bluuebunny/crossref_metadata_2025 huggingface dataset:
Relationship Between Age-Related Postural Hyperkyphosis and Sarcopenia
Authors: Soylu Gülçimen , Çakmak Güzin , Yalvaç Yusuf , Yakaryılmaz Funda Datlı , Öztürk Zeynel Abidin
Published: March 2021

Background:

Hyperkyphosis is one of the commonly seen disabilities in the elderly.
Loss of muscle mass and function is supposed to be related to age-related hyperkyphosis. We
aimed to explain the relationship between sarcopenia and hyperkyphosis in old patients in this
study.

Methods:

142 patients who were in the polyclinic of geriatrics of Gaziantep University Hospital
were enrolled in this cross-sectional study. Hyperkyphotic patients were included in the study
group, and non-hyperkyphotic patients were included in the control group by experienced staff.
Their mean age was 72±6.9. Thirty-six of them were male, and 106 of them were female. The
EWGSOP 2 criteria were used for the diagnosis of sarcopenia. SARC-F (sluggishness, assistance
in walking, rising from a chair, climb stairs, falls) test was performed on all patients. The handgrip
test was applied to patients who had a score ≥4 from SARC-F. We conducted bioimpedance analysis
of the probable sarcopenic patients who were diagnosed with handgrip assessment. Four-meter
gait speed test, Timed Up and Go Test (TUG) and Tinetti Test were applied to all patients to evaluate
gait speed. Hyperkyphosis was evaluated with the bloc method in the Rancho Bernardo Study.
Numbers of the blocks used for keeping patients in a neutral position were recorded. We defined
hyperkyphosis as the state in that one or more blocks are needed to maintain the patient's neutral position
on the radiology table.

Results:

Hyperkyphosis was positively related to lower extremity dysfunction which was assessed
by 4-m-gait speed test (p=0.018) and TUG (p=0.042). A significant relationship between gait
speed and hyperkyphosis was revealed when evaluated with one-way MANOVA (F [5,92] =2.588,
p=0.031, Wilk's Λ=0.877, partial η2=0.123). We found a significant relationship between TUG
and the number of blocks needed to restore neutral position by linear regression analyses (r2
=0.059, p=0.044). We found a cut-off value of gait speed as 0.65 m/s for the presence of hyperkyphosis
(sensitivity:60%, specificity:70%, CI=95%, p<0.001, AUC=0.710). Tinetti balance, gait
and total test scores were also negatively related to hyperkyphosis (p=0.006; 0,027; 0.031).

Conclusions:

In previous studies, vertebral compression fractures, degenerative disc disease, weakness
of back extensor muscles and genetic predisposition were suggested as predisposing factors
for age-related kyperkyphosis. Different from these in our study, lower extremity muscle function
was found to be related to age-related hyperkyphosis. More studies on this subject could be helpful.
Hyperkifosis prognosis in severe sarcopenic groups might be a new research topic.
Phenytoin induced Stevens-Johnson Syndrome-toxic Epidermal Necrolysis
Overlap Exacerbated by Cephalexin in a 65-Year-old Neurosurgical Patient:
A Rare Case Report
Authors: Mahalingam Vijayakumar Thangavel , Rathinam Kiran Kumar , Sabarathinam Sarvesh , Nuthalapati Poojith
Published: March 2021

Objective:

To report a rare case of drug induced overlap of Stevens-Johnson syndrome
and Toxic Epidermal Necrosis Syndrome exacerbated by cephalexin.

Case summary:

In this case report, we present a 65-year-old female who had come to the hospital
with complaints of Sloughing of the skin and redness all over the body with raised body temperature.
She was on therapeutic Phenytoin to prevent the post-surgical complications of Communicating
Hydrocephalus. After a detailed examination, it was found that the patient had misemployed
with an overdose of Phenytoin. The patient was found with nikolsky sign and diagnosed as Stevens-
Johnson syndrome and Toxic Epidermal Necrosis overlap. This case report emphasizes phenytoin
induced Stevens-Johnson syndrome and Toxic Epidermal Necrosis syndrome exacerbated by
cephalexin.

Practice implications:

By witnessing this phenomenon, we could figure out the association between
cephalexin and Stevens-Johnson syndrome- Toxic Epidermal Necrosis syndrome overlap. The Immediate
dismissal of the offending agent and commencement of supportive care was found to be effective.
A Sun Safety Pilot Program Using a Tanning Myths–Focused Video Contest for Utah Adolescents: Cross-sectional Analysis
Authors: Truong Amanda , Forbes Brayden , Zhang Mingyuan , McFadden Molly , Klein Stephanie
Published: March 2021

Background

Adolescents are susceptible to excessive ultraviolet exposure due to intentional tanning, outdoor lifestyles, and poor sunscreen adherence. As skin cancer incidence continues to rise in the United States, effective and focused interventions are needed to encourage photoprotective behaviors.

Objective

This study seeks to determine poor photoprotective behavior risk factors in adolescents residing in Utah and whether video contest participants have increased sun-protective knowledge and intentions.

Methods

In this cross-sectional study, we surveyed Utah high school students (n=20) who participated in a tanning myths-themed public service announcement video contest. A control cohort of students who did not participate in the video contest were also surveyed (n=89). Demographics, sun exposure history, intentions to tan, and intentions to use sunscreen were documented. Knowledge of tanning myths was assessed with a 7-question sun safety quiz.

