bluuebunny/crossref_metadata_2025 huggingface dataset:
The effects of an artificially enhanced clinoptilolite in patients with irritable bowel syndrome
Authors: Lamprecht Johan C , Ellis Suria , Snyman Jacques Rene , Laurens Ilze
Published: November 2020

Background: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders presenting in clinical practice. IBS is a functional bowel disorder in which abdominal pain or discomfort is associated with a change in bowel habit and with features of disordered defecation.

Methods: IBS candidates were enrolled in the study using the Rome III diagnostic criteria. Participants were identified as IBS-D (diarrhoea dominant), IBS-C (constipation dominant) as well as an IBS-M (mixed group). The participants were randomly assigned; for intention to treat with 750 mg potentiated clinoptilolite three times daily or placebo. The primary endpoint was to determine whether or not the patient experienced adequate relief of symptoms.

Results: At the end of treatment 67% and 40% of patients were classified as overall responders in the potentiated clinoptilolite and placebo groups respectively (N=50). After week three of treatment the number of weekly responders was significantly higher (p=0.048) in the potentiated clinoptilolite group compared to the Placebo group, and at week four of treatment the number of weekly responders was borderline significant higher in the potentiated clinoptilolite group (P=0.06). Secondary endpoints were measured but the population size proved too small to realistically obtain statistical significance (p > 0.5).

Conclusion: Potentiated clinoptilolite shows clinical benefit, and should be tested further in larger clinical trials. In addition, potentiated clinoptilolite also shows reduced symptoms of IBD-D and IBS-M respectively. It is recommended that clinical response to dose variation should also be further investigated in designated populations of IBS-M and IBS-D patients.
Use of the partogram by doctors and midwives at Odi District Hospital, Gauteng, South Africa
Authors: Maphasha Olga , Govender Indiran , Motloba Pagollang D , Barua Champak
Published: November 2020

Background: There is scientific evidence that using the partogram reduces maternal and foetal morbidity and mortality. The use of partograms by doctors and midwives at Odi District Hospital has been reported as inadequate by external audits. The level of knowledge of and use of partograms amongst doctors and midwives at Odi District Hospital was investigated.

Methods: A cross-sectional survey of doctors and midwives was undertaken using a self-administered questionnaire. A mixed-methods research approach was used to elicit information on the knowledge and use of the partogram.

Results: Despite 57 (83.8%) participants having had some form of training on the partogram, only 54 (79.4%) routinely used it. All but one participant had heard of the partogram. Reasons for not using the partogram included being unsure how to use it (13%), partogram charts not available (8.7%), partogram takes too long (21.7%), being too busy (26.1%), and a feeling that the partogram was not the doctor’s responsibility (26.1%). Overall knowledge of partograms was insufficient, resulting in inadequate use of partograms. In-service training is required to improve the skills of doctors and midwives in the correct knowledge and use of partograms.

Conclusion: Partograms are not used as required by doctors and midwives, and further training is needed.

(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)

S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1280899
Depression, anxiety symptoms and substance use amongst sex workers attending a non-governmental organisation in KwaZulu-Natal, South Africa
Authors: Poliah Vinola , Paruk Saeeda
Published: November 2020

Background: Sex work is a high-risk occupation for mental health problems as sex workers are vulnerable to high rates of violence, sexual coercion, stigma and HIV.

Aim: To determine the prevalence of depressive and anxiety symptoms and substance use in sex workers.Method: A crosssectional questionnaire survey of all men and women attending the Sisonke health initiative, a non-profit non-governmental organisation (NGO), for sex workers was conducted over three months. A socio-demographic questionnaire, the Self Reporting Questionnaire (SRQ 20), the Patient Health Questionnaire (PHQ 9) and the WHO Alcohol, Smoking and Substance Involvement Screening Test (ASSIST V3.0) were administered.

Results: A total of 155 participants were surveyed. The prevalence of anxiety and depressive symptoms on the SRQ 20 and PHQ 9 total scores were 78.4% and 80.9% respectively. Some 40% of sex workers reported suicidal ideation in the year preceding the study. High rates of violence (n = 112, 72%) and childhood abuse (n = 107, 69%) were reported. The prevalence of HIV was 76.1%. The lifetime prevalence of substance use for nicotine (87.8%), alcohol (87.8%) and cannabis (87.7%) was high. Despite the high prevalence of psychiatric symptoms reported, only 15 (9.7%) participants were receiving psychiatric treatment at the time of the survey.

Conclusions: The high prevalence of anxiety, depression, suicidal ideation, substance use and co-morbid HIV infection reported by sex workers and the significant treatment gap suggests an urgent need to provide an integrated health service that targets physical and mental health in sex workers.

