease, diabetes mellitus, and venous thrombo-embolism. Conclusion: Hormone consumption was very common among the subjects in this study, and may be associated with certain medical problems. Medical personnel must pay more attention in educating the mak nyahs on adverse effects of hormones consumption. Mak nyahs should also be screened for complications every time they seek medical attention.
Prehypertensive State, Mild Hypertension, Metabolic Syndrome and Cardiovascular Risk Factors among Young Adults in Rural Malaysia
Authors: Aszrin Abdullah , Azarisman Shah M , Jamaluddin Rahman A , Tariq Razak A , Noriah Noor M
Published: November 2020

Introduction: Prehypertension precedes overt hypertension and has been acknowledged by many guidelines. Hypertension is an important risk factor for cardiovascular disease in Malaysia. Hypertension prevalence is at 42.6% and population-based control is poor at 26.8%. The objective of the study is to ascertain the cardiovascular risk profile of prehypertensive and mildly hypertensive young adults against age-matched controls in rural Malaysia. Methods: 484 (four hundred and eighty four) subjects attending primary care clinic were screened. 91 (Ninety one) young adults with pre/mild hypertension and normotensive, agematched controls were enrolled. The blood pressure and biochemical profiles for both groups were assessed and compared. Results: Fifty-four subjects and 37 controls were enrolled. Amongst subjects, 46.3% had prehypertension and 53.7% had mild hypertension. Mean values compared to age-matched controls for MAP were 102.68 ± 7.48 vs 83.25 ± 6.08 mmHg (p< 0.001), LDL 3.75 ± 0.95 vs 3.32 ± 0.93 mmol/L (p=0.03), FBG 4.65 ± 0.54 vs 4.33 ± 0.42 mmol/L (p=0.03), BMI 28.81 ± 5.16 vs 24.12 ± 4.91 (p< 0.001). The mean BP was significantly associated with BMI, FBG, triglycerides, HDL and the TC/HDL ratio. Conclusions: Greater BMI, FBG, HDL, triglyceride levels and TC/HDL ratio characterised the young adults with pre/mild hypertension. The data suggests that hypertension in young adults is secondary to metabolic syndrome.
Prevention of Brain Hypoperfusion-Induced Neurodegeneration in Rat’s Hippocampus by Black Cumin Fixed Oil Treatment
Authors: Azzubaidi Marwan Saad , Al-Ani Imad Matloub , Saxena Anil Kumar , Faisal Ghasak Ghazi
Published: November 2020

Introduction: The oil extract of black cumin seeds Nigella sativa (NSO) demonstrated considerable preservation of spatial cognitive functions in rats subjected to chronic brain hypoperfusion (CBH). The hippocampal CA1 region pyramidal cells are the earliest neurons suffering neurodegeneration following CBH. Objective: The current study was devoted to assess the protective effects of Nigella sativa (NSO) treatment on CA1 hippocampal pyramidal cells of rats subjected to chronic brain hypoperfusion (CBH) that was achieved through permanent two vessel occlusion (2VO) procedure. Methods: Twenty four rats were equally divided into three groups; sham control, untreated 2VO and NSO treated group (2VO with daily oral NSO treatment. After the 10th postoperative week coronal sections of the hippocampus were collected for histopathological and electron microscopical examinations. Results: The number of viable pyramidal cells within CA1 hippocampal region in sham control and NSO treated groups was significantly higher than that of untreated 2VO group, while the difference was not significant when comparing the viable pyramidal cells number of sham control with NSO treated groups. Furthermore, 2VO group showed marked intracellular ultrastructural distortions that were less pronounced in NSO treated group. Conclusion: NSO displayed a robust potential to protect hippocampal pyramidal cells from CBH induced neurodegeneration putting forward its prospective neuroprotective activity against age related cognitive decline of Alzheimer’s disease and vascular dementia.
Self-perception of Stigma among Epilepsy Patients in Malaysia
Authors: MD RM Yousuf , Shahar MA , Marzuki OA , Azarisman SMS , Rosle C , Tin MH
Published: November 2020

