bluuebunny/crossref_metadata_2025 huggingface dataset:
Consumer-Grade Wearable Device for Predicting Frailty in Canadian Home Care Service Clients: Prospective Observational Proof-of-Concept Study
Authors: Kim Ben , McKay Sandra M , Lee Joon
Published: September 2020

Background

Frailty has detrimental health impacts on older home care clients and is associated with increased hospitalization and long-term care admission. The prevalence of frailty among home care clients is poorly understood and ranges from 4.0% to 59.1%. Although frailty screening tools exist, their inconsistent use in practice calls for more innovative and easier-to-use tools. Owing to increases in the capacity of wearable devices, as well as in technology literacy and adoption in Canadian older adults, wearable devices are emerging as a viable tool to assess frailty in this population.

Objective

The objective of this study was to prove that using a wearable device for assessing frailty in older home care clients could be possible.

Methods

From June 2018 to September 2019, we recruited home care clients aged 55 years and older to be monitored over a minimum of 8 days using a wearable device. Detailed sociodemographic information and patient assessments including degree of comorbidity and activities of daily living were collected. Frailty was measured using the Fried Frailty Index. Data collected from the wearable device were used to derive variables including daily step count, total sleep time, deep sleep time, light sleep time, awake time, sleep quality, heart rate, and heart rate standard deviation. Using both wearable and conventional assessment data, multiple logistic regression models were fitted via a sequential stepwise feature selection to predict frailty.

Results

A total of 37 older home care clients completed the study. The mean age was 82.27 (SD 10.84) years, and 76% (28/37) were female; 13 participants were frail, significantly older (P<.01), utilized more home care service (P=.01), walked less (P=.04), slept longer (P=.01), and had longer deep sleep time (P<.01). Total sleep time (r=0.41, P=.01) and deep sleep time (r=0.53, P<.01) were moderately correlated with frailty. The logistic regression model fitted with deep sleep time, step count, age, and education level yielded the best predictive performance with an area under the receiver operating characteristics curve value of 0.90 (Hosmer-Lemeshow P=.88).

Conclusions

We proved that a wearable device could be used to assess frailty for older home care clients. Wearable data complemented the existing assessments and enhanced predictive power. Wearable technology can be used to identify vulnerable older adults who may benefit from additional home care services.
Telemedicine Awareness, Knowledge, Attitude, and Skills of Health Care Workers in a Low-Resource Country During the COVID-19 Pandemic: Cross-sectional Study
Authors: Elhadi Muhammed , Elhadi Ahmed , Bouhuwaish Ahmad , Bin Alshiteewi Fatimah , Elmabrouk Amna , Alsuyihili Ali , Alhashimi Ayiman , Khel Samer , Elgherwi Alsafa , Alsoufi Ahmed , Albakoush Ahmed , Abdulmalik Abdulmuez
Published: September 2020

Background

Since the onset of the COVID-19 pandemic, several health care programs intended to provide telemedicine services have been introduced in Libya. Many physicians have used these services to provide care and advice to their patients remotely.

Objective

This study aimed to provide an overview of physicians’ awareness, knowledge, attitude, and skill in using telehealth services in Libya.

Methods

In this cross-sectional study, we administered a web-based survey to health care workers in Libya in May 2020. The questionnaire collected information on physicians’ general demographic characteristics, ability to use a computer, and telemedicine awareness, knowledge, attitude, and skills.

Results

Among 673 health care workers who responded to the survey, 377 (56%) and 248 (36.8%) reported high awareness and high computer skill scores, respectively, for telemedicine. Furthermore, 582 (86.5%) and 566 (82.6%) health care workers reported high knowledge and high attitude scores, respectively. We observed no significant differences in awareness, knowledge, attitude, and skill scores among physicians employed at public, private, or both types of hospitals. We observed significant differences in the mean awareness (P<.001), attitude (P=.001), and computer skill scores (P<.001) , where the score distribution of the groups based on the ability to use computers was not similar. Knowledge scores did not significantly differ among the three groups (P=.37). Respondents with professional computer skills had significantly higher awareness (χ23=14.5; P<.001) and attitude (χ23=13.5; P=.001) scores than those without professional computer skills. We observed significant differences in the mean computer skill scores of the groups (χ23=199.6; P<.001).

Conclusions

The consequences of the COVID-19 pandemic are expected to persist for a long time. Hence, policy programs such as telemedicine services, which aim to address the obstacles to medical treatment owing to physical distancing measures, will likely continue for a long time. Therefore, there is a need to train and support health care workers and initiate government programs that provide adequate and supportive health care services to patients in transitional countries.
Can Disinfection Robots Reduce the Risk of Transmission of SARS-CoV-2 in Health Care and Educational Settings?
Authors: Cresswell Kathrin , Sheikh Aziz
Published: September 2020

We explore the opportunities and challenges surrounding the use of disinfection robots to reduce the risk of SARS-CoV-2 transmission in health care and educational settings. Although there is some potential for deploying robots to help with manual cleaning, the evidence base is mixed, and we highlight that there needs to be work to establish and enhance the effectiveness of these robots in inactivating the virus.
Edward Said, la periferia y el humanismo, o tácticas para trascender el posmodernismo
Authors: Figueroa José Arturo
Published: September 2020

En este artículo propongo una indagación en torno al valor del humanismo en su obra, mediante el recorrido por ciertas rutas intelectuales que nos llevan a situarlo en las antípodas del posmodernismo. Para esto quisiera mostrar cómo en su obra se encuentra una paradoja intelectual y política que podría arrojar frutos insospechados en el diseño de agendas académicas y políticas en países sometidos a experiencias coloniales, como sucede con los latinoamericanos. La paradoja a la que me refiero es a la coexistencia en la obra de Said de elementos teóricos y políticos fundacionales del posmodernismo junto al humanismo. El humanismo, sabemos, es el principal blanco de las críticas posmodernas y el objeto teórico y político que los posmodernos se han propuesto destruir.
Mejorar la escritura de la investigación cualitativa, de Harry Wolcott
Authors: Salazar Arenas Óscar Iván
Published: September 2020

