bluuebunny/crossref_metadata_2025 huggingface dataset:
AНГAЖOВAЊE СTУДEНATA У ВИСOКOШКOЛСКИM УСTAНOВAMA – ПРEГЛEД ИСTРAЖИВAЊA
Authors: Ćirić Marina
Published: December 2022

This paper shows out different ways and approaches in the research of student engagement. The paper aim is to present various aspects of the study, the impact of the entire context of higher education institutions on the character and scope of student engagement. Content analysis as a method enables the observation, interpretation and identification of key elements in the research of student engagement during the study process. The research studies differ among themselves depending on the theoretical starting points and the choice of methodological approaches. The research findings clearly point to certain laws when it comes to student engagement as well as its importance for student achievements in the study process. The teacher’s sincere concern for the students and timely support in learning proved to be very significant aspects of the students’ understanding of the study process. Accordingly, one of the most effective ways in which institutions can provide adequate support to students and encourage them to engage is the preparation and training of teachers for an interactive approach. Key words: higher education, higher education institutions, teaching, extracurricular activities, student engagement.
РАЗЛОЗИ НАСТАНКА ВРШЊАЧКИХ КОНФЛИКАТА У САВРЕМЕНОЈ ШКОЛИ
Authors: Јовановић Александра
Published: December 2022

The results of the research are analyzed in the paper which aim is to determine the reasons for peer conflicts in school according to the perceptions of students and homeroom teachers. The sample of this research comprises students of elementary and secondary schools and homeroom teachers from the territory of the city of Nis. Various sources of conflicts among peers are perceived. Behavior in the digital environment is a more frequent reason of peer conflicts among elementary school students, according to the perceptions of homeroom teachers. Differences in opinions, non-acceptance of differences as sources of peer conflicts are the most prevalent according to the perceptions of students, and homeroom teachers of high school students. Various forms of insults dominate as the reasons of peer conflicts among elementary school students, which are also the perceptions of homeroom teachers. Keywords: peer conflicts, reasons for peer conflicts, students’ perceptions, perception of homeroom teachers, school.
Violencia gineco-obstétrica y justicia reproductiva. Una reflexión psicoantropológica
Authors: Oliveira Brandão Thais , Martínez-Pérez Ana
Published: December 2022

La violencia gineco-obstétrica es un problema social que afecta y vulnera el derecho de las mujeres a decidir libremente sobre la función sexual y reproductiva de su cuerpo evitando que su salud sea plenamente garantizada. La idea de justicia reproductiva articula el derecho a una atención en salud que rompa con las inequidades en salud de las mujeres en función de su condición socioeconómica, étnica, de nivel educativo o lugar de residencia. La atención en salud y el cuidado del cuerpo de las mujeres fueron (bio)medicalizados en el siglo pasado en occidente, estableciendo procedimientos que naturalizaron el disciplinamiento de las mujeres para que, mediante la pérdida del control de estos eventos fisiológicos, se convirtieran en prácticas de intervención clínica propias de una atención patogénica. El enfoque desde el que se plantea la investigación combina la perspectiva de género y los derechos humanos teniendo en cuenta la interseccionalidad. Esta etnografía multisituada permite la triangulación de datos al tiempo que las narrativas recogidas constituyen en sí mismas herramientas didácticas para los procesos de formación del personal en prevención de violencia gineco-obstétrica, una categoría latinoamericana que denuncia un problema global. Al fin, este texto se enmarca en una línea de investigación que pretende llevar a cabo una suerte de autopsia verbal a la violencia gineco-obstétrica en su relación con el concepto de justicia reproductiva, en diferentes lugares (España, Ecuador, Brasil), estableciendo un análisis comparativo de las narrativas de atención en embarazo, parto y puerperio siempre que se trate de casos de bajo riesgo.
Nombrando la episiotomía de rutina por lo que es: mutilación genital femenina. Aportes conceptuales desde experiencias de parto en Chile
Authors: Sadler Michelle
Published: December 2022

Durante el siglo XX, la episiotomía se expandió como práctica en la atención obstétrica del parto. En la actualidad, tras más de tres décadas de sólida evidencia científica que recomienda no practicarla en forma rutinaria, sigue realizándose en números alarmantemente elevados. El presente artículo analiza el sentido cultural que posee la episiotomía como rito dentro del parto tecnocrático, en base a testimonios de parto vertidos por mujeres en la Primera Encuesta sobre el Nacimiento en Chile, realizada por el Observatorio de Violencia Obstétrica de Chile en el año 2017. Estos testimonios demuestran que la episiotomía se practica en la mayoría de los casos en forma rutinaria, sin consentimiento, y que deja graves secuelas en la salud física, mental y en la vida sexual de las mujeres; lo que nos lleva a afirmar que se trata de una forma occidental de mutilación genital femenina. Se concluye planteando la urgencia de revisar esta práctica y de nombrarla por lo que es: un tipo de mutilación genital con graves secuelas en la vida de las mujeres, que debe ser visibilizado.
Peculiarities of the lexical-semantic side in first grade students
Authors:   IPLT ", PONOMARI Dorina ,   Liviu Deleanu", CORGHENCEA Nina ,   "Liviu Deleanu" Theoretical High School
Published: December 2022

