bluuebunny/crossref_metadata_2025 huggingface dataset:
The Confucian doctrine of the Mean, the optimality principle, and social harmony
Authors: Suh Jungho
Published: April 2020

The Confucian doctrine of the Mean teaches that too much is as bad as too little. The Aristotelian doctrine of the Mean coincidently articulates that there can be too much or too little of nearly every human passion and action. In neoclassical economics, it is assumed that people tend to take any action at the optimal (not too much and not too little) level to maximise the net happiness from the action. This article argues that the Confucian doctrine of the Mean concurs with the optimality principle, and therefore that the optimality principle is a representation of human nature and can be understood as universal human wisdom. It follows that people can adopt both the Confucian doctrine of the Mean and the optimality principle as worldly common wisdom beyond the blunt dichotomy of spiritual orientalism and materialistic individualism. Too much emphasis on the technical differentials between the two has undermined the common wisdom embedded in them.
Opakowanie jako narzędzie wpływania na wybory konsumentów i czytelność przekazywanych przez nie komunikatów na przykładzie ekskluzywnych wód mineralnych
Authors: Kozik Natalia
Published: April 2020

Objective: The paper characterizes packaging as a factor influencing consumer choice and the legibility of the messages transmitted. It presents the results of research allowing message readability to be evaluated on the example of 19 packages of exclusive mineral waters sold on the Polish market.Research Design & Methods: A typographical scoring system called TVScore, developed by M. Metz, was used to assess the readability of unit packages of exclusive mineral waters. It scores fifteen typographic parameters of the text on packaging (print style, print size, leading, boldface or italic, case, line length, print justification, print organization, contrast level, reverse print, shiny/light reflecting, print reproduction, print background, hyphenation, abbreviation).Findings: The packaging evaluated had varying amounts of information (which did not depend to a great deal on the capacity and dimensions of the individual packaging). Text legibility was rated from 65 to142 TVScore points, significantly exceeding the threshold proposed by Metz, who assumes that a legible label has no more than 4 TVScore points.Implications / Recommendations: The packaging evaluated in this study was characterized by very low readability and inappropriately organised text. This is a cause for concern and reason to redesign the packaging.Contribution: The TVScore method has not been widely used until now and has never been used to evaluate packaging for premium food products packaged in bottles or cans, which are an integral part of the product and affect consumer perception of its quality. The research shows that the TVScore method is useful for assessing the diversity of bottle and can packaging and the readability and organisation of the information placed on them.
Using a theoretical framework to develop postgraduate health professions education research and practice
Authors: Jones Derek , Fawns Tim , Aitken Gillian
Published: April 2020

This article was migrated. The article was marked as recommended. Healthcare education is complex and multifaceted, requiring study from different angles and with different lenses. We propose that the use of a meta-framework can help those teaching and researching postgraduate health professions education make holistic sense of their practice and findings from different projects. We discuss how we have employed Bronfenbrenner's ecological systems theory (EST) as an overarching theoretical framework for the scholarship of learning and teaching in the context of postgraduate health professions education. Taking a structured approach to pedagogical thinking and research through the use of a meta-framework opens up useful ways of framing findings and further questions, locating research projects within a bigger picture, and communicating to others the focus of a research programme. We address the problem of the under-theorizing of educational research in postgraduate health professions education, advocating both theoretical frameworks for individual research projects, and an overarching theoretical "meta-framework" to interrogate and draw together multiple studies. In doing so we build on, critique and further develop Bronfenbrenner's ecological systems theory.
Locating Tremor Source with Polarization and Semblance Methods During the 2014 Crisis Period of Raung Volcano
Authors: Ipmawan Vico Luthfi , Brotopuspito Kirbani Sri , Triastuty Hetty
Published: April 2020

DOI:10.17014/ijog.7.1.41-49Raung is a basaltic-andesitic volcano with strombolian-type eruptive activity located in East Java Province, Indonesia. The seismic activity of this volcano increased on 11th November 2014 which was dominated by tremors. Due to the difficulty to distinguish the onset of body waves of tremor waveform, polarization and semblance methods were proposed and applied to locate the tremor source. The tremors recorded during November to December 2014 were analyzed. The results showed that the back-azimuth values obtained by the polarization method were around N 288o - 324o E in accordance with the direction of Raung summit, while the incidence angle ranged around N 81o - 89.3o E. The semblance method was performed on 2 x 2 km area around the summit. The result of the tremor source showed the distribution of epicentre extending N52o E to the northeast direction about ±2.1 km away from the Raung summit.
Comparative Study among Bivariate Statistical Models in Landslide Susceptibility Map
Authors: Arifianti Yukni , Pamela Pamela , Agustin Fitriani , Muslim Dicky
Published: April 2020

DOI:10.17014/ijog.7.1.51-63The main purpose of this paper is to compare the performance of bivariate statistical models i.e. Frequency Ratio, Weight of Evidence, and Information Value for landslide susceptibility assessment. These models were applied in Cianjur Regency, West Java Province (Indonesia), in order to map the landslide susceptibility and to rate the importance of landslide causal factors. In the first stage, a landslide inventory map and the input layers of the landslide conditioning factors were prepared in the Geographic Information System (GIS) supported by field investigations and remote sensing data. The 298 landslides were randomly divided into two groups of modeling/training data (70%) and validation/test data sets (30%). The landslide conditioning factors considered for the studied area were slope angle, elevation, slope aspect, lithological unit, and land use. Subsequently, the thematic data layers of conditioning factors were integrated by frequency ratio (FR), weight of evidence (WofeE), and information value (IV). Model performance was tested with receiver operator characteristic analysis. The validation findings revealed that the three models showed promising results since the models gave good accuracy values. The success rates of FR, WofE, and IV models were 0.920, 0.926, and 0.930, while the prediction rates of the three models were 0.913, 0.912, and 0.895, respectively. However, the FR model was proved to be relatively superior in estimating landslide susceptibility throughout the studied area.
Syn-sedimentary Mafic Volcanics in the Eocene Coal-bearing Tanjung Formation, Senakin Peninsula, South Kalimantan (Borneo), Indonesia
Authors: Moore Tim Allen , Friederich Mike C. , Trofimovs Jessica , Anggara Ferian , Amijaya D. Hendra
Published: April 2020

