bluuebunny/crossref_metadata_2025 huggingface dataset:
Sharing experience from Chinese General Practitioners to International colleagues on how to tackle COVID-19
Authors: Zhu Shanzhu , Li Donald
Published: September 2020

China was the first country where the novel coronavirus appeared. General Practitioners (GPs) in China are at the forefront of tackling the spread of the virus. While the health sector in China has been under scrutiny globally, many articles have been disseminated within the country about the response. GPs in China are keen to share their experiences with GP colleagues, as other countries go through similar experiences. The hope is that by sharing our experiences, our international colleagues can benefit from what worked well and what went less well.

Coronavirus started spreading from Wuhan in Hubei Province in late 2019. As in many parts of China, Wuhan is a hospital-oriented health service, as the family medicine system is not yet fully implemented. The surge of patients to hospitals quickly overwhelmed the health system in Wuhan and surrounding towns and cities, as patients sought testing and treatment, and in the process helped to spread the virus more quickly. The experience has put the spotlight on the ineffectiveness of hospitals as the first port of call for this and other types of virus.
Group-based educational intervention for advance care planning in primary care: a quasi-experimental study in Japan
Authors: Tsuda Shuji , Janevic Mary R. , Shikano Kota , Matsui Tomoko , Tsuda Tsukasa
Published: September 2020

Background: Older adults who have health conditions with good prognoses typically fall outside the scope of efforts encouraging advance care planning. We developed group and individual versions of an advance care planning program for use in primary care.

Methods: We conducted a quasi-experimental trial in a rural family clinic in Japan. Medically stable patients aged ≥65 years were invited to watch an educational video on advance care planning, followed by an individual (n=46) or group-based (n=63) discussion. Advance directive completion was tracked over four months. Participants completed baseline and follow-up questionnaires and reported occurrence of family discussions about advance care planning and attitudes toward advance care planning. Group discussions were recorded and thematically analyzed to identify barriers and facilitators to engaging in advance care planning.

Results: Advance directive completion rates were high for both intervention versions but did not significantly differ between arms (85.7% vs. 80.4%, p=0.45). Only one-fifth of patients in both arms discussed advance care planning with their family after the intervention (20.7% and 21.7%, p=0.89). Patients in the group arm rated their experience slightly higher than those in the individual arm (4.2 and 3.9 out of 5, p=0.023). Qualitative analysis of group discussions revealed that patients were affected by their perceptions of societal norms that prioritize family consensus over patient autonomy; however, these perceptions influenced advance care planning behaviors in inconsistent ways.

Conclusions: Group-based advance care planning intervention among medically stable older patients is as effective as an individually-focused discussion in promoting advance directive completion. Future research is needed on ways to enhance patients’ ability to discuss advance care planning with their family members.
Exploring the Pain Experience of Chinese Elderly Patients with Chronic Musculoskeletal Pain and Multimorbidity in Primary Care: A Qualitative Study using a Grounded Theory Approach
Authors: Law Winky , Xue Deng , Lin Sibei , Hoi Wong Yeut , SIT Regina
Published: September 2020

Background: Chronic musculoskeletal pain (CMSP) is common in older people with multimorbidity (MM). Given the complex etiology of CMSP, it is worthwhile to explore the meanings attached to an individual and its interaction with MM. The study aimed to explore the meanings underneath the experience of CMSP and MM, to generate new insight on the support of pain management in the elderly population.  

Methods: 20 eligible subjects aged between 65 and 80 were recruited through purposive sampling. Semi-structured in-depth interviews were conducted, with data transcript, coded and analyzed using grounded theory approach.

Results: Quotes evolved on the interaction between CMSP and MM, with participants expressed worries of pain may affect disease control. Three themes emerged which included the impact of CMSP on the physical and psychosocial well-being among the elderly with MM, the barriers to pain care in the community, and the perception and strategies on pain management.

Conclusions: Older people with CMSP and MM were suffering from a significant physical and psychological impact on their well-being. Self-care remains a preferred adjunct in pain management; support should be strengthened at individual (education) and community (urban development) level.
Physico-Chemical Characteristics of Ice Cream Made from Coconut Milk Cream and Kidney Nut Puree
Authors: Winarsih Sri , Cahyo Nilam Sitaresmi , Sukardi Sukardi , Siskawardani Devi Dwi
Published: September 2020

Coconut milk cream is a vegetable fat to replace animal fat in making ice cream. coconut milk cream not having a fishy odor and is rich antioxidants. While kidney nut have the potential as an emulsifier and also rich antioxidants. the purpose of this study was to obtain an optimum formulation of coconut milk and kidney beans to produce ice cream with good characteristics. The study used a simple randomized block design that was repeated three times. The treatment are the proportion of coconut milk cream and kidney nut puree. the results of this study showed that ice cream have moisture 65.79 to 72.61%, 48.99% antioxidant activity, fat content was in accordance with Indonesian national standards (25.32%),overrun value (36.03%) and melting time (8.72 minutes).
APLICAÇÃO DO VOCAL PROFILE ANALYSIS SCHEME – VPAS: UMA REVISÃO INTEGRATIVA
Authors: Medeiros Camila Macêdo Araújo de , Neta Leir Alves de Souza , De Melo Patrícia Gomes , De Araújo Aline Menezes Guedes Dias , Lima Silva Maria Fabiana Bonfim de
Published: September 2020