(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)

S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272247
The balance between work and family
Authors: Ellis Chris
Published: November 2020

We all have a problem keeping a balance between work and family life. The Johannesburg psychiatrist, Bernard Levinson once wrote:

“Doctors’ children are very special. They grow up in the hurlyburly of telephone calls, consultations and emergencies. A world in which every person has priority over their own needs. In a setting of such intense caring, the doctor’s children often have to wait”.
Tuberculosis risk factors in Lephalale local municipality of Limpopo province, South Africa
Authors: Tshitangano Takalani G , Ramaliba T M , Akinsola H A , Thendele M
Published: November 2020

Lephalale local municipality is the leading sub-district in Limpopo province with 9.8% of deaths caused by tuberculosis. This study aimed to describe the risk factors for TB in Lephalale local municipality. A quantitative descriptive, cross-sectional survey design was used to target 148 registered TB patients aged 18 years and above in the sub-district’s 6 clinics. Approval and ethical clearance was obtained from the relevant authorities (SHS/15/PH/14/2006). Only respondents who agreed in writing to be part of the study were included. Ethical research principles were observed. A researcher-developed self-administered questionnaire was used to collect data. The data were analysed using the statistical Package for Social Sciences® version 22.0. Of 148 respondents, a high proportion of diagnosed TB patients (43.24%) were receiving less than R1 000 per month; the majority (53.38%) were unemployed; 22% were overcrowded in a single room; 31.8% had skipped taking TB medication at some point; 12% had previously worked in the mining industries; 37.16% never opened windows: 39.19% were from a rural settlement. TB risk factors in Lephalale include overcrowding, inadequate ventilation, TB treatment interruption, rural settlement, working in a mine, and low income. Educating communities about improving ventilation and treatment adherence as well as community empowerment with entrepreneurial skills might assist.

(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)

S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1304734
Mastering your fellowship (Online)
Authors: Naidoo Mergan , Mabuza Langalibalele Honey , Ross Andrew
Published: November 2020

The series, “Mastering your Fellowship”, provides examples of the question format encountered in the written Final Part A of the FCFP (SA) examination. The series is aimed at helping family medicine registrars prepare for this examination. Model answers are available online.
Cell phone use and ill health: Is there a definite relationship?
Authors: Ogunbanjo Gboyega A
Published: November 2020

With the advent of the global use of cell phones, there have been concerns about their impact on the health of users. Interestingly, cell phone use is now an integral part of modern day communication between persons. In 2014, the World Health Organisation (WHO) estimated that there were 6.9 billion subscriptions globally and that in some parts of the world, mobile phones are the most reliable or the only phones available.1 Various studies have been conducted, although some are inconclusive on the link of cell phone use and ill health. Cell phones communicate by transmitting radio waves through a network of fixed antennas called base stations. Radio-frequency waves are electromagnetic fields, and unlike ionizing radiation such as X-rays or gamma rays, can neither break chemical bonds nor cause ionization in the human body.1
Awareness of family medicine discipline among clinical medical students of Bayero University, Kano, Nigeria
Authors: Tanimu Tanko Salihu , Michael Godpower Chinedu , Ibrahim Aliyu , Grema Bukar Alhaji , Mohammed Abubakar Abiso
Published: November 2020

Introduction: Undergraduate medical education requires the studying of a wide range of medical specialties to produce the future workforce of the healthcare system. Family medicine (FM), a relatively new specialty in Nigeria, aims at supplying doctors capable of providing comprehensive healthcare for the majority of the population. However, many Nigerian medical schools (Bayero University inclusive) are yet to include FM in their undergraduate curriculum.

Methods: This was a descriptive cross-sectional study of 178 respondents randomly and proportionately selected from 400-, 500- and 600-level medical students of Bayero University Kano. Using a structured questionnaire, their awareness of FM discipline, specialty preferences, factors influencing specialty preferences and their views on the relevance of FM in improving health systems were assessed.

Results: A majority of the respondents (60.7%) were males and most (93.8%) had heard of FM. However, only 19.7% of respondents were aware that FM was taught in the undergraduate programme of medical schools; 86% were aware of a postgraduate FM programme. FM (22.5%) was the second most preferred specialty following surgery (23.6%). Personal interest in the specialty was the main (76.5%) reason for preference. Only 2.9% believed the postgraduate training for FM had a longer duration. All respondents believed FM was relevant as a specialty.

Conclusion: The knowledge and perception of the FM discipline among clinical medical students of Bayero University was good. They expressed that FM was relevant in the healthcare system as shown in their preference for the specialty, which ranked second among other specialties.

(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)

S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1313487
An update on the measurement and management of cholesterol with specific reference to secondary prevention of cardiovascular disease (CVD)
Authors: Vally Muhammed , Kathrada F , Butkow N
Published: November 2020

Cardiovascular disease remains the largest contributor to non-communicable adverse disease outcomes. Treatment and prevention of cardiovascular disease have evolved at a dramatic pace in the last 40 years. Serum-cholesterol has emerged as the dominant risk factor for coronary artery disease and events. The link between serum-cholesterol and arterial atherosclerosis is well documented. The attainment of cholesterol goals has historically concentrated on low-density lipoprotein cholesterol (LDL-C) levels. Current evidence and guidelines have shifted to the attainment of non-HDL-C target levels which represent a more thorough inclusion of small dense atherogenic particles. Methods to reduce serum-cholesterol mainly centre around the use of the HMG CoA-reductase inhibitors also known as the statins. High intensity statins like atorvastatin (80 mg) and rosuvastatin (40 mg) are now the preferred starting therapies to lower cholesterol by at least 40–50% in patients with established cardiovascular disease as secondary prevention. In the event of failure of these medications, evidence suggests that the addition of ezetimibe may enhance the total serum-lowering levels to 50–60%. New therapies aimed at inhibiting PCSK9 revealed exciting new targets for LDL-C lowering, but the high cost of these antibodies could preclude access to this therapeutic intervention. Aggressive pursuit of lower LDL-C or non-high-density lipoprotein cholesterol (non-HDL-C) levels may reduce the incidence of secondary myocardial infarctions, strokes and death from cardiovascular disease.
One-Stop General Practice
Authors: Ellis Chris
Published: November 2020