DOI:10.17014/ijog.7.1.65-85Syn-sedimentary mafic volcanism has been identified within a rift setting (Eocene Tanjung Formation) in the Senakin Peninsula, southeast Kalimantan. Fine-grained, dark-grey basalt lava occurs and has prominent vertically oriented columnar jointing. Petrographically, the basalt is composed of small euhedral pyroxene, olivine, and lath-shaped plagioclase phenocrysts within a very fine-grained dark coloured groundmass. A volcaniclastic unit also occurs and in outcrop has sharp contacts with underlying and overlying sedimentary mudstone. The unit is composed of cm-scale clasts of fine-grained to glassy textured basalt with vesicles of varying size and abundance. Euhedral pyroxene phenocrysts are observed within the clasts, although some with overprinting alteration. Palagonite alteration on the margins of some clasts is noted and is indicative of mafic composition volcanic material that has come into contact with sea water. Presence of bivalve and coral fragments in sandstone and mudstone underlying the volcaniclastic unit indicates emplacement into a marine environment. Core description from 33 locations over an 18 km transect length show that both the basalt and volcaniclastic sediments are extensive throughout the east Senakin area. Lithological relationships and compositional similarities between the basalt and volcaniclastic sediment suggest they are related and were contemporaneous with sedimentation within the Tanjung Formation. It is proposed that the basalt unit is designated the Tanah Rata Basalt Member of the Tanjung Formation. If a wider distribution occurs for the volcaniclastic unit it is proposed that it is termed the Gumbil Volcaniclastic Member of the Tanjung Formation.
Clientelismo armado en Barranquilla: el caso del Frente José Pablo Díaz (2003-2006)
Authors: Trejos Rosero Luis Fernando , Guzmán Jolie , Badillo Sarmiento Reynell , Martínez Martínez Franklin
Published: April 2020

El accionar de las Autodefensas Unidas de Colombia (AUC) en el Distrito de Barranquilla, si bien estuvo motivado principalmente por el control del narcotráfico y las actividades propias del crimen organizado, también llegó a permear las instituciones públicas y a cooptar agentes estatales. El presente artículo analiza esas dinámicas de reconfiguración cooptada del Estado con el fin de comprender de qué manera el clientelismo armado afectó la institucionalidad política de la ciudad y logró extraer rentas de la administración local con el objeto de financiar la actividad criminal de las AUC. Se encontró que el Frente José Pablo Díaz fungió como intermediario en una gran parte de las relaciones político-electorales y que se presentó una relación complementaria entre este y sectores políticos de la ciudad: el grupo armado financiaba campañas electorales a cambio de que, en caso de que ganara su candidato, se le retribuyera con contratos, concesiones, apoyos a iniciativas que les beneficiara y la posibilidad de ejecutar acciones criminales en la ciudad sin que hubiera mayor oposición por parte del Estado.
PENGARUH JENIS PACKING PADA MENARA PACKED-BED ABSORBER DALAM PENYERAPAN GAS NOx
Authors: Kadarjono Agoeng , Yusnitha Erilia , Santosa Agus Sartono Dwi , Winastri Pertiwi Diah
Published: April 2020

PENGARUH JENIS PACKING PADA MENARA PACKED-BED ABSORBER DALAM PENYERAPAN GAS NOx. Desain proses efluen gas NOx perlu dilakukan dalam aktifitas pembuatan broth dan casting pada rangkaian proses fabrikasi kernel UO2. Dengan tersedianya alat proses efluen, maka akan meningkatkan nilai ekonomis, efisiensi proses, mengurangi kebutuhan bahan kimia, meminimalisir bahaya toksisitas dan kontaminasi. Desain alat proses efluen dipilih menara packed-bed absorber menggunakan aliran umpan gas NOx dan air sebagai media penyerap. Menara packed-bed absorber didesain dan dihitung untuk mengetahui pengaruh berbagai jenis packing (pall, ralu, dan nor-pac ring) dalam penyerapan gas NOx. Untuk menentukan pengaruh jenis packing tersebut, dilakukan dengan cara simulasi laju alir fluida terhadap diameter, luas permukaan efektif packing, pressure drop, koefisien perpindahan massa, tinggi kolom packing, dan tinggi menara dengan cara memasukkan ke dalam persamaan-persamaan yang sesuai menggunakan program EXCEL. Hasil perhitungan menunjukkan bahwa pengaruh laju alir gas tidak terlalu signifikan terhadap diameter menara, sedangkan laju alir air menghasilkan diameter menara bertambah besar. Luas permukaan efektif packing cenderung menurun pada kenaikan laju alir fluida. Pressure drop, koefisien perpindahan massa, tinggi kolom packing, dan tinggi menara bertambah besar pada kenaikan laju alir gas, dan cenderung menurun bila laju alir air dinaikkan. Kenaikan penyerapan gas NOx menyebabkan kenaikan tinggi menara, sedangkan kenaikan faktor flooding menyebabkan penurunan tinggi kolom packing dan tinggi menara. Kenaikan tekanan dan temperatur operasi menyebabkan penurunan tinggi kolom packing dan tinggi menara. Packing jenis pall ring menjadi pilihan desain karena menghasilkan dimensi yang kecil atau ekonomis.Kata kunci: HTGR, kernel, efluen gas, absorber, packed-bed, packing, desain.
Gökpınar Baraj Gölü’nün hissedilen sıcaklık değerleri üzerindeki etkisi
Authors: AKŞİT Selahattin , DUMAN Cansu
Published: April 2020

