bluuebunny/crossref_metadata_2025 huggingface dataset:
LANGKAH - LANGKAH YANG DITERAPKAN OLEH PERAWAT DALAM PROSES KEPERAWATAN
Authors: Oktavianti Lusiana
Published: October 2019

ABSTRAKLatar Belakang: Proses Keperawatan adalah suatu metode yang sistematis dan terorganisasi dalam pemberian asuhan keperawatan, yang difokuskan pada reaksi dan respons unik individu pada suatu kelompok atau perorangan terhadap gangguan kesehatan yang dialami, baik actual maupun potensial. Tujuan: mengidentifikasi kebutuhan perawatan kesehatan klien,menentukan prioritas. Metode: Metode ini menggunakan metode kualitatif. Berlandaskan teori dari buku atau jurnal atau e-book ataupun sumber informasi lainnya yang memuat informasi dengan pembahasan langkah-langkah proses keperawafan. Hasil: perawat memahami setiap dari langkah-langkah proses keperawatan dalam menentukan tindakan asuhan keperawatan dan mengambil keputusan dengan aman dan tepat. Pembahasan: Langkah-langkah pada proses keperawatan adalah mengumpulkan informasi, menentukan diagnosa keperawatan aktual atau potensial, mengidentifikasi hasil yang dapat diukur dan menggambarkan respon pasien, mengembangkan intervensi individu yang bertujuan mencapai hasil, mengevaluasi kemajuan pencapaian tujuan, menilai rencana keperawatan didasarkan pada penggunaan proses keperawatan. Penutup: Proses keperawatan terdiri dari lima tahap, yaitu : pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Setiap tahap dari proses keperawatan saling terkait satu sama lain dan ketergantungan satu sama lain.
MENERAPKAN KOMPONEN DASAR PROSES KEPERAWATAN YANG DILAKUKAN PERAWAT DALAM MELAKSANAKAN ASUHAN KEPERAWATAN
Authors: Nasution Atikah Pratiwi Kumala
Published: October 2019

Rumah sakit merupakan tempat pelayanan yang memiliki berbagai ketersediaan obat, alat-alat medis dengan berbagai teknologi, dan berbagai jenis tenaga profesi dan non-profesi dalam rumah sakit tersebut. Salah satu tenaga profesi yang berperan di rumah sakit adalah perawat. Jika pelayanan keperawatan yang bermutu telah terlaksana maka akan tercapailah derajat kesehatan yang diinginkan. Untuk bertindak secara profesional seorang perawat memberikan perawatan secara teliti yang berdasarkan pengetahuan dasar perawat, serta bertanggung jawab kepada diri sendiri dan orang lain atas tindakan perawatan yang telah ia lakukan. Proses keperawatan merupakan salah satu cara yang dilakukan dalam proses pemecahan masalah yang terjadi pada klien sebelum melakukan asuhan keperawatan. Proses keperawatan ini memiliki tujuan untuk mengidentifikasikan perawatan kesehatan klien yang dibutuhkan, menentukan prioritas, melaksanakan intervensi keperawatan yang telah dirancang sesuai dengan kebutuhan klien, dan mengevaluasi hasil keefektifab dari asuhan keperawatan yang telah diberikan apakah sudah sesuai yang diharapkan atau belum. Peningkatan mutu pelayanan keperawatan diperolah dari kemampuan perawat dalam melaksanakan asuhan keperawatan yang sesuai dengan standar keperawatan yaitu dimulai dari pengkajian hingga ke tahap evaluasi dan proses pendokumentasian dari hasil asuhan keperawatan yang telah diberikan
Pengembangan Perangkat Pembelajaran Pada Mata Kuliah Sejarah Indonesia Dengan Menggunakan Pendekatan CTL
Authors: Refinaldi  , Nurhuda Ahmad , SNJPSFISUNP
Published: October 2019

Salah satu mata kuliah pendidikan sejarah yang diberikan kepada mahasiswaProgram Studi Tadris IPS Sejarahadalah Mata Kuliah Sejarah Indonesia Zaman Hindu - Budha. Dimana mata kuliah ini terdiri dari 2 SKS yang wajib diambil oleh mahasiswa pada semester III. Mata Kuliah Sejarah Indonesia Zaman Hindu - Budhaini adalah mata kuliah wajib di Program Studi Tadris IPS Sejarah. Sehingga mahasiswa perlu lebih menguasai dan memahami mata kuliah ini seoptimal mungkin. Untuk itu perlu dicarikan pendekatan pembelajaran yang tepat pada mata kuliah ini mata kuliah Sejarah Indonesia Zaman Hindu - Budha. Mahasiswa 100% setuju jika dalam penyajian buku ajar digunakan metode pembelajaran. Mahasiswa 94% setuju pada buku ajar Sejarah Indonesia Zaman Hindu - Budha perlu dimasukan contoh-contoh soal. Mahasiswa 98% setuju bahwa perlu disertakan glosarium dalam buku ajar.Mahasiswa 82% berharap agar bahan ajar sejarah dikemas dalam bentuk buku ajar. Mahasiswa 92% setuju agar dalam menulis buku Sejarah Indonesia Zaman Hindu – Budhamenggunakan huruf/ jenis huruf (font) time new roman. Mahasiswa 100% setuju agar dalam menulis buku Sejarah Indonesia Zaman Hindu – Budha dibuatkan daftar pustakanya dan Mahasiswa 100% setuju agar buku yang akan ditulis itu diberi judul: Sejarah Indonesia Zaman Hindu – Budha
"PROSES KEPERAWATAN SEBAGAI DASAR PROFESIONAL PERAWAT"
Authors: hasibuan Rizky fadilah
Published: October 2019

