bluuebunny/crossref_metadata_2025 huggingface dataset:
Which Attributes Are Most and Least Important to Patients When Considering Gout Flare Burden Over Time? A Best-worst Scaling Choice Study
Authors: Holyer Jeremy , Taylor William J. , Gaffo Angelo , Hosie Graham , Horne Anne , Mihov Borislav , Su Isabel , Gamble Gregory D. , Dalbeth Nicola , Stewart Sarah
Published: November 2021

Objective

Several factors contribute to the patient experience of gout flares, including pain intensity, duration, frequency, and disability. It is unknown which of these factors are most important to patients when considering flare burden over time, including those related to the cumulative experience of all flares, or the experience of a single worst flare. This study aimed to determine which flare attributes are the most and least important to the patient experience of flare burden over time.

Methods

Participants with gout completed an anonymous online survey. Questions were aimed at identifying which attributes of gout flares, representing both individual and cumulative flare burden, were the most and least important over a hypothetical 6-month period. A best-worst scaling method was used to determine the importance hierarchy of the included attributes.

Results

Fifty participants were included. Difficulty doing usual activities during the worst flare and pain of the worst flare were ranked as the most important, whereas average pain of all flares was considered the least important. Overall, attributes related to the single worst gout flare were considered more important than attributes related to the cumulative impact of all flares.

Conclusion

When thinking about the burden of gout flares over time, patients rank activity limitation and pain experienced during their worst gout flare as the most important contributing factors, whereas factors related to the cumulative impact of all flares over time are relatively less important.
Jacobi stability analysis and impulsive control of a 5D self-exciting homopolar disc dynamo
Authors: Wei Zhouchao , Wang Fanrui , Li Huijuan , Zhang Wei
Published: November 2021

In this paper, we make a thorough inquiry about the Jacobi stability of 5D self-exciting homopolar disc dynamo system on the basis of differential geometric methods namely Kosambi-Cartan-Chern theory. The Jacobi stability of the equilibria under specific parameter values are discussed through the characteristic value of the matrix of second KCC invariants. Periodic orbit is proved to be Jacobi unstable. Then we make use of the deviation vector to analyze the trajectories behaviors in the neighborhood of the equilibria. Instability exponent is applicable for predicting the onset of chaos quantitatively. In addition, we also consider impulsive control problem and suppress hidden attractor effectively in the 5D self-exciting homopolar disc dynamo.
The Teaching of the Philosophical Concepts Underlying Hermeneutical Phenomenology
Authors: Zimmerman Aaron Samuel
Published: November 2021

Researchers who plan to utilize the methodological approach of hermeneutical phenomenology must first understand the philosophical assumptions that provide the epistemological foundation for this methodology. The objective of this chapter is to present a set of resources for instructors of research methodology coursework, specifically instructors who aim to introduce students to the research methodology of hermeneutical phenomenological inquiry. The core philosophical concepts discussed in this chapter are 1) the phenomenological attitude, 2) hermeneutics as way of being, 3) the four lifeworld existentials, and 4) the significance of mood. This chapter will begin by presenting a brief summary of these four philosophical concepts. Then, this chapter will introduce three frameworks of curriculum theory, specifically as related to the use of curricular objectives in the practice of teaching. Finally, this chapter will present five distinct approaches to lesson planning and will apply each lesson planning approach to the teaching of these four core philosophical concepts.
Understanding FinTech and Decentralized Finance (DeFi) for Financial Inclusion
Authors: Popescu Andrei Dragos
Published: November 2021

For a very long period of time, financial inclusion researchers have been addressing the barriers that prevent unprivileged people from accessing and using financial services. Financial exclusion is an underlying social problem that dates from the creation of the first financial system. Without the access to the banking and financial infrastructures, the unbanked are perpetuating a vicious cycle of poverty. Blockchain is leading this transformation of allowing unbanked and underbanked people to have access and interact with the finance industry. The promise of a digital economy is starting to take shape, as financial technology (FinTech) companies are evolving the concept of democratization of access. Decentralized finance (DeFi) is expanding the possibilities of financial technology by creating an ecosystem based on transparency, accessibility, and efficiency. We are witnessing a paradigm shift for most of the financial services which are remodeling the accessibility and usability of these services, addressing the excluded and underserved population.
Evaluation of the Perceived Confidence of Undergraduate Dental Students in Performing Endodontic Treatment
Authors: Iranmanesh Pedram , Tabatabaei Saghar Alavi , Saatchi Masoud , Tahani Bahareh , Binandeh Elham S. , Khademi Abbasali
Published: November 2021

Introduction:

Dental students’ confidence is a crucial factor affecting the success of endodontic teaching. The aim of this study was to determine the dental students’ confidence level in performing endodontic treatment.

Materials and Methods:

A total of 150 dental students of Isfahan University of Medical Sciences participated in this descriptive study by census sampling. A self-administered questionnaire, including demographic data, endodontic experience, confidence in performing different stages of endodontic treatment, and suggestions for improving the quality of endodontic training, was distributed among the fourth to sixth year students. Data were analyzed with SPSS version 20.0 (IBM Corp., Armonk, New York, USA), using t test, ANOVA, and linear regression analysis (α = 0.05).

Results:

The response rate was approximately 88%, and the highest and lowest confidence scores (standard deviation) were reported for establishing proper communication with patients with 4.0 (34.67) and finding all root canals with 3.0 (23.88). The confidence score of male students was significantly higher than female students (P < 0.05). There was no significant association between the total score of confidence and difficulty level of the first endodontic treatment and educational level (P > 0.05). The multiple linear regression showed a significant correlation between the difficulty level of the first endodontic treatment and confidence (β = −2.1, P = 0.02, 95% CI: −3.9–−0.2).