Çalışmanın amacı; Gökpınar baraj gölü yapımı öncesi ve sonrası meteorolojik verilerin istatistiksel olarak değerlendirilip gölün hissedilen sıcaklığa olan etkisini analiz etmektir. Enerji üretimi, sulama gibi amaçlara hizmet etmek için kurulan barajların, yararlarının yanında çevreye ve iklime olan etkileri de konuşulmaktadır. Yapılan çalışmalar da büyük su yüzeylerinin iklim üzerinde etkileri olduğu saptanmıştır. Bu çalışma da Denizli ili içerisinde bulunan 2002 yılında faaliyete geçmiş Gökpınar Baraj Gölü’nün iklim üzerindeki etkisi incelenmiştir. Çalışmanın veri seti Denizli Merkez ve Acıpayam meteoroloji istasyonlarından sağlanmıştır. Veriler barajın faaliyete geçtiği tarihten öncesi 1980- 2002 ve 2002-2017 sonrası olmak üzere iki ayrı veri setini kapsamaktadır. Bu veri setindeki ortalama sıcaklık, ortalama bağıl nem ve bu verilerden hesaplanan ortalama hissedilen sıcaklık verileri analiz edilmiştir. Baraj yapılmadan önce ve sonra oluşan mutlak değişimler grafiksel analiz yöntemleri, bağımlı değişkenlerde t testi, Mann-Kendall ve Sen Trend Eğim Metodu ile istatiksel anlamda değişimin olup olmadığı ve değişim trendinin hangi yönde olduğu değerlendirilmiştir. Sonuçta çevre ikliminin ortalama sıcaklık ve hissedilen sıcaklık değerlerinde uzun dönemde artan yönde anlamlı bir değişimin olduğu, ortalama bağıl nemde ise azalan yönde anlamlı bir değişim olduğu belirlenmiştir. Fakat Denizli ve Acıpayam verileri karşılaştırıldığında aynı sonuçlara ulaşılmıştır. Bu ise değişimin baraj kaynaklı olmadığı iklimsel değişimle ilgili olduğunu göstermektedir.
Bridge or Hurdle?
Authors: Steiner Christine
Published: April 2020

The massive influx of refugees in 2015 and 2016, among them many school-aged children and youth, sped up the debate about Germany as a country of immigration, in particular about the fairness and social inclusiveness in the German school system. As in many other European countries, in Germany newly immigrated students without knowledge of German initially attend preparatory classes. The strong focus on learning German and the separation of the students from native-born peers are seen to hinder both their educational progress and social belonging within school. Based on data from a survey of newly arrived students conducted in 2018 and with regard to the students’ well-being, this paper examines the question as to whether or not attending a preparatory class is an obstacle to integration within the school community. The findings show that immigrant students generally have a good relationship with their new classmates and teachers and feel well at school. Attending a preparatory class does lead to some restrictions, i.e., it limits the chance to establish friendships with native-born schoolmates. At the same time, there are also advantages connected with learning in separate learning environments.
Isocitrate dehydrogenase v1
Authors: Chapman Kimberly , Wongkittichote Parith
Published: April 2020

Isocitrate dehydrogenase is an enzyme which converts isocitrate to 2-oxoglutarate in the TCA cycle. IDH2 uses NADP and IDH3 uses NAD. Our IDH2/3 assay examines accumulation of NADH/NADPH over time.
COMPETÊNCIAS PROFISSIONAIS E ESTÁGIO EM DIREITO: UM ESTUDO DE CASO NA PROCURADORIA-REGIONAL DA UNIÃO EM RECIFE – PE
Authors: Rio Branco Raisa , Helal Diogo Henrique
Published: April 2020

O artigo analisa a formação de competências profissionais de estudantes do curso de Direito, vinculados ao programa de estágio da Procuradoria-Regional da União, em Recife – PE, segundo o modelo de Paiva e Melo (2008). A abordagem utilizada foi qualitativa, de caráter descritivo, tendo sido adotado o estudo de caso. Os sujeitos foram escolhidos pelo critério de acessibilidade, totalizando 12 pessoas. As competências mais importantes e reconhecidas no processo de formação, via estágio, foram as seguintes: cognitiva, funcional, comportamental e ética. No que tange à contribuição do programa de estágio no desenvolvimento de competências dos estudantes, houve um entendimento de que ele efetivamente contribui. Por outro lado, na visão dos entrevistados, as IES não apresentaram as contribuições que seriam esperadas. Percebeu-se, de certa forma, um ruído entre as atuações da entidade de classe e a percepção dos entrevistados sobre essas contribuições. Ao final, foram propostas ações para melhor configuração do programa de estágio e sugestões de estudos futuros.
Sınıf Öğretmenlerinin Matematik Derslerinde Kullandıkları Yöntem ve Teknikler
Authors: DERİNGÖL Yasemin
Published: April 2020