RESUMO: A abordagem fonética de descrição da fala baseia-se na combinação de achados articulatórios, fisiológicos, acústicos e auditivos de mobilizações produzidas pelo aparelho fonador. Para este modelo a qualidade vocal não é um fato isolado da fala ou apenas resultado sonoro diante da vibração das pregas vocais, mas sim, a junção entre os aspectos laríngeos, de tensão muscular e ajustes do trato vocal supralaríngeo, moldando assim, a qualidade sonora final. Com base no modelo fonético e suas especificidades foi elaborado o roteiro denominado Vocal Profile Analyses Scheme – VPAS. No presente artigo faremos uma revisão de literatura com o propósito de identificar, analisar e sintetizar artigos científicos que utilizem o roteiro VPAS para análise da qualidade vocal. Diversas pesquisas pontuam as vantagens e as contribuições do uso do VPAS, por ser um roteiro de base analítica, por meio da adoção de uma unidade de análise: o ajuste. O roteiro mostra-se efetivo em diversas áreas como a análise da qualidade vocal, expressividade e fonética forense. Entretanto, os autores pontuam a necessidade de formação em Fonética e experiência dos juízes no uso do VPAS para que os achados sejam fidedignos.
NAS ONDAS DO MEME EM PROL DO MULTILETRAMENTO
Authors: Diolina Kátia , BUENO Luzia
Published: September 2020

Este trabalho tem o objetivo de discutir o multiletramento, conforme prescrito na Base Nacional Comum Curricular (BNCC), de maneira a problematizar, mas sobretudo, a estudar as possibilidades de análise e ensino de textos multissemióticos (os memes) que circulam na web. Trata-se de um trabalho em prol da construção de um modelo didático do gênero meme, a fim de dar instrumentos para professores e elaboradores de materiais didáticos para que possam realizar um bom trabalho de ensino, uma vez que entre a BNCC enquanto prescrição e a realização das atividades há uma boa distância. Para tanto, recorremos aos referenciais do Interacionismo Sociodiscursivo (BRONCKART, 1999) em que atuam de forma decisiva na didática das línguas por meio do ensino dos gêneros textuais (DOLZ; SCHNEUWLY, 2004) e dos estudos de Wulf (2013), Lemke (2010); Santaella (2010); Rojo (2012; 2013); Rojo e Moura (2019) que se centram nos aspectos miméticos, multissemióticos da linguagem. Ressaltamos que com a multiplicidade de valores (LEMKE, 2010) e, em contrapartida, com o imediatismo na apreensão e construção dos sentidos (SANTAELLA, 2010), o processo de ensino e aprendizagem das línguas exige, cada vez mais, uma pedagogia dos multiletramentos (Novo Grupo de Londres, 1996), já que, conforme Kleiman e Morais (1999, p.92), as novas tecnologias não vieram “usurpar” a linguagem, mas sobretudo, multiplicá-la, como os memes. De autoria relativizada, o meme é um gênero que viraliza na rede, dialogando com diferentes temas e textos, (des)construindo múltiplos comportamentos, ideias e ideais, num embate de vozes verbais e não-verbais (estáticas ou não), o que o torna um profícuo recurso didático para o ensino mais crítico dos alunos e, ainda, permite a nós uma discussão sobre a importância das orientações, ainda que lacunares, da BNCC sobre o tema.
Analysing the performance of public enterprises in Namibia: A challenge for the practice of public administration?
Authors: Marenga Ralph
Published: September 2020

Public enterprises (PEs) are important instruments through which governments implement various national development objectives. A majority of PEs in Namibia face criticism on their inability to meet performance targets. These PEs are poorly managed and are a constant financial burden to the state. The degree of state acceptability through its public administrative processes as influenced by PE performance has been problematised as having a bearing on the trust and confidence of the public in the government. A qualitative paradigm was followed in analysing PE performance and its challenges for public administration in Namibia. The current text finds that poor accountability measures, financial burden on the state, procurement anomalies and the proliferation of corruption as some of the underlying causes for the poor performance of a majority of PEs in Namibia. This status quo erodes the public’s trust in the ability of the government to manage PEs. The study found a great contradiction in the relationship that exists between the government as a shareholder with the leadership of most PEs as relating to the crux of the agency theory. This study centrally recommends the robust implementation of existing legislation to redress the poor performance of PEs and its challenges for public administration.
Modern Bireye ve Okura Vurgusu Bağlamında Don Quijote Üzerine Bir Edebiyat Sosy
Authors: Anık Mehmet
Published: September 2020

Bu çalışmada İspanyol yazar M. Cervantes’in ünlü eseri Don Quijote edebiyat sosyolojisi bağlamında ele alınmış, eserin analiz sürecinde ise nitel araştırma tekniklerinden biri olan içerik analizinden yararlanılmıştır. Don Quijote günümüzde genelde edebi açıdan mizah içeren yönüyle okurların ilgisini çekse de modern romanın ilk örneği olması ve o dönemde toplumsal alandaki hadiseler ve çatışmalarla ilgili modern bir anlatı olması açısından oldukça önemli ve öncü bir eserdir. Öncelikle Don Quijote’nin edebi bir eser olarak önemi üzerinden durulmuş, akabinde modern romanın ilk örneği olması bağlamında Cervantes’in eserinde modern okur ve bireyi hangi özellikleri ile ön plana çıkardığı çalışmanın ana odağını oluşturmuştur. Cervantes bu eserde klasik anlatıları eleştirmiş ve klasik anlatılardaki gibi yazar tarafından sınırlandırılmış ve edilgen görülen bir okur yerine, yorumlama özgürlüğü öne çıkarılan aktif bir okur vurgusu yapmıştır. Eserde ayrıca feodal dönemin yaşam alışkanlıkları ve hayalleri peşinde koşmanın yersizliği üzerinden, yaşadığı dönemdeki hadiseleri doğru şekilde idrak etmesi gereken modern bir birey vurgusu yapılmaktadır.
Treatment of rotator cuff tears
Authors: Ninkovic Srdjan
Published: September 2020

nema
A rare case of adrenal cavernous hemangioma
Authors: Vujicik Ivo
Published: September 2020