The language of the primary school student presented an indicator of school maturity, he presented a necessary tool for learning activities and for socializing. Several authors have studied various aspects of language development in school-age children, but we hope that the lexical-semantic side has been insufficiently studied, while many learning difficulties can be caused by underdevelopment of vocabulary and comprehension of oral message or text. The article presents effective methods for examining the lexico-semantic side of language and describes the experimental results obtained, considering these results will guide primary school teachers to understand the learning difficulties present in some students and to implement improvement measures.
Particulars of the drawing for the child with autistic spectrum disorders
Authors:   ", MAXIMCIUC Victoria ,   Ion Creangă",   SPU, Chișinău
Published: December 2022

The article addresses the issue of research into the particularities of the plastic activity of children with autism spectrum disorders (ASD). Plastic activity with children with ASD is especially important for those with level 3 and 2 severities after DSM-V and contains several purposes. We can see few scientific papers in this field. This phenomenon is explained by the polymorphic impairment of mental processes, personality traits, diversity and inhomogeneity of this type of disability, the impossibility of applying projective tests that are traditionally used in traditional psychology. The research formulates the purpose and objectives of the research, presents two very different cases with the analysis of children's work and highlights specific features of the plastic activity of children with ASD.
The problem of deviant behaviour in people with mental disabilities
Authors:   ", MAXIMCIUC Victoria ,   Ion Creangă",   SPU, Chișinău
Published: December 2022

This article is aimed at the study of deviant behaviour in children with intellectual disabilities. It is well known that mental disability has a negative impact on the functioning of the emotional-volitional sphere and as a result facilitates the development of behavioural disorders. The lack of self-regulation, the underdevelopment of thinking manifested by the lack of criticism leads to the impossibility of choosing a correct model of relationship with those around us. This research issue is better studied in the psychology of personality, development and education. A theoretical study is shown, the research problem is argued, general and specific objectives are formulated, research tools are described and preliminary results as well as the theoretical-practical significance of the paper.
Self-control of work activity in students with mental disabilities, a component of work culture
Authors:   ", CERNEAVSCHI Viorica ,   Ion Creangă",   SPU, Chișinău
Published: December 2022

This article presents the results of the research on the skills formation of control and evaluation of work activity in students with mental disabilities as an important component of the work culture. The results obtained in the finding experiment were analyzed. The level of skills formation of the control and evaluation of work activity in students with mental disabilities was also identified. Moreover, it has been experimentally demonstrated that the skills formation of the control and evaluation of the work activity in auxiliary school at the Technological Education classes is done with enough reservations, therefore it is necessary for this process to follow a pedagogical model, its efficient functioning requiring the selection of a set of psychopedagogical conditions.
The loneliness of institutionalized elderly people during the Covid pandemic 19
Authors:   ", VLAICU Cristina ,   Ion Creangă",   SPU, Chișinău
Published: December 2022

The pandemic highlighted the specific vulnerabilities of the elderly, but also the need for specific policies and measures to protect this category of population. During this period, governments applied different isolation strategies, often imposing social restrictions. The imposed isolation overlapped with an existing unfavorable situation in which seniors experienced significant feelings of loneliness. While social isolation is associated with poorer health outcomes, the psychological experience of loneliness makes an additional, unique contribution to illness and mortality. The resulting complex individual and multiple health needs place a burden on health systems and, in combination with social vulnerability during COVID-19, loneliness of the elderly is a growing public health problem.
Workforce Competencies and Digital Transformation: A Literature Survey
Authors:   Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Karachi, Pakistan, Imran Tazeen
Published: December 2022

The 21st century is an era of disruption, vanishing entities lagging behind to transform themselves. Digital transformation therefore has gained much recognition especially in the 21st century, as the technological advancement assists in significantly optimizing business operations, product service and design innovation. Organizations around the world are investing and making constant efforts in digital transformation by updating and upgrading their business processes in order to improve the firm’s performance and achieve competitive advantage. However digital transformation requires the workforce to possess adequate competencies, both for implementation and utilization post implementation, as these technological changes bring intense shifts in the attitude and behaviour of the traditional ways of doing. This paper, therefore, attempts to bridge the gap in literature for the changing needs of today’s workforce competencies that are deemed necessary in the era of digital transformation, by gathering evidences from literature analysis. The paper contributes to the body of literature by directing industry practitioners and researchers to adopt a wider outlook, while undergoing the journey of digital transformation, which encompasses diversity in workforce competencies. The researcher has discussed diversity and digital transformation, with the perspective of what digital transformation needs is what gender diversity offers.
21st Century Multimedia Innovation: Development of E-LKPD Based On Scientific Inquiry in Science Class
Authors: Andriana Encep , Fauzany Putri Syafiila Daffa , Alamsyah Trian Pamungkas
Published: December 2022

This research explores learning 21st century that is oriented towards technological sophistication in the form of digital based multimedia innovation in Elementary School. This research that aims to find out how to develop, feasibility, and student response against e-LKPD based on scientific inquiry in Elementary School level science subject. This study uses research and development (RD) methods. In the collection of this research data using unstructured interviews, questionnaires, and documentation. Data analysis uses descriptive scale analysis. This development uses 4D model develop by Thiagarjan consists of 4 stages as Define, Design, Development, and Disseminate. Subject testing was conducted on 30 students of grade V Elementary School. The result namely validation of e-LKPD products based on scientific inquiry the results of material expert validators obtained an overall average of 95,38% into the category is very worthy, validation of linguists obtained an overall average of 96,36% into the category is very worthy, and media expert validation has obtained an overall average of 81,64% into the category is very worthy. The feasibility of e-LKPD products based on scientific inquiry science showed a positive respons from a student questionnaire result with an average percentage of 89,13% and 87,77%.
How to Use Multimedia Whiteboard Animation for Scientific Works Companying? (Case Study in UPBJJ UT Semarang)
Authors: Sumiyati Sri , Indriasih Aini , Rozai Muhrom Ali , Haryono Mohammad
Published: December 2022