No abstract available.
The cost of not covering payment of treatment for Depressive Disorders
Authors: Reuter Hermann
Published: November 2020

No abstract available.
Performance of free prostate-specific antigen ratio in differentiating between prostatic cancer and benign prostatic lesions at a referral hospital in South Africa
Authors: Phiri-Ramongane Boitumelo , Khine Ayeaye
Published: November 2020

Background: Prostate cancer is a leading cause of morbidity and mortality in our male population, thus screening initiatives will help to improve outcomes. The current screening marker, total prostate-specific antigen (PSA), is not prostate cancer specific. The development of percentage free PSA (%FPSA) has largely improved the detection of prostate cancer.Objectives: To assess the performance of %FPSA ratio at the 25% cut-off and its ability to distinguish between prostate cancer and benign prostatic lesions.Methods: This was a retrospective study conducted on male patients with total prostate-specific antigen values 10 ng/ml and with prostate histology results. Male patients with total prostate-specific antigen between 4 and 10 ng/ml had their free prostate-specific antigen determined together with the calculation of the free prostate-specific antigen ratio. The ratio was then correlated with prostate histology results to determine the presence of prostate cancer at the cut-off ratio of 25%.Results: Prostate cancer was detected in 28 (21.37%) patients out of the total population of 131. Ninety-two patients had a FPSA ratio of 25%, 22 (22.8%) of whom were found to have prostate cancer. Notably the sensitivity and specificity were found to be 86% and 27% respectively, with a positive predictive of value of 21% at this cut-off.Conclusions: The study demonstrates a %FPSA ratio of 25% not to be a good discriminator between prostatic cancerous and benign lesions. It is thus recommended that a prostate biopsy should be done based on clinical examination findings rather than the level of total prostate specific antigen from 0–10 ng/ml or %FPSA ratio.
Anaesthesia for dentistry in children
Authors: Gardner B. M.
Published: November 2020

No abstract available.
Herpes zoster (Shingles)
Authors: Motswaledi M. H.
Published: November 2020

Herpes zoster or Shingles is caused by varicella-zoster virus (VZV), the same virus that causes chicken-pox (varicella).Primary infection with varicella-zoster virus causes chicken-pox (varicella), then the virus persists in nerve ganglia of sensory but rarely motor nerves, in a latent stage.If the virus gets reactivated it causes herpes zoster, which presents as painful vesicles following a dermatome. It is more common in the elderly and the immunocompromised.Herpes zoster is a common skin and mucous membrane disease caused by reactivation of latent varicella zoster virus, which had lodged previously in nerve ganglia.Trigeminal nerve nuclei and thoracic spinal ganglia are the most commonly affected.Reactivation of latent varicella-zoster virus can be triggered by old age, that is why herpes zoster is common in the elderly, above 60 years of age. This is due to age related decline in specific cell mediated immune response to VZV. Other triggering factors are malignancies malnutrition, emotional stress, physical trauma, chronic diseases like diabetes mellitus and immunosuppression from drugs and HIV.¹,²
Post-COVID lung fibrosis
Authors: Udwadia Zarir F , Koul Parvaiz A , Richeldi Luca
Published: November 2020

The SARS-CoV-2 pandemic has already infected in excess of 50 million people worldwide and resulted in 1.2 million deaths. While the majority of those infected will not have long-term pulmonary sequelae, 5%–10% will develop severe COVID-19 pneumonia and acute respiratory distress syndrome (ARDS). The natural history of these severely affected patients is unclear at present, but using our knowledge of closely related coronavirus outbreaks like severe acute respiratory distress syndrome (SARS) and middle east respiratory syndrome (MERS), we would hypothesize that the majority will stabilize or improve over time although some patients will progress to advanced lung fibrosis or post-COVID interstitial lung disease (PC-ILD). Unlike the SARS and MERS outbreaks which affected only a few thousands, the sheer scale of the present pandemic suggests that physicians are likely to encounter large numbers of patients (potentially hundreds of thousands) with PC-ILD. In this review, we discuss the pathogenesis, natural history, and radiology of such patients and touch on clinical, laboratory, and radiographic clues at presentation which might help predict the future development of lung fibrosis. Finally, we discuss the responsible use of antifibrotic drugs such as pirfenidone, nintedanib, and some newer antifibrotics, still in the pipeline. The biological rationale of these drugs and the patient groups where they may have a plausible role will be discussed. We conclude by stressing the importance of careful longitudinal follow-up of multiple cohorts of post-COVID survivors with serial lung function and imaging. This will eventually help to determine the natural history, course, and response to therapy of these patients.
Medium-term projection for the National Hydro-Electrical System using wavelets
Authors: Silva Francisco Wellington Martins da , Silveira Cleiton Da Silva , Marcos Junior Antônio Duarte , Pontes Filho João Dehon de Araujo
Published: November 2020