Results

The survey response rate was 93.2% (109/117). Two-thirds reported at least one sunburn, and 47.7% (52/109) reported intentional tanning within the past 2 years. Higher tanning intentions were associated with a personal (P<.001), family (P=.001), and peer (P<.001) history of tanning. Video contest participants had higher sun safety quiz scores (P<.001) and higher sunscreen use intentions (P=.01), but did not have decreased tanning intentions (P=.47) compared to non–video contest participants. Hispanic and Black students were less likely to participate in the video contest (P<.001 and P=.04, respectively). In a comparison of White students to students of color, there were no differences in sun exposure history, but students of color had lower sun safety knowledge (P=.01) and lower sunscreen use intention (P=.02).

Conclusions

Sun safety educational disparities exist, and targeted efforts are needed to encourage photoprotective behaviors in high-risk populations. Our findings suggest that video contest participation may encourage sunscreen use and sun protection awareness.
Social Media and Medical Education in the Context of the COVID-19 Pandemic: Scoping Review
Authors: Katz Marc , Nandi Neilanjan
Published: March 2021

Background

The COVID-19 pandemic has brought virtual web-based learning to the forefront of medical education as training programs adapt to physical distancing challenges while maintaining the rigorous standards of medical training. Social media has unique and partially untapped potential to supplement formal medical education.

Objective

The aim of this review is to provide a summary of the incentives, applications, challenges, and pitfalls of social media–based medical education for both trainees and educators.

Methods

We performed a literature review via PubMed of medical research involving social media platforms, including Facebook, Twitter, Instagram, YouTube, WhatsApp, and podcasts. Papers were reviewed for inclusion based on the integrity and power of the study.

Results

The unique characteristics of social media platforms such as Facebook, Twitter, Instagram, YouTube, WhatsApp, and podcasts endow them with unique communication capabilities that serve different educational purposes in both formal and informal education settings. However, contemporary medical education curricula lack widespread guidance on meaningful use, application, and deployment of social media in medical education.

Conclusions

Clinicians and institutions must evolve to embrace the use of social media platforms for medical education. Health care professionals can approach social media engagement in the same ethical manner that they would with patients in person; however, health care institutions ultimately must enable their health care professionals to achieve this by enacting realistic social media policies. Institutions should appoint clinicians with strong social media experience to leadership roles to spearhead these generational and cultural changes. Further studies are needed to better understand how health care professionals can most effectively use social media platforms as educational tools. Ultimately, social media is here to stay, influencing lay public knowledge and trainee knowledge. Clinicians and institutions must embrace this complementary modality of trainee education and champion social media as a novel distribution platform that can also help propagate truth in a time of misinformation, such as the COVID-19 pandemic.
Investigation and Analysis of College Students’ Online Learning Behavior in the Post-epidemic Era—Take Suqian College as an Example
Authors: Youhao Luo , Jianxiang Yang
Published: March 2021

The COVID-19 epidemic broke out in the world in 2020. With the continuous efforts of people all over the world for a year, the development trend of the epidemic was gradually restrained, and countries began to enter the post-epidemic period one after another. With the students from all over the country returning to school gradually, how to strengthen the normal study of young college students and how to restore the normal teaching order in schools is a huge challenge to both schools and students during this special period of epidemic prevention and control. This paper starts with the phenomenon that the learning effect of online education for college students in Suqian University is not ideal, and carries out on-the-spot questionnaire survey to explore the problem. According to the research, some students have cultivated their good learning habits in the home-school environment, but there are still some problems, such as the majority of students lack of inertial thinking of online learning, lack of attention to online learning and unable to find a suitable mixed online teaching model. Schools should select appropriate teaching models to guide students to participate in online learning. Students should also actively cooperate with teachers to carry out educational work, restrain themselves and devote themselves to study within the stipulated time. Finally, I hope that this paper can effectively promote the development of online e-learning by putting forward some countermeasures and suggestions for the construction of high-quality e-learning model in schools.
Productivity Improvement with Equipment Owner TPM Management at Toyota Manufacturing USA: Highly Reliable Production System for Expanding Global Production
Authors: Sakai Hirohisa , Li Pengjiu
Published: March 2021

The equipment reliability plays a critical role in business success because degradation in equipment condition negatively impacts plants’ output. When Toyota Motor Corporation operates overseas plants, equipment reliability management is one of the most important hurdles for global production which has to be overcome. It is important to develop an equipment reliability management program to minimize support from Japan to let overseas plants become self-reliant.This article explains how the Advanced TPS can be applied specifically to the equipment reliability process with equipment owner Total Production Maintenance (TPM). This business process focuses on managing equipment reliability to meet the business goals of Toyota Manufacturing USA.
ПЛАЗМОХИМИЧЕСКИЙ РЕАКТОР ГИБРИДНОГО ТИПА ДЛЯ ПЕРЕРАБОТКИ ЦЕЛЛЮЛОЗОСОДЕРЖАЩЕГО ОРГАНИЧЕСКОГО СЫРЬЯ
Authors: ЧЖО ХТЕТ ВЭЙ ЯН , Васильева Т.М. , Васильев М.Н. , Чухчин Д.Г.
Published: March 2021

Представлена конструкция генераторов электронно-пучковой и гибридной плазмы и результаты их технологических испытаний для переработки целлюлозы и целлюлозосодержащих материалов. Показано увеличение коэффициента полезного использования плазмохимически обработанного целлюлозосодержащего сырья и повышение экологической безопасности его последующей переработки.
ГИДРОФОБИЗАЦИЯ ТРЕКОВОЙ МЕМБРАНЫ ИЗ ПОЛИЭТИЛЕНТЕРЕФТАЛАТА МЕТОДОМ МАГНЕТРОННОГО ОСАЖДЕНИЯ ПОЛИМЕРОВ НА ЕЕ ПОВЕРХНОСТИ
Authors: Кравец Л.И. , Алтынов В.А. , Гайнутдинов Р.В. , Satulu V. , Mitu B. , Dinescu G.
Published: March 2021

