bluuebunny/crossref_metadata_2025 huggingface dataset:
Hepatoblastoma in an 18- Year Old Female; Rare Entity
Authors: Maharjan Daisy , Gaire Deepshikha , Adhikari Ram Chandra
Published: August 2020

Hepatoblastoma is a rare malignant hepatic tumor in adults. It is associated with poor prognosis as it is usually diagnosed late when the tumor is completely unresectable. Presented here, is a case of an 18-year old female with pain abdomen, vomiting, and mass over the right hypochondriac region for one month. CT scan revealed soft tissue density mass on the right lobe of liver suggestive of focal nodular hyperplasia with differential diagnosis of atypical hemangioma. Liver angiography also suggested a vascular tumor of giant hemangioma with inferior exophytic extension. The patient underwent a right extended hepatectomy. Histopathological examination revealed hepatoblastoma with predominant fetal pattern and small focal areas of embryonal pattern. The patient had an uneventful postoperative recovery and is currently undergoing chemotherapy. We present this case for its rarity and ability to masquerade other primary liver tumors in the adult age as seen in our patient.
Detection of Hemoglobinopathies by HPLC in a Referral Clinical Laboratory in Nepal
Authors: Shrestha Abha , Pant Vivek , Gautam Keyoor , Pyakurel Devish , Pradhan Santosh
Published: August 2020

Introduction: Various hemoglobin variants are prevalent in the Nepalese population owing to the ethnic diversity of our population. Detection of asymptomatic carriers by a reliable laboratory method is the cornerstone of prevention of this serious health problem. The simplicity of the automated system with internal sample preparation, superior resolution, rapid assay time, and accurate quantification of hemoglobin fractions makes ion-exchange high-performance liquid chromatography (IEX- HPLC) an ideal methodology for the routine screening for hemoglobinopathies. We report the clinical laboratory-based prevalence of variant hemoglobin and hemoglobinopathies through IEX- HPLC analysis in a cohort of patients referred for hemoglobin electrophoresis to a referral clinical laboratory in Nepal.

Materials and Methods: The variant hemoglobin and hemoglobinopathy were diagnosed based on percentage, retention time, and peak characteristics of variant hemoglobin in a chromatogram. Peripheral blood films, reticulocyte count, serum iron profile, and sickling test were done in selected cases along with detailed family history.

Results: Hemoglobinopathy was detected in all age group but the vast majority was detected between 20 to 40 years of age. Beta thalassemia trait was the most frequently detected hemoglobinopathy in all age groups.

Conclusions: The present study conducted using IEX-HPLC reflects the magnitude of thalassemia and hemoglobinopathies in a laboratory-based population which helps to increase awareness among both health caregivers and the general population. Routine screening for hemoglobinopathy of individuals at the reproductive age group is recommended and this screening can be done through IEX-HPLC.
Stigmatization Towards Healthcare Workers During the COVID-19 Pandemic in Nepal
Authors: Nepal Richa , Pradhan Ravi Ranjan
Published: August 2020

COVID-19 is a novel disease that accompanies itself with anxiety, fear and social stigma. As the numbers of COVID-19 cases continue to rise in Nepal, many instances of stigmatization towards healthcare workers have come into light. Rather than motivating healthcare workers to work during these adverse times, they are being ostracized as carriers of COVID-19. Despite the risks, healthcare workers are bearing for themselves and for their families, very little has been done to protect them. Stigmas can be counteracted by awareness regarding this novel disease. It is important to aware people about correct practices and makes them realize that this battle against COVID-19, can’t be won without healthcare workers. Ensuring safety of healthcare workers must be the foremost priority of the state. Healthcare workers are the most valuable asset for every country, who must be protected from acts of stigmatization at the earliest.
Vitamin D Deficiency is Associated with Metabolic Syndrome
Authors: Seyoum Berhane , Fite Alemu , Wang Luchen , Seyoum Berhane
Published: August 2020

Background: Metabolic syndrome (MetS), insulin resistance (IR) and diabetes mellitus (DM) are highly
interrelated abnormalities seeking multidisciplinary public health interventions. Vitamin D has recently
gained attention as a protective factor for MetS, IR, DM and cardiovascular diseases (CVD). However,
there is no clearly defined mechanism of action, and supplementation guidelines on vitamin D (VD) in
either prevention or treatment against MetS, IR, DM and CVD. The purpose of this study is to determine
the strength of association between VD and MetS, IR, and DM in the general U.S. population.
Methods: The study was done using the National Health and Nutrition Examination Survey (NHANES)
2005-2006 data. NHANES data represent the civilian, non-institutionalized US population. Subject
recruitment was based on a multistage, stratified sampling method. Regression models were used to
determine the relationship of vitamin D with DM, MetS and IR.
Results: We found a consistent observation in which VD deficiency was significantly associated with
DM (OR=2.16), MetS (OR=2.09) and IR (OR=1.83). Female gender, older age, and overweight - all
positively associated with DM, MetS or IR.
Conclusion: The inverse relationship of VD status with MetS, IR and DM indicates a strong support of
increasing vitamin D intake as an inexpensive intervention strategy in the national endeavor to reduce
the burden of MetS, IR, DM, and its complications.
Non Typhoidal Salmonella Suppuration of Ovarian Cyst with Sclerosing Peritonitis: An old disease, A New Face
Authors: Rajan Saroj , Rajan Saroj , SAGILI HARITHA , Durairaj Jayalakshmi , Gupta Avantika
Published: August 2020