The Brazilian energetic matrix is predominantly based on hydroelectric plants and its planning is very sensitive to climate variability in different time scales. Natural Affluent Energy (NAE) is an established planning tool to project different scenarios of possible energy production, especially in an integrated system. This work aims to fill a gap between short-term (seasonal/ interannual) and long-term (climate change) planning scales by realizing NAE medium-term projections for the Brazilian National Interconnected System basins. The historical NAE series provided by the National System Operator was used for the years 1931 to 2014. The series was divided into two periods: from 1931 to 2003 for verification, and from 2004 to 2014 for calibration. The Wavelets Auto-Regressive (WAR) model was applied from low- and medium-frequency bands. The band signal was analyzed and the NAE was projected for the years 2014 to 2024. A relationship of the NAE variability with the Pacific Decadal Oscillation (PDO) climate index and the Atlantic Multidecadal Oscillation (AMO) was verified.
Physical fractions of organic matter and mineralizable soil carbon in forest fragments of the Atlantic Forest
Authors: Ozório Jefferson Matheus Barros , Rosset Jean Sérgio , Schiavo Jolimar Antonio , Souza Camila Beatriz da Silva , Farias Paulo Guilherme da Silva , Oliveira Naelmo De Souza , Menezes Roniedison Da Silva , Panachuki Eloi
Published: November 2020

This study determined the physical granulometric fractionation evaluated the mineralizable carbon within and around forest fragments of the Atlantic Forest biome located in the state of Paraná. Soil samples were collected at three three internal points of the fragments: the edge (E), the half radius (HR) and the center (CF); and one point in no-tillage system (NTS) areas around the fragments, in four replicates. The contents of total organic carbon (TOC), particulate fraction carbon (C-POM) and mineral fraction (C-MOM) were determined, and the %POM and %MOM and the stocks of POM (StockPOM) and MOM (StockMOM) were calculated, in addition to the indices: carbon stock index (CSI), lability (L), lability index (LI) and carbon management index (CMI), also evaluating CO2 emission, daily and accumulated. The highest TOC levels were observed in the CF point. The highest C-POM contents were observed in the E and CF points of fragment 1, in the CF point of fragment 2, and the highest C-MOM contents were expressed in the CF points of both fragments. CMI showed a distinct pattern among the fragments. The NTS areas showed lower C-CO2 emissions, with 39.8% and 28.3% less total emission compared to CF. The results of physical granulometric fractionation show the CF point favors the quality of SOM and the mineralizable carbon analysis indicated that the conversion of native areas into NTS compromises soil microbial activity.
Application of a voltammetric enzymatic biosensor based on crude extract of Marasmiellus colocasiae for the detection of phenolic compounds in drinking water
Authors: Batista Érica Aparecida , Garcia Luane Ferreira , Albuquerque Antonio João Carvalho de , Ballaminut Nara , Scalize Paulo Sérgio , Gil Eric Souza
Published: November 2020

The chemical and pharmaceutical industries are the main generators of residues, such as phenolic microcontaminants, including catechol, resorcinol, p-nitrophenol and 4-chlorophenol. Therefore, this work aims to identify these microcontaminants through an emerging contaminant biosensor by means of an enzymatic biosensor constructed with an enzymatic extract from the fungus Marasmiellus colocasiae. Based on the differential pulse voltammetry electrochemical technique, the biosensor was used to analyze the patterns of catechol, resorcinol, p-nitrophenol and 4-chlorophenol. The analysis of a sample prepared with these standards in water from the public supply network was also carried out. As a result, it was possible to verify that the biosensor developed in this study is more sensitive than conventional methods and has a greater affinity for catechol. In the sample prepared with the standards, it was possible to qualitatively identify the presence of 4-chlorophenol, resorcinol and catechol. The proposed biosensor was sensitive and has potential for application in the analysis of microcontaminants in the environment with the detection limit = 0.17 µmol L-1, and the quantification limit = 0.52 µmol L-1.
A rare cause of bilateral exophthalmos: about one case with a sphenoid mucocele
Authors: Pilor N. , Ndiaye M. , Diouf M.S. , Faye A.D. , Tall A. , Ndiaye C. , Deguenonvo R. , Diom E.S. , Ndiaye I.C. , Diouf R.
Published: November 2020

Background: Mucocele is a benign cystic pseudo-tumor that develops within the sinus cavities. The most frequent locations are frontal and frontoethmoidal. The sphenoidal forms are rare. We report a case of sphenoidal mucocele revealed by bilateral exophthalmos. Methods and results: We report the case of a 14 year old male patient, without any particular pathological history, referred by his ophthalmologist for bilateral nasal obstruction, bilateral exophthalmos and visual acuity decrease evolving since one year. The ENT examination found a large, renitrant mass, filling the entire right nasal cavity. This mass pushed the nasal septum to the left. The CT scan showed a large sphenoidal, hypodense mass evoking a mucocele. The patient underwent endonasal marsupialization by endoscopic guidance. Conclusions: Sphenoidal mucocele is a rare cause of bilateral exophthalmos. The diagnosis can be misplaced when the signs are overt extra-sinus. Hence the interest of CT in order to eliminate other differential dignostics.
PELINDUNGAN KELUARGA PEKERJA MIGRAN INDONESIA (PMI) PASCA BERLAKUNYA UNDANG-UNDANG NOMOR 18 TAHUN 2017 TENTANG PELINDUNGAN PEKERJA MIGRAN INDONESIA
Authors: Erizal Ahmad , Agusmidah Agusmidah , Ningsih Suria
Published: November 2020