Latar belakang : pelayanan kesehatan dirumah sakit merupakan bentuk pelayanan yang diberikan kepada klien oleh suatu tim multi disiplin termasuk tim keperawatan. Tim keperawatan merupakan anggota tim kesehatan garda depan yang menghadapi masalah kesehatan klien selama 24 jam secara terus menerus. Tujuan : memberikan suatu kerangka kerja berdasarkan kebutuhan klien, keluarga, dan masyarakat sehingga kebutuhan perawatan kesehatan klien, keluarga dan masyarakat dapat terpenuhi. Metode : kerangka kerja proses keperawatan mencakup langkah berikut : pengkajian, diagnosa keperawatan, perencanaan, implementasi dan evaluasi. Hasil : berdasarkan pandangan beberapa ahli tentang proses keperawatan, terdapat beberapa komponen yang dapat dikumpulkan dengan melalui tahapan proses keperawatan diantaranya tahap pengkajian, tahap diagnosis keperawatan, tahap perencanaan tahap pelaksanaan serta tahap evaluasi. Pembahasan : proses keperawatan adalah suatu pendekatan untuk pemecahan masalah yang memampukan perawat untuk mengatur dan memberikan asuhan keperawatan. Penutup : proses keperawatan merupakan cara yang sistematis yang dilakukan oleh perawat bersama klien dalam menentukan kebutuhan asuhan keperawatan dengan melakukan pengkajian, diagnosis, merencanakan tindakan yang akan dilakukan, serta mengevaluasi hasil asuhan yang telah diberikan dengan berfokus pada klien.
Academic Writing_Research Gap
Authors: dewi Ni made ayu sanjivani aryanthi
Published: September 2019

The research gap, how the article address the research gap, the contribution for readers and the research gap for future studies from two article.
PENERAPAN PROSES KEPERAWATAN DALAM PEMENUHAN PERSONAL HYGIENE PADA PASIEN
Authors: Marpaung Sri Harvita Sari
Published: October 2019

Dalam dunia kesehatan tujuan yang paling diutamakan adalah derajat kesehatan pasien semakin tinggi tingkat kesehatan pasien berarti semakin berkualitas pelayanan kesehatan yang diberikan. Dalam meningkatkan kesehatan pasien salah satu faktor pendukung adalah personal hygiene yang dimiliki oleh pasien, maka dalam pemberian asuhan keperawatan kepada pasien seorang perawat harus mampu membantu pasien yang memilih masalah dalam pemenuhan personal hygienenya sesuai dengan prinsip proses keperawatan. Dalam melakukan asuhan keperawatan perawat harus mampu mempertimbangkan hal – hal menyangkut pasien sehingga dalam prosesnya tidak terjadi hal yang tidak diinginkan dan tujuan untuk meningkatkan derajat kesehatan, memelihara kebersihan diri seseorang, memperbaiki personal hygiene yang kurang, pencegahan penyakit, meningkatkan kepercayaan diri seseorang, serta menciptakan keindahan.
Confronting the Limits of Dialogue: Charlottesville, 2017
Authors: Flanigan Abigail , Ghamandi Dave S. , Mitchell Phylissa , Pappas Erin
Published: October 2019

Chapter 3: Confronting the Limits of Dialogue: Charlottesville, 2017 in Libraries Promoting Reflective Dialogue in a Time of Political Polarization. Edited by Andrea Patricia Baer, Robert Schroeder, & Ellysa Stern Cahoy. Published by Association of Research and College Libraries. ISBN 978-0-8389-4652-7
Heikel_Sassenhagen_Fiebach_2018_BrainAndLanguage_author-postprint
Authors: Heikel Edvard , Sassenhagen Jona , Fiebach Christian
Published: October 2019

Event-related brain potentials have a strong impact on neurocognitive models, as they inform about the temporal sequence of cognitive processes. Nevertheless, their value for deciding among alternative cognitive architectures is partly limited by component overlap and the possibility of ambiguity regarding component identity. Here, we apply temporally-generalized multivariate pattern analysis – a recently-proposed machine learning method capable of tracking the evolution of neurocognitive processes over time – to constrain possible alternative architectures underlying the processing of semantic incongruency in sentences. In a spoken sentence paradigm, we replicate established N400/P600 correlates of semantic mismatch. Time-generalized decoding indicates that early vs. late mismatch-sensitive processes are (i) distinct in their neural substrate, arguing against recurrent or latency-shifted single process architectures, and (ii) partially overlapping in time, inconsistent with predictions of strictly serial models. These results are in accordance with an incremental-cascading neurocognitive organization of semantic mismatch processing. We propose time-generalized multivariate decoding as a valuable tool for neurocognitive language studies.
'Bildung' in German human sciences: The discursive transformation of a concept
Authors: Hamann Julian
Published: October 2019

This article analyses the transformation of the notion of Bildung that is constructed in the German human sciences. From a perspective of field theory and discourse analysis, the article reveals how the notion evolves and stabilizes during a first stage (1810–60), how it comes under pressure because of the contextual changes in a second stage (1860–1960) and how the tension increases before it is resolved by a fundamental change of the traditional notion of Bildung in a third stage (1960–99).
Christaller and “big data”: recalibrating central place theory via the geoweb
Authors: van Meeteren Michiel , Poorthuis Ate
Published: September 2019

This article utilizes central place theory (CPT) to navigate the “deluge” brought about by big data. While originating in the 1930s, CPT is a theoretical monument of 1960s spatial science. CPT aims to understand settlement geographies based on consumption behavior and is often presented as a singular, outdated, and rationalist theory. After critically reviewing the history of CPT, we assess the microfoundations of Christaller’s CPT – the threshold and range of goods – for various central functions in Louisville, Kentucky. The microfoundations are estimated through data from social media platforms Foursquare and Twitter. These sources alleviate many of the operationalization issues that traditionally hamper empirical use of CPT. The empirical application of CPT reveals that: (i) central functions have typical ranges and thresholds relating central places to population spread; (ii) central functions cluster based on an approximate hierarchical structure. The findings indicate the ongoing importance of CPT in shaping urban-economic geographies.
Democratic Transparency in the Platform Society
Authors: Gorwa Robert , Ash Timothy Garton
Published: October 2019