Invasive non-typhoidal Salmonella is an emerging problem in developing regions like Africa and Asia.
Infection of ovarian cysts by typhoid bacilli is a complication dating to the 1800s and is rare in the postantibiotic era. A diabetic, hypertensive post-menopausal lady, our patient presented with a large paraovarian
cyst infected the Salmonella group B bacillus. The infection is likely transmitted hematogenously or by the
surrounding adherent bowel and omentum. Interestingly, our patient developed sclerosing peritonitis and
osseous metaplasia of the rectus sheath as well, possibly a peritoneal inflammation to a disseminated
infection. Compounded by her diabetes, the ossified rectus healed poorly, leading to burst abdomen in the
post-operative period. Hence, our patient presented with a rare manifestation of an emerging disease. A
depressed immune status, influenced by her comorbidities, and the lack of sanitation in pockets of South
Asia may have led to a reappearance of these once historic complications of typhoid.
Construction of Islamic Boarding Shcool in Developing Moderate Islam
Authors: Yumnah Siti
Published: August 2020

Islamic teachings are moderate teachings as set out in the Koran. However, at the level of practice, Islam sometimes becomes radical and sometimes becomes liberal. This is because of the lack of in-depth Islamic knowledge. Therefore, this study examines the construction of Islamic thought, develops moderate Islam. Based on the analysis of literature and field facts, moderate Islam in pesantren is inseparable from the Wali Songo who spread the religion of Islam in the archipelago by (1) maintaining the balance of fiqh reasoning and Sufism, (2) making the theology of Ahlussunah a monotheistic approach, (3) maintaining traditions that exist in the community. The pesantren develops (1) values ​​in caring for the understanding of Islamic religious thought, (2) values ​​in caring for the understanding of thought among religious people, (3) values ​​in caring for religious and cultural understanding. These values ​​are always maintained and preserved by pesantren in the process of religious thought, education and preaching.
Design of Improving The Quality of Human Resources Based on Islamic Schools in Anak Saleh Foundation, Malang City
Authors: Sa'dullah Anwar , Hidayatullah Muhammad Fahmi
Published: August 2020

The quality of human resources has become a vital aspect in the development of Islamic education institutions in particular. Almost every leading school has a design to improve the quality of human resources, bearing in mind that this aspect is the key to the birth of a quality generation. Learn from the Saleh Children's Foundation in improving the quality of human resources as a non-LPI general education institution to become one of the leading primary and early childhood education institutions in Indonesia. adi therein are Elementary Schools and Age Education. The two schools became role models of Islamic school-based management in line with the ideals of reform and independence. This study uses a descriptive qualitative research method with a case study approach with a multicase design. The results of this study are: improving the quality of teachers in early childhood education programs (PAUD) Anak Saleh through internal workshops and seminars which are held every Saturday. Its activities are based on output in the form of scientific work, and outcomes in the form of student and parent handbooks (news stories and prayers). While improving the quality of administrative and non-administrative education staff through collaborative activities with government agencies and non-government organizations.
Implementation of Islamic Religious Education Learning in Higher Education on The Pandemic Period
Authors: Munjiat Siti Maryam
Published: August 2020

This study aims to explain and describe the implementation of PAI learning in higher Education institutions during the pandemic. This research method uses qualitative research with a case study approach and research design using analytical descriptives. The place of this research was at the KH Abdul Chalim Pacet Mojokerto Islamic Boarding School Institute during the pandemic from mid-March to May 2020. The results of the study: 1) online PAI learning planning should look at the condition of lecturers and students regarding the ability to conduct online lectures. Lecturers are given the freedom to conduct online lectures using any media as long as it is useful and learning outcomes can be maximized. 2) the implementation of PAI learning is carried out online through lecture and discussion methods. 3) Evaluation of PAI learning in Higher Education includes: a) student activity and discipline in carrying out learning b) assignments to students in the form of presentations, working on papers, c) midterm examinations d) written examinations, and assignments at the end of the semester.
Cedar Breaks National Monument, North View Overlook
Authors: Biek Robert , Rowley Peter
Published: August 2020

Cedar Breaks National Monument straddles the western rim of the Markagunt Plateau, and, at over 10,000 feet (3050 m) in elevation, offers spectacular views westward into the adjacent Great Basin. The heart of the monument consists of a series of overlooks along a beautiful, 4-mile-long (6 km), west-facing amphitheater that is eroded into the plateau’s margin. These overlooks are adorned with a fantastic variety of hoodoos and sculpted fins eroded from alternating resistant and soft, jointed and fractured layers of the Claron Formation. Of these overlooks, the North View Overlook encapsulates the entire geologic story preserved at Cedar Breaks—a history not only of the enigmatic Claron Formation, but also of the demise of its depositional basin and eventual burial by volcanic sediments of the Brian Head Formation.
Hurricane Fault
Authors: Biek Robert
Published: August 2020