The research objective is multimedia whiteboard animation's impact on understanding and completing the preparation of non-basic education (non-pendas) students' scientific work at UPBJJ UT Semarang. The research objects are 123 non-pendas students taking scientific work courses at UPBJJ UT Semarang, which are explored using a questionnaire. The research used a qualitative analysis of the completion of the preparation of scientific papers using the Whiteboard Animation learning media. The learning process showed the average good and very good answers of 63.41% in the high category, 68.09% in the very high category for content of learning materials, and 60.16% in the high category for the impact of Whiteboard Animation. Overall, students' perception of the Whiteboard Animation-based learning process is very effective, proven by: 1) 85 students (69.10%) uploaded their scientific work before the lecture was over, 2) the average value of students' perceptions for all indicators was high. The limitations are the difficulty of controlling respondents because the experiment was carried out by students online. The factors assessed are only learning media. To determine whether students will pass or fail, it is not the tutor in charge of this course but the students. Even though students have uploaded scientific papers, they cannot determine it.
Effectiveness of Hybrid Learning Assisted in e-Learning Media in Mathematics Learning at Elementary School
Authors: Bali Muhammad Mushfi El Iq , Aliyah Zulfatul , Humaidi Didik
Published: December 2022

This study describes the effectiveness of hybrid learning using e-learning media during the Covid-19 pandemic, especially in mathematics. This research is descriptive quantitative research using a survey method, focusing on learning evaluation using e-learning media. The research population was all students of Madrasah Ibtidaiyah Miftahul Huda Pedaganga Tiris Probolinggo who were taught mathematics using hybrid learning methods. The research sample is the sixth-grade students of Madrasah Ibtidaiyah Miftahul Huda Pedaganga Tiris Probolinggo who were selected using a simple random sampling technique considering the homogeneity of the population. The data collection instrument used a hybrid learning questionnaire. Data analysis used descriptive statistics. The results of the study describe students assessing mathematics learning using e-learning media as very effective. Although there are also students who consider hybrid learning ineffective, absolutely no one considers it very ineffective. Based on the results of the analysis and research findings regarding the effectiveness of the implementation of hybrid learning using e-learning madrasah in mathematics subjects, it shows that learning using e-learning madrasah is quite effective to implement. This is because many parties support this learning, but several factors can hinder learning, so it must be considered so that learning can run smoothly.
Gestures in Prolonging Semantic Memory of Young EFL Learners: A Serial Retention
Authors: Ismail Nyak Mutia , Syahputri Veni Nella , Irnanda Septhia
Published: December 2022

This study aimed at putting an experiment to young learners in acquiring through the use of gestures as the treatment process. This study was carried out under the procedure of the quasi-experimental approach with repeated measurement design. There were 35 primary school students involved in this study. The data were gathered through pretest-posttest. After the pretest was administered, the treatment process was carried out during the three following weeks by teaching the students verb vocabulary using gestures. The post-tests were then administered repeatedly in the 4th, 6th, and 7th week after the treatment to see the level of their memory retention. Later, the data obtained were analyzed using repeated test analysis. The results unveiled that the use of gestures can definitely enhance the studentsâ€™ vocabulary intake. It implies that EFL teachersâ€”especially those teaching youthsâ€”should consider integrating their teaching method with gestures, but they are expected to be more creative in generating understandable gestures to convey abstract verb vocabulary.
Pembentukan Karakter Anak Usia Sekolah Dasar Melalui Permainan Tradisional
Authors: Prayitno Harun Joko , Rahmawati Faradiyah Nurul , Intani Khoirunnisaâ€™ Ismi Nur , Pradana Fajar Gemilang
Published: December 2022

Character education is a series of efforts to educate children to behave well, make the right decisions, and participate in positive societal contributions. The problem is that traditional games have started to disappear because, currently, elementary school-aged children prefer modern games. The advantages of traditional games are messages related to togetherness, culture, and morals. Community service aims to foster character in elementary school-aged children. The method of implementing the activities is socialization and direction related to traditional games shaping the character of elementary school-aged children. Activities are carried out by providing direct guidance to children when playing games. The result of this service program is that the program to socialize the importance of traditional games and the cheerful playing movement to foster the character of elementary school-aged children is carried out well. The activities conclude that the character formation of elementary school-aged children can be done through traditional games.
Pelatihan Pengolahan Kotoran Kambing Menjadi Pupuk Organik Cair Dengan Pemanfaatan KOHE
Authors: Arifin Manaf Nur , Fadly Wirawan
Published: December 2022

The majority of the people in Wonodadi Village have goat farms. The problem with goat farms that is felt by the community is the difficulty of processing goat waste. The community needs assistance to find the right solution in making efforts to process livestock waste so that it does not pollute the environment and can become a business product that is beneficial to the community. This community service aims to raise public awareness of creative living by processing animal waste into products that have economic value. The community service method is carried out with ABCD which further optimizes the potential from within and the physical assets of the environment. These potentials are agriculture and animal farms as a learning environment and environmental physical assets as learning resources. The stages in the ABCD Method are; discovery, dream, design, define, destiny, and reflection. The result of the activity is that there is an increase in the ability of goat farms as the target of activities to process goat waste into fertilizer. In conclusion, community empowerment activities through the manufacture of liquid organic fertilizer with the use of animal farms can overcome the problems faced by goat farms in processing waste which is not limited to producing fertilizer but has economic value.
Penyuluhan Komprehensif dalam Islam untuk Membentengi Paham-Paham Radikalisme bagi Santri Pondok Pesantren
Authors: Nursikin Mukh , Saputro Budiyono , Kuswanto Edi
Published: December 2022