Conclusion:

Given the low confidence level of students in some skills, the following are suggested to be taught practically and theoretically. Female students should be provided with a technique to improve confidence. Moreover, the first tooth for endodontic treatment should be selected more thoughtfully.
Completeness of Informed Consent Documents in Synopsis of Postgraduate Medical Students of a Medical College of Western Maharashtra
Authors: Choudhary Laxmikant , Awasthi Promod Chandra , Ray K Rahul , Kunte Renuka , Yadav Arun Kumar
Published: November 2021

Introduction:

Research is a key requirement and is an integral part of postgraduate (PG) studies. In biomedical and health research involving human participants, obtaining voluntary informed consent is a must requirement for researchers' respect for individual autonomy as well as safeguard of participants against abuses and exploitations. The Indian Council of Medical Research (ICMR) has come out with the Revised National Ethical Guidelines for Biomedical and Health Research Involving Human Participants – 2017 giving essential and additional elements of an informed consent document (ICD).

Materials and Methods:

The study was a descriptive study done over a period of 12 weeks. A sample of 155 PG students were selected, who had submitted their synopsis in medical research unit of a medical college of Western Maharashtra. ICDs were scrutinized and evaluated with a checklist given by the ICMR guidelines 2017 and analyzed using SPSS version 20.

Results:

Of 155 students, 131 (91.6%) were males as compared to 24 (15.48%) females, and 43 (27.7%) belonged to clinical specialty as compared to 112 (78.3%) from para and nonclinical. Of 155 students, 143 (92.3%) had attached informed consent forms (ICFs) as compared to 12 (7.7%) who had not attached in their synopsis. In ICFs among 143 students, 59 (41.1%) students used English and local language (Marathi) and 84 (58.7%) used only English language.

Conclusion:

PG students have appropriately prepared ICFs; however, there are some discrepancies in some of the elements. There is a requirement of sensitizing PG students through regular training programs to reduce discrepancies in ICDs.
Alternative Use of Intravenous Set
Authors: Gangakhedkar Gauri Raman , Palani Yogalakshmi
Published: November 2021

The use of pinprick for assessment of the level of sensory blockade after spinal anesthesia is a time-tested modality. In order to overcome the shortcomings of pinprick while keeping in mind the economic restraints in a government-aided tertiary care institute, we have devised an alternative technique using the available resources. This article aims to highlight this technique and promotes the use of the same in other institutions.
A Single-Arm, Prospective, Phase II Study of Cisplatin Plus Weekly Docetaxel as First-Line Therapy in Patients with Metastatic or Recurrent Salivary Gland Cancer
Authors: Kim Hye Ryeon , Lee Su Jin , Park Sehhoon , Jung Hyun Ae , Lee Se-Hoon , Jeong Han-Sin , Chung Man Ki , Ahn Myung-Ju
Published: November 2021

Purpose Salivary gland cancers (SGCs) are relatively rare but comprise various histologic subtypes, which complicates design of prospective trials. Systemic chemotherapy plays a limited role in treatment of SGCs, but cisplatin and docetaxel showed efficacy in a previous preclinical study. Here, we conduct a prospective, phase II study to evaluate the efficacy and toxicities of cisplatin plus weekly docetaxel in patients with metastatic or recurrent SGC.Materials and Methods We included patients with histologically confirmed SGCs of the following subtypes: mucoepidermoid carcinoma, adenocarcinoma, ductal carcinoma, or adenoid cystic carcinoma. Patients had no prior systemic chemotherapy for metastatic or recurrent tumors and at least one measurable lesion. Patients were treated with docetaxel 35 mg/m2 (D1, 8) and cisplatin 70 mg/m2 (D1) every 21 days.Results Forty-one patients were enrolled between April 2014 and October 2020. The median age was 58 years (range, 32 to 73 years). The most common histologic subtype was adenoid cystic carcinoma (63.4%), followed by ductal carcinoma (24.4%). The most common metastatic site was the lung (75.6%). The median treatment cycle was 5.5 (range, 3 to 8), and the objective response rate was 46.3%, with three complete responses. The median duration of response was 6.8 months (interquartile range, 4.0 to 10.2). The progression-free survival and overall survival were 9.4 months (95% confidence interval [CI], 8.4 to 10.5) and 28.2 months (95% CI, 22.7 to 33.6), respectively. There were no treatment-related deaths. The most common grade 3/4 adverse events were neutropenia (4.9%) and fatigue (4.9%).Conclusion Cisplatin plus weekly docetaxel is effective and tolerable with manageable toxicity as first-line therapy in patients with metastatic or recurrent SGC.
A comprehensive study of deaths due to exposure to humidifier disinfectant in Korea: focusing on medical records, assessment of exposure to humidifier disinfectants, and causes of death
Authors: Ju Yeong Jun , Lee Seungho , Sheen Seungsoo , Choi Dong-Woo , Leem Jong-Han , Lee Soon Young
Published: November 2021