Introduction. Adrenal cavernous hemangiomas are extremely rare
non-functioning benign tumors. The majority of adrenal cavernous hemangiomas
are diagnosed incidentally after surgery by histopathological examination.
Case Report. We report a clinical case of a 57-year-old woman with adrenal
cavernous hemangioma. On admission, the patient?s adrenal-related hormones
were in the reference range, so adrenal endocrine dysfunction was ruled out.
The computed tomography scan revealed a well-circumscribed, round,
heterogeneous right adrenal mass (32.3 x 55.4 mm). Iodinated contrast
enhanced abdominal computed tomography showed a slight inhomogeneity. In
this case, preoperative radiologic findings and absence of signs of local
invasion indicated laparoscopic adrenalectomy. The patient underwent right
transperitoneal adrenalectomy. Microscopic evaluation showed a sinusoidal
dilatation and fibrotic septa, so postoperative diagnosis of adrenal
cavernous hemangioma was made. Conclusion. In summary, we reported a case of
an incidentally discovered non-functioning adrenal cavernous hemangioma
treated by laparoscopic surgery. The diagnosis of adrenal cavernous
hemangioma may be challenging, and it is commonly made after surgery, since
it is frequently confirmed by histopathological examination.
Small bowel perforation following blunt abdominal trauma caused by an accidental hammer blow: A case report
Authors: Detanac Dzemail , Mujdragic Mehmed , Detanac Dzenana , Bihorac Dzemil , Mulic Mersudin
Published: September 2020

Introduction. Trauma is among the leading causes of death. Undetected and
untreated adequately and on time, traumatic small bowel injuries can be
lethal. Case Report. We present a case of a small bowel perforation after a
blunt abdominal injury, caused by an accidental self-inflicted hammer blow
to the abdomen. The initial abdominal and chest x-rays and abdominal
ultrasound did not indicate an injury to the abdominal organs. Due to the
impaired clinical picture and the fact that the patient was hemodynamically
stable, multi-detector computed tomography of the abdomen and small pelvis
was performed, showing intraperitoneal free fluid and pneumoperitoneum, not
seen by other imaging methods. A decision for surgical treatment was made.
The intraoperative finding confirmed a small bowel perforation. Conclusion.
Due to the possible false-negative imaging findings, clinical follow-up of
patients with abdominal trauma is mandatory when making the decision for
surgical treatment.
Rimanoczy Spa House Rules: A model for the Novi Sad Artesian Spa House Rules
Authors: Krasnik Rastislava , Zvekic-Svorcan Jelena , Strikovic Viktor , Samardzic Sara , Bobic Branislav , Kolundzic Mirjana
Published: September 2020

Introduction. Artesian well drilling, water testing, obtaining all the
necessary permits, as well as designing, equipping, and final organization
of work, including hiring the necessary staff, is often time-consuming and
complex, and so it was for the leaders of the Free Royal City of Novi Sad in
establishing the future Novi Sad ?Jodna banja? (Iodine Spa). Spa House
Rules. The paper gives an overview of the Rimanoczy Spa House Rules, which
served as a model for creating similar house rules and shaping the work in
the future spa. The success of the Novi Sad City Artesian Spa in the late
19th and early 20th century was attributed to visionaries, architects, city
leaders, doctors, as well as numerous employees, who invested their
knowledge and abilities to the people?s needs in order to improve the
wellbeing and health of the Spa guests.
Local administration of high-dose diabetes medicine exendin-4 inhibits orthodontic tooth movement in mice
Authors: Shen Wei-Ren , Kitaura Hideki , Qi Jiawei , Ogawa Saika , Ohori Fumitoshi , Noguchi Takahiro , Marahleh Aseel , Nara Yasuhiko , Adya Pramusita , Mizoguchi Itaru
Published: September 2020

Objectives

To investigate the effects of exendin-4 on orthodontic tooth movement distance, root resorption, and expression levels of osteoclast-related cytokines in a mouse model.

Materials and Methods

A 10-g NiTi coil spring was placed between the anterior alveolar bone and upper left first molar of 8-week-old male C57BL/6 mice. Twenty microliters of exendin-4 solution (containing 0.2 μg, 4 μg, or 20 μg exendin-4) or phosphate-buffered saline (PBS) were injected on the buccal side of the upper left first molar at 2-day intervals (4 mice per group). Mice were sacrificed on day 12; silicone impressions were taken to record tooth movement distance. The left maxillae of the PBS and 20 μg exendin-4 groups were also excised for histological analysis and quantitative reverse transcription polymerase chain reaction analysis.

Results

Orthodontic tooth movement distance was smaller in the 20 μg exendin-4 group than in the PBS group (P < .01). Compared with the PBS group, the 20 μg exendin-4 group showed lower osteoclast number (P < .05), odontoclast number (P < .05), and root resorption surface percentage (P < .05). Relative to maxillae with PBS injections, maxillae with 20 μg exendin-4 injections had lower receptor activator of nuclear factor kappa-B ligand (RANKL) mRNA expression (P < .05), TNF-α mRNA expression (P < .05), and RANKL/osteoprotegerin (OPG) ratio (P < .01). There were no differences in the expression of OPG mRNA.

Conclusions

Exendin-4 inhibits orthodontic tooth movement. Therefore, additional attention is needed for orthodontic patients who receive exendin-4 for diabetes treatment. GLP-1 receptor may be a treatment target for patients with severe root resorption.
Therapy escalation following an elevated HbA1c in adults aged 45 years and older living with diabetes in Australia: a real-world observational analysis
Authors: Xie Ying , Baker Jannah , Young Tamara , Jun Min , Sukkar Louisa , Campain Anna , Kang Amy , Cass Alan , Hu Ji , Peiris David , Pollock Carol , Wong Germaine , Zoungas Sophia , Rogers Kris , Jardine Meg , Hockham Carinna
Published: September 2020

Stepwise escalation of glucose-lowering therapy to more intensive
regimens is an integral component of type 2 diabetes management (1). Early blood glucose control is associated with beneficial
effects on long-term micro- and macrovascular outcomes (2). Understanding factors associated with time to therapy escalation
following an elevated glycated hemoglobin (HbA1c) may inform interventions
to facilitate timely control. We used linked real-world data to examine time to therapy escalation following a
recorded HbA1c ≥8.0% (64 mmol/mol) and associated factors.
Integrative analysis of glucometabolic traits, adipose tissue DNA methylation and gene expression identifies epigenetic regulatory mechanisms of insulin resistance and obesity in African Americans
Authors: Admin Ada , Sharma Neeraj K. , Comeau Mary E. , Montoya Dennis , Pellegrini Matteo , Howard Timothy D. , Langefeld Carl D. , Das Swapan K.
Published: September 2020

