bluuebunny/crossref_metadata_2025 huggingface dataset:
PELAKSANAAN MONITORING TERHADAP KUALITAS KOMUNIKASI INTERPERSONAL DALAM MELAKSANAKAN TINDAKAN KEPERAWATAN
Authors: Sutejo Djoko
Published: January 2020

Latar Belakang : Perawat menjadi salah satu bagian yang telah berkembang secara pesat dalam peningkatan kualitas pelayanan keperawatan.salah satunya perawat manager, perawat manager memiliki tugas dalam setiap pelaksanaan keperawatan. monitoring merupakan tugas manager keperawatan, adapun tujuan adalah untuk mencapai tujuan dan memberikan arahan serta masukan kepada rekan kerja didalam suatu kelompok Tujuan : mendeskripsikan pelaksanaan monitoring terhadap kualitas komunikasi interpersonal dalam melaksanakan tindakan keperawatan. Metode : Dalam pelaksanaan analisis yang dilakukan menggunakan metode review lieratur, literature review Hasil : Pelaksanaan monitoring yang dilakukan bagian adminitrasi keperawatan merupakan hal yang dapat mempengaruhi terhadap kualitas komunikasi interpersonal dalam memberikan pelayanan keperawatan Pembahasan : Adapun aspek dalam pelayanan keperawatan yaitu komunikasi interpersonal, bahwa komunikasi merupakan bagian yang terpenting dalam memberikan layanan, komunikasi merupakan salah satu cara dalam memberikan trauptik keperawatan kepada responden. Didalam praktek keperawatan, komunikasi ini merupakan sebagai penyampaian informasi keperawatan yang akan dijalani. Rekomendasi : diharapkan untuk memperhatikan serta meningkatkan fungsi managemen terkhususnya monitoring. Hal ini menjadi perhatian penting dalam meningkatkan kualitas komunikasi interpersonal perawat dalam memberikan pelayanan kepada klien
Misiologi Kontekstual Jemaat Urban: Pergulatan Eklesiologis Gereja Pascakonflik di Kota Ambon
Authors: Gaspersz Steve Gerardo
Published: January 2020

Penguatan tindakan perdamaian, terutama pada masyarakat pascakonflik di Ambon, tidak dapat dilepaskan dari perspektif mengenai keadilan dalam tatanan kehidupan bersama suatu masyarakat multikultural. Berbagai upaya untuk memperkuat misi perdamaian dan keadilan tidak hany muncul dalam relasi-relasi eksternal, tetapi juga dalam penataan visi dan misi kristiani internal dengan berbasis pada konteks jemaat pascakonflik.
UPAYA PERAWAT DALAM PENCEGAHAN PENYAKIT MENULAR DIFTERI
Authors: Mawaddah Armi
Published: January 2020

Kesehatan yang optimal bagi setiap individu, keluarga, kelompok dan masyarakat merupakan tujuan dari keperawatan, khususnya keperawatan komunitas, yang lebih menekankan kepada upaya peningkatan kesehatan dan pencegahan terhadap berbagai gangguan kesehatan dan keperawatan, dengan tidak melupakan upaya-upaya pengobatan dan perawatan serta pemulihan bagi yang sedang menderita penyakit maupun dalam kondisi pemulihan terhadap penyakit. Tujuan untuk mengetahui dan meningkatkan peran perawat dalam mencegah penyakit menular difteri. Metode kajian ini dengan mendeskripsikan dan menggambarkan tentang peran perawat dalam mencegah penyakit menular difteri. Adapun pengambilan data dengan menggunakan data sekunder dan dari jurnal-jurnal penelitian. Hasil: penggunaan media digital untuk penanganan KLB difteri yaitu Salah satu solusi serta pencegahan yang dapat dilakukan terkait permasalahan KLB difteri adalah melalui pelayanan kesehatan dan edukasi online, Adapun penanggulangan Kejadian Luar Biasa (KLB) terhadap penyakit difteri dilakukan secara bertahap yaitu penanggulangan tahap awal dan penanggulangan dengan pelaksanaan SUB PIN difteri secara serentak. Penanggulangan KLB pada tahap awal yang dilakukan yaitu sosialisasi ke semua unit pelayanan kesehatan, penemuan kasus difteri secara dini, perawatan penderita yang standar, pemberian profilaksis terhadap kontak erat penderita, serta pemberian imunisasi massal atau outbreak response Imunization (ORI) secara terbatas di daerah KLB.
PELATIHAN SERVICE EXCELLENCE PERAWAT DALAM MENINGKATKAN KUALITAS PELAYANAN DI RUMAH SAKIT
Authors: Mawaddah Armi
Published: January 2020

Pelayanan prima (service excellent) adalah kepedulian kepada pelanggan dengan memberikan layanan terbaik untuk memfasilitasi kemudahan pemenuhan kebutuhan dan mewujudkan kepuasannya agar mereka selalu loyal kepada perusahaan. Kualitas pelayanan di setiap institusi layanan kesehatan diharapkan dapat memenuhi kepuasan pasien sebagai penerima pelayanan kesehatan. TUJUAN Tulisan ini bertujuan untuk mengetahui sejauhmana pelayanan prima (service excellence) dapat meningkatkan kualitas pelayanan di rumah sakit. Metode dalam penulisan ini yaitu dengan mendeskripsikan dan menggambarkan tentang pelatihan service excellence dalam meningkatkan kualitas pelayanan di rumah sakit. Adapun pengambilan data dengan menggunakan data sekunder dan dari jurnal-jurnal penelitian. Hasil Pelatihan service exelence mempunyai pengaaruh terhadap peningkatan kualitas pelayanan di rumah sakit. Rekomendasi: diharapkan rumah sakit memberikan pelatihan service exelence secara merata kepada seluruh karyawan yang ada di Rumah sakit.
Multimodal imaging of cerebral microhemorrhages and white matter degradation in geriatric patients with mild traumatic brain injury
Authors: Calvillo Maria , Fan Di , Irimia Andrei
Published: January 2020