Reseña escrita por Óscar Iván Salazar
Power, community and the State. The political anthropology of organisation in Mexico, de Monique Nuijten
Authors: Torres Mazuera Gabriela
Published: September 2020

Reseña escrita por Gabriela Torres Mazuera
Editorial. Presente y futuro de la Revista Colombiana de Antropología
Authors: Chaves Margarita , Zambrano Marta
Published: September 2020

En junio de 1953, cuando se fundó la revista colombiana de antropología, el editorial que abría la nueva publicación se tituló “Pasado y futuro de nuestra antropología”. Este texto introductorio señalaba de manera explícita el inicio de una nueva época del antiguo Instituto Etnológico Nacional y de sus publicaciones. Por una parte, reconocía la trayectoria iniciada por Justus Shoteliuss y Paul Rivet y sus contribuciones, y, por otra, indicaba la necesidad de reconstituir la disciplina mediante la reorganización institucional y educativa. Queremos retomar el espíritu de ese primer editorial para avizorar el futuro de la antropología colombiana a partir de la publicación que en gran medida la ha representado.
El cuerpo subordinado y politizado: reflexión crítica sobre género y antropología médica
Authors: Tovar Patricia
Published: September 2020

El artículo evalúa el impacto social de la medicina en los cuerpos de las mujeres y construye un panorama sobre la salud tan cercano como sea posible a la realidad social. Muestra cómo los desarrollos de la medicina afectan a las mujeres de forma diversa, lo cual apenas comienzan a tener en cuenta quienes investigan, practican la medicina o diseñan las políticas públicas. Contiene un recuento de los estudios realizados desde la antropología médica en Colombia y cómo han visto el género y la reproducción. Continúa con una crítica de la medicina, no cómo una historia de éxito que nos llevará a la cura de todas las enfermedades, sino desde su lado oscuro, que en vez de beneficiar afecta a las mujeres de manera negativa. Se refiere, específicamente, al caso de la medicina cosmética con ánimo de lucro. El análisis termina con una mirada a la violencia, doméstica y social, y a su impacto en la salud pública.
Conversaciones inconclusas, de Paul Sullivan
Authors: Torres-Mazuera Gabriela
Published: September 2020

Reseña escrita por Gabriela Torres-Mazuera
ANÁLISE DA FORMAÇÃO CONTINUADA E PERMANENTE DOS PROFISSIONAIS DE ENFERMAGEM DE NÍVEL TÉCNICO DA ATENÇÃO BÁSICA DE UM MUNICÍPIO DO VALE DO TAQUARI/RS
Authors: Guidoni Carina , Ahlert Edson Moacir
Published: September 2020

A educação continuada proporciona o desenvolvimento de competências profissionais, ao longo da trajetória profissional, enquanto a educação permanente tem por objetivo desenvolver as competências de forma interdisciplinar, utilizando a prática como fonte do conhecimento e colocando o profissional para atuar ativamente no processo educativo. Este estudo analisa a formação continuada e permanente dos profissionais de enfermagem de nível técnico que atuam na atenção básica de um município do Vale do Taquari/RS e sugere a utilização de novas metodologias de ensino e aprendizagem no processo de educação permanente. Foi realizada uma pesquisa de caráter descritivo, com abordagem qualitativa; os dados foram obtidos por meio de questionário semiestruturado e após foram analisados conforme a técnica de análise de conteúdo proposta por Bardin, a qual envolve três etapas: pré-análise, exploração do material e tratamento dos resultados obtidos e inferência e interpretação. Como resultados do estudo surgiram três categorias analíticas: “ Importância do processo de Educação Continuada, aporte para o exercício da profissão, facilidades e dificuldades de acesso”, “Práticas de Educação Permanente desenvolvidas na instituição, metodologias utilizadas e participação dos profissionais” e “Avaliação e sugestões para qualificação do processo”. Como resultados do estudo evidenciou-se que o processo de educação permanente realizado pela instituição possui algumas lacunas e sugeriu-se a introdução de metodologias ativas de ensino e aprendizagem para a qualificação do processo.
METODOLOGIAS ATIVAS NOS CURSOS TÉCNICOS DE ADMINISTRAÇÃO: REVISÃO INTEGRATIVA
Authors: Maman Luana De , Schorr Maria Claudete
Published: September 2020

O uso das Metodologias Ativas está cada vez mais presente no ensino, tendo em vista a formação de um estudante ativo e protagonista de seu processo de aprendizagem. Diante disso, este artigo apresenta uma revisão integrativa sobre a utilização das Metodologias Ativas nos cursos Técnicos de Administração sob a concepção da literatura científica. Para a revisão integrativa utilizou-se a base de dados do portal de periódicos da Universidade do Vale do Taquari (Univates) e a base de dados da Scientific Electronic Library Online (Scielo). Para seleção dos estudos, os critérios de inclusão utilizados foram os artigos que apresentaram na íntegra abordagem das técnicas de metodologias ativas na área de educação profissional, selecionando-se para análise do conteúdo sete artigos. Entre os principais resultados encontrados ressalta-se a postura ativa e crítica que os estudantes adotam por meio das metodologias ativas aplicadas, além de desenvolver a autonomia, criatividade, tomada de decisão, troca de experiências e participação ativa. A partir deste resultado conclui-se a importância da inclusão das metodologias ativas nas práticas pedagógicas por parte dos docentes, favorecendo a formação de profissionais técnicos qualificados e bem preparados para o mercado de trabalho.
A AFETIVIDADE NOS ANOS INICIAIS DA EDUCAÇÃO BÁSICA: REVISÃO DE LITERATURA
Authors: Souza Gilma Helena , De Paula Thatiany , Esper Marcos Venicio
Published: September 2020