Araştırma, sınıf öğretmenlerinin matematik derslerindeki yöntem ve teknikleri kullanma konusunda kendilerini nasıl gördükleri ve tercih sıralarını belirlemek amacıyla sınıf öğretmenleriyle gerçekleştirilmiştir. Veriler, araştırmacı tarafından hazırlanmış olan “Kişisel Bilgi Formu” ve Soylu (2009) tarafından geliştirilen çok yeterli, yeterli ve yetersiz derecelerinden oluşan bir form ile toplanmıştır. Veriler, hem sınıf öğretmenlerinin görüşleri alınarak hem de sınıf öğretmeni adaylarının gözlem yaptıkları uygulama sınıf öğretmenlerini değerlendirmeleriyle oluşturulmuştur. Tarama modeli ile yürütülen bu araştırma verileri SPSS 16 ile analiz edilmiştir. Verilerin değerlendirilmesinde yüzde-frekans kullanılmıştır. Elde edilen sonuçlara göre, sınıf öğretmenleri ‘soru-cevap’ ve ‘gösterip-yaptırma’da kendilerini çok yeterli; ‘kurallar’ ve ‘tanımlar’da yeterli görmektedirler. Sınıf öğretmenlerinin matematikte bir konuyu öğretirken en çok tercih ettikleri yöntem ve tekniklere bakıldığında ise; ‘işbirlikçi’, ‘düz anlatım’, ‘soru cevap’, ‘gösterip-yaptırma’ , ‘problem çözme ve kurma’yı kullandıkları görülmektedir.
Pathogenetic role of changes in the type of blood circulation in the dynamics of brain vascular disorders
Authors: Nikolaev Valentin I. , Denisenko Nataliya P. , Brega Anastasiya V. , Denisenko Marya D.
Published: April 2020

Features of the heart rate variability at patients with acute disorder of cerebral circulation depending on the type of hemodynamics were studied in acute period of disease and in a condition of relative functional rest. Surveyed men and women (121 patients, 3055 years old) were divided into 3 groups according to the type of hemodynamics that was defined at the first day of their disease: the groups of patients with hyper-, hypo- and normodynamic types of hemodynamics were selected. The integral rheography of the body was carried out again on the 7th day of hospitalization of the patients. And according to the received data all examined individuals were divided into subgroups. The evaluation of indicators of the heart rate variability at patients during acute period of disease showed the significant increase of activity of the sympathetic link of regulation among people with hyperdynamic type of hemodynamics: the indices of tension and vegetative balance also as the standard deviation of NN intervals (SDNN) were rather law. The sam e patients examined on the 7th day of their disease demonstrated the reduction of the indices of tension and vegetative balance and the increase of the mean square difference between the duration of adjacent R-R intervals (RMSSD). These changes were regarded as gradual weakening of the sympathetic influences on cardio-vascular system in stabilization period. At examination of patients in a week from the moment of their hospitalization transformation of the type of hemodynamics was revealed among many of the surveyed. The indices of tension and vegetative balance were the lowest among patients with acute disorder of cerebral circulation and initially hyperdynamic type of hemodynamics and newly formed hypodynamic type of blood circulation. While patients with acute disorder of cerebral circulation and constantly hyperdynamic type of blood circulation showed the maximal tension in operation of the regulatory systems.
The influence of parental compliance to treatment of chronic gastroduodenal pathology in children on patient’s quality of life
Authors: Barinova Anna S. , Nalyotov Andrew V.
Published: April 2020

The effectiveness of the treatment of chronic gastroduodenal pathology associated with Helicobacter pylori infection consists not only in the successful eradication of the pathogenic microorganism, but also in eliminating dyspeptic and abdominal pain syndrome, as the main clinical criteria for this pathology. Among the main reasons that affect the successful outcome of therapy, it can be distinguished strict adherence to the prescribed drug regimens. The aim of the work was to assess the effect of parental adherence to their child suffering from chronic gastroduodenal pathology, treatment on the patient's quality of life. 80 children of high school age suffering from chronic gastroduodenal pathology associated with Helicobacter pylori were examined. Anti-Helicobacter therapy using clarithromycin, amoxicillin, omeprazole for 14 days was held in all patients. The training of parental compliance in relation to ongoing therapy for their child was conducted before therapy in patients of the comparison group. The special questionnaire developed by us was used to assess the level of parental compliance. In addition, in all patients, the quality of life indices were studied using the SF-36 questionnaire at baseline and one month after the start of therapy. It was revealed that in children with chronic gastroduodenal pathology the initial indicators on all scales of quality of life were significantly lower compared to the children of the control group. It was found that the greater compliance of parents to their child's prescribed therapy leads not only to the successful eradication of Helicobacter pylori infection, but also to positive dynamics, both physical and psychological aspects of health.
The main causes of cognitive impairment
Authors: Gorina Natalia A. , Grigoreva Maria M. , Suglobova Elisaveta R. , Khoroshev Aleksei D. , Larchenko Tatiana S. , Murathanova Gusalhon A.
Published: April 2020

Cognitive impairment is a common condition among elderly patients in medical practice. Currently, there is a tendency in the world to increasing of rate cognitive impairment of various etiologies, which allows us to regard this pathology as an urgent social and medical problem. Different types of cognitive impairment in the elderly are associated with poor quality of life, increased morbidity and early mortality. This article presents an overview based on publication data of the etiology and risk factors of cognitive impairments.
Bioethical and Legal Issues in 3D Bioprinting
Authors: Kirillova Anastasia , Bushev Stanislav , Abubakirov Aydar , Sukikh Gennady
Published: April 2020

