bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical Outcome of Invasive Pituitary Prolactinomas Treated with Cabergoline
Authors: Arkawazi Bassam M Flamerz
Published: December 2020

Background: Treatment of invasive prolactinoma, which has several characteristics including invasive growth into cavernous sinuses and formation of giant adenomas compressing adjacent neural structures, resulting in neurological dysfunction, has been very challenging. There are relatively few reports available describing long-term treatment outcome.

Aims of the study: In this study we evaluate the results of cabergoline administration as initial treatment during 4 years follow up period.

Methods: We prospectively categorized 36 patients into four groups according to the results of 3 months of cabergoline treatment: group 1, tumor volume reduction (TVR) ˃25% with normalized serum prolactin (NP) (n = 24); group 2, TVR˃25% without NP (n = 4); group 3, TVR ˂25% with NP (n = 5); and group 4, TVR ˂25% without NP (n = 3).

Results: During follow-up, 22 patients (91.7%) in group 1 achieved TVR˃50% with NP. Three patients (75%) in group 2 achieved TVR˃50% with NP after treatment for 8 months. In group 3, four patients (80.0%) continued medication because of improvement of symptoms and achieved additional TVR(18.8–46.4%). Surgery was performed on five patients (one in group 2, one in group 3, and three in group 4), and complete resection was achieved in four (80.0%). Overall, 25 (69.4%) of the 36 patients treated with cabergoline had complete response and 6 (16.7%) had partial response but did not require surgery. Thus, the overall response rate was 86%,with only five patients (14%) requiring surgical debulking. NP was not achieved by surgery alone in all cases, even after total resection of tumor.

Conclusion: Patients who achieve TVR˃25%with NP with 3 months of cabergoline administration had a high possibility of showing good long term response (TVR˃50% with NP) to cabergoline. A higher dose of dopamine agonist (DA)  should be considered for patients who achieve TVR˃25% without NP.
Association of Echocardiographic Epicardial Fat Thickness and Carotid Intima Media Thickness with the Severity of Coronary Artery Disease
Authors: Hussein Muataz F , Hussein Hafidh J
Published: December 2020

Background: Coronary artery disease remains the main cause of death despite several preventive programs. Epicardial adipose tissue is a visceral fat depot of the heart located along the large coronary arteries and on the surface of ventricles and apex. Intima media thickness is commonly recognized as the initial stage in the development of atherosclerosis. The development of ultrasound machines, advances in echocardiographic devices and high resolution transducers facilitate comprehensive analysis of epicardial fat thickness (EFT) and carotid –intima media thickness (C-IMT).Aim: To investigate the relationship of echocardiographic epicardial fat thickness (EFT) and carotid –intima media thickness (C-IMT) with the severity of coronary artery disease.Methods: A cross sectional multicenter diagnostic accuracy study carried out at Ibn Al-Nafis Cardiovascular Hospital, Ibn Al- Bitar Cardiology Center and Ghazi Al-Hariri Hospital –Iraqi Center for Cardiology during the period between October 2016 and May 2017 assessing. History regarding demographic data and risk factors was taken. Two dimensional transthoracic echocardiographic measurements were done. EFT was measured from parasternal long axis view perpendicular to the right ventricular free wall. C-IMT was measured according to that recommended by the American society of echocardiography (ASE).Results: The current study demonstrated that the EFT has a direct and significant correlation with the number of involved vessels (P value ˂ 0.001, r= 0.770). The validity of EFT to discriminate between multiple vessels disease and no vessel involvement is excellent (AUC= 0.984, cut point > 8mm, sensitivity=92.9%, specificity= 93.3%). There is inverse and significant correlation between ejection fraction (EF) and three vessels disease (P value ˂ 0.001, r= -0.507). Also there is a direct and significant correlation between C-IMT and severity of CAD. ROC analysis for validity of C-IMT to discriminate between multiple vessels disease and no vessel involvement is excellent (AUC= 0.961, cut point > 1.04mm, sensitivity=92.9%. specificity=86.7%). C-IMT is fair to discriminate between single vessel disease and no vessel involvement (AUC=0.738, cut point ˃ 0.84mm, sensitivity 100%), so if correlated with age, C-IMT above 0.84 can be used as a cut off point for the prediction of CAD. Finally, EFT and C-IMT are more likely to reflect severity of CAD than their ratio.Conclusions: C-IMT and EFT are simple and reproducible parameters that can be used as a screening tool for the presence and severity of CAD especially before symptoms appearance in high risk patients
A review study of targeting of AAK1 and JAK1/2 using baricitinib in COVID-19 infected human cells
Authors: Al-Humaidhi Abeer M
Published: December 2020

The outbreak of a current public health coronavirus 2019 disease is a causative agent of a serious acute respiratory syndrome and even death. COVID-19 has exposed to multi-suggested pharmaceutical agents to control this global disease. Baricitinib, a well-known antirheumatic agent, was one of them. This article reviews the likely pros and cons of baricitinib in attenuation of COVID-19 based on the mechanism of drug action as well as its pharmacokinetics. The inhibitory effect of baricitinib on receptor mediated endocytosis promoter, AKK1, and on JAK-STAT signaling pathway is benefacial in inhibition of both viral assembling and inflammation. Also, its pharmacokinetic has encouraged the physicians toward the drug selection for COVID-19 treatment. On the other hand, most of baricitinib side effects are dose-dependent. In conclusion, targeting of AAK1 and JAK1/2 using baricitinib has predicted to be potential and effective with minimal side effects in management COVID-19 infected patients for a short therapeutic dosing period. Laboratory monitoring should be considered for some parameters. However, experimental trials are mandatory for a long-term treatment with a lower dose of baricitinib to evaluate its effectiveness and safety in patients with moderate COVID-19 infection.
Análisis de zonas geográficas para el desarrollo de las energías renovables no convencionales, en la región de Arica y Parinacota, Chile 2019
Authors: Martínez Villalobos Claudio Marcelo , Canales Gutiérrez Angel
Published: December 2020