Проведено исследование морфологии и химической структуры нано-размерных покрытий, осажденных на поверхности полиэтилентерефта-латной трековой мембраны с помощью метода магнетронного распыления сверхвысокомолекулярного полиэтилена и политетрафторэтилена в вакууме. Показано, что нанесение данных покрытий приводит к ги-дрофобизации поверхности исходной мембраны. Используемый метод модифицирования ведет, кроме того, к сглаживанию структурных неоднородностей поверхностного слоя мембраны и изменению формы ее пор.
La fundación-corporación en la civilización romana
Authors: Suarez Blazquez Guillermo
Published: March 2021

Existe una profunda interrelación entre la creación romana de las personas jurídicas y el desarrollo económico y financiero del mundo moderno, a través de las compañías navieras y financieras, corporaciones industriales, bancarias y los entes administrativos. Esta interrelación también es perceptible en las entidades jurídicas filantrópicas personificadas como fundaciones. En esta dirección, nuestro estudio se dirige a analizar el proceso histórico jurídico que permitió el nacimiento de las fundaciones y su posterior desenvolvimiento como organizaciones o entes corporativos autónomos, dotados de facultades propias de la personalidad jurídica, vinculados al cumplimiento de una voluntad unilateral colectiva y perpetua, sin ánimo de lucro
Revisitando la distinción entre reglas y principios: una propuesta
Authors: Sotomayor Trelles José Enrique
Published: March 2021

El presente artículo propone un repaso a través de algunas de las propuestas conceptuales ofrecidas en la teoría y filosofía del Derecho para diferenciar principios y reglas. En concreto, se analizan las propuestas de Ronald Dworkin, Robert Alexy y Manuel Atienza y Juan Ruiz Manero. Finalmente, a partir del análisis los modelos atrincherado y conversacional sobre las reglas, propuestos por Frederick Schauer, se ofrece una distinción de tipo débil entre principios y reglas, mediante la cual los principios son enunciados tendencialmente conversacionales, mientras que las reglas enunciados tendencialmente atrincherados.
La indemnización por homicidio en el derecho argentino. Antecedentes y regulación actual: subsistencia, alimentos y valor económico de la vida humana
Authors: Echevesti Rosario María
Published: March 2021

Se abordará aquí el contenido y alcance de la indemnización por homicidio en el sistema legal argentino. En el punto, la legislación de este país contempló durante aproximadamente siglo y medio - y quizá como el aspecto más destacado de la reparación-, la obligación por parte del responsable de afrontar lo “necesario para la subsistencia” de ciertos legitimados activos. La nueva ley civil (Código Civil y Comercial) en vigencia desde 2015, reemplazó aquella formula por la de hacer frente a los “alimentos” de determinados legitimados. La cuestión radica en dilucidar, si el sistema legal vigente, con el empleo del término “alimentos” alude al mismo concepto que encerraba el vocablo “subsistencia” o no.
Función tiroidea en escolares con obesidad
Authors: Angulo Nerkis , Barbella de Szarvas Sobeida , González Dora , Hernández Ana , Escobar Anairis
Published: March 2021

La obesidad se acompaña con frecuencia de trastornos metabólicos, como la resistencia a la insulina, dislipidemias, hipertensión arterial, diabetes mellitus tipo 2 y modificaciones en los niveles plasmáticos de determinadas hormonas. Entre las alteraciones hormonales, la disfunción tiroidea es la más común. El hipotiroidismo puede favorecer la obesidad, pero múltiples teorías apuntan a que es la obesidad, la que genera disfunción tiroidea. El objetivo de la investigación, fue determinar los niveles de hormonas tiroideas en escolares con obesidad y analizar su relación con las variables antropométricas, niveles séricos de insulina y el índice HOMA1-IR. Este fue un estudio observacional, analítico y prospectivo, con un diseño transversal de serie de casos, realizado en 90 niños entre 7 y 12 años de edad, en el servicio de Gastroenterología y Nutrición Pediátrica de la Ciudad Hospitalaria “Dr. Enrique Tejera”, de Valencia, Venezuela. Se analizaron los valores de TSH, T3 y T4 libre, y se correlacionaron con sexo, condición socioeconómica, maduración sexual, índice de masa corporal, área grasa del brazo, circunferencia de cintura, insulina basal e índice HOMA1-IR. El 25,44% resultó hipotiroideo y el resto eutiroideo. En los escolares con obesidad y T4 libre baja hubo una correlación significativa (p<0,05) con hiperinsulinismo y presentaron promedios significativamente mayores (p<0,05) de HOMA1-IR. En conclusión, se encontró una frecuencia elevada de hipotiroidismo en escolares con obesidad.
Letter from the Senior Managing Editor
Authors: Marbas Laurie
Published: March 2021

No abstract.
The Use of Plant-Based Diets for Obesity Treatment
Authors: Barnard Neal D. , Kahleova Hana , Levin Susan M.
Published: March 2021

In observational studies, individuals following vegetarian, particularly vegan, diets have healthier body weights, on average, compared with those following omnivorous diets. In clinical trials, vegetarian and vegan diets lead to significant weight loss, even in the absence of physical exercise or limits on energy intake. The mechanisms by which plant-based diets cause weight loss appear to be (1) reduced dietary energy density, as a result of their high fiber and low fat content, and (2) increased postprandial energy expenditure. The degree of weight loss associated with plant-based diets in clinical trials is as great as that with other popular diet patterns, and favorable changes in overall nutrition, plasma lipid concentrations, and blood pressure are also observed. Acceptability with, and adherence to vegan diets has been studied in varied populations in clinical trials and is similar to that of other therapeutic diets.
Elimination of Angina, Comprehensive Cardio-Metabolic Risk Reduction, and 50-Pound Weight Loss in a US Navy Veteran with Myasthenia Gravis
Authors: Yiaslas Themis A , Taylor June , Embree Janelle , Schaefer Saul
Published: March 2021