Bioethical and legal issues of three-dimensional (3D) bioprinting as the emerging field of biotechnology have not yet been widely discussed among bioethicists around the world, including Russia. The scope of 3D bioprinting includes not only the issues of the advanced technologies of human tissues and organs printing but also raises a whole layer of interdisciplinary problems of modern science, technology, bioethics, and philosophy. This article addresses the ethical and legal issues of bioprinting of artificial human organs.
Editorial
Authors: O'Dwyer Andy , O'Sullivan Tim
Published: April 2020

We know little about the ‘behind the scenes’ of television. While the
booming field of production studies has been shining a light on the work
processes and the personnel in production spaces, there is still a lot to be
learnt about the ‘hidden’ professions of television. This issue of VIEW
provides a rich but fairly eclectic series of contributions based on the
theme.
Invisible Mediations
Authors: Barra Luca
Published: April 2020

With the increasing global circulation of media products, professionals
devoted to the process of audiovisual translation and ‘national mediation’
for foreign ready-made programmes have gained a central role in contemporary
TV. Presenting the results of an ethnographical study, this essay explores
the ‘invisible art’ of TV adaptation and dubbing, explaining its procedures,
traditions and challenges. Adaptation has to consider both the technical
necessities of the audio-visual and cross-cultural aspects of translation,
while dubbing involves extremely intricate production routines,
professionals with different skills, written and unwritten rules, a range of
different workplaces, economic investments and traditions. The result is a
new text, modified following contrasting linguistic, cultural and
professional goals.
An observational study to evaluate fall in hemoglobin following abortions conducted by misoprostol and surgical methods
Authors: Das Subrata , Wilson Swapnil , Xess Somila
Published: April 2020

Background: Over the past three decades, medical methods of abortion have been developed throughout the world and are now the standard methods of providing abortion care in addition to surgical methods. There are various differences between the two methods. In this study, evaluating the fall in haemoglobin levels in abortions conducted by misoprostol and D and E in women with pregnancy failure.Methods: Total of 80 women who fulfilled the criteria were included in the study. Inclusion and exclusion criteria applied and Hb levels noted on day 1 and 15 during follow up. In addition to this induction abortion interval and side effects of both the methods were also studied. Participants assigned to medical treatment received 800 μg of misoprostol inserted into posterior vaginal fornix i.e., day 1st and repeat dose on day 3 if no expulsion. Follow up done after 1 week and 15 days, if there was no expulsion, suction and evacuation was done. Participants assigned to dilatation and evacuation group would undergo the procedure in operation theatre. Statistical analysis done.Results: The mean induction to abortion interval in the misoprostol group was 9.1±2.1 hours (mean±SD). The mean hemoglobin level in the misoprostol group on day 15 was 9.7±1.12 and that in the D and E group was 10.26±1.31 p value (0.04), statistically significant.Conclusions: Proper counseling of the side effects in both the methods and prompt action to alarming signs are required to avoid major disaster.
Evaluation of the association between dyslipidemia and hypertensive disorder of pregnancy: a nested case control study
Authors: Varghese Sarin , Sam Dibu , Abraham Anuja , Abraham Kavitha , N. Preethi R.
Published: April 2020

Background: Hypertensive disorders of pregnancy are an elusive group of diseases with multifactorial etiopathologies and varied manifestation. Abnormal pre pregnancy lipid profile is shown to have a positive correlation with endothelial dysfunction which in turn leads to development of hypertensive disorder of pregnancy.Methods: A total of 222 pregnant women who were aged between 18-35 years, with no obstetric and medical risk factors and less than 16 weeks of gestation who gave informed written consent were recruited for the study. Their baseline demographics and fasting blood samples were collected, blood samples were centrifuged, and serum was stored at -80-degree celsius. Patients were followed up till delivery and those with hypertensive disorders in pregnancy (n=22) was identified, defined as case. Control was selected after matching for body mass index and frozen serum samples were analyzed.Results: Overall incidence of hypertensive disorders in pregnancy in the study group was 12.4%. The mean early trimester fasting lipid values were higher in patients who developed hypertensive disorders, difference in mean between cases and controls was TC  - 16.25 mg/dl (p-0.061), TGL- 21.45 mg/dl (p-0.143),  LDL- 2.4 mg/dl (p-0.82) and for HDL 4.55 mg/dl (p-0.25). However, on stratification of early trimester fasting lipid level based on National Cholesterol Education Program (NCEP) criteria, Total cholesterol level greater than 160 mg/dl showed an odds ratio of 12.66 (p-0). Patients with early trimester fasting total cholesterol levels greater than 160mg/dl has a higher risk of developing hypertensive disorder in pregnancy.
Endometrial stromal nodule: a rare case report
Authors: Bhattarai Shreya , Gupta Taru , Bhardwaj Jagriti , Sablok Aanchal
Published: April 2020

Endometrial stromal nodules (ESN) are benign tumours of mesenchymal origin with features reminiscent of proliferative phase endometrial stroma. Diagnosis of ESNs can be established only by light microscopy and no preoperative diagnostic methods are available. Although ESNs are benign and rare, distinguishing it from other types of invasive stromal tumours is of utmost importance since prognosis and management change considerably with the diagnosis. This was a rare case report of endometrial stromal nodule in a nulliparous woman, 30 years old who presented with complaint of menorrhagia and primary infertility and had a preoperative diagnosis of large leiomyoma with cystic degeneration. She underwent a fertility preserving conservative surgery i.e. myomectomy via abdominal route, histopathology reports of which revealed endometrial stromal nodule that changed the final diagnosis and follow up regime of the patient.
Idiopathic intracranial hypertension in pregnancy: about a rare case
Authors: Elamouri I. , Aissaoui I. , Tahiri H. , Saadi H. , Mimouni A.
Published: April 2020