La investigación se realizó con el objeto de analizar la existencia de zonas geográficamente inmejorables en la región para el desarrollo de energías renovables no convencionales (ERNC), para ello se monitorearon diferentes puntos en la región de XV de Arica y Parinacota de Chile, como pampa Dos Cruces, pampa Camarones y cuesta El Águila, en un periodo de 9 meses, para consolidar esta investigación se construyeron tablas comparativas de acuerdo a los objetivos específicos correlacionando los factores climáticos de acuerdo a las horas sol versus radiación solar, vinculados a las diferentes zonas geomorfológicas de la región. Se tomaron en cuenta datos históricos de la Dirección General de Aeronáutica Civil (DGAC), los que fueron comparados y procesados mediante metodología correlacional con los datos obtenidos de los puntos meteorológicas de las zonas de interés. Luego de haber realizado el procesamiento de datos se puede concluir que existe una directa relación de los elementos meteorológicos con la geomorfología del lugar, donde se pueden implementar proyectos de Energías Renovables No Convencionales (ERNC).
Planificación estratégica y calidad del servicio educativo en los estudiantes de la Facultad de Psicología de la Universidad Federico Villarreal.
Authors: Coronel Tello Ana Eylin , Acevedo-Rojas Elba S.
Published: December 2020

Para llegar a la calidad de la educación, debemos considerar que, lo más importante es la satisfacción del cliente, con el coste más bajo posible, que el proceso de calidad se inicia con la detección de problemas y limitaciones por parte de los directivos de los planteles ya que la gestión de la calidad se fundamenta en el desarrollo continuo de planes integrales, no en la ejecución de simples acciones aisladas o puntuales.

Investiga el objetivo: Determinar la relación existente entre la planificación estratégica y la calidad del servicio educativo en los estudiantes de la facultad de psicología de la Universidad Federico Villarreal. La muestra de trabajo estuvo formada por 168 alumnos a quienes se les aplicó dos cuestionarios para realizar la medición de las variables planificación estratégica y calidad del servicio educativo, instrumentos que pasaron por validez de juicio de expertos y confiabilidad a través de una muestra piloto. Los resultados se analizaron a través de la hoja de cálculo de Excel y el programa estadístico de SPSS. En el nivel descriptivo, se han utilizado tablas estadísticas y rangos para determinar los niveles predominantes de las variables; en el nivel inferencial, se o uso la estadística paramétrica, r de Pearson a un nivel de significancia del 0, 05. Los resultados encontrados demuestran que la planificación estratégica se relaciona de manera directa, moderada y significativa con la calidad del servicio educativo en los estudiantes sujetos de la muestra de estudio. Asimismo, se demuestra la planificación estratégica correlacionan de manera significativa con todas las dimensiones de la calidad del servicio educativo.
Aportes de la Danza en la reducción del Estrés Académico en estudiantes de pregrado de la Facultad de Medicina de la UNMSM
Authors: Asian Canchis Hugo Enrique , Blanco Ayala Luis Fernando , Ramirez Linares Silvia Raquel
Published: December 2020

En este artículo se determina el alcance del impacto de la práctica de la danza sobre el estrés, que fue desarrollada en 2017 por estudiantes de pregrado de Facultad de Medicina de la Universidad Nacional Mayor de San Marcos. Esta investigación científica con enfoque cuantitativo tiene un diseño cuasi experimental. Se probaron 200 estudiantes en cada grupo experimental y grupo de control antes y después. Los resultados mostraron que el grupo de control tuvo un desarrollo significativo El grupo experimental (grupo experimental) y el grupo sin el experimento mencionado anteriormente (grupo de control). Para el estudio se diseñó una Encuesta para identificar la variación entre los grupos de estudio. Se concluye que existe una relación directa y significativa entre las variables: “práctica de la danza” y “estrés académico” en los estudiantes de la Facultad de Medicina de la Universidad Nacional Mayor de San Marcos presentando un coeficiente de significancia de 0.05.
A Descriptive Study on the Sleeping Habits and Correlation of Sleepiness with Academic Performance in a State University-run Medical School in the Philippines
Authors: Jorge II Manuel Peter Paul C. , Villalobos Ralph Elvi M. , Nuñal Jewel Cordelle C.
Published: December 2020