Decline in insulin
sensitivity due to dysfunction of adipose tissue (AT) is one of the earliest
pathogenic events in Type 2 Diabetes. We hypothesize that differential DNA
methylation (DNAm) controls insulin sensitivity and obesity by modulating
transcript expression in AT. Integrating AT DNAm profiles with transcript
profile data measured in a cohort of 230 African Americans from AAGMEx cohort, we
performed cis-expression quantitative trait methylation (cis-eQTM)
analysis to identify epigenetic regulatory loci for glucometabolic
trait-associated transcripts. We identified significantly associated CpG-regions
for 82 transcripts (FDR-P<0.05). The strongest eQTM locus was observed for
the proopiomelanocortin (POMC; r= -0.632, P= 4.70X10-27)
gene. Epigenome-wide association studies (EWAS) further identified 155, 46, and
168 CpG regions associated (FDR-P <0.05) with Matsuda index, SI
and BMI, respectively. Intersection of EWAS, transcript level to trait
association, and eQTM results, followed by causal inference test identified
significant eQTM loci for 23 genes that were also associated with Matsuda
index, SI and/or BMI in EWAS. These associated genes include FERMT3, ITGAM, ITGAX, and POMC.
In summary, applying an integrative multi-omics approach, our study
provides evidence for DNAm-mediated regulation of gene expression at both
previously identified and novel loci for many key AT transcripts influencing
insulin resistance and obesity.
Multiple Organ Dysfunction Reduces In-Hospital Survival in COVID-19 Patients
Authors: Abdulrazzaq Najiba , Naeem Kashif Bin , Alhajiri Abdalla , Chkhis Ayman , Choondal Vinod , Osman Mona , Almusa Kusay
Published: September 2020

Background: Although primarily a respiratory illness, COVID-19 involves multiple organs when the disease is severe or critical. Hence, we conducted this study to evaluate the incidence of multiple organ dysfunction in COVID-19 patients and its implications on survival.
Methods: A retrospective analysis of laboratory-confirmed COVID-19 patients presenting to our center in Dubai, UAE between
April 2020 and July 2020. Data was collected from the electronic medical records and analyzed to evaluate multiple organ damage observed during hospital admission.
Findings: Five-hundred patients were studied. Overall mean age was 49.5 years (range 13-94), 76% males, 33% diabetics, 31% hypertensives. 97/500 (19.4%) had evidence of single organ damage; 37/500 (7.4%) had two organ damage; and 105/500 (21%) had more than two organ damage. Acute respiratory distress syndrome was the most prevalent organ damage,153/500 (30.6%); followed by acute cardiac injury, 120/500 (24%); acute kidney injury 107/500 (21.4%); acute liver injury 96/500 (19.2%); septic shock 93/500 (18.6%); disseminated intravascular coagulation 27/500 (5.4%), and heart failure 17/500 (3.4%). We found that in-hospital survival reduced as the number of organs involved increased; only 20% patients survived who had more than 2 organ damage. Also, the chances of survival reduced considerably once other organs were involved in addition to the acute respiratory distress syndrome (91.6% survival in ARDS alone vs. 28.6% survival in ARDS with acute kidney injury vs. 10.4% survival in ARDS with shock/acute cardiac injury/acute kidney injury).
Conclusion: Multiple organ dysfunction is common in COVID-19 as 21% had evidence of more than two organ damage in our study. The survival in COVID-19 reduces significantly once multiple organs are involved. Early monitoring and recognition of multiple organ dysfunction is necessary to prevent adverse outcomes and improve survival.
PENGARUH MEDIA SPINDLE BOXES TERHADAP KEMAMPUAN BERHITUNG ANAK
Authors: Batubara Lailatussipah , Ismet Syahrul , Marlina Serli
Published: September 2020

This article describes the results of the effect of stripboard media on the ability of counting children aged 5-6 years in Taman Kanak-kanak Darul Falah Padang. Counting activities in children still use an abstract magazine without being combined with the media. So the child becomes bored, saturated and not interested in following the learning activities. Through this research developed a learning media strip board to ability to count children. This study uses an experimental quasy approach with the number of children of kindergarden Anggrek as many as 48children. The sample B4 control class and the experimental class B3 were each 10 children with saturated sampling technique. The results showed that the average of experiment class is 87,5 and control class is 71,88. The research findings that media spindle boxes can develop the ability to count children in learning activities.
PENINGKATKAN KEMAMPUAN MENGENAL KONSEP BILANGAN MELALUI PERMAINAN KANTONG PINTAR DI TK AL-HIKMAH LUBUK BASUNG
Authors: Isnawanti Yelmi
Published: September 2020

Penelitian ini di latarbelakangi oleh kurangnya kemampuan anak dalam mengenal angka dan konsep bilangan di TK Al Hikmah Lubuk Basung, penyebabnya diperkirakan oleh kurang menarik dan efektifnya media pembelajaran seperti  gambarnya yang kecil dan tidak berwarna atau masih bersifat abstrak, kurangnya kemampuan guru dalam mengembangkan kemampuan mengenal konsep bilangan anak. Tujuan penelitian ini di Taman Kanak-Kanak Al Hikmah Lubuk Basung. Jenis penelitian ini adalah penelitian tindakan kelas yang bertujuan untuk meningkatkan kemampuan mengenal konsep bilangan anak usia dini melalui permainan kantong pintar. Subjek penelitian ini adalah anak-anak Taman Kanak-Kanak Al-hikmah Lubuk Basung Kelompok  B3 dengan jumlah anak 15 orang yang terdiri dari 6 orang laki-laki dan 9 orang perempuan. Penelitian ini dilakukan dua siklus masing-masing siklus dilakukan 3 kali pertemuan. Teknik yang digunakan dalam penelitian ini adalah observasi dan dokumentasi. Data diolah dengan menggunakan rumus presentase. Hasil penelitian dapat disimpulkan bahwa permainan kantong pintar memang terbukti dapat meningkatkan kemampuan mengenal  konsep dan lambang bilangan anak di Taman Kanak-Kanak Al Hikmah Lubuk Basung. Peningkatan kemampuan mengenal konsep bilangan anak ditandai dengan meningkatnya mengenal konsep bilangan, mencari angka, menyebutkan urutan bilangan, dan mengurutkan angka 1-10.
PENINGKATKAN KEMAMPUAN MENGENAL KONSEP BILANGAN UNTUK ANAK USIA DINI MELALUI PERMAINAN BIJI SAWIT DI TAMAN KANAK-KANAK QUR’ANIAH AIR RUNDING KECAMATAN KOTO BALINGKA KABUPATEN PASAMAN BARAT
Authors: Efendi Herlina
Published: September 2020