Traditionally, neurobiologists have utilized microscale techniques of scientific investigation to uncover the fundamental organization and function of brain cells and neuronal ensembles. In recent decades, however, macroscale brain imaging methods like magnetic resonance imaging (MRI) and computed tomography (CT) have facilitated a wider scope of understanding neural structure and function across the lifespan. Thanks to such methods, a broader picture of the relationship between microscale processes—studied by neurobiologists—and macroscale observations—made by clinicians—has emerged. More recently, the vascular component of neurodegeneration has come under renewed scrutiny partly due to increased appreciation of the relationship between neurovascular injury, cardiovascular disease and senescence. Cerebral microbleeds (CMBs) are among the smallest lesions of the cerebrum which can be visualized using MRI to indicate blood-brain barrier (BBB) impairment; as such, this class of hemorrhages are important for the evaluation and macroscale detection of geriatric patients’ microscale pathologies associated with neurovascular disease and/or neurodegeneration. This chapter details a streamlined protocol for MRI/CT multimodal imaging data acquisition, archiving and digital processing, including methods tailored for the analysis of susceptibility-weighted imaging (SWI) and diffusion-weighted imaging (DWI) scans to reveal CMB-related alterations of the human connectome. Efficient and effective MRI/CT methods like ours, when tailored for CMB and connectome analysis, are essential for future progress in this important field of scientific inquiry.
konsep dasar, prinsip dan peranan supervisi
Authors: Revenia Isra
Published: January 2020

When we compare with the quality of the best education in the world, Indonesia can catagorized as far behind. This can be seen from the achievments of students who become rejected measuring education quality in improving the qualitu of education, education supervision has very important role in developing education quality. Supervision can be interpreted as a coaching activity that has been planned to assist teachers and staff and other school staff in carrying out work effectively so that it gets good results. Supervision is a process that is applied to a job that has been carried out and even evaluates and corrects the work I to match what was determined from the start.
ANALISIS KONSISTENSI SUBSTANSI DAN IMPLEMENTASI SERTA DAMPAK PERATURAN PERUNDANG-UNDANGAN PERLINDUNGAN LAHAN PERTANIAN PANGAN BERKELANJUTAN DI PROVINSI JAWA BARAT
Authors: Iqbal Muhammad , Muslim Chairul , Saputra Yonas Hangga , Nugroho Romi
Published: January 2020

Alih fungsi lahan pertanian yang bersifat terus menerus dapat menimbulkan dampak negatif, khususnya dalampenyediaan pangan. Untuk itu, pemerintah telah menerbitkan Undang-Undang Nomor 41 Tahun 2009 (UU41/2009) tentang Perlindungan Lahan Pertanian Pangan Berkelanjutan (PLP2B). Undang-Undang tersebutmemerlukan peraturan pendukung khususnya Peraturan Daerah tentang Rancangan Tata Ruang Wilayah(Perda RTRW) agar konsistensi substansi dan implementasinya berdampak positif terhadap perlindunganlahan pertanian berkelanjutan. Artikel ini bertujuan untuk menganalisis dan sekaligus memberikan rekomendasiterhadap konsistensi substansi dan implementasi serta dampak peraturan perundang-undangan tentangperlindungan lahan pertanian pangan berkelanjutan, kasus di Provinsi Jawa Barat. Hasil analisis menunjukkanbahwa terdapat ketidakkonsistenan substansi UU 41/2009 dalam Perda RTRW sebagai pedoman induk dalamimplementasi perlindungan lahan pertanian pangan berkelanjutan. Oleh karena itu, perlu dilakukan penataankelembagaan terkait dengan Perda RTRW berikut sosialisasi yang bersifat kontinyu guna mewujudkanimplementasi perlindungan lahan pertanian pangan berkelanjutan lingkup kabupaten/kota di Provinsi JawaBarat.
PENGEMBANGAN ALAT PENILAIAN DALAM KELAS PENDIDIKAN KEWARGANEGARAAN DI SEKOLAH DASAR DAN MADRASAH IBTIDAIYAH
Authors: Yuliani Nunung
Published: January 2020

Dalam interviu dikenal dengan dua cara yaitu secara langsung dan tidak langsung.Interviu langsung adalah wawancara yang dilakukan dengan sumber utama atau siswa yangdiselidiki untuk menggali data tentang dirinya. Jika prtanyaan diajukan kepada siswa laindan diminta untuk memberikan informasi tentang seorang siswa maka interviu tersebutdikatakan sebagai interviu tak langsung
administrasi keuangan 1
Authors: deswita Linda
Published: January 2020

the way we manage finances. This article researchers used the literature study method by collecting literature (materials) taken from book sources, journals, and other sources related to the science of Educational Administration. The method of literature relating to topics of interest can help make it easier to formulate research problems.
KONSEP DAN PRINSIP-PRINSIP PENGEMBANGAN PENILAIAN DALAM PEMBELAJARAN PKN DI SD DAN MI
Authors: Fitri Idatul
Published: January 2020