Background and Significance. Sleep is a vital facet of human existence that is vital to learning and memory; lack of sleep is associated with significant impairment in learning. Medical students are a special population because of the demands of medical school. They are very prone to sleep deprivation and poor quality of sleep, hence academic performance might be affected.Objectives. We determined the different sleeping habits of medical students using a descriptive tool, with variables chosen specifically for this study. The level of sleepiness was then correlated with the academic performance (using the general weighted average) among students in a state university run-medical school in the Philippines. Methods. The study is a prospective cross-sectional survey among medical students in a state university-run medical school enrolled for the academic year 2016-2017. The questionnaires used were the Epworth Sleepiness Score and specific questions about sleeping habits. The General Weighted Average (GWA) of those who participated were obtained from the student records section of the college. Descriptive statistics were used to describe the results on different sleeping habits, while the chi-squared test was used to determine any significant differences in the GWA versus level of sleepiness across all year levels. Results. A total of 426 medical students (or 60% of the total student population of the college) participated. However, of the 426, only 326 had complete GWAs and were therefore included in the final analysis for correlation. The average medical student is “sleep-deprived”, sleeping two hours less (six hours) than the recommended daily minimum duration of sleep (eight to 10 hours). For the correlation of sleepiness and academic performance, we found out that there is no significant difference in academic performance among those who are excessively sleepy (ESS greater than 10) versus those who are not, p-value = 0.892. Conclusion. Increased level of sleepiness does not correlate with poorer academic performance among these medical students, despite them sleeping less than the general recommendation for adults. The study is limited however by the use of the GWA as the sole tool to measure academic performance, which is affected by many other factors. We recommend the performance of this study in a broader population and use more validated tools to measure sleepiness and academic performance.
Sexual Functioning after Stroke among Rehabilitation Medicine Out-Patients and their Sexual Partners: A Cross-Sectional Study
Authors: Leochico Carl Froilan D. , Mojica Jose Alvin P. , Ignacio Sharon D. , Dy-Mancao Betty
Published: December 2020

Background. Sexuality remains to be a sensitive issue in the Philippines, but it encompasses real problems that stroke patients and their partners continue to face. Sexual dysfunction, an under-recognized complication poststroke, is caused by an interplay of physical, emotional, cognitive, and language impairments, in combination with psychosocial factors. Objectives. This study aimed to determine changes in sexual functioning (libido, coital frequency, sexual arousal, and sexual satisfaction) among stroke out-patients at the Philippine General Hospital and their sexual partners.Methods. This cross-sectional study involved patients (≥30 years old with 1 stroke episode), and their partners. Through individual interviews and questionnaires, data were gathered on general attitude toward sex, ability to address sexual issues with partner, fear of recurrence of stroke, unwillingness to participate in coitus, risk of depression, and level of happiness. Results. Twenty-nine patients and 23 partners participated. There was a statistically significant decrease in coital frequency post-stroke among patients (p<0.001) and partners (p<0.05). Majority reported lower level of libido, sexual arousal, and sexual satisfaction post-stroke. Participants unable to discuss sexual issues with partner were more likely to report sexual dissatisfaction (p<0.05). Those with higher scores on Zung’s depression scale were likely to be sexually dissatisfied (p<0.05). Level of happiness was moderately correlated with sexual satisfaction (r=0.51). Conclusion. Sexual life of couples affected by stroke is commonly overlooked. There was a decline in libido, coital frequency, arousal, and sexual satisfaction among stroke patients and partners at the Philippine General Hospital.
The Nutritional Status of Filipino Pregnant Adolescents 14 to 19 Years Old in a Tertiary Hospital
Authors: Torres-Ticzon Vanessa-Maria F. , Alesna-Llanto Emma , Nancho Rosa Ma. H.
Published: December 2020

Objectives. 1) To determine the nutritional status of pregnant adolescents aged 14 to 19 years seen at the Philippine General Hospital Teen Mom Clinic from February to July 2014; 2) To describe the demographic characteristics, pregnancy history, and lifestyle and health habits of adolescent mothers; 3) To describe the adequacy of the daily intake of nutrients (caloric energy, carbohydrates, protein, fats, folate, calcium, and iron) of adolescent mothers; and 4) To determine the association of specific demographic characteristics with body mass index categories.

Methods. This was a prospective cross-sectional study. Included were the pregnant adolescents aged 14 to 19 years of age, referred to the Teen Mom Clinic, who planned to deliver at the Philippine General Hospital. Informed consent and assent forms were signed, and the principal investigator interviewed the subjects for demographic and clinical history at the time of enrolment. The adolescents were taught and instructed to fill up the food diary (2 weekdays and 1 weekend) and the food frequency (once) forms. These were submitted on their next visit and given to a licensed nutritionist for analysis. The nutritional status was assessed by gathering the weight and height of the patients in order to compute for the body mass index at the time of enrolment in the study.

Results. The percentage distribution of nutritional status of pregnant adolescents consisted of the following: 65% normal; 28% underweight; 3.5% overweight; 3.5% obese. The 60 pregnant adolescents had a mean age of 16.9 years (SD 1.2). Their partners had a mean age of 20.3 years [SD 3.8]. On the average, they had a total of five pre-natal checkups. Majority of the respondents (85%) still depended primarily on their parents for financial support. Around 93% of the pregnancies were unplanned. Their median percent adequacy for daily calories was 72%, carbohydrates 69%, proteins 73%, and fats 86%. For the micronutrients, the median percent adequacies for folate, calcium, and iron, based on the needs of pregnant women, were 18%, 63%, and 29%, respectively. If amounts were compared to the requirements by age, the median adequacies of intake were 27%, 50%, and 41%, respectively. The nutritional status was not found dependent on the age, educational attainment, number of siblings, and the monthly family income of the respondents.