The Hurricane fault is the big earthquake fault in southwestern Utah. It stretches at least 155 miles (250 km) from south of the Grand Canyon northward to Cedar City and is capable of producing damaging earthquakes of about magnitude 7.0. The Hurricane fault is a “normal” fault, a type of fault that forms during extension of the earth’s crust, where one side of the fault moves down relative to the other side. In this case, the down-dropped side (the hanging wall) is west of the fault; the upthrown side (the footwall) lies to the east. Like most long normal faults, the Hurricane fault is composed of discrete segments that tend to rupture independently (figure 1). The fault lies at or near the base of the Hurricane Cliffs, which form an impressive, little-eroded fault scarp several hundred feet high. Conspicuous, west-tilted, faulted slivers of mostly Triassic and Jurassic red beds are locally exposed at the base of the cliffs, and contrast strongly with gray Permian carbonates exposed in the cliffs themselves. Several Pleistocene basaltic lava flows flowed across and are now offset by the fault zone, dramatically recording long-term slip rates. Should you make the mistake of pronouncing the name “Hurricane” as one would when describing a mighty storm on the East Coast, you should stand to be corrected, for locals pronounce it as “Hurricun” even though pioneers named the town after ferocious winds common to the local area.
Virgin Anticline and Quail Creek Reservoir
Authors: Biek Robert
Published: August 2020

The first thing most visitors to Quail Creek State Park notice, apart from the improbably blue and refreshing waters of the reservoir itself, are the brightly colored, layered rocks of the surrounding cliffs. In fact, Quail Creek State Park lies astride one of the most remarkable geologic features in southwestern Utah. The park lies cradled in the eroded core of the Virgin anticline, a long upwarp of folded rock that trends northeast through south-central Washington County. The fold is breached by erosion along its crest, creating a window into the geologic past. Famous for its geology, the park is also infamous for the 1989 catastrophic collapse of the Quail Creek south dike, which unleashed a torrent of water and caused millions of dollars of damage.
Landscape Arch, Delicate Arch, and Double Arch in Arches National Park, Southeastern Utah
Authors: Chidsey Thomas, Jr. , Willis Grant
Published: August 2020

Arches National Park in southeastern Utah has the greatest concentration of natural rock arches in the world. The park is located in a geologic region called the Paradox fold and fault belt in the northern Paradox Basin and showcases spectacular and classic Colorado Plateau geology with its colorful sedimentary rocks, ancient sand dunes, cliffs, domes, fins, and pinnacles, as well as the arches. The arches in the park and the surrounding region were formed by a unique set of circumstances involving Middle Pennsylvanian (about 308 million years ago [Ma]) to Late Triassic (200 Ma) movement of subsurface salt layers, Middle Pennsylvanian to Late Cretaceous (about 70 Ma) deposition, and Tertiary and Quaternary (23 Ma to the present) folding, faulting, erosion, and salt dissolution. Massive, hard, brittle sandstones jointed by folding, resting on or containing soft layers or partings, and located near fold structures such as salt-cored anticlines undergoing dissolution, and a dry climate, all favor the formation of arches. Rarely do all these phenomena occur in one place, but they do in Arches National Park.The Natural Arch and Bridge Society (NABS) stated, “A natural arch is a rock exposure that has a hole completely through it formed by the natural, selective removal of rock, leaving a relatively intact frame.” They also make it clear that a natural bridge (which is at least partially formed by flowing water) is one type of natural arch (NABS website) (see A Bit of Perspective, below, for more explanation). Using their own criteria, Stevens and McCarrick (1988) catalogued over 2000 natural arches in Arches National Park; most have unique characteristics that could qualify them as geosites. However, the three most famous arches in the park, and perhaps the world, are Landscape Arch, Delicate Arch, and Double Arch, and thus these were selected as the geosites for this paper.
A Breccia Pipe in the Deseret Limestone, South Flank of the Uinta Mountains, Northern Utah
Authors: Chidsey Thomas , Eby David , Sprinkel Douglas
Published: August 2020

A breccia pipe is a cylindrical- or irregular-shaped mass of brecciated rock. A breccia consists of broken, angular fragments of rock cemented together by a fine-grained matrix. Hydrothermal breccia pipes form when hydrothermal solutions force their way towards the surface through zones of weakness or fracture zones and naturally break up the rocks in the process, i.e., hydrofracturing; breccia pipes can also form by collapse. Hydrothermal breccia pipes can contain ore deposits and, as will be discussed later, are associated with some large oil and gas accumulations in southeastern Utah.
Northern Cedar Mountains Red Beds, Tooele County
Authors: Clark Donald
Published: August 2020