Penilaian assessmentdan Penialaian/evaluation memiliki persamaan dan perbedaan. Persmaananya adalah keduanya mempunyai pengertian menilai atau menentukannilai sesuatu.Perbedaan, Penialain (assessment) digunakan dalam konteks yang lebih sempit dan biasanya dilaksanakan secara internal contohnya seperti guru menilai hasil belajar muridnya. Sedangkan Penilaian (evaluation) digunakan dalam konteks yang lebih luasdan biasanya dilaksanakan secara eksternal, seperti konsultan yang disewa untuk menilai suatu programbaik pada level terbatas maupun pada level yang luas
Supervisi Pendidikan
Authors: Hamini Haisya
Published: January 2020

In its development, the supervisor of the education unit is more directed to owning and understanding even demanded to be able to practice what is contained in the ministerial regulation on oversight. One of the demands is about competence in understanding the methods and techniques in supervision. A supervisor is a professional person when carrying out their duties, he acts on the basis of scientific principles to improve the quality of education.A supervisor fosters improved academic quality related to efforts to create better learning conditions in the form of academic aspects, not merely physical material problems. When supervision is faced with the performance and quality control of education by the supervisor of the education unit, it certainly has a different mission from supervision by the school principal. In this article the author will explain the difficulty of educational supervision so that readers can understand about educational supervision.
Menyunting Berita
Authors: Cahyani Anissa Aulia Dwi
Published: January 2020

Menyunting berita ini dilakukan untuk mengetahui apa saja kesalahan-kesalahan yang terdapat di dalam teks berita. Kesalahan-kesalahan tersebut dapat berupan kesalahan dalam tataran ejaan dan tanda baca, morfologi, dan sintaksis. Kesalahan pada berita yang di analisis ini kebanyakan terdapat pada tataran sintaksis, dimana dalam penyusunan kalimat tidak sesuai dengan kaidah sintaksis, sehingga kalimat yang ada menjadi tidak baku. Berita yang dianalisis berjudul “Jokowi Curhat Kejebak Macet Setengah Jam di Kuningan”. Sumber berita ini adalah dari laman web suara.com.
PENGGUNAAN MODEL ALAT PENILAIAN MATA PELAJARAN PENDIDIKAN KEWARGANEGARAAN DI SD DAN MI BERBASIS PORTOFOLIO
Authors: Rosmalina Rosmalina
Published: January 2020

Dalam pelaksanaan bentuk tertulis siswa lebih tenang dan yakin, karena merasa tidak berhadapan atau tidak ditanya secara langsung oleh guru penguji yang bersangkutan.Selain itu penilaian dapat lebih bersifat objektif karena tulisan merupakan bukti otentik yang dapat dijamin akuntabilitasnya. Ujian tertulis dapat digunakan soal-soal berbentuk esai, objektif, atau gabungan keduanya. Tes tertulis uraian : terbatas, tertutp /terstruktur. Tes tertulis objektif terdiri dari tes pilihan ganda, benar-salah, menjodohkan dan isian singkat.Tes tertulis objektif lebih praktis dan dapat digunakan untuk jumlah peserta didik yang cukup besar, serta mutunya dapat dipertanggung jawabkan.
kepemimpinan kependidikan 1
Authors: deswita Linda
Published: January 2020

how to become a leader. This article researchers used the literature study method by collecting literature (material materials) taken from book sources, journals, and other sources related to the science of Educational Administration. The method of literature relating to topics of interest can help make it easier to formulate research problems.
administrasi layanan khusus 1
Authors: deswita Linda
Published: January 2020

provide special services without any difference. This article researchers used the literature study method by collecting literature (material materials) taken from book sources, journals, and other sources related to the science of Educational Administration. The method of literature relating to topics of interest can help make it easier to formulate research problems
Autobiographical memory-based intervention for depressive symptoms in young adults: A randomized controlled trial of cognitive-reminiscence therapy
Authors: Hallford David John , Mellor David J.
Published: January 2020

Background: Autobiographical memory-based interventions have shown promise in the treatment of depression. This study is the first to examine the effects of one such therapy, cognitive-reminiscence therapy (CRT), for the treatment of depressive symptoms in young adults. Method: A total of 26 young adults (mean age = 20.8 years, SD = 1.9) presenting to a community youth mental health service for treatment of at least moderate depressive symptoms were randomized to receive either a six-week course of individual CRT or usual care (individual, brief evidence-based psychotherapy). Results: CRT had large effects on depressive symptoms at six-weeks (d = 1.59) and at a three month follow-up (d = 1.51). Effects were also found at six-weeks in the CRT group for variables suggested to play a mediating role: self-esteem, self-efficacy, meaning in life and optimism (d = .92 – 1.99), and at follow-up (d = .74 – 1.21). Effects were observed on anxiety symptoms at six-weeks (d = 1.78), but not maintained at follow-up. No within-group effects were observed in the usual care group, aside from optimism at six-weeks (d = 1.05), but not at three-months. Conclusions: This study provides preliminary findings that CRT is a feasible and promising approach to the alleviation of depression among young adults. However, larger trials are needed to test its effects more rigorously.
Should corrections of the literature influence grant review?
Authors: Ribeiro Mariana Dias , Vasconcelos Sonia
Published: January 2020