In this work, study report the case of a 23-year-old primigravidae, in whom an idiopathic intracranial hypertension (IIH), formerly called pseudotumor cerebri, was diagnosed in the first trimester with visual field impairment, the management of which was similar to cases of benign intracranial hypertension in the general population. The parturient put under medical treatment with ophthalmological and obstetrical follow-up until 39 weeks of amenorrhea where she was cesarized for rescue of the visual prognosis. The objective of this work is to elucidate this pathology, caused by a defect of reabsorption of the CSF by the arachnoid plexus. The diagnosis is retained after elimination by radio-biological exploration of an infectious, tumor or traumatic etiology. Idiopathic intracranial hypertension has no impact on the evolution of pregnancy. In addition, the choice of delivery route is dependent on the patient's visual prognosis being brought into play.
Solitary splenic metastasis in a case of treated cervical cancer: a case report
Authors: Shankar Shetty Theertha , Panse Mangesh , Goel Arjun
Published: April 2020

Cervical cancer is the second most common cancer among women worldwide and metastasis to the spleen is a rare entity, with only few cases being reported.  The present case of a 55-year-old patient diagnosed with a splenic lesion 3 years following completion of chemotherapy combined with radiotherapy for advanced cervical cancer. The patient underwent diagnostic laparoscopy with splenectomy. The histopathological studies confirmed the presence of a metastatic squamous cell carcinoma (in a known case of treated cervical cancer). At one-year follow-up after splenectomy, the patient was free of any recurrent disease. Owing to its rarity and scant data available, detailed workup should be done whenever a solitary lesion in the spleen is detected on follow-up since splenectomy is the apt management which is instrumental in preventing further complications and improves the survival rates.
POLITICAL OFFICE, CORRUPTION OPPORTUNITY, AND ITS PREVENTION IN INDONESIAN’S STATE INSTITUTIONS
Authors: Ali Rasyid Fauzan , Anwar Syahrul , Ruhendi Ateng , Rosadi Aden , Jauhari Ahsanuddin
Published: April 2020

Purpose of this study: This article aims to analyze the characteristics of the ideal political office, the political office that triggers opportunities for corruption, and the role of political office in preventing and eradicating corruption in state institutions. Methodology: This study used the literature review method with a qualitative approach to analyze various issues related to political office and corruption in Indonesia’s state institutions. Main findings: The researcher found that the ideal political office was oriented on the progress of the State and the welfare of the people, and all were developed from parties with transparent political recruitment patterns. On the other hand, political offices in government institutions trigger opportunities for corruption. However, the political office can also be the most effective tool in preventing and eradicating corruption in developing countries. Applications of this study: This research is useful for leaders in making decisions on corruption eradication policies and as initial information in determining officials in government. Novelty/Originality of this study: The novelty of this research lies in the researcher's perspective in seeing corruption, which can be prevented and eradicated through political office.
Mapeando alguns conhecimentos matemáticos incorporados no “esquadro móvel” de Ottavio Fabri (1544-1612)
Authors: Cesana Andressa , Saito Fumikazu
Published: April 2020

Este artigo apresenta os primeiros resultados de um estudo preliminar sobre a construção e o uso de um antigo instrumento matemático. Nele, realiza-se um mapeamento de conhecimentos matemáticos incorporados no instrumento “esquadro móvel”, descrito no tratado L’uso della squadra mobile de Ottavio Fabri (1615) com o intuito de, posteriormente, elaborar uma atividade didática na interface entre história e ensino de matemática. Por meio de uma situação de medição, busca-se aqui demonstrar que as partes do instrumento sintetizam conceitos e que o braço móvel estabelece relações entre esses conceitos. O artigo conclui que o “esquadro móvel” apresenta elementos com os quais é possível compor um conjunto de ações para ensinar matemática e, desse modo, aponta para algumas potencialidades didáticas deste instrumento. Este estudo tem por base um documento original e recentes estudos em história da ciência e da matemática. O documento foi analisado contemplando três esferas de análise, a saber, historiográfica, epistemológica e contextual. A análise histórica buscou privilegiar alguns aspectos epistemológicos com a intenção de construir interfaces entre história e ensino de matemática conforme recentes estudos relacionados à incorporação de questões históricas no âmbito do ensino e da aprendizagem de matemática.
Niveles de calcio sérico en pacientes con aborto espontáneo
Authors: Acosta Osio G. , Acosta Osio J.J. , Vivas J.
Published: April 2020

Objetivo: se realizó esta investigación con el fin de determinar los niveles de calcio sérico en las mujeres que presentaron aborto espontáneo, residentes en la costa atlántica, ya que el calcio sérico podría ser un buen predictor de pérdida gestacional.Materiales y metodos: se elaboró un estudio prospectivo, en el cual se evaluaron los niveles de calcio en pacientes que padecieron un aborto espontáneo y que acudieron a la consulta de ginecología y obstetricia del Hospital Universitario Metropolitano de la ciudad de Barranquilla. Se incluyeron 82 pacientes. Los resultados se obtuvieron tabulando los datos de acuerdo a los parámetros más representativos para cada selección.Resultados: la mayor incidencia de aborto espontáneo fue del tipo incompleto, mayor en multíparas, y con edad gestacional entre 8-12 semanas; la hipocalcemia se presentó en el 52,3% de las pacientes distribuida así: 42,6% en quienes no tenían aborto anterior, 7,3% que tenían aborto anterior, el 2,4% tenían 3 o mas abortos previos. Un 43,9% de las pacientes tuvieron el calcio sérico normal.Conclusiones: El calcio sérico podría ser un buen predictor de pérdida gestacional, el riesgo relativo observado en nuestro grupo de pacientes es de 1,8 veces más de posibilidad de aborto en las embarazadas con bajos niveles de calcio, lo cual nos muestra que aunque el riesgo es moderado es estadísticamente significativo, p<0,001.
Esclerosis sistémica con insuficiencia renal crónica e hipertensión pulmonar severa en el embarazo: a propósito de un caso
Authors: Gómez Jiménez Jorge Mario , Arenas Marín Edgar Augusto , Rojas Gutiérrez Laura Patricia
Published: April 2020