Recent mapping for the Tooele 30' x 60' quadrangle geologic map revealed more information about interesting exposures of red beds cropping out in an 11-mile (18-km) swath along the northwestern flank of the Cedar Mountains (Clark and others, 2017, 2019 in review). They are unusual because such rocks are seldom preserved in northwestern Utah, an area known for thick thrust sheets of Paleozoic marine carbonate and sandstone. These rocks were first mapped by Robert Maurer for his Ph.D. dissertation on the geology of the Cedar Mountains (Maurer, 1970). He called them North Horn (?) Formation and noted the presence of fresh-water snails (Gyraulus sp.) that a paleontologist said were probably of late Paleocene or Eocene age. The North Horn Formation is considered Late Cretaceous (Maastrichtian age) to Paleocene or Eocene (~70 to 60 Ma) in age. However, recent detrital zircon analysis from sandstone in the unit suggest a much older age, with the youngest grains (maximum depositional age) of 117 Ma, or Early Cretaceous, Aptian (UGS and O’Sullivan, 2017). Two samples of gray mudstone taken for fossil pollen in the unit did not produce any usable material. Inspection of these rocks by Don DeBlieux (Utah Geological Survey paleontologist) revealed no bone or other biological material at this location.
Rock Canyon near Provo, Utah County: A Geologic Field Laboratory
Authors: Kowallis Bart , Wald Laura
Published: August 2020

Rock Canyon near Provo, Utah is an ideal outdoor laboratory. The canyon has been known and explored for many years by scientists and students for its fascinating geology, biology, and botany. It is also a favorite location for rock climbers, hikers, and other outdoor enthusiasts. Facilities near the mouth of the canyon including parking, restrooms, a lecture amphitheater, and a covered pavilion with picnic tables provide an ideal location for visitors. Geology is the focal point of this beautiful canyon with a history that stretches from the Precambrian (about 700 million years ago) to the Wasatch fault and Lake Bonneville, which covered much of western Utah at its peak roughly 18,000 years ago. Excellent exposures of the rocks allow visitors to see features clearly and piece together the history of the canyon. The oldest rocks are glacial deposits of the Mineral Fork Tillite. The tillite is overlain by a thick section of Paleozoic rocks of Cambrian to Permian age, all of which have been deformed into an asymmetric, overturned fold formed during the Sevier orogeny, a roughly 140 to 50 million year old mountain building event. The upper reaches of the canyon were sculpted by glaciers during the Pleistocene and deposits of the Provo and Bonneville levels of Lake Bonneville are found at the mouth of the canyon, now cut by a recent alluvial fan. Also, at the mouth of the canyon are excellent exposures of features associated with the Wasatch fault.
Rinded, Iron-Oxide Concretions in Navajo Sandstone Along the Trail to Upper Calf Creek Falls, Garfield County
Authors: Loope David , Kettler Richard
Published: August 2020

Concretions are hard rock masses, usually spheroidal, but commonly oblate or discoidal, that are formed by strongly localized precipitation of minerals in the pores of an otherwise weaker sedimentary rock (see Bates and Jackson, 1980, for a more extensive definition). The iron-oxide-rich concretions in the Jurassic Navajo Sandstone in southern Utah are unusual in two fundamental ways. First, they are cemented by iron oxide (Fe2O3, or Fe(OH)3); most other concretions are cemented by silica (SiO2), calcite (CaCO3), dolomite (CaMg(CO3)2), or siderite (FeCO3). Second, unlike other concretions, they are not strongly cemented throughout, but instead, the iron oxide is concentrated in a very strongly cemented, sharply defined, exterior rind or shell. In the smaller concretions, the entire interior lacks iron-oxide cement, and is similar to the rock outside the concretion; in the larger concretions, there is a central zone that is strongly cemented by iron oxide, but the sandstone between the central core and the rind has no iron-oxide cement.
RUANG BELAJAR BARU DAN IMPLIKASI TERHADAP PEMBELAJARAN DI ERA TATANAN BARU
Authors: Chaeruman Uwes Anis
Published: August 2020

The Pandemic Coronavirus Disease (Covid-19) has taken place all over the world. This situation has affected all sectors of human life, likewise in the education sector. Physical distancing policy has forced all countries to close the school. Distance and online learning have become the only option to solve it. This article tried to answer two questions. First, what are the essences of learning spaces in the context of e-learning viewed from the perspective of time and space synchronicity? Second, what are the implications of it to the implementation of teaching and learning in the era Covid-19 and new normal? The researcher applied literature review to answer those questions. Literatures review result showed that learning space can be divided into four categories. This classification provides some implications toward the implementation of teaching and learning in the era of Covid-19 and new normal. AbstrakPandemi virus corona (Covid-19) telah melanda seluruh dunia. Bencana kejadian luar biasa ini telah berpengaruh terhadap semua sektor kehidupan manusia, termasuk sektor pendidikan. Kebijakan jarak sosial dan fisik telah memaksa proses pembelajaran di sekolah terhenti. Belajar di rumah dengan moda pembelajaran jarak jauh dan daring menjadi satu-satunya pilihan untuk memecahkan masalah tersebut. Artikel ini berupaya menjawab dua hal. Pertama, apa esensi ruang belajar dalam konteks e-learning ditinjau dari sudut pandang ruang dan waktu? Kedua, apa implikasinya dalam pembelajaran di era Covid-19 dan tatanan baru? Peneliti menggunakan metode kajian pustaka untuk menjawab pertanyaan tersebut. Berdasarkan hasil kajian pustaka, diperoleh empat klasifikasi ruang belajar baru dan implikasi terhadap pembelajaran di era Covid-19 dan tatanan baru.
Pendekatan Neurosains Meningkatkan Keterampilan Berpikir Tingkat Tinggi Guru Pendidikan Dasar
Authors: Rivalina Rahmi
Published: August 2020