Penelitian ini untuk meningkatkan kemampuan mengenal konsep bilangan di Taman Kanak-kanak Qur’aniah Air Runding Kecamatan Koto Balingka Kabupaten Pasaman Barat melalui permainan biji sawit. Jenis penelitiannya adalah Penelitian Tindakan Kelas yang dilakukan dengan cara bersiklus yaitu dua siklus masing-masing siklus tiga kali pertemuan. Hasil penelitian didapatkan persentase rata-rata peningkatkan kemampuan mengenal konsep bilangan pada anak belum berkembang,pada siklus I terjadi peningkatan kemampuan mengenal konsep bilangan dan dilanjutkan ke siklus  II dengan kriteria penilaian berkembang sangat baik,berkembang sesuai harapan,mulai berkembang, belum berkembang sehingga didapatkan penelitian pada akhir siklus II.
PENINGKATAN RASA PERCAYA DIRI ANAK MELALUI KEGIATAN BERMAIN PERAN DI TAMAN KANAK-KANAK RESTU IBU
Authors: Aryenis Aryenis
Published: September 2020

Penelitian ini bertujuan untuk meningkatkan rasa percaya diri anak melalui kegiatan bermain peran. Jenis penelitian yang digunakan adalah penelitian tindakan kelas dengan subjek penelitian anak kelompok B, Taman Kanak-kanak Restu Ibu Kecamatan Tilatang Kamang Kabupaten Agam Tahun Ajaran 2018/2019. Sebanyak 15 orang anak, yang terdiri dari 5 orang anak laki-laki dan 10 orang perempuan.  Penelitian ini dilaksanakan dalam dua siklus yaitu siklus 1 terdiri dari 3 kali pertemuan dan siklus II, 3 kali pertemuan. Data diperoleh dari hasil observasi dan dokumentasi. Hasil observasi dianalisis dengan teknik persentase. Teknik analisis data dilakukan secara kuantitatif dan kualitatif. Hasil penelitian ini menunjukkan adanya peningkatan rasa percaya diri anak dalam  pembelajaran. Pada kondisi awal, nilai berkembang sangat baik (BSB) 7%, pada siklus 1 nilai berkembang sangat baik (BSB) meningkat menjadi 33%. Pada siklus 2 meningkat menjadi 80% dan setiap aspeknya telah mencapai KKM.  Jadi dapat disimpulkan bahwa rasa percaya diri anak dapat meningkat melalui kegiatan bermain peran.
PENGARUH MEDIA GAMBAR TERHADAP KEMAMPUAN BERCERITA ANAK DI TK ISLAM DAUD KHOLIFAHTULLOH TABING PADANG
Authors: Lauroza Suchi Putri
Published: September 2020

Penelitian ini bertujuan  untuk mengetahui seberapa besar pengaruh media gambar terhdap kemampuan bercerita anak di TK Islam Daud Kholifahtulloh Tabing Padang. Penelitian ini  menggunakan metode kuantitatif yang jenis penelitiannya yaitu Quasy Experiment. Hasil penelitian yang dilaksanakan pada kelas eksperimen melalui media gambar memiliki nilai rata-rata lebih tinggi jika dibedakan dengan kelas kontrol dengan buku cerita bergambar. Rata-rata angka yang terdapat pada kelas eksperimen yaitu 78,64 dan hasil rata-rata pada kelas kontrol yaitu 69,79. Hasil analisis data yang sudah di lakukan thitung>ttabel yaitu 2,2868>2,07387. Artinya ditarik kesimpulan bahwa kegiatan bercerita dengan media gambar berpengaruh terhadap kemampuan bercerita anak di TK Islam Daud Kholifahtulloh Tabing Padang tahun ajaran 2018/2019.
PENDIDIKAN ANAK DALAM KELUARGA SEBAGAI STRATEGI PENDIDIKAN ANAK USIA DINI SAAT PANDEMI COVID-19
Authors: Oktaria Renti , Putra Purwanto
Published: September 2020

At present, education in the family is a surefire strategy to continue to provide education rights to early childhood. The role of parents is now tested by the covid-19 pandemic that is sweeping the country. Many things must also be considered in providing education in the family, namely health factors, children’s eating and drinking needs, and also related to psychological, early childhood comfort when studying or playing at home. Through a descriptive study approach with ten parents with a master’s education background and academics as respondents through digital questionnaires and interviews with the Google form application. The results of the questionnaire and interviews were analyzed by means of descriptive analysis. It was found that: (1) Only three out of ten parents can adjust to the role of educators for their own children and able to create comfort when providing learning to children at home; (2) Three out of ten parents are able to establish good communication with teachers during educational activities from home; (3) ten parents expressed their concern with the existing conditions and agreed that the role of teachers was not easy o live. Keywords  : education in the family; parenting
As falas sobre a fraude: análise das notícias sobre casos de fraudes nas cotas raciais em universidades em Minas Gerais
Authors: Freitas Matheus , Sarmento Rayza
Published: September 2020