Este artigo discute o tema afetividade no processo ensino aprendizagem na educação infantil, apresentando por meio de pesquisas bibliográficas, a visão de pensadores e pesquisadores, que tratam da importância do afeto para o desenvolvimento cognitivo da criança nos anos iniciais da educação básica. Essa questão motivou o questionamento: Como o relacionamento afetivo entre professor e aluno dos anos iniciais da Educação Básica pode contribuir para a aprendizagem? Uma das hipóteses prevê que, quando o professor estabelece um vínculo com seus alunos, estará contribuindo para a formação integral das crianças nos anos iniciais da Educação Básica. Tem como objetivo geral analisar a importância da afetividade no relacionamento entre docente e discente, na educação infantil. A metodologia deste trabalho é a pesquisa bibliográfica de natureza qualitativa. A hipótese foi confirmada, pois segundo os autores pesquisados, a afetividade é importante na formação da criança no cenário educacional, sendo um elo entre professor e aluno, e tem como base o respeito mútuo e a interação afetiva.
O SECRETÁRIO ESCOLAR DA EDUCAÇÃO PÚBLICA DO DISTRITO FEDERAL
Authors: Costa Neto Antonio Gomes da
Published: September 2020

O presente artigo versa sobre o secretário escolar, a partir da Lei de Diretrizes e Bases da Educação Nacional (LDB), por força de lei (12.014/2009), a qual incluiu os trabalhadores da educação não docentes como profissionais da educação escolar básica e sua relação com a profissão do Secretário (7.377/1985), a partir da análise do Secretário Escolar da Carreira Pública do Distrito Federal. A metodologia utilizada é qualitativa, exploratória por meio de análise documental e documentos fornecidos pela da Lei de Acesso a Informação (LAI). Os resultados alcançados revelam a invisibilidade e a desvalorização do Secretário Escolar, além da necessidade de inclusão do Secretariado Executivo na categoria de profissionais da educação.
SCIENTIFIC FUNGAL REPORT OF MOLDY JEANS IN INDONESIA
Authors: Putra Ivan Permana
Published: September 2020

Mold are multicelular -microscopic fungi known as heterotrophic-cosmopolitan organism which exist almost at any place in the environment. Textiles, particularly those composed of natural organic such as jeans are easily colonized by mold. Till time, there is no report ever found regarding fungal of moldy jeans in Indonesia. This study aimed to isolate fungi from moldy jeans, identified, and described it. The result revealed that the isolate studied was Chaetomium globosum, by using several macroscopic and microscopic characters. However, since Chaetomium are known as species complex fungi, further observation is needed using molecular approach. Therefore, author consider that the isolate  should be treated as Ch. globosum  sensu lato for time being. Interestingly, Ch. globosum was frequently reported as endophytic fungi, which pose the potency to be used as biocontrol and bioinducer in agriculture. Further research is needed to test the isolate potency  as plant pathogenic biocontrol and plant growth inducer.
Strategic investment decisions and ownership structure: An exploratory study in Egypt
Authors: Elmassri Moataz , Abdelrahman Mahmoud
Published: September 2020

This paper examines how strategic investment decisions (SIDs) are made in the Egyptian context. There is an increasing call to comprehensively explore how social, economic, political, cultural, and organisational influences impact managerial judgement in SID making. In doing so, this paper takes an ontological perspective to understand how SIDs are really made. Given the uncertainty of the political and social climate and the radical changes that have taken place in Egypt, this paper provides a unique opportunity to investigate how SIDs are made in a revolution space. The contextual emphasis leads to a qualitative, interpretive research methodology. Twenty-seven unstructured interviews were conducted from national-owned and multinational companies in Egypt. Twelve organisations out of the twenty-seven that were interviewed were working for multinational organisations, thirteen of them were working for nationally owned organisations and the remaining two are joint venture companies. We found that the uncertainty embedded in the contextual structures cannot be translated through abstracted technical investment appraisal methods, so the role of subjective judgments and personal intuition is emphasized in the making of SIDs. Although both national and multinational companies indicate that in the time of revolution it is more rational to rely on personal trust rather than system trust. We found that multinational organizations push their Egyptian subsidiaries to articulate technical methods as a taken-for-granted practice, whether it is deemed meaningful or not.
Relationship between diabetic retinopathy stages and risk of major lower-extremity arterial disease in patients with type 2 diabetes
Authors: Foussard Ninon , Saulnier Pierre-Jean , Potier Louis , Ragot Stéphanie , Schneider Fabrice , Gand Elise , Monlun Marie , Baillet-Blanco Laurence , Velho Gilberto , Marre Michel , Roussel Ronan , Rigalleau Vincent , Mohammedi Kamel , Hadjadj Samy , Group the SURDIAGENE Study
Published: September 2020

Objective. We evaluated the
association between diabetic retinopathy stages and lower-extremity arterial disease (LEAD), its
prognostic value, and the influence of potential contributors in this
relationship in a prospective cohort of patients with type 2 diabetes.

Research
design and methods. Diabetic retinopathy was staged at baseline as absent,
non-proliferative or proliferative. Cox regression model was fitted to compute
HR (95% CI) for major LEAD (lower-limb amputation
or revascularization) during follow-up by baseline retinopathy stages.
Retinopathy-LEAD association was assessed in subgroups by age, gender, diabetes
duration, HbA1c, systolic blood pressure, diabetic kidney disease, smoking, and
macrovascular disease at baseline. The performance of retinopathy to stratify LEAD
risk was assessed using c-statistic, integrated discrimination improvement (IDI) and net reclassification
improvement (NRI).