Tuntutan pembelajaran abad 21 mengharuskan siswa untuk menggunakan keterampilan berpikir tingkat tinggi (High Order Thinking Skills/HOTS) melalui pemecahan masalah dan berpikir kritis, komunikasi dan kolaborasi, dan kreativitas dan inovasi. Untuk mengimplementasikannya guru terlebih dahulu harus memahami konsep HOTS karena arsitektur utama dalam mengisi kecerdasan siswa adalah guru. Masalah yang dibahas dalam kajian ini mengapa guru perlu dibekali dengan pendekatan neurosains dalam proses pembelajaran dan bagaimana strategi guru menerapkan pendekatan neurosains dalam pembelajaran sehingga siswa dapat mencapai kompetensi kecakapan abad 21. Tujuan penelitian ini adalah untuk  mendeskripsikan: (1) pentingnya memahami pendekatan neurosains bagi guru dalam proses  pembelajaran, dan (2) strategi  guru  menerapkan pendekatan neurosains  untuk  mencapai kompetensi kecakapan abad ke-21.  Hasil kajian mengungkapkan guru perlu menerapkan pendekatan neurosains dalam pembelajaran untuk membantu guru dalam mencapai kompetensi keterampilan dan kecakapan abad 21 siswa. Strategi guru menerapkan  pendekatan neurosains dengan memahami tahapan perkembangan pusat kecerdasan,  tipe kecerdasan, dan diagram pembelajaran abad 21, yang dituangkan  dalam bentuk rancangan pembelajaran yang efektif dan menyenangkan. Kesimpulan kajian ini menyatakan peningkatan HOTS pada guru akan berdampak pada capaian hasil pembelajaran dan kompetensi siswa abad 21.     AbstrakThe demands of 21st learning is to enable students use High Order Thinking Skills (HOTS) through    problem solving and critical thinking, communication and collaboration, and creativity and innovation. In its implementation, the teachers are the first persons to earlier master the concept of HOTS as the main architecture in creating the intelligence of students is the teacher.The problem discussed in this review is why the  teachers need to be equipped  with neuroscience  approaches in the learning process, how the teacher's strategy implements it   so   students  are able to achieve the 21st learning competency. The objective of this review is to describe: (1) the importance of teachers   to comprehend the neuroscience approach   in learning process, and (2) the strategy of teachers in implementing the neuroscience approach   to achieve the 21st competency.   The results of review revealed   teachers need to apply a neuroscience approach in learning to assist teachers in achieving 21st century students' competencies. The teacher's strategy applies the neuroscience approach by understanding the stages of development of the intelligence, the multiple  intelligence, and the 21st century learning diagram, which is formed  in effective and fun learning designs. The conclusion of this review states that the increase of teachers’ HOTS will have an impact in learning outcomes and 21st century students’ competency.
Distribution of mycotoxins in cyanolichens on the coast of the White Sea
Authors: Tolpysheva Tatiana Yu.
Published: August 2020

In the lichen thalli of 6 Peltigera species and Nephroma arcticum enzyme-linked immunosorbent assay was conducted to investigate the distribution of low-molecular biologically active metabolites related to the group of mycotoxins, as well as the distribution of usnic acid at N. arcticum. Thirteen of micotoxins have been founds in the lichens. Qualitative composition of mycotoxins varies in different species of Peltigera and P. aphthosa, collected in different years. Some mycotoxins showed statistically significant differences of their content in theand lower parts of the thalli of 4 Peltigera species and Nephroma arcticum. The trend of higher accumulation of mycotoxins in the lower older part of the thalli as compared with the younger ones was noted. Statistically reliable data on the higher usnic acid content in the younger of the thallus of N. arcticum as compared with the older was obtained.
Magnetically controlled microorganisms for the biological industrial wastewater treatment
Authors: Vladimtseva Irina V. , Mogilevskaya Irina V. , Kolotova Olga V. , Drevin Valery E.
Published: August 2020

Microorganisms immobilized on magnetic carriers are used in biotechnology to increase efficiency and simplify work with microbial cells. The aim of this study was to obtain magnetically controlled immobilized forms of the environmentally significant microorganisms and to study the possibility of their cultivation with artificial nutrient media. Two bacterial strains, identified as the genus Bacillus, were used as the research object: B. subtilis ВГТУ05 and B. species ВГТУ06, promising for biological industrial wastewater treatment. The work carried out the immobilization of strains in magnetic alginate carriers. Established the bacterial cells’ immobilization did not affect their vitality. The optimal parameters of the electromagnetic field strength for growing strains in liquid nutrient media were selected. Shown the bacterial destructive strains immobilized into magnetic carriers gave the biomass increase of 24.3–25.0% during the cultivation in the electromagnetic field. The results could be used to develop the effective technology for local biological industrial wastewater treatment.
Heavy metals in the soils of geochemically coupled landscapes of the Krasnouralsk industrial centre
Authors: Shabanov Mikhail V. , Marichev Maksim S.
Published: August 2020