Este artigo apresenta uma pesquisa empírica com o objetivo de compreender como os casos de fraudes nas cotas para negros(as) – pretos(as) e pardos(as) – e indígenas foram veiculados nos sites dos grandes jornais de Minas Gerais. Utilizamos análise de conteúdo (Bauer, 2002) como ferramenta metodológica e buscamos identificar as fontes mobilizadas e os discursos que circularam nos textos midiáticos sobre a infringência à legislação. Para entender os argumentos que circularam por meio das notícias analisadas, examinamos literatura acerca do debate sobre formação da identidade (Taylor; Gutmann, 1998) e ações afirmativas no Brasil (Daflon; Feres Júnior, 2012; Santos, 2015), bem como a ideia de dispositivo midiático (Antunes; Vaz, 2006). Agrupamos as fontes ouvidas pelos jornais em sete categorias: movimento negro e denunciantes, advogados, entidades estudantis, governo federal, especialistas, suspeitos(as) de fraudes e universidades. Como resultado, observamos que as pessoas suspeitas de fraude justificam a autodeclaração como pardas devido à origem/ ascendência familiar, enquanto especialistas e ativistas apontam que a aparência étnico-racial (resumidamente o conjunto de características fenotípicas) é o indicativo para a classificação racial, dada a vivência do racismo no Brasil.
Os espaços experimentais das escolas públicas de Arquitetura do Brasil: realidade ou utopia?
Authors: Laverde Albenise , Oliveira Cláudia Terezinha de Andrade
Published: September 2020

Este trabalho está inserido no debate sobre a utilização da experimentação construtiva ao longo da concepção projetual e seu o papel como recurso pedagógico. Trata, mais especificamente, dos espaços e práticas experimentais no contexto acadêmico nacional, objetivando compreender o processo de configuração dos espaços da área técnicoconstrutiva instituídos nas escolas públicas de Arquitetura e Urbanismo, de acordo com as particularidades advindas de diferentes contextos do País, das políticas educacionais e das ações dos atores envolvidos, com a identificação das condições essenciais para que essas práticas sejam implantadas e potencializadas no contexto acadêmico. O trabalho foi desenvolvido com base em pesquisas documentais e por meio de visitas técnicas realizadas em 21 escolas públicas de Arquitetura localizadas em diferentes regiões do País, com entrevistas direcionadas aos principais atores que, atualmente, estão à frente da área estudada. Os dados obtidos possibilitaram contextualizar os desafios enfrentados no ensino da Tecnologia da Construção, que não se resumem ao arranjo físico laboratorial, mas a uma dimensão mais ampla, abrangendo aspectos político-educacionais, estruturais e socioeconômicos, além de questões de fundo, como as relações interpessoais e burocráticas.
Evidencias de validez estructural y fiabilidad de la Escala Multidimiensional de Ansiedad
Authors: Diaz Kuaik Iliana
Published: September 2020

Se presentan las propiedades psicométricas de la Escala Multidimensional de Ansiedad (EMA; Díaz Kuaik & de la Iglesia, 2017). Se analizó una muestra de 543 sujetos entre 18 a 88 años (M=35.86 y DE=14.27), de los cuales 65.4% eran mujeres y 34.6% varones. Los resultados del análisis exploratorio respaldaron el modelo de tres factores (56.94% varianza, KMO=.959; Barlett x2=8239,100). Mediante el análisis factorial confirmatorio se concluyó que tanto el modelo de tres factores correlacionados (x2/gl=2.258; CFI=.916; RMSA=.063) como el modelo que incluía un factor general de segundo orden (x2/gl=2.258; CFI=.902; RMSA=.048) eran apropiados. La confiabilidad se analizó a través del alfa de Cronbach, encontrándose adecuados índices de consistencia interna en cada medida de la escala (alfas>.76). A partir de estos resultados se concluyó que el instrumento contaba con suficientes evidencias de validez interna y confiabilidad para ser utilizado como una medida multidimensional de ansiedad en población clínica y general.
La covid-19: una carrera de fondo para avanzar en educación física
Authors: Gil-Espinosa Francisco Javier
Published: September 2020

El presente trabajo realiza un análisis reflexivo sobre la incidencia que ha tenido la situación de confinamiento en el proceso de enseñanza-aprendizaje de la asignatura de Educación Física. Partiendo de los efectos en el sistema educativo de forma genérica se llega a una concreción en Educación Física y su incidencia en los diferentes elementos del currículo como los contenidos, atención a la diversidad, rol docente, metodología, etc. Posteriormente, se diserta sobre la relación entra la pandemia de la obesidad y el sedentarismo. Se finaliza con un planteamiento que trata de extraer aprendizajes de la situación vivida para avanzar hacia una Educación Física de Calidad y Éxito.
Sostenibilidad de la producción vitivinícola del Valle de Guadalupe
Authors: Cancino-Opazo Luis Patricio , Acosta-Martínez Ana Isabel , Avendaño-Ruiz Belem Dolores
Published: September 2020

Objetivos: identificar y describir las principales prácticas de vitivinicultura de las empresas productoras de vino del Valle de Guadalupe que pueden ser valoradas como prácticas sostenibles. Metodología: para identificar las principales prácticas de sostenibilidad vitivinícolas, se diseñó un cuestionario para recabar información que nos permita construir el índice de adopción de prácticas sostenible por categorías: agua, energía y suelo, aire y comunidad, mismo que en el año 2018 se aplicó a una muestra de 18 vitivinícolas, de un total de 31. Resultados: de acuerdo con los resultados, se estimaron los índices de adopción de prácticas sostenibles (IAPS) para tres categorías: Agua, Energía y Suelo, aire y comunidad. El índice de la categoría de agua es de 71 % y el de energía de solo un 52 %. El IAPS de suelo, aire y comunidad es de 62 %. Limitaciones: la falta de un registro adecuado de la cantidad de vitivinícolas en la zona y la coordinación de tiempos con los productores. Conclusiones: las vitivinícolas del valle presentan oportunidad de mejora en las tres categorías analizadas, particularmente en el desempeño de agua ante la prolongada sequía.
PRE-HOSPITAL FIRST AID: REAL RICK TO LIFE, WHICH CAN GIVE FATAL EXIT FOR A CHILD IN AN TRAFFIC ACCIDENT
Authors: Bulatov S. A. , Antonov A. M.
Published: September 2020