Conclusion. Only 65% of the pregnant adolescents had normal nutritional status. There was still an elevated level of malnutrition among pregnant adolescents as shown in this study: 28% were underweight, 3.3% were overweight, and another 3.3% were obese.
Islamic Financial Literacy in Muslim Majority Country
Authors: Beik Irfan Syauqi , Arsyianti Laily Dwi
Published: December 2020

Various researches have been carried out by the most Muslims populous country in the world to identify the level of literacy towards Islamic economics and finance. The results showed that the literacy levels are still far below the target. This paper attempts to identify the programs that have been organized to increase the literacy level, the potential of human resources to lift up the level, as well as the research and development that have been and potential to be carried out in order to achieve much more level of literacy as targeted by the authority.
Teacher educators’ perceptions of their profession in relation to the digitalization of society
Authors: Roumbanis Viberg Anna , Forslund Frykedal Karin , Sofkova Hashemi Sylvana
Published: December 2020

This study takes an exploratory approach to investigating Swedish teacher educators’ perceptions regarding their profession in relation to the digitalization of society and education, including higher education. Eighteen semi-structured interviews were analyzed using thematic analysis. Findings show that the teacher educators perceive digitalization on a scale that ranges from simply using tools to being part of a technology-initiated revolution of educational institutions and society. From this range of digital developments emanate individual, group, and organizational requirements/demands, needs, and consequences for being, that is, personal experiences of how digitalization affects the work, and acting, that is, doing something in response to the demands of using and teaching with digital technology. The teacher educator is situated primarily in being with the requirements for working professionally and acting as a teacher, which creates tensions and challenges for the individual and the professional self.
Landschappelijke authenticiteit
Authors: Nijhuis Steffen
Published: December 2020

Landschappelijke authenticiteit heeft te maken met ruimtelijke kwaliteit en identiteit. Hierbij spelen oriëntatie in tijd en ruimte een rol, maar ook schoonheid, (multi)functionaliteit, ecologische variatie en samenhang. De verscheidenheid aan verbanden en interactie tussen deze aspecten maakt landschappelijke authenticiteit een complexe zaak. In deze bijdrage wordt betoogd dat wij landschappelijke authenticiteit kunnen begrijpen door het landschap in samenhang te bekijken: als levend systeem, geschiedenis en ruimtelijke beleving. Het landschap verandert altijd, zelfs zonder menselijke tussenkomst.

Leesbaarheid van het landschap is een belangrijke factor voor de waarneming en waardering ervan. De rol van tijd is evident en wordt gekenmerkt door een selectief en incrementeel proces waarbij sommige structuren blijven en worden aangepast en andere plaatsmaken voor nieuwe. Landschappelijke authenticiteit heeft niets te maken met het fixeren van het landschap zoals het is; een landschap kan niet onveranderd behouden blijven, daar het zelf het resultaat is van continue transformatie. Het begrijpen van de ontwikkeling van het landschap is dus evenzo belangrijk als het zichtbare resultaat.
Uso da terra e cobertura vegetal na dinâmica erosiva linear das áreas rurais do município de Presidente Prudente, estado de São Paulo
Authors: Fushimi Melina , Rodrigues Nunes João Osvaldo
Published: December 2020

Em meio aos diversos estudos realizados nos âmbitos geográfico e ambiental, a erosão é um dos assuntos mais enfatizados. Sua representatividade se contextualiza no cenário de degradação dos solos do terri­tório brasileiro associado à retirada da cobertura vegetal em virtude dos ciclos econômicos e usos inten­sos da terra. Nesse sentido, o objetivo principal do presente artigo foi analisar os aspectos de uso da terra e cobertura vegetal, os quais influenciam diretamente a dinâmica erosiva linear (sulcos, ravinas e voçoro­cas) das áreas rurais do município de Presidente Prudente-SP. Para tal, foi elaborado o mapa de uso da terra e cobertura vegetal do recorte de estudo na escala 1:25.000 no software SPRING 5.1.5®, utilizando imagens ALOS/AVNIR-2, com resolução espacial de 10 metros. O referido documento cartográfico subsi­diou a realização de trabalhos de campo, em que quatro pontos representativos de amostragem foram caracterizados. A área de estudo apresentou setores com matas ciliares e reflorestadas, solo exposto para posterior plantio de cana de açúcar, atividade canavieira e, principalmente, gramínea para pastagem. Enfim, o presente trabalho poderá contribuir para estudos posteriores, como vulnerabilidade e/ou fragi­lidade ambiental aos processos erosivos lineares, erodibilidade e fertilidade dos solos.
Os conflitos socioambientais pelo uso da água no Brasil na perspectiva da Ecologia Política
Authors: Bordalo Carlos Alexandre Leão
Published: December 2020

O presente artigo busca atender, na perspectiva da Ecologia Política, a uma crescente demanda por respostas acerca dos conflitos socioambientais causados pelo uso da água no Brasil. Será apresentada a trajetória de criação dessa vertente teórica, mas não como uma “nova ciência”, mas como uma “perspectiva metodológica interdisciplinar”. Além disso, serão destacados os conceitos da Ecologia Política por autores como Joan Martínez Alier, Enrique Leff, Paul Robbins e Paul Little, que, além de explicarem a criação e o arcabouço teórico-metodológico, também mostram os estudos dos conflitos ecológicos distributivos e (ou) os conflitos socioambientais como campo de atuação da Ecologia Política. Ver-se-á, com efeito, que os conflitos socioambientais pelo uso da água são uma manifestação de oposição, divergência ou embate entre diferentes forças e interesses manifestados por diversos atores, com suas antagônicas necessidades, interesses, desejos, valores e modos de vida; falar-se-á, por conseguinte, sobre acesso, uso, apropriação e controle sobre os recursos naturais em diferentes escalas. Defende-se, aqui, a premissa de que a Ecologia Política deve buscar garantir o acesso à água a todos, como um direito humano e livre de conflitos, como defende também a ONU com a diretiva de que não se pode “deixar ninguém para trás sem água”. Assim, a Ecologia Política deve estar presente fora do ambiente acadêmico, participando das diferentes correntes e vertentes, com um olhar socioambiental mais político e ativo.
Las mujeres en la lente de Angeles Torrejón
Authors: Pérez Alvarado José Raúl
Published: December 2020