ABSTRAKIndonesia sebagai negara hukum memiliki kewajiban memberikan pelindungan hukum bagi setiapWarga Negaranya, termasuk diantaranya yaitu pelindungan terhadap keluarga PMI. Konvensi ILO1990 yang diratifikasi Pemerintah Indonesia melalui UU No. 6 Tahun 2012 Tentang pengesahanInternational Convention On The Protection Of The Rights Of All Migrant Workers And Members OfTheir Families 1990, dan UU No. 18 Tahun 2017 tentang Pelindungan PMI merupakan dasar hukumpelindungan keluarga PMI. Diaturnya pelindungan terhadap keluarga PMI dalam UU No. 18 Tahun2017 merupakan paradigma baru dalam sistem pelindungan PMI. Terbitnya Undang-Undang No 18Tahun 2017 memberikan harapan yang lebih baik kepada PMI dan keluarganya. Namun yangmenjadi pertanyaan adalah bagaimana bentuk pelindungan keluarga PMI, serta bagaimana standarpelindungan Keluarga Pekerja Migran yang dicanangkan Konvensi ILO 1990. Penelitian inimenggunakan metode penelitian Hukum Normatif yang menggunakan pendekatan tinjauan yuridis,dan bersifat analitis deskriptif, yang bertujuan untuk mengkaji bentuk pelindungan keluarga PMI sertaimplementasi Konvensi ILO 1990 dalam UU No. 18 Tahun 2017. Berdasarkan hasil penelitian secarayuridis, bentuk pelindungan keluarga PMI meliputi pelindungan dalam aspek hukum, ekonomi, dansosial. Namun UU PPMI belum mengakomodir secara maksimal pelindungan terhadap keluarga PMI.Secara keseluruhan subjek pelindungan yang diatur hanya terbatas pada CPMI/PMI. Adapunmengenai standar pelindungan keluarga PMI dalam Konvensi ILO 1990 meliputi, pelindungan haksipil, politik, ekonomi, sosial, dan budaya. Standar tersebut belum diadopsi secara komperhensifdalam UU PPMI.Kata Kunci : Pelindungan, Keluarga, Pekerja Migran Indonesia
Formulasi dan Evaluasi Fisik Sediaan Gel Rambut Ekstrak Etanol Daun Pare (Momordica charantia L.) Dengan Variasi Konsentrasi Carbopol 940
Authors: Supriadi Yusuf , Hanifah Hardiansyah Nurul
Published: November 2020

Secara empiris, daun pare (Momordica charantia L.) digunakan oleh masyarakat untuk menyuburkan rambut yang tipis. Pada pria dan wanita rambut mempunyai peran penting bagi penampilan. Gel rambut merupakan produk penataan rambut yang memiliki peran vital dalam penataan rambut dengan mengatur dan menjaga rambut dalam posisi yang diinginkan serta membuat rambut tampak mengkilap, licin dan rapih. Penelitian ini bertujuan untuk memformulasikan ekstrak etanol daun pare dalam sediaan gel rambut dengan menggunakan variasi konsentrasi carbopol 940 sebagai gelling agent yaitu 0,5%, 1 %, 1,5% dan 2% serta pengaruhnya terhadap evaluasi fisik sediaan gel rambut. Evaluasi fisik yang dilakukan meliputi uji organoleptis, homogenitas, pH, daya sebar, daya lekat, viskositas dan uji freeze-thaw. Hasil pengamatan organolepis, homogenitas dan pH pada penyimpanan 28 hari serta penyimpanan pada suhu 4 °C dan 45 °C tidak menunjukan perubahan. Hasil pengamatan lain menunjukan bahwa peningkatan konsentrasi carbopol berpengaruh signifikan terhadap daya sebar yang semakin rendah, daya lekat yang lama, dan viskositas yang semakin tinngi.
Pengaruh Efektivitas Tehnik Relaksasi Guidet Imagery Terhadap Tingkat Kecemasan Pasien Pre Operasi Di RSUD Pesanggrahan Jakarta Selatan Tahun 2020
Authors: Pratama Ilham , Pratiwi Ayu
Published: November 2020

Tujuan: untuk mengetahui pengaruh efektivitas teknik relaksasi guided imagery terhadap tingkat kecemasan pasien pre operasi di RSUD Pesanggrahan Jakarta Selatan tahun 2020. Desain penelitian: quasi experiment menggunakan rancangan One Group Pretest – Posttest. Sampel diambil dengan menggunakan rumus Slovin dengan jumlah sampel sebanyak 114 responden. Pengambilan sampel menggunakan tehnik Purposive sampling. Penelitian ini menggunakan analisis univariat dan bivariat dengan uji Wilcoxon. Hasil: berdasarkan analisis univariat dari 114 orang, pada pasien pre operasi yang belum diberikan teknik relaksasi guided imagery mayoritas mengalami cemas berat sebesar 39,5%) dan yang sudah diberikan mayoritas cemas ringan sebesar 41,2%. Berdasarkan hasil uji Wilcoxon diketahuii bahwa p value 0,000 yang berarti terdapat perbedaan bermakna antara kelompok pre test dan post test. Kesimpulan: pasien pre operasi yang mengalami kecemasan setelah diberikan teknik relaksasi guided imagery mengalami penurunan tingkat kecemasan. Saran: bagi responden diharapkan dapat menerapkan relaksasi guided imagery sebelum dilakukannya operasi, dikarenakan sudah banyak penelitian yang membuktikan bahwa relaksasi guided imagery dapat menurunkan tingkat kecemasan pasien.
ARSIP DAN RETENSI ANALISIS ISI JADWAL RETENSI ARSIP KEMENTERIAN KETENAGAKERJAAN
Authors: Suprayitno Suprayitno , Sumarno Sumarno
Published: November 2020