The article discusses the problem of providing medical care at the prehospital stage for children who have become participants in a traffic accident. Neck injuries are one of the main causes of death. First aid should include mandatory immobilization of the cervical spine. It is recommended to include the collar-tires in the kit first aid kit (“car”).
EVALUATION OF QUALITY OF TREATMENT OF PATIENTS WITH POSTTRAUMATIC ACUTE KIDNEY INJURY, DIED IN INTENSIVE CARE UNITS OF DISTRICT HOSPITALS
Authors: Dats A. V. , Dats L. S.
Published: September 2020

This paper presents an analysis of the quality of treatment of patients with posttraumatic acute kidney injury, died in intensive care units and intensive care district hospitals. Defects treatment in most cases arise from non-compliance with the recommendations for treatment, using outdated methods of treatment and the lack of contraindications when prescribing drugs.
QUALITY OF LIFE OF PATIENTS IN THE COMING PERIOD AFTER PURPOSING OF GASTROESOPHAGEAL BLEEDING, DEPENDING ON THE APPLIED HEMOSTASIS METHODS
Authors: Kadirov R. N. , Hadjibaev F. A. , Akhmedov Yu. M. , Minnulin E. R.
Published: September 2020

The most common and formidable complications of portal hypertension are bleeding from varicose veins of the esophagus and stomach, a radical method of treatment and prevention of which at present can only be considered liver transplantation. All other technologies (conservative, endoscopic, endovascular, surgical) are palliative measures, the most important task of which is to ensure for the patient the highest possible quality of life in the inter-relapse period.
Propuesta de un modelo de volatilidad a los precios de cierre en las acciones CÉMEX LATAM HOLDINGS durante el periodo 15/noviembre/2012 al 27/octubre/2017
Authors: Cortes Garcia Christian Camilo , Cangrejo Esquivel Alvaro Javier
Published: September 2020

En este trabajo se presenta un modelo de volatilidad que explique los retornos de precios de cierre diarios de las acciones CLH de la compañía multinacional para la industria de la construcción CEMEX, tomando como referencia la volatilidad con ventana móvil 20 datos y modelos de volatilidad condicional tales como los GARCH, TGARCH, IGARCH, EGARCH y APARCH. El modelo que mejor explica la volatilidad condicional de los retornos es el IGARCH(1,1).
Plásticos y microplasticos en agua, un problema mundial que afecta nuestros sistemas acuáticos
Authors: Sánchez Ramírez Javier Eduardo
Published: September 2020

El termino“microplástico” fue elegido como palabra del año 2018 en la Fundéu BBVA y está sirviendo para entender mejor la problemática actual que esto supone. Investigaciones recientes calculan que cada año vertemos al mar más de ocho millones de toneladas de plástico, que representan un peligro para la vida de los animales marinos. La presencia de estas microesferas en el océano está aumentando. La ONU declaró en 2017 que hay hasta 51.000 millones de partículas microplásticas en el mar, 500 veces más que el número de estrellas de nuestra galaxia. Los microplásticos encontrados en el mar pueden ser ingeridos por animales marinos. El plástico se acumula en su cuerpo y puede terminar en los humanos a través de la cadena alimenticia.
Nivelación de tierras: una opción viable para el uso eficiente y gestión sustentable del agua en la agricultura
Authors: Navarro-Álvaro M
Published: September 2020

El incremento de la población y la demanda del agua para uso urbano como para el uso industrial es cada vez mayor; según la FAO, para el uso agrícola es alrededor del 72% y el 28% para uso urbano. Por lo que en muy poco tiempo esto llevará a un problema de escasez del agua. Siendo que la agricultura demanda más agua y en México solo el 18% de la superficie cultivada cuenta con infraestructura de riego, para tales casos, el riego por gravedad tiene eficiencias alrededor del 45% y los presurizados andan arriba de los 90%; convertir los sistemas de riego por gravedad a sistemas de riego presurizado y mejorar el riego por gravedad son opciones viables para hacer un uso eficiente y gestión sustentable del agua. Éste último se puede lograr a través de nivelación de tierras, revestimiento de canales, sustitución de canales por tuberías y diseño y manejo apropiado del riego parcelario. La nivelación de tierras pretende solucionar problemas de baja eficiencia de aplicación y deficiente uniformidad del riego ocasionados por irregularidades topográficas. Con el uso de la tecnología tradicional y/o tecnología laser se puede lograr nivelar el terreno agrícola con alta precisión y esto permite un avance del agua de manera más uniforme, vertical y horizontalmente, con lo cual se logran eficiencias de riego hasta un 85%.
O HORROR ESTÁ LÁ FORA: AS REPRESENTAÇÕES DISCURSIVAS ENVOLVENDO OS IMIGRANTES NO CONTO O HORROR EM RED HOOK (1927), POR H. P. LOVECRAFT
Authors: Irschlinger Fausto Alencar , Drehmer Gonçalves Miguel Allan
Published: September 2020