The results of a study of the gross content of heavy metals in soils in the area of operation of the Svyatogor copper smelter located in the Sverdlovsk region are presented. In the course of the research, sections were laid at different distances and directions from the emission source. The gross concentration of Zn, Cd, Pb, and Cu was measured in the selected soil samples. According to the results of the analysis, a ranking was carried out with the calculations of the total pollution coefficient, lateral and radial differentiation of heavy metals, and the technogenicity index. In order to confirm the routes of the arrival of heavy metals with airport emissions, the maximum single surface concentration in atmospheric air was calculated with the calculation of the distance at which this concentration reaches its maximum value. In the calculation of the total pollution coefficient, it follows that areas located in the immediate vicinity of the emission source have an extremely dangerous category of soil pollution. Also, in these areas, the proportion of technogenic involvement of the element is more than 90%. The obtained values of the coefficient of radial differentiation of heavy metals in the meridional and latitudinal directions, indicates the presence of a number of physical and chemical geochemical geochemical barriers. The migration of heavy metals between conjugated systems is confirmed by the lateral differentiation coefficients. In the course of the work, the main sources of heavy metals entering the soil were identified, such aero-industrial emissions of the plant and aeolian transfer from technogenic disturbed lands. Among the identified patterns of distribution of heavy metals, the main ones are the presence of a high degree of relations of disturbed lands with autonomous natural areas and periodic changes in the direction and power of aero-technogenic flows of the plant.
Sources of stress in high performance healthcare organization: A study comparing intensive care and general ward nurses
Authors: Gill Tamoor , Victor Gideon , Kousar Raisa , Iqbal Noman
Published: August 2020

Objective: To compare stressors of nurses working in intensive care units and general wards of a high-performance health care organization.

Methodology: A comparative cross-sectional survey was conducted. Using stratified random sampling, 121 intensive care and 121 general ward nurses, cumulatively 242 were offered to participate in the study. IRB and EC approvals were obtained. A self-administered questionnaire with structured responses was used for data collection. The data were analyzed for descriptive and inferential statistics in SPSS 23.

Results: The study participants were predominantly 152(62.8%) female; 182(75.2%) having diploma in nursing and 169(69.8%) RN-I; 38(31.4%) intensive care and 35(28.9%) general ward nurse who were performing 12-hours shift duty; 50(41.3%) intensive care and 65(51.2%) general ward nurses were dissatisfied with their salary. The average patients assigned to intensive care nurse were two and six to a general ward nurse. Independent t-test and ANOVA revealed significant difference of stressors in intensive versus general ward nurses, gender, working hours, satisfaction with salary, professional qualification, experience and shift work (P-Value <0.05). Common stressors were unclear demands, pressured to work long hours, not having control at workplace and being not able to talk to line managers about something that has upset or annoyed them at workplace.

Conclusion: The general ward nurses face more stressors than intensive care units’ nurses. Workplace stressors could compromise healthy working environment and patient safety whereas favorable environment could increase job satisfaction, staff productivity, and quality of care. Workplace-oriented stress management strategies must be adopted.
Exploring standards of assessment for MHPE programs in Pakistan: Perspective of program directors
Authors: Ali Liaqat , Yasmeen Rahila , Liaquat Afrose
Published: August 2020

Background: Masters in health professions education (MHPE) programs in Pakistan has created many challenges for its curricular components. It is necessary to explore these components in the local context, so as to agree to what constitutes minimally agreed MHPE standards.

Objectives: To identify the similarities and variations in assessment of MHPE Programs of Pakistan.

Methodology: Collective case study design was used to collect data from 07 programs directors about assessment methodology/policy used in their programs through semi structured interviews. After transcription of interviews and open coding, axial codes were transferred to Microsoft excel sheet for themes identification through content, thematic and discourse analysis simultaneously using NVIVO software, word frequency and matrix coding queries. Trustworthiness of data was ensured through credibility, conformability, dependability and transferability. 

Conclusion Formative assessment, assignments, end of term examination and thesis defense are similarities of different programs proposed as minimum standards for existing and future programs. OSTE is proposed as variations and guidelines for accrediting agencies and EPAs, self-assessment, peer assessment and online assessments are the challenges tasks ahead to work.
Assessment of facility-based emergency care services for road traffic injuries in tertiary care hospital, Larkana
Authors: Qazi Mansoor Ahmed , Rafi Saima
Published: August 2020

Background: Road traffic injuries are considered as main public health problem; strenuous efforts are required for its prevention. Facility based emergency care for road traffic injuries is considered as an important but challenging component of post-crash care response. It demands healthcare providers to make quick life-and-death decisions based on minimal information.  The objective of our study was to explore the challenges for emergency services for road traffic injuries within Tertiary care hospital.

Methodology: Qualitative methods were used including 15 interviews and 02 focus group discussions. Topic guide was developed for all the participant’s interviews, in order to explore the challenges for effective emergency care services at tertiary care level in Larkana city, Sindh. Topic guide was developed for all the participant’s interviews.

Results: After making the transcripts of qualitative data, thematic analysis framework was used to analyze the transcripts, by which two main themes; recognition of causes and adverse consequences of road traffic accidents and health system challenges for delivering emergency care were extracted. Results suggest that improvement in documentation and record keeping system, security for health care providers, provision of timely interventions and proper training for health professionals at hospital level can be helpful for the provision of effective emergency care services.