Results. Among 1320 participants without a baseline history of LEAD, 94 (7.1%)
patients developed a major LEAD during a
7.1-year median follow-up (incidence rate 9.6,
95%CI [7.8–11.7] per 1000 person-years). The LEAD incidence rate increased by worsening
retinopathy: absent 5.5 (3.9–7.8),
non-proliferative 14.6 (11.1–19.3), proliferative 20.1 (11.1–36.3) per 1000
person-years. Compared with
absent retinopathy, non-proliferative (multi-adjusted HR 2.31, 95%CI [1.43–3.81],
p=0.0006) and proliferative retinopathy (3.14 [1.40–6.15], p=0.007) remained
associated with major LEAD. No heterogeneity was observed across subgroups.
Retinopathy enhanced c-statistic (+0.023 [0.003–0.044], p=0.02), IDI (0.209 [0.130 – 0.321], p<0.001) and NRI (0.562
[0.382–
0.799], p<0.001) for LEAD risk, beyond traditional risk factors.

Conclusions. An independent dose-response relationship was observed
between diabetic retinopathy
stages and major LEAD. Retinopathy yielded incremental prognostic information for LEAD risk stratification,
suggesting its usefulness as LEAD predictor.
HOW TO TEACH A MODERN SCHOOL STUDENT
Authors: Поздеева Светлана Ивановна
Published: September 2020

Выделены профессиональные затруднения педагогов и учебные затруднения младших школьников, актуализированные режимом тотального дистанционного обучения, вызванного распространением COVID-19. Делается вывод о недостаточной сформированности у детей регулятивных и познавательных УУД, что повлекло за собой учебную беспомощность ребенка. Причина этого – отсутствие у педагогов фокусировки на формировании умения учиться и взаимосвязи между предметными и универсальными учебными действиями. Приводятся рассуждения о том, почему дистанционное обучение не может быть базовой формой в начальной школе: вредное влияние на здоровье ребенка, разрушение общекультурных навыков, технологические риски, разрушение живых контактов со взрослыми и другими детьми. Показано, как изменилась дидактическая схема урока и профессиональные функции учителя: с посреднической на организационно-методическую. Выделены главные особенности онлайн-урока и типичные ошибки учителей при его проведении. Раскрывается, как можно привлечь родителей к реализации разных моделей взаимодействия с ребенком в условиях домашнего обучения, как изменится традиционный урок благодаря получению педагогами опыта интенсивного дистанционного обучения в начальной школе, какие дидактические и методические аспекты станут актуальными.

The professional difficulties of teachers and the educational difficulties of primary schoolchildren, updated by the regime of total distance learning caused by the spread of COVID-19, are highlighted. The author concludes that regulatory and cognitive UUD are insufficiently formed in children, which entailed the educational helplessness of the child. The reason for this is the lack of focus on educators on the formation of the ability to learn and the relationship between subject and universal educational activities. The author discusses why distance learning cannot be the basic form in elementary school: the harmful effects on children’s health, the destruction of general cultural skills, technological risks, the destruction of living contacts with adults and other children. The author shows how the didactic scheme of the lesson and the professional functions of the teacher have changed: from intermediary to organizational and methodological. The main features of the online lesson and the typical mistakes of teachers during its conduct are highlighted. It is shown how it is possible to attract parents to the implementation of different models of interaction with the child in home schooling. The author predicts how the traditional lesson will change due to the teachers getting the experience of intensive distance learning in elementary school, which didactic and methodological aspects will become relevant.
INTEGRASI MEDIA SOSIAL DALAM PEMBELAJARAN GENERASI Z
Authors: Nasution Awal Kurnia Putra
Published: September 2020

Kemajuan teknologi informasi saat ini sudah merambah semua sector di dunia pendidikan, tak terkecuali pengajar dan siswa. Siswa yang saat ini merupakan generasi z sangat aktif dalam menggunakan media sosial, dari fakta tersebut penulis merasa perlu untuk mengintegrasikan media sosial ke dalam pembelajaran generasi z. Artikel ini akan membahas media sosial apa saja yang dapat diintegrasikan dalam pembelajaran generasi z, serta bagaimana cara mengintegrasikannya. Metodologi penelitian yang digunakan yaitu gabungan antara library research serta pengalaman penulis dalam menggunakan media sosial ini dalam pembelajaran. Media sosial yang bisa diintegrasikan kedalam pembelajaran generasi z yaitu Facebook, whatsapp, twitter, dan instagram. Pemilihan ini didasarkan pada populernya aplikasi media sosial di kalangan generasi z, dan semua generasi z menggunakannya. Adapun cara mengintegrasikan media sosial kedalam pembelajaran generasi z, yaitu dengan cara memanfaatkan media sosial facebook, whatsapp, twitter, dan instagram sebagai media pembelajaran. Pada prakteknya media sosial ini dapat digunakan sebagai virtual class, wadah diskusi, wadah berbagi bahan pelajaran, berbagi video dan gambar, serta berbagi link informasi seputar pelajaran.
AUDIT SISTEM INFORMASI AKADEMIK MENGGUNAKAN METODE COBIT 5
Authors: Rahayu Tri , Matondang Nurhafifah , Hananto Bayu
Published: September 2020