OBJECTIVES: We aimed to determine the characteristics of the deceased victims of deaths caused by exposure to humidifier disinfectants, and present the distribution of the victims’ data submitted for damage application, demographic characteristics, imaging findings, characteristics of humidifier disinfectant exposure, and distribution of the causes of death.METHODS: An integrated database of victims was established using the medical records data of 1,413 victims submitted during the application for death damage caused by exposure to humidifier disinfectants, and the demographic characteristics, medical records, imaging findings, exposure characteristics, and cause of death were examined.RESULTS: The average numbers of data submissions of each applicant for death damage were 3.0 medical use records. A total of 608 (43.0%) victims had more than one finding of acute, subacute, or chronic interstitial lung diseases. The average daily and cumulative use times of the victims were 14.40 and 24,645.81 hours, respectively, indicating greater exposure in this group than in the survivors. The humidifier disinfectants’ components comprised polyhexamethylene guanidine (72.8%), chloromethylisothiazolinone/methylisothiazolinone (10.5%), other components (15.0%), and oligo-[2-(2-ethoxy)-ethoxyethyl] guanidine chloride (1.5%). The components’ distribution was 67.8% for single-component use, which was higher than that in the survivors (59.8%). The distribution of the causes of death were: respiratory diseases (54.4%), neoplasms (16.8%), and circulatory diseases (6.3%). Other interstitial lung diseases (65.5%) were the most common cause of death among those who died due to respiratory diseases.CONCLUSIONS: Careful discussions of appropriate remedies should be conducted based on a comprehensive understanding of the characteristics of the deceased victims, considering their specificities and limitations.
American Medical Trainee Perspectives on Ethical Conflicts during a Short-Term Global Health Rotation in Ethiopia: A Qualitative Analysis of 30 Cases
Authors: Modlin Chelsea E. , C. Vilorio Andrea , Stoff Benjamin , L. Comeau Dawn , Gebremariam Tewodros H. , Derbew Miliard , M. Blumberg Henry , del Rio Carlos , Kempker Russell R.
Published: November 2021

There has been a significant increase in the number of students, residents, and fellows from high-income settings participating in short-term global health experiences (STGHEs) during their medical training. This analysis explores a series of ethical conflicts reported by medical residents and fellows from Emory University School of Medicine in the United States who participated in a 1-month global health rotation in Ethiopia. A constant comparative analysis was conducted using 30 consecutive reflective essays to identify emerging categories and themes of ethical conflicts experienced by the trainees. Ethical conflicts were internal; based in the presence of the visiting trainee and their personal interactions; or external, occurring due to witnessed events. Themes within internal conflicts include issues around professional identity and insufficient preparation for the rotation. External experiences were further stratified by the trainee’s perception that Ethiopian colleagues agreed that the scenario represented an ethical conflict (congruent) or disagreed with the visiting trainee’s perspective (incongruent). Examples of congruent themes included recognizing opportunities for collaboration and witnessing ethical conflicts that are similar to those experienced in the United States. Incongruent themes included utilization of existing resources, issues surrounding informed consent, and differing expectations of clinical outcomes. By acknowledging the frequency and roots of ethical conflicts experienced during STGHEs, sponsors may better prepare visiting trainees and reframe these conflicts as collaborative educational experiences that benefit both the visiting trainee and host providers.
Why does Organizational Performance Fluctuate in Agricultural Industrialization Consortia: A Study Based on Dual Paradox in Development and Institution
Authors: Wang Yanrong , Wu Qizhi , Zhang Xiang , Qiao Xiangbing
Published: November 2021

Agricultural industrialization consortium is a key policy tool to promote agricultural development for local governments in China. However, a stylized fact is that various consortia showed promising organizational performance at start, but then the performance deteriorated at later stages. The driving force behind is the dual paradox inherent in development and institution. The consortium is overly development oriented; yet as an institution it cannot adapt to the strong development impulses. Case studies show that the dual paradox inevitably led to the decline in organizational performance.
A positivist approach to rights of nature in the European Union
Authors: Epstein Yaffa , Schoukens Hendrik
Published: November 2021

A growing number of jurisdictions throughout the world have recognized some type of legal rights of nature. This jurisprudential trend has thus far made few inroads in Europe. However, its apparent absence is misleading. In this article we argue that, explicit or not, nature as protected by European Union (EU) law already has certain legal rights in the Hohfeldian sense because other entities have legal obligations towards it. Moreover, we argue that recent decisions of the Court of Justice of the EU can be interpreted to support our claim that nature, as protected by EU law, already enjoys some legal rights that cannot be trumped by mere utilitarian interests, and that these rights can in turn be recognized and applied by national courts. We further suggest that public interest litigation can contribute to developing rights for nature in Europe, even absent any explicit recognition of these rights in EU law or in national legislation.
Waste-to-energy: biobutanol production from cellulosic residue of sweet potato by Clostridia acetobutylicum
Authors: Jin Yanling , Zhang Liang , Yi Zhuolin , Fang Yang , Zhao Hai
Published: November 2021

Biobutanol has been emerging as a renewable replacement to overcome fossil fuel limit due to its attractive qualities. The waste resources utilization is an economically feasible and eco-friendly way to produce biobutanol. In this work, the potential of butanol fermentation with sweet potato residue (SPR) obtained from ethanol fermentation was evaluated. To assist sugar release for butanol production by Clostridia acetobutylicum, a pretreatment approach with dilute sulfuric acid was established via response surface methodology. The maximum butanol concentration of 3.77 g/L was obtained at the optimal conditions of pretreatment at 1% (v/v) dilute sulfuric acid, and 115℃ for 30 min. Detoxifying the hydrolysate with XAD-4 resin significantly enhanced butanol fermentation performance, while adding nutritional supplements had no significant influence. The stability of the fermentation process was verified by the 2 L-scale of fermentation, resulting in 7.96 g/L of butanol, 13.42 g/L h of Acetone-Butanol-Ethanol (ABE), and 0.34 g/g of ABE yield, respectively. This study demonstrates a bio-refinery strategy of conversion from waste biomass to energy, confirms the feasibility of utilizing the cost saving SPR as feedstock to produce butanol through fermentation, and provides a novel approach for minimization of environmental pollution.
Nitrogen dioxide exposure and health risk assessments of students in elementary schools in the vicinities of an industrial estate, located in Rayong Province, Thailand
Authors: Phantu Suganya , Bootdee Susira
Published: November 2021