Following an host of major scandals, transparency has emerged in recent years as one of the leading accountability mechanisms through which the companies operating global platforms for user-generated content have attempted to regain the trust of the public, politicians, and regulatory authorities. Ranging from Facebook’s efforts to partner with academics and create a reputable mechanism for third party data access and independent research to the expanded advertising disclosure tools being built for elections around the world, transparency is playing a major role in current governance debates around free expression, social media, and democracy. This article thus seeks to (a) contextualize the recent implementation of transparency as enacted by platform companies with an overview of the ample relevant literature on digital transparency in both theory and practice; (b) consider the potential positive governance impacts of transparency as a form of accountability in the current political moment; and (c) reflect upon the potential shortfalls of transparency that should be considered by legislators, academics, and funding bodies weighing the relative benefits of policy or research dealing with transparency in this area.
The Geography and Gaze of the Selfie.
Authors: Zook Matthew , Poorthuis Ate
Published: September 2019

Although self-portraits have an important place in the history of artistic expression and have been in vogue for centuries, the selfie – the digital portrait of oneself, most often taken by holding a camera phone at arm’s length and subsequently shared through social media – has captured the global public imagination with great force over the last decade. Early selfies were often taken with webcams hooked up to desktop computers and are more stationary in character. They are taken within the home, within the intimacy of the living room or bedroom, and mostly focus exclusively on the photographer’s face. But the prevalence of camera- and internet-enabled smartphones has brought the selfie into the outside world. A selfie today is as much about the photographer’s surroundings as it is about the photographer themselves. Considering how selfies are intricately linked with various social media platforms, the selfie cannot be considered to be just a visual object or cultural representation. Instead, of just being a cultural product, the selfie is intricately tied up in producing social media culture . Selfies are viewed, ‘liked’, commented on and shared onwards by followers and friends on social media platforms as well as by more traditional media. Since smartphones have enabled the selfie to untether itself from the living room webcam, naturally the geography of the selfie and how it produces representations of places becomes an important and intriguing subject. This amplified further by the fact that many selfies are explicitly geotagged. That is, users of social media platforms such as Instagram and Twitter choose to add a specific geographic location to the selfie they are uploading. With this implicit indication that the location of that photo is somehow important, we ask ‘what is the geography of the selfie?’.To answer these questions, this article uses a global dataset of geotagged selfies posted to Twitter since the summer of 2012 (cf. Poorthuis et al., 2016). By matching based on keywords and hashtags related to selfies, a dataset of ~10 million tweets and their corresponding images is extracted. The empirical section on the article consists of two parts. In the first part, characteristics of these selfies are compared with random samples that represent all tweets and all tweets with images attached, respectively. These datasets are mapped and visualized to analyze the geographic distribution of selfie production.
Peran Tanaman dalam Mengurangi Polusi Lingkungan di Kompleks Perguruan Tinggi Kecamatan Lowokwaru Kota Malang
Authors: Setiawan Adib Rifqi
Published: October 2019

Lowokwaru adalah sebuah kecamatan di Kota Malang, Jawa Timur. Kecamatan ini di sebelah utara berbatasan dengan kecamatan Karangploso, sebelah timur dengan kecamatan Blimbing, selatan dengan kecamatan Klojen dan barat dengan kecamatan Dau. Daerah ini memiliki suhu minimum 20 C dan maksimum 28 C dengan curah hujan rata-rata 2.71 mm. Lowokwaru memiliki beberapa perguruan tinggi yaitu: (1) Universitas Brawijaya; (2) Institut Teknologi Nasional; (3) Universitas Negeri Malang; (4) Politeknik Negeri Malang; (5) Universitas Islam Negeri Malang; (6) Universitas Islam Malang; (7) Universitas Muhammadiyah Malang; (8) Universitas Gajayana Malang; (9); STIE Malangkucecwara (ABM); (10) Universitas Tribhuwana Tungga Dewi; (11) Universitas Widyagama; serta (12) Stikes Widyagama Husada. Keberadaan beberapa perguruan tinggi membuat wilayah ini terbilang ramai, baik dari sisi manusia maupun kendaraan bermotor. Umumnya wilayah seperti ini berpotensi mengalami polusi lingkungan. Melalui penelitian ini, kami menganalisis peran tanaman dalam mengatasi polusi lingkungan di Lowokwaru. Data tentang jenis tanaman yang terdapat di Lowokwaru dihitung dengan metode line intercept. Hasil penelitian menunjukkan bahwa. Polusi lingkungan dalam penelitian ini dibatasi dengan polusi udara, bunyi, dan cahaya. Hasil yang diperoleh menunjukkan bahwa jenis maupun jumlah tanaman yang terdapat di Lowokwaru cukup baik dalam mengurangi polusi lingkungan. Hasil ini diperlihatkan bahwa udara yang terdapat di wilayah ini masih cukup segar ketika dipakai untuk bernafas pada malam sampai pagi hari, rerata kebisingan sebesar 78,8 dB yang masih jauh di bawah ambang batas kategori polusi suara pada jam padat kendaraan, serta pada malam hari masih memungkinkan dipakai untuk mengamati langit. Melalui penelitian ini kami menyarankan agar terus tetap memperhatikan kuantitas dan kualitas jenis tanaman dengan cara memelihara, baik dalam bentuk pemangkasan, pemupukan dan penyiraman berdasarkan panduan yang tersedia, serta dengan cara merencanakan tata kota saat hendak melakukan pengembangan bangunan.
Istraživanje o stanju zaštite na radu u dentalnoj medicini
Authors: Dundović Kristina , Polegubić Doris
Published: October 2019