SUMMARY:

The following case report documents the personal story of a 65 year-old male veteran of the US Navy who participated in an interdisciplinary lifestyle intervention called the Heart Disease Reversal Program at his local Department of Veterans Affairs (VA) Medical Center.  After having two heart attacks within 62 days and feeling demoralized, he adopted a whole-food, plant-based (WFPB) diet, as defined by Dr. Caldwell Esselstyn.  His story suggests that patients with multimorbidity, including autoimmune diseases that limit physical activity, may find the WFPB diet to be a feasible and effective treatment for severe angina and comprehensive cardio-metabolic risk reduction.
Is Oil Healthy?
Authors: Esselstyn, Jr. Caldwell B.
Published: March 2021

A review of multiple animal and human studies reflecting the deleterious effects of ingesting processed oil.
Letter from Co-Founder
Authors: Purjes Dan
Published: March 2021

No abstract.
Conversation with a Legend: Pills Are Not for Avoiding Lifestyle Change: Which Arm Do You Want to Cut Off?
Authors: Stone Neil J , Williams Kim
Published: March 2021

Interview on the postive aspect of changing one's lifestyle.
Creation of an Inpatient Plant-Based Program
Authors: Ostfeld Robert J , Pappo Miriam , Graf Lauren , Allen Kathleen E , Rivera Anibal , Deenihan-Gruber Nancy , Trivlis Chris
Published: March 2021

Plant-based diets have garnered much attention for their capacity to halt and even reverse chronic diseases. However, to our knowledge, no comprehensive hospital inpatient plant-based program existed prior to the implementation of the one at Montefiore Health System. Herein, we describe our 6-step plan used to devise and implement this program. The goal of this paperPlant-based diets have garnered much attention for their capacity to halt and even reverse chronic diseases. However, to our knowledge, no comprehensive hospital inpatient plant-based program existed prior the implementation of the one at Montefiore Health System. Herein we describe our six-step plan used to devise and implement this program. The goal of this paper is to serve as a resource for other systems interested in starting such a program.
Know Thy Patient: Enhancing Lifestyle Interventions with Psychological Assessment
Authors: Kitazono Rachel
Published: March 2021

Disease reversal and prevention interventions aim to promote substantial lifestyle changes in patients that are maintained for the long-term. The science of behavior change has identified many factors associated with initiating and maintaining lifestyle changes, many of which are psychosocial in nature. Disease reversal interventions can be significantly enhanced through the incorporation of a comprehensive psychological evaluation. The value of psychological assessment has been firmly established for the purposes of evaluating candidates for bariatric surgery and organ transplant, which necessitate strict and long-term lifestyle modification to maximize surgical outcomes. One of the first Heart Disease Reversal Programs housed within a Cardiology department, started at UC Davis in the early 1990s, included a psychologist and a psychological evaluation that led to a tailored plan for their patients.  Psychologists also receive training in both applied research and program development/evaluation, making them well-suited to organize, coordinate, and direct disease reversal and prevention programs. Psychological assessment provides a way to gain a more complete picture of our patients, enabling us to better tailor treatment interventions that work.
Barriers to the Plant-Based Movement: A Physician's Perspective
Authors: Storz Maximilian
Published: March 2021

n/a
The Potential Risks and Benefits of High Intensity Exercise: A Brief Review
Authors: Swearingen Sean , Williams Sr Kim Allan
Published: March 2021

Despite extensive research demonstrating the clinical benefits of exercise, the possibility of adverse effects from high intensity exercise causes patients to shy away from achieving the full cardiac benefits of physical activity. Although it is possible for high intensity exercise to lead to cardiac complications, for the average American the benefits far outweigh the risks. By understanding the possible pathology that can develop with high intensity exercise, and evaluating who is truly at risk for harmful events related to intense exercise, most individuals can return to their physical activity of choice with the knowledge that they are improving their health and are at minimal risk of self-harm.
Mediating effect of satisfaction in the relationship between customer experience and intention to reuse digital banks in Korea
Authors: Shin Jae Woo
Published: March 2021

Digital banks based on new transaction systems, such as those developed in financial technology contexts, have begun to challenge and compete with traditional banks. Against this backdrop, in this study I examined how customer experience of digital banking, including usefulness, convenience,
employee–customer engagement, and security, affected their satisfaction and reuse intention, and how customer satisfaction mediated the relationship between customer experience and reuse intention. To do this I conducted a survey with 247 Korean digital bank users. Structural equation
modeling was used to test the relationships between the variables and further compare full and partial mediation models. The empirical results reveal that the four customer experience variables positively influenced reuse intention through satisfaction. These findings add to understanding
of the mechanisms of customer reuse of digital banks, and provide practitioners with meaningful implications for developing strategies to improve customer and bank management.
Learning contextual factors, student engagement, and problem-solving skills: A Chinese perspective
Authors: Zhao Yuan , Lin Sheng , Liu Jinlan , Zhang Jingyi , Yu Qian
Published: March 2021