Exposure to nitrogen dioxide (NO2) poses a danger to the health of many children all over the world especially children that attend schools in the vicinities of traffic roads and industries. This research study aims to assess the impacts of NO2 exposure on the health of the students. NO2 samples were collected by tube-type passive samplers. Moreover, the investigation of indoor NO2 exposure of students was associated with physical human health by using multiple logistic regressions. The results revealed that the indoor and outdoor NO2 concentrations in elementary schools were 9.0 ± 4.4 to 16.7 ± 2.7 μg/m3 and 8.2 ± 2.1 to 17.7 ± 6.7 μg/m3, respectively. However, indoor and outdoor values of NO2 were lower than the WHO standard of 40 μg/m3. Non-carcinogenic risk assessments of NO2 were carried out to help assess the health risks of students. It was found that the HQ of all those who studied in schools was less than 1, indicating no health risks. However, NO2 in classrooms can cause eye irritation (p-value = 0.007), pink eye/ allergic conjunctivitis (p-value = 0.012), runny nose (p-value = 0.020), sore throat (p-value = 0.038), wheeze (p-value = 0.022) and cough (p-value = 0.035). Therefore, children who spend time in classrooms close to heavy traffic and petrochemical plants might find themselves exposed to increased health risks.
El control interno como factor determinante de la eficacia en los empleados de empresa maquiladora
Authors: Mendivil Valdez Yazbet , Erro Salcido Luis
Published: November 2021

La presente investigación busca conocer la relación existente entre el control interno y la eficacia de los trabajadores. En la primera parte del documento se muestra un breve desarrollo histórico sobre los orígenes del control interno en las empresas y su impacto, así mismo se detallan los hallazgos de otras investigaciones localizados mediante la búsqueda de información. Se busca desarrollar las principales definiciones que ayuden a comprender desde donde nace el control interno y donde radica su importancia. La metodología utilizada en este trabajo es de carácter cuantitativo, de tipo descriptivo- correlacional, ya que describe de manera general el comportamiento de las variables de estudio, así como también mide la relación existente entre las mismas. Por último los resultados reflejan que la presente investigación obtuvo un nivel óptimo de “control interno” y un nivel muy bueno de “Eficacia en los empleados”, lo cual indica que una adecuada aplicación de los componentes de control interno tiene una gran influencia positiva en el rendimiento de los trabajadores, finalmente en el último capítulo al contrastar el objetivo, la pregunta de investigación y los resultados, se proponen las principales conclusiones y recomendaciones obtenidas para la realización de futuros trabajos de investigación similares.
CETES una opción de inversión para el público en general
Authors: Flores Castillo Lilia Alejandra , Trujillo Soberanes Laura
Published: November 2021

La oferta de los instrumentos de inversión en el mercado de valores, siempre han sido una opción para financiar proyectos de inversión de empresas privadas que demandan fondos para cubrir su déficit, incluido por supuesto el gobierno federal que coloca deuda interna en los mercados para financiar su actividad doméstica. El presente trabajo de investigación tiene como objetivo mostrar una alternativa de inversión basada en los CETES como opción de inclusión financiera para aquellos agentes que tengan interés en invertir e incursionar en el mercado de valores, pero no cuenten con un capital mínimo requerido para las inversiones.
Factors and experiences associated with unscheduled 30-day hospital
readmission: A mixed method study
Authors: Mukhopadhyay Amartya , Mohankumar Bhuvaneshwari , Chong Lin Siew , Hildon Zoe J-L , Tai Bee Choo , Quek Swee Chye
Published: November 2021

ABSTRACT
Introduction: Analysis of risk factors can pave the way for reducing unscheduled hospital readmissions
and improve resource utilisation.
Methods: This was a concurrent nested, mixed method study. Factors associated with patients readmitted
within 30 days between 2011 and 2015 at the National University Hospital, Singapore (N=104,496)
were examined. Fifty patients were sampled in 2016 to inform an embedded qualitative study. Narrative
interviews explored the periods of readmissions and related experiences, contrasted against those of
non-readmitted patients.
Results: Neoplastic disease (odds ratio [OR] 1.91, 95% confidence interval [CI] 1.70–2.15), number of
discharged medications (5 to 10 medications OR 1.21, 95% CI 1.14–1.29; ≥11 medications OR 1.80, 95%
CI 1.66–1.95) and length of stay >7 days (OR 1.46, 95% CI 1.36–1.58) were most significantly associated
with readmissions. Other factors including number of surgical operations, subvention class, number of
emergency department visits in the previous year, hospital bill size, gender, age, Charlson comorbidity
index and ethnicity were also independently associated with hospital readmissions. Although readmitted
and non-readmitted patients shared some common experiences, they reported different psychological
reactions to their illnesses and viewed hospital care differently. Negative emotions, feeling of being left
out by the healthcare team and perception of ineffective or inappropriate treatment were expressed by
readmitted patients.
Conclusion: Patient, hospital and system-related factors were associated with readmissions, which may
allow early identification of at-risk patients. Qualitative analysis suggested several areas of improvement
in care including greater empowerment and involvement of patients in care and decision making.