El presente artículo propone un acercamiento al trabajo fotográfico de Angeles Torrejón para conocer su formación visual y posteriormente analizar dos fotografías realizadas durante su cobertura fotoperiodística en el conflicto zapatista de 1994.
De la retórica pedagógica a la motivacional. Un análisis de las políticas de formación docente en la alternancia política argentina de inicios de siglo
Authors: Frechtel Mariana
Published: December 2020

Este artículo se propone abordar la producción discursiva sobre el trabajo y la formación docente que se presenta en dos Planes Nacionales de Formación Docente de Argentina. Uno implementado en 2007 en el marco de un gobierno de características progresistas y otro implementado en 2016 con una alianza de características neoliberales que gobernó entre 2015 y 2019. En clave de mirar las continuidades, tensiones y rupturas en las políticas educativas a partir de la alternancia de gobiernos neoliberales y posneoliberales, la normativa que regula el sistema formador en su conjunto es un elemento que permite analizar la presencia de significantes que informan sobre el trabajo y la formación docente. Para ello, el análisis toma herramientas del Análisis Político del Discurso como analítica que considera que el discurso es constitutivo de lo social, es decir, que toda configuración social es de carácter discursivo. En este sentido, las políticas públicas en educación serán pensadas como articulación de significantes ligados a un valor o un sentido asignados desde el Estado a la formación y el trabajo docentes.
Edukasi Terstruktur untuk Meningkatkan Perilaku Dukungan Keluarga Pasien Diabetes
Authors: Isworo Atyanti , Taufik Agis , H Eti Dwi
Published: December 2020

Kondisi penyakit diabetes yang kronis mengakibatkan pasien merasa bosan terhadap pengobatan. Keluarga merasa merawat anggota dengan diabetes dapat menimbulkan beban, tidak hanya beban fisik namun juga psikis dan emosional. Fenomena tentang keluarga yang kurang mendukung juga terjadi di wilayah kerja Puskesmas Kembaran 1. Penelitian ini bertujuan untuk mengetahui perbedaan peningkatan dukungan keluarga antara kelompok intervensi dan kontrol setelah diberikan edukasi terstruktur. Desain penelitian menggunakan desain quasi-experimental dengan pendekatan pretest- postest with control group design. Pengambilan sampel menggunakan teknik simple random sampling. Kelompok intervensi adalah kelompok yang diberikan edukasi terstruktur tiap minggu sekali selama satu bulan. Besar sampel adalah 30 orang. Analisis data menggunakan uji t berpasangan dan t tidak berpasangan. Hasil penelitian menunjukkan mayoritas responden pada kedua kelompok berada pada usia dewasa tengah, jenis kelamin perempuan (60,0%) pada kelompok intervensi dan (53,3%) pada kelompok kontrol, tingkat pendidikan SMA (46,7%) pada kelompok intervensi dan (33,3%) pada kelompok kontrol, pekerjaan IRT (40,0%) pada kelompok intervensi dan (33,3%) pada kelompok kontrol, lama merawat pada kedua kelompok rata-rata selama 3 tahun. Penelitian ini menunjukkan ada perbedaan perilaku dukungan keluarga yang signifikan  sebelum dan setelah perlakuan pada kelompok intervensi. Dari hasil tersebut ditarik kesimpulan bahwa edukasi terstruktur mampu meningkatkan perilaku dukungan keluarga pada pasien diabetes.
The Use of Microsoft Sway 365 in Teaching Reading Descriptive Text: A Response to Pandemic Situation
Authors:   SMAN 1 Baros, Banten Province, Usman Rini Khairunnisa
Published: December 2020

The aim of the study is to investigate the use of Microsoft Sway 365 in teaching reading descriptive text as a response in pandemic situation. The method used in the research was classroom action research. Subject of the research was 36 students from tenth grade of SMAN 1 Baros, Banten Province. Data collective techniques used in this recent study were test and questionnaire. The result of research shows that students achieve average scores 67.5 from reading test in pre-cycle. This result, of course, still lower than the ideal score 75. Since Sway Microsoft 365 is implemented, students’ scores are increased. This can be seen from the average score in cycle 1 is 77.5; and it increases into 81.5 in cycle 2. These results also matched to the questionnaire result which 78% of students agree if Microsoft Sway 365 can be used as an alternative online learning media for reading descriptive text, especially proposed for pandemic situation.
Plataformas de financiamento P2P: análise da viabilidade econômica de sistemas distribuídos de energia solar fotovoltaica
Authors: Giovanini Adilson , Almeida Helberte João França , Saath Kleverton Costa Oliveira
Published: December 2020

O termo Economia Compartilhada é empregado pela literatura especializada para identificar a forma como a internet, os smartphones e os aplicativos estão modificando a dinâmica da economia mundial. Por sua vez, é de conhecimento comum que o Brasil é altamente dependente da matriz de energia hidrelétrica e Termelétrica, embora exista um grande potencial para se investir em energias solares. Neste cenário, o presente estudo busca identificar se o empréstimo P2P pode ser uma fonte de financiamento para a compra dos painéis solares. Para tanto, utiliza-se da abordagem de análise de investimentos (TIR, VPL, Payback, ROE) para avaliar a viabilidade econômica. Os resultados obtidos mostram que os investimentos são viáveis em diferentes cenários. Portanto, governos, empresários e consumidores podem unir forças e solucionar um dos maiores problemas do crescimento econômico nos anos recentes
Cuerpos entre muros. João Gilberto Noll en el hospital
Authors: Constantin Francisco Gelman
Published: December 2020