Although problem-solving skills are considered as key higher order cognitive skills, in the Chinese learning context there are gaps in the literature regarding more comprehensive examinations of which factors are likely to promote university students' creative problem-solving skills.
We explored the relationships of the learning contextual factors of higher order learning and effective teaching practices with student rule-oriented, procedural, and intellectual engagement, and the students' problem-solving skills. Participants were 21,584 junior undergraduate students at
10 Chinese universities. Findings indicate that (a) effective teaching practices were the most important determinants in formulating students' problem-solving skills, (b) higher order learning was the strongest predictor of student engagement, and (c) student engagement components mediated
the relationship between learning contextual factors and the development of problem-solving skills. The results of an importance–performance map analysis revealed that teachers' constructive feedback to students was a specific weakness in current Chinese teaching practices. Therefore,
teachers need to provide students with more timely and facilitative feedback on their academic performance.
Features of Internal Autonomy of the Aland Islands Within Finland
Authors: Pogodin S. N. , Lyubina D. E.
Published: March 2021

The autonomy of the Aland Islands within Finland implies a system of self-government in a certain area within the borders of a sovereign state. The Aland Islands have an ethnic and cultural identity and receive powers for internal administration as part of the state. The autonomy of the Islands gives them the ability to solve internal problems, while the state remains responsible for foreign policy, security, etc. All this is made possible by the Aland autonomy Act, which came into force in 1993 and was confirmed by the Finnish Constitution. The act regulates almost all issues of self-government of the Islands. At the same time, the Aland Islands can be classified as a federacy, which indicates a special Federal relationship within a unitary state. Domestic cooperation between the Finnish government and the Aland Islands is based on a formal bilateral non-hierarchical partnership.
IKLIM KOMUNIKASI ORGANISASI DALAM BUDAYA ORGANISASI PELAYANAN PUBLIK PADA DINAS PENANAMAN MODAL DAN PELAYANAN TERPADU SATU PINTU KABUPATEN PRINGSEWU PROVINSI LAMPUNG
Authors: Sonne Rennia
Published: March 2021

Iklim komunikasi organisasi yang baik memerlukan sebuah kajian mendalam dari masing-masing individu organisasi.Didalam organisasi iklim komunikasi memainkan peranan dalam mendorong anggota organisasinya untuk mencurahkan usaha para pegawai terhadap pekerjaannya dalam organisasi yang dimana dengan adanya perubahan sistem kerja organisasi juga dapat memberikan pengaruh yang positif terhadap iklim komunikasi organisasi. Iklim Komunikasi organisasi tersebut merupakan bagian dari budaya organisasi yang meliputi nilai-nilai, tradisi, norma, yang terikat oleh kepercayaan, keintiman dan tanggung jawab. Penelitian ini bertujuan untuk memahami dan mengungkapkan iklim komunikasi organisasi dalam budaya organisasi pelayanan publik pemerintah. Penelitian ini menggunakan metode deskriptif kualitatif. Subjek penelitian adalahpara pegawai di lingkungan Dinas Penanaman Modal dan Pelayanan Terpadu satu Pintu Kabupaten Pringsewu. Teknik pengumpulan data melalui observasi, wawancara terstruktur dan dokumentasi. Analisis data dilakukan dengan memilih data yang relevan, memaparkannya dan mengambil kesimpulan. Kesimpulan dari penelitian ini adalah budaya organisasi yang ada berkaitan erat dengan iklim komunikasi organisasi dan sikap pimpinan dalam mengatur pekerjaan, rekan sejawat, yang meningkatkan kualitas pelayanan.
PROSES GATEKEEPING RADAR SULTENG DALAM MENYAJIKAN PEMBERITAAN PEMERINTAH DAERAH KABUPATEN DONGGALA
Authors: Wulandari Tria Enom
Published: March 2021

Penelitian ini dilatarbelakangi oleh ketertarikan penulis terhadap proses dan peran serta fungsi gatekeeper di dalam redaksi Radar Sulteng dalam menyeleksi berita. Mekanisme kerja media yang memiliki fungsi kontrol sosial menarik diteliti terutama saat adanya kontrak MoU (Memorandum of Understanding) antara Pemerintah Daerah Donggala dengan Radar Sulteng. Tipe penelitian menggunakan metode deskriptif kualitatif. Peneliti melakukan observasi, wawancara dan dokumentasi. Penentuan informan berdasarkan pihak yang terlibat secara langsung dalam proses gatekeeping yaitu pemimpin redaksi, redaktur, dan reporter. Hasil penelitian menunjukkan proses gatekeeping di Radar Sulteng melalui beberapa tahap yaitu: 1) pra produksi, redaksi melaksanakan briefing setiap pagi guna membahas tema dan isu terhangat sesuai kebutuhan masyarakat dan kepentingan pemda Donggala. reporter sebagai gatekeeper karena memilih sudut pandang pemberitaan. 2) proses produksi, redaktur sebagai gatekeeper menyeleksi berita berdasarkan news value yang terkandung dan penyempurnaan ejaan kata, judul, dan menyunting gambar sehingga menjadi proposional. Berita yang tidak layak muat adalah yang tidak memiliki news value dan sumber yang tidak akurat kemudian dijadikan arsip. 3) pasca produksi, pemred sebagai gatekeeper memutuskan berita yang layak atau tidak layak terbit. Sebelum dicetak, pemred mengoreksi secara keseluruhan, keputusan layak muat suatu berita dipengaruhi oleh faktor ekonomi, pembatasan ilegal, deadline, profesionalisme, kompetisi, nilai berita, dan reaksi feedback.
ANALISIS KUALITAS PELAYANAN KENAIKAN PANGKAT GURU SEKOLAH DASAR DI KOTA PALU
Authors: Hasbullah  , Idris Burhanuddin
Published: March 2021