Keywords: Comorbidity, diagnosis, hospital readmission, qualitative evaluation, socioeconomic factors
Psoriasis paradójica palmoplantar secundaria al tratamiento de la colitis ulcerosa con adalimumab
Authors: Benítez Yazbek Rashid Ivan , Eimer Lena , Suar Lucila , Anaya Javier , Busso Corina
Published: November 2021

Los anticuerpos anti-TNF-α (tumor necrosis factor alpha) se utilizan para tratar tanto la psoriasis como la enfermedad inflamatoria intestinal (EII). Sin embargo, estos fármacos han sido implicados en la ocurrencia de la psoriasis paradójica en los pacientes sin antecedentes de psoriasis que reciben tratamiento por una colitis ulcerosa (CU) y otras enfermedades autoinmunes. Se presenta el caso de un paciente de 29 años, sin antecedentes de dermatosis, que desarrolló una psoriasis palmoplantar paradójica por el uso del adalimumab que recibía por un diagnóstico de CU. El cuadro remitió al suspender el medicamento y recurrió al reiniciarlo, motivo por el cual se rotó al ustekinumab. La CU respondió satisfactoriamente, sin nuevas lesiones dermatológicas.
EFICÁCIA DOS TREINAMENTOS DE FORÇA E ENDURANCE MUSCULAR RESPIRATÓRIA COM O POWERBREATHE EM ATLETAS DE VOLEIBOL: RELATOS DE CASO
Authors: Rodrigues Ana Carolina Brianez , Silvério Isabela dos Santos , Rodrigues Letícia Zerbetto , Fuentes Victoria Message , Silva Lívia Frequete da , Vasconcelos Everaldo Encide de , Regueiro Eloisa Maria Gatti
Published: November 2021

O objetivo deste estudo foi realizar uma análise comparativa descritiva de uma atleta amadora de voleibol de quadra, controle dela mesma, submetida ao treinamento físico (TF), ao TF versus TMR e ao TMR em três diferentes momentos, a fim de verificar a eficiência do TMR com o equipamento PB sobre a capacidade respiratória e performance global nessa modalidade esportiva. Trata-se e um estudo de caso, no qual foi avaliada e tratada uma atleta do gênero feminino, caucasiana, com 20 anos de idade, 62 Kg, 1,65 m, IMC de 22,8 Kg/m2, sem histórico de comprometimento respiratório, com histórico de treinamento físico intenso, com sinais vitais dentro do esperado para a idade e o gênero, sem alterações posturais prejudiciais, que foi submetida a um programa de TMI associado a um programa de TF (realizado em circuito, direcionado a exercícios de potencial aeróbico). Evidenciou-se melhora na capacidade respiratória e performance da atleta que foi submetida ao TMI associado ao programa de TF, quando comparada a ela mesma, realizando apenas o TF. Nesse contexto, sugere-se que o incremento de um programa de TMI adequado, combinado as práticas esportivas em quadra, pode proporcionar melhor desempenho de atletas dessa modalidade. Conclui-se que o TF associado ao TMR e TMR exclusivo, levaram ao incremento da FMR e da DP, beneficiando voleibolistas durante a sua prática esportiva. Todavia, é necessário ressaltar, que ainda são escassos os relatos da literatura sobre essa modalidade específica, justificando a necessidade de mais estudos randomizados controlados.
REALISTIC SIMULATION IN PHARMACEUTICAL EDUCATION:
Authors: Pacheco da Silva Marlúcia
Published: November 2021

Realistic Simulation is a method used to extend or replace real experiences, which promotes the integration of technical skills and theoretical knowledge, stimulating students to coordinate several competences simultaneously. This paper intends to present the theoretical and practical aspects of realistic simulation in pharmaceutical education. A bibliographic search in the Google academic database was carried out selecting 22 articles effectively, by means of search limits from 2007 to May 2017, published in Portuguese and English. Selected articles have demonstrated that realistic simulation in pharmaceutical education is growing rapidly, mainly related to patient care and safety. As benefits in the teaching-learning process, the interactivity and active participation of students in a safe and realistic environment, without risks to the patient, with increased safety and clinical decision-making capacity, as well as the development of psychomotor and cognitive competencies for care in health. Realistic simulation does not replace in-service teaching, but complements the practice of structured and guided reflection that contributes to personal and professional growth.
ԿՐԹՈՒԹՅԱՆ ՈԼՈՐՏՈՒՄ ԲԱՐՈՅԱՀՈԳԵԲԱՆԱԿԱՆ ԴԱՍՏԻԱՐԱԿՈՒԹՅՈՒՆԸ` ՈՐՊԵՍ ԱՆՁԻ ՁԵՎԱՎՈՐՄԱՆ ԿԱՐԵՎՈՐԱԳՈՒՅՆ ԳՈՐԾՈՆ (ՀԻՄՔ ԸՆԴՈՒՆԵԼՈՎ «ԱՐԴԱՐԱՑԻ ԽԱՂԻ» ԿԱՆՈՆՆԵՐԸ) / MORAL AND PSYCHOLOGICAL UPBRINGING IN THE FIELD OF EDUCATION AS A KEY FACTOR IN THE FORMATION OF PERSONALITY (BASED ON "FAIR PLAY"
PRINCIPLES)
Authors: TAMRAZYAN GRISHA , GABRIELYAN HOVHANNES
Published: November 2021

Modern requirements leave their mark on the physical education and
healthy lifestyle of the younger generation. The number of students studying
physical education and sports both at universities and throughout the country
has sharply decreased, which has negatively affected their morale and health.
Noting the importance of the principles and rules of "fair play" as a spiritual
value in the strategic programs of the education sector, it is necessary to pay
special attention to their dissemination and rooting. This is the only way to
increase the potential of the country's economy, by establishing the principles
of "fair play" and including them into the strategic plans of each educational
institution.
STRATEGI GURU BK DALAM MENUMBUHKAN SIKAP TOLERANSI PESERTA DIDIK
Authors: Fitriyana Arina
Published: November 2021