Introduction: Epilepsy remains a stigmatised disease across geographical and temporal boundaries. Very little is known about epileptic stigma (ES) in cross-cultural settings. The aim of this study was to assess the prevalence of perceived stigma and factors associated with it, among patients with epilepsy (PWE) at a tertiary care referral hospital in East Coast of Malaysia. Methods: A cross sectional survey among 132 consenting PWE using pre-tested, semi-structured questionnaire in Malay/English language to assess their knowledge, attitude and practices (KAPs). Results: Among 132 respondents, 51.5% were male and 48.5 % were female. Their age ranged from 14 to 70 years (mean=31.6±13.41). Majority (53.8%) of them were aged 30 years or younger. The median number of years they had epilepsy was 8.0 (IQR 4.0-18.8) years and average duration of seizure prior to seeking medical attention was 1.0 (IQR 0.3 - 4.5) year. Most of them (90.9%) did not know the cause of epilepsy; however nearly all (91.7%) believed that it was a disease of the brain. Higher education level respondents possessed significantly higher KAP scores compared to lower education level respondents (p<0.001). Respondents with good KAP scores believed that epilepsy was not contagious and they observed greater social tolerance. Conclusion: Our study suggests that there is an inverse relationship between knowledge and ES. Self-perceived stigma was more common among our PWE. The results suggest that there is a critical need to enhance epilepsy education amongst the PWE beyond mere seizure control.
Pharmacotherapy for Comorbid Adult Attention-Deficit Hyperactivity Disorder and Stimulant Dependence: A Systematic Review
Authors: LS Woon , Z Hazli , LLY Gan
Published: November 2020

Comorbid adult attention-deficit hyperactivity disorder (ADHD) and stimulant dependence is widely recognized, but efficacy of pharmacotherapy in this patient population is not well established. We aimed to review whether pharmacotherapy is efficacious in reducing ADHD symptoms and stimulant use in comorbid adult ADHD and stimulant use disorder. English articles until June 2017 were systematically searched in electronic databases (MEDLINE and PsycINFO), an online clinical trials register (ClinicalTrial.gov), and through hand-search of article references. Randomized, double-blind, placebo-controlled trials that studied efficacy of pharmacotherapy in adults with comorbid ADHD and stimulant dependence were included. Two reviewers assessed studies for inclusion and extracted data; disagreements were resolved by consensus. Study outcomes included were changes in ADHD symptom severity, substance abstinence, treatment retention rates and safety. From the 1394 records identified, five trials (n=358) were included. Four studies involved methylphenidate; in another study extended-release mixed amphetamine were used. The comorbid stimulant was cocaine in three studies, and amphetamines in the rest. All were short-term studies involving predominantly young male adults conducted in outpatient settings. There is early promising but mixed evidence for therapeutic efficacy in improving ADHD symptoms. Stimulant medications did not worsen stimulant dependence or adverse effects of stimulant medications. Side effects were mild and tolerable. High attrition rates and small sample size limited the generalizability of findings. Current limited evidence suggests that stimulant treatment for comorbid adult ADHD and stimulant dependence is feasible. Welldesigned trials with adequate power are needed for more robust evidence on ADHD and stimulant use outcomes.
Proboscis Lateralis: A Case Report of Nasal Aplasia with Complete Agenesis of Maxilary and Ethmoidal Sinuses
Authors: R Shamim , FH Yahia , L Wan Islah , R Raman
Published: November 2020

We report a child with Proboscis Lateralis with nasal aplasia and complete agenesis of maxillary and ethmoidal sinuses. This is a rare congenital malformation. Embryological basis has not been proven, and it is often associated with facial malformation. However, no such abnormality was noted in our patient. This condition is diagnosed clinically and confirmed radiologically of which CT scan plays a pivotal role. Reconstructive surgery is planned at the age of fifteen years.
Prevalence of Diabetic Retinopathy and its Associated Factors among Diabetic Patients in Primary Care Clinics, Kuantan, Pahang
Authors: MA Mohd Aznan , MK Khairidzan , MR Razman , A Fa’iza
Published: November 2020

Introduction: Diabetic retinopathy (DR) is one of the commonest complications of diabetes mellitus. This study was to determine the prevalence of DR and its association with chronic kidney disease (CKD), high HbA1c and dyslipidemia among diabetic patients in government primary care clinics. Materials and Methods: A cross sectional study was carried out. The respondents were selected from diabetic registry at two government primary care clinics in Kuantan, Pahang via stratified random sampling method during the study period from May 2010 to April 2011. The respondents were interviewed and assessed clinically using a structured questionnaire. Retinal examination was performed by accredited staff using non-mydratic retinal imaging and DR was classified according to the International Clinical Diabetic Retinopathy Disease Severity Scale. Results: Out of 400 respondents, 58.8% were diagnosed with diabetes less than 5 years and 51.0% had uncontrolled blood pressure (>130/80 mmHg). The prevalence of DR and maculopathy were 33.5% and of 17.8% respectively. Most of these patients (22.3%) had mild non-proliferative DR. DR patients had higher percentages CKD (17.9% vs. 6.8%; p<0.001) and a higher mean of HbA1C (8.69 vs. 8.11; p=0.015) compared to non-DR patients. The study revealed that DR was independently associated with CKD {OR: 3.46, 95% CI (1.76, 6.80)} and high HbA1c {OR: 1.12, 95% CI (1.02, 1.23)}. Those with dyslipidemia however, has 39% less risk of DR {OR: 0.61, 95% CI (0.39, 0.94)}. Conclusion: This study showed that diabetic patients with CKD and high HbA1c have greater risks to develop DR but has protective risk with dyslipidemia.
Changes in Corneal Endothelial Cells Morphology Due to Different Cataract Surgery Procedures: A Retrospective Study From November 2014 to November 2016
Authors: Bariah Ma , SY Leong
Published: November 2020