SAŽETAK: Uzme li se u obzir frekvencija nastanka ozljeda na radu, profesionalnih bolesti i bolesti u vezi s radom, dentalna medicina kao djelatnost ubraja se u visokorizična zanimanja. Kako nisu zabilježeni detaljniji podaci o stanju zaštite na radu u dentalnoj medicini u Republici Hrvatskoj, provedeno je anketiranje putem online ankete na 201 ispitaniku kojim se pokušalo saznati kakvo je zapravo stanje zaštite na radu u stomatologiji. U istraživanju su sudjelovali doktori dentalne medicine iz privatne prakse kao i iz domova zdravlja. Anketa je strukturirana na način da obuhvaća tri područja s pitanjima povezanim s ergonomijom, osposobljavanjem za rad na siguran način te ozljedama na radu. Rezultatima dobivenim ovim istraživanjem nameće se zaključak kako zdravlje, ali i znanje doktora dentalne medicine glede ergonomije i zaštite na radu u Republici Hrvatskoj nije pohvalno što je dodatno potvrđeno i ukupnim brojem doživljenih ozljeda na radu ispitanika koji su sudjelovali u istraživanju.
Vještačenje uzroka požara stambenih objekata
Authors: Papić Nenad
Published: October 2019

SAŽETAK: U radu je na primjerima iz prakse prikazan rad vještaka Centra za forenzična ispitivanja, istraživanja i vještačenja „Ivan Vučetić“ MUP-a RH (CFIIV „Ivan Vučetić“) prilikom utvrđivanja uzroka požara u stambenim objektima.
Opisane su metode utvrđivanja mjesta nastanka i uzroka požara, te je ukazano na karakteristične kvarove koji mogu dovesti do požara u stambenim objektima.
Najčešći uzroci požara stambenih objekata su ili kvar na kućnom priključku električne energije, ili kvar na električnoj instalaciji u objektu.
Ispitivanje prijenosa topline kod zaštitne odjeće primjenom termovizijske kamere
Authors: Pejnović Natalija , Franković Branko
Published: October 2019

SAŽETAK: Infracrvena termografija je beskontaktna metoda mjerenja energije zračenja objekta koji se promatra. Temperatura površine objekta dobiva se indirektno mjerenjem energije zračenja objekta promatranja. U radu su prikazane mogućnosti primjene infracrvene termografije za ispitivanje prijenosa topline u zaštitnoj odjeći. Iz rezultata mjerenja zaštitne odjeće može se odrediti efektivna toplinska izolacija za zimsku zaštitnu odjeću pri niskim temperaturama pri radu u vanjskom okolišu.
Indicators of vegetative homeostasis in children with mitral valve prolapse before and after treatment
Authors: Kuleshov A. V. , Medrazhevska Y. A.
Published: September 2019

For children with mitral valve prolapse (MVP) characterized by disorders of vegetative homeostasis, especially pronounced effect on the body sympathetic link of the autonomic nervous system. In the medical literature, the question of correction of vegetative tone in children with primary MVP is now open. The purpose of the study was to study the parameters of vegetative homeostasis in children with mitral valve prolapse before and after treatment. 66 children with primary and primary MVP stage I and II at the age of 13–17 years were examined. The control group consisted of 23 practically healthy children. The evaluation of vegetative homeostasis was performed using a clinorostatic test and cardiointervalography, followed by an analysis of the parameters and parameters of the heart rate variability spectral analysis. To restore vegetative homeostasis to patients with PMC, an existing treatment regimen with our correction was prescribed. Namely, we added therapies levocarnitine and magnesium. According to the data obtained from the CP, we found that treatment led to the normalization of vegetative maintenance of the organism, mainly in the form of a decrease in the hypersympathicotonic tonic type after treatment, along with the baseline (p<0.05). Consequently, the proposed treatment scheme with the use of levocarnitine and magnesium, positively affects the autonomic system in children with primary MVP, reducing its dysfunction.
Talud Stabilization of Bird House Residential in Manaus City
Authors: Vasconcelos de Menezes Epaminondas , Laian Barbosa de França Rerison , Bezerra de Lima Igor , Barbosa de Alencar David , Carlos Tavares Amorim Francisco , Dos Santos Pedraça Aline , Murrieta Vasconcelos Oliveira Bezerra Camily
Published: October 2019

Slope stabilization techniques have been increasingly used in the field, mainly due to high market values for land in large urban centers. With this, the technical feasibility study guarantees the application of the best solution for each case. From this context, we sought to verify the best method of containment by means of a case study according to the parameters of soil resistance, cohesion and angle of friction at the residence Morada dos Pássaros in Manaus - AM. The methodology used was of an exploratory nature with a case study, where in the first phase the topographic survey of the study area was carried out. In the second phase, it was sought to plan the location of the holes, according to ABNT NBR 8036 (1983). for the accomplishment and technical follow-up of the investigation of the soil in the place by means of the test of percussion to the percussion - SPT and in the 3º phase was characterized by means of physical and mechanical laboratory test with the collection of material. Considering the collected data, it is noticed that the soil is with 3% of plasticity, concluding that a soil with plasticity below 7% loses the capacity to be molded and to become brittle. Therefore, it is concluded that the best technique to be used is geosynthetics, both in cost and in soil absorption, due to the feasibility of redistribution of stresses and slope deformations.
Medulloblastoma in the age of molecular subgroups: a review
Authors: Juraschka Kyle , Taylor Michael D.
Published: October 2019