Tujuan penelitian ini adalah untuk mengetahui gambaran umum sikap intoleransi peserta didik dan strategi yang dilakukan guru bimbingan dan konseling dalam menumbuhkan sikap toleransi peserta didik. Jenis penelitian ini menggunakan penelitian deskriptif kualitatif. Data penelitian didapat dari hasil observasi, wawancara, dan studi dokumentasi. Data tersebut kemudian dianalisis melalui tiga tahapan yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil analisis disajikan berupa data deskripsi mengenai fokus yang diteliti. Berdasarkan hasil penelitian diketahui bahwa mayoritas peserta didik di SMP N 18 Semarang telah memiliki sikap toleransi tetapi masih ada peserta didik yang menunjukkan sikap intoleransi. Sikap intoleransi yang ditunjukkan oleh peserta didik berdasarkan hasil observasi dan wawancara adalah peserta didik yang merasa tidak berkewajiban untuk menghormati agama orang lain, tidak suka bergaul dengan orang yang kedudukannya lebih rendah ataupun lebih tinggi, mengolok-olok teman yang berbeda dengan dirinya,  dan adanya pengelompokan peserta didik sehingga ada peserta didik yang merasa dikucilkan. Dalam menyikapi fenomena tersebut, guru BK di SMP N 18 Semarang melakukan layanan bimbingan kelompok dengan memadukan teknik diskusi kelompok dengan teknik symbolic modeling.  Layanan bimbingan kelompok tersebut menjadi strategi guru BK dalam menumbuhkan sikap toleransi peserta didik kelas VIII SMP N 18 Semarang. Layanan bimbingan kelompok dengan teknik diskusi kelompok yang dipadukan dengan teknik symbolic modeling ini diharapkan dapat digunakan oleh guru BK tidak hanya di tempat penelitian tetapi dapat digeneralisasikan di sekolah-sekolah yang lain. Selain itu, masih terbuka peluang bagi peneliti selanjutnya untuk meneliti strategi yang dapat dilakukan oleh guru BK melalui berbagai layanan bimbingan dan konseling.
EFEKTIVITAS KONSELING REALITA TERHADAP RESILIENSI DIRI MAHASISWA
Authors: Wirastania Aniek , Miftah Farid Dimas Ardika
Published: November 2021

Self-resilience is the ability to continue life after adversity or after experiencing heavy stress is not a fortune, but it describes the existence of certain abilities in individuals. Reality counseling is a system that focuses on current behavior. Therapists serve as teachers and models and confront clients in ways that help them cope with reality and meet basic needs without harming themselves or others. At the heart of reality therapy is the acceptance of personal responsibility, which is analogous to mental health. This study aims to determine how reality counseling can improve students' self-resilience at Unipa Surabaya. This research uses a quantitative approach, with the research method of pretest posttest one group design. The data analysis used was statistical test using SPSS 17. The results showed that all indicators had a significant difference level. This significant difference can be seen from the level of resilience achieved by the counselees. This shows that reality counseling is effective in increasing the resilience of students in facing current conditions. Keywords: Reality Counseling, Self Resilience, Quasi Experiment
HUBUNGAN SANITASI LINGKUNGAN DENGAN KEJADIAN DIARE PADA BALITA DI RAWAT INAP RSUD PRINGSEWU LAMPUNG
Authors: . Yusnita
Published: November 2021

Hubungan Sanitasi Lingkungan Dengan Kejadian Diare Pada Balita Di Rawat Inap Rsud Pringsewu Lampung. Diare merupakan suatu penyakit system pencernaan yang  dapat menggagu aktifitas, diare harus segera di atasi karena dapat mengakibatkan kehilangan cairan dan kematian terutama pada balita. Faktor yang dapat menyebabkan diare diantaranya sanitasi lingkungan yang kurang baik seperti pembuangan kotor anmanusia yang tidak sesuai dengan standar kesehatan dan penyediaan  air bersih yang digunakan untuk keperluan sehari-hari. Tujuan dalam penelitian ini untuk mengetahui hubungan sanitasi lingkungan dengan kejadian diare pada pasien balita di ruang rawat inap anak RSUD Pringsewu tahun 2020. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional dan sampel yang digunakan adalah ibu-ibu yang memiliki balita dengan diare sebanyak 40 orang. Hasil penelitian ini menunjukan bahwa ada hubungan antara penggunaan sumber air bersih dengan kejadian diare pada pasien balita yang di rawat di ruang rawat inap RSUD Pringsewu tahun2020, ditunjukan dengan hasil uji chi-square didapatkan nilaip-value 0,021 dengan nilai OR 6,125. Ada hubunga nantara pembuangan kotoran manusia dengan kejadian diare, ditunjukkan dengan nilaip-value 0,008 dengan nilai OR 8,75. Diharapkan bagi petugas RSUD Pringsewu untuk dapat memberikan pendidikan kesehatan tentang penyebab diare, sehingga dapat menurunkan angka kejadian diare pada balita.
Penerapan Aplikasi Inventory Barang dengan Menggunakan Extreme Programming Pada Perusahaan Manufaktur
Authors: Loisa Julia , Zefanya Ivgantius Titus Zefanya , Fernandes Andry Johanes
Published: November 2021