The effect of retractions on the career of scientists is an emerging issue and can be assessed, for example, through citation patterns for articles by authors with retractions. Other possible influences are not well known, but they are worth investigating in a time of changing perceptions of impact and of which factors should influence the reward systems of science. Although academia has cultivated a "culture of impact" in science, rigor and the reliability of the research record seem to be gradually taking a stronger role in today's scientific zeitgeist, as suggested in a recent Nature commentary (Casadevall, 2019). However, the extent to which this shifting panorama may influence, for example, grant review criteria is an open question. As part of an ongoing project, we present results of a qualitative pilot study with a group of funders/review panel members who shared their views on the possible role of retractions and of self-correcting the literature in funding decisions. Their comments reflect the difficulty of dealing with retractions in the review of applications for funding. However, they also lend credence to the idea that a broader look at the impact of correction of the literature on research assessment is warranted in this time of changing notions of rewards in science.
Standing-up against moral violations: The predicting role of attribution, kinship, and severity.
Authors: Urschler David F , Fischer Peter , Kessler Thomas
Published: January 2020

Witnesses of moral violations stand up for their moral principles, despite facing substantial costs for intervening. Notwithstanding its importance, little is known whether responsibility attributions and the relation between the victim and a witness (i.e., kinship) have different effects on the intention to intervene in situations of different severity (e.g., moral courage situations). We predict an interaction between the situation’s severity and the victims’ responsibility for their plight. In less-severe situations, witnesses would be less willing to help when they perceive the victim to be responsible for their plight. However, those who are not seen as responsible would receive more help. For more-severe situations, responsibility is predicted to have no effect. Opposite effects are predicted for the relationship between the helper and the victim. We further predict that perceived costs for helping mediates witnesses’ willingness to intervene. Two studies showed that people are more willing to help individuals who are perceived as being innocent in their plight, but only in less-severe situations. In more-severe situations, people’s willingness to intervene increases, regardless of responsibility attributions. We did not observe effects for kinship. Moreover, we provide partial evidence that witnesses of more-severe situations indeed accept higher costs for intervention.
A Policy-oriented Agent-based Model of Recruitment into Organized Crime
Authors: Campedelli Gian Maria , Calderoni Francesco , Paolucci Mario , Comunale Tommaso , Vilone Daniele , Cecconi Federico , Andrighetto Giulia
Published: January 2020

Criminal organizations exploit their presence on territories and local communities to recruit new workforce in order to carry out their criminal activities and business. The ability to attract individuals is crucial for maintaining power and control over the territories in which these groups are settled. This study proposes the formalization, development and analysis of an agent-based model (ABM) that simulates a neighborhood of Palermo (Sicily) with the aim to understand the pathways that lead individuals to recruitment into organized crime groups (OCGs). Using empirical data on social, economic and criminal conditions of the area under analysis, we use a multi-layer network approach to simulate this scenario. As the final goal, we test different policies to counter recruitment into OCGs. These scenarios are based on two different dimensions of prevention and intervention: (i) primary and secondary socialization and (ii) law enforcement targeting strategies.
Conversational activity in natural interaction for children
Authors: Fuat Keyman
Published: January 2020

I propose to explain the reasons assuming that the precondition for understanding beliefs is children’s participation in exchanges of information in conversation. I report that children are able to discuss past events more than three months old, giving selective information in depending on the presence or absence of the interlocutor as a spectator of these events; they seek information by asking questions with diverse formulations; they can respond appropriately to an information exchange in a dead end clarifying their words; finally, they use "no" not only to refuse but also to express disagreement in response to a question or opinion. So, children spontaneously use conversation as a means of research and exchange information, regardless of an action plan.
Arqueología de la guerra después de la guerra
Authors: Tejerizo-García Carlos , Rodríguez Gutiérrez Alejandro
Published: January 2020

Oficialmente, la Guerra Civil en España finalizó el 1 de abril 1939. Sin embargo, las dinámicas bélicas continuaron en el tiempo, articuladas en torno a la lucha del nuevo estado franquista contra el movimiento guerrillero. Uno de los frentes más relevantes se formó en torno a la conocida como “Ciudad de la Selva”, un conjunto de campamentos de la guerrilla situadas en los montes de Casaio (Ourense, Galicia). Desde 2017 llevamos a cabo un proyecto para la documentación arqueológica y etnográfica de la materialidad y memoria de la guerrilla antifranquista en esta zona. Aquí presentamos algunos de los principales resultados del proyecto, enfatizando la idea de que arqueológicamente se documenta un frente de batalla en un momento en el que, supuestamente, la guerra había finalizado, como respuesta al alto grado de organización conseguida por la guerrilla.
El centro clandestino de detención y tortura Los Vagones del Barrio Olímpico (Canelones).
Authors: Marín Suárez Carlos , Gazzán Nicolás , Aguirrezabal Diego , De Austria Millán Alberto , Cancela Cristina , Díaz Natalia , Blasco Jimena , Guillén Ruiz Abel , Macé Jean François , Arguiñarena Biurrun Jesús , Ampudia de Haro Ignacio , Márquez Berterreche Martín , De Izaguirre María Julia
Published: January 2020