Introduction: The corneal endothelium is made up of an extremely thin layer of non -regenerating cells essential in keeping the cornea clear. The purpose of this study was to quantify the corneal endothelial cells morphology, visual acuity (VA) and refractive error in patients having femtosecond laser-assisted cataract surgery (FLACS) and conventional phacoemulsification surgery (CPS). Methods: Clinical data from 56 eyes were included in this study. 28 eyes had FLACS surgery and another 28 eyes had CPS. Distance VA, refractive error, corneal thickness and endothelial cells morphology were evaluated pre-operatively and at 1 month follow up. Refractive error was determined subjectively and VA was taken using Snellen chart. Specular microscope was used to measure endothelial cells morphology and central corneal thickness. Mann Whitney test and Spearman correlation analysis were used to analyse the results. Results: There were no statistically significant difference in the mean endothelial cell density (p=0.24), mean central corneal thickness (p=0.68), mean coefficient of variance (p=0.19), mean hexagonality (p=0.44), VA (p=0.72) and postoperative refractive outcome (p=0.66) between both groups. The duration of surgery was noted to have no statistically significant difference between both groups (p=0.08), while the cumulative dissipated energy and torsional time showed a significant difference between groups (p=0.01 and p<0.01 respectively). Conclusion: This study concluded that there was no significant difference in the endothelial cells morphology in patients undergoing both cataract surgeries. Both surgeries presented similar outcomes in the patients’ eyes.
Ovitrap Surveillance of Aedes aegypti and Aedes albopictus in Dengue Endemic Areas in Keramat and Shah Alam, Selangor in 2016
Authors: A Noor Afizah , AK Mohd Arif , WA Nazni , HL Lee
Published: November 2020

Introduction: Entomological surveillance is crucial to determine the abundance of dengue vector and to evaluate breeding areas of Aedes aegypti and Aedes albopictus. The objective of this study is to determine the distribution and breeding preference for both Ae. aegypti and Ae. albopictus in dengue endemic areas. Materials and Methods: Ovitraps surveillance was conducted in two dengue endemic areas; AU2, Keramat and Seksyen 7, Shah Alam, Selangor. A minimum number of 100 ovitraps were deployed for 5 days in the study sites. Samples collected were brought back to the lab and all larvae recovered were identified to species level. Results: The ovitap index (OI) in both localities exceeded the transmission threshold of 10% with the OI recorded ranged from 42.3-79.8% in AU2, Keramat and 16.7-42.9% in Seksyen 7, Shah Alam. Ae. albopictus was the dominant species in AU2 Keramat with the highest ratio Ae. aegypti to Ae. albopictus recorded was 1.00:22.79. Nonetheless, in Seksyen 7, Shah Alam the difference in Ae. aegypti to Ae. albopictus ratio is not really prominent with 1.00:3.61 for ovitraps deployed outdoor and 3.40:1.00 for ovitraps set indoor. It was determined that single infestation of either Ae. aegypti or Ae. albopictus is more frequent for ovitraps deployed indoor and/or outdoor, respectively. It was also determined that mixed infestations were found in this study indicating that both species can oviposit in the same container. Conclusion: This study indicates that OI is still above transmission threshold in both study sites. While Ae. aegypti and Ae. albopictus remain as a dominant indoor and outdoor breeder, respectively, mixed breeding of Aedes species in a same container was also observed.
The Guru-UKM Method: Synergistic Effect of Hydrogel, Hydrofibre and Dermal Conservation in Burn Wound Management
Authors: Imran Farrah-Hani , Ian Chik , Kelly Enda Gerard , Jarmin Razman
Published: November 2020