Medulloblastoma is the most common pediatric malignant brain tumor. Advances in molecular profiling have uncovered significant heterogeneity among medulloblastomas and led to the identification of four distinct subgroups (wingless [WNT], sonic hedgehog [SHH], group 3, and group 4) that represent distinct disease entities in both underlying biology and clinical characteristics. The rapidly expanding repertoire of tools to study developmental and cancer biology is providing a wealth of knowledge about these embryonal tumors and is continuously refining the understanding of this complex cancer. In this review, the history of discovery in medulloblastoma is discussed, setting a foundation to outline the current state of understanding of the molecular underpinnings of this disease, with a focus on genomic events that define the aforementioned subgroups and evolving areas of focus, such as the cell of origin of medulloblastoma and medulloblastoma subtypes. With these recent discoveries in mind, the current state of medulloblastoma treatment and clinical trials is reviewed, including a novel risk stratification system that accounts for the molecular biomarkers of patients with a high risk for refractory disease. Lastly, critical areas of focus for future basic science and clinical research on this disease are discussed, such as the complexities of medulloblastoma metastases and recurrence as well as the priorities and strategies to implement in future clinical trials.
Blunt cerebrovascular injury in pediatric trauma: a national database study
Authors: Harris Dominic A. , Sorte Danielle E. , Lam Sandi K. , Carlson Andrew P.
Published: October 2019

OBJECTIVE

The incidence of blunt cerebrovascular injury (BCVI) has not been well characterized in the pediatric population. The goal of this study was to describe the incidence, patient characteristics, and risk factors for pediatric patients with cerebrovascular injuries.

METHODS

The authors collected data from the Kids’ Inpatient Database (KID), a nationally representative database of pediatric admissions, for years 2000, 2003, 2006, 2009, and 2012.

RESULTS

Among an estimated 646,549 admissions for blunt trauma, 2150 were associated with BCVI, an overall incidence of 0.33%. The incidence of BCVI nearly doubled from 0.24% in 2000 to 0.49% in 2012. Patients 4 to 13 years of age were less likely to have BCVI than those in the youngest (0–3 years) and oldest age groups comprising adolescents (14–17 years) and young adults (18–20 years). BCVIs were associated with cervical (adjusted OR [aOR] 4.6, 95% CI 3.8–5.5), skull base (aOR 3.0, 95% CI 2.5–3.6), clavicular (aOR 1.4, 95% CI 1.1–1.8), and facial (aOR 1.2, 95% CI 1.0–1.5) fractures, as well as intracranial hemorrhage (aOR 2.7, 95% CI 2.2–3.2) and traumatic brain injury (aOR 2.0, 95% CI 1.7–2.3). Mechanism of injury was also independently associated with BCVI: motor vehicle collision (aOR 1.7, 95% CI 1.3–2.2) and struck pedestrian (aOR 1.4, 95% CI 1.0–1.9). Among pediatric patients with BCVI, 37.4% had cerebral ischemic infarction with an in-hospital mortality of 12.7%, and patients with stroke had 20% mortality.

CONCLUSIONS

The incidence of pediatric BCVI is increasing, likely due to increased use of screening, but remains lower than that in the adult population. Risk factors include the presence of cervical, facial, clavicular, and skull base fractures, similar to that of the adult population. Diagnosed BCVI is associated with a relatively high incidence of stroke with increased morbidity and mortality. The use of adult screening criteria is likely reasonable given the similarity in the risk factors identified in this study. Further studies are needed to investigate the role of treatment with antiplatelet agents or anticoagulation.
Muenke syndrome: long-term outcome of a syndrome-specific treatment protocol
Authors: den Ottelander Bianca K. , de Goederen Robbin , van Veelen Marie-Lise C. , van de Beeten Stephanie D. C. , Lequin Maarten H. , Dremmen Marjolein H. G. , Loudon Sjoukje E. , Telleman Marieke A. J. , de Gier Henriëtte H. W. , Wolvius Eppo B. , Tjoa Stephen T. H. , Versnel Sarah L. , Joosten Koen F. M. , Mathijssen Irene M. J.
Published: October 2019

OBJECTIVE

The authors evaluated the long-term outcome of their treatment protocol for Muenke syndrome, which includes a single craniofacial procedure.

METHODS

This was a prospective observational cohort study of Muenke syndrome patients who underwent surgery for craniosynostosis within the first year of life. Symptoms and determinants of intracranial hypertension were evaluated by longitudinal monitoring of the presence of papilledema (fundoscopy), obstructive sleep apnea (OSA; with polysomnography), cerebellar tonsillar herniation (MRI studies), ventricular size (MRI and CT studies), and skull growth (occipital frontal head circumference [OFC]). Other evaluated factors included hearing, speech, and ophthalmological outcomes.

RESULTS

The study included 38 patients; 36 patients underwent fronto-supraorbital advancement. The median age at last follow-up was 13.2 years (range 1.3–24.4 years). Three patients had papilledema, which was related to ophthalmological disorders in 2 patients. Three patients had mild OSA. Three patients had a Chiari I malformation, and tonsillar descent < 5 mm was present in 6 patients. Tonsillar position was unrelated to papilledema, ventricular size, or restricted skull growth. Ten patients had ventriculomegaly, and the OFC growth curve deflected in 3 patients. Twenty-two patients had hearing loss. Refraction anomalies were diagnosed in 14/15 patients measured at ≥ 8 years of age.