The notion of radicalism in religion is often considered a source of problems because it can damage and endanger the condition of the religious human system. The purpose of the activity is to conduct comprehensive counseling in Islam to fortify radicalism. The approach method used in this counseling is the lecture method and the question and answer method or discussion between extension participants and resource persons, and the counseling method carried out at the Annur Islamic Boarding School, Pabelan. The results of the activities obtained are the development and improvement of knowledge in Islam, attitudes and skills of students, ustadz and the community that have the ability to study, formulate, and have a sense of care to solve community problems based on an Islamic point of view. Integrating the role of universities, government, and society is an effort to maintain peace and tranquility and increase community participation in harmonious living together. The conclusion of this community service activity is to carry out this service activity which has an impact on improving the lives of religious communities and can minimize the understanding of radicalism in religion.
Pemberdayaan Ekowisata Berbasis Kearifan Lokal
Authors: Andriana Encep , Yuliana Rina , Ilmiah Wardatul , Aulina Callista , Noviyanti Tri Esti , Ramadayanti Suci
Published: December 2022

The service is carried out to empower the community through the development of ecotourism based on local wisdom. The local wisdom contained in Wanasari Village is the natural potential of the tea garden. This service activity uses counseling, training, and simulation methods aimed at community groups. Training activities are carried out to increase the income of the village community as well as publicize tea garden tours with the concept of utilizing local potential and wisdom. The method of activity is by carrying out community empowerment programs based on local wisdom, which consists of three fields, namely economic, organizational, and social. The results obtained through the implementation of this service are increasing the level of public knowledge about ecotourism development. Local wisdom in Wanasari Village has been explored and utilized for ecotourism development materials.
Pendampingan Usaha Menengah Kecil Masyarakat Melalui Digital Marketing untuk Menunjang Pemasaran Produk
Authors: Fauziah Muna , A'za Tika Zamrotul , Hilmiyah Syarifatul , Latifah Laillatul , Syihab Ikfina Farhani
Published: December 2022

Digital marketing is a way to market products for business actors through online media by maximizing the various available marketplaces so that the product marketing process can take place optimally. Technological developments help empower people to be able to compete globally. Giripurno Village is located in Karanganyar District, Kebumen Regency, and Central Java with high potential for human resources to expand the products of small and medium enterprises. The phenomenon of the Covid-19 pandemic has resulted in a decrease in the income of small and medium-sized businesses and the cessation of local activities. From the discovery of these assets, community service activities aim to assist small and medium-sized businesses in the community through digital marketing to support product marketing. The method applied is Asset Based Community Development. The target is the owners of small and medium enterprises as many as 28 people. The results of this community service help small and medium businesses of the Desar Giripurno community in understanding the concept of digital marketing, creating online shop accounts (Facebook, Instagram, and Shope), promoting/marketing their products through the marketplace, as well as the satisfaction of reflection results of 77.67% to activities community service-based assistance.
Kreativitas Guru melalui Pelatihan Pembuatan Media Pembelajaran Tematik Sederhana
Authors: Lestari Nurita Apridiana , Deta Utama Alan
Published: December 2022

The training activities aim to develop teachers' creativity in making simple media for thematic learning. 21 teachers participated in training activities for making simple media for good thematic learning. The training method begins with studying learning tools, especially the lesson plans applied and studying thematic materials at all grade levels. The action is continued by determining the appropriate learning media and preparing tools and materials for making simple thematic learning media. Teachers are trained to make learning media, and an assessment of the performance of teacher creativity is carried out during the process of making the media. Based on the results of the creativity performance assessment, it was found that the teacher was able to design learning media designs very well and in accordance with the specified theme. Teacher trainees can determine tools and materials very precisely to create simple thematic learning media. In the process of making media, the teacher carries out the stages of making media well. The training activities were very high with the enthusiasm of the teachers in the training activities. In addition, teachers can communicate well the results of making simple thematic media in training.
ÇOCUK DOSTU KENT YAKLAŞIMINA YÖNELİK POLİTİKA EĞİLİMLERİNİN İSTATİSTİKSEL VARYANS PROSEDÜRÜ TEMELLİ OCRA YÖNTEMİYLE ÖLÇÜMÜ
Authors: ÖZCAN BUCKLEY Ayşe , TÜRKOĞLU Serap Pelin
Published: December 2022