Teknologi sekarang ini terus berkembang pesat dikarenakan fungsi dari teknologi itu sendiriyang dapat membantu penggunanya mengelola suatu data menjadi lebih cepat. Dengan demikianpenerapan suatu sistem menjadi suatu hal yang wajar apabila perusahaan ingin meningkatkanpenjualan produk yang telah diciptakannya. Perusahaan manufaktur merupakan suatu perusahaanyang memproduksi pupuk cair yang kemudian dijual kepada para konsumen. Namun dalam halpencatatan ketersediaan barang serta pencatatan transaksi penjualan masih dilakukan secara manual,hal tersebut lama-kelamaan berpengaruh terhadap perusahaan karena permintaan pasar yang terusmeningkat. Oleh karena itu dibangun sebuah sistem aplikasi inventory untuk mengakomodasi haltersebut. aplikasi ini dirancang dengan tujuan utama yaitu memudahkan pekerja dalam mencatatsegala ketersediaan barang dan transaksi penjualan agar menjadi lebih sistematis. Aplikasi ini akandibuat menggunakan bahasa pemprograman visual basic serta memiliki database server yaitu MySQL.Metode yang digunakan untuk merancang aplikasi ini menggunakan SDLC Extreme Programming.aplikasi ini diharapkan mampu mempermudah dalam proses pencatatan suatu barang, baik bahanyang diterima dari pemasok maupun hasil produksi, serta menghasilkan suatu laporan hasil penjualanyang lebih baik dibandingkan sebelumnya yang dilakukan secara manual.
Vannhumler og andre humler: Barns fantasiuttrykk i en norsk barnehage
Authors: Lund Janne
Published: November 2021

I denne artikkelen presenteres barns fantasi både som en felles aktivitet og som en individuell evne. Artikkelen er basert på et studie som er gjennomført i en norsk barnehage. Datamaterialet ble samlet inn ved hjelp av deltakende observasjon, videofilming og samtaler med barn. Det ble også gjennomført observasjon av møter blant pedagogene i barnehagen. Barn uttrykker fantasi på ulike måter og de kan lære fantasi av hverandre idet de inngår i felles fantasiaktiviteter. I tillegg viser detseg i studiet at de voksne deltar i kollektiv fantasi sammen med barna ved å anerkjenne fantasien og ved å skape rammer der fantasien får spillerom. Samtidig er det et økende fokus på basisferdigheter og kunnskapstilegnelse i norske barnehager, noe som utgjør en fare for om man evner å gjøre fantasi til et eksplisitt og verdsatt tema eller om den skyves til side som noe mindre viktig i barns liv, oppvekst og utvikling.
Working together: a study on co-produced parenting support services in a Swedish municipality
Authors: Abbasian Saeid , Sarkadi Anna
Published: November 2021

This article describes an evaluation of co-producing parenting support services in a rural municipality in Sweden. The evaluation looked at the implementation process of a series of positive activities for children and their parents, data from the participating parents and the economy of the project. Methods included interviews, questionnaires, observations and a review of protocols, e-mails, and web pages. Both qualitative and quantitative analytical methods were used. We identified two essential components for successful co-production: 1) The balance between the two actors (public and voluntary sector) in terms of interests, commitment and experienced positive impacts and 2) That both actors remain within their core competencies. Parents were satisfied with the number and quality of the activities and reported improvement in their relationship with their child. Costs for the six sessions provided during the project were 1897 SEK/participant for the orienteering club and 2635 SEK/participant for the riding club.
Sammendrag av doktorgradsavhandling
Authors: Rossholt Nina
Published: November 2021

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E-2 Development of Islamic Counseling Protocol for Pakistani Muslim Adults to Manage their Mental Health Problems
Authors: Khan Aqeel Ahmad , Nadeem Masood
Published: November 2021

Religion plays a fundamental role in our life.  Therefore, a religious approach is known as a pivotal to be incorporated in counseling session with the clients. Researchers and religious scholars emphases that there is a crucial need to integrate the religious aspects during counseling process.  This qualitative study was carried out to develop the Islamic Counseling Protocol (Counselor/Client Worksheet) for Pakistani Muslims adults in the light of Holy Quran, Al-Sunnah and the relevant literature available in the realm of Islamic Counseling. In this connection, firstly all the methods used in Islamic counseling available in literature review were identified. Secondly, the Quranic Versus were identified in relation to the treatment of mental health problems (stress, anxiety and depression). On the basis of selected versus and methods from the Holy Quran as well as from Al-Sunnah, the Islamic Counseling protocol (counselor client worksheet) was developed for Pakistani Muslim adults to manage their mental health problems (stress, anxiety and depression). The results of this qualitative research proposed 6-sessions of Islamic Counseling to manage the mental health problems of the individuals with stress, anxiety and depression.
Two new records of Lichens for India from Maharashtra
Authors: Singh Pushpi , Singh K.
Published: November 2021

Malmidea subgranifera (Kalb & Elix) Kalb & Elix and Thelotrema porinaceum Müll.Arg. are discovered as new records for Indian lichen biota from the state of Maharashtra. Brief descriptions are provided for the species with ecology, distribution and illustrations to facilitate their identification.
Merremia umbellata ssp. orientalis (Hallier f.) Ooststr. - A New Addition to Indian Convolvulaceae from Andaman Islands, India
Authors: Singh Lal , Naik Mudavath
Published: November 2021

Merremia umbellata subsp. Orientalis (Hallier f.) Ooststr. is reported as new distributional record for the flora of India from the South Andaman Islands. Updated nomenclature, brief description, phenology, distribution along with field photographs and illustrations are provided.
UM CURIOSO CASO DE NASALIDADE EM UMA VARIANTE DIALETAL DO PORTUGUÊS BRASILEIRO: UMA ANÁLISE ACÚSTICA
Authors: Malta Cinthia
Published: November 2021