Tujuan penelitian ini mengukur tingkat kematangan  dan penerapan kinerja teknologi informasi dalam mengimplementasikan Sistem Informasi Akademik (SIAKAD) pada Universitas Pembangunan Nasional “Veteran” Jakarta (UPNVJ) karena melihat saat ini pemanfaatan belum maksimal dalam pemanfaatan TI dari segi perencanaan, pelaksanaan dan pengawasannya. Metode untuk mengukur tingkat kematangan menggunakan metode COBIT 5 dan hasil yang diperoleh berfokus pada 5 domain yaitu proses Deliver, Service and Support dalam TI UPNVJ terdapat pada level ke 3 dengan nilai 2,80 dan memiliki gap sebesar 1,20. Hasil pada  domain Evaluate , Direct and Monitor, Align, plan and organize , Build, Aquire and implement , BAI04 dan Monitor, Evaluate dan Assess dalam TI UPNVJ memiliki level 2 dengan nilai 2.00 dan memiliki gap sebesar 2.00 serta pada hasil Capability Level berdasarkan dari keseluruhan 5 domain proses memiliki nilai 2,20 dan gap sebesar 1,80, berdasarkan dari level target yang ditetapkan yaitu capability level 4.00.
Pengembangan Aplikasi Kesehatan Berbasis Mobile Untuk Pemantauan Deteksi Dini Tumbuh Kembang (DDTK) Anak Usia 4-6 Tahun
Authors: Wulandari Heny , Pangastuti Ratna
Published: September 2020

Penelitian bertujuan untuk mengembangkan aplikasi kesehatan berbasis mobile untuk pemantauan deteksi dini tumbuh kembang (DDTK) anak usia 4-6 tahun. Rancangan penelitian mengacu pada modifikasi model pengembangan Borg and Gall. Penelitian ini dilakukan di Taman Kanak-Kanak. Subjek penelitian merupakan anak TK usia 4-6 tahun dan guru. Data dikumpulkan melalui pengisian kuisioner untuk guru TK. Analisis data dilakukan secara deskriptif kuantitatif. Hasil penelitian membuktikan bahwa aplikasi kesehatan berbasis mobile untuk pemantauan deteksi dini tumbuh kembang (DDTK) anak usia 4-6 tahun yang dikembangkan efektif digunakan.
Filosofia africana para afrorreferenciar o currículo e o pertencimento
Authors: Machado Adilbênia Freire , Petit Sandra Haydée
Published: September 2020

Este artigo pretende trazer alguns pontos de partidas para um currículo afrorreferenciado e que possa potencializar o pertencimento de cada um, cada uma de nós. Para isso, trabalhamos com a filosofia africana e a filosofia do encantamento, apresentando experiências de práticas curriculares afrorreferenciadas, especialmente desde a pretagogia e os marcadores das africanidades. Concluímos que os conteúdos e a(s) forma(s) de transmissão precisam andar juntos, não mais de forma hierarquizada e bancária, mas preferencialmente iniciática, no seu sentido amplo.
La Nada
Authors: Iturbe Jabaloyes Álvaro
Published: September 2020

Este trabajo ha sido seleccionado en la VII Olimpiadas de filosofía de Málaga que organiza FICUM en la modalidad de secundaria y bachillerato, donde obtuvo el primer premio.
El respeto por los demás en el marco de la discusión Frankfurt-Raz
Authors: Aragón Aranda Gabriel
Published: September 2020

El presente trabajo tiene por objeto estudiar analíticamente la cuestión del respeto atendiendo a su relevancia dentro de la filosofía moral. Para ello nos centraremos en la perspectiva aportada por Harry G. Frankfurt, subsidiaria, en alguna medida, del esclarecimiento previo que realizó a propósito del igualitarismo. Las tesis de Frankfurt serán, posteriormente, contrastadas con el comentario y la disquisición propia que realiza, a propósito del texto de dicho autor, Joseph Raz. Finalmente, tras analizar el diálogo establecido, extraeremos conclusiones respecto al estado de la cuestión y tomaremos posición al respecto dentro de la misma.
Nuria Claver: una poética del corazón recóndito de la luz
Authors: Ciria Alberto
Published: September 2020

En la oscuridad no se ven las cosas, pero la oscuridad misma sí que es visible, mientras que la luz, bajo la que todo que se ve, es ella misma invisible. La iluminante «luz de noche» es un vacío transparente que puede llegar a conocerse con un tipo de conocimiento, llamado «hábito», que recuerda a la memoria.
Motivation in second language acquisition among learners in Malaysia
Authors: Sorayyaei Azar Ali , Tanggaraju Darshini
Published: September 2020

Lack of motivation is the critical factor which affects university students’ learning process in Malaysia. Hence, this study is an attempt to investigate the types of motivation which Bachelor students used in learning English at one of the private universities in Malaysia. It was also analysed to determine the motivational level of the Bachelor students who learn English as a Second Language (ESL). This study used a quantitative method where the data was collected through the questionnaire adapted from Gardner’s (1972) Attitude, Motivation Test Battery (AMTB). The questionnaire was distributed to 150 students and the data was analysed quantitatively. The findings showed that the majority of the Bachelor students were instrumentally motivated towards learning ESL. The result concerning the level of motivation showed that the students had a high level of instrumental motivation for learning English, compared to integrative, resultative, and intrinsic ones. Yet, it is also apparent that all four types of motivation are at a high motivational level. Based on the findings, a few suggestions were highlighted. First, the lecturers should always design a classroom environment that promotes students’ motivation towards learning ESL. Second, students should be given more opportunities to visit other English native countries under Global Learning Programmes (GLP). In that case, teachers or lecturers of ESL should promote all types of motivation in the classroom and guide students towards achieving goals.
Representation of ecocriticism in the folklore of Mak Ungkai spirit
Authors: Arianto Tomi , Simanjuntak Dairi Sapta
Published: September 2020