CONCLUSIONS

Patients with Muenke syndrome treated with a single fronto-supraorbital advancement in their first year of life rarely develop signs of intracranial hypertension, in accordance with the very low prevalence of its causative factors (OSA, hydrocephalus, and restricted skull growth). This illustrates that there is no need for a routine second craniofacial procedure. Patient follow-up should focus on visual assessment and speech and hearing outcomes.
The case for the future role of evidence-based medicine in the management of cervical spine injuries, with or without fractures
Authors: Hadley Mark N. , Walters Beverly C.
Published: October 2019

The authors believe that the standardized and systematic study of immobilization techniques, diagnostic modalities, medical and surgical treatment strategies, and ultimately outcomes and outcome measurement after cervical spinal trauma and cervical spinal fracture injuries, if performed using well-designed medical evidence–based comparative investigations with meaningful follow-up, has both merit and the remarkable potential to identify optimal strategies for assessment, characterization, and clinical management. However, they recognize that there is inherent difficulty in attempting to apply evidence-based medicine (EBM) to identify ideal treatment strategies for individual cervical fracture injuries. First, there is almost no medical evidence reported in the literature for the management of specific isolated cervical fracture subtypes; specific treatment strategies for specific fracture injuries have not been routinely studied in a rigorous, comparative way. One of the vulnerabilities of an evidenced-based scientific review in spinal cord injury (SCI) is the lack of studies in comparative populations and scientific evidence on a given topic or fracture pattern providing level II evidence or higher. Second, many modest fracture injuries are not associated with vascular or neural injury or spinal instability. The application of the science of EBM to the care of patients with traumatic cervical spine injuries and SCIs is invaluable and necessary. The dedicated multispecialty author groups involved in the production and publication of the two iterations of evidence-based guidelines on the management of acute cervical spine and spinal cord injuries have provided strategic guidance in the care of patients with SCIs. This dedicated service to the specialty has been carried out to provide neurosurgical colleagues with a qualitative review of the evidence supporting various aspects of care of these patients. It is important to state and essential to understand that the science of EBM and its rigorous application is important to medicine and to the specialty of neurosurgery. It should be embraced and used to drive and shape investigations of the management and treatment strategies offered patients. It should not be abandoned because it is not convenient or it does not support popular practice bias or patterns. It is the authors’ view that the science of EBM is essential and necessary and, furthermore, that it has great potential as clinician scientists treat and study the many variations and complexities of patients who sustain acute cervical spine fracture injuries.
Traffic Routing Method for the Internet of Things Based on the Minimum of Collisions Probability
Authors: Koucheryavy A. , Mahmood O.A. , Paramonov A.
Published: October 2019

The article discusses the analysis of the main approaches to the route choices in the networks of the Internet of Things and suggests a method of choosing routes taking into account the probability of collisions, which allows to create a logical network structure. The proposed method is based on the seeking algorithm of the quickest route on the graph. This method was implemented by means of simulation modeling, with the help of which was estimated the effectiveness for networks with high density of units comparing with the methods, which are based on the evaluation of the length of the route.
Implementing backward design to improve students’ academic performance in EFL classes
Authors: Ontaneda Rea Mónica , Sánchez Román Jorge Luis
Published: September 2019

This study is based on implementing backward design to improve students’ academic assessment, so public high school students can take part of meaningful contexts where they show what they learned at the end of a class term.  Taking in consideration, backward design is a great tool to be applied for public high schools where most of the classes are textbooks centered, provoking students’ frustration due to the lack of English knowledge from schools.  There is a high rate of students failing courses because students are placed in English levels where they do not belong to or they come from other institutions where they did not learn English. Backward design lets teachers be creative and use skills and methodologies according to students’ needs and be very reflexive in the way of designing it. In this study, pairedT_Test is applied to compare scores from the same level, but using different ways of testing. In conclusion, the experimental group (G2), in which backward design was applied, got better results than the controlled group (G1), who did not apply it.  In this case the independent variable which mean and scores are high.  Results show backward design is very meaningful not only for students, but also for teachers. It is true that running appropriate action plans, selecting the best resources and conducting a final assessment through a performance task, gave the opportunity for students to gain more confidence on the language and apply it in a real context.
REFERENCE AS A DEVICE OF GRAMMATICAL COHESION IN THE ABSTRACTS WRITTEN IN ENGLISH AND SERBIAN
Authors: Maglov Sanja
Published: September 2019

Along with the title, the abstract is a part of the research article that readers first encounter when they want to read a particular article as it provides the most important information related to the article itself. The appealing character of an abstract depends mostly on its content and the way it has been written. This article compares the use of reference as part of grammatical cohesion in mechanical engineering and social science abstracts in English and Serbian. Three types of reference have been analysed, namely personal, demonstrative and comparative in the corpus comprising 25 research
article abstracts for each discipline and each language. More frequent use of reference, primarily demonstrative, in the English abstracts implies that their authors use those structures not only to achieve better textual cohesion and density of expression, but also to guide their readers through the text. Especially, the combination of demonstratives and the definite article with general and other nouns leads to the interlacing of lexical and grammatical cohesion, thus providing a wider range of expressions, argumentation and generalization. Unlike the English abstracts, the mechanical abstracts in Serbian rely more on lexical cohesion, with very few personal pronouns as cohesive devices. The awareness of such differences can be an
important guideline to all researchers attempting to write for international readership.
THE PECULIARITIES OF A FEMALE PROTAGONIST IN A. BRONTË’S EPISTOLARY NOVEL
Authors: Torralbo Caballero Juan de Dios , Janulevičienė Violeta
Published: September 2019

This paper offers a study of the less known today and less analysed epistolary novel by Anne Brontë’s The Tenant of Wildfell Hall. It focuses on the instances of female protagonist's unconventional behaviour according to the existing societal norms of the Victorian era. The research aims at pointing out the reasons modifying heroine’s behaviour and analysis of the reactions that the protagonist’s acts of nonconformity elicits in other characters of the novel. The undertaken study is believed to raise awareness of less
studied Brontë sisters works in university literature and gender studies courses, as it touches upon the emerging issues of the female strength in the Victorian society.
ENJEUX MÉMORIELS DANS LE RÉCIT CARCÉRAL MAROCAIN
MEMORIAL STAKES IN THE MOROCCAN CARCERAL NARRATIVES
Authors: DEKHISSI Mohammed
Published: September 2019