Penelitian ini bertujuan untuk mengetahui Kualitas Pelayanan Kenaikan Pangkat Guru Sekolah Dasar di Kota Palu, khususnya Pada Kantor Unit Pelaksana Teknis Daerah Kecamatan Mantikulore . Jenis penelitian adalah kualitatif, Teori yang digunakan adalah Parasuraman dan Berry, yaitu tangibles, reliability, responsiveness, assurance dan empathy. iforman penelitian ini adalah Keppala UPTD dan Staf serta Guru Sekolah Dasar.. Tahnik pengumpulan data dilakukan melaalui observasi, wawancaraa dan dokumentasi. Teknik analisis data meliputi data collection, data condezation, data display dan conclusions drawing. Hasil penelitian menujukkan bahwa Kualitas Pelayanan UPTD dalam proses kenaikan pangkat PNS guru menunjukkan bahwa tiga dimensi kualitas pelayanan yang mendapat kategori baik, yaitu Reliability, Responsivenss dan Assurance disebabkan oleh pelayanan yang diberikan UPTD Pendidikan Kecamatan Mantikulore telah memenuhi syarat atau telah sesuai dengan standar pelayanan yang memiliki arti bahwa meskipun terjadi beberapa masalah dalam proses pemberian pelayanan tersebut, sedikitpun tidak memberikan arti yang besar dalam kualitas pelayanan yang diberikan. Namun, lain halnya dengan dua dimensi kualitas pelayanan yang mendapatkan kategori kurang baik yaitu Tangibles dan Empathy disebabkan oleh tingkat kualitas pelayanan yang kurang memuaskan atau dianggap kurang layak
PERAN HUMAS PEMERINTAH KOTA PALU DALAM MENANGANI ISU NEGATIF MENGENAI PENANGANAN PASCA BENCANA DI KOTA PALU TAHUN 2018
Authors: Salanggon Muh. Lucky , Kaddi Sitti Murni
Published: March 2021

Tujuan penelitian ini untuk mengetahui peran Humas pemerintah Kota Palu dalam menangani isu negatif mengenai penanganan pasca bencana di Kota Palu tahun 2018. Metode yang digunakan pada penelitian ini yaitu deskriptif kualitatif. Teknik pengumpulan data yang digunakan adalah wawancara, observasi, dan dokumentasi. Informan dalam penelitian ini berjumlah sepuluh (10) orang. Semua telah dipilih secara purposive sampling. Adapun teknik analisis data pada penelitian ini adalah reduksi data, penyajian data, dan penarikan kesimpulan.Berdasarkan hasil analisa data yang dilakukan, diperoleh hasil penelitian yang menunjukkan bahwa dalam peran Humas pemerintah Kota Palu dalam menangani isu negatif mengenai penanganan pasca bencana di Kota Palu yaitu dua peran telah dilakukan Humas pemerintah Kota Palu yakni Humas sebagai fasilitator komunikasi dan Humas sebagai teknisi komunikasi. Sebagai fasilitator komunikasi yakni dengan membuka komunikasi seluasluasnya kepada khalayak dan khususnya ke masyarakat yang terdampak bencana agar diketahui peran-peran pemerintah dalam hal ini Humas pemerintah Kota Palu dan teknisi komunikasi merupakan peran paling umum di lakukan dilapangan pasca bencana, menyiapkan segala informasi dan data-data yang akurat dan terpercaya sesuai perkembangan waktu. Agar dapat diakses oleh semua lapisan masyarakat. Selanjutnya, dua peran yang tidak di lakukan yaitu peran Humas sebagai penasehat ahli dan fasilitator proses pemecahan masalah. Peran sebagai penasehat ahli belum pernah dilakukan karena keterbatasan tugas dan fungsi Humas pemerintah itu sendiri. Penasihat ahli juga peran yang jarang atau tidak dilakukan dalam Humas pemerintahan dan terakhir peran sebagai fasilitator proses pemecahan masalah merupakan peran yang tidak dilakukan Humas pemerintah Kota Palu selain penasehat ahli hal ini dikarenakan penanganan pasca bencana pada keseluruhannya merupakan kewenangan dari pemerintah pusat dan daerah kabupaten/kota sebagai fasilitatornya.
Age and prior working experience effect on entrepreneurial intention
Authors: Sahinidis Alexandros G. , Xanthopoulou Panagiota I. , Tsaknis Panagiotis A. , Vassiliou Evangelos E.
Published: March 2021

The purpose of this paper is to identify the factors that determine entrepreneurial intention and examine the effects of age and prior working experience on the formation of entrepreneurial intention. A questionnaire-based survey was employed for the data collection. A total of 171 university students from a Business School in Greece participated in the survey. The findings of our research showed that perceived behavioral control and attitude are significantly influencing entrepreneurial intention. Additionally, our analysis indicates that age and prior working experience affect entrepreneurial intention. The contribution of this study concerns the illumination of the scarcely addressed in the literature relationship between age and work experience with entrepreneurial intention
Have we been doing it all wrong? The role of “super-especialists” doctors in COVID-19 pandemic and Medicine 4.0 era.
Authors: GUERREIRO GUSTAVO , Manuel Valdano , Cardoso Lucas Figueredo
Published: March 2021

During the COVID-19 pandemic, many specialists doctors found themselves
in a situation that they had not faced for a long time: treating
patients out of their subarea of expertise. The possibilities of
teaching and learning through the modalities of webinars brought to
these days the urgent necessity for teamwork and interdisciplinary
approach, taking advantage of different areas of expertise to the same
patient. With the amount of papers published and the speed at which data
are accessed, and analyzed it is impossible to be aware of new findings
in all medical areas. The lesson that the COVID-19 pandemic brought to
us was the urgent need for the interdisciplinary approach to treating
better our patients, and not only each disease they present with. We
must review our traditional approach to medical students, residents,
colleagues, and patients in which we became stuck to distance and time
obstacles. We must use the technology on our behalf to offer the best
treatment and follow-up for patients. We live now in the Medicine 4.0
era. As Darwin a long time ago proved: we must evolve!
Systematic review and meta-analysis for the value of thyroid disorder screening in men with ejaculatory dysfunction
Authors: Cihan Ahmet , Esen Ahmet Adil
Published: March 2021