The purpose of this qualitative study is to analyze the relationship between human and nature behind the story of Mak Ungkai by using the ecocritical approach. The informants in this study are the native Malay people who live in Tanjung Kertang village, Batam, Indonesia. They were determined by looking at relevant backgrounds based on the research theme: they are the Malay generation, both young and old, know about the Malay folklore of Mak UngkaiSpirit, have profession and activities at the sea, and reflect the representation of families in Tanjung Kertang village. Based on those criteria, the researchers finally chose 25 respondents to conduct in-depth interviews. These interviews were recorded by using the audio recorder and camera. The results indicated that the relationship between nature and humans behind the story of Mak Ungkai Spirit could be seen from the position of nature as human subjects and objects. The position of nature as a subject included nature as mother of earth, nature as caring ethic, and nature as holistic. Meanwhile, nature as an object is reflected from exploitation of nature and violence. This study is related with the local wisdom and culture in Indonesia. Therefore, international and local environmental non-government organizations related with social and humanity can use the result of this study for preservation of the local culture and environment, and among them is through the local wisdom.
KESADARAN HUKUM BERLALU LINTAS KAITANNYA DENGAN PENEGAKAN HUKUM
Authors: Suryaningsih Suryaningsih
Published: September 2020

Ketertiban lalu lintas di jalan raya merupakan sesuatu hal yang sama – sama kita dambakan, karena akhir – akhir ini lalu lintas di jalan raya kenyataanya merupakan “the killing field”. Masalah lalu lintas semakin serius dan terus meningkat, hal ini dikarenakan kemajuan peradaban manusia serta kemajuan tehnologi yang demikian pesatnya. Kemajuan ini akan mendorong terbentuknya kota – kota besar, kota – kota metropolis dan mega polis yang tentu saja oleh suasana lalu lintas yang semakin rumit. Keadaan ini timbul bisa karena bermacam-macam alasan antara lain, bertambahnya jumlah kendaraan bermotor termasuk kondisi kendaraanya, kondisi jalan yang kurang memenuhi syarat misalnya jalan rusak atau kurang lebar, penerapan peraturan yang kurang menggigit kepada para pengguna jalan raya atau masyarakat, kurangnya kesadaran para pengemudi mematuhi peraturan lalu lintas dan rendahnya etika dalam berlalu lintas di jalan raya. Ada beberapa factor yang mempengaruhi kesadaran hukum berlalu lintas. Diantara factor itu factor manusialah yang paling menonjol sebagai penyebab terjadinya kecelakaan. Untuk mengurangi hal itu perlu peningkatan kesadaran hukum beralalu lintas, baik sebagai pengemudi maupun sebagai pejalan kaki. Disamping kesadaran hukum, penegakkan hukum juga sangat diperlukan untuk mewujudkan adanya tertib berlalu lintas di jalan raya.
ASPEK HUKUM PENCEMARAN LINGKUNGAN AKIBAT LIMBAH PERUSAHAAN TAHU (STUDY KASUS DI KABUPATEN SUMENEP)
Authors: Sugiarti Yayuk
Published: September 2020

Tahu merupakan makanan khas Indonesia yang merakyat dan sering dikonsumsi sehari-hari oleh masyarakat, tahu yang dibuat dari endapan biji kedelai yang mengalami koagulasi, dari pengolahan tahu terdapat air-air yang menjadi limbah dalam industri pembuatan tahu. Produktivitas tahu oleh pelaku para usaha yang tersebar banyak terdapat dampak positif terhadap perekonomian rakyat dan terdapat dampak negatif terhadap lingkungan limbah tahu yang mencemari air yang menyerap kedalam tanah sehingga kualitas air sumur disekitar tempat pembuangan limbah tahu berpengaruh terhadap kesehatan masyarakat sekitar pembuangan limbah. Perusahaan atau pabrik tahu yang melakukan produksi dan menghasilkan limbah sehingga mencemari lingkungan harus bertanggungjawab terhadap lingkungan dan masyarakat yang telah dirugikan oleh perusahaan atau pabrik tersebut. Penelitian ini bertujuan untuk mengurangi pencemaran terhadap lingkungan dan bagaiamana bentuk pertanggungjawaban atau peranan pemerintah dalam mengatasi kasus tersebut.
FISIOTERAPIA BASEADA EM EVIDÊNCIAS: NÍVEL DE CONHECIMENTO DOS ACADÊMICOS DE FISIOTERAPIA DE UMA INSTITUIÇÃO DO NOROESTE PAULISTA
Authors: DAL RI Roberta Fernandes , QUIRINO Vinícius Souza , SOUZA Thaisa Fernanda Queiroz , LIMA Marilda Duran
Published: September 2020

A Prática baseada em evidências (PBE) é considerada a maneira mais eficaz e eficiente para a tomada de decisões, levando em consideração o embasamento teórico, o paciente e a experiência do fisioterapeuta. Assim, este trabalho tem por objetivo investigar o nível de conhecimento dos alunos do 6º e 8º termos, do curso de Fisioterapia de uma instituição do noroeste paulista, sobre prática baseada em evidências. Para isso, utilizou-se como instrumento de coleta de informações um questionário composto por 7 questões. Dos 85 acadêmicos matriculados, 66 (78%) participaram da pesquisa. A maior parte dos participantes (82%) expressou não possuir conhecimento sobre PBE. Também verificou-se que os acadêmicos não tinham entendimento sobre o método para a formulação de uma pergunta clínica, assim como muitos não possuem conhecimento de bases de dados confiáveis ou para escolher e avaliar artigos. Baseando-se nos resultados obtidos conclui-se que os alunos da instituição examinados apresentaram limitação ao conhecimento em relação aos princípios da PBE.