En una narrativa como la de João Gilberto Noll en la que destacan los movimientos de itineranciay transformación, el encierro hospitalario aparece como circunstancia discordante. A través deHotel Atlântico (1989) y Canoas e marolas (1999) es posible explorar la acción de la palabra literariacomo una defensa de la autonomía de lo viviente respecto del efecto coercitivo de los discursosinstitucionales que lo administran, en la alianza soberana o burocrática de la biomedicina y lareligión. Construyendo distintas relaciones entre una voz narrativa y una consciencia, un yoy un sujeto, ambas novelas elaboran qué puede decirse y escribirse que sostenga el espacioirreductible de una decisión de y sobre los cuerpos contra las presiones de la rección autoritariay el circuito mercantil.
Educator’s Guide for Addressing Cultural Awareness, Humility, and Dexterity in Occupational Therapy Curricula
Authors:   American Occupational Therapy Association
Published: December 2020

Occupational therapists are ethically bound to provide quality care to assist all people across the life course to engage in meaningful occupations. This sense of purpose, however, is challenged by institutional, systemic, and attitudinal barriers to equitable care for racial and ethnic minorities and other marginalized identities. Future practitioners must learn how to provide culturally appropriate care characterized by awareness, humility, and dexterity in client interactions. This guide offers information, strategies, and resources for enhancing learner knowledge, skills, and attitudes through intentional and effective curriculum design practices. It is intended to assist educators with integrating cultural awareness, humility, and dexterity into intended learning outcomes; course topics; formal, informal, and hidden curricula; teaching approaches; and instructional strategies.
Um TWAILer entre nós? Desvendando as contribuições de Celso Duvivier de Albuquerque Mello para o Direito Internacional (crítico) no Brasil
Authors: Morosini Fabio Costa , Leichtweis Matheus Gobbato
Published: December 2020

O presente artigo analisa a trajetória e parte da obra de Celso Duvivier de Albuquerque Mello no contexto de uma suposta tradição brasileira de direito internacional. Mello teve uma produção acadêmica extensa e qualificada, dedicando-se aos mais variados temas do direito internacional. Além da academia, atuou como juiz do Tribunal Marítimo. Levando-se em conta suas principais obras em direito internacional econômico (DIEc), sugere-se que Mello se alinhou com abordagens críticas ao direito internacional, sobretudo com o que na década de 1990 se convencionou chamar de Abordagens de Terceiro Mundo do Direito Internacional (TWAIL, sigla em inglês). A partir da análise das referências bibliográficas de suas obras de DIEc, observa-se que Mello foi fortemente influenciado pela produção europeia no campo, sobretudo a francesa, sem que isso tenha reduzido o potencial crítico de suas ideias. Em seguida, o artigo investiga o impacto da obra de Mello na academia, nos tribunais superiores e nos pareceres dos consultores jurídicos do Itamaraty. O artigo também é permeado pela análise dos prefácios das quinze edições do seu Curso de Direito Internacional, espaço onde o autor deixava fluir mais livremente sua visão de mundo e seus sentimentos. Conclui-se que Mello alcançou um lugar de destaque na história do direito internacional brasileiro, contribuindo especial e singularmente com abordagens de Terceiro Mundo ao Direito Internacional desde o Brasil. O artigo empregou metodologia de pesquisa empírica, combinando uso de entrevista com análise de documentos primários e secundários acerca da vida e obra de Celso Duvivier de Albuquerque Mello.
Revisión de laudos de arbitrajes de inversión 2019
Authors: Esis Ivette , Casteleiro (org.) Andrés Delgado
Published: December 2020

REVISIÓN DE LAUDOS DE ARBITRAJES DE INVERSIÓN 2019
Salivary HSP70 and Progesterone are Upregulated in Preeclamptic Antenatal Mothers
Authors: Pavithra PB , Arul Anne Rose S
Published: December 2020

Introduction and Aim: Most of the pregnancies are complicated with complexities due to the environment, psychological, physiological circumstances. It is crucial to diagnose the pregnant women for complications during the earlier stages of pregnancy. Most importantly, the ability to monitor health status, disease onset, and the progression and treatment outcome through non-invasive means is a highly desirable goal in healthcare management. In that, the saliva represents a suitable, potential, and alternative biological filtrate/diagnostic fluid/medium for exploring the surveillance of health and disease. Also, it offers further opportunities as a pool containing a vast repertoire of specific, biologically-active peptides and proteins. Since hypertension represents the major risk contributing to diverse pregnancy complications; the present study is aimed to quantify the level of HSP70 and Progesterone in the saliva of normotensive and preeclamptic antenatal mothers.

 

Materials and Methods: A saliva sample was collected from normotensive and preeclamptic antenatal mothers (n=10 each group) by passive drool method. Progesterone and HSP70 were quantified using ELISA kits.

 

Results: The present study shows an increase in the expression of HSP70 and Progesterone in the salivary sample of preeclamptic pregnant women.

 

Conclusion: Results with a higher value of HSP70 protein expression suggests that salivary HSP70 may serve as a novel and valuable marker in diagnosing pregnancy complicated with hypertensive disorders and salivary progesterone may be used as an indicator for imminent delivery in pregnant women.
Association between severity of disease and thoracic wall dimensions among chronic obstructive pulmonary disease patients – A cross sectional study
Authors: Viswambhar Vallabhaneni , Bandlamudi Sowjanya , Shanmuganathan Aruna , Narasimhan Meenakshi , Ashwin Kailash Jayakumaran , Navaneetham Karunakaran
Published: December 2020

Introduction and Aim: Pulmonary function worsens with the intensification of disease severity. Chronic obstructive pulmonary disease (COPD) may cause changes in the shape of the thoracic cage due to increasing lung volumes and dynamic hyperinflation. To assess the association between the severity of COPD and thoracic wall dimensions among COPD patients.