Howard Phillips Lovecraft foi um escritor norte-americano de fantasia e ficção científica, muito conhecido pelo gênero de terror, que viveu no começo do século XX e que, hoje, é bastante influente na cultura popular. Os conceitos filosóficos e narrativos pensados por ele marcam presença em grandes filmes do cinema, em histórias em quadrinhos, na música, em séries de televisão, em desenhos animados e, é claro, na literatura contemporânea. Todavia, Lovecraft também ficou conhecido por ser abertamente intolerante, tendo manifestado seu preconceito racial e sua aparente xenofobia em diversos contos e poemas. Com relação a isso, neste artigo busca-se identificar e analisar quais as representações discursivas que envolveram os imigrantes nos Estados Unidos do começo do século XX, a partir do conto O Horror em Red Hook (1927), de H. P. Lovecraft, procurando estabelecer um paralelo entre a ficção e a realidade. Com esse objetivo, os conceitos de representação, ficção e discurso serão trabalhados a partir de Pesavento e Orlandi; quanto à vida e obra de H. P. Lovecraft, utiliza-se a biografia escrita por Joshi (2014). Apesar de sua grande expressão, a literatura de Lovecraft foi pouco debatida academicamente, sobretudo em trabalhos brasileiros. Isso é surpreendente porque suas histórias, seus conceitos e suas personagens, que apresentam implicações diretas à representatividade étnica, permanecem recorrentes mesmo após quase um século desde as suas origens.
EDITORIAL
Authors: Machado Tatiane Henrique Sousa
Published: September 2020

Editorial
PENGARUH MUTUAL COUPLING PADA BEAMFORMING ANTENA ARRAY
Authors: Gaspura Naufal Widya , Arseno Dharu , Pramudita Alloysius Adya
Published: September 2020

In the antenna array there is a mutual coupling effect. Mutual coupling causes a decrease in the characteristics of the antenna parameters. In this study, an analysis of the effect of mutual coupling on beamforming results was carried out. In this study, it was concluded that the effect of mutual coupling depends on the distance between the antenna elements. In the simulation for the beam pointing to 60 degrees, at a distance of lambda the resulting beam is shifted by 70%. Distance of 12 lambda, beam shifted 25% to 45 degrees. At 3 4 lambda distance, the beam is close to the desired result direction, 64 degrees to be precise, at the lambda distance there is a grating lobe effect. In the end, it was found that mutual coupling affects the beam direction which causes the antenna radiation pattern to change.
СТРУКТУРА РИНКУ FINTECH ІННОВАЦІЙ
Authors: Rubanov Pavlo Mykolayovych
Published: September 2020

Актуальність теми дослідження. Радикальні зміни на ринку фінансових послуг після світової фінансової кризи 2008 року визначають актуальність дослідження сучасної структури цього ринку з урахуванням появи і розвитку FinTech інновацій. Постановка проблеми. Існуючі в науковій
літературі спроби класифікувати нові види фінансових послуг мають багато суперечностей і
неузгодженостей, викликаних багатоаспектністю та багаторівневістю впливу FinTech інновацій на ринок фінансових послуг. Аналіз останніх досліджень і публікацій. Питання розвитку ринку FinTech інновацій досліджуються в роботах Белінської Г., Диби М., Жердецької Л., Коваленко В., Мазаракі А., Поченчука Г., Семенога А., Арнер Д., Тсаі Ц., Пенг К.-Дж. та інших. Виділення недосліджених частин загальної проблеми. В наукових джерелах відсутній єдиний підхід до визначення видів або напрямків FinTech інновацій, а також щодо структури ринку FinTech послуг. Постановка завдання. Метою статті є аналіз та систематизація підходів до класифікації видів FinTech, визначення ключових ознак та проведення структуризації ринку FinTech інновацій. Виклад основного матеріалу. Основою класифікації FinTech інновацій в більшості наукових джерел є їх поділ відповідно до видів фінансових послуг, які вони трансформують: платежі і перекази; послуги інфраструктурних учасників ринку; інвестиційний менеджмент; страхування; позики та заощадження; нарощення капіталу. Однак FinTech інновації змінюють не лише окремі фінансові продукти або процеси, але й ринок фінансових послуг в цілому, що супроводжується появою на ньому нових учасників та переглядом бізнесмоделей існуючих учасників. З огляду на це, в роботі запропоновано систематизувати підходи до класифікації
видів FinTech інновацій за декількома ознаками. Висновки. В статті запропоновано підхід до
класифікації видів FinTech інновацій та структуризації ринку FinTech інновацій за видами фінансових послуг, надавачами FinTech послуг, видом інноваційної технології та групами користувачів FinTech.
Person of the Issue: John Dewey (1859-1952)
Authors: Ankit Patel
Published: September 2020

John Dewey (October 20, 1859 – June 1, 1952) was an American philosopher, psychologist, and educational reformer whose ideas have been influential in education and social reform. Dewey is one of the primary figures associated with philosophy of pragmatism and is considered one of the founders of functional psychology. A well-known public intellectual, he was also a major voice of progressive education and liberalism. Although Dewey is known best for his publications about education, he also wrote about many other topics, including epistemology, metaphysics, aesthetics, art, logic, social theory, and ethics.

John Dewey graduated from the University of Vermont and spent three years as a high school teacher in Oil City, Pennsylvania. He then spent a year studying under the guidance of G. Stanley Hall at John Hopkins University in America’s first psychology lab. After earning his Ph.D. from John Hopkins, Dewey went on to teach at the University of Michigan for nearly a decade.

In 1894, Dewey accepted a position as the chairman of the department of philosophy, psychology and pedagogy at the University of Chicago. It was at the University of Chicago that Dewey began to formalize his views that would contribute so heavily to the school of thought known as pragmatism. The central tenant of pragmatism is that the value, truth or meaning of an idea lies in its practical consequences. Dewey also helped establish the University of Chicago Laboratory Schools, where he was able to directly his apply his pedagogical theories.
Effect of Personal Variables of Youths of Rajkot District on Their Health Care Awareness
Authors: Mohit M. Pandya  , Dr. D. J. Bhatt
Published: September 2020

The study was designed to investigate the impact of certain socio personal variables on Health Care Awareness of youths‟ of Rajkot district. The sample consisted of 240 youths‟ (120 Male/120 Female) selected randomly from Rajkot district. Health Care Awareness scale of Dr. D. J. Bhatt and K.N. jhalodiya was used. Data were analysis by „F‟ test and„t‟ test. Results revealed that there exists a No significant difference between the youths‟ socio personal variables ed. Gender, Education, Area, Age, Type of family, Family members, Education faculty and their Health Care awareness.