Initial wound care idioms were designed around a moist dressing in presumed better wound healing. As wound care advances, innovations of dressings were formed. In the Guru-UKM Method (GUM), we combined two well-established dressings producing a synergistic effect in burn wound management. Patients with deep partial thickness burns were selected for the GUM. From the time of admission, they receive 2 cycles of paraffin tulle dressings once every two days to allow demarcation, then are reassessed for suitability of the GUM technique. We discuss 7 different burn cases that presented to our Burn Unit from January 2014 – June 2015.All dressings should create a suitable moist environment for healing, yet should be a painless dressing to help the patient return to normal function as soon as possible. In burn wounds, a suitable dressing ideally also biochemically debrides fibrin and softens hardened eschar and slough, without necessitating the patient to undergo general anaesthesia and surgical debridement. The Guru-UKM Method is a combination dressing technique that facilitates optimal burn wound management.
Potential for use of the paleontological component in the extracurricular activities of secondary school students in English
Authors:   Академия «Bolashaq», Караганда, Казахстан, Kalizhanova A , Shelestova T ,   Карагандинский университет имени академика Е.А. Букетова, Казахстан, Makarovskaya P ,   Академия «Bolashaq», Караганда, Казахстан, Maryshkina T ,   Академия «Bolashaq», Караганда, Казахстан, Aupenova A ,   Академия «Bolashaq», Караганда, Казахстан
Published: November 2020

The article is devoted to the application of elements of paleontology in extracurricular activities in English. The language policy of the state, as well as the programs «Tugan Zher» and «Sacred Geography of Kazakhstan» speak in favor of such integration. The authors argue that materials rich in the linguoculturological aspect contribute to the introduction of people to the linguocultures of other ethnic groups within a single state, and also evoke great motivation to learn languages. It has been proven that now-extinct animals, such as mammoths, dinosaurs, and other representatives of zoological species known from archaeological finds, lived on the territory of Kazakhstan. The correct application of these rich materials in the project activities of schoolchildren has the potential to develop an active civic position, as well as linguistic and cultural competencies. The authors refer to the experience of Gareth Dyke, a specialist in paleontology from the UK, and Dmitry Malakhov, a leading researcher at the Department of Remote Sensing of the Earth, JSC «NCKIT», to confirm that elements of paleontology in extracurricular activities in English could also positively affect the expansion of knowledge on such subjects as English and Biology. Thus, the integration of paleontology in extracurricular activities and the study of English in project activities can potentially provide deeper immersion in the culture and history of their country, their motherland
A hazai informatikai kkv-k versenyképességének és sikertényezőinek vizsgálata
Authors: Dávid Attila
Published: November 2020

A kutatás középpontjában olyan hazai kis- és középvállalkozások állnak, amelyek főtevékenységüket tekintve informatikai szolgáltatásokat nyújtanak más vállalkozások számára. A kutatás során arra tettünk kísérletet, hogy Szerb László és társai munkássága alapján definiáljuk a Informatikai kkv-k számára kulcsfontosságú versenyképességi tényezőket, miközben azok egymással való összefüggéseit is elemezzük. A vizsgált 3 fő kérdés a következő volt: A KKVI pillérei közül melyek határozzák meg egy IT-cég versenyképességét? Vannak e olyan pillérek, melyek szoros kapcsolatban állnak egymással? A vállalkozások mit tartanak kritikusnak a versenyképességük szempontjából? A vizsgálat során kvalitatív, azon belül is objektivista típusú interjú készült négy egymástól eltérő szerkezetű és stratégiájú vállalkozás tulajdonosaival és fontosabb be-osztottjaival. Eredményeit tekintve a mű nem hoz új megállapításokat, csupán ráerősít az alapjául szolgáló kutatások eredményére.
Hogyan alkalmazkodik a középkelet-magyarországi kkv-szektor HR-gyakorlata a munkaerőhiányhoz?
Authors: Szabó Dávid
Published: November 2020

A munkaerőhiány viszonylag új jelenségnek tekinthető Magyarországon és a kkv-k HR-gyakorlata sem konvencionális témakör. Kutatásom során így arra kerestem a választ, hogy a hazánkban tapasztalható munkaerőhiány hogyan befolyásol-ja a kkv-k HR-gyakorlatát a középkelet-magyarországi régióban. Az interjúkon és üzemlátogatáson alapuló kutatásom során megállapítottam, hogy a vállalkozások HR-gyakorlatai nem átalakultak, hanem kialakultak a munkaerőhiány hatására, és korábban nem alkalmazott akciótervek jöttek létre. Kutatási eredményeim alapján meg-állapítható, hogy a vállalkozók szívesebben nyúltak anyagi erőforrásokhoz a munka-erőhiány kezelésére, mint szervezeti átalakításokhoz vagy oktatáshoz, illetve más egyéb megoldásokhoz, ami rövid távú vezetői szemléletmódra utalhat.