Materials and Methods: A cross-sectional study was conducted in a tertiary care teaching hospital on 80 COPD subjects aged above 18 years. Based on the severity of obstruction of COPD, subjects were divided into two groups-moderate obstruction and severe obstruction. Severity of obstruction constituted the primary outcome variable. The primary explanatory variables were the dimensions of the thoracic wall. Their association was assessed by calculating the Spearman correlation and Pearson correlation coefficient and represented in a scatter diagram.

Results: Majority (60%) had an MMRC dyspnea grading of 3. Moderate Obstruction was seen in 62.5% of subjects while 37.50% had severe obstruction. There was no statistically significant difference between the groups with respect to antero posterior (AP) diameter, transverse diameter, AP to transverse diameter ratio and Height of Diaphragm (HDI). There was a moderate negative correlation FVC (L) and HDI, FEV1/FVC (%) and HDI which was statistically significant. There was also a weak negative statistically significant correlation between FVC (L) and AP diameter, FVC (L) and transverse Diameter, FVC (L) and AP to transverse diameter ratio, FEV1/FVC (%) and AP diameter, FEV1/FVC (%) and transverse diameter.

Conclusion: There was a significant moderate negative correlation between the height of the diaphragm and severity of COPD (FVC, FEV1/FVC %). In COPD, the mechanical deformation leads to difficulty in breathing because of reduction in the lung capacity of patients. Early and aggressive treatment in patients with COPD can be beneficial.

Keywords: Chronic obstructive pulmonary disease; global initiative for chronic obstructive lung disease; medical research council dyspnoea scale; barrel-shaped chest; spirometry, diaphragm.
Aneurysmal pinna – An unfamiliar entity
Authors: Deviprasad Dosemane , Meera N. Khadilkar , Hema Kini , Fayis Anwar
Published: December 2020

Lesions ranging from cysts to benign and malignant tumors can affect the pinna. The clinical appearance, duration, progression, and histopathology of the lesion are important in differentiating non-neoplastic conditions from neoplasms. We present a case report of an unusual nodular pinna lesion that was excised under local anaesthesia. Histopathology revealed cutaneous aneurysmal fibrous histiocytoma. Aneurysmal benign fibrous histiocytoma is an unusual variant of soft tissue tumor with low intermediate malignant potential, which has to be differentiated from other benign and malignant tumors.

Keywords: Benign fibrous histiocytoma; external ear; fibrous tissue neoplasms.
Appropriating Indo-Saracenic style: Bhai Ram Singh’s contributions to the architectural identity of 19th century Lahore
Authors: Shuja Shajeea , Junejo Rabela
Published: December 2020

After 1857, when India became a direct colony of the British Crown, was the architectural style adopted by the colonial masters an attempt at subverting the local identity and reasserting their supremacy via architecture or was its purpose to engage their institutions with their context? Was the Indo-Saracenic style of architecture anachronistic and reductive in nature or was it a way to draw on the past? What role did the Jeypore Portfolio play in negotiating colonial intent by appropriating traditional building culture? How did Bhai Ram Singh mediate an identity for 19th century Lahore by contextualizing Indo-Saracenic architecture? This exploratory study attempts to answer these questions using existing literary sources and by considering buildings designed by Bhai Ram Singh in the city of Lahore. The paper also critically evaluates the agency of the Jeypore Portfolio for Indo-Saracenic architecture, how it reduced the centuries-old local building tradition to a limited palette of details, and Bhai Ram Singh’s attempts to re-inform it from the native’s perspective.
The best way to learn about urban design is to study great cities
Authors: Bell Matthew
Published: December 2020

Colin Rowe is remembered having said that, aside from buildings, there are several scales of architecture, which includes both “micro-architecture like furniture and silverware, and macro-architecture like London and Paris… well maybe more Paris than London.” Space & Anti-Space: The Fabric of Place, City and Architecture, by Steven Peterson and Barbara Littenberg, is devoted to what Rowe called the “macro” scale, and this book adds an immense amount to understanding how to design at the scale of the city.
Steven Peterson and Barbara Littenberg. Space & Anti-Space: The Fabric of Place, City and Architecture. ORO Editions, 2020.
Doctrine Values and Economic Advancement: A review of recent studies
Authors: Ali Hassnian , Hassan Abbas Muhammad , Gill Usman Tariq
Published: December 2020

The economics has faced and passed from different phases of development, growth, and advancement throughout its whole life. Now it has entered into a modern phase of progress. But the problems such as poverty, social injustice, unemployment etc. are not solved yet. The existing and prevailing models of economic innovation which were discussed in recent studies and literature did not direct the way towards the peace and prosperity in the world, but these models of economic development have created new problems such as decline of natural resources, environmental pollution and shortage of labor, and conflicts among different fields of life etc. This is due that these economic models are not based on social, religious and economic doctrine values. The findings indicate that there are need and demand of a new economic model which will be based on that social, religious and economic doctrine values which are common in the religions. The modern economists of East and West should play their role in the formation and application of new values based economic model. The economic advancement can never be done without such an applicable values-based model in the whole world.
New technique for high-precision, simultaneous measurements of CH4, N2O and CO2 concentrations; isotopic and elemental ratios of N2, O2 and Ar; and total air content in ice cores by wet extraction
Authors: Oyabu Ikumi , Kawamura Kenji , Kitamura Kyotaro , Dallmayr Remi , Kitamura Akihiro , Sawada Chikako , Severinghaus Jeffrey P. , Beaudette Ross , Orsi Anaïs , Sugawara Satoshi , Ishidoya Shigeyuki , Dahl-Jensen Dorthe , Goto-Azuma Kumiko , Aoki Shuji , Nakazawa Takakiyo
Published: December 2020