Este trabalho apresenta uma análise acústica acerca do fenômeno da nasalidade no português brasileiro, dialeto de Vitória da Conquista, região sudoeste da Bahia. Os parâmetros acústicos considerados foram os três primeiros formantes orais (F1, F2 e F3). O presente estudo também faz uma revisão geral dos trabalhos em fonética e fonologia que fazem referência ao fenômeno. Os corpora investigados acusticamente compõem um grupo de palavras faladas por falantes nativos desse dialeto baiano. Os resultados mostraram que um outro tipo de nasalidade, que difere daquelas tão amplamente discutidas (nasalidade fonética e fonológica) ocorre nesse dialeto. Essa nasalidade dialetal ocorre num contexto em que não é previsto uma vogal nasal ou nasalizada. Essa pesquisa pretende contribuir para um melhor entendimento do fenômeno da nasalização.
 
Como citar:
SANTOS, Cinthia Malta dos. Um curioso caso de nasalidade em uma variante dialetal do português brasileiro: uma análise acústica.  Orientadora: Vera Pacheco. 2015. 124f. Dissertação (mestrado em Linguística) – Universidade Estadual do Sudoeste da Bahia, Programa de Pós-graduação em Linguística, Vitória da Conquista, 2015. DOI:https://doi.org/10.54221/rdtdppglinuesb.2015.v3i1.55. Acesso em: xxxxxxxx
Movement is Life—Optimizing Patient Access to Total Joint Arthroplasty: HIV and Hepatitis C Disparities
Authors: Wiznia Daniel H , Morgan Randall C. , Gibson David
Published: November 2021

This article is one of a series focusing on how the preoperative optimization process, if designed for underserved communities, can improve access to care and reduce disparities. In this article, we specifically focus on methods to improve optimization for patients with HIV and hepatitis C to facilitate their access to total joint arthroplasty. 1.2 million Americans are currently living with HIV (people living with HIV). African Americans and Hispanics account for the largest proportion of new HIV diagnoses and make up the highest proportion of people living with HIV. HIV-positive patients, many of them with complex comorbidities, are at a high risk for postoperative complications. Optimization of this vulnerable cohort involves a multidisciplinary strategy focusing on optimizing treatment modalities to reduce viral loads, leading to lower complication rates and a safer environment for the surgical team. The rates of hepatitis C have been increasing in the United States, and more than half of individuals living with hepatitis C are unaware that they are infected. Hepatitis C infections are highest in African Americans, and the rates of chronic hepatitis C are highest in those born outside the United States. Patients with hepatitis C have an increased risk for surgical complications after total joint arthroplasty, and studies have demonstrated that these risks normalize when patients are preoperatively screened and treated. Optimization in these vulnerable groups includes working closely with psychosocial resources, the primary care team, and infectious disease specialists to ensure treatment access and compliance.
Analysis of The Application of Multicultural Education in Islamic Schools Based on Islamic Boarding Schools
Authors: Palupi Soenjoto Wening Purbatin , Runjani Juwita Dwi
Published: November 2021

Multicultural education is a bridge in achieving the common life of humankind from various cultures in a global era full of new challenges. Intercultural meetings can have the potential to benefit but at the same time cause misunderstanding. Educational equality, and dedication become the foundation of multicultural education in the educational experience so that all students can realize all their full potential and make them aware of people who are aware and active locally, nationally and globally. The culture of Islamic boarding school is an activity that is applied by the kyai and is adhered to by the students as well as being a characteristic tailored to the policy of the Islamic boarding school. based on a library search for analyzing the application of multicultural education in Islamic boarding schools based on interviews with clerics, teachers and students to get valid data. The method used in this study is a qualitative method with descriptive analysis. The research subjects were 150 students, aged 15-19 years who provided research data through interviews, surveys and documentation with triangulation data processing to obtain valid research results.
Home-Based Physical Activity in Patients With Type 2 Diabetes Mellitus: A Scoping Review
Authors: Mustapa Amirah , Justine Maria , Latir Aliff Abdul , Manaf Haidzir
Published: November 2021

To promote optimal healthcare delivery in type 2 diabetes mellitus (T2DM) following the outbreak of coronavirus disease 2019, adopting home-based physical activity (PA) is being seriously considered. Therefore, this study aims to outline the characteristics of exercise protocols for home-based PA and the challenges and limitations in implementing home-based PA in patients with T2DM. This scoping review was carried out by identifying eligible studies in six different databases (Scopus, Cochrane Library, SpringerLink, ProQuest, Science Direct, and Google Scholar). The keywords used in the search strategies were: home-based physical activity, home-based exercise therapy, home-based physical exercise, home-based exercise, home-based exercise training, diabetes mellitus, and T2DM. Two reviewers independently screened all full-text articles to find articles that met the eligibility requirements. A total of 443 articles were identified in the search. Approximately 342 articles were excluded by screening titles and abstracts, which led to the selection of 44 articles relevant to the current study. Further screening of the full-text led to the subsequent removal of 34 other articles, leading to 10 studies that were eligible for data extraction. This review suggested that the exercise protocols for home-based PA include resistance exercise using free weight and own body weight with a frequency of two to three sessions per week at moderate intensity, along with aerobic exercise (particularly walking) with a frequency of three to five times per week at moderate intensity. A combination of resistance and aerobic exercise showed more significant benefits of PA in patients with T2DM. More studies regarding home-based PA in T2DM patients with metabolic disorders are warranted.