Abstract Objective: To demonstrate evidence from available clinical
studies to clarify the scientific points that have been achieved in
relation to thyroid disorders and ejaculatory dysfunction. Data sources:
Clinical trial articles published in English on Medline. Eligibility
criteria: Clinical studies that investigated the association of thyroid
disorders with the ejaculatory function of subjects and the trials
evaluating the effect of thyroid dysfunction treatment on the
ejaculatory function of the subjects were eligible. Synthesis methods:
We searched Medline with “ejaculation” and different combinations of
“thyroid,” “serum TSH,” “serum T3,” “serum T4” keywords in
PubMed. Results: Standardized mean serum thyroid-stimulating hormone
(TSH) levels in premature ejaculation (PE) sufferers differed from
non-PE control subjects (p=.05). Hyperthyroidism was associated with
increased odds among PE subjects (OR=2.0, p=.03). Delayed ejaculation
was seen with increased odds in hypothyroid patients compared with
hyperthyroidism patients (OR=57, p=.0001). Serum TSH and mean
intra-vaginal ejaculation latency time (IELT) of the subjects showed a
correlation both before and after treatment for thyroid disorder.
Treatment of thyroid disorders improved the mean IELT measures of the
subjects. The overall estimate of the effect of hyperthyroidism
treatment on mean IELT was .64 (p=.0001) in the random-effects model.
Limitations: The low quality and quantity of evidence from available
studies limited the interpretation of our study findings. Conclusions:
The causal relationship between ejaculatory dysfunction and thyroid
disorders remains to be clarified. Sufferers of delayed ejaculation
acquired PE subjects, and PE sufferers who have accompanying erectile
dysfunction and/or anxiety may benefit from thyroid disorder
investigation.
DEVELOPMENT AND ANAYSIS OF A CYSTIC FIBROSIS SPECIFIC ANTIBIOGRAM
Authors: Elson E. , Meier Ellen , Swanson Doug , Selvarangan Rangaraj , Gripka Megan , Oermann Christopher M.
Published: March 2021

BACKGROUND: Antibiotic therapy is essential for the treatment of cystic
fibrosis (CF) lung infections. CF-specific airway pathophysiology and
frequent antimicrobial exposure increase the risk of resistant
infections, creating challenges to antibiotic selection. Antibiotic
selection is generally based on previous cultures or hospital-wide
antibiograms (HWA); however, most HWA exclude CF isolates. We developed
a multi-year CF antibiogram (CFA) to compare with HWA and inform
antibiotic selection. METHODS: CF culture data were collected 2015 -
2019 at a single pediatric CF center. All sputum and oropharyngeal swab
isolates are included in the CFA. Demographics, microorganism isolates,
and susceptibility information are presented. Susceptibilities were
reported for methicillin-susceptible Staphylococcus aureus (MSSA),
methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas
aeruginosa (PA), Achromobacter species, Burkholderia species and
Stenotrophomonas maltophilia. RESULTS: Over five years, the proportion
of all SA isolates having methicillin-resistance was higher in the HWA
(32%) than the CFA (28%). The most common gram-negative CF isolate was
PA. Both gram-positive and gram-negative microorganisms were less
susceptible in the CFA versus the HWA. CF isolates from sputum were less
susceptible than oropharyngeal. MSSA and MRSA had significantly lower
clindamycin susceptibility in the CFA compared to the HWA (MSSA 71% vs
79%, p<0.0001 and MRSA 39% vs 83%, p<0.0001). For
every antimicrobial tested, PA isolates were less susceptible in the CFA
compared to the HWA. There did not appear to be significant changes in
susceptibility of CF isolates over time. CONCLUSIONS: These findings
have clinical implications for empiric antimicrobial selection. A CFA
will allow monitoring of resistance over time.
Processing, characterisation and oxidation resistance of βNiAl bond coat: Al and Zr effects
Authors: Chandio A.D. , Shaikh A.A. , Salman W. , Ahmed H.
Published: March 2021

Platinum-modified-?NiAl is a bond coat (BC) material for thermal barrier coatings (TBCs) applications applied on aeroengine hardware to reduce their surface temperatures. However, it is desirable to minimize its production and material costs by the low-cost alternatives of similar performance. It has been acknowledged that the small concentration of the reactive elements (REs), such as Zr, Hf, and Y, could tremendously enhance the oxide adhesion even in some cases better than Pt modified counterparts. The aim of this study was to design and fabricate the Zr-modified-?NiAl bond coat on CMSX-4 superalloy using an aluminizing method. Moreover, the study focused on the development of a systematic understanding of underlying mechanisms behind the beneficial effects of REs. Initially, three sets of BCs were prepared: Zr-free ?NiAl (undoped), Al and Zr co-deposited in a single-step process (1SP), and Zr and Al, which were individually deposited in two processing steps (2SP): zirconizing and aluminizing. Such three sets of BCs helped to understand the processing, as well as Zr and Al effects on scale adhesion. In particular, 1SP/2SP BCs showed uniformity of Zr in the form of precipitates and networks that caused hardness enhancement. All BCs were isothermally oxidized at 1150?C for 100 hours wherein 2SP revealed the best spallation resistance, microstructural stability, and its Zr-oxide pegs were extended to substrates. In addition to the Zr effect, BC Al content was found to affect the oxide adhesion equally. Under identical Zr contents (of 1SP and 2SP = 1at %), the higher Al showed the better spallation resistance while lower Al caused the inverse effect of Zr owing to its reactive nature that was termed as over doping. Moreover, it was established that over-doping either local or into entire BC, accelerated the Al depletion that destabilized the ?NiAl into ??-Ni3Al phase. An extensive discussion is presented in the light of the observed results.
The analysis of wheat prices using multiple structural breakpoint co-integration test
Authors: Cinar Gokhan , Hushmat Adnan
Published: March 2021