Los Centros Clandestinos de Detención y Tortura fueron importantes  dispositivos del nuevo orden totalitario conocido como dictadura cívico-militar uruguaya (1973-1985). A partir de un proyecto de extensión universitaria crítica, en colaboración estrecha con representantes de la sociedad civil, se ha podido investigar por primera vez uno de estos lugares en el interior del país, constatando, además, que fue gestionado por la Policía. Se ha contrastado la materialidad documentada arqueológicamente con los testimonios de víctimas directas y vecinos, para realizar una interpretación general del sitio. De este modo se aportan nuevas narrativas históricas que sustentan este Sitio de Memoria. Además, los informes técnicos generados se han incluido en el expediente judicial que investiga los delitos de lesa humanidad allí cometidos.
Dental Awareness, Knowledge and Attitude among the Medical Practitioners in Pokhara, Nepal
Authors: Manandhar A. , Bhandari A. , Kunwar D.
Published: January 2020

Introduction: Oral health is a window to our overall health. Negligence to oral health might have adverse effects on the general well being of a person. Hence, early detection and prompt treatment is of utmost importance. Lack of general medical practitioner’s knowledge of oral disease has been shown to contribute to delays in referral and treatment, thus significantly affecting the associated morbidity and mortality.

Methods: The present study was undertaken to assess knowledge, attitude and dental awareness among medical practitioners in Pokhara, Nepal. A list of medical practitioners was obtained from the NMA (Nepal Medical Association, Gandaki branch, Nepal) and sample size of 109 study subjects was calculated. A cross-sectional study was conducted among the medical practitioners. from March 2018 to April 2018. The data pertaining to their knowledge, attitude and awareness about oral health was gathered using a self-administered questionnaire. The data was analyzed using descriptive statistics.

Results: Results of the study showed that the medical practitioners had moderate to good knowledge about dentistry as 97.2% of the medical practitioners answered correctly saying that brushing tooth daily prevents tooth decay and periodontal disease Whereas, when asked about the changes in the oral cavity which most commonly is associated with progression towards oral cancer, only 46.8% answered correctly by responding to non-healing ulcer/ erosive lesions.

Conclusions: It is imperative that the dental/medical practitioners have good knowledge about the oral diseases and its systemic manifestations, so as to have timely referral and early treatment to prevent the associated morbidity and mortality.
Methicillin Resistant Staphylococcus aureus Contamination of Hands and Mobile Phones of Health Care Workers in a Health Care Setting: A Silent Threat
Authors: Sharma B.K. , Regmi S.M. , Sharma K. , Reddy K.R. , Adhikari S.
Published: January 2020

Background: The extensive use of mobile phones in the hospital among health care workers (HCWs) can lead to infectious agents being transferred from one patient to another and thus serve as a vehicle in the transmission of nosocomial pathogens.

Objectives: This study aimed to investigate the prevalence of Methicillin Resistant Staphylococcus auerus (MRSA) contamination of mobile phones and hands of HCWs in Gandaki Medical College and Teaching Hospital.

Methods: The present study was hospital and laboratory based cross-sectional study, carried out from April, 2017 to December, 2017. A total of 100 mobile phone swab and 100 hand swab samples of HCWs were collected and cultured directly on MacConkey agar, blood agar, and mannitol salt agar after 24 hrs of enrichment. All the isolated organisms including MRSA were identified using standard microbiological techniques and subjected to antibiotic susceptibility testing using disc diffusion technique.

Results: Among the Gram positive isolates, frequency distribution from mobile phones showed the highest prevalence of coagulase negative Staphylococci (CONS) (34.69%), followed by Staphylococcus aureus (20.41%), Bacillus spp (15.31%), Micrococci spp (11.23%), however considerable number of Diptheroides (8.16%), Enterococci (6.12%) and Streptococcus pneumoniae (4.08%). Siimilarly from hand swabs CONS (39.62%), followed by S. aureus (26.42%), Bacillus spp (10.38%), Micrococci (11.32%), Enterococci (6.60%) and Diptheroids (5.66%) were isolated. The frequency of MRSA was 20%, 25% among mobile phones and hands of HCWs respectively. Drugs like Vancomycin, Amikacin, Clindamycin and Gentamycin were found quite effective against S. aureus in the present study and would be better options for the management of such infections.

Conclusions: Mobile phones and hands of HCWs were the potential source of nosocomial infections including multidrug-resistant pathogens like methicillin-resistant S. aureus.
Pathway to Care of Psychiatric Services in Gandaki Medical College Teaching Hospital in Western Nepal
Authors: Lamichhane N. , Thapa DK , Timilsina RR , Sharma R. , Vaidya L , Subedi A
Published: January 2020

Aims and Objectives: The sequence of contacts with individuals and organizations prompted by the distressed person's efforts, and those of his or her significant others, to seek help is known as the pathways to care. The study of the pathways to care provides the relevant information regarding the individual's health seeking and illness behaviour. A wide range of professionals including psychiatrists, psychologists, other doctors, faith-healers and religious healers cater to the needs of mentally ill patients. This study was carried out to identify the pathway to care of patients up to psychiatric care with no prior psychiatric treatment at GMCTH.

Methodology: It is a cross-sectional, descriptive study conducted in GMCTH, Pokhara from Jan 2015 to Dec 2016. After ethical consideration, all new patients and those newly referred to the psychiatric services and agreed to participate were interviewed until the target 100 participants were recruited. ICD-10 was used for diagnosis. Data were computed and analyzed by using Microsoft excel and SPSS. Parametric & non parametric statistical technique was applied wherever appropriate.