This paper aims to find out how many records in the Ministry of Manpower's Records Retention Schedule (JRA) that are to be appraised as archival records or in regular cases having permanent value. By using content analysis method, the results of this study state that there are 177 records series (26.62%) of Ministry of Manpower's Retention Schedule which are stated as permanent. The theoretical implications are against archival theory in general which states that the number of archival records in an organization are roughly 1% to 10%. This high percentage can be attributed to Derrida's ‘archive fever’ concept that both records managers and archivists are afraid of losing memory from the Ministry of Manpower's archival records. This effort to give meaning is temporary because it departs from latest findings and is a limitation of quantitative content analysis methods. It is a must to develop further research among others by using phenomenological method.
Effect of Health Educational Program on Knowledge, Attitude, and Reaction of Pregnant Women Regarding Obstetric and Newborn Danger Signs
Authors: Abd Elmoniem Somaya O. , Ramadan Elham A. , Sarhan Ahlam E. M.
Published: November 2020

Context: Globally, every minute, at least one pregnant woman dies from obstetric complications.  Also, the majority of neonatal deaths occur during the first week of life. These mortality rates can be reduced by increased knowledge, positive attitude, and appropriate reaction regarding obstetric and newborn danger signs.

Aim: of the study was to examine the effect of health education program on knowledge, attitude, and the reaction of pregnant women regarding obstetric and newborn danger signs.

Methods: A quasi-experimental research (pre/post-intervention) design was utilized to achieve this study's aim. A purposive sample of 70 pregnant women was recruited according to inclusion criteria. This research was conducted in the Antenatal Outpatient Clinic at Benha University Hospital. Two tools were used for data collection. They were a Structured Interviewing Questionnaire and a Modified Likert Scale to assess women's attitude.

Results: 77.1% had poor knowledge pre educational program compared by 92.9% post educational program intervention. Regarding attitude, 52.9% had a negative attitude preprogram compared to 87.1% had a positive attitude post-program with a statistically significant difference between the two phases regarding all knowledge elements. The majority of them (83.3%) had an appropriate reaction (seeking medical help) after the educational program than a few of them pre educational program.

Conclusion: The implementation educational program significantly improved pregnant women’s knowledge, attitude, and reaction regarding obstetrics and newborn danger signs. The study recommended developing antenatal classes for all pregnant women about key danger signs, appropriate decisions, and reactions in obstetric and newborn danger signs. Further research regarding replicating this study on a large representative probability sample is highly recommended to achieve more generalization of the results.
Voices and Vacancies in Verse: Metamorphoses and Gendering the Ovidian Soliloquy
Authors: Jain Khushi
Published: November 2020

Abstract
Ovid’s Metamorphoses is a poem saturated with stories and heavy with the most colourful narrative elements. One such is the soliloquy, which Ovid bequeathed to poets and dramatists like Chaucer, Faustus and the Bard. Metamorphoses houses five soliloquies, all, interestingly, in the mouth of female characters. This essay attempts to understand the ‘gendering’ of the soliloquy through its aetiology and implications on the characters, narrative, themes and audiences. Medea, Scylla, Byblis, Myrrha and Atlanta are the only Ovidian soliloquists of Metamorphoses. This puts them in a difficult position, for they are a granted agency and comprehensive selfhoods and characterhoods through the expression of complex psychological interiorities. But at the same time, their identities are suffocated with erroneous rationales, moral didacticisms and tragic endings. The soliloquies operate within the liminality of gender and gendered literary traditions. The essay culminates in an open question: how authentic is the female voice narrated by a male author?
Keywords: monologue, gendering, aetiology, characterhood, narrative, Ovid, Metamorphoses
Does Singing Facilitate Social Bonding?
Authors: Kreutz Gunter
Published: November 2020

Psychobiological effects of amateur choral singing were studied in a naturalistic controlled within-subjects trial. A mixed group of novice and experienced singers (N = 21) filled out brief ad hoc questionnaires of psychological wellbeing and gave samples of saliva for measuring levels of salivary oxytocin, cortisol, and dehydroepiandrosteron (DHEA) at the beginning of 2 rehearsal sessions and 30 minutes later. The singing condition included warm-up vocal exercises and repertoire pieces. In the chatting condition, dyads of participants talked to each other about recent positive life experiences. Within-subjects, repeated measures analysis of variance (ANOVA) on self-reported and physiological measures revealed significant Time X Condition interactions for psychological wellbeing and oxytocin. Comparisons of mean scores showed patterns of changes favouring singing over chatting. There were no significant interactions for cortisol, DHEA as well as for the cortisol-DHEA-ratio. These results suggest that singing enhances individual psychological wellbeing as well as induces a socio-biological bonding response.
Music therapy’s development in mental healthcare: An historical consideration of early ideas and intersecting agents.
Authors: McCaffrey Triona
Published: November 2020

Considering the history and development of music therapy in mental health is important in providing practitioners of the field with an understanding of the context in which the profession has emerged. The shaping of the discipline towards professionalization has involved multiple intersecting agents, ideas and processes over many years. This paper reviews some of the milestones and significant junctures that framed the practice of music therapy in mental health care whilst noting how some of these ingredients have been amplified or diminished over time. The author observes the numerous references to the ‘soul’ and ‘spirit’ along this trajectory and asks if such narratives are being lost in descriptions of contemporary music therapy practice in mental health.
Bridging Familiarity with Unfamiliarity: The Use of Music Therapy to Normalize the Pediatric Hospital Environment
Authors: Vernisie Shawna N.
Published: November 2020