The testimonies of Moroccan survivors, civilians and soldiers of years the lead, disclose highly traumatic prison experiences. These are narratives of life and - death if we should say - where memory issues are important. The aim of this paper is to provide a reflection on the memory staging, confronted with multiple forms of dehumanization, which refuses to surrender by constantly nurturing in dreams, tales and drifting imaginations. It is through these subterfuges that it transgresses the prison world and reinvents its own universe to keep itself alive and expressive. This custodial language is also the setting in
narrative of a whole process created by a complex memory, which appeals to the olfaction, to the hearing and to the taste, so as to reconstruct landmarks in a chaotic space. The memory, in these narratives, tells by the superposition of the voices of the narrators and those of other characters, the crumbling and the dislocation of other
memories.
INSULTS SPEAK LOUDER THAN WORDS: DONALD TRUMP’S TWEETS THROUGH THE LENS OF THE SPEECH ACT OF INSULTING
Authors: Špago Džemal , Maslo Adi , Špago-Ćumurija Edina
Published: September 2019

While insulting opponents is not something alien to politicians and political campaigns, Donald Trump has added a new dimension to it by making it almost a part of his daily routine. Moreover, his insults are often blatant and outright, rather than subtle and disguised, which sets a new tone to political discourse. The goal of this paper is to establish whether his insults are random rants meant to vent his anger and frustration with his critics and political adversaries, or rather a part of a calculated strategy aimed at political gain. The results of the quantitative and qualitative analysis of the corpus, which consists of 915 tweets published by Trump over a four-month period, and which was done within the methodological framework of the speech act theory and, in part, cognitive linguistics, show that Trump’s insults are not based on impulsivity and randomness. The results also suggest that, based on the way the illocutionary effect of insulting is achieved, his insults are realized in three distinct patterns: derogatory nicknaming, conventional and indirect insults. The recurring framing of political opponents by means of derogatory nickname-calling, by far the most common type of insults identified in this study, reveals a higher-level agenda on the addressor’s side. His
intention is to methodically discredit the targets of his insults in the eyes of the third party, whose role and reaction in this type of political discourse become even more prominent than that of the insulted party.
OPTIMASI FORMULASI BREAKFAST MEAL FLAKES (PANGAN SARAPAN) PISANG DENGAN PENAMBAHAN LABU KUNING
Authors: Ningtyas Kurnia Rimadhanti
Published: October 2019

Flakes atau sereal merupakan makanan sarapan yang banyak digemari masyarakat, karena flakes mudah untuk digunakan. Flakes umumnya dibuat dari bahan baku yang berasal dari golongan serealia dan umbi-umbian, seperti tepung terigu dan tapioka yang merupakan sumber karbohidrat dengan gula, garam dan air (Marsetio, 2006). Inovasi telah dilakukan dalam pengolahan flakes untuk meningkatkan nilai nutrisi dari flakes tersebut.  Tujuan dari penelitian ini adalah menentukan formulasi tepung pisang dan labu kuning yang optimal terhadap tekstur flakes berdasarkan tingkat kesukaan konsumen. Penelitian ini akan dilakukan dengan tiga ulangan dan terdiri dari perbandingan tepung pisang dan tepung labu kuning, yaitu: P1 = tepung pisang 70% : tepung labu kuning 0% : tepung terigu 30 %; P2 = tepung pisang 60% : tepung labu kuning 10% : tepung terigu 30%; P3 = tepung pisang 50% : tepung labu kuning 20% : tepung terigu 30%; P4 = tepung pisang 40% : tepung labu kuning 30% : tepung terigu 30%; P5 = tepung pisang 30% : tepung labu kuning 40%. : tepung terigu 30%. Dari hasil pengamatan dan pembahasan dapat disimpulkan bahwa formulasi tepung pisang dan tepung labu kuning dalam pembuatan flakes yang paling disukai oleh konsumen adalah dengan perbandingan tepung pisang 60%, tepung labu kuning 10% dan tepung terigu 30%.
PENGARUH PENAMBAHAN BUAH NENAS DAN GARAM DENGAN KONSENTRASI YANG BERBEDA DALAM PEMBUATAN KECAP IKAN LAYANG DECAPTERUS SP TERHADAP TOTAL COLONI BAKTERI
Authors: Nurfadilah Nurfadilah
Published: October 2019

Flying fish (Decapterus Sp.) Is one of the by-products that is still underutilized into processed products that have economic value, even though the potential is quite high. Processing of fish with a fermentation process has several products, one of which is the manufacture of fish sauce. While the addition of salt can maintain the shelf life of fish sauce This study aims to determine the comparison of the number of bacterial colony found in Decapterus Sp overcooked fish sauce treated with pineapple and salt. This research was conducted at the Applied Laboratory of Marine Products Processing Technology and at the Basic Polytechnic Laboratory of Palu. The method used in this research is descriptive analysis method. Bacterial identification and business analysis are carried out qualitatively and quantitatively. The highest number of microbes was obtained in fish sauce without using 10% pineapple and 7% salt which was 2.2 x 105 and the lowest was found in fish sauce using 10% pineapple and 7% salt which was 0.3 x 105 and for feasible economic analysis to be marketed because it still has a profit of Rp. 1,900. the conclusion is that fish sauce that uses 10% pineapple and 7% salt is suitable for consumption and marketing and suggestions for further testing for the shelf life of flying fish sauce are added 10% pineapple and 7% salt.
Thiophene Determination in Liquid Hydrocarbons by In-line Acoustic Measurements
Authors: Mukhin Nikolay V. , Kutia Mykhailo M.
Published: October 2019

Introduction.Petroleum is a complex mixture of hydrocarbons. Sulphur is the most common heteroatom in pe-troleum and petroleum products. Its content in oil can reach 14 %. The determination of sulphur in oil and its removal is of great importance, since sulphur compounds adversely affect the quality of petroleum products and pollute the environment. Desulphurization of hydrocarbons is important in the processing of petroleum products, which needs in usage of accurate and simple methods for the sulphur-containing components determination. Most of developed methods are difficult to apply for flow online analysis, which can create difficulties in using them to monitor the content of sulphur-containing heteroatomic components in real time. Acoustic sensors are one of the possible solutions. In term of sensing of flammable liquids, the use of the acoustic methods is attractive since the analyte is not a part of an electrical measuring circuit and it is only acoustically coupled that prevents an occurrence of a spark.