Results: Total of 100 patients (56 females, 44 males) was included in the study. Mean age of the entire study cohort was 37.17 years (SD 15.45). The mean no. of months to seek first help from a psychiatrist was 53.03 months (SD: 81.70).

Conclusion: All the patients here eventually made treatment contact with psychiatrists. However, delay was pervasive. Delay in treatment has negative effect in the treatment outcome. The knowledge and recognition of psychological disorders by the traditional healers as well as other treatment providers in the community are crucial for early treatment of psychiatric patients.
Pattern of ocular morbidity in pediatrics age group in a tertiary centre in western Nepal
Authors: Tuladhar S , Gurung J. , Poudel B. , Subedi N.
Published: January 2020

Introduction: Ocular morbidities are importantbecause of their impact on child’s development,education and future work. Ocular morbidities in children may not be diagnosed and treated in time due to inability to express their problems which leads to amblyopia by the time they can express it. This study was conducted with an objective to determine the pattern of ocular morbidity in children less than and equal to 14 years of age presenting in the Outpatient Department (OPD) of Gandaki Medical College, Pokhara.

Materials/ Methods: This is a cross sectional observational study where we reviewed the profile of all of all patients of age group equal to or less than 14 years entering eye OPD from September 2016 to September 2018 for eye examination.

Result: A total of 1471 patients presented to eye department of GMC. The mean age of the patient was 8.25 ±4.24 years among which 57.8% were males and 42.2% were females. Maximum number of the patients were in age group 11 to 14 years (38.1%) while minimum number of the patients were in the age group <1 year(10.6%).Conjunctival disorders (23.9%) was the most common ocular morbidity followed by refractive error in (18.2%), miscellaneous conditions (10.4%), eyelid diseases (8.6%), lacrimal system diseases (7.8%).

Conclusion: Thestudy gives a picture and pattern of ocular diseases in pediatrics age group which not only helps in early diagnosis and treatment of ocular diseases but also in decreasing the magnitude of childhood blindness and amblyopia.
Clinicopathological profile of colorectal cancer managed at a university teaching hospital, Nepal
Authors: Paudyal Sanjaya , KC Shiva Raj , Maharjan Shantabir , Shah Surendra , Giri Niraj , KC Samyukta , Sigdel Bidhan
Published: January 2020

Introductions: Colorectal carcinoma is the third most common cancer worldwide. The incidence is increasing in developing countries including Nepal. The aim of this study is to find out the clinicopathological pattern of colorectal carcinoma locally.

Methods: Data were recorded retrospectively by reviewing the charts of the patients who were diagnosed and treated for in patients having colorectal cancer managed during three years period of 2016-9 at Patan Hospital, the university teaching hospital of Patan Academy of health sciences, Nepal. Clinicopathological profile, age, gender, surgery, histopathological findings were descriptively analised.

Results: There were 36 colorectal cancer patients, male 20 (56%) and females 16 (44%), mean age 56.9 years (range 24 to 89). Curative surgery was possible in 17 (47.2%) and adenocarcinoma of moderate differentiation was found in 25 (70%) of the resected specimen.

Conclusions: Colorectal carcinoma was found in old age, slightly more in male than female, adenocarcinoma being most common histology type.
Neonatal and perinatal mortality trend among 23,000 babies delivered during three years at an urban university teaching hospital of Nepal
Authors: Rajbhandari Rateena , Amatya Puja , Shrestha Shova
Published: January 2020

Introductions: Perinatal mortality rate (PMR) of Nepal is 31 deaths per 1000 pregnancies and neonatal mortality rate (NMR) is 21 deaths per 1000 live births according to Nepal Demographic and Health Survey (NDHS) 2016. This study aims to analyse the trend of PMR and NMR of babies delivered at Patan hospital, Nepal.

Methods: This was a retrospective study done in the department of Pediatrics to analyse the trend of neonatal and perinatal outcome of babies delivered during three years from April 2016 to March 2019 at Patan Hospital, Patan Academy of Health Sciences, Nepal. Data was collected from hospital records and perinatal audit. The mode of delivery (vaginal, instrumental, caesarian), birth status (sex, premature, still, live, APGAR, birth weight) and final outcome (neonatal and perinatal mortalities) were analyzed descriptively using Microsoft Excel 2010.

Results: The final outcome of total 22937 deliveries during three years were PMR 4.34, corrected PMR 10.85 per 1000 total births and NMR 3.62 per 1000 live births. There were 22913 (99%) live births, 3090 (13.3%) had low birth weight, 11898 (52%) spontaneous vaginal delivery, 10700 (47%) cesarean and 339 (1.5%) instrumental deliveries.

Conclusions: The overall PMR was 4.34 per 1000 total births and NMR was 3.62 per 1000 live births at Patan Hospital.
Hanseatic fish trade in the North Atlantic: evidence of fish remains from Hanse cities in Germany
Authors: Küchelmann Hans Christian
Published: January 2020

This paper reviews the evidence for the Hanseatic fish trade in the North Atlantic from the perspective of the consumer sites: the Hanse cities in Germany. Stockfish, the most important good in the North Atlantic trade, are discussed from an archaeozoological perspective. The evidence from Hanse cities accumulated thus far is presented and evaluated. The amount of fish remains analysed from Hanse cities in Germany is still very low, which precludes in-depth research and wider conclusions. Nevertheless, overall patterns appear that are generally consistent with the assumptions of patterns for imported stockfish: high frequencies of Gadidae among the fish remains of coastal Hanse cities, overrepresentation of postcranial skeletal elements, prevailing remains of large size classes, and isotopic data supporting the hypothesis.
Pirates and merchants – Hanse traders and Victual Brothers in Skjernesund and other outports of southernmost Norway in the early fifteenth century
Authors: Stylegar Frans-Arne H. , Nymoen Pål , Eikli Gunnar
Published: January 2020