This article explores how music therapy can help to normalize the hospital environment for pediatric patients regardless of their acute or long-term status. Many different facets of how normalization can be utilized through music therapy are explained, as well as some case examples to further demonstrate these circumstances. The main concept of this article is to reflect upon how normalization of the hospital environment, via music therapy, may provide pediatric patients with an opportunity to explore their healthy selves rather than focusing on their illness or medical ailments. Case vignettes are also provided to enlighten the many facets of normalization and show how music therapy may offer unique ways of accessing feelings of normalization.
Music Making Interventions with Adults in the Forensic Setting – A Systematic Review of the Literature – Part I: Group Interventions
Authors: Vrancic Coutinho Biljana , Hansen Anita Lill , Waage Leif , Hillecke Thomas K. , Koenig Julian
Published: November 2020

The purpose of this systematic review of international research is to summarize the available literature on active music making interventions with adult offenders in forensic settings (i.e. forensic psychiatry or correctional facilities at different security levels). A systematic search of 13 electronic databases according to the Preferred Reporting Items for Systematic Reviews and Meta- Analysis (PRISMA) statement was employed. 28 articles fitting the inclusion criteria were included in the review. The search revealed mainly qualitative and narrative reports including articles on group music therapy, educational music making, choir interventions, individual music therapy sessions and musical projects. The musical interventions are described in detail to provide therapists with ideas on how to set up session with clients in this particular situation and to help understand the possible impact of musical interventions in the forensic setting. Furthermore, implications from the current evidence and ideas for future research are discussed. Note: Due to the length of the review it is published in two subsequent issues. This is the first part of the review focusing on group interventions. The second part of the review is published in the subsequent issue of Music and Medicine focusing on case studies and established music programs in the forensic setting.
Another Word on Ethics...
Authors: Spintge Ralph , Loewy Joanne V.
Published: November 2020

There can be observed today a rapidly growing discussion about credit for scientific discoveries. Every person involved in scientific work and publishing knows about that issue...
Gender Differences in Psychophysiological Responses to Music Listening
Authors: Gupta Uma , Gupta B. S.
Published: November 2020

AbstractThis study presents a comparative account of psychophysiological responses to music listening in healthy males and females. The stimulus material was a slow-paced taped rāga Desi-Todi on a flute. The participants listened to music for 30 minutes a day, for 20 days. Pre- and post-treatment procedure was adopted for assessments on psychophysiological measures. The study supports the following conclusions: (1) music listening produced significant decreases in the blood pressure (both systolic and diastolic) and heart rate of females, but had no significant effect in males; (2) music listening reduced stress, anxiety and depression, enhanced life satisfaction, optimism and hope, and was perceived as making life more meaningful in males and females; (3) the effects of music listening, that is, reduction in negative affect, enhancement of positive affect (except the ‘hope’ scores), and decrease in blood pressure and heart rate, were more intense in females than males.Keywords: music listening, gender differences, psychophysiological responses, negative affect, positive affect, blood pressure, heart rateFrenchDifférences en fonction du sexe des réactions psycho- physiologiques à l’écoute musicaleCette études présente un compte-rendu comparatif des réactions psycho- physiologiques à l’écoute musicale par des hommes et des femmes sains. Le matériel sonore de stimulation était l’enregistement d’un motif lent joué à la flute dans le style Raga (Desi-Todi). Les participants ont écouté cette musique à raison de 30 mn par jour pendant 20 jours. Une procédure a été adoptée pour évaluer les mesures psycho-physiologiques en pré et post-traitement. L’étude soutient les conclusions suivantes : (1) l’écoute musicale a produit une baisse significative de la pression artérielle (diastolique et systolique) et de la fréquence cardiaque chez les femmes, mais n’a pas eu d’effet significatif chez les hommes; (2) l’écoute musicale a réduit le stress, l’anxiété et la dépression, amélioré le sentiment de satisfaction, d’optimisme et d’espérance, et a été perçue comme rendant la vie plus riche de sens chez l’homme et la femme; (3) les effets de l’écoute musicale, c’est-à-dire la réduction des effects négatifs, l’amélioration des effets positifs (à l’exception des résultats concernant l’espérance), et la diminution de la pression sanguine et de la fréquence cardiaque étaient plus intenses chez les femmes que chez les hommes.Mots clés :écoute musicale, différence sexuelle, réactions psycho-physiologiques, effet négatif, effet positif, pression artérielle, fréquence cardiaque
Public Broadcasting in Africa Series: Zimbabwe
Authors: Chiumbu Sarah
Published: November 2020

This report is the result of research that started in 2008 with the aim of collecting, collating and writing up information about regulation, ownership, access, performance as well as prospects for public broadcasting reform in Africa. The Zimbabwe report is part of an 11-country survey of African broadcast media, evaluating compliance with the agreements, conventions, charters and declarations regarding media that have been developed at regional and continental levels in Africa.
Going to University: The Influence of Higher Education on the Lives of Young South Africans
Authors: Case Jennifer M , Marshall Delia , McKenna Sioux , Mogashana Disaapele
Published: November 2020