Conclusion: An integrated trauma care system along with the improvement in documentation, efficient record keeping system, security for health care providers, provision of timely interventions and training for health professionals is needed for effective post-crash care management at the hospital level.
Pengelolaan Tematik Pada Pembelajaran Sekolah Dasar Negeri Pangkalanbaru
Authors: Arafatun Sasih Karnita , Sugiyarti Sri , Sandi Purnomo Fazrul
Published: August 2020

Penelitian ini bertujuan untuk mengetahui pengelolaan pembelajaran tematik di Sekolah Dasar Negeri Kecamatan Pangkalanbaru Kabupaten Bangka Tengah. Hasil penelitian diharapkan dapat mendeskripsikan fenomena yang terjadi di lingkungan Sekolah Dasar Negeri kecamatan Pangkalan Baru, Kabupaten Bangka Tengah mengenai pengelolaan pembelajaran tematik.Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Hasil Penelitian menunjukkan bahwa: 1) Penerapan pembelajaran tematik di SDN 2 Pangkalanbaru, SDN 4 Pangkalanbaru dan SDN 13 Pangkalanbaru disesuaikan dengan tema yang akan diajarkan, 2) Penerapan pembelajaran di SDN 11 Pangkalanbaru dalam pelaksanaan pembelajaran berdasarkan tema dengan penentuan pelaksanaan kegiatan masih menggunakan jadwal pelajaran. Berdasarkan model pembelajaran tematik menunjukkan: 1) Pengelolaan pembelajaran tematik di SDN 2 Pangkalanbaru, SDN 4 Pangkalanbaru, dan SDN 13 Pangkalanbaru menggunakan model terpadu (Integrated model), yang memadukan konsep antar mata pelajaran, 2) Pengelolaan pembelajaran tematik diSDN 11 Pangkalanbaru yang mengelola pembelajaran tematik dengan menggunakan model hubungan/terkait (connected model) yaitu menyajikan hubungan yang eksplisit di dalam suatu mata pelajaran yaitu menghubungkan satu topik ke topik yang lain, satu konsep ke konsep yang lain, satu keterampilan dengan keterampilan yang lain, satu tugas ke tugas berikutnya.
Pendidikan Politik di Perguruan Tinggi : Sebuah Konsepsi
Authors: Pratama Imam Alfikri
Published: August 2020

As an effort, political education becomes an investment in sustainable democracy. The result is citizens’ political awareness and active involvement democratically in national matters. With an opportunity of demographic bonus in the future, the best political therapy must be implemented to young people as a guarantee of the well-functioning of democracy, in which some of them are higher education students. Political education in higher education is constructed in both formal and non-formal forms. In the formal form, it is carried out through political teaching, while the non-formal form is related to the way individuals summarize political knowledge through reflection on a political system. It can be carried out together between teaching through Pancasila and Citizenship Education in the curricular domain and social learning through student organizations in the non-curricular domain.
Meningkatkan Hasil Belajar IPS Materi Menyebutkan Kehidupan Sosial Budaya dari Negara-negara ASEAN Terkait Kondisi Geografisnya dengan Pendekatan VCT (Value Clarification Teaching) pada Siswa Kelas VI SD Negeri Dendeng
Authors: Taopan Yana Fansita
Published: August 2020

Tujuan penelitian ini adalah untuk meningkatkan hasil belajar IPS siswa dengan pendekatan VCT (value Clarification Teaching). Penelitian  ini merupakan   penelitian tindakan (action research), karena penelitian dilakukan untuk memecahkan masalah pembelajaran  di  kelas, Tahapan penelitian tindakan pada suatu siklus meliputi perencanaan atau pelaksanaan observasi dan refleksi. Hasil pendekatan VCT (Value Clarification Teaching) dapat meningkatkan hasil belajar IPS pada siswa kelas VI SD Negeri Dendeng pada materi Menyebutkan Kehidupan Sosial Budaya dari Negara-negara ASEAN Terkait Kondisi Geografisnya Tahun Ajaran 2019/2020 dengan peningkatan pada siklus I rata-rata hasil belaja 67,7 dengan persentase ketuntasan 47% sedangkan pada siklus II rata-rata 84,36 dengan persentase ketuntasan 96%. Dengan ini maka pendekatan yang digunakan efektif untuk meningkatkan hasil belajar siswa.
LEARNING STYLE PREFERENCES OF UNIVERSITY AND COLLEGE STUDENTS
Authors: Berková Kateřina , Borůvková Jana , Frendlovská Dagmar , Krpálek Pavel , Melas David
Published: August 2020

Knowledge of the appropriate learning styles in which students approach the study supports the effectiveness of the teaching process. There is international research that explores the factors that influence student learning styles or students' preferences. The results of some research based on the similar methodologies are inconsistent. The aim of this research under the conditions of Czech tertiary education was to verify what factors students´ learning style preferences in the subject Marketing depend on. The method of questioning based on quantitative research was used. 132 students of University of Economics, Prague and of College of Polytechnics Jihlava were involved in the research. The questions were formulated in a way to be able to define the learning style and whether students were aware of their sensory preferences. The model was based on the VARK model and the learning style according to motivation and intent. A chi-square test of independence was used for verification. The preferences of a deep problem-based learning style prevail. Learning styles preferences depend on factors related to the practical preparation of the students and the difficulty of the subject.
Keywords: learning style, VARK model, deep problem-based learning style, Czech tertiary education, subject Marketing.
DEVELOPMENT OF EFL TEACHERS´ PEDAGOGICAL CONTENT KNOWLEDGE THROUGH ACTION RESEARCH IN A MASTER’S PROGRAM
Authors: Gomez Julio Cesar
Published: August 2020