Friend or foe? Trader or pirate? Commercial shipping along the archipelago of southern Norway in the early fifteenth century could be a risky business. Hanseatic skippers must have had detailed knowledge of sailing routes and good harbours along the route past Lindesnes towards Bergen. Among a chain of good natural harbours, Skjernesund near Mandal formed a hub, a protected inner route consisting of several good harbour areas sheltered from the exposed Skagerrak north of  Skjernøya. An overview of dated shipwrecks along the coast of southern Norway is presented and their context discussed in relation to why they wrecked. It is striking that the majority of wrecks have been found in port areas. The most common  interpretation of these wrecks individually is that there are natural explanations for these as losses at sea. By comparing the written sources and historical events from the main period of these shipwrecks, it is probable that in many cases the cause was piracy.
Democratic Socialists on Social Media: Cohesion, Fragmentation, and Normative Strategies
Authors: Barnes Christopher C
Published: January 2020

This essay focuses on members of the Democratic Socialists of America (DSA) political organisation in the US and the ambivalence of using social media as a primary means of communication for socialist information and culture. Relying on in-depth interviews with fifteen active members and leaders in DSA, this essay asks: How does socialist communication on social media encourage both cohesion and fragmentation for activists within the DSA? Locating and analysing key tensions felt by DSA members in response to their use of Facebook and Twitter, this project sheds light on the ways in which socialism is presently communicated to publics and counterpublics and identifies important challenges for the expansion of the socialist movement.
Pengaruh Kecepatan Aliran Udara Panas Terhadap Kualitas Pengeringan Keripik Porang dengan Dimensi Ruang Pengering 1 m3 Menggunakan Heater 700 Watt
Authors: Maulana Hasan Syafik , Kurniawan Adi
Published: January 2020

Umbi porang (Amorphophallus Muelleri) merupakan komoditi tumbuhan yang berguna dan bermanfaat bagi manusia. Umbi porang ini memiliki kandungan Glucomannan Konjac yang tinggi sehingga cocok digunakan bagi penderita diabetes maupun orang yang melakukan diet. Indonesia yang berada pada wilayah tropis mengakibatkan daerah-daerahnya memiliki curah hujan yang cukup beasar dan durasinya lama, maka pemanfaatan umbi porang sebagai keripik menjadi tidak efiisien karena pada musim penghujan keripik porang tidak dapat dikeringkan secara maksimal karena keripik porang memiliki kandungan air yang tinggi. Oleh karena itu pada penelitian ini dibuatlah mesin pengering untuk mengeringkan keripik porang. Alat pengering dibuat dengan ukuran 1 m3 dan pemanas (Heater) 700 Watt. Udara panas dari heater dialirkan menggunakan kipas dengan variasi kecepatan aliran sebesar 2 ms, 4 ms, dan 6 ms.Hasil dari penelitian menunjukkan bahwa Semakin lama waktu pengeringan maka perpindahan panas atau temperatur yang dihasilkani akan semakin besar. Dengan waktu pengeringan sebesar 120 menit, pengeringan menggunakan aliran udara sebesar 4 m/s mengalami penurunan massa dan prosentase pengeringan yang paling besar dibandingkan dengan aliran udara panas 2 m/s dan 6 m/s yaitu sebesar 133 gram untuk penurunan masanya dan 44% untuk prosentase pengeringannya.
Detección de fugas en canalizaciones enterradas mediante isótopos radiactivos
Authors: Sebastián Calvo Carlos
Published: January 2020

ResumenLa utilización de trazadores en la forma de radioisótopos y la observación de su cambio de concentración con el tiempo, permite darnos una idea del comportamiento de los procesos industriales y la evaluación de problemas de mal funcionamiento como es el caso de la detección y cuantificación de fugas o filtraciones en tuberías enterradas. Las técnicas mostradas representan un conjunto de métodos sencillos, económicos y rápidos, de gran utilidad en la evaluación de fugas o filtraciones en ductos enterrados, mediante el uso de trazadores artificiales.Palabras clave: trazadores, radioisótopos, fugas, detectores.

AbstractThe use of tracers in the form of radioisotopes and the observation of its concentration changes as a function of time, allow us to draw some conclusions about the performance of industrialprocesses and the evaluation of malfunctioning troubles, which is the case of the detection and quantification of leakages in underground pipes. The shown techniques represent a set of simple, fast, and economic methods of great utility in the evaluation of leaks in underground pipelines using artificial tracers.Keywords: Tracers, radioisotopes, leakages, probes.
Julio César Tello Wirakocha: aspectos de la religión indígena
Authors: Huertas Vallejos Lorenzo
Published: January 2020

ResumenEn 1923 julio C. Tello publicó un artículo titulado Wiracocha donde condensa todo el conocimiento que se tenía sobre la religión en el Perú antiguo. En este artículo Tello divide a las grandes teogonías del Perú antiguo en cuatro grandes regiones: mitos del norte, el centro y del sur y mitos florestales. Centrando su atención en los mitos del sur cuya mayor deidad fue Wiracocha.Palabra claves: Religión, Wiracocha, ideología, dioses, mallquis.