Around the world, more young people than ever before are attending university. Student numbers in South Africa have doubled since democracy and for many families, higher education is a route to a better future for their children. But alongside the overwhelming demand for higher education, questions about its purposes have intensified. Deliberations about the curriculum, culture and costing of public higher education abound from student activists, academics, parents, civil society and policy-makers. We know, from macro research, that South African graduates generally have good employment prospects. But little is known at a detailed level about how young people actually make use of their university experiences to craft their life courses. And even less is known about what happens to those who drop out. This accessible book brings together the rich life stories of 73 young people, six years after they began their university studies. It traces how going to university influences not only their employment options, but also nurtures the agency needed to chart their own way and to engage critically with the world around them. The book offers deep insights into the ways in which public higher education is both a private and public good, and it provides significant conclusions pertinent to anyone who works in and cares about universities.
Analysis of Compliance with the Implementation of Medicines Standards by Pharmaceutical Staff at the Dr. Tadjuddin Chalid Central Public Hospital Makassar
Authors: Wiguna Paramita Kurnia , Noor Noer Bahry , Amqam Hasnawati
Published: November 2020

Medication errors are incidents that are detrimental to patients due to handling by health workers (human error) which is preventable. This study aims to analyze the application of drug administration standards by the pharmacy staff at Dr. Tadjuddin Chalid Makassar. This type of research is a combination research method (Mixed Methods) using the Sequential Explanatory model. The informants of this research were the pharmacy staff of the Central General Hospital (RSUP) dr. Tadjuddin Chalid Makassar. The results showed that the pharmacist's lack of accuracy was like a misreading of the doctor's writing. It is recommended that the hospital management conduct special training on the implementation of good drug administration standards and according to the SOP for drug administration, involving all health workers (doctors, nurses, pharmacists). Then conduct socialization of standard drug delivery SOPs and conduct regular evaluations (once a month) by including all officers related to drug administration.
THE STATUS AND DEVELOPMENT PROSPECTS OF THE MINING MINERAL RESOURCE BASE IN MAURITANIA
Authors: Girfanov M. M. , Istomin V. A. , Kotelnikov E. E. , Tretyakova I. G. , Vasilchenko V. Yu. , Sagadeeva G. M.
Published: November 2020

General information on the geology and mineral economics of Mauritania is briefly summarized. The status and prospects of the national mining mineral resource base (iron ore, gold, copper, etc.) are reviewed.
ESTIMATION PARAMETERS OF POTENTIAL VERESOBORSKY MASSIF AREAS PRODUCTIVITY FOR PRIMARY Pt MINERALIZATION, MIDDLE URALS
Authors: Motov A. P. , Malakh Yu. E.
Published: November 2020

The analysis of statistically representative material of lithochemical sampling within Veresoborsky dunite massif revealed a group of correlating chemical elements (Cr, Mn, Co, Ni, Bi, Sn, W, Zn) whose accumulation trend coincides with that of Pt. The established pattern enables proposing criteria of comparative evaluation regarding primary Pt mineralization productivity of local areas (0,5-3 km2) in both Veresoborsky massif and its counterparts composed of the Urals Kachkanarsky complex (υO3k) rocks.
SUSTENTABILIDADE EM TEMPOS DE PANDEMIA (COVID-19)
Authors: Machado Andreia de bem , Richter Marc Francois
Published: November 2020

A natureza é conectada com o ser humano, pois o que ocorre localmente pode gerar efeitos em nível global e é isso que percebemos quando ocorrem grandes catástrofes. Sendo assim, o objetivo do presente artigo foi analisar as relações entre a pandemia (COVID-19) e a sustentabilidade na visão das pessoas e das empresas. Para tanto, realizou-se a revisão integrativa a partir de uma busca sistemática na base de dados Scopus. Como resultado, identificou-se que a pesquisa emerge no campo de Medicamentos, Ciências Sociais, Negócios, Gestão e Contabilidade, Ciência da Computação, Energia, Engenharia e Profissões da área da Saúde.
TURNOVER NAS COOPERATIVAS DE RECICLAGEM DE RESÍDUOS URBANOS – UM OLHAR SOBRE AS MULHERES DESTE SEGMENTO
Authors: Telesi Pacheco Conceição Joelma , Magera Conceição Márcio
Published: November 2020

Este trabalho é sobre a precarização e turnover de um conjunto de cooperativas de resíduos urbanos sitiadas no Estado de São Paulo. O método da pesquisa foi a fenomenologia hermenêutica, mitigada pelas entrevistas realizacas com as cooperadas que deixaram as cooperativas. O abandono do trabalho nestas unidades analisadas emergiram a insatisfações vivenciadas por estes agentes. Fica evidenciado no estudo os elementos que contribuem para o alinhamento da gestão organizacional para compreender tais fatores.
INFLUÊNCIA NA ARRECADAÇÃO DE TRIBUTOS MUNICIPAIS COM A ATUALIZAÇÃO DO CADASTRO IMOBILIÁRIO
Authors: Cavalcanti Marcelo , Rodrigues Joici lilian rodrigues , Homem Karini Regina Homem , Cassaro Edna Cassaro
Published: November 2020

A necessidade de tributação municipal mais justa e precisa no que concerne uma correta arrecadação de tributos, foi o que trouxe à tona o estudo em questão. Destarte objetivou-se analisar a atualização cadastral imobiliária, como um instrumento tecnológico para a modernização da administração municipal.  Na tentativa de promover o aumento da arrecadação tributária para o município de União do Oeste/SC. Para atender a esse propósito, a metodologia utilizada foi com método quantitativo e descritivo, através de uma pesquisa documental. Consequentemente a coleta de dados, utilizou-se do sistema tributário municipal Betha Sistemas e do Google Maps.