From 2005 to 2008, high volatility in the markets affected grain prices significantly. This high volatility in grain prices made many researchers curious, and many discussions aroused from this topic. This study analyzes wheat price behavior during this period of high volatility. We estimate a return index for wheat using spot and futures wheat prices with the help of a present value model. To analyze the cointegration between the wheat prices and return index, a new cointegration test with multiple structural breaks, developed by Daiki Maki (2012), is used. The long-run cointegration coefficients are estimated using the Dynamic Ordinary Least Squares methodology. The empirical results show that there is cointegration between the spot and futures wheat prices, which tends to change at breakpoints. In other words, there is an equilibrium relation between spot prices and futures prices; however, it becomes unstable during the crisis in 2008. The results may help in understanding the dynamics of wheat prices, especially during high-volatility periods.
Clinical and radiological evaluation of fracture union in pathologic fractures after closed intramedullary nailing and adjuvant radiotherapy: A retrospective study
Authors: Okay Erhan , Ozkan Korhan , Karadag Zilan , Celik Aykut , Batibay Giray , Yildiz Yavuz , Reddy Krishna , Spinelli Maria
Published: March 2021

Introduction/Objective. Pathologic fractures are devastating complications in metastatic bone disease. Treatment of these condition varies, and includes systemic therapies and surgical interventions. Lack of evidence still exists for standardized care. The aim of this study is to analyze radiological healing response and clinical outcomes after intramedullary nailing (IMN) and adjuvant radiotherapy in complete pathologic fractures of femur or humerus Methods. A total of 19 patients who presented with pathological fracture were retrospectively reviewed. Data regarding demographic characteristics, clinical outcomes and radiologic images were obtained from hospital records. All patients in this cohort were treated with closed, unreamed IMN and adjuvant radiation treatment. Results. Pain relief and full range of motion was obtained in all patients. The mean postoperative Musculoskeletal Tumor Society scores at last follow-up were 69% (range 50?85). All patients demonstrated complete radiographic healing between 2 and 6 months. Only one patient required reoperation for refracture at the tip of the nail which was revised with a longer nail. Conclusion. Our study demonstrated that pathologic fractures managed with closed unreamed IMN and adjuvant multifractional 20 Gy dose radiotherapy yielded good clinical outcomes with complete radiologic response regardless of patient?s life expectancy, adjuvant treatments and overall condition. Closed unreamed IMN was also associated with decreased surgical time in these high-risk patients.
A fractal variational theory of the Broer-Kaup system in shallow water waves
Authors: Ling Wei-Wei , Wu Pin-Xia
Published: March 2021

The Broer-Kaup equation is one of many equations describing some phenomena of shallow water wave. There are many errors in scientific research because of the existence of the non-smooth boundaries. In this paper, we generalize the Broer-Kaup equation to the fractal space and establish fractal variational formulations through the semi-inverse method. The acquired fractal variational formulation reveals conservation laws in an energy form in the fractal space and suggests possible solution structures of the morphology of the solitary waves
Technology and practice of the roof-caving of hydraulic fracturing in a fully mechanized caving face
Authors: Deng Qigen , Zhao Fajun , Li Hong , Yin Jingping , Zhang Tao , Wei Junjie
Published: March 2021

A fracture expansion criterion of hydraulic fracturing was suggested to deal with the hard and stable roof control in coal mines. An experiment was designed for the roof control, and the reliability of model was verified. Four different types of fracturing holes and fracturing technology were designed in the setup room, and the hydraulic fracturing in the roof of a fully mechanized caving face was implemented.
Analysis of the multiphase lubricating oil effect on the performance of the tilting-pad journal bearing
Authors: Zhu Yuchuan , Jiang Zhengyi , Yan Ling , Li Yan , Ai Fangfang , Li Shangshu
Published: March 2021

The multiphase fluid dynamics is used to model the oil film in the
tilting-pad journal bearing. Particles are added to the lubricating oil and
the change of loading capacity of oil film is studied numerically. The
performance of the bearing under high-speed and heavy load are elucidated.
The results show that the bearing capacity depends upon concentration,
diameter and density of particles.
Abundant exact analytical solutions and novel interaction phenomena of the generalized (3+1)-dimensional shallow water equation
Authors: Wang Xiaomin , Bilige Sudao , Feng Yueyang
Published: March 2021

This paper reveals abundant exact analytical solutions to the generalized (3+1)-D shallow water equation. The generalized bilinear method is used in the solution process and the obtained solutions include the high-order lump-type solutions, the three-wave solutions, the breather solutions. The interaction between the high-order lump-type solutions and the soliton solutions is also elucidated. These solutions have greatly enriched the generalized (3+1)-D shallow water equation in open literature.
Statistical inference on the accelerated competing failure model from the inverse weibull distribution under progressively type-II censored data
Authors: Wang Ying , Yan Zai-Zai
Published: March 2021

In this paper, the parameter estimation is discussed by using the maximum likelihood method when the available data have the form of progressively censored sample from a constant-stress accelerated competing failure model. Normal approximation and bootstrap confidence intervals for the unknown parameters are obtained and compared numerically. The simulation results show that bootstrap confidence intervals perform better than normal approximation. A thermal stress example is discussed.