Bu çalışma, kentsel mekânı çocuk hakları üzerinden istatistiksel varyans prosedürü ve OCRA (Operational Competitiveness Rating Analysis) yöntemleri ile Türkiye özelinde analiz etmektedir. Bu çerçevede, çalışmanın verileri “Çocuk Dostu Kent” yaklaşımının öngördüğü kentsel ilkelere ve Birleşmiş Milletler Çocuk Hakları Sözleşmesi’nin temel yaklaşımına dayanarak belirlenmiştir. TÜİK çocuk istatistikleri veri tabanından 2010-2017 dönemi temel alınarak seçilen veriler ile Türkiye’nin çocuk dostu kentsel politika eğilimleri ve performansı ölçülmektedir. Veri analizinde, öncelikle istatistiksel varyans prosedürüyle incelenen kriterlerin ağırlıkları hesaplanmış ve daha sonra OCRA yöntemi kullanılarak Türkiye’nin çocuk dostu kentsel politika eğilimlerinin performans analizi gerçekleştirilmiştir. Böylelikle, çalışma sonucunda yerel yönetim uygulamalarına katkı sağlayacak bir performans sıralamasının elde edilmesi hedeflenmiştir.
COVID-19 Nedeniyle Ameliyatı Ertelenen Trakeal Stenozlu Bir Hastanın Postoperatif Hemşirelik Bakımı: Olgu Sunumu
Authors: GÖKCE IŞIKLI Ayşe , KIZILCIK ÖZKAN Zeynep , YANIK Fazlı
Published: December 2022

Küreselleşme çağında, insanlığın karşı karşıya kaldığı ciddi bir salgın olarak nitelendirilen COVID-19, hemşirelerin kilit konumunu ulusal ve uluslararası boyutta bir kez daha ortaya koymuştur. COVID-19 tanısı alan hastaların tedavi ve bakımının birçok sağlık profesyonelini içeren multidisipliner bir sağlık ekibince üstlenmesi gerekmektedir. Bu çalışmada amaç, Margory Gordon’un Fonksiyonel Sağlık Örüntüleri tanılama çerçevesinde COVID-19 nedeniyle trakeal dilatasyon işlemi ertelenen trakeal stenozlu bir hastanın ameliyat sonrası hemşirelik bakımını sunmaktır. Çalışma, Aralık 2020-Ocak 2021 tarihleri arasında bir üniversite hastanesinde gerçekleştirildi. Hastaya etkisiz sağlık yönetimi, bulantı, bozulmuş gastrointestinal motilite işlevi, aktivite intoleransı riski, uyku örüntüsünde bozulma, bozulmuş sözel iletişim ve etkisiz baş etme olmak üzere 7 hemşirelik tanısı konuldu. Uygun hemşirelik girişimleri uygulandı ve bakımın sonuçları değerlendirildi. Ameliyat sonrası hemşirelik bakımında Margory Gordon’un Fonksiyonel Sağlık Örüntüleri modelini kullanmak hastanın postoperatif süreçte kaygısını azaltmada, postoperatif süreci yönetmede ve enfeksiyon kontrolünde etkin bir hemşirelik bakımı sunmaya fırsat sağlamıştır. Ameliyat sonrası erken dönemde komplikasyon gelişmeyen hasta postoperatif dördüncü gününde taburcu edilmiştir.
Tip 2 Diyabetli Bireylerde Duygusal İştah, Akdeniz Diyetine Uyum ve Metabolik Kontrol Parametreleri Arasındaki İlişkinin Değerlendirilmesi
Authors: BAYRAM Sinem , ÇALIŞKAN Hilal , ALTUNER Arife Derya
Published: December 2022

Amaç: Sağlıklı diyet modellerinden biri olarak kabul edilen Akdeniz diyetinin ve duygusal iştah kontrolünün diyabet yönetimini kolaylaştıracağı düşünülmektedir. Bu çalışmada, tip 2 diabetes mellitus (T2DM) hastalarında Akdeniz diyetine uyum, duygusal iştah ve metabolik kontrol parametreleri arasındaki ilişkinin incelenmesi amaçlanmıştır. Örneklem ve Yöntem: Çalışma en az bir yıl önce tanı alan 19-64 yaş arası gönüllü 101 T2DM hastası ile yürütülmüştür. Hastalara demografik özellikler, sağlık durumları, antropometrik ölçümler ve hastalık ile ilişkili biyokimyasal parametreleri kapsayan bir anket formuna ek olarak Akdeniz Diyeti Uyum Ölçeği, Duygusal İştah Anketi (DİA) ve Uluslararası Fiziksel Aktivite Anketi uygulanmıştır. İstatistiksel anlamlılık düzeyi p<0.05 olarak alınmıştır. Bulgular: Akdeniz diyetine uyumu yüksek olan hastalarda metabolik kontrolün göstergesi olan hemoglobin A1c (HbA1c), açlık kan glukozu ve beden kütle indeksi (BKİ) düzeyleri, uyumsuz olanlara göre anlamlı düzeyde düşük bulunmuştur (p<0.05). Akdeniz diyetine yüksek uyumlu hastaların bel çevresi ise kabul edilebilir düzeyde uyumlu olanlara göre düşük bulunmuştur (p<0.05). Erkek hastaların duygusal yemek yeme pozitif durum ortalamaları ve toplam pozitif puan ortalamaları kadın hastalardan daha yüksektir (p<0.05). DİA pozitif toplam puan ile HbA1c ve açlık kan glukozu arasında pozitif yönlü ve yine pozitif toplam puan ile BKİ ve bel çevresi arasında negatif yönlü zayıf ve orta düzey ilişkiler saptanmıştır (p<0.05). Sonuç: Duygulara karşılık olarak gelişen ve aşırı yemeye neden olan duygusal iştah, T2DM hastalarında vücut ağırlığı kaybını zorlaştırmakta ve obezite riskini arttırmaktadır. Bu nedenle T2DM’li bireylerde, beslenmenin psikolojik yönü de dikkate alınarak, duygusal iştah durumları sorgulanmalıdır. Ayrıca Akdeniz diyetine uyum ile T2DM’nin biyobelirteçleri ve antropometrik ölçümler üzerine olumlu etkiler gözlenmektedir. Bu nedenle T2DM’li bireylerin tıbbi beslenme tedavisinde Akdeniz diyetine uyum arttırmalıdır.
Incidence and Risk Factors for Development of New-onset Diabetes after Kidney Transplantation
Authors: Bee Yong Mong , Tan Hong Chang , Tay Tunn Lin , Kee Terence YS , Goh Su-Yen , Kek Peng Chin
Published: December 2022