Objective.The purpose of the work is to study the possibilities of online flow analysis of sulphur-containing heteroatomic components using acoustic measurements. The challenge is the development of a resonator system integrated with the pipe.

Materials and methods. Thiophene and oil fraction with the boundary boiling point of 100–140 oC were used to prepare the mixtures. Thiophene is a representative of sulphur-containing components, which may be included in the composition of petroleum and its derivatives. Experimental measuring equipment includes impedance analyzer, a developed sensor structure integrated with a liquid-filled pipe, a pump and a tank with a measured liquid. A theoretical analysis of sensor structure was carried out on the basis of numerical simulation using COMSOL Multiphysics software.

Results.The sensor structure was designed as a combination of 2D and 1D pipe periodic arrangements to achieve high Q-factor of acoustic resonance in the flow system. The eigenmodes of the sensor structure with a liquid analyte were carried out. The characteristic of sensor structure is determined. The sensor shows good sensitivity to the thiophene content with high resolution in-line analysis. This result is achieved by limiting the energy losses of acoustic resonance in radiation along the pipe by creating a periodic structure.

Conclusion. The study of acoustic properties of solutions prepared on the basis of thiophene and oil fraction with boundary boiling point 100–140 °C was performed. It shows that methods based on acoustic spectroscopy make it possible to accurately determine the concentration of heteroatomic components in gasoline mixtures, since the presence of heteroatomic components leads to a change in mechanical properties of liquid hydrocarbons mixtures. Possible applications for developed acoustic sensor are flow analysis for monitoring the quality of oil products.
Pemberdayaan Mahasiswa dalam Pendampingan Kegiatan Storytelling untuk Siswa Kejuruan
Authors: Sari Dina Merris Maya
Published: October 2019

Kegiatan Pengabdian Kepada Masyarakat ini terfokus pada pemberdayaan mahasiswa dalam pendampingan kegiatan story telling. Storytelling adalah alat pengajaran yang praktis dan kuat, terutama untuk pembelajaran bahasa. Kegiatan ini dilakukan dalam upaya mengatasi kendala-kendala dalam pelaksanaan kegiatan story telling. Kendala-kendala tersebut antara lain teknik story telling yang kurang variatif, sumber daya manusia yang kurang memadai, serta resources yang kurang tersedia. Sasaran kegiatan ini adalah siswa-siswi sekolah menengah kejuruan. Tujuan kegiatan ini adalah menyajikan teknik story telling yang baik dan benar, menyediakan sumber daya manusia (pelatih) yang berpengalaman serta resources tentang story telling. Kegiatan ini dilakukan dalam 3 tahapan. Pada tahap pertama, dilakukan obervasi pada sasaran program kegiatan untuk menentukan metode pendampingan story telling yang sesuai dengan kondisi dan situasi sasaran. Selain itu juga dilakukan koordinasi dengan sekolah untuk masalah perizinan sekaligus mempersiapkan berbagai hal berkaitan dengan kegiatan. Pada tahap kedua yaitu tahap pelaksanaan, dilakukan pendampingan story telling pada sasaran. Pada tahap terakhir, dilakukan kegiatan lanjutan berupa konsultasi atau bimbingan lanjutan bagi siswa-siswi maupun guru-guru yang ingin memperdalam wawasan tentang story telling. Setelah semua kegiatan dilaksanakan, pengusul menyusun laporan kegiatan. Luaran yang diharapkan dalam kegiatan ini adalah sasaran dapat menerapkan teknik story telling yang baik dan benar sehingga dapat meningkatkan kemampuan berbahasa khususnya bahasa Inggris.
Pendampingan Pengembangan Aktivitas Belajar Matematika Berbasis Mainan Anak Tradisional Welahan Jepara
Authors: Purwaningrum Jayanti Putri , Purbasari Imaniar , Rusdianto Hutomo
Published: October 2019

Aktivitas belajar matematika adalah salah satu hal penting yang dilakukan anak dalam belajar matematika. Akan tetapi pada kenyataannya kebanyakan anak menganggap bahwa matematika merupakan pelajaran yang menakutkan dan membosankan. Hal inilah yang mengakibatkan aktivitas belajar matematika anak tidak berkembang secara optimal. Tujuan pengabdian ini adalah mendampingi anak-anak di desa Welahan Jepara untuk menggunakan permainan tradisional dalam upaya mengembangkan aktivitas belajar matematika khususnya dalam materi penjumlahan dan pengurangan bilangan sampai 20. Adapun metode yang digunakan dalam pengabdian ini adalah berupa ceramah, diskusi dan implementasi penggunaan permainan anak tradisional Desa Welahan Jepara dalam upaya mengembangkan aktivitas belajar matematika. Melalui kegiatan pengabdian ini, anak-anak di Desa Welahan Jepara dapat memanfaatkan permainan tradisional mereka untuk diimplementasikan sebagai media pembelajaran matematika yang menyenangkan dan bermakna serta sesuai dengna budaya lokal setempat