 

EVIDENCE-BASED PHYSIOTHERAPY: KNOWLEDGE LEVEL OF PHYSIOTHERAPY SCHOLARS FROM AN INSTITUTION IN NOROESTE PAULISTA

 

ABSTRACT

The evidence-based practice (EBP) is considered the most efficient and effective way to make decisions, taking into consideration the theoretical background, the patient, and the practitioner's experience. Thus, this paper aims to probe the knowledge level of the students about evidence-based practice, from the sixth and eighth semester scholars at a School of Physical Therapy in an institution in Noroeste Paulista. To this end, a questionnaire consisting of seven questions was used as an instrument to collect data. In this survey 66 (78%) out of 85 enrolled scholars answered the questionnaire. Most participants (82%) demonstrated that they did not have knowledge of EBP. It was also identified that scholars did not have an understanding of how to pose a clinical question, as well as many of them, did not have knowledge of a reliable database, or how to screen and evaluate articles. Based on the results we obtained, it was concluded that scholars in an Institution demonstrated limitations regarding knowledge about EBP principles.

 

Keywords: Evidence-based Practice. Evidence-Based Physical Therapy.
Relationship between Helicobacter pylori and thiol-disulfide homeostasis: A prospective observational study
Authors: ERDOGDU Umut Eren , ÇAYCI Hacı , TARDU Ali , ARSLAN Ufuk , ÜSTÜNDAĞ Yasemin , EREL Özcan , DEMİRCİ Hakan , ÇANTAY Hasan
Published: September 2020

Aim: Helicobacter pylori (HP) infection causes inflammation and oxidative stress at a cellular level. In the present study, we aimed to evaluate the possible relationship between HP and thiol-disulfide homeostasis (TDH), a novel indicator of oxidative stress.Methods: Medical data of a total of 53 patients admitted with persistent dyspepsia and undergoing gastroscopy were evaluated prospectively. The patients were divided into two groups, based on the result of gastric biopsy, as HP-positive (+) and HP-negative (-). Demographic data, ferric-reducing ability of plasma (FRAP), ischemia-modified albumin (IMA), native thiol, total thiol, disulfide, and malondialdehyde (MDA) levels of the patients were recorded and compared between the two groups.Results: The native thiol (451.03 mmol/L vs. 407.03mmol/L, p=0.005) and total thiol (493.20 mmol/L vs. 456.40 mmol/L, p=0.027) levels were significantly higher in the HP (+) group than in the HP (-) group. The disulfide levels and disulfide/native thiol, disulfide/total thiol and native thiol/total thiol ratios were similar between the HP (+) and HP (-) groups. Although the FRAP was lower in the HP (+) group than in the HP (-) group, this difference was not statistically significant (0.94 mmol/L vs. 1.10 mmol/L). No statistically significant difference was found between the groups in the IMA and MDA levels. Conclusion: In this study, oxidative status of HP patients was evaluated in several different methods. Among them, only elevated native thiol and total thiol levels were found in HP-induced gastritis. There is a need for further studies involving a larger number of patients and a subgroup analysis to examine whether elevated serum thiol-disulfide levels in HP infection suggest an antioxidant or pro-oxidant status.
Bilirubin metabolism and its role in atherosclerosis
Authors: YILMAZ Necat , ÖZ Cemile , EREN Esin , TEKELİ Seçkin Özgür
Published: September 2020

Hemoglobin is not an guiltless bystander of the pathophysiology in a number of atherosclerotic diseases. Heme, which is released from hemoglobin or other heme proteins, triggers various pathophysiological consequence, including heme stress as well as intracellular stress. Although heme serves key functions and is tightly controlled, high levels of free heme, which may occur in various pathophysiological conditions, are may hazardous via pro-oxidant, pro-inflammatory, and cytotoxic effects.

Heme oxygenases are heat shock protein enzymes that use heme as a substrate and function as an essential antioxidant adaptive response by all human cells. A major function of heme oxygenases is clearance of heme that accumulate in tissues due to erythrocyte turnover. The potentially toxic free heme is converted by heme oxygenases into carbon monoxide, iron, and biliverdin, the latter of which is reduced to bilirubin. In literature the heme degradation pathway has been demonstrated to play a protective role against the development of atherosclerosis. Because growing evidence suggests that oxidative stress is involved in atherosclerosis.

This review documents the roles of bilurubin in atherosclerosis and focuses on the clinical significance as a potential therapeutic target in atherosclerotic diseases, such as coronary artery disease.
Russel body gastritis associated with gastric adenocarcinoma: A rare case report
Authors: UĞUR KILINÇ Ayşe Nur , ŞENER Betül Duygu
Published: September 2020

Russel Body Gastritis (RBG) is a rare entity, the exact etiology of which is unknown. About 50 cases have been reported in literature so far. In literature, especially H. pylori infection, HIV, and multiple myeloma have been associated with diseases such as gastric adenocarcinoma and with alcohol use. RBG has rarely been reported to be associated with gastric adenocarcinoma. We will present the determination of Russell body gastritis in the control biopsy of a 60-year-old female patient diagnosed with stomach adenocarcinoma six months ago. This study aimed to present this rare case with literature review.
The effect of nutrition, depression, activity scores on mortality in patients with geriatric hip fractures.
Authors: ÇAMUR Savaş , ÖZCAN Çağrı , SÖNMEZ Mehmet , BATİBAY Sefa
Published: September 2020