Introduction: New-onset diabetes after transplantation (NODAT) is an increasingly recognised metabolic complication of kidney transplantation that is associated with increased morbidity and mortality. This study aimed to determine the incidence of NODAT and identify risk factors for development of NODAT among kidney allograft recipients in a single centre. Materials and Methods: We retrospectively reviewed all kidney allograft recipients in our centre between 1998 and 2007. NODAT were determined using criteria as per American Diabetes Association guidelines. Logistic regression analyses were performed to identify predictors of NODAT. Results: Among 388 patients included in the analysis, NODAT was reported in 94 patients (24.2%) after a median follow-up time of 52.1 months. The cumulative incidence of NODAT was 15.8%, 22.8% and 24.5% at 1, 3, and 5 years following transplantation. Seven clinical factors were independent predictors of NODAT: older age, HLA B13 and B15 phenotypes, use of sirolimus, acute rejections, higher pre-transplant and post-transplant (day 1) plasma glucose levels. Patients with NODAT had poorer outcomes in both graft and patient survival. Conclusion: Our study demonstrates a significant risk and burden of NODAT in an Asian transplant population. Risk stratification and aggressive monitoring of blood glucose early post-transplantation is necessary to identify high-risk patients so that appropriate tailoring of immunosuppression and early institution of lifestyle modifications can be implemented.

Key words: Diabetes mellitus, Immunosuppression, Kidney transplantation, Metabolic complication, Sirolimus
TT Genotype of the Methylenetetrahydrofolate Reductase C677T Polymorphism is an Important Determinant for Homocysteine Levels in Multi-Ethnic Malaysian Ischaemic Stroke Patients
Authors: Mejia Mohamed Elsa Haniffah , Tan Kay Sin , Ali Johari Mohd , Mohamed Zahurin
Published: December 2022

Introduction: The functional point mutation C677T in the methylenetetrahydrofolate reductase (MTHFR) gene, has been reported to contribute to hyperhomocysteinaemia which is a risk factor for atherothrombotic ischaemic strokes. This study evaluated the prevalence of the C677T polymorphism of the gene in Malaysian ischaemic stroke subjects of Malay, Chinese and Indian ethnicities, and its association with homocysteine levels (tHcy). Materials and Methods: A total of 292 subjects were recruited, comprising 150 ischaemic stroke patients and 142 control subjects who were age and sex matched. Plasma homocysteine, serum folate and vitamin B12 were measured in all subjects. Genotyping was carried out using PCR-RFLP. Results: The homocysteine levels were significantly higher (P = 0.001) in the stroke group (11.35 ± 2.75 μmol/L) compared to the control group (10.38 ± 2.79 μmol/L). The MTHFR C677T genotype distribution for the stroke group was 46%, 40% and 14%, respectively for CC, CT and TT genotypes and 59.9%, 33.8% and 6.3%, respectively for the control group. The genotype and allelic frequencies were significantly different between the 2 groups, with P = 0.02 and P = 0.004 respectively. No significant difference was seen in the genotype distribution inter-ethnically. An increasing tHcy was seen with every additional T allele, and the differences in the tHcy for the different genotypes were significant in both the control (P <0.001) and stroke groups (P <0.001). Conclusion: This study shows that TT genotype of the methylenetetrahydrofolate reductase C677T polymorphic gene is an important determinant for homocysteine levels in Malaysian ischaemic stroke patients.

Key words: Homocysteine, Ischaemic stroke, Malaysia, MTHFR polymorphism
Health-related Quality of Life is Associated with Diabetic Complications, but not with Short-term Diabetic Control in Primary Care
Authors: Quah Joanne HM , Luo Nan , Ng Wai Yee , How Choon How , Tay Ee Guan
Published: December 2022

Introduction: Type 2 diabetes mellitus is of increasing healthcare concern worldwide, with incidence rising, complications leading to significant morbidity and mortality, posing strain on public healthcare funding. Health-related quality of life of diabetic patients is increasingly being recognised as “the ultimate goal of all health interventions”. The aim of our study was to identify the quality of life predictors of diabetic patients in primary care. This study was conducted in 8 public primary care polyclinics from SingHealth Polyclinics. Materials and Methods: We carried out a cross-sectional, questionnaire-based survey on 699 diabetic patients, administered by medical students on a systematic sample of patients during their routine visit. Multiple regression analysis was used to investigate the socio-demographic and clinical characteristics as predictors of quality of life, measured by the Short Form 36 Health Survey (SF-36) and the EQ-5D self-report questionnaire. Results: Higher quality of life in diabetic patients is associated with younger age, male gender, employed status, higher educational level and exercise. Lower quality of life is associated with comorbidities and diabetic complications. Short-term glycaemic control as measured by HbA1c did not correlate with quality of life. Most interestingly, confidence in doctor and satisfaction in clinic were related to better quality of life. Conclusion: Health-related quality of life is adversely associated with symptomatic complications of diabetes mellitus, but not with short-term diabetic control. This suggests that the diabetic patient may not appreciate the impact of good diabetic control immediately on his or her health-related quality of life. More effort should be invested into patient education of the importance of glycaemic control to prevent these long-term complications. Key words: Diabetes mellitus, Haemoglobin A Glycosylated, Health surveys, Primary health care, Quality of life, Singapore
Selection of Resistant Fungi in Liver Transplant Recipients During Use of Newer Antifungal Agents — A Report of Two Cases
Authors: Lingegowda Pushpalatha B , Tan Chee Kiat , Tan Ai Ling , Tan Ban Hock
Published: December 2022