This longitudinal, 2-year study explored the experience of a cohort of seven in-service teachers in an English Language Teaching master’s program as they carried out action research studies to determine the impact of the stages of the research process on the various components of their pedagogical content knowledge. The research design followed a qualitative multiple case study model. Data were gathered through semi-structured interviews, written reflections, and participant observation journal notes. Main findings highlight the way specific components of the thesis linked to stages of the action research study contributed to developing certain types of knowledge integral to pedagogical content knowledge. Knowledge of the students was highly impacted by the needs analysis and the design and implementation of the intervention. In terms of pedagogical knowledge, building the state of the art and theoretical framework along with the intervention clarified and further developed knowledge of teaching methodologies and strategies. Subject matter knowledge was highly impacted by the theoretical framework and the socialization opportunities. Establishing the setting of the study contributed to further understand the constraints and affordances of their teaching contexts. Overall, this action research study became an insightful experience that helped participants promote effective classroom practices to address their students’ needs. Keywords: action research, longitudinal case study, master’s thesis, pedagogical content knowledge, second language teacher education.
Diseño y construcción de un mecanismo desacoplable para brindar ayuda en el proceso de movilidad al subir y bajar de un vehículo tipo sedán para personas discapacitadas en AFAPECH- Riobamba
Authors: Abarca Pérez Edison Patricio , Bravo Morocho Víctor David , Loor Solórzano Edgar Javier , Angelo Salvattore Ianni Mera
Published: August 2020

El presente trabajo se realizó con el firme propósito de diseñar y construir un mecanismo desacoplable para brindar ayuda en el proceso de movilidad al subir y bajar de un vehículo tipo sedán para personas discapacitadas en AFAPECH, centro ubicado en el cantón Riobamba, provincia de Chimborazo, Ecuador; atendiendo a la evidente necesidad en dicho centro de un equipo especial que brinde ayuda en el proceso de movilizar hacia el interior o exterior del vehículo a las personas con discapacidad,  que por su estado, se les dificultar realizarlo por sus propios medios. De igual manera, reducir el esfuerzo que provoca a las personas encargadas de esta tarea diariamente, evitando así que se puedan producir posibles lesiones por movimientos repetitivos. En base a la recolección de información de los requerimientos que debían plasmarse en el diseño, se procedió a realizar un diseño de un mecanismo desacoplable que se monta en las bisagras de las puertas delanteras del vehículo, cuyo funcionamiento se basa en usar un actuador lineal eléctrico comandado por un mando joystick, para facilitar su manejabilidad. Del mismo modo, se utilizó un arnés hospitalario, que traslada a la persona discapacitada desde un punto a otro. Para la posterior construcción del mecanismo, se pensó en usar acero al carbono ASTM A500, cuyos valores de propiedades mecánicas fueron utilizados para realizar la validación del diseño en ANSIS; analizando los esfuerzos, deformaciones y factor de seguridad, con el fin de garantizar la fiabilidad requerida. Realizadas los respectivos análisis, se observó que se cumple con los parámetros establecidos en un inicio, corroborándose su funcionalidad luego de su construcción y uso, ya que las personas que usaron el sistema en un principio mostraron conformidad; además de que se evidencio que los componentes no sufrieron daño alguno durante o después de su uso.
Loneliness and Depression among Older People Living in a Community of Nepal
Authors: Devkota Rashmi , Mishra Kamana , Shrestha Shovana
Published: August 2020

Background: Loneliness and depression are the noteworthy mental health issues which are prevalent among older people but only a few studies have addressed this aspect especially in developing countries. So, this study is an attempt to shed light to this aspect of older adult’s life, in order to assess the level of loneliness and depression, to identify associated factors,and to find out the correlation between loneliness and depression.Methods: A descriptive cross-sectional study design was used to collect data from 124 older peopleof age ?60 years living in a community using purposive sampling technique. A structured questionnaire, University of California, Los Angeles scale version 3 loneliness scale, and geriatric depression scale short form (GDS-15) were used to collect data. Mean, Standard deviation, frequency, percentage, chi-square test, and Spearman rank correlation was used to analyze data. Results: Older people felt loneliness either at a moderate level (38.7%) or at a severe level (16.9%). While people with (49.2%) and without depression (50.80%) were in nearly equal proportion. Age,education level, marital status,living arrangement, childlessness, perceived health status, sleep quality, and sleeping hour, and perceived economic satisfaction showed statistically significant association with both dependent variables.While the presence of disease condition was associated with the level of loneliness, the level of depression showed significant statistical association with perceived stress. Further, loneliness and depression seemed to be positively correlated.Conclusions: Older peopleexperiencing loneliness and depression is quite noteworthyand emphasis should be given towards implementation of research approaches to unleash this aspect of older people.Keywords: Community; depression; loneliness; Nepal; older people.