Se presenta el caso de una multípara de 35 años afectada de esclerosis sistémica de corta evolución pero compromiso grave, quien toleró su quinta gestación con complicaciones graves, con sobrevida maternofetalSe realizó una revisión textual del tema mediante la base de datos Medline entre los años 1993 y 2002, utilizando las palabras clave esclerosis sistémica (3.156 artículos) y embarazo (61 artículos, 50 en inglés); diez artículos sobre compromiso renal, casi todos corresponden a descripciones de casos. No se encontraron referencias directas al compromiso cardiopulmonar.
Acretismo placentario en el Instituto Materno Infantil (IMI) 1994 - 1999
Authors: Davis Sjogreen Alan , Sánchez Lilia María , Rubio Romero Jorge Andrés
Published: April 2020

El acretismo placentario consiste en la adherencia anormal de la placenta a una decidua defectuosa o al miometrio, conduciendo a una demora en el alumbramiento o a la retención placentaria, asociada además a una hemorragia postparto que puede requerir o no histerectomía. Se realizó un estudio retrospectivo descriptivo de los casos de acretismo placentario encontrados y confirmados en el departamento de patología de nuestra institución entre el 1º de enero de 1994 y el 31 de agosto de 1999. Se revisaron los antecedentes gineco-obstétricos, aspectos clínicos e histopatológicos y se correlacionaron con los de la literatura. Dada la alta incidencia de parto por cesárea y su fuerte asociación con placenta previa y acretismo placentario, el obstetra deberá utilizar todos los métodos disponibles para diagnosticar y tratar esta patología.
Formatos para consentimiento informado
Authors: Mondragón Cedeño Alba Lucía
Published: April 2020

Para dar cumplimiento a la advertencia de riesgos de los tratamientos médicos y quirúrgicos ordenados en el código de Ética Médica, se han implementado diferentes modalidades a lo largo de la historia, desde anotaciones realizadas por el propio médico, hasta diferentes tipos de formatos preimpresos. En este artículo se presentan los formatos para consentimiento informado realizados y utilizados por la Asociación Vallecaucana de Obstetricia y Ginecología (Sovogin), como un aporte para ser difundidos y utilizados.
Asociación entre hiperhomocisteinemia y preeclampsia
Authors: Gómez Jiménez Jorge Mario , Zuleta Tobón Jhon Jairo , Campuzano Mayo Germán , Córdoba Gómez Carlos Mario
Published: April 2020

OBJETIVO: Explorar la asociación entre el nivel sérico posprandial de homocisteína y la preeclampsia y describir las complicaciones en gestaciones menores de 35 semanas.METODOLOGÍA: Estudio descriptivo de corte transversal en 109 gestantes: grupo I, 55 preeclámpticas (90,9% clasificadas como severas) y grupo II, 54 sin preeclampsia con menos de 35 semanas de edad gestacional, de los hospitales Universitario San Vicente de Paúl y General de Medellín, entre 1º de septiembre de 2000.RESULTADOS: Cuando se compararon las características generales de las pacientes no se encontró diferencia. No se demostró correlación entre los niveles de homocisteína y la edad de la paciente, la edad gestacional, ni con el número de partos previos (rho de Spearmman-0,057, -0,074 y - 0,17 respectivamente).Hubo diferencia entre las medianas de las concentraciones de homocisteinemia: 11,8 micromol/L y 8,8 micromol/L para G I y G II respectivamente (p<de 0,01). Las pacientes con homocisteinemia en el último cuartil (concentración mayor de 11,2 micromol/L por inmunoensayo de fluorescencia polarizada) presentan un riesgo de tener preeclampsia 9,67 veces mayor que las del primer cuartil (concentración menor de 7,1) (<IC95% entre 4,48 y 142,66).El percentil 95 para la homocisteinemia en embarazadas normotensas fue de 13,025 micromol/L. Se estableció este valor como el punto de corte para diagnosticar hiperhomocisteinemia en la gestante. Veinticinco (45.5%) de las gestantes del grupo I y 2 (3.7%) del grupo II fueron clasificadas con hiperhomocisteinemia, razón de disparidad (RD) 21,67 (IC95% entre 4,48 y 142,66).Catorce pacientes del grupo I tuvieron hijos con RCIU. Trece resultaron de madres con hiperhomocisteinemia frente a 12 de las 30 restantes cuyos hijos nacieron con peso adecuado para la edad gestacional (PAEG) (p=0,37). Seis neonatos, hijos de 26 mujeres no hiperhomocisteinémicas del grupo II que terminaron su gestación en los hospitales donde se realizó el estudio, presentaron bajo peso para la edad gestacional.CONCLUSIÓN: Se definió hiperhocisteinemia en la gestante si el nivel sérico posprandial de homocisteína resultó ser igual o mayor de 13,025 micromol/L (por encima del percentil 95 para el grupo II) y se demostró asociación (no causal), con preeclampsia.
Determination of Intergeneration Differences of Nurses and Student Nurses About Lifelong Learning in The Changing World: Eastern Black Sea Sample
Authors: YILMAZ YAVUZ Ayten
Published: April 2020