Introduction: Because invasive fungal infections cause significant morbidity and mortality in liver transplant recipients, the use of antifungal prophylaxis, and the early empirical use of antifungal agents, is widespread on liver transplant units. The new-generation azoles such as voriconazole and the echinocandins have been welcome additions to the antifungal armamentarium. These agents have become the leading options for prophylaxis in liver transplant units, despite the absence of strong data for their efficacy in this setting. Clinical picture: We report two recipients of living-donor liver transplants who became infected/colonised with fungi resistant to an echinocandin and the azoles after exposure to these agents. One patient developed trichosporonosis while on caspofungin and the other became infected/ colonised with Candida glabrata that was resistant to voriconazole and posaconazole. Conclusion: We report these to highlight some of the consequences of using the newer antifungal agents.

Key words: Caspofungin, Echinocandin, Fluconazole resistance, Liver transplantation, Trichosporon, Voriconazole
Germline Genetic Testing to Predict Drug Response and Toxicity in Oncology— Reality or Fiction?
Authors: Soh Thomas IP , Yong Wei Peng
Published: December 2022

In addition to 6-mercaptopurine, 5-fluorouracil and irinotecan, the United States Food and Drug Administration (US FDA) has recently recommended label change for tamoxifen, to include pharmacogenetic information on treatment outcome. With the increasing availability of pharmacogenetic testing, on germline as well as somatic mutations, oncologists are now able to identify individuals at risk of severe treatment toxicity or poor treatment response. However, there are still knowledge gaps to fill before rationalised therapy based on pharmacogenetics can be fully integrated into clinical practice. This review provides an overview on the application of pharmacogenetic testing for germ line mutations in oncology to predict response and toxicity.

Key words: Pharmacogenetics, Response, Toxicity
Tumour Genetics and Genomics to Personalise Cancer Treatment
Authors: Voon Pei Jye , Kong Hwai Loong
Published: December 2022

Personalising cancer treatment to optimise therapeutic efficacy while minimising exposure to the toxicities of ineffective drugs is the holy grail of medical oncology. Clinical parameters and conventional histopathological characterisations of cancers are no longer adequate to guide the practising oncologists in treatment planning. The explosion of knowledge in cancer molecular biology has led to the availability of tumour-specific molecules that serve as predictive and prognostic markers. In breast cancer, HER-2 positivity is a good predictor for success of anti-HER-2 trastuzumab monoclonal antibody therapy. K-ras mutational status predicts the likelihood of response to anti-EGFR monoclonal antibodies in advanced colorectal cancers. Similarly, EGFR mutational status in pulmonary adenocarcinoma is highly predictive for responses or otherwise to tyrosine kinase inhibitors. Notwithstanding our deeper understanding of tumour biology and the availability of predictive and prognostic laboratory tools, we are still far from achieving our dream of the perfect personalised cancer treatment, as each tumour in a particular patient is unique to itself. A much coveted, real-time, anti-tumour drug sensitivity testing in the future may one day pave the way for truly treating the right tumour with the right drug in the right patient.

Key words: Personalised cancer treatment, Predictive markers, Prognostic markers
Application of some novel pyrazole disperse dyes to synthetic fabrics
Authors: BAKAN Emine , KARCI Fikret
Published: December 2022

In this study, 8 novel pyrazole disperse dyes which were synthesized in our previous work [1] were applied to polyethylene terephthalate (PET), poly (lactic acid) (PLA) and polyamide 6.6 (PA 6.6) fiber fabrics and their colorimetric and fastness properties were evaluated. The measured a*, b* and hue angle (ho) values of all dyed fabrics exhibited yellow, orange and red colour shades. Quite high colour strength values (K/S) were measured particularly for dyes containing substitute groups; p-OCH3 and o-OCH3. Shade changes of all fabrics after standard washing and sublimation tests were in the commercially adequate range. All dyed PET, PLA and PA 6.6 fabrics exhibited commercially acceptable fastness staining performances with very good to excellent levels. Synthesized novel disperse dyestuffs led to moderate to high light fastness levels particularly in the case of PLA and PET fabrics.
IRREGULAR WAVEMAKER (PISTON TYPE) IN A NUMERICAL AND PHYSICAL WAVE TANK
Authors: NOUİOUİ Bassem , DOĞAN Mustafa
Published: December 2022

This paper describes the design and execution of a wavemaker system (piston type) in the Dokuz Eylül University Hydraulic Laboratory flume to perform hydraulic model tests using regular and irregular waves. In this study, we will focus on generating the irregular waves from the target JONSWAP spectrum using an adjusted random phase method; also, the control software of the wavemaker is described. An identical numerical channel wave to the physical flume was modeled to compare and observe the irregular wave profile using Flow 3D, one of the advanced computational fluid dynamics (CFD) software. The paddle movement was validated by comparing the experimental converted irregular wave surface elevations to the wave spectrum to the numerical models of several waves.
Cosmetic Use of Botulinum Toxin for Upper Face
Authors:   General Surgery Department, Centro Médico Nacional del Noreste IMSS 25, Nuevo León, Mexico, Caprielova Yuri Jiménez , moreno Andrea minerva rodriguez ,   General Surgery Department, Centro Médico Nacional del Noreste IMSS 25, Nuevo León, Mexico
Published: December 2022