AİM: Hip fracture causes high mortality rates in elderly patients. Here we investigate the relationship between serum laboratory parameters, bone densitometers, malnutrition, depression and pre-fracture survival activity scores of patients who died within 24 months after surgery for hip fracture.
METHODS: 121 patients who underwent surgery for hip fracture between 2013 and 2016 and who met the study criteria were evaluated retrospectively. The patients who died within the first 24 months after surgery were evaluated as Group 1, and the patients who died after 24 months or who were still alive were evaluated as Group 2. Serum parameters before surgery, hip and vertebra bone densitometry were examined. The Barthel and Lawton life scale was completed, Mini nutritional assesment (MNA), geriatric depression scala short form (GDS-SF) and preoperative length of stay and BMI were evaluated.
RESULTS: Comparing the parameters between groups, we detected no significant difference between age, BMI, vertebral BMD preoperative length of stay. Albumin, total protein, hip BMD, barthel score, and the lawton scoring system, GDS-FM, MNA showed significant differences between the two groups (P<0.05). According to the regression analysis, Albumin, total protein, MNA, GDS-SF, Barthel Score and Lawton scoring systems showed a significantly correlation in patients with mortality in the first 24 months (P<0.05).
CONCLUSION: Geriatric hip fractures have many factors that determine the risk of mortality within the first 24 months. According to our study, low albumin, total protein , malnutrition, high depression as well as low pretreatment activity scores, indicate high mortality risk in the 24 months.
Rare occurrence of coexistent squamous cell carcinoma and basal cell carcinoma in a case of Xeroderma Pigmentosum
Authors: VENUGOPAL Suguna , MURALİDHAR Aparna , MAHANTAPPA Hemalata , AHMAD Sadaf
Published: September 2020

Xeroderma Pigmentosum is an inherited disorder of DNA repair characterised by defective nucleotide excision repair, which is involved in repairing ultraviolet rays induced cross linking of pyramidine residues. Affected individuals are at increased risk of development of mucocutaneous cancers at a much earlier age than normal. This genodermatosis affects both sexes and all races. The incidence in India is still unknown. We report one such case of a nine year old boy with co-existent squamous cell carcinoma and basal cell carcinoma of the face.
Olfactory groove meningioma presenting with major depressive disorder symptoms: A case report
Authors: EGELİ Aslı , BAYAR Olga , KALENDEROĞLU Aysun , BALTACI Elif , KAPICI Yaşar , ÖRÜM Mehmet Hamdi
Published: September 2020

Brain tumors without giving neurological symptoms yet; it can also occur with a wide range of psychiatric symptoms such as anxiety, panic attacks, depression, eating disorders, personality change, vision hallucinations and mania. Unfortunately, the diagnosis of brain tumor might be delayed in patients whose clinical symptoms are like these. Brain imaging techniques should be performed especially in patients who don't respond to psychiatric drug treatment and have no neurological symptoms. In this article, a female patient who presented to our psychiatry outpatient clinic with symptoms of depression, accompanied by psychosis symptoms in later periods, and whose mass was detected as a result of magnetic resonance imaging, is discussed in the light of literature studies. Here, we aimed to emphasize the importance of neurological examination and brain imaging methods in patients who come to psychiatry especially with atypical symptoms.
Clinical Approach to Renal Artery Thromboembolism
Authors: KARTAL İbrahim , ALKIŞ Okan , ÇETİNKAYA Mustafa Baturay , ÇELEN Sinan , ARAS Bekir
Published: September 2020

Objective: We aimed to reveal the clinical, laboratory, radiological findings of infarction in the renal artery and its branches due to thrombosis, its effects on renal functions and the measures to be taken.
Materials and Methods: The study sample included 8 patients who were admitted to the emergency department of Kutahya University of Health Sciences Evliya Celebi Training and Research Hospital between 2018-2020, and who were hospitalized with the diagnosis of acute renal infarction. Patients were retrospectively analyzed with clinical findings, CT angiography-abdomen, clinical observations, prognosis and complications.
Results: Of the patients, 5 were male and 3 were female. The mean age was 55.13 (29-69) years. One patient presented with bilateral renal infarction, while 7 had unilateral renal infarction. The etiology of the patients was idiopathic in 2, atrial fibrilation (AF) in 3 patients, and atherosclerosis in 3 patient. The mean serum creatinine of 1.24 (0.7-3.2) mg/dl and the mean blood leukocyte level of 16925 (11000-26000) mcL were determined. The mean length of hospital stay was 4.6 (3-7) days. Anticoagulant therapy was initiated in all patients for risk of recurrent renal infarction and thromboembolism.
Conclusion: We revealed that renal infarction, rarely seen in urology practice, has nonspecific clinical findings; therefore, it should be kept in mind in differential diagnosis for patients presenting with sudden-onset oblique or abdominal pain, and that diagnosis can be made using contrast-enhanced CT. We determined that AF and valvular heart diseases which cause atherosclerosis and cardiac thrombosis play an important role in the etiology.
Capsule and Ablation Tract Related Features of Local Recurrence in Ultrasound Guided Microwave Ablation of Liver Metastases
Authors: ARIBAL Serkan , KAYA Eyüp
Published: September 2020

Aim: To evaluate the capsule and ablation tract related features of local recurrence after ultrasound (US) guided percutaneous microwave ablation (MWA) of the liver metastases independently.

Methods: Between February 2016 and December 2019, 101 patients with US-guided percutaneous MWA of the liver metastases were analyzed. Nineteen patients having thirty-two ablated lesions with local recurrence (LR) were included in the study. Histopathologic type of tumor, preablative features of the lesions and the ablation procedure data were noted. Tumor size, the closest distance between the lesion and the liver capsule was measured. The site of LR related to the liver capsule and related to ablation tract and the shape of the LR were noted

Results: The median time of LR was 8.46±4.54 months (range, 3-20). The patient (n=19) and the ablated lesion (n=32) depended LR rates were 19% and 20% respectively. All LR of the parenchymal localized metastatic lesions originated from either tip or the side of the ablation tract and this relationship was found as statistically significant (p=0.035). no statistically significant relationship was found between vessel closeness and shape of LR (p=0,704) and between the site and the shape of LR (p=0.683).

Conclusion: We defined some features of LR related to the ablation tract and liver capsule independently such as the relation between the recurrence and the blood vessel proximity, side of the LR throughout the ablation tract and its relation with the liver capsule.