Objective: Advances in medicine and technology have caused professional knowledge to develop and change. The aim of the present study is to find out the intergeneration differences of nurses and student nurses about lifelong learning in the changing world. Methods: This descriptive study was conducted on 532 student nurses and nurses in a city of Eastern Black Sea region. The data were collected through a questionnaire form prepared to find out the views of nurses about lifelong learning. Descriptive statistics and Chi-square test were used in the assessment of data. Results: One third of the participants who were student nurses were in their third of study and nurses were found to be working in the profession with a mean of five years. It was found that the participants thought it should be obligatory for nurses to participate in continuing education activities so that they can work in health institutions. It was found that 68.5% of the nurses preferred applicability feature and 82.6% preferred visual and audio educational materials in lifelong learning programs. It was found that nurses participated in educational programs more and 84.4% of the nurses were found to have received basic electrocardiography education and 60.8% of the nurses stated that they would like to receive education on nutrition nursing. It was found that nurses wanted to participate in education programs for professional development, while student nurses wanted to participate for career development. Conclusions: It can be seen that nurses working participated in education programs more and wanted to participate in educational activities if they were given the opportunity. The awareness for lifelong learning and reaching related programs should be raised starting from years at the university and these studies should be included in the curriculum so that nurses can hear about professional development and changes.
The Investigation of a Tertiary Hospital Emergency Service in terms of Quality Standards
Authors: SAVRUN Atakan , GÖKÇEN Emre
Published: April 2020

Objective: Emergency services (ES) are the units where people first apply when they encounter an emergency and provide uninterrupted service 24 hours a day. The quality of these services is as important as the correct diagnosis and treatment of the patients in emergency services. Quality standards for emergency services (QSES) are the scales used for emergency services to provide quality service. In this study, the compliance status of a tertiary hospital emergency service with QSES was investigated.Methods: Data of emergency service recorded by the quality unit of a tertiary hospital between 01 January 2018 and 31 December 2018 were retrospectively analyzed.Results: It was found that a total of 90719 patients (27383 in 1st period, 28634 in the 2nd period, 7930 in the 3rd period, 28572 in the 4th period of 2018) applied to the emergency service in 2018. The patients were kept in the observation room for less than 6 hours, which is the target time for staying of patient. Less than 30 minutes when is the target time of the physician to reach the consultation could not be achieved. Less than 3% which is the target ratio of the patients re-applying to the emergency service within twenty-four hours with the same complaint was achieved. Less than 1% which is the target ratio of the patients sent from the emergency service to another center was achieved. Chi-square test test showed that there was a statistically significant difference between the periods in terms of all indicators (p<0.001). Conclusion: The hospital's situation regarding QSES was examined and quality targets were mostly met. However, additional measures are required to further improve the quality of the service provided in the emergency service.
O naturalismo e suas dispersões em filmes brasileiros dos anos 2000
Authors: Leites Bruno
Published: April 2020

O naturalismo literário é uma estética frequentemente repelida quando se trata de pesquisar naturalismo e realismo no cinema. Neste trabalho, faço uma abordagem alternativa, recuperando as suas principais características para compreender uma onda de filmes brasileiros dos anos 2000. Ao longo da década, uma série de filmes atualizou essas características, dentre as quais destaco o objetivo de fazer estudos de realidades periféricas esgotadas pela crise de modelos de civilização; a procura por doenças profundamente impregnadas nessas regiões; a recorrência do elemento trágico, da entropia e/ou da pulsão de morte; uma estética de excessos, com crueldade, sensação e sensacionalismo. Essas características reúnem-se em filmes naturalistas, mas se dispersam ao longo da década, mostrando que as premissas naturalistas deixaram de ser atrativas como projeto estético e político com o passar dos anos. Finalmente, reitero a pertinência e a necessidade de colocar o problema da imagem e do naturalismo para além da submissão extrema e caricata ao paradigma da transparência.
Hubungan antara Kadar Feritin dengan Malondialdehyde pada Pasien Talasemia β Mayor di RSD dr. Soebandi Jember
Authors: Permatasari Trinita Diyah , Riyanti Rini , Wisudanti Desie Dwi
Published: April 2020

Repeated blood transfusions, increased iron absorption, and ineffective erythropoiesis in major β thalassemia patients lead to iron overload characterized by elevated ferritin levels. Free iron will catalyze reactive oxygen species (ROS) formation by Fenton reaction that cause oxidative stress. Malondialdehyde (MDA) is the lipid peroxidation end product used to measure the oxidative stress. This study aimed to determine the correlation between ferritin levels and MDA levels in major β thalassemia patients at dr. Soebandi Hospital Jember. An analitic observational study with cross sectional study design which the subjects were 15 patients with major β thalassemia in the Pediatric Department at dr. Soebandi Hospital Jember who met inclusion and exclusion criteria. Ferritin levels measured by Enzyme-Linked Fluorescent Immuno Assay (ELFA) method and MDA levels measured by Thiobarbituric Acid Reactive Substances (TBARS) method using spectrophotometer at 535 nm. Data was analyzed with Shapiro Wilk normality test and Pearson correlation test. The mean of ferritin levels was 3540,46±3925,37 ng/mL and MDA levels was 4,77±2,03 nmol/mL. The result showed that there is strong positive correlation between ferritin levels and MDA levels with p value=0,001 and r=0,786 in major β thalassemia patients at dr. Soebandi Hospital Jember.