Abstract. Air in polar ice cores provides unique information on past climatic and atmospheric changes. We developed a new method combining wet extraction, gas
chromatography and mass spectrometry for high-precision, simultaneous measurements of eight air components (CH4, N2O and
CO2 concentrations; δ15N, δ18O, δO2∕N2 and δAr∕N2; and total air
content) from an ice-core sample of ∼ 60 g. The ice sample is evacuated for ∼ 2 h and melted under vacuum, and the
released air is continuously transferred into a sample tube at 10 K within 10 min. The air is homogenized in the sample tube
overnight at room temperature and split into two aliquots for mass spectrometric and gas chromatographic measurements. Care is taken to minimize
(1) contamination of greenhouse gases by using a long evacuation time, (2) consumption of oxygen during sample storage by a passivation treatment on
sample tubes, and (3) fractionation of isotopic ratios with a long homogenization time for splitting. Precision is assessed by analyzing standard
gases with artificial ice and duplicate measurements of the Dome Fuji and NEEM ice cores. The overall reproducibility (1 SD) of duplicate ice-core
analyses are 3.2 ppb, 2.2 ppb and 2.9 ppm for CH4, N2O and CO2 concentrations;
0.006 ‰, 0.011 ‰, 0.09 ‰ and 0.12 ‰ for δ15N, δ18O, δO2∕N2
and δAr∕N2; and 0.63 mLSTP kg−1 for total air content, respectively. Our new method successfully combines the
high-precision, small-sample and multiple-species measurements, with a wide range of applications for ice-core paleoenvironmental studies.
Estimating the maximum of the smoothed highest 3-hourly aa index in 3 d by the preceding minimum for the solar cycle
Authors: Du Zhanle
Published: December 2020

Abstract. Predicting the maximum intensity of geomagnetic activity for an
upcoming solar cycle is important in space weather service and for
planning future space missions. This study analyzed the
highest and lowest 3-hourly aa index (aaH∕aaL)
in a 3 d interval, smoothed by 363 d to analyze their variation
with the 11-year solar cycle. It is found that the maximum of
aaH (aaHmax) is well correlated with the
preceding minimum of either aaH (aaHmin,
r=0.85) or aaL (aaLmin, r=0.89) for
the solar cycle. Based on these relationships, the intensity of
aaHmax for solar cycle 25 is estimated to be
aaHmax(25)=83.7±6.9 (nT), about 29 % stronger than
that of solar cycle 24. This value is equivalent to the ap index
of apmax(25)=47.4±4.4 (nT) if employing the high
correlation between ap and aa (r=0.93). The maximum of
aaL (aaLmax) is also well correlated with
the preceding aaHmin (r=0.80). The maximum amplitude
of the sunspot cycle (Rm) is much better correlated
with high geomagnetic activity (aaHmax, r=0.79)
than with low geomagnetic activity (aaLmax, r=0.37). The rise
time from aaHmin to aaHmax is weakly
anti-correlated to the following aaHmax (r=-0.42).
Similar correlations are also found for the 13-month smoothed
monthly mean aa index. These results are expected to be useful
in understanding the geomagnetic activity intensity of solar cycle 25.
The relative importance of photodegradation and biodegradation of terrestrially derived dissolved organic carbon across four lakes of differing trophic status
Authors: Dempsey Christopher M. , Brentrup Jennifer A. , Magyan Sarah , Knoll Lesley B. , Swain Hilary M. , Gaiser Evelyn E. , Morris Donald P. , Ganger Michael T. , Williamson Craig E.
Published: December 2020

Abstract. Outgassing of carbon dioxide (CO2) from freshwater ecosystems comprises 12 %–25 % of the total carbon flux from soils and bedrock. This CO2 is largely derived from both biodegradation and photodegradation of terrestrial dissolved organic carbon (DOC) entering lakes from wetlands and soils in the watersheds of lakes. In spite of the significance of these two processes in regulating rates of CO2 outgassing, their relative importance remains poorly understood in lake ecosystems. In this study, we used groundwater from the watersheds of one subtropical and three temperate lakes of differing trophic status to simulate the effects of increases in terrestrial DOC from storm events. We assessed the relative importance of biodegradation and photodegradation in oxidizing DOC to CO2. We measured changes in DOC concentration, colored dissolved organic carbon (specific
ultraviolet absorbance – SUVA320; spectral slope ratio – Sr), dissolved oxygen, and dissolved inorganic carbon (DIC) in short-term experiments from May–August 2016. In all lakes, photodegradation
led to larger changes in DOC and DIC concentrations and optical
characteristics than biodegradation. A descriptive discriminant analysis
showed that, in brown-water lakes, photodegradation led to the largest
declines in DOC concentration. In these brown-water systems, ∼ 30 % of the DOC was processed by sunlight, and a minimum of 1 % was photomineralized. In addition to documenting the importance of photodegradation in lakes, these results also highlight how lakes in the future may respond to changes in DOC inputs.