AbstractIn 1923 julio C. Tello published an article entitled Wiracocha where it condenses all the knowledge that was about religion in ancient Peru. In this article Tello divides the large theogonies ofancient Peru in four major regions myths of the North, Center and South and could myths. Focusing on the myths of the South whose greater deity was Wiracocha. Key word. Mallquis,religion, ideology, gods, Wiracocha.Keyword: Religion, Wiracocha, ideology, gods, Mallquis,
Properties of P460-S355 submerged arc welds
Authors: Türkmen Mustafa , Katı Nida , Kejanlı Haluk , Çalıgülü Uğur
Published: January 2020

In this study, the weldability of P460 and S355 steel was investigated by application of the submerged arc welding (SAW) process. In the analyses, the effects of various parameters were handled at different welding speeds, the two levels of the current values of 475 A to 525 A and 525 A to 575 A, commercial submerged additive metals, and commercial aglomera welding powders. A notch impact test was carried on to determine the strength of the joints. Microhardness measurements were made at a Vickers load of 500 g. Optical microscopy and EDS analyses were utilized in the weld zone to investigate the microstructure changes which depend on the welding parameters. The results of this study indicate that P460 steel maintained sufficiently good weldability by application of the submerged welding process.
Optimization of cutting parameters with respect to roughness for machining of hardened AISI 1040 steel
Authors: Şahinoğlu Abidin , Rafighi Mohammad
Published: January 2020

Today, energy consumption and environmental issues are important topics in all industries around the globe. However, quality is in direct proportion with energy consumption, since better surface finish means more energy consumption. The main objective of this work is minimizing both surface roughness and power consumption by estimating the optimum machining parameters. In this study, turning tests were carried out on three different hardened AISI 1040 steels (10, 15, 20 HRC) at three different depths of cuts (1.2, 2.4, 3.6 mm), feed rates (0.15, 0.25, 0.35 mm × rev−1) and cutting speeds (120, 140, 160 m × min−1) without coolant. The effects of cutting parameters and workpieces hardness on surface roughness, sound level and power consumption were examined. These analyses were conducted using a full factorial experimental design method. The response surface methodology and analysis of variance were also used to determine the effects of input parameters on the response variables. Experimental results showed that an increase in the feed rate value causes an increase in the surface roughness, the sound level, and the power consumption values. The results of the presented work show that feed rate is the most effective machining parameter that affects surface roughness and power consumption. Following feed rate, depth of cut and cutting speed also have an important impact. Thus, decreasing the value of feed rate and depth of cut will reduce the amount of power consumption.
Methodology Of Evaluating The Level Of Digitalization In The Sphere Of Industrial Production
Authors: Kupriianova Marina Vladimirovna , Simikova Irina Pavlovna
Published: January 2020

Digitalization of industrial production is an urgent question of discussion in the national and foreign scientific community. There are various approaches to understanding the phenomenon of digitalization. At the present moment there is no consensus about the instruments of measuring the level of digitalization either at the scale of the national economy, or at the scale of a separate company. The article gives a review of the national and foreign approaches to evaluating the level of digitalization.
EDUCAÇÃO INCLUSIVA DE SURDOS E O CONTEXTO TECNOLÓGICO NA EDUCAÇÃO BÁSICA: UMA EXPERIÊNCIA DO PROJETO PICMEL
Authors: Franzin Rozelaine de Fatima , Zwan Liciara Daiane , Callegaro Morgana
Published: January 2020

Este artigo apresenta uma breve explanação sobre a inclusão de surdos, contexto histórico, assim como a comunicação e interação de ouvintes com os surdos e modos de ensino e aprendizagem desses alunos. Tem como objetivo inserir o bolsista do ensino médio na pesquisa científica, elaborar, materiais didáticos de aprendizagem de Matemática para alunos surdos. Levantamento de alguns materiais inclusivos para apoio nas aulas de matemática do ensino médio, desenvolvimento de metodologia que usa a Libras e imagens, para produção de objetos de aprendizagem com a utilização de recursos tecnológicos como a lousa digital e o software Geogebra. Os objetos matemáticos foram planejados e organizados usando Libras, visando maior assimilação e compreensão dos alunos surdos. Ressalta-se a importância da inserção de novas tecnologias acessíveis a inclusão e, que possam promover condições de acesso e qualidade quanto às necessidades dos alunos, em especial aos surdos, a uma formação com mais autonomia e independência.
A Unique Type of Hereditary Punctate Palmoplantar Keratodermas
Authors: Ricardo Cesar , Mark Brady , Luis Diego
Published: January 2020

Keratodermas encompass a wide spectrum of disorders of keratinization that may be acquired or hereditary. We present two cases of focal acral hyperkeratosis (FAH), a subtype of punctate palmoplantar keratoderma. We review the literature and attempt to clarify the confusing classification of the heritable punctate palmoplantar keratodermas. Capsule Summary 1. (First bullet) what is already known on this topic a. Punctate PPK is an esoteric topic within the field of dermatology that has been discussed both clinically and histologically. 2. (Second bullet) what this article adds to our knowledge a. Despite this, the nosography and classification of punctate PPKs have been confused in published literature. 3. (Third bullet) How this information impacts clinical practice and/or changes patient care a. This article hopes to clarify the terminology and classification of punctate PPKs, thereby increasing awareness of this disease, with the hope of advancing treatment options.