Botulinum toxin is an injectable neuromodulator derived from neurotoxins produced by the bacterium Clostridium botulinum, which causes botulism. The human face is made up of a complex network of muscles that work together to create facial expressions and perform essential functions. Clinicians who understand facial anatomy and the functional relationships between muscles in the face and neck can use botulinum toxin safely to selectively weaken specific muscles, resulting in favorable cosmetic results.
Building E-Loyalty Formed by E-Recovery Service Quality Mediated by E-Service Recovery Satisfaction and E-commitment on Online Travel Agent Customers in Indonesia
Authors:   University of Trisakti, Jakarta, Arubusman Dian Artanti , Jasfar Farida ,   University of Trisakti, Jakarta, Hady Hamdy ,   University of Trisakti, Jakarta, Kristaung Robert ,   University of Trisakti, Jakarta, Arafah Willy ,   University of Trisakti, Jakarta
Published: December 2022

On current situation, competition to get the highest number of visitors among online travel agents in Indonesia is getting tighter. Online travel agents have tried to create long-term relationships with customers, but for online travel agents, there is a situation can be happened about the service failure that can’t be avoided. Online travel agents need to adjust e-service quality, especially when a service failure occurs where quality service recovery through websites or applications needs to be provided. The level of e-service recovery satisfaction and e-commitment is felt to be very necessary to get e-loyalty. This study's objective is to analyze the role of e-service recovery satisfaction and e-commitment in building e-loyalty customers for online travel agents in Indonesia. The analytical method in this study used the SEM-PLS (Structural Equation Model - Partial Least Square) method with a total of 232 respondents who were taken by purposive sampling from the customer that had used online travel agent during the last 2 years. This study shows the results that e-recovery e-loyalty is influenced favorably by service quality and found that e-commitment has a role as a partial mediation in the relationship between e-recovery service quality and e-loyalty, while e-service recovery satisfaction does not act as a mediation e-recovery service quality on e-loyalty. The findings conclude that the positive experience of customers in experiencing e-recovery service quality allows online travel agents to get closer and build e-loyalty customers online travel agents in Indonesia. This study's originality comes from its examination of the relationship between e-service recovery satisfaction and e-loyalty without using a mediator. This is possible because online travel agents in Indonesia are transitioning from conventional to Information Technology, where customers are divided into two generations with different needs and IT capabilities.
“AMOR”, DE CLARICE LISPECTOR:
Authors: Lemos da Costa Fabrício
Published: December 2022

O presente estudo tem como objetivo refletir sobre o conto “Amor”, segunda narrativa do livro Laços de Família (2009), de Clarice Lispector (1920-1977). Em nossa leitura, abordaremos a transformação em que vivencia a personagem Ana, prefigurando-se na passagem do mundo da ordem a uma experiência pelo mal-estar em voracidade e desordem. Neste viés, nossa interpretação enfatiza o contato com o selvagem e a bruta natureza como clave de possíveis novos modos de se relacionar com o mundo, feito pela “parte maldita” do sujeito. Para isto, recorremos aos estudos de Sousa (2000), Nascimento (2004, 2012) e Sá (1979 e 2004). Ao lado destes, destacamos também as reflexões de Nietzsche (2001) e Bataille (1989 e 2018).
A influência do método pilates em mulheres no pós-menopausa: revisão de literatura
Authors: Gabriela de Sousa Costa Ana , De Lima Canto Júnior Emerson , Fonseca da Costa Júnior Ney , De Araújo Sousa Randerson José , Lemos Ribeiro Ana Paula , Amaral Filgueiras Lígia
Published: December 2022

A pós-menopausa é o período que se inicia após um ano da última menstruação e é acompanhada pelos efeitos do hipogonadismo, como problemas de sono, dores articulares e fadiga física e mental. Nesse sentido, o Pilates tem se mostrado um aliado a esse público na manutenção da integridade física, pelo fortalecimento muscular. Com o fito de explorar os demais efeitos do método, objetivou-se identificar a influência na qualidade de vida das mulheres no pós-menopausa. O estudo consistiu em uma revisão integrativa da literatura em seis etapas, usando as bases de dados Biblioteca Virtual em Saúde (BVS), Scientific Electronic Library Online (SciElo), PubMed/MEDLINE e ScienceDirect, empregando os descritores: “pilates” e “pós-menopausa” em inglês e português. Incluíram-se estudos em inglês e português, publicados de 2011 a 2020 e excluíram-se outras revisões, teses, dissertações, trabalhos de conclusão de curso, resumos simples e expandidos, diretrizes e relatos de caso. Selecionaram-se nove artigos. Notou-se a incipiência de estudos voltados para a investigação da associação entre Pilates e Pós-Menopausa, explicitada pela pequena quantidade de pesquisas compiladas e pequenas amostras adotadas. Apesar disso, o Pilates mostrou efetividade em esfera física e cognitiva e efeitos a curto e longo prazo, sendo de fácil adaptação mesmo entre mulheres com limitações de mobilidade. Conclui-se que o Pilates é um bom aliado para a manutenção da autonomia ao longo do pós-menopausa e melhoria da qualidade de vida das mulheres que